PGA73 Program Journal

PGA73 PostGraduate Assembly in Anesthesiology Fri. -Tues. Dec. 13-17 Marriott Marquis NYC/USA

2019

www.pga.nyc The New York State Society of Anesthesiologists, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Up to 48.5 AMA PRA Category 1 Credits TM

Sponsored by:

The New York State Society of Anesthesiologists, Inc.

Contents Letter from Mayor

2

Welcome Letter

3

NySSA & PGA History

4-6

2019 Officers and board of directors

7

2019 Committee on Annual Sessions

8

General Information

9 - 10

Statement of Educational Mission

11

Continuing Medical Education

12

Faculty disclosure

12

CME Certification Process

13

Program Planner disclosure Statements

13

Thursday Overview

15

Friday Overview

17

Saturday Overview

33

New york State Conference for Anesthesiology residents and Fellows resident research Contest

40 - 41

Sunday Overview

53

Current Issues Forum

61

Monday Overview

69

Tuesday Overview

85

Floor Plans

148 - 150

E NGLISH IS T HE OF F ICIAL L AN GUAG E O F TH E P G A

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

1

2

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

Welcome

73rd Annual PostGraduate Assembly in Anesthesiology december 13 -17, 2019 Marriott Marquis NyC

dear Colleagues: For 73 years the PostGraduate Assembly (PGA), the annual meeting of the New York State Society of Anesthesiologists, has been a focal point for innovation and change in the medical specialty of anesthesiology.

The PGA is currently one of the largest annual gatherings for anesthesiologists worldwide, and a premier international meeting, as more than 30 percent of attendees travel from outside the United States.

We encourage participants to share experiences with fellow practitioners and scientists in the heart of New York City. Our objective is to provide an opportunity to interact with other clinicians for the benefit of your patients, your practice, your graduate medical education program and your research. Through your feedback and other sources, we identify knowledge and practice gaps within our specialty and address them through a variety of teaching techniques. We hope you find a teaching method suitable to your learning style, and welcome your suggestions for improvement. Teaching formats include lectures, interactive workshops, mini workshops, problem-based learning discussions, focus sessions and poster presentations.

Scientific Panels address knowledge and practice gaps chosen from a broad range of topics relevant to the clinician. The sessions include interactive discussions, during which the panel addresses audience questions and comments.

Focus Sessions give in-depth coverage of more specific topics and pro/con debates on controversial issues that are of interest to select audiences.

Workshops, Mini Workshops and the Thoracic Symposium are close contact sessions with expert instructors. They are an opportunity to seek out in-depth information regarding a clinical competence.

Problem-based Learning discussions (PBLDs) are small group case discussions with experienced clinicians. The goal of the PBLDs is to explore a specific clinical problem and learn through close interaction between the moderator and the participants.

This year, for the first time we will offer Engaging with the Experts sessions. These sessions are designed to be topic-specific exchanges between expert panelists and audience members who are encouraged to interact and offer their own questions and insights to the topics at hand.

The resident research Contest affords young investigators an opportunity to present their work to their peers at a major international forum.

Scientific Exhibits, Poster Presentations and Medically Challenging Case reports allow attendees to discuss the latest scientific progress in the specialty of anesthesiology and review interesting cases.

Technical Exhibits enable attendees to assess available drugs, devices, equipment and services from a multitude of vendors.

Hospital Visits take place on Thursday, one day prior to the start of the PGA. Arrangements are made with area hospitals and medical schools to provide attendees with the opportunity to observe the facilities and equipment of major institutions in New York City.

Social Events allow you and your guests the chance to cap off intense days of learning with memorable evenings filled with Broadway shows, tours, the opera, and the endless exciting restaurants of New York City.

The bright lights of Broadway beckon you. Take advantage of everything “the city that never sleeps” has to offer during our 73rd Annual meeting!

Audrée A. bendo, M.d., M.S. General Chair

2019 | PGA73 Program

SPONSOrEd by:

Meg A. rosenblatt, M.d., FASA Scientific Programs Chair

The New york State Society of Anesthesiologists, Inc.

3

NySSA & PGA History The first PostGraduate Assembly in Anesthesiology (PGA) was launched in December 1945, in New York City. Originally envisioned as a biennial meeting, aimed at assisting physicians returning from serving in the U.S. Armed Forces, the second PGA was held in 1947. By 1948, a venue was needed for the annual meeting of the New York State section of the American Society of Anesthesiologists. Thus, the next PGA took place that year. The third PGA also included a panel chaired by two Harvard surgeons, illustrating a commitment to utilize the best experts, regardless of their specialty. The panel’s prominence within the PGA program also demonstrated the importance of pain management to anesthesiology, even in the late 1940s. Beginning in 1950, the PGA became an annual event. In 1963, the meeting moved to a larger venue which allowed for the expansion of the program. In the 1980s, the PGA continued to grow and new innovations such as mini-workshops were introduced. Focus sessions, problem-based learning discussions, and hands-on workshops were added in the 1990s to keep the PGA on the cutting-edge of anesthesiology. What began in 1945 as an effort to provide continuing education to local physicians, has since evolved into an international meeting of historic proportions.

year 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973

NySSA Presidents (No Officeholder) (No Officeholder) (No Officeholder) Paul W. Searles, M.D.* Irving M. Pallin, M.D.* H. Arthur Snell, M.D.* H. Arthur Snell, M.D.* E. M. Papper, M.D. * Harold F. Bishop, M.D. * Richard N. Terry, M.D. * Albert M. Betcher, M.D. * E. Dean Babbage, M.D. * S. G. Hershey, M.D. * Vincent J. Collins, M.D. * John A. Kalb, M.D. * Edwin Emma, M.D. * Charles M. Landmesser, M.D. * Albert E. Chiron, M.D. * Carl J. Geiger, M.D. * Louis R. Orkin, M.D. * Victor J. Tofany, M.D. * William S. Howland, M.D. * Richard Ament, M.D. * Edgar H. Bachrach, M.D. * Kenneth A. Kelly, Jr., M.D. George A. Keating, M.D. * Robert M. Lawrence, M.D. * Sarah Joffe, M.D. * H. Ketcham Morrell, M.D. *

PGA General Chairs E. A. Rovenstine, M.D. * (No PGA Held) E. A. Rovenstine, M.D. * Lewis H. Wright, M.D. * (ASA Meeting in New York) Lewis H. Wright, M.D. * E. M. Papper, M.D. * E. M. Papper, M.D. * E. M. Papper, M.D. * S. G. Hershey, M.D. * S. G. Hershey, M.D. * S. G. Hershey, M.D. * Louis R. Orkin, M.D. * Louis R. Orkin, M.D. * Louis R. Orkin, M.D. * Merel H. Harmel, M.D. * Albert M. Betcher, M.D. * Albert M. Betcher, M.D. * James O. Elam, M.D. * Merel H. Harmel, M.D. * Benton D. King, M.D. * Benton D. King, M.D. * Benton D. King, M.D. * Joseph F. Artusio, Jr., M.D. * Joseph F. Artusio, Jr., M.D. * Joseph F. Artusio, Jr., M.D. * William S. Howland, M.D. * William S. Howland, M.D. * William S. Howland, M.D. * * Deceased

4

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

year 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

NySSA Presidents Louis S. Blancato, M.D. * William B. McCafferty, M .D. * Erwin Lear, M.D. * William D. Nugent, M.D. Thomas K. Lammert, M.D. Joyce M. McChesney, M.D. * Edward C. Sinnott, M.D. * Joseph W. Kramarczyk, M.D. * Bernard Hollander, M.D. * James E. Graber, M.D. * Lee S. Binder, M.D. * Alexander L. Hastie, M.D. Gerald S. Weinberger, M.D. Charles J. Vacanti, M.D. I. Cary Andrews, M.D. * Jared C. Barlow, M.D. Marilyn M. S. Kritchman, M.D. Patrick A. Fantauzzi, M.D. Herbert J. Fisch, M.D. * Peter B. Kane, M.D. Paul L. Goldiner, M.D. Anthony A. Ascioti, M.D. Alexander W. Gotta, M.D. * James P. Burdick, M.D. Margaret G. Pratila, M.D. Michael S. Jakubowski, M.D. Kenneth J. Freese, M.D. Mark J. Lema, M.D., Ph.D. Phillip N. Fyman, M.D. Thel G. Boyette, M.D. Steven S. Schwalbe, M.D. Scott B. Groudine, M.D. Michael H. Mendeszoon, M.D., M.B.A. Richard A. Beers, M.D. Robert S. Lagasse, M.D. Alan E. Curle, M.D. Paul H. Willoughby, M.D. Kathleen A. O’Leary, M.D. Salvatore G. Vitale, M.D. Michael B. Simon, M.D., M.B.A., FASA Lawrence J. Epstein, M.D., FASA Michael P. Duffy, M.D., FASA Andrew D. Rosenberg, M.D., FASA Rose Berkun, M.D., FASA David S. Bronheim, M.D. Vilma A. Joseph, M.D., M.P.H., FASA

PGA General Chairs Sarah Joffe, M.D. * Sarah Joffe, M.D. * Sarah Joffe, M.D. * Paul J. Poppers, M.D. * Paul J. Poppers, M.D. * Paul J. Poppers, M.D. * Herman Turndorf, M.D. Herman Turndorf, M.D. Herman Turndorf, M.D. Henrik H. Bendixen, M.D. * Henrik H. Bendixen, M.D. * Henrik H. Bendixen, M.D. * Henrik H. Bendixen, M.D. * Henrik H. Bendixen, M.D. * Mieczyslaw Finster, M.D. Mieczyslaw Finster, M.D. Mieczyslaw Finster, M.D. James E. Cottrell, M.D., FRCA James E. Cottrell, M.D., FRCA James E. Cottrell, M.D., FRCA Alexander W. Gotta, M.D. * Alexander W. Gotta, M.D. * Alexander W. Gotta, M.D. * Elizabeth A.M. Frost, M.D. Elizabeth A.M. Frost, M.D. Elizabeth A.M. Frost, M.D. Elizabeth A.M. Frost, M.D. Mark J. Lema, M.D., Ph.D. Mark J. Lema, M.D., Ph.D. Mark J. Lema, M.D., Ph.D. Vinod Malhotra, M.D. Vinod Malhotra, M.D. Vinod Malhotra, M.D. Rebecca S. Twersky, M.D., M.P.H., FASA Rebecca S. Twersky, M.D., M.P.H., FASA Rebecca S. Twersky, M.D., M.P.H., FASA Andrew D. Rosenberg, M.D., FASA Andrew D. Rosenberg, M.D., FASA Andrew D. Rosenberg, M.D., FASA David J. Wlody, M.D., FASA David J. Wlody, M.D., FASA David J. Wlody, M.D., FASA Richard A. Beers, M.D. Richard A. Beers, M.D. Audrée A. Bendo, M.D., M.S., FASA Audrée A. Bendo, M.D., M.S., FASA * Deceased

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

5

NySSA & PGA History NySSA distinguished Service Award History year 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

recipient Name Erwin Lear, M.D. * Edward C. Sinnott, M.D. * Joseph F. Artusio, Jr., M.D. * Albert M. Betcher, M.D. * Louis R. Orkin, M.D. * Louis S. Blancato, M.D. * Sarah Joe, M.D. * Mieczyslaw Finster, M.D. Gertie F. Marx, M.D. * Paul L. Goldiner, M.D. James E. Cottrell, M.D., FRCA Jared C. Barlow, M.D. H. Ketcham Morrell, M.D. * Peter B. Kane, M.D. Alexander W. Gotta, M.D. * Jack Egnatinsky, M.D. Mark J. Lema, M.D., Ph.D. Margaret G. Pratila, M.D. Elizabeth A. M. Frost, M.D. Marilyn M. S. Kritchman, M.D. Michael S. Jakubowski, M.D. Ingrid B. Hollinger, M.D., FAAP, FASA Scott B. Groudine, M.D. Steven S. Schwalbe, M.D. * Deceased

We proudly acknowledge those individuals who during their professional career, while in New York State, rose through the ranks of the New York State Society of Anesthesiologists, Inc., and its predecessor, the New York Society of Anesthetists, to become President of the American Society of Anesthesiologists:

NySSA’s ASA Presidents year 1935/36 1943/44 1957 1963 1968 1971 1977 1982 1985 1987 2003 2007

ASA Presidents Harold C. Kelley, M.D. * E. A. Rovenstine, M.D. * Irving M. Pallin, M.D. * Albert M. Betcher, M.D. * E. M. Papper, M.D. * Robert G. Hicks, M.D. * Richard Ament, M.D. * Louis S. Blancato, M.D. * H. Ketcham Morrell, M.D. * Howard L. Zauder, M.D., Ph.D. * James E. Cottrell, M.D., FRCA Mark J. Lema, M.D., Ph.D.

T H E r E M Ay H AV E b E E N C H A N G E S S I N C E T H E

* Deceased

P U b L I C AT I O N O F T H I S P r O G r A M J O U r N A L .

6

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

The New york State Society of Anesthesiologists, Inc.

2019 Officers & board of directors President Vilma A. Joseph, M.d., M.P.H., FASA President Elect richard N. Wissler, M.d., FASA Vice-President Christopher L. Campese, M.d., M.A., M.S., FASA, CHCQM Immediate Past President

david S. bronheim, M.d.

Secretary Jung T. Kim, M.d., FASA Treasurer Jason Lok, M.d., FASA Vilma A. Joseph PrESIdENT

First Assistant Secretary Melinda A. Aquino, M.d.

Second Assistant Secretary Gregory W. Fischer, M.d., FASA Assistant Treasurer Steven b. Schulman, M.d., M.H.A., FASA ASA Director New York State david J. Wlody, M.d., FASA ASA Alternate Director New York State Michael b. Simon, M.d., M.b.A., FASA Speaker, House of Delegates Tracey Straker, M.d., M.S., M.P.H., CbA, FASA Vice Speaker, House of Delegates Scott N. Plotkin, M.d.

richard N. Wissler PrESIdENT ELECT

Director, NYSSA District #1

Lance W. Wagner, M.d., FASA

Director, NYSSA District #2 Sudheer K. Jain, M.d., FASA Director, NYSSA District #3 Chantal M. Pyram-Vincent, M.d., FASA Director, NYSSA District #4 Michael J. FitzPatrick, M.d., M.S. Director, NYSSA District #5 Jesus r. Calimlim, M.d.

Director, NYSSA District #6 Michael P. Eaton, M.d., FASA Director, NYSSA District #7 Elizabeth L. Mahoney, M.d., FASA

Christopher L. Campese VICE-PrESIdENT

Director, NYSSA District #8 daniel H. Sajewski, M.d.

Delegate, MSSNY Steven S. Schwalbe, M.d.

Alternate Delegate, MSSNY rose berkun, M.d., FASA Editor, NYSSA SPHERE Samir Kendale, M.d., FASA

Chair, Academic Anesthesiology Committee Suzanne b. Karan, M.d., FASA General Chair, Committee on Annual Sessions Audrée A. bendo, M.d., M.S., FASA Resident and Fellow Section President

Erica J. Fagelman, M.d.

Executive Director Stuart A. Hayman, M.S.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

7

2019 Committee on Annual Sessions Audrée A. bendo, M.d., M.S., FASA General Chair AdVISOrS

Rebecca S. Twersky, M.D., M.P.H., FASA Andrew D. Rosenberg, M.D., FASA David J. Wlody, M.D., FASA Richard A. Beers, M.D. H O N O r A ry C H A I r S James E. Cottrell, M.D., FRCA Mieczyslaw Finster, M.D. Elizabeth A. M. Frost, M.D. Mark J. Lema, M.D., Ph.D. Vinod Malhotra, M.D. Paul J. Poppers, M.D. Herman Turndorf, M.D.

Scientific Programs Sub-Committees Scientific Panels Meg A. rosenblatt, M.d., FASA, Overall Chair Linda J. Shore-Lesserson, M.d., FAHA, FASE, 1st Vice-Chair rose berkun, M.d., FASA, 2nd Vice-Chair CO M M I T T E E M E M b E r S Sunil Anand, M.D. Audrée A. Bendo, M.D., M.S., FASA * Rose Berkun, M.D., FASA Jose L. Castro-Garcia, M.D. Edmond Cohen, M.D. Saundra E. Curry, M.D. Anahita Dabo-Trubelja, M.D., FASA Hugh C. Hemmings, Jr., M.D., Ph.D., FRCA Ingrid B. Hollinger, M.D., FAAP, FASA Jerrold Lerman, M.D., FRCPC, FANZCA Kenneth B. Newman, M.D., M.S.H.A. Mark E. Nunnally, M.D., FCCM Lawrence J. Routenberg, M.D. * Jay Shayevitz, M.D., M.S., FAAP Stephen A. Vitkun, M.D., M.B.A., Ph.D. Lance W. Wagner, M.D. * Matthew B. Wecksell, M.D. , FASA Richard N. Wissler, M.D., Ph.D., FASA David J. Wlody, M.D., FASA Francine S. Yudkowitz, M.D., FAAP, FASA *

Focus Sessions deborah C. richman, M.b., Ch.b., FFA (SA), Chair bettina Smallman, M.d., Vice-Chair CO M M I T T E E M E M b E r S Apolonia E. Abramowicz, M.D. , FASA Alan E. Curle, M.D. Anis Dizdarevic, M.D. Jonathan S. Gal, M.D., FASA Cheryl K. Gooden, M.D., FAAP, FASA Vilma A. Joseph, M.D., M.P.H., FASA Anna K. Kaminski, D.O. Jerrold Lerman, M.D., FRCPC, FANZCA Sandhya Malhotra, M.D. Marina Moguilevitch, M.D. Jessica L. Spellman, M.D. Dawn M. Sweeney, M.D. Ivan A. Velickovic, M.D. Stephen A. Vitkun, M.D., M.B.A., Ph.D. Roniel Y. Weinberg, M.D. Ashley J. Whisnant, M.D. Zdravka Zafirova, M.D.

8

Workshops richard M. Sommer, M.d., Chair James A. Osorio, M.d., Vice-Chair CO M M I T T E E M E M b E r S Michael R. Anderson, M.D. Nibras Bughrara, M.D. Won Chee, M.D., M.B.A. Edmond Cohen, M.D. Dennis P. Dimaculangan, M.D. Jasmeet Easwar, D.O. Clifford M. Gevirtz, M.D., M.P.H. Ruchir Gupta, M.D., FASA John Hagen, M.D. Daniel J. Katz, M.D. Tal Levy, M.D., M.B.A. Ram Roth, M.D. Jon D. Samuels, M.D. Marc A. Sherwin, M.D. Linda J. Shore-Lesserson, M.D., FAHA, FASE Tony P. Tsai, M.D., M.B.A., FASA Zachary Turnbull, M.D. Amaresh Vydyanathan, M.B., B.S. Jeff L. Xu, M.D.

Mini Workshops Clifford M. Gevirtz, M.d., M.P.H., Chair Maria A. bustillo, M.d., Vice-Chair CO M M I T T E E M E M b E r S Apolonia E. Abramowicz, M.D., FASA Maria A. Bustillo, M.D. Margarita B. Dela Pena, M.D. Sheldon Goldstein, M.D. Shanna S. Hill, M.D. Subhash Jain, M.D., FASA Ngoc Nguyen-Famulare, M.D. Bharathi H. Scott, M.D. Jay R. Shayevitz, M.D., M.S., FAAP George Silvay, M.D., Ph.D. Romanth Waghmarae, M.B., B.Ch.

Scientific Exhibits & Poster Presentations Apolonia E. Abramowicz, M.d., FASA, Chair Judith L. Aronsohn, M.d., Vice-Chair bryan P. Mahoney, M.d., FASA, Vice-Chair CO M M I T T E E M E M b E r S Ayman R. Farag, ABA, ABPA, CBA, FASA Anna K. Kaminski, D.O. Galina Leyvi, M.D. Ngoc Nguyen-Famulare, M.D. Alessia C. Pedoto, M.D., FASA Joseph Schianodicola, M.D. Gary S. Schwartz, M.D., FASA Parikshith Sumathi, M.D. P. Sebastian Thomas, M.D. Muoi Trinh, M.D. Audra M. Webber, M.D. (Dist. 6) Albert C. Yeung, M.D.

International Scholars Elizabeth A. M. Frost, M.d., Co-Chair Paul L. Goldiner, M.d., Co-Chair CO M M I T T E E M E M b E r S Audrée A. Bendo, M.D., M.S., FASA * Prianka Desai, M.D. Cheryl K. Gooden, M.D., FAAP, FASA Vinod Malhotra, M.D., FACA Archana Mane, M.D. Irene P. Osborn, M.D.

Technical Exhibits david S. bronheim, M.d., Chair CO M M I T T E E M E M b E r S Michael H. Mendeszoon, M.D., M.B.A. Stuart A. Hayman, M.S. * Kelly A. Mancusi, M.B.A., CMP *

Executive Group Committee on Annual Sessions

Problem-based Learning discussions Patricia Mack, M.d., Chair Stacey A. Watt, M.d., FASA, Vice-Chair david S. Fishman, M.d., Vice-Chair

General Chair Audrée A. bendo, M.d., M.S., FASA *

CO M M I T T E E M E M b E r S

First Vice-Chair, Scientific Programs Linda J. Shore-Lesserson, M.d., FAHA, FASE

Tazeen Beg, M.D. Saundra E. Curry, M.D. Cheryl K. Gooden, M.D., FAAP, FASA Anna K. Kaminski, D.O. Melissa A. Kreso, M.D. Adam D. Lichtman, M.D., FASE Janine M. Limoncelli, M.D. Savita Manglik, M.D. Kenneth B. Newman, M.D., M.S.H.A. Helena Oechsner, M.D. Alessia C. Pedoto, M.D., FASA Sergey V. Pisklakov, M.D. Jacques H. Scharoun, M.D. Donna-Ann Thomas, M.D. Michael K. Urban, M.D., Ph.D. Samrat H. Worah, M.D. Albert C. Yeung, M.D.

Second Vice-Chair, Scientific Programs rose berkun, M.d., FASA NYSSA President Vilma A. Joseph, M.d., M.P.H., FASA NYSSA President Elect richard N. Wissler, M.d., Ph.d., FASA NYSSA Vice-President Christopher L. Campese, M.d., M.A., M.S., FASA, CHCQM * NYSSA Treasurer Jason Lok, M.d., FASA

resident research Contest Charles W. Emala, Sr., M.S., M.d., Chair Maria A. bustillo, M.d., Vice-Chair CO M M I T T E E M E M b E r S Samuel DeMaria Jr., M.D. Shaesta G. Humayun, M.D. Suzanne B. Karan, M.D., FASA Jun Lin, M.D., Ph.D. Ervant Nishanian, M.D., Ph.D. Arthur E. Schwartz, M.D. Vandana Sharma, M.D., FASA Kalpana C. Tyagaraj, M.D. Stacey A. Watt, M.D., FASA Menachem M. Weiner, M.D.

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

Chair, Scientific Programs Meg A. rosenblatt, M.d., FASA

NYSSA Secretary Jung T. Kim, M.d., FASA * NYSSA CME&R Chair Francine S. yudkowitz, M.d., FAAP, FASA * NYSSA Academic Anesthesiology Committee Vice-Chair Michael C. Wajda, M.d.

Kane O. Pryor, M.d.

NYSSA Executive Director Stuart A. Hayman, M.S. * * ex-officio

www.pga.nyc

#pga73

PGA SESSION KEy

General Information

E FS MW

registration PGA registration will be operational as follows:

Saturday, December 14 | 07:00 - 16:00 Sunday, December 15 | 07:00 - 16:00

m Exhibit Hall m Focus Sessions m Posters and Medically Challenging Case Report Posters m Scientific Exhibits m Engaging with the Experts

Mini Workshops

SP

Scientific Panels

TS

Thoracic Anesthesia Symposium

W

Hands-On Workshops

TICKET rEQUIrEd

Monday, December 16 | 07:00 - 16:00 Tuesday, December 17 | 07:00 - 15:00

m Scientific Panels and Lectures

Focus Sessions

PbLd Problem-based Learning discussions

Thursday, December 12 | 07:00 - 19:00 Friday, December 13 | 07:00 - 19:00

The registration fee includes the following general sessions:

Engaging with the Experts

Thoracic Anesthesia Symposium is $350.

Workshops are $150, except for W-01, W-12 and W-18, which are $350; and W-05 is $500.

Mini Workshops and Problem-based Learning discussions are $30, each.

Session resale and Exchange Policy On-site returns or exchanges must be made at PGA registration prior to the start of the session. Refunds will only be made if the ticket is resold. Exchanges can only be made if the ticket to be exchanged can be resold. Resales and exchanges are facilitated on a firstcome, first-serve basis. Refunds will be mailed after the PGA. Please retain receipts for your records, and allow 6-8 weeks post-PGA, for refunds to be processed.

Social Events resale Policy Concert or opera tickets are non-refundable. Tour refunds will only be made if the event is sold out.

Scientific Exhibits

Complimentary Coffee Service

Saturday, december 14 11:30 -15:30 • 7th Floor

Exhibit Hall • 5th Floor Saturday, december 14 | 10:00 & 14:00 Sunday, december 15 | 09:00 & 11:00

These exhibits offer the latest in scientific progress, both in descriptive and visual forms.

Monday, december 16 | 09:00

Poster Presentations and Medically Challenging Case report Posters Lyceum Complex • 5th Floor Saturday, december 14 10:00 -11:30 | 12:00 -13:30 Sunday, december 15 09:00 -10:30 | 11:00 -12:30 | 13:00 -14:30 Monday, december 16 | 11:30 -13:00

All posters have been scheduled for viewing on specific days and times. Authors will be on hand to discuss their work.

