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@Anaes_Journal
πΌπ£πππ¨π©πππ¨ππ is the official journal of @Assoc_Anaes with comprehensive coverage in peri-operative medicine, critical care and pain. IF 10.7.
ID:625689011
http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-2044 03-07-2012 16:34:36
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HAVL vs MAC VL for expected difficult airway
2540 adults assessed; 182 patients identified as difficult
Percentage of glottic opening visualised:
βοΈ89% HAVL v 54% MAC VLβοΈ
First attempt success rate:
βοΈ97% HAVL v 67% MAC VLβοΈ
UKE Hamburg
πβ¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦
Paper on multimorbidity x surgery now launched in ππ―π’π¦π΄π΅π©π¦π΄πͺπ’
Key messages
π1-in-2 patients undergoing major surgery have multimorbidity
πmultimorbidity associated with higher mortality
πCurrent perioperative models not associated with improved outcomes for patients
POLL RESULTS: SBP and commencement of CPR
Interestingly, 37.4% of Twitter voters chose an SBP of 41 - 50 to start CPR.
In the NAP7 study, >50% of anaesthetists would start CPR at an SBP of <40.
Why the difference? π€
β¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦
x.com/Anaes_Journal/β¦
What long term health conditions do patients have?
The most common conditions were primary cancer (39.6%); hypertension (37.9%); chronic kidney disease (17.4%); and diabetes (15.4%).
Sivesh K Kamarajah STARSurg EuroSurg Students Jugdeep Dhesi Kariem
πβ¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦
Mortality was higher in patients with one long-term health condition & multimorbidity
43.9% had multimorbidity (2 or more long-term health conditions)
Sivesh K Kamarajah STARSurg EuroSurg Students Jugdeep Dhesi Kariem
πβ¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦
π₯And the paper is live!π₯
πAssociation between multimorbidity and postoperative mortality in patients undergoing major surgery: a prospective study in 29 countries across Europe
Sivesh K Kamarajah STARSurg EuroSurg Students Jugdeep Dhesi Kariem
πβ¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦
Our time today has come to an end! The paper will be online today!
STARSurg EuroSurg Students Sivesh K Kamarajah Kariem Jugdeep Dhesi #MultiMorbidity
x.com/i/broadcasts/1β¦
Integrated care is a complex term, and is easier said than done.
STARSurg EuroSurg Students Sivesh K Kamarajah Kariem Jugdeep Dhesi #MultiMorbidity
x.com/i/broadcasts/1β¦
The education and training that is required now to care for patients in the peri-operative period is different to what it was.
Collaboration is the key.
STARSurg EuroSurg Students Sivesh K Kamarajah Kariem Jugdeep Dhesi #MultiMorbidity
x.com/i/broadcasts/1β¦
We cannot neglect LMIC outcomes and peri-operative care.
Lots to do for groups such as GlobalSurg!
STARSurg EuroSurg Students Sivesh K Kamarajah Kariem Jugdeep Dhesi #MultiMorbidity
x.com/i/broadcasts/1β¦
In the global health context, focus is shifting towards implementation of integrated multidisciplinary care pathways.
But these are sensitive to local challenges.
STARSurg EuroSurg Students Sivesh K Kamarajah Kariem Jugdeep Dhesi #MultiMorbidity
x.com/i/broadcasts/1β¦
Is surgery the right thing or not, for that particular individual at that stage of their life? Collaborative research allows for data to be generated to examine these approaches.
STARSurg EuroSurg Students Sivesh K Kamarajah Kariem Jugdeep Dhesi #MultiMorbidity
x.com/i/broadcasts/1β¦
Integrated care model β assess, intervene and improve. Some people need a different pathway and they need to be identified.
POPS is an excellent example of this.
STARSurg EuroSurg Students Sivesh K Kamarajah Kariem Jugdeep Dhesi #MultiMorbidity
x.com/i/broadcasts/1β¦
Holistic care vs. a surgical intervention. Mindsets are changing and the intra-operative period is no longer the sole focus.
STARSurg EuroSurg Students Sivesh K Kamarajah Kariem Jugdeep Dhesi #MultiMorbidity
x.com/i/broadcasts/1β¦
We are also live streaming right now on @Instagram, YouTube and Twitch!
STARSurg EuroSurg Students Sivesh K Kamarajah Kariem Jugdeep Dhesi #MultiMorbidity
x.com/i/broadcasts/1β¦
Lots of work to collect all these data. Medical students key to this effort. A testament also to the core leadership team.
STARSurg EuroSurg Students Sivesh K Kamarajah Kariem Jugdeep Dhesi #MultiMorbidity
x.com/i/broadcasts/1β¦
Multimorbidity has interesting associations with ASA physical status and frailty.
7 in 10 with frailty suffer with multimorbidity. But only 3 in 10 with frailty have multimorbidity.
STARSurg EuroSurg Students Sivesh K Kamarajah Kariem Jugdeep Dhesi #MultiMorbidity
x.com/i/broadcasts/1β¦