Michael Swart is a Consultant in Anaesthesia and Critical Care Medicine at Torbay Hospital, Devon, United Kingdom.
He is also an advisor to the UK Department of Health for the Enhanced Recovery Programme.
Over the last thirteen years Michael Swart and John Carlisle have been using cardiopulmonary exercise testing to learn how to assess high-risk surgical patients. We now use this as part of our evaluation pre operatively to help patients with decision making and planning post operative critical care. It has led us into running a surgical patient high risk clinic and helped us develop consultation skills that are centred on patients making shared or collaborative decisions on their heath care.