TopMedTalk
Episodes
ANES19 | Dane Grenda and Noreen Tiangco
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...
Prehabilitation with Mike Grocott | ASA 2019
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...
TopMedTalks to ... | Sasha Shillcutt
19 Oct 2019
Contributed by Lukas
--- IF YOU WANT TO HEAR THE FULL SERIES OF EDITOR'S PICKS YOU MUST SUBSCRIBE TO OUR NEWSLETTER ON www.topmedtalk.com NOW --- This piece focuses on the...
TopMedTalks to... | Lee Fleisher and Ross Kerridge
18 Oct 2019
Contributed by Lukas
--- IF YOU WANT TO HEAR THE FULL SERIES OF EDITOR'S PICKS YOU MUST SUBSCRIBE TO OUR NEWSLETTER ON www.topmedtalk.com NOW --- Is it fair to say that pr...
EBPOM 2019 | Overview of perioperative smoking cessation
18 Oct 2019
Contributed by Lukas
Smoking is bad for you, there's little debate about that, even among users of the drug. However, further to the widely known consequences, the bottom ...
Periop SIG18 | Perioperative Evaluation of the Cancer Patient
17 Oct 2019
Contributed by Lukas
Cancer continues to present a seirous challenge to health care practitioners, particularly with elderly patients. Operations on cancer patients can oc...
EBPOM Highlight | Improving quality, panel discussion
16 Oct 2019
Contributed by Lukas
Can you teach people to be leaders? Should the we be scared of using fear and greed as motivators? Do practitioners sometimes retain the right to clin...
The Global Council on Brain Health | The RoundTable
15 Oct 2019
Contributed by Lukas
The American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United Kingdom...
EBPOM 2019 | Multi-modal Prehabilitation
14 Oct 2019
Contributed by Lukas
This panel discussion includes questions such as: In a prehabilitation service what screening tools should we use to assess nutritional risk? What too...
How should we teach perioperative medicine? | Sunday Special
13 Oct 2019
Contributed by Lukas
How do we develop an agreed curriculum that speaks to what perioperative medicine should be? Once that's in place, how should it be overseen? What sor...
Dingle | TopMedTalks to... Desiree Chappell
12 Oct 2019
Contributed by Lukas
Coming from this year's "21st Current Controversies in Anaesthesia & Peri-Operative Medicine and SIAA Autumn Congress" at the Dingle Skellig Hotel, Ir...
Periop SIG18 | Minimising risk, panel discussion
11 Oct 2019
Contributed by Lukas
What should we think about issues regarding the Perioperative Ischemic Evaluation Study (POISE)? Is it time to treat men and women equally when it com...
EBPOM Highlight | Prehabilitation
10 Oct 2019
Contributed by Lukas
Prehabilitation represents a real opportunity for practitioners to exploit a 'teachable moment' and realise long term positive behavioural changes. Ma...
Adverse outcomes and patient optimisation | The RoundTable
08 Oct 2019
Contributed by Lukas
Adverse outcomes, we all know they happen but how do we handle them, record them and avoid them in the first place? The discussion then moves to (Pati...
EBPOM 2019 | Prehab trials; international study
07 Oct 2019
Contributed by Lukas
The International PREHAB trial. This short piece explains the trial's protocol and the scope of the study. Presented by Charlotte Molenaar, PhD Candid...
Methadone - the overlooked Opiate? | EBPOM World Congress 2019
06 Oct 2019
Contributed by Lukas
Is methadone "the opioid sparing opioid"? This talk looks at where we are at as regards opioids, in the shadow of a national crisis for the USA; is it...
Dan Cole | TopMedTalks to...
05 Oct 2019
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 | Moving as medicine
04 Oct 2019
Contributed by Lukas
"Moving as medicine; is it the most underused but proven health promotion and healthcare practice?" Prehabilitation and population health naturally wa...
Periop SIG18 | Perioperative Anticoagulation
03 Oct 2019
Contributed by Lukas
Thrombosis is the commonest cause of death and disability worldwide, antithrombotic therapy is incredibly beneficial but it promotes bleeding; how the...
EBPOM Highlight | Panel; Best perioperative practice
02 Oct 2019
Contributed by Lukas
This panel discussion includes questions on; the multidisciplinary aspect of perioperative medicine, the drop off in Enhanced Recovery that some insti...
Population health in a 'fee for service' environment | The RoundTable
01 Oct 2019
Contributed by Lukas
How do you best work a pre-op clinic? Should they be places where you get your problems documented or where you get your problems 'fixed'? How do you ...
