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TopMedTalk

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

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18:15

The Protect Platform trial | TMT in Prato

TopMedTalk ·

2024/07/29

More from our coverage of the 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. This piece discusses trials in the wake of COVID-19 specifically we focus upon the PROTECT Platform Trial. Presented by Monty Mythen and Kate Leslie with their guests Tom Abbott, anaesthetist and clinical lecturer at Queen Mary University of London and James Glasbey, NIHR Academic Clinical Lecturer in Global Surgery, University of Birmingham and General Surgery Registrar.

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18:23

The DanGer Shock Trail | EBPOM 24

TopMedTalk ·

2024/07/26

This piece looks at the DanGer Shock Trial which examines the efficacy of the Impella device in reducing mortality in patients with acute myocardial infarction and cardiogenic shock. We explain how the device works, its implantation process, and the significant findings from the trial, including a notable reduction in six-month mortality with a number needed to treat (NNT) of eight. Despite higher rates of bleeding and renal filtration therapy in the Impella group, the trial provides strong evidence

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29:28

Innovation and leadership in anaesthesia | TMT at EA24

TopMedTalk ·

2024/07/22

This year TopMedTalk were at Euroanesthesia 2024, Munich, Germany. In this piece we discuss anesthesia leadership, sustainability in healthcare, and innovations like Portrait Mobile and low-flow anesthesia. Our guest also shares her personal story as an immigrant and woman in industry, emphasizing the importance of mentorship, sponsorship, and balancing one’s personal and professional life. Presented by Desiree Chappell and Kate Leslie with their guest Alla K. Woodson, Global GM, Anesthesia,

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14:23

TRACTION trial and the B-Free trial in focus | TMT in...

TopMedTalk ·

2024/07/15

This conversation was recorded at The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. This piece focuses upon the TRACTION trial and the B-Free trial. The TRACTION trial is here: https://tractiontrials.org/ The B-Free trial is here: https://www.phri.ca/research/b-free/ Desiree Chappell and Andy Cumpstey speak with their guests Jessica Spence, Assistant Professor at McMaster University and the Principal Investigator of the B-Free Cluster Crossover Trial and Ryan

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21:44

Equity, decolonisation and medical research | TMT in...

TopMedTalk ·

2024/07/08

The team bring us more interviews from The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. This piece focuses upon the importance of global and equitable research partnerships, highlighting guidelines like TDR's Essence and the Trust Code. The conversation also touches on the need to decolonize health research and the necessity of systemic changes to support women in science and medicine. Listeners are encouraged to engage with TopMed Talk and explore Epom's

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20:29

How do we intelligently use artificial intelligence?...

TopMedTalk ·

2024/07/04

Evidence Based Perioperative Medicine (EBPOM)'s incredible World Congress in London continues and TopMedTalk is there bringing you exclusive interviews with delegates, guests and key opinion leaders. Here we have a much needed discussion regarding regulating artificial intelligence (AI) at the point of care, and the need for proper regulatory frameworks to ensure its safe and effective use. We stress the importance of clear policies and clinician training for AI implementation, highlighting the

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16:19

Poster Presentations | EBPOM 24

TopMedTalk ·

2024/07/04

Evidence-Based Perioperative Medicine (EBPOM)'s World Congress in London is an vital point in the perioperative calendar. This year was no exception. In this piece we speak to some of the poster presenters about hypotension and also, an app that helps with preparation for major surgery. Presented by Andy Cumpstey with Alexander (Sandy) Jackson, Clinican Data Scientist, Royal College of Anaesthetists, NIHR Doctoral Fellow, Anaesthetics and Intensive Care Doctor, University of Southampton, NHS

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26:04

High-Intensity Interval Training and the future of...

TopMedTalk ·

2024/07/04

Recorded exclusively at this year’s Evidence Based Perioperative Medicine (EBPOM) World Congress in London this piece looks in detail at High-Intensity Interval Training (HIIT). HIIT can significantly enhance physical fitness and resilience in cancer patients, reducing complications and improving quality of life. Hear how HIIT can positively impact mitochondrial performance, thus improving cardio-respiratory fitness. The discussion also explores the integration of experimental medicine from bench to

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19:52

Shared decision making | EBPOM 24

TopMedTalk ·

2024/07/03

This conversation gets our coverage of the Evidence Based Perioperative Medicine, World Congress, (EBPOM) 2024 off to a great start. Shared decision making is a topic which cuts right to the centre of perioperative medicine with a focus upon patients and patient perspectives. Presented by Andy Cumpstey with his guests, Bob Evans, a retired Chartered Town Planner and local authority director, a board member of the Centre for Perioperative Care (CPOC), founder member of the Patient, Carer and Public

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05:31

EBPOM World Congress Begins | EBPOM 2024

TopMedTalk ·

2024/07/03

Evidence Based Perioperative Medicine (EBPOM) is at the heart of what we do and their annual world conference in London always delivers. TopMedTalk, the broadcasting arm of EBPOM, is there bringing you conversations and adding to the discussions at the conference. Presented by Andy Cumpstey, NIHR clinical lecturer in anaesthesia and intensive care medicine at Southampton University with Joff Lacey, consultant anaesthetist at St George's Hospital NHS Foundation Trust in London.

