TopMedTalk

EBPOM 2019 | Nutrition and surgery- a Dietician’s perspective

06 Sep 2020

Contributed by Lukas

What are the two prime components of any good nutrition programme? How is avoiding malnutrition different from supporting anabolism? What's the best w...

Professor Monty Mythen | TopMedTalks to...

05 Sep 2020

Contributed by Lukas

What is TopMedTalk and how did it come about? Why is perioperative medicine such an inspiration to us? Why is our Editor in Chief such an advocate? Wh...

EBPOM 2019 | Methadone - the overlooked Opiate?

04 Sep 2020

Contributed by Lukas

Is methadone "the opioid sparing opioid"? This talk looks at where we are at as regards opioids, in the shadow of a national crisis for the USA; is it...

EBPOM 2019 | The Barcelona experience

03 Sep 2020

Contributed by Lukas

What can the experiences of a team who helped to introduce pre-operative assesment and prehabilitation to Barcelona teach us about how to most effecti...

EBPOM 2019 | Prehab trials; international study

02 Sep 2020

Contributed by Lukas

The International PREHAB trial. This short piece explains the trial's protocol and the scope of the study. Presented by Charlotte Molenaar, PhD Candid...

POCAPALOOZA | Hong Kong, Mike Irwin

02 Sep 2020

Contributed by Lukas

EBPOM might be over but the global perioperative festival, the POCAPALOOZA, continues. Either we've locked our team in their rooms and forced them to ...

Joe Kiani | TopMedTalks to...

01 Sep 2020

Contributed by Lukas

The concern for patient safety naturally flows throughout the healthcare continuum. In our discussion with Masimo Founder, Joe Kiani, we discuss the '...

EBPOM 2019 | The Science of High Performance: Insights From Elite Sport

31 Aug 2020

Contributed by Lukas

Insights and perspectives on the science of prehabilitation from a very different angle. It's often said on TopMedTalk that preparing for an operation...

EBPOM 2019 | The Manchester devolution revolution

30 Aug 2020

Contributed by Lukas

What are the opportunities presented to a perioperative practitioner when political devolution becomes a reality? What can we learn from the experienc...

TopMedTalk | New treatments for Post Operative Nausea and Vomiting

29 Aug 2020

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...

TopMedTalk | Prehabilitation, the word of the year?

28 Aug 2020

Contributed by Lukas

Is it fair to say that prehabilitation is the new direction for practitioners of Enhanced Recovery After Surgery (ERAS)? Discussion expands into patie...

Anesthesia Patient Safety Foundation - Mark Warner | ASA 2018

27 Aug 2020

Contributed by Lukas

This piece focuses upon patient safety and the work of our guest. How does perioperative medicine fit into the picture, are anesthetists right to take...

The evolution of a community-based Prehabilitation service | EBPOM World Congress 2018

26 Aug 2020

Contributed by Lukas

"POETTS 2018 | The evolution of a community-based Prehabilitation service" - originally streamed live from The Institute of Engineering and Technology...

POCAPALOOZA | EBPOM USA, PASS clinic and shared decision making

25 Aug 2020

Contributed by Lukas

The focus for the first part of this POCAPALOOZA was Duke University's PASS clinic. Find out more about the PASS clinic: https://www.dukehealth.org/l...

Hugh Montgomery | TopMedTalks to...

24 Aug 2020

Contributed by Lukas

Some of the big questions: Is the pulmonary artery catheter back? What have been some of the big take aways in nutrition? Why should you feed a cold a...

Simulation in Education | AANA 2019

23 Aug 2020

Contributed by Lukas

Learn how and why the benefits of real-life health care simulation situations are used by institutions such as Northern Kentucky University. Interview...

Periop SIG | Care of older people in surgery (COPS)

22 Aug 2020

Contributed by Lukas

Care of older people in surgery (COPS). Are you properly assesing your patients for cognition? Surgery can be appropriate for some to reduce pain in p...

TopMedTalks to... | Konstantin Balonov

21 Aug 2020

Contributed by Lukas

This discussion begins with a focus upon some of the networking and information sharing events that go on in our field; The Society for Perioperative ...

Perioperative haemodynamic management - making sure you deliver more | ASA 2019

20 Aug 2020

Contributed by Lukas

"It's like running an election campaign..." Perioperative hemodynamic management; how do you make it really work within an institution? With extensive...

POCAPALOOZA 2020 | Cape Town; The African Surgical Outcomes Study

19 Aug 2020

Contributed by Lukas

The POCAPALOOZA story begins with our fascination with The African Surgical Outcomes Study. Over the last year regular listeners have heard key parts ...

How to "ACE" pediatric emergence! | AANA 2020

18 Aug 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...

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

17 Aug 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...

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

16 Aug 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...

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

15 Aug 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...

Periop SIG | The Perioperative Cognition Workshop - Part 1

15 Aug 2020

Contributed by Lukas

This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive d...

