Pulmonary WinterCourse Addressing controversies and hot topics in Pulmonary, Critical Care and Sleep Medicine

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Pulmonary WinterCourse Addressing controversies and hot topics in Pulmonary, Critical Care and Sleep Medicine February 15-17, 2013 Disney s Contemporary Resort Walt Disney World Orlando, FL PROGRAM AGENDA Friday February 15, 2013 PULMONARY VASCULAR DISEASE Jeffrey L. Garland, MD Mayo Clinic Florida 8:00 8:40 AM Chronic Thromboembolic Disease Pulmonary Hypertension: Management Before and After Pulmonary Endarterectomy Charles D. Burger, MD Professor of Medicine, Mayo Clinic Florida Employ the most appropriate diagnostic testing for group 4 chronic thromboembolic pulmonary hypertension (CTEPH) Select patients most likely to respond to pulmonary endarterectomy (PEA) for CTEPH Utilize both experience and evidence based recommendations for postoperative care of patients undergoing PEA 8:40 9:20 AM Surgery for Chronic Thromboembolic Disease Kevin Landolfo, MD Professor of Surgery, Mayo Clinic Florida Describe the indications for surgery in patients with Thromboembolic Disease Review the outcomes in patients following surgery for Thromboembolic Disease 9:20 10:00 AM ACCP Guidelines Diagnosis and Management of Pulmonary Thromboembolic Disease 10:00 10:30 AM Break in the Exhibit Hall Jeffrey L. Garland, MD Assistant Professor of Medicine, Mayo Clinic Florida Understand the guidelines for the treatment of DVT s Understand the guidelines for the treatment of PE s Understand the level of evidence supporting the guidelines

PULMONARY MEDICINE/THORACIC SURGERY INTERACTIONS David A. Solomon, MD University of South Florida College of Medicine 10:30 11:00 AM Predicting and Treating Post Operative Pulmonary Complications Robert Geck, MD Assistant Professor of Medicine, University of South Florida Better predict post operative pulmonary complications Better treat post operative pulmonary complications Communicate risks of surgery to patients 11:00 11:30 AM VATS Biopsy in the Patient With Normal PFT s and Normal Chest CT Who, When and If Kimberley N. Cao, MD Associate Program Director, University of South Florida Identify the subset of patients with unrevealing noninvasive diagnostic workup that may need VATS biopsies for unexplained dyspnea Improve communication, education and management for patients with unexplained dyspnea Identify a systematic and diagnostic approach in evaluation of unexplained dyspnea 11:30 AM 12:00 PM Lung Volume Reduction via the Fiberoptic Bronchoscopy Frank Kaszuba, MD Assistant Professor of Medicine, University of South Florida Discuss the current state of bronchoscopic lung reduction procedures 12:00 12:30 PM Post Operative ARDS in the Lung Transplant Recipient Andres Pelaez, MD Medical Director, Lung Transplant Program, Florida Hospital Learn about clinical presentation, definition and pathophysiology of primary graft dysfunction following lung transplant Learn about the consequences of primary graft dysfunction 12:30 2:00 PM FELLOWS CASE PRESENTATIONS @ LUNCH Gene Ryerson, MD, University of Florida College of Medicine Pulmonary Fellows Pulmonary, Critical Care and Sleep Medicine fellows are selected by their department chairperson; nominations are then forwarded to the PWC planning committee. Selections are confirmed by the end of November. Construct a differential diagnosis for an unknown case List important history, physical finds and lab data for an unknown case List diagnostic tests necessary for diagnosis of an unknown case

Pulmonary WinterCourse Addressing controversies and hot topics in Pulmonary, Critical Care and Sleep Medicine February 15-17, 2013 Disney s Contemporary Resort Walt Disney World Orlando, FL PROGRAM AGENDA Saturday February 16, 2012 INTERVENTIONAL PULMONOLOGY Michael Jantz, MD, University of Florida College of Medicine 8:00 8:30 AM Palliation of Malignant Pleural Effusions Hiren Mehta, MD Define the need for palliation in malignant pleural effusions Compare various methods of palliation and treat the patient with best possible option 8:30 9:00 AM Benign Airway Obstruction Hiren Mehta, MD Identify benign airway obstruction, causes and management ` 9:00 9:30 AM The Solitary Pulmonary Nodule: Bronchoscopic Diagnosis Michael Jantz, MD, FCCP Be familiar with the differential diagnosis of pulmonary nodules Be familiar with the diagnostic approach to pulmonary nodules Be familiar with bronchoscopic modalities for the diagnosis of pulmonary nodules. 9:30 10:00 AM Bronchial Thermoplasty A New Paradigm for the Treatment of Severe Asthma 10:00 10:30 AM Break in the Exhibit Hall Michael Jantz, MD, FCCP Be familiar with the treatment of severe asthma Be familiar with the technique of bronchial thermoplasty Be familiar with the outcomes of bronchial thermoplasty

