JEFFRO MD

Clinician perspectives on the perioperative roles and responsibilities of anesthesia, surgery, and primary care. qxmd.com/r/39245593

Examining the Impact of the Human Microbiome in the Perioperative Setting. qxmd.com/r/39913324

The "J-Curve" of change is a helpful concept when thinking about the trajectory of a change initiative. Leaders assume that they will see early results from the implementation of change but performance often gets worse before it gets better. There are many reasons for it; disruption to existing systems, people fearful of & getting used to new ways of working; it's a learning curve for the system. One of the worst things that happens as a result of the J-Curve is "leadership tampering": leaders impatient for results who start to fiddle with the new system before new arrangements get a chance to work through. There are many things we can do to reduce the impact of the J-Curve: 1) Stay focused on shared purpose & values, giving people the confidence to move towards a different future that is more compelling than the status quo 2) Anticipate that an "implementation lag" may happen and set expectations based on that 3) Provide support - technical, emotional, learning 4) Involve everyone in the change process, so it is done "with" people, not "to" them 5) Adjust, based on learning & feedback, through small test of change This article is from @dviney who developed the concept of the J-Curve: david-viney.me/post/the-j-cur….

@preopconsult I got mine yesterday. Love the graphic on the inside cover.

My new periop medicine book will be out next week.

Spinal anesthetic for surgery patient education video. youtu.be/k-PNNwfKss8?fe…

@KurtPfeifer What interventions were in the pathway? We've never used the RAI.

Implementation of a preoperative frailty screening and optimization pathway for vascular surgery patients is associated with decreased 30-day readmission - Journal of Vascular Surgery jvascsurg.org/article/S0741-…

#BloodSelfie #PowerRed

MACE>1%/DASI<34. If you were using BNP as your preoperative biomarker to determine the need for additional cardiac testing, what cut off would you use? Recent guidelines say "no clearly established thresholds." CKD complicates use. @preopconsult @UAB_PACT @KurtPfeifer

@Duke_Anesthesia @amit_pawa @EMARIANOMD @fuzzymittens @EM_RESUS @Assoc_Anaes @ASRA_Society @ESRA_Society @dasairway @dastrainees @Wilkinsonjonny @rosie_hogg @LloydTurbitt @RCoANews @Ron_George @morefluids @mswami001 @curromir @emilysharpe @dr_melissabyrne @claralexlobo @bobfunn @OBsleepmerchant @Steve_Coppens @ajrmacfarlane @RegionalAnaesUK @saraamaralMD @Nadia_Hdz_MD @anesthesiadocmd @JanBoublikMDPhD @dr_imranahmad @Neuro_Kellie @kyliebaker888 What’s YOUR recipe for anesthetizing the airway? #Blocktober24 @indigodoc @diazolam @VeenaGraffMD @AlanaFlex @pritanand @jeffsimmons @ashwani_doc @LimGrapes @anesthesianews @nosecglasses @elboghdadly @NicholasChrimes @acopand @mick_kerr @montymythen @SafeAirway @MKwesiKwofie

1/n-More than 75% of people preparing for major #surgery have an #anesthesiology preop consult. Are outcomes impacted? Is 💵saved? New work in @BJAJournals from @aims_periop @OttAnesthesia @ICESOntario dives in authors.elsevier.com/a/1hhPU1dCDr0Ia On the whole, #anesthesiologists add value

@ebtapper Boo

Systematic reviews and meta-analyses are not the highest level of evidence

Several things here that I question (ie, lung fxn testing which data doesn’t support). Recommended tests before elective surgery bmj.com/content/354/bm…

@RUBraveEnough The more important and complex the content of the email, the less likely the true meaning of the message will be translated/delivered.

Email: Where your productivity goes to die.

Update in Perioperative Medicine with @Jeanna_BlitzMD & @aoglasser at the 2024 Perioperative Medicine Summit!

With the conclusion of the amazing #Periop2024, we officially welcome in the 2024-2026 SPAQI Executive Committee: President: @aoglasser Vice President/VP elect: @selzer_angela Treasurer: @Kc3Dr Ken Cummings Secretary: Marjorie Gloff Immediate past president: @Jeanna_BlitzMD

One of my favorite aspects of #periop2024 @SPAQIedu where moderators & speakers discuss evidence vs practical clinical utility- what test to use?@selzer_angela @preopconsult re: ischemic cardiac dz -What really helps determine risks! @Jeanna_BlitzMD @KurtPfeifer @aoglasser

Interesting article on the surgical home and enhance recovery programs and how they relate. canjsurg.ca/content/64/4/E…

Congratulations, Dr. Ohlman! The #preoperative community is lucky to have you. @SPAQIedu @ASALifeline @Jeanna_BlitzMD @KurtPfeifer @preopconsult @APSForg @Kc3Dr @ASER_hq @SocietyHospMed @uabmedicine

Congratulations to Beomjy Kim Ohlman, M.D., for being named as Preoperative Assessment, Consultation, & Treatment Clinic (PACT) Associate Medical Director!