If you cannot meet us in New Orleans, the Virtual Experience is an excellent opportunity to access a small, curated selection of educational programming and earn CME. View the catalog below of live-streamed and pre-recorded sessions available for one year to ANESTHESIOLOGY 2022 Full Experience or Virtual Experience registrants. Content will be available in the ASA Education Center beginning on Saturday, October 22 at 7:00 a.m. CT.
The American Society of Anesthesiologists (ASA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Society of Anesthesiologists designates this enduring activity for a maximum of 43.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
| Time (CT) | Session | Speaker |
| 7:30 - 8:30 a.m. | PN102 - Get with the Guidelines! Pearls From Recent Publications to Improve the Practice of Cardiac Surgery | Jacob Raphael, MD, Linda Shore-Lesserson, MD, Nicole R. Guinn, MD, Amanda A. Fox, MD, Michael C. Grant, MD |
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| 8:45 - 10 a.m. | SPE01 – Opening Session: AI For the Sake of Humanity - Jekyll Vs. Hyde | Mick Ebeling | |
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| 10:15 - 11:15 a.m. | SPE04 – Society for Airway Management Ovassapian Lecture: ASA Difficult Airway Guidelines | 2022 Update | Carin A. Hagberg, MD, F |
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| 1:15 - 2:15 p.m. | SPE05 - APSF Panel: Challenges in Non-Operating Room Anesthesia | Emily Methangkool, MD, Richard D. Urman, MD, MBA, FASA, Elizabeth Rebello, MD, FASA, Grant C. Lynde, MD, MBA |
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| 2:30 - 3:30 p.m. | SPE08 - ELLISON PIERCE: Racial and Ethnic Disparities in Perioperative | Karen Domino, MD, MPH |
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| 3:45 - 4:45 p.m. | PN118 - Every Drop of Blood Counts. 2022 Editors' Picks for Patient Blood Management Articles That Will Help You Do This | David Faraoni, MD, PHD, Gee M. Tan, BS, MB, Susan Goobie, MD, FRCPC, Jonathan H. Waters, MD, Kenichi Tanaka, MD, MSC |
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| 7:30 - 8:30 a.m. | ST219 - Our Favorite Papers of the Year: How Will They Affect Your Practice? | Brittney Williams, MD, Jonathan H. Chow, MD, Reney A. Henderson, MD, Nandini C. Palaniappa, MD |
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| Time (CT) | Session | Speaker |
| 8:45 - 9:45 a.m. | PC201 - Narcotic Free Anesthesia Should Be the Gold Standard for Ambulatory and Office Based Anesthesia. | Keira P. Mason, MD, Talmage D. Egan, MD, FASA, Steven L. Shafer, MD, FASA |
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| 10:15 - 11:15 a.m. | PN207 - ASRA Practice Advisories: Review and Update. | Terese T. Horlocker, MD, Joseph M. Neal, MD, Adam Niesen, MD, FASA, Michael R. Fettiplace, MD, PHD |
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| Time (CT) | Session | Speaker |
| 1:15 - 2:15 p.m. | SPE10 - FAER Helrich Lecture: The Central Importance of Patient Centeredness in Perioperative Research. | Michael S. Avidan, MBBCh, FCA SA |
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| 2:30 - 3:30 p.m. | PN239 – When 1+1 Can Equal 3; How ASA and ACS Can Work Together to Address Our Challenges with Medicare and Private Pay | Randall M. Clark, MD, FASA, Michael W. Champeau, MD, FASA, Jonathan S. Gal, MD, MBA, MS, FASA |
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| 8 - 9 a.m. | SPE02 - Emery A. Rovenstine Memorial Lecture: Demonstrating ASA’s Leadership by Enhancing Our Relationships: How We Can Do DEI Better | Claude Brunson, MD, FASA |
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| 9:30 – 11 a.m. | SPE19 - IARS Special Science Symposium | George Mashour, MD, PHD, Phillip Vlisides, MD, Robert Sanders, MB, BS, BSc, PHD, FRCA, Beverley A. Orser, MD, PHD, FRCPC, Vivianne Tawfik, MD, PHD |
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| Time (CT) | Session | Speaker |
