1| Nutrition

"An operation is like a marathon, nobody prepares for that by starving themselves" - the first episode of this series provides some much needed food for thought regarding the essential the role of nutrition and nutrition screening in the perioperative process. Monty Mythen talks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, USA, about the e.published American Society of Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on Nutrition and Screening Therapy within an Surgical Enhanced Program. The latest research suggests as many as one in three admissions are malnourished. Malnourished patients have a three times greater risk of complications and a five times greater risk of mortality. It's the fourth most common cause of death, within thirty days of any surgery and yet it's the only directly modifiable cause of death in the top ten. Learn here how you can put your institution or practice swiftly into a better place by developing a perioperative enhancement team which keeps its focus on this clear way to improve standards and save lives. Click on this link to access the full paper: https://journals.lww.com/anesthesia-analgesia/Abstract/publishahead/American_Society_for_Enhanced_Recovery_and.96950.aspx -- Like this, want more? Paul Wischmeyer is a firm favourite on TopMedTalk, further listening is to be found here on our main podcast stream: https://www.topmedtalk.com/ebpom-2018-perioperative-nutrition/ Henrik Kellet is mentioned in this piece he was interviewed and profiled by TopMedTalk here: https://www.topmedtalk.com/asa-2018-san-francisco-henrik-kehlet-recovery-is-all-about-inflammation/ Additionally, this piece, covers many of the essential elements discussed above: https://www.topmedtalk.com/intensive-care-society-nutrition/