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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Review of the 2025 ANZCA Annual Scientific Meeting in Cairns
05/06/2025
Review of the 2025 ANZCA Annual Scientific Meeting in Cairns
In this piece, we recap the last five days at the ANZCA Annual Scientific Meeting. We visit highlights from the plenary speaker presentations by Chris Connor, Alana Flexman, Ramani Moonesinghe, Kevin Fong and Eugenie Kayak. We talk about the original research presented at the meeting including the breaking trials session. Then we review the great discussions we had with journal editors at the meeting. Finally we reflect on the great social events at the meeting, that foster fellowship and collegiality among anaesthetists. Go to our app or website to hear great podcasts recorded during the meeting. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia.
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Breaking trial results
05/06/2025
Breaking trial results
In this piece we discuss breaking trial results with Chris Bain, a consultant anaesthetist and researcher, and Luke Perry, a trainee anaesthetist and PhD student*, both from Melbourne, Australia. We explore the effects of tissue trauma on inflammation and immune responses, and new results about the modifying effect of genetic expression with glucocorticoids. Then we delve into a pilot study on pulmonary artery catheters and cardiac surgery: one of the big questions in our specialty. The pilot study showed that a large randomised trial is feasible and has equipoise. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Chris Bain, Department of Anaesthesia and Perioperative Medicine, The Alfred Hospital and Monash University, Melbourne, Australia and Dr Luke Perry, an ANZCA trainee in Melbourne, a PhD student at the University of Melbourne, and Head of Research, Victorian Heart Hospital, Melbourne, Australia.
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Journals in focus, The BJA and Anesthesiology
05/05/2025
Journals in focus, The BJA and Anesthesiology
In this piece we discuss the latest news in medical publishing with Hugh Hemmings, editor-in-chief of the British Journal of Anaesthesia and Laszlo Vutskits, editor of Anesthesiology. We discuss the increasing volume of manuscripts being received by journals; the challenges of peer review, and initiatives to find and support new reviewers. Then we delve into the use of AI by authors and journals, and how this might influence publishing in the future. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Hugh Hemmings, Joseph F. Artusio Jr. Professor and Chair, Department of Anesthesiology, Weill-Cornell Medicine, New York, USA, and Dr Laszlo Vutskits, Head of Pediatric Anesthesia at the Department of Anesthesiology, Pharmacology and Intensive Care at the University Hospital of Geneva, Switzerland.
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Unconscious bias, bullying, harassment, and discrimination
05/05/2025
Unconscious bias, bullying, harassment, and discrimination
In this piece we discuss perioperative medicine with Alana Flexman, an anaesthetist and researcher from Vancouver, Canada, and Maryanne Balkin, an anaesthetist and law graduate from Melbourne, Australia. We explore our guests’ career journeys, and gender and equity issues, including unconscious bias and bullying, harassment, and discrimination, in the workplace. Finally we talk about the craziness and joy of continued learning and enquiry. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Alana Flexman, Clinical Associate Professor, Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, and St. Paul’s Hospital/Providence Health Care, Vancouver, Canada, and Dr Maryanne Balkin, Consultant Anaesthetist, Alfred Health, Melbourne, Australia.
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TopMedTalks to … Kevin Fong
05/04/2025
TopMedTalks to … Kevin Fong
In this piece we discuss risk in medicine with Kevin Fong, a consultant anaesthetist, retrieval medicine specialist, and broadcaster. In a wide-ranging conversation we talk about risk in anaesthesia, the effect of adverse events on individual practitioners and teams, and workforce issues in health. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with Professor Kevin Fong, Consultant Anaesthetist and Anaesthetic Lead for Major Incident Preparedness, University College London Hospitals, and Professor of Engagement and Innovation for Science and Medicine at University College London.
