Anesthesiology Institute

Survey of Current Issues in Surgical Anesthesia November 28 – December 2, 2016 The Ritz-Carlton Golf Resort Naples, FL

Symposium Directors John E. Tetzlaff, MD Professor of Anesthesiology Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Staff Anesthesiologist Department of General Anesthesiology Anesthesiology Institute Cleveland Clinic Peter Schoenwald, MD Associate Professor of Anesthesiology Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Associate Program Director Center for Anesthesiology Education Department of General Anesthesiology Anesthesiology Institute Cleveland Clinic

Free Airway Ultrasound and Anesthesia Regional Workshops (Wor

kshop Siz e Limited – Register E arly!)

Register Today! ccfcme.org/GoSurgAnes

Join us at Cleveland Clinic’s Survey of Current Issues in Surgical Anesthesia This symposium is designed to present the most recent information on clinical practice issues facing anesthesiologists and nurse anesthetists. A diverse faculty will provide an update on anesthesia for ENT surgery, urologic surgery, management of the difficult airway, regional anesthesia and acute pain, obstetric anesthesia, and pediatric anesthesia. Learning activities will be presented in several formats, including traditional lectures, workshops, and case discussions. Additional break-out sessions include workshops, practice updates, and problem-based learning discussions presented in didactic or hands-on workshop formats. All activities will be held at the Ritz-Carlton Golf Resort with the active participation of the anesthesiology departments of the Cleveland Clinic main and Weston campuses.

Who Should Attend? This symposium is designed for anesthesiologists and nurse anesthetists.

Attend the Symposium And Be Able To: • Detail new techniques and technologies for airway management and management of the difficult airway • Present the pros and cons of issues associated with anesthesia management in patients with ENT diseases • Describe anesthesia management in patients with urologic diseases • Identify the role of regional anesthesia for acute pain management • Identify new techniques for ultrasound and describe their potential role in clinical practice • Describe current anesthetic management issues for obstetric patients • Summarize new information on pediatric anesthesia and its implications for clinical practice

Faculty Symposium Directors John E. Tetzlaff, MD Professor of Anesthesiology Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Staff Anesthesiologist Department of General Anesthesiology Anesthesiology Institute Cleveland Clinic

Peter Schoenwald, MD Associate Professor of Anesthesiology Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Associate Program Director Center for Anesthesiology Education Department of General Anesthesiology Anesthesiology Institute Cleveland Clinic

Cleveland Clinic Faculty Basem Abdelmalak, MD Department of General Anesthesia

Jerome O’Hara Jr, MD Department of General Anesthesia

Kenneth Cummings, MD Department of General Anesthesia

Nelson Riveros, MD Department of Pediatric Anesthesia

Jacek Cywinski, MD Department of General Anesthesia

Shelley Rodriguez, MD Department of Pediatric Anesthesia

McCallum Hoyt, MD Department of Regional Practice Anesthesia

Loran Mounir Soliman, MD Department of General Anesthesia

Kamel Maheshwari, MD Department of General Anesthesia

Andrew Zura, MD Department of General Anesthesia

Cleveland Clinic Weston Faculty

Guest Faculty

Adam Evans, MD Department of Anesthesia

Juraj Sprung, MD, PhD Professor of Anesthesiology Mayo Clinic

Monday, November 28, 2016 7:00 am Registration/Continental Breakfast/ Exhibits 7:50 am

Welcome John E. Tetzlaff, MD

Anesthesia, ENT Surgery, and the Airway Moderator: Andrew Zura, MD 8:00 am

Anesthesia Management of Masses in the Airway Basem Abdelmalak, MD

8:30 am

What’s New in Airway Management for the Obese Patient? Andrew Zura, MD

9:00 am

Technologic Advancement in the Management of the Difficult Airway Basem Abdelmalak, MD

