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The Changing Practice of Anesthesia

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GREEN MEETING
This is a "green" meeting, syllabus will be transmitted electronically two weeks prior to course.


Department: Anesthesia and Perioperative Care
Course Number: MAN10001
Start: Friday, September 11, 2009
End: Sunday, September 13, 2009
Location: San Francisco, California
Hotel Nikko San Francisco
Fees: $495 - Physicians 
$425 - CRNA
$225 - Student/Physician in Training
$100 - Dept of Anesthsia Faculty/Staff
$100 - Dept. of Anesthsia CRNA
UCSF Association of Clinical Faculty Vouchers are accepted for this course. For more information please call the Office of Continuing Medical Education at 415-476-4251. 
Credit: 16 AANA CE
17 AMA PRA Category 1 Credit(s)™

Overview:
The Changing Practice of Anesthesia is designed to update the clinician on some of the most significant advances in the field of Anesthesia. These changes include new developments in general and specialized areas of perioperative medicine, anesthesia, and critical care. We have also included case-based discussion and specialized workshops.

In addition, optional interactive workshops will be conducted  on September 10, 2009:

Hands-On Difficult Airway Management Workshop

Anesthesia Simulator Training (9am - 1pm)

Anesthesia Simulator Training (1:30pm - 5:30pm)

Ultrasound Regional Anesthesia Workshop (8am - 12pm)

Ultrasound Regional Anesthesia Workshop (1pm - 5pm)

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Objectives:
Upon completion of the educational activity participants should be able to:

  • Understand the mechanism of action, and evidence-based use of non-narcotic analgesics;
  • Discuss use of incisional catheters/local anesthetics for post-op pain. Increase skill level in the performance of standard regional blocks with ultrasound guidance;
  • Update on the most recent evidence regarding massive transfusion protocols and describe the misuses and uncertain benefit of recombinant factor VIIa;
  • Understand the medicolegal issues associated with pre-op pregnancy testing and existing data on teratogenic effects of anesthestic agents;
  • Understand the anesthetic risks and benefits for pregnant patients undergoing non-obstetric surgery, including cardiac and neurosurgical procedures;
  • Update on newly evolving facts related to post-discharge nausea and vomiting with emphasis on Emend, a new NKI receptor antagonist;
  • Review risks, benefits, and controversies surrounding several drugs introduced into clinical practice over the last few years including methylnaltrexone, gadolinium, clevidipine, and infliximab;
  • Be familiar with the current functional characteristics and practice guidelines of commonly used internal defibrillators and pacemakers;
  • Describe the role that closed loop anesthesia delivery may play in anesthesia care and why anesthesiologists cannot be replaced by robots;
  • Discuss the perioperative management of videoscopic assisted thoracoscopy, an increasingly common procedure in community hospitals, from both anesthesia and surgical standpoints;
  • Update on insulin management for IDDM patients, with specific goals of avoiding DKA and hypoglycemia;
  • Discuss current social issues affecting the practice of anesthesia including: prevalence and management of PTSD, environmental sustainability of energy and equipment use patterns in operating room settings;
  • Discuss and debate the risks and benefits of perioperative beta blockade in the light of recent clinical trials;
  • Understand the theoretical basis and practical applications of intralipid infusions for treatment of systemic anesthesia toxicity;
  • Discuss the evidence-based practice on the use of ultrasound for vascular access and diagnosing hypotension;
  • Compare fiberoptic laryngoscopy techniques and equipment; better recognize options for difficult airways situations;
  • Complete OR tasks with better body ergonomics;
  • Discuss the controversy surrounding benefit of EEG depth of anesthesia monitoring and spinal neuromonitoring;
  • Define professional and unprofessional behaviors and learn simple techniques to deal successfully with difficult situations and/or individuals.

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Accreditation:
The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

UCSF designates this educational activity for a maximum of 17.0 AMA PRA Category 1 Credit(s)TM. Anesthesia Simulator Training Workshop (MAN1001A/B), for a maximum of 4 AMA PRA Category 1 Credit(s)TM , Hands-On Difficult Airway Management Workshop (MAN1001C) for a maximum of 8 AMA PRA Category 1 Credit(s)TM and the Ultrasound Regional Anesthesia Workshop (MAN1001D/E), for a maximum of 4.5 AMA PRA Category 1 Credit(s)TM.

Physicians should only claim credit commensurate with the extent of their participation in the activity.

This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency.

The American Association of Nurse Anesthetists,(AANA) for the Changing Practice of Anesthesia (MAN10001) has approved this course for 16 CE credits (AANA Code #31872, Expiration Date 9/13/09). The American Association of Nurse Anesthetists,(AANA) for the Anesthesia Simulator Training Workshop(s) (MAN1001A/B) has approved this course for 4 CE credits (AANA Code #31874, Expiration Date 9/10/09). The American Association of Nurse Anesthetists,(AANA) for the Ultrasound Regional Anesthesia Workshop(s) (MAN1001D/E) has approved this course for 4 CE credits (AANA Code #31873, Expiration Date 9/10/09).

