Monty Mythen - Podcast Details

Shows

TopMedTalkReview of the 2025 IARS conference | IARSRecorded at the close of the recent IARS (International Anesthesia Research Society) annual meeting held in Honolulu, Hawaii. Our co-editor in Chief Professor Mike Grocott’s arrival at the IARS from the UK was delayed by a fire at Heathrow airport. This piece turns his late arrival into your good fortune, as both Professor Kate Leslie and Professor Monty Mythen, TopMedTalk’s founder, fill him in on the conference. If you missed the IARS this year or were there but could do with a high level summary of the highlights, this podcast is a great plac...2025-04-2824 min

IFA TalksIFA Talks meet TopMedTalk with Mike Grocott | 'The Great American Fluid Debate'Fluid Matters - 'The Great American Fluid Debate' | TopMedTalks Nov 27, 2018 This is an excerpt from 'The Great American Fluid Debate' which was hosted at Duke University Medical Centre's "Controversies in Perioperative Medicine" conference of this year. These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there. The two pieces Monty mentions in the podcast, featuring Paul Myles, are found here: "THE RESULTS" https://ww...2025-04-1231 min

IFA Talks5th IFAD 2015 - 025 - MONTY MYTHENWe’re still working in somewhat of an evidence vacuum, but based on the available data, I continue to believe that there are circumstances where colloids remain necessary. Until I see compelling evidence that challenges long-standing clinical practice—practice that has delivered consistently good outcomes and is supported by numerous prospective randomized controlled trials—I won’t be convinced to change. When that evidence emerges, I’ll be happy to adapt, but for now, I still see a role for colloids. My name is Professor Monty Mythen, and I’m a Professor of Anaesthesia and Critical Care at Universit...2025-04-0902 min

IFA Talks2nd IFAD 2012 - 010 - MONTY MYTHENHi, my name is Monty Mythen. I'm from University College London in England. I just gave a talk on the engineering of next-generation resuscitation fluids—what we might call "superfluids"—and what the future holds in fluid development. My key conclusions are that, over the next decade, most advances in resuscitation fluids will likely come from semi-synthetic products. These will be improved, modified, and reformulated to better match physiological pH and electrolyte compositions, making them safer and more effective. Looking further ahead, we must continue to pursue the development of so-called "shelf blood"—a synthetic or eng...2025-04-0800 min

The Kerry Ambassador Programme Podcast SeriesEpisode 5 | Prof Monty Mythen | Edwards LifesciencesAn in-depth conversation with founding Kerry Ambassador, Prof Monty Mythen, Senior Vice President Medical Affairs | Critical Care at Edwards Lifesciences, and director of The UCL Discovery Lab.2023-12-1200 min

TopMedTalkOPTIMISE 2 results…BREAKING NEWS | EBPOM 2023The big talking point at The World Congress of Evidence Based Perioperative Medicine (EBPOM) 2023 was the results of the ‘OPtimisation of Peri-operaTive CardIovascular Management to Improve Surgical outcomE II (OPTIMISE II)’ trial. The OPTIMISE II trial is an international, multi-centre, pragmatic, randomised controlled trial with an open study group allocation, to determine whether cardiac output-guided fluid therapy, with a low dose inotrope infusion is clinically effective when compared to usual care in patients undergoing major gastrointestinal surgery. This podcast captures the moment the world has been waiting for as this global trial (with over 30 participating cent...2023-07-0837 min

TopMedTalkMonty and Desiree at The SCA | TopMedTalkWelcome to the Society of Cardiovascular Anesthesiology (SCA) annual conference. This piece is a quick look at what you can expect from us as we cover one of the world's most important medical gatherings. Presented by Desiree Chappell and Monty Mythen.2022-05-1504 min

30 minutes with...30 minutes with...Prof Monty MythenMonty Mythen is the Smiths Medical Professor of Anaesthesia and Critical Care at University College London and Director of the UCL Discovery Lab at The London 2012 Olympic legacy Institute of Sport Exercise and Health.His wide research interests include peri-operative fluid management and trans-oesophageal Doppler, fitness for surgery, heart attack and stroke recovery, metabolism, fluids.2022-02-2332 min

TopMedTalkExciting news | TopMedTalkPost EBPOM Monty and Desiree explain how TopMedTalk is building on the incredible success of the last few years. After producing a podcast every day for 3+ years we are now going to produce a new podcast each week with more focus on specific topics with bespoke documentary style pieces which will help us to present complicated content in a more digestible form. We will also continue to present the core principles of Enhance Recovery After Surgery alongside cutting edge talks we think need a wider audience. It will continue to be essential listening each week for perioperative...2021-07-0512 min

TopMedTalkThe Anesthesia Patient Safety Foundation | COVID 19This piece focuses on the great work done by The Anesthesia Patient Safety Foundation. We turn to their specific focus on COVID 19 and then look at the wider benefits of a network dedicated to patient safety in our field. Their section on COVID 19 is here: https://www.apsf.org/news-updates/perioperative-considerations-for-the-2019-novel-coronavirus-covid-19/ Furthermore there is a remarkably prescient article by Mike Grocott and Monty Mythen on there in which we discuss, Perioperative Fluid Management: Cheers to the Dream of Moderation: https://www.apsf.org/article/perioperative-fluid-management-cheers-to-the-dream-of-moderation/ Presented by Desiree Chappell and Monty Mythen...2021-03-0123 min

TopMedTalkDingle Highlight | Enhanced Recovery with Monty and DesireeTopMedTalk has recently engaged with a large number of new listeners, we are delighted to have you join our family of perioptimists! This piece works as a primer, it explains what lies at the core of the world's favorite perioperative medicine podcast; enhanced recovery. What is it? How do you implement it? What are its core principles? If you've never heard TopMedTalk before but you are a medical practitioner this piece is a great place to start; if you're already onboard it will be a welcome refresher regarding the ideas we all gather around daily. ...2021-01-1027 min

TopMedTalkTopMedTalk | Christmas Eve SpecialThe annual TopMedTalk Holiday Special series this year takes a look back at COVID19 and the first year we had to live with it. Listen to the full conversations used in this piece: TopMedTalk | Henrik Kehlet and Nick Scott https://www.topmedtalk.com/topmedtalk-henrik-kehlet-and-nick-scott/ TopMedTalk | Silent pandemic of surgical complications https://www.topmedtalk.com/topmedtalk-silent-pandemic-of-surgical-complications/ COVID 19 | An update on patient, Professor Monty Mythen https://www.topmedtalk.com/8381-2/ COVID 19 | “You must learn the epidemiology” https://www.topmedtalk.com/covid-19-you-must-learn-the-epidemiology/ COVID 19 | Disruptive Innovation 2020-12-2439 min

