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    Science & Medicine

    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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    Latest Episodes:
    How do we intelligently use artificial intelligence? | EBPOM World Congress 2024 Jul 04, 2024
    Show notes

    Evidence Based Perioperative Medicine (EBPOM)'s incredible World Congress in London continues and TopMedTalk is there bringing you exclusive interviews with delegates, guests and key opinion leaders.

    Here we have a much needed discussion regarding regulating artificial intelligence (AI) at the point of care, and the need for proper regulatory frameworks to ensure its safe and effective use.

    We stress the importance of clear policies and clinician training for AI implementation, highlighting the potential risks of misusing AI tools due to insufficient understanding of their outputs. How do we get transparency from AI manufacturers regarding the data sets used and the intended applications of their algorithms? Is there a need for independent verification bodies to assess the robustness of AI tools?

    The conversation concludes with a call for collaboration among clinicians, manufacturers, and regulators to harness the power of AI in healthcare while safeguarding patient outcomes, underscoring the exciting yet challenging future of AI in medicine.

    Presented by Andy Cumpstey and Joff Lacey with their guest Lee Fleisher, Emeritus Professor of Anesthesiology and Critical Care and Professor of Medicine at the University of Pennsylvania Perelman School of Medicine, Founder and Principal at Rubrum Advising, LLC, Senior Advisor of the Bipartisan Policy Center and FasterCures of the Milken Institute, Senior Fellow of the Leonard Davis Institute of Health Economics and Visiting Fellow of the Duke-Margolis Center.

    From July 2020-July 2023, he was the Chief Medical Officer and Director of the Center for Clinical Standards and Quality for the Centers for Medicare and Medicaid Services.


    Poster Presentations | EBPOM World Congres 2024 Jul 04, 2024
    Show notes

    Evidence-Based Perioperative Medicine (EBPOM)'s World Congress in London is an vital point in the perioperative calendar. This year was no exception. In this piece we speak to some of the poster presenters about hypotension and also, an app that helps with preparation for major surgery.

    Presented by Andy Cumpstey with Alexander (Sandy) Jackson, Clinican Data Scientist, Royal College of Anaesthetists, NIHR Doctoral Fellow, Anaesthetics and Intensive Care Doctor, University of Southampton, NHS Foundation Trust and Miriam van der Velde, Researcher at the Innovation of Exercise Care Lectorate & University Lecturer in Master of Geriatric Physiotherapy.


    High-Intensity Interval Training and the future of experimental medicine | EBPOM World Congress 2024 Jul 04, 2024
    Show notes

    Recorded exclusively at this year's Evidence Based Perioperative Medicine (EBPOM) World Congress in London this piece looks in detail at High-Intensity Interval Training (HIIT).

    HIIT can significantly enhance physical fitness and resilience in cancer patients, reducing complications and improving quality of life. Hear how HIIT can positively impact mitochondrial performance, thus improving cardio-respiratory fitness. The discussion also explores the integration of experimental medicine from bench to bedside, emphasizing the multidisciplinary approach involving surgeons, scientists, and anesthetists.

    Presented by Andy Cumpstey and Joff Lacey with their guests Colleen Dean, Lecturer in Muscle Cell Biology and Malcolm West, Associate Professor in Colorectal Surgery and Prehabilitation Medicine at the University of Southampton, an honorary appointment as a consultant colorectal and complex cancer surgeon at University Hospitals Southampton NHS Foundation Trust.


    Shared decision making | EBPOM World Congress 2024 Jul 03, 2024
    Show notes

    This conversation gets our coverage of the Evidence Based Perioperative Medicine, World Congress, (EBPOM) 2024 off to a great start. Shared decision making is a topic which cuts right to the centre of perioperative medicine with a focus upon patients and patient perspectives.

    Presented by Andy Cumpstey with his guests, Bob Evans, a retired Chartered Town Planner and local authority director, a board member of the Centre for Perioperative Care (CPOC), founder member of the Patient, Carer and Public Involvement and Engagement (PCPIE) group, Debra Leung, staff specialist anesthetist at the Peter MacCallum Cancer Centre, Melbourne, Australia and Alf Collins, Freelance health consultant, communication skills trainer and former National Clinical Director of Personalized Care and Shared Decision Making for NHS England.


    EBPOM World Congress Begins | EBPOM World Congress 2024 Jul 03, 2024
    Show notes

    Evidence Based Perioperative Medicine (EBPOM) is at the heart of what we do and their annual world conference in London always delivers.

