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TopMedTalk for the latest medical news surrounding Anaesthesia, Perioperative Care and Enhanced Recovery. Live updates from conferences; Journal Club; Techno Talk and Hot-Topic podcasts. Continuing Medical Education (CME) on the go

TopMedTalk


    • Jan 3, 2022 LATEST EPISODE
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    Latest episodes from TopMedTalk

    The role of the sedationist | TopMedTalk

    Play Episode Listen Later Jan 3, 2022 25:14

    "Our top priority must be safety" A real stand out piece from this year's incredible Evidence Based Perioperative Medicine (EBPOM) Dingle/Chicago conference. This piece dives into the realities of sedation from the point of view of a patient focused practitioner. For more conversations along these lines make sure you listen to our coverage of the annual general meeting of the American Society of Anesthesiologists (ASA) on October the 9th. TopMedTalk will be live streaming from the event, checkout www.ebpom.live.org for more details. Presented by Monty Mythen and Desiree Chappell with their guest Rob Sneyd, Emeritus Professor at University of Plymouth, Faculty of Medicine and Dentistry.

    Why do we need a new rescue antiemetic | TopMedTalk

    Play Episode Listen Later Dec 27, 2021 21:32

    "There are so many, many studies on prophylaxis, but very few on treatment" Post operative nausea and vomiting, secondary nausea, how can we put the danger of these unfortunate moments behind us in a modern practice? This piece focuses upon nausea and treatment in particular as part of an Enhanced Recovery practice. Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting: https://journals.lww.com/anesthesia-analgesia/fulltext/2020/08000/fourth_consensus_guidelines_for_the_management_of.16.aspx Supported in part through an unrestricted educational grant from Acacia Pharma, Inc. Presented by Desiree Chappell and Monty Mythen with their guest Tricia Meyers, PharmD, adjunct Professor, Texas A&M, College of Medicine.

    Perioperative anemia clinics, panel discussion | EBPOM Chicago

    Play Episode Listen Later Dec 20, 2021 46:51

    What are the known challenges for patients and practitioners who face anemia preoperatively? How do you set up and run an anemia clinic? Is there any need for this to be considered an essential part of the perioperative process? This piece follows on from a presentation regarding how to set up and run an anemia clinic, follow this link here to hear that presentation: https://topmedtalk.libsyn.com/how-to-set-up-and-run-a-perioperative-anemia-clinic-ebpom-chicago For more on this topic listen to our popular podcast "Iron Man vs Anemia" which also features Toby Richards: https://www.topmedtalk.com/topmedtalk-iron-man-vs-anemia-2/ Chaired by Feyce M. Peralta, obstetrical anesthesiologist, Program Director for the Obstetric Anesthesiology Fellowship and Director of Faculty Development for the Department of Anesthesiology at Northwestern University Feinberg School of Medicine with guest speaker, Professor Bobbi Jean Sweitzer, The Associate Chair for Clinical Perioperative Practice, Northwestern University in Chicago, Illinois and panel members Toby Richards, Professor, Anaesthesia Teaching & Research Faculty of Medicine, Nursing and Health Sciences Central Clinical School, Monash University, Obianuju Okocha medical director of the preoperative clinic at Northwestern Memorial Hospital, Chicago & Frank Loughnane, Consultant Anaesthesiologist Cork University Hospital, Clinical lead for orthopaedic elective and trauma anaesthesia, Joint Clinical lead for pre-operative assessment, Clinical lecturer University College Cork.

    Pathophysiology of blood pressure auto regulation P2 | TopMedTalk

    Play Episode Listen Later Dec 17, 2021 47:58

    This piece continues the discussion regarding blood pressure regulation, moving from the brain to the kidney, heart and lungs via a number of distinguished experts in the field. How do we safely cut through the opinions on these areas and focus instead on relevant data? How do these organs interact in terms of auto regulation? How closely do our clinical tools allow us to infer accurately what a particular patient's needs are? This piece is part two of two, the first part is advised listening and can be found here: https://topmedtalk.libsyn.com/pathophysiology-of-blood-pressure-auto-regulation-p1-topmedtalk Presented by Dan Martin, with Monty Mythen, Sol Aronson and panelists Damian Bailey, Professor of Physiology at the University of South Wales, Maryam Khosravi, clinical nephrology, University College London, Andrew Shaw, Chairman, Department of Anesthesiology and Pain Medicine at The University of Alberta, Edmonton, Alberta and Zone Clinical Department Head for Anesthesia, Alberta Health Services Edmonton Zone and Fellow of the Royal College of Anaesthetists (UK), the American College of Critical Care Medicine and the Faculty of Intensive Care Medicine (UK), Erik Swenson, Director of Pulmonary Diagnostics Service at VA Puget Sound Health Care System, Seattle, WA, Kim Dora, Professor of Microvascular Pharmacology, Oxford University, Chris Garland, Professor of Vascular Pharmacology, Oxford University.

