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PODCAST

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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All Episodes

21:57

Perioperative Pain Management - panel discussion | EBPOM

TopMedTalk ·

2025/07/14

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

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16:59

Healthcare demographics, tackling an age old problem...

TopMedTalk ·

2025/07/10

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

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16:45

Perioperative Pain Management; the Opioid Epidemic...

TopMedTalk ·

2025/07/07

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

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23:55

Perioperative Pain Management; opioid reduction service

TopMedTalk ·

2025/06/30

In this piece we look at the opioid crisis in the UK and how it has translated into clinical practice. Hear about the history and data behind opioid prescription trends, specifically highlighting the high-risk patient demographics and mortality figures associated with opioid use. Learn how a multidisciplinary approach, taken by the opioid reduction service at Guy’s & St. Thomas', helps showcase early outcome data and the strategies employed in opioid weaning. Emphasizing the importance of patient

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14:17

Perioperative Pain Management; Opioid Sparing...

TopMedTalk ·

2025/06/23

This piece focuses on strategies for opioid-sparing anesthesia guided by the NOL Index, emphasizing the variability in patient responses to opioids. The importance of monitoring nociception, using advanced devices and techniques to customize opioid dosing, reduce side effects, and confirm the effectiveness of regional anesthesia. Our presenter shares personal experiences from their professional life and case studies, illustrating the benefits and challenges of implementing multimodal and opioid-free

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13:50

Diversity at Euroanaesthesia 2025

TopMedTalk ·

2025/06/16

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

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15:56

Insights from the WFSA with Wayne Morriss

TopMedTalk ·

2025/06/09

This piece was recorded at Euroanaesthesia 2025 in Lisbon. Kate Leslie interviews Wayne Morriss, Clinical Associate Professor, University of Otago, Christchurch, and Specialist Anaesthetist, Christchurch Hospital, New Zealand. He is the Immediate Past President of the World Federation of Societies of Anaesthesiologists (WFSA). He shares his insights from his journey in global anaesthesia, including his tenure as WFSA president. We discuss global issues in anaesthesiology, the importance of

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15:06

The mission and vision at Euroanaesthesia 2025

TopMedTalk ·

2025/06/02

We're at Euroanaesthesia 2025 in Lisbon, Portugal. Here we discuss the European Society of Anaesthesiology and Intensive Care's initiatives, focusing on the innovations in the scientific program in anaesthesia and perioperative medicine, and the importance of inclusivity and diversity within the society. The episode also highlights the future direction of the society, the role of trainees, and offers insights into the upcoming Congress in Rotterdam. Listeners are encouraged to apply for roles and

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14:33

Patient Safety, Sustainability, and AI in...

TopMedTalk ·

2025/05/31

Recorded at Euroanesthesia 2025 in Lisbon, Portugal, the annual meeting of the European Society of Anesthesiology and Intensive Care. The episode features an interview with Edoardo de Roberti, a former ESAIC president, who shares insights into the challenges and advancements in the field of anesthesiology. Key topics include patient safety, sustainability in medical practices, and the role of artificial intelligence in improving anesthesiology. Eduardo also discusses workforce shortages in Europe

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20:56

Advancing Patient Safety in Anaesthesiology

TopMedTalk ·

2025/05/31

Recorded at the Euroanaesthesia 2025 meeting in Lisbon, Portugal. Here the focus is on patient safety in anaesthesiology. We discuss the importance of patient safety preoperatively, intraoperatively, and postoperatively, with innovations in perioperative medicine and artificial intelligence. The ESAIC Patient Safety and Quality Committee developed a patient safety education project: the Safer Care to Save Lives, a comprehensive package of patient safety education for anaesthesiologists, healthcare

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22:00

Innovations in Monitoring Right Heart Failure with...

