Objectives

PROGRAM OBJECTIVES | WORKSHOP OBJECTIVES | PBLD OBJECTIVES

Program Objectives

Friday, March 13, 2015

Session I: Pharmacogenomics

Pharmacogenomics and the Transformation of Practice
Bruce Carleton, PharmD
Upon completion of this session, the participant will be able to:

Cite the areas in which pharmacogenomics have applications at the bedside.

Identify ways pharmacogenomics are transforming practical clinical drug use strategies.

List the barriers that remain to the advancement of this bench to bedside care.

Pharmacogenomics and Malignant Hyperthermia
Lena Sun, MD
Upon completion of this session, the participant will be able to:

Describe the phenotypes of MH susceptibility

Discuss what is known regarding the genetics of malignant hyperthermia susceptibility

Describe the molecular genetic testing used in malignant hyperthermia and genetic counseling regarding MH susceptibility.

Analgesics and the Effects of Pharmacogenomics
Mindy N. Cohen, MD
Upon completion of this session, the participant will be able to:

Review genetic variations that influence analgesic pharmacotherapy in children.

Identify the most common polymorphisms in drug-metabolizing enzymes that influence analgesics.

Describe strategies for modifying analgesic regimens based on pharmacogenomics.

Session II: Surgical Home

Pediatric Perioperative Surgical Home
Mike P. Schweitzer, MD, MBA
Upon completion of this session, the participant will be able to:

Recognize the need for the Pediatric PSH.

Define the Perioperative Surgical Home.

Understand the progress of the PSH Learning Collaborative.

Describe the unique characteristics of a Pediatric PSH.

Session III: AAP Session

AAP Advocacy Lecture: The Patient Advocacy Reporting System and Behaviors that Undermine a Culture of Safety
Gerald B. Hickson, MD
Upon completion of this session, the participant will be able to:

Discuss the relationships between behaviors that undermine a culture of safety and suboptimal outcomes.

Identify a range of behaviors that undermine a culture of safety and describe a “professional accountability pyramid.

Articulate the essential elements of an organizational infrastructure for addressing behaviors that undermine a culture of safety.

Session IV: Obstructive Sleep Apnea Panel

The Risks of OSA in Children
Charles J. Coté, MD, FAAP
Upon completion of this session, the participant will be able to:

Understand the relationship of OSA with obesity.

Understand that there are ethnicity related factors.

Understand that deaths from OSA associated apnea have occurred in PACU, the ward, and at home within 24 hours of their tonsillectomy.

OSA & Opioid Sensitivity
Karen Brown, MD
Upon completion of this session, the participant will be able to:

Discuss the evidence linking severe OSA to opioid sensitivity.

Formulate an anesthetic plan to mitigate the risk for PRAEs following adenotonsillectomy in children with severe OSA.

OSA – A Surgeon’s Perspective
Glenn E. Green, MD
Upon completion of this session, the participant will be able to:

Recognize different types of obstruction that can cause OSA.

Understand how sleep endoscopy can help with identifying the level of obstruction.

Identify differing surgical approaches to OSA.

Session V: Refresher Courses

REFRESHER COURSE: Physician Wellbeing
Haleh Saadat, MD
Upon completion of this session, the participant will be able to:

Review the concepts; challenge, stress and resilience.

Recognize the common sources of stress in Anesthesiologists.

Describe the physiological and psychological impact of stress on Anesthesiologists.

Define the second victim phenomenon.

Examine the implications of physician‘s burnout on the current health care system.

Review the preventive measures and strategies to increase resiliency.

REFRESHER COURSE: Perioperative Management of the Neonate
Julie J. Niezgoda, MD
Upon completion of this session, the participant will be able to:

Understand the essential cardiovascular, pulmonary, CNS, fluid homeostasis, renal, and hepatic, physiological differences in the neonate.

Recognize how these differences impact the anesthetic care for the neonate.

Discuss safe anesthetic approaches to reduce the risk for this unique patient population.

Saturday, March 14, 2015

Session I: Outcome Data in Pediatric Anesthesia - How will it affect your practice today?

Database of Fetal Intervention Database
Debnath Chatterjee, MD
Upon completion of this session, the participant will be able to:

Describe the mission of the North American Fetal Therapy Network.

Compare treatment strategies for twin-to-twin transfusion syndrome.

