Podcasts about topmedtalk

At the World Congress of Anaesthesiologists (WCA) in Marrakech, Morocco, TopMedTalk co-editors In chief, Kate Leslie and Mike Grocott speak with Sydney anaesthesiologist Alwin Chuan, a member of the joint ESRA-ASRA working group on AI, about strengths and limitations of AI for regional anaesthesia and medicine. Chuan explains how generative AI is trained on vast datasets using transformer architectures, why outputs are probabilistic, and how context affects meaning. They discuss privacy and the possibility of personal or creative work being used as a commodity in training, internet "scraping," and the inevitability of hallucinations, including false facts and fabricated citations. The conversation covers bias in training corpora, the need for human curation and reinforcement learning, and mitigation via prompt engineering such as retrieval-augmented generation (RAG), citation/page verification, and confidence estimates. Chuan predicts future advances and the fusion of imaging AI with generative AI for ultrasound guidance, previewing a follow-up episode. -- 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

At Euroanaesthesia in Rotterdam, TopMedTalk hosts Andy Cumpsty and Kate Leslie speak with Denise Veelo Professor of Anesthesiology at the Amsterdam University Medical Center and Bernd Saugel Professor of Anesthesiology and Vice Chair of the Department of Anesthesiology in the Center of Anesthesiology and Intensive Care Medicine at the University Medical Center Hamburg-Eppendorf, about two JAMA blood-pressure trials published on the same day. Veelo describes a 3,500-patient, two-center randomized trial comparing usual care (MAP 65) with more intensive, risk-stratified higher MAP thresholds (70/80/90) using a functional recovery primary outcome, stopped early for futility. Saugel outlines the 1,300-patient IMPROVE trial in 15 German centers, individualizing the lower intervention threshold to each patient's preoperative nighttime MAP versus routine MAP 65, with a 7-day composite outcome; no significant difference was found and event rates were ~30%. They conclude routine targeting substantially above MAP 65 is not supported for broad populations, note special circumstances may differ, and they discuss limitations, vasopressor-heavy practice, and future research including the ASPIRE 85 delirium-focused trial and work on autoregulation and physiology. -- The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org

At this year's Euroanaesthesia meeting in Rotterdam, TopMedTalk host Andy Cumpsty interviews Wolfgang Buhre, Professor of Anesthesia and Perioperative Medicine at Utrecht University Medical Center and past president of the European Society of Anaesthesiology and Intensive Care (ESAIC). The discussion starts with a focus upon the annual ESAIC congress and its international reach, with next year's meeting planned for Copenhagen. Buhre explains ESAIC's White Paper, developed over two years using interviews and desk research with clinicians, stakeholders, and patient perspectives, to clarify the role of anesthesiologists and communicate core values and strategic goals for 2026. Key priorities include addressing workforce shortages and Europe-wide variation in training and working conditions, protecting patient safety, ensuring availability of critical medicines and supplies, and expanding standardized education tools such as the European Diploma. He outlines next steps focused on advocacy with European institutions and support for national societies. -- The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org

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

TopMedTalk introduces our new "TopMedTalk Classics" series with a classic TopMedTalk episode from 2018 that is still prescient today. This lecture, given by Sir Bruce Keogh marked the NHS's 70th birthday, a time framed by political volatility, financial constraint, rising demand, and shifting public expectations. Keogh argues healthcare systems must adapt, highlighting the UK's strengths in medical science, innovation, life sciences, and the scale and complexity of the NHS. He describes quality improvement efforts since 2008, including defining quality as effectiveness, safety, and patient experience, developing outcomes measures, and using aligned clinical and managerial leadership to drive change. Examples include major reductions in MRSA, rapid increases in VTE assessment, improved survival from major trauma networks, better hip-fracture care, strong heart-attack and sepsis performance, stroke centralization benefits, and increased dementia diagnosis for support. He emphasizes future pressures from ageing, prevention, the health–social care split, Brexit workforce and drug costs, and emerging forces like mobile tech, AI, genomics, and gene therapy, arguing the NHS's pooled, universal model is well suited to a genomics-enabled future. -- 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/ 00:00 TopMed Talk Intro 00:18 Classics Episode Setup 01:31 Introducing Sir Bruce 02:23 Politics And Adaptation 04:41 Global Pressures On Healthcare 05:48 Hard Times Build NHS 07:35 UK Innovation Advantage 10:33 NHS Scale And Complexity 12:27 Darzi Review Quality Drive 16:10 Outcomes Framework Explained 17:20 Safety And High Level Metrics 18:09 MRSA Turnaround Lesson 20:11 Mandating VTE Prevention 22:58 Trauma Networks Results 24:08 Hip Fracture Best Practice 25:21 Heart Attack Care Wins 26:17 Sepsis And Early Warning 28:01 Stroke Centralization Success 28:45 Dementia Targets Debate 30:31 Leadership And Brexit Risks 32:35 Health And Social Care Split 36:01 Tech Disruption Ahead 36:49 Genomics And NHS Values 38:00 Closing And Congress Promo

Settle yourself in for another fascinating glimpse behind the curtain as TopMedTalk's perioperative profiles focus upon the incredible journey of Vanessa Beavis. Recorded at ANZCA's recent annual scientific meeting in Auckland, TopMedTalk host Andy Cumpsty interviews anesthetist and former ANZCA President Vanessa Beavis about her path from growing up in South Africa to moving to Auckland in 1993. We discuss her early work in obstetrics, solo general practice, and training in anesthesia before emigrating. She describes becoming involved in departmental leadership, navigating hospital governance to implement safety changes, and progressing through examiner roles, national committees, council, and ultimately ANZCA presidency. A role which coincided with COVID-19, when the College focused on maintaining robust training and examinations and producing clear PPE and clinical guidance across changing state rules. She also recounts helping develop ANZCA's perioperative medicine work from the 2004 task force to the SIG, qualifications, the Australian New Zealand Perioperative Patient Pathway, and the new chapter, and reflects on receiving the Companion of the New Zealand Order of Merit. -- Previous Perioperative Profiles you may also enjoy: https://topmedtalk.libsyn.com/perioperative-profiles-denny-levett https://topmedtalk.libsyn.com/perioperative-profile-rupert-pearse https://topmedtalk.libsyn.com/perioperative-profiles-professor-michelle-chew-on-seizing-opportunities-in-anaesthesia-research-editing-and-guideline-work Also, remember you can 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/

