Introduction to Awake Spine Hybrid Course

Speaker 1You know, Spine Surgery, I think all of you would agree that is going through tremendous innovations right now. Surgery in general, and Spine Surgery in particular, are going through such tremendous innovations right now. We're seeing such new technologies and things like navigation and Augmented reality and robots coming in. And I'm just really excited about the future is gonna hold for what we can actually achieve.

Speaker 1We have seen that Spine Surgery has evolved. We've gone from this traditional open to MIS and endoscopic, and I would argue that now Awake spine surgery is the next next natural evolution. And the reason why it is, is cause that's what the patients are demanding.

Speaker 1Ultimately, at the, at the end, the change is coming because the patients are demanding that we do less, but give them the same kind of outcomes. And what has been driving, I believe, the whole Awake spine surgery program is the fact that patients are looking for the ability to get out of Pain, improve their function.

Speaker 1While not sort of giving them sort of collateral damage. And this is not just something that I'm seeing, this is something that we're seeing all across the country and all across the world. This is actually a beautiful study that was just published out of um Hopkins a few months ago, where um the group down

Speaker 1There had looked at people who are undergoing Awake spine surgery in a national registry, and you can see the trend yourself that it's picking up. The train has left the station, and the train has left the station because across the country and across the world, we're seeing that patients are demanding, are demanding it now.

Speaker 1Um, what was interesting actually was in looking at the study in particular was that they're also seeing that when they do Awake spine surgery, not only are they able to give them good equivalent results, but they're also seeing that the length of stay is going down, and the complication rate is going down. So as we continue to move towards value-based healthcare, we're seeing that it's hitting all the checkboxes over here.

Speaker 1So, ultimately at the end, the goal, of course, with Spine Surgery is to help people reduce their Pain.

Speaker 1Give them improved function.

Speaker 1Well, doing it while reducing your surgical footprint, what I call sort of the collateral damage that happens sometimes with Spine Surgery, right? Because everyone wants to have Surgery, but they're worried about the safety aspect of it. And they're worried about some of the dangers and complications that happen for it. And so we are truly, truly honored today that we're going to start off by asking the question, why should we do Awake spine surgery? I think at this point now, as you look at Spine, Awake spine surgery, the first question that has to be asked is, why?

Speaker 1Why are we doing all this? And we're really honored that Doctor Abode from the Mayo Clinic here in Jacksonville will get into a discussion about why Awake spine surgery and look at the evidence behind all that.

Speaker 1And then after that, truly I'm honored that Dr. Mike Bullock from Duke, one of our co-directors here in our program, is going to ask the question of how. He's gonna answer the question of how. So after we get past the why, we're going to ask the how, how do you do Awake spine surgery?

Speaker 1How do you use the regional blocks that are being described now effectively to be able to get the outcomes that we need for all that?

Speaker 1And we, what we know though, is, you know, arguably, this notion of a weak Spine Surgery is nothing new. I mean, the truth is that our hand colleagues are

Speaker 1Our neurosurgery colleagues, they've been doing Awake spine surgery for a while. I mean, this is a picture on the right of a gentleman playing the guitar while having awake craniotomy. So the question is, where can we apply Awake spine surgery in our field? And I'm gonna go into the discussion about the awake TI procedure and the Awake spinal fusion procedure and review some of the data around that.

Speaker 1After we do that, we're gonna um have Doctor Ernest Braxton start talking to us about different applications of Awake spine surgery. What I've been amazed about is that I thought Awake spine surgery would just be for simple things like laminectomies, dissectomies, but people like Ernest, and you'll see others are really taking it to the next level. And he's gonna talk about how we can integrate new technologies like the robot in Awake Surgery. I'm really excited to see some of the videos and the data around all that.

Speaker 1And after Ernest is done, we're gonna have um our first Zoom presenter present, Doctor Paul Houl. Paul Houl and Ray Gay are some of the masters in Endoscopic spine surgery. And Doctor Houl from Cape Cod's gonna chime in and show us how he's able to with the and his, with his advanced endoscopic techniques, using awake Protocols, really get these patients back quickly.

Speaker 1And then we're really honored that Dr. Georgios from Italy is going to join us.

Speaker 1Now, it was interesting because Italy, as you know, got hit really hard during the COVID crisis. And that forced a lot of innovations around the country and a lot of the world, around the world. And Giorgios basically figured out how he could do an awake exlift procedure. He's done more than 100 of these surgeries now, and he's gonna give us insight into how he sees the whole awake exlift procedure being performed and where it's going.