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Understanding the processed EEG in anaesthesia
05/04/2025
Understanding the processed EEG in anaesthesia
In this piece we discuss all things EEG with Chris Connor, an anesthesiologist and researcher from Boston, USA, and Jamie Sleigh, an anesthesiologist and researcher from Hamilton, New Zealand. We start by discussing the engineering behind the BIS algorithm, then move to interpreting the raw EEG, the spectrogram and burst suppression. Finally we discuss the ‘titration paradox’ and how it might influence research and AI. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Chris Connor, Assistant Professor and Vice Chair ad interim for Research, Brigham and Women’s Hospital, Boston, USA, and Professor Jamie Sleigh, Professor of Anaesthesiology and Intensive Care, Waikato Clinical School, University of Auckland, New Zealand.
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Haemorrhage associated with trauma and major surgery
05/04/2025
Haemorrhage associated with trauma and major surgery
In this piece we discuss blood management in emergency and elective surgery with Matthew Wiles, an anaesthetist from Sheffield, UK, and editor of the journal Anaesthesia, and Catherine Downs, an anaesthetist from Sydney, Australia. The episode delves into haemorrhage associated with trauma and major surgery, and the benefits of point of care testing. We also took the opportunity to discuss authorship of scholarly work and the need to support emerging researchers and site collaborators. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Matthew Wiles, Consultant Anaesthetist and Clinical Lead for Major Trauma, Sheffield Hospitals NHS Foundation Trust, and Honorary Senior Clinical Lecturer, Sheffield University, Sheffield, UK, and Dr Catherine Downs, Consultant Anaesthetist, Prince of Wales Hospital, and Senior Lecturer, Randwick Clinical Campus, University of New South Wales, Sydney, Australia
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Improving sustainability and reducing operating room waste
05/04/2025
Improving sustainability and reducing operating room waste
In this piece we discuss sustainability in healthcare with Eugenie Kayak, an anaesthetist from Melbourne, Australia, and Dan Lazzari, an anaesthetist from Cairns, Australia. The episode delves into Eugenie’s journey with Doctors for the Environment Australia and her work as an educator in sustainability. We discuss national and international solutions, and local initiatives by Dan and his colleagues to improve sustainability and reduce operating room waste in Cairns. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Professor Eugenie Kayak, Enterprise Professor in Sustainable Healthcare, University of Melbourne, and Dr Daniele Lazzari, Consultant Anaesthetist, Cairns Hospital, Australia.
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Perioperative medicine, the challenges, the rewards and the future
05/03/2025
Perioperative medicine, the challenges, the rewards and the future
In this piece we discuss perioperative medicine with Ramani Moonesinghe, an anaesthetist and intensive care specialist from London, England, and Phuong Markman, an anaesthetist from Cairns, Australia. We explore access to and outcomes from surgery, particularly in relation to remoteness and socioeconomic deprivation. Then we talk about specific interventions to improve the patient experience, such as Sip til Send, and the challenges of implementing the program and demonstrating that it’s safe with respect to aspiration. Finally we discuss whether AI and robotics can assist patients in the perioperative journey. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Professor Ramani Moonesinghe, Professor of Perioperative Medicine, University College London, National Director of Patient Safety and National Clinical Director for Critical and Perioperative Care, NHS England, and Dr Phuong Markman, Consultant Anaesthetist, Cairns Hospital, Australia.
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Management of neuropathic and paediatric pain
05/03/2025
Management of neuropathic and paediatric pain
In this piece we discuss pain medicine with Nadine Attal, a neurologist and pain medicine specialist from France, and Allen Finley, an anesthesiologist and pain medicine specialist from Canada. The episode delves into neuropathic pain and the need to personalize its management, and efforts to standardize the management of paediatric pain in Canada. We talk about the ICD-11 which recognizes chronic pain as a disease, and ChildKind.org which nurtures holistic and responsive support for children or all ages and abilities. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Professor Nadine Attal, Director for the Center of Evaluation and Treatment of Pain, Ambroise Paré Hospital, Paris, France, and Professor Allen Finley, Professor of Anesthesia and Psychology at Dalhousie University, and Medical Director of Pediatric Pain Management at IWK Health Centre in Halifax.
