Conference Program

Update in Perioperative Medicine

Jeanna Blitz, MD, FASA, DFPM Noridian Healthcare Solutions

Avital O'Glasser, MD, FACP, SFHM, DFPM Oregon Health and Science University

Perioperative Cardiovascular Care: Applying the Latest Evidence

Annemarie Thompson, MD Duke University

Q&A

Management of the Surgical Patient with Neurodegenerative Diseases

Deborah C Richman, MBChB, FFA(SA) Stony Brook Medicine

Evaluation & Treatment of Bleeding Disorders in Surgical Patients

David Hepner, MD, MPH, FASA Brigham and Women's Hospital

Barbara Slawski, MD, MS, SFHM Medical College of Wisconsin

Q&A

Management of Common Postoperative Complications

Alana Sigmund, MD Hospital for Special Surgery, Weill Cornell Medical College

Q&A

Proper Use of Legal Entities for Lawsuit Protection and Tax Reduction

John Kekel Legally Mine

Emerging Topics in Perioperative Diabetes Management

Adriana Oprea, MD Yale University

Perioperative Management of Novel Cardiac Devices

Annemarie Thompson, MD Duke University

Q&A

Preoperative Goals of Care & Code Status Discussions

Angela Bader, MD, MPH Brigham and Women's Hospital

Laura Ostapenko, MD, MPP, DFPM West Virginia University

Q&A

Go/No-Go: Adventures in Perioperative Medicine

Sunil Sahai, MD University of Texas Medical Branch at Galveston

Incidence and predictors of chronic postoperative pain in same-day surgery: A prospective cohort study

Melodie Fanay Boko^{1, 2}, Ashish K Khanna^{3, 4, 5}, Frederick D'Aragon⁶, Jessica Spence⁷, David Conen^{8, 9}, Ameen Patel⁸, Sabry Ayad¹⁰, Duminda N Wijeysundera¹¹, Manon Choiniere^{2, 12}, Daniel I Sessler¹³, Francois Martin Carrier^{2, 12}, John Harlock¹⁴, Joseph S. H. A. Koopman¹⁵, Alparslan Turan¹³, Gabrielle Page^{2, 12}, Emmanuelle Duceppe^{1, 2, 9 1}Department of Medicine, University of Montreal, Montreal, QC, Canada. ²Centre de Recherche du Centre Hospitalier de lrUniversite de Montreal, Montreal, QC, Canada. ³Department of Anesthesiology, Wake Forest university School of Medicine, Winston-Salem, NC, USA. ⁴Outcomes Research Consortium, Cleveland, OH, USA. ⁵Perioperative Outcomes and Informatics Collaborative, Winston-Salem, NC, USA. ⁶Department of Anesthesiology, University of Sherbrooke, Sherbrooke, QC, Canada. ⁷Department of Anesthesia and Critical Care, McMaster University, Hamilton, ON, Canada. ⁸Department of Medecine, McMaster University, Hamilton, ON, Canada. ⁹Population Health Research Institute, Hamilton, ON, Canada. ¹⁰Outcomes research, Anesthesiology institute, Cleveland Clinic - Fairview Hospital, Cleveland, OH, USA. ¹¹Department of Anesthesia, Unity Health Toronto n St. Michaelrs Hospital and University of Toronto, Toronto, ON, Canada. ¹²Department of Anesthesiology and Pain Medicine, University of Montreal, Montreal, QC, Canada. ¹³Department of Outcomes Research, Cleveland Clinic n Main Campus, Cleveland, OH, USA. ¹⁴Department of Surgery, McMaster University, Hamilton, ON, Canada. ¹⁵Department of Anesthesiology, Maasstad Hospital, Rotterdam, Netherlands

Postoperative delirium and hospital-acquired complications in patients undergoing comprehensive geriatric assessment prior to orthopaedic surgery

Siobhan Hulston, Leena Nagappan, Afsana Habib Fiona Stanley Fremantle Hospital Group, Perth, Australia

RBT-1, a Pharmacologic Preconditioning Agent, Reduces the Incidence of Anemia, Blood Transfusion, and Use of Supplemental Iron in Patients Undergoing Cardiac Surgery

