Postgraduate Symposium on Anesthesiology

64 th Annual Postgraduate Symposium on Anesthesiology Friday Sunday, April 11 13, 2014 InterContinental Kansas City at the Plaza Kansas City, Mo. Register Today! kumcce.ku.edu/anesthesiology Sponsored by The University of Kansas Medical Center Department of Anesthesiology and The University of Kansas Medical Center Continuing Education

Course Director Martin De Ruyter, MD, Professor, Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kan. Overview Participants will hear from numerous experts in the field of anesthesiology and learn the latest approaches to a broad variety of anesthesia-related topics. All the information will be applicable to the busy, clinician-oriented anesthesia care provider. Topics at this year s symposium will include presentations on challenging airways; ethical dilemmas in anesthesia; a practical review of understanding electrocardiographic readings and approaches to dysrhythmias; infectious risks associated with regional anesthesia; and assessment of the ambulatory surgical patients. Additional topics include blood management; risk assessment of patients with obstructive sleep apnea; special considerations in the cancer patient who presents for surgery; as well as confronting the challenges presented by treating pain in the pediatric surgical patient. These topics have been selected by requests from previous symposium participants, as well as current literature reviews and discussions with experts in anesthesiology. Target Audience This symposium is designed for anesthesiologists, nurse anesthetists (CRNAs) and anesthesia assistants. Objectives At the completion of this symposium, participants (within their scope of practice) should be able to: Examine duties, efficiencies, outcomes and performance metrics and recognize that, as one measures mistakes, there may be mistakes in measuring. Describe the challenges and develop a scheme in judging clinical competence. Review the anatomy of the airway and institute a protocol to better prepare for unanticipated challenges. Engage in discussion on the ethical dilemmas facing anesthesia and be able to counsel patients and other healthcare providers regarding such topics. Integrate the latest understanding of blood management and develop a logical sequence of proper utilization. Describe the core principles of ECG interpretation and develop practical approaches to treating dysrhythmias. Employ the latest information regarding infectious risks and complications associated with regional anesthesia into their practice. Understand information regarding the role of ketamine as an adjuvant to perioperative analgesia. Integrate the current trends in ambulatory surgery and risk stratify those who are acceptable candidates for these non-hospital settings. Employ the latest understanding of cancer patients who present for surgery: how best to prepare them and the special considerations they need. Differentiate the current information and understand the controversies regarding patients undergoing tonsillectomies and adenoidectomies. Review the latest techniques and develop practice approaches in the perioperative pain management of children. Describe current lung protective ventilation strategies in critically ill patients and understand the challenges in maintaining such strategies when they become surgical patients. Apply the information regarding risk of complications in patients with obstructive sleep apnea in both the intraoperative and postoperative settings. Integrate the updated information on patients presenting to the operating room for neurosurgical procedures. Describe the principles of extracorporeal membrane oxygenation; its indications and future strategies in the resuscitation of the critically ill hypoxic patient. 2

