September 1, 2013
Volume 77, Number 9
Subspecialty Panels: Rise and Shine With Cutting-Edge Sessions
Audrée A. Bendo, M.D., Chair
Committee on Annual Meeting Oversight
Formerly known as “Breakfast Panels,” the early morning Subspecialty Panels at the ANESTHESIOLOGYTM 2013 annual meeting have been chosen by subspecialty experts to help you gain the latest insights into your field. All sessions take place at the Moscone Convention Center and are scheduled from 7 a.m. to 8:15 a.m.
Saturday, October 12
The Society for Ambulatory Anesthesia (SAMBA) will present “ASC Crisis Management,” with lead speaker Steven Butz, M.D. The panel will lead learners through disruptions of normal patient care and how they can be anticipated, avoided and accommodated. Subjects and speakers include:
“Malignant Hyperthermia in the ASC,” Arnaldo Valedon, M.D.
“Utility Failure in an ASC,” Michael Walsh, M.D.
“Miscellaneous Disruption in an ASC,” Douglas G. Merrill, M.D.
“Perioperative Technology in the Age of Healthcare Reform,” is the subject of the panel by the Society of Technology in Anesthesia (STA). Technological advances in medicine are perhaps the largest contributor to the growing cost of health care in the U.S. Controlling health care costs will therefore require strategies that address how technology is used in patient care. This panel will explore how perioperative technology (specifically, devices required for delivering patient care and monitoring the patient) is likely to be influenced by efforts to reform health care and control costs. Subjects and speakers will be:
“The Value Proposition of Perioperative Technology,” Lead Speaker: Jeffrey M. Feldman, M.D., MSE.
“Healthcare Reform and the Economics of Perioperative Technology,” Mary Erslon, RN, MSN, M.B.A.
“Perioperative Technology and Patient Outcome,” George T. Blike, M.D.
Sunday, October 13
The American Society of Regional Anesthesia and Pain Medicine (ASRA) will look at “Lessons Learned: The Latest on Preventing Infectious Complications and the Evidence Basis for Ultrasound Guidance in Regional Anesthesia and Pain Medicine.” This panel will summarize two sessions from the ASRA 2013 spring annual meeting which reviewed the ASRA practice advisory on preventing infectious complications, and an evidence-based medicine session on ultrasound-guided regional anesthesia. Session titles and speakers include:
“Overview of Lessons Learned,” Lead speaker: Edward Mariano, M.D., MAS.
“Summary of the Second ASRA Infectious Complications Practice Advisory Update,” James R. Hebl, M.D.
“Summary of the Evidence-based Medicine Session on Ultrasound-Guided Regional Anesthesia,” Joseph M. Neal, M.D.
Also on Sunday morning, the Society for Education in Anesthesia (SEA) will examine efforts being made to improve anesthesia education to ensure the best possible outcomes. In asking "Can We Build a Better Anesthesiologist?", this session will discuss the right way of going about achieving, and measuring, best outcomes. Session titles and speakers are:
“Back to the Future,” Lead Speaker: Ira Todd Cohen, M.D., M.Ed
“Changes in Residency: Milestones or Millstones,” Catherine Mary Kuhn, M.D
“Changes in Fellowship: Specialization or Balkanization,” Samuel Yanofsky, M.D
“Changes in CME: Competency or Bureaucracy?” Carol Ann B. Diachun, M.D.
The Society for Neuroscience in Anesthesiology and Critical Care (SNACC) panel “Seizures and Anesthetic Implications” will focus on interactions between seizures and anesthesia. While in certain clinical scenarios, it may be desirable to suppress seizure activity in the brain, in others anesthesiologists may be expected to facilitate seizures. The three speakers on this panel will address anesthetic management of three common clinical scenarios involving anesthesia for incidental surgery in a patient with epilepsy, anesthesia for resection of epileptic focus and anesthetic management of electroconvulsive therapy.
Lead Speaker: Deepak Sharma, M.B.B.S., M.D., D.M.
“Anesthesia for Incidental Surgery in Patients with Epilepsy,” W. Andrew Kofke, M.D., M.B.A., FCCM
“Anesthetic Management of Epilepsy Surgery,” Alex Bekker, M.D., Ph.D.
“Anesthetic Management of Electroconvulsive Therapy,” Elizabeth H. Sinz, M.D.