    Pathophysiology of blood pressure auto regulation P1 | TopMedTalk

    Play Episode Listen Later Dec 17, 2021 19:21

    The focus of this conversation is auto regulation in the brain, it leads into a longer conversation - part 2 - where the subject is discussed more broadly. What tools do we now have and how are they changing the way we see and understand this area? Are there hard and fast rules when it comes to blood pressure or is there still significant debate? Although this works as a stand alone listen it is in reference to the talk "Redefining Hypotension based on Real-time Cerebral Autoregulation Monitoring | EBPOM Chicago" - https://www.topmedtalk.com/redefining-hypotension-based-on-real-time-cerebral-autoregulation-monitoring-ebpom-chicago/ Presented by Monty Mythen with Dan Martin, OBE, Professor of Perioperative and Intensive Care Medicine, University of Plymouth and the Royal Free Hospital, London and Sol Aronson, tenured Professor, Duke University, Durham, North Carolina with their guest Charles Hogue, Professor and Chair of Anesthesiology at Northwestern University in Chicago.

    How to set up and run a Perioperative Anemia Clinic | EBPOM Chicago

    Play Episode Listen Later Dec 13, 2021 31:52

    "Choosing Wisely is an initiative of the American Board of Internal Medicine started about 10 years ago to advertise important aspects of medicine ... their number one recommendation was to not proceed with elective surgery in patients with properly diagnosed and correctable anemia, until the anemia has been appropriately treated." Taken from the hugely popular EBPOM Chicago meeting this piece explains how and why you need an anemia clinic as part of your perioperative practice. For more of this check out our piece here, which also features Bobbie Jean Sweitzer: "Promote your anemia clinics in the pandemic era?" https://www.topmedtalk.com/covid-19-promote-your-anemia-clinics-in-the-pandemic-era/ Presented by Professor Bobbi Jean Sweitzer, The Associate Chair for Clinical Perioperative Practice, Northwestern University in Chicago, Illinois.

    Near infrared spectroscopy (NIRS) Round Table | EBPOM Chicago

    Play Episode Listen Later Dec 6, 2021 39:56

    Near infrared spectroscopy (NIRS) ... 'a variation of pulse oximetry; it transmits red and infrared light into tissue' measures information from arterial venous and capillary blood simultaneously to deduce tissue saturation; an aggregate estimate of arteriovenous capillary blood and whatever tissue you're shining the light into. 'So typically, we're using it in on the brain at least in the cardiac and vascular space, but people also in other areas like the surgical ICU, can use it to measure muscle oxygenation as well'. Learn how this technique could enhance your practice, what its potential for advancement is and where its limits lie. This piece is likely to be of critical interest to most cardiac surgeons and those who work alongside them. This piece was generously supported and brought to you by Medtronic. Presented by Desiree Chappell and Monty Mythen with their guests Robert Thiele, Cardiac Anesthesiologist and Intensivist at the University of Virginia, Carol Ann Rosenberg Associate Director of Perfusion and ECMO, Kenan Yount, Cardiac Surgeon and Director of the Valve center and Director of the Aortic Center at the University of Virginia.

    Perioperative Pulmonary Complications | EBPOM 2021

    Play Episode Listen Later Nov 29, 2021 53:39

    Originally recorded during Evidence Based Perioperative Medicine (EBPOM)'s London conference this piece focuses upon pulmonary complications in the perioperative period. What do the data say, what are the key trials? Presented by Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton with Mark Hamilton, Consultant and Honorary Senior Lecturer in Anaesthesia & Critical Care Medicine at St. George's Hospital and Medical School, clinical lead for the Perioperative Assessment & Planning Unit at St. George's Hospital, clinical director for critical care at St. George's Hospital, alongside, Linda Denehy, Head of the Melbourne School of Health Sciences and Professor of Physiotherapy at The University of Melbourne, Australia, Rinaoldo Bellomo, Professor of Intensive Care Medicine, University of Melbourne, Honorary Professor, Faculty of Medicine, Monash University, Honorary Professorial Fellow, Faculty of Medicine, The University of Sydney, Honorary Professorial Fellow, The George Institute, Honorary Fellow, Florey Institute of Physiology, Honorary Professor, Faculty of Medicine, Nanjing University, Visiting Professor, Università Vita-Salute San Raffaele, he was awarded an Officer of the Order of Australia for distinguished service and Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London.

    Ernest Henry Starling Plenary Lecture, David Story | EBPOM 2021

    Play Episode Listen Later Nov 25, 2021 37:29

    One of the standout moments of Evidence Based Perioperative Medicine (EBPOM) 2021 this piece is a bonus podcast for the holiday season which looks in detail at oxygen from a perioperative medicine perspective, amongst other things this talk throws up some troubling and challenging observations about pulse oximetry. The piece is introduced by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton. Presented by David Story, Professor and Foundation Chair of Anaesthesia at the University of Melbourne; Head of the University Department of Critical Care and a member of Council of the Australian and New Zealand College of Anesthetists (ANZCA) and the Chair of the ANZCA Safety and Quality Committee. Like this, want more? Check out www.ebpom.org now, great prices on conferences are available including access to high quality video presentations on demand.

    Respiratory care and management during COVID-19 | EBPOM 2021 Dingle/Chicago

    Play Episode Listen Later Nov 22, 2021 28:07

    "We have seen a very significant transition (in respiratory care) through COVID" What have we learned about how to treat lung and breathing issues over the last few years? Away from alarming headlines and looking instead at data - is there a consensus on how COVID-19 should be treated? How has ventilation improved and developed? This podcast focuses on respiratory intervention and was originally broadcast as part of the hugely successful EBPOM Dingle/Chicago 2021 conference. For more details on EBPOM and for access to a huge library of resources, that goes beyond even TopMedTalk's extensive archive, go now to www.ebpom.org Presented by Desiree Chappell and Monty Mythen with their guest Karen A. Phillips, Chief Medical Officer, Respiratory Interventions, Consultant Anesthesiologist and Intensivist.

