The Perioperative Multidisciplinary Care of the High-Risk Surgical Patient:

Stepping Outside the Comfort Zone

Overview: 

MEMA 2019’s focus on perioperative care of high-risk surgical patients is in line with the proper recognition of the complexity of care of such patients from admission till discharge. The current practice of perioperative and critical care medicine is increasingly characterized by high-risk patients with advanced age and co-morbidities for an ever-growing spectrum of surgical interventions in and out of the operating rooms and the increase in preparedness of dealing with high-risk surgical patients along with the advancement in technology.

Why Perioperative Care of High-Risk Surgical Patients? Simply because it involves preoperative, intraoperative, and postoperative care. Preoperative care presents accurate and timely preoperative identification of high-risk surgical patients and widens the scope of opportunities to better inform these patients about expected risks. Preoperative assessment will dictate special preoperative optimization of the patient’s condition and special intraoperative care. Intraoperative care will require special anesthesia monitoring and special types of anesthesia. Surgical intraoperative care may also be modified to accommodate for the high-risk condition.  Different operations may be performed such as minimally invasive, endovascular or hybrid. Furthermore, there are operations that are themselves very high-risk even in someone who is not to a high-risk patient and these require special approaches by the surgeons and anesthesiologists to be able to navigate through the risks. Finally, sophisticated postoperative care is imperative to make sure all the hard efforts placed preoperatively and intraoperatively are not gone to waste and that the patient is well managed to make sure his /her system recovers from the stress of the surgery.

Program Highlights:

MEMA 2019, as such, presents itself as a succinct, problem-oriented source of practical information, based on current best evidence and content-expert experience of leading clinicians in various topics including preoperative optimization, intraoperative monitoring and advances for safe anesthetic care, and intraoperative surgical techniques to address high-risk surgical patients and intraoperative high-risk surgeries. It also provides full spectrum of preoperative, intraoperative, and postoperative management of high-risk surgical patients to ensure advanced postoperative intensive care and long term care and superior outcomes based on new techniques such as those that are minimally invasive and hybrid. Perioperative care guides the multidisciplinary team involved to optimize the chances for better informed decisions related to further selective referrals to medical specialists before surgery, further specialized preoperative investigations, and preoperative interventions initiatives that are intended to decrease perioperative risk and arrange for appropriate levels of postoperative care.

MEMA Chair 2019

MEMA 2019 will be chaired by Dr. Jamal Hoballah who brings to this MEMA superb leadership and significant experience with his long history of accomplishments in endovascular surgery, infrainguinal revascularization, acute limb ischemia, and surgical education amongst others. He is recognized as a world leader in vascular surgery, a member of numerous prestigious surgical societies, and a recipient of several awards that honor his scientific and research achievements.

Chair of the Scientific Committee

Dr. Marie Aouad Maroun, an experienced clinician, prolific researcher and dedicated educator in the field of anesthesiology, will be the Chair of the Scientific Committee for MEMA 2019.  She will be putting together a one-of-a-kind program covering a wide range of perioperative management issues ranging from childhood to old age as well as in various contexts such as, emergency surgical patients, vascular and cardiac surgical patients, obstetrical and endocrine surgical crisis, orthopedic surgery, trauma patients,  risk evaluation and reduction, pain management, team and resource management strategies, enhanced recovery after surgery, amongst others.