OUTSIDE OF THE OPERATING ROOM ly100 - Pediatric Sedation · Egidio Barbi, MD Pediatric Emergency Department Institute for Maternal and Child Health Burlo Garofolo, Trieste, Italy

SEPTEMBER 19-20, 2015WEEKEND SEDATION CONFERENCE Moving Sedation Forward

PRE-CONFERENCE OFFERINGS

FRIDAY, SEPTEMBER 18, 2015 Full-Day Sedation Symposium The Fundamentals Of Sedation: Reviewing The Basics - Bridging The Specialties

Full-Day Pediatric Sedation Simulation Workshops

Simposio Sedación en Pediatría fuera de Quirófano (en español)

COURSE DIRECTOR KEIRA P. MASON, MDDIRECTOR, FUNDAMENTALS OF SEDATION SYMPOSIUM

MARK G. ROBACK, MD

DIRECTOR, SEDATION SIMULATION WORKSHOPS

JAMES FEHR, MD

POSTER ABSTRACT DEADLINE

JULY 1, 2015

CASAMAGNA MARRIOTT RESORT, CANCUN, MEXICO

PEDIATRIC SEDATION OUTSIDE OF THE OPERATING ROOM

www.PediatricSedationConference.com

KEYNOTE SPEAKERS

MOTIVATIONAL SPEAKER, AUTHOR, ACTIVIST Overcoming the Challenges that Choose Us

TRAVIS ROY

PROFESSOR OF ANESTHESIOLOGY & PAIN MEDICINE Suffering, Transcendence and the Obliteration of Consciousness: Deep Conscious Sedation in Children at the End of Life.

GAIL A. VAN NORMAN, MD

EARLY BIRD

DISCOUNT! REGISTER BY

JUNE 1, 2015 and

RECEIVE A $100 DISCOUNT

TOWARDS WEEKEND

CONFERENCE TUITION.

PROMO CODE:

Early100

Amanda Buckley Course Manager

Michael D. Webb, DDS, MEd

Jennifer L. Dearden, MD

Timothy Horeczko, MD

Steven M. Green, MD, FACEP

Keira P. Mason, MD

Douglas W. Carlson, MD

James J. Fehr, MD

Ronald Kosinski, DMD

Mark G. Roback, MD

Dimitris Emmanouil, DDS, MS, PhD

PLANNING COMMITTEE

COURSE STAFF

WELCOME LETTERDear Colleagues and Friends:

It is our pleasure to welcome you to the 2015 Pediatric Sedation Outside of the Operating Room weekend conference, Friday Fundamentals of Sedation: Reviewing the Basics, Bridging the Specialties Symposium, Friday Pediatric Sedation Simulation Workshop, and Saturday Pediatric Dental Sedation Simulation Workshop. This year we are presenting a unique, enriching, and exciting multidisciplinary conference.

We are thrilled to host the conference in a new and international destina-tion this year: Cancun, Mexico. This will be the first international offering since the conference started 10 years ago, in 2005. As always, we have a diverse group of internationally and nationally recognized speakers and attendees from a variety of disciplines. The disciplines represented include: anesthesiology, emergency medicine, dental medicine, hospital medicine, intensive care medicine, pediatrics, nursing, oncology, cardiol-ogy, radiology, and hospital administration. Attendees travel from coun-tries not limited to but including Italy, Netherlands, Greece, Israel, Can-ada, Australia, Hong Kong, New Zealand, Japan, Brazil, Indonesia, South Africa, and Singapore. The specialized tracks, round table luncheons, and open forums enable us to share our experiences, ideas, and challenges.

Dr. Pablo Sepúlveda will be the Symposium Coordinator of a brand-new one day Pediatric Sedation Symposium that will feature lectures and a TCI Workshop entirely in Spanish. Harvard Medical School faculty and sedation experts from Latin America will join together to present this special offering.

On behalf of the entire faculty, I would like to invite you to attend “Pediat-ric Sedation Outside of the Operating Room.” We are certain that you will find the course and workshops both educational and enjoyable.

Sincerely,

Keira P. Mason, MDCourse Director

WELCOME RECEPTION SATURDAY, SEPTEMBER 19, 2015Attendees and their guests are warmly invited to join the faculty for a complimentary reception on Saturday, September 19, 2015 at 5:30PM. The reception is intended to give attendees an opportunity to make connections with existing and new colleagues and mingle with the faculty. The reception will take place in the beautiful Pool Garden area of the resort.

Please note, a complete schedule for the Simposio Sedación en Pediatría fuera de Quirófano (en español) and the Dental Sedation Simulation Workshop offerings are available online at: www.PediatricSedationConference.com

KEYNOTE SPEAKERS

GAIL A. VAN NORMAN, MDKeynote Address: Suffering, Transcendence and the Oblitera-tion of Consciousness: Deep Conscious Sedation in Children at the End of Life

Gail Van Norman MD is board certified in both Internal Medicine and Anesthesiol-ogy, and specialty trained in Cardiothoracic Anesthesiology. With experience in both private practice and academic anesthesiology, she developed an early inter-est in the ethics of clinical practice and trained in clinical ethics under Al Jonson in the department of Bioethics at the University of Washington. She became a founding member of the Committee on Ethics for the American Society of Anes-thesiologists, and served as its Chair from 2008 to 2011. After serving as Vice-President for a large private-practice group of anesthesiologists in Washington State, she returned to academic medicine to lead the PreAneshthesia Clinic at the University of Washington Medical Center, where she currently practices anesthe-siology and preoperative medicine. She is a Professor of Anesthesiology and Pain Medicine, and Adjunct Professor of Biomedical Ethics at the University of Wash-ington. She is the Editor-in-Chief of the the book, Clinical Ethics in Anesthesiology: a Case-Based Textbook, and has authored numerous ethics articles for medical journals and chapters on ethics for clinical textbooks.

