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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

health & fitness medicine

All Episodes

34:13

Perioperative Quality Initiative P.O.Q.I. news | ASA...

TopMedTalk ·

2021/02/14

"It might just be 'boring old blood pressure ... (but) ... every fourth operation there is evidence of a modifiable risk factor". The Perioperative Quality Initiative (POQI) is our starting point for this conversation, seven concensus conferences focusing on various topics of interest to the perioperative practitioner. Check out their extensive open source resources here: www.poqi.org Hypotension and Mean Arterial Pressure (MAP) are discussed in detail; how are patients now being managed? How can a

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40:42

Somnia Anesthesia Services | TopMedTalk

TopMedTalk ·

2021/02/13

"We're so invested in outcomes and data that it really gives us an objective view on how to approach things" This wide ranging conversation looks at how a data driven approach to change can produce better results in terms of patient outcomes. How do you highlight those opportunities with tact and clarity? How do we start to reward and recognise the best care that the evidence supports? We also hear more about Evidence Based Perioperative Medicine (EBPOM) in 2021; for more on the opportunities

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36:36

Can medicine be cured? | EBPOM Ireland Highlight

TopMedTalk ·

2021/02/12

Warning; this piece may make for uncomfortable listening. It is a fascinating look at the recent history of medicine and how our profession may in fact be sick. Contained within the story is a message of hope; evidence may contain the cure. In our recent history we seem to have enjoyed something of a "Golden Age" of medicine which, by raising quality of life so dramatically, has transformed our understanding of concepts such as "public health" and even "standard of living". However, running

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12:04

Testing the Hypotension Prediction Index | TopMedTalk

TopMedTalk ·

2021/02/11

"We wanted to know if goal directed therpy using a (Hypotension Prediction Index) HPI monitor can prevent hypotension". This piece looks in detail at the HPI monitor in practice- what is the benefit of this piece of technology in relation to hypotensive episodes? Furthermore how else is it to be tested and when will these tests be carried out? Presented by Desiree Chappell and Monty Mythen with their guest Marit Habicher, Specialist, Department of Anesthesia and Critical Care at UKGM Giessen.

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28:19

Shared decision-making: a team game? | EBPOM 2020 London

TopMedTalk ·

2021/02/10

"We have to remember that patients have a team" How do we involve patients in the increasingly complex conversations we have in the perioperative space? This piece is a detailed case study which shows how shared decision making works in the perioperative setting. We know this improves patient experience yet in the last 10 or so years, consistently only 50 to 60% of patients say they were involved in decision making. How can shifting towards a value based care model help? What is "moral injury" and

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22:52

Getting "fit for surgery" | EBPOM 2020 London

TopMedTalk ·

2021/02/09

"In this session, we're going to talk about the importance of fitness, frailty, function and perioperative medicine." Fitness, frailty and function are overlapping concepts. In the UK, about quarter of patients will be over the age of 65 by 2034. As patients age they may develop comorbidities. These factors combine to present a unique opportunity for the perioperative physician; fitness increases the chances of a positive outcome, time to ensure every patient is "fit for surgery". The Making Every

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24:10

Perioperative Frailty with Jude Partridge | EBPOM...

TopMedTalk ·

2021/02/08

"If I were to develop a simple uncomplicated urinary tract infection, I may well be able to continue to go to work as I was being treated for that illness but if an older frail patient develops a similar uncomplicated urinary tract infection, that can be a very significant illness, that patient may well be unable to walk or transfer as they could" Frailty in the perioperative period - what is it, what is it not and how do we work with and manage it before, during and after an operation so as to

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13:34

Healthy eating and cancer | TopMedTalk & MacMillan...

TopMedTalk ·

2021/02/07

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey amidst the COVID 19 crisis. We know food gives us energy "but it also provides so much more". This podcast looks at the raw materials you'll need, when facing a cancer diagnosis, to get a better outcome; the vitamins, minerals and proteins, as well as the energy sources you're best using. What is a balanced diet when you have cancer? "We're talking about

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26:34

Get active and feel good? | TopMedTalk & MacMillan...

TopMedTalk ·

2021/02/06

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey amidst the COVID 19 crisis. It's vital you remain active after a cancer diagnosis, why is this? Hear the fascinating story behind the discovery that activity not only reduces your overall levels of fatigue but also improves your chances of recuperation. "You have to pace yourself [...] listen to your body"; but any physical activity will help fight

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25:07

Mental well being for the patient | TopMedTalk &...