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/

At the Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, TopMedTalk hosts Desiree Chappell and Mike Grocott interview SOAP board member Dr. Dan Katz, an obstetric anesthesiologist at Mount Sinai, outgoing annual meeting chair and incoming vice president. Katz reports record attendance—over 900 preregistrations and nearly 1,100 total—plus standing-room sessions and review of 600+ abstracts. He highlights opening with research presentations (magnesium and postpartum hemorrhage, gestational thrombocytopenia and hemorrhage, and potential immunotherapies tied to uterine atony), a translational theme on how guidelines evolve, public health/advocacy, and a maternal mortality panel. Programming includes split research and clinical tracks, updates on postpartum hemorrhage, and an emerging focus on fetal surgery. More here: http://soap.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/

At the 58th Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, TopMedTalk guest host Desiree Chappell and co-editor-in-chief Mike Grocott interview Dr. Grace Lim, SOAP vice president/president-elect and new University of Utah department chair. They discuss her priorities for her upcoming presidency, healthcare's shifting challenges, highlighting the Frederick W. Hehre Lecture_,_ from Valerie A. Arkoosh about a systems-focused career from obstetric anesthesiology to leading public health roles in Pennsylvania. Lim emphasizes anesthesiologists as systems thinkers linking perioperative and perinatal care with population health and social determinants, and describes SOAP goals to improve representation, support community and rural sites lacking subspecialists, and ensure scalable, culturally sensitive care. She also cites sustainable funding and philanthropy efforts, including "Party With a Purpose." Lim outlines SOAP's ELEVATE Project on patient-centered cesarean anesthesia choices and notes maternal mental health as a key mortality driver. She summarizes a pilot study using Hemosphere monitoring during labor epidurals to detect hypotension trends and assess patient and nurse acceptability. -- 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/

At the 58th Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, TopMedTalk guest host Desiree Chappell and co-editor-in-chief Mike Grocott interview Dr. Grace Lim, SOAP vice president/president-elect and new University of Utah department chair. They discuss her priorities for her upcoming presidency, healthcare's shifting challenges, highlighting the Frederick W. Hehre Lecture_,_ from Valerie A. Arkoosh about a systems-focused career from obstetric anesthesiology to leading public health roles in Pennsylvania. Lim emphasizes anesthesiologists as systems thinkers linking perioperative and perinatal care with population health and social determinants, and describes SOAP goals to improve representation, support community and rural sites lacking subspecialists, and ensure scalable, culturally sensitive care. She also cites sustainable funding and philanthropy efforts, including "Party With a Purpose." Lim outlines SOAP's ELEVATE Project on patient-centered cesarean anesthesia choices and notes maternal mental health as a key mortality driver. She summarizes a pilot study using Hemosphere monitoring during labor epidurals to detect hypotension trends and assess patient and nurse acceptability. -- 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/

Perioperative Profiles, a popular monthly series on TopMedTalk in which we speak with the giants of perioperative medicine. This month Kate Leslie speaks with Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS). She discusses her roles in Southampton in perioperative medicine and adult intensive care, and as director of the UK Centre for Perioperative Care (CPOC). Denny recounts growing up in Rye, East Sussex, studying medicine at Cambridge, and how a transformative ICU post (just after the Soho pub bombing) led her into anaesthesia as a route to critical care. Then, with mentorship from TopMedTalk's founder, Monty Mythen, co-led the Extreme Everest project, which informed her PhD and later work using cardiopulmonary exercise testing to predict surgical outcomes and develop prehabilitation; she also reflects on balancing a clinical-academic career with family life. More on Xtreme Everest here: https://topmedtalk.libsyn.com/xtreme-everest-extra-the-problem-with-hypoxia-the-inception-of-xtreme-everest https://topmedtalk.libsyn.com/xtreme-everest-extra-the-significance-of-the-microcirculation https://topmedtalk.libsyn.com/xtreme-everest-extra-unlocking-the-secrets-of-the-mighty-mitochondria https://topmedtalk.libsyn.com/xtreme-everest-extra-hypoxia-and-the-brain -- 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/

At the 19th World Congress of the Societies of Anaesthesiologists (WCSA 2026) in Marrakesh, TopMedTalk welcomes Desiree Chappell back alongside Kate Leslie to interview Professor Palesa Motshabi-Chakane, Associate Professor and Head of Anaesthesiology at the University of the Witwatersrand and her colleague, Dr Mullai Slave a PhD candidate at University of the Witwatersrand. They discuss a study of 629 women undergoing cesarean section with spinal anesthesia at Chris Hani Baragwanath Hospital, where 23–33% are HIV positive. Using standard monitoring plus BD APM noninvasive continuous hemodynamic monitoring, they compared HIV-positive and HIV-negative patients and found higher hypotension incidence in HIV-positive women (68% vs 64%), with lower heart rate and lower cardiac index over 60 minutes. Additional testing included echocardiography with speckle tracking, pro-BNP, and autonomic assessments, with HIV-positive patients showing stiffer ventricles; Apgar scores did not differ. They discuss replication, multicenter research, and potential machine-learning tools to predict hypotension risk, and describe BD Advanced Patient Monitoring grant support enabling equipment, sensors, staffing, and training (~200 staff) to complete data collection in about six months. Edwards Lifesciences is now known as Becton Dickinson Advanced Patient Monitoring (BD APM). Desiree Chappell, former Co Editor in Chief of TopMedTalk, is now Director, Medical Science Liaison, Medical Affairs, BD Advanced Patient Monitoring. The views expressed on this program are her own and not those of her employers. We mention Adrian Gelb, if you'd like to hear his recent conversation with us go here: https://topmedtalk.libsyn.com/professor-adrian-gelb-on-patient-safety-and-essential-medicines-in-anaesthesia -- 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/  