TRAVIS ROY Keynote Address: Overcoming the Challenges that Choose Us

From an early age, Travis found his passion in the sport of hockey. Travis dreamed of one day playing Division 1 college hockey, and even having his shot at the NHL and the Olympics. In the end, Travis chose to play for the defending national champion Boston University Terriers. On October 20, 1995, with his family and friends in the stands, he took to the ice for

his first shift. Eleven seconds after the puck dropped, Travis found himself lying face down on the ice, unable to move or feel a thing. Within seconds he not only knew he was para-lyzed, but that life as he knew it was over. The prognosis was that he would be a quadriplegic for the rest of his life.

In the 19 years since Travis’ accident he has overcome many challenges. Ten months after his accident Travis returned to Boston University, and four years later he graduated with a degree in Communications. He wrote the book, Eleven Sec-onds, A Story of Tragedy, Courage, and Triumph, and also founded the Travis Roy Foundation, which has raised over $3 million to improve the lives of spinal cord injury survivors and fund medical research.

PEDIATRIC SEDATION OUTSIDE OF THE OPERATING ROOM 2015 THEME: MOVING SEDATION FORWARD

INTERNATIONAL FACULTY

NATIONAL FACULTY

Eduardo A. Alcaino, BDS (Hons), MDSc, FRACDSVisiting SpecialistWestmead Centre for Oral HealthImmediate Past President of IAPD: http://www.iapdworld.orgSpecialist Clinical AssociateUniversity of SydneySydney, Australia

Franz Babl, MD, MPHAssociate Professor of Emergency MedicineUniversity of MelbourneRoyal Children’s Hospital andMurdoch Children’s Research InstituteMelbourne, Australia

Egidio Barbi, MDPediatric Emergency DepartmentInstitute for Maternal and Child Health Burlo Garofolo, Trieste, Italy

Luciane R. Costa, DDS, MS, PhDProfessor, Faculty of DentistryUniversidade Federal de Goiás, Brazil

Dimitris Emmanouil, DDS, MS, PhDPresident, International Association for Disability and Oral HealthAssistant ProfessorWashington State UniversityLecturer Dept of Pediatric DentistryDental SchoolUniversity of Athens

Piet L. Leroy, MD, PhDDivision of Pediatric Intensive Care, Procedural Sedation Unit,Department of PediatricsMaastricht University Medical CentreMaastricht, The Netherlands

Juan Heberto Muñoz-Cuevas, MDPresidente del Colegio Mexicano de Anestesiología A.C., 2013-2015

Paola Ostermann, MDProfesor Anestesia Pediatrica Clinica Alemana Santiago, Chile

Nancy Rodriguez Delgado, MDProfesora Anestesia Pediatrica Hospital Infantil de Mexico “Federico Gomez”Ciudad de México, D.F, Mexico

Alberto Sanchez, MDProfesor de Anestesia Hospital Pediatrico de Montevideo Montevideo , Uruguay Pablo Sepúlveda, MDProfesor Anestesiologia Clinica Alemana Universidad del Desarrollo Santiago, Chile

Dean B. Andropoulos, MD, MHCMProfessor, Anesthesiology and Pediatrics Vice Chair for Clinical Affairs Department of Anesthesiology Baylor College of MedicineAnesthesiologist-in-Chief Texas Children’s Hospital

Lori Aronson, MDAssociate Professor of AnesthesiaCincinnati Children’s Hospital Medical Center

Patricia Bachiller, MDInstructor in AnesthesiaHarvard Medical SchoolDepartment of Anesthesiology, Perioperative and Pain MedicineBoston Children’s Hospital

Kevin Barton, MDInstructor of PediatricsDivision of Hospital MedicineWashington UniversitySt. Louis Children’s Hospital

Douglas W. Carlson, MDProfessor and Chair,Department of PediatricsSouthern Illinois University School of MedicineMedical DirectorSt. John’s Children’s Hospital

Jerry Chao, MDAssistant Professor of AnesthesiaAlbert Einstein College of MedicineDepartment of AnesthesiologyMontefiore Medical Center

Jon Chiles, MDAssistant Professor of PediatricsDivision of Hospitalist MedicineWashington UniversitySt. Louis Children’s Hospital

Yasmeen Daud, MDAssistant Professor of PediatricsWashington UniversityDivision of Pediatric Hospital MedicineSt. Louis Children’s Hospital

Jennifer L. Dearden, MDInstructor in Anaesthesia Harvard Medical SchoolDepartment of Anesthesiology, Perioperative and Pain Medicine Boston Children’s HospitalAnesthesia Director,Dana Farber Cancer Institute

Dayna Downing, MBAProgram Manager, Simulation LabCenter for Clinical SimulationChildren’s Medical CenterDallas, Texas

James J. Fehr, MDAssociate Professor of Pediatric Anesthesiology and Critical CareWashington UniversityDirector, Saigh Pediatric Simulation CenterSt Louis Children’s Hospital

Jessica Geerling, MDInstructor in Anaesthesia Harvard Medical SchoolDepartment of Anesthesia, Critical Care and Pain MedicineBeth Israel Deaconess Medical Center

Andrea Gomez-Morad, MDHarvard Medical SchoolDepartment of Anesthesiology, Perioperative and Pain MedicineBoston Children’s Hospital

Kim P. Hamlin, MDAssistant Professor of PediatricsWashington UniversityDivision of Pediatric Hospital MedicineSt. Louis Children’s Hospital

Timothy Horeczko, MD, MSCR, FACEP, FAAP Assistant Professor of Clinical MedicineDavid Geffen School of Medicine at theUniversity of California, Los AngelesHarbor-University of California, Los Angeles Medical CenterTorrance, California

Robert (Bo) M. Kennedy, MDProfessor of PediatricsWashington UniversityAssociate Director,Educational Affairs, Emergency ServicesSt. Louis Children’s Hospital

Ronald W. Kosinski, DMDClinical Associate ProfessorDirector, Anesthesia and Pediatric SedationDepartment of Pediatric DentistryNYU College of Dentistry

