Anesthesia Patient Safety Podcast

What if the future of dual antiplatelet therapy (DAPT) could be shorter, safer, and more effective? Uncover the latest insights into drug-eluting stents and how they are transforming how we think about dual-antiplatelet therapy. Join us as we examine the game-changing recommendations from top cardiology societies, which suggest that newer-generation stents can significantly reduce the duration of DAPT, particularly for patients with a high bleeding risk. Listen in as we dissect the innovative tools like the PRECISE-DAPT score and ARC-HBR criteria used to determine bleeding risk, ensuring patient safety without compromising on the efficacy of treatment. We delve into pivotal studies, including the Global Leader Study and the STOP-DAPT trial, that back these groundbreaking changes.

Our conversation takes an intriguing turn as we explore the intersection of cardiology advancements with anesthesia practices. Discover how these developments are influencing preoperative settings, potentially altering surgical timing and decision-making in anesthesia care. We bring you exclusive insights from contributor, Janak Chandrasoma, featured in the October 2024 APSF newsletter. We urge you to explore further resources, share the knowledge with your peers, and join us in promoting patient safety in perioperative environments. Don't forget to rate, review, and share the episode with colleagues keen on staying at the forefront of anesthesia patient safety advancements.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/229-revolutionizing-anesthesia-care-for-cardiac-patients/

© 2024, The Anesthesia Patient Safety Foundation

What if the future of cardiac care meant shorter duration of dual antiplatelet therapy without compromising safety? Join us as we explore this possibility with Dr. Joseph Szokol, a leading expert in clinical anesthesiology at the Keck School of Medicine of USC. Dr. Szokol shares his insights into the revolutionary advancements in drug-eluting stent technology, which are reshaping how we approach perioperative care and patient safety. With over 600,000 cardiac stents placed each year, this episode is a must-listen for understanding the evolving landscape and its implications for anesthesia professionals.

Reflecting on past challenges, we transport you back to insights from the 2009 APSF newsletter that spotlighted the critical risks of stent thrombosis associated with older stent technologies. Discover how recommendations have dramatically shifted—from urging a 12-month delay for elective surgeries post-stent placement to adapting to breakthroughs in new generation stents. With a compelling narrative filled with historical context and cutting-edge research, this episode equips listeners with vital knowledge and updated guidelines that could significantly enhance perioperative patient management and safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/228-the-journey-of-drug-eluting-stents-and-anesthesia-patient-safety/

© 2024, The Anesthesia Patient Safety Foundation

Join us for an enlightening conversation with documentary filmmaker Mike Eisenberg, where we explore the transformative role of technology in patient safety, inspired by his acclaimed film "The Pitch." Discover how pioneers like Jeff Cooper have shaped anesthesia patient safety and learn how the world of aviation offers valuable lessons for the healthcare industry. We promise you'll gain insights into how embracing technological innovations can not only reduce complications and costs but also improve safety outcomes across the board. You'll hear about the fascinating parallels between industries and the potential of predictive analytics to preemptively tackle issues like low blood pressure during surgery.

In our discussion, we highlight the power of collaboration and storytelling in driving change within healthcare systems. We highlight the significance of dedicated events such as Patient Safety Awareness Week and World Anesthesia Day in bringing often-overlooked topics to the forefront. This episode underscores the collective effort needed to address patient safety issues, likening it to the global challenge of climate change. Listen in to understand the pivotal role of media and technology in shaping a safer future for patients worldwide.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/227-technologys-impact-on-patient-safety-insights-from-filmmaker-mike-eisenberg/

© 2024, The Anesthesia Patient Safety Foundation

Documentary film director, Mike Eisenberg, shares his compelling journey from playing minor league baseball to directing films that change lives. Inspired by his late father, a prominent figure in patient safety, Eisenberg brings passion and insight to his exploration of patient safety in healthcare. His earlier work, "To Error is Human," laid the groundwork for a critical conversation on improving patient safety in healthcare systems. Now, Eisenberg introduces his sequel, "The Pitch," which confronts the evolving role of technology in this ongoing mission. Through personal stories and expert insights, we learn how these documentaries have resonated with audiences and sparked a movement for change.

Our discussion takes an enlightening turn as we explore the cutting-edge innovations featured in Eisenberg's latest project. Our conversation highlights the vital role of technology in redefining patient safety. With a focus on the triumphs and trials faced by these innovators, listeners will gain a deeper understanding of how technological advances are shaping the future of healthcare and patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/226-from-the-ballpark-to-the-big-screen-patient-safetys-next-generation/

© 2024, The Anesthesia Patient Safety Foundation

Can anesthesia care for patients with obstructive sleep apnea (OSA) impact patient safety during surgery? Join me, Alli Bechtel, as I unravel the complexities of managing anesthesia for OSA patients, drawing insights from experts like Mandeep Singh and his team, featured in the June 2024 APSF newsletter. This episode promises to enhance your understanding of the challenges and solutions in perioperative care for OSA patients, highlighting the importance of preoperative screening and the pressing need for structured postoperative guidelines. With the prevalence of OSA higher in surgical patients, the frequent lack of diagnosis poses significant risks, and together, we explore how clinical guidelines are working to change that narrative.

