TopMedTalk
Episodes
Perioperative Medicine - where we were, where we are now and where want to be P1 | EBPOM Ireland 2020
25 Jun 2021
Contributed by Lukas
This piece is a worthwhile deep dive into this perioperative medicine and how we go forward with it. Hear the panel speak about what it is they want f...
Depth of anaesthesia and long term outcomes | EBPOM Ireland 2020
24 Jun 2021
Contributed by Lukas
"More than 300 million patients have surgery annually worldwide and an increasing proportion of them are elderly and at risk of perioperative adver...
Haemodynamic optimisation: the song remains the same | EBPOM Ireland 2020
23 Jun 2021
Contributed by Lukas
"The song remains the same" The story picks up toward the end of the 1970's; "interesting stuff was going on ... Professor William Shoemaker, a surgeo...
'Hip Attack' with PJ Devereaux | EBPOM World Congress 2020
22 Jun 2021
Contributed by Lukas
"Accelerated surgery for hip fracture is safe and feasable, with troponin elevation before randomization, there was a mortality advantage with acceler...
Perioperative anticoagulation and anti platelet management; a user friendly approach - audience questions | EBPOM USA - Chicago
21 Jun 2021
Contributed by Lukas
This piece is divided into two parts, the first being discussion between the panelists and the second, part 2, being questions from the online audienc...
Perioperative anticoagulation and anti platelet management; a user friendly approach (REPEAT) | EBPOM USA - Chicago
20 Jun 2021
Contributed by Lukas
The conversation begins with "a day in the life" with respect to managing the anti coagulation questions that come up commonly. The contributors swap ...
Daniel Engelman updates in cardiac | EBPOM USA - Chicago 2020
19 Jun 2021
Contributed by Lukas
How can enhanced recovery after surgery (ERAS) be applied to cardiac and what exciting opportunities are there for those who have made this their miss...
The value proposition in perioperative medicine (REPEAT) | EBPOM USA - Las Vegas 2021
18 Jun 2021
Contributed by Lukas
"Look at it from where is the patient, and what's best for the patient; I think that the other answers follow and yes, it is higher quality, yes, ther...
The size and scope of the problem with Jim Grant & Mike Englesbe (REPEAT) | EBPOM USA - Las Vegas 2021
17 Jun 2021
Contributed by Lukas
"When I heard Sol Aronson, speak about perioperative medicine as 'population health', for me, it was like a eureka moment because our platform within ...
Models of perioperative care "the science of value" (REPEAT) | EBPOM USA - Chicago 2020
16 Jun 2021
Contributed by Lukas
This piece is part one of a two part piece. It's a short didactic presentation on the tough realities the U.S. healthcare system faces as the fee for ...
Daniel Engelman Q&A | EBPOM USA - Chicago
15 Jun 2021
Contributed by Lukas
"So in all these ERAS programs, you need a physician champion, a nurse champion, a coordinator; then we brought our pharmacist in - I will not start r...
Postoperative critical care: How do we help? | EBPOM World Congress 2020
14 Jun 2021
Contributed by Lukas
This piece is a question and answer session with questions from the online audience. What do we think is the clinical care difference that having an e...
Roundtable discussion: Delivering value (REPEAT) | EBPOM USA - Las Vegas 2021
13 Jun 2021
Contributed by Lukas
This roundtable discussion tackles questions from the online audience and is the third part of a longer discussion. It follows on from "The value prop...
Leadership with Jeff Vender: Part 2 - Q&A | EBPOM USA - Chicago
12 Jun 2021
Contributed by Lukas
This piece is the second part of a conversation about leadership in medicine, during times of change. It follows on from the first part where our spea...
Leading Health Systems in times of change with Jeff Vender: Part 1 | EBPOM USA - Chicago
11 Jun 2021
Contributed by Lukas
"I believe most people can be leaders or better leaders. You can create or participate in change and a better future. You can make a difference in you...
Am I safe? Q & A with Lee Fleisher | EBPOM World Congress 2020
10 Jun 2021
Contributed by Lukas
This question and answer session was a highlight of EBPOM London 2020, it works as a standalone piece or as a companion piece to this talk here: https...
