Perioperative Fluid Management discussed TopMedTalk ASA® 2019 Tim Miller discusses #POQI1 and #POQI5 controversies with Desirée Chappell montymythen Sol Aronson Mike Grocott Link to Podcast TopMedTalk = topmedtalk.com/anes19-tim-mil…

Perioperative Hypotension discussed TopMedTalk ASA® 2019 Andrew Shaw discusses #POQI3 controversies and new data with Desirée Chappell and montymythen Link to Podcast TopMedTalk = topmedtalk.com/anes19-andrew-…

Mistreatment (discrimination, physical/verbal abuse, sexual harassment) common amongst surgical residents, especially women, & associated with burnout & suicidal thoughts - patients discriminate - senior surgeons harass/intimidate NEJM Link to article = nejm.org/doi/full/10.10…

Postoperative infection associated with long-term mortality JAMA Surgery by #WilliamOBrien Kamal Itani Harvard Medical School - more evidence of the long-term consequences of short-term postoperative harm

My followers live in 39 countries: UK.(39%), USA(26%)... tweepsmap.com/!PeriOpQI Get your free map!

NEW POQI WEBSITE LAUNCH - poqi.org - Happy New Year 2020 - FREE open access to all POQI manuscripts and infographics along with supporting information about all POQI conferences POQI EBPOM ASER #FOAMed

Hydroxyethyl Starch vs Saline for volume replacement in major abdominal surgery: no difference in death or post-op complications..... but interesting trends..... #FLASH RCT Emmanuel Futier JAMA

"Best of a decade" for POQI Intraoperative Blood Pressure Consensus - flagged as most cited review in British Journal of Anaesthesia @rds1002 Tim Miller @dr_mark_edwards montymythen Mike Grocott

Postoperative Delirium Prevention: ASER POQI joint consensus statement now e-published ahead of print. Important recommendations on screening, defining and communicating risk, non-pharma interventions & optimising pain and sedation Link to PubMed: ncbi.nlm.nih.gov/pubmed/32022748

HIP-ATTACK The Lancet - no change in 90-day mortality or major complications comparing accelerated (<6 hours) with standard care (<24 hours) from hip fracture diagnosis to surgery @PHRIresearch (formerly HipATTACKRCT) Link to article: thelancet.com/journals/lance… Link to editorial: thelancet.com/journals/lance…

Rivaroxaban more effective than Enoxaparin for prevention of venous thromboembolic events during immobilisation for non-major orthopaedic surgery NEJM POQI Link to journal = nejm.org/doi/full/10.10… Link to PDF = nejm.org/doi/pdf/10.105…

Postoperative Delirium Preventions #POQI6 - Joint ASER POQI Consensus Statement now published in Anesthesia&Analgesia Link to article = journals.lww.com/anesthesia-ana…

"No brain is an island" - beautifully written commentary #ChristianGuay Michael Avidan on #POQI6 Postoperative Delirium Prevention POQI - delirium is a clinical syndrome, with multiple aetiologies, rather than a diagnosis in itself Link to journal = journals.lww.com/anesthesia-ana…

"In addition to neuroinflammation and tissue trauma, systemic pathologies and distant organ injury contribute to acute brain failure and should be targets for intervention in efforts to reduce the risk of postoperative delirium." Michael Avidan #POQI6 POQI Anesthesia&Analgesia

Congratulations to Perioperative Medicine Journal Perioperative Medicine journal - valued POQI journal partner. Announced today at the EBPOM London 2020: London Congress of Perioperative Medicine #EBPOMLondon2020 Impact factor = 2.740 (2019) #14/32 Anesthesiology #59/210 Surgery

No difference in post-op pulmonary complications after major surgery between low intraoperative tidal volume (6 mls/Kg) vs. conventional (10 mls/Kg) when PEEP equivalent between groups (5cmH2O) - great study JAMA Surgery Dharshi Karalapillai Link to free PDF = jamanetwork.com/journals/jama/…

SPAQI virtual 3-day #Periop2021 summit begins TODAY PeriopSummit - Congratulations to director Angela Edwards MD FASA DFPM 🇺🇸 and team for keeping the perioperative medicine flame burning brightly during these challenging times: spaqi.org/2021/index.php

Could better perioperative care save lives in LMICs?Perioperative outcome following cancer surgery substantially worse in low & middle income countries - challenging data from GlobalSurg study National Institute for Health and Care Research The Lancet #PerioperativeCare #PerioperativeMedicine

7 international consensus conferences | 18 manuscripts | 6 editorials | global reach and influence: POQI #POQI celebrating 5 years of improving #PerioperativeCare for people around the world TJ Andrew Shaw Tim Miller montymythen Mike Grocott

Most opioids unused after discharge from major orthopaedic and urologic surgery in US study (more than a quarter of patients take none after hospital discharge) #OpioidEpidemic - reducing discharge opioid prescriptions will reduce drug availability.......