TopMedTalk’s long and proud association with the American Society of Anesthesiologists (ASA) means we’ve had the chance to interview many of the Presidents of the organization over the years. Here we present some selected highlights from some of those conversations featuring; Linda Mason, MD, FASA, (2019 President of the American Society of Anesthesiologists), Mary Dale Peterson, M.D., MHA, FACHE, FASA, (2020 President of he ASA) Beverly K. Philip, MD, FACA, FASA (2021 President of the ASA) and ...
Oct 13, 2022•25 min
"Good surgeons are good communicators" How do we define a best case scenario for post operative value? What are the post operative realities and behaviors which interact with cost pressures, reimbursement, payer dynamics and go on to influence the site of service choices that confront us today? Presented by Desiree Chappell and Sol Aronson with their guests, Sam Ajizian, Chief Medical Officer of the Patient Monitoring Operating Unit in Medtronic, Alan Kirk, Surgeon in Chief for The Duke Universi...
Oct 10, 2022•51 min
This wide ranging discussion from Evidence Based Perioperative Medicine (EBPOM) USA asks how we should best try to manage the intraoperative period, where is the evidence telling us to focus? Do we get the impression that Enhanced Recovery After Surgery (ERAS) delivers the value proposition? Are reduced complications always a good thing, even from a business perspective? What are the economic barriers to adopting enhanced recovery? Is Enhanced Recovery more spoken about than actually practiced? ...
Oct 03, 2022•52 min
"A very different philosophy of going about the business of anesthesia..." Where are CRNA's placed in the current market. What are going to be the pitfalls and the plus points as we move on from a challenging time? With thanks to NorthStar Anesthesia for their help in helping TopMedTalk to cover the American American Association of Nurse Anesthesiology's annual conference 2022. Presented by Desiree Chappell with her co-host Randall Moore, CRNA, Chief Anesthetist Officer at NorthStar Anesthesia a...
Sep 29, 2022•24 min
TopMedTalk's coverage of the American Association of Nurse Anesthesiology's 2022 conference continues with another installment of "Women in Anesthesia". If you enjoy this piece why not listen to some of our earlier episodes in the popular series; they are found here: https://www.topmedtalk.com/?s=women+in+anaesthesia Presented by Desiree Chappell, Co Editor in Chief, VP of Clinical Quality, with Jennifer Squibbs, Vice President of CRNA Services, NorthStar Anesthesia, Chris Hendren, Vice Presiden...
Sep 29, 2022•17 min
"And the good news is that we may or may not have an answer to this fluid debate that's been running now for 25 years..." The Great Fluid Debate is a popular fixture at Evidence Based Perioperative Medicine (EBPOM) and this year that was once again the case. Are we genuinely starting to see evidence based practice emerging and finally knocking "eminence based" notions off the shelf? Presented by Monty Mythen and starting with a short presentation from Professor John A Myburgh, Intensive Care Med...
Sep 26, 2022•1 hr
"It's not just about us [Anesthesia]. It's about all the stakeholders that are invested" How can the American Association of Nurse Anesthesiology (AANA) help to maximize the value of Certified Registered Nurse Anesthetists? This vital conversation tackles that question head on. What are the big opportunities for the profession and how do we make the most of them? TopMedTalk brings you access to exclusive coverage of the AANA 2022 meeting. For more on the AANA go here: https://www.aana.com/ Prese...
Sep 22, 2022•17 min
"Certified Registered Nurse Anesthetists (CRNA's) handle meeting with you ahead of time; alleviating your fears of surgery; getting an extensive health history so that we can really tailor your anesthetic to your needs. We work as a member of a team with surgeons and with nurses - in the operating room. And then afterwards; we want to make sure that you're comfortable and make sure that you're in a good spot to go home." What is the role of the CRNA? Where might it expand to and what principles ...
Sep 22, 2022•25 min
EBPOM USA gets off to an incredible start; the value proposition which drives the push towards perioperative medicine on both sides of the Atlantic. How far do we go when explaining to both practitioners and patients the importance of perioperative medicine, prehabilitation and preoperative assessment? Can a focus upon the value we add motivate people to follow the evidence and provide true enhanced recovery after surgery (ERAS)? Presented by Desiree Chappell and Sol Aronson with their guests Bo...
Sep 19, 2022•58 min
What is the value proposition when it comes to data, when does data become information and how do we mitigate between useful monitoring and an irrelevant miasma? This timely conversation takes place at a key moment in medicine as the limits on what we can know pull back thanks to increasing technological innovation. This piece presented to you with thanks to our sponsor Medtronic. It is with such partnerships that we are able to bring you TopMedTalk entirely for free each week. Co-Chaired by Mon...
