Editor's Top Picks
Editor's Top Picks, bringing you the best from TopMedTalk.
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Part 1 Know AKI and say no to acute kidney injury for patients | Perioperative Renal Injury
12/02/2021
Part 1 Know AKI and say no to acute kidney injury for patients | Perioperative Renal Injury
This piece has been supported by the "Know AKI campaign" – a bioMérieux global campaign to raise awareness about acute kidney injury. It features a wide selection of clips on the subject of acute kidney injury, restrictive versus liberal fluid therapy and the trials we've seen in recent years which have revitalized debate and learning. The clips used come from the following podcasts: Michelle Chew's clip comes from here: EUROANAES2019 | Michelle Chew Andy Shaw's clip comes from here: SCA | Improving your practice John Kellum is here: Perioperative Nephrology Fluids and the Kidney Renal Injury Biomarkers Urine Output Vincent D’Intini's contribution originally appeared here: Periop SIG18 | Goal directed therapy to prevent acute kidney injury Paul Myles's contributions feature also in this pertinent piece alongside Rupert Pearse: EBPOM London 2018 – any answers | Part 3 The Big Trials Tim Miller is worth listening to in more detail here: Live from Boston ASA 2017 – Intraoperative Goal Directed Fluid Therapy Dan Sessler is here: Live from Boston ASA 2017 – The Elephant In The Room – intraoperative hypotension David Kauffman and Greg Martin feature here: Fluid Matters 3/6 | Fluid Responsiveness and venous capacitance Dan Engelman features here: Daniel Engelman Q&A | EBPOM Chicago EBPOM Highlight | Enhanced Recovery After Cardiac Surgery For more from (Trainees in Perioperative Medicine) TRIPOM and Mike Grant go here: TRIPOM 1.02 | EBPOM USA 2019 TopMedTalk is proud to act as the broadcasting arm of Evidence Based Perioperative Medicine (EBPOM) for more information please go now to
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The ASA's Immediate Past President | TopMedTalk at the ASA
10/13/2021
The ASA's Immediate Past President | TopMedTalk at the ASA
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Mary Dale Peterson, M.D., MHA, FACHE, FASA, ASA Immediate Past President.
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Post operative nausea and vomiting | TopMedTalk at the ASA
10/13/2021
Post operative nausea and vomiting | TopMedTalk at the ASA
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, TJ Gan, MD, MHS, FRCA, MBA, Professor and Chairman of the Deptartment of anesthesiology at Stony Brook Medicine in Stony Brook, New York. For more on this topic check out our exclusive min-series here:
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Koalaa and The Alex Lewis Trust | TopMedTalk at the ASA
10/13/2021
Koalaa and The Alex Lewis Trust | TopMedTalk at the ASA
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Alex Lewis, Founder of The Alex Lewis Trust. More here:
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Rick Dutton Chief Quality Officer US Anesthesia Partners | TopMedTalk at the ASA
10/13/2021
Rick Dutton Chief Quality Officer US Anesthesia Partners | TopMedTalk at the ASA
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Richard Dutton, M.D., M.B.A., Chief Quality Officer US Anesthesia Partners.
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Both The President and The President-Elect of the ASA | TopMedTalk
10/13/2021
Both The President and The President-Elect of the ASA | TopMedTalk
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter and Sol Aronson, tenured Professor, Duke University speak with their guests; Beverly Philip, M.D., FACA, FASA, President of The American Society of Anesthesiologists and Randall Clark, M.D., FASA, President-Elect of the American Society of Anesthesiologists.
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Stephanie Byerly, Chair of the ASA Committee on Women Anesthesiologists | TopMedTalk
10/12/2021
Stephanie Byerly, Chair of the ASA Committee on Women Anesthesiologists | TopMedTalk
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Stephanie Byerly, M.D. Chair of the ASA Committee on Women Anesthesiologists, Professor of Anesthesiology and Pain Management, UT Southwestern, Dallas, Cheif, Obstetrical Anesthesiology, Clements University Hospital, Dallas.
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Evan Kharasch, Chair of the ASA Committee on excellence in research | TopMedTalk at the ASA
10/12/2021
Evan Kharasch, Chair of the ASA Committee on excellence in research | TopMedTalk at the ASA
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Sol Aronson, tenured Professor, Duke University speak with their guest, Evan Kharasch, Chair of the ASA Committee on excellence in research, Professor and Vice Chair for Innovation in the Department of Anesthesiology at Duke University, and Director of Academic Entrepreneurship in Duke University School of Medicine.
