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

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

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

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

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

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

TopMedTalkCOVID19 | Desiree and MontyThis piece is the first in a new series of programs we are making in response to COVID-19, now described by The World Health Organisation as a global pandemic. How can we, the TopMedTalk community, rise to this challenge and help each other as we share information and experiences? Where can people look for the sort of information they would ordinarily have gained from the conference circuit this year? How can listeners to TopMedTalk get involved directly with us? Presented by Desiree Chappell and Monty Mythen. Thank you to our sponsor Edwards Lifesciences.2020-03-1600 min

TopMedTalkTopMedTalk | Holiday Special 2019 Annual Review P3Our Holiday Special, part 3 of 3, is a sampling of our favorite conversations and lectures from 2019. It is a chance for new listeners to the hear the outstanding content that has made TopMedTalk the success it is after 2 amazing years. And for our regular listeners, a check in to make sure they've not missed some of the crucial pieces of the last year. 🙏🙏 All of us at TopMedTalk want to send a BIG thank you to ALL of our amazing fans and listeners. The support these past 2 years is inspiring and much appreciated. We want to thank our guests...2019-12-2600 min

TopMedTalkPOET 4.08 | If patients come to us anaemic - they just do worseHow important is it to screen patients for anaemia before surgery? Has anaemia fallen off the health care agenda? We begin with a conversation about patients who are anaemic and then turn to why this is sometimes not checked enough. Monty Mythen mentions UK University students appear to suffer from the condition more these days and Lori Heller points out that treating the condition, as part of patient optimisation, is something of a revelation for some, even occasionally removing the need for surgery altogether. Discussion continues regarding haemoglobin levels and the differentiation between men and...2019-08-2300 min

TopMedTalkTRIPOM 1.06 | at TopMedTalk Part 1TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England. This conversation is driven by questions from listeners online and attendees in the audience. Two pain management experts alongside the TRIPOM representatives and Desiree and Monty respond in detail to some of the key controversies in Perioperative medicine. Is there an opioid crisis and is it unique to the USA? Is there a problem with opioids and cancer outcomes? How do we educate junior doctors on this topic? What about...2019-05-0200 min

TopMedTalkPOET 1.08 | If patients come to us anaemic - they just do worseHow important is it to screen patients for anaemia before surgery? Has anaemia fallen off the health care agenda? We begin with a conversation about patients who are anaemic and then turn to why this is sometimes not checked enough. Monty Mythen mentions UK University students appear to suffer from the condition more these days and Lori Heller points out that treating the condition, as part of patient optimisation, is something of a revelation for some, even occasionally removing the need for surgery altogether. Discussion continues regarding haemoglobin levels and the differentiation between men and women. The importance of discovering the...2019-01-2500 min

TopMedTalkTopMedTalk Xmas Special Part 3 of 3A three part series covering the year in TopMedTalk. Here are some links to the pieces discussed: The Randy Moore piece: https://www.topmedtalk.com/aana-2018-is-there-a-global-shortfall-of-anesthesia-providers/ Here's the piece Monty mentions which celebrated the 60th anniversary of Edwards Life Sciences: https://www.topmedtalk.com/the-hypotension-prediction-index-hpi/ Here's are the pieces with Matthew McEvoy, the second is the Q&A section: https://www.topmedtalk.com/ebpom-usa-chicago-2018-the-opioid-crisis-can-we-kick-the-habit/ https://www.topmedtalk.com/ebpom-usa-chicago-2018-the-opioid-crisis-can-we-kick-the-habit-qa/ The Dingle Conference piece is here, look out for more of these...2018-12-2600 min

TopMedTalkIntensive Care Society | Dan Martin, OBEDesiree and Monty catch up with Dan Martin, OBE, and speak with him about the Intensive Care Society's annual conference, treating infectious diseases and in particular patients with ebola. Desiree Chappell and Monty Mythen presenting Dan Martin, OBE anaesthetist and intensivist at the Royal Free Hospital and Reader at University College London (UCL).2018-12-1000 min

TopMedTalkWhat do you value?A round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded at the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the fourth segment of the conversation between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California). Here Monty speaks, from a transatlantic perspective, about the need in value based care to know your outcomes.2018-11-3000 min

