In this piece our guest shares her journey from general anesthesiology to focusing exclusively on obstetrics, driven by her training as a sexual assault counselor. She highlights the prevalence of trauma among patients and the need for trauma-informed care practices. Presented by Desiree Chappell with her guest Tracey Vogel, Obstetric Anesthesiologist, Allegheny Health Network and Founder of The Empowerment Equation, LLC. More here: https://www.theempowermentequation.com/...
Aug 12, 2024•38 min
More from our coverage of the 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. The South African Perioperative Research Group (SAPORG) is a multidisciplinary group of researchers interested in improving perioperative outcomes in South Africa, through collaborative research Presented by Monty Mythen and Desiree Chappell with their guest Bruce Biccard, Professor and Second Chair at Groote Schuur Hospital and University of Cape Town, Chair of the South African Perioper...
Aug 05, 2024•23 min
More from our coverage of the 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. This piece discusses trials in the wake of COVID-19 specifically we focus upon the PROTECT Platform Trial. Presented by Monty Mythen and Kate Leslie with their guests Tom Abbott, anaesthetist and clinical lecturer at Queen Mary University of London and James Glasbey, NIHR Academic Clinical Lecturer in Global Surgery, University of Birmingham and General Surgery Registrar....
Jul 29, 2024•18 min
This piece looks at the DanGer Shock Trial which examines the efficacy of the Impella device in reducing mortality in patients with acute myocardial infarction and cardiogenic shock. We explain how the device works, its implantation process, and the significant findings from the trial, including a notable reduction in six-month mortality with a number needed to treat (NNT) of eight. Despite higher rates of bleeding and renal filtration therapy in the Impella group, the trial provides strong evid...
Jul 26, 2024•18 min
This year TopMedTalk were at Euroanesthesia 2024, Munich, Germany. In this piece we discuss anesthesia leadership, sustainability in healthcare, and innovations like Portrait Mobile and low-flow anesthesia. Our guest also shares her personal story as an immigrant and woman in industry, emphasizing the importance of mentorship, sponsorship, and balancing one’s personal and professional life. Presented by Desiree Chappell and Kate Leslie with their guest Alla K. Woodson, Global GM, Anesthesia, Res...
Jul 22, 2024•29 min
This conversation was recorded at The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. This piece focuses upon the TRACTION trial and the B-Free trial. The TRACTION trial is here: https://tractiontrials.org/ The B-Free trial is here: https://www.phri.ca/research/b-free/ Desiree Chappell and Andy Cumpstey speak with their guests Jessica Spence, Assistant Professor at McMaster University and the Principal Investigator of the B-Free Cluster Crossover Trial and Ryan Zar...
Jul 15, 2024•14 min
The team bring us more interviews from The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. This piece focuses upon the importance of global and equitable research partnerships, highlighting guidelines like TDR's Essence and the Trust Code. The conversation also touches on the need to decolonize health research and the necessity of systemic changes to support women in science and medicine. Presented by Desiree Chappell, Kate Leslie and Mike Grocott with their guest ...
Jul 08, 2024•22 min
Evidence Based Perioperative Medicine (EBPOM)'s incredible World Congress in London continues and TopMedTalk is there bringing you exclusive interviews with delegates, guests and key opinion leaders. Here we have a much needed discussion regarding regulating artificial intelligence (AI) at the point of care, and the need for proper regulatory frameworks to ensure its safe and effective use. We stress the importance of clear policies and clinician training for AI implementation, highlighting the ...
Jul 04, 2024•20 min
Evidence-Based Perioperative Medicine (EBPOM)'s World Congress in London is an vital point in the perioperative calendar. This year was no exception. In this piece we speak to some of the poster presenters about hypotension and also, an app that helps with preparation for major surgery. Presented by Andy Cumpstey with Alexander (Sandy) Jackson, Clinican Data Scientist, Royal College of Anaesthetists, NIHR Doctoral Fellow, Anaesthetics and Intensive Care Doctor, University of Southampton, NHS Fou...
Jul 04, 2024•16 min
Recorded exclusively at this year’s Evidence Based Perioperative Medicine (EBPOM) World Congress in London this piece looks in detail at High-Intensity Interval Training (HIIT). HIIT can significantly enhance physical fitness and resilience in cancer patients, reducing complications and improving quality of life. Hear how HIIT can positively impact mitochondrial performance, thus improving cardio-respiratory fitness. The discussion also explores the integration of experimental medicine from benc...
Jul 04, 2024•26 min
This conversation gets our coverage of the Evidence Based Perioperative Medicine, World Congress, (EBPOM) 2024 off to a great start. Shared decision making is a topic which cuts right to the centre of perioperative medicine with a focus upon patients and patient perspectives. Presented by Andy Cumpstey with his guests, Bob Evans, a retired Chartered Town Planner and local authority director, a board member of the Centre for Perioperative Care (CPOC), founder member of the Patient, Carer and Publ...
Jul 03, 2024•20 min
Evidence Based Perioperative Medicine (EBPOM) is at the heart of what we do and their annual world conference in London always delivers. TopMedTalk, the broadcasting arm of EBPOM, is there bringing you conversations and adding to the discussions at the conference. Presented by Andy Cumpstey, NIHR clinical lecturer in anaesthesia and intensive care medicine at Southampton University with Joff Lacey, consultant anaesthetist at St George's Hospital NHS Foundation Trust in London.
Jul 03, 2024•6 min
This piece is part of our coverage of Euroanaesthesia, one of the most important and influential annual congresses in anaesthesiology and intensive care. Organised by The European Society of Intensive Care Medicine (ESICM). The British Journal of Anaesthesia (BJA) publishes high-impact original work in all branches of anaesthesia, critical care medicine, pain medicine and perioperative medicine. This piece gets into AI generated content, sustainability and the Editorial Fellowship Program. Presen...
Jul 01, 2024•20 min
Perioperative patient safety and post-operative ward monitoring is an important topic. Could continuous monitoring potentially improve patient outcomes and reduce rapid response team activations? Can 24/7 monitoring for high-risk patients provide meaningful data and improve patient safety? With a focus upon “meaningful” how do we avoid “alarm fatigue”? Where is the research and what do the data tell us? The paper we mention is here: https://doi.org/10.1080/13696998.2023.2219156 Presented by Desi...
Jun 24, 2024•28 min
This piece is part of our coverage of The International Anesthesia Research Society (IARS) annual meeting. Here our guest discusses his dual roles in patient safety and quality improvement and his research in spatial sciences; focusing on how environmental and social factors impact health. Can the integration of environmental data into electronic health records allow us to better understand and address health determinants like air quality? What are the practical applications for healthcare provi...
Jun 17, 2024•19 min
Euroanaesthesia is organised by The European Society of Intensive Care Medicine (ESICM). This year, TopMedTalk was there in Munich, Germany, bringing you exclusive coverage. What are the effects of up to 72 hours of perioperative ketamine on the risk of development of chronic post-surgical pain? How can we improve pain management and perioperative opioid use after surgery? More about the ROCKet Trial here: https://medicine.unimelb.edu.au/research-groups/critical-care-research/critcare/appmu/the-...
Jun 12, 2024•21 min
Welcome to a conversation we recorded at The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. What is the role of a journal in 2024? Why are platform trials so exciting at the moment? How have things moved forward in research? Presented by Desiree Chappell with her co-hosts Mike Grocott, Kate Leslie and their guest Kirsten Bibbins-Domingo the 17th Editor in Chief of the Journal of the American Medical Association and the JAMA Network.
Jun 11, 2024•16 min
Our coverage of the Society for Obstetric Anesthesia and Perinatology (SOAP) continues. Developing clinical guidelines, fostering education, and conducting multi-center research to improve maternal health are all part of the SOAP mission. Also in this piece we discuss the General Anesthesia Registry, which collects data to improve anesthesia outcomes, and the Center of Excellence program. Presented by Desiree Chappell and Monty Mythen with their guest, Ruthi Landau, Virginia Apgar, Professor of ...
Jun 10, 2024•26 min
“We are seriously scientifically evidence-based looking for solutions on the non-pharmacological side and music has turned out to be one of them” This fascinating piece takes its cue from an excellent paper; “The Effect of Perioperative Music on Medication Requirement and Hospital Length of Stay: A Meta-analysis” which you can read here: https://pubmed.ncbi.nlm.nih.gov/31356272/ Presented by Desiree Chappell with her guest Marcus Klimek, Director Residency Training Program, Vice-Chairman, Associ...
Jun 07, 2024•17 min
Patient monitoring has made some significant strides forward over the last decade. Nowadays most people are familiar with the idea. Where are we now with this essential aspect of healthcare? How far should we take the commitment to monitoring a patient? What about “wearable” technology both inside and outside the institution? Desiree Chappell speaks with Meera Joshi, Specialist registrar at Ashford and St Peter's Hospital NHS Foundation Trust and clinical research fellow in the department of sur...
Jun 05, 2024•39 min
This piece focuses upon the Hypotension Predictive Index (HPI) technology. We look at the validation process of HPI, addressing criticisms and clarifying its predictive ability for hemodynamic instability. How important is it to understand the underlying causes of instability rather than solely relying on blood pressure readings? What is the role of HPI in early detection and proactive management? The discussion also touches on the limitations of traditional mean arterial pressure (MAP) monitori...
May 31, 2024•31 min
It’s one of our busiest times of the year. This piece is the first of a series from The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. Presented by Desiree Chappell and her co-hosts; Mike Grocott, Monty Mythen, Andy Cumpstey and Kate Leslie. Please ensure you are subscribed to TopMedTalk and check back regularly as we have more from this conference (and others) to come. We mention our piece with Paul Myles, you can listen to it here: https://topmedtalk.libsyn.com/...
May 29, 2024•15 min
This piece is part of our coverage of The International Anesthesia Research Society (IARS) annual meeting. This wide ranging conversation tackles hemodynamics, intraoperative hypotension and its implications. We also discuss finance for medical practitioners and patient-centered research. Presented by Desiree Chappell, Vice President of Clinical Quality at NorthStar Anesthesia and TopMedTalk co-editor in Chief and Monty Mythen, TopMedTalk’s founder and Senior Vice President Medical Affairs, Edwa...
May 29, 2024•33 min
This piece is part of our coverage of The International Anesthesia Research Society (IARS) annual meeting. Hear us discuss the prestigious journal "Anesthesia and Analgesia", affiliated with the International Anesthesia Research Society (IARS). Listen to how it maintains its status as one of the top-ranked journals in its field, the importance of its readability and accessibility. Learn about the journal’s rapid review process and diverse editorial board that reflects global and thematic diversi...
May 29, 2024•28 min
Euroanaesthesia is recognised worldwide as one of the most important and influential annual congresses in anaesthesiology and intensive care. This year, TopMedTalk is there in Munich, Germany, bringing you exclusive coverage. This conversation focuses upon perioperative neurocognitive disorders and the significance of biomarkers in predicting and managing these conditions. The paper mentioned, “Examining Subjective Psychological Experiences of Postoperative Delirium in Older Cardiac Surgery Patie...
May 27, 2024•26 min
This talk “Respiratory Prehabilitation” was originally given at The World Congress of Prehabilitation in London by Linda Denehy, Head of the Melbourne School of Health Sciences and Professor of Physiotherapy at The University of Melbourne, Australia It is the third in a series of talks given under the title, “Non-cancer Prehabilitation”, which also includes a fascinating panel discussion. The first talk is available for you to listen to here: https://topmedtalk.libsyn.com/prehabilitation-in-aneu...
May 27, 2024•20 min
Euroanaesthesia is recognised worldwide as one of the most important and influential annual congresses in anaesthesiology and intensive care. With a history of international participants from more than 100 countries and over 130 exhibitors, Euroanaesthesia is truly an outstanding international platform. This year, TopMedTalk is there in Munich, Germany, bringing you exclusive coverage. Make sure you subscribe to ensure you hear all our podcasts from this incredible event. This piece introduces yo...
May 26, 2024•16 min
This piece is part of our coverage of The International Anesthesia Research Society (IARS) annual meeting. What exactly is artificial intelligence (AI)? How could generative AI be used in perioperative medicine? How is AI currently used? Why is there a need for more “granular data”? Presented by Desiree Chappell, TopMedTalk co-editor in Chief and Monty Mythen, TopMedTalk’s founder, with their guest Hannah Lonsdale, Assistant Professor in Pediatric Anesthesiology at Vanderbilt UMC....
May 23, 2024•23 min
Our coverage of the Society for Obstetric Anesthesia and Perinatology (SOAP) continues with this essential piece. What is being done in the field of pain management during C-sections? Are there ways to improve clear communication between patients and medical professionals? The statement on Pain During Cesarean Delivery from the American Society of Anesthesiologists (ASA) is here: https://www.asahq.org/standards-and-practice-parameters/statement-on-pain-during-cesarean-delivery The conversation a...
May 23, 2024•14 min
More of our coverage of the Society for Obstetric Anesthesia and Perinatology (SOAP). This piece discusses maternal fetal anesthesia, fetal surgery, the importance of minimizing risk for the pregnant patient while gaining benefits for the fetus. What are the latest advancements in fetal surgery, including minimally invasive techniques and the use of robotics? Presented by Desiree Chappell, TopMedTalk co-editor in Chief and Monty Mythen, TopMedTalk’s founder, with their guest, Caitlin Sutton, Chi...
May 20, 2024•17 min
