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Hey everyone, thanks for tuning in. If you've spent any time in the OR during a cesarean delivery, you know that the choice between uterine exteriorization and in situ repair usually comes down to how you were trained or personal surgeon preference. It's a debate as old as modern obstetrics. But a major piece of clarity is coming down the pipeline. This episode, we are getting a sneak peek at a brand-new systematic review and meta-analysis dropping this July 2026 in the European Journal of OBGYN. We're asking the big question: is this the study that finally settles the debate once and for all? Grab your coffee, stick around, and let's find out.16% OFF TONA ACTIVE WEAR PROMO: https://tonaactive.com/discount/CHAPANOSPINOBG Coutinho, I. C., Ramos de Amorim, M. M., Katz, L., & Bandeira de Ferraz, Á. A. (2008). Uterine exteriorization compared with in situ repair at cesarean delivery: A randomized controlled trial. Obstetrics & Gynecology, 111(3), 639–647. https://doi.org/10.1097/aog.0b013e31816521e2 . (One of the most heavily cited clinical trials on the subject. It established that women in the exteriorized group experienced a 41% greater risk of moderate-to-severe pain at 6 hours postoperatively compared to the non-exteriorized cohort). Tan, H. S., Taylor, R. C., Sharawi, N., Sultana, R., Barton, K. D., & Habib, A. S. (2021). Uterine exteriorization versus in situ repair in Cesarean delivery: A systematic review and meta-analysis. Canadian Journal of Anaesthesia, 69(2), 216–233. https://doi.org/10.1007/s12630-021-02142-8 Fonseca Queiroz L, Lemos M, Pereira da Silva D . Uterine exteriorization versus in-situ uterine repair during cesarean delivery: a systematic review and meta-analysis of randomized controlled trial. European Journal of Obstetrics and Gynecology and Reproductive Biology, 2026; 323
Send us Fan MailSee the full article here:https://www.sciencedirect.com/science/article/pii/S0007091226002588?dgcid=coauthor---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.
At the SOAP meeting in Montreal, Desiree Chappell and Monty Mythen interview Dr. Marie Louise Meng, Assistant Professor of Anesthesiology at Duke University Department of Anesthesiology and her former cardio-obstetric fellow Liliane Ernst, assistant professor in the Obstetric and Gynecologic Anesthesia section Wake Forest University. The conversation focuses on cardio-obstetric anesthesia, hemodynamics, monitoring, and patient-centered care. Meng describes building multidisciplinary "pregnancy heart teams" to plan management for complex cardiac disease in pregnancy and reduce birth trauma. Ernst discusses research using the Premier database on preexisting atrial fibrillation in pregnancy (about 25 per 100,000 deliveries) and associated management and outcomes. They review cases including mechanical circulatory support with an Impella to prolong pregnancy and highlight knowledge gaps about placental perfusion and pulsatility, including Fontan physiology. Meng outlines individualized hemodynamic monitoring for labor and C-sections, emphasizes recognizing hypertensive instability, and details preeclampsia with severe features, its end-organ criteria, incidence, disparities, postpartum follow-up challenges, and potential use of remote monitoring and noninvasive cardiac output/SVR monitoring to guide therapy. Monty Mythen, founding editor-in-chief of TopMedTalk, is now Senior Vice President, Scientific Liaison, BD Advanced Patient Monitoring. He is also Emeritus Professor of Anaesthesia and Critical Care, University College London, UK. Desirée Chappell, former co-editor-in-chief of TopMedTalk, is now Director of Medical Affairs and Medical Science Liaison, BD Advanced Patient Monitoring. She is also a CRNA at NorthStar Anesthesia, USA. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - EBPOM World Congress 2026
The Association of Anaesthetists meeting in London was the perfect spot for us to launch our new series on Artificial Intelligence. Here, Andy Cumpstey and James Bowness discuss the new monthly series and the UK-Ireland "demand signaling" project on AI in anaesthesia, perioperative medicine and acute pain, supported by The Association. They are joined by their guest Nicky De Beer, The Association's chief executive. She explains that their members want problems defined in advance before technology solutions are imposed from above. She highlights key clinical themes—enhanced monitoring and decision support, personalized anaesthesia, and automation of routine tasks—and nonclinical impacts such as operational efficiency and data-driven decision making. The conversation stresses embracing AI with caution, addressing basic IT shortcomings, developing CPD/training, multidisciplinary research, ethical and safety-focused policy, international collaboration, grant funding, and progressing toward practical AI guidelines and advocacy with policymakers. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
OxygenCare, a leading Irish medical device distributor with over 54 years of experience supporting anaesthesia and critical care, has announced the Irish launch of the GE Carestation 850 Anaesthesia Delivery System at the College of Anaesthesiologists of Ireland (CAI) Annual Congress, held in O'Reilly Hall, UCD. The launch marks a significant milestone in OxygenCare's long-standing partnership with Irish healthcare, reflecting more than five decades of innovation supporting clinicians, from early gas delivery systems to today's connected, data-driven care environments. As the exclusive Irish distributor for GE HealthCare's anaesthesia portfolio, OxygenCare is introducing the GE Carestation 850 as a Digital for Care-ready platform, aligned with the HSE's evolving digital infrastructure, including the One Health Record (National EHR), NIMIS, and future integrated care systems. "The theme of this year's CAI Congress, 'The Evolution of Anaesthesia and Critical Care', perfectly reflects our journey," said Maurice Moran, Managing Director, OxygenCare. "For over 50 years, we have enabled Irish clinicians to deliver safer, more effective care as technology has evolved. The GE Carestation 850 represents the next step: advanced clinical performance combined with seamless digital integration, fully aligned with HSE Digital for Care standards. We are proud to launch it here among the clinicians shaping the future of anaesthesia in Ireland." Designed for Ireland's Digital Healthcare Ecosystem The GE Carestation 850 is built as a fully connected medical device, supporting the transition from paper-based workflows to a data-driven, integrated perioperative environment. Key Digital Features include: Interoperability by Design: Simplifying connections to other medical devices and to hospital networks. Real-time data transmission can be configured to automatically send important physiological, machine and service data to various clients simultaneously. Integrated Care Connectivity: Bi-directional data exchange with Shared Care Record and future Community Care Record. Cybersecurity Framework: Future-ready: Extra computing power to accommodate smart tools and features. AI-Ready Architecture: Supports future decision tools such as predictive alerts and ventilation optimisation. Advanced Clinical Performance The GE Carestation 850 is engineered to support the evolving demands of anaesthesia and critical care: Advanced ventilation modes for both low-flow and high-flow anaesthetic techniques. High-resolution touchscreen interface for intuitive operation and rapid clinical decision-making. Efficient vapouriser and gas management systems. Native integration with anaesthesia information systems and hospital PAS. End-tidal control (Et Control) Automatically adjusts fresh gas flows to maintain EtO2 and EtAA targets. The new GE Carestation 850 is a platform for today and for the future – engineered with digital architecture that supports ongoing software innovations while delivering advanced clinical performance combined with seamless digital integration.The system will be displayed at the CAI Congress, continuing OxygenCare's long-standing commitment to engage directly with Ireland's anaesthesia community. See more stories here. More about Irish Tech News Irish Tech News are Ireland's No. 1 Online Tech Publication and often Ireland's No.1 Tech Podcast too. You can find hundreds of fantastic previous episodes and subscribe using whatever platform you like via our Anchor.fm page here: https://anchor.fm/irish-tech-news If you'd like to be featured in an upcoming Podcast email us at Simon@IrishTechNews.ie now to discuss. Irish Tech News have a range of services available to help promote your business. Why not drop us a line at Info@IrishTechNews.ie now to find out more about how we can help you reach our audience. You can also find and follow us on Twitter, LinkedIn, Facebook, Instagram, TikTok and Snapchat.