EBPOM 2019 | The Barcelona experience
30 Sep 2019
Contributed by Lukas
What can the experiences of a team who helped to introduce pre-operative assesment and prehabilitation to Barcelona teach us about how to most effecti...
EBPOM 2019 | Prehab trials; panel discussion
29 Sep 2019
Contributed by Lukas
Is it still ethically viable to have a standard arm in a prehabilitation trial? Which allied health professionals supervises the exercise part of thes...
EBPOM 2019 | The Science of High Performance: Insights From Elite Sport
28 Sep 2019
Contributed by Lukas
Insights and perspectives on the science of prehabilitation from a very different angle. It's often said on TopMedTalk that preparing for an operation...
EBPOM 2019 | Financial aspects of prehabilitation
27 Sep 2019
Contributed by Lukas
This piece presents the prehabilitation 'business case'; why it's important to care about costs, how outcomes and value based care can help and why mo...
Periop SIG18 | Two sides to the coin: medical administrator; colorectal surgeon
26 Sep 2019
Contributed by Lukas
This piece gives an insight into how the insights of an ex-colorectal surgeon can be blended with the understandings of a medical administrator; how c...
EBPOM Highlight | Insights from the UK Perioperative Quality Improvement Programme
25 Sep 2019
Contributed by Lukas
What is 'knowledge mobilisation'? What's the difference between data used for quality assurance and data used for quality improvement? What's importan...
Do we share an interest in Enhanced Recovery? | The RoundTable
24 Sep 2019
Contributed by Lukas
What is the Enhanced Recovery After Surgery (ERAS) Shared Interest Group (SIG)? How does it relate to the advancement of perioperative medicine? TopMe...
EBPOM 2019 | Malnutrition and functional capacity
23 Sep 2019
Contributed by Lukas
This piece is taken from the free papers presentations given at EBPOM 2019. Malnutrition and functional capacity; what is the effect of multimodal pre...
Nasogastric feeding | Sunday Special
22 Sep 2019
Contributed by Lukas
How is it the case that some people can lose significant muscle mass while they are being cared for on the Intensive Care Unit (ICU)? What can practit...
Tim Cook | TopMedTalks to...
21 Sep 2019
Contributed by Lukas
NAP (National Audit Project) 6 is the largest ever prospective study of anaphylaxis related to anaesthesia and surgery. Find out the details behind th...
Houman Javedan | TopMedTalks to...
21 Sep 2019
Contributed by Lukas
The Silver Tsunami is coming, are you prepared to assess the elderly patient? Mature patients present unique and interesting opportunities to perioper...
EBPOM 2019 | Multimodal prehabilitation to prevent postoperative delerium and other complications in elderly patients after elective major abdominal surgery.
20 Sep 2019
Contributed by Lukas
Can delirium, the most frequent complication in an elderly patient, be tackled with multimodal prehabilitation? This piece explains how that challenge...
Periop SIG18 | Management of anti-thrombotics: Fast-track warfarin reversal
19 Sep 2019
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 2019 | The INSPIRE trial; reducing post-op pulmonary complications
18 Sep 2019
Contributed by Lukas
The effectiveness and cost-effectiveness of INSPIRatory musclE training (IMT) for reducing postoperative pulmonary complications (PPC): a sham-control...
Delaying surgery to adequately prepare? | World Congress 2019
17 Sep 2019
Contributed by Lukas
A quick surprising poll of perioperative practitioners sets the tone for a robust advocation of the responsibility of surgeons and practitioners to do...
EBPOM 2019 | Alcohol Matters
16 Sep 2019
Contributed by Lukas
The healthcare profession has a mixed history when it comes to messaging around alcohol. Nowadays, from a public health perspective, it is clear that ...
EBPOM Highlight | Academic Health Science Networks - opportunity knocks
15 Sep 2019
Contributed by Lukas
Formed five years ago, the Academic Health Science Networks (AHSNs) in England are driving innovation and speeding up the process of implimenting and ...
Lynn Reede | TopMedTalks to...
14 Sep 2019
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...
TopMedTalk | How to get people to get things done; The Michigan Project
12 Sep 2019
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 | Optimising healthcare delivery, panel discussion
11 Sep 2019
Contributed by Lukas
This panel discussion tackles, amongst others, the following questions: How can knowledge and health innovation be moved from the theoretical world an...
EBPOM 2019 | System wide change for prehabilitation
10 Sep 2019
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 ...
Enhanced Recovery for obstetrics | Perioperative Coach
09 Sep 2019
Contributed by Lukas
What are the results if you apply Enhanced Recovery to obstetrics? This podcast features Desiree Chappell interviewing Dr Attila Kett, anaesthesiologi...