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/  

Part two of our retrospective on TopMedTalk's coverage of last year's fascinating ANESTHESIOLOGY® 2025 in San Antonio, Texas, USA. This is part two of a two part piece. Part 1 is here: https://topmedtalk.libsyn.com/anesthesiology-2025-digest-part-1 This podcast contains clips and discussion from the following podcasts in our free archive: Exciting news from Desiree Chappell https://topmedtalk.libsyn.com/exciting-news-from-desiree-chappell Innovations in Anesthesia: GE Healthcare's Advanced Solutions at ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/innovations-in-anesthesia-ge-healthcares-advanced-solutions-at-anesthesiology-2025 Exploring the Future of Perioperative Care: Insights from ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/exploring-the-future-of-perioperative-care-insights-from-anesthesiology-2025 Perioperative Profile, Steven Shafer https://topmedtalk.libsyn.com/perioperative-profile-steven-shafer Optimizing Pediatric Blood Health: Insights from ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/optimizing-pediatric-blood-health-insights-from-anesthesiology-2025 Exploring Viscoelastic Testing and Patient Blood Management at ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/exploring-viscoelastic-testing-and-patient-blood-management-at-anesthesiology-2025 Insights from ANESTHESIOLOGY® 2025: Enhancing Research and Publishing in Obstetric Anesthesia https://topmedtalk.libsyn.com/insights-from-anesthesiology-2025-enhancing-research-and-publishing-in-obstetric-anesthesia Understanding Medical Errors: Cognitive Basis and Systemic Solutions at ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/understanding-medical-errors-cognitive-basis-and-systemic-solutions-at-anesthesiology-2025 Insights from ANESTHESIOLOGY® 2025: Surgical Site Infections, Oxygen Therapy, and Thermoregulation https://topmedtalk.libsyn.com/insights-from-anesthesiology-2025-surgical-site-infections-oxygen-therapy-and-thermoregulation Advancing Patient-Centered Monitoring Outcomes ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/advancing-patient-centered-monitoring-outcomes-anesthesiology-2025 Adrian Gelb on Neuroanesthesia, Global Patient Safety, and WFSA-WHO International Standards https://topmedtalk.libsyn.com/adrian-gelb-on-neuroanesthesia-global-patient-safety-and-wfsa-who-international-standards -- 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/

A look back on the TopMedTalk coverage of last year's incredible ANESTHESIOLOGY® 2025 in San Antonio, Texas, USA. This is part one of a two part piece. Featuring clips and discussion from the following podcasts: Pediatric Airway Management Advances: Insights from Annery Garcia-Marcinkiewicz https://topmedtalk.libsyn.com/pediatric-airway-management-advances-insights-from-annery-garcia-marcinkiewicz The Center for Anesthesia Workforce Studies at ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/the-center-for-anesthesia-workforce-studies-at-the-asa-2025 Understanding Anesthesia Information Management Systems with Dr. David Kennedy https://topmedtalk.libsyn.com/understanding-anesthesia-information-management-systems-with-dr-david-kennedy Transforming Pain Medicine: An Insight into the Pain Medicine Coalition https://topmedtalk.libsyn.com/transforming-pain-medicine-an-insight-into-the-pain-medicine-coalition Clinical Readiness and Training Affiliation in Army Anesthesiology https://topmedtalk.libsyn.com/clinical-readiness-and-training-affiliation-in-army-anesthesiology Navigating Governance in Anesthesiology Groups: Insights from ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/navigating-governance-in-anesthesiology-groups-insights-from-asa-2025 Anesthesiology Economics: Current Trends and Future Directions https://topmedtalk.libsyn.com/anesthesiology-economics-current-trends-and-future-directions Insights on the Future of Anesthesia Quality Improvement with AQI https://topmedtalk.libsyn.com/insights-on-the-future-of-anesthesia-quality-improvement-with-aqi Insights from ANESTHESIOLOGY® 2025: New Guidelines for Anesthesiology in Older Adults https://topmedtalk.libsyn.com/insights-from-anesthesiology-2025-new-guidelines-for-anesthesiology-in-older-adults Nitrous Oxide as a Treatment for Severe Depression: Insights from ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/nitrous-oxide-as-a-treatment-for-severe-depression-insights-from-anesthesiology-2025 -- 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/

TopMedTalk is proud to present Perioperative Profiles. This month we speak with Rupert Pearse, OBE, professor of intensive care medicine at Queen Mary University of London and a consultant at Royal London Hospital, known for his research on improving outcomes in high-risk surgical patients. In this fascinating piece we speak about his career in perioperative and critical care medicine. Raised in rural Bedfordshire as a farmer's son, he switched late from plans to study agriculture to medicine, took a year out working as an auxiliary nurse and carer, and entered St George's, London, where an intercalated BSc introduced him to research. He reflects on receiving an OBE, and outlines future priorities: growing his East London research group, global health collaborations, leadership, mentorship, and health equity.   Like this? You may enjoy our interview with Bruce Biccard from 2024: https://topmedtalk.libsyn.com/talks-to-bruce-biccard-tmt-in-prato -- 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/

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/

At the ANESTHESIOLOGY® 2025 meeting in San Antonio, TopMedTalk hosts Andy Cumpstey and Kate Leslie interviewed Professor of Anesthesia and Perioperative Care at University of California, San Francisco, Adrian Gelb, this year's Ellison Pierce Lecturer. Dr Gelb recounts training in South Africa, work in England and Canada, and how he was steered into neuroanesthesia at a high-volume cerebral aneurysm center, becoming engaged by understanding surgical outcomes and encouraging trainees to learn the operative field. He describes developing global health interests, joining the World Federation of Societies of Anaesthesiologists (WFSA) through Alan Merry and others, and progressing from the patient safety committee to WFSA president. Gelb outlines updating WFSA standards with WHO involvement, emphasizing additive "minimum" requirements (e.g., oxygenation and pulse oximetry) and clarifying differences among policies, guidelines, and legally binding standards, urging implementation-focused sequencing. He also highlights AI's potential to advance decision-making, documentation, data, and feedback. -- 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 TopMedTalk, hosted by Andy Cumpstey at the anaesthesia research meeting in Birmingham, we dive into drug allergy and its mislabeling with Louise Savic, consultant anaesthetist and NIHR doctoral researcher at Leeds Teaching Hospitals NHS Trust, UK, who specialises in drug allergy and peri-operative anaphylaxis, and Tom Abbott, clinical senior lecturer in anaesthesia and peri-operative medicine at Queen Mary University of London, UK, and a consultant anaesthetist whose research uses clinical epidemiology and trials to improve surgical outcomes and reduce peri-operative complications. The discussion highlights the vast disparity between true drug allergies and mislabeling, emphasizing that around 90-95% of penicillin allergy labels are incorrect. Dr. Savic shares her journey in drug allergy research, focusing on the perioperative setting, while Dr. Abbott discusses the linkage between antimicrobial prescribing and resistance. The talk covers results from the Sapphire Project, revealing the high incidence of mislabeled drug allergies and their associated increased postoperative risks. The episode also explores potential strategies for 'de-labeling' patients, the role of multidisciplinary collaboration, and the next steps in research and practice change. -- 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/

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/

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.

