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
info_outline EBPOM Chicago 2020 | Managing OR Capacity In a Post #COVID19 World 09/26/2020
EBPOM Chicago 2020 | Managing OR Capacity In a Post #COVID19 World How do we manage our operating room capacity and restore elective surgery in a post-COVID19 world? A world where conditions change week by week, sometimes day by day. Managing capacity was always a challenge but now we need to think differently in order to stay resilient and agile. How has COVID19 changed the landscape now? What are the tools that exist to handle it? What are the systems and best practice guidelines that are helping institutions cope? How do we look at supply and demand within the constraints of what's available to us? Finally the possibility of a "second wave" is investigated, how should it be tackled should it arise? Presented by Sanjeev Agrawal, President, LeanTaas.
info_outline TopMedTalk | The heart of the debate 09/25/2020
TopMedTalk | The heart of the debate What are the hot topics in the cardiac world at the moment? This piece tackles; the need for gender balance when composing panels and building a successful event; the need to do what we know and do it well; how quality improvement benefits from simplicity; the need to keep younger practitioners involved and finally the need for a fuller engagement with the multidisciplinary aspect of cardiac care. Presented by Desiree Chappell and Monty Mythen with Sol Aronson, tenured Professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology and Michael Eaton, Professor and Chair of Anesthesiology and Perioperative Medicine at the University of Rochester, New York.
info_outline TopMedTalk | Innovators in Anesthesia 09/24/2020
TopMedTalk | Innovators in Anesthesia This piece tells the story of two different innovators in the field of an anesthesia. The first is, The Pediatric Device for Induction of Anesthesia (PeDIA), a mask-free anesthesia delivery system designed for kids. The second is the Error Recovery and Mitigation Aide (ERMA), a reworking of the traditional needle box whereby a clear reservoir is inserted between the re-entry proof top and opaque terminal disposal portion, allowing practitioners to have visualization of all the syringes and vials used during the course of a procedure. At the end of a single procedure, a trap door in the bottom of the reservoir is released to allow those sequestered vials and syringes to drop into the bottom of the needle box for terminal disposal. This allows providers to recognise, check and confirm possible errors in a timely fashion. Also during this piece there is a wide ranging and fascinating discussion about patents and patenting. How does the process work, how can you patent your ideas and how does the advent of block chain technology potentially change this forever? Google Patents is here: Check out the PeDIA website here: For more information about ERMA go here: The Facebook Group "CRNA Inventors and Innovators" mentioned in this piece is here: This piece was part of our coverage of The American Association Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the AANA here: Presented by Desiree Chappell and Monty Mythen with their guests Diane Miller, Pediatric Devices for Induction of Anesthesia | Product Development | PeDIA, LLC and Jean Snyder, CRNA Inc. Co-owner Goodwin and Snyder Anesthesia Associates, PLLC.
info_outline TopMedTalk | The AI Doctor will see you now 09/23/2020
TopMedTalk | The AI Doctor will see you now This piece features a short informative presentation from our Editor in Chief Monty Mythen regarding Artificial Intelligence and the HPI Monitor developed by Edwards Life Sciences. It is followed by question and answer session faciliated by both our online presence, studio audience and invited guests. The "Perioperative Quality Initiative consensus statement on the physiology of arterial blood pressure control in perioperative medicine" piece mentioned is here: Presented by Desiree Chappell and Monty Mythen with, Feras Hatib, Phd, Director, Research and Development, Algorithms and Signal Processing at Edwards Lifesciences.
info_outline TopMedTalk | Education, anaesthesia and you. 09/22/2020
TopMedTalk | Education, anaesthesia and you. Discussion begins with thoughts about University College London (UCL)'s Masters Course in Perioperative Medicine, moving further to the various ways in which people can learn more about the specialty The wider conversation reaches out into the field of anaesthesia and the constant shortage of practitioners that there is in the UK and more widely around the world. Also, if you're intrigued, here's the link to the free 4 week course discussed in this podcast: Presented by Desiree Chappell and Monty Mythen with their guests David Walker, Professor in Anaesthesia and Critical Care Medicine, University College London Hospitals, Honorary Senior Lecturer UCL and Dr Rob Stephens, Consultant in Anaesthesia, UCLH, Hon Senior Lecturer in Anaesthesia, UCL.
