TopMedTalk

At the ANZCA Annual Scientific Meeting in Auckland, Kate Leslie and Andy Cumpstey discuss ANZCA's Emerging Leaders Conference (ELC), a retreat-style program held immediately before the ASM for clinicians within five years of achieving FANZCA, with allowances for career disruptions.

Their guests, Dr Saana Taylor FANZCA and Dr Vik Singh FANZCA, co-conveners of this year's ELC, describe shaping this year's New Zealand-hosted ELC with an Aotearoa focus, naming it Te Herenga Matua ("the pursuit of consciousness") and emphasizing collaboration, communication, wellbeing, compassion, and equity.

The program included Māori and Pacific health sessions, leadership self-reflection, a...

From the 58th annual meeting of the Society for Obstetric Anesthesia and Perinatology (SOAP) in Montreal, Mike Grocott and new co-host Joe Larvin speak with SOAP president Ron George about SOAP's growth to over 1,000 attendees and its international, collaborative community.

George outlines his career from Dalhousie to UCSF and back to Canada as director of obstetric anesthesia at Mount Sinai Hospital in Toronto, highlighting its high-risk referral practice and large, internationally diverse fellowship program. He reflects on his presidency's focus on mission alignment and partnerships, including work with the New York State Society of Anesthesia, discussions with...

This classic TopMedTalk piece was originally cast in April 2020.

The debate 'Direct laryngoscopes should be consigned to history', was hosted by The Royal College Of Anaesthetists and carried out by our two guests on this piece, where the debate is outlined in advance.

We get into the advantages and challenges behind the two techniques; video laryngoscopy and direct laryngoscopy. The conversation explores the fact that these skills are a key part of the job of practitioners, are we "de-skilling" the profession in an overly enthusiastic race toward new technology or are some resisting it simply...

Live from Euroanaesthesia 2026 in Rotterdam, Kate Leslie and Andy Cumpstey speak with Laszlo Vutskits and Hugh Hemmings ahead of the "Hot Topics in General Anaesthesiology" lecture.

Vutskits discusses reports of devastating neurologic outcomes after minor procedures in previously healthy patients, linked in a Spanish series to a shared mitochondrial DNA haplotype traced to Venezuela, including a rare ND4 complex I mutation; cybrid and fibroblast experiments showed clinically relevant sevoflurane rapidly suppresses oxidative phosphorylation but reversibly on washout, while propofol (tested without lipid) did not.

Hemmings highlights the DAS 2026 airway management guidance advocating video laryngoscopy as...

Recorded live at the ANZCA Annual Scientific Meeting in Auckland, Kate Leslie interviews Professor Alan Merry for a perioperative profile, covering his retirement from clinical practice, ongoing research supervision, and work on environmental sustainability.

Merry recounts being raised by a single mother in Zimbabwe, studying medicine at the Godfrey Huggins School of Medicine in Harare, and moving to New Zealand amid the Rhodesian Bush War. He describes entering anaesthesia after initially planning psychiatry, then becoming involved in New Zealand medical manslaughter law reform following prosecutions of clinicians, helping achieve the Crimes Amendment Act 1997's higher "major departure"...

At the EBPOM World Congress in London; TopMedTalk's Andy Cumpsty sits down for an exclusive interview with Amy Slogrove, editor-in-chief of the new journal, The Lancet Surgery and Anaesthesiology, ahead of its public launch on 20 July and a planned first issue in early 2027.

Dr Slogrove, a South Africa–based pediatrician and epidemiologist, explains the journal's aim - to bring surgery and anaesthesiology together across the perioperative space, emphasizing research integrity, rigor, and ethics, supported by clinical peer review.

She outlines the editorial team, submission route via thelancet.com/surgery, expected decision timelines, and peer-review approach. Th...

Recorded live at the EBPOM World Congress in London, this episode of TopMedTalk AI features host James Bowness and co-host Amy Gomes speaking with Joe Harris, anaesthesia resident and Innovation Fellow in Anaesthesia at University College London Hospitals (UCLH) NHS Foundation Trust and Sanjay Wijayatilake, Consultant in Anaesthesia and Neuro Intensive Care MedicineBarking, Havering and Redbridge University Hospitals NHS Trust about "AI demand signaling" in intensive care.

