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SATURDAY, October 22
SUNDAY, October 23
MONDAY, October 24
Enter a New World of Postoperative Pain Management | SAT01
Noon – 1 p.m.
Heron Therapeutics, Industry Supporter
Pain management in the first 72 hours after surgery is critical. Inflammation peaks around 24 hours postoperatively and remains relatively high through these initial 72 hours. This period is considered the most painful of patient recovery, and when uncontrolled, this pain can impede patient rehabilitation. As the body’s inflammatory process unfolds, the surgical site becomes increasingly acidic, limiting the efficacy of local anesthetics, regardless of administration technique. Generic local anesthetics currently available on the market are not designed to provide pain relief beyond 8 to 12 hours. Other longer-acting local anesthetics, including liposomal bupivacaine and formulations delivered via wound infiltration catheters or pumps, exhibit limited and inconsistent efficacy beyond 12 to 24 hours. Most often, this gap is filled with the use of opioids. Opioid therapy holds an established place in postoperative pain management, but because it is associated with harmful adverse events and risk of abuse and addiction, it’s time to look for new alternatives. What if local anesthetics were capable of more? With longer pain relief, the use of opioids to treat pain could be significantly reduced, even eliminated. A dual-acting local anesthetic could help healthcare providers to manage postoperative pain by overcoming challenges of inflammation at the surgical site. By attending this symposium, you will learn how a non-opioid analgesic could change the paradigm of postoperative pain management.
Michael Ashmore, MD
Total Oxygen Delivery and Vital Organ Monitoring Throughout the Perioperative Period | SAT04
Noon – 1 p.m.
Masimo, Industry Supporter
With recent advances in device integration and connectivity, the ability to simultaneously assess depth
of sedation, cerebral oxygenation, hemoglobin, fluid responsiveness, hemodynamics, and peripheral
saturation offers clinicians more comprehensive insight into patient status, helping better inform care
decisions. Root® centralizes Masimo’s robust portfolio of key physiological parameters on a single
modular platform and is designed for quick adaptation to meet the needs of each patient and the
preferences of each clinician. This symposium highlights how clinicians can conveniently monitor oxygen
delivery and its associated components to help ensure adequate oxygenation and perfusion of vital
organs, ultimately driving improved patient outcomes throughout the care journey.
André Denault, MD, PhD, ABIM-CCM, FRCPC, FASE, FCCS
Susan Goobie, MD, FRCPC
Vijaya Gottumukkala, MD, MB, BS, FRCA
moderator William C. Wilson, MD, MA
Brain Health for Geriatric Patients During Perioperative Period: Patient Safety and Monitoring | SAT11
Noon – 1 p.m.
Medtronic, Industry Supporter
The U.S. population is rapidly aging. By 2050, adults over the age of 65 will make up more than 20% of the U.S. population. With the increase of this aging population comes the need for healthcare and patient care improvement. Postoperative delirium and perioperative neurocognitive disorder are the most common surgical complications for older adults. And it's preventable in up to 40% of all patients. In this symposium, Medtronic and GE Healthcare bring to you a panel of well-respected anesthesia thought leaders on the subject of perioperative brain health and monitoring to describe best practices on optimizing perioperative geriatric care and improving patient outcomes. This symposium features three presentations on the topics of Brain Health Initiative and its effective implementation strategies, and the clinical utilization of intraoperative brain function monitoring including processed EEG depth of anesthesia and INVOS™ near infrared spectroscopy cerebral oxygenation monitoring. The presentations will then be followed by a live panel discussion with the keynote speakers on their experiences with brain monitoring technologies as well as tips to help you implement effective monitoring processes in order to improve patient outcomes.
Carol Peden, MB, ChB, MD, FRCA, FFICM, MPH
Robert H. Thiele, MD
Edward Avery III, MD
Situation Awareness in Dynamic Systems | SAT07
Marriott Warehouse Arts District, Gravier DEF
Philips, Annual Meeting Supporter
Situation awareness errors have been reported to be responsible for up to 80% of anesthesia incidents. This session will focus on how medicine uses synthetic vision ideas from aviation with Avatar-based monitoring to improve care.
David Tscholl, MD
Christoph Nöthiger, MD
The role of Optiflow Nasal High Flow in your Anesthesia Practice | SAT08
Marriott Warehouse Arts District, Gravier ABC
Fisher & Paykel Healthcare, Annual Meeting Supporter
Fisher & Paykel Healthcare is hosting a dinner symposium on Saturday, October 22nd, during the ASA conference in New Orleans.
The following speakers will be presenting on the use of nasal high flow for optimizing oxygenation for preoxygenation, during intubation, and procedural sedation.
