CALIFORNIA THORACIC SOCIETY NORTHERN CALIFORNIA ANNUAL EDUCATIONAL CONFERENCE FRIDAY JANUARY 18, 2019 SATURDAY JANUARY 19, 2019

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CALIFORNIA THORACIC SOCIETY NORTHERN CALIFORNIA ANNUAL EDUCATIONAL CONFERENCE FRIDAY JANUARY 18, 2019 SATURDAY JANUARY 19, 2019 ARDS: ADVANCED STRATEGIES IN VENTILATOR MANAGEMENT; ADVANCES IN SLEEP DISORDERED BREATHING AND NONINVASIVE VENTILATION JOINTLY PROVIDED BY: THE CALIFORNIA THORACIC SOCIETY THE AMERICAN THORACIC SOCIETY And in cooperation with CALIFORNIA SOCIETY FOR RESPIRATORY CARE A COMPREHENSIVE TWO DAY PROGRAM FOR PULMONOLOGISTS, CRITICAL CARE PHYSICIANS, INTERNAL MEDICINE PHYSICIANS, SLEEP SPECIALISTS, IN-TRAINING FELLOWS AND RESIDENTS, NPs, PAs, RNs, RTs, SLEEP TECHNOLOGISTS, PharmDs AND OTHER HEALTH CARE PROFESSIONALS IN THE FIELD OF PULMONARY, CRITICAL CARE AND SLEEP MEDICINE. PORTOLA HOTEL, MONTEREY, CA EARN 13.50 CME CREDITS / 13.50 CEU CREDITS

CME STATEMENT This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Thoracic Society (ATS) and California Thoracic Society (CTS). The ATS is accredited by the ACCME to provide continuing medical education for physicians. The ATS designates this live activity for a maximum of 13.50 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. The California Thoracic Society is approved by the California Board of Registered Nursing, Provider #CEP599 for 13.50 contact hours. The course meets the requirements for CE for RCPs in California. Course Information ACTIVITY SUMMARY: This conference brings together regional and national experts to discuss the latest advances in respiratory medicine. ARDS and Sleep Disordered Breathing are complex respiratory conditions faced by physicians, advanced practice and allied health professionals in the critical care, inpatient and ambulatory settings. Friday s program focuses on the multidisciplinary approach to ARDS evaluation and management with an emphasis on complex case-based discussions and ventilator strategies. Saturday s program focuses on evidence-based sleep apnea evaluation and management, complex sleep disordered breathing including sleep hypoventilation syndromes and noninvasive ventilation. The afternoon hands-on sessions will educate providers on appropriate uses of noninvasive ventilation, interpreting reports from devices and daytime use of noninvasive ventilation for chronic respiratory failure syndromes. TARGET AUDIENCE: The program is designed for all health care professionals involved with the care and treatment of patients with ARDS, Sleep Apnea Syndromes, Sleep-Related Hypoventilation Syndromes including COPD, Obesity Hypoventilation, Neuromuscular Diseases and Chronic Respiratory Failure. This includes pulmonologists, critical care physicians, internal medicine physicians, sleep specialists, in-training fellows and residents, NPs, PAs, RNs, RTs, sleep technologists and PharmDs and any other health care professionals in the field of pulmonary, critical care, and sleep medicine. Educational Objectives Apply an evidence-based approach to diagnosis and treatment of ARDS. Understand the role of blood biomarkers in ARDS. Use effective ventilator strategies in the management of ARDS. Apply updated strategies for management of refractory hypoxemia in ARDS. Apply evidence-based approach to the diagnosis and management of Obstructive Sleep Apnea. Understand rationale and indications for in laboratory polysomnography versus home sleep testing. Apply evidence-based approach to the diagnosis and management of sleep related hypoventilation syndromes. Understand effective use and management of noninvasive ventilation for hypoventilation syndromes. Apply updated strategies for daytime application of noninvasive ventilation.

