TopMedTalk
In today’s TopMedTalk Andy Cumpstey interviews James Bowness, consultant anaesthetist, University College London Hospitals NHS Foundation Trust and an Honorary Associate Professor of Anaesthesia at University College London (UCL), at Anaesthesia Research 2025 in Birmingham. They discuss the definition and scope of AI, its applications in healthcare, and its potential to improve medical practices. The conversation emphasizes the importance of clinicians' involvement in the development and implementation of AI technologies. It also highlights ongoing efforts to identify and address key...
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ANESTHESIOLOGY® 2025, Andy Cumpstey and Kate Leslie speak with Ruthi Landau, Virginia Apgar, Professor of Anesthesiology, Columbia University Medical Center and recently appointed editor-in-chief of the International Journal of Obstetric Anesthesia. The conversation dives deep into the importance of writing, reviewing, and publishing high-quality research. Dr. Landau highlights the significance of addressing relevant research questions, improving patient outcomes, and the evolving landscape of scientific publishing. The episode also explains strategies for reviewers and authors aiming to...
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Andy Cumpstey takes the chair to speak with Professor Lee Fleischer, Emeritus Professor of Anesthesia and Critical Care at the University of Pennsylvania and the former Chief Medical Officer and Director of the Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health and Human Services. Lee shares his remarkable journey, from his early interest in science and medicine to his pivotal roles in clinical research, healthcare policy, and national advisory boards. He discusses his efforts during the COVID-19 pandemic, the importance of balancing professional commitments with...
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Kate Leslie and Andy Cumpstey report from the British Journal of Anaesthesia meeting held in Dublin, Ireland. They are joined by guest Tom Abbott, a clinical senior lecturer in anaesthesia and social media editor for the BJA. We discuss the growing importance of social media in scientific communication, the impact of alternative metrics such as altmetrics, and the operational challenges of maintaining a presence across various social media platforms. The conversation also touches on platform trials in clinical research, where Abbott highlights his current research initiatives, including trials...
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Desiree Chapell hosts an insightful discussion featuring colleagues from NorthStar Anesthesia; Dr. Josh Lumley, Chief Quality Officer at NorthStar Anesthesia, Adam Spiegel, Chief Executive Officer of NorthStar Anesthesia and Romeo Kaddoum, Chief Medical Officer, NorthStar Anesthesia We delve into the impacts of workforce issues, hospital financials, the value of outsourced anesthesia services, and the importance of leadership and clinical engagement at NorthStar Anesthesia. The discussion also covers their commitment to providing clinicians with growth opportunities and ensuring a high level...
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Desiree Chappell and Mike Grocott are joined by Klaus Gorlinger, Medical Director at TEM Innovations GmbH in Munich, Germany at ANESTHESIOLOGY® 2025. This conversation focuses on patient blood management (PBM) and viscoelastic testing (VET) delving into the significance of VET in managing bleeding during surgeries, the evolution of testing techniques, and their impact on patient outcomes. Klaus explains the importance of whole blood testing over standard coagulation tests and discusses different protocols and global practices around this technology. The conversation also highlights the...
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Recorded in Dublin, Ireland, and hosted by The British Journal of Anaesthesia at their annual meeting, this week’s TopMedTalk focuses on translational research. Presented by Andy Cumpstey and Kate Leslie with their guest Professor Gareth Ackland Clinical Professor of Perioperative Medicine at the William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London (QMUL). The conversation delves into the autonomic nervous system's role in exercise capacity and its implications for postoperative outcomes. Why specifically does exercise...
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ANESTHESIOLOGY® 2025 in San Antonio, TopMedTalk’s Andy Cumpstey and Kate Leslie talks with Susan Goobie, Associate Professor of Anesthesiology at Harvard Medical School and a Senior Associate in the Department of Anesthesiology, Critical Care & Pain Medicine at Boston Children's Hospital in Boston, USA. They discuss the specialty of non-cardiac pediatric surgery and her focus on patient blood management. Dr Goobie highlights the importance of 'blood health,' describing its three pillars: preoperative, intraoperative, and postoperative phases. She emphasizes preoperative anemia...