Send us Fan MailCheck our the full viva in the Final Exam Coursehttps://anaesthesia.thinkific.com/courses/FinalExamFinal exam peper 2025.2 VIVA 4Viva StemYou are providing anaesthesia in the interventional radiology suite of your major hospital. On the list is a 22 year old woman who requires a CT-guided biopsy of a left renal mass that was discovered incidentally on abdominal imaging. The patient was admitted today for the procedure and is accompanied by her parents who are her legal guardians and carers. A postoperative bed has been booked for the patient.Medical HistorySevere cerebral palsy- spastic quadriplegia- moderate intellectual disabilityRecurrent aspiration pneumonia- severe gastro-oesophageal reflux- oropharyngeal dysphagia- gastrostomy feeding tube (feeds ceased for six hours)Anxiety- distress with medical proceduresEpilepsyMedications - Baclofen 10 mg tds - Levetiracetam 1000 mg bd- Pantoprazole 40 mg once dailyAllergies- Nil knownObservations- height 155 cm - estimated weight 40 kg estimated - (BMI approx. 16.6 kg/m2) - HR 90 bpm- BP 95/55 mmHg- SpO2 96% on room airPreoperative Investigations- Blood test results are normal- Blood Group and Hold has been conductedWhat are your specific considerations when planning anaesthesia care for this patient?---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.PerOral Endoscopic Myotomy Failed intubation | Final Exam Viva
From the World Congress of Anesthesiologists in Marrakech, TopMedTalk hosts Mike Grocott and Kate Leslie discuss perioperative cardiac risk assessment with Hilary Grocott, Professor and Head of, The Department of Anesthesiology, Pharmacology & Therapeutics (University of British Columbia) and Michelle Chew Professor of Anesthesiology and Intensive Care Medicine at Karolinska Institutet, Stockholm, Sweden, and editor for the British Journal of Anaesthesia. The conversation reviews perioperative cardiac biomarkers, noting abundant prognostic data but limited evidence for biomarker-led management. The discussion emphasizes that elevated troponins can reflect non-cardiac complications (AKI, PE, sepsis) as well as myocardial injury or heart failure, requiring context-specific follow-up pathways. The group highlights NT-proBNP as a specific marker for heart failure and useful for screening and optimization. The podcast then focuses on pulmonary hypertension and failing right ventricle: detect via history, exam, echo, and biomarkers; prioritize preemptive preparation, arterial beat-to-beat monitoring, modest fluids, early vasopressors/inotropes (norepinephrine, low-dose epinephrine), ventilatory optimization, and vigilant, rapid intervention. If you enjoyed this piece there's a fantastic Perioperative Profile with Michelle Chew you can hear here: https://topmedtalk.libsyn.com/perioperative-profiles-professor-michelle-chew-on-seizing-opportunities-in-anaesthesia-research-editing-and-guideline-work -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
Send us Fan MailCheck our the full viva in the Final Exam Coursehttps://anaesthesia.thinkific.com/courses/FinalExamYou are the duty anaesthetist at a busy tertiary hospital. Your provisional fellow calls you forurgent assistance with an airway emergency.They have performed a rapid sequence induction and attempted to intubate a 22-year-old manfor a Per-Oral Endoscopic Myotomy (POEM) procedure for type 2 achalasia in the maintheatres.Intubation was attempted with a videolaryngoscope and hyperangulated blade. The percentageof glottic opening visible was 10% and they were unable to pass the endotracheal tube or agum elastic bougie. They were then unable to bag-mask ventilate the patient but successfullyplaced a second generation supraglottic airway. Ventilation has been restored, and greentinged fluid has been noted in the gastric port.Current observations are:HR 95 bpmBP 97/56 mmHgSpO2 90% on FiO2 1.0ETCO2 41 mmHg (5.47 kPa)TV 400 mL with a small air leakWeight 169 kgHeight 199 cmBMI 42 kg/m2Past Medical HistoryType 2 achalasiaClass III obesityAttention deficit hyperactivity disorderMild developmental delaySevere anxietyMedicationLisdexamfetamine 70 mg once dailyMelatonin 4 mg nocteDiazepam 10 mg was given orally preoperativelyAllergiesNil knownWhat are your priorities in managing this situation?---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical
Live from the 19th World Congress of Anaesthesiologists (WCA 2026) in Marrakesh with over 4,000 delegates from 150 countries, TopMedTalk's Kate Leslie and Mike Grocott interview Professor Adrian Gelb, past World Federation of the Societies of Anaesthesiologists (WFSA) president, about his career from South Africa to Canada and UCSF and his focus on lower-resource settings, patient safety, and WHO engagement. Gelb argues patient safety improvements require system and workflow changes, not just guidelines. The comparison is drawn to road safety reforms and urging anesthesiologists to use their leverage in hospitals and governance. He reflects on the impact of Harvard monitoring standards and leadership that advanced safety, and calls for national societies to prioritize patient-centered advocacy and implementation support using human factors and knowledge translation expertise. He also describes work on WHO essential medicines lists and proposes a tiered, anesthesia-led WFSA essential medicines list by country income level via a global Delphi process, ending with a call for anesthesiologists to choose to lead again. More about the congress here: https://wcacongress.org/ -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
This piece sees the launch of a new series on TopMedTalk: we're delving further into the world of Artificial Intelligence in healthcare and we're going to do so at least once a month. Coming from the Association of Anaesthetists in London, Andy Cumpstey welcomes back former TopMedTalk Co-editor in Chief, Desiree Chappell, alongside editor-in-chief Professor Mike Grocott and Associate Professor James Bowness, Consultant in Anaesthesia at University College Hospitals London NHS Foundation Trust and Honorary Associate Professor of Anaesthesia at University College London and clinical scientist with G.E. Healthcare. As well as announcing the new series, featuring monthly AI-focused episodes with clinicians, policymakers, industry, and patient representatives. Specially recorded at the third stage of a UK and Ireland "demand signaling" exercise for AI in anesthesia, perioperative medicine, and pain management. It's a process designed to focus on clinicians' real-world needs rather than forcing unwanted technology use cases. The process includes surveying Royal College of Anaesthetists and Association members. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
Send us Fan MailCheck out this free resource anaesthesia training as a parent. Available on our website soon!https://www.anaesthesiacollective.com/welfare/---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.
