21st Annual Perioperative Medicine Summit

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Conference Program

Conference Program

Welcome! Please find the current preliminary program for the 2026 Summit listed below. Note that any aspect of this program is subject to change and the below program should not be considered final including presentation timings and poster numbers.

Wed - Feb 25

Thu - Feb 26

Fri - Feb 27

Sat - Feb 28

View Summary Only

THURSDAY, FEBRUARY 26, 2026

7:00 - 7:30 AM

MEAL

MORNING COFFEE/CONTINENTAL BREAKFAST
Zilker Ballroom Foyer

7:30 - 9:45 AM

LECTURE

SESSION 1
Chair/Organizer: Dana Oprea, MD
Zilker Ballroom 3&4

7:30

Opening Remarks
Dana Oprea, MD Yale School of Medicine

7:40

Updates in Perioperative Medicine
Joan Irizarry Alvarado, MD, FACP, DFPM Mayo Clinic

Heather Lander, MD, DFPM University of Rochester Medical Center

Laura Ostapenko, MD, MPP, DFPM Spectrum Healthcare, Maine Health, Tufts University School of Medicine

8:25

Perioperative Management of Patients with Coronary Stents
Nathaniel Smilowitz, MD, MS NYU Langone

8:55

Q&A

9:05

Perioperative Stroke
Curtis Benesch, MD, MPH University of Rochester School of Medicine

9:35

Q&A

9:45 - 10:05 AM

BREAK

COFFEE BREAK
Zilker Ballroom Foyer

10:05 - 11:45 AM

LECTURE

SESSION 2
Chair/Organizer: Avital O'Glasser, MD, FACP, SFHM, DFPM
Zilker Ballroom 3&4

10:05

You Asked, We Listened! 2024 ACC/AHA Guideline - A Year Later
Emmanuelle Duceppe, MD, PhD, FRCPC University of Montreal

Nathaniel Smilowitz, MD, MS NYU Langone

BobbieJean Sweitzer, MD^{1, 2} ¹University of Virginia . ²University of Virginia

10:35

Clinical Pearls in Perioperative Cardiac Imaging
Nathaniel Smilowitz, MD, MS NYU Langone

10:55

Q&A

11:00

POCUS in Perioperative Care- Pro/Con
Angela Selzer, MD, FASA, DFPM University of Colorado

Josh Zimmerman, MD, MD, FASE University of Utah

11:40

Q&A

12:00 - 1:00 PM

MEETING

COMMUNICATION COMMITTEE MEETING
Hill Country A

LITERATURE REVIEW COMMITTEE MEETING
Hill Country D

PERIOPERATIVE COLLABORATIVE PRACTICE COMMITTEE MEETING
Big Bend

12:05 - 12:50 PM

CORPORATE SYMPOSIA

CORPORATE LUNCH SPONSORED BY QVENTUS
Zilker Ballroom 3&4

12:05

From Guidelines and Recommendation to Clinical Practice: Operationalizing Perioperative Care Coordination at Scale
Lisa Burgin, MSN, RN, FNP, Amber Chappell, BSN, RN HonorHealth

1:15 - 3:10 PM

LECTURE

SESSION 3
Chair/Organizer: Garret Weber, MD
Zilker Ballroom 3&4

1:15

Postoperative Complications
Emmanuelle Duceppe, MD, PhD, FRCPC University of Montreal

1:45

Q&A

1:55

Clinical Pearls in Perioperative Neurology
Curtis Benesch, MD, MPH University of Rochester School of Medicine

2:15

Q&A

2:20

Perioperative Pulmonary Disease-Risk Assessment and Optimization
Kurt Pfeifer, MD, SFHM, FACP, DFPM Medical College of Wisconsin

2:45

Q&A

2:50

Perioperative Management of Patients Taking SGLT2 inhibitors
Basma Mohamed, MBChB Duke University School of Medicine