Calvin Kuan, MD, FAAPAttending Physician Pediatric Intensive Care UnitChildren’s Hospital and Research Center OaklandClinical Associate ProfessorPediatric Cardiac AnesthesiaLucile Packard Children’s HospitalStanford University School of Medicine

Jerrold Lerman, MD, FRCPC, FANZCAClinical Professor of Anesthesiology Staff AnesthesiologistState University of Buffalo, NYUniversity of Rochester, Rochester, NYWomen and Children’s Hospital of BuffaloBuffalo, NY

NATIONAL FACULTY

Yuan-Chi Lin, MD, MPHAssociate Professor of Anaesthesia (Pediatrics)Harvard Medical School Director, Acupuncture Services Department of Anesthesiology, Perioperative and Pain MedicineBoston Children’s Hospital

Mohamed Mahmoud, MDAssociate Professor of Clinical Anesthesia and PediatricsDirector, Radiology Anesthesia and SedationCincinnati Children’s Hospital Medical Center

Timothy Martin, MD, MBAProfessor and Chief,Division of Pediatric AnesthesiaUniversity of FloridaGainesville, FL

Keira P. Mason, MDAssociate Professor of AnaesthesiaHarvard Medical SchoolDepartment of Anesthesiology, Perioperative and Pain MedicineBoston Children’s Hospital

Caitlin McGinty-Froncek, MDInstructor in AnaesthesiaHarvard Medical SchoolDepartment of Anesthesia, Critical Care and Pain MedicineBeth Israel Deaconess Medical Center

Edward Michna, MD, JDAssistant Professor of AnaesthesiaHarvard Medical SchoolDirector, Pain Trials CenterBrigham and Women’s Hospital

Charles D. Nargozian, MD, FAAPAssistant Professor of AnaesthesiaHarvard Medical SchoolDepartment of Anesthesiology, Perioperative and Pain MedicineBoston Children’s Hospital

Anna Maria Onisei, MDAssociate Professor of AnesthesiologyUAMS College of MedicineAssociate Medical DirectorPULSE CenterArkansas Children’s Hospital

Ricardo A. Quiñonez, MD, FAAP, FHMAssociate Professor of PediatricsBaylor College of MedicineChief, Division of Hospital MedicineChildren’s Hospital of San AntonioSOHM Chairperson

Sharon L. Redd, MDAssistant Professor of AnaesthesiaHarvard Medical SchoolClinical Director, Day Surgical UnitDepartment of Anesthesiology, Perioperative and Pain MedicineBoston Children’s Hospital

Cory M. Resnick, DMD, MD, FACSBoston Children’s HospitalDepartment of Plastic and Oral Surgery

Mark G. Roback, MDProfessor of Pediatrics & Emergency MedicineDirector, Division of Emergency MedicineUniversity of Minnesota Masonic Children’s Hospital

Echo Rowe, MDClinical Assistant ProfessorDepartment of AnesthesiaLucile Packard Children’s HospitalStanford University School of Medicine

Cyril Sahyoun, MDAssistant Professor of Clinical Pediatrics Columbia University Medical CenterPediatric Emergency Medicine Attending PhysicianMorgan Stanley Children’s Hospital New York, New York

M. Saif Siddiqui, MDAssociate Professor of AnesthesiologyUAMS College of MedicineDirector, Radiology Sedation and AnesthesiaArkansas Children’s Hospital

Joss Thomas, MD, MPH, FCCP Associate Professor of AnesthesiologyVice Chair of Clinical Affairs, Department of Anesthesiology University of Minnesota Medical Center

Michele Trinka, MSN, RN, CCRN, PCCNAssistant Clinical ProfessorTexas Woman’s UniversityEducation Manager, Simulation LabClinical Educator, PALS/PEARS/ACLSChildren’s Medical Center, Dallas, Texas

Janet Valicenti, CRNAChief Nurse AnesthetistDepartment of Anesthesiology, Perioperative and Pain MedicineBoston Children’s Hospital

Gail A. Van Norman, MDProfessor and Director of Compliance Department of Anesthesiology and Pain Medicine Adjunct Professor of Biomedical EthicsUniversity of Washington School of Medicine

Michael D. Webb, DDS, MEdDirector, Pediatric Dentistry Residency ProgramEast Carolina University, School of Dental Medicine

Vanessa Young, RN, BAAnesthesia Clinical Research Unit ManagerDepartment of Anesthesiology, Perioperative and Pain Medicine Boston Children’s Hospital

Steve Zgleszewski, MDAssistant Professor of AnaesthesiaHarvard Medical SchoolAnesthesia Director,Gastroenterology Procedure UnitDepartment of Anesthesiology, Perioperative and Pain MedicineBoston Children’s Hospital

John Zhong, MDAssociate ProfessorUT Southwestern Medical CenterStaff AnesthesiologistChildren’s Medical CenterDallas, Texas

COURSE DESCRIPTIONBACK BY POPULAR DEMAND! A Comprehensive Review of the Essentials of Pediatric SedationThis one-day course is a comprehensive introduction and review of the fundamentals of pediatric sedation. This offers a unique opportunity to update your knowledge in the format of didactic sessions, open forum question-and-answers and clinical case reviews. An optional hands-on workshop will provide personalized one-on-one faculty attention to gain hands-on experience using manikins to practice basic airway resuscitation skills.

This course is designed to provide a review of topics related to the safe and effective delivery of minimal, moderate and sedation by inhalation, enteral, and parenteral routes of administration. This course is intended to be an introduction and review of the up-to-date policies and guidelines governing sedation. The topics will include physiological monitoring, airway evaluation, the etiology and management of central and obstructive apnea, patient assessment, discharge and recovery guidelines, risk factors for adverse events, emergency preparedness, non-pharmacologic techniques and the basic pharmacology of commonly used sedatives. Clinical case presentations will be presented in an interactive format to maximize discussion, collaborative sharing of ideas and consideration of all options. Case studies will include challenging and complex situations. Question and answer sessions will provide participants with forums to ask questions and discuss specific issues with course faculty.

