Shows
TopMedTalkAnnual digest - Part 1 | TopMedTalkThis is the first of a two part program which covers some of the most listened to pieces we've done in the last 12 months. If you want to follow up on these conversations and get the full detail, for free, follow these links here: "Cardiovascular risk evaluation for non-cardiac surgery, guidelines" - https://topmedtalk.libsyn.com/cardiovascular-risk-evaluation-for-non-cardiac-surgery-guidelines-ebpom-24 ”Should we delay surgery for prehabilitation?” - https://topmedtalk.libsyn.com/should-we-delay-surgery-for-prehabilitation-prehabilitation-world-congress ”The importance of intraoperative hypotension” - https://topmedtalk.libsyn.com/the-importance-of-intraoperative-hypotension-aana-2024 “Behavioural change vs Psychological interventions: which is key in prehabilitation?” - https://topm...2025-02-1015 min
TopMedTalkMonitoring Patient Safety | TopMedTalkPatient safety and patient monitoring seem to go hand in hand, in the wake of the lockdowns, COVID-19 and the AI revolution we now have a new world of data and reliable information that we can unlock the potential of. Where does this leave us? This compilation piece contains clips taken from the following pieces: The Anesthesia Patient Safety Foundation | Anesthesiology 2022 https://topmedtalk.libsyn.com/the-anesthesia-patient-safety-foundation-anesthesiology-2022 The priority: Patient Safety | TopMedTalk General https://topmedtalk.libsyn.com/the-priority-patient-safety-topmedtalk Perioperative patient safety and post-operative ward monitoring | TopMedTalk General 2024-10-1022 min
TopMedTalkPatient monitoring and beyond | TopMedTalkPatient monitoring has made some significant strides forward over the last decade. Nowadays most people are familiar with the idea. Where are we now with this essential aspect of healthcare? How far should we take the commitment to monitoring a patient? What about “wearable” technology both inside and outside the institution? Desiree Chappell speaks with Meera Joshi, Specialist registrar at Ashford and St Peter's Hospital NHS Foundation Trust and clinical research fellow in the department of surgery cancer at Imperial College London. FURTHER LISTENING: We mention Sadia Khan, one of her recent contributions to T...2024-06-0339 min
TopMedTalkTopMedTalk Down Under - that's a wrap! | #ASM24BRIS"TopMedTalk Down Under" presents more 'as live' coverage of the 2024 Australian and New Zealand College of Anaesthetists (ANZCA) and Faculty of Pain Medicine's Annual Scientific Meeting. This piece looks back at some of the great guests and moments from this year's scientific meeting. If you'd like to learn more go here: https://www.anzca.edu.au/ Presented by Andy Cumpstey, Clinical lecturer, University Hospital Southampton NHS Foundation Trust and the University of Southampton, England, and Kate Leslie, Professor, Specialist Anaesthetist and Head of Research at the Royal Melbourne Hospital and the University of Melbourne. 2024-05-1014 min
TopMedTalkTopMedTalk down under - day 3 begins | #ASM24BRIS "TopMedTalk Down Under" continues 'as live' coverage of the 2024 Australian and New Zealand College of Anaesthetists (ANZCA) and Faculty of Pain Medicine's Annual Scientific Meeting. Here we recap on what we've seen and look forward to day three. If you'd like to catch up with our coverage here's the output from the previous day: Oxygen and Altitude | #ASM24BRIS - https://traffic.libsyn.com/topmedtalk/Oxygen_and_Altitude.mp3 Are you ready for a leadership position in healthcare? | #ASM24BRIS - https://traffic.libsyn.com/topmedtalk/xLeadership.mp3 Continuing p...2024-05-0705 min
TopMedTalkTopMedTalk Down Under Day 2 Begins | #ASM24BRIS"TopMedTalk Down Under" continues 'as live' coverage of the 2024 Australian and New Zealand College of Anaesthetists (ANZCA) and Faculty of Pain Medicine's Annual Scientific Meeting. Here we recap on what we've seen so far and anticipate what is yet to come. If you're at the meeting and have been supporting us on social media, thank you. Keep spreading the word for us! If you'd like to catch up with our coverage here's what we've done so far: TopMedTalk Down Under - exclusive coverage of the ANZCA meeting | #ASM24BRIS - https://t...2024-05-0507 min
TopMedTalkTopMedTalk Down Under - exclusive coverage of the ANZCA meeting | #ASM24BRIS"TopMedTalk Down Under" is proud to present our 'as live' coverage of the 2024 Australian and New Zealand College of Anaesthetists (ANZCA) and Faculty of Pain Medicine's Annual Scientific Meeting. This piece will put you in the picture and gives you an idea of what we have to look forward to at this exciting and important scientific gathering. Ensure you subscribe to TopMedTalk, to ensure you hear it all, and share this piece with your colleagues around the world. Presented by Andy Cumpstey, Clinical lecturer, University Hospital Southampton NHS Foundation Trust and the University of Southampton, E...2024-05-0411 min
TopMedTalkLooking forward to the World Congress of Anaesthesiologists | TopMedTalkThis piece reflects the fact we are currently getting ready for the 18th World Congress of Anaesthesiologists (WCA 2024) - we’re going to be bringing you all the coverage of the meeting that we can, live from Singapore. The podcast primes you for the topics we’re expecting to encounter and gives you a taste of where the discussions are at the moment. Featured in this piece are: Carolyn Johnston, consultant Anaesthetist in St Georges hospital in London and Improvement lead for the National Emergency Laparotomy Network: TopMedTalk: EBPOM Highlight 1.27 | Obstetric anaest...2024-02-2922 min
TopMedTalkAnesthesiology 2023 Digest Part 2 | TopMedTalkAnesthesiology 2023, a huge event in the perioperative calendar for us here at TopMedTalk; the annual general meeting of the American Society of Anesthesiologists (ASA). Part one of this podcast is here: https://topmedtalk.libsyn.com/anesthesiology-2023-digest-part-1-topmedtalk The pieces linked to in this podcast are here: Opportunities in Anesthesiology | #ANES23 https://topmedtalk.libsyn.com/opportunities-in-anesthesiology-anes23 The GAP study: Gabapentin and perioperative pain, results and analysis | #ANES23 https://topmedtalk.libsyn.com/the-gap-study-gabapentin-and-perioperative-pain-results-and-analysis-anes23 Artificial Intelligence in your practice | #ANES23 https://topmedtalk.libsyn.com/artificial-intelligence-in-your-practice-anes232024-01-0124 min
