The Department of Anesthesiology at the Mount Sinai School of Medicine, New York, NY, USA presents the

31st Annual Symposium: Clinical Update in Anesthesiology, Surgery and Perioperative Medicine With International Faculty and Industrial Exhibits. FREE Ultrasonic Regional Blockade Workshop

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Course Directors Drs. George Silvay and Marc Stone, New York, NY, USA

JANUARY 20–25, 2013 Marriot Curacao Beach Resort The Netherlands Antilles Invited participants: Physicians, Physicians in Training, CRNAs, Nurses, Physician Assistants, Perfusionists Abstracts wiIl be accepted for poster-discussion in the following areas: new surgical, anesthetic, perfusion and perioperative techniques; monitoring; new pharmacologic agents; interesting case series; and basic science research related to anesthesia and surgery. The deadline for abstract submission is Friday, October 19, 2012. For information and abstract forms contact: [email protected] For information about industrial exhibits contact: [email protected]

www.clinicalupdateinanesthesiology.org

EDUCATIONAL OBJECTIVES The 31st Annual Symposium: Clinical Update in Anesthesiology, Surgery and Perioperative Medicine is designed to help busy professionals advance their knowledge and keep current by providing a review of innovations, recent advances and best practices in cardiothoracic, vascular and general anesthesiology, surgery, perioperative medicine, and critical care. In addition, a hands-on ultrasound guided regional blocks workshop wiIl be conducted for interested participants. At the conclusion of the symposium, participants wiIl be able to: 1. Describe new diagnostic modalities, therapeutic agents and management strategies in the fields of cardiothoracic, vascular and general anesthesia, surgery, critical care and perioperative medicine 2. Recognize and implement best practice anesthetic management of patients with significant comorbidities 3. Discuss the current management of the patient with cardiac disease 4. REGIONAL BLOCK WORKSHOP PARTICIPANTS: Scan the relevant nerves of the brachial plexus, the femoral nerve, and the sciatic nerve using ultrasound technology, identify the anatomy, and direct a regional block needle to the appropriate location to perform the desired nerve block under direct ultrasonic visualization. EDUCATIONAL METHODS Didactic lectures and panel discussions by recognized leaders in their field. Poster presentation of abstracts of relevant basic science research and interesting clinical cases. Hands-on ultrasonic regional anesthesia workshop (upper and lower extremity) TARGET AUDIENCE Anesthesiologists, cardiothoracic, vascular and general surgeons, cardiologists, intensivists, nurse anesthetists, physicians in training, perfusionists, physician assistants, and nurses. FACULTY DISCLOSURE It is the policy of Mount Sinai School of Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. Presenters must also make a meaningful disclosure to the audience of their discussions of unlabeled or unapproved drugs or devices. This information wiIl be available as part of the course material. ACCREDITATION STATEMENT The Mount Sinai School of Medicine designates this live activity for a maximum of 22.75 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

SUNDAY, JANUARY 20th, 2013 16:00 – 18:00 PRE-REGISTRATION

MONDAY, JANUARY 21st, 2013 07:30 – 08:30 REGISTRATION 08:00 – 08:15 WELCOME AND ANNOUNCEMENTS George Silvay, New York, NY, USA 08:15 – 10:00

Timely Topics in Anesthesia, Surgery and Perioperative Medicine Moderators: David Reich, New York, NY, USA Karel Cvachovec, Prague, Czech Republic

08:15 – 08:30

08:30 – 08:45 08:45 – 09:00 09:00 – 09:15 09:15 – 09:30 09:30 – 09:45 09:45 – 10:00

Focused Cardio-Pulmonary Ultrasound: A Mandatory Tool For The Anesthesiologist? Erik Sloth, Aarhus, Denmark Current Status of Colloids Karel Cvachovec, Prague, Czech Republic Neurotoxicity of our Anesthetics Zeljko Bosnjak, Milwaukee, WI, USA Perioperative Clinical Decision Support: What Works and What Doesn’t Jesse Ehrenfeld, Nashville, TN, USA The European Surgical Outcomes Study (euSOS) Michael Sander, Berlin, Germany A New Standard of Care? Ultrasound for Regional Blocks Meg Rosenblatt, New York, NY, USA Discussion

10:00 – 10:30

Coffee Break

10:30 – 12:30

Cardiac Surgery and Anesthesiology - I Moderators: Davy Cheng, London, Ontario, Canada Robert Michler, Bronx, NY, USA

10:30 – 10:45 10:45 – 11:15

11:15 – 11:30 11:30 – 11:45

Cardiologist’s Update: Atherosclerosis in 2013 Allen Unger, New York, NY, USA PRO/CON DEBATE CABG vs Stent Robert Michler, Bronx, NY, USA Joseph Sweeney, New York, NY, USA Combined Cardiac and Hepatic Transplantation Richard Daly, Rochester, MN, USA Inflammatory Response in Cardiac Surgery Takae Kawamura, Sendai, Japan