TopMedTalkPOCAPALOOZA | London: The International Board of Perioperative Medicine and the Centre for Perioperative Care"At the moment perioperative care in the UK doesn't really have the profile that I think it needs; now I suspect that COVID-19 has raised it up the agenda" If you enjoyed Monty's explanation regarding the UK's perioperative journey you may find this link interesting: Evidence submitted by the Improving Surgical Outcomes Group (ISOG) (NICE 75): https://publications.parliament.uk/pa/cm200607/cmselect/cmhealth/503/503we35.htm "Now we're here at this Pocapalooza" - POC, standing for Perioperative Care and "apalooza" being an extravagant event. However, as one of our guests suggests, perhaps we should...2020-10-1916 min

TopMedTalkTopMedTalk | The AI Doctor will see you nowThis piece features a short informative presentation from our Editor in Chief Monty Mythen regarding Artificial Intelligence and the HPI Monitor developed by Edwards Life Sciences. It is followed by question and answer session faciliated by both our online presence, studio audience and invited guests. The "Perioperative Quality Initiative consensus statement on the physiology of arterial blood pressure control in perioperative medicine" piece mentioned is here: https://bjanaesthesia.org/article/S0007-0912(19)30047-9/fulltext Presented by Desiree Chappell and Monty Mythen with, Feras Hatib, Phd, Director, Research and Development, Algorithms and Signal Processing...2020-09-2300 min

TopMedTalkTopMedTalks To ... | Professor Monty MythenWhat is TopMedTalk and how did it come about? Why is perioperative medicine such an inspiration to us? Why is our Editor in Chief such an advocate? What is the opioid crisis? Broadcaster Nick Margerrison speaks with Monty Mythen our Editor in Chief about TopMedTalk and perioperative medicine. We regularly enjoy reading your feedback: contact@topmedtalk.com 2020-09-0500 min

TopMedTalkASA 2019 | Perioperative haemodynamic management - making sure you deliver more"It's like running an election campaign..." Perioperative hemodynamic management; how do you make it really work within an institution? With extensive reference to real life experience hear first hand stories from our guest and Editor in Chief's experience of doing just that. How do you get people both in and outside of the team to understand the importance of it? Hear about new developments in Enhanced Recovery After Surgery (ERAS) and perioperative haemodynamic management. Find out how new technologies, techniques and information are being applied in this piece. Also, when dealing with an institution, how...2020-08-2000 min

TopMedTalkPOCAPALOOZA 2020 | Cape Town; The African Surgical Outcomes StudyThe POCAPALOOZA story begins with our fascination with The African Surgical Outcomes Study. Over the last year regular listeners have heard key parts of the narrative fall into place during TopMedTalk interviews and discussions. Learn how the European Surgical Outcomes Study (EUSOS), presented at a previous Evidence Based Perioperative Medicine (EBPOM) conference, helped to inspire the African Surgical Outcomes Study ASOS which then went on to inspire us all; after an international gathering in Prato. A truly global community - the perioperative medical community - has now been galvanised into action. Determined to further the research and increase the...2020-08-1900 min

TopMedTalkAANA | How to "ACE" pediatric emergence!Pediatric patients can present quite a challenge when emerging from anesthesia. Here we discuss ways to “ACE” your transition to PACU! “A”void Emergence Agitation, and discover the latest evidence about “C"riteria for “E”xtubation in this challenging population. How do the protocols and standard of care compare between the UK and US. What does the evidence tell us? Also, how is Enhanced Recovery After Surgery progressing in pediatrics? Presented by Desiree Chappell and Monty Mythen with their guest Kristin Henderson, DNAP, CRNA, CHSE, CPT, USAR Assistant Professor, Wake Forest School of Medicine, Nurse Anesthesia Program 2020-08-1800 min

TopMedTalkAANA | Emergence Delirium in US Veterans: Best Practice RecommendationsAfter working at a Veterans Affair Medical Center, hear how our guests moved into the field of emergence delirium: "upon emergence our patients were swinging and very aggressive ... there must be some way to prevent this". This fascinating piece enjoys an engaging discussion about an important topic for both patients and practitioners; how important is it for you to know a patient may suffer from post traumatic stress disorder? Do different anesthetics promote or avoid emergence delirium? Can emergence delirium cause further long term trauma? How do we deal with US military veterans specifically? Patient...2020-08-1700 min

TopMedTalkAANA | E-cigarettes and their impact on patients undergoing anesthesiaThe electronic cigarette market is a $14 billion industry worldwide. As of August 2019, 215 cases of severe pulmonary illness related to e-cigarette use are being investigated in the United States. The known hazards of e-cigarette use are rapidly coming to light with the sudden onset of serious bronchiolitis-related pulmonary disease in otherwise healthy people who were known to use e-cigarettes. Learn also how COVID 19 has increased these dangers. Presented by Desiree Chappell with Monty Mythen and Bernard Gilligan, III, DNP, CRNA, APRN, Program Assistant Director, Assistant Professor, Cedar Crest College Nurse Anesthesia Program, Allentown, PA.2020-08-1600 min

TopMedTalkAANA | Sex, race and social class disparities in painPain is a subjective experience that affects all segments of the population. However, there are inter-individual differences in pain. The biopsychosocial model proposes that the intersection of biological, psychological, and social factors create a pain experience and pain outcomes that differ by sex, race, and socioeconomic status. "The minority stress theory ... the idea that for racial minorities, especially blacks, they are exposed to chronic stress; the stress of daily racism" Could epigenetics hold the key to understanding how social factors compound differences between patients? How does this impact on you and your practice? ...2020-08-1500 min

TopMedTalkAANA | Ketamine Infusion Centers: From Inception to Infusion"My first thought was - why can't we do this here?" What is ketamine, what sort of drug is it and how is it used? How was it first synthesized? Was it intentionally found or another of science's happy accidents? This piece is a fascinating look into the history and future of ketamine with a focus on outpatient infusion centers. Could this unusual and "dirty" drug - meaning it acts on many parts of the body and is not fully understood - have incredibly useful consequences for people who face the grueling task of handling...2020-08-1400 min