ANESTHESIOLOGY® 2025 in San Antonio, TopMedTalk's Andy Cumpstey and Kate Leslie talks with Susan Goobie, Associate Professor of Anesthesiology at Harvard Medical School and a Senior Associate in the Department of Anesthesiology, Critical Care & Pain Medicine at Boston Children's Hospital in Boston, USA. They discuss the specialty of non-cardiac pediatric surgery and her focus on patient blood management. Dr Goobie highlights the importance of 'blood health,' describing its three pillars: preoperative, intraoperative, and postoperative phases. She emphasizes preoperative anemia management, particularly in children, and shares strategies like iron supplementation and erythropoietin use. The discussion also covers key research papers on blood management and the practical applications of these strategies. BJA 2025; 135:375-81. doi: 10.1016/j.bja.2025.04.050 BJA Open 2025; 13:100372. doi: 10.016/j.bjao.2024.100372

Perioperative Profiles is a new series on TopMedTalk. We aim to continue to release a profile each month, spotlighting the professional — and personal — journeys of leading perioperative practitioners and researchers. Each month we talk to a prominent figure in perioperative medicine, exploring how they came into the field, what shaped their careers, key challenges and successes, and how their work has contributed to evidence-based perioperative practice. Steven Shafer is a world renowned Emeritus Professor of Anesthesiology, Perioperative and Pain Medicine at Stanford University Medical Center. In this episode of Top Med Talk, recorded live at ANESTHESIOLOGY® 2025, Andy Cumpstey and Kate Leslie discuss Dr. Shafer's incredible career in anesthesia. Hear about the journey from software engineering to being a pivotal figure in anesthetic pharmacology and becoming involved in a trial involving one of the world's most iconic pop stars. Shafer speaks about his groundbreaking work in drug research, the mentorship of Donald Stanski, and his pride in the achievements of his fellows. The episode also delves into his tenure as the editor-in-chief of Anesthesia & Analgesia, uncovering major fraudulent research cases, and culminates with his expert testimony in the highly publicized Michael Jackson case. A blend of professional insights and personal stories, highlighting the challenges and triumphs in the field of anesthesia. If you enjoyed this piece why not explore TopMedTalk's archive? We have over 2000+ unique podcasts covering the last seven years of perioperative medicine news and research. Start with one of these from the Perioperative Profiles series: Paul Myles: TopMedTalk: Perioperative Profiles, Paul Myles Ramani Moonesinghe: TopMedTalk: Perioperative Profiles, Ramani Moonesinghe Kate Leslie: TopMedTalk: Perioperative Profiles - Kate Leslie Monty Mythen: TopMedTalk: Perioperative Profile Monty Mythen

Dr. Adam Striker shares clips from ANESTHESIOLOGY 2025 in this special episode. Listen in as TopMedTalk interviews leaders from the specialty. Guests include outgoing president, Dr. Donald Arnold, and incoming president, Dr. Patrick Giam, along with Dr. Mary Dale Peterson, Tom Miller, Dr. Jonathan Gal, Dr. Gordon Morewood, Dr. Sheila Barnette, Dr. Patrick Guffey, and Dr. Samer Narouze. This prestigious group of thoughts leaders discusses workforce, economics, quality initiatives, the treatment of pain, and more. Recorded at the ASA annual meeting in October 2025.

A bittersweet moment for us, as the wonderful Desiree Chappell moves on to a fantastic new role in industry, after many years in the role of managing editor and anchor for TopMedTalk. This piece was recorded at ANESTHESIOLOGY® 2025 the annual general meeting of The American Society of Anesthesiology (ASA) in Chicago. Presented by Andy Cumpstey, Mike Grocott and Kate Leslie with their guest Desiree Chappell. Please make sure you are subscribed to TopMedTalk and find us on social media so we can connect online.

TopMedTalk's Andy Cumpstey recorded this piece recently for us at the Royal College of Anaesthetists' Centre for Perioperative Care's (CPOC) annual meeting in London. The conversation features key figures from CPOC, including: David Selwyn, Acting Chief Executive at Sherwood Forest Hospitals NHS Foundation Trust, appointed as the inaugural Director of CPOC in May 2019, Denny Levitt, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS), Scarlett McNally, Consultant Orthopaedic Surgeon in Eastbourne DGH, UK since 2002, Deputy Director at the COPC (2020-26) and an honorary clinical professor at Brighton and Sussex Medical School, Jugdeep Dhesi, Deputy Director for CPOC, Clinical lead for the innovative and award winning POPS (Perioperative medicine for Older People undergoing Surgery) service, Honorary Reader at King's College London and Associate Professor at University College London, and Lawrence Mudford, who transitioned from a healthcare professional to a patient, following a cancer diagnosis. Following his successful treatment, he took up his current role as a patient representative for CPOC. The panel explore the creation and evolution of CPOC since its inception in 2019, highlighting the collaborative efforts to improve surgical pathways by integrating patient and multidisciplinary voices. They discuss various initiatives, guidelines, and successful practices aimed at enhancing patient-centered care, managing conditions like frailty, diabetes, and anaemia, and promoting shared decision-making. The episode also delves into future goals, such as addressing the implementation gap, fostering digital transformation, and operationalizing educational curricula for healthcare professionals to further support perioperative care.

Anesthesiology 2025, the annual meeting of the American Society of Anesthesiologists. The TopMedTalk team were there and this piece sees Mike Grocott speaking with Sheena Scott, Founder of Scott Healthcare Consulting and Jason Greenberg, Strategic Advisor, Anesthesia, Ventra Health. They discuss common governance mistakes in anesthesiology groups, the importance of effective governance structures, and strategies for improvement. The conversation highlights the challenges of democratic decision-making in larger groups, the need for emotional intelligence in leadership, and methods to address detractors and conflicts. They also emphasize the importance of bylaws, outside consultation, and continued professional development through resources like the ASA's Advance meeting.