TopMedTalkAnesthesiology 2023 Digest Part 1 | TopMedTalkAnesthesiology 2023, a huge event in the perioperative calendar for us here at TopMedTalk; the annual general meeting of the American Society of Anesthesiologists (ASA). This piece includes clips from the following podcasts: Mani Vindhya, Chief Medical Officer at Provation iProcedures | #ANES23 https://topmedtalk.libsyn.com/mani-vindhya-chief-medical-officer-at-provation-iprocedures-anes23 O.R. Sustainability & End-tidal Control | #ANES23 https://topmedtalk.libsyn.com/or-sustainability-end-tidal-control-anes23 Anesthesiology as a career in the 2020's | #ANES23 https://topmedtalk.libsyn.com/anesthesiology-as-a-career-in-the-2020s-anes23 Physician payments and Medicare | #ANES23 https://topmedtalk.libsyn.com/physician-payments-and-medicare-anes232023-12-2521 min
TopMedTalkAdvanced AI–guided hemodynamic management within cardiac enhanced recovery after surgery pathways | TopMedTalkDesiree Chappell and Monty Mythen in conversation with Seenu Reddy, Cardiothoracic Surgeon at HCA‘s TriStar Cardiovascular Surgery in Nashville, National Physician Director, HCA Healthcare's CV Service line. We start with discussion about the ERAS Cardiac society, more about them here: https://www.erascardiac.org/ The paper discussed in this piece (10 minutes in) “Advanced artificial intelligence–guided hemodynamic management within cardiac enhanced recovery after surgery pathways: A multi-institution review” is available here: https://doi.org/10.1016/j.xjon.2023.06.023 TopMedTalk is the broadcasting arm of Evidence Based Perioperative Medicine (EBPOM). For more information on EBPOM Ireland...2023-09-1634 minTopMedTalkMonitoring the unmonitored | TopMedTalkHow far can we go with patient monitoring, how do we push forward with patient safety? What sort of monitoring is appropriate and when? How should we continue through the night time period? Where are the 'gaps and opportunities' for new technology? This conversation, originally part of our coverage of 'Anesthesiology' the Annual General Meeting of the American Society of Anesthesiologists (ASA), features Sol Aronson with his guests Sadia Khan, Consultant Physician, Clinical Director and Service Director for Cardiology at Chelsea and Westminster Hospital and Frank Overdyk, Professor of Anaesthesiology, Charleston, South Carolina. Sadia has...2023-06-1916 minTopMedTalkBeat burnout with patient centered, provider focused, care | TopMedTalkTime to focus on “burnout”; this piece looks back at the coverage TopMedTalk did during the American Society of Anesthesiologists (ASA). We’re proud to be associated with the ASA, for more on them go here: www.asahq.org In this piece you will hear Desiree Chappell, Monty Mythen and Sol Aronson with their guests Amy Vinson, Pediatrician and Anesthesiologist at Boston Children's Hospital and Mark Pinosky, Regional Chief Medical Officer for NorthStar Anesthesia. The podcasts which form the bulk of this piece are here: https://topmedtalk.libsyn.com/provider-burnout-and-well-being-anesthesiology-2022 https://topmed...2023-05-2935 minTopMedTalkNeurocognition after surgery | TopMedTalkThe subject of this piece is; neurocognition, after surgery and major anesthesia. We reference previous episodes of TopMedTalk, linked to in the footnotes. Monty Mythen in conversation with Lis Evered, Associate Professor of Neuroscience and Anesthesiology Weill Cornell Medicine in New York and Robert Sanders, Nuffield Chair of Anaesthetics at the University of Sydney and Royal Prince Alfred Hospital and Executive Board member of the Institute of Academic Surgery, Royal Prince Alfred Hospital. -- Lis Evered’s previous piece: https://topmedtalk.libsyn.com/prato-2019-lis-evered -- This ye...2023-05-0633 minTopMedTalkPerfusion - not just pressure! Predict, diagnose and treat underlying cause. Don’t just ‘squeeze’! | TopMedTalk HighlightThis essential TopMedTalk Highlight represents the culmination of a number of important threads we’ve been examining over the last few years around interoperative hypotension (IOH). Now though we’re hearing from practitioners who are looking at the consequences of new methods and technology to deal with this threat at scale. Could we see an end to the era of dangerous interoerative hypotension? Selected and edited for your convenience this was originally released as a long form conversation; part of our exclusive coverage of the annual International Anesthesia Research Society, (IARS) meeting organised with the Association of Univ...2023-05-0417 minTopMedTalkThe Society of Cardiovascular Anesthesiologists | TopMedTalkThis piece is a reflection of the fact that The Society of Cardiovascular Anesthesiologists Annual General Meeting is coming up this weekend, we hope to hear from people who attend. What are the big debates this year? Email contact@topmedtalk.com TopMedTalk’s proud association with the SCA continues as we look back on our ‘as live’ coverage in the past and look forward to future updates in the future. The clips used in this piece have been taken from: https://topmedtalk.libsyn.com/emily-methangkool-at-the-sca-topmedtalk https://topmedtalk.libsyn.com/julius-balogh-at-the-sca-topmedtalk http...2023-05-0124 minTopMedTalkInteroperative hypotension study group; USAP and NorthStar Anesthesia | TopMedTalkThis conversation is one of the key reasons we wanted to attend the annual general meeting of the International Anesthesia Research Society, in association with the Society of Critical Care Anesthesiologists and the Association of University Anesthesiologists. Bringing together various strands which we have covered previously here on TopMedTalk around the subject of Interoperative Hypotension (IOH) this in depth, long form conversation, brings you up to date with the latest research. Hear Monty Mythen and Desiree Chappell discuss interoperative hypotension with their guests, Rick Dutton, Chief Quality Officer for US Anesthesia Partners (USAP) and Josh...2023-04-1942 minTopMedTalkLooking back on 2022 Part 2 | TopMedTalkIn 2022 we covered many live events and conferences both on the subject of anesthesia and perioperative medicine; we produced audio versions of some of the most interesting speakers in the field of perioperative medicine and provided you with exclusive interviews and behind the scenes access to some of the key opinion leaders and thinkers in medicine. That's not to mention occasional exclusive news releases, hard hitting debates and the friendly charm of your favorite presenters; Desiree, Monty, Sol, Mike and the rest of the team. Do ensure you’ve taken advantage of the current offers av...2023-01-0930 minTopMedTalkLooking back on 2022 | TopMedTalkTopMedTalk's 2022 retrospective covers some of the big topics of the year in perioperative medicine: Perioperative diabetes management; Connected Health and the COVID era; ‘is day case total knee replacement taking ERAS too far?; are perioperative nutrition clinics essential? - and a deep dive into Intraoperative Hypotension. The links to the shows mentioned in this piece are, in order: "Key update on Intraoperative Hypotension | EBPOM Chicago": https://www.topmedtalk.com/key-update-on-interoperative-hypotension-ebpom-chicago/ "Nutrition clinics | EBPOM Chicago" https://www.topmedtalk.com/nutrition-clinics-ebpom-chicago/ “Nutrition clinics - panel discussion” - https://www.topmedtalk.com/nutrition-clinics-panel-discussion-ebpom-chicago-ireland/ "1st...2023-01-0221 minTopMedTalkTopMedTalk is now live streaming | Anesthesiology 2022Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists. This piece is presented by your hosts Desiree Chappell and Sol Aronson and features a run down of what you can expect if you go now to checkout our live stream and what to expect here on the TopMedTalk podcast channel. TopMedTalk is very proud to be partnered with the American Society of Anesthesiologists® at ANESTHESIOLOGY® 2022. Now in our fifth year TopMedTalk is bringing you our most comprehensive and extensive coverage of the largest gathering of anesthesiologists in the wor...2022-10-2209 minTopMedTalkAnesthesiology - a retrospective | TopMedTalk at the ASA Part 2If you missed part one of this series it can be found in full here: https://topmedtalk.libsyn.com/anesthesiology-a-retrospective-topmedtalk-at-the-asa TopMedTalk’s proud association with the American Society of Anesthesiologists (ASA) continues to be celebrated in this specially made podcast where we reflect on some of the big conversations we’ve enjoyed at their annual conference, Anesthesiology. For more on Anesthesiology 2022, please go to www.asahq.org These clips come from some of the most popular podcasts we’ve done about the conference. For the fuller conversations and podcasts please go here: Post...2022-10-2027 minTopMedTalkNeal Sandy and Karla Asikainen from GE Healthcare at the ESAIC | TopMedTalk"Most non clinicians.. think the most risky time when you're having surgery is when you're having surgery. That is categorically false; the most risky time is after surgery!" This piece came shortly after GE Healthcare's Portrait Mobile product launch, live from the European Society of Anaesthesiology and Intensive Care (ESAIC). Presented by Desiree Chappell and Sol Aronson with their guests Neal Sandy, General Manager, Monitoring Solutions at GE Healthcare and Karla Asikainen, Senior Global Product Manager, Mobile Digital Health at GE Healthcare. -- Get all the headlines and information about the hot...2022-06-2824 minTopMedTalkTom Westrick and Brandon Henak from GE Healthcare | TopMedTalk"We listen a lot to our customers and their patients" This piece came shortly after GE Healthcare's Portrait Mobile product launch, live from the European Society of Anaesthesiology and Intensive Care (ESAIC). Presented by Desiree Chappell and Sol Aronson with their guests Tom Westrick, President & Chief Executive Officer of Life Care Solutions at GE Healthcare and Brandon Henak, Global Marketing Director, Monitoring Solutions at GE Healthcare. -- Get all the headlines and information about the hot topics and major events of this conference exclusively from TopMedTalk, thanks to our partners in GE...2022-06-2831 minTopMedTalkBernd Saugel at Euroanesthesia 2022 | TopMedTalkThis wide ranging conversation starts with a focus upon blood pressure and moves through some of the bigger trails on what an appropriate target is for a perioperative practitioner. What is the most sensible way to manage blood pressure and where are the data driving us to? Further conversation evolves around the post-op period and transition of care. Presented by Desiree Chappell, Monty Mythen and Sol Aronson with their guest Bernd Saugel, Professor and Vice Chair of the Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine at the University Medical Center Hamburg-Eppendorf, Germany. -- ...2022-06-0837 minTopMedTalkFrederic Michard and Dan Sessler at Euroanesthesia 2022 | TopMedTalkA welcome return to TopMedTalk for two big names both of whom made a huge impact with their previous appearances, links to which are here: Dan Sessler is here: https://topmedtalk.libsyn.com/topmedtalks-to-dan-sessler-0 Frederic Michard is here: https://topmedtalk.libsyn.com/topmedtalk-wireless-wearables-on-the-ward-the-new-www-revolution Presented by Desiree Chappell and Monty Mythen with their guests Frederic Michard, MD of MiCo Consulting and Daniel Sessler, Michael Cudahy Professor and Chair at Cleveland Clinic, Director of The Outcomes Research Consortium.2022-06-0637 minTopMedTalkThomas Scheeran at Euroanesthesia 2022 | TopMedTalk"Hypotension is always a problem..." This piece is provided 'as live' from the European Society of Anaesthesiology and Intensive Care (ESAIC). Presented by Desiree Chappell, Monty Mythen and Sol Aronson with their guest Thomas Scheeran, Professor of Anesthesiology, Department of Anesthesiology, University Medical Center Groningen, Groningen, the Netherlands. Our guest has featured on TopMedTalk before, worth checking it out here: http://www.topmedtalk.com/euroanaes2019-thomas-scheeren/ -- Get all the headlines and information about the hot topics and major events of this conference exclusively from TopMedTalk, thanks to our partners in...2022-06-0538 minTopMedTalkThe Portrait Mobile product launch at The ESAIC | TopMedTalk"Moving from being reactive to being proactive" The Portrait Mobile product launch, live from the ESAIC. Presented by Monty Mythen, Smiths Medical Professor UCL and TopMedTalk's Editor in Chief, with his guest Frederic Clement, Chief Marketing Officer at GE Healthcare. -- Get all the headlines and information about the hot topics and major events of this conference exclusively from TopMedTalk, thanks to our partners in GE Healthcare. Go now to www.twitter.com/topmedtalk Go now to https://www.youtube.com/channel/UC-HYQmeIwcFCYO1hoQ8jShQ Go...2022-06-0414 minTopMedTalkLive from the European Society of Anaesthesiology and Intensive Care (ESAIC) | TopMedTalkThe TopMedTalk team are live at the European Society of Anaesthesiology and Intensive Care (ESAIC). Join Desiree Chappell and Monty Mythen with the team, TopMedTalk's Henry Howe and Jenny Gomez, both of whom are junior doctors. Get all the headlines and information about the hot topics and major events of this conference exclusively from TopMedTalk, thanks to our partners in GE Healthcare. Go now to www.twitter.com/topmedtalk Go now to https://www.youtube.com/channel/UC-HYQmeIwcFCYO1hoQ8jShQ Go now to https://www.facebook.com...2022-06-0406 minTopMedTalkThe value of tackling post operative nausea and vomiting | TopMedTalkThis piece is the first of a four part series, supported in part through an unrestricted educational grant from Acacia Pharma, Inc, tackling the subject of post operative nausea and vomiting. How do practitioners who have an emphasis upon value based care incorporate dealing with one of the less pleasant