TopMedTalk

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...

The POET acronym – a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation programmes. Monty Mythen speaks with Professor Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology. This piece is taken from a longer conversation to be found here:  https://www.topmedtalk.com/aser-ebpom-2017-recap-...

This piece is a discussion, originally held last year on www.topmedtalk.com , about outcomes after colorectal surgery. Drinking, Eating, Mobilising and Sleep (DREAMS) within hours of major surgery are key process and outcome measures. The conversation is in relation to the concensus paper which was published by the Perioperative Quality Initiative www.poqi.org and is available for you to read here...

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 asked how this institution can move forward.   This short clip is taken from a longer piece which you can find here:  https://www.topmedtalk.com/ebpom-2018-3-sir-bruce-keogh-the-nhs-at-70/   This piece was streamed live, from the IET at EBPOM 2018, on  www.topme...

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 it can move forward in the brave new world which we now ourselves in. This short clip is taken from a longer piece which you can find here: https://www.topmedtalk.com/ebpom-2018-3-sir-bru...

"POETTS 2018 | CPET for Risk Stratification in Major Urological Surgery" - 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'...

"POETTS 2018 | The Measurement of Exercise Tolerance before Surgery (METS) Study: early results" - 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 co...

"POETTS 2018 | CPET and Shared Decision Making" - 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 tea...

"POETTS 2018 | Activity Monitors and CPET variables" - 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 th...

"POETTS 2018 | Pre-operative Inspiratory Muscle Training" - 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...

"POETTS 2018 | Pre-operative Inspiratory Muscle Training" - 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...

"POETTS 2018 | Changing behaviours of the medical team before surgery" - 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 li...

"POETTS 2018 | The evolution of a community-based Prehabilitation service" - 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 yo...

"POETTS 2018 | Psychological Behavioural Change Interventions in Cancer Patients" - 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 quest...

Trainees with an Interest in Perioperative Medicine (TRIPOM) is an exciting new collaborative designed to enhance and channel the enthusiasm of its members through various free open access online resources. The aim is to help give trainees a voice in the field of perioperative medicine. Their website is here:  www.tripom.org Joff Lacey presenting, with his guests;  John Whittle , assistant Profess...

What is pain control for a perioperative patient? What is the 'subacute period' and do you incorporate it into your practice? How do we keep patients 'opioid free' once they leave our care? Furthermore - is the curriculum for medical professionals changing in light of the 'opioid epidemic'? The tide is undoubtedly turning, the conversation covers lots of good news related to a rising awareness of...