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:

Liver Transplant/Cardio Thoracic/Computerized Recording/Anesthesia Simulator

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:

Cardiac Anesthesia/Pediatrics/Neuro/Obstetrics

 

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:

• Provide an overview of New York State's Medical Marijuana Program;
• Explain the practitioner registration and patient certification process;
• Highlight the manufacturing and dispensing requirements for medical marijuana;
• Provide additional regulatory information for practitioners.

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.

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

• Discuss the anesthetic implications of implantable cardiac defibrillators, pacemakers, left ventricular assist devices and artificial hearts;
• Describe the indications, surgical technique and anesthetic challenges;
• Discuss the safety and efficacy of this procedure; Examine current literature comparing on and off pump coronary surgery.

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 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:   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:   Mark P. Hamlin, M.D.

 

Presentations:

Stephen C. Haskins, M.D. -The Focus Assessed Transthoracic ECHO (FATE Exam)  

Mark P. Hamlin, M.D. - Evaluation of Pnemothorax and Pleural Effusion

Oliver P. F. Panzer, M.D. - Volume Assessment

Nibras Bughrara, M.D. - Focused Echocardiography Evaluation in Life Support (FEEL Algorithm)

 

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

• Demonstrate use of ultrasound as a diagnostic tool;

• Describe the use of ultrasonography for evaluation of pneumothorax and pleural effusion;

• Discuss the physiology of hemodynamic instability;

• Summarize the ultrasound images needed to assess preload and cardiac contractility;

• Integrate the use of focused ultrasound in ACLS.

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.

Panel Moderator:  Patricia Fogarty Mack, M.D.

 

Presentations:

Steven Boggs, M.D., M.B.A. - NORA Management and Scheduling: How to Make It Productive!

Richard D. Urman M.D., M.B.A. - Anesthesia for Gastroenterology

Patricia Fogarty Mack, M.D. - Anesthesia in the Interventional Radiology Suite

Jeremy M. Bennett, M.D. - Anesthesia in the Electrophysiology and Cath Labs

 

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

• Discuss scheduling issues, efficiencies and metrics required to make NORA-areas productive;

• Understand the anesthesia-related challenges for NORA in gastroenterology;

• Understand the anesthesia-related challenges for NORA in interventional radiology;

• Understand the anesthesia-related challenges for NORA in the electrophysiology and cath labs.

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.

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.

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.

MW-08 Outline 

 

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

• Define which medications may affect the coagulation pathway;
• Delineate which medications may complicate regional anesthesia;
• Define which tests may help to guide intraoperative therapy.

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-02 Case Outline 

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

• Identify various anesthetic and non-obstetrical surgery considerations throughout pregnancy;
• Formulate an anesthetic plan that takes into consideration the fetal and maternal effects of non-obstetric surgery, during pregnancy;
• Manage the issues surrounding laparoscopic surgery in the parturient. 

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-04 Case Outline 

 

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

• Discuss new guidelines from the APS;

• Incorporate new pain management guidelines into their practice.

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-06 Case Outline 

 

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

• Review the most recent guidelines regarding perioperative blood product transfusion;
• Identify barriers to the timely provision of adequate blood products in a case requiring massive transfusion;
• Implement a comprehensive transfusion protocol, including one addressing massive transfusions.

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.

PBL-08 Case Outline 

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

• Identify the major disease processes for which patients are scheduled for procedures in the EP suite;  

• Understand occupational hazards and radiation exposure in the EP suite;

• Formulate a plan to deal with challenging cases in the EP suite and similar remote locations.

 

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.

Full Title:  Neuroanesthesia: New Clinical Paradigms in the Perioperative Management of Cerebrovascular Emergencies

Panel Moderator:  Audrée A. Bendo, M.D., M.S.