EBPOM Highlight | Getting it right first time
08 Sep 2019
Contributed by Lukas
This piece explains how the "Getting It Right First Time" (GIRFT) project got off the ground. How does it help improve quality of care within the NHS ...
EBPOM 2019 | "My experience ... of esophageal cancer"
07 Sep 2019
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 ...
POET 4.10 | Give your patients a warm welcome.
06 Sep 2019
Contributed by Lukas
The patient experience can be quite passive and, as a result, people can lose temperature quickly. The consequences can be very negative, this convers...
Periop Medicine SIG 18 | Australia and New Zealand Emergency Laparotomy Audit - Quality Improvement
05 Sep 2019
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...
POET 4.09 | How to drive perioperative care.
04 Sep 2019
Contributed by Lukas
This piece discusses how the contributors are driving better perioperative care in their clinics; the importance of getting patient records in advance...
EBPOM Highlight | Detecting and managing frailty
04 Sep 2019
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 liter...
The malnourished surgery patient | The RoundTable
03 Sep 2019
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...
Length of stay after Major Surgery | Perioperative Coach
02 Sep 2019
Contributed by Lukas
In short; Post-Op recovery in less than 3 days with over 90% mobilised on day 1. This in depth discussion relates to the consensus paper from the Peri...
EBPOM 2019 | Prehabilitation: how far have we come?
01 Sep 2019
Contributed by Lukas
"The father of prehabilitation" reflects on where the discipline is now and where it used to be, from new kid on the block to being touted now as the ...
Perioperative Care: where next? | EBPOM World Congress 2019
31 Aug 2019
Contributed by Lukas
Prehabilitation is about planned pathways, preparing our patients for a journey which we as practitioners have already travelled. 4.2 million deaths a...
TopMedTalk | Enhanced recovery after bariatric surgery
29 Aug 2019
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 | EBPOM World Congress 2019
28 Aug 2019
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...
Fluids in the 2020's | The RoundTable
27 Aug 2019
Contributed by Lukas
This piece gets into the detail regarding one of the big talking points in perioperative medicine over the last year or so; what is the impact of intr...
Urine output | Perioperative Coach
26 Aug 2019
Contributed by Lukas
Should we still measure urine output? How useful is permissive oliguria? Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests Dr Tim...
EBPOM 2019 | Prehabilitation and Perioperative Care, panel discussion
25 Aug 2019
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; WesFit
24 Aug 2019
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...
POET 4.08 | If patients come to us anaemic - they just do worse
23 Aug 2019
Contributed by Lukas
How important is it to screen patients for anaemia before surgery? Has anaemia fallen off the health care agenda? We begin with a conversation about ...
TopMedTalk | Leading a large, multi-state group to achieve excellence
22 Aug 2019
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...
Periop SIG18 | The Complex Pain Patient in the Perioperative Setting
21 Aug 2019
Contributed by Lukas
Why does the complex pain patient need ‘perioperative pain medicine’ to optimize outcomes of surgery? This piece faces the realities behind a peri...
Avoiding the hypotension hazard | The RoundTable
20 Aug 2019
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...
Pain Relief in Enhanced Surgical Recovery | Perioperative Coach
19 Aug 2019
Contributed by Lukas
This episode of The Perioperative Coach reflects on the pain management discussions being had by the American Society of Enhanced Recovery (ASER) and ...
Periop SIG18 | Risk prediction tools
18 Aug 2019
Contributed by Lukas
How do we accurately calculate the risks to our patients? What are the best tools for the right circumstances? Where can we find data to improve these...
Tim Miller | TopMedTalks to...
17 Aug 2019
Contributed by Lukas
The Perioperative Quality Initiative (POQI) have featured frequently on TopMedTalk, here we discuss their focus on hypotension and blood pressure. Per...
POET 4.07 | Has enhanced recovery changed your practice?
16 Aug 2019
Contributed by Lukas
This piece discusses the changes enhanched recovery brings, the conversation then moves to narcotics and the opioid epidemic. Presented by Desiree Cha...
Periop SIG 18 | Armed with data to improve perioperative outcomes
15 Aug 2019
Contributed by Lukas
This piece is about the application of data, how do we use it and when should we gather it? How important is it to "just get started and find out what...
Periop SIG18 | Risk prediction and research
14 Aug 2019
Contributed by Lukas
This piece features discussion regarding three randomised trials. How can the insights provided by these trials save us money and increase value of ca...
