TopMedTalk
Episodes
Nutrition | Intensive Care Society
13 Dec 2018
Contributed by Lukas
This piece starts with a discussion about indirect calorimetry and the challenges associated with it as well as recent improvements in the field. The ...
Mike of the antarctic | Intensive Care Society
13 Dec 2018
Contributed by Lukas
Fresh from an expedition to Antarctica, on the National Geographic Explorer, Mike Grocott gives us an update on the "Anaesthesia at the Extreme" confe...
Alfie the therapy dog | Intensive Care Society
12 Dec 2018
Contributed by Lukas
The Pets as Therapy team have been a huge hit at the Intensive Care Society annual conference. How would you incorporate something like this into your...
Hydration | Intensive Care Society
12 Dec 2018
Contributed by Lukas
How do we maintain hydration in a way which is both safe and comfortable for the patients we treat? What about the post-surgical patient who is full o...
Antibiotics, fluid balance and haemodynamic monitoring | Intensive Care Society
12 Dec 2018
Contributed by Lukas
Recorded live at the Intensive Care Society This piece is a fascinating discussion regarding the use of antibiotics and fluid balance. The conversatio...
EBPOM Highlight 1.02 | Post-op critical care: what should we do?
12 Dec 2018
Contributed by Lukas
"Post-operative critical care: what should we do?" was originally streamed live from The Institute of Engineering and Technology (IET) in London durin...
Being on the right side of the law | Intensive Care Society
11 Dec 2018
Contributed by Lukas
A discussion about consent, staying on the right side of the law, shared decision making and 'The Montgomery case' which has defined a Doctor's duty i...
Pets as Therapy | Intensive Care Society
11 Dec 2018
Contributed by Lukas
Pets as Therapy are a fantastic charity who have provided a practical theraputic service to everyone in attendance at the Intensive Care Society annua...
Exercise is real medicine? | The RoundTable
11 Dec 2018
Contributed by Lukas
This piece covers; physical medicine and rehabilitation, applying a team approach in care and 'pre and post-habilitation'. Desiree Chappell presents w...
Hugh Montgomery | Intensive Care Society
10 Dec 2018
Contributed by Lukas
The first day of the Intensive Care Society's annual conference comes to a close. Heart failure session has ‘standing room only’. Is the pulmon...
Dan Martin, OBE | Intensive Care Society
10 Dec 2018
Contributed by Lukas
Desiree and Monty catch up with Dan Martin, OBE, and speak with him about the Intensive Care Society's annual conference, treating infectious diseases...
State of the art 2018 | Intensive Care Society
10 Dec 2018
Contributed by Lukas
Live from The Intensive Care Society, reflections on the opening session of the UK's annual critical care conference. Presented by Desiree Chappell an...
Getting on the same page | Perioperative Coach
10 Dec 2018
Contributed by Lukas
A conversation about enhanced recovery implementation. Dr Joff Lacey catches up with Mike Scott, Virginia Commonwealth University and Ross Kerridge, J...
Is the US spending too much on health care and not enough on health? | Sunday Special
09 Dec 2018
Contributed by Lukas
This piece was originally streamed live on www.topmedtalk.com and is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care...
Zeev Kain | TopMedTalks to ...
08 Dec 2018
Contributed by Lukas
"Value based care - it’s an interdisciplinary team sport" Desiree Chappell speaks with Zeev Kain, organiser of the American college of perioperative...
POET 1.01 | Perioperative Enhancement Teams
07 Dec 2018
Contributed by Lukas
Why do you need a "poet"? The POET acronym - a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation ...
NEJM: Balanced Crystalloids vs Saline | Journal Club
06 Dec 2018
Contributed by Lukas
This edition of journal club looks at two articles in the New England Journal of Medicine (NEJM) of circa 30,000 patients studied at Vanderbilt Medica...
EBPOM Highlight 1.01 | Exercise and cancer
05 Dec 2018
Contributed by Lukas
EBPOM Conference Highlight This week's conference highlight "Exercise and cancer" was originally streamed live from The Institute of Engineering and T...
Insight into ERAS in Saudia Arabia | The RoundTable
04 Dec 2018
Contributed by Lukas
This conversation is a fascinating glimpse into the spread of Enhanced Recovery After Surgery (ERAS) in Saudi Arabia. Desiree Chappell interviews her ...