 

Presentations:

Irene P. Osborn, M.D. -Aneurysmal Rupture is a Neurointerventional Emergency 

Sundeep Mangla, M.D. - Acute Ischemic Stroke: The Interventionalists' Perspective

Apolonia E. Abramowicz, M.D. - Acute Ischemic Stroke from the Anesthesiologists' Perspective

Martin Smith, M.B., B.S., FRCA, FFICM - Critical Care Management of Cerebrovascular Emergencies

 

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

• Identify new and emerging treatment modalities for stroke and subarachnoid hemorrhage;

• Review the current evidence for the perioperative management priorities in the emergency management of acute cerebrovascular disorders;

• Formulate systems-based and perioperative priorities and protocols for state-of-the-art patient care in Acute Ischemic Stroke and Aneurysm Rupture;

• Describe the areas of controversy in the critical care management of patients with acute cerebrovascular disease.

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.

Panel Moderator:   David L. Reich, M.D. 

Presentations:

Steven Boggs, M.D., M.B.A. -Computer-Controlled Infusion Systems in Anesthesiology 

Richard D. Urman, M.D., M.B.A. - Anesthesia, Novel Drugs and Pharmacogenetics

David L. Reich, M.D. - Monitoring and Outcomes Research in Anesthesiology

Paul M. Heerdt, M.D., Ph.D., FAHA, FCCP - Non-Invasive Monitoring of Stroke Volume and Fluid Responsiveness

 

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

• Understand Target-Controlled, Closed-Loop, Computer-Assisted Personalized Sedation and other Computer- Controlled Infusion Systems for Anesthesia;

• Describe novel anesthetic medications and pharmacogenetics as applied to anesthesiology;

• Discuss monitoring and outcomes research to improve anesthetic safety and practice;

• Understand non-invasive monitoring of stroke volume and fluid responsiveness (ERAS applications).

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. 

Full Title: The Disruptive Physician, the Impaired Physician:  The Joint Commission and the Department of Health Guidelines and Recommendations

 

Focus Session Moderator:   Michael P. Duffy, M.D.

 

Presentations:

Michael P. Duffy, M.D. - The Disruptive Physician: TJC and Institutional Approach

Terrance M. Bedient, FACHE -The Impaired Physician: The DOH and the Committee for Physician Health

 

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

• Identify and assess the disruptive/impaired physician;
• Interpret the current recommendations of the Department of Health’s Committee for Physician Health;
• Develop a plan to manage the disruptive/impaired physician in their institution/department. 

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:   Gregory W. Fischer, M.D.

 

Presentations:

Gregory W. Fischer, M.D. - Lung Protective Strategies in the Operating Room 

Joseph W. Dooley, M.D. - Lung Protective Strategies in the ICU

 

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

• Develop ventilation strategies to avoid barotrauma in the operating room;
• Develop optimal ventilation strategies for the ICU;
• Apply optimal ventilation strategies to patients in the operating room and in the ICU.

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.

Full Title: Anesthesia and the Developing Brain:  Do Anesthetics Really Harm Children? Animal vs the Human Evidence 

 

Focus Session Moderator:   Jerrold Lerman, M.D., FRCPC, FANZCA   

 

Presentations:

Jerrold Lerman, M.D., FRCPC, FANZCA - Animal Data

Linda J. Mason, M.D. -Human Evidence 

 

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

• Discuss the animal data demonstrating negative effects of anesthetics on the developing brain;
• Discuss the current knowledge regarding the possible negative effect of anesthetics on the developing brain in humans;
• Discuss the areas of research to elucidate the effect of anesthetics on the developing brain of humans;
• Discuss the ethical issues of not providing anesthetic care to infants;
• Advise parents about their child’s impending surgery and anesthetic when asked about the effects of anesthetic agents on their child.

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.

Full Title: Operating Room Efficiency: Optimizing Resource Utilization without Compromising Patient Safety

 

Focus Session Moderator:  Vinod Malhotra, M.D.

 

Presentations:

Vinod Malhotra, M.D. - Patient Safety

Michael P. Smith, M.D., M.S., Ed. - Resource Utilization

 

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

• Discuss different approaches to increase OR-efficiency;
• Discuss the risks to patient safety and how to avoid this complication;
• Develop plans to increase operating room efficiency without compromising safety.

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-10 Case Outline 

 

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

• Identify the causes of hypoxemia during one-lung ventilation;
• Employ various strategies to improve oxygenation during one-lung ventilation.

