Thoracic Symposium
Please Note: This session takes place on Thursday, December 7th from 7:00 am - 5:00 pm and
Friday, December 8th from 8:00 am to 11:00 '
Click here for more information.
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.
TS-01 & T-02 - Is There is Place for Nitric Oxide
TS-01 & TS-02 Protective Lung Ventilation During
Hospital Visits
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
Liver Transplant/Cardio Thoracic/Computerized Recording/Anesthesia Simulator
Neuro/Cardiac/Critical Care Medicine
Workshop(s)
• 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.
This activity contributes to the Part IV: Improvement in Medical Practice requirement of the American Board of Anesthesiology’s (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 Part IV requirements and their associated point values.
Mini Workshop(s)
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:• Delineate the indications and contraindications to sedation for TAVR;• Delineate the indications and contraindications to general anesthesia for TAVR;• Enumerate the critical hemodynamic effects during TAVR and the requirements for anesthetic management.
MW-02
After completion of this session, the participant will be able to: • Define three styles of leadership; • Identify their best fit style of leadership;• Identify the style of leadership of the hospital administration and or surgery department.
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.
PGA71 MW-04
• 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.
• 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.
Scientific Panel(s)
Panel Moderator: Douglas B. Coursin, M.D.
Presentations:
Sepsis Could Kill Your Patient, You or Yours - Mark E. Nunnally, M.D.
The 2nd Victim-Saving Ourselves and our Colleagues - Oliver P.F. Panzer, M.D.
Crisis Resource Management: Resources to Save Our Patients and Ourselves - Vivek K. Moitra, M.D., FCCM
A Survival Guide for Physicians - Dealing With Burnout, Aging, and Preventable Health Issues - Douglas B. Coursin, M.D.
• Interpret the recommendations of the recently revised and published guidelines for the Surviving Sepsis Campaign (2016) as they apply to our patients and us;
• Illustrate elements of physicians as the 2nd victim and overall practitioner mental health and well-being after an “event";
• Identify the utility and application of a Crisis Resource Management approach in aiding our patients and us;
• Emphasize the need for Physician self-awareness and care.
This activity contributes to the patient safety CME requirement for Part II: Lifelong Learning and Self-Assessment of the American Board of Anesthesiology’s (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.
Moderator: Patricia Fogarty Mack, M.D.
Interventional GI Ensuring Appropriate Care for Invasive Gastroenterology Procedures - Bradly J. Narr, M.D.
The Emergency Patient in Interventional Radiology: Hemorrhage, Pulmonary Embolism and Sepsis - Patricia Fogarty Mack, M.D.
INR: Nuts and Bolts of setting up a Stroke Center and What's New in Patient Management - Sofia Geralemou, M.D.
Creating the Safe Non-Operating Room Anesthesia (NORA) Experience - Keira P. Mason, M.D.
• Understand the need to expand Interventional GI and learn to manage more complex patients for new indications; • Understand the anesthesia-related challenges for NORA in Interventional Radiology (IR);• Describe how to establish and Interventional Stroke Center to improve outcomes for these patients.• Identify the data and outcomes which suggest that anesthesia and sedation in the NORA environment carries a higher risk for adverse outcomes than in the O.R.
Panel Moderator: Steven N. Konstadt, M.D., M.B.A., FACC
Should My TAVR Patient Have GA or MAC? Evolution of a Team: Based Approach - Peter J. Neuburger, M.D.
Who should be doing TEE for Interventional Procedures? The Anesthesiologist or Cardiologist? - G. Burkhard Mackensen, M.D, Ph.D., FASE
Mechanical Circulatory Support: When Should We Turn to It?- Jack S. Shanewise, M.D.
Performance Outcomes Measures in Cardiac Anesthesia: How Will we Know How We Are Doing? - Laurent G. Glance, M.D.
• Describe considerations important to developing an anesthetic plan for a patient for TAVR;
• Prescribe an anesthetic and imaging plan for management of the high risk patient undergoing intervention or surgery;
• Describe situations in which mechanical circulatory support may improve patient outcomes;
• Choose between the different methods of mechanical circulatory support;
• Incorporate cardiac anesthesia performance outcomes measures into her/his practice.
Panel Moderator: Vinod Malhotra, M.D.
Getting a New Electronic Record to Improve Efficiency - Buyers Beware: Implementation, Successes and Pitfalls - Michael P. Smith, M.D, M.D., M.S., Ed.
Crisis Checklists How to Make Them Work - Alexander W. Hannenberg, M.D.
Perioperative Surgical Home: Is it All that It Is Made Out to Be? - Keith A. Jones, M.D.
Patient Safety, Quality and Efficiency: How Can we Make a Difference? - Vinod Malhotra, M.D.
• Understand the utility and limitations of electronic records that are available to anesthesiologists;
• Identify the processes of implementation of crisis management checklists to improve patient safety;
• Describe the difference between what works and what does not in a perioperative surgical home care model;
• Articulate how the anesthesiologists can improve patient safety and outcomes while maintaining efficiency.
• 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.
• Enumerate the possible complications that can arise from endovascular approaches;
• Delineate anesthetic risk factors for the vascular patient;
• Enumerate the possibilities for postoperative analgesia in this population of patients.
• Define which medications may affect the coagulation pathway;
• Delineate which medications may complicate regional anesthesia;
• Define which tests may help to guide intraoperative therapy.
PGA71 MW-08
Problem-Based Learning Discussion(s)
• 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.
Case Outline
• 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
• Identify the signs and symptoms of Local Anesthetic Systemic Toxicity;
• Formulate a plan to treat Local Anesthetic Systemic Toxicity.
• Discuss new guidelines from the APS;
• Incorporate new pain management guidelines into their practice.
• Identify risk factors for the cardiac arrest in the pediatric population;
• Develop an emergency response plan for cardiac arrest in this ambulatory procedure.
• 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.
Full Title: Fractured Humerus in a Patient on One of the Many Oral Anticoagulants (Clopidogrel, Rivaroxaban, Apixiban, Dabigatran): ASRA Guidelines?
• Review current ASRA guidelines regarding anticoagulation and antiplatelet therapy;
• Select the appropriate anesthetic management plan in the anticoagulated patient.
• Recognize signs and symptoms of postpartum hemorrhage;
• Identify indications for the use of transexemic acid in maternal hemorrhage;
• Implement a program for the use of transexemic acid in appropriate situations.
Panel Moderator: Michael F. O'Connor, M.D., FCCM
Reversal of Anticoagulation - Daryl J. Kor, M.D., M.Sc.
Hepatic Encephalopathy and Liver Failure - Zdravka Zafirova, M.D.
Update on Tight Glycemic Control - Andrew B. Leibowitz, M.D.
