70th PostGraduate Assembly in Anesthesiology

Workshop Moderator:  Edmond Cohen, M.D.

 

Please Note:  This session takes place on Thursday, December 8th from 7:00 am - 5:00 pm and Friday, December 9th from 8:00 am to 11:00

After completion of this session, the participant will be able to:

• Identify the perioperative factors that contribute to lung injury in thoracic patients and strategies to avoid this complication;
• Understand recent developments in the physiology of one-lung ventilation and use this information to minimize hypoxemia during one-lung anesthesia;
• Develop a plan to improve the perioperative outcomes of patients having esophagectomy surgery;
• Manage anesthetic care for patients having airway surgery including invasive pulmonology, tracheal resection and tracheal injuries;
• Perform paravertebral analgesia and lung ultrasound;
• Improve their ability to provide safe and reliable lung isolation with double-lumen tubes and bronchial blockers;
• Understand the intraoperative implications of large mediastinal masses and develop an anesthetic plan to manage these patients;
• Develop a plan to manage post-thoracotomy pain for patients with contraindications to thoracic epidural analgesia;
• Discuss recent advances in anesthesia for lung transplantation and patients with pulmonary hypertension.

SPECIALTY: ANESTHESIA FOR ORTHOPEDIC SURGERY

In the interest of patient and staff safety, physicians requesting visits to the clinical settings at the Hospital for Special Surgery are required to submit specific documentation within 60 days of registering, in order for their visit to be approved. Information will be sent to the attendee from the hospital detailing what is needed. Therefore, the deadline to register is October 10, 2016.

SPECIALTY:

Cancer

The PGA visitors may choose to tour the Josie Robertson Surgery Center during their visit to Memorial Sloan Kettering.  The Josie Robertson Surgery Center opened in January 2016 and set a new standard for outpatient cancer surgery. JRSC is the first-of-its-kind freestanding facility on Manhattan’s Upper East Side, accommodating same-day outpatient and short stay surgical cases from the Breast, Gynecology, Head & Neck, Plastics & Reconstructive, and Urology services.  The short stay procedures include unilateral and bilateral mastectomy with reconstruction, laparoscopic and robotic hysterectomy, thyroidectomy, nephrectomy, and laparoscopic and robotic prostatectomy, with clinical pathways designed for patients to go home the same day or with one overnight stay.

 

 

SPECIALTY:

Neuro/Cardiac/Critical Care Medicine

Workshop Moderator:  Francine S. Yudkowitz, M.D., FAAP

After completion of this session, the participant will be able to:

• Demonstrate basic pediatric life-support skills;
• Recognize the signs of­ impending respiratory failure and shock;
• Initiate treatment of impending and overt respiratory failure and shock;
• Identify and appropriately treat rhythm disturbances.

 

Requirements for Certificate:

To receive a PALS certificate, the participant will have to successfully complete the course and pass a written and practical examination which will be administered at the end of the course. Due to the requirement to review literature in advance, this workshop is limited to pre-registration.

After completion of this session, the participant will be able to:

• Discuss the management of accidental dural puncture in obstetrics;
• Develop an evidence-based decision regarding the use of intrathecal catheters in the prevention and management of PDPH;
• Review the treatment of spinal headache, including therapeutic and prophylactic blood patch.

After completion of this session, the participant will be able to:

• Describe the physics of ultrasonography;
• Enumerate the indications for ultrasound guidance;
• Identify the topology of ultrasound images.

Workshop Moderators:  Mitchell H. Marshall, M.D. & Jovan Popovic, M.D., FRCPC 

 

After completion of this session, the participant will be able to:

• Apply the use of nerve stimulator techniques for upper and lower extremity blocks;
• Treat reflex sympathetic dystrophy with either intravenous anesthesia (Bier block) or nerve block;
• Utilize ultrasound technology for upper and lower extremity blocks.

Panel Moderator:   David J. Wlody, M.D.

 

Presentations:

Kallol Chaudhuri, M.D., Ph.D. - What's New in Neonatal Resuscitation?

Richard M. Smiley, M.D., Ph.D. - Enhanced Recovery After Cesarean Section

Ira M. Bernstein, M.D. -  What's New in Preeclampsia?

Yaakov Beilin, M.D. - What's New in Maternal Hemorrhage?

 

After completion of this session, the participant will be able to:

• Describe the most recent changes in the Newborn Advanced Life Support protocol;

• Obtain the necessary tools to shorten their patient’s length of stay after Cesarean Section;

• Understand the underlying pathophysiology of preeclampsia and how this affects patient care;

• Learn to optimize blood replacement therapy and pharmacologic management during maternal hemorrhage.

Panel Moderator:    Steven N. Konstadt, M.D., M.B.A., FACC 

Presentations: 

Alexander J. C. Mittnacht, M.D. - Paravalvular Leak and Postinfarction VSD Devise Closure in the Cath Lab

Jack S. Shanewise, M.D. - Update on Catheter Based Aortic Valve Replacement (TAVR) 

Chirojit Mukherjee, M.D., Ph.D., FASE - New Developments in Catheter Based Mitral Valve Repair

Wanda M. Popescu, M.D. - State of the Art Review of Endovascular Aortic Repair (TEVAR)

 

After completion of this session, the participant will be able to:

• Identify effective interventional procedures for patients with structural heart disease;

• Manage various cath lab procedures such as paravalvular leak and postinfarction VSD device closure;

• Discuss new developments and updates on catheter-based aortic valve replacement and mitral valve repairs;

• Review state of the art endovascular aortic valve repairs.

After completion of this session, the participant will be able to:

• Enumerate the indications for intrathecal pumps and spinal cord stimulators;
• Delineate the relative and absolute contraindications for spinal interventions;
• Enumerate at least three complications which can arise from interventional approaches.

MW-07 Outline 

 

After completion of this session, the participant will be able to:

• Delineate the challenges facing management during times of expanding caseload as well as decreasing caseload;
• Formulate a plan for managing during change of ownership or contract;
• Delineate a plan for managing difficult internal and external consumers.

PBL-01 Case Outline 

 

After completion of this session, the participant will be able to:

• Discuss the epidemiology and scope of the occurrence of postoperative atrial fibrillation;
• Review proven measures of prophylaxis for postoperative atrial fibrillation;
• Employ acute therapy measures for postoperative atrial fibrillation;
• Employ methods to prevent stroke associated with postoperative atrial fibrillation.

PBL-03 Case Outline 

 

After completion of this session, the participant will be able to:

• Identify the signs and symptoms of Local Anesthetic Systemic Toxicity;
• Formulate a plan to treat Local Anesthetic Systemic Toxicity.

PBL-05 Case Outline 

 

After completion of this session, the participant will be able to:

• Understand the prevalence of adult patients who have previously repaired congenital heart disease;

• Incorporate knowledge of the pathophysiology of commonly repaired congenital heart disease into an anesthetic plan.

PBL-07 Case Outline 

 

After completion of this session, the participant will be able to:

• Review current ASRA guidelines regarding anticoagulation and antiplatelet therapy;
• Select the appropriate anesthetic management plan in the anticoagulated patient.

