TopMedTalk

TopMedTalk

TopMedTalk for the latest medical news surrounding Anaesthesia, Perioperative Care and Enhanced Recovery. Live updates from conferences; Journal Club; Techno Talk and Hot-Topic podcasts. Continuing Medical Education (CME) on the go

  1. 1D AGO

    Improving Maternal Safety with Continuous Noninvasive Blood Pressure Monitoring in Obstetrics

    At the Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, Desiree Chappell and Mike Grocott interview Meghan MacCleary, Obstetrician-Gynaecologist with Banner Health in Phoenix, about multidisciplinary collaboration to improve maternal outcomes. Dr MacCleary describes her high-risk tertiary practice (about 4,000 deliveries/year; 25–26% C-sections) and decision-making for C-section based on safest delivery for mother or baby, amid rising maternal comorbidities, obesity, and older maternal age. She highlights concerns during C-section including patient comfort, hypotension, nausea/vomiting, bleeding, and postpartum haemorrhage, noting U.S. maternal mortality concerns. The conversation advocates for continuous noninvasive blood pressure monitoring (finger cuff) to detect instability earlier, reporting reduced hemorrhage and ICU transfers in a 90-day quality project and discussing related advocacy at an Anesthesia Patient Safety Foundation (APSF) Capitol Hill briefing. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

    22 min
  2. APR 27

    Perioperative Profiles, Denny Levett.

    Perioperative Profiles, a popular monthly series on TopMedTalk in which we speak with the giants of perioperative medicine. This month Kate Leslie speaks 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). She discusses her roles in Southampton in perioperative medicine and adult intensive care, and as director of the UK Centre for Perioperative Care (CPOC). Denny recounts growing up in Rye, East Sussex, studying medicine at Cambridge, and how a transformative ICU post (just after the Soho pub bombing) led her into anaesthesia as a route to critical care. Then, with mentorship from TopMedTalk's founder, Monty Mythen, co-led the Extreme Everest project, which informed her PhD and later work using cardiopulmonary exercise testing to predict surgical outcomes and develop prehabilitation; she also reflects on balancing a clinical-academic career with family life. More on Xtreme Everest here: https://topmedtalk.libsyn.com/xtreme-everest-extra-the-problem-with-hypoxia-the-inception-of-xtreme-everest https://topmedtalk.libsyn.com/xtreme-everest-extra-the-significance-of-the-microcirculation https://topmedtalk.libsyn.com/xtreme-everest-extra-unlocking-the-secrets-of-the-mighty-mitochondria https://topmedtalk.libsyn.com/xtreme-everest-extra-hypoxia-and-the-brain -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

    36 min
  3. APR 23

    Hemodynamic Effects of Spinal Anesthesia in HIV-Positive Pregnant Women

    At the 19th World Congress of the Societies of Anaesthesiologists (WCSA 2026) in Marrakesh, TopMedTalk welcomes Desiree Chappell back alongside Kate Leslie to interview Professor Palesa Motshabi-Chakane, Associate Professor and Head of Anaesthesiology at the University of the Witwatersrand and her colleague, Dr Mullai Slave a PhD candidate at University of the Witwatersrand. They discuss a study of 629 women undergoing cesarean section with spinal anesthesia at Chris Hani Baragwanath Hospital, where 23–33% are HIV positive. Using standard monitoring plus BD APM noninvasive continuous hemodynamic monitoring, they compared HIV-positive and HIV-negative patients and found higher hypotension incidence in HIV-positive women (68% vs 64%), with lower heart rate and lower cardiac index over 60 minutes. Additional testing included echocardiography with speckle tracking, pro-BNP, and autonomic assessments, with HIV-positive patients showing stiffer ventricles; Apgar scores did not differ. They discuss replication, multicenter research, and potential machine-learning tools to predict hypotension risk, and describe BD Advanced Patient Monitoring grant support enabling equipment, sensors, staffing, and training (~200 staff) to complete data collection in about six months. Edwards Lifesciences is now known as Becton Dickinson Advanced Patient Monitoring (BD APM). Desiree Chappell, former Co Editor in Chief of TopMedTalk, is now Director, Medical Science Liaison, Medical Affairs, BD Advanced Patient Monitoring. The views expressed on this program are her own and not those of her employers. We mention Adrian Gelb, if you'd like to hear his recent conversation with us go here: https://topmedtalk.libsyn.com/professor-adrian-gelb-on-patient-safety-and-essential-medicines-in-anaesthesia -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