Nutrition | Perioperative Coach
03 Dec 2018
Contributed by Lukas
"An operation is like a marathon, nobody prepares for that by starving themselves" Monty Mythen talks to Professor Paul Wischmeyer from the Department...
Breathlessness should be investigated irrespective of age | TopMedTalk
02 Dec 2018
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...
Montezuma's revenge
01 Dec 2018
Contributed by Lukas
A quick refresher on some of the hot topics from ASER 2017, including the messy issue of bowel prep and the prickly topic of opiates. A couple of high...
What do you value? | TopMedTalk
30 Nov 2018
Contributed by Lukas
A round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded at the Interdisciplinary Conference on Orthopedic Value-Based...
Fluid Matters - 'Goal Directed Fluid Therapy' | TopMedTalk
29 Nov 2018
Contributed by Lukas
This is another excerpt from "Controversies in perioperative medicine"; "The Great Fluid Debate". A fascinating piece containing Dr Tim Miller's enthu...
Fluid Matters - The nil by mouth (NPO) debate | TopMedTalk
28 Nov 2018
Contributed by Lukas
This piece is taken from "The Great Fluid Debate", it's about changes in practice that have been implemented both in the UK and at various medical cen...
Fluid Matters - 'The Great American Fluid Debate' | TopMedTalks
27 Nov 2018
Contributed by Lukas
This is an excerpt from 'The Great American Fluid Debate' which was hosted at Duke University Medical Centre's "Controversies in Perioperative Medicin...
Fluid Matters - Fluid Responsiveness and venous capacitance | POQI
26 Nov 2018
Contributed by Lukas
This conversation reflects a discussion at the Perioperative Quality Inititative (POQI). It originally ran under the title, "Intervascular volume and ...
Unlocking the Secrets of the Mighty Mitochondria | Xtreme Everest
25 Nov 2018
Contributed by Lukas
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel a...
Fluid Matters - Total body water and electrolytes | POQI
24 Nov 2018
Contributed by Lukas
These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you h...
The growing popularity of new media in medical education | IFAD
23 Nov 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...
Discussing The Paradigm Shift in Fluid Therapy | IFAD
23 Nov 2018
Contributed by Lukas
This podcast is an exclusive discussion regarding the second session at The International Fluid Academy Day (IFAD) in Amsterdam. This in depth discuss...
TopMedTalk at IFAD | Understanding Fluid Physiology
23 Nov 2018
Contributed by Lukas
Download this podcast for an exclusive discussion regarding the first session at The International Fluid Academy Day (IFAD) on Friday morning in Amste...
Fluid Matters - Definite definitions, fluid physiology | POQI
23 Nov 2018
Contributed by Lukas
This conversation was recorded on the morning of the second day of the Perioperative Quality Initiative (POQI) meeting hosted at Washington Duke Univ...
Have you joined the International Fluid Academy yet?
23 Nov 2018
Contributed by Lukas
Live from the International Fluid Academy Day (IFAD) in Amsterdam; the team explain how you can join in for free online https://www.fluidacademy.org/ ...
Part 3 of 3 - No elective surgery if hematocrit is less than 36! How can you get started? | EBPOM USA - Atlanta
22 Nov 2018
Contributed by Lukas
The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on www....
Part 2 of 3 - Treating pre-op anemia with i.v. iron is safe and effective | EBPOM USA - Atlanta
21 Nov 2018
Contributed by Lukas
The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on www....
Part 1 of 3 - Preoperative anemia is a risk factor for poor outcomes | EBPOM USA - Atlanta
20 Nov 2018
Contributed by Lukas
The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on www....
Part 3 of 3: Smoking kills more than all addictive substances combined - plus car accidents | EBPOM USA - Atlanta
19 Nov 2018
Contributed by Lukas
Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, wo...
Hypoxia and the Brain | Xtreme Everest
18 Nov 2018
Contributed by Lukas
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel a...
Part 2 of 3: Smoking kills more than all addictive substances combined - plus car accidents | EBPOM USA - Atlanta
17 Nov 2018
Contributed by Lukas
Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, wo...
