TopMedTalk
829 episodes - English - Latest episode: over 4 years ago - ★★★★★ - 23 ratingsTopMedTalk 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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Episodes
Fluid Matters 5/6 | The nil by mouth (NPO) debate
November 28, 2018 10:00 - 12 minutes - 5.59 MBThis piece is taken from "The Great Fluid Debate", it's about changes in practice that have been implemented both in the UK and at various medical centres in the US. Hear how and why the old 'nil by mouth' or ‘NPO’ policy has changed in many instances. From water to carbohydrate drinks, to black coffee, the thinking has changed in many institutions but part of the battle is in educating patients and their well meaning friends and relatives. These pieces have been released to coincide wit...
Fluid - Matters 4/6 | 'The Great American Fluid Debate'
November 27, 2018 10:00 - 31 minutes - 14.3 MBThis is an excerpt from 'The Great American Fluid Debate' which was hosted at Duke University Medical Centre's "Controversies in Perioperative Medicine" conference of this year. These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there. The two pieces Monty mentions in the podcast, featuring Paul Myles, are found here: "THE RESULTS" https://www.topmedtal...
Fluid Matters 3/6 | Fluid Responsiveness and venous capacitance
November 26, 2018 10:00 - 28 minutes - 13 MBThis conversation reflects a discussion at the Perioperative Quality Inititative (POQI). It originally ran under the title, "Intervascular volume and fluid responsiveness" but, as this conversation explains, it was renamed "Fluid Responsiveness and venous capacitance". With a genuinely multidisciplinary approach on display here this piece gives you a glimpse at the inner workings of the POQI process. How does macro circulation interlock with micro circulation and cellular function? How do ...
Xtreme Everest Extra | Unlocking the Secrets of the Mighty Mitochondria
November 25, 2018 10:00 - 19 minutes - 13.2 MBThis special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, A...
Fluid Matters 2/6 | Total body water and electrolytes
November 24, 2018 10:00 - 39 minutes - 18.3 MBThese pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there. Coming from this summer's Peroperative Quality Initiative (POQI) hosted at Washington Duke University in Durham this podcast is presented by Monty Mythen and Henry Howe with their guests Tom Woodcock, an independent consultant in patient safety, medical law and ethics, and Manu Malbrain, Professor at F...
TopMedTalk at IFAD | The growing popularity of new media in medical education
November 23, 2018 16:08 - 15 minutes - 6.94 MBThis 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; ...
TopMedTalk at IFAD | Discussing The Paradigm Shift in Fluid Therapy
November 23, 2018 12:55 - 18 minutes - 8.57 MBThis podcast is an exclusive discussion regarding the second session at The International Fluid Academy Day (IFAD) in Amsterdam. This in depth discussion is a reaction to the session at IFAD and contains insights into the following topics; 'Everything you need to know about fluid therapy', results from some of the most recent trials and 'How to set-up a fluid guideline'. The team also reflect a little more on the first session. Presented by Joff Lacey with Monty Mythen and Henry Howe. ...
TopMedTalk at IFAD | Understanding Fluid Physiology
November 23, 2018 10:44 - 18 minutes - 8.29 MBDownload this podcast for an exclusive discussion regarding the first session at The International Fluid Academy Day (IFAD) on Friday morning in Amsterdam. This in depth discussion is a reaction to the first session at IFAD and contains insights into the following topics; 'Everything you need to know about fluid physiology'; 'From Frank-Starling to Guyton-Hall'; 'Understanding edema formation' and 'Where does the albumin go?'. Presented by Joff Lacey with Monty Mythen and Henry Howe. -...
Fluid Matters Series 1/6 | Definite definitions, fluid physiology
November 23, 2018 10:00 - 38 minutes - 17.6 MBThis conversation was recorded on the morning of the second day of the Perioperative Quality Initiative (POQI) meeting hosted at Washington Duke University in Durham. These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there. Presented by Desiree Chappell with Professor Monty Mythen, Henry Howe and their guest Tim Miller, anaesthsiologist from Duke Universit...
Have you joined the International Fluid Academy yet?
November 23, 2018 08:42 - 8 minutes - 3.66 MBLive from the International Fluid Academy Day (IFAD) in Amsterdam; the team explain how you can join in for free online https://www.fluidacademy.org/ and give us a bit of the history of the conference along with some of the discussion points you can expect to hear. Presented by Joff Lacey with Henry Howe, Monty Mythen and their guest Manu Malbrain, Professor at the Faculty of Medicine and Pharmacology Vrije University in Brussells and organiser of the conference.