Monday, October 14
Titled “Neurologic Issues in Anesthesia: Perioperative Neurologic Monitoring and Postoperative Delirium,” the Society of Cardiovascular Anesthesiologists (SCA) panel will focus on the role of neurologic monitoring in the perioperative setting – whether it is cost-effective and its role on patient outcome. The panel will also discuss the prevalence of postoperative delirium, the associated risk of delirium on postoperative morbidity, and risk factors and management strategies.
Lead Speaker: Colleen Koch, M.D., M.S., M.B.A..
“Postoperative Delirium: Risk Factors and Management Strategies,” Avery Tung, M.D.
“Update on Perioperative Neurologic Monitoring,” Michael Avidan, M.D.
The Society for Pediatric Anesthesia (SPA) and American Academy of Pediatrics will address “Common Concerns in Pediatric Anesthesia,” providing an overview of common clinical dilemmas encountered on a daily basis in pediatric anesthesia. The discussion will focus on practical approaches to the management of children with obstructive sleep apnea, upper-respiratory infections and inability to cooperate.
Lead Speaker: Nancy L. Glass, M.D., M.B.A.
“Obstructive Sleep Apnea: Best Practices for Perioperative Management,” Karen Brown, M.D.
“Uncooperative Kids: Practical Tips and Tricks,” James Fehr, M.D.
“Upper Respiratory Infections: An Evidenced-based Review,” Shobha Malviya, M.D.
“Quality Improvement in Perioperative Care” will be addressed at the Society of Critical Care Anesthesiologists (SOCCA) panel, which will focus on strategies for measuring and improving the quality of care in the perioperative setting. Panelists will emphasize different aspects of health care quality, including a survey of successful approaches, strategies for outcome measurement and incremental improvement, and the relevance of health information technology.
“Quality: A Systems Approach,” Lead Speaker: Matthias Merkel, M.D.
“Real World Examples of Successful Quality Improvement,” Gregory H. Botz, M.D.
“Can Health IT Drive Quality?,” Andrew L. Rosenberg, M.D.
Tuesday, October 15
On Tuesday of the meeting, the Society for Obstetric Anesthesia and Perinatology (SOAP) will present “Ethical Dilemmas in Obstetric Anesthesia.” Using a case report format, the panel will discuss common ethical dilemmas. Topics will cover issues such as informed patient refusal, questionable patient demands, concerns over autonomy, and whose autonomy takes precedence. Ways in which such conflict can be managed will also be covered.
Lead Speaker: McCallum R. Hoyt, M.D., M.B.A.
“Patient Demands for Care in Conflict With Physician Wishes: What Are Your Options?,” Christopher Burkle, M.D., J.D.
Speaker: Joanne Douglas, M.D., FRCPC
“Controversies in Chronic Pain” will be the focus of the American Society of Regional Anesthesia and Pain Medicine (ASRA). In this symposium, the evidence supporting epidural steroid injections, chronic opioid therapy for non-cancer pain, and the use of ultrasound to guide interventional pain management procedures will be discussed, and those individuals who are likely to benefit from these therapies will be identified.
The long-term effectiveness of chronic pain interventions has recently come under intense scrutiny, especially in light of the growing importance of “cost-effectiveness.” Two of the most commonly employed interventions, as well as the most controversial, are epidural steroids and chronic opioid therapy. Despite their frequency, no clear consensus exists regarding the efficacy of epidural steroid injections, or whether chronic opioid therapy provides long-term relief or functional improvement in non-cancer pain. In recent years, the use of ultrasound to guide procedural interventions for chronic pain has increased significantly. Similar to epidural steroid injections and chronic opioid treatment, the use of ultrasound has also generated significant controversy regarding its ability to improve outcomes and reduce complications, cost-effectiveness and whether or not it is over-utilized.
“Opioids for Non-cancer Pain,” Lead Speaker: David A. Provenzano, M.D.
“How Effective Are Epidural Steroid Injections?,” Steven P. Cohen, M.D.
“Does the Use of Ultrasound for Chronic Pain Management Improve Treatment Outcomes?,” Samer N. Narouze, M.D.
Audrée A. Bendo, M.D., M.S. is Distinguished Professor and Executive Vice Chair, Department of Anesthesiology, SUNY Downstate Medical Center, Brooklyn, New York.