info_outline EBPOM Highlight | PQIP Pain: from individual case to systems management 09/21/2020
EBPOM Highlight | PQIP Pain: from individual case to systems management "PQIP Pain: from individual case to systems management" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on If you're looking for the talk mentioned here featuring Paul Wishmeyer it is here: If you have any comments or questions you'd like to send to the team email: Presented by Dr Natasha Curran, consultant in anaesthesia and pain management University College London Hospital (UCLH) and Medical Director at the Health Innovations Network, South London. -- EBPOM | Dingle - the hottest tickets in anaesthesia and perioperative medicine - go now to the website:
info_outline Sunday Special | Part 1 of TRIPOM USA 09/20/2020
Sunday Special | Part 1 of TRIPOM USA Trainees with an interest in perioperative medicine (TRIPOM) is an ever growing organisation set to continue the global push for perioperative care. This high energy podcast gives you a taste of the enthusiasm people pick up as they learn more about the value of these ideas. The focus here is on promoting healthy aging across two primary domains: cognitive function and physical ability. Discover how multiple features of aging—including physical and cognitive decline—are strongly associated with the bioenergetic profiles of circulating cells. Could the ability to diagnose mitochondrial health address central challenges in geriatric medicine, such as the need for personalized health care based on an individual’s unique physiology and “biological age”? How does this gripping research impact upon our work during the perioperative period? Co-Presented by Rob Schiller MD, Temple University School of Medicine and Anaeshesia, resident at Duke University and Vice-Chair of TRIPOM USA and Bridger Back MD, University of Utah School of Medicine and Anaesthesia resident at Duke University and Chair of TRIPOM USA. This podcast features a talk from Anthony J. Molina, PhD, Associate Professor, Gerontology and Geriatric Medicine. It also contains a contribution from John Whittle, assistant Professor at Duke University Medical Centre and one of the founders of TRIPOM.
info_outline EBPOM Highlight | Enhanced Recovery After Cardiac Surgery 09/19/2020
EBPOM Highlight | Enhanced Recovery After Cardiac Surgery "Enhanced Recovery After Cardiac Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: If you have any comments or questions you'd like to send to the team email: Daniel Engelman is the Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center. He is an Associate Professor of Surgery at The University of Massachusetts-Baystate. He started the ERAS® Cardiac Collaborative to internationally standardize best practices. -- EBPOM | Dingle - the hottest tickets in anaesthesia and perioperative medicine - go now to the website:
info_outline Periop SIG 2019 | Improving the quality of the patient surgical journey 09/18/2020
Periop SIG 2019 | Improving the quality of the patient surgical journey What are the latest developments in quality improvement programs that help operative teams around the world take what they do to the next level? When does the surgical journey begin? How has a focus upon patients prior to surgery improved outcomes? What are "the five phases of care"? How has data collection and management helped us to continually improve a patient's surgical journey? This piece is a talk which was given during the 8th Australian and New Zealand Symposium of Perioperative Medicine Special Interest Group: “Updates in Perioperative Medicine 360” which took place between November 7th-9th 2019 Presented by Clifford Ko, Professor of Surgery at UCLA, Director of the Division of Research and Optimal Patient Care at the American College of Surgeons.
info_outline AANA | Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe? 09/17/2020
AANA | Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe? "4-10% of opioid naïve patients will continue to use opioids more than 90 days after surgery" Opioids are good for pain control but there's another issue, they also numb emotional pain. How do we responsibly deal with this? It's important to remember: "When you give patients high doses, you're putting them at risk". Long term listeners will recall TopMedTalk spent the best part of our launch year on this topic. If you're one of our many new listeners please use this huge resource of podcasts to help update your practice and cut down unnecessary risk: "We should be minimizing opioids every chance we can", if you want to cut straight to our groundbreaking talk on opioid free anesthesia please go here: Presented by Desiree Chappell and Monty Mythen with their guest Jennifer Lanzillotta-Rangeley, CRNA, PhD, Assistant Professor, College of Nursing, University of Cincinnati, Cincinnati, Ohio. -- EBPOM | Dingle - the hottest tickets in anaesthesia and perioperative medicine - go now to the website:
info_outline EBPOM 2019 | Delaying surgery to adequately prepare? 09/16/2020
EBPOM 2019 | Delaying surgery to adequately prepare? A quick surprising poll of perioperative practitioners sets the tone for a robust advocation of the responsibility of surgeons and practitioners to do surgery right; as opposed to being inclined to feeling it must be done "right now!". A data driven approach combined with a patient focused attitude are at the centre of the argument. How do these factors combine to produce a business case which all institutions, practitioners and patients can understand? In terms of time spent, what do we mean when we say "delay"? How do we overcome a patient's attitudes towards healthcare professionals, if they feel there has already been a delay in 'getting treatment'? How can the pathways from diagnosis to recovery be shortened or made more flexible? Can a case manager help this process? Is eight weeks an acceptable waiting time, can we reasonably expect it to be less than that? Presented by Gerrit Slooter, MD, PhD, Surgical Oncologist, Maxima Medical Centre, The Netherlands.
