TopMedTalk
Episodes
EBPOM 2020 London | "The international prehabilitation society"
07 Dec 2020
Contributed by Lukas
What are the aims of The International Prehabilitation Society? Its vision is about "bringing together international multidisciplinary expertise, acro...
EBPOM 2020 London | Models of Prehabilitation, Southampton and Wesfit
06 Dec 2020
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...
EBPOM 2020 London | Models of prehabilitation in Cardiff in Wales
05 Dec 2020
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 ...
EBPOM London 2020 | Guidance on prehabilitation for cancer
04 Dec 2020
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...
How to "ACE" pediatric emergence! | AANA 2020
03 Dec 2020
Contributed by Lukas
Pediatric patients can present quite a challenge when emerging from anesthesia. Here we discuss ways to “ACE” your transition to PACU! “A”void...
EBPOM 2020 London | Models of Prehabilitation in Greater Manchester
02 Dec 2020
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...
EBPOM 2020 London | Screening assessment of nutritional fitness
01 Dec 2020
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 2020 London | The Future of Prehabilitation "Standardisation of definitions and outcomes"
30 Nov 2020
Contributed by Lukas
"The main challenge around the variability in the perioperative period is nomenclature, definitions and standardized endpoints. Well designed and well...
EBPOM 2020 London | Fit for surgery with Denny Levett
29 Nov 2020
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...
Periop SIG | Ward Based postoperative care; where should we focus?
28 Nov 2020
Contributed by Lukas
This wide ranging talk asks where and how we should focus on the needs of postoperative care patients. "Brain care has an impact way beyond the acute ...
COVID 19 | Essential COVID knowledge; Dr. Manuel Ignacio Monge García.
27 Nov 2020
Contributed by Lukas
This piece has been released to coincide with the first virtual International Fluid Academy Day (IFAD). TopMedTalk listeners have enjoyed following th...
POQI 5 - Fluid Management | POQI
26 Nov 2020
Contributed by Lukas
This piece has been released to coincide with the first virtual International Fluid Academy Day (IFAD). TopMedTalk listeners have enjoyed following th...
Fluid Matters | Series Highlight: Total body water and electrolytes
25 Nov 2020
Contributed by Lukas
This piece has been released to coincide with the first virtual International Fluid Academy Day (IFAD). TopMedTalk listeners have enjoyed following th...
Prato | The 5th Collaborative Clinical Trials in Anaesthesia biennial conference
24 Nov 2020
Contributed by Lukas
This piece focuses upon the unique 'Collaborative Clinical Trials in Anaesthesia biennial conference', of which this was the fifth, organised in Prato...
TopMedTalk | A step between a simple monitor and a fully automated system
23 Nov 2020
Contributed by Lukas
This piece focuses upon goal directed fluid therapy, with an automated system, for decision support; "a step between a simple monitor and a fully auto...
Periop SIG | Updates in cardiac devices Part 2
22 Nov 2020
Contributed by Lukas
"Updates in cardiac devices, Part 2" was a talk originally given at the 8th Australian and New Zealand Symposium of Perioperative Medicine Special ...
Periop SIG | Updates in cardiac devices, Part 1
21 Nov 2020
Contributed by Lukas
"Updates in cardiac devices, Part 1" was a talk originally given at the 8th Australian and New Zealand Symposium of Perioperative Medicine Special Int...
POCAPALOOZA | Hong Kong
20 Nov 2020
Contributed by Lukas
The POCAPALOOZA, a celebration of perioperative care that went around the world in the wake of EBPOM 2020. "Early intervention and people taking it se...
Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe? | AANA 2020
19 Nov 2020
Contributed by Lukas
"4-10% of opioid naïve patients will continue to use opioids more than 90 days after surgery" Opioids are good for pain control but there's another i...
The Business Case for Prehabilitation | EBPOM World Congress 2020
18 Nov 2020
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...
Maurizio Cecconi | TopMedTalks to...
