Thread by @EMARIANOMD

#meded #Thread @nelkassabany starts #AnesGR with his take home points:

➡️ Always think about adding value
➡️ Measure outcomes that matter to patients
➡️ Involve all stakeholders
➡️ Bust silos

#medthread #regionalanesthesia

#regionalanesthesia takes commitment!

@nelkassabany quotes @aboezaart1: "A block is not a one night stand..."

Developing a comprehensive enhanced recovery protocol means considering all phases of patient care. Patient education and engagement are key!

See free materials from @ASRA_Society here: asra.com/page/40/patien…

Shout-out to @dr_tgro for using #TikTok to educate the public about #painmanagement options after surgery!

@nelkassabany says #opioids are not the enemy. They aren't the only pain medications, however, and should only be used when indicated. Very consistent with our message in this editorial @headdock ncbi.nlm.nih.gov/pmc/articles/P…

Very important lessons in change management from @nelkassabany:

➡️ Assemble stakeholders
➡️ Do a pilot
➡️ Define outcomes and collect data
➡️ "Show off" which he clarifies to mean publish your results so others can learn by example!

Besides opioid dose and pain scores, @nelkassabany suggests additional outcome measures related to #painmanagement 👇🏽

Practical application of multimodal #painmanagement - @nelkassabany suggests some non-opioid interventions should be offered to all patients (except when contraindicated) while others should only be used when indicated. See @Anaes_Journal editorial onlinelibrary.wiley.com/doi/abs/10.111…

NEW enhanced recovery protocol for #kneereplacement at @PennAnesthesia - key feature is use of a prediction tool (RAPT) to assess patients' likely discharge disposition before surgery.

@threadreaderapp unroll