Cardiovascular risk evaluation for non-cardiac surgery, guidelines | EBPOM 24
TopMedTalk
Guideline evolution is driven by ongoing research; recent studies like PeriOperative ISchemic Evaluation-3 Trial (POISE-3) and trials such as OPtimisation of Peri-operaTive CardIovascular Management to Improve Surgical outcomE II (OPTIMISE II) trial may influence recommendations on hemodynamic management and the use of tranexamic acid. Future guidelines are expected to integrate machine learning models for risk prediction, addressing complex patient phenotypes and interactions. Discontinuation vs. continuation of renin–angiotensin system inhibition before non-cardiac surgery: the SPACE trial...
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TopMedTalk talks to Sam Azijian | TMT at EA24
TopMedTalk
Euroanaesthesia is one of the most important and influential annual congresses in anaesthesiology and intensive care. This year, TopMedTalk was there in Munich, Germany, bringing you exclusive coverage. In this piece we find out how laryngoscopy has moved forward, where AI might take us and why sustainability important in medicine. Presented by Desiree Chappell with Sam Azijian, Chief Medical Officer, Acute Care & Monitoring, Medtronic.
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Perioperative medicine in focus | EBPOM 24
TopMedTalk
This episode underscores the evolution of perioperative medicine, the importance of innovation, teamwork, and data. The conversation reflects on past achievements and looks forward to future advancements in medical care. Our guest, a seasoned medical professional with a 40-year career, reflects on his journey from a young doctor in London to a consultant in Sydney. His plenary session at the Evidence Based Perioperative Medicine (EBPOM) congress highlighted key experiences and innovations in his career. Presented by Andy Cumpstey with Ross Kerridge, Senior Staff Anaesthetist at the John Hunter...
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Is Trauma Informed Care part of your perioperative process? | TopMedTalk
TopMedTalk
In this piece our guest shares her journey from general anesthesiology to focusing exclusively on obstetrics, driven by her training as a sexual assault counselor. She highlights the prevalence of trauma among patients and the need for trauma-informed care practices. Presented by Desiree Chappell with her guest Tracey Vogel, Obstetric Anesthesiologist, Allegheny Health Network and Founder of The Empowerment Equation, LLC. More here:
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Talks to... Bruce Biccard | Prato 2024
TopMedTalk
More from our coverage of the 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. The South African Perioperative Research Group (SAPORG) is a multidisciplinary group of researchers interested in improving perioperative outcomes in South Africa, through collaborative research Presented by Monty Mythen and Desiree Chappell with their guest Bruce Biccard, Professor and Second Chair at Groote Schuur Hospital and University of Cape Town, Chair of the South African Perioperative Research Group (SAPORG). Bruce’s book is here: Earth Cast is here: Freedom Challenge is...
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The Protect Platform trial | Prato 2024
TopMedTalk
More from our coverage of the 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. This piece discusses trials in the wake of COVID-19 specifically we focus upon the PROTECT Platform Trial. Presented by Monty Mythen and Kate Leslie with their guests Tom Abbott, anaesthetist and clinical lecturer at Queen Mary University of London and James Glasbey, NIHR Academic Clinical Lecturer in Global Surgery, University of Birmingham and General Surgery Registrar.
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The DanGer Shock Trail | EBPOM World Congress 2024
TopMedTalk
This piece looks at the DanGer Shock Trial which examines the efficacy of the Impella device in reducing mortality in patients with acute myocardial infarction and cardiogenic shock. We explain how the device works, its implantation process, and the significant findings from the trial, including a notable reduction in six-month mortality with a number needed to treat (NNT) of eight. Despite higher rates of bleeding and renal filtration therapy in the Impella group, the trial provides strong evidence supporting its use in high-volume centers with trained personnel, emphasizing the importance of...
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Innovation and leadership in anaesthesia | Euroanesthesia 2024
TopMedTalk
This year TopMedTalk were at Euroanesthesia 2024, Munich, Germany. In this piece we discuss anesthesia leadership, sustainability in healthcare, and innovations like Portrait Mobile and low-flow anesthesia. Our guest also shares her personal story as an immigrant and woman in industry, emphasizing the importance of mentorship, sponsorship, and balancing one’s personal and professional life. Presented by Desiree Chappell and Kate Leslie with their guest Alla K. Woodson, Global GM, Anesthesia, Respiratory Care, and PCS Services, GE Healthcare.
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TRACTION trial and the B-Free trial in focus | Prato 2024
TopMedTalk
This conversation was recorded at The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. This piece focuses upon the TRACTION trial and the B-Free trial. The TRACTION trial is here: The B-Free trial is here: Desiree Chappell and Andy Cumpstey speak with their guests Jessica Spence, Assistant Professor at McMaster University and the Principal Investigator of the B-Free Cluster Crossover Trial and Ryan Zarychanski Professor of internal medicine at the Max Rady College of Medicine, Hematologist, critical care physician and clinician-scientist at the University of...
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Equity, decolonisation and medical research | Prato 2024
TopMedTalk
The team bring us more interviews from The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. This piece focuses upon the importance of global and equitable research partnerships, highlighting guidelines like TDR's Essence and the Trust Code. The conversation also touches on the need to decolonize health research and the necessity of systemic changes to support women in science and medicine. Presented by Desiree Chappell, Kate Leslie and Mike Grocott with their guest Jocelyn Clark, the international editor of BMJ. Four Approaches to Supporting Equitable Research...
info_outlineThis panel discussion provides a vital and thought provoking insight into frailty in a perioperative patient. Further, as perioperative medicine evolves, how do we know enhanced recovery after surgery (ERAS) works? Are there any large randomised controlled trials that prove it?
This piece is moderated by Dr Ming Loh, Staff Specialist Geriatrician and Clinical Lecturer at Westmead Hospital and the University of Sydney, Clinical Lead for the Orthogeriatric Service, Subacute Rehabilitation Ward and Falls Clinic, and features; Ruth E. Hubbard, Professor in Geriatric Medicine at the University of Queensland, Consultant Geriatrician at the Princess Alexandra Hospital and Head of School for PA-Southside Clinical Unit, with Bobbie Jean Sweitzer, Professor of Anesthesiology and Director of Perioperative Medicine at Northwestern University in Chicago, Illinois, and David Storey, Head of Anaesthesia, Perioperative and Pain Medicine Unit (APPMU), Melbourne Medical School, University of Melbourne; Director, Melbourne Clinical and Translational Sciences (MCATS) research platform.