TopMedTalk
Episodes
Techno Talk: My PreOp
26 Mar 2018
Contributed by Lukas
On this episode Dr Paul Upton explains My Preop. For more information go to: www.ultramed.co Broadcaster Nick Margerrison presents Techno Talk...
2.9 The Brain Health initiative
26 Mar 2018
Contributed by Lukas
Carol Peden and Lee A. Fleisher join Desiree Chappell for a fascinating discussion about cognitive function after surgery and a wider conversation abo...
How is perioperative medicine taking control in 2018 and beyond?
24 Mar 2018
Contributed by Lukas
An intense and fascinating conversation which acts as a swift update for those interested in where perioperative medicine is currently at and what its...
2.7 What does enhanced recovery mean to you?
19 Mar 2018
Contributed by Lukas
Ruchir Gupta and Joni Brady sit at the Roundtable with Desiree Chappell to discuss implimenting better practices and "ERAS 2.0". The ground up approac...
Looking back over ASER 2018
18 Mar 2018
Contributed by Lukas
Joff Lacey, Monty Mythen, Mike Grocott and Desiree Chappell look back at a successful and, at points very passionate, ASER 2018. What are we now looki...
How do you bring perioperative care to your practice?
18 Mar 2018
Contributed by Lukas
Arman Dagal and Desiree Chappell discuss bringing about change, managing and sustaining it over time and helping relate it to patient outcomes. What i...
How do you promote ERAS both inside and outside your facility?
18 Mar 2018
Contributed by Lukas
Kara Douglas and Joni Brady speak about the advantages of enhanced recovery and what practicioners can do to promote it. Educating both the wider comm...
Monitoring patients in the post operative period
17 Mar 2018
Contributed by Lukas
Joff Lacey catches up with Matt McEvoy after a lively debate about monitoring patients in the post operative period. One of the big moments of ASER 20...
2.8 Critical care patients and enhanced recovery
17 Mar 2018
Contributed by Lukas
Desiree Chappell, Philip Corvo and Vicki Morton discuss critical care patients and enhanced recovery pathways. How do the insights of ERAS apply to th...
ERAS Implementation
16 Mar 2018
Contributed by Lukas
Joff Lacey catches up with Mike Scott (Virginia Commonwealth University) and Ross Kerridge (John Hunter Hospital, Newcastle, Australia) in the exhibit...
2.6 Enhanced recovery for liver resection patients
16 Mar 2018
Contributed by Lukas
Michael Scott, Neil Seeley, Kevin Watkins and Desiree Chappell discuss enhanced recovery pathways, specifically regarding liver sections and other com...
2.5 How ERAS introperative protocols drive outstanding outcomes
16 Mar 2018
Contributed by Lukas
Raul Castillo, Jennifer Clark and Kay Smith join Desiree Chappell to discuss their experiences of enhanced recovery. They discuss how just imprementin...
Using a team approach to care
16 Mar 2018
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...
Heated discussions - exponential rise in babies born addicted to opiodes
16 Mar 2018
Contributed by Lukas
Joff Lacey, Monty Mythen and Patrick Shanahan get stuck into an informative discussion about yesterday's 'heated' and controversial debate regarding t...
How has enhanced recovery changed your practice?
15 Mar 2018
Contributed by Lukas
Desiree Chappell, Dr Vijaya Gottumukkala and Dr George Nassif discuss the changes enhanched recovery has brought into their world, the conversation th...
What is ASER's vision for 2018
15 Mar 2018
Contributed by Lukas
The Roundtable Blog on TopMedTalk, live from ASER 2018. Dr Julie Thacker takes some time with Desiree Chappell to discuss ASER's vision for this year.
Meet the TopMedTalk team for ASER 2018
15 Mar 2018
Contributed by Lukas
Monty Mythen, Joff Lacey and Mike Grocott chat with Desiree Chappell about the plan for the TopMedTalk team at ASER 2018. Joff Lacey will be out and a...
The Opiate crisis - TOPMEDTALK live from ASER 2018
15 Mar 2018
Contributed by Lukas
Monty Mythen, Joff Lacey and Mike Grocott look ahead to this years conference and look back over the meeting last year in Washington. The team discuss...
"My Pre-op". Empowering patients before surgery.
14 Mar 2018
Contributed by Lukas
Techno Talk Broadcaster Nick Margerrison presents Techno Talk; joined by Professor Monty Mythen, editor in Chief of TopMedTalk and Pete Paterson, a sp...
