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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

16:16

POCAPALOOZA | London: The International Board of...

TopMedTalk ·

2020/10/19

"At the moment perioperative care in the UK doesn't really have the profile that I think it needs; now I suspect that COVID-19 has raised it up the agenda" If you enjoyed Monty's explanation regarding the UK's perioperative journey you may find this link interesting: Evidence submitted by the Improving Surgical Outcomes Group (ISOG) (NICE 75): https://publications.parliament.uk/pa/cm200607/cmselect/cmhealth/503/503we35.htm "Now we're here at this Pocapalooza" - POC, standing for Perioperative Care

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38:55

POCAPALOOZA | Sydney: Education, education, education.

TopMedTalk ·

2020/10/18

"It also must start and end in primary care" This piece is a fascinating in-depth conversation moving through various medical perspectives on perioperative medicine from Australia and New Zealand. A real highlight of the festival. How has perioperative medicine evolved over the years around the world? What's the status of Perioperative Care as a specialty? How does one specialise in this area, in terms of education? Discussing the development of the International Board:- "We decided perioperative

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16:22

TopMedTalk | The Balanced Anesthesia Study

TopMedTalk ·

2020/10/17

This piece focuses on The Balanced Anesthesia Study, 'A Prospective Randomized Clinical Trial of Two Levels of Anesthetic Depth on Patient Outcome After Major Surgery'. How can delerium be measured and standardised in a multi-centre trial? More on the study here: https://journals.lww.com/anesthesia-analgesia/FullText/2015/08000/Rationale_and_Design_of_the_Balanced_Anesthesia.14.aspx More on the Confusion Assesment Method here:

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18:43

SCA | The Society of Cardiovascular Anesthesiologists

TopMedTalk ·

2020/10/16

After a short overview of the history of the Society of Cardiovascular Anesthesiologists (SCA) this conversation zones in on some of the hot topics that are being discussed in the field; devices and extracorporeal membrane oxygenation (ECMO) machines, as well as trans-esophageal echocardiography and how the practice has evolved. The conversation ends with a discussion about pre-habilitation in a resource stretched environment. Presented by Desiree Chappell with Sol Aronson and Jamie Ramsey, Medical

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25:46

Prato 2019 | The PREVENTT Trial

TopMedTalk ·

2020/10/15

This piece focuses on the Preoperative Intravenous Iron To Treat Anaemia in major surgery (PREVENTT) trial; a randomized double-blind controlled phase III study to compare the efficacy and safety of intravenous ferric carboxymaltose with placebo in patients with anaemia undergoing major open abdominal surgery. The main question is if we properly mobilize our patients, feed them and correct their anemia, do they do better? How can we get a patient fitter for surgery? Can we correct anemia before

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29:49

EBPOM 2019 | Multi-modal Prehabilitation

TopMedTalk ·

2020/10/14

This panel discussion includes questions such as: In a prehabilitation service what screening tools should we use to assess nutritional risk? What tools are there related to patient self management? What advice would you give a patient about cannabis smoking cessation? Should denial of surgical procedures be used as a motivator for lifestyle change? Can the questions used in interventions sometimes be open to misinterpretation by patients? How do we assess and treat sleep disorders? If not a

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10:29

EBPOM Highlight | ERAS Colorectal surgery

TopMedTalk ·

2020/10/13

"ERAS in Colorectal Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com If you'd like to attend an event like this ensure your next click is here: 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 Anthony Senagore, Professor and Vice Chair Western Michigan University-Homer Stryker MD School of Medicine Borgess Medical Center Kalamazoo,

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22:43

Prato 2019 | African Surgical Outcomes Study (ASOS-2)

TopMedTalk ·

2020/10/12

This piece focuses upon the African Surgical Outcomes Study (ASOS-2). More than a thousand people across Africa have combined forces to make this research into perioperative medicine in a resource limited environment happen. We know patients in Africa are twice as likely to die following surgery when compared to the global average, why is this? How does "failure to rescue" play into this? The website mentioned in this piece for more details: https://www.asos.org.za Presented by Desiree Chappell with

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16:51

TopMedTalk | The psychology of change

TopMedTalk ·

2020/10/11

"There seems to be a little extra buzz in the cardiac community". This conversation focuses upon the psychology of change, specifically regarding the leadership role presented within perioperative medicine to anaesthesiologists. How can perfectionism, as a barrier to change, be overcome? How do practitioners build the confidence to make a difference? Furthermore, how do we engage in 'internal marketing' where we promote success within our own institutions? More information on The Morpheus Consortium

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53:47

EBPOM 2019 | Ernest Henry Starling Plenary Lecure,...

