Selected educational podcasts from experts in perioperative medicine


10 April 2018

Top Med Talk – Journal Club Xpress 2

2 articles in March 1st NEJM of circa 30,000 patients studied at Vanderbilt Medical Centre, USA

One in non-critically ill patients

The other in critically ill adult patients

Accompanied by a very balanced Editorial by Professor John Myburgh.


10 April 2018

Top Med Talk – Journal Club Xpress: After non-cardiac surgery myocardial injury is common and dangerous.

Myocardial Injury after Noncardiac Surgery: A Large, International, Prospective Cohort Study Establishing DiagnosticCriteria, Characteristics, Predictors, and 30-day Outcomes

TheVascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION)Writing Group, on behalf of The Vascular events In noncardiac Surgery patIentscOhort evaluatioN (VISION) Investigators. Anesthesiology 03 2014,Vol.120, 564-578.


10 April 2018

Top Med Talk – Journal Club Xpress: > 100K patient study of Spinal vs GA for fractured neck of femur

Association of Hospital-level Neuraxial Anesthesia Use for Hip Fracture Surgery with Outcomes: A Population-based Cohort Study – McIsaac D et al. Anesthesiology 3 2018, Vol.128, 480-491

A population-based cohort study using linked administrative data in Ontario, Canada. 107,317 hip fracture patients > 65 yr of age from 2002 to 2014.

Hip fracture surgery patients at hospitals that use more than 20 to 25% neuraxial anesthesia have improved survival independent of patient-level anesthesia type and other confounders. The underlying causal mechanism for this association requires a prospective study to guide improvements in perioperative care and outcomes of hip fracture patients.

For original paper click here


8 March 2018

UCL – An Introduction to Anaesthesia

A short introduction for medical students about anaesthesia. We outline the overall process a patient having surgery undergoes from the perspective of anaesthesia.

Please see the website for more details

8 March 2018

Top Med Talk – Journal Club The Fedora trial

Professor Monty Mythen’s full presentation regarding ‘the FEDORA trial’.

This piece was originally presented during the Third Annual Quality Improvement Leadership Forum, 2018, at the Union League Club in Philidelphia. The trial looked at the effect of goal-directed haemodynamic therapy on postoperative complications in low?moderate risk surgical patients: a multicentre randomised controlled trial (FEDORA trial).


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