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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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ANESTHESIOLOGY® 2026, in San Diego, TopMedTalk hosts Kate Leslie and Andy Cumpstey speak with Dr Damon Kamming, Clinical Instructor within the Stanford University Department of Anesthesiology, Perioperative, and Pain Medicine and Michel Struys, Professor of Anesthesiology and Clinical Pharmacology at the University of Groningen and the University Medical Center Groningen (UMCG) about target-controlled infusion (TCI) for intravenous anesthesia. They explain how TCI uses pharmacokinetic/pharmacodynamic models and patient covariates beyond weight (age, sex, height, fat-free mass) to target and maintain drug concentrations, commonly for propofol and opioids, reducing clinician pump adjustments and drug accumulation when paired with effect monitoring (e.g., EEG) and cardiovascular signs. They discuss newer broad models such as Eleveld, limits at extremes of body size, and practical safety issues like dedicated IV access. Kamming links wider TIVA/TCI adoption to improved recovery and lower global warming potential versus volatile agents, citing UCLH's shift toward more TIVA, use of 2% propofol to reduce plastic waste, and desflurane reduction. The group notes TCI is not yet available in the US, attributing this mainly to the need for a company to invest in FDA submission and adoption efforts within departments. LISTEN TO THE PODCAST MENTION ABOUT OPIOIDS HERE: https://topmedtalk.libsyn.com/anesthesiology-2026-opioid-overdose-prevention-and-treatment
This moving piece was originally released Mar 23, 2020 with the title: Epidemiology revisited - a case for virtual meetings | COVID 19 It's taken from TopMedTalk's extensive archive and represented here as an encouragement for you to explore our FREE back catalogue of medical conversations. Hear the team's reaction to the outbreak of the disease from the perspective of healthcare workers in Italy. Focusing on the community health approach to controlling this pandemic, our guest emphasizes the importance of understanding the epidemiology of COVID- 19. Mirco Nacoti, Department of Anesthesia and Intensive Care, Pediatric Intensive Care Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy, was subsequently featured in the New England Journal of Medicine where he along with Andrea Ciocca and Maurizio Cereda wrote this excellent article: https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0080 Presented by Monty Mythen and Desiree Chappell. This podcast was originally released as part of a longer podcast which you can listen to here: https://www.topmedtalk.com/covid-19-you-must-learn-the-epidemiology/
ANESTHESIOLOGY® 2026 meeting in San Diego, TopMedTalk hosts Kate Leslie and Andy Cumpstey interview Mike Scott (University of Rochester; Lifebox co-founder) and LaToya Mason (University of Mississippi; SOAP state representative) about a maternal health forum held alongside the United Nations General Assembly. They discuss worsening global maternal mortality, missed WHO 2030 targets, and that many deaths are preventable, with contributors including rising cesarean rates, older maternal age, and increasing comorbidities; Brazil's cesarean rate and complications like accreta and concealed hemorrhage are highlighted. Mason shares her personal experience of postpartum peripartum cardiomyopathy detected via smartwatch data, underscoring the need for patient education, listening to patients, and earlier recognition. The panel advanced a mandate that no woman should die during childbirth, emphasizing country-specific approaches, government buy-in, training, scalable monitoring (pulse oximetry, continuous blood pressure), low-fidelity risk tools, and engaging technology and industry to improve outcomes globally and in the US. The Global Surgery Foundation is here: https://www.globalsurgeryfoundation.org/
ANESTHESIOLOGY® 2026 in San Diego, TopMedTalk hosts Andy Cumpstey and James Bowness interview Carolina Haylock-Lore, the president of the World Federation of Societies of Anesthesiologists (WFSA). She explains the WFSA's role as a global organization with 151 member societies from 158 countries and its strategic priorities of advocacy, collaboration, and education. Noting its status as a WHO non-state actor since 1984 and as the voice for about half a million anesthesiologists to promote safe, affordable, timely anesthesia across the continuum of care. They discuss the need for stronger recognition of anesthesiology and physician-led practice, highlight global health challenges and rural care, and preview the WFSA's flagship World Congress of Anaesthesiology in Vancouver, May 7–10, 2028, featuring 20+ tracks with global health embedded throughout.
