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
info_outline
The Role of AI in Anaesthesia: Insights from James Bowness
02/02/2026
The Role of AI in Anaesthesia: Insights from James Bowness
In today’s TopMedTalk Andy Cumpstey interviews James Bowness, consultant anaesthetist, University College London Hospitals NHS Foundation Trust and an Honorary Associate Professor of Anaesthesia at University College London (UCL), at Anaesthesia Research 2025 in Birmingham. They discuss the definition and scope of AI, its applications in healthcare, and its potential to improve medical practices. The conversation emphasizes the importance of clinicians' involvement in the development and implementation of AI technologies. It also highlights ongoing efforts to identify and address key clinical problems through multidisciplinary collaboration, aiming to advance AI's role in anaesthesia, preoperative medicine, and acute pain management. The conversation underscores the need for a strategic, coordinated approach to integrate AI into healthcare effectively. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here -
/episode/index/show/topmedtalk/id/39934595
info_outline
Insights from ANESTHESIOLOGY® 2025: Enhancing Research and Publishing in Obstetric Anesthesia
01/29/2026
Insights from ANESTHESIOLOGY® 2025: Enhancing Research and Publishing in Obstetric Anesthesia
ANESTHESIOLOGY® 2025, Andy Cumpstey and Kate Leslie speak with Ruthi Landau, Virginia Apgar, Professor of Anesthesiology, Columbia University Medical Center and recently appointed editor-in-chief of the International Journal of Obstetric Anesthesia. The conversation dives deep into the importance of writing, reviewing, and publishing high-quality research. Dr. Landau highlights the significance of addressing relevant research questions, improving patient outcomes, and the evolving landscape of scientific publishing. The episode also explains strategies for reviewers and authors aiming to contribute impactful studies and the value of editorials in contextualizing research. The discussion concludes with the importance of social media and digital tools in disseminating and engaging with published content. -- Super Early Bird registration is now open for The Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London, but it ends on 31 January! We are right now offering the best available rates to attend the Congress. We encourage you to register early and take advantage of this opportunity while you still can. Register here -
/episode/index/show/topmedtalk/id/39910180
info_outline
Perioperative Profile, Lee Fleisher
01/26/2026
Perioperative Profile, Lee Fleisher
Andy Cumpstey takes the chair to speak with Professor Lee Fleischer, Emeritus Professor of Anesthesia and Critical Care at the University of Pennsylvania and the former Chief Medical Officer and Director of the Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health and Human Services. Lee shares his remarkable journey, from his early interest in science and medicine to his pivotal roles in clinical research, healthcare policy, and national advisory boards. He discusses his efforts during the COVID-19 pandemic, the importance of balancing professional commitments with family life, and his ongoing passion for advancing evidence-based perioperative practice. The conversation also explores his work with the CMS, contributions to healthcare policy, and his future aspirations. -- Super Early Bird registration is now open for The Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London, but it ends on 31 January! We are right now offering the best available rates to attend the Congress. We encourage you to register early and take advantage of this opportunity while you still can. Register here -
/episode/index/show/topmedtalk/id/39848550
info_outline
The Role of Social Media in Scientific Dissemination with Tom Abbott, BJA
01/22/2026
The Role of Social Media in Scientific Dissemination with Tom Abbott, BJA
Kate Leslie and Andy Cumpstey report from the British Journal of Anaesthesia meeting held in Dublin, Ireland. They are joined by guest Tom Abbott, a clinical senior lecturer in anaesthesia and social media editor for the BJA. We discuss the growing importance of social media in scientific communication, the impact of alternative metrics such as altmetrics, and the operational challenges of maintaining a presence across various social media platforms. The conversation also touches on platform trials in clinical research, where Abbott highlights his current research initiatives, including trials on ibuprofen for postoperative pain and high-flow nasal oxygen. -- Super Early Bird registration is now open for The Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London, but it ends on 31 January! We are right now offering the best available rates to attend the Congress. We encourage you to register early and take advantage of this opportunity while you still can. Register here -
/episode/index/show/topmedtalk/id/39812960
info_outline
Leadership and Value: Insights from NorthStar Anesthesia
01/19/2026
Leadership and Value: Insights from NorthStar Anesthesia
Desiree Chapell hosts an insightful discussion featuring colleagues from NorthStar Anesthesia; Dr. Josh Lumley, Chief Quality Officer at NorthStar Anesthesia, Adam Spiegel, Chief Executive Officer of NorthStar Anesthesia and Romeo Kaddoum, Chief Medical Officer, NorthStar Anesthesia We delve into the impacts of workforce issues, hospital financials, the value of outsourced anesthesia services, and the importance of leadership and clinical engagement at NorthStar Anesthesia. The discussion also covers their commitment to providing clinicians with growth opportunities and ensuring a high level of patient care.