Workshop Moderator:  Jose C. A. Carvalho, M.D, Ph.D., FANZCA, FRCPC 

 

After completion of this session, the participant will be able to:

• Understand the principles of ultrasound applied to the assessment of the spine;
• Recognize the normal sonoanatomy of the spine;
• Perform a systematic ultrasound assessment of the spine in the sagittal and transverse plane;
• Identify a desired interspace;
• Identify the optimal needle insertion point;
• Determine the distance from the skin to the epidural or intrathecal spaces.

Panel Moderator:   Michael F. O'Connor, M.D., FCCM

 

Presentations:

Mark E. Nunnally, M.D., FCCM - Perioperative Respiratory Failure in Patients with Chronic Lung Disease

James Munis, M.D., Ph.D. - The Patient with Elevated Intracranial Pressure

Vivek K. Moitra, M.D. - Coming Soon to an Operating Room Near You: The Patient with Hepatic Failure

Michael F. O'Connor, M.D., FCCM - Advanced Heart Failure: Tips for Managing Patients with LVADs

 

After completion of this session, the participant will be able to:

• Describe the physiologic implications of organ system failure that are pertinent to general anesthesiologists;

• Summarize the literature about how to manage patients with chronic respiratory disease, elevated intracranial pressure, cirrhosis, and mechanical devices in the perioperative period;

• List the complications that are strongly associated with these conditions, and discuss the evaluation and management of the most common or important of them.

Panel Moderators:  Vinod Malhotra, M.D. & Michael P. Smith, M.D., M.S., Ed.

 

Presentations:

Michael P. Smith, M.D., M.S., Ed. - Are We All Speaking the Same Language? AACD Procedure Times Glossary

Robert E. Johnstone, M.D. - Society Guidelines for the O.R.: Little Evidence, Much Anecdote, Major Headache

Keith Anthony Jones, M.D. - Perioperative Surgical Home:  A Fad or Reality?

Vinod Malhotra, M.D. -Patient Safety, Quality and Efficiency: How Can We Make a Difference?

 

 

 

After completion of this session, the participant will be able to:

• Define and apply glossary of times used for scheduling and monitoring of diagnostic and therapeutic procedures, and discuss whether or not we are all speaking the same language;

• Discuss the evidence for and against various operating room guidelines;

• Identify and discuss whether or not the perioperative surgical home has demonstrated value in improving health, delivering healthcare and reducing cost of care;

• Implement and manage conflict resolution and negotiation in their department/institution;

• Discuss techniques to improve patient safety, quality and efficiency in their practice.

Focus Session Moderator:   Donna Castello, D.O.

 

Presentations:

Andrew M. Glasgow, M.D. - Which Patients and What Procedures for Office-Based Settings

Donna Castello, D.O. - Update on Regulations Pertaining to Office-Based Procedures

 

After completion of this session, the participant will be able to:

• Identify what procedures, and which patients, are suitable for office-based procedures and which should not be done in this venue;
• Incorporate the new state regulations pertaining to office-based anesthesia to their practice. 

Focus Session Moderator:   Alan E. Curle, M.D.

 

Presentations:

Alan E. Curle, M.D. -Theory vs. Reality: The Arguments Behind  

Jonathan S. Gal, M.D. -The Challenges of Demonstrating Value with the Perioperative Surgical Home  

 

After completion of this session, the participant will be able to:

• Identify the Perioperative Surgical Home's triple aim of improving health, improving delivery of healthcare, and reducing the cost of care;
• Distinguish the benefits of the added value of anesthesiologists over other healthcare providers in coordinating care from the minute the decision is made to operate, until 30 days after surgery;
• Describe and breakdown the data, improved outcomes, evidence, and limitations from recent implementations of the Perioperative Surgical Home to be considered moving forward in continued and future efforts;
• Recognize the net effect from the proposed areas of cost savings, when the costs of implementing the Perioperative Surgical Home are also considered.

Focus Session Moderator:   Michael R. Anderson, M.D.

 

Presentations:

Michael R. Anderson, M.D. - Regional Anesthesia in the Patient on Anticoagulation 

Yan Lai, M.D. -Use of Antifibrinolytics in Orthopedic Anesthesia  

 

After completion of this session, the participant will be able to:

• Discuss the use of regional anesthesia in patients on anticoagulation or requiring anticoagulation;
• Develop a plan for use of regional anesthesia in patients on anticoagulation or requiring anticoagulation;
• Discuss the advantages and disadvantages of antifibrinolytics in orthopedics;
• Develop strategies for use of antifibrinolytics for orthopedic surgery.

Focus Session Moderator:  Eugene R. Viscusi, M.D.

 

Presentations:

Eugene R. Viscusi, M.D. -Postoperative Pain Management in the Patient with OSA  

Rahila Bilal, M.D. - Preoperative and Intraoperative Management of Patients with OSA

 

After completion of this session, the participant will be able to:

• Discuss the pathophysiology of obstructive sleep apnea (OSA) in adults;
• Assess the eligibility of patients with OSA for ambulatory anesthesia;
• Develop an anesthetic plan for patients with OSA for ambulatory procedures;
• Identify the problems of postoperative pain management in patients with OSA;
• Develop a plan for postoperative pain management for patients with OSA in the in-patient and ambulatory setting.

PBL-09 Case Outline 

After completion of this session, the participant will be able to:

• Describe medical-legal issues regarding confidentiality and the peer review process;
• Describe the process of a hospital, state or federal investigation;
• Analyze landmark court cases surrounding peer review issues;
• Recognize the implications of being reported to the National Practitioner Databank;
• Improve management of Quality and Performance Improvement issues.

PBL-11 Case Outline 

After completion of this session, the participant will be able to:

• Discuss the indications, different options for, and management of one-lung ventilation;
• Apply a plan for the management of simple thoracic cases;
• Employ various options for one-lung ventilation in the context of the difficult airway.

 

PBL-13 Case Outline 

After completion of this session, the participant will be able to:

• Identify the clinical presentation and epidemiology of children with foreign body aspiration;
• Evaluate a patient presenting for removal of a tracheobronchial foreign body;
• Formulate an anesthetic plan for patients undergoing rigid bronchoscopy for removal of an airway foreign body; 
• Explain the advantages and disadvantages of various strategies for ventilation and maintenance of anesthesia;
• Identify the perioperative complications associated with rigid bronchoscopy.

 

PBL-15 Case Outline 

 

After completion of this session, the participant will be able to:

• Identify patients who would benefit from ERAS protocols;
• Construct an ERAS protocol for a specific patient population at their institution.

MW-09 Outline 

 

After completion of this session, the participant will be able to:

• Identify the three components needed for a fire to start;
• Prioritize how to put out a fire;
• Understand the different fire extinguisher types.

Workshop Moderators:  Stefan E. Lucas, M.D. and Krystof J. Neumann, M.D.