Are you ready for ASER 2018?
14 Mar 2018
Contributed by Lukas
Desiree Chappell, Monty Mythen, Tim Miller and Stefan Holubar discuss some of the big issues at ASER 2018. The team discuss whether or not we're at th...
Optimal analgesia within an enhanced recovery pathway
13 Mar 2018
Contributed by Lukas
Mike Grocott, Joff Lacey, Monty Mythen and Julie Thacker react to the American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiati...
Journal Club Xpress: After non-cardiac surgery myocardial injury is common and dangerous.
12 Mar 2018
Contributed by Lukas
Myocardial Injury after Noncardiac Surgery: A Large, International, Prospective Cohort Study Establishing DiagnosticCriteria, Characteristics, Predict...
Journal Club: Multi-centre trial in BJA: Goal Directed Therapy improves outcomes
10 Mar 2018
Contributed by Lukas
Effect of goal-directed haemodynamic therapy on postoperative complications in low–moderate risk surgical patients: a multicentre randomised control...
Dr Tim Miller and Dr Julie Thacker
10 Mar 2018
Contributed by Lukas
Dr Tim Miller, Anesthesiologist from Duke talks about opiods "we're definately opening our eyes in The States". Also, Dr Julie Thacker, President o...
Bowel Prep and Opiates
08 Mar 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...
Is rehabilitation a team sport?
07 Mar 2018
Contributed by Lukas
Dr Steve Flanagan - Chair of Physical Medicine and Rehabilitation at NYU Langone. Taken from the Roundtable discussions hosted by Desiree Chappell liv...
Journal Club Xpress: > 100K patient study of Spinal vs GA for fractured neck of femur
06 Mar 2018
Contributed by Lukas
Association of Hospital-level Neuraxial Anesthesia Use for Hip Fracture Surgery with Outcomes: A Population-based Cohort Study McIsaac D et al. Anesth...
Sol Aronson and Monty Mythen speak about the forthcoming EBPOM USA meeting, April 13-15th.
06 Mar 2018
Contributed by Lukas
Sol Aronson and Monty Mythen speak about the forthcoming EBPOM 2018 annual conference in Atlanta. -- For more details on the upcoming Perioperative Pr...
Journal Club Express
05 Mar 2018
Contributed by Lukas
2 articles in March 1st NEJM of circa 30,000 patients studied at Vanderbilt Medical Centre, USA One in non-critically ill patients. Click here: http:...
Are you screening surgical patients adequately for malnutrition?
01 Mar 2018
Contributed by Lukas
Monty Mythen talks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, USA about the recently e.published American So...
The beauty of shared decision making?
27 Feb 2018
Contributed by Lukas
A short digest of the longer chat from Desiree Chappell's "Round Table Blog", hosted at the American College of Perioperative Medicine's Interdiscipl...
Lifesaving news; big data delivers shocking information regarding intraoperative blood pressure - Dan Sessler at the ASA 2017
22 Feb 2018
Contributed by Lukas
A stunning moment from last year's conference, captured exclusively on TopMedTalk; Monty Mythen and Mike Grocott are joined by Dr Dan Sessler (Clevela...
"A seminal moment in anaesthesia" - Julian Gore-Booth ASA 2017
21 Feb 2018
Contributed by Lukas
Julian Gore-Booth, Chief Executive Officer at The World Federation of Societies of Anaesthesiologists, in an exclusive interview for TopMedTalk at las...
The singularity university and exponential change
20 Feb 2018
Contributed by Lukas
The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisc...
Pre-operative and post-operative rehabilitation
20 Feb 2018
Contributed by Lukas
The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdis...
Using new technology with elderly patients
20 Feb 2018
Contributed by Lukas
The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interd...
Knowing your outcomes
20 Feb 2018
Contributed by Lukas
The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdis...
The magic of value based care
20 Feb 2018
Contributed by Lukas
The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdi...
Patients are the experts in being patients
20 Feb 2018
Contributed by Lukas
The penultimate part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the open...
Perioperative care and the multidisciplinary approach
20 Feb 2018
Contributed by Lukas
The final part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening ni...
Zeev Kain | TopMedTalks to ...
12 Feb 2018
Contributed by Lukas
Desiree Chappell speaks with Zeev Kain, organiser of the American college of perioperative medicine interdisciplinary conference on orthopaedic value ...
The future of value based care.
