Brit J Hosp Med
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There is an increasing trend towards dual surgeon operating in complex surgeries in various specialties. This is driven by regionalisation of services, increasing complexity of surgical procedures, the ageing population and challenges imposed by changes in surgical training. ⋯ This practice not only facilitates professional and personal development, but also provides valuable support to surgeons in the early part of their career. There is a paucity of literature to support this practice, however, and prospective studies are required to demonstrate the benefit of this approach.
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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.