TopMedTalk

What is a 'micromort'? Even more of a worry, what does ten of them mean? How do we measure and communicate risk to patients? Everyday activities all carry inherent risks, how do we put surgery into a context 'everyday people' can more easily understand?

Professor Monty Mythen presents with guests, Professor Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, and Dr Mike Irwin, Professor and Head, Department of Anaesthesiology, University of Hong Kong.

Join in the debate: [email protected]

Taken from a longer conversation to be found here: http://www.topmedtalk.com/ebpom-2017-pod-two-live-from-london/

What is a 'micromort'? Even more of a worry, what does ten of them mean? How do we measure and communicate risk to patients? Everyday activities all carry inherent risks, how do we put surgery into a context 'everyday people' can more easily understand?

Professor Monty Mythen presents with guests, Professor Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, and Dr Mike Irwin, Professor and Head, Department of Anaesthesiology, University of Hong Kong.

Join in the debate: [email protected]

Taken from a longer conversation to be found here: http://www.topmedtalk.com/ebpom-2017-pod-two-live-from-london/

The piece discussed in this week's Journal Club is called "Acute kidney injury in postoperative shock: is hyperoncotic albumin administration an unrecognized resuscitation risk factor?".

The link is here:

https://perioperativemedicinejournal.biomedcentral.com/track/pdf/10.1186/s13741-018-0110-y

Additional links here:

"Association between albumin administration and survival in cardiac surgery: a retrospective cohort study":

https://www.ncbi.nlm.nih.gov/pubmed/30006911

"Association between Initial Fluid Choice and Subsequent In-hospital Mortality during the Resuscitation of Adults with Septic Shock":

http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2449359

Presented by Monty Mythen with Mike Grocott, Editor in Chief of the Perioperative Medicine Journal, and Professor of Anaesthesia and Critical Care Medicine, University of Southampton.

The piece discussed in this week's Journal Club is called "Acute kidney injury in postoperative shock: is hyperoncotic albumin administration an unrecognized resuscitation risk factor?".

The link is here:

https://perioperativemedicinejournal.biomedcentral.com/track/pdf/10.1186/s13741-018-0110-y

Additional links here:

"Association between albumin administration and survival in cardiac surgery: a retrospective cohort study":

https://www.ncbi.nlm.nih.gov/pubmed/30006911

"Association between Initial Fluid Choice and Subsequent In-hospital Mortality during the Resuscitation of Adults with Septic Shock":

http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2449359

Presented by Monty Mythen with Mike Grocott, Editor in Chief of the Perioperative Medicine Journal, and Professor of Anaesthesia and Critical Care Medicine, University of Southampton.

A three part series covering the year in TopMedTalk.

Here are some links to the pieces discussed:

The Randy Moore piece: https://www.topmedtalk.com/aana-2018-is-there-a-global-shortfall-of-anesthesia-providers/

Here's the piece Monty mentions which celebrated the 60th anniversary of Edwards Life Sciences: https://www.topmedtalk.com/the-hypotension-prediction-index-hpi/

Here's are the pieces with Matthew McEvoy, the second is the Q&A section: https://www.topmedtalk.com/ebpom-usa-chicago-2018-the-opioid-crisis-can-we-kick-the-habit/

https://www.topmedtalk.com/ebpom-usa-chicago-2018-the-opioid-crisis-can-we-kick-the-habit-qa/

The Dingle Conference piece is here, look out for more of these in 2019! https://www.topmedtalk.com/dingle-2018-heart-disease-in-pregnancy/

Myron Yaster's piece is here: https://www.topmedtalk.com/asa-2018-san-francisco-paediatrics-and-opioids-part-2/

The Smith's Medical Symposium piece is here: https://www.topmedtalk.com/asa-2018-san-francisco-smiths-medical-symposium-on-enhanced-recovery-part-1/

The social media piece we mention is here: https://www.topmedtalk.com/topmedtalk-at-ifad-the-growing-popularity-of-new-media-in-medical-education/

Alfie The Therapy Dog is here: https://www.topmedtalk.com/intensive-care-society-alfie-the-therapy-dog/

Happy New Year to all our TopMedTalk listeners and contributors!

Presented by Monty Mythen, Desiree Chappell and Nick Margerrison.

A three part series covering the year in TopMedTalk.

Here are some links to the pieces discussed:

The Randy Moore piece:
https://www.topmedtalk.com/aana-2018-is-there-a-global-shortfall-of-anesthesia-providers/

Here's the piece Monty mentions which celebrated the 60th anniversary of Edwards Life Sciences:
https://www.topmedtalk.com/the-hypotension-prediction-index-hpi/

Here's are the pieces with Matthew McEvoy, the second is the Q&A section:
https://www.topmedtalk.com/ebpom-usa-chicago-2018-the-opioid-crisis-can-we-kick-the-habit/

https://www.topmedtalk.com/ebpom-usa-chicago-2018-the-opioid-crisis-can-we-kick-the-habit-qa/

The Dingle Conference piece is here, look out for more of these in 2019!
https://www.topmedtalk.com/dingle-2018-heart-disease-in-pregnancy/

Myron Yaster's piece is here:
https://www.topmedtalk.com/asa-2018-san-francisco-paediatrics-and-opioids-part-2/

The Smith's Medical Symposium piece is here:
https://www.topmedtalk.com/asa-2018-san-francisco-smiths-medical-symposium-on-enhanced-recovery-part-1/

The social media piece we mention is here:
https://www.topmedtalk.com/topmedtalk-at-ifad-the-growing-popularity-of-new-media-in-medical-education/

Alfie The Therapy Dog is here:
https://www.topmedtalk.com/intensive-care-society-alfie-the-therapy-dog/

Happy New Year to all our TopMedTalk listeners and contributors!

