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Implementing Anaemia Pathways

In this second part of her article, Dr Anne-Marie Bougeard continues the discussion by looking at the challenges of implementing a preoperative iron pathway and service. What are the challenges …

Choosing Wisely

In this video interview, we are joined by Dr Angela Coulter and Dr Ramai Santhirapala who are the Chair and Clinical Lead respectively for the shared decision making subgroup of …

Course acknowledgements

Lead Educators: Dr Abigail Whiteman and Dr Katie Samuel Course initiation and content design: Abigail Whiteman, Katie Samuel, Philip Sherrard, David Walker, Rob Stephens, Gautam Kumar, Diana Laurillard, Natasa Perovic, …

Final thoughts

You have now reached the end of Perioperative Medicine in Action: congratulations! We would like to thank you for joining us on this journey. We hope you have found it …

Postoperative Critical Care: Findings from SNAP-2

  Although intended for benefit, surgery exposes patients to potential risks and some patients may develop complications. Critical care is thought to protect against the development of these complications, and …

Economic challenges to health care provision

In this article Dr Dalia Dawoud, a senior health economist with the Royal College of Physicians, highlights the current economic challenges to health care provision and suggests some potential solutions. …

An age old problem

In the previous step we discussed ideal perioperative care for the elderly and the barriers to providing this. Here we will summarise a 2010 report from the National Confidential Enquiry …

Having end of life discussions

Having end of life discussions can be a challenging task. In this video, Dr Rob Stephens, a consultant anaesthetist at UCLH, discusses his experience of having end of life discussions …

Frailty: Challenges and perioperative outcomes

Here, Dr Shamir Karmali, an anaesthetic registrar at the National Institute for Health Research, explores the evidence base behind poor perioperative outcomes in frail patients. Frailty in the elderly is …

Multimorbidity

In this article Dr Mevan Gooneratne, an anaesthetic consultant at the Royal London Hospital, runs through a systemic review of the key points regarding multimorbidity in the older surgical patient. …