Harris explains the demand-signaling method—surveying clinicians on key problems, translating these into candidate AI use cases, prioritizing them via a Delphi panel, then exploring them in multidisciplinary workshops—to ensu...

At the International Anesthesia Research Society (IARS) and Society of Critical Care Anesthesiologists (SOCCA) meeting in Montreal, TopMedTalk hosts Mike Grocott and Desiree Chappell speak with Dr Faye Evans, Senior Associate in Perioperative Anesthesia at Boston Children's Hospital and Associate Professor of Anaesthesia at Harvard Medical School and Director of Partnerships on the Board of Directors for the World Federation of Societies of Anaesthesiologists (WFSA).

The conversation covers efforts to improve access to safe surgery and anesthesia for children globally. Evans explains the WFSA as a society of over 150 member societies focused on advocacy, safety, quality, publications...

At the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists (ANZCA) and Faculty of Pain Medicine (FPM) held in Auckland, New Zealand, Kate Leslie and Andy Cumpstey interview Neel Desai about non-opioid multi-modal analgesia, especially the use of paracetamol/NSAID combinations for minor surgery.

Dr Neel Desai is a Consultant Anaesthetist at Guys and St Thomas's Hospital, London, UK. He is supported by AFT Pharmaceuticals.

--

The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th...

Joff Lacey and Imogen Fecher-Jones interview six oral abstract finalists at this years' EBPOM.

Nora Cruz Rodriguez; Association Between Participation in Remote Prehabilitation and High-Dependency Unit Length of Stay After Oesophagectomy and Radical Cystectomy: A Retrospective Cohort.

Alexios Dosis; Remote wearable monitoring as a preoperative risk assessment tool.

Ned Douglas; The Fluids, Atomoxetine or Midodrine (FAME) pilot trial.

Tom Scodellaro; The new normal: CPET findings in patients aged 80 years and older.

Gerry O'Callaghan; Preventing and Reducing Re-Presentations and Admissions following surgery, new thinking required.

Sandy (Alexander) Jackson...

This month's TopMedTalk Classic is particularly topical: first broadcast back in 2018 but relevant once again after the recent news of an Ebola outbreak in the Democratic Republic of the Congo.

Originally recorded at the Intensive Care Society State of the Art Meeting in London, Desiree Chappell and Monty Mythen speak with Dan Martin, OBE, now Professor at the University of Plymouth and Consultant in Intensive Care Medicine at University Hospitals Plymouth NHS Trust, about the critical care management of Ebola and other viral haemorrhagic fevers.

Dan Martin describes the Royal Free Hospital's role as the...

This piece is essential listening for anyone interested in modern academic publishing.

Recorded at the Collaborative Clinical Trials Meeting in Prato, Italy, TopMedTalk hosts Kate Leslie and Mike Grocott speak with Eric Rubin (Editor-in-Chief, New England Journal of Medicine) and Jocelyn Clark (International Editor, BMJ) about medical publishing.

The conversation covers, engaging with clinical researchers and seeing impactful work. How AI can help authors—especially non-native English speakers—while raising concerns about confidentiality, inaccurate or fabricated content, reviewer misuse, governance policies that struggle to keep pace, and AI-generated correspondence overwhelming journals.

They explore how...

Live from the World Congress of Anesthesiologists in Marrakesh, Kate Leslie speaks with Bruce Biccard, Nuffield Professor of Anaesthetic Science at the University of Oxford, Director of the African Perioperative Research Group, and board member of IARS and Safe Surgery South Africa.

Bruce reflects on growing up in apartheid-era Cape Town, training in anaesthesia amid high-acuity care including trauma and HIV, and developing an interest in research through perioperative beta-blocker studies and mentorship in Oxford. He describes building South African and pan-African research collaborations that led to the African Surgical Outcomes Study (ASOS), which found mortality and...

At Euroanaesthesia in Rotterdam, TopMedTalk hosts Andy Cumpstey and Kate Leslie speak with Joana Berger-Estilita, ESAIC chair of education and training, about ESAIC's new leadership program.