    TopMedTalk, the broadcasting arm of EBPOM, is there bringing you conversations and adding to the discussions at the conference. Presented by Andy Cumpstey, NIHR clinical lecturer in anaesthesia and intensive care medicine at Southampton University with Joff Lacey, consultant anaesthetist at St George's Hospital NHS Foundation Trust in London.


    The British Journal of Anaesthesia | Euroanaesthesia 2024 Jul 01, 2024
    Show notes

    This piece is part of our coverage of Euroanaesthesia, one of the most important and influential annual congresses in anaesthesiology and intensive care. Organised by The European Society of Intensive Care Medicine (ESICM).

    The British Journal of Anaesthesia (BJA) publishes high-impact original work in all branches of anaesthesia, critical care medicine, pain medicine and perioperative medicine. This piece gets into AI generated content, sustainability and the Editorial Fellowship Program.

    Presented by Kate Leslie with Desiree Chappell and their guests Hugh Hemmings, Editor in Chief of the BJA, Senior Associate Dean for Research, Anesthesiologist at New York Presbyterian Hospital, Professor and Chair of Anesthesiology at Weill Cornell Medicine and Beatrijs Valk, Resident Göttingen University Medical Center, Editorial Fellow BJA.


    Perioperative patient safety and post-operative ward monitoring | TopMedTalk General Jun 24, 2024
    Show notes

    Perioperative patient safety and post-operative ward monitoring is an important topic. Could continuous monitoring potentially improve patient outcomes and reduce rapid response team activations? Can 24/7 monitoring for high-risk patients provide meaningful data and improve patient safety? With a focus upon "meaningful" how do we avoid "alarm fatigue"? Where is the research and what do the data tell us?

    The paper we mention is here: https://doi.org/10.1080/13696998.2023.2219156

    Presented by Desiree Chappell with Sadia Khan, Consultant Cardiologist at West Middlesex University Hospital and Marco Luchetti, Anesthesiologist and Medical Director for Patient Care Solutions at GE Healthcare, EMEA.

    Like this? Check out our interview with Meera Joshi, Specialist registrar at Ashford and St Peter's Hospital NHS Foundation Trust and clinical research fellow in the department of surgery cancer at Imperial College London here:

    https://topmedtalk.libsyn.com/patient-monitoring-and-beyond-topmedtalk


    TopMedTalks to... Jonathan Tan | IARS 2024 Jun 17, 2024
    Show notes

    This piece is part of our coverage of The International Anesthesia Research Society (IARS) annual meeting.

    Here our guest discusses his dual roles in patient safety and quality improvement and his research in spatial sciences; focusing on how environmental and social factors impact health. Can the integration of environmental data into electronic health records allow us to better understand and address health determinants like air quality? What are the practical applications for healthcare providers?

    Presented by Desiree Chappell, TopMedTalk co-editor in Chief and Monty Mythen, TopMedTalk's founder, with their guest Jonathan Tan, Vice Chair of Analytics and Clinical Effectiveness, Department of Anesthesiology Critical Care Medicine, Assistant Professor of Clinical Anesthesiology and Spatial Sciences, Keck School of Medicine of USC.


    ROCKet Trial and PANDOS | Euroanaesthesia 2024 Jun 12, 2024
    Show notes

    Euroanaesthesia is organised by The European Society of Intensive Care Medicine (ESICM). This year, TopMedTalk was there in Munich, Germany, bringing you exclusive coverage.

    What are the effects of up to 72 hours of perioperative ketamine on the risk of development of chronic post-surgical pain? How can we improve pain management and perioperative opioid use after surgery?

    More about the ROCKet Trial here: https://medicine.unimelb.edu.au/research-groups/critical-care-research/critcare/appmu/the-rocket-study

    More about PANDOS here: https://esaic.org/research/research-groups/pandos/

    Presented by Desiree Chappell and Kate Leslie with their guests Patrice Forget, Professor, Clinical Chair in Anaesthesia at the University of Aberdeen (UK), and Honorary Consultant at the NHS Grampian, Chair of the PANDOS (Pain AND Opioids after Surgery) ESAIC Research Group and Philip Peyton, Head of research in the department of anaesthesia at Austin Health and Professorial Fellow in the Anaesthesia, Perioperative and Pain Medicine Unit, Melbourne Medical School, University of Melbourne, Australia.


    The role of scientific journals in 2024 | Prato 2024 Jun 11, 2024
    Show notes

    Welcome to a conversation we recorded at The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy.

    What is the role of a journal in 2024? Why are platform trials so exciting at the moment? How have things moved forward in research?

    Presented by Desiree Chappell with her co-hosts Mike Grocott, Kate Leslie and their guest Kirsten Bibbins-Domingo the 17th Editor in Chief of the Journal of the American Medical Association and the JAMA Network.


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