American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Session Code: DEC14
Title: Prehabilitation and Enhanced Recovery
Date and Time of Session: Tuesday, October 18: 8:30 am - 12:45 pm
Description: This session will review how various evidence-based interventions can be implemented before, during, and after surgery to reduce surgical stress response and achieve optimal patient recovery for major abdominal surgery. The panelists will give pragmatic advice on how different modalities (pre-operative risk assessment, surgery, anesthesia, nutrition, early mobilization and feeding) may be integrated in critical pathways for surgical procedures. The discussion will focus on pre-operative counseling (e.g. geriatric assessment and incorporation of the ACS risk calculator), management of patient’s expectations, barriers to implementation of fast-track protocols, and limitations of enhanced recovery pathways. The discussion will also address the role of a surgeon champion to engage physician, nursing, and ancillary hospital staff to create cultural system-level changes.
CME Credit Hours: 4
Webcast Package Available: No
Audio Package Available: No
Colon and Rectal Surgery (CRS), Geriatric / Palliative Care (GER), General Surgery (GEN)
Sponsored By:
Committee on Perioperative Care, Patient Education Committee
Program Participants:
Michael E. Zenilman, MD, FACS
Marcovalerio Melis, MD, FACS
Pre-Operative Habilitation
Speaker Enhanced Recovery after Surgery: Which Components, if any, Impact on the Systemic Inflammatory Response after Surgery?
Michael F. McGee, MD, FACS, FASCRS
Speaker Pre-operative Preparation: Risk Assessment, Patient Education, and Physical Conditioning
Michael J. Englesbe, MD, FACS
Speaker The Hours Prior to Surgery: Role of Nutrition, Glycemic Load, Bowel Preparation. A Paradigm Shift
Alessandro Fichera, MD FACS
Speaker Engaging Patients to Enhance Recovery
Liane S Feldman, MD FACS FRCS
Intra-operative Management for Expedited Post-operative Recovery
Speaker Role of the Anesthesiologist in Expedite Post-Operative Recovery
Jason Rose, MD
Speaker Intra-Operative Fluid Management and Postoperative Outcomes
Christopher Wu, MD
Speaker Drain and Tubes: Friends and Foes?
Jeffrey Michael Farma, MD FACS
Speaker Laparoscopic vs. Open Surgery: Does it Make a Difference?
Paresh C. Shah, MD FACS
Post-Operative Recovery
Speaker Early Feedings: Risks and Benefits
Hadley Katharine Wesson, MD
Speaker Multidisciplinary Approach to Control of Post-Operative Pain
Julie K. Marosky Thacker, MD, FACS, FASCRS
Speaker Clinical Pathways and Enhanced Recovery
Toyooki Sonoda, MD, FACS, FASCRS
Speaker Effects of Fast-tracking on Hospital Re-admissions and Reducing Costs
Melanie Morris, MD
Putting It All Together
Speaker Overcoming Barriers to Implementation of Fast-track Clinical Pathways
Martin Gregory Paul, MD FACS
Speaker Fast Track Protocols and Reduction of Racial Disparities
Daniel I-Hsin Chu, MD
Speaker ERAS in the Elderly: Does it Work?
Jason M. Johanning, MD, FACS
Speaker Using NSQIP to Develop an Enhanced Recovery Program: A Success Story
Elizabeth C. Wick, MD, FACS