Recorded at ASA Anesthesiology 2026 in San Diego, hosts Andy Cumpstey and Harriet Hopf speak with Patrick Velliky, Chief External Affairs Officer and Senior Vice President for Government Affairs at HaloMD, about misconceptions around the No Surprises Act (NSA) independent dispute resolution (IDR) process and its cost impact. Velliky argues many studies cite total arbitration awards without a pre-NSA baseline, and his emergency medicine analysis comparing like-for-like out-of-network (OON) claims found OON spending is 13%–50% lower post-NSA, with modeled savings depending on assumptions about payments for the ~90% of eligible claims not going to IDR. He discusses the qualifying payment amount (QPA), recent litigation finding unlawful QPA manipulation, and concerns about third-party administrators (TPAs), including lack of transparency, shared-savings fees, and a reported ~35% nonpayment rate of binding IDR awards. The conversation links these issues to anesthesia, subsidies, consolidation, employer oversight, and pending bipartisan legislation to penalize nonpayment and improve accountability.
At the EBPOM World Congress in London, Andy Cumpstey interviews Professor Michael Scott, Chair of the Department of Anesthesiology and Perioperative Medicine, University of Rochester Medical Center (URMC) in Rochester, New York for TopMedTalk's Perioperative Profile series. Scott, recounts growing up in Bath in the UK, studying medicine at Birmingham, and funding medical school through award-winning travel photography that later informed medical teaching resources and WHO's LifeBox work. He describes extensive travel, including China, Nepal, Peru, Gaza, and Myanmar, and how experiences shifted him toward medicine and then anesthesia after time in emergency medicine. Scott outlines his UK training, family moves, and relocation to the US, including work at VCU and Penn during COVID, where he helped build tele-ICU capabilities amid PPE and ventilator shortages. He highlights pride in LifeBox, enhanced recovery/complication reduction, and opioid-sparing initiatives, and advises resilience and supportive partnerships.
ANESTHESIOLOGY® 2026 in San Diego, TopMedTalk hosts Kate Leslie and Andy Cumpstey speak with Bonnie Milas, clinical professor of anesthesiology and critical care medicine at the University of Pennsylvania and American Society of Anesthesiologists (ASA) President Patrick Giam. The discussion covers addiction, overdose prevention, and pain management. Milas, who lost two adult sons to accidental fentanyl poisonings, advocates putting naloxone and basic response training in the hands of families and communities. She explains overdose signs (unresponsiveness, pinpoint pupils, slow/shallow breathing, cyanosis), calling 911, rescue breathing/CPR, and that naloxone is an easy, safe nasal spray now available over the counter. Giam discusses anesthesiology's role in opioid-sparing multimodal analgesia, individualized prescribing, education at discharge, and advocacy for reimbursement and fewer prior authorization barriers. Milas highlights ASA's REVIVEme initiative to reduce opioid and drug related mortality, an educational campaign to reduce risks from adulterated drug supplies, and the need to remove stigma, educate youth, and make naloxone as available as AEDs. More here: http://reviveme.com/
This edition of TopMedTalk at Anesthesiology 2026 in San Diego, features Kate Leslie and Sol Aronson interviewing Major Zachary Affrin, a pediatric anesthesiologist at Tripler Army Medical Center in Hawaii, and Captain Joy Ferré, a PGY3 anesthesiology resident at Brooke Army Medical Center/SAUHEC. They discuss paths into military medicine and anesthesiology, including HPSP and Uniformed Services University, and emphasize early leadership opportunities, subspecialty development supported by the Army (including Affrin's fellowship at Children's Hospital of Philadelphia), and work-life balance with unique military experiences. Ferré describes Global Health Engagement mission trips, highlighting a Panama trip that delivered 80 cataract, corneal transplant, and glaucoma surgeries for civilian patients. Affrin also notes military innovation efforts such as renewed use of whole blood for trauma care at geographically isolated facilities. Disclaimer: "The views expressed in this recording are those of the authors and do not necessarily reflect the official policy or position of the Defense Health Agency, Department of War, nor the U.S. Government."
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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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