Please note: Posters and Medically Challenging Case Reports are not eligible for AMA PRA Category 1 Credits™.

Technical Exhibits 5th Floor Saturday, december 14 | 10:00 -18:00 Sunday, december 15 | 09:00-15:00 Monday, december 16 | 09:00-13:00

Our exhibitors invite you to examine their equipment, pharmaceuticals, literature and services. Their participation and support has helped make this meeting possible.

For your convenience, a map of the Exhibit Hall appears on the PGA mobile app.

2019 | PGA73 Program

Lunch Concession Service 5th Floor Sandwiches, salads, snacks and soft drinks will be available for purchase and conveniently located in the PGA exhibit hall (5th floor), between the hours of 11:30 - 13:30 on Saturday and Sunday.

Speaker Abstracts and reference Source Materials Scientific Panel, Focus Session, and Problem-Based Learning Discussion speakers have been asked to provide syllabus and reference information pertinent to the topics that they will be presenting. Syllabi and cases that were submitted will be posted on the PGA Website.

PowerPoint displays, posters and video presentations are the exclusive property of the individual presenters and, in accordance with intellectual property rights, cannot be reproduced without the owners’ permission. In addition, audio and/or video recording of a presentation, as well as the taking of photographs, is strictly prohibited.

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

9

General Information Speaker ready room 7th Floor The PGA Faculty Speaker Ready Room, is located in the Times Square Room, 7th Floor and will be staffed from 07:00 - 16:00, Friday, December 13 through Tuesday, December 17.

Congress bags will be available: Thursday, december 12 | 07:00-19:00 4th Floor Friday, december 13 | 07:00-19:00 4th Floor Saturday, december 14 | 10:00-18:00 5th Floor Sunday, december 15 | 09:00-15:00 5th Floor Monday, december 16 | 09:00-13:00 5th Floor Tuesday, december 17 | 09:00-16:00 4th Floor

Attendees must hand in a bag ticket, which is included with your badge print-out.

Evaluations During the course of this meeting, you will be asked to assist us in evaluating the various segments of the PGA.

did you know?!

We appreciate your time, effort and cooperation in completing the electronic evaluations via the mobile application or website. Your comments will be taken into consideration when planning future PGA programs.

10

Photography Your attendance at the NYSSA’s Annual PostGraduate Assembly in Anesthesiology authorizes the NYSSA to use photography or video of you, with or without your name, for any lawful purpose, including publicity, illustration, advertising and web content.

PGA Staff Headquarters 7th Floor The Harlem Room, located on the 7th floor of the Marriott, will serve as the NYSSA/PGA Headquarters Office. The room will be open from 07:00 to 17:00 throughout the duration of the PGA. NySSA House of delegates 9th Floor Convenes on Saturday, December 14 at 11:00 and , Sunday, December 15 at 09:30, in the Marquis Ballroom, located on the 9th floor of the Marriott.

Mobile devices Mobile devices must be in a muted, non-audio mode during all PGA sessions.

Smoking Policy Smoking is not permitted at any PGA function. disclaimer The NYSSA/PGA cannot be held responsible for loss of personal property.

PGA Hands-On Workshops qualify MOCA 2.0® under the Part IV Category of “Other on-site simulation” and are worth 1 point per hour spent on the activity!

Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology®.

This activity contributes to the patient safety CME requirement for Part II: Lifelong Learning and Self-Assessment of the American Board of Anesthesiology’s (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0®. Please consult the ABA website, www.theAbA.org, for a list of all MOCA 2.0 requirements.

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

Statement of Educational Mission (Revised February 2013) Vision: The New York State Society of Anesthesiologists, Inc. (NYSSA) through its Committee on Continuing Medical Education and Remediation (CME&R) is an educational organization that is dedicated to enhancing the standards and practice of the specialty by sponsoring quality, up-to-date and cutting-edge Continuing Medical Education (CME) activities designed to promote education, research and scientific investigations, and promoting quality patient care by improving competence, performance, and patient outcomes, not only within the membership but also nationwide and extending to the international community. In addition, this organization is committed to the remediation of anesthesiologists identified and referred by the New York State Department of Health Office of Professional Medical Conduct.

Purpose: The goals and objectives of NYSSA’s CME&R program are to: m Disseminate clinically useful, state-of-the-art, evidence-based, continuing medical education information, as well as basic and clinical scientific research data to clinical practitioners, students, and researchers in the field of anesthesiology, pain management, critical care, and anesthesia practice management. m Encourage and stimulate ongoing and new anesthesia-related research projects that will enhance and advance the specialty. m Remain current in our knowledge of the direction the field of anesthesiology, pain management, critical care, and practice management is following to be able to better develop programs to meet these newly identified needs. m Continually investigate and develop alternative methods to determine the educational needs of the diverse health care professionals serviced by the CME&R NYSSA program. m Comply with the Accreditation Council for Continuing Medical Education’s (ACCME) new Updated Accreditation Criteria adopted in September 2006. m Be supportive and institute remediation programs for anesthesiologists in need of remediation by continuing to be the designated Clinical Remediation Organization in Anesthesiology for the New York State Department of Health Office of Professional Medical Conduct.

Content: The scope of the NYSSA’s CME&R program is to provide a comprehensive integrated program designed to address the full spectrum of perioperative medicine, anesthetic management, pain management, critical care, and anesthesia practice management both in hospital and non-hospital settings. Diverse educational aspects include, but are not limited to, perioperative evaluation,

2019 | PGA73 Program

relief of pain and suffering, support of physiologic homeostasis, and cardiopulmonary resuscitation. Also included are activities designed to enhance knowledge of the changing healthcare marketplace and economic impact on the specialty of anesthesiology. Activities are also designed to fulfill Maintenance of Certification in Anesthesiology (MOCA®) requirements of practicing anesthesiologists as required by the American Board of Anesthesiology.

Target Audience: The educational program is designed to address the continuing medical education needs of health care professionals worldwide who are dedicated to the practice of all aspects of the field of anesthesiology. These programs will specifically meet the needs of anesthesiologists and intensivists in clinical practice and academia, physicians and Ph.D.’s engaged in research, anesthesia residents and fellows, intensive care fellows, medical students, and individuals in the allied health care professions (certified nurse anesthetists, perioperative care nurses, anesthesia assistants, dentists, and respiratory therapists).

Types of Activities & Program Modalities: The educational program is accomplished by conducting an annual session of the Post-Graduate Assembly in Anesthesiology (PGA) each year in New York. This meeting is the second largest annual anesthesia meeting in the country. The program utilizes a wide range of educational platforms to meet the needs of its participants and to fulfill the goals of the organization.

Modalities include, but are not limited to, large plenary didactic sessions, interactive hands-on workshops, small group problem-based learning discussions, small interactive focused group discussions, simulation modalities as well as scientific free papers and exhibits.

The Committee on CME&R of the NYSSA is committed to ensuring the effectiveness of its programs through evaluations, focus groups, feedback and follow-up analysis of impact on learning and professional performance of its attendees. Additional venues and modalities will continuously be explored for their beneficial contribution to the learning process.

Expected Program Outcomes: The NYSSA Committee on CME&R expects that its participants will either: Improve their competence by increasing their fund of knowledge and/or skill sets or Improve their performance by applying their newlyacquired knowledge and/or skill sets in order to provide quality and safe patient care. It is the belief of the Committee on CME&R that by improving competence and performance, patient outcomes will be improved. As the ability to measure patient outcomes of our participants become available, the Committee on CME&R will endeavor to utilize them to determine the impact of our CME activities on patient outcomes.

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

11

Continuing Medical Education The New York State Society of Anesthesiologists, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The New York State Society of Anesthesiologists, Inc., designates this live activity for a maximum of 48.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Medical Association has determined that physicians not licensed in the United States, who participate in this CME activity, are eligible for AMA PRA Category 1 Credits™. For additional details log on to: www.ama-assn.org The Royal College of Anaesthetists dictates that UK anaesthetists, who attend this meeting, can claim CEPD points at the rate of 1 point per hour, up to a maximum of 5 points per day, and a grand total of no more than 15 points for this meeting.

The American Osteopathic Association will award credit in Category 2 of the AOA CME program to D.O.’s upon receipt of documentation of verification of attendance.

CRNAs must apply to the AANA for postmeeting CE Credits. Certificates of Attendance can be provided, upon request.

12

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

Faculty disclosure The PostGraduate Assembly in Anesthesiology (PGA) maintains that balance, independence and objectivity be applied to each academic session. In accordance with ACCME Essentials, Guidelines & Standards, all PGA speakers and program organizers have been asked to disclose any potential conflicts of interest, this includes whether presenters have a commercial relationship with respect to their presentations or program content. This information is noted throughout the program journal, on the PGA web site, and will be on display in all meeting rooms with A/V projection. The views, opinions, policies or actions expressed by those who have provided materials for this meeting do not necessarily represent those of the PGA or the New York State Society of Anesthesiologists, Inc. The PGA and the NYSSA assume no responsibility for, nor do we endorse, any comments, recommendations or materials provided.

www.pga.nyc

#pga73

CME Certification Process CME Certification In order for the NYSSA/PGA to maintain ACCME accreditation as a CME Provider, and to be in compliance with current AMA CME certification requirements for reporting and awarding CME credits, we are informing you of the following details regarding the verification of credits and issuance of Certificates of Attendance. m CME Certificates will not be issued on-site. m CME Certificates will be issued electronically after the PGA. m Non-educational sessions such as Committee and House of Delegates meetings are not eligible for CME credit. m The deadline for claiming PGA73 credits is June 30, 2020.

A certificate of attendance for international registrants, exclusive of CME credits, will be issued after the PGA. To obtain a certificate of attendance, please send your request to hq@nyssa-pga.org.

Program Planner disclosure Statements: The following PGA Program planners, who are in a position to influence CME content, have indicated that they did not disclose any financial relationships: AudrÊe A. bendo, M.d., M.S., FASA, PGA General Chair Meg A. rosenblatt, M.d., FASA, Chair, Scientific Programs Linda J. Shore-Lesserson, M.d., FAHA, FASE, First Vice-Chair, Scientific Programs rose berkun, M.d., FASA, Second Vice-Chair, Scientific Programs deborah C. richman, M.b., Ch.b., FFA (SA), Chair, Focus Sessions bettina Smallman, M.d., Vice-Chair, Focus Sessions richard M. Sommer, M.d., Chair, Workshops James A. Osorio, M.d., Vice-Chair, Workshops Cliord M. Gevirtz, M.d., M.P.H., Chair, Mini Workshops Maria A. bustillo, M.d., Vice-Chair, Mini Workshops Patricia Mack, M.d., Chair, Problem-Based Learning Discussions Stacey A. Watt, M.d., FASA, First Vice Chair, Problem-Based Learning Discussions david S. Fishman, M.d., Second Vice Chair, Problem-Based Learning Discussions Charles W. Emala, Sr., M.S., M.d., Chair, Resident Research Contest Apolonia E. Abramowicz, M.d., FASA, Chair, Scientific Exhibits & Poster Presentations Judith L. Aronsohn, M.d., First Vice Chair, Scientific Exhibits & Poster Presentations bryan P. Mahoney, M.d., FASA, Second Vice Chair, Scientific Exhibits & Poster Presentations Francine S. yudkowitz, M.d., FAAP, FASA, Chair, Continuing Medical Education and Remediation

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

13

Notable Associations

Are you in Need of MOCA® Patient Safety Credits?

You can receive both CME and MOCA® Patient Safety credits by attending the following PGA panels and focus sessions:

American Society of Anesthesiologists (ASA) At the American Society of Anesthesiologists (ASA), we take pride in our dedication to raise and maintain the standards of the medical practice of anesthesiology and to improve patient care. Since 1905, our achievements have played an important role in American medicine and we’ve acted as an advocate for all patients who require anesthesia or relief from pain. We provide outstanding education, research and scientific knowledge to physician anesthesiologists and care team members.

Anesthesia Patient Safety Foundation (APSF) APSF’s Mission is to continually improve the patients during anesthesia care by encouraging safety research and education, patient safety programs and campaigns, as well as, conducting a national and international exchange of information and ideas.

SP-02 Gertie Marx Memorial Panel: Coexisting Cardiac Disease in the Pregnant Patient SP-05 Best Practices in Neurosurgical Anesthesiology: Avoiding Complications and Improving Outcomes SP-06 Anesthesiology and Decision Support Analytics: Real-World Implementations SP-07 Trauma: Do New Techniques and Strategies Save Lives?

SP-10 Perioperative Care of the Older Patient in the “Age of Accountability” SP-15 BJA Panel: Perioperative Anaphylaxis SP-16 The Evolution of the Cardiac Anesthesiologist: Concepts for the 21st Century SP-19 Patient Blood Management: An Important Role for the Anesthesiologist SP-21 ESA Panel: Postoperative Challenges — Patients Die After, Not During, Surgery!

SP-22 APSF and Rovenstine Memorial Panel: Practical Approaches to Improving Medication Safety SP-23 49th Emery A. Rovenstine Lecture: Is Patient Safety the “Pinnacle” of Quality Perioperative Care SP-24 Pediatrics: Cases Gone Wrong, Lessons Learned SP-25 The Cardiac Patient for Non-Cardiac Surgery SP-26 Anesthesia for Challenging Cases in the 21st Century

british Journal of Anaesthesia The British Journal of Anaesthesia is a monthly peer-reviewed medical journal published by the Oxford University Press on behalf of the Royal College of Anaesthetists. It was established in 1923 and covers all aspects of anesthesia.

SP-27 Controversies in Anesthesiology SP-29 Controversies (and Myths) in Airway Management FS-08 Perioperative Challenges in the Patient with Heart Disease FS-13 The Anesthesia Work Station and Safety Issues: Are Our Patients Safer?

FS-25 Update on Infection Prevention for the Anesthesia Professional FS-28 Patient Safety

European Society of Anaesthesiologists (ESA) The ESA aims for the highest standards of practice and safety in anesthesia, intensive care, emergency medicine and pain treatment through education, research and professional development throughout Europe. The ESA organizes European Anesthesiology Congresses throughout Europe.

The meetings are attended by members and nonmembers representing more than 80 countries from around the world.

The New York State Society of Anesthesiologists, Inc. 110 East 40th Street, Suite 300 New York, NY 10016 USA

14

Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology®. This patient safety activity helps fulfill the patient safety CME requirement for Part II of the Maintenance of Certification in Anesthesiology Program (MOCA) of The American Board of Anesthesiology (ABA). Please consult the ABA website, www.theAbA.org, for a list of all MOCA requirements.

Scan your Way to PGA!

212-867-7140 • hq@nyssa-pga.org • www.pga.nyc

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

Thursday

december 12, 2019

Thoracic Anesthesia Symposium

07:00 - 18:00

registration

07:00 - 19:00

T H U r S d A y

FEE rEQUIrEd (Fees listed on page 3.)

Thoracic Anesthesia Symposium Part I 07:00 - 18:00 • Odets room • 4th Floor

MOCA®

MOdErATOr:

Edmond Cohen, M.d. david Amar, M.d. randal S. blank, M.d., Ph.d. david S. bronheim, M.d.

Javier H. Campos, M.d. dawn P. desiderio, M.d.

Gregory W. Fischer, M.d., FASA raja M. Flores, M.d.

Marcelo Gama de Abreu, M.d., Ph.d., dESA Leila Hosseinian, M.d.

Jonathan d. Leff, M.d., FASE Alessia C. Pedoto, M.d., FASA Wanda M. Popescu, M.d.

Eugene r. Viscusi, M.d.

Menachem Weiner, M.d., Ph.d.

After completion of this session, the participant will be able to: m review the guidelines for ErAS in thoracic surgery; m Identify the perioperative factors that contribute to lung injury in thoracic surgery patients and plan strategies to avoid this complication; m Understand recent developments in the physiology of one-lung ventilation and use this information to minimize hypoxemia during one-lung anesthesia; m develop a plan to improve the perioperative outcomes of patients having esophagectomy surgery; m Manage anesthetic care for patients having airway surgery including invasive pulmonology, trachea resection and tracheal injuries; m Perform paravertebral analgesia and lung ultrasound; m demonstrate their ability to provide safe and reliable lung isolation with double-lumen tubes and bronchial blockers; m recognize the intraoperative implications of large mediastinal masses and develop an anesthetic plan to manage these patients; m develop a plan to manage post-thoracotomy pain for patients in whom epidural analgesia is contraindicated; m discuss recent advances in anesthesia for lung transplantation and patients with pulmonary hypertension.

Drs. Amar, Blank, Bronheim, Campos, Cohen, Desiderio, Fischer, Flores, Hosseinian, Pedoto, Popescu and Weiner do not have any financial relationships to disclose. Dr. Gama de Abreu receives funded research support from Dräeger Medical, Inc. and consultant fees from Ambu® Airway Management and GE Healthcare. Dr. Leff receives consultant fees from CAS Medical Systems, Inc. (CASMED). Dr. Viscusi receives consultant fees from AcelRx, Heron Therapeutics, Merck & Co., Inc., Recro Pharma, Inc. and Salix Pharmaceuticals; he is also on the speaker’s bureau for Heron Therapeutics and Salix Pharmaceuticals.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

15

T H U r S d A y

16

07:00 - 07:45

Continental Breakfast

07:45 - 08:00

Welcome and Introduction | Dr. Cohen

08:00 - 10:00

Panel 1: Lung Injury during Thoracic Surgery Panel Chairs: Drs. Fischer and Leff • Tidal Volume during OLV: How Essential? | Dr. Blank • Protective Lung Ventilation during OLV: Research Overview? | Dr. Gama de Abreu • Tubeless Thoracic Surgery? | Dr. Cohen • ERAS in Thoracic Anesthesia | Dr. Popescu

10:10 - 12:00

Problem Based Learning Discussions PBLD 1 The Cardiac Patients Undergoing Lung Resection: What Should We Know | Dr. Fischer PBLD 2 Post Thoracotomy Arrhythmias | Drs. Bronheim and Amar PBLD 3 Postthoracotomy Pain Management: Epidural vs. Paravertebral Drs. Viscusi and Malhotra PBLD 4 Management of Mediastinal Mass | Drs. Weiner and Campos PBLD 5 Bronchtracheal and Bronchesophageal Fistula Drs. Popescu and Desiderio PBLD 6 Lung Isolation in the Difficult Airway | Drs. Pedoto and Blank PBLD 7 Pulmonary Hypertension and Pulmonary Resection | Dr. Hosseinian PBLD 8 Severe Hypoxemia during OLV | Drs. Leff and Gama de Abreu

12:00 - 13:00

Lunch Session: All You Want to Know About Thoracic Anesthesia and You Never Asked: Questions and Answers | Chair: Dr. Cohen Drs. Campos, Gama de Abreu, Flores and Viscusi

13:00 - 13:40

Panel 2: Special Lecture | Panel Chair: Dr. Desiderio Lung Surgery: Balancing Medicine with Politics | Dr. Flores

13:40 - 15:30

Panel 3: Challenges in Thoracic Anesthesia Panel Chairs: Drs. Bronheim and Weiner • Pain Management in Thoracic Surgery: Traditional vs. Alternative Therapies Dr. Viscusi • Tracheal Surgery: Sharing the Airway | Dr. Desiderio • Thoracic Surgery in the Morbidly Obese: Challenges and Complications Dr. Pedoto • Perioperative Arrhythmias | Dr. Amar

15:30 - 16:00

Coffee Break with Exhibits

16:00 - 18:00

Panel 4: Issues in Thoracic Anesthesia Panel Chairs: Drs. Popescu and Gama de Abreu • Recent advances in Lung Isolation: DLT vs. Blockers | Dr. Campos • Cerebral Oximetry: Is It Useful During Thoracic Procedures? | Dr. Leff • Anesthesia and Cancer Surgery: Can We Influence Outcome | Dr. Fischer • Recent Advances Esophageal Surgery | Dr. Blank

18:00

Closing Remarks

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

Friday

december 13, 2019

registration

07:00 - 19:00

Sessions

07:00 - 15:00

Gertie Marx Memorial Panel

08:00 - 9:30

Lunch break

11:30 - 12:45

Engaging with the Experts

16:00 - 17:00 FEE rEQUIrEd (Fees listed on page 3.)

F r I d A y

W-01 Pediatric Advanced Life Support (PALS) 07:00 - 17:00 • Majestic Complex • 6th Floor

MOCA®

MOdErATOr:

Francine S. yudkowitz, M.d., FAAP, FASA rhonda A. Alexis, M.d. barbara M. dilos, d.O. Cheryl K. Gooden, M.d., FAAP, FASA rebecca E. Lee, M.d.

After completion of this session, the participant will be able to: m demonstrate basic pediatric life-support skills; m recognize the signs of impending respiratory failure and shock; m Initiate treatment of impending and overt respiratory failure and shock; m Identify and appropriately treat rhythm disturbances; m demonstrate effective communication skills during a crisis situation with team members. requirements for Certificate: To receive a PALS certificate, the participant will have to successfully complete the course and pass a written and practical examination which will be administered at the end of the course.

Please note there will be a scheduled lunch break from 11:30-13:45 which is not eligible for AMA PrA Category 1 Credits™

Drs. Alexis, Dilos, Gooden, Lee and Yudkowitz do not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

17

MW-01 Postoperative Nausea and Vomiting: Practice Guideline Update 07:45 - 08:45 • Odets room • 4th Floor Ana C. Costa, M.d.

F r I d A y

Dr. Costa does not have any financial relationships to disclose.

MW-02 Anesthetic Management of TAVr: Sedation or GA? What is best?

07:45 - 08:45 • O’Neill room • 4th Floor rafael Honikman, M.d.

Peter J. Neuburger, M.d.

Cesar rodriguez-diaz, M.d.

Drs. Honikman and Rodriguez-Diaz do not have any financial relationships to disclose. Dr. Neuburger receives consultant fees from Medtronic, Inc. and is on the advisory Board for Caisson.

MW-03 Are you ready to be a director or Chair of an Anesthesia department?

07:45 - 08:45 • Wilder room • 4th Floor Kenneth I. rosenfeld, M.d.

Dr. Rosenfeld is on the speaker’s bureau for Acacia Anesthesia, PLLC; Merck & Co., Inc. and Pharma/Biotec.

MW-04 Update on Intrathecal drug Therapy, Spinal Cord Stimulation and Peripheral Nerve Stimulation 07:45 - 08:45 • Ziegfeld room • 4th Floor Mohammad Piracha, M.d.

Dr. Piracha does not have any financial relationships to disclose.

18

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

After completion of this session, the participant will be able to: m describe the pathophysiology and factors associated with postoperative vomiting; m Enumerate the associated factors for PONV; m design an anesthetic plan to minimize nausea and vomiting in patients at risk; m Measure reduced occurrences of PONV and their patient populations.

After completion of this session, the participant will be able to: m delineate the indications and contraindications to sedation for TAVr; m delineate the indications and contraindications to general anesthesia for TAVr; m Create an algorithm that addresses the critical hemodynamic effects during TAVr and the treatments for these events; m Perform an anesthesia assessment of TAVr patients that identifies whether GA or sedation is the preferred option.

After completion of this session, the participant will be able to: m define three styles of leadership and identify their best fit style; m Execute new leadership qualities in their everyday anesthesiology practice; m Identify the style of leadership of the hospital administration and or surgery departments.

After completion of this session, the participant will be able to: m Enumerate the indications and contra-indication to intrathecal pump therapy; m Create and use the consensus algorithm for intrathecal drug therapy in their practice; m Create an algorithm to treat overdose situations.

www.pga.nyc

#pga73

SP-01 Challenges in NOrA

MOCA®

08:00 - 9:30 • North ballroom • 6th Floor MOdErATOr:

Patricia Mack, M.d.

Invasive Gastroenterology: Ensuring Appropriate Care bradly J. Narr, M.d.

Anesthesiology Challenges in the Electrophysiology Suite diana Anca, M.d.

radiation Safety for Anesthesiologists: Staying Safe in Interventional radiology Patricia Mack, M.d.

After completion of this session, the participant will be able to: m Plan a comprehensive system for the perioperative management of the medically complex patient scheduled for the Gastroenterology Suite; m develop a comprehensive anesthetic plan for the care of the patient undergoing an Electrophysiology Procedure which also mitigates the challenges of providing care in that environment; m Construct systems to improve the safety of the clinicians providing care in the Interventional radiology suite.

Drs. Anca, Mack and Narr do not have any financial relationships to disclose.

F r I d A y

SP-02 Gertie Marx Memorial Panel: Coexisting Cardiac disease in the After completion of this session, Pregnant Patient MOCA® the participant will be able to: m describe the epidemiology, presentation, and physiologic implications of coexisting cardiac diseases in pregnant patients;

08:00 - 9:30 • South ballroom • 6th Floor MOdErATOr:

david J. Wlody, M.d., FASA

Valvular disease

m discuss the interaction of pregnancy with coexisting cardiac diseases;

richard M. Smiley, M.d., Ph.d.

Cardiomyopathy of Pregnancy david J. Wlody, M.d., FASA

Pulmonary Hypertension Klaus Kjaer, M.d.

Drs. Kjaer and Wlody do not have any financial relationships to disclose. Dr. Smiley receives funded research support from Pacira Pharmaceuticals, Inc. and spouse owns stock in AbbVie Inc. and Amgen Inc.

m devise an anesthetic management plan for the patient with valvular heart disease, pulmonary hypertension and cardiomyopathy of pregnancy.

