PGA72 Program Journal

FRIDAY–TUESDAY DECEMBER 7–11

2018 M A R R I O T T M A R Q U I S

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 54.75 AMA PRA Category 1 Credits TM

PGA

72 PoSTGrAduATe ASSemblY IN ANeSTheSIoloGY

NYC /USA

www.pga.nyc Sponsored by:

The New York State Society of Anesthesiologists, Inc.

Contents Letter from Mayor

2

Welcome Letter

3

NySSA & PGA History

4-6

2018 Officers and board of directors

7

2018 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

43

New york State Conference for Anesthesiology residents and Fellows

50 - 52

resident research Contest

50 - 52

Sunday Overview

69

Current Issues Forum

90

Monday Overview

97

Tuesday Overview

117

Poster and Medically Challenging Case report Presentations Scientific Exhibits

130 - 143 144

Faculty Index

145 - 147

Floor Plans

148 - 150

E NGLISH IS T HE OFFICIA L L ANG UAGE O F TH E P GA

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

1

2

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

Welcome

72nd Annual PostGraduate Assembly in Anesthesiology december 7-11, 2018 Marriott Marquis NyC

dear Colleagues: For 72 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 (Pbls) are small group case discussions with experienced clinicians. The goal of the Pbls is to explore a specific clinical problem and learn through close interaction between the moderator and the participants.

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 72nd annual meeting!

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

2018 | PGA72 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 | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

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

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.

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 * deceased

2018 | PGA72 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

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. * 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 | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

The New york State Society of Anesthesiologists, Inc.

2018 Officers & board of directors President david S. bronheim, M.d., Great Neck, NY President elect Vilma A. Joseph, M.d., M.P.H., FASA, elmont, NY Vice-President richard N. Wissler, M.d., Ph.d., FASA, Pittsord, NY Immediate Past President rose berkun, M.d., FASA, Williamsville, NY Secretary Christopher L. Campese, M.d., M.A., FASA, CHCQM, douglastown, NY Treasurer Jason Lok, M.d., FASA, manlius, NY david S. bronheim, M.d.

PrESIdENT

First Assistant Secretary Jung T. Kim, M.d., FASA, New York, New York Second Assistant Secretary Melinda A. Aquino, M.d., bronxville, NY Assistant Treasurer Steven b. Schulman, M.d., M.H.A., FASA, Syosset, NY ASA director New York State david J. Wlody, M.d., FASA, New York, NY ASA Alternate director New York State Michael b. Simon, M.d., M.b.A., FASA, Wappinger Falls, NY Speaker, house of delegates Tracey Straker, M.d., M.S., M.P.H., FASA, Yonkers, NY Vice Speaker, house of delegates Scott N. Plotkin, M.d., buffalo, NY

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

director, NYSSA district #1 Lance W. Wagner, M.d., belle harbor, NY director, NYSSA district #2 Gregory W. Fischer, M.d., FASA, Cos Cob, CT director, NYSSA district #3 Matthew b. Wecksell, M.d., Chappaqua, NY director, NYSSA district #4 Lawrence J. routenberg, M.d., Niskayuna, NY director, NYSSA district #5 Jesus r. Calimlim, M.d., Jamesville, NY director, NYSSA district #6 Michael P. Eaton, M.d., Pittsford, NY director, NYSSA district #7 Elizabeth L. Mahoney, M.d., FASA, orchard Park, NY

richard N. Wissler, M.d., Ph.d., FASA VICE-PrESIdENT

director, NYSSA district #8 daniel H. Sajewski, M.d., lloyd harbor, NY delegate, mSSNY Steven S. Schwalbe, M.d., leonia, NJ Alternate delegate, mSSNY rose berkun, M.d., FASA, Williamsville, NY editor, NYSSA SPhere Samir Kendale, M.d., FASA, brooklyn, NY

Chair, Academic Anesthesiology Committee Suzanne b. Karan, M.d., FASA, rochester, NY General Chair, Committee on Annual Sessions Audrée A. bendo, M.d., M.S., FASA, Neponsit, NY resident and Fellow Section President Cheng-ting Lee, M.d., New York, NY executive director Stuart A. Hayman, M.S., White Plains, NY

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

7

2018 Committee on Annual Sessions Audrée A. bendo, M.d., M.S., FASA, General Chair AdVISOrS

richard A beers, m.d., Chair emeritus Andrew d. rosenberg, m.d., FASA david J. Wlody, m.d., FASA 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. rebecca S. Twersky, m.d., m.P.h., FASA

Scientific Programs Sub-Committees

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., FASA daniel J. Katz, m.d.

Tal levy, m.d. 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 A. Turnbull, m.d.

Amaresh Vydyanathan, m.b., b.S. Jeff l. Xu, m.d.

Scientific Panels Meg A. rosenblatt, M.d., FASA, overall Chair Linda J. Shore-Lesserson, M.d., FAHA, FASE, Mini Workshops Clifford M. Gevirtz, M.d., M.P.H., Chair 1st Vice-Chair P. Sebastian Thomas, M.b., b.S., 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

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. lawrence J. routenberg, m.d. * Jay r. 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. richard N. Wissler, m.d., Ph.d., FASA david J. Wlody, m.d., FASA Francine Yudkowitz, m.d., FAAP, FASA *

Apolonia e. Abramowicz, m.d. maria A. bustillo, m.d. margarita b. dela Pena, m.d.

Sheldon Goldstein, m.d.

Shanna S. hill, m.d.

Subhash Jain, m.d.

Ngoc Nguyen-Famulare, m.d. bharathi Scott, m.d.

Jay r. Shayevitz, m.d., m.S., FAAP George Silvay, m.d., Ph.d. romanth Waghmarae, m.b., b.Ch.

Focus Sessions deborah C. richman, M.b., Ch.b., FFA (SA), Chair Ingrid b. Hollinger, M.d., FAAP, FASA, Chair emeritus 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.

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 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.

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.

Archana mane, m.d.

Irene P. osborn, m.d.

Amanda J. rhee, m.d.

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

CO M M I T T E E M E M b E r S Tazeen beg, m.d.

Saundra e. Curry, m.d. david S. Fishman, m.d.

Cheryl K. Gooden, m.d., FAAP, FASA Anna 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.

Stacey A. Watt, m.d., FASA Samrat h. Worah, m.d.

Albert C. Yeung, m.d.

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

CO M M I T T E E M E M b E r S Ayman r. Farag, m.b., b.Ch. Anna Kaminski, d.o.

Galina leyvi, m.d.

Ngoc Nguyen-Famulare, m.d.

Parwane P. Pagtano, m.d.

Alessia C. Pedoto, m.d., FASA Joseph Schianodicola, m.d.

Gary S. Schwartz, m.d., FASA Parkshith Sumathi, m.d.

P. Sebastian Thomas, m.d. muoi Trinh, m.d.

Giuseppe V. Trunfio, m.d.

Audra m. Webber, m.d.

Albert C. Yeung, m.d.

Technical Exhibits Paul H. Willoughby, M.d., Chair david J. Wlody, M.d., FASA, Vice-Chair

Problem-based Learning discussions Patricia Mack, M.d., Chair Michael K. Urban, M.d., Ph.d., Vice-Chair

Samuel demaria Jr., m.d.

Andrew Goldberg, m.d.

Shaesta G. humayun, m.d.

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.

Scientific Exhibits & Poster Presentations Stephen A. Vitkun, M.d., M.b.A., Ph.d., Chair rhoda d. Levine, M.d., Vice-Chair Apolonia E. Abramowicz, M.d., Vice-Chair

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 General Chair Audrée A. bendo, M.d., M.S., FASA Chair, Scientific Programs Meg A. rosenblatt, M.d., FASA First Vice-Chair, Scientific Programs Linda J. Shore-Lesserson, M.d., FAHA, FASE Second Vice-Chair, Scientific Programs rose berkun, M.d., FASA NYSSA President david S. bronheim, M.d.

NYSSA President elect Vilma A. Joseph, M.d., M.P.H., FASA NYSSA Vice-President richard N. Wissler, M.d., Ph.d., FASA NYSSA Treasurer Jason Lok, M.d., FASA NYSSA Secretary Christopher L. Campese, M.d., M.A., FASA, CHCQM * NYSSA Cme&r Chair Francine S. yudkowitz, M.d., FAAP, FASA * NYSSA Academic Anesthesiology Committee Vice-Chair Michael C. Wajda, M.d.

NYSSA executive director Stuart A. Hayman, M.S. * * ex-officio

8

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

PGA SESSION KEy

General Information

FS

registration PGA registration will be operational as follows: Thursday, December 6 | 07:00 - 19:00 Friday, December 7 | 07:00 - 19:00 Saturday, December 8 | 07:00 - 16:00 Sunday, December 9 | 07:00 - 16:00 Monday, December 10 | 07:00 - 16:00 Tuesday, December 11 | 07:00 - 15:00

The registration fee includes the following general sessions: m Scientific Panels and lectures m exhibit hall m Focus Sessions m Posters and medically Challenging Case report Posters m Scientific exhibits

Focus Sessions

MW

Mini Workshops

PbL

Problem-based Learning discussions

SP

Scientific Panels

TS

Thoracic Anesthesia Symposium

W

Hands-On Workshops

TICKET rEQUIrEd Workshops, Mini Workshops and Problem-based Learning discussions Thoracic Anesthesia Symposium is $350.

Workshops are $150, except for W-01, W-12 and W-16, 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 8 11:30 -15:30 • 7th Floor

Exhibit Hall • 5th Floor Saturday, december 8 | 10:00 & 14:00 Sunday, december 9 | 09:00 & 11:00

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

Monday, december 10 | 09:00

Poster Presentations and Medically Challenging Case report Posters Astor ballroom • 7th Floor Saturday, december 8 | 09:30-11:30 Sunday, december 9 | 09:30 -11:30 Monday, december 10 | 12:00 -14:00

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

Technical Exhibits 5th Floor Saturday, december 8 | 10:00 -18:00 Sunday, december 9 | 09:00-15:00 Monday, december 10 | 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.

2018 | PGA72 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 7 through Tuesday, december 11.

Congress bags will be available: Thursday, december 6 | 07:00-19:00 4th Floor Friday, december 7 | 07:00-19:00 4th Floor Saturday, december 8 | 10:00-18:00 5th Floor Sunday, december 9 | 09:00-15:00 5th Floor Monday, december 10 | 09:00-13:00 5th Floor Tuesday, december 11 | 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 8 at 11:00 and , Sunday, december 9 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.

All 17 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 | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

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,

2018 | PGA72 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 54.75 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 | 72nd 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

#pga72

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 PGA72 credits is June 30, 2019.

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 Ingrid b. Hollinger, M.d., FAAP, FASA, Chair emeritus, Focus Sessions dawn M. Sweeney, 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 P. Sebastian Thomas, M.d., Vice-Chair, mini Workshops Patricia Mack, M.d., Chair, Problem-based learning discussions Michael K. Urban, M.d., Ph.d., Vice-Chair, Problem-based learning discussions Charles W. Emala, Sr., M.S., M.d., Chair, resident research Contest Stephen A. Vitkun, M.d., M.b.A., Ph.d., Chair, Scientific exhibits & Poster Presentations rhoda d. Levine, M.d., Vice-Chair, Scientific exhibits & Poster Presentations Francine S. yudkowitz, M.d., FAAP, FASA, Chair, Continuing medical education and remediation

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

13

Notable Associations

Are you in Need of MOCA® Patient Safety Credits?

American Association of Clinical directors (AACd) The purpose of the AACd is to provide a forum for anesthesiologists whose primary responsibility is operating room management. The society offers physicians with an interest in the business aspect of operating room management an opportunity to share ideas with colleagues, meet anesthesiologists who have experience in this area, and share in a common forum for the discussion of problems.

You can receive both Cme and moCA® Patient Safety credits by attending the following PGA panels and focus sessions: SP-02 Anesthesia: beyond the Operating room Patricia mack, m.d.

SP-04 AACD Panel: Operating room, Patient Safety and Practice Management - Vinod malhotra, m.d.

SP-13 ASA Panel: The ASA response to the Top Patient Safety Issues - James d. Grant, m.d., m.b.A., FASA SP-17 BJA Panel: The Future of Opioids in Anaesthesia hugh C. hemmings, m.d., Ph.d., FrCA SP-20 APSF Panel: A New Frontier in Patient Safety: Perioperative brain Health - daniel J. Cole, m.d.

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-28 best Practices in Ambulatory Surgery Patients rebecca S. Twersky, m.d., m.P.h., FASA FS-02 The Impaired Physician: Issues of Professionalism: The Aging Practitioner, the Impaired Physician, Can We Achieve Physician Wellness in the Workplace - michael P. duffy, m.d.

FS-08 Operating room Management: Efficiency and Patient Safety - Vinod malhotra, m.d.

FS-15 The Anesthesia Work Station and Safety Issues: Are Our Patients Safer? - James b. eisenkraft, m.d.

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.

FS 23 Update on Infection Prevention for the Anesthesia Professional - richard A. beers, m.d. 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! 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 non-members 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

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

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

72nd Annual PostGraduate Assembly in Anesthesiology december 7-11, 2018 Marriott Marquis NyC

Thursday

december 6, 2018

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 MOCA®

07:00 - 18:00 • Odets/Wilder • 4th Floor MOdErATOr:

Edmond Cohen, M.d.

Professor of Anesthesiology and Thoracic Surgery | director, Thoracic Anesthesia Icahn School of medicine at mount Sinai | New York, New York TOPICS:

m lung Injury during Thoracic Surgery m Problem based learning discussions m All You Want to Know About Thoracic Anesthesia and You Never Asked: Questions and Answers m Pain management in Thoracic Surgery m Challenging Cases in Thoracic Anesthesia m Issues in Thoracic Anesthesia m my most difficult Cases: Thoracic Jeopardy

After completion of this session, the participant will be able to: m Identify the perioperative factors that contribute to lung injury in thoracic surgery patients and 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, tracheal resection and tracheal injuries; m Perform paravertebral analgesia and lung ultrasound; m Improve their ability to provide safe and reliable lung isolation with double-lumen tubes and bronchial blockers; m Understand 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.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

15

T H U r S d A y

Thoracic Anesthesia Symposium - Part I A S S I S T E d by:

randal S. blank, M.d., Ph.d.

yury Khelemsky, M.d.

Associate Professor of Anesthesiology Chief, Thoracic Anesthesia university of Virginia health System Charlottesville, Virginia

Assistant Professor of Anesthesiology Program director, Pain medicine Fellowship Icahn School of medicine at mount Sinai New York, New York

david S. bronheim, M.d.

Jonathan d. Leff, M.d., FASE

Professor, department of Anesthesiology, Perioperative and Pain medicine medical director, Post Anesthesia Care Service Icahn School of medicine at mount Sinai New York, New York

Vice Chair, Faculty & Academic Affairs Chief, Cardiothoracic Anesthesiology director, Cardiothoracic Anesthesia Fellowship Professor of Anesthesiology Professor of Cardiovascular & Thoracic Surgery montefiore medical Center bronx, New York

Javier H. Campos, M.d.

Professor of Anesthesiology director, Cardiothoracic Anesthesia executive medical director Perioperative Services university of Iowa hospitals and Clinics Iowa City, Iowa

Jeffrey M. Ciccone, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

dawn P. desiderio, M.d.

Anuj Malhotra, M.d.

Associate Pain Fellowship director Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Alessia C. Pedoto, M.d., FASA Associate Professor of Anesthesiology memorial Sloan Kettering Cancer Center New York, New York

Professor of Clinical Anesthesiology Cornell university, Weill Cornell medical College Clinical member memorial Sloan Kettering Cancer Center New York, New York

Peter Slinger, M.d., FrCPC

Gregory W. Fischer, M.d., FASA

Professor of Anesthesiology Chief of Pain medicine director, Acute Pain management department of Anesthesiology Sidney Kimmel medical College at Thomas Jefferson university Philadelphia, Pennsylvania

Professor and Chair department of Anesthesiology and Critical Care medicine memorial Sloan Kettering Cancer Center New York, New York

Marcelo Gama de Abreu, M.d., Ph.d., dESA Professor of Anesthesiology and Intensive Care Therapy Chair, Translational research in Anesthesiology and Intensive Care Therapy university hospital Carl Gustav Carus dresden, Germany

Leila Hosseinian, M.d.

Professor of Anesthesiology Toronto General hospital Toronto, ontario, Canada

Eugene r. Viscusi, M.d.

Menachem M. Weiner, M.d.

Associate Professor of Anesthesiology, Perioperative & Pain medicine Icahn School of medicine at mount Sinai New York, New York

Assistant Professor of Anesthesiology and Critical Care Icahn School of medicine at mount Sinai New York, New York

d I S C LO S U r E S : drs. blank, bronheim, Campos, Ciccone, Cohen, desiderio, Fischer, hosseinian, Khelemsky, malhotra, Pedoto, Slinger and Weiner do not have any financial relationships to disclose. dr. Gama de Abreu receives consultant fees from dräeger medical, Inc. and GlaxoSmithKline (GSK); he is also on the dräeger medical, Inc. speakers’ bureau. dr. leff receives honoraria from CAS medical Systems, Inc. (CASmed). dr. Viscusi receives funded research support from dureCT Corporation and Pacira Pharmaceuticals, Inc.; consultant fees from Acelrx, Avenue, Cara Therapeutics, Inc., Concentric, Inc., heron Therapeutics, Innacoll Pharmaceuticals, ltd., mallinckrodt Pharmaceuticals, merck & Co., Inc., Neumentum Pharmaceuticals, Pacira Pharmaceuticals, Inc., Pfizer, Inc., recro Pharma, Inc., Salix Pharmaceuticals and Trevena, Inc.

16

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

Friday

72nd Annual PostGraduate Assembly in Anesthesiology december 7-11, 2018 Marriott Marquis NyC

december 7, 2018

registration

07:00 - 19:00

Sessions

07:00 - 15:30 FEE rEQUIrEd (Fees listed on page 3.)

F r I d A y

W-01 Pediatric Advanced Life Support (PALS) MOCA®

07:00 - 17:30 • Majestic Complex • 6th Floor MOdErATOr:

Francine S. yudkowitz, M.d., FAAP, FASA After completion of this session, the participant will be able to:

Professor of Anesthesiology, Perioperative and Pain medicine, and Pediatrics Icahn School of medicine at mount Sinai director, Pediatric Anesthesia Coordinator Global health Initiatives The mount Sinai hospital New York, New York

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;

A S S I S T E d by:

rhonda A. Alexis, M.d.

m Identify and appropriately treat rhythm disturbances.

Anesthesiologist, General Anesthesia Children’s hospital of Philadelphia Perelman School of medicine university of Pennsylvania Philadelphia, Pennsylvania

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.

barbara M. dilos, d.O. Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

due to the requirement to review literature in advance, this workshop is limited to preregistration.

Cheryl K. Gooden, M.d., FAAP, FASA Associate Professor of Anesthesiology division of Pediatric Anesthesia Yale university School of medicine Yale-New haven hospital New haven, Connecticut

Joanne Hojsak, M.d.

Associate Professor of Anesthesiology division of Pediatric Anesthesia Yale university School of medicine Yale-New haven hospital New haven, Connecticut

rebecca E. Lee, M.d.

Assistant Professor of Anesthesiology, Perioperative & Pain medicine Icahn School of medicine at mount Sinai New York, New York

d I S C LO S U r E S : drs. Alexis, dilos, Gooden, hojsak, lee and Yudkowitz do not have any financial relationships to disclose.

2018 | PGA72 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 SPEAKEr:

Ana C. Costa, M.d. | Assistant Professor of Clinical Anesthesiology

F r I d A y

SuNY-health Sciences Center at Stony brook | Stony brook, New York

MW-02 Anesthetic Management of TAVr: Sedation or GA? What is best 07:45 - 08:45 • Wilder room • 4th Floor SPEAKErS:

Cesar rodriguez-diaz, M.d. | Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai | New York, New York and rafael Honikman, M.d. | Assistant Professor of Anesthesiology, Perioperative & Pain medicine | The mount Sinai hospital | New York, New York and Peter J. Neuburger M.d. | Assistant Professor of Anesthesiology, Perioperative Care and Pain medicine | NYu-langone medical Center division of Cardiothoracic Anesthesiology | New York, New York

After completion of this session, the participant will be able to: m describe the pathophysiology of postoperative vomiting; m Enumerate the associated factors for PONV; m Compare and contrast the pharmacologic treatment option; m Formulate treatment options for the patient with PONV.

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 Enumerate the critical hemodynamic effects during TAVr and the requirements for anesthetic management.

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

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

07:45 - 08:45 • Ziegfeld room • 4th Floor

m define three styles of leadership; m Identify their best fit style of leadership; m Identify the style of leadership of the hospital administration and or surgery department.

SPEAKEr:

Kenneth I. rosenfeld, M.d. | Vice Chair, Clinical Activities | director, Perioperative Services | department of Anesthesiology | SuNY-health Sciences Center at Stony brook | Stony brook, New York

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

MW-04 Cardiac Anesthesia Update

m discuss the anesthetic implications of implantable cardiac defibrillators, pacemakers, left ventricular assist devices and artificial hearts;

07:45 - 08:45 • O’Neill room • 4th Floor SPEAKErS:

bessie Kachulis, M.d. | Associate Professor of Anesthesiology | director of Thoracic Anesthesia | division of Cardiothoracic Anesthesiology | Columbia university, College of Physicians & Surgeons | New York, New York and Steven E. Miller, M.d. | Assistant Professor of Anesthesiology | Columbia university, College of Physicians & Surgeons | medical director of respiratory Care | Co-director of Non-operating room Anesthesia (NorA) Services Adult Cardiothoracic and Critical Care Anesthesiology | Columbia university medical Center | NewYork Presbyterian hospital System | New York, New York

m describe the indications, surgical technique and anesthetic challenges; m discuss the safety and efficacy of this procedure; m Examine current literature comparing on and off pump coronary surgery.

d I S C LO S U r E : drs. Costa, honikman, Kachulis, miller and rodriguez-diaz do not have any financial relationships to disclose. dr. Neuburger receives consultant fees from medtronic, Inc. dr. rosenfeld receives consultant fees and is on the speaker’s bureau for merck & Co., Inc.

18

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

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

Edmond Cohen, M.d.

Professor of Anesthesiology | director, Thoracic Anesthesia Icahn School of medicine at mount Sinai | New York, New York

INTRODUCTION: brief presentation of the faculty and the workshop set-up.

LECTURES:

m Isolation of the lung: double lumen Tubes m Isolation of the lung: endobronchial blockers m Thoracic epidural/Paravertebral block

F r I d A y

HANDS-ON DEMONSTRATIONS:

The workshop will be comprised of hands-on demonstrations at various stations equipped with fiberoptic bronchoscopes, video cameras, mannequins, lung models, double lumen tubes, endobronchial blockers and tube exchangers. A torso model will be used for demonstrating thoracic epidural and paravertebral blocks. Participants will be divided into groups to ensure interaction with the faculty.

After completion of this session, the participant will be able to: m Identify the perioperative factors that contribute to lung injury in thoracic surgery patients and 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, tracheal resection and tracheal injuries; m Perform paravertebral analgesia and lung ultrasound; m Improve their ability to provide safe and reliable lung isolation with double-lumen tubes and bronchial blockers; m Understand 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.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

19

Thoracic Anesthesia Symposium - Part II A S S I S T E d by:

F r I d A y

randal S. blank, M.d., Ph.d.

yury Khelemsky, M.d.

Associate Professor of Anesthesiology Chief, Thoracic Anesthesia university of Virginia health System Charlottesville, Virginia

Assistant Professor of Anesthesiology Program director, Pain medicine Fellowship Icahn School of medicine at mount Sinai New York, New York

david S. bronheim, M.d.

Anuj Malhotra, M.d.

Professor, department of Anesthesiology, Perioperative and Pain medicine medical director, Post Anesthesia Care Service, Icahn School of medicine at mount Sinai New York, New York

Associate Pain Fellowship director Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Javier H. Campos, M.d.

Associate Professor of Anesthesiology memorial Sloan Kettering Cancer Center New York, New York

Professor of Anesthesiology director, Cardiothoracic Anesthesia executive medical director Perioperative Services university of Iowa health Care Iowa City, Iowa

Maria d. Castillo, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Jeffrey M. Ciccone, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

dawn P. desiderio, M.d.

Professor of Clinical Anesthesiology Cornell university, Weill Cornell medical College Clinical member memorial Sloan Kettering Cancer Center New York, New York

Alessia C. Pedoto, M.d., FASA

Peter Slinger, M.d., FrCPC Professor of Anesthesiology university of Toronto and Toronto General hospital Toronto, ontario, Canada

Jessica L. Spellman, M.d.

Assistant Professor of Anesthesiology director, Perioperative Transesophageal echocardiography division, Cardiothoracic Anesthesia Columbia university, College of Physicians & Surgeons New York, New York

Menachem M. Weiner, M.d.

Associate Professor of Anesthesiology, Perioperative & Pain medicine Icahn School of medicine at mount Sinai New York, New York

Marcelo Gama de Abreu, M.d., Ph.d., dESA Professor of Anesthesiology and Intensive Care Therapy Chair, Translational research in Anesthesiology and Intensive Care Therapy university hospital Carl Gustav Carus dresden, Germany

d I S C LO S U r E S : drs. blank, bronheim, Campos, Castillo, Ciccone, Cohen, desiderio, Khelemsky, malhotra, Pedoto, Slinger, Spellman and Weiner do not have any financial relationships to disclose. dr. Gama de Abreu receives consultant fees from dräeger medical, Inc. and GlaxoSmithKline (GSK); he is also on the dräeger medical, Inc. speakers’ bureau.

