ANESTHESIA OBSTETRICAL PAID. Obstetrical Anesthesia Meeting. The Sol Shnider, M.D. Check our website for program

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1 Department of Anesthesia & Perioperative Care University of California 521 Parnassus Avenue, Room C450 San Francisco, CA Attention: Judy L. Johnson OBSTETRICAL ANESTHESIA 2006 The Sol Shnider, M.D. Obstetrical Anesthesia Meeting MARCH 16-19, 2006 Grand Hyatt on Union Square Check our website for program and registration information, as well as links to local websites with restaurant and local activity information. NONPROFIT ORGANIZATION U.S. POSTAGE PAID UNIVERSITY OF CALIFORNIA SAN FRANCISCO

2 THE DEPARTMENT OF ANESTHESIA & PERIOPERATIVE CARE UNIVERSITY OF CALIFORNIA SAN FRANCISCO Presents: OBSTETRICAL ANESTHESIA 2006 The Sol Shnider, M.D. Obstetrical Anesthesia Meeting MARCH 16-19, 2006 Grand Hyatt on Union Square

3 The Sol Shnider, M.D. Obstetrical Anesthesia Meeting OBSTETRICAL ANESTHESIA 2006 MARCH 16-19, 2006 / GRAND HYATT ON UNION SQUARE/SAN FRANCISCO, CA Educational Objectives At the conclusion of this conference the attendees should have an improved understanding of and/or ability to use: The anatomy of the epidural and spinal space and its functional impact on obstetric regional anesthesia techniques, drug action, complications and their management Controversies and utility of epidural test dose regimens Use of labor epidural analgesic techniques with lower concentrations of local anesthetics Continuous spinal anesthesia (CSA) techniques to include risks and benefits Regional anesthesia complications and how to avoid them: diagnosis and management of common adverse events Management of coagulopathies, thrombocytopenia in obstetrical anesthesia and management of hemorrhage with clotting factors Regional anesthesia management for cesarean section and the use of long acting opioids for postoperative analgesia Management of the difficult airway Anesthetic considerations for the parturient with common co-existing cardiac or pulmonary diseases How to reduce maternal morbidity and mortality: common errors, lessons learned from our collective experience and the beneficial impact of practice guidelines, simulation learning, management of provider fatigue, improved healthcare team communication and quality of care safety projects The purpose, ethics, practicality, guidelines and laws regarding informed consent in obstetrics Merits of recent advances in obstetric anesthesia This activity is presented by the Department of Anesthesia and Perioperative Care of the University of California School of Medicine, San Francisco. Accreditation The University of California San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this Educational Activity Course #ANE06004 for a maximum of category 1 credits toward the American Medical Association (AMA) Physician s Recognition Award. Each physician should claim only those credits that he/she actually spent in this educational activity. The approved credits shown above include 3.50 credits toward meeting the requirements under California Assembly Bill AB 487, Pain Management and End-of-Life Care for physicians licensed in California (except radiologists and pathologists) to complete 12 hours of continuing medical education in pain management and/or end-of-life care by December 30, This activity has also been approved by the American Association of Nurse Anesthetists for 23 CE credits, Code No , expiration date, March 19, For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA category 1 credits issued by organizations accredited by the ACCME. Targeted Audience: Obstetrical Anesthesia 2006 is intended for specialists in anesthesiology to include anesthesiologists, nurse anesthetists, residents and fellows.we also hope to interest pediatricians, neonatologists, perinatologists, obstetricians, general practitioners, delivery room nurses, nurse midwives and clinical pharmacologists. Educational Techniques: Lectures, slide presentations, course syllabus, panel discussions and interaction with audience response.

