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POET 2.08 | The rise and rise of CPET

TopMedTalk

Release Date: 04/12/2019

Perioperative Pain Management - panel discussion | EBPOM show art Perioperative Pain Management - panel discussion | EBPOM

TopMedTalk

The final instalment of our series “Perioperative Pain Management” is a panel discussion where we answer the question: What are the various challenges and strategies in managing perioperative pain, particularly with regard to opioid use? The discussion covers the complexities of opioid de-escalation in preoperative periods, the benefits and risks of opioid-free anesthesia, and the use of multimodal approaches. We also touch on the coordination of patient care across multiple specialties and the impact of intraoperative practices on postoperative pain management and long-term opioid use....

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Healthcare demographics, tackling an age old problem | EBPOM 2025 show art Healthcare demographics, tackling an age old problem | EBPOM 2025

TopMedTalk

Recorded at this year's annual Evidence Based Perioperative Medicine (EBPOM) World Congress in London, this conversation deals with a crisis that modern practitioners will recognise; how do we adapt to the needs of a collectively older population? We begin by focusing upon the Australian Intergenerational Report's alarming projections about an aging population and its impact on healthcare expenditure. It's a problem mirrored by many other Western nations. The conversation covers the ARC model, a solution that shows promise in improving postoperative outcomes by offering advanced recovery room...

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Perioperative Pain Management; the Opioid Epidemic and opioid reduction strategies show art Perioperative Pain Management; the Opioid Epidemic and opioid reduction strategies

TopMedTalk

This series of talks hits upon one of the longstanding themes of TopMedTalk, opioids and opioid reduction in a perioperative setting. We discuss the opioid epidemic, the issue of persistent opioid use after surgery, and strategies for opioid reduction. Topics include historical usage, the dangers of high-dose opioids, and alternative pain management techniques such as opioid-free anesthesia and multimodal analgesia. The discussion also highlights the importance of ongoing research, patient education, and evidence-based practices to minimize the side effects of opioids while ensuring effective...

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Perioperative Pain Management; opioid reduction service show art Perioperative Pain Management; opioid reduction service

TopMedTalk

In this piece we look at the opioid crisis in the UK and how it has translated into clinical practice. Hear about the history and data behind opioid prescription trends, specifically highlighting the high-risk patient demographics and mortality figures associated with opioid use. Learn how a multidisciplinary approach, taken by the opioid reduction service at Guy’s & St. Thomas', helps showcase early outcome data and the strategies employed in opioid weaning. Emphasizing the importance of patient engagement and personalized care we detail the clinic’s processes, preparations, and...

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Perioperative Pain Management; Opioid Sparing Analgesia strategies guided by NOL index show art Perioperative Pain Management; Opioid Sparing Analgesia strategies guided by NOL index

TopMedTalk

This piece focuses on strategies for opioid-sparing anesthesia guided by the NOL Index, emphasizing the variability in patient responses to opioids. The importance of monitoring nociception, using advanced devices and techniques to customize opioid dosing, reduce side effects, and confirm the effectiveness of regional anesthesia. Our presenter shares personal experiences from their professional life and case studies, illustrating the benefits and challenges of implementing multimodal and opioid-free anesthesia approaches. The talk highlights the need for individualized treatment strategies in...

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Diversity at Euroanaesthesia 2025 show art Diversity at Euroanaesthesia 2025

TopMedTalk

Euroanaesthesia 2025: the annual meeting of the European Society of Anaesthesiology and Intensive Care, in Lisbon, Portugal. TopMedTalk were there, check out our coverage on our podcast timeline. We’ve released many bonus episodes over the last few weeks! In this piece Kate Leslie and Nick Margerrison speak with their guests Sarah Saxena, course director and professor of anaesthesiology at the University of Mons, Belgium and Mia Gisselbaek, an anaesthesiologist and PhD student in medical education at University of Geneva Hospital, Switzerland. Drs Saxena and Gisselbaek were members of the...

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Insights from the WFSA with Wayne Morriss show art Insights from the WFSA with Wayne Morriss

TopMedTalk

This piece was recorded at Euroanaesthesia 2025 in Lisbon. Kate Leslie interviews Wayne Morriss, Clinical Associate Professor, University of Otago, Christchurch, and Specialist Anaesthetist, Christchurch Hospital, New Zealand. He is the Immediate Past President of the World Federation of Societies of Anaesthesiologists (WFSA). He shares his insights from his journey in global anaesthesia, including his tenure as WFSA president. We discuss global issues in anaesthesiology, the importance of international aid and education, and the development of the Essential Pain Management program. Wayne also...

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The mission and vision at Euroanaesthesia 2025 show art The mission and vision at Euroanaesthesia 2025

TopMedTalk

We're at Euroanaesthesia 2025 in Lisbon, Portugal. Here we discuss the European Society of Anaesthesiology and Intensive Care's initiatives, focusing on the innovations in the scientific program in anaesthesia and perioperative medicine, and the importance of inclusivity and diversity within the society. The episode also highlights the future direction of the society, the role of trainees, and offers insights into the upcoming Congress in Rotterdam. Listeners are encouraged to apply for roles and join the society for its educational resources and global networking opportunities. Presented by...

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Patient Safety, Sustainability, and AI in Anaesthesiology show art Patient Safety, Sustainability, and AI in Anaesthesiology

TopMedTalk

Recorded at Euroanesthesia 2025 in Lisbon, Portugal, the annual meeting of the European Society of Anesthesiology and Intensive Care. The episode features an interview with Edoardo de Roberti, a former ESAIC president, who shares insights into the challenges and advancements in the field of anesthesiology. Key topics include patient safety, sustainability in medical practices, and the role of artificial intelligence in improving anesthesiology. Eduardo also discusses workforce shortages in Europe and the importance of maintaining a well-trained and happy workforce for optimal patient outcomes....

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Advancing Patient Safety in Anaesthesiology show art Advancing Patient Safety in Anaesthesiology

TopMedTalk

Recorded at the Euroanaesthesia 2025 meeting in Lisbon, Portugal. Here the focus is on patient safety in anaesthesiology. We discuss the importance of patient safety preoperatively, intraoperatively, and postoperatively, with innovations in perioperative medicine and artificial intelligence. The ESAIC Patient Safety and Quality Committee developed a patient safety education project: the Safer Care to Save Lives, a comprehensive package of patient safety education for anaesthesiologists, healthcare professionals, hospital management and patients. We also look at the need for standardized...

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