ReferencesBritish Journal of Anaesthesia,2002. 89, 739-746ssue 5p739-746 NovemberFront Immunol. 2023 Jan 5;13:1066599Front Immunol. 2024 Sep 23;15:1401962. Guerra, DJ 2026. Unpublished LecturesBach, JS. 1717.. Violin Partita. Ciaccona. No.2. BWV.1004.https://music.youtube.com/watch?v=ai8NiHI1-eo&si=ZoB5YewTA9AMN5UzParsons, G. 1968.Hickory Wind. Byrdshttps://open.spotify.com/track/3YBTxokhuaszeWCOXC7FQn?si=04740ef540b64bb0Parsons, G. 1965.Brass Buttons. Pocohttps://open.spotify.com/track/6Bijmp2RULR8SgmpqRe7tx?si=cffa81c0cbd64fdeMcQuinn & Parsons 1971.Pale Blue Byrds.https://open.spotify.com/track/46D9uj48T6E8xlSKLv4cEU?si=f52ac2da25fd4eb2
Send us Fan MailFollow Future Anaesthesia on instagram for more useful information and sustainability tips!---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.
This episode is produced in partnership with the British Pain Society. These interviews were recorded at their 2025 Annual Scientific Meeting. The 2026 Annual Scientific Meeting is just weeks away – register here. Amongst other things, here we tackle the taboo subject of acute period pain, highlight how changes in primary care are improving the pain management landscape, and discuss common misconceptions about opioid use. Does period pain need rethinking? Understand the research with Katy Vincent, Professor of Gynaecological Pain at the University of Oxford. Can a health and wellbeing coach change patient lives? One of the latest developments in pain management, as explained by NHS coach Phoebe Williams. Do opioids get a fair press? Great for pain from an accident, surgery or fall. But for chronic pain? Dr Jane Quinlan, consultant in pain management, gives an overview and some top tips. Contributors: Prof Katy Vincent, Professor of Gynaecological Pain at the University of OxfordPhoebe Williams, Health and Wellbeing Coach at NHS Hammersmith & FulhamDr Emma Davies, National Clinical Lead for Persistent Pain at NHS Wales Performance and ImprovementTim Atkinson, Vice Chair of the British Pain Society's Expert Patient and Carer CommitteeDr Jane Quinlan, Consultant in Anaesthesia and Pain Management at the Oxford University Hospitals NHS Foundation Trust
Send us Fan MailFollow Future Anaesthesia on instagram for more useful information and sustainability tips!---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.
We have probably all used ‘Doctor Google' before a visit to a GP or consultant, but patients are now frequently turning to AI to ask about symptoms and even self diagnose!Dr Omar Tujjar is Founder of international society of medical AI and Consultant in Anaesthesia, Intensive Care, and Pain Medicine at the National Orthopaedic Hospital Cappagh. He joins guest host Tom Dunne to discuss.
We have probably all used ‘Doctor Google' before a visit to a GP or consultant, but patients are now frequently turning to AI to ask about symptoms and even self diagnose!Dr Omar Tujjar is Founder of international society of medical AI and Consultant in Anaesthesia, Intensive Care, and Pain Medicine at the National Orthopaedic Hospital Cappagh. He joins guest host Tom Dunne to discuss.