TopMedTalk ·

2025/05/31

In this piece we discuss the intricacies of right heart failure, the differences between the right and left ventricles, and the challenges of early detection and monitoring. With a focus upon research we discuss the Swan-Ganz IQ pulmonary artery catheter, with the FastCCO algorithm, from BD Advanced Patient Monitoring. We cover its innovative capabilities, explore its impact on patient care and look particularly at high-risk patients like those with pulmonary hypertension and LVADs. The episode

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23:19

Exploring Cerebral Autoregulation

TopMedTalk ·

2025/05/29

Our guest, Chiara Robba, delves into her work on cerebral autoregulation in relation to critical illness. We explore the mechanisms of cerebral autoregulation in healthy and brain-injured patients, the potential of new monitoring technologies, and the importance of personalized patient care. The discussion also touches on the broader implications for managing blood pressure in various clinical scenarios, including sepsis and shoulder surgery. Presented by Kate Leslie and Monty Mythen with their

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12:31

Evolution of the European Society of Anaesthesiology...

TopMedTalk ·

2025/05/29

Euroanaesthesia 2025 in Lisbon, Portugal. Here we look at the history and progress of the European Society of Anaesthesiology and Intensive Care. We speak about the amalgamation of three separate societies into one, the inclusion of intensive care, key milestones like the Helsinki, Glasgow and Mellon-Olsen Declarations, and the significance of involving trainees. We also highlight the Society’s efforts in promoting research and its relationship with the European Journal of Anaesthesiology. More

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06:43

Introduction to Euroanaesthesia 2025

TopMedTalk ·

2025/05/26

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

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17:16

TopMedTalks to Manu Malbrain; the patient experience

TopMedTalk ·

2025/05/19

This piece follows on from the previous interview with Manu Malbrian, but works as a standalone podcast. It is presented from the annual conference of the Society of Critical Care Medicine (SCCM), the largest non-profit medical organization dedicated to promoting excellence and consistency in the practice of critical care. Here our guest very kindly shares his personal experience of critical care, before the conversation moves into the patient experience in general. Presented by Desiree Chappell and

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22:08

Revolutionizing Anesthesia: The Jaw Elevation Device...

TopMedTalk ·

2025/05/12

This piece focuses upon an innovative device that has transformed patient care in Anesthesia; the Jaw Elevation Device (JED), a non-invasive tool designed to keep patients' airways open during moderate anesthesia care (MAC). The conversation explores the challenges of MAC, the device's adaptability across different patient demographics, and its impact on improving patient safety and practitioner efficiency. Learn more about the evolution of JED, its clinical applications, and where to find this

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16:27

Review of the 2025 ANZCA Annual Scientific Meeting in...

TopMedTalk ·

2025/05/06

In this piece, we recap the last five days at the ANZCA Annual Scientific Meeting. We visit highlights from the plenary speaker presentations by Chris Connor, Alana Flexman, Ramani Moonesinghe, Kevin Fong and Eugenie Kayak. We talk about the original research presented at the meeting including the breaking trials session. Then we review the great discussions we had with journal editors at the meeting. Finally we reflect on the great social events at the meeting, that foster fellowship and

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29:01

Breaking trial results

TopMedTalk ·

2025/05/06

In this piece we discuss breaking trial results with Chris Bain, a consultant anaesthetist and researcher, and Luke Perry, a trainee anaesthetist and PhD student*, both from Melbourne, Australia. We explore the effects of tissue trauma on inflammation and immune responses, and new results about the modifying effect of genetic expression with glucocorticoids. Then we delve into a pilot study on pulmonary artery catheters and cardiac surgery: one of the big questions in our specialty. The pilot study

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29:02

Journals in focus, The BJA and Anesthesiology

TopMedTalk ·

2025/05/05

In this piece we discuss the latest news in medical publishing with Hugh Hemmings, editor-in-chief of the British Journal of Anaesthesia and Laszlo Vutskits, editor of Anesthesiology. We discuss the increasing volume of manuscripts being received by journals; the challenges of peer review, and initiatives to find and support new reviewers. Then we delve into the use of AI by authors and journals, and how this might influence publishing in the future. Presented by Andy Cumpstey and Kate Leslie on

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29:12

Unconscious bias, bullying, harassment, and...

TopMedTalk ·

2025/05/05

In this piece we discuss perioperative medicine with Alana Flexman, an anaesthetist and researcher from Vancouver, Canada, and Maryanne Balkin, an anaesthetist and law graduate from Melbourne, Australia. We explore our guests’ career journeys, and gender and equity issues, including unconscious bias and bullying, harassment, and discrimination, in the workplace. Finally we talk about the craziness and joy of continued learning and enquiry. Presented by Andy Cumpstey and Kate Leslie on location at

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