3:05

Q&A

3:10 - 3:40 PM

LECTURE

ORAL ABSTRACTS SESSION
Chair/Organizer: Garret Weber, MD
Zilker Ballroom 3&4

3:10

Preoperative sodium-glucose co-transporter 2 inhibitors provide mortality benefit among patients with type 2 diabetes and heart failure
Una E. Choi¹, Adriana Oprea², BobbieJean Sweitzer³, David L. Hepner¹ ¹Brigham and Women's Hospital, Boston, MA. ²Yale School of Medicine, New Haven, CT. ³Inova Health System, Fairfax, VA

3:20

Impact of Health Literacy on Postoperative Pain and Opioid Use Following Lower Extremity Arthroplasty
Brittany R. Fennell¹, Thomas R. Vetter², T. Mark Beasley³, Amandiy N. Liwo² ¹UAB Marnix E. Heersink School of Medicine, Birmingham, AL, USA. ²UAB Department of Anesthesiology and Perioperative Medicne, Birmingham, AL, USA. ³UAB School of Public Health Department of Biostatistics, Birmingham, AL, USA

3:30

Pre-operative Glucagon-like Peptide-1 Receptor Agonist (GLP-1RA) Use and the Risk of New Onset Atrial Fibrillation during the Post-operative Period of Noncardiac Surgery in Older Adults
Anna Zhang¹, Rong Xu², David Kaelber^{3, 4}, Pauline Terebuh² ¹Case Western Reserve University School of Medicine, Cleveland, OH, USA. ²Center for Artificial Intelligence in Drug Discovery, Case Western Reserve University School of Medicine, Cleveland, OH, USA. ³The Center for Clinical Informatics Research and Education, The MetroHealth System, Cleveland, OH, USA. ⁴The Departments of Internal Medicine, Pediatrics, and Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA

3:40 - 4:00 PM

BREAK

COFFEE BREAK
Zilker Ballroom Foyer

4:05 - 4:50 PM

BREAKOUT SESSION

BREAKOUT SESSION 1A: PERIOPERATIVE MEDICATION MANAGEMENT
Big Bend

Perioperative Medication Management
Kenneth Cummings, MD, MS, DFPM Cleveland Clinic

Sunil Sahai, MD University of Texas Medical Branch at Galveston

Christopher Whinney, MD, FACP, SFHM Cleveland Clinic

BREAKOUT SESSION 1B: PERIOPERATIVE ANTICOAGULATION
Zilker Ballroom 3&4

Perioperative Anticoagulation
Paul Grant, MD University of Michigan

Scott Kaatz, DO, MSc Henry Ford Health

Angela Selzer, MD, FASA, DFPM University of Colorado

BREAKOUT SESSION 1C: INVISIBLE FRAILTY
Hill Country C

Invisible Frailty
Joan Irizarry Alvarado, MD, FACP, DFPM Mayo Clinic

Heather Nye, MD, PhD University of California, San Francisco

Edie Shen, MD, DFPM University of Washington

BREAKOUT SESSION 1D: CARDIAC CONUNDRUMS
Hill Country D

Cardiac Conundrums
Steven Cohn, MD, MACP, SFHM, FRCP University of Miami Miller School of Medicine

Emmanuelle Duceppe, MD, PhD, FRCPC University of Montreal

Kurt Pfeifer, MD, SFHM, FACP, DFPM Medical College of Wisconsin

BREAKOUT SESSION 1E: EDUCATION IN PERIOPERATIVE MEDICINE - CURRICULUM DEVELOPMENT AND IMPLEMENTATION
Hill Country B

Education in Perioperative Medicine - Curriculum Development and Implementation
Angela Edwards, MD, DFPM, FASA University of North Carolina Health Systems

Marjorie Gloff, MD University of Rochester

BREAKOUT SESSION 1F: ANESTHESIA FOR THE NON-ANESTHESIOLOGIST
Hill Country A

Anesthesia for the Non-Anesthesiologist
David Hepner, MD, MPH^{1, 2} ¹Brigham and Women's Hospital . ²Harvard Medical School

