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.
- Identify strategies for perioperative cardiac risk assessment;
- Review recent data on new perioperative prognostic biomarkers;
- Appraise the data on perioperative anti-platelet use;
- Examine and discuss perioperative management of cardiac devices;
- Assess management of perioperative atrial fibrillation;
- Update global perioperative care and outcomes;
- Appraise new data on intraoperative fluid and blood pressure management;
- Discuss perioperative diabetes management; and
- Debate current controversies in perioperative medicine: arrhythmia’s and anti coagulation and intraoperative supplemental oxygen