Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast cover image

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 266: Live from ASA 2023! Post-op Delirium and Patient Monitoring with Drs. Culley and Eichorn

Oct 19, 2023
Live from ASA 2023! Dr. Deb Culley talks about post-op delirium and Dr. John Eichorn discusses patient monitoring. Topics include the relationship between post-op delirium and cognitive impairment, the importance of good medical and anesthetic care, and the impact of Madazalam on older patients. Other topics include managing benzodiazepines, advocating for change in healthcare settings, and the role of anesthesiologists in prehabilitation.
54:20

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Quick takeaways

  • Collaboration and a multidisciplinary approach are essential in implementing prehabilitation and rehabilitation in anesthesia.
  • Individualized pharmacological approaches, such as using dexmedetomidine, show promise in managing delirium for high-risk patients.

Deep dives

Importance of Prehabilitation and Rehabilitation in Anesthesia

Prehabilitation and rehabilitation play a crucial role in optimizing patient outcomes before and after a procedure. The idea of extending the role of anesthesiologists beyond the operating room to include prehabilitation and rehabilitation is gaining importance. However, it requires collaboration with other healthcare professionals and a multidisciplinary approach. Taking into account the individual needs of each patient, interventions such as cognitive screening, addressing anxiety, and patient education can be implemented to improve outcomes. It is vital for physicians to communicate and agree upon standardized definitions and terminology to facilitate accurate diagnosis and management of conditions like postoperative delirium. Embracing new technologies, such as artificial intelligence, can potentially aid in predicting and capturing delirium episodes. Overall, recognizing the value of prehabilitation and rehabilitation in anesthesia and working collaboratively with other healthcare professionals can lead to improved patient care and outcomes.

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