TopMedTalk

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in approximately 15 minutes, lays out the case for Accountable Care Organizations (ACOs) as the only hope for affordable health care. Presented by Lee A. Fleisher , Professor of Anesthesiology and Critical Care and Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania.

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. 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 providers take to bri...

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this is the question and answer session which followed Sol Aronson's talk; "Perioperative medicine is population health". Various questions from the audience follow after a short conversation between Sol and our, Editor in Chief, Monty Mythen. Presented by  Monty Mythen  with  Sol Aronson , tenured professor at Duk...

This episode is one of the top ten most downloaded podcasts we've done so far. 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 own mini-debate during the conference. Presented by Joff Lacey and Monty Mythen with their two guests; Professor Tim Cook , Co...

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in just 15 minutes, lays out the argument that the practice of perioperative medicine clearly walks hand in hand with the wider issue of population health management. Use this to help build the case for a perioperative care programme at your institution. Presented by Sol Aronson , tenured professor at D...

These clips are taken from the hugely successful 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. To hear all of the Xtreme Everest podcasts, in full, for free, follow this link here: https://www.topmedtalk.com/?s=xtreme+ The contributors, in order, are; Chris Imray, Kay Mitchell, David McLeod, Richard Moon and Mike Grocott .

These clips are taken from the hugely successful 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. To hear all of the Xtreme Everest podcasts, in full, for free, follow this link here: https://www.topmedtalk.com/?s=xtreme+ The contributors, in order, are; Mike Grocott, Denny Levett, Monty Mythen, Daniel Martin and Andrew Murray .

Live from Edwards Life Sciences in Irvine, South California, on their 60th anniversary. This conversation adds more detail to the picture emerging of the hypotension prediction index (HPI). Monty Mythen interviews his guests Thomas Scheeren , Professor of Anesthesiology, University Medical Center, Groningen and Chair Cardiovascular Dynamics Section at European Society of Intensive Care Medicine -...

On the occasion of the 60th anniversary of Edwards Life Sciences, Monty Mythen presents a discussion about hemodynamic monitoring and the pulmonary artery catheter, from their headquarters in Irvine, South California. Presented by Monty Mythen with Andy Shaw , Professor and Chair, Department of Anesthesiology and Pain Management, Rupert Pearse , Professor of Intensive Care Medicine at Queen Mary,...

How does the treatment of anemia fit into the perioperative process? How far should patient optimisation extend to treatment of this condition? Live from the hugely successful EBPOM USA conference, directly after their presentation Desiree Chappell talks with her guests; Dr Lori Heller , Cardiac Anesthesiologist, Swedish Medical Center, through US anaesthesia partners and acting instructor at the...

EXCLUSIVE: TopMed talk is coming live from the 'Chicago Masters Course - A Perioperative Care Practicum'. Go to the website now and listen live to the world's most cutting edge thinkers and pioneers in the world of perioperative medicine and care right now: http://www.topmedtalk.com/ This piece is a collection of highlights from the last 'Perioperative Care Practicum' recorded at EBPOM USA confere...

EXCLUSIVE: TopMed talk is coming live from the 'Chicago Masters Course - A Perioperative Care Practicum'. Go to the website now and listen live to the world's most cutting edge thinkers and pioneers in the world of perioperative medicine and care: http://www.topmedtalk.com/ This piece is a collection of highlights from the last 'Perioperative Care Practicum' recorded at the EBPOM USA conference in...

"It's one thing to optimise them to get them through surgery, it's another (...) to optimise them period!" - Dr Fleisher begins the conversation as the team circle round the tricky issue of patient optimisation in the 'fee for service' world. Many hospitals don't want to reduce surgery, can the bottom line be shifted closer toward the greater good of 'public health'? Dr Fleisher explains that 'per...

In this piece the team talk about possibly one of the most interesting funding experiments in the US; The Maryland global budgeting experiment. January 2014, after months of negotiations between Maryland and federal authorities, global budgeting went statewide. It was voluntary for hospitals, but within six months every hospital in the state had signed up. Four years on and it is a fascinating cas...