The Patient with Chronic Lung Disease - Michael F. O'Connor, M.D., FCCM
• Describe the most effective way to reverse the most commonly used anticoagulants;
• Discuss the evaluation and management of encephalopathy in patients with chronic liver disease;
• Explain the current recommendations about how to manage glucose control in the perioperative setting and in the ICU;
• Describe the course of postoperative respiratory failure and effective interventions to mitigate and manage it.
Panel Moderator: Audrée A. Bendo, M.D., M.S.
Anesthetic Neurotoxicity: What We Know and What We Don't Know? - Ansgar M. Brambrink, M.D., Ph.D.
Acute Stroke "Time is Brain" - Apolonia E. Abramowicz, M.D.
Neuroanesthesia Challenges: Can Anesthesiologists Care Better for the Older Brain? - Deborah J. Culley, M.D.
Minding the Mind of the Older Patient During Surgery: Can We Do Better? - Gregory J. Crosby, M.D.
• Distinguish the effects of anesthetics on cognitive outcomes after surgery and list the key studies that have been conducted in the area of perioperative neurotoxicity in the aging brain;
• Review the current evidence for the perioperative management priorities in the emergency management of acute stroke patients to improve outcomes;
• Define and evaluate implications of frailty, depression and cognitive impairment for outcome of geriatric anesthesia and surgery;
• Discuss postoperative delirium and POCD as complications of geriatric surgery and how to avoid or manage them.
Full Title: The 21st Century Stethoscope: Point-of-Care Ultrasound (PoCUS) - A Powerful Perioperative Tool for the Anesthesiologist
Panel Moderator: Mark P. Hamlin, M.D., M.S.
Assessing the Dyspneic Patient Basic Lung Ultrasound- Stephen C. Haskins, M.D.
Optimizing Volume Assessment with Surface UltrasoundOliver P.F. Panzer, M.D.
Focused Cardiac Ultrasound in ACLS The FEEL Protocol - Nibras Bughrara, M.D.
FORESIGHT- A Comprehensive PoCUS Examination - Davinder S. Ramsingh, M.D.
• Understand the Emerging Role of PoCUS for the anesthesiologist in the perioperative setting;
• Understand how to use Lung Ultrasound to assess and diagnose causes of respiratory distress;
• Understand how ultrasound can be utilized to assess volume status and fluid responsiveness in hypotensive patients;
• Understand the role for Focused Cardiac Ultrasound in Advance Cardiac Life Support to help with diagnosis and management of patients in a pulseless electrical activity (PEA) arrest;
• Learn how to use US to assess the Airway as well as Gastric Volume;
• Learn how to successfully create and execute an educational program to teach a comprehensive PoCUS exam to anesthesiology trainees.
Full Title: Ethical Guidelines, Technology, and Pay-for-Value are Driving Cutting Edge Practices in Anesthesiology
Panel Moderator: David L. Reich, M.D.
Adapting to the Opioid Overdose Crisis: How Anesthesiologists Can Take a Leading Role in Education and Clinical Care - Howard A. Zucker, M.D., J.D.
Preoperative Code Status Discussions and Shared Decision Making - Richard D. Urman, M.D., M.B.A.
Big Data and Anesthesiology: Next Generation Distributed Databases and Future Clinical Practice - Matthew T. Levine, M.D.
Get the Heck Out of the OR: Aligning Anesthesia Skillsets with Hospital Priorities in the Pay-for-Value Era - David L. Reich, M.D.
• Understand the meaning of DNR and shared decision making in the operating room;
• Appreciate the impact that the next generation of distributed databases has on future clinical practice;
• Learn to align anesthesia skillsets with hospital priorities in the pay-for-value era.
Focus Session(s)
Focus Session Moderator: Donna A. Castello, D.O.
Update on Regulations Pertaining to Office-Based Procedures- Donna Castello, D.O.
Which Patients and What Procedures for Office-Base - Syed Shah, M.D.
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;• Discuss the ASA guidelines as they apply to office-based anesthesia.
Full Title: The Impaired Physician: Issues of Professionalism
The Aging Practitioner, the Impaired Physician, Can We Achieve Physician Wellness in the Workplace
Focus Session Moderator: Michael P. Duffy, M.D.
Recognizing Age Related Impairment and How to Deal With It? - Michael P. Duffy, M.D.
The Impaired Physician: The DOH and Medical Society - Terrance M. Bedient, FACHE
Physician Wellness: Can We Achieve That in the Workplace? - Cortessa L. Russell, M.D.
• Identify issues related to aging in a practitioner and how to address the issue;
• Identify and assess the impaired physician;
• Interpret the current recommendations of the Department of Health’s Committee for Physician Health;
• Develop a plan to manage the aging or impaired physician in their institution/department;
• Develop a plan to achieve physician wellness in the workplace.
Focus Session Moderator: Keith A. Jones, M.D.
Theory vs. Reality: The Triple Aim of Improving Health Improving Delivery of Care and Reducing Cost - Alan E. Curle, M.D.
The Challenges of Demonstrating Value with the Perioperative Surgical Home - Jonathan S. Gal, M.D.
• 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 Moderator: Gregory W. Fischer, M.D.
Lung Protective Strategies in the Operating Room - Gregory W. Fischer, M.D.
Lung Protective Strategies in the ICU - Joseph W. Dooley, M.D.
• 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: Dawn M. Sweeney, M.D.
Adult with Repaired Congenital Heart Disease - Dawn M. Sweeney, M.D.
Patient with Stent - Ketan Shevde, M.D.
• 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.
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, FANZA
Animal Data - Jerrold Lerman, M.D., FRCPC, FANZA
Human Evidence - Dean B. Andropoulos, M.D.
• 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: Marc E. Stone, M.D.
Practical Management of the Patient with a CIED
The Perioperative Assessment and Evaluation of the Patient with a CIED - Jennie Y. Ngai, M.D.
The Perioperative Management of the Patient with a CIED: A Case Based Discussion - Marc E. Stone, M.D.
• 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: Vinod Malhotra, M.D.
Applying Lean Methodology in Private Practice: What Does it Take and is it Worth the Effort? - Michael P. Smith, M.D., M.S., Ed.
Optimizing Resource Utilization & Patient Safety: Can Efficiency & Patient Safety Co-Exist ? - Vinod Malhotra, M.D.
• Apply lean methodology to improve efficiency in private practice;
• Identify barriers to structured implementation;
• Identify opportunities in cost savings from efficient use of resources;
• Identify examples of effective use of resources to improve patient safety.
• Recognize patient with egg allergy and associated cross reactivities;
• Develop a plan for sedation of a patient with both MH history and egg allergy.
Full Title: “What is Buprenorphine???” Strategies for Perioperative Analgesic Management in Major Surgery
• Evaluate the patient with a history of opioid addiction who is managed with buprenorphine;
• Discuss multi-modal analgesic techniques, regional anesthetic considerations in relation to addiction issues;
• Implement a treatment plan for patients in addiction treatment;
• Identify perioperative concerns that have an evolving treatment paradigm.
• 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.
• 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.