Ketamine Infusion Centers: From Inception to Infusion | AANA 2020

14 Aug 2020

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...

Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe? | AANA 2020

14 Aug 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...

Suicide Prevention in Anesthesia: CRNAs and SRNAs | AANA 2020

14 Aug 2020

Contributed by Lukas

"Our job is to tell them; there is another solution ... there's another way to solve this problem and I can help you" This piece takes a bold and hone...

Mike Swart | TopMedTalks to...

14 Aug 2020

Contributed by Lukas

How do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? H...

Hypotension Index: Data drives change | ASA 2019

13 Aug 2020

Contributed by Lukas

This piece looks at innovations in our field, through the lens of the Hypotension Prediction Index (HPI). Innovations in medicine are always exciting,...

EBPOM Highlight | Perioperative nutrition should be a key part of Enhanced Recovery

12 Aug 2020

Contributed by Lukas

"Perioperative nutrition should be a key part of Enhanced Recovery" - originally streamed live from The Institute of Engineering and Technology (IET) ...

Enhanced Recovery with Lynn Reede | AANA 2019

11 Aug 2020

Contributed by Lukas

"Thank you for taking this meeting beyond these walls" - this piece was the final part of our coverage of The American Association of Nurse Anesthetis...

EBPOM 2019 | Delivering Personalised Care: aligning prehabilitation with healthcare policy

10 Aug 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...

Burn out? | Sunday Special

09 Aug 2020

Contributed by Lukas

This piece focuses on the question of looking after yourself as a practitioner and interlinking into your team. How important is it to listen to your ...

Periop Medicine SIG | Armed with data to improve perioperative outcomes

08 Aug 2020

Contributed by Lukas

This piece is about the application of data, how do we use it and when should we gather it? How important is it to "just get started and find out what...

EBPOM 2019 | Perioperative Blood Pressure, Q&A

07 Aug 2020

Contributed by Lukas

As a general rule, should ward monitoring be increased? Should continuous blood pressure monitoring be more frequent? This short piece follows on from...

EBPOM 2019 | Troponin Screening - essential or the Emperor's new clothes?

06 Aug 2020

Contributed by Lukas

This panel discussion and extended question and answer session focuses upon troponin screening. Where is the latest evidence as regards this debate? I...

EBPOM Highlight | Pain Management to Enhance Recovery after joint replacements

05 Aug 2020

Contributed by Lukas

"Pain strategies" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com Hear this...

Protecting Your Healthcare Practice - Compliance and Enforcement | AANA 2019

04 Aug 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...

Practical tips for preoperative risk assessment | EBPOM Ireland 2019

03 Aug 2020

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...

TopMedTalk | Education, perioperative medicine, anaesthesia and you.

02 Aug 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...

Periop SIG | Part 2, Delirium: The brain and the older surgical patient

01 Aug 2020

Contributed by Lukas

"Delirium: The brain and the older surgical patient Part 2" was a talk originally given at the 8th Australian and New Zealand Symposium of Perioperati...

Houman Javedan | TopMedTalks to...

31 Jul 2020

Contributed by Lukas

The Silver Tsunami is coming, are you prepared to assess the elderly patient? Mature patients present unique and interesting opportunities to perioper...

ASA 2019 | 'We advocate good public health, within the crucible of surgery'

30 Jul 2020

Contributed by Lukas

Originally broadcast live from Anesthesiology 2019, this piece focuses on the mission to advocate and apply prehabilitation, pre-optimisation and enha...

EBPOM Highlight | Exercise capacity and sarcopenia

29 Jul 2020

Contributed by Lukas

"Exercise capacity and sarcopenia" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedt...

Substance Use Disorder - Peer Support: An Empathetic Information Resource | AANA 2019

28 Jul 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...

Enhanced Recovery with Monty and Desiree | EBPOM Ireland 2019

27 Jul 2020

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 ...

Michelle Chew | TopMedTalks to...

26 Jul 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...

Periop SIG 2019 | Part 1, Delirium: The brain and the older surgical patient

25 Jul 2020

Contributed by Lukas

"Delirium: The brain and the older surgical patient Part 1" was a presentation originally given at the 8th Australian and New Zealand Symposium of Per...

TopMedTalk | A step between a simple monitor and a fully automated system

24 Jul 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...

ASA 2019 | A data based conversation about payment methods

23 Jul 2020

Contributed by Lukas

Away from the world of politics there is a sensible debate to be had about payment methods for healthcare. Here you will find evidence, shared goals a...

EBPOM Highlight | Pain Strategies with methadone

22 Jul 2020

Contributed by Lukas

"Pain Strategies" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com Hear this...