20

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

W-02 Ultrasound, Simulation and Stimulation for Peripheral Nerve blocks MOCA®

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

Station I Simulation and Equipment for Performing Peripheral Nerve blocks Station II Nerve blocks - Catheter Techniques Station III Nerve blocks of the Upper Extremity - Ultrasound Technique

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

F r I d A y

Station IV Nerve blocks of the Lower Extremity - Ultrasound Technique WOrKSHOP MOdErATOrS:

Mitchell H. Marshall, M.d.

Jovan Popovic, M.d., FrCPC

Clinical Associate Professor of Anesthesiology Chief, department of Anesthesiology NYu-langone medical Center-hospital for Joint diseases New York, New York

Associate Professor of Clinical Anesthesiology medical director, outpatient Surgery NYu-langone medical Center New York, New York

A S S I S T E d by:

Michael A. Akerman, M.d.

Levon M. Capan, M.d.

Assistant Professor of Anesthesiology Weill Cornell medicine New York, New York

Professor of Anesthesia NYu-langone medical Center Associate director, Anesthesia bellevue hospital Center New York, New York

Michael r. Anderson, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Arthur Atchabahian, M.d., FASA Professor of Clinical Anesthesiology NYu-langone medical Center-hospital for Joint diseases New York, New York

Patrick birmingham, M.d., FAAP Professor of Anesthesiology Northwestern university Feinberg School of medicine division head of Pain medicine executive Vice Chairman, department of Anesthesiology Ann & robert h. lurie Children’s hospital of Chicago Chicago, Illinois

Jan boublik, M.d., Ph.d.

Clinical Assistant Professor of Anesthesiology, Perioperative and Pain medicine Stanford university Stanford, California

2018 | PGA72 Program

Katherine W. Chuy, M.d.

Assistant Professor in Anesthesiology, Perioperative Care and Pain medicine NYu-langone health New York, New York

Prianka desai, M.d.

Assistant Professor of Clinical Anesthesiology, Perioperative Care and Pain medicine NYu-langone medical Center New York, New York

david L. Furgiuele, M.d.

Assistant Professor of Anesthesiology NYu-langone medical Center New York, New York

Nicholas E. Heiser, M.d.

Assistant Professor of Anesthesiology university of Nebraska medical Center director of medical Student Anesthesiology Clerkship and director of Anesthesia Services Nebraska medicine Fritch Surgery Center omaha, Nebraska

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

21

W-02 Ultrasound, Simulation and Stimulation for Peripheral Nerve blocks F r I d A y

Christina L. Jeng, M.d., FASA

Andrew d. rosenberg, M.d., FASA

Assistant Professor of Anesthesiology and orthopaedics Icahn School of medicine at mount Sinai New York, New York

dorothy reaves Spatz, m.d., Professor of Anesthesiology Chair, department of Anesthesiology, Perioperative Care and Pain medicine NYu-langone medical Center New York, New York

yan Lai, M.d., M.P.H., FASA Assistant Professor of Anesthesiology mount Sinai St. luke’s and West hospitals New York, New York

Jinlei Li, M.d., Ph.d.

Associate Program director and director of education regional Anesthesia and Acute Pain medicine Fellowship director of regional Anesthesiology for YNhh Saint raphael Campus and Center for musculoskeletal disease department of Anesthesia Yale university New haven, Connecticut

Stephen d. Lucas, M.d.

Santhanam Suresh, M.d., FAAP Arthur C. King Professor & Chair department of Pediatric Anesthesiology Ann & robert h. lurie Children’s hospital of Chicago Chicago, Illinois

Tiffany r. Tedore, M.d.

Co-director, regional Anesthesiology and Acute Pain medicine Associate Professor of Anesthesiology Cornell university, Weill Cornell medical College NewYork Presbyterian hospital New York, New York

Associate Professor of Anesthesiology Vice Chair for Pain medicine university of Florida College of medicine Gainesville, Florida

Uchenna Umeh, M.d.

danielle b. Ludwin, M.d.

richa Wardhan, M.d.

Associate Professor of Anesthesiology Columbia university, College of Physicians & Surgeons New York, New York

Assistant Professor of Anesthesiology university of Florida Gainesville, Florida

richard I. Marks, M.d.

Lisa Warren, M.d.

Instructor in Anesthesiology, Perioperative Care and Pain medicine NYu-langone medical Center New York, New York

director, Ambulatory and regional Anesthesia massachusetts General hospital department of Anesthesia and Critical Care boston, massachusetts

Sauni P. Perera, d.O.

roniel y. Weinberg, M.d.

Attending Anesthesiologist Sovereign medical Center Glen rock, New Jersey

Assistant Professor of Anesthesiology Weill Cornell medical College Assistant Attending Anesthesiologist NewYork Presbyterian hospital New York, New York

Meg A. rosenblatt, M.d., FASA Professor of Anesthesiology and orthopaedics Icahn School of medicine at mount Sinai Chair, department of Anesthesiology, Pain and Perioperative medicine mount Sinai St. luke's and West hospitals New York, New York

Assistant Professor of Anesthesiology NYu-langone medical Center-hospital for Joint diseases New York, New York

d I S C LO S U r E S : drs. Akerman, Anderson, birmingham, Capan, Chuy, desai, Furgiuele, heiser, Jeng, li, lucas, marks, marshall, Perera, Popovic, rosenblatt, rosenberg, Suresh, umeh, Wardhan, Warren and Weinberg do not have any financial relationships to disclose. dr. Atchabahian receives consultant fees from b. braun medical, Inc. and Pacira Pharmaceuticals, Inc. he receives royalties from mcGraw-hill Companies. dr. boublik receives consultant fees from Pacira Pharmaceuticals, Inc. and honoraria from Avenue Therapeutics, Inc. dr. lai receives royalties from uptodate.com. dr. ludwin receives consultant fees from Avenue Therapeutics, Inc. dr. Tedore’s spouse is a shareholder and sits on the board of TG Therapeutics.

22

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

W-03 Ultrasound Assisted Neuraxial Anesthesia MOCA®

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

Jose C. A. Carvalho, M.d., Ph.d., FANZCA, FrCPC Professor of Anesthesia, obstetrics and Gynecology university of Toronto director, obstetric Anesthesia mount Sinai hospital Toronto, ontario, Canada

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

F r I d A y

m Understand 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.

A S S I S T E d by:

ricardo bittencourt, M.d., M.b.A. Clinical Fellow, Sunnybrook health Science Centre university of Toronto Toronto, ontario, Canada

bruno C. r. borges, M.d.

Staff Anesthesiologist, hamilton health Sciences Associate Professor of Anesthesia, mcmaster university hamilton, ontario, Canada

Paul M. Wieczorek, M.d., FrCPC Assistant Professor of Anesthesiology, mcGill university director, obstetric Anesthesia, Jewish General hospital montreal, Quebec, Canada

d I S C LO S U r E S : drs. bittencourt, borges, Carvalho and Wieczorek do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

23

SP-01 The Current State of Advanced Cardiac Life Support 09:00 - 11:30 • North ballroom • 6th Floor MOdErATOr:

F r I d A y

Mark E. Nunnally, M.d., FCCM director, Adult Critical Care Services NYu-langone medical Center New York, New York

After completion of this session, the participant will be able to: m differentiate cardiac arrest in the perioperative setting from common cause of arrest in the community; m Employ crew resource management principles to resuscitative situations; m Explain a stepwise approach to the treatment of common forms of perioperative arrest; m Identify approaches to special circumstances in perioperative resuscitation, such as trauma and toxicities.

FACULTy PrESENTATIONS:

Overview of Cardiac Arrest in Hospital and Perioperative Setting Michael F. O’Connor, M.d., FCCM Professor of Anesthesia & Critical Care Section head, Critical Care medicine university of Chicago Chicago, Illinois

Crew resource Management in Crisis: Working as Teams Vivek K. Moitra, M.d., FCCM Associate Professor of Clinical Anesthesiology Associate Program director, Critical Care medicine Columbia university, College of Physicians & Surgeons New York, New York

resuscitation Algorithms and Cases: Moving Fast in Crisis Mark E. Nunnally, M.d., FCCM

Special Circumstances in Perioperative resuscitation: It Pays to Know Matthew d. McEvoy, M.d.

Associate Professor of Anesthesiology division of multispecialty Adult Anesthesiology Vice-Chair, educational Affairs director, residency Program Vanderbilt university medical Center Nashville, Tennessee

d I S C LO S U r E S : drs. moitra, Nunnally and o’Connor do not have any financial relationships to disclose. dr. mcevoy receives funded research support from Ge Foundation, Cheetah medical, Inc. and edwards lifeSciences Corporation.

24

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-02 Anesthesia: beyond the Operating room MOCA

®

09:00 - 11:30 • South ballroom • 6th Floor MOdErATOr:

Patricia Mack, M.d.

F r I d A y

Chair, Quality and Patient Safety (Anesthesiology) director, Non-operating room Anesthesiology Associate Professor of Clinical Anesthesiology Cornell university, Weill Cornell medical College Associate Attending Anesthesiologist NewYork Presbyterian hospital | New York, New York

After completion of this session, the participant will be able to: m Construct systems to improve the safety of the clinicians and the medically complex patients presenting for acute care in the Interventional radiology suite; m Identify the data and outcomes which suggest that anesthesia and sedation in the dental office environment carries a higher risk for adverse outcomes than in the Or; m Plan a comprehensive system for the perioperative management of the medically complex patient scheduled for the Gastroenterology Suite; m describe how to establish an Interventional Stroke Center to improve outcomes for these patients.

FACUTLy PrESENTATIONS:

Staying Safe in Interventional radiology Patricia Mack, M.d.

Advancing Safety in dental Anesthesia and Sedation Keira P. Mason, M.d.

Associate Professor of Anaesthesia harvard medical School boston Children’s hospital boston, massachusetts

Interventional GI: Ensuring Appropriate Care for Invasive Gastroenterology Procedures bradly J. Narr, M.d.

Associate Professor of Anesthesiology mayo Clinic College of medicine rochester, minnesota

INr: Nuts and bolts of Setting Up a Stroke Center and What’s New in Patient Management Apolonia E. Abramowicz, M.d.

Associate Professor of Clinical Anesthesiology New York medical College residency Program director Westchester medical Center Valhalla, New York

d I S C LO S U r E S : drs. Abramowicz, mack, mason and Narr do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

25

SP-03 Cardiac Anesthesiology: What’s New on the Horizon 09:00 - 11:30 • Manhattan ballroom • 8th Floor MOdErATOr:

F r I d A y

Jonathan d. Leff, M.d., FASE Vice Chair, Faculty & Academic Affairs Chief, Cardiothoracic Anesthesiology director Cardiothoracic Anesthesia Fellowship Professor of Anesthesiology Professor of Cardiovascular & Thoracic Surgery montefiore medical Center bronx, New York

After completion of this session, the participant will be able to: m Formulate a plan for a team approach to fast track in cardiac anesthesia patients; m describe the risk factors associated with adverse neurologic outcomes in cardiac surgery and appropriate prophylaxis and treatment; m design an appropriate plan for cardiac surgery for the patient in whom blood is not an option; m data management in cardiac anesthesia: where are we headed?

FACULTy PrESENTATIONS:

What do We Know About Cerebral Protection during Cardiac Surgery?

Jonathan d. Leff, M.d., FASE

Innovations in Spinal Cord Protection during Endovascular Surgery benjamin drenger, M.d., FASA Professor of Anesthesiology hadassah-hebrew university medical Center mount Scopus Campus Jerusalem, Israel

Help! I Am an Adult Cardiac Anesthesiologist! What do I Need to Know About Adult Congenital Heart disease?

Gregory M. Janelle, M.d., FASE, FASA Professor of Anesthesiology and Surgery Associate Chair for Clinical Affairs university of Florida College of medicine Gainesville, Florida

Health Care reform and the Cardiac Anesthesiologist Laurent G. Glance, M.d.

Vice-Chair for research, department of Anesthesiology Professor of Anesthesiology and Public health Sciences Senior Scientist, rANd (Adjunct) university of rochester School of medicine and dentistry/Strong memorial hospital rochester, New York

d I S C LO S U r E S : drs. drenger, Glance and Janelle do not have any financial relationships to disclose. dr. leff receives honoraria from CAS medical Systems, Inc. (CASmed).

26

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-04 AACd Panel: Operating room, Patient Safety and Practice Management 09:00 - 11:30 • Astor ballroom • 7th Floor

MOCA®

MOdErATOr:

Vinod Malhotra, M.d.

Professor of Clinical Anesthesiology | Professor of Anesthesiology in Clinical urology Cornell university, Weill Cornell medical College | Vice-Chair, Clinical Affairs department of Anesthesiology | Clinical director, operating rooms NewYork Presbyterian hospital | New York, New York

After completion of this session, the participant will be able to: m Identify challenges and limitations of mixed practice models;

F r I d A y

m recognize the changes imposed on their practice by institutional requirements; m Understand the utility and limitations of electronic records available to anesthesiologists; m Articulate how the anesthesiologists can improve patient safety and outcomes while maintaining efficiency.

FACULTy PrESENTATIONS:

Melding different Cultures and Practices in an Academic Institution When you Acquire New Mixed Practice Models: What Are the Challenges?

Andrew b. Leibowitz, M.d.

Professor of Anesthesiology, Perioperative and Pain medicine, and Surgery Icahn School of medicine at mount Sinai System Chair, department of Anesthesiology mount Sinai health Systems | New York, New York

The Imminent Threat of Takeover: The Challenges of Maintaining Independence in Private Practice Melinda S. randall, M.d.

Assistant Attending Anesthesiologist NewYork Presbyterian hospital Assistant Professor of Clinical Anesthesiology director, Ambulatory Anesthesiology Cornell university, Weill Cornell medical College New York, New York

Getting a New Electronic record to Improve Efficiency, buyers beware: Implementation, Successes and Pitfalls Michael P. Smith, M.d., M.S., Ed. Past President, Association of Anesthesia Clinical directors Partner, Professional Anesthesia Services | Teamhealth Anesthesia Summa health Systems | Akron, ohio

Clinical Tenets of Practice in different Environments: Patient Safety, Quality and Efficiency: How do We Make a difference?

Vinod Malhotra, M.d.

d I S C LO S U r E S : drs. malhotra and randall do not have any financial relationships to disclose. dr. leibowitz is a shareholder with merck & Co., Inc. and Novartis AG, and his spouse works for Novartis AG. dr. Smith has equity positions with Talis Clinical – AImS.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

27

MW-05 Interventional Pain Management Update 11:45 - 12:45 • Odets room • 4th Floor SPEAKEr:

Michael L. Weinberger, M.d.

F r I d A y

Associate Clinical Professor of Anesthesiology Columbia university, College of Physicians & Surgeons director, Pain management Center | NewYork Presbyterian hospital Columbia Campus | New York, New York

MW-06 ErAS, ASEr, PSH, Population Health and EbPOM: Making a Professional difference, One Acronym at a Time 11:45 - 12:45 • Wilder room • 4th Floor SPEAKErS:

Marc E. Koch, M.d., M.b.A., FASA

After completion of this session, the participant will be able to: m Enumerate the indications for intrathecal pumps and spinal cord stimulators; m delineate the relative and absolute contraindications for spinal interventions; m Enumerate at least three complications which can arise from interventional approaches.

After completion of this session, the participant will be able to: m delineate two differences and two similarities between population health and public health; m Explain the relationships between, and missions of ErAS, ASEr, EbPOM, PSH; m Give two examples of EbPOM, and its impact on population health.

President and Ceo | Somnia, Inc. | New rochelle, New York President, resource Anesthesiology Associates and

Melinda S. randall, M.d.

Assistant Attending Anesthesiologist | NewYork Presbyterian hospital Assistant Professor of Clinical Anesthesiology director, Ambulatory Anesthesiology | Cornell university, Weill Cornell medical College | New York, New York

MW-07 Anesthesia for Major Vascular Surgery 11:45 - 12:45 • Ziegfeld room • 4th Floor SPEAKErS:

After completion of this session, the participant will be able to: m Enumerate the possible complications that can arise from endovascular approaches; m delineate anesthetic risk factors for the vascular patient; m Enumerate the possibilities for postoperative analgesia in this population of patients.

Joseph A. Gallombardo, M.d.

Assistant Professor of Anesthesiology, Perioperative and Pain medicine division of Cardiothoracic Anesthesia | mount Sinai West hospital New York, New York and

Joshua Heller, M.d.

Assistant Professor of Anesthesiology mount Sinai St. luke’s and West hospitals | New York, New York

MW-08 Perioperative Coagulopathy and Massive Hemorrhage Update

After completion of this session, the participant will be able to: m define which medications may affect the coagulation pathway; m delineate which medications may complicate regional anesthesia; m define which tests may help to guide intraoperative therapy.

11:45 - 12:45 • O’Neill room • 4th Floor SPEAKEr:

Maria A. bustillo, M.d.

Associate Professor of Clinical Anesthesiology | Chief, division of Neuroanesthesiology Weill Cornell medical College | New York, New York d I S C LO S U r E : drs. bustillo, Gallombardo, heller, Koch, randall and Weinberger do not have any financial relationships to disclose.

28

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

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

PbL-01 Predicting and Managing Postoperative Atrial Fibrillation

m discuss the epidemiology and scope of the occurrence of postoperative atrial fibrillation; m review proven measures of prophylaxis for postoperative atrial fibrillation;

11:45 - 12:45 • Soho room • 7th Floor SPEAKEr:

m Employ acute therapy measures for postoperative atrial fibrillation;

david Amar, M.d.

Professor of Anesthesiology | Cornell university, Weill Cornell medical College | director, Thoracic Anesthesia | memorial Sloan Kettering Cancer Center | New York, New York

m Employ methods to prevent stroke associated with postoperative atrial fibrillation.

PbL-02 The Pregnant Patient for Non-Obstetrical Surgery

F r I d A y

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

11:45 - 12:45 • Herald room • 7th Floor SPEAKErS:

m Identify various anesthetic and non-obstetrical surgery considerations throughout pregnancy;

Ellen S. Steinberg, M.d.

Professor of Anesthesiology, obstetrics and Gynecology | SuNY-health Sciences Center at Stony brook | Stony brook, New York and

m Formulate an anesthetic plan that takes into consideration the fetal and maternal effects of nonobstetric surgery, during pregnancy;

Melissa A. Kreso, M.d.

Assistant Professor of Anesthesiology | university of rochester School of medicine and dentistry | rochester, New York

PbL-03 LAST: Local Anesthetic Systemic Toxicity

m Manage the issues surrounding laparoscopic surgery in the parturient.

11:45 - 12:45 • Gramercy room • 7th Floor SPEAKErS:

danielle b. Ludwin, M.d.

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

Associate Professor of Anesthesiology | Columbia university, College of Physicians & Surgeons | New York, New York and

m Identify the signs and symptoms of Local Anesthetic Systemic Toxicity;

Jeffrey bernstein, M.d.

Chief, division of obstetrical Anesthesia | Assistant Professor of Clinical Anesthesiology | Assistant Professor department of obstetrics, Gynecology and Women’s health montefiore medical Center/Albert einstein College of medicine | bronx, New York

m Formulate a plan to treat Local Anesthetic Systemic Toxicity.

PbL-04 Applying New Guidelines on 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.

11:45 - 12:45 • Olmstead room • 7th Floor SPEAKErS:

Mohammed M. Piracha, M.d.

Assistant Professor of Anesthesiology | Weill Cornell medicine | New York, New York and

Ivan A. Velickovic, M.d., FASA director, obstetric Anesthesiology | SuNY-downstate medical Center brooklyn, New York

d I S C LO S U r E S : drs. Amar, bernstein, Kreso, Piracha, Steinberg and Velickovic do not have any financial relationships to disclose. dr. ludwin receives consultant fees from Avenue Therapeutics, Inc.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

29

PbL-05 Cardiac Arrest during Tonsillectomy 11:45 - 12:45 • Shubert room • 6th Floor SPEAKErS:

After completion of this session, the participant will be able to: m Identify risk factors for the cardiac arrest in the pediatric population; m develop an emergency response plan for cardiac arrest in this ambulatory procedure.

draginja r. Cvetkovic, M.d. | Assistant Professor of Anesthesiology

F r I d A y

New York medical College | Valhalla, New York and Galina Leyvi, M.d. | Professor of Anesthesiology | Albert einstein College of medicine/montefiore medical Center | bronx, New York

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

PbL-06 How Low Can We Go? New Guidelines for Perioperative blood Management 11:45 - 12:45 • Uris room • 6th Floor SPEAKErS:

m review 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.

Seth I. Perelman, M.d., FASA | Clinical Associate Professor department of Anesthesiology, Perioperative Care and Pain medicine NYu-langone medical Center | New York, New York and Joseph S. yeh, M.d. | Assistant Professor of Anesthesiology NYu-langone medical Center | New York, New York

PbL-07 Total Joint replacement in the Ambulatory Surgery Center 11:45 - 12:45 • Plymouth room • 6th Floor

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.

SPEAKEr:

Andrea T. Esch, d.O., P.A. | Attending Anesthesiologist maple-Gate Anesthesiologists, PC | Williamsville, New York

PbL-08 Transexemic Acid for Maternal Hemorrhage 11:45 - 12:45 • royale room • 6th Floor SPEAKErS:

Jaime Aaronson, M.d. | Assistant Professor of Anesthesiology NewYork Presbyterian hospital | New York, New York and Jennie y. Ngai, M.d., FASA | Assistant Professor of Anesthesiology director, Cardiothoracic Anesthesiology Fellowship | division of Cardiothoracic Anesthesiology | NYu-langone medical Center | New York, New York

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 transexemic acid in maternal hemorrhage; m Implement a program for the use of transexemic acid in appropriate situations.

d I S C LO S U r E S : drs. Aaronson, Cvetkovic, esch, leyvi, Ngai, Perelman and Yeh do not have any financial relationships to disclose.

30

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

W-04 Ultrasound Assisted Neuraxial Anesthesia MOCA®

12:00 - 15:00 • Empire Complex • 7th Floor WOrKSHOP MOdErATOr:

Jose C. A. Carvalho, M.d., Ph.d., FANZCA, FrCPC Professor of Anesthesia, obstetrics and Gynecology university of Toronto director, obstetric Anesthesia mount Sinai hospital Toronto, ontario, Canada

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

F r I d A y

m Understand 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.

A S S I S T E d by:

ricardo bittencourt, M.d., M.b.A. Clinical Fellow, Sunnybrook health Science Centre university of Toronto Toronto, ontario, Canada

bruno C. r. borges, M.d.

Staff Anesthesiologist, hamilton health Sciences Associate Professor of Anesthesia, mcmaster university hamilton, ontario, Canada

Paul M. Wieczorek, M.d., FrCPC Assistant Professor of Anesthesiology, mcGill university director, obstetric Anesthesia, Jewish General hospital montreal, Quebec, Canada

d I S C LO S U r E S : drs. bittencourt, borges, Carvalho and Wieczorek do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

31

SP-05 The Complex Management of End Organ Failure 13:00 - 15:30 • North ballroom • 6th Floor MOdErATOr:

F r I d A y

Michael F. O’Connor, M.d., FCCM Professor of Anesthesia & Critical Care Section head, Critical Care medicine university of Chicago Chicago, Illinois

After completion of this session, the participant will be able to: m describe the physiologic implications of organ system failure that are pertinent to general anesthesiologists; m Summarize the literature about how to manage patients with chronic respiratory disease, prior heart transplant, cirrhosis, and mechanical devices in the perioperative period; m List the complications that are strongly associated with these conditions, and discuss the evaluation and management of the most common or important of them.

FACULTy PrESENTATIONS:

Perioperative respiratory Failure in Patients with Chronic Lung disease Michael F. O’Connor, M.d., FCCM

The Patient Who Had a Heart Transplant Leila Hosseinian, M.d.

Assistant Professor of Anesthesiology and Critical Care Icahn School of medicine at mount Sinai New York, New York

The Patient with Hepatic Failure Jeron Zerillo, M.d.

Assistant Professor of Anesthesiology Associate director, division of liver Transplantation Fellowship director, division of liver Transplantation department of Anesthesiology, Perioperative and Pain medicine Icahn School of medicine at mount Sinai hospital New York, New York

Advanced Heart Failure: Tips for Managing Patients with LVAds Marc E. Stone, M.d.

Professor of Anesthesiology Program director, Fellowship in Cardiothoracic Anesthesiology Icahn School of medicine at mount Sinai New York, New York

d I S C LO S U r E S : drs. hosseinian, o’Connor, Stone and Zerillo do not have any financial relationships to disclose.

32

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-06 Controversies in Neurosurgical Anesthesia 13:00 - 15:30 • South ballroom • 6th Floor MOdErATOr:

Audrée A. bendo, M.d., M.S., FASA distinguished Professor and executive Vice-Chair | department of Anesthesiology SuNY-downstate medical Center | brooklyn, New York

After completion of this session, the participant will be able to: m Critically evaluate animal and human evidence regarding the potential harmful effects of anesthesia in the developing brain; m Understand whether or not brain function monitoring improves perioperative outcomes;

F r I d A y

m Identify controversies in managing patients with carotid artery disease; m Critically evaluate whether anesthetic technique (regional vs. general anesthesia) affects outcomes.

