TopMedTalk

Periop Medicine SIG | It's a team sport - panel discussion

03 Apr 2020

Contributed by Lukas

The team aspect of perioperative care is an essential element, this piece gets into the details as thought leaders and key opinion makers engage with ...

TopMedTalk | Wireless wearables on the ward, the new www revolution?

02 Apr 2020

Contributed by Lukas

This piece dives into "The new www revolution?: Wireless Wearables on the Ward". Improving the monitoring of patients on the wards is an exciting pros...

Resource management, COVID patient management and innovation from New Jersey, USA | COVID 19

01 Apr 2020

Contributed by Lukas

This piece takes a look at the frontline fight against COVID 19 at Penn Medicine Princeton Medical Center in New Jersey, USA. Details of airway, venti...

TopMedTalk | Predicting and preventing intraoperative hypotension.

01 Apr 2020

Contributed by Lukas

Extended periods of intraoperative hypotension are firmly associated with harm. This piece looks into the detail behind concerns regarding hypotension...

Ross Kerridge, University of Newcastle in Australia | COVID 19

31 Mar 2020

Contributed by Lukas

In this piece we look at how Australia is dealing with the COVID 19 crisis. What restrictions are being placed upon people and how strict are they? Ho...

EBPOM 2019 | Preoperative risk stratification

31 Mar 2020

Contributed by Lukas

Preoperative risk stratification; what is are the risks and controversies behind preoperative exercise testing and the six minute walk test? This piec...

Roneet Lev, San Diego | COVID 19

30 Mar 2020

Contributed by Lukas

This piece takes a look at the San Diego front line of the global fight against COVID 19. What unique pressures are there here; the large homeless pop...

Monty and Desiree weekend update | COVID 19

30 Mar 2020

Contributed by Lukas

"We keep being told we're one to two weeks away from the peak..." This piece takes a look at how Monty is getting on with his diagnosis, COVID 19 symp...

TopMedTalk | Global Perspectives on Perioperative Medicine

30 Mar 2020

Contributed by Lukas

Australia has an interesting history both generally and with perioperative medicine specifically. Here the story is told and their current progress is...

Jamie Harris and Carol Schmidt | Women in Anaesthesia

29 Mar 2020

Contributed by Lukas

"About a year ago our chief CRNA sent me a podcast from TopMedTalk about fluid management" - this podcast is a fascinating insight into how Enhanced R...

TopMedTalks to ... | Michael Pedro

28 Mar 2020

Contributed by Lukas

This piece focuses on the SuperNO2VA mask, which delivers positive airway pressure to stent open the upper airway, allowing for the preoperative deliv...

Professor Monty Mythen has tested positive | COVID 19

27 Mar 2020

Contributed by Lukas

"It is interesting how well you can feel, compared to the night time [...] it gives you this real false sense of wellness for a period of time and the...

Critical Care Update; optimizing care for patient and provider | COVID 19

27 Mar 2020

Contributed by Lukas

"When you start to think about how we can protect ourselves; we have some reasonably robust literature for a few interventions [..] that do seem to as...

EBPOM 2019 | Psychology and behavioural change

27 Mar 2020

Contributed by Lukas

The historical focus in prehabilitation has been on exercise, how can the insights of psychology and behaviour change techniques be applied to the fie...

UK calls on medical students to join the fight | COVID 19

26 Mar 2020

Contributed by Lukas

The UK's fight back is now underway; the 'lockdown' is being largely adhered to and the efforts to support the National Health Service (NHS) from the ...

TopMedTalk | The psychology of change

26 Mar 2020

Contributed by Lukas

"There seems to be a little extra buzz in the cardiac community". This conversation focuses upon the psychology of change, specifically regarding the ...

Does one of our team have COVID 19? | COVID 19

25 Mar 2020

Contributed by Lukas

"I work in a houshold where my wife was working at a school and my student children have come home so, it's highly likely that I would get COVID 19"; ...

TopMedTalk | The Enhanced Recovery After Cardiac Surgery Society

25 Mar 2020

Contributed by Lukas

This piece focuses in upon the important work being done by The Enhanced Recovery After Cardiac Surgery Society, specifically the new guidelines which...

From the frontlines- Atilla Kett in New Jersey, USA | COVID 19

24 Mar 2020

Contributed by Lukas

"The guidelines, in fact, I found most useful were the Royal College's guidelines, all those info graphics and all those protocols" This piece is an e...