For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA category 1 credit issued by organizations accredited by the ACCME.

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Course Outline:
FRIDAY – SEPTEMBER 11, 2009
7:00am Registration and Breakfast

8:00 Welcome and Announcements

REGIONAL BLOCKS AND ACUTE PAIN MANAGEMENT
Moderator: Daniel Burkhardt

8:05 Non-opioid Analgesics for Perioperative Management
Mark Schumacher

8:30 Ultrasound Guidance of Peripheral Nerve Catheter Placement
Francis Salinas

8:55 Catheters for Regional Blocks: Transitioning to Home
Francis Salinas, Daniel Burkhardt

9:20 DISCUSSION

TRANSFUSION CONTROVERSIES
Moderator: Elizabeth A. Donegan

9:35 A New Standard of Care in Massive Transfusion
Eric Lin

10:00 The Misuse of Factor VII
Elizabeth A. Donegan

10:25 DISCUSSION

10:35 BREAK

THE PREGNANT PATIENT
Moderator: Mark Rollins

11:00 Pre-op Pregnancy Testing
Ryan Bradley

11:15 Anesthetic Considerations for Non-Obstetric Surgery during Pregnancy 
Mark Rollins

11:40 Neurologic Complications in Obstetrics
Pedram Aleshi

12: 05 DISCUSSION

12:15pm LUNCH {on your own}

POST-OPERATIVE NAUSEA AND VOMITING
Moderator: Alicia Kalamas

1:45 Emend: Expanding the Armamentarium for PONV
Alicia Kalamas

2:00 Preventing and Treating Post-Discharge Nausea and Vomiting
Christian Apfel

2:30 DISCUSSION

A SURVEY: MEDICATIONS RELEVANT TO ANESTHESIA PRACTICE
Moderator: Alicia Kalamas

2:40 Methylnaltrexone, Gadolinium, TNF Inhibitors, Clevidipine
Matthias Behrends, Alicia Kalamas

3:25 BREAK

PACEMAKER/ICDS
3:45 Internal Defibrillators & Pacers: Negotiating An Evolving Landscape
Lydia Cassorla

MCSLEEPY: A SAFE AND APPROPRIATE DIRECTION FOR THE FUTURE?
Moderator: Martin Bogetz

4:30 DISCUSSANTS
Pro: Manuel Pardo
Con: Merlin Larson

5:00 ADJOURN

5:15 WINE TASTING RECEPTION

SATURDAY – SEPTEMBER 12, 2009
7:00am Registration and Breakfast

8:00 Annoucements

PEDIATRIC ANESTHESIA
Moderator: Laura Siedman

8:05 The Pediatric Obesity Epidemic: Anesthetic Implications
David Robinowitz

8:30 Patient Selection: Not in My Ambulatory Center!
Laura Siedman

8:50 DISCUSSION

THORACIC ANESTHESIA: VATS
Moderator: Cheng Quah

9:00 Minimally Invasive Thoracic Surgery: The Surgical Perspective
Jasleen Kukreja

9:25 Anesthetic Management of VATs versus Thoracotomy
Cheng Quah

9:50 DISCUSSION

10:05 BREAK

MANAGEMENT OF THE INSULIN DEPENDENT DIABETIC
Moderator: Kathryn Rouine-Rapp

10:25 Current Issues in Type 1 Diabetes Management
Robert Rushakoff

10:50 Intra-operative Management: Avoiding DKA
Kathryn Rouine-Rapp

11:15 DISCUSSION

POST-TRAUMATIC STRESS DISORDER
Moderator: Marek Brzezinski

11:30 PTSD - Stress Disorder: Assessment, Diagnosis, and Treatment
Thomas Neylan

11:50 Perioperative Considerations in Patients with Posttraumatic Stress Disorder
Marek Brzezinski

12:15pm DISCUSSION

12:30 LUNCH {on your own}

PERIOPERATIVE BETA-BLOCKADE: LIBERAL USE SAVES LIVES
Moderator: Kathryn Rouine-Rapp

2:00 DISCUSSANTS
Pro: Arthur Wallace
Con: Martin London

2:30 Détente: Can We Agree on a Beta-Blocker Practice?
Kathryn Rouine-Rapp

ENVIRONMENTAL PRACTICES
2:45 “Out of Sight, Out of Mind? Talking Trash in the Era of Sustainability”
Spencer Yost

