TopMedTalk

World Delirium Awareness Day with iDelirium | TopMedTalk

17 Mar 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...

ERAS® Cardiac Roundtable with Kevin Lobdell, Rawn Salenger, Desiree Chappell | ERAS Cardiac 2021

16 Mar 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,...

New enhanced care guidelines | EBPOM 2020 London

15 Mar 2021

Contributed by Lukas

"Critical Care has a moment in time, a moment where we can make some big changes, a moment of opportunity" This uncompromising and informative talk fr...

Access to critical care for high risk surgical patients | EBPOM London 2020

14 Mar 2021

Contributed by Lukas

From a UK perspective this piece covers variation in access to critical care, behaviors and decisions regarding its use. With reference to how, over t...

The Perioperative Exercise, Testing and Training Society (POETTS) | EBPOM 2020 London

13 Mar 2021

Contributed by Lukas

This piece provides an update on the Perioperative Exercise, Testing and Training Society (POETTS); "established back in 2017, in the context, in the ...

Models of Prehabilitation, Southampton and Wesfit | EBPOM 2020 London

12 Mar 2021

Contributed by Lukas

This piece gives you the evidence base required to deliver an even higher standard of perioperative medicine where you work. Hear about the "Fit 4 sur...

The ERAS Cardiac Society Conference Day 2 | ERAS Cardiac 2021

11 Mar 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

10 Mar 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...

Prehabilitation Business Case? A slam dunk! | EBPOM 2020 London

09 Mar 2021

Contributed by Lukas

"In the elective surgical domain 20% of people who are scheduled to have surgery are not ready for surgery" The road towards economic reality is paved...

Methadone, 'the opioid sparing opioid' | EBPOM USA - Chicago

08 Mar 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

07 Mar 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

06 Mar 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...

Enhanced Recovery After Surgery (ERAS) Part 2 | EBPOM USA - Chicago 2020

05 Mar 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

04 Mar 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...

"The international prehabilitation society" | EBPOM 2020 London

03 Mar 2021

Contributed by Lukas

What are the aims of The International Prehabilitation Society? Its vision is about "bringing together international multidisciplinary expertise, acro...

Models of prehabilitation in Cardiff in Wales | EBPOM 2020 London

02 Mar 2021

Contributed by Lukas

"The people of Wales are particularly unfit", there is a high incidence of smoking, physical inactivity, and alcohol intake. Grim news from one angle ...

The Anesthesia Patient Safety Foundation | COVID 19

01 Mar 2021

Contributed by Lukas

This piece focuses on the great work done by The Anesthesia Patient Safety Foundation. We turn to their specific focus on COVID 19 and then look at th...

Enabling Enhanced Recovery Part 2 | EBPOM 2020

28 Feb 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 Feb 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 Feb 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...

Nutrition and metabolism before surgery - PART 2 of 2 | EBPOM London 2020

25 Feb 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

24 Feb 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...

Monitoring and management of neuromuscular blockade | EBPOM USA - Chicago

23 Feb 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...

Redefining Hypotension based on Real-time Cerebral Autoregulation Monitoring | EBPOM USA - Chicago

22 Feb 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...

EBPOM London 2020 | Functional Assesment

21 Feb 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...

Essential COVID knowledge: Dr. Manuel Ignacio Monge García | COVID 19

20 Feb 2021

Contributed by Lukas

This piece digs deep into the realities of coping with COVID 19 patients who have had their care escalated to the Intensive Care Unit (ICU); "we don't...

New treatments for Post Operative Nausea and Vomiting | TopMedTalk

19 Feb 2021

Contributed by Lukas

This piece gives us a look at some of the latest thinking on Post Operative Nausea and Vomiting (PONV). It includes a discussion about Amisulpride and...

Practical tips for preoperative risk assessment | EBPOM Ireland 2020

18 Feb 2021

Contributed by Lukas

"Some practical tips you can take away and implement in your hospital..." In the UK there is a legal imperative to minimalise and individualise risk n...

Critical care for the very elderly patient | EBPOM Ireland Highlight

17 Feb 2021

Contributed by Lukas

"I did a study back in 2002 where I was able to count a grand total of forty patients above the age of eighty in our (Intensive Care Unit) ICU and our...

Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 2 | Chicago 2020

16 Feb 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

15 Feb 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...

Perioperative Quality Initiative P.O.Q.I. news | ASA 2019

14 Feb 2021

Contributed by Lukas

"It might just be 'boring old blood pressure ... (but) ... every fourth operation there is evidence of a modifiable risk factor". The Perioperative Qu...

Somnia Anesthesia Services | TopMedTalk

13 Feb 2021

Contributed by Lukas

"We're so invested in outcomes and data that it really gives us an objective view on how to approach things" This wide ranging conversation looks at h...

Can medicine be cured? | EBPOM Ireland Highlight

12 Feb 2021

Contributed by Lukas

Warning; this piece may make for uncomfortable listening. It is a fascinating look at the recent history of medicine and how our profession may in fac...

Testing the Hypotension Prediction Index | TopMedTalk

11 Feb 2021

Contributed by Lukas

"We wanted to know if goal directed therpy using a (Hypotension Prediction Index) HPI monitor can prevent hypotension". This piece looks in detail at ...

Shared decision-making: a team game? | EBPOM 2020 London

10 Feb 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...

Getting "fit for surgery" | EBPOM 2020 London

09 Feb 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...

Perioperative Frailty with Jude Partridge | EBPOM 2020 London

08 Feb 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...

Healthy eating and cancer | TopMedTalk & MacMillan Cancer Special

07 Feb 2021

Contributed by Lukas

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey amid...

Get active and feel good? | TopMedTalk & MacMillan Cancer Special

06 Feb 2021

Contributed by Lukas

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey amid...

Mental well being for the patient | TopMedTalk & MacMillan Cancer Special

05 Feb 2021

Contributed by Lukas

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey amid...

'Hip Attack' with PJ Devereaux | EBPOM World Congress 2020

04 Feb 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...

EBPOM Highlight | Intraoperative hypotension doesn’t happen to me

03 Feb 2021

Contributed by Lukas

This is an Edwards Lifesciences Sponsored Lecture which was originally streamed live on TopMedTalk from the hugely successful EBPOM USA 2019 in Dallas...

Obstetrics in the pandemic (REPEAT) | COVID 19

02 Feb 2021

Contributed by Lukas

"Babies are still being born" Still! Revisiting this conversation from early in the pandemic, we discuss obstetrics during COVID. This piece looks at ...

Periop SIG| Improving the quality of the patient surgical journey

01 Feb 2021

Contributed by Lukas

What are the latest developments in quality improvement programs that help operative teams around the world take what they do to the next level? When ...

Outstanding outcomes | The RoundTable

31 Jan 2021

Contributed by Lukas

This piece, originally streamed live on www.topmedtalk.com features a conversation about the implementation of enhanced recovery protocols and the res...

Improving Readiness (REPEAT) | COVID 19

30 Jan 2021

Contributed by Lukas

"I'm also a United States Air Force Officer and reservist and on April 4th was activated and given approximately 48hrs to deploy on a C-5 Galaxy Milit...

TopMedTalk | Automation and artifical intelligence

29 Jan 2021

Contributed by Lukas

This piece focuses upon the increasing development of artificial intelligence and automation within the medical profession. Can automated monitoring a...

Resource management, COVID patient management and innovation from New Jersey, USA (REPEAT) | COVID 19

28 Jan 2021

Contributed by Lukas

This piece takes a look at the frontline fight against COVID 19 at Penn Medicine Princeton Medical Center in New Jersey, USA. Details of airway, venti...

EBPOM Highlight | Obstetric anaesthesia

27 Jan 2021

Contributed by Lukas

"Obstetric anaesthesia" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM on www.topmedtalk.com...

Opioid-induced Respiratory Depression | EBPOM USA - Las Vegas 2021

26 Jan 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 | EBPOM USA - Las Vegas 2021

25 Jan 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...

TopMedTalk | Blood Pressure

24 Jan 2021

Contributed by Lukas

This piece highlights four papers published in the May 2019 edition of the (British Journal of Anaesthesia) BJA. Find them on www.poqi.org Furthermore...

Angela Bader - The need for 'end of life' conversations (REPEAT) | COVID 19

23 Jan 2021

Contributed by Lukas

"The peak keeps getting pushed..." What's the difference between a strategy of rationing as compared with one where the aim is concordence? As the cri...

EBPOM Highlight | Enhanced Recovery After surgery - plus!

22 Jan 2021

Contributed by Lukas

This piece gives you clear practical suggestions which you might want to include in your practice and institution. How do we improve the physiological...