TopMedTalkFluid - Matters 4/6 | 'The Great American Fluid Debate'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://www.topmedtalk.com/the-relief-trial-results/ "YOUR ESSENTIAL DEEP DIVE" https://www.topmedtalk.com...2018-11-2700 min

TopMedTalkThe TopMedTalk Top Ten | Patients are the experts in being patients In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most downloaded podcasts we've done so far. "Patients are the experts in being patients" The penultimate part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the final segment of a fascinating 'round table discussion' between Desiree, Monty and their two guests; Shawna Butler (RN, N...2018-10-1100 min

TopMedTalkEBPOM USA | Wrong surgery or wrong patient? - Q&ARecorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Mike Grocott's talk; "Wrong surgery or wrong patient?". Various questions from the audience follow after a short conversation between Mike and our Editor in Chief Monty Mythen. Presented by Monty Mythen with his guest Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton.2018-10-0800 min

TopMedTalkEBPOM USA - CHICAGO 2018 | Perioperative medicine is population health - Q&A. Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this is the question and answer session which followed Sol Aronson's talk; "Perioperative medicine is population health". Various questions from the audience follow after a short conversation between Sol and our, Editor in Chief, Monty Mythen. Presented by Monty Mythen with Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology 2018-10-0400 min

TopMedTalkHemodynamic monitoring and the pulmonary artery catheterOn the occasion of the 60th anniversary of Edwards Life Sciences, Monty Mythen presents a discussion about hemodynamic monitoring and the pulmonary artery catheter, from their headquarters in Irvine, South California. Presented by Monty Mythen with Andy Shaw, Professor and Chair, Department of Anesthesiology and Pain Management, Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London and Tim Miller, Associate Professor of Anaesthesiology from Duke University Medical Centre.2018-09-3000 min

TopMedTalkThe Perioperative Care Practicum EBPOM USA : taster session - part 1EXCLUSIVE: TopMed talk is coming live from the 'Chicago Masters Course - A Perioperative Care Practicum'. Go to the website now and listen live to the world's most cutting edge thinkers and pioneers in the world of perioperative medicine and care: http://www.topmedtalk.com/ This piece is a collection of highlights from the last 'Perioperative Care Practicum' recorded at the EBPOM USA conference in Atlanta Georgia earlier this year. The fuller talks are available on the TopMed talk website: Part 1: https://www.topmedtalk.com/ebpom-usa-part-1-a-perioperative-practicum-with-professor-sol-aronson/ Part 2: https://www.topmedtalk...2018-09-2800 min

TopMedTalkEBPOM London 2018 - any answers | Part 4 Quality assurance and quality improvementThe Enhanced Perioperative Care for High-risk patients (EPOCH) trial results, as revealed at EBPOM 2018, show no change in mortality rates either on a 90 day or 180 day scale. What does this mean as regards the drive towards quality improvement in perioperative healthcare? For more on this we highly recommend you listen to these two podcasts here: The Epoch Trial Results: https://www.topmedtalk.com/ebpom-2018-8-the-epoch-trial-results/ The Dawn of a new EPOCH: https://www.topmedtalk.com/ebpom-2018-9-the-dawn-of-a-new-epoch/ Further light at the end of the tunnel is found in this piece...2018-09-2400 min

TopMedTalkEBPOM London 2018 - any answers | Part 3 The Big TrialsHere Monty and Desiree present part of Professor Paul Myles's EBPOM 2018 presentation regarding the RELIEF trial, a massive part of the perioperative calendar this year. What are the consequences of this trial for the practice of Enhanced Recovery After Surgery (ERAS)? Also hear more about the follow up trial which will be looking at Acute Kidney Injury (AKI). This then leads to discussion of the OPTIMISE II trial. Discussion then leads into the FEDORA trial and the IMPRESS trial with a clip of Monty's talk from EBPOM 2018. Presented by Monty Mythen and Desiree Chappell with...2018-09-2300 min

TopMedTalk05 Xtreme Everest | Oxygen Therapy: The Yin and Yang of Our Favorite Drug.Presented by, Monty Mythen., recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. Oxygen Therapy: The Yin and Yang of Our Favorite Drug. Monty Mythen. FRIDAY: Oxygen and the Brain. Chris Imray The Epigenetics of Hypoxia. Kay Mitchell SATURDAY: A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016, David MacLeod Therapeutic Hyperoxia: Medicine Under Pressure. Richard Moon SUNDAY Morpheus Consortium Distinguished Lecture: Xtreme Everest: Physiology on Top of th...2018-07-2600 min

