TopMedTalk

This piece follows on from the previous interview with Manu Malbrian, but works as a standalone podcast. It is presented from the annual conference of the Society of Critical Care Medicine (SCCM), the largest non-profit medical organization dedicated to promoting excellence and consistency in the practice of critical care.

Here our guest very kindly shares his personal experience of critical care, before the conversation moves into the patient experience in general.

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 Anesthesiology and Intensive Therapy of the Medical University of Lublin in Poland. He is a co-founder and president of the International Fluid Academy (IFAD), the co-founder, past president, and current treasurer of the Abdominal Compartment Society (WSACS), author and co-author of more than 386 peer-reviewed articles, reviews, comments, editorials, book chapters, and books on abdominal compartment syndrome (ACS) and rational fluid use. His cumulative h-index is 63 on Scopus and 85 on GoogleScholar (with a total of 37000 citations).

We mention WSACS | WSACS - and recommend it again here.

You can find him here: https://twitter.com/manu_malbrain https://www.linkedin.com/in/manu-malbrain-53574313

The previous podcast, from which this piece follows on, is here: https://topmedtalk.libsyn.com/topmedtalks-to-manu-malbrain

This piece focuses upon an innovative device that has transformed patient care in Anesthesia; the Jaw Elevation Device (JED), a non-invasive tool designed to keep patients' airways open during moderate anesthesia care (MAC).

The conversation explores the challenges of MAC, the device's adaptability across different patient demographics, and its impact on improving patient safety and practitioner efficiency. Learn more about the evolution of JED, its clinical applications, and where to find this groundbreaking device.

Presented by Desiree Chappell with April King, Co-Founder, Director, President and CEO of Hypnoz Therapeutic Devices, creator of the JED and Irene Osborn, Director, Non-Operating Room Anesthesia and Professor, Anesthesiology at Montefiore Einstein.at

In this piece, we recap the last five days at the ANZCA Annual Scientific Meeting. We visit highlights from the plenary speaker presentations by Chris Connor, Alana Flexman, Ramani Moonesinghe, Kevin Fong and Eugenie Kayak. We talk about the original research presented at the meeting including the breaking trials session. Then we review the great discussions we had with journal editors at the meeting. Finally we reflect on the great social events at the meeting, that foster fellowship and collegiality among anaesthetists. Go to our app or website to hear great podcasts recorded during the meeting.

Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia.

In this piece we discuss breaking trial results with Chris Bain, a consultant anaesthetist and researcher, and Luke Perry, a trainee anaesthetist and PhD student*, both from Melbourne, Australia. We explore the effects of tissue trauma on inflammation and immune responses, and new results about the modifying effect of genetic expression with glucocorticoids. Then we delve into a pilot study on pulmonary artery catheters and cardiac surgery: one of the big questions in our specialty. The pilot study showed that a large randomised trial is feasible and has equipoise.

Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Chris Bain, Department of Anaesthesia and Perioperative Medicine, The Alfred Hospital and Monash University, Melbourne, Australia and Dr Luke Perry, an ANZCA trainee in Melbourne, a PhD student at the University of Melbourne, and Head of Research, Victorian Heart Hospital, Melbourne, Australia.

In this piece we discuss the latest news in medical publishing with Hugh Hemmings, editor-in-chief of the British Journal of Anaesthesia and Laszlo Vutskits, editor of Anesthesiology.

We discuss the increasing volume of manuscripts being received by journals; the challenges of peer review, and initiatives to find and support new reviewers. Then we delve into the use of AI by authors and journals, and how this might influence publishing in the future.

Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Hugh Hemmings, Joseph F. Artusio Jr. Professor and Chair, Department of Anesthesiology, Weill-Cornell Medicine, New York, USA, and Dr Laszlo Vutskits, Head of Pediatric Anesthesia at the Department of Anesthesiology, Pharmacology and Intensive Care at the University Hospital of Geneva, Switzerland.

In this piece we discuss perioperative medicine with Alana Flexman, an anaesthetist and researcher from Vancouver, Canada, and Maryanne Balkin, an anaesthetist and law graduate from Melbourne, Australia. We explore our guests' career journeys, and gender and equity issues, including unconscious bias and bullying, harassment, and discrimination, in the workplace. Finally we talk about the craziness and joy of continued learning and enquiry.

Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Alana Flexman, Clinical Associate Professor, Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, and St. Paul's Hospital/Providence Health Care, Vancouver, Canada, and Dr Maryanne Balkin, Consultant Anaesthetist, Alfred Health, Melbourne, Australia.

In this piece we discuss risk in medicine with Kevin Fong, a consultant anaesthetist, retrieval medicine specialist, and broadcaster. In a wide-ranging conversation we talk about risk in anaesthesia, the effect of adverse events on individual practitioners and teams, and workforce issues in health.

Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with Professor Kevin Fong, Consultant Anaesthetist and Anaesthetic Lead for Major Incident Preparedness, University College London Hospitals, and Professor of Engagement and Innovation for Science and Medicine at University College London.

In this piece we discuss all things EEG with Chris Connor, an anesthesiologist and researcher from Boston, USA, and Jamie Sleigh, an anesthesiologist and researcher from Hamilton, New Zealand. We start by discussing the engineering behind the BIS algorithm, then move to interpreting the raw EEG, the spectrogram and burst suppression. Finally we discuss the 'titration paradox' and how it might influence research and AI.

Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Chris Connor, Assistant Professor and Vice Chair ad interim for Research, Brigham and Women's Hospital, Boston, USA, and Professor Jamie Sleigh, Professor of Anaesthesiology and Intensive Care, Waikato Clinical School, University of Auckland, New Zealand.

In this piece we discuss blood management in emergency and elective surgery with Matthew Wiles, an anaesthetist from Sheffield, UK, and editor of the journal Anaesthesia, and Catherine Downs, an anaesthetist from Sydney, Australia. The episode delves into haemorrhage associated with trauma and major surgery, and the benefits of point of care testing. We also took the opportunity to discuss authorship of scholarly work and the need to support emerging researchers and site collaborators.

Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Matthew Wiles, Consultant Anaesthetist and Clinical Lead for Major Trauma, Sheffield Hospitals NHS Foundation Trust, and Honorary Senior Clinical Lecturer, Sheffield University, Sheffield, UK, and Dr Catherine Downs, Consultant Anaesthetist, Prince of Wales Hospital, and Senior Lecturer, Randwick Clinical Campus, University of New South Wales, Sydney, Australia

In this piece we discuss sustainability in healthcare with Eugenie Kayak, an anaesthetist from Melbourne, Australia, and Dan Lazzari, an anaesthetist from Cairns, Australia. The episode delves into Eugenie's journey with Doctors for the Environment Australia and her work as an educator in sustainability. We discuss national and international solutions, and local initiatives by Dan and his colleagues to improve sustainability and reduce operating room waste in Cairns.

Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Professor Eugenie Kayak, Enterprise Professor in Sustainable Healthcare, University of Melbourne, and Dr Daniele Lazzari, Consultant Anaesthetist, Cairns Hospital, Australia.