TopMedTalk
TopMedTalk for the latest medical news surrounding Anaesthesia, Perioperative Care and Enhanced Recovery. Live updates from conferences; Journal Club; Techno Talk and Hot-Topic podcasts. Continuing Medical Education (CME) on the go
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The Perioperative Quality Initiative (POQI) 12 | EBPOM Dingle
09/29/2023
The Perioperative Quality Initiative (POQI) 12 | EBPOM Dingle
TopMedTalk continues tracking the incredibly important work done by Perioperative Quality Initiative (POQI), check out their website here: This piece acts as an introduction to this year’s POQI - 12. Recorded at the Evidence Based Perioperative Medicine (EBPOM) Ireland conference this piece features an exclusive conversation between Desiree Chappell and Mike Grocott speaking with Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital and Andrew Shaw, Chairman, Department of Intensive Care and Resuscitation at The Cleveland Clinic, Cleveland, Ohio.
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The Perioperative Quality Initiative | EBPOM 2023
09/25/2023
The Perioperative Quality Initiative | EBPOM 2023
The Perioperative Quality Initiative (POQI) is an international, multidisciplinary non-profit organization that organizes consensus conferences on topics of interest related to perioperative medicine with the aim of improving patient care. This piece is an exclusive chance to hear how and why The POQI strives towards a broader perspective and the value of not existing within an echo chamber. It was originally part of The Evidence Based Perioperative Medicine (EBPOM 2023) World Congress in London. With questions from the audience Desiree Chappell hosts a conversation with the chairs Mike Grocott, Professor of Anaesthesia and Critical Care Medicine at the University of Southampton and Andy Shaw, Chairman, Department of Intensive Care and Resuscitation at The Cleveland Clinic, Cleveland, Ohio. Find out more about The POQI and to read their publications go here: Publications:
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Prehabilitation as a practitioner and a patient | Prehabilitation / EBPOM 2023
09/18/2023
Prehabilitation as a practitioner and a patient | Prehabilitation / EBPOM 2023
Here John Koncelik, Regional Medical Director HCA Healthcare Physician Services Group, West Florida comes to the TopMedTalk table to share his thoughts on the need for prehabilitaiton and the way in which it relates to the wider question of “population health management”. He also chooses to share his recent experiences as a patient in the healthcare system, how that has changed his view and why he’s so proud to work in the industry. If you enjoyed this piece it may interest you to know that John will be sharing more of his personal story with us at the forthcoming Evidence Based Perioperative Medicine (EBPOM) Dingle Conference, tickets are available now:
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Advanced AI–guided hemodynamic management within cardiac enhanced recovery after surgery pathways | TopMedTalk
09/16/2023
Advanced AI–guided hemodynamic management within cardiac enhanced recovery after surgery pathways | TopMedTalk
Desiree Chappell and Monty Mythen in conversation with Seenu Reddy, Cardiothoracic Surgeon at HCA‘s TriStar Cardiovascular Surgery in Nashville, National Physician Director, HCA Healthcare's CV Service line. We start with discussion about the ERAS Cardiac society, more about them here: The paper discussed in this piece (10 minutes in) “Advanced artificial intelligence–guided hemodynamic management within cardiac enhanced recovery after surgery pathways: A multi-institution review” is available here: TopMedTalk is the broadcasting arm of Evidence Based Perioperative Medicine (EBPOM). For more information on EBPOM Ireland go here: As mentioned in the piece we’ve enjoyed conversations with Seenu Reddy previously: And we mention a forthcoming “mini-doc” on the subject of Drinking Eating and Mobilising which will include part of our essential interview with Henrik Kehlet, that you can hear here:
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TopMedTalks to Sean Bennett | TopMedTalk at ESAIC
