If you cannot meet us in San Francisco, 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 2023 Full Experience or Virtual Experience registrants. Content will be available in the ASA Education Center beginning on Saturday, October 14 at 7:00 a.m. PT.
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.
“Comprehensive educational information and excellent speakers!”
“The content was excellent and the convenience of accessing it was a tremendous plus in promoting my pursuit of continuing education credits.”
“I was unable to attend the meeting in person, but I feel I got a wealth of information from the virtual meeting. The sessions were excellent, clear, and the site was very user friendly.”
“Great way to listen to outstanding speakers when you are unable to be present at the meeting.”
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| 9:15 - 10:15 a.m. | PN108 - From the Old to the New: Fasting Guidelines and Aspiration Risk with Anesthesia | Bryan Chow | |||||||
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| 10:30 - 11:30 a.m. | PN116 – RADAR: Raising Anesthesiology Diversity and Antiracism | Allison Mitchell |
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| 1:15 - 2:15 p.m. | PN120 - To fast or not to fast? New recommendations on preprocedural fasting in patients who receive tube feeding | Alexander Nagrebetsky |
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| 2:30 - 3:30 p.m. | CF103 - Sedation for high risk patients – when anesthesia is the riskiest part of the procedure | Ashley Yager |
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| 3:45 - 4:45 p.m. | SPE11 - Ellison Pierce Lecture: Integrating behavior and technology for anesthesia patient safety | John Eichhorn |
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| 7:45 - 8:45 a.m. | SPE05 - SOAP/Gertie Marx Lecture The Anesthesiologist’s Role on Labor and Delivery | Barbara Scavone |
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| 9 - 10 a.m. | PN208 - Infectious Complications Following Regional Anesthesia and Chronic Pain Procedures: What is new in the ASRA Guidelines | Amy Pearson |
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| 10:15 - 11:15 a.m. | RCL209 - Evidenced Based approach to Regional Anesthesia in Children: Block by Block | Santhanam Suresh |
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| 1:15 - 2:15 p.m. | PN218 - The Top Papers in Obstetric Anesthesia that WILL Change Your Practice | Brenda Bucklin |
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| 2:30 - 3:30 p.m. | RCL214 - Postoperative Delirium: Progress and Puzzles in Clarifying Confusion | Gregory Crosby |
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| 3:45 - 4:45 p.m. | PN229 – Block or General: Thought-Provoking Cases for the Budding Regional Anesthesiologist | Edward Mariano |
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| 7:30 - 8:45 a.m. | SPE02 - Emery A. Rovenstine Memorial Lecture: The Gathering Storm | Daniel I. Sessler, MD |
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| 9 – 10 a.m. | RCL304 - Understanding Medical Accidents | Michael O'Connor |
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| 10:15 – 11:15 a.m. | PN214 - Summary and Key Take-Home Points from the ASRA Pain Medicine Cannabinoid Guidelines | Eric Schwenk |
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Description Members of the ASRA Pain Medicine cannabis guidelines working group will discuss the key take-home points from the recently published guidelines and how to apply them to your practice. Shah S, Schwenk ES, Sondekoppam RV, et al. ASRA Pain Medicine Consensus Guidelines on the management of the perioperative patient on cannabis and cannabinoids. Reg Anesth Pain Med 2022; doi: 10.1136/rapm-2022-104013 |
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| 1:15 - 2:15 p.m. | ST309 - NORA Controversies: Balancing Safety and Feasibility | Audra Webber |
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| 2:30 - 3:30 p.m. | RCL312 - Maternal Morbidity and Mortality – An Anesthesiologist’s Role and Perspective | Rachel Kacmar |
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| 3:45 - 4:45 p.m. | PN235 - Late Breaking No Surprises Act - What's Ahead | Lois Connolly |
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| 7:30 – 8:30 a.m. | SPE03 - Severinghaus Lecture - Perioperative Neurocognitive Disorders: Bench to Bedside | Deborah J. Culley, MD |
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| 8:45 – 9:45 a.m. | PN406 - Wake up and smell the coffee! Exploring the evolving evidence for perioperative caffeine administration | Ken Solt |
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| 10 - 11 a.m. | PN413 - New insights into postoperative delirium - Is it time to change our practice? | Barak Cohen |
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| 11:15 a.m. - 12:15 p.m. | PN417 - Cardiac Secrets for Non-Cardiac Providers – Practical advice from the experts | Douglas Shook |
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| 12:30 - 1:30 p.m. | PN422 - Workplace violence in healthcare: risk factors, repercussions, resources, and mitigation strategies | Barry Swerdlow |
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Vilma A. Joseph, MD, MPH, FASA, Erik B. Smith, MD, Franklin Chiao, MD, FASA, MBA, MSC, MS, Alan P. Marco, MD
This practical case-based discussion will ensure the learner can provide safer care to obstetric patients using modern point-of-care ultrasound techniques. Three cases will be presented and demonstrate how neuraxial, lung, and gastric ultrasound can improve the quality of care provided to parturients on labor and delivery. The panelists will provide discussions that are broadly applicable to a variety of practice scenarios and available equipment.
