TopMedTalk

When it comes to blood pressure, hypotension is associated with poor outcomes for patients, how do we react to this? How do we manage and avoid hypotension where possible? How has technology caught up with this challenge? Could automated closed loop systems be helpful here? The bottom line is simple; "If we measure blood pressure properly, we can predict it". Presented by Dr Simon Davies , Consult...

This piece outlines some of the topics related to the third Perioperative Quality Initiative (POQI). What is 'perioperative blood pressure'? What have been the major developments in this area? Also, should we be looking at increasing monitoring of patients, particularly regarding their blood pressure, in hospital? The Perioperative Quality Initiative (POQI) is discussed here: https://www.topmedtal...

This piece argues that troponin screening might be overused, "it's not all about the heart". Myocardial injury after noncardiac surgery (MINS) is seen as a relatively common issue driving post-operative harm. This piece gets into the detail and asks some important questions as to how focused practitioners should be upon troponin screening. It's part 2 of 3 from The EBPOM 2019 TopMedTalk session wh...

"I did a study back in 2002 where I was able to count a grand total of forty patients above the age of eighty in our (Intensive Care Unit) ICU and our (High Dependency Unit) HDU, nowadays I'd count close enough to a hundred and sixty" How do we refine our diagnostic tools? How can teaching in this area help to save lives? Should you consider a 'geriatric intensive care unit'? Is this an area where...

"Perioperative medicine is an opportunity; it's multidisciplinary and its developing around a culture of trust between anaesthetists, surgeons and perioperative physicians" The future of perioperative medicine embraces the full scope of medical advancement and is therefore difficult to predict, as a result truly informed shared decision making is both crucial and more complex. Variability of pract...

This piece argues that troponin screening is useful, if used appropriately. Is it the case that this test has been 'over sold' and as a result has provoked unhelpful pushback from practitioners? It's part 1 of 3 from The EBPOM 2019 TopMedTalk session which debated the issue. Presented by Duminda Wijeysundera , Professor in the Department of Anaesthesia and the Institute of Health Policy Management...

This is an Edwards Lifesciences Sponsored Lecture which was originally streamed live on TopMedTalk from the hugely successful EBPOM USA 2019 in Dallas. In this piece we hear about the ongoing need for institutions and healthcare professionals to recognise the damaging consequences of intraoperative hypotension. Evidence has been mounting here on TopMedTalk over the last couple of years; there's no...

"Monty - we've done it!" This piece wraps up one of our more ambitious experiments, the POCAPALOOZA. 24 hours around the world, combining powerful practice changing information and inspiration alongside entertainment from artists and supporters. We hope you have enjoyed this year's conference, look forward to hearing some of the talks in full and entirely for free over the next few months here on...

This piece is a fascinating in-depth conversation moving through various medical perspectives on perioperative medicine from Australia and New Zealand. A real highlight of the festival. How has perioperative medicine evolved over the years around the world? What's the status of Perioperative Care as a specialty? How does one specialise in this area, in terms of education?  Discussing the developme...

This entertaining piece is designed to be a fun listen which also manages to convey a sense of where Perioperative Medicine is as a discipline. It also contains a large number of exciting and exclusive announcements, make sure you listen and enjoy. Presented here "as live" by Desiree Chappell with Monty Mythen and Sol Aronson , tenured Professor at Duke University with Jeanna D. Blitz , Associate...

The two co-vice presidents of the international board of perioperative medicine join Desiree's POCAPALOOZA. This conversation is global in its context with perceptive reflections upon the US healthcare market. "Towards high‐quality peri‐operative care: a global perspective" - the paper we begin by discussing - is here: https://onlinelibrary.wiley.com/doi/full/10.1111/anae.14921 As anesthesiologist...

This episode of the Pocapalooza* is provided here for free in the hope you can help us raise money for a cause that will immediately appeal to perioperative practitioners, the African Perioperative Research Group (APORG): https://www.justgiving.com/crowdfunding/protea-live?utm_id=1&utm_term=ZKW35J94X This piece traces the story of perioperative medicine, through the lens of the contributors and Ev...

