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TopMedTalk | The Grenfell Inquiry - Part 3

TopMedTalk

Release Date: 10/31/2019

TopMedTalk | POQI 5 - Fluid Management show art TopMedTalk | POQI 5 - Fluid Management

TopMedTalk

This piece has been released to coincide with the first virtual International Fluid Academy Day (IFAD). TopMedTalk listeners have enjoyed following the meeting annually for some time now; we're equally as excited about their online proposition. Find out more here: The Perioperative Quality Initiative (POQI) is a vital part of the process needed to more widely implement sensible practice which, using a clear evidence base, provides better value care with more positive outcomes for the patient. POQI continues to provide its work in an attempt to clarify fundamental concepts in perioperative...

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Fluid Matters | Series Highlight: Total body water and electrolytes show art Fluid Matters | Series Highlight: Total body water and electrolytes

TopMedTalk

This piece has been released to coincide with the first virtual International Fluid Academy Day (IFAD). TopMedTalk listeners have enjoyed following the meeting annually for some time now; we're equally as excited about their online proposition. This piece is a chance to hear a now famous discussion which TopMedTalk recorded at the Peroperative Quality Initiative (POQI) at Washington Duke University in Durham. The discussion is predominately about total body water, electrolytes and the movement of fluid around the body; the idea of circulation of interstitial fluid; the Starling Curve and...

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Prato | The 5th Collaborative Clinical Trials in Anaesthesia biennial conference show art Prato | The 5th Collaborative Clinical Trials in Anaesthesia biennial conference

TopMedTalk

This piece focuses upon the unique 'Collaborative Clinical Trials in Anaesthesia biennial conference', of which this was the fifth, organised in Prato, Italy, by Monash University. TopMedTalk was given the chance to listen in on this cutting edge gathering of trialists, academics and practitioners as it happened. We take a deeper dive on the history behind this very special meeting, how it works and special moments from the meeting. Learn how some of the big trials gather pace and how major studies get established. The ANZCA Clinical Trials Network is here: More detail on the African Surgical...

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TopMedTalk | A step between a simple monitor and a fully automated system show art TopMedTalk | A step between a simple monitor and a fully automated system

TopMedTalk

This piece focuses upon goal directed fluid therapy, with an automated system, for decision support; "a step between a simple monitor and a fully automated system". The "proof of concept" paper we highlight towards the end of the podcast, "Feasibility of closed-loop titration of norepinephrine infusion in patients undergoing moderate - and high-risk surgery" has now been published and can be found here: This paper here "Perioperative goal directed therapy using automated closed-loop fluid management: the future?" is also referenced: You may also find this piece, which our guest is also part...

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Periop SIG | Updates in cardiac devices Part 2 show art Periop SIG | Updates in cardiac devices Part 2

TopMedTalk

  "Updates in cardiac devices, Part 2" was a talk originally given at the 8th Australian and New Zealand Symposium of Perioperative Medicine Special Interest Group: “Updates in Perioperative Medicine 360” which took place between November 7th-9th 2019. This piece is focused upon transcatheter aortic valve implantation (TAVI) devices. "A balloon valvular plasti in comparison to a TAVI is 90% of the risk, 10% of the gain" you're trading one problem with another, argues our speaker. Find out more about ANZCA here: Presented by Dr Karl Poon, TAVI specialist at St Andrews War Memorial...

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Periop SIG | Updates in cardiac devices, Part 1 show art Periop SIG | Updates in cardiac devices, Part 1

TopMedTalk

"Updates in cardiac devices, Part 1" was a talk originally given at the 8th Australian and New Zealand Symposium of Perioperative Medicine Special Interest Group: “Updates in Perioperative Medicine 360” which took place between November 7th-9th 2019. This piece is a look at some of the new technology which looks set to become more widely used. A leadless pacemaker is a small implantable "bullet like" device that sends electrical pulses to the heart whenever it senses that the heartbeat is too slow. Also new implantable cardioverter defibrillators are discussed as are implantable cardiac...

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POCAPALOOZA | Hong Kong show art POCAPALOOZA | Hong Kong

TopMedTalk

The POCAPALOOZA, a celebration of perioperative care that went around the world in the wake of EBPOM 2020. "Early intervention and people taking it seriously is a big thing" The conversation evolves as our guest speaks to the realities of moving internationally to pursue your career in medicine. Can a truly global perspective better position the medical community when it comes to international co-operation? The World Congress of Anaesthesiologists is here: Also, what's the future of medical conferencing in the world of COVID 19 and the global pandemic? Presented by Desiree Chappell and Monty...

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AANA | Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe? show art AANA | Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe?

TopMedTalk

"4-10% of opioid naïve patients will continue to use opioids more than 90 days after surgery" Opioids are good for pain control but there's another issue, they also numb emotional pain. How do we responsibly deal with this? It's important to remember: "When you give patients high doses, you're putting them at risk". Long term listeners will recall TopMedTalk spent the best part of our launch year on this topic. If you're one of our many new listeners please use this huge resource of podcasts to help update your practice and cut down unnecessary risk: "We should be minimizing opioids every...

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EBPOM London 2020 | The Business Case for Prehabilitation show art EBPOM London 2020 | The Business Case for Prehabilitation

TopMedTalk

"It was successful early on within the National Health Service.. [because] you could eliminate the cost of some unhelpful, unnecessary tests... referrals to other "-ologists"... in our system that works, because more work is just more work. It's not more money." Is the business case for prehabilitation a "slam dunk", as some enthusiasts claim? If so how do you measure value versus volume, is value always a subjective term and can the balance between the two be addressed? How does the NHS's "internal market" compare to the US's fee for service environment? Furthermore, where are the sensible...

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TopMedTalks to ... | Maurizio Cecconi show art TopMedTalks to ... | Maurizio Cecconi

TopMedTalk

This piece focuses on intensive care, the use of data and the future of fluid therapy research and its related physiological outcomes. The article mentioned in this podcast is here: "Perioperative haemodynamic therapy for major gastrointestinal surgery: the effect of a Bayesian approach to interpreting the findings of a randomised controlled trial" https://bmjopen.bmj.com/content/9/3/e024256 Presented by Desiree Chappell and Monty Mythen with their guest Maurizio Cecconi, Head of the Anaesthesia and Intensive Care Department at Humanitas Research Hospital; President-elect of the European...

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More Episodes

The Grenfell fire was a national tragedy for Great Britain. In this piece one of the founders of TopMedTalk, Martin Howe, explains the story behind the fire and what is now being done to make sure nothing like it is allowed to occur again.

This is part 3 of 3.

Presented by Martin Howe of Howe and Co Solicitors at The 21st Current Controversies in Anaesthesia & Peri-Operative Medicine and SIAA Autumn Congress, Dingle, Ireland, 2019.

Please note: This podcast contains information younger listeners may find disturbing.