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Studying hypothermia and the value of trainee research
05/03/2025
Studying hypothermia and the value of trainee research
In this piece we discuss prevention of intraoperative hypothermia with Holly Tonkin, a trainee anaesthetist from Australia. Holly describes her study, in which she measured the prevalence of hypothermia using routine forced air warming and then the prevalence using the 3M™ Bair Hugger™ Universal Warming Gown. Significant reductions in hypothermia were observed. Holly’s study was supported by Solventum. We then discussed the value of trainee research. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guest, Dr Holly Tonkin, Manning Base Hospital and Royal North Shore Hospital, New South Wales, Australia.
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Future Proofing Emerging Leaders in Anaesthesia
05/03/2025
Future Proofing Emerging Leaders in Anaesthesia
In this piece we discuss hot topics in anaesthesia and pain medicine with David Story, President of the Australian and New Zealand College of Anaesthetists and Dilip Kapur, Dean of the Faculty of Pain Medicine. The episode delves into the exciting presentations and events at the meeting, and discusses ‘Future proofing’ through developing emerging leaders, supporting research and advocating for sustainability in healthcare in Australia and New Zealand. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Professor David Story, Chair, Department of Critical Care, University of Melbourne, and Dr Dilip Kapur, a pain medicine from South Australia.
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Welcome to our coverage of the 2025 ANZCA Annual Scientific Meeting (ASM)
05/03/2025
Welcome to our coverage of the 2025 ANZCA Annual Scientific Meeting (ASM)
In this piece, Andy Cumpstey and Kate Leslie introduce listeners to the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine, being held in Cairns, in beautiful Far North Queensland, Australia. They discuss the history of the meeting, the role of the College and Faculty in CPD for specialists and the wonderful events coming up at the conference. Also, hear about how to tell a ‘freshy’ from a ‘salty’ (crocodile, that is)! Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia.
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Review of the 2025 IARS conference | IARS
04/28/2025
Review of the 2025 IARS conference | IARS
Recorded at the close of the recent IARS (International Anesthesia Research Society) annual meeting held in Honolulu, Hawaii. Our co-editor in Chief Professor Mike Grocott’s arrival at the IARS from the UK was delayed by a fire at Heathrow airport. This piece turns his late arrival into your good fortune, as both Professor Kate Leslie and Professor Monty Mythen, TopMedTalk’s founder, fill him in on the conference. If you missed the IARS this year or were there but could do with a high level summary of the highlights, this podcast is a great place to start. The discussions cover Monty’s workshop presentation on clinical trials and industry partnerships, reflections on clinical trials conducted outside the US, and the potential underutilization of American data in large pragmatic trials. They also talk about cutting-edge trial designs, new drug developments in anesthesia, and notable research abstracts presented at the meeting. Moreover, they cover topics like exercise prehabilitation, nutrition, and cognitive training pre-surgery. There’s an emphasis on the importance of evidence-based guidelines, the potential for combining protocolization with personalized care, and the significant role interactive physical and cognitive exercise plays in patient outcomes. The PREPARE trial piece is here: We mention the forthcoming “2025 World Congress of Prehabilitation and Perioperative Medicine - International Prehabilitation and Perioperative Exercise Testing Society” meeting. More details on that here: Also, we mention Chelsia Gillis, Assistant Professor in the School of Human Nutrition in the Faculty of Agricultural and Environmental Sciences at McGill University. She has featured multiple times on TopMedTalk, if you’d like to hear some of her work start here:
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The Cipher HPI trial with Sandy Jackson | IARS
04/21/2025
The Cipher HPI trial with Sandy Jackson | IARS
