9| Length of stay after Major Surgery?

This podcast is crucial to understanding Enhanced Recovery After Surgery (ERAS). The ideas outlined in this series all lead up to it. In short, the length of stay as part of a patient's post operative recovery should be less than 3 days with over 90% of your patients mobilised on day one.

This in depth discussion relates to the consensus paper from the Perioperative Quality Initiative (POQI), see link below. It focuses on: outcomes, length of stay and DREAMS (Drinking, Eating and Mobilising) within hours after major surgery. These are all measures of compliance and success in an Enhanced Recovery Program.

Monty Mythen and Joff Lacey with Mike Grocott presenting alongside contributions from Dr Julie Thacker, Colorectal Surgeon from Duke University, President of the American Society of Enhanced Recovery (ASER) and Dr Tim Miller, Anesthesiologist from Duke University.

The POQI website is here: http://www.poqi.org

For further CME read the paper in Perioperative Medicine:

https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0062-7

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Love this, want more?

This piece is taken from a longer discussion here: http://www.topmedtalk.com/aser-ebpom-2017-pod-two-live-from-washington-dc/

Julie Thacker has made many important contributions to TopMedTalk, if you enjoyed hearing her not checkout this excellent Roundtable piece here: https://www.topmedtalk.com/what-is-asers-vision-for-2018/

Tim Miller's work is frequently celebrated here on TopMedTalk, this piece is a good place to go when you want to hear more: https://www.topmedtalk.com/fluid-matters-series-1-6-definite-definitions-fluid-physiology/