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After much discussion and consideration, the ACHE Board of Governors and leadership team have decided to cancel the 2020 Congress on Healthcare Leadership due to the need for leaders and healthcare organizations to manage their responses to coronavirus (COVID-19) within their communities. Learn more at

103H – Perioperative Brain Health Initiative: Update and Implementation Strategies

Wednesday, March 25th

About the Session

Individuals over age 85 make up the fastest growing segment of the population in western countries. Many older patients will have surgery; for patients over 65 years of age the most common postoperative complications are delirium and perioperative neurocognitive disorder, which can last well beyond the immediate postoperative period. Despite recent national guidelines on delirium prevention and the size of the population affected, many anesthesiologists and surgeons do not assess the brain routinely before surgery. Further, patients and their families are neither informed of risks to their cognition, nor told about simple steps they could take to mitigate that risk. Thirty to forty percent of delirium is thought to be preventable with relatively simple measures.

The cost of added healthcare due to delirium alone has been estimated at over $160 billion. More importantly, the cost to the individual patient is significant, including increased complications, length of stay, readmission and mortality. The ASA Brain Health Initiative is a new patient safety initiative engaging stakeholders from across healthcare to address cognitive or brain function issues that may arise in older patients as a result of surgical experience. This seminar will provide an update on the progress of this initiative, including various implementation strategies that have been defined as a result of this work.

Learning Objectives:

  • Describe the current approach to perioperative brain health.
  • Describe various clinical strategies proposed to improve perioperative brain health.


Presented By

Lee A. Fleisher, MD

Robert Dunning Dripps Professor/Chair, Department of Anesthesiology and Critical Care
University of Pennsylvania Perelman School of Medicine

Carol Peden

Professor, Clinical Anesthesiology/Director, Center for Health Systems Innovation
Keck School of Medicine, University of Southern California