This piece is a short conversation with two guests we spoke with during the hugely successful Pocapalooza of EBPOM 2020, Live from London. Presented by Desiree Chappell with her guests Bruce Biccard , consultant anaesthetist at the University of Kwazulu-Natal, Director, Perioperative Research Unit, Department of Anaesthetics, Nelson R Mandela School of Medicine and Salome Maswime, Obstetrician and...

The Pocapalooza begins! "Poc" standing for "perioperative care" and "palooza" meaning festival. Join us as we travel around the world promoting life changing healthcare. Go to ebpom.org for entertainment throughout the day as we celebrate the success of our first fully virtual conference, EBPOM 2020, Live from London! Regular listeners will be delighted to discover this piece is an update on a pro...

This piece covers the fascinating upside to the recent global pandemic we have been facing in medicine; increased application of innovation and better time efficiency. "We have learned that we can move very quickly" How have innovations in times of crisis meant that technology has been able to be used which has 'upscaled' remote patient monitoring? How has the value of this innovation become clear...

This piece focuses on procedural sedation and questions regarding, who delivers it, is there a standard for monitoring what is the correct approach to capnography? Further discussion also includes questions regarding sedation; is there room for compromise in the debate surrounding propofol? If so where does responsibility lie for that? Is it wrong to sell this as a "general anaesthetic"? Is there...

"Everyone is aware of the opioid crisis outside of hospital, tragic opioid crisis, but we've had one on the wards for a long time". This piece focuses on opioid toxicity, depth of anaesthesia, patient monitoring and pain management. "We've all had situations where we give too much or too little"; either can be serious concerns, "it's essential we get the analgesia right". Presented by Desiree Chap...

  Go now to EBPOM.org This piece is a guide to just some of today's main events. Please go to EBPOM.org now to register for an incredible 3 days of life changing and life saving information. If you don't sign up in time for today don't forget, after the huge success of EBPOM Live from London our next big event is EBPOM - Chicago!  

The welcome return of Desiree's Roundtable is just one of the treats made possible by the groundbreaking virtual conference, EBPOM Live From London, which is taking place now. If you missed out on tickets stay with us here on TopMedTalk where you will soon be hearing selected highlights through the rest of the year. Also, make sure you are one of the first to hear exclusive content from EBPOM Chic...

Go now to EBPOM.org This piece is a guide to just some of today's main events. Please go to EBPOM.org now to register for an incredible 3 days of life changing and life saving information. If you don't sign up in time for today don't forget, after the huge success of EBPOM Live from London our next big event is EBPOM - Chicago!

"The predominant emotion was fear..."; this piece is essential listening for every TopMedTalk listener who really cares about the experience of their patients. Hear what it was like to participate in the pioneering, tailored exercise training programme, The Encourage Trial. Also, find out about "the Buddy Scheme" and how becoming a member of a local support group: SPICOS (Support for People Impact...

This talk is a powerful look at a new world where we commit your institution and practice to achieving an end goal of "zero preventable deaths". The Patient Safety Movement Foundation (PSMF) has generated an enormous amount of global news media coverage as it promotes that aim; celebrities, statesmen, politicians and industry leaders are all getting behind an ambition which, after hearing this tal...

This piece is a reminder to all attendees at EBPOM Live From London that you should check the website now for details and content: www.ebpom.org If you are looking for your usual fix of perioperative medical education but didn't manage to get tickets in time here are three excellent pieces from the archives: The Brain Health Initiative: https://www.topmedtalk.com/the-topmedtalk-top-ten-the-brain-h...

The NHS, a national institution beloved by the people of the United Kingdom is over 70 years old. EBPOM celebrated this fact with a talk that gets right to the heart of why this institution is so special and also how it can move forward in the brave new world we find ourselves in now. This piece was streamed live, from the IET at EBPOM, on www.topmedtalk.com Sir Bruce Keogh  KBE, FRCS, FRCP, is a...

What are the two prime components of any good nutrition programme? How is avoiding malnutrition different from supporting anabolism? What's the best way to screen patients for malnutrition risk? How can a patient's anthropomitry be assesed alongside their stated needs and preferred outcomes? How important are protein supplements? What are the wider benefits of a good diet? How do we devise nutriti...