Recorded before a live audience this Q&A session was recorded at the annual meeting of the American Society of Anesthesiologists (ASA) at a specially hosted dinner where both those in attendance and the online audience could submit questions.   This discussion is about Enhanced Recovery (ER) and lowering tolerance of poor outcomes after surgery. How do we know practitioners are actually using the principles of Enhanced Recovery After Surgery (ERAS)? Put simply, they should be Drinking, Eating, Mobilising and Sleeping (DREAMS). What are the key elements of an ERAS program?   This piece features Desiree Chappell in conversation with Monty Mythen.   Go to www.topmedtalk.com and download our full back catalogue now.