Evaluate outcomes after prenatal repair of myelomeningocele.

Describe newer prenatal therapeutic options for congenital diaphragmatic hernia.

The Pediatric Craniofacial Surgery Perioperative Registry
Paul A. Stricker, MD
Upon completion of this session, the participant will be able to:

Discuss why a multicenter registry is well suited for the pediatric craniofacial surgery population

Discuss the use of multicenter aggregate data to inform quality improvement in pediatric craniofacial surgery

Review limitations of observational registry datasets

Difficult Airway Database
John Fiadjoe, MD
Upon completion of this session, the participant will be able to:

Understand the Goals of the pediatric Difficult Airway Collaborative Group.

Describe the current landscape of difficult airway practice across the participating institutions.

Identify the common complications of difficult airway management.

Understand how to participate in the Multicenter Airway Registry.

Session III: AAP Ask the Experts Panel

Neurodevelopmental Outcomes After Cardiac Surgery
Dean B. Andropoulos, MD, MHCM
Upon completion of this session, the participant will be able to:

Describe some of the major risk factors for neurodevelopmental outcome problems in patients with congenital heart disease.

Discuss the role of anesthetic drugs and doses in neurodevelopmental outcomes.

Explore research approaches to alternative anesthetic strategies that could affect neurodevelopmental outcomes.

High Risk Cardiac Lesions for Non-cardiac Surgery-Williams, Pulm HTN, Sinusoids-Oh My!
Annette Y. Schure, MD
Upon completion of this session, the participant will be able to:

Describe the cardiac pathophysiology and anesthetic concerns for patients with Williams Syndrome.

Discuss the preoperative evaluation and anesthestic management of patients with pulmonary hypertension.

Understand the treatment strategies for cardiac patients with sinusoids and the anesthetic implications for non-cardiac surgery.

Session IV: Emerging Surgical Technologies

Nanotechnology & Anesthesiology
Sujatha Kannan, MD
Upon completion of this session, the participant will be able to:

Recognize the need for nanotechnology systems in neonatal and pediatric brain injury.

Distinguish and differentiate various nanoparticle platforms with potential for diagnostic and therapeutic applications in CNS disorders.

Design appropriate nanotherapeutics based on the underlying pathology in developmental brain injuries.

Evaluate current nanotechnology based approaches for pediatric neuroscience applications.

Open vs. Endoscopic Craniosynostosis Repair
Petra Meier, MD, DEAA
Upon completion of this session, the participant will be able to:

Identify different types and etiologies of craniosynostosis.

Recognize the evolution in treatment options for the condition, with the current role of minimal invasive endoscopic surgery.

Compare and contrast anesthesia implications, risks and benefits associated with various treatment options.

3D Printing and Beyond: New Techniques in Airway Surgery
Glenn E. Green, MD; Paul I. Reynolds, MD, FAAP
Upon completion of this session, the participant will be able to:

Understand anesthetic considerations in an infant with laryngeal, tracheal and /or bronchomalacia.

Understand anesthetic management in infants undergoing 3D printed tracheal/bronchial stents on and off cardiopulmonary bypass.

Describe what additive manufacturing is and its advantages over traditional manufacturing.

Understand how 3D printing can be used for preoperative planning for patients with airway obstruction.

Identify how 3D printing can be used for personalized medicine in patients with airway obstruction.

Sunday, March 15, 2015

CRNA Symposium

Safety and Quality in Pediatric Anesthesia: Building Blocks
Tetsu Uejima, MD
Upon completion of this session, the participant will be able to:

Recognize the differences between patient safety, quality assurance and quality improvement.

Understand the importance of data collection and reporting in patient safety and quality.

Understand why focusing on systems and processes is so important.

Identify ways in which individual practitioner data can drive quality improvement.

The Intraoperative Respiratory Care of Premature Infants: Potential Risks and Practice Considerations
Eileen Griffin, CRNA
Upon completion of this session, the participant will be able to:

Recognize potential risks associated with the respiratory care of premature infants including atelectrauma, volutrauma and barotrauma.

Demonstrate an understanding of the risks associated with increased FiO2 delivery including retinopathy of prematurity and chronic lung disease.

Understand the measures incorporated in the anesthetic care of premature infants in order to optimize respiratory care as developed as part of a quality improvement project.