This course will feature recognized leaders and faculty from different specialties, all leaders in the field of sedation. The attendee will have the opportunity to gain hands-on experience learning airway techniques to rescue patients from deep sedation, including manikin practice with face masks and ambu bag along with the insertion of nasal and oral airways in a personalized setting with manikins and real equipment.

FRIDAY, SEPTEMBER 18, 2015FULL-DAY SEDATION SYMPOSIUMThe Fundamentals of Sedation: Reviewing the Basics - Bridging the Specialties


LEARNING OBJECTIVESUpon completion of this activity, participants will be able to:

• Review current rules and regulations regarding minimal, moderate and deep sedation.

• Evaluate the pharmacology and clinical applica-tion of commonly utilized sedatives and weigh the advantages, disadvantages, efficacy and adverse events associated with each option.

• Evaluate complex and challenging sedation scenarios and formulate a plan.

• Provide a comprehensive review of patient evalu-ation including airway assessment, relevant medi-cal history and vital signs necessary to evaluate patients as appropriate sedation candidates.

• Apply the discharge criteria and available recovery guidelines for discharge home following sedation.

• Determine the role and application of capnography.• Prepare for unanticipated emergency situations.


FRIDAY, SEPTEMBER 18, 2015FULL-DAY SEDATION SYMPOSIUMThe Fundamentals of Sedation: Reviewing the Basics - Bridging the Specialties Course Director: Keira P. Mason, MDDirector, Fundamentals of Sedation Symposium: Mark Roback, MD

SYMPOSIUM SCHEDULE

This full-day Introduction to Sedation Outside the OR symposium provides an overview of sedation and is directed toward a multidisciplinary audience that includes physi-cians, dentists, nurses and trainees. The morning session “sets the stage” for successful sedation and challenges the participants to consider their goals for sedation and how best to achieve them. Morning presentations address pediatric-specific anatomic and physiologic considerations, presedation assessment, appropriate monitoring and personnel as well as the Pediatric Airway Workshop; all of which are directed toward both medical and dental participants. The remainder of the session targets medical- or dental-specific groups to reflect particular interests and practice. Case scenarios will be presented with the intent to foster vigorous discussion of options for sedation and best practice models. The day will reach a conclusion as the medical and dental groups reconvene for interactive Simulated Medical and Dental Sedation Demonstra-tions. These interactive video simulations are designed to provide medical and dental participants the opportunity to directly observe the application of sedation outside the OR and raise questions regarding best practice. The simulations will emphasize the principles and skills presented during the symposium and allow participants the opportunity to reinforce their knowledge and understanding of the day’s curriculum.

7:00 - 8:00 AM Breakfast and Registration

8:00 - 8:30 AM

Welcome and IntroductionKeira Mason, MD and Mark Roback, MD

8:30 - 12:00 PM

SEDATION OUTSIDE THE OR: GETTING STARTEDModerator: Mark Roback, MD

8:30 - 9:00 AM Setting the Stage for Sedation Outside the ORMark Roback, MD

9:00 - 9:20 AM Airway Anatomy and ManagementJennifer Dearden, MD

9:20 - 9:45 AM Essentials of Pediatric Physiology and AnatomyTim Horeczko, MD

9:45 - 10:10 AM Physiologic MonitoringTim Horeczko, MD

10:10 - 10:35 AM Morning Break

10:35 - 11:05 AM From Start to Finish: Presedation Assessment & Post Sedation Readiness for DischargeKeira Mason, MD

11:05 - 11:30 AM Management of Challenging PatientsDimitris Emmanouil, DDS, MS, PhD

11:30 - 12:00 PM Beyond the Drugs: Techniques for Minimizing Depth of Sedation and Improving the Patient ExperiencePiet Leroy, MD

12:00 – 1:00 PM Lunch on your own OR Optional Lunch Breakout Panel Basic Airway Workshop: An opportunity to enhance your pediatric airway management skills, in a hands-on workshopJennifer Dearden, MD Target Controlled Infusion Workshop: Working Lunch in SpanishPablo Sepulveda, MD


FRIDAY, SEPTEMBER 18, 2015FULL-DAY SEDATION SYMPOSIUMThe Fundamentals of Sedation: Reviewing the Basics - Bridging the Specialties Course Director: Keira P. Mason, MDDirector, Fundamentals of Sedation Symposium: Mark Roback, MD

CHOOSE EITHER SESSION TO ATTEND. INCLUDED IN THE SYMPOSIUM REGISTRATION FEE.

MEDICAL TRACK Moderator: Mark Roback, MD

DENTAL TRACK Moderator: Ronald Kosinski, DMD

1:00 - 1:30 PMPharmacology of Sedation: A Broad ReviewMedical: Tim Horeczko, MD

• A Pharmacologic Review of Commonly Used Medications

1:00 - 1:45 PMInternational Perspectives on Pediatric Dental SedationEduardo Alcaino, BDS(Hons), MDSc, FRACDS

1:30 - 2:00 PMPharmacology of Sedation: A Broad ReviewMedical: Tim Horeczko, MD

• Emergency Medications: Options and Routes of Delivery

1:45 - 2:30 PMModerate vs. Deep Sedation: Techniques, monitoring and assessment Michael Webb, DDS

2:00 - 2:30 PMRescue: Managing Sedation Adverse EventsMedical: Mark Roback, MD

• Risk factors and predictors• Management and approach• Special populations

Afternoon Break 2:30 - 2:45 PM2:45 - 3:15 PMStrategies of Sedation Delivery in the Office Based Setting Eduardo Alcaino, BDS(Hons), MDSc FRACDS MRACDS (Paed)