FACULTy PrESENTATIONS:

Update on Anesthesia and the developing brain: do Anesthetics really Harm the brain?

What’s the Animal Evidence Ansgar M. brambrink, M.d., Ph.d. e.m. Papper Professor and Chair | department of Anesthesiology Columbia university College of Physicians & Surgeons New York, New York

What’s the Human Evidence Sulpicio G. Soriano, III, M.d., FAAP, FASA Professor and endowed Chair in Pediatric Neuroanesthesia boston Children’s hospital | boston, massachusetts

brain Function Monitors Improve brain Health: Fact or Fiction?

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

Professor and Chair, department of Anesthesiology Professor, department of Physiology and Pharmacology rutgers New Jersey medical School | Newark, New Jersey

Carotid Endarterectomy: Update and Management Controversies daniel J. Cole, M.d.

Professor of Clinical Anesthesiology Vice-Chair for Professional and business development department of Anesthesiology & Perioperative medicine david Geffen School of medicine university of California los Angeles los Angeles, California

d I S C LO S U r E S : drs. bendo, bekker, Cole and Soriano do not have any financial relationships to disclose. dr. brambrink receives royalties from oregon health Sciences university.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

33

SP-07 The 21st Century Stethoscope: Point-of-Care Ultrasound (PoCUS): A Powerful Perioperative Tool for the Anesthesiologist F r I d A y

13:00 - 15:30 • Manhattan ballroom • 8th Floor MOdErATOr:

Mark P. Hamlin, M.d., M.S., FCCM Anesthesiologist and Critical Care medicine Physician | Associate Professor of Anesthesiology and Surgery director, General and Subspecialty | Surgery Critical Care | medical director, respiratory Care Services university of Vermont medical Center | burlington, Vermont

After completion of this session, the participant will be able to: m Explain how to use lung ultrasound to assess and diagnose causes of respiratory distress; m Utilize ultrasound to assess volume status and fluid responsiveness in hypotensive patients; m discuss the role of the perioperative FATE exam (focus assessed transthoracic echocardiography); m describe the role for focused cardiac ultrasound in advance cardiac life support to help with diagnosis and management of patients in a pulseless electrical activity (PEA) arrest; m Explain the role of the perioperative EASy exam (echocardiographic assessment using subxiphoidonly view) using one view in assessing qualitative cardiac function.

FACULTy PrESENTATIONS:

Assessing the dyspneic Patient: basic Lung Ultrasound Mark P. Hamlin, M.d., M.S., FCCM

Optimizing Volume Assessment with Surface Ultrasound Oliver P. F. Panzer, M.d.

Associate Professor of Anesthesiology | director, Perioperative ultrasound education division of Critical Care & regional Anesthesia | Columbia university, College of Physicians & Surgeons | New York, New York

Gastric Ultrasound for Gastric Volume Assessment and Focused Transthoracic Ultrasound in Hemodynamic Assessment FATE Steven C. Haskins, M.d.

Clinical Assistant Professor of Anesthesiology | Cornell university, Weill Cornell medical College Assistant Attending Anesthesiologist | hospital for Special Surgery | New York, New York

Focused Cardiac Ultrasound in ACL: The FEEL Protocol ANd the EASy Exam. Understanding the role of the Perioperative Echocardiographic Assessment Using Subxiphoid Only Nibras bughrara, M.d. director, Adult Critical Care division | director, Adult Critical Care echo Program Assistant Professor of Anesthesiology and Surgery | Albany medical Center | Albany, New York

d I S C LO S U r E S : drs. bughrara, hamlin and Panzer do not have any financial relationships to disclose. dr. haskins receives honoraria and travel reimbursement from FujiFilm Sonosite to teach Point-of-Care ultrasound.

34

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-08 data Science is the Future of Perioperative Medicine 13:00 - 15:30 • Astor ballroom • 7th Floor MOdErATOr:

david L. reich, M.d.

President and Coo The mount Sinai hospital horace W. Goldsmith Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

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

F r I d A y

m Learning the basics of data science tools and the reasons they are now relevant to clinical medicine; m Examine the evidence that supports clinical decision support; m Learning the relationship of value-based reimbursement to data science analytics.

FACULTy PrESENTATIONS:

breaking Out From Periop: Anesthesia IT in the Hospital Enterprise Peter M. Fleischut, M.d.

Chief Innovation officer NewYork Presbyterian hospital Associate Professor of Anesthesiology Weill Cornell medical College New York, New York

What do Massive Analyses of Administrative data Teach Us? Lee A. Fleisher, M.d. robert dunning dripps Professor of Anesthesia Chair, department of Anesthesiology and Critical Care university of Pennsylvania Perelman School of medicine Philadelphia, Pennsylvania

Live data Analysis: Where is decision Support Today?

Matthew A. Levin, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Surviving the New Era of reimbursement: data, Science Propel Us Forward in Quality and Outcomes david L. reich, M.d.

d I S C LO S U r E S : drs. Fleisher, Fleischut, levin and reich do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

35

FS-01 Office-based Anesthesia Issues 15:45 - 17:00 • Odets room • 4th Floor MOdErATOr:

donna A. Castello, d.O. Assistant Professor of Anesthesiology | mount Sinai St. luke’s and West hospitals | New York, New York

F r I d A y

FACULTy PrESENTATIONS:

Update on regulations Pertaining to Office-based Procedures

After completion of this session, the participant will be able to: m Identify what procedures, and which patients, are suitable for office-based procedures and which should not be done in this venue; m discuss the ASA guidelines as they apply to office based anesthesia.

donna A. Castello, d.O.

Which Patients and What Procedures for Office-based Settings Syed Shah, M.d.

Assistant Professor of Anesthesiology | SuNY-health Sciences at Stony brook | Stony brook, New York

FS-02 The Impaired Physician: MOCA® Issues of Professionalism: The Aging Practitioner, the Impaired Physician, Can We Achieve Physician Wellness in the Workplace?

15:45 - 17:00 • Wilder room • 4th Floor MOdErATOr:

Michael P. duffy, M.d.

Assistant Clinical Professor of Anesthesiology | upstate medical university Attending Anesthesiologist | Crouse hospital | Syracuse, New York FACULTy PrESENTATIONS:

recognizing Age related Impairment and How to deal With It? Michael P. duffy, M.d.

The Impaired Physician: The dOH and Medical Society View Terrance M. bedient, FACHE Vice-President, medical Society of the State of New York director, Committee for Physician health | Albany, New York

Physician Wellness: Can We Achieve That in the Workplace?

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 in their institution/department; m develop a plan to achieve physician wellness in the workplace.

Cortessa L. russell, M.d.

Assistant Professor of Anesthesiology | Columbia university, College of Physicians & Surgeons | New York, New York

d I S C LO S U r E S : drs. Castello, duffy, russell, Shah and mr. bedient do not have any financial relationships to disclose.

36

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

FS-03 The Perioperative Surgical Home: Theory vs. reality 15:45 - 17:00 • Ziegfeld room • 4th Floor

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

MOdErATOr:

m Identify the Perioperative Surgical Home’s triple aim of improving health, improving delivery of healthcare, and reducing the cost of care;

Alan E. Curle, M.d.

Professor of Clinical Anesthesiology | Co-director, Center for Perioperative medicine | university of rochester medical Center medical director, Perioperative Services | highland hospital of rochester rochester, New York

m distinguish the benefits of the added value of anesthesiologists over other healthcare providers in coordinating care from the minute the decision is made to operate, until 30 days after surgery;

FACULTy PrESENTATIONS:

Theory vs. reality: The Triple Aim of Improving Health Improving delivery of Care and reducing Cost

F r I d A y

m describe and breakdown the data, improved outcomes, evidence, and limitations from recent implementations of the Perioperative Surgical Home to be considered moving forward in continued and future efforts;

Alan E. Curle, M.d.

The Challenge of demonstrating Value: data, Outcomes, Evidence and Limitations to Implementation

m recognize the net effect from the proposed areas of cost savings, when the costs of implementing the Perioperative Surgical Home are also considered.

Jonathan S. Gal, M.d., FASA medical director, Clinical revenue Initiatives | department of Clinical business Intelligence & Implementation | Assistant Professor of Anesthesiology | director, Governmental & reimbursement Affairs department of Anesthesiology, Perioperative, and Pain medicine Icahn School of medicine at mount Sinai | mount Sinai health System New York, New York

FS-04 Lung Protective Strategies 15:45 - 17:00 • O’Neill room • 4th Floor MOdErATOr:

Gregory W. Fischer, M.d., FASA Professor and Chair | department of Anesthesiology and Critical Care medicine | memorial Sloan Kettering Cancer Center | New York, New York

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

FACULTy PrESENTATIONS:

m develop ventilation strategies to avoid barotrauma in the operating room;

Lung Protective Strategies in the Operating room Gregory W. Fischer, M.d., FASA

m develop optimal ventilation strategies for the ICU;

Lung Protective Strategies in the ICU

m Apply optimal ventilation strategies to patients in the operating room and in the ICU.

Joseph W. dooley, M.d.

Associate Professor of Anesthesiology | university of rochester School of medicine and dentistry | rochester, New York

d I S C LO S U r E S : drs. Curle, dooley, Fischer and Gal do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

37

FS-05 Perioperative Challenges in the Patient with Heart disease 15:45 - 17:00 • Empire Complex • 7th Floor

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

MOdErATOr:

m discuss the clinical issues related to the two main types of coronary stents;

dawn M. Sweeney, M.d.

F r I d A y

Clinical Professor of Anesthesiology director, Cardiothoracic Anesthesia SuNY-downstate medical Center brooklyn, New York FACULTy PrESENTATIONS:

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

Patient with Stent Ketan Shevde, M.d.

Clinical Professor of Anesthesiology director, Cardiothoracic Anesthesia SuNY-downstate medical Center brooklyn, New York

FS-06 Why is My Child Not ready for Anesthesia?

When to Cancel a Case in Pediatrics 15:45 - 17:00 • Astor ballroom • 7th Floor MOdErATOr:

Lynne r. Ferrari, M.d. division Chief, Perioperative Anesthesia Senior Associate in Perioperative Anesthesia medical director, Perioperative Services and operating room boston Children’s hospital Associate Professor of Anaesthesia harvard medical School | boston, massachusetts

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.

After completion of this session, the participant will be able to: m Understand the most common causes of same day cancellation in pediatrics, which tend to focus on the occurrence of an acute illness, NPO violation and ‘no show’; m Identify key drivers that are critical to reducing cancellations of same day surgeries; m discuss steps to improve the cancellation rate through proactive preoperative intervention.

FACULTy PrESENTATIONS:

The Child with the UrI Philipp J. Houck, M.d.

Assistant Professor of Anesthesiology Columbia university, College of Physicians & Surgeons | New York, New York

NPO Violations Nicholas A. davis, M.d.

Assistant Professor of Anesthesiology Columbia university, College of Physicians & Surgeons | New York, New York

d I S C LO S U r E S : drs. davis, houck, Ferrari, Shevde and Sweeney do not have any financial relationships to disclose.

38

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

FS-07 The Concept of Enhanced recovery AFTEr SUrGEry (ErAS): What does It Mean to you?

15:45 - 17:00 • Manhattan ballroom • 8th Floor

After completion of this session, the participant will be able to: m describe the principles of an ErAS program;

MOdErATOr:

Tong J. Gan, M.d., MHS, FrCA, M.b.A., FASA Professor and Chair | department of Anesthesiology | SuNY-health Sciences Center at Stony brook | Stony brook, New York

m describe the role of the anesthesiologist in an ErAS program;

FACULTy PrESENTATIONS:

m develop an ErAS program in their institutions;

Principles and Outcomes of Enhanced recovery

F r I d A y

m Institute an ErAS program at their Institutions.

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

How to Implement an ErAS Program Anoushka M. Afonso, M.d., FASA Assistant Attending Anesthesiologist | memorial Sloan Kettering Cancer Center | New York, New York

FS-08 Operating room Management: Efficiency and Patient Safety

MOCA®

15:45 - 17:00 • Columbia/duffy rooms • 7th Floor MOdErATOr:

Vinod Malhotra, M.d.

Professor of Clinical Anesthesiology | Professor of Anesthesiology in Clinical urology | Cornell university, Weill Cornell medical College Vice-Chair, Clinical Affairs | department of Anesthesiology Clinical director, operating rooms | NewYork Presbyterian hospital New York, New York

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

FACULTy PrESENTATIONS:

m Identify the significance of drug shortages on anesthesia practice;

drug Shortages: Why, and What They Mean for the Anesthesia Provider

m Understand the impact of using reusables vs. disposables on environment and equipment costs.

Vinod Malhotra, M.d.

disposables vs. reusables: Sustainability – both Financial and Environmental Michael P. Smith, M.d., M.S., Ed. Past President, Association of Anesthesia Clinical directors Partner, Professional Anesthesia Services | Teamhealth Anesthesia Summa health Systems | Akron, ohio

d I S C LO S U r E S : drs. Afonso and malhotra do not have any financial relationships to disclose. dr. Gan receives consultant fees from Acacia Anesthesia, PllC, edwards lifeSciences Corporation, mallinckrodt Pharmaceuticals, medtronic, Inc. and merck & Co., Inc. dr. Smith has equity positions with Talis Clinical – AImS.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

39

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

PbL-09 Pulmonary resection in the Patient with Pulmonary Hypertension 15:45 - 17:00 • Soho room • 7th Floor

F r I d A y

SPEAKEr:

Peter Slinger, M.d., FrCPC | Professor of Anesthesiology university of Toronto and Toronto General hospital Toronto, ontario, Canada

PbL-10 Egg Allergy and Malignant Hyperthermia: recipe for Sedation 15:45 - 17:00 • Herald room • 7th Floor SPEAKErS:

m discuss the anesthetic management difference between patients with pulmonary hypertension due to lung and those with pulmonary hypertension due to heart disease; m discuss the most useful intraoperative anesthetic monitors for a patient with pulmonary hypertension; m develop a plan for appropriate intraoperative pharmacologic management of the patient with pulmonary hypertension and right heart failure.

After completion of this session, the participant will be able to: m recognize patient with egg allergy and associated cross re-activities; m develop a plan for sedation of a patient with both MH history and egg allergy.

Eric r. Kelhoffer, M.d. | Associate Clinical member | Anesthesiology & Critical Care | memorial Sloan Kettering Cancer Center | New York, New York and Keira P. Mason, M.d. | Associate Professor of Anaesthesia | harvard medical School | boston Children’s hospital | boston, massachusetts

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

PbL-11 “What is buprenorphine???”

Strategies for Perioperative Analgesic Management in Major Surgery 15:45 - 17:00 • Gramercy room • 7th Floor

m Evaluate the patient with a history of opioid addiction who is managed with buprenorphine; m discuss multi-modal analgesic techniques, regional anesthetic considerations in relation to addiction issues; m Implement a treatment plan for patients in addiction issues; m Identify perioperative concerns that have an evolving treatment paradigm.

SPEAKEr:

Vinay G. Puttanniah, M.d. director, regional Anesthesia and Perioperative Pain medicine memorial Sloan Kettering Cancer Center | New York, New York

PbL-12 Pitfalls of Pulmonary Hypertension 15:45 - 17:00 • Olmstead room • 7th Floor SPEAKErS:

Christine Lennon, M.d.

Assistant Professor of Anesthesiology Cornell university, Weill Cornell medical College NewYork Presbyterian hospital | New York, New York and

After completion of this session, the participant will be able to: m Identify the etiologies and pathophysiology of pulmonary hypertension; m Identify factors that alter pulmonary vascular resistance; m diagnose and manage perioperative complications in patients with pulmonary hypertension.

Edward r. Mathney, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai | New York, New York

d I S C LO S U r E S : drs. Kelhoffer, lennon, mathney, mason, Puttanniah and Slinger do not have any financial relationships to disclose.

40

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

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

PbL-13 Three year Old with Aspiration of a Crayon 15:45 - 17:00 • Shubert room • 6th Floor SPEAKErS:

Anjalee dave, M.d., M.S. | Assistant Professor of Clinical Anesthesiology | Cornell university, Weill Cornell medical College Assistant Attending Anesthesiologist | NewYork Presbyterian hospital | New York, New York and Albert C. yeung, M.d. | Assistant Professor of Anesthesiology NewYork Presbyterian hospital | Cornell university, Weill Cornell medical College | New York, New York

PbL-14 Lung Isolation on a Patient with a difficult Airway and Anterior Mediastinal Mass 15:45 - 17:00 • Uris room • 6th Floor SPEAKEr:

Javier H. Campos, M.d. | Professor of Anesthesiology | director,

m Identify the clinical presentation and epidemiology of children with foreign body aspiration; m Evaluate a patient presenting for removal of a tracheobronchial foreign body; m Formulate an anesthetic plan for patients undergoing rigid bronchoscopy for removal of an airway foreign body; m Explain the advantages and disadvantages of various strategies for ventilation and maintenance of anesthesia; m Identify the perioperative complications associated with rigid bronchoscopy.

F r I d A y

After completion of this session, the participant will be able to: m Identify the radiology studies including multi-detector computed tomography scan to assess the airway and mediastinal mass; m describe the different techniques to achieve lung isolation in a patient with a difficult airway;

Cardiothoracic Anesthesia | executive medical director Perioperative Services | university of Iowa health Care | Iowa City, Iowa

m describe the anesthetic and airway management on the patient with an anterior mediastinal mass;

PbL-15 ErAS: Enhanced recovery After Surgery

m Evaluate the care on the immediate postoperative period.

15:45 - 17:00 • Plymouth room • 6th Floor SPEAKErS:

Sudheer K. Jain, M.d. | Assistant Professor of Anesthesiology NYu-langone medical Center | director, Peri-Anesthesiology Services Tisch hospital | New York, New York and

Igor Muntyan, M.d.

Clinical Associate Professor of Anesthesiology | NYu-langone medical Center | New York, New York

PbL-16 What Is Too Obese for the Ambulatory Surgery Center?

15:45 - 17:00 • royale room • 6th Floor SPEAKErS:

Curtis V. Choice, M.d., M.S. | Assistant Professor of

After completion of this session, the participant will be able to: m Identify patients who would benefit from ErAS protocols; m Construct an ErAS protocol for a specific patient population at their institution.

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.

Anesthesiology | montefiore medical Center | Site, director hutchinson Clinic Ambulatory Surgery Center | bronx, New York and Jolie Narang, M.d. | Associate Professor of Anesthesiology Albert einstein College of medicine/montefiore medical Center bronx, New York

d I S C LO S U r E S : drs. Campos, Choice, dave, Jain, Narang, muntyan and Yeung do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

41

Notes

42

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

72nd Annual PostGraduate Assembly in Anesthesiology december 7-11, 2018 Marriott Marquis NyC

Saturday

december 8, 2018

registration

07:00 - 16:00

Sessions

07:00 - 17:00

NyS Conference for Anesthesiology residents and Fellows

07:30 - 18:30

Welcome: PGA 72 Opening Ceremony

08:00

33rd Annual robertazzi Memorial Panel

08:30

Poster Presentations & Medically Challenging Case reports

09:30 - 11:30

Technical Exhibits

10:00 - 16:00

Scientific Exhibits

11:30 - 15:30

NySSA House of delegates

11:00

reference Committee

13:45 FEE rEQUIrEd (Fees listed on page 3.)

all h t i b i exh

n o i t p e rec .8

S A T U r d A y

Join Us!

ec d , y a d Satur pm 5-6

Experience an evening inspired

by NYC’s favorite neighborhoods!

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

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

43

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

This workshop takes place off-site, at SUNy-downstate Medical Center. Transportation is provided.

MOCA® MOdErATOrS:

Krystof J. Neumann, M.d.

Associate Professor of Anesthesiology university of rochester School of medicine and dentistry director, regional Anesthesia university of rochester medical Center medical director and Chief of Anesthesia Strong West Ambulatory Surgery Center rochester, New York and

S A T U r d A y

dennis P. dimaculangan, M.d.

Clinical Associate Professor of Anesthesiology SuNY-downstate medical Center brooklyn, New York and

david Seligsohn, M.d.

Assistant Professor of Anesthesiology SuNY downstate medical Center director, regional Anesthesiology NYu lutheran medical Center brooklyn, New York

A S S I S T E d by:

Chester C. buckenmaier, III, M.d., COL, MC, USA

Workshop description: Held in the state of the art anatomy lab located in the SUNy-downstate Medical Center (brooklyn, New york.) Participants will be instructed in small groups, with hands-on practice, by world renowned faculty.

As a participant you can expect the following: m Cadavers expertly dissected to show anatomy; m Hands-on practice on dissected cadavers; m Ultrasound display on large LCd screens; m Ultrasound guided blocks demonstrated on live models; m Ultrasound guided blocks practiced on cadavers; m Participants will rotate between cadaver and live model stations.

After completion of this session, the participant will be able to: m demonstrate basic skills in ultrasound technology; m Apply ultrasound technology to perform peripheral and neuraxial blocks; m relate cadaver anatomy of peripheral nerve structures to livemodel 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).

Program director, defense and Veterans Center for Integrative Pain management rockville, maryland

Mitchell E. Fingerman, M.d.

danielle M. Lindenmuth, M.d.

Camberly I. Spring, M.d.

division Chief & Fellowship director regional & Ambulatory Anesthesiology Washington university School of medicine St. louis, missouri

director of regional Anesthesia and Acute Pain Fellowship | Assistant Professor of Anesthesiology & Perioperative medicine (Smd) | university of rochester medical Center School of medicine and dentistry rochester, New York

Assistant Professor of Anesthesiology university of rochester School of medicine and dentistry | rochester, New York

Joseph J. Poli, M.d.

Assistant Professor of Anesthesiology Tufts university medical School boston, massachusetts | Acute Pain Service Chief | baystate medical Center Springfield, massachusetts

Carlo d. Franco, M.d.

Professor of Anesthesiology and Anatomy rush university medical Center Chair, regional Anesthesia | JhS hospital of Cook County | Chicago, Illinois

brinda b. Kamdar, M.d.

Assistant Professor of Anesthesiology university of rochester School of medicine and dentistry | rochester, New York

Program director, Acute Pain and regional Fellowship | Instructor, harvard medical School | department of Anesthesia, Critical Care, and Pain medicine | massachusetts General hospital | boston, massachusetts

Sonia G. Pyne, M.d.

Lei Li, M.d.

Ali N. Shariat, M.d.

Associate, Staff Physician Anesthesiology director, regional Anesthesia | Geisinger medical Center | danville, Pennsylvania

Assistant Professor of Anesthesiology mount Sinai St. luke’s and West hospitals New York, New York

Associate Professor of Anesthesiology university of rochester School of medicine and dentistry rochester, New York

Cassandre S. Victor-Vega, M.d., M.P.H.

Jeff L. xu, M.d.

Assistant Professor of Anesthesiology Chief, regional Anesthesia & Acute Pain management | Program director, regional Anesthesiology & Acute Pain medicine Fellowship | Westchester medical Center/New York medical College | Valhalla, New York

Emily Lin, M.d.

Attending Anesthesiologist | North American Partners in Anesthesia (NAPA) New York, New York

d I S C LO S U r E S : drs. buckenmaier, dimaculangan, Franco, Kamdar, li, lin, lindenmuth, Neumann, Poli, Pyne, Seligsohn, Shariat, Spring, Victor-Vega and Xu. dr. Fingerman is on the speaker’s bureau for both merck & Co., Inc. and haylard health.

44

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

MW-09 FIrE in the Or: What Every Anesthesiologist Needs to Know 07:30 - 08:45 • O’Neill room • 4th Floor

After completion of this session, the participant will be able to: m Identify the three components needed for a fire to start; m Prioritize how to put out a fire; m Understand the different fire extinguisher types.

SPEAKEr:

Jaroslav Usenko, M.d.

Assistant Professor of Anesthesiology Cornell university, Weill Cornell medical College New York, New York

After completion of this session, the participant will be able to: m delineate the parameters which are observed during anesthesia;

MW-10 Neurophysiological Monitoring 07:45 - 08:45 • Odets room • 4th Floor

m Enumerate the confounding factors which may interfere with the monitoring; m delineate the current limitations of monitoring.

SPEAKEr:

Jess W. brallier, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

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

MW-11 Management of Pacemakers and ICds 07:45 - 08:45 • Wilder room • 4th Floor SPEAKEr:

Marc E. Stone, M.d.

Professor of Anesthesiology Program director, Fellowship in Cardiothoracic Anesthesiology Icahn School of medicine at mount Sinai New York, New York

MW-12 Setting Up and running a Pre-Anesthetic Assessment Clinic 07:45 - 08:45 • Ziegfeld room • 4th Floor

m delineate the indications for cardiac pacemakers and implantable cardiac defibrillators (ICd);

S A T U r d A y

m delineate the ASA guidelines for the intra-operative management of pacemakers and ICds; m delineate the anesthetic implications of transcatheter aortic valve implantation; m delineate the anesthetic considerations of transseptal puncture for cardiac ablation.

After completion of this session, the participant will be able to: m delineate the challenges in creating a pre-anesthesia clinic; m discuss the systems used in the pre-anesthesia clinic; m discuss the objectives of the preanesthesia clinic;

SPEAKEr:

Vandana Sharma, M.d., FASA

m discuss the staffing in the preanesthesia clinic.