info_outline TopMedTalk | Gezz Van Zwanenberg, Matt Wiles and Marcus Peck. 09/15/2020
TopMedTalk | Gezz Van Zwanenberg, Matt Wiles and Marcus Peck. What insights does a history of working in military healthcare bring? How do we cut back on readmissions to hospital after time spent in the intensive care unit? How serious an issue is 'burn out' within healthcare? How did standardisation help when designing an award winning patient transfer bag? What's the best way to transfer a patient from ward to ward or from institution to institution? How do we handle data during this period? What do we think about remote supervision and monitoring? Could a dedicated transfer team be useful? Could a new anaesthesia drug be on the way for the NHS soon? How can training in ultrasound be improved? And lastly, will improvements in artificial intelligence ultimately cost us our jobs? Recorded live at the Association of Anaesthetists' Winter Scientific Meeting 2020, from The Queen Elizabeth II Centre, London, UK. This piece follows on from part one, which you can find here: Presented by Monty Mythen featuring guests, Gezz Van Zwanenberg, Nurse and Project Lead North West London Critical Care Network, Matt Wiles, Consultant Anaesthetist & Senior Clinical Lecturer at Sheffield Teaching Hospitals NHS Trust and University of Sheffield and Marcus Peck, NHS Consultant in Anaesthesia and Intensive Care Medicine at Frimley Park Hospital and Chair of Focused Intensive Care Society’s (FICE) Committee. -- EBPOM | Dingle - the hottest tickets in anaesthesia and perioperative medicine - go now to the website:
info_outline TopMedTalk | Matt Wiles and Marcus Peck. 09/14/2020
TopMedTalk | Matt Wiles and Marcus Peck. Recorded live at the Association of Anaesthetists' Winter Scientific Meeting 2020 in the centre of London from The Queen Elizabeth II Centre. Hear the conversation and questions asked by our online audience. In our online world is there still a place for a paper based journal? What are the big stories and hot topics of 2020 going to be? What about hyperoxia? How does what we do effect the environment? What are the latest thoughts about 'depth of anaesthesia'? The podcast mentioned in this piece is here: https://www.topmedtalk.com/anes19-timothy-short-and-kate-leslie/ This link takes you to the trial: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)32315-3/fulltext Is there a future for volatile anaesthesia? What's the future for pediatric intensive care units? How can we use ultrasound technologies to enhance patient care? Will the iconic stethoscope end up with dust on it? What's the future for ultrasound in the intensive care unit? Presented by Monty Mythen with his guests Matt Wiles, Consultant Anaesthetist & Senior Clinical Lecturer at Sheffield Teaching Hospitals NHS Trust and University of Sheffield and Marcus Peck, NHS Consultant in Anaesthesia and Intensive Care Medicine at Frimley Park Hospital and Chair of Focused Intensive Care Society’s (FICE) Committee.