Afternoon Break 2:30 - 2:45 PM 3:15-3:50 PMMorbidity and Mortality in Pediatric Dentistry Worldwide: Predictors, Risks and Outcomes Ronald Kosinski, DMD 3:50-4:15 PMKeeping it Safe: Incorporating Simulation into Pediatric Dental PracticeCory Resnick, DMD, MD

2:45 - 3:15 PMNeurocognitive Effects of Sedation: Medical: Keira P. Mason, MD

• Identify potential risks• Examine the data• Discuss impact on practice

3:15 - 4:45 PMCase Studies in Pediatric SedationMedical: Mark Roback, MD, Keira Mason, MD, Doug Carlson, MD

• Cases presented from various sedation venues and audience queried about best practice strategies

• Extensive Q&A time allotted

4:15 - 4:45 PMCase Studies in Pediatric Dental SedationDental: Ronald Kosinski, DMD, Eduardo Alcaino, BDS(Hons), MDSc FRACDS, Michael Webb, DDS, Cory Resnick, DMD, MD

4:45 - 5:45 PM Simulated Sedation Interactive Videos (Medical and Dental)Jonathon Chiles, MD, Kevin Barton, MD, Doug Carlson, MD, Ronald Kosinski, DMD, and Mark Roback, MD

* Program changes/substitutions may be made without notice.

SYMPOSIUM SCHEDULE


FRIDAY, SEPTEMBER 18, 2015

PEDIATRIC SEDATION SIMULATION WORKSHOP OBJECTIVESThis course is intended for practitioners providing IV moderate sedation and deep sedation and offers an educational high fidelity simulation experience to provide skills for successful recognition and management of sedation-related complica-tions. This unique and challenging program provides a clinical simulation experience that addresses the proper assess-ment and management of complications associated with moderate sedation, deep sedation. Following a brief introduction explaining essential principles, participants will demonstrate appropriate patient management on human patient simula-tors. (Laerdal SimMan). This full-day simulation workshop will provide each registrant with six clinical scenarios intended to improve individual skills as well as to impart an understanding of a team approach to crisis resource management. Each registrant will become part of a small team which will will rotate together through each of the six scenarios over the course of the day. The scenarios are intended to improve individual skills as well as the team’s reactions and responses. Effective post-simulation debriefings will integrate critical performance feedback, promote reflective practice, and aug-ment future performance. The full-day of high fidelity simulation scenarios are taught by national and internationally rec-ognized faculty of simulation experts and aims to provide participants with knowledge and skills to recognize and manage sedation-related emergencies.

Course registration is limited to provide each registrant with an optimal, educational hands -on experience. There will be an optional “working” lunch which offers the opportunity to have a hands-on experience with personalized faculty atten-tion using manikins to develop and improve airway skills. The Basic Airway Workshop is intended to solidify skills at deliv-ering positive pressure ventilation using a face mask and ambu bag along with the insertion of naso and oral airways.

Medical simulation is a highly adaptable tool for evaluating individual knowledge and team performance. Medical simula-tion can improve patient safety by raising an individual’s awareness of their practice and by enhancing team cohesion and performance. Simulation provides a safe arena for learning and evaluation, trains with actual equipment used in the clini-cal realm, and provides for repetition and reflection. Medical simulation should be educational,reflective and fun.

Upon completion of this activity, participants will be able to:• Explain the importance of human-factors leading to and in the management of crisis and prepare for the management

of rare events.• Summarize the components of a simulation based learning encounter and determine how to incorporate simulation

into the process of training sedation care providers.• Establish and demonstrate appropriate components of an adequate primary assessment.• Develop an algorithm for the recognition and management of various anatomical and pathological causes of airway

obstruction.• Create a differential diagnosis for the etiology of respiratory depression and understand the different management

techniques.• Demonstrate appropriate management of cardiovascular compromise.• Demonstrate proficiency in directing a team during a crisis.



6:30 - 7:30 AM Registration and Breakfast

7:30 - 8:30 AM Introduction: Simulation in the 21st Century Integration into Sedation TrainingJames Fehr, MD

8:30 - 9:30 AM 9:30 -10:30 AM

Scenario 1, Scenario 2, Scenario 3 Scenario 1, Scenario 2, Scenario 3

10:30-10:45 AM BREAK

10:45 -11:45 AM Scenario 1, Scenario 2, Scenario 3

11:45 -1:00 PM

Lunch OR Optional Basic Airway Workshop

Optional Lunch: Basic Airway WorkshopPre-Registration and Fee RequiredJennifer Dearden, MD (Leader)

1:00 - 2:00 PM2:00 - 3:00 PM3:00 - 4:00 PM

Scenario 4, Scenario 5, Scenario 6Scenario 4, Scenario 5, Scenario 6Scenario 4, Scenario 5, Scenario 6

4:00 - 4:30 PM Closing Remarks and Debriefing/Interactive Feedback

Moderator and Leader of Simulation WorkshopsJames Fehr, MD

Anesthesia Directed Scenario: Sharon Redd, MD*, Vanessa Young, RN, BA, Kevin Barton, MD

Dental Medicine Directed Scenario: Calvin Kuan, MD*, Jerry Chao, MD, Echo Rowe, MD

Emergency Medicine Directed Scenario: Robert Kennedy, MD*, Jon Chiles, MD

Hospital Medicine Directed Scenario: Yasmeen Daud, MD*, Kim Hamlin, MD

Post Sedation Recovery Event Scenario: John Zhong, MD*, Michele Trinka, RN, MSN, CCRN, PCCN, Dayna Downing, MBA

Procedural Sedation Scenario: Anna Maria Onisei, MD, Saif Siddiqui, MD*

*Indicates Scenario/Workshop Leader

FRIDAY, SEPTEMBER 18, 2015

PEDIATRIC SEDATION SIMULATION WORKSHOPS Course Director: Keira P. Mason, MDDirector, Sedation Simulation Workshops: James Fehr, MD

CONFERENCE SCHEDULE

Optional and limited enrollment. Pre-registration is required. Participants will spend one hour in each of the six scenarios.



