The Centre for Perioperative Medicine (CPOM) is a multidisciplinary research and education collaborative. We are committed to improvement in care, outcomes and the experience of patients contemplating, undergoing, and recovering from surgery. We hold grant funding for programmes in experimental and translational medicine, education, innovation, and implementation.
Our work
We investigate approaches to risk assessment, causes of complications after major surgery, and ways to prevent them occurring. We collaborate with the Royal College and patient partners worldwide to develop these new ideas, working closely with the Ïã¸ÛÁùºÏ²Ê Bloomsbury Institute of Intensive Care.
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Lead: Prof. Ramani Moonesinghe
This group uses measurement to improve the quality of perioperative healthcare. The work undertaken by the group focuses on the following areas:
Risk stratification. Understanding and improving methods to predict adverse outcomes (complications and mortality) after major non-cardiac surgery.
Innovation in measurement. Development and validation of measures for assessing outcome from major surgery: encompassing complications and patient-reported outcome
Improvement Science. Using measurement to improve quality of care; dissemination of learning for quality improvement
Our advice is based upon research data and audit studies looking at risk adjustment and outcome measures. Staff are mostly NHS clinicians. Academic input comes from DAHR and a partnership with the National Institute for Academic Anaesthesia’s Health Services Research Centre (NIAA-HSRC), based at the Royal College of Anaesthetists.
Translational Research Centre
Lead: Dr Dan Martin
Our team is involved with studies that will broaden our understanding of the cellular processes that may determine perioperative outcomes. Our interests lie in redox homeostasis and influence of oxygen on biological pathways.
We are funded via the National Institute for Academic Anaesthesia, British Journal of Anaesthesia, Royal Free Charity and Ïã¸ÛÁùºÏ²ÊH-Ïã¸ÛÁùºÏ²Ê NIHR BRC.
One of our key collaborations is with the dept at the University of Cambridge.
Ïã¸ÛÁùºÏ²Ê-Ïã¸ÛÁùºÏ²ÊH Perioperative Medicine Clinical Trials Group
Lead: Dr Sam Bampoe
We design and deliver local, national, and international collaborative clinical trials in surgery, anaesthesia, and perioperative medicine. Our Ïã¸ÛÁùºÏ²Ê and Ïã¸ÛÁùºÏ²ÊH team of clinicians and researchers lead the delivery of several locally designed NIHR portfolio studies, including X-MINS, X-LAB and SPACE.
We work closely with partners to deliver world-class perioperative research, focused on improving outcomes and experiences for surgical patients.
Clinical trials in development include studies of postoperative cognitive dysfunction in the elderly and perioperative anaemia and iron therapy in multiple surgical populations.
Our facilities
The Smiths-Ïã¸ÛÁùºÏ²Ê Discovery Lab opened in 2013, marking a 20-year collaboration with multinational medical device company Smiths Medical. Here, clinical research and industry works together to develop promising medical innovations. We hold international patents on several innovative medical devices that have huge potential to benefit patient care.
While most projects focus on devices that are primarily for the critical care environment, there is substantial scope for use in other healthcare settings. Areas of particular interest include novel technology for airway management, temperature control, perioperative dehydration, and intravenous infusion.
The Centre for Perioperative Medicine
Head:
Funding / Partnerships
Our close relationship with Smiths Medical gives clinicians and Ïã¸ÛÁùºÏ²Ê researchers the opportunity to discuss projects with industry, even during the early stages of development. This fosters a unique environment to expedite the progression of products from inception to bedside.
As well as providing engineering expertise, Smiths Medical funds a medical innovation fellow to work under the supervision of the Smiths Medical Professor of Anaesthesia and Critical Care, Professor Monty Mythen. Previous fellows have all gone on to consultant jobs at Ïã¸ÛÁùºÏ²ÊH and elsewhere.
We want to promote a better understanding of international healthcare issues through our growing Global Health Programme. We aim to connect with patients, communities, and healthcare professionals across the world, to improve our understanding of healthcare needs beyond our daily lives. We hope to contribute to health improvements through an active partnership with local experts and create opportunities for research, training, and education.
We have partnered with colleagues in Sri Lanka, the Network for Improving Critical Care Systems and Training (NICST), to produce The Care Quality Improvement Network. This multidisciplinary team collects, curates, and uses real-time local data to ask important health questions in low and middle-income countries, which provides an exciting opportunity for bi-directional learning. Local data drives projects in line with Ïã¸ÛÁùºÏ²Ê Global Health strategy. Together with our overseas partners and experts in the field, it delivers a coherent programme and a unique opportunity for personal development.
Bampoe, S., Odor, P. M., Dushianthan, A., Bennett-Guerrero, E., et al. (2017). (Review). Cochrane Database of Systematic Reviews 2017, Issue 9. Art. No: CD004089.
Bampoe, S., Odor, P. M., Moonesinghe, S.R., & Dickinson, M. (2017). . Perioperative Medicine 6, 21.
Bampoe, S., Odor, P.Ìý& Walker, D. (2016). . British Journal of Hospital Medicine, 77 (6), 320-321.
Related courses
We deliver world-leading research-led education for this and the next generation of perioperative practitioners.
In 2019, our Perioperative Medicine team (Abigail Whiteman, Gautam Kumar, Sam Bampoe, Robert Stephens, David Walker and Anna Szajda) won Faculty Education and Ïã¸ÛÁùºÏ²Ê Provost Education awards.