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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SCA | The Society of Cardiovascular Anesthesiologists
05/24/2020
SCA | The Society of Cardiovascular Anesthesiologists
After a short overview of the history of the Society of Cardiovascular Anesthesiologists (SCA) this conversation zones in on some of the hot topics that are being discussed in the field; devices and extracorporeal membrane oxygenation (ECMO) machines, as well as trans-esophageal echocardiography and how the practice has evolved. The conversation ends with a discussion about pre-habilitation in a resource stretched environment. Presented by Desiree Chappell with Sol Aronson with Jamie Ramsey Medical Director Cardiac ICU at UCF and Gerald Levy, MD at Duke University.
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Anaesthesia 2019 | UK Centre for Perioperative Care
05/23/2020
Anaesthesia 2019 | UK Centre for Perioperative Care
The Centre for Perioperative Care (CPOC) is a cross-specialty centre dedicated to the promotion, advancement and development of perioperative care. Led by the Royal College of Anaesthetists to facilitate cross-organisational working on perioperative care for the benefit of patients. A partnership between patients and the public, other professional stakeholders including Medical Royal Colleges, NHS England and the equivalent bodies responsible for healthcare in the other UK devolved nations. The aim is to improve quality of care, support patients and professionals as well as influence policy, technology, research and innovation. CPOC launched on 20 May 2019 at the Anaesthesia 2019 event. Follow them on Twitter at @CPOC_News There is a page on the Royal College of Anaesthetists' website here: Presented by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and frequent TopMedTalk contributor.
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Anaesthesia 2019 | The Centre for Perioperative Care (CPOC)
05/22/2020
Anaesthesia 2019 | The Centre for Perioperative Care (CPOC)
This piece focuses on The Centre for Perioperative Care (CPOC). How does it work, what are its goals and who is involved? Also, what digital innovations will CPOC be looking towards? For more information check out the website here: Originally recorded live at Anaesthesia 2019; where world-renowned experts presented the latest advances in perioperative medicine, critical care and pain medicine. Presented by Monty Mythen and Mike Grocott with their guest David Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC).
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Anaesthesia 2019 | Tim Cook and Paul Wischmeyer
05/21/2020
Anaesthesia 2019 | Tim Cook and Paul Wischmeyer
The Royal College of Anaesthetist's National Audit Projects (NAP) are frequently fascinating and always important, here we get a look at NAP7, which will examine Perioperative Cardiac Arrest. The conversation also explores the Sprint National Anaesthesia Projects (SNAP) organised by the National Institute of Academic Anaesthesia. There's also discussion regarding muscle quality, malnourishment and ultrasound. The conversation progresses to Quality Improvement and the latest evidence there. This includes discussion of The National Emergency Laparotomy Audit (NELA). Their website is here: Find out more about Emergency Laparotomy Quality Improvement Care Bundle - ELPQuiC - here: Find out more about the Emergency Laparotomy Collaborative here: If you're looking for the hugely popular debate regarding direct laryngoscopy we mention in the podcast go here: Finally Carol Peden gets mentioned frequently in this talk, she appears on TopMedTalk here: Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine. Presented by Monty Mythen with Tim Cook, Consultant in Anaesthesia and ICM, Royal United Hospitals, Bath and Paul Wischmeyer, Professor of the Department of Anesthesiology, Duke University.
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Anaesthesia 2019 | Developmental neurotoxicity
05/20/2020
Anaesthesia 2019 | Developmental neurotoxicity
Developmental neurotoxicity; can human infants exposed to anaesthesia early in their early development really be facing risks which we were previously unaware of? There's a lack of evidence at the moment but outcomes for young animals have raised concern. Given the complexities of human neurodevelopment how can such issues be reliably detected? Presented by Joff Lacey with his guest Hugh Hemmings Senior Associate Dean for Research, Professor and Chair of Anesthesiology at Weill Cornell Medicine.