Presented by Desiree Chappell and Sol Aronson with their guests, Mary Dale Peterson, Executive VP and COO, Driscoll Children's Health System, serving as chair of the ASA's Workforce Summits, chair of the Ad Hoc Taskforce on Physician Workforce and chair of the Ad Hoc Committee on Anesthesia Workforce Research and a member of the ASA Charitable Foundation's board of directors, and Thomas Miller, Director of Analytics and Research Services (ARS) and the Center for Anesthesia Workforce Studies (CAWS). The conversation covers topics such as the increasing supply of anesthesiology professionals, the impact of COVID-19, and the growing demand for non-operating room anesthesia services. Dr. Peterson shares insights from her experience managing pediatric anesthesiology and suggests innovative solutions for workforce management. The panel also addresses the challenges of maintaining efficient operations amidst changing practice patterns and the importance of adapting to the new workforce's needs and preferences. More on the ASA's CAWS here: https://www.asahq.org/research-and-publications/center-for-anesthesia-workforce-studies As we mention Mary has appeared previously on TopMedTalk here: https://topmedtalk.libsyn.com/the-asas-immediate-past-president-topmedtalk-at-the-asa

The full team gather together to reflect on the last 12 months of TopMedTalk at this year's Evidence Based Perioperative Medicine (EBPOM) Dingle conference. Desiree Chappell, Sol Aronson, Andy Cumpstey, Mike Grocott, Kate Leslie and Monty Mythen select highlights from the archives for our new listeners. Here are the podcasts they mention, start your TopMedTalk journey with any of these. The PREPARE Trial “some great insights in the frailty, rehabilitation field and .. some really smart work … probably the top of my list” Mike Grocott. This excellent podcast: TopMedTalk: The PREPARE trial with Daniel McIsaac | IARS -- Gender Disparities in Surgical Efficiency and Outcomes "We had a great meeting with a medical student of Professor Matthias Eikermann in New York who talked about the different experiences of male and female practitioners. And that was really very powerful … she spoke really well…someone to watch out for, for the future.” Kate Leslie   TopMedTalk: Gender Disparities in Surgical Efficiency and Outcomes | IARS -- Perioperative medicine, the challenges, the rewards and the future “We had Ramani Moonesinghe visiting Australia from the uk, who obviously great friend of TopMedTalk and we know well, which she did a really, really fascinating conversation with us.” Andy Cumpstey   TopMedTalk: Perioperative medicine, the challenges, the rewards and the future -- Improving sustainability and reducing operating room waste “She says the same thing every time and, and every time I feel I'm a little bit closer to being a good citizen with respect to sustainability. And, you know, we all sort of focus on things like recycling and disposables and things like that, but she, she sort of focuses on a much bigger picture of the supply chain and, um, how we really need to reinvent all the processes” Kate Leslie   TopMedTalk: Improving sustainability and reducing operating room waste -- Exploring cerebral autoregulation “Her research, which is published in the public domain, recognizing the fact that there isn't a magic number of, for blood pressure. It's very individual and so it's a great podcast. Please do listen to it. There's a scary bit towards the end, which recognized that, in critical critically ill patients, you know, they quite often, we let their blood pressures drop. They have high right sided pressures and we often sit them up 'cause we think it's good for them. So listen to that bit because, you know, scary.” Monty Mythen   TopMedTalk: Exploring Cerebral Autoregulation “He just crystallized so well, it was like a sort of a primary exam. A capsule of information about this new idea, which I don't think I can actually properly explain either, but it's got to do with blood pressure, diabetes, and hypercholesterolemia, and how a combination of things can put you in this metabolic risk category.” Kate Leslie   TopMedTalk: Metabolic flexibility -- Periperative Profiles, Paul Myles “A really interesting conversation with Professor Paul Myles, which started off a new series for us, which I'm really enjoying. We've called that the Perioperative Profile series and, I guess the aim of that series, if you like, is to speak to some of the key thought leaders in our space” Andy Cumpstey

Recorded at this year's Evidence Based Perioperative Medicine (EBPOM) World Congress held in London, this episode of TopMedTalk features Andy Cumpstey with his guests TJ Gan, Professor and Division Head, Anesthesiology, Critical Care and Pain Medicine, UT Texas MD Anderson Cancer Center, Houston, TX, USA, and Tim Miller, Professor of Anesthesiology at Duke University Medical Center, Durham, NC, USA. The conversation provides insights on the key themes and developments from the conference. They discuss the critical importance of postoperative monitoring and interventions, including haemodynamic management, advanced monitoring systems, and the integration of new technologies such as AI and wearables. They emphasize evolution in surgical practices, particularly the shift towards outpatient procedures facilitated by robotic surgery. The conversation then highlights the global need for enhanced postoperative care standards and the potential future directions in perioperative medicine.

Perioperative Profiles is a new series from TopMedTalk which looks at both the professional and personal journey taken by some of the world's most innovative and successful perioperative practitioners and researchers. In this, the first of the series, Andy Cumpstey interviews Professor Paul Myles, Director of Research in the Department of Anaesthesiology and Perioperative Medicine at the Alfred Hospital in Melbourne, and Head of Department at Monash University, Australia. Recorded during the Evidence Based Perioperative Medicine (EBPOM) World Congress in London this year, hear how Paul was inspired by his mother with ambitions to become a country GP and then took a trip to the United Kingdom where he was inspired by a new vision; anesthesiologists leading practice changing research. Paul Myles discusses his early years, his initial medical training at Monash University, and the pivotal experience in the UK that steered him towards anesthesiology. Hear about his transition into research, the challenges he faced, and his significant contributions, including the establishment of multi-center trials and the ANZCA Clinical Trials Network. The discussion also touches on the balance between career and family, and the future of clinical trials with adaptive designs. The episode underscores the importance of collaboration, mentorship, and persistence in achieving success in medical research.

