This piece is an essential contribution to the debate regarding patient centered value based care. Are you able to say you are putting your orthopaedic patients' needs and priorities at the forefront of your practice?

Some of the questions from the online audience include: Is Enhanced Recovery After Surgery (ERAS) in orthopaedics a step too far? How do patients who have significant arthropathys engage with a prehab program that makes them fitter? Those that successfully complete the program, are they not the ones who probably don't need joint replacement today and rehab might actually look at elongating that reoperative window?

This piece is presented in proud association with the South of Ireland Association of Anaesthetists (SIAA).

The Centre for Perioperative Care (CPOC) is here: https://cpoc.org.uk/

"Effect of Individualized vs Standard Blood Pressure Management Strategies on Postoperative Organ Dysfunction Among High-Risk Patients Undergoing Major Surgery" is here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5710560/

"Intraoperative hypotension and the risk of postoperative adverse outcomes: a systematic review" is here: https://pubmed.ncbi.nlm.nih.gov/30236233/

"Intraoperative Hypotension Is Associated With Adverse Clinical Outcomes After Noncardiac Surgery" is here: https://pubmed.ncbi.nlm.nih.gov/33177322/

Presented by Brian O'Donnell, Consultant Anaesthesiologist, Cork University Hospital and Frank Loughnane, Consultant Anaesthesiologist, Cork University Hospital with their guests, Emer Aherne, Consultant Geriatrician specialising in Trauma & Orthopaedic Care at Cork University Hospital, Co-lead Irish Hip Fracture Database and John Whittle, Associate Professor, Perioperative Medicine UCL.