11 Feb 2018
Contributed by Lukas
Monty Mythen and Desiree Chappell of The Roundtable blog speak with Jan Vest, C.E.O of Signature Medical Group and Josh Luke, America's leading health...
Barriers and successes in value based care
11 Feb 2018
Contributed by Lukas
Desiree Chappell from The Round Table blog speaks with Dr. Jay Pond and Allan Beck Chief Executive Officer of the Baylor Orthopedic and Spine Hospital...
Value based care at the Baylor Orthopedic and Spine Hospital, Arlington.
11 Feb 2018
Contributed by Lukas
Desiree Chappell catches up with John Boudreaux and Phillip Gallegos from the Baylor Orthopedic and Spine Hospital, Arlington. They discuss improving ...
Utilization of pre-op management and pre-habilitation.
11 Feb 2018
Contributed by Lukas
Desiree Chappelle of The Round Table perioperative care blog and our very own Monty Mythen are joined by Linda Russell. Linda is a national expert in ...
Rehabilitation: exercise is real medicine
10 Feb 2018
Contributed by Lukas
Steve Flanagan, Brian Stewart and Colleen Walsh join Desiree Chappelle and Monty Mythen on TopMedTalk in association with The Round Table Perioperativ...
Don't ask patients 'what is the matter' ask them what matters?
10 Feb 2018
Contributed by Lukas
Desiree Chappell of The Roundtable blog, with Monty Mythen of TopMedTalk discuss outcomes and patient care, what matters the most? They are joined by ...
Should you have to lose weight before you get a new knee?
10 Feb 2018
Contributed by Lukas
Should you have to lose weight before you get a new knee. A short sampler from Desiree's round table discussion with TopMedTalk.
Today at value based orthopedic care 2018
09 Feb 2018
Contributed by Lukas
Professor Monty Mythen and the TopMedTalk team have just arrived in Southern California to join Desiree Chappell for the American College of Periopera...
Should more surgery be postponed the USA to better prepare patients?
08 Jan 2018
Contributed by Lukas
Bowel prep for ERAS? President of ASER live from Washington DC meeting 2017.
08 Jan 2018
Contributed by Lukas
Bowel prep has moved on and become “less harmful”, patient satisfaction is now part of the process, it wasn’t always previously. How is surgical...
Post-operative Frailty. Fay Gilder Live from American Society of Anesthesiology, Boston 2017 (1min 24 sec)
08 Jan 2018
Contributed by Lukas
Presidential visit to the Ether Dome at Massachusett's General Hospital in Boston
05 Nov 2017
Contributed by Lukas
Joff Lacey joins Dr Liam Brennan (President, Royal College of Anaesthestists) and Dr Andy Bailey (Addenbrooke's Hospital, Cambridge) on a trip to the ...
Live from Boston ASA 2017 - The RELIEF Trial
23 Oct 2017
Contributed by Lukas
The REstrictive Versus LIbEral Fluid Therapy in Major Abdominal Surgery: RELIEF Study (RELIEF) is discussed. How much IV fluid should be used? Will a ...
Live from Boston ASA 2017 - Life at The Extremes - trials on Everest & adapting to hypoxia
23 Oct 2017
Contributed by Lukas
A discussion about oxygen and the Xtreme Everest research studies into human adaptation to hypoxia. How does the human body adapt to extreme condition...
Live from Boston ASA 2017 - Anaesthesia and Global Health - an expert view
23 Oct 2017
Contributed by Lukas
Podcast 12: Guest presenter Dr Liam Brennan (President of the Royal College of Anaesthetists) is joined by Dr Gonzalo Barreiro (President of the Worl...
Live from Boston ASA 2017 - Perioperative Delirium
22 Oct 2017
Contributed by Lukas
A discussion about the importance of screening and risk mitigation regarding cognitive dysfunction and delirium in the perioperative period. Monty Myt...
Live from Boston ASA 2017 - Goal Directed Fluid Therapy - Increased Risk of Kidney Injury?
22 Oct 2017
Contributed by Lukas
Podcast 10: Monty Mythen, Mike Grocott and Joff Lacey talk to Dr Tim Miller (Duke University Medical Centre) about a recent study investigating the i...
Live from Boston ASA 2017 - Physiological Principles of Goal Directed Fluid Therapy - fluid responsiveness, the stressed system and the glycocalyx
22 Oct 2017
Contributed by Lukas
Joff Lacey talks to Dr Randall Dull (University of Illinois) to pick apart the physiological principles of intraoperative fluid resuscitation and the ...
