TopMedTalk

TopMedTalk | Simon Davies's 2020 Vision

14 Jan 2020

Contributed by Lukas

In this piece we're joined by a TopMedTalk favorite for a few predictions regarding the year 2020. Prehabilitation, "the word of the year" for 2019 an...

EBPOM 2019 | Troponin Screening - essential or the Emperor's new clothes?

13 Jan 2020

Contributed by Lukas

This panel discussion and extended question and answer session focuses upon troponin screening. Where is the latest evidence as regards this debate? I...

TopMedTalk | Tom Woodcock

12 Jan 2020

Contributed by Lukas

To celebrate the launch of his book Fluid Physiology, A Handbook for Anaesthesia and Critical Care Practice: https://books.google.co.uk/books?id=F-m4...

Charles Brown | TopMedTalks to...

11 Jan 2020

Contributed by Lukas

"One of the best sessions of the entire conference" was presented by our guest on this piece. In this podcast there's a chance to really discuss perio...

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

11 Jan 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...

POET 6.07 | Perioperative antibiotic stewardship

10 Jan 2020

Contributed by Lukas

This passionate talk is a call to action for the peioperative practitioners who are serious about the wider issue of population health. How can the pr...

TopMedTalk | Gezz Van Zwanenberg, Live from London Part 2

10 Jan 2020

Contributed by Lukas

How serious an issue is 'burn out'? What's the best way to transfer a patient from ward to ward or from institution to institution? What do we think a...

TopMedTalk | Matt Wiles and Marcus Peck, Live from London.

09 Jan 2020

Contributed by Lukas

In our online world is there still a place for a paper based journal? What are the big stories and hot topics of 2020 going to be? What are the latest...

Periop Medicine SIG 18 | Emergency surgery - panel discussion

09 Jan 2020

Contributed by Lukas

This is the panel discussion which tackles emergency surgery. Discussion begins with more detail regarding the Enhanced Peri-Operative Care for High-r...

EBPOM Highlight 2.26 | ERAS in Obstetric Surgery

08 Jan 2020

Contributed by Lukas

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

Can Enhanced Recovery work for the critical care patient? | The RoundTable

07 Jan 2020

Contributed by Lukas

How do the insights from experience in Enhanced Recovery apply to critical care patients and postoperative care pathways? We also discuss utilization ...

EBPOM 2019 | Troponitis, does it matter?

06 Jan 2020

Contributed by Lukas

This piece argues that troponin screening might be overused, "it's not all about the heart". Myocardial injury after noncardiac surgery (MINS) is seen...

"70 Years on: Our NHS" a panel discussion | Sunday Special

05 Jan 2020

Contributed by Lukas

This is the panel discussion which followed the address at EBPOM 2018 by Professor Sir Bruce Keogh on the eve of the 70th anniversary of the NHS. Vari...

Elena Koepke | TopMedTalks to...

04 Jan 2020

Contributed by Lukas

On the last occasion we spoke with our guest she was a Perioperative Medicine Fellow at Duke University; learn now how her experiences have helped cha...

POET 6.06 | Ward monitoring 3.0

03 Jan 2020

Contributed by Lukas

How do new technologies impact the postoperative elements of Enhanced Recovery? Here we discuss "ward monitoring 3.0" and new technologies which are n...

Periop Medicine SIG18 | Perioperative frailty - panel discussion

02 Jan 2020

Contributed by Lukas

  This panel discussion provides a vital and thought provoking insight into frailty in a perioperative patient. Further, as perioperative medicine ev...

EBPOM 2019 | POETT Controversies Panel discussion

01 Jan 2020

Contributed by Lukas

Doesn't the decision to delay surgery depend upon the type of cancer? Can you measure complications as an outcome? What's the cause of non cardiac com...

EBPOM 2019 | The Opioid Crisis - Q&A

31 Dec 2019

Contributed by Lukas

This question and answer session is a valuable insight into where the latest thinking is as regards tackling the opioid crisis. How do we get to an un...

EBPOM 2019 | Troponin Screening - essential?

