This piece is a discussion, originally held last year on www.topmedtalk.com, about outcomes after colorectal surgery. Drinking, Eating, Mobilising and Sleep (DREAMS) within hours of major surgery are key process and outcome measures. The conversation is in relation to the concensus paper which was published by the Perioperative Quality Initiative www.poqi.org and is available for you to read here:

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

Presented by Monty Mythen and Joff Lacey with contributions from Dr Julie Thacker, Colorectal Surgeon form Duke and President of the American Society of Enhanced Recovery, Dr Tim Miller, Anesthesiologist from Duke and Professor Mike Grocott, Anaesthesia and Critical Care Medicine, University of Southampton.