World Delirium Awareness Day with iDelirium | TopMedTalk
09 Jun 2021
Contributed by Lukas
This piece focuses on iDelirium; The International Federation of Delirium Societies on world delirium day. As well as considering this difficult condi...
The ERAS Cardiac Society Conference Day 2 | ERAS Cardiac 2021
08 Jun 2021
Contributed by Lukas
"The goal of ERAS® Cardiac is when you leave one of our meetings, you're going to be chock full of tips and tricks that you can take back and impleme...
The ERAS Cardiac Society Conference | ERAS Cardiac 2021
07 Jun 2021
Contributed by Lukas
"You didn't have to think about it, the compliance continued, because it was so standardized. We had a well oiled machine that just kept on working th...
ERAS® Cardiac Roundtable with Kevin Lobdell, Rawn Salenger, Desiree Chappell | ERAS Cardiac 2021
06 Jun 2021
Contributed by Lukas
"You have to take the viewpoint that if the Nurses and the Physical Therapists and the Pharmacists are resisting the idea that you're putting forward,...
TopMedTalks to Jeffrey Gum, Assistant Clinical Professor, Department of Orthopaedic Surgery, University of Louisville, Spine Surgeon, Leatherman Spine Center| TopMedTalk
05 Jun 2021
Contributed by Lukas
"Our real 'next barrier' in the continuum of care is, it's okay to have pain, right? It's expected to have pain. [...] but it is better for you recove...
Fitness, function or frailty? P2 | EBPOM World Congress 2020
04 Jun 2021
Contributed by Lukas
This piece is a continued deep dive into the subject, of 'fitness, function, or frailty' and, perhaps, "fixing". It's essential listening for anyone i...
Fitness, function or frailty? P1 | EBPOM London 2020
03 Jun 2021
Contributed by Lukas
Fitness, function and, or, frailty are important determinants of the quality of the life that we live. In the context of major surgery it's very impor...
Finding Goldilocks, more or less | EBPOM 2020
02 Jun 2021
Contributed by Lukas
With questions from the online audience, this piece looks at the "not too much and not too litte" sweet spot regarding fuel, fluid and oxygen; where i...
Taking the time to care | COVID19
01 Jun 2021
Contributed by Lukas
"I just feel there is some intrinsic value to, you know, a human presence" This piece tells the story of an anesthesiologist who, once vaccinated, dec...
Enhanced Recovery After Surgery (ERAS) Part 2 | EBPOM USA - Chicago 2020
31 May 2021
Contributed by Lukas
Part 2 of this conversation continues the momentum of Part 1 with a conversation about electronic medical records (EMR), how important data is to the ...
Enhanced Recovery After Surgery (ERAS) PART 1 | EBPOM USA - Chicago 2020
30 May 2021
Contributed by Lukas
This piece is a two part conversation about the essence of what many of TopMedTalk's listeners do; Enhanced Recovery. A fascinating conversation betwe...
Fit for surgery with Denny Levett | EBPOM World Congress 2020
29 May 2021
Contributed by Lukas
How important is it to screen patients and measure their fitness prior to surgery? What is exercise training in the preoperative period? There is a ve...
Enabling Enhanced Recovery Part 2 | EBPOM 2020
28 May 2021
Contributed by Lukas
"Accelerated surgery is not a panacea" This piece, presented in two parts, is a discussion about enabling enhanced recovery. Originally part of EBPOM ...
Enabling Enhanced Recovery Part 1 | EBPOM 2020
27 May 2021
Contributed by Lukas
"Accelerated surgery is not a panacea" This piece, presented in two parts, is a discussion about enabling enhanced recovery. Originally part of EBPOM ...
Models of Prehabilitation | EBPOM 2020
26 May 2021
Contributed by Lukas
This piece is an informative conversation about the models of prehabilitation from a number of different angles. Questions come in from an online audi...
Monitoring and management of neuromuscular blockade | EBPOM USA - Chicago
25 May 2021
Contributed by Lukas
"In the United States approximately 112,000 patients annually are at risk for adverse events associated with discharge from the operating room with re...