• 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.
• Identify patients who would benefit from ERAS protocols;
• Construct an ERAS protocol for a specific patient population at their institution.
• 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.
• 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).
• Identify the three components needed for a fire to start;
• Prioritize how to put out a fire;
• Understand the different fire extinguisher types.
MW-09
• Delineate the parameters which are observed during anesthesia;
• Enumerate the confounding factors which may interfere with the monitoring;
• Delineate the current limitations of monitoring.
• 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.
MW-11
• 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.
Utilize ultrasound technology to perform:
• Paravertebral Nerve blocks;
• Spinal and Epidural anesthesia;
• Fascia Iliaca, Lateral Femoral Cutaneous, Iliohypogastric and Ilioinguinal Nerve Blocks.
• 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.
• Perform appropriate airway evaluation;
• Utilize numerous commercially available airway devices;
• Apply the ASA Difficult Airway Practice Parameters in clinical scenarios.
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.
Panel Moderator: Scott B. Groudine, M.D.
Anesthesia Practice Needs More Guidelines: Pro - Robert S. Lagasse, M.D.
Anesthesia Practice Needs More Guidelines: CON - Robert E. Johnstone, M.D.
Video Laryngoscopy Should Replace Direct Laryngoscopy as the Standard of Care for Intubation: Pro - Richard Cooper, B.SC., M.D., FRCPC
Video Laryngoscopy Should Replace Direct Laryngoscopy as the Standard of Care for Intubation – CON - Adam I. Levine, M.D.
• Describe the use of practice guidelines in anesthesia practice and the effect on improving patient safety and outcomes;
• Discuss the current evidence and controversies on whether or not anesthesia practice needs more guidelines to improve patient safety and outcomes;
• Discuss the evidence for and against the use of video laryngoscopy vs. direct laryngoscopy for intubation;
• Debate whether video laryngoscopy should replace direct laryngoscopy as the standard of care for intubation.
• Identify the key anatomic views used in TTE;
• Identify the key anatomic structures visualized by TTE;
• Identify hypokinesis and akinesis of the myocardium.
MW Outline
• Identify the risk factors associated with surgery during pregnancy;
• Enumerate the qualifiable rate of miscarriage;
• Delineate the critical time periods for organogenesis during pregnancy.
• Delineate which pain syndromes are very difficult to effectively treat;
• Delineate the effect of the FDA mandated REMS program on opiate prescribing;
• Delineate which patients are most appropriate for a multi-disciplinary approach.
MW-15
• 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
• 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.
• 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.
• 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.
• 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.
Full Title: Coagulopathic Parturient Refuses General Anesthesia for Cesarean Delivery: Is Regional Acceptable?
• 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.
• Recognize the complications of regional anesthesia for shoulder surgery;
• Formulate a plan to treat cardiac toxicity due to local anesthetic.
• 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: David L. Hepner, M.D.
Dollars & Sense The Value of the Preoperative Clinic - Bobbie-Jean Sweitzer, M.D.
The Advanced Practice Provider Training for High Quality Cost Effective Preoperative Practice - Jeanna D. Blitz, M.D.
Preoperative Evaluation and Optimization in an Era of Health Care Reform - David L. Hepner, M.D., M.P.H.
Clinical Pearls in Perioperative Optimization - Zdravka Zafirova, M.D.
• Present a justification to administration for setting up a preoperative clinic;
• Identify and address challenges in educating, training, and medically directing Advanced Practice Providers;
• Identify the true value added by testing/interventions and patient preparation in order to positively impact overall operating room cost effectiveness;
• Highlight key issues in preoperative evaluation and optimization and highlight recent controversies.
Panel Moderator: Mark E. Nunnally, M.D., FCCM
Follow the Story: Social Constructions, Politics, and Medicine - Michael F. O'Connor, M.D., FCCM
Follow the Money Bubble Economics and Healthcare - J. David Roccaforte, M.D.
Follow the Numbers: Metrics to Rule Us All - Avery Tung, M.D., FCCM
Follow the Blame Root Cause and Rooting Out- Mark E. Nunnally, M.D., FCCM
• Describe social constructions in medicine;
• Compare the benefits and risks of common quality metrics;
• Appraise the tradeoffs made by clinicians in daily practice;
• Discriminate between social, situational and material causes of adverse events.
Panel Moderator: Jerrold Lerman, M.D., FRCPC, FANZCA
Obstructive Sleep Apnea: New Concepts in Anesthesia Management - Linda J. Mason, M.D.
Palliated and Hybrid Congenital Heart Defects - Dawn M. Sweeney, M.D.
Why the FDA Thinks Anesthetics Harm Children - Dean B. Andropoulos, M.D.
Debunking Fears About the Pediatric Airway - Jerrold Lerman, M.D., FRCPC, FANZCA
Objectives
Panel Moderator: James D. Grant, M.D., M.B.A.
Workforce Studies - Mary Dale Peterson, M.D.
Physician Burnout and Resiliency - Ronald L. Harter, M.D.
Accreditation Trends and Their Impact on Practice - Donald E. Arnold, M.D.
• Learn about the center for anesthesia workforce studies;
• Understand causes of physician burnout and how to avoid this situation;
• Be updated on new accreditation requirements and the future for anesthesia practices.
Focus Session Moderator: Ansgar M. Brambrink, M.D., Ph.D.
Pro - Gregory J. Crosby, M.D.
Con - Alex Y. Bekker, M.D., Ph.D.
• Critically evaluate current literature on postoperative cognitive dysfunction (POCD);
• Identify factors leading to POCD;
• Discuss the clinical significance of POCD.
Focus Sessions Moderator: Barbara Orlando, M.D.
Pro Epidural - Bryan P. Mahoney, M.D.
Pro CSE - Barbara Orlando, M.D.
• Identify the advantages of each technique;
• Describe the limitations and side effects of each technique;
• Elaborate an analgesic plan for each laboring patient.
Focus Session Moderator: Michael B. Simon, M.D., M.B.A.
Academic - Charles J. Assini, Jr., Esq.
Private Practice - Ruchir Gupta, M.D.
• Review a contract for private practice and develop an appropriate plan for negotiation;
• Review an academic practice contract and develop a plan for negotiation.
Focus Session Moderator: Christopher G. Gharibo, M.D.
Opioids for Chronic Pain, Current Issues and Practice - Christopher G. Gharibo, M.D.
Novel Non-Opioid and Opioid Molecules in Chronic Pain - Eric S. Schwenk, M.D.
• Describe when opioids are appropriate for the treatment of chronic pain;
• Describe the role of alternative non-opioids for chronic pain management;
• Develop an appropriate treatment plan for chronic pain using opioids and alternatives;
Focus Session Moderators: Janine M. Limoncelli, M.D. & Melinda A. Aquino, M.D.
• Successfully negotiate a contract;
• Self-advocate in all professional scenarios;
• Acknowledge implicit bias and develop strategies for resolution;
• Individually navigate work/life balance challenges.