 

Workshop Description:

Hands-On Cadaver, Ultrasound and Live Model Regional Anesthesia Workshop will be held in the state of the art anatomy lab located in the SUNY-Downstate Medical Center (Brooklyn, New York.) Round trip bus transportation is provided from the New York Marriott Marquis directly to SUNY-Downstate. You will be instructed in small groups with hands-on practice by world renowned faculty.

• As a participant you can expect the following:
• Cadavers expertly dissected to show anatomy;
• Hands-on practice on dissected cadavers;
• Ultrasound display on large LCD screens;
• Ultrasound guided blocks demonstrated on live models;
• Ultrasound guided blocks practiced on cadavers;
• Participants will rotate between cadaver and live model stations.

After completion of this session, the participant will be able to:

• Demonstrate basic skills in ultrasound technology;
• Apply ultrasound technology to perform peripheral and neuraxial blocks;
• Relate cadaver anatomy of peripheral nerve structures to live-model sonoanatomy;
• Discuss advantages and pitfalls of ultrasound guidance for paravertebral blocks;
• Utilize ultrasound techniques to perform truncal field blocks (TAP block, ilioinguinal-iliohypogastric blocks).

MW-10 Outline

After completion of this session, the participant will be able to:

• Delineate the parameters which are observed during anesthesia;
• Enumerate the confounding factors which may interfere with the monitoring;
• Delineate the current limitations of monitoring.

After completion of this session, the participant will be able to:

• Delineate the challenges in creating a pre-anesthesia clinic;
• Discuss the systems used in the pre-anesthesia clinic;
• Discuss the objectives of the pre-anesthesia clinic;
• Discuss the staffing in the pre-anesthesia clinic.

The Resident Research Contest is a unique program in continuing medical education. It provides an opportunity to introduce the international anesthesia community to some of the brightest young researchers in the specialty today. Residents will orally summarize their work in a poster discussion format from 10:00 to 11:30 on Saturday, in the Empire Complex. They will be available by their posters on the 6th floor Promenade from 13:00-14:30, to discuss their research, and answer questions.

Workshop Moderators:  Mitchell H. Marshall, M.D. & Jovan Popovic, M.D., FRCPC 

 

After completion of this session, the participant will be able to:

• Apply the use of nerve stimulator techniques for upper and lower extremity blocks;
• Treat reflex sympathetic dystrophy with either intravenous anesthesia (Bier block) or nerve block;
• Utilize ultrasound technology for upper and lower extremity blocks.

Workshop Moderators: Allan P. Reed, M.D. &  Irene P. Osborn, M.D.

 

After completion of this session, the participant will be able to:

• Perform appropriate airway evaluation;
• Utilize numerous commercially available airway devices;
• Apply the ASA Difficult Airway Practice Parameters in clinical scenarios.

Program Chair:  Charles W. Emala, Sr., M.S., M.D. 

 

The Resident Research Contest is a unique program in continuing medical education. It provides an opportunity to introduce the international anesthesia community to some of the brightest young researchers in the specialty today. Residents will orally summarize their work in a poster discussion format from 09:00 to 10:30 on Saturday, in the Empire Complex.

Presentations by:

Friederike U. Behmenburg, M.D. 

Chang A. Liu, M.D. 

Mansoor M. Aman, M.D.

Maya Mikami, M.D.

Farshad Rashidian, M.D.

Peter D. Yim, M.D.

Workshop Moderator:  Stephen A. Vitkun, M.D., M.B.A., Ph.D. 

 

Requirements for Certificate:

To receive an ACLS Certificate, the participant will have to successfully complete the course and pass a written and practical examination, which will be administered at the end of the course.

 

After completion of this session, the participant will be able to:

• Apply the current guidelines and treatment protocols for Advanced Cardiac Life Support.
• Demonstrate Basic Life Support skills.

After completion of this session, the participant will be able to:

• Identify the key anatomic views used in TTE;
• Identify the key anatomic structures visualized by TTE;
• Identify hypokinesis and akinesis of the myocardium.

After completion of this session, the participant will be able to:

• Delineate three conditions which contraindicate anesthesia in the office;
• Delineate the three most common causes of hospital admission from an office-based anesthetic;
• Define the role of capnography in sedation cases.

PBL-17 Case Outline 

 

After completion of this session, the participant will be able to:

• Manage increased intracranial pressure (ICP);
• Discuss controversies that may arise regarding hyperventilation, blood pressure management, osmotherapy, barbiturates and chemical paralysis;
• Employ emergency anesthetic management of airways, fluid resuscitation balance and effects of anesthetics/muscle relaxants on ICP in severe traumatic brain injury.

PBL-19 Case Outline 

 

After completion of this session, the participant will be able to:

• Discuss new oral anticoagulants;
• Review potential complications of epidural analgesia in the setting of anticoagulants and pharmacologic DVT prophylaxis;
• Develop a plan to manage oral anticoagulant medication in the patient receiving epidural analgesia.

PBL-21 Case Outline 

 

After completion of this session, the participant will be able to:

• Review the mechanism of action of antiemetic medications;
• Identify potential side effects and complications from antiemetic medications;
• Formulate a comprehensive plan to limit postoperative nausea and vomiting.

PBL-23 Case Outline

After completion of this session, the participant will be able to:

• Recognize the complications of regional anesthesia for shoulder surgery;
• Formulate a plan to treat cardiac toxicity due to local anesthetic.

Panel Moderator:  Gregory J. Crosby, M.D.

 

Presentations:

Richard P. Dutton, M.D., M.B.A. - What Are We Doing? The Landscape of Surgical Care and Complications in Older Patients

Deborah J. Culley, M.D. -  Age-Appropriate Preoperative Evaluation of the Older Surgical Patient

Gregory J. Crosby, M.D. - Perioperative Brain Failure: Clarifying Confusion

M. Carrington Reid, M.D., Ph.D. - Managing Pain in the Older Surgical Patient

 

After completion of this session, the participant will be able to:

• Review the epidemiology and outcomes of surgery in older patients;

• Discuss assessment and implications of frailty, depression and cognitive impairment for outcomes of anesthesia and surgery in the older patient;

• Review postoperative delirium and cognitive impairment and discuss how to avoid or manage them;

• Review current thinking, latest research and best practices for managing pain in the older surgical patient.

Panel Moderator:  Linda J. Mason, M.D.

 

Presentations:

John E. Fiadjoe, M.D. - The Zebra, Princess Juliana and Airway Management: Lessons Learned from the PeDI Registry

Linda J. Mason, M.D. - Perioperative and Anesthetic Management of the Child with Asthma

Jerrold Lerman, M.D., FRCPC, FANZCA - Drug Dosing for Obese Children

Frank Kern, M.D. - Ventilating Patients in the OR: What Your Anesthesia Machine Tells You If You Know Where to Look

 

After completion of this session, the participant will be able to:

• Manage the pediatric difficult airway;

• Understand drug dosing for obese children undergoing anesthesia;

• Develop an anesthetic management plan for the patient with asthma;

• Use new ventilator strategies for the pediatric patient in the O. R.

