CRASH 2012

Educational Objectives

Sunday | Monday | Tuesday | Wednesday | Thursday | Friday

SUNDAY - 3 MARCH 2012   (top)

4:00-5:00pm
Daily Decision-making in the ICU: Is There Anything Beyond the Evidence?
Robert Sladen, MD
Objectives:

  1. 1. Understand the rationale behind levels of evidence in daily decision making in the ICU.
  2. Appreciate the impact of scoring systems based on clinical observation
  3. Analyze a number of classic “evidence based” protocols, including goal-directed therapy and
    steroids in sepsis, low tidal volume and restrictive fluid strategy in ARDS, and perioperative beta blockade
  4. Identify practice misalignment in the design of controlled clinical trials

5:00-6:00pm
Neuroanesthesia Principles for Non-neurolgic Surgery: What You Don't Know Can Hurt You(r Patient)!
Daniel Janik, MD
Objectives: Upon completion of this lecture, participants will be able to

  1. Understand the fundamental principles of cerebral hemodynamics in the context of current science, the myths associated with it, and the factors which affect perfusion, both positive and negative.
  2. Be able to identify situations which present special risk to the patient undergoing surgical procedures and anesthesia.
  3. Be able to readily formulate a plan of risk abatement during the sitting position for various surgical procedures.
  4. Know the incidence of occult cervical spine stenosis and the risk of injury to the spine of various positioning maneuvers encountered during surgery and anesthesia, and the consequences of improper attention to this problem.
  5. Be able to formulate a plan to successfully minimize the potential for injury to the cervical spine during anesthesia.
  6. Understand the physiology of hypotensive anesthesia and properly assess the risk/benefit ratio of its use in various clinical settings.
  7. Know the current recommendations regarding the use of hypotensive anesthesia in surgery.

6:00-6:30pm
Question and Answer Session
Dr. Sladen and Janik

MONDAY - 5 MARCH 2012 MORNING   (top)

7:00-8:00am
Acute Paint Management Update
Matthew Fiegel, MD
Objective:

  1. Develop a multi modal and evidenced based approach to treating acute pain in an opioid naïve/opioid intolerant patient
  2. Develop a pragmatic approach to treating acute pain in the opioid tolerant patient
  3. Utilize non-opioid strategies to optimize patient satisfaction and safety
  4. Discuss any new treatment modalities which have been introduced in the past year

8:00-9:00am
Postoperative Infections: How can we Prevent Them?
Jeffrey Galinkin, MD
Objectives:

  1. Discuss epidemiology of surgical site infection.
  2. Understand traditional utilization of antibiotics to prevent surgical site infections.
  3. Describe current SCIP measures and future direction for prevention of surgical site

9:00-9:30am
Question and Answer Session
Drs. Fiegel and Galinkin

 

MONDAY AFTERNOON SESSION

WORKSHOPS

4:00-7:00pm
Ultrasound Guided Regional Anesthesia
John P. Armstrong, MD; Alan Bielsky, MD; Christopher Ciarallo, MD; Matthew Fiegel, MD; Adrian Hendrickse, MD; Glenn Merritt, MD; Jeffrey Shiffrin, MD

$50.00

Six 30-minute stations

Must Sign-up

CLASS LIMIT - 50

Objectives: Experts in regional anesthesia will present commonly performed upper and lower extremity blocks. Hands-on format using phantoms and live models will facilitate learning. Technique tricks of the trade, advantages and risks will be emphasized.
At the end of the workshop, participants should be able to:

  1. Perform techniques for various peripheral nerve blocks at different locations;
  2. Compare the advantages and disadvantages of each approach
  3. Describe Ultrasound use for vascular access
  4. Participants will become comfortable with the anatomy and rationale for performing body
    wall blocks.

4:00-7:00pm
Comprehensive Airway Management
Mark Chandler, MD; Daniel J. Janik, MD; Jeffrey Galinkin, MD; Geoffrey Lane, MB; Thomas Henthorn, MD; Michael Sawyer, MD, Marina Shindell, MD

$25.00

Must Sign-up

NO LIMIT

Objectives:  This workshop will familiarize participants with the various types of techniques used in the management of the patient with a difficult airway. The care and use of the equipment will be emphasized. The participant will have an opportunity to practice using the different modalities (LMA, Fiberoptic endoscope, retrograde wire, etc.).
At the end of the workshop, participants should be able to:

  1. Set up and use the various types of airway equipment available to assist in airway management;
  2. Smoothly manipulate the equipment through mannequins; and
  3. Review the ASA difficult airway algorithm
  4. Rapidly and effectively establish a surgical airway using lamb tracheas
4:00-7:00pm
TEE for the General Anesthesiologist I
Tamas Seres, MD and Nathaen Weitzel, MD

$15.00

Must Sign-up

CLASS LIMIT 40

TOPICS: Click here for more detail information

1. Basic TEE views Nathaen Weitzel, MD
2. Doppler Modalities Nathaen Weitzel, MD
3. Systolic Function Tamas Seres, MD, PhD

Objectives: At the end of the review, participants should be able to:

  1. Develop basic knowledge about the TEE probe, positioning the probe in the patient and how to achieve the basic views.
  2. Be able to list basic images and Doppler modalities, uses of different modalities for hemodynamic monitoring.
  3. Be able list examples of clinical scenarios where TEE can make a difference in the general OR.

TEE Simulation
Tamas Seres, MD and Nathaen Weitzel, MD

$20.00

Must Sign-up

CLASS LIMIT 2/hour

4:00-7:00pm
Dilemmas in OB Anesthesia
Joy Hawkins, MD and Brenda Bucklin, MD

FREE!

Advance Signup required; You can submit questions in advance to OB Anesthesia

NO LIMIT
Objectives: This round table discussion will focus on several controversies likely to beset the obstetric anesthesia providers. Topics discussed will include, but are not limited to, hypertension, obesity, toxemia, anticoagulation, regional, general anesthesia, and airway control. Nationally recognized experts in the field will lead the discussion.
At the end of the workshop, participants should be able to:
  1. At the end of the workshop, participants should be able to:
  2. Discuss common clinical problems in OB anesthesia and develop rationale approaches to improve patient outcome.
  3. Review and develop solutions for OB anesthesia practice dilemmas.

TUESDAY - 1 MARCH (top)

7:00-8:00am
Pediatric Anesthesia Update 2012
Rita Agarwal, MD
Objectives: New evidence and approaches in the care of young children undergoing anesthesia will be presented in this lecture. At the end of this lecture, participants should be able to:
  1. List new techniques for the management of the pediatric patient
  2. Describe the advantages and disadvantages of the practical clinical tips presented
  3. Discuss future developments that are still in the research stages

8:00-9:00am
Perioperative Considerations for the Patient with Chronic Kidney Disease
Robert Sladen, MD
Objectives: Interpret serum creatinine as a marker of kidney function

  1. Develop a plan for preoperative risk assessment and stratification of the patient with CKD
  2. Describe the organ system impact of CKD
  3. Develop an approach to perioperative anesthetic management
  4. Formulate a plan for postoperative monitoring and intervention

9:00-9:30am
Question and Answer Session
Agarwal and Sladen

TUESDAY AFTERNOON SESSION

WORKSHOPS

4:00-7:00pm
Ultrasound Guided Regional Anesthesia
John P. Armstrong, MD; Alan Bielsky, MD; Christopher Ciarallo, MD; Matthew Fiegel, MD; Adrian Hendrickse, MD; Glenn Merritt, MD; Jeffery Shiffrin, MD

$50.00

Six 30-minute stations

Must Sign-up

CLASS LIMIT - 50

Objectives: Experts in regional anesthesia will present commonly performed upper and lower extremity blocks. Hands-on format using phantoms and live models will facilitate learning. Technique tricks of the trade, advantages and risks will be emphasized.
At the end of the workshop, participants should be able to:

  1. Perform techniques for various peripheral nerve blocks at different locations;
  2. Compare the advantages and disadvantages of each approach
  3. Describe Ultrasound use for vascular access
  4. Participants will become comfortable with the anatomy and rationale for performing body
    wall blocks.

4:00-7:00pm
Comprehensive Airway Management
Mark Chandler, MD; Geoffrey Lane, MB; Daniel J. Janik, MD; Jeffrey Galinkin, MD; Thomas Henthorn, MD; Michael Sawyer, MD, Marina Shindell, MD

$25.00

Must Sign-up

NO LIMIT

Objectives:This workshop will familiarize participants with the various types of techniques used in the management of the patient with a difficult airway. The care and use of the equipment will be emphasized. The participant will have an opportunity to practice using the different modalities (LMA, Fiberoptic endoscope, retrograde wire, etc.).
At the end of the workshop, participants should be able to:

  1. At the end of the workshop, participants should be able to:
  2. Set up and use the various types of airway equipment available to assist in airway management;
  3. Smoothly manipulate the equipment through mannequins; and
  4. Review the ASA difficult airway algorithm.
  5. Rapidly and effectively establish a surgical airway using lamb tracheas.
4:00-7:00pm
TEE for the General Anesthesiologist II
Tamas Seres, MD and Fadi Nasrallah, MD

$15.00

Must Sign-up

CLASS LIMIT 40

TOPICS:

1. Diastolic Function Tamas Seres, MD
2. Evaluation of the mitral valve Fadi Nasrallah, MD
3. Evaluation of the aortic valve Ferenc Puskas, MD

Objectives: Part 2 will focus on the evaluation of systolic and diastolic function, the normal anatomy of the mitral and aortic valve, and the evaluation of mitral and aortic stenosis and regurgitation.
At the end of the review, participants should be able to:

  1. Understand systolic and the different types of diastolic dysfunction
  2. Understand the evaluation of mitral valve anatomy and function
  3. Understand the evaluation of aortic valve anatomy and function
  4. Do basic hemodynamic measurements and calculations on the mitral and aortic valve

4:00-7:00pm
TEE Simulation
Tamas Seres, MD and Fadi Nasrallah, MD

$20.00

Must Sign-up

CLASS LIMIT 2/hour

 

4:00-7:00pm
Clinical Conundrums in Pediatrics
Rita Agarwal, MD and Randy Clark, MD

FREE!

Signup required. You can submit your questions in advance to Pediatrics

NO CLASS LIMIT
Objectives: New evidence and approaches in the care of young children undergoing anesthesia will be presented in this lecture. At the end of this lecture, participants should be able to:
  1. list new techniques for the management of the pediatric patient
  2. Describe the advantages and disadvantages of the practical clinical tips presented
  3. Discuss future developments that are still in the research stages

 

WEDNESDAY - 2 MARCH   (top)

7:00 - 8:00am
The Rational Approach to the use of Hemodynamic Agents
Breandan Sullivan , MD
Objectives:

  1. Understand the physiology behind the major vasoactive infusions employed in the OR.
  2. Examine case based scenarios to determine a rationale approach to hemodynamic support
  3. Understand new hemodynamic therapies and discuss limitations to IV hemodynamic support
  4. Understand when to employ invasive / percutaneous support devices

8:00 - 9:00am
My Pain is Worse than your Pain: What Pharmacogenetics is Teaching us About Analgesic and Pain Sensitivity
Mindy Cohen, MD
Objectives:

  1. Be able to discuss the concept of genetic influence on drug metabolism and drug effects.
  2. Identify at least three commonly used medications that have variable efficacy/toxicity ratios depending on a patient's genetic makeup.
  3. Understand how in the near future analgesics may be tailored to genetic phenotypes.

9:00-9:30am
Question and Answer Session
Drs. Weitzel and Cohen

 

WEDNESDAY AFTERNOON SESSION

WORKSHOPS

4:00-7:00pm
3D TEE Hands on Course
Dr. Seres, MD, PhD

$15.00

Must Sign-up

CLASS LIMIT 40

Objectives: At the end of the review, participants should be able to:

  1. Understand the 3D TEE evaluation of LV function
  2. Understand the TEE evaluation of the mitral valve
  3. At the end of the course participants will be able to understand and practice 3D echo and use it for evaluating volumes and valve functions.

4:00-7:00pm
TEE Simulation
Tamas Seres, MD and Fadi Nasrallah, MD

$20.00

Must Sign-up

CLASS LIMIT 2/hour

 

PANEL DISCUSSION

4:00-5:30pm
Federal Regulation and the Future of Anesthesia Practice
Randall Clark, MD, FAAP, Brian Davidson, MD, MBA

FREE!

Must Sign-up. You can submit your questions in advance to Federal Regulation

NO CLASS LIMIT

Objective: At the end of the workshop, participants should be able to:

  1. Review current CMS regulatory requirements related to anesthesiology practice.
  2. Provide a framework for understanding the role of governmental regulation in the healthcare industry and policy arena.
  3. Discuss emerging healthcare regulatory issues and trends.
  4. Provide basic tools and present concepts for strategic management in times of regulatory uncertainty.

5:30-7:00pm
ANESTHESIA FOR THE HINTERLANDS

FREE!

