TopMedTalk

Treating patients as people rather than 'jobs to be done' and 'boxes to be ticked' is the focus of this piece. What can Doctors do better when it comes to treating patients? Find out what happened when a perioperative care doctor became a patient. A fascinating conversation streamed live from Atlanta Georgia during the second day of TopMedTalk's coverage of "EBPOM-USA Masters Course, A Perioperati...

This piece discusses how the contributors are driving better perioperative care in their clinics; the importance of getting patient records in advance; ERAS for obstetrics; challenging opioid use with the multimodal pain management; shared decision making in pain management; the importance of clear communication pathways and patient literacy. This podcast features Desiree Chappell interviewing; Dr...

Marc Koch President & CEO of Somnia Inc reviews the conference with Desiree Chappell. What should you expect at an EBPOM meeting? How useful is the practical advice given? How important is the networking side of an event like this? Hosted by Desiree Chappell. Join us on  www.topmedtalk.com  sign up for our email updates and never miss a live streamed conference again.

When it comes to breathlessness how do we better diagnose and apply treatment earlier? How do we overcome the fact that referring to a specialist can sometimes take a patient 'down the wrong route' with a condition that might not be just heart or lung related? Ronan Astin, clinical consultant in respiratory medicine at UCL Hospital, explains his more holistic approach to treatment and diagnosis. "...

Professor Monty Mythen presents Journal Club Express. Postoperative delirium in total knee and hip arthroplasty patients: a study of perioperative modifiable risk factors DOI:  10.1016/j.bja.2017.12.046 -- S. M. Weinstein et al. Br J Anaesth 2018; 120(5): 999-1008 This is an American single center retrospective study with 41,766 patients undergoing hip and knee arthroplasties over a seven year per...

This podcast concerns sleep apnea as part of pre-operative patient optimisation. How important is it to evaluate patients for sleep disorders before surgery? Are patients with sleep apnea aware of their condition and are they using some form of treatment? What are the health problems associated with sleep disorders? How do you build a financial case for including this in your practice? A piece ori...

Originally streamed live from Atlanta Georgia during TopMedTalk's coverage of "EBPOM-USA Masters Course, A Perioperative Care Practicum" this podcast includes discussion about psychological optimisation for surgery; who should have it, what does it mean and how does it work? Further conversation moves into weaning patients off opioids in advance of surgery and cutting their dependency afterwards....

The importance of exercise, weight and perioperative nutrition. Which is worse, being fat or not being fit? Malnutrition, a silent epidemic? How useful are protein shakes? Are supervised exercise sessions cost effective? Finally the team discuss the importance of starting these conversations with children, optimising nutrition and exercise for them will enhance their lives forever. Hosted by Monty...

Professor Monty Mythen's full presentation regarding 'the FEDORA trial'. This piece was originally presented during the Third Annual Quality Improvement Leadership Forum, 2018, at the Union League Club in Philidelphia. The trial looked at the effect of goal-directed haemodynamic therapy on postoperative complications in low–moderate risk surgical patients: a multicentre randomised controlled trial...

Join Desiree and Monty as they reflect on the EBPOM USA weekend so far and look ahead to what remains. Also - a reminder that you still have chance to hear the conference presentations live from the www.topmedtalk.com website. Go there now to get details, it's free and has proven to be incredibly popular around the world!

A fascinating discussion and debate regarding the central dichotomy inherent in periperative medicine. No stone is left unturned as the team get their teeth into the subject tackling the always tricky subject of profit and patient optimisation. Recorded on the first day of the conference this piece is a real stand out moment for TopMedTalk, make sure you both listen in and provide us with your tho...