A Novel Use of the Erector Spinae Block in the Austere Environment | AANA 2019

21 Jul 2020

Contributed by Lukas

In the military Forward Surgical Teams (FSTs) are deployed into challenging environments to deliver "damage control surgery". They help people who hav...

Can medicine be cured? | EBPOM Ireland 2019

20 Jul 2020

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...

EBPOM Highlight | Hypotension probability in practice

19 Jul 2020

Contributed by Lukas

"Hypotension probability in practice" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on...

TopMedTalk | Lancet profile on Salome Maswime

18 Jul 2020

Contributed by Lukas

"We've had the opportunity to catch up with some friends from Africa to tell us more about what is happening in their neck of the woods with periopera...

The 5th Collaborative Clinical Trials in Anaesthesia biennial conference |Prato 2019

17 Jul 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...

ASA 2019 | Poster presenters, Dane Grenda and Noreen Tiangco

16 Jul 2020

Contributed by Lukas

Originally broadcast live from Anesthesiology 2019, this piece is a chance to hear from a couple of Temple University residents who presented on two d...

TopMedTalk | Research and development during COVID and beyond

15 Jul 2020

Contributed by Lukas

After a quick chat about the immediate aftermath of the incredibly successful EBPOM LIVE from London and its accompanying online Perioperative Care Fe...

EBPOM 2019 | Perioperative blood pressure, panel discussion.

14 Jul 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 | Who delivers Prehab?

13 Jul 2020

Contributed by Lukas

How can a multidisciplinary group collectively define and maintain what they do while maintaining a patient centred approach? How focused can prehabil...

TopMedTalk | Gender and racial diversity

12 Jul 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...

ASA 2019 | Lifebox

11 Jul 2020

Contributed by Lukas

"Surgery and anaesthesia; you very much recognise right away that that is considered a luxury in many place of the world" Do you work in a low-resourc...

Caring for the transgender patient | AANA 2019

10 Jul 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...

EBPOM 2019 | Perioperative Haemodynamic Management - how to best treat or avoid a low BP?

09 Jul 2020

Contributed by Lukas

When it comes to blood pressure, hypotension is associated with poor outcomes for patients, how do we react to this? How do we manage and avoid hypote...

EBPOM 2019 | Perioperative Blood Pressure (PeriOperative Quality Initiative: POQI 3) how low can you safely go?

08 Jul 2020

Contributed by Lukas

This piece outlines some of the topics related to the third Perioperative Quality Initiative (POQI). What is 'perioperative blood pressure'? What have...

EBPOM 2019 | Troponitis, does it matter?

07 Jul 2020

Contributed by Lukas

This piece argues that troponin screening might be overused, "it's not all about the heart". Myocardial injury after noncardiac surgery (MINS) is seen...

Critical care for the very elderly patient | EBPOM Ireland 2019

06 Jul 2020

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...

The opportunity in variability | EBPOM Ireland 2019

05 Jul 2020

Contributed by Lukas

"Perioperative medicine is an opportunity; it's multidisciplinary and its developing around a culture of trust between anaesthetists, surgeons and per...

EBPOM 2019 | Troponin Screening - essential?

04 Jul 2020

Contributed by Lukas

This piece argues that troponin screening is useful, if used appropriately. Is it the case that this test has been 'over sold' and as a result has pro...

EBPOM Highlight | Intraoperative hypotension doesn’t happen to me

03 Jul 2020

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...

POCAPALOOZA | Cape Town Final Comments

03 Jul 2020

Contributed by Lukas

"Monty - we've done it!" This piece wraps up one of our more ambitious experiments, the POCAPALOOZA. 24 hours around the world, combining powerful pra...

POCAPALOOZA | Sydney

02 Jul 2020

Contributed by Lukas

This piece is a fascinating in-depth conversation moving through various medical perspectives on perioperative medicine from Australia and New Zealand...

POCAPALOOZA | Chicago

02 Jul 2020

Contributed by Lukas

This entertaining piece is designed to be a fun listen which also manages to convey a sense of where Perioperative Medicine is as a discipline. It als...

POCAPALOOZA | Los Angeles-USA

02 Jul 2020

Contributed by Lukas

The two co-vice presidents of the international board of perioperative medicine join Desiree's POCAPALOOZA. This conversation is global in its context...

POCAPALOOZA | Live from London!

02 Jul 2020

Contributed by Lukas

This episode of the Pocapalooza* is provided here for free in the hope you can help us raise money for a cause that will immediately appeal to periope...

Roundtable | Salome Maswime and Bruce Biccard

02 Jul 2020

Contributed by Lukas

This piece is a short conversation with two guests we spoke with during the hugely successful Pocapalooza of EBPOM 2020, Live from London. Presented b...

POCAPALOOZA | Cape Town

02 Jul 2020

Contributed by Lukas

The Pocapalooza begins! "Poc" standing for "perioperative care" and "palooza" meaning festival. Join us as we travel around the world promoting life c...