SEPTEMBER 19-20, 2015 WEEKEND COURSE OVERVIEWTARGET AUDIENCESThis conference is intended for physicians, dentists, registered nurses, nurse practitioners, advanced practice nurses, pharmacists, and health care administrators. Specifically, the healthcare professionals have represented the specialties of anesthesiology, radiology, emergency medicine, hospital medicine, pediatrics, dental medicine, dental anes thesiology, intensive care medicine and gastroenterology.

COURSE DESCRIPTIONThis annual conference entitled, Pediatric Sedation Outside the Operating Room, is taught by multi-specialists, renowned in pediatric sedation, from both the United States and internationally. This course offers both didactic lectures and panel discussions. Optional hands-on basic airway workshops will also be offered. Small round table discussions with the faculty and afternoon concurrent tracks provides the attendee with an opportunity for discourse and interactive discussions.

The field of sedation continues to evolve and policies, recommendations and Center for Medicaid and Medicare Service guidelines change in response to the health care environment. Currently, sedation guidelines and recommendations differ between specialty societies: For example, the American Society of Anesthesiologists (ASA) guidelines on deep sedation are not concurrent with those of the American Society of Gastroenterology nor American College of Emergency Physicians. Sedative agents, delivery methods and routes of delivery are changing as new techniques and outcomes continue to be explored and presented. This course is designed to fill the practice gaps created by this combination of evolving practice guidelines, differing practice standards among specialty societies, and continuing advances in sedation medicine and tech-nology by updating and reviewing state-of-the-art techniques for safe and effective delivery of sedation.

This conference is intended to improve learner competence and performance by reviewing not only the basics of sedation but also updating the registrant to current, evolving and state-of-the art practice (i.e. knowledge). The hands-on work-shops on airway management and patient simulation using mannequins will allow the learner to apply this competence to their everyday practice (i.e. performance) and prepare for the rare, unanticipated emergencies. Being prepared for emer-gencies as well as for the more common adverse events, the learner will be able to be better equipped to improve patient outcome. This confer ence is to increase the participant’s breadth of knowledge of pediatric sedation along with elaborate on ways to improve and track patient outcomes.

LEARNING OBJECTIVESUpon completion of this activity, participants will be able to:• Analyze recent changes in guidelines, regulations, policies and future developments in sedation systems and their

impact on patient care.• Complete an in-depth review of physiologic monitoring and develop an appreciation of the role and interpretation of

capnography. • Utilize the hands-on experience attained in the airway workshops to better manage airway emergencies

CALL FOR POSTER ABSTRACTS DEADLINE FOR SUBMISSION OF ABSTRACTS: JULY 1, 2015 Detailed submission guidelines, abstract submission form, and disclosure form can be found at: www.PediatricSedationConference.com

Abstracts are blindly reviewed by the abstract committee. Presenting authors will be notified if their abstract is chosen for poster display at the September 19-20, 2015 weekend conference.


SATURDAY, SEPTEMBER 19, 2015WEEKEND CONFERENCE: DAY 1 Weekend Conference: Moving Sedation ForwardCourse Director: Keira P. Mason, MD

6:30 – 7:00 AM Early Bird Registration

7:00 – 8:15 AM Registration/Breakfast OR Optional Breakfast Breakout Panels (Pre-registration and fee required)Basic Airway Workshop: An opportunity to enhance your pediatric airway management skills, in a hands-on workshopJennifer Dearden, MD (Leader) Ketamine: Mark Roback, MD, Franz Babl, MD, and Cyril Sahyoun, MDDexmedetomidine: Mohamed Mahmoud, MD and Keira Mason, MD

Moderator: Keira P. Mason, MD

8:45 – 9:45 AM

9:45 – 10:15 AM10:15 – 10:45 AM

Keynote Address: Overcoming the Challenges that Choose Us Travis RoyQuestion and Answer PanelBook Signing and Morning Break with Exhibitors

CHALLENGES & INNOVATIONS IN SEDATION AND ANALGESIAModerator: Piet Leroy, MD

10:45 – 11:20 AM

11:20 – 11:55 AM

11:55 – 12:30 PM

12:30 – 1:00 PM

The Most Common and Challenging Pediatric Syndromes and BehaviorMohamed Mahmoud, MDCreative, Innovative and New Techniques and Approaches to Pain ManagementJerrold Lerman, MDPractical Aspects to Assessment, Management, and Drug Dosing of the ObeseLori Aronson, MDPanel DiscussionMohamed Mahmoud, MD, Jerrold Lerman, MD, Lori Aronson, MD

1:00 - 2:30 PM Lunch On Your Own OR Optional Lunch Breakout Panel (Pre-registration and fee required)

Nitrous: Franz Babl, MD, Bo Kennedy, MDSimulation Workshop: Calvin Kuan, MD

THE ESSENTIALS OF SEDATION OUTSIDE THE OR Moderator: Keira P. Mason, MD

2:30 - 3:00 PM

3:00 - 3:30 PM

3:30 - 4:00 PM

4:00 - 4:30 PM

4:30 - 5:00 PM

5:00 - 5:30 PM

Sedation in the Cognitively Impaired ChildEgidio Barbi, MDAdverse Events in Sedation: Establishing a New Culture of SafetyKeira Mason, MDWhat’s New in Sedation?Jerrold Lerman, MDSedating the Emergent ASA III/IV PatientCyril Sahyoun, MDThe Best Articles in the High Impact Journals of 2014Timothy Martin, MDPanel DiscussionTimothy Martin, MD, Cyril Sahyoun, MD, Jerrold Lerman, MD, Keira Mason, MD, Egidio Barbi,MD

5:30 - 8:00 PM Complimentary Cocktail Reception (Faculty, Attendees and Sponsors)


WEEKEND CONFERENCE SCHEDULE


7:00 - 8:15 AM Registration/Breakfast OR

Optional Breakfast Breakout Panels (Pre-registration and fee required)Acupuncture, Hands On Workshop: Yuan Chi-Lin, MDPropofol: Joss Thomas, MD and Doug Carlson, MD