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Talks to Lee Fleisher | TopMedTalk at the ASA
10/12/2021
Talks to Lee Fleisher | TopMedTalk at the ASA
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Sol Aronson, tenured Professor, Duke University speak with their guest, Lee Fleisher, Emeritus Professor of Anesthesiology and Critical Care, University of Pennsylvania.
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Adam Striker, Chair, ASA Committee on Communications | TopMedTalk at the ASA
10/12/2021
Adam Striker, Chair, ASA Committee on Communications | TopMedTalk at the ASA
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Adam Striker, MD FASA. Chair, ASA Committee on Communications, Associate Professor, Anesthesiology, University of Cincinnati and University of Kentucky.
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Perioperative Surgical Home (PSH) | TopMedTalk at the ASA
10/12/2021
Perioperative Surgical Home (PSH) | TopMedTalk at the ASA
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Chris Steel, MD, In Patient CMO, White River Health System, Batesville Arkansas. More here:
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REVIVEme - opioid overdose and naloxone | TopMedTalk at the ASA
10/12/2021
REVIVEme - opioid overdose and naloxone | TopMedTalk at the ASA
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Bonnie Milas, Cardiac anesthesiologist, University of Pennsylvania. More info here:
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Ashish Khanna on intraoperative hypotension and beyond | TopMedTalk
10/12/2021
Ashish Khanna on intraoperative hypotension and beyond | TopMedTalk
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Ashish Khanna, Associate Professor, Section Head for Research, Department of Anesthesiology, Section on Critical Care Medicine, Wake Forest School of Medicine.
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Jonathan Gal Vice Chair, ASA Committee on economics | TopMedTalk
10/10/2021
Jonathan Gal Vice Chair, ASA Committee on economics | TopMedTalk
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief as they talk to their guests, Jonathan Gal, Associate Professor, System Medical Director- Facility Revenue Integrity & Optimization; System Medical Director- Offsite ASC Anesthesia; Associate Professor of Anesthesiology, Director Governmental & Reimbursement Affairs, Mount Sinai Hospital.
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Dru Riddle and Tricia Meyer | TopMedTalk
10/10/2021
Dru Riddle and Tricia Meyer | TopMedTalk
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief as they talk to their guests, Tricia Meyer, PharmD, adjunct Professor, Texas A&M, College of Medicine and Dru Riddle, Associate Professor of Professional Practice in the School of Nurse Anesthesia at Texas Christian University, Associate Professor of Medical Education, TCU School of Medicine, and Director of the Center for Translational Research: A JBI Center of Excellence and Cochrane US TCU Center.
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Amy Wilkinson Director of Clinical Marketing Butterfly Network | TopMedTalk
10/09/2021
Amy Wilkinson Director of Clinical Marketing Butterfly Network | TopMedTalk
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief, as they talk to their guest Amy Wilkinson, Director of Clinical Marketing Butterfly Network.
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Kamal Maheshwari Director, Center for Perioperative Intelligence | TopMedTalk
10/09/2021
Kamal Maheshwari Director, Center for Perioperative Intelligence | TopMedTalk
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor Duke University, as they talk to their guest Kamal Maheshwari, Director, Center for Perioperative Intelligence, Cleveland Clinic.
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Kraig de Lanzac, Assistant Secretary of the ASA | TopMedTalk
10/09/2021
Kraig de Lanzac, Assistant Secretary of the ASA | TopMedTalk
TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor Duke University, as they talk with their guest Kraig S. de Lanzac, Assistant Secretary of the ASA. For more on the ASA go here:
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Welcome to the ASA | TopMedTalk
10/09/2021
Welcome to the ASA | TopMedTalk
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor Duke University, as they talk about the hot topics, major issues and where the data is leading us. For more on the ASA go here:
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Acute Kidney Injury | Post-Operative AKI
10/07/2021
Acute Kidney Injury | Post-Operative AKI
How should we best monitor and treat acute kidney injury (AKI)? Where is the information leading our best practitioners to? How can monitoring incidences of AKI help to reduce it? With thanks to our sponsor Biomerieux, who helped bring this podcast to you for free, in advance of the annual general meeting of the American Society of Anesthesiologists (ASA). TopMedTalk will be live streaming from the event, checkout for more details. You can watch a video of the lecture in the on demand section of the EBPOM Education Hub (). For more on AKI go here: "Postoperative acute kidney injury in adult non-cardiac surgery: joint consensus report of the Acute Disease Quality Initiative and PeriOperative Quality Initiative" is here: Presented by Monty Mythen with Desiree Chappell and their guests Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, P.A.