TopMedTalk are proud to present The Siobhan Mythen Plenary Lecture, taken from our coverage of Evidence Based Perioperative Medicine (EBPOM) Ireland 2025. Professor Ellen O'Sullivan trained in anaesthesiology and intensive care in UK and USA and is now a Consultant Anaesthesiologist at St James's Hospital Dublin, Ireland, affiliated to Trinity College Dublin. She specializes in airway management and is Director of the Fellowship in Advanced Airway Management and Simulation. She is Past President of the Difficult Airway Society, DAS, and was appointed DAS Professor of Anaesthesia & Airway Management. She outlines the "The difficult anatomical airway" and introduces the Siobhan Mythen plenary lecturer Professor John Laffey. John Laffey is Professor of Anaesthesia and Intensive Care Medicine at the University of Galway (formerly National University of Ireland, Galway), where he also serves in clinical and research leadership roles. His work focuses on critical illnesses, particularly Acute Respiratory Distress Syndrome (ARDS), sepsis, mechanical ventilation strategies, and translational research including cell/gene therapies for these conditions. He discusses, "The Difficult Physiology Airway" -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
Send a textIm Rahmen der Simulationswoche der Anästhesiologie 2026 sprechen wir über den Stellenwert von Simulationstraining in der Aus- und Weiterbildung. Wie belastbar ist die Evidenz? Welche Kompetenzen werden tatsächlich verbessert? Und warum ist der direkte Nachweis eines Effekts auf Patientenergebnisse methodisch so schwierig?Simulationstraining ist in der Anästhesiologie evidenzbasiert eine effektive Methode zur Verbesserung von theoretischem Wissen, praktischen Fertigkeiten und nicht-technischen Kompetenzen wie Teamarbeit, Kommunikation und Problemlösung. Mehrere Meta-Analysen und systematische Reviews zeigen, dass simulationsbasierte Trainingsformate im Vergleich zu nicht-simulationsbasierten Ansätzen signifikant bessere Ergebnisse in Wissenstests, technischen Skills und der Entwicklung nicht-technischer Kompetenzen erzielen [1,2].Insbesondere die Förderung von Teamleistung und interdisziplinärer Kommunikation wird als zentraler Mehrwert hervorgehoben, da gerade in hochdynamischen und sicherheitskritischen Situationen – wie perioperativen Krisen – die Koordination im Team entscheidend ist [3,4]. Simulation ermöglicht das strukturierte Training von Crisis Resource Management (CRM), Entscheidungsfindung unter Stress sowie standardisierter Kommunikation.Moderne Simulationstechnologien, einschließlich Virtual-Reality-basierter Anwendungen, erweitern das Spektrum der Trainingsmöglichkeiten. Sie erlauben risikofreies Üben komplexer Szenarien und technischer Prozeduren, insbesondere in Hochrisikobereichen wie der geburtshilflichen Anästhesie [4,5]. Simulation wird daher zunehmend als integraler Bestandteil der anästhesiologischen Aus- und Weiterbildung angesehen und von Expert:innen als verpflichtender Bestandteil strukturierter Curricula gefordert [3,9].Die Evidenz für eine direkte Verbesserung klinischer Patientenergebnisse durch Simulationstraining ist hingegen bislang limitiert. Zwar existieren Hinweise auf positive Effekte in spezifischen Kontexten, robuste und kausal belastbare Outcome-Daten sind jedoch selten [2,6–8]. Die meisten Studien belegen Verbesserungen auf Ebene von Wissen, technischen Fertigkeiten und Teamperformance, während der Transfer in harte klinische Endpunkte weiterhin Gegenstand aktueller Forschung ist.Zusammenfassend ist Simulationstraining in der Anästhesie klar evidenzbasiert wirksam hinsichtlich Kompetenzentwicklung – insbesondere technischer und nicht-technischer Fähigkeiten – während der direkte Nachweis eines Effekts auf Patientenergebnisse methodisch anspruchsvoll bleibt. Unabhängig davon wird Simulation als zentrales Instrument moderner Patientensicherheit und kontinuierlicher professioneller Entwicklung betrachtet.Weiterführende LiteraturSu Y, Zeng Y. Simulation Based Training Versus Non-Simulation Based Training in Anesthesiology: A Meta-Analysis of Randomized Controlled Trials. Heliyon. 2023;9(8):e18249. doi:10.1016/j.heliyon.2023.e18249.Lorello GR, Cook DA, Johnson RL, Brydges R. Simulation-Based Training in Anaesthesiology: A Systematic Review and Meta-Analysis. British Journal of Anaesthesia. 2014;112(2):231–245. doi:10.1093/bja/aet414.Krage R, Erwteman M. State-of-the-Art Usage of Simulation in Anesthesia: Skills and Teamwork. Current Opinion in Anaesthesiology. 2015;28(6):727–734. doi:10.1097/ACO.0000000000000257.Abrams J, Mahoney B. The Importance of Simulation-Based Multi Professional Training in Obstetric Anesthesia: An Update. Current Opinion in Anaesthesiology. 2024;37(3):239–244. doi:10.1097/ACO.0000000000001352.Wang W, Gao L, Lin Y, Gao P. Virtual Reality Is Emerging Training Applications for Anesthesia Simulation.European Journal of Medical Research. 2025;30(1):768. doi:10.1186/s40001-025-03054-9.Marynen F, Van Gerven E, Van
Michelle Chew is a Professor of Anesthesiology and Intensive Care Medicine at Karolinska Institutet, Stockholm, Sweden, and editor for the British Journal of Anaesthesia. Hear her sharing her Perioperative Profile on TopMedTalk with Andy Cumpstey. After initial anaesthesia training in Denmark, she moved to Lund University, Sweden, combining clinical work and research, later establishing her own experimental haemodynamics group studying septic and haemorrhagic shock and myocardial changes. She balances academic and family life by prioritizing rather than seeking "life balance," noting challenges for women in academia despite Scandinavian support. She explains journal editing—from rapid assessment, literature checks, peer review coordination, to feedback synthesis—and entered the field via the European Journal of Anaesthesiology, later serving at BJA and other journals. She also describes developing clinical guidelines, emphasizing expert panels, systematic reviews, consensus, and local adaptation, with involvement in Scandinavian and European anesthesia societies. Throughout, she highlights lessons from mentors and family, especially her grandmother, stresses taking opportunities and putting in the work, and emphasizes that science and clinical medicine ultimately serve patients. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
Kate Leslie and Andy Cumpstey join special guests at the British Journal of Anaesthesia's annual meeting in Dublin, Ireland. The discussion focuses on the experiences and motivations of three BJA editorial fellows; Allison Janda, Anesthesiologist and Assistant Professor at the University of Michigan; Brett Doleman, clinical academic and anaesthetist from the University of Nottingham; and Christina Boncyk, critical care anesthesiologist and Associate Professor at Vanderbilt University Medical Center in Nashville, Tennessee. The conversation delves into their roles, the peer review process, and the mentorship that shapes their contributions to medical science. They emphasize the importance of constructive feedback, scientific rigor, and encouraging participation from new reviewers. The episode underscores the professional growth afforded by editorial roles and highlights ways to enhance the author and reviewer experience in academic publishing.
