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 Anesthesia & Critical Care Medicine Hygeia Hospital Athens, Greece Contents Background information Major differences between US vs Europe Anesthesia practice

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 • Opioid crisis • Cost of care • Drug disposal • Conclusion
Parthenon temple Acropolis
Hippocrates 460-370 BC
Hygeia group: Private Hospital Group -4 hospitals -1261 beds -52 ORs -19 delivery rooms -10 ICUs
The WFSA Global Anesthesia Workforce Survey anesthesia providers per 100,000 population Kempthorne. Anesth Analg 2017;125:981 – 90.
Halbeis. EJA.2007; 24(12): 991 – 1007
Halbeis. EJA.2007; 24(12): 991 – 1007
Baird. Anesthesiology 2015;123(5):997-1012
Halbeis. EJA.2007; 24(12): 991 – 1007
Halbeis. EJA.2007; 24(12): 991 – 1007
Yamamoto. Cureus.2017;9(2):e1060
Halbeis. EJA.2007; 24(12): 991 – 1007
Yamamoto. Cureus.2017;9(2):e1060
Work 1-1 with the same surgeon on a weekly basis US anesthesia practices are large and cover multiple sites Levy. ASA Monitor 2015;79(12):14-16
Continuum of care Pre anesthetic evaluation Intra-operative care Post-operative visit Steurer. ASA Monitor 2015;79(12):18-20
Jones. JAMA. 2018;319(2):143-153
Opioid Crisis
United Nations International Narcotics Control Board
Fisher. The Atlantic 2012
CDC.2009;58(13);343
Koechlin. 2010. OECD Health working Paper 53
Adalimumab Insulin glargine Sofosbuvir Aripiprazole Etanercept Fluticasone/Salmeterol Rosuvastatin Infliximab Esomeprazole Rituximab Reuters.com
Intravenous Paracetamol (1gm) € 0.6-1.18 $13 www.pharmacytimes.com www.galinos.gr
Drum.2017 Downing. NEJM 2012;366(24):2284-2293
Drug approval • Sugammadex 2015 2008 • Paracetamol 2016 2009 • Dexmedetomidine 2000 2011 www.accessdata.fda.go www.demo.gr
fda.gov/Drugs
dea.gov
NCSL 2018

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