    Stop your patients feeling sick | EBPOM Dingle

    Play Episode Listen Later Nov 15, 2021 30:43

    Amisulpride is an antiemetic medication used at lower doses intravenously to prevent and treat postoperative nausea and vomiting; what does it look like in practice? Can it work as a 'rescue therapy'? What does the data tell us? Could a treatment for post-operative nausea and vomiting be a way to really enhance value based care and enhanced recovery? This piece is generously supported by Acacia Anesthesia. Presented by Desiree Chappell and Monty Mythen with their guest Dru Riddle, Associate Professor of Professional Practice in the School of Nurse Anesthesia at Texas Christian University, Associate Professor of Medical Education, TCU School of Medicine, and Director of the Center for Translational Research: A JBI Center of Excellence and Cochrane US TCU Center.

    Nociception monitoring and pain management in 2021 | EBPOM Dingle/Chicago

    Play Episode Listen Later Nov 8, 2021 28:07

    "Precision anesthesia [...] where we can give patients the anesthetic and the doses that they require on a patient specific basis" This piece looks at nociception, the neural processes of encoding and processing "noxious" stimuli. By monitoring this anesthetic practitioners can deploy a level of precision not previously possible. Regular listeners may wish to refer back to previous podcasts on this subject: EBPOM LIVE from London | Pain monitoring - with Frank Overdyk, Professor of Anaesthesiology, Charleston, South Carolina: https://www.topmedtalk.com/11813-2/ TopMedTalks to … | Dan Longrois on nociception: https://www.topmedtalk.com/topmedtalks-to-dan-longrois-on-nociception/ Presented by Desiree Chappell and Monty Mythen with their guest Anil Hormis, Professor, Consultant in anesthesia and Critical Care Medicine, Rotherham NHS Foundation Trust.

    The HPI Monitor - avoiding hypotensive events | TopMedTalk

    Play Episode Listen Later Nov 1, 2021 40:59

    The Hypotension Prediction Index is rapidly gaining a well deserved place in the hands of modern perioperative practitioners. Here we look at the history of this tool, why it is needed so badly and how it has developed. Many of the conversations referenced in this piece are worthy of further attention. The clips used are taken from the following TopMedTalk programmes: Live from Boston ASA 2017 – The Elephant In The Room – intraoperative hypotension: https://www.topmedtalk.com/live-from-boston-asa-2017-the-elephant-in-the-room-intraoperative-hypotension/ Intraoperative Hypotension: https://www.topmedtalk.com/intraoperative-hypotension/ ASA 2019 | Perioperative Quality Initiative P.O.Q.I. news https://www.topmedtalk.com/asa-2019-perioperative-quality-initiative-p-o-q-i-news/ ASA 2019 | Hypotension Index: Data drives change https://www.topmedtalk.com/the-hypotension-prediction-index-hpi/ The Roundtable | The Hypotension Prediction Index (HPI) https://www.topmedtalk.com/the-roundtable-the-hypotension-probability-index-hpi/ EBPOM 2018 | Hypotension probability in practice https://www.topmedtalk.com/ebpom-2018-hypotension-probability-in-practice/ Prehab Periop World Congress: Feras Hatib, Simon Davies https://www.topmedtalk.com/prehab-periop-world-congress-feras-hatib-simon-davies/ The Hypotension Prediction Index (HPI) https://www.topmedtalk.com/the-hypotension-prediction-index-hpi/ The picture features TopMedTalk in conversation with Thomas Scheeren, Chair Cardiovascular Dynamics Section at European Society of Intensive Care Medicine (ESICM). TopMedTalk is proud to act as the broadcasting arm of Evidence Based Perioperative Medicine (EBPOM) - our world famous conferences continue to grow in size and scope as the COVID recovery gets underway -, find out more here: www.ebpom.org

    Perioperative obstetric care | EBPOM 2021

    Play Episode Listen Later Oct 25, 2021 48:28

    With a global focus this piece moves into obstetric anesthesia, perioperative medicine and anemia management. Covering iron deficiency, hemoglobin, post-partum management and how to improve outcomes for all. For more on this go now to www.ebpom.org where you will find the pre-recorded video contributions made by our speakers in anticipation of this discussion. Presented by Sam Bampoe, Tripom Co-Founder, Consultant in Anaesthesia and Perioperative Medicine at University College London NHS Foundation Trust and Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton with their guests; Anita Sugavaganam, Consultant Anaesthetist and Lead for adult general anaesthesia and patient blood management at University Hospitals Sussex, Honorary Senior Clinical lecturer at the University of Sussex, Pervez Sultan, Associate Professor of Obstetric Anesthesiology, Stanford University School of Medicine, California, Honorary Faculty position as Associate Professor at University College London and Charlotte Holm, Obstetrics and Gynecology, resident at the Department of Obstetrics and Gynecology, Hvidovre Hospital, Denmark.