Speaker 1And then after, after that, we're gonna have Doctor Mohammed from uh Duke come in. He's really uh championed this whole notion of the Trans-Camian Approach. And he's been able to figure out how to integrate MRI robot and awake Protocols to really do this awake TransCammon procedure.

Speaker 1After that, we're gonna sort of uh shift courses now, because what we're seeing is that while performing Awake spine surgery is interesting, it really requires the ability to develop a program around that. That means coming together with your anesthesia colleagues, with the colleagues in the hospital, and really figure out how to develop a program. One thing I want to emphasize that I've learned is that obviously, it's a team effort. And you really have to be on the same page as everybody who's in your team.

Speaker 1What we're seeing now is that there are many people across the country now in places like, um, like Vail and uh Duke and uh Vanderbilt and Florida, and even in San Francisco, they've really figured out how to come together and develop these awake Spine programs. But we're not only seeing that in the United States, it's interesting because we're also seeing this across the world, in Oxford, England, in Italy, in India, in Spain, and even in the Azure Islands in Portugal.

Speaker 1Surgeons are coming together with their anesthesiologists to develop a program around Awake spine surgery. And we're really honored, really fortunate that a group from Oxford, England is gonna be chiming in with us via Zoom. Doctor Helen Han and Doctor and Doctor Sukum there are going to talk about their experiences and how they came together to develop an Awake spine surgery program.

Speaker 1And then ultimately at the end, um, what's gonna be challenging is this, after you do an Awake spine surgery program, after you get your program in place and your people are in place, it's really important to let patients know that this is an option out there, right? Marketing is not something that we really think about um as doctors.

Speaker 1But it's important to be able to get the word out there, so patients know that there's a better option. I've had the good fortune of working with uh Renee Oliveri, who's um has her own uh independent Marketing agency, and she's, what she's gonna do is go through with you how she thinks about Marketing from a digital Marketing perspective, from a Google perspective. And that's how we're gonna end the course.

Speaker 1And then at the end of the day, what we're we're really excited about is that today represents sort of um a transformational experience and how we're going to educate people. We're part, we've partnered with Immertech, who has given, who have been kind enough to give us um their Imertech glasses, and we're gonna take the glasses, we're going to take our attendees and go into the lab.

Speaker 1And the goal today is that everyone can basically perform their own regional blocks, and we're gonna go through these stations listed here, where we're gonna go through all the different techniques to be able to do Ultrasound, and be able to do their own your own regional blocks.

Speaker 1So, ultimately, at the end, you know, we have to, when we're thinking about a movement, you got to be really clear about what the goals are, right? You have to know where you're headed. And at the end of the day, the way I see it with a weak Spine Surgery, it's about improving the Patient experience.

Speaker 1Reducing the surgical footprint.

Speaker 1And then ultimately helping to help our patients achieve peak performance, cause this is what they want. Ultimately, at the end, it's about being able to achieve a result where while someone's having a wake Spine Surgery, can you play the video? This is a patient of mine, um, a doctor, and the audio doesn't work. But in this is him, while we're putting the screws in his back, he's saying, I'm ready to do the mambo.

Speaker 1So at the end of the day, what we're trying to do is say to patients that it's OK to have Spine Surgery, that it could be a pleasant experience, and that we're gonna be able to reduce the collateral damage, reduce some of the surgical equipment we have, and be able to deliver results like this.

Speaker 2Thanks for taking the time to learn about Dynamic ORR. My name is Blake Bednars, president. I'm standing in front of Dynamic O total Workflow Solution. I want to explain to you what Dynamic OR consists of. First of all, there's 3 components. I'm standing in front of the multi-tiered table. It has the ability to collapse, configure into 4 in 1 different options. This middle shelf actually collapses. This one could fold back. We have the ability to raise it and lower it up to 6 inches.

Speaker 2From 30 inches to 36 inches. Next, I want to direct your attention over to the second component, which is the durable number drape. Third, I want to direct you to the app and how the app works is we're able to capture your images, your preferences, your vendors at any hospital, and it's transferable from hospital to hospital. And the reason it's important is because it allows consistency and reproducibility where we find most.

Speaker 2Beneficial for that is that it allows for teaching, onboarding in a much more efficient manner. So it's something that we found offers a tremendous amount of consistency because one of the things that is the biggest challenge in today's environment is consistency, whether it's travelers, whether it's somebody from another hospital with dynamic wire, it ties everything together and allows you to transfer that knowledge from facility to facility.

Speaker 2I would love to hear your thoughts and if you have an interest, we're happy to do either a, a via, via Zoom demo or in-person demo. Please reach out to www.dynamicOR.com. Thank you.