2018 Sol Shnider, M.D. Obstetric Anesthesia Meeting

Transcription

1 2018 Sol Shnider, M.D. Obstetric Anesthesia Meeting The premier review meeting for clinical obstetric anesthesia, established in 1976 March 8-11, 2018 Grand Hyatt Hotel on Union Square San Francisco, California Jointly provided by American Society of Anesthesiologists and the Society for Obstetric Anesthesia and Perinatology Register online at

2 Welcome to the SOAP 2018 Sol Shnider, M.D. Obstetric Anesthesia Meeting On behalf of the leadership of the Society of Obstetric Anesthesia and Perinatology, I would like to enthusiastically welcome you to the Sol Shnider Obstetric Anesthesia Meeting. Our goal for this meeting is to provide practical, high quality educational content for those who practice clinical obstetric anesthesia. Specifically, we have structured the program based on solicited feedback from practitioners and previous meeting attendees. We highlight some of our society s best speakers and content experts, and the deep obstetric anesthesia talent in the bay area. This meeting has an extraordinarily rich history founded by Drs. Sol Shnider, Sam Hughes and Mark Rosen, and it remains one of the premier refresher course programs in obstetric anesthesia in the world. Over the years I have found the audience of the Sol Shnider meeting to be one of best informed and most engaged in our subspecialty practice, and it is clear that we all share a common passion to provide the best outcomes to mothers and babies in the peripartum period. I am proud to present what I hope for you will be an enriching program and meaningful professional experience. I m looking forward to seeing all of you in San Francisco. Sincerely, Chair, Program Committee, Sol Shnider 2018 Meeting Hotel Accommodations A block of rooms has been reserved at the Grand Hyatt San Francisco, 345 Stockton Street, San Francisco, California, Room rate is $284 single/double occupancy plus tax. These rates are limited, so reserve your room early by visiting: SOAP2018Att or by calling Please mention the SOAP 2018 Sol Shnider, M.D. Obstetric Anesthesia Meeting when making your reservations. The deadline to book your hotel reservations is February 14, After this deadline, rooms will be provided on a space available basis only. This AAA Four Diamond hotel offers spectacular views of the city skyline and San Francisco Bay. Revel in modern guestrooms and suites that highlight residential style amenities and state-of-the-art technology. Located in the heart of the world-renowned Union Square, the city s shopping and entertainment area and minutes away from the downtown financial district, Grand Hyatt San Francisco is the ideal starting point to discover the captivating sights of the vibrant City by the Bay. Learn more about the hotel at

3 Program Committee Chair Northwestern University Faculty Gillian Abir, M.B, Ch.B., FRCA Naola Austin, M.D. Jennifer Lucero, M.D. John Markley, M.D., Ph.D Alexander Butwick, M.B.B.S., FRCA, M.S. Brendan Carvalho, M.B., B.Ch., FRCA Jennifer Lucero, M.D. Michael Orosco, M.D. Kaiser San Diego Mark Rollins, M.D., Ph.D. UCSF School of Medicine West Virginia University Brian Bateman, M.D., M.Sc. Brigham and Women s Hospital Kristine Breyer, M.D. Atisa Britton, M.D. Alexander Butwick, M.B.B.S., FRCA, M.S. Brendan Carvalho, M.B., B.Ch., FRCA Pamela Flood, M.D., M.A. Stephanie Lim, M.D. Clemens Ortner, M.D., M.Sc., DESA Medical University Vienna Pedram Aleshi, M.D. Edward Riley, M.D. Mark Rollins, M.D., Ph.D. Mark Rosen, M.D. Professor Emeritus, UCSF Northwestern University Andrea Traynor, M.D. West Virginia University Exhibits Information Exhibits will be open during the following times: Friday, March 9, 2018: 7:00-8:00 a.m. 9:45-10:30 a.m. 3:15-4:00 p.m. Saturday, March 10, 2018: 7:00-8:00 a.m. 9:45-10:30 a.m. 3:15-4:00 p.m. Learning Objectives At the conclusion of this learning activity, the participant will be able to answer these questions: What recent publications will most impact your obstetric anesthesia practice? Will recent FDA warnings for general anesthetics on the developing brain affect obstetric anesthesia practice? Will the new gestational hypertension guidelines improve outcomes or increase medicolegal exposure? Are we contributing to the opioid epidemic; how should we alter our practice? Will the increased use of anticoagulants in practice reduce the use of neuraxial anesthesia? How should you incorporate the results of the WOMAN trial; where does tranexamic acid fit in your hemorrhage protocol? When is the best practice for administering epidural blood patches: timing, techniques, and alternatives? How should you manage the parturient with chronic pain? What analgesics are appropriate to prescribe to breastfeeding moms? How should you balance NPO status and aspiration risk with important obstetric outcomes? What are the best substitution practices when faced with medication shortages? How should you promote your neuraxial labor analgesia service?