Assistant Professor of Anesthesiology upstate medical university Syracuse, New York

d I S C LO S U r E : drs. brallier, Sharma, Stone and usenko do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

45

W-06 Advanced Ultrasound, Simulation and Stimulation for Peripheral Nerve blocks

MOCA®

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

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

Station I Paravertebral Nerve blocks

m Utilize ultrasound technology to perform;

Station II Spinal and Epidural Anesthesia

S A T U r d A y

Station III Truncal blocks, including TAP (Transversus Abdominis Plane), Quadratus Lumborum, and rectus Sheath blocks

m Paravertebral Nerve blocks;

Station IV Fascia Iliaca, Lateral Femoral Cutaneous, Iliohypogastric and Ilionguinal Nerve blocks

m Fascia Iliaca, Lateral Femoral Cutaneous, Iliohypogastric and Ilioinguinal Nerve blocks.

m Spinal and Epidural anesthesia; m Truncal blocks, including TAP (Transversus Abdominis Plane), Quadratus Lumborum, and rectus Sheath blocks;

WOrKSHOP MOdErATOrS:

Mitchell H. Marshall, M.d.

Jovan Popovic, M.d., FrCPC

Clinical Associate Professor of Anesthesiology Chief, department of Anesthesiology NYu-langone medical Center-hospital for Joint diseases New York, New York

Associate Professor of Anesthesiology medical director, NYu-langone outpatient Surgery NYu-langone medical Center New York, New York

A S S I S T E d by:

Arthur Atchabahian, M.d., FASA

Jinlei Li, M.d., Ph.d.

Santhanam Suresh, M.d., FAAP

Professor of Clinical Anesthesiology NYu-langone medical Center-hospital for Joint diseases | New York, New York

Associate Program director and director of education | regional Anesthesia and Acute Pain medicine Fellowship | director of regional Anesthesiology for YNhh Saint raphael Campus and Center for musculoskeletal disease | department of Anesthesia | Yale university hospital New haven, Connecticut

Arthur C. King Professor & Chair department of Pediatric Anesthesiology Ann & robert h. lurie Children’s hospital of Chicago | Chicago, Illinois

Patrick birmingham, M.d., FAAP Professor of Anesthesiology Northwestern university Feinberg School of medicine | division head of Pain medicine | executive Vice Chairman, department of Anesthesiology Ann & robert h. lurie Children’s hospital of Chicago | Chicago, Illinois

Marcelle E. blessing, M.d.

Assistant Professor of Anesthesiology Yale-New haven hospital New haven, Connecticut

Peter J. Neuburger, M.d.

Assistant Professor of Anesthesiology, Perioperative Care and Pain medicine NYu-langone medical Center division of Cardiothoracic Anesthesiology New York, New York

Tiffany r. Tedore, M.d.

Co-director, regional Anesthesiology and Acute Pain medicine | Associate Professor of Anesthesiology | Cornell university, Weill Cornell medical College NewYork Presbyterian hospital New York, New York

Hanae K. Tokita, M.d., FASA

Attending Anesthesiologist Sovereign medical Center Glen rock, New Jersey

director, regional Anesthesia Clinical director, Josie robertson Surgery Center | Assistant Professor of Anesthesiology & Critical Care medicine memorial Sloan Kettering Cancer Center New York, New York

Meg A. rosenblatt, M.d., FASA

Uchenna Umeh, M.d.

Assistant Professor of Anesthesiology NYu-langone medical Center New York, New York

Professor of Anesthesiology and orthopaedics | Icahn School of medicine at mount Sinai | Chair, department of Anesthesiology | mount Sinai St. luke’s and West hospitals | New York, New York

Assistant Professor of Anesthesiology NYu-langone medical Center-hospital for Joint diseases | New York, New York

yan Lai, M.d., M.P.H., FASA

Leslie M. Sarraf, M.d.

Jan boublik, M.d., Ph.d.

Clinical Assistant Professor of Anesthesiology | Perioperative and Pain medicine | Stanford university Stanford, California

david L. Furgiuele, M.d.

Assistant Professor of Anesthesiology mount Sinai St. luke’s and West hospitals New York, New York

Sauni P. Perera, d.O.

Assistant Attending, Anesthesiologist memorial Sloan Kettering Cancer Center New York, New York

Lisa Warren, M.d. director, Ambulatory and regional Anesthesia | massachusetts General hospital | department of Anesthesia and Critical Care | boston, massachusetts

d I S C LO S U r E S : drs. birmingham, blessing, Furgiuele, li, marshall, Perera, Popovic, rosenblatt, Sarraf, Suresh, Tokita, umeh and Warren do not have any financial relationships to disclose. dr. Atchabahian receives consultant fees from b. braun medical, Inc. and Pacira Pharmaceuticals, Inc. he receives royalties from mcGraw-hill Companies. dr. boublik receives consultant fees from Pacira Pharmaceuticals, Inc. and honoraria from Avenue Therapeutics, Inc. dr. lai receives royalties from uptodate.com. dr. Neuburger receives consultant fees from medtronic, Inc. dr. Tedore’s spouse is a shareholder and sits on the board of TG Therapeutics.

46

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

W-07 Ultrasound Guided Injections in Chronic Pain Medicine MOCA®

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

Station I Head and Neck blocks Station II Thoracic and Truncal blocks Station III Musculoskeletal Injections

After completion of this session, the participant will be able to: m Understand the advantages of using ultrasound guidance to perform pain medicine procedures; m review indications and risks of ultrasound guided pain procedures;

WOrKSHOP MOdErATOrS:

yury Khelemsky, M.d.

m describe sono-anatomy of anatomic structures pertinent to pain procedures;

Assistant Professor of Anesthesiology Program director, Pain medicine Fellowship Icahn School of medicine at mount Sinai New York, New York and

Amaresh Vydyanathan, M.b., b.S. Assistant Professor of Anesthesiology and Pain medicine Co-director, regional Anesthesia and Acute Pain Fellowship montefiore medical Center bronx, New York

m List relevant equipment and medications required for ultrasound guided pain medicine procedures; m Perform ultrasonographic examination of relevant anatomy in human volunteers; m review needle technique relevant to each procedure, as well as other ergonomic considerations;

A S S I S T E d by:

m Evaluate economic considerations of utilizing an ultrasound in pain practice.

Jeffrey M. Ciccone, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

S A T U r d A y

Karina Gritsenko, M.d.

Program director, regional Anesthesia and Acute Pain medicine Fellowship director, regional Anesthesia and Acute Pain medicine resident rotations Associate Professor of Anesthesiology, Family & Social medicine and Physical medicine & rehabilitation montefiore medical Center/Albert einstein College of medicine bronx, New York

Amitabh Gulati, M.d., FIPP, CIPS Program director, Weill Cornell Pain medicine Fellowship Assistant Attending, director of Chronic Pain department of Anesthesiology and Critical Care memorial Sloan Kettering Cancer Center New York, New York

Jung H. Kim, M.d.

Assistant Professor of Anesthesiology and division of Pain medicine mount Sinai St. luke’s and West hospitals New York, New York

Anuj Malhotra, M.d.

Associate Pain Fellowship director Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

d I S C LO S U r E S : drs. Ciccone, Gritsenko, Gulati, Khelemsky, Kim, malhotra and Vydyanathan do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

47

W-08 difficult Airway Management: A Hands-On demonstration

MOCA®

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

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

m Perform an appropriate airway evaluation;

WOrKSHOP MOdErATOrS:

m Utilize numerous commercially available airway devices;

Allan P. reed, M.d.

Professor of Anesthesiology Icahn School of medicine at mount Sinai | New York, New York and

m Apply the ASA difficult Airway Practice Parameters in clinical scenarios.

Francis S. Stellaccio, M.d., FASA Associate Professor of Clinical Anesthesia SuNY-health Sciences Center at Stony brook | Stony brook, New York A S S I S T E d by:

S A T U r d A y

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

daniel J. Katz, M.d.

John M. Sconzo, M.d.

Assistant Professor of Anesthesiology, Perioperative & Pain medicine Icahn School of medicine at mount Sinai New York, New York

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Senior Anesthesiologist Warren Anesthesiologists, P.C. Glens Falls hospital Glens Falls, New York

Zana borovcanin, M.d.

Clinical Associate Professor of Anesthesiology | Chief, department of Anesthesiology | NYu-langone medical Center-hospital for Joint diseases New York, New York

Prithi P. Singh, M.d.

Steven M. Neustein, M.d.

Professor of Clinical Anesthesiology VP of medical Affairs and Associate Chief medical officer NewYork Presbyterian hospital New York, New York

Professor of Anesthesiology Chief, division of General Anesthesiology director, Advanced Airway management university of rochester School of medicine and dentistry rochester, New York

Levon M. Capan, M.d.

Professor of Anesthesia | NYu-langone medical Center | Associate director, Anesthesia | bellevue hospital Center New York, New York

Elvira Cho, M.d.

Staff Anesthesiologist | Interfaith medical Center | brooklyn, New York

Edmond Cohen, M.d.

Professor of Anesthesiology and Thoracic Surgery | Icahn School of medicine at mount Sinai | New York, New York

Thomas E. Corrado, M.d.

Assistant Professor of Anesthesiology SuNY-health Sciences Center at Stony brook | Stony brook, New York

barbara M. dilos, d.O. Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Cheryl K. Gooden, M.d., FAAP, FASA Associate Professor of Anesthesiology division of Pediatric Anesthesia Yale university School of medicine Yale-New haven hospital New haven, Connecticut

Lingqun Hu, M.d., F.A.M.E. Associate Professor of Anesthesiology Northwestern medicine - Feinberg School of medicine | Chicago, Illinois

Mitchell H. Marshall, M.d.

Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Slawomir P. Oleszak, M.d.

Associate Professor of Anesthesiology SuNY-health Sciences Center at Stony brook | Stony brook, New York

Anil Patel, M.b., b.S., FrCA Consultant, department of Anaesthesia royal National Throat Nose & ear hospital honorary Senior lecturer university College hospital-london london, united Kingdom President difficult Airway Society

ram roth, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Jon d. Samuels, M.d.

Assistant Professor of Clinical Anesthesiology | Joan and Sanford I. Weill medical College of Weill Cornell university | New York, New York

John J. Schaefer, III, M.d.

Professor of Anesthesia and Perioperative medicine | medical university of South Carolina | lewis W. haskell blackman endowed Chair | director, Clinical effectiveness and Patient Safety Center of excellence | healthCare Simulation of South Carolina Charleston, South Carolina

Associate Professor of Anesthesiology Icahn School of medicine at mount Sinai | New York, New York

ralph L. Slepian, M.d.

Natalie K. Smith, M.d.

Associate in Anesthesiology, Perioperative & Pain medicine Icahn School of medicine at mount Sinai | New York, New York

Vahe Tateosian, M.d.

Assistant Professor of Anesthesiology SuNY-health Sciences Center at Stony brook | Stony brook, New York

Sonia J. Vaida, M.d.

Professor of Anesthesiology, obstetrics & Gynecology | Vice-Chair, research director, obstetric Anesthesia Penn State College of medicine Penn State | milton S. hershey medical Center | hershey, Pennsylvania

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

SuNY distinguished Teaching Professor Professor of Anesthesiology and Vice-Chair (Administration/Special Projects) | Professor of Pharmacological Sciences | Professor of health Sciences SuNY-health Sciences Center at Stony brook | Stony brook, New York

Charles b. Watson, M.d., FCCM deputy Surgeon-in-Chief bridgeport hospital Yale-New haven health System bridgeport, Connecticut

d I S C LO S U r E S : drs. baron, borovcanin, Capan, Cho, Cohen, Corrado, dilos, Gooden, hu, Katz, marshall, Neustein, oleszak, reed, roth, Samuels, Schaefer, Sconzo, Singh, Slepian, Smith, Stellaccio, Tateosian, Vaida, Vitkun and Watson do not have any financial relationships to disclose. dr. Patel receives consultant fees from Fisher & Paykel healthcare.

48

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

W-09 Simulation Experience for the difficult Airway, Crisis Management and Team Training

MOCA®

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

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

m Apply skills of dynamic decisionmaking, resource management, leadership and teamwork to a crisis scenario in the Or;

WOrKSHOP MOdErATOrS:

Adam I. Levine, M.d.

Professor of Anesthesiology, otolaryngology, Structural and Chemical biology | Vice-Chair, education | Program director, residency Training | Program director, ASA endorsed helPS Simulation Program | department of Anesthesiology | Icahn School of medicine at mount Sinai | New York, New York and

m demonstrate communication and leadership skills in working with different personalities and behaviors during a crisis scenario.

Samuel deMaria, Jr., M.d.

Associate Professor of Anesthesiology | director, division of liver Transplantation | Assistant Program director for Academic Affairs, Anesthesiology residency Training Program | director of research, The mount Sinai helPS Center department of Anesthesiology | mount Sinai health System | New York, New York A S S I S T E d by:

Arna banerjee, M.b., b.S.

daniel J. Katz, M.d.

Anjan S. Shah, M.d.

Associate Professor of Anesthesiology, Critical Care, Surgery and medical education | director, Center for experiential learning and Assessment Nashville, Tennessee

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Fellow, Simulation education department of Anesthesiology, Pain and Perioperative medicine Icahn School of medicine at mount Sinai | New York, New York

Wendy K. bernstein, M.d., M.b.A., FASA Vice Chairman of education director of Simulation | Professor of Anesthesiology | university of rochester medical Center | rochester, New York

Kimberly r. blasius, M.d.

Assistant Professor Anesthesiology and Pediatrics | director, Pediatric Simulation, CAPSel department of Anesthesiology university of North Carolina hospital director, Perioperative Simulation, uNC Children’s university of North Carolina Children’s hospital Chapel hill, North Carolina

Garrett W. burnett, M.d. resident, department of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Jaime b. Hyman, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

benny L. Joyner, M.d., M.P.H., FCCM Associate Professor, Pediatric Critical Care medicine | departments of Pediatrics, Anesthesiology & Social medicine | Chief, division of Pediatric Critical Care medicine | Vice-Chair, hospital Inpatient Services, department of Pediatrics | university of North Carolina | Chapel hill, North Carolina

yury Khelemsky, M.d.

Assistant Professor of Anesthesiology Program director | Pain medicine Fellowship | Icahn School of medicine at mount Sinai | New York, New York

Alan J. Sim, M.d.

Instructor of Anesthesiology | Senior Associate | Consultant | mayo Clinic rochester, minnesota

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai | Assistant Program director for Clinical Affairs, resident Training Program | division of liver Transplantation | mount Sinai helPS Simulation Center | New York, New York

Katherine M. Loftus, M.d.

Laurence Torsher, M.d.

Lauren Licatino, M.d.

Instructor of Anesthesiology, Perioperative & Pain medicine Icahn School of medicine at mount Sinai New York, New York

bryan P. Mahoney, M.d., FASA Assistant Professor of Anesthesiology director, residency Training Program mount Sinai St. luke’s and West hospitals New York, New York

John P. rask, M.d., M.A., d.AbA, FASA

S A T U r d A y

Assistant Professor of Anesthesiology mayo Clinic | rochester, minnesota

Francine S. yudkowitz, M.d., FAAP, FASA Professor of Anesthesiology, Perioperative and Pain medicine, and Pediatrics Icahn School of medicine at mount Sinai | director, Pediatric Anesthesia Coordinator | Global health Initiatives The mount Sinai hospital New York, New York

director, uNm bATCAVe Simulation education Center | Associate Professor of Anesthesiology and Critical Care medicine | university of New mexico School of medicine | Albuquerque, New mexico

Andrew d. Schwartz, M.d.

Instructor of Anesthesiology | Icahn School of medicine at mount Sinai | Staff Anesthesiologist, James J. Peters VA medical Center | education director, helPS Simulation Center mount Sinai New York, New York

d I S C LO S U r E S : drs. banerjee, blasius, burnett, demaria, Joyner, Katz, Khelemsky, levine, licatino, loftus, mahoney, rask, Schwartz, Shah, Sim, Torsher and Yudkowitz do not have any financial relationships to disclose. dr. bernstein’s spouse receives a salary from managed markets at AstraZeneca. dr. hyman’s spouse receives funded research support from AstraZeneca, Puma biotechnology, Inc., loXo and consultant fees from Atara biotherapeutics, AstraZeneca, bayer AG, boehringer-Ingelheim, Chugai Pharma, CytomX Therapeutics, Genentech and Pfizer, Inc.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

49

New york State Conference for Anesthesiology residents and Fellows 07:30 - 18:30 • Empire Complex • 7th Floor

Looking to the Future: Pearls to Supplement your Training An opportunity for residents and fellows in anesthesiology to gain perspective on the future of the specialty. The program includes greetings from specialty leaders, interactive presentations, research and scholarly activity sharing, plus pertinent discussions, including practice models and contract negotiations.

S A T U r d A y

07:30 - 08:00

Continental breakfast Empire Complex | 7th Floor

08:00 - 11:00

Opening Ceremony broadway ballroom | 16th Floor

11:00 - 12:30

resident research Contest Presentations Columbia/duffy rooms | 7th Floor This unique program in continuing medical education, provides an opportunity to introduce the international anesthesia community to some of the brightest young researchers in the specialty. residents will orally summarize their work in a poster discussion format.

MOdErATOr:

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 r E S I d E N T r E S E A r C H CO N T E S T CO M M I T T E E : maria A. bustillo, m.d.

Jun lin, m.d., Ph.d.

Samuel demaria, Jr., m.d. ervant Nishanian, m.d., Ph.d.

Andrew Goldberg, m.d.

Arthur e. Schwartz, m.d.

Shaesta G. humayun, m.d.

Vandana Sharma, m.d., FASA Suzanne b. Karan, m.d., FASA Jing Song, m.d.

Kalpana Tyagaraj, m.d., FASA Stacey A. Watt, m.d., FASA menachem m. Weiner, m.d.

r-01 resident research Presenter

Packed red blood Cell Transfusion Associates with Acute Kidney Injury after Transcatheter Aortic Valve replacement PrESENTEr:

Akeel M. Merchant departments of Anesthesiology and Pain management, Internal medicine, Clinical Sciences, and Cardiovascular and Thoracic Surgery, and The Charles and Jane Pak Center for mineral metabolism and Clinical research and The mcdermott Center for human Growth and development, university of Texas Southwestern medical Center, dallas, Texas, department of Internal medicine, division of Nephrology, bone and mineral metabolism, university of Kentucky, lexington, Kentucky CO - AU T H O r S : Amanda A. Fox Sarah K. Gualano lynn C. huffman

50

michael e. Jessen dharam Kumbhani richard mills

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

Abu minhajuddin Javier A. Neyra lauren Wehrmann

www.pga.nyc

#pga72

r-02 resident research Presenter

A retrospective Analysis of Obstetric ICU Admissions reveals differences in Etiology for Admission based on Mode of Conception PrESENTEr:

diana N. romano departments of Anesthesiology and obstetrics, Gynecology, and reproductive medicine, Icahn School of medicine at mount Sinai, and Shaare Zedek medical Center Intensive Care unit and hebrew university Faculty of medicine, Jerusalem, Israel CO - AU T H O r S : Yaakov beilin Sharon einav

Jaime hyman Nakiyah Knibbs

daniel Katz ortal reznick

r-03 resident research Presenter

An Isoflurane Chitosan Nanoplex Formulation that decreases the Loss of Consciousness in Mice PrESENTEr:

Princeton bonsu department of Anesthesiology and The Institute for lasers | Photonics and biophotonics SuNY-university at buffalo | buffalo, New York CO - AU T H O r S : bruce A. davidson Paul r. Knight, III

hilliard l. Kutscher

Paras N. Prasad

S A T U r d A y

r-04 resident research Presenter

The Effect of Obstructive Sleep Apnea on reAdmissions and Atrial Fibrillation After Cardiac Surgery PrESENTEr:

T. robert Feng departments of Anesthesiology and healthcare Policy and research Weill Cornell medical College | New York, New York CO - AU T H O r S : Gulce Askin

Kane Pryor

robert S. White

r-05 resident research Presenter

Cardioprotection by Humoral Factors released After remote Ischemic Preconditioning depends on Anesthetic regimen PrESENTEr:

Sebastian bunte department of Anesthesiology, university hospital at duesseldorf, duesseldorf, Germany; Institute of Cardiovascular Physiology, heinrich-heine university at duesseldorf, duesseldorf, Germany; department of Anesthesiology, laboratory of experimental Intensive Care and Anesthesiology (l.e.I.C.A.), Academic medical Center (AmC), university of Amsterdam, Amsterdam, The Netherlands CO - AU T H O r S : Friederike behmenburg Franziska eckelskemper André heinen

2018 | PGA72 Program

markus W. hollmann ragnar huhn Felix mohr

SPONSOrEd by:

martin Stroethoff Annika raupach

The New york State Society of Anesthesiologists, Inc.

51

r-06 resident research Presenter

Unplanned Postoperative Intubation in Infant Surgical Patients: Multivariable Predictors and Associated Mortality PrESENTEr:

Lisa d. Eisler department of Anesthesiology Columbia university Irving medical Center New York, New York CO - AU T H O r S : Guohua li minjae Kim

S A T U r d A y

may hua

lena Sun

11:00 - 12:30

NySCArF Poster Presentations Empire Complex | 7th Floor

11:00 - 11:30

General Poster Session Astor ballroom | 7th Floor

12:30 - 13:30

Lunch and remarks from ASA Leadership Sky Lobby | 16th Floor Linda J. Mason, M.d., FASA President elect, American Society of Anesthesiologists Professor of Anesthesiology and Pediatrics loma linda university School of medicine loma linda, California and

Mary dale Peterson, M.d., MSHCA, FASA, FACHE Ceo, driscoll Children’s health Plan VP, driscoll Children’s hospital Corpus Christi, Texas

13:30 - 16:30

16:30 - 18:30

Educational Sessions Empire Complex | 7th Floor m regional Anesthesia Workshop m Practice Management Panel m Finance m Advocacy m Career Path Happy Hour Sky Lobby | 16th Floor An opportunity to network with your peers and various industry vendors.

52

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

PGA72

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

S A T U r d A y

Enjoy…

Coffee on broadway accompanied by a compilation of New York’s Greatest Tunes

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

53

SP-09 34th Annual r.W. robertazzi Memorial Panel 08:30 - 11:00 • broadway ballroom • 6th Floor

1912-1971

S A T U r d A y

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.

debating the Issues of the day MOdErATOr:

Scott b. Groudine, M.d.

Professor of Anesthesiology and Surgery Albany medical College Albany, New York FACULTy PrESENTATIONS:

Opioid Free Anesthesia: Here to Stay or Passing Fad

After completion of this session, the participant will be able to: m discuss the advantages and disadvantages of perioperative opiate use; m Identify alternatives to opiate analgesia; m Formulate a multimodal approach to perioperative analgesia.

Here to Stay Mark J. Lema, M.d., Ph.d.

Professor and Chair | department of Anesthesiology SuNY-buffalo School of medicine and biomedical Sciences Chair, department of Anesthesiology | roswell Park Cancer Institute | buffalo, New York

Passing Fad Christopher G. Gharibo, M.d.

Associate Professor of Anesthesiology | NYu-langone medical Center | medical director, Pain medicine NYu-langone medical Center-hospital for Joint diseases | New York, New York

Should the duration of Anesthesiology residency Training be Lengthened?

Pro david L. reich, M.d.

President and Coo | The mount Sinai hospital | horace W. Goldsmith Professor of Anesthesiology Icahn School of medicine at mount Sinai | New York, New York

Con Arup de, M.d., M.b.A. Vice Chairman Anesthesia Systems Integration | Albany medical Center | Albany, New York

d I S C LO S U r E S : drs. de, lema and reich do not have any financial relationships to disclose. dr. Gharibo is on the speaker’s bureau and receives consultant fees from PerNIX Therapeutics, depomed, Inc., dSI Anesthesia, PllC, recro Pharma, Inc. (rePh) and Trevena, Inc. dr. Groudine is on the speakers’ bureau for merck & Co., Inc.

54

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

MW-13 Point of Service Transthoracic Echocardiography (TTE) 11:45 - 12:45 • Odets room • 4th Floor SPEAKErS:

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 Identify hypokinesis and akinesis of the myocardium.

Stephen C. Haskins, M.d.

Clinical Assistant Professor of Anesthesiology | Cornell university, Weill Cornell medical College | Assistant Attending Anesthesiologist hospital for Special Surgery | New York, New York and

Oliver P. F. Panzer, M.d.

Associate Professor of Anesthesiology director, Perioperative ultrasound education division of Critical Care & regional Anesthesia Columbia university, College of Physicians & Surgeons New York, New York

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

MW-14 The Pregnant Patient for Non-Obstetric Surgery 11:45 - 12:45 • Wilder room • 4th Floor SPEAKEr:

m Identify the risk factors associated with surgery during pregnancy; m Enumerate the qualifiable rate of miscarriage; m delineate the critical time periods for organogenesis during pregnancy.

daniel J. Katz, M.d.

S A T U r d A y

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai | New York, New York

MW-15 difficult Cases in Pain Medicine: Problems and Solutions 11:45 - 12:45 • Ziegfeld room • 4th Floor

After completion of this session, the participant will be able to: m delineate which pain syndromes are very difficult to effectively treat; m delineate the effect of the FdA mandated rEMS program on opiate prescribing; m delineate which patients are most appropriate for a multi-disciplinary approach.

