Breaking Trials: SNaPP Trial of Sugammadex, Neostigmine and Postoperative Pulmonary Complications
TopMedTalk
Andy Cumpstey and Mike Grocott interview Kate Leslie about the SNaPP study (Sugammadex, Neostigmine, and Postoperative Pulmonary Complications). SNaPP is a pragmatic randomized study run from the University of Melbourne with the ANZCA Clinical Trials Network across 45 sites in Australia, New Zealand, and Hong Kong. Patients aged 40+ having major abdominal or thoracic surgery (≥2 hours, overnight stay) were randomized after induction to reversal with sugammadex or neostigmine, with anesthetists unblinded and encouraged to use quantitative neuromuscular monitoring. In this podcast Andy, Mike...
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ANZCA meeting convenor and cultural advisor
TopMedTalk
At the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists (ANZCA) and Faculty of Pain Medicine (FPM) held in Auckland, New Zealand, Kate Leslie and Andy Cumpstey interview the annual scientific meeting convenor Kerry Benson-Cooper and conference cultural advisor Tui Blair about planning the meeting and how Māori traditions and culture have informed not only the conference but also patient care and education in New Zealand. Dr Kerry Benson-Cooper is a specialist anaesthetist and intensive care physician at Te Toka Tumai Auckland Hospital, New Zealand. Tui...
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Cardio-Obstetric Anesthesia at SOAP: Hemodynamics, Monitoring, and Preeclampsia
TopMedTalk
At the SOAP meeting in Montreal, Desiree Chappell and Monty Mythen interview Dr. Marie Louise Meng, Assistant Professor of Anesthesiology at Duke University Department of Anesthesiology and her former cardio-obstetric fellow Liliane Ernst, assistant professor in the Obstetric and Gynecologic Anesthesia section Wake Forest University. The conversation focuses on cardio-obstetric anesthesia, hemodynamics, monitoring, and patient-centered care. Meng describes building multidisciplinary “pregnancy heart teams” to plan management for complex cardiac disease in pregnancy and reduce birth trauma....
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Sir Bruce Keogh on the NHS at 70, TopMedTalk Classics
TopMedTalk
TopMedTalk introduces our new “TopMedTalk Classics” series with a classic TopMedTalk episode from 2018 that is still prescient today. This lecture, given by Sir Bruce Keogh marked the NHS’s 70th birthday, a time framed by political volatility, financial constraint, rising demand, and shifting public expectations. Keogh argues healthcare systems must adapt, highlighting the UK’s strengths in medical science, innovation, life sciences, and the scale and complexity of the NHS. He describes quality improvement efforts since 2008, including defining quality as effectiveness, safety, and...
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AOA Meeting: Shaping AI for Anaesthesia
TopMedTalk
The Association of Anaesthetists meeting in London was the perfect spot for us to launch our new series on Artificial Intelligence. Here, Andy Cumpstey and James Bowness discuss the new monthly series and the UK-Ireland “demand signaling” project on AI in anaesthesia, perioperative medicine and acute pain, supported by The Association. They are joined by their guest Nicky De Beer, The Association’s chief executive. She explains that their members want problems defined in advance before technology solutions are imposed from above. She highlights key clinical themes—enhanced monitoring...
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Perioperative Profile: Vanessa Beavis
TopMedTalk
Settle yourself in for another fascinating glimpse behind the curtain as TopMedTalk’s perioperative profiles focus upon the incredible journey of Vanessa Beavis. Recorded at ANZCA’s recent annual scientific meeting in Auckland, TopMedTalk host Andy Cumpsty interviews anesthetist and former ANZCA President Vanessa Beavis about her path from growing up in South Africa to moving to Auckland in 1993. We discuss her early work in obstetrics, solo general practice, and training in anesthesia before emigrating. She describes becoming involved in departmental leadership, navigating hospital...
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Cardiac Biomarkers and Perioperative Management of Right Ventricular Failure
TopMedTalk
From the World Congress of Anesthesiologists in Marrakech, TopMedTalk hosts Mike Grocott and Kate Leslie discuss perioperative cardiac risk assessment with Hilary Grocott, Professor and Head of, The Department of Anesthesiology, Pharmacology & Therapeutics (University of British Columbia) and Michelle Chew Professor of Anesthesiology and Intensive Care Medicine at Karolinska Institutet, Stockholm, Sweden, and editor for the British Journal of Anaesthesia. The conversation reviews perioperative cardiac biomarkers, noting abundant prognostic data but limited evidence for biomarker-led...
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SOAP: Research Frontiers and Translating Obstetric Anesthesia Evidence to Bedside
TopMedTalk
At the Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, TopMedTalk hosts Desiree Chappell and Mike Grocott interview SOAP board member Dr. Dan Katz, an obstetric anesthesiologist at Mount Sinai, outgoing annual meeting chair and incoming vice president. Katz reports record attendance—over 900 preregistrations and nearly 1,100 total—plus standing-room sessions and review of 600+ abstracts. He highlights opening with research presentations (magnesium and postpartum hemorrhage, gestational thrombocytopenia and hemorrhage, and potential immunotherapies tied to...
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SOAP: Leadership, Population Health, Patient-Centered Obstetric Anesthesia, and Monitoring Innovation with Grace Lim
TopMedTalk
At the 58th Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, TopMedTalk guest host Desiree Chappell and co-editor-in-chief Mike Grocott interview Dr. Grace Lim, SOAP vice president/president-elect and new University of Utah department chair. They discuss her priorities for her upcoming presidency, healthcare’s shifting challenges, highlighting the Frederick W. Hehre Lecture_,_ from Valerie A. Arkoosh about a systems-focused career from obstetric anesthesiology to leading public health roles in Pennsylvania. Lim emphasizes anesthesiologists as systems thinkers...
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WCA: Shared Decision-Making and Communicating Risk for High-Risk Surgical Patients
TopMedTalk
Our coverage of The World Congress of Anesthesiologists (WCA) in Marrakesh continues. Andy Cumpstey and Kate Leslie discuss high-risk surgical patients with anesthesiologists Debra Leung (The Peter MacCallum Cancer Centre, Melbourne) and Duminda Wijeysundera (St. Michael’s Hospital, Toronto). They explore how “high risk” extends beyond mortality (noting ~2% elective major surgery mortality in middle/high-income countries) to complications, medical morbidity, cognitive and functional decline, return to independence, and psychosocial factors such as social support. They describe a...
info_outlineThe TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thought leaders and professionals, it's the largest gathering of Anesthesiologists and Anesthesia providers in the world.
Check out the www.topmedtalk.com website now to hear live audio, while you are there remember to subscribe for updates so you can always be one step ahead of the crowd. Also, if you fancy watching the show as it happens go to our Twitter feed www.twitter.com/topmedtalk to see the team in action.
Alongside some reflections on the American Society of Anesthesiologists this piece is focused upon a fascinating foundation, Lifebox, the only NGO devoted to safer surgery and anesthesia in low-resource countries.
Find out more here: https://www.lifebox.org
Presented by Desiree Chappell with Sol Aronson and their guest Alexander Hannenberg, M.D. Senior Research Scientist, Ariadne Labs; Principal Consultant, ORDx&Rx Surgical Safety Solutions, 2010 president of the American Society of Anesthesiologists and recently served as its Chief Quality Officer. They are joined also by Kris Torgeson, Global CEO, Lifebox Foundation.