TopMedTalk

Euroanaesthesia is one of the most important and influential annual congresses in anaesthesiology and intensive care. This year, TopMedTalk was there in Munich, Germany, bringing you exclusive coverage. In this piece we find out how laryngoscopy has moved forward, where AI might take us and why sustainability important in medicine. Presented by Desiree Chappell with Sam Azijian , Chief Medical Offi...

This episode underscores the evolution of perioperative medicine, the importance of innovation, teamwork, and data. The conversation reflects on past achievements and looks forward to future advancements in medical care. Our guest, a seasoned medical professional with a 40-year career, reflects on his journey from a young doctor in London to a consultant in Sydney. His plenary session at the Evide...

In this piece our guest shares her journey from general anesthesiology to focusing exclusively on obstetrics, driven by her training as a sexual assault counselor. She highlights the prevalence of trauma among patients and the need for trauma-informed care practices. Presented by Desiree Chappell with her guest Tracey Vogel , Obstetric Anesthesiologist, Allegheny Health Network and Founder of The...

More from our coverage of the 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. The South African Perioperative Research Group (SAPORG) is a multidisciplinary group of researchers interested in improving perioperative outcomes in South Africa, through collaborative research Presented by Monty Mythen and Desiree Chappell with their guest Bruce Biccard , Professor and Se...

More from our coverage of the 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. This piece discusses trials in the wake of COVID-19 specifically we focus upon the PROTECT Platform Trial. Presented by Monty Mythen and Kate Leslie with their guests Tom Abbott , anaesthetist and clinical lecturer at Queen Mary University of London and James Glasbey , NIHR Academic Clinica...

This piece looks at the DanGer Shock Trial which examines the efficacy of the Impella device in reducing mortality in patients with acute myocardial infarction and cardiogenic shock. We explain how the device works, its implantation process, and the significant findings from the trial, including a notable reduction in six-month mortality with a number needed to treat (NNT) of eight. Despite higher...

This year TopMedTalk were at Euroanesthesia 2024, Munich, Germany. In this piece we discuss anesthesia leadership, sustainability in healthcare, and innovations like Portrait Mobile and low-flow anesthesia. Our guest also shares her personal story as an immigrant and woman in industry, emphasizing the importance of mentorship, sponsorship, and balancing one's personal and professional life. Presen...

This conversation was recorded at The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. This piece focuses upon the TRACTION trial and the B-Free trial. The TRACTION trial is here: https://tractiontrials.org/ The B-Free trial is here: https://www.phri.ca/research/b-free/ Desiree Chappel l and Andy Cumpstey speak with their guests Jessica Spence , Assistant Professor at...

The team bring us more interviews from The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. This piece focuses upon the importance of global and equitable research partnerships, highlighting guidelines like TDR's Essence and the Trust Code. The conversation also touches on the need to decolonize health research and the necessity of systemic changes to support women in...

Evidence Based Perioperative Medicine (EBPOM)'s incredible World Congress in London continues and TopMedTalk is there bringing you exclusive interviews with delegates, guests and key opinion leaders. Here we have a much needed discussion regarding regulating artificial intelligence (AI) at the point of care, and the need for proper regulatory frameworks to ensure its safe and effective use. We str...

Evidence-Based Perioperative Medicine (EBPOM)'s World Congress in London is an vital point in the perioperative calendar. This year was no exception. In this piece we speak to some of the poster presenters about hypotension and also, an app that helps with preparation for major surgery. Presented by Andy Cumpstey with Alexander (Sandy) Jackson , Clinican Data Scientist, Royal College of Anaestheti...

Recorded exclusively at this year's Evidence Based Perioperative Medicine (EBPOM) World Congress in London this piece looks in detail at High-Intensity Interval Training (HIIT). HIIT can significantly enhance physical fitness and resilience in cancer patients, reducing complications and improving quality of life. Hear how HIIT can positively impact mitochondrial performance, thus improving cardio-...

This conversation gets our coverage of the Evidence Based Perioperative Medicine, World Congress, (EBPOM) 2024 off to a great start. Shared decision making is a topic which cuts right to the centre of perioperative medicine with a focus upon patients and patient perspectives. Presented by Andy Cumpstey with his guests, Bob Evans , a retired Chartered Town Planner and local authority director, a bo...