info_outline DINGLE 2019 | The Power of Perception 09/13/2020
DINGLE 2019 | The Power of Perception How can we learn more by seeing more? This fascinating piece looks at how learning and the zone of proximal development (ZPD) of a student can be used to help the process. We are learning about learning, thanks partly to the use of algorithms that monitor our progress and performance. This talk asks challenging questions; "In terms of performance, just think technical procedures at the moment, is there such a thing as an 'expert performance' of any of the techniques we do daily"? How do we get training to produce clinically meaningful performances? The articles mentioned in this piece are here: "Looking and seeing" by Roger Kneebone: "Machine Learning Identification of Surgical and Operative Factors Associated With Surgical Expertise in Virtual Reality Simulation", published by The Journal of the American Medical Association (JAMA) is here: And, "Proficiency-based progression training: an ‘end to end’ model for decreasing error applied to achievement of effective epidural analgesia during labour: a randomised control study" is here: This talk, originally titled "Recent research articles in medical education", presented by George Shorten, Professor, Anaesthesiology and Intensive Care Medicine and Consultant Anaesthesiologist at Cork University Hospital, at last year's "21st Current Controversies in Anaesthesia & Peri-Operative Medicine and SIAA Autumn Congress" at the Dingle Skellig Hotel, Ireland. -- EBPOM | Dingle - the hottest tickets in anaesthesia and perioperative medicine - go now to the website:
info_outline TopMedTalk | Computer gamer to life saver 09/12/2020
TopMedTalk | Computer gamer to life saver What happens when cutting edge computer game creators, fresh from working on top titles in their industry such as 'Hunger Games' and 'Mission Impossible', use their skills to simulate high stress moments from the real world of anesthesia and surgery? Using "the neuro-science of game design" to help accelerate learning within the profession: "The motivation for starting Level Ex, what if we actually took the top game designers and developers in the industry? We're talking the executive producer of "Mortal Kombat", the creative director of "Call of Duty", the marketing director of "Words with Friends"; put them with top physicians from multiple specialties, to capture the challenges of the practice of medicine using video game mechanics". "This doesn't recreate the mannequin, what this does replace is the five hundred live patients you need to train on in order to encounter those five to ten rare scenarios because we can recreate the rare and the difficult and then we can help you train your visualization skills, your recognition skills, your deductive reasoning skills, on those cases." The key point here is not that motor function is being copied by a screen interactive experience but instead the aim is to "optimise cognitive load" and recreate the thought process alongside an emotional experience. "We're not introducing you to how to do a fiber optic intubation, we're going to present dozens of rare difficult challenging once in a lifetime cases". Here computer games can currently excel in their teaching ability, "it's a cognitive skill, it's a decision making algorithm". As time ticks by in the simulation "you do get to a point where there's no return and you have like three minutes to do this successfully and so your algorithm and decision making is absolutely crucial". It's about taking in data and making decisions in a way that is not possible on a mannequin or ethical on a live patient. "Everything that goes into the app is peer reviewed" and, with any computer game you can earn points as you go along; this game though gives you (Continuing Medical Education) CME points. Google Play: Apple: Open Anesthesia is here: Presented by Desiree Chappell and Monty Mythen with their guests. Sam Glassenberg, CEO and Founder of Level Ex, before which he was CEO of the leading independent game publisher in Hollywood, releasing games based on popular films, including The Hunger Games and Mission: Impossible, he also led the DirectX graphics team at Microsoft, where he accepted a Technical Emmy on behalf of his team for advancing the visual realism of video games across the industry. His career began at LucasArts, creating Star Wars games for PlayStation and Xbox. Sam serves on numerous industry advisory boards and speaks internationally on video games in medicine. Robert H. Thiele, Associate Professor, Departments of Anesthesiology and Biomedical Engineering, Division Chief, Critical Care Anesthesiology, Board of Directors, University Physicians Group, University of Virginia School of Medicine. He has a background in engineering and has been using technology to improve education since his residency in 2008. He is co-founder of which lead to the development of Self-Study, and also authored one of the first iBooks focused on cardiac and critical care ultrasound.
info_outline TopMedTalk | Iron Man vs Anemia 09/10/2020
TopMedTalk | Iron Man vs Anemia "You've given us all a lot to think about" - a randomized controlled trial regarding intravenous iron does not go 'as expected'. "I mean, look, I've built my entire career on thinking this was the best thing since sliced bread, the silver bullet, the magic wand ..." A great scientist follows accurate data to wherever it may lead, what now? More trials, more time, more questions? How common is anemia? Are there any nuggets of hope buried within these data? What have we learned? Evidence Based Perioperative Medicine sticks to the facts and there's nothing more important than data; make sure you listen to the end, there are interesting details that give many a sense of optimism. Preoperative intravenous iron to treat anaemia before major abdominal surgery (PREVENTT): a randomised, double-blind, controlled trial is here: Toby is a popular contributor to TopMedTalk - check out his earlier piece here: Presented by Monty Mythen and Mike Grocott with their guest Toby Richards, Professor, Anaesthesia Teaching & Research Faculty of Medicine, Nursing and Health Sciences Central Clinical School, Monash University.
