TopMedTalk

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this is the question and answer session which followed the talk "The Opioid crisis, can we kick the habit?". Along with various questions from the audience, both at the conference and listening live online, Desiree Chappell presents an entertaining conversation with Matthew McEvoy.   Presented by  Desiree Chappell...

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. The NHS, a national institution beloved by the people of the United Kingdom is 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...

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in less than 10 minutes, lays out the case for kicking the opioid habit, specifically in America. Use this to help build the case for reducing the use of opioids at your institution. Presented by Matthew McEvoy , Vice-Chair for Educational Affairs and Professor of Anesthesiology at Vanderbilt University...

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. This discussion focuses on the perioperative quality initiative's (POQI) intense focus this year on total body water and electrolytes. How often should we weigh patients to monitor water balance? What can we lear...

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Mike Grocott's talk; "Wrong surgery or wrong patient?". Various questions from the audience follow after a short conversation between Mike and our Editor in Chief Monty Mythen.   Presented by  Monty Mythen  with his guest  Mike Grocott , Professor of Anae...

This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far, as voted for by our listeners: "RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results." The RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial has been a huge story for us here at TopMedTalk, recorded on t...

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in less than 15 minutes, lays out the case for shared decision making so you can avoid carrying out surgery which is not right for either the surgeon or patient. Use this to help build the case for shared decision making at your institution by demonstrating that it hits the 'triple aim for populations'...

This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far. "I want to dance at my daughter's wedding" What are the goals of healthcare providers, how do we measure success and why does value based care matter? Insight from The American Association of Retired People puts the focus in this conversation upon the pat...

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Lee Fleisher's talk; "ACOs are the only hope for affordable health care". Various questions from the audience follow a short conversation between Lee and our lead presenter Desiree Chappell. Presented by Desiree Chappell with her guest Lee A. Fleisher , P...

This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far.   "EBPOM 2018 - 4 | The Roundtable on NELA and shared decision making"   What is the standard of care given to patients who are getting an 'emergency laparotomy'? How do you use national data on a local level?   Also in this conversation; teaching patient...

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...