09/13/2023
TopMedTalks to Sean Bennett | TopMedTalk at ESAIC
This wide ranging conversation starts with a focus on the importance of Near Infra-Red Spectroscopy (NIRS) and echocardiograms, how do we move forward in patient safety while keeping in line with what works in practice? How do we go from thinking we do not need, or even consider, a piece of kit to being ready to postpone surgery without it? What does that journey look like? Here Desiree Chappell, Monty Mythen and Andy Cumpstey speak with their guest Sean Bennet, cardiac anesthetist and intensivist at University Hospital Southampton NHS Foundation Trust. TopMedTalk were at this year’s annual conference of The European Society of Anaesthesiology and Intensive Care (ESAIC); Euroanesthesia 2023. This piece was recorded there at the GE Healthcare stand. ESAIC is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to continue to bring you coverage of their annual conference. For more information on the work ESIAC do check out their website here:
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The use of cardiac biomarkers in perioperative risk evaluation | ESAIC 2023
09/11/2023
The use of cardiac biomarkers in perioperative risk evaluation | ESAIC 2023
Here Desiree Chappell and Andy Cumpstey speak with Michelle Chew, Academic Chair and Professor in Anaesthesiology, Intensive Care and Acute Care at Linköping University Hospital, Sweden and Giovanna Luratibuse, consultant and anesthesiology Professor at the University Hospital Düsseldorf, Germany. For more on this topic - and the check out the guidelines - go to: Or straight to the guidelines here: This piece was recorded while TopMedTalk were at this year’s annual conference of The European Society of Anaesthesiology and Intensive Care (ESAIC); Euroanesthesia 2023. We had a presence there at the GE Healthcare stand. ESAIC is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to continue to bring you coverage of their annual conference. For more information on the work ESIAC do check out their website here:
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TopMedTalks to Manfred Blobner | ESAIC 2023
09/07/2023
TopMedTalks to Manfred Blobner | ESAIC 2023
Desiree Chappell and Andy Cumpstey talk to Manfred Blobner, Professor, Anesthesiology and the Coordinator of the Residency Program at Technische Universität München. TopMedTalk were at this year’s annual conference of The European Society of Anaesthesiology and Intensive Care (ESAIC); Euroanesthesia 2023. This piece was recorded there at the GE Healthcare stand. ESAIC is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to continue to bring you coverage of their annual conference. For more information on the work ESIAC do check out their website here:
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TopMedTalks to Vera von Dossow | ESAIC 2023
09/04/2023
TopMedTalks to Vera von Dossow | ESAIC 2023
TopMedTalk recorded this piece at the European Society of Anaesthesiology and Intensive Care (ESAIC) conference, Euroanaesthesia 2023 in Glasgow. It features Desiree Chappell, Monty Mythen and Andy Cumpstey in conversation with Vera von Dossow, Director of the Institute for Anesthesiology and Pain Therapy at the HDZ NRW, Bad Oeynhausen. With thanks to Edwards Lifesciences for their generous support in bringing free open access medical education to you.
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The ERAS Cardiac society | EBPOM 2023
08/28/2023
The ERAS Cardiac society | EBPOM 2023
Enhanced Recovery After Surgery (ERAS) is a foundational aspect of perioperative medicine. This piece covers ERAS® Cardiac, a non-profit organization with the mission to develop evidence-based expert consensus statements promoting best practice recovery practices: We discuss The Perioperative Quality Initiative: We also discuss the value proposition for perioperatvie care, the need for open access medical information and collaboration in cardiac surgery. We discuss this paper in detail: Adult Cardiac Surgery-Associated Acute Kidney Injury: Joint Consensus Report: Presented by Desiree Chappell and Monty Mythen with their guest Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates in Charlotte, NC.