info_outline TopMedTalk | World Suicide Prevention Day 09/10/2020
TopMedTalk | World Suicide Prevention Day "We take care of the world but we don't take care of ourselves" This piece is focused on suicide and emotional stress, the latter has been a theme on TopMedTalk for some time now. Here you'll find out how to tackle this significant health concern, how to identify it, what the warning signs are, how to develop emotional intelligence and information regarding drug free novel therapies including the arts and music. It features conversations from the following pieces: AANA 2020 | Suicide Prevention in Anesthesia: CRNAs and SRNAs This piece featuring Catherine Horvath DNP, CRNA, Assistant Professor and Program Director of the Doctor of Nursing Practice Nurse Anesthesiology Track at Johns Hopkins School Of Nursing, Baltimore MD, Chuck Griffiths, PhD, CRNA, USC, Assistant Clinical Professor at the UCLA School of Nursing, Faculty, USC Doctor of Nurse Anesthesia Practice Program and Fara Lekhnych, MSN, CRNA, The Johns Hopkins Hospital, Baltimore. AANA 2019 | Emotional Intelligence and Occupational Stress: This piece features Andrea Bittinger, CRNA from William Beaumont Hospital. TopMedTalk | WHO is looking at the arts and health? This features Katherine Taylor, Clinical psychologist, Arts & Mental Health Innovation Programme Manager at GMiTHRIVE. World Suicide Prevention Day is covered in more detail here: There's also an interesting resource on the World Health Organisation website here: The AANA has a page with more information about Jan Stewart here: The Social Prescribing Network is here: AANA Peer Assistance Helpline: 1 800 654 5167 US National Suicide Hotline: 1-800-273-talk (8255) Depression and Suicidal Ideation is tackled further on the AANA website here: Presented by Nick Margerrison with interviews also conducted by Desiree Chappell and Monty Mythen.
info_outline TopMedTalks to ... | Michael Ramsay 09/09/2020
TopMedTalks to ... | Michael Ramsay The Patient Safety Movement Foundation (PSMF) has ambitious targets to limit preventable deaths in healthcare, this piece explains how they intend to reduce them down to zero. They need your help, this is a global movement with an action plan to improve the world in an important but achievable way. Their website is here: Monty Mythen and Desiree Chappell speak with their guest Michael Ramsay, Chairman, Department of Anesthesiology and Pain Management, Baylor University Medical Center, and President of Baylor Scott & White Research Institute.
info_outline POCAPALOOZA | Los Angeles-USA 09/08/2020
POCAPALOOZA | Los Angeles-USA "Coming out of this pandemic, and this crisis, I think the future for perioperative medicine is very bright and we should definitely take the opportunity and really build on that now..." The two co-vice presidents of The International Board of Perioperative Medicine join Desiree's POCAPALOOZA; this conversation is global in its context, with perceptive reflections upon the US healthcare market specifically. "Towards high‐quality peri‐operative care: a global perspective" - the paper we begin by discussing - is here: As anesthesiologists "we are part of teams" how can innovations like tele-medicine help us to do better? Are we right to be optimistic about our specialty in this difficult time? What are "the four M's"? The International Board for Perioperative Medicine is here: The Global Health Data @ Work team - which both our guests contribute to - are an invaluable resource; visit them here: The Hartford Foundation is here: "Perioperative medicine journal" is here: Listeners will also doubtless enjoy this paper - highlighted in the conversation - here: "The Brain-Heart Connection: GCBH Recommendations to Manage Cardiovascular Risks to Brain Health" - Presented by Desiree Chappell with Lee Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). If you loved this piece please enjoy another episode of TopMedTalk featuring Lee Fleisher here: Or check out some more of Carol Peden's work here: Attentive listeners will also recall that we mention the impressive work of Maurizio Cecconi; we profile him here: And finally we mention change management, a theme on TopMedtalk. Check out this classic piece here: ERAS Team Working and managing change -
info_outline EBPOM London 2020 | Perioperative care: A new paradigm for the next decade 09/07/2020