Focus Session Moderator:  Alex Y. Bekker, M.D., Ph.D.

 

Presentations:

Alex Y. Bekker, M.D., Ph.D. -  Are Anesthetics Neurotoxic or Neuroprotective_

Martin Smith, M.B., B.S., FRCA, FFICM - Does Neuromonitoring Improve Outcomes?

 

After completion of this session, the participant will be able to:

• Describe the effects of anesthetics on the central nervous system;

• Develop an appropriate anesthetic plan for neurosurgery in their institutions;

• Describe the various neuromonitoring modalities available;

• Select the appropriate neuromonitoring modalities for their cases.

Focus Session Moderator:  Robert S. Lagasse, M.D.

 

Presentations:

Robert S. Lagasse, M.D. - Alternative Payment Models: Is There a Place for Anesthesiologists? 

Beverly K. Philip, M.D. - Merit Based Incentive Payment Systems: Meeting the Mandates

 

After completion of this session, the participant will be able to:

• Describe the various new payment systems currently in practice;

• Adjust their practices to comply with the four new payment systems.

Focus Session Moderator:  Dawn M. Sweeney, M.D.

 

Presentations: 

Dawn M. Sweeney, M.D. - Adult with Repaired Congenital Heart Disease

Paul G. Barash, M.D. -Patient with Stent  

 

After completion of this session, the participant will be able to:

• Discuss the clinical issues related to the two main types of coronary stents;
• Stratify the perioperative risks for patients with intracoronary stents;
• Develop management strategies for perioperative antiplatelet therapy for different types of coronary stents;
• Discuss the most common sequelae of repaired congenital heart disease;
• Develop management strategies for patients with repaired congenital heart disease with or without residual lesions;
• Develop management strategies for patients with Fontan physiology.

Focus Session Moderator:  James B. Eisenkraft, M.D.

 

Presentations:

James B. Eisenkraft, M.D. - Machine Safety

Jan Ehrenwerth, M.D. - Intelligent Monitors

 

After completion of this session, the participant will be able to:

• Discuss advantages and disadvantages of the new anesthesia machines;
• Discuss the new development in monitoring;
• Discuss equipment safety issues in anesthesia practice;
• Develop a plan to safely integrate the new anesthesia machines and intelligent monitors into their practice;
• Describe the limitations of modern anesthesia machines and intelligent monitors, and apply this knowledge to their practice.

PBL-25 Case Outline

After completion of this session, the participant will be able to:

• Define the professional terminology related to the anesthetic care of a transgender patient;
• Explain the implications of lack of understanding of transgender issues, among members of the OR team on patient safety;
• Predict major implications of completed transgender surgery for the perioperative care;
• Formulate a sensitive and informed communication approach to a transgender patient in the perioperative setting. 

PBL-27 Case Outline 

 

After completion of this session, the participant will be able to:

• Identify criteria for difficult intubation in the pediatric age group;
• Describe technologies available for difficult intubation in the pediatric age group;
• Formulate management strategies for difficult intubation in the pediatric age group.

PBL-29 Case Outline

 After completion of this session, the participant will be able to:

• Identify new modalities of hemostasis;
• Establish an appropriate anesthetic plan to manage the patient undergoing massive hemorrhage;
• Develop a multidisciplinary massive transfusion protocol.

PBL-31 Case Outline 

 

After completion of this session, the participant will be able to:

• Review the most prevalent causes to blunt trauma in the pediatric population;

• Discuss the pathophysiology of the pediatric blunt trauma victim;

• Design a multidisciplinary plan to care for the pediatric blunt trauma victim.

Workshop Moderators:  Dennis P. Dimaculangan, M.D. and David Seligsohn, M.D.   

 

Workshop Description:

Hands-On Cadaver, Ultrasound and Live Model Regional Anesthesia Workshop will be held in the state of the art anatomy lab located in the SUNY-Downstate Medical Center (Brooklyn, New York.) Round trip bus transportation is provided from the New York Marriott Marquis directly to SUNY-Downstate. You will be instructed in small groups with hands-on practice by world renowned faculty.

• As a participant you can expect the following:
• Cadavers expertly dissected to show anatomy;
• Hands-on practice on dissected cadavers;
• Ultrasound display on large LCD screens;
• Ultrasound guided blocks demonstrated on live models;
• Ultrasound guided blocks practiced on cadavers;
• Participants will rotate between cadaver and live model stations.

 

After completion of this session, the participant will be able to:

• Demonstrate basic skills in ultrasound technology;
• Apply ultrasound technology to perform peripheral and neuraxial blocks;
• Relate cadaver anatomy of peripheral nerve structures to live-model sonoanatomy;
• Discuss advantages and pitfalls of ultrasound guidance for paravertebral blocks;
• Utilize ultrasound techniques to perform truncal field blocks (TAP block, ilioinguinal-iliohypogastric blocks).

MW-17 Outline-Steven Boggs, M.D., M.B.A.

MW-17 Outline-Elizabeth A. M. Frost, M.D.

MW-17 Case Outline-Ram Roth, M.D.

After completion of this session, the participant will be able to:

• Identify areas of the world in which there are acute shortages of anesthesia providers;
• Enumerate two ways for anesthesiologists to become more involved in remedying these shoratages;
• Delineate at least two NGOs that need anesthesiologist volunteers.

After completion of this session, the participant will be able to:

• Enumerate the indications for lung separation and thorascopy;
• Determine which lung separation device is appropriate for the planned surgery;
• Evaluate and treat intraoperative complications during thoracic surgery.

Workshop Moderators:  Salvatore G. Vitale, M.D., Cesar Rodriguez-Diaz, M.D. and

 Menachem Weiner, M.D. 

 

After completion of this session, the participant will be able to:

• Identify cardiac anatomy in the porcine heart;
• Identify porcine anatomical structures and learn the relationship to echocardiographic structures;
• Identify porcine anatomical structures and relate them to human surgical anatomic landmarks.
  .

 

Full Title: Hands-on Echocardiography Workshop: An Interactive and Case-Based Approach Using TEE and TTE in the Perioperative Setting

Workshop Description: As a participant you can expect the following:

• Hands-on small groups TEE computer simulation with expert guidance

            - Recognize anatomy & pathology from standard TEE views

            - Learn to choose TEE views that help in the differential diagnosis of hemodynamically unstable patients

• Hands-on TEE simulator (practice TEE with a state of the art TEE simulator);

• Practice Transthoracic Echocardiography (TTE) with live human models (standard TTE views, focused as well as comprehensive TTE examination);

• Expert lecture based on most recent guidelines;

            - Focused TTE exam

            - Standard TTE views

            - Standard TEE exam

            - Quick assessment of valvular disease and cardiac function for the non-cardiac anesthesiologist

            - Short presentations and discussion with the audience of various case scenarios illustrating the role echocardiography in the hemodynamically unstable patient.