/episode/index/show/topmedtalk/id/39768925
info_outline
Exploring Viscoelastic Testing and Patient Blood Management at ANESTHESIOLOGY® 2025
01/15/2026
Exploring Viscoelastic Testing and Patient Blood Management at ANESTHESIOLOGY® 2025
Desiree Chappell and Mike Grocott are joined by Klaus Gorlinger, Medical Director at TEM Innovations GmbH in Munich, Germany at ANESTHESIOLOGY® 2025. This conversation focuses on patient blood management (PBM) and viscoelastic testing (VET) delving into the significance of VET in managing bleeding during surgeries, the evolution of testing techniques, and their impact on patient outcomes. Klaus explains the importance of whole blood testing over standard coagulation tests and discusses different protocols and global practices around this technology. The conversation also highlights the economic benefits of reducing unnecessary blood transfusions and improving patient care through advanced hemostasis testing. Further reading: “Last year at the ASA, we presented a poster, about the need to analyze what does changing from just to transfuse by a goal direct approach on mortality in cardiac surgery. And it reduces mortality by 47%" Reference: Goerlinger K, Petricevic M, Lier H, Karkouti K. Effect of Viscoelastic Testing on Mortality in Cardiovascular Surgery, Lung Transplant, and ECMO: A Meta-Analysis. (Abstract 2050). The Anesthesiology Annual Meeting; Oct 19, 2024, Philadelphia, USA. .
/episode/index/show/topmedtalk/id/39684880
info_outline
Unraveling the Autonomic Nervous System's Role in Exercise and Surgical Outcomes
01/12/2026
Unraveling the Autonomic Nervous System's Role in Exercise and Surgical Outcomes
Recorded in Dublin, Ireland, and hosted by The British Journal of Anaesthesia at their annual meeting, this week’s TopMedTalk focuses on translational research. Presented by Andy Cumpstey and Kate Leslie with their guest Professor Gareth Ackland Clinical Professor of Perioperative Medicine at the William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London (QMUL). The conversation delves into the autonomic nervous system's role in exercise capacity and its implications for postoperative outcomes. Why specifically does exercise help? Professor Ackland explains groundbreaking work involving neural control, genetic modifications, and translational models, shedding light on how parasympathetic function affects fitness and recovery from surgery. The conversation underscores the importance of personalized medicine and mechanistic research in understanding human physiology and improving clinical practices. It also explains why anaesthesia journals publish high quality translational studies as well as clinical research.
