Advances in Anesthesiology and Critical Care Symposium

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Saturday, April 17 th, 2010 7:00 AM 8:00 AM Conference registration and breakfast 8:00 AM 8:10 AM Welcome and announcements Jane C.K. Fitch, D; Pamela Roberts, MD, FCCM, FCCP Department of Anesthesiology, University of Oklahoma College of Medicine 8:10 AM 8:40 AM Core measures: Impact of CMS, JCAHO and HCAPs on Anesthesia service Teodora Nicolescu, MD, Department of Anesthesia, University of Oklahoma College of Medicine 8:40 AM 9:25 AM Promoting equipment safety: Who s responsible? Michael Olympio, MD, Department of Anesthesia, Wake Forest University School of Medicine, Winston-Salem, North Carolina 9:25 AM 10:10 AM Neurointerventions: Update and perspectives for Anesthesiologists Steven L. Hoover, MD, Department of Neurology, University of Oklahoma College of Medicine 10:10 AM 10:25 AM Question and answer session 10:25 AM 10:40 AM Morning break 10:40 AM 11:25 AM Anesthesia in robotic Urologic surgery: Is it a different ballgame? Michael Olympio, MD, Wake Forest University School of Medicine, Winston-Salem, North Carolina 11:25 AM 12:10 AM Innovations in hemodynamic monitoring Michael Wall, MD, FCCM, Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO 12:10 AM 12:25 AM Question and answer session 12:25 AM 1:25 PM Morning break 1:25 PM 2:10 PM Optimizing use of transfusion Michael Wall, MD, FCCM, Washington University School of Medicine, St. Louis, MO 2:10 PM 2:40 PM When a cold isn t a cold in the pediatric patient Judith Ponder, MD, Department of Anesthesiology, University of Oklahoma College of Medicine 2:40 PM 3:25 PM Year in review: Summary of intriguing and salient literature Mohanad Shukry, MD, Department of Anesthesiology, University of Oklahoma College of Medicine 3:25 PM: 3:40 PM Question and answer session 3:40 PM 3:55 PM Afternoon break 3:55 PM 4:40 PM Current trends in the management of traumatic brain injury Ryan Hakimi, DO, MS, Department of Neurology, University of Oklahoma College of Medicine 4:40 PM 5:25 PM Clinical forum: Case Studies Pramod Chetty, MD, Department of Anesthesiology, University of Oklahoma College of Medicine

Sunday, April 18 th, 2010 7:30 AM 8:00 AM Conference registration and breakfast 8:00 AM 8:05 AM Welcome and announcements Jane C.K. Fitch, D; Pamela Roberts, MD, FCCM, FCCP Department of Anesthesiology, University of Oklahoma College of Medicine 8:05 AM 8:35 AM Anesthesia in our aging population: Considerations in management of the geriatric patient Ian Bond, MD, Department of Anesthesiology, University of Oklahoma College of Medicine 8:35 AM 9:20 AM Obesity and bariatric surgery: Current issues for Anesthesiologists Babatunde Ogunnaike,MBBS, MD, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 9:20 AM 9:50 AM Preop cardiac assessment of the patient with a cardiac history for non-cardiac surgery Chittur A. Sivram, MD, Department of Medicine-Cardiology Section, University of Oklahoma College of Medicine 9:50 AM 10:35 AM Anesthesia trauma update: 2010 Babatunde Ogunnaike, MBBS, MD, University of Texas Southwestern Medical Center Dallas, Dallas, TX 10:35 AM 10:50 AM Question and answer session 10:50 AM 11:05 AM Morning break 11:05 AM 11:50 PM Liver transplantation: Basics and beyond Anthony Sebastian, MD, University of Oklahoma College of Medicine 11:50 AM 12:20 PM Ultrasound for regional blocks Tilak Raj, MD, Department of Anesthesiology, University of Oklahoma College of Medicine The University of Oklahoma College of Medicine and the Irwin H. Brown Office of Continuing Medical Education must ensure balance, independence, objectivity and scientific rigor in all its activities. We have implemented a process where everyone who is in a position to control the content of an education activity has disclosed to us all relevant financial relationships with any commercial interest. In addition, should it be determined that a conflict of interest exists as a result of a financial relationship one may have, this will be resolved prior to the activity. This policy is designed to provide the target audience with an opportunity to review any affiliations between the CME organizers/presenters and supporting organizations for the purpose of determining the potential presence of bias or influence over the educational content. The following is a summary of this activity s disclosure information. Course Director: Pamela Roberts, MD, has received honorarium from Nestle Clinical Nutrition, and Baxter Healthcare. Planning Committee Members: Pramod Chetty, MD; Jane C.K. Fitch, MD; Raghuvender Ganta, MD; Stephen Heimbach, MD; Debra Monachella; Matthew McCoy, Med; Teodora Nicolescu, MD; Judith Ponder, MD; Susan VanGundy, MBA Course Contact: Matthew McCoy, MEd, has no financial relationships or affiliations to disclose. Speakers: Teodora Nicolescu, MD; Steven L. Hoover, MD; Michael Olympio, MD; Michael Wall, MD, FCCM; Judith Ponder, MD; Mohanad Shukry, MD; Pramod Chetty, MD; Ian Bond, MD; Chittur A. Sivram, MD; Babatunde Ogunnaike, MBBS, MD; Anthony Sebastian, MD; Tilak Raj, MD, have no financial relationships or affiliations to disclose.