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-12 Case Outline 

 

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

• Identify the clinical conditions in for which a thromoelastogram-type monitoring system would be useful;
• Incorporate the use of thromboelastography, where appropriate in clinical practice.

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-14 Case Outline 

 

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

• Identify the postoperative changes associated with various types of spinal surgery;
• Design an obstetrical anesthetic plan with contingencies for the patient with a history of scoliosis repair.

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.

 PBL-16 Case Outline

 

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

• Identify the anesthetic concerns regarding the care of the obese patient in the ambulatory setting concerns;
• Establish an algorithm to determine which obese patients might be excluded from an ambulatory surgery center.

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.

MW-11 Outline 

 

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

• Delineate the indications for cardiac pacemakers and implantable cardiac defibrillators (ICD);
• Delineate the ASA guidelines for the intra-operative management of pacemakers and ICDs;
• Delineate the anesthetic implications of transcatheter aortic valve implantation;
• Delineate the anesthetic considerations of transseptal puncture for cardiac ablation.

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:  Yury Khelemsky, M.D. and Amaresh Vydyanathan, M.B., B.S. 

 

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

• Understand the advantages of using ultrasound guidance to perform pain medicine procedures;
• Review indications and risks of ultrasound guided pain procedures;
• Describe sono-anatomy of anatomic structures pertinent to pain procedures;
• List relevant equipment and medications required for ultrasound guided pain medicine procedures;
• Perform ultrasonographic examination of relevant anatomy in human volunteers;
• Review needle technique relevant to each procedure, as well as other ergonomic considerations;
• Evaluate economic considerations of utilizing an ultrasound in pain practice.

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.

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

 

Presentations:

Pro/Con Debate 1:  Should the  "Smart Tots" Research Program Change Our Current Practice?

Jerrold Lerman, M.D., FRCPC, FANZCA  - Pro

Sulpicio G. Soriano, III, M.D. -Con

Pro/Con Debate 2: Goal Directed Fluid Therapy is an Essential Element of an Enhanced Recovery Protocol for Major Surgery 

Tong J. Gan, M.D., MHS, FRCA -  Pro

Girish P. Joshi, M.B., B.S., M.D., FFARCSI -  Con

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

• Define the Smart Tots program;

• Discuss the current evidence and whether or not the research should change our current clinical practice;

• Define goal directed fluid therapy and identify the cases where it may be used;

• Evaluate whether or not goal directed fluid therapy vs. standard therapy will enhance recovery after major surgery.

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:

• Identify the risk factors associated with surgery during pregnancy;
• Enumerate the qualifiable rate of miscarriage;
• Delineate the critical time periods for organogenesis during pregnancy.

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.

MW-16 Outline

 

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

• Identify features of the incubation phase of an active shooter incident through situational awareness;
• Learn to ask for help early;
• Understand how to evacuate in an emergency;
• Know how to conduct a “lockdown”;
• Learn how to fight in a self-defense situation;
• Develop flexible thinking for an evolving active shooter situation.

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-18 Case Outline 

 

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

• Identify predisposing factors implicated in development of subdural block;
• Employ a diagnostic paradigm to identify the rare complication of subdural block;
• Formulate an anesthetic plan to care for the patient with subdural block.

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-20 Case Outline 

 

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

• Differentiate the clinical presentation of Thromboembolic stroke from intracranial hemorrhage;
• Employ the appropriate anesthetic and hemodynamic management strategies to maintain adequate cerebral perfusion.

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.

Full Title: Coagulopathic Parturient Refuses General Anesthesia for Cesarean Delivery: Is Regional Acceptable?

 PBL-22 Case Outline

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

• Discuss the dilemma when patient wishes conflict with standard medical practice;
• List conditions that predispose a parturient to disseminated intravascular coagulation (DIC);
• Identify the risks and benefits of neuraxial blockade in this obstetric emergency;
• Discuss risks and benefits of general anesthesia for cesarean delivery in this patient;
• Devise a treatment plan for the patient with peripartum hemorrhage complicated by DIC.

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.

PBL-24 Case Outline 

 

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

• Identify patients at risk for malignant hyperthermia;
• Recognize the signs of malignant hyperthermia;
• Formulate and execute a plan for the management of a malignant hyperthermia reaction.