SP-03 The Emperor of All Maladies: The Anesthesiologist’s role in the Care of the Cancer Patient 08:00 - 9:30 • Manhattan ballroom • 8th Floor MOdErATOr:

Vijaya N. r. Gottumukkala, M.b., b.S., M.d., FrCA After completion of this session, the participant will be able to:

Global Impact of Cancer Vijaya N. r. Gottumukkala, M.b., b.S., M.d., FrCA

m discuss the impact that cancer has on the health of our communities;

New Medical Therapies for Cancer Patients: Overview and Implications for the Anesthesiologist david Hyman, M.d.

m Formulate an anesthesia plan that takes into account cancer and anti-cancer therapeutics;

does Anesthetic Management Influence Outcomes in the Cancer Patient?

m Enumerate new modalities and new treatments for cancer;

Gregory W. Fischer, M.d., FASA

m describe the genetic basis and metabolic impact of cancer in surgical patients

Drs. Fischer and Hyman do not have any financial relationships to disclose. Dr. Gottumukkala receives consultant fees from FKS-Life and Health Medical Care Inc. and Medtronic Inc.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

19

W-02 Ultrasound, Simulation and Stimulation for Peripheral Nerve blocks 08:00 - 11:00 • Soho Complex • 7th Floor MOdErATOrS:

F r I d A y

After completion of this session, the participant will be able to:

Mitchell H. Marshall, M.d.

Jovan Popovic, M.d., FrCPC Arthur C. Hertling, M.d., FASA Michael Akerman, M.d.

Michael r. Anderson, M.d.

Patrick birmingham, M.d., FAAP, FASA Jan boublik, M.d., Ph.d.

Levon M. Capan, M.d.

Prianka desai, M.d. david Furgiuele, M.d., FASA Christina L. Jeng, M.d., FASA yan Lai, M.d.

Jinlei Li, M.d., Ph.d. danielle b. Ludwin, M.d. richard I. Marks, M.d.

Shairko Missouri, M.d.

Sauni P. Perera, d.O. Andrew d. rosenberg, M.d., FASA Meg A. rosenblatt, M.d., FASA david Seligsohn, M.d.

Santhanam Suresh, M.d., FAAP, M.b.A. Tiffany r. Tedore, M.d.

Uchenna Umeh, M.d., FASA Lisa Warren, M.d. daniel Wambold, M.d. roniel y. Weinberg, M.d.

m Apply the use of nerve stimulator techniques for upper and lower extremity blocks; m Treat reflex sympathetic dystrophy with either intravenous anesthesia (bier block) or nerve block; m Utilize ultrasound technology for upper and lower extremity blocks.

Drs. Akerman, Anderson, Birmingham, Capan, Desai, Furgiuele, Hertling, Jeng, Lai, Li, Ludwin, Marks, Marshall, Missouri, Perera, Popovic, Rosenberg, Rosenblatt, Seligsohn, Umeh, Warren, Wambold and Weinberg do not have any financial relationships to disclose. Dr. Boublik receives consultant fees from GE Flexion and honoraria from PaJunk Medical Systems. Dr. Suresh receives consultant fees from Pacira Pharmaceuticals, Inc. Dr. Tedore’s spouse is a shareholder and sits on the board of TG Therapeutics.

After completion of this session, the participant will be able to:

W-03 Ultrasound Assisted Neuraxial Anesthesia

m Enumerate the principles of ultrasound applied to the assessment of the spine;

08:00 - 11:00 • Empire Complex • 7th Floor

m recognize the normal sonoanatomy of the spine; m Perform a systematic ultrasound assessment of the spine in the sagittal and transverse planes;

MOdErATOr:

Jose C. A.Carvalho, M.d., Ph.d., FANZCA, FrCPC ricardo bittencourt, M.d., M.b.A. bruno C.r. borges, M.d.

Paul M. Wieczorek, M.d., FrCPC

m Identify a desired interspace; m Identify the optimal needle insertion point; m determine the distance from the skin to the epidural or intrathecal spaces.

Drs. Bittencourt, Borges, Carvalho and Wieczorek do not have any financial relationships to disclose.

20

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

Thoracic Anesthesia Symposium Part II 08:00 - 11:00 • Shubert Complex • 6th Floor MOdErATOr:

Edmond Cohen, M.d.

After completion of this session, the participant will be able to: m Place left and right-sided double lumen endobronchial tubes utilizing fiberoptic bronchoscopy; m Place various types of endobronchial blockers to provide one lung ventilation; m Apply techniques for successful lung separation in patients with a difficult airway;

F r I d A y

m Manage hypoxia in a patient with one-lung ventilation; m Manage postoperative analgesia in the post-lung resection patient.

david Amar, M.d. randal S. blank, M.d., Ph.d. david S. bronheim, M.d.

Javier H. Campos, M.d.

Maria d. Castillo, M.d.

Jeffrey Ciccone, M.d. dawn P. desiderio, M.d.

Marcelo Gama de Abreu, M.d. Ph.d.

Jonathan d. Leff, M.d., FASE Anuj Malhotra, M.d.

Alessia C. Pedoto, M.d., FASA Wanda M. Popescu, M.d.

Jessica L. Spellman, M.d.

Eugene r. Viscusi, M.d.

Menachem Weiner, M.d.

Drs. Amar, Blank, Bronheim, Campos, Castillo, Cohen, Ciccone, Desiderio, Malhotra, Pedoto, Popescu, Spellman and Weiner do not have any financial relationships to disclose. Dr. Gama de Abreu receives funded research support from Dräeger Medical, Inc. and consultant fees from Ambu® Airway Management and GE Healthcare. Dr. Leff receives consultant fees from CAS Medical Systems, Inc. (CASMED). Dr. Viscusi receives consultant fees from AcelRx, Heron Therapeutics, Merck & Co., Inc., Recro Pharma, Inc. and Salix Pharmaceuticals; he is also on the speaker’s bureau for Heron Therapeutics and Salix Pharmaceuticals.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

21

SP-04 Update in Preadmission Testing 09:45 - 11:15 • North ballroom • 6th Floor MOdErATOr:

m devise a plan for the pretesting of a cardiac patient for non-cardiac surgery;

david L. Hepner, M.d., M.P.H.

Cardiac Evaluation for Non-Cardiac Surgery

m Apply appropriate frailty testing in the preoperative setting;

bobbie-Jean Sweitzer, M.d, FACP

F r I d A y

Frailty Guidelines | Jeanna d. blitz, M.d., FASA dual Anti-Platelet Therapy Guidelines | david L. Hepner, M.d., M.P.H. Drs. Blitz, Hepner and Sweitzer do not have any financial relationships to disclose.

SP-05 best Practices in Neurosurgical Anesthesiology: Avoiding Complications and Improving MOCA® Outcomes 09:45 - 11:15 • South ballroom • 6th Floor MOdErATOr:

Audrée A. bendo, M.d., M.S, FASA

The Traumatic brain Injury Patient | deepak Sharma, M.b., b.S., M.d., dM The INr Patient | Apolonia E. Abramowicz, M.d., FASA The Spine Patient | Jess W. brallier, M.d.

Drs. Bendo and Brallier do not have any financial relationships to disclose. Dr. Abramowicz’s spouse has equity with TEVA Pharmaceutical Industries, LTD and GlaxoSmithKline (GSK). Dr. Sharma receives funded research support from NIH R21 ASA State of Washington Department of Social and Health Services and royalties from Wolters Kluwer (UpToDate).

SP-06 Anesthesiology and decision Support Analytics: real-World Implementations MOCA® 09:45 - 11:15 • Manhattan ballroom • 8th Floor MOdErATOr:

david L. reich, M.d.

The Augmented Anesthesiologist | Patrick J. McCormick, M.d., MEng Moving data Around the Enterprise: Why the Anesthesiologist Should be Part of the Solution | Matthew A. Levin, M.d.

Getting the Heck Out of the Or: Why an Anesthesiologist is the Ideal Informatics Leader in a Health System | david L. reich, M.d.

Predicting Mortality and Other Things We’d Like to Avoid: Is the Computer better than an ASA Score? | Ira S. Hofer, M.d.

Drs. Levin and Reich do not have any financial relationships to disclose. Dr. Hofer receives funded research support from Merck & Co., Inc. and is a shareholder with Clarity Healthcare Analytics. Dr. McCormick’s spouse owns stock in Johnson & Johnson.

22

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

After completion of this session, the participant will be able to:

www.pga.nyc

m Create algorithms for the perioperative management of antiplatelet therapy.

After completion of this session, the participant will be able to: m Identify procedure-related risks and potential complications in neurosurgical patients with different pathologies; m devise a multidisciplinary approach to expedite care and avoid complications in emergency traumatic brain injury, interventional neuroradiology, and elective spine surgery patients; m describe best practices for caring for patients requiring emergency neuro-interventional procedures using a multidisciplinary approach.

After completion of this session, the participant will be able to: m define the basic “anatomy and physiology” of data flow in an electronic health enterprise that supports clinical operations; m Use the basic principles of informatics to improve the practice of anesthesiology; m Explain the ways in which machine learning has been implemented in clinical decision support and relate that to their own practice.

#pga73

Lunch break

11:30 - 12:45 After completion of this session, the participant will be able to:

SP-07 Trauma: do New Techniques and Strategies MOCA® Save Lives?

m describe the principle and technique of new balloon occlusion techniques in trauma hemorrhage and discuss available outcome data;

13:00 - 14:30 • North ballroom • 6th Floor MOdErATOr:

Evan G. Pivalizza, M.b., Ch.b., FFASA

Endovascular balloon Occlusion of the Aorta (rEbOA): Game Changer in Trauma?

Larita yvette Fouche-Weber, M.d.

Use of Whole blood as a resuscitation Strategy Evan G. Pivalizza, M.b., Ch.b., FFASA

The role of Antifibrinolytics in Trauma Patients radwan Safa, M.d., Ph.d.

Drs. Fouche-Weber, Pivalizza and Safa do not have any financial relationships to disclose.

SP-08 Anesthesia for Patients with Chronic diseases 13:00 - 14:30 • South ballroom • 6th Floor MOdErATOr:

basem Abdelmalak, M.d., FASA

The Patient with diabetes basem Abdelmalak, M.d., FASA

The Patient with Chronic Kidney disease Tricia E. brentjens, M.d.

The Patient with Chronic Liver disease randolph H. Steadman, M.d., M.S. Drs. Abdelmalak, Brentjens and Steadman do not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

m Apply new techniques to trauma patients based upon current military and civilian data; m Create algorithms for the use of whole blood in trauma resuscitation;

F r I d A y

m define the coagulopathy of trauma and implement various treatments using transfusion protocols and pharmacology.

After completion of this session, the participant will be able to: m Justify to other clinicians and/or administrators the rationale to proceed or delay surgery for hyperglycemia and/or high HbA1c; m determine the ideal timing for dialysis preoperatively based upon the risks associated with hyperkalemia and other abnormal metabolics in chronic kidney disease patients; m describe the impact of liver dysfunction and anesthetic choice on the outcome of nontransplant surgery.

The New york State Society of Anesthesiologists, Inc.

23

W-04 Ultrasound Assisted Neuraxial Anesthesia 13:00 - 16:00 • Empire Complex • 7th Floor MOdErATOr:

F r I d A y

Jose C. A. Carvalho, M.d., Ph.d., FANZCA, FrCPC

ricardo bittencourt, M.d., M.b.A. bruno C.r. borges, M.d.

Paul M. Wieczorek, M.d., FrCPC

After completion of this session, the participant will be able to: m Enumerate the principles of ultrasound applied to the assessment of the spine; m recognize the normal sonoanatomy of the spine; m Perform a systematic ultrasound assessment of the spine in the sagittal and transverse planes; m Identify a desired interspace; m Identify the optimal needle insertion point; m determine the distance from the skin to the epidural or intrathecal spaces.

Drs. Bittencourt, Borges, Carvalho and Wieczorek do not have any financial relationships to disclose.

24

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

FS-01 Hepatic disease 14:45 - 15:45 • Shubert Complex • 6th Floor MOdErATOr:

randolph H. Steadman, M.d., M.S.

The Patient with Previous Liver Transplant for Subsequent Surgery | Evan G. Pivalizza, M.b., Ch.b., FFASA Management of Acute Perioperative Hepatic Failure Geraldine diaz, d.O. Drs. Diaz, Pivalizza and Steadman do not have any financial relationships to disclose.

FS-02 Neuroanesthesia: Pro/Con FS on Craniotomy Awake vs.

Under GA 14:45 - 15:45 • Columbia/duffy rooms • 7th Floor MOdErATOr:

Apolonia E. Abramowicz, M.d., FASA

Awake Craniotomy: Pro | deepak Sharma, M.b., b.S., M.d., dM Awake Craniotomy: Con - defending the Traditional Asleep Craniotomy | Alex y. bekker, M.d., Ph.d.

Dr. Bekker does not have any financial relationships to disclose. Dr. Abramowicz’s spouse has equity with TEVA Pharmaceutical Industries, LTD and GlaxoSmithKline (GSK).

Dr. Sharma receives funded research support NIH R21 ASA State of Washington Department of Social and Health Services and royalties from Wolters Kluwer (UpToDate).

FS-03 diversity in Healthcare 14:45 - 15:45 • Soho Complex • 7th Floor MOdErATOr:

Vilma A. Joseph, M.d., M.P.H., FASA

Patient disparities | Vilma A. Joseph, M.d., M.P.H., FASA Provider disparities | Alexsandra bastien, M.d.

Drs. Bastien and Joseph do not have any financial relationships to disclose.

FS-04 Operating room Management: Efficiency and Patient Safety 14:45 - 15:45 • Manhattan ballroom • 8th Floor MOdErATOr:

Vinod Malhotra, M.d., FACA

Effective Strategies to Improve Efficiency and Patient Safety: How do We Get the Focus on What Matters the Most?

Vinod Malhotra, M.d., FACA

Staffing Effective Pre Anesthesia Evaluation Center: Who Should Pay and is the resource Allocation Worth It? david L. Hepner, M.d., M.P.H. Drs. Hepner and Malhotra do not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

After completion of this session, the participant will be able to: m discuss the potential periprocedural problems of patients following hepatic transplantation; m develop an anesthetic plan to safely manage these patients; m recognize signs of impending hepatic failure; Manage patients developing acute perioperative hepatic failure.

After completion of this session, the participant will be able to: m Stratify patients as to who would be a candidate for awake craniotomy vs. asleep craniotomies; m develop an anesthetic plan for patients undergoing awake craniotomy; m develop an anesthetic plan for patients not suitable for awake craniotomy.

F r I d A y

After completion of this session, the participant will be able to: m Identify the challenges of diversity between practitioners and how to overcome them; m describe how through education and overcoming bias, effective communication between healthcare providers and patients can be achieved; m demonstrate the impact of implicit bias on physicians patient care and discuss the possible effect of implicit bias on access to quality healthcare; m discuss supporting data on health care disparities.

After completion of this session, the participant will be able to: m describe the value in spending money on a preoperative process; m demonstrate to administration the advantages of a formal preoperative clinic; m List the various factors that contribute to Or efficiency.

The New york State Society of Anesthesiologists, Inc.

25

MW-05 Cardiac Anesthesia Update 14:45 - 15:45 • Odets room • 4th Floor bessie Kachulis, M.d.

Steven E. Miller, M.d.

F r I d A y

Drs. Kachulis and Miller do not have any financial relationships to disclose.

MW-06 Evidence-based Therapy for Local Anesthetic Toxicity 14:45 - 15:45 • O’Neill room • 4th Floor Jason Lee, M.d.

Dr. Lee does not have any financial relationships to disclose.

MW-07 Anesthesia for Major Vascular Surgery 14:45 - 15:45 • Wilder room • 4th Floor Joseph A. Gallombardo, M.d.

Joshua Heller, M.d.

Drs. Gallombardo and Heller do not have any financial relationships to disclose.

MW-08 Perioperative Coagulopathy and Massive Hemorrhage Update 14:45 - 15:45 • Ziegfeld room • 4th Floor Maria A. bustillo, M.d.

Dr. Bustillo does not have any financial relationships to disclose.

26

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

After completion of this session, the participant will be able to: m discuss the anesthetic implications of implantable cardiac defibrillators, pacemakers, left ventricular assist devices and artificial hearts; m Create a list of anesthetic challenges and management strategies; m design a management algorithm for the patient with a cardiac implantable device having non-cardiac surgery; m Make recommendations to consultant physicians and surgeons regarding the best choice for on or off-pump cardiac surgery.

After completion of this session, the participant will be able to: m Acutely recognize local anesthetic toxicity; m Create an evidence-based treatment algorithm for Local Anesthetic Toxicity using intralipid therapy; m Appropriately address the patient and family after the local anesthetic toxicity complication.

After completion of this session, the participant will be able to: m Enumerate anesthesia risk factors and possible complications that can arise from endovascular approaches; m Create an anesthetic plan for an endovascular surgery patient that minimizes potential risks; m Utilize a number of different options for postoperative analgesia in this population of patients.

After completion of this session, the participant will be able to: m define which medications may affect the coagulation pathway and thus complicate regional anesthesia; m Create a policy for their department for cessation of anticoagulant drugs in anticipation of the use of regional anesthesia; m Implement the use of tests may help to guide intraoperative therapy.

www.pga.nyc

#pga73

PbLd-01 The Patient for Vertebroplasty 14:45 - 15:45 • Astor ballroom • 7th Floor

After completion of this session, the participant will be able to: m Identify common comorbidities in patient with kyphoscoliosis; m discuss concerns at caring for this patient in a NOrA location;

Elizabeth A. M. Frost, M.d.

Dr. Frost does not have any financial relationships to disclose.

PbLd-02 The Pregnant Patient for Non-Obstetrical Surgery 14:45 - 15:45 • Astor ballroom • 7th Floor Ellen J. brand, M.d.

Melissa A. Kreso, M.d.

Drs. Brand and Kreso do not have any financial relationships to disclose.

PbLd-03 LAST: Local Anesthetic Systemic Toxicity

m Formulate an anesthetic plan to care for the kypoplasty patient.

After completion of this session, the participant will be able to:

F r I d A y

m Identify various anesthetic and non-obstetrical surgery considerations throughout pregnancy; m Formulate an anesthetic plan that takes into consideration the fetal and maternal effects of non-obstetric surgery during pregnancy; m Manage the issues surrounding laparoscopic surgery in the patient.

14:45 - 15:45 • Astor ballroom • 7th Floor Jeffrey bernstein, M.d. danielle b. Ludwin, M.d.

After completion of this session, the participant will be able to:

Drs. Bernstein and Ludwin do not have any financial relationships to disclose.

PbLd-04 Cardiac Arrest during Tonsillectomy

m Identify the signs and symptoms of Local Anesthetic Systemic Toxicity; m Formulate a plan to treat Local Anesthetic Systemic Toxicity.

14:45 - 15:45 • Astor ballroom • 7th Floor After completion of this session, the participant will be able to:

draginja r. Cvetkovic, M.d.

Galina Leyvi, M.d., M.S. Drs. Cvetkovic and Leyvi do not have any financial relationships to disclose.

m Identify risk factors for cardiac arrest in the pediatric population; m develop an emergency response plan for cardiac arrest in this ambulatory procedure.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

27

PbLd-05 How Low Can We Go? New Guidelines for Perioperative blood Management F r I d A y

14:45 - 15:45 • Astor ballroom • 7th Floor Chan-Nyein A. Maung, M.d.

Seth I. Perelman, M.d., FASA Drs. Maung and Perelman do not have any financial relationships to disclose.

PbLd-06 The Use of Sub-anesthetic Ketamine for Perioperative Analgesia 14:45 - 15:45 • Astor ballroom • 7th Floor Matthew T. Levine, M.d.

Dr. Levine does not have any financial relationships to disclose.

PbLd-07 Tranexamic Acid for Maternal Hemorrhage 14:45 - 15:45 • Astor ballroom • 7th Floor Jaime L. Aaronson, M.d.

Jennie y. Ngai, M.d., FASA Drs. Aaronson and Ngai do not have any financial relationships to disclose.

After completion of this session, the participant will be able to: m describe the most recent guidelines regarding perioperative blood product transfusion; m Identify barriers to the timely provision of adequate blood products in a case requiring massive transfusion; m Implement a comprehensive transfusion protocol, including one addressing massive transfusions.

After completion of this session, the participant will be able to: m discuss the mechanism of action by which ketamine exerts pain control; m Identify the psychomimetic and physiologic effects of ketamine; m Incorporate ketamine into a perioperative anesthetic and pain management plan.

After completion of this session, the participant will be able to: m recognize signs and symptoms of postpartum hemorrhage; m Identify indications for the use of tranexamic acid in maternal hemorrhage; m Implement a program for the use of tranexamic acid in appropriate situations.

28

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

E-01 Engaging with the Experts on “When GI Guidelines in Endoscopy Conflict with Those of Anesthesia” 16:00 - 17:00 • Marquis ballroom • 9th Floor

F r I d A y

Carl V. Crawford, Jr., M.d.

Michael A. Kislelev, M.d.

Vinod Malhotra, M.d., FACA bradly J. Narr, M.d.

After completion of this session, the participant will be able to: m Identify the differences in guidelines and some practices related to endoscopic procedures among gastroenterologists and anesthesiologists; m Propose strategies to address the challenges posed by these different practice expectations.

Drs. Kiselev, Malhotra and Narr do not have any financial relationships to disclose. Dr. Crawford receives funded research support from Ferring Pharmaceuticals, Rebiotix Inc., and Summit Anesthesia, consultant fees from Merck & Co., Inc. and Ferring Pharmaceuticals, and is on both the Merck & Co., Inc. and RedHill Biopharma Ltd. speakers bureau.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

29

After completion of this session, the participant will be able to: m Identify issues related to aging in a practitioner and how to address the issue; m Identify and assess the impaired physician; m Interpret the current recommendations of the department of Health’s Committee for Physician Health; m develop a plan to manage the aging or impaired physician.

FS-05 The Impaired Physician and The Aging Practitioner – Issues of Professionalism 16:00 - 17:00 • Shubert Complex • 6th Floor MOdErATOr:

F r I d A y

Michael P. duffy, M.d., FASA

recognizing Age related Impairment and How to deal With It? | Michael P. duffy, M.d., FASA The Impaired Physician: The dOH and Medical Society View | Terrance M. bedient, FACHE Dr. Duffy and Mr. Bedient do not have any financial relationships to disclose.

After completion of this session, the participant will be able to: m describe the risks and benefits of tight control; m Manage glucose in the perioperative phase and; m Provide to patients perioperative instructions for the newer diabetic medications.

FS-06 Updates in diabetes Management 16:00 - 17:00 • Columbia/duffy rooms • 7th Floor MOdErATOr:

basem Abdelmalak, M.d., FASA

Tight Glucose Control in the Operating room basem Abdelmalak, M.d., FASA

After completion of this session, the participant will be able to: m Formulate a plan for ventilation during one lung ventilation that minimizes risk for postoperative pulmonary complications; m describe the concept of ErAS for thoracic surgery and will be able to incorporate ErAS protocols into their practice of thoracic anesthesia.

Newer diabetes Medications: What We Need to Know Joshua d. Miller, M.d., M.P.H. Drs. Abdelmalak and Miller do not have any financial relationships to disclose.

FS-07 Anesthesia for Thoracic Surgery 16:00 - 17:00 • Soho Complex • 7th Floor MOdErATOr:

Edmond Cohen, M.d.

One Lung Ventilation: driving Pressure or Tidal Volume?

Marcelo Gama de Abreu, M.d., Ph.d., dESA

ErAS in Thoracic Surgery | Wanda M. Popescu, M.d.

Drs. Cohen and Popescu do not have any financial relationships to disclose. Dr. Gama de Abreu receives funded research support from Dräeger Medical, Inc. and consultant fees from Ambu® Airway Management and GE Healthcare.

MOCA®

FS-08 Perioperative Challenges in the Patient with Heart disease 16:00 - 17:00 • Manhattan ballroom • 8th Floor MOdErATOr:

dawn M. Sweeney, M.d.

Adult with repaired Congenital Heart disease dawn M. Sweeney, M.d.

Patient with Stent | Ketan Shevde, M.d.

After completion of this session, the participant will be able to: m discuss the clinical issues related to the two main types of coronary stents; m Stratify the perioperative risks for patients with intracoronary stents; m develop management strategies for perioperative antiplatelet therapy for different types of coronary stents; m discuss the most common sequelae of repaired congenital heart disease; m develop management strategies for patients with repaired congenital heart disease with or without residual lesions; m develop management strategies for patients with Fontan physiology.

Drs. Shevde and Sweeney do not have any financial relationships to disclose.

30

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

After completion of this session, the participant will be able to:

PbLd-08 Management of Hypertrophic Cardiomyopathy during Labor and delivery

m Evaluate the pregnant patient with a history of cardiomyopathy; m Collaborate with obstetrics, cardiology, electrophysiology and the patient to formulate an anesthetic plan for cesarean delivery.

16:00 - 17:00 • Astor ballroom • 7th Floor Jaime L. Aaronson, M.d.

Stephanie r. Goodman, M.d.