Originally streamed live from the EBPOM USA conference. Desiree Chappell, Monty Mythen, Dr Tim Miller (anaestheseologist at Duke University) and Dr Angela Edwards (head of perioperative medicine at Wake Forest University School of Medicine) discuss some of the presentations and their personal highlights. Join in the conversation, email us at contact@topmedtalk.com

A fascinating conversation, streamed live from EBPOM-USA on the second day of the conference. Reflections on the conference alongside insightful discussions about how the contributors have each been attracted to perioperative medicine. Also, the perennial debate about patient care and profits, are the two factors in conflict? Featuring Desiree Chappell host of The Roundtable Blog, Dr Brian Woods a...

Find out what the big stories and talking points were on day one of the highly anticipated "EBPOM-USA Masters Course, A Perioperative Care Practicum". Recorded on the morning of day two; Monty Mythen, Desiree Chappell and Mike Grocott reflect on the first day of the conference. Remember, if you would like to hear the presentations live from EBPOM-USA you can "tune in" through our website to the li...

ATLANTA conference alert! Mike Grocott and Sol Aronson do a special podcast to alert TopMedTalk listeners to an exciting offer; EBPOM-USA Perioperative Care Practicum "The How to Guide" for evaluation, management and implementation - is to be streamed live, for free, from this year's conference. Presentations will be available to you from our website as they happen, go there now and make sure you...

Stories include the call to reclassify cancers, dangerous cannabis substitute causes bleeding from the eyes and a chilli chomping champion gets more than he bargined for. For comment and story suggestions email us contact@topmedtalk.com

Journal club special's featured article is today from "Anesthesia & Analgesia" April 2018 - Volume 126 - Number 4   https://journals.lww.com/anesthesia-analgesia/pages/default.aspx   The excerpt in this piece comes from an earlier TopMed talk here:  https://www.topmedtalk.com/live-from-boston-asa-2017-anaesthesia-and-global-health-an-expert-view/   Remember you can join the TopMed talk team live a...

Editor in Chief of TopMed Talk, Monty Mythen and Desiree Chappell, host of the Roundtable blog, talk about the upcoming "EBPOM-USA Masters Course - A Perioperative Care Practicum". More details about the event here: https://www.ebpom.org/EBPOM-USA2-2018 Also - for details of how you can sign up to our live stream for free go to www.topmedtalk.com And, if you are attending the course and would like...

Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic and side-effects profiles. Br J Anaesth. 2018 Apr;120(4):679-692. See full article here:  https://doi.org/10.1016/j.bja.2017.11.104

Dr Carol Peden and Dr Lee A. Fleisher join Desiree Chappell in a discussion, taken from The Roundtable blog, which here concerns consent and anaesthetics. The original longer piece you can find here: https://www.topmedtalk.com/2-9-the-brain-health-initiative/

The opioid crisis is a big concern for the Western World. Should we be aiming for opioid-lite, or trying to get rid of them entirely? Monty Mythen speaks with Carol Peden, Lee Fleisher and Andrea Kurz, live at the Third Annual Quality Improvement Leadership Forum, 2018. This clip is a shorter version of a longer conversation to be found here:  https://www.topmedtalk.com/how-is-perioperative-medici...

Dr Joff Lacey grabs a quick chat with Matt McEvoy from Vanderbilt University, speaking about patient monitoring, after a presentation at ASER 2018. This, from a larger piece, found here: https://www.topmedtalk.com/monitoring-patients-in-the-post-operative-period/

Stories include the UK obesity crisis, nightmare bacteria in the US and The Duke Of Edinburgh has an operation on his hip. For comment and story suggestions email us contact@topmedtalk.com

What drives enhanced recovery for you and how does it change outcomes? Desiree Chappell presents 'The Roundtable blog'; in this clip she's in conversation with Dr Neil Seeley Chief of anesthesia for Cancer Treatment Centres of America and Dr Michael Scott Professor of Anesthesiology at Virginia Commonwealth University and Professor at The University of Pennsylvania. This clip is part of a longer c...

Julie Thacker discusses where we're at with enhanced recovery and POQI. This clip, presented by Desiree Chappell at ASER 2018, is part of a longer piece which can be found here:  http://www.topmedtalk.com/what-is-asers-vision-for-2018/