The Cipher HPI study focuses on continuous, iterative, perioperative, holistic risk evaluation using advanced hemodynamic monitoring data. The study, integrates preoperative and intraoperative data to predict the need for vasopressors or fluid after surgery. We discuss the study's methodology, results, and the potential implications for clinical practice, including the use of machine learning techniques for better risk prediction and resource optimization in critical care settings. The episode emphasizes the importance of utilizing rich patient data throughout the surgical journey to enhance outcomes and support clinician decision-making. Presented by Mike Grocott and Kate Leslie on location at the International Anesthesia Research Society (IARS) and Society of Critical Care Anesthesiologists meeting in Honolulu, Hawaii, with their guest, Alexander (Sandy) Jackson an anaesthetist and intensive care physician who is also a clinican data scientist, currently funded by the UK's National Insitute of Health and Care Research (NIHR), based at the NIHR Southampton Biomedical Research Centre. We mention Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital, and an occasional presenter here on TopMedTalk. This thought provoking talk from him is a good place to learn more:
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The PREPARE trial with Daniel McIsaac | IARS
04/14/2025
The PREPARE trial with Daniel McIsaac | IARS
The PREPARE trial is a randomized control trial aimed at improving surgical outcomes for older patients with frailty through prehabilitation. This discussion covers the inspiration behind the trial, the structure of the prehabilitation program, and the trial's results. Despite not finding significant improvements in the primary outcomes across all patients, the trial revealed that those who adhered to the program showed clinically meaningful improvements. The conversation delves into the challenges of patient adherence, the role of technology, and the importance of personalized interventions in prehabilitation. Presented by Mike Grocott and Kate Leslie on location at the International Anesthesia Research Society (IARS) and Society of Critical Care Anesthesiologists meeting in Honolulu, Hawaii, with their guest, Daniel McIsaac, Associate Professor of Anesthesiology & Pain Medicine, University of Ottawa, Canada. Further resources: We mention Chelsia Gillis, Assistant Professor in the School of Human Nutrition in the Faculty of Agricultural and Environmental Sciences at McGill University. She has appeared on this podcast multiple times, this presentation is a good place to start: We also discuss The Duke Activity Status Index (DASI) can be found here: There’s also an excellent presentation on which relates to this conversation here: Ensure you are subscribed to TopMedTalk now so you can make full use of our extensive archive with over 8 years worth of high quality medical material available for free.
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Gender Disparities in Surgical Efficiency and Outcomes | IARS
04/07/2025
Gender Disparities in Surgical Efficiency and Outcomes | IARS
In this piece we discuss a ground breaking study on gender differences in surgical efficiency and outcomes with Anika Bald, a medical student from Germany, and Dr. Matthias Eikermann, a clinician scientist and department chair at Montefiore Einstein in New York. The study reveals that women surgeons have shorter delays to starting surgical add-on cases and better postoperative outcomes compared to men. The episode delves into the implications of these findings and discusses the value of diversity and inclusion in medical research and practice. Presented by Mike Grocott and Kate Leslie on location at the International Anesthesia Research Society (IARS) and Society of Critical Care Anesthesiologists meeting in Honolulu, Hawaii, with their guests, Matthias Eikermann, Professor and Chair of Anesthesiology at the Montefiore Medical Center in New York USA and Anika Bald a medical student from Germany.
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Anesthesia Patient Safety Foundation, President, Dan Cole | IARS
03/31/2025
Anesthesia Patient Safety Foundation, President, Dan Cole | IARS
Join us at the International Anesthesia Research Society (IARS) and Society of Critical Care meeting in Honolulu, Hawaii. Here we look at the Anesthesia Patient Safety Foundation (APSF) and speak about the latest advancements and key discussions from the conference. Major topics include the risks and management of intraoperative hypotension, gaps in patient communication, and new research findings. The conversation highlights the importance of continuous monitoring, the Delphi method used in their research, and future directions for APSF, including public campaigns and emerging technologies. Kate Leslie and Mike Grocott speak with their guest, Daniel J. Cole, MD, the president of the Anesthesia Patient Safety Foundation (APSF)
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TopMedTalks to Manu Malbrain
03/24/2025
TopMedTalks to Manu Malbrain