 

After completion of this session, the participant will be able to:

• Use echo to recognize common causes of hemodynamic instability in the GOR (expert case presentations, hands-on computer simulation);

• Understand how echo can help with the differential diagnosis in unstable patients (computer simulation, case presentations);

• Learn how to obtain a quick transthoracic exam in emergency situations (practice on live models);

• Acquire the knowledge to do a focused transthoracic echo exam (expert lecture, practice on live models);

• Learn how transesophageal echocardiography can be used as a monitoring tool in cases with expected hemodynamic compromise (hands on TEE simulator, expert lecture).

 

Panel Moderator:   Eugene R. Viscusi, M.D.

 

Presentations:

Eugene R. Viscusi, M.D. - Novel and Emerging Techniques for Acute Pain Management 

Danielle B. Ludwin, M.D. - Acute Pain Management in the Patient with Opioid Tolerance, Dependence and Addiction

Tong J. Gan, M.D., MHS, FRCA - Acute Pain Management in Enhanced Recovery Pathways: What the Evidence Tells Us

Santhanam Suresh, M.D., FAAP - Controversies in Acute Pain Management in Infants and Children

 

After completion of this session, the participant will be able to:

• Evaluate emerging challenges in acute pain management;

• Apply novel and emerging approaches to acute pain management;

• Learn the current challenges and appropriate place for opioids in acute pain management;

• Understand and discuss the controversies in acute pain management for infants and children.

Panel Moderator:  Mark E. Nunnally, M.D., FCCM

 

Presentations:

Mark E. Nunnally, M.D., FCCM -The Social Construction of Medical Care 

Michael F. O'Connor, M.D., FCCM -  Protocols: To Guide or To Blame?

J. David Roccaforte, M.D. -Efficiency vs. Productivity: Are Safety and Profitability Mutually Exclusive?    

Avery Tung, M.D., FCCM - Metrics: Measuring Success or Exerting Control

 

After completion of this session, the participant will be able to:

• List the components of the Quality Improvement Infrastructure in Medicine and how they are intended to function;

• Explore how these components are ideally situated to control care and advance agendas;

• Consider how the allocation of resources to quality improvement reflects the priority list of health care systems;

• Define the tensions between the needs for profitability and safe clinical practice.

MW-21 Outline 

 

After completion of this session, the participant will be able to:

• Delineate which pain syndromes are very difficult to effectively treat;
• Delineate the effect of the FDA mandated REMS program on opiate prescribing;
• Delineate which patients are most appropriate for a multi-disciplinary approach.

MW-23 Outline 

 

After completion of this session, the participant will be able to:

• Delineate the requirements for monitoring outside the operating room with emphases on pediatrics;
• Develop a plan to get back-up;
• Delineate needs for safe anesthesia in extreme environments.

After completion of this session, the participant will be able to:

• Define three style of leadership;
• Identify their best fit style of leadership;
• Identify the style of leadership of the hospital administration and surgery department.

PBL-33 Case Outline

Full Title: Unusual Complications of Difficult Intubations in the Morbidly Obese: Recognition and Management 

 

After completion of this session, the participant will be able to:

Evaluate complications from a difficult intubation;

Identify and distinguish between pre-existing anatomical abnormalities and aberrations caused by therapeutic procedures;

Manage the patient with difficult intubation at each point in the process, and be able to plan a new course of action.

PBL-35 Case Outline 

After completion of this session, the participant will be able to:

• Assess the airway of a patient with an airway mass;
• Identify anesthetic concerns of laser surgery;
• Describe the indications for and complications of jet ventilation;
• Formulate an anesthetic plan for utilizing jet ventilation.

PBL-37 Case Outline 

 

After completion of this session, the participant will be able to:

• Describe the physiology and pharmacology of neuromuscular blocking drugs and reversal agents;
• Identify the risks of residual paralysis and reversal agents;
• Manage the emergence from anesthesia in the patient who received neuromuscular blockade.

PBL-39 Case Outline 

 

After completion of this session, the participant will be able to:

• Identify causes of bronchospasm in the intraoperative period;
• Select an appropriate anesthetic plan for management of intraoperative bronchospasm;
• Formulate a plan utilizing updated ventilator modalities to manage a patient with perioperative bronchospasm.

Workshop Moderators: Mitchell H. Marshall, M.D. & Jovan Popovic, M.D., FRCPC

 

After completion of this session, the participant will be able to:

• Apply the use of nerve stimulator techniques for upper and lower extremity blocks;
• Treat reflex sympathetic dystrophy with either intravenous anesthesia (Bier block) or nerve block;
• Utilize ultrasound technology for upper and lower extremity blocks.

Panel Moderator:  Meg A. Rosenblatt, M.D.

 

Presentations:

Terese T. Horlocker, M.D. -The Patient on Anticoagulant/Antiplatelet Therapy and Regional Anesthesia

Joseph M. Neal, M.D. - The 2nd ASRA Evidence-Based Medicine Analysis of Ultrasound-Guided Regional Anesthesia

Jacques T. YaDeau, M.D., Ph.D. - Enhanced Recovery After Total Joint Replacement: Facts and Myths

Meg A. Rosenblatt, M.D. -Ultrasound Guided Blocks for Non-Orthopedic Surgery

 

After completion of this session, the participant will be able to:

• Discuss the perioperative management of patients who are having regional anesthetics and take anticoagulant or antiplatelet medications;

• Describe the evidence for the use of ultrasound in the performance of ultrasound-guided regional anesthesia;

• Determine the components of a successful enhanced recovery program for patients undergoing total joint replacements;

• Describe ultrasound guided nerve blocks for non-orthopedic surgeries and know when they are appropriately used.

Panel Moderator:   Charles Marc Samama, M.D.

 

Presentations:

Andreas Hoeft, M.D. -  ICU-OR-ER in Europe: An integrative approach of Anesthesiologist for Perioperative Care

Idit Matot, M.D. - Aging Considerations: Also in Europe

Charles Marc Samama, M.D. -VTE Prophylaxis and Massive Bleeding: New and Updated European Guidelines  

Manfred Blobner, M.D. - Clinical Practice of Muscle Relaxant Use in Europe and Possible Impact on Postoperative Pulmonary Complications
 

After completion of this session, the participant will be able to:

• Appreciate the differences in philosophy between European and U.S. anesthesiology practices;

• Understand the integrative approach of anesthesiologists for perioperative care;

• Discuss the aging concerns in the practice of anesthesiologists;

• Define the updated European Guidelines on VTE Prophylaxis and massive bleeding;

• Discuss the clinical practice of muscle relaxants in Europe and the impact on postoperative pulmonary complications.

Focus Session Moderator:  Rhoda D. Levine, M.D.

 

Presentations:

Elizabeth A. M. Frost, M.D. - "You Just Know When It's Time....."

Arthur S. Hengerer, M.D. - Emphasizing Issues Leading to Burnout and Its Consequences From Medical School, Through Residency and Your Career

Hale Saadat, M.D., FAAP - Discussing Physician Fatigue and Wellness Programs

 

After completion of this session, the participant will be able to:

• Highlight issues associated with the phenomenon of "burnout", particularly as it applies to physicians;
• Discuss recognition of signs, contributing factors, consequences, and possible solutions to the problem of "physician burnout" focusing on the specialty of anesthesiology.