| 1:15 - 2:15 p.m. | PC302 - Procedural Sedation in Critical Care: Treading on Thin Ice? | Craig S. Jabaley, MD, Anahat Dhillon, MD, Grant C. Lynde, MD, MBA |
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| 2:30 - 3:30 p.m. | ST308 - Complicated Cardiac Patients Presenting for Noncardiac Surgery – How to Manage Them and Who is to Manage Them | Miklos D. Kertai, MD, PHD, Ellen W. Richter, MD, Jochen Steppan, MD, FASA, Albert H. Tsai, MD, Jenny Kwak, MD, FASA |
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| 3:45 - 4:45 p.m. | PN323 - Perioperative hemostasis: Challenging Paradigms | Brigid C. Flynn, MD, Alisha Bhatia, MD, Natalia S. Ivascu, MD, Amit Prabhakar, MD |
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| 7:30 – 8:30 a.m. | PN404 - Global Anesthesia: Crisis and Solutions. | Kelly McQueen, MD, MPH, FASA, Faye M. Evans, MD, Ana Maria Crawford, MD, MSC, FASA, Elizabeth T. Drum, MD, FASA, Deborah Rusy, MD, MBA, FASA |
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| 8:45 – 9:45 a.m. | PN406 - Essential OB Practice Updates from National Committees: Monitoring Requirements, Healthcare Disparities, and Cannabis Use | Mark I. Zakowski, MD, FASA, Mark D. Rollins, MD, PHD, Paloma Toledo, MD, MPH |
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| Time (CT) | Session | Speaker |
| 10 - 11 a.m. | CF402 - Heart Failure with Reduced Ejection Fraction: Update on Newer Therapies and Perioperative Management. | Sujatha P. Bhandary, MD, FASA, FASE, Ellen W. Richter, MD, Adam A. Dalia, MD, MBA, Amanda M. Kleiman, MD |
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| 11 a.m. - noon | SPE03 - Severinghaus Lecture: Local Anesthetic Systemic Toxicity - A Path to Innovation and Discovery. | Guy L. Weinberg, MD |
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| 12:15 - 1:15 p.m. | ST421 - What Frightens me in the Operating Room | Gebhard Wagener, MD, Erica D. Wittwer, MD, PHD, Jessica L. Spellman, MD, FASE, Samuel D. Gilliland, MD, Sarah M. Alber, MD, Martin Krause, MD |
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| 1:30 – 2:30 p.m. | PN424 - Rethinking the Use of Steroids for Interventional Pain Procedures. | Honorio T. Benzon, MD, FACA, Tina L. Doshi, MD, MHS, Ariana M. Nelson, MD, Dalia H. Elmofty, MD, FASA |
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Dalia Elmofty, MD, FASA, Lynn Kohan, MD, Stephen Estime, MD Amber Brooks, MD, Alina Lazar, MD
Implicit bias is an unconsciously held set of associations about social groups. Anesthesiologists and pain physicians are not immune from implicit bias. Several factors may contribute to disparities in management. Understanding how these factors influence the field of anesthesiology and effective pain management among racial and ethnic minority populations is essential for developing tailored interventions designed to eliminate disparities.
Alopi Patel, MD, Shaina Drummond, MD, FASA, Meera Kirpekar, MD, Elizabeth Malinzak, MD, FASA, Barbara Orlando, MD, Melissa Kreso, MD, FASA
We will address women's health issues during a woman's life cycle as an anesthesiologist. 1) Occupational hazards: Discuss the risks of ionizing radiation, anesthetic vapors, cement fumes. Review how to protect ourselves in the work setting. 2) Fertility and pregnancy: Acknowledge infertility issues in physicians. For pregnancy and postpartum, there are accommodations that can help women cope and return to work. 3) Breastfeeding: Address US labor laws and how they are not translated effectively into the healthcare setting. Provide examples of how practices can implement lactation policies.4) Menopause: There are many physiological changes that occur during menopause. Employers must acknowledge and support women with workplace modifications if needed. 5) Stress and harassment: Address sexual harassment and other stressors that women face that can disrupt their well-being and productivity. Acknowledge ways employers can support women on these issues in the workplace.