EBPOM LIVE from LONDON | Innovation during COVID and beyond?

01 Jul 2020

Contributed by Lukas

This piece covers the fascinating upside to the recent global pandemic we have been facing in medicine; increased application of innovation and better...

EBPOM Live From London | Procedural Sedationists and monitoring

01 Jul 2020

Contributed by Lukas

This piece focuses on procedural sedation and questions regarding, who delivers it, is there a standard for monitoring what is the correct approach to...

Pain monitoring | EBPOM World Congress 2020

01 Jul 2020

Contributed by Lukas

"Everyone is aware of the opioid crisis outside of hospital, tragic opioid crisis, but we've had one on the wards for a long time". This piece focuses...

EBPOM LONDON IS LIVE TODAY! | EBPOM World Congress 2020

01 Jul 2020

Contributed by Lukas

  Go now to EBPOM.org This piece is a guide to just some of today's main events. Please go to EBPOM.org now to register for an incredible 3 days of l...

Australian Perspective on shared decision making | EBPOM World Congress 2020

30 Jun 2020

Contributed by Lukas

The welcome return of Desiree's Roundtable is just one of the treats made possible by the groundbreaking virtual conference, EBPOM Live From London, w...

TopMedTalk | EBPOM LONDON IS LIVE TODAY!

30 Jun 2020

Contributed by Lukas

Go now to EBPOM.org This piece is a guide to just some of today's main events. Please go to EBPOM.org now to register for an incredible 3 days of life...

EBPOM 2019 | "My experience ... of esophageal cancer"

29 Jun 2020

Contributed by Lukas

"The predominant emotion was fear..."; this piece is essential listening for every TopMedTalk listener who really cares about the experience of their ...

EBPOM Highlight | The Patient Safety Movement Foundation

28 Jun 2020

Contributed by Lukas

This talk is a powerful look at a new world where we commit your institution and practice to achieving an end goal of "zero preventable deaths". The P...

IMPORTANT | EBPOM LIVE FROM LONDON ANNOUNCEMENT!!

27 Jun 2020

Contributed by Lukas

This piece is a reminder to all attendees at EBPOM Live From London that you should check the website now for details and content: www.ebpom.org If yo...

The NHS - over 70 | EBPOM World Congress 2018

26 Jun 2020

Contributed by Lukas

The NHS, a national institution beloved by the people of the United Kingdom is over 70 years old. EBPOM celebrated this fact with a talk that gets rig...

EBPOM 2019 | Nutrition and surgery- a Dietician’s perspective

25 Jun 2020

Contributed by Lukas

What are the two prime components of any good nutrition programme? How is avoiding malnutrition different from supporting anabolism? What's the best w...

EBPOM 2019 | The Opioid Crisis - Q&A

24 Jun 2020

Contributed by Lukas

This question and answer session is a valuable insight into where the latest thinking is as regards tackling the opioid crisis. How do we get to an un...

EBPOM Highlight | Rehabilitation post critical care

23 Jun 2020

Contributed by Lukas

"Rehabilitation post critical care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on w...

EBPOM 2019 | Cleveland Clinic London

22 Jun 2020

Contributed by Lukas

The Cleveland Clinic London Hospital opens to inpatients in early 2021. Here you can hear what it is about, how it is going to work and how it intends...

The Balanced Anesthesia Study |Prato 2019

21 Jun 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...

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

20 Jun 2020

Contributed by Lukas

"Every fourth operation there is evidence of a modifiable risk factor". The Perioperative Quality Initiative (POQI) is our starting point for this con...

EBPOM 2019 | Brain Health (Peri-Operative Quality Initiative: POQI 6) - what can we do tomorrow?

19 Jun 2020

Contributed by Lukas

This piece discusses The Brain Health Initiative and the sixth Peri-Operative Quality Initiative which focused upon delirium. How can progress in thes...

TopMedTalk | The Anesthesia Patient Safety Foundation

18 Jun 2020

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...

Your essential guide to EBPOM Live from London! | EBPOM World Congress 2020

17 Jun 2020

Contributed by Lukas

"We are getting super excited about EBPOM Live from London at the end of June..." - thousands of you already have your tickets, this podcast is your e...

Innovators in anesthesia: Anesthesia electronic medical records | AANA 2019

16 Jun 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...

ASA 2019 | Depth of anaesthesia

15 Jun 2020

Contributed by Lukas

"We believe these results are applicable to a very broad population" Focusing on a study of over 6,000 patients, this hugely important piece attempts ...

Black and Minority Ethnic (BAME) death rates - Update from the UK | COVID 19

14 Jun 2020

Contributed by Lukas

"The NHS is composed by about 20% of non-white individuals" This piece takes a data driven look at a controversial area, how well informed are we abou...