Program Objectives

FRIDAY, MARCH 7, 2014

SESSION I: YOU TAKE MY BREATH AWAY

Cystic Fibrosis – What’s New for the Anesthesiologist
Pam Zeitlin, MD
Upon completion of this session, the participant will be able to:
• Describe the changing epidemiology for patients with cystic fibrosis.
• Review the pathophysiologic changes associated with cystic fibrosis.
• Discuss the vital components of the preoperative evaluation for patients with cystic fibrosis.

Advances in Managing Asthma during the Perioperative Period
Linda Mason, MD
Upon completion of this session, the participant will be able to:
• Describe current best practice for preoperative management of asthma in childhood and adolescence.
• Define criteria for use of pharmacotherapy in the anesthetized patient.
• Discuss best practice for the actively wheezing patient in the perioperative period.

New Ventilation Modes - The Path to Optimal and Safer Ventilation (MOCA)
Jeffrey M. Feldman, MD, MSE
Upon completion of this session, the participant will be able to:
• Describe ventilator changes that have enabled development of new ventilator modes.
• Describe ventilator modes available on newer anesthesia machines.
• Review clinical implications of selecting ventilator modes.

SESSION II: STRENGTH, COURAGE AND WISDOM

Learning from Our Patients
Katherine “Kasey” Seymour; Kelsey Tainsh
Upon completion of this session, the participant will be able to:
• Describe first hand-experiences as a patient.
• Characterize conditions that could be improved (“What I liked the least”).
• Discuss interactions that provided the optimal anesthetic experience (“What I liked the most”).

Perioperative Management of the Pediatric Chronic Pain Patient: What Anesthesiologists Need to Know
Tracy E. Harrison, MD
Upon completion of this session, the participant will be able to:
• Characterize the impact of chronic pain in the perioperative period.
• Describe the strategy of chronic pain rehabilitation.
• Discuss best practices for the treatment of acute pain in the chronic pain patient.

SESSION III: AAP SESSION

AAP Advocacy Lecture
Adolescence 101: Physical and Emotional Development
Barbara Snyder MD, Chair of the AAP Section on Adolescent Health
Upon completion of this session, the participant will be able to:
• Recognize the range of normal patterns of physical growth and pubertal development.
• Describe adolescent psychosocial development and how it affects health risk behaviors.
• Identify common health risk behaviors in adolescents, including substance use, unsafe sexual activity, mood disorders and violence.

SESSION IV: TROUBLE WITH THE CURVE

Scoliosis Panel: Anesthetic Techniques, Blood Conservation, and Acute Pain Management for Spinal Fusion
Mary Ellen McCann, MD, MPH – Neuro Protection
Bishr Haydar, MD – Blood Conservation
Patrick A. Ross, MD – Acute Pain Management
Upon completion of this session, the participant will be able to:
• Identify methods of neuro protection during spine surgery.
• Discuss techniques for blood conservation and transfusion therapy during spine surgery.
• Describe best practices for acute pain management after spine surgery.

SESSION V: REFRESHER COURSES

Resuscitation Science Update
Jennifer Lee-Summers, MD
Upon completion of this session, the participant will be able to:
• Discuss changes in the most recent updates in Pediatric Advanced Life Support (PALS) guidelines.
• Discuss the scientific rationale behind the most recent updates.
• Describe special adaptations of PALS to the perioperative setting.

Disclosure of Adverse Events (MOCA)
Herodotos Ellinas, MD, FAAP
Upon completion of this session, the participant will be able to:
• Discuss current issues related to disclosure of adverse events.
• Identify barriers to disclosure.
• Characterize important communication strategies for effective disclosure.
• Summarize available resources for disclosure of adverse events.

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SATURDAY, MARCH 8, 2014

SESSION I: A CLEAR AND PRESENT DANGER

Drug Abuse in Adolescents
Wilson Compton, MD, MPE
Upon completion of this session, the participant will be able to:
• Characterize the epidemiology of drug abuse in adolescents.
• Discuss strategies to screen and assess substance abuse in adolescents.

Anesthetic Interactions with Abused Substances
David J. Birnbach, MD, MPH
Upon completion of this session, the participant will be able to:
• Describe the situations in which abused substances can impact the anesthesia plan.
• Discuss the interactions of abused substances with different anesthetic agents.
• Identify the anesthetic implications of poly-substance abuse.

Drug Diversion and the Anesthesiologist
Keith Berge, MD
Upon completion of this session, the participant will be able to:
• Describe strategies for identifying drug diversion.
• Identify methods for preventing drug diversion.
• Discuss use of routine drug screening for anesthesiologists and other high risk professional groups.

SESSION III: AAP ASK THE EXPERTS PANEL

Transfer of Care and Handoffs
Jamie M. Schwartz, MD; Thomas Taghon, DO
Upon completion of this session, the participant will be able to:
• List critical elements of different handoffs that occur in the perioperative setting.
• Describe the importance of handoff communication in continuity of care and patient safety; list frequent deficiencies.
• Discuss tools for implementing a formalized handoff process in perioperative settings.