3:15 BREAK

RESCUE FROM DISASTER Anesthesia and Society
Moderator: John Taylor

3:35 Intralipid Resuscitation for Systemic Anesthetic Toxicity
Kenneth Drasner

4:05 Hypotension in the PACU: Ultrasound Diagnostic Assistance
John Taylor

4:25 Case Management: Perioperative EKGs- When to Worry
Robin Shaw, John Taylor

5:00 ADJOURN

SUNDAY – SEPTEMBER 13, 2009
7:00am Registration and Breakfast

8:00 {Participants may attend one workshop}
1. Difficult Cases in Regional Anesthesia
Philip Bickler, Adam Collins,Warren McKay

2. When Tempers Flare: Professionalism in the OR
Marek Brzezinski, Martin Bogetz

3. Better Body Mechanics for Anesthesia Providers
Kristine Humphrey, Donald Taylor

4. Difficult Airway Cart & Equipment - A Case Based Approach
Patricia Roth

5. New/Established Monitoring: Effective Use and Interpretation
Lundy Campbell, Pekka Talke

9:45 BREAK

10:15 {Participants may attend one workshop}
1. Difficult Cases in Regional Anesthesia
Philip Bickler, Adam Collins,Warren McKay

2. Pediatric Cases
Claire Brett, Maurice Zwass

3. Better Body Mechanics for Anesthesia Providers
Kristine Humphrey, Donald Taylor

4. Difficult Airway Cart & Equipment - A Case Based Approach
Patricia Roth

5. New/Established Monitoring: Effective Use and Interpretation
Lundy Campbell, Pekka Talke

12:00pm EVALUATIONS AND ADJOURN

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Chairs:
Susan M. Ryan, MD, PhD
Clinical Professor
Conference Program Director

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Faculty:
Pedram Aleshi, MD
Assistant Clinical Professor

Christian C. Apfel, MD, PhD
Associate Professor in Residence

Matthias Behrends, MD
Assistant Professor In Residence

Philip Bickler, MD, PhD
Professor

Martin S. Bogetz, MD
Professor of Clinical Anesthesia

Ryan J. Bradley, MD
Clinical Instructor

Marek Brzezinski, MD, PhD
Assistant Clinical Professor

Claire M. Brett, MD
Professor of Clinical Anesthesia

Daniel H. Burkhardt, MD
Associate Professor of Clinical Anesthesia

Lundy Campbell, MD
Assistant Clinical Professor

Lydia Cassorla, MD, MBA
Clinical Professor

Adam B. Collins, MD
Associate Professor of Clinical Anesthesia

Elizabeth A. Donegan, MD
Associate Clinical Professor

Kenneth Drasner, MD
Professor of Clinical Anesthesia

Andrew T. Gray, MD, PhD
Professor of Clinical Anesthesia

Alicia Gruber Kalamas, MD
Assistant Clinical Professor

Jasleen Kukreja, MD, MPH
Assistant Professor of Surgery

Merlin D. Larson, MD
Professor of Clinical Anesthesia

Eric Y. Lin, MD
Assistant Clinical Professor

Martin J. London, MD
Professor of Clinical Anesthesia

Warren R. McKay, MD
Clinical Professor

Thomas C. Neylan, MD
Associate Professor in Residence
Department of Psychiatry, Director PTSD Program

Manuel C. Pardo, MD
Professor of Clinical Anesthesia

Cheng S. Quah, MD
Assistant Clinical Professor

David Robinowitz, MD
Assistant Professor of Clinical Anesthesia

Mark D. Rollins, MD, PhD
Assistant Professor in Residence

Patricia A. Roth, MD
Associate Clinical Professor

Kathryn Rouine-Rapp, MD
Professor of Clinical Anesthesia
Medical Director, Mt. Zion and Parnassus Prepare

Robert J. Rushakoff, MD
Clinical Professor of Medicine

Susan M. Ryan, MD, PhD
Clinical Professor
Conference Program Director

Francis V. Salinas, MD
Staff Anesthesiologist
Virginia Mason Medical Center

Mark A. Schumacher, MD, PhD
Associate Professor

Robin M. Shaw, MD, PhD
Assistant Professor of Medicine/Cardiology
Investigator, Cardiovascular Research Institute

Laura Siedman, MD
Clinical Professor of Anesthesia

Robin Stackhouse, MD
Clinical Professor of Anesthesia

Pekka Talke, MD
Professor in Residence

John M. Taylor, MD
Assistant Clinical Professor

Donald M. Taylor, MD, PhD
Assistant Professor in Residence

Art W.Wallace, MD, PhD
Professor in Residence

Spencer Yost, MD
Professor

Kristine Watson, MPT
Physical Therapist
John Muir Health
Walnut Creek Campus

Maurice Zwass, MD
Professor of Anesthesia and Pediatric

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Travel & Lodging:
Hotel Nikko
222 Mason Street
San Francisco, CA 94102
www.hotelnikkosf.com

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Cancellation Policy:
Cancellations received in writing on or before first day of course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date.

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