New Approaches to Familiar Topics

Transcription

1 Eighth Annual Anesthesia Update New Approaches to Familiar Topics Friday through Sunday, September 15 17, 2017 Nemacolin Woodlands Conference Center Farmington, Pennsylvania Sponsored by Department of Anesthesiology Allegheny Health Network

2 Conference Overview To provide optimal patient care, the anesthesia provider must maintain up-to-date knowledge about health care delivery. This program is designed to review and update the knowledge and skills of anesthesia providers as they relate to current professional practice. The three-day format will allow optimal time for education while providing time to enjoy the Nemacolin experience. Intended Audience This program is designed for anesthesiologists, residents, certified registered nurse anesthetists, and student registered nurse anesthetists, as well as nurses and allied health care providers. Friday Objectives: n List and describe the different modes of ventilation over the years n Describe determining factors for choosing ventilation modes n List and discuss the parameters for mechanical ventilation settings and the use of protective lung ventilation n Describe new evidence on the safety of nitrous oxide n List considerations for nitrous oxide and postoperative nausea and vomiting (PONV) n Describe the role of nitrous oxide in clinical practice n List factors that slow operating room (OR) efficiency n Describe the role of the anesthesia provider in improving the team work process needed to improve OR efficiency n Describe the role of the anesthesia provider in improving OR efficiency n List ways general anesthesia (GA) might impact neurodevelopment of a child n Describe how anesthetic gases affect specific cognitive processes of associative learning and memory recognition n Describe ways to improve pediatric neurodevelopment outcomes and the future of anesthesia n Describe the trends in perioperative pain management over the years n Identify the most commonly used drugs and the pros and cons of their use n Compare different treatment modalities for pain control n Describe the influence of lack of sleep and fatigue on certified registered nurse anesthetist (CRNA) performance and safety n Differentiate between sleepiness, fatigue, and microsleep on CRNA well-being n Describe countermeasures that CRNAs utilize to manage fatigue on the job

3 Saturday Objectives: n Describe the different types of cardiac implanted electrical devices n Describe the perioperative evaluation of patients with cardiac implanted electrical devices n Describe the perioperative management of patients with cardiac implanted electrical devices n Define physiology and anatomy specific to the obstetric trauma patient and fetus n Describe anesthesia considerations specific to obstetric trauma patients n List benefits of multidisciplinary approach to OB trauma management and potential policies to improve patient care n Explain the main purpose and goal of preoperative evaluations n List the most important measures needed to assess preoperatively n Compare and contrast outcomes of patients who receive full preoperative testing vs those who do not n Identify airway anatomy by using the pig trachea samples n Demonstrate cricothyroidotomy procedure on pig trachea n Identity peripheral and vascular anatomy n Identity anatomy of the spine and nerves used for blocks n Describe techniques used in providing blocks and obtaining vascular access Sunday Objectives: n Identity the most common in-flight emergencies n Describe the most common medical equipment found on an airliner n Describe marijuana in terms of substance use disorder n Identity the risks of long-term marijuana use n Identity medical conditions approved for treatment with marijuana n Describe the current difficult airway algorithm n Describe the current controversies in difficult airway management n List the medico-legal ramifications for choices made in managing the difficult airway n List a differential diagnosis of respiratory failure n Describe the diagnostic evaluation of the patient with respiratory insufficiency n List the treatments for respiratory insufficiency

4 Allegheny Health Network Planning Committee: Richard Stypula, MD Carla Linsenbigler, MSN, CRNA Charlene Costanza, BSN, CRNA Lisa Brienza, MSN, CRNA, Tracy Mauser, MSN, CRNA, Sandy Hebenthal, DNAP, MHS, CRNA Alyssa Hines, MHS, CRNA Phyllis Roth, MSN, MHS, CRNA Speakers: Cody Briscoe, MSN, CRNA Staff CRNA Forbes Regional Campus Allegheny Health Network Monroeville, Pennsylvania Mike DeBroeck, DNP, CRNA Education Director Excela Health School of Anesthesia Latrobe, Pennsylvania Paul Diana, MD Clinical Associate Professor of Anesthesiology Western Campus of Temple University School of Medicine Clinical Director Operating Room West Penn Campus Allegheny Heath Network Richard Feduska, MD Clinical Assistant Professor of Anesthesiology Western Campus of Temple University School of Medicine Vice Chairman West Penn Campus Allegheny Heath Network Helene Finegold, MD Clinical Associate Professor of Anesthesiology Western Campus of Temple University School of Medicine Staff Anesthesiologist West Penn Campus Allegheny Heath Network Jack Kabazie, MD Clinical Assistant Professor of Anesthesiology Western Campus of Temple University School of Medicine Director of The Institute for Pain Management Allegheny Health Network Lisa Pristas, MSN, CRNA Staff CRNA Apollo MD Hilton Head Hospital Hilton Head, South Carolina Joseph Schoenfeldt, MD Anesthesiology Resident West Penn Campus Allegheny Health Network Ashley Storey, MD Director of Obstetric Anesthesiology Jefferson Hospital Campus Allegheny Health Network Jefferson Hills, Pennsylvania Richard W. Stypula Jr., MD Associate Clinical Professor of Anesthesiology Western Campus of Temple University School of Medicine Staff Anesthesiologist West Penn Hospital Allegheny Heath Network Paul Tarasi, MD Staff Anesthesiologist Residency Program Site Director West Penn Hospital Allegheny Health Network Garalyn Tomas, M.Ed, CRNA GVT Medical Service Consultants, INC North Ridgeville, Ohio