TopMedTalkAANA | Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe?"4-10% of opioid naïve patients will continue to use opioids more than 90 days after surgery" Opioids are good for pain control but there's another issue, they also numb emotional pain. How do we responsibly deal with this? It's important to remember: "When you give patients high doses, you're putting them at risk". Long term listeners will recall TopMedTalk spent the best part of our launch year on this topic. If you're one of our many new listeners please use this huge resource of podcasts to help update your practice and cut down unnecessary risk: h...2020-08-1400 min

TopMedTalkTopMedTalks to ... | Mike SwartHow do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? How can cardiopulmonary exercise testing lead to shared decision making? Hear how aortic aneurysms are dealt with by a world class professional perioperative physician. Learn how that process and its success then spread out into other areas of healthcare within his institution. Do you need to develop a broad knowledge of all surgery and medicine so that you understand what is going on within the different surgical specialities? Following this discussion is had about t...2020-08-1400 min

TopMedTalkAANA | Enhanced Recovery with Lynn Reede"Thank you for taking this meeting beyond these walls" - this piece was the final part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. We begin with the global audience in mind and break down what it is to be a Nurse Anesthetist. It's a role which is expanding in scope, our guest walks us through how and why that's the case. This wide ranging conversation then moves to the future of enhanced recovery and the AANA's future development. For more on the Drink Eat Mobilise topic...2020-08-1100 min

TopMedTalkSunday Special | Burn out?This piece focuses on the question of looking after yourself as a practitioner and interlinking into your team. How important is it to listen to your team? What is "burn out"? How does it express itself in people? What signs should we look for in our friends and colleagues? Presented by Desiree Chappell, Sol Aronson and Monty Mythen with their guest Sasha Shillcutt, Vice Chair of Strategy and Innovation, Department of Anesthesiology, UNMC Founder, Brave Enough LLC. Find Sasha's excellent website (and podcast) here: https://www.becomebraveenough.com/2020-08-0900 min

TopMedTalkEBPOM 2019 | Perioperative Blood Pressure, Q&AAs a general rule, should ward monitoring be increased? Should continuous blood pressure monitoring be more frequent? This short piece follows on from Tim Miller's talk "Perioperative Blood Pressure (PeriOperative Quality Initiative: POQI 3) how low can you safely go?". Presented by Desiree Chappell and Monty Mythen with Tim Miller, Associate Professor of Anesthesiology from Duke University Medical Centre.2020-08-0700 min

TopMedTalkEBPOM 2019 | Troponin Screening - essential or the Emperor's new clothes?This panel discussion and extended question and answer session focuses upon troponin screening. Where is the latest evidence as regards this debate? Is MINS ( Myocardial injury after noncardiac surgery) the most common postoperative complication associated with death and if so why is there a transatlantic divide as regards the evidence? Is there a place for troponin screening preoperatively for risk stratification? What should one do with an asymptomatic post operative patient with raised troponin? Does MINS cause hypotension? This is part 3 of 3 from The EBPOM 2019 TopMedTalk session which debated the issue. Chaired by Monty Mythen...2020-08-0600 min

TopMedTalkAANA | Protecting Your Healthcare Practice - Compliance and EnforcementWhat are some of the major issues regarding billing? What are the most common mistakes when it comes to documentation? How do we keep the focus on great healthcare, as well as good book keeping? How does "the false claims act" impact on billing? If you find a mistake or an issue in your note keeping the advice here is clear; deal with it the moment it is discovered. Also, under recording is an obvious issue, can the same be said of 'excessive documentation'? The bottom line is that practitioners must remain educated, stay aware...2020-08-0400 min

TopMedTalkTopMedTalk | Education, perioperative medicine, anaesthesia and you.Discussion begins with thoughts about University College London (UCL)'s Masters Course in Perioperative Medicine, moving further to the various ways in which people can learn more about the specialty The wider conversation reaches out into the field of anaesthesia and the constant shortage of practitioners that there is in the UK and more widely around the world. Also, if you're intrigued, here's the link to the FREE 4 week course discussed in this podcast: https://www.ucl.ac.uk/lifelearning/courses/perioperative-medicine Presented by Desiree Chappell and Monty Mythen with their...2020-08-0200 min

TopMedTalkTopMedTalks to ... | Houman JavedanThe Silver Tsunami is coming, are you prepared to assess the elderly patient? Mature patients present unique and interesting opportunities to perioperative practitioners. New ways of thinking and different approaches are always necessary. The British Geriatric Society's "Fit For Frailty" is here: https://www.bgs.org.uk/resources/resource-series/fit-for-frailty Presented by Desiree Chappell and Monty Mythen with their guest Houman Javedan, MD. Geriatrician at Brigham and Women’s Hospital, assistant program director of the HMS Multi-Campus Fellowship in Geriatric Medicine, and Clinical Director for the Division of Aging in the Department of Medicine.2020-07-3100 min

TopMedTalkAANA | Substance Use Disorder - Peer Support: An Empathetic Information Resource"I know how to manage pain medication [...] addiction was the absolute last thing that would happen to me". This podcast helps tackle the difficult subject of Substance Use Disorder in healthcare practitioners. How do we, from a caring and helpful perspective, address this issue either within ourselves or others? This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the AANA here: https://www.aana.com/ The Peer Assistance section of the AANA’s website is here: www.AANAPeerAssistance.co...2020-07-2800 min

TopMedTalkDingle 2019 | Enhanced Recovery with Monty and DesireeTopMedTalk has recently engaged with a large number of new listeners, we are delighted to have you join our family of perioptimists! This piece works as a primer, it explains what lies at the core of the world's favorite perioperative medicine podcast; enhanced recovery. What is it? How do you implement it? And, what are its core principles? If you've never heard TopMedTalk before but you are a medical practitioner this piece is a great place to start; if you're already onboard it will be a welcome refresher regarding the ideas we all gather around daily. 2020-07-2700 min

TopMedTalkTopMedTalks to ... | Michelle Chew"Excellent teamwork"; the key to good outcomes. This piece features an in depth discussion of post operative acute kidney injury (AKI), are there fresh approaches we can take? Could more data help us? The conversation then moves to myocardial injury after noncardiac surgery (MINS). What should our thoughts be as regards postoperative troponin levels? Presented by Desiree Chappell and Monty Mythen with their guest Michelle Chew, Professor, Senior Consultant, Faculty of Medicine, Linköping University; Associate Professor, Faculty of Health and Medical Sciences, UCPH; Associate Professor, Consultant, Department of Anaestheisa and Intensive Care Medicine, Hallands S...2020-07-2600 min

