TopMedTalk

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...

Dan Cole | TopMedTalks to...

09 Mar 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 ...

POET 2.03 | Refusing surgery

08 Mar 2019

Contributed by Lukas

Is it unreasonable to give a patient six months to lose weight before, for example, knee surgery? Going even further should we be considering meditati...

JAMA: The ENGAGES Randomized Clinical Trial | Journal Club

07 Mar 2019

Contributed by Lukas

The full title of the paper being looked at here is: "Effect of Electroencephalography-Guided Anesthetic Administration on Postoperative Delirium Amon...

EBPOM Highlight 1.13 | PQIP Pain: from individual case to systems management

06 Mar 2019

Contributed by Lukas

"PQIP Pain: from individual case to systems management" - originally streamed live from The Institute of Engineering and Technology (IET) in London du...

Geriatric care and the value of teamwork | The RoundTable

05 Mar 2019

Contributed by Lukas

How do we best negotiate working in a multidisciplinary team? Generalisations regarding surgeons and anaesthetists only ever work generally, the speci...

Assessing the risk of delirium | Perioperative Coach

04 Mar 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 patien...

Nasogastric feeding | Sunday Special

03 Mar 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...

Mike Swart | TopMedTalks to...

02 Mar 2019

Contributed by Lukas

How do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? H...

POET 2.02 | Overcoming the behaviour gap

01 Mar 2019

Contributed by Lukas

The gap between ambition and action is familiar to us all but when it's potentially a matter of life and death how do we overcome it? This piece gives...

Various Journals: ACE, ARBs and Asprin | Journal Club

28 Feb 2019

Contributed by Lukas

Interesting thoughts on the use of ACE inhibitors and ARBs, alongside considerations regarding asprin.   We look at the following papers:   Anesthes...

EBPOM Highlight 1.12 | Perioperative nutrition should be a key part of Enhanced Recovery

27 Feb 2019

Contributed by Lukas

"Perioperative nutrition should be a key part of Enhanced Recovery" - originally streamed live from The Institute of Engineering and Technology (IET) ...

Treating anemia in the perioperative process | The RoundTable

26 Feb 2019

Contributed by Lukas

How does the treatment of anemia fit into the perioperative process? How far should patient optimisation extend to treatment of this condition? Live f...

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

25 Feb 2019

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 ...

Part 2 of TRIPOM USA | Sunday Special

24 Feb 2019

Contributed by Lukas

Trainees with an interest in perioperative medicine (TRIPOM) is an ever growing organisation set to continue the global push for perioperative care. ...

Tim Cook | TopMedTalks to...

23 Feb 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...

POET 2.01 | The UK's Prepwell initiative

22 Feb 2019

Contributed by Lukas

Community based prehabilitation in the UK is being spearheaded by the Prepwell Initiative. Supported by a grant from Sports England this pioneering wo...

Various articles from; BMJ Open, Journal of Bone Joint Surgery American volume, Diabetes Care, Annals of Surgery | Journal Club

21 Feb 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...

EBPOM Highlight 1.11 | Hypotension probability in practice

20 Feb 2019

Contributed by Lukas

"Hypotension probability in practice" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 o...

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

19 Feb 2019

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...

Perioperative Medicine Summit 2019 1.12 | Houman Javedan

18 Feb 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...

Getting it right first time (GIRFT) | Perioperative Coach

18 Feb 2019

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 (Gettin...

Part 1 of TRIPOM USA | Sunday Special

17 Feb 2019

Contributed by Lukas

Trainees with an interest in perioperative medicine (TRIPOM) is an ever growing organisation set to continue the global push for perioperative care. ...

Perioperative Medicine Summit 2019 1.11 | Perioperative practice

17 Feb 2019

Contributed by Lukas

This piece acts as a great summary of some of the big takaways from the conference this year. Discussion about a hugely successful Enhanced Recovery ...

Perioperative Medicine Summit 2019 1.10 | Master Perioperative Medicine

16 Feb 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 ...

Perioperative Medicine Summit 2019 1.09 | Post op respiratory problems

16 Feb 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...

Lynn Reede | TopMedTalks to...

16 Feb 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...

Perioperative Medicine Summit 2019 1.08 | Paul Grant

16 Feb 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...

Perioperative Medicine Summit 2019 1.07 | Elena Koepke

15 Feb 2019

Contributed by Lukas

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

Perioperative Medicine Summit 2019 1.06 | Avital O'Glasser

15 Feb 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...

Perioperative Medicine Summit 2019 1.05 | Frances Chung and Kurt Pfeifer

15 Feb 2019

Contributed by Lukas

Conversation begins with reflections on the conference and the impact of social media, Twitter, Facebook and so forth, on the global perioperative sce...