Part 3 of 3 - No elective surgery if hematocrit is less than 36! How can you get started?
November 22, 2018 10:00 - 11 minutes - 5.48 MBThe full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on www.topmedtalk.com from Atlanta. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking; all of this is contained within this three part series. Presented by Dr Lori Heller, Cardiac Anesthesiologist, Swedish Medical Center, through US anaesthesia partners and acting in...
Part 2 of 3 - Treating pre-op anemia with i.v. iron is safe and effective.
November 21, 2018 10:00 - 15 minutes - 7.06 MBThe full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on www.topmedtalk.com from Atlanta. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking; all of this is contained within this three part series. Presented by Dr Lori Heller, Cardiac Anesthesiologist, Swedish Medical Center, through US anaesthesia partners and acting in...
Part 1 of 3 - Preoperative anemia is a risk factor for poor outcomes
November 20, 2018 10:00 - 18 minutes - 8.47 MBThe full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on www.topmedtalk.com from Atlanta. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking; all of this is contained within this three part series. Presented by Dr Lori Heller, Cardiac Anesthesiologist, Swedish Medical Center, through US anaesthesia partners and acting in...
Part 3 of 3: Smoking kills more than all addictive substances combined - plus car accidents
November 19, 2018 10:00 - 17 minutes - 7.84 MBStanding up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking Presented by James Davis, MD, Director Duke Smoking Cessation Program This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year.
Xtreme Everest Extra | Hypoxia and the Brain
November 18, 2018 10:00 - 18 minutes - 8.41 MBThis special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, C...
Part 2 of 3: Smoking kills more than all addictive substances combined - plus car accidents
November 17, 2018 10:00 - 21 minutes - 14.4 MBStanding up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year. Presented by James Davis, MD, Director Duke Smoking Cessation Program
Part 1 of 3: Smoking kills more than all addictive substances combined - plus car accidents
November 16, 2018 10:00 - 21 minutes - 15 MBStanding up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year. Presented by James Davis, MD, Director Duke Smoking Cessation Program.
Part 2 of 2: Obstructive sleep apnea- Snoring is boring and can seriously damage your health
November 15, 2018 10:00 - 21 minutes - 14.7 MBStanding up an Obstructive Sleep Apnea (OSA) Clinic. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking. This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year. Presented by Andrew Spector Assistant Professor of Neurology at Duke University Medical Center in Durham, NC USA
Part 1 of 2: Obstructive sleep apnea- Snoring is boring and can seriously damage your health
November 14, 2018 10:00 - 19 minutes - 8.98 MBStanding up an Obstructive Sleep Apnea (OSA) Clinic. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking. This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year. Presented by Andrew Spector Assistant Professor of Neurology at Duke University Medical Center in Durham, NC USA
Dingle 2018 | Heart disease in pregnancy
November 13, 2018 10:00 - 20 minutes - 9.16 MBThis talk covers heart disease in pregnancy and was taken from the "20th Current Controversies in Anaesthesia & Peri-Operative Medicine" conference which took place in Dingle, Ireland in October 2018. Fiona Walker, Cardiologist, trained in grown-up congenital heart disease (GUCH) and maternal cardiology in Toronto and at UCLH. She is the Service lead for GUCH (2005 – present) and head of the maternal cardiology programme at University College London Hospitals (UCLH).
ASA 2018 San Francisco | Point of care ultrasound, POCUS
November 12, 2018 10:00 - 13 minutes - 6.34 MBWhat is "Point of care ultrasound" or POCUS? What is the usefulness of ultrasound? Have the boundaries of this application been reached yet? How do you get started with point of care ultrasound? The websites mentioned in this piece are: https://www.foresightultrasound.com/ and www.POCUSEducation.com Monty Mythen and Desiree Chappell with Mike Grocott and their guest Davinder Ramsingh, M.D. Associate Professor of Anesthesiology, Loma Linda University.
Xtreme Everest Extra | The Significance of the Microcirculation
November 11, 2018 10:00 - 11 minutes - 8.03 MBThis special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, D...
ASA 2018 San Francisco | Enhanced Recovery v2.0
November 10, 2018 10:00 - 14 minutes - 6.43 MBWhere are we with the journey from Enhanced Recovery (ER) to Perioperative Medicine? Is it fair to characterise the latter as "Enhanced Recovery v2.0"? Mike Grocott explains how the Royal College of Anaesthetists (RCoA) have set up a plan for "perioperative care" going forward. Does this terminology, "perioperative care" help? Also - news about the "international board of perioperative medicine", how are the challenges of the global ambition for this movement being met? Monty Mythen and De...