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Anaesthesia 2019 | The Future of Anaesthesia
05/19/2020
Anaesthesia 2019 | The Future of Anaesthesia
This excellent conversation explores how Anaesthesia as a profession will the profession evolve as the years pass; change is inevitable and the direction of it is becoming clearer but what it's pace will be is still uncertain. How will we adapt to the new roles and requirements we can see coming towards us in the near future? Will "the computers take over" or do we see a future where roles will be made simpler and more automated? Should Anaesthetists expect to tackle more of a leadership role in the future? Also, what is the "technological singularity"? Should we be concerned about it? Finally, some thoughts on what it really means to work in healthcare, how are we different to the super computers we imagine doing our work in years to come and might these differences be unique advantages that can never be emulated? Originally broadcast live from Anaesthesia 2019; a 'must-attend event' for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine. Presented by Joff Lacey with Mike Swart, Consultant in Anaesthesia and Critical Care Medicine at Torbay Hospital and advisor to the UK Department of Health for the Enhanced Recovery Programme.
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Anaesthesia 2019 | Paul Wischmeyer
05/18/2020
Anaesthesia 2019 | Paul Wischmeyer
"Keeping the care in healthcare", is the agenda for this powerful and wide ranging conversation with one of our most popular contributors. How do we keep the priority of what we do at the forefront of our minds? Does the information we've learned recently on TopMedTalk about "burn out" impact on our understanding of poor levels of care in healthcare? Is it possible to rate providers on how much care they display? Also; "what is a microbiome"? The second half of this conversation is a deep dive into "the bugs that make us whole". How can this remarkable area of research help to improve our overall well being and health? How does it impact upon our understanding of cesarean delivery (c section)? Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine. A fascinating conversation about "burn out" is here: We mention this piece here, one of TopMedTalk's most downloaded podcasts: Presented by Monty Mythen with Paul Wischmeyer, Professor of the Department of Anesthesiology, Duke University.
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TopMedTalks to ... | Maurizio Cecconi
05/17/2020
TopMedTalks to ... | Maurizio Cecconi
This piece focuses on intensive care, the use of data and the future of fluid therapy research and its related physiological outcomes. The article mentioned in this podcast is here: "Perioperative haemodynamic therapy for major gastrointestinal surgery: the effect of a Bayesian approach to interpreting the findings of a randomised controlled trial" Presented by Desiree Chappell and Monty Mythen with their guest Maurizio Cecconi, Head of the Anaesthesia and Intensive Care Department at Humanitas Research Hospital; President-elect of the European Society of Intensive Care Medicine (ESICM) for 2020-2021, Chair Division of Scientific Affairs at ESICM; Director of the Master in Patient Blood Management at Humanitas University. -- Like this, want more? Rupert Pearse, one of the co-authors of the above article, was interviewed on TopMedTalk here:
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EBPOM 2019 | SNAP-2 - EPICCS
05/16/2020
EBPOM 2019 | SNAP-2 - EPICCS
The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care after Surgery (SNAP-2 - EPICCS) study launched in March 2017 around the UK. More than 2,200 investigators at more than 250 sites across the UK were signed up to take part. The observational study collected data on all patients undergoing inpatient surgery during a one-week period (21 March to 27 March) in UK NHS hospitals. The website is here: This talk explains the study and its far reaching implications. Another talk on SNAP-2 is available here: Presented by Ramani Moonesinghe, Professor of Perioperative Medicine at University College London (UCL).
