TopMedTalk

• Review of the 2025 ANZCA Annual Scientific Meeting in Cairns

  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.

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• Breaking trial results

  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.

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• Journals in focus, The BJA and Anesthesiology

  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.

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• Unconscious bias, bullying, harassment, and discrimination

  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.

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• TopMedTalks to … Kevin Fong

  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.

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