TopMedTalk

EBPOM Highlight 1.26 | ERAS in Obstetric Surgery

29 May 2019

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...

What is the Perioperative Medicine Summit? | The RoundTable

28 May 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...

Sedation and the triple low | Perioperative Coach

27 May 2019

Contributed by Lukas

What simple things can we do in the operating room which might make a difference to the issue of post operative delirium? Should preoperative sedation...

Enhanced Recovery After Surgery (ERAS) leadership | Sunday Special

26 May 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) lea...

Paul Grant | TopMedTalks to...

25 May 2019

Contributed by Lukas

This piece ploughs into some of the academic papers that have provoked discussion recently in the perioperative community. We discuss the following pa...

POET 3.04 | Is paternalism always bad?

24 May 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...

Davinder Ramisingh | SCA 2019

23 May 2019

Contributed by Lukas

Live from 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019, the TopMedTalk team takes you right to the heart of the deb...

Anaesthesia 2019 | Fitter, Better, Sooner

23 May 2019

Contributed by Lukas

Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest adva...

Periop Medicine SIG18 | Emergency laparotomy

23 May 2019

Contributed by Lukas

This piece is a chance to hear how and why an emergency laparotomy can work as part of the perioperative process. Ideally perioperative medicine invol...

Anaesthesia 2019 | Rupert Pearse

22 May 2019

Contributed by Lukas

Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest adva...

Anaesthesia 2019 | Tim Cook and Paul Wischmeyer

22 May 2019

Contributed by Lukas

Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest adva...

Anaesthesia 2019 | Paul Wischmeyer

22 May 2019

Contributed by Lukas

Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest adva...

EBPOM Highlight 1.25 | Pain Management to Enhance Recovery after joint replacements

22 May 2019

Contributed by Lukas

"Pain strategies" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com Hear this...

Anaesthesia 2019 | The Centre for Perioperative Care (CPOC)

21 May 2019

Contributed by Lukas

Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest adva...

Poster presenters | SCA 2019

21 May 2019

Contributed by Lukas

Live from 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019, the TopMedTalk team takes you right to the heart of the deb...

Anaesthesia 2019 | Live from the conference

21 May 2019

Contributed by Lukas

Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest adva...

Michael Eaton | SCA 2019

21 May 2019

Contributed by Lukas

Live from 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019; the TopMedTalk team takes you right to the heart of the deb...

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

21 May 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...

Blood pressure | SCA 2019

20 May 2019

Contributed by Lukas

The TopMedTalk team brings you more of our live coverage of 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019. This piec...

Are you burned out? | SCA 2019

20 May 2019

Contributed by Lukas

The TopMedTalk team bring you coverage of 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019. This piece focuses on the q...

Anaesthesia 2019 | The Future of Anaesthesia

20 May 2019

Contributed by Lukas

How will the profession evolve as the years pass? Change is inevitable and the direction of change is becoming clearer but how will we adapt to the ne...

Developmental neurotoxicity | ASA 2019

20 May 2019

Contributed by Lukas

This conversation covers one of the conference's talking points; developmental neurotoxicity. Can human infants exposed to anaesthesia early in their ...

It is all about the patient | ASA 2019

20 May 2019

Contributed by Lukas

TopMedTalk is at Anaesthesia 2019. It's one of the big events of the global perioperative calendar. Find out what the hot topics and big talking point...

Perioperative Fluid Management to Enhance Recovery After Surgery | Perioperative Coach

20 May 2019

Contributed by Lukas

Discussion initially focuses upon fluid management in the operating room. We then take a wider view as discussion moves to concerns about diabetic pat...

Social media and the democratisation of education | Sunday Special

19 May 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...

Davinder Ramsingh | TopMedTalks to...

18 May 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 3.03 | Surgery school

17 May 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...

Periop Medicine SIG18 | Advanced Care Planning

16 May 2019

Contributed by Lukas

Advanced care planning and shared decision making; what happens when you reach a patient and realise conversations have not been had and systems aroun...

EBPOM Highlight 1.24 | The evolution of a community-based Prehabilitation service

15 May 2019

Contributed by Lukas

"POETTS 2018 | The evolution of a community-based Prehabilitation service" - originally streamed live from The Institute of Engineering and Technology...

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

14 May 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...

Psychological optimisation | Perioperative Coach

13 May 2019

Contributed by Lukas

Psychological optimisation for surgery; who should have it, what does it mean and how does it work? Further conversation moves into weaning patie...

Pets as therapy | Sunday Special

12 May 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...

Angela Bader | TopMedTalks to...

11 May 2019

Contributed by Lukas

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

POET 3.02 | Do you need a breathlessness clinic?

10 May 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 Part 2 | TRIPOM

09 May 2019

Contributed by Lukas

TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees...

EBPOM Highlight 1.23 | Psychological Behavioural Change Interventions in Cancer Patients

08 May 2019

Contributed by Lukas

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

ASER 2019: Jamie Harris and Carol Schmidt | The RoundTable

07 May 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...

Stop Bang, identifying obstructive sleep apnea | Perioperative Coach

06 May 2019

Contributed by Lukas

Obstructive sleep apnea is important to identify in patients, this piece shows you how.   Check out the official STOP BANG website here: http://www....