9:30 am

Panel Discussion/Questions and Answers Basem Abdelmalak, MD Andrew Zura, MD

10:00 am

Refreshment Break/Exhibits

10:30 am

Anesthesia for Laser Surgery in the Airway Andrew Zura, MD

11:00 am

Rheumatoid Arthritis and the Airway John E. Tetzlaff, MD

11:30 am

Anesthesia for Endobronchial Procedures Basem Abdelmalak, MD

12:00 pm

Panel Discussion/Questions and Answers Basem Abdelmalak, MD John E. Tetzlaff, MD Andrew Zura, MD

12:30 pm

Adjourn

Optional Afternoon Sessions 3:00 – 6:00 pm A. Airway Workshop- Didactic Moderator: Andrew Zura, MD Faculty: Basem Abdelmalak, MD Jacek Cywinski, MD Jerome O’Hara Jr, MD Or 3:00 – 4:00 pm B. Problem-based Learning Discussions – Anesthesia Considerations for an LVAD Patient for Non-Cardiac Surgery Adam Evans, MD 4:00 – 5:00 pm C. Problem-based Learning Discussions – Patient with Long Standing Rheumatoid Arthritis for Total Knee Replacement John E. Tetzlaff, MD 5:00 – 6:00 pm D.

Practice Update – Defining the Anesthesia Role in Organ Transplantation after Cardiac Death Jerome O’Hara Jr, MD

Tuesday, November 29, 2016 Anesthesia for Urologic Surgery and Other Perioperative Topics Moderator: Jerome O’Hara Jr, MD 7:00 am Registration/Continental Breakfast/ Exhibits 8:00 am

Complications of Extreme Trendelenburg in Laparoscopic Urologic Surgery Jerome O’Hara Jr, MD

8:30 am

Enhanced Recovery after Urologic Surgery Jacek Cywinski, MD

9:00 am

Fluid Considerations for Urologic Surgery Peter Schoenwald, MD

9:30 am

Panel Discussion/Questions and Answers Jacek Cywinski, MD Jerome O’Hara Jr, MD Peter Schoenwald, MD

10:00 am

Refreshment Break/Exhibits

10:30 am

New Perspectives in Obstructive Sleep Apnea: Identification, Opioids, and Outcomes Kenneth Cummings, MD

11:00 am

Perioperative Blood Management Jacek Cywinski, MD

11:30 am

AMET – What is the Anesthesia Role in Rapid Response Teams? Jerome O’Hara, Jr, MD

12:00 pm

Panel Discussion/Questions and Answers Kenneth Cummings, MD Jacek Cywinski, MD Jerome O’Hara Jr, MD

12:30 pm

Adjourn

Optional Afternoon Sessions 3:00 – 6:00 pm E. Airway Workshop – Stations Moderator: Andrew Zura, MD Faculty: Basem Abdelmalak, MD Kenneth Cummings, MD Jacek Cywinski, MD Adam Evans, MD Jerome O’Hara, Jr MD Or 3:00 – 4:00 pm F.

Problem-based Learning Discussions – Unrecognized Bladder Perforation in Transurethal Resection of Bladder Tumor Jerome O’Hara Jr, MD

4:00 – 5:00 pm G. Practice Update – Rational Use of Perioperative Acetaminophen Peter Schoenwald, MD 5:00 – 6:00 pm H. Problem-based Learning Discussions – Anesthesia Management of a Patient with Renal Mass with Inferior Vena Cava Extension Jacek Cywinski, MD

Wednesday, November 30, 2016 Regional Anesthesia and Acute Pain Moderator: Loran Mounir Soliman, MD 7:00 am

Registration/Continental Breakfast

8:00 am

Ultrasound for Regional Anesthesia – Does it Reduce Complications? Loran Mounir Soliman, MD

8:30 am

Update on Peripheral Nerve Blocks Kamel Maheshwari, MD

9:00 am

Postoperative Cognitive Decline after Hip Surgery: Anesthetic Technique is Involved – Fact or Fiction? Loran Mounir Soliman, MD

9:30 am

Panel Discussion/Questions and Answers Kenneth Cummings, MD Kamel Maheshwari, MD Loran Mounir Soliman, MD

