Webinar on Combining and monitoring anaesthesia techniques to optimise patient’s outcome
ESAIC Academy. Prof. Kai Zacharowski, Prof. Xavier Capdevila, Prof. Berthold Bein & Dr. Diogo Sobreira Fernandes . 03/30/21; 315092
Disclosure(s): This webinar is sponsored by an unrestricted grant from GE Healthcare and Aspen.
Prof. Kai Zacharowski, Prof. Xavier Capdevila, Prof. Berthold Bein & Dr. Diogo Sobreira Fernandes
Biography
Biography
About this activity
Learning Objectives
Abstract
This live session will be hosted on and is available in open access (no login required):
Date: 30 March 2021
Time: 18:00pm to 19:00pm CEST
If you are unable to attend the live webinar, the on-demand accredited program (with slide navigation) will be available within 2 to 3 hours on the eLearning section of the ESAIC Academy after the live event.
Evaluation
We invite you to fill in an evaluation of this webinar after it's finished. If you're not logged in, you can easily access this evaluation, by clicking on the double arrow next to the LIVE STREAM tag above the viewer.
Webinar Scientific Faculty
Scientific Host
Prof. Kai Zacharowski
President European Society of Anaesthesiology & Intensive Care, Director & Clinical Head of Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Germany
Speakers
Prof. Xavier Capdevila
Professor of Anesthesiology and Critical Care Medicine and Head of Department, President of the French college of Anaesthetists/Intensivists Montpellier University, School of Medicine
Prof. Berthold Bein
Professor of Anaesthesiology and Intensive Care Medicine and Head of Department at Asklepius Hospital Hamburg - Germany
Scientific Support
Dr. Diogo Sobreira Fernandes
Anaesthesiology Consultant at Centro Hospitalar da Póvoa do Varzim e Vila do Conde –Póvoa do Varzim, Portugal
Target Audience:
Every anaesthesiologist working in theatre and caring for patients in any surgical discipline!
Anaesthetists and Residents in training performing general anaesthesia combined with an epidural, continuous spinal or nerve blocks
Methods to promote adult active learning
This webinar will include:
Anaesthesiological preparation starts already weeks prior planned surgery. This approach is still very rare although patient outcome can be significantly changed in a positive manner. This webinar addresses the topic of general anaesthesia combined with regional (epidural) anaesthesia.
Content
This webinar is available on PC, Tablet and Smartphone.
For the best viewing experience, a high-speed internet connection is required.
Date: 30 March 2021
Time: 18:00pm to 19:00pm CEST
If you are unable to attend the live webinar, the on-demand accredited program (with slide navigation) will be available within 2 to 3 hours on the eLearning section of the ESAIC Academy after the live event.
Evaluation
We invite you to fill in an evaluation of this webinar after it's finished. If you're not logged in, you can easily access this evaluation, by clicking on the double arrow next to the LIVE STREAM tag above the viewer.
Webinar Scientific Faculty
Scientific Host
Prof. Kai Zacharowski
President European Society of Anaesthesiology & Intensive Care, Director & Clinical Head of Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Germany
Speakers
Prof. Xavier Capdevila
Professor of Anesthesiology and Critical Care Medicine and Head of Department, President of the French college of Anaesthetists/Intensivists Montpellier University, School of Medicine
Prof. Berthold Bein
Professor of Anaesthesiology and Intensive Care Medicine and Head of Department at Asklepius Hospital Hamburg - Germany
Scientific Support
Dr. Diogo Sobreira Fernandes
Anaesthesiology Consultant at Centro Hospitalar da Póvoa do Varzim e Vila do Conde –Póvoa do Varzim, Portugal
Target Audience:
Every anaesthesiologist working in theatre and caring for patients in any surgical discipline!
Anaesthetists and Residents in training performing general anaesthesia combined with an epidural, continuous spinal or nerve blocks
Methods to promote adult active learning
This webinar will include:
- Polls: to increase interactivity and engagement. Results from polls will lead to discussion points.
- Q&A sessions: to answer questions brought up by the host and submitted by the audience (in real-time). Questions will be filtered by support staff to prioritise relevance.
- The importance of RA/GA association for opioid-sparing anaesthesia/analgesia should be highlighted
- RA/GA improve intraoperative patient’s comfort and optimize postoperative analgesia
- The importance of depth of anaesthesia monitoring is still not widely recognized (max. 25% of all GA procedures monitored throughout Europe)The advantages of depth of analgesia monitoring are mostly unknown
- Reducing post-operative complications optimal perioperative anaesthesia management
- The rationale of the stress free anaesthesia revisited
- The patient-tailored anaesthesia in a patient-centred care management
- The opioid-sparing anaesthetic management
- The limitation of postoperative pain chronification
- The rationale of depth of anaesthesia monitoring (BIS, Entropy) and depth of analgesia monitoring (SPI) during combined procedures
- Some pivotal findings from major studies
- A concept of getting the most out of the two monitoring devices
Anaesthesiological preparation starts already weeks prior planned surgery. This approach is still very rare although patient outcome can be significantly changed in a positive manner. This webinar addresses the topic of general anaesthesia combined with regional (epidural) anaesthesia.