TopMedTalkTopMedTalk | A step between a simple monitor and a fully automated systemThis piece focuses upon goal directed fluid therapy, with an automated system, for decision support; "a step between a simple monitor and a fully automated system". The "proof of concept" paper we highlight towards the end of the podcast, "Feasibility of closed-loop titration of norepinephrine infusion in patients undergoing moderate - and high-risk surgery" has now been published and can be found here: https://bjanaesthesia.org/article/S0007-0912(19)30443-X/abstract This paper here "Perioperative goal directed therapy using automated closed-loop fluid management: the future?" is also referenced: https://www.ncbi.nlm.nih.gov/pubmed/26578397 2020-07-2400 min

TopMedTalkASA 2019 | A data based conversation about payment methodsAway from the world of politics there is a sensible debate to be had about payment methods for healthcare. Here you will find evidence, shared goals and specific payment models from the US being looked at in detail. It's a debate about total cost of care and a two sided risk model that could potentially be cheaper and better for both patients and providers. Bundle payments provoke debate, "the interesting question is; 'post operatively, do you need that expensive care'?" Population health is an inevitable terrain for the discussion, could alternative payment models benefit wider society? 2020-07-2300 min

TopMedTalkAANA | A Novel Use of the Erector Spinae Block in the Austere EnvironmentIn the military Forward Surgical Teams (FSTs) are deployed into challenging environments to deliver "damage control surgery". They help people who have been injured, relieve the pain, stop the bleeding, 'patch the holes' and move them to a safer environment. It's from this background that our two contributors come, learn how they have been forced to innovate and what insights they can give to practitioners working in more familliar and well resourced contexts. Hear how a 25 year-old male presented with penetrating chest trauma and an Erector Spinae Block was utilized in an incredibly dramatic context. ...2020-07-2100 min

TopMedTalkPRATO | The 5th Collaborative Clinical Trials in Anaesthesia biennial conferenceThis piece focuses upon the unique 'Collaborative Clinical Trials in Anaesthesia biennial conference', of which this was the fifth, organised in Prato, Italy, by Monash University. TopMedTalk was given the chance to listen in on this cutting edge gathering of trialists, academics and practitioners as it happened. We take a deeper dive on the history behind this very special meeting, how it works and special moments from the meeting. Learn how some of the big trials gather pace and how major studies get established. The ANZCA Clinical Trials Network is here: http://www...2020-07-1700 min

TopMedTalkTopMedTalk | Research and development during COVID and beyondAfter a quick chat about the immediate aftermath of the incredibly successful EBPOM LIVE from London and its accompanying online Perioperative Care Festival, The POCAPALOOZA , this piece is a conversation with friends of ours at Medtronic. Now is an interesting and resource scarce time for everyone in medicine; Medtronic made huge waves here with their support of the Ventilator Training App, today we ask them about where it's at and how things are changing in the world of medical technology. How does product development actually work these days? How important have standards of proof become? Should we...2020-07-1500 min

TopMedTalkEBPOM 2019 | Perioperative blood pressure, panel discussion.This panel discussion is an honest and challenging look at blood pressure management. Questions include but are not limited to: How should practitioners maintain blood pressure in patients and where is the threshold? How much precaution is inspired by eminence rather than actual evidence? What is the best and safest way to attenuate sympathetic responses intraoperatively? If harmful hypotension occurs between induction and incision should we refuse to induce anaesthesia until the surgeon is scrubbed and ready? If we had better, more specific or sensitive ways to monitor tissue perfusion rather than blood pressure and now - almost discounted...2020-07-1400 min

TopMedTalkTopMedTalk | Gender and racial diversityThis piece focuses on the work of our guest and her impact upon the crucial area of gender and racial diversity in the US Anesthesia and Critical Care Workforce. How can we advocate for diversity within this field? What do we make of the Athena SWAN (Scientific Women's Academic Network) charter? Can social media help to raise awareness and build communities that can tackle these issues? Also in this piece we discuss Implementation Science, the study of methods to promote the adoption and integration of evidence-based practices, interventions and policies into routine health care and public health...2020-07-1200 min

TopMedTalkAANA | Caring for the transgender patientThis piece is a much needed contribution to a conversation about how we should be caring for the transgender patient within the scope of perioperative care. Our guest's excellent article, “Anesthesia Inclusive Practices Amidst Adversity: Caring for the Transgender Patient”, is here: https://cms.aana.com/docs/default-source/pr-aana-com-web-documents-(all)/anesthesia-inclusive-practices-amidst-adversity-caring-for-the-transgender-patient-may-2019.pdf?sfvrsn=d810a34d_4 The NHS's guidelines are here: https://www.nhs.uk/conditions/gender-dysphoria/guidelines/ Presented by Desiree Chappell and Monty Mythen with Jose Castillo, PhD, CRNA Faculty, Texas Wesleyan University, AANA Diversity and Inclusion Committee.2020-07-1000 min

TopMedTalkPOCAPALOOZA | Cape Town Final Comments"Monty - we've done it!" This piece wraps up one of our more ambitious experiments, the POCAPALOOZA. 24 hours around the world, combining powerful practice changing information and inspiration alongside entertainment from artists and supporters. We hope you have enjoyed this year's conference, look forward to hearing some of the talks in full and entirely for free over the next few months here on TopMedTalk. If you are one of the thousands of our listeners who signed up early for EBPOM Live From London please accept our thanks for helping to show the world...2020-07-0300 min

TopMedTalkPOCAPALOOZA | Hong Kong, Mike IrwinEBPOM might be over but the global perioperative festival, the POCAPALOOZA, continues. Either we've locked our team in their rooms and forced them to continue broadcasting or they're driven by a raw enthusiasm for the results of perioperative care to be shared around the world, either way this piece is our penultimate installment before we return to Cape Town. What's the situation like, in terms of medicine, in Hong Kong at the moment in the wake of COVID 19? "Early intervention and people taking it seriously is a big thing" The conversation evolves as...2020-07-0300 min