EBPOM London 2020 | Perioperative care: A new paradigm for the next decade "Patients undergo surgery for important reasons, we need to improve surgical outcomes to the point where anyone can have surgery - and I believe that is do-able; we need to implement what we know, we need to avoid missed opportunities and we need to conduct more research. We should learn from the history of anesthesiology and how intraoperative care so dramatically improved outcomes" This powerful data based talk sets a bold standard for the year, a highlight from the momentous (Evidence Based Perioperative Medicine) EBPOM 2020 - Live From London, it featured as this year's Ernest Henry Starling Plenary Lecture, entitled: "Perioperative Care: A new paradigm for the next decade". Introduced by Mike Grocott and presented by P.J. Devereaux, MD, PhD, FRCP(C), McMaster University, cardiologist, clinical epidemiologist, and perioperative care physician. Director of the Division of Perioperative Care at McMaster University he is the Associate Deputy Director of the Population Health Research Institute. He is also the Scientific Leader of the Anesthesiology, Perioperative Medicine, and Surgical Research Group at the Population Health Research Institute. A full Professor in the Departments of Health Research Methods, Evidence, and Impact (HEI) and Medicine at McMaster University. He has published over 330 peer reviewed papers and over 80 book chapters, editorials, and commentaries. He has given over 900 lectures and research presentations in 40 countries. He is supported by the McMaster University/ Hamilton Health Sciences Chair in Perioperative Care and a Tier 1 Canadian Research Chair in Perioperative Medicine. He's also the President of the Society of Perioperative Research and Care.
info_outline EBPOM 2019 | Nutrition and surgery- a Dietician’s perspective 09/06/2020
EBPOM 2019 | Nutrition and surgery- a Dietician’s perspective What are the two prime components of any good nutrition programme? How is avoiding malnutrition different from supporting anabolism? What's the best way to screen patients for malnutrition risk? How can a patient's anthropomitry be assesed alongside their stated needs and preferred outcomes? How important are protein supplements? What are the wider benefits of a good diet? How do we devise nutrition care plans for malnurished patients who need a more aggressive approach? Is it fair to say that everybody can benefit from some nutritional consultation day a dietician? What are the data and studies which support prehabilitation nutritional programmes? Presented by Chelsia Gillis, Registered Dietitian, Canadian Vanier Scholar, and PhD Candidate in Epidemiology at the University of Calgary, Canada, she is leading the first prehabilitation program for colorectal surgery in Alberta.
info_outline TopMedTalks To ... | Professor Monty Mythen 09/05/2020
TopMedTalks To ... | Professor Monty Mythen What is TopMedTalk and how did it come about? Why is perioperative medicine such an inspiration to us? Why is our Editor in Chief such an advocate? What is the opioid crisis? Broadcaster Nick Margerrison speaks with Monty Mythen our Editor in Chief about TopMedTalk and perioperative medicine. We regularly enjoy reading your feedback:
info_outline EBPOM 2019 | Methadone - the overlooked Opiate? 09/04/2020
EBPOM 2019 | Methadone - the overlooked Opiate? Is methadone "the opioid sparing opioid"? This talk looks at where we are at as regards opioids, in the shadow of a national crisis for the USA; is it possible that methapone might offer us answers? This piece looks at the idea that methadone might be a way to deliver a better more effective, multimodal, opioid sparing, analgesia with a reduced chance of a post operative repiratory events and decreased post-operative pain. This talk is complimented well by our consersation, live from the conference, which you can find here: The World Health Organisation's analgesic ladder is here: Presented by Evan Kharasch, MD, PhD, Professor and Vice Chair for Innovation in the Department of Anesthesiology at Duke University, Director of Academic Entrepreneurship, Duke University School of Medicine.
info_outline EBPOM 2019 | The Barcelona experience 09/03/2020
EBPOM 2019 | The Barcelona experience What can the experiences of a team who helped to introduce pre-operative assesment and prehabilitation to Barcelona teach us about how to most effectively implement and sustain similar programmes where we are? How and why is prehabilitation helpful in terms out outcomes and value based care? How long can the benefits of prehabilitation be maintained? What is the value of nutritional consultation, how important is it to asses your patients pre-operative protien intake? Would it help to offer all of your patients mindfullness sessions? How important is it to include patient's partners or carers in sessions? Also, is it possible for you to tap into and harness the enthusiasm of sporting professionals? Presented by Graciela Martinez-Palli, Consultant in the Department of Anaesthesia and Perioperative Care at Hospital Clinic, Barcelona. She attends as anaesthesiologist for oncologic digestive surgery and liver transplantation.