TopMedTalk ·

2020/10/10

This hugely important talk was the centerpiece of EBPOM 2019 and, appropriately enough, it focuses on a big topic for us here at TopMedTalk; the future of fluid therapy. Originally given as the EBPOM 2019 Ernest Henry Starling plenary lecture the talk is complimented by this piece which was recorded on the same day: https://www.topmedtalk.com/desirees-roundtable-fluids-in-the-2020s/ Where is the latest thinking on fluid therapy, what new evidence and understandings do we now have? Presented by Dr

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37:10

Covid 19 - ventilation strategies | EBPOM Ireland 2020

TopMedTalk ·

2020/10/09

Dingle 2020 is now on! Make sure you check out www.ebpom.org for more details. Today's TopMedTalk is another sampler from the conference, made available because this vital piece deals with a variety of issues related to COVID-19; what we know and what we know we do not know: - Similarities and differences between COIVD-19 and Aqute Respiratory Distress Syndrome (ARDS) - The most useful information observed by practitioners at the bedside, conscious of the lack of Randomised Controlled Trials (RCTs)

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26:49

Protecting Your Healthcare Practice - Compliance and...

TopMedTalk ·

2020/10/08

What are some of the major issues regarding billing? What are the most common mistakes when it comes to documentation? How do we keep the focus on great healthcare, as well as good book keeping? How does "the false claims act" impact on billing? If you find a mistake or an issue in your note keeping the advice here is clear; deal with it the moment it is discovered. Also, under recording is an obvious issue, can the same be said of 'excessive documentation'? The bottom line is that practitioners

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35:40

TopMedTalks to ... Bob Thiele | EBPOM Ireland 2020

TopMedTalk ·

2020/10/07

This piece is a chance to hear more about the work of our guest, who made a big impact as a guest on a recent edition of TopMedTalk: https://www.topmedtalk.com/topmedtalk-computer-gamer-to-life-saver/ The Perioperative Quality Initiative (POQI) is here: www.poqi.org This piece covers cerebral oximetry with near-infrared spectroscopy (NIRS), often used during the perioperative period of cardiovascular operations. Article here: "American Society for Enhanced Recovery and Perioperative Quality

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15:05

ASA | The Global Council on Brain Health

TopMedTalk ·

2020/10/06

The American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United Kingdom, are focusing on brain health, in response to the demands of their members. Further conversation includes how practitioners both explain the risks of surgery and also calm possible misunderstandings or fears regarding them, as well as wider reflections on 'The Brain Health Initiative'. Presented by Desiree Chappell with Mike Grocott and their guests

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07:47

Joff Lacey visits the Ether Dome in Boston

TopMedTalk ·

2020/10/06

Joff and his guests visit the hallowed turf that is the Boston Ether Dome, in the Bulfinch Building, Massachusetts General Hospital. How have times moved on since those early pioneering days when the relatively young profession of Anaesthesia was born? Back then the word wasn't as widely used and the gentlemen in question described their activities as "rendering people insensible using sulphuric ether for the conduct of surgery". Remember - if you've not yet subscribed to our mailing list you're

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17:47

ASA | Henrik Kehlet: Recovery is all about inflammation!

TopMedTalk ·

2020/10/05

On the morning of the first day of the 2018, annual conference, of the American Society of Anesthesiologists (ASA) Monty Mythen and Desiree Chappell were lucky enough to get an exclusive interview with Professor Henrik Kehlet. Henrik Kehlet is a gastrointestinal surgeon and former professor of surgery, Copenhagen University, and now professor of perioperative therapy and Head of Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University. He has published more than 650 articles within

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34:18

ASA | Highlights from 2019

TopMedTalk ·

2020/10/05

This piece is a reflection upon and celebration of conversations that were made possible by both The American Society of Anesthesiologists and Edwards Life Sciences, a key sponsor for TopMedTalk. If you would like to hear these conversations in full please follow the links below: Greg Fischer, Chairman, Department of Anesthesiology & Critical Care Medicine at Memorial Sloan Kettering Cancer Center: https://www.topmedtalk.com/anes19-greg-fischer/ Tim Miller, Associate Professor of Anesthesiology from

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23:36

ASA | Carol Peden

TopMedTalk ·

2020/10/04

Recorded at the American Society of Anesthesiologists' Annual General Meeting in 2019; "The Power of The Interdisciplinary Team"; introducing the Enhanced Recovery team from Keck Medical Center at The University of Southern California (USC). Our guests kindly share an email address you can contact them on: Enhanced.Recovery@med.usc.edu Presented by Desiree Chappell and Monty Mythen with their guests Professor Carol Peden, Robin Cresner, CCRN, Dr Shane Dickinson, anesthesiologist and Snow Shoo Son;

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20:43

ASA | Life at The Extremes - trials on Everest &...

TopMedTalk ·

2020/10/04

A discussion about oxygen and the Xtreme Everest research studies into human adaptation to hypoxia. How does the human body adapt to extreme conditions? We assume it will inevitably cause damage but this is not always the case. How do people who have inherited a tolerance for low levels of oxygen manage? Monty Mythen, Mike Grocott and Joff Lacey are joined by special guest Dr Dan Martin OBE, Consultant in Intensive Care and Everest summiteer.

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18:52

ASA | Frailty and the perioperative patient -...

TopMedTalk ·

2020/10/04

Where is perioperative medicine as a specialty in the US? How do frail patients benefit from the perioperative process? Age and physical fitness are important factors when deciding if you're going to put a patient through major surgery, how do these factors allow us to differentiate between those who are likely to have a poor outcome? How common is cardiopulmonary exercise testing (CPET) in the US? Presented by Desiree Chappell and Monty Mythen with their guest Bobbie Jean Sweitzer, Director of

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