Top Tweets for #AAABGS
@richlaing @lizzyelsey @SalfordRoyalNHS data is published and presented @GeriSoc @AgeAnaesthesia joint conference about challenges of acute surg in older patients. Really fortunate to have such enthusiastic engaged colleagues. #aaabgs
@AgeAnaesthesia @GeriSoc #AAABGS #BGSAAA
Feeling very proud of this lot ❤️
Really great QI work making patient care safer + improving experience
@fizz_liz @Lettydormandy @carloprina @NHSHomerton @HUHOrthopaedics @QIHomerton @srt_homerton
#collabrative #mdt #InItTogether
Great work by surgical liaison team with 4 posters accepted! #AAABGS #BGSAAA @AgeAnaesthesia @NHSHomerton @HUHOrthopaedics @QIHomerton
Missing @carloprina @ommahiggins @jimmydixon92 who have been integral in our work #delirium #RememberThe🐙 https://t.co/9UTthlHd0B
Hanging out with the homerton crew at the brilliant #AAAPOPS conference @Allonsy_SM @fizz_liz @NHSHomerton
Delighted to present today @GeriSoc @AgeAnaesthesia joint conference about challenges of acute surg in older patients. Thanks for having me!
Next time add in @ASGBI for joint meeting??
#emgensurg #AAABGS @YoungGeris @susanmoug @IainId @avilmor
An advanced care practitioner in the POPS service in Salford has been estimated to save £130,000 per year for the hospital.
They pay for themselves and then some!
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
Some major differences in support available for older surgical patients in elective vs acute settings - harder to make decision whether to operate or not.
More work to be done!
@lyndsay_pearce1
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
Surgical training curriculum lacks reference to older adults and surgery in complex Geriatric patients.
Geriatric medicine curriculum on the other hand, includes section on mngt of surgical patients.
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
Shared decision making: Doctors and patients should both feel the decision is shared, not just the doctor.
Ask patients what is important for them!
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
Is post-op cognitive dysfunction a distinct condition from post-op delirium?
No consensus exists on definition for POCD.
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
Next up: post-op cognitive issues.
The insult of surgery and other factors can lead to an environment of neurotoxicity.
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
If recent major surgery (within 10 days), high risk of bleeding with thrombolysis.
Consider thrombectomy in these patients!
Some v promising results with thrombectomy in those ineligible for alteplase!
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
Key considerations for avoiding peri-operative stroke.
Most AF post op resolves spontaneously. American guidelines suggest anti coag for 30 days post recovery of sinus rhythm.
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
The time to carotid endarterectomy post non-disabling stroke/TIA is key to its benefits. Ideally within 1 week!
After 3 months the benefit is completely lost.
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
How to balance thrombotic and bleeding risk in surgical patients? - difficult
Typically stop clopidigrel 7 days before non cardiac surgery.
Anticoagulation varies depends on bleeding risk of op.
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
If you have a stroke in a surgical context, mortality is significantly higher:
>25% !!!!
Lots of work to be done here.
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
Next up: management of peri-operative stroke. Incidence of peri-operative stroke has not declined.
Only ~10% caused by hypoperfusion.
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
E-learning module being developed with the BGS, coming later this year.
We need to upskill the workforce to effectively manage peri-operative medicine.
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
The very important role of nurses in the POPS model, this will be key for expanding this effective model nationally.
@GeriSoc @AgeAnaesthesia #academicgeris #pops #bgsconf #BGSAAA #AAABGS
#AAABGS And the poster is up! #Frailty #Elderly @djramsaystubbs @fayjojo @AriErcole @Menon_Cambridge @CamAnaesthesia @CamGeris
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