TopMedTalkPOCAPALOOZA | ChicagoThis entertaining piece is designed to be a fun listen which also manages to convey a sense of where Perioperative Medicine is as a discipline. It also contains a large number of exciting and exclusive announcements, make sure you listen and enjoy. Presented here "as live" by Desiree Chappell with Monty Mythen and Sol Aronson, tenured Professor at Duke University with Jeanna D. Blitz, Associate Professor of Anesthesiology, Medical Director, Duke PASS Clinic Director, Perioperative Medicine Fellowship. -- We're raising money for APORG this year, if you enjoy listening to TopMedTalk please make...2020-07-0300 min

TopMedTalkPOCAPALOOZA | Live from London!This episode of the Pocapalooza* is provided here for free in the hope you can help us raise money for a cause that will immediately appeal to perioperative practitioners, the African Perioperative Research Group (APORG): https://www.justgiving.com/crowdfunding/protea-live?utm_id=1&utm_term=ZKW35J94X This piece traces the story of perioperative medicine, through the lens of the contributors and Evidence Based Perioperative Medicine (EBPOM). Hear how pioneers in our field used evidence as their negotiating tool to reform practices and provide better, healthier outcomes for all. The question arises, where next? Education has...2020-07-0200 min

TopMedTalkPOCAPALOOZA | Cape TownThe Pocapalooza begins! "Poc" standing for "perioperative care" and "palooza" meaning festival. Join us as we travel around the world promoting life changing healthcare. Go to ebpom.org for entertainment throughout the day as we celebrate the success of our first fully virtual conference, EBPOM 2020, Live from London! Regular listeners will be delighted to discover this piece is an update on a project which has been close to our hearts here on TopMedTalk; The African Surgical Outcomes Study (ASOS) and the African Perioperative Research Group (APORG). We're raising money for APORG this year...2020-07-0200 min

TopMedTalkEBPOM LIVE from LONDON | Innovation during COVID and beyond?This piece covers the fascinating upside to the recent global pandemic we have been facing in medicine; increased application of innovation and better time efficiency. "We have learned that we can move very quickly" How have innovations in times of crisis meant that technology has been able to be used which has 'upscaled' remote patient monitoring? How has the value of this innovation become clear during this recent resource stretched period? "People reached out for innovation, why would we go back?" This piece focuses on opioid toxicity, nociception monitoring and pain...2020-07-0100 min

TopMedTalkEBPOM Live From London | Procedural Sedationists and monitoringThis piece focuses on procedural sedation and questions regarding, who delivers it, is there a standard for monitoring what is the correct approach to capnography? Further discussion also includes questions regarding sedation; is there room for compromise in the debate surrounding propofol? If so where does responsibility lie for that? Is it wrong to sell this as a "general anaesthetic"? Is there room for sedation teams who can find a compromise position? Presented by Desiree Chappell with Monty Mythen and Jim Down, Intensivist and Consultant Anaesthetist, University College London Hospital and Amit Prakash, Consultant Anaesthesia & Perioperative medicine...2020-07-0100 min

TopMedTalkEBPOM LIVE from London | Pain monitoring"Everyone is aware of the opioid crisis outside of hospital, tragic opioid crisis, but we've had one on the wards for a long time". This piece focuses on opioid toxicity, depth of anaesthesia, patient monitoring and pain management. "We've all had situations where we give too much or too little"; either can be serious concerns, "it's essential we get the analgesia right". Presented by Desiree Chappell and Monty Mythen with Frank Overdyk, Professor of Anaesthesiology, Charleston, South Carolina.2020-07-0100 min

TopMedTalkTopMedTalk | The Balanced Anesthesia StudyThis piece focuses on The Balanced Anesthesia Study, 'A Prospective Randomized Clinical Trial of Two Levels of Anesthetic Depth on Patient Outcome After Major Surgery'. How can delerium be measured and standardised in a multi-centre trial? More on the study here: https://journals.lww.com/anesthesia-analgesia/FullText/2015/08000/Rationale_and_Design_of_the_Balanced_Anesthesia.14.aspx More on the Confusion Assesment Method here: https://www.guysandstthomas.nhs.uk/resources/our-services/acute-medicine-gi-surgery/elderly-care/cam-diagnostic-algorithm.pdf The Hospital Elder Life Program (HELP) for Prevention of Delirium is here: https://www.hospitalelderlifeprogram.org/ We discuss...2020-06-2100 min

TopMedTalkASA 2019 | Perioperative Quality Initiative P.O.Q.I. news"Every fourth operation there is evidence of a modifiable risk factor". The Perioperative Quality Initiative (POQI) is our starting point for this conversation, seven concensus conferences focusing on various topics of interest to the perioperative practitioner. Check out their extensive open source resources here: www.poqi.org Hypotension and Mean Arterial Pressure (MAP) are discussed in detail; how are patients now being managed? How can a 'hazard index' help? "25% of our patients experience hypotension!"; regular TopMedTalk listeners know this has been frequently highlighted as an issue for patient mortality. Also, 26 minutes...2020-06-2000 min

TopMedTalkEBPOM 2019 | Brain Health (Peri-Operative Quality Initiative: POQI 6) - what can we do tomorrow?This piece discusses The Brain Health Initiative and the sixth Peri-Operative Quality Initiative which focused upon delirium. How can progress in these areas be built upon and encouraged? Where is the data in regards to detecting and dealing with delirium? Beers Criteria Medication List; Potentially Inappropriate Medications for the Elderly According to the Revised Beers Criteria is here: https://dcri.org/beers-criteria-medication-list/ The website for the AARP is here: https://www.aarp.org/ Presented by Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania. There is a short...2020-06-1900 min

TopMedTalkTopMedTalk | The Anesthesia Patient Safety FoundationThis piece focuses on the great work done by The Anesthesia Patient Safety Foundation. We turn to their specific focus on COVID 19 and then look at the wider benefits of a network dedicated to patient safety in our field. Their section on COVID 19 is here: https://www.apsf.org/news-updates/perioperative-considerations-for-the-2019-novel-coronavirus-covid-19/ Furthermore there is a remarkably prescient article by Mike Grocott and Monty Mythen on there in which we discuss, Perioperative Fluid Management: Cheers to the Dream of Moderation: https://www.apsf.org/article/perioperative-fluid-management-cheers-to-the-dream-of-moderation/ Presented by Desiree Chappell and Monty Mythen...2020-06-1800 min