Perioperative Medicine Summit 2019 1.04 | The big messages so far

15 Feb 2019

Contributed by Lukas

What are some of the big take home messages from this conference so far? Lots of material on preoperative assesment, discussion of some of the big tri...

Perioperative Medicine Summit 2019 1.03 | Angela Bader

15 Feb 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...

Perioperative Medicine Summit 2019 1.02 | Amir Jaffer

15 Feb 2019

Contributed by Lukas

Discussion begins with an overview of the conference and its roots. Special mention is made regarding the Frank Michota Memorial Lecture which takes p...

Perioperative Medicine Summit 2019 1.01

14 Feb 2019

Contributed by Lukas

The Society for Perioperative Assessment and Quality Improvement (SPAQI) are in Orlando Florida for their 14th annual summit and, of course, we're the...

Brit Journal Anaesthesia: Antiplatelet therapy, bleeding and thrombosis in noncardiac surgery | Journal Club

14 Feb 2019

Contributed by Lukas

The full title of today's paper is: Prospective observational cohort study of the association between antiplatelet therapy, bleeding and thrombosis in...

EBPOM Highlight 1.10 | Antibiotic stewardship in perioperative care

13 Feb 2019

Contributed by Lukas

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

Opioid reduction | The RoundTable

12 Feb 2019

Contributed by Lukas

What's it like in rural America working at a small hospital, 'way out on the frontier'? What best practice initiatives are there to help? How can you ...

Enhanced Recovery for obstetrics | Perioperative Coach

11 Feb 2019

Contributed by Lukas

What are the results if you apply Enhanced Recovery to obstetrics? This podcast features Desiree Chappell interviewing Dr Attila Kett, anaesthesiolog...

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

10 Feb 2019

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 ...

Michael Ramsay | TopMedTalks to...

09 Feb 2019

Contributed by Lukas

The Patient Safety Movement Foundation (PSMF) has ambitious targets to limit preventable deaths in healthcare, this piece explains how they intend to ...

POET 1.10 | Give your patients a warm welcome.

08 Feb 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...

Perioperative Medicine: Pulmonary artery catheters in cardiac surgery: a retrospective, cohort study | Journal Club

07 Feb 2019

Contributed by Lukas

This week on Journal Club we reflect upon the pulmonary artery (PA) catheter. The following articles were discussed: JAMA: The effectiveness of right ...

EBPOM Highlight 1.09 | Rehabilitation post critical care

06 Feb 2019

Contributed by Lukas

"Rehabilitation post critical care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on ...

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

05 Feb 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...

Length of stay after Major Surgery | Perioperative Coach

04 Feb 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...

Greater National Advocates | Sunday Special

03 Feb 2019

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 ...

Dan Martin, OBE | TopMedTalks to...

02 Feb 2019

Contributed by Lukas

Desiree and Monty catch up with Dan Martin, OBE, and speak with him about treating infectious diseases and in particular patients with ebola.   Prese...

POET 1.09 | How to drive perioperative care.

01 Feb 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 advanc...

Anesthesiology, New England Journal of Medicine: Triple low alerts | Journal Club

31 Jan 2019

Contributed by Lukas

Triple-low Alerts Do Not Reduce Mortality: A Real-time Randomized Trial. Sessler DI, Turan A, Stapelfeldt WH, Mascha EJ, Yang D, Farag E, Cywinski J, ...

EBPOM Highlight 1.08 | Post-operative critical care: what should we do?

30 Jan 2019

Contributed by Lukas

"Post-operative critical care: what should we do?" - originally streamed live from The Institute of Engineering and Technology (IET) in London during...

Urine output | Perioperative Coach

28 Jan 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...

Medical Linguistic Anthropology and Patient Autonomy | Sunday Special

27 Jan 2019

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...

Joe Kiani | TopMedTalks to...

26 Jan 2019

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 '...

POET 1.08 | If patients come to us anaemic - they just do worse

25 Jan 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 abou...

Anesthesiology: the Cognitive Effects of Perioperative Pregabalin | Journal Club

24 Jan 2019

Contributed by Lukas

Journal Club Express this week focuses upon a piece in Anesthesiology; Cognitive Effects of Perioperative Pregabalin: Secondary Exploratory Analysis o...

EBPOM Highlight 1.07 | Shared decision making in perioperative care

23 Jan 2019

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 ...

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

22 Jan 2019

Contributed by Lukas

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

Pain Relief in Enhanced Surgical Recovery | Perioperative Coach

21 Jan 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 ...

Joff Lacey visits the Ether Dome | Sunday Special

20 Jan 2019

Contributed by Lukas

Joff and his guests visit the hallowed turf that is the Boston Ether Dome, in the Bulfinch Building, Massachusetts General Hospital. How have times mo...

Andrew R Spector | TopMedTalks to...

19 Jan 2019

Contributed by Lukas

This podcast concerns sleep apnea as part of pre-operative patient optimisation. How important is it to evaluate patients for sleep disorders before s...

