Center for Perioperative Medicine (CPMed) Supported Sessions at ANESTHESIOLOGY annual meeting

Ten sessions within ANESTHESIOLOGY 2024 have been identified by the Center as CPMed Supported Sessions. These sessions will provide learners with an understanding of the principles of developing and implementing multidisciplinary perioperative care pathways while highlighting the value of the specialty. To review the full list of CPMed Supported Sessions, see below. You can also look for the CPMed Supported Sessions tag within the ANESTHESIOLOGY 2024 Program Planner.

Number	Title	Presenter	Presentation
CF304	Anesthetic Implications of Concurrent Diseases: What to expect when you’re NOT expecting... that disease	Rebecca M. Gerlach, MD, FRCPC, University of New Mexico, Anesthesiology and Critical Care Medicine	Case 1
		BobbieJean Sweitzer, MD, FACP, SAMBA-F, FASA, Anova Health System, VA, USA.	Case 2
		Adriana D. Oprea, MD, Anesthesiology, Yale School of Medicine, CT, USA.	Case 3
Description: This will be a panel case-based discussion of patients presenting for surgery with less common but serious comorbidities. The panelists are all authors of the chapter on “Anesthetic Implications of Concurrent Diseases” in the soon to be published 10th edition of Miller’s Anesthesia. The presenters will discuss the pre-, intra- and postoperative issues of various less commonly discussed, or unexpected, conditions that are encountered when caring for patients anticipating anesthesia and procedures. This chapter is uniquely different than the preoperative evaluation chapter in Miller in that it discusses not just the preoperative period of care, but the entire spectrum of care for patients having anesthesia for procedures and surgeries. As anesthesiologists evolve their practices outside of the operating rooms, it is important to embrace the perspective of a continuum of care throughout the entire perioperative period for the optimal care of patients receiving anesthesia.
PC307	Are preoperative clinics or programs really worth the effort? The pro-con debate continues.	Angela M. Bader, MD, Mass General Brigham	Moderator of the Pro-Con Debate
		Angela F. Edwards, MD FASA DFPM, Atrium Health Wake Forest Baptist /Wake Forest University School of Medicine, Anesthesiology	PRO: Preoperative programs are worth the effort and time. Evidence for justification is abundant!
		Jeanna D. Blitz, MD FASA DFPM, Anesthesiology, Duke University School of Medicine, NC, USA.	Con: Preoperative programs are NOT worth the effort. Justification for cost effective diversification is evident.
Description: Since their origin, preoperative clinics or programs have met with great controversy. Clinicians emphasize the benefit of these programs on improving operating room efficiency, ensuring patient medical readiness, complete documentation and compliance with regulatory agency requirements. Efficient preprocedural medical optimization and prehabilitation have been supported in the literature as well. Patient care advocates emphasize the positive impact on shared decision making and improved communication across the surgical episode of care. However, hospital administrators and service line leaders emphasize that both personnel and physical plant costs remain a strong deterrent to developing or refining existing programs. Without a balanced return on investment, these programs remain challenging to maintain and defend.During this point-counter point session, nationally recognized perioperative experts will address and debate the challenging questions surrounding validity of preoperative clinics and programs. Several questions will be addressed during this point-counter point. Two are provided as samples.
PN105	Preoperative management of the Geriatric Patient Part 2: The interventions	Neeju Ravikant, MD, MS, Anesthesiology, Henry Ford Health System, Bloomfield Hills, MI, USA.	Moderator
		Kimberly Rengel, MD, MSCI, Anesthesiology Critical Care Medicine, Vanderbilt University TN, USA..	Prehab or not to prehab...or how to prehab? is that the question?
		Maurice F. Joyce, MD, MEd, FASA, Anesthesiology, Tufts University, MA, USA.	Does exercise enhance perioperative outcomes in the older adult?
		Michelle L. Humeidan, MD, PhD, Anesthesiology, The Ohio State University, OH, USA.	Can cognitive training improve postoperative cognitive outcomes?
		Paul Wischmeyer, MD, Duke University School Of Medicine, Durham, NC, USA.	Perioperative assessment of nutrition and preoperative interventions
Description: On the second part of this paired panels, we intend to address pre-habilitation interventions to address frailty and cognitive dysfunction.
PN108	Perioperative Management of the Aging patient – A practical guide to Frailty, Cognition and Shared Decision Making	Sascha S. Beutler, MD, PhD, Brigham and Women's Hospital, MA, USA.	Perioperative Neurocognitive Disorders - What are we talking about and how to mitigate the risk
		Angela Edwards, MD, FASA, Wake Forest University School of Medicine, Winston Salem, NC, USA.	Is Case Presentation and Frailty - Do you really know when you see it?
		Anoushka M. Afonso, MD, FASA, Memorial Sloan Kettering Cancer Center	Goals of Care and Quality of Recovery - What's achievable and how to help with shared decision making
		Deborah J. Culley, MD, Penn Medicine, PA, USA.	Cognitive screening as part of your preop assessment - Made quick and easy
Description: Over the past decade, there has been a concerted effort in the medical community to minimize the impact of the anesthesia on aging patients within the perioperative setting. New evidence regarding brain health, frailty, prehabilitation, and cognitive function emerges daily. In this educational session we aim to equip anesthesiologists with a comprehensive guide for the assessment, management, and reduction of risks associated with anesthesia in aging patients experiencing changes in both physical and cognitive function. The structure of the session revolves around a case presentation, providing a practical context for the discussion. Each presenter will leverage the case presentation to elucidate the latest evidence and impart essential knowledge on frailty assessment, cognitive screening, intraoperative management, shared decision-making, and achievable goals. This session serves as a crucial platform for advancing understanding and fostering best practices in the anesthesia care of the elderly population.