TopMedTalkTopMedTalk | Your essential guide to EBPOM Live from London!"We are getting super excited about EBPOM Live from London at the end of June..." - thousands of you already have your tickets, this podcast is your essential primer; a fascinating rundown of what attendees to the virtual conference "EBPOM Live From London!" can expect. As a listener to TopMedTalk you are part of a movement which aims to help save lives every year around the world. The practice of evidence based perioperative medicine guarantees healthcare as a whole, and surgery in particular, is done to the best of our medical understanding and ability. By doing our...2020-06-1700 min

TopMedTalkAANA | Innovators in anesthesia: Anesthesia electronic medical records"Data is destiny"; this piece looks at way we can unlock it for Anesthetists. The Open-Source Anesthesia Electronic Medical Record (OSAEMR) was developed specifically for Nurse Anesthetists. Its focus is on solo or small-practice nurse anesthetists operating in environments with limited or no network and computing resources other than an iPad. One patient, one nurse anesthetist, and one iPad. It can now be scaled to larger multi-provider practices outside of CRNAs. Hear how this innovation came about. This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.2020-06-1600 min

TopMedTalkASA 2019 | Depth of anaesthesia"We believe these results are applicable to a very broad population" Focusing on a study of over 6,000 patients, this hugely important piece attempts to finally move forward discussion regarding the long term consequences of deep anaesthesia? There is no difference in the survival rate of patients who have had a "deep level" of anaesthesia, which is still strictly within the bounds of normal clinical practice. Could this research lead to us using less anaesthesia overall and improving our environmental impact? The paper being discussed, "Anaesthetic depth and complications after major surgery: an international...2020-06-1500 min

TopMedTalkCOVID 19 | Black and Minority Ethnic (BAME) death rates- Update from the UK"The NHS is composed by about 20% of non-white individuals" This piece takes a data driven look at a controversial area, how well informed are we about the risks associated with the coronavirus behind this unprecedented global pandemic? "The background issues of gender and ethnicity may out weigh the issues related to comorbidities" but, in terms of data, "it's a moving target". There have been theories regarding vitamin D absorption, genetics and other hypotheses but in this piece we also ask if this data is driven by social factors and other issues which most...2020-06-1400 min

TopMedTalkTopMedTalk | CPET Cardio Pulmonary Exercise TestingEverything you ever wanted to know about CPET (Cardio Pulmonary Exercise Testing) but were too afraid to ask; this conversation is a fascinating deep dive into the topic with two experts in the field. Discover how widely practiced this technique is across the UK, hear about the advantages people who use it have in terms of outcomes and patient safety. Also, what do institutions then do with the data and how does that increase our understanding of the human body? Some of the UCL podcasts mentioned in the piece are available here: Introduction to Cardio...2020-06-1000 min

TopMedTalkTopMedTalks to... | Dan Martin, OBEDesiree and Monty catch up with Dan Martin, OBE, and speak with him about treating infectious diseases and in particular patients with ebola. Presented by Desiree Chappell and Monty Mythen with their guest Dan Martin, OBE anaesthetist and intensivist at the Royal Free Hospital and Reader at University College London (UCL).2020-06-0800 min

TopMedTalkDesiree's Roundtable | We've saved twelve million dollars!Discussion begins with a hugely successful Enhanced Recovery program at a large community hospital, continued improvements and service line expansion. Learn about both the advantages and the challenges of a perioperative practice here. Presented by Desiree Chappell and Monty Mythen with their guests Kim Duggan, Perioperative Surgical Home (PSH) - Enhanced Recovery After Surgery (ERAS) Manager, New Hanover Medical Centre and Robin Davis, Clinical Education Specialist II at New Hanover Regional Medical Center.2020-06-0600 min

TopMedTalkAANA | Tackling the pain of the opioid crisisThe opioid crisis "a unique American problem". This piece uncovers the origin of some of the misinformation about opioids, the consequences of calling pain a "fifth vital sign" and the absurd practice of waking patients up in the middle of the night to ask them if they are in any pain. As these factors combined fatalities started to spiral into the crisis we see today. Recent statistics make for grim reading, in 2017 it was estimated over 47,000 Americans died from an opioid overdose. However action is now being taken; learn how The American Association of Nurse Anesthetists (AANA...2020-06-0300 min

TopMedTalkTopMedTalks to ... | Dan Longrois on nociceptionThis piece is a fascinating discussion regarding research and safety in anaesthesia management; "in the past five or six years there's been a shift from high risk patients to all types of patients". How are we improving methods, evaluation and monitoring? What are some of the more essential elements of the process? Where is the latest research? What is a sensible policy when it comes to opioids? Presented by Desiree Chappell and Monty Mythen with their guest Dan Longrois, Professor of Anaesthesia and Intensive Care Medicine, Department of Anaesthesia and Intensive care, Bichat Hospital. --2020-05-3000 min

TopMedTalkAANA | Innovators in AnesthesiaThis piece tells the story of two different innovators in the field of an anesthesia. The first is, The Pediatric Device for Induction of Anesthesia (PeDIA), a mask-free anesthesia delivery system designed for kids. The second is the Error Recovery and Mitigation Aide (ERMA), a reworking of the traditional needle box whereby a clear reservoir is inserted between the re-entry proof top and opaque terminal disposal portion, allowing practitioners to have visualization of all the syringes and vials used during the course of a procedure. At the end of a single procedure, a trap door in the bottom of...2020-05-2800 min

TopMedTalkEUROANAES2019 | Testing the Hypotension Prediction Index in practice"We wanted to know if goal directed therpy using a (Hypotension Prediction Index) HPI monitor can prevent hypotension". This piece looks in detail at the HPI monitor in practice- what is the benefit of this piece of technology in relation to hypotensive episodes? Furthermore how else is it to be tested and when will these tests be carried out? Presented by Desiree Chappell and Monty Mythen with their guest Marit Habicher, Specialist, Department of Anesthesia and Critical Care at UKGM Giessen.2020-05-2600 min

TopMedTalkAnaesthesia 2019 | The Centre for Perioperative Care (CPOC)This piece focuses on The Centre for Perioperative Care (CPOC). How does it work, what are its goals and who is involved? Also, what digital innovations will CPOC be looking towards? For more information check out the website here: https://cpoc.org.uk/ Originally recorded live at Anaesthesia 2019; where world-renowned experts presented the latest advances in perioperative medicine, critical care and pain medicine. Presented by Monty Mythen and Mike Grocott with their guest David Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative...2020-05-2200 min