Dr. Anil Patel, MSSB, PhD, FRCA
Dr. Klaus D. Torp, MD
Dr. Maximilian Schaefer, MD, PhD
Improving the Safe Use and Storage of Medications in the Perioperative Setting | SAT09
Marriott Warehouse Arts District,Cypress I/II
Omnicell, Annual Meeting Supporter
Harmful medication errors are a significant public health problem, causing at least one death every day and injuring 1.3 million people annually. In the perioperative setting, medication errors frequently occur in all phases of perioperative care and are a common cause of morbidity and mortality.
This program will be a 60-minute interactive symposium, specifically for Anesthesia and Fellow participants to discuss existing medication safety risks associated with perioperative and procedural practice. The purpose of this program is to describe current practices challenging our healthcare systems including the risks and demands associated with of procurement, standardization, and safe use of medications and related devices, as well as the lack of critical redundancies to detect and correct errors before they reach patients.
The live symposium will focus on the daily challenges of ensuring medication safety in the high-risk perioperative setting, including the limited adoption of proven medication safety technologies in these settings. Faculty will focus on the opportunities to advance medication safety principles in this setting, and enhance the detection and management of risk. Faculty will describe national aggregate findings and practice gaps identified from the ISMP’s Medication Safety Self Assessment® for Perioperative Settings, and will highlight published recommendations promoted in the recently released ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. Armed with this unique information, Anesthesia residents and fellows will be able to identify targeted approaches to the implementation of safe medication practices for optimal safety outcomes.
Matthew Grissinger, RPh, FISMP
Fibrinogen replacement in critical bleeding patients – where do we stand? | SAT10
Marriott Warehouse Arts District, Cypress I/II
Octapharma, Annual Meeting Supporter
The objective of this symposium is to review the role of fibrinogen in various clinical settings, including postpartum hemorrhage (PPH), cardiac surgery, and liver transplantation patients. Current guidelines and best practices for fibrinogen replacement in these critical bleeding patients will be discussed. Institutional experiences with individualized management of acquired bleeding patients will be described. This symposium will review the available treatment options for fibrinogen deficiency and practical considerations with patient case presentations.
Smart Monitoring: Reducing IOH with predictive monitoring | SAT06
Noon – 1 p.m.
Edwards Lifesciences, Industry Supporter
Learn how smart monitoring can help you manage hypotension. Acumen Hypotension Prediction Index software uses the arterial waveform from a noninvasive finger cuff or radial arterial line to detect hemodynamic instability and provides insight into the potential root causes to help you prevent or treat intraoperative hypotension. Join the experts as they explore strategies to reduce hypotension.
Desirée Chappell, CRNA
Monty G Mythen, MBBS MD FRCA FFICM FCAI(hon)
Professor Michael Scott MB ChB FRCP FRCA FFICM
Addressing Everyday Imperfections | SAT05
Noon – 1 p.m.
CAE Healthcare, Industry Supporter
In our day-to-day practice, we have opportunities to strive for perfection, improving what we do and how we do it. But healthcare is not always a perfect science. We can predict potential failures and use data to react, respond and resolve them. Through simulation and modeling, we have come to understand the importance of applying new human factors tools and techniques to anesthesia. In this session, we will discuss the everyday imperfections that we should consider and how to manage them using data and analytics.
Christine Park, MD, FASA, FSSH
Stefan Monk, MD
Advances in low flow anesthesia: the path to automation | SAT03
Noon – 1 p.m.
GE Healthcare, Industry Supporter
Findings from the "MASTER Trial", a US multicenter prospective randomized controlled trial of target control low flow anesthesia software, are reviewed to spark discussion on the accuracy and efficiency of the technology, as well as reported clinician experience. To further explore the topic, a panel of leading anesthesiologists convene to discuss the physiology and technologies of low flow anesthesia and the barriers to achieving best practice. The panel will also discuss known benefits of low flow anesthesia include the potential for reducing anesthetic waste leading to cost savings and reduced greenhouse gas emissions.
Dr. Guy De L. Dear, MB ChB
Dr. John Beard, MD, MBA
Jeffrey Feldman, MD
Gregory Krolczyk, MD
Ensuring Patient Safety for Sedation and Anesthesia Outside the OR | SAT02
Noon – 1 p.m.
Medtronic, Industry Supporter
There has been a steady increase in the need for providing anesthesia services in endoscopy and other procedural suites, the now called non-operating room Anesthesia (NORA). Moreover, in 2009, the Center for Medicare and Medicaid Services (CMS) mandated that the Director of Anesthesia Services is responsible for all anesthesia administered in the hospital, including moderate and deep procedural sedation (PS) done by non-anesthesia providers. Although it has been many years since this directive, there is still uncertainty on how best to develop protocols, engage key stakeholders, and implement effective oversight.
Patient Safety and quality in these two distinct models of care have been the focus of attention and subjects of heightened scrutiny. Drs. Abdelmalak and Dutton, Anesthesiology leaders in quality and patient safety, will discuss best practices for providing NORA and for implementing anesthesiology oversight of procedural sedation cases.
Basem Abdelmalak, MD
Richard Dutton MD, MBA