Epidemiology revisited - a case for virtual meetings | COVID 19

23 Mar 2020

Contributed by Lukas

“The first case of COVID in China was the 8th of December…” this piece looks at the outbreak of the disease from the perspective of healthcare w...

If you're still having face to face meetings - STOP NOW! | COVID 19

23 Mar 2020

Contributed by Lukas

"'The disease is not complicated, the biology is not complicated, the treatment is not that complicated; our behavior patterns and our understanding o...

UK, Southampton and London: Mike Grocott and Monty | COVID 19

22 Mar 2020

Contributed by Lukas

This conversation sets the scene for the UK. London now having some hospitals which are overwhelmed, other parts of the UK still in the anticipation p...

TopMedTalk | Silent pandemic of surgical complications

22 Mar 2020

Contributed by Lukas

This remarkably prescient conversation was recorded at an Australian National Summit in Adelaide regarding the 'hidden pandemic of postoperative compl...

Carolyn Johnston | Women in Anaesthesia

22 Mar 2020

Contributed by Lukas

What are the benefits of Cardio Pulmonary Exercise Testing (CPET) in cancer patients? What is the evidence that suggests prehabilitation changes outco...

EBPOM Highlight | Enhanced Recovery After Cardiac Surgery

21 Mar 2020

Contributed by Lukas

"Enhanced Recovery After Cardiac Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www....

USA, North Carolina: Vicki Morton joins Desiree and Monty | COVID 19

21 Mar 2020

Contributed by Lukas

This piece is a detailed and reassuring look at how preparations are being made in North Carolina by our occasional host and regular contributor Vicki...

Oxygen economy, CPAP and ventilators | COVID 19

20 Mar 2020

Contributed by Lukas

Our guest is an intensivist and specialist in dangerous transmissible diseases as well as being one of the scientists who took part in the Xtreme Ever...

EBPOM 2019 | Multimodal prehabilitation to prevent postoperative delerium and other complications in elderly patients after elective major abdominal surgery.

20 Mar 2020

Contributed by Lukas

Can delirium, the most frequent complication in an elderly patient, be tackled with multimodal prehabilitation? This piece explains how that challenge...

From the front line; Desiree and Monty | COVID 19

19 Mar 2020

Contributed by Lukas

Desiree and Monty update each other on how it's going as both the US and UK healthcare services prepare for, and begin battle with, COVID 19. School c...

Fitter Better Sooner | ASA 2019

19 Mar 2020

Contributed by Lukas

A large part of the journey towards enhanced recovery, better outcomes and fewer complications, is to do with educating patients. How do we explain to...

TopMedTalk | Enhanced Recovery

18 Mar 2020

Contributed by Lukas

"Thank you for taking this meeting beyond these walls" - this piece was the final part of our coverage of The American Association of Nurse Anesthetis...

Dingle update | COVID 19

17 Mar 2020

Contributed by Lukas

"The parade here in Dingle is usually the first in Ireland..." but this year it is postponed. We speak to a Councillor in Dingle, a place much loved b...

"We can't be overprepared" | COVID 19

17 Mar 2020

Contributed by Lukas

"Maintaining your staffing is key"; this piece is a conversation recorded immediately after a deeply concerning report regarding the situation in Berg...

"This is the level of the situation" | COVID 19

17 Mar 2020

Contributed by Lukas

Preparations in London and the US are discussed before a frontline report regarding Italy and the consequences of the pandemic there. Presented by Des...

TopMedTalk | Automation and artifical intelligence

17 Mar 2020

Contributed by Lukas

This piece focuses upon the increasing development of artificial intelligence and automation within the medical profession. Can automated monitoring a...

COVID 19 | Hugh Montgomery - North London UK

16 Mar 2020

Contributed by Lukas

"There hasn't been any griping, there hasn't been any ill temper and people are coming in to help out in any way..." this piece gives us an idea of ho...

"You must learn the epidemiology" | COVID 19

16 Mar 2020

Contributed by Lukas

"The first case of COVID in China was the 8th of December..." this piece looks at the outbreak of the disease from the perspective of healthcare worke...

COVID19 | Desiree and Monty

16 Mar 2020

Contributed by Lukas

This piece is the first in a new series of programs we are making in response to COVID-19, now described by The World Health Organisation as a global ...

Angela Bader | Women in Anaesthesia

15 Mar 2020

Contributed by Lukas

Does perioperative medicine alow institutions to take a broader view? Population health has been a theme on TopMedTalk, is it a logical extension of t...

Joe Kiani | TopMedTalks to...