In today's TopMedTalk Andy Cumpstey interviews James Bowness, consultant anaesthetist, University College London Hospitals NHS Foundation Trust and an Honorary Associate Professor of Anaesthesia at University College London (UCL), at Anaesthesia Research 2025 in Birmingham. They discuss the definition and scope of AI, its applications in healthcare, and its potential to improve medical practices. The conversation emphasizes the importance of clinicians' involvement in the development and implementation of AI technologies. It also highlights ongoing efforts to identify and address key clinical problems through multidisciplinary collaboration, aiming to advance AI's role in anaesthesia, preoperative medicine, and acute pain management. The conversation underscores the need for a strategic, coordinated approach to integrate AI into healthcare effectively. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
In this episode of The Evidence, Claudia Hammond is joined by a panel of experts to discuss the science of anaesthesia.It's estimated that around the world, more than 250 million people receive surgery requiring anaesthesia each year. But there are still plenty of unknowns. What happens to our brains and our consciousness when we're put to sleep? Why do so many people around the world still not have access to safe anaesthesia? And could the colour of your hair affect how much anaesthesia you need?In front of a live audience at Wellcome Collection in London, Claudia is joined on stage by Dr Kevin Fong, a consultant anaesthetist at University College London Hospitals and professor of public engagement and innovation at University College London; Jennifer Hunter, emeritus professor of anaesthesia and senior research fellow at the University of Liverpool; Emmanuel Stamatakis, professor of neuroscience at the University of Cambridge studying the science of consciousness; and Bruce Biccard, professor of anaesthetic science at the University of Oxford and author of the book Safer Surgery for Africa: Challenges and Solutions.Producer: Dan Welsh Editor: Martin Smith Production coordinator: Stuart Laws Sound engineers: Emma Harth and Steve Greenwood
Kate Leslie and Andy Cumpstey report from the British Journal of Anaesthesia meeting held in Dublin, Ireland. They are joined by guest Tom Abbott, a clinical senior lecturer in anaesthesia and social media editor for the BJA. We discuss the growing importance of social media in scientific communication, the impact of alternative metrics such as altmetrics, and the operational challenges of maintaining a presence across various social media platforms. The conversation also touches on platform trials in clinical research, where Abbott highlights his current research initiatives, including trials on ibuprofen for postoperative pain and high-flow nasal oxygen. -- Super Early Bird registration is now open for The Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London, but it ends on 31 January! We are right now offering the best available rates to attend the Congress. We encourage you to register early and take advantage of this opportunity while you still can. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
Recorded in Dublin, Ireland, and hosted by The British Journal of Anaesthesia at their annual meeting, this week's TopMedTalk focuses on translational research. Presented by Andy Cumpstey and Kate Leslie with their guest Professor Gareth Ackland Clinical Professor of Perioperative Medicine at the William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London (QMUL). The conversation delves into the autonomic nervous system's role in exercise capacity and its implications for postoperative outcomes. Why specifically does exercise help? Professor Ackland explains groundbreaking work involving neural control, genetic modifications, and translational models, shedding light on how parasympathetic function affects fitness and recovery from surgery. The conversation underscores the importance of personalized medicine and mechanistic research in understanding human physiology and improving clinical practices. It also explains why anaesthesia journals publish high quality translational studies as well as clinical research.
Send us a textFollow Future Anaesthesia on instagram for more useful information and sustainability tips!---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.
Desiree Chappell is joined by Mike Grocott, Sol Aronson, and their guest Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide, at ANESTHESIOLOGY® 2025 in San Antonio, Texas. The discussion covers exciting developments in perioperative medicine, focusing on the Perioperative Quality Initiative (POQI) and the newly coined term 'Enhanced Postoperative Care Units' (EPOCH), a new initiative aiming to bridge the gap between ward care and intensive care by providing specialized care for medium-risk postoperative patients. The guests share their experiences and insights, including ongoing projects, the impact of advanced monitoring technology, and the potential future of perioperative care globally. They also preview upcoming events, like the World Congress of Anesthesiology and the first World Congress of Enhanced Postoperative Care.
Dr. Suzanne Crowe studied in TCD and graduated in Medicine in 1995. She spent the summer of 1994 as a medical student working as a researcher with the Department of Surgery in the Meath Hospital, and following entry into postgraduate training with the College of Anaesthetists in Ireland, she continued her research and writing interests. After completion of specialist training in Anaesthesia and Intensive Care Medicine, Dr. Crowe worked as a Fellow in the Royal Children's Hospital in Melbourne. She returned to Dublin in 2005, taking up a clinical post as Consultant Anaesthetist with a special interest in Paediatrics in Tallaght Hospital. The following year she became Clinical Lecturer in Surgery in TCD and contributed to the teaching of TCD medical students. In 2014 Dr. Crowe changed consultant post, becoming a Consultant Paediatric Intensivist and Anaesthetist in Our Lady's Children's Hospital Crumlin, and subsequently also Senior Clinical Lecturer in Paediatrics TCD. During her long association with TCD, Dr. Crowe has authored and co-authored more than 50 peer-reviewed papers and book chapters. She is President Elect of the Irish Medical Council for the term 2021-2025, the youngest incoming President in the IMC.
Guest: Prof John Laffey, Professor of Anaesthesia Intensive Care Medicine at the School of Medicine of the University of Galway and a Consultant in Anaesthesia and Intensive Care Medicine at Galway University Hospitals.
From the Evidence-based Perioperative Medicine (EBPOM) Conference in Dingle, Ireland, Desiree Chappell and Sol Aronson are joined by Alex Mittnacht, President and Founding Director, International Academy of Cardiac Anaesthesiologists (IACA), and Vice Chair of Anesthesiology and Chief of Pediatric and Adult Cardiac Anesthesia at Westchester Medical Center, New York, USA. Dr Mittnacht shares his fascinating professional journey and delves into the intricacies of paediatric cardiac anaesthesia, including its evolving training pathways, workforce challenges, and the increasing demands for specialized care. Discover how multidisciplinary care and the proper training of anaesthesiologists are crucial for effective patient management, particularly for those with congenital heart disease. What is future of this essential medical specialty?