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Periop SIG18 | Risk prediction and research - panel discussion
05/15/2020
Periop SIG18 | Risk prediction and research - panel discussion
This piece is a question and answer session regarding the care of elderly patients undergoing surgery. Discussion topics include; The RELIEF trial, e health tools, gathering and accessing data, whether it is better to over estimate risks and which risk calculator is most appropriate to use where you are? It features; Professor Jacqueline Close, Geriatrician, Prince Of Wales Hospital, Clinical Director, Falls, Balance and Injury Research Centre, David Storey, Head of Anaesthesia, Perioperative and Pain Medicine Unit (APPMU), Melbourne Medical School, University of Melbourne; Director, Melbourne Clinical and Translational Sciences (MCATS) research platform and Dr Doug Campbell, Anaesthesia Specialist at Auckland City Hospital. -- Brought to you by the Perioperative Medicine Special Interest Group (SIG) in association with the Australian and New Zealand Society for Geriatric Medicine and the Internal Medicine Society of Australia and New Zealand at the 7th annual Australasian Symposium of Perioperative Medicine. The Perioperative Medicine Special Interest Group (SIG) has three aims; improve patient safety and outcomes, share knowledge and collaborate with specialty groups, develop the specialty of perioperative medicine with various craft groups. For more information follow this link here:
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Anaesthesia 2019 | The Clinical Trials Network and Optimising Shared Decision Making
05/14/2020
Anaesthesia 2019 | The Clinical Trials Network and Optimising Shared Decision Making
We begin with a conversation about The UK Perioperative Medicine Clinical Trials Network, their website is here: This piece focuses on the Optimising Shared decision-makIng for high-RIsk major Surgery (OSIRIS) programme. Shared decision making can be very challenging when we're not sure what the risks are and older patients with chronic diseases often make very different decisions when informed. How do we make this process more evidence based? How do we better understand this group and communicate with them? Are there technological answers to these questions? If you'd like to see the OSIRIS section there here's the link: You can find the OSIRIS website here: Recorded at Anaesthesia 2019; where world-renowned experts presented the latest advances in perioperative medicine, critical care and pain medicine. Presented by Monty Mythen with Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton and Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London.
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AANA | Diversity and Inclusion
05/13/2020
AANA | Diversity and Inclusion
Mentorship, diversity and inclusion are key parts of any socially responsible institution's practice. This piece speaks to how we make medicine more diverse and inclusive overall, there is much work to be done but an active focus coupled with mentorship programes is shown here to be an effective way forward. This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the AANA here: Check out the AANA's page on diversity here: Presented by Desiree Chappell and Monty Mythen with their guests Debra Diaz, DNP, CRNA, APRN, CDR, AANA Board of Directors, Lena Gould, CRNA, Founder, Diversity in Nurse Anesthesia Mentorship Program, John Bing, Owner, JBing and Assoc Anesthesia Services, AANA Board of Directors.
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Desiree's Roundtable | Geriatric care and the value of teamwork
05/12/2020
Desiree's Roundtable | Geriatric care and the value of teamwork
How do we best negotiate working in a multidisciplinary team? Generalisations regarding surgeons and anaesthetists only ever work generally, the specifics of each practitioner and their priorities inevitably contrast. How do we keep sight of these broad differences without falling foul of stereotypes? The conversation evolves; how does the surgical journey fully utilise the team based perioperative approach? With specific focus on geriatric care there is further discussion regarding shared decision making, something which has been part of that discipline for many years. The debate regarding when a patient becomes geriatric is explored. Is it age which defines that or do symptoms and comorbidities qualify the term? Recorded on the first day of the Royal College of Anaesthetists' annual conference at The British Museum. Desiree Chappell and Monty Mythen interview their guests Professor Jenifer Weller, Head of the Centre for Medical and Health Sciences Education, University of Auckland and Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guys and St Thomas' NHS Trust.
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TopMedTalk | Fluids in the 2020's
05/11/2020
TopMedTalk | Fluids in the 2020's
This piece gets into the detail regarding one of the big talking points in perioperative medicine over the last year or so; what is the impact of intraoperative hypotension on post operative outcomes? Further discussion encompases the modern uses of a pulmonary artery catheter. If you enjoyed hearing Andy Shaw's take on these topics further listening can be found here; Presented by Desiree Chappell with Monty Mythen, Joff Lacey and their guest Dr Andrew Shaw, Chairman, Department of Anesthesiology and Pain Medicine at The University of Alberta, Edmonton, Alberta and Zone Clinical Department Head for Anesthesia, Alberta Health Services Edmonton Zone. He is also a Fellow of the Royal College of Anaesthetists (UK), the American College of Critical Care Medicine and the Faculty of Intensive Care Medicine (UK).
