TopMedTalk

This piece is an essential guide to running your own perioperative pre-operative diabetes clinic as well as how to manage this condition before, during and after and operation.  With questions from the online audience and reference to the TopMedTalk presentation - linked to here: https://directory.libsyn.com/episode/index/id/21961259 - this podcast will get you and your colleagues thinking about h...

"This is an excellent opportunity to improve your care pathways, to help improve patient outcomes and really to optimise care throughout the continuum of the perioperative period." This piece emphasises the importance of perioperative glucose management and describes evidence-based approaches for perioperative management throughout. What about pre-admission? During hospitalisation? What are the be...

"Now we've declared it possible, is it the right thing to do?" This timely discussion considers the wisdom of day case total knee replacement: What do the data say? Can we do this without the use of opioids? What is reasonable to consider as part of an enhanced recovery after surgery program? How do patients make an informed decision when this kind of surgery is in their possible future? The first...

"How do we share enhanced recovery with the world? There's been a lot of work in this area..." This crucial update covers enhanced recovery in cardiac; all the latest on investigation, implementation science, integration and dissemination. Recorded at the Evidence Based Perioperative Medicine (EBPOM) Chicago Conference. For more information on EBPOM check out www.ebpom.org Presented by Michael C G...

How do you go about setting up and then running a perioperative nutrition clinic? How do you convince patients and providers that this will increase value and efficacy? Is nutrition really an essential part of enhanced recovery after surgery? This piece is complimented by a panel discussion soon to be released here on TopMedTalk. However, if you can't wait to hear more you will want to check out t...

"It certainly has ignited some sort of telemedicine and remote monitoring revolution; I think we'll look back in 10 years and say, well, that's really when things ramped up and changed" This piece is an engaging look at "connected health"; how are new technologies bringing world class experts straight to patients both safely, effectively and at a scale which was previously unimaginable? What are t...

In part two the conversation moves to more detail about Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE). There are also wider questions about "the future of anaesthesia". Ensure you are now subscribed to TopMedTalk so you never miss out. Chaired by Mike Grocott Professor of Anaesthesia and critical care at the University of Southampton and Rodney Meeke , recently retired Ana...

TopMedTalk's essential series on acute kidney injury continues, supported by the "Know AKI campaign" – a bioMérieux global campaign to raise awareness about AKI. For part one of the series follow this link: https://topmedtalk.libsyn.com/part-1-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-renal-injury In this podcast you will discover how The Perioperative Quality Initiativ...

"New '21st Century iron lung' ventilator designed by British experts could revolutionise Covid treatment by taking patients out of intensive care wards" Daily Mail UK, 19th Jan 2021 This is part one of a two part piece. This piece looks at the development of a new negative-pressure ventilatory support device: Exovent. Their website is here: https://exovent.org/ We also cover questions from the EBP...

This podcast is in addition to a series supported by the "Know AKI campaign", a bioMérieux global campaign to raise awareness about AKI. Go here for part one: https://www.topmedtalk.com/part-1-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-renal-injury/ It includes contributions from Dan Engelman , Medical Director of the Heart, Vascular and Critical Care Units at Baystate M...

How should we best monitor and treat acute kidney injury (AKI)? Where is the information leading our best practitioners to? How can monitoring incidences of AKI help to reduce it? This podcast is Part 5 in a series supported by the "Know AKI campaign", a bioMérieux global campaign to raise awareness about AKI. For part one go here: https://topmedtalk.libsyn.com/part-1-know-aki-and-say-no-to-acute-...

How did your intensive care unit manage during COVID19? What are the common experiences of practitioners from the developed world who bravely faced a pandemic like no other? This is part two of a two part piece. The previous installment is here: https://topmedtalk.libsyn.com/intensive-care-during-covid19-p1-topmedtalk The TV show mentioned in this piece is available here: https://www.channel4.com/...