After completion of this session, the participant will be able to:

Drs. Aaronson and Goodman do not have any financial relationships to disclose.

m Evaluate the patient with a history of opioid addiction who is managed with buprenorphine;

PbLd-09 “What is buprenorphine???” – Strategies for Perioperative Analgesic Management

m discuss multi-modal analgesic techniques and regional anesthetic considerations in relation to addiction issues;

16:00 - 17:00 • Astor ballroom • 7th Floor

F r I d A y

m Implement a treatment plan for patients in addiction treatment; m Identify perioperative concerns that have an evolving treatment paradigm.

Vinay G. Puttanniah, M.d.

Dr. Puttanniah does not have any financial relationship to disclose.

PbLd-10 Endoscopy in a Hospital based GI Suite on a Patient with Cirrhosis and ESrd 16:00 - 17:00 • Astor ballroom • 7th Floor Michael J. FitzPatrick, M.d.

Dr. FitzPatrick does not have any financial relationship to disclose.

PbLd-11 Obese Ex-Preemie for dental rehab in My ASC: What Could be better? Oh yeah, He Snores 16:00 - 17:00 • Astor ballroom • 7th Floor Audra M. Webber, M.d.

Dr. Webber does not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

After completion of this session, the participant will be able to: m discuss the physiologic consequences of cirrhosis; m Implement a treatment plan for the patient with cirrhosis being cared for in a non-Or area.

After completion of this session, the participant will be able to: m describe the perioperative management of obesity and obstructive sleep apnea (OSA) in patients presenting for ambulatory surgery; m Summarize the current literature examining pediatric obesity and OSA and how these comorbidities increase the risk for perioperative adverse events; m Identify which factors may make certain patients inappropriate candidates for ambulatory surgery – as applies to the patient themselves as well as the particular capabilities of your ASC; m Apply knowledge of the impact of pediatric obesity, prematurity and suspected or diagnosed OSA to everyday ambulatory anesthesia practice.

The New york State Society of Anesthesiologists, Inc.

31

After completion of this session, the participant will be able to:

PbLd-12 The diagnosis and Management of a Malignant Hyperthermic reaction

m Identify patients at risk for malignant hyperthermia; m recognize the signs of malignant hyperthermia;

16:00 - 17:00 • Astor ballroom • 7th Floor

F r I d A y

m Formulate and execute a plan for the management of a malignant hyperthermia reaction.

Adam d. Lichtman, M.d., FASE Janine M. Limoncelli, M.d.

Drs. Lichtman and Limoncelli do not have any financial relationships to disclose.

PbLd-13 ErAS: Enhanced recovery After Surgery

After completion of this session, the participant will be able to: m Identify patients who would benefit from ErAS protocols;

16:00 - 17:00 • Astor ballroom • 7th Floor

m Construct an ErAS protocol for a specific patient population at their institution.

Sudheer K. Jain, M.d.

Igor Muntyan, M.d.

Drs. Jain and Muntyan do not have any financial relationships to disclose.

PbLd-14 What is Too Obese for the Ambulatory Surgery Center?

16:00 - 17:00 • Astor ballroom • 7th Floor Tiffany Chen, M.d.

Jolie Narang, M.d.

Drs. Chen and Narang do not have any financial relationships to disclose.

32

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

After completion of this session, the participant will be able to: m Identify the anesthetic concerns regarding the care of the obese patient in the ambulatory setting concerns; m Establish an algorithm to determine which obese patients might be excluded from an ambulatory surgery center.

www.pga.nyc

#pga73

Saturday

december 14, 2019

registration

07:00 - 16:00

Sessions

07:00 - 17:00

NyS Conference for Anesthesiology residents and Fellows • resident research Contest/Poster Presentations

07:00 - 18:00 10:00 - 12:00

Welcome: PGA73 Opening Ceremony

08:00 - 08:30

35th Annual robertazzi Memorial Panel

08:30 - 10:00

Technical Exhibits

10:00 - 16:00

Posters and Medically Challenging Case Presentations

10:00 - 14:30

NySSA House of delegates

11:00

Scientific Exhibits

11:30 - 15:30

Lunch break

11:30 - 12:45

reference Committee

13:45

Engaging with the Experts

16:00 - 17:00

S A T U r d A y

FEE rEQUIrEd (Fees listed on page 3.)

all H t i b i Exh

n o i t p e ec

Join Us!

r

Experience an evening inspired 14 . c e

by NYC’s favorite neighborhoods! d , S at.

Enjoy some of Little Italy’s classics 5 - 6 pm and a few of NYC’s beloved street eats, paired with local beer and wine.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

33

W-05 Hands-On Cadaver, Ultrasound and Live Model regional Anesthesia Workshop 07:00 - 17:00 • Off-Site •

SUNy-downstate Medical Center. Transportation is provided.

MOdErATOrS:

dennis P. dimaculangan, M.d. david Seligsohn, M.d.

S A T U r d A y

Chester C. buckenmaier, III, M.d., COL, MC, USA Scott M. Croll, M.d., COL, MC, M.d., COL, MC, USA (ret.)

Mitchell E. Fingerman, M.d.

Carlo d. Franco, M.d., FASA brinda b. Kamdar, M.d.

Lei Li, M.d. danielle M. Lindenmuth, M.d., M.b.A. Joseph J. Poli, M.d.

Stephen L. rivoli, d.O., M.P.H., MA Ali N. Shariat, M.d.

Camberly I. Spring, M.d.

Cassandre S. Victor-Vega, M.d., M.P.H. Jeff L. xu, M.d.

After completion of this session, the participant will be able to: m demonstrate basic skills in the use of a standard ultrasound machine technology; m Apply ultrasound technology skills to perform peripheral and neuraxial blocks; m relate cadaver anatomy of peripheral nerve structures to live model sonoanatomy; m discuss advantages and pitfalls of ultrasound guidance for paravertebral blocks; m Utilize ultrasound techniques to perform truncal field blocks (TAP block, ilioinguinal-iliohypogastric blocks).

Drs. Buckenmaier, Croll, Dimaculangan, Franco, Kamdar, Li, Lindenmuth, Poli, Rivoli, Seligsohn, Shariat, Spring, Victor-Vega and Xu do not have any financial relationships to disclose. Dr. Fingerman is on Avanos Medical, Inc. speaker’s bureau.

34

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

MW-09 Critical Care Update 07:45 - 08:45 • Odets room • 4th Floor

After completion of this session, the participant will be able to: m describe the evidence based changes to vasopressor therapy;

Michael b. Tang, M.d.

m Incorporate new approaches for diagnosing and treating sepsis into their practice;

Dr. Tang does not have any financial relationships to disclose.

m Create and adopt clinical practice guidelines for transfusion therapy,

MW-10 Trauma Anesthesia Update 07:45 - 08:45 • O’Neill room • 4th Floor

After completion of this session, the participant will be able to: m Introduce into their practice, the use of checklists in trauma patients; m disseminate the latest guidelines for hemorrhagic shock and apply them to current practice;

James E. Littlejohn, M.d., Ph.d. deepak Sharma, M.b., b.S., M.d., dM Dr. Littlejohn does not have any financial relationships to disclose. Dr. Sharma receives funded research support NIH R21 ASA State of Washington Department of Social and Health Services and royalties from Wolters Kluwer (UpToDate).

MW-11 Management of Pacemakers and ICds 07:45 - 08:45 • Wilder room • 4th Floor Marc E. Stone, M.d.

Dr. Stone does not have any financial relationships to disclose.

MW-12 Setting Up and running a Pre-Anesthetic Assessment Clinic

m Identify the limitations of the ASA difficult airway in trauma patients.

After completion of this session, the participant will be able to: m delineate the indications for cardiac pacemakers and implantable cardiac defibrillators (ICd);

S A T U r d A y

m Establish a policy for the intraoperative management of pacemakers and ICds based upon the ASA guidelines; m Create a sedation protocol for anesthesiologists that describes the management of transcatheter aortic valve implantation; m delineate the anesthetic considerations and complications of transseptal puncture for cardiac ablation and create a list of tests to diagnose complications.

07:45 - 08:45 • Ziegfeld room • 4th Floor Vandana Sharma, M.d., FASA

After completion of this session, the participant will be able to:

Dr. Sharma does not have any financial relationships to disclose.

m delineate the challenges in creating a pre-anesthesia clinic; m Create the protocols for preoperative drug management and testing used in the pre-anesthesia clinic; m discuss the objectives of the preanesthesia clinic; m Create a flowchart that describes optimal staffing in the preanesthesia clinic.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

35

W-06 Simulation Experience for the difficult Airway, Crisis Management and Team Training 08:00 - 11:00 • Majestic Complex • 6th Floor MOdErATOrS:

After completion of this session, the participant will be able to:

Samuel deMaria, Jr., M.d.

Adam I. Levine, M.d.

S A T U r d A y

Arna banerjee, M.b., b.S. Wendy K. bernstein, M.d., M.b.A., FASA Kimberly r. blasius, M.d.

Garrett W. burnett, M.d.

Jenny A. dhingra, M.d. benny L. Joyner, Jr., M.d., M.P.H., FCCM daniel J. Katz, M.d. yury Khelemsky, M.d. ronald S. Levy, M.d., dAbA, FSSH, FASA Lauren Licatino, M.d.

Katherine M. Loftus, M.d. bryan P. Mahoney, M.d., FASA Andrew d. Schwartz, M.d.

Anjan S. Shah, M.d.

Marc A. Sherwin, M.d.

Alan J. Sim, M.d.

Agathe Streiff, M.d.

Laurence Torsher, M.d.

Francine S. yudkowitz, M.d., FAAP, FASA

m Apply skills of dynamic decision making, resource management, leadership and teamwork to a crisis scenario; m demonstrate communication and leadership skills in working with different personalities and behaviors during a crisis scenario.

Drs. Banerjee, Blasius, Burnett, DeMaria, Dhingra, Joyner, Katz, Khelemsky, Levine, Levy, Licatino, Loftus, Mahoney, Schwartz, Shah, Sherwin, Sim, Streiff, Torsher and Yudkowitz do not have any financial relationships to disclose. Dr. Bernstein spouse is a senior medical director at Astra Zeneca, Inc.

After completion of this session, the participant will be able to:

W-07 Ultrasound Guided Injections in Chronic Pain Medicine

m describe the advantages of using ultrasound guidance to perform pain medicine procedures; m review indications and risks of ultrasound guided pain procedures;

08:00 - 11:00 • Shubert Complex • 6th Floor

m describe sonoanatomy of anatomic structures pertinent to pain procedures;

MOdErATOrS:

yury Khelemsky, M.d Amaresh Vydyanathan, M.b., b.S.

m List relevant equipment and medications required for ultrasound guided pain medicine procedures;

Jeffrey Ciccone, M.d.

Grant Chen, M.d.

Karina Gritsenko, M.d.

Amitabh Gulati, M.d., FIPP CIPS Jung H. Kim, M.d.

Anuj Malhotra, M.d.

m Perform ultrasonographic examination of relevant anatomy in human volunteers;

Drs. Ciccone, Chen, Gritsenko, Gulati, Khelemsky, Kim, Malhotra and Vydyanathan do not have any financial relationships to disclose.

m review needle technique relevant to each procedure, as well as other ergonomic considerations; m Evaluate economic considerations of utilizing an ultrasound in pain practice.

36

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

W-08 Advanced Ultrasound, Simulation and Stimulation for Peripheral Nerve blocks 08:00 - 11:00 • Soho Complex • 7th Floor MOdErATOrS:

After completion of this session, the participant will be able to:

Mitchell H. Marshall, M.d.

Jovan Popovic, M.d., F.r.C.P.C. Arthur C. Hertling, M.d., FASA Patrick birmingham, M.d., FAAP, FASA Marcelle E. blessing, M.d.

Jan boublik, M.d., Ph.d. david Furgiuele, M.d., FASA yan Lai, M.d., M.P.H., FASA Jinlei Li, M.d., Ph.d.

Emily Lin, M.d., M.S. danielle b. Ludwin, M.d.

Shairko Missouri, M.d.

Meg A. rosenblatt, M.d., FASA Leslie M. Sarraf, M.d.

Santhanam Suresh, M.d., M.b.A., FAAP Tiffany r. Tedore, M.d.

Hanae K. Tokita, M.d., FASA Uchenna Umeh, M.d., FASA Lisa Warren, M.d.

m Utilize ultrasound technology to perform the following blocks; Paravertebral Nerve; Spinal and Epidural; Truncal including TAP (Transversus Abdominis Plane), Quadratus Lumborum, and rectus Sheath; and Fascia Iliaca, Lateral Femoral Cutaneous, Iliohypogastric.

Drs. Birmingham, Blessing, Furgiuele, Hertling, Lai, Li, Lin, Ludwin, Marshall, Missouri, Popovic, Rosenblatt, Sarraf, Suresh, Tokita, Umeh and Warren do not have any financial relationships to disclose. Dr. Boublik receives consultant fees from GE Flexion and honoraria from PaJunk Medical Systems. Dr. Tedore’s spouse is a shareholder and sits on the board of TG Therapeutics.

After completion of this session, the participant will be able to:

W-09 difficult Airway Management

m Perform an appropriate airway evaluation;

08:00 - 11:00 • Manhattan ballroom • 8th Floor MOdErATOrS:

m Utilize numerous commercially available airway devices; m Apply the ASA difficult airway practice parameters in clinical scenarios.

Allan P. reed, M.d.

Francis S. Stellaccio, M.d., FASA Elvera baron, M.d., Ph.d.

Zana borovcanin, M.d., M.Sc. FASA Levon M. Capan, M.d.

Elvira Cho, M.d.

Edmond Cohen, M.d.

Thomas E. Corrado, M.d. barbara M. dilos, d.O. Cheryl K. Gooden, M.d., FAAP, FASA daniel J. Katz, M.d.

Steven M. Neustein, M.d.

Slawomir P. Oleszak, M.d.

Irene P. Osborn, M.d., Anil Patel, M.b., b.S., FrCA

S A T U r d A y

ram roth, M.d.

Michael K. rufino, M.d.

Jon d. Samuels, M.d.

John J. Schaefer, III, M.d.

John Sconzo, M.d.

Prithi P. Singh, M.d. ralph L. Slepian, M.d.

Natalie K. Smith, M.d.

Tracey Straker, M.d., M.S., M.P.H., CbA, FASA Vahe Tateosian, M.d.

Sonia J. Vaida, M.d.

Stephen A. Vitkun, M.d., M.b.A., Ph.d.

Charles b. Watson, M.d., FCCM

Drs. Baron, Borovcanin, Capan, Cho, Cohen, Corrado, Dilos, Gooden, Katz, Neustein, Oleszak, Osborn, Reed, Roth, Rufino, Samuels, Sconzo, Singh, Slepian, Smith, Straker, Tateosian, Vaida, Vitkun and Watson do not have any financial relationships to disclose. Dr. Patel receives consultant fees from Fisher & Paykel Healthcare. Dr. Schaefer receives royalties from Medical University of South Carolina for the sale of a simulation patent to Laerdal Corp.; receives consultant fees from SimTunes, LLC as part of Department of Defense Grant and has a nonmajority interest in SimTunes, LLC. Dr. Smith will be a guest speaker at the Octapharma Symposium.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

37

PGA73

S A T U r d A y

g n i n e Op mony Cere Saturday, December 14 | 8:00 - 8:30 am Broadway Ballroom | 6th Floor

Enjoy… Coffee on broadway with the New York City Gospel Choir

38

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

SP-09 35th robertazzi Memorial Panel: debating the Issues of the day 08:30 - 10:00 • broadway ballroom • 6th Floor

1912-1971

Raphael “Ray” W. Robertazzi was an outstanding clinical anesthesiologist, and a pioneer in the development of the specialty, in New York City. He trained in Anesthesiology at New York Post Graduate Hospital, served in the United States Army during World War II, and then returned to the Post Graduate Hospital as Director of Anesthesiology and Clinical Professor at New York University in the Department of Emery Rovenstine. He successfully blended clinical care and clinical research when he published his observations, and the results of his operating room studies. Ray Robertazzi was an inspirational role model to his residents and students.

MOdErATOr:

Scott b. Groudine, M.d.

Neuromuscular blockade Monitoring: do We Need Standards?

After completion of this session, the participant will be able to: m Identify the value of neuromuscular blockade monitoring and the morbidity that results from incomplete resolution of a neuromuscular block;

Pro: Neuromuscular Monitoring Should be an Anesthesiology Standard of Care John J. Savarese, M.d.

Con: Neuromuscular Muscular Monitoring Should Not be an Anesthesiology Standard of Care Michael b. Simon, M.d., M.b.A., FASA

Should Anesthesiologists Play a role in Physician Assisted Suicide?

Pro: yes, Anesthesiologists Should Play a role Miriam Mottiar, M.d., MHSc, FrCPC

Con: No, Anesthesiologists Should Not Play a role

S A T U r d A y

m Utilize strategies that indicate that a patient is safe for extubation;

After completion of this session, the participant will be able to: m describe the ethical concerns of physician assisted suicide; m Analyze the responsibility that proposed laws regarding physician assisted suicide would place on physicians.

Christopher L. Campese, M.d., M.A., M.S., FASA, CHCQM

Drs. Mottiar and Simon do not have any financial relationships to disclose. Dr. Campese has stock options with North American Partners in Anesthesia, also has equity positions with Arrowsight, Inc., Cytonics Corp. and North American Partners in Anesthesia. Dr. Groudine receives consultant fees from Merck & Company. Dr. Savarese receives consultant fees from Recropharma.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

39

NyS Conference for Anesthesiology residents and Fellows resident research Contest 10:00 - 11:30 • Columbia/duffy rooms • 7th Floor MOdErATOr:

S A T U r d A y

Charles W. Emala, Sr., M.S., M.d.

Henrik H. Bendixen Professor of Anesthesiology Vice-Chair for research Department of Anesthesiology Columbia university, College of Physicians & Surgeons New York, New York COMMITTEE MEMbErS:

Maria A. bustillo, M.d.

Samuel deMaria, Jr., M.d.

Charles W. Emala, Sr., M.S., M.d.

Shaesta G. Humayun, M.d.

Suzanne b. Karan, M.d., FASA

Jun Lin, M.d., Ph.d.

Ervant V. Nishanian, M.d.

Arthur E. Schwartz, M.d.

Vandana Sharma, M.d., FASA

Jing Song, M.d.

Kalpana Tyagaraj, M.d., FASA Stacey A. Watt, M.d., FASA Menachem M. Weiner, M.d.

The Resident Research Contest is a unique program in continuing medical education, it provides an opportunity to introduce the international anesthesia community to some of the brightest young researchers in the specialty today.

Residents will orally summarize their work in a poster discussion format.

Research Contest Presenter R-01

Ultrasonographic Evaluation of Incidence of diaphragmatic Paralysis Following different Volumes of Supraclavicular brachial Plexus block — A Prospective randomized double blinded Study PrESENTEr:

A. Shabila Kanyakumari Government Medical College, Asaripallam, The Tamil Nadu Dr. MGR Medical University, Tamil Nadu, India CO- AUTHOrS:

J. E. Johnson

J. Maclean

Research Contest Presenter R-02

Attenuation of Pulmonary Injury by an Inhaled MMP Inhibitor in the Endotoxin Lung Injury Model PrESENTEr:

Adam M. Gerber, M.d., Ph.d.

Departments of Anesthesiology and Radiology, Columbia University Irving Medical Center, New York, New York CO- AUTHOrS:

J.M. d’Armiento K. Stearns

40

A. Mintz T. Zelonina

x. Ma A. Molotkov

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

M. Goldklang r. xiao

#pga73

Research Contest Presenter R-03

A Validation Pilot Study Comparing Telemedicine Images vs. Face-to-Face Airway Exam for Conducting Preoperative Airway Evaluation PrESENTEr:

K. reddy Department of Anesthesiology, Washington University School of Medicine in St. Louis, St. Louis, Missouri; Department of Anesthesiology, New Jersey Medical School, Rutgers University, Newark, New Jersey CO- AUTHOrS:

Kwame G. Awuku, M.d.

Alex y. bekker, M.d., Ph.d.

dennis G. Grech, M.d.

A. Patel

George Tewfik, M.d.

M. xiong

Research Contest Presenter R-04

disparities in Mortality after Abdominal Aortic Aneurysm (AAA) repair Are Linked to Insurance Status PrESENTEr:

Olga rozental, M.d.

Department of Anesthesiology, Weill Cornell Medicine & New York Presbyterian Hospital, New York, New York; Department of Healthcare Policy and Research, Weill Cornell Medicine, New York, New York; Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Center for Healthy Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania CO- AUTHOrS:

U. r. Essien roniel y. Weinberg, M.d.

x. Ma

robert S. White, M.d.

Farida M. F. Gadalla, M.b., Ch.b.

Research Contest Presenter R-05

Impact of Anesthetics on Cardio Protection Induced by Pharmacological Preconditioning

S A T U r d A y

PrESENTEr:

Sebastian bunte, M.d.

Department of Anesthesiology, University Hospital Duesseldorf,, Germany; Department of Anesthesiology and Intensive Care Medicine, University Hospital Cologne, Germany; Institute of Cardiovascular Physiology, Heinrich-Heine-University Duesseldorf, Germany; Department of Anesthesiology, Amsterdam University Medical Center (AUMC) Amsterdam, Netherlands CO- AUTHOrS:

M. Falk M. Stroethoff

r. Huhn M. W. Hollmann

A. raupach A. Mathes

A. Heinen

T. Lill

Research Contest Presenter R-06

bilirubin — Possible Prognostic Mortality Marker for Patients with ECLS PrESENTEr:

Sebastian bunte, M.d.

Department of Anesthesiology, University Hospital Duesseldorf, Germany; Department of Anesthesiology and Intensive Care Medicine, University Hospital Cologne, Germany; Institute of Cardiovascular Physiology, Heinrich-Heine-University Duesseldorf, Germany; Department of Anesthesiology, Amsterdam University Medical Center (AUMC), Amsterdam, Netherlands CO- AUTHOrS:

H. Aubin C. Torregroza

J. Merkel r. Walz

C. Walz r. Huhn

M . W. Hollmann

Research Contest Presenter R-07

Pectoral block vs. Paravertebral block: A Systematic review and Meta-analysis PrESENTEr:

Z. Jin Department of Anesthesiology, Stony Brook University Health Science Center, Stony Brook, New York; Department of Anesthesiology, The First AďŹƒliated Hospital, Sun Yat-sen University, Guangzhou, China,; Taiho Oncology, Inc., Princeton, New Jersey CO- AUTHOrS:

Tong J. Gan, M.d., MHS, FrCA, M.b.A., FASA

2019 | PGA73 Program

r. Li

SPONSOrEd by:

J. Liu

y. He

J. Lin

The New york State Society of Anesthesiologists, Inc.

41

FS-09 Pediatric Patient with Complex Pre-Existing disease for Non Complex Surgery #1 10:15 - 11:15 • Odets room • 4th Floor MOdErATOr:

bettina Smallman, M.d.

Anesthesia Considerations for the Ex-premature Older Child Joseph resti, M.d.

Strategies to Succeed with Special Needs Patients ralph J. Epstein, ddS

After completion of this session, the participant will be able to: m List the steps in evaluating the expremature infant; m develop a plan for the perioperative management of the expremature school age child; m Incorporate strategies that are proven successful when caring for special needs patients.

Drs. Epstein, Resti and Smallman do not have any financial relationships to disclose.

S A T U r d A y

FS-10 The Concept of Enhanced recovery After Surgery (ErAS) 10:15 - 11:15 • O’Neill room • 4th Floor MOdErATOr:

Tong J. Gan, M.d., MHS, FrCA, M.b.A., FASA

How to Implement an ErAS Program | Anoushka M. Afonso, M.d., FASA ErAS for Ambulatory Surgery | Igor Galay, M.d.

Drs. Galay and Gan do not have any financial relationships to disclose. Dr. Afonso receives funded research support from Pacira Pharmaceuticals, Inc. and is on the advisory board of Merck & Co., Inc.

FS-11 Hot Topics in Chronic Pain: Persistent Postoperative Surgical Pain (PPSP) 10:15 - 11:15 • Wilder room • 4th Floor MOdErATOr:

Oscar A. de Leon-Casasola, M.d.

The Pathophysiology of PPSP: Incidence and risk Factors

After completion of this session, the participant will be able to: m describe the principles of an ErAS program; m describe the role of the anesthesiologist in an ErAS program; m develop an ErAS program; m Institute an ErAS protocol for ambulatory surgeries.

After completion of this session, the participant will be able to: m describe the features of and risk factors for Persistent Postoperative Surgical Pain; m Formulate a multimodal multidisciplinary evidence-based treatment plan for the prevention of PPSP.

Christopher L. Wu, M.d.

A review of the Preoperative, Intraoperative, and Postoperative Therapeutic Alternatives to decrease the Incidence of PPSP | Oscar A. de Leon-Casasola, M.d.

Dr. Wu does not have any financial relationships to disclose. Dr. de Leon-Casasola receives consultant fees from US Meds.

FS-12 Ethics Focus Session: brain death and Organ Transplantation 10:15 - 11:15 • Ziegfeld room • 4th Floor MOdErATOr:

Miriam Mottiar, M.d., MHSc, FrCPC

bioethics of brain death and Organ donation after Cardiac death | Sarah C. Smith, M.d. donation, Procurement and Allocation of Organs for Transplant in the USA and Ny State | Amy L. Friedman, M.d.

After completion of this session, the participant will be able to: m Outline the role of the anesthesiologist in donation after cardiac death; m Manage the donor after cardiac death intraoperatively; m discuss and explain the process of organ allocation and procurement and the protocols to encourage organ donation; m Incorporate the process of organ procurement into their practice.