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Xtreme Everest Extra | Hypoxia and the Brain
05/10/2020
Xtreme Everest Extra | Hypoxia and the Brain
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, Chris Imray, describes the physiological changes within the brain when exposed to the hypoxic conditions of high altitude and how our understanding of this may change the management of patients. Presented by Joff Lacey with his guest Chris Imray, a Consultant Vascular Surgeon at University Hospitals Coventry and Warwickshire NHS Trust and a Professor at Warwick Medical School. Chris is a passionate climber and has long been involved in altitude research. He was the deputy climbing leader for the 2007 Xtreme Everest expedition and was part of the summit team.
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Xtreme Everest Extra | Unlocking the Secrets of the Mighty Mitochondria
05/09/2020
Xtreme Everest Extra | Unlocking the Secrets of the Mighty Mitochondria
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, Andrew Murray, discusses the findings from his studies on Everest in which he has investigated novel mechanisms that control mitochondrial function under hypoxic conditions. It is hoped that his discoveries will facilitate major breakthroughs in tailoring medical interventions to improve the outcome of critical care patients. Presented by Joff Lacey with his guest; Andrew Murray a reader in metabolic physiology at the University of Cambridge. Since 2005, Andrew has been a member of the Xtreme Everest research group, studying mitochondrial function in cardiac and skeletal muscle at high altitude.
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TopMedTalk & MacMillan Cancer Support | Mental well being for the patient
05/08/2020
TopMedTalk & MacMillan Cancer Support | Mental well being for the patient
TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey amidst the COVID 19 crisis. "It's very normal to sit with some difficult thoughts and feelings" after a cancer diagnosis. Broadly there are two types of mindsets; anxiety, which can be helpful, an element of wanting to 'do something' and, on the other hand, low mood, a feeling of not wanting to do anything, this can be unhelpful if not addressed at a certain level. We should expect both of these mindsets the question is 'how does the latest scientific research show can we control them'? Your body and mind are not separate, one effects the other, this is why it is so important we look at mental health as part of an overall approach. "You can do quite a lot of things [...] that put you into a better mood"; exercise, meditation, even simple breathing exercises. Spending time communicating with friends and family is another suggestion. Recorded at the height of the COVID 19 crisis this podcast also reflects upon how this is applied in the context of a global pandemic; how important is it that people engage with online facilities and opportunities to maintain relationships? "In an odd way the relationships seem to intensify". It's not about ignoring negative feelings though, anxiety and low mood are very common for people with a cancer diagnosis. Hear how it is important to allow yourself to reflect, part of understanding your mental health is about regaining control, we are allowed to let ourselves feel difficult thoughts as part of the process of monitoring and working with them. This podcast also contains a reminder about the importance of goal setting in allowing people to regain control over their lives. Small, realistic and specific, short term goals are useful at this particular stage of life; "start with the thing you are most confident you are able to change [...] make a day and a time that you'll stick to". Presented by Nick Margerrison with his guests Judit Varkonyi-Sepp psychologist, psychology lead for the Wesfit prehabilitation programme and Chloe Grimmett, behavioural scientist and lead for Wesfit prehabilitation. For more information, in the UK, phone: 0808 808 00 00 Email: Twitter:
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Xtreme Everest Extra | The Significance of the Microcirculation
05/07/2020
Xtreme Everest Extra | The Significance of the Microcirculation
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, Dan Martin, explains the fascinating discoveries that his team have made about the microcirculation and how it may adapt to the challenge of hypoxia. Alterations to the microcirculation may be instrumental in the body’s ability to cope under hypoxic conditions and could be become a target for interventions in critical illness. Dan Martin is a reader in perioperative and critical care medicine at UCL and consultant in critical care at the Royal Free Hospital in London. He was the research lead for Xtreme Everest in 2007 and expedition lead in 2013.