Broadcasting from the Evidence-based Perioperative Medicine World Congress in London, UK, TopMedTalk takes you behind the scenes to the conference conversations that matter. This episode delves into the importance of diversity in perioperative medicine, the patient-centred approach, the challenges of integrating multidisciplinary care, and the future of healthcare across different countries. Our guests share their experiences, challenges and strategies in implementing holistic, patient-focused care and the significance of leveraging technology and communication in improving patient outcomes. Presented by Andy Cumpstey with his guests, David Selwyn, appointed as the inaugural Director of the Centre for Perioperative Care (CPOC) in May 2019 and tasked with establishing and developing CPOC as a truly cross-organisational, multidisciplinary initiative led by the Royal College of Anaesthetists (RCoA), facilitating cross-organisational working on perioperative care for patient benefit. He remains an active clinician, dealing with the competing demands of anaesthesia and adult critical care; Vanessa Beavis, Past President of ANZCA, a specialist anaesthetist at Auckland City Hospital, New Zealand and also an Honorary Senior Lecturer at the Department of Anaesthesiology at the University of Auckland; and Maxime Cannesson, Department Chair, Anesthesiology and Professor of Anesthesiology at UCLA, California, USA and the Director, Centre for Perioperative Medicine (CPMed), American Society of Anesthesiology.

TopMedTalk's Andy Cumpstey continues our coverage of the hugely successful Evidence-Based Perioperative Medicine (EPBOM) World Congress in London. Here we dive deep into the realm of patient monitoring, exploring the use of wearable sensors and advanced algorithms for early detection and preventive care in hospital environments. Learn about ongoing research, innovation challenges, and prospective trials aiming to enhance patient care and safety. A comprehensive discussion on the future of healthcare technology and its implications on clinical practice. Presented by Andy Cumpstey with his guests, Sadia Khan, Consultant Cardiologist at West Middlesex University Hospital, Meera Joshi, Specialist registrar at Ashford and St Peter's Hospital NHS Foundation Trust and clinical research fellow in the department of surgery cancer at Imperial College London and Jasjit Syan, Senior Clinical Fellow in Cardiology and a PhD candidate in Digital Health at Chelsea and Westminster NHS Foundation Trust.

This series of talks hits upon one of the longstanding themes of TopMedTalk, opioids and opioid reduction in a perioperative setting. We discuss the opioid epidemic, the issue of persistent opioid use after surgery, and strategies for opioid reduction. Topics include historical usage, the dangers of high-dose opioids, and alternative pain management techniques such as opioid-free anesthesia and multimodal analgesia. The discussion also highlights the importance of ongoing research, patient education, and evidence-based practices to minimize the side effects of opioids while ensuring effective pain management. Presented by Tim Miller, Professor of Anesthesiology at Duke University Medical Center. Tim completed his training in Nottingham, UK followed by a fellowship in cardiothoracic anaesthesia at Glenfield Hospital, Leicester, UK. He is a fellow of the Royal College of Anaesthetists.

Euroanaesthesia 2025: the annual meeting of the European Society of Anaesthesiology and Intensive Care, in Lisbon, Portugal. TopMedTalk were there, check out our coverage on our podcast timeline. We've released many bonus episodes over the last few weeks! In this piece Kate Leslie and Nick Margerrison speak with their guests Sarah Saxena, course director and professor of anaesthesiology at the University of Mons, Belgium and Mia Gisselbaek, an anaesthesiologist and PhD student in medical education at University of Geneva Hospital, Switzerland. Drs Saxena and Gisselbaek were members of the working group for the ESAIC Mellin-Olsen Declaration on Diversity, Equity and Inclusion, which was signed at the opening ceremony of Euroanaesthesia 2025 in Lisbon, Portugal. The declaration can be found here: ESAIC Mellin-Olsen declaration on diversity, equity and inclusion. Eur J Anaesthesiol. 2025 May 2. doi: 10.1097/EJA.0000000000002186 A link to the machine learning algorithm for delirium developed by Drs Saxena and Gisselbaek can be found here https://delirium.streamlit.app

The TopMedTalk team takes you to Euroanaesthesia 2025: The European Society of Anaesthesiology and Intensive Care annual meeting in Lisbon, Portugal. The Society is dedicated to supporting professionals in anaesthesiology and intensive care by serving as the hub for development and dissemination of valuable educational, scientific, research, and networking resources. This year we're bringing you interviews with some of the key players and speakers from the conference presented by our very own Professor Kate Leslie, Head of Research in the Department of Anaesthesia and Pain Management at Royal Melbourne Hospital.

Recorded at the close of the recent IARS (International Anesthesia Research Society) annual meeting held in Honolulu, Hawaii. Our co-editor in Chief Professor Mike Grocott's arrival at the IARS from the UK was delayed by a fire at Heathrow airport. This piece turns his late arrival into your good fortune, as both Professor Kate Leslie and Professor Monty Mythen, TopMedTalk's founder, fill him in on the conference. If you missed the IARS this year or were there but could do with a high level summary of the highlights, this podcast is a great place to start. The discussions cover Monty's workshop presentation on clinical trials and industry partnerships, reflections on clinical trials conducted outside the US, and the potential underutilization of American data in large pragmatic trials. They also talk about cutting-edge trial designs, new drug developments in anesthesia, and notable research abstracts presented at the meeting. Moreover, they cover topics like exercise prehabilitation, nutrition, and cognitive training pre-surgery. There's an emphasis on the importance of evidence-based guidelines, the potential for combining protocolization with personalized care, and the significant role interactive physical and cognitive exercise plays in patient outcomes. The PREPARE trial piece is here: https://topmedtalk.libsyn.com/the-prepare-trial-with-daniel-mcisaac-iars We mention the forthcoming “2025 World Congress of Prehabilitation and Perioperative Medicine - International Prehabilitation and Perioperative Exercise Testing Society” meeting. More details on that here: https://ipoetts.org/2025-World-Congress-of-Prehabilitation-and-Perioperative-Medicine Also, we mention Chelsia Gillis, Assistant Professor in the School of Human Nutrition in the Faculty of Agricultural and Environmental Sciences at McGill University. She has featured multiple times on TopMedTalk, if you'd like to hear some of her work start here: https://topmedtalk.libsyn.com/nutritional-screening-and-assessment-tools-for-prehab-world-congress-of-prehabilitation