5 Accreditation This conference will provide 20.0 hours of education. Daily credit breakdown: Friday = 7.0; Saturday = 8.0; Sunday = 5.0. Physicians Allegheny General Hospital is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. Allegheny General Hospital designates this live activity for a maximum of 20.0 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurse Anesthetists This program has been approved by the American Association of Nurse Anesthetists for 20 CE credits; AANA Code Number: Expiration Date: September 15 17, 2017 Other Credit: This conference will provide 20 hours of education. American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1 Credits from organizations accredited by the ACCME. American Academy of Nurse Practitioners (AANP) accepts AMA PRA Category 1 Credits from organizations accredited by the ACCME. American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credits from organizations accredited by the ACCME. Physician assistants may receive a maximum of 20 hours of Category 1 credit for completing this program. Non-physicians Allegheny General Hospital has approved this activity for a maximum of 20 contact hours for non-physicians.

6 Agenda Friday, September 15, hours of education 7:00 a.m. Registration/Hot Breakfast/Visit Exhibits 8:00 a.m. Digesting the Alphabet Soup of Mechanical Ventilation Lisa Pristas, MSN, CRNA 9:00 a.m ENIGMA 11 Trial and Safety Profile of Nitrous Oxide Joseph Schoenfeldt, MD 10:00 a.m. Break 10:15 a.m. Hurry Up and Wait: OR efficiency Paul Diana, MD 11:15 a.m. How Does General Anesthesia Affect Neurodevelopment of the Pediatric Patient? Cody Briscoe, MSN, CRNA 12:15 p.m. Lunch on your own 1:30 p.m. More May Not Be Better, But Different Is: The multimodal approach to pain management Mike DeBroeck, DNP, CRNA 2:30 p.m. Fatigue Impacts CRNA Performance and Patient Safety Garalyn Tomas, M.Ed, CRNA 3:30 p.m. Question and Answer Session 4:30 p.m. Adjournment 6:30 pm Reception: No charge for attendees. Guests may attend for an additional fee. Please refer to registration page for details.

7 Agenda Saturday, September 16, hours of education 7:30 a.m. Registration/Breakfast/Visit Exhibits 8:00 a.m. Cardiac Implanted Electrical Devices in the Perioperative Setting Paul Tarasi, MD 9:00 a.m. Anesthetic Management of the Obstetric Trauma Patient Helene Finegold, MD 10:00 a.m. Break 10:15 a.m. New Thoughts in Perioperative Evaluation Helene Finegold, MD 11:15 a.m. Lunch (box lunch provided) Lunches may be purchased for your guest. Please refer to registration page for details. 12:15 p.m. Hands-on Workshop: Difficult Airway and Cricothyroidotomy Helene Finegold, MD Richard Stypula, MD 2:15 p.m. Break 2:30 p.m. Hands-on Workshop: Epidural, Spinal and Ultrasound Helene Finegold, MD Richard Stypula, MD 4:30 p.m. Question and Answer Session 5:30 p.m. Adjournment

8 Agenda Sunday, September 17, hours of education 7:30 a.m. Registration/Breakfast/Visit Exhibits 8:00 a.m. Let s Keep It Simple: In-flight medical emergencies Richard Feduska, MD 9:00 a.m. Medical Marijuana: Are we letting the cat out of the bag? Jack Kabazie, MD 10:00 a.m. Break 10:15 a.m. Difficult Airway Management: When to go on the offensive Richard Stypula, MD 11:15 a.m. I Can t Breathe: A case report Ashley Storey, MD 12:15 p.m. Question and Answer Session 1:15 p.m. Adjournment In accordance with the Accreditation Council for Continuing Medical Education (ACCME) and the policy of Allegheny General Hospital, presenters must disclose all relevant financial relationships, which in the context of their presentation(s), could be perceived as a real or apparent conflict of interest, (e.g., ownership of stock, honoraria, or consulting fees). Any identifiable conflicts will be resolved prior to the activity. Any such relationships will be disclosed to the learner prior to the presentation(s).