Sep 12, 2022•33 min
Where is Enhanced Recovery After Surgery (ERAS) for cardiac, now we find ourselves towards the start of the "post-COVID19" era? Where is the data taking us? How do we turn our principles into everyday practice? This piece originally contained the "Cardiac enhanced recovery - essential update | EBPOM Chicago" presentation from our panelist Mike Grant. Listeners are advised to follow this link if they've not yet heard that essential talk: https://topmedtalk.libsyn.com/cardiac-enhanced-recovery-ess...
Sep 05, 2022•51 min
"We need to stop accepting the tenants we've all been given throughout our careers and accept that maybe we've been misinformed and maybe we've misinformed ourselves and have a bit of humility and start again" The Ernest Henry Starling Plenary Lecture; a stand out moment from EBPOM 2022, London. Our speaker calls for medicine to significantly reevaluate itself and focus upon the caring aspect of 'intensive care'. Presented by Hugh Montgomery OBE; Hugh obtained a first class degree in cardiorespi...
Aug 29, 2022•55 min
This piece focuses upon continuous ward monitoring. It provides real world experience as our guest explains how technology is moving forward. How do we avoid information overload? Do staff shortages mean this technology is rapidly going from "optional" to "essential"? How does more monitoring mean more value and better patient care? This piece presented to you with Portrait Mobile and kindly sponsored by GE Healthcare. Presented by Desiree Chappell and Monty Mythen with Sadia Khan, Consultant Ca...
Aug 27, 2022•28 min
Due to the importance of this topic the TopMedTalk team would appreciate it if you could help to share and boost this podcast amongst your social media networks. Pulse Oximetry has been in the news recently, the COVID crisis has revealed discrepancies in its efficacy with patients who have darker skin tones. This conversation cuts to the realities of the situation; are pulse oximeters "racist" or is this a potentially dangerous click bait fallacy? Presented by Desiree Chappell and Monty Mythen w...
Aug 22, 2022•20 min
Laryngosopy latest; what can we see? This piece is a full and frank update regarding where we're at from a charismatic - self described - "laryngoscopy geek". Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation - discussed in this piece under the name "The Cochrane Review" - is here: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011136.pub3/full Our guest kindly shares his Twitter handle: https://twitter.com/altgm Presented by Desiree Chappell and...
Aug 15, 2022•26 min
TopMedTalk presented here as live during Evidence Based Perioperative Medicine (EBPOM)'s 2022 annual London conference. Two presentations (the full video of which will be available on EBPOM.org) and then a panel discussion on the subjects of Enhanced Recovery After Surgery (ERAS) Cardiac and hypotension. If you enjoyed this conversation there is a vast archive of discussion on the topic of Acute Kidney Injury on TopMedTalk here: https://www.topmedtalk.com/?s=AKI Presented by Desiree Chappell and...
Aug 08, 2022•39 min
This vital discussion brings to the fore the realities of cognitive prehabilitation, what is possible, how do we do it right and why does it work? Linking back to a presentation which we've heard earlier on TopMedTalk - https://topmedtalk.libsyn.com/cognitive-prehabilitation-ebpom-chicago?_ga=2.222682203.1756392790.1657624918-966310048.1569589661 - the panel add context and experience to the picture. If you'd like to attend an Evidence Based Perioperative Medicine (EBPOM) conference please follo...
Aug 01, 2022•38 min
"I think the vast majority of our colleagues still think of anesthesia as a task that has to be completed; rather than a system, or anesthesia being part of a holistic picture or whole system. I think that is something that we need to think when we think of the future" Ravi Mahajan, Former President of The Royal College of Anaesthetists, UK. This talk 'Reflections on Anaesthesia and Perioperative medicine; looking back / looking forward' was the Rod Armstrong Plenary Lecture of (Evidence Based P...
Jul 25, 2022•43 min
"EEG is more than a number" This piece is an early taste of the forthcoming highlights of Evidence Based Perioperative Medicine (EBPOM)'s TopMedTalk presentation. Subtitled: "pEEG Monitoring in the OR and ICU: From The Table to The Bedside" it was kindly suported by Medtronic Presented by Desiree Chappell and Monty Mythen with their guest Alex Oliver, Consultant Anaesthetist at The Royal Marsden NHS Foundation Trust.
Jul 18, 2022•34 min
"It's been such an amazing.. electric atmosphere" This bonus piece gives you a taste of the 2022 Evidence Based Perioperative Medicine (EBPOM) meeting in London this year. Look out for some of the talks from EBPOM - provided exclusively for TopMedTalk for free, with thanks to our generous sponsorships and partners. How has Perioperative Medicine been trust to the forefront of medicine in the wake of the COVID catastrophe? Are we right to take a leadership role as the healthcare industry attempts...
Jul 11, 2022•19 min
Recorded at EBPOM and presented here 'as live' this piece is an exclusive extra conversation held in between sessions on the subject of fluid balance; is the perennial debate of our conference over, or is there still more to be said? Listeners are advised further reading is here: Which goal for fluid therapy during colorectal surgery is followed by the best outcome: near-maximal stroke volume or zero fluid balance? https://pubmed.ncbi.nlm.nih.gov/22710266/ Effects of intravenous fluid restrictio...
Jul 07, 2022•37 min
A staffing crisis globally in healthcare is pushing forward the need for sedation in non anaesthetic areas. What does this mean for medical practitioners? What are the safest ways to work within this crisis? This is not a conversation about shortcuts and poor practices, it's about delivering a higher and better standard of care within a perioperative environment. Listen in to find out more. Recorded - as live - at EBPOM 2022; go now to www.ebpom.org for more details about Evidence Based Perioper...
Jul 06, 2022•24 min
Hear the complete live session with questions from the online audience at one of the stand out presentations of Evidence Based Perioperative Medicine (EBPOM)'s Dingle Conference. Don't forget if you want full access to our video presentations on demand and are interested in attending the next EBPOM conference ensure you check out www.ebpom.org Here are the two articles referenced in this piece: Current status of perioperative hypnotics, role of benzodiazepines, and the case for remimazolam: a na...
Jul 04, 2022•51 min
"Most non clinicians.. think the most risky time when you're having surgery is when you're having surgery. That is categorically false; the most risky time is after surgery!" This piece came shortly after GE Healthcare's Portrait Mobile product launch, live from the European Society of Anaesthesiology and Intensive Care (ESAIC). Presented by Desiree Chappell and Sol Aronson with their guests Neal Sandy, General Manager, Monitoring Solutions at GE Healthcare and Karla Asikainen, Senior Global Pro...
Jun 28, 2022•24 min
"We listen a lot to our customers and their patients" This piece came shortly after GE Healthcare's Portrait Mobile product launch, live from the European Society of Anaesthesiology and Intensive Care (ESAIC). Presented by Desiree Chappell and Sol Aronson with their guests Tom Westrick, President & Chief Executive Officer of Life Care Solutions at GE Healthcare and Brandon Henak, Global Marketing Director, Monitoring Solutions at GE Healthcare. -- Get all the headlines and information about ...
Jun 28, 2022•32 min
Personalized versus protocolised perioperative pain prediction and management; what are the considerations for a modern practitioner. Where does the data take us? What are the ethics for a responsible value based care approach that seeks to reduce or perhaps even eliminate opioid use? What insights can we glean from a truly transatlantic conversation on these topics? How do we both manage and set expectations for the patient? This discussion - in its original form - also featured a presentation ...
Jun 27, 2022•47 min
This piece is an essential contribution to the debate regarding patient centered value based care. Are you able to say you are putting your orthopaedic patients' needs and priorities at the forefront of your practice? Some of the questions from the online audience include: Is Enhanced Recovery After Surgery (ERAS) in orthopaedics a step too far? How do patients who have significant arthropathys engage with a prehab program that makes them fitter? Those that successfully complete the program, are...
Jun 20, 2022•1 hr 1 min
"Decide to be part of the solution" This inspirational talk focuses upon how and why we need to focus on and improve attitudes toward pain control. Working as a team, being proactive and engaging with our wider culture are emphasized along with the need for education, standardisation and the ability to learn from other specialties. Presented by Jeffrey L. Gum, MD, Adult and Pediatric Spine Surgeon, Norton Leatherman Spine Center, Associate Professor University of Louisville Department of Orthope...
Jun 13, 2022•20 min
This wide ranging conversation starts with a focus upon blood pressure and moves through some of the bigger trails on what an appropriate target is for a perioperative practitioner. What is the most sensible way to manage blood pressure and where are the data driving us to? Further conversation evolves around the post-op period and transition of care. Presented by Desiree Chappell, Monty Mythen and Sol Aronson with their guest Bernd Saugel, Professor and Vice Chair of the Department of Anesthesi...
Jun 08, 2022•37 min
This piece goes over some cognitive risk factors for post op delirium alongside a look at cognitive prehabilitation and a review of the results from an aerobics trial. What are the next steps for future research? This piece was followed by a panel discussion which will be released soon here on TopMedTalk. For more information about Evidence Based Perioperative Medicine (EBPOM) go here www.ebpom.org Presented by Michelle Humeidan, Associate Professor, Neuroanesthesiology, Associate Faculty, Insti...
Jun 06, 2022•32 min