The Cipher HPI study focuses on continuous, iterative, perioperative, holistic risk evaluation using advanced hemodynamic monitoring data. The study, integrates preoperative and intraoperative data to predict the need for vasopressors or fluid after surgery. We discuss the study's methodology, results, and the potential implications for clinical practice, including the use of machine learning techniques for better risk prediction and resource optimization in critical care settings. The episode emphasizes the importance of utilizing rich patient data throughout the surgical journey to enhance outcomes and support clinician decision-making. Presented by Mike Grocott and Kate Leslie on location at the International Anesthesia Research Society (IARS) and Society of Critical Care Anesthesiologists meeting in Honolulu, Hawaii, with their guest, Alexander (Sandy) Jackson an anaesthetist and intensive care physician who is also a clinican data scientist, currently funded by the UK's National Insitute of Health and Care Research (NIHR), based at the NIHR Southampton Biomedical Research Centre. We mention Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital, and an occasional presenter here on TopMedTalk. This thought provoking talk from him is a good place to learn more: https://topmedtalk.libsyn.com/the-hidden-pandemic-of-post-operative-complications-ebpom-london-2020-0

The PREPARE trial is a randomized control trial aimed at improving surgical outcomes for older patients with frailty through prehabilitation. This discussion covers the inspiration behind the trial, the structure of the prehabilitation program, and the trial's results. Despite not finding significant improvements in the primary outcomes across all patients, the trial revealed that those who adhered to the program showed clinically meaningful improvements. The conversation delves into the challenges of patient adherence, the role of technology, and the importance of personalized interventions in prehabilitation. Presented by Mike Grocott and Kate Leslie on location at the International Anesthesia Research Society (IARS) and Society of Critical Care Anesthesiologists meeting in Honolulu, Hawaii, with their guest, Daniel McIsaac, Associate Professor of Anesthesiology & Pain Medicine, University of Ottawa, Canada. Further resources: We mention Chelsia Gillis, Assistant Professor in the School of Human Nutrition in the Faculty of Agricultural and Environmental Sciences at McGill University. She has appeared on this podcast multiple times, this presentation is a good place to start: TopMedTalk: Nutritional screening and assessment tools for prehab | World Congress of Prehabilitation We also discuss The Duke Activity Status Index (DASI) can be found here: https://www.mdcalc.com/duke-activity-status-index-dasi There's also an excellent presentation on which relates to this conversation here: TopMedTalk: EBPOM London 2020 | Functional Assesment Ensure you are subscribed to TopMedTalk now so you can make full use of our extensive archive with over 8 years worth of high quality medical material available for free.

This piece discusses significant advancements and ongoing challenges in anesthesia and perioperative medicine. Our guest shares his journey from his training days at the University of Basel to his influential work in patient safety across Europe; including pioneering efforts with incident reporting and simulation training inspired by collaborations with NASA. The conversation delves into the evolution of safety practices, the emphasis on human factors over technological advancements, and the complexities of teamwork and communication in the operating room. They explore the importance of standardized procedures, the necessity of adaptability in unstandardized situations, and the role of interdisciplinary collaboration in enhancing patient outcomes. We mention the Helsinki Decleration on Patient Safety in Anasethesiology (link below) and touch on the dissemination and integration of safety principles, the financial implications of quality and safety issues in hospitals, and the future direction of patient safety initiatives, emphasizing the need for continued investment in training and teamwork. Presented by Desiree Chappell with her guest, Sven Stander,  Senior leading physician in Intensive Care Medicine; Clinical Research, Intensive Care, Anesthesiology at The University Hospital Zurich. Link to the Helsinki Declaration on Patient Safey in Anaesthesiology is here: https://esaic.org/patient-safety/helsinki-declaration-on-patient-safety-in-anaesthesiology/

This is part two of a two part program covering some of the most listened to pieces we've done in the last 12 months. We'd love you to check out part 1, which is here: https://topmedtalk.libsyn.com/annual-digest-part-1-topmedtalk In this piece we cover and reflect upon the following podcasts: "The evolution of the Impella device in anesthesia, critical care, and perioperative medicine” https://topmedtalk.libsyn.com/the-evolution-of-the-impella-device-in-anesthesia-critical-care-and-perioperative-medicine-anes24 Is Trauma Informed Care part of your perioperative process? https://topmedtalk.libsyn.com/is-trauma-informed-care-part-of-your-perioperative-process-topmedtalk ROCKet Trial and PANDOS | Euroanaesthesia 2024 https://topmedtalk.libsyn.com/rocket-trial-and-pandos-tmt-at-ea24 "Patient Safety and Quality: New Standards in Anesthesia | #ANES24" https://topmedtalk.libsyn.com/patient-safety-and-quality-new-standards-in-anesthesia-anes24 And “Perioperative medicine in focus | EBPOM 24” https://topmedtalk.libsyn.com/perioperative-medicine-in-focus-ebpom-24

This is the first of a two part program which covers some of the most listened to pieces we've done in the last 12 months. If you want to follow up on these conversations and get the full detail, for free, follow these links here: "Cardiovascular risk evaluation for non-cardiac surgery, guidelines" - https://topmedtalk.libsyn.com/cardiovascular-risk-evaluation-for-non-cardiac-surgery-guidelines-ebpom-24 ”Should we delay surgery for prehabilitation?” - https://topmedtalk.libsyn.com/should-we-delay-surgery-for-prehabilitation-prehabilitation-world-congress ”The importance of intraoperative hypotension” - https://topmedtalk.libsyn.com/the-importance-of-intraoperative-hypotension-aana-2024 “Behavioural change vs Psychological interventions: which is key in prehabilitation?” - https://topmedtalk.libsyn.com/behavioural-change-vs-psychological-interventions-which-is-key-in-prehabilitation-prehabilitation-world-congress "Perioperative patient safety and post-operative ward monitoring" - https://topmedtalk.libsyn.com/perioperative-patient-safety-and-post-operative-ward-monitoring-topmedtalk

In this piece, recorded at Anesthesiology 2024 in Philadelphia, TopMedTalk explores the evolving landscape of patient safety and quality standards in anesthesia. What have been the significant shifts in patient safety culture? What is the importance of a proactive approach to risk management in anesthesia? We mention this excellent article: https://www.apsf.org/article/why-should-i-obtain-the-certified-professional-in-patient-safety-cpps-credential/ Desiree Chappell, Mike Grocott and Monty Mythen speak with their guest, Jonathan Cohen, anesthesiologist, Vice Chair of Quality & Safety in the Department of Anesthesiology at Moffitt Cancer Center in Tampa, Florida, Associate Professor at the University of South Florida, Clinical Assistant Professor in the Department of Medical Education at University of Illinois Chicago, Faculty for the Institute of Healthcare Improvement's (IHI) Certified Professional in Patient Safety Course.