Introducing 'The CSCS Beat' podcast | ERAS Cardiac
24 May 2021
Contributed by Lukas
"As a cardiac surgeon, I feel like I'm hearing more and more about ERAS than ever before" "The CSCS Beat - more than just matters of the heart" is a f...
Prediction of Opioid Induced Respiratory Depression on the General Care Floor: Does surveillance monitoring help? | EBPOM 2020 London
23 May 2021
Contributed by Lukas
This piece deals with the prediction of opioid induced respiratory depression for our inpatients on hospital wards, could a change in monitoring pract...
Point of care Ultrasound in acute medical settings | EBPOM Ireland 2020
22 May 2021
Contributed by Lukas
"Maybe it's time to evolve our practice" Many believe ultrasound is an essential bedside tool which should be as common as the archetypal Doctor's ste...
Airway education during COVID19 and beyond | EBPOM Ireland 2020
21 May 2021
Contributed by Lukas
This piece starts with the challenges faced by non-consultant hospital doctors (NCHD's) in this pandemic environment and the challenges of teaching no...
Methadone, 'the opioid sparing opioid' | EBPOM USA - Chicago
20 May 2021
Contributed by Lukas
"There is some great literature out there that has been shared ... great data, especially in cardiac surgery, which is where we are using it and I wou...
Monitoring and management of neuromuscular blockade - questions | EBPOM USA - Chicago
19 May 2021
Contributed by Lukas
This piece, part 2 of 2, is a series of questions related to part 1; "Monitoring and management of neuromuscular blockade | EBPOM Chicago". This piece...
The Perioperative Care Team | EBPOM USA - Chicago
18 May 2021
Contributed by Lukas
This piece is an informative conversation about "the Perioperative Care Team"; who is essential to the team and how do we make sure everyone feels inc...
Redefining Hypotension based on Real-time Cerebral Autoregulation Monitoring | EBPOM USA - Chicago
17 May 2021
Contributed by Lukas
"If you want to take population based data, and define hypotension, you'll be right for the majority of our average patients, but not for all patients...
The Business Case for Prehabilitation | EBPOM London
16 May 2021
Contributed by Lukas
"It was successful early on within the National Health Service.. [because] you could eliminate the cost of some unhelpful, unnecessary tests... referr...
Screening assessment of nutritional fitness | EBPOM 2020 London
15 May 2021
Contributed by Lukas
What do we mean by "nutritionally fit" and why does it matter? How do we identify those most at risk in terms of screening and assessment and what's t...
EBPOM Chicago | Anemia Management
14 May 2021
Contributed by Lukas
"Studies suggest that even three fourths of patients may be anemic when they present for surgery and many of these patients are previously undiagnosed...
Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 2 | Chicago 2020
13 May 2021
Contributed by Lukas
This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Noted as one of...
Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 1 | EBPOM USA - Chicago 2020
12 May 2021
Contributed by Lukas
This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Noted as one of...
Frailty, Brain Health and Perioperative Cognitive Dysfunction | EBPOM USA - Chicago
11 May 2021
Contributed by Lukas
"Cognitive testing has been in the news ... there are recommendations for keeping pets mentally sound by implementing nutritional modifications, regul...
Methadone use in Perioperative Medicine | EBPOM USA - Chicago
10 May 2021
Contributed by Lukas
This talk examines the rationale for using methadone in our surgical patient population, reviews clinical trials that assess the effect of intraoperat...
The Future of Prehabilitation "Standardisation of definitions and outcomes" | EBPOM 2020 London
09 May 2021
Contributed by Lukas
"The main challenge around the variability in the perioperative period is nomenclature, definitions and standardized endpoints. Well designed and well...
Getting "fit for surgery" | EBPOM 2020 London
08 May 2021
Contributed by Lukas
"In this session, we're going to talk about the importance of fitness, frailty, function and perioperative medicine." Fitness, frailty and function ar...