/episode/index/show/topmedtalk/id/39684825
info_outline
Optimizing Pediatric Blood Health: Insights from ANESTHESIOLOGY® 2025
01/05/2026
Optimizing Pediatric Blood Health: Insights from ANESTHESIOLOGY® 2025
ANESTHESIOLOGY® 2025 in San Antonio, TopMedTalk’s Andy Cumpstey and Kate Leslie talks with Susan Goobie, Associate Professor of Anesthesiology at Harvard Medical School and a Senior Associate in the Department of Anesthesiology, Critical Care & Pain Medicine at Boston Children's Hospital in Boston, USA. They discuss the specialty of non-cardiac pediatric surgery and her focus on patient blood management. Dr Goobie highlights the importance of 'blood health,' describing its three pillars: preoperative, intraoperative, and postoperative phases. She emphasizes preoperative anemia management, particularly in children, and shares strategies like iron supplementation and erythropoietin use. The discussion also covers key research papers on blood management and the practical applications of these strategies. BJA 2025; 135:375-81. doi: 10.1016/j.bja.2025.04.050 BJA Open 2025; 13:100372. doi: 10.016/j.bjao.2024.100372
/episode/index/show/topmedtalk/id/39598245
info_outline
Perioperative Profile, Steven Shafer
12/29/2025
Perioperative Profile, Steven Shafer
Perioperative Profiles is a new series on TopMedTalk. We aim to continue to release a profile each month, spotlighting the professional — and personal — journeys of leading perioperative practitioners and researchers. Each month we talk to a prominent figure in perioperative medicine, exploring how they came into the field, what shaped their careers, key challenges and successes, and how their work has contributed to evidence-based perioperative practice. Steven Shafer is a world renowned Emeritus Professor of Anesthesiology, Perioperative and Pain Medicine at Stanford University Medical Center. In this episode of Top Med Talk, recorded live at ANESTHESIOLOGY® 2025, Andy Cumpstey and Kate Leslie discuss Dr. Shafer’s incredible career in anesthesia. Hear about the journey from software engineering to being a pivotal figure in anesthetic pharmacology and becoming involved in a trial involving one of the world’s most iconic pop stars. Shafer speaks about his groundbreaking work in drug research, the mentorship of Donald Stanski, and his pride in the achievements of his fellows. The episode also delves into his tenure as the editor-in-chief of Anesthesia & Analgesia, uncovering major fraudulent research cases, and culminates with his expert testimony in the highly publicized Michael Jackson case. A blend of professional insights and personal stories, highlighting the challenges and triumphs in the field of anesthesia. If you enjoyed this piece why not explore TopMedTalk’s archive? We have over 2000+ unique podcasts covering the last seven years of perioperative medicine news and research. Start with one of these from the Perioperative Profiles series: Paul Myles: Ramani Moonesinghe: Kate Leslie: Monty Mythen:
/episode/index/show/topmedtalk/id/39469900
info_outline
Exploring the Future of Perioperative Care: Insights from ANESTHESIOLOGY® 2025
12/22/2025
Exploring the Future of Perioperative Care: Insights from ANESTHESIOLOGY® 2025
Desiree Chappell is joined by Mike Grocott, Sol Aronson, and their guest Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide, at ANESTHESIOLOGY® 2025 in San Antonio, Texas. The discussion covers exciting developments in perioperative medicine, focusing on the Perioperative Quality Initiative (POQI) and the newly coined term 'Enhanced Postoperative Care Units' (EPOCH), a new initiative aiming to bridge the gap between ward care and intensive care by providing specialized care for medium-risk postoperative patients. The guests share their experiences and insights, including ongoing projects, the impact of advanced monitoring technology, and the potential future of perioperative care globally. They also preview upcoming events, like the World Congress of Anesthesiology and the first World Congress of Enhanced Postoperative Care.
/episode/index/show/topmedtalk/id/39469845
info_outline
Insights into Paediatric Cardiac Anaesthesia: EBPOM Dingle
12/15/2025
Insights into Paediatric Cardiac Anaesthesia: EBPOM Dingle
From the Evidence-based Perioperative Medicine (EBPOM) Conference in Dingle, Ireland, Desiree Chappell and Sol Aronson are joined by Alex Mittnacht, President and Founding Director, International Academy of Cardiac Anaesthesiologists (IACA), and Vice Chair of Anesthesiology and Chief of Pediatric and Adult Cardiac Anesthesia at Westchester Medical Center, New York, USA. Dr Mittnacht shares his fascinating professional journey and delves into the intricacies of paediatric cardiac anaesthesia, including its evolving training pathways, workforce challenges, and the increasing demands for specialized care. Discover how multidisciplinary care and the proper training of anaesthesiologists are crucial for effective patient management, particularly for those with congenital heart disease. What is future of this essential medical specialty?