10:00 am

Refreshment Break/Exhibits

10:30 am

Novel Analgesic Delivery Systems Loran Mounir Soliman, MD

11:00 am

ASA Practice Guideline – Respiratory Depression and Neuraxial Opioids Kenneth Cummings, MD

11:30 am

Continuous and Home-going Peripheral Nerve Catheters Kamel Maheshwari, MD

12:00 pm

Panel Discussion/Questions and Answers Kenneth Cummings, MD Kamel Maheshwari, MD Loran Mounir Soliman, MD

12:30 pm

Adjourn



Optional Afternoon Sessions

3:00- 6:00 pm I. Ultrasound Regional Anesthesia Workshop (repeated on Thursday) Moderator: Kamel Maheshwari, MD Faculty: Kenneth Cummings, MD Loran Mounir Soliman, MD Or 3:00 – 4:00 pm J.

Practice Update – Does Anesthesia Result in Alzheimer’s Dementia? Myth or Reality? Juraj Sprung, MD

4:00 – 5:00 pm K. Practice Update- New Information about Cardiopulmonary Resuscitation John E. Tetzlaff, MD 5:00 – 6:00 pm L. Problem-based Learning Discussions – Bupivacaine Cardiotoxicity John E. Tetzlaff, MD

Thursday, December 1, 2016 Obstetric Anesthesia

Moderator: McCallum Hoyt, MD 7:00 am

Registration/Continental Breakfast

8:00 am

What’s New in Obstetric Anesthesia? Kenneth Cummings, MD

8:30 am

Preeclampsia in 2016 McCallum Hoyt, MD

9:00 am Postoperative Pain Control after Cesarean Section Kenneth Cummings, MD 9:30 am

Panel Discussion/Questions and Answers Kenneth Cummings, MD McCallum Hoyt, MD

10:00 am

Refreshment Break/Exhibits

10:30 am

Postpartum Hemorrhage and Management Update McCallum Hoyt, MD

11:00 am

Neonatal Resuscitation Shelley Rodriguez, MD

11:30 am

Amniotic Fluid Embolus McCallum Hoyt, MD

12:00 pm

Panel Discussion/Questions and Answers McCallum Hoyt, MD Shelley Rodriguez, MD

12:30 pm

Adjourn

Optional Afternoon Sessions 3:00 – 6:00 pm M. Ultrasound Regional Anesthesia Workshop (repeat of Session I) Moderator: Kamel Maheshwari, MD Faculty: Loran Mounir Soliman, MD Kenneth Cummings, MD Or 3:00 – 4:00 pm N. Practice Update – 2016 ASA/ SOAP Practice Guidelines and Current Myths in OB Anesthesia McCallum Hoyt, MD 4:00 – 5:00 pm O. Practice Update – The Parent’s Role in Pediatric Induction of Anesthesia: Help or Hindrance? Shelley Rodriguez, MD 5:00 – 6:00 pm P. Workshop – Pediatric Vascular Access Nelson Riveros, MD

Friday, December 2, 2016 Pediatric Anesthesia

Moderator: Shelley Rodriguez, MD 7:00 am Registration/Continental Breakfast 8:00 am

Preanesthesia Assessment of the Child with Congenital Heart Disease Nelson Riveros, MD

8:30 am

Inhaled Agents and CNS Development in Children Shelley Rodriguez, MD

9:00 am

Who’s in Charge of Pediatric Sedation? Pediatric Sedation Outside the OR Nelson Riveros, MD

9:30 am

Panel Discussion/Questions and Answers Nelson Riveros, MD Shelley Rodriguez, MD

10:00 am

Refreshment Break/Exhibits

10:30 am

Managing Pediatric Postoperative Nausea and Vomiting – Kids are not Small Adults Shelley Rodriguez, MD

11:00 am

Anesthesia for the Adult Patient with Congenital Heart Disease Nelson Riveros, MD

11:30 am

Colloids for Kids? Shelley Rodriguez, MD

12:00 pm

Panel Discussion/Questions and Answers Nelson Riveros, MD Shelley Rodriguez, MD

12:30 pm

Adjourn

General Information Location

Accreditation

The Ritz-Carlton Golf Resort, Naples 2600 Tiburon Drive Naples, FL 34109 Phone: 239.593.2000

The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Ritz-Carlton Golf Resort is just 10 minutes away from Naples Airport and 25 minutes from Southwest Florida International Airport, Fort Myers.