Drs. Friedman, Mottiar and Smith do not have any financial relationships to disclose.

42

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

Lunch break

11:30 - 12:45

After completion of this session, the participant will be able to:

SP-10 Perioperative Care of the Older Patient in the “Age of Accountability” MOCA® 13:00 - 14:30 • North ballroom • 6th Floor MOdErATOr:

Lee A. Fleisher, M.d.

Cardiadelirium & POCd: Who’s at risk and How Can you Tell? | Stacie G. deiner, M.d. best Practice for Anesthesia Management of Older Patients: Which drugs? Which Technique?

Frederick E. Sieber, M.d.

Perioperative brain Health: Next Steps to Creating an Age Friendly Hospital | Lee A. Fleisher, M.d.

Drs. Deiner, Fleischer and Sieber do not have any financial relationships to disclose.

SP-11 Enhanced recovery After Surgery Christopher Troianos, M.d., FASE, FASA

m Explain the role of anesthetic choice in development of delirium POd and POCd and design an anesthetic management plan to improve outcomes; m describe the Perioperative brain Initiative and help design an age-friendly hospital to maintain brain health in older patients.

After completion of this session, the participant will be able to:

S A T U r d A y

m Elucidate components of successful ErAS protocols for patients undergoing cardiac, breast, and general surgical procedures;

The TraumatErAS for Cardiac Surgery Christopher Troianos, M.d., FASE, FASA

ErAS for GI Surgery | Steven Schulman, M.d., M.H.A., FASA ErAS for breast Surgery | Anoushka M. Afonso, M.d.

Drs. Schulman and Troianos do not have any financial relationships to disclose. Dr. Afonso receives funded research support from Pacira Pharmaceuticals, Inc. and is on the advisory board of Merck & Co., Inc.

SP-12 ASA Panel: Positioning Anesthesiology for the Future - Economic and Workforce Considerations 13:00 - 14:30 • Manhattan ballroom • 8th Floor MOdErATOr:

m recognize POCd as a complication of anesthesia and surgery;

m describe the elements of an enhanced recovery after surgery (ErAS) program;

13:00 - 14:30 • South ballroom • 6th Floor MOdErATOr:

m Identify patients vulnerable to postoperative delirium (POd) and postoperative cognitive dysfunction (POCd) and alter management based upon this vulnerability;

randall M. Clark, M.d., FASA

Anesthesiology Workforce Trends and Challenges Mary dale Peterson, M.d., MSHCA, FASA, FACHE

Economic Issues, Policy Considerations and Advocacy Strategies | Jeff T. Mueller, M.d., FASA

m Integrate components of ErAS protocols into their institutional practices.

After completion of this session, the participant will be able to: m describe key workforce trends, key drivers of supply and demand, and potential policy directions; m discuss the economic foundation of anesthesiology payment, trends that are affecting payment levels, and strategies deployed by ASA; m Implement care models in their practice that include physician delivered, medically directed and supervised anesthesia care. m Update billing modifiers based on current practice environment.

Alignment of Care delivery with Payment Modifiers donald E. Arnold, M.d., FASA Drs. Arnold, Mueller and Peterson do not have any financial relationships to disclose.

Dr. Clark is a shareholder with General Electric and Bolder Surgical, Inc.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

43

W-10 Focused Echocardiographic Evaluation in Life Support (FEEL) 13:00 - 16:00 • Soho Complex • 7th Floor MOdErATOrS:

Nibras bughrara, M.d.

Adam I. Levine, M.d.

Aliaksei Pustavoitau, M.d., M.H.S.

S A T U r d A y

Farzana Afroze, M.d.

Elvera baron, M.d., Ph.d.

Stephanie Cha, M.d. ranjit deshpande, M.d.

Jacqueline donovan, M.d.

Stephen C. Haskins, M.d. daniel J. Katz, M.d. bryan P. Mahoney, M.d., FASA Sridhar Musuku, M.d., FrCA

Margaret O’donoghue, M.d.

James A. Osorio, M.d.

Oliver P F. Panzer, M.d., Ph.d. rodrigo rivas, M.d. radwan Safa, M.d., Ph.d.

Anjan S. Shah, M.d.

Natalie K. Smith, M.d. brandon J. Smoller, M.d.

After completion of this session, the participant will be able to: m demonstrate how transthoracic echocardiography can be added to the care of patients in cardiac arrest; m Perform synchronized pulse checks coordinated with CPr in order to limit no-flow intervals during CPr; m differentiate PEA and pseudo PEA with transthoracic imaging; m Identify early return of spontaneous circulation; m Identify the treatable causes of PEA and Pseudo PEA: pericardial tamponade, tension pneumothorax, hypovolemia, pulmonary embolism (or other cause of acute rV dysfunction), LV dysfunction (global or regional) to help guide therapy; m Acquire high-quality subcostal images in a time efficient manner; m Enumerate the limitations/risks of focused echo in cardiac arrest; m Incorporate focused echo during cardiac arrest; m Improve on closed loop communication.

Drs. Afroze, Baron, Bughrara, Cha, Deshpande, Donovan, Haskins, Katz, Levine, Mahoney, Musuku, O’Donoghue, Osorio, Panzer, Pustavoitau, Rivas, Safa, Shah, Smith and Smoller do not have any financial relationships to disclose.

44

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

MOCA® FS-13 The Anesthesia Work Station and Safety Issues: Are Our Patients Safer?

m discuss advantages and disadvantages of modern anesthesia machines; m discuss the new development in monitoring;

14:45 - 15:45 • Shubert Complex • 6th Floor MOdErATOr:

After completion of this session, the participant will be able to:

James b. Eisenkraft, M.d.

m discuss equipment safety issues in anesthesia practice;

Machine Safety

m develop a plan to safely integrate modern anesthesia machines and intelligent monitors into their practice;

James b. Eisenkraft, M.d.

Intelligent Monitors Patrick J. McCormick, M.d., MEng Dr. Eisenkraft does not have any financial relationships to disclose. Dr. McCormick spouse owns stock in Johnson & Johnson.

FS-14 MACrA, MIPS, Measures and Money

m describe the limitations of modern anesthesia machines and intelligent monitors; m Integrate into their practice methods to overcome the limitations of modern anesthesia machines and intelligent monitors.

14:45 - 15:45 • Soho Complex • 7th Floor MOdErATOr:

After completion of this session, the participant will be able to:

robert S. Lagasse, M.d.

Alternative Payment Models: Is There a Place for Anesthesiologists? robert S. Lagasse, M.d.

Merit based Incentive Payment Systems: Meeting the Mandates beverly K. Philip, M.d., FACA, FASA

m describe the various new payment systems currently in practice;

S A T U r d A y

m Adjust their practices to comply with four new payment systems.

Drs. Lagasse and Philip do not have any financial relationships to disclose.

After completion of this session, the participant will be able to:

FS-15 NySSA Women Physicians Committee Focus Session

m Successfully navigate both academic and private practice and the challenges of work-life balance;

14:45 - 17:00 • Manhattan ballroom • 8th Floor MOdErATOrS:

m describe how to successfully develop research; m discuss the issues of advocacy in anesthesiology and how to become actively involved;

Melinda A. Aquino, M.d.

Janine M. Limoncelli, M.d.

Inclusion and diversity Tracey Straker, M.d., M.S., M.P.H., CbA, FASA

Creative Staffing: Hiring and Promoting Women in Leadership Positions

m develop a pathway towards promotion and leadership in your career.

Hugh C. Hemmings, Jr., M.d., Ph.d., FrCA

Professional Affairs Elizabeth rebello, M.d., FASA

Women in Academic Medicine Linda J. Shore-Lesseron, M.d. FAHA, FASA Drs. Aquino, Limoncelli, Rebello, Shore-Lesserson and Straker do not have any financial relationships to disclose. Dr. Hemmings receives consultant fees and royalties from Elsevier, funded research support from Instrumentation Laboratories and honoraria from British Journal of Anaesthesia.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

45

MW-13 Point of Service Transthoracic Echocardiography (TTE) 14:45 - 15:45 • Odets room • 4th Floor Oliver P. F. Panzer, M.d.

Stephen C. Haskins, M.d.

After completion of this session, the participant will be able to: m Identify the key anatomic views used in TTE; m Identify the key anatomic structures visualized by TTE; m Communicate hypokinesis and akinesis of the myocardium to the surgeon and suggest treatment strategies.

Drs. Haskins and Panzer do not have any financial relationships to disclose.

After completion of this session, the participant will be able to:

S A T U r d A y

MW-14 The Pregnant Patient for Non-Obstetric Surgery 14:45 - 15:45 • O’Neill room • 4th Floor daniel J. Katz, M.d.

Dr. Katz does not have any financial relationships to disclose.

MW-15 difficult Cases in Pain Medicine: Problems and Solutions 14:45 - 15:45 • Wilder room • 4th Floor Kristoffer Padjen, M.d., Ph.d.

Dr. Padjen does not have any financial relationships to disclose.

MW-16 Office-based Surgical Facilities and Population Health 14:45 - 15:45 • Ziegfeld room • 4th Floor Marc E. Koch, M.d., M.b.A., FASA Dr. Koch does not have any financial relationships to disclose.

46

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

m Identify the risk factors associated with surgery during pregnancy and the potential risk of miscarriage; m design an anesthesia administration plan to minimize the risk of loss of the fetus; m delineate the critical time periods for organogenesis during pregnancy and create anesthesia strategies to minimize fetal organ damage.

After completion of this session, the participant will be able to: m Identify which pain syndromes are very difficult to effectively treat; m Manage the effect of the FdA mandated rEMS program on opiate prescribing; m Create a strategy for a multidisciplinary approach to pain in appropriate patients.

After completion of this session, the participant will be able to: m Enumerate factors that Anesthesiologists can impact in value based care; m Create a business plan for anesthesiologists role in value based care and present it to administrators; m Identify these issues and create a learning tool to present these concepts to insurers.

www.pga.nyc

#pga73

PbLd-15 No breathing, No Problem? Anesthetic Considerations for a Pediatric Patient with OSA and Multiple Comorbidities for Sequential Procedures 14:45 - 15:45 • Astor ballroom • 7th Floor

After completion of this session, the participant will be able to: m discuss the pathophysiology of Obstructive Sleep Apnea (OSA) in pediatric patients; m Make a presumptive diagnosis of OSA in undiagnosed patients; m Evaluate the effects of anesthetics on patients with OSA; m Formulate a postoperative pain control plan in OSA patients; m Establish the PACU monitoring and discharge criteria for OSA patients.

Natalie r. barnett, M.d.

Dr. Barnett does not have any financial relationships to disclose.

After completion of this session, the participant will be able to:

PbLd-16 Frailty: Assessment and Anesthetic risk

m describe frailty and its relation to co-morbidities; m Incorporate qualitative and quantitate measures to assess frailty in the preoperative evaluation of the patient.

14:45 - 15:45 • Astor ballroom • 7th Floor david S. Fishman, M.d., FASA Savita Manglik, M.d.

Drs. Fishman and Manglik do not have any financial relationships to disclose.

After completion of this session, the participant will be able to:

PbLd-17 Hold the ACE or Arb? Perioperative Management of Antihypertensives 14:45 - 15:45 • Astor ballroom • 7th Floor Marjorie S. Gloff, M.d.

Camberly I. Spring, M.d.

S A T U r d A y

m Identify the pro and con data regarding perioperative ACE/Arb administration and perioperative outcomes; m review the physiology behind the beneficial and adverse effects of perioperative ACE/Arb use; m Formulate evidence-based guidelines for perioperative ACE/Arb continuation or discontinuation.

Drs. Gloff and Spring do not have any financial relationships to disclose.

PbLd-18 Management of a Parturient with Congenital Heart disease 14:45 - 15:45 • Astor ballroom • 7th Floor Meghann M. Fitzgerald, M.d.

Nathan Liu, M.d.

Drs. Fitzgerald and Liu do not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

After completion of this session, the participant will be able to: m discuss the physiology of the common types of congenital heart disease pre and post repair; m Identify the physiology impact of pregnancy and labor and delivery on the baseline physiology; m Formulate an anesthetic plan to care for these patients during the peripartum period.

The New york State Society of Anesthesiologists, Inc.

47

PbLd-19 Medication Assisted Treatment and the Perioperative Patient 14:45 - 15:45 • Astor ballroom • 7th Floor Alopi Patel, M.d.

Dr. Patel does not have any financial relationships to disclose.

S A T U r d A y

PbLd-20 Spinal Epidural Abscess (Mis) Attributed to Epidural Labor Analgesia 14:45 - 15:45 • Astor ballroom • 7th Floor roulhac d. Toledano, M.d., Ph.d.

Dr. Toledano does not have any financial relationships to disclose.

PbLd-21 The 18 Month Old Child’s Mother Has Questions About Anesthetic Neurotoxicity and She’s a Child Psychologist!

14:45 - 15:45 • Astor ballroom • 7th Floor Lynne r. Correll, M.d., Ph.d.

Dr. Correll does not have any financial relationships to disclose.

After completion of this session, the participant will be able to: m Identify the different characteristics of buprenorphine-naloxone sublingual film, buprenorphine tablet and buprenorphine patch; m develop an anesthetic plan incorporating the impact current use of these medications; m develop a pre-procedure screening and medication management plan for patients taking buprenorphine.

After completion of this session, the participant will be able to: m discuss ASA guidelines for the prevention of neuraxial infections; m recognize the clinical signs and symptoms of spinal epidural abscess (SEA); m review the treatment options (surgical decompression versus alternatives) for SEA.

After completion of this session, the participant will be able to: m discuss the latest scientific knowledge regarding anesthetic neurotoxicity in pediatric patients; m Formulate a discussion plan to address the questions of parents regarding anesthetic neurotoxicity.

48

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

E-02 Engaging with the Experts on Perioperative Hemoglobin Management 16:00 - 17:00 • Marquis ballroom • 9th Floor Jeanna d. blitz, M.d., FASA Nicole r. Guinn, M.d. david L. Hepner, M.d., M.P.H. bobbie-Jean Sweitzer, M.d., FACP

After completion of this session, the participant will be able to: m Identify the elements required to initiate a perioperative anemia or patient blood management program; m Justify how a perioperative hemoglobin management program will contribute to improved patient outcomes.

Drs. Blitz, Guinn, Hepner and Sweitzer do not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

S A T U r d A y

49

FS-16 Insights into the Legal Process and Malpractice Claims 16:00 - 17:00 • Shubert Complex • 6th Floor

m List the top claims against anesthesiologists; m describe key areas of risk in anesthesiology that can result in malpractice claims;

MOdErATOr:

Scott b. Groudine, M.d.

m Identify common issues that lead to patient injury in anesthesiology;

Scott b. Groudine, M.d.

Michael J. Schoppmann, Esq.

m develop strategies to reduce liability exposure and potential claims.

Mr. Schoppmann does not have any financial relationships to disclose. Dr. Groudine receives consultant fees from Merck & Company.

S A T U r d A y

After completion of this session, the participant will be able to:

After completion of this session, the participant will be able to:

FS-17 Improving Outcomes in the Geriatric Patient

m Identify the features of frailty and screen patients preoperatively;

16:00 - 17:00 • Soho Complex • 7th Floor

m Identify the risk factors for postoperative cognitive decline (POCd)Utilize appropriate screening tools to assess risk;

MOdErATOr:

Lee A. Fleisher, M.d.

Frailty and the Perioperative Period: What do We Need To Know?

m develop strategies to minimize POCd and delirium in the elderly following surgery and anesthesia.

Frederick E. Sieber, M.d.

Preoperative Screening of Cognitive Function Should be the Standard Stacie G. deiner, M.d.

Drs. Deiner, Fleischer and Sieber do not have any financial relationships to disclose.

50

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

PbLd-22 Can I Prevent Persistent Postsurgical Pain?

16:00 - 17:00 • Astor ballroom • 7th Floor Anis dizdarevic, M.d.

Dr. Dizdarevic does not have any financial relationships to disclose.

PbLd-23 Physiological Consequences of Unmonitored Gastrointestinal Gas Insufflation 16:00 - 17:00 • Astor ballroom • 7th Floor

After completion of this session, the participant will be able to: m build a comprehensive understanding of the prevalence, mechanisms, risk factors and development of PPSP; m develop patient and surgery specific risk stratification strategies, within perioperative anesthesia and surgical practices, with the goal to reduce the incidence of PPSP; m Analyze, summarize and apply currently available evidence in regional anesthesia and pain medicine to prevent and minimize PPSP, with emphasis on breast cancer and related surgeries.

After completion of this session, the participant will be able to: m discuss risks and benefits of gas selections used for laparoscopic and gastroenterology insufflation; m Identify critical intraabdominal pressures;

Paul J. Terracciano, M.d.

Dr. Terracciano does not have any financial relationships to disclose.

PbLd-24 The Pediatric difficult Airway: No Larynx in View, Now What do I do?

16:00 - 17:00 • Astor ballroom • 7th Floor Gordana Stjepanovic, M.d.

Aarti Sharma, M.d.

Drs. Sharma and Stjepanovic do not have any financial relationships to disclose.

PbLd-25 Joint Commission Found your Anesthesia department Non-Compliant with Hand Hygiene in the Or! What do you do Now? 16:00 - 17:00 • Astor ballroom • 7th Floor Alisa C. Thorne, M.d.

m develop a plan to respond to sudden cardiac and respiratory physiologic consequences of insufflation.

S A T U r d A y

After completion of this session, the participant will be able to: m Identify criteria for difficult intubation in the pediatric age group; m describe technologies available for difficult intubation in the pediatric age group; m Formulate management strategies for difficult intubation in the pediatric age group.

After completion of this session, the participant will be able to: m discuss how anesthesia provider hand hygiene contributes to surgical site infections; m review the rates of anesthesia provider hand hygiene compliance reported in the literature; m build a successful plan for improving anesthesia provider hand hygiene; m Monitor compliance with a hand hygiene improvement program.

Dr. Thorne does not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

51

PbLd-26 Accidental Subdural block: A Poorly recognized Complication from Labor Epidural 16:00 - 17:00 • Astor ballroom • 7th Floor Jing Song, M.d.

After completion of this session, the participant will be able to: m Identify predisposing factors implicated in development of subdural block; m Employ a diagnostic paradigm to identify the rare complication of subdural block; m Formulate an anesthetic plan to care for the patient with subdural block.

Dr. Song does not have any financial relationships to disclose.

S A T U r d A y

PbLd-27 Perioperative Management of Aortic Stenosis and Urgent Surgical Procedures 16:00 - 17:00 • Astor ballroom • 7th Floor Jacob E. Schaff, M.d.

Haijun Zhang, M.d.

After completion of this session, the participant will be able to: m discuss current AHA/ACC and ASA guidelines regarding aortic stenosis; m Identify risk factors not captured in rCrI ad Gupta scores; m Formulate an anesthetic plan for the patient with aortic stenosis.

Drs. Schaff and Zhang do not have any financial relationships to disclose.

PbLd-28 Anaphylaxis in the Operating room 16:00 - 17:00 • Astor ballroom • 7th Floor

52

After completion of this session, the participant will be able to: m Identify the differential diagnosis of post induction, pre-incision cardiovascular collapse;

Venkata Sampathi, M.b., b.S. Todd Liu, M.d.

m recognize the signs and symptoms of anaphylaxis under general anesthesia;

Drs. Liu and Sampathi do not have any financial relationships to disclose.

m develop a treatment plan for anaphylaxis.

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

Sunday

december 15, 2019

registration

07:00 - 16:00

Sessions

07:45 - 17:00

Technical Exhibits

09:00 - 15:00

Poster Presentations

9:00 - 14:30

NySSA House of delegates

9:30

Lunch break

11:30 - 12:45

Current Issues Forum

14:45 - 15:45

Engaging with the Experts

16:00 - 17:00 FEE rEQUIrEd (Fees listed on page 3.)

MW-17 The role of Anesthesiology in Global Health 07:45 - 08:45 • Odets room • 4th Floor Clifford M. Gevirtz, M.d., M.P.H. ram roth, M.d.

Drs. Gevirtz and Roth do not have any financial relationships to disclose.

MW-18 Anesthetic Challenges in the Morbidly Obese 07:45 - 08:45 • O’Neill room • 4th Floor Jon d. Samuels, M.d.

Dr. Samuels does not have any financial relationships to disclose.

After completion of this session, the participant will be able to: m Identify areas of the world in which there are acute shortages of anesthesia providers; m Enumerate two ways for anesthesiologists to become more involved in remedying these shortages; m Create a methodology for the establishment of areas in need and respondent anesthesiologist volunteers so that a matching system can help resolve the problem.

S U N d A y

After completion of this session, the participant will be able to: m Create an algorithm that addresses airway assessment and management in obese patients; m recognize intraoperative complications and expediently treat these complications; m Enumerate at least three postoperative complications which may occur and suggest appropriate treatments.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

53

MW-19 Coagulation Challenges during the Perioperative Period 07:45 - 08:45 • Wilder room • 4th Floor Tiffany r. Tedore, M.d.

Dr. Tedore’s spouse is a shareholder and sits on the board of TG Therapeutics.

MW-20 Obstetric Emergencies

After completion of this session, the participant will be able to: m Evaluate the risk factors for perioperative thromboembolism; m recognize the need for prophylaxis for deep vein thrombosis; m Create a protocol for their practice that incorporates the ASA practice guidelines for preventing POVL; m Suggest the appropriate tests to monitor anticoagulation activities; m recommend certain anticoagulation testing prior to neuroaxial procedures; m Create protocols for management of anticoagulation and document increased efficiency and reduced cancellation rates as a result of their use.

07:45 - 08:45 • Ziegfeld room • 4th Floor Gregory T. Palleschi, M.d.

Dr. Palleschi does not have any financial relationships to disclose.

After completion of this session, the participant will be able to: m Identify the pathophysiologic changes and obstetric management of a patient with HELLP syndrome; m Choose the ideal anesthetic management and monitoring techniques used in dealing with a patient with pregnancy induced hypertension; m Create a list of indications and contraindications to epidural anesthesia.

S U N d A y

54

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

After completion of this session, the participant will be able to:

SP-13 Organ Failures: Preventing and Managing Severe dysfunction in Our Patients

m Compose care plans for patients with left ventricular assist devices requiring noncardiac procedures; m Categorize the causes and impacts of respiratory failure in the perioperative setting;

08:00 - 09:30 • North ballroom • 6th Floor MOdErATOr:

Mark E. Nunnally, M.d., FCCM

m Appropriately manage patients with hepatic dysfunction to minimize adverse outcomes.

Perioperative respiratory Failure Mark E. Nunnally, M.d., FCCM

The Patient with an LVAd | Michael F. O’Connor, M.d., FCCM Hepatic Failure | Vivek K. Moitra, M.d., FCCM Drs. Moitra and Nunnally do not have any financial relationships to disclose. Dr. O’Connor has stock options and is on the Scientific Advisory Board with CLEW.

m discuss the Inpatient Prospective Payment System utilized for hospital billing and its driving force for major risk adjustment metrics within US News rankings and bundles;

SP-14 Update in Practice Management 08:00 - 09:30 • South ballroom • 6th Floor MOdErATOr:

After completion of this session, the participant will be able to:

Jonathan S. Gal, M.d., FASA

How Anesthesiologists Can Play an Influential role in US News rankings and bundle Performance Jonathan S. Gal, M.d., FASA

How Anesthesiologists Might Engage in Value based Payment Models from Fee-for-Service to ACOs and Medicare Advantage | Jeff T. Mueller, M.d., FASA

m describe the basic types of health care risk-based payment models; m respond to recent legislative, regulatory, and publications that may (or appear to) affect payment for anesthesia services.

recent Updates Affecting Payment for Anesthesia Services | Christopher A. Troianos, M.d., FASE, FASA After completion of this session, the participant will be able to:

Drs. Gal, Mueller and Troianos do not have any financial relationships to disclose.

SP-15 bJA Panel: Perioperative Anaphylaxis MOCA® 08:00 - 09:30 • Manhattan ballroom • 8th Floor MOdErATOr:

Hugh C. Hemmings, Jr., M.d., Ph.d., FrCA

The Incidence & Management of Perioperative Anaphylaxis | Lene Heise Garvey, M.d., Ph.d.

Mechanisms of Perioperative Hypersensitivity reactions: Science vs. Conjecture Phil M. Hopkins, M.b., b.S., M.d., FrCA

Management of the Surgical Patient with a Label of Penicillin Allergy

S U N d A y

m Identify the general principles of diagnosing perioperative anaphylaxis and describe the immediate and postoperative management; m distinguish between allergic and non-allergic acute perioperative hypersensitivity reactions and how they are diagnosed; m Assess penicillin allergy labels, manage allergic patients, and de-label patients without true allergy.

Gerald W. Volcheck, M.d.

Drs. Garvey, Hopkins and Volcheck do not have any financial relationships to disclose. Dr. Hemmings receives consultant fees and royalties from Elsevier, funded research support from Instrumentation Laboratories and honoraria from British Journal of Anaesthesia.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

55

W-11 Active Shooter and disaster Preparedness Workshop: “Was That a Gunshot!?” How to Keep Calm and respond in the Middle of Chaos 08:00 - 11:00 • Majestic Complex • 6th Floor MOdErATOr:

Kenneth b. Newman, M.d., M.S.H.A.

After completion of this session, the participant will be able to:

Michael C. brooks, b.S. barbara A. daly, MA david A. Livingston, M.d. brian S. Philip, M.d.