The Society of Critical Care Medicine (SCCM) is the largest non-profit medical organization dedicated to promoting excellence and consistency in the practice of critical care. This piece is presented from their annual conference this year. Presented by Desiree Chappell and Monty Mythen with their guest Manu Malbrain, CMO of Medaman, an initiative that seeks to optimize the use of data in hospitals, combined with a position as professor of Critical Care Research at the First Department of Anesthesiology and Intensive Therapy of the Medical University of Lublin in Poland. He is a co-founder and president of the International Fluid Academy (IFAD), the co-founder, past president, and current treasurer of the Abdominal Compartment Society (WSACS), author and co-author of more than 386 peer-reviewed articles, reviews, comments, editorials, book chapters, and books on abdominal compartment syndrome (ACS) and rational fluid use. His cumulative h-index is 63 on Scopus and 85 on GoogleScholar (with a total of 37000 citations). We mention - and recommend it again here. You can find him here:
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Advancing Patient Safety in Anesthesia, Insights from Sven Stander | TopMedTalk
03/17/2025
Advancing Patient Safety in Anesthesia, Insights from Sven Stander | TopMedTalk
This piece discusses significant advancements and ongoing challenges in anesthesia and perioperative medicine. Our guest shares his journey from his training days at the University of Basel to his influential work in patient safety across Europe; including pioneering efforts with incident reporting and simulation training inspired by collaborations with NASA. The conversation delves into the evolution of safety practices, the emphasis on human factors over technological advancements, and the complexities of teamwork and communication in the operating room. They explore the importance of standardized procedures, the necessity of adaptability in unstandardized situations, and the role of interdisciplinary collaboration in enhancing patient outcomes. We mention the Helsinki Decleration on Patient Safety in Anasethesiology (link below) and touch on the dissemination and integration of safety principles, the financial implications of quality and safety issues in hospitals, and the future direction of patient safety initiatives, emphasizing the need for continued investment in training and teamwork. Presented by Desiree Chappell with her guest, Sven Stander, Senior leading physician in Intensive Care Medicine; Clinical Research, Intensive Care, Anesthesiology at The University of Zurich. Link to the Helsinki Declaration on Patient Safey in Anaesthesiology is here:
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Implementation Q&A | EBPOM World Congress
03/17/2025
Implementation Q&A | EBPOM World Congress
This piece is part four of a four part series on “Implementation, what works and what doesn’t?”. Part one is here: Part two is here: And part three is here: The recording is taken from the Evidence Based Perioperative Medicine (EBPOM) World Congress. For more about EBPOM and the incredible work they do go here: The Q&A session, Chaired by John Whittle, features; Imogen Fecher-Jones, Lead Nurse Perioperative Services, University Hospital Southampton, Joyce Yeung, Professor of Anaesthesia and Critical Care Medicine at the University of Warwick, Tim Miller, Professor of Anesthesiology at Duke University Medical Center and David Probert, Chief Executive Officer at University College London Hospitals NHS Foundation Trust.
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Implementation – what works and what doesn’t? NHS leader perspective – incentives and penalties? | EBPOM World Congress
03/10/2025
Implementation – what works and what doesn’t? NHS leader perspective – incentives and penalties? | EBPOM World Congress
Recorded at Evidence Based Perioperative Medicine (EBPOM) in London last year this presentation is the third of a series of four sessions under the heading: “Implementation – what works and what doesn’t?”. This piece is the third talk in the series, the first is here: The second is here: Next week we will release the panel discussion. In this talk we get an NHS leader’s perspective on the challenges and obstacles in implementing new innovations within the NHS. Drawing from his extensive experience, David Probert highlights the impact of funding reductions, increasing waiting lists, and strict performance metrics on healthcare delivery. He uses case studies, including robotic surgery, to illustrate successful strategies for gaining approval for innovations, emphasizing the importance of aligning proposals with leadership priorities, utilizing first-mover advantage, and integrating patient care systems. Presented by David Probert, Chief Executive Officer at University College London Hospitals NHS Foundation Trust.