Live from Boston ASA 2017 - Enhanced Recovery and Protocolised Care in Cardiac Surgery
22 Oct 2017
Contributed by Lukas
Podcast 8: Joff Lacey is joined by Dr Davinder Ramsingh (Loma Linda University) to discuss the application of ERAS in the cardiac surgical patient.
Live from Boston ASA 2017 - The Elephant In The Room - intraoperative hypotension
22 Oct 2017
Contributed by Lukas
A discussion regarding the exciting results from the first multicentre, randomised controlled trial into targeted intraoperative blood pressure manage...
Live from Boston ASA 2017 - Intraoperative Goal Directed Fluid Therapy - where do we stand?
22 Oct 2017
Contributed by Lukas
This podcast focuses on the changing role of goal directed fluid therapy in enhanced recovery programmes. There is discussion around the Perioperative...
Live from Boston ASA 2017 - The Bigger Picture of Perioperative Medicine - the UK and USA perspective
21 Oct 2017
Contributed by Lukas
This conversation explores the extended role of the anaesthetist, brought about partly by perioperative care but more widely because of societal chang...
Live from Boston ASA 2017 - Perioperative Medicine in USA
21 Oct 2017
Contributed by Lukas
Anaesthesiology has reached a moment of great change, the discipline is evolving rapidly. With change comes opportunity, this conversation explores th...
Podcast 3: Live from Boston ASA 2017 – Perioperative Medicine and the Perioperative Surgical Home – are we talking the same language?
21 Oct 2017
Contributed by Lukas
Discussion about the challenge of delivering patient-centred, value-driven healthcare. Value based care is discussed, value for the patient is emphas...
Podcast 2: Live from Boston ASA 2017 - The big challenge of big trials
21 Oct 2017
Contributed by Lukas
The challenges facing the anaesthesia community as the need for big trials looms large. Why does it take so long for the anaesthesia community to adop...
Podcast 1: Live from Boston ASA 2017 - Anaesthesia and the Perioperative Medicine movement
21 Oct 2017
Contributed by Lukas
The largest gathering of anaesthesiologists in the world; feel as if you're there with the TopMedTalk team at ASA 2017. This discussion covers the bi...
Anesthesiology 2017 intro
17 Oct 2017
Contributed by Lukas
TopMedTalk ASA 2017 mission statement. The start of our live coverage from Boston.
Urine output | TopMedTalk General
04 Sep 2017
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...
Renal Injury Biomarkers
04 Sep 2017
Contributed by Lukas
How do cell cycle arrest biomarkers offer hope? Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests John A. Kellum, Tenured Profess...
Perioperative Nephrology Fluids and the Kidney
04 Sep 2017
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 John A. K...
Intraoperative Hypotension
04 Sep 2017
Contributed by Lukas
Reactions to one of the big take away points of EBPOM 2017, intraoperative hypotension lower than 65 mmHg appears to show a close correlation to terri...
Risk of Surgery
04 Sep 2017
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...
Refusing Surgery | EBPOM World Congress 2017
04 Sep 2017
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...
Fitness for surgery | EBPOM World Congress 2017
04 Sep 2017
Contributed by Lukas
Fitness for surgery and an understanding of the realities of risk. How important is it for surgery to take place when balanced against the specific he...
Perioperative Enhancement Teams | ASER 2017
30 Aug 2017
Contributed by Lukas
ASER 2017 and the POET acronym - a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation programmes. M...
Pain Management for ESR "optimal analgesia" | ASER 2017
30 Aug 2017
Contributed by Lukas
Pain Relief in Enhanced Surgical Recovery. Monty Mythen asks Dr Joff Lacey and Professor Mike Grocott to reflect on the pain management discussions fr...
Standardised Outcomes from Surgery. Drink, Eat, Mobilise (DrEaM) | ASER 2017
30 Aug 2017
Contributed by Lukas
Dr Ramani Moonesinghe on Standardised Outcomes from Major Surgery. Dr Joff Lacey and Professor Monty Mythen talk to Dr Ramani Moonesinghe, Director o...
Length of stay after Major Surgery. Less than 3 days with >90% mobilised on day 1 | ASER 2017
30 Aug 2017
Contributed by Lukas
Discussion focused on: outcomes, length of stay and DREAMS (Drinking, Eating and Mobilising) within hours after major surgery, all key process and out...
