Perioperative Management-In Its 39th Year

Overview

What you will learn

The learning objectives of the Perioperative Management-In Its 39th Year course offered by Johns Hopkins University are:

• Describe current guidelines for preoperative cardiac and pulmonary risk assessment and list several ways to predict and prevent cardiac and pulmonary complications using preoperative testing and intraoperative and postoperative interventions.

• List several long term complications of COVID that can impact perioperative care, and describe strategies to mitigate perioperative risk in patients with a history of SARS-CoV-2 exposure.

• Recognize the risks of perioperative anemia and transfusion as well as the risks and benefits of perioperative anti-thrombotic therapies, and list several strategies to reduce bleeding and thrombotic complications through evidence-based approaches to anemia management, transfusion, coagulation testing, and pharmacologic interventions with anti-thrombotic and anti-fibrinolytic agents.

• Describe the perioperative complications associated with diabetes, renal insufficiency, liver disease, delirium, and frailty, and list current management strategies to optimize outcomes in patients with these medical conditions.

• Describe strategies to control acute postoperative pain and reduce risk for chronic opioid dependency in patients who undergo surgery.

• Recognize how to prevent, diagnose, and treat common healthcare associated infections that complicate surgical procedures.

• Recognize the impact of burnout, and its relation to gender, race, and micro-aggressions, on clinician wellbeing and patient safety, and describe strategies to improve work-force wellbeing, communication, and the quality/safety of clinical care for of individual healthcare worker, patients, and the health system.

• Recognize basic views for real-time ultrasound guided vascular access and perform vascular access on simulation equipment using ultrasound

• Recognize and interpret basic transthoracic ultrasound views of cardiac and lung structures 

• Apply basic ultrasound algorithms to diagnose and manage an unstable perioperative patient

• Recognize and interpret ultrasound views of peripheral nerve structures and how ultrasound can facilitate performance of peripheral nerve blocks for upper and lower extremity surgery

• Recognize the causal role of gratitude in well-being 

• Perform a brief gratitude intervention in real time

• List several wellbeing improvements associated with awe and wonder interventions 

• Perform a brief awe intervention in real time.