Recorded before a live audience this piece continues the question and answer session from parts one and two.

Epidurals versus plane blocks, what do you choose and why? Is there a potential for decrease in fasting times for clear fluids to further enhance recovery? Where can Enhanced Recovery (ER) protocol templates be found on line? How do we know which parts of Enhanced Recovery work and which parts are less important? Is local anesthesia the secret to avoiding post-operative delerium?

Desiree Chappell continues her conversation with her guest Vincent W. S. Chan, Professor Anesthesia at The University of Toronto with contributions from Monty Mythen, TopMedTalk Editor in Chief and Smiths Medical Professor of Anaesthesia and Critical Care at University College London.

Go to www.topmedtalk.com and download our full back catalogue now.

What is the balance of risks and benefits related to regional anaesthesia? Does the short term use of opioids really contribute to the opioid crisis? What are the benefits of "opioid sparing" when held against "opioid free"? When it comes to regional anaesthesia, what kind of benefits should we expect beyond pain control and opioid sparing? Desiree Chappell interviews her guest Vincent W. S. Chan, Professor Anesthesia at The University of Toronto with contributions from Monty Mythen, TopMedTalk Editor in Chief and Smiths Medical Professor of Anaesthesia and Critical Care at University College London. Go to www.topmedtalk.com and download our full back catalogue now.

What is the balance of risks and benefits related to regional anaesthesia? Does the short term use of opioids really contribute to the opioid crisis? What are the benefits of "opioid sparing" when held against "opioid free"? When it comes to regional anaesthesia, what kind of benefits should we expect beyond pain control and opioid sparing?   Desiree Chappell interviews her guest Vincent W. S. Chan, Professor Anesthesia at The University of Toronto with contributions from Monty Mythen, TopMedTalk Editor in Chief and Smiths Medical Professor of Anaesthesia and Critical Care at University College London.   Go to www.topmedtalk.com and download our full back catalogue now.

Recorded before a live audience this Q&A session was recorded at the annual meeting of the American Society of Anesthesiologists (ASA) at a specially hosted dinner where both those in attendance and the online audience could submit questions. This discussion is about Enhanced Recovery (ER) and lowering tolerance of poor outcomes after surgery. How do we know practitioners are actually using the principles of Enhanced Recovery After Surgery (ERAS)? Put simply, they should be Drinking, Eating, Mobilising and Sleeping (DREAMS). What are the key elements of an ERAS program? This piece features Desiree Chappell in conversation with Monty Mythen. Go to www.topmedtalk.com and download our full back catalogue now.

Recorded before a live audience this Q&A session was recorded at the annual meeting of the American Society of Anesthesiologists (ASA) at a specially hosted dinner where both those in attendance and the online audience could submit questions.   This discussion is about Enhanced Recovery (ER) and lowering tolerance of poor outcomes after surgery. How do we know practitioners are actually using the principles of Enhanced Recovery After Surgery (ERAS)? Put simply, they should be Drinking, Eating, Mobilising and Sleeping (DREAMS). What are the key elements of an ERAS program?   This piece features Desiree Chappell in conversation with Monty Mythen.   Go to www.topmedtalk.com and download our full back catalogue now.

Where is perioperative medicine as a specialty in the US? How do frail patients benefit from the perioperative process? Age and physical fitness are important factors when deciding if you're going to put a patient through major surgery, how do these factors allow us to differentiate between those who are likely to have a poor outcome? How common is cardiopulmonary exercise testing (CPET) in the US?

Presented by Desiree Chappell and Monty Mythen with their guest Bobbie Jean Sweitzer, Director of Perioperative Medicine at Northwestern.

Where is perioperative medicine as a specialty in the US? How do frail patients benefit from the perioperative process? Age and physical fitness are important factors when deciding if you're going to put a patient through major surgery, how do these factors allow us to differentiate between those who are likely to have a poor outcome? How common is cardiopulmonary exercise testing (CPET) in the US?

Presented by Desiree Chappell and Monty Mythen with their guest Bobbie Jean Sweitzer, Director of Perioperative Medicine at Northwestern.

Obstetrics might seem the natural place for Enhanced Recovery After Surgery (ERAS). Which components of Enhanced Recovery apply the most to a procedure such as a Caesarian section (C-section)? Differences between obstetrics in the UK and the US are discussed. The addictive qualities of oxycodone are discussed in detail. This leads to a discussion about what tablets patients should be leaving the hospital with. Presented by Monty Mythen and Desiree Chappell with their guest Brendan Carvalho, Professor of Anesthesiology, Perioperative and Pain Medicine at Stanford University Medical Center.

Obstetrics might seem the natural place for Enhanced Recovery After Surgery (ERAS). Which components of Enhanced Recovery apply the most to a procedure such as a Caesarian section (C-section)?   Differences between obstetrics in the UK and the US are discussed. The addictive qualities of oxycodone are discussed in detail. This leads to a discussion about what tablets patients should be leaving the hospital with.   Presented by Monty Mythen and Desiree Chappell with their guest Brendan Carvalho, Professor of Anesthesiology, Perioperative and Pain Medicine at Stanford University Medical Center.

This piece is a deep dive into regional anaesthesia for Enhancing Recovery. Hear how paravertebral nerve blocks can be used in breast cancer surgery, how does this effect long term outcomes for patients? There is then further discussion regarding regional anaesthesia for Ambulatory Surgery.

There is also a long form discussion of electromyographic (EMG) objective monitoring on a neuromuscular blockade. How can this help reduce and discover potential poor outcomes?

Further questions from the online audience are addressed such as "can you send knee surgery patients home on the day of surgery, how do you manage pain?"

Presented by Desiree Chappell and Monty Mythen with their guest Professor Stuart Grant, MB ChB, FRCA Director, Medical Student Education, Duke University School of medicine.