Developed over two years with a multidisciplinary team including ESAIC leadership and headquarters staff, the pilot addresses a gap for seasoned anaesthesiologists seeking further career progression.

The retreat-style, experiential course includes two extended weekends (December and March), selects 25 ESAIC members with at least five years post-training leadership experience, and pairs participants with mentors.

Content covers core leadership skills plus anaesthesia-specific challenges such as second victim, suicide, and...

At the World Congress of Anaesthesiologists (WCA) in Marrakech, Morocco, TopMedTalk co-editors In chief, Kate Leslie and Mike Grocott speak with Sydney anaesthesiologist Alwin Chuan, a member of the joint ESRA-ASRA working group on AI, about strengths and limitations of AI for regional anaesthesia and medicine. Chuan explains how generative AI is trained on vast datasets using transformer architectures, why outputs are probabilistic, and how context affects meaning. They discuss privacy and the possibility of personal or creative work being used as a commodity in training, internet "scraping," and the inevitability of hallucinations, including false facts and fabricated citations...

At Euroanaesthesia in Rotterdam, TopMedTalk hosts Andy Cumpsty and Kate Leslie speak with Denise Veelo Professor of Anesthesiology at the Amsterdam University Medical Center and Bernd Saugel Professor of Anesthesiology and Vice Chair of the Department of Anesthesiology in the Center of Anesthesiology and Intensive Care Medicine at the University Medical Center Hamburg-Eppendorf, about two JAMA blood-pressure trials published on the same day.

Veelo describes a 3,500-patient, two-center randomized trial comparing usual care (MAP 65) with more intensive, risk-stratified higher MAP thresholds (70/80/90) using a functional recovery primary outcome, stopped early for futility. Saugel outlines the 1,300-patient IMPROVE trial...

At this year's Euroanaesthesia meeting in Rotterdam, TopMedTalk host Andy Cumpsty interviews Wolfgang Buhre, Professor of Anesthesia and Perioperative Medicine at Utrecht University Medical Center and past president of the European Society of Anaesthesiology and Intensive Care (ESAIC).

The discussion starts with a focus upon the annual ESAIC congress and its international reach, with next year's meeting planned for Copenhagen. Buhre explains ESAIC's White Paper, developed over two years using interviews and desk research with clinicians, stakeholders, and patient perspectives, to clarify the role of anesthesiologists and communicate core values and strategic goals for 2026. Key priorities include...

Andy Cumpstey and Mike Grocott interview Kate Leslie about the SNaPP study (Sugammadex, Neostigmine, and Postoperative Pulmonary Complications). SNaPP is a pragmatic randomized study run from the University of Melbourne with the ANZCA Clinical Trials Network across 45 sites in Australia, New Zealand, and Hong Kong. Patients aged 40+ having major abdominal or thoracic surgery (≥2 hours, overnight stay) were randomized after induction to reversal with sugammadex or neostigmine, with anesthetists unblinded and encouraged to use quantitative neuromuscular monitoring. In this podcast Andy, Mike and Kate discuss the results and their implications for anaesthetists and healthcare systems.

Find the paper he...

At the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists (ANZCA) and Faculty of Pain Medicine (FPM) held in Auckland, New Zealand, Kate Leslie and Andy Cumpstey interview the annual scientific meeting convenor Kerry Benson-Cooper and conference cultural advisor Tui Blair about planning the meeting and how Māori traditions and culture have informed not only the conference but also patient care and education in New Zealand.

Dr Kerry Benson-Cooper is a specialist anaesthetist and intensive care physician at Te Toka Tumai Auckland Hospital, New Zealand. Tui Blair is interim co director of p...

At the SOAP meeting in Montreal, Desiree Chappell and Monty Mythen interview Dr. Marie Louise Meng, Assistant Professor of Anesthesiology at Duke University Department of Anesthesiology and her former cardio-obstetric fellow Liliane Ernst, assistant professor in the Obstetric and Gynecologic Anesthesia section Wake Forest University.

The conversation focuses on cardio-obstetric anesthesia, hemodynamics, monitoring, and patient-centered care.

