This conversation focuses on perioperative fluid management as part of Enhanced Recovery After Surgery (ERAS). Firstly, the team addresses the online poll - Is Enhanced Recovery (ER) the standard of care where you practice? They then move into a wider discussion about the key elements of ER alongside the main topic of perioperative fluid management. Presented by Monty Mythen with Desiree Chappell featuring their guests Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University...
Oct 21, 2018•35 min
Lessons learned from the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality improvement programmes; how do we keep track of patients and improve follow up questions after surgery? How do we clearly show Quality Improvement Programmes work for the patient? Further discussion encompasses innovation and utilization in practice. Presented by Monty Mythen and Desiree Chappell with their guest Carole Peden, Professor of Anesthesi...
Oct 20, 2018•24 min
This fascinating in-depth conversation about Enhanced Recovery After Surgery, facilitated by questions both from our worldwide online audience and people who were attending the American Society of Anesthesiologists (ASA) conference in San Francisco this year. 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 Vijaya Gottumukkala, Professor of Anesthesia and Deputy Chair at MD An...
Oct 19, 2018•21 min
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most downloaded podcasts we've done so far. This discussion focuses on the perioperative quality initiative's (POQI) intense focus this year on total body water and electrolytes. How often should we weigh patients to monitor water balance? What can we learn from a real understanding of the circulation of interstitial fluid and lymphatics? What is the rol...
Oct 19, 2018•38 min
Despite the fact that a return on investment is a given after 12 months why is it that resources are not available for those of us pushing for Enhanced Recovery After Surgery (ERAS)? How do we convert the conversation down from pure financial terms into a lexicon that institutions can understand? The 'Council of Nurses' idea advocated in this piece is explored further in a previous podcast on TopMedTalk to be found here: https://www.topmedtalk.com/a-council-of-nurses/ Join the team on the first ...
Oct 18, 2018•23 min
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far, as voted for by our listeners: "RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results." The RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial has been a huge story for us here at TopMedTalk, recorded on the second day of The Royal Collage of Anaesthetists' annual conference at the British Museum this is...
Oct 18, 2018•28 min
Join the team on the first day of the ASA in San Francisco. Originally streamed live on http://www.topmedtalk.com from the Smith's Medical Booth in the exhibition hall of the conference. Presented by Monty Mythen, Desiree Chappell, Mike Grocott and Joff Lacey.
Oct 17, 2018•23 min
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far. "I want to dance at my daughter's wedding" What are the goals of healthcare providers, how do we measure success and why does value based care matter? Insight from The American Association of Retired People puts the focus in this conversation upon the patient. How do they measure value? What do they want and why? This piece features Desiree Chappell wit...
Oct 17, 2018•7 min
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far. "EBPOM 2018 - 4 | The Roundtable on NELA and shared decision making" What is the standard of care given to patients who are getting an 'emergency laparotomy'? How do you use national data on a local level? Also in this conversation; teaching patients, learning from patients, shared decision making and bringing together the preferences of the patient and...
Oct 16, 2018•23 min
This fascinating piece is essential listening from the ASA 2018. Originally streamed live on www.topmedtalk.com during our live coverage of the conference in San Francisco. Hear how the American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United Kingdom, are to focusing on brain health, in response to the demands of their members. Further conversation includes how practitioners both explain the risks of surgery and al...
Oct 15, 2018•15 min
We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch up with the most popular podcasts over the past year. Here you will find a fascinating discussion about cognitive function after surgery and a wider conversation about the 'brain health initiative'. What practical, simple steps can patients and providers take to bridge the gap between new discoveries in the arena of brain health and risk minimisat...
Oct 15, 2018•19 min
On the morning of the first day of the 2018, annual conference, of the American Society of Anesthesiologists (ASA) Monty Mythen and Desiree Chappell were lucky enough to get an exclusive interview with Professor Henrik Kehlet. Henrik Kehlet is a gastrointestinal surgeon and former professor of surgery, Copenhagen University, and now professor of perioperative therapy and Head of Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University. He has published more than 650 articles wi...
Oct 14, 2018•18 min
We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch up with the most popular podcasts over the past year. The debate 'Direct laryngoscopes should be consigned to history' was hosted by The Royal College Of Anaesthetists and carried out by our two guests on this piece. TopMedTalk sat down to have our own mini-debate during the conference. Presented by Joff Lacey and Monty Mythen with their two guest...
Oct 14, 2018•20 min
In this, the second of a two part piece, the issue of frailty is assessed as a diagnosis. The realities of treating, often elderly people, who suffer from it are examined and discussed. Originally streamed live on www.topmedtalk.com the talk was part of EBPOM 2018 in Chicago. Presented by Dr Bobbie Jean Sweitzer, Associate Professor and Director of pre-operative medicine at the University of Chicago.
Oct 13, 2018•22 min
We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch up with the most popular podcasts over the past year. Today's piece is called "Treating Patients Properly" and was recorded at EBPOM USA, Atlanta. Treating patients as people rather than 'jobs to be done' and 'boxes to be ticked' is the focus of this piece. What can Doctors do better when it comes to treating patients? Find out what happened when ...
