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Anaesthesia, goal-directed therapy and enhanced recovery in laparoscopic colorectal surgery
A one-day masterclass demonstrating anaesthetic set up in laparoscopic colorectal surgery.
Lectures will include:
Enhanced recovery in laparoscopic colorectal surgery
Goal directed therapy - LIDCO rapid and oesophageal doppler
Minimally Invasive surgery, maximally invasive cardiopulmonary stress
Intraoperative management
PROVISIONAL PROGRAMME
Main MATTU
08:30 Introduction Dr Mike Scott
08:40 Enhanced recovery – the Guildford experience
• Overview to illustrate where we have got to
09:15 Setting up the patient – live link
• Live link particularly aimed at setting up for Laparoscopic colorectal surgery
Theatre MATTU
10:00 Enhanced Recovery
• Overview of enhanced recovery
• What parts are / may be applicable to Laparoscopic colorectal surgery
11:15 Anaesthesia and peri-operative problems for laparoscopic surgery
• Anaesthetic set up
• Method of anaesthesia
• Analgesic regime
• Fluid therapy
• Overview of our RCT
• Cardiopulmonary risk
12:30 Lunch – Main MATTU
Theatre MATTU
13:30 Fluid optimisation for colorectal surgery
• Overview of classification / Review of studies
• Oesophageal Doppler
• LIDCO Plus / Rapid
• Post –op monitoring / fluid shifts
• Which fluid and when – colloid v crystalloid
14:30 Which analgesic regime for laparoscopic colorectal surgery?
• Overview of epidurals in open colorectal surgery
• Review of literature
• Our experience – review of 440 patients
• Enrol study
• Spinals – how, why, which opiate, dosing
• The optimum analgesic regime
15:30 Summary and Questions
16:30 Course end