    27 min
  4. APR 23

    Professor Adrian Gelb on Patient Safety and Essential Medicines in Anaesthesia

    Live from the 19th World Congress of Anaesthesiologists (WCA 2026) in Marrakesh with over 4,000 delegates from 150 countries, TopMedTalk's Kate Leslie and Mike Grocott interview Professor Adrian Gelb, past World Federation of the Societies of Anaesthesiologists (WFSA) president, about his career from South Africa to Canada and UCSF and his focus on lower-resource settings, patient safety, and WHO engagement. Gelb argues patient safety improvements require system and workflow changes, not just guidelines. The comparison is drawn to road safety reforms and urging anesthesiologists to use their leverage in hospitals and governance. He reflects on the impact of Harvard monitoring standards and leadership that advanced safety, and calls for national societies to prioritize patient-centered advocacy and implementation support using human factors and knowledge translation expertise. He also describes work on WHO essential medicines lists and proposes a tiered, anesthesia-led WFSA essential medicines list by country income level via a global Delphi process, ending with a call for anesthesiologists to choose to lead again. More about the congress here: https://wcacongress.org/ -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

    25 min
  5. APR 16

    TopMedTalk, Artifical Intelligence in 2026

    This piece sees the launch of a new series on TopMedTalk: we're delving further into the world of Artificial Intelligence in healthcare and we're going to do so at least once a month. Coming from the Association of Anaesthetists in London, Andy Cumpstey welcomes back former TopMedTalk Co-editor in Chief, Desiree Chappell, alongside editor-in-chief Professor Mike Grocott and Associate Professor James Bowness, Consultant in Anaesthesia at University College Hospitals London NHS Foundation Trust and Honorary Associate Professor of Anaesthesia at University College London and clinical scientist with G.E. Healthcare. As well as announcing the new series, featuring monthly AI-focused episodes with clinicians, policymakers, industry, and patient representatives. Specially recorded at the third stage of a UK and Ireland "demand signaling" exercise for AI in anesthesia, perioperative medicine, and pain management. It's a process designed to focus on clinicians' real-world needs rather than forcing unwanted technology use cases. The process includes surveying Royal College of Anaesthetists and Association members. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

    17 min
  6. APR 13

    ANESTHESIOLOGY® 2025: Digest Part 2

    Part two of our retrospective on TopMedTalk's coverage of last year's fascinating ANESTHESIOLOGY® 2025 in San Antonio, Texas, USA. This is part two of a two part piece. Part 1 is here: https://topmedtalk.libsyn.com/anesthesiology-2025-digest-part-1 This podcast contains clips and discussion from the following podcasts in our free archive: Exciting news from Desiree Chappell https://topmedtalk.libsyn.com/exciting-news-from-desiree-chappell Innovations in Anesthesia: GE Healthcare's Advanced Solutions at ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/innovations-in-anesthesia-ge-healthcares-advanced-solutions-at-anesthesiology-2025 Exploring the Future of Perioperative Care: Insights from ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/exploring-the-future-of-perioperative-care-insights-from-anesthesiology-2025 Perioperative Profile, Steven Shafer https://topmedtalk.libsyn.com/perioperative-profile-steven-shafer Optimizing Pediatric Blood Health: Insights from ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/optimizing-pediatric-blood-health-insights-from-anesthesiology-2025 Exploring Viscoelastic Testing and Patient Blood Management at ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/exploring-viscoelastic-testing-and-patient-blood-management-at-anesthesiology-2025 Insights from ANESTHESIOLOGY® 2025: Enhancing Research and Publishing in Obstetric Anesthesia https://topmedtalk.libsyn.com/insights-from-anesthesiology-2025-enhancing-research-and-publishing-in-obstetric-anesthesia Understanding Medical Errors: Cognitive Basis and Systemic Solutions at ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/understanding-medical-errors-cognitive-basis-and-systemic-solutions-at-anesthesiology-2025 Insights from ANESTHESIOLOGY® 2025: Surgical Site Infections, Oxygen Therapy, and Thermoregulation https://topmedtalk.libsyn.com/insights-from-anesthesiology-2025-surgical-site-infections-oxygen-therapy-and-thermoregulation Advancing Patient-Centered Monitoring Outcomes ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/advancing-patient-centered-monitoring-outcomes-anesthesiology-2025 Adrian Gelb on Neuroanesthesia, Global Patient Safety, and WFSA-WHO International Standards https://topmedtalk.libsyn.com/adrian-gelb-on-neuroanesthesia-global-patient-safety-and-wfsa-who-international-standards -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

    21 min

Ratings & Reviews

4.8
out of 5
35 Ratings

About

TopMedTalk for the latest medical news surrounding Anaesthesia, Perioperative Care and Enhanced Recovery. Live updates from conferences; Journal Club; Techno Talk and Hot-Topic podcasts. Continuing Medical Education (CME) on the go

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