Debra Pulley, M. D. Washington University in St. Louis

Richard Urman, MD, MBA The Ohio State University

5:00 - 6:30 PM

POSTER SESSION

POSTER SESSION & WELCOME RECEPTION (click to view) (click to close)
Zilker Ballroom 1

INNOVATIONS IN PERIOPERATIVE MEDICINE

100

A Steward-Led Framework for Preserving Clinical Judgment and the Therapeutic Relationship in Perioperative Care
Eva H. Berry BerryWell Holdings, Inc, Orlando, FL, USA

101

Inpatient Perioperative Complications: A Multi-Center, Million Patient Analysis
Joshua Bloomstone^{1, 2, 3, 5}, Bruce Kingsley^{1, 3}, Benjamin Houseman^{1, 3, 5}, Tania Haddad³, Sarah Sigler³, Boyoung Garlapati⁶ ¹University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA. ²University College London, London, United Kingdom. ³Envision Healthcare, Nashville, TN, USA. ⁴Outcomes Research Consortium, Houston, TX, USA. ⁵Memorial Hospital System, Hollywood, FL, USA. ⁶Amazon. com, Seattle, WA, USA

102

Gait Expectations: Improved Outcomes with the Implementation of an EMR-Based Fragility Fracture Pathway
Urvika Choksey^{1, 2, 3}, Karla Bullon³, Jinsung Kim¹, Erica Espinoza², Rebecca Calabrese², Daniel Heacock², Mithil Choksey^{1, 2}, Xintong Zuo^{1, 2}, Mario Nunez², Deborah Cooke² ¹Yale School of Medicine, New Haven, CT, USA. ²Yale New Haven Hospital, New Haven, CT, USA. ³Cape Fear Valley Medical Center, Fayetteville, NC, USA

103

Perioperative Management of Systemic Cancer Therapies for Solid Organ and Hematologic Malignancies: Recommendations from the Emory University Systemic Therapies Perioperative Management Group
Jennifer R Culley, Jonathan M Morris, Gaybrielle R Moore, Sara A Scott, Annalise E Labatut, Danielle E Rider, Shervin V Oskouei Emory University School of Medicine, Atlanta, GA, USA

104

Modernizing Perioperative Patient Care to Improve Efficiency and Reduce Surgical Cancellations
Andrew Fisher^{1, 2} ¹Medical University of South Carolina, Columbia, SC, USA. ²Qventus, San Francisco, CA, USA

105

Development and Implementation of a Standardized Multidisciplinary Protocol for the Perioperative Evaluation of Adrenal Incidentalomas
Lindsey Gerstein¹, Sarah Elbaz², Tiffany Mach¹, Leonardo Lamanuzzi¹, Teresa Cafaro¹ ¹Department of Medicine, McGill University, Montreal, QC, Canada. ²Department of Family Medicine, McGill University, Montreal, QC, Canada

106

Closing the Geriatrics Gap: A 4Ms Solution for Preoperative Surgical Care
Evan M. Henricks, Ellen E. Schmitt, Victoria R. Nelson, Kurt J. Pfeifer, Katherine M. Denson Medical College of Wisconsin, Milwaukee, WI, USA

107

Peer Support Targeting the Second Victim Phenomenon: Implementation and Outcomes
Amber High, Chelsea Casey The University of Texas Medical Branch, Galveston, TX, USA

108

Using ChatGPT to Bridge Technical Gaps and Accelerate REDCap Development for Perioperative QI
Madison Hochrein¹, Jordan Lee¹, Rebecca M. Gerlach² ¹University of New Mexico School of Medicine, Albuquerque, NM, USA. ²Department of Anesthesiology and Critical Care, University of New Mexico Hospital, Albuquerque, NM, USA