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:  Gregory W. Fischer, M.D.

 

Presentations:

Gregory W. Fischer, M.D. - The Patient with Valvular Heart Disease 

Marc E. Stone, M.D. - The Patient with Cardiac Rhythm Management Devices

Elliott Bennett-Guerrero, M.D. - The Patient with Atrial Fibrillation

Paul G. Barash, M.D. -The Patient with Coronary Stents  

 

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

• Use knowledge of cardiac pathophysiology to better plan anesthetic management of patients with cardiac disease presenting for non-cardiac surgery;

• Understand the risk/benefit of holding antiplatelet medications in patients with coronary stents;

• Determine which patients with rhythm problems should proceed with non-cardiac surgery.

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: Tong J. Gan, M.D., MHS, FRCA

Presentations:

Tong J. Gan, M.D., MHS, FRCA - Clinical Pathways to Success: What are the Basics of ERAS?

Anoushka M. Afonso, M.D. - ERAS and the Anesthesiologist: How Do We Impact Outcome?

 

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

• Describe the principles of an ERAS program;

• Develop an ERAS program in their institutions;

• Describe the role of the anesthesiologist in an ERAS program;

• Institute an ERAS program at their institutions.

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:  Christopher G. Gharibo, M.D.

Presentations:

Christopher G. Gharibo, M.D. - Opioids for Chronic Pain, Current Issues and Practice

Steven G. Halle, M.D. - Use of Ketamine in Chronic Pain

 

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

• Describe when opioids are appropriate for the treatment of chronic pain;

• Describe the role for ketamine for chronic pain management;

• Develop an appropriate treatment plan for chronic pain using opioids and alternatives;

• Develop a treatment plan using ketamine to treat chronic pain.

 

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:  Michael B. Simon, M.D., M.B.A.

 

Presentations:

Michael B. Simon, M.D., M.B.A. - Expert Witness Anesthesiologist

Michael J. Schoppmann, Esq. - Defense or Trial Lawyer

 

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

• Discuss the administrative and legal requirements of informed consent;
• Communicate to the patient and document in the patient’s medical record information that may reduce their vulnerability to litigation;
• Discuss the importance of documentation;
• Discuss the importance of guidelines and protocols;
• Develop defensive strategies to decrease the likelihood of being successfully sued for malpractice.

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-26 Case Outline

 

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

• Discuss the pathophysiology of Obstructive Sleep Apnea (OSA) in adults;
• Make a presumptive diagnosis of OSA in undiagnosed patients;
• Assess the eligibility of OSA patients for ambulatory surgery;
• Evaluate the effects of anesthetics on patients with OSA;
• Formulate postoperative pain control in OSA patients in an outpatient setting;
• Establish the outpatient PACU monitoring and discharge criteria for OSA patients.

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-28 Case Outline 

 

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

• Identify the etiologies and pathophysiology of pulmonary hypertension;
• Identify factors that alter pulmonary vascular resistance
• Diagnose and manage perioperative complications in patients with pulmonary hypertension.

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-30 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-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.

PBL-32 Case Outline  

 

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

• Identify the differential diagnosis of post induction, pre-incision cardiovascular collapse;
• Recognize the signs and symptoms of anaphylaxis under general anesthesia;
• Develop a treatment plan for anaphylaxis.

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:

• Delineate the approach to airway assessment and management;
• Identify the intraoperative complications which may arise;
• Enumerate at least three postoperative complications which may occur.

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.

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

• Identify the pathophysiologic changes and obstetric management of a parturient with HELLP syndrome;
• Compare and contrast the anesthetic management and monitoring techniques used in dealing with a patient with pregnancy induced hypertension.

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.
  .

 

Workshop Moderators: Nikolaos J. Skubas, M.D., FACC, FASE, D.Sc. & Meghann M. Fitzgerald, M.D. 

 

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

• Demonstrate basic skills in ultrasound technology;
• Utilize ultrasound technology for central venous and arterial access;
• Optimize billing for ultrasound use in vascular access.

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:  Edmond Cohen, M.D.