11:45 – 12:00 12:00 – 12:15 12:15 – 12:30 12:30 – 13:00

The Cardiac Surgical Patient with Parkinson’s Disease Cheryl Waters, New York, NY, USA Role Of Regional Anesthesia In Cardiac Surgery Stephen Kowalski, Winnipeg, Manitoba, Canada Discussion

SPECIAL LECTURE Drug Shortages - Causes and Coping Mechanisms Peter Schoenwald, Cleveland, OH, USA

TUESDAY, JANUARY 22nd, 2013 07:30 – 08:30 REGISTRATION 08:00 – 10:00 Hands-On Regional Block Workshop Meg Rosenblatt, Christina Jeng, Michael Anderson, Bob WiIliams (concurrent with main session - sign-up required) 08:00 – 09:45

Cerebral Monitoring & Neurocognitive Outcomes Moderators: David Reich, New York, NY, USA Hilary Grocott, Winnipeg, Manitoba, Canada

08:00 – 08:15 08:15 – 08:30 08:30 – 08:45 08:45 – 09:00 09:00 – 09:15 09:15 – 09:30

Multimodal Brain Monitoring In Cardiac Surgery Paolo Zanatta, Treviso, Italy Processed EEG- Moving Beyond Awareness Hilary Grocott, Winnipeg, Manitoba, Canada Cognitive Dysfunction After Cardiac Anesthesia Carl Johan-Jakobsen, Aarhus, Denmark Cerebral Oximetry In Cardiac Arrest Martin Dworschak, Vienna, Austria CNS Dysfunction in the Elderly Christopher Jankowski, Rochester, MN, USA Discussion

09:30 – 10:00

Special Lecture Hypotension: The Silent Killer During Anesthesia David Reich, New York, NY, USA

10:00 – 10:30

Poster Session, Coffee Break, Industrial Exhibits Poster Committee- Chairman: Dr. Ian Sampson; Members: Drs. Drs. Mark Abel, Edwin Boelke, Vladimir Cerny, Daniela Harustiakova, Daniel Hornacek, Ingrid Hollinger, Emil Krizan, Khin Marlar, Mike Nyunt, Ram Roth, Harry Van Wezel.

10:30 – 12:45

Thoracic Surgery Moderators: Dawn Desiderio, New York, NY, USA Anne Kolker, New York, NY, USA

10:30 – 10:45 10:45 – 11:00 11:00 – 11:15 11:15 – 11:30 11:30 – 11:45 11:45 – 12:00 12:00 – 12:15 12:15 – 13:30

Update on One Lung Ventilation Javier Campos, Iowa City, IA, USA Preoperative Anesthesia Assessment for Thoracic Surgery in 2013 Tuula Kurki, Helsinki, Finland Anesthesia For Minimally Invasive Thoracic Procedures Alessia Pedoto, New York, NY, USA Regional Anesthesia for Thoracic Surgery Eleni Moka, Heraklion, Crete, Greece Current Status of Thoracic Surgery Paul Waters, Greenwich, CT, USA Current Management of Mesothelioma Raja Flores, New York, NY, USA Discussion

Hybrid and Catheter-Based Procedures Moderator: Ingrid Hollinger, New York, NY, USA Vladimir Cerny, Hradec Kralove, Czech Republic

12:15 – 12:30 12:30 – 12:45 12:45 – 13:15 13:15 – 13:30

Percutaneous Valve Replacement Chirojit Mukherjee, Leipzig, Germany Update on Carotid Disease Peter Faries, New York, NY, USA Hybrid Approach to Thoracic Aortic Disease Sharif Ellozy, New York, NY, USA Gabriel Diluozzo, New York, NY, USA Discussion

WEDNESDAY, JANUARY 23rd, 2013 07:30 – 08:30 REGISTRATION 08:00 – 10:00 Hands-On Regional Block Workshop Meg Rosenblatt, Christina Jeng, Michael Anderson, Bob WiIliams (concurrent with main session - sign-up required) 08:00 – 10:00

Monitoring and Critical Care Moderators: Ulku Aypar, Ankara, Turkey Michael Howie, Columbus, OH, USA

08:00 – 08:15

Sepsis Update, 2013

08:15 – 08:30 08:30 – 08:45 08:45 – 09:00 09:00 – 09:15 09:15 – 09:30 09:30 – 09:45 09:45 – 10:00