4 Program Directors Samuel C. Hughes, MD Mark A. Rosen MD University of California San Francisco Faculty Department of Anesthesia & Perioperative Care A. Sue Carlisle, PhD, MD Professor of Clinical Anesthesia Chief of Service, San Francisco General Hospital Associate Dean, San Francisco General Hospital Elizabeth A. Donegan, MD Associate Clinical Professor Samuel C. Hughes, MD Professor of Clinical Anesthesia Director, Obstetrical Anesthesia San Francisco General Hospital Mark D. Rollins, MD, PhD Assistant Professor Mark A. Rosen, MD Professor of Clinical Anesthesia Professor of Obstetrics, Gynecology & Reproductive Sciences Director, Obstetrical Anesthesia Department Vice Chairman Director,Anesthesia Residency Training Program Department of Obstetrics, Gynecology & Reproductive Sciences Eleanor Drey, MD, EDM Assistant Clinical Professor Medical Director of Women s Options Center Program Coordinator Judy L. Johnson Visiting Faculty Patricia A. Dailey, MD Staff Anesthesiologist Mills-Peninsula Health Services Burlingame, California Director, NORCAL Mutual Insurance Company Clinical Professor Division of Obstetrical Anesthesia B.C.Women s Hospital University of British Columbia Vancouver, British Columbia, Canada Brett B. Gutsche, MD Professor Emeritus of Anesthesiology, Obstetrics and Gynecology Hospital of the University of Pennsylvania Philadelphia, Pennsylvania Steven K. Howard, MD Staff Physician,VA Palo Alto Health Care System Director, Patient Safety Center of Inquiry at VA Palo Alto Associate Professor of Anesthesia Stanford University School of Medicine Stanford, California Gershon Levinson, MD Staff Anesthesiologist California Pacific Medical Center Raymond O. Powrie, MD Director of Inpatient Obstetric & Consultative Medicine Associate Professor of Medicine and Obstetrics & Gynecology Brown University School of Medicine Women and Infants Hospital of Rhode Island Providence, Rhode Island Paul G. Preston, MD Staff Anesthesiologist Assistant Chief of Quality Kaiser Permanente Medical Center Associate Professor Director of Obstetric Anesthesia Department of Anesthesiology Stanford University School of Medicine Stanford, California Professor Director, Obstetrical Anesthesia Director, University of Washington Medical Center Simulation Center University of Washington School of Medicine Seattle,Washington Cover: Mother and Child Inuit Sculpture by Peter Anoutak W. J. Sullivan, QC Guild,Yule and Co., L.L.P. Barristers and Soliciters Vancouver, British Columbia, Canada

5 OBSTETRICAL ANESTHESIA 2006 The Sol Shnider, M.D. Obstetrical Anesthesia Meeting Thursday, March 16 5:00-8:00 p.m. Registration Main Ballroom (Level C) Friday, March 17 7:15 a.m. Registration: Coffee and Tea Service Main Ballroom (Level C) 7:50 Welcome and Introduction Labor Analgesia: Update and Review Moderator: Samuel C. Hughes, MD 8:00 a.m. Functional Anatomy of the Epidural and Spinal Spaces 8:30 The Test Dose : Purpose, Need,What to Use, How to Interpret the Results Brett B. Gutsche, MD 8:55 Lighter is Better: New Age Epidurals 9:20 Is There a Place for CSAs on Labor and Delivery? (Pro/Con Debate) Mark A. Rosen, MD (Pro) / Samuel C. Hughes, MD (Con) 10:10-10:35 Coffee,Tea and Refreshments Cesarean Section: Anesthetic Choices and Concerns Moderator: Mark A. Rosen, MD 10:35 The Epidural that Doesn t Work for a Cesarean Section: Should We Do a Spinal? 11:00 Spinal Anesthesia for Cesarean Section: What I Use and Why 11:25 Difficult Airway in the Obstetric Patient: Management and Techniques 11:55 Panel Discussion / Questions and Answers 12:30-2:00 p.m. Luncheon, Bayview Room, 36th Floor & Mezzanine Level Moderator: Mark A. Rosen, MD 2:00 p.m. Anaphylaxis on Labor and Delivery: Differential and Management Issues A. Sue Carlisle, PhD, MD 2:25 Therapeutic Abortion Update Eleanor Drey, MD, EDM 2:50 Fetal Pain: Does It Exist? Mark A. Rosen, MD 3:15-3:30 Coffee,Tea and Refreshments Management of Cardiac and Pulmonary Diseases Moderator: Samuel C. Hughes, MD 3:40 Cardiac Disease in Pregnancy: What s New Raymond O. Powrie, MD 4:10 Cardiac Resuscitation: An Update A. Sue Carlisle, PhD, MD 4:35 Asthma and the Pregnant Patient: Management Issues Mark D. Rollins, MD, PhD 5:00 Panel Discussion / Questions and Answers 5:30-7:00 Wine Tasting Reception (Bayview Room, 36th Floor) Welcome to San Francisco: California and World Wines! Program Directors Samuel C. Hughes, M.D. Mark A. Rosen, M.D.