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COVID 19 | Bring on the vaccine!
05/07/2020
COVID 19 | Bring on the vaccine!
This piece is a look at the fightback against COVID 19; the search is on for a safe and effective vaccine against coronavirus. A group of investigators in the UK are about to begin trialing a vaccine using a ChAdOx virus vector. This piece gets into the detail of the trial and how the vaccine might work. Presented by Joff Lacey with his guest Professor Paul Heath, consultant in pediatric infectious diseases, at St George's Hospital in London. He co-leads the Pediatric Infectious Disease research group and is a director of the vaccines institute also at St George's.
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TopMedTalk | The Ventilator Training Alliance App
05/06/2020
TopMedTalk | The Ventilator Training Alliance App
"There's no advertisements popping up, non of that nonsense, this is just the data you need on the front lines to help save time and save lives" This piece focuses on the Ventilator Training Alliance APP, developed to meet the need practitioners have to use and understand ventilation equipment which may be new or unfamiliar to them. Download the APP now and share it with all friends and colleagues who may find themselves in this situation. The app is here: Don't forget if you have any comments or questions, email us Presented by Desiree Chappell with Monty Mythen and Michelle Jones, Senior Director, Global Marketing, Patient Monitoring and Minimally Invasive Therapies, Medtronic, and their guests Pat Berges, Vice President of Global Commercial Capabilities, Medtronic and Ariel Mactavish, Vice President, General Manager of Respiratory Interventions, Medtronic.
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TopMedTalk & MacMillan Cancer Support | Healthy eating and cancer
05/06/2020
TopMedTalk & MacMillan Cancer Support | Healthy eating and cancer
TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey amidst the COVID 19 crisis. We know food gives us energy "but it also provides so much more". This podcast looks at the raw materials you'll need, when facing a cancer diagnosis, to get a better outcome; the vitamins, minerals and proteins, as well as the energy sources you're best using. What is a balanced diet when you have cancer? "We're talking about eating well to stay well [...] we're not really looking for people to lose weight"; it's often important for people to try to maintain their weight during a cancer diagnosis, should you track your weight throughout your cancer journey? Recorded at the height of the COVID 19 crisis this podcast also reflects upon how this information is applied in the context of a global pandemic. What foods can we store which also contain the vital building blocks of our body's natural defenses? Presented by Nick Margerrison with his guest Clare Shaw, consultant Dietician at The Royal Marsden NHS Foundation Trust. For more information, in the UK, phone: 0808 808 00 00 email: Twitter:
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Xtreme Everest Extra | The Problem with Hypoxia – the inception of Xtreme Everest
05/05/2020
Xtreme Everest Extra | The Problem with Hypoxia – the inception of Xtreme Everest
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved. In this podcast, Denny Levett explains the complex and unpredictable nature of hypoxia, its prevalence in critical care and why there was the scientific demand to head to the world’s highest mountain in search of answers to this clinical challenge. Presented by Joff Lacey with his guest Denny Levett, a consultant in perioperative medicine and critical care at Southampton University Hospital and deputy research leader for the Xtreme Everest expedition in 2007.
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TopMedTalk & MacMillan Cancer Support | Get active and feel good?
05/04/2020
TopMedTalk & MacMillan Cancer Support | Get active and feel good?
TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey amidst the COVID 19 crisis. It's vital you remain active after a cancer diagnosis, why is this? Hear the fascinating story behind the discovery that activity not only reduces your overall levels of fatigue but also improves your chances of recuperation. "You have to pace yourself [...] listen to your body"; but any physical activity will help fight feelings of tiredness. In short, if you get active you feel good. Also in this podcast, with direct reference to medical trials and studies, our guests give you the mechanism behind incredibly helpful changes caused by moderate exercise in cancer patients, evidence which has led medics to conclude that "exercise is real medicine". "When we're talking about being active during cancer it's at any stage of the cancer journey: from prehabilitation through recovery". Prehabilitation is the process by which people prepare their bodies for a major obstacle such as an operation or chemotherapy. It's like rehabilitation but it takes place before the event. Just as when you start your recovery after treatment you would expect to get your body back to full health, here you try to achieve the best possible physical health before you start. The key point is that the medicine of exercise can be useful from diagnosis right through to full recovery and beyond. Again, with direct reference to the evidence, find out how incredible research into prehabilitation is changing the way we think about cancer and recovery. Recorded specifically at the height of the COVID 19 crisis hear how this research is being applied in the context of a global pandemic. Group forms of exercise are not an option while social distancing restrictions are in place, can exercising with other people bring us special benefits? If so, can those benefits be matched if we use the internet to continue the social side of going to a gym or a class? The YouTube link mentioned in this piece is here: Presented by Nick Margerrison with the Professor of Clinical Exercise Science, Anna Campbell, MBE, of Edinburgh Napier University and the director of CAN Rehab and the Professor of Prehabilitation Medicine, Sandy Jack, a consultant clinician scientist from The University of Southampton and University of Southampton NHS Foundation Trust . For more information, in the UK, phone: 0808 808 00 00 email: Twitter:
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EBPOM 2019 | Malnutrition and functional capacity
05/04/2020
EBPOM 2019 | Malnutrition and functional capacity
This piece is taken from the free papers presentations given at EBPOM 2019. Malnutrition and functional capacity; what is the effect of multimodal prehabilitation? What can the six minute walk test really show us? Does nutritional status predict preoperative change in a six minute walk test in colorectal cancer patients following a prehabilitation programme? Presented by Lauren Richer, Director, Nutritional Services, Keyto, Registered Dietician, Greene Family Medicine Clinic and Montreal General Hospital, Montreal, Quebec.
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COVID 19 | Where are all our patients?
05/03/2020
COVID 19 | Where are all our patients?
The Covid 19 crisis - and our collective response to it - has had an immediate and, in some instances worrying, drop off in cases that are not directly related to the virus. As the normalisation process in medicine begins and we find a way to live with this new virus in our midst how do we adapt and promote healthcare? What are the exciting opportunities available for patient optimisation? Further, there is a detailed and engaging discussion about fluid management. Presented by Desiree Chappell with Monty Mythen and Dr Arthur Martella, Cardiothoracic surgeon in Camden, New Jersey. Thank you to our sponsor Edwards Lifesciences. Edwards clinical education (ECE):
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COVID 19 | Obstetrics in the pandemic
05/02/2020
COVID 19 | Obstetrics in the pandemic
"Babies are still being born" This piece looks at the area of obstetrics in the midst of an unprecedented global crisis regarding the COVID 19 outbreak. How can the delicate balance between reducing infections and social distancing be interwoven with the needs of modern childbirth. Should we be concerned that some patients may shun hospital assisted births for fear of contagion? How has the data from China, much of which focused upon cesarean section births, been useful to us in the West? Why do the data have that angle? Are there benefits to the new ways in which we have found to communicate during this global crisis which can be moved into a new life with COVID present but in a more manageable form? Presented by Desiree Chappell and Monty Mythen with Sam Bampoe, University College London Hospital, Consultant Anesthetist, Director, Trainees with an Interest in Perioperative Medicine (TRIPOM), Nuala Lucas, Consultant Anesthetist at Northwick Park Hospital, Executive Committee Member for the Obstetric Anesthetists’ association and Pat O'Brien, Consultant Obstetrician at University College London Hospital, Vice President of Royal College of Obstetricians and Gynecologists. Thank you to our sponsor Edwards Lifesciences. Edwards clinical education (ECE):
