Direct from the 18th WFSA World Congress of Anaesthesiologists in Singapore Desiree Chappell and Monty Mythen catch up with Andy Shaw, Chairman, Department of Intensive Care and Resuscitation at The Cleveland Clinic, Cleveland, Ohio. This discussion touches on the topics of; cardiac anesthesia and care, temporary circulatory support in cardiac surgery, professional development and 'task shifting' in healthcare. We also focus upon The Perioperative Quality Initiative (POQI) and health economics, global access to cardiac surgery technology and global anesthesia and perioperative care. The Perioperative Quality Initiative (POQI) - a wealth of free resources - is here: https://thepoqi.org/ We last heard from Andy Shaw here: https://topmedtalk.libsyn.com/the-perioperative-quality-initiative-ebpom-2023 And our YouTube audio channel is here: https://www.youtube.com/watch?v=VH0zX19sScE