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The Ultimate Gift: The Anesthesiologist’s Role in Organ Donation
Anesthesiologists play a central role in organ donation. Donor identification, peri-operative support, and intra-operative care are practices where the anesthesiologist can significantly impact the donation process. Expanding the donor pool while optimizing organ quality requires the anesthesiologist to appreciate the ethical, regulatory, and technical aspects of donation in addition to donor physiology. Optimizing the donation process affords organ recipients the greatest opportunity for long-term allograft function. This clinical panel will address the above issues within the context of donation after brain death and donation after cardiac death. The evolving role of machine preservation technologies and donor-directed research will be addressed.
Pediatric Enhanced Recovery After Surgery: Multimodal Pharmacologic and Nonpharmacologic and Regional Anesthesia
Enhanced recovery after surgery protocols have made a tremendous impact in the adult population. Several high impact pathways exist in pediatrics. These will be discussed with a particular focus on multimodal pain management benefits.
Understanding How Workplace Silos Are Created, Sustained and Can Come Crashing Down
With increasing patient, case, and medical center site complexity, specialization of health care providers appears inevitable. Within anesthesiology, fellowships have given practitioners the ability to safely provide challenging medical care and develop increasingly complex clinical pathways. Specialization may also impact the perioperative management of patients with each group providing a particular aspect of patient care. The creation of these care silos may have unintended negative side-effects including decreased collaboration and collegiality, competition with providers outside of the specialty, feelings of isolation, skill degradation, and decreased career satisfaction. Heavy dependence on workplace silos may have a negative impact on patient care if providers are not focused on the patient as a whole. This panel will address issues relevant to workplace silos, how they are created, sustained, issues that may arise, and strategies to address issues threatening workplace harmony.