The Perioperative Cognition Workshop - Part 4 | Sunday Special

05 May 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...

The Perioperative Cognition Workshop - Part 3 | Sunday Special

05 May 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...

The Perioperative Cognition Workshop - Part 2 | Sunday Special

05 May 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...

The Perioperative Cognition Workshop - Part 1 | Sunday Special

05 May 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

04 May 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 3.01 | Perioperative medicine is population health.

03 May 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 ...

TopMedTalk Part 1 | TRIPOM

02 May 2019

Contributed by Lukas

TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees...

EBPOM Highlight 1.22 | Pre-operative Inspiratory Muscle Training

01 May 2019

Contributed by Lukas

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

Carol Peden - EPOCH Q&A | TopMedTalk

30 Apr 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 ...

Pre-operative anemia, detection and management | Perioperative Coach

29 Apr 2019

Contributed by Lukas

Where does anemia fit in the perioperative process? How do we optimise patients who have this condition in such a way as to get them best prepared for...

Preoperative Optimization: Framing up the value proposition | Sunday Special

28 Apr 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...

William Wooden | TopMedTalks to...

27 Apr 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...

Eric J. Zimmerman | ASER 2019

26 Apr 2019

Contributed by Lukas

Our coverage of ASER's annual meeting continues with a piece which focuses on prehabilitation and clinical nutrition, specifically as relates to surge...

Tom Poulton | ASER 2019

26 Apr 2019

Contributed by Lukas

Welcome to the first of our exclusive podcasts covering this year's American Society for Enhanced Recovery (ASER) Annual Congress of Enhanced Recovery...

POET 2.10 | Smoking cessation clinics

26 Apr 2019

Contributed by Lukas

Could a smoking cessation clinic be the next step in perioperative enhancement at your practice? This piece gives you an introduction to the idea and ...

TRIPOM 1.5 | 'Understanding of delirium amongst the surgical team'

25 Apr 2019

Contributed by Lukas

This piece focuses on the winning EBPOM USA poster presenter whose team were responsible for the excellent 'Understanding of delirium amongst the surg...

EBPOM Conference Highlight 1.21 | Lessons on EPOCH in the UK

24 Apr 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 ...

Rick Dutton Q&A Session | TopMedTalk

23 Apr 2019

Contributed by Lukas

This standalone piece allows us to explore further some of the issues raised by Saturday's podcast "TopMedTalks to... | Rick Dutton". If you missed it...

Get off the gurney and exercise! | Perioperative Coach

22 Apr 2019

Contributed by Lukas

This piece is about the importance of early mobilisation after surgery; "your first physical therapy session may very well be in the recovery room".  ...

Hemodynamics - State of the Science | Sunday Special

21 Apr 2019

Contributed by Lukas

This piece explores the current thinking on hemodynamics, get ready for a deep dive into the conversation and controversies.   Originally streamed li...

Rick Dutton | TopMedTalks to...

20 Apr 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...

POET 2.09 | A centre for geriatric surgery and palliative care

19 Apr 2019

Contributed by Lukas

How can your value based care proposition be further enhanced by a centre for geriatric surgey and palliative care? How important is shared decisio...

TRIPOM 1.4 | Society for Obstetric Anesthesia and Perinatology (SOAP)

18 Apr 2019

Contributed by Lukas

  From a leadership perspective should enhanced recovery for obstetrics be "standard of care" across the nation? Interest in this field seems to be g...

EBPOM Highlight 1.20 | Leading a large, single group towards excellence

17 Apr 2019

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...

We've saved twelve million dollars! | The RoundTable

16 Apr 2019

Contributed by Lukas

Discussion begins with a hugely successful Enhanced Recovery program at a large community hospital, continued improvements and service line expansion....

Haemodynamic monitoring | Perioperative Coach

15 Apr 2019

Contributed by Lukas

In critically ill patients where are we with haemodynamic monitoring and management? What is an ideal mean arterial pressure (MAP) during the process?...

Should direct laryngoscopy be consigned to the history books? | Sunday Special

14 Apr 2019

Contributed by Lukas

The debate 'Direct laryngoscopes should be consigned to history', was hosted by The Royal College Of Anaesthetists and carried out by our two guests o...

Professor Iain Moppett | TopMedTalks to...

13 Apr 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...

POET 2.08 | The rise and rise of CPET

12 Apr 2019

Contributed by Lukas

This piece focuses on the rise of cardiopulmonary exercise testing (CPET) in the wake of the Measurement of Exercise Tolerance before Surgery (METS) T...

Setting up a perioperative surgical home | TRIPOM

11 Apr 2019

Contributed by Lukas

What's the need for a perioperative surgical home? How do issues with aging populations and higher risk patients increase the need to intervene early ...

EBPOM Highlight 1.19 | The Patient Safety Movement Foundation

10 Apr 2019

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...

