More Related Content Similar to Safe, effective surgery - everyone's job (20) Safe, effective surgery - everyone's job2. Disclosures
Research Grants
• Nestle Health Sciences
• Edwards Lifesciences
• Intersurgical
• Medtronic
Honoraria
• Nestle Health Sciences
• Edwards Lifesciences
• Medtronic
• Glaxo Smithkline
7. • 310 million surgical procedures worldwide
• True mortality rate is not known
• 3 million deaths each year
11. Hospital response to the deteriorating patient
Complications Mortality FtR ICU
Ahmad et al. Brit J Anaesth 2017 epub
17. Hobson C et al. Circulation 2009;119: 2444
Acute Kidney Injury and long-term mortality after
cardiac surgery
18. Acute Kidney Injury:
A key cause of Chronic Kidney Disease
CKD 1
CKD 4
CKD 2
CKD 3
CKD 5 = DIALYSIS
AKI
AKI
AKI
AKI
25. Use of surgical checklists across Europe
Jammer I et al. Brit J Anaesth 2015; 114: 801-7.
31. Wunsch et al. Anesthesiology 2016; 124: 899-907.
ICU not associated with lower mortality
after surgery in USA
37. Surgery as a sentinel event...
• First contact with doctor
• Co-morbid disease
• Secondary prevention
40. Improving surgical outcomes
• High volume of surgery
• Outcomes poor for many patients
• Inequalities in surgical care
• Improve quality of care
• Adapt to individual patient needs