TopMedTalkEBPOM 2018 - 5 | TRIPOM at TopMedTalk live pt1TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England. This conversation is driven by questions from listeners online and attendees in the audience. Two pain management experts alongside the TRIPOM representatives and Desiree and Monty respond in detail to some of the key controversies in Perioperative medicine. Is there an opioid crisis and is it unique to the USA? Is there a problem with opioids and cancer outcomes? How do we educate junior doctors on this topic? What about...2018-07-0600 min

TopMedTalkEBPOM USA Part 2| A Perioperative Practicum with Professor Monty MythenThis is the second presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from our Editor In Chief, Professor Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London. If you like the sound of this and think you and your practice would benefit from attending such a course don't worry, just go to The EBPOM website: https://www.ebpom.org/EBPOM-USA-2018 2018-07-0100 min

TopMedTalkFluid - Matters | Part 4 'The Great American Fluid Debate'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. The debate is framed as "restrictive versus liberal" but, as you'll hear, those terms are questioned by panel members. How do the results of 'The Relief Trial' figure in this debate? Is the pendulum of progress swinging too far - from overly liberal to too restrictive? What can the research and detailed data around these questions tell us? The two pieces Monty mentions in the podcast, featuring Paul Myles, are found...2018-06-2300 min

TopMedTalkControversies in perioperative medicineMonty sits down with one of the co-organisers of this year's meeting in Orlando and discusses this year's annual conference, "Controversies in perioperative medicine". The discussion encompasses pain relief, opioids, the increased use of ultrasound and the use of particular blocks during abdominal surgery. As ultrasound improves how is perioperative medicine changing? What are the challenges presented by larger patients? What are the potential problems with an ultrasound guided tap block? Presented by Professor Monty Mythen with his guest Professor Stuart Grant, MB ChB, FRCADirector, Medical Student Education, Duke University School of medicine. Join the debate and email us at co...2018-06-2100 min

TopMedTalk'Anesthesia and Analgesia' go big on POQIThis piece focuses on the latest print issue of 'Anesthesia and Analgesia' which is saturated with coverage of the Perioperative Quality Initiative (POQI), the most recent meeting of which was sponsored by the American Society of Enhanced Recovery (ASER). This conversation acts as an update on where some of the latest thinking is as regards perioperative medicine. It includes a deep dive into gastrointestinal tract dysfunction and allows you to find out the best "whey" to an enhanced recovery alongside information about nutrition screening. There's also a look at the perioperative medicine calendar, with details o...2018-06-1200 min

TopMedTalkThe RELIEF trial resultsMonty Mythen presents the results of the RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial. Does it answer the questions you hoped? Does this trial put to bed the questions about liberal vs restricted fluid therapy or is it a debate that's set to run and run? Can a trial ever be truly definitive? Send us your thoughts: contact@topmedtalk.com Hear Monty Mythen discuss the first thoughts of Paul Myles, Head of Alfred Health's and Monash University's Department of Anaesthesia and Perioperative Medicine, organiser of the trial. Here is t...2018-05-1100 min

TopMedTalkThe evolving role of the anaesthetistA conversation that is now even more relevant, the changing role of the anaesthetist. Matters such as population health, lifestyle choices and a wider sense of social responsibility are discussed as Monty asks his contributors, 'is this really what you signed up for'? Presented by Monty Mythen and Joff Lacey with guests, Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology and Liam Brennan President of The Royal College of Anaesthetists and consultant anaesthetist with a paediatric interest at Cambridge University Hospitals. This piece is taken from...2018-05-0800 min

TopMedTalkIf patients come to us anaemic - they just do worse EBPOM USAHow important is it to screen patients for anaemia before surgery? Has anaemia fallen off the health care agenda? We begin with a conversation about patients who are anaemic and then turn to why this is sometimes not checked enough. Monty Mythen mentions UK University students appear to suffer from the condition more these days and Lori Heller points out that treating the condition, as part of patient optimisation, is something of a revelation for some, even occasionally removing the need for surgery altogether. Discussion continues regarding haemoglobin levels and the differentiation between men and w...2018-04-2600 min