14 Mar 2020

Contributed by Lukas

The concern for patient safety naturally flows throughout the healthcare continuum. In our discussion with Masimo Founder, Joe Kiani, we discuss the '...

EBPOM Highlight | ERAS Colorectal surgery

13 Mar 2020

Contributed by Lukas

"ERAS in Colorectal Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.co...

TopMedTalk | Simulation in Education

12 Mar 2020

Contributed by Lukas

Learn how and why the benefits of real-life health care simulation situations are used by institutions such as Northern Kentucky University. Interview...

The evolution of cardiac surgery | SCA 2019

11 Mar 2020

Contributed by Lukas

How do cardiac surgeons adapt to the changing environment and information that we now have at our fingertips? Minimally invasive robotic surgery provi...

The malnourished surgery patient | The RoundTable

10 Mar 2020

Contributed by Lukas

This piece focuses on the article "The malnourished surgery patient, a silent epidemic in perioperative outcomes?" which you can find here: https://j...

Physiological Principles of Goal Directed Fluid Therapy | Perioperative Coach

09 Mar 2020

Contributed by Lukas

This podcast covers the physiological principles of goal directed fluid therapy, fluid responsiveness, the stressed system and the glycocalyx. Origina...

TopMedTalk | Mike Grocott's 2020 vision

08 Mar 2020

Contributed by Lukas

This piece takes a look at some of the big areas we expect to see over the next twelve months as Desiree Chappell and Monty Mythen are joined in the s...

Ramani Moonsinghe | Women in Anaesthesia

08 Mar 2020

Contributed by Lukas

Learn here about The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after Surgery (SNAP-2: EpiCCS). Is anxiety the w...

EBPOM 2019 | "My experience ... of esophageal cancer"

07 Mar 2020

Contributed by Lukas

"The predominant emotion was fear..."; this piece is essential listening for every TopMedTalk listener who really cares about the experience of their ...

SCA | Improving your practice

06 Mar 2020

Contributed by Lukas

Hear how evidence based practices can reduce costs and improve outcomes. What are the key areas most institutions can work on to get the best and most...

TopMedTalk | Daniel Conway and the surgery school

05 Mar 2020

Contributed by Lukas

Enhanced Recovery After Surgery, (ERAS) is a familiar concept to the typical TopMedTalk listener but what is ERAS+? How can you target high risk surge...

EBPOM Highlight | Detecting and managing frailty

04 Mar 2020

Contributed by Lukas

  Frailty is a common condition which has been topical in geriatric medicine for some time but now it is appearing in the surgical and anaesthetic li...

EBPOM 2019 | System wide change for prehabilitation

03 Mar 2020

Contributed by Lukas

Should prehabilitation be thought of also as "primary prevention" and used to avoid health problems occuring in the first place? If "exercise is real ...

Introduction | Women in Anaesthesia

02 Mar 2020

Contributed by Lukas

This is TopMedTalk's first in a our series 'Women in Anaesthesia': a celebration of the women who drive academic research and perioperative practice a...

Bill Clinton at the World Patient Safety, Science & Technology Summit | Sunday Special

01 Mar 2020

Contributed by Lukas

Global health is something TopMedTalk listeners are naturally passionate about; here you can listen to the keynote address from the 42nd President of ...

Padma Gulur | TopMedTalks to...

29 Feb 2020

Contributed by Lukas

This podcast includes discussion about psychological optimisation for surgery; who should have it, what does it mean and how does it work? Further con...

EBPOM Highlight | Does choice of opioid influence health outcomes?

28 Feb 2020

Contributed by Lukas

"Does choice of opioid influence health outcomes?" - originally streamed live from The Institute of Engineering and Technology (IET) in London during ...

TopMedTalk | Gezz Van Zwanenberg, Matt Wiles and Marcus Peck.

27 Feb 2020

Contributed by Lukas

What insights does a history of working in military healthcare bring? How do we cut back on readmissions to hospital after time spent in the intensive...

Matt Wiles and Marcus Peck | TopMedTalks to...

26 Feb 2020

Contributed by Lukas

Recorded live at the Association of Anaesthetists' Winter Scientific Meeting 2020 in the centre of London from The Queen Elizabeth II Centre. Hear the...

TopMedTalk | The SQUEEZE Study

25 Feb 2020

Contributed by Lukas

This piece is a discussion regarding the SQUEEZE Study: A prospective multi-centre international observational study of postoperative vasopressor use....

Assessing the risk of delirium | Perioperative Coach

24 Feb 2020

Contributed by Lukas

What can practitioners do to preoperatively screen for signs that their patients may have issues with post operative delirium? How do we get patients...