Dr. Vilma A. Joseph
Focus Session Moderator: Eugene R. Viscusi, M.D.
Preoperative and Intraoperative Management of Patients with OSA - Rahila Bilal, M.D.
Postoperative Pain Management in the Patient with OSA - Eugene R. Viscusi, M.D.
• 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.
Focus Session Moderator: James B. Eisenkraft, M.D.
Machine Safety - James B. Eisenkraft, M.D.
Intelligent Monitors - Patrick J. McCormick M.D., Meng
• 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.
• Build a comprehensive understanding of the prevalence, mechanisms, risk factors and development of PPSP;
• Develop patient and surgery specific risk stratification strategies, within perioperative anesthesia and surgical practices, with the goal to reduce the incidence of PPSP;
• Analyze, summarize and apply currently available evidence in regional anesthesia and pain medicine to prevent and minimize PPSP, with emphasis on breast cancer and related surgeries.
• 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.
• 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.
• Identify general risk factors for the development of opioid addiction;
• Discuss individual and social attributes that increase the risk of addiction in young athletes after injury;
• Recognize the potential role of acupuncture and trigger point injections in addition to non-opiod medications in treating the pain of an acute injury;
• Formulate a plan to treat the athlete with an acute injury that does not include opioid medication.
Full Title: Inadequate Spinal Anesthesia for C-Section (Now What Do I Do?!) Mechanisms, Management and Prevention
• Describe local-anesthetic maldistribution due to natural variations in CSF flow and anatomy;
• Develop an anesthetic plan to manage the patient with a “failed spinal” for C-Section.
• 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.
• Identify risk factors for the cardiac arrest in the patient undergoing outpatient ENT procedures;
• 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.
• 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 shortages;
• Delineate at least two NGOs that need anesthesiologist volunteers.
MW-17
• Delineate the approach to airway assessment and management;
• Identify the intraoperative complications which may arise;
• Enumerate at least three postoperative complications which may occur.
• 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.
• 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.
• 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.
• 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
• 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.
Acute Pain Management in the Patient with Known or Suspected Addiction - Eugene R. Viscusi, M.D.
Update on Multimodal Analgesia: New and Emerging Concepts - Danielle B. Ludwin, M.D.
Cannabinoids and Acute Pain Management - Yury Khelemsky, M.D.
The Expanding Role of Ketamine and the Acute Pain - Eric S. Schwenk, M.D.
• Manage acute pain in patients with known or suspected opioid addiction and in patients under treatment for substance abuse;
• Apply emerging multimodal analgesic techniques;
• Evaluate the current understanding of cannabinoids and perioperative pain management;
• Apply novel and emerging uses for ketamine in a safe and effective manner.
Panel Moderator: Edmond Cohen, M.D.
Thoracic Surgery: New Procedures, New Challenges - Andrew J. Kaufman, M.D.
One Lung Ventilation: What's New? - Peter D. Slinger, M.D., FRCPC
Endoscopic Treatment of COPD - Edmond Cohen, M.D.
Thoracotomy Pain Management Present and Future Techniques - Oscar A. DeLeon-Casasola, M.D.
• Learn about current and future surgical procedures and management strategies;
• Discuss the progress in lung isolation and learn how to select tubes based on the procedure;
• Learn and understand how to manage endoscopic treatment procedures for COPD;
• Differentiate among the various alternatives for postoperative pain management for patients and develop an individually tailored approach to post thoracotomy pain management.
Panel Moderator: Robert E. Johnstone, M.D.
Your Daughter Asks You to Administer the Anesthetic for Her Planned Surgery: Is It Ethical To Do This?- Robert E. Johnstone, M.D.
Surgeon plans to operate with residents in two ORs - Saundra E. Curry, M.D.
A colleague has written an interesting article - Richard D. Urman, M.D., M.B.A,
The pharmacist informs you the hospital has run out of propofol, succinylcholine and epinephrine, and will not get new supplies until the next day. - Vinod Malhotra, M.D.
A Prison Warden asks You to Place a central Line for an Execution - Lawrence J. Epstein, M.D.
A Patient with Dementia - Elizabeth A. M. Frost, M.D.
Panel Moderator: Hugh C. Hemmings, M.D., Ph.D.
Fluid Administration Strategy in Enhanced Recovery Protocols - Tong J. Gan, M.D., MHS, FRCA
Intraoperative Fluid Management and Goal Directed Therapy in Enhanced Recovery Protocols: What is the Evidence? - Timothy E. Miller, M.B.,Ch.B., FRCA
Choice of Fluid Type - Christa Boer, Ph.D.
Impact on Renal Outcomes - Andrew Shaw, M.B., B.S., FRCA, FFICM, FCCM
• Appreciate the impact of fluid restriction and administration strategy on patient outcomes;
• Understand evolving concepts in the physiology of fluid therapy;
• Know what type of fluid to administer for specific indications;
• Understand best practices for guiding how much fluid to give.
• 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.
• 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-22
• 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.
• 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.
After completion of this session, the participant will be able to: • Enumerate the coagulation parameters that are acceptable to proceed with Regional Anesthesia;
• Define the incidence of regional anesthesia related complications;
• Elucidate the role of ultrasound in preventing regional anesthesia complications.
MW-25
• Discuss the indications for rapid sequence intubation;
• Identify risk factors for respiratory instability during anesthetic induction in the morbidly obese;
• Delineate different strategies for anesthetic induction in the morbidly obese.
• 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.
• 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.
• 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.
Full Title: Postoperative Management of the Major Spinal Fusion Patient: Setting the Stage in the Preop Area?
• Discuss strategies for preemptive analgesia;
• Identify adjunctive non-opioid medications useful throughout the perioperative period;
• Implement a pain management plan for spinal fusion patients that begins preoperatively and continues into the postoperative period.
• 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.
• 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.
• Identify risk factors for anesthesia in the patient with rheumatoid arthritis;
• Recognize potential anesthetic interactions with treatments for rheumatoid arthritis;
• Implement a safe treatment plan for the rheumatoid arthritis patient undergoing upper endoscopy.
Case Ouline
Panel Moderator: Meg A. Rosenblatt, M.D.
Presentations:Five Complications to Avoid with Regional Anesthesia- Joseph M. Neal, M.D.
Patient on Anticoagulant/Antiplatelet Therapy and Regional Anesthesia - Terese T. Horlocker, M.D.
Update on Anesthesia for Shoulder Surgery - Nabil M. Elkassabany, M.D, MSCE
Ambulatory Lower Extremity Total Joint Replacements: The Good, The Bad and The Ugly - Meg A. Rosenblatt, M.D.
• Describe techniques to avoid complications associated with regional anesthesia;
• Discuss the perioperative management of patients who are having regional anesthetics and are taking anticoagulant/antiplatelet medications;
• Describe the components of a successful shoulder arthroscopy enhanced recovery protocol (ShARP);
• Evaluate which patients are suitable and which anesthetics are appropriate for ambulatory lower extremity joint replacement procedures.