FACULTY Michelle Cao, DO William Stringer, MD Harbor-UCLA George Su, MD Michael Matthay, MD UCS San Francisco Angela Rogers, MD Atul Malhotra, MD UC San Diego Joseph Levitt, MD, MS Lance Pangilinan, RRT Justin Phillips, RRT Gregory Burns, RRT Vivian Yip, RRT Rich Kallet, MS, RRT Neil Ross MacIntyre, MD Duke University Jim Fink, PhD, RRT, FCCP Aerogen Pharma Kathleen Sarmiento, MD Lisa Wolfe, MD Northwestern University Janine Vintch, MD Harbor-UCLA Shannon Sullivan, MD Won Lee, MD UT Southwestern Dallas Gaurav Singh, MD Planning Committee Philippe Montgrain MD UC San Diego Michelle Cao DO Laren Tan MD Loma Linda University Niranjan Jeganathan MD Loma Linda University Vipul Jain MD UCSF / Fresno Lorriana Leard MD Nisha Gidwani MD Travis Henry MD George Su MD Chris Garvey FNP Rosemarie Fejerang RRT Justin Oldham MD UC Davis William Stringer, MD Harbor-UCLA Matthew Dartt RRT Hotel Accommodations The California Thoracic Society has secured a limited number of rooms at the Portola Hotel located at Two Portola Plaza, Monterey, CA 93940. For check-in on Thursday, January 17, 2019 and check-out on Sunday, January 20, 2019, the room rate is 209 per night plus taxes. Click on the following link to make your room reservations: https://book.passkey.com/go/californiathoracicsociety2019 If you prefer to call the hotel, dial 1-888-222-5851; You must mention that you are with California Thoracic Society 2019 Conference to get your group rate.

PROGRAM SCHEDULE FRIDAY, JANUARY 18, 2019 ARDS: ADVANCED STRATEGIES IN VENTILATOR MANAGEMENT 7:00 am 8:00 am Registration / Exhibits 8:00 am 8:05 am Welcome and Introductions; Pre-Test William Stringer, MD; George Su, MD 8:05 am 8:55 am KEY NOTE SPEAKER: The Acute Respiratory Distress Syndrome (ARDS) Michael Matthay, MD 8:55 am 9:45 am Advances in Ventilator Management of ARDS Angela Rogers, MD 9:45 am 10:00 am 10:00 am 10:45 am Driving Pressure and Lung Mechanics Atul Malhotra, MD 10:45 am 11:35 am Refractory Hypoxemia Joseph Levitt, MD, MS 11:35 am 12:05 pm LARGE GROUP: (Audience Response): Ventilator Management 1: Ventilator Graphics, Scalars, Lung Mechanics (ASL 5000 with vent) Lance Pangilinan, RRT; Justin Phillips, RRT; Gregory Burns, RRT; Vivian Yip, RRT; Rich Kallet, MS, RRT 12:05 pm 1:10 pm LUNCH / EXHIBIT HALL OPEN 1:10 pm 1:55 pm Consequences of Unintended Intubation Neil Ross MacIntyre, MD 1:55 pm 2:40 pm ARDS, Respiratory Failure and Blood Biomarkers Angela Rogers, MD 2:40 pm 3:00 pm 3:00 pm 3:45 pm New Strategies in Aerosolized Therapies in Critical Care Jim Fink, PhD 3:45 pm 4:30 pm LARGE GROUP: (Audience Response): Ventilator Management 2: Case Examples in ARDS and Respiratory Failure Lance Pangilinan, RRT; Justin Phillips, RRT; Gregory Burns, RRT; Vivian Yip, RRT; Rich Kallet, MS, RRT 4:30 pm 5:15 pm Prone Positioning, Recruitment maneuvers Rich Kallet, MS, RRT 5:15 pm - 5:20 pm Closing Remarks and Post Test William Stringer, MD; George Su, MD

PROGRAM SCHEDULE SATURDAY, JANUARY 19, 2019 ADVANCES IN SLEEP DISORDERED BREATHING AND NONINVASIVE VENTILATION 7:00 am 8:00 am Registration / Exhibits 8:00 am 8:10 am Welcome and Introductions; Pre-Test Michelle Cao, DO Advances in Sleep Apnea Evaluation and Management 8:10 am 8:50 am KEY NOTE SPEAKER: Evidence Based OSA Management and Non-PAP Therapies Atul Malhotra, MD 8:50 am 9:20 am Cardiovascular Disease and Sleep Apnea: What is the Current Evidence? Kathleen Sarmiento, MD 9:20 am 9:50 am Central Sleep Apnea and Heart Failure: PAP versus Oxygen versus Phrenic Nerve Stimulation Lisa Wolfe, MD 9:50 am 10:10 am 10:10 am 10:40 am The Perioperative Management of Sleep Disordered Breathing Janine Vintch, MD 10:40 am 11:10 am Using Technology to Improve Outcomes in Sleep Disordered Breathing Shannon Sullivan, MD 11:10 am 11:40 am Utility of the In Lab Polysomnogram in a New Era of Home Sleep Testing Won Lee, MD 12:10 pm 1:10 pm LUNCH / EXHIBIT HALL OPEN Advances in Complex Sleep Related Respiratory Disorders and Noninvasive Ventilation 1:10 pm 1:40 pm Sleep Disordered Breathing in Neuromuscular Disease Won Lee, MD 1:40 pm 2:20 pm Respiratory Assist Devices (ST, VAPS Technology), Interpreting NIV Downloads /Mask Interface Options Faculty: Won Lee, MD; Lisa Wolfe, MD; Shannon Sullivan, MD; Gaurav Singh, MD; Michelle Cao, DO; Kathleen Sarmiento, MD 2:20 pm 3:00 pm Home Ventilators, Interpreting Ventilator Downloads and Daytime use of Noninvasive Ventilation Faculty: Won Lee, MD; Lisa Wolfe, MD; Shannon Sullivan, MD; Gaurav Singh, MD; Michelle Cao, DO; Kathleen Sarmiento, MD 3:00 pm 3:20 pm 3:20 pm 4:00 pm NIPPV for the Hypercapnic COPD and Obsesity Hypoventilation Patient Gaurav Singh, MD 4:00 pm 4:40 pm Daytime Use of NIPPV Lisa Wolfe, MD 4:40 pm - 5:00 pm Closing Remarks and Post Test Michelle Cao, DO 11:40 am 12:10 pm Central Sleep Apnea and Chronic Opioid Use Kathleen Sarmiento, MD