/episode/index/show/topmedtalk/id/39401820
info_outline
Innovations in Anesthesia: GE Healthcare's Advanced Solutions at ANESTHESIOLOGY® 2025
12/08/2025
Innovations in Anesthesia: GE Healthcare's Advanced Solutions at ANESTHESIOLOGY® 2025
Desiree Chappell and Sol Aronson discuss innovations in anesthesia at ANESTHESIOLOGY® 2025 with Brandon Henak, Global Marketing Director, Monitoring Solutions at GE Healthcare and John W Beard, Chief Medical Officer at GE Healthcare - Patient Care Solutions. They unveil GE's new premium anesthesia platform designed for both current and future needs, emphasizing enhanced workflow, patient safety, and adaptable technology. The conversation highlights the platform's advanced features, including a dual compute architecture, innovative vaporization system, and digital solutions for improved perioperative care. Find out more here: Listen to more of John W Beard here: And find more of Brandon Henak here:
/episode/index/show/topmedtalk/id/39222345
info_outline
Exciting news from Desiree Chappell
12/04/2025
Exciting news from Desiree Chappell
A bittersweet moment for us, as the wonderful Desiree Chappell moves on to a fantastic new role in industry, after many years in the role of managing editor and anchor for TopMedTalk. This piece was recorded at ANESTHESIOLOGY® 2025 the annual general meeting of The American Society of Anesthesiology (ASA) in Chicago. Presented by Andy Cumpstey, Mike Grocott and Kate Leslie with their guest Desiree Chappell. Please make sure you are subscribed to TopMedTalk and find us on social media so we can connect online.
/episode/index/show/topmedtalk/id/39239105
info_outline
Insights from ANESTHESIOLOGY® 2025: New Guidelines for Anesthesiology in Older Adults
12/01/2025
Insights from ANESTHESIOLOGY® 2025: New Guidelines for Anesthesiology in Older Adults
Join Andy Cumpstey and Kate Leslie in this broadcast from the ANESTHESIOLOGY® 2025 meeting. They welcome guests Stacie G. Deiner, an anesthesiologist, professor and vice-chair for research at Dartmouth Hitchcock Medical Center and Mark D. Neuman, anesthesiologist and Horatio C. Wood Professor of Anesthesiology at the Perelman School of Medicine at the University of Pennsylvania. We discuss the new ASA guidelines for older adults. The episode delves into the development, significant recommendations, and implementation of these guidelines, emphasizing the importance of preoperative evaluation and the choice of anesthesia technique. Mark and Stacie also highlight ongoing research and the future of perioperative care for older adults. This conversation underscores the role of shared decision-making and proactive health measures in improving surgical outcomes. The ASA guideline can be found here: The REGAIN study can be found here:
/episode/index/show/topmedtalk/id/39188205
info_outline
Perioperative Profile Monty Mythen
11/24/2025
Perioperative Profile Monty Mythen
Andy Cumpstey and Kate Leslie welcome Professor Monty Mythen to his Perioperative Profile. Recorded at the 2025 Evidence Based Perioperative Medicine (EBPOM) meeting in Dingle, Ireland. Monty discusses his fascinating career, from his childhood in London to becoming Professor of Anaesthesia and Intensive Care at University College London. He notes his involvement in founding EBPOM and his role at BD Advanced Patient Monitoring. The conversation covers Monty's groundbreaking research on gut perfusion and multiple organ failure, his high-altitude research expeditions to Mount Everest, and his transition to a role in the healthcare industry. He shares insights on the intricate process of medical device approval. The episode is a deep dive into the experiences and achievements of a leading medical mind.
/episode/index/show/topmedtalk/id/39135870
info_outline
Nitrous Oxide as a Treatment for Severe Depression: Insights from ANESTHESIOLOGY® 2025
11/17/2025
Nitrous Oxide as a Treatment for Severe Depression: Insights from ANESTHESIOLOGY® 2025
Andy Cumpstey and Kate Leslie at ANESTHESIOLOGY® 2025 in San Antonio, Texas. They interview Peter Nagele, professor of anesthesiology at the University of Chicago, about his groundbreaking trial on the use of nitrous oxide as a treatment for severe depression. The trial aimed to assess the efficacy of nitrous oxide compared to a placebo and explored different doses (25% vs. 50%). They discusses the study's promising results, the neurobiology of depression, and the potential for a phase three international multicenter trial. This episode also highlights the need for novel treatments for treatment-resistant depression and the importance of collaborative research in advancing medical knowledge.