6 Saturday, March 18 7:30 a.m. Coffee and Tea Service Decreasing Maternal Morbidity and Mortality Moderator: Mark A. Rosen, MD 8:00 a.m. Maternal Mortality: What We Have Learned Samuel C. Hughes, MD 8:25 Common Errors We All Make and Strategies to Trap Them Paul G. Preston, MD 8:55 Closed Claims the Last Three Decades 9:25 Lessons Learned from Review of Legal Cases Gershon Levinson, MD 9:50 Medical Liability Reforms Patricia A. Dailey, MD 10:15-10:40 Coffee,Tea and Refreshments Ethics and Guidelines: Changing Practice Moderator: Mark A. Rosen, MD 10:40 Informed Consent on Labor and Delivery: Ethics, the Law and What It Means to You W. J. Sullivan, QC A Practical Clinician Asks Some Real Questions! 11:30 Guidelines Are Your Friends: ASA and ACOG Opine Samuel C. Hughes, MD 12:00 Panel Discussion / Questions and Answers 12:30-2:00 p.m. Lunch (Individually Arranged) Hematology Complications and Their Management Moderator: Samuel C. Hughes, MD 2:00 p.m. Thrombosis in Pregnancy: What s New Raymond O. Powrie, MD 2:25 Platelets/Factors and Regional Anesthesia: Is There Evidence for What We Do? 2:55 Factor VII: Review of the Drug and Potential Use for Obstetric Hemorrhage and Trauma Elizabeth A. Donegan, MD 3:20-3:45 Coffee,Tea and Refreshments Management of Common Spinal Anesthesia Complications Moderator: Samuel C. Hughes, MD 3:45 Obstetrical Anesthesia Hazards: Warning Signs and Treatment of Hypotension and Hemorrhage 4:15 Wet Tap on a VIP: Now What? Brett B. Gutsche, MD 4:40 Hypotension and Spinal Anesthesia: Phenylephrine s Role 5:05 Panel Discussion / Questions and Answers 5:45 Adjourn: Enjoy the City! Sunday, March 19 7:30 a.m. Coffee and Tea Service Improving Care for the Parturient,Fetus,and Health Care Provider Moderator: Mark A.Rosen,MD 8:00 a.m. Provider Fatigue: What It Does to Us and How to Change Things Steven K. Howard, MD 8:45 Human Factors: Tools to Improve Communications,Trap Errors and Build Teams Paul G. Preston, MD 9:15 Improving the Quality of Care for Hypertension in Pregnancy: Hospital Safety Project Raymond O. Powrie, MD 9:40-10:05 Coffee,Tea and Refreshments Moderator: Samuel C. Hughes, MD 10:05 Long-Acting Opioids for Post-Cesarean Analgesia and Possibly Labor 10:30 Recent Advances in Obstetric Anesthesia: Are They All They Are Cracked-up to Be? Brett B. Gutsche, MD 10:55 Peripartum Fetal Assessment and Umbilical Cord Blood Gas Analysis 11:20 Simulation in Labor and Delivery: One Way to Do It and Common System Problems We Are Finding Paul G. Preston, MD 11:50 Panel Discussion / Questions and Answers 1:00 p.m. Adjourn