17 Nov 2020
Contributed by Lukas
This piece focuses on intensive care, the use of data and the future of fluid therapy research and its related physiological outcomes. The article men...
Frailty, Brain Health and Perioperative Cognitive Dysfunction | EBPOM USA - Chicago 2020
16 Nov 2020
Contributed by Lukas
"Cognitive testing has been in the news ... there are recommendations for keeping pets mentally sound by implementing nutritional modifications, regul...
EBPOM Highlight | SNAP-2 - EPICCS
15 Nov 2020
Contributed by Lukas
The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care after Surgery (SNAP-2 - EPICCS) study launched in March 2017 around the UK....
Anemia Management | EBPOM USA - Chicago 2020
14 Nov 2020
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...
Methadone use in Perioperative Medicine | EBPOM USA - Chicago 2020
13 Nov 2020
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...
Caring for the transgender patient | AANA 2019
12 Nov 2020
Contributed by Lukas
This piece is a much needed contribution to a conversation about how we should be caring for the transgender patient within the scope of perioperative...
Periop SIG 2019 | A physician’s perspective
11 Nov 2020
Contributed by Lukas
How does an experienced physician, health service changer, improver and researcher see the process of re-engineering perioperative care pathways? What...
EBPOM 2019 | Overview of perioperative smoking cessation
10 Nov 2020
Contributed by Lukas
Smoking is bad for you, there's little debate about that, even among users of the drug. However, further to the widely known consequences, the bottom ...
Michelle Chew | TopMedTalks to...
09 Nov 2020
Contributed by Lukas
"Excellent teamwork"; the key to good outcomes. This piece features an in depth discussion of post operative acute kidney injury (AKI), are there fres...
Prato | Gender and racial diversity
08 Nov 2020
Contributed by Lukas
This piece focuses on the work of our guest and her impact upon the crucial area of gender and racial diversity in the US Anesthesia and Critical Care...
How you can protect yourself (REPEAT) | COVID 19
07 Nov 2020
Contributed by Lukas
“When you start to think about how we can protect ourselves; we have some reasonably robust literature for a few interventions [..] that do seem to ...
EBPOM 2019 | Delivery of Prehabilitation, panel discussion
06 Nov 2020
Contributed by Lukas
How do we convince patients that prehabilitation is safe? What forms of certification are available for the accreditation of a balanced multidisciplin...
Substance Use Disorder - Peer Support: An Empathetic Information Resource | AANA 2019
05 Nov 2020
Contributed by Lukas
"I know how to manage pain medication [...] addiction was the absolute last thing that would happen to me". This podcast helps tackle the difficult su...
POQI 5 - Fluid Management | POQI
04 Nov 2020
Contributed by Lukas
The Perioperative Quality Initiative (POQI) is a vital part of the process needed to more widely implement sensible practice which, using a clear evid...
Anaesthesia 2019 | The Clinical Trials Network and Optimising Shared Decision Making
03 Nov 2020
Contributed by Lukas
We begin with a conversation about The UK Perioperative Medicine Clinical Trials Network, their website is here: https://www.pomctn.org.uk/ This piece...
EBPOM London 2020 | Video Laryngoscopy During Covid-19
02 Nov 2020
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 poorl...
TopMedTalk | Perioperative medicine and being a good sport
01 Nov 2020
Contributed by Lukas
Why has 'prehabilitation' suddenly picked up pace in terms of both practice and interest? This piece takes a serious look at the widening interest in ...
TopMedTalk | Guidelines for Perioperative Care in Cardiac Surgery
31 Oct 2020
Contributed by Lukas
This piece focuses in upon the important work being done by The Enhanced Recovery After Cardiac Surgery Society, specifically the new guidelines which...
EBPOM 2019 | Community-based Prehabilitation
30 Oct 2020
Contributed by Lukas
In the UK community based prehabilitation is being spearheaded by the Prepwell Initiative, supported by a grant from Sports England. Their pioneering ...