109

Machine Learning Based Prediction of Hospitalist Consult Appropriateness in Total Joint Arthroplasty
Jeffrey Huang¹, Laura Kosseim², Emmanuel Gibon³, Michele Fang^4*, Daniel Montes^4* ¹University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA. ²University of Pennsylvania, Department Of Internal Medicine, Philadelphia, PA, USA. ³University of Pennsylvania, Department of Orthopedic Surgery, Philadelphia, PA, USA. ⁴University of Pennsylvania, Department of Medicine, Division of Hospital Medicine* Co-Corresponding Author. These authors contributed equally to this work, Philadelphia, PA, USA

110

Charting New Horizons in Anesthesiology Training: A Narrative Review of Perioperative Medicine Fellowships and the Launch of a Combined Critical Care-Perioperative Pathway
Mogahed Ismail Hassan Hussein¹, Nazish K Hashmi², Vijay Krishnamoorthy¹, Basma Mohamed³ ¹Divisions of Critical Care, Department of Anesthesiology, Duke University School of Medicine, Durham, NC, USA. ²Divisions of Critical Care and Cardiothoracic Anesthesiology, Department of Anesthesiology, Duke University School of Medicine, Durham, NC, USA. ³ Department of Anesthesiology, Duke University School of Medicine, Durham, NC, USA

111

Increasing the Rate of Blood Glucose Checks in Known Diabetics During the Perioperative Period
Jennifer Inofomoh, Andres Arango, Daniel Jabari , Erin Vigil, Robert Martinez University of Texas Medical Branch, Galveston, TX, USA

112

From Advice to Action: Integrating a Smoking Cessation Referral into the Preoperative Evaluation Clinic at VCU Health - Pilot Study
Shilpa Jasti^{1, 2}, Sebastian Gutierrez^{1, 2}, Dean Zhang^{1, 2}, Olga Suarez-Winowiski¹ ¹VCU Department of Anesthesiology, Richmond, VA, USA. ²VCU School of Medicine, Richmond, VA, USA

113

Transforming Perioperative Workflows: Nurse Practitioner Led Anesthesia Preparation to Reduce Delays and Improve Throughput
Elizabeth L Kelly, Cheryl Mullan, Joshua Farber-Sault, Maureen Gormley Boston Children's Hospital, Boston, MA, USA

114

Pre-Operative Medication Management: Development of Accessible and Standardized Institutional Guidelines
Jacqueline A. Kelly Upstate University Hospital, Syracuse, NY, USA

115

Surgical Optimization and Readiness with Physical Therapy for Older Adults Undergoing Elective Total Joint Arthroplasty
Mehraneh Khalighi^{1, 2}, Amanda L. Olney Biggs³, Ashley A. Buttelmann³, Nhi T. Reighter³, Bret H. Mecham⁴, Katherine C. Ritchey^{2. 5} ¹Hospital and Specialty Medicine, VA Puget Sound Health Care System, Seattle, WA, USA. ²University of Washington, Seattle, WA, USA. ³Rehabilitation Care Services, VA Puget Sound Health Care System, Seattle, WA, USA. ⁴VA Center of Innovation for Veteran-Centered and Value Driven Care, VA Puget Sound Health Care System, Seattle, WA, USA. ⁵Geriatric Research, Education and Clinical Center, VA Puget Sound Health Care System, Seattle, WA, USA

116

Using Large Language Models for Time Studies on Preoperative Screening Phone Calls
Danielle LaPointe, MD, Alex Clark, Stephen M Breneman, MD, PhD University of Rochester, Rochester, NY, USA

117

Enhancing Preoperative Evaluation Through AI-Enabled Patient Summaries and Dynamic Risk Stratification Using Health Information Exchange Data
Phillip Lau^{1, 2} ¹Pacific Valley Medical Group, Calabasas, CA, USA. ²Huntington Health, affiliate of Cedars-Sinai, Pasadena, CA, USA

118

Patient Engagement and Experience with AI-Enabled Preoperative Instruction Calls: Analysis of Pilot Implementation Data
Kristen M. Lund, Avital Y. O'Glasser Oregon Health a Science University, Portland, OR, USA