David L. Stahl, MD, Cristian Arzola, MD, MSC, Kaitlyn A. Brennan, DO, MPH, Jacqueline M. Galvan, MD
This practical case-based discussion will ensure the learner can provide safer care to obstetric patients using modern point-of-care ultrasound techniques. Three cases will be presented and demonstrate how neuraxial, lung, and gastric ultrasound can improve the quality of care provided to parturients on labor and delivery. The panelists will provide discussions that are broadly applicable to a variety of practice scenarios and available equipment.
Michael F. O'Connor, MD, FCCM, FASA, Kunal Karamchandani, MD, Talia K. Ben-Jacob, MD
This session will examine the risks and benefits of central vs peripheral venous access for administration of vasopressors. This session will review and synthesize the literature about this controversy, and will be given by experts with substantial clinical experience using both kinds of venous access.
Keith Ruskin, MD, FASA, Monica W. Harbell, MD, FASA, Anna Clebone, MD, Mark E. Nunnally, MD, FCCM, Michael F. O'Connor, MD, FCCM, FASA,
Anesthesiologists have made remarkable contributions to patient safety over the past half century. Our specialty introduced the concepts of safety science into medical practice, but we have yet to implement many advanced safety concepts in common use by other high-reliability organizations. In our dynamic practice environment, opportunities for improvement include safety culture, cognitive aids, automation surprises, and communication. We now rely on complex, automated medical devices to care for our patients, highlighting the need for managing system failures and automation surprises. Accurate communication, safety culture, and implementation of cognitive aids can all improve patient safety. This panel will outline the intellectual contributions of anesthesiologists and other safety professionals. It will examine future directions for research and implementation, including safety culture, use of cognitive aids, automation surprises, communication, and decision making.
McKenzie M. Hollon, MD, FASE
This session aims to expose learners to both sides of the argument for incorporation of POCUS into general anesthetic practice. With a rapid growth in technology of portable, affordable, high quality ultrasounds, anesthesiologists are increasingly incorporating point of care ultrasound into practice in a variety of settings. However, there remains wide variability in training and utilization of POCUS within our specialty. There has been a continuous stream of literature supporting the diagnostic power of POCUS and its potential perioperative value, leading many to believe it has an important role in the perioperative arena. However, in modern medical practice, diagnostic imaging is held to a high standard and there must be caution taken with operator dependent technologies. Education and training is a great barrier to introduction, as well as equipment, systems and quality control, perhaps meaning the technology is better suited to a subset of practicing anesthesiologists. This session will have POCUS experts weigh in on both sides of the issue and highlight the important topics from each side.
Gyorgy Frendl, MD, PHD, Rebecca A. Aslakson, MD, PHD, Stephen R. Estime, MD, Alisha Bhatia, MD, FASA, Sara E. Neves, MD, Louisa J. Palmer, BS, MB
Addressing the goals of care (GoC) at the end of life (EoL) with our aging population in a proactive, timely manner is a must. Families and providers often find themselves facing GoC issues during acute illness in the hospital setting. Anesthesiologists play a significant role in care near the EoL both in the operating room (OR) and as intensivists in the ICU. As a specialty, we have ascribed to the need for our presence during GoC/EoL conversations and management, but not all of us have been trained to be active participants in this area. This panel will explore the (i) importance of the role of the anesthesiologist in end-of-life care, (ii) how cultural influences impact those discussions about the GoC when guiding our patients’ decisions; (iii) how best to approach difficult situations encountered when patients are receiving life sustaining mechanical support and how we can better prepare and train ourselves to be more comfortable with these conversations. In addition, we highlight the moral hazards providers suffer and its impact on burnout when inappropriate care is pursued and strategies to limit the occurrence of such scenarios.
