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TopMedTalk

TopMedTalkwww.topmedtalk.com
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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Episodes

EBPOM 2018| Colloid vs Crystalloid - Goal Directed Therapy

"Colloid vs Crystalloid - Goal Directed Therapy" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Monty Mythen, Smiths Medical Professor of Anaesthesia an...

Aug 13, 201810 min

EBPOM 2018| Perioperative Haemodynamic Management

"Perioperative Haemodynamic Management" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Monty Mythen, Smiths Medical Professor of Anaesthesia and Critica...

Aug 12, 201840 min

EBPOM 2018 - 11 | A US perspective on the NHS and 'The Brain Health initiative'

After 70 years the NHS still continues to promote debate around the world, here you get expert analysis of the deeper realities of a taxpayer funded national health service. Also - what is "The Brain Health Initiative"? Why is it that so many aspects of brain function are so hard to understand? Why is cognitive dysfunction such a difficult topic to discuss? How far away are we from the days when we will have a biomarker that can help us in this area? Desiree Chappell presents, with her guests; D...

Aug 11, 201822 min

EBPOM 2018| Postoperative changes in cognition: The role of biomarkers

"Postoperative changes in cognition: The role of biomarkers" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Miles Berger, Neuroanesthesiologist at Duke ...

Aug 10, 201824 min

EBPOM 2018| Obstetric anaesthesia

"Obstetric anaesthesia" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Carolyn Johnston, consultant Anaesthetist in St Georges hospital in London and Im...

Aug 09, 201820 min

EBPOM 2018| Cardiac anaesthesia and anaemia

"Cardiac anaesthesia and anaemia" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Andrew Klein, Cardiothoracic Anaesthetist at Royal Papworth Hospital, C...

Aug 08, 201826 min

EBPOM 2018 - 9 | The dawn of a new EPOCH?

How can we redeploy critical care thinking and perioperative care pathways at scale for the high risk surgical patient? What is the Enhanced Perioperative Care after high-risk Surgery (EPOCH trial)? How has it altered the way people think about their practice? Will there be an EPOCH-2? Presented by Desiree Chappell, Joff Lacey and Mike Grocott with their guest; Professor Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London. Join in the debate: contact@topmedtal...

Aug 07, 201816 min

EBPOM 2018| Visiting Professor Plenary Lecturer: "Results of the RELIEF Trial"

"Results of the RELIEF Trial" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Paul Myles, Head of Alfred Health's and Monash University's Department of A...

Aug 06, 201821 min

EBPOM 2018 - 8 | The EPOCH trial results

The highly anticipated results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial, presented for the first time at EBPOM 2018. Were these results as expected? Can we make large scale quality improvement programmes work? Does this trial put 'the big questions' to bed? This piece is introduced by Monty Mythen and presented by Professor Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London and Carol Peden, Professor of Anesthesiology and Exec....

Aug 05, 201825 min

EBPOM 2018| Exercise and cancer

"Exercise and cancer" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of So...

Aug 04, 201813 min

EBPOM 2018| Perioperative Quality Improvement Programme (PQIP)

"Perioperative Quality Improvement Programme (PQIP)" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Dr Ramani Moonesinghe, Professor of Perioperative Me...

Aug 03, 201821 min

EBPOM 2018| Perioperative brain health initiative: A population health safety initiative

"Perioperative brain health initiative: A population health safety initiative" - one of the lectures which www.topmedtalk.com streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018. Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Dr Lee A. Fle...

Aug 02, 201823 min

EBPOM USA Part 6| Practical realities; How and why Fluid management matters

This is the sixth presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from Dr Tim Miller, anaesthsiologist from Duke University Medical Centre. If you like the sound of this and think you and your practice would benefit from attending such a course don't worry, just go to The EBPOM website: https://www.ebpom.org/EBPOM-USA-2018...

Aug 01, 201828 min

EBPOM USA Part 5| Practical realities; How and why multimodal Analgesia matters

This is the fifth presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from Tong Joo (TJ) Gan, Professor and Chairman at Stoney Brook in New York and the immediate past President of the American Society of Enhanced Recovery (ASER). If you like the sound of this and think you and your practice would benefit from attending such a course don't worry, just go to The EBP...

Jul 31, 201827 min

EBPOM USA Part 4| Enhanced Recovery - State of the Art

This is the fourth presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from Desiree Chappell, Certified Registered Nurse Anesthetist (CRNA) and board member of The American Society of Enhanced Recovery (ASER). If you like the sound of this and think you and your practice would benefit from attending such a course don't worry, just go to The EBPOM website: https://w...

Jul 30, 201819 min

09 Xtreme Everest | Therapeutic Hyperoxia: Medicine Under Pressure.

Presented by, Richard Moon, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. This series also includes: TOMORROW: Morpheus Consortium Distinguished Lecture: Xtreme Everest: Physiology on Top of the World. Mike Grocott

Jul 28, 201821 min

08 Xtreme Everest | A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016

Presented by, David McLeod, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. -- This series also includes: OUT LATER TODAY: Therapeutic Hyperoxia: Medicine Under Pressure. Richard Moon SUNDAY Morpheus Consortium Distinguished Lecture: Xtreme Everest: Physiology on Top of the World. Mike Grocott

Jul 28, 201818 min

Epigenetics of Hypoxia | Xtreme Everest

Presented by, Kay Mitchell, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. This series also includes: OUT LATER TODAY: SATURDAY: A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016, David MacLeod Therapeutic Hyperoxia: Medicine Under Pressure. Richard Moon SUNDAY Morpheus Consortium Distinguished Lecture: Xtreme Everest: Physiology on Top of the World. Mike Grocott...

Jul 27, 201819 min

06 Xtreme Everest | Oxygen and the Brain.

Presented by, Chris Imray, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. This series also includes: OUT LATER TODAY: The Epigenetics of Hypoxia. Kay Mitchell SATURDAY: A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016, David MacLeod Therapeutic Hyperoxia: Medicine Under Pressure. Richard Moon SUNDAY Morpheus Consortium Distinguished Lecture: Xtreme Everest: Physiology on Top of the World. Mike Grocott...

Jul 27, 201819 min

05 Xtreme Everest | Oxygen Therapy: The Yin and Yang of Our Favorite Drug.

Presented by, Monty Mythen., recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. Oxygen Therapy: The Yin and Yang of Our Favorite Drug. Monty Mythen. FRIDAY: Oxygen and the Brain. Chris Imray The Epigenetics of Hypoxia. Kay Mitchell SATURDAY: A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016, David MacLeod Therapeutic Hyperoxia: Medicine Under Pressure. Richard Moon SUNDAY Morpheus Consortium Distinguished Lectu...

Jul 26, 201821 min

04 Xtreme Everest | Metabolic Adaptation to Hypoxia.

Presented by, Andrew Murray, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. This series also includes: OUT LATER TODAY: Oxygen Therapy: The Yin and Yang of Our Favorite Drug. Monty Mythen. FRIDAY: Oxygen and the Brain. Chris Imray The Epigenetics of Hypoxia. Kay Mitchell SATURDAY: A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016, David MacLeod Therapeutic Hyperoxia: Medicine Under Pressure. Richard Moon SU...

Jul 26, 201828 min

03 Xtreme Everest | Cardiovascular Adaptation to Hypoxia.

Presented by, Daniel Martin, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. This series also includes: THURSDAY: Metabolic Adaptation to Hypoxia. Andrew Murray Oxygen Therapy: The Yin and Yang of Our Favorite Drug. Monty Mythen. FRIDAY: Oxygen and the Brain. Chris Imray The Epigenetics of Hypoxia. Kay Mitchell SATURDAY: A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016, David MacLeod Therapeutic Hyperoxia: ...

Jul 25, 201821 min

02 Xtreme Everest | What Happens to Healthy Humans in Hypoxia?

Presented by, Denny Levett, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. -- What Happens to Healthy Humans in Hypoxia? Denny Levett. This series also includes: WEDNESDAY: Cardiovascular Adaptation to Hypoxia. Daniel Martin THURSDAY: Metabolic Adaptation to Hypoxia. Andrew Murray Oxygen Therapy: The Yin and Yang of Our Favorite Drug. Monty Mythen. FRIDAY: Oxygen and the Brain. Chris Imray The Epigenetics of Hypoxia. Kay Mitch...

Jul 24, 201825 min

01 Xtreme Everest | Critical Care - Can we Learn from Environmental Physiology?

Presented by, Professor Mike Grocott, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. -- Human Tolerance of Hypoxia: Going to Extremes to Understand Critical Illness. This series also includes: TUESDAY: What Happens to Healthy Humans in Hypoxia? Denny Levett WEDNESDAY: Cardiovascular Adaptation to Hypoxia. Daniel Martin THURSDAY: Metabolic Adaptation to Hypoxia. Andrew Murray Oxygen Therapy: The Yin and Yang of Our Favorite Dru...

Jul 23, 201827 min

POPS Part 4| Education, education, education.

The Guy's and St Thomas's POPS team offer a fellowship, here the discussion covers both that and the wider issue of getting students and younger practitioners into this growing area of health care. How do we get undergraduates to learn the skills which simple demographics show are going to become more and more crucial as the trend towards a longer life span continues in the Western world? Monty Mythen and Desiree Chappell continue their conversation with Dr Jugdeep Dhesi, Clinical Lead, POPS and...

Jul 22, 20186 min

POPS Part 3| The Frailty Unit

The Frailty Unit is part of the service offered by the Proactive care for Older People undergoing Surgery (POPS) team at Guy's and St Thomas's Hospital. Could something like this work outside of the context of the UK's National Health Service? What are the advantages of being able to safely discharge frail patients who may instead have ended up back in the hospital system? Monty Mythen and Desiree Chappell continue their conversation with Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geri...

Jul 22, 20186 min

POPS Part 2| POPS - meet more of the team from Guy's and St Thomas's

In part two of this series we continue looking at the POPS (Proactive care for Older People undergoing Surgery) team at Guy's and St Thomas's Hospital. How does having a POPS team facilitate specialist education at the institution? What other opportunities are there for patients and staff as a result of innovations such as this? Finally - what are the drugs that anaesthetists commonly prescribe to patients which people who work on this side of the service aren't so keen on? Desiree Chappell pres...

Jul 21, 201818 min

POPS Part 1| TopMed talk at Guy's and St Thomas's Hospital in Central London

What is POPS (Proactive care for Older People undergoing Surgery) and how have things gone since this service was introduced to Guy's and St Thomas's back in 2004? How do the team apply the techniques of this programme to the perioperative pathway of a patient? Would a service like this be useful at your practice? Can your institution accommodate a fully comprehensive geriatric assessment and optimisation process? Furthermore, should a programme like this be rolled out across the UK and could an...

Jul 21, 201829 min

The Great World Fluid Debate: John Myburgh

Here we feature a central figure in the ongoing Great World Fluid debate. He was sadly unable to attend EBPOM 2018 but we still wanted to get a very important contribution from him. What are the big takeaways from some of the larger trials such as Saline versus Albumin Fluid Evaluation ( SAFE )? What about the long term implications of Crystalloid versus Hydroxyethyl Starch Trial (CHEST)? What new trials should be on the horizon - given the information we now have? Monty Mythen speaks with his g...

Jul 20, 201838 min
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