/episode/index/show/topmedtalk/id/38963910
info_outline
Insights on the Future of Anesthesia Quality Improvement with AQI
11/10/2025
Insights on the Future of Anesthesia Quality Improvement with AQI
ANESTHESIOLOGY® 2025 Desiree Chappell and Mike Grocott discuss the latest advancements and key topics in the field of anesthesiology with special guests Sheila Barnett, Chair of the Department of Anesthesiology at Dartmouth Hitchcock Medical Center, Professor of Anesthesiology at Geisel School of Medicine at Dartmouth and Patrick Guffey, Professor of Clinical Practice, Anesthesiology-Pediatric Anesthesiology at the University of Colorado Anschutz Medical Campus. The conversation centers around the Anesthesia Quality Institute (AQI) and its various initiatives, including the National Anesthesia Clinical Outcomes Registry (NACO) and the importance of integrating electronic health records for improved data collection and quality of care. The guests highlight the challenges and opportunities of using clinical data to drive quality improvements and the future potential of collaborating with electronic health record systems like Epic. The episode underscores the importance of quality data in anesthesia and highlights efforts to enhance patient outcomes and healthcare value.
/episode/index/show/topmedtalk/id/38859730
info_outline
Innovations and Achievements at the Center for Perioperative Care (CPOC)
11/03/2025
Innovations and Achievements at the Center for Perioperative Care (CPOC)
TopMedTalk’s Andy Cumpstey recorded this piece recently for us at the Royal College of Anaesthetists' Centre for Perioperative Care's (CPOC) annual meeting in London. The conversation features key figures from CPOC, including: David Selwyn, Acting Chief Executive at Sherwood Forest Hospitals NHS Foundation Trust, appointed as the inaugural Director of CPOC in May 2019, Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS), Scarlett McNally, Consultant Orthopaedic Surgeon in Eastbourne DGH, UK since 2002, Deputy Director at the COPC (2020-26) and an honorary clinical professor at Brighton and Sussex Medical School, Jugdeep Dhesi, Deputy Director for CPOC, Clinical lead for the innovative and award winning POPS (Perioperative medicine for Older People undergoing Surgery) service, Honorary Reader at King’s College London and Associate Professor at University College London, and Lawrence Mudford, who transitioned from a healthcare professional to a patient, following a cancer diagnosis. Following his successful treatment, he took up his current role as a patient representative for CPOC. The panel explore the creation and evolution of CPOC since its inception in 2019, highlighting the collaborative efforts to improve surgical pathways by integrating patient and multidisciplinary voices. They discuss various initiatives, guidelines, and successful practices aimed at enhancing patient-centered care, managing conditions like frailty, diabetes, and anaemia, and promoting shared decision-making. The episode also delves into future goals, such as addressing the implementation gap, fostering digital transformation, and operationalizing educational curricula for healthcare professionals to further support perioperative care.
/episode/index/show/topmedtalk/id/38859695
info_outline
Perioperative Profiles - Kate Leslie
10/27/2025
Perioperative Profiles - Kate Leslie
Andy Cumpstey interviews internationally renowned anaesthetist and researcher, Kate Leslie, Head of Research in the Department of Anaesthesia and Pain Management at the Royal Melbourne Hospital and Honorary Professor at the University of Melbourne. Kate shares insights into her journey from growing up in Melbourne to leading groundbreaking research and clinical trials. We discuss her professional milestones, including her work with the Australian and New Zealand College of Anaesthetists (ANZCA) Clinical Trials Network and the global impact of their studies. Additionally, Kate reflects on the challenges and triumphs as a woman in medicine, emphasizing the importance of resilience and personal growth. The episode also highlights Kate's recent accolades, such as the ASA Excellence in Research Award and her work as an editor for major anaesthesia publications.