Content
- Personalized medicine
- Outcome
- Stress free anaesthesia and analgesia
- The era of opioid –sparing anaesthesia
- Additional benefits of local anaesthetics
- Depth of anaesthesia monitoring (BIS, Entropy): benefits pitfalls
- Depth of analgesia (Stress) monitoring (SPI): benefits pitfalls
- The additional value of combining both monitoring devices during a combined anaesthetic
This webinar is available on PC, Tablet and Smartphone.
For the best viewing experience, a high-speed internet connection is required.
This webinar will enable anaesthesiologists to:
The participants are aware of:
- Value preoperative personalized medicine
- Associate RA and GA intraoperatively in order to limit hypotension episodes and inflammatory response
- Use RA for opioid-sparing anaesthesia and analgesia
- Choose the RA for postoperative pain relief
- Interpret BIS/Entropy-values in the context of simultaneous SPI readings
The participants are aware of:
- The use of RA combined with GA is possible
- The meaning of BIS/Entropy and SPI readings
- How to better use RA and GA. What are the best techniques
- See the impact of RA in an opioid-sparing anaesthesia program
- Appreciate the interest of RA in the postoperative period
- Proper interpretation of BIS/Entropy/SPI readings
Summary: ESA Webinar on Combining and monitoring anaesthesia techniques to optimise patient’s outcome
Hans-Christian Zaun, Ph.D.
Scientific Advisor, MULTILEARNING GROUP.
According to the National Institute for Health Research Global Health Research Unit on Global Surgery, postoperative deaths account for almost 8% of all deaths globally, underlying the importance of optimizing prognosis and decreasing patients’ risk. This webinar on Combining and Monitoring Anaesthesia Techniques to Optimise Patient’s Outcome is hosted by Prof. Kai Zacharowski, President, European Society of Anaesthesiology & Intensive Care, and Director & Clinical Head of Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Germany. Scientific support is provided by Dr. Diogo Sobreira Fernandes, Anaesthesiology Consultant at Centro Hospitalar da Póvoa do Varzim e Vila do Conde –Póvoa do Varzim, Portugal.
Prof. Zacharowski begins the webinar by presenting a study by Bernd Saugel’s group from Hamburg (Saugel et al., 2020). This study demonstrated that testing a patient’s resting cardiac index normal value pre-surgery and utilizing a personalized treatment algorithm significantly reduces major postoperative complications and mortality within 30 days after surgery. He then reviews the five ‘Ts’ of perioperative goal-directed haemodynamic therapy; 1) Target population, 2) Timing of intervention, 3) Type of intervention, 4) Target variable, and 5) Target value. Prof. Zacharowski concludes by discussing the impact of patient management networks as an educational tool to improve patient outcomes.
The second speaker is Prof. Xavier Capdevila, from the Montpellier University School of Medicine, who discusses the benefits of optimal anesthetic management, intraoperatively and postoperatively. Prof. Capdevila maintains that perioperative management should be patient-centred, and a primary focus should be the decreasing surgical/postsurgical opioids use. One of the most straightforward management protocols to decrease the risk of complications in the postoperative period is combining regional anaesthesia and general anaesthesia. He reviews several studies to demonstrate how this optimizes the length of stay, decreases the number of patients requiring opioid analgesia, and decreases the inflammatory status of patients. Furthermore, using regional anesthesia effectively reduces persistent postsurgical pain that affects roughly 30% of patients.
The final speaker, Prof. Berthold Bein from Asklepius Hospital Hamburg, Germany, discusses anaesthetic delivery using parameters such as depth of anaesthesia and depth of analgesic indexes in the context of combining regional and general anaesthesia. He discusses the clinical problem of maintaining a patient within a target region in terms of depth of anaesthesia and analgesia to not over-dose or under-dose the patient. Prof. Bein continues by discussing the Surgical Pleth Index (SPI) algorithm that combines the heartbeat interval (HBI) and the photoplethysmographic pulse amplitude (PPGA) to give a range between 0 (no stress) to 100 (very painful and stressful experience for the patient). He then reviews several studies looking at the SPI to evaluate surgical stress during regional and general anaesthesia. Treating patients according to the SPI algorithm demonstrates a reduction in numerous unwanted events during surgery. SPI can detect loss of consciousness and is significantly better in detecting maximal surgical stimulation when compared to bispectral index, mean arterial pressure or heart rate. However, he does state that proper training in the use of SSPI is required to fully optimize the patient.
