Helen

Perioperative Quality Initiative consensus statement on goal-directed haemodynamic therapy Perioperative goal-directed haemodynamic therapy (GDHT) includes a variety of protocolised approaches to the assessment and management of the circulatory system and blood flow for patients undergoing ...

Perioperative Quality Initiative consensus statement on goal-directed haemodynamic therapy - British Journal of Anaesthesia www.bjanaesthesia.org/article/S000...

Major trauma in the elderly: unique challenges and considerations In England there are around 60 cases of major trauma (Injury Severity Score (ISS) > 15) daily.1 Trauma continues to be the leading cause of death in children and adults aged <40 years and has…

Major trauma is shifting. 🚑 The “typical” patient is now in their 60s, often with frailty & comorbidities. How should anaesthetists adapt to this new reality of silver trauma? Read more in #BJAEd: www.bjaed.org/article/S205...

Home-based prehabilitation: a systematic review and meta-analysis of randomised trials - British Journal of Anaesthesia www.bjanaesthesia.org/article/S000...

Can we optimise #perioperative team performance using 'team flow'? New single-centre qualitative study by Coss et al #humanfactors #performance #teamdynamics

www.bjanaesthesia.org/article/S000...

onlinelibrary.wiley.com/doi/10.1002/...

Mythbusting!
My favorite.

NHS England » NHS operational planning and contracting guidance 2025/26 priorities and operational planning guidance  In line with the Government Mandate, the 2025/26 priorities and operational planning guidance sets out a focused, smaller number of national prior...

The NHS planning guidance - it's marching orders for the year - is out. More than a dozen national priorities have been dropped and the NHS faces more spending cuts.

As many in the NHS know, what matters is what is counted.

Read the guidance here: www.england.nhs.uk/operational-...

Relative efficacy of prehabilitation interventions and their components: systematic review with network and component network meta-analyses of randomised controlled trials Objective To estimate the relative efficacy of individual and combinations of prehabilitation components (exercise, nutrition, cognitive, and psychosocial) on critical outcomes of postoperative compli...

www.bmj.com/content/388/...

Systematic review and meta-analysis of 186 Prehabilitation RCTs. (15684 participants).
Combined exercise, psychosocial and nutritional interventions reduce LOS and complications

Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) Aging, a universal and inevitable process, is characterized by a progressive accumulation of physiological alterations and functional decline over tim…

www.sciencedirect.com/science/arti...
Turning evidence into actions

Intensity or volume: the role of physical activity in longevity AbstractAims. To investigate how physical activity (PA) volume, intensity, duration, and fragmentation are associated with the risk of all-cause and cardio

academic.oup.com/eurjpc/artic...

The intensity is more important than the quantity of exercise

Join our monthly webinars at lunchtime on Prehabilitation and Rehabilitation every last Tuesday of the month from 1-2pm

Next one 28 January about the 'we are undefeatable campaign'

Join for free 👇
cpoc.org.uk/events/perio...

In collaboration with Macmillan and the Wessex Cancer Alliance

We partnered with Joe Wicks to create fitness videos for people to get active before surgery to help reduce complications

cpoc.org.uk/news/joe-wic... 💪

@thebodycoach.bsky.social @jkdhesi.bsky.social @gerisoc.bsky.social and @gstt-nhs.bsky.social

Definition and diagnostic criteria of clinical obesity - The Lancet Diabetes & Endocrinology www.thelancet.com/journals/lan...

cpoc.org.uk/get-involved...

A great opportunity to get involved in many different ways in the evolution of Perioperative medicine

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

Prevalence of smoking and postoperative outcomes in people undergoing coronary artery bypass grafting: a UK registry analysis Click on the article title to read more.

From 2012-22, the prevalence of smoking amongst elective CABG patients was surprisingly low (9% vs. 13% in the UK population). Why are we seeing this difference? Are patients successfully quitting before surgery? tinyurl.com/ywcmds7e #Ansky #Medsky @ronellemouton.bsky.social @alexisted.bsky.social

Thank you @iainmoppett.bsky.social for this really helpful summary thread of the first major publication from SNAP-3. We are really grateful to all the local investigators and patients who contributed the study, thank you!
@rcoa-cri.bsky.social @bjajournals.bsky.social @anaesresidents.bsky.social

Association of Anaesthetists guidelines: the use of blood components and their alternatives 2024 Background The administration of blood components and their alternatives can be lifesaving. Anaemia, bleeding and transfusion are all associated with poor peri-operative outcomes. Considerable chang.....

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

The inequalities and challenges of prehabilitation before cancer surgery: a narrative review - PubMed Prehabilitation must be implemented carefully to avoid widening inequalities. More research is needed, both in terms of the impact of interventions and to understand how prehabilitation should account...

pubmed.ncbi.nlm.nih.gov/39775660/
A review supporting the reality I see in my practice. How do we reach those in the greatest need?

Coffee drinking timing and mortality in US adults AbstractBackground and Aims. To identify the patterns of coffee drinking timing in the US population and evaluate their associations with all-cause and cau

academic.oup.com/eurheartj/ad...
Morning coffee drinking is the way forward for health benefits

Impact of resistance training on cardiometabolic health-related indices in patients with type 2 diabetes and overweight/obesity: a systematic review and meta-analysis of randomised controlled trials Objective To evaluate the effects of resistance training on cardiometabolic health-related outcomes in patients with type 2 diabetes mellitus (T2DM) and overweight/obesity. Design Systematic review a...

bjsm.bmj.com/content/earl...
Optimisation opportunities whilst on a surgical preparation list

Peri‐operative identification and management of patients with unhealthy alcohol intake Introduction This consensus statement gives practical advice for the safe management of patients with harmful alcohol intake undergoing elective and emergency surgery. The wide spectrum of alcohol-r...

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Perioperative management of patients with XS alcohol use

Word of the day is one I mention often. To have the ‘mubble-fubbles’, in the 16th century, was to experience a fit of despondency or low spirits - another name for the Sunday blues.

To operate or not? Uncertainty, regret and the art of conversation Click on the article title to read more.

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/abs/10.1...
Shared decision making

All NHS acute hospital trusts in England are missing Labour’s 18-week target The PM’s ‘milestones’ include 92% of patients waiting no more than 18 weeks – but not one of the 124 trusts is hitting the mark Every acute hospital trust in England is failing to hit Keir Starmer’s key target to treat 92% of patients within 18 weeks,…

All NHS acute hospital trusts in England are missing Labour’s 18-week target

Word of the Day is ‘hunch-weather’ (19th century): weather so cold it makes you hunch your shoulders when you walk outside.

Passage from Carl Sagan’s A demon-haunted world book.

Some folks are pretty good seeing things coming.

Word of the Day is one I keep posting at the end of the year, hoping its time will come.

‘Respair’, from the 16th century, is fresh hope, and a recovery from despair.

Here’s to a few drops of respair in 2025.

Word of the day is most definitely ‘hurkle-durkling’ (19th-century Scots): to linger in bed long after it’s time to get up.