SESSION IV: REFRESHER COURSES

The Single Ventricle vs. the Laparoscope
Scott C. Watkins, MD
Upon completion of this session, the participant will be able to:
• Review the pathophysiology of the single ventricle.
• Discuss the impact of laparoscopic surgery on single ventricle physiology.
• Describe optimal anesthetic techniques at various stages of single ventricle palliation.

Transfusion Limbo – How low will you (safely) go?
Nina A. Guzzetta, MD
Upon completion of this session, the participant will be able to:
• Review current indications for the use of blood products in the perioperative period.
• Discuss recent scientific evidence for transfusion targets and triggers.
• Describe the risks and benefits of blood products in pediatric patients.

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SUNDAY, MARCH 9, 2014

SESSION I: EDITORS' BEST PICKS

J. Lance Lichtor, MD; Peter J. Davis, MD; Charles J. Coté, MD, FAAP
Upon completion of this session, the participant will have the opportunity to critically review a few outstanding pediatric anesthesia papers published in the last year from Anesthesiology, Anesthesia & Analgesia, and Pediatric Anesthesia.

SESSION II: FAMILY FEUD

Town and Gown: Private Practice vs Academia
Moderators: Myron Yaster, MD and Aubrey Maze, MD

  • Private Practice (Town): Allison Fernandez, MD; Napoleon Burt, MD; Karen Bender, MD
  • Academia (Gown): Pilar Castro, MD; Hanon Mache, MD; Stuart Hall, MD

Upon completion of this session, the participant will have the opportunity to review current pediatric anesthesia practice in academic and private practice settings.

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Workshop Objectives

Thursday, March 6, 2014

Acupuncture Pain Management
Yuan-Chi Lin, MD, MPH; Rosalie Tassone, MD, MPH
Upon completion of this workshop, participants will:
• Enhance their knowledge of acupuncture and have an opportunity to integrate acupuncture for the practice of pediatric pain medicine.
• Learn the principles of acupuncture; understand current practice of acupuncture in pediatric pain management.
• Participate in hands-on demonstration of acupuncture and related techniques.

Advanced Ultrasound Guided Regional Anesthesia
Senior Faculty: Santhanam Suresh, MD; Amod Sawardekar, MD; Adrian T. Bosenberg, MB, ChB, FFA; Arjunan Ganesh, MBBS. Junior Faculty: Karen R. Boretsky, MD; Jami Eidem, MD; Alan Bielsky, MD; Benjamin J. Walker, MD
Upon completion of this low faculty-to-attendee ratio workshop, the participant will have an understanding of:
• Basic functions of the Ultrasound and probes.
• Differentiation machine settings for various age groups.
• Anatomy using Ultrasound guidance of all peripheral nerve blocks including upper and lower extremity, truncal, and central neuraxial blocks.
• Scanning and performing the most common peripheral nerve and central neuraxial blocks utilized in pediatric anesthesia practice.

Friday, March 7, 2014

Pediatric Anesthesia Research: Raising the Bar
Jerome Parness, MD, PhD; Richard J. Levy, MD; Olutoyin Olutoye MD, FAAP
Upon completion of this workshop, the participant will be able to:
• Choose a mentor.
• Choose a research topic – basic science vs. clinical research.
• Negotiate with funding agencies.
• Describe strategies for starting and maintaining a research career.

Advanced Techniques for Peripheral Vascular Access
Gregory J. Schears, MD; Paul J. Fronapfel, MD; Kendra Grim, MD;
Dawit T. Haile, MD; Ryan Hamlin, MD; Scott D. Markowitz, MD; Shannon Peters, MD; Steven W. Samoya, MD; Jessica Lorenz, MD;
Louis M. Zabala, MD
Upon completion of this workshop, the participant will be able to:
• Demonstrate and practice the use of ultrasound to obtain peripheral venous access.
• Demonstrate and practice the use of intra-osseous catheters to obtain emergent vascular access.
• Identify the potential advantages of near infra-red technology to optimize peripheral venous access.

Advanced Ultrasound Guided Regional Anesthesia
Senior Faculty: Santhanam Suresh, MD; Amod Sawardekar, MD; Adrian T. Bosenberg, MB, ChB, FFA; Arjunan Ganesh, MBBS. Junior Faculty: Jessica J. Buren, MD; Harshad G. Gurnaney, MBBS, MPH; Kimberly Nguyen, MD; Megha Patel, MD
Upon completion of this low faculty-to-attendee ratio workshop, the participant will have an understanding of:
• Basic functions of the Ultrasound and probes.
• Differentiation machine settings for various age groups.
• Anatomy using Ultrasound guidance of all peripheral nerve blocks including upper and lower extremity, truncal, and central neuraxial blocks.
• Scanning and performing the most common peripheral nerve and central neuraxial blocks utilized in pediatric anesthesia practice.