    Tracheotomies and COVID 19 | EBPOM 2021 Chicago/Dingle

    Play Episode Listen Later Oct 18, 2021 18:52

    "I think it really comes down to teamwork" How rapidly should you perform a tracheotomy? When do you "start the conversation" about the procedure? What about when it comes to patients with COVID19? Where does a data driven approach take us to? This essential piece is provided to TopMedTalk listeners as a sneak preview of EBPOM Dingle and Chicago; recorded in advance of the meeting and shared with you as a preview of this year's Evidence Based Perioperative Medicine's global conference offering. We would like to thank Medtronic, for their generous support which enabled us to bring this piece to you for free. Presented by Desiree Chappell and Monty Mythen with their guest Babak Sarani, Professor of surgery and emergency medicine and Director for the Center for Trauma and Critical Care at George Washington.

    The ASA's Immediate Past President | TopMedTalk at the ASA

    Play Episode Listen Later Oct 13, 2021 26:40

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Mary Dale Peterson, M.D., MHA, FACHE, FASA, ASA Immediate Past President.

    Post operative nausea and vomiting | TopMedTalk at the ASA

    Play Episode Listen Later Oct 13, 2021 13:19

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, TJ Gan, MD, MHS, FRCA, MBA, Professor and Chairman of the Deptartment of anesthesiology at Stony Brook Medicine in Stony Brook, New York. For more on this topic check out our exclusive min-series here: https://editors-top-picks.libsyn.com/the-value-of-tackling-post-operative-nausea-and-vomiting-topmedtalk

    Koalaa and The Alex Lewis Trust | TopMedTalk at the ASA

    Play Episode Listen Later Oct 13, 2021 25:48

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Alex Lewis, Founder of The Alex Lewis Trust. More here: https://www.alex-lewis.co.uk/innovation-technology/koalaa/

    Rick Dutton Chief Quality Officer US Anesthesia Partners | TopMedTalk at the ASA

    Play Episode Listen Later Oct 13, 2021 35:22

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Richard Dutton, M.D., M.B.A., Chief Quality Officer US Anesthesia Partners.

    Both The President and The President-Elect of the ASA | TopMedTalk

    Play Episode Listen Later Oct 13, 2021 29:39

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter and Sol Aronson, tenured Professor, Duke University speak with their guests; Beverly Philip, M.D., FACA, FASA, President of The American Society of Anesthesiologists and Randall Clark, M.D., FASA, President-Elect of the American Society of Anesthesiologists.

    Stephanie Byerly, Chair of the ASA Committee on Women Anesthesiologists | TopMedTalk

    Play Episode Listen Later Oct 13, 2021 28:47

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Stephanie Byerly, M.D. Chair of the ASA Committee on Women Anesthesiologists, Professor of Anesthesiology and Pain Management, UT Southwestern, Dallas, Cheif, Obstetrical Anesthesiology, Clements University Hospital, Dallas.

    Evan Kharasch, Chair of the ASA Committee on excellent research | TopMedTalk at the ASA

    Play Episode Listen Later Oct 13, 2021 29:18

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Sol Aronson, tenured Professor, Duke University speak with their guest, Evan Kharasch, Chair of the ASA Committee on excellent research, Professor and Vice Chair for Innovation in the Department of Anesthesiology at Duke University, and Director of Academic Entrepreneurship in Duke University School of Medicine.

    Talks to Lee Fleisher | TopMedTalk at the ASA

    Play Episode Listen Later Oct 13, 2021 29:13

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Sol Aronson, tenured Professor, Duke University speak with their guest, Lee Fleisher, Emeritus Professor of Anesthesiology and Critical Care, University of Pennsylvania.

    Adam Striker, Chair, ASA Committee on Communications | TopMedTalk at the ASA

    Play Episode Listen Later Oct 13, 2021 22:56

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Adam Striker, MD FASA. Chair, ASA Committee on Communications, Associate Professor, Anesthesiology, University of Cincinnati and University of Kentucky.

    Perioperative Surgical Home (PSH) | TopMedTalk at the ASA

    Play Episode Listen Later Oct 13, 2021 29:58

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Chris Steel, MD, In Patient CMO, White River Health System, Batesville Arkansas. More here: https://www.asahq.org/psh

    REVIVEme - opioid overdose and naloxone | TopMedTalk at the ASA

    Play Episode Listen Later Oct 13, 2021 28:27

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Bonnie Milas, Cardiac anesthesiologist, University of Pennsylvania. More info here: https://www.asahq.org/advocating-for-you/reviveme

    Ashish Khanna on intraoperative hypotension and beyond | TopMedTalk at the ASA

    Play Episode Listen Later Oct 13, 2021 32:29

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Ashish Khanna, Associate Professor, Section Head for Research, Department of Anesthesiology, Section on Critical Care Medicine, Wake Forest School of Medicine.

    Cancer and anaesthetic drugs | EBPOM 2021

    Play Episode Listen Later Oct 11, 2021 51:52

    Cancer and anesthetic drugs, informed by the basic science the pre-clinical work and observational studies suggest the way that we provide anesthesia could have an impact on cancer outcomes. This piece explores the evidence, with reference to trials both resolved and ongoing. Presented by Monty Mythen with Tom Wall, consultant anesthesiology in the Mater Hospital he also has an academic affiliation with University College Dublin, Joyce Yeung, associate clinical professor of anesthesia and critical care, University of Warwick and Director of the UK perioperative medicine clinical trials network, Bernhard Riedel, Professor, Director of the Department of Anesthesia, Perioperative and Pain Medicine at the Peter MacCallum Cancer Centre, with an honorary academic appointment at the University of Melbourne and Vijaya Gottumukkala, Professor of Anesthesia and Deputy Chair at MD Anderson.

