Publications, News, and Videos

Perioperative Diagnostic Excellence for the Older Adult: An Educational Initiative

The Council of Medical Specialty Societies (CMSS) has awarded ASA and 10 other member specialty societies grants of $100,000 each to promote diagnostic excellence across the field of medicine. The ASA Committee on Geriatric Anesthesia, including the Perioperative Brain Health Subcommittee, will develop free educational virtual learning products with Continuing Medical Education (CME) awarded to train physician anesthesiologists on the use of important diagnostic tools needed to improve the care of older adults. The learning products will include recorded webinars, a live townhall, and incorporate a take-home toolkit for learners to provide references to use in the daily engagement of older adult patients within their own medical community. This project is funded by the Gordon and Betty Moore Foundation and The John A. Hartford Foundation through a grant program administered by the Council of Medical Specialty Societies.

Publications Reading List

The following is recommended reading curated by members of the Perioperative Brain Health Initiative.

Review on Cognitive Screening Tools:
Arias F, Wiggins M, Urman RD, Armstrong R, Pfeifer K, Bader AM, Libon DJ, Chopra A, Price CC. Rapid in-person cognitive screening in the preoperative setting: Test considerations and recommendations from the Society for Perioperative Assessment and Quality Improvement (SPAQI). J Clin Anesth. 2020 Jun;62:109724. doi: 10.1016/j.jclinane.2020.109724. Epub 2020 Feb 1. PMID: 32018131; PMCID: PMC8402420.

Review on Frailty Tools:
Alvarez-Nebreda ML, Bentov N, Urman RD, Setia S, Huang JC, Pfeifer K, Bennett K, Ong TD, Richman D, Gollapudi D, Alec Rooke G, Javedan H. Recommendations for Preoperative Management of Frailty from the Society for Perioperative Assessment and Quality Improvement (SPAQI). J Clin Anesth. 2018 Jun;47:33-42. doi: 10.1016/j.jclinane.2018.02.011. Epub 2018 Mar 15. PMID: 29550619.

Review on Delirium Tools:
Helfand BKI, D'Aquila ML, Tabloski P, Erickson K, Yue J, Fong TG, Hshieh TT, Metzger ED, Schmitt EM, Boudreaux ED, Inouye SK, Jones RN. Detecting Delirium: A Systematic Review of Identification Instruments for Non-ICU Settings. J Am Geriatr Soc. 2021 Feb;69(2):547-555. doi: 10.1111/jgs.16879. Epub 2020 Nov 2. PMID: 33135780; PMCID: PMC7902461.

Patient Experiences on Delirium:
Kuusisto-Gussmann E, Höckelmann C, von der Lühe V, Schmädig R, Baltes M, Stephan A. Patients' experiences of delirium: A systematic review and meta-summary of qualitative research. J Adv Nurs. 2021 Sep;77(9):3692-3706. doi: 10.1111/jan.14865. Epub 2021 May 15. PMID: 33991125.

Schmitt EM, Gallagher J, Albuquerque A, Tabloski P, Lee HJ, Gleason L, Weiner LS, Marcantonio ER, Jones RN, Inouye SK, Schulman-Green D. Perspectives on the Delirium Experience and Its Burden: Common Themes Among Older Patients, Their Family Caregivers, and Nurses. Gerontologist. 2019 Mar 14;59(2):327-337. doi: 10.1093/geront/gnx153. PMID: 30870568; PMCID: PMC6417767.

Delirium and Cognitive Decline Meta-analysis:
Goldberg TE, Chen C, Wang Y, Jung E, Swanson A, Ing C, Garcia PS, Whittington RA, Moitra V. Association of Delirium With Long-term Cognitive Decline: A Meta-analysis. JAMA Neurol. 2020 Nov 1;77(11):1373-1381. doi: 10.1001/jamaneurol.2020.2273. Erratum in: JAMA Neurol. 2020 Nov 1;77(11):1452. PMID: 32658246; PMCID: PMC7358977.

One-Year Cost of Delirium After Surgery:
Gou RY, Hshieh TT, Marcantonio ER, Cooper Z, Jones RN, Travison TG, Fong TG, Abdeen A, Lange J, Earp B, Schmitt EM, Leslie DL, Inouye SK; SAGES Study Group. One-Year Medicare Costs Associated With Delirium in Older Patients Undergoing Major Elective Surgery. JAMA Surg. 2021 May 1;156(5):430-442. doi: 10.1001/jamasurg.2020.7260. PMID: 33625501; PMCID: PMC7905699.

Watch Videos, Webinars, and Interviews

In this new webinar, anesthesiologists with expertise in perioperative brain health will give an overview of how to assess, manage and treat Delirium in the Post Anesthesia Care Unit.

Listen to a panel of experts discuss the role of a physician anesthesiologist in identifying and addressing delirium. CME available. Free access, sign-in required.

Watch a discussion of the implementation of ERAS protocols for perioperative care from a panel of international experts. CME available. Member Sign-in required.

Watch Perioperative Brain Health Initiative Subcommittee Chair, Stacie Deiner, MD, MS, contributing authors and brain health experts discuss the publication Improving Perioperative Brain Health: An Expert Consensus Review Of Key Actions For The Perioperative Care Team

Watch expert panelists discuss practical implementation strategies for the geriatric patient. Key areas of focus will include frailty assessments and optimization, use of prehabilitation for optimization, and leveraging multidisciplinary care for the geriatric patient.

Watch Perioperative Brain Health Initiative Subcommittee Chair, Dr. Carol Peden, and an expert panel discuss telemed cognitive evaluations, blood biomarkers and intraoperative EEG to assess perioperative vulnerability, and delirium and COVID-19.

Lee Fleisher, M.D., provides an update on Perioperative Neurocognitive Disorder (PND) research and the Perioperative Brain Health Initiative Summit at ANESTHESIOLOGY^® 2018.

Lee Fleisher, M.D., interviews Irv, who experienced several postoperative delirium episodes during his 51 hours of hospitalization. He described his hallucinations so intense he thought he would fall out of bed. [July 2018].

Lee Fleisher, M.D., interviews Kathy, a woman who experienced postoperative delirium shortly after a procedure. Her “memory fog” was acknowledged by her surgeon but lasted longer than expected [July 2018].