CALIFORNIA THORACIC SOCIETY NORTHERN CALIFORNIA ANNUALCALIFORNIA EDUCATIONAL CONFERENCE THORACIC SOCIETY FRIDAY JANUARY 18, 2019 NORTHERN CALIFORNIA ANNUAL EDUCATIONAL CONFERENCE SATURDAY JANUARY 19,- 2019 FRIDAY JANUARY 18, 2019 SATURDAY JANUARY 19, 2019 REGISTRATION FORM REGISTRATION FORM Name: Degree: Title: Organization: Address: City: State: Phone: Zip: Cell: CALIFORNIA THORACICto lock-in SOCIETY early-bird rates! Allied Health NORTHERN CALIFORNIA Professional / Physician Member Fellow/Student CTS Member Rates Emeritus Member ANNUAL EDUCATIONAL CONFERENCE 2 Day Registration 350 375 1 5 FRIDAY JANUARY 18, 2019 SATURDAY JANUARY 19, 2019 1 Day Registration 175 200 100 125 Email: Registration Fees Register by Early-bird Standard Non-Member Physician Non-Member Rates Early-bird Standard Non-Member Allied Health Professional Early-bird Standard Fellow/Student ARDS: ADVANCED STRATEGIES IN VENTILATOR MANAGEMENT; Early-bird Standard Early-bird Standard Early-bird Standard 2 Day Registration 395 425 200 225 ADVANCES IN SLEEP DISORDERED BREATHING 1 Day Registration 200 225 125 150 AND NONINVASIVE VENTILATION Note that breakfast and lunch will be served on Friday and Saturday. There will also be some scheduled NCME Events that will be announced very soon. Cancellations JOINTLY PROVIDED BY: THE CALIFORNIA THORACIC SOCIETY Payment THE AMERICAN THORACIC SOCIETY Enclosed (payable to California Thoracic Society) And in cooperationcheck with CALIFORNIA SOCIETY FOR RESPIRATORY CARE Cancellations received before 1, 2018 are subject to a 75 cancellation fee. No refunds or cancellations after 1, 2018. Substitute attendees are permitted. All cancellation requests must be made in writing and sent to: info@calthoracic.org. Charge: Card #: Visa MasterCard AMEX Exp: Signature: COMPREHENSIVE TWO DAY PROGRAM FOR PULMONOLOGISTS, CRITICAL CARE PHYSICIANS, INTERN Cardholder Name (Please Print Clearly) EDICINE PHYSICIANS, SLEEP SPECIALISTS, IN-TRAINING FELLOWS AND RESIDENTS, NPs, PAs, RNs, RT BillingPharmDs address associated withother card: SLEEP TECHNOLOGISTS, AND HEALTH CARE PROFESSIONALS IN THE FIELD OF Three Ways to Register: PULMONARY, CRITICAL CARE AND SLEEP MEDICINE. 1. On-Line: www.calthoracic.org (Visa/MC/AMEX) 2. By FAX: 703-752-4360 (Visa/MC/AMEX) PORTOLA HOTEL, MONTEREY, CA 3. By Mail: CTS, 18 Bartol Street # 1054, San Francisco, CA 94133(Check/Visa/MC/AMEX) EARN 13.50 CME CREDITS / 13.50 QUESTIONS: Contact CTS at 415 536-0287 or email info@calthoracic.org CEU CREDITS