EBPOM 2019 | Prehabilitation and Perioperative Care, panel discussion

23 Feb 2020

Contributed by Lukas

This panel discussion reacts to various questions from the online audience and those in attendance. Questions include; Is there any good evidence for ...

EBPOM 2019 | EBPOM Prehab trials; PREPARE-ABC

22 Feb 2020

Contributed by Lukas

This piece focuses on the "SupPoRtive Exercise Programmes for Accelerating REcovery after major ABdominal Cancer surgery" (PREPARE-ABC) trial. How do ...

Dru Riddle | TopMedTalks to...

21 Feb 2020

Contributed by Lukas

"Evidence ... is only as useful as the end user is willing to put it into practice". This piece begins with a discussion about translational research,...

Periop SIG18 | Management of anti-thrombotics: Fast-track warfarin reversal

20 Feb 2020

Contributed by Lukas

This piece gives you information that will empower you when using Warfarin in the perioperative period. How should you sensibly balance bleeding and t...

EBPOM Highlight | Perioperative nutrition

19 Feb 2020

Contributed by Lukas

"Perioperative nutrition" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedt...

Avoiding the hypotension hazard | The RoundTable

18 Feb 2020

Contributed by Lukas

The Hypotension Prediction Index (HPI) Monitor takes 2.6 million features from a single waveform which it then applies to 150 million different wave f...

ERAS what's the 'secret sauce'? | Perioperative Coach

17 Feb 2020

Contributed by Lukas

This piece starts with the question: Is there a hierarchy amongst the various elements of an enhanced recovery pathway? The conversation that follows ...

Greater National Advocates | Sunday Special

16 Feb 2020

Contributed by Lukas

Please do all you can to help share this a hugely important piece, both for practitioners and patients. Adverse outcomes can be avoided, stories like ...

Tim Miller | TopMedTalks to...

15 Feb 2020

Contributed by Lukas

The Perioperative Quality Initiative (POQI) have featured frequently on TopMedTalk, here we discuss their focus on hypotension and blood pressure. Per...

EBPOM Highlight | The Patient Safety Movement Foundation

14 Feb 2020

Contributed by Lukas

This talk is a powerful look at a new world where we commit your institution and practice to achieving an end goal of "zero preventable deaths". The P...

Periop Medicine SIG 18 | Australia and New Zealand Emergency Laparotomy Audit - Quality Improvement

13 Feb 2020

Contributed by Lukas

This piece is a fascinating overview of Australia and New Zealand's Emergency Laparotomy Audit - Quality Improvement (ANZELA-QI). It works as an updat...

EBPOM Highlight | Antibiotic stewardship in perioperative care

12 Feb 2020

Contributed by Lukas

"Antibiotic stewardship in perioperative care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPO...

The Royal College of Anaesthetists: World Leading Healthcare | The RoundTable

11 Feb 2020

Contributed by Lukas

How has the Royal College of Anaethestists (RCoA) evolved over the years and why is perioperative medicine so crucial to its agenda? How has this lead...

Getting it right first time (GIRFT) | Perioperative Coach

10 Feb 2020

Contributed by Lukas

We begin with a question from the audience; 'how do we drive change in our institutions towards enhanced recovery after surgery?' The GIRFT (Getting ...

The POPS clinic at Guy's & St Thomas's | Sunday Special

09 Feb 2020

Contributed by Lukas

What is POPS (Proactive care for Older People undergoing Surgery) and how have things gone since this service was introduced to Guy's and St Thomas's ...

William Wooden | TopMedTalks to...

08 Feb 2020

Contributed by Lukas

"Our hospital now has twice the capacity it had" cost of care and efficiency are up. Hear how enhanced recovery after surgery (ERAS) and the power of ...

EBPOM Highlight | Shared decision making in perioperative care

07 Feb 2020

Contributed by Lukas

Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent ...

TopMedTalk | How to get people to get things done; The Michigan Project

06 Feb 2020

Contributed by Lukas

Learn how to inspire a team to act, create change and get things done. How important are financial incentives, emotional connection and the relative e...

EBPOM Highlight | QA, QI and Patient involvement

05 Feb 2020

Contributed by Lukas

Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent ...

Let your patients be 'partners in safety' | The RoundTable

04 Feb 2020

Contributed by Lukas

How is the AANA facilitating the care of patients? How can you make a patient a 'partner in safety'? How do we coordinate so many disaparate systems o...