Transthoracic Echocardiography (TTE)
Thomas Burch, MD; James DiNardo, MD; Wanda C. Miller-Hance, MD
Upon completion of this workshop, the participant will be able to:
• Accurately interpret the results of a pediatric TTE as described by pediatric cardiology.
• Understand the mechanics of conducting a basic focused TTE examination
• Recognize major cardiac anatomical structures, assess ventricular systolic function, and assess volume status utilizing TTE.

Difficult Pediatric Airway
John Fiadjoe MD; David M. Polaner MD, FAAP; Narasimhan Jagannathan, MD; Todd J. Kilbaugh, MD; Jennifer Lam, DO; John J. McCloskey, MD; Amish Patel, MD; Lisa Sohn, MD; Paul A. Stricker, MD; Judit Szolnoki, MD;
Christopher G. Ward, MD; Jennifer Zeig, MD
Upon completion of this workshop, the participant will gain:
• Recognition of situations and pediatric syndromes in which alternative methods for securing the airway may be necessary.
• An understanding of the development of a systematic anatomic and physiologic approach to the assessment of the difficult airway and to planning airway management.
• An understanding of the availability of new devices and technologies for securing the airway and what their indications and limitations are.
• Hands-on experience with devices and technologies useful for securing the airway.

Saturday, March 8, 2014

Financial Planning
Charles Boinske, CPA
Upon completion of this workshop, the participant will be able to:
• Understand the key components of successful financial planning.
• Develop an action plan to address all financial planning issues, including those issues pertinent when nearing retirement.
• Avoid the five most common financial planning mistakes.
• Plan for income needs in the immediate future and for retirement.

How to Design and Moderate an Effective PBLD
Kirk Lalwani MD, FRCA, MCR; Nancy L. Glass MD, MBA, FAAP
Upon completion of this workshop, participants will be able to:
• State the rationale for case-based group learning.
• Recognize the characteristics of a case suitable for discussion.
• Be able to differentiate between a case appropriate for a Medically Challenging Case and a PBLD.
• Take a brief stem and develop a PBLD suitable for the designated audience.
• Compile a set of Best Practices for leading an inclusive, robust discussion.

Integrating Acupuncture in Pediatric Peri-operative Practice Workshop
Yuan-Chi Lin MD, MPH; Brenda Golianu MD; Rosalie Tassone MD, MPH; Cynthia Tung MD, MPH; Shu-Ming Wang MD
Upon completion of this workshop, participants will have an:
• Enhanced knowledge of acupuncture, including its history, theory, and the scientific evidence behind the practice of acupuncture.
• Understanding of acupuncture micro-system paradigms.
• Ability to integrate acupuncture into pediatric peri-operative practice.
• Opportunity to participate in hands-on demonstration of acupuncture and related techniques.

Mock Trial
Robert Greenberg, MD; Eric Jackson, MD; Brian Wilhelmi, MD, JD
Upon completion of the workshop, the participant will be able to:
• Describe the integral concepts and legal strategies inherent to medical malpractice cases.
• Understand the benefits of disclosure and avoidance of malpractice claims.
• Describe those qualities that make an ideal witness in a medical malpractice case.
• Discuss preparation techniques for a deposition or trial testimony.

Social Media and Information Technology in Anesthesia
Jorge Galvez, MD; Ann Hau, MD; Allan Simpao, MD
Upon completion of this workshop, the participant will be able to:
• Describe and discuss the variety, potential uses, and potential misuses of social media.
• Employ best practices when working with protected health information in cloud-based environments.
• Appraise the functionality of applications intended to maximize the efficiency, safety, education, networking and best practices of anesthesia providers.
• Leverage the power of social networks for group projects and collaboration.

Difficult Pediatric Airway
Sam Wald, MD; Ellen Choi, MD; Oleg Drozhinin, MD; Cheryl K. Gooden, MD; Agnes I. Hunyady, MD; Peter G. Kovatsis, MD; Justin L. Lockman, MDMaria Matuszczak, MD; Patrick Olomu, MD; Thomas L. Shaw, MD; Peter Szmuk, MD; Bistra G. Vlassakova, MD
Upon completion of this workshop, the participant will gain:
• Recognition of situations and pediatric syndromes in which alternative methods for securing the airway may be necessary.
• An understanding of the development of a systematic anatomic and physiologic approach to the assessment of the difficult airway and to planning airway management.
• An understanding of the availability of new devices and technologies for securing the airway and what their indications and limitations are.
• Hands-on experience with devices and technologies useful for securing the airway.

Transesophageal Echo (TEE)
Thomas Burch, MD; James DiNardo, MD; Wanda C. Miller-Hance, MD
Upon completion of these workshops, the participant will:
• Understand the mechanics of conducting a basic TEE exam.
• Understand the principles necessary to conduct a comprehensive exam in patients with complex congenital heart disease.

PBLD Objectives

Problem-based learning discussions will offer the opportunity for group discussion with faculty and other attendees of common clinical problems. The format will highlight aspects of clinical decision-making including preoperative evaluation and preparation, anesthetic induction and intra-operative management and possible intra- and postoperative pain and other management dilemmas.

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