Integrated Surgery and Anesthesia
- Pre-Op Optimization & Shared Planning
- Multimodal Analgesia & Regional Blocks
- Intraoperative Monitoring & Hemodynamics
- Airway, Positioning & Ventilation Strategies
- Crisis Resource Management & Team Simulation
The safest operations come from shared planning and real-time coordination between surgical and anesthesia teams. This session offers a joint playbook that links risk stratification, airway strategy, ventilation, hemodynamics, blood stewardship, analgesia, and PACU criteria—so patients move smoothly from clinic to recovery. If you’re exploring Integrated Surgery & Anesthesia, searching for a Surgery Conference, or aligning care around ERAS pathways, this page shows how to co-design protocols that cut complications, shorten stay, and improve patient experience.
We begin with pre-op clinics that merge surgical indications, cardiopulmonary risk, OSA screening, and anticoagulation plans into a single consent conversation. Intra-op, we standardize briefs that set ventilation targets, fluid strategy, vasopressor thresholds, temperature and glucose goals, PONV prophylaxis, and conversion triggers. You’ll learn when to use lung-protective ventilation for laparoscopy/robotics, how to pair regional blocks with incision maps for opioid-sparing recovery, and how to protect perfusion during prolonged positioning or pneumoperitoneum. Blood stewardship covers TXA, cell salvage, point-of-care coagulation, and documentation that prevents unnecessary transfusion. PACU sections define escalation for airway risk, pain crises, delirium, and hypotension, with clear handoff scripts that anchor responsibility.
Human factors are emphasized: closed-loop communication, role clarity during crises, and debriefs that convert near-misses into system fixes. We show how OR dashboards surface antibiotic timing, VTE prophylaxis, temperature, and sugars in real time; how to integrate ultrasound for line placement and volume assessment; and how to adapt plans for pediatrics, geriatrics, pregnancy, and high-BMI patients. Equity runs throughout—language services, transport-friendly scheduling, cost-aware prescribing, and tele-follow-up that keep care plans usable at home. Teams leave with a jointly owned checklist and metrics pack—LOS, PONV, returns to OR, ICU admissions, and patient-reported outcomes—so improvement stays visible and continuous.
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Shared Plans for Safer Operations
Joint Pre-Op Clinic
- Unify indications, risk scores, and anticoagulation holds in one plan.
- Align consent, language access, and home prep to reduce day-of surprises.
Airway, Ventilation & Positioning
- Match airway strategy to procedure; set lung-protective targets.
- Plan positioning, pressure points, and eye/nerve protection together.
Fluids, Pressors & Temperature
- Use goal-directed therapy with clear vasopressor thresholds.
- Maintain normothermia and glucose control to protect healing.
Analgesia & PONV
- Select regional/neuraxial blocks and multimodal regimens.
- Apply PONV bundles tied to risk to speed recovery.
Program Highlights & Tools
Blood Stewardship
TXA, cell salvage, and viscoelastic testing to cut transfusion.
Crisis Resource Management
Role cards, checklists, and simulation for hemorrhage, MH, anaphylaxis.
Digital OR Dashboards
Real-time antibiotics, VTE, temp, and glucose prompts.
Ultrasound & Monitoring
POCUS for volume/line guidance; depth/neuromuscular monitoring.
Special Populations
Peds, obstetric, geriatric, and high-BMI adaptations.
Handoffs & PACU Criteria
Standard scripts with escalation triggers and ICU thresholds.
Equity & Access
Cost-aware meds, transport-friendly slots, and tele-follow-up.
KPI & Audit
LOS, PONV, ICU use, reops, and PROs tracked transparently.
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