4 Program Information Jointly Provided by: Mission of SOAP The mission of this Society is to improve the pregnancy-related outcomes of women and neonates through the support of obstetric anesthesiology research, the provision of education to its members, other providers, and pregnant women, and the promotion of excellence in clinical anesthetic care. ACCME Accreditation 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 Society of Anesthesiologists and the Society for Obstetric Anesthesia and Perinatology. The American Society of Anesthesiologists is accredited by the ACCME to provide continuing medical education for physicians. The American Society of Anesthesiologists designates this live activity for a maximum of 21.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Maintenance of Certification in Anesthesiology Program and MOCA are registered certification marks of The American Board of Anesthesiology The Maintenance of Certification in Anesthesiology Program logo is a trademark of the American Board of Anesthesiology. This patient safety activity helps fulfill the patient safety CME requirement for Part II of the Maintenance of Certification in Anesthesiology Program (MOCA) of The American Board of Anesthesiology (ABA). Please consult the ABA website, for a list of all MOCA requirements. AANA Credits (Program offering Friday through Sunday) This program has been prior approved by the American Association of Nurse Anesthetists for Class A CE credits; Code Number ; Expiration Date 3/11/2018. Hands-on Ultrasound for the Obstetric Anesthesia Provider: Cardiac Ultrasound, Hemodynamic Exam, Pulmonary Evaluation, Ultrasound Guided TAP Blocks & Neuraxial Techniques and Basic Fetal Ultrasound This program has been prior approved by the American Association of Nurse Anesthetists for 4.00 Class A CE credits; Code Number ; Expiration Date 3/11/2018. The American Society of Anesthesiologists designates this live activity for a maximum of 4 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CEP Number Provider approved by the California Board of Registered Nursing, Provider #CEP16975, for 17.5 Contact Hours. Target Audience This meeting is intended for specialists in anesthesiology to include anesthesiologists, nurse anesthetists, residents and fellows. Pediatricians, neonatologists, perinatologists, obstetricians, general practitioners, delivery room nurses, nurse midwives, and clinical pharmacologists may also find educational benefit. The program is generated from member requests and an assessment of need by the program committee. Attendance at this meeting does not guarantee competency or proficiency in the performance of any procedures which may be discussed or taught during the meeting. Educational Format CME activities may include the following formats: plenary sessions, debates, lectures, problem-based learning, and skill-set workshops. Mission of SOAP Program Committee The mission of the Society s Program Committee is to provide anesthesiologists, obstetricians, and other physicians and members of related allied health specialties with the knowledge that will reinforce past learning as well as disseminate new concepts, practices, and skills involving anesthesia and analgesia for the pregnant woman. Participation in the SOAP 2018 Sol Shnider, M.D. Obstetric Anesthesia Meeting Attendance shall be open to all health practitioners, provided that they have registered for the meeting. CME credit will only be offered to M.D.s, D.O.s, and AAs or the equivalent. CE credit will be offered to CRNAs. Evaluations Electronic evaluations by questionnaire will address program content, presentations, and possible bias. Special Needs Statement The Society for Obstetric Anesthesia and Perinatology is committed to making its activities accessible to all individuals and fully complies with the legal requirements of the Americans with Disabilities Act and the rules and regulations thereof. If you are in need of an accommodation, please do not hesitate to call the SOAP office at and/or submit a description of your needs in writing to soap@ soap.org. Statement of Need The SOAP Sol Shinder, M.D. Obstetric Anesthesia Meeting provides a forum devoted exclusively to obstetric anesthesia at which leaders in the field present recent clinical updates and other relevant clinical information. Commercial Support Acknowledgement This CME activity is supported by educational grants. A complete list of supporters will be available in the course syllabus. Disclosure The American Society of Anesthesiologists remains strongly committed to providing the best available evidence-based clinical information to participants of this educational activity and requires an open disclosure of any potential conflict of interest identified by our faculty members. It is not the intent of the American Society of Anesthesiologists to eliminate all situations of potential conflict of interest, but rather to enable those who are working with the American Society of Anesthesiologists to recognize situations that may be subject to question by others. All disclosed conflicts of interest are reviewed by the educational activity course director/chair to ensure that such situations are properly evaluated and, if necessary, resolved. The American Society of Anesthesiologists educational standards pertaining to conflict of interest are intended to maintain the professional autonomy of the clinical experts inherent in promoting a balanced presentation of science. Through our review process, all American Society of Anesthesiologists CME activities are ensured of independent, objective, scientifically balanced presentations of information. Disclosure of any or no relationships will be made available for all educational activities. Disclaimer The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient s medical condition.