Ashish K Khanna^{1, 2}, Kevin W Lobdell³, Rakesh C Arora^{4, 5}, Stacey Ruiz⁶, Jeannette Rodriguez⁶, Ayrn D O'Connor⁶, Bhupinder Singh⁶, Andre Lamy^{7 1}Department of Anesthesiology, Section on Critical Care Medicine, Perioperative Outcomes and Informatics Collaborative (POIC), Wake Forest University School of Medicine, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA. ²Outcomes Research Consortium, Cleveland, OH, USA. ³Sanger Heart a Vascular Institute, Atrium Health, Charlotte, NC, USA. ⁴Harrington Heart and Vascular Institute, University Hospitals - Cleveland Medical Center Division of Cardiac Surgery, Cleveland, OH, USA. ⁵Department of Surgery, Case Western Reserve University, Cleveland, OH, USA. ⁶Renibus Therapeutics, Southlake, TX, USA. ⁷Population Health Research Institute, Hamilton, Canada

Identifying core topics in perioperative medicine: A multidisciplinary survey of affected groups for curriculum development and improvement

Matthew A Bartlett¹, Benjamin R Stultz², Karna K Sundsted³, Miguel T Teixeira⁴, Karen M Mauck^{1 1}Division of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA. ²Internal Medicine Residency Program, Mayo Clinic, Rochester, MN, USA. ³Division of Hospital Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA. ⁴Department of Anesthesia and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA

Implementing Reduced Fasting Preoperative Electronic Discharge Education in Elective Surgery

Laura Cerreta¹, Susanne Gaines^{1, 2}, Megan Brady², Kellie Hebbel^{2 1}University of Maryland School of Nursing, Baltimore, MD, USA. ²University of Maryland Medical System, Baltimore, MD, USA

Perioperative Management Protocol for Patients on Sodium-glucose cotransporter-2 inhibitors (SGLT2i)

Lucia Costanza¹, Amanda S. Xi^{2 1}Tufts University School of Medicine, Boston, MA, USA. ²Massachusetts General Hospital, Boston, MA, USA

A Unique Perioperative Medicine Core Knowledge Certificate Program designed for the Society for Perioperative Assessment and Quality Improvement

Angela Edwards MD FASA DFPM ^{1, 2}, Jeanna Blitz MD FASA DFPM⁴, Elizabeth Phillips³, SPAQI Precourse experts Perioperative Medicine Summit^{3 1}Atrium Health Wake Forest Baptist, Winston Salem, NC, USA. ² Wake Forest School of Medicine, Winston Salem, NC, USA. ³ SPLTrack, Glenview, IL, USA. ⁴Duke University School of Medicine, Durham, NC, USA

Community building and workflow enchancement through system wide platform Microsoft Teams during the pandemic in our Pre op Medicine Clinic.

Jennifer Erkenbeck¹, Ricco C. Reynolds^{2 1}Oregon Health Science University, Portland, OR, USA. ²Oregon Health Science University, Portland, OR, USA

A Pilot Trial of CGM Technology in Preoperative Assessment Clinic

Spencer W Faircloth, Catherine E Price, Timothy N Harwood, Joseph A Aloi, Susan R Vishneski Wake Forest University School of Medicine, Winston-Salem, NC, USA

Perioperative Care in the Digital Era: Leveraging Data to Drive Outcomes

Carianne Goodall, Shannon Lane, Kim Combs, Hollis Ray Novant Health, WInston-Salem, NC, USA

Preoperative Evaluation Clinics: Recommendations using a survey of U. S. care models through the Society for Perioperative Assessment and Quality Improvement

Angela Edwards MD FASA DFPM ¹, Vida Motamedi MD², Joseph McComb DO MBA ³, Hollis Ray DM DFPM⁴, Amit Saha PHD MS¹, Jeanna Blitz MD FASA DFPM^{5 1} Wake Forest University School of Medicine, Winston Salem, NC, USA. ²Vanderbilt University School of Medicine , Nasheville, TN, USA. ³Lewis Katz School of Medicine Temple University, Philadelphia, PA, USA. ⁴Novant Health New Hanover Regional Medical Center, Wilmington, NC, USA. ⁵Duke University School of Medicine, Durham, NC, USA

Using a standardized age-based order set to successfully decrease total perioperative opioid administration

Nicole Knudsen, Ellen Hauck, Gregory Hertel, Joseph McComb Lewis Katz School of Medicine of Temple University, Philadelphia, PA, USA

Ambulatory Surgery Diabetic Pathway for Low Risk Procedures

Jonas Harley, Garret Weber Westchester Medical Center, Valhalla, NY, USA

A streamlined preoperative evaluation triage process for ambulatory surgery patients