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The importance of podcasting in anesthesia and perioperative medicine | ASA Highlight
08/21/2023
The importance of podcasting in anesthesia and perioperative medicine | ASA Highlight
This piece is presented by Desiree Chappell and Sol Aronson with their guest Jed Wolpaw, Anesthesiologist, intensivist, founder and host of podcast, Program Director, Johns Hopkins Anesthesiology. TopMedTalk is very proud to be partnered with the American Society of Anesthesiologists® ANESTHESIOLOGY® 2022, bringing you our most comprehensive and extensive coverage of the largest gathering of anesthesiologists in the world! TopMedTalk is provided to you for free; if you want to help support our work and help give these conversations a wider audience please like and subscribe (if and where possible) before sharing it on your social media. We are on Twitter here: We are on LinkedIn here: We are on Facebook here:
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Prehabilitation - evidence over hype | Prehabilitation / EBPOM 2023
08/14/2023
Prehabilitation - evidence over hype | Prehabilitation / EBPOM 2023
The World Congress of Prehabilitation Medicine preceded this year’s Evidence Based Perioperative Medicine (EBPOM). TopMedTalk had an open table and this podcast contains two of the conversations we recorded in between presentations and live streaming. We mention two trials: And: We hear from, Heather Gill, a vascular surgeon at McGill University and Research Chair for the Canadian Society of vascular surgery, President elect about the wide applicability of prehabilitation balanced against the evidence and Professor Enoch Akowuah, Chair of cardiac surgery at Newcastle University and a consultant cardiac surgeon and at South Tees Hospitals NHS Foundation Trust in the UK.
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ANESTHESIOLOGY® | Editor's Highlight ASA 2022
08/07/2023
ANESTHESIOLOGY® | Editor's Highlight ASA 2022
TopMedTalk is very proud to be partnered with the American Society of Anesthesiologists® (ASA), providing comprehensive and extensive coverage of the largest gathering of anesthesiologists in the world. Here we reflect on the conference, plans for its future and the wider picture of the discipline. This piece is presented by Desiree Chappell, Sol Aronson and Monty Mythen with their guest Sheela Pai Cole, Clinical Professor, Anesthesiology, Perioperative and Pain Medicine at Stanford Health Center. -- TopMedTalk can be found on YouTube here: We are on Twitter here: We are on LinkedIn here: We are on Facebook here:
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Perioperative Quality Improvement and 'The Dreaming Question' | EBPOM 2023
07/31/2023
Perioperative Quality Improvement and 'The Dreaming Question' | EBPOM 2023
“It's kind of easy to say it; ‘drinking, eating, mobilizing’ and yet actually what does it mean? Drinking, how much? Eating, what? And mobilizing, in what way? And so we refined the definitions so that everyone was measuring the same thing…” The Perioperative Quality Improvement Programme (PQIP): Presented by Desiree Chappell and Monty Mythen with their guest Ramani Moonesinghe, OBE, Professor of Perioperative Medicine at University College London and Honorary Consultant in Anaesthesia and Perioperative Medicine at University College London Hospital.
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Sustainability in medicine | EBPOM World Congress 2023
07/24/2023
Sustainability in medicine | EBPOM World Congress 2023
Is sustainability now one of the key performance indicators by which we are judged? How has the medical industry responded to this and where are the pressures coming from for an environmentally conscious future? Desiree Chappell, Monty Mythen and Sol Aronson with their guest Liam Hynes, Operations Leader for Respiratory Interventions at Medtronic. This piece was recorded at the Evidence Based Perioperative Medicine (EBPOM) World Congress held in London in 2023. If you would like more information about the incredible work EBPOM do please go here: TopMedTalk is not possible without the support of our generous industry partners and supporters; we would like to thank Medtronic for their assistance in bringing you free open access medical education.
