SOAP 2013 Sol Shnider, M.D. Obstetric Anesthesia Meeting

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SOAP 2013 Sol Shnider, M.D. Obstetric Anesthesia Meeting Friday, March 15, 2013 *Opportunities for questions and answers will be provided at the conclusion of each session. 7:00 8:00 a.m. Registration, Coffee and Tea Service 7:40 7:45 a.m. Welcome/Introduction Maya S. Suresh, M.D. Session I Labor Analgesia: Old, New and Hot Topics Moderator: Maya S. Suresh, M.D. 7:45 8:05 a.m. Remifentanil for Labor Analgesia: Fad or Friend Mark D. Rollins, M.D., Ph.D. 8:05 8:35 a.m. Anticoagulation and Labor Analgesia What Are The Options? Mark D. Rollins, M.D., Ph.D. 8:35 9:00 a.m. Epidural Equinox: Ten Tips to Optimize your Epidural Technique Lawrence C. Tsen, M.D. 9:00 9:25 a.m. Fever and Epidurals: Still a Hot Topic? Scott Segal, M.D., MHCM 9:25 9:50 a.m. Answers to the Most Frequently Asked Questions from the Ask SOAP Website Kenneth E. Nelson, M.D. 9:50 10:10 a.m. COFFEE BREAK Session II Improving Patient Outcomes: Practice Guidelines/Protocols/ Team Approach Moderator: Robert D Angelo, M.D. 10:10 10:35 a.m. 2006 Practice Guidelines for Obstetric Anesthesia: Still Relevant or in Need of Revision Lawrence C. Tsen, M.D. 10:35 11:00 a.m. Patient Outcomes are Better With Protocol Driven Care Scott Segal, M.D., MHCM

11:00 11:30 a.m. Team STEPPS: Improving Communications in the Labor & Delivery Suite C. LaToya Mason, M.D. 11:30 12:15 p.m. Panel Discussion 12:15 1:30 p.m. HOSTED LUNCHEON Bayview Room, 36 th Floor Session III Special Lecture: SOAP Endowment Fund Education Lecture: Moderator: McCallum R. Hoyt, M.D., M.B.A. 1:30 2:30 p.m. What s New in Obstetrics: Evolving Consensus on Standardization of FHR Pattern Management Lecturer: Julian Parer, M.D., Ph.D. 2:30 3:00 p.m. COFFEE BREAK Session IV Enhancing your Practice: Business Aspects and Point-of-Care Testing Moderator: C. LaToya Mason, M.D. 3:00 3:20 p.m. Good to Great: How the Obstetric Anesthesia Provider Can Apply Popular Business Aspects to the L&D Suite Michael Orosco, M.D. 3:20 4:00 p.m. Point of Care Testing in the Obstetrical Suite Jennifer M. Lucero, M.D., M.A. 4:00 4:20 p.m. Future of Obstetric Anesthesiology Kenneth E. Nelson, M.D. 4:20 5:00 p.m. Panel Discussion 5:00-6:30 p.m. Wine & Cheese

Saturday, March 16, 2013 *Opportunities for questions and answers will be provided at the conclusion of each session. 7:15 8:00 a.m. Registration, Coffee and Tea Service Session V Postpartum Hemorrhage Management Perspective from Three Disciplines Moderator: Lawrence C. Tsen, M.D. 8:00 8:25 a.m. Postpartum Hemorrhage Management Obstetrician s Perspective Maurice L. Druzin, M.D. 8:25 8:55 a.m. Postpartum Hemorrhage Management Hematology Perspective The Massive Transfusion Protocol for Obstetrics: From Implementation to Action Alexander Butwick, M.B., B.S. 8:55 9:20 a.m. Postpartum Hemorrhage Management Anesthesiologist s Perspective Ashu Wali, M.D., FFARCSI 9:20 9:40 a.m. COFFEE BREAK Session VI Anesthetic: Concerns, Changing Views and Contribution to Obstetrical Success Moderator: Ashu Wali, M.D., FFARCSI 9:40 10:05 a.m. Anesthetic Concerns for Pregnant Patient Undergoing Non-Obstetric Surgery. Is General Anesthesia Toxic to the Fetal Brain? Vilma Ortiz, M.D. 10:05 10:30 a.m. Changing Views on Vaginal Birth After Cesarean Section (VBAC) Anesthetic Management C. LaToya Mason, M.D. 10:30 11:00 a.m. External Cephalic Version: Does Anesthesia Contribute to its Success? Vilma Ortiz, M.D. Session VII Special Lecture: Sam Hughes, M.D. Lecture Moderator: Kenneth Nelson, M.D. 11:00 11:45 a.m. What s New in Clinical Obstetric Anesthesia An Update from 2011 2012 Lecturer: Alexander Butwick, M.B., B.S. 11:45 12:15 p.m. Panel Discussion

12:15 1:30 p.m. LUNCH: ON YOUR OWN Session VIII Challenges, Competencies, Catastrophes, and Capturing Data in Obstetric Anesthesia Moderator: Maya S. Suresh, M.D. 1:30 2:00 p.m. Obesity Growing Epidemic: Challenges for the Anesthesia Provider Manny Vallejo, M.D. 2:00 2:30 p.m. Ultra-sound for Labor Analgesia: When is Competency Reached? Manny Vallejo, M.D. 2:30 3:00 p.m. Preeclampsia/HELLP: Improving Outcomes and Predicting Disasters Jennifer M. Lucero, M.D., M.A. 3:00 3:40 p.m. Amniotic Fluid Embolism: Latest Update McCallum R. Hoyt, M.D., M.B.A. 4:40 4:10 p.m. BREAK 4:10 4:40 p.m. Code in OB Suite: An Update on Crisis Resource Management Mark D. Rollins, M.D., Ph.D. 4:40 5:00 p.m. Score Project and AQI: Capturing Obstetric Anesthesia Data and Benchmarking your Practice Robert D Angelo, M.D. 5:00 5:30 p.m. Panel Discussion