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Professional organisations: the ebb and flow of ERAS | EBPOM World Congress
03/03/2025
Professional organisations: the ebb and flow of ERAS | EBPOM World Congress
Recorded at Evidence Based Perioperative Medicine (EBPOM) in London last year this presentation is the second of a series of four sessions under the heading: “Implementation – what works and what doesn’t?”. This piece is the second talk in the series, the first is here: There is one more presentation to come and then we will release a fascinating panel discussion to conclude. In this presentation we cover the historical development and implementation of Enhanced Recovery After Surgery (ERAS); key milestones from Henrik Kellett's pioneering work in the late 1990s, to the formation of the ERAS Study Group and subsequent international efforts. Also, the differences in implementation between countries, particularly the coordinated efforts in the UK through the NHS and the more fragmented approach in the USA. There’s an emphasis on the importance of protocol adherence, auditing, and feedback and barriers to implementation such as lack of agreement with evidence, organizational challenges, and institutional hurdles. Presented by Timothy Miller, Professor of Anesthesiology at Duke University Medical Center. Timothy completed his anesthesia training in Nottingham, UK followed by a fellowship in cardiothoracic anaesthesia at Glenfield Hospital, Leicester, UK. He is a fellow of the Royal College of Anaesthetists. He then joined the Department of Anesthesiology at Duke University Medical Center. His clinical interest is management of the high-risk surgical patient undergoing non-cardiac surgery. His practice is varied and involves general, vascular, major urology and thoracic anesthesia, as well as anaesthesia for transplantation. He founded and is co- director of the Enhanced Recovery After Surgery (ERAS) program at Duke.
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Joyce Yeung – Why don’t we implement trial results? | EBPOM World Congress
02/24/2025
Joyce Yeung – Why don’t we implement trial results? | EBPOM World Congress
Recorded at Evidence Based Perioperative Medicine (EBPOM) in London last year this presentation is part of a series of talks given under the session heading: “Implementation – what works and what doesn’t?”. This piece is part one of four, with two more presentations to come and then a fascinating panel discussion to conclude. This first session focuses on the implementation of clinical trials, covering research methodologies, clinical implementations, and their challenges, and looking at the lengthy process of translating medical discoveries into clinical practice, emphasizing the ethical obligation to disseminate trial results effectively. The under-representation of certain demographics in trials, the gap between research findings and clinical practice, and the need for better communication strategies is stressed alongside solutions, including training for researchers, involving key stakeholders from the start, and the role of funders in supporting effective dissemination and implementation of research findings. Our presenter is, Joyce Yeung, Professor of Anaesthesia and Critical Care Medicine at the University of Warwick. She is Theme Lead of the Emergency, Prehospital, Perioperative and Critical Care Trials group within Warwick Clinical Trials Unit. Clinically she holds appointments as a Consultant in Critical Care Medicine at University Hospital Birmingham NHS Foundation Trust. Joyce is Director of UK Perioperative Medicine Clinical Trials Network. She is joint Clinical Speciality Lead for Anaesthesia, Perioperative Medicine and Pain for West Midlands Comprehensive Research Network. She is also the Chair of Resuscitation Council UK Immediate Life Support Subcommittee and is a member of Scientific and Education Committee at European Resuscitation Council. She serves as expert systematic reviewer and International Liaison Committee on Resuscitation taskforce member. Joyce is Chief Investigator for a major grant examining the impact of volatile versus intravenous anaesthesia in non-cardiac surgery (VITAL trial). Her research interests are applied health research and clinical trials including improving perioperative patient outcomes, chronic pain, post-operative cognitive dysfunction, and resuscitation. For more information about EBPOM and the conferences they are organising this year please go to
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Annual digest - Part 2 | TopMedTalk
02/17/2025
Annual digest - Part 2 | TopMedTalk
This is part two of a two part program covering some of the most listened to pieces we've done in the last 12 months. We'd love you to check out part 1, which is here: In this piece we cover and reflect upon the following podcasts: "The evolution of the Impella device in anesthesia, critical care, and perioperative medicine” Is Trauma Informed Care part of your perioperative process? ROCKet Trial and PANDOS | Euroanaesthesia 2024 "Patient Safety and Quality: New Standards in Anesthesia | #ANES24" And “Perioperative medicine in focus | EBPOM 24”
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Annual digest - Part 1 | TopMedTalk