Panel Moderator: Charles Marc Samama, M.D., Ph.D., FCCP
Hemodynamic Optimization During the Perioperative Period : Which Patients? How? - Dan Longrois, M.D., Ph.D.
Perioperative Management of Direct Oral Anticoagulants (DOACs) - Charles Marc Samana, M.D, Ph.D., FCCP
The Current Place of Starches in Perioperative Fluid Therapy - Stefan De Hert, M.D, Ph.D.
Protective Intraoperative Ventilation: State of the Art Practice - Marcelo Gama de Abreu, M.D., M.Sc., Ph.D, DESA
• Build clinical reasoning on which hemodynamic parameters should be the best targets for hemodynamic optimization;
• Manage more accurately a patient treated with Direct Oral Anticoagulants (DOACs), either for the control of the thrombotic risk and/or the bleeding risk;
• Critically assess the literature on safety issues of perioperative administration of starches;
• Understand the pathophysiology and manage intraoperative mechanical ventilation in order to reduce the risk of pulmonary complications.
Panel Moderator: Richard C. Prielipp, M.D., M.B.A.
Postoperative Infections: Can the Anesthesia Provider be at Fault?
Fecal Patina in the Anesthesia Work Area - L. Sylvia Munoz-Price, M.D., Ph.D.
Oral Flora Everywhere: Anesthesia and the Airway - David J. Birnbach, M.D., M.P.H.
Reusable vs. Disposable Laryngoscopes: Why Should You Care? - G. Burkhard Mackensen, M.D., Ph.D., FASE
How do Routine Anesthesia Practices Impact Infectious Risks? - Daniel I. Sessler, M.D.
• Realize that Health Care Associated Infections (HCAI) affect 4 – 10% of hospitalized patients;
• Recognize that virulent and resistant bacteria are regularly identified in the OR anesthesia work space, and acknowledge that these bacteria are frequently transmitted to patients while in the OR;
• Understand how routine airway procedures (i.e., endotracheal intubation) may rapidly contaminate the anesthesia work space with oral flora;
• Acknowledge that anesthesia workspace contamination is associated with postoperative infections in surgical patients;
• Compare the functionality and cost-effectiveness of disposable vs. reusable laryngoscopes;
• Learn how other routine anesthesia practices (e.g., pre-warming patients, high inspired FiO2; laminar air flow in the OR; intraoperative hypothermia, FAW, etc.) may impact infectious risks.
Panel Moderator: Oscar A. DeLeon-Casasola, M.D.
My Patient with Tonic Spinal Cord Stimulation Has Appropriate Paresthesia, but No Pain Control Now What - Oscar A. DeLeon-Casasola, M.D.
High Frequency Spinal Cord Stimulation (HFSCS) Physiology, Indications, and Limitations - David A. Provenzano, M.D.
Burst Spinal Cord Stimulation (BSCS) and Dorsal Root Ganglion Stimulation: To Describe the Potential Value of These Two New Aternatives for SCS - Sudhir A. Diwan, M.D., ABIPP, FIPP
Spinal Cord Stimulation: What Have I Learned in 30+ Years of Practice That May be Useful to You - Richard L. Rauck, M.D., FIPP
• Understand the limitations of tonic (traditional) spinal cord stimulation (SCS);
• Comprehend the alternative therapies for patient who have failed tonic SCS;
• Discern the differences among high frequency SCS, Burst SCS, and Dorsal Root Ganglion SCS;
• Understand the limitations of these techniques in clinical practice.
Full Title: The Making of a Successful Retirement with a Second Career After Retiring? Exploring Career Options: For-Profit vs. Non-for-Profit
This session will address the barriers and challenges faced by the aging anesthesiologist. It will explore the many career options available in both the for-profit and the not-for-profit model. The presentation will address the advantages, responsibilities and commitments involved with each choice and will provide the learner with strategies and tools to make an informed decision. It will demonstrate the ability to impact healthcare in the community. Specific examples and links to resources will be provided.
Focus Session Moderator: Rhoda D. Levine, M.D. and Sandhya Malhotra, M.D.
Exploring the “For-Profit” Career Option - Michael S. Jakubowski, M.D.
Considering the “Not-for-Profit” Opportunities - Sandhya Malhotra, M.D.
The Overseas Medical Mission - Cheryl K. Gooden, M.D., FAAP
Community Initiatives Impacting Healthcare Policy - David I. Weprin, J.D.
After completion of this session, the participant will be able to:• Recognize the challenges faced by the aging anesthesiologist;• Gain a better understanding of the options and opportunities available in order to pursue a second career;• Identify ways to impact healthcare in the community;• Improve the ability to make informed personalized decisions about to transitioning into retirement;• Decrease mental stress and improved focus on patient care by being better prepared with a long term plan.
Monitoring Neuromuscular Blockade (NMB) Clinically and/or by Using a Nerve Stimulator - Dominic J. Nardi, M.D.
What is Adequate Reversal and Should I Reverse or Antagonize to Get There? - Kenneth I. Rosenfeld, M.D.
rNMB in the PACU and on the Ward How Often and How Significant?- Farzana Afroze, M.D.
After completion of this session, the participant will be able to:• Evaluate the use of various neuromuscular monitoring techniques;
• Recognize the importance of monitoring neuromuscular blocking agents when they are used;
• Identify the parameters that indicate safe recovery from neuromuscular blocking agents;
• Identify postoperative residual block in the PACU.
Full Title: MACRA Simplified: How We Got Here, How It's Been, Where We're Going, and How to Do Well
Focus Session Moderator: David J. Wlody, M.D.
A Recap of MACRA After Year 1, and Expectations Based on Recent CMS Rules - Jonathan S. Gal, M.D.
The Path to APM Success for Anesthesiologists - Alexander A. Hannenberg, M.D.
• Review the evolution of MACRA replacing the Sustainable Growth Rate with the implementation of a new Quality Payment Program starting in 2017;• Discuss MIPS vs Advanced-APMs as the two reporting tracks, and how they are supposed to impact payments now and in the future;• Examine the recent regulatory changes proposed by CMS and their potential effect on anesthesiologists;• Evaluate the availability of procedure-focused APM opportunities, and how Perioperative Surgical Home can open the door to Advanced-APM QP status for anesthesiologists.
Focus Session Moderator: Menachem Weiner, M.D.
Standard Treatment Protocols - Matthew A. Levin, M.D.
The Role of Methylene Blue - Menachem Weiner, M.D.
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.
Full Title: Disaster-Management: The Active Shooter and Mass Casualties: Plan, Recognition and Physician Response
Focus Session Moderator: Kenneth B. Newman, M.D.
From the Mundane to The Horrific: How to Respond to Incidents in Your Community - Michael J. Dailey, M.D.