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19:45

The British Journal of Anaesthesia | EA24

TopMedTalk ·

2024/07/01

This piece is part of our coverage of Euroanaesthesia, one of the most important and inﬂuential annual congresses in anaesthesiology and intensive care. Organised by The European Society of Intensive Care Medicine (ESICM). The British Journal of Anaesthesia (BJA) publishes high-impact original work in all branches of anaesthesia, critical care medicine, pain medicine and perioperative medicine. This piece gets into AI generated content, sustainability and the Editorial Fellowship Program. Presented

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27:51

Perioperative patient safety and post-operative ward...

TopMedTalk ·

2024/06/24

Perioperative patient safety and post-operative ward monitoring is an important topic. Could continuous monitoring potentially improve patient outcomes and reduce rapid response team activations? Can 24/7 monitoring for high-risk patients provide meaningful data and improve patient safety? With a focus upon “meaningful” how do we avoid “alarm fatigue”? Where is the research and what do the data tell us? The paper we mention is here: https://doi.org/10.1080/13696998.2023.2219156 Presented by Desiree

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19:16

TopMedTalks to... Jonathan Tan | TMT at IARS

TopMedTalk ·

2024/06/17

This piece is part of our coverage of The International Anesthesia Research Society (IARS) annual meeting. Here our guest discusses his dual roles in patient safety and quality improvement and his research in spatial sciences; focusing on how environmental and social factors impact health. Can the integration of environmental data into electronic health records allow us to better understand and address health determinants like air quality? What are the practical applications for healthcare

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20:30

ROCKet Trial and PANDOS | TMT at EA24

TopMedTalk ·

2024/06/12

Euroanaesthesia is organised by The European Society of Intensive Care Medicine (ESICM). This year, TopMedTalk was there in Munich, Germany, bringing you exclusive coverage. What are the effects of up to 72 hours of perioperative ketamine on the risk of development of chronic post-surgical pain? How can we improve pain management and perioperative opioid use after surgery? More about the ROCKet Trial here:

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16:03

The role of scientific journals in 2024 | TMT @the...

TopMedTalk ·

2024/06/11

Welcome to a conversation we recorded at The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. What is the role of a journal in 2024? Why are platform trials so exciting at the moment? How have things moved forward in research? Presented by Desiree Chappell with her co-hosts Mike Grocott, Kate Leslie and their guest Kirsten Bibbins-Domingo the 17th Editor in Chief of the Journal of the American Medical Association and the JAMA Network.

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26:03

TopMedTalks to... Ruthi Landau | TMT at SOAP

TopMedTalk ·

2024/06/10

Our coverage of the Society for Obstetric Anesthesia and Perinatology (SOAP) continues. Developing clinical guidelines, fostering education, and conducting multi-center research to improve maternal health are all part of the SOAP mission. Also in this piece we discuss the General Anesthesia Registry, which collects data to improve anesthesia outcomes, and the Center of Excellence program. Presented by Desiree Chappell and Monty Mythen with their guest, Ruthi Landau, Virginia Apgar, Professor of

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17:26

The Effect of Perioperative Music on Medication...

TopMedTalk ·

2024/06/07

“We are seriously scientifically evidence-based looking for solutions on the non-pharmacological side and music has turned out to be one of them” This fascinating piece takes its cue from an excellent paper; “The Effect of Perioperative Music on Medication Requirement and Hospital Length of Stay: A Meta-analysis” which you can read here: https://pubmed.ncbi.nlm.nih.gov/31356272/ Presented by Desiree Chappell with her guest Marcus Klimek, Director Residency Training Program, Vice-Chairman, Associate

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39:21

Patient monitoring and beyond | TopMedTalk

TopMedTalk ·

2024/06/05

Patient monitoring has made some significant strides forward over the last decade. Nowadays most people are familiar with the idea. Where are we now with this essential aspect of healthcare? How far should we take the commitment to monitoring a patient? What about “wearable” technology both inside and outside the institution? Desiree Chappell speaks with Meera Joshi, Specialist registrar at Ashford and St Peter's Hospital NHS Foundation Trust and clinical research fellow in the department of surgery

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31:11

AI's unique hemodynamic insights - HPI in focus |...

TopMedTalk ·

2024/05/31

This piece focuses upon the Hypotension Predictive Index (HPI) technology. We look at the validation process of HPI, addressing criticisms and clarifying its predictive ability for hemodynamic instability. How important is it to understand the underlying causes of instability rather than solely relying on blood pressure readings? What is the role of HPI in early detection and proactive management? The discussion also touches on the limitations of traditional mean arterial pressure (MAP) monitoring

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15:25

Welcome to the 7th Clinical Trials in Anaesthesiology...

TopMedTalk ·

2024/05/29

It’s one of our busiest times of the year. This piece is the first of a series from The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. Presented by Desiree Chappell and her co-hosts; Mike Grocott, Monty Mythen, Andy Cumpstey and Kate Leslie. Please ensure you are subscribed to TopMedTalk and check back regularly as we have more from this conference (and others) to come. We mention our piece with Paul Myles, you can listen to it here:

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