5 Pre-Meeting Workshop Thursday, March 8, 2018 SOAP is offering the Hands-on Ultrasound for the Obstetric Anesthesia Provider: Cardiac Ultrasound, Hemodynamic Exam, Pulmonary Evaluation, Ultrasound Guided TAP Blocks & Neuraxial Techniques and Basic Fetal Ultrasound Workshop the day before the full 2017 SOAP Sol Shnider, M.D. Obstetric Anesthesia Meeting begins. Meeting attendees are encouraged to register for these events early. Please note that registration for the workshops requires a separate, additional fee from the full SOAP 2018 Sol Shnider, M.D. Obstetric Anesthesia Meeting registration. Hands-on Ultrasound for the Obstetric Anesthesia Provider: Cardiac Ultrasound, Hemodynamic Exam, Pulmonary Evaluation, Ultrasound Guided TAP Blocks & Neuraxial Techniques and Basic Fetal Ultrasound Activity Director: Kristine Breyer, M.D., UCSF Assistant Professor Anesthesia & Critical Care DESCRIPTION The purpose of this workshop is to provide the obstetric anesthesiologist with the necessary skills to successfully use ultrasound for guidance. The course will discuss and demonstrate the use of ultrasound as an aid to evaluate cardiac function and intravascular volume status, to evaluate for presence of pneumothorax and pulmonary edema, to aid in neuraxial anesthesia and TAP (transverse abdominis plane) blocks for the parturient and also for basic fetal ultrasound (including evaluation of fetal heart rate and biophysical profile). Instruction includes both didactic and hands-on sessions. Each student will have the opportunity to use ultrasound equipment for scanning live models. (Limited to 20 participants) 1:00 p.m. 5:00 p.m. Additional Fee: $325 LOCATION Grand Hyatt Hotel OBJECTIVES: Upon completion of this workshoip, the participant will be able to: 1. Use ultrasound in order to aide in the clinical assessment of normal and depressed cardiac function 2. Use ultrasound in order to aide in clinical assessment of pulmonary edema and pneumothorax 3. Use ultrasound in order to aide in the clinical assessment of volume responsiveness to shock 4. Use ultrasound in order to facilitate neuraxial anesthesia techniques and also to facilitate performing an ultrasound guided transverse abdominis plane (TAP) block for the parturient 5. Describe basic fetal ultrasound to assess for fetal position and biophysical profile (including fetal heart rate) SOAP 50 TH ANNUAL MEETING C E L E B R A T I N G May 9-13, 2018 Loews Miami Beach Hotel Miami, Florida