Must Sign-up. You can submit your questions in advance to Anesthesia in the Hinterlands

NO CLASS LIMIT

Out of the OR Anesthesia: Christopher Lace, MD
Objectives:

  1. Understand the special hazards that exist in out of OR anesthesia
  2. Understand the unique logistical challenges that are present in out of OR anesthesia
  3. Learn what you can do to make out of OR anesthesia run more efficiently

Consideration for Cath Lab: Ferenc Puskas, MD, PhD
Objectives:
At the conclusion of the session, the participant will be able to:

  1. Be familiar with most common catheterization laboratory procedures and its anesthetic implications
  2. Understand the cardiologist’s point-of view of patient management
  3. Understand how to be prepared and respond to Cath Lab emergencies
  4. Discuss how to minimize radiation exposure

Anesthetic Consideration in the Pediatric Patient: Deb Faulk, MD
Objectives:

  1. Objectives: Upon completion of this presentation, participants will be able to
  2. Recognize the growing demand for pediatric anesthesia services outside the operating room and how we can advocate for patient safety, comfort and efficiency in remote locations.
  3. Apply the concept of sedation as a continuum in providing anesthesia services for children outside the operating room.
  4. Discuss some of the challenges specific to delivery of anesthesia to children in non-operating room locations.

 

THURSDAY - 3 MARCH   (top)

7:00-8:00am
Cardiac Anesthesia Update
Glenn Gravlee, MD
Objectives:  

  1. Understand recent developments in ventricular assist devices and apply the anesthetic considerations into clinical practice.
  2. Update the understanding of the indications for and dosing of recombinant Factor VIIa in cardiac surgery.
  3. Understand the advantages and limitations of cerebral oximetry monitoring in cardiac surgery.

8:00-9:00 am

Early Detection of Physiological Deterioration
Steve Moulton, MD
Objectives:

  1. Recognize the importance of early intervention in reducing morbidity and mortality
  2. Understand how the application of computing technology to vital sign data analysis may improve clinical outcomes

9:00-9:30am
Question and Answer Session
Drs. Gravlee, MD and Moulton, MD

THURSDAY AFTERNOON SESSION

4:00-4:50pm
Perioperative Evaluation of the Patient with Cardiac Disease Undergoing Non-cardiac Surgery
Robert Sladen, MD
Objectives:

  1. Understand the definition of active cardiac syndromes
  2. Learn the revised Cardiac Risk Index relative to estimated energy requirements (METS)
  3. Distinguish the role of non-invasive cardiac testing

4:50-5:40pm
Management of Sleep Apnea: Is it Different in the Outpatient Setting?
Christopher Lace, MD
Objectives:By the end of the lecture the participant will

  1. Understand the risk factors for developing OSA, why the problem is growing, and what treatments are available
  2. Learn management concepts that can be applied to all patients with OSA having surgery
  3. Learn which patients with OSA may not be appropriate for surgery in the outpatient setting

5:40-6:30pm
Post Operative Cognitive Disorders
Paul Mongan, MD
Objective: This session will enable participants to:

  1. Discuss the difference between postoperative cognitive dysfunction and postoperative delirium.
  2. Examine the historical evidence for postoperative cognitive dysfunction (POCD) and the potential pathophysiologic mechanisms for the development of POCD.
  3. Learn techniques that may help minimize the development of POCD.

6:30-7:00pm
Question and Answer Session
Drs Sladen, Lace, Mongan

FRIDAY - 5 MARCH   (top)

7:00-8:00am
What's New in OB Anesthesia
Joy Hawkins, MD
Objectives: At the conclusion of this lecture, participants will be able to:
  1. 1. Discuss new developments in obstetric anesthesia in the areas of guidelines and policies, labor analgesia, cesarean anesthesia, and care of the fetus and newborn.
    2. Recognize and develop new management strategies for anesthetic and obstetric complications in the peripartum period.

8:00-9:00am
Perioperative Management of the Patient with Asthma and the Bronchospasm
Robert Sladen, MD
Objectives:

  1. Understanding the pathogenesis of bronchospasm and asthma
  2. Appreciate the cardiopulmonary changes in acute asthma
  3. Review acute and chronic pharmacologic therapy for asthma and bronchospasm
  4. Formulate a perioperative anesthetic plan for the patient with asthma and develop an algorithm for the management of acute intraoperative bronchospasm

9:00–9:30am
Question and Answer Session
Drs. Hawkins, and Sladen


highlights

CRASH 2012

Welcome Reception
Sunday - Mar 4 
6:30-8:30 pm
Exhibit Hall

NASTAR Race
Wed, 7 March
12:00 pm

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