Discussion includes a recap of the last few podcasts.

Desiree Chappell joins us to update the team on ‘the opioid crisis’; 50 overdoses in a twenty hour period reported in Kentucky? Can a perioperative multimodal approach to pain management help tackle it? How important is managing patient expectations as regards pain?

Dr Ramani Moonesinghe, Director of the Health Services Research Centre at the RCoA, discusses patient data. Why is important to report both median and mean length of stay when collating data in relation to enhanced recovery after surgery. Various UK patient data initiatives are discussed including the Perioperative Quality Improvement Programme (PQIP) , what’s the importance of making this data available to all? Should we also work towards making it more available to patients? The SNAP-2 project is also discussed.

The PQIP website mentioned is here: http://www.pqip.org.uk/

Scott Brudney Professor Departments of Anaesthesiology and Internal Medicine, University of Manitoba, Winnipeg joins us to discuss fluid management: Is it really ok to have a drink before an operation? What about a carbohydrate drink? Is it really for the best to have had ‘nil by mouth’ from 6pm the night before?

Mike Grocott Professor of Anaesthesia and Critical Care Medicine at the University of Southampton joins us on the line with some other guests including; Professor Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, and Dr Paul E Wischmeyer of Duke University. They provide some insight into the ASER conference, more depth regarding what to do with someone who is mulnourished, the advantages of pre-habilitation and the importance of nutrition clinics as part of preparation for surgery. How do you build a robust financial model for such an enterprise?

Sol Aronson explains the acronym POET – a truly multidisciplinary Perioperative Enhancement Team, responsible for project managing optimisation programmes. The fundamental philosophy is espoused that people should have surgery, when they are ready.

Finally Dr. Timothy Miller, Assistant Professor of Anesthesiology at Duke University Medical Center, joins us to discuss ASER and an optimistic future for the perioperative movement.

The link mentioned in the podcast is here: https://ebpom.org/ASER-EBPOM-2017

Sponsored by EBPOM and Edwards Life Sciences