realities of surgery for a patient? For the fuller conversations quoted in this piece please checkout the following: New treatments for Post Operative Nausea and Vomiting | TopMedTalk https://www.topmedtalk.com/new-treatments-for-post-operative-nausea-and-vomiting-topmedtalk/ Why do we need a new rescue antiemetic | Novel...2022-01-3114 minTopMedTalkThe HPI Monitor - avoiding hypotensive events | TopMedTalkThe Hypotension Prediction Index is rapidly gaining a well deserved place in the hands of modern perioperative practitioners. Here we look at the history of this tool, why it is needed so badly and how it has developed. Many of the conversations referenced in this piece are worthy of further attention. The clips used are taken from the following TopMedTalk programmes: Live from Boston ASA 2017 – The Elephant In The Room – intraoperative hypotension: https://www.topmedtalk.com/live-from-boston-asa-2017-the-elephant-in-the-room-intraoperative-hypotension/ Intraoperative Hypotension: https://www.topmedtalk.com/intraoperative-hypotension/ ASA 2019 | Perioperative Quality Initiative P.O...2021-11-0140 minTopMedTalkThe ASA's Immediate Past President | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Mary Dale Peterson, M.D., MHA, FACHE, FASA, ASA Immediate Past President.2021-10-1326 minTopMedTalkPost operative nausea and vomiting | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, TJ Gan, MD, MHS, FRCA, MBA, Professor and Chairman of the Deptartment of anesthesiology at Stony Brook Medicine in Stony Brook, New York. For more on this topic check out our exclusive min-series here: https://editors-top-picks.libsyn.com/the-value-of-tackling-post-operative-nausea-and-vomiting-topmedtalk2021-10-1313 minTopMedTalkKoalaa and The Alex Lewis Trust | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Alex Lewis, Founder of The Alex Lewis Trust. More here: https://www.alex-lewis.co.uk/innovation-technology/koalaa/2021-10-1325 minTopMedTalkRick Dutton Chief Quality Officer US Anesthesia Partners | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Richard Dutton, M.D., M.B.A., Chief Quality Officer US Anesthesia Partners.2021-10-1335 minTopMedTalkStephanie Byerly, Chair of the ASA Committee on Women Anesthesiologists | TopMedTalkWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Stephanie Byerly, M.D. Chair of the ASA Committee on Women Anesthesiologists, Professor of Anesthesiology and Pain Management, UT Southwestern, Dallas, Cheif, Obstetrical Anesthesiology, Clements University Hospital, Dallas.2021-10-1328 minTopMedTalkAdam Striker, Chair, ASA Committee on Communications | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Adam Striker, MD FASA. Chair, ASA Committee on Communications, Associate Professor, Anesthesiology, University of Cincinnati and University of Kentucky.2021-10-1322 minTopMedTalkPerioperative Surgical Home (PSH) | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Chris Steel, MD, In Patient CMO, White River Health System, Batesville Arkansas. More here: https://www.asahq.org/psh2021-10-1329 minTopMedTalkREVIVEme - opioid overdose and naloxone | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Bonnie Milas, Cardiac anesthesiologist, University of Pennsylvania. More info here: https://www.asahq.org/advocating-for-you/reviveme2021-10-1328 minTopMedTalkAshish Khanna on intraoperative hypotension and beyond | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Ashish Khanna, Associate Professor, Section Head for Research, Department of Anesthesiology, Section on Critical Care Medicine, Wake Forest School of Medicine.2021-10-1332 min
Editor's Top PicksThe ASA's Immediate Past President | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Mary Dale Peterson, M.D., MHA, FACHE, FASA, ASA Immediate Past President.2021-10-1326 min
Editor's Top PicksPost operative nausea and vomiting | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, TJ Gan, MD, MHS, FRCA, MBA, Professor and Chairman of the Deptartment of anesthesiology at Stony Brook Medicine in Stony Brook, New York. For more on this topic check out our exclusive min-series here: https://editors-top-picks.libsyn.com/the-value-of-tackling-post-operative-nausea-and-vomiting-topmedtalk2021-10-1313 min
Editor's Top PicksKoalaa and The Alex Lewis Trust | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Alex Lewis, Founder of The Alex Lewis Trust. More here: https://www.alex-lewis.co.uk/innovation-technology/koalaa/2021-10-1325 min
Editor's Top PicksRick Dutton Chief Quality Officer US Anesthesia Partners | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Richard Dutton, M.D., M.B.A., Chief Quality Officer US Anesthesia Partners.2021-10-1335 min
Editor's Top PicksStephanie Byerly, Chair of the ASA Committee on Women Anesthesiologists | TopMedTalkWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Stephanie Byerly, M.D. Chair of the ASA Committee on Women Anesthesiologists, Professor of Anesthesiology and Pain Management, UT Southwestern, Dallas, Cheif, Obstetrical Anesthesiology, Clements University Hospital, Dallas.2021-10-1328 min
Editor's Top PicksAdam Striker, Chair, ASA Committee on Communications | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Adam Striker, MD FASA. Chair, ASA Committee on Communications, Associate Professor, Anesthesiology, University of Cincinnati and University of Kentucky. 2021-10-1222 min
Editor's Top PicksPerioperative Surgical Home (PSH) | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Chris Steel, MD, In Patient CMO, White River Health System, Batesville Arkansas. More here: https://www.asahq.org/psh 2021-10-1229 min
Editor's Top PicksREVIVEme - opioid overdose and naloxone | TopMedTalk at the ASAWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Bonnie Milas, Cardiac anesthesiologist, University of Pennsylvania. More info here: https://www.asahq.org/advocating-for-you/reviveme 2021-10-1228 min
