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How do we intelligently use artificial intelligence? | EBPOM World Congress 2024

TopMedTalk

Release Date: 07/04/2024

Adrian Gelb on Neuroanesthesia, Global Patient Safety, and WFSA-WHO International Standards show art 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 show art Postoperative Care, Communication, Failure to Rescue, AI Monitoring, and Robotics with ASGBI Leaders

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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 show art 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 show art The Challenges of AI in Healthcare: A Conversation with Dr. Joe Alderman

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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 show art 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 show art Advancing Patient-Centered Monitoring Outcomes ANESTHESIOLOGY® 2025

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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 show art Insights from ANESTHESIOLOGY® 2025: Surgical Site Infections, Oxygen Therapy, and Thermoregulation

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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 show art Understanding Medical Errors: Cognitive Basis and Systemic Solutions at ANESTHESIOLOGY® 2025

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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 show art The Impact and Intricacies of Peer Review: Insights from BJA Editorial Fellows

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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 show art Advancing Perioperative Screening

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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,...

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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.