TopMedTalk

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. Over 6000 international delegates alongside more than 100 exhibitors from more than 80 countries, Euroanaesthesia is truly an outstanding international platform. Join Us at the conference in this series of special live podcasts. Presented by Monty Mythe...

Post op respiratory complications are the focus of this piece. How can they be anticipated, detected early and dealt with appropriately? What about objective neuromuscular monitoring? Should you revese every single patient? If so, how do you do it? What about the risk of pulmonary complications?   Presented by  Desiree Chappell  with her guest  Frances Chung , Professor, Department of Anesthesiolo...

Learn about the Perioperative Anesthesia and Surgical Screening Clinic (PASS Clinic), do you need one at your practice? What is pain control for a perioperative patient? Hear also about the 'subacute period' and how you can incorporate it into your practice. Also, how do we keep patients 'opioid free' once they leave our care? Finally, how does individualised pain management and pain education fit...

This piece is a fascinating overview of Australia and New Zealand's Emergency Laparotomy Audit - Quality Improvement (ANZELA-QI). It works as an update on the initiative, provides all the background you need including explanations regarding, structure, organisation and additional support as well as answering key questions such as: Do we need it? How do you join and what happens when you do? A link...

"ERAS in Obstetric Surgery" - 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 This piece is presented by Attila Kett , anaesthesiologist and Chairman at St Peter's University H...

We learn more about what the Perioperative medicine summit is and have a quick fire review of the current literature related to Perioperative Medicine. Discussions in this piece include the use of ACE inhibitors and ARBs, Hypotension, the Measurement of Exercise Tolerance before Surgery (METS) Trial and the improving fortunes of asprin. The SPAQI website is here: https://www.spaqi.org Presented by...

What simple things can we do in the operating room which might make a difference to the issue of post operative delirium? Should preoperative sedation be, generally speaking, withheld from people over 60? How do we explain the risks of this procedure to those who need it?   Also - are we seeing a rise in post operative delirium and if so why?   And finally - what should we make of the "triple low"...

A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) leadership forum. How can cold water adaption help people deal with medical issues? There's evidence to suggest that cold water adaption reduces inflamation, can open water swimming help with issues such as chrohn's disease? On the other hand how importa...

This piece ploughs into some of the academic papers that have provoked discussion recently in the perioperative community. We discuss the following papers: Risk factors for opioid-induced respiratory depression in surgical patients: a systematic review and meta-analyses. https://www.ncbi.nlm.nih.gov/pubmed/30552274 Increased Postoperative Glucose Variability Is Associated with Adverse Outcomes Fol...

Shared decision making is key to any perioperative enhancement team, this piece is a fascinating debate between various interesting positions. For more on the (Perioperative Optimization of Senior Health) POSH clinic mentioned in this piece look here: https://medicine.duke.edu/divisions/geriatrics/patient-care/duke-perioperative-optimization-senior-health Presented by Monty Mythen with his guest M...

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 guest Davinder Ramsingh , Director of Research and Perioperative Ultrasound at Lom...

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 "Fitter, Better, Sooner" toolkit can be found here: https://www.rcoa.ac.uk/fitterbettersooner The excellent video we mention is here: https://www.youtube.com/watch?v=0NMHMX-nFgY Pre...

This piece is a chance to hear how and why an emergency laparotomy can work as part of the perioperative process. Ideally perioperative medicine involves preparation, consideration, shared decision making and 'enhanced recovery'; which of these elements can be incorporated into a procedure which is unplanned? Can your practice be adjusted to improve outcomes for patients who might have as little a...

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. You can find the OSIRIS website here: https://osiris-programme.org/ Presented by Monty Mythen with Mike Grocott , Professor of Anaesthesia and Critical Care Medicine, University of Sout...

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. If you're looking for the hugely popular debate regarding direct laryngoscopy we mention in the podcast go here: https://www.topmedtalk.com/sunday-special-should-direct-laryngoscopy-be-...

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. A powerful and wide ranging conversation with one of our most popular contributors. We mention this piece here, one of TopMedTalk's most downloaded podcasts: https://www.topmedtalk.com/...

"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...