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Intr In 2011, the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) published a report, “Knowing the Risk,” [1] which reviewed data regarding peri-operative management of the high risk surgical population and subsequently produced recommendations in aim to improve outcomes in this patient population. Of particular focus, recommendations included; clear documentation of operative mortality risk, to use perioperative cardiac output monitoring with CardioQ technology, as supported by NICE Medical Technology guidance 3 [2] and to provide higher-level care, with Critical Care input, post-operatively.

Peri- and post-operative management of the “high-risk” surgical patient. an audit of practice in a large district general hospital