Kunal Karamchandani, MD, Karsten Bartels, MD, PHD, MBA, Martin Krause, MD, Joanna Aiken, DO, Raksha Bangalore, MD, Madiha Syed, MD
Immediate postoperative complications related to respiratory or cardiovascular insufficiency in the PACU are commonly associated with unplanned ICU admissions. Avoiding such unplanned admissions can lower patients’ hospital length of stay and prevent poor clinical outcomes after surgery. A panel of anesthesiologists-intensivists will discuss the strategies to optimize patients and prevent frequently seen cardiovascular and respiratory complications in the PACU. Topics discussed will include residual weakness from neuromuscular blockade, postoperative hemodynamic collapse, airway obstruction and obstructive sleep apnea, delayed emergence, and hypercapnic respiratory failure. Panel members have a track record of leading peer-reviewed publications in the field and hands-on ultrasound workshops at the ASA in recent years.
Michael A. Mazzeffi, MD, FASA, Michael C. Grant, MD, Amanda J. Rhee, MD, MS, Stephanie O. Ibekwe, MD, Samhati Mondal, MBBS, MD, FASE
The individual components of ERACS programs including smoking cessation, nutrition optimization and preoperative and postoperative rehabilitation are all efficacious and well-studied. Although ERACS/ERAS programs aim to intervene on these individual components, the Perioperative Surgical Home is designed to provide a centralized place for patient-centric care and optimization. This session will aim to describe the components of ERACS, how to implement a program, and provide information on the financial impact an ERACS provide may have on a health system.
Emily Methangkool, MD, Nina Deutsch, MD, Abimbola Faloye, MD, FASA, Elizabeth B. Malinzak, MD, FASA, Amy C.s. Pearson, MD, FASA
Despite women comprising 50% or more of medical school graduates for the past decade, women still make a minority of practicing anesthesiologists, with decreased numbers in subspecialties such as cardiac anesthesia and pain medicine. In this 60-minute snap talk, leaders from four different women's organizations - Women in Cardiothoracic Anesthesiology, Women in Anesthesiology, the Women's Empowerment and Leadership Initiative, and Women in Regional Anesthesia and Pain Medicine will discuss their successses and barriers in increasing gender equity within their larger organizations. A recognized ally of these groups will also provide perspectives on how men can help with these efforts.
Lori A. Dangler, MD, MBA, FASA, Rachel A. Hadler, MD, Allen N. Gustin, MD, FCCP, FASA, FCCM, Sandra H. Sacks, MD, Rebecca A. Aslakson, MD, PHD, Kimberly Mendoza, MD, PHD, MPH
This Snap Talk will provide a high-level overview regarding the intersection of Anesthesiology and Palliative Care. No matter our unique subspecialty area, all anesthesiologists are providing increasing amounts of care for palliative patients with the demand only expecting to rise. Trends, outcomes and techniques to effectively manage stakeholder expectations, pain, spiritual and cultural implications will be addressed. Also ways to integrate palliative care into anesthesiology subspecialties such as critical care along with latest frameworks will be discussed. Post session, the learner will be able to describe and comprehend key palliative care points and then apply them more readily into daily practice.
Harendra Arora, MD, MBA, FASA, Prakash A. Patel, MD, FASE, Evan G. Pivalizza, MD, MB, FCMSA, Ryan M. Chadha, MD, Harendra Arora, MD, MBA, FASA, C. David Mazer, MD, FRCPC
Perioperative bleeding remains a major complication during and after surgery, resulting in increased morbidity and mortality. Coagulopathy related to bleeding has a multifactorial etiology. This session will provide an update on the current approach to patients with coagulopathy as it relates to the use of blood products, pharmacologic agents, and purified and recombinant hemostatic agents. Additionally, the session will focus on the current state of testing to allow for expeditious assessment of the underlying hemostatic disorder.
Avery Tung, MD, FCCM, Jonathan Charnin, MD, FASA, Bushra W. Taha, MD, Christina A. Jelly, MD
A focused review of the last year's critical care literature looking at important topics and highlighting noteworthy research components of the articles.