The Society of Anesthesia and Sleep Medicine is at the forefront of the mission to keep sleep disorder patients safe, and I'm here to share their initiatives and collaborative efforts with you. From addressing the gaps in routine OSA screening to improving clinical training, this conversation is packed with actionable recommendations to elevate anesthesia care practices. Discover the significance of collaborative efforts with other medical societies to create comprehensive management guidelines that ensure patient safety. Whether you're directly involved in anesthesia care or interested in the latest advancements in patient safety, this episode is essential listening for navigating the complexities of OSA management in the perioperative period.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/225-collaborative-guidelines-for-safe-anesthesia-in-osa/

© 2024, The Anesthesia Patient Safety Foundation

Wiretap laws might seem like a distant concern, but in the realm of clinical practice, they could be more relevant than you think. What if a simple audio recording could make or break your patient care approach? Join us as we unravel the complexities of wiretap regulations in healthcare with insights from Karolina Brook's enlightening APSF article, "Wiretap Laws: Relevance to Clinical Practice and Patient Safety." We'll explore how these laws differ across states, affecting everything from face-to-face conversations to phone calls, and discuss the potential penalties that could arise from unintentional violations.

In our episode, we share practical tips for anesthesia professionals to navigate these legal waters, ensuring compliance while safeguarding privacy and safety. Whether you're an anesthesia professional or a legal enthusiast, this episode promises to equip you with valuable insights and strategies to remain informed and legally compliant.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/224-staying-legal-recording-conversations-during-anesthesia-care/

© 2024, The Anesthesia Patient Safety Foundation

Ever wondered how wiretap laws impact your daily clinical interactions and patient safety measures? Discover the complexities of these laws with insights from our guest, Dr. Karolina Brook, an anesthesiologist from Boston Medical Center. Join us on the Anesthesia Patient Safety Podcast as we unravel the intricacies of one-party and all-party consent states, and explore how these decades-old statutes are more relevant than ever in our digital age. Dr. Brook shares her personal experiences of being recorded by patients, which fueled her exploration into the legal frameworks that continue to shape our practice today.

Through our engaging discussion, you'll gain a deeper understanding of how state wiretap laws can affect anesthesia professionals. We delve into the nuances of what it means to practice in different consent jurisdictions and the importance of safeguarding patient trust while ensuring compliance. We navigate this rarely covered yet essential topic and provide valuable perspectives on the intersection of technology, legality, and patient safety—equipping you with the knowledge to better manage these real-world challenges in clinical practice.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/223-navigating-wiretap-laws-in-clinical-practice-insights-for-anesthesia-professionals/

© 2024, The Anesthesia Patient Safety Foundation

Unlock the secrets to enhancing patient safety with our comprehensive discussion on the External Ventricular Drain (EVD) Safety Campaign. Ever wondered how to drastically reduce complications like ventriculitis? We promise you'll walk away with actionable insights, from the critical use of antimicrobial EVDs to the meticulous setup of devices by trained personnel under sterile conditions. We'll delve into essential preoperative steps such as patient history, neurological exams, and intracranial pressure (ICP) monitoring to ensure you're equipped with the best practices for patient care.

Our episode doesn't stop there. We go further to unravel the intricacies of correctly leveling an EVD and the importance of monitoring ICP waveforms, especially during patient transport. Should you travel with the EVD clamped or open? We've got you covered with practical guidelines and key considerations for continuous monitoring. Don't miss out on this treasure trove of knowledge tailored for healthcare professionals committed to elevating patient safety. For more details and resources, visit APSF.org, and feel free to reach out to us with your questions at [email protected].

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/222-best-practices-for-external-ventricular-drain-management/

© 2024, The Anesthesia Patient Safety Foundation

Curious about the best practices for managing patients with External Ventricular Drains (EVDs) during anesthesia and ICU transport? Join us as we talk to Dr. Abhijit Lele, a leading neuro-anesthesiologist and neuro-intensivist, who shares his expertise and personal journey from pediatrics to neuro-critical care. Discover the collaborative efforts between the Anesthesia Patient Safety Foundation (APSF) and the Society for Neuroscience and Anesthesiology and Critical Care (SNACC) aimed at improving the safety and outcomes for patients with EVDs.

Dr. Lele provides invaluable insights into the complexities of neuro-critical care, shedding light on advanced monitoring techniques and quality improvement initiatives. Learn about his dedicated approach to managing severe neurological conditions in both perioperative and intensive care settings, and how his experiences have shaped his passion for global patient safety. Tune in for practical recommendations and expert knowledge that will enhance your practice and ensure your patients with EVDs receive the highest standard of care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/221-enhancing-patient-safety-in-neurocritical-care-best-practices-for-managing-external-ventricular-drains-with-dr-abhijit-lele/

© 2024, The Anesthesia Patient Safety Foundation

Curious about how to enhance patient safety with external ventricular drains or EVDs? Join us as we unravel the intricacies of EVDs and their pivotal role in perioperative care. With over 25,000 EVD placements annually in the United States, it's crucial for anesthesia and critical care professionals to master the management of these devices to prevent serious complications. We delve into the fundamentals of EVDs, covering their function, placement, and the common risks associated with their use.

This episode features the launch of the EVD Safety Campaign, a collaboration between the Anesthesia Patient Safety Foundation (APSF) and the Society for Neuroscience in Anesthesiology and Critical Care (SNACC). We'll discuss the campaign's objectives, which include raising awareness, providing education, promoting standardized guidelines, and enhancing clinical proficiency. Discover the wealth of resources available in the EVD Knowledge Hub, designed to equip healthcare professionals with the skills needed to ensure optimal patient outcomes. Tune in for a comprehensive guide on safeguarding patients with EVDs and elevating your clinical practice.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/220-enhancing-patient-safety-with-external-ventricular-drains-launching-the-evd-safety-campaign/

© 2024, The Anesthesia Patient Safety Foundation