A deeper dive into Enhanced Recovery | The RoundTable

09 Apr 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...

Data and sustainability | Perioperative Coach

08 Apr 2019

Contributed by Lukas

"Without data you cannot sustain your programme" - this piece is about understanding the importance of data collection as part of the perioperative pr...

CPET: Cardio Pulmonary Exercise Testing | Sunday Special

07 Apr 2019

Contributed by Lukas

Everything you ever wanted to know about CPET (Cardio Pulmonary Exercise Testing) but were too afraid to ask; this conversation is a fascinating deep ...

Clare Gerada | TopMedTalks to...

06 Apr 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...

POET 2.07 | Respect and recognition through teamwork

05 Apr 2019

Contributed by Lukas

"If you don't have respect you really can't do anything ... healthcare is a team sport!" What is a "Respect Officer"? Why is respect so important in p...

EBPOM USA 2019 | TRIPOM

04 Apr 2019

Contributed by Lukas

How does enhanced recovery after surgery (ERAS) work for cardiac patients? What lessons have been learned and how have pathways and protocols evolved?...

EBPOM Highlight 1.18 | Emergency laparotomy Collaborative

03 Apr 2019

Contributed by Lukas

"Emergency laparotomy Collaborative" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on ...

The Global Council on Brain Health | The RoundTable

02 Apr 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 Kingd...

The painful truth | Perioperative Coach

01 Apr 2019

Contributed by Lukas

Pain is seen by many as the so-called fifth vital sign but is it reasonable to expect us to eliminate it entirely? The long term consequences for medi...

Reflections on EBPOM-USA Dallas Masters Course | Sunday Special

31 Mar 2019

Contributed by Lukas

The EBPOM-USA Dallas Masters Course, held between the 22nd - 24th of March 2019, has provided TopMedTalk with a wealth of exciting new material which ...

John Myburgh | TopMedTalks to...

30 Mar 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...

POET 2.06 | Prehabilitation and preparation for safer surgery

29 Mar 2019

Contributed by Lukas

What's the relationship between Enhanced Recovery after Surgery (ERAS) and Prehabilitation? Should prehabilitation be thought of as a natural part of ...

EBPOM USA 2019 | TRIPOM

28 Mar 2019

Contributed by Lukas

How has perioperative medicine impacted upon our understanding of obstetrics? Hear how implimenting an ERAS programme in 2016 has benefitted the pione...

EBPOM Highlight 1.17 | Colloid vs Crystalloid - Goal Directed Therapy

27 Mar 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...

Adverse outcomes and patient optimisation | The RoundTable

26 Mar 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 (Pat...

Weigh your surgical patients | Perioperative Coach

25 Mar 2019

Contributed by Lukas

How important is it to weigh your patients, both before and after surgery? Should this then continue during their stay each day they have an i.v. run...

How should we teach perioperative medicine? | Sunday Special

24 Mar 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...

Professor Monty Mythen | TopMedTalks To ...

23 Mar 2019

Contributed by Lukas

What is TopMedTalk and how did it come about? Why is perioperative medicine such an inspiration to us? Why is our Editor in Chief such an advocate? Wh...

POET 2.05 | Rehabilitation as a team sport

22 Mar 2019

Contributed by Lukas

Teamwork is an essential part of perioperative care. Here the case is made that we should approach both pre and post habilitation as being akin to pla...

EBPOM Highlight 1.17 | Developing a national quality improvement network

21 Mar 2019

Contributed by Lukas

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

EBPOM Highlight 1.16 | Postoperative changes in cognition: The role of biomarkers

20 Mar 2019

Contributed by Lukas

"Postoperative changes in cognition: The role of biomarkers" - originally streamed live from The Institute of Engineering and Technology (IET) in Lond...

Population health in a 'fee for service' environment | The RoundTable

19 Mar 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...

Physiological Principles of Goal Directed Fluid Therapy | Perioperative Coach

18 Mar 2019

Contributed by Lukas

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

Critical Care Practitioner Podcast | Sunday Special

17 Mar 2019

Contributed by Lukas

TopMedTalk catches up with another online media source, The Critical Care Practitioner podcast, organised by our guest who - appropriately enough - is...

Hugh Montgomery | TopMedTalks to...

16 Mar 2019

Contributed by Lukas

Recorded on the first day of the Intensive Care Society's annual conference this conversation starts with some reflections about how conferences have ...

POET 2.04 | Shared decision making

15 Mar 2019

Contributed by Lukas

Shared decision making is a meeting between experts, on the one hand we have a clinician who understands a diagnosis and a likely prognosis, on the ot...

EBPOM Highlight 1.15 | Perioperative nutrition

14 Mar 2019

Contributed by Lukas

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

EBPOM Highlight 1.14 | Does choice of opioid influence health outcomes?

13 Mar 2019

Contributed by Lukas

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

Do we share an interest in Enhanced Recovery? | The RoundTable

12 Mar 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...

Tackling post operative delirium | Perioperative Coach

11 Mar 2019

Contributed by Lukas

How do we address the issue of post operative delirium? Here you will find fascinating further discussion about cognitive function after surgery. What...

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

10 Mar 2019

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...