Joff and his guests visit the hallowed turf that is the Boston Ether Dome, in the Bulfinch Building, Massachusetts General Hospital. How have times moved on since those early pioneering days when the relatively young profession of Anaesthesia was born? Back then the word wasn't as widely used and the gentlemen in question described their activities as "rendering people insensible using sulphuric e...

TopMedTalk is at the American Association of Nurse Anaesthetists (AANA) 2018 in Boston. After an incredible year for the organisation and we were delighted to be able to get some time with the association's incoming President. Desiree Chappell speaks with her guest Garry Brydges , DNP, MSN, MBA,CRNA, ACNP-BC, Chief Nurse Anesthetist at UT MD Anderson Cancer Center-Department of Anesthesiology and...

TopMedTalk is at the American Association of Nurse Anaesthetists (AANA) 2018 conference in Boston. It has been an incredible year for the organisation and we were delighted to be able to get some time with the association's current outgoing President. Here Desiree Chappell sits down with her guest Dr Bruce Weiner , Adjunct Faculty at the University of South Florida, Clinician at Envision Healthcar...

Desiree Chappell and her guests discuss the Enhanced Recorvery After Surgery (ERAS) Shared Interest Group (SIG). TopMedTalk is at the American Association of Nurse Anaesthetists (AANA) 2018 conference in Boston and will be sharing podcasts from the meeting with you over the next several days.   Desiree Chappell  speaks with her guests,  Josh Newman  Lead CRNA at Passavant Area Hospital, Springfiel...

The Enhanced Perioperative Care for High-risk patients (EPOCH) trial results, as revealed at EBPOM 2018, show no change in mortality rates either on a 90 day or 180 day scale. What does this mean as regards the drive towards quality improvement in perioperative healthcare?   For more on this we highly recommend you listen to these two podcasts here:   The Epoch Trial Results:  https://www.topmedta...

Here Monty and Desiree present part of Professor Paul Myles's EBPOM 2018 presentation regarding the RELIEF trial, a massive part of the perioperative calendar this year. What are the consequences of this trial for the practice of Enhanced Recovery After Surgery (ERAS)? Also hear more about the follow up trial which will be looking at Acute Kidney Injury (AKI). This then leads to discussion of the...

Is there a global shortfall of anesthesia providers? How do we widen the number of people in the profession, both nationally and internationally? TopMedTalk is at the AANA 2018 conference in Boston and will be sharing podcasts from the meeting with you over the next several days. In this piece Desiree Chappell and Monty Mythen talk with Josh Newman , CRNA and Randy Moore , CRNA and CEO of the Amer...

The Hypotension Prediction Index (HPI), which uses a machine learning algorithm to help predict intraoperative hypotension. Regular listeners to  www.topmedtalk.com  will be familiar with concerns about perioperative hypotension. For those who have just joined us, or anyone who fancies a quick refresher on this issue, it is covered in detail here:   https://www.topmedtalk.com/live-from-boston-asa-...

Artificial intelligence; everyone's talking about it and everyone is doing it, or so they say. What's the reality behind these technologies? This discussion delves deep into that future with a discussion about the exciting new developments in the Hypotension Probability Index (HPI) which uses an automated closed loop technology that helps to predict intraoperative hypotension. This piece is presen...

This special programme was originally streamed live on www.topmedtalk.com - if you missed it you're obviously not yet signed up to our newsletter. Go to the website or follow this link: https://www.topmedtalk.com/sign-up/ Co-presented by Monty Mythen and Desiree Chappell with contributions from Dr Tim Miller , Anaesthesiologist from Duke University Medical Centre, Mark Edwards , Consultant in Anae...

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  and available here in a slightly longer format:  https://www.topmedtalk.com/live-from-boston-asa-2017-physiological-principles-of-goal-directed-fluid-therapy/ Dr Joff Lacey interviews his guest Dr Randall Dull...