Lynn Correll, MD, PHD, Meghan Bernier, MD, Kim Strupp, MD, Rita Saynhalath, MD, Ethan Sanford, MD
This panel will discuss the impact of the COVID-19 pandemic on the anesthetic and critical care of pediatric patients. We will delve into our understanding of how various mitigation strategies help with preventing infections, what happens when children do get infected or develop MIS-C and require PICU care, whether vaccination during an anesthetic is feasible and helpful, and the specifics risks and outcomes for pediatric patients undergoing an anesthetic proximal to COVID 19 infection. We will bring together pediatric anesthesiologists and pediatric critical care specialists to present a well-rounded set of perspectives on this disease and issues specific to pediatric patients.
Shobana Rajan, MD, FASA, Letha Mathews, MD FCAI, David Edwards, MD PHD
Anesthesiologists are trained to alleviate pain during surgery to ensure comfort and minimize harmful effects resulting from uncontrolled pain. Opioids are the mainstay of treatment for most post-surgical pain. However, the use of opioids during surgery have contributed to opioid dependence and harm to the individual patient and society at large. The rising numbers of deaths related to opioid overdose underline the historic over-reliance on this class of medications and the need for alternatives. Opioid-free major surgery is a laudable goal. Are we sparing patients from opioid related adverse effects like addiction and overdose, or are patients suffering in pain and at risk of long-term psychological trauma? During this session we will debate the advantages and disadvantages of opioid-free/opioid-sparing anesthesia.
Rohesh Fernando, MD, FASE, Theresa Gelzinis, MD, Ronak Shah, MD
The likelihood that a practicing anesthesiologist will not take care of a patient with a cardiovascular implantable electronic device is low. But these devices, such as transvenous pacemakers and implantable cardioverter-defibrillators, can complicate the perioperative management of patients. Recognizing the nuances that accompany different device types, device manufacturers, and device programming/conditions can allow anesthesiologists to anticipate and avoid common pitfalls. This clinical forum will utilize a case-based approach to review management of transvenous pacemakers, transvenous ICDs, and nontraditional devices such as leadless pacemakers and underbody electrosurgery dispersive electrodes.
Girish Joshi, MD, MB, BS, FCAI, FASA, Jeff Gadsden, MD, FANZCA, Sakura Kinjo, MD, Jinlei Li, MD, FASA, PHD, Nabil Elkassabany, MD
This pro-con session will debate the best available evidence for the "Best type of anesthesia for ambulatory TKA.” The speakers will also discuss the role of peripheral nerve blocks in multimodal analgesia protocols for the same procedure.
Eman Nada, MD, PHD, H. David Hardman, MD, MBA, FASA, Magdalena Anitescu, MD, FASA, Sanjib Adhikary, MD
Although neurologic injury after regional anesthesia is rare, its medicolegal implications can be significant. In this forum, we present three cases of neurologic complications. We will discuss the risk factors, some safety tips, and the action plan (including diagnostic tests, treatments, and communication styles) when the cause of injury can be shared between the anesthesiologist and the surgeon. Further, we will discuss the medicolegal implications of such an outcome, the standard of care, and the minimum documentation needed.
John Sullivan, MD, MBA, Mohammed Minhaj, MD, MBA, FASA, FACHE, Saadia Sherwani, MD, Aalok Agarwala, MD, MBA, FASA
It has been reported by the Harvard Business Review and others that the best hospitals are led by physicians. Anesthesiologists are naturally suited to manage the administrative aspects of a healthcare organization given their roles collaborating with different services (surgical and medical), nursing, administration, and patients. Additionally, understanding the nuances of managing the ORs, ICUs, and pain clinics provides anesthesiologists a broad, comprehensive appreciation for how resource intensive areas (e.g., OR/ICU) that are economic engines also play key roles in driving safety and efficiency gains for a hospital system. Many anesthesiologists are interested in assuming larger administrative roles locally and regionally. The speakers will share their perspectives on how they crossed the bridge to being mainly administrative, lessons they learned along the way, and importantly what advice they would give to others who are interested in making such a transition.