 

Presentations:

Raja M. Flores, M.D. - Present and Future of Esophageal Surgery

Javier H. Campos, M.D. - Progress in Lung Isolation: Which Tube for Which Procedure?

Edmond Cohen, M.D. -A Decade of Thoracic Anesthesia: What Has Changed? 

Oscar A. De Leon-Casasola, M.D. - Post Thoracotomy Pain Management: An Individually Tailored Approach

 

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

• Learn about current and future management strategies for esophageal surgery;

• Discuss the progress in lung isolation and learn how to select tubes based on the procedure.

• Describe the changes that have occurred in Thoracic Anesthesia to improve outcomes;

• Differentiate among the various alternatives for postoperative pain management for patients and develop an individually tailored approach to post thoracotomy pain management.

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.

Panel Moderator:  Hugh C. Hemmings, Jr., M.D., Ph.D.

 

Presentations:

Hugh C. Hemmings, Jr., M.D., Ph.D. - Anesthetic Neurotoxicity: Do Our Drugs Kill Brain Cells?

Deborah J. Culley, M.D. - Mechanisms and Risk Factors of Postoperative Delirium and Cognitive Dysfunction

Michael S. Avidan, M.B., B.Ch., FCASA - Neurologic Monitoring and Postoperative Delirium

Stacie G. Deiner, M.D. -Perioperative Cognitive Protection    

 

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

• Understand anesthetic neurotoxicity;

• Describe the causes and incidence of postoperative dysfunction/delirium;

• Develop strategies to minimize postoperative cognitive dysfunction/delirium.

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.

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

• Evaluate the proper monitoring and position required for spinal surgery;
• Assess the need for cell-saver, autologous blood donation and hemodilution;
• Enumerate the risk factors for postoperative visual loss;
• Implement changes in practice to avoid postoperative visual loss.

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:

• Identify the key pre-anesthetic assessment issues in Head and Neck Surgery;
• Delineate which anatomic structures can be injured during surgery which has post-procedure implications;
• Delineate a plan for post-operative analgesia.

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-34 Case Outline 

 

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

• Identify the pro and con data regarding perioperative beta-blockade and perioperative outcomes;
• Understand the physiology behind the beneficial and adverse effects of perioperative beta-blockade use;
• Formulate evidence-based guidelines for perioperative beta-blockers.

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-36 Case Outline

 

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

• Recognize the implications of the different types of placental abnormalities on post partum hemorrhage;
• Identify alternative methods for treating maternal hemorrhage (i.e. embolization);
• Establish a plan for multidisciplinary communication and teamwork in the event of maternal hemorrhage.

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-38 Case Outline 

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

• Identify professional difficulties encountered by the burned out physician;

 • Recognize the implications of burnout among medical professionals, with emphasis on anesthesiologists and critical care specialists;

• Explain how burnout affects clinical competency, patient care and interaction between members of anesthesia team;

• Deploy methods to recognize burnout and point out ways to help your colleague anesthesiologist to overcome it;

• Formulate a plan for burnout prevention/reduction at your Department or Practice. 

 

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.

PBL-40 Case Outline 

 

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

• Identify issues surrounding the care of patients with Parkinson's Disease;

• Explore various anesthetic challenges for Deep Brain Stimulator surgery;

• Develop sound evidence based anesthetic techniques for functional neurosurgery.

 

 

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:  Mark A. Warner, M.D.

 

Presentations:

David M. Gaba, M.D. - Production Pressures: A Deep-Seated Aspect of High-Risk Endeavors 

Samuel DeMaria, Jr., M.D. - Production Pressures, Medical Errors and the Pre-Anesthetic Checkout

Mary Ann Vann, M.D. -Production Pressure, Stress and Burnout in a Challenging Economic Climate  

Myriam P. Garzon, M.D., M.B.A. - Production Pressure, Productivity: Primum Non Nocere?

Brian J. Cammarata, M.D. -  Efficiency and Patient Safety: Are they Inversely Related?

Franklin Dexter, M.D., Ph.D. - Wasteful Cognitive Biases for Turnover Time and Anesthesia Time Reduction

 

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

• Understand key patient care elements impacted by production pressures;

• Recognize how production pressures may negatively impact patient safety;

• Discuss the potential negative impact of production pressures on anesthesia professionals.

