TopMedTalk

Cancer and anesthetic drugs, informed by the basic science the pre-clinical work and observational studies suggest the way that we provide anesthesia could have an impact on cancer outcomes. This piece explores the evidence, with reference to trials both resolved and ongoing. Presented by Monty Mythen with Tom Wall , consultant anesthesiology in the Mater Hospital he also has an academic affiliati...

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 as they talk to their guests,  Jonathan Gal , Associate Professor, System Medical Director- Facility Revenue Integrity & Optimization; System Medical Director- Offsite ASC Anes...

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 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 Scho...

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, as they talk to their guest Amy Wilkinson , Director of Clinical Marketing Butterfly Network.

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 to their guest Kamal Maheshwari , Director, Center for Perioperative Intelligence, Cleveland Clinic.

  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.or...

  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://ww...

This piece focuses upon multimodal prehabilitation through the lived experience of clinicians from the different healthcare systems of Europe, the United States and the UK; both prior to and during the pandemic. We hear about the implementation of rehabilitation programs and research studies, which have managed to adapt, in the COVID era. Presented by Denny Levett , Professor in Perioperative Medi...

The Perioperative Exercise Testing and Training Society (POETTS) presents "Nutrition and patient living with and beyond cancer" in partnership with the Macmillan Trust. A real stand out moment from this year's Evidence Based Perioperative Medicine (EBPOM) London. This discussion is essential listening for anyone interested in pre-optimisation, muscle mass, nutrition, malnourishment - how to spot i...

This piece looks at diabetes from a perioperative perspective, as a patient goes toward surgery how realistic and how important is it for us to treat and manage their condition? What can be done? How can our patients help? How has the evidence moved on these issues? Also, for more on diabetes check out this Journal Club; https://www.topmedtalk.com/journal-club-1-12-various-articles-from-bmj-open-j...

Introduced by Monty Mythen, TopMedTalk's Editor in Chief and Padma Gulur, Professor of Anesthesiology and Population Health and Executive Vice Chair for Performance and Operations Director, Pain Management Strategy and Opioid Surveillance at Duke University Health Systems. Presented by Ramani Moonesinghe, OBE, Professor of Perioperative Medicine at UCL and a consultant anesthetist at UCL hospitals...

"Once you work with it, you really do learn to trust it. And it's very accurate." This piece gives us an insight into practice from a cardiac perspective. What are "the TIGER protocols"? How is the HPI monitor being used? How has it impacted upon cardiac surgery? Presented by Desiree Chappell and Monty Mythen with their guest Brad Cardonell , Assistant Professor of clinical anesthesiology at the U...

Featuring a wide range of questions from the attending audience at EBPOM 2021 this piece gets into frailty: How do we assess it? How does it affect shared decision making? How can we raise awareness around it? How do we articulate what it means to patients and their loved ones? What does post operative frailty mean? Introduced by Mike Grocott , Professor of Anaesthesia and Critical Care at the Uni...

An exclusive chance to hear from the editors in chief of the major journals in our field discussing the big issues of 2021; 'The Journal of Perioperative Medicine', 'Anesthesiology', 'The British Journal of Anaesthesia', 'Anesthesia & Analgesia' and 'Anaesthesia'. This piece was initially presented at Evidence Based Perioperative Medicine (EBPOM)'s 2021 online conference as part of the POCAPALOOZA...

"Implementation science is really focused on bridging the evidence to practice gap" One of the highlights of the 2021 Evidence Based Perioperative Medicine (EBPOM) conference. This talk is provided to you in the hope you can help us to spread its content as far and wide as possible. It is introduced by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton. Prese...

This essential discussion covers total intravenous anaesthesia (TIVA) versus inhalation anesthesia, the pros, the cons, and the benefits of the process such as monitoring. Included in this extended podcast are the two presentations (2:40mins in and 20:55mins in) and the question and answer session which followed (starts at 33:05mins in). The Safe Brain Initiative is here: http://safebraininitiativ...

Ways to simplify the entire surgical encounter. This piece looks at the process of accepting patients into the surgical journey. Care coordination with a focus on the patient and the workflow associated with them; taking a fully integrated approach to the process from inception to preparation to completion and aftermath. More information about cloud-based Provation® SurgicalValet™ Perioperative Ca...

Care home residents in South East London are to be the first in line to access remote examination technology. Residents across 46 care homes in South East London are first in line to access innovative diagnostic technology from Arc Health ( www.archealth.io ), enabling doctors to remotely perform a clinical examination during a video call. Where next for this sort of technology? Is a face to face...

Perioperative 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 mu...

This 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...

Post 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...

In this piece we take a bit of time to speak with a newly graduated enhanced recovery after surgery (ERAS) enthusiast. How widely taught is ERAS in the US? Why is it such a game changing concept? How are people discovering and researching it? Presented by Desiree Chappell and Vicki Morton and their guest Caroline Geary , critical care nurse residency, Novant Health Presbyterian Medical Center in C...

This piece is a listener generated question and answer session from EBPOM 2020. Although it works as a stand alone piece it relates directly to this talk here: https://www.topmedtalk.com/ebpom-2020-london-prediction-of-opioid-induced-respiratory-depression-on-the-general-care-floor-does-surveillance-monitoring-help/ Some of the questions considered include: How much do you think partial / inadequa...

"The delivery of good medical care is to do as much nothing as possible." - Samuel Shem. The POCAPALOOZA (POC, perioperative care; apalooza - a celebration of) wraps up in true style with a look at Australia and their current situation. Lauded for their handling of COVID19 but not yet 'through the woods' the conversation looks at how doing the right thing can be innovative and why a good rapport w...

Presenting 2021's POCApalooza West; the annual tradition continues in the wake of last year's hugely successful international gathering of perioperative practitioners; hear how the rest of the world is handling the COVID-19 crisis, how the connectivity between patients and practitioners is improving and how one of TopMedTalk's favourite contributors is now taking perioperative medicine to the hear...