30 Dec 2019

Contributed by Lukas

This piece argues that troponin screening is useful, if used appropriately. Is it the case that this test has been 'over sold' and as a result has pro...

Enhanced Recovery After Surgery (ERAS) leadership | Sunday Special

29 Dec 2019

Contributed by Lukas

A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) lead...

Frances Chung | TopMedTalks to...

28 Dec 2019

Contributed by Lukas

Post op respiratory complications are the focus of this piece. How can they be anticipated, detected early and dealt with appropriately? What about ob...

POET 6.05 | Pain control for the perioperative patient

27 Dec 2019

Contributed by Lukas

Learn about the Perioperative Anesthesia and Surgical Screening Clinic (PASS Clinic), do you need one at your practice? What is pain control for a per...

TopMedTalk | Holiday Special 2019 Annual Review P3

26 Dec 2019

Contributed by Lukas

Our Holiday Special, part 3 of 3, is a sampling of our favorite conversations and lectures from 2019. It is a chance for new listeners to the hear the...

TopMedTalk | Holiday Special 2019 Annual Review P2

25 Dec 2019

Contributed by Lukas

Our Holiday Special, part 2 of 3, is a sampling of our favorite conversations and lectures from 2019. It is a chance for new listeners to the hear the...

TopMedTalk | Holiday Special 2019 Annual Review P1

24 Dec 2019

Contributed by Lukas

Our Holiday Special, part 1 of 3, is a sampling of our favorite conversations and lectures from 2019. It is a chance for new listeners to the hear the...

EBPOM 2019 | Brain Health (Peri-Operative Quality Initiative: POQI 6) - what can we do tomorrow?

23 Dec 2019

Contributed by Lukas

This piece discusses The Brain Health Initiative and the sixth Peri-Operative Quality Initiative which focused upon delirium. How can progress in thes...

Social media and the democratisation of education | Sunday Special

22 Dec 2019

Contributed by Lukas

Twitter is ablaze with talk of the Society for Perioperative Assessment and Quality Improvement (SPAQI). How did they do it? This piece is a thought p...

Amir Jaffer | TopMedTalks to...

21 Dec 2019

Contributed by Lukas

What is a "Respect Officer"? Why is respect so important in perioperative care? How does improving 'the culture of safety' also help to improve outcom...

POET 6.04 | Is paternalism always bad?

20 Dec 2019

Contributed by Lukas

Shared decision making is key to any perioperative enhancement team, this piece is a fascinating debate between various interesting positions. For mor...

Periop SIG 18 | The war on postoperative complications, panel discussion

19 Dec 2019

Contributed by Lukas

This exciting panel discussion covers a wide variety of questions, including; what is the definition of high risk patients in your clinic? What is you...

EBPOM Highlight 2.23 | Psychological Behavioural Change Interventions in Cancer Patients

18 Dec 2019

Contributed by Lukas

"POETTS 2018 | Psychological Behavioural Change Interventions in Cancer Patients" - originally streamed live from The Institute of Engineering and Tec...

Cancer outcomes drive enhanced recovery | The RoundTable

17 Dec 2019

Contributed by Lukas

"What drove enhanced recovery for us was not the short lengths of stay but the cancer outcomes" - this conversation explains how enhanced recovery gai...

EBPOM 2019 | Perioperative Blood Pressure, Q&A

16 Dec 2019

Contributed by Lukas

As a general rule, should ward monitoring be increased? Should continuous blood pressure monitoring be more frequent? This short piece follows on from...

Pets as therapy | Sunday Special

15 Dec 2019

Contributed by Lukas

Pets as Therapy are a fantastic charity who have provided a practical theraputic service to various people in assorted contexts, here you can hear the...

Davinder Ramsingh | TopMedTalks to...

14 Dec 2019

Contributed by Lukas

Most people are familiar with ultrasound these days, next to the stethoscope and thanks largely to baby photographs, it's one of the most frequent pub...

POET 6.03 | Surgery school

13 Dec 2019

Contributed by Lukas

The need for patient education is a constant theme on TopMedTalk, many are keen to soak up information and become and active team player in their oper...

TopMedTalk | Global Perspectives on Perioperative Medicine

12 Dec 2019

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...