Hotel Accommodations A block of rooms has been reserved at the Ritz-Carlton Golf Resort until Friday, October 28, 2016, for a special rate of $215 single/double plus tax and other applicable resort fees. To make your reservations, please call 888.856.2164 and reference the Cleveland Clinic Survey of Current Issues in Surgical Anesthesia to obtain the special rates. Reservations can also be made at www.ritzcarlton.com – reservations page, enter group code – YTNYTNA or directly at www.ccfcme. org/surganeshotel

Registration and Cancellation Preregistrations are accepted until 2:00 pm ET Wednesday, November 23, 2016. Register on site after this date. In case of cancellation, a $100 cancellation fee will be deducted from your refund if cancelled by November 16, 2016. NO REFUNDS WILL BE ISSUED AFTER NOVEMBER 16, 2016. For questions about registration, email us at [email protected] or call 216.448-8710.

Information For further information about this activity, contact the Cleveland Clinic Center for Continuing Education. Local: 216.444.9990 Toll Free: 800.238.6750 Website: ccfcme.org/surganes

The Cleveland Clinic Foundation Center for Continuing Education designates this live activity for a maximum of 32.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit. This program has been prior approved by the American Association of Nurse Anesthetists for 32.00 Class A CE credits; Code Number 1033566; Expiration Date 12/2/2016. Check course website for additional credit information.

Faculty Disclosure The Cleveland Clinic Foundation Center for Continuing Education has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education Standards for Commercial Support requiring resolution of all faculty conflicts of interest. Faculty declaring a relevant commercial interest will be identified in the activity syllabus.

Americans with Disabilities Act The Cleveland Clinic Foundation Center for Continuing Education fully intends to comply with the legal requirements of the Americans with Disabilities Act. If you need assistance, please notify us at least two weeks prior to the activity. Recording or reproducing of this activity in any format is prohibited.

Two Ways to Register ONLINE

BY MAIL

Cleveland Clinic employee fees and registration are available online only.

Make check payable to: The Cleveland Clinic Educational Foundation

ccfcme.org/GoSurgAnes

The Cleveland Clinic Educational Foundation PO Box 931653, Cleveland, OH 44193-1082

Registration form can be downloaded from ccfcme.org/GoSurgAnes.

Fees Fee includes: Flash drive syllabus, continental breakfasts, refreshment breaks, and optional afternoon sessions

Physician/CRNA

Payment Received on or before September 28, 2016

Payment Received after September 28, 2016

On-Site fee

$895

$945

$995

Visit www.ccfcme.org/GoSurgAnes for complete registration information. Cleveland Clinic Center for Continuing Education reserves the right to cancel or postpone an activity at our sole discretion. In the unlikely event that this occurs, any registration fee(s) paid will be refunded. Be advised that Cleveland Clinic is not responsible for related costs including airline tickets, hotel costs, or any similar fee penalties incurred as a result of any trip cancellations or changes.

Register Today! ccfcme.org/GoSurgAnes

The Ritz-Carlton Golf Resort Naples, FL

ize Limite d– Register E arly!)

Free Airwa Ultrasound y and Anesthesia Regional Workshops (Worksho pS

November 28 – December 2, 2016

Survey of Current Issues in Surgical Anesthesia The Cleveland Clinic Foundation Center for Continuing Education 9500 Euclid Avenue, TR204 Cleveland, OH 44195

Cleveland, OH

March 20 – 25, 2017

Comprehensive Anesthesiology Review

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