Anesthesia Considerations for Dynamic Airway Evaluation
Mohamed A. Mahmoud, MD
Upon completion of this session, the participant will be able to:

Understand the elements of successful Cine MRI and drug induced sleep endoscopy (DISE) techniques used to assess the sites of upper airway collapse in children with history of OSA.

Describe anesthetic challenges in children presented for dynamic upper airway evaluation under anesthesia.

Review recent studies investigating the effect of varying anesthetic agents on upper airway collapsibility.

Understand the applications of dexmedetomidine for potential airway catastrophe.

The Management of Massive Blood Loss and Resuscitation during Redo Sternotomy in a Patient Supported with a Ventricular Assist Device
Elyse Parchmont, CRNA
Upon completion of this session, the participant will be able to:

Address preoperative concerns and make effective preparations for caring for the patient with a VAD at risk for massive blood loss.

Discuss the assessment and required communication and intervention in the exsanguinating patient with a VAD.

Recognize the endpoints for volume and blood product administration, including laboratory study and monitor data.

Understand the complications of massive blood loss and transfusion in this setting.

Session I: Professionalism Panel

Promoting Leadership and Professionalism
Linda Mason, MD
Upon completion of this session, the participant will be able to:

Define the skills that are necessary to advance in leadership roles in professional societies and within medical staff organizations.

Explain experiences and training that are valuable to assure these leadership roles.

Goals for Accomplishments in the First Ten Years of Practice
Jennifer P. Aunspaugh, MD
Upon completion of this session, the participant will be able to:

Understand the importance of acquiring an effective mentor.

Be able to set priorities in order to establish a healthy work/life balance.

Become knowledgeable of the steps to networking and evolving as an educator and/or leader in our specialty.

Preparing for the Last Ten Years of Practice: Reflections from the Experienced
Gregory B. Hammer, MD; George A. Gregory, MD, FAAP; Anne Lynn, MD; Aubrey Maze, MD
Upon completion of this session, the participant will be able to:

Understand the importance of financial planning in the context of increasing longevity pursuant to retirement age.

Recognize data relating to skills of learning and exercising judgment as we age.

Understand how other well-respected pediatric anesthesiologists have navigated the decision-making processes related to retirement.

Session II: Family Feud

Stuart R. Hall, MD; Sam Wald, MD, MBA; Christina D. Diaz, MD; Jennifer Dillow, MD, FAAP; Judith L. Handley, MD; Olubukola O. Nafiu, MD, FRCA; Michael E. Nemergut, MD; David H. Pae, MD
Upon completion of this session, the participant will be able to:

Review current controversies and practice pathways in a variety of practice settings.

Workshop Objectives

Thursday, March 12, 2015

Perioperative Pediatric Advanced Life Support Simulation
Harshad G Gurnaney, MBBS, MPH; Anita Honkanen, MD; Scott C Watkins, MD
Upon completion of this workshop, the participant will be able to:

Discuss the current AHA PALS update;

Discuss important considerations for PALS in the perioperative setting;

Describe the proper management of several high stakes perioperative events with differences from standard PALS;

Demonstrate team-based management of several simulated pediatric perioperative emergency scenarios;

Discuss the role of emergency manuals in this setting and practice using the SPA crisis manual in simulation.

Integrating Acupuncture in Pediatric Perioperative Care and Pain Medicine Workshop
Yuan-Chi Lin, MD, MPH; Breda Golianu, MD; Rosalie Tassone, MD, MPH; Cynthia Tung, MD, MPH; Shu-Ming Wang, MD
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 history and theory of acupuncture

Understand the scientific evidence of acupuncture practice

Evaluate acupuncture micro-system paradigms

Incorporate acupuncture in pediatric perioperative care and pediatric pain practice

Participate in hands-on demonstration of acupuncture and related techniques.