Carina Himes¹, Denise Beckham¹, Karuna Wongtangman^{1, 2}, Maira Rudolph¹, Preeti Anand¹, Matthias Eikermann^{1 1}Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. ²Siriraj Hospital, Mahidol University, Bangkok, Thailand

Agreement between provider and patient-completed frailty scores using clinical Risk Analysis Index

Mehraneh Khalighi^{1, 2}, Amy C. Thomas^{3, 4}, Erica Martinez³, Karl J. Brown³, Katherine C. Ritchey^{3, 4 1}Hospital and Specialty Medicine, VA Puget Sound Health Care System, Seattle, WA, USA. ²Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, WA, USA. ³Geriatric Research, Education and Clinical Center, VA Puget Sound Health Care System, Seattle, WA, USA. ⁴Division of Geriatrics and Gerontology, Department of Medicine, University of Washington, Seattle, WA, USA

Creating a Safety-Net Primary Care Practice within the Walls of a Perioperative Optimization Center (POC): Taking Presurgical Care to the Next Level

Tyler Lang, Marjorie Gloff, Sonia Pyne, Paul Rubery, Renee Robinson, Micheal Eaton, Stephen Judge, Heather Lander, Karin Chase University of Rochester, Rochester, NY, USA

Preoperative Process Redesign: Moving from Nurse Assessment to Nurse Triage

Laura Ostapenko, Christine Mott, Aaron Stavrakis WVUMedicine, West Virginia University, Morgantown, WV, USA

Retrofitting an Existing Perioperative Optimization Clinic with an Infusion Center: Improve Access to Care

Renee Robinson, Tyler Lang, Heather Lander, Marjorie Gloff University of Rochester, Rochester, NY, USA

The PPSH Express: Full Steam Ahead to Coordinated Care

Renee Robinson, Sarah Clark, Marjorie Gloff University of Rochester, Rochester, NY, USA

Creation of an Anesthesiologist Consult System for Improved Preoperative Patient Care and Coordination

Aaron Stavrakis, Laura Ostapenko WVUMedicine, West Virginia University, Morgantown, WV, USA

Patient with Alpha-Gal Syndrome is allergic to heparin having Living Donor Renal Transplant

Vincent Bargnes III, Victoria Nguyen, Sean Fiola, Deborah C Richman Department of Anesthesiology, Stony Brook Medicine, Stony Brook, NY, USA

A Multidisciplinary Approach to Patient-Centered Preoperative Care

Karin Chase, Amanda Madsen, Tyler Lang University of Rochester, Rochester, NY, USA

Harnessing the power of the collective: Utilizing a Pediatric Perioperative Surgical Home to help make the decision for incision

Sarah J Clark, Renee L Robinson, Marjorie Gloff University of Rochester, Rochester, NY, USA

The Thirteenth Lead on the Twelve Lead ECG

Luke J Curran¹, Esther Kim², Deborah C Richman^{1 1}Department of Anesthesiology, Stony Brook Medicine, Stony Brook, NY, USA. ²Renaissance School of Medicine, SUNY Stony Brook, Stony Brook, NY, USA

Perioperative Management in Acute Intermittent Porphyria

Alexis Garcia Coan, WH Andrew Ryu, Lisa Corbett, Avital O'Glasser Oregon Health and Science University, Portland, OR, USA

Perioperative Reverse Root Cause Analysis: Reflections on a Case Gone Well

Z. Elizabeth Hays, MD¹, Katie J. Schenning, MD, MPH, MCR², Ella H. Bowman, MD, PhD^{1 1}OHSU Department of Medicine, Portland, OR, USA. ²OHSU Department of Anesthesiology and Perioperative Medicine, Portland, OR, USA

There’s No Place Like the Perioperative Surgical Home

Danielle L. LaPointe, Katlyn McBride, Heather Lander University of Rochester, Rochester, NY, USA

Demonstrating how Embedded Social Work Addresses Preoperative Barriers to Care

Amanda Madsen, Tyler Lang, Karin Chase, Marjorie Gloff University of Rochester, Rochester, NY, USA

Postoperative Care of Patients with Opioid Use Disorder: Harnessing the Power of Buprenorphine Microinduction

Newton Mei, MD Farber Hospitalist Division, Department of Medicine and Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA

Perioperative Cochlear Implant Management: A Lesson in Implanted Devices in Perioperative Assessment and Management

Ricco C. Reynolds, Avital O' Glasser Oregon Health And Science University, Portland, OR, USA