Functional Assesment | EBPOM London 2020
07 May 2021
Contributed by Lukas
"Perhaps assessing functional performance is something that we've overlooked in medicine" This piece is about the role of functional assessment and st...
Nutrition and metabolism before surgery - PART 2 of 2 | EBPOM London 2020
06 May 2021
Contributed by Lukas
"I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery witho...
Nutrition and metabolism before surgery - PART 1 of 2 | EBPOM London 2020
05 May 2021
Contributed by Lukas
"I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery witho...
Models of Prehabilitation in Greater Manchester | EBPOM 2020 London
04 May 2021
Contributed by Lukas
It's widely understood that high value care during, before and immediately after surgery is optimal whereas poor quality care in the perioperative per...
Perioperative team: a surgeon’s view | EBPOM London 2020
03 May 2021
Contributed by Lukas
This piece looks at some of the advantages to having a perioperative interdisciplinary team reducing complications, understanding and discussing risk,...
Introduction to the Pathophysiology of COVID 19 | EBPOM Ireland 2020
02 May 2021
Contributed by Lukas
This piece is essential listening for any medical practitioner. The pathophysiology of COVID 19 is now being understood, although there are still a nu...
Depth of anaesthesia and long term outcomes | EBPOM Ireland 2020
01 May 2021
Contributed by Lukas
"More than 300 million patients have surgery annually worldwide and an increasing proportion of them are elderly and at risk of perioperative adverse ...
The Changes that Change Culture - panel discussion | EBPOM USA - Chicago
30 Apr 2021
Contributed by Lukas
This panel discussion covers essential ground for any institution that is trying to make real and lasting change. What do we need to know? What do our...
Video Laryngoscopy During Covid-19 | EBPOM London 2020
29 Apr 2021
Contributed by Lukas
How have we adapted in our views on the use of video laryngoscopy during the Covid-19 pandemic? Who is best suited to intubate? Are we seeing "a po...
Perioperative Medicine - where we were, where we are now and where want to be P2 | EBPOM Ireland 2020
28 Apr 2021
Contributed by Lukas
This piece is a worthwhile deep dive into this perioperative medicine and how we go forward with it. Hear the panel speak about what it is they want f...
Cryoneurolysis and pain management | TopMedTalk
27 Apr 2021
Contributed by Lukas
"We've been doing cryoneurolysis for total knees now for three years... people gravitate to practices that that practice this technology" This piece f...
Perioperative Medicine - where we were, where we are now and where want to be P1 | EBPOM Ireland 2020
26 Apr 2021
Contributed by Lukas
This piece is a worthwhile deep dive into this perioperative medicine and how we go forward with it. Hear the panel speak about what it is they want f...
Perioperative Medicine - Editor's top picks for last year | EBPOM USA - Chicago
25 Apr 2021
Contributed by Lukas
In this piece you can hear the co-editors of the Journal of Perioperative Medicine describing this year's "Editor's Picks"; the best manuscripts, l...
Models of perioperative care "the science of value" | EBPOM USA - Chicago 2020
24 Apr 2021
Contributed by Lukas
This piece is part one of a two part piece. It's a short didactic presentation on the tough realities the U.S. healthcare system faces as the fee for ...
Total ERAS is essential to clear the backlog | TopMedTalk
22 Apr 2021
Contributed by Lukas
"Data is key and having champions is key" This piece provides a truly transatlantic in-depth perspective on an area of opportunity highlighted by our ...
Perioperative Frailty with Jude Partridge | EBPOM 2020 London
22 Apr 2021
Contributed by Lukas
"If I were to develop a simple uncomplicated urinary tract infection, I may well be able to continue to go to work as I was being treated for that ill...
SNAP-2 EPICCS; summary results | EBPOM London 2020
21 Apr 2021
Contributed by Lukas
"It's useful to reflect on what SNAP-2 EPICCS might offer us in the brave new world that we find ourselves in with Coronavirus" The 2nd Sprint Nationa...
Patient Safety: How do you make the Changes that Change Culture? | EBPOM USA - Chicago 2020
20 Apr 2021
Contributed by Lukas
Patient safety, as a priority, is assumed to be at the heart of medical practice. Yet still, preventable harm and death occurs in our profession, how ...