02/10/2025
Annual digest - Part 1 | TopMedTalk
This is the first of a two part program which covers some of the most listened to pieces we've done in the last 12 months. If you want to follow up on these conversations and get the full detail, for free, follow these links here: "Cardiovascular risk evaluation for non-cardiac surgery, guidelines" - ”Should we delay surgery for prehabilitation?” - ”The importance of intraoperative hypotension” - “Behavioural change vs Psychological interventions: which is key in prehabilitation?” - "Perioperative patient safety and post-operative ward monitoring" -
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The dignity of end of life care | #PeriSIG24
02/03/2025
The dignity of end of life care | #PeriSIG24
In this piece we cover frailty in perioperative and end-of-life care, the assessment of frailty, the challenges of clinical momentum, multidisciplinary team meetings, and the importance of palliative approaches. The conversation also delves into the trajectories at the end of life and the impact of electronic medical records in automating frailty measurement. The episode concludes with reflections on living a healthy life and the dignity of end-of-life care. This piece comes from our coverage of the Perioperative Medicine Special Interest Group Meeting in Melbourne, Australia. Presented by Kate Leslie and Desiree Chappell with their guests Jai Darvall, Associate Professor, anaesthetist and intensive care specialist at the Royal Melbourne Hospital in Australia, where he is co-lead of the perioperative medicine service within the Department of Anaesthesia and Pain Management; and Chuan-Whei Lee, anaesthetist and pain medicine specialist at Royal Melbourne Hospital, and joint clinical lead of perioperative medicine in the Department of Anaesthesia and Pain Management, clinical senior lecturer in the Department of Critical Care, University of Melbourne; and supervisor of training for the Faculty of Pain Medicine, ANZCA.
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Compassion, Empathy and Kindness | #PeriSIG24
01/27/2025
Compassion, Empathy and Kindness | #PeriSIG24
Recorded live from the 13th Australasian Symposium of the Perioperative Medicine Special Interest Group, in collaboration with Summit III and the PeriOperative Quality Initiative (POQI). The theme of the meeting is ‘Improve the quality, enhance the value, protect the future’. This piece provides insights into our guest’s career, the intersection of medicine and writing and the importance of compassion in healthcare. She discusses her background, including her education, her writing for The Guardian, and the content of her recent plenary session about shared decision-making and medical paternalism. We end with some focus on empathy and kindness in patient care, illustrated by a poignant email our guest received from a terminally ill patient. Presented by Desiree Chappell with Ranjana Srivastava, OAM, Medical Oncologist, Monash Health, Melbourne, Fulbright Scholar, Harvard University, a two-time recipient of the Fulbright Award, writer and columnist for The Guardian Newspaper. Enjoy our guest’s writing here: Buy our guest’s books here:
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Patient Safety and Quality: New Standards in Anesthesia | #ANES24
01/20/2025
Patient Safety and Quality: New Standards in Anesthesia | #ANES24
In this piece, recorded at Anesthesiology 2024 in Philadelphia, TopMedTalk explores the evolving landscape of patient safety and quality standards in anesthesia. What have been the significant shifts in patient safety culture? What is the importance of a proactive approach to risk management in anesthesia? We mention this excellent article: Desiree Chappell, Mike Grocott and Monty Mythen speak with their guest, Jonathan Cohen, anesthesiologist, Vice Chair of Quality & Safety in the Department of Anesthesiology at Moffitt Cancer Center in Tampa, Florida, Associate Professor at the University of South Florida, Clinical Assistant Professor in the Department of Medical Education at University of Illinois Chicago, Faculty for the Institute of Healthcare Improvement’s (IHI) Certified Professional in Patient Safety Course.
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TopMedTalks to... Wael Saasouh | #ANES24
01/13/2025
TopMedTalks to... Wael Saasouh | #ANES24
The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. As usual we are there; building on our reputation for exclusive cutting edge conversations recorded at the conference with some of the key speakers, guests and delegates. Here we discuss advancements in anesthesia research and quality improvement, focusing on intraoperative hypotension (IOH) and its impact on patient outcomes. What collaborative efforts are being made to standardize hemodynamic management practices and improve clinician awareness of factors affecting IOH in non-academic settings? The papers mentioned are here: Presented by Desiree Chappell and Mike Grocott with their guest Wael Saasouh, Regional Director of Research at NorthStar Anesthesia, Clinical Assistant Professor, Wayne State University, Clinical Associate Professor, Michigan State University.
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