The last 100 years have seen enormous advances in anesthetic and surgical techniques. At the same time, medical advances have also led to increased life expectancy resulting in a shift towards advanced care for the elderly. The impact of these developments is that surgery is now being performed on much older patients with higher burdens of comorbidities.
Perioperative Medicine has blossomed over the past 10 years and landmark trials have resulted in important changes in practice. There is a growing consensus that high-risk patients undergoing non-cardiac surgery would be best served through a shared-care model with members having expertise in Surgery, Anesthesia and Medicine.
Participants will benefit by being better able to:
- Examine and discuss the recently published CCS perioperative guideline recommendations;
- Describe intraoperative hemodynamics;
- Discuss perioperative venous thromboembolism, bleeding and transfusion;
- Manage perioperative pain, perioperative pneumonia, wound infection and sepsis, acute kidney injury and electrolyte abnormalities;
- Explore how to set up perioperative programs including: research, VTE prophylaxis, BNP and Troponin measurements; and
- Debate controversies in perioperative medicine: research methodology, intraoperative temperature control and brain function and automated non-invasive monitoring.