Outcome criteria associated with residual neuromuscular blockade | AANA 2020
29 Oct 2020
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...
SCA | Burn out - a frank discussion
28 Oct 2020
Contributed by Lukas
Burn out and stress management have been an important theme on TopMedTalk recently, here we have a top medical professional sharing their story in rel...
The Changes that Change Culture - panel discussion | EBPOM USA - Chicago 2020
27 Oct 2020
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...
Perioperative Medicine - Editor's top picks for 2020 | EBPOM USA - Chicago 2020
26 Oct 2020
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, lite...
TopMedTalk | Why is maternal mortality so high in the USA?
25 Oct 2020
Contributed by Lukas
Why does the US have the highest maternal mortality rate of any developed country? This piece tackles a very controversial issue in healthcare head on...
EBPOM | Malnutrition and functional capacity
24 Oct 2020
Contributed by Lukas
This piece is taken from the free papers presentations given at EBPOM 2019. Malnutrition and functional capacity; what is the effect of multimodal pre...
EBPOM 2020 London: Prediction of Opioid Induced Respiratory Depression on the General Care Floor: Does surveillance monitoring help?
23 Oct 2020
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...
Innovators in anesthesia: Anesthesia electronic medical records | AANA 2019
22 Oct 2020
Contributed by Lukas
"Data is destiny"; this piece looks at way we can unlock it for Anesthetists. The Open-Source Anesthesia Electronic Medical Record (OSAEMR) was develo...
Patient Safety: How do you make the Changes that Change Culture? | EBPOM USA - Chicago 2020
21 Oct 2020
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 ...
EBPOM Highlight | The Wesfit trial
20 Oct 2020
Contributed by Lukas
Patients with physiological and psychological resilliance have a clear advantage in surgery. The Wessex Fit-4-Cancer Surgery Trial (WesFit) is attempt...
POCAPALOOZA | London: The International Board of Perioperative Medicine and the Centre for Perioperative Care
19 Oct 2020
Contributed by Lukas
"At the moment perioperative care in the UK doesn't really have the profile that I think it needs; now I suspect that COVID-19 has raised it up the ag...
POCAPALOOZA | Sydney: Education, education, education.
18 Oct 2020
Contributed by Lukas
"It also must start and end in primary care" This piece is a fascinating in-depth conversation moving through various medical perspectives on perioper...
The Balanced Anesthesia Study |Prato 2019
17 Oct 2020
Contributed by Lukas
This piece focuses on The Balanced Anesthesia Study, 'A Prospective Randomized Clinical Trial of Two Levels of Anesthetic Depth on Patient Outcome Aft...
SCA | The Society of Cardiovascular Anesthesiologists
16 Oct 2020
Contributed by Lukas
After a short overview of the history of the Society of Cardiovascular Anesthesiologists (SCA) this conversation zones in on some of the hot topics th...
Prato 2019 | The PREVENTT Trial
15 Oct 2020
Contributed by Lukas
This piece focuses on the Preoperative Intravenous Iron To Treat Anaemia in major surgery (PREVENTT) trial; a randomized double-blind controlled phase...
EBPOM 2019 | Multi-modal Prehabilitation
14 Oct 2020
Contributed by Lukas
This panel discussion includes questions such as: In a prehabilitation service what screening tools should we use to assess nutritional risk? What too...
EBPOM Highlight | ERAS Colorectal surgery
13 Oct 2020
Contributed by Lukas
"ERAS in Colorectal Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.co...
African Surgical Outcomes Study (ASOS-2) |Prato 2019
12 Oct 2020
Contributed by Lukas
This piece focuses upon the African Surgical Outcomes Study (ASOS-2). More than a thousand people across Africa have combined forces to make this rese...
TopMedTalk | The psychology of change
11 Oct 2020
Contributed by Lukas
"There seems to be a little extra buzz in the cardiac community". This conversation focuses upon the psychology of change, specifically regarding the ...