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Talks to... Elizabeth Drum | Editor's Highlight
07/17/2023
Talks to... Elizabeth Drum | Editor's Highlight
This piece is presented by Desiree Chappell and Sol Aronson with their guest Elizabeth Drum, Associate Professor of Clinical Anesthesiology and Critical Care Medicine at the Perelman School of Medicine, University of Pennsylvania, Philadelphia. Our conversation about Lifebox is here: For more information about the American Society of Anesthesiologist's global humanitarian outreach go here: Part one of TopMedTalk’s conversation with the global scholars is here: And part two is here: This piece was originally put out “as live” from Anesthesiology 2022 the American Society of Anesthesiologists annual conference. -- TopMedTalk is provided to you for free; if you want to help support our work and help give these conversations a wider audience please like and subscribe (if and where possible) before sharing it on your social media. TopMedTalk can be found on YouTube here: We are on Twitter here: We are on LinkedIn here: We are on Facebook here:
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The Anesthesia Patient Safety Foundation | ASA Highlight
07/10/2023
The Anesthesia Patient Safety Foundation | ASA Highlight
Here we look back upon The Anesthesia Patient Safety Foundation (APSF) at last year’s Anesthesiology conference. This piece is presented by Desiree Chappell and Monty Mythen with their guests JW Beard, Chief Medical Officer of GE Patient Care solutions, GE Healthcare, APSF Board of Directors and Jeffery Feldman, Attending Anesthesiologist, Children’s Hospital of Philadelphia (CHOP) and Professor of Clinical Anesthesiology at the Perelman School of Medicine, University of Pennsylvania, APSF Board of Directors. The educational resources mentioned in this piece are here: The APSF website is here: We spoke previously to The Anesthesia Patient Safety Foundation in 2019 here: We also consulted them during our coverage of the COVID-19 crisis: TopMedTalk; proud to be partnered with the American Society of Anesthesiologists® at ANESTHESIOLOGY® 2022. -- TopMedTalk is provided to you for free; if you want to help support our work and help give these conversations a wider audience please like and subscribe (if and where possible) before sharing it on your social media. TopMedTalk can be found on YouTube here: We are on Twitter here: We are on LinkedIn here: We are on Facebook here:
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OPTIMISE 2 results…BREAKING NEWS | EBPOM 2023
07/08/2023
OPTIMISE 2 results…BREAKING NEWS | EBPOM 2023
The big talking point at The World Congress of Evidence Based Perioperative Medicine (EBPOM) 2023 was the results of the ‘OPtimisation of Peri-operaTive CardIovascular Management to Improve Surgical outcomE II (OPTIMISE II)’ trial. The OPTIMISE II trial is an international, multi-centre, pragmatic, randomised controlled trial with an open study group allocation, to determine whether cardiac output-guided fluid therapy, with a low dose inotrope infusion is clinically effective when compared to usual care in patients undergoing major gastrointestinal surgery. This podcast captures the moment the world has been waiting for as this global trial (with over 30 participating centres in Australia, Canada, Germany, Jordan, Poland, Romania, Spain, Switzerland, US and the UK) which launched in January 2017, reports its results. Presented by Desiree Chappell, Monty Mythen and Mark Edwards, Consultant in Anaesthesia and Perioperative Medicine, University Hospital Southampton, Honorary Senior Clinical Lecturer, University of Southampton. We speak to Rupert Pearse here: This story is one of the first TopMedTalk ever covered! Our second podcast (back in 2017) covers it here: This podcast was recorded “as live” at EBPOM 2023 in London. Expect to find more excellent free content from that meeting soon on TopMedTalk. However, if you can’t wait, why not try going deeper by joining up or getting a ticket to one of our forthcoming conferences: The official website for the trial is here:
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EBPOM 2023 IS THIS WEEK - GO TO EBPOM.ORG NOW!
07/03/2023
EBPOM 2023 IS THIS WEEK - GO TO EBPOM.ORG NOW!