    Jonathan Gal Vice Chair, ASA Committee on economics | TopMedTalk

    Play Episode Listen Later Oct 10, 2021 30:12

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief as they talk to their guests, Jonathan Gal, Associate Professor, System Medical Director- Facility Revenue Integrity & Optimization; System Medical Director- Offsite ASC Anesthesia; Associate Professor of Anesthesiology, Director Governmental & Reimbursement Affairs, Mount Sinai Hospital.

    Dru Riddle and Tricia Meyer | TopMedTalk

    Play Episode Listen Later Oct 10, 2021 29:21

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief as they talk to their guests, Tricia Meyer, PharmD, adjunct Professor, Texas A&M, College of Medicine and Dru Riddle, Associate Professor of Professional Practice in the School of Nurse Anesthesia at Texas Christian University, Associate Professor of Medical Education, TCU School of Medicine, and Director of the Center for Translational Research: A JBI Center of Excellence and Cochrane US TCU Center.

    Amy Wilkinson Director of Clinical Marketing Butterfly Network | TopMedTalk

    Play Episode Listen Later Oct 10, 2021 17:34

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief, as they talk to their guest Amy Wilkinson, Director of Clinical Marketing Butterfly Network.

    Kamal Maheshwari Director, Center for Perioperative Intelligence | TopMedTalk

    Play Episode Listen Later Oct 10, 2021 41:29

    Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor Duke University, as they talk to their guest Kamal Maheshwari, Director, Center for Perioperative Intelligence, Cleveland Clinic.

    Kraig de Lanzac, Assistant Secretary of the ASA | TopMedTalk

    Play Episode Listen Later Oct 10, 2021 25:04

      TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor Duke University, as they talk with their guest Kraig S. de Lanzac, Assistant Secretary of the ASA. For more on the ASA go here: https://www.asahq.org/  

    Welcome to the ASA | TopMedTalk

    Play Episode Listen Later Oct 10, 2021 12:38

      Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor Duke University, as they talk about the hot topics, major issues and where the data is leading us. For more on the ASA go here: https://www.asahq.org/  

    editor in chief american society topmedtalk desiree chappell
    Exercise and the cancer patient during the COVID-19 crisis | EBPOM 2021

    Play Episode Listen Later Oct 4, 2021 47:45

    This piece focuses upon multimodal prehabilitation through the lived experience of clinicians from the different healthcare systems of Europe, the United States and the UK; both prior to and during the pandemic. We hear about the implementation of rehabilitation programs and research studies, which have managed to adapt, in the COVID era. Presented by Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton with her guests Franco Carli, Professor of Anesthesia at McGill University and Associate Professor in the School of Dietetics and Human Nutrition at McGill University, Staff anesthesiologist at the McGill University Health Centre, Gerard Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Trust, Professor Sandy Jack, PhD, Consultant Clinician Scientist in The Anaesthesia and Critical Care Research Unit at University Hospital Southampton NHS Foundation Trust, Honorary Senior Lecturer at the University of Liverpool, University of Southampton and University College London, Dan Engelman, President of the Enhanced Recovery after Cardiac surgery society, Baystate Health in Massachusetts, Medical Director, Heart, Vascular & Critical Care Services, Baystate Medical Center and Associate Professor of Surgery University of Massachusetts Medical School-Baystate. Like this, want more? Try this piece now: https://www.topmedtalk.com/models-of-prehabilitation-ebpom-2020-2/ And remember, Evidence Based Perioperative Medicine (EBPOM) offers high quality video presentations as well as a chance to attend our next live conference here: www.ebpom.org

    POETTS - Nutrition and patient living with and beyond cancer - the Macmillan Trust | EBPOM 2021

    Play Episode Listen Later Sep 27, 2021 52:08

    The Perioperative Exercise Testing and Training Society (POETTS) presents "Nutrition and patient living with and beyond cancer" in partnership with the Macmillan Trust. A real stand out moment from this year's Evidence Based Perioperative Medicine (EBPOM) London. This discussion is essential listening for anyone interested in pre-optimisation, muscle mass, nutrition, malnourishment - how to spot it and what to do about it, surgery and the importance of protein. Presented by Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton, Gerrit Slooter, Surgical Oncologist, Maxima Medical Centre, The Netherlands, Steven Olde Damink, Consultant HBP Surgeon, University of Maastricht, Dileep Lobo, Professor of Gastrointestinal Surgery, Faculty of Medicine & Health Sciences, University of Nottingham and Consultant Hepatopancreaticobiliary Surgeon at Queen's Medical Centre, Chelsia Gillis, Registered Dietician, McGill University, Ca.