Presented by Monty Mythen, Desiree Chappell and Nick Margerrison.

A three part series covering the year in TopMedTalk.

Here are some links to the pieces discussed:

Paul Myles and the RELIEF trial results: https://www.topmedtalk.com/the-relief-trial-results/

And here is the "deep dive" we mention: https://www.topmedtalk.com/the-topmedtalk-top-ten-rcoa-11-the-relief-trial-your-essential-deep-dive-into-the-results-2/

And here are all the RELIEF trial pieces we've done: https://www.topmedtalk.com/?s=RELIEF

Also, make sure you listen to this piece, "RCoA 12 Should direct laryngoscopy be consigned to the history books?": https://www.topmedtalk.com/rcoa-12-should-direct-laryngoscopes-be-consigned-to-the-history-books/

The Stuart Grant piece discussed in this podcast is here: https://www.topmedtalk.com/controversies-in-perioperative-medicine/

The Bruce Keogh speech is here, everyone on the TopMedTalk team cites this as a particularly revealing talk, treat yourself and have a listen: https://www.topmedtalk.com/ebpom-2018-3-sir-bruce-keogh-the-nhs-at-70/

Presented by Monty Mythen, Desiree Chappell and Nick Margerrison.

A three part series covering the year in TopMedTalk.

Here are some links to the pieces discussed:

Paul Myles and the RELIEF trial results:
https://www.topmedtalk.com/the-relief-trial-results/

And here is the "deep dive" we mention:
https://www.topmedtalk.com/the-topmedtalk-top-ten-rcoa-11-the-relief-trial-your-essential-deep-dive-into-the-results-2/

And here are all the RELIEF trial pieces we've done:
https://www.topmedtalk.com/?s=RELIEF

Also, make sure you listen to this piece, "RCoA 12 Should direct laryngoscopy be consigned to the history books?":
https://www.topmedtalk.com/rcoa-12-should-direct-laryngoscopes-be-consigned-to-the-history-books/

The Stuart Grant piece discussed in this podcast is here: https://www.topmedtalk.com/controversies-in-perioperative-medicine/

The Bruce Keogh speech is here, everyone on the TopMedTalk team cites this as a particularly revealing talk, treat yourself and have a listen:
https://www.topmedtalk.com/ebpom-2018-3-sir-bruce-keogh-the-nhs-at-70/

Presented by Monty Mythen, Desiree Chappell and Nick Margerrison.

A three part series covering the year in TopMedTalk.

Here are some links to the pieces discussed:

The conversation with Zeev Kain is here: https://www.topmedtalk.com/zeev-kain-organiser-of-the-american-college-of-perioperative-medicine-interdisciplinary-conference-on-orthopaedic-value-based-care/

The Eric J Schneidewind piece is here:

http://topmedtalk.libsyn.com/the-topmedtalk-top-ten-i-want-to-dance-at-my-daughters-wedding

The first ever Roundtable discussion is here: https://www.topmedtalk.com/the-singularity-university-and-exponential-change/

The piece mentioned, which features Dr Patrick Shannahan, is here: https://www.topmedtalk.com/heated-discussions-exponential-rise-in-babies-born-addicted-to-opiodes/

This link takes you to Sol Aronson's talk: https://www.topmedtalk.com/ebpom-usa-part-1-a-perioperative-practicum-with-professor-sol-aronson/

And the final piece we discuss, featuring Paul Wischmeyer is here: https://www.topmedtalk.com/treating-patients-properly-ebpom-usa/

Presented by Monty Mythen, Desiree Chappell and Nick Margerrison.

A three part series covering the year in TopMedTalk.

Here are some links to the pieces discussed:

The conversation with Zeev Kain is here: https://www.topmedtalk.com/zeev-kain-organiser-of-the-american-college-of-perioperative-medicine-interdisciplinary-conference-on-orthopaedic-value-based-care/

The Eric J Schneidewind piece is here:

http://topmedtalk.libsyn.com/the-topmedtalk-top-ten-i-want-to-dance-at-my-daughters-wedding

The first ever Roundtable discussion is here: https://www.topmedtalk.com/the-singularity-university-and-exponential-change/

The piece mentioned, which features Dr Patrick Shannahan, is here:
https://www.topmedtalk.com/heated-discussions-exponential-rise-in-babies-born-addicted-to-opiodes/

This link takes you to Sol Aronson's talk:
https://www.topmedtalk.com/ebpom-usa-part-1-a-perioperative-practicum-with-professor-sol-aronson/

And the final piece we discuss, featuring Paul Wischmeyer is here:
https://www.topmedtalk.com/treating-patients-properly-ebpom-usa/

Presented by Monty Mythen, Desiree Chappell and Nick Margerrison.