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Part 2: New POQI / ADQI Guidelines | Perioperative Renal Injury
10/05/2021
Part 2: New POQI / ADQI Guidelines | Perioperative Renal Injury
The Perioperative Quality Initiative (POQI) focuses upon renal injury. How do we identify patients early? How do we treat the condition? What should out approach to biomarkers be? What are we looking for when it comes to urine output? Make sure you check out POQI's website here: While you're online why not book tickets for the next EBPOM conference: Presented by Andy Shaw, Chairman, Department of Anesthesiology and Pain Medicine at The University of Alberta, Alberta and Zone Clinical Department Head for Anesthesia, Alberta Health Services Edmonton Zone, a Fellow of the Royal College of Anaesthetists (UK), the American College of Critical Care Medicine and the Faculty of Intensive Care Medicine (UK), Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton, John Prowle, Senior clinical lecturer, intensivist nephrologist, Royal London Hospital in East London, Marlies Ostermann, Consultant in critical care and nephrology, Guy's and St Thomas's NHS Foundation Trust and Sandy Kane-Gill, Professor, Pharmacy and Theraputics, Univeristy of Pittsburgh School of Pharmacy.
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Part 3: System Wide Approach to Prevention | Perioperative Renal Injury
10/05/2021
Part 3: System Wide Approach to Prevention | Perioperative Renal Injury
"Kidney disease ... is clearly a public health concern" This piece is one of the highlights of both EBPOM London and EBPOM Dingle/Chicago where it provoked much discussion amongst the delegates. What does the data and evidence tell us about acute kidney injury (AKI) and how to respond to it? How do we detect and diagnose it as soon as possible? What else can be done? You can watch a video of the lecture in the on demand section of of the EBPOM Education Hub (www.ebpom.live.org). This piece was recorded in advance of the the annual general meeting of the American Society of Anesthesiologists (ASA). TopMedTalk will be live streaming from the event, checkout for more details. Presented by Sandra Kane-Gill, PharmD, MSc, FCCM, FCCP, is Professor of Pharmacy and Therapeutics at the University of Pittsburgh School of Pharmacy.
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Part 4: Novel Biomarkers | Perioperative Renal Injury
10/05/2021
Part 4: Novel Biomarkers | Perioperative Renal Injury
Acute kidney injury (AKI) is an important topic for anyone practicing value based care, here we learn how research is developing and where the debate is at as regards biomarkers; what do the data tell us, where can improvements be made and why is it so important? This piece was originally available to attendees of EBPOM 2021 where it was this year's Siobhan Mythen Visiting Plenary lecture. You can watch a video of this lecture in the on demand section of of the EBPOM Education Hub (). Presented by Andy Shaw, Department of Intensive Care and Resuscitation at The Cleveland Clinic, Cleveland, Ohio, Fellow of the Royal College of Physicians and Surgeons of Canada, a Fellow of the Royal College of Anaesthetists (UK), a Fellow of the American College of Critical Care Medicine and a Fellow of the Faculty of Intensive Care Medicine (UK).
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Part 1 – Why do we need to revisit PONV? | Novel PONV Rescue Therapy
10/05/2021
Part 1 – Why do we need to revisit PONV? | Novel PONV Rescue Therapy
This piece is the first of a four part series (supported by ACACIA) tackling the subject of post operative nausea and vomiting. How do practitioners who have an emphasis upon value based care incorporate dealing with one of the less pleasant realities of surgery for a patient? This piece is released in anticipation of the annual general meeting of The American Society of Anesthesiologists (ASA)- ANESTHESIOLOGY 2021. TopMedTalk will be bringing you live coverage of the event via For the fuller conversations quoted in this piece please checkout the following: New treatments for Post Operative Nausea and Vomiting | TopMedTalk Why do we need a new rescue antiemetic | Novel Rescue PONV therapy Quality measures in Anesthesia | Novel Rescue PONV Therapy Stop your patients feeling sick | Novel Rescue PONV Therapy
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Part 2 – New Guidelines and New Treatments | Novel PONV Rescue Therapy
10/05/2021
Part 2 – New Guidelines and New Treatments | Novel PONV Rescue Therapy
"There are so many, many studies on prophylaxis, but very few on treatment" Post operative nausea and vomiting, secondary nausea, how can we put the danger of these unfortunate moments behind us in a modern practice? This piece focuses upon nausea and treatment in particular as part of an Enhanced Recovery practice. Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting: Presented by Desiree Chappell and Monty Mythen with their guest Tricia Meyers, PharmD, adjunct Professor, Texas A&M, College of Medicine.