119

Implementation of a Rural OSA Screening and Sleep Study Pathway in a Pre-Anesthesia Clinic
Margeson Megan, Kendall Parks, Amy Mouat-Hunter Bozeman Health, Bozeman, MT, USA

120

Implementing Structured Documentation and Education to Improve Perioperative Management of Automated Insulin Delivery Systems
Megan J Ott¹, Zahid Iqbal², Tyler Hoffman², Andjela Drincic³, Shubham Agarwal³, Casey Vlach³, Troy S Wildes² ¹University of Nebraska Medical Center, College of Medicine, Omaha, NE, USA. ²University of Nebraska Medical Center, Department of Anesthesiology, Omaha, NE, USA. ³University of Nebraska Medical Center, Department of Internal Medicine, Omaha, NE, USA

121

Ambulatory Procedure Complications Change based on Patient Co-morbidities captured by AM-PPC Monitoring.
Ajay Perumbeti M. D. , Dana Casey RHIA, Dickson Okozogbon M. D. , Sandeep Wadhwa M. D. Solventum, Health Information Systems, Clinical a Economic Research, St. Paul, MN, USA

122

Summary of an Innovative Approach for Mitigation of Postoperative Respiratory Depression: ENA-001
Robert B. Raffa^{1, 2}, Joseph V. Pergolizzi Jr², Thomas L. Miller², George C. Dungan II³, Jeanette Mathews², Krista Casazza⁴, William K Schmidt⁵ ¹Temple University (Emeritus), Philadelphia, PA, USA. ²Enalare Therapeutics, Mullica Hill, NJ, USA. ³Dungan Research Associates, Denton, TX, USA. ⁴K2D2 Consulting, Bonita, FL, USA. ⁵NorthStar Consulting, Davis, CA, USA

123

Optimizing Perioperative Care: AI-Assisted Detection of Pheochromocytomas Prior to Non-Adrenal Surgery
Alejandra Riveron^{1, 2}, Elio P. Monsour¹, Austin Chao², Varshith Paduchuri², Holly O'Brien^{1, 2}, John Morrison¹ ¹Moffitt Cancer Center, Tampa, FL, USA. ²University of South Florida Morsani College of Medicine, Tampa, FL, USA

124

Transitioning Patient Flow from History and Physical to Consultation: A Win-Win
Renee Robinson, Heather Lander, Marjorie Gloff University of Rochester, Rochester, NY, USA

125

GRAACC-FAST: Implementing an ERAS-Aligned Fasting Protocol With Gastric Ultrasound in Pediatric Oncology Surgery
Luis A. Rodriguez Linares, Simone Abib, Fernanda Souza graacc/unifesp, sao paulo, Brazil

126

Understanding Knowledge Gaps in ERAS Protocol and Preoperative Pain Modalities
Ashley Rumer The Ohio State University, Hilliard, OH, USA

127

A Novel Pre-Operative Predictive Triage Tool: Stratifying Patients to the Right Preoperative and Surgical Pavilions
Renuka Shenoy, Michael Guertin, Poorvi Hardman, Jarrett Heard, Barbara Rogers, Sheila Heising, Julie Lewis, William Falk The Ohio State University Wexner Medical Center, Columbus, OH, USA

128

Integrating High-Risk Obstetric Optimization Into our Bozeman Health Pre-Anesthesia Clinic: Early Outcomes and Implementation Strategy
Elizabeth P. Sherman, Amy K. Mouat-Hunter Bozeman Health, Bozeman, MT, USA

129

Closing the Diagnostic Gap: A Same day Home Sleep Study–Driven Workflow to Optimize Obstructive Sleep Apnea in the Preoperative Setting
Abhijai Singh¹, Kurt Pfeifer¹, Rose Franco¹, Angela Selzer² ¹Medical College of Wisconsin, Milwaukee, WI, USA. ²University of Colorado, Denver, CO, USA