Oct 13, 2018•26 min•Season 1Ep. 10
In this two part piece the issue of frailty is assessed as a diagnosis. The realities of treating, often elderly people, who suffer from it are examined and discussed. Originally streamed live on www.topmedtalk.com the talk was part of EBPOM 2018 in Chicago. Presented by Dr Bobbie Jean Sweitzer, Associate Professor and Director of pre-operative medicine at the University of Chicago.
Oct 12, 2018•23 min
We're playing TopMedTalk’s top ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch up with the most popular podcasts of the past year. This piece was originally presented during the Third Annual Quality Improvement Leadership Forum, 2018, at the Union League Club in Philidelphia. The trial looked at the effect of goal-directed haemodynamic therapy on postoperative complications in low–moderate risk surgical patients: a multicent...
Oct 12, 2018•16 min•Season 1Ep. 9
How do hospitals and institutions best use their assets in a world of big data where we can deploy predictive analytics and the new metrics they make available to us? Currently we tend to use the clumsy metrics of averages when there now exists the possibility to use more high fidelity predictive patterns adapted to the unique flow of users and situations. Learn how constraint based optimisation and forecasting has allowed for an exponential rise in the effectiveness of our already existing reso...
Oct 11, 2018•22 min
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most downloaded podcasts we've done so far. "Patients are the experts in being patients" The penultimate part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the final segment of a fascinat...
Oct 11, 2018•9 min•Season 1Ep. 8
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this is the question and answer session which followed the talk "The Opioid crisis, can we kick the habit?". Along with various questions from the audience, both at the conference and listening live online, Desiree Chappell presents an entertaining conversation with Matthew McEvoy. Presented by Desiree Chappell with Matthew McEvoy, Vice-Chair for Educational Affairs and Professor of Anesthesiology at Vanderbilt U...
Oct 10, 2018•36 min
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most downloaded podcasts we've done so far. The NHS, a national institution beloved by the people of the United Kingdom is 70 years old. EBPOM celebrated this fact with a talk that gets right to the heart of why this institution is so special and also how it can move forward in the brave new world we find ourselves in now. This piece was streamed live, f...
Oct 10, 2018•43 min•Season 1Ep. 7
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in less than 10 minutes, lays out the case for kicking the opioid habit, specifically in America. Use this to help build the case for reducing the use of opioids at your institution. Presented by Matthew McEvoy, Vice-Chair for Educational Affairs and Professor of Anesthesiology at Vanderbilt University Medical Center
Oct 09, 2018•11 min
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most downloaded podcasts we've done so far. This discussion focuses on the perioperative quality initiative's (POQI) intense focus this year on total body water and electrolytes. How often should we weigh patients to monitor water balance? What can we learn from a real understanding of the circulation of interstitial fluid and lymphatics? What is the rol...
Oct 09, 2018•40 min•Season 1Ep. 6
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Mike Grocott's talk; "Wrong surgery or wrong patient?". Various questions from the audience follow after a short conversation between Mike and our Editor in Chief Monty Mythen. Presented by Monty Mythen with his guest Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton.
Oct 08, 2018•36 min
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far, as voted for by our listeners: "RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results." The RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial has been a huge story for us here at TopMedTalk, recorded on the second day of The Royal Collage of Anaesthetists' annual conference at the British Museum this is...
Oct 08, 2018•28 min•Season 1Ep. 5
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in less than 15 minutes, lays out the case for shared decision making so you can avoid carrying out surgery which is not right for either the surgeon or patient. Use this to help build the case for shared decision making at your institution by demonstrating that it hits the 'triple aim for populations' by simultaneously delivering a better patient experience, health care and cost. Presented by Mike Gr...
Oct 07, 2018•11 min
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far. "I want to dance at my daughter's wedding" What are the goals of healthcare providers, how do we measure success and why does value based care matter? Insight from The American Association of Retired People puts the focus in this conversation upon the patient. How do they measure value? What do they want and why? This piece features Desiree Chappell wit...
Oct 07, 2018•7 min•Season 1Ep. 4
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Lee Fleisher's talk; "ACOs are the only hope for affordable health care". Various questions from the audience follow a short conversation between Lee and our lead presenter Desiree Chappell. Presented by Desiree Chappell with her guest Lee A. Fleisher, Professor of Anesthesiology and Critical Care and Senior Fellow, Leonard Davis Institute of Health Eco...
Oct 06, 2018•27 min
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far. "EBPOM 2018 - 4 | The Roundtable on NELA and shared decision making" What is the standard of care given to patients who are getting an 'emergency laparotomy'? How do you use national data on a local level? Also in this conversation; teaching patients, learning from patients, shared decision making and bringing together the preferences of the patient and...
Oct 06, 2018•23 min•Season 1Ep. 3
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in approximately 15 minutes, lays out the case for Accountable Care Organizations (ACOs) as the only hope for affordable health care. Presented by Lee A. Fleisher, Professor of Anesthesiology and Critical Care and Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania.
Oct 05, 2018•19 min