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.

Panel Moderator:  Oscar A. DeLeon-Casasola, M.D.

 

Presentations:

Sudhir A. Diwan, M.D. -The Science of Cannabinoids for Pain Management 

Oscar A. DeLeon-Casasola, M.D. - Would You Use Marijuana If You Knew This?

Richard L. Rauck, M.D. -Predictors of Outcomes for Both Nonsurgical and Surgical Spine Care  

Dimitri Souzdalnitski, M.D. -Critical Appraisal of the Evidence on Regenerative Medicine   

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

• Address the most prominent topics in pain management in 2016;

• Discuss the evidence in the literature on these topics;

• Review the current clinical applications of cannabinoids for pain management and the evidence for regenerative medicine.

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:  Menachem Weiner, M.D.

 

Presentations:

Menachem Weiner, M.D. - The Role of Methylene Blue

Matthew A. Levin, M.D. - Standard Treatment Protocols

 

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

• Recognize signs of vasoplegia;
• Discuss and develop treatment protocols;
• Discuss the role of methylene blue in treatment of vasoplegia;
• Know the risk and benefits of various treatment protocols and be able to implement in their practice.

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:  Marc E. Stone, M.D.

 

Presentations:

Marc E. Stone, M.D. -  The Perioperative Management of the Patient with a CIED, a Case Based Discussion

Jennie Y. Ngai, M.D. - The Perioperative Assessment and Evaluation of the Patient with a CIED

 

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

• Describe the different types of devices, their functions, and current indications for pacemakers and ICD’s;
• Perform an appropriate perioperative evaluation of the patient with a pacemaker or ICD;
• Formulate a plan for perioperative management of patients with implantable devices;
• Identify procedures that may interfere with these devices.

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:  Bettina Smallman, M.D.

 

Presentations:

Bettina Smallman, M.D. - Pharmacological Approach

Santhanam Suresh, M.D., FAAP - Regional Methods 

 

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

• Discuss current methods of pain management in pediatric patients including both pharmacologic and regional methods;
• Describe the medications used for pain relief in children in terms of pharmacokinetics, pharmacodynamics, and adverse side effects;
• Discuss the risks and benefits of various types of regional anesthesia for pediatric patients;
• Formulate an anesthetic plan for pain management in pediatric patients undergoing various types of surgical procedures.

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-42 Case Outline 

 

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

• Review the anesthetic implications of the substances most commonly used and abused by young adults and teenagers;

• Formulate an anesthetic plan which incorporates knowledge of potential susbstance abuse in the care of the trauma victim. 

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-44 Case Outline 

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

• Explain the initial approach to a trauma/motor vehicle collision victim;

• Describe the new additions to the ATLS 9th Edition Guidelines;

• Review the pathophysiology of Traumatic Brain Injury;

• Review the indicaitons for endotracheal intubation in the setting of  TBI;

• Review indications, methods and tenets of ICP management.

 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-46 Case Outline 

 

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

• Recognize challenges of administering anesthesia in a mass casualty situation;
• Formulate a plan for the care of anesthetic management mass casualty victims.

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.

PBL-48 Case Outline

 

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

• Define morbid obesity and calculate body mass index;
• Discuss the medical complications associated with morbid obesity;
• Design an anesthetic for the specific needs of the morbidly obese patient undergoing bariatric surgery.

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: Edmond Cohen, M.D. 

 

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

• Place left and right-sided double lumen endobronchial tube, utilizing fiberoptic bronchoscopy;
• Place various types of endobronchial blockers to provide one lung ventilation;
• Apply techniques for successful lung separation in patients with a difficult airway;
• Manage hypoxia in a patient with one-lung ventilation;
• Manage postoperative analgesia in the post-lung resection patient.

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: 46th E.A. Rovenstine Memorial Lecture: The Anesthesiologist as Perioperative Physician: Past, Present and Future

 

Panel Lecturer:  Robert N. Sladen, M.B., Ch.B., FCCM

 

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

• Describe the role of the Anesthesiologist as Perioperative Physician;

• Discuss the challenges we have faced, our current practice and future direction.

