Efficient Trial Design; ‘evidence’ in the era of ‘Big Data’ | Dingle 2022
Release Date: 11/21/2022
Adrian Gelb on Neuroanesthesia, Global Patient Safety, and WFSA-WHO International Standards
TopMedTalk
At the ANESTHESIOLOGY® 2025 meeting in San Antonio, TopMedTalk hosts Andy Cumpstey and Kate Leslie interviewed Professor of Anesthesia and Perioperative Care at University of California, San Francisco, Adrian Gelb, this year’s Ellison Pierce Lecturer. Dr Gelb recounts training in South Africa, work in England and Canada, and how he was steered into neuroanesthesia at a high-volume cerebral aneurysm center, becoming engaged by understanding surgical outcomes and encouraging trainees to learn the operative field. He describes developing global health interests, joining the World Federation of...
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Postoperative Care, Communication, Failure to Rescue, AI Monitoring, and Robotics with ASGBI Leaders
TopMedTalk
Andy Cumpstey is joined by Christian Macutkiewicz Consultant General, HPB and Hernia Surgeon at Manchester Royal Infirmary, Director of The Gallstone Clinic and Manchester Hernia at Spire Manchester Hospital and the incoming President of the Association of Surgeons of Great Britain and Ireland, and Dimitris Damaskos Consultant General Surgeon within the Department of Surgery at the Royal Infirmary of Edinburgh (NHS Lothian), Honorary Clinical Senior Lecturer at the University of Edinburgh. They discuss the postoperative period as a critical part of the perioperative journey, emphasizing the...
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Addressing Drug Allergy Labels: Insights and Implications
TopMedTalk
In this episode of TopMedTalk, hosted by Andy Cumpstey at the anaesthesia research meeting in Birmingham, we dive into drug allergy and its mislabeling with Louise Savic, consultant anaesthetist and NIHR doctoral researcher at Leeds Teaching Hospitals NHS Trust, UK, who specialises in drug allergy and peri-operative anaphylaxis, and Tom Abbott, clinical senior lecturer in anaesthesia and peri-operative medicine at Queen Mary University of London, UK, and a consultant anaesthetist whose research uses clinical epidemiology and trials to improve surgical outcomes and reduce peri-operative...
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The Challenges of AI in Healthcare: A Conversation with Dr. Joe Alderman
TopMedTalk
Andy Cumpstey welcomes Joseph Alderman, a clinical lecturer in anaesthesia at the University of Birmingham, to discuss the hurdles AI faces in the healthcare sector. Dr. Alderman, who has a background in cell biology and immunometabolism, shares his insights into why AI technologies often fail to reach patients. He identifies three primary challenges: misalignment between AI development and healthcare needs, inadequate resourcing, and premature solution-oriented thinking. The conversation also touches on the importance of involving patients and clinicians in the AI development process and an...
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Perioperative Profiles: Professor Michelle Chew on seizing opportunities in Anaesthesia, research, editing, and guideline work
TopMedTalk
Michelle Chew is a Professor of Anesthesiology and Intensive Care Medicine at Karolinska Institutet, Stockholm, Sweden, and editor for the British Journal of Anaesthesia. Hear her sharing her Perioperative Profile on TopMedTalk with Andy Cumpstey. After initial anaesthesia training in Denmark, she moved to Lund University, Sweden, combining clinical work and research, later establishing her own experimental haemodynamics group studying septic and haemorrhagic shock and myocardial changes. She balances academic and family life by prioritizing rather than seeking “life balance,” noting...
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Advancing Patient-Centered Monitoring Outcomes ANESTHESIOLOGY® 2025
TopMedTalk
ANESTHESIOLOGY® 2025, the annual meeting of the American Society of Anesthesiologists (ASA), and Desiree Chappell hosts Professor Michael Scott from the University of Rochester and Dr Wael Saasouh, director of research for NorthStar Anesthesia. The discussion centers on the evolution of patient-centered monitoring, the importance of continuous hemodynamic monitoring, and the broader implications of hemodynamic instability. The guests delve into their recent consensus paper with the Anesthesia Patient Safety Foundation and highlight the need for more comprehensive monitoring technologies that...
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Insights from ANESTHESIOLOGY® 2025: Surgical Site Infections, Oxygen Therapy, and Thermoregulation
TopMedTalk
Desiree Chappell, Kate Leslie, and Mike Grocott welcome Harriet W. Hopf, a physician-scientist and professor of anesthesiology and adjunct professor of biomedical engineering at the University of Utah, UK. Dr Hopf is known for her leadership in academic governance, medical education, and healthcare research. She shares insights on her distinguished career focusing on surgical site infections and faculty development. We discuss pivotal research on the importance of oxygen in wound healing, mechanisms behind surgical site infections, and the significance of maintaining normothermia during...
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Understanding Medical Errors: Cognitive Basis and Systemic Solutions at ANESTHESIOLOGY® 2025
TopMedTalk
This piece takes us to The American Society of Anesthesiologists (ASA) annual meeting in San Antonio, ANESTHESIOLOGY® 2025 where Andy Cumpstey is joined by co-host Desiree Chappell and guest Dr Joyce A. Wahr — Professor Emeritus of Anesthesiology at the University of Minnesota Medical School (Minneapolis, USA) and former Executive Medical Director of Perioperative Services at M Health Fairview and Vice-Chair for Quality & Safety. Joyce shares her journey from surgery residency to becoming a cardiac and thoracic anesthesiologist, and her involvement in patient safety. She discusses her...
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The Impact and Intricacies of Peer Review: Insights from BJA Editorial Fellows
TopMedTalk
Kate Leslie and Andy Cumpstey join special guests at the British Journal of Anaesthesia’s annual meeting in Dublin, Ireland. The discussion focuses on the experiences and motivations of three BJA editorial fellows; Allison Janda, Anesthesiologist and Assistant Professor at the University of Michigan; Brett Doleman, clinical academic and anaesthetist from the University of Nottingham; and Christina Boncyk, critical care anesthesiologist and Associate Professor at Vanderbilt University Medical Center in Nashville, Tennessee. The conversation delves into their roles, the peer review process,...
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Advancing Perioperative Screening
TopMedTalk
Andy Cumpstey discusses the significance of perioperative screening in improving patient outcomes with three experts from the field: Helen Andersen from University Hospitals Plymouth, Ruth de La Casas from Norfolk Norwich University Hospitals, and Neelaksi Desai from the Golden Jubilee National Hospital in Glasgow. They delve into the challenges and advancements in preoperative screening methods, with a particular focus on digital approaches and interdisciplinary cooperation. Key themes include optimizing patient care through early assessments, leveraging digital tools for efficient triage,...
info_outlineThis fundamental conversation is given a fresh perspective during one of the stand out moments of the recent Evidence Based Perioperative Medicine (EBPOM) Dingle conference. How do we define evidence in the era of big data? Can we further improve the speed at which we do trials and yet still gather reliable data? In the wake of COVID-19 what new innovations can be made to how we trial and test vital medical help?
Chaired by Ramani Moonesinghe, OBE, Professor of Perioperative Medicine at University College London, Consultant in Anaesthetics and Critical Care Medicine at UCL Hospitals, this piece features; Mark Edwards, Consultant in Anaesthesia & Perioperative Medicine, University Hospital Southampton, Honorary Senior Clinical Lecturer, University of Southampton, Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton and Matt Wilson, Anesthetist, UCL Hospitals and University College London and a PhD candidate.