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Part 3 – Bedside Experience | Novel Rescue PONV Therapy
10/05/2021
Part 3 – Bedside Experience | Novel Rescue PONV Therapy
Amisulpride is an antiemetic medication used at lower doses intravenously to prevent and treat postoperative nausea and vomiting; what does it look like in practice? Can it work as a 'rescue therapy'? What does the data tell us? Could a treatment for post-operative nausea and vomiting be a way to really enhance value based care and enhanced recovery? This piece is generously supported by Acacia Anesthesia. Presented by Desiree Chappell and Monty Mythen with their guest Dru Riddle Associate Professor of Professional Practice in the School of Nurse Anesthesia at Texas Christian University, Associate Professor of Medical Education, TCU School of Medicine, and Director of the Center for Translational Research: A JBI Center of Excellence and Cochrane US TCU Center.
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Part 4 – The Value Proposition | Novel Rescue PONV Therapy
10/05/2021
Part 4 – The Value Proposition | Novel Rescue PONV Therapy
"We have to decide; if it's safe, how do we do it, and how do we do it right?" This piece provides a much needed overview of anesthesia in the USA, clinical innovation, best practice and enhanced recovery. How do we deliver on the value proposition safely and efficiently? What is the responsibility of practitioners to patients when measuring the impact of new products, medications and equipment? How do we mitigate cost, need and quality? To hear more from our guest go here: Presented by Desiree Chappell and Monty Mythen with Rick Dutton, Chief Quality Officer for US Anesthesia Partners (USAP), Texas.
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Near infrared spectroscopy (NIRS) Round Table | EBPOM Chicago
10/05/2021
Near infrared spectroscopy (NIRS) Round Table | EBPOM Chicago
Near infrared spectroscopy (NIRS) ... 'a variation of pulse oximetry; it transmits red and infrared light into tissue' measures information from arterial venous and capillary blood simultaneously to deduce tissue saturation; an aggregate estimate of arteriovenous capillary blood and whatever tissue you're shining the light into. 'So typically, we're using it in on the brain at least in the cardiac and vascular space, but people also in other areas like the surgical ICU, can use it to measure muscle oxygenation as well'. Learn how this technique could enhance your practice, what its potential for advancement is and where its limits lie. This piece is likely to be of critical interest to most cardiac surgeons and those who work alongside them. This piece was generously supported and brought to you by Medtronic. Presented by Desiree Chappell and Monty Mythen with their guests Robert Thiele, Cardiac Anesthesiologist and Intensivist at the University of Virginia, Carol Ann Rosenberg, Associate Director of Perfusion and ECMO, Kenan Yount, Cardiac Surgeon and Director of the Valve center and Director of the Aortic Center at the University of Virginia.
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Tracheotomies and COVID 19 | EBPOM 2021 Exclusive Preview Piece
10/05/2021
Tracheotomies and COVID 19 | EBPOM 2021 Exclusive Preview Piece
"I think it really comes down to teamwork" How rapidly should you perform a tracheotomy? When do you "start the conversation" about the procedure? What about when it comes to patients with COVID19? Where does a data driven approach take us to? This essential piece is provided to TopMedTalk listeners as a sneak preview of EBPOM Dingle and Chicago; recorded in advance of the meeting and shared with you as a preview of this year's Evidence Based Perioperative Medicine's global conference offering. We would like to thank Medtronic, for their generous support which enabled us to bring this piece to you for free. Presented by Desiree Chappell and Monty Mythen with their guest Babak Sarani, Professor of surgery and emergency medicine and Director for the Center for Trauma and Critical Care at George Washington.
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Nociception monitoring and pain management in 2021 | EBPOM Dingle/Chicago
10/05/2021
Nociception monitoring and pain management in 2021 | EBPOM Dingle/Chicago
"Precision anesthesia [...] where we can give patients the anesthetic and the doses that they require on a patient specific basis" This piece looks at nociception, the neural processes of encoding and processing "noxious" stimuli. By monitoring this anesthetic practitioners can deploy a level of precision not previously possible. Regular listeners may wish to refer back to previous podcasts on this subject: EBPOM LIVE from London | Pain monitoring - with Frank Overdyk, Professor of Anaesthesiology, Charleston, South Carolina: TopMedTalks to … | Dan Longrois on nociception: Presented by Desiree Chappell and Monty Mythen with their guest Anil Hormis, Professor, Consultant in anesthesia and Critical Care Medicine, Rotherham NHS Foundation Trust.
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