PERIOPERATIVE CLINICAL VIGNETTES

130

Building Resilience Before Division: Comprehensive Prehabilitation and Preoperative Planning for a Patient Undergoing Hemicorporectomy for High-Grade Sarcoma
Vincent Bargnes, MD, Gabriel San Roman II, MD, MS, MHA, Taylor Bentz, MD, Daryn Moller, MD, Meng Wang, MD, PhD Department of Anesthesiology, Stony Brook Renaissance School of Medicine, Stony Brook, NY, USA

131

Zero to Sixty: The Perioperative Visit that went from Risk Stratification to Crisis Management
Sarah Khan, Kaylee Lewis, Heather Lander University of Rochester, Rochester, NY, USA

132

GLP-1 Management in the Pediatric Patient Undergoing General Anesthesia
Diana Matusiak¹, Kelsey Lipiner¹, Natalie Weatherred¹, Hubert Benzon^{1, 2} ¹Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA. ²Northwestern University Feinberg School of Medicine, Chicago, IL, USA

133

Unmasked: Severe Perioperative Bradycardia Following GLP-1 Receptor Agonist Withdrawal in Undiagnosed Sinus Node Dysfunction
Geoffrey Carl G. Rodriguez, MBA, MLS, Olivia Valentine, BS, Lara R. India, MD, FASA, , Harvey J. Woehlck, MD Department of Anesthesiology - Medical College of Wisconsin, Milwaukee, WI, USA

134

The Balloon Before the Blade: A Case of Escalating Ischemia and Timely Intervention
Aria H. Soltani, Paulina M. Mager, Heather L. Lander University of Rochester Medical Center, Rochester, NY, USA

RESEARCH IN PERIOPERATIVE MEDICINE

135

No pressure: Does timing really matter for phentermine discontinuation?
Maria Fernanda Acevedo-Kury, Zulma Sosa-Carcamo, Tachy Valentina Hernandez-Romero, Ridwan Ahmad, Adam Jacob, Joan Irizarry-Alvarado Mayo Clinic, Jacksonville, FL, USA

136

Opioid Escalation in the ICU and 90-Day Readmission After Major Surgery: A Retrospective Cohort Study Using the MIMIC-IV Database
Angel Agyemang Prempeh, Allison Tenfelde Michigan State University College of Human Medicine, East Lansing, MI, USA

137

Cognitive Vulnerability in Obstructive Sleep Apnea and Implications for Surgical Outcomes
Yasmin Alhamdah^{1, 2, 3}, Ellene Yan^{1, 2, 3, 4}, Paras Kapoor^{1, 2, 3}, Aparna Saripella¹, Nina Butris^{1, 2, 3}, Frances Chung^{1, 2, 3} ¹Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada. ²Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada. ³Krembil Brain Institute, Toronto Western Hospital, University Health Network, Toronto, ON, Canada. ⁴Postgraduate PhD program, Institute of Medical Science, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada

138

Orthopedic Adaptation and Validation of the AWOL-S Delirium Risk Score
Stephen Batter¹, Dongmei Sun¹, Huong Do¹, Ahmed Deeb¹, William Salerno¹, Bella Mehta^{1, 2}, Susan Goodman^{1, 2}, Linda Russell^{1, 2} ¹Hospital for Special Surgery, New York, NY, USA. ²Weill Cornell Medicine, New York, NY, USA

139

Enhanced Surgical Outcomes Associated with the Introduction of Pre-operative Medical Clinic
T. Gage Branham¹, Brennan McCullar¹, Blake Daniels¹, Nathaniel Stoikes¹, Ravpreet Gill¹, Sai K Bhogadi¹, Guy Voeller¹, David Webb¹, Megan Reece¹, William Cloud¹, Jennifer Tat², Sabrina Shivani², Huibo Shao¹ ¹Baptist Memorial Hospital-Memphis, Memphis, TN, USA. ²University of Tennessee Heath Science Center, Memphis, TN, USA