Eric Schwenk, MD, FASA, Sanjay Sinha, MD, Nikkole Haines, MD
Lecture 1 – In this lecture an expert anesthesiologist with relevant publications will discuss the evolving evidence for and against same-day joint replacement, including overall outcomes of same-day versus traditional TJA and common reasons why patients fail to meet criteria with focus on changes in health care.
Lecture 2 – In this lecture an experienced orthopedic surgeon will discuss how to make same-day discharge successful and will outline common reasons programs fail. She will also touch on her preferred anesthesia technique and how to approach pre-op office visits.
Lecture 3 – In this lecture an anesthesiologist from a busy private practice will share his extensive experience and present evidence showing benefits and risks of both neuraxial and general anesthesia for same-day arthroplasty. He has experience with both types of anesthesia for SDD for 10+ years.
Elizabeth Lange, MD, Michaela Farber, MD, MS, David Arnolds, MD, Alexander Butwick, FRCA, MBBS, MS
Postpartum hemorrhage remains a leading cause of maternal morbidity and mortality. Despite advances in pharmacologic adjuvants, laboratory testing, and transfusion strategy, many controversies remain in the management of postpartum hemorrhage. Ideal management of postpartum hemorrhage varies based on the resources available to clinicians. This panel will discuss advances and debates surrounding the management of the parturient with postpartum hemorrhage including the role of tranexamic acid and uterotonic dosing, the use of point of care coagulation testing, and early fibrinogen replacement.
Yi Deng, MD, Milad Sharifpour, MD, MS, Venkat Mangunta, MD, Megan Kostibas, MD
This snap-talk panel with four cardiac/ICU trained anesthesiologists will cover how we intraoperatively manage patients with difficult ventilation issues. Using both evidence-based practice and our collective knowledge and experience working in ICUs, we would like to share our experiences on specific aspects of management that may not be familiar to general anesthesiologists in a private or even academic setting. The four areas we would like to address are: patients with difficult ventilation because of intrinsic lung pathology; morbidly obese patients and the utilization of PEEP titration/driving pressure; recognition and correction of patient ventilator dyssynchrony issues; and finally optimal ventilation for patients with mechanical circulatory devices such as veno-venous ECMO.
Talia Ben-Jacob, MD, Sara Nikravan, MD, Timothy Tran, MD, Nibras Bughrara, MB, CHB, FASA, Bradley Coker, MD, Christopher Choi, MD
Point of care ultrasound is now an ACGME residency requirement. However, it is a new area of practice for many residency and critical care trainees and attending anesthesiologists. Incorporating ultrasound learning requires new paradigms of education and integration into clinical care. Barriers include faculty expertise, infrastructure, educational time, and quality assurance. These panelists will discuss the ACGME requirements, why we should use point of care ultrasound, how to get “certified” to use POCUS, and how to use and bill POCUS in daily practice.
Craig Jabaley, MD, Kunal Karamchandani, MD, Mary Jarzebowski, MD, Sheila Myatra, MD
Tracheal intubation in critically ill patients requires meticulous planning and preparation, as well as optimization of each patient’s physiology prior to the procedure. Reducing repeated attempts at tracheal intubation, improving peri-intubation oxygenation, and hemodynamic optimization are some of the steps that can reduce the antecedent morbidity and mortality. The session will discuss the various challenges associated with airway management in critically ill patients, provide evidence-based recommendations on various aspects of airway management with special emphasis on respiratory and hemodynamic optimization.