Critical Care Provision after Major Surgery | ASER 2017
30 Aug 2017
Contributed by Lukas
What is the SNAP-2 project? This piece explains in detail, the 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after ...
Bowel Prep for colorectal surgery patients on enhanced recovery pathways? EBPOM World Congress 2017
30 Aug 2017
Contributed by Lukas
Bowel Prep and Enhanced Recovery After Surgery. Monty Mythen interviewing Dr Julie Thacker, President of the American Society of Enhanced Recovery and...
Too many patients presenting for surgery are malnourished. We need to do more to fix this | ASER 2017
30 Aug 2017
Contributed by Lukas
"More than half our patients who come to us for surgery with enhanced recovery are malnourished"; nutrition for patients scheduled for major surgery. ...
Fit for Surgery? Can exercise fight cancer? | ASER 2017
30 Aug 2017
Contributed by Lukas
Fit 4 Surgery School and can exercise help fight cancer. Monty Mythen and Joff Lacey talk to Professor Mike Grocott about the 'pre-habillitation re-...
What I tell my patients to expect after colorectal surgery | EBPOM World Congress 2017
30 Aug 2017
Contributed by Lukas
Colorectal surgery and Enhanced Surgical Recovery. Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and Dr Julie Thacker and ...
Goals for Short Term Recovery after Major Surgery | EBPOM World Congress 2017
30 Aug 2017
Contributed by Lukas
(http://www.ebpom.org/EBPOM-USA) about getting back to normal after major colorectal surgery. Attend our next meeting: http://www.ebpom.org/EBPOM-USA ...
Measuring Outcomes following Surgery | ASER 2017
30 Aug 2017
Contributed by Lukas
Measuring Outcomes Monty Mythen and Joff Lacey talk to Prof Mike Grocott (UK), Tim Miller (USA) and special guest Dr Ramani Moonesinghe about outcomes...
The Perioperative Quality Initiative | ASER 2017
30 Aug 2017
Contributed by Lukas
Discussion of the ASER and POQI papers of 2017. Joff Lacey and Monty Mythen talk to Dr Tim Miller, Anaesthesiologist at Duke and vice-president of th...
Enhanced Surgical Recovery: Goal Directed for all ESR Patients? DR Tim Miller, Duke, USA | ASER 2017
30 Aug 2017
Contributed by Lukas
Dr Tim Miller anaesthesiologist at Duke Medical Centre and Vice President of ASER on Fluid Management in ESR and the recent guidelines from ASER and T...
Perioperative Fluid Management. Get that i.v. down ASAP! | ASER 2017
30 Aug 2017
Contributed by Lukas
Reflections on ASER Fluid management; NPO; preop drinks and keeping the i.v down. Monty Mythen is presenting with his guest Dr Scott Brudney, Profes...
Enhanced Surgical Recovery: Tackling the Narcotic Crisis | ASER 2017
30 Aug 2017
Contributed by Lukas
The horrors of 'the opioid crisis'. The fuller version of this piece is to be found here: http://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-l...
ERAS: Team working and managing change | ASER 2017
30 Aug 2017
Contributed by Lukas
Dr Julie Thacker, President of ASER talking to TopMedTalk Radio live at ASER 2017, Washington DC, USA. Multidisciplinary teams and managing change - '...
Pod Two - LIVE from London | EBPOM World Congress 2017
26 Jul 2017
Contributed by Lukas
The team begin with a fascinating discussion regarding statistics and the assessment of risk. The generalised risks of surgery and the way in which NE...
Pod One - LIVE from London | EBPOM World Congress 2017
26 Jul 2017
Contributed by Lukas
This discussion, recorded on day one of EBPOM 2017, a truly international gathering with many countries represented. The Intraoperative hypotension ...
Recap - Pod Three - LIVE from London | ASER 2017
26 Jul 2017
Contributed by Lukas
Discussion includes a recap of the last few podcasts. Desiree Chappell joins us to update the team on 'the opioid crisis'; 50 overdoses in a twenty ho...
Pod Two - LIVE from Washington DC | ASER 2017
26 Jul 2017
Contributed by Lukas
In this piece you will hear more discussion regarding the POQI papers, a growing concensus on goal directed fluid therapy and the move away from opioi...
Pod One - LIVE from Washington DC | ASER 2017
26 Jul 2017
Contributed by Lukas
ASER 2017 a “truly multidisciplinary conference” and "one of the best ones yet"; looking to continue to increase membership and push further educa...