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 lengthy process of translating medical discoveries into clinical practice, emphasizing the ethical obligation to disseminate trial results effectively.

The under-representation of certain demographics in trials, the gap between research findings and clinical practice, and the need for better communication strategies is stressed alongside solutions, including training for researchers, involving key stakeholders from the start, and the role of funders in supporting effective dissemination and implementation of research findings.

Our presenter is, Joyce Yeung, Professor of Anaesthesia and Critical Care Medicine at the University of Warwick. She is Theme Lead of the Emergency, Prehospital, Perioperative and Critical Care Trials group within Warwick Clinical Trials Unit. Clinically she holds appointments as a Consultant in Critical Care Medicine at University Hospital Birmingham NHS Foundation Trust.

Joyce is Director of UK Perioperative Medicine Clinical Trials Network. She is joint Clinical Speciality Lead for Anaesthesia, Perioperative Medicine and Pain for West Midlands Comprehensive Research Network. She is also the Chair of Resuscitation Council UK Immediate Life Support Subcommittee and is a member of Scientific and Education Committee at European Resuscitation Council. She serves as expert systematic reviewer and International Liaison Committee on Resuscitation taskforce member.

Joyce is Chief Investigator for a major grant examining the impact of volatile versus intravenous anaesthesia in non-cardiac surgery (VITAL trial). Her research interests are applied health research and clinical trials including improving perioperative patient outcomes, chronic pain, post-operative cognitive dysfunction, and resuscitation.

For more information about EBPOM and the conferences they are organising this year please go to www.ebpom.org

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-medicine-anes24

Is Trauma Informed Care part of your perioperative process?

https://topmedtalk.libsyn.com/is-trauma-informed-care-part-of-your-perioperative-process-topmedtalk

ROCKet Trial and PANDOS | Euroanaesthesia 2024

https://topmedtalk.libsyn.com/rocket-trial-and-pandos-tmt-at-ea24

"Patient Safety and Quality: New Standards in Anesthesia | #ANES24"

https://topmedtalk.libsyn.com/patient-safety-and-quality-new-standards-in-anesthesia-anes24

And “Perioperative medicine in focus | EBPOM 24”

https://topmedtalk.libsyn.com/perioperative-medicine-in-focus-ebpom-24

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-delay-surgery-for-prehabilitation-prehabilitation-world-congress

”The importance of intraoperative hypotension” - https://topmedtalk.libsyn.com/the-importance-of-intraoperative-hypotension-aana-2024

“Behavioural change vs Psychological interventions: which is key in prehabilitation?” - https://topmedtalk.libsyn.com/behavioural-change-vs-psychological-interventions-which-is-key-in-prehabilitation-prehabilitation-world-congress

"Perioperative patient safety and post-operative ward monitoring" - https://topmedtalk.libsyn.com/perioperative-patient-safety-and-post-operative-ward-monitoring-topmedtalk

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 the Perioperative Medicine Special Interest Group Meeting in Melbourne, Australia.

Presented by Kate Leslie and Desiree Chappell with their guests Jai Darvall, Associate Professor, anaesthetist and intensive care specialist at the Royal Melbourne Hospital in Australia, where he is co-lead of the perioperative medicine service within the Department of Anaesthesia and Pain Management; and Chuan-Whei Lee, anaesthetist and pain medicine specialist at Royal Melbourne Hospital, and joint clinical lead of perioperative medicine in the Department of Anaesthesia and Pain Management, clinical senior lecturer in the Department of Critical Care, University of Melbourne; and supervisor of training for the Faculty of Pain Medicine, ANZCA.

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 Guardian, and the content of her recent plenary session about shared decision-making and medical paternalism. We end with some focus on empathy and kindness in patient care, illustrated by a poignant email our guest received from a terminally ill patient.

Presented by Desiree Chappell with Ranjana Srivastava, OAM, Medical Oncologist, Monash Health, Melbourne, Fulbright Scholar, Harvard University, a two-time recipient of the Fulbright Award, writer and columnist for The Guardian Newspaper.

Enjoy our guest’s writing here: https://www.theguardian.com/profile/ranjana-srivastava

Buy our guest’s books here: https://www.amazon.co.uk/stores/Dr.-Ranjana-Srivastava/author/B00IMYJJPI

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 Mythen speak with their guest, Jonathan Cohen, anesthesiologist, Vice Chair of Quality & Safety in the Department of Anesthesiology at Moffitt Cancer Center in Tampa, Florida, Associate Professor at the University of South Florida, Clinical Assistant Professor in the Department of Medical Education at University of Illinois Chicago, Faculty for the Institute of Healthcare Improvement’s (IHI) Certified Professional in Patient Safety Course.

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 management practices and improve clinician awareness of factors affecting IOH in non-academic settings?

The papers mentioned are here:

https://pubmed.ncbi.nlm.nih.gov/38717322/

https://journals.lww.com/spinejournal/abstract/9900/impact_of_predictive_hemodynamic_monitoring_on.748.aspx

Presented by Desiree Chappell and Mike Grocott with their guest Wael Saasouh, Regional Director of Research at NorthStar Anesthesia, Clinical Assistant Professor, Wayne State University, Clinical Associate Professor, Michigan State University.

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 opioid use as once believed?

Presented by Desiree Chappell, Monty Mythen and Mike Grocott with their guests, Girish P. Joshi, Professor, Anesthesiology and Pain Management at UT Southwestern Medical Center and Ben Gibbison, Associate Professor of Cardiac Anaesthesia and Intensive Care at the University of Bristol, Honorary Consultant at University Hospitals Bristol and Weston NHS Foundation Trust.

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 innovative approaches in prehabilitation and perioperative medicine.

Presented by Kate Leslie and Mike Grocott with their guests Bernard Riedel, an academic anaesthesiologist and the Director of the Department of Anaesthesia, Perioperative Medicine, and Pain Medicine at Peter MacCallum Cancer Centre in Melbourne, Australia, he holds a Professorial appointment at the University of Melbourne and Linda Denehy, Professor of Physiotherapy at the University of Melbourne, she has a joint appointment as Professor of Health Services Research: Allied Health at the Peter MacCallum Cancer Centre Melbourne.

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 Southampton University Hospital NHS Foundation trust (UHS), and Gerrit Slooter, MD, PhD, Surgical Oncologist, Maxima Medical Centre, The Netherlands.