Evidence Based Perioperative Medicine (EBPOM) is at the heart of what we do and their annual world conference in London always delivers.  TopMedTalk, the broadcasting arm of EBPOM, is there bringing you conversations and adding to the discussions at the conference. Presented by Andy Cumpstey , NIHR clinical lecturer in anaesthesia and intensive care medicine at Southampton University with Joff Lac...

This piece is part of our coverage of Euroanaesthesia, one of the most important and influential annual congresses in anaesthesiology and intensive care. Organised by The European Society of Intensive Care Medicine (ESICM). The British Journal of Anaesthesia (BJA) publishes high-impact original work in all branches of anaesthesia, critical care medicine, pain medicine and perioperative medicine. Th...

Perioperative patient safety and post-operative ward monitoring is an important topic. Could continuous monitoring potentially improve patient outcomes and reduce rapid response team activations? Can 24/7 monitoring for high-risk patients provide meaningful data and improve patient safety? With a focus upon "meaningful" how do we avoid "alarm fatigue"? Where is the research and what do the data te...

This piece is part of our coverage of The International Anesthesia Research Society (IARS) annual meeting. Here our guest discusses his dual roles in patient safety and quality improvement and his research in spatial sciences; focusing on how environmental and social factors impact health. Can the integration of environmental data into electronic health records allow us to better understand and ad...

Euroanaesthesia is organised by The European Society of Intensive Care Medicine (ESICM). This year, TopMedTalk was there in Munich, Germany, bringing you exclusive coverage. What are the effects of up to 72 hours of perioperative ketamine on the risk of development of chronic post-surgical pain? How can we improve pain management and perioperative opioid use after surgery? More about the ROCKet Tr...

Welcome to a conversation we recorded at The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. What is the role of a journal in 2024? Why are platform trials so exciting at the moment? How have things moved forward in research? Presented by Desiree Chappell with her co-hosts Mike Grocott , Kate Leslie and their guest Kirsten Bibbins-Domingo the 17th Editor in Chief of...

Our coverage of the Society for Obstetric Anesthesia and Perinatology (SOAP) continues. Developing clinical guidelines, fostering education, and conducting multi-center research to improve maternal health are all part of the SOAP mission. Also in this piece we discuss the General Anesthesia Registry, which collects data to improve anesthesia outcomes, and the Center of Excellence program. Presente...

"We are seriously scientifically evidence-based looking for solutions on the non-pharmacological side and music has turned out to be one of them" This fascinating piece takes its cue from an excellent paper; "The Effect of Perioperative Music on Medication Requirement and Hospital Length of Stay: A Meta-analysis" which you can read here: https://pubmed.ncbi.nlm.nih.gov/31356272/ Presented by Desir...

Patient monitoring has made some significant strides forward over the last decade. Nowadays most people are familiar with the idea. Where are we now with this essential aspect of healthcare? How far should we take the commitment to monitoring a patient? What about "wearable" technology both inside and outside the institution? Desiree Chappell speaks with Meera Joshi , Specialist registrar at Ashfo...

This piece focuses upon the Hypotension Predictive Index (HPI) technology. We look at the validation process of HPI, addressing criticisms and clarifying its predictive ability for hemodynamic instability. How important is it to understand the underlying causes of instability rather than solely relying on blood pressure readings? What is the role of HPI in early detection and proactive management?...

It's one of our busiest times of the year. This piece is the first of a series from The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. Presented by Desiree Chappell and her co-hosts; Mike Grocott , Monty Mythen , Andy Cumpstey and Kate Leslie . Please ensure you are subscribed to TopMedTalk and check back regularly as we have more from this conference (and others) t...

This piece is part of our coverage of The International Anesthesia Research Society (IARS) annual meeting. This wide ranging conversation tackles hemodynamics, intraoperative hypotension and its implications. We also discuss finance for medical practitioners and patient-centered research. Presented by Desiree Chappell , Vice President of Clinical Quality at NorthStar Anesthesia and TopMedTalk co-e...