An Active Shooter Is in Your Hospital: Do You Know What To Do?" - Daniel F. Sisto, NYS Police -&- Michael C. Brooks, NYS Police
Recognizing a Threat and Profiling - Special Agent Barbara A. Daly, FBI
• Identify the stake holders to develop disaster planning in their institution including the response of the anesthesiology department;
• Develop a plan to deal with an internal or external disaster;
• Develop strategies to deal with mass casualties or an active shooter.
Focus Session Moderator: Stacie G. Deiner, M.D.
Frailty and the Perioperative Period: What Do We Need To Know? - Stacie G. Deiner, M.D.
Preoperative Screening of Cognitive Function Should be the Standard of Care in Elderly Patients - Deborah J. Culley, M.D.
After completion of this session, the participant will be able to:• Identify the issues of postoperative cognitive decline following surgery;
• Identify the issues surrounding POCD in the elderly;
Focus Session Moderator: Tong J. Gan, M.D., MHS, FRCA
How Do We Impact Outcome? - Anoushka M. Afonso, M.D.
Implementation and Long-Term Recovery - Timothy E. Miller, M.B., Ch.B., FRCA
After completion of this session, the participant will be able to:• Describe the principles of an ERAS program;
• Describe the role of the anesthesiologist in an ERAS program;
• Develop an ERAS program at their institutions.
• Institute an ERAS program at their institutions.
Focus Session Moderator: Bettina Smallman, M.D.
Presentations: -
Regional Methods - Franklin B. Chiao, M.D.
Pharmacological Approach - Bettina Smallman, M.D.
• 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.
The Anesthesia Professional's Role in Limiting Infectious Risks - Richard A. Beers, M.D.
Keeping Your Patients Safe While Preparing and Administering Medications and Fluids- Elliott S. Greene, M.D.
How to Develop a Program to Reduce Surgical Site Infections - Amanda J. Rhee, M.D.
• Describe current infection prevention recommendations and safe injection practices as applicable to anesthesia practice;
• Implement infection prevention recommendations into practice.
• 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-41 Case Outline
• 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.
• Identify particular patient populations who may benefit from use of sugammadex;
• Discuss the mechanism of action of sugammadex;
• Develop a plan for the use of sugammadex taking into consideration the side effects, contraindications and cost.
• 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 indications for endotracheal intubation in the setting of TBI;
• Review indications, methods and tenets of ICP management.
• Discuss the evidence regarding various anesthetic and analgesic techniques for breast cancer surgery in patients with chronic pain including regional anesthesia, preoperative gabapentin, intravenous ketamine, and liposomal encapsulated bupivacaine for wound infiltration;
• Identify the utility, risks and benefits of performing thoracic paravertebral nerve blocks and serratuanterior, pec 1, and pec 2 blocks for mastectomy;
• Develop a multimodal plan for the management of acute and chronic post-mastectomy pain.
• 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-47 Case Outline
• 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.
Full Title: Basic Point of Care Ultrasound (PoCUS) - Focused Surface Sonography for the Perioperative Anesthesiologist
After completion of this session, the participant will be able to acquire images, handle a portable ultrasound machine and interpret information from:
• A basic focused surface ultrasound exam of the heart, basic ultrasound exam of the lungs and perform an ultrasound survey for free fluid in the abdominal cavity (FAST exam).
Workshop participants will review relevant cases for anesthesiologists with the experts using:
• Point-of-care evaluation in patients with unexpected hypoxia, hypotension, oliguria and cardiac arrest.
Workshop participants will participate in the discussion during the moderator session with the experts and learn how to get started and continue (PoCUS) point-of-care ultrasound in your department.
• Place left and right-sided double lumen endobronchial tubes 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.
• 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 behaviour during a crisis scenario.
Panel Moderator: Richard Cooper, B.SC., M.SC., M.D., FRCPC
Personal Assessment of Airway Difficulty - William Rosenblatt, M.D.
Extubation of the Difficult Airway? - Richard Cooper, B.SC., M.SC., M.D., FRCPC
Airway Lessons from the Anesthesia Incident Reporting System and Anesthesia Quality Institute - Keith J. Ruskin, M.D.
• Apply his or her experience to airway evaluations and decision making;
• Understand risk stratification associated with extubation and strategies to mitigate patient harm;
• Understand how to incorporate lessons learned from “near misses” into his or her airway management strategies.
Full Title: 47th E.A. Rovenstine Memorial Lecture: Practices and Techniques for Safe Airway Management: History, Practical Tips and Future Challenges
Panel Moderator: Richard A. Beers, M.D.
Panel Lecturer: Carin A. Hagberg, M.D.
• Discuss the practices and techniques for safe airway management;
• Learn the history of airway management in anesthesiology clinical practice and implement practical tips;
• Describe future challenges to our clinical practice.
• Enumerate the latest changes in blood transfusion guidelines;
• Enumerate the latest changes in factor transfusion guidelines;
• Delineate the incidence and therapy of transfusion related complications.
MW-26
• 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 TEE;
• Identify the key anatomic structures visualized by TEE;
• 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.
• 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.
• 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;
• Discuss the effects of anesthetic agents on cardiac electrophysiology;
• Formulate a plan to care for challenging cases in the EP suite and similar remote locations.
• 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.
• Discuss anesthetic interactions between medications for Alzheimer’s disease and anesthetic agents;
• Formulate an anesthetic plan which takes into account these interactions and minimizes risk of delirium.
• 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.
• Identify new concepts regarding the use of crystalloid and colloid volume replacement;
• Formulate a plan to maintain ideal volume status in the perioperative period.
• Review various modalities for non-invasive hemodynamic monitoring;
• Select patients and procedures in which non-invasive hemodynamic monitoring would be advantageous.
Full Title: Advanced Point of Care Ultrasound (PoCUS) - Focused Surface Sonography for the Perioperative Anesthesiologist
Pre-requisite 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.
After completion of this session, the participant will be able to acquire images and interpret information from:
• A standardized comprehensive cardiac exam of the heart. This will include assessment of global and segmental cardiac function, valvular structure and function, stroke volume measurement - cardiac output estimation and volume status assessment noninvasively by ultrasound;
• A systematic advanced lung exam and perform algorithm based lung findings interpretation.
• A systematic PoCUS airway examination.
• The PAUSE, FATE, RUSH, FAST and FEEL protocol in the hemodynamically unstable or hypoxic patient, through participation in workshop simulation cases and panel discussion.
Workshop participants will participate in the discussion during the moderator session with the experts and learn about the upcoming certification process ofr (PoCUS) point-of-care ultrasound.