Planning Committee - University of K ansas Medical Center Sheila Bailey, CAP, Executive Administrative Assistant, Department of Anesthesiology Christopher Beck, MD, Assistant Professor, Department of Anesthesiology Martin De Ruyter, MD, Professor, Department of Anesthesiology Talal Khan, MD, Associate Professor, Chair, Department of Anesthesiology; Director, Pain Management Donna Nyght, CRNA, DNP, Chair, Nurse Anesthesia Education, School of Health Professions Melissa Rockford, MD, Assistant Professor, Department of Anesthesiology Marla Sutton, MS, Senior Program Manager, Continuing Education Faculty Nelson N. Algarra, MD, Assistant Professor, Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kan. D. John Doyle, MD, PhD, Professor of Anesthesiology, Cleveland Clinic, Cleveland, Ohio Nancy L. Glass, MD, Director, Chronic and Palliative Pain Service, Texas Children s Hospital; Professor, Pediatrics and Anesthesiology, Baylor College of Medicine, Houston, Tex. Joel K. Grigsby, MD, Assistant Professor, Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kan. James Hebl, MD, Professor of Anesthesiology, Department of Anesthesiology, Mayo Clinic, Rochester, Minn. Robert Lagasse, MD, Professor of Anesthesiology, Director of Quality Management & Perioperative Safety, Yale University School of Medicine, New Haven, Conn. Katherine A. Palmieri, MD, Assistant Professor, Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kan. Y. Madhu Reddy, MBBS, Assistant Professor of Medicine, Cardiology, Mid America Cardiology, University of Kansas Medical Center, Kansas City, Kan. Bobbie-Jean Sweitzer, MD, Professor of Anesthesiology and Critical Care and Medicine, University of Chicago, Chicago, Ill. Lowell Tilzer, MD, PhD, Professor and Chair, Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, Kan. Brian C. Weiford, MD, Clinical Assistant Professor of Medicine, Mid America Cardiology, University of Kansas Medical Center, Kansas City, Kan. David M. Wild, MD, Assistant Professor, Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kan. Accreditation All participants are required to sign attendance rosters at the beginning of each day. A certificate of completion will be provided to all symposium participants based on documentation of actual attendance time, meeting minimum attendance requirements specific to the activity, and payment in full. If you are not paid in full, your certificate will be mailed to you upon receipt of payment. Physicians: The KU Medical Center Office of Continuing Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The KU Medical Center Office of Continuing Medical Education designates this educational activity for a maximum of 17 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. Nurse Anesthetists: This program has been approved for 14 CE credit hours from the American Association of Nurse Anesthetists (AANA). Exhibits Commercial vendors are invited to exhibit at this meeting. Limited exhibit space will be available. Call Sheila Bailey at 913-588-3315 or e-mail sbailey@kumc.edu for an application or more information. 3

Agenda Postgr aduate Symposium on Anesthesiology Agenda Friday, April 11 7:00 a.m. Registration, Exhibits & Continental Breakfast 7:50 a.m. Welcome & Introductions Moderator: Grace Shih, MD Talal Khan, MD, MBA, Chair, KU Medical Center Department of Anesthesiology Martin De Ruyter, MD, Course Director 8:00 a.m. Neuroanesthesia: Lots of Action and Potential Nelson N. Algarra, MD 8:45 a.m. Anatomy of an Airway Disaster: Tales From the Coroner s Office D. John Doyle, MD, PhD 9:30 a.m. Refreshment Break & Exhibits 10:00 a.m. Inside Out: Obstructive Sleep Apnea and its Implications Inside and Outside the Operating Room David M. Wild, MD 10:45 a.m. Lung Protective Ventilation: A Proven ICU Technique with Wider Relevance in the Operating Room Katherine A. Palmieri, MD 11:30 a.m. Panel Discussion with Questions from the Audience Noon Lunch (on your own) and Exhibits Moderator: Katherine A. Palmieri, MD 1:00 p.m. ECG Interpretations for the Non-Cardiologist Brian C. Weiford, MD 1:45 p.m. Measuring Mistakes and Mistakes in Measuring Robert Lagasse, MD 2:30 p.m. Refreshment Break & Exhibits 3:00 p.m. Ethical Dilemmas in Anesthesia D. John Doyle, MD, PhD 3:45 p.m. Judging Clinical Competence Robert Lagasse, MD 4:30 p.m. Panel Discussion with Questions from the Audience 5:00 p.m. Adjournment / Networking Reception Rooftop Bar Saturday, April 12 7:00 a.m. Registration, Exhibits & Continental Breakfast 7:55 a.m. Welcome & Introductions Moderator: Christopher E. Beck, MD 8:00 a.m. Patient Blood Management Less is More Lowell Tilzer, MD, PhD 4

