TopMedTalk

Latest Episodes:

POET 1.05 | Refusing surgery Jan 04, 2019

Show notes

Should we refuse surgery to those who won't change? What about pathological issues, such as smoking, should practitioners become more didactic in their approach? How do we effectively communicate risk, both to the patient and the institution you work for?

Professor Monty Mythen presents with Dr Joff Lacey and guests, Professor Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, and Dr Mike Irwin, Professor and Head, Department of Anaesthesiology, University of Hong Kon.

Join in the debate: contact@topmedtalk.com

Taken from a longer conversation to be found here: http://www.topmedtalk.com/ebpom-2017-pod-two-live-from-london/

Anaesthesia and Analgesia: Subanalysis of the ENIGMA-II Trial | Journal Club Jan 03, 2019

Show notes

This week's Journal Club takes a piece from Anaesthesia and Analgesia; "Implication of Major Adverse Postoperative Events and Myocardial Injury on Disability and Survival: A Planned Subanalysis of the ENIGMA-II Trial". A link to the article is here: https://www.ncbi.nlm.nih.gov/pubmed/29533264

Presented by Monty Mythen and Desiree Chappell.

EBPOM Highlight 1.04 | Cardiac anaesthesia and anaemia Jan 02, 2019

Show notes

Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com

Hear this excellent talk, for free, on this podcast.

If you want 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 Andrew Klein, Cardiothoracic Anaesthetist at Royal Papworth Hospital, Cambridge and Editor-in-Chief of Anaesthesia.

How do you bring perioperative care to your practice? | The RoundTable Jan 01, 2019

Show notes

What is after ERAS, do we have an 'ERAS of ERAS' - so to speak? This conversation focuses upon bringing about change, managing and sustaining it over time and helping relate it to patient outcomes. Desiree Chappell interviews her guest Arman Dagal, Medical Director - Spine COAP at Foundation for Health Care Quality.

'Money's tight'; pull together an ER team with limited resources. The key- NURSES! | Perioperative Coach Dec 31, 2018

Show notes

Implementing better practice and "ERAS 2.0". The ground up approach of a 'council of nurses' sparks some fascinating debate and discussion. Can a roundtable approach sometimes work better than the traditional hierarchical power structure?

Presented by Desiree Chappell with her guests Dr Ruchir Gupta, medical lead for enhanced recovery at Stony Brook University and Joni Brady, Perianesthesia, Pain Management Nursing Consultant Alexandria, Virginia.

Social Media | Sunday Special Dec 30, 2018

Show notes

This piece is a chance to reflect upon the importance of new media within the sphere of medical education. As the run away success of TopMedTalk and other podcasts in this area shows people are hungry to use the unique potential of this medium. Also - how has social media, video casting and live streaming altered the way conferences are both organised, executed and received?

Finally, our team of experts tackle the eternal question; where to next?

Presented by Joff Lacey with his guests; David Lyness, Doctor in Anaesthetics and Intensive Care Medicine at Belfast Health and Social Care Trust, Segun Olusanyam Specialty Trainee in Intensive Care Medicine, Jamie Strachan, Intensive Care Medicine and Anaesthesia Registrar & Council Member of the Royal College of Anaesthetists and Dr Cian McDermott Consultant in Emergency Medicine at Mater Misericordiae University Hospital.

You can join IFAD for free online: www.fluidacademy.org

Thomas Scheeren | TopMedTalks to... Dec 29, 2018

Show notes

The Hypotension Prediction Index (HPI), which uses a machine learning algorithm to help predict intraoperative hypotension. Regular listeners to www.topmedtalk.com will be familiar with concerns about perioperative hypotension. For those who have just joined us, or anyone who fancies a quick refresher on this issue, it is covered in detail here: https://www.topmedtalk.com/live-from-boston-asa-2017-the-elephant-in-the-room-intraoperative-hypotension/ Many practitioners believe they can predict hypotension by observing trends in a patient's mean arterial blood pressure but data shows the machine learning artificial intelligence used by HPI delivers significantly better results. This piece was recorded during the first Morpheus Consortium Symposium, for more details on that look here:http://morpheusconsortium.org/ Monty Mythen presents with Dr Tim Miller, anesthsiologist from Duke University Medical Centre and Thomas Scheeren, Chair Cardiovascular Dynamics Section at European Society of Intensive Care Medicine - ESICM.

POET 1.04 | Measuring the risk of surgery Dec 28, 2018

Show notes

What is a 'micromort'? Even more of a worry, what does ten of them mean? How do we measure and communicate risk to patients? Everyday activities all carry inherent risks, how do we put surgery into a context 'everyday people' can more easily understand?

Professor Monty Mythen presents with guests, Professor Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, and Dr Mike Irwin, Professor and Head, Department of Anaesthesiology, University of Hong Kong.

Join in the debate: contact@topmedtalk.com

Taken from a longer conversation to be found here: http://www.topmedtalk.com/ebpom-2017-pod-two-live-from-london/

Perioperative Medicine: Albumin and AKl | Journal Club Dec 27, 2018

Show notes

The piece discussed in this week's Journal Club is called "Acute kidney injury in postoperative shock: is hyperoncotic albumin administration an unrecognized resuscitation risk factor?".

The link is here:

https://perioperativemedicinejournal.biomedcentral.com/track/pdf/10.1186/s13741-018-0110-y

Additional links here:

"Association between albumin administration and survival in cardiac surgery: a retrospective cohort study":

https://www.ncbi.nlm.nih.gov/pubmed/30006911

"Association between Initial Fluid Choice and Subsequent In-hospital Mortality during the Resuscitation of Adults with Septic Shock":

http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2449359

Presented by Monty Mythen with Mike Grocott, Editor in Chief of the Perioperative Medicine Journal, and Professor of Anaesthesia and Critical Care Medicine, University of Southampton.

TopMedTalk Xmas Special Part 3 | Xmas Special 2018 Dec 26, 2018

Show notes

A three part series covering the year in TopMedTalk.

Here are some links to the pieces discussed:

The Randy Moore piece: https://www.topmedtalk.com/aana-2018-is-there-a-global-shortfall-of-anesthesia-providers/

Here's the piece Monty mentions which celebrated the 60th anniversary of Edwards Life Sciences: https://www.topmedtalk.com/the-hypotension-prediction-index-hpi/

Here's are the pieces with Matthew McEvoy, the second is the Q&A section: https://www.topmedtalk.com/ebpom-usa-chicago-2018-the-opioid-crisis-can-we-kick-the-habit/

https://www.topmedtalk.com/ebpom-usa-chicago-2018-the-opioid-crisis-can-we-kick-the-habit-qa/

The Dingle Conference piece is here, look out for more of these in 2019! https://www.topmedtalk.com/dingle-2018-heart-disease-in-pregnancy/

Myron Yaster's piece is here: https://www.topmedtalk.com/asa-2018-san-francisco-paediatrics-and-opioids-part-2/

The Smith's Medical Symposium piece is here: https://www.topmedtalk.com/asa-2018-san-francisco-smiths-medical-symposium-on-enhanced-recovery-part-1/

The social media piece we mention is here: https://www.topmedtalk.com/topmedtalk-at-ifad-the-growing-popularity-of-new-media-in-medical-education/