Peter Papadakos, Rochester, NY, USA Controlled versus Assisted Ventilation in ICU Georg Grigolia, Tblisi, Georgia Microcirculation As A Target Of ICU Interventions - What Evidence Do We Have? Vladimir Cerny, Hradec Kralove, Czech Republic Therapeutic Hypothermia in ICU Hans Kirkegaard, Aarhus, Denmark Right Ventricular failure in the ICU Isabelle Michaux, Louvain, Belgium Prevention of Sepsis in Geriatric Patients Silvester Krcmery, Bratislava, Slovak Republic Juraj Hromec, Bratislava, Slovak Republic Keeping A Cool Head In The ICU: Does Cerebral Hypothermia Really Work? C. Thomas Wass, Rochester, MN, USA Discussion

10:00 – 10:30

Poster Session, Coffee Break, Industrial Exhibits Poster Committee- Chairman: Dr. Ian Sampson; Members: Drs. Mark Abel, Edwin Boelke, Vladimir Cerny, Daniela Harustiakova, Daniel Hornacek, Ingrid Hollinger, Emil Krizan, Khin Marlar, Mike Nyunt, Ram Roth, Harry Van Wezel.

10:30 – 12:15

Perioperative Medicine Moderator: Tomas Kotulak, Prague, Czech Republic Pastor Luna, Mexico City, Mexico

10:30 – 10:45

10:45 – 11:00 11:00 – 11:15 11:15 – 11:30 11:30 – 11:45 11:45 – 12:00

Cardiac Evaluation and Risk Stratification for Non-Cardiac Surgery: What do the Guidelines Really Tell Us? Nathaen Weitzel, Denver, CO, USA Assessment of the Ambulatory Surgical Patient Martin Nitsun, Evanston, IL, USA Beta Blocker Update, 2013 David Bronheim, New York, NY, USA Assessment of the Patient with Repaired Congenital Disease Niki Dietz, Rochester, MN, USA Optimization of the Patient with Pulmonary Hypertension Rosario Garcia, Palo Alto, CA, USA Reduction of Postoperative Inflammatory Response- New Alternative Options Edwin Boelke, Dusseldorf, Germany

12:00 – 12:15 12:15 – 12:30 12:30 – 13:00

Perioperative Management of Pacemakers and ICDs Juan Viles-Gonzalez, New York, NY, USA Discussion

SPECIAL LECTURE Dead Again versus Inception? Memories and Anesthesia Robert Veselis, New York, NY, USA

THURSDAY, JANUARY 24th, 2013 07:30 – 08:30 REGISTRATION 08:00 – 09:30

Comorbidites Moderators: Miroslav Klain, Pittsburgh, PA, USA Adel Abadir, Brooklyn, NY, USA

08:00 – 08:15 08:15 – 08:30 08:30 – 08:45 08:45 – 09:00 09:00 – 09:15 09:15 – 09:30 09:30 – 10:30

The Patient with Pulmonary Hypertension Martin Stritesky, Prague, Czech Republic The Patient with Morbid Obesity Juraj Sprung, Rochester, MN, USA Nutrition Update, 2013 Koichi Nomoto, New York, NY, USA The Patient with Advanced Age Zoltan Mikes, Bratislava, Slovak Republic The Adult Patient with Congenital Heart Disease Barry Love, New York, NY, USA Discussion

SUBSPECIALTY PANEL DISCUSSIONS

09:30 – 09:50

What’s new in OBGYN? Moderator: Jeffrey Zahn, New York, NY, USA Aren Gottlieb, New York, NY, USA

09:50 – 10:10

Office-Based Procedures Moderator: Jeffrey Yasny, New York, NY, USA Andrew Herlich, Pittsburgh, PA, USA David Valauri, New York, NY, USA

10:10 – 10:30

Ear, Nose and Throat Surgery Moderator: Adam Levine, New York, NY, USA Sam Demaria, New York, NY, USA Satish Govindaraj, New York, NY, USA

10:30 – 11:00

Poster Session, Coffee Break, Industrial Exhibits Poster Committee- Chairman: Dr. Ian Sampson; Members: Drs. Drs. Mark Abel, Edwin Boelke, Vladimir Cerny, Daniela Harustiakova, Daniel Hornacek, Ingrid Hollinger, Emil Krizan, Khin Marlar, Mike Nyunt, Ram Roth, Harry Van Wezel.

11:00 – 12:45

Hands-On Regional Block Workshop (ADVANCED) Meg Rosenblatt, Christina Jeng, Michael Anderson, Bob WiIliams (concurrent with main session - sign-up required)

11:00 – 12:30

Economics, Guidelines, Reaccreditation and Legal Considerations Moderator: H. Michael Marsh, Detroit, MI, USA Joe Szokol, Evanston, IL, USA

11:00 – 11:15 11:15 – 11:30 11:30 – 11:45 11:45 – 12:00 12:00 – 12:15 12:15 – 12:45

