WEBINAR: Improving patient safety: why perioperative care and effective monitoring matters
28 September, 2021, 2-3pm CET
In Europe, 2.4 million patients undergo high-risk surgery every year and while surgery is safer today than ever – it is not totally risk free.[i],[ii] Evidence shows that while death during surgery is rare, the 30 days after a procedure are critical. More than 1 in 100 adults (1.5%) die in the first 30 days following their operation.[iii]
During high-risk surgery it is vital that blood continues to flow to organs. If blood pressure drops, and organs do not get enough blood, the higher the risk of severe postoperative complications such as myocardial injury, acute kidney injury, and increased mortality.[iv],[v] These drops in blood pressure are known as intraoperative hypotension (IOH) and are common – particularly in more senior patients.[vi] Experiencing IOH for as little as a minute increases the risk of patient harm or death[vii] yet there is low awareness of this serious issue among patients, clinicians, and policy makers. However, the risks posed IOH can be reduced or even avoided with effective monitoring and management. In addition, there is now a greater need to improve perioperative care since the pandemic, which has put pressure on hospital capacity.
The Improving Patient Outcomes (ImPrOve) Think Tank, a group of anaesthetists, surgeons, and patient representatives, have come together to address this serious public health issue – death and serious complication rates in the 30-days after high-risk surgery remain high.[viii]
Help to bring this issue out from the shadows and join a panel of European critical care experts, patients, and policy makers for a one-hour webinar hosted by Seán Kelly, MEP!
There will also be the opportunity to ask questions directly to the panel
Prof. Olivier Huet
Prof. Michael Sander
Prof. Michael (Monty) Mythen
International Relation Manager SIHA
Seán Kelly MEP
Member of the European Parliament
for Ireland South
[i] Preoperative Score to Predict Postoperative Mortality – POSPOM Edward’s Presentation
[ii] Ghaferi, et al. Variation in Hospital Mortality Associated with Inpatient Surgery. N Engl J Med, 2009.
[iii] Devereaux, P.J., Sessler, D.I., (2015). Cardiac Complications in Patients Undergoing Major Noncardiac Surgery, N Engl J Med, 373(23), 2258-2269.
[iv] Bijker JB, van Klei WA, Kappen TH, van Wolfswinkel L, Moons, KGM, Kalkman CJ. Incidence of Intraoperative Hypotension as a Function of the Chosen Definition. Anesthesiology. 2007; Aug;107(2):213-20. Available at: https://pubs.asahq.org/anesthesiology/article/107/2/213/7525/Incidence-of-Intraoperative-Hypotension-as-a [accessed December 2020].
[v] Sessler DI, Bloomstone JA, Aronson S, Berry C, Gan TJ, Kellum JA et al. Perioperative Quality Initiative consensus statement on intraoperative blood pressure, risk and outcomes for elective surgery. Br J Anaesth. 2019 May;122(5):563-574. Available at: https://bjanaesthesia.org/article/S0007-0912(19)30050-9/fulltext. [accessed December 2020].
[vi] Wickham A, Highton D, Martin D, The Pan London Perioperative Audit and Research Network. Care of elderly patients: a prospective audit of the prevalence of hypotension and the use of BIS intraoperatively in 25 hospitals in London. Perioper Med (Lond). 2016; 5: 12. Available at: (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882849/) [accessed July 2021].
[vii] Salmasi V, Maheshwari K, Yang D, Mascha EJ, Singh A, Sessler DI et al. Relationship between Intraoperative Hypotension, Defined by Either Reduction from Baseline or Absolute Thresholds, and Acute Kidney and Myocardial Injury after Noncardiac Surgery: A Retrospective Cohort Analysis. Anesthesiology. 2017 Jan;126(1):47-65. Available at: https://pubmed.ncbi.nlm.nih.gov/27792044/. [accessed December 2020].
[viii] Pearse RM, Moreno RP, Bauer P, Pelosi P, Metnitz P, Spies C et al. Mortality after surgery in Europe: a 7-day cohort study. Lancet. 2021; Sep 22;380(9847):1059-65. Available at: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)61148-9/fulltext[accessed July 2021].