CRASH 2007 Educational Objectives

Sunday | Monday | Tuesday | Wednesday | Thursday | Friday

Sunday – February 25   (top)

What's New in OB Anesthesia?
Joy Hawkins, MD
3:30 – 4:30p.m.
Objectives: The optimal treatment of laboring women is continually changing. The policies regarding obstetrician and other care providers’ availability effect how treatment is delivered. New research supports or refutes commonly accepted approaches to labor epidurals. Dr. Hawkins is a nationally respected and recognized expert in both OB anesthesia research and policies as former president of the Society of Obstetric Anesthesia and Perinatology.
Upon completion of this lecture, participants should be able to discuss:

How emerging research is changed clinical practice in obstetric anesthesia,
New developments in policies and procedures, labor analgesia and cesarean anesthesia,
Emerging knowledge in obstetrics and anesthetic complications, and care of the fetus and newborn.

Updates on Postoperative Analgesia and Outcomes
Spencer Liu, MD
4:30 – 5:30p.m.
Objectives: Post-operative pain can have many deleterious effects on patient’s recovery. Often the modalities that anesthesia care providers use to treat pain can have harmful side effects of their own. A national expert on regional anesthesia and pain management, Dr Liu will update the audience on the latest developments and research on Postoperative analgesia and outcomes.
At the end of this lecture, the participant should be able to discuss:

Pathophysiology of acute post-operative pain,
Current evidence for ability of post-operative analgesia to affect outcomes
Future directions.

Question and Answer Session

Hawkins, MD and Liu, MD
5:30 – 6:00p.m.

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Monday – February 25   (top)

Ultrasound Guided Regional Anesthesia and Analgesia
Spencer Liu, MD
7:00 - 8:00a.m.
Objectives: The advent of ultrasound technology for placement of nerve blocks has revolutionized the regional anesthesia. Dr Liu will review the efficacy of this technology and provide tips for improving success.
At the end of this lecture the participant should be able to:

Review efficacy of ultrasound guided regional anesthesia and analgesia,
Review safety of ultrasound guided regional anesthesia and analgesia,
Review new developments in ultrasound guided regional anesthesia and analgesia

What's Changing in Obstetric Anesthesia Practice?
Joy Hawkins, MD
8:00 – 9:00a.m.
Objectives:
Upon completion of this lecture, participants should be able to:

1 Discuss how emerging research is changing clinical practice in obstetric anesthesia,

2. Identify which long-held teachings in the areas of prevention and management of complications are being overturned,

3. Define the effects of newer analgesic techniques and medications on the parturient, fetus and newborn.

Question and Answer Session

Liu, MD and Hawkins, MD
9:00 – 9:30a.m.

 

WORKSHOPS

Regional Anesthesia

Sunil Kumar, MD; Ronald F. Valdivieso, MD; John P. Armstrong, MD; Jason Ramirez, MD; and Christopher Ciarallo, MD
4:30 - 7:00p.m.

$50.00

Five 30-minute stations

Must Sign-up

CLASS LIMIT - 50

Objectives: Experts in regional anesthesia will present commonly performed lower extremity upper extremity blocks. A hands-on format using models will be used to facilitate learning. Advantages and risks will be emphasized. Ultrasound and Nerve Stimulator techniques will be demonstrated.
At the end of the workshop, participants should be able to:

• Describe techniques for peripheral nerve blocks at different locations,
• Describe advantages and disadvantages of each approach,
• Describe the local anesthetics and their toxicity,
• Compare the pros and cons of ultrasound and nerve stimulator technology.

Comprehensive Airway Management
Geoffrey Lane, MB; Howard Miller, MD; Daniel J. Janik, MD; David Polaner, MD; and Thomas Henthorn, MD
4:30 - 5:45p.m. & 5:45 - 7:00p.m.

$25.00

Must Sign-up

NO CLASS 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,
3. Review the ASA difficult airway algorithm.

Practical TEE for Anesthesiologists Part 1
Nathaen Weitzel, MD and Tamas Seres, MD
4:30 - 7:00p.m.

$25.00

Must Sign-up

NO CLASS LIMIT

Objectives: Part 1 should focus on the basic 2D and 3D TEE views, the clinical application of ultrasound physics, the role of 3D TEE in clinical practice and the evaluation of systolic function.
At the end of the review, participants should be able to:

1. Describe the generation of TEE views; describe doppler and color echocardiography concepts,
2. Explain the role of 3D TEE in clinical practice,
3. Apply measurements to evaluate systolic function with TEE.