Meng describes building multidisciplinary "pregnancy heart teams" to plan management for complex cardiac disease in pregnancy and reduce birth trauma. Ernst discusses research using the Premier database on preexisting atrial fibrillation in pregnancy (about 25 per 100,000 deliveries) and associated management...

TopMedTalk introduces our new "TopMedTalk Classics" series with a classic TopMedTalk episode from 2018 that is still prescient today. This lecture, given by Sir Bruce Keogh marked the NHS's 70th birthday, a time framed by political volatility, financial constraint, rising demand, and shifting public expectations.

Keogh argues healthcare systems must adapt, highlighting the UK's strengths in medical science, innovation, life sciences, and the scale and complexity of the NHS. He describes quality improvement efforts since 2008, including defining quality as effectiveness, safety, and patient experience, developing outcomes measures, and using aligned clinical and managerial leadership to drive change.

The Association of Anaesthetists meeting in London was the perfect spot for us to launch our new series on Artificial Intelligence.

Here, Andy Cumpstey and James Bowness discuss the new monthly series and the UK-Ireland "demand signaling" project on AI in anaesthesia, perioperative medicine and acute pain, supported by The Association.

They are joined by their guest Nicky De Beer, The Association's chief executive.

She explains that their members want problems defined in advance before technology solutions are imposed from above. She highlights key clinical themes—enhanced monitoring and decision support, personalized anaesthesia, an...

Settle yourself in for another fascinating glimpse behind the curtain as TopMedTalk's perioperative profiles focus upon the incredible journey of Vanessa Beavis.

Recorded at ANZCA's recent annual scientific meeting in Auckland, TopMedTalk host Andy Cumpsty interviews anesthetist and former ANZCA President Vanessa Beavis about her path from growing up in South Africa to moving to Auckland in 1993.

We discuss her early work in obstetrics, solo general practice, and training in anesthesia before emigrating. She describes becoming involved in departmental leadership, navigating hospital governance to implement safety changes, and progressing through examiner roles, national committees, council...

From the World Congress of Anesthesiologists in Marrakech, TopMedTalk hosts Mike Grocott and Kate Leslie discuss perioperative cardiac risk assessment with Hilary Grocott, Professor and Head of, The Department of Anesthesiology, Pharmacology & Therapeutics (University of British Columbia) and Michelle Chew Professor of Anesthesiology and Intensive Care Medicine at Karolinska Institutet, Stockholm, Sweden, and editor for the British Journal of Anaesthesia.

The conversation reviews perioperative cardiac biomarkers, noting abundant prognostic data but limited evidence for biomarker-led management. The discussion emphasizes that elevated troponins can reflect non-cardiac complications (AKI, PE, sepsis) as well as myocardial injury or heart failure...

At the Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, TopMedTalk hosts Desiree Chappell and Mike Grocott interview SOAP board member Dr. Dan Katz, an obstetric anesthesiologist at Mount Sinai, outgoing annual meeting chair and incoming vice president.

Katz reports record attendance—over 900 preregistrations and nearly 1,100 total—plus standing-room sessions and review of 600+ abstracts. He highlights opening with research presentations (magnesium and postpartum hemorrhage, gestational thrombocytopenia and hemorrhage, and potential immunotherapies tied to uterine atony), a translational theme on how guidelines evolve, public health/advocacy, and a maternal mortality panel.

Programming includes split rese...

At the 58th Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, TopMedTalk guest host Desiree Chappell and co-editor-in-chief Mike Grocott interview Dr. Grace Lim, SOAP vice president/president-elect and new University of Utah department chair.

They discuss her priorities for her upcoming presidency, healthcare's shifting challenges, highlighting the Frederick W. Hehre Lecture_,_ from Valerie A. Arkoosh about a systems-focused career from obstetric anesthesiology to leading public health roles in Pennsylvania.

Lim emphasizes anesthesiologists as systems thinkers linking perioperative and perinatal care with population health and social determinants, and describes SOAP goals to improve...

Our coverage of The World Congress of Anesthesiologists (WCA) in Marrakesh continues.