Editor's Top PicksAshish Khanna on intraoperative hypotension and beyond | TopMedTalkWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Ashish Khanna, Associate Professor, Section Head for Research, Department of Anesthesiology, Section on Critical Care Medicine, Wake Forest School of Medicine.2021-10-1232 minTopMedTalkJonathan Gal Vice Chair, ASA Committee on economics | TopMedTalkWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief as they talk to their guests, Jonathan Gal, Associate Professor, System Medical Director- Facility Revenue Integrity & Optimization; System Medical Director- Offsite ASC Anesthesia; Associate Professor of Anesthesiology, Director Governmental & Reimbursement Affairs, Mount Sinai Hospital.2021-10-1030 minTopMedTalkDru Riddle and Tricia Meyer | TopMedTalkWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief as they talk to their guests, Tricia Meyer, PharmD, adjunct Professor, Texas A&M, College of Medicine and Dru Riddle, Associate Professor of Professional Practice in the School of Nurse Anesthesia at Texas Christian University, Associate Professor of Medical Education, TCU School of Medicine, and Director of the Center for Translational Research: A JBI Center of Excellence and Cochrane US TCU Center.2021-10-1029 minTopMedTalkAmy Wilkinson Director of Clinical Marketing Butterfly Network | TopMedTalkWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief, as they talk to their guest Amy Wilkinson, Director of Clinical Marketing Butterfly Network.2021-10-1017 minTopMedTalkKamal Maheshwari Director, Center for Perioperative Intelligence | TopMedTalkWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor Duke University, as they talk to their guest Kamal Maheshwari, Director, Center for Perioperative Intelligence, Cleveland Clinic.2021-10-1041 minTopMedTalkKraig de Lanzac, Assistant Secretary of the ASA | TopMedTalk TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor Duke University, as they talk with their guest Kraig S. de Lanzac, Assistant Secretary of the ASA. For more on the ASA go here: https://www.asahq.org/ 2021-10-1025 minTopMedTalkWelcome to the ASA | TopMedTalk Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor Duke University, as they talk about the hot topics, major issues and where the data is leading us. For more on the ASA go here: https://www.asahq.org/ 2021-10-1012 min
Editor's Top PicksJonathan Gal Vice Chair, ASA Committee on economics | TopMedTalkWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief as they talk to their guests, Jonathan Gal, Associate Professor, System Medical Director- Facility Revenue Integrity & Optimization; System Medical Director- Offsite ASC Anesthesia; Associate Professor of Anesthesiology, Director Governmental & Reimbursement Affairs, Mount Sinai Hospital.2021-10-1030 min
Editor's Top PicksDru Riddle and Tricia Meyer | TopMedTalkWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief as they talk to their guests, Tricia Meyer, PharmD, adjunct Professor, Texas A&M, College of Medicine and Dru Riddle, Associate Professor of Professional Practice in the School of Nurse Anesthesia at Texas Christian University, Associate Professor of Medical Education, TCU School of Medicine, and Director of the Center for Translational Research: A JBI Center of Excellence and Cochrane US TCU Center.2021-10-1029 min
Editor's Top PicksAmy Wilkinson Director of Clinical Marketing Butterfly Network | TopMedTalkWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief, as they talk to their guest Amy Wilkinson, Director of Clinical Marketing Butterfly Network.2021-10-1017 min
Editor's Top PicksKamal Maheshwari Director, Center for Perioperative Intelligence | TopMedTalkWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor Duke University, as they talk to their guest Kamal Maheshwari, Director, Center for Perioperative Intelligence, Cleveland Clinic.2021-10-1041 min
Editor's Top PicksKraig de Lanzac, Assistant Secretary of the ASA | TopMedTalkTopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor Duke University, as they talk with their guest Kraig S. de Lanzac, Assistant Secretary of the ASA. For more on the ASA go here: https://www.asahq.org/2021-10-1025 min
Editor's Top PicksWelcome to the ASA | TopMedTalkWelcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor Duke University, as they talk about the hot topics, major issues and where the data is leading us. For more on the ASA go here: https://www.asahq.org/2021-10-1012 min
Editor's Top PicksThe HPI Monitor - avoiding hypotensive events | TopMedTalkThe Hypotension Prediction Index is rapidly gaining a well deserved place in the hands of modern perioperative practitioners. Here we look at the history of this tool, why it is needed so badly and how it has developed. Many of the conversations referenced in this piece are worthy of further attention. The clips used are taken from the following TopMedTalk programmes: Live from Boston ASA 2017 – The Elephant In The Room – intraoperative hypotension: https://www.topmedtalk.com/live-from-boston-asa-2017-the-elephant-in-the-room-intraoperative-hypotension Intraoperative Hypotension: https://www.topmedtalk.com/intraoperative-hypotension/ ASA 2019 | Perioperative Quality Initiative P.O...2021-10-0540 minTopMedTalkPerioperative Enhancement Teams - Part 2 | TopMedTalkPerioperative enhancement teams have been a theme on TopMedTalk for years. This program, part two of two, goes into more detail around what could be the crucial next steps for your institution as it distinguishes itself from the pack with excellent value based care instead of excessive volume driven disasters. In this program we cover the importance of prehabilitation, the need for respect in a multidisciplinary team, cardiopulmonary exercise testing (CPET), a centre for geriatric surgery and palliative care and perioperative smoking cessation clinics. Further listening: Olle Ljungqvist, Prof. of Surgery, MD, PhD...2021-07-1925 minTopMedTalkPerioperative Enhancement Teams | TopMedTalkThis podcast is a look at some of the work done by practitioners who intend to take perioperative medicine to the next level; the "perioperative enhancement teams". The program broadly follows a patient's surgical journey, we start with the UK's PREPWELL project, as explained by Gerard Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Trust. For more information on that go to https://prepwell.co.uk/ - also, if you'd like to hear the original conversation you can find that here: https://www.topmedtalk.com/rcoa-03-adverse-outcomes-and-patient-optimisation/ Further discussion on the...2021-07-1228 minTopMedTalkExciting 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 minTopMedTalkThe ERAS Cardiac Society Conference | TopMedTalk"You didn't have to think about it, the compliance continued, because it was so standardized. We had a well oiled machine that just kept on working through COVID". The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac)'s conference has gotten off to a great start; this exclusive chat gets into some of the stand out moments so far; nutrition, data collection, the essentials of ERAS and the importance of standardization. For more information on the conference check out https://www.erascardiac.org/ We mention Dan Engelman in this piece, he features i...2021-06-0730 minTopMedTalkIntroducing 'The CSCS Beat' podcast | TopMedTalk"As a cardiac surgeon, I feel like I'm hearing more and more about ERAS than ever before" "The CSCS Beat - more than just matters of the heart" is a fantastic new podcast from The Canadian Society of Cardiac Surgeons (CSCS); this piece sees TopMedTalk teaming up with