TopMedTalk is at The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. Here we discuss key anesthesia updates, emphasizing patient safety and comfort. Does the evidence support allowing clear liquids up to surgery to reduce thirst without raising risks? Do new challenges around GLP-1 drugs, which delay stomach emptying, call for tailored pre-op guidance? Also, should we be rethinking gabapentinoids, which recent studies show may not effectively reduce opioid use as once believed? Presented by Desiree Chappell, Monty Mythen and Mike Grocott with their guests, Girish P. Joshi, Professor, Anesthesiology and Pain Management at UT Southwestern Medical Center and Ben Gibbison, Associate Professor of Cardiac Anaesthesia and Intensive Care at the University of Bristol, Honorary Consultant at University Hospitals Bristol and Weston NHS Foundation Trust.

Euroanaesthesia is recognised worldwide as one of the most important and influential annual congresses in anaesthesiology and intensive care. Organised by The European Society of Intensive Care Medicine (ESICM). This year, TopMedTalk is there in Munich, Germany, bringing you exclusive coverage. This piece focuses upon bringing education to a wider selection of people and new ways of disseminating information. Presented by Desiree Chappell and Kate Leslie with their guests, Markus Klimek, Director, Residency Training Program, Vice-Chairman, Associate Professor, Erasmus MC, Department of Anesthesiology and Joana Berger-Estilita, Consultant in Anaesthesiology and Intensive Care at Bern University Hospital Inselspital, University of Bern, Switzerland, co-Director of the ESICM European Perioperative Intensive Care Curriculum e-course.

This important piece shines a light on the evolution and challenges of Enhanced Recovery After Surgery (ERAS). If you've never listened to TopMedTalk, this is a great place to start. If you've listened before it's possible you've heard us talking with excitement about today's guest, we hope you find this session to be worth the wait. Hear how our guest's insights on the need for an understanding of the pathophysiological basis and integrated pre-, intra- and post-operative care for the best patient centered outcomes. We cover the concept of “DReaMing” (Drinking, Eating, Mobilizing) as both a goal and measure of recovery; it simplifies complex pathways, encouraging a focus on practical, patient-centered outcomes while reminding us to investigate barriers when these aren't achieved. Also, listen to our timely discussion regarding the misinterpretation of fluid management—shifting from avoiding overload to outright restriction—reiterating the importance of precision and nuance in applying guidelines. Can these approaches then be turned into individualized risk assessments, which bridge the gap between protocolization and personalization? Finally there's a powerful call for increased post-discharge research, to monitor and mitigate challenges like fatigue and pain. Recovery does not stop at hospital discharge. Presented by Desiree Chappell, Mike Grocott and Monty Mythen with their guest, Henrik Kehlet, Professor of Surgery at Copenhagen University and Professor of Perioperative Therapy at Rigshospitalet, Copenhagen University, Denmark.  He is also an Honorary Fellow of the Royal College of Anaesthetists, UK, the American College of Surgeons, the American Surgical Association, the German Surgical Society, the German Anaesthesiological Society and American Society of Anesthesiology. Professor Kehlet has published more than 1,250 scientific articles and has given more than 300 invited lectures at international scientific meetings, several honorary lectures including the ASA Excellence in Research Award 2014. He was the first recipient of the BJS Society Award 2023. Like this? Want more? https://topmedtalk.libsyn.com/topmedtalk-henrik-kehlet-and-nick-scott-0 https://topmedtalk.libsyn.com/asa-2018-san-francisco-exclusive-professor-henrik-kehlet

TopMedTalk at The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. We're bringing you a series of podcasts from the conference. Make sure you check our podcast feed and are subscribed to TopMedTalk, as we are currently releasing episodes more often than usual to accommodate high demand. This piece provides much needed focus on the topic of pediatrics and hemodynamics. Is it true to say that children are completely different to adults? What information do we need and what should the considerations around this topic really be? Presented by Desiree Chappell and Mike Grocott with their guests Dwight Bailey, Chief, Division of Pediatric Critical Care Medicine at Atrium Health, Levine Children's Hospital and Jonathan Tan, Vice Chair of Analytics and Clinical Effectiveness, Department of Anesthesiology Critical Care Medicine, Assistant Professor of Clinical Anesthesiology and Spatial Sciences, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Spatial Sciences Institute of the University of Southern California

This piece addresses challenges in anesthesiology, workforce dynamics, leadership development, and operational efficiency. Flexible employment models, such as part-time roles and tailored schedules, are helping attract and retain talent while reducing burnout and reliance on locum tenens. Are we seeing a shift from crisis management to long-term strategic planning? How can organizations, focused on innovation, leadership training, and fostering professional satisfaction, create a more stable and collaborative environment for clinicians and patients alike? Presented by Desiree Chappell and her guests, Adam Spiegel, CEO, NorthStar Anesthesia and Jim Roberts, Chief Medical Officer of NorthStar Anesthesia and Meagan Barkett, Chief Operating Officer, NorthStar Anesthesia. -- TopMedTalk on location at the American Society of Anesthesiologists (ASA) annual meeting, Anesthesiology 2024. In the last week we have released various pieces from Anesthesiology 2024. The Anesthesia Quality Institute (AQI) - https://topmedtalk.libsyn.com/the-anesthesia-quality-institute-aqi-anes24 Remote Patient Monitoring: reducing risk & improving patient outcomes - https://topmedtalk.libsyn.com/remote-patient-monitoring-reducing-risk-improving-patient-outcomes-anes24 Ensure you check TopMedTalk regularly during this time as our conference coverage continues to be released.  

TopMedTalk recorded this piece at the annual meeting of the American Association of Nurse Anesthesiology (AANA) in San Diego. With over 64,000 members, including practicing CRNAs and nurse anesthesia residents, the AANA facilitates professional standards, advocacy, and social networking. This discussion highlights the importance of cultivating strong educational programs and strategic affiliations to ensure high-quality anesthesia care in the U.S. Presented by Desiree Chappell, TopMedTalk's Co-Editor-in-Chief and Vice President of Clinical Quality at NorthStar Anesthesia, and co-host Randy Moore, DNP, MBA, CRNA, Chief Anesthetist Officer at NorthStar Anesthesia, with their guest Mandy Spitzer, DNP, CRNA, the new Director of Academic Affairs at NorthStar.