Dr. Jan Paul MULIER
Department of Anesthesiology
AZ Sint Jan Brugge-Oostende
Prof Dr. Jan Paul J. Mulier works as an anesthesiologist in the department of Anesthesiology at the AZ Sint Jan Brugge-Oostende in Bruges, Belgium and is affiliated to the University of Ghent and the University of Leuven. He obtained his PhD with a mathematical description of the cardiac pump function with Noordergraaf at Penn University, USA. He founded the European and the International Society of Peri-operative Care of the Obese Patient (ESPCOP) focusing on laparoscopy and lung ventilation. He started opioid free anesthesia (OFA) using a multi-target approach and continued to teach his OFA anesthesia worldwide, improving anesthesia outcome and enhancing recovery after surgery (ERAS) to point where 24-hour stay and ambulatory care becomes possible for large procedures. He has built a strong collaboration with surgeons like orthopedic, cardiac, or bariatric surgeons to improve each other’s results.
Post-operative neurocognitive disorders were not key considerations of anesthesiologists in their daily management until the “Recommendations for the nomenclature of cognitive change associated with anesthesia and surgery-2018” (Evered, L et al, 2018) were published in the British Journal of Anesthesia. In this lecture, Prof. Jan P Mulier and Prof. Sarah Saxena will present on the prevention of Post-operative Cognitive Dysfunction (POCD) in pre- and peri-operative settings, especially in elderly. For instance, how pre-operative checkups and the choice of anesthesia drugs can influence delirium and other post-operative outcomes.
Though the use of opioids was prevalent, recently there are researches showing that prolonged opioid use in elderly can disrupt cognitive function. Among opioid-free anesthetics, the speakers will share particularly their experience with sugammadex on post-operative cognition after elective surgery, followed by their views on the recommendations regarding neuromuscular blockade (NMB) reversal guidelines to be published by the European Society of Anesthesiology and Intensive Care (ESAIC) in January 2023.