SPEAKEr:

Kristoffer Padjen, M.d., Ph.d.

Assistant Professor of Anesthesiology, Perioperative Care, and Pain medicine | NYu-langone medical Center | New York, New York

MW-16 Problems in Officebased Surgery Patients 11:45 - 13:00 • O’Neill room • 4th Floor SPEAKEr:

Clifford M. Gevirtz, M.d., M.P.H. medical director | Somnia Pain management | New York, New York

After completion of this session, the participant will be able to: m delineate three conditions which contraindicate anesthesia in the office; m delineate the three most common causes of hospital admission from an office-based anesthetic; m define the role of capnography in sedation cases.

d I S C LO S U r E : drs. Gevirtz, Katz, Padjen and Panzer do not have any financial relationships to disclose. dr. haskins receives honoraria and travel reimbursement from FujiFilm Sonosite to teach Point-of-Care ultrasound.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

55

PbL-17 Emergency Management of Severe brain Injury 11:45 - 12:45 • Soho room • 7th Floor SPEAKErS:

Fenghua Li, M.d.

Associate Professor of Anesthesiology upstate medical university | Syracuse, New York and

Staffan b. Wahlander, M.d. retired Anesthesiologist | New York, New York

S A T U r d A y

PbL-18 Accidental Subdural block, a rare Complication from Labor Epidural Anesthesia 11:45 - 12:45 • Herald room • 7th Floor SPEAKEr: Jing Song, M.d.

Associate Professor Anesthesiology | director of International resident & Fellow exchange Program | montefiore medical Center | director, research & Clinical Fellowship Program, China division of einstein Global health Institute | Albert einstein College of medicine | bronx, New York

PbL-19 Hold the ACE or Arb? Perioperative Management of Antihypertensives 11:45 - 12:45 • Gramercy room • 7th Floor SPEAKEr: Marjorie S. Gloff, M.d.

Assistant Professor of Anesthesiology | Assistant director, Center for Perioperative medicine | Assistant Anesthesiology residency Program director | department of Anesthesiology | university of rochester School of medicine and dentistry | rochester, New York

PbL-20 Management of a Parturient with Congenital Heart disease 11:45 - 12:45 • Olmstead room • 7th Floor SPEAKErS:

Meghann M. Fitzgerald, M.d. | Assistant Professor of Anesthesiology Interim Chief, Cardiac Anesthesiology NewYork Presbyterian hospital Cornell university, Weill Cornell medical College | New York, New York and Nathan Liu, M.d. | Instructor in Anesthesiology | NewYork Presbyterian hospital | New York, New York

After completion of this session, the participant will be able to: m Manage increased intracranial pressure; (ICP); m discuss controversies that may arise regarding hyperventilation, blood pressure management, osmotherapy, barbiturates and chemical paralysis; m Employ emergency anesthetic management of airways, fluid resuscitation balance and effects of anesthetics/muscle relaxants on ICP in severe traumatic brain injury.

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.

After completion of this session, the participant will be able to: m Identify the pro and con data regarding perioperative betablockade and perioperative outcomes; m Understand the physiology behind the beneficial and adverse effects of perioperative beta-blockade use; m Formulate evidence-based guidelines for perioperative betablockers.

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 regency, labor and delivery on the baseline physiology; m Formulate an anesthetic plan to care for these patients in the peripartum period.

d I S C LO S U r E S : drs. Fitzgerald, Gloff, li, liu, Song and Wahlander do not have any financial relationships to disclose.

56

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

PbL-21 Torsade After Hysterectomy: The Impact of Prolonged QT on Antiemesis Guidelines 11:45 - 12:45 • Shubert room • 6th Floor SPEAKEr: Anuj Malhotra, M.d.

Associate Pain Fellowship director | Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai | New York, New York

PbL-22 Coagulopathic Parturient refuses General Anesthesia for Cesarean delivery: Is regional Acceptable?

11:45 - 12:45 • Uris room • 6th Floor SPEAKEr: roulhac d. Toledano, M.d., Ph.d.

Clinical Associate Professor of Anesthesiology, Perioperative Care and Pain medicine | director, obstetric Anesthesia NYu-langone hospital - brooklyn | brooklyn, New York

PbL-23 Cardiac Arrest After Interscalene block: Treatment Guidelines 11:45 - 12:45 • Plymouth room • 6th Floor SPEAKEr: Melinda A. Aquino, M.d.

Assistant Professor of Anesthesiology, Pain medicine and regional Anesthesia | Albert einstein College of medicine | Chair, Ad hoc Committee on Women Physicians | Second Assistant Secretary, NYSSA bronx, New York

PbL-24 The diagnosis and Management of a Malignant Hyperthermic reaction 11:45 - 12:45 • royale room • 6th Floor SPEAKErS:

Adam d. Lichtman, M.d., FASE | Captain, medical Corps united States Navy | director, Surgical Services, operational health Support unit Naval medical Center, Portsmouth | Associate Professor of Anesthesiology division of Cardiothoracic Anesthesiology | Cornell university, Weill Cornell medical College | New York, New York and Janine Limoncelli, M.d. | Assistant Professor of Anesthesiology director, Anesthesiology for dhK Ambulatory Surgery operating rooms NewYork Presbyterian | Cornell university, Weill Cornell medical College Vice-Chair, Ad hoc Committee on Women Physicians | New York, New York

After completion of this session, the participant will be able to: m review the mechanism of action of antiemetic medications; m Identify potential side effects and complications from antiemetic medications; m Formulate a comprehensive plan to limit postoperative nausea and vomiting.

After completion of this session, the participant will be able to: m discuss the dilemma when patient wishes conflict with standard medical practice; m List conditions that predispose a parturient to disseminated intravascular coagulation (dIC); m Identify the risks and benefits of neuraxial blockade in this obstetric emergency; m discuss risks and benefits of general anesthesia for cesarean delivery in this patient; m devise a treatment plan for the patient with peripartum hemorrhage complicated by dIC.

S A T U r d A y

After completion of this session, the participant will be able to: m recognize the complications of regional anesthesia for shoulder surgery; m Formulate a plan to treat cardiac toxicity due to local anesthetic.

After completion of this session, the participant will be able to: m Identify patients at risk for malignant hyperthermia; m recognize the signs of malignant hyperthermia; m Formulate and execute an anesthetic plan for a malignant hyperthermia susceptible individual.

d I S C LO S U r E S : drs. Aquino, lichtman, limoncelli, malhotra and Toledano do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

57

W-10 Focused Echocardiographic Evaluation in Life Support (FEEL) 12:00 - 15:00 • Majestic Complex • 6th Floor WOrKSHOP MOdErATOr:

Nibras bughrara, M.d.

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

director, Adult Critical Care division | director, Adult Critical Care echo Program | Assistant Professor of Anesthesiology and Surgery Albany medical Center | Albany, New York and

m Learn how Transthoracic echocardiography can be added to the care of patients in cardiac arrest; m Understand importance of synchronizing with pulse checks and limiting the no-flow intervals in CPr;

Adam I. Levine, M.d.

S A T U r d A y

m Learn about differentiation of PEA and Pseudo PEA with transthoracic imaging, and how to identify early return of spontaneous circulation;

Professor of Anesthesiology, otolaryngology, Structural and Chemical biology | Vice-Chair, education | Program director, residency Training | Program director, ASA endorsed helPS Simulation Program | department of Anesthesiology | Icahn School of medicine at mount Sinai | New York, New York and

Aliaksei Pustavoitau, M.d., M.H.S. Assistant Professor of Anesthesiology and Critical Care medicine | director, Perioperative ultrasound Program | medical director, respiratory Care Services | Co-director, liver Transplant Anesthesia Fellowship | department of Anesthesiology and Critical Care medicine Johns hopkins university School of medicine baltimore, maryland

m Learn to 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 in your patients; m Obtain skills in how to acquire high-quality subcostal images in a time efficient manner through coached practice on live models; m Learn about the limitations/risks of use of focused echo in cardiac arrest; m Practice and discuss incorporation of focused echo in cardiac arrest in team-based simulation with focus on closed loop communication.

A S S I S T E d by:

Stephanie Cha, M.d.

daniel J. Katz, M.d.

radwan N. Safa, M.d., Ph.d.

Assistant Professor of Anesthesiology and Critical Care medicine | Johns hopkins university School of medicine baltimore, maryland

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Assistant Professor of Anesthesiology Albany medical Center | Albany, New York

bryan P. Mahoney, M.d., FASA

Samuel deMaria, Jr., M.d.

Assistant Professor of Anesthesiology director, residency Training Program mount Sinai St. luke’s and West hospitals New York, New York

Fellow, Simulation education department of Anesthesiology, Pain and Perioperative medicine | Icahn School of medicine at mount Sinai | New York, New York

Associate Professor of Anesthesiology director, division of liver Transplantation Assistant Program director for Academic Affairs, Anesthesiology residency Training Program | director of research, The mount Sinai helPS Center department of Anesthesiology mount Sinai health System New York, New York

Mark P. Hamlin, M.d., M.S., FCCM Professor of Anesthesiology and Surgery Vice Chair for Clinical Affairs and director of Quality and Safety department of Anesthesiology | larner College of medicine at the university of Vermont medical director of respiratory Care Services | university of Vermont medical Center | burlington, Vermont

Stephen C. Haskins, M.d.

Clinical Assistant Professor of Anesthesiology | Cornell university, Weill Cornell medical College | Assistant Attending Anesthesiologist hospital for Special Surgery New York, New York

Sridhar Musuku, M.d., FrCA Assistant Professor of Anesthesiology department of Anesthesiology and Critical Care medicine | Albany medical College | Albany, New York

James A. Osorio, M.d.

Assistant Professor of Clinical Anesthesiology | Cornell university, Weill Cornell medical Center | Program director, Critical Care medicine department of Anesthesiology NewYork Presbyterian hospital New York, New York

Oliver P. F. Panzer, M.d.

Associate Professor of Anesthesiology director, Perioperative ultrasound education | division of Critical Care & regional Anesthesia | Columbia university, College of Physicians & Surgeons | New York, New York

Anjan S. Shah, M.d.

Eric r. Silverman, M.d.

Assistant Professor of Anesthesiology department of Anesthesiology and Critical Care medicine | Albany medical College Albany, New York

Natalie K. Smith, M.d.

Associate Professor in Anesthesiology, Perioperative & Pain medicine Icahn School of medicine at mount Sinai New York, New York

brandon J. Smoller, M.d.

Assistant Professor of Anesthesiology university memorial medical Center Worcester, massachusetts

douglas S. Wetmore, M.d.

Assistant Attending Anesthesiologist hospital for Special Surgery New York, New York

rodrigo rivas, M.d.

Assistant Professor of Anesthesiology Clinica las Condes | Santiago, Chile

d I S C LO S U r E S : drs. bughrara, Cha, demaria, hamlin, Katz, levine, mahoney, musuku, osorio, Panzer, Pustavoitau, rivas, Safa, Shah, Silverman, Smith, Smoller and Wetmore do not have any financial relationships to disclose. dr. haskins receives honoraria and travel reimbursement from FujiFilm Sonosite to teach Point-of-Care ultrasound.

58

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-10 Enhanced recovery After Surgery 13:00 - 15:30 • North ballroom • 6th Floor MOdErATOr:

Christopher Troianos, M.d., FASE Professor and Chair Cleveland Clinic lerner College of medicine Cleveland, ohio President, Society of Cardiovascular Anesthesiologists

After completion of this session, the participant will be able to: m describe the elements of an enhanced recovery after surgery (ErAS) program; m Elucidate components of successful ErAS protocols for patients undergoing cardiac, breast, otolaryngolic and general surgical procedures; m determine what components may be able to be integrated into their institutions.

S A T U r d A y

FACULTy PrESENTATIONS:

ErAS for Cardiac Surgery Christopher Troianos, M.d., FASE

ErAS for GI Surgery Steven b. Schulman, M.d., M.H.A., FASA Attending Anesthesiologist St. Francis hospital/Catholic health Services roslyn, New York

ErAS for breast Surgery Anoushka M. Afonso, M.d., FASA Assistant Attending Anesthesiologist memorial Sloan Kettering Cancer Center New York, New York

ErAS for ENT Surgery Samuel deMaria, Jr., M.d.

Associate Professor of Anesthesiology director, division of liver Transplantation Assistant Program director for Academic Affairs, Anesthesiology residency Training Program director of research, The mount Sinai helPS Center department of Anesthesiology mount Sinai health System New York, New York

d I S C LO S U r E S : drs. Afonso, demaria, Schulman and Troianos do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

59

SP-11 Postoperative delirium: be Afraid of Confusion 13:00 - 15:30 • South ballroom • 6th Floor MOdErATOr:

Gregory J. Crosby, M.d.

Associate Professor of Anaesthesia harvard medical School boston, massachusetts

After completion of this session, the participant will be able to: m Explain delirium—what it is, how to recognize it, and why it is ominous; m describe how geriatric-focused preoperative screening can help identify patients vulnerable to developing delirium;

S A T U r d A y

m describe how intraoperative physiology can influence risk of postoperative delirium; m Explain the role of anesthetic choice and depth in development of postoperative delirium.

FACULTy PrESENTATIONS:

delirium: What Is It besides Annoying? robert A. Whittington, M.d.

Professor of Anesthesiology Vice Chair for Faculty development Assistant dean for Faculty development Columbia university, College of Physicians & Surgeons New York, New York

Who’s at risk and How Can you Tell?

Gregory J. Crosby, M.d.

Intraop Medications and Physiology for delirium Prevention Stacie G. deiner, M.d.

Associate Professor of Anesthesiology, Neurosurgery, Geriatrics and Palliative Care Icahn School of medicine at mount Sinai New York, New York

Anesthetic depth and delirium Miles berger, M.d.

Assistant Professor of Anesthesiology Affiliate Faculty, Center for Cognitive Neuroscience duke university School of medicine durham, North Carolina

d I S C LO S U r E S : drs. Crosby, deiner and Whittington do not have any financial relationships to disclose. dr. berger received material support from masimo Corporation.

60

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-12 Current Controversies and dilemmas in Pediatric Patients 13:00 - 15:30 • Astor ballroom • 7th Floor MOdErATOr:

Jerrold Lerman, M.d., FrCPC, FANZCA Clinical Professor of Anesthesiology Children’s hospital of buffalo buffalo, New York Clinical Professor of Anesthesiology university of rochester School of medicine and dentistry rochester, New York

After completion of this session, the participant will be able to: m Formulate an anesthetic plan to mitigate the risk of emergence delirium; m describe the anesthetic management of a patient with bronchopulmonary dysplasia; m Explain the risk of neurotoxicity and general anesthesia in infants and children; m discuss optimal airway skills in infants.

FACULTy PrESENTATIONS:

Challenging respiratory Illnesses

S A T U r d A y

Linda J. Mason, M.d., FASA Professor of Anesthesiology and Pediatrics loma linda university School of medicine loma linda, California

PACU Challenges Francine S. yudkowitz, M.d., FAAP, FASA Professor of Anesthesiology, Perioperative and Pain medicine, and Pediatrics Icahn School of medicine at mount Sinai director, Pediatric Anesthesia Coordinator Global health Initiatives The mount Sinai hospital New York, New York

What Keeps Parents Up at Night?

Lynne r. Ferrari, M.d. division Chief, Perioperative Anesthesia Senior Associate in Perioperative Anesthesia medical director, Perioperative Services and operating room boston Children’s hospital Associate Professor of Anaesthesia harvard medical School boston, massachusetts

but That Is What I Was Taught!

Jerrold Lerman, M.d., FrCPC, FANZCA

d I S C LO S U r E S : drs. Ferrari, mason and Yudkowitz do not have any financial relationships to disclose. dr. lerman is a shareholder with linshom management, llC.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

61

SP-13 ASA Panel: The ASA response to the Top Patient Safety Issues

MOCA®

13:00 - 15:30 • Manhattan ballroom • 8th Floor MOdErATOr:

James d. Grant, M.d., M.b.A., FASA Chair, department of Anesthesiology beaumont hospital-royal oak royal oak, michigan

After completion of this session, the participant will be able to: m describe the current guidelines for sedation in children; and how you can advocate for safe dental care; m recognize the safety concerns associated with procedural sedation by non-anesthetists, and learn how ASA is leading to make sedation safer;

S A T U r d A y

m review the current opiate crisis in the United States; and the demographic of the patient population; m Evaluate anesthetic techniques that can be used to minimize opiate exposure; m describe regulatory and Accreditation Patient Safety priorities; m Identify local anesthesiology department and practice level responses.

FACULTy PrESENTATIONS:

Is the Perioperative Surgical Home a Solution to the Opioid Crisis? ronald L. Harter, M.d., FASA Jay J. Jacoby, m.d., Ph.d., Professor and Chair department of Anesthesiology Wexner medical Center at The ohio State university Columbus, ohio

deaths of Healthy Children Having dental Procedures: When Will It End? Mary dale Peterson, M.d., MSHCA, FASA, FACHE Ceo, driscoll Children’s health Plan VP, driscoll Children’s hospital Corpus Christi, Texas

Safety Challenges in Procedural Sedation beverly K. Philip, M.d., FACA, FASA Vice-President for Scientific Affairs American Society of Anesthesiologists Professor of Anaesthesia harvard medical School Founding director, day Surgery unit brigham and Women’s hospital boston, massachusetts

Patient Safety Imperatives: regulatory Perspectives donald E. Arnold, M.d., FASA Attending Anesthesiologist Western Anesthesiology Associates, Inc. mercy hospital St. louis, missouri

d I S C LO S U r E S : drs. Arnold, Grant, harter, Peterson and Philip do not have any financial relationships to disclose.

62

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

FS-09 Surgery/Anesthesia in the Elderly is Associated with Postoperative Cognitive decline: Pro/Con 15:45 - 17:00 • Odets room • 4th Floor

After completion of this session, the participant will be able to: m Critically evaluate current literature on postoperative cognitive dysfunction (POCd); m Identify factors leading to POCd;

MOdErATOr:

m discuss the clinical significance of POCd.

Ansgar M. brambrink, M.d., Ph.d. e.m. Papper Professor and Chair | department of Anesthesiology Columbia university College of Physicians & Surgeons | New York, New York FAC U LT y P r E S E N TAT I O N S :

Pro

Con

Gregory J. Crosby, M.d.

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

Associate Professor of Anaesthesia harvard medical School boston, massachusetts

Professor and Chair | department of Anesthesiology Chair, Perioperative Services Committee rutgers New Jersey medical School | Newark, New Jersey

FS-10 MACrA, MIPS, Measures and Money 15:45 - 17:00 • Wilder room • 4th Floor MOdErATOr:

S A T U r d A y

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

robert S. Lagasse, M.d.

Professor and Vice-Chair Quality management and regulatory Affairs department of Anesthesiology Yale university School of medicine New haven, Connecticut

m describe the various new payment systems currently in practice; m Adjust their practices to comply with the four new payment systems.

FACULTy PrESENTATIONS:

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 Vice-President for Scientific Affairs American Society of Anesthesiologists Professor of Anaesthesia harvard medical School Founding director, day Surgery unit brigham and Women’s hospital boston, massachusetts

d I S C LO S U r E S : drs. bekker, Crosby, lagasse and Philip do not have any financial relationships to disclose. dr. brambrink receives royalties from oregon health Sciences university.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

63

FS-11 Insights into the Legal Process and Malpractice Claims 15:45 - 17:00 • Ziegfeld room • 4th Floor

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

MOdErATOr:

m Understand the top claims against anesthesiologists;

Scott b. Groudine, M.d.

Professor of Anesthesiology and Surgery Albany medical Center Albany, New York

m describe key areas of risk in anesthesiology that can result in malpractice claims;

FACULTy PrESENTATIONS:

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

Top Claims Against Anesthesiologists: A data Analysis

m develop strategies to reduce liability exposure and potential claims.

Michael J. Schoppmann, Esq.

S A T U r d A y

President, medical liability mutual Insurance Company (mlmIC) New York, New York

The role and responsibilities of being a Medical Malpractice Expert Scott b. Groudine, M.d.

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

FS-12 “Hot” Topics in Pain Management

m Identify the problems with opioid use in the management of acute pain;

15:45 - 17:00 • Astor ballroom • 7th Floor

m develop treatment plans for acute pain minimizing opioid use;

MOdErATOr:

m describe and implement treatment strategies for acute pain avoiding the use of opioids.

Eric S. Schwenk, M.d., FASA Associate Professor of Anesthesiology director of orthopedic Anesthesia department of Anesthesiology Sidney Kimmel medical College at Thomas Jefferson university Philadelphia, Pennsylvania FACULTy PrESENTATIONS:

Alternatives to Opioids in Acute Pain Eric S. Schwenk, M.d., FASA

Opioid reduction Strategies in Acute Pain: Non-opioids and beyond Kristoffer Padjen, M.d., Ph.d.

Assistant Professor of Anesthesiology, Perioperative Care, and Pain medicine NYu-langone medical Center New York, New York

d I S C LO S U r E S : dr. Padjen and mr. Schoppmann do not have any financial relationships to disclose. dr. Groudine is on the speakers’ bureau for merck & Co., Inc. dr. Schwenk receives consultant fees from Avenue Therapeutics.

64

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

FS-13 Women in Anesthesiology: How to Achieve Professional and Personal Success in the Workplace 15:45 - 17:00 • Marquis ballroom • 9th Floor Innovative, informative and interactive panel featuring women leaders in anesthesiology discussing varied topics including ascending in the academic world, managing private practice and family, advocating for yourself, engaging in research, how to participate in the political arena, and more.

MOdErATOrS:

Melinda A. Aquino, M.d.

Assistant Professor of Anesthesiology, Pain medicine and regional Anesthesia Albert einstein College of medicine Chair, Ad hoc Committee on Women Physicians Second Assistant Secretary, NYSSA bronx, New York and

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

Janine Limoncelli, M.d.

Assistant Professor of Anesthesiology director, Anesthesiology for dhK Ambulatory Surgery operating rooms NewYork Presbyterian Cornell university, Weill Cornell medical College Vice-Chair, Ad hoc Committee on Women Physicians New York, New York

m Successfully navigate the academic workplace and the challenges of work-life balance in academia; m Understand how to develop and be successful in research;

S A T U r d A y

m Successfully navigate the challenges of private practice and family life;

FACULTy PrESENTATIONS:

rose berkun, M.d., FASA

m Understand the issues of advocacy in anesthesiology and achieve active involvement in advocacy;

Assistant Professor of Anesthesiology Kaleida health buffalo General hospital buffalo, New York

m Follow pathway to promotions and leadership roles in your career.

Stacie G. deiner, M.d.

Associate Professor of Anesthesiology, Neurosurgery, Geriatrics and Palliative Care Icahn School of medicine at mount Sinai New York, New York

Ellise S. delphin, M.d.

Francis F. Foldes Professor and Chair department of Anesthesiology montefiore medical Center Albert einstein College of medicine bronx, New York

Vilma A. Joseph, M.d., M.P.H., FASA Associate Professor of Clinical Anesthesiology montefiore medical Center Albert einstein College of medicine bronx, New York

Meg A. rosenblatt, M.d., FASA Professor of Anesthesiology and orthopaedics Icahn School of medicine at mount Sinai Chair, department of Anesthesiology, Perioperative and Pain medicine mount Sinai St. luke’s and West hospitals New York, New York

d I S C LO S U r E S : drs. Aquino, berkun, deiner, delphin, Joseph, limoncelli and rosenblatt do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

65

FS-14 Anesthesia and the developing brain: do Anesthetics really Harm After completion of this session, Children? Animal vs. the the participant will be able to: Human Evidence m discuss the animal data 15:45 - 17:00 • Manhattan ballroom • 8th Floor MOdErATOr:

Jerrold Lerman, M.d., FrCPC, FANZCA Clinical Professor of Anesthesiology Children’s hospital of buffalo buffalo, New York Clinical Professor of Anesthesiology university of rochester School of medicine and dentistry rochester, New York

S A T U r d A y

FACULTy PrESENTATIONS:

Human Evidence Jerrold Lerman, M.d., FrCPC, FANZCA

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.

Sulpicio G. Soriano, III, M.d., FAAP, FASA Professor and endowed Chair in Pediatric Neuroanesthesia boston Children’s hospital boston, massachusetts

FS-15 The Anesthesia Work Station and Safety Issues: Are Our Patients Safer?

MOCA®

15:45 - 17:00 • O’Neill room • 4th Floor MOdErATOr:

James b. Eisenkraft, M.d.

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

Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

m discuss advantages and disadvantages of the new anesthesia machines;

FACULTy PrESENTATIONS:

m discuss the new development in monitoring;

Machine Safety James b. Eisenkraft, M.d.

Intelligent Monitors Patrick J. McCormick, M.d., MEng Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

m discuss equipment safety issues in anesthesia practice; m develop a plan to safely integrate the new anesthesia machines and intelligent monitors into their practice; m describe the limitations of modern anesthesia machines and intelligent monitors, and apply this knowledge to their practice.

d I S C LO S U r E S : drs. eisenkraft, mcCormick and Soriano do not have any financial relationships to disclose. dr. lerman is a shareholder with linshom management, llC.

66

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

PbL-25 Can I Prevent Persistent Postsurgical Pain?

15:45 - 17:00 • Soho room • 7th Floor SPEAKEr:

Anis dizdarevic, M.d.

Assistant Professor of Anesthesiology and Pain management Columbia university, College of Physicians & Surgeons New York, New York

PbL-26 Methadone and Ketamine: New Uses for Old Medications

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.