POET 1.07 | Has enhanced recovery changed your practice?

18 Jan 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...

Clinical Anesthesia: effects of anti-inflammatory therapies on postoperative fatigue after major noncardiac surgery | Journal Club

17 Jan 2019

Contributed by Lukas

J Clin Anesth. 2018 Dec 29;55:83-91. doi: 10.1016/j.jclinane.2018.12.038. [Epub ahead of print] The effects of dexamethasone, light anesthesia, and ti...

EBPOM Highlight 1.06 | QA, QI and Patient involvement

16 Jan 2019

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 ...

'Remain fluid and keep educating' | The RoundTable

15 Jan 2019

Contributed by Lukas

A discussion about the changes enhanched recovery has brought into practices, the conversation then moves to narcotics and the opiode epidemic.    D...

Perioperative Nephrology Fluids and the Kidney | Perioperative Coach

14 Jan 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 ...

Being on the right side of the law | Sunday Special

13 Jan 2019

Contributed by Lukas

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

Padma Gulur | TopMedTalks to...

12 Jan 2019

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...

POET 1.06 | Training of Perioperative providers improves care and creates team players

11 Jan 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...

British Journal of Anaesthesia: the use of oxygen | Journal Club

10 Jan 2019

Contributed by Lukas

Two articles, which both feature in The British Journal of Anaesthesia (BJA), are dissected in this week's Journal Club. They both discuss oxygen, the...

EBPOM Highlight 1.05 | Perioperative Quality Improvement Programme (PQIP)

09 Jan 2019

Contributed by Lukas

Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com If you'd like to att...

'If compliance goes down - you know you have a problem' | The RoundTable

08 Jan 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 R...

Fluid Management | Perioperative Coach

07 Jan 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...

Looking ahead to 2019 | Sunday Special

06 Jan 2019

Contributed by Lukas

2019 brings lots of new opportunities for your favourite medical podcast, including the chance to see us at a live event. Maybe you'll join us in real...

Paul Wischmeyer | TopMedTalks to...

05 Jan 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...

POET 1.05 | Refusing surgery

04 Jan 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 thei...

Anaesthesia and Analgesia: Subanalysis of the ENIGMA-II Trial | Journal Club

03 Jan 2019

Contributed by Lukas

This week's Journal Club takes a piece from Anaesthesia and Analgesia; "Implication of Major Adverse Postoperative Events and Myocardial Injury on Dis...

EBPOM Highlight 1.04 | Cardiac anaesthesia and anaemia

02 Jan 2019

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...

How do you bring perioperative care to your practice? | The RoundTable

01 Jan 2019

Contributed by Lukas

What is after ERAS, do we have an 'ERAS of ERAS' - so to speak? This conversation focuses upon bringing about change, managing and sustaining it over ...

‘Money’s tight’; pull together an ER team with limited resources. The key- NURSES! | Perioperative Coach

31 Dec 2018

Contributed by Lukas

Implementing better practice and "ERAS 2.0". The ground up approach of a 'council of nurses' sparks some fascinating debate and discussion. Can a roun...

Social Media | Sunday Special

30 Dec 2018

Contributed by Lukas

This piece is a chance to reflect upon the importance of new media within the sphere of medical education. As the run away success of TopMedTalk and o...

Thomas Scheeren | TopMedTalks to...

29 Dec 2018

Contributed by Lukas

The Hypotension Prediction Index (HPI), which uses a machine learning algorithm to help predict intraoperative hypotension. Regular listeners to www....

POET 1.04 | Measuring the risk of surgery

28 Dec 2018

Contributed by Lukas

What is a 'micromort'? Even more of a worry, what does ten of them mean? How do we measure and communicate risk to patients? Everyday activities all c...

Perioperative Medicine: Albumin and AKl | Journal Club

27 Dec 2018

Contributed by Lukas

The piece discussed in this week's Journal Club is called "Acute kidney injury in postoperative shock: is hyperoncotic albumin administration an unrec...

TopMedTalk Xmas Special Part 3 | Xmas Special 2018

26 Dec 2018

Contributed by Lukas

A three part series covering the year in TopMedTalk. Here are some links to the pieces discussed: The Randy Moore piece: https://www.topmedtalk.com/a...

TopMedTalk Xmas Special Part 2 | Xmas Special 2018

25 Dec 2018

Contributed by Lukas

A three part series covering the year in TopMedTalk. Here are some links to the pieces discussed: Paul Myles and the RELIEF trial results: https://www...

TopMedTalk Xmas Special Part 1 | Xmas Special 2018

24 Dec 2018

Contributed by Lukas

A three part series covering the year in TopMedTalk. Here are some links to the pieces discussed: The conversation with Zeev Kain is here: https://ww...