Saturday, April 17 th - Sunday, April 18 th, 2010 Educational Objectives By participating in this symposium, the learner will: Discuss core measures awareness and process related strategies for compliance wit core measures Analyze ways to Increase patient safety, quality of care and efficiency peri-operatively. State factors that drive technology change Describe efforts and impediments to mandating equipment training Contrast 4 means of reporting a safety issue Analyze recent advances in equipment safety Explain new recommendations for checking equipment Evaluate preoperative and anesthetic needs of patients undergoing neurointerventional procedures in locations remote form the operating room. Describe methods for delivery of anesthesia in monitoring of patients during imaging and interventional procedures. List and explain the physiological derangements associated with combined pneumoperitoneum and Trendelenburg posture Explain the relationships between, and significance of hydrostatic pressure, blood pressure measurement and the risks of organ hypo/hyper-perfusion Discuss the reasons for choosing specific anesthetic management techniques and drugs Identify and describe problems with current monitoring technologies Identify and describe the advantages and disadvantages of newer less-invasive hemodynamic monitors Identify and describe complications of red cell transfusions. Identify and describe methods to optimize perioperative transfusion therapy. Describe the assessment of a child with an upper respiratory infection. Describe the difference between an acute upper respiratory infection and benign symptoms. Describe the potential anesthetic complications in children undergoing general anesthesia with acute upper respiratory infections. Explain the effects of muscle relaxants on upper airway muscles. Describe the importance of reversing muscle relaxants effects. Review the importance of low tidal volume ventilation. Describe an extracorporeal carbon dioxide removal device. Describe the clinical management of traumatic brain injury. pathogenesis, classification Assess and evaluate the prognosis of patients with traumatic brain injury Develop a differential diagnosis for delirium. Describe the etiology, pathophysiology, presentation, diagnosis, and treatment of central anti-cholinergic syndrome Describe the physiologic changes that occur with aging Characterize pharmacologic effects of drugs commonly used by anesthesiologists in the elderly Identify special considerations as it relates to anesthetic delivery for the obese patient and for bariatric surgery. Discuss the important aspects of management of the airway in obese patients

Discuss the impact of obstructive sleep apnea (OSA) on anesthetic management and postoperative outcomes in obese patients Review the current guidelines for pre-operative assessment of cardiac patients undergoing non-cardiac surgery Evaluate the recommendations and the evidence for beta blocker use in the perioperative patient Review the guidelines for management in patients with coronary stents Describe the principles of important aspects of surgical and anesthetic management of major trauma Define the massive transfusion protocol (MTP), its implementation and benefits to trauma patients Describe the history of liver transplantation Identify the various indications and contraindications for liver transplant Analyze the results of liver transplantation as it is done today Describe how Deceased Donor livers are allocated in the United States Identify opportunities for ultrasound guidance in regional anesthesia Describe the physics involved in creating an ultrasound image The University of Oklahoma College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The University of Oklahoma College of Medicine designates this educational activity for a maximum of 12.0 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. The University of Oklahoma College of Medicine, Office of Continuing Medical Education has reviewed this activity s speaker and planner disclosures and resolved all identified conflicts of interest, if applicable. This conference is made possible by educational grants from: Hospira The University of Oklahoma is an Equal Opportunity Institution. For accommodations on the basis of disability, call 405-271-4351

Saturday, April 17 - Sunday, April 18, 2010 Activity Planning Committee Pramod Chetty, M.D. Associate Professor, Department of Anesthesiology Jane C.K. Fitch, M.D. Professor and Chair, Department of Anesthesiology Raghuvender Ganta, M.D. Associate Professor (Co-Course Director), Department of Anesthesiology Stephen Heimbach, M.D. Associate Professor, Department of Anesthesiology Debra Monachella Administrative Coordinator, Department of Anesthesiology Matthew McCoy, M.Ed. Instructor-Education Division (Planner/Contact Person), Department of Anesthesiology Teodora Nicolescu, M.D. Associate Professor, Department of Anesthesiology Judith Ponder, M.D. Assistant Professor, Department of Anesthesiology Pamela Roberts, M.D. Professor (Co-Course Director), Department of Anesthesiology Susan VanGundy, M.B.A. Business Administrator, Department of Anesthesiology