Sunday, March 17, 2013 *Opportunities for questions and answers will be provided at the conclusion of each session. 7:30 8:15 a.m. Registration, Coffee and Tea Service Session IX Cesarean Delivery Intra and Post Op Issues Moderator: Maya S. Suresh, M.D. 8:15 8:45 a.m. Neuraxial Techniques and Dosages to Provide Optimum Anesthesia for Cesarean Delivery Brendan Carvalho, M.B., B.Ch. 8:45 9:10 a.m. Transversus Abdominis Plane (TAP) Block for Post Cesarean Delivery Pain Manny Vallejo, M.D. 9:10 9:35 a.m. Post operative Pain Management following Cesarean Delivery: State of the Art Brendan Carvalho, M.B., B.S. 9:35 10:05 a.m. COFFEE BREAK Session X OB Emergencies: Need Anesthesia Stat! Moderator: Robert D Angelo, M.D. 10:05 10:30 a.m. Shoulder Dystocia and Uterine Inversion: Anesthetic Intervention and Management McCallum R. Hoyt, M.D., M.B.A. 10:30 10:55 a.m. PACU and Emergence Issues in Obstetrical Patients Maya S. Suresh, M.D. 10:55 11:20 a.m. CPR in Pregnancy Brendan Carvalho, M.B., B.S. 11:20 11:45 a.m. Closed Claim Studies in Obstetrical Patients Ashu Wali M.D., FFARCSI 11:45 12:30 p.m. Panel Discussion 12:30 p.m. Maya S. Suresh: Closing Comments Adjourn

Program Director: Maya S. Suresh M.D SOAP 2013 Sol Shnider Meeting March 14-17, 2013 Needs and Target Audience The conference will highlight the relevancy of the Practice Guidelines in Obstetric Anesthesia, tips to optimize epidural labor analgesia, the use of ultrasound in labor epidural placement and achieving competency. The conference will focus on the growing epidemic of obesity and practical tips from 2011 2012 literature. Important issues will be addressed including the changing views of vaginal birth after cesarean section; an update on fetal neurotoxicity and the anesthetic contributions to the success of external version. A clinic forum on post-partum hemorrhage will provide perspectives from three disciplines obstetrical, anesthetic and hematology with discussion on Massive Transfusion Protocol. The conference will provide new concepts on: Improving patient outcomes with protocol driven care crisis management; Rapid Response teams in management of critical situations in obstetrics.the audience will hear the latest update on CPR in pregnancy and Anesthesia Quality Institute Data collection so as to benchmark your practice. Another feature of the conference includes discussion on enhancing the business aspect of your obstetrical practice, improving patient care with point-of-care testing and an interesting discussion on the most frequently questions posed by practitioners to the SOAP Website. The best part of the conference are the two special lectures: 1) What s New in Obstetrics: Evolving Consensus on Standardization of FHR Pattern Management, 2) What s New in Clinical Obstetric Anesthesia An Update from 2011 2012. Anesthesiologists and Certified Registered Nurse Anesthetists (CRNAs) will benefit from the updates and discussions on cutting edge topics in obstetrical anesthesia. Educational Methods and Objectives Through the use of lectures, case presentations, panel discussion, a syllabus and hands-on workshop sessions, the participant should be able to: Describe the role of ultrasound for spine demarcation before placement of neuraxial blocks. Describe the techniques to improve labor analgesia and state of the art regional anesthesia for cesarean section. Discuss the most frequently asked questions posed to SOAP Website. Employ lessons learned from the ASA Closed Claims Database Project regarding obstetric anesthesia mishaps to improve patient safety and decrease provider malpractice. Provide an update on new concepts of CPR in pregnant patients. Describe strategies to improve patient outcomes with protocol driven care, Team STEPPS and communication. Discuss strategies to enhance the business aspect of your obstetrical practice. Describe point-of-care testing to enhance patient care. Discuss the newly evolving consensus on standardizing management of FHR patterns. Evaluation Evaluation by questionnaire will address program content, presentation, and possible bias.

Needs and Target Audience The planning committee reviewed comments and surveys from previous workshop participants who indicated the value of the workshop. The committee also reviewed recent national scientific evidence and peer-reviewed articles to determine the need for increased education and hands-on training in the management of pediatric and adult difficult airways. Sources demonstrating the need for improved performance in the management of the difficult airway (DA) include the American Society of Anesthesiologists (ASA), Obstetric Anesthesia Closed Claims Project Database, and standardized collection of case summaries from professional liability insurance companies closed claims files. National and international anesthesiologists, and emergency medicine physician experts in airway management will provide practical tips and updates during the course and in the interactive group sessions at the workshop. Educational Methods and Objectives Through the use of lectures, case presentations, panel discussion, a syllabus and hands-on workshop sessions, the participant should be able to: Describe factors that predispose patients to difficult intubation and/or ventilation. Discuss preoperative assessment methods to identify patients difficult to intubate. Discuss the use of airway devices in the various steps of the ASA Difficult Airway Algorithm in appropriate cinical situations. Discuss the new airway devices and methods to help manage difficult airways. Describe and discuss the features, advantages, limitations, and applications of new supraglottic ventilatory devices available for difficult airway management. Evaluation Evaluation by questionnaire will address program content, presentation, and possible bias.

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