Direct Postoperative Admission to Hospital at Home to Avoid Long Length of Stay

Patricia Ritze, Ayako Mayo, Alexis Garcia, Avital O'Glasser Oregon Health a Science University, Portland, OR, USA

Visceral Autonomic Re-innervation in Transplanted Hearts

Sanjay K Singh, Nunzio Gaglianello Medical College of Wisconsin, Milwaukee, WI, USA

Pembrolizumab-induced Adrenal Insufficiency Diagnosed in a Dedicated Preoperative Medicine Clinic

Jonathan Soffer, Angela Kitzerow, Avital Y. O'Glasser Oregon Health a Science University, Portland, OR, USA

Perioperative Management with End Stage Interstitial Lung Disease (ILD)

Roshan Varughese PA-C, Meng Wang, MD Stony Brook University Medical Center, Stony Brook, NY, USA

Perioperative Collaboration: A “Safety Cushion” for Advanced Cushing

Adam Visca¹, Haley Chesbro¹, Heather Lander^{2 1}University of Rochester School of Medicine and Denistry, Rochester, NY, USA. ²Department of Anesthesiology and Perioperative Medicine, University of Rochester, Rochester, NY, USA

Clinical Practice Characteristics of PAS and NPs in Preoperative Assessment Clinics in the U. S.

Gayle B Bodner¹, Shpresa Mullikin², Deborah Richman^{3 1}Wake Forest University School of Medicine, Winston Salem, NC, USA. ²Medical College of Wisconsin, Milwaukee, WI, USA. ³Stony Brook University Medical Center, Stony Brook, NY, USA

Transfusion Practice in Anemic Patients: A Cross Sectional Survey of Physicians and Providers at a US Academic Medical Center

Christina T. Bui¹, Smita K. Kalra^{2 1}School of Medicine, University of California, Irvine, Irvine, CA, USA. ²Division of Hospital Medicine, University of California Irvine Medical Center, Orange, CA, USA

A Before and After Comparison: Taking Control of Anemia Optimization

Marjorie Gloff, Renee Robinson, Tyler Lang, Heather Lander University of Rochester, Rochester, NY, USA

Preoperative frailty screening: De novo process implementation

Joan Irizarry-Alvarado Mayo Clinic, Jacksonville, FL, USA

Journal to Optimal Data Validation

Marc Koch, Stephen Songhurst, Linda Caccamo, Alicia Sicoli Somnia, Inc, Harrison, NY, USA

Association of structured preoperative cardiac risk algorithm completion with preoperative cardiac consultations, testing, and postoperative outcomes

Mandeep Kumar^{1, 2}, Kathryn Wilkinson², Li Ya-Huei³, Rohit Masih¹, Mehak Gandhi¹, Julie Culmone^{1 1}Hartford Healthcare Medical Group, Hartford, CT, USA. ²University of Connecticut, Storrs, CT, USA. ³Hartford Healthcare research program, Hartford, CT, USA

A Phase 2, Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Effect of RBT-1 on Preconditioning Response Biomarkers and Post-Operative Outcomes in Patients Undergoing Coronary Artery Bypass Graft and/or Valve Surgery on Cardiopulmonary Bypass

Andre Lamy¹, Michael Jessen², Charles Mack³, Craig Brown⁴, Glenn Chertow⁵, Mohamed Marzouk⁶, Arman Arghami⁷, Roland Assi⁸, David Savage⁹, Vincent Scavo¹⁰, Javed Butler^{11, 12}, Richard Zager¹³, Chao Wang¹⁴, Steve Snapinn¹⁵, Stacey Ruiz¹³, Bhupinder Singh^{13 1}Population Health Research Institute, Hamilton, Canada. ²University Of Texas Southwestern Medical Center, Dallas, TX, USA. ³Weill Cornell Medicine, New York, NY, USA. ⁴New Brunswick Heart Centre, St John, Canada. ⁵Stanford University School Of Medicine, Stanford, CA, USA. ⁶Quebec Heart And Lung Institute, Quebec, Canada. ⁷Mayo Clinic, Rochester, MN, USA. ⁸Yale University School Of Medicine, New Haven, CT, USA. ⁹Indiana University Health, Bloomington, IN, USA. ¹⁰Lutheran Medical Group, Fort Wayne, IN, USA. ¹¹Baylor Scott And White Research Institute, Dallas, TX, USA. ¹²University of Mississippi, Jackson, MS, USA. ¹³Renibus Therapeutics, Southlake, TX, USA. ¹⁴Pharma Data Associates, Piscataway, NJ, USA. ¹⁵Seattle-Quilcene Biostatistics LLC, Seattle, WA, USA