15:45 - 17:00 • Herald room • 4th Floor After completion of this session, the participant will be able to:

SPEAKEr:

Michael A. Akerman, M.d.

m review the use of several narcotic analgesics during major spine surgery;

Assistant Professor of Anesthesiology Weill Cornell medicine New York, New York

PbL-27 The Pediatric difficult Airway: No Larynx in View, Now What do I do?

15:45 - 17:00 • Gramercy room • 7th Floor

After completion of this session, the participant will be able to: m Identify criteria for difficult intubation in the pediatric age group;

SPEAKErS:

Aarti Sharma, M.d.

Associate Professor, Clinical Anesthesiology Associate director, Pediatric Anesthesia NewYork Presbyterian hospital New York, New York and

m describe technologies available for difficult intubation in the pediatric age group; m Formulate management strategies for difficult intubation in the pediatric age group.

Gordana Stjepanovic, M.d. director, division of Pediatric Anesthesiology Assistant Professor of Anesthesiology NYu-langone medical Center New York, New York

PbL-28 Torn ACL: Managing the Orthopedic Patient without Opioids 15:45 - 17:00 • Olmstead room • 7th Floor

After completion of this session, the participant will be able to: m Identify general risk factors for the development of opioid addiction; m discuss individual and social attributes that increase the risk of addiction in young athletes after injury; m recognize the potential role of acupuncture and trigger point injections in addition to non-opioid medications in treating the pain of an acute injury;

SPEAKErS:

Jeffrey M. Ciccone, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

d I S C LO S U r E S : drs. Akerman, Ciccone, dizdarevic, Sharma and Stjepanovic do not have any financial relationships to disclose.

2018 | PGA72 Program

m develop a patient care plan which incorporates the need for postoperative pain management in the intraoperative plan.

S A T U r d A y

SPONSOrEd by:

m Formulate a plan to treat the athlete with an acute injury that does not include opioid medication.

The New york State Society of Anesthesiologists, Inc.

67

PBL-29 Inadequate Spinal Anesthesia for C-Section (Now What Do I Do?!): Mechanisms, Management and Prevention

After completion of this session, the participant will be able to: m Describe local-anesthetic maldistribution due to natural variations in CSF flow and anatomy; m Develop an anesthetic plan to manage the patient with a “failed spinal” for Cesarean Section.

15:45 - 17:00 • Shubert Room • 6th Floor SPeAkeR:

ellen J. Brand, M.D. Assistant Clinical Professor | New York Medical College | Valhalla, New York | Medical Director, Obstetric Anesthesia | Danbury Hospital | Danbury, Connecticut

S A T U R D A Y

PBL-30 An ASA Physical Status IV Patient for the Ambulatory Surgery Center

After completion of this session, the participant will be able to: m Identify appropriate patients for care at an Ambulatory Surgical Center (ASC); m Select surgical procedures that may be accomplished in ASA 4 patients in an ASC setting; m Implement a protocol to identify and safely manage ASA4 patient in an ASC.

15:45 - 17:00 • Uris Room • 6th Floor SPeAkeR:

Stephen D. Boggs, M.D., FASA, M.B.A. Professor and Chair (Interim) | Department of Anesthesiology University of Tennessee College of Medicine | Memphis, Tennessee

PBL-31 Approaching the Impaired Colleague 15:45 - 17:00 • Plymouth Room • 6th Floor SPeAkeR:

Stacey A. Watt, M.D., FASA Associate Professor of Anesthesiology | University of Buffalo Program Director, Pediatric Anesthesiology Fellowship Women and Children’s Hospital of Buffalo | Buffalo, New York

PBL-32 Anaphylaxis in the Operating Room 15:45 - 17:00 • Royale Room • 6th Floor SPeAkeRS:

Todd J. Liu, M.D. Attending Anesthesiologist Memorial Sloan Kettering Cancer Center | New York, New York and

Venkata Sampathi, M.B., B.S.

After completion of this session, the participant will be able to: m Define addiction, abuse, dependence, impairment, recovery, relapse and treatment; m Recognize signs and symptoms of addiction in anesthesiologists; m Plan and explain the process of intervention with an impaired colleague; m Outline the process of treatment for an addicted anesthesiologist; m Outline the process for re-entry into practice; m Discuss the incidence and signs of relapse in a recovering anesthesiologist.

After completion of this session, the participant will be able to: m Identify the differential diagnosis of post induction, pre-incision cardiovascular collapse; m Recognize the signs and symptoms of anaphylaxis under general anesthesia; m Develop a treatment plan for anaphylaxis.

Clinical Instructor in Anesthesiology | Upstate Medical Center Syracuse, New York

D I S C LO S U R e S : Drs. Boggs, Brand, Liu, Sampathi and Watt do not have any financial relationships to disclose.

68

NYSSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

Sunday

72nd Annual PostGraduate Assembly in Anesthesiology december 7-11, 2018 Marriott Marquis NyC

december 9, 2018

registration

07:00 - 16:00

Sessions

07:45 - 17:00

Technical Exhibits

09:00 - 15:00

Poster Presentations

9:30 - 11:30

NySSA House of delegates

9:30

Current Issues Forum

15:45 - 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 SPEAKErS:

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

Elizabeth A. M. Frost, M.d.

Clinical Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York and

m Identify areas of the world in which there are acute shortages of anesthesia providers;

Clifford M. Gevirtz, M.d., M.P.H. medical director Somnia Pain management New York, New York and

m Enumerate two ways for anesthesiologists to become more involved in remedying these shortages;

ram roth, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

S U N d A y

m delineate at least two NGOs that need anesthesiologist volunteers.

MW-18 Anesthetic Challenges in the Morbidly Obese 07:45 - 08:45 • Wilder room • 4th Floor

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

Jon d. Samuels, M.d.

m delineate the approach to airway assessment and management;

Assistant Professor of Clinical Anesthesiology Joan and Sanford I. Weill medical College of Weill Cornell university New York, New York

m Identify the intraoperative complications which may arise;

SPEAKEr:

m Enumerate at least three postoperative complications which may occur.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

69

MW-19 Coagulation Challenges during the Perioperative Period 07:45 - 08:45 • Ziegfeld room • 4th Floor SPEAKEr:

Tiffany r. Tedore, M.d.

Co-director, regional Anesthesiology and Acute Pain medicine Associate Professor of Anesthesiology Cornell university, Weill Cornell medical College NewYork Presbyterian hospital New York, New York

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 delineate the new ASA practice guidelines for preventing POVL; m List the tests to monitor anticoagulation activities; m Assess the implications on the neuroaxial procedures;

MW-20 Obstetric Emergencies

m New agents for anticoagulation will be reviewed with respect to their role in the settings of atrial fibrillation and acute coronary syndromes and their impact on anesthetic management.

07:45 - 08:45 • O’Neill room • 4th Floor SPEAKEr:

Gregory T. Palleschi, M.d.

S U N d A y

Assistant Professor of Anesthesiology North Shore university hospital manhasset, New York

After completion of this session, the participant will be able to: m Identify the pathophysiologic changes and obstetric management of a parturient with HELLP syndrome; m Compare and contrast the anesthetic management and monitoring techniques used in dealing with a patient with pregnancy induced hypertension.

d I S C LO S U r E S : drs. Frost, Gevirtz, Palleschi, roth and Samuels do not have any financial relationships to disclose. dr. Tedore’s spouse is a shareholder and sits on the board of TG Therapeutics.

70

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

W-11 Ultrasound for Vascular Access: A Workshop MOCA®

08:00 - 11:00 • Soho Complex • 7th Floor WOrKSHOP MOdErATOrS:

Nikolaos J. Skubas, M.d., FACC, FASE, d.Sc.

Meghann M. Fitzgerald, M.d.

Chair, department of Cardiothoracic Anesthesiology Cleveland Clinic Foundation Cleveland, ohio

Assistant Professor of Clinical Anesthesiology Interim Chief, Cardiac Anesthesiology NewYork Presbyterian hospital Cornell university, Weill Cornell medical College New York, New York

After completion of this session, the participant will be able to: m demonstrate basic skills in ultrasound technology; m Utilize ultrasound technology for central venous and arterial access; m Optimize billing for ultrasound use in vascular access.

A S S I S T E d by:

Literature review Lisa Q. rong, M.d.

Assistant Professor of Clinical Anesthesiology NewYork Presbyterian hospital Cornell university, Weill Cornell medical College New York, New York

Arterial and Peripheral Access Guidelines daryl W. banton, M.d.

Clinical Instructor of Clinical Anesthesiology NewYork Presbyterian hospital Cornell university, Weill Cornell medical College New York, New York

basics of Ultrasound Shreyajit r. Kumar, M.d.

S U N d A y

Assistant Professor of Clinical Anesthesiology NewYork Presbyterian hospital Cornell university, Weill Cornell medical College New York, New York

Ultrasound Technique Meghann M. Fitzgerald, M.d.

Logistics and billing Nikolaos J. Skubas, M.d., FACC, FASE, d.Sc.

Hands-on Session Workshop Faculty Jaideep K. Malhotra, M.d.

Assistant Professor of Clinical Anesthesiology NewYork Presbyterian hospital Cornell university, Weill Cornell medical College New York, New York

d I S C LO S U r E S : drs. banton, Fitzgerald, Kumar, malhotra, rong and Skubas do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

71

W-12 Hands-On Echocardiography Workshop: An Interactive and Case-based Approach Using TEE and TTE in the Perioperative Setting MOCA®

08:00 - 15:00 • Empire Complex • 7th Floor WOrKSHOP MOdErATOrS:

Steven N. Konstadt, M.d., M.b.A., FACC Professor and Chair department of Anesthesiology maimonides medical Center brooklyn, New York and

Alexander J. C. Mittnacht, M.d.

Professor of Anesthesiology director, Pediatric Cardiac Anesthesia Icahn School of medicine at mount Sinai New York, New York and

Linda J. Shore-Lesserson, M.d., FAHA, FASE Professor of Anesthesiology hofstra Northshore School of medicine director, Cardiovascular Anesthesiology Northwell health System manhasset, New York

S U N d A y

A S S I S T E d by:

Patricia M. Applegate, M.d., FACC Professor of medicine, Cardiology university of California davis Sacramento, California

richard L. Applegate, II, M.d., FASA Professor and Chair department of Anesthesiology and Pain medicine university of California davis Sacramento, California

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

Assistant Professor of Anesthesiology, Perioperative & Pain medicine Icahn School of medicine at mount Sinai New York, New York

Himani bhatt, d.O., M.P.A., FASE, FASA Assistant Professor of Cardiothoracic Anesthesia mount Sinai St. luke’s and West hospitals New York, New York

Loretta Grecu, M.d.

Associate Professor of Anesthesiology duke university durham, North Carolina

Zaharia Hillel, M.d., Ph.d.

Professor of Anesthesiology director, Cardiothoracic Anesthesia mount Sinai St. luke’s and West hospitals New York, New York

72

Workshop description As a participant you can expect the following: m Hands-on small groups TEE computer simulation with expert guidance: m recognize anatomy and pathology from standard TEE views; m Learn to choose TEE views that help in the differential diagnosis of hemodynamically unstable patients; m Hands-on TEE simulator (Practice TEE with a state of the art TEE simulator); m Practice Transthoracic Echocardiography (TTE) with live human models (standard TTE views, emergency TTE examination); m Expert lecture and introduction: m Focused TTE exam m Standard TTE views m Update on recently published standard TEE exam m Short presentations of various case scenarios illustrating the role echocardiography in the hemodynamically unstable patient After completion of this session, the participant will be able to: m Perform an appropriate airway evaluation; m Use echo to recognize common causes of hemodynamic instability in the GOr (expert case presentations, hands-on computer simulation); m Understand how echo can help with the differential diagnosis in unstable patients (computer simulation, case presentations); m Learn how to obtain a quick transthoracic exam in emergency situations (practice on live models); m Acquire the knowledge to do a focused transthoracic echo exam (expert lecture, practice on live models); m Learn how transesophageal echocardiography can be used as a monitoring tool in cases with expected hemodynamic compromise (hands on TEE simulator, expert lecture).

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

W-12 Hands-On Echocardiography Workshop: An Interactive and Case-based Approach Using TEE and TTE in the Perioperative Setting Peter J. Panzica, M.d.

Christopher y. Tanaka, M.d.

Vice Chairman, Clinical Anesthesia director of Anesthesia Network operations department of Anesthesia, Critical Care and Pain management Assistant Professor harvard medical School beth Israel deaconess medical Center boston, massachusetts

Assistant Professor of Anesthesiology division of Cardiothoracic Anesthesiology montefiore medical Center Assistant Professor of Anesthesiology Albert einstein College of medicine bronx, New York

benjamin S. Salter, d.O. Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Professor and Chair Cleveland Clinic lerner College of medicine Cleveland, ohio President, Society of Cardiovascular Anesthesiologists

Henry Shih, M.d.

Nathaen Weitzel, M.d.

Assistant Professor of Anesthesiology donald and barbara Zucker, School of medicine at hofstra / Northwell hempstead, New York

Associate Professor of Anesthesiology medical director of Inpatient Surgical Services university of Colorado School of medicine Aurora, Colorado

Christopher A. Troianos, M.d., FASE

S U N d A y

d I S C LO S U r E S : drs. P. Applegate, baron, Grecu, hillel, Konstadt, Panzica, Salter, Shih, Shore-lesserson, Tanaka, Troianos and Weitzel do not have any financial relationships to disclose. dr. r. Applegate receives consultant fees from masimo Corporation. he also receives funded research support from masimo Corporation and merck & Co., Inc. dr. bhatt receives consultant fees from Neochord, llC. dr. mittnacht receives consultant fees, and is on the speaker’s bureau for CAS medical Systems, Inc. (CASmed), manual Surgical Science and Pacira Pharmaceuticals, Inc., he is also a shareholder and has stock options with manual Surgical Science.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

73

SP-14 How to Incorporate Patient blood Management into your Practice 08:30 - 11:00 • South ballroom • 6th Floor MOdErATOr:

Linda J. Shore-Lesserson, M.d., FAHA, FASE Professor of Anesthesiology hofstra Northwell School of medicine director, Cardiovascular Anesthesiology Northwell health System manhasset, New York

After completion of this session, the participant will be able to: m describe the risk factors associated with anemia and transfusion; m Formulate a plan for anemia assessment in the preoperative period; m design an appropriate plan for anemia detection, minimization of bleeding, and information systems to assist with blood conservation; m review the current alternatives to blood oxygen therapeutics.

FACULTy PrESENTATIONS:

Promoting High-Value Practice with Patient blood Management Steven M. Frank, M.d.

S U N d A y

Professor of Anesthesiology and Critical Care medicine Johns hopkins medical Institutions director, Johns hopkins health System blood management Program director, Center for bloodless medicine and Surgery baltimore, maryland

Why Avoid Transfusion? The real risk Unveiled daryl J. Kor, M.d., M.Sc. Attending Anesthesiologist | duke university hospital | durham, North Carolina

Oxygen Therapeutics: do We Have Anything on the Shelf?

Aryeh Shander, M.d., FCCM, FCCP Professor of Anesthesiology | mayo Clinic | rochester, minnesota

Should We Use Point of Care Coagulation Testing in the Obstetric Suite? roulhac d. Toledano, M.d., Ph.d.

Clinical Associate Professor of Anesthesiology, Perioperative Care and Pain medicine director, obstetric Anesthesia NYu-langone hospital – brooklyn brooklyn, New York

d I S C LO S U r E S : drs. Shore-lesserson and Toledano do not have any financial relationships to disclose. dr. Frank receives consultant fees from haemonetics Corporation and medtronic, Inc. dr. Kor receives consultant fees and is on the advisory board for CSl behring, and also receives royalties from uptodate.com. dr. Shander receives funded research support from CSl behring, masimo Corporation and hbo2 Therapeutics; consultant fees from AmAG Pharmaceuticals, baxter International, Inc., Gauss Surgical, Inc., masimo Corporation and Vifor Pharma; and is on the speakers’ bureau for merck & Co., Inc.

74

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-15 Challenges in Thoracic Anesthesia 08:30 - 11:00 • Manhattan ballroom • 8th Floor MOdErATOr:

Edmond Cohen, M.d.

Professor of Anesthesiology and Thoracic Surgery director, Thoracic Anesthesia Icahn School of medicine at mount Sinai New York, New York

After completion of this session, the participant will be able to: m review the present and the future procedures in thoracic surgery; m develop a safe anesthetic plan for the resection of tracheal mass using high frequency ventilation; m Choose the necessary maneuvers to treat the patients with profound hypoxemia during one lung ventilation; m recognized the risks/benefits of the thorascopic procedures performed in a non intubated patient.

FACULTy PrESENTATIONS:

The Future of Thoracic Surgery raja M. Flores, M.d.

Professor and Chair department of Thoracic Surgery mount Sinai health System New York, New York

resection of a Large Intra-tracheal Mass: Sharing the Airway Peter Slinger, M.d., FrCPC Professor of Anesthesiology university of Toronto and Toronto General hospital Toronto, ontario, Canada

S U N d A y

Management of a Patient with Profound Hypoxia during One-Lung Ventilation Javier H. Campos, M.d.

Professor of Anesthesiology director, Cardiothoracic Anesthesia executive medical director Perioperative Services university of Iowa hospitals and Clinics Iowa City, Iowa

Tubeless Thoracic Procedures: How Far Can We Go? Edmond Cohen, M.d.

d I S C LO S U r E S : drs. Campos, Cohen, Flores and Slinger do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

75

SP-16 regional Anesthesia Update 08:30 - 11:00 • North ballroom • 6th Floor MOdErATOr:

Meg A. rosenblatt, M.d., FASA Professor of Anesthesiology and orthopaedics Icahn School of medicine at mount Sinai Chair, department of Anesthesiology mount Sinai St. luke’s and West hospitals New York, New York

After completion of this session, the participant will be able to: m describe changes in the diagnosis and treatment for local anesthetic systemic toxicity; m Introduce protocols and techniques to improve outcomes after total joint replacements; m Formulate a plan to apply regional anesthetics during trauma surgeries; m recognize when ultrasound is appropriate to use during the performance of neuraxial anesthesia.

FACULTy PrESENTATIONS:

Last Practice Advisory Update Joseph M. Neal, M.d.

S U N d A y

Anesthesia Faculty Virginia mason medical Center Clinical Professor of Anesthesiology university of Washington Seattle, Washington

Improving Outcomes for TJr Ezra Kassin, M.d.

Assistant Professor, hofstra School of medicine director of orthopedic and regional Anesthesia long Island Jewish medical Center New hyde Park, New York

regional Anesthesia for Orthopedic Trauma Nabil M. Elkassabany, M.d., MSCE Assistant Professor of Anesthesiology and Critical Care hospital of the university of Pennsylvania and the Veteran’s Administration medical Center Staff Anesthesiologist, Philadelphia VA medical Center Staff Anesthesiologist, hospital of the university of Pennsylvania director, orthopedic Anesthesia Section, hospital of the university of Pennsylvania Penn Presbyterian medical Center Philadelphia, Pennsylvania

ESP and Paraspinal blocks Ki Jinn Chin, M.b., b.S., LMCC, MMed, FANZCA, FAMS, FrCPC Associate Professor of Anesthesia university of Toronto Fellowship Coordinator regional Anesthesia Fellowship Program director Toronto Western hospital Toronto, ontario, Canada

d I S C LO S U r E S : drs. Chin, elkassabany, Kassin, Neal and rosenblatt do not have any financial relationships to disclose.

76

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-17 bJA Panel: The Future of Opioids in Anaesthesia MOCA ®

08:30 -11:00 • Majestic Complex • 6th Floor MOdErATOr:

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

Hugh C. Hemmings, Jr., M.d., Ph.d., FrCA Senior Associate dean for research Joseph F. Artusio, Jr., Professor and Chair department of Anesthesiology Cornell university, Weill Cornell medical College Anesthesiologist-in-Chief NewYork Presbyterian hospital New York, New York

m describe the rational for moving away from high affinity mu opioid antagonists; m discuss a theoretical framework explaining the anesthetized state in terms of outcomes linked to pharmacology concepts;

FACULTy PrESENTATIONS:

m recognize the rationale underpinning the hypothesis that perioperative opioids may influence residual cancer survival after surgery;

Hot Topics in Opioid Pharmacology: Mixed and biased Opioids david G. Lambert, M.d., Ph.d.

m Enumerate the obstacles in reducing perioperative/post-discharge opioid consumption.

Professor of Anaesthetic Pharmacology director, Post Graduate research, College of medicine, biological Sciences and Psychology university of leichester leichester, united Kingdom

Are Opioids Indispensable for General Anesthesia?

Talmage d. Egan, M.d.

Attending Anesthesiologist university of utah health Sciences Center Salt lake City, utah

Can Perioperative Opioids during Cancer Surgery Influence the risk of recurrence or Metastasis? donal buggy, M.d.

Professor of Anaesthesia university College School of medicine & medial Science Consultant in Anaesthesia mater misericordiae university hospital & National Cancer Screening Service dublin, Ireland

S U N d A y

The Prescription Opioid Crisis: The role of Anesthesiology in reducing Opioid Consumption Christopher L. Wu, M.d.

Professor of Anesthesiology, Critical Care medicine, Gynecology and obstetrics Johns hopkins university School of medicine baltimore, maryland

d I S C LO S U r E S : drs. buggy, lambert and Wu do not have any financial relationships to disclose. dr. egan receives consultant fees from Scientific Advisory board (SAb) and Paion AG. he is also a partner of Applied medical Visualizations, llC. dr. hemmings receives funded research support from Instrumentation laboratories and consultant fees from elsevier Instrumentation laboratories.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

77

MW-21 Active Shooter in the Hospital 12:00 - 13:00 • Odets room • 4th Floor SPEAKErS:

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

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

ramapo Anesthesia medical director Premier Anesthesia Chief Trooper Surgeon New York State Police Suffern, New York and

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

daniel F. Sisto

m Understand how to evacuate in an emergency;

Former 2nd Vice President New York State Troopers Police benevolent Association retired Trooper & Senior Firearms Instructor Albany, New York and

Michael C. brooks director, State Trooper Police Surgeons of the New York State Troopers Police benevolent Association Albany, New York and

m Learn to ask for help early;

m Know how to conduct a “lockdown”; m Learn how to fight in a selfdefense situation; m develop flexible thinking for an evolving active shooter situation.

barbara A. daly Supervisory Special Agent, FbI, Crisis management/behavioral Analysis unit Coordinator, Squad A-17 New York, New York

MW-22 Update on Anesthesia for Spinal Surgery S U N d A y

12:00 - 13:00 • Wilder room • 4th Floor SPEAKEr:

Michael K. Urban, M.d., Ph.d.

Associate Clinical Professor of Anesthesiology Cornell university, Weill Cornell medical College Attending Anesthesiologist hospital for Special Surgery New York, New York

After completion of this session, the participant will be able to: m Evaluate the proper monitoring and position required for spinal surgery; m Assess the need for cell-saver, autologous blood donation and hemodilution; m Enumerate the risk factors for postoperative visual loss; m Implement changes in practice to avoid postoperative visual loss.

78

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

MW-23 Anesthesia Outside the Operating room 12:00 - 13:00 • Ziegfeld room • 4th Floor

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;

SPEAKEr:

m develop a plan to get back-up;

Jay r. Shayevitz, M.d., M.S., FAAP

m delineate needs for safe anesthesia in extreme environments.

Attending Anesthesiologist director, Non-or Anesthesia montefiore medical Center bronx, New York

MW-24 Management of Post dural Puncture Headache 12:00 - 13:00 • O’Neill room • 4th Floor SPEAKEr:

robert r. Gaiser, M.d., FASA Professor and Chair department of Anesthesiology university of Kentucky lexington, Kentucky

After completion of this session, the participant will be able to: m discuss the management of 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 review the treatment of spinal headache, including therapeutic and prophylactic blood patch.

MW-25 Complications of regional Anesthesia 12:00 - 13:00 • duffy/Columbia rms • 7th Fl. SPEAKEr:

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;

Joseph M. Neal, M.d.

Anesthesia Faculty Virginia mason medical Center Clinical Professor of Anesthesiology university of Washington Seattle, Washington

m Elucidate the role of ultrasound in preventing regional anesthesia complications.

S U N d A y

d I S C LO S U r E S : drs. Gaiser, Neal, Newman, Shayevitz, urban, mr. brooks, mr. Sisto and SSA daly do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

79

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

PbL-33 Is rapid Sequence Induction Necessary in the Morbidly Obese 12:00 - 13:00 • Majestic room • 6th Floor

m discuss the indications for rapid sequence intubation; m Identify risk factors for respiratory instability during anesthetic induction in the morbidly obese; m delineate different strategies for anesthetic induction in the morbidly obese.

SPEAKEr:

Francis S. Stellaccio, M.d., FASA Associate Professor of Clinical Anesthesia SuNY-health Sciences Center at Stony brook Stony brook, New York

PbL-34 Challenges in Acute Pain Management: The Patient with Cancer Undergoing Minimally Invasive Esophageal Surgery 12:00 - 13:00 • Music box room • 6th Floor SPEAKEr:

Alessia C. Pedoto, M.d., FASA

S U N d A y

Associate Professor of Anesthesiology memorial Sloan Kettering Cancer Center New York, New York

After completion of this session, the participant will be able to: 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 Consider the role of adjuvants given in the preoperative, intraoperative and postoperative period, and what are the advantages of multimodal analgesia; m Implement an analgesic plan as part of enhanced recovery pathway after surgery (ErAS) and perioperative surgical home (PSH).