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COVID 19 | Improving Readiness
05/01/2020
COVID 19 | Improving Readiness
"I'm also a United States Air Force Officer and reservist and on April 4th was activated and given approximately 48hrs to deploy on a C-5 Galaxy Military Aircraft to the epicenter, New York City and I've been here for approximately, it's been almost a month now" This piece follows on from a previous exclusive conversation regarding the US military deployment to New York; here we get more detail and spend time thinking about how Enhanced Recovery must be an essential part of any "new normal". The fascinating Carol Peden piece is here: And Bobbie Jean Sweitzer is here: The previous conversation we mention is here: Presented by Desiree Chappell with Captain Joel Sherwood, United States Air Force Reserves and Medical Science Liaison, National Director, Government Affairs, Pacira Pharmaceuticals. Thank you to our sponsor Edwards Lifesciences. Edwards clinical education (ECE):
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COVID 19 | POQI 5- New Publication and Relevance to ICU Care
04/30/2020
COVID 19 | POQI 5- New Publication and Relevance to ICU Care
The Perioperative Quality Initiative (POQI) is a vital part of the process needed to more widely implement sensible practice which, using a clear evidence base, provides better value care with more positive outcomes for the patient. POQI continues to provide its work in an attempt to clarify fundamental concepts in perioperative care. The fact this one focuses upon fluid management makes it particularly appropriate in these times. Link to the paper: Presented by Desiree Chappell with Monty Mythen and their guests Tim Miller, Associate Professor of Anesthesiology from Duke University Medical Centre and Greg Martin Professor of Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Emory University School of Medicine Thank you to our sponsor Edwards Lifesciences. Edwards clinical education (ECE): Like this, want more? Try our popular in depth series "Fluid Matters" TopMedTalk provides world leading information about perioperative medicine like this every day. Dr Greg Martin's deeper dive into these issues is here:
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COVID 19 | The Ventilator Training Alliance App
04/30/2020
COVID 19 | The Ventilator Training Alliance App
"There's no advertisements popping up, non of that nonsense, this is just the data you need on the front lines to help save time and save lives" This piece focuses on the Ventilator Training Alliance APP, developed to meet the need practitioners have to use and understand ventilation equipment which may be new or unfamiliar to them. Download the APP now and share it with all friends and colleagues who may find themselves in this situation. The app is here: Don't forget if you have any comments or questions, email us Presented by Desiree Chappell with Monty Mythen and Michelle Jones, Senior Director, Global Marketing, Patient Monitoring and Minimally Invasive Therapies, Medtronic, and their guests Pat Berges, Vice President of Global Commercial Capabilities, Medtronic and Ariel Mactavish, Vice President, General Manager of Respiratory Interventions, Medtronic
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COVID 19 | Getting back to the new normal
04/29/2020
COVID 19 | Getting back to the new normal
"If you have major surgery and you are COVID positive at the time your outcomes are severely reduced" This piece takes a look at how we try to move back to some semblance of "normal" as the peak appears in many parts of the Western world to have reacted to social distancing measures. How have thought leaders and anesthesiologists tried to come together to produce guidance for each other? What should that guidance be? What specific areas of practice have been changed by the pandemic? Also - more widely - what are we learning about the issues presented by COVID 19 and how do we move forward in a constructive way? Links to the papers here: Adult Cardiac Surgery and the COVID-19 Pandemic: Aggressive Infection Mitigation Strategies are Necessary in the Operating Room and Surgical Recovery: Adult cardiac surgery during the COVID-19 Pandemic: A Tiered Patient Triage Guidance Statement: Also, the Cardiothoracic Surgery in the COVID Crisis: Global Summit on Reactivating Cardiothoracic Surgery Programs is here: Presented by Desiree Chappell with Monty Mythen and their guest Dan Engelman, Director CIVCU, Baystate Medical, MA (unit now managing COVID patients). President of ERAS Cardiac Thank you to our sponsor Edwards Lifesciences. Edwards clinical education (ECE):
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