Andy Cumpstey and Kate Leslie discuss high-risk surgical patients with anesthesiologists Debra Leung (The Peter MacCallum Cancer Centre, Melbourne) and Duminda Wijeysundera (St. Michael's Hospital, Toronto). They explore how "high risk" extends beyond mortality (noting ~2% elective major surgery mortality in middle/high-income countries) to complications, medical morbidity, cognitive and functional decline, return to independence, and psychosocial factors such as social support. They describe a structured shared decision-making clinic: triage and preparation before visits, explaining surgery as an explicit choice, eliciting patient values and goals, and...

At the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists (ANZCA) and Faculty of Pain Medicine (FPM) held in Auckland, New Zealand, Kate Leslie and Andy Cumpstey interview incoming ANZCA president Tanya Selak and incoming FPM Dean Michael Veltman about their goals in the next two years and the challenges ahead, and their appreciation of the hard work and commitment of fellows and trainees at the coalface.

Dr Tanya Selak is a consultant anaesthetist in Woolongong, Australia. Professor Michael Veltman is consultant pain medicine physician in Perth, Australia.

--

...

At the Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, Desiree Chappell and Mike Grocott interview Meghan MacCleary, Obstetrician-Gynaecologist with Banner Health in Phoenix, about multidisciplinary collaboration to improve maternal outcomes.

Dr MacCleary describes her high-risk tertiary practice (about 4,000 deliveries/year; 25–26% C-sections) and decision-making for C-section based on safest delivery for mother or baby, amid rising maternal comorbidities, obesity, and older maternal age.

She highlights concerns during C-section including patient comfort, hypotension, nausea/vomiting, bleeding, and postpartum haemorrhage, noting U.S. maternal mortality concerns. The conversation advocates for continuous noninvasive blood pressure monitoring (fi...

New Presenter Amy Gomes and Andy Cumpstey interview this year's WFSA scholars. We speak with Drs Gabriela Queiroz Do Amaral, Emyedu Andrew, Jedniphat Intrapongpan, and Loreen Sharma.

The WFSA Scholarship Programme offers valuable opportunities for early-career anaesthesiologists from low- and middle-income countries to attend international and regional meetings. Find out more now about this exciting opportunity here: https://wfsahq.org/our-work/education-training/wfsa-scholarships/

--

Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July...

Perioperative Profiles, a popular monthly series on TopMedTalk in which we speak with the giants of perioperative medicine. This month Kate Leslie speaks with Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS).

She discusses her roles in Southampton in perioperative medicine and adult intensive care, and as director of the UK Centre for Perioperative Care (CPOC).

Denny recounts growing up in Rye, East Sussex, studying medicine at Cambridge, and how a transformative ICU post (just...

At the 19th World Congress of the Societies of Anaesthesiologists (WCSA 2026) in Marrakesh, TopMedTalk welcomes Desiree Chappell back alongside Kate Leslie to interview Professor Palesa Motshabi-Chakane, Associate Professor and Head of Anaesthesiology at the University of the Witwatersrand and her colleague, Dr Mullai Slave a PhD candidate at University of the Witwatersrand.

They discuss a study of 629 women undergoing cesarean section with spinal anesthesia at Chris Hani Baragwanath Hospital, where 23–33% are HIV positive.

Using standard monitoring plus Edwards/BD noninvasive continuous hemodynamic monitoring, they compared HIV-positive and HIV-negative patients and found higher hypotension incidence in HI...

Live from the 19th World Congress of Anaesthesiologists (WCA 2026) in Marrakesh with over 4,000 delegates from 150 countries, TopMedTalk's Kate Leslie and Mike Grocott interview Professor Adrian Gelb, past World Federation of the Societies of Anaesthesiologists (WFSA) president, about his career from South Africa to Canada and UCSF and his focus on lower-resource settings, patient safety, and WHO engagement.

Gelb argues patient safety improvements require system and workflow changes, not just guidelines. The comparison is drawn to road safety reforms and urging anesthesiologists to use their leverage in hospitals and governance. He reflects on the impact of Harvard monitoring...

Our coverage of the World Federation of Societies of Anaesthesiologists annual conference begins with an exclusive conversation with this year's recipients of the WFSA Blood Health Innovation Award, Vijay Anand Ismavel and Ann Miriam Devarathnam.