TopMedTalk ·

2021/02/05

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey amidst the COVID 19 crisis. "It's very normal to sit with some difficult thoughts and feelings" after a cancer diagnosis. Broadly there are two types of mindsets; anxiety, which can be helpful, an element of wanting to 'do something' and, on the other hand, low mood, a feeling of not wanting to do anything, this can be unhelpful if not addressed at a

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16:12

EBPOM London 2020 | 'Hip Attack' with PJ Devereaux

TopMedTalk ·

2021/02/04

"Accelerated surgery for hip fracture is safe and feasable, with troponin elevation before randomization, there was a mortality advantage with accelerated surgery. The logistics and resources required for accelerated surgery need to be balanced with the demonstrated benefits and patient's desires for accelerated surgery" This exciting piece from EBPOM 2020 provides a data download that further illucidates the perennial debate surrounding hip fractures and their management and treatment. What is the

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22:15

EBPOM Highlight | Intraoperative hypotension doesn’t...

TopMedTalk ·

2021/02/03

This is an Edwards Lifesciences Sponsored Lecture which was originally streamed live on TopMedTalk from the hugely successful EBPOM USA 2019 in Dallas. In this piece we hear about the ongoing need for institutions and healthcare professionals to recognise the damaging consequences of intraoperative hypotension. Evidence has been mounting here on TopMedTalk over the last couple of years; there's no doubt hypotension is an area of concern for many of our experts and contributors. Listen to more on

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30:43

Obstetrics in the pandemic (REPEAT) | COVID 19

TopMedTalk ·

2021/02/02

"Babies are still being born" Still! Revisiting this conversation from early in the pandemic, we discuss obstetrics during COVID. This piece looks at the area of obstetrics in the midst of an unprecedented global crisis regarding the COVID 19 outbreak. How can the delicate balance between reducing infections and social distancing be interwoven with the needs of modern childbirth. Should we be concerned that some patients may shun hospital assisted births for fear of contagion? How has the data from

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34:19

Periop SIG| Improving the quality of the patient...

TopMedTalk ·

2021/02/01

What are the latest developments in quality improvement programs that help operative teams around the world take what they do to the next level? When does the surgical journey begin? How has a focus upon patients prior to surgery improved outcomes? What are "the five phases of care"? How has data collection and management helped us to continually improve a patient's surgical journey? This piece is a talk which was given during the 8th Australian and New Zealand Symposium of Perioperative Medicine

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10:10

Outstanding outcomes | The RoundTable

TopMedTalk ·

2021/01/31

This piece, originally streamed live on www.topmedtalk.com features a conversation about the implementation of enhanced recovery protocols and the results practitioners report. The discussion starts with the observation that just implementing the ERAS intraoperative protocols drove outstanding outcomes in practice. The wider discussion focuses on the importance of putting into practice a bigger plan. Presented by Desiree Chappell with her guests Raul Castillo, Anesthesia Medical Director at the

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20:13

Improving Readiness (REPEAT) | COVID 19

TopMedTalk ·

2021/01/30

"I'm also a United States Air Force Officer and reservist and on April 4th was activated and given approximately 48hrs to deploy on a C-5 Galaxy Military Aircraft to the epicenter, New York City and I've been here for approximately, it's been almost a month now" This piece follows on from a previous exclusive conversation regarding the US military deployment to New York; here we get more detail and spend time thinking about how Enhanced Recovery must be an essential part of any "new normal". The

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16:28

TopMedTalk | Automation and artifical intelligence

TopMedTalk ·

2021/01/29

This piece focuses upon the increasing development of artificial intelligence and automation within the medical profession. Can automated monitoring actually allow practitioners to live more "in the moment" while in the operating theater? How do we use algorithms to avoid information overload? The book "Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again", your "anxiety antidote" to the AI discussion, is here:

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32:45

Resource management, COVID patient management and...

TopMedTalk ·

2021/01/28

This piece takes a look at the frontline fight against COVID 19 at Penn Medicine Princeton Medical Center in New Jersey, USA. Details of airway, ventilation and hemodynamic management are discussed with the director of Critical care and Anesthesiology. Resource management is a clear front runner as the virus creates a public health emergency for medics to try to battle. Additional beds and treatment facilities are being prepared, what other innovations are being brought to the fore. Presented by

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17:46

EBPOM Highlight | Obstetric anaesthesia

TopMedTalk ·

2021/01/27

"Obstetric anaesthesia" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: https://www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Carolyn Johnston, consultant Anaesthetist in St Georges hospital in London and

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37:28

Opioid-induced Respiratory Depression | EBPOM USA -...

TopMedTalk ·

2021/01/26

"46% pretty much means every other patient who was getting IV opioids was having some sort of a respiratory depression event" After a quick round up of COVID news in the contributor's respective areas this piece gets involved in a much needed discussion about the “PRediction of Opioid-induced Respiratory Depression In Patients Monitored by capnoGraphY (PRODIGY)” trial. PRODIGY trial is here: https://clinicaltrials.gov/ct2/show/NCT02811302 Presented by Desiree Chappell and Monty Mythen with Mike

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