/episode/index/show/topmedtalk/id/38783825
info_outline
Understanding Anesthesia Information Management Systems with Dr. David Kennedy
10/22/2025
Understanding Anesthesia Information Management Systems with Dr. David Kennedy
ANESTHESIOLOGY® 2025, Desiree Chappell speaks with her guest, David Kennedy, Emeritus Professor at the University of Pennsylvania. They discuss the complexities of value-based care models and the essential role of Anesthesia Information Management Systems (AIMS). Dr. Kennedy, with his extensive experience in both private practice and large anesthesia groups, explains the benefits and functionality of AIMS. He highlights how AIMS can optimize data access, improve patient care through real-time analytics, and enhance operational efficiency. Additionally, the conversation covers the integration of AI in these systems, its potential to transform standard care practices, and the need to address data security and clinician skill retention. The episode concludes with the importance of portable AIMS platforms for practitioners working in diverse medical environments.
/episode/index/show/topmedtalk/id/38716505
info_outline
Transforming Pain Medicine: An Insight into the Pain Medicine Coalition
10/21/2025
Transforming Pain Medicine: An Insight into the Pain Medicine Coalition
Andy Cumpstey and Kate Leslie take us to ANESTHESIOLOGY® 2025, where they spoke with Samer Narouze, Chairman of the Center for Pain Medicine at Western Reserve Hospital and Chair of the Pain Committee for the ASA. Samer introduces the newly formed Pain Medicine Coalition, which aims to improve patient access to pain care and advocate for pain specialists. The coalition, an alliance between prestigious organizations, focuses on reducing barriers to non-opioid pain treatments and legislative advocacy for better coverage. He also discusses the importance of comprehensive, evidence-based pain management and the recent launch of a Certificate of Innovation and Leadership in Pain Medicine to support newly graduated pain fellows. The discussion highlights the coalition's efforts to rebrand and advance the field of pain medicine toward a more patient-centric and multidisciplinary approach.
/episode/index/show/topmedtalk/id/38715915
info_outline
Insights from the ASA Presidents at ANESTHESIOLOGY® 2025
10/20/2025
Insights from the ASA Presidents at ANESTHESIOLOGY® 2025
Desiree Chappell and Mike Grocott at ANESTHESIOLOGY® 2025 have our traditional conversation with the incoming and outgoing Presidents of the organisation. Incoming President Dr. Patrick Giam and outgoing President Dr. Don Arnold to discuss their careers, initiatives, and the future of anesthesiology. Topics include advancements in perioperative medicine, the importance of mentorship, strategies for increasing member engagement, and the integration of new technologies like artificial intelligence. Both leaders share their visions for the ASA, emphasizing leadership development, professional growth, and improving patient care.
/episode/index/show/topmedtalk/id/38635115
info_outline
Clinical Readiness and Training Affiliation in Army Anesthesiology
10/17/2025
Clinical Readiness and Training Affiliation in Army Anesthesiology
Desiree Chappell and Lieutenant Colonel Daniel P. Raboin, MD, PharmD, U.S. Army anesthesiologist and pharmacist who serves as the Deputy Anesthesiology Consultant to the Army Surgeon General, Lieutenant Colonel Jordan Lane, MD, U.S. Army anesthesiologist at Tripler Army Medical Center in Hawaii and Colonel Michael S. Patzkowski, MD, MHA, Army Anesthesiology Consultant to the Surgeon General. Recorded at ANESTHESIOLOGY® 2025 in San Antonio, we discuss clinical readiness and training programs within Army anesthesiology, cover the importance of maintaining clinical readiness through specialized training, partnership agreements with civilian trauma centers, and how these programs help in preparing anesthesiologists for deployment situations. The discussion also highlights the logistical and administrative challenges of such programs and the solutions implemented to overcome them.
/episode/index/show/topmedtalk/id/38614355
info_outline
Navigating Governance in Anesthesiology Groups: Insights from ANESTHESIOLOGY® 2025
10/16/2025
Navigating Governance in Anesthesiology Groups: Insights from ANESTHESIOLOGY® 2025
ANESTHESIOLOGY® 2025. The TopMedTalk team were there and this piece sees Mike Grocott speaking with Sheena Scott, Founder of Scott Healthcare Consulting and Jason Greenberg, Strategic Advisor, Anesthesia, Ventra Health. They discuss common governance mistakes in anesthesiology groups, the importance of effective governance structures, and strategies for improvement. The conversation highlights the challenges of democratic decision-making in larger groups, the need for emotional intelligence in leadership, and methods to address detractors and conflicts. They also emphasize the importance of bylaws, outside consultation, and continued professional development through resources like the ASA's Advance meeting.
