66th AnnualPostgraduateSymposium on AnesthesiologyFriday–Sunday, April 1–3, 2016

The Westin Kansas City at Crown Center Kansas City, Missouri

Sponsored by the University of Kansas Medical Center Department of Anesthesiology and the University of Kansas Medical Center Continuing Education. Funded in part by an educational grant from the Peter T. Bohan Fund.

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Course directorMartin De Ruyter, M.D., Professor, Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kansas.

OverviewAll the information in this year’s Symposium is applicable to the busy, clinically-oriented anesthesia care provider. Participants will hear from numerous experts in the field of anesthesiology and learn the latest information regarding a broad variety of anesthesia-related topics. Such topics include the evolving, contemporary concept of targeted medicine for the perioperative patient; brain remodeling following post-stroke and post-TBI; the development of tools to improve operating room safety; understanding and mitigating risks in the OB parturient; designing care plans for the destination LVAD cardiac failure patient undergoing non-cardiac procedures; appreciating the complexities and need for safeguarding patients who receive sedation outside of the OR; tackling commonly and not so commonly encountered problems in the PACU; the challenges in assessing the bleeding patient; and the intention of opioid analgesia not always being met. Again this year we will have our roundtable, problem-based learning discussion groups convene. In this setting participants have the opportunity to sit down with experts, discuss a topic and promote a free flow of ideas in a collegial, comfortable setting. These PBLDs will cover a wide range of anesthesia topics from OB, cardiac, ambulatory surgery, challenging clinical scenarios and many others. The topics for this annual symposium have been selected from requests of previous participants, current literature reviews and following discussions with experts in anesthesiology. Welcome and Enjoy!

Target audienceThis symposium is designed for anesthesiologists and nurse anesthetists.

Slide availabilityThis is a green conference. In order to save valuable resources, we are using an electronic format for the distribution of slides. Presentations will be available in PDF format the week before the conference online. Thank you for considering the environment.

Objectives At the completion of this Symposium, participants should be able to (within their scope of practice):1. Appreciate quality assurance cases involving labor and delivery and understand possible means to

reduce risks for mother, baby and provider.2. Discuss key knowledge points in finding ways to improve collaboration, safety and learning across

interprofessional and hierarchical lines.3. Choose and bring back the targeted preoperative medical evaluation to one’s practice.4. Describe to one’s peers the neurological remodeling following stroke or traumatic brain injury.5. Apply knowledge with gained confidence in the evaluation and treatment of the patient with difficulties

in the post-anesthesia care unit (PACU).6. Integrate the latest information on anesthetizing the device-assisted cardiac failure patient or the post-

transplant patient who presents for a non-cardiac procedure into one’s practice. 7. Review the scenarios of death in the OR, from DNR to organ donation and incorporate new knowledge

into one’s own practice.8. Recognize the challenges in assessing bleeding outside of the operating room and the utility of

functional clotting studies in the ICU.9. Apply information from the new knowledge gained in improving OR safety.10. Recognize the challenges of sedation outside of the OR and safeguarding patients from harm.11. Examine through an engaging discussion with peers the mechanism and the clinical relevance of opioid-

induced hyperalgesia.

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12. Describe and discuss with one’s peers the delicate balance of plastic surgery’s tissue flap graft flow and the often at odds systemic hemodynamics of the anesthetized patient.

Planning committee University of Kansas Medical CenterMartin De Ruyter, M.D., Professor, Department of AnesthesiologyTalal Khan, M.D., MBA, Associate Professor, Chair, Department of Anesthesiology Donna Nyght, CRNA, DNP, Assistant Professor, Chair, Nurse Anesthesia Education, School of Health ProfessionsKatherine Palmieri, M.D., Assistant Professor, Department of AnesthesiologyGrace Shih, M.D., Associate Professor, Department of AnesthesiologyMelissa Rockford, M.D., Assistant Professor, Department of AnesthesiologyMarla Sutton, MS, Senior Program Manager, Continuing EducationAutumn Tribitt, Administrative Assistant to Physicians, Department of Anesthesiology

AccreditationAll participants are required to sign attendance rosters at the beginning of each day. A certificate of completion will be provided to all activity participants based on completion of the program evaluation, documentation of actual attendance time, and meeting minimum attendance requirements specific to the activity.Physicians: The University of Kansas Medical Center Office of Continuing Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The KU Medical Center Office of Continuing Medical Education designates this live activity for a maximum of 13 AMA PRA Category 1 Credits.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity.Nurse anesthetists: This Symposium is pending approval.