12:45 – 13:00

Cost Quality in the ICU Chad Wagner, Nashville, TN, USA Practice Management Update Maria Galati, New York, NY, USA The Use of Ultrasound for Central Vascular Access Christopher Troianos, Pittsburgh, PA, USA Informed Consent Refusal James Szalados, Rochester, NY, USA Discussion SPECIAL LECTURE Peer Review: Judging Competence Through MOCA Robert Lagasse, New Haven, CT, USA

Prizes awarded to three best posters Ian Sampson, New York, NY, USA Chairman, Poster Committee

FRIDAY, JANUARY 25th, 2013 07:30 – 08:30 REGISTRATION 08:00 – 09:15

Heart Failure Moderators: Jan Rival, Detroit, MI, USA Michael Howie, Columbus, OH, USA

08:00 – 08:15 08:15 – 08:30

Update in Mechanical Circulatory Support, 2013 Arie Blitz, Cleveland, OH, USA Diastolic Dysfunction Theresa Gelzinis, Pittsburgh, PA, USA

08:30 – 08:45 08:45 – 09:00 09:00 – 09:15 09:15 – 10:30

EPS Procedures for Heart Failure Tomas Drabek, Pittsburgh, PA, USA What’s New in Heart Transplantation? Hynek Riha, Prague, Czech Republic Discussion

Hematology Moderator: David Royston, Harefield, UK

09:15 – 9:30 09:30 – 9:45 09:45 – 10:00 10:00 – 10:15 10:15 – 10:30

Transfusion Trigger: Balancing the Risks of Anemia vs Transfusion Keyvan Karkouti, Toronto, Canada Activated Factor VII George Djaiani, Toronto, Canada Update on Factor Concentrates Gregory Nuttall, Rochester, MN, USA Pro- And Antihemostatics- State Of The Art David Royston, Harefield, UK Discussion

10:30 - 10:45

Coffee Break

10:45 – 12:45

Cardiac Surgery and Anesthesiology - II Moderators: Jeffery Vender, Evanston, IL, USA Harry Van Wezel, Amsterdam, The Netherlands

10:45 – 11:15 11:15 – 11:30 11:30 – 11:45 11:45 – 12:00 12:00 – 12:15 12:15 – 12:30 12:30 – 12:45 12:45 – 13:00 13:00

The Most Important Cardiac Publications of 2012 Yianni Augostides, Philadelphia, PA, USA OPCAB in High Risk Elderly Patient - Outcomes Davy Cheng, London, Ontario, Canada BNP and Perioperative Outcomes C. David Collard, Houston, TX, USA Update on Steroids and Opioids in Cardiac Surgery Glenn Murphy, Evanston, IL, USA Current Status of Fast Tracking Joerg Ender, Leipzig, Germany Metabolic Syndrome In Cardiac Surgery Tomas Kotulak, Prague, Czech Republic Glucose Management in Cardiac Surgery Leila Hosseinian, New York, NY, USA Discussion

Conclusion George Silvay, New York, NY, USA

Course Registration 31st Annual Symposium: Clinical Update in Anesthesiology, Surgery and Perioperative Medicine January 20 – 25, 2013, Marriott Curacao Beach Resort, The Netherlands Antilles

Name___________________________________________________________ Address_________________________________________________________ City______________ State___________ Zip________ Country____________ Telephone_______________________ E-Mail__________________________ Registration Fee: Before December 14, 2012 Physicians cRNAs, Perfusionists, PAs Physicians in training

$ 700 $ 400 $ 300

After December 14, 2012 $ 800 $ 500 $ 400

Make check payable to: Department of Anesthesiology, Mount Sinai School of Medicine, New York. Mail payment to: M. Fraticelli, Dept. of Anesthesiology, Box 1010, Mount Sinai Medical Center, One Gustave L. Levy Place, New York, NY, 10029-6574. Full refund if written notice of cancellation prior to November 15, 2012. 20% Administrative fee retained from November 16, 2012, to January 1, 2013. No refunds after January 1, 2013. Credit Cards are not accepted for registration; now, or at the meeting site. Symposium Website: www.clinicalupdateinanesthesiology.org

HOTEL INFORMATION: Marriott Curacao Beach Resort & Emerald Casino John F. Kennedy Boulevard Piscadera Bay Curacao, The Netherlands Antilles 1-800-223-6388 (Marriott Caribbean central number. Curacao is option 7) +599 9 736 8800 (Direct hotel phone number) HOTEL RESERVATIONS ARE MADE ONLINE DIRECTLY WITH THE HOTEL AT THE FOLLOWING ADDRESS: http://www.marriott.com/hotels/travel/curmc ONCE DATES OF STAY AND NUMBER OF GUESTS ARE ENTERED, CLICK ON THE LINK FOR SPECIAL RATES & AWARDS OUR GROUP CODE IS: mssmssa The room rate should come up as $179/night. PLEASE ADDRESS ALL HOTEL AND RESERVATION RELATED QUESTIONS AND/OR CONCERNS DIRECTLY WITH THE HOTEL