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Meet the TopMedTalk team for ASER 2018

TopMedTalk

Release Date: 03/15/2018

EBPOM 2019 | Who delivers Prehab? show art EBPOM 2019 | Who delivers Prehab?

TopMedTalk

How can a multidisciplinary group collectively define and maintain what they do while maintaining a patient centred approach? How focused can prehabilitation become? Should personal trainers be more widely involved in perioperative medicine? What is the correct terminology when it comes to expertise in the various areas of your team? Should practitioners be expected to apply lifestyle behaviour changes which other members of our team advocate to patients? Why is a collaborative approach so important to perioperative medicine? The ELLICSR Kitchen is here: Presented by Daniel Santa Mina,...

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TopMedTalk | Gender and racial diversity show art TopMedTalk | Gender and racial diversity

TopMedTalk

This piece focuses on the work of our guest and her impact upon the crucial area of gender and racial diversity in the US Anesthesia and Critical Care Workforce. How can we advocate for diversity within this field? What do we make of the Athena SWAN (Scientific Women's Academic Network) charter? Can social media help to raise awareness and build communities that can tackle these issues? Also in this piece we discuss Implementation Science, the study of methods to promote the adoption and integration of evidence-based practices, interventions and policies into routine health care and public...

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ASA 2019 | Lifebox show art ASA 2019 | Lifebox

TopMedTalk

"Surgery and anaesthesia; you very much recognise right away that that is considered a luxury in many place of the world" Do you work in a low-resource setting or support partners and organizations that do? The Lifebox pulse oximeter is specifically designed for high-use, low-resource environments. Hear about how Lifebox came into existence and discover how you can help. The World Health Organisation's Surgical Safety Checklist is here: Recorded live at Anesthesiology 2019, Orange County Convention Center, Orlando and presented by Desiree Chappell, with Sol Aronson, and their guests Alexander...

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AANA | Caring for the transgender patient show art AANA | Caring for the transgender patient

TopMedTalk

This piece is a much needed contribution to a conversation about how we should be caring for the transgender patient within the scope of perioperative care. Our guest's excellent article, “Anesthesia Inclusive Practices Amidst Adversity: Caring for the Transgender Patient”, is here: The NHS's guidelines are here: Presented by Desiree Chappell and Monty Mythen with Jose Castillo, PhD, CRNA Faculty, Texas Wesleyan University, AANA Diversity and Inclusion Committee.

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EBPOM 2019 | Perioperative Haemodynamic Management - how to best treat or avoid a low BP? show art EBPOM 2019 | Perioperative Haemodynamic Management - how to best treat or avoid a low BP?

TopMedTalk

When it comes to blood pressure, hypotension is associated with poor outcomes for patients, how do we react to this? How do we manage and avoid hypotension where possible? How has technology caught up with this challenge? Could automated closed loop systems be helpful here? The bottom line is simple; "If we measure blood pressure properly, we can predict it". Presented by Dr Simon Davies, Consultant Anaesthetist at York Teaching Hospital NHS Foundation Trust.

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EBPOM 2019 | Perioperative Blood Pressure (PeriOperative Quality Initiative: POQI 3) how low can you safely go? show art EBPOM 2019 | Perioperative Blood Pressure (PeriOperative Quality Initiative: POQI 3) how low can you safely go?

TopMedTalk

This piece outlines some of the topics related to the third Perioperative Quality Initiative (POQI). What is 'perioperative blood pressure'? What have been the major developments in this area? Also, should we be looking at increasing monitoring of patients, particularly regarding their blood pressure, in hospital? The Perioperative Quality Initiative (POQI) is discussed here: The POQI website is here: The INPRESS Trial is discussed here: We speak with Dan Sessler here: Presented by Tim Miller, Associate Professor of Anesthesiology from Duke University Medical Centre. Check out for more...

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EBPOM 2019 | Troponitis, does it matter? show art EBPOM 2019 | Troponitis, does it matter?

TopMedTalk

This piece argues that troponin screening might be overused, "it's not all about the heart". Myocardial injury after noncardiac surgery (MINS) is seen as a relatively common issue driving post-operative harm. This piece gets into the detail and asks some important questions as to how focused practitioners should be upon troponin screening. It's part 2 of 3 from The EBPOM 2019 TopMedTalk session which debated the issue. Presented by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and frequent TopMedTalk contributor.

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DINGLE 2019 | Critical care for the very elderly patient show art DINGLE 2019 | Critical care for the very elderly patient

TopMedTalk

"I did a study back in 2002 where I was able to count a grand total of forty patients above the age of eighty in our (Intensive Care Unit) ICU and our (High Dependency Unit) HDU, nowadays I'd count close enough to a hundred and sixty" How do we refine our diagnostic tools? How can teaching in this area help to save lives? Should you consider a 'geriatric intensive care unit'? Is this an area where true perioperative practice and surgery is a guarantee we can immediately see improvement in an institution? Presented by Brian Marsh, Anaesthesia, Critical Care Medicine, Extracorporeal Life...

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DINGLE 2019 | The opportunity in variability show art DINGLE 2019 | The opportunity in variability

TopMedTalk

"Perioperative medicine is an opportunity; it's multidisciplinary and its developing around a culture of trust between anaesthetists, surgeons and perioperative physicians" The future of perioperative medicine embraces the full scope of medical advancement and is therefore difficult to predict, as a result truly informed shared decision making is both crucial and more complex. Variability of practice is a key factor; usually caused by the overuse or underuse of a facility and its resources. The former being a particular problem in America with the financial incentives associated with some...

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EBPOM 2019 | Troponin Screening - essential? show art EBPOM 2019 | Troponin Screening - essential?

TopMedTalk

This piece argues that troponin screening is useful, if used appropriately. Is it the case that this test has been 'over sold' and as a result has provoked unhelpful pushback from practitioners? It's part 1 of 3 from The EBPOM 2019 TopMedTalk session which debated the issue. Presented by Duminda Wijeysundera, Professor in the Department of Anaesthesia and the Institute of Health Policy Management and Evaluation at the University of Toronto, and a Staff Anesthesiologist at St Michael’s Hospital.

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More Episodes

Monty Mythen, Joff Lacey and Mike Grocott chat with Desiree Chappell about the plan for the TopMedTalk team at ASER 2018.

Joff Lacey will be out and about with his roving mic getting on the spot interviews with attendees, gathering late breaking news as it happens.

Mike Grocott will be doing Journal Club, a deep dive into some of thre big papers of the last 12 months or so.

And finally, Desiree Chappell, will be returning to her popular Round Table Blog podcasts; bringing people from diverse backgrounds to the conversation so they can explain how they apply the perioperative process to their work.