A series of short articles on key topics in perioperative medicine, published in the British Journal of Hospital Medicine

POM in a Nutshell


Intraoperative hypotension and perioperative outcomes

Dr Charlotte Crossland, Department of Anaesthetics, Brighton & Sussex University Hospitals Trust, Brighton, UK

01 Dec 2020

Intraoperative hypotension is associated with adverse outcomes. Although a causal relationship is yet to be fully established, proactive management of vulnerable patients and use of bispectral index monitoring is recommended to avoid deep anaesthesia.


Preoperative education: making every contact count

Imogen Fecher-Jones, Perioperative Medicine Team, University Hospital Southampton, Southampton, UK

01 Feb 2020

Patient education is an important part of obtaining informed consent, but can also be used to educate patients about how to prepare for surgery and help them take responsibility for their own health to reduce their risk of perioperative complications.


Perioperative care of the pregnant patient for non-obstetric surgery

Dr Alisha Allana and Dr Nadeam Mujtaba, Departments of Anaesthetics, Queen Alexandra Hospital, Portsmouth, and University Hospital Southampton, Southampton, UK

01 October 2020

Surgery during pregnancy poses clinical and ethical challenges. Although the patient is the priority, fetal wellbeing needs to be considered, while physiological, anatomical and pharmacological changes within the parturient must be accounted for.


Regional anaesthesia and perioperative medicine

Dr Emma Pack, Dr Sanjoy Saha, Department of Anaesthetics, Royal Free Hospital, London UK

01 August 2020

Regional anaesthesia is effective at reducing pain and opioid consumption during the early postoperative period. This increases patient satisfaction and reduces many of the negative psychological and physiological sequelae associated with surgical stress.


Postoperative nausea and vomiting

Dr Jonathan Barnes, Department of Anaesthesia, Bristol Royal Infirmary, University Hospitals Bristol NHS Foundation Trust, Bristol, UK

01 June 2020

Nausea and vomiting after surgery is common and can be both unpleasant and lead to an array of other adverse patient effects. Identification of high-risk patients and targeted prophylaxis can reduce its incidence and associated complications.

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