8:30 - 9:15 AM

9:15 - 10:00 AM

10:00 - 10:20 AM

10:20 - 10:35 AM

Keynote Address: Suffering, Transcendence and the Obliteration of Consciousness: Deep Conscious Sedation in Children at the End of LifeGail Van Norman, MD Keynote Address: Propofol: Murder, Mayhem, and Mercy Steven Shafer, MDPropofol and the Michael Jackson TrialPablo Sepulveda, MDQuestion and Answer Panel

10:35 - 11:00 AM Morning Break

THE CUTTING EDGE OF SEDATION Moderator: Franz Babl, MD

11:00 - 11:45 AM

11:45 - 12:15 PM

12:15 - 12:45 PM

12:45 - 1:00 PM

Target-Controlled Infusion: Clinical Applications and Barriers to Adoption in the United StatesSteven Shafer, MDExploring Old and New Alternative Techniques to Sedation: Nasal, Oral and IntravenousFranz Babl, MDNon Pharmacologic Techniques to Optimize Sedation Care Piet Leroy, MDPanel DiscussionFranz Babl, MD, Piet Leroy, MD, Steve Shafer, MD

1:00 - 2:30 PM

Lunch On Your Own OR Optional Lunch Breakout Panel (Pre-registration and fee required)

Logistics, Challenges and Solutions to Developing and Running a Sedation Program:Joss Thomas, MD, Doug Carlson, MD, Ricardo Quinonez, MD

Concurrent Afternoon General Session Lectures: You may attend and combine any of the two concurrent sessions. Pre-registration is not required and lectures are included in weekend registration.

Sessions will be held from: 2:30-5:00 PM

General Session A: Methods to Improve Safety and Patient CareModerator: Robert Kennedy, MD

2:30 - 2:50 PM2:50 - 3:20 PM3:20 - 3:40 PM3:40 - 4:00 PM 4:00 - 4:30 PM4:30 - 4:45 PM

4:45 - 5:00 PM

NPO Status: A Necessity or a Luxury? : Debunking the Truth Through Recent Literature Mark Roback, MDPro/Con: There is No Role for Nitrous in the 21st century Piet Leroy, MD and Bo Kennedy, MDDexmedetomidine: Clinical Applications, Limitations and Future Use Keira P. Mason, MDLessons Learned: Developing and Running an Anesthesia Developed Nurse Sedation Program Joss Thomas, MDObstructive Sleep Apnea: A Pediatric Epidemic Mohamed Mahmoud, MDPanel DiscussionJoss Thomas, MD, Mohamed Mahmoud, MD, Keira Mason, MD, Mark Roback, MD, Bo Kennedy, MD, Piet Leroy, MDDebriefing

General Session B: Developing a Comprehensive Sedation Program: From A-ZModerator: Douglas Carlson, MD

2:30 - 3:00 PM3:00 - 3:30 PM3:30 - 4:00 PM4:00 - 4:30 PM4:30 - 5:00 PM

Meeting Every Patient’s Sedation Needs: Finding the Gaps in Your System Douglas Carlson, MDTraining and Credentialing Sedation Providers Dean Andropoulos, MDInsuring Safe Reliable Systems for Sedation: Quality Measurement and Process Improvement Douglas Carlson, MDNon-anesthesiologist Use of Propofol Ricardo Quinonez, MD and Dean Andropoulos, MDMedications That You Should Add to Your Practice Ricardo Quinonez, MD

SUNDAY, SEPTEMBER 20, 2015WEEKEND CONFERENCE: DAY 2Weekend Conference: Exploring the Frontiers of SedationCourse Director: Keira P. Mason, MD

WEEKEND CONFERENCE SCHEDULE


The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Harvard Medical School designates this live activity for a maximum of 27.5 AMA PRA Category I Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

An application for Risk Management credit(s) in Massachusetts has been submitted and is currently pending. Risk management credit(s) will be determined based on the criteria outlined by the Massachusetts Board of Registration in Medicine. Please check with you individual state licensing board requirements before claiming risk management credit(s) for this program. AMA PRA Category 1 Credits™ claimed by physicians attending live events certified and organized in the United States for AMA PRA Category 1 Credits™ can be claimed through the agreement on mutual recognition of credits between UEMS and AMA, considered as being equal to the European Continuous Medical Education Credits (ECMEC©) granted by the UEMS. One AMA PRA Category 1 Credits™ is equivalent to one (1) hour of European EACCME Credit (ECMEC©), therefore up to 27.5 ECMEC© Credits are available. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. Pending ACEP Category I credit and Nursing CEU hours (Nursing Staff Development of Boston Children’s Hospital (PA93). Nursing contact hours will be awarded for this program and the number of hours is under review. Boston Children’s Hospital is an approved provider of continuing nursing education by the American Nurses Association Massachu-setts, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

REGISTRATION INFORMATIONRegister by June 1, 2015 and receive a $100 discount towards weekend conference tuition. Promo code: Early100. Reduced Weekend Course Tuition Fee for four or more attendees from the same hospital/institution: $649 per person. This reduced tuition fee only includes the week-end course (In order to receive this discount, please contact the HMS-DCE office at (617) 384-8600.)

Registration by credit card (VISA, MasterCard or American Express) or check can be made through Harvard Medical School’s secure online registration system at https://www.hmscmeregistration.org/351418. Registration by check (draft on a United States bank), please make payable to Harvard Medical School. Learners who choose to pay by check will be prompted to download an online form to send in with a payment. Telephone or fax registration is not accepted. Registration with cash payment is not permitted. Upon receipt of your payment, you will receive an email confirmation. Be sure to include an email address that you check frequently. Your email address is used for critical information including registration confirmation, evaluation and certificate.

This course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies: Patient care, Medical knowledge, Practice-based learning and improvement, Interpersonal and communication skills, Systems-based practice.

