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September 2018: Perioperative Intelligence

Featuring Kamal Maheshwari, MD

01 September, 2018

Speakers

Dr.Maheshwari, Director, Center for Perioperative Intelligence, shared his work on integrating data  intelligently into real time decision making to change perioperative outcomes thereby creating value.

He highlighted management of  important variables such as blood pressure in real time intra-operatively using workflow integrated advanced decision support.Features that have not been considered have the potential to be developed using machine learning and deep learning moving beyond simple models such as measurement of mean arterial pressure or  volume status alone.

Some of the references he cited are available below:

Relationship between Intraoperative Hypotension, Defined by Either Reduction from Baseline or Absolute Thresholds, and Acute Kidney and Myocardial Injury after Noncardiac Surgery: A Retrospective Cohort Analysis

Vafi Salmasi, M.D.; Kamal Maheshwari, M.D., M.P.H. ; Donsheng Yang, m.A.; Edward J. Mascha, Ph.D.;Asha Singh, M.D.; et al

http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2579833

Association of Postoperative High-Sensitivity Troponin Levels With Myocardial Injury and 30-Day Mortality Among Patients Undergoing Noncardiac Surgery

Writing Committee for the VISION Study Investigators

https://jamanetwork.com/journals/jama/fullarticle/2620089

The association of hypotension during non-cardiac surgery, before and after skin incision, with postoperative acute kidney injury: a retrospective cohort analysis.

Maheshwari K, Turan A, Mao G, Yang D, Niazi AK, Agarwal D, Sessler DI, Kurz A.

https://onlinelibrary.wiley.com/doi/abs/10.1111/anae.14416

A Randomized Trial of Continuous Noninvasive Blood Pressure Monitoring During Noncardiac Surgery.

Maheshwari K, Khanna S, Bajracharya GR, Makarova N, Riter Q, Raza S, Cywinski JB, Argalious M, Kurz A, Sessler DI.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6072385/

The relationship between ICU hypotension and in-hospital mortality and morbidity in septic patients.

Maheshwari K, Nathanson BH, Munson SH, Khangulov V, Stevens M, Badani H, Khanna AK, Sessler DI.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6013508/