Jeffrey rabrich, d.O., FACEP, FAEMS daniel F. Sisto, NySP

m Identify features of the incubation phase of an active shooter incident through situational awareness;

Drs. Newman, Livingston, Philip, Rabrich, Ms. Daly, Mr. Brooks and Mr. Sisto do not have any financial relationships to disclose.

m Conduct a “Lockdown”;

m Ask for help early; m Execute an evacuation in an emergency; m Fight in a self-defense situation; m develop flexible thinking for an evolving active shooter situation.

S U N d A y

56

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

W-12 Hands-On Echocardiography Workshop: An Interactive and Case based Approach Using TEE and TTE in the Perioperative Setting 08:00 - 15:15 • Empire Complex • 7th Floor

m distinguish airway and anatomic characteristics that would make TEE difficult; m recognize normal anatomy and pathology in standard TEE views and make recommendations for treatment; m Apply skills and obtain the views described in the updated published standard TEE exam; m define the TEE views that help in the differential diagnosis of hemodynamically unstable patients;

MOdErATOrS:

Steven N. Konstadt, M.d., M.b.A., FACC Alexander J. C. Mittnacht, M.d.

Linda J. Shore-Lesserson, M.d., FAHA, FASE Patricia M. Applegate, M.d., FACC richard L. Applegate, II, M.d., FASA Elvera baron, M.d., Ph.d.

Himani bhatt, d.O., M.P.A., FASE, FASA draginja r. Cvetkovic, M.d.

Loretta Grecu, M.d.

After completion of this session, the participant will be able to:

m Use echocardiography to recognize common causes of hemodynamic instability in the operating room;

Feroze Mahmood, M.d.

Peter J. Panzica, M.d. benjamin S. Salter, d.O. Henry Shih, M.d.

Christopher y. Tanaka, M.d.

Christopher A. Troianos, M.d., FASE, FASA

Please note there will be a scheduled lunch break from 11:30-13:45 which is not eligible for AMA PRA Category 1 Credits™

m Create a differential diagnosis for unstable patients using the ultrasound techniques TTE and TEE; m Participate in decision making using echocardiography in the hemodynamically unstable patient; m Perform a quick transthoracic exam (a basic focused TTE exam) in emergency situations; m Use TEE as a monitoring tool in the operating room.

Drs. Baron, Cvetkovic, Grecu, Mahmood, Konstadt, Mittnacht, Panzica, Salter, Shih, Shore-Lesserson, Tanaka and Troianos do not have any financial relationships to disclose. Dr. Bhatt is a clinical consultant for Neochord, LLC. Dr. R. Applegate receives funded research support, paid to his department by Masimo Corporation and Merck & Co., Inc. Dr. P. Applegate’s spouse receives funded research support, paid to his department by Masimo Corporation and Merck & Co., Inc.

S U N d A y

W-13 Ultrasound for Vascular Access: A Workshop 08:00 - 11:00 • Soho Complex • 7th Floor MOdErATOrS:

After completion of this session, the participant will be able to:

Meghann M. Fitzgerald, M.d.

Lisa Q. rong, M.d.

m demonstrate basic skills in ultrasound technology; daryl W. banton, M.d. diana Khatib, M.d.

Shreyajit r. Kumar, M.d.

Jaideep K. Malhotra, M.d.

m Utilize ultrasound technology for central venous and arterial access; m Optimize billing for ultrasound guided vascular access.

Drs. Banton, Fitzgerald, Khatib, Kumar, Malhotra and Rong do not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

57

SP-16 The Evolution of the MOCA® Cardiac Anesthesiologist: Concepts for the 21st Century 09:45 - 11:15 • North ballroom • 6th Floor MOdErATOr:

Jonathan d. Leff, M.d., FASE

decision Making in Mechanical Support: Echocardiography for ECMO Patients Fabio de Vasconcelos Papa, M.d.

The Expanding role of the Cardiothoracic Anesthesiologist Outside the Operating room…”Am I Prepared to Take Care of the Structural Heart Patient?”

Charles b. Nyman, M.b., Ch.b.

Quality in Cardiac Anesthesiology: “What Should I be Measuring and How Will it Impact My Practice?

James H. Abernathy, III, M.d., M.P.H. Drs. Abernathy and de Vasconcelos Papa do not have any financial relationships to disclose.

Dr. Leff receives consultant fees from CAS Medical Systems, Inc. (CASMED). Dr. Nyman receives honoraria; owns stock and is a shareholder with Edwards LifeSciences Corporation.

SP-17 Focus on PoCUS

After completion of this session, the participant will be able to: m Interpret echocardiographic images obtained in patients undergoing extracorporeal circulatory support implantation; m Utilize strategic decision making skills with the interventionalist to collaboratively treat the patient in circulatory shock; m Prepare an educational program for cardiac anesthesiologists participating in the care of ECMO patients; m List the new emerging technologies that is are being used outside the operating room; m Create a cardiac anesthesiologist “leader” for “outside of Or” locations and ensure appropriate training; m Organize a team approach to the management of structural heart disease; m recognize the importance of quality metrics and benchmarking; m Create practices and policies that enhance measured outcomes in their practice.

09:45 - 11:15 • South ballroom • 6th Floor MOdErATOr:

S U N d A y

Stephen C. Haskins, M.d.

Assessing the dyspneic Patient: basic Lung Ultrasound Julia b. Sobol, M.d.

What did you Have for breakfast?: Gastric Ultrasound Stephen C. Haskins, M.d.

Where is My Endotracheal Tube?: Airway Ultrasound Oliver P. F. Panzer, M.d.

It’s a PEA Arrest!: Focused Cardiac Ultrasound in ACLS Nibras bughrara, M.d.

Drs. Bughrara, Haskins, Panzer and Sobol do not have any financial relationships to disclose.

SP-18 Hot Topics in Acute Pain Management

After completion of this session, the participant will be able to: m Explain the relevance of POCUS in clinical practice; m describe the important emerging role of ultrasound in assessing gastric contents, gastric volume, and NPO status before induction; m Introduce airway ultrasound into their practice to aid in endotracheal tube placement as well as to identify the cricothyroid membrane for patient where there is a concern for “cannot intubate, cannot ventilate”; m Educate their teams on the role of focused cardiac ultrasound in ACLS to help with diagnosis and management of patients in a pulseless electrical activity (PEA) arrest.

09:45 - 11:15 • Manhattan ballroom • 8th Floor MOdErATOr:

Eugene r. Viscusi, M.d.

Update on Opioid Tolerance: Substance Use disorder and Acute Pain Management | Eugene r. Viscusi, M.d.

Advanced Incorporation of Multimodal Analgesic Techniques | Karina Gritsenko, M.d.

Update on Cannabinoids and Acute Pain Management yury Khelemsky, M.d.

Applying ASrA Ketamine Guidelines to your Acute Pain Service: Practical Lessons Learned | Eric S. Schwenk, M.d., FASA Drs. Gritsenko, Khelemsky and Schwenk do not have any financial relationships to disclose.

Dr. Viscusi receives consultant fees from AcelRx, Heron Therapeutics, Merck & Co., Inc., Recro Pharma, Inc. and Salix Pharmaceuticals; he is also on the speaker’s bureau for Heron Therapeutics, and Salix Pharmaceuticals.

58

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

After completion of this session, the participant will be able to: m design an analgesic plan for patients with chronic opioid exposure and substance use disorder with consideration for treatment initiation; m Apply current and emerging multimodal analgesic approaches within the context of enhanced recovery pathways; m Counsel patients on the utility and risks of various cannabinoid products; m Administer ketamine for novel uses in consultation with an acute pain service.

www.pga.nyc

#pga73

Lunch break

11:30 - 12:45

SP-19 Patient blood MOCA® Management: An Important role for the Anesthesiologist Linda J. Shore-Lesserson, M.d., FAHA, FASE

Setting Up an Anemia Clinic in your Hospital Hemoglobin as a Trigger for blood Transfusion: Liberal or Conservative? | Seth I. Perelman, M.d., FASA Moving Forward to Simplify Testing: What’s New in Point-of-Care Hemostasis

m recognize the current risks of blood transfusion;

After completion of this session, the participant will be able to:

Linda J. Shore-Lesserson, M.d., FAHA, FASE Drs. Guinn, Perelman and Shore-Lesserson do not have any financial relationships to disclose.

SP-20 Update on regional and Orthopedic Anesthesia

m describe the impact of frailty and of anesthetic choice on postoperative outcomes following lower extremity total joint replacement; m Apply the components of a successful ErAS program for shoulder surgeries; m Use fascial plane blocks to augment our armamentarium in postoperative analgesia.

13:00 - 14:30 • South ballroom • 6th Floor Meg A. rosenblatt, M.d., FASA

replacing Old Knees and Hips: Who’s Too Frail and Why? | rebecca L. Johnson, M.d.

ErAS for Surgery of the Shoulder

After completion of this session, the participant will be able to:

Nabil M. Elkassabany, M.d., MSCE

What’s New with Fascial Plane blocks?

Meg A. rosenblatt, M.d., FASA Drs. Johnson and Rosenblatt do not have any financial relationships to disclose. Dr. Elkassabany receives consultant fees from Foundry Therapeutics.

MOCA® SP-21 ESA Panel: Postoperative Challenges Patients die After, Not during, Surgery!

m recognize unique PACU challenges, such as respiratory depression and mechanical ventilation, and develop practices to improve patient safety;

S U N d A y

m Apply the current KdIGO criteria to diagnose Acute Kidney Injury (AKI), and subclinical AKI; m Identify the role of oliguria in the perioperative period; m Implement strategies to prevent AKI; m recognize risk factors for postoperative pulmonary complications and describe the evidence from the Protective Ventilation Network (PrOVENet) Trials;

13:00 - 14:30 • Manhattan ballroom • 8th Floor MOdErATOr:

m Create a plan to minimize blood loss and need for transfusion;

m Synthesize an algorithm using point-of-care testing.

Nicole r. Guinn, M.d.

MOdErATOr:

m List the steps in creating a preoperative anemia clinic;

m Identify alternatives to blood transfusion;

13:00 - 14:30 • North ballroom • 6th Floor MOdErATOr:

After completion of this session, the participant will be able to:

Andreas Hoeft, M.d., Ph.d.

PACU: The “Invisible” Unit | Idit Matot, M.d.

Preventing Acute Kidney Injury: What Can We do?

m describe various techniques to reduce post cardiac surgery complications;

Alexander Zarbock, M.d.

Post-op Pulmonary Complications: Evidence from PrOtective VEntilation Network (PrOVENet) Trials Paolo Pelosi, M.d.

reducing Post Cardiac Surgery Complications: recent developments | daniela Filipescu, M.d.

m Implement changes such as anesthetic choice, restrictive transfusion, and use of vasoactive drugs to prevent postoperative delirium.

Drs. Filipescu, Hoeft, Matot and Pelosi and do not have any financial relationships to disclose.

Dr. Zarbock receives funded research support from Astute Medical, Baxter International Inc., BioMerieux, Inc., Fresenius Kabi AG; consultant fees from AM Pharma and Astellas Pharma.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

59

W-14 Advanced Ultrasound, Simulation and Stimulation for Peripheral Nerve blocks 13:00 - 16:00 • Soho Complex • 7th Floor MOdErATOrS:

Mitchell H. Marshall, M.d.

Jovan Popovic, M.d., FrCPC Arthur C. Hertling, M.d., FASA Patrick birmingham, M.d., FAAP, FASA Marcelle E. blessing, M.d.

Jan boublik, M.d., Ph.d. david Furgiuele, M.d., FASA yan Lai, M.d., M.P.H., FASA Jinlei Li, M.d., Ph.d.

Emily Lin, M.d., M.S. danielle b. Ludwin, M.d.

Shairko Missouri, M.d.

Meg A. rosenblatt, M.d., FASA Leslie M. Sarraf, M.d.

Santhanam Suresh, M.d., M.b.A., FAAP Tiffany r. Tedore, M.d.

Hanae K. Tokita, M.d., FASA Uchenna Umeh, M.d., FASA Lisa Warren, M.d.

Drs. Birmingham, Blessing, Furgiuele, Hertling, Lai, Li, Lin, Ludwin, Marshall, Missouri, Popovic, Rosenblatt, Sarraf, Suresh, Tokita, Umeh and Warren do not have any financial relationships to disclose. Dr. Boublik receives consultant fees from GE Flexion and honoraria from PaJunk Medical Systems. Dr. Tedore’s spouse is a shareholder and sits on the board of TG Therapeutics.

S U N d A y

FS-18 Anesthesia and the developing brain: do Anesthetics really Harm Children?

14:45 - 15:45 • Majestic Complex • 6th Floor MOdErATOr:

Jerrold Lerman, M.d., FrCPC, FANZCA

Human data | Jerrold Lerman, M.d., FrCPC, FANZCA Animal data | Sulpicio G. Soriano, III, M.d., FAAP, FASA Dr. Soriano does not have any financial relationships to disclose. Dr. Lerman receives royalties from Elsevier Publisher and Springer Publisher; consultant fees from NeuroWave Systems Inc. and Pacira Pharmaceuticals, Inc., and is a shareholder and owner of Linshom, LP.

m Utilize ultrasound technology to perform the following blocks: Paravertebral Nerve; Spinal and Epidural; Truncal including TAP (Transversus Abdominis Plane), Quadratus Lumborum, and rectus Sheath; and Fascia Iliaca, Lateral Femoral Cutaneous, Iliohypogastric.

After completion of this session, the participant will be able to: m discuss the animal data demonstrating negative effects of anesthetics on the developing brain; m discuss the current knowledge regarding the possible negative effect of anesthetics on the developing brain in humans; m discuss the areas of research to elucidate the effect of anesthetics on the developing brain of humans; m discuss the ethical issues of not providing anesthetic care to infants; m Advise parents about their child’s impending surgery and anesthetic when asked about the effects of anesthetic agents on their child.

After completion of this session, the participant will be able to: m List the challenges of providing care in the field and in a warzone; m describe the differences between trauma and civilian casualties and the operational differences in patient care; m Incorporate current trauma management protocols in their institution.

FS-19 Trauma Anesthesia Update: Military and Civilian 14:45 - 15:45 • Shubert Complex • 6th Floor MOdErATOr:

After completion of this session, the participant will be able to:

roniel y. Weinberg, M.d.

battlefield Anesthesia: Lessons Learned From 18 years at War | Anthony Plunkett, M.d.

Update on Civilian Trauma Guidelines Adam d. Lichtman, M.d., FASE Drs. Lichtman, Plunkett and Weinberg do not have any financial relationships to disclose.

60

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

FS-20 NySSA Committee on retirement 14:45 - 17:00 • barrymore room • 9th Floor MOdErATOrS:

rhoda d. Levine, M.d.

Sandhya A. Malhotra, M.d.

reflections on a Personal Journey to the retirement Cliff | rhoda d. Levine, M.d.

Exploring Transitions and Second Careers after retirement | Sandhya Malhotra, M.d.

Physician Wellness | Cortessa L. russell, M.d.

Drs. Levine, Malhotra and Russell do not have any financial relationships to disclose.

FS-21 Management of Patients on Psychotropic Medications 14:45 - 15:45 • Columbia/duffy rooms • 7th Floor MOdErATOr:

Jeanna d. blitz, M.d., FASA

Serotonin in the Or and beyond Jeanna d. blitz, M.d., FASA

Old drugs – round 2: Lithium and MAO Adriana d. Oprea, M.d.

Drs. Blitz and Oprea do not have any financial relationships to disclose.

FS-22 Current Issues Forum – Opioid Epidemic 14:45 - 15:45 • North ballroom • 6th Floor MOdErATOr:

Jonathan S. Gal, M.d., FASA

After completion of this session, the participant will be able to: m discuss the pharmacology of relevant drug interactions; m Formulate an alternative anesthesia medication plan based on the patient’s medications; m recognize the different side effects of these drugs and have a monitoring and management plan in place.

S U N d A y

After completion of this session, the participant will be able to: m Modify their existing medical practice to be adaptive to the current major public health issues affecting the country; m Implement changes to their practice, patient encounters and prescribing techniques consistent with strategies to manage the opioid epidemic;

Dr. Gal does not have any financial relationships to disclose.

2019 | PGA73 Program

After completion of this session, the participant will be able to: m describe the challenges faced by the aging anesthesiologist; m Identify the issues that will impact a physician’s ability to practice; m Identify options and opportunities available in order to pursue a second career and ways to impact healthcare in the community; m Formulate informed personalized decisions about transitioning into retirement; m develop a long term plan that allows the practitioner to be better prepared for the future, while decreasing current mental stress and improving focus on patient care.

SPONSOrEd by:

m Conduct a careful risk/benefit analysis regarding public access to Naloxone.

The New york State Society of Anesthesiologists, Inc.

61

MW-21 Active Shooter in the Hospital 14:45 - 15:45 • Odets room • 4th Floor Michael C. brooks, b.S. barbara A. daly, MA david A. Livingston, M.d.

Kenneth Newman, M.d. brian S. Philip, M.d.

Jeffrey rabrich, d.O., FACEP, FAEMS daniel F. Sisto, NySP

After completion of this session, the participant will be able to: m Identify features of the incubation phase of an active shooter incident through situational awareness; m Learn to ask for help early; m Simulate how to evacuate in an emergency; m Know how to conduct a “lockdown”; m Know how to fight in a self-defense situation; m develop flexible thinking for an evolving active shooter situation.

Drs. Newman, Livingston, Philip, Rabrich, Ms. Daly, Mr. Brooks and Mr. Sisto do not have any financial relationships to disclose.

MW-22 Update on Anesthesia for Spinal Surgery 14:45 - 15:45 • O’Neill room • 4th Floor Michael K. Urban, M.d., Ph.d.

After completion of this session, the participant will be able to: m Properly position patients for spinal surgery; Properly assign the use of cell-saver, autologous blood donation and hemodilution to appropriate surgical procedures; m Enumerate the risk factors for postoperative visual loss; m Implement changes in practice to avoid postoperative visual loss.

Dr. Urban does not have any financial relationships to disclose.

S U N d A y

MW-23 Anesthesia Outside the Operating room 14:45 - 15:45 • Wilder room • 4th Floor Jay r. Shayevitz, M.d., M.S.

After completion of this session, the participant will be able to: m delineate the requirements for monitoring outside the operating room with emphases on pediatrics; m develop a plan to get back-up; m delineate needs for safe anesthesia in extreme environments.

Dr. Shayevitz does not have any financial relationships to disclose.

MW-24 Management of Post dural Puncture Headache 14:45 - 15:45 • Ziegfeld room • 4th Floor Gregory T. Palleschi, M.d.

Dr. Palleschi does not have any financial relationships to disclose.

62

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

After completion of this session, the participant will be able to: m Manage accidental dural puncture in obstetrics; m develop an evidence-based decision regarding the use of intrathecal catheters in the prevention and management of PdPH; m Perform a therapeutic and prophylactic blood patch in the event of PdPH.

www.pga.nyc

#pga73

PbLd-29 Applying New Guidelines to the Management of Postoperative Pain

After completion of this session, the participant will be able to: m discuss new guidelines from the APS; m Incorporate new pain management guidelines into their practice.

14:45 - 15:45 • Astor ballroom • 7th Floor Ivan A. Velickovic, M.d., FASA Dr. Velickovic does not have any financial relationships to disclose.

PbLd-30 Jet Ventilation 14:45 - 15:45 • Astor ballroom • 7th Floor Iyabo O. Muse, M.d.

Tracey Straker, M.d., M.S., M.P.H., CbA, FASA

After completion of this session, the participant will be able to: m Assess the airway of a patient with an airway mass; m Identify anesthetic concerns of laser surgery; m describe the indications for and complications of jet ventilation; m Formulate an anesthetic plan for utilizing jet ventilation.

Drs. Muse and Straker do not have any financial relationships to disclose.

PbLd-31 Alternatives to Epidural Analgesia for Labor 14:45 - 15:45 • Astor ballroom • 7th Floor barbara S. Orlando, M.d.

After completion of this session, the participant will be able to: m Identify appropriate intravenous and inhaled medications for labor analgesia; m develop a plan to provide pain relief to the parturient who is not a candidate for neuraxial analgesia.

Dr. Orlando does not have any financial relationships to disclose.

PbLd-32 Preanesthesia Management of the Spinal Fusion Patient: ErAS and beyond 14:45 - 15:45 • Astor ballroom • 7th Floor Elaine I. yang, M.d.

S U N d A y

After completion of this session, the participant will be able to: m discuss strategies for preemptive analgesia; m Identify adjunctive non-opioid medications useful throughout the perioperative period; m Implement a pain management plan for spinal fusion patients that begins preoperatively and continues into the postoperative period.

Dr. Yang does not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

63

PbLd-33 Substance Abuse in the Pediatric Patient 14:45 - 15:45 • Astor ballroom • 7th Floor Mia Castro, M.d.

Cheryl K. Gooden, M.d., FAAP, FASA

After completion of this session, the participant will be able to: m define addiction, tolerance and abuse; m recognize the clinical features associated with the use of alcohol and marijuana; m develop an anesthetic plan incorporating knowledge of the anesthetic consequences of alcohol and marijuana use in the pediatric patient.

Drs. Castro and Gooden do not have any financial relationships to disclose.

PbLd-34 burned Out Anesthesiologist: Practice Competence and Colleagues 14:45 - 15:45 • Astor ballroom • 7th Floor

S U N d A y

After completion of this session, the participant will be able to: m Identify professional difficulties encountered by the burned out physician; m recognize the implications of burnout among medical professionals, with emphasis on anesthesiologists and critical care specialists;

Melinda A. Aquino, M.d.

Sergey V. Pisklakov, M.d.

m Explain how burnout affects clinical competency, patient care and interaction between members of anesthesia team;

Drs. Aquino and Pisklakov do not have any financial relationships to disclose.

m deploy methods to recognize burnout and point out ways to help your colleague anesthesiologist to overcome it;

PbLd-35 Total Joint replacement in the Ambulatory Surgery Center

m Formulate a plan for burnout prevention/reduction in your department or practice.

14:45 - 15:45 • Astor ballroom • 7th Floor david H. Kim, M.d.

Dr. Kim does not have any financial relationships to disclose.

After completion of this session, the participant will be able to: m recognize patient characteristics which would allow safe TJr in the ASC setting; m discuss the steps necessary in a clinical pathway to establish a program to TJr in an ASC; m Implement a pain management plan which would allow for ASC management of TJr.

64

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

E-03 Engaging with the Experts on the Importance of Outcomes 16:00 - 17:00 • Liberty room • 8th Floor James H. Abernathy, III, M.d., M.P.H. Mark E. Nunnally, M.d., FCCM Michael F. O’Connor, M.d., FCCM

After completion of this session, the participant will be able to: m Appraise the value of outcomes in assessing performance, quality and safety; m Compare different outcomes as a means of assessment.

Drs. Abernathy and Nunnally do not have any financial relationships to disclose. Dr. O’Connor has stock options and is on the Scientific Advisory Board with CLEW.

S U N d A y

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

65

After completion of this session, the participant will be able to:

FS-23 Practice Management: How to Evaluate an Anesthesia Contract

m review a contract for private practice and develop an appropriate plan for negotiation;

16:00 - 17:00 • Shubert Complex • 7th Floor

m review an academic practice contract and develop a plan for negotiation

MOdErATOr:

Michael b. Simon, M.d., M.b.A., FASA

Academic Charles J. Assini, Jr., Esq.

Private Practice ruchir Gupta, M.d., FASA

Drs. Gupta and Simon and Mr. Assini do not have any financial relationships to disclose.

After completion of this session, the participant will be able to:

FS-24 Challenges in Obstetric Anesthesia: Troubleshooting Neuraxial Analgesia during Labor and delivery S U N d A y

m describe the advantages and disadvantages of different labor analgesic techniques; m Advise a laboring patient on the best type of neuroaxial analgesia;

16:00 - 17:00 • Columbia/duffy rooms • 7th Floor

m Formulate a plan for troubleshooting an inadequate epidural.

MOdErATOr:

yaakov beilin, M.d.

Optimal Techniques and Strategies: CSE vs. dPE vs. Plain Epidural Joshua Hamburger, M.d.

Fixing a Troublesome Epidural Sharon E. Orbach-Zinger, M.d.

Drs. Beilin, Hamburger and Orbach-Zinger do not have any financial relationships to disclose.

66

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

After completion of this session, the participant will be able to:

PbLd-36 billy Woke Up Wild — How to Prevent Agitation/delirium in the Pediatric Patient 16:00 - 17:00 • Astor ballroom • 7th Floor Joanna b. rothstein, M.d., FASA Stacey A. Watt, M.d., FASA Drs. Rothstein and Watt do not have any financial relationships to disclose.

PbLd-37 Placenta Accreta: regional vs. General 16:00 - 17:00 • Astor ballroom • 7th Floor Julio E. Marenco, M.d.

Dr. Marenco does not have any financial relationships to disclose.

PbLd-38 Where’s the Airway? Giant Facial Tumor for Surgical resection: It’s All About Teamwork!

16:00 - 17:00 • Astor ballroom • 7th Floor Michelle S. Kars, M.d., FAAP Dr. Kars does not have any financial relationships to disclose.

PbLd-39 “buprenorphine and Surgery: Perioperative Management of an Opioid dependent Patient Maintained on buprenorphine 16:00 - 17:00 • Astor ballroom • 7th Floor Michael H. baik, M.d.