6 Program Schedule Friday, March 9, :00 7:45 a.m. Registration and Continental Breakfast 7:45 8:00 a.m. Opening Welcome Mark Rosen, M.D. Session I: Peripartum Analgesia Moderator: Manny Vallejo, M.D. 8:00 8:30 a.m. Managing the Pregnant Patient with Chronic Pain Pamela Flood, M.D., M.A. 8:30 9:00 a.m. Prescribing Analgesics to Breastfeeding Moms Brendan Carvalho, M.B., B.Ch., FRCA 9:00 9:30 a.m. Promoting Your Neuraxial Labor Analgesia Service Alexander Butwick, M.B.B.S., FRCA, M.S. 9:30 9:45 a.m. Panel Discussion 9:45 10:30 a.m. Coffee Break Session II: Practice Management Moderator: Alexander Butwick, M.B.B.S., FRCA, M.S. 10:30 11:00 a.m. Impact of FDA Warnings on Obstetric Anesthesia Practice Pamela Flood, M.D., M.A. 11:00 11:30 a.m. Skill Maintenance for Generalist Anesthesiologists 11:30 12:00 p.m. Medication Shortages; Best Substitution Practices Andrea Traynor, M.D. 12:00 12:15 p.m. Panel Discussion 12:15 1:30 p.m. Hosted Lunch Session III: Postdural Puncture Headache and Versions Moderator: Alex Butwick M.B., B.Ch., FRCA 1:30 2:00 p.m. Epidural Blood Patch: Technique, Timing and Administration Practice Pamela Flood, M.D., M.A. 2:00 2:30 p.m. Epidural Blood Patch Alternatives: Medications and Blocks Pedram Aleshi, M.D. 2:30 3:00 p.m. Reducing Cesarean Deliveries with Neuraxial Anesthesia for ECV 3:00 3:15 p.m. Panel Discussion 3:15 4:00 p.m. Coffee Break Session IV: Obstetrical Hemorrhage Update Moderator: Andy Traynor M.D. 4:00 4:30 p.m. Point of Care Testing for Coagulopathy in Pregnancy Alexander Butwick, M.B.B.S., FRCA, M.S. 4:30 5:00 p.m. Applying the WOMAN Trial Results: TXA in Hemorrhage Protocols 5:00 5:30 p.m. Use of Fibrinogen Concentrate in Obstetric Hemorrhage John Markley, M.D., Ph.D 5:30 5:45 p.m. Panel Discussion 6:00 7:30 p.m. Reception Saturday March 10, :00 8:00 a.m. Registration and Continental Breakfast Session V: Comorbidities and High Risk Patients Moderator: Mark Rollins, M.D. 8:00 8:30 a.m. Gestational HTN Guidelines: Outcomes & Medicolegal Implications Jennifer Lucero, M.D. 8:30 9:00 a.m. Managing the Anxious Parturient 9:00 9:30 a.m. TOLAC Preparation and Management Atisa Britton, M.D. 9:30 9:45 a.m. Panel Discussion 9:45 10:30 a.m. Coffee Break Program continued on next page

7 Program Schedule Session VI: New Developments and Concepts Moderator: Pamela Flood M.D. 10:30 10:55 a.m. Preeclampsia: Role of Obstetric Anesthesiologist Brendan Carvalho, M.B., B.Ch., FRCA 10:55 11:15 a.m. NPO Status: Balancing Aspiration Risk and Obstetric Outcomes 11:15 12:00 p.m. Sam Hughes Lecture: Obstetric Anesthesia Year in Review Brian Bateman, M.D., M.Sc. 12:00 12:15 p.m. Panel Discussion 12:15 1:30 p.m. Lunch on your own Session VII: Optimizing Analgesia Moderator: Jennifer Lucero, M.D. 1:30 2:00 p.m. Non-neuraxial Analgesia: Remifentanil, Nitrous Oxide Mark Rollins, M.D., Ph.D. 2:00 2:30 p.m. Neuraxial Maintenance to Optimize Analgesia and Obstetric Outcomes Edward Riley, M.D. 2:30 3:00 p.m. Employing Techniques to Prevent Epidural Catheter Failure 3:00 3:15 p.m. Panel Discussion 3:15 4:00 p.m. Coffee Break Session VIII: Obstetric Anesthesia Safety Session 1 (ABA Part 2 MOCA Patient Safety Credit) Moderator: Brendan Carvalho, M.B., B.Ch., FRCA 4:00 4:30 p.m. Applying Early Warning Criteria to Obstetric Monitoring Brian Bateman, M.D., M.Sc. 4:30 5:00 p.m. Latest OB Safety Bundle: Anticoagulation and Neuraxial Anesthesia Mark Rollins, M.D., Ph.D. 5:00 5:30 p.m. Blood Management: Optimal Preparation Stephanie Lim, M.D. 5:30 5:45 p.m. Panel Discussion Sunday March 11, :00 8:00 a.m. Registration and Continental Breakfast Session IX: Adapting Clinical Practice for Uncommon Occurrences Moderator: Gill Abir, M.D. 8:00 8:30 a.m. Anesthetic Management of Fetal Loss and Termination Jennifer Lucero, M.D. 8:30 9:00 a.m. General Anesthetic for Cesarean- Best Practice Edward Riley, M.D. 9:00 9:30 a.m. Applications of Lung and Cardiac Ultrasound in Obstetrics Clemens Ortner, M.D., M.Sc., DESA 9:30 9:45 a.m. Panel Discussion 9:45 10:30 a.m. Coffee Break Session X: Obstetric Anesthesia Safety Session 2 (ABA Part 2 MOCA Patient Safety Credit) Moderator: 10:30 11:00 a.m. Opioid Epidemic: Reducing our Contribution Brian Bateman, M.D., M.Sc. 11:00 11:30 a.m. Simulation for Emergencies: Participating in Mandatory Drills Naola Austin, M.D. 11:30 12:00 a.m. Using Simulation to Identify Latent System Errors Gillian Abir, M.B, Ch.B., FRCA 12:00 12:15 p.m. Panel Discussion 12:15 p.m. Adjourn

