Perioperative period

And now it's time for the first speaker of the session, Mike Grocott, who is a professor of anesthesia and critical care medicine at the University of Southampton.

His talk is Compact, Core Outcomes in Anesthetic and Perioperative Care.

Compact STEP stands for Core Outcomes in Perioperative and Anesthetic Care, and STEP is Standardized Endpoints in Perioperative Care.

Phase 1 was a systematic review looking at the previous 15 years, including big randomized control trials.

The principal finding was that outcome data collection was not standardized.

B for the introduction.

So I'll be presenting about atrial fibrillation in the perioperative period.

So the objectives I just want to go through today.

So we're going to identify the pathogenesis and risk factor of the development of AFib.

We'll discuss consequences of AFib in the perioperative period and why we should care and And then we'll touch on management of perioperative AFib and just briefly review the anticoagulation guidelines as well.

So in terms of pathogenesis, there's a variety of factors that are thought to contribute to atrial fibrillation in the perioperative period.

There are multiple of these factors are easily controlled by us as well.

And some of those include surgical stress and pain response, hypercarbia, hypoxemia, hypovolemia, anemia of any sort, and electrolyte disturbances as well.

And it's really important to understand that.

And the other interesting thing that I found, a lot of the same issues that we see with CIED devices, Perioperative like EMI, like MRI, fluoro, all those things affect these continuous glucose devices.

Even pressure, maybe the sensor and the transmitter might be on the left shoulder and that's where the patient is lying.

Apparently, just putting a little pressure on these devices transmit lower blood glucose numbers to the AID or to the patient's phone if they're using the phone to monitor their blood glucose.

And last, September was Women in Medicine Month, so I'd like to highlight Dr. Carol J. Peden, who will deliver the Ellison C.

Pierce Lecture at our annual meeting.

Dr. Peden's lecture is Scaling Up Perioperative Pathways to Improve High-Risk Patient Outcomes.

That's all for now, as this is my last Monday Morning Minute.