Enhanced Recovery | AANA 2019
13 Aug 2019
Contributed by Lukas
"Thank you for taking this meeting beyond these walls" - this piece is the final part of our coverage of The American Association of Nurse Anesthetist...
AANA 2019 | Middle Tennessee School of Anesthesia
13 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
What's life like, Beyond The Mask? | AANA 2019
13 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
Tackling the pain of the opioid crisis | AANA 2019
13 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
Innovators in anesthesia: Anesthesia electronic medical records | AANA 2019
13 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
Daniel Conway and the Surgery School | The RoundTable
13 Aug 2019
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...
Mechanically ventilating patients in the operating room | AANA 2019
12 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
Diversity and Inclusion | AANA 2019
12 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
Simulation in Education | AANA 2019
12 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
Substance Use Disorder - Peer Support: An Empathetic Information Resource | AANA 2019
12 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
Emotional Intelligence and Occupational Stress | AANA 2019
12 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
The Respiratory Compromise Institute and ERAS | AANA 2019
12 Aug 2019
Contributed by Lukas
Enhanced Recovery continues to be a hot topic in institutions around America, this piece gives us an update regarding its ongoing applicaiton at Vande...
Perioperative Nephrology Fluids and the Kidney | Perioperative Coach
12 Aug 2019
Contributed by Lukas
Professor John Kellum gives a thumbnail sketch summary of the fluid debate. Presented by Professor Monty Mythen and Dr Joff Lacey with guest ...
A Novel Use of the Erector Spinae Block in the Austere Environment | AANA 2019
11 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
Innovators in Anesthesia | AANA 2019
11 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
Protecting Your Healthcare Practice - Compliance and Enforcement | AANA 2019
11 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
Caring for the transgender patient | AANA 2019
11 Aug 2019
Contributed by Lukas
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the A...
Periop SIG 18 | Perioperative management in specific patient populations, panel discussion
11 Aug 2019
Contributed by Lukas
What do we now know about perioperative asprin? More specifically, what is the latest thinking on the results of the PeriOperative ISchemic Evaluation...
Talks to... | William Wooden
10 Aug 2019
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 ...
POET 4.06 | Training of Perioperative providers improves care and creates team players
09 Aug 2019
Contributed by Lukas
Discussion begins with an explanation of 'Trainees with an Interest in Perioperative Medicine' (TRIPOM), a big hit at the conference this year, then a...
Periop SIG18 | Preoperative complications
08 Aug 2019
Contributed by Lukas
How can you make a difference in the preoperative assessment clinic? How do we remain working as a team while respecting everyone's skillset in a mult...
Periop SIG18 | Goal directed therapy to prevent acute kidney injury
07 Aug 2019
Contributed by Lukas
How can goal directed therapy be used to prevent acute kidney injury (AKI)? What do we know about AKI? Which members of the surgical team should be in...
Prehabilitation, the word of the year? | The RoundTable
06 Aug 2019
Contributed by Lukas
Is it fair to say that prehabilitation is the new direction for practitioners of Enhanced Recovery After Surgery (ERAS)? Discussion expands into patie...
Fluid Management | Perioperative Coach
05 Aug 2019
Contributed by Lukas
A discussion about fluid management in an enhanced surgical recovery pathway in relation to the guidelines from ASER and the work of The Perioperative...
Periop SIG 18 | Emergency surgery - panel discussion
04 Aug 2019
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...
Dr Paul Wischmeyer | TopMedTalks to...
03 Aug 2019
Contributed by Lukas
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 come...
Periop SIG18 | Minimising risk, panel discussion
02 Aug 2019
Contributed by Lukas
What should we think about issues regarding the Perioperative Ischemic Evaluation Study (POISE)? Is it time to treat men and women equally when it com...
POET 4.05 | Refusing surgery
02 Aug 2019
Contributed by Lukas
Should we refuse surgery to those who won't change? What about pathological issues, such as smoking, should practitioners become more didactic in the...
Periop SIG18 | Perioperative frailty - panel discussion
01 Aug 2019
Contributed by Lukas
This panel discussion provides a vital and thought provoking insight into frailty in a perioperative patient. Further, as perioperative medicine evolv...
Periop SIG18 | How do we minimise failure to rescue in the post operative period?
31 Jul 2019
Contributed by Lukas
How important is it to triage the patient? Which triage tool should we use? How do we determine which of our surgical patients is most at risk? Which ...
'If compliance goes down - you know you have a problem' | The RoundTable
30 Jul 2019
Contributed by Lukas
An entertaining and informative discussion about the implementation process; how do you bring everyone to the table? Desiree Chappell speaks with Robi...