Dr. Baik does not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

m define emergence delirium; m List three risk factors associated with emergence delirium; m List three techniques to decrease the risk of emergence delirium for your pediatric patients undergoing GA; m List at least one treatment option for emergence delirium; m Formulate discussion points to talk to families about the risk of emergence delirium; m Formulate discussion points to talk to families about a pediatric patient that has demonstrated emergence delirium.

After completion of this session, the participant will be able to: m distinguish among various placental abnormalities and their implications for hemorrhage; m Formulate a plan for the anesthetic management of the patient with placenta accreta.

After completion of this session, the participant will be able to: m discuss the preoperative evaluation for a patient with a large facial tumor and how it would differ for a vascular and nonvascular tumor; m discuss the significance and implications of a multidisciplinary approach for complex airway/ craniofacial surgery; m review the ASA difficult airway algorithm, exploring the challenges and various methods of induction of anesthesia for an extreme difficult airway;

S U N d A y

m Identify potential intraoperative difficulties including hemodynamic instability in resecting a large tumor; m Explore options for intraoperative support including ECMO for challenging tumor resections.

After completion of this session, the participant will be able to: m Understand the pharmacology, indications and different formulations of mixed opioid agonist antagonist agents; m discuss the risk and benefits of stopping buprenorphine perioperatively; m Formulate a perioperative pain management plan for a patient maintained on buprenorphine.

The New york State Society of Anesthesiologists, Inc.

67

PbLd-40 Anesthetic Management of the Endobronchial Ultrasound (EbUS) Patient

After completion of this session, the participant will be able to: m discuss the indication for EbUS; m Compare different anesthetic techniques for the management of the EbUS patient; m Implement a safe anesthetic for the EbUS patient.

16:00 - 17:00 • Astor ballroom • 7th Floor Tazeen beg, M.d.

Dr. Beg does not have any financial relationships to disclose.

After completion of this session, the participant will be able to:

PbLd-41 The Cirrhotic that Fell and broke a Femur 16:00 - 17:00 • Astor ballroom • 7th Floor Christopher F. Galton, M.d, NrP, FP-C Olga Vornovitsky, M.d.

m Identify common bleeding risks associated with advanced liver disease; m Formulate a preoperative plan to minimize the risk of hemorrhage; m Implement an anesthetic plan that will minimize the neurologic sequelae associated with alcohol withdrawal.

Drs. Galton and Vornovitsky do not have any financial relationships to disclose.

S U N d A y

PbLd-42 An Interventional dilemma: What do you do When There is Little Information on your Patient?

After completion of this session, the participant will be able to:

16:00 - 17:00 • Astor ballroom • 7th Floor

m Implement an anesthetic plan based upon imperfect information.

dawn M. Sweeney, M.d.

m discuss the challenges of caring for individuals without capacity to consent or ability to provide useful medical history; m review the physical findings of valvular heart disease; m Interpret abbreviations in a medical record;

Dr. Sweeney does not have any financial relationships to disclose.

68

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

Monday

december 16, 2019

registration

07:00 - 16:00

Sessions

08:00 - 17:00

Monday Morning Welcome

08:15 - 08:30

E.A. rovenstine Memorial Panel

08:30 - 10:00

Technical Exhibits

09:00 - 1:00

E.A. rovenstine Memorial Lecture

10:15 - 11:15

Posters and Medically Challenging Case Presentations

11:30 - 13:00

Lunch break

11:30 - 12:45

Engaging with the Experts

16:00 - 17:00 FEE rEQUIrEd (Fees listed on page 3.)

W-15 Thoracic Anesthesia Workshop 08:00 - 11:00 • Shubert Complex • 6th Floor MOdErATOr:

Edmond Cohen, M.d.

Felice E. Agro, M.d. david Amar, M.d.

Javier H. Campos, M.d.

Levon M. Capan, M.d.

Maria d. Castillo, M.d.

Jeffrey Ciccone, M.d. dawn P. desiderio, M.d.

Marian dumitru, M.d.

Alexandra Lewis, M.d., M.Sc. Anuj Malhotra, M.d.

Steven M. Neustein, M.d. daniel K. O’Neill, M.d.

Cesar rodriguez-diaz, M.d.

Jessica L. Spellman, M.d.

Eugene r. Viscusi, M.d.

Charles b. Watson, M.d., FCCM

After completion of this session, the participant will be able to: m Place left and right-sided double lumen endobronchial tubes utilizing fiberoptic bronchoscopy; m Place various types of endobronchial blockers to provide one lung ventilation;

M O N d A y

m Apply techniques for successful lung separation in patients with a difficult airway;

Drs. Agro, Amar, Campos, Capan, Castillo, Ciccone, Cohen, Desiderio, Dumitru, Lewis, Malhotra, Neustein, O’Neill, Rodriguez-Diaz, Spellman and Watson do not have any financial relationships to disclose. Dr. Viscusi receives consultant fees from AcelRx, Heron Therapeutics, Merck & Co., Inc., Recro Pharma, Inc. and Salix Pharmaceuticals; he is also on the speaker’s bureau for Heron Therapeutics and Salix Pharmaceuticals.

2019 | PGA73 Program

SPONSOrEd by:

m Manage hypoxia in a patient with one-lung ventilation; m Manage postoperative analgesia in the post-lung resection patient.

The New york State Society of Anesthesiologists, Inc.

69

W-16 basic Point of Care Ultrasound (PoCUS) 08:00 - 11:00 • Empire Complex • 7th Floor MOdErATOrS:

James A. Osorio, M.d.

Michael Wall, M.d., FCCM

After completion of this session, the participant will be able to: m Acquire images from a basic focused ultrasound (PoCUS) exam; m Perform basic handling of a portable ultrasound machine in order to perform a PoCUS exam; m Perform a gastric content ultrasound evaluation; m Interpret ultrasound images from a PoCUS exam of the heart and lungs; m Create a PoCus program at their institution.

ranjit deshpande, M.d.

Stephen C. Haskins, M.d.

Shanna S. Hill, M.d. david A. Kiamanesh, M.d.

Elmari Neethling, M.b. Ch.b., FCA, M.Med rohan Panchamia, M.d.

Oliver P. F. Panzer, M.d.

Julia b. Sobol, M.d.

Christopher Tam, M.d.

Christopher y. Tanaka, M.d.

Timothy T. Tran, M.d.

Adriaan van rensburg, M.d.

Paul d. Weyker, M.d.

M O N d A y

Drs. Deshpande, Haskins, Kiamanesh, Neethling, Osorio, Panchamia, Panzer, Sobol, Tam, Tanaka, Tran, van Rensburg, Wall and Weyker do not have any financial relationships to disclose. Dr. Hill’s spouse is a shareholder and manages investment fund with stock in Johnson & Johnson, Medtronic, Inc. and Merck & Co., Inc.

70

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

W-18 Advanced Cardiac Life-Support (ACLS) 08:30 - 17:00 • Soho Complex • 7th Floor MOdErATOr:

Stephen A. Vitkun, M.d. M.b.A. rhonda A. Alexis, M.d.

Linda M. Cimino, Ed.d., M.S., CPNP, ANP, CCrC, Malcolm devine, NrEMT-P Theodore Lamonica, NrEMT-P Paul A. Werfel, M.S., NrEMT-P

After completion of this session, the participant will be able to: m Apply the current guidelines and treatment protocols for Advanced Cardiac Life Support; m demonstrate basic life support skills; m demonstrate effective communication skills during a crisis situation with team members. requirements for Certificate: To receive an ACLS Certificate, the participant will have to successfully complete the course and pass a written and practical examination, which will be administered at the end of the course. This workshop is limited to pre-registration.

Please note there will be a scheduled lunch break from 11:30AM-12:45PM which is not eligible for AMA PrA Category 1 Credits™

M O N d A y

Drs. Alexis and Vitkun, Ms. Cimino, Mr. Devine, Mr. Lamonica, and Mr. Werfel do not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

71

SP-22 E.A. rovenstine Memorial Panel: APSF’s Practical Approaches to Improving Medication Safety MOCA ®

08:30 - 10:00 • broadway ballroom • 6th Floor This annual Memorial Lecture series, which began in 1971, is dedicated to honor the illustrious career of Dr. Emery Andrew Rovenstine, who was Director of Anesthesiology Service from 1935 to 1960 at a place he proudly referred to as “My Bellevue,” which in his time was a charity hospital. He was also Professor of Surgery (Anesthesia) at The New York University School of Medicine. Dr. Rovenstine was a loved and eminent clinician and teacher, who played a major role in the development of academic anesthesia in the United States. In his lifetime, many great honors were bestowed upon him. He served as President of The American Society of Anesthesiologists in 1943/44, and in 1957 received that Society’s Distinguished Service Award. Dr. Rovenstine was the founder of the PostGraduate Assembly 1895-1960 in Anesthesiology. A scholarly man who helped to develop many drugs, techniques and machines to ease pain, Dr. Rovenstine devoted himself to training other physicians in his specialty. He was considered, in his time, to be the most knowledgeable anesthesiologist in the world.

MOdErATOr:

Mark A. Warner, M.d.

drug Administration Errors: Simple Steps to Improve the Anesthesia Work Space and reduce the risk of Medication Errors Eliot b. Grigg, M.d.

m recognize controversial issues associated with anesthetic drug labeling and standardization of concentrations;

Standardization of drug Labeling and Concentrations: Are We different than Other Groups Who Administer drugs?

m develop practical workflow changes that reduce the risk of medication administration errors;

Elizabeth rebello, M.d., FASA

drugs Shortages: Practical Substitutes When your Most Important Anesthetic Medications are missing

M O N d A y

After completion of this session, the participant will be able to:

m Manage the downstream effects of drug shortages and the selection of drug substitutes.

Joyce A. Wahr, M.d.

Drs. Grigg, Rebello and Warner do not have any financial relationships to disclose. Dr. Wahr receives honoraria from Anesthesia Patient Safety Foundation and Aspen Pharmacare.

72

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

SP-23 49th E. A. rovenstine Lecture: Is Patient Safety the “Pinnacle” of Quality Perioperative Care MOCA

®

10:15 - 11:15 • broadway ballroom • 6th Floor MOdErATOr:

Audrée A. bendo, M.d., M.S., FASA

After completion of this session, the participant will be able to:

daniel J. Cole, M.d.

m describe the scope of preventable harm;

About the Lecturer...

Daniel J. Cole earned his Doctor of Medicine degree from Loma Linda University, where he also completed his residency in anesthesiology.

He completed a Neuroanesthesia Research fellowship at the University of California at San Diego.

Dr. Cole currently services as Vice Chair for Professional and Business Development for the Department of Anesthesiology and Perioperative Medicine at the University of California, Los Angeles. He most recently served as Chair at Mayo Clinic in Arizona and as Vice Dean for Continuous Professional Development, Mayo Clinic.

m Implement elements of a care pathway to prevent postoperative delirium; m Use a systems approach to address “wellness” in the anesthesiology workforce.

A neuroanesthesiologist by training, he has published extensively, with more than 350 original manuscripts, chapters, abstracts, and editorials to his credit. Over the course of his career, he has served as a reviewer for more than 25 medical journals. Dr. Cole is also a distinguished lecturer with over 300 invited presentations on a broad range of topics.

Dr. Cole is currently a Director for the American Board of Anesthesiology; he is a past president of the American Society of Anesthesiologists; on the Board of Directors for FAER; and the vice president for APSF. Past rovenstine Memorial Lecturers 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991

Cynthia A. Wong, M.D. Carin A. Hagberg, M.D., FASA Robert N. Sladen, M.B., Ch.B., FCCM Sulpicio G. Soriano, III, M.D., FAAP, FASA Joseph M. Neal, M.D. David H. Chestnut, M.D. Stephen J. Thomas, M.D. Daniel I. Sessler, M.D. John C. Drummond, M.D. Lee A. Fleisher, M.D. Mark J. Lema, M.D., Ph.D. Steven l. Shafer, M.D. Mark A. Warner, M.D. Michael M. Todd, M.D. James E. Cottrell, M.D., FRCA Paul G. Barash, M.D. Michael F. Roizen, M.D. Tony l. Yaksh, Ph.D. Ronald D. Miller, M.D. Bernard V. Wetchler, M.D. James F. Arens, M.D. Edward D. Miller, Jr., M.D. Norig Ellison, M.D. Robert K. Stoelting, M.D. Betty J. Bamforth, M.D. Mieczyslaw Finster, M.D. E.S. Siker, M.D. Joseph F. Artusio, Jr., M.D.

1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976

1975

1974

1973 1972 1971

Sol N. Shnider, M.D. Henrik H. Bendixen, M.D. Paul Janssen, M.D. Michael J. Cousins, M.D. John W. Severinghaus, M.D., F.F.A.R.C.S. Benjamin G. Covino, Ph.D., M.D. Peter G. Wasser, M.D. John F. Nunn, M.D., Ph.D. Henning Pontoppidan, M.D. E.M. Papper, M.D. Edmond I. Eger, II, M.D. Cedric Prys-Roberts, M.A., D.M., Ph.D. Leon E. Farhi, M.D. Alon P. Winnie, M.D., John C. Liebeskind, Ph.D., John E. Adams, M.D. & Richard J. Miller, Ph.D. E.M. Papper, M.D., Richard J. Kitz, M.D., Robert M. Epstein, M.D., John J. Bonica, M.D. & D. Bruce Scott, M.D. C. Phillip Larson, Jr., M.D., Stanley Dudrick, M.D., H. Barrie Fairley, M.B., B.S., Richard I. Mazze, M.D. & Harvey B. Shapiro, M.D. Herman Turndorf, M.D., Myron B. Laver, M.D., John F. Viljoen, M.D., William C. Sheldon, M.D. & Saul Winegrad, M.D. Herbert Spiegel, M.D. & Ernest E. Rockey, M.D. Samuel Rosen, M.D., William S. Kroger, M.D. & Blaine S. Noshold, Jr., M.D. E.M. Papper, M.D., Albert M. Betcher, M.D., Solomon G. Hershey, M.D. & Richard J. Kitz, M.D.

M O N d A y

Drs. Bendo and Cole do not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

73

W-17 basic Plus (+) Point-of-Care Surface Ultrasound Workshop 13:00 - 16:00 • Empire Complex • 7th Floor MOdErATOrS:

James A. Osorio, M.d.

Michael H. Wall, M.d., FCCM

After completion of this session, the participant will be able to: m Acquire and interpret PoCUS images; m Perform a standardized comprehensive cardiac exam of the heart that includes assessment of global left and right ventricular function, stroke volume measurement, valvular and volume status assessment; m Perform an advanced lung exam and interpret findings; m Perform a systematic PoCUS airway examination; m Apply diagnostic principles of the FEEL protocol during cardiac arrest.

Nibras bughrara, M.d. ranjit deshpande, M.d. david A. Kiamanesh, M.d.

Wolf benjamin Kratzert, M.d.

Elmari Neethling, M.b., Ch.b., FCA, M.Med rohan Panchamia, M.d.

Oliver P. F. Panzer, M.d.

Albert Perrino, M.d.

Julia b. Sobol, M.d.

Christopher Tam, M.d.

Timothy T. Tran, M.d.

Paul d. Weyker, M.d.

M O N d A y

Drs. Bughrara, Deshpande, Kiamanesh, Kratzert, Neethling, Osorio, Panchamia, Panzer, Perrino, Sobol, Tam, Tran, Wall and Weyker do not have any financial relationships to disclose.

74

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

SP-24 Pediatrics: Cases Gone Wrong, Lessons Learned MOCA® 13:00 - 14:30 • North ballroom • 6th Floor MOdErATOr:

Jerrold Lerman, M.d., FrCPC, FANZCA

After completion of this session, the participant will be able to: m Properly assess pediatric patients for risk; m describe how obesity impacts OSA and incorporate efforts to minimize risk into your practice plan; m Formulate a plan for the management of patients with congenital heart defects;

The Morbidly Obese Child for Ambulatory T&A Surgery

Linda J. Mason, M.d., FASA

m Introduce new methods to manage postoperative complications of adenotonsillectomy;

Mild Traumatic brain Injury (Concussion) and Elective Surgery

m design a perioperative care plan for the pediatric patient who has suffered a concussive injury.

Jerrold Lerman, M.d., FrCPC, FANZCA

The Not-So-Common difficult Airway

Sulpicio G. Soriano, II, M.d., FAAP, FASA

Drs. Mason and Soriano do not have any financial relationships to disclose. Dr. Lerman receives royalties from Elsevier Publisher and Springer Publisher; consultant fees from NeuroWave Systems Inc. and Pacira Pharmaceuticals, Inc., and is a shareholder and owner of Linshom, LP.

SP-25 The Cardiac Patient for MOCA® Non-Cardiac Surgery 13:00 - 14:30 • South ballroom • 6th Floor

After completion of this session, the participant will be able to: m design a plan for managing the patient with pulmonary hypertension and hypokinetic right heart; m Explain the perioperative management of the patient with a coronary stent;

MOdErATOr:

bessie Kachulis, M.d.

m Formulate a plan for the management of the patient with undiagnosed cardiac disease;

The Patient with Pulmonary Hypertension bessie Kachulis, M.d.

Surgery After Stent Placement

m describe the key points in the management of the patient with an LVAd (left ventricular assist device).

Vivek K. Moitra, M.d., MHA, FCCM

When the Unplanned Happens: How to Manage Intraoperatively dalia banks, M.d., FASE

The Patient Has an LVAd Natalia S. Ivascu, M.d.

M O N d A y

Drs. Banks, Ivascu, Kachulis and Moitra do not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

75

MOCA® FS-25 Update on Infection Prevention for the Anesthesia Professional 14:45 - 15:45 • Majestic Complex • 6th Floor MOdErATOr:

After completion of this session, the participant will be able to: m describe current infection prevention recommendations and safe injection practices as applicable to anesthesia practice; m Implement infection prevention recommendations into practice.

richard A. beers, M.d.

brief Update: Infectious Concerns Associate with Surgical Attire | richard A. beers, M.d.

Unsafe Injection Practices and Microbial Contamination of Medications and Fluids Elliott S. Greene, M.d.

bugs and drugs: An Anesthesiologist’s Impact on Infectious Outcomes | Amanda J. rhee, M.d.

Drs. Beers, Greene and Rhee do not have any financial relationships to disclose.

FS-26 Pediatric Pain Management: What is the best Practice?

14:45 - 15:45 • Shubert Complex • 6th Floor MOdErATOr:

Santhanam Suresh, M.d., FAAP

regional Pain Management Santhanam Suresh, M.d., FAAP

Pharmacological Approach bettina Smallman, M.d.

M O N d A y

After completion of this session, the participant will be able to: m discuss current methods of pain management in pediatric patients including both pharmacologic and regional methods; m describe the medications used for pain relief in children in terms of pharmacokinetics, pharmacodynamics, and adverse side effects; m discuss the risks and benefits of various types of regional anesthesia for pediatric patients; m Formulate an anesthetic plan for pain management in pediatric patients undergoing various types of surgical procedures.

Dr. Smallman does not have any financial relationships to disclose. Dr. Suresh receives consultant fees from Pacira Pharmaceuticals, Inc.

After completion of this session, the participant will be able to:

FS-27 Vasoplegia: What Is It, How to Treat It 14:45 - 15:45 • Columbia/duffy rooms • 7th Floor MOdErATOr:

Menachem M. Weiner, M.d.

The role of Methylene blue

m recognize signs of vasoplegia; m develop treatment protocolsfor vasoplegia; m discuss the role of methylene blue in treatment of vasoplegia; m Implement various treatment protocols based on their risks and benefits.

Menachem Weiner, M.d.

Standard Treatment Protocols Matthew A. Levin, M.d.

Drs. Levin and Weiner do not have any financial relationship to disclose.

76

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

FS-28 Patient Safety

MOCA®

14:45 - 15:45 • Liberty room • 8th Floor MOdErATOr:

robert S. Lagasse, M.d.

Satisfying the ACGME requirements for Safety and Quality robert S. Lagasse, M.d.

Establishing a Quality Measurement Program for data-driven Performance Improvement Jaime b. Hyman, M.d.

Drs. Hyman and Lagasse do not have any financial relationship to disclose.

FS-29 Challenges in regional Anesthesia: bleeding vs.

Clotting 14:45 - 15:45 • Manhattan ballroom • 8th Floor MOdErATOr:

yan Lai, M.d., M.P.H., FASA

After completion of this session, the participant will be able to: m Incorporate the essential elements of a quality management program that uses quality metrics for data driven performance improvement; m Incorporate the essential elements of a patient safety culture that encourages continuous identification of vulnerabilities and demonstrates a willingness to transparently deal with them; m List the ACGME CPr for Safety and Quality and the necessary elements for satisfying these requirements.

After completion of this session, the participant will be able to: m discuss the use of regional anesthesia in patients on anticoagulation or requiring anticoagulation; m develop a plan for use of regional anesthesia in patients on anticoagulation or requiring anticoagulation; m discuss the advantages and disadvantages of antifibrinolytics in orthopedics;

Use of Antifibrinolytics in Orthopedic yan Lai, M.d., M.P.H., FASA

regional Anesthesia in the Patient on Anticoagulation

m develop strategies for use of antifibrinolytics for orthopedic surgery.

Michael r. Anderson, M.d.

Drs. Anderson and Lai do not have any financial relationship to disclose.

M O N d A y

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

77

MW-25 Complications of regional Anesthesia 14:45 - 15:45 • Odets room • 4th Floor Malikah Latmore, M.d.

Poonam Pai bantwal Hebbalasankatte, M.b. b.S., M.S. Drs. Latmore and Pai Bantwal Hebbalasankatte do not have any financial relationships to disclose.

After completion of this session, the participant will be able to: m Enumerate the coagulation parameters that are acceptable to proceed with regional anesthesia; m define the incidence of regional anesthesia related complications; m Create guidelines for their department in drug cessation and testing anticoagulation that establish safe and evidence based practice; m Use ultrasound to prevent regional anesthesia complications.

MW-26 Update on Factor and blood Transfusion in Anesthesia 14:45 - 15:45 • O’Neill room • 4th Floor

m Create blood transfusion algorithms that conform to the evidence based literature;

Himani bhatt, d.O., M.P.A., FASE, FASA

m Enumerate the latest changes in factor transfusion guidelines;

Dr. Bhatt is a clinical consultant for Neochord, LLC.

m Expediently recognize and treat a transfusion related complication.

MW-27 Anesthesia for difficult Orthopedic Procedures 14:45 - 15:45 • Wilder room • 4th Floor Michael A. Akerman, M.d.

Dr. Akerman does not have any financial relationships to disclose.

M O N d A y

After completion of this session, the participant will be able to:

After completion of this session, the participant will be able to: m Identify which procedures are at increased risk for perioperative complications; m Utilize additional monitoring in appropriate orthopedic procedures; m Incorporate strategies to reduce blood loss into routine management.

MW-28 Introduction to TEE 14:45 - 15:45 • Ziegfeld room • 4th Floor Christopher y. Tanaka, M.d.

Dr. Tanaka does not have any financial relationships to disclose.

After completion of this session, the participant will be able to: m Identify the key anatomic views used in TEE; m Identify the key anatomic structures visualized by TEE; m Communicate hypokinesis and akinesis of the myocardium to the surgeon and suggest appropriate treatment.

78

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

PbLd-43 Perioperative Control of Hypertension 14:45 - 15:45 • Astor ballroom • 7th Floor

After completion of this session, the participant will be able to: m describe the pathophysiology of hypertension; m describe the concept of tight control of blood pressure; m Identify the different medications used to control blood pressure;

Jing Song, M.d.

Sudheer K. Jain, M.d.

Drs. Jain and Song do not have any financial relationships to disclose.

PbLd-44 STAT Cesarean Section: Spinal vs. General 14:45 - 15:45 • Astor ballroom • 7th Floor

m Formulate an anesthetic plan for the patient with hypertension.

After completion of this session, the participant will be able to: m Evaluate fetal heart rate tracings and review the etiology of the different types of fetal heart rate patterns;

Sharon Abramovitz, M.d. yaakov beilin, M.d.

m Explain how opioids and anesthetics affect the fetus and interpretation of the fetal heart rate tracing;

Drs. Abramovitz and Beilin do not have any financial relationships to disclose.

m Formulate a labor analgesia plan for the patient with an ominous fetal heart rate tracing; m recognize the effects of spinal and general anesthesia on mother and baby;

PbLd-45 delirium: What Can I do to Prevent It? 14:45 - 15:45 • Astor ballroom • 7th Floor Kenneth b. Newman, M.d., M.S.H.A. Dr. Newman does not have any financial relationships to disclose.

PbLd-46 Polysubstance Use disorder and Emergency Abdominal Surgery 14:45 - 15:45 • Astor ballroom • 7th Floor

m Formulate a management plan for an emergency cesarean delivery.

After completion of this session, the participant will be able to: m recognize risk factors for delirium in the postoperative setting; m Identify patients most likely to develop postoperative delirium; m Formulate an anesthetic plan that minimizes the risk of postoperative delirium; m Apply measures to treat delirium when it occurs.

After completion of this session, the participant will be able to:

Stelian I. Serban, M.d.

Steven G. Halle, M.d.

m Identify drug addiction vs. drug tolerance vs. physical dependence;

Drs. Halle and Serban do not have any financial relationships to disclose.

m Identify analgesic requirements for the perioperative period;

M O N d A y

m Assess the analgesic options regarding postoperative pain management;

m Formulate a strategic analgesic plan.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

79

PbLd-47 Colloid vs.

Crystalloid: New Answers to an Old Question 14:45 - 15:45 • Astor ballroom • 7th Floor Jay S. berger, M.d., Ph.d.

