European Perspective on Patient Care Iosifina Giannakikou, MD, MBBS - - PowerPoint PPT Presentation

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European Perspective on Patient Care Iosifina Giannakikou, MD, MBBS - - PowerPoint PPT Presentation

Jun 28, 2023 326 likes •819 views

European Perspective on Patient Care Iosifina Giannakikou, MD, MBBS Anesthesia & Critical Care Medicine Hygeia Hospital Athens, Greece Contents Background information Major differences between US vs Europe Anesthesia practice

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Iosifina Giannakikou, MD, MBBS Anesthesia & Critical Care Medicine Hygeia Hospital Athens, Greece

European Perspective on Patient Care

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Contents

  • Background information
  • Major differences between US vs Europe
  • Anesthesia practice
  • Opioid crisis
  • Cost of care
  • Drug disposal
  • Conclusion
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Parthenon temple Acropolis

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Hippocrates 460-370 BC

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Hygeia group: Private Hospital Group

  • 4 hospitals
  • 1261 beds
  • 52 ORs
  • 19 delivery rooms
  • 10 ICUs
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The WFSA Global Anesthesia Workforce Survey

anesthesia providers per 100,000 population

  • Kempthorne. Anesth Analg 2017;125:981–90.
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  • Halbeis. EJA.2007; 24(12): 991–1007
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  • Halbeis. EJA.2007; 24(12): 991–1007
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  • Baird. Anesthesiology 2015;123(5):997-1012
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  • Halbeis. EJA.2007; 24(12): 991–1007
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  • Halbeis. EJA.2007; 24(12): 991–1007
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  • Yamamoto. Cureus.2017;9(2):e1060
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  • Halbeis. EJA.2007; 24(12): 991–1007
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  • Yamamoto. Cureus.2017;9(2):e1060
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  • Levy. ASA Monitor 2015;79(12):14-16

Work 1-1 with the same surgeon on a weekly basis US anesthesia practices are large and cover multiple sites

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Pre anesthetic evaluation Intra-operative care Post-operative visit

  • Steurer. ASA Monitor 2015;79(12):18-20

Continuum of care

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  • Jones. JAMA. 2018;319(2):143-153
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Opioid Crisis

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United Nations International Narcotics Control Board

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  • Fisher. The Atlantic 2012
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CDC.2009;58(13);343

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  • Koechlin. 2010. OECD Health working Paper 53
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Reuters.com

Rituximab Fluticasone/Salmeterol Etanercept Aripiprazole Sofosbuvir Insulin glargine Adalimumab Infliximab Esomeprazole Rosuvastatin

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Intravenous Paracetamol (1gm)

www.pharmacytimes.com www.galinos.gr

$13 €0.6-1.18

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  • Downing. NEJM 2012;366(24):2284-2293

Drum.2017

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Drug approval

  • Sugammadex

2015 2008

  • Paracetamol

2016 2009

  • Dexmedetomidine 2000

2011

www.accessdata.fda.go www.demo.gr

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fda.gov/Drugs

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dea.gov

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NCSL 2018

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