AcknowledgmentsFinancial contributions and supporters of this program will be acknowledged in print at the symposium.

ExhibitsCommercial vendors are invited to exhibit at this meeting. Limited exhibit space will be available. Call Autumn Tribitt at 913-588-6670 or e-mail atribitt@kumc.edu for an application or more information.

FacultyBarry A. Harrison, M.D., Assistant Professor, Department of Anesthesiology, Mayo Clinic, Jacksonville, FloridaNatalia S. Ivascu, M.D., Director of Cardiothoracic Surgical ICU, Liver Transplant Anesthesiology, and of Pre-Anesthesia Testing & PACU, Associate Professor of Clinical Anesthesiology and of Ethics in Clinical Medicine, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New YorkDavid P. Martin, M.D., Ph.D., Vice Chair for Safety and Quality, and Associate Professor, Department of Anesthesiology, Mayo Clinic, Rochester, MinnesotaAndrea Nicol, M.D., Associate Professor, University of Kansas Medical Center, Kansas City, KansasKimberlee Reetz, M.D., Assistant Professor, University of Kansas Medical Center, Kansas City, KansasMay C. Pian-Smith, M.D., MS, Assistant Professor of Anesthesia, Harvard Medical School, and Director of Quality & Safety, and of Simulation, Department of Anesthesia, Critical Care & Pain Medicine, Massachusetts General Hospital, Boston, MassachusettsRobert D. Stevens, M.D., Associate Professor of Anesthesiology & Critical Care Medicine, and of Neurology, Neurosurgery & Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland

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Agenda Postgraduate Symposium on Anesthesiology Agenda

Friday April 1

4:30 p.m. Registration

4:55 p.m. Welcome to the 66th Annual Symposium Martin De Ruyter, M.D.

Moderator: Katherine Palmieri, M.D. 5:00 – 7:30 p.m. Problem-Based Learning Discussion Roundtable Groups 5:00 - 5:50 p.m. Session 1 5:50 - 6:40 p.m. Session 2 6:40 - 7:30 p.m. Session 3

7:30 p.m. Adjournment

7:30 p.m. Welcome reception and meet with exhibitors

Saturday April 2

7:00 a.m. Registration, exhibits and continental breakfast

7:50 a.m. Welcome and introductions Martin De Ruyter, M.D. Talal Khan, M.D., MBA

Moderator: Seth Jacob, M.D.

8:00 a.m. Precision Medicine for the Perioperative Patient Robert D. Stevens, M.D.

8:45 a.m. Speaking up Across Authority Gradients: A Way to Improve Collaboration, Safety and Learning May C. Pian-Smith, M.D., MS

9:30 a.m. Break and exhibits

10:00 a.m. Modeling Recovery from Stroke and Traumatic Brain Injury Robert D. Stevens, M.D.

10:45 a.m. QA Cases from Labor & Delivery: Mitigating Harm to both Patients and Providers May C. Pian-Smith, M.D., MS

11:30 a.m. Question & answer session with speakers

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Agenda Postgraduate Symposium on Anesthesiology Agenda

Noon Lunch (on your own) and exhibits All graduates of the KU Nurse Anesthesia Program are invited to the Annual Alumni Lunch in the Mission Room. Kansas Society of Anesthesiologists annual meeting and lunch in the Penn Valley Room (members only).

Moderator: Brigid Flynn, M.D.

1:30 p.m. Practical Tips and Pearls for Improving Operating Room Safety 2016 Paul Lorhan, M.D. Memorial Lecture David P. Martin, M.D., Ph.D.

2:15 p.m. Death in the OR: From DNR to Organ Donation Natalia S. Ivascu, M.D.

3:00 p.m. Break and exhibits

3:30 p.m. Moderate Sedation for your Hospital: The Good, the Bad and the Ugly David P. Martin, M.D., Ph.D.

4:15 p.m. Perioperative Bleeding: Viscoelastic Testing in the ICU Natalia S. Ivascu, M.D.

5:00 p.m. Question & answer session with speakers

5:30 p.m. Adjournment

Sunday April 3

7:30 a.m. Registration, exhibits and continental breakfast

Moderator: Michael McCartney, M.D.

8:00 a.m. How to Anesthetize a Broken Heart Barry A. Harrison, M.D.

8:45 a.m. Opoid-Induced Hyperalgesia Andrea Nicol, M.D.