PbL-35 Jet Ventilation 12:00 - 13:00 • Winter Garden room • 6th Fl.

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

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

m Assess the airway of a patient with an airway mass;

Associate Professor of Anesthesiology Albert einstein College of medicine bronx, New York

m Identify anesthetic concerns of laser surgery;

SPEAKEr:

PbL-36 Maternal Hemorrhage

m describe the indications for and complications of jet ventilation; m Formulate an anesthetic plan for utilizing jet ventilation.

12:00 - 13:00 • Palace room • 6th Floor SPEAKEr:

Shamantha G. reddy, M.d.

Assistant Professor of Anesthesiology Albert einstein College of medicine Co-director, Quality improvement and Patient Safety montefiore medical Center bronx, New York

d I S C LO S U r E S : drs. Pedoto, reddy, Stellaccio and Straker do not have any financial relationships to disclose.

80

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

After completion of this session, the participant will be able to: m recognize the implications of the different types of placental abnormalities on post partum hemorrhage; m Identify alternative methods for treating maternal hemorrhage (i.e. embolization); m Establish a plan for multidisciplinary communication and teamwork in the event of maternal hemorrhage. www.pga.nyc

#pga72

After completion of this session, the participant will be able to: m discuss strategies for preemptive analgesia;

PbL-37 Preanesthesia Management of the Spinal Fusion Patient: ErAS and beyond

m Identify adjunctive non-opioid medications useful throughout the perioperative period; m Implement a pain management plan for spinal fusion patient that begins preoperatively and continues into the postoperative period.

12:00 - 13:00 • Shubert room • 6th Floor SPEAKEr: Elaine I. yang, M.d.

Assistant Attending Anesthesiologist | hospital for Special Surgery | Clinical Instructor of Anesthesiology | Cornell university, Weill Cornell medical College New York, New York

PbL-38 My Colleague is Suffering burnout: How Can I Help? Caring for the Caregiver 12:00 - 13:00 • Uris room • 6th Floor SPEAKErS:

Sergey V. Pisklakov, M.d. | Associate Professor of Anesthesiology Albert einstein College of medicine | director, Neuroanesthesia Fellowship department of Anesthesiology | montefiore medical Center | bronx, New York and Melinda A. Aquino, M.d. | Assistant Professor of Anesthesiology, Pain medicine and regional Anesthesia | Albert einstein College of medicine Chair, Ad hoc Committee on Women Physicians | Second Assistant Secretary, NYSSA bronx, New York

PbL-39 Management of Intraoperative bronchospasm

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; m Explain how burnout affects clinical competency, patient care and interaction between members of anesthesia team; m deploy methods to recognize burnout and point out ways to help your colleague anesthesiologist to overcome it; m Formulate a plan for burnout prevention/reduction in your department or practice.

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

12:00 - 13:00 • Plymouth room • 6th Floor

S U N d A y

m Identify causes of bronchospasm in the intraoperative period;

SPEAKErS:

Jessica baer, M.d. | Attending Anesthesiologist | Winthrop university hospital | mineola, New York and Marcus Gutzler, M.d. | Assistant Professor of Clinical Anesthesiology Cornell university, Weill Cornell medical College | New York, New York

m Select an appropriate anesthetic plan for management of intraoperative bronchospasm; m Formulate a plan utilizing updated ventilator modalities to manage a patient with perioperative bronchospasm.

PbL-40 Frailty: Assessment and Anesthetic risk 12:00 - 13:00 • royale room • 6th Floor

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

SPEAKErS:

david S. Fishman, M.d. | Clinical director of Anesthesiology | Associate residency Program director | Clinical Associate Professor | SuNY-downstate medical Center | brooklyn, New York and Savita Manglik, M.d. | Assistant Professor of Anesthesiology | Albert einstein College of medicine | montefiore medical Center | bronx, New York

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

d I S C LO S U r E S : drs. Aquino, baer, Fishman, Gutzler, manglik, Pisklakov and Yang do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

81

W-13 Ultrasound, Simulation and Stimulation for Peripheral Nerve blocks MOCA®

13:00 - 15:00 • Soho Complex • 7th Floor

Station I Simulation and Equipment for Performing Peripheral Nerve blocks Station II Nerve blocks - Catheter Techniques Station III Nerve blocks of the Upper Extremity - Ultrasound Technique

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

Station IV Nerve blocks of the Lower Extremity - Ultrasound Technique WOrKSHOP MOdErATOrS:

S U N d A y

Mitchell H. Marshall, M.d.

Jovan Popovic, M.d., FrCPC

Clinical Associate Professor of Anesthesiology Chief, department of Anesthesiology NYu-langone medical Center-hospital for Joint diseases New York, New York

Associate Professor of Clinical Anesthesiology medical director, outpatient Surgery NYu-langone medical Center New York, New York

A S S I S T E d by:

Michael A. Akerman, M.d.

Katherine W. Chuy, M.d.

Assistant Professor of Anesthesiology Weill Cornell medicine New York, New York

Assistant Professor in Anesthesiology, Perioperative Care and Pain medicine NYu-langone health New York, New York

Michael r. Anderson, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Arthur Atchabahian, M.d., FASA Professor of Clinical Anesthesiology NYu-langone medical Center-hospital for Joint diseases | New York, New York

Patrick birmingham, M.d., FAAP Professor of Anesthesiology Northwestern university Feinberg School of medicine division head of Pain medicine executive Vice Chairman, department of Anesthesiology Ann & robert h. lurie Children’s hospital of Chicago Chicago, Illinois

Jan boublik, M.d., Ph.d.

Clinical Assistant Professor of Anesthesiology, Perioperative and Pain medicine Stanford university Stanford, California

Levon M. Capan, M.d.

Professor of Anesthesia NYu-langone medical Center Associate director, Anesthesia bellevue hospital Center New York, New York

82

Prianka desai, M.d.

Assistant Professor of Clinical Anesthesiology, Perioperative Care and Pain medicine NYu-langone medical Center New York, New York

david L. Furgiuele, M.d.

Assistant Professor of Anesthesiology NYu-langone medical Center New York, New York

Nicholas E. Heiser, M.d.

Assistant Professor of Anesthesiology university of Nebraska medical Center director of medical Student Anesthesiology Clerkship and director of Anesthesia Services Nebraska medicine Fritch Surgery Center omaha, Nebraska

Christina L. Jeng, M.d., FASA Assistant Professor of Anesthesiology and orthopaedics Icahn School of medicine at mount Sinai New York, New York

yan Lai, M.d., M.P.H., FASA Assistant Professor of Anesthesiology mount Sinai St. luke’s and West hospitals New York, New York

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

W-13 Ultrasound, Simulation and Stimulation for Peripheral Nerve blocks Jinlei Li, M.d., Ph.d.

Santhanam Suresh, M.d., FAAP

Associate Program director and director of education regional Anesthesia and Acute Pain medicine Fellowship director of regional Anesthesiology for YNhh Saint raphael Campus and Center for musculoskeletal disease department of Anesthesia Yale university New haven, Connecticut

Arthur C. King Professor & Chair department of Pediatric Anesthesiology Ann & robert h. lurie Children’s hospital of Chicago Chicago, Illinois

Stephen d. Lucas, M.d.

Associate Professor of Anesthesiology Vice Chair for Pain medicine university of Florida College of medicine Gainesville, Florida

danielle b. Ludwin, M.d.

Associate Professor of Anesthesiology Columbia university, College of Physicians & Surgeons New York, New York

richard I. Marks, M.d.

Instructor in Anesthesiology, Perioperative Care and Pain medicine NYu-langone medical Center New York, New York

Sauni P. Perera, d.O. Attending Anesthesiologist Sovereign medical Center Glen rock, New Jersey

Meg A. rosenblatt, M.d., FASA Professor of Anesthesiology and orthopaedics Icahn School of medicine at mount Sinai Chair, department of Anesthesiology mount Sinai St. luke’s and West hospitals New York, New York

Tiffany r. Tedore, M.d.

Co-director, regional Anesthesiology and Acute Pain medicine Associate Professor of Anesthesiology Cornell university, Weill Cornell medical College NewYork Presbyterian hospital New York, New York

Uchenna Umeh, M.d.

Assistant Professor of Anesthesiology NYu-langone medical Center-hospital for Joint diseases New York, New York

richa Wardhan, M.d.

Assistant Professor of Anesthesiology university of Florida Gainesville, Florida

Lisa Warren, M.d. director, Ambulatory and regional Anesthesia massachusetts General hospital department of Anesthesia and Critical Care boston, massachusetts

roniel y. Weinberg, M.d.

Assistant Professor of Anesthesiology Weill Cornell medical College Assistant Attending Anesthesiologist NewYork Presbyterian hospital New York, New York

Andrew d. rosenberg, M.d., FASA

S U N d A y

dorothy reaves Spatz, m.d., Professor of Anesthesiology Chair, department of Anesthesiology, Perioperative Care and Pain medicine NYu-langone medical Center New York, New York

d I S C LO S U r E S : drs. Akerman, Anderson, birmingham, Capan, Chuy, desai, Furgiuele, heiser, Jeng, li, lucas, marks, marshall, Perera, Popovic, rosenblatt, rosenberg, Suresh, umeh, Wardhan, Warren and Weinberg do not have any financial relationships to disclose. dr. Atchabahian receives consultant fees from b. braun medical, Inc. and Pacira Pharmaceuticals, Inc. he receives royalties from mcGraw-hill Companies. dr. boublik receives consultant fees from Pacira Pharmaceuticals, Inc. and honoraria from Avenue Therapeutics, Inc. dr. lai receives royalties from uptodate.com. dr. ludwin receives consultant fees from Avenue Therapeutics, Inc. dr. Tedore’s spouse is a shareholder and sits on the board of TG Therapeutics.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

83

SP-18 Ethical dilemmas in Anesthesia Care 13:00 - 15:30 • Columbia/duffy rooms • 7th Floor MOdErATOr:

robert E. Johnstone, M.d.

Professor and Chair department of Anesthesiology West Virginia university morgantown, West Virginia

After completion of this session, the participant will be able to: m Understand ethical boundaries of some common clinical situations; m Identify futility as a factor for ending an anesthetic; m discuss personal obligations in a quality improvement program; m differentiate patient and clinician rights from institutional expectations; m Manage departmental obligations to trainees after training.

FACULTy PrESENTATIONS:

Hemorrhage robert E. Johnstone, M.d.

retraining S U N d A y

Saundra E. Curry, M.d.

Professor of Anesthesiology NewYork Presbyterian hospital Columbia university, College of Physicians & Surgeons New York, New York

Not reporting Outcomes with Self reporting Alan E. Curle, M.d.

Professor of Clinical Anesthesiology Co-director, Center for Perioperative medicine university of rochester medical Center medical director, Perioperative Services highland hospital of rochester rochester, New York

doesn’t Want Other Sex in Or rebecca S. Twersky, M.d., M.P.H., FASA Chief of Anesthesia Josie robertson Surgery Center memorial Sloan Kettering Cancer Center New York, New York

Urgent Study, Inadequate Monitors Available Elizabeth A. M. Frost, M.d.

Clinical Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

d I S C LO S U r E S : drs. Curle, Curry, Frost, Johnstone, and Twersky do not have any financial relationships to disclose.

84

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-19 ESA Panel: bloody business in Europe!

New developments in Pre-Hospital Emergency Care 13:00 - 15:30 • South ballroom • 6th Floor MOdErATOr:

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

Stefan de Hert, M.d., Ph.d.

director, department of Anaesthesiology and Intensive Care medicine | university of bonn | bonn, Germany

President, european Society of Anaesthesiology | director of research Ghent university hospital | Ghent, belgium

After completion of this session, the participant will be able to: m describe new developments in pre-hospital emergency care; m Evaluate the utility of resuscitative thoracotomy; m Outline the challenges involved in having a prehospital extracorporeal life support program; m Examine the utility of resuscitative endovascular balloon occlusion to prevent exsanguination; m describe the challenges in providing a route for rapid contact with the emergency team and fast evacuation; m Compare and contrast the European Trauma Course with the Advanced Trauma Life Support program.

FACULTy PrESENTATIONS:

Pre-Hospital resuscitative Thoracotomy: Lifesaving or bloody Useless?

Fabian O. Kooij, M.d., Ph.d.

Anesthesiologist/hemS Physician | Academic medical Center Amsterdam (AmC) | Amsterdam, Netherlands

Another bloody business: Extracorporeal Life Support for Out-of-Hospital Cardiac Arrest benoit Vivien, M.d., Ph.d.

S U N d A y

deputy Chair | Professor in Anesthesiology, Critical Care and emergency medicine Prehospital emergency Serivce | SAmu de Paris | university hospital Necker - enfants malades | Paris, France

rEbOA: Not a deadly Snake but “resuscitative Endovascular balloon Occlusion of the Aorta”! robbie A. Lendrum, M.b., Ch.b., FrCA, FANZCA, dip IMC Consultant in Cardiothoracic Anaesthesia and Intensive Care | royal Infirmary of edinburgh | edinburgh, united Kingdom Consultant in Pre hospital Care | royal london hospital, london hemS | london, united Kingdom

First Link to Survival: The Israeli Experience Idit Matot, M.d.

Professor & Chair of Anesthesiology and Critical Care and Pain | Tel Aviv medical Center- Tel Aviv university | Tel Aviv, Israel

Trauma Teaching Goes European: Why European Trauma Course (ETC) is different from ATLS Karl Thies, M.d., dEAA, FErC, FrCA Consultant in Anesthesia and Critical emergency medicine | university medical Center - Greifswald | Greifswald, Germany

d I S C LO S U r E S : drs. de hert, hoeft, Kooij, lendrum, matot, Thies and Vivien do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

85

SP-20 APSF Panel: A New Frontier in Patient Safety: Perioperative brain Health 13:00 - 15:30 • Manhattan ballroom • 8th Floor MOdErATOr:

daniel J. Cole, M.d.

MOCA®

Professor of Clinical Anesthesiology Vice-Chair for Professional and business development department of Anesthesiology & Perioperative medicine david Geffen School of medicine university of California los Angeles los Angeles, California

After completion of this session, the participant will be able to: m Identify the patient’s perspective on perioperative brain health; m Understand principles and communication strategies for quality improvement; m Apply clinical tools to identify patients at risk for post-operative delirium.

FACULTy PrESENTATIONS:

The big Vision for Patient Safety daniel J. Cole, M.d.

S U N d A y

Let’s Close the Gap: Principles of Improvement Carol Peden, M.b., Ch.b., M.d., M.P.H. Professor of Anesthesiology | Keck School of medicine, university of Southern California executive director, uSC Center for health System Innovation | Keck medicine of uSC | los Angeles, California

Communication Strategies for Quality Improvement: Engaging Federal, Local and Patient Stakeholders Lee A. Fleisher, M.d. robert dunning dripps Professor of Anesthesia | Chair, department of Anesthesiology and Critical Care university of Pennsylvania | Perelman School of medicine | Philadelphia, Pennsylvania

Implementation of Geriatric Screening Tools for real Improvements in brain Health in your Practice deborah J. Culley, M.d.

Associate Professor of Anaesthesiology | harvard medical School | Vice Chair for research Associate Professor of Anesthesiology, Perioperative and Pain medicine brigham & Women’s hospital | boston, massachusetts

People’s Perspectives on Maintaining brain Health as They Age Sarah L. Lock, J.d.

Senior Vice President, Policy and brain health, AArP | executive director, Global Council on brain health | Washington, dC

d I S C LO S U r E S : drs. Cole, Culley, Fleisher and ms. lock do not have any financial relationships to disclose. dr. Peden receives consultant fees from merck & Co., Inc., and is a shareholder with Fidelity health.

86

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-21 do We Have Adequate Tools for risk Scoring in Anesthesia and Surgery?

13:00 - 15:30 • North ballroom • 6th Floor MOdErATOr:

bobbie-Jean Sweitzer, M.d., FACP Professor of Anesthesiology director, Perioperative medicine Northwestern university | Chicago, Illinois

After completion of this session, the participant will be able to: m Critique the American Society of Anesthesiologists physical status scoring system and understand its utility and limitations on risk assessment; m Identify cardiac disease that increases perioperative risk and management strategies to lower risk; m define frailty and understand how it increases perioperative risk.

FACULTy PrESENTATIONS:

ASA-PS Scoring: Is It of No Value or replaceable Pro: Invaluable bobbie-Jean Sweitzer, M.d., FACP

Con: replaceable Jeanna d. blitz, M.d.

Assistant Professor of Anesthesiology, Perioperative Care and Pain medicine NYu-langone health New York, New York

Frailty, Nutritional and Cognitive Assessments

S U N d A y

deborah C. richman, M.b., Ch.b., FFA(SA) Associate Professor of Clinical Anesthesiology director, Preoperative Services SuNY-health Sciences Center at Stony brook Stony brook, New York

Cardiac Assessments david Hepner, M.d., M.P.H. Associate Professor of Anaesthesia harvard medical School Associate director, Weiner Center for Preoperative evaluation brigham and Women’s hospital boston, massachusetts

d I S C LO S U r E S : drs. blitz, hepner, richman and Sweitzer do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

87

SP-22 Hot Topics in Acute Pain Management 13:00 - 15:30 • Marquis ballroom • 9th Floor MOdErATOr:

Eugene r. Viscusi, M.d.

Professor of Anesthesiology Chief of Pain medicine director, Acute Pain management department of Anesthesiology Sidney Kimmel medical College at Thomas Jefferson university Philadelphia, Pennsylvania

After completion of this session, the participant will be able to: m design an analgesic plan for the patient with chronic opioid exposure; m Identify and apply current and emerging multimodal analgesic approaches within the context of enhanced recovery Pathways; m Apply current understanding of the utility and risks of cannibinoids to counsel patients on use; m Apply novel and emerging uses for ketamine.

FACULTy PrESENTATIONS:

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

S U N d A y

Incorporating Multimodal Analgesia in Enhanced recovery Pathways Natasa Grancaric, M.d.

Assistant Professor Anesthesiology & Pain medicine Columbia university, College of Physicians & Surgeons New York, New York

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

Assistant Professor of Anesthesiology Program director, Pain medicine Fellowship Icahn School of medicine at mount Sinai New York, New York

The role of Ketamine and the Acute Pain Service: Lessons from the ASrA Ketamine Guidelines Eric S. Schwenk, M.d., FASA Associate Professor of Anesthesiology director of orthopedic Anesthesia department of Anesthesiology Sidney Kimmel medical College at Thomas Jefferson university Philadelphia, Pennsylvania

d I S C LO S U r E S : drs. Grancaric and Khelemsky do not have any financial relationships to disclose. dr. Schwenk receives consultant fees from Avenue Therapeutics, Inc. dr. Viscusi receives funded research support from dureCT Corporation and Pacira Pharmaceuticals, Inc.; consultant fees from Acelrx, Avenue, Cara Therapeutics, Inc., Concentric, Inc., heron Therapeutics, Innacoll Pharmaceuticals, ltd., mallinckrodt Pharmaceuticals, merck & Co., Inc., Neumentum Pharmaceuticals, Pacira Pharmaceuticals, Inc., Pfizer, Inc., recro Pharma, Inc., Salix Pharmaceuticals, and Trevena, Inc.

88

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

FS-16 NySSA Committee on retirement: ready, Set, Go! 15:00 - 17:00 • Liberty room • 8th Floor MOdErATOrS:

rhoda d. Levine, M.d.

Co-Chair NYSSA Committee on retirement retired, Associate Professor of Anesthesiology Albert einstein College of medicine of Yeshiva university Attending Anesthesiologist montefiore medical Center bronx, New York and

After completion of this session, the participant will be able to: m recognize the challenges faced by the aging anesthesiologist; m Gain a better understanding of the options and opportunities available in order to pursue a second career;

Sandhya Malhotra, M.d.

Co-Chair NYSSA Committee on retirement retired Anesthesiologist Forest hills, New York

m Identify ways to impact healthcare in the community;

FACULTy PrESENTATIONS:

Understanding the Challenges of an Aging Anesthesiologist and Preparing for a Successful retirement Sandhya Malhotra, M.d.

m Improve the ability to make informed personalized decisions about to transitioning into retirement; m decrease mental stress and improved focus on patient care by being better prepared with a long term plan.

debating the Issue: Neurocognitive Testing and Mandatory retirement Pro

S U N d A y

robert S. Lagasse, M.d.

Professor and Vice-Chair Quality management and regulatory Affairs department of Anesthesiology Yale university School of medicine New haven, Connecticut

Con robert E. Johnstone, M.d.

Professor and Chair department of Anesthesiology West Virginia university morgantown, West Virginia

d I S C LO S U r E S : drs. Johnstone, lagasse, levine and malhotra do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

89

FS-17 Current Issues Forum: Issues from 2018 and What Additional Issues Are on the Agenda for a revamped Ny Legislature in 2019 15:45 - 17:00 • Empire Complex • 7th Floor

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

MOdErATOr:

m review the process, strategy and efforts that went into defeating Part H of Ny Governor’s 2018 budget Proposal;

Jonathan S. Gal, M.d., FASA medical director, Clinical revenue Initiatives | department of Clinical business Intelligence & Implementation | Assistant Professor of Anesthesiology | director, Governmental & reimbursement Affairs department of Anesthesiology, Perioperative, and Pain medicine Icahn School of medicine at mount Sinai mount Sinai health System | New York, New York

m discuss the legislative agenda for NySSA in 2019, and why we need to expect the unexpected; m Examine major legislative topics such as a Single Payer bill, New york Health Act, and the rANd study for their potential impact on all physicians, including anesthesiologists, in New york State.

FACULTy PrESENTATIONS:

New york Health Act – Single Payer Legislation Thomas J. Madejski, M.d., FACP President, medical Society of the State of New York | Westbury, New York

2018’s Major Legislative Effort: Part H of Ny Governor’s budget Proposal S U N d A y

rose berkun, M.d., FASA | Assistant Professor of Anesthesiology | Kaleida health buffalo General hospital | buffalo, New York

Overview of the 2019 NySSA Legislative Agenda Including an Update on NA Scope of Practice Initiatives Charles J. Assini, Jr., Esq. | NYSSA legislative Counsel | Schenectady, New York

FS-18 Current Issues in Obstetric Anesthesia

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

15:45 - 17:00 • Soho Complex • 7th Floor

m Identify the risk factors for peripartum hemorrhage;

MOdErATOr:

m Implement a treatment protocol for massive obstetric hemorrhage;

yaakov beilin, M.d.

Professor of Anesthesiology, obstetrics, Gynecology and reproductive Sciences | director, obstetric Anesthesia | Vice-Chair, Quality Icahn School of medicine at mount Sinai | New York, New York

m Successfully manage the bleeding parturient.

FACULTy PrESENTATIONS:

Obstetric Safety bundle: Hemorrhage yaakov beilin, M.d.

Morbidly Adherent Placenta: Current Concepts Sharon E. Orbach-Zinger, M.d.

Chief, obstetric Anesthesia division | Associate Professor of Anesthesia rabin medical Center & Tel Aviv university | Petah Takva & Tel Aviv, Israel

d I S C LO S U r E S : drs. Gal, beilin, berkun, madejski, orbach-Zinger and mr. Assini, do not have any financial relationships to disclose.

90

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

FS-19 Practice Management: How to Evaluate an Anesthesia Contract 15:45 - 17:00 • Ziegfeld room • 4th Floor

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

MOdErATOr:

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

Michael b. Simon M.d., M.b.A., FASA Transitional lead, Sheridan healthcare, Inc. Sunrise, Florida

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

FACULTy PrESENTATIONS:

Academic Charles J. Assini, Jr., Esq. NYSSA legislative Counsel Schenectady, New York

Private Practice ruchir Gupta, M.d., FASA Assistant Professor of Anesthesiology SuNY-health Sciences Center at Stony brook Stony brook, New York

recognizing a Threat and Profiling barbara A. daly Supervisory Special Agent, FbI, Crisis management/behavioral Analysis unit Coordinator, Squad A-17 New York, New York

FS-20 Improving Outcomes in the Geriatric Patient 15:45 - 17:00 • Odets room • 4th Floor MOdErATOr:

Stacie G. deiner, M.d.

Associate Professor of Anesthesiology, Neurosurgery, Geriatrics and Palliative Care | Icahn School of medicine at mount Sinai New York, New York FACULTy PrESENTATIONS:

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

Stacie G. deiner, M.d.

Preoperative Screening of Cognitive Function Should be the Standard

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

S U N d A y

m Identify the issues of postoperative cognitive decline following surgery; m Identify the issues surrounding POCd in the elderly; m develop strategies to minimize POCd in the elderly following surgery and anesthesia.

deborah J. Culley, M.d.

Associate Professor of Anaesthesiology harvard medical School | Vice Chair for research Associate Professor of Anesthesiology, Perioperative and Pain medicine brigham & Women’s hospital boston, massachusetts

d I S C LO S U r E S : drs. Culley, deiner, Gupta, Simon, SSA daly and mr. Assini do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

91

FS-21 disaster-Management - The Active Shooter and Mass Casualties: Plan, recognition and Physician response 15:45 - 17:00 • Astor ballroom • 7th Floor

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

MOdErATOr:

m Identify the stake holders to develop disaster planning in their institution including the response of the anesthesiology department;

Kenneth b. Newman, M.d., M.S.H.A. ramapo Anesthesia | medical director | Premier Anesthesia Chief Trooper Surgeon | New York State Police | Suffern, New York FACULTy PrESENTATIONS:

m develop a plan to deal with an internal or external disaster;

From the Mundane to the Horrific: How to respond to Incidents

m develop strategies to deal with mass casualties or an active shooter.