/episode/index/show/topmedtalk/id/38604735
info_outline
Anesthesiology Economics: Current Trends and Future Directions
10/14/2025
Anesthesiology Economics: Current Trends and Future Directions
ANESTHESIOLOGY® 2025, Desiree Chappell and Sol Aronson discuss the evolving economics of anesthesiology with guests Jonathan Gal, MD, Professor of Anesthesiology, Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, System Medical Director- Facility Revenue Integrity & Optimization; System Medical Director- Offsite ASC Anesthesia; ASA Director from New York for the Board of Directors and Chair of the Committee on Economics and Gordon Morewood, MD, Anesthesiologist-in-Chief of Temple University Health System, Chair and Professor of Clinical Anesthesiology at Lewis Katz School of Medicine at Temple University and Chief of Anesthesia at Piedmont Health (Piedmont Healthcare System, Georgia). The conversation spans various models of payment, including CPT codes, fee-for-service, and alternative payment models. They delve into the nuances of navigating different payer systems like Medicare, Medicaid, and private insurers, highlighting recent trends and challenges. Specific topics include the erosion of physician payments, the impact of the No Surprises Act, and the ASA's ongoing advocacy efforts. The episode underscores the importance of proper economic strategies to ensure the sustainability and optimization of anesthesiology practices.
/episode/index/show/topmedtalk/id/38585680
info_outline
The Center for Anesthesia Workforce Studies at ANESTHESIOLOGY® 2025
10/14/2025
The Center for Anesthesia Workforce Studies at ANESTHESIOLOGY® 2025
Presented by Desiree Chappell and Sol Aronson with their guests, Mary Dale Peterson, Executive VP and COO, Driscoll Children's Health System, serving as chair of the ASA’s Workforce Summits, chair of the Ad Hoc Taskforce on Physician Workforce and chair of the Ad Hoc Committee on Anesthesia Workforce Research and a member of the ASA Charitable Foundation’s board of directors, and Thomas Miller, Director of Analytics and Research Services (ARS) and the Center for Anesthesia Workforce Studies (CAWS). The conversation covers topics such as the increasing supply of anesthesiology professionals, the impact of COVID-19, and the growing demand for non-operating room anesthesia services. Dr. Peterson shares insights from her experience managing pediatric anesthesiology and suggests innovative solutions for workforce management. The panel also addresses the challenges of maintaining efficient operations amidst changing practice patterns and the importance of adapting to the new workforce's needs and preferences. More on the ASA’s CAWS here: As we mention Mary has appeared previously on TopMedTalk here:
/episode/index/show/topmedtalk/id/38567750
info_outline
Pediatric Airway Management Advances: Insights from Annery Garcia-Marcinkiewicz
10/13/2025
Pediatric Airway Management Advances: Insights from Annery Garcia-Marcinkiewicz
Our coverage of ANESTHESIOLOGY® 2025 begins, presented by Desiree Chappell and Andy Cumpstey with their guest Annery Garcia-Marcinkiewicz MD MSCE, Care Medicine at the Children’s Hospital of Philadelphia, University of Pennsylvania. The discussion highlights the unique challenges and anatomical differences in pediatric patients, elaborates on the evolution of airway management tools and the impact of the Pediatric Difficult Intubation Registry. We underscore the benefits of video laryngoscopy over direct laryngoscopy in improving first-attempt success rates and reducing complications, especially in small, vulnerable infants. The episode concludes with practical advice for clinicians and the importance of advanced equipment in enhancing patient safety and efficiency in pediatric anesthesiology.