After completion of this session, the participant will be able to: m Identify new concepts regarding the use of crystalloid and colloid volume replacement; m Formulate a plan to maintain ideal volume status in the perioperative period.

Dr. Berger does not have any financial relationships to disclose.

PbLd-48 Endovascular Aortic Aneurysm repair (EVAr): Anesthetic Approach

After completion of this session, the participant will be able to: m discuss comorbidities for patients undergoing EVAr ; m Formulate an anesthetic plan for patients undergoing EVAr

14:45 - 15:45 • Astor ballroom • 7th Floor Migdalia Saloum, M.d.

Dr. Saloum does not have any financial relationship to disclose.

PbLd-49 Obstructive Sleep Apnea and Ambulatory Surgery 14:45 - 15:45 • Astor ballroom • 7th Floor danielle b. Ludwin, M.d.

Jacques T. yadeau, M.d, Ph.d.

M O N d A y

80

Drs. Ludwin and YaDeau do not have any financial relationships to disclose.

After completion of this session, the participant will be able to: m discuss the pathophysiology of Obstructive Sleep Apnea (OSA) in adults; m Make a presumptive diagnosis of OSA in undiagnosed patients; m Assess the eligibility of OSA patients for ambulatory surgery; m Evaluate the effects of anesthetics on patients with OSA; m Formulate postoperative pain control in OSA patients in an outpatient setting; m Establish the outpatient PACU monitoring and discharge criteria for OSA patients.

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

E-04 Engaging with the Experts on All Things regional Anesthesia 16:00 - 17:00 • Liberty room • 8th Floor rebecca L. Johnson, M.d. danielle b. Ludwin, M.d.

Meg A. rosenblatt, M.d., FASA

After completion of this session, the participant will be able to: m describe new truncal blocks and determine which may be appropriate for use in the individual’s practice; m Evaluate the usefulness of liposomal bupivacaine, catheters and adjuvants to prolong the duration of peripheral nerve blocks.

Drs. Ludwin, Johnson and Rosenblatt do not have any financial relationships to disclose.

M O N d A y

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

81

After completion of this session, the participant will be able to:

FS-30 Office-based Anesthesia

m Stratify what procedures and which patients are suitable for office-based procedures and which should not be done in this venue;

16:00 - 17:00 • Majestic Complex • 6th Floor MOdErATOr:

Fred E. Shapiro, d.O., FASA

m discuss the perioperative implications of OSA;

Update on Safety in Office-based Procedures donna A. Castello, d.O.

Sleep Apnea in the Office, When to Say No | Syed Shah, M.d.

m Implement the use of the ASA guidelines as they apply to office based anesthesia.

Drs. Castello, Shah and Shapiro do not have any financial relationships to disclose.

After completion of this session, the participant will be able to:

FS-31 Managing Adverse respiratory Events in the PACU

m describe early postoperative pulmonary complications that may occur in the PACU and the different equipment available to treat these complications;

16:00 - 17:00 • Shubert Complex • 6th Floor MOdErATOr:

Zdravka Zafirova, M.d.

respiratory Failure: Alternative rescue Strategies (high flow and inhaled vasodilators) | Zdravka Zafirova, M.d.

Neuromuscular blockers: Monitoring and reversal – Prevention of Pulmonary Complications in the PACU

m develop a protocol driven treatment plan;

Venkata Sampathi, M.d., M.b., b.S.

m discuss the monitoring and reversal of neuromuscular blockade;

Drs. Sampathi and Zafirova do not have any financial relationships to disclose.

m Implement a standardized process for patients treated with these agents.

FS-32 Problems in Pediatric Anesthesia: Malignant Hyperthermia

After completion of this session, the participant will be able to:

16:00 - 17:00 • Columbia/duffy rooms • 7th Floor MOdErATOr:

M O N d A y

Linda J. Mason, M.d., FASA

m Prepare the anesthesia machine for MH susceptible patients;

Preparing for the Malignant Hyperthermia (MH) Susceptible Patient | Francine S. yudkowitz, M.d., FAAP, FASA

m recognize the signs of MH;

Is this MH: Case Vignettes | Scott d. Lipson, M.d.

Dr. Lipson, Mason and Yudkowitz do not have any financial relationships to disclose.

FS-33 Anesthetic Challenges in Laparoscopic and robotic Surgery 16:00 - 17:00 • Manhattan ballroom • 8th Floor MOdErATOr:

daniel M. Gainsburg, M.d., M.S.

Pros and Cons: Anesthetic Considerations for roboticAssisted Laparoscopic Surgery | Marina Svyatets, M.d.

After completion of this session, the participant will be able to:

m Plan appropriately for robotic assisted laparoscopic surgeries; m discuss the complications of robotic laparoscopic surgery; m recognize and manage the complications of robotic assisted laparoscopic surgery.

Drs. Gainsburg and Svyatets do not have any financial relationships to disclose.

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

m Manage the patient who develops signs of MH during an anesthetic.

m discuss the advantages and disadvantages of robotic assisted laparoscopic surgeries;

Anesthetic Complications of robotic-Assisted Laparoscopic Surgery | daniel M. Gainsburg, M.d., M.S.

82

m recognize early postoperative pulmonary complications in the PACU;

www.pga.nyc

#pga73

PbLd-50 Challenges in Acute Pain Management: The Patient with Cancer Undergoing Minimally Invasive Esophageal Surgery 16:00 - 17:00 • Astor ballroom • 7th Floor Alessia C. Pedoto, M.d., FASA

Dr. Pedoto does not have any financial relationships to disclose.

PbLd-51 Perioperative Management: Patients with Left Ventricular Assist devices Undergoing Non-Cardiac Surgery 16:00 - 17:00 • Astor ballroom • 7th Floor

m Identify the possible indications/contraindications of the available analgesia modalities as well as the role of different analgesics on cancer recurrence; m Perform an appropriate preoperative evaluation of a patient coming for a thoracic procedure and identify the appropriate analgesic options; m describe the role of adjuvants given in the preoperative, intraoperative and postoperative period and the advantages of multimodal analgesia; m Implement an analgesic plan as part of enhanced recovery pathway after surgery (ErAS) and perioperative surgical home (PSH).

After completion of this session, the participant will be able to: m discuss the hemodynamic management of patients with LVAd; m Understand (change word) the similarities and differences between different LVAd systems; m recognize the alarms associated with LVAds and basic troubleshooting maneuvers; m describe the anesthetic and surgical implications associated with laparoscopic procedures in patients with LVAds;

Julie Wyrobek, M.d.

Wendy K. bernstein, M.d., M.b.A., FASA

Dr. Wyrobek does not have any financial relationships to disclose. Dr. Bernstein’s spouse is a senior medical director at Astra Zeneca, Inc.

PbLd-52 Anesthetic Challenges in the Electrophysiology Suite 16:00 - 17:00 • Astor ballroom • 7th Floor Lisa Q. rong, M.d.

Irene C. Stadnyk, M.d.

m Implement a team-based approach to LVAd patients undergoing noncardiac procedures.

After completion of this session, the participant will be able to: m Identify the major disease processes for which patients are scheduled for procedures in the EP suite;

M O N d A y

m recognize occupational hazards and radiation exposure in the EP suite; m discuss the effects of anesthetic agents on cardiac electrophysiology;

Drs. Rong and Stadnyk do not have any financial relationships to disclose.

2019 | PGA73 Program

After completion of this session, the participant will be able to:

SPONSOrEd by:

m Formulate a plan to care for challenging cases in the EP suite and similar remote locations.

The New york State Society of Anesthesiologists, Inc.

83

PbLd-53 Can I Prevent Persistent Postsurgical Pain?

16:00 - 17:00 • Astor ballroom • 7th Floor Anis dizdarevic, M.d.

Dr. Dizdarevic does not have any financial relationships to disclose.

PbLd-54 Non-Invasive Hemodynamic Monitoring

After completion of this session, the participant will be able to: m build a comprehensive plan to address the prevalence, mechanisms, risk factors and development of PPSP; m develop patient and surgery specific risk stratification strategies, within perioperative anesthesia and surgical practices, with the goal to reduce the incidence of PPSP; m Analyze, summarize and apply currently available evidence in regional anesthesia and pain medicine to prevent and minimize PPSP, with emphasis on breast cancer and related surgeries.

16:00 - 17:00 • Astor ballroom • 7th Floor Carlos J. Lopez, M.d.

Dr. Lopez does not have any financial relationships to disclose.

PbLd-55 Predicting and Managing Postoperative Atrial Fibrillation 16:00 - 17:00 • Astor ballroom • 7th Floor david Amar, M.d.

M O N d A y

After completion of this session, the participant will be able to: m review various modalities for noninvasive hemodynamic monitoring; m Select patients and procedures in which non-invasive hemodynamic monitoring would be advantageous.

After completion of this session, the participant will be able to: m discuss the epidemiology and scope of the occurrence of postoperative atrial fibrillation;

Dr. Amar does not have any financial relationships to disclose.

m review proven measures of prophylaxis for postoperative atrial fibrillation;

PbLd-56 Asymptomatic Viral respiratory Infection

m Employ acute therapy measures for postoperative atrial fibrillation.

16:00 - 17:00 • Astor ballroom • 7th Floor Neeta r. Saraiya, M.d.

Tatiana Kubacki, M.d.

Drs. Kubacki and Saraiya do not have any financial relationships to disclose.

After completion of this session, the participant will be able to: m discuss the anesthetic concerns in a child with pulmonary hypertension; m Identify risk factors for patient who present with viral infection; m Select an anesthetic plan for a patient with pulmonary risk factors for a necessary but brief procedure.

84

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

Tuesday

december 17, 2019

registration

07:00 - 19:00

Sessions

07:45 - 17:00

Lunch break

11:30 - 12:45

20th Annual bragging Contest

13:00 - 14:30 FEE rEQUIrEd (Fees listed on page 3.)

MW-29 difficult Cases in Pain Medicine: Problems and Solutions 07:45 - 08:45 • Odets room • 4th Floor Steven G. Halle, M.d.

Dr. Halle does not have any financial relationships to disclose.

MW-30 Thoracic Anesthesia Update

m delineate which pain syndromes are very difficult to effectively treat; m Manage their patients despite the FdA mandated rEMS program on opiate prescribing; m Create a protocol for a multidisciplinary approach in appropriate patients.

After completion of this session, the participant will be able to: m Enumerate the indications for lung separation and thorascopy;

07:45 - 08:45 • Wilder room • 4th Floor Edmond Cohen, M.d.

Dr. Cohen does not have any financial relationships to disclose.

MW-31 The Joint Commission Challenge on Infection Control in Anesthesia 07:45 - 08:45 • Ziegfeld room • 4th Floor richard A. beers, M.d.

Dr. Beers does not have any financial relationships to disclose.

2019 | PGA73 Program

After completion of this session, the participant will be able to:

SPONSOrEd by:

m determine which lung separation device is appropriate for the planned surgery; m Evaluate and treat intraoperative complications during thoracic surgery.

After completion of this session, the participant will be able to: m Enumerate the cure infection control deficiencies identified recently and revise their hospital policies accordingly; m bring three evidence based changes to their own practice which should improve Infection control; m Identify two non-evidence based recommendations that are being advanced by JCAHO. The New york State Society of Anesthesiologists, Inc.

T U E S d A y

85

W-19 beyond direct Laryngoscopy: Fiberoptic and Other Techniques for Adult and Pediatric Airway Management 08:00 - 11:00 • Empire Complex • 7th Floor MOdErATOr:

richard M. Sommer, M.d.

After completion of this session, the participant will be able to: m Perform an airway evaluation; m Prepare the patient for an awake intubation; m Incorporate into their practice techniques of bronchoscopic intubation and video laryngoscopy for adult and pediatric patients and cricothyrotomy for adult patients.

Charles M. Fermon, M.d.

Kenneth H. Jacobson, M.d.

Narasimhan Jagannathan, M.d., M.b.A. brian S. Kaufman, M.d.

Jerome Lax, M.d.

Igor Muntyan, M.d.

Jon d. Samuels, M.d.

Patricia M. Sequeira, M.d.

Kenneth M. Sutin, M.d.

T U E S d A y

86

Drs. Fermon, Jacobson, Kaufman, Lax, Muntyan, Samuels, Sequeira, Sommer and Sutin do not have any financial relationships to disclose.

Dr. Jagannathan receives consultant fees from Salter Medical, Vyaire Medical Inc. and is on the speaker’s bureau for Vyaire Medical Inc.

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

SP-26 Anesthesia for Challenging Cases in the 21st Century

MOCA®

After completion of this session, the participant will be able to: m describe the challenges associated with anesthetics for patients undergoing bariatric surgery;

08:00 - 09:30 • North ballroom • 6th Floor

m discuss the issues unique to delivering an anesthetic for a patient undergoing gender reassignment surgery;

MOdErATOr:

Jonathan N. Epstein, M.d., M.A.

m Formulate a plan to manage a patient undergoing organ donation after cardiac death.

donation after Cardiac death (dCd) Jonathan N. Epstein, M.d., M.A.

bariatric Procedures | Judith L. Aronsohn, M.d.

Gender reassignment Surgeries | Sergey V. Pisklakov, M.d.

Dr. Aronsohn, Epstein and Pisklakov do not have any financial relationships to disclose.

SP-27 Controversies in Anesthesiology

MOCA®

Clifford M. Gevirtz, M.d., M.P.H.

Opioid Minimization Strategies: Are We doing the best for Our Patients? How do We do It? Christopher G. Gharibo, M.d.

Perioperative Fluid Management: How Have Concepts and Practices Changed?

Tong J. Gan, M.d., MHS, FrCA, M.b.A., FASA

Preventing infections: recent Evidence and recommendations Affecting Anesthesia Practice Amanda J. rhee, M.d.

Dr. Gan, Gevirtz, Gharibo and Rhee do not have any financial relationships to disclose.

SP-28 Ambulatory Surgery and Office-based Practice Updates 09:45 - 11:15 • North ballroom • 6th Floor MOdErATOr:

rebecca A. Twersky, M.d., M.P.H., FASA

Leopoldo V. rodriguez, M.d., FAAP, FASA

Safe Anesthesia for Outpatient Cosmetic Surgery Fred E. Shapiro, d.O., FASA

Enhanced recovery After Ambulatory Surgery: It’s Not About Going Home Sooner! rebecca S. Twersky, M.d., M.P.H., FASA Drs. Shapiro and Twersky do not have any financial relationships to disclose. Dr. Rodriguez receives consultant fees and is on the speaker’s bureau of AcelRx Pharmaceuticals, Inc. and DSUVIA™.

SPONSOrEd by:

m Identify evidence-based practices of anesthesia professionals that may reduce the incidence of surgical site infection; m and compare past and present perioperative fluid management strategies; m discuss current concepts and recommendations for perioperative fluid management.

After completion of this session, the participant will be able to: m Create the optimal anesthetic plan for the older ambulatory patient. m Implement preoperative screening for frailty and delirium;

best Practices for the Geriatric Outpatient

2019 | PGA73 Program

m describe the benefits and drawbacks of minimizing or eliminating opioid use during perioperative care; m Implement strategies for minimizing or eliminating opioid use in the perioperative period;

08:00 - 09:30 • South ballroom • 6th Floor MOdErATOr:

After completion of this session, the participant will be able to:

m Formulate a plan to safely provide anesthesia for ambulatory and office-based cosmetic surgery; m Adapt ErAS to ambulatory surgery; m Identify and measure meaningful clinical and quality outcomes.

The New york State Society of Anesthesiologists, Inc.

T U E S d A y

87

SP-29 Controversies (and MOCA® Myths) in Airway Management 09:45 - 11:15 • South ballroom • 6th Floor

After completion of this session, the participant will be able to: m describe the nuances and techniques for performing “awake intubation”;

Michael K. rufino, M.d.

m review the current considerations for managing the airway in morbidly obese patients;

The Morbidly Obese Patient Has a difficult Airway and/or Full Stomach?

m Employ techniques than can be employed for extending apnea time;

MOdErATOr:

Irene P. Osborn, M.d.

do We rEALLy Need to Perform Awake Intubations?

Jon d. Samuels, M.d.

m Make a rational decision to perform or abandon cricoid pressure based upon evidence.

The Critically Ill Patient Will desaturate or Arrest If you don’t Move Quickly Elizabeth C. behringer, M.d.

It’s Time to “Let Up” on Cricoid Pressure Irene P. Osborn, M.d.

Drs. Behringer, Osborn, Rufino and Samuels do not have any financial relationships to disclose.

SP-30 21st Annual bragging Contest: Any Case you Have done, I Have done a better One 13:00 - 14:30 • South ballroom • 6th Floor MOdErATOr:

Clifford M. Gevirtz, M.d., M.P.H.

After completion of this session, the participant will be able to: m discuss the anesthetic management of patients who present with or develop unusual or unique medical issues that demand innovative anesthetic management strategies; m Acquire insight into the thought processes of colleagues and mentors as they describe their management of complex problems in anesthesia care;

representing: Columbia University, College of Physicians and Surgeons Oliver Gentile, M.d. yefim Vilnits, M.d.

representing: Long Island Jewish Medical Center

m Enhance their anesthetic management of patients who present with complex and rare problems.

Michelle S. Kars, M.d., FAAP

Albert Einstein College of Medicine/Montefiore Medical Center Kiri Mackersey, M.d., M.b.,Ch.b.

representing: Mount Sinai St. Luke’s and West Hospitals Aleksey Maryansky, d.O.

representing: Mount Sinai St. Luke’s and West Hospitals John rose, d.O.

representing: Newyork Presbyterian Hospital

T U E S d A y

88

Jon d. Samuels, M.d.

representing: University of rochester/Strong Memorial Hospital Janine r. Shapiro, M.d.

Drs. Gentile, Gevirtz, Kars, Mackersey, Maryansky, Rose, Samuels, Shapiro and Vilnits do not have any financial relationship to disclose.

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

After completion of this session, the participant will be able to:

FS-34 blood Management: Patients for Whom blood is Not an Option

m develop and implement a preoperative strategy prior to surgery in a multidisciplinary team approach to optimize patients who refuse blood products;

14:45 - 15:45 • Empire Complex • 7th Floor MOdErATOr:

Linda J. Shore-Lesserson, M.d., FAHA, FASE

Pharmacological Approach to blood Management Linda J. Shore-Lesserson, M.d., FAHA, FASE

blood Management: Patients for Whom blood is Not an Option

m develop and implement a strategy to minimize blood loss and manage unanticipated hemorrhage according to the patient’s wishes.

Himani bhatt, d.O., M.P.A., FASE, FASA Dr. Shore-Lesserson does not have any financial relationships to disclose. Dr. Bhatt is a clinical consultant for Neochord, LLC.

FS-35 Assigned to Ir and MrI – What the Anesthesiologist Needs to Know 14:45 - 15:45 • Soho Complex • 7th Floor

m discuss the various hazards to personnel providing care in these out of Or settings; m Implement strategies and protocols to prevent adverse events; m List the many novel procedures being offered in Ir and recognize their anesthesia implications;

MOdErATOr:

Apolonia E. Abramowicz, M.d., FASA

respiratory Failu PACUpdate on Novel Procedures in Ir and MrI and Their Anesthetic Implications Apolonia E. Abramowicz, M.d., FASA

After completion of this session, the participant will be able to:

m Incorporate best practices and published protocols for providing anesthesia care in these locations.

Occupational Hazards in the Ir, MrI Suites and radiation Safety Andrew J. Iskander, M.d.

Dr. Iskander does not have any financial relationships to disclose. Dr. Abramowicz’s spouse has equity with TEVA Pharmaceutical Industries, LTD and GlaxoSmithKline (GSK).

T U E S d A y

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

89

MW-32 Postoperative Vision Loss (POVL): What Can be done to Prevent It? 14:45 - 15:45 • Ziegfeld room • 4th Floor Fenghua Li, M.d., FASA Dr. Li does not have any financial relationship to disclose.

MW-33 Neonatal Anesthesia Update 14:45 - 15:45 • Wilder room • 4th Floor Gordana Stjepanovic, M.d.

Dr. Stjepanovic does not have any financial relationships to disclose.

After completion of this session, the participant will be able to: m define the anatomic differences in the forms of postoperative vision loss; m remove or eliminate the factors that appear to be critical in contributing to the development of POVL; m Employ recommended strategies to minimize risk of prone position-related postoperative visual loss.

After completion of this session, the participant will be able to: m Introduce the use of newer anesthetic agents in the neonatal period into their practice; m discuss the requirements for postoperative observation in very young neonates; m Implement strategies to avoid complications encountered in neonatal anesthesia.

T U E S d A y

90

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

After completion of this session, the participant will be able to:

PbLd-57 Traumatic brain Injury and Cervical Spine Management

m Identify common coincident injuries in a patient with a traumatic brain or cervical spinal cord injury;

14:45 - 15:45 • Majestic room • 6th Floor

m Implement an anesthetic plan to maximize neurologic outcome in such a trauma patient.

Matthew b. Wecksell, M.d., FASA

Dr. Wecksell does not have any financial relationships to disclose.

After completion of this session, the participant will be able to:

PbLd-58 Anaphylaxis in Interventional radiology

m review challenges in providing care in the interventional radiology suite;

14:45 - 15:45 • Music box room • 6th Floor diana Anca, M.d.

m Identify signs and symptoms of contrast reaction;

Dr. Anca does not have any financial relationships to disclose.

m Formulate a plan to manage hypotensive emergencies in NOrA locations.

PbLd-59 Managing the Patient with HELLP Syndrome 14:45 - 15:45 • Winter Garden room • 6th Floor

After completion of this session, the participant will be able to: m diagnose the parturient with HELLP Syndrome;

Stephanie r. Goodman, M.d.

m Identify the anesthetic implications of HELLP Syndrome;

Dr. Goodman does not have any financial relationship to disclose.

m Manage the HELLP syndrome patient in the peripartum period.

T U E S d A y

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

91

After completion of this session, the participant will be able to:

PbLd-60 Perioperative Management of the Jehovah’s Witness Patient

m Identify blood products and volume expanders that are prohibited and those that may be allowed by Jehovah’s witnesses;

14:45 - 15:45 • Palace room • 6th Floor

m review the ethical considerations in caring for a Jehovah’s witness who is a minor;

Myrna S. Kcomt, M.d.

Dr. Kcomt does not have any financial relationship to disclose.

m Formulate a plan to care for a Jehovah’s witness patient who is a trauma victim.

PbLd-61 New Techniques for Fluid Management from the Operating room to the ICU

After completion of this session, the participant will be able to: m Identify new concepts regarding the use of crystalloid and colloid volume replacement;

14:45 - 15:45 • Shubert room • 6th Floor ruchir Gupta, M.d., FASA Shaji P. Poovathoor, M.d.

m Formulate a plan to maintain ideal volume status in the perioperative period.

Drs. Gupta and Poovathoor do not have any financial relationships to disclose.

After completion of this session, the participant will be able to:

PbLd-62 ECMO Management in the Intensive Care Unit

m differentiate between VV and VA ECMO; m Identify indications for placement of ECMO;

14:45 - 15:45 • Uris room • 6th Floor

m describe complications associated with ECMO;

Jay berger, M.d., Ph.d.

Kevin P. Fitzmartin, M.d.

m Formulate a plan to wean both VA and VV ECMO.

Drs. Berger and Fitzmartin do not have any financial relationships to disclose.

PbLd-63 Preparing Anesthesia for a dEHP Allergic Patient 14:45 - 15:45 • Plymouth room • 6th Floor Kara barnett, M.d., FASA Dr. Barnett does not have any financial relationship to disclose.

After completion of this session, the participant will be able to: m discuss the allergic potential of dEHP; m Identify anesthetic equipment that contains dHEP; m Formulate an anesthetic plan considering the dHEP allergic patient; m Is there surgical equipment that you would suspect to have dEHP? The patient is planned for a MAC anesthetic. How would you prepare for her anesthetic?

92

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

After completion of this session, the participant will be able to:

FS-36 Cardiac Implantable Electronic devices (CIEds)

m List the different types of CIEd and describe the possible perioperative complications;

16:00 - 17:00 • Empire Complex • 7th Floor MOdErATOr:

m Formulate a management plan for these patients when they present to the operating room or other procedural areas.

Marina Svyatets, M.d.

CIEds – What’s Old, What’s New? (brief refresher on devices, indications) Syed T. Ali, M.d.

Intraoperative Management of Patient with CIEd (including causes of malfunction) Marina Svyatets, M.d.

Drs. Ali and Svyatets do not have any financial relationships to disclose.

After completion of this session, the participant will be able to:

FS-37 Pediatric Patient with Complex Pre-Existing disease for Non Complex Surgery #2

m develop an anesthetic management plan for patients after cancer therapy; m develop a plan for management of patients with congenital heart disease for both simple and more complex surgical procedures.

16:00 - 17:00 • Soho Complex • 7th Floor MOdErATOr:

Vittoria Arslan-Carlon, M.d., FASA

The Pediatric Cancer Survivor Vittoria Arslan-Carlon, M.d., FASA

The Child with Congenital Heart disease Alexander J. C. Mittnacht, M.d.

Drs. Arslan-Carlon and Mittnacht do not have any financial relationships to disclose.

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

93

Fourth Floor

Sixth Floor

94

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

Seventh Floor

Eighth Floor

2019 | PGA73 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

95

Ninth Floor

96

NySSA | 73rd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga73

73rd Annual PostGraduate Assembly

Mobile App

u o y k n a Th PGA73

Supporters