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10 th Annual UNC-Duke-Wake Forest Pediatric Conference BEST PRACTICES IN PEDIATRIC ANESTHESIA CARE September 23, 2017 REGISTER NOW! http://go.unc.edu/pedsanes2017 Joint Collaboration: The University of North Carolina School of Medicine, Duke University School of Medicine and Wake Forest School of Medicine

Agenda SATURDAY, SEPTEMBER 23, 2017 7:15-7:45 Registration, Exhibits, and Continental Breakfast 7:45-8:00 Welcome and Introduction 8:00-8:30 It s Getting Hot in Here Update on Malignant Hyperthermia Tobin 8:30-9:00 Intraoperative Hypotension: How Low Can You Go? Eck 9:00-9:30 FDA and Anesthesia: Discussing the Overlap Bailey 9:30-10:00 The Opioid Epidemic How Did We Get Here? Chidgey 10:00-10:25 Breaks and Exhibits 10:25-10:50 ERAS Protocols in Kids What s Going on Out There? Greene 10:50-11:20 Ultrasound Use for Vascular Access Udani 11:20-11:45 Point of Care Ultrasound Isaak 11:45-12:00 Question and Answer Session Panel 12:00-1:15 Lunch with Optional Lunch and Learn Option 1: Interactive Small Group Workshop: Point of Care Ultrasound Isaak and other faculty Option 2: Round Table Discussion: My Next Patient is on Opiates: the Good, the Bad and the Ugly Chidgey and Jowza 1:15-1:45 Are You Laughing Yet? Pro/Con Debate on the Use of Nitrous Oxide in Pediatric Anesthesia Pro: Halweg/Con: Einhorn 1:45-2:15 ECMO Evidence, Criteria, Mechanics and Outcomes Ames 2:15-2:45 Caring for the Transplanted Heart for Non-Cardiac Surgery Martinez 2:45-3:15 Practical Approaches to One Lung Ventilation in Infants and Children Templeton 3:15-3:30 Breaks and Exhibits 3:30-4:00 Finding NEMO: New and Emerging Medical Opinion from 2017 that Impacts Pediatric Anesthesia Ririe 4:00-4:30 When Medical Care is the Easy Part: Dealing with the Difficult Patient Smith 4:30-5:00 Quality Improvement and Lessons Learned Moderator: Lupa Panelists: McNaull, Harwood, Taicher 5:00-5:15 Question and Answer Session Panel

Faculty List UNC AT CHAPEL HILL SCHOOL OF MEDICINE DUKE UNIVERSITY SCHOOL OF MEDICINE ANN G. BAILEY, MD Professor of and WARWICK A. AMES, MBBS, FRCA BROOKE A. CHIDGEY, MD PAUL R. HALWEG, MD Assistant Professor of and ROBERT S. ISAAK, DO MARYAM JOWZA, MD LEONARDO MARTINEZ, MD REBECCA L. SMITH, MD Assistant Professor of and WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE TIMOTHY N. HARWOOD, MD Associate Professor of Pediatric DOUGLAS G. RIRIE, MD, PHD Professor of Pediatric JOSEPH R. TOBIN, MD Professor Emeritus of Pediatric JOHN B. ECK, MD LISA M. EINHORN, MD NATHANIEL H. GREENE, MD ANDREA G. UDANI, MD COURSE DIRECTORS M. CONCETTA LUPA, MD UNC-CH School of Medicine PEGGY P. MCNAULL, MD UNC-CH School of Medicine BRAD M. TAICHER, DO, MBA Duke University School of Medicine T. WESLEY TEMPLETON, MD Pediatric Wake Forest University School of Medicine