Enid Martinez, MD is a Senior Associate in Critical Care at Boston Children's Hospital, and an Assistant Professor of Anaesthesia at Harvard Medical School. She is the Director of the Pediatric Critical Care Nutrition Program in the Division of Critical Care Medicine and Principal Investigator for a clinical-translational research program on gastrointestinal function and nutrition in pediatric critical illness.Learning Objectives:By the end of this podcast, listeners should be able to:Recognize the impact of nutritional status on outcomes of critically-ill children.Describe the key aspects of the metabolic stress response in critical illness.Discuss a clinical approach to accurately estimating and prescribing nutrition in critically-ill children.Reflect on an expert's approach to managing aspects of nutrition in critically-ill children where there may not be high-quality evidence. Selected references:Mehta et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. JPEN J Parenter Enteral Nutr. 2017 Jul;41(5):706-742. doi: 10.1177/0148607117711387. Epub 2017 Jun 2. PMID: 28686844. Fivez et al. Early versus Late Parenteral Nutrition in Critically Ill Children. N Engl J Med. 2016 Mar 24;374(12):1111-22. doi: 10.1056/NEJMoa1514762. Epub 2016 Mar 15. PMID: 26975590.Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!
Research published in the British Journal of Anaesthesia suggested that there are nearly 3 million general anesthesia procedures in the UK each year. You might already be aware that there are various different types of anesthesia: local, which numbs a small area of the body; regional, which numbs a larger part; and general, typically used for major or lengthy surgeries, where the patient is completely asleep. Today we're going to be talking specifically about general anesthesia. How exactly does it knock patients unconscious then? How does it affect the brain? Isn't it dangerous? In under 3 minutes, we answer your questions! To listen to the last episodes, you can click here: Why should you be happy to see spiders in your home? How do you build up your brain power? Which flights are most likely to be hit by turbulence? A podcast written and realised by Joseph Chance. First Broadcast: 8/6/2024 Learn more about your ad choices. Visit megaphone.fm/adchoices
Enid Martinez, MD is a Senior Associate in Critical Care at Boston Children's Hospital, and an Assistant Professor of Anaesthesia at Harvard Medical School. She is the Director of the Pediatric Critical Care Nutrition Program in the Division of Critical Care Medicine and Principal Investigator for a clinical-translational research program on gastrointestinal function and nutrition in pediatric critical illness. Learning Objectives:By the end of this podcast, listeners should be able to:Recognize the impact of nutritional status on outcomes of critically-ill children.Describe the key aspects of the metabolic stress response in critical illness.Discuss a clinical approach to accurately estimating and prescribing nutrition in critically-ill children.Reflect on an expert's approach to managing aspects of nutrition in critically-ill children where there may not be high-quality evidence. Selected references:Mehta et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. JPEN J Parenter Enteral Nutr. 2017 Jul;41(5):706-742. doi: 10.1177/0148607117711387. Epub 2017 Jun 2. PMID: 28686844. Fivez et al. Early versus Late Parenteral Nutrition in Critically Ill Children. N Engl J Med. 2016 Mar 24;374(12):1111-22. doi: 10.1056/NEJMoa1514762. Epub 2016 Mar 15. PMID: 26975590.Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.
Andy Cumpstey and Kate Leslie welcome Professor Monty Mythen to his Perioperative Profile. Recorded at the 2025 Evidence Based Perioperative Medicine (EBPOM) meeting in Dingle, Ireland. Monty discusses his fascinating career, from his childhood in London to becoming Professor of Anaesthesia and Intensive Care at University College London. He notes his involvement in founding EBPOM and his role at BD Advanced Patient Monitoring. The conversation covers Monty's groundbreaking research on gut perfusion and multiple organ failure, his high-altitude research expeditions to Mount Everest, and his transition to a role in the healthcare industry. He shares insights on the intricate process of medical device approval. The episode is a deep dive into the experiences and achievements of a leading medical mind.
Today, Dr. Monica Gray, Dr. Pradip Kamat, and Rahul Damania discuss a critical case involving a 10-year-old boy who developed post-intubation desaturation. Using the DOPE mnemonic (Displacement, Obstruction, Pneumothorax, Equipment failure), they systematically troubleshoot the emergency, highlighting the importance of teamwork, capnography, and manual ventilation. The team emphasizes structured approaches, simulation training, and essential bedside tools to ensure rapid, effective management of acute deterioration in intubated children, turning a life-threatening crisis into a controlled, solvable situation.Show Highlights:Clinical case discussion of a ten-year-old boy with post-intubation desaturation in the pediatric ICUUse of the "DOPE" mnemonic (Displacement, Obstruction, Pneumothorax, Equipment failure) for troubleshootingSystematic approaches in emergency situations in pediatric critical careAssessment and management of sudden desaturation in intubated patientsEvaluation of potential causes of desaturation, including tube displacement and obstructionRole of equipment failure in acute deterioration and strategies to address itSignificance of continuous capnography and manual ventilation techniquesPrevention strategies for unplanned extubation in pediatric ICU settingsEmphasis on teamwork, communication, and simulation training in crisis managementReview of literature insights related to hypoxemia and equipment issues in pediatric intubationReferences:Topjian AA, et al. Part 4: Pediatric Basic and Advanced Life Support—2020 AHA PALS Guidelines. Circulation. 2020.Foundational pediatric resuscitation guidance endorsing early switch to manual ventilation and structured troubleshooting for the deteriorating intubated child.Cook TM, et al. Major complications of airway management in the UK: NAP4. British Journal of Anaesthesia. 2011.Seminal audit highlighting ICU/ED airway failures and the critical role of waveform capnography in preventing unrecognized esophageal intubation.Volpicelli G, et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Medicine. 2012. High-impact consensus placing lung ultrasound at the bedside to rapidly diagnose pneumothorax during post-intubation deterioration.Prekker ME, et al. Video vs direct laryngoscopy for ED intubation—randomized trial. New England Journal of Medicine. 2023.NEJM RCT showing higher first-pass success with video laryngoscopy—relevant to preventing displacement/misplacement drivers of desaturation.Chrimes N, et al. Preventing unrecognised oesophageal intubation: consensus guideline. Anaesthesia. 2022.Modern, practice-changing guidance: sustained waveform capnography is the mainstay to exclude esophageal placement and avert catastrophic hypoxemia.