Advanced Ultrasound Guided Regional Anesthesia
Senior Faculty: Santhanam Suresh, MD; Amod Sawardear, MD; Adrian T. Bosenberg, MB, ChB, FFA; Arjunan Ganesh, MBBS; Benjamin J. Walker, MD. Junior Faculty: Tarun Bhalla, MD; Eric Kamenetsky, MD; Justin B. Long, MD; Kristin O. Spisak, MD; Yidya Yalamanchili, 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 13, 2015

Pediatric Anesthesia Research: Raising the Bar
Jerome Parness, MD, PhD; Richard J. Levy, MD; Olutoyin Olutoye MD, FAAP; Caleb Ing, MD
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; Andrea Dutoit, MD; Jorge A. Galvez, MD; Kendra Grim, MD; Dawit T. Haile, MD; Paul J. Fronapfel, MD; Jessica Lorenz, MD; Scott D. Markowitz, MD, FAAP; Shannon Peters, MD; Kim Strupp, MD; Luis 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 Sawardear, MD; Adrian T. Bosenberg, MB, ChB, FFA; Arjunan Ganesh, MBBS; Benjamin J. Walker, MD. Junior Faculty: Karen R. Boretsky, MD; Denise M. Hall-Burton, MD; Nishanthi Kandiah, MD; Madhankumar Sathyamoorthy, MD; Nicholas R. Wasson, 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
Paul A. Stricker, MD; Olga Albert, MD; John Fiadjoe, MD; Todd J. Kilbaugh, MD; Justin L. Lockman, MD; Jennifer Lam, DO; John J. McCloskey, MD; Patrick Olomu, MD, FRCA; Amish Patel, MD; Thomas L. Shaw, MD; Bistra G. Vlassakova, 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 14, 2015

Evidence-Based Investing & Financial Planning
Charles Boinske, CPA; Charles Koger; Beth Gavin
Upon completion of this workshop, the participant will be able to:

Use the 12 essential ideas of Evidence Based Investing to build wealth wisely.

Use Evidence Based Investing to achieve their financial goals by avoiding common investment mistakes that can derail even the best plan.

Use Evidence Based Investing to both prepare for retirement and manage their income needs in retirement.

Be a more discerning consumer of financial news and investment recommendations.

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.

Mock Trial
Robert Greenberg, MD; Eric Jackson, MD, MBA; 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.

Fetal Interventions: Coming to a Center Near You
Debnath Chatterjee, MD; Anne C. Boat, MD; Olutoyin A. Olutoye, MD, M.Sc., FAAP; Mark D. Rollins, MD; Kha M. Tran, MD
Upon completion of the workshop, the participant will be able to:

Compare the organizational structure of successful maternal fetal programs in the United States.

Discuss the role of the anesthesiologist in the multidisciplinary approach to the fetal patient.

Describe anesthetic techniques for common minimally invasive and fetoscopic interventions.

Summarize key anesthetic considerations during EXIT procedures and open fetal surgery.

Recognize maternal complications during fetal interventions and describe their management.

Disclosure of Adverse Events
Herodotos Ellinas, MD; Veronica Carullo, MD, FAAP; R. Scott Dingeman, MD, FAAP; Teresa Roberts, MD; Lianne Stephenson, MD
Upon completion of the workshop, the participant will be able to:

Identify benefits of disclosure

List the elements of disclosure and identify barriers

Characterize important communications strategies and use them to practice effective disclosure

Difficult Pediatric Airway
Pete G. Kovatis, MD; Ellen Choi, MD; Oleg Drozhinin, MD; Cheryl K. Gooden, MD, FAAP; Agnes I. Hunyady, MD; Narasimham Jagannathan, MD; Maria Matuszczak, MD; David Polaner, MD; Peter M. Popic, MD; Lisa Sohn, MD; Peter Szmuk, MD; Judit Szolnoki, MD, FAAP; Christopher G. Ward, 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.

Sunday, March 15, 2015

MOCA Simulation @ SPA
Dolores B. Njoku, MD; Shivani K. Patel, MD; Rahul Koka, MD, MPH; Deepa Kattail, MD; Joanne E. Shay, MD, MBA; Sally Bitzer, MD; Devika Singh, MD; Harshad G. Gurnarney, MBBS, MPH; Justin L. Lockman, MD, FAAP; Ellen Deutsch, MD, MS, FACS, FAAP; Pravin A. Taneja, MD; Robert P. Brislin, DO; James R. Eiszner, MD; Aditee Ambardekar, MD; Marco Corridore, MD
Upon the completion of this course, the participant will be able to:

Offer a contextual learning opportunity to assess and improve their practice in areas such as crisis management in a simulation setting at an ASA-endorsed activity.

Realistically recreate challenging clinical cases to allow participants to problem‐solve in a manner that is similar to actual clinical experience

Offer an opportunity for physicians to improve their skills in Practice-Based Learning and Improvement

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.