TopMedTalkAnaesthesia 2019 | Tim Cook and Paul WischmeyerThe Royal College of Anaesthetist's National Audit Projects (NAP) are frequently fascinating and always important, here we get a look at NAP7, which will examine Perioperative Cardiac Arrest. The conversation also explores the Sprint National Anaesthesia Projects (SNAP) organised by the National Institute of Academic Anaesthesia. There's also discussion regarding muscle quality, malnourishment and ultrasound. The conversation progresses to Quality Improvement and the latest evidence there. This includes discussion of The National Emergency Laparotomy Audit (NELA). Their website is here: https://www.nela.org.uk/ Find out more about Emergency Laparotomy Quality Improvement Care Bundle...2020-05-2100 min

TopMedTalkAnaesthesia 2019 | Paul Wischmeyer"Keeping the care in healthcare", is the agenda for this powerful and wide ranging conversation with one of our most popular contributors. How do we keep the priority of what we do at the forefront of our minds? Does the information we've learned recently on TopMedTalk about "burn out" impact on our understanding of poor levels of care in healthcare? Is it possible to rate providers on how much care they display? Also; "what is a microbiome"? The second half of this conversation is a deep dive into "the bugs that make us whole". How can this...2020-05-1800 min

TopMedTalkTopMedTalks to ... | Maurizio CecconiThis piece focuses on intensive care, the use of data and the future of fluid therapy research and its related physiological outcomes. The article mentioned in this podcast is here: "Perioperative haemodynamic therapy for major gastrointestinal surgery: the effect of a Bayesian approach to interpreting the findings of a randomised controlled trial" https://bmjopen.bmj.com/content/9/3/e024256 Presented by Desiree Chappell and Monty Mythen with their guest Maurizio Cecconi, Head of the Anaesthesia and Intensive Care Department at Humanitas Research Hospital; President-elect of the European Society of Intensive Care Medicine (ESICM) for 2020-2021, Chair...2020-05-1700 min

TopMedTalkAnaesthesia 2019 | The Clinical Trials Network and Optimising Shared Decision MakingWe begin with a conversation about The UK Perioperative Medicine Clinical Trials Network, their website is here: https://www.pomctn.org.uk/ This piece focuses on the Optimising Shared decision-makIng for high-RIsk major Surgery (OSIRIS) programme. Shared decision making can be very challenging when we're not sure what the risks are and older patients with chronic diseases often make very different decisions when informed. How do we make this process more evidence based? How do we better understand this group and communicate with them? Are there technological answers to these questions? If you'd like to...2020-05-1400 min

TopMedTalkCOVID 19 | Avoiding the Tsunami? The power of preparation and informationThis piece is something of a ray of hope, here we learn how New Zealand appears to have managed the crisis remarkably well, a low level of infections overall. What lessons can be learned from the political leadership and tactic deployed here? Is there a downside to this, as regards to 'herd immunity', or is the reality that all of us must wait for a vaccine? Presented by Desiree Chappell and Monty Mythen with Julian Fuller, Anaesthetist in Auckland, New Zealand. Thank you to our sponsor Edwards Lifesciences. Edwards clinical education (ECE): https...2020-04-2400 min

TopMedTalkCOVID 19 | Disruptive Innovation"The concept of 'disruptive innovation' in healthcare and that's what this has been; a major challenge to healthcare has forced us to do something very differently, very quickly." This piece starts with a quick update on the current situation from Monty and Desiree regarding where they are, London and Louisville Kentucky, in both the US and UK respectively. We then move to the fascinating and inevitably - rapidly expanding - area of 'tele-medicine'. Hear how our guest has helped to pioneer this and managed to increase value, achieving things which were simply not possible 'the...2020-04-2200 min

TopMedTalkCOVID 19 | Case study: Professor Monty Mythen 02This is the second and concluding part of our real life case study of a COVID 19 patient. In this instance our Editor in Chief Monty Mythen has - during the course of presenting this series - contracted COVID 19. Fortunately for us, it was a comparatively mild case. This short documentary takes the story up right after Monty's decision to take a test to see if his symptoms were as we feared. Presented by Nick Margerrison, part 1 is available of download here: https://www.topmedtalk.com/covid-19-case-study-professor-monty-mythen-01/ The longer conversations which these clips were part...2020-04-2200 min

TopMedTalkCOVID 19 | Case study: Professor Monty Mythen 01This piece looks at our recent archive and pieces together the story of our Editor in Chief, Monty Mythen's bout of COVID 19. From the start TopMedTalk was keen to reflect the global battle against this terrible virus and - as you will hear - concerns for our friends and contributors in the medical world was never far from our minds. In retrospect it is particularly interesting listening to how evidence and best practice were in this instance vital to the health of our team and the people they care about. Presented by Nick Margerrison, this...2020-04-2100 min

TopMedTalkCOVID 19 | Mike Irwin, Hong Kong"It was taken pretty seriously, right from the start" After a quick update with both Monty, UK, and Desiree, US, we join one of our friends and colleagues at the University of Hong Kong; what's the situation there? What useful comparisons can be drawn from speculation about the differences between Hong Kong's response in contrast to ours? How can it be that in spite of such proximity to the epicenter of the global pandemic they appear to be managing a situation we are having such problems with? As well as the possible hygiene benefits is...2020-04-1800 min

TopMedTalkCOVID 19 | (REPEAT) Herbert Patrick, Philadelphia, Pennsylvania(REPOST) After a quick update from Desiree and Monty this piece focuses on Philadelphia Pennsylvania and gets into specifics regarding caring for COVID 19 positive patients. As regards The Jefferson Hospital; where has the ICU "take over" expanded to? Have critical care ventilators been deployed to all new ICU beds or have acceptable compromises been made? "Staffing is tougher than the equipment" but how has a "critical care pool" system, prepared over a year ago, helped? What does the typical COVID 19 critical care patient look like? Enormous quantities of oxygen are being used by institutions to...2020-04-1200 min

TopMedTalkCOVID 19 | Special Charity Concert with Jeremy Sassoon 5pm UK timeThis piece is intended as a chance for listeners to TopMedTalk to both raise money for the effort to tackle COVID 19 and have a bit of relaxation and entertainment while doing so. Our Editor in Chief Monty Mythen will be joining our guest, Jeremy Sassoon live on Facebook at 5pm on Saturday 11th of April. In advance of that this piece explains how the two of them got to know each other along with some live music from Jeremy and reflections on how this crisis is effecting everyone. Presented by Desiree Chappell with...2020-04-1100 min