EBPOM 2019 | Ernest Henry Starling Plenary Lecure, Andrew Shaw, Fluid therapy in the 2020s
10 Oct 2020
Contributed by Lukas
This hugely important talk was the centerpiece of EBPOM 2019 and, appropriately enough, it focuses on a big topic for us here at TopMedTalk; the futur...
Covid 19 - ventilation strategies | EBPOM Ireland 2020
09 Oct 2020
Contributed by Lukas
Dingle 2020 is now on! Make sure you check out www.ebpom.org for more details. Today's TopMedTalk is another sampler from the conference, made availab...
Protecting Your Healthcare Practice - Compliance and Enforcement | AANA 2019
08 Oct 2020
Contributed by Lukas
What are some of the major issues regarding billing? What are the most common mistakes when it comes to documentation? How do we keep the focus on gre...
TopMedTalks to ... Bob Thiele | EBPOM Ireland 2020
07 Oct 2020
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...
ASA | The Global Council on Brain Health
06 Oct 2020
Contributed by Lukas
The American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United Kingdom...
Joff Lacey visits the Ether Dome in Boston
06 Oct 2020
Contributed by Lukas
Joff and his guests visit the hallowed turf that is the Boston Ether Dome, in the Bulfinch Building, Massachusetts General Hospital. How have times mo...
ASA | Henrik Kehlet: Recovery is all about inflammation!
05 Oct 2020
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...
ASA | Highlights from 2019
05 Oct 2020
Contributed by Lukas
This piece is a reflection upon and celebration of conversations that were made possible by both The American Society of Anesthesiologists and Edwards...
Carol Peden | ASA 2019
04 Oct 2020
Contributed by Lukas
Recorded at the American Society of Anesthesiologists' Annual General Meeting in 2019; "The Power of The Interdisciplinary Team"; introducing the Enha...
ASA | Life at The Extremes - trials on Everest & adapting to hypoxia
04 Oct 2020
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...
ASA | Frailty and the perioperative patient - enhancing recovery.
04 Oct 2020
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...
ASA | 2017 - Anaesthesia and Global Health - an expert view
03 Oct 2020
Contributed by Lukas
"We need to work together more, it needs to be multidisciplinary" A fascinating and still essential discussion - from a truly global perspective - fea...
ASA | The practical applications of innovation.
03 Oct 2020
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...
ASA | Regional anaesthesia associated with improved cancer survival
03 Oct 2020
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, ...
The evolution of a profession | ASA 2017
02 Oct 2020
Contributed by Lukas
This piece is a look at the very beginnings of your favorite medical podcast. Today we celebrate the American Society of Anesthesiologists (ASA) and t...
ASA | Prehabilitation, the word of the year
02 Oct 2020
Contributed by Lukas
This piece tackles "prehabilitation", TopMedTalk's word of the year. What is it, why is it so important, who is doing it and why are some people retic...
Emotional Intelligence and Occupational Stress | AANA 2019
01 Oct 2020
Contributed by Lukas
Emotional intelligence is the ability to perceive, integrate, understand and utilize emotions in an effective and meaningful way in order to cope and ...
EBPOM 2019 | Perioperative blood pressure, panel discussion.
30 Sep 2020
Contributed by Lukas
This panel discussion is an honest and challenging look at blood pressure management. Questions include but are not limited to: How should practitione...
EBPOM 2019 | Enhanced Recovery After surgery - plus!
29 Sep 2020
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...
EBPOM London 2020 | Prehabilitation Update
28 Sep 2020
Contributed by Lukas
This year was always expected to be a big one for prehabilitation, the advent of a global pandemic has only increased the importance of this exciting ...
Part 2 of TRIPOM USA | Sunday Special
27 Sep 2020
Contributed by Lukas
Trainees with an interest in perioperative medicine (TRIPOM) is an ever growing organisation set to continue the global push for perioperative care. T...
Managing OR Capacity In a Post #COVID19 World | EBPOM USA - Chicago 2020
26 Sep 2020
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...