Hans-Christian Zaun, Ph.D.
Scientific Advisor, MULTILEARNING GROUP.
According to the National Institute for Health Research Global Health Research Unit on Global Surgery, postoperative deaths account for almost 8% of all deaths globally, underlying the importance of optimizing prognosis and decreasing patients’ risk. This webinar on Combining and Monitoring Anaesthesia Techniques to Optimise Patient’s Outcome is hosted by Prof. Kai Zacharowski, President, European Society of Anaesthesiology & Intensive Care, and Director & Clinical Head of Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Germany. Scientific support is provided by Dr. Diogo Sobreira Fernandes, Anaesthesiology Consultant at Centro Hospitalar da Póvoa do Varzim e Vila do Conde –Póvoa do Varzim, Portugal.
Prof. Zacharowski begins the webinar by presenting a study by Bernd Saugel’s group from Hamburg (Saugel et al., 2020). This study demonstrated that testing a patient’s resting cardiac index normal value pre-surgery and utilizing a personalized treatment algorithm significantly reduces major postoperative complications and mortality within 30 days after surgery. He then reviews the five ‘Ts’ of perioperative goal-directed haemodynamic therapy; 1) Target population, 2) Timing of intervention, 3) Type of intervention, 4) Target variable, and 5) Target value. Prof. Zacharowski concludes by discussing the impact of patient management networks as an educational tool to improve patient outcomes.
The second speaker is Prof. Xavier Capdevila, from the Montpellier University School of Medicine, who discusses the benefits of optimal anesthetic management, intraoperatively and postoperatively. Prof. Capdevila maintains that perioperative management should be patient-centred, and a primary focus should be the decreasing surgical/postsurgical opioids use. One of the most straightforward management protocols to decrease the risk of complications in the postoperative period is combining regional anaesthesia and general anaesthesia. He reviews several studies to demonstrate how this optimizes the length of stay, decreases the number of patients requiring opioid analgesia, and decreases the inflammatory status of patients. Furthermore, using regional anesthesia effectively reduces persistent postsurgical pain that affects roughly 30% of patients.
The final speaker, Prof. Berthold Bein from Asklepius Hospital Hamburg, Germany, discusses anaesthetic delivery using parameters such as depth of anaesthesia and depth of analgesic indexes in the context of combining regional and general anaesthesia. He discusses the clinical problem of maintaining a patient within a target region in terms of depth of anaesthesia and analgesia to not over-dose or under-dose the patient. Prof. Bein continues by discussing the Surgical Pleth Index (SPI) algorithm that combines the heartbeat interval (HBI) and the photoplethysmographic pulse amplitude (PPGA) to give a range between 0 (no stress) to 100 (very painful and stressful experience for the patient). He then reviews several studies looking at the SPI to evaluate surgical stress during regional and general anaesthesia. Treating patients according to the SPI algorithm demonstrates a reduction in numerous unwanted events during surgery. SPI can detect loss of consciousness and is significantly better in detecting maximal surgical stimulation when compared to bispectral index, mean arterial pressure or heart rate. However, he does state that proper training in the use of SSPI is required to fully optimize the patient.
Summary: ESA Webinar on Combining and monitoring anaesthesia techniques to optimise patient’s outcome
Hans-Christian Zaun, Ph.D.
Scientific Advisor, MULTILEARNING GROUP.
According to the National Institute for Health Research Global Health Research Unit on Global Surgery, postoperative deaths account for almost 8% of all deaths globally, underlying the importance of optimizing prognosis and decreasing patients’ risk. This webinar on Combining and Monitoring Anaesthesia Techniques to Optimise Patient’s Outcome is hosted by Prof. Kai Zacharowski, President, European Society of Anaesthesiology & Intensive Care, and Director & Clinical Head of Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Germany. Scientific support is provided by Dr. Diogo Sobreira Fernandes, Anaesthesiology Consultant at Centro Hospitalar da Póvoa do Varzim e Vila do Conde –Póvoa do Varzim, Portugal.
Prof. Zacharowski begins the webinar by presenting a study by Bernd Saugel’s group from Hamburg (Saugel et al., 2020). This study demonstrated that testing a patient’s resting cardiac index normal value pre-surgery and utilizing a personalized treatment algorithm significantly reduces major postoperative complications and mortality within 30 days after surgery. He then reviews the five ‘Ts’ of perioperative goal-directed haemodynamic therapy; 1) Target population, 2) Timing of intervention, 3) Type of intervention, 4) Target variable, and 5) Target value. Prof. Zacharowski concludes by discussing the impact of patient management networks as an educational tool to improve patient outcomes.