Analysis of the Effects of Pre-Operative Medical Evaluation Implementation for Patients Undergoing Total Hip Arthroplasty

Christopher Manko^{1. 2}, Robert Han^{1, 2}, Lee Holman², Sheela Prabhu², John Pamula^{2 1}Geisinger Commonwealth School of Medicine, Scranton, PA, USA. ²The Guthrie Clinic Robert Packer Hospital, Sayre, PA, USA

Does Prehabilitation Improve Perioperative Outcomes Compared to a Matched Cohort?

Basma Mohamed¹, Benjamin Cipion², Mayank Kotadia², Regina Knudsen¹, Ken Porche³, Dan Hoh^{3 1}University of Florida College of Medicine, Department of Anesthesiology, Gainesville, FL, USA. ²University of Florida College of Medicine, Gainesville, FL, USA. ³University of FLorida College of Medicine Department of Neurosurgery, Gainesville, FL, USA

Drugs highly impacted by pharmacogenomics are associated with vascular surgery outcomes in the Million Veterans Program

William J. O'Brien^{3, 4}, Jeffrey P. Ferraro^{5, 6}, Sony Tuteja^{7, 8}, Scott Damrauer^{7, 8}, Kamal Itani^{3, 4}, Benjamin Voight^{7, 8}, Julie Lynch^{5, 6}, Scott DuVall^{5, 6}, Timothy Strebel^{9, 10}, Michael J. Kim^{10, 11}, Mark A. Wilson¹², Thomas W. Barrett^{1, 2 1}Portland VA Health Care System, Portland, OR, USA. ²Oregon Health a Science University, Portland, OR, USA. ³VA Boston Health Care System, Boston, MA, USA. ⁴Boston University, Boston, MA, USA. ⁵Salt Lake City VA, Salt Lake City, UT, USA. ⁶University of Utah, Salt Lake City, UT, USA. ⁷Philadelphia VA, Philadelphia, PA, USA. ⁸University of Pennsylvania, Philadelphia, PA, USA. ⁹Washington, DC VA, Washington, DC, USA. ¹⁰VA National Artificial Intelligence Institute, Washington, DC, USA. ¹¹Long Beach VA, Long Beach VA, CA, USA. ¹²VA Surgical Quality Improvement Program, Washington, DC, USA

Decreasing the use of benzodiazepines and sedative hypnotics in post-operative older adults

Amaka Opute UTSW Medical Center, Dallas, TX, USA

Evaluation in Preoperative Clinic Associated with Reduced Same-Day Cancellations and Readmissions

Kurt Pfeifer, Carley Demchuk, Stephanie Rossi, Carlos Mendez, Barbara Slawski, Waitz Ngan, Kathryn Lauer, Evan Henricks Medical College of Wisconsin, Milwaukee, WI, USA

“It’s just hard to communicate”- Preoperative Inter-specialty Communication for Older Surgical Patients

Donna Ron¹, Madison M. Ballacchino², Alexandra Briggs¹, Stacie G. Deiner^{1 1}Dartmouth Health, Lebanon, NH, USA. ²Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA

Predictors of Transfusion in Rheumatoid Arthritis and Osteoarthritis Patients undergoing Total Knee Arthroplasty

Linda Russell¹, Stephen Batter¹, Huong Do¹, Ahmed Deeb¹, Trang Bui¹, Jason Blevins¹, Mark Figgie¹, Gwo-Chin Lee¹, Bella Mehta¹, J Alex B Gibbons², Susan M. Goodman^{1 1}Hospital for Special Surgery, New York, NY. ²Columbia Vagelos College of Physicians and Surgeons, New York, NY

Proactive Protocol to Identify Patients with Postoperative Myocardial Injury

Abhijai Singh, Kurt Pfeifer, Shpresa Mullikin, Abigail Thorgerson, Barbara Slawski Medical college of Wisconsin, Milwaukee, WI, USA

Protocol to Identify Patients at Risk for Perioperative Myocardial Injury

Abhijai Singh, Kathryn Lauer, Christine Boxhorn, Stephanie Rossi, Abigail Thorgerson, Kurt Pfeifer, Barbara Slawski Medical college of Wisconsin, Milwaukee, WI, USA