This podcast is part 4 in a series which is supported by the "Know AKI campaign", a bioMérieux global campaign to raise awareness about AKI. For part one go here: https://topmedtalk.libsyn.com/part-1-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-renal-injury For part two go here: https://topmedtalk.libsyn.com/part-2-know-aki-and-say-no-to-acute-kidney-injury-for-patients-pe...

How did your intensive care unit manage during COVID19? What are the common experiences of practitioners from the developed world who bravely faced a pandemic like no other? This is part one of a two part piece. The TV show mentioned in this piece is available here: https://www.channel4.com/programmes/help Editor's note; parts of this conversation which suffered from technical issues have been rem...

"Kidney disease ... is clearly a public health concern" Health systems perspectives in acute kidney injury, this podcast is part 3 in a series which is supported by the "Know AKI campaign", a bioMérieux global campaign to raise awareness about AKI. For part one go here: https://topmedtalk.libsyn.com/part-1-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-renal-injury For part...

This piece is the first of a four part series, supported in part through an unrestricted educational grant from Acacia Pharma, Inc, tackling the subject of post operative nausea and vomiting. How do practitioners who have an emphasis upon value based care incorporate dealing with one of the less pleasant realities of surgery for a patient? For the fuller conversations quoted in this piece please c...

For part one of this series go here: https://topmedtalk.libsyn.com/part-1-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-renal-injury This piece is a series of recommendations from the Acute Disease Quality Initiative (ADQI-24) and the Perioperative Quality Initiative (POQI-7). The article mentioned in this piece is here: https://www.nature.com/articles/s41581-021-00418-2 Or...

"We have to decide; if it's safe, how do we do it, and how do we do it right?" This piece provides a much needed overview of anesthesia in the USA, clinical innovation, best practice and enhanced recovery. How do we deliver on the value proposition safely and efficiently? What is the responsibility of practitioners to patients when measuring the impact of new products, medications and equipment? H...

This deep dive into intraoperative hypotension provides an essential update on this area. Does the cause of hypotension reveal more about the specifics of the condition and therefore treatments? How can we understand what it is that we are doing well when it comes to prevention? Presented by Desiree Chappell and Monty Mythen with their guests Thomas Scheeran , Professor of Anaesthesiology, Univers...

This piece has been supported by the "Know AKI campaign" – a bioMérieux global campaign to raise awareness about acute kidney injury. It features a wide selection of clips on the subject of acute kidney injury, restrictive versus liberal fluid therapy and the trials we've seen in recent years which have revitalized debate and learning. The clips used come from the following podcasts: Michelle Chew...

"Our top priority must be safety" A real stand out piece from this year's incredible Evidence Based Perioperative Medicine (EBPOM) Dingle/Chicago conference. This piece dives into the realities of sedation from the point of view of a patient focused practitioner. For more conversations along these lines make sure you listen to our coverage of the annual general meeting of the American Society of A...

"There are so many, many studies on prophylaxis, but very few on treatment" Post operative nausea and vomiting, secondary nausea, how can we put the danger of these unfortunate moments behind us in a modern practice? This piece focuses upon nausea and treatment in particular as part of an Enhanced Recovery practice. Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomitin...

What are the known challenges for patients and practitioners who face anemia preoperatively? How do you set up and run an anemia clinic? Is there any need for this to be considered an essential part of the perioperative process? This piece follows on from a presentation regarding how to set up and run an anemia clinic, follow this link here to hear that presentation: https://topmedtalk.libsyn.com/...

This piece continues the discussion regarding blood pressure regulation, moving from the brain to the kidney, heart and lungs via a number of distinguished experts in the field. How do we safely cut through the opinions on these areas and focus instead on relevant data? How do these organs interact in terms of auto regulation? How closely do our clinical tools allow us to infer accurately what a p...

The focus of this conversation is auto regulation in the brain, it leads into a longer conversation - part 2 - where the subject is discussed more broadly. What tools do we now have and how are they changing the way we see and understand this area? Are there hard and fast rules when it comes to blood pressure or is there still significant debate? Although this works as a stand alone listen it is i...