ASA 2018 San Francisco | Paediatrics and opioids Part 2
November 09, 2018 10:00 - 13 minutes - 6.38 MBHow important is 'expectation management' in pediatrics? What could the usefulness of cannabis be as a way of reducing reliance on opioids? Is research in this area growing? Desiree Chappell and Mike Grocott interview their guest Myron Yaster, Children's Hospital Colorado.
ASA 2018 San Francisco | Paediatrics and opioids. Part 1.
November 08, 2018 10:00 - 16 minutes - 7.54 MBRecognising and treating pain in children has gone through significant change over the years, this is a trend that looks set to continue. With a focus upon Enhanced Recovery (ER), what are the pathways for the pediatric patient? Should we be looking more at opioid reduction rather than opioid avoidance? How large a part of the problem is the dispensation of opioids and the "bystander risk" - where they go unused but are kept in a drugs cabinet at home, posing a risk to curious teenagers? How...
ASA 2018 San Francisco | ERAS for elective C-Section- Mom needs ERAS too Part 2
November 07, 2018 10:00 - 14 minutes - 6.7 MBThe conversation from part 1 continues with questions such as; what specific anaesthesia protocols do you use? Is there room in this context to consider a drug diversion programme? Is phenylephrine a good choice for these procedures? There is also a special mention for The Society for Obstetric Anesthesia and Perinatology (SOAP) - you can find their website here: https://soap.org/ Desiree Chappell and Monty Mythen interview their guest Laurent Bollag, M.D., is UW Medicine's chief of Obst...
ASA 2018 San Francisco | ERAS for elective C-Section- Mom needs ERAS too Part 1
November 06, 2018 10:00 - 16 minutes - 7.57 MBThe conversation begins with some thoughts on Enhanced Recovery (ER) for the obstetric patient. Further discussion covers the "transatlantic" differences between the US, UK and the wider EU. Where does pain management fit into the ceasarian section (c-section) debate? What are the advantages of a drug diversion programme in that respect? The issue of fluid management in the operating room is discussed. What is Evidence Based Obstetric Anaesthesia? Desiree Chappell and Monty Mythen inter...
EBPOM USA CHICAGO | Roundtable: Enhanced Recovery After Surgery
November 05, 2018 10:00 - 17 minutes - 8.08 MBThis roundtable discussion digs deep into the question of Enhanced Recovery After Surgery (ERAS), how do you obtain buy in and sustainability and what can we learn from the experiences of advocates at the University of Pittsburgh Medical Center (UPMC). Presented by Desiree Chappell with her guests Dr Jennifer Holder-Murray, Vice Chair of Quality Integration, Assistant Professor of Surgery, Division of Colon & Rectal Surgery, University of Pittsburgh Medical Center (UPMC) and Dr Stephen Esp...
Xtreme Everest Extra | The Problem with Hypoxia – the inception of Xtreme Everest
November 04, 2018 09:00 - 22 minutes - 15.7 MBThis special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, Den...
Promo - Joff Lacey's Xtreme Everest Extra, out every Sunday!
November 04, 2018 09:00 - 4 minutes - 2.02 MBThis piece is a quick reminder that we have launched a new series on TopMedTalk "Xtreme Everest Extra". It's in four parts and we're going to be releasing them every Sunday from now on. The link to the first episode is here: https://www.topmedtalk.com/xtreme-everest-extra-the-problem-with-hypoxia-the-inception-of-xtreme-everest/ This series is intended for a broad audience, the more in depth pieces we did earlier in the year are to be found here: https://www.topmedtalk.com/?s=Xtreme+Eve...
ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery – Part 6
November 03, 2018 09:00 - 16 minutes - 7.77 MBRecorded before a live audience and streamed on www.topmedtalk.com The conversation from part 5 continues. More on Caesarian Section plus: should we implement Enhanced Recovery After Surgery (ERAS) training into undergraduate and post-graduate training? Is ERAS similar to perioperative surgical home (PSH)? As new data emerges about ERAS how often will pathways and protocols be changed? What is the future for ERAS? Desiree Chappell interviews her guest Dr Elizabeth Cherot, Vice President ...
ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery – Part 5
November 02, 2018 09:00 - 15 minutes - 7.28 MBRecorded before a live audience and streamed on www.topmedtalk.com The conversation from part 4 continues, the subject is, Enhanced Recovery After Surgery for obstetrics and cesarian sections (c-section). Questions include: How can ERAS co-habitate with the "baby friendly initiative"? The USA is 16th in the world with OB outcomes can ERAS help with that? As we are trying to impliment ERAS for c-section we are encountering some social issues such as screening neo-nates before they go home a...
ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery part 4
November 01, 2018 09:00 - 18 minutes - 8.56 MBRecorded before a live audience and streamed on www.topmedtalk.com The subject is, Enhanced Recovery After Surgery for obstetrics and Caesarean sections (c-section). Questions include: What's the standard length of stay for an elective Caesarean section (C-section) being done with Enhanced Recovery After Surgery (ERAS) protocols? Do Mums want to go home in a day? Don't C-section practitioners already follow ERAS protocols? What is the role of tap blocks in C-section? What is your hospi...
ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery part 3
October 31, 2018 09:00 - 11 minutes - 5.42 MBRecorded before a live audience this piece continues the question and answer session from parts one and two. Epidurals versus plane blocks, what do you choose and why? Is there a potential for decrease in fasting times for clear fluids to further enhance recovery? Where can Enhanced Recovery (ER) protocol templates be found on line? How do we know which parts of Enhanced Recovery work and which parts are less important? Is local anesthesia the secret to avoiding post-operative delerium? ...
ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery part 2
October 30, 2018 09:00 - 11 minutes - 5.32 MBWhat is the balance of risks and benefits related to regional anaesthesia? Does the short term use of opioids really contribute to the opioid crisis? What are the benefits of "opioid sparing" when held against "opioid free"? When it comes to regional anaesthesia, what kind of benefits should we expect beyond pain control and opioid sparing? Desiree Chappell interviews her guest Vincent W. S. Chan, Professor Anesthesia at The University of Toronto with contributions from Monty Mythen, T...
ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery part 1
October 29, 2018 09:00 - 10 minutes - 4.86 MBRecorded before a live audience this Q&A session was recorded at the annual meeting of the American Society of Anesthesiologists (ASA) at a specially hosted dinner where both those in attendance and the online audience could submit questions. This discussion is about Enhanced Recovery (ER) and lowering tolerance of poor outcomes after surgery. How do we know practitioners are actually using the principles of Enhanced Recovery After Surgery (ERAS)? Put simply, they should be Drinking, E...
ASA 2018 San Francisco | Frailty and the perioperative patient - enhancing recovery.
October 28, 2018 09:00 - 19 minutes - 8.9 MBWhere 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, Direct...
ASA 2018 San Francisco | Considerations for the obstetric patient; ERAS for C-section.
October 27, 2018 09:00 - 31 minutes - 14.4 MBObstetrics might seem the natural place for Enhanced Recovery After Surgery (ERAS). Which components of Enhanced Recovery apply the most to a procedure such as a Caesarian section (C-section)? Differences between obstetrics in the UK and the US are discussed. The addictive qualities of oxycodone are discussed in detail. This leads to a discussion about what tablets patients should be leaving the hospital with. Presented by Monty Mythen and Desiree Chappell with their guest Brenda...
ASA 2018 San Francisco | Regional anaesthesia associated with improved cancer survival – new data.
October 26, 2018 09:00 - 27 minutes - 12.4 MBThis piece is a deep dive into regional anaesthesia for Enhancing Recovery. Hear how paravertebral nerve blocks can be used in breast cancer surgery, how does this effect long term outcomes for patients? There is then further discussion regarding regional anaesthesia for Ambulatory Surgery. There is also a long form discussion of electromyographic (EMG) objective monitoring on a neuromuscular blockade. How can this help reduce and discover potential poor outcomes? Further questions from ...
ASA 2018 San Francisco | Improving outcomes for the perioperative patient
October 25, 2018 09:00 - 24 minutes - 11.2 MBEnhanced Recovery After Surgery (ERAS) is the focus for the TopMedTalk team at this year's ASA. This piece features discussion regarding; what to do about pre-operative frailty, smoking cessation, patient-centric care and how to manage pre and post operative expectations. How do we ensure the conversations we have before surgery both reflect the needs of the patient and the realities of an operation? Moving beyond that how do we use patient reported outcomes to improve the process overall?...