Jeffrey S. rabrich, d.O., FACEP, FAEMS Chairman of emergency medicine | montefiore Nyack hospital regional medical director envision Physician Services for the montefiore health System | Nyack, New York

An Active Shooter Is in your Hospital: do you Know What to do? daniel F. Sisto | Former 2nd Vice President New York State Troopers Police benevolent Association | retired Trooper & Senior Firearms Instructor | Albany, New York and

Michael C. brooks director, State Trooper Police Surgeons | benevolent Association New York State Troopers, Inc. | Albany, New York and david A. Livingston, M.d. | Chair, department of Anesthesiology | bronx-lebanon hospital Center | bronx, New York

S U N d A y

recognizing a Threat and Profiling barbara A. daly Supervisory Special Agent, FbI, Crisis management/behavioral Analysis unit | Coordinator, Squad A-17 | New York, New York

FS-22 Problems in Pediatric Anesthesia: Malignant Hyperthermia 15:45 - 17:00 • Wilder room • 7th Floor

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

MOdErATOr:

m Prepare the anesthesia machine for MH susceptible patients;

Francine S. yudkowitz, M.d., FAAP, FASA Professor of Anesthesiology, Perioperative Pain medicine, and Pediatrics Icahn School of medicine at mount Sinai director, Pediatric Anesthesia Coordinator Global health Initiatives | The mount Sinai hospital | New York, New York

m recognize the signs of MH Manage the patient who develops signs of MH during an anesthetic;

FACULTy PrESENTATIONS:

Preparing for the Malignant Hyperthermia (MH) Susceptible Patient

m recognize scenarios not consistent with the diagnosis of MH.

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

Is This MH: Case Vignettes Scott d. Lipson, M.d.

Assistant Professor of Anesthesiology | Icahn School of medicine at mount Sinai | New York, New York

d I S C LO S U r E S : drs. lipson, livingston, Newman, rabrich, Yudkowitz, mr. brooks, SSA daly and mr. Sisto do not have any financial relationships to disclose.

92

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

FS-23 Update on Infection Prevention for the Anesthesia Professional

MOCA®

15:45 - 17:00 • O’Neill room • 4th Floor

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

MOdErATOr:

richard A. beers, M.d.

m describe current infection prevention recommendations and safe injection practices as applicable to anesthesia practice;

Professor of Anesthesiology upstate medical university Syracuse, New York Staff Anesthesiologist Auburn Community hospital Auburn, New York

m Implement infection prevention recommendations into practice.

FACULTy PrESENTATIONS:

brief Update: Infectious Concerns Associated with Surgical Attire richard A. beers, M.d.

Unsafe Injection Practices and Microbial Contamination of Medications and Fluids Elliott S. Greene, M.d.

Professor of Anesthesiology Albany medical College Albany, New York

bugs and drugs: An Anesthesiologist’s Impact on Infectious Outcomes Amanda J. rhee, M.d.

Associate Professor of Anesthesiology Icahn School of medicine at mount Sinai director, Special operations Quality Improvement department of Anesthesiology, Perioperative and Pain medicine mount Sinai hospital New York, New York

S U N d A y

d I S C LO S U r E S : drs. beers, Greene and rhee do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

93

PbL-41 Total Joint replacement in the Ambulatory Surgery Center 15:45 - 17:00 • Majestic room • 6th Floor SPEAKEr:

david H. Kim, M.d.

Assistant Professor of Anesthesiology hospital for Special Surgery New York, New York

PbL-42 billy Woke Up Wild: How to Prevent Agitation/delirium in the Pediatric Patient 15:45 - 17:00 • Music box room • 6th Floor SPEAKErS:

Joanna b. rothstein, M.d., FASA Assistant Professor of Anesthesiology Associate Program director, Pediatric Anesthesiology Fellowship department of Anesthesiology, Perioperative Care and Pain medicine NYu-langone medical Center | New York, New York and

S U N d A y

Stacey A. Watt, M.d., FASA Professor of Anesthesiology | university of buffalo Program director, Pediatric Anesthesiology Fellowship Women and Children’s hospital of buffalo | buffalo, New York

PbL-43 Achieving Muscle relaxation After Sugammadex 15:45 - 17:00 • Winter Garden room • 6th Floor SPEAKErS:

Taylor A. Johnston, M.d.

Assistant Professor of Anesthesiology Columbia university, College of Physicians & Surgeons New York, New York and

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.

After completion of this session, the participant will be able to: m define emergence delirium; m List three risk factors associated with emergence delirium; m List three techniques to decrease the risk for your pediatric patients undergoing GA; m List at least one treatment options 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 Identify particular patient populations who may benefit from the use of sugammadex; m discuss is the mechanism of action of sugammadex; m develop a plan for the use of sugammadex taking into consideration the side effects, contraindications and cost.

bessie Kachulis, M.d.

Associate Professor of Anesthesiology director of Thoracic Anesthesia division of Cardiothoracic Anesthesiology Columbia university, College of Physicians & Surgeons New York, New York

d I S C LO S U r E S : drs. Johnston, Kachulis, Kim, rothstein and Watt do not have any financial relationships to disclose.

94

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

PbL-44 Individual Feedback: Improving Compliance with Guidelines and Evaluations 15:45 - 17:00 • Palace room • 6th Floor

After completion of this session, the participant will be able to: m discuss different mechanisms of feedback for anesthesiology clinicians; m Assess the impact of individual feedback on compliance with guidelines and regulations; m develop an individual feedback program.

SPEAKErS:

Patricia Mack, M.d.

Chair, Quality and Patient Safety (Anesthesiology) director, Non-operating room Anesthesiology Associate Professor of Clinical Anesthesiology Cornell university, Weill Cornell medical College Associate Attending Anesthesiologist NewYork Presbyterian hospital New York, New York and

Zachary A. Turnbull, M.d.

Assistant Professor of Anesthesiology Cornell university, Weill Cornell medical College director of Performance Improvement Weill Cornell medicine Center for Perioperative outcomes Assistant Attending Anesthesiologist NewYork Presbyterian hospital New York, New York

PbL-45 Can Professionalism be Taught?

15:45 - 17:00 • Shubert room • 6th Floor

After completion of this session, the participant will be able to: m define “professionalism” in the context of anesthesiology; m Identify programmatic methods of teaching professionalism; m Assess professionalism training available in their institution.

SPEAKEr:

david S. Fishman, M.d.

Clinical director of Anesthesiology Associate residency Program director Clinical Associate Professor SuNY-downstate medical Center brooklyn, New York

PbL-46 “What is buprenorphine???”: Strategies for Perioperative Analgesic Management in Major Surgery 15:45 - 17:00 • Uris room • 6th Floor SPEAKEr:

Vinay G. Puttanniah, M.d. director, regional Anesthesia and Perioperative Pain medicine memorial Sloan Kettering Cancer Center New York, New York

S U N d A y

After completion of this session, the participant will be able to: m Evaluate the patient with a history of opioid addiction who is managed with buprenorphine; m discuss multi-modal analgesic techniques, regional anesthetic considerations in relation to addiction issues; m Implement a treatment plan for patients in addiction issues; m Identify perioperative concerns that have an evolving treatment paradigm.

d I S C LO S U r E S : drs. Fishman, mack, Puttanniah and Turnbull do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

95

PbL-47 Anesthetic Management of the Endobronchial Ultrasound (EbUS) Patient 15:45 - 17:00 • Plymouth room • 6th Floor

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 Institute a safe anesthetic for the EbUS patient in the Or or in a bronchosopy Suite.

SPEAKEr:

Tazeen beg, M.d.

Assistant Professor of Clinical Anesthesiology division Chief, Non-operating room Anesthesia SuNY-health Sciences Center at Stony brook Stony brook, New York

PbL-48 Extubation of a bariatric Patient 15:45 - 17:00 • royale room • 6th Floor SPEAKErS:

robert M. Chuda, M.d., M.b.A. Attending Anesthesiologist lenox hill hospital New York, New York and

ram roth, M.d.

S U N d A y

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

After completion of this session, the participant will be able to: m Identify what is considered a difficult extubation; m Implement a strategy to avoid a traumatic extubation; m List patient co-morbidities that contribute to post-extubation complications; m develop an algorithm for extubation of the Morbidly Obese Patient; m Appreciate the value of a universal extubation algorithm for all patients.

d I S C LO S U r E S : drs. beg, Chuda and roth do not have any financial relationships to disclose.

96

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

72nd Annual PostGraduate Assembly in Anesthesiology december 7-11, 2018 Marriott Marquis NyC

Monday

december 10, 2018

registration

07:00 - 16:00

Sessions

08:00 - 17:00

E.A. rovenstine and Gertie Marx Memorial Panel

08:30 - 10:30

E.A. rovenstine Memorial Lecture

10:45 - 11:45

Technical Exhibits

09:00 - 1:00

Poster Presentations

12:00 - 14:00 FEE rEQUIrEd (Fees listed on page 3.)

W-14 basic Point of Care Ultrasound (PoCUS): Focused Surface MOCA Ultrasound for the Perioperative Anesthesiologist

®

After completion of this session, the participant will be able to acquire images, handle a portable ultrasound machine and interpret information from:

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

James A. Osorio, M.d.

Assistant Professor of Clinical Anesthesiology Cornell university, Weill Cornell medical Center Program director, Critical Care medicine | department of Anesthesiology NewYork Presbyterian hospital | New York, New York and

Michael H. Wall, M.d., FCCM

m A basic focused surface ultrasound exam of the heart, basic ultrasound exam of the lungs and perform an ultrasound survey for free fluid in the abdominal cavity (FAST exam).

Workshop participants will review relevant cases for anesthesiologists with the experts using: m Point-of-care evaluation in patients with unexpected hypoxia, hypotension, oliguria and cardiac arrest.

Workshop participants will participate in the discussion during the moderator session with the experts and learn about how to get started and continue (PoCUS) point-of-care ultrasound in your department.

JJ buckley Professor and Chairman Interim division Chief, Critical Care medicine department of Anesthesiology | university of minnesota Twin Cities Campus | minneapolis, minnesota

SPEAKErS:

Stephen C. Haskins, M.d.

Nikolaos J. Skubas, M.d., FACC, FASE, d.Sc.

Clinical Assistant Professor of Anesthesiology Cornell university, Weill Cornell medical College Assistant Attending Anesthesiologist hospital for Special Surgery | New York, New York

Chair, department of Cardiothoracic Anesthesiology Cleveland Clinic Foundation | Cleveland, ohio

Natalia S. Ivascu, M.d.

Associate Professor of Clinical Anesthesiology Associate Professor of medical ethics in Clinical medicine director, Cardiothoracic Surgical Intensive Care unit director, Pre-Anesthesia evaluation Center director, Post-Anesthesia Care unit Weill Cornell medicine | New York, New York

2018 | PGA72 Program

M O N d A y

Julia b. Sobol, M.d.

Assistant Professor of Anesthesiology Columbia university, College of Physicians & Surgeons New York, New York

Adriaan van rensburg, M.d.

Assistant Professor of Anesthesiology university of Toronto | Toronto, ontario, Canada

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

97

W-14 basic Point of Care Ultrasound (PoCUS): Focused Surface Ultrasound for the Perioperative Anesthesiologist A S S I S T E d by:

Shanna S. Hill, M.d.

Christopher Tam, M.d.

Assistant Professor of Clinical Anesthesiology NewYork Presbyterian hospital New York, New York

Instructor of Anesthesiology NewYork Presbyterian hospital New York, New York

david Kiamanesh, M.d.

Christopher y. Tanaka, M.d.

Assistant Professor of Anesthesia and Critical Care SuNY-health Sciences Center at Stony brook Stony brook, New York

Assistant Professor of Anesthesiology division of Cardiothoracic Anesthesiology montefiore medical Center Assistant Professor of Anesthesiology Albert einstein College of medicine bronx, New York

Oliver P. F. Panzer, M.d.

Associate Professor of Anesthesiology director, Perioperative ultrasound education division of Critical Care & regional Anesthesia Columbia university, College of Physicians & Surgeons New York, New York

Amanda J. rhee, M.d.

Associate Professor of Anesthesiology Icahn School of medicine at mount Sinai director, Special operations Quality Improvement department of Anesthesiology, Perioperative and Pain medicine mount Sinai hospital | New York, New York

Timothy T. Tran, M.d.

Assistant Professor of Anesthesiology university of Colorado-Anschutz medical Campus Aurora, Colorado

Paul d. Weyker, M.d.

Associate Physician Kaiser Permanente South San Francisco San Francisco, California

Ketan Shevde, M.d.

Clinical Professor of Anesthesiology director, Cardiothoracic Anesthesia SuNY-downstate medical Center brooklyn, New York

M O N d A y

d I S C LO S U r E S : drs. hill, Ivascu, Kiamanesh, osorio, Panzer, rhee, Shevde, Skubas, Sobol, Tam, Tanaka, Tran, van rensburg, Wall and Weyker do not have any financial relationships to disclose. dr. haskins receives honoraria and travel reimbursement from FujiFilm Sonosite to teach Point-of-Care ultrasound.

98

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

W-15 Thoracic Anesthesia Workshop MOCA

®

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

Edmond Cohen, M.d.

Professor of Anesthesiology and Thoracic Surgery | director, Thoracic Anesthesia Icahn School of medicine at mount Sinai | New York, New York

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

A S S I S T E d by:

Anuj Malhotra, M.d.

Felice E. Agro, M.d.

Full Professor of Anesthesia and Intensive Care Chairman of Postgraduate School of Anesthesia and Intensive Care | director of Anesthesia, Intensive Care and Pain management department | university School of medicine Campus bio-medico of rome | rome, Italy

Javier H. Campos, M.d.

Professor of Anesthesiology director, Cardiothoracic Anesthesia executive medical director Perioperative Services university of Iowa health Care | Iowa City, Iowa

Cesar rodriguez-diaz, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Maria d. Castillo, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Peter Slinger, M.d., FrCPC Professor of Anesthesiology university of Toronto and Toronto General hospital Toronto, ontario, Canada

dawn P. desiderio, M.d.

Professor of Clinical Anesthesiology Cornell university, Weill Cornell medical College Clinical member | memorial Sloan Kettering Cancer Center New York, New York

yury Khelemsky, M.d.

Assistant Professor of Anesthesiology Program director, Pain medicine Fellowship Icahn School of medicine at mount Sinai New York, New York

Alexandra L. Lewis, M.d.

Attending Anesthesiologist memorial Sloan Kettering Cancer Center New York, New York

Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York Associate director, Adult offsite Anesthesiology Services Assistant Professor of Anesthesiology department of Anesthesiology, Perioperative Care and Pain medicine NYu-langone medical Center | New York, New York

Professor of Anesthesia NYu-langone medical Center Associate director, Anesthesia bellevue hospital Center New York, New York

Attending Anesthesiologist Jamaica hospital medical Center Jamaica, New York

Steven M. Neustein, M.d.

daniel K. O’Neill, M.d.

Levon M. Capan, M.d.

Marian dumitru, M.d.

Associate Pain Fellowship director Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

Jessica L. Spellman, M.d.

Assistant Professor of Anesthesiology director, Perioperative Transesophageal echocardiography division, Cardiothoracic Anesthesia Columbia university, College of Physicians & Surgeons New York, New York

Eugene r. Viscusi, M.d.

Professor of Anesthesiology Chief of Pain medicine director, Acute Pain management department of Anesthesiology Sidney Kimmel medical College at Thomas Jefferson university Philadelphia, Pennsylvania

M O N d A y

Charles b. Watson, M.d., FCCM deputy Surgeon-in-Chief bridgeport hospital Yale-New haven health System bridgeport, Connecticut

d I S C LO S U r E S : drs. Agro, Campos, Capan, Castillo, Cohen, desiderio, dumitru, Khelemsky, lewis, malhotra, Neustein, o’Neill, rodriguez-diaz, Slinger, Spellman and Watson do not have any financial relationships to disclose. dr. Viscusi receives funded research support from dureCT Corporation and Pacira Pharmaceuticals, Inc.; consultant fees from Acelrx, Avenue, Cara Therapeutics, Inc., Concentric, Inc., heron Therapeutics, Innacoll Pharmaceuticals, ltd., mallinckrodt Pharmaceuticals, merck & Co., Inc., Neumentum Pharmaceuticals, Pacira Pharmaceuticals, Inc., Pfizer, Inc., recro Pharma, Inc., Salix Pharmaceuticals, and Trevena, Inc.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

99

W-16 Advanced Cardiac Life-Support (ACLS) A Certification Course for Skilled Providers

MOCA®

09:00 - 17:00 • Soho Complex • 7th Floor MOdErATOrS:

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

SuNY distinguished Teaching Professor Professor of Anesthesiology and Vice-Chair (Administration/Special Projects) Professor of Pharmacological Sciences Professor of health Sciences SuNY-health Sciences Center at Stony brook Stony brook, New York

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. requirements for Certificate:

A S S I S T E d by:

rhonda A. Alexis, M.d.

Anesthesiologist, General Anesthesia Children’s hospital of Philadelphia Perelman School of medicine university of Pennsylvania Philadelphia, Pennsylvania

Malcolm devine, NrEMT-P Assistant Professor of health Sciences Assistant director, Paramedic Program School of health Technology and management SuNY-health Sciences Center at Stony brook Stony brook, New York

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 preregistration.

Theodore Lamonica, NrEMT-P lecturer in health Sciences SuNY-health Sciences Center at Stony brook Stony brook, New York

Paul A. Werfel, M.S., NrEMT-P Assistant Professor of health Sciences director, Paramedic Program School of health Technology and management SuNY-health Sciences Center at Stony brook Stony brook, New York

M O N d A y

d I S C LO S U r E S : drs. Alexis, Vitkun, mr. devine, mr. lamonica and mr. Werfel do not have any financial relationships to disclose.

100

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-23 The rovenstine“Gertie Marx” Memorial Panel: Complications in Obstetrical Practice 08:30 - 10:30 • broadway ballroom • 6th Floor This panel was created to honor the life, career and memory of Professor Gertie F. marx, the “mother of obstetric Anesthesia.” Gertie was born in Frankfurt am main, Germany. She studied medicine in Germany and Switzerland in the mid1930s, before emigrating to the united States.

She trained at beth Israel medical Center, where she worked for 10 years as an attending anesthesiologist. She then came to Jacobi medical Center and the Albert einstein School of medicine in the bronx, becoming the first director of obstetric Anesthesiology at those institutions. She continued to work at Jacobi and einstein for over 40 years, rising to the rank of Professor. Gertie dedicated her life to the “care of mothers and their babies,” which she did through both her clinical care and her research. Gertie held just as strong a After completion of this session, the participant will be able to: commitment to the education of anesthesia residents and medical students, training untold numbers of obstetric anesthesiologists. m diagnose a post-dural puncture To these students of anesthesia, Gertie was the model for pride, headache; dedication and professionalism. during her illustrious career, m develop a plan for the Gertie received many honors in the u.S., the u.K. and elsewhere. management of accidental dural She was only the second woman in the history of the ASA to puncture; receive the ASA distinguished Service Award. The last of many m develop a universal approach for awards that Gertie received in her life, was the distinguished all practitioners to prevent Service Award of the NYSSA. accidental dural puncture; m discuss recent guidelines on the prevention of local anesthetic systemic toxicity, with a focus on its occurrences and L & d;

MOdErATOr:

david J. Wlody, M.d., FASA Professor of Clinical Anesthesiology Vice-Chair, education department of Anesthesiology director, Anesthesiology residency Program SuNY-downstate medical Center brooklyn, New York

m Understand new information regarding the mechanism of lipid resuscitation;

FACULTy PrESENTATIONS:

m develop a rational approach to transfusion during major obstetric hemorrhage;

m Optimize obstetric anesthetic practice for use of intralipid therapy;

Post dural Puncture Headache robert r. Gaiser, M.d., FASA

m discuss the role of point of care testing in management of obstetric hemorrhage;

Professor and Chair | department of Anesthesiology university of Kentucky | lexington, Kentucky

Local Anesthetic Systemic Toxicity Joy L. Hawkins, M.d.

m Compare regional vs. general anesthesia for the management of maternal hemorrhage.

Professor of Anesthesiology Associate Chair for Academic Affairs director, obstetrics Anesthesia university of Colorado School of medicine Aurora, Colorado

M O N d A y

Maternal Hemorrhage roulhac d. Toledano, M.d., Ph.d.

Clinical Associate Professor of Anesthesiology, Perioperative Care and Pain medicine director, obstetric Anesthesia NYu-langone hospital-brooklyn | brooklyn, New York

d I S C LO S U r E S : drs. Gaiser, hawkins, Toledano and Wlody do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

101

SP-24 48th E.A. rovenstine Memorial Lecture: Maternal Mortality and the role of the Anesthesiologist 10:45 - 11:45 • 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.

After completion of this session, the participant will be able to: m Summarize maternal mortality ratios and cite the major causes of maternal mortality; m describe the consensus bundles published by the National Partnership for Maternal Safety and understand how these might impact anesthesia care; m describe the Levels of Maternal Care promulgated by the American College of Obstetricians and Gynecologists; m recognize how anesthesiologists can contribute to maternal safety.

INTrOdUCTIONS:

Audrée A. bendo, M.d., M.S., FASA, PGA General Chair Meg A. rosenblatt, M.d., FASA, PGA Scientific Programs Chair GUEST LECTUrEr:

Cynthia A. Wong, M.d.

M O N d A y

102

Professor, Chair and deo department of Anesthesia university of Iowa - Carver College of medicine Iowa City, Iowa

About the Lecturer... dr. Cynthia Wong is an obstetric anesthesiologist whose research interests revolve around labor analgesia and its effects on the progress of labor and fetal status, epidural labor analgesia, as well as anesthesia for cesarean delivery and postoperative analgesia. She and her group have published several seminal studies that have changed the practice of obstetric anesthesia. dr. Wong is on the editorial boards of the British Journal of Anaesthesia and the International Journal of Obstetric Anesthesia as well as a guest reviewer for other anesthesiology and obstetric journals. She has edited several major textbooks, including Chestnut’s Obstetric Anesthesia, Principles and Practice, and has authored multiple book chapters in major anesthesiology and obstetric textbooks. She also lectures worldwide, and is an active educator. She is Chair of the ACGme Anesthesiology residency review Committee (rrC), and is a Senior editor for the AbA basic examination, as well as the AbA moCA minute Committee. other interests include malignant hyperthermia; she has served as an mh hotline consultant for many years.

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

Past rovenstine Memorial Lecturers 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 1990 1989

Carin A. hagberg, m.d., FASA robert N. Sladen, m.b., Ch.b., FCCm Sulpicio G. Soriano, III, m.d.

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.

Sol N. Shnider, m.d. henrik h. bendixen, m.d.

1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977

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.

1976

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.

1975

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.

1974

1973 1972 1971

d I S C LO S U r E S : drs. bendo, rosenblatt and Wong do not have any financial relationships to disclose.

M O N d A y

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

103

PbL-49 Perioperative Control of Hypertension 11:45 - 12:45 • Majestic room • 6th Floor SPEAKErS:

Sudheer K. Jain, M.d.

Assistant Professor of Anesthesiology | NYu-langone medical Center director, Peri-Anesthesiology Services | Tisch hospital | New York, New York and

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; m Formulate an anesthetic plan for the patient with hypertension.

Jing Song, M.d.

Associate Professor of Anesthesiology | director of International resident & Fellow exchange Program | montefiore medical Center director, research & Clinical Fellowship Program, China division of einstein Global health Institute Albert einstein College of medicine | bronx, New York

PbL-50 STAT Cesarean Section: Spinal vs. General 11:45 - 12:45 • Music box room • 6th Floor SPEAKErS:

Sharon Abramovitz, M.d.

Associate Professor of Anesthesiology | Cornell university, Weill Cornell medical College | Attending Anesthesiologist | NewYork Presbyterian hospital | New York, New York and

yaakov beilin, M.d.

Professor of Anesthesiology, obstetrics, Gynecology and reproductive Sciences | director, obstetric Anesthesia | Vice-Chair, Quality Icahn School of medicine at mount Sinai | New York, New York

PbL-51 delirium: What Can I do to Prevent It? 11:45 - 12:45 • Winter Garden room • 6th Fl. SPEAKEr:

M O N d A y

Kenneth b. Newman, M.d., M.S.H.A. ramapo Anesthesia | medical director | Premier Anesthesia Chief Trooper Surgeon | New York State Police | Suffern, New York

PbL-52 Pain Management in the drug Addicted Patient 11:45 - 12:45 • Palace room • 6th Floor SPEAKErS:

Steven G. Halle, M.d.

Assistant Professor of Anesthesiology mount Sinai St. luke’s and West hospitals | New York, New York and

Stelian I. Serban, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai | New York, New York

drs. Abramovitz, beilin, Jain, halle, Newman, Song and Serban do not have any financial relationships to disclose.

104

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

After completion of this session, the participant will be able to: m Evaluate fetal heart rate tracings and understand the etiology of the different types of fetal heart rate patterