TopMedTalk

Obstetrics might seem the natural place for Enhanced Recovery After Surgery (ERAS). Which components of Enhanced Recovery apply the most to a procedure such as a Caesarian section (C-section)?   Differences between obstetrics in the UK and the US are discussed. The addictive qualities of oxycodone are discussed in detail. This leads to a discussion about what tablets patients should be leaving the...

This piece is a deep dive into regional anaesthesia for Enhancing Recovery. Hear how paravertebral nerve blocks can be used in breast cancer surgery, how does this effect long term outcomes for patients? There is then further discussion regarding regional anaesthesia for Ambulatory Surgery. There is also a long form discussion of electromyographic (EMG) objective monitoring on a neuromuscular bloc...

Enhanced Recovery After Surgery (ERAS) is the focus for the TopMedTalk team at this year's ASA. This piece features discussion regarding; what to do about pre-operative frailty, smoking cessation, patient-centric care and how to manage pre and post operative expectations. How do we ensure the conversations we have before surgery both reflect the needs of the patient and the realities of an operati...

This piece is about optimizing the perioperative patient for Enhanced Recovery (ER). Hear from one of the pioneers of ER for laparoscopic colorectal surgery in the UK, over 15 years ago he was sending patients home in less than 24 hours having had laparoscopic right hemicolectomys! This is the story of one of the roots of Enhanced Recovery adoption in the NHS. We also cover issues such as, the imp...

How do new technologies impact the postoperative elements of Enhanced Recovery? We discuss ward monitoring 3.0 and the technology available, or in the pipeline, to improve outcomes. How do we best use this information and these innovations? There is also a refreshing conversation about Artificial Intelligence (AI) alongside discussion about "bed sensors" and "facial recognition". Some dementia uni...

This fascinating conversation revolves around the experience and need for good teachers in the field of Anaesthesia. How do we encourage professionals and students to pursue this vital and rewarding discipline?   Dr Joff Lacey  presents with his guest  Dr Rob Stephens , Consultant in Anaesthesia, UCLH, Hon Senior Lecturer in Anaesthesia, UCL.

This conversation focuses on perioperative fluid management as part of Enhanced Recovery After Surgery (ERAS). Firstly, the team addresses the online poll - Is Enhanced Recovery (ER) the standard of care where you practice? They then move into a wider discussion about the key elements of ER alongside the main topic of perioperative fluid management. Presented by Monty Mythen with Desiree Chappell...

Lessons learned from the  Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality improvement programmes; how do we keep track of patients and improve follow up questions after surgery? How do we clearly show Quality Improvement Programmes work for the patient? Further discussion encompasses innovation and utilization in practice....

This fascinating in-depth conversation about Enhanced Recovery After Surgery, facilitated by questions both from our worldwide online audience and people who were attending the American Society of Anesthesiologists (ASA) conference in San Francisco this year. Presented by  Desiree Chappell and Monty Mythen with Sol Aronson , tenured professor at Duke University and Executive Vice Chairman in the D...

In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most downloaded podcasts we've done so far. This discussion focuses on the perioperative quality initiative's (POQI) intense focus this year on total body water and electrolytes. How often should we weigh patients to monitor water balance? What can we lear...

Despite the fact that a return on investment is a given after 12 months why is it that resources are not available for those of us pushing for Enhanced Recovery After Surgery (ERAS)? How do we convert the conversation down from pure financial terms into a lexicon that institutions can understand? The 'Council of Nurses' idea advocated in this piece is explored further in a previous podcast on TopM...

This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far, as voted for by our listeners: "RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results." The RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial has been a huge story for us here at TopMedTalk, recorded on t...

Join the team on the first day of the ASA in San Francisco. Originally streamed live on http://www.topmedtalk.com  from the Smith's Medical Booth in the exhibition hall of the conference. Presented by Monty Mythen , Desiree Chappell , Mike Grocott and Joff Lacey .

  This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far. "I want to dance at my daughter's wedding" What are the goals of healthcare providers, how do we measure success and why does value based care matter? Insight from The American Association of Retired People puts the focus in this conversation upon the p...

This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far.   "EBPOM 2018 - 4 | The Roundtable on NELA and shared decision making"   What is the standard of care given to patients who are getting an 'emergency laparotomy'? How do you use national data on a local level?   Also in this conversation; teaching patient...

This fascinating piece is essential listening from the ASA 2018. Originally streamed live on www.topmedtalk.com during our live coverage of the conference in San Francisco. Hear how the American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United Kingdom, are to focusing on brain health, in response to the demands of the...

We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch up with the most popular podcasts over the past year. Here you will find a fascinating discussion about cognitive function after surgery and a wider conversation about the 'brain health initiative'. What practical, simple steps can patients and prov...

On the morning of the first day of the 2018, annual conference, of the American Society of Anesthesiologists (ASA) Monty Mythen and Desiree Chappell were lucky enough to get an exclusive interview with Professor Henrik Kehlet. Henrik Kehlet is a gastrointestinal surgeon and former professor of surgery, Copenhagen University, and now professor of perioperative therapy and Head of Section of Surgica...

We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch up with the most popular podcasts over the past year. The debate 'Direct laryngoscopes should be consigned to history' was hosted by The Royal College Of Anaesthetists and carried out by our two guests on this piece. TopMedTalk sat down to have our...

In this, the second of a two part piece, the issue of frailty is assessed as a diagnosis. The realities of treating, often elderly people, who suffer from it are examined and discussed. Originally streamed live on www.topmedtalk.com the talk was part of EBPOM 2018 in Chicago. Presented by Dr Bobbie Jean Sweitzer , Associate Professor and Director of pre-operative medicine at the University of Chic...

We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch up with the most popular podcasts over the past year. Today's piece is called "Treating Patients Properly" and was recorded at EBPOM USA, Atlanta. Treating patients as people rather than 'jobs to be done' and 'boxes to be ticked' is the focus of thi...

In this two part piece the issue of frailty is assessed as a diagnosis. The realities of treating, often elderly people, who suffer from it are examined and discussed. Originally streamed live on www.topmedtalk.com the talk was part of EBPOM 2018 in Chicago. Presented by Dr Bobbie Jean Sweitzer , Associate Professor and Director of pre-operative medicine at the University of Chicago.

We're playing TopMedTalk's top ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch up with the most popular podcasts of the past year. This piece was originally presented during the Third Annual Quality Improvement Leadership Forum, 2018, at the Union League Club in Philidelphia. The trial looked at the effect of goal-directed hae...

How do hospitals and institutions best use their assets in a world of big data where we can deploy predictive analytics and the new metrics they make available to us? Currently we tend to use the clumsy metrics of averages when there now exists the possibility to use more high fidelity predictive patterns adapted to the unique flow of users and situations. Learn how constraint based optimisation a...

In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most downloaded podcasts we've done so far. "Patients are the experts in being patients" The penultimate part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the...