Laura A. Downey, MD, Susan Goobie, MD, FRCPC, Gee Tan, MS, MB, Kimmo Murto, MD, FRCPC"
Despite published guidelines and a growing body of literature that support implementing blood conservation strategies in pediatric surgical patients, physicians have been hesitant to adopt these practices. In fact, multiple registry-based studies have demonstrated considerable variability in blood product transfusions, diagnosis and treatment of perioperative anemia, and use of perioperative blood conservation techniques in children. This panel will address common misconceptions and controversies regarding patient blood management strategies in pediatric surgery patients. We will then discuss evidence-based recommendations for implementing these strategies in pediatric surgery patients with a focus on perioperative anemia, indications for appropriate intraoperative transfusions, and blood conservation techniques in children. Finally, we will discuss the challenges in recognizing and managing the critically bleeding child.
Eman Nada, MD, PHD, Robert Moore, MD, Richar Wardhan, MD, FASA
Pain management in pediatric and geriatric patients can be challenging. The practice of regional anesthesia differs by the patient's age. This session will review pain assessment tools and relevant regional anesthesia anatomy and physiology in the very young and the elderly. The session will discuss the age effect on the metabolism of local anesthetics and the safe dose, the autonomic responses to neuraxial anesthesia, and the impact of common nerve blocks on the patient's recovery, postoperative delirium, and well-being.
Ruben J. Azocar, MD, FCCM, FASA, Marice F. Joyce, MD, MED, FASA
As the geriatric population grows, do we need advanced training for the care of the older adult?
Diana Anca, MD, Aaron Primm MD, FASA, Tazeen Beg, MB, MD, Hedwig Schroeck, MD
1. Challenges in NORA sites;2. Different locations have different procedures and types of emergencies;3. High-acuity, often sub-optimized patients;4. Procedures performed in NORA sites account for at least 30% of all anesthetics. Given the particularities of the NORA locations, far away from help and supplies, high-risk patients, and suboptimal work environment, emergency situations pose a specific challenge for the anesthesia team involved. Also, NORA locations(Electrophysiology, Interventional Radiology, Gastrointestinal, MRI) have different teams, procedures, and equipment. Given all these factors, managing emergencies in such locations require coordination of resources, multidisciplinary collaboration, and planning.The attendees will become familiar with the different types of emergencies in procedures performed in NORA sites and be able to formulate management planning and emergency preparedness strategies.
Dawn Dillman, MD, Michael P. Hofkamp, MD, Tina Tran, MD, Timothy Webb, MD
In this panel, four experts in medical student education will present practical advice on 4th year visiting medical student rotations. Topics to be covered are 1) determining which department(s) to rotate, 2) how to obtain an anesthesia fund of knowledge prior to an away rotation, 3) how to succeed on the rotation once you arrive, and 4) common mistakes medical students make on visiting rotations. Each panelist will speak for 10 minutes and there will be ample time at the end for questions and answers.
Kunal Karamchandani, MD, Allison M. Janda, MD, Ashish K. Khanna, MD, FCCM, FCCP, FASA, Ronald G. Pearl, MD, PHD, FASA
Despite significant advances in medical care, postoperative complications are common. Organ dysfunction in the form of acute kidney injury, neurocognitive dysfunction and cardiorespiratory failure impacts postoperative outcomes. The session will discuss the epidemiology and risk factors of some of the common postoperative complications and provide evidence based recommendations on prevention strategies.
Ronald G. Pearl, MD, PHD, FASA, Jonathan P. Wanderer, MD, FASA, MPHIL, Ronald G. Pearl, MD, PHD, FASA, Andrea M. Kurz, MD, Talia K. Ben-Jacob, MD, Erica D. Wittwer, MD
Fluid management is a critical aspect of care for patients in the operating room and in the ICU. However, the optimal fluid and the optimal volume of fluid remain controversial. Fortunately, multiple studies during the past decade have advanced our knowledge regarding these controversies. This Snap-Talk will review five important topics: the benefits of crystalloids vs. colloids, the effects of balanced vs. unbalanced solutions, restrictive vs. liberal vs. goal-directed therapy in the OR, when additional fluid will be beneficial vs. harmful, and when blood should be used as part of fluid resuscitation. This Snap-talk session will allow the attendees to provide optimal fluid management for their patients.
Date of last update: September 11, 2023