/episode/index/show/topmedtalk/id/38557905
info_outline
Dingle Conference - the year in review
10/06/2025
Dingle Conference - the year in review
The full team gather together to reflect on the last 12 months of TopMedTalk at this year’s Evidence Based Perioperative Medicine (EBPOM) Dingle conference. Desiree Chappell, Sol Aronson, Andy Cumpstey, Mike Grocott, Kate Leslie and Monty Mythen select highlights from the archives for our new listeners. Here are the podcasts they mention, start your TopMedTalk journey with any of these. The PREPARE Trial “some great insights in the frailty, rehabilitation field and .. some really smart work … probably the top of my list” Mike Grocott. This excellent podcast: -- Gender Disparities in Surgical Efficiency and Outcomes "We had a great meeting with a medical student of Professor Matthias Eikermann in New York who talked about the different experiences of male and female practitioners. And that was really very powerful … she spoke really well…someone to watch out for, for the future.” Kate Leslie -- Perioperative medicine, the challenges, the rewards and the future “We had Ramani Moonesinghe visiting Australia from the uk, who obviously great friend of TopMedTalk and we know well, which she did a really, really fascinating conversation with us.” Andy Cumpstey -- Improving sustainability and reducing operating room waste “She says the same thing every time and, and every time I feel I'm a little bit closer to being a good citizen with respect to sustainability. And, you know, we all sort of focus on things like recycling and disposables and things like that, but she, she sort of focuses on a much bigger picture of the supply chain and, um, how we really need to reinvent all the processes” Kate Leslie -- Exploring cerebral autoregulation “Her research, which is published in the public domain, recognizing the fact that there isn't a magic number of, for blood pressure. It's very individual and so it's a great podcast. Please do listen to it. There's a scary bit towards the end, which recognized that, in critical critically ill patients, you know, they quite often, we let their blood pressures drop. They have high right sided pressures and we often sit them up 'cause we think it's good for them. So listen to that bit because, you know, scary.” Monty Mythen “He just crystallized so well, it was like a sort of a primary exam. A capsule of information about this new idea, which I don't think I can actually properly explain either, but it's got to do with blood pressure, diabetes, and hypercholesterolemia, and how a combination of things can put you in this metabolic risk category.” Kate Leslie -- Periperative Profiles, Paul Myles “A really interesting conversation with Professor Paul Myles, which started off a new series for us, which I'm really enjoying. We've called that the Perioperative Profile series and, I guess the aim of that series, if you like, is to speak to some of the key thought leaders in our space” Andy Cumpstey
/episode/index/show/topmedtalk/id/38474325
info_outline
Perioperative Profiles, Ramani Moonesinghe
09/28/2025
Perioperative Profiles, Ramani Moonesinghe
At this year’s Evidence Based Perioperative Medicine (EBPOM) World Congress we sat down with Ramani Moonesinghe OBE, and had a conversation about her remarkable journey from her immigrant roots to her influential roles in perioperative and critical care. Hear about her contributions to Britain’s National Health Service, her groundbreaking research, and her personal life balancing a demanding career with family. Gain insights into the future of perioperative care, health inequalities, and her thoughts on the nation’s COVID-19 preparedness. Presented by Andy Cumpstey with Ramani Moonesinghe OBE, Professor of Perioperative Medicine, UCL, and Honorary Consultant in Anaesthesia and Perioperative Medicine, UCLH, London, UK.
/episode/index/show/topmedtalk/id/38263730
info_outline
Advances in Perioperative Medicine and Postoperative Monitoring
09/21/2025
Advances in Perioperative Medicine and Postoperative Monitoring
Recorded at this year’s Evidence Based Perioperative Medicine (EBPOM) World Congress held in London, this episode of TopMedTalk features Andy Cumpstey with his guests TJ Gan, Professor and Division Head, Anesthesiology, Critical Care and Pain Medicine, UT Texas MD Anderson Cancer Center, Houston, TX, USA, and Tim Miller, Professor of Anesthesiology at Duke University Medical Center, Durham, NC, USA. The conversation provides insights on the key themes and developments from the conference. They discuss the critical importance of postoperative monitoring and interventions, including haemodynamic management, advanced monitoring systems, and the integration of new technologies such as AI and wearables. They emphasize evolution in surgical practices, particularly the shift towards outpatient procedures facilitated by robotic surgery. The conversation then highlights the global need for enhanced postoperative care standards and the potential future directions in perioperative medicine.
/episode/index/show/topmedtalk/id/38263690