Agenda Postgr aduate Symposium on Anesthesiology Agenda 8:45 a.m. PAUL LORHAN MEMORIAL LECTURE Infectious Complications Associated with Regional Anesthesia James Hebl, MD 9:30 a.m. Refreshment Break & Exhibits 10:00 a.m. Low-Dose Ketamine and Perioperative Analgesia: Is it the Answer? James Hebl, MD 10:45 a.m. Controversies in Anesthesia for Tonsillectomy and Adenoidectomy Nancy L. Glass, MD 11:30 a.m. Panel Discussion with Questions from the Audience Noon Lunch (on your own) and Exhibits All graduates of the KU Nurse Anesthesia Program are invited to the Annual Alumni Lunch in the Rooftop Bar. Kansas Society of Anesthesiologists Annual Meeting and Lunch in Conference Suite 241 (Members Only). Moderator: Martin De Ruyter, MD 1:30-4:30 p.m. Problem-Based Learning Discussion Sessions Featuring selected faculty from the Department of Anesthesiology, University of Kansas Medical Center. These will be in a 50-minute format and participants will rotate on the hour to the topics of their choosing. A list of topics and table locations will be included in the meeting materials. 2 5 p.m. Exhibitors Hall Open 4:30 p.m. Panel Discussion with Questions from the Audience 5:00 p.m. Adjournment Sunday, April 13 7:00 a.m. Registration, Exhibits & Continental Breakfast 7:55 a.m. Welcome & Introductions Moderator: Peter G. Hild, MD 8:00 a.m. Which Patients are too High Risk for Ambulatory Surgery? Bobbie-Jean Sweitzer, MD 8:45 a.m. Perioperative Pain Management in Children Nancy L. Glass, MD 9:30 a.m. Refreshment Break & Exhibits 10:00 a.m. Preoperative Evaluation and Special Considerations for Patients with Cancer Bobbie-Jean Sweitzer, MD 10:45 a.m. ECMO Update: Recent Trends, Future Directions Joel Grigsby, MD 11:30 a.m. Panel Discussion with Questions from the Audience Noon Adjournment 5

Slide Availability This is a green conference. In order to save valuable resources, we are using an electronic format for the distribution of slides. Presentations will be available in PDF format the week before the conference online. Thank you for considering the environment. Registr ation and Fees Payment is required at the time of registration. Only registrations accompanied with payment will be accepted. Please register in advance. Fees include course materials, three continental breakfasts, Friday evening reception, record of attendance and continuing education credit. Register Register by after March 14 March 14 Physician...$465...$495 Nurse anesthetists (CRNAs), anesthesia assistants and other healthcare professionals...$410...$440 KU faculty or staff (50% or greater employment)...$355...$385 Residents and students (with written verification)...$135... $165 Location and Parking All events will take place at the InterContinental Kansas City at The Plaza, 401 Ward Parkway, Kansas City, Missouri. Parking at the InterContinental Kansas City is complimentary. While attending this activity, you can be reached at (816) 756-1500. Callers should ask for the KU Medical Center Symposium on Anesthesiology. Please bring a sweater or jacket, since temperatures can be difficult to control in large rooms. Visit www.visitkc.com for information about Kansas City-area shopping and entertainment. Lodging A block of rooms has been reserved at the InterContinental Kansas City at the Plaza at the daily rate of $179 for single or double occupancy. To take advantage of the special rate, call 866-856-9717 by Tuesday, March 11, 2014, and mention that you will be attending the KU Medical Center 64th Annual Postgraduate Symposium on Anesthesiology. After March 11, 2014, room availability and rates cannot be guaranteed. Privacy Policy KU Continuing Education does not share, sell, or rent its mailing lists. You have our assurance that any information you provide will be held in confidence by KU Continuing Education. We occasionally use mailing lists that we have leased. If you receive unwanted communication from KUCE, it is because your name appears on a list we have acquired from another source. In this case, please accept our apologies. Refund/Cancellation Policy A full refund of registration fees, less a $15 administrative fee, will be available if requested in writing and received by March 28, 2014. No refunds will be made after that date. A $30 fee also will be charged for returned checks. (Please note that if you fail to cancel by the deadline and do not attend, you are still responsible for payment.) KU Continuing Education reserves the right to cancel the 64th Annual Postgraduate Symposium on Anesthesiology and return all fees in the event of insufficient registration. The liability of the University of Kansas is limited to the registration fee. The University of Kansas will not be responsible for any losses incurred by registrants, including but not limited to airline cancellation charges or hotel deposits. Nondiscrimination Policy The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in the University s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Director of the Office of Institutional Opportunity and Access, IOA@ku.edu, 1246 W. Campus Road, Room 153A, Lawrence, KS, 66045, (785)864-6414, 711 TTY. Program Accessibility We accommodate persons with disabilities. Please call 785-864-5823 or mark the space on the registration form, and a KU Medical Center Continuing Education & Professional Development representative will contact you to discuss your needs. To ensure accommodation, please register at least two weeks before the start of the symposium. See the nondiscrimination policy above. The University of Kansas Medical Center is an AA/EO Title IX institution. 6