info_outline EBPOM 2019 | Prehab trials; international study 09/02/2020
EBPOM 2019 | Prehab trials; international study The International PREHAB trial. This short piece explains the trial's protocol and the scope of the study. Presented by Charlotte Molenaar, PhD Candidate, multimodal prehabilitation in colorectal cancer care, BIJ Maxima Medisch Centrum, Coordinator of the international PREHAB trial.
info_outline POCAPALOOZA | Hong Kong, Mike Irwin 09/02/2020
POCAPALOOZA | Hong Kong, Mike Irwin EBPOM might be over but the global perioperative festival, the POCAPALOOZA, continues. Either we've locked our team in their rooms and forced them to continue broadcasting or they're driven by a raw enthusiasm for the results of perioperative care to be shared around the world, either way this piece is our penultimate installment before we return to Cape Town. What's the situation like, in terms of medicine, in Hong Kong at the moment in the wake of COVID 19? "Early intervention and people taking it seriously is a big thing" The conversation evolves as our guest speaks to the realities of moving internationally to pursue your career in medicine. Can a truly global perspective better position the medical community when it comes to international co-operation? The World Congress of Anaesthesiologists is here: For more about the African Perioperative Research Group (APORG) start here: Also, what's the future of medical conferencing in the world of COVID 19 and the global pandemic? Presented by Desiree Chappell and Monty Mythen with Mike Irwin, Professor, Head and Chief of Service, Anaesthesiology HKU, Gleneagles Hospital
info_outline TopMedTalks to ... | Joe Kiani 09/01/2020
TopMedTalks to ... | Joe Kiani The concern for patient safety naturally flows throughout the healthcare continuum. In our discussion with Masimo Founder, Joe Kiani, we discuss the 'planning for zero’ initiative and how we can realistically reach perfection in this area. The Patient Safety Movement Foundation is an organization dedicated to a goal of ZERO in-hospital preventable deaths by 2020. They request that you and your organization get involved and commit to this goal. Find out more at Presented by Desiree Chappell and Monty Mythen with their guest Joe Kiani, Founder, Chairman & CEO of Masimo, Cercacor & Patient Safety Movement Foundation.
info_outline EBPOM 2019 | The Science of High Performance: Insights From Elite Sport 08/31/2020
EBPOM 2019 | The Science of High Performance: Insights From Elite Sport Insights and perspectives on the science of prehabilitation from a very different angle. It's often said on TopMedTalk that preparing for an operation is not unlike getting ready for a marathon; how do the insights of professionals who work with elite sports men and women to ensure they are fully prepared to do their physical best, on the world stage? Also, what about the teamwork inherent in such activities as the pitstop of a formula one car? Athletes, coaches and a wide number of different experts come into play ensuring a multidisciplinary team converge with essentially the same end in sight as a perioperative prehabilitation team; optimum performance at a crucial time. Challenges are similar between the two disciplines; how do we foster a culture of learning and teamwork in a high pressure environment where the bottom line carries enormous life changing consequences? Regular listeners to TopMedTalk may recall the unofficial preamble to this talk, "Prehab Periop World Congress: Gerard Danjoux, Ken Van Someren": Presented by Ken Van Someren, Director KvS Performance Ltd.
info_outline EBPOM 2019 | The Manchester devolution revolution 08/30/2020
EBPOM 2019 | The Manchester devolution revolution What are the opportunities presented to a perioperative practitioner when political devolution becomes a reality? What can we learn from the experiences of a team leading the introduction of ERAS+ and prehabilitation across Greater Manchester with a 'Spread and Scale innovation grant' from the Health Foundation? How do you demonstrate benefits which patients and fee payers can understand? How do you go about leading a prehab transformation program, which aims to provide prehab for more than 2000 patients affected by cancer, over 2 years? The GM teams are very happy to host teams in Manchester who may want to visit MFT and see Surgery School in action and show colleagues what they are aiming to achieve with GM Cancer Prehab. Email John on or ERAS+ website is here: NHS Innovation Accelerator website: GM Active are here: Presented by John Moore, consultant in anaesthetics and critical care medicine from Manchester, UK, Clinical Head of the Division of Anaesthetics, Peri-operative medicine and Critical Care at Manchester University Hospital NHS Foundation Trust.