Tackling the pain of the opioid crisis | ASA 2019

21 Jan 2021

Contributed by Lukas

The opioid crisis "a unique American problem". This piece uncovers the origin of some of the misinformation about opioids, the consequences of calling...

EBPOM London 2020 | Perioperative care: A new paradigm for the next decade

20 Jan 2021

Contributed by Lukas

"Patients undergo surgery for important reasons, we need to improve surgical outcomes to the point where anyone can have surgery - and I believe that ...

Talks to ... Bob Thiele | EBPOM Ireland 2020

19 Jan 2021

Contributed by Lukas

This piece is a chance to hear more about the work of our guest, who made a big impact as a guest on a recent edition of TopMedTalk: https://www.topm...

TopMedTalk | Hemodynamics - State of the Science

18 Jan 2021

Contributed by Lukas

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

Paul Grant | TopMedTalks To ...

17 Jan 2021

Contributed by Lukas

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

COVID 19 | Roneet Lev, San Diego

16 Jan 2021

Contributed by Lukas

This piece took a look at the San Diego front line of the global fight against COVID 19 on March the 30th at the start of the crisis. What unique pres...

TopMedTalk | Research and development during COVID and beyond

15 Jan 2021

Contributed by Lukas

This piece is a conversation with friends of ours at Medtronic. Now is an interesting and resource-scarce time for everyone in medicine; Medtronic mad...

Outcome criteria associated with residual neuromuscular blockade | AANA 2020

14 Jan 2021

Contributed by Lukas

"The more I learn about this, the more my eyes are opened to how much opportunity we have to improve in this area" This piece covers the "perennial to...

EBPOM 2020 London | Extending roles: what is the future?

13 Jan 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...

Covid 19 - ventilation strategies | EBPOM Ireland 2020

12 Jan 2021

Contributed by Lukas

This vital piece deals with a variety of issues related to COVID-19; what we know and what we know we do not know: - Similarities and differences betw...

TopMedTalk | Henrik Kehlet and Nick Scott

11 Jan 2021

Contributed by Lukas

"It's all about safety and recovery, it's not about speed"; this conversation focuses on enhanced recovery, are we getting it right and where are peop...

Enhanced Recovery with Monty and Desiree | EBPOM Ireland Highlight

10 Jan 2021

Contributed by Lukas

TopMedTalk has recently engaged with a large number of new listeners, we are delighted to have you join our family of perioptimists! This piece works ...

EBPOM Live from London | Australian Perspective on shared decision making

09 Jan 2021

Contributed by Lukas

This piece explores perioperative shared decision making from a variety of angles. Where is the latest research? Is it something we can reasonably out...

EBPOM London 2020 | Prehabilitation Update

08 Jan 2021

Contributed by Lukas

2020 was a big year for prehabilitation, the advent of a global pandemic has only increased the importance of this exciting field of medicine. Various...

Ketamine Infusion Centers: From Inception to Infusion | AANA 2020

07 Jan 2021

Contributed by Lukas

"My first thought was - why can't we do this here?" What is ketamine, what sort of drug is it and how is it used? How was it first synthesized? Was it...

Managing OR Capacity In a Post #COVID19 World | EBPOM USA - Chicago 2020

06 Jan 2021

Contributed by Lukas

How do we manage our operating room capacity and restore elective surgery in a post-COVID19 world? A world where conditions change week by week, somet...

EBPOM London 2020 | Perioperative oxygenation

05 Jan 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...

EBPOM London 2020 | Optimizing fluid and hemodynamic management during major surgery

04 Jan 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...

EBPOM 2020 London | Fuel: can you have too much?

03 Jan 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...

EBPOM 2020 London | Models of Prehabilitation, South Tees and PREP-WELL

02 Jan 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...

"Am I safe?" | EBPOM World Congress 2020

01 Jan 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...

Sex, race and social class disparities in pain | AANA 2020

31 Dec 2020

Contributed by Lukas

Pain is a subjective experience that affects all segments of the population. However, there are inter-individual differences in pain. The biopsychosoc...

TopMedTalk | Tom Woodcock

30 Dec 2020

Contributed by Lukas

This piece was recorded at the start of the year, to celebrate the launch of Tom Woodcock's book Fluid Physiology, A Handbook for Anaesthesia and Crit...