This week we are drawing attention to an excellent talk from our archive and warming up for the biggest moment in the perioperative calendar; Evidence Based Perioperative Medicine (EBPOM) and the World Congress of Prehabilitation Medicine 2023. Go now to to book your virtual tickets, if you can’t make it in person. In this podcast we look at some of the upcoming sessions and reflect on the contributions made previously to TopMedTalk by some of the panelists and speakers. We discuss this episode of TopMedTalk featuring Gerrit Slooter & Mike Grocott - We mention the fact that Franco Carli makes important contributions during to this panel discussion: Exercise and the cancer patient during the COVID-19 crisis: Feras Hatib features in the 2019 Prehabilitation World Congress here: Prehab Periop World Congress: Feras Hatib, Simon Davies And "Nutrition and surgery a dieticians perspective" with Chelsia Gillis is here: Meanwhile the talk in this week's podcast, from 2018, Sir Bruce Keogh features here in it's original form:
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Autonomous systems in a perioperative setting | TopMedTalk
06/26/2023
Autonomous systems in a perioperative setting | TopMedTalk
What is the future of AI and autonomous systems in perioperative medicine? This piece revisits a conversation we had at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA). Presented by Desiree Chappell and Monty Mythen with their guest Alexandre Joosten, Anesthetist at Hospital Erasme. This conversation references our earlier chat with our guest which you can listen to here:
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Monitoring the unmonitored | TopMedTalk
06/19/2023
Monitoring the unmonitored | TopMedTalk
How far can we go with patient monitoring, how do we push forward with patient safety? What sort of monitoring is appropriate and when? How should we continue through the night time period? Where are the 'gaps and opportunities' for new technology? This conversation, originally part of our coverage of 'Anesthesiology' the Annual General Meeting of the American Society of Anesthesiologists (ASA), features Sol Aronson with his guests Sadia Khan, Consultant Physician, Clinical Director and Service Director for Cardiology at Chelsea and Westminster Hospital and Frank Overdyk, Professor of Anaesthesiology, Charleston, South Carolina. Sadia has featured on TopMedTalk previously here: We spoke with Frank here on the subject of pain monitoring:
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What is TeleICU and how can it help put patient safety first? | TopMedTalk
06/12/2023
What is TeleICU and how can it help put patient safety first? | TopMedTalk
You may have heard of Telemedicine but have you heard of TeleICU? How does it work? What's it like to work in one? How do you avoid alarm fatigue? To what scale can this tecnhology be safely extended? Our guest Mike Scott, Professor of Anesthesiology at the University of Pennsylvania in conversation with Desiree Chappell, Monty Mythen and Sol Aronson. The paper mentioned towards the end of the piece is here: This piece was originally released here:
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Videolaryngoscopy: Is the evidence there? | ESIAC 2023
06/05/2023
Videolaryngoscopy: Is the evidence there? | ESIAC 2023
TopMedTalk were at this year’s annual conference of The European Society of Anaesthesiology and Intensive Care (ESAIC); Euroanesthesia 2023. For more information on the work ESIAC do check out their website here This piece is presented by Monty Mythen with Ellen O’Sullivan, Consultant Anaesthesiologist at St James’s Hospital Dublin, Ross Hofmeyr, Associate Professor of Anaesthesiology at the University of Cape Town and Alistair McNarry, Consultant Anaesthetist Western General and St John's Hospitals Edinburgh.
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Technology in Anesthesiology | TopMedTalk
06/05/2023
Technology in Anesthesiology | TopMedTalk
The TopMedTalk team have a look at some of the products which were on display during Anesthesiology 2022. Specifically, RFID and infusion pumps. Sol Aronson speaks with his guest Robert Canfield, Director of Marketing, Fresenius Kabi and Desiree Chappell talks with her guest, Gwen Volpe, Senior Director Medication Technology and Analytics, Fresenius Kabi.
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TopMedTalks to Rupert Pearse | ESAIC 2023
06/04/2023
TopMedTalks to Rupert Pearse | ESAIC 2023
Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to bring you 'as live' coverage of their annual conference. For more information on the work ESIAC do check out their website here Desiree Chappell, Monty Mythen and Andy Cumpstey, join Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London. Last year's conversation with our guest gets mentioned in the piece, if you want to check it out go here: We also highly praise the OPtimisation of Peri-operaTive CardIovascular Management to Improve Surgical outcomE II (OPTIMISE II) trial and its website:
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Hemodynamics and Fluid Management | ESAIC 2023
06/04/2023
Hemodynamics and Fluid Management | ESAIC 2023
Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to bring you 'as live' coverage of their annual conference. For more information on the work ESIAC do check out their website here This piece covers a conversation about hemodynamics and fluid management as Desiree Chappell, Monty Mythen and Andy Cumpstey speak with their guest Marlies Ostermann, Consultant in Critical Care and Nephrology at Guy's and St Thomas' NHS Foundation Trust.