them to tackle their first episode on the subject of Enhanced Recovery After Surgery and perioperative medicine. What is ERAS? How is it being implemented? Why is it so successful? If you'd like to hear more of "The CSCS Beat" their iTunes profile is here...2021-05-2432 minTopMedTalkThe ERAS Cardiac Society Conference Day 2 | TopMedTalk"The goal of ERAS® Cardiac is when you leave one of our meetings, you're going to be chock full of tips and tricks that you can take back and implement, if not the next day, then in the next week or next month." TopMedTalk's coverage of The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac) conference continues with a conversation that covers the nuggets and insights that a conference such as this delivers. This exclusive chat is only possible thanks to the support of the society who's excellent website is here: https://erasvirtual2021.com/ "I...2021-03-1117 minTopMedTalkThe ERAS Cardiac Society Conference | TopMedTalk"You didn't have to think about it, the compliance continued, because it was so standardized. We had a well oiled machine that just kept on working through COVID". The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac)'s conference has gotten off to a great start; this exclusive chat gets into some of the stand out moments so far; nutrition, data collection, the essentials of ERAS and the importance of standardization. For more information on the conference check out https://www.erascardiac.org/ We mention Dan Engelman in this piece, he features i...2021-03-1031 minTopMedTalkTopMedTalk | Hemodynamics - State of the ScienceThis piece explores the current thinking on hemodynamics, get ready for a deep dive into the conversation and controversies. Originally streamed live from www.topmedtalk.com as part of our coverage of The EBPOM USA Dallas Master's Course 2019. This panel discussion is chaired by Desiree Chappell, CRNA from Louisville Kentucky and Board Member of ASER. It features Monty Mythen, TopMedTalk Editor In Chief, Smiths Medical Professor of Anaesthesia and Critical Care at University College London, Tim Miller, from Duke University Medical Centre and Dr Simon Davies, Consultant Anaesthetist at York Teaching Hospital NHS Foundation Trust.2021-01-1846 minTopMedTalkTopMedTalk | Fluid Physiology in detail"We did not have a concensus view on the very basic subject of fluid physiology and I needed to write a book". Recorded at the start of the year this piece builds on our previous look at Fluid Physiology, which you can find here: https://www.topmedtalk.com/topmedtalk-tom-woodcock/ We also make reference to the book "Fluid Physiology" which is available now, check out the website here: http://fluidphysiology.org/ Tom's always entertaining twitter feed is here: https://twitter.com/thomaswoodcock Presented by Monty Mythen and Desiree Chappell with their guests...2020-12-2709 minTopMedTalkTopMedTalk | "Boxing Day" Holiday Special"We, who physically will be elsewhere in the world, for example, in London and in Southampton, are going to - within what we're allowed to do - get together in a bubble probably at work, and set aside the time to watch the meeting together, and to share some food and maybe share some diet coke and talk about what we've been looking at what we've been learning. So that's the start of the hybrid events - and we hope that by the time we get to the World Congress of Perioperative Care, which used to be known as...2020-12-2619 minTopMedTalkTopMedTalk | Christmas Day SpecialThe team enjoy reflecting on 2020 as we appreciate the fact that there were the green shoots of hope during the middle part of the year. The patient facing Macmillan Cancer Care podcasts are here: https://www.topmedtalk.com/?s=topmedtalk+%26+macmillan The POCAPALOOZA is here: https://www.topmedtalk.com/?s=pocapalooza Find out more about the African Surgical Outcomes Study (ASOS) and the African Perioperative Research Group (APORG) here: https://www.topmedtalk.com/pocapalooza-cape-town/ Guy Ludbrook's interview and talk will be available on TopMedTalk in the new year. Our...2020-12-2518 minTopMedTalkTopMedTalk | 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 Innovation2020-12-2439 minTopMedTalkTopMedTalk | Iron Man vs Anemia"You've given us all a lot to think about" - a randomized controlled trial regarding intravenous iron does not go 'as expected'. "I mean, look, I've built my entire career on thinking this was the best thing since sliced bread, the silver bullet, the magic wand ..." A great scientist follows accurate data to wherever it may lead, what now? More trials, more time, more questions? How common is anemia? Are there any nuggets of hope buried within these data? What have we learned? Evidence Based Perioperative Medicine sticks to the facts and there's...2020-12-1945 minTopMedTalkTopMedTalk | POQI 5 - Fluid ManagementThis piece has been released to coincide with the first virtual International Fluid Academy Day (IFAD). TopMedTalk listeners have enjoyed following the meeting annually for some time now; we're equally as excited about their online proposition. Find out more here: https://www.fluidacademy.org/ The Perioperative Quality Initiative (POQI) is a vital part of the process needed to more widely implement sensible practice which, using a clear evidence base, provides better value care with more positive outcomes for the patient. POQI continues to provide its work in an attempt to clarify fundamental concepts in perioperative care. The...2020-11-2616 minTopMedTalkTopMedTalk | POQI 5 - Fluid ManagementThe Perioperative Quality Initiative (POQI) is a vital part of the process needed to more widely implement sensible practice which, using a clear evidence base, provides better value care with more positive outcomes for the patient. POQI continues to provide its work in an attempt to clarify fundamental concepts in perioperative care. The fact this one focuses upon fluid management makes it particularly appropriate in these times. Link to the paper: https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-020-00142-8 Presented by Desiree Chappell with Monty Mythen and their guests Tim Miller, Professor of Anesthesiology...2020-11-0414 minTopMedTalkTopMedTalk | Why is maternal mortality so high in the USA?Why does the US have the highest maternal mortality rate of any developed country? This piece tackles a very controversial issue in healthcare head on, could the problem be due to racism? The chances of a serious issue is "substantially higher if you come from a minority group, in particular if you are African-American". We also cover the issue of postpartum hemorrhage, what are the key signs that a patient is at risk? Furthermore, how are quality care initiatives and standardization of care helping improve the