    Perioperative care of the diabetic patient | EBPOM 2021

    Play Episode Listen Later Sep 20, 2021 40:11

    This piece looks at diabetes from a perioperative perspective, as a patient goes toward surgery how realistic and how important is it for us to treat and manage their condition? What can be done? How can our patients help? How has the evidence moved on these issues? Also, for more on diabetes check out this Journal Club; https://www.topmedtalk.com/journal-club-1-12-various-articles-from-bmj-open-journal-of-bone-joint-surgery-american-volume-diabetes-care-annals-of-surgery/ or this Perioperative Coach; https://www.topmedtalk.com/periop-coach-3-04-perioperative-fluid-management-to-enhance-recovery-after-surgery/ And, for more on The Centre For Perioperative Care (CPOC) go here: https://www.topmedtalk.com/anaesthesia-2019-uk-centre-for-perioperative-care/ Presented by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton, and Dave Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC), Dennie Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton, Emma Page, Transformation Lead East Suffolk and North Essex NHS Foundation Trust, Goher Ayman, Diabetes UK, patient representative from the guideline group, Scarlett McNally, Deputy Director of The Centre for Perioperative Care (CPOC) consultant Orthopaedic Surgeon, Eastbourne DGH, UK, Gerry Rayman, Consultant physician, Ipswich Hospitals NHS Foundation Trust.

    The Morpheus Consortium Plenary Lecture | EBPOM 2021

    Play Episode Listen Later Sep 13, 2021 44:03

    Introduced by Monty Mythen, TopMedTalk's Editor in Chief and Padma Gulur, Professor of Anesthesiology and Population Health and Executive Vice Chair for Performance and Operations Director, Pain Management Strategy and Opioid Surveillance at Duke University Health Systems. Presented by Ramani Moonesinghe, OBE, Professor of Perioperative Medicine at UCL and a consultant anesthetist at UCL hospitals, Director of the Health Services Research Center of the Royal College of Anaesthetists and national Clinical Director for critical and perioperative care at NHS England. Our speaker provided clinical leadership for the UK's national critical care response to COVID-19 and is now supporting the recovery of elective care as we emerge from the pandemic; her talk today focuses upon experiences and learnings from the past 18 months. Could it be that perioperative medicine is now the discipline which will help us build a road to recovery? For more information about The Morpheus Consortium, the branding of three universities, Duke University, University College London and University of Southampton, with one shared goal – to be the leaders in perioperative medicine and enhanced recovery after surgery, ultimately improving the patients' journey from the moment their surgery is contemplated to full recovery, go here: http://morpheusconsortium.org/ For more talks like this take time to discover Evidence Based Perioperative Medicine; www.ebpom.org

    HPI - The Cardiac Perspective | TopMedTalk

    Play Episode Listen Later Sep 6, 2021 40:43

    "Once you work with it, you really do learn to trust it. And it's very accurate." This piece gives us an insight into practice from a cardiac perspective. What are "the TIGER protocols"? How is the HPI monitor being used? How has it impacted upon cardiac surgery? Presented by Desiree Chappell and Monty Mythen with their guest Brad Cardonell, Assistant Professor of clinical anesthesiology at the University of Missouri School of Medicine, Director of cardiovascular anesthesiology, University Hospital in Columbia. This piece was made available with generous support from Edwards Lifesciences.

    Perioperative Care for people living with frailty | EBPOM 2021

    Play Episode Listen Later Aug 30, 2021 50:14

    Featuring a wide range of questions from the attending audience at EBPOM 2021 this piece gets into frailty: How do we assess it? How does it affect shared decision making? How can we raise awareness around it? How do we articulate what it means to patients and their loved ones? What does post operative frailty mean? Introduced by Mike Grocott, Professor of Anaesthesia and Critical Care at the University of Southampton, Chaired by Jugdeep Dhesi, Clinical Lead for "Proactive care for Older People undergoing Surgery" (POPS) and Consultant Geriatrician, Guys and St Thomas' NHS Trust, with their guests Jude Partridge, consultant geriatrician POPS, honorary senior lecturer, King's College London, Chairs the British Geriatrics Society POPS SIG, Lawrence Mudford, 38-years as a dentist and dental educator within both primary and secondary care, including serving on the Board of the Faculty of General Dental Practice (UK) and a member of the General Dental Council, Board member of the Centre for Perioperative Care, Jessie Lupino Colquhoun, General Practitioner, Trainee, Lewisham UK, Elizabeth Huddlestone, Consultant Anesthetist, Wirral University Teaching Hospital. If you enjoyed this piece make sure you check out www.ebpom.org for great ways you can attend our next conference.

    The Editors in Chief Forum | EBPOM 2021

    Play Episode Listen Later Aug 23, 2021 48:24

    An exclusive chance to hear from the editors in chief of the major journals in our field discussing the big issues of 2021; 'The Journal of Perioperative Medicine', 'Anesthesiology', 'The British Journal of Anaesthesia', 'Anesthesia & Analgesia' and 'Anaesthesia'. This piece was initially presented at Evidence Based Perioperative Medicine (EBPOM)'s 2021 online conference as part of the POCAPALOOZA. Make sure you check out www.ebpom.org now for more details on our other conferences this year. Presented by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and co-editor in Chief of the Journal of Perioperative Medicine with his guests, Evan Kharasch, Professor and Vice Chair for Innovation in the Department of Anesthesiology at Duke University, and Director of Academic Entrepreneurship in Duke University School of Medicine, Editor in Chief of 'Anesthesiology', Hugh Hemmings, Senior Associate Dean for Research, Professor and Chair of Anesthesiology at Weill Cornell Medicine and the Editor in Chief of the 'British Journal of Anaesthesia', Jean-Francois Pittet, Professor, University of Alabama, Department of Anesthesiology, Editor in Chief of 'Anesthesia & Analgesia', Andy Klein, Cardiothoracic Anaesthetist at Royal Papworth Hospital in Cambridge and Editor in Chief of 'Anaesthesia' and Lee Fleisher, Emeritus Professor of Anesthesiology and Critical Care, University of Pennsylvania, co-editor in Chief of the Journal of Perioperative Medicine.