Roundtable discussion: Delivering value | EBPOM USA - Las Vegas 2021
19 Apr 2021
Contributed by Lukas
This roundtable discussion tackles questions from the online audience and is the third part of a longer discussion. It follows on from "The value prop...
The value proposition in perioperative medicine | EBPOM USA - Las Vegas 2021
18 Apr 2021
Contributed by Lukas
"Look at it from where is the patient, and what's best for the patient; I think that the other answers follow and yes, it is higher quality, yes, ther...
The size and scope of the problem with Jim Grant & Mike Englesbe | EBPOM USA - Las Vegas 2021
17 Apr 2021
Contributed by Lukas
"When I heard Sol Aronson, speak about perioperative medicine as 'population health', for me, it was like a eureka moment because our platform within ...
Am I safe? Q&A with Lee Fleisher | | EBPOM World Congress 2020
16 Apr 2021
Contributed by Lukas
This question and answer session was a highlight of EBPOM London 2020, it works as a standalone piece or as a companion piece to this talk here: https...
Daniel Engelman Q&A | EBPOM USA - Chicago
15 Apr 2021
Contributed by Lukas
"So in all these ERAS programs, you need a physician champion, a nurse champion, a coordinator; then we brought our pharmacist in - I will not start r...
Postoperative critical care: How do we help? | EBPOM World Congress 2020
14 Apr 2021
Contributed by Lukas
This piece is a question and answer session with questions from the online audience. What do we think is the clinical care difference that having an e...
Perioperative team: a physician’s view | EBPOM 2020 London
13 Apr 2021
Contributed by Lukas
This piece considers the need to understand the patient having surgery and the complexity with which they present so we can match our skills to them. ...
Leadership with Jeff Vender: Part 2 - Q&A | EBPOM USA - Chicago
12 Apr 2021
Contributed by Lukas
This piece is the second part of a conversation about leadership in medicine, during times of change. It follows on from the first part where our spea...
Leading Health Systems in times of change with Jeff Vender: Part 1 | EBPOM USA - Chicago
11 Apr 2021
Contributed by Lukas
"I believe most people can be leaders or better leaders. You can create or participate in change and a better future. You can make a difference in you...
EBPOM 2020 London | "The Business Case: UK" by Kay Mitchell
10 Apr 2021
Contributed by Lukas
This piece presents an invaluable wealth of first hand experience in setting up various business cases in relation to perioperative medicine in the UK...
EBPOM 2020 London | Extending roles: what is the future?
09 Apr 2021
Contributed by Lukas
"Just having more staff doesn't always equate to better care, especially when the staff do not have the skills required." Perioperative medicine has t...
Opioid-induced Respiratory Depression | EBPOM USA - Las Vegas 2021
08 Apr 2021
Contributed by Lukas
"46% pretty much means every other patient who was getting IV opioids was having some sort of a respiratory depression event" After a quick round up o...
Non-invasive evaluation of autonomic nervous system- A nociception monitor (REPEAT) | EBPOM USA - Las Vegas 2021
07 Apr 2021
Contributed by Lukas
Armed with a background in biomedical engineering, doubled with an EMBA in Finance, our guest has spent the past 20 years within the medical device in...
Guidance on prehabilitation for cancer | EBPOM London 2020
06 Apr 2021
Contributed by Lukas
This piece looks at the most recent guidance regarding prehabilitation for cancer, developed and published in 2009 by Macmillan Cancer Care. Extremely...
Perioperative oxygenation | EBPOM London 2020
05 Apr 2021
Contributed by Lukas
"Oxygen is the commonest drug that we give to our patients today during surgery and the general anaesthetic" but what do we really know and understand...
Panel discussion - Prediction of Opioid Induced Respiratory Depression: Does surveillance monitoring help? | EBPOM 2020
04 Apr 2021
Contributed by Lukas
This piece is a listener generated question and answer session from EBPOM 2020. Although it works as a stand alone piece it relates directly to this t...