Part 1 of 3: Smoking kills more than all addictive substances combined - plus car accidents | EBPOM USA - Atlanta
16 Nov 2018
Contributed by Lukas
Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, wo...
Part 2 of 2: Obstructive sleep apnea- Snoring is boring and can seriously damage your health | EBPOM USA - Atlanta 2018
15 Nov 2018
Contributed by Lukas
Standing up an Obstructive Sleep Apnea (OSA) Clinic. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and ...
Part 1 of 2: Obstructive sleep apnea- Snoring is boring and can seriously damage your health | EBPOM USA - Atlanta 2018
14 Nov 2018
Contributed by Lukas
Standing up an Obstructive Sleep Apnea (OSA) Clinic. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and ...
Heart disease in pregnancy | EBPOM Ireland 2018
13 Nov 2018
Contributed by Lukas
This talk covers heart disease in pregnancy and was taken from the "20th Current Controversies in Anaesthesia & Peri-Operative Medicine" conference w...
Point of care ultrasound, POCUS | ASA 2018
12 Nov 2018
Contributed by Lukas
What is "Point of care ultrasound" or POCUS? What is the usefulness of ultrasound? Have the boundaries of this application been reached yet? How do yo...
The Significance of the Microcirculation | Xtreme Everest
11 Nov 2018
Contributed by Lukas
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel a...
Enhanced Recovery v2.0 | ASA 2018
10 Nov 2018
Contributed by Lukas
Where are we with the journey from Enhanced Recovery (ER) to Perioperative Medicine? Is it fair to characterise the latter as "Enhanced Recovery v2.0"...
Paediatrics and opioids Part 2 | ASA 2018
09 Nov 2018
Contributed by Lukas
How important is 'expectation management' in pediatrics? What could the usefulness of cannabis be as a way of reducing reliance on opioids? Is researc...
Paediatrics and opioids. Part 1 | ASA 2018
08 Nov 2018
Contributed by Lukas
Recognising and treating pain in children has gone through significant change over the years, this is a trend that looks set to continue. With a focus...
ERAS for elective C-Section- Mom needs ERAS too Part 2 | ASA 2018
07 Nov 2018
Contributed by Lukas
The conversation from part 1 continues with questions such as; what specific anaesthesia protocols do you use? Is there room in this context to consid...
ERAS for elective C-Section- Mom needs ERAS too Part 1 | ASA 2018
06 Nov 2018
Contributed by Lukas
The conversation begins with some thoughts on Enhanced Recovery (ER) for the obstetric patient. Further discussion covers the "transatlantic" differen...
Roundtable: Enhanced Recovery After Surgery | EBPOM USA - Chicago 2018
05 Nov 2018
Contributed by Lukas
This roundtable discussion digs deep into the question of Enhanced Recovery After Surgery (ERAS), how do you obtain buy in and sustainability and what...
The Problem with Hypoxia – the inception of Xtreme Everest | Xtreme Everest
04 Nov 2018
Contributed by Lukas
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel ap...
Promo - Joff Lacey's Xtreme Everest Extra, out every Sunday! | Xtreme Everest
04 Nov 2018
Contributed by Lukas
This piece is a quick reminder that we have launched a new series on TopMedTalk "Xtreme Everest Extra". It's in four parts and we're going to be relea...
Smith's Medical Symposium on Enhanced Recovery – Part 6 | ASA 2018
03 Nov 2018
Contributed by Lukas
Recorded before a live audience and streamed on www.topmedtalk.com The conversation from part 5 continues. More on Caesarian Section plus: should we i...
Smith's Medical Symposium on Enhanced Recovery – Part 5 | ASA 2018
02 Nov 2018
Contributed by Lukas
Recorded before a live audience and streamed on www.topmedtalk.com The conversation from part 4 continues, the subject is, Enhanced Recovery After Sur...
Smith's Medical Symposium on Enhanced Recovery part 4 | ASA 2018
01 Nov 2018
Contributed by Lukas
Recorded before a live audience and streamed on www.topmedtalk.com The subject is, Enhanced Recovery After Surgery for obstetrics and Caesarean se...