PN113	When is further cardiac testing appropriate?	David L. Hepner, MD, MPH, FASA, Brigham, MA, USA.	Do I really want to get that ECG preoperatively?
		Jacob Schaff, MD, White Plains Hospital, North American Partners in Anesthesiology, NY, USA.	When do I really need to order a stress test? A closer look at the updated guidelines
		Rebecca M. Gerlach, MD, FRCPC, University of New Mexico	When do I really need to get an echocardiogram?
Description: We propose a panel on preoperative assessment and management discussing topics that would be of interest to any member that is in the process of improving their preoperative evaluation process. Such topics present on an almost daily basis to established preoperative clinics and include the medical decision making behind asking for more cardiovascular testing – the risks, benefits, and alternatives. These topics have been areas of changing clinical practice and research over the last couple of years and would prove to be quite helpful for members practicing in all type of settings. This panel will emphasize the unique role of anesthesiologists during the perioperative period and the national shift moving away from preoperative testing to the practice of preoperative medicine. This panel will also notably address the new and revised ACC/AHA guidelines that are anticipated to be released in early 2024. Attendees will be prepared to evaluate cost effective cardiac testing and recommend when an electrocardiogram, stress test, and echocardiogram is necessary prior to a surgical procedure.
PN133	New Perioperative guidelines: collaborating with the AHA in 2024	Annemarie Thompson, MD, Anesthesiology, Medicine, and Population Health Studies, Duke University, NC, USA.	Moderator and speaker on the topic of the 2024 Perioperative Algorithm
		BobbieJean Sweitzer, MD, FASA, Anesthesiology, Innova Fairfax/University of Virginia, VA, USA.	ARBs and ACE-inhibitors: Should I stay or should I go?
		Jeanna D. Blitz, MD, FASA, Neridian, NC, USA.	Biomarkers and MINS
Description: This panel will address some of the important recommendations of the 2024 AHA/ACC Perioperative Cardiovascular Management for Noncardiac Surgery.
PN216	Optimizing RBC mass before major surgery: Increasing patient safety and decreasing blood transfusions	Anil Panigrahi, MD, PhD, FASA, Stanford Univ Sch of Med Anes Dept, Stanford, CA, USA.	Moderator
		C. David Mazer, MD, FRCPC, Anesthesiology, University of Toronto, ON, Canada.	How low can you go? Physiological effects of anemia and transfusion triggers
		Jacob Raphael, MD, Anesthesiology, Thomas Jefferson University, PA, USA.	Perioperative anemia vs. RBC transfusion: Is there a lesser evil?
		Matthew A. Warner, MD, Mayo Clinic, Anesthesiology	How much Will it Cost? Perioperative anemia management and the return on investment
		Nicole R. Guinn, MD, Anesthesiology, Duke University, NC, USA.	How do I do it? The evidence supporting and the logistics for starting a preoperative anemia service before surgery.
Description: Perioperative anemia and RBC transfusion are both known as major risk factors for increased morbidity and mortality in cardiac surgery patients. This panel will address issues in perioperative optimization of RBC mass in cardiac surgery patients in an attempt to minimize the effects of anemia but at the same time minimize RBC transfusion and improve outcomes as well as decrease health care costs.
PN317	Perioperative optimization and monitoring - joining the dots!	Ashish K. Khanna, MD, MS, FCCM, FCCP, FASA, Anesthesiology Critical Care Medicine, Wake Forest School of Medicine, NC, USA.	Postoperative monitoring as a tool to improve outcomes
		David Hepner, MD, MPH, FASA, Brigham & Women's Hospital, Boston, MA, USA.	Moderator and Preoperative risk stratification - early, efficient and adding value
		Bernd Saugel, MD, UKE Hamburg, Anesthesiology	Intraoperative hemodynamics - a critical component on the perioperative journey
Description: This session will cover the journey from pre-op screening, optimization and prehabilition to Intraoperative management and post-operative monitoring, and rehabilitation. Our diverse group of experts have a published and built substantial evidence in each of these spaces.
PN333	Systems of Care Delivery and Optimization in the Preoperative Arena	Elena J. Koepke, MD, MBA, MSc, MedStar Health, Anesthesiology	Applying Perioperative Medicine to Common Practice Environments
		Cheryl H. Orr, MD, Barton Memorial Hospital, Surgery and Anesthesiology	Adapting Perioperative Pathways for Rural Settings
		Laura Ostapenko, MD, Morgantown, WV, USA.	Advancing Perioperative Medicine in the Academic Environment
Description: Perioperative quality metrics have evolved to focus upon multi-factorial outcomes and preoperative models of care must evolve in tandem. Improved patient safety and the tenets of quintuple aim are achievable goals regardless of practice setting or resource limitations. Panel speakers will share their experiences from rural to community to academic centers. Attendees are encouraged to adapt perioperative medicine pathways to best fit their resources and care settings.
RCL301	2024 Perioperative Guideline Highlights	Annemarie Thompson, MD, Duke University Health System, NC, USA.	Perioperative Medicinehemodynamics - a critical component on the perioperative journey
Description: This refresher course lecture will highlight key aspects of the 2024 ACC/AHA Perioperative Guideline (estimated publication date June/July 2024). This document proposes cardiovascular disease management recommendations based on the current data and expert opinion of a multidisciplinary panel that includes several ASA members as well as cardiologists, hospitalists, general internists, and a patient advocate. The attendee will achieve an updated perspective for the perioperative management of patients with cardiovascular conditions/disease.