Andy Cumpstey finds out about their collaborative project with Kerala Digital University to develop an intraoperative auto-transfusion device, designed to recycle a patient's own blood during surgery in resource-constrained environments.

For more information about this device, see:
https://jogs.one/icigs_1003_70/

--

Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be...

This piece sees the launch of a new series on TopMedTalk: we're delving further into the world of Artificial Intelligence in healthcare and we're going to do so at least once a month.

Coming from the Association of Anaesthetists in London, Andy Cumpstey welcomes back former TopMedTalk Co-editor in Chief, Desiree Chappell, alongside editor-in-chief Professor Mike Grocott and Associate Professor James Bowness, Consultant in Anaesthesia at University College Hospitals London NHS Foundation Trust and Honorary Associate Professor of Anaesthesia at University College London and clinical scientist with G.E. Healthcare.

As well as announcing the...

Part two of our retrospective on TopMedTalk's coverage of last year's fascinating ANESTHESIOLOGY® 2025 in San Antonio, Texas, USA.

This is part two of a two part piece.

Part 1 is here: https://topmedtalk.libsyn.com/anesthesiology-2025-digest-part-1

This podcast contains clips and discussion from the following podcasts in our free archive:

Exciting news from Desiree Chappell

https://topmedtalk.libsyn.com/exciting-news-from-desiree-chappell

Innovations in Anesthesia: GE Healthcare's Advanced Solutions at ANESTHESIOLOGY® 2025

https://topmedtalk.libsyn.com/innovations-in-anesthesia-ge-healthcares-advanced-solutions-at-anesthesiology-2025

E

A look back on the TopMedTalk coverage of last year's incredible ANESTHESIOLOGY® 2025 in San Antonio, Texas, USA.

This is part one of a two part piece.

Featuring clips and discussion from the following podcasts:

Pediatric Airway Management Advances: Insights from Annery Garcia-Marcinkiewicz https://topmedtalk.libsyn.com/pediatric-airway-management-advances-insights-from-annery-garcia-marcinkiewicz

The Center for Anesthesia Workforce Studies at ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/the-center-for-anesthesia-workforce-studies-at-the-asa-2025

Understanding Anesthesia Information Management Systems with Dr. David Kennedy https://topmedtalk.libsyn.com/understanding-anesthesia-information-management-systems-with-dr-david-kennedy

Transforming Pain Medicine: An Insight into the Pain Medicine Coalition

TopMedTalk is proud to present Perioperative Profiles. This month we speak with Rupert Pearse, OBE, professor of intensive care medicine at Queen Mary University of London and a consultant at Royal London Hospital, known for his research on improving outcomes in high-risk surgical patients.

In this fascinating piece we speak about his career in perioperative and critical care medicine. Raised in rural Bedfordshire as a farmer's son, he switched late from plans to study agriculture to medicine, took a year out working as an auxiliary nurse and carer, and entered St George's, London, where an intercalated BSc...

TopMedTalk are proud to present The Siobhan Mythen Plenary Lecture, taken from our coverage of Evidence Based Perioperative Medicine (EBPOM) Ireland 2025.

Professor Ellen O'Sullivan trained in anaesthesiology and intensive care in UK and USA and is now a Consultant Anaesthesiologist at St James's Hospital Dublin, Ireland, affiliated to Trinity College Dublin. She specializes in airway management and is Director of the Fellowship in Advanced Airway Management and Simulation. She is Past President of the Difficult Airway Society, DAS, and was appointed DAS Professor of Anaesthesia & Airway Management.

She outlines the "The difficult anatomical airway" and...

At the Royal College of Anaesthetists' Centre for Perioperative Care (CPOC) Perioperative Leads Day in London, host Andy Cumpstey speaks with James White, a perioperative medicine clinician (and qualified general practitioner) working within the NHS in Cheshire and Merseyside, serving as Clinical Lead for Perioperative Medicine and contributing to national improvement work with the Centre for Perioperative Care, Simon Rang, consultant anaesthetist at East Kent Hospitals University NHS Trust who also contributes to national healthcare improvement work including with the Centre for Perioperative Care, and Denny Levett, Director of the Centre for Perioperative Care, and a Professor of Perioperative...