FEEL is intended as an adjunct to Advanced Life Support, and therefore knowledge of the current ALS algorithm is required
• Learn how Transthoracic echocardiography can be added to the care of patients in cardiac arrest;
• Understand importance of synchronizing with pulse checks and limiting the no-flow intervals in CPR;
• Learn about differentiation of PEA and Pseudo PEA with transthoracic imaging, and how to identify early return of spontaneous circulation;
• Learn to identify the treatable causes of PEA and Pseudo PEA: pericardial tamponade, tension pneumothorax, hypovolemia, pulmonary embolism (or other cause of acute RV dysfunction), LV dysfunction (global or regional) to help guide therapy in your patients;
• Obtain skills in how to acquire high-quality subcostal images in a time efficient manner through coached practice on live models;
• Learn about the limitations/risks of use of focused echo in cardiac arrest;
• Practice and discuss incorporation of focused echo in cardiac arrest in team-based simulation with focus on closed loop communication.
Panel Moderator: David J. Wlody, M.D.
Ethical Issues in the Delivery Room - David J. Wlody, M.D.
Perioperative Management of the Anticoagulated Parturient - Terese T. Horlocker, M.D.
What is the Appropriate Blood Replacement Strategy for Maternal Hemorrhage? - Roulhac D. Toledano, M.D., Ph.D.
Should Ultrasound be Used Routinely for Obstetric Neuraxial Anesthesia? Jose C. A. Carvalho, M.D, Ph.D., FANZCA, FRCPC
• Discuss ethical issues in caring for patients in the delivery room;
• Learn how to safely manage the anticoagulated parturient;
• Learn to optimize blood replacement therapy and pharmacologic management during maternal hemorrhage;
• Discuss whether or not ultrasound should be used routinely for obstetrical neuraxial anesthesia.
Panel Moderator: Gregory W. Fischer, M.D.
Is there Any Value to Cardiology Consults During the Perioperative Period? - Lee A. Fleisher, M.D.
Managing Valvulopathies in Patients for Non-Cardiac Surgery - Gregory W. Fischer, M.D.
CIEDs What You Need to Know in 2017- Marc E. Stone, M.D.
The Patient with Atrial Fibrillation for Non-Cardiac Surgery - David Amar, M.D.
• Discuss whether the information obtained in the cardiology consult is of value in the perioperative period;
• Learn how to manage valvulopathies in patients for non-cardiac surgery;
• Learn what you need to know about CIEDs;
• Learn how to safely manage the patient with atrial fibrillation for non-cardiac surgery.
Panel Moderator: Linda J. Shore-Lesserson, M.D., FAHA, FASE
Transfusion in Cardiac Patients: When to Pull the Trigger? - Jonathan D. Leff, M.D., FASE
Pharmacologist Management of Bleeding: Are the New Factor Concentrates Safe? - Kenichi Tanaka, M.D., M.Sc.
Fluid Therapy in the Critically Ill What's the Goal - Andrew Shaw,M.B., B.S., FRCA, FFICM, FCCM
Monitoring Hemostasis: What's the Benefit of POC Monitoring? - Linda J. Shore-Lesserson, M.D., FAHA, FASE
• 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 end-organ effects of transfusion;
• Identify alternate strategies for volume replacement to blood transfusion.
Focus Session Moderator: Stephen A. Vitkun, M.D., M.B.A., Ph.D.
• Assess new research for validity;
• Develop programs in their institutions for residents to participate in research.
Focus Session Moderator: Robert S. Lagasse, M.D.
Alternative Payment Models: Is There a Place for Anesthesiologists? - Robert S. Lagasse, M.D.
Merit Based Incentive Payment Systems - Beverly K. Philip, M.D.
• Describe the various new payment systems currently in practice;
• Adjust their practices to comply with the four new payment systems.
Focus Session Moderator: Anahita Dabo-Trubelja, M.D.
Can We Make a Difference? - Anahita Dabo-Trubelja, M.D.
Perioperative Care of the Pediatric Cancer Patient - Vittoria Arslan-Carlon, M.D.
• Discuss the journey in evaluating anesthetic techniques to improve oncological outcomes;
• Discuss the need for safe surgery and anesthesia and develop an appropriate treatment plan;
• Discuss the current trend in perioperative care of the pediatric cancer patient and develop a perioperative plan for the pediatric cancer patient.
Focus Session Moderator: Yaakov Beilin, M.D.
Continuous Spinal Anesthesia for Cesarean Section in the Super Morbidly Obese: What Is Old Is New Again? - Arthur L. Calimaran, M.D.
Post Dural Puncture Headache: Treatment Modalities - Daniel J. Katz, M.D.
After completion of this session, the participant will be able to: • Discuss the risks and benefits of a continuous spinal anesthetic; • Identify the patients in whom continuous spinal anesthesia may be the optimal anesthetic management;• Develop and implement a plan for use of continuous spinal anesthesia;• Review the different modalities for post-dural puncture headache treatment and their evidence;• Discuss the risks and benefits of utilizing regional anesthesia for the treatment of post-dural puncture headache;• Develop an appropriate plan for treatment of their patient with post-dural puncture headache.
Focus Session Moderator: Zvi C. Jacob, M.D.
Occupational Hazards in the IR, MRI Suites and Radiation Safety - Zvi C. Jacob, M.D. Update on Novel Procedures in IR and MRI and Their Anesthetic Implication - Scott D. Lipson, M.D.
After completion of this session, the participant will be able to: • Discuss the various hazards to personnel providing care in these out of OR settings;• Implement strategies and protocols to prevent adverse events; • Recognize the many novel procedures being offered in IR and their anesthesia implications;• Determine best practices for providing anesthesia in these "remote" locations.
Focus Session Moderator: Edmond Cohen, M.D.
Cardiac Complications in Thoracic Surgery - David Amar, M.D.
Lung Separation in the Patient with a Difficult Airway - Peter Slinger, M.D., FRCPC
• Discuss the complications of lung isolation;
• Determine which methods of lung isolation would be most advantageous in the setting of a difficult airway;
• Recognize the signs of cardiac complications;
• Develop a practical approach to prevent and treat cardiac complications during thoracic surgery.
Focus Session Moderator: Joseph M. Neal, M.D.
Regional Anesthesia in the Patient on Anticoagulation - Michael R. Anderson, M.D.
Use of Antifibrinolytics in Orthopedic Anesthesia - Yan Lai, M.D.
• 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.
• Review data regarding the impact of dexamethasone on postoperative analgesia;
• Recognize side effects of dexamethasone;
• Implement a plan utilizing dexamethasone in the appropriate patient.
• 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.
PGA71 PBL-58 Case Outline
• 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.
• 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-60 Case Outline
PGA71 PBL-61 Case Outline
• 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.
• Review the challenges of providing anesthesia for procedures where the proceduralist has never met the patient;
• Implement mechanisms for risk stratification of patients for screening procedures.
Full Title: Catastrophic Central Line Complication in a Polytrauma Patient: The Intersection of Critical Care and Medical Ethics at the End of Life
• Review the concept of goal-direct care;
• Implement strategies for handling a catastrophic complication.