64 th Annual Postgraduate Symposium on Anesthesiology Fri. Sun., April 11 13, 2014 InterContinental Kansas City at the Plaza, Kansas City, Mo. 1 Please Print Full name (First, MI, Last, Suffix) AANP Number State/License Number NPI Number Send my confirmation and receipt to this email address: Email Job title Priority code (Please copy this code located above your name on the mailing label.) Credentials Specialty Institution or firm AANA license # Address (o Home or o Work) City, State, ZIP Daytime phone ( ) Evening phone (in case of last minute event changes) ( ) o Please do not include my information on the participant roster. o Please remove my name from the mailing list. 2 Fees By Mar. 14 After Mar. 14 o Physician... $465...$495 o Nurse anesthetist (CRNA), anesthesia assistant or other healthcare professional... $410...$440 o KU faculty or staff (50% or greater employment)... $355...$385 o Resident or student with written verification... $135...$165 Total due $ o I will attend the evening reception on Friday, April 11. 3 Payment Registrations will not be processed until payment is received. Payment for early bird registrations must be received on or before the early bird deadline. o Check enclosed, payable to KU Medical Center. o MasterCard o VISA (no other cards accepted) Card # Exp. Name on card (print) Cardholder s phone # 4 Easy Ways to Register Mail Complete the registration form and mail with payment to: The University of Kansas Continuing Education Registrations 1515 St. Andrews Drive Lawrence, Kansas 66047-1619 Phone Toll-free 877-404-5823 or 785-864-5823 Fax 785-864-4871 TDD 800-766-3777 Web kumcce.ku.edu/anesthesiology Special Accommodation o If you will need special accommodation, please mark the box above, and a member of the Continuing Education staff will contact you. CM142009/JCN140590

64 th Annual Postgraduate Symposium on Anesthesiology April 11 13, 2014 Register online today: kumcce.ku.edu/anesthesiology Featured Speakers D. John Doyle, MD, PhD, Professor of Anesthesiology, Cleveland Clinic, Cleveland, Ohio James Hebl, MD, Professor of Anesthesiology, Department of Anesthesiology, Mayo Clinic, Rochester, Minn. Nancy L. Glass, MD, Director, Chronic and Palliative Pain Service, Texas Children s Hospital; Professor, Pediatrics and Anesthesiology, Baylor College of Medicine, Houston, Tex. Bobbie-Jean Sweitzer, MD, Professor of Anesthesiology and Critical Care and Medicine, University of Chicago, Chicago, Ill. Featured Topics Pain Management in the Pediatric Surgical Patient Ethical Dilemmas in Anesthesia Implications of Obstructive Sleep Apnea Regional Anesthesia and Infectious Risks ECG Interpretation and Dysrhythmias Anesthesia and the Cancer Patient Current Thoughts on Pediatric Tonsillectomy/Adenoidectomy The University of Kansas Continuing Education 1515 St. Andrews Drive Lawrence, KS 66047-1625 140590