TopMedTalkCOVID 19 | Herbert Patrick, Philadelphia, PennsylvaniaAfter a quick update from Desiree and Monty this piece focuses on Philadelphia Pennsylvania and gets into specifics regarding caring for COVID 19 positive patients. As regards The Jefferson Hospital; where has the ICU "take over" expanded to? Have critical care ventilators been deployed to all new ICU beds or have acceptable compromises been made? "Staffing is tougher than the equipment" but how has a "critical care pool" system, prepared over a year ago, helped? What does the typical COVID 19 critical care patient look like? Enormous quantities of oxygen are being used by institutions to care for them...2020-04-0900 min

TopMedTalkCOVID 19 | Barbara McLeanWe get a quick update from Monty, how is his return to work going after quarantining at home with COVID 19 Further conversation takes a look at the care being given to COVID 19 patients and their providers. What is PPE fatigue? Where is the debate regarding COVID 19 positive patients and fluid management? A lot of it boils down to the mantra "keep it simple", do the job as correctly and properly as possible and know what you are capable of. Please listen to the end of this piece for a vitally important discussion regarding temperature variation...2020-04-0800 min

TopMedTalkCOVID 19 | Desiree and MontyThis week begins with an update on Monty's progress after his COVID 19 diagnosis. Have the symptoms returned or is he back to his usual self? One thing we know for certain when it comes to this virus and our treatment of it's symptoms; it is a dynamic situation. Management of the COVID patient is constantly changing. Do we treat our patients as having Acute respiratory distress syndrome (ARDS) or do we take a standard approach to ventilation? This piece looks at how our understanding of COVID 19 is developing as more evidence comes in. There then...2020-04-0700 min

TopMedTalkCOVID 19 | An update on patient, Professor Monty MythenThis piece is a reliable first hand account of COVID 19, directly from a patient, our Editor in Chief Monty Mythen. "This kind of reassurance that seemed to go with it, to seem to say to people: 'nah, nah, nah, it's ok; you've just got a bit of a sore throat and a bit of a dribbly nose, crack on!' Was not supported by the available evidence at all" How is Monty feeling? What are the actual symptoms of COVID 19? Why has misleading information been apparently knowingly released regarding this? What are the details on...2020-04-0400 min

TopMedTalkCOVID 19 | Monty and Desiree weekend update"We keep being told we're one to two weeks away from the peak..." This piece takes a look at how Monty is getting on with his diagnosis, COVID 19 symptoms infamously vary in severity throughout the infection. Now he has been diagnosed how, if at all, will his behaviour change? What is the UK's policy on practitioners who are COVID 19 positive? Further discussion includes the news that 'rapid tests' are being introduced in the battle against the global pandemic as well as 'drive through' testing. How reliable are they, how might they work? Presented by Desiree...2020-03-3000 min

TopMedTalkCOVID 19 | Professor Monty Mythen has tested positive"It is interesting how well you can feel, compared to the night time [...] it gives you this real false sense of wellness for a period of time and then it hits you, man it hits you hard, when it hits you." The UK Prime Minister has tested positive for COVID 19 as has The UK's Health Secretary, Matt Hancock, MP. Yesterday we revealed there were concerns our Editor in Chief Monty Mythen had some of the symptoms, only days before he was set to return to active duty in Critical Care. Acting responsibly precautions were already being taken...2020-03-2700 min

TopMedTalkCOVID 19 | Does one of our team have COVID 19?"I work in a houshold where my wife was working at a school and my student children have come home so, it's highly likely that I would get COVID 19"; the conversation begins with a discussion about the fact our Editor in Chief Monty Mythen has had some of the symptoms over the last few days. "For us as healthcare workers what we need to do is filter out the true head colds from the COVID 19s"; the symptoms could be caused by a number of factors but until a clear test result is available he is taking precautions. 2020-03-2500 min

TopMedTalkCOVID 19 | UK, Southampton and London: Mike Grocott and MontyThis conversation sets the scene for the UK. London now having some hospitals which are overwhelmed, other parts of the UK still in the anticipation period. The conversation moves to the importance of enhanced recovery after surgery and its immediate relevance to the COVID 19 crisis. Then the topic of Personal Protection Equipment (PPE) is raised, possible shortages are discussed. The debate about non invasive ventilation, continuous positive airwave pressure (CPAP) and optiflow techniques. Oxygen economy is one thing to consider, service providers may face issues over this vital resource. Presented by Monty Mythen with his guest Mike...2020-03-2200 min

TopMedTalkCOVID 19 | USA, North Carolina: Vicki Morton joins Desiree and MontyThis piece is a detailed and reassuring look at how preparations are being made in North Carolina by our occasional host and regular contributor Vicki Morton. "I was told a few weeks ago [that] my focus was shifting to Covid preparedness"; hear how a taskforce was put together to prepare for the global pandemic. "Various different countries have been in denial" but now the fight back has begun in ernest. Will testing kits be made more widely available soon? Questions for our listeners: Could a 'remote buddy system' - facilitated by online facetime or video communication...2020-03-2100 min

TopMedTalkCOVID 19 | From the front line; Desiree and MontyDesiree and Monty update each other on how it's going as both the US and UK healthcare services prepare for, and begin battle with, COVID 19. School closures in both the UK and the US; how do the practicalities of cancelling school attendance impact upon frontline providers? What do comparisons with other countries tell us about the oncoming tsunami? Presented by Monty Mythen and Desiree Chappell. Link to Hugh Montgomery's piece: https://www.topmedtalk.com/covid-19-hugh-montgomery-north-london-uk/ Link to NEJM: https://www.nejm.org/coronavirus How to use PPE by The Center...2020-03-1900 min

BJA: British Journal of AnaesthesiaFluid Thinking with Professor Monty MythenAssessment, calculation and composition of replacement fluid is a fundamental tenet of anaesthetic practice. Mounting evidence from the colorectal and enhanced recovery literature shows that attention to detail throughout the perioperative period results in both reduced patient morbidity and length of stay. In addition to our highly tuned clinical acumen, exist a myriad of monitors we can use to augment our decision making and maintain our patients' milieu interieur. As such, one would expect to observe a high degree of consistency in the volumes of fluid given by experienced anaesthetic practitioners to similar groups of patients or at the very...2015-04-2300 min