EXTREME MEDICINE Laurie Kardon, MD, MPH, Private Practice, Boca Raton, FL 10:30 11:30 AM Emergence of New Hospital Acquired Infections (HAI): National Policy for Prevention to Practice Implementation Understand national policy aspects of HAI prevention Understand practice aspects of HAI prevention Denise Cardo, MD Director, Division of Healthcare Quality Promotion, NCEZID Centers for Disease Control and Prevention, Atlanta Kenneth Leeper, Jr., MD Director, MICU and Respiratory Services Emory University Hospital Midtown 11:30 AM 12:30 PM Into Thin Air: High Altitude Illness 12:30 1:00 PM Q & A 1:00 2:00 PM Lunch on Your Own N. Stuart Harris, MD Chief, Division of Wilderness Medicine, Dept. of Emergency Medicine Massachusetts General Hospital/Harvard Medical School Understand the pathophysiology of hypoxia Understand how to treat high altitude illness Understand how to avoid high altitude illness NEW DIRECTIONS FOR THE RESPIRATORY THERAPIST Rebecca C. Young, RRT Director of Respiratory Services, Pasco Regional Medical Center 2:00 3:00 PM Patient Ventilator Asynchrony and the Edi Susan P. Pilbeam, MS, RRT, FAARC Author, Mechanical Ventilation: Physiological and Clinical Applications Provide the percent occurrence of patient ventilator asynchrony in ventilated patients Define Edi peak Explain what controls the ventilator in patients that are ventilated with Neurally Adjusted Ventilatory AssistVentilation (NAVA)

Pulmonary WinterCourse Addressing controversies and hot topics in Pulmonary, Critical Care and Sleep Medicine February 15-17, 2013 Disney s Contemporary Resort Walt Disney World Orlando, FL PROGRAM AGENDA 3:00 4:00 PM Primary Care Model for Respiratory Care Inpatient Disease Management Russell A. Acevedo, MD, FCCP, FAARC Medical Director, Respiratory Care, Crouse Hospital, Syracuse, New York Discuss the advantages of using long acting medications and more efficient aerosol devices to improve the efficiency of Respiratory Care delivery Understand the importance of disease management in COPD and how a Respiratory Care Department can help implement disease management elements in the in patient setting Discuss the roadblocks in implementing and in patient disease management program Sunday February 17, 2013 UNDERSTANDING THE ALPHABET SOUP OF PAP THERAPY Nancy A. Collop, MD Professor of Medicine and Neurology, Emory University 8:00 8:40 AM The ABCs of APAP, BiPAP and CPAP David A. Schulman, MD, MPH Associate Professor of Medicine, Emory University List the differences between CPAP, bilevel pressure and auto titrating CPAP devices Explain the Medicare requirements for coverage of CPAP, bilevel pressure and auto titrating CPAP Identify patients in their clinic who might benefit from bilevel pressure or auto titrating CPAP in lieu of standard CPAP 8:40 9:20 AM Improving PAP Adherence Nancy A. Collop, MD Professor of Medicine and Neurology, Emory University Discuss the current data on who uses, doesn t use PAP Review interventions that have been evaluated and shown not to consistently improve PAP therapy Review interventions that have been shown to improve PAP therapy

9:20 10:00 AM Using BPAP ST, ASV and Volume Assured Pressure Support Richard B. Berry, MD Professor of Medicine, University of Florida College of Medicine Understand indications for use of BPAP ST, ASV and Volume Assured Pressure Support Understand how to provide device settings Understand how to interpret data from the devices 10:00 10:15 AM Break in the Exhibit Hall YEAR IN REVIEW 10:15 11:00 AM Cystic Fibrosis and Bronchiectasis Gene G. Ryerson, MD Courtesy Professor of Medicine, University of Florida College of Medicine Discuss presentation and diagnosis of cystic fibrosis List complications of cystic fibrosis Discuss treatment of cystic fibrosis 11:00 11:45 AM Mechanical Ventilation 11:45 AM 12:00 PM Q & A Bruce P. Krieger, MD Director of Critical Care Center, Memorial Hospital Jacksonville Integrate Respiratory Care Protocols into practice Detect non pulmonary deterrents to weaning from MVS Apply principles from ARDS literature to other mechanically ventilated patient populations