Send us a textCheck our the full viva in the Final Exam Coursehttps://anaesthesia.thinkific.com/courses/FinalExam---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.
Send us a textCheck our the full viva in the Final Exam Coursehttps://anaesthesia.thinkific.com/courses/FinalExam---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.
Did you know that a brachycephalic dog with BOAS has a 433% higher anaesthetic risk than a dog with a normal nose? Let me rephrase that: that Frenchie you're spaying later this week is more than four times more likely to die on her surgery day than any of your other patients.
The shift to outpatient surgery is transforming how care is delivered. In this episode, Dr. Adam Thaler, Medical Director at Summit Health, discusses leading a urology-focused ambulatory surgery center and the rapid growth of outpatient procedures. He explains why airway management is the cornerstone of patient safety in ASCs and why he relies on video laryngoscopy, particularly the McGrath MAC, for every case. Dr. Thaler highlights the clinical, financial, and operational benefits of this technology, including reduced complications, improved efficiency, and enhanced patient experience. He also shares advice for ASC leaders on embracing innovation, doing their own research, and treating every patient with the same high standard of care. Tune in to hear how Dr. Thaler is shaping the future of outpatient surgery! Resources: Connect with and follow Dr. Adam Thaler on LinkedIn. Follow Summit Health on LinkedIn and explore their website! Check out Dr. Adam Thaler's Medtronic blog on How the intubation tools you choose can affect your facility's costs and more! References: Leifer S, Choi SW, AsanatiK, YentisSM. Upper limb disorders in anaesthetists-a survey of Association of Anaesthetistsmembers. Anaesthesia. 2019;74(3):285-291. doi:10.1111/anae.14446 Kriege M, Noppens R, TurkstraT, et al. A multicentrer randomized controlled trial of the McGrath MAC video laryngoscope versus conventional laryngoscopy. Anaesthesia. 2023;78(6):722-729. Zhang J, Jiang W, Urdaneta F. Economic analysis of the use of video laryngoscopy versus direct laryngoscopy in the surgical setting. Journal of Comparative Effectiveness Research. 2021;10(10):831-844. doi:https://doi.org/10.2217/cer-2021-0068 Nørskov AK, Rosenstock CV, Wetterslev J, Astrup G, Afshari A, Lundstrøm LH. Diagnostic accuracy of anaesthesiologists' prediction of difficult airway management in daily clinical practice: a cohort study of 188,064 patients registered in the Danish Anaesthesia Database. Anaesthesia. 2015;70(3):272-281. Kleine-Brueggeney M, Greif R, Schoettker P, Savoldelli GL, Nabecker S, Theiler LG. Evaluation of six video laryngoscopes in 720 patients with a simulated difficult airway: a multicentre randomized controlled trial. Br J Anaesth. 2016;116(5):670-9. Thaler A, Mohamod D, Toron A, Torjman MC. Cost comparison of 2 video laryngoscopes in a large academic center. Journal of Clinical Outcomes Management. 2021 July;28(4):174-179. Moucharite MA, et al. Factors and economic outcomes associated with documented difficult intubation in the United States. Clinicoecon Outcomes Res. 2021;13:227–239. Gaszyński T. Comparison of the glottic view during video-intubation in super obese patients: a series of cases. Ther Clin Risk Manag. 2016;12:1677–1682. Alvis BD, Hester D, Watson D, Higgins M, St Jacques P. Randomized controlled trial comparing the McGRATH™ MAC video laryngoscope with the King Vision video laryngoscope in adult patients. Minerva Anestesiol. 2016;82(1):30–35.
Andy Cumpstey interviews internationally renowned anaesthetist and researcher, Kate Leslie, Head of Research in the Department of Anaesthesia and Pain Management at the Royal Melbourne Hospital and Honorary Professor at the University of Melbourne. Kate shares insights into her journey from growing up in Melbourne to leading groundbreaking research and clinical trials. We discuss her professional milestones, including her work with the Australian and New Zealand College of Anaesthetists (ANZCA) Clinical Trials Network and the global impact of their studies. Additionally, Kate reflects on the challenges and triumphs as a woman in medicine, emphasizing the importance of resilience and personal growth. The episode also highlights Kate's recent accolades, such as the ASA Excellence in Research Award and her work as an editor for major anaesthesia publications.
Send us a text---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.
Send us a textCheck our the full viva in the Final Exam Coursehttps://anaesthesia.thinkific.com/courses/FinalExam---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.
Send us a textCheck our the full viva in the Final Exam Coursehttps://anaesthesia.thinkific.com/courses/FinalExam---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.
Today is World Anaesthesia Day, which marks the first successful demonstration of the inhalation of ether vapour as a means of overcoming pain of surgery.It happened on October 16th, 1846 at the Massachusetts General Hospital in Boston, during a surgery performed by dentist William T. G. Morton.Ireland followed suit with a second successful trial, which was administered on an 18-year-old girl during the famine.Consultant Anaesthesiologist Dr. Patrick Seigne says today is an important opportunity to celebrate a practice that is often taken for granted, as well as Ireland's contribution to the field. He joins Seán to discuss.
At this year's Evidence Based Perioperative Medicine (EBPOM) World Congress we sat down with Ramani Moonesinghe OBE, and had a conversation about her remarkable journey from her immigrant roots to her influential roles in perioperative and critical care. Hear about her contributions to Britain's National Health Service, her groundbreaking research, and her personal life balancing a demanding career with family. Gain insights into the future of perioperative care, health inequalities, and her thoughts on the nation's COVID-19 preparedness. Presented by Andy Cumpstey with Ramani Moonesinghe OBE, Professor of Perioperative Medicine, UCL, and Honorary Consultant in Anaesthesia and Perioperative Medicine, UCLH, London, UK.