9 Location and Directions Nemacolin Woodlands Conference Center Farmington, Pennsylvania For directions to Nemacolin Woodlands, please visit their website at Room Reservation Information A block of rooms has been reserved at Nemacolin Woodlands slightly more than a onehour drive from Pittsburgh. Special conference rates are $199/night + tax for a Chateau room and $149/night + tax for a Lodge room. Townhouses are also available at $199/night + tax. Reservations may be made by calling or Please be sure to mention you are with the Anesthesia Update Conference to take advantage of the special conference room rates. Hotel Reservation Deadline: Monday, August 28, 2017 Please Note: Per our contract with Nemacolin, the following charges will automatically be applied to each room: n Luggage Handling Fee - $10/room round trip n Housekeeping Charge - $2/room/day n Resort Fee - $20/room/night, includes: valet parking, on property shuttle, fitness center access, wireless internet, local and toll-free calls, pool access, newspaper, 3 p.m. art tour, hiking trail, tennis n NO ADDITIONAL GRATUITY REQUIRED Nemacolin Woodlands offers a 15% discount on retail purchases in all retail shops and a 10% discount on all resort activities, including spa services. The spa access fee is waived includes complimentary health club usage. For more information about Nemacolin Woodlands and its numerous recreational activities, please visit their website at Refund Policy A refund of the registration fee, less a 10% processing fee, will be made when a written request or a telephone request followed by a written confirmation is received prior to September 8, Allegheny General Hospital reserves the right to cancel or postpone any conference because of unforeseen circumstances or insufficient enrollment. In the event of such cancellation, full tuition will be refunded.

10 Registration Information The registration fee includes course materials, breakfasts, lunch, break refreshments and reception. Conference Fees: Early Bird Regular fee after April 30, 2017 Physician $650 Physicians $700 CRNA $550 CRNAs $600 SRNAs $100 SRNAs $150 RNs $100 RNs $150 Residents $100 Residents $150 Daily Rates: Physicians $325 Fri. $300 Sat. $150 Sun. CRNAs $300 Fri. $250 Sat. $150 Sun. SRNAs, RNs, and Residents $100 Fri. $ 50 Sat. $ 25 Sun. Additional Fees Purchase required for Guest(s) Reception: $35 Saturday Boxed Lunch: $15

11 Anesthesia Update Friday through Sunday, September 15-17, 2017 Please indicate All 3 days: MD/DO $700 CRNA $600 SRNA/RN/Resident $150 Early Bird: Physicians $650 April 30, 2017 CRNA $550 SRNA/RN/Resident $100 Daily Rates: Physicians $325 Fri $300 Sat $150 Sun CRNAs $300 Fri $250 Sat $150 Sun SRNAs, RNs and Residents $100 Fri $50 Sat $25 Sun Please indicate: I would like a vegetarian lunch Additional Charges for guest(s) I would like to purchase reception tickets for my $35 each = (insert number) (total amount) I would like to purchase box lunch tickets for my $15 each = NAME (insert number) (print name and degree, if applicable, as you wish it to appear on badge) (total amount) AANA# DEGREE OCCUPATION (for accreditation purposes) SPECIALTY HOSPITAL OR ORGANIZATION HOME OR BUSINESS ADDRESS (including department) (where you prefer mail to be sent) CITY STATE ZIP TELEPHONE ( ) FAX# ( ) METHOD OF PAYMENT: CREDIT CARD TYPE: Credit Card Check Visa MasterCard American Express Discover If you require assistance with hearing, vision, or mobility to make this conference accessible to you, please check this box and contact the CME office at at least two weeks prior to the conference date. TOTAL AMOUNT CREDIT CARD # EXP. DATE NAME ON CARD SIGNATURE* * By signing this form, I authorize Allegheny General Hospital to charge my credit card for the above amount. My signature also indicates that I will not dispute this charge in the future through my credit card company.

12 Continuing Medical Education Allegheny General Hospital 320 East North Avenue Non-Profit Organization U.S. Postage PAID Pittsburgh, PA Permit No. 2885