    Perioperative implementation science | EBPOM 2021

    Play Episode Listen Later Aug 16, 2021 37:46

    "Implementation science is really focused on bridging the evidence to practice gap" One of the highlights of the 2021 Evidence Based Perioperative Medicine (EBPOM) conference. This talk is provided to you in the hope you can help us to spread its content as far and wide as possible. It is introduced by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton. Presented by Meghan Fall-Lane, Assistant Professor of Anesthesiology and Critical Care at the Perelman School of Medicine; Co-Director of the Penn Center for Perioperative Outcomes Research and Transformation; and Senior Fellow at the Leonard Davis Institute of Health Economics, University of Pennsylvania. Also - make sure you check out www.EBPOM.org for more information about the next conference in the perioperative medicine calendar.

    Total intravenous anaesthesia (TIVA) EBPOM 2021 | TopMedTalk

    Play Episode Listen Later Aug 9, 2021 56:07

    This essential discussion covers total intravenous anaesthesia (TIVA) versus inhalation anesthesia, the pros, the cons, and the benefits of the process such as monitoring. Included in this extended podcast are the two presentations (2:40mins in and 20:55mins in) and the question and answer session which followed (starts at 33:05mins in). The Safe Brain Initiative is here: http://safebraininitiative.com/ Chaired by Desiree Chappell with her guests, Peter Kikegaard, Senior consultant and Medical Staff specialist at the Department of Anaesthesia and Intensive Care, Nykoebing Falster Hospital, University of Southern Denmark (SDU) and Anoushka Afonso, Assistant Professor of Anesthesia and critical care at Memorial Sloan Kettering Cancer Center, New York.

    Provation® SurgicalValet™ Platform: Simplifying the Entire Surgical Encounter | TopMedTalk

    Play Episode Listen Later Aug 2, 2021 43:35

    Ways to simplify the entire surgical encounter. This piece looks at the process of accepting patients into the surgical journey. Care coordination with a focus on the patient and the workflow associated with them; taking a fully integrated approach to the process from inception to preparation to completion and aftermath. More information about cloud-based Provation® SurgicalValet™ Perioperative Care Coordination can be found here: Provation® SurgicalValet™ Platform: Simplifying the Entire Surgical Encounter Presented by Desiree Chappell and Monty Mythen with their guests, Kari Beth Christie, Physician Anesthesiologist, NorthStar Anesthesia at Norton Healthcare in Louisville, KY and Tiffany Beatty, formerly the Director of Customer Success and now the Clinical Specialist Engineer at Provation.

    Remotely performing clinical examinations during video calls | TopMedTalk

    Play Episode Listen Later Jul 26, 2021 20:21

    Care home residents in South East London are to be the first in line to access remote examination technology. Residents across 46 care homes in South East London are first in line to access innovative diagnostic technology from Arc Health ( www.archealth.io ), enabling doctors to remotely perform a clinical examination during a video call. Where next for this sort of technology? Is a face to face meeting still the 'gold standard' of medical diagnosis? Presented by Nick Margerrison with his guest Caroline Pilot, Honorary Professor of Algorithmic Medicine at DeMontfort University and Head of Clinical Product at Arc Health.

    Perioperative Enhancement Teams - Part 2 | TopMedTalk

    Play Episode Listen Later Jul 19, 2021 25:19

    Perioperative enhancement teams have been a theme on TopMedTalk for years. This program, part two of two, goes into more detail around what could be the crucial next steps for your institution as it distinguishes itself from the pack with excellent value based care instead of excessive volume driven disasters. In this program we cover the importance of prehabilitation, the need for respect in a multidisciplinary team, cardiopulmonary exercise testing (CPET), a centre for geriatric surgery and palliative care and perioperative smoking cessation clinics. Further listening: Olle Ljungqvist, Prof. of Surgery, MD, PhD, Surgeon, Örebro University Hospital & Karolinska Institute, Sweden and Franco Carli, Prof. MD, PhD, Anesthesiologist, McGill University, Canada can be found in their original form here: https://www.topmedtalk.com/the-second-annual-prehabilitation-world-congress-part-1/ Desiree Chappell and Monty Mythen with their guest Amir Jaffer, Chief Medical Officer, New York Presbyterian/ Queens feature here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-02-amir-jaffer/ John Whittle, assistant Professor at Duke University Medical Centre provides some essential listening on the subject of CPET here: https://www.topmedtalk.com/topmedtalk-cpet-cardio-pulmonary-exercise-testing/ Angela Bader, Vice Chair of Perioperative Medicine at Brigham and Women's Hospital can be heard in full here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-03-angela-bader/ James Davis, MD, Duke Smoking Cessation Program, presents and excellent talk here: https://www.topmedtalk.com/part-1-of-3-smoking-kills-more-than-all-addictive-substances-combined-plus-car-accidents/