140

Preoperative sodium-glucose transporter-2 inhibitors and postoperative euglycemic diabetic ketoacidosis risk
Una E. Choi¹, Adriana Oprea², BobbieJean Sweitzer³, David L. Hepner¹ ¹Brigham and Women's Hospital, Boston, MA. ²Yale School of Medicine, New Haven, CT. ³Inova Health System, Fairfax, VA

141

Implementation of an Automated Risk-Based Perioperative Triage Tool in a Large Health System: A Quality Improvement Initiative
Kenneth C. Cummings¹, Maureen Keshock¹, Preethi Patel¹, Mar-Qilia Kelly¹, Stewart Richardson², Scott Greenwald², Necolia Huisman¹, Angela Angelo¹, Nassib Chamoun² ¹Cleveland Clinic, Cleveland, OH, USA. ²Health Data Analytics Institute, Dedham, MA, USA

142

How to Define Low Risk?
Kenneth C. Cummings¹, Maureen Keshock¹, Preethi Patel¹, Mar-Qilia Kelly¹, Stewart Richardson², Scott Greenwald², Josh Gray², Daniel Sessler³, Nassib Chamoun² ¹Cleveland Clinic, Cleveland, OH, USA. ²Health Data Analytics Institute, Dedham, MA, USA. ³UTHealth Houston, Houston, TX, USA

143

Effects of Perioperative Dexamethasone in Patients with Diabetes
Ethan C Goldner¹, Elizabeth Miles², Kaeli Samson³, Jason F Shiffermiller⁴ ¹College of Medicine, UNMC, Omaha, NE, USA. ²MD, PhD, Division of Hospital Medicine, UNMC, Omaha, NE, USA. ³MPH, Department of Biostatistics, UNMC, Omaha, NE, USA. ⁴MD, MPH, Division of Hospital Medicine, UNMC, Omaha, NE, USA

144

Impact of Perioperative Geriatric service for inpatient Upper GI, Hepatobilliary and Colorectal surgery unit demonstrating improved outcomes.
Afsana habib¹, Brian Murphy², imroj Qazi³ ¹Consultant Geriatrician, Perth, Australia. ²Registrar, Perth, Australia. ³Senior data analyst, Perth, Australia

145

Comparison of post operatve outcomes of older adult patients undergoing Upper Gastrointestinnal and Colorectal surgery following Geriatric preoperative clinic based optimsation versus no Geriatric Pre-operative clinic optimisation
Afsana Habib¹, Aoife Fox², Niamh Stanley³ ¹Consultant Geriatrician, Perth, Australia. ²RMO, Perth, Australia. ³RMO, PERTH, Australia

146

Evaluating the Effectiveness of Standardized Preoperative Diabetes Medication Instructions
Stephanie Hai Pineda, Mark Kachai, Heike C Knorpp University of Illinois Hospital a Health Sciences System (UI Health), Chicago, IL, USA

147

Perioperative Considerations of Rhabdomyolysis in the Anesthesiologist’s Perspective
Simoni Haji¹, Garret Weber^{1, 2}, Apolonia Abramowicz^{1, 2} ¹New York Medical College, Valhalla, NY, USA. ²Westchester Medical Center, Valhalla, NY, USA

148

Using AI to increase compliance with perioperative glucose testing at scale: A prospective observational study
Cameron Holguin¹, Robert Martinez¹, Ido Zamberg², Tomer Cramer², Brian Masel¹ ¹Department of Anesthesiology, University of Texas Medical Branch, Galveston, TX, USA. ²C8 Health, Inc, New York, NY, USA

149

The Clinical Aspects of Adrenal Vein Sampling: Criteria for Medical Vs. surgical management
Sharon/N John¹, Anil Pillai², Girish Kumar², Alex da Silva ², Akhilesh Pillai³ ¹UNT Health Texas College of Osteopathic Medicine, Fort Worth, TX, USA. ²University of Texas Southwestern Medical Center, Dallas, TX, USA. ³The University of Texas Health Science Center at Houston, Houston, TX, USA