Smith's Medical Symposium on Enhanced Recovery part 3 | ASA 2018
31 Oct 2018
Contributed by Lukas
Recorded before a live audience this piece continues the question and answer session from parts one and two. Epidurals versus plane blocks, what do yo...
Smith's Medical Symposium on Enhanced Recovery part 2 | ASA 2018
30 Oct 2018
Contributed by Lukas
What is the balance of risks and benefits related to regional anaesthesia? Does the short term use of opioids really contribute to the opioid crisis? ...
Smith's Medical Symposium on Enhanced Recovery part 1 | ASA 2018
29 Oct 2018
Contributed by Lukas
Recorded before a live audience this Q&A session was recorded at the annual meeting of the American Society of Anesthesiologists (ASA) at a specially ...
Frailty and the perioperative patient - enhancing recovery | ASA 2018
28 Oct 2018
Contributed by Lukas
Where is perioperative medicine as a specialty in the US? How do frail patients benefit from the perioperative process? Age and physical fitness are i...
Considerations for the obstetric patient; ERAS for C-section | ASA 2018
27 Oct 2018
Contributed by Lukas
Obstetrics might seem the natural place for Enhanced Recovery After Surgery (ERAS). Which components of Enhanced Recovery apply the most to a procedur...
Regional anaesthesia associated with improved cancer survival – new data | ASA 2018
26 Oct 2018
Contributed by Lukas
This piece is a deep dive into regional anaesthesia for Enhancing Recovery. Hear how paravertebral nerve blocks can be used in breast cancer surgery, ...
Improving outcomes for the perioperative patient | ASA 2018
25 Oct 2018
Contributed by Lukas
Enhanced Recovery After Surgery (ERAS) is the focus for the TopMedTalk team at this year's ASA. This piece features discussion regarding; what to do a...
Optimising the perioperative patient | ASA 2018
24 Oct 2018
Contributed by Lukas
This piece is about optimizing the perioperative patient for Enhanced Recovery (ER). Hear from one of the pioneers of ER for laparoscopic colorectal s...
The practical applications of innovation | ASA 2018
23 Oct 2018
Contributed by Lukas
How do new technologies impact the postoperative elements of Enhanced Recovery? We discuss ward monitoring 3.0 and the technology available, or in the...
Teaching Anaesthesia to Medical Students | ASA 2018
22 Oct 2018
Contributed by Lukas
This fascinating conversation revolves around the experience and need for good teachers in the field of Anaesthesia. How do we encourage professionals...
Perioperative Fluid Management to Enhance Recovery After Surgery | ASA 2018
21 Oct 2018
Contributed by Lukas
This conversation focuses on perioperative fluid management as part of Enhanced Recovery After Surgery (ERAS). Firstly, the team addresses the online ...
Massive study of quality shows no benefit; why? | ASA 2018
20 Oct 2018
Contributed by Lukas
Lessons learned from the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality ...
Building a sustainable ERAS programme | ASA 2018
19 Oct 2018
Contributed by Lukas
This fascinating in-depth conversation about Enhanced Recovery After Surgery, facilitated by questions both from our worldwide online audience and peo...
Fluid - Matters; Part 2 Total body water and electrolytes | TopMedTalk Highlight
19 Oct 2018
Contributed by Lukas
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most d...
ERAS working with existing resources | ASA 2018
18 Oct 2018
Contributed by Lukas
Despite the fact that a return on investment is a given after 12 months why is it that resources are not available for those of us pushing for Enhance...
RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results | TopMedTalk Highlight
18 Oct 2018
Contributed by Lukas
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far, as vo...
Welcome to The ASA | ASA 2018
17 Oct 2018
Contributed by Lukas
Join the team on the first day of the ASA in San Francisco. Originally streamed live on http://www.topmedtalk.com from the Smith's Medical Booth in t...
I want to dance at my daughter's wedding | TopMedTalk Highlight
17 Oct 2018
Contributed by Lukas
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far. "I...
The Roundtable on NELA and shared decision making | TopMedTalk Highlight
16 Oct 2018
Contributed by Lukas
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far. "E...
The Global Council on Brain Health | ASA 2018
15 Oct 2018
Contributed by Lukas
This fascinating piece is essential listening from the ASA 2018. Originally streamed live on www.topmedtalk.com during our live coverage of the confer...