Avery Tung, MD, FCCM, Shahla Siddiqui, MBBS, MSC, DABA, FCCM, George Williams, MD, FCCM, FCCP, FASA, Roshni Sreedharan, MD, FASA, David Stahl, MD
The pandemic has shown the world the resilience and fortitude of healthcare professionals, especially anesthesia-trained intensivists, but also the deep divides that exist in CCM which lead to burnout, misogyny, and micro-aggressions. This is leading to a large-scale attrition.
Michael Nurok, MBCHB, PHD, FCCM, Emily Vail, MD, MSC, Vikram Fielding-Singh, MD, JD, Michael O'Connor, MD, FCCM
The quality of anesthesia and critical care delivery has improved greatly over time. This presentation will assess the contribution of clinical trials and other forms of knowledge acquisition to advances in our field. Speakers will discuss negative clinical trials, low technology interventions, and the current and future ability of artificial intelligence to change practice.
Amit Prabhakar, MD, Joy Chen, MD, Mark Caridi-Scheible, MD, Julie Williamson, DO
Advancements in therapeutic modalities have helped to improve survival rates of COVID-19 in many western countries. However, while patients may have a better chance of surviving the acute viral illness, survival does not necessarily mean patients will be spared from long-term and clinically meaningful sequelae. Clinical manifestations of post-COVID-19 pathology often mimic those of chronic critical illness with wide ranging systemic effects. As many of these patients will need a surgery or procedure, anesthesiologists need to be cognizant of the systemic long-term perioperative implications of COVID-19 for both adult and pediatric patient populations. This panel discussion will also review the relevant pathophysiologic processes that result in these clinical manifestations. At the conclusion of the discussion, we will present evidence-based strategies focusing on measures anesthesiologists can take for perioperative optimization of this unique patient population.
Christina Diaz, MD, FASA, FAAP, Debnath Chatterjee, MD, FASA, Zhe Chen, MD, Stephen Weston, MD
This panel will examine four common pediatric problems that, when not managed appropriately, can lead to disastrous consequences. The panel will examine the urgency and consequences of button battery ingestion and describe the anesthesia considerations. A review of pediatric pulmonary hypertension, the cardiovascular sequelae, and anesthetic implications will be discussed with the goal of optimizing your patient’s care. The panel will also discuss the unexpected presentation of a mediastinal mass, necessary physiological considerations, and the anesthetic management goals. And finally, the panel will review the common phenomena of pediatric airway foreign body and resulting airway considerations, anesthetic goals, and describe the vital need for excellent communication between care provider teams.
Tracey Straker, MD, MPH, MS, FASA, Elizabeth Malinzak, MD, FASA, Isabel Pesola, MD
Imposter syndrome, also called perceived fraudulence, involves feelings of self-doubt and personal incompetence that persist despite your education, experience, and accomplishments. Imposter syndrome strikes at all levels of the academic trajectory. Its influence is widespread, and it is responsible for the immobilization of talented individuals in their careers. This panel alerts you to this quiet saboteur and arms you with practical strategies for mitigation. Implementation of these strategies will aid you in empowering yourself and moving forward in your pathway.
Craig Jabaley, MD, S. Veena Satyapriya, MD, Milad Sharifpour, MD, MS
Chronic comorbid disease, acute pathology, and operative factors may all conspire to produce intraoperative hypoxemia. When typical interventions fall short, advanced approaches are required. However, there are numerous technological, contextual, and cognitive barriers to employing such interventions intraoperatively. This panel discussion will focus on optimizing positive end-expiratory pressure, employing unconventional modes of mechanical ventilation, and the role of adjunctive therapies. Relevant evidence-based literature is reviewed with the goal of synthesizing practical approaches to challenging intraoperative scenarios.
Christopher Malgieri, MD, Matthew Dellaquila, MD, FASA, MBA, Shyamal Asher, MD, MBA, Lindsey Rutland, MD, Chelsea Casey, MD
A panel discussion focusing on the important financial decisions that challenge young anesthesiologists. 1) Options for the young physician with significant student debt. 2) When should a young physician start to save for retirement? 3) How do I protect my most important asset—myself? 4) Avoiding financial pitfalls with budgeting and tackling debt. 5) How to choose the perfect financial advisor.