field of obstetrics? Also, what is the latest thinking on home...2020-10-2519 minTopMedTalkTopMedTalk | 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...2020-10-1716 minTopMedTalkTopMedTalk | The psychology of change"There seems to be a little extra buzz in the cardiac community". This conversation focuses upon the psychology of change, specifically regarding the leadership role presented within perioperative medicine to anaesthesiologists. How can perfectionism, as a barrier to change, be overcome? How do practitioners build the confidence to make a difference? Furthermore, how do we engage in 'internal marketing' where we promote success within our own institutions? More information on The Morpheus Consortium here: http://morpheusconsortium.org/ Check out the article here: https://jamanetwork.com/journals/jamasurgery/fullarticle/2732511 Find out more...2020-10-1116 minTopMedTalkTopMedTalk | Gezz Van Zwanenberg, Matt Wiles and Marcus Peck.What insights does a history of working in military healthcare bring? How do we cut back on readmissions to hospital after time spent in the intensive care unit? How serious an issue is 'burn out' within healthcare? How did standardisation help when designing an award winning patient transfer bag? What's the best way to transfer a patient from ward to ward or from institution to institution? How do we handle data during this period? What do we think about remote supervision and monitoring? Could a dedicated transfer team be useful? Could a new anaesthesia drug be on the way...2020-09-1500 minTopMedTalkTopMedTalk | Iron Man vs Anemia"You've given us all a lot to think about" - a randomized controlled trial regarding intravenous iron does not go 'as expected'. "I mean, look, I've built my entire career on thinking this was the best thing since sliced bread, the silver bullet, the magic wand ..." A great scientist follows accurate data to wherever it may lead, what now? More trials, more time, more questions? How common is anemia? Are there any nuggets of hope buried within these data? What have we learned? Evidence Based Perioperative Medicine sticks to the facts and there's...2020-09-1000 minTopMedTalkTopMedTalk | World Suicide Prevention Day"We take care of the world but we don't take care of ourselves" This piece is focused on suicide and emotional stress, the latter has been a theme on TopMedTalk for some time now. Here you'll find out how to tackle this significant health concern, how to identify it, what the warning signs are, how to develop emotional intelligence and information regarding drug free novel therapies including the arts and music. It features conversations from the following pieces: AANA 2020 | Suicide Prevention in Anesthesia: CRNAs and SRNAs https://www.topmedtalk.com/aana-2020...2020-09-1000 min
TopMedTalkTopMedTalk | Lancet profile on Salome Maswime"We've had the opportunity to catch up with some friends from Africa to tell us more about what is happening in their neck of the woods with perioperative medicine..." We reference this piece in The Lancet here: https://www.thelancet.com/journals/lancet/issue/vol396no10243/PIIS0140-6736(20)X0027-4 The African Surgical Outcomes Study (ASOS) is discussed in more detail here: https://www.topmedtalk.com/topmedtalk-african-surgical-outcomes-study-asos-2/ The above piece inspired the Evidence Based Perioperative Medicine (EBPOM) team to take action and organise a ground breaking night of live music and conversation about...2020-07-1800 minTopMedTalkTopMedTalk | 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 minTopMedTalkTopMedTalk | 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 minTopMedTalkTopMedTalk | Are you really using ultrasound?"Our mission is to make sure everybody in intensive care can learn [ultrasound]". How important and how possible is it to use ultrasound in your practice? Hear how it can transform the way you diagnose issues with pocket sized point of care ultrasound. Lung ultrasound is discussed as is its use with eyeballs. Hear how one of the pioneers in this area, Professor Sol Aronson, reacts to an enthusiast in the field. "Wherever you are, however novice or new, it just makes you smarter". Recorded live at the Association of Anaesthetists' Winter Scientific Meeting 2020 in the centre...2020-04-2400 minTopMedTalkTopMedTalk | Why is maternal mortality so high in the USA?Why does the US have the highest maternal mortality rate of any developed country? This piece tackles a very controversial issue in healthcare head on, could the problem be due to racism? The chances of a serious issue is "substantially higher if you come from a minority group, in particular if you are African-American". We also cover the issue of postpartum hemorrhage, what are the key signs that a patient is at risk? Furthermore, how are quality care initiatives and standardization of care helping improve the field of obstetrics? Also, what is the latest thinking on home...2020-04-1700 minTopMedTalkTopMedTalk | Burn out - a frank discussionBurn out and stress management have been an important theme on TopMedTalk recently, here we have a top medical professional sharing their story in relation to the topic. How do we describe "burn out", are certain words a barrier to discussion? How do we cut through to people who are most likely to suffer from this incredibly dangerous condition? Is the medical profession finally making progress here? Our interview with Sasha Shillcut is here "Sunday Special | Burn out": https://www.topmedtalk.com/sunday-special-burn-out/ This piece was originally streamed live from ‘The Society of Cardiovascular Anesthesiologists’ (SCA...2020-04-0600 minTopMedTalkTopMedTalk | Wireless wearables on the ward, the new www revolution?This piece dives into "The new www revolution?: Wireless Wearables on the Ward". Improving the monitoring of patients on the wards is an exciting prospect for any modern practitioner and as personal health monitoring technology becomes mainstream for the public it's surely an inevitable part of the future of medicine. The website mentioned in the podcast is here: https://www.michardconsulting.com/ The Global burden of postoperative death - The Lancet is here: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)33139-8/fulltext?rss=yes This paper in The Lancet is also...2020-04-0200 minTopMedTalkTopMedTalk | The psychology of change"There seems to be a little extra buzz in the cardiac community". This conversation focuses upon the psychology of change, specifically regarding the leadership role presented within perioperative medicine to anaesthesiologists. How can perfectionism, as a barrier to change, be overcome? How do practitioners build the confidence to make a difference? Furthermore, how do we engage in 'internal marketing' where we promote success within our own institutions? More information on The Morpheus Consortium here: http://morpheusconsortium.org/ Check out the article here: https://jamanetwork.com/journals/jamasurgery/fullarticle/2732511 Find out more...2020-03-2600 minTopMedTalkTopMedTalk | Mike Grocott's 2020 visionThis piece takes a look at some of the big areas we expect to see over the next twelve months as Desiree Chappell and Monty Mythen are joined in the studio by TopMedTalk favourite Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton. Could political change and necessity improve things in the UK? Hopefully this time next year will be a "champagne moment" rather than a "sham moment". As expected, the interest in prehabilitation over this year has been huge and the momentum seems likely to continue in 2020. Find out more about the...2020-03-0800 min