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 which procedures are at increased risk for perioperative complications;
• Identify procedures which would benefit from additional monitoring;
• Identify strategies to decrease blood lost.

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-50 Case Outline

 

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

• Evaluate fetal heart rate tracings and understand the etiology of the different types of fetal heart rate patterns;
• Explain how opioids and anesthetics affect the fetus and the interpretation of the fetal heart rate tracing;
• Formulate a labor analgesia plan for the parturient with an ominous fetal heart rate tracing;
• Recognize the effects of spinal and general anesthesia on mother and baby;
• Formulate a management plan for an emergency cesarean section.

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-52 Case Outline 

 

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

• Identify drug addiction vs. drug tolerance vs. physical dependence;
• Assess the analgesic options regarding postoperative pain management;
• Identify analgesic requirements for the perioperative period;
• Formulate an outpatient strategic analgesic plan. 

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-54 Case Outline 

 

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

• Discuss the literature regarding the effects of type of anesthesia on cancer cell survival;
• Identify common events in the perioperative period (i.e. hypothermia, transfusion) that might affect the response of the immune system with regards to cancer;
• Devise an anesthetic plan for the care of the cancer patient.

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.

PBL-56 Case Outline 

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

• Review various modalities for non-invasive hemodynamic monitoring;
• Select patients and procedures in which non-invasive hemodynamic monitoring would be advantageous.

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.

Workshop Moderators: 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.

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

 

Presentations: 

Aryeh Shander, M.D., FCCM, FCCP - What is Patient Blood Management?

Jeffrey W. Simmons, M.D. -Acute Traumatic Coagulopathy: Physiologic Principles and Transfusion Strategy  

Linda J. Shore-Lesserson, M.D., FAHA, FASE - Dual Anti-Platelet Therapy: Management in the Perioperative Period

Elliott Bennett-Guerrero, M.D. - Alternatives to Allogeneic Blood - Do We Have Enough Evidence?

 

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

• Define the pillars of patient blood management and apply them to surgical patients;

• Describe coagulation tests that have been used to direct transfusion treatment in surgical bleeding patients;

• Define the risks of blood transfusion and the pharmacologic agents that are being used in place of blood.

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:  Deborah C. Richman, M.B., Ch.B., FFA(SA)

 

Presentations:

Deborah C. Richman, M.B., Ch.B., FFA(SA) -Adult Guidelines 

Cheryl K. Gooden, M.D. - Pediatric Guidelines

 

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

• Discuss the changes in the resuscitation guidelines;

• Implement the changes into their practice.

 

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:  Yaakov Beilin, M.D.

 

Presentations:

Yaakov Beilin, M.D. -Obstetric Hemorrhage  

Richard M. Smiley, M.D., Ph.D. - ACOG/National Partnership Guidelines for Venous Thromboembolism Prophylaxis and How They May/Will Affect Anesthesia Practice

 

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

• Identify the etiology of third trimester bleeding;
• Formulate an anesthetic plan for the parturient at risk for massive hemorrhage;
• Describe the criteria for preeclampsia;
• Formulate an anesthetic plan for the patient with preeclampsia.

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:  Edmond Cohen, M.D.

 

Presentations:

Edmond Cohen, M.D. - Management of Hypoxemia During OLV

Javier H. Campos, M.D. -Lung Isolation in the Morbidly Obese Patient  

 

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

• Discuss the complications of lung isolation;
• Determine which methods of lung isolation would be most advantageous in the setting of a morbidly obese patient;
• Recognize and treat hypoxemia during one lung ventilation;
• Develop a practical approach to optimize ventilation during procedures requiring one lung ventilation.

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.

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

• Review the use of several narcotic analgesics during major spine surgery;
• Develop a patient care plan which incorporates the need for postoperative pain management in the intraoperative plan.

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-60 Case Outline 

 

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

• Discuss why patients at the extremes of age may be particularly susceptible to toxicity from anesthetic agents;
• Formulate an anesthetic plan to minimize the risk of anesthetic toxicity in susceptible populations.

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-62 Case Outline 

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

• Identify specific measurements to assess the efficiency of the operating room;
• Determine the importance of appropriate OR time allocation;
• Develop a plan to maximize OR efficiency in their own institution.

