MD, PhD, Professor in Anesthesia and Critical Care Medicine, Southampton University Hospital, United Kingdom
Mike Grocott is the Professor of Anaesthesia and Critical Care Medicine at the University of Southampton and an NIHR Senior Investigator (2018-2022). He is the UK NIHR Clinical Research Network national specialty lead for Anaesthesia, Perioperative Medicine and Pain (2015-2020) and leads critical care research within the Southampton NIHR Biomedical Research Centre (Respiratory and Critical Care theme). He is an adjunct professor of Anesthesiology at Duke University School of Medicine, USA and an honorary professor at Kings College London. Mike was founding director of the NIAA Health Services Research Centre (2011-2016) at the Royal College of Anaesthetists and now chairs the UK National Adult Critical Care Data Group. He leads the Xtreme-Everest Oxygen Research Consortium and the Fit-4-Surgery research collaboration. He is an elected council member of the Royal College of Anaesthetists (2016-2022) and is President of the Critical Care Medicine section of the Royal Society of Medicine (2017-2019). He serves on the scientific advisory board of the American Society of Enhanced Recovery and is joint editor-in-chief of Perioperative Medicine. He has authored/co-authored more than 220 scientific manuscripts and been awarded over £20 million in research funding.
Risk is the product of likelihood and harm. The aim of risk prediction is to put a numerical or categorical value on risk. A number of approaches to risk prediction are relevant in the perioperative setting and in general should combine patient and surgical factors. Clinical risk measures, plasma biomarkers and measures of exercise capacity are amongst the technologies available. Large national registries, new trials and novel bioinformatic approaches are contributing to substantial developments in risk prediction before major surgery.
Quote: “Prehabilitation and the Fit-4-Surgery approach have huge potential to improve short-term patient outcomes and impact long-term health” “The teachable moment before surgery offers an extraordinary opportunity to the long-term health of our patients through behavioural change.”