TopMedTalkDay 3 EBPOM USA with Monty Mythen and Desiree ChappellJoin Desiree and Monty as they reflect on the EBPOM USA weekend so far and look ahead to what remains. Also - a reminder that you still have chance to hear the conference presentations live from the www.topmedtalk.com website. Go there now to get details, it's free and has proven to be incredibly popular around the world!2018-04-1500 min

TopMedTalkHeated discussions - exponential rise in babies born addicted to opiodesJoff Lacey, Monty Mythen and Patrick Shanahan get stuck into an informative discussion about yesterday's 'heated' and controversial debate regarding the opiode crisis. Joff Lacey reports he heard one clinician say "over 25% of total knee replacements are still on opiodes 6 months after their operation". Patrick Shanahan pleads with the public "don't connect discomfort with a need for a narcotic to take care of it, there are many other avenues to take care of pain; that message is not out there enough!" Monty Mythen and the team agree it's important not to "demonise narcotics"...2018-03-1600 min

TopMedTalkSol Aronson and Monty Mythen speak about the forthcoming EBPOM USA meeting, April 13-15th.Sol Aronson and Monty Mythen speak about the forthcoming EBPOM 2018 annual conference in Atlanta. -- For more details on the upcoming Perioperative Practicum, Atlanta, April 13-15 2018 click here: https://www.ebpom.org/EBPOM-USA2-2018 2018-03-0600 min

TopMedTalkThe singularity university and exponential changeThe first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the first segment of a fascinating 'round table discussion' between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California). Firstly we hear about Shawna and her work, at Singularity University; specifically she speaks about the pace of exponential change, as compared with linear progress. 2018-02-2000 min

TopMedTalkPre-operative and post-operative rehabilitationThe first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the second segment of a fascinating 'round table discussion' between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California). Here Jennifer speaks to the group about pre-operative and post-operative rehabilitation; followed by a discussion about engaging older patients with technology. -- Don't forget: 15th - 17th March 2018 ASER/EBPOM 2018 Annua...2018-02-2000 min

TopMedTalkUsing new technology with elderly patientsThe first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care. Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California) continue a discussion about using new technology with elderly patients. -- Don't forget: 15th - 17th March 2018 ASER/EBPOM 2018 Annual Congress of Enhanced Recovery and Perioperative Medicine, register here: http://aserhq.org/2018-annual-congress/ 2018-02-2000 min

TopMedTalkKnowing your outcomes The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the fourth segment of the conversation between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California). Here Monty speaks, from a transatlantic perspective, about the need in value based care to know your outcomes. -- Don't forget: 15th - 17th...2018-02-2000 min

TopMedTalkThe magic of value based careThe first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the fifth segment of a fascinating 'round table discussion' between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California). Here Jennifer speaks about engaging the multidisciplinary team and explains how social workers can become involved earlier in the process, this is added to by...2018-02-2000 min

TopMedTalkPatients are the experts in being patientsThe penultimate part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the final segment of a fascinating 'round table discussion' between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California). Here Shawna speaks about “innovation as a team sport”. -- Don't forget: 15th - 17th March 2018 ASER/EBPO...2018-02-2000 min

TopMedTalkPerioperative care and the multidisciplinary approachThe final part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care. Join Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California) as they discuss perioperative care and the multi-disciplinary approach. An example of it in practice is given, the fact it means anaesthesiologists can be involved in knowing what works and how things are going.2018-02-2000 min

TopMedTalkPodcast 2: Live from Boston ASA 2017 - The big challenge of big trialsThe challenges facing the anaesthesia community as the need for big trials looms large. Why does it take so long for the anaesthesia community to adopt new techniques? Goal directed fluid therapy, as an example, seems to work but involves a cultural change and huge trials before it can be adopted. The Optimisation of Peri-operative Cardiovascular Management to Improve Surgical Outcome II (OPTIMISE II) trial is discussed in detail, as is the FLO-ELA (FLuid Optimisation in Emergency LAparotomy) trial. Could it be that because fluid therapy involves a cultural change within the anaesthesia community there is...2017-10-2100 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