I Started Loving Myself More After Joining Swami's HospitalOn August 15, 1973, a young MBBS graduate from Kasturba Medical College, Bengaluru, began a humble Sunday clinic in the village of Begur. With nothing more than his medical degree, the help of a compounder, and an unshakable determination to serve, he quietly tended to villagers in a corner 33 kilometres from Bengaluru.What started as a small act of service has today blossomed into a movement that provides free healthcare to more than 1,000 patients every week. For over five decades, this dedicated doctor has never missed a single Sunday at his clinic in Begur. In recognition of his lifelong commitment, the Government of India honoured him with the Padma Shri in 2010.Ask him what fuels this unwavering resolve, and he humbly replies:“Baba's message, ‘Hands that serve are holier than lips that pray,' has touched me deeply and given me the strength to carry on and do even more. These hands are not my hands, they are His hands.”Echoing a similar spirit of surrender, Dr Geetanjali Tulapurkar, Head of the Department of Anaesthesia at the Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, shares: “It is not me doing anything for the patients. Every patient who comes to Baba's hospital actually heals me. Day by day, I am realising that I am not the doer, and this fills me with a great sense of peace and joy."Both of these eminent physicians were among the inspiring speakers at the Global Medical Conference held in Prasanthi Nilayam in June 2025.
Perioperative Medicine and Promoting Diversity in Healthcare, A Deep Dive with David Story, Professor and Foundation Chair of Anaesthesia at the University of Melbourne; Head of the University Department of Critical Care, and President of the Australian and New Zealand College of Anesthetists (ANZCA). In this piece we discuss the evolution of perioperative medicine and the importance of diversity and inclusion within healthcare, focusing particularly on the challenges and advancements involving First Nations people in Australia and Aotearoa New Zealand. Hear insights into the efforts to support Aboriginal and Torres Strait Islander peoples, and Māori, in medical education and practice, emphasizing the role of trust and cultural sensitivity. We also touch on gender equity in the medical field and the progress made towards a fairer, more inclusive environment in both Australia and Aotearoa New Zealand. Recorded at the Evidence Based Perioperative Medicine (EBPOM) World Congress in London and presented by Andy Cumpstey. For more information on EBPOM please visit www.ebpom.org
The final instalment of our series “Perioperative Pain Management” is a panel discussion where we answer the question: What are the various challenges and strategies in managing perioperative pain, particularly with regard to opioid use? The discussion covers the complexities of opioid de-escalation in preoperative periods, the benefits and risks of opioid-free anesthesia, and the use of multimodal approaches. We also touch on the coordination of patient care across multiple specialties and the impact of intraoperative practices on postoperative pain management and long-term opioid use. The session emphasizes the importance of patient education, consistent communication, and empowered collaboration among healthcare providers. The speakers on the panel are; Tim Miller, Professor of Anesthesiology at Duke University Medical Center, Fauzia Hasnie, Consultant Lead, Opioid Multidisciplinary Pain Management Clinic, Joint Lead, Combined Sickle-Opioid Virtual Multidisciplinary Clinic Guy's & St Thomas' NHS Foundation Trust, and Esteban Salas Rezola, Specialist in Anaesthesiology, Resuscitation and Pain Therapy at Hospital General Alicante. Chaired by John Whittle, Clinical Academic working in Perioperative Translational Medicine at UCL and Honorary Consultant in Perioperative Medicine, Anaesthesia and Critical Care at University College Hospitals London. The three presentations which accompany this piece are here: https://topmedtalk.libsyn.com/perioperative-pain-management-the-opioid-epidemic-and-opioid-reduction-strategies https://topmedtalk.libsyn.com/perioperative-pain-management-opioid-reduction-service https://topmedtalk.libsyn.com/perioperative-pain-management-opioid-sparing-analgesia-strategies-guided-by-nol-index
Recorded at this year's annual Evidence Based Perioperative Medicine (EBPOM) World Congress in London, this conversation deals with a crisis that modern practitioners will recognise; how do we adapt to the needs of a collectively older population? We begin by focusing upon the Australian Intergenerational Report's alarming projections about an aging population and its impact on healthcare expenditure. It's a problem mirrored by many other Western nations. The conversation covers the ARC model, a solution that shows promise in improving postoperative outcomes by offering advanced recovery room care. We also discuss the importance of addressing blood pressure, fluid management, and potential cost-effective healthcare strategies to manage the increasing elderly population requiring surgery. We conclude by emphasizing the need for comprehensive measures beyond the ARC model to tackle the emerging healthcare challenges globally. Presented by Andy Cumpstey with Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital and Esrom Leaman is a specialty trainee in anaesthetics at the Royal Adelaide Hospital and Research Fellow at the Centre for Perioperative Health Economics & Policy.
In medicine, failure can be catastrophic. It can also produce discoveries that save millions of lives. Tales from the front line, the lab, and the I.T. department. SOURCES:Amy Edmondson, professor of leadership management at Harvard Business School.Carole Hemmelgarn, co-founder of Patients for Patient Safety U.S. and director of the Clinical Quality, Safety & Leadership Master's program at Georgetown University.Gary Klein, cognitive psychologist and pioneer in the field of naturalistic decision making.Robert Langer, institute professor and head of the Langer Lab at the Massachusetts Institute of Technology.John Van Reenen, professor at the London School of Economics. RESOURCES:Right Kind of Wrong: The Science of Failing Well, by Amy Edmondson (2023).“Reconsidering the Application of Systems Thinking in Healthcare: The RaDonda Vaught Case,” by Connor Lusk, Elise DeForest, Gabriel Segarra, David M. Neyens, James H. Abernathy III, and Ken Catchpole (British Journal of Anaesthesia, 2022)."Estimates of preventable hospital deaths are too high, new study shows," by Bill Hathaway (Yale News, 2020).“Dispelling the Myth That Organizations Learn From Failure,” by Jeffrey Ray (SSRN, 2016).“A New, Evidence-Based Estimate of Patient Harms Associated With Hospital Care,” by John T. James (Journal of Patient Safety, 2013).To Err is Human: Building a Safer Health System, by the National Academy of Sciences (1999).“Polymers for the Sustained Release of Proteins and Other Macromolecules,” by Robert Langer and Judah Folkman (Nature, 1976).The Innovation and Diffusion Podcast, by John Van Reenen and Ruveyda Gozen. EXTRAS:"The Curious, Brilliant, Vanishing Mr. Feynman," series by Freakonomics Radio (2024).“Will a Covid-19 Vaccine Change the Future of Medical Research?” by Freakonomics Radio (2020).“Bad Medicine, Part 3: Death by Diagnosis,” by Freakonomics Radio (2016).