EBPOM 2020 London | Perioperative team: a physician’s view

29 Dec 2020

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. ...

EBPOM London 2020 | Perioperative team: a surgeon’s view

28 Dec 2020

Contributed by Lukas

This piece looks at some of the advantages to having a perioperative interdisciplinary team reducing complications, understanding and discussing risk,...

TopMedTalk | Fluid Physiology in detail

27 Dec 2020

Contributed by Lukas

"We did not have a concensus view on the very basic subject of fluid physiology and I needed to write a book". Recorded at the start of the year this ...

TopMedTalk | "Boxing Day" Holiday Special

26 Dec 2020

Contributed by Lukas

"We, who physically will be elsewhere in the world, for example, in London and in Southampton, are going to - within what we're allowed to do - get to...

TopMedTalk | Christmas Day Special

25 Dec 2020

Contributed by Lukas

The team enjoy reflecting on 2020 as we appreciate the fact that there were the green shoots of hope during the middle part of the year. The patient f...

TopMedTalk | Christmas Eve Special

24 Dec 2020

Contributed by Lukas

The annual TopMedTalk Holiday Special series this year takes a look back at COVID19 and the first year we had to live with it. Listen to the full conv...

COVID 19 | 2020 End of year stress, insurance and 'wellness'

23 Dec 2020

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...

TopMedTalk | Silent pandemic of surgical complications

22 Dec 2020

Contributed by Lukas

This remarkably prescient conversation was recorded at an Australian National Summit in Adelaide regarding the 'hidden pandemic of postoperative compl...

Vaccine time! | COVID 19

21 Dec 2020

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...

TopMedTalk | Computer gamer to life saver

20 Dec 2020

Contributed by Lukas

What happens when cutting edge computer game creators, fresh from working on top titles in their industry such as 'Hunger Games' and 'Mission Impossib...

TopMedTalk | Iron Man vs Anemia

19 Dec 2020

Contributed by Lukas

"You've given us all a lot to think about" - a randomized controlled trial regarding intravenous iron does not go 'as expected'. "I mean, look, I've b...

EBPOM Highlight | Delivering Personalised Care: aligning prehabilitation with healthcare policy

18 Dec 2020

Contributed by Lukas

How can we align personalised care with prehabilitation? "Personalised care is where people have more choice and control over how their health and car...

Emergence Delirium in US Veterans: Best Practice Recommendations | AANA 2020

17 Dec 2020

Contributed by Lukas

After working at a Veterans Affair Medical Center, hear how our guests moved into the field of emergence delirium: "upon emergence our patients were s...

EBPOM London 2020 | SNAP-2 EPICCS; summary results

16 Dec 2020

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...

EBPOM 2020 London | New enhanced care guidelines

15 Dec 2020

Contributed by Lukas

"Critical Care has a moment in time, a moment where we can make some big changes, a moment of opportunity" This uncompromising and informative talk fr...

EBPOM London 2020 | Access to critical care for high risk surgical patients.

14 Dec 2020

Contributed by Lukas

From a UK perspective this piece covers variation in access to critical care, behaviors and decisions regarding its use. With reference to how, over t...

The Perioperative Exercise, Testing and Training Society (POETTS) | EBPOM World Congress 2020

13 Dec 2020

Contributed by Lukas

This piece provides an update on the Perioperative Exercise, Testing and Training Society (POETTS); "established back in 2017, in the context, in the ...

EBPOM Highlight | Obstetric anaesthesia

12 Dec 2020

Contributed by Lukas

"Obstetric anaesthesia" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM on www.topmedtalk.com...

"The Business Case: UK" by Kay Mitchell | EBPOM World Congress 2020

11 Dec 2020

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...

E-cigarettes and their impact on patients undergoing anesthesia | AANA 2020

10 Dec 2020

Contributed by Lukas

The electronic cigarette market is a $14 billion industry worldwide. As of August 2019, 215 cases of severe pulmonary illness related to e-cigarette u...

EBPOM 2020 London | Prehabilitation Business Case? A slam dunk!

09 Dec 2020

Contributed by Lukas

"In the elective surgical domain 20% of people who are scheduled to have surgery are not ready for surgery" The road towards economic reality is paved...

Amir Jaffer | TopMedTalks to...

08 Dec 2020

Contributed by Lukas

What is a "Respect Officer"? Why is respect so important in perioperative care? How does improving 'the culture of safety' also help to improve outcom...