Title: Top of the POPS

Host(s): Mark Garside, James Fisher

Guest(s): Andrew Deane, Philip Braude

Opening Question: What’s the best medical TV theme song/tune?

Main Topic: Issues to consider for junior doctors involved in preoperative care of older patients

Discussion Points:

• What is POPS?
• Why/how is this different from orthogeriatrics?
• Why are older patients at risk?
• What special considerations should be made in the medical care of these patients (e.g. Pain management, IV fluids)?
• How can you get training?
• How can juniors doctors make a difference?

CotEcast Commandments:

1. Think about the medications when prescribing them
2. Remember you are not alone
3. Talk about the what’s happening on the wards

References, Links, Resources:

• Perioperative Care of the Elderly – ‘Anaesthesia’ Journal (Open Access)http://onlinelibrary.wiley.com/doi/10.1111/anae.12524/abstract
• BAPEN GIFTASUP IV Fluid Guidelineshttp://www.bapen.org.uk/professionals/education-research-and-science/bapen-principles-of-good-nutritional-practice/giftasup
• BGS Summary - Peri-operative Care for Older Patients Undergoing Surgeryhttp://www.bgs.org.uk/index.php/topresources/publicationfind/goodpractice/2402-bpg-pops
• Enhanced Recovery After Surgery Society (UK)http://www.erasuk.net
• More BGS Resourceshttp://www.bgs.org.uk/index.php/popsresources
• RCoA Perioperative Medicine Programmehttp://www.rcoa.ac.uk/perioperativemedicine
• Preoperative Medicine MSchttp://www.ucl.ac.uk/prospective-students/graduate/taught/degrees/perioperative-medicine-mscGeriatric perioperative medicine in older people syllabus (section 44): http://www.jrcptb.org.uk/sites/default/files/2010%20Geriatric%20Medicine%20%28amendment%202013%29.pdf
• Age Anaesthesia Associationhttp://www.ageanaesthesia.com/
• Surgery in the Older Person online course http://www.cardiff.ac.uk/learn/training/courses/school-of-medicine/surgery-in-the-older-person/
• Guy's and St Thomas' POPS team website (with lots of resources in the menu section)http://www.POPSteam.co.uk
• Seeing the Whole Picture: BGS bloghttps://britishgeriatricssociety.wordpress.com/2014/10/16/seeing-the-whole-picture

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