OB Controversies in Anesthesia
Joy Hawkins, MD and Brenda Bucklin, MD
4:30 – 5:45p.m.

FREE

Must Sign-up

NO CLASS LIMIT

Objectives: This round table discussion will focus on several controversies likely to beset the obstetric anesthesia providers. Topics to be 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:

Discuss several controversial topics in obstetrical anesthesia,
Have their questions solicited and answered.

Challenges in Ambulatory Anesthesia
Walter Maurer, MD and Roger Mattison, MD
5:45 - 7:00p.m.

$25.00

Must Sign-up

NO CLASS LIMIT

Objectives: Many types of surgery are performed in outpatient settings. Often the anesthesia care provider is unaware of potential problems until shortly before the procedure is scheduled to start. Two experts in the field of ambulatory anesthesia will lead interactive discussions in a workshop focusing on several difficult scenarios.
At the end of this workshop, the participant should be able to:

1. Review equipment that should be available in all anesthetizing locations,
2. List options for handling challenging cases in ambulatory centers,
3. Describe unexpected roadblocks to patient care .

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Tuesday – February 26  (top)

The OR Pharmacy
Thomas Henthorn, MD
7:00

Objectives: Science and research have advanced drug research and availability. Many bring significant benefits to the patient, especially when used in combination. Dr Henthorn is nationally recognized expert in anesthesia pharmacology and research. He will review new medications, their interactions, advantages and side effects.
At the end of this lecture the participant should be able to discuss:

Better use of co-analgesics in managing postoperative pain,
The potential uses of two new classes of drugs: Suggamadex and peripheral opioid blockers,
Drugs that may reduce the inflammatory response of surgery and, thus, improve perioperative outcomes.

Pediatric Anesthesia in 2008
Rita Agarwal, MD, FAAP
8:00 - 9 :00a.m.
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:

List new techniques for the management of the pediatric patient,
Describe the advantages and disadvantages of the practical clinical tips presented,
Discuss future developments that are still in the research stages.

Question and Answer Session

Henthorn, MD and Agarwal, MD
9:00 - 9:30a.m.

 

WORKSHOPS

Regional Anesthesia
Sunil Kumar, MD; Ronald F. Valdivieso, MD; John P. Armstrong, MD; Jason Ramirez, MD; and Christopher Ciarallo, MD
4:30 - 7:00p.m.

$50.00

Five 30-minute stations

Must Sign-up

CLASS LIMIT - 50

Objectives: Experts in regional anesthesia will present commonly performed lower extremity and upper extremity blocks. A hands-on format using models will be used to facilitate learning. Advantages and risks will be emphasized. Ultrasound and Nerve Stimulator techniques will be demonstrated.
At the end of the workshop, participants should be able to:

Describe techniques for peripheral nerve blocks at different locations,
Describe advantages and disadvantages of each approach,
Describe the local anesthetics and their toxicity,
Compare the pros and cons of ultrasound and nerve stimulator technology.

Comprehensive Airway Management
Geoffrey Lane, MB; Howard Miller, MD; Daniel J. Janik, MD; David Polaner, MD; and Thomas Henthorn, MD
4:30 - 5:45 & 5:45 - 7:00p.m.

$25.00

Must Sign-up

NO CLASS LIMIT

Objectives: This workshop will familiarize participants with 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:

Set up and use the various types of airway equipment available to assist in airway management,
Smoothly manipulate the equipment through mannequins,
Review the ASA difficult airway algorithm

Practical TEE for Anesthesiologists Part 2
Tamas Seres, MD and Fadi Nasrallah, MD
4:30 - 7:00p.m.

$25.00

Must Sign-up

NO CLASS LIMIT

Objectives: Part 2 will focus on the evaluation of diastolic function, the normal anatomy of the mitral valve, and the evaluation of mitral stenosis and regurgitation. Evaluation of the mitral valve with 3D TEE.
At the end of the review, participants should be able to:

Compare the different types of diastolic dysfunction,
Assess the evaluation of mitral valve anatomy and function,
Apply basic hemodynamic measurements and calculations on the mitral valve,
Explain the role of 3D TEE in evaluation of the mitral valve

Pediatric Controversies
Rita Agarwal, MD, FAAP, Randall M. Clark, MD, FAAP
4:30 - 5:45p.m.