7 FIBEROPTIC AIRWAY MANAGEMENT WORKSHOP Course Director: Robin A. Stackhouse, M.D. Course #ANE06005 Thursday, March 16, :30 a.m. - 5:00 p.m. The purpose of this activity is to provide the practitioner with the necessary skills to successfully use the fiberoptic bronchoscope. Instruction includes both didactic and hands-on sessions, and covers basic and advanced uses for the fiberoptic endoscope. Each participant will have exclusive use of a fiberoptic bronchoscope and airway skill models.the course maintains a 1:4 faculty to registrant ratio. Registration is limited to 48 Course Objectives Indications for Use of Fiberoptic Bronchoscope Understanding the Equipment Preparing the Patient Fiberoptic Images Common Causes of Failure Setting Up: Practical Aspects Case Presentations/Questions and Answers Basic Techniques Workshop (Mastering hand-to-eye Coordination) Advanced Techniques Workshop (Double lumen tubes, Pediatrics, Transtracheal insufflation, Cricothyrotomy, Laryngeal mask) Accreditation The University of California San Francisco is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this educational activity for a maximum of 8 hours in Category 1 Credit towards the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity. This activity has also been approved by the American Association of Nurse Anesthetists for 8 CE credits, Code No expiration date, March 16, REGISTRATION Online Registration: UCSF Office of Continuing Medical Education Phone: (415) Fax: (415) Mail: P.O. Box San Francisco, CA Fiberoptic Airway Management Workshop Dr. Mr. Ms. Mrs. CRNA AANA# Course #ANE06005 For Activity Information: Donald Bailey Phone: (415) Fax: (415) baileyd@anesthesia.ucsf.edu Name First Last M.I. Degree Address City State Zip Phone ( ) address Registration fee (please check): (Fee includes course materials and Thursday lunch) Physician $375 C.R.N.A. $375 Method of Payment: VISA MasterCard American Express Check (to UC Regents) Credit Card # Authorized Signature (Credit Card Payment may be Faxed to (415) ) Refund Policy: Cancellations received in writing on or before March 16, 2006 will be refunded, less a $50 administrative fee. To request a refund, please mail your request to UCSF, Office of CME, Box 0742, San Francisco, CA

8 COURSE REGISTRATION Obstetrical Anesthesia 2006 Online Registration: UCSF Office of Continuing Medical Education Phone: (415) Fax: (415) Mail: P.O. Box San Francisco, CA Registration Information (please print) Dr. Mr. Ms. Mrs. CRNA AANA# Name First Last M.I. Degree Address City State Zip Phone ( ) address Would you like to be on our priority list? Yes No Date of birth to be used as OCME registration number: / Month Day Registration Fee (please check): (Fee includes: course materials, Friday lunch and wine tasting reception at the hotel.) Physician $ C.R.N.A. $ Registered Nurse $ Resident, Intern or Student CRNA $ (Include a letter from Program Director) Method of Payment: VISA MasterCard American Express Check (to UC Regents) Credit Card # Expiration Date Authorized Signature (Credit Card payment may be FAXED to (415) ) Cancellation Policy: Cancellations received in writing on or before March 13, 2006 will be refunded less a $75 administrative fee. To request a refund, please mail your request to: UCSF, Office of CME, Box 0742, San Francisco, CA ACCOMMODATIONS A block of rooms has been reserved at the Grand Hyatt San Francisco, 345 Stockton Street San Francisco, CA 94108, (415) These rooms will be available at discounted convention rates.the hotel is in the heart of San Francisco at Union Square, convenient to the very best shopping, Chinatown, the Financial District, and some of the city's best restaurants. Reservation requests must be received by February 16, 2006 to guarantee availability of accommodations at the special discount rate. The convention rates are limited, so reserve early. After the reservation deadline, rooms will be provided on a space-available basis only. A hotel reservation form is attached for your convenience. However, if you choose to phone in your reservation, please remember to identify yourself as a member of this conference. We look forward to welcoming you at the Grand Hyatt! Hotel Reservation Mail to: Grand Hyatt, Union Square 345 Stockton Street San Francisco, CA Phone:(415) , FAX:(415) Course #ANE06004 For Activity Information: Judy L. Johnson: Program Coordinator University of California San Francisco (UCSF) Department of Anesthesia & Perioperative Care, Box 0648 Phone (415) , FAX (415) johnsonj@anesthesia.ucsf.edu Grand Hyatt San Francisco on Union Square Room Single Occupancy: $ $ $ Rates: Double Occupancy $ $ $ Limited number of rooms in lower category! Reserve early for most favorable rates! Name (Print clearly or type) Arrival Date Departure Date Address City State Zip Phone ( ) Credit Card # Expiration Date (month/yr) Authorized Signature ATTENTION: The amount charged to us by the hotel for the meeting space depends on the total number of rooms taken by our registrants. We encourage you to use The Grand Hyatt. It s a great hotel and these are excellent rates in the heart of the city.