Major areas to improve perioperative care and outcomes

Flavia Kessler Borges, Sandra Ofori, Michael McGillion, Madeleine Verhovsek, Vikas Tandon

Dr Flavia Kessler Borges, Dr Sandra Ofori, and Dr Michael McGillion from McMaster University focus on the 3 areas to improve perioperative care and outcomes through learning from the HIP ATTACK-2, PREVENT, and PVC-RAM 2 and 3 trials. The speakers emphasize the prognostic relevance of myocardial injury in patients presenting with a hip fracture and the potential of accelerated surgery to improve outcomes; the role of perioperative smoking cessation and potential for interventions to address this problem; and the importance of surgical transitions from hospital to home and ways to address the problems of emergency room visits, rehospitalizations, drug errors, pain, and suboptimal medical management for long-term health outcomes. The webinar chaired by Dr Madeleine Verhovsek and Dr Vikas Tandon was recorded at the Chair's Medical Grand Rounds on January 20, 2022.

See also
  • Recognizing and tackling malnutrition Dr Leah Gramlich from the University of Alberta discusses evidence-based approaches to address malnutrition in hospital, at transitions of care, and in the community during the Hamilton Health Sciences Medical Rounds chaired by Dr Khalid Azzam and Dr David Armstrong.
  • The concerning trajectory of opioid use disorder Dr Brittany B. Dennis, Dr Catherine Anne Lovatt, and Dr Elahn Pogue from McMaster University review current evidence for opioid substitution therapies and discuss risk mitigation and treatment selection for opioid use disorder (OUD).
  • Optimizing heart failure therapy in an ICD clinic Dr Aiman Alak from McMaster University joins Dr Khalid Azzam to review the role of optimal medical therapy in patients with heart failure with reduced ejection fraction (HFrEF).
  • Expanding roles of SGLT-2 inhibitors Dr Shervin Zandi from McMaster University presents a comprehensive review of the expanding use of SGLT-2 inhibitors in the treatment of diabetes, heart failure, and chronic kidney disease.
  • Palliative care in advanced heart failure Dr Wendy Ye, Dr Tom Mazzetti, and Dr Yasmin Jajarmi from McMaster University joined Dr Khalid Azzam to talk about palliative care in patients with advanced heart failure.
  • Fractured hip and elevated troponins: When to operate? Dr Flavia Borges from McMaster University discusses the approach to patients with hip fracture and preoperative troponin elevation based on the data from the HIP ATTACK trials.

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