    Perioperative Enhancement Teams | TopMedTalk

    Play Episode Listen Later Jul 12, 2021 28:22

    This podcast is a look at some of the work done by practitioners who intend to take perioperative medicine to the next level; the "perioperative enhancement teams". The program broadly follows a patient's surgical journey, we start with the UK's PREPWELL project, as explained by Gerard Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Trust. For more information on that go to https://prepwell.co.uk/ - also, if you'd like to hear the original conversation you can find that here: https://www.topmedtalk.com/rcoa-03-adverse-outcomes-and-patient-optimisation/ Further discussion on the subject of psychological optimisation comes from, Chloe Grimmett, behavioural scientist and lead for Wesfit prehabilitation. If you'd like more details on the project go here: http://wesfit.org.uk/ - to hear the original presentation in full follow this link: https://www.topmedtalk.com/ebpom-2019-psychology-and-behavioural-change/ The fascinating debate which follows features Shawna Butler of the Singularity University in Exponential Medicine and Jennifer Brandon of the Hoag Orthopedic Institute in Irvine, California. That can be heard in full here: https://www.topmedtalk.com/using-new-technology-with-elderly-patients/ The essential contribution from Angela Coulter, a UK based health policy analyst and researcher, on the crucial area of "shared decision making" can be enjoyed in full here: https://www.topmedtalk.com/ebpom-2018-shared-decision-making-in-perioperative-care/ More wisdom from Steve Flanagan, Chair of Physical Medicine and Rehabilitation at NYU Langone can be found here: https://www.topmedtalk.com/rehabilitation-exercise-is-real-medicine/

    Exciting news | TopMedTalk

    Play Episode Listen Later Jul 5, 2021 12:02

    Post EBPOM Monty and Desiree explain how TopMedTalk is building on the incredible success of the last few years. After producing a podcast every day for 3+ years we are now going to produce a new podcast each week with more focus on specific topics with bespoke documentary style pieces which will help us to present complicated content in a more digestible form. We will also continue to present the core principles of Enhance Recovery After Surgery alongside cutting edge talks we think need a wider audience. It will continue to be essential listening each week for perioperative practitioners, students and people interested in how and why their forthcoming operations will work as well as what to do as a patient to prepare. We look forward to continuing the journey with you, our audience, who have helped turn TopMedTalk into the success it is today. Presented by Desiree Chappell, Monty Mythen and Nick Margerrison. --ARCHIVE LINKS Bruce Keogh's excellent talk: https://topmedtalk.libsyn.com/ebpom-highlight-the-nhs-over-70 Can Medicine be cured? https://topmedtalk.libsyn.com/dingle-highlight-can-medicine-be-cured Paul Wischmeyer is here: https://topmedtalk.libsyn.com/topmedtalks-to-dr-paul-wischmeyer-0

    exciting news monty mythen topmedtalk desiree chappell
    Introducing Caroline Geary | EBPOM 2021 Bonus piece

    Play Episode Listen Later Jul 4, 2021 17:05

    In this piece we take a bit of time to speak with a newly graduated enhanced recovery after surgery (ERAS) enthusiast. How widely taught is ERAS in the US? Why is it such a game changing concept? How are people discovering and researching it? Presented by Desiree Chappell and Vicki Morton and their guest Caroline Geary, critical care nurse residency, Novant Health Presbyterian Medical Center in Charlotte, North Carolina.

    north carolina piece eras geary desiree chappell
    Panel discussion - Prediction of Opioid Induced Respiratory Depression: Does surveillance monitoring help? | EBPOM 2020

    Play Episode Listen Later Jul 4, 2021 31:22

    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 talk here: https://www.topmedtalk.com/ebpom-2020-london-prediction-of-opioid-induced-respiratory-depression-on-the-general-care-floor-does-surveillance-monitoring-help/ Some of the questions considered include: How much do you think partial / inadequate neuromuscular blockade reversal, contributes to post pulmonary complications, perhaps in combination with opioids? Why as a group would we prefer to save money by avoiding sugammadex to reverse rocuronium to ensure complete reversal? Lack of reversal more than an issue? If you did a pre op sleep study on these patients, would you not find similar frequencies of desaturation? Is it just monitoring sleep? Should all wards have the capability for continuous monitoring? Presented by Monty Mythen and Desiree Chappell with their guests, Ashish Khanna, Associate Professor, Section Head for Research, Department of Anesthesiology, Section on Critical Care Medicine,Wake Forest School of Medicine, Frank Overdyk, Professor of Anaesthesiology, Charleston, South Carolina, Leif Saager, Executive Vice Chair of the Department of anesthesiology in Germany at the University of Nottingham. There's more from Frank Overdyk here: https://www.topmedtalk.com/11813-2/

    EBPOM 2021 POCAPALOOZA final | TopMedTalk

    Play Episode Listen Later Jul 3, 2021 29:13

    "The delivery of good medical care is to do as much nothing as possible." - Samuel Shem. The POCAPALOOZA (POC, perioperative care; apalooza - a celebration of) wraps up in true style with a look at Australia and their current situation. Lauded for their handling of COVID19 but not yet 'through the woods' the conversation looks at how doing the right thing can be innovative and why a good rapport with your patient is invaluable. Presented by Desiree Chappell with her guest Ross Kerridge, Senior Staff Specialist Anaesthetist Clinician at the John Hunter Hospital, Newcastle, Australia and Associate Professor at the University of Newcastle.

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