Top Tweets for #bgsaaa
@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
Anaesthetist and Geriatrician discuss management of co-morbidity... what is the patient’s priority @Atul_Gawande @AgeAnaesthesia #BGSAAA
Often undiagnosed significant problems...some of which can be optimised but all of which are important to recognise @AgeAnaesthesia #BGSAAA
Great slide from Judith Partridge demonstrating ongoing CGA throughout surgical pathway @AgeAnaesthesia #BGSAAA
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
Anaesthesia for geriatricians. Such a helpful and entertaining talk @IainMoppett bringing specialties together in our quest to make things better for our patients @AgeAnaesthesia #BGSAAA
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
Dr Tammy Ng presents great work on post-op #delirium training at @RoyalFreeNHS #BGSconf #AAAconf #BGSAAA @AgeAnaesthesia
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
Recognising risk of delirium and doing our best to prevent and manage it is an essential part of perioperative medicine #BGSAAA @AgeAnaesthesia
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
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