TopMedTalk

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'd like to send to the team email: contact@topmedtalk.com Presented by Sarah H...

A discussion about the changes enhanched recovery has brought into practices, the conversation then moves to narcotics and the opiode epidemic.    Desiree Chappell speaks with Dr  Vijaya Gottumukkala , Professor of Anesthesia and Deputy Chair at MD Anderson and Dr  George Nassif  colorectal surgeon from The Florida Hospital.

Professor John Kellum gives a thumbnail sketch summary of the fluid debate.   Presented by Professor  Monty Mythen  and Dr  Joff Lacey  with guest  John A. Kellum , Tenured Professor, Critical Care Medicine from The University of Pittsburgh.   Join in the debate:  contact@topmedtalk.com   This conversation taken from a longer piece here:  http://www.topmedtalk.com/ebpom-2017-pod-one-live-from-lond...

A discussion about consent, staying on the right side of the law, shared decision making and a 'The Montgomery case' which has defined a Doctor's duty in these sorts of areas. Presented by Monty Mythen with Desiree Chappell and their guests Hugh Montgomery , and Paul Sankey , Enable Law partner and Clinical Negligence solicitor acting for patients, an accredited expert in his field.

This podcast includes discussion about 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. Also, the question of consent to opioids during and after surgery comes up - should we be educating patients more and is it time to look...

Discussion begins with an explanation of 'Trainees with an Interest in Perioperative Medicine' (TRIPOM), a big hit at the conference this year, then a wider discussion follows which includes thoughts regarding further research and application of the perioperative method as well as where it impacts medicine and care. The importance of a multidisciplinary team based approach is strongly emphasised....

Two articles, which both feature in The British Journal of Anaesthesia (BJA), are dissected in this week's Journal Club. They both discuss oxygen, the two articles are linked to here: Effectiveness of 80% vs 30–35% fraction of inspired oxygen in patients undergoing surgery: an updated systematic review and meta-analysis: https://bjanaesthesia.org/article/S0007-0912(18)31346-1/fulltext Safety of 80...

Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com 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'd like to send to the team email: contact@topmedtalk.com Presented by Dr Ramani Moonesinghe , Professor of Perioperative Medicine...

An entertaining and informative discussion about the implementation process; how do you bring everyone to the table? Desiree Chappell  speaks with  Robin Anderson , Enhanced Recovery (ERAS) program coordinator at Duke University,  Bethany Sarosiek , Enhanced Recovery After Surgery (ERAS) Development Coordinator at UVA Health System, and  Vicki  Morton , Director of Clinical and Quality Outcomes at...

A discussion about fluid management in an enhanced surgical recovery pathway in relation to the guidelines from ASER and the work of The Perioperative Quality Initiative (POQI  http://www.poqi.org ).   Presented by  Monty Mythen  with his guest Dr  Tim Miller , anaesthesiologist at Duke Medical Centre and Vice President of ASER.   For more come to our meetings:  http://www.ebpom.org/EBPOM-USA   Th...

2019 brings lots of new opportunities for your favourite medical podcast, including the chance to see us at a live event. Maybe you'll join us in real life, or maybe you'll join us online. This conversation looks forward to 2019, inviting you to become a bigger part of TopMedTalk. We're also extending an invitation to listeners to join us in an episode of TopMedTalk soon, listen to the podcast for...

Treating patients as people rather than 'jobs to be done' and 'boxes to be ticked' is the focus of this piece. What can Doctors do better when it comes to treating patients? Find out what happened when a perioperative care doctor became a patient. A fascinating conversation streamed live from Atlanta Georgia during the second day of TopMedTalk's coverage of "EBPOM-USA Masters Course, A Perioperati...

Should we refuse surgery to those who won't change? What about pathological issues, such as smoking, should practitioners become more didactic in their approach? How do we effectively communicate risk, both to the patient and the institution you work for? Professor Monty Mythen presents with Dr Joff Lacey and guests, Professor Sol Aronson , a tenured professor at Duke University and Executive Vice...

This week's Journal Club takes a piece from Anaesthesia and Analgesia; "Implication of Major Adverse Postoperative Events and Myocardial Injury on Disability and Survival: A Planned Subanalysis of the ENIGMA-II Trial". A link to the article is here: https://www.ncbi.nlm.nih.gov/pubmed/29533264 Presented by Monty Mythen and Desiree Chappell .

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 want to attend an event like this ensure your next click is here:  www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email:  contact@topmedtalk.com Presented by Andrew...

What is after ERAS, do we have an 'ERAS of ERAS' - so to speak? This conversation focuses upon bringing about change, managing and sustaining it over time and helping relate it to patient outcomes.   Desiree Chappell interviews her guest Arman Dagal , Medical Director - Spine COAP at Foundation for Health Care Quality.

Implementing better practice and "ERAS 2.0". The ground up approach of a 'council of nurses' sparks some fascinating debate and discussion. Can a roundtable approach sometimes work better than the traditional hierarchical power structure? Presented by Desiree Chappell with her guests Dr Ruchir Gupta , medical lead for enhanced recovery at Stony Brook University and Joni Brady , Perianesthesia, Pai...

This piece is a chance to reflect upon the importance of new media within the sphere of medical education. As the run away success of TopMedTalk and other podcasts in this area shows people are hungry to use the unique potential of this medium. Also - how has social media, video casting and live streaming altered the way conferences are both organised, executed and received? Finally, our team of e...

The Hypotension Prediction Index (HPI), which uses a machine learning algorithm to help predict intraoperative hypotension. Regular listeners to  www.topmedtalk.com  will be familiar with concerns about perioperative hypotension. For those who have just joined us, or anyone who fancies a quick refresher on this issue, it is covered in detail here:   https://www.topmedtalk.com/ live-from-boston-asa...

What is a 'micromort'? Even more of a worry, what does ten of them mean? How do we measure and communicate risk to patients? Everyday activities all carry inherent risks, how do we put surgery into a context 'everyday people' can more easily understand? Professor Monty Mythen presents with guests, Professor Sol Aronson , a tenured professor at Duke University and Executive Vice Chairman in the Dep...

The piece discussed in this week's Journal Club is called "Acute kidney injury in postoperative shock: is hyperoncotic albumin administration an unrecognized resuscitation risk factor?". The link is here: https://perioperativemedicinejournal.biomedcentral.com/track/pdf/10.1186/s13741-018-0110-y Additional links here: "Association between albumin administration and survival in cardiac surgery: a re...

A 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 M...

A three part series covering the year in TopMedTalk. Here are some links to the pieces discussed: Paul Myles and the RELIEF trial results: https://www.topmedtalk.com/the-relief-trial-results/ And here is the "deep dive" we mention: https://www.topmedtalk.com/the-topmedtalk-top-ten-rcoa-11-the-relief-trial-your-essential-deep-dive-into-the-results-2/ And here are all the RELIEF trial pieces we've d...

A three part series covering the year in TopMedTalk. Here are some links to the pieces discussed: The conversation with Zeev Kain is here: https://www.topmedtalk.com/zeev-kain-organiser-of-the-american-college-of-perioperative-medicine-interdisciplinary-conference-on-orthopaedic-value-based-care/ The Eric J Schneidewind piece is here: http://topmedtalk.libsyn.com/the-topmedtalk-top-ten-i-want-to-d...

Fresh from an expedition to Antarctica, on the National Geographic Explorer, Mike Grocott gives us an update on the "Anaesthesia at the Extreme" conference. Regular listeners will remember his excellent talk about Xtreme Everest, which you can find here: https://www.topmedtalk.com/10-xtreme-everest-physiology-on-top-of-the-world/ Presented by Desiree Chappell and Monty Mythen with their guest Mike...