TopMedTalk

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Compassion, Empathy and Kindness | #PeriSIG24 Jan 27, 2025

Show notes

Recorded live from the 13th Australasian Symposium of the Perioperative Medicine Special Interest Group, in collaboration with Summit III and the PeriOperative Quality Initiative (POQI). The theme of the meeting is 'Improve the quality, enhance the value, protect the future'.

This piece provides insights into our guest's career, the intersection of medicine and writing and the importance of compassion in healthcare. She discusses her background, including her education, her writing for The Guardian, and the content of her recent plenary session about shared decision-making and medical paternalism. We end with some focus on empathy and kindness in patient care, illustrated by a poignant email our guest received from a terminally ill patient.

Presented by Desiree Chappell with Ranjana Srivastava, OAM, Medical Oncologist, Monash Health, Melbourne, Fulbright Scholar, Harvard University, a two-time recipient of the Fulbright Award, writer and columnist for The Guardian Newspaper.

Enjoy our guest's writing here: https://www.theguardian.com/profile/ranjana-srivastava

Buy our guest's books here: https://www.amazon.co.uk/stores/Dr.-Ranjana-Srivastava/author/B00IMYJJPI

Patient Safety and Quality: New Standards in Anesthesia | #ANES24 Jan 20, 2025

Show notes

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.

TopMedTalks to... Wael Saasouh | #ANES24 Jan 13, 2025

Show notes

The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. As usual we are there; building on our reputation for exclusive cutting edge conversations recorded at the conference with some of the key speakers, guests and delegates.

Here we discuss advancements in anesthesia research and quality improvement, focusing on intraoperative hypotension (IOH) and its impact on patient outcomes. What collaborative efforts are being made to standardize hemodynamic management practices and improve clinician awareness of factors affecting IOH in non-academic settings?

The papers mentioned are here:

https://pubmed.ncbi.nlm.nih.gov/38717322/

https://journals.lww.com/spinejournal/abstract/9900/impact_of_predictive_hemodynamic_monitoring_on.748.aspx

Presented by Desiree Chappell and Mike Grocott with their guest Wael Saasouh, Regional Director of Research at NorthStar Anesthesia, Clinical Assistant Professor, Wayne State University, Clinical Associate Professor, Michigan State University.

Evolving Guidelines in Anesthesia: Fasting, Hydration and Medication Management | #ANES24 Jan 06, 2025

Show notes

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.

Insights from World Congress of Prehabilitation and Perioperative Medicine | TMT Down Under Dec 30, 2024

Show notes

This piece comes from Melbourne, Australia, at the World Congress of Prehabilitation and Perioperative Medicine, held alongside the Australian ERAS+ Conference.

Hear about the significance of multidisciplinary collaboration in prehabilitation and research; grants for virtual surgery schools; the impact of diet and microbiome on cancer pathways, and the future of digital prehabilitation. The conversation emphasizes the importance of optimizing patient care and reducing complications through innovative approaches in prehabilitation and perioperative medicine.

Presented by Kate Leslie and Mike Grocott with their guests Bernard Riedel, an academic anaesthesiologist and the Director of the Department of Anaesthesia, Perioperative Medicine, and Pain Medicine at Peter MacCallum Cancer Centre in Melbourne, Australia, he holds a Professorial appointment at the University of Melbourne and Linda Denehy, Professor of Physiotherapy at the University of Melbourne, she has a joint appointment as Professor of Health Services Research: Allied Health at the Peter MacCallum Cancer Centre Melbourne.

World Congress of Prehabilitation and Perioperative Medicine plenary | TMT Down Under Dec 23, 2024

Show notes

This piece comes from Melbourne, Australia, at the World Congress of Prehabilitation and Perioperative Medicine, held alongside the Australian ERAS+ Conference.

Recorded on the conference stage before an audience of guests and delegates, hear how the World Congress came to be where it is today.

Presented by Mike Grocott, and Kate Leslie 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), and Gerrit Slooter, MD, PhD, Surgical Oncologist, Maxima Medical Centre, The Netherlands.

Education and training | TMT at EA24 Dec 16, 2024

Show notes

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.

Bio statisticians in clinical trials | TMT in PRATO Dec 09, 2024

Show notes

This piece was recorded at the The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. The discussion centers around the roles and contributions of bio statisticians in clinical trials.

Presented by Kate Leslie and Andy Cumpstey with their guests, Jessica Kasza, Professor of Biostatistics, Data Analytics/Modelling and Health Economics at Monash University and Elizabeth Ryan, Research Fellow at Monash University.

TopMedTalks to... Henrik Kehlet: The evolution and challenges of Enhanced Recovery After Surgery (ERAS) | #ANES24 Dec 02, 2024

Show notes

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

Pediatric Hemodynamics | #ANES24 Nov 25, 2024

Show notes

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

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