Professor Ramani Moonesinghe discusses the preoperative assessment of high-risk patients scheduled for major noncardiac surgery preoperatively.

An insider's view of how the major medical journals function, what types of articles they're looking for, and why an anaesthesia study could be of interest to a broader medical audience.

With the start of the first national perioperative audit - The Australian and New Zealand National Emergency Laparotomy Audit (ANZELA), Dr Jonathan Nicholson discusses the project with Dr Tom Poulton, an anaesthesiologist and research fellow with the National Institute of Academic Anaesthesia (NIAA) and Health Services Research Centre (HSRC) in the UK who was involved in the UK NELA project. He discusses the experience learnt from this quality assurance project and the results of the nationwide quality improvement research project (EPOCH) that was published in the Lancet earlier this year that trialed the introduction of a pathway for patients requiring an Emergency Laparotomy.

Heart failure with preserved ejection fraction (HFpEF) is an increasingly recognised but commonly misunderstood condition. Cardiologist Dr Angeline Leet and POM5102 coordinator Dr Marissa Ferguson discuss the diagnosis, optimisation and perioperative management of patients with HFpEF.

How can human factors engineering improve the perioperative experience of our patients? Resident expert Dr Stuart Marshall discusses the role of human factors in designing better perioperative care pathways and processes.

Health economics is the branch of economics concerned with the costs, effectiveness and consumption of healthcare. Professor Danny Liew discusses why clinicians should give greater consideration to health economics, and the importance of using Real World Evidence in analysing the cost and value of perioperative interventions.

Professor David Scott discusses perioperative cognitive outcomes and why new nomenclature was needed.

Dr Brian Chen discusses common Postoperative Pulmonary Complications and their impact on patients and the health care system. He explores risk predictors and key perioperative prevention measures. An important topic for all perioperative clinicians.

Dr Jonathan Nicholson asks Dr Justin Burke how to safely navigate patients taking SGLT2 inhibitors through the perioperative period. Clinical dilemmas are discussed and practical guidance provided with discussion involving recent publications on detection, prevention and management of euglycaemic ketoacidosis.

The use of slow release opioids in the perioperative period has been associated with respiratory depression, increased chronic post-surgical pain and other serious adverse events. Pain specialist Dr Kerry McLaughlin discusses ways to minimise these risks including the role of \'safer opioids\' and perioperative opioid sparing techniques.