Full Title: Beyond Nasal Cannula: New Approaches to Nasal Oxygenation and Ventilation in Adult and Pediatric Patients
• Enumerate the advantages of newer forms of ventilation including Dual control modes, proportional assist ventilation, Bilevel airway pressure release ventilation and neurally adjusted ventilatory assist;
• Identify the clinical limitations of these new forms of ventilation;
• Identify which patients are most suitable for these modes of ventilation.
• 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.
Full Title: Beyond Direct Laryngoscopy: Fiberoptic and Other Techniques for Adult and Pediatric Airway Management
• Perform airway evaluation, patient preparation and techniques of fiberoptic intubation, video laryngoscopy and transtracheal jet ventilation for adult and pediatric patients.
Panel Moderator: Rebecca S. Twersky, M.D., M.P.H.
New Innovations for Outpatient Breast Cancer Surgery - Hanae K. Tokita, M.D.
Fast Track Recovery: Making It Happen - Beverly K. Philip, M.D.
Management of the OSA Patient- Ruchir Gupta, M.D.
Pros and Cons of Stocking Dantrolene and Succinylcholine - Meena S. Desai, M.D.
• Discuss the most up-to-date clinical anesthesia practices in ambulatory and office-based anesthesia;
• Develop strategies on implementing an ERAS program for outpatient breast surgery and understand the role of regional anesthesia;
• Understand the concept of “fast track” recovery for ambulatory surgery, and identify specific care processes, anesthetic agents and techniques that can promote or hinder it;
• Identify the risks associated with managing OSA patients outside the operating room and discuss safe anesthetic techniques for OSA and NORA;
• Discuss current controversies associated with stocking dantrolene and succinylcholine in ASCs and office-based practices.
Panel Moderator: Douglas R. Bacon, M.D., M.A.
Physiology of Morbid and Super Morbid Obesity - Douglas R. Bacon, M.D., M.A.
Obstetrical Anesthesia in Patients with BMIs Approaching and Exceeding 100 - Arthur L. Calimaran, M.D.
Orthopedic Anesthetic Challenges in Morbidly and Super Morbidly Obese Patient - Mitchell H. Marshall, M.D.ERAS for the Obese Surgical Patient: Can We Improve Outcomes? - Tong J. Gan, M.D., MHS, FRCA
• Understand the physiologic changes in morbid and super morbid obesity;
• Comprehend the changes in the course of labor and the challenges of obstetrical anesthesia in these patients;
• Incorporate the most common orthopedic operations and the corresponding best anesthetic practices;
• Discuss the best drug strategy and anesthetic techniques to ensure rapid recovery and postoperative alertness and mobility in the obese patient.
• 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.
• 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.
• Increase awareness of regional techniques for cardiac and cardiac related procedures;
• Review anatomy and technical skills to perform regional blocks for cardiac and cardiac related procedures;
• Discuss potential advantages of adding regional blocks as adjunct for pain management.
MW-34
• 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.
• 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.
• Review challenges in providing care in the interventional radiology suite;
• Identify signs and symptoms of contrast reaction;
• Formulate a plan to manage hypotensive emergencies in NORA locations.
• Diagnose the parturient with HELLP Syndrome;
• Identify the anesthetic implications of HELLP Syndrome;
• Manage the HELLP syndrome patient in the peripartum period.
• 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.
• Recognize which quality measures are most appropriate for peer review and quality reporting;
• Utilize metrics to improve the quality of anesthesia care.
Full Title: Patient on Multiple Chemotherapeutic Agents for Exploratory Laparotomy: Anesthetic Considerations
• 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.
Honorary Moderator: George Silvay, M.D., Ph.D.
Surely Surgical - Carin A. Hagberg, M.D.
Positively Percutaneous! - Irene P. Osborn, M.D.
Flat Out Fact! - Jose C. A. Carvalho, M.D, Ph.D., FANZCA, FRCPC
Fiction for Sure! - Richard M. Smiley, M.D., Ph.D.
Environmental and Population Health Considerations - Jodi D. Sherman, M.D.
After completion of this session, the participant will be able to:• Compare and contrast the safety and efficacy of surgical and percutaneous cricothyrotomy in the "Cannot Intubate, Cannot Ventilate" scenario;• Evaluate the clinical utility of the everyday availability of ultrasonographic equipment to facilitate routine procedures in obstetrical anesthesia;• Identify recommendations and regulations intended to prevent medication errors and infectious transmission in dynamic perioperative care settings and discuss their impact upon the environment and population health.
Panel Moderator: Clifford M. Gevirtz, M.D., M.P.H.
Representing: Albany Medical Center - Scott B. Groudine, M.D.
Representing: Columbia University, College of Physicians & Surgeons - Bessie Kachulis, M.D. & Marie-Louise Meng, M.D.
Representing: Montefiore Medical Center/Albert Einstein College of Medicine - Jinu Kim, M.D.
Representing: NewYork Presbyterian Hospital and Cornell University, Weill Cornell Medical College - Jon D. Samuels, M.D.
Representing: SUNY-Health Sciences Center at Stony Brook - Thomas E. Corrado, M.D.
Representing SUNY-Downstate Medical Center- Marina Svyatets, M.D.
Representing SUNY-Downstate Medical Center - Anrew Villion, M.D.
Representing: University of Rochester/Strong Memorial Hospital - Janine R. Shapiro, M.D.
Representing Upstate Medical University - Jan R. Wong, M.D. & John M. Oehler, M.D.
Representing: Long Island Jewish Medical Center - Michelle S. Kars, M.D.
• 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
Blood Management: Patients for Whom Blood is Not an Option - Himani Bhatt, D.O., M.P.A.
Preparing for and Managing Intraoperative Hemorrhage - Kenichi Tanaka, M.D., M.Sc.
• Develop and implement a pre-operative strategy to optimize these patients prior to surgery in a multidisciplinary team approach
• Develop and implement a strategy to minimize blood loss and manage unanticipated hemorrhage according to the wishes of the patient.
Focus Session Moderator: Daniel M. Gainsburg, M.D.
Pros and Cons: Anesthetic Considerations for Robotic-Assisted Laparoscopic Surgery - Marina Svyatets, M.D.
Anesthetic Complications of Robotic-Assisted - Daniel M. Gainsburg, M.D.
• Discuss the advantages and disadvantages of robotic assisted laparoscopic surgeries;
• Plan appropriately for robotic assisted laparoscopic surgeries;
• Discuss the complications of robotic laparoscopic surgery;
• Recognize and manage the complications of robotic assisted laparoscopic surgery.
Focus Session Moderator: Francine S. Yudkowitz, M.D., FAAP
Problems in Pediatric Anesthesia: Malignant Hyperthermia - Francine S. Yudkowitz, M.D., FAAPIs this MH: Case Vignettes - Scott D. Lipson, M.D.
After completion of this session, the participant will be able to: • Prepare the anesthesia machine for 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.