2022 Michigan Sites
Welcome
● Alpena
● Clare
● Gladwin
● Gratiot
● West Branch
● Carson
● Clinton
● Eaton
● Ionia
Thank You
Our Team
Themes
Sustainability
Environmentally sustainability - how can anesthesia
providers play a role in reducing greenhouse gas
emissions, while potentially reducing costs?
SUS 01 – low fresh gas flow
SUS 02 – global warming footprint - maintenance
SUS 03 – global warming footprint - induction
SUS 04 – lower fresh gas flow
SUS 05 (Peds) – avoiding nitrous oxide – induction
New
Data
Research
QI
Virtuous
Cycle
Cognition
How does surgery affect cognition? Dr. Whitlock
How often do we assess cognition in
the immediate pre-operative period?
Dr. Abess and team,
MPOG research
project
Are we adequately assessing delirium
post-operatively?
Dr. Vlisides
How can ASPIRE assess geriatric
anesthetic quality?
MPOG geriatric
anesthesia
workgroup
FAM-HELP
to prevent
delirium
Improved
feedback
Does a more targeted message in the provider
feedback email improve measure compliance?
Principal Investigator - Zach Landis Lewis PhD
~Year 1 - Interviewing providers about their
preferences for feedback and building a
“pipeline” from/to ASPIRE provider feedback
emails
~Year 2 and 3 - Conducting a trial with control
(existing emails) and intervention (updated) emails
~Year 4 - disseminating results
Precision
Feedback
Trial
● Pilot Trial – September 2023
● 4 sites – 2 community and 2 academic
● National trial (including MI sites Spring 2024)
CURB - AKI
Cardiac sURgery anesthesia
Best practices to reduce Acute
Kidney Injury
The Problem
15-30% of patients
undergoing cardiac
surgery develop acute
kidney injury (AKI)
• Why do these 15-30% develop AKI?
• What actions try to reduce AKI?
• Which set of actions is most
effective for which patient?
• By suggesting "optimal" actions,
can we improve on the status quo?
The Big Questions
Aim 3
Disseminate &
Evaluate Precision
Feedback
Aim 1
Characterize
Practices
Related to AKI
Aim 2
Estimate Impact of Individualized Care for
Heterogenous Subgroups
• Fluids / Blood Products
• Hemodynamic Medications
• Insulin/glycemic control
• Thermoregulation
• …etc.
Subgroup A
Subgroup B
Subgroup C
…etc.
Cardiac
Surgery
Patient
Recovery
Acute
Kidney
Injury
Solution: CURB-AKI
Afternoon session
If you do not have one, obtain at the
registration table. You’ll need it to enter the
auditorium.
If you are attending the ASPIRE afternoon
performance review session, please fill out a
confidentiality agreement.
Thank you
Congrats
Sachin!
Induction into the National Academy of Medicine
Kevin K. Tremper Professor of Anesthesiology
For being an international leader in anesthesiology
inform a tics a nd clinica l resea rch . His lea dership of the
Multicenter Perioperative Outcomes Group (MPOG), with
data on more than 16 million patients from more than
50 hospitals across multiple countries and dozens of
states, has transformed the field through international
epidem iologic studies, n a tiona l persona lized qua lity
im provem ent im plem enta tion, pra gm a tic clinica l tria ls,
and data science.