The second speaker is Prof. Xavier Capdevila, from the Montpellier University School of Medicine, who discusses the benefits of optimal anesthetic management, intraoperatively and postoperatively. Prof. Capdevila maintains that perioperative management should be patient-centred, and a primary focus should be the decreasing surgical/postsurgical opioids use. One of the most straightforward management protocols to decrease the risk of complications in the postoperative period is combining regional anaesthesia and general anaesthesia. He reviews several studies to demonstrate how this optimizes the length of stay, decreases the number of patients requiring opioid analgesia, and decreases the inflammatory status of patients. Furthermore, using regional anesthesia effectively reduces persistent postsurgical pain that affects roughly 30% of patients.
The final speaker, Prof. Berthold Bein from Asklepius Hospital Hamburg, Germany, discusses anaesthetic delivery using parameters such as depth of anaesthesia and depth of analgesic indexes in the context of combining regional and general anaesthesia. He discusses the clinical problem of maintaining a patient within a target region in terms of depth of anaesthesia and analgesia to not over-dose or under-dose the patient. Prof. Bein continues by discussing the Surgical Pleth Index (SPI) algorithm that combines the heartbeat interval (HBI) and the photoplethysmographic pulse amplitude (PPGA) to give a range between 0 (no stress) to 100 (very painful and stressful experience for the patient). He then reviews several studies looking at the SPI to evaluate surgical stress during regional and general anaesthesia. Treating patients according to the SPI algorithm demonstrates a reduction in numerous unwanted events during surgery. SPI can detect loss of consciousness and is significantly better in detecting maximal surgical stimulation when compared to bispectral index, mean arterial pressure or heart rate. However, he does state that proper training in the use of SSPI is required to fully optimize the patient.
Hans-Christian Zaun, Ph.D.
Scientific Advisor, MULTILEARNING GROUP.
According to the National Institute for Health Research Global Health Research Unit on Global Surgery, postoperative deaths account for almost 8% of all deaths globally, underlying the importance of optimizing prognosis and decreasing patients’ risk. This webinar on Combining and Monitoring Anaesthesia Techniques to Optimise Patient’s Outcome is hosted by Prof. Kai Zacharowski, President, European Society of Anaesthesiology & Intensive Care, and Director & Clinical Head of Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Germany. Scientific support is provided by Dr. Diogo Sobreira Fernandes, Anaesthesiology Consultant at Centro Hospitalar da Póvoa do Varzim e Vila do Conde –Póvoa do Varzim, Portugal.
Prof. Zacharowski begins the webinar by presenting a study by Bernd Saugel’s group from Hamburg (Saugel et al., 2020). This study demonstrated that testing a patient’s resting cardiac index normal value pre-surgery and utilizing a personalized treatment algorithm significantly reduces major postoperative complications and mortality within 30 days after surgery. He then reviews the five ‘Ts’ of perioperative goal-directed haemodynamic therapy; 1) Target population, 2) Timing of intervention, 3) Type of intervention, 4) Target variable, and 5) Target value. Prof. Zacharowski concludes by discussing the impact of patient management networks as an educational tool to improve patient outcomes.
The second speaker is Prof. Xavier Capdevila, from the Montpellier University School of Medicine, who discusses the benefits of optimal anesthetic management, intraoperatively and postoperatively. Prof. Capdevila maintains that perioperative management should be patient-centred, and a primary focus should be the decreasing surgical/postsurgical opioids use. One of the most straightforward management protocols to decrease the risk of complications in the postoperative period is combining regional anaesthesia and general anaesthesia. He reviews several studies to demonstrate how this optimizes the length of stay, decreases the number of patients requiring opioid analgesia, and decreases the inflammatory status of patients. Furthermore, using regional anesthesia effectively reduces persistent postsurgical pain that affects roughly 30% of patients.
The final speaker, Prof. Berthold Bein from Asklepius Hospital Hamburg, Germany, discusses anaesthetic delivery using parameters such as depth of anaesthesia and depth of analgesic indexes in the context of combining regional and general anaesthesia. He discusses the clinical problem of maintaining a patient within a target region in terms of depth of anaesthesia and analgesia to not over-dose or under-dose the patient. Prof. Bein continues by discussing the Surgical Pleth Index (SPI) algorithm that combines the heartbeat interval (HBI) and the photoplethysmographic pulse amplitude (PPGA) to give a range between 0 (no stress) to 100 (very painful and stressful experience for the patient). He then reviews several studies looking at the SPI to evaluate surgical stress during regional and general anaesthesia. Treating patients according to the SPI algorithm demonstrates a reduction in numerous unwanted events during surgery. SPI can detect loss of consciousness and is significantly better in detecting maximal surgical stimulation when compared to bispectral index, mean arterial pressure or heart rate. However, he does state that proper training in the use of SSPI is required to fully optimize the patient.
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