150

Effect of a Preoperative Clear Liquid Diet on Glucose Levels on Day of Surgery in Diabetic Patients Continuing Glucagon-like Peptide-1 Receptor Agonists
Isabel Lammers, Kristy A Kenter, Mark Kachai, Heike C Knorpp University of Illinois Hospital a Health Sciences System (UI Health), Chicago, IL, USA

151

Preoperative Nutrition and Exercise Counseling for Older Adults Experiencing Frailty
Lauren J. Lee¹, Bryanna De Lima², Elizabeth Hays^{2, 3} ¹Oregon Health a Science University, School of Medicine, Portland, OR, USA. ²Oregon Health a Science University, Division of General Internal Medicine and Geriatrics, Portland, OR, USA. ³Oregon Health a Science University, Department of Anesthesia and Perioperative Medicine, Portland, OR, USA

152

Impact of a Dedicated Anesthesiology-Orthopedic OR Team on Surgical Efficiency and Patient Outcomes in Lower Limb Arthroplasty: A Quality Initiative Project
Shivangi Mohta¹, Faria Nisar², Samantha Pope², Amaya Harris¹, Luis Tollinche^{1, 2}, Maureen Harders² ¹Case Western Reserve University School of Medicine, Cleveland, OH, USA. ²The MetroHealth System, Cleveland, OH, USA

153

Perioperative Outcomes of NonCardiac Surgery in Solid Organ Transplant Recipients
Emre/C Ozcekirdek, Abigail Thorgerson, Khoua/N Thao, Dawson Aprill, Sneha Nagavally, Slawski Barbara Medical College of Wisconsin, Milwaukee, WI, USA

154

Appraisal of an educational program promoting brain health in older surgical patients
Aparna Saripella¹, Melanie Li^{1, 2}, Yasmin Alhamdah^{1, 2, 3}, Ellene Yan^{1, 2, 3}, Majid Nabipoor¹, Frances Chung^{1, 2, 3} ¹Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada. ²Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada. ³Krembil Brain Institute, University Health Network, Toronto, ON, Canada

155

Bridging the Gap: Standardizing Osteoporosis Management with Zoledronic Acid in Hip Fracture Patients
Jordana Serero¹, Teresa Cafaro^{2, 3} ¹McGill University, Montreal, QC, Canada. ²Division of General Internal Medicine, Jewish General Hospital, McGill University, Montreal, QC, Canada. ³Center for Clinical Epidemiology and Community Studies, Lady Davis Institute, Jewish General Hospital, Montreal, QC, Canada

156

Can Domain-Specific Performance on the Montreal Cognitive Assessment Identify Older Surgical Patients at Risk of Adverse Outcomes? A Multicenter Longitudinal Study.
Ellene Yan^{1, 2, 3}, Yasmin Alhamdah^{1, 2, 3}, Eric Cheuk¹, Aparna Saripella², Frances Chung^{1, 2, 3} ¹Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada. ²Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada. ³Krembil Brain Institute, University Health Network, Toronto, ON, Canada

157

Risk Stratification of Older Surgical Patients Using an Ultra-Rapid, Self-Reported Questionnaire: Insights From Two Multicenter Longitudinal Studies.
Ellene Yan^{1, 2, 3}, Yasmin Alhamdah^{1, 2, 3}, Nina Butris^{1, 2, 3}, Paras Kapoor^{1, 2, 3}, Aparna Saripella², Frances Chung^{1, 2, 3} ¹Institute of Medical Science, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada. ²Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada. ³Krembil Brain Institute, University Health Network, Toronto, ON, Canada

158

Postoperative Outcomes Following Exparelvs. ZynrelefLocal Infiltration Analgesia (LIA) in Joint Replacement Surgery
Ha Neul Yang¹, Gurpreet S Bajaj^{1, 2}, Adam Whitmire¹, Oscar Torres¹, Raunak Bajaj¹ ¹Texas Health Huguley Hospital, Burleson, TX, USA. ²Lone Star Orthopaedic and Spine Specialists, Burleson, TX, USA