Free

Must Sign-up

NO CLASS LIMIT

Objectives: This workshop will review several common controversies in pediatric anesthesia. Drs. Agarwal and Clark, two nationally recognized experts, will lead an interactive session on various topics. Topics may include, but are not limited to, parental presence in the OR, premedication, and pain management.

At the end of the workshop, participants should:

List advantages and disadvantages to parental presence at the time of induction,
Restate several controversies in pediatric anesthesia,
Describe various approaches to common pediatric problem.

Challenges in Ambulatory Anesthesia
Walter Maurer, MD and Roger Mattison, MD
5:45 - 7:00p.m.

$25.00

Must Sign-up

NO CLASS LIMIT

Objectives: Many types of surgery are performed in outpatient settings. Often the anesthesia care provider is unaware of potential problems until shortly before the procedure is scheduled to start. Drs. Maurer and Mattison, two experts in the field of ambulatory anesthesia, will lead interactive discussions in a workshop focusing on several difficult scenarios.
At the end of this workshop the participant should be able to:ist advantages and disadvantages to parental presence at the time of induction,

1. Review equipment that should be available in all anesthetizing locations,
2. List options for handling challenging cases in ambulatory centers,
3. Describe unexpected roadblocks to patient care.

 

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Wednesday – February 27   (top)

Neuroanesthesia: Awake Procedures in Neurosurgery
Tod Sloan, MD, PhD, MBA
7:00

Objectives: Planning awake anesthetics in neurosurgical patients can be extremely challenging. Patients need to be comfortable and cooperative. Dr. Sloan, a nationally renown expert, will describe the indications, and potential pitfalls.
At the end of this lecture the participant should be able to:

Discuss anesthesia for deep brain stimulators,
Discuss anesthesia for awake craniotomy for seizure focus near eloquent cortex,
Discuss anesthesia for tumor resection in brain tumors near the motor cortex

Sedation - What’s New for Anesthesiologist & Non-Anesthesiologist?
Walter Maurer, MD
8:00

Objectives: New medications, techniques and rules effect the practice of sedation for both the anesthesia care provider and the non-anesthesia care provider. The most significant of these will be reviewed here.
At the end of this lecture the participant should be able to:

Recognize the role of the non-anesthesia provider in safe sedation practices,
Enumerate the critical issues that must be contained in any facility sedation policy,
List New drugs and devices for sedation..

Question and Answer Session

Sloan, MD and Maurer, MD
9:00 – 9:30a.m.

 

Practical TEE for Anesthesiologists Part 3
Ferenc Puskas, MD, PhD
9:45 - 12:00p.m.

$25.00

Must Sign-up

NO CLASS LIMIT

Objectives: Part 3 will focus on the anatomy of the normal aortic valve, the evaluation of aortic stenosis and regurgitation. Evaluation of the aortic valve with 3D TEE.
At the end of the review, participants should be able to:

Discuss the evaluation of aortic valve anatomy and function,
Apply basic hemodynamic measurements and calculations on the aortic valve,
Explain the role of 3D TEE in evaluation of the aortic valve.

Afternoon Session

Obstetric Emergencies

Propofol Infusion Syndrome in the OR- What Do We Know, Why Does It Happen and When Should I Worry
David Polaner, MD
4:30 pm - 5:15 pm

Objectives: Propofol has many advantages over other similar induction and maintenance agents. Recently, however a disturbing syndrome has been recognized that can be fatal. This syndrome was first recognized in children on long term infusions, but has now been found in adults, and in patients receiving shorter infusions..
At the end of this lecture the participant should be able to:

Recognize the evolution of propofol infusion syndrome, and how it serves as a paradigm for how clinicians and scientists respond to (or deny) newly recognized adverse drug reactions,
Summarize the current thinking of the pathogenesis of the syndrome,
Identify the risk factors and early warning signs of propofol infusion syndrome in the OR,
Illustrate what measures to take if the syndrome develop.

Platelet Function, Coagulation, and the Effects of Cardiopulmonary Bypass
Nathaen Weitzel, MD
5:15 of Life Issues

Objectives: Coagulation dysfunction after cardio-pulmonary bypass continues to be a challenging problem in many patients. New treatment modalities and therapies may ameliorate or prevent the problem,
At the end of this lecture the participant should be able to:

Discuss platelet physiology and platelets role in hemostasis,
Describe the platelets role in the cell-based coagulation theory,
List the effects cardiopulmonary bypass on platelets as well as possible therapeutic modalities to provide platelet protection..