The Brain Health Initiative | TopMedTalk Highlight
15 Oct 2018
Contributed by Lukas
We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch...
Henrik Kehlet: Recovery is all about inflammation! | ASA 2018
14 Oct 2018
Contributed by Lukas
On the morning of the first day of the 2018, annual conference, of the American Society of Anesthesiologists (ASA) Monty Mythen and Desiree Chappell w...
Direct laryngoscopes should be consigned to history? | TopMedTalk Highlight
14 Oct 2018
Contributed by Lukas
We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch...
EBPOM USA - CHICAGO 2018 | Frailty assessment, why and how? Part 2 | EBPOM USA - Chicago 2018
13 Oct 2018
Contributed by Lukas
In this, the second of a two part piece, the issue of frailty is assessed as a diagnosis. The realities of treating, often elderly people, who suffer...
Treating Patients Properly | TopMedTalk Top Ten
13 Oct 2018
Contributed by Lukas
We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch...
Frailty assessment, why and how? Part 1 | EBPOM USA - Chicago 2018
12 Oct 2018
Contributed by Lukas
In this two part piece the issue of frailty is assessed as a diagnosis. The realities of treating, often elderly people, who suffer from it are examin...
The FEDORA Trial | TopMedTalk Top Ten
12 Oct 2018
Contributed by Lukas
We're playing TopMedTalk’s top ten during the month of October, in no particular order. It's an opportunity for new and established listeners to cat...
EBPOM USA | Roundtable; Big data and predictive analytics | EBPOM USA - Chicago 2018
11 Oct 2018
Contributed by Lukas
How do hospitals and institutions best use their assets in a world of big data where we can deploy predictive analytics and the new metrics they make ...
Patients are the experts in being patients | TopMedTalk Top Ten
11 Oct 2018
Contributed by Lukas
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most ...
The Opioid crisis, can we kick the habit? - Q&A | EBPOM USA - Chicago 2018
10 Oct 2018
Contributed by Lukas
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this is the question and answer session which followed the talk "T...
Sir Bruce Keogh The NHS at 70 | TopMedTalk Top Ten
10 Oct 2018
Contributed by Lukas
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most d...
The Opioid crisis, can we kick the habit? | EBPOM USA - Chicago 2018
09 Oct 2018
Contributed by Lukas
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in less than 10 minutes, lays out the case for kicking...
Fluid - Matters; Part 2 Total body water and electrolytes | TopMedTalk Top Ten
09 Oct 2018
Contributed by Lukas
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most d...
Wrong surgery or wrong patient? - Q&A | EBPOM USA - Chicago 2018
08 Oct 2018
Contributed by Lukas
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Mike ...
RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results | TopMedTalk Top Ten
08 Oct 2018
Contributed by Lukas
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far, as vo...
Wrong surgery or wrong patient? | EBPOM USA - Chicago 2018
07 Oct 2018
Contributed by Lukas
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in less than 15 minutes, lays out the case for shared ...
I want to dance at my daughter's wedding | TopMedTalk Top Ten
07 Oct 2018
Contributed by Lukas
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far. "I wa...
ACOs are the only hope for affordable health care - Q&A | EBPOM USA - Chicago 2018
06 Oct 2018
Contributed by Lukas
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Lee F...
The Roundtable on NELA and shared decision making | TopMedTalk Top Ten
06 Oct 2018
Contributed by Lukas
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far. "E...
ACOs are the only hope for affordable health care | EBPOM USA - Chicago 2018
05 Oct 2018
Contributed by Lukas
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in approximately 15 minutes, lays out the case for Acc...
The Brain Health Initiative | TopMedTalk Top Ten
05 Oct 2018
Contributed by Lukas
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most d...
Perioperative medicine is population health - Q&A | EBPOM USA - Chicago 2018
04 Oct 2018
Contributed by Lukas
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this is the question and answer session which followed Sol Aronso...
Direct laryngoscopes should be consigned to history? | TopMedTalk Top Ten
04 Oct 2018
Contributed by Lukas
This episode is one of the top ten most downloaded podcasts we've done so far. The debate 'Direct laryngoscopes should be consigned to history' was ho...