The Perioperative Coach1| Nutrition"An operation is like a marathon, nobody prepares for that by starving themselves" - the first episode of this series provides some much needed food for thought regarding the essential the role of nutrition and nutrition screening in the perioperative process. Monty Mythen talks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, USA, about the e.published American Society of Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on Nutrition and Screening Therapy within an Surgical Enhanced Program. The latest research suggests as many as one in three admissions...2019-10-0916 minThe Perioperative Coach2| Getting on the same pageA conversation about enhanced recovery implementation. How do you get the whole team on the same page when it comes to implimenting an Enhanced Recovery Programme? Perioperative medicine requires a truly multidisciplinary team where everyone works together. This piece focuses upon educating and clarifying what colleagues and staff should work towards and expect from one another. "There are some hospitals where you walk in the door and you can feel the calm in the air" the attitude is "this is what we do here". Dr Joff Lacey is speaking with Mike Scott, Virginia C...2019-10-0907 minThe Perioperative Coach4| Nurses, pulling together an ER team with limited resources.The impact of The American Society for Enhanced Recovery (ASER) cannont be understated, it has helped practitioners to implement better practice across the US. In this piece we discuss the approach of a 'council of nurses' and how an Enhanced Recovery After Surgery (ERAS) programme can be advocated within an environment without leaving practitioners or patients behind. Learn how a round table approach combined with an evidence base can sometimes work better than the traditional hierarchical power structure. Front line providers can often be a source of innovation and best practice. They are also often the ones...2019-10-0914 minThe Perioperative Coach5| Fluid ManagementThis is a discussion about fluid management in an enhanced surgical recovery pathway, in relation to guidelines from the American Society of Enhanced Recovery (ASER) and the work of the Perioperative Quality Initiative (POQI). Presented by Monty Mythen with his guest Dr Tim Miller, anaesthesiologist at Duke Medical Centre and Vice President of ASER. The Perioperative Quality Initiative (POQI) is an essential part of the route towards the latest thinking on enhanced recovery and perioperative medicine: http://www.poqi.org For more come to our meetings: http://www.ebpom.org/meetings ...2019-10-0905 minThe Perioperative Coach6| Perioperative Nephrology and saline solutionThis piece provides "a thumbnail sketch summary of the fluid debate". Challenging the "prevailing wisdom" regarding fluid management, the kidney and volume overload; "as a young Doctor you sort of got the impression that if you got the kidney to handle a lot of fluid somehow it would be happier". Sodium and volume overload are in fact issues and extra work for the kidney and have tended to cause more difficulties than they solved. Presented by Professor Monty Mythen and Dr Joff Lacey with guest John A. Kellum, Tenured Professor, Critical Care Medicine from The University of Pi...2019-10-0910 minThe Perioperative Coach7| Pain Relief in Enhanced Surgical Recovery.It's about "optimal analgesia" rather than aiming for an entirely "pain free" approach. America's opioid crisis brings the importance of this concept into sharp relief and this episode of The Perioperative Coach reflects on the pain management discussions had by the American Society of Enhanced Recovery (ASER) and its members. Presented by Monty Mythen with Dr Joff Lacey and Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton. For further reading see the articles in Perioperative Medicine Journal: https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0064-5...2019-10-0904 minThe Perioperative Coach8| Urine outputPerioperative urine output is a vital sign which can have a very significant impact on outcomes. This discussion emphasises the importance of monitoring it and using the data accordingly. It then moves further into permissive oliguria within an enhanced recovery protocol. This shows no difference in creatinine values and patients are not reporting that they feel uncomfortable or thirsty as a result. Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests Dr Tim Miller from Duke University Medical Centre and John A. Kellum, Tenured Professor, Critical Care Medicine from The University of Pittsburgh. ...2019-10-0904 minThe Perioperative Coach9| Length of stay after Major Surgery?This podcast is crucial to understanding Enhanced Recovery After Surgery (ERAS). The ideas outlined in this series all lead up to it. In short, the length of stay as part of a patient's post operative recovery should be less than 3 days with over 90% of your patients mobilised on day one. This in depth discussion relates to the consensus paper from the Perioperative Quality Initiative (POQI), see link below. It focuses on: outcomes, length of stay and DREAMS (Drinking, Eating and Mobilising) within hours after major surgery. These are all measures of compliance and success in an Enhanced...2019-10-0909 minThe Perioperative Coach10| Enhanced Recovery for obstetricsThis final part of the series opens the door to a world beyond and answers the question, how do we apply the principles of Enhanced Recovery to obstetrics? Hear the story behind implementing such a programme for the first time ever in America. Insights from the UK were instrumental in adopting the practice. Should it be something which is also seen as the standard of care in the US? This podcast features Desiree Chappell interviewing Dr Attila Kett, anaesthesiologist and Chairman at St Peter’s University Hospital at New Jersey. Thanks for listening to this se...2019-10-0903 min