TopMedTalk | The heart of the debate
25 Sep 2020
Contributed by Lukas
What are the hot topics in the cardiac world at the moment? This piece tackles; the need for gender balance when composing panels and building a succe...
Innovators in Anesthesia | AANA 2019
24 Sep 2020
Contributed by Lukas
This piece tells the story of two different innovators in the field of an anesthesia. The first is, The Pediatric Device for Induction of Anesthesia (...
TopMedTalk | The AI Doctor will see you now
23 Sep 2020
Contributed by Lukas
This piece features a short informative presentation from our Editor in Chief Monty Mythen regarding Artificial Intelligence and the HPI Monitor devel...
TopMedTalk | Education, anaesthesia and you.
22 Sep 2020
Contributed by Lukas
Discussion begins with thoughts about University College London (UCL)'s Masters Course in Perioperative Medicine, moving further to the various ways i...
EBPOM Highlight | PQIP Pain: from individual case to systems management
21 Sep 2020
Contributed by Lukas
"PQIP Pain: from individual case to systems management" - originally streamed live from The Institute of Engineering and Technology (IET) in London du...
Part 1 of TRIPOM USA | Sunday Special
20 Sep 2020
Contributed by Lukas
Trainees with an interest in perioperative medicine (TRIPOM) is an ever growing organisation set to continue the global push for perioperative care. T...
EBPOM Highlight | Enhanced Recovery After Cardiac Surgery
19 Sep 2020
Contributed by Lukas
"Enhanced Recovery After Cardiac Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www....
Periop SIG 2019 | Improving the quality of the patient surgical journey
18 Sep 2020
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 ...
Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe? | AANA 2020
17 Sep 2020
Contributed by Lukas
"4-10% of opioid naïve patients will continue to use opioids more than 90 days after surgery" Opioids are good for pain control but there's another i...
Delaying surgery to adequately prepare? | EBPOM World Congress 2019
16 Sep 2020
Contributed by Lukas
A quick surprising poll of perioperative practitioners sets the tone for a robust advocation of the responsibility of surgeons and practitioners to...
TopMedTalk | Gezz Van Zwanenberg, Matt Wiles and Marcus Peck.
15 Sep 2020
Contributed by Lukas
What insights does a history of working in military healthcare bring? How do we cut back on readmissions to hospital after time spent in the intensive...
Matt Wiles and Marcus Peck | TopMedTalks to...
14 Sep 2020
Contributed by Lukas
Recorded live at the Association of Anaesthetists' Winter Scientific Meeting 2020 in the centre of London from The Queen Elizabeth II Centre. Hear the...
DINGLE 2019 | The Power of Perception
13 Sep 2020
Contributed by Lukas
How can we learn more by seeing more? This fascinating piece looks at how learning and the zone of proximal development (ZPD) of a student can be used...
TopMedTalk | Computer gamer to life saver
12 Sep 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...
EBPOM Chicago | Go to EBPOM dot org now
11 Sep 2020
Contributed by Lukas
EBPOM Chicago is now underway - go to www.EBPOM.org now and discover all the latest conversation in the global perioperative sphere.
TopMedTalk | Iron Man vs Anemia
10 Sep 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...
TopMedTalk | World Suicide Prevention Day
10 Sep 2020
Contributed by Lukas
"We take care of the world but we don't take care of ourselves" This piece is focused on suicide and emotional stress, the latter has been a theme on ...
Michael Ramsay | TopMedTalks to...
09 Sep 2020
Contributed by Lukas
The Patient Safety Movement Foundation (PSMF) has ambitious targets to limit preventable deaths in healthcare, this piece explains how they intend to ...
POCAPALOOZA | Los Angeles-USA
08 Sep 2020
Contributed by Lukas
"Coming out of this pandemic, and this crisis, I think the future for perioperative medicine is very bright and we should definitely take the opportun...
EBPOM London 2020 | Perioperative care: A new paradigm for the next decade
07 Sep 2020
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 ...