Questions and Answer
Polaner, Weitzel, and Maurer
6:45 – 7:00p.m.

 

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Thursday - February 28   (top)

New Strategies for Ventilation in the OR: Do They Make a Difference
David Polaner, MD
7:00 am - 8:00 am

Objectives: The development of more advanced mechanical ventilators on anesthesia machines has lead to a great many strategies for ventilation, however many do not fully appreciate their capabilities.
At the end of this lecture the participant should be able to:

Discuss the differences between pressure and volume ventilation,
Explain why de-recruitment is a problem; how to recognize it and how to fix it,
Recall why, how and when to use pressure support ventilation in the OR,
Describe the pathophysiology of ventilator induced lung injury- is it an issue in the OR at all,
Summarize the physiology behind low tidal volume ventilation and why it is useful for more than ARDS.

Beta-Blocker Perioperative Prophylaxis
Glenn Gravlee, MD
8:00 - 9:00a.m.

Objectives: Some controversy continues to swirl around the use of peri-operative beta blocker use. Dr. Gravlee, a national expert in the controversy, will discuss the appropriate use and mis-use of these agents in high risk patients.
At the end of this lecture the participant should be able to:

Restate the latest literature pertaining to the use of beta-blockers in the peri-operative period,
Describe critical peri-operative cardiac risk factors,
Distinguish the appropriate patients for beta blocker use in the peri-operative period.

Question and Answer Session

Polaner, MD and Gravlee, MD
9:00 - 9:30a.m.

 

Afternoon Session

Neuroanesthesia: Intracranial Aneurysms and AVMs: IR or OR?
Tod Sloan, MD, PhD, MBA
4:30 - 5:15p.m.

Objectives: Intracranial aneurysms have a high peri-operative morbidity and mortality. Newer techniques with interventional radiology may lower the risk, however often necessitate multiple anesthetics.
At the end of this lecture the participant should be able to discuss:

1. The relative management of patients with intracranial aneurysms in the OR and IR suites,
2. The role of IR embolization in the management of AV malformations of the brain,
3. The management of an intracranial disaster in IR during aneurysm coiling.

Update on Perineural Analgesia
Spencer Liu, MD
5:15 - 6:00pm.

Objectives: Peripheral nerve blocks are increasing in popularity because of evidence of improved outcome and decreased pain after surgery. A national expert in regional anesthesia will present the latest information on perineural blocks.
At the end of this lecture the participant should be able to review:

1. Efficacy and safety of perineural analgesia,
2. Evidence for effects of perineural analgesia on outcomes,
3. New developments in perineural analgesia.

Peri-operative Nerve Damage – Diagnosis, Follow-up, and Prevention
Daniel J. Janik, MD
6:00 – 6:45p.m.

Objectives: Perioperative nerve damage is relatively uncommon, but is becoming one of the most frequent reasons for malpractice suits. The speaker will review common causes, diagnoses and prevention of these often troublesome and rarely, debilitating injuries.
At the end of this lecture the participant should be able to:

1. Recognize how to diagnose a peri-operative nerve injury,
2. Identify the common risk factors,
3. Describe measures that may help prevent this injury from occurring.

 

Question and Answer Session

Sloan, Liu, and Janik
6:45 – 7:00 p.m.

 

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Friday – February 29   (top)

Cardiac Anesthesia Update
Glenn Gravlee, MD
7:00 - 8:00a.m.

Objectives:
At the end of this lecture the participant should be able to:

Describe recent developments in cardiac surgery and their effects on anesthesia care,
Explain recent controversies in prophylactic antifibrinolytic use in cardiac surgery,
Recite recent monitoring controversies in cardiac anesthesia.

Critical Care Updates
Paul Wischmeyer, MD
8:00 - 9:00a.m.

Objectives:A number of significant recent advances in the care of critically ill patients have been made which will help the participant recognize the latest developments and how they have been shown to improve outcomes based on data from randomized controlled clinical trials.
At the end of this lecture the participant will:

Discuss the latest nomenclature and pathophysiology used to describe common pathways of clinical illness and injury, including recent advances in concepts of SIRS, MODS, ARDS, CARS, MARS, and septic shock,
Consider how these recent advances may influence the operating room and anesthetic care of the critically ill patient.

 

Question and Answer Session

Gravlee and Wischmeyer
9:00 – 9:30a.m.