9:30 a.m. Break and exhibits

10:00 a.m. PACU Pearls and Pitfalls Barry A. Harrison, M.D.

10:45 a.m. Anesthesia and Reconstructive Flap Surgery KimberleeReetz,M.D.

11:30 a.m. Question & answer session with speakers

Noon Adjournment

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Registration and feesPayment is required at the time of registration. Only registrations accompanied with payment will be accepted. Please register in advance. Fees include course materials, two continental breakfasts, record of attendance and continuing education credit.

By March 4, 2016 After March 4, 2016Physician $485.00 $515.00Nurse anesthetist or other healthcare professional $460.00 $490.00KU faculty or staff (50% or greater employment) $355.00 $385.00Resident or student (written verification required) $135.00 $165.00

Refund/cancellation policy

A full refund of registration fees, less a $15 administrative fee, will be available if requested in writing and received by March 15, 2016. No refunds will be made after that date. A $30 fee also will be charged for returned checks. (Please note that if you fail to cancel by the deadline and do not attend, you are still responsible for payment.)KU Continuing Education reserves the right to cancel the 66th Annual Postgraduate Symposium on Anesthesiology and return all fees in the event of insufficient registration. The liability of the University of Kansas is limited to the registration fee. The University of Kansas will not be responsible for any losses incurred by registrants, including but not limited to airline cancellation charges or hotel deposits.

Location & parking

All events will take place at Westin Kansas City Crown Center, Kansas City, Missouri. Please bring a sweater or jacket, since temperatures can be difficult to control in large rooms. Parking is not included in registration. The early bird rate at the hotel is $10.00 per day if parking by 10 a.m. On Saturday and Sunday, parking is complimentary with validation at both Crown Center shops and Crown Center Pershing garages. If staying in the hotel, parking will be $17.00/day self-park or $24.00/day valet. For information about Kansas City area events, go to Kansas City Visitor’s website http://www.visitkc.com.

Lodging

A block of rooms has been reserved at the Westin Kansas City Crown Center at the daily rate of $177 for single or double occupancy. To take advantage of the special rate, call 1-888-627-8538 by March 1, 2016. Please mention that you will be attending the KU Medical Center 66th Annual Postgraduate Symposium on Anesthesiology. After March 1, 2016, room availability and rates cannot be guaranteed.

NONDISCRIMINATION POLICYThe University of Kansas Medical Center prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in the university’s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination polices: Natalie Holick, Director, Equal Opportunity Office, NHolick@kumc.edu, Mail Stop 2014, 4330 Shawnee Mission Parkway, Fairway, Kansas 66205, 913-588-8011, 711TTY.

PROGRAM ACCESSIBILITYWe accommodate persons with disabilities. Please call 913-588-4488 or mark the space on the registration form and a KU Continuing Education and Professional Development representative will contact you to discuss your needs. To ensure accommodation, please register at least two weeks before the start of the 66th Annual Postgraduate Symposium on Anesthesiology.

See the nondiscrimination policy above. University of Kansas Medical Center is an AA/EO Title IX institution.

PRIVACY POLICYKU Continuing Education does not share, sell, or rent its mailing lists. You have our assurance that any information you provide will be held in confidence by KU Continuing Education.

We occasionally use mailing lists that we have leased. If you receive unwanted communication from KU Continuing Education, it is because your name appears on a list we have acquired from another source. In this case, please accept our apologies.

2Fees By March 4, 2016 After March 4, 2016

o Physician $485.00 $515.00

o Nurse anesthetist or other healthcare professional $460.00 $490.00

o KU faculty or staff (50% or greater employment) $355.00 $385.00

o Resident or student (written verification required) $135.00 $165.00

Total due $_____________

66th Annual Postgraduate Symposium on AnesthesiologyFri.–Sun., April 1–3, 2016 • The Westin Kansas City at Crown Center, Kansas City, Mo.

3 PaymentRegistrations will not be processed until payment is received. Payment for early bird registrations must be received on or before the early bird deadline.

o Check enclosed, payable to KU Medical Center.

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4 Easy Ways to Register Special Accommodation oMail Complete the registration form and mail with payment

to:The University of Kansas Medical CenterOffice of Continuing Education and Professional Development 3901 Rainbow Blvd., Mail Stop 4001Kansas City, KS 66160

If you will need special accommodation, please mark the box above, and a member of the Continuing Education staff will contact you. CM162009

Phone 913-588-4488

Fax 913-588-4486

Web http://www.kumc.edu/anes-symposium

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