COURSE DESCRIPTION The purpose of the CME activity is to provide physicians, certified registered nurse anesthetists (CRNAs), anesthesia assistants (AAs), registered nurses, fellows and residents an up-todate refresher on information, techniques, and current research relevant to the practice of pediatric anesthesia. The goals of the CME activity will be accomplished with lectures, forums, and pro/con debates that will assess participant feedback in real time, using an audience participation system. The ultimate goal is to provide participants with tools and information that will improve the quality and safety of the care they provide to the pediatric patient in the perioperative setting. TARGET AUDIENCE Anesthesiologists, CRNAs, AAs, Pediatric Nurses, Residents and Fellows in, Student Nurse Anesthetists, and other health care professionals who care for the pediatric patient in the perioperative period. LEARNING OBJECTIVES The information presented at this educational activity should improve your ability to: Diagnose, evaluate and treat malignant hyperthermia. Explain current controversies surrounding acceptable minimum blood pressure in children, including neonates. Implement pharmacologic therapies in accordance with the latest FDA statements. Manage chronic pain in pediatric patients in accordance with current CDC and FDA guidance on opioids and non-narcotic alternatives. Apply enhanced recovery pathways in pediatric anesthesia. Use various methods of ultrasound technique for vascular access in pediatric patients. Explain the most current roles of ECMO. Prepare pediatric cardiac transplant patients for non-cardiac surgery. Establish multiple techniques for successful isolation of the lung in the pediatric patient. Practice techniques of conflict management in the workplace. Contribute to quality improvement efforts in patient care. COURSE CREDIT The School of Medicine of the University of North Carolina at Chapel Hill designates this live activity for up to 8.0 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. ACCREDITATION: The School of Medicine of the University of North Carolina is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. DISCLOSURES: This activity has been planned and implemented under the sole supervision of the course director in association with the UNC Office of Professional Development (UNC CPD). This activity has not received any commercial support as defined by the ACCME. Dr. Greene receives research support from Iroko Pharmaceuticals. None of the other planners, presenters, or UNC CPD staff have financial relationships with commercial interests. NURSE ANESTHETISTS: This program has been prior approved by the American Association of Nurse Anesthetists for 8.0 Class A CE Credits; Code 1035043; Expiration Date 9/23/2017. CONTACT INFORMATION For additional information, please contact: UNC Events Manager Lynn Craven at (919) 966-0009 or email to lcraven@aims.unc.edu. ADA STATEMENT If an attendee requires the use of auxiliary aids or services identified by the Americans with Disabilities Act in order to attend the conference, he or she should contact anesthesiologycme@ aims.unc.edu with PEDS 2017 in the subject line to make the needed arrangements. Follow us on Twitter @PedsAnes

REGISTER ONLINE AT http://go.unc.edu/pedsanes2017 The registration fee includes all online handouts, certificate of completion, continental breakfast, refreshments, and lunch. REGISTRATION FEES BEFORE 08/14/2017 REGISTRATION FEES AFTER 08/14/2017 MD, DO $250 MD, DO $300 CRNA, AA, Other Healthcare Professionals $160 CRNA, AA, Other Healthcare Professionals $200 RN $100 RN $125 Residents/Fellows/Students $40 Residents/Fellows/Students LUNCH AND LEARN FEES** MD/CRNA $45 Residents/Fellows/Students $35 $50 Earn extra credit! Limited space! **Lunch & Learn Sessions are Problem-Based Learning Discussions and Live Ultrasound Demonstration CANCELLATION POLICY Cancellation request prior to midnight, August 22, 2017 -- a full refund will be issued. After midnight, August 22, 2017 -- no refunds will be issued. All cancellations must be submitted in writing (fax, email or postmarked mail). No Substitutes. CONFERENCE LOCATION Earn up to 1.5 hours of Controll ed Substa nces CME requ ired by the NCMB! The conference will be held at The William and Ida Friday Center for Continuing Education, 100 Friday Center Drive, Chapel Hill, NC (www.fridaycenter.unc.edu). Although every effort is made to provide a comfortable temperature in the meeting room, please bring a jacket, sweater or light wrap in case the room is too cool for your comfort. ACCOMMODATIONS Room blocks are pending at the Courtyard by Marriott. To make reservations, please call (919) 883-0700 or toll free (800) 321-2211. Please mention the Pediatric Conference when making your reservation. Conference rates expire: August 23, 2017.

10 AUGUST 14TH REGISTRATION DISCOUNTS THROUGH September 23, 2017 Annual UNC-Duke-Wake Forest Peditaric Conference th The University of North Carolina at Chapel Hill School of Medicine, Department of Campus Box 7010 Chapel Hill, NC 27599-7010 PA I D PA I D PA I D Chapel Hill NC Permit 177 PRESORTED 1ST CLASS US Postage Chapel Hill NC Permit 177 FIRST CLASS MAIL US Postage Chapel Hill NC Permit 177 NONPROFIT ORG US Postage