ASA 2018 San Francisco | Optimising the perioperative patient
October 24, 2018 09:00 - 36 minutes - 16.5 MBThis piece is about optimizing the perioperative patient for Enhanced Recovery (ER). Hear from one of the pioneers of ER for laparoscopic colorectal surgery in the UK, over 15 years ago he was sending patients home in less than 24 hours having had laparoscopic right hemicolectomys! This is the story of one of the roots of Enhanced Recovery adoption in the NHS. We also cover issues such as, the importance of pre-operative nutrition, gabapentinoids and, in a similar vein, low dose ketamine. ...
ASA 2018 San Francisco | The practical applications of innovation.
October 23, 2018 09:00 - 24 minutes - 11.3 MBHow do new technologies impact the postoperative elements of Enhanced Recovery? We discuss ward monitoring 3.0 and the technology available, or in the pipeline, to improve outcomes. How do we best use this information and these innovations? There is also a refreshing conversation about Artificial Intelligence (AI) alongside discussion about "bed sensors" and "facial recognition". Some dementia units are using new technology to monitor patient movement both in and out of their beds, how doe...
ASA 2018 San Francisco | Teaching Anaesthesia to Medical Students
October 22, 2018 13:25 - 10 minutes - 4.95 MBThis fascinating conversation revolves around the experience and need for good teachers in the field of Anaesthesia. How do we encourage professionals and students to pursue this vital and rewarding discipline? Dr Joff Lacey presents with his guest Dr Rob Stephens, Consultant in Anaesthesia, UCLH, Hon Senior Lecturer in Anaesthesia, UCL.
ASA 2018 San Francisco | Perioperative Fluid Management to Enhance Recovery After Surgery
October 21, 2018 16:00 - 34 minutes - 15.9 MBThis conversation focuses on perioperative fluid management as part of Enhanced Recovery After Surgery (ERAS). Firstly, the team addresses the online poll - Is Enhanced Recovery (ER) the standard of care where you practice? They then move into a wider discussion about the key elements of ER alongside the main topic of perioperative fluid management. Presented by Monty Mythen with Desiree Chappell featuring their guests Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, Univ...
ASA 2018 San Francisco | Massive study of quality shows no benefit; why?
October 20, 2018 09:00 - 23 minutes - 11 MBLessons learned from the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality improvement programmes; how do we keep track of patients and improve follow up questions after surgery? How do we clearly show Quality Improvement Programmes work for the patient? Further discussion encompasses innovation and utilization in practice. Presented by Monty Mythen and Desiree Chappell with their guest Carole Peden, Professor of Ane...
ASA 2018 San Francisco | Building a sustainable ERAS programme.
October 19, 2018 16:00 - 21 minutes - 9.8 MBThis fascinating in-depth conversation about Enhanced Recovery After Surgery, facilitated by questions both from our worldwide online audience and people who were attending the American Society of Anesthesiologists (ASA) conference in San Francisco this year. Presented by Desiree Chappell and Monty Mythen with Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology and Vijaya Gottumukkala, Professor of Anesthesia and Deputy Chair at...
ASA 2018 San Francisco | ERAS working with existing resources
October 18, 2018 16:00 - 22 minutes - 10.3 MBDespite the fact that a return on investment is a given after 12 months why is it that resources are not available for those of us pushing for Enhanced Recovery After Surgery (ERAS)? How do we convert the conversation down from pure financial terms into a lexicon that institutions can understand? The 'Council of Nurses' idea advocated in this piece is explored further in a previous podcast on TopMedTalk to be found here: https://www.topmedtalk.com/a-council-of-nurses/ Join the team on th...
The TopMedTalk Top Ten | RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results.
October 18, 2018 09:00 - 28 minutes - 12.9 MBThis series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far, as voted for by our listeners: "RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results." The RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial has been a huge story for us here at TopMedTalk, recorded on the second day of The Royal Collage of Anaesthetists' annual conference at the British Muse...
ASA 2018 San Francisco | Welcome to The ASA
October 17, 2018 16:00 - 23 minutes - 10.6 MBJoin the team on the first day of the ASA in San Francisco. Originally streamed live on http://www.topmedtalk.com from the Smith's Medical Booth in the exhibition hall of the conference. Presented by Monty Mythen, Desiree Chappell, Mike Grocott and Joff Lacey.
ASA 2018 San Francisco | The Global Council on Brain Health
October 15, 2018 16:00 - 15 minutes - 6.99 MBThis fascinating piece is essential listening from the ASA 2018. Originally streamed live on www.topmedtalk.com during our live coverage of the conference in San Francisco. Hear how the American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United Kingdom, are to focusing on brain health, in response to the demands of their members. Further conversation includes how practitioners both explain the risks of surger...