Finding Goldilocks, more or less | EBPOM 2020
03 Apr 2021
Contributed by Lukas
With questions from the online audience, this piece looks at the "not too much and not too litte" sweet spot regarding fuel, fluid and oxygen; where i...
Fitness, function or frailty? P2 | EBPOM World Congress 2020
02 Apr 2021
Contributed by Lukas
This piece is a continued deep dive into the subject, of 'fitness, function, or frailty' and, perhaps, "fixing". It's essential listening for anyone i...
Fitness, function or frailty? P1 | EBPOM World Congress 2020
01 Apr 2021
Contributed by Lukas
Fitness, function and, or, frailty are important determinants of the quality of the life that we live. In the context of major surgery it's very impor...
"Am I safe?" | EBPOM World Congress 2020
31 Mar 2021
Contributed by Lukas
"We have to create the culture of learning; the culture of having a safe space, the culture of wanting to do better and learning those conditions in w...
Models of Prehabilitation, South Tees and PREP-WELL | EBPOM 2020 London
30 Mar 2021
Contributed by Lukas
This piece covers the PREP-WELL project which is a community based prehabilitation program in South Tees, in the North of England: "We established the...
Shared decision-making: a team game? | EBPOM 2020 London
29 Mar 2021
Contributed by Lukas
"We have to remember that patients have a team" How do we involve patients in the increasingly complex conversations we have in the perioperative spac...
Optimizing fluid and hemodynamic management during major surgery | EBPOM London 2020
28 Mar 2021
Contributed by Lukas
This talk aims to answer four major questions: How much fluid should you give perioperatively? Does hypotension matter? Should you use advanced hemody...
Fuel: can you have too much? | EBPOM 2020 London
27 Mar 2021
Contributed by Lukas
"As Anaesthetists the ultimate goal of almost all of our interventions and monitoring is to support cell energy production to provide mitochondria wit...
The hidden pandemic of post operative complications | EBPOM London 2020
26 Mar 2021
Contributed by Lukas
This is a story that starts with some of the challenges faced in our world outside the operating theatre and it's about how we might address some of t...
End of year stress, insurance and 'wellness' | AANA 2020
25 Mar 2021
Contributed by Lukas
"I cannot sleep. It's like, I wake up at 1am and my mind's going crazy ... if you had someone come to you and say; 'I'm really struggling right now, I...
Vaccine time! | AANA 2020
24 Mar 2021
Contributed by Lukas
"I think you're now famous in the CRNA community for being one of the first people in Fargo to receive the the COVID vaccine" This piece sees us catch...
Models of perioperative care "the science of value" Part 2 | EBPOM USA - Chicago 2020
23 Mar 2021
Contributed by Lukas
"Perioperative medicine ... I always think of a Venn diagram where there's truly an intersection between surgery anesthesia and medicine, and perhaps ...
Introduction to the Pathophysiology of COVID 19 | EBPOM Ireland 2020
22 Mar 2021
Contributed by Lukas
This piece is essential listening for any medical practitioner. The pathophysiology of COVID 19 is now being understood, although there are still a nu...
Perioperative anticoagulation and anti platelet management; a user friendly approach - audience questions | EBPOM USA - Chicago
21 Mar 2021
Contributed by Lukas
This piece is divided into two parts, the first being discussion between the panelists and the second, part 2, being questions from the online audienc...
Perioperative anticoagulation and anti platelet management; a user friendly approach | EBPOM USA - Chicago
20 Mar 2021
Contributed by Lukas
The conversation begins with "a day in the life" with respect to managing the anti coagulation questions that come up commonly. The contributors swap ...
Daniel Engelman updates in cardiac | EBPOM USA - Chicago 2020
19 Mar 2021
Contributed by Lukas
How can enhanced recovery after surgery (ERAS) be applied to cardiac and what exciting opportunities are there for those who have made this their miss...
Surgery after COVID-19 diagnosis | TopMedTalk
18 Mar 2021
Contributed by Lukas
This piece looks at some of the latest research from a perioperative perspective regarding an essential question, when and how is surgery possible aft...