Bernardo Bollen Pinto and Bernhard Walder
The previous generation of anaesthesiologists greatly reduced intra-operative adverse events and deaths. Recent scientific data observed that death and disability after surgery were still too frequent and that the postoperative period is, from the patient’s perspective, unsafe. Continuing to dig into the problem we concluded that the management of postoperative complications was a very likely culprit. And little by little “Perioperative Medicine” became the new statement and new vision to protect surgical patients during the perioperative period. One commonly used definition of Perioperative Medicine is “the care of patients from the time of contemplation of surgery through the operative period to full recovery”. Full recovery, the final aim of perioperative medicine, means absence of death, absence of disability, and high health-related quality of life. Care during this period includes organ protection based on a personalized approach, coordination of all healthcare providers using evidence-based pathways, and permanent critical feedback of the final aims. This sophisticated care is only realisable with permanent education for all health care providers and this education must be based on robust scientific data.
Apropos science, there has been an exponential growth in the number of PubMed hits on “Perioperative” material with nearly 10,000 publications in 2017 alone! For instance, 26 articles on perioperative medicine were published in the European Journal of Anaesthesiology, the scientific journal of the ESA. Recent articles of the ESA Newsletter have addressed different aspects of perioperative medicine such as the role of the anaesthesiologist, big data, or depicting educational and organisational issues in various European countries.
Euroanaesthesia 2018 (#EA18) in Copenhagen offers a dedicated Learning Track throughout the congress on Perioperative Medicine. A first highlight will be the Pre-congress Course on Perioperative Medicine in Daily Practice that will take place on Friday 1st June in a real world setting at the Glostrup Hospital. We identified some key features and challenges that will be debated in Copenhagen with highly motivated world experts on Perioperative Medicine:
- Organ injury is the pathophysiological basis for complications:
- In the Pre-Congress Course there will be 2 sessions dedicated to cardiac and respiratory complications with a focus on how injury leads to complications;
- In the Congress there will be a lecture on Perioperative myocardial injury (13LA);
- Perioperative interventions should be chosen wisely and personalized to individual needs:
- In the Pre-Congress Course there will be one session on perioperative fluid management without complications;
- In the Congress there will be one session on Precision medicine (13SC) and another entitled “Silicon takeover”, where modern technological-based interventions will be debated;
- Coordination of care among different healthcare professionals is the very essence of Perioperative Medicine:
- In the Pre-Congress Course there will be a session dedicated to Management and leadership;
- In the Congress there will be a session on strategies to avoid re-admission to Intensive Care;
- The final aim of a good perioperative trajectory should be long-term full recovery:
- In the Pre-Congress Course there will be a session dedicated to Long-term outcomes after surgery.
Euroanaesthesia 2018 will be an excellent forum for discussion of multiple challenges on the future of Perioperative Medicine. The special Learning Track and the Pre-congress Course on Perioperative Medicine in Daily Practice will amplify knowledge and clinical practice. We are confident that participants will be filled with new insights to empower them to change perioperative care for the better back home.