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The World Federation of Societies of Anaesthesiologists | ESAIC 2023
06/04/2023
The World Federation of Societies of Anaesthesiologists | ESAIC 2023
Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to bring you 'as live' coverage of their annual conference. For more information on the work ESIAC do check out their website here Here Desiree Chappell, Monty Mythen and Andy Cumpstey speak to Adrian Gelb, Professor (emeritus) in the Department of Anesthesia & Perioperative Care, University of California San Francisco (UCSF) and Immediate Past President of The World Federation of Societies of Anaesthesiologists (WFSA) and the current president; Wayne Morriss, Clinical Associate Professor, University of Otago, Christchurch and Christian Werner, Chair of Anesthesia at Johannes Gutenberg University in Mainz and WFSA Chair of the Scientific Affairs Committee. We covered The American Society of Anesthesiologists, Global Scholar programme here: Find out more about the WFSA here:
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Oxygen - too much of a good thing? | ESAIC 2023
06/04/2023
Oxygen - too much of a good thing? | ESAIC 2023
Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to bring you 'as live' coverage of their annual conference. For more information on the work ESIAC do check out their website here This piece is a discussion about oxygen; can you have too much of a good thing? Join Desiree Chappell, Monty Mythen and Andy Cumpstey, NIHR Clinical Lecturer in Anaesthetics & Intensive Care Medicine, Southampton. We mention this paper here: And we discuss
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The Future of Intensive Care with Jean-Louis Vincent | ESAIC 2023
06/04/2023
The Future of Intensive Care with Jean-Louis Vincent | ESAIC 2023
Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to bring you 'as live' coverage of their annual conference. For more information on the work ESIAC do check out their website here This piece features Desiree Chappell, Monty Mythen and Andy Cumpstey in conversation with Jean-Louis Vincent, Professor of intensive care at University of Brussels.
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TopMedTalks to Bernd Saugel and Thomas Scheeren | ESAIC 2023
06/04/2023
TopMedTalks to Bernd Saugel and Thomas Scheeren | ESAIC 2023
Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to bring you 'as live' coverage of their annual conference. For more information on the work ESIAC do check out their website here Monty Mythen and Desiree Chappell speak with Thomas Scheeren, Senior Director of Medical Affairs Critial Care and Vascular, Europe, Edwards Lifesciences and Bernd Saugel, Professor and Vice Chair of the Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine at the University Medical Center Hamburg-Eppendorf, Germany about two important pieces of work: "Intraoperative hypotension when using hypotension prediction index software during major noncardiac surgery: a European multicentre prospective observational registry (EU HYPROTECT)" -- "Continuous finger-cuff versus intermittent oscillometric arterial pressure monitoring and hypotension during induction of anesthesia and non-cardiac surgery: The DETECT randomized trial" -- Like this, want more? Try these:
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TopMedTalks to Joyce Yeung | ESAIC 2023
06/03/2023
TopMedTalks to Joyce Yeung | ESAIC 2023
The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to bring you 'as live' coverage of their annual conference. For more information on the work ESIAC do check out their website here: This piece features Desiree Chappell, Monty Mythen and Joyce Yeung, Associate Clinical Professor of Anesthesia and critical care, University of Warwick. Our guest kindly shares her Twitter address: The UK Perioperative Medicine Clinical Trials Network is here: The Volatile vs Total intravenous Anaesthesia for major non-cardiac surgery: A pragmatic randomised (VITAL) trial is here: Platform trials for anaesthesia and perioperative medicine: a narrative review is here:
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