ACGME COMPETENCIES

ACCREDITATION

HOTEL ACCOMMODATIONSThere a limited number of hotel rooms available at the CasaMagna Marriott Cancun Resort. Please reserve hotel space early.A limited number of rooms have been reserved at the CasaMagna Marriott Cancun Resort located on Blvd. Kukulcan, Retorno Chac L-41, Cancún, Quintana Roo 77500, Mexico. (Telephone: (800-223-6388 Option #3 or 011-52-998-881-2000 Option #3) until September 2, 2015. Please specify that you are enrolled in this course to receive a reduced room rate of $132 USD/per night Two Doubles/King (Resort View, Balcony Guest room). Hotel arrange ments can also be made online by clicking the below link.

Please do not purchase non-refundable airline ticket(s) until you have received an email from our office confirming your paid registration. For airline reservations contact the HMS Travel Desk toll free 1-877-4-HAR-VMD (1-877-442-7863) Monday - Friday 9 AM - 8 PM (EST). From outside the U.S., Canada and Virgin Islands, please call: 617-559-3764

INQUIRIESBy phone 617-384-8600, Monday-Friday, 9 AM to 5 PM (EST) or by email at: [email protected].

ONLINE INFORMATIONTo register or view activity information online, visit: www.PediatricSedationConference.comTo ensure proper registration, please add the first three characters of the source code found above your name on the mailing panel.

COURSE LOCATIONAll sessions for this course will be held at the Marriott CasaMagna Cancun Resort located on Blvd. Kukulcan, Retorno Chac L-41, Cancún, Quintana Roo 77500, Mexico. (Telephone: (800-223-6388 Option #3 or 011-52-998-881-2000 Option #3))

DISCLOSURE POLICYHarvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, review ers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activ-ity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

COURSE TUITION REFUND POLICYRefunds, less an administrative fee of $100, will be issued for all cancellations received two weeks prior to the start of the course. Refund requests must be received by postal mail, email, or fax. No refund will be issued should cancellation occur less than two weeks prior. “No shows” are subject to the full course fee and no refunds will be issued once the conference has started.

IMPORTANT INFORMATIONParticipants entering Mexico from the United States, Canada or other countries need valid passports. Travelers are asked to complete a tourist card (FMT form) at their point of entry. Any minor traveling with one parent needs a notarized letter of permission from the other parent. The U.S. Department of State provides up-to-date travel information.


SEPTEMBER 19-20, 2015Two Day Weekend Course: Moving Sedation Forward *All fees shown in USD

Physicians and Dentists Residents/Fellows, Nurses, and Allied Health Professionals

$799$549

Optional Breakfast Breakout Panels:DexmedetomidineBasic Airway WorkshopKetamine PropofolAcupuncture

$100 $100 $100 $100 $100

Optional Lunch Breakout Panels:Nitrous OxideLogistics, Challenges and Solutions to Developing and Running a Sedation ProgramSimulation Workshop

$100 $100 $100

Reduced Weekend Course Tuition Fee for four or more attendees from the same hospital/institution: $649 per person. This reduced tuition fee only includes the weekend course. (In order to receive this discount, please contact the HMS-DCE office at (617) 384-8600.)

FRIDAY, SEPTEMBER 18, 2015Full-Day Pediatric Sedation Simulation Workshop Fundamentals of Sedation: Reviewing the Basics - Bridging the Specialties

$679 $589

Lunch on your own OR Optional Lunch: Basic Airway WorkshopSimposio Sedación en Pediatría fuera de Quirófano (en español)Optional Lunch: TCI (en español)A schedule for this offering and the Dental Sedation Simulation Workshop, is available at www.PediatricSedationConference.com

$100 $300 $100

SATURDAY, SEPTEMBER 19, 2015Pediatric Dental Sedation Simulation Workshops $679

Pediatric Sedation Outside of the Operating Room Course# 351418

WELCOME RECEPTION SATURDAY, SEPTEMBER 19, 2015Attendees and their guests are warmly invited to join the faculty for a complimentary reception on Saturday, September 19, 2015 at 5:30PM. The reception is intended to give attendees an opportunity to make connections with existing and new colleagues and mingle with the faculty. The reception will take place in the beautiful Pool Garden area of the resort.

Please note, a complete schedule for the Simposio Sedación en Pediatría fuera de Quirófano (en español) and the Dental Sedation Simulation Workshop offerings are available online at: www.PediatricSedationConference.com

CASAMAGNA MARRIOTT RESORT, CANCUN, MEXICO

PEDIATRIC SEDATION OUTSIDE OF THE OPERATING ROOM

Non Profit Org.US Postage

PAIDPermit No. 1325

Boston, MA

POSTER ABSTRACT DEADLINE

JULY 1, 2015

SEPTEMBER 19-20, 2015WEEKEND SEDATION CONFERENCE Moving Sedation Forward


FRIDAY, SEPTEMBER 18, 2015 Full-Day Sedation Symposium The Fundamentals Of Sedation: Reviewing The Basics - Bridging The Specialties

Full-Day Pediatric Sedation Simulation Workshops Simposio Sedación en Pediatríafuera de Quirófano (en español)

COURSE DIRECTOR KEIRA P. MASON, MDDIRECTOR, FUNDAMENTALS OF SEDATION SYMPOSIUM

MARK G. ROBACK, MDDIRECTOR, SEDATION SIMULATION WORKSHOPS

JAMES FEHR, MD

EARLY BIRD

DISCOUNT! REGISTER BY

JUNE 1, 2015 and

RECEIVE A $100 DISCOUNT

TOWARDS WEEKEND

CONFERENCE TUITION.

PROMO CODE:

Early100

Documents

OUTSIDE OF THE OPERATING ROOM ly100 - Pediatric Sedation · Egidio Barbi, MD Pediatric Emergency Department Institute for Maternal and Child Health Burlo Garofolo, Trieste, Italy