8 Registration Form Page 1 SOAP 2018 Sol Shnider, M.D. Obstetric Anesthesia Meeting Registration Form March 8-11, 2018 Grand Hyatt Hotel San Francisco, California * Denotes a required field * q Dr. q Mr. q Mrs. q Ms. q Prof. ASA Member ID # (ID # Required if applicable) CRNA /AANA ID # (ID # Required if applicable) * Badge Name (first name to appear on the first line of the badge) * First Name MI * Last Name * Credentials * Specialty * Affiliation (Organization) * Mailing Address * City * State/Province * ZIP/Postal Code * Country * Business Phone Number Mobile Phone Number Fax Number * Address Is this your first time attending the SOAP Sol Shnider, M.D. Obstetric Anesthesia Meeting? q Yes q No, I have attended previously Which best describes your field of anesthesiology? (Please select one) q Obstetrics q Pediatrics q Neonatology q Perinatology q Other Which of the following best describes your medical practice environment? (Please select one) q Academia q Consulting q Hospital q Large Group Practice q Private Practice q Retired q Other Special Needs q I will require special accommodation (also contact the SOAP Administrative Office at soap@soap.org or ) q Please check here for vegetarian meals How did you hear about this meeting? (Please select one) q announcement q From colleague q SOAP newsletter q ASA /Website q SOAP website q AANA Website/Newsletter q Other: Send completed registration form with payment to: SOAP, 6737 West Washington Street, Suite 4210, Milwaukee, WI Phone (414) s Fax (414) info@soap.org Questions? Call the SOAP Administrative Office via the contact information above REGISTRATION IS ALSO AVAILABLE ONLINE AT

9 Registration Form Page 2 SOAP 2018 Sol Shnider, M.D. Obstetric Anesthesia Meeting Registration Form March 8-11, 2018 Grand Hyatt Hotel San Francisco, California * Denotes a required field * q Dr. q Mr. q Mrs. q Ms. q Prof. * First Name MI * Last Name * Business Phone Number * Address SOAP 2018 SOL SHNIDER, M.D. OBSTETRIC ANESTHESIA MEETING REGISTRATION (This fee covers Friday through Sunday program tuition and handout materials, light breakfast, coffee breaks, Friday s lunch, and Friday s Reception) Early Discounted Rate Advanced Reg Rate ONSITE ONLY Through Jan. 26, 2018 Through Feb. 23, 2018 After Feb. 23, 2018 Attendee (Physician/Non-Physician) $695 $745 $795 $ Attendee (CRNA/RN) $620 $670 $720 $ Medical Student, Resident, Fellow $315 $365 $415 $ (circle your status above) q SOAP Retired Members and Lifetime Members - Complimentary Registration* * Please note, to qualify for this registration, you must be a SOAP Retired Member or Lifetime Member and have 20+ years of SOAP membership. One Day Registration (Available Onsite Only) Friday - $ Saturday - $ Sunday - $150 For Medical Student, Resident, Fellow Only Institution/Program Name: Program Director Name: Program Director (Program Directors may be contacted for Medical Student/Resident/Fellow status verification purposes) PRE-MEETING WORKSHOP REGISTRATION (The Pre-Meeting Workshop registration is separate and not included in the general registration above) Hands-on Ultrasound for the Obstetric Anesthesia Provider: Cardiac Ultrasound, Hemodynamic Exam, Pulmonary Evaluation, Ultrasound Guided TAP Blocks & Neuraxial Techniques and Basic Fetal Ultrasound Workshop... $325 TOTAL $ $ Refund Policy: Cancellations received in writing through February 23, 2018 will be refunded less a $100 administrative fee. No refunds will be made on cancellations received after February 23, Method of Payment: q Check # (payable to SOAP in U.S. funds drawn from a U.S. bank) q Visa q MasterCard q AMEX Card Number Expiration Date Name on Card Signature Send completed registration form with payment to: SOAP, 6737 West Washington Street, Suite 4210, Milwaukee, WI Phone (414) s Fax (414) info@soap.org Questions? Call the SOAP Administrative Office via the contact information above REGISTRATION IS ALSO AVAILABLE ONLINE AT