Best Practices in Multidisciplinary Team Meetings for Aneurysm Management
This presentation by Lal Senaratne, Consultant Vascular Surgeon at East Kent Hospitals, outlines the multidimensional approach to Best Practices in the MDTM process for managing abdominal aortic aneurysms (AAAs) in the Kent region. It highlights the structure of the MDTM, which includes vascular surgeons, interventional radiologists, and nurse practitioners, and covers topics such as patient surveillance, decision-making for interventions, and challenges faced when lacking consensus. The goal is to ensure the right information and decisions are made for optimal patient outcomes.
Best Practices in Multidisciplinary Team Meetings for Aneurysm Management
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Presentation Transcript
Best Practice for the MDTM Process Lal Senaratne MS, FRCS, D.Phil (Oxon) Consultant Vascular Surgeon East Kent Hospitals University NHS Foundation Trust
What I will do . . . • Describe what we do in Kent • Raise some issues • Conclude Re:Best Practice
Our patch . . . Medway Canterbury
What we have . . . • 2 Centres • Network solution • Joint MDTM for AAAs
Who is in our MDTM . . . • Vascular Surgeons • Interventional Radiologists • Vascular Anaesthetists • Junior doctors/trainees • Vascular Nurse practinoners • Secretary • Others
Our MDTM process Reaching threshold in surveillance programme Incidental finding Screen detected Asymptomatic Aneurysms Symptomatic Aneurysms Discussions outside MDTM Pre-op Ix MDTM Discussion Written communication to Pt & GP Anaesthetic Review Out pt review Decision to intervene Intervention Open EVAR
What happens at our MDTM … • Play video clip
Issues . . . • When there is no consensus • When Ix not ready • Should symptomatic aneurysms be included? • Does it introduce delay? • Documentation issues • Time wasting! (Needless/endless discussion)
Best Practice • Right Team • Right information • Right patient • Consensus as far as possible • Tertiary opinion Right decision
Thank you Any questions?