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Perioperative Profiles is a new series on TopMedTalk. We aim to continue to release a profile each month, spotlighting the professional — and personal — journeys of leading perioperative practitioners and researchers. Each month we talk to a prominent figure in perioperative medicine, exploring how they came into the field, what shaped their careers, key challenges and successes, and how their work has contributed to evidence-based perioperative practice. Steven Shafer is a world renowned Emeritus Professor of Anesthesiology, Perioperative and Pain Medicine at Stanford University Medical...
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Desiree Chappell is joined by Mike Grocott, Sol Aronson, and their guest Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide, at ANESTHESIOLOGY® 2025 in San Antonio, Texas. The discussion covers exciting developments in perioperative medicine, focusing on the Perioperative Quality Initiative (POQI) and the newly coined term 'Enhanced Postoperative Care Units' (EPOCH), a new initiative aiming to bridge the gap between ward care and intensive care by providing specialized care for medium-risk postoperative patients. The guests share their experiences and insights, including...
info_outlineThe full team gather together to reflect on the last 12 months of TopMedTalk at this year’s Evidence Based Perioperative Medicine (EBPOM) Dingle conference.
Desiree Chappell, Sol Aronson, Andy Cumpstey, Mike Grocott, Kate Leslie and Monty Mythen select highlights from the archives for our new listeners.
Here are the podcasts they mention, start your TopMedTalk journey with any of these.
The PREPARE Trial
“some great insights in the frailty, rehabilitation field and .. some really smart work … probably the top of my list”
Mike Grocott.
This excellent podcast:
TopMedTalk: The PREPARE trial with Daniel McIsaac | IARS
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Gender Disparities in Surgical Efficiency and Outcomes
"We had a great meeting with a medical student of Professor Matthias Eikermann in New York who talked about the different experiences of male and female practitioners. And that was really very powerful … she spoke really well…someone to watch out for, for the future.”
Kate Leslie
TopMedTalk: Gender Disparities in Surgical Efficiency and Outcomes | IARS
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Perioperative medicine, the challenges, the rewards and the future
“We had Ramani Moonesinghe visiting Australia from the uk, who obviously great friend of TopMedTalk and we know well, which she did a really, really fascinating conversation with us.”
Andy Cumpstey
TopMedTalk: Perioperative medicine, the challenges, the rewards and the future
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Improving sustainability and reducing operating room waste
“She says the same thing every time and, and every time I feel I'm a little bit closer to being a good citizen with respect to sustainability.
And, you know, we all sort of focus on things like recycling and disposables and things like that, but she, she sort of focuses on a much bigger picture of the supply chain and, um, how we really need to reinvent all the processes”
Kate Leslie
TopMedTalk: Improving sustainability and reducing operating room waste
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Exploring cerebral autoregulation
“Her research, which is published in the public domain, recognizing the fact that there isn't a magic number of, for blood pressure. It's very individual and so it's a great podcast.
Please do listen to it. There's a scary bit towards the end, which recognized that, in critical critically ill patients, you know, they quite often, we let their blood pressures drop. They have high right sided pressures and we often sit them up 'cause we think it's good for them. So listen to that bit because, you know, scary.”
Monty Mythen
TopMedTalk: Exploring Cerebral Autoregulation
“He just crystallized so well, it was like a sort of a primary exam. A capsule of information about this new idea, which I don't think I can actually properly explain either, but it's got to do with blood pressure, diabetes, and hypercholesterolemia, and how a combination of things can put you in this metabolic risk category.”
Kate Leslie
TopMedTalk: Metabolic flexibility
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Periperative Profiles, Paul Myles
“A really interesting conversation with Professor Paul Myles, which started off a new series for us, which I'm really enjoying. We've called that the Perioperative Profile series and, I guess the aim of that series, if you like, is to speak to some of the key thought leaders in our space”
Andy Cumpstey