EBPOM Highlight | Leading a large, single group towards excellence

03 Feb 2020

Contributed by Lukas

"Leading a large, single group towards excellence" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 201...

Medical Linguistic Anthropology and Patient Autonomy | Sunday Special

02 Feb 2020

Contributed by Lukas

How do the insights of a 'medical linguistic anthropologist' impact upon our understanding of 'shared decision making'? How do patients make decisions...

What's your 2020 vision? | TopMedTalk

01 Feb 2020

Contributed by Lukas

What are the big things to watch in 2020? "Renablement, rehabilitation and readmission" from a patient perspective and "training compotence, resillien...

Fortnightly Digest | TopMedTalk

31 Jan 2020

Contributed by Lukas

The TopMedTalk fortnightly digest is your round up of the past 2 weeks. Make sure you never miss out on crucial episodes and are fully up-to-date with...

EBPOM Highlight | Developing a national quality improvement network

31 Jan 2020

Contributed by Lukas

Learn how to develop a national Quality Improvement (QI) network which will increase both communication and knowledge implementation. What are the ess...

TopMedTalk | Enhanced recovery after bariatric surgery

30 Jan 2020

Contributed by Lukas

"Enhanced recovery after bariatric surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on ww...

Prehabilitation and cancer | World Congress 2019

29 Jan 2020

Contributed by Lukas

This piece starts with some words from patients; prehabilitation is "a set of actions that can be taken in advance of treatment to ease your passage t...

EBPOM Highlight | Improving perioperative outcomes, panel discussion

28 Jan 2020

Contributed by Lukas

Questions include: Do patients need to be advised about the possible hallucinatory side effects of ketamine? How do we ensure our perioperative pathwa...

TopMedTalk | A Novel Use of the Erector Spinae Block in the Austere Environment

27 Jan 2020

Contributed by Lukas

In the military Forward Surgical Teams (FSTs) are deployed into challenging environments to deliver "damage control surgery". They help people who hav...

Being on the right side of the law | Sunday Special

26 Jan 2020

Contributed by Lukas

A discussion about consent, staying on the right side of the law, shared decision making and 'The Montgomery case' which has defined a Doctor's duty i...

Paul Pomerance | TopMedTalks to...

25 Jan 2020

Contributed by Lukas

The American Society of Anesthesiologists (ASA) continues to raise the standards of the medical practice of anesthesiology, as well as keeping a parti...

POET 6.09 | If you need help ask for it

24 Jan 2020

Contributed by Lukas

'The Practitioner Health Programme' - why do anaesthetists suffer from mental health problems, what help is there available for them? Learn here how p...

TopMedTalk| Leading a large, multi-state group to achieve excellence

23 Jan 2020

Contributed by Lukas

Hear how you can transform your practice through team leadership, courage and a finely tuned awareness of the financial aspects of what you are trying...

EBPOM 2019 | EBPOM Prehab trials; WesFit

22 Jan 2020

Contributed by Lukas

This piece focuses on the "Wessex Fit-4-Cancer Surgery Trial"; a unique multi-centre, efficacy pragmatic, factorial design, randomised controlled tria...

Desiree's Roundtable | Coordinating an Enhanced Recovery Program

21 Jan 2020

Contributed by Lukas

How important is it to have a dedicated member of your team focused on starting, maintaining and coordinating your enhanced recovery programme? Does a...

TopMedTalk | Fluid Physiology in detail

19 Jan 2020

Contributed by Lukas

This piece builds on last week's look at Fluid Physiology, with reference to the book linked to below. "We did not have a concensus view on the very b...

TopMedTalk | Listen to your brain

18 Jan 2020

Contributed by Lukas

This piece looks at The WAVi Headset which allows for a multi-faceted panoramic assessment of brain performance. Hear how this device is used to asses...

POET 6.08 | Thinking clearly on the brain

17 Jan 2020

Contributed by Lukas

What is "The Brain Health Initiative"? Why is it that so many aspects of brain function are so hard to understand? Why is cognitive dysfunction such a...

TopMedTalk | Andy Klien, Editor in Chief of Anaesthesia

16 Jan 2020

Contributed by Lukas

Anaesthesia is the official journal of the Association of Anaesthetists with comprehensive coverage of publications in anaesthesia, ICU and pain. This...

TopMedTalk | Henrik Kehlet and Nick Scott

15 Jan 2020

Contributed by Lukas

"It's all about safety and recovery, it's not about speed"; this conversation focuses on enhanced recovery, are we getting it right and where are peop...