TopMedTalk

Everything you ever wanted to know about CPET (Cardio Pulmonary Exercise Testing) but were too afraid to ask; this conversation is a fascinating deep dive into the topic with two experts in the field. Discover how widely practiced this technique is across the UK, hear about the advantages people who use it have in terms of outcomes and patient safety. Also, what do institutions then do with the da...

Why do anaesthetists suffer from mental health problems, what help is there available for them? Learn here about 'The Practitioner Health Programme' and hear why anaesthetists are uniquely placed to deal with the inevitable pressures related to healthcare and how they can become leaders, helping to destigmatise and tackle mental health issues. Presented by Desiree Chappell and Monty Mythen with th...

"If you don't have respect you really can't do anything ... healthcare is a team sport!" What is a "Respect Officer"? Why is respect so important in perioperative care? What is a "huddle" and should your team include one in your practice? Presented by Desiree Chappell and Monty Mythen with their guest Amir Jaffer , Chief Medical Officer, New York Presbyterian/ Queens.

How does enhanced recovery after surgery (ERAS) work for cardiac patients? What lessons have been learned and how have pathways and protocols evolved? How do you get the whole team onboard with such innovations and the multidisciplinary aspect of these notions?   Presented by  Robin Schiller  and  Bridger Bach  with their guests Dr  Mike Grant , Assistant Professor of Anesthesiology and Critical C...

"Emergency laparotomy Collaborative" - 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: cont...

The American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United Kingdom, are focusing on brain health, in response to the demands of their members. Further conversation includes how practitioners both explain the risks of surgery and also calm possible misunderstandings or fears regarding them, as well as wider reflecti...

Pain is seen by many as the so-called fifth vital sign but is it reasonable to expect us to eliminate it entirely? The long term consequences for medicine and our patients are now manifesting in daily newscasts regarding "the opioid epidemic". Presented by Monty Mythen with Dr Patrick Shanahan , Anesthesiology Consultants Enterprises, Louisville KY and Mike Grocott , Professor of Anaesthesia and C...

The EBPOM-USA Dallas Masters Course, held between the 22nd - 24th of March 2019, has provided TopMedTalk with a wealth of exciting new material which we will be sharing with you over the next few months. Here you can reflect on the conference or, if you didn't manage to attend, whet your appitite for what is to come.   Presented by Desiree Chappell with Monty Mythen , Sol Aronson and Vicki Morton...

Here we feature a central figure in the ongoing Great World Fluid debate. He was sadly unable to attend EBPOM 2018 so we wanted to get a very important contribution from him: What are the big takeaways from some of the larger trials such as Saline versus Albumin Fluid Evaluation ( SAFE )? What about the long term implications of Crystalloid versus Hydroxyethyl Starch Trial (CHEST)? What new trials...

What's the relationship between Enhanced Recovery after Surgery (ERAS) and Prehabilitation? Should prehabilitation be thought of as a natural part of perioperative enhancement? Should practitioners learn to think of exercise as an anabolic stimulant?   Mike Grocott presents with his guests Olle Ljungqvist , Prof. of Surgery, MD, PhD, Surgeon, Örebro University Hospital & Karolinska Institutet, Swe...

How has perioperative medicine impacted upon our understanding of obstetrics? Hear how implimenting an ERAS programme in 2016 has benefitted the pioneers who led the way here. Is it something you could impliment in your practice?   Presented by Robin Schiller and Bridger Bach with their guests Dr Attila Kett , anaesthesiologist and Chairman at St Peter's University Hospital at New Jersey and  Dr E...

"Colloid vs Crystalloid - Goal Directed Therapy" - 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...

Adverse outcomes, we all know they happen but how do we handle them, record them and avoid them in the first place? The discussion then moves to (Patient Recorded Outcome Measures) PROMS. Patient optimisation is then discussed. Exercise, could it be so effective because it works as an anti inflammatory? A deep dive into the research on that is contained in this conversation. The RELIEF trial is di...

How important is it to weigh your patients, both before and after surgery? Should this then continue during their stay each day they have an i.v. running? Presented by Monty Mythen and Henry Howe with their guests Tom Woodcock , an independent consultant in patient safety, medical law and ethics, and Manu Malbrain , Professor at Faculty of Medicine and Pharmacology Vrije University in Brussells.

How do we develop an agreed curriculum that speaks to what perioperative medicine should be? Once that's in place, how should it be overseen? What sort of official endorsements would it need? Running in parallel to this are the MOOCs - Massive Online Open Courses - that are being developed. Developing a broad knowledge of the process is distinct from being a perioperative specialist, how do we dev...

What is TopMedTalk and how did it come about? Why is perioperative medicine such an inspiration to us? Why is our Editor in Chief such an advocate? What is the opioid crisis? Broadcaster Nick Margerrison speaks with our Editor in Chief about TopMedTalk and perioperative medicine. We regularly enjoy reading your feedback: contact@topmedtalk.com

Teamwork is an essential part of perioperative care. Here the case is made that we should approach both pre and post habilitation as being akin to playing a team sport. Presented by Desiree Chappell with her guest Dr Steve Flanagan, Chair of Physical Medicine and Rehabilitation at NYU Langone. The fuller version of this piece is here: http://topmedtalk.libsyn.com/physical-medicine-in-rehabilitatio...

Learn how to develop a national Quality Improvement (QI) network which will increase both communication and knowledge implementation. What are the essential elements of a useful network, how do you build a community within one and solidify it as an essential part of your practice?   Presented by Carolyn Johnston , consultant Anaesthetist in St Georges hospital in London.  

"Postoperative changes in cognition: The role of biomarkers" - 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.com/meetings If you have any comments or questions you'd like to send...

How do you best work a pre-op clinic? Should they be places where you get your problems documented or where you get your problems 'fixed'? How do you convince your practice to optimise patients for life and not just 90 days? How do we encourage population health? How do we get round the fact that we're still in a 'fee for service world'? What is "PBPM"? Featuring Desiree Chappell, Monty Mythen, Dr...

This podcast covers the physiological principles of goal directed fluid therapy, fluid responsiveness, the stressed system and the glycocalyx. Originally streamed live on www.topmedtalk.com Presented by Dr Joff Lacey with his guest Dr Randall Dull of the University of Illinois, live from the ASA in 2017.

TopMedTalk catches up with another online media source, The Critical Care Practitioner podcast, organised by our guest who - appropriately enough - is a critical care practitioner. What's it like being a critical care practitioner in the UK at the moment? Originally a lot of nurses moved into the sphere but now paramedics, physiotherapists and many others progress into it. Furthermore what's it li...

Recorded on the first day of the Intensive Care Society's annual conference this conversation starts with some reflections about how conferences have moved into the modern age now with interactivity and new media revitalising the scene in unexpected ways. Conversation then moves out to some of the big questions: Is the pulmonary artery catheter back? What have been some of the big take aways in nu...

Shared decision making is a meeting between experts, on the one hand we have a clinician who understands a diagnosis and a likely prognosis, on the other we have a patient who exclusively understands their values and personal tolerance for risk. Ideally these two perspectives are encouraged to combine into high quality decisions tailored to individual patients. What are the essential elements of t...

"Perioperative nutrition" - 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@topmedt...