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.

PBL-64 Case Outline 

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

• Discuss how adverse healthcare event affects clinical competency, patient care and interaction between members of anesthesia team;

• Identify methods to recognize second victim effect and how to help your colleague anesthesiologist to overcome it;

• Describe how to formulate a plan for prevention/reduction of second victim effect;

• Identify second victim effect features among medical professionals, with emphasis on anesthesiologists and critical care specialists;

• Explore professional difficulties encountered by the physician affected by healthcare adverse event.  

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).

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

• Discuss the role of newer anesthetic agents in the neonatal period;
• Discuss the requirements for postoperative observation in very young neonates;
• Complications encountered in neonatal anesthesia.

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.

Workshop Moderators: Nikolaos J. Skubas, M.D., FACC, FASE, D.Sc. & Meghann M. Fitzgerald, M.D. 

 

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

• Demonstrate basic skills in ultrasound technology;
• Utilize ultrasound technology for central venous and arterial access;
• Optimize billing for ultrasound use in vascular access.

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.

Panel Moderator:   Rebecca S. Twersky, M.D., M.P.H.

Presentations:

Bobbie-Jean Sweitzer, M.D. -Which Patients May Be Too High Risk for Ambulatory Surgery?

Additional Documents: Cardiac Algorithm, Fig 2, Table 4 CIED

Tong J. Gan, M.D., MHS, FRCA -New and Novel Drugs in the Ambulatory Setting  

Rebecca S. Twersky, M.D., M.P.H. - ERAS for Ambulatory Surgery

Arnaldo Valedon, M.D. - Quality, Safety and Accreditation in Ambulatory Surgery

• Identify conditions that pose significant risk in the ambulatory setting;

• Understand predictors for morbidity and mortality in ambulatory surgery;

• Discuss the pharmacology and clinical application of the newest drugs for ambulatory anesthesia;

• Define the components of enhanced recovery after surgery applied to ambulatory surgery;

• Highlight key ambulatory surgery safety issues and common accreditation challenges for HOPD, ASC and OBA Practices.

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-33 Outline 

 

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

• Provide an update and overview on outpatient pediatric anesthesia;
• Review practice recommendations for pediatric anesthesia;
• Review appropriate patients and procedure types for outpatient pediatric surgery;
• Formulate an appropriate plan for anesthetic induction and maintenance with the overall goal of faster reunion with parents and discharge with adequate pain control and PO intake;
• Determine optimal intraoperative and postoperative pain control strategies;
• Identification and treatment of postoperative issues such as emergence agitation, pain and nausea/vomiting;
• This mini-workshop is tailored toward the “general anesthesiologist” who provides anesthetic care to the pediatric patient.

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-66 Case Outline 

 

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

• Discuss various pain management techniques for the thoracic surgical patient;
• Employ a comprehensive plan to individualize the use of specific pain management techniques in the thoracic surgical patient.

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-68 Case Outline 

 

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

• Diagnose the parturient with HELLP Syndrome;
• Identify the anesthetic implications of HELLP Syndrome;
• Manage the HELLP syndrome patient in the peripartum period.

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-70 Case Outline 

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

• Recognize which quality measures are most appropriate for peer review and quality reporting;
• Utilize metrics to improve the quality of anesthesia care.

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.

PBL-72 Case Outline 

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

• Identify the indications for invasive hemodynamic monitoring;
• Select appropriate invasive and non-invasive hemodynamic monitoring for various patient populations.

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:  Daniel M. Gainsburg, M.D., M.S.  

 

Presentations:

Daniel M. Gainsburg, M.D., M.S.  -  Anesthetic Complications of Robotic-Assisted Laparoscopic Surgery

Marina Svyatets, M.D. - Pros and Cons: Anesthetic Considerations for Robotic-Assisted Laparoscopic Surgery

 

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

• Discuss the advantages and disadvantages of robotic assisted laparoscopic surgeries;
• Plan appropriately for robotic assisted laparoscopic surgeries;
• Discuss the complication of robotic laparoscopic surgery;
• Recognize and manage the complications of robotic assisted laparoscopic surgery.

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.