TopMedTalk

"Pain strategies" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings Presented by Dr. Ryan Hanson , Anesthesiologist in Boston, Massachusetts, affiliated with Brigham and Women'...

Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine. This piece focuses on The Centre for Perioperative Care. Presented by Monty Mythen and Mike Grocott with their guest David Selwyn , Deputy Medical Director at Nottingham University Hosp...

Live from 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019, the TopMedTalk team takes you right to the heart of the debate. Presented by Desiree Chappell with Sol Aronson , tenured Professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology and their guests Robert and Shanari , poster presenters and residents at Temple University.

Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine. The piece mentioned regarding developmental neurotoxicity is here: https://www.topmedtalk.com/anaesthesia-2019-developmental-neurotoxicity/ For lots more on the METS trial go here: http...

Live from 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019; the TopMedTalk team takes you right to the heart of the debate. Presented by Desiree Chappell and Monty Mythen with Sol Aronson , tenured Professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology and Michael Eaton , Professor and Chair of Anesthesiology and Perioperative Me...

How does one go about becoming a Master of Perioperative Medicine? This piece takes a look at the growing movement which all TopMedTalk listeners are at the forefront of. Further debate covers, "NPO after midnight", getting buy in from the institution to practice perioperatively and keeping the momentum going after one leaves a conference. Presented by Desiree Chappell and Monty Mythen with their...

The TopMedTalk team brings you more of our live coverage of 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019. This piece highlights four papers recently published in the May edition of the (British Journal of Anaesthesia) BJA. Find them on www.poqi.org Furthermore, there's an interesting piece about the Perioperative Quality Initiative (POQI) here: https://www.topmed...

The TopMedTalk team bring you coverage of 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019. This piece focuses on the question of looking after yourself as a practitioner and interlinking into your team. Presented by Desiree Chappell , Sol Aronson and Monty Mythen with their guest Sasha Shillcutt , Vice Chair of Strategy and Innovation, Department of Anesthesiology,...

How will the profession evolve as the years pass? Change is inevitable and the direction of change is becoming clearer but how will we adapt to the new roles and requirements we can see coming towards us in the near future? Will Anaesthetists be able to tackle the leadership role which many expect to become commonplace? Also, what is the "technological singularity"? Should we be concerned about it...

This conversation covers one of the conference's talking points; developmental neurotoxicity. Can human infants exposed to anaesthesia early in their early development really be facing risks which we were previously unaware of? There's a lack of evidence at the moment but outcomes for young animals have raised concern. Given the complexities of human neurodevelopment how can such issues be reliabl...

TopMedTalk is at Anaesthesia 2019. It's one of the big events of the global perioperative calendar. Find out what the hot topics and big talking points are. What else can we expect to come from the conference this year? Presented by Dr Joff Lacey with his guest Mike Grocott , Professor of Anaesthesia and Critical Care Medicine, University of Southampton and Royal College of Anaesthetists Council M...

Discussion initially focuses upon fluid management in the operating room. We then take a wider view as discussion moves to concerns about diabetic patients undergoing surgery.   Presented by Monty Mythen with Desiree Chappell featuring their guests Mike Grocott , Professor of Anaesthesia and Critical Care Medicine, University of Southampton and Tim Miller , Associate Professor of Anaesthesiology f...

Twitter is ablaze with talk of the Society for Perioperative Assessment and Quality Improvement (SPAQI). How did they do it? This piece is a thought provoking discussion about new media and the consequences of our online world for medicine. 'The democratisation of education' is a phrase we've heard here on TopMedTalk in the past. How does direct access to information and experts in our field alter...

Most people are familiar with ultrasound these days, next to the stethoscope and thanks largely to baby photographs, it's one of the most frequent public facing technologies in medicine. New developments in transesophageal echocardiography have brought about huge advancements in its use as a technology; not to mention the incredible images now available from three dimensional echocardiography. As...

The need for patient education is a constant theme on TopMedTalk, many are keen to soak up information and become and active team player in their operation, how can we make the most of their patricipation? For example, do you let your patients go to "surgery school"? Presented by John Moore , Adult Critical Care Clinical Director and Consultant Critical Care & Anaesthesia at Manchester. The fuller...

Advanced care planning and shared decision making; what happens when you reach a patient and realise conversations have not been had and systems around them have failed? Presented by Debra Leung , staff anaesthetist, Peter MacCallum.

"POETTS 2018 | The evolution of a community-based Prehabilitation service" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'...

Obstructive sleep apnea is important to identify in patients, this piece explains how; use the official STOP BANG website here: http://www.stopbang.ca/osa/screening.php Opioids and pain management strategy is discussed, alongside reflections on the differences between the healthcare systems of Canada, the UK and America. Finally, what is "the beard test" and "the upper lip bite test"? Presented by...

Psychological optimisation for surgery; who should have it, what does it mean and how does it work? Further conversation moves into weaning patients off opioids in advance of surgery and cutting their dependency afterwards.   Hosted by Desiree Chappell and Vicki Morton with their guest Dr. Padma Gulur , anesthesiologist and a Pain Medicine Specialist who sees patients at Davis Ambulatory Surgical...

Pets as Therapy are a fantastic charity who have provided a practical theraputic service to various people in assorted contexts, here you can hear them work their magic on the TopMedTalk team.   What are the advantages of taking pets into the ward? Can patients benefit from some therapy from our 'hairy friends'? Meet the volunteers and practitioners who have a dogged determination to cheer up our...

Does perioperative medicine allow institutions to take a broader view? Population health has been a theme on TopMedTalk, is it a logical extension of the perioperative process? How do we manage specialist care for the elderly and ensure high quality shared decision making? What lies behind the mindset change needed for some to accept surgery is not always the answer? Should we expect medical stude...

When it comes to breathlessness how do we better diagnose and apply treatment? How do we overcome the fact that referring to a specialist can sometimes take a patient 'down the wrong route' with a condition that might not be just heart or lung related? Should we take a more perioperative approach to treatment and diagnosis? "Nick, the patient" asks a few questions and demonstrates the misunderstan...

TopMedTalk 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. What do you do when it comes to 'screening for frailty? Should it be physical frailty or mental frailty? What do we then do wit...

"POETTS 2018 | Psychological Behavioural Change Interventions in Cancer Patients" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questio...

"About a year ago our chief CRNA sent me a podcast from TopMedTalk about fluid management" - this podcast is a fascinating insight into how Enhanced Recovery continues to reach out across the world to the bedside of patients. How do you take your institution from where you're at now to where you need to be tomorrow? What are the essential ingredients? How do you work, through education, towards re...