EBPOM Highlight 2.22 | Pre-operative Inspiratory Muscle Training

11 Dec 2019

Contributed by Lukas

"POETTS 2018 | Pre-operative Inspiratory Muscle Training" - originally streamed live from The Institute of Engineering and Technology (IET) in London ...

What is the Perioperative Medicine Summit? | The RoundTable

10 Dec 2019

Contributed by Lukas

We learn more about what the Perioperative medicine summit is and have a quick fire review of the current literature related to Perioperative Medicine...

EBPOM 2019 | Perioperative Blood Pressure (PeriOperative Quality Initiative: POQI 3) how low can you safely go?

09 Dec 2019

Contributed by Lukas

This piece outlines some of the topics related to the third Perioperative Quality Initiative (POQI). What is 'perioperative blood pressure'? What have...

The Perioperative Cognition Workshop - Part 4 | Sunday Special

08 Dec 2019

Contributed by Lukas

This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive d...

Angela Bader | TopMedTalks to...

07 Dec 2019

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...

POET 6.02 | Do you need a breathlessness clinic?

06 Dec 2019

Contributed by Lukas

When it comes to breathlessness how do we better diagnose and apply treatment? How do we overcome the fact that referring to a specialist can sometime...

TopMedTalk | Methadone, a forgotten friend

05 Dec 2019

Contributed by Lukas

"Increasing the richness and the reach of what we do" is the mantra of 'Anesthesiology'; hear from its Editor in Chief how it managed to self study an...

EBPOM Conference Highlight 2.21 | Lessons on EPOCH in the UK

04 Dec 2019

Contributed by Lukas

The results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial; where does it put perioperative practice in 2019? What have we ...

One of the best career decisions I've made | The RoundTable

03 Dec 2019

Contributed by Lukas

How does one go about becoming a Master of Perioperative Medicine? This piece takes a look at the growing movement which all TopMedTalk listeners are ...

EBPOM 2019 | Perioperative Haemodynamic Management - how to best treat or avoid a low BP?

02 Dec 2019

Contributed by Lukas

When it comes to blood pressure, hypotension is associated with poor outcomes for patients, how do we react to this? How do we manage and avoid hypote...

The Perioperative Cognition Workshop - Part 3 | Sunday Special

01 Dec 2019

Contributed by Lukas

This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive d...

Mike Grocott | ASER 2019

30 Nov 2019

Contributed by Lukas

More of our coverage of the American Society of Enhanced Recovery (ASER) annual general meeting. Reflections regarding the rise of Cardiopulmonary Exe...

POET 6.01 | Perioperative medicine is population health.

29 Nov 2019

Contributed by Lukas

Perioperative medicine is defined here as: "the practice of patient centred multidisciplinary and integrated medical care of patients from the moment ...

Periop SIG18 | Can we improve the care of Older Vascular Surgical Patients?

28 Nov 2019

Contributed by Lukas

If we look at the evidence, is there a case for "vascular geriatrics"? Co-managed care in vascular surgery could be a way forward, this talk builds th...

EBPOM Highlight | Exercise prehabilitation for patients facing primary surgical resection of colorectal cancer

27 Nov 2019

Contributed by Lukas

This piece is taken from the free papers presentations given at EBPOM 2019. Can two weeks of prehabilitation really make a difference for patients fac...

Can you bite your upper lip? Assessing patients to reduce post-op respiratory complications | The RoundTable

26 Nov 2019

Contributed by Lukas

Obstructive sleep apnea is important to identify in patients, this piece explains how; use the official STOP BANG website here: http://www.stopbang.ca...

EBPOM 2019 | The Opioid Crisis (Peri-Operative Quality Initiative: POQI 4) - can we kick the habit?

25 Nov 2019

Contributed by Lukas

Some practitioners habitually prescribe opioids, the consequences in America are now described as a national crisis. Essentially the focus here is "be...

The Perioperative Cognition Workshop - Part 2 | Sunday Special

24 Nov 2019

Contributed by Lukas

This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive d...

William Wooden | TopMedTalks to...

23 Nov 2019

Contributed by Lukas

Perioperative nutrition is a topic which has fascinates us here on TopMedTalk. Ever evolving and moving forward the questions continue as we explore a...

EBPOM 2019 | Opioid-free anaesthesia

22 Nov 2019

Contributed by Lukas

This piece dives into the latest thinking behind opioid-free anaesthesia; how can we improve? Is the challenge of the opioid crisis being met head on ...

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

21 Nov 2019

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 ...

EBPOM Highlight | Leadership for QI - the Trust perspective

20 Nov 2019

Contributed by Lukas

Quality initiatives are all about connecting people, this piece gives you real life experiences which show you how and why that can work alongside som...

'Our chief CRNA sent me a podcast from TopMedTalk' | The RoundTable

19 Nov 2019

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...

EBPOM 2019 | Cleveland Clinic London

18 Nov 2019

Contributed by Lukas

The Cleveland Clinic London Hospital opens to inpatients in early 2021. Here you can hear what it is about, how it is going to work and how it intends...

TopMedTalk | WHO is looking at the arts and health?

17 Nov 2019

Contributed by Lukas

This piece focuses upon a new report from the World Health Organisation (WHO) looking at Arts and Health. The first of its kind, the report demonstrat...

Rick Dutton | TopMedTalks to...

16 Nov 2019

Contributed by Lukas

Speaking with a legend in the world of anaesthesia; this piece allows us to explore some of the bigger issues and milestones in the profession. How ha...

Periop SIG18 | Risk prediction and research - panel discussion

15 Nov 2019

Contributed by Lukas

This piece is a question and answer session regarding the care of elderly patients undergoing surgery. Discussion topics include; The RELIEF trial, e ...

TopMedTalk | The AI Doctor will see you now

14 Nov 2019

Contributed by Lukas

This piece features a short informative presentation from our Editor in Chief Monty Mythen regarding Artificial Intelligence and the HPI Monitor devel...

EBPOM Highlight | Thinking about the system

13 Nov 2019

Contributed by Lukas

This piece gives you a wider perspective on perioperative medicine over the years. How have institutions risen to this challenge and what can we learn...

Carol Peden - EPOCH Q&A | The RoundTable

12 Nov 2019

Contributed by Lukas

The results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial are a huge talking point in the perioperative sphere; this stand ...

EBPOM 2019 | Preoperative risk stratification

11 Nov 2019

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...

Preoperative Optimization: Framing up the value proposition | Sunday Special

10 Nov 2019

Contributed by Lukas

Preoperative optimisation and prehabilitation are key areas where your institution can increase value for patients. How do you negotiate the different...

Iain Moppett | TopMedTalks to...

09 Nov 2019

Contributed by Lukas

Can artificial intelligence drive new changes in care and the value of big data? We're already comfortable with using tools that help us to do our job...

EBPOM 2019 | Delivery of Prehabilitation, panel discussion

08 Nov 2019

Contributed by Lukas

How do we convince patients that prehabilitation is safe? What forms of certification are available for the accreditation of a balanced multidisciplin...

TopMedTalk | Perioperative medicine and being a good sport

07 Nov 2019

Contributed by Lukas

Why has 'prehabilitation' suddenly picked up pace in terms of both practice and interest? This piece takes a serious look at the widening interest in ...

EBPOM Highlight 2.17 | Colloid vs Crystalloid - Goal Directed Therapy

06 Nov 2019

Contributed by Lukas

"Colloid vs Crystalloid - Goal Directed Therapy" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EB...

Rick Dutton - Q&A Session | The RoundTable

05 Nov 2019

Contributed by Lukas

This standalone piece allows us to explore further some of the issues raised in this podcast "TopMedTalks to... | Rick Dutton". If you missed it follo...

EBPOM 2019 | Who delivers Prehab?

04 Nov 2019

Contributed by Lukas

How can a multidisciplinary group collectively define and maintain what they do while maintaining a patient centred approach? How focused can prehabil...

TopMedTalk | The Grenfell Inquiry

03 Nov 2019

Contributed by Lukas

The Grenfell fire was a national tragedy for Great Britain. In this piece one of the founders of TopMedTalk, Martin Howe, explains the story behind th...

Clare Gerada | TopMedTalks to...

02 Nov 2019

Contributed by Lukas

Why do anaesthetists suffer from mental health problems, what help is there available for them? Learn here about 'The Practitioner Health Programme' a...

EBPOM 2019 | UK Centre for Perioperative Care

01 Nov 2019

Contributed by Lukas

The Centre for Perioperative Care (CPOC) is a cross-specialty centre dedicated to the promotion, advancement and development of perioperative care. Le...

TopMedTalk | The Grenfell Inquiry - Part 3

31 Oct 2019

Contributed by Lukas

The Grenfell fire was a national tragedy for Great Britain. In this piece one of the founders of TopMedTalk, Martin Howe, explains the story behind th...

TopMedTalk | The Grenfell Inquiry - Part 2

30 Oct 2019

Contributed by Lukas

The Grenfell fire was a national tragedy for Great Britain. In this piece one of the founders of TopMedTalk, Martin Howe, explains the story behind th...

TopMedTalk | The Grenfell Inquiry - Part 1

29 Oct 2019

Contributed by Lukas

The Grenfell fire was a national tragedy for Great Britain in 2017. In this piece one of the founders of TopMedTalk, Martin Howe, explains the story b...

EBPOM 2019 | Psychology and behavioural change

28 Oct 2019

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...

EBPOM Highlight | Heart disease in pregnancy

27 Oct 2019

Contributed by Lukas

What is the scope of the problem? What about lesions and risks? What are the general principles of management? What should we expect when it comes to ...

John Myburgh | TopMedTalks to...

26 Oct 2019

Contributed by Lukas

Here we feature a central figure in the ongoing Great World Fluid debate. He was sadly unable to attend EBPOM 2018 so we wanted to get a very importan...

EBPOM 2019 | The Manchester devolution revolution

25 Oct 2019

Contributed by Lukas

What are the opportunities presented to a perioperative practitioner when political devolution becomes a reality? What can we learn from the experienc...

TopMedTalk | The goal is more important than the role

24 Oct 2019

Contributed by Lukas

Here we explore the detail behind Brian Woods’ talk "Leading a large, multi-state group to achieve excellence", which was streamed live on TopMedTal...

EBPOM 2019 | Patients’ views about preoperative vs long-term health behaviour change

23 Oct 2019

Contributed by Lukas

Surgery may represent a "teachable moment" should we try to exploit that for only short term, prehabilitation purposes? What is the difference between...

ANES19 | Mark Warner

22 Oct 2019

Contributed by Lukas

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thoug...

ANES19 | Greg Fischer

22 Oct 2019

Contributed by Lukas

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thoug...

ANES19 | Timothy Short and Kate Leslie

22 Oct 2019

Contributed by Lukas

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thoug...

ANES19 | Lee Fleisher

22 Oct 2019

Contributed by Lukas

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thoug...

ANES19 | Tim Miller

22 Oct 2019

Contributed by Lukas

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thoug...

A deeper dive into Enhanced Recovery | The RoundTable

22 Oct 2019

Contributed by Lukas

Originally streamed live from the EBPOM USA 2019 conference in Dallas this piece looks into the realities of enhanced recovery. Patient satisfaction a...

ANES19 | Neal Flemming

21 Oct 2019

Contributed by Lukas

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thoug...

ANES19 | Carol Peden, Robin Cresner, Shane Dickinson, Snow Shoo Son

21 Oct 2019

Contributed by Lukas

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thoug...

ANES19 | Alexander Hannenberg, Kris Torgeson

21 Oct 2019

Contributed by Lukas

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thoug...

ANES19 | Andrew Shaw

21 Oct 2019

Contributed by Lukas

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thoug...

ANES19 | Michael Scott

21 Oct 2019

Contributed by Lukas

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thoug...

ANES19 | Desiree Chappell, Monty Mythen and Sol Aronson

21 Oct 2019

Contributed by Lukas

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thoug...

ANES19 | Jeff Simmons

20 Oct 2019

Contributed by Lukas

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thoug...