 

 

Panel Moderator:   Scott B. Groudine, M.D.

 

Presentations:

Ruchir Gupta , M.D. - Past

Kenneth I. Rosenfeld, M.D. - Present and Future

Farzana Afroze, M.D. -Pediatric 

 

After the completion of this session, the participant will be able to:

•  Recognize the importance of chemical structure in Neuromuscular Blocking agents to their function;

•  Identify the weaknesses of different Neuromuscular Blocking agents from the past and present;

•  Identify the direction current research is going to fill the Pharmacologic gaps in Neuromuscular Blocking agents.

Panel Moderator:  David J. Wlody, M.D.

 

Presentations:

Michael J. Schoppmann, Esq. - Medical Malpractice: The Insurer's Perspective

Moe Auster, Esq. - Medical Malpractice in New York: The Legislative Perspective

 

After completion of this session, the participant will be able to:

• Describe the issues confronting medical liability insurers in a challenging regulatory environment;

• Describe the prospects for changes regarding medical liability in the upcoming legislative session.

 

 

 

Focus Session Moderator:  Apolonia E. Abramowicz, M.D.

 

Presentations:  

Apolonia E. Abramowicz, M.D. - Stay Abreast of National Guidelines that Impact the Practice of Anesthesiology: What Other Specialists Think We Should be Doing

Karina Gritsenko, M.D. - Managing Surgical Pain Starts in The OR: The American Academy of Pain 2016 Guidelines

After completion of this session, the participant will be able to:

• Discuss important guidelines impacting on perioperative management;

• Adapt patient management to important non-anesthesia developed guidelines;

• Describe the guidelines for surgical pain management issued by the American Academy of Pain Medicine;

 • Develop pain treatment plans for surgical patients that incorporate recommendations by the American Academy of Pain Management.

Focus Session Moderator:  Stacie G. Deiner, M.D. 

 

Presentations:

Stacie G. Deiner, M.D. - Delirium Following Anesthesia in the Elderly: What is the Significance and Can It Be Prevented?

Robert A. Whittington, M.D. - Surgical Procedures in the Elderly and Cognitive Decline: Is there an Issue?

 

After completion of this session, the participant will be able to:

• Identify the issues of postoperative cognitive decline following surgery;

• Identify the issues surrounding delirium in the elderly;

• Develop strategies to minimize POCD and delirium in the elderly following surgery and anesthesia.

Focus Session Moderator:  Richard A. Beers, M.D.

 

Presentations:

Elliott S. Greene, M.D. -Transmission of Pathogens During Perioperative Care: New Insights 

Amanda Rhee, M.D. -The Anesthesia Professional and Surgical Site Infection Prevention: An Update 

 

After completion of this session, the participant will be able to:

• Describe current infection prevention recommendations and safe injection practices as applicable to anesthesia practice;
• Implement infection prevention recommendations into practice.

PBL-41 Case Outline 

 

After completion of this session, the participant will be able to:

• Recognize risk factors for delirium in the postoperative setting;
• Identify patients most likely to develop postoperative delirium;
• Formulate an anesthetic plan that minimizes the risk of postoperative delirium;
• Apply measures to treat delirium when it occurs.

PBL-43 Case Outline 

 

After completion of this session, the participant will be able to:

• Discuss the latest recommendations regarding dual antiplatelet therapy in the patient with coronary stents;
• Develop a comprehensive plan to manage dual antiplatelet therapy in the hip fracture patient for the perioperative period.

 PBL-45 Case Outline

After completion of this session, the participant will be able to:

• Identify etiologies of pain from herniated disc;

• Describe various interventional techniques to address pain from herniated lumbar disc;

• Formulate an interventional based plan for the management of a patient with herniated lumbar disc.

PBL-47 Case Outline 

 

After completion of this session, the participant will be able to:

• Discuss the potential risks and advantages of the use of nitrous oxide;
• Identify which patients may be at increased risk from use of nitrous oxide;
• Establish an anesthetic plan which does not require the use of nitrous oxide in at-risk patients.

Workshop Moderators: James A. Osorio, M.D., Nikolaos J. Skubas, M.D., FACC, FASE, D.Sc., Steven G. Venticinque, M.D., Adriann van Rensburg, M.D., Oliver P. F. Panzer, M.D., Stephen C. Haskins, M.D.

 

Course Goals

• To provide an overview of most commonly used bedside sonographic techniques;
• To get familiarized with the essential elements of heart, lung, pericardial, pleural, peritoneal exam and patient volume status assessment.

 

After completion of this session, the participant will be able to acquire images and interpret information from:

• Focused surface TTE cardiac and standardized TTE chest images;
• Rush Protocol, assessment in the hemodynamically unstable patient;
• FAST Exam, bed-side evaluation of trauma patients;
• Focused surface ultrasound diagnostic information in cardiac arrest patients.

Workshop Moderator:  Adam I. Levine, M.D. and  Samuel DeMaria, Jr., M.D.

 

After completion of this session, the participant will be able to:

• Apply skills of dynamic decision-making, resource management, leadership and teamwork to a crisis scenario in the OR;
• Demonstrate communication and leadership skills in working with different personalities and behaviors during a crisis scenario.

Full Title: E.A. Rovenstine Memorial Panel: Anesthesiology, Critical Care Medicine (or Perioperative Medicine) and Therapeutic Passions

Panel Moderator:  Douglas B. Coursin, M.D.

 

Presentations:

Mark E. Nunnally, M.D., FCCM - Why Do We Need Perioperative ACLS Guidelines?

May S. Hua, M.D. - Perioperative End of Life and Hospice Considerations: Is There Another Path?

Ian J. Welsby, B.Sc., M.B., B.S., FRCA - Perioperative Coagulation and Transfusion: What Are We Missing?

 

After completion of this session, the participant will be able to:

• Discuss the ACLS guidelines and whether or not we need perioperative guidelines;

• Discuss end of life and hospice considerations and alternatives for managing these patients;

• Describe coagulation tests that have been used to direct transfusion treatment in surgical bleeding patients and discuss what is missing in our management.

Full Title: Integration of Regional Anesthesia Techniques in the Perioperative Management of Trauma Patients

 

After completion of this session, the participant will be able to:

• Recognize short and long term benefits of including regional anesthesia techniques in the perioperative management of patients with traumatic orthopedic injuries;
• Explore practical problems faced by the anesthesiologist caring for the orthopedic trauma patient;
• Review common contraindications to neuraxial and regional anesthesia in trauma patients.

After completion of this session, the participant will be able to:

• Identify the key anatomic views used in TTE;
• Identify the key anatomic structures visualized by TTE;
• Identify hypokinesis and akinesis of the myocardium.

PBL-49 Case Outline 

 

After completion of this session, the participant will be able to:

• Describe the pathophysiology of hypertension;
• Describe the concept of tight control of blood pressure;
• Identify the different medications used to control blood pressure;
• Formulate an anesthetic plan for the patient with hypertension.

PBL-51 Case Outline 

After completion of this session, the participant will be able to:

• Recognize patient with egg allergy and associated cross reactivities;
• Develop a plan for sedation of a patient with both MH history and egg allergy.

PBL-53 Case Outline

Full Title: Patient on Multiple Chemotherapeutic Agents for Exploratory Laparotomy: Anesthetic Considerations 

 

After completion of this session, the participant will be able to:

• Identify commonly used chemotherapeutic agents and their side effects;
• Formulate a comprehensive anesthetic plan addressing these side effects, as well as possible anesthetic interactions with these medications.

PBL-55 Case Outline 

After completion of this session, the participant will be able to:

• Identify new concepts regarding the use of crystalloid and colloid volume replacement;
• Formulate a plan to maintain ideal volume status in the perioperative period.

Workshop Moderators: James A. Osorio, M.D., Nikolaos J. Skubas, M.D., FACC, FASE, D.Sc., Steven G. Venticinque, M.D., Adriann van Rensburg, M.D., Oliver P. F. Panzer, M.D., Natalia S. Ivascu, M.D., Christopher Y. Tanaka, M.D.
 

 

Prerequisite for Workshop Enrollment:

• Somebody who completed a basic workshop (either our workshop last year or a basic workshop elsewhere); Has basic knowledge and skills in image acquisition;
• Has enrolled for the morning basic session and would like to further their skills at the advanced workshop.
• Course Goals
• To build on basic bedside sonographic techniques.
• Learn advanced echocardiographic skills in image acquisition and interpretation.
• Perform and interpret a comprehensive point-of-care exam Course Structure:
• Pre Course Syllabus Review-Curriculum
• Pre Course Exam
• Three Hour Hands on Workshop

 

Post Course Exam Objectives:

After completion of this session, the participant will be able to acquire images and interpret information from:

• A standardized comprehensive cardiac exam for the assessment of global and segmental cardiac function-Valvular structure and function;
• Advanced Lung exam, RUSH, FAST and FEEL protocol, in the hemodynamically unstable and hypoxic patient, through participation in workshop simulation cases.

Panel Moderator:  Robert E. Johnstone, M.D.

  

Presentations:

David J. Wlody, M.D. - Delivery Suite Dilemma: Reconciling Maternal Autonomy and Fetal Well Being

Elizabeth A. M. Frost, M.D. - Holding Area Dilemma: A Redo CABG Patient Gives You a 20 Page Directive

Saundra E. Curry, M.D. - Teaching Dilemma: This is an Academic Institution: So, Do I Involve Medical Students in All Clinical Anesthesia Care?

Robert E. Johnstone, M.D. - Operating Room Dilemma: Major Surgery and The Patient Refuses Blood Products

After completion of this session, the participant will be able to:

• Find solutions to competing interests of the parturient and fetus;

• Understand ethical and legal issues in the management of patients with DNR and similar directives;

• Devise ways to include medical students in clinical anesthesia care;

• Learn ways to care for patients who refuse blood products.

Panel Moderator:  Deborah Rusy, M.D., M.B.A.

 

Presentations: 

Ehab S. A. Farag, M.D., FRCA - Anesthetic Management of the Patient Undergoing Cervical Spine Surgery

Deborah Rusy, M.D., M.B.A. - Management of the Neuromuscular and Idiopathic Pediatric Spine Patient

Marc J. Bloom, M.D., Ph.D. - Intraoperative Neurophysiologic Monitoring for Spine Surgery

Irene P. Osborn, M.D. -Pain Management for the Patient Undergoing Spine Surgery  

 

After completion of this session, the participant will be able to:

 • Manage the airway in cervical spine surgery patients, learn about perioperative complications and recent advances in spinal cord protection;

• Understand the various causes of pediatric scoliosis and manage the neuromuscular and idiopathic pediatric spine patient;

• Enumerate the various modalities of monitoring used in spine surgery (e.g., SSEP, MEP, Screw Stim, EMG, direct stim, Dermatomal EP), know how anesthetic management affects monitoring, additionally what to do and NOT to do when changes occur;

• Understand the causes of pain (acute and chronic), the effects of chronic opioid use and intraoperative requirements, formulate a plan for multimodal pain management and describe new modalities for relief, i.e., physical therapy, spinal cord stimulation, meditation. 

Focus Session Moderator:  Stephen A. Vitkun, M.D., M.B.A., Ph.D.

 

 

After completion of this session, the participant will be able to:

• Assess new research for validity;
• Develop programs in their institutions for residents to participate research.

Focus Session Moderator: Anahita Dabo-Trubelja, M.D. 

 

Presentations:

Anahita Dabo-Trubelja, M.D. - The Immunocompromised Patient

Vittoria Arslan-Carlon, M.D. - Chemotherapeutic Considerations in the Perioperative Period

 

After completion of this session, the participant will be able to:

• Describe the anesthetic implications of the immunocompromised patient;

• Discuss the most frequent chemotherapeutics, and their potential effects in the perioperative period;

• Develop an anesthetic plan for the patient with cancer on or following completion of chemotherapy treatment. 

 

Focus Session Moderator:  Himani Bhatt-Verma, M.D.

 

Presentations:

Himani Bhatt-Verma, M.D. - Update on Atrial Fibrillation Procedures

Alexander J. C. Mittnacht, M.D. - V-Tach and Related Procedures

 

After completion of this session, the participant will be able to:

• Discuss procedures to cure and prevent recurrence of atrial fibrillation and the possible complications associated with these procedures;

• Discuss procedures to prevent systemic embolization in patients with atrial fibrillation and the associated risks of these procedures;

• Develop an anesthetic management for procedures to treat atrial fibrillation;

• Discuss procedures to treat ventricular tachycardia;

• Develop an anesthetic plan for management of patients for treatment of ventricular tachycardia. 

 

Focus Session Moderator:  Deborah J. Culley, M.D.

 

Presentations:

Deborah J. Culley, M.D. - An Evolving Understanding of Adult Learning: Its Impact on MOCA 

Jaime B. Hyman, M.D. - Education in Anesthesiology: The Role of Milestones

 

After completion of this session, the participant will be able to:

• Describe the ACGME defined milestones for resident education;

• Incorporate into resident evaluation and curriculum the new ACGME defined milestones;

• Describe the changes to MOCA requirements;

• Comply with MOCA requirements.

PBL-57 Case Outline 

 

After completion of this session, the participant will be able to:

• Review data regarding the impact of dexamethasone on postoperative analgesia;
• Recognize side effects of dexamethasone;
• Implement a plan utilizing dexamethasone in the appropriate patient.

PBL-59 Case Outline 

 

After completion of this session, the participant will be able to:

• Review the effects that the physiology of pregnancy have on the ability to resuscitate an individual in cardiac arrest;

• Formulate an anesthetic plan incorporating these effects;

• Develop a multidisciplinary plan involving OB and anesthesiology to appropriately mange the pregnant patient in cardiac arrest. 

 

PBL-61 Case Outline

After completion of this session, the participant will be able to:

• Identify the risk factors for development of vocal cord palsy related to anesthetic care;

• Plan an anesthetic for the laparoscopic surgical patient that minimizes the risk of vocal cord paralysis.

 

PBL-63 Case Outline 

 

After completion of this session, the participant will be able to:

• Review the medical conditions requiring interventional endoscopy procedures;
• Develop a team approach to manage the critically ill patient in a non-operating room location.

MW-29 Outline 

 

After completion of this session, the participant will be able to:

• Review the implications of new warfarin effect reversal agent and oral anticoagulants in the anesthetic management of intracranial hemorrhage;
• Assess the importance to Neuroanesthesiologists of recent national Cervical Spinal Cord Injury and Aneurysmal Subarachnoid Hemorrhage Management Guidelines;
• Discuss new interventional modalities in the treatment of intracranial aneurysms and their implications for Neuroanesthesia practice;
• Describe new applications of commonly used anesthetic drug combinations for procedure-mandated patient cooperation (spinal cord stimulation, Co.Pa.Ge.A).

MW-31 Outline

 

After completion of this session, the participant will be able to:

• Evaluate the risk factors for perioperative thromboembolism;
• Recognize the need for prophylaxis for deep vein thrombosis;
• Delineate the new ASA practice guidelines for preventing POVL;
• List the tests to monitor anticoagulation activities;
• Assess the implications on the neuroaxial procedures;
• New agents for anticoagulation will be reviewed with respect to their role in the settings of atrial fibrillation and acute coronary syndromes and their impact on anesthetic management.

Workshop Moderator:  Richard M. Sommer, M.D.

 

Full Title: Beyond Direct Laryngoscopy: Fiberoptic and Other Techniques for Adult & Pediatric Airway Management 

 

After completion of this session, the participant will be able to:

• Perform airway evaluation, patient preparation and techniques of fiberoptic intubation, video laryngoscopy and transtracheal jet ventilation for adult and pediatric patients.

Panel Moderator:   George Silvay, M.D., Ph.D.  

Pro/Con Debate 1:  Pitting Infectious Concerns Against Sustainability Worries

Richard A. Beers, M.D. -The Case for Disposables

Jodi Sherman, M.D. -  Sustainability is Key: Re-Use Responsibly

 

Pro/Con  Debate 2: Long Term Cognitive Decline Associated with Anesthesia and Surgery:  Myth or Material?

Michael S. Avidan, M.B., B.Ch., FCASA  -It's a Myth 

Stacie G. Deiner, M.D. -It's a Reality 

Avery Tung, M.D., FCCM - How Do We Manage the Patient at Risk for Postoperative Cognitive Impairment "In the Real World"

    

After completion of this session, the participant will be able to:

• Identify the infectious and sustainability concerns regarding anesthesia equipment and supplies and cite arguments for and against single-use disposable versus reprocessed re-useable items;

• Discuss the evidence supporting and refuting the existence of long-term cognitive decline (LTCD) following anesthesia and surgery;

• Determine the relevance of the information surrounding LTCD to one’s practice and cite actions that may improve outcomes for patients at risk for postoperative cognitive impairment.

MW-32 Outline 

 

After completion of this session, the participant will be able to:

• Define the anatomic differences in the forms of postoperative vision loss;
• Delineate the factors that appear to be critical in contributing to the development of POVL;
• Employ recommended strategies to minimize risk of prone position-related postoperative visual loss.

MW-34 Outline 

After completion of this session, the participant will be able to:

• Describe the pathophysiology of postoperative vomiting;
• Enumerate the associated factors for PONV;
• Compare and contrast the pharmacologic treatment option;
• Formulate treatment options for the patient with PONV.

PBL-65 Case Outline 

 

After completion of this session, the participant will be able to:

• Discuss new sepsis guidelines applicable to the pediatric population;

• Apply sepsis guidelines in the care of the pediatric patient presenting for orthopedic surgery;

• Discuss sepsis management in setting of acute sickle crisis.

 

PBL-67 Case Outline 

 

After completion of this session, the participant will be able to:

• Discuss the anesthetic implications of the patient with liver failure;

• Identify challenges when caring for critically ill patients in remote locations;

• Formulate a multidisciplinary plan to address these challenges. 

 

 

PBL-69 Case Outline 

 

After completion of this session, the participant will be able to:

• Identify common causes of respiratory distress in the postoperative period;  

• Incorporate a plan to stratify and triage the care of the PACU patient with respiratory distress. 

 

PBL-71 Case Outline 

 

After completion of this session, the participant will be able to:

• Identify new concepts regarding the use of crystalloid and colloid volume replacement;
• Formulate a plan to maintain ideal volume status in the perioperative period.

Panel Moderator:  Clifford M. Gevirtz, M.D., M.P.H. 

Presentations:

Steven D. Boggs, M.D., M.B.A. - Representing:  Veteran's Integrated Service Network

Scott B. Groudine, M.D. - Representing:  Albany Medical Center

Bessie Kachulis, M.D. & Vikram Saxena, M.D. - Representing:  Columbia University, College of Physicians & Surgeons

Irene P. Osborn, M.D. & Glenn E. Mann, M.D. - Representing:  Montefiore Medical Center/Albert Einstein College of Medicine 

Jon D. Samuels, M.D. - Representing:  NewYork Presbyterian Hospital

Ellen S. Steinberg, M.D. - Representing:  SUNY- Health Sciences Center at Stony Brook

Srinivasa S. Thota, M.D., M.B., B.S. & Yuvesh Passi, M.D. - Representing:  Upstate Medical University

After completion of this session, the participant will be able to:

• Discuss the anesthetic management of patients who present with or develop unusual or unique medical issues that demand innovative anesthetic management strategies;

• Understand and gain insight into the thought processes of colleagues and mentors as they describe their management of complex problems in anesthesia care.

Focus Session Moderator:  Linda J. Shore-Lesserson, M.D., FAHA, FASE     

 

Presentations:

Linda J. Shore-Lesserson, M.D., FAHA, FASE -  Transfusions as Quality Measure?

Aryeh Shander, M.D., FCCM, FCCP -  Anemia Management

 

After completion of this session, the participant will be able to:

• Discuss the Joint Commission blood management performance issues;
• Discuss the utility of blood transfusion as a quality measure;
• Describe best practices for fluid replacement in trauma and surgery;
• Integrate appropriate fluid management and blood conservation techniques.

Focus Session Moderator:  Francine S. Yudkowitz, M.D., FAAP

 

Presentations:

Francine S. Yudkowitz, M.D., FAAP - Preparing for the MH Susceptible Patient

Scott D. Lipson, M.D. -Is this MH- Case Vignettes  
 

After completion of this session, the participant will be able to:

• Prepare the anesthesia machine for Malignant Hyperthermia (MH) susceptible patients;
• Recognize the signs of MH;
• Manage the patient who develops signs of MH during an anesthetic;
• Recognize scenarios not consistent with the diagnosis of MH.