In this piece we discuss prevention of intraoperative hypothermia with Holly Tonkin, a trainee anaesthetist from Australia. Holly describes her study, in which she measured the prevalence of hypothermia using routine forced air warming and then the prevalence using the 3M™ Bair Hugger™ Universal Warming Gown. Significant reductions in hypothermia were observed. Holly’s study was supported by Solventum. We then discussed the value of trainee research. Presented by Andy Cumpstey and Kate Leslie on...
May 03, 2025•12 min
In this piece we discuss hot topics in anaesthesia and pain medicine with David Story, President of the Australian and New Zealand College of Anaesthetists and Dilip Kapur, Dean of the Faculty of Pain Medicine. The episode delves into the exciting presentations and events at the meeting, and discusses ‘Future proofing’ through developing emerging leaders, supporting research and advocating for sustainability in healthcare in Australia and New Zealand. Presented by Andy Cumpstey and Kate Leslie o...
May 03, 2025•13 min
In this piece, Andy Cumpstey and Kate Leslie introduce listeners to the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine, being held in Cairns, in beautiful Far North Queensland, Australia. They discuss the history of the meeting, the role of the College and Faculty in CPD for specialists and the wonderful events coming up at the conference. Also, hear about how to tell a ‘freshy’ from a ‘salty’ (crocodile, that is)! Presented by A...
May 03, 2025•10 min
Recorded at the close of the recent IARS (International Anesthesia Research Society) annual meeting held in Honolulu, Hawaii. Our co-editor in Chief Professor Mike Grocott’s arrival at the IARS from the UK was delayed by a fire at Heathrow airport. This piece turns his late arrival into your good fortune, as both Professor Kate Leslie and Professor Monty Mythen, TopMedTalk’s founder, fill him in on the conference. If you missed the IARS this year or were there but could do with a high level summ...
Apr 28, 2025•24 min
The Cipher HPI study focuses on continuous, iterative, perioperative, holistic risk evaluation using advanced hemodynamic monitoring data. The study, integrates preoperative and intraoperative data to predict the need for vasopressors or fluid after surgery. We discuss the study's methodology, results, and the potential implications for clinical practice, including the use of machine learning techniques for better risk prediction and resource optimization in critical care settings. The episode e...
Apr 21, 2025•16 min
The PREPARE trial is a randomized control trial aimed at improving surgical outcomes for older patients with frailty through prehabilitation. This discussion covers the inspiration behind the trial, the structure of the prehabilitation program, and the trial's results. Despite not finding significant improvements in the primary outcomes across all patients, the trial revealed that those who adhered to the program showed clinically meaningful improvements. The conversation delves into the challen...
Apr 14, 2025•22 min
In this piece we discuss a ground breaking study on gender differences in surgical efficiency and outcomes with Anika Bald, a medical student from Germany, and Dr. Matthias Eikermann, a clinician scientist and department chair at Montefiore Einstein in New York. The study reveals that women surgeons have shorter delays to starting surgical add-on cases and better postoperative outcomes compared to men. The episode delves into the implications of these findings and discusses the value of diversit...
Apr 07, 2025•18 min
Join us at the International Anesthesia Research Society (IARS) and Society of Critical Care meeting in Honolulu, Hawaii. Here we look at the Anesthesia Patient Safety Foundation (APSF) and speak about the latest advancements and key discussions from the conference. Major topics include the risks and management of intraoperative hypotension, gaps in patient communication, and new research findings. The conversation highlights the importance of continuous monitoring, the Delphi method used in the...
Mar 31, 2025•18 min
The Society of Critical Care Medicine (SCCM) is the largest non-profit medical organization dedicated to promoting excellence and consistency in the practice of critical care. This piece is presented from their annual conference this year. Presented by Desiree Chappell and Monty Mythen with their guest Manu Malbrain, CMO of Medaman, an initiative that seeks to optimize the use of data in hospitals, combined with a position as professor of Critical Care Research at the First Department of Anesthe...
Mar 24, 2025•31 min
This piece discusses significant advancements and ongoing challenges in anesthesia and perioperative medicine. Our guest shares his journey from his training days at the University of Basel to his influential work in patient safety across Europe; including pioneering efforts with incident reporting and simulation training inspired by collaborations with NASA. The conversation delves into the evolution of safety practices, the emphasis on human factors over technological advancements, and the com...
Mar 17, 2025•35 min
This piece is part four of a four part series on “Implementation, what works and what doesn’t?”. Part one is here: https://topmedtalk.libsyn.com/joyce-yeung-why-dont-we-implement-trial-results-ebpom-world-congress Part two is here: https://topmedtalk.libsyn.com/professional-organisations-the-ebb-and-flow-of-eras-ebpom-world-congress And part three is here: https://topmedtalk.libsyn.com/implementation-what-works-and-what-doesnt-nhs-leader-perspective-incentives-and-penalties-ebpom-world-congress ...
Mar 17, 2025•21 min
Recorded at Evidence Based Perioperative Medicine (EBPOM) in London last year this presentation is the third of a series of four sessions under the heading: “Implementation – what works and what doesn’t?”. This piece is the third talk in the series, the first is here: https://topmedtalk.libsyn.com/joyce-yeung-why-dont-we-implement-trial-results-ebpom-world-congress The second is here: https://topmedtalk.libsyn.com/professional-organisations-the-ebb-and-flow-of-eras-ebpom-world-congress Next week...
Mar 10, 2025•15 min
Recorded at Evidence Based Perioperative Medicine (EBPOM) in London last year this presentation is the second of a series of four sessions under the heading: “Implementation – what works and what doesn’t?”. This piece is the second talk in the series, the first is here: https://topmedtalk.libsyn.com/joyce-yeung-why-dont-we-implement-trial-results-ebpom-world-congress There is one more presentation to come and then we will release a fascinating panel discussion to conclude. In this presentation w...
Mar 03, 2025•16 min
Recorded at Evidence Based Perioperative Medicine (EBPOM) in London last year this presentation is part of a series of talks given under the session heading: “Implementation – what works and what doesn’t?”. This piece is part one of four, with two more presentations to come and then a fascinating panel discussion to conclude. This first session focuses on the implementation of clinical trials, covering research methodologies, clinical implementations, and their challenges, and looking at the len...
Feb 24, 2025•25 min
This is part two of a two part program covering some of the most listened to pieces we've done in the last 12 months. We'd love you to check out part 1, which is here: https://topmedtalk.libsyn.com/annual-digest-part-1-topmedtalk In this piece we cover and reflect upon the following podcasts: "The evolution of the Impella device in anesthesia, critical care, and perioperative medicine” https://topmedtalk.libsyn.com/the-evolution-of-the-impella-device-in-anesthesia-critical-care-and-perioperative...
Feb 17, 2025•22 min
This is the first of a two part program which covers some of the most listened to pieces we've done in the last 12 months. If you want to follow up on these conversations and get the full detail, for free, follow these links here: "Cardiovascular risk evaluation for non-cardiac surgery, guidelines" - https://topmedtalk.libsyn.com/cardiovascular-risk-evaluation-for-non-cardiac-surgery-guidelines-ebpom-24 ”Should we delay surgery for prehabilitation?” - https://topmedtalk.libsyn.com/should-we-dela...
Feb 10, 2025•16 min
In this piece we cover frailty in perioperative and end-of-life care, the assessment of frailty, the challenges of clinical momentum, multidisciplinary team meetings, and the importance of palliative approaches. The conversation also delves into the trajectories at the end of life and the impact of electronic medical records in automating frailty measurement. The episode concludes with reflections on living a healthy life and the dignity of end-of-life care. This piece comes from our coverage of...
Feb 03, 2025•24 min
Recorded live from the 13th Australasian Symposium of the Perioperative Medicine Special Interest Group, in collaboration with Summit III and the PeriOperative Quality Initiative (POQI). The theme of the meeting is ‘Improve the quality, enhance the value, protect the future’. This piece provides insights into our guest’s career, the intersection of medicine and writing and the importance of compassion in healthcare. She discusses her background, including her education, her writing for The Guard...
Jan 27, 2025•22 min
In this piece, recorded at Anesthesiology 2024 in Philadelphia, TopMedTalk explores the evolving landscape of patient safety and quality standards in anesthesia. What have been the significant shifts in patient safety culture? What is the importance of a proactive approach to risk management in anesthesia? We mention this excellent article: https://www.apsf.org/article/why-should-i-obtain-the-certified-professional-in-patient-safety-cpps-credential/ Desiree Chappell, Mike Grocott and Monty Mythe...
Jan 20, 2025•19 min
The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. As usual we are there; building on our reputation for exclusive cutting edge conversations recorded at the conference with some of the key speakers, guests and delegates. Here we discuss advancements in anesthesia research and quality improvement, focusing on intraoperative hypotension (IOH) and its impact on patient outcomes. What collaborative efforts are being made to standardize hemodynamic managem...
Jan 13, 2025•22 min
TopMedTalk is at The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. Here we discuss key anesthesia updates, emphasizing patient safety and comfort. Does the evidence support allowing clear liquids up to surgery to reduce thirst without raising risks? Do new challenges around GLP-1 drugs, which delay stomach emptying, call for tailored pre-op guidance? Also, should we be rethinking gabapentinoids, which recent studies show may not effectively reduce opi...
Jan 06, 2025•27 min
This piece comes from Melbourne, Australia, at the World Congress of Prehabilitation and Perioperative Medicine, held alongside the Australian ERAS+ Conference. Hear about the significance of multidisciplinary collaboration in prehabilitation and research; grants for virtual surgery schools; the impact of diet and microbiome on cancer pathways, and the future of digital prehabilitation. The conversation emphasizes the importance of optimizing patient care and reducing complications through innov...
Dec 30, 2024•17 min
This piece comes from Melbourne, Australia, at the World Congress of Prehabilitation and Perioperative Medicine, held alongside the Australian ERAS+ Conference. Recorded on the conference stage before an audience of guests and delegates, hear how the World Congress came to be where it is today. Presented by Mike Grocott, and Kate Leslie with Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampt...
Dec 23, 2024•29 min
Euroanaesthesia is recognised worldwide as one of the most important and influential annual congresses in anaesthesiology and intensive care. Organised by The European Society of Intensive Care Medicine (ESICM). This year, TopMedTalk is there in Munich, Germany, bringing you exclusive coverage. This piece focuses upon bringing education to a wider selection of people and new ways of disseminating information. Presented by Desiree Chappell and Kate Leslie with their guests, Markus Klimek, Director...
Dec 16, 2024•17 min
This piece was recorded at the The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. The discussion centers around the roles and contributions of bio statisticians in clinical trials. Presented by Kate Leslie and Andy Cumpstey with their guests, Jessica Kasza, Professor of Biostatistics, Data Analytics/Modelling and Health Economics at Monash University and Elizabeth Ryan, Research Fellow at Monash University.
Dec 09, 2024•18 min
This important piece shines a light on the evolution and challenges of Enhanced Recovery After Surgery (ERAS). If you’ve never listened to TopMedTalk, this is a great place to start. If you’ve listened before it’s possible you’ve heard us talking with excitement about today’s guest, we hope you find this session to be worth the wait. Hear how our guest's insights on the need for an understanding of the pathophysiological basis and integrated pre-, intra- and post-operative care for the best pati...
Dec 02, 2024•27 min
TopMedTalk at The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. We’re bringing you a series of podcasts from the conference. Make sure you check our podcast feed and are subscribed to TopMedTalk, as we are currently releasing episodes more often than usual to accommodate high demand. This piece provides much needed focus on the topic of pediatrics and hemodynamics. Is it true to say that children are completely different to adults? What information do...
Nov 25, 2024•33 min
This piece addresses challenges in anesthesiology, workforce dynamics, leadership development, and operational efficiency. Flexible employment models, such as part-time roles and tailored schedules, are helping attract and retain talent while reducing burnout and reliance on locum tenens. Are we seeing a shift from crisis management to long-term strategic planning? How can organizations, focused on innovation, leadership training, and fostering professional satisfaction, create a more stable and...
Nov 22, 2024•30 min
TopMedTalk recorded this piece at the annual meeting of the American Association of Nurse Anesthesiology (AANA) in San Diego. With over 64,000 members, including practicing CRNAs and nurse anesthesia residents, the AANA facilitates professional standards, advocacy, and social networking. This discussion highlights the importance of cultivating strong educational programs and strategic affiliations to ensure high-quality anesthesia care in the U.S. Presented by Desiree Chappell, TopMedTalk’s Co-E...
Nov 21, 2024•25 min
TopMedTalk is on location at the American Society of Anesthesiologists (ASA) annual meeting, Anesthesiology 2024 . In this episode, we feature a brief discussion on the conference highlights, trends in anesthesia recruitment, and insights into what it’s like to work for NorthStar Anesthesia. Presented by Desiree Chappell, CRNA, Co-Editor in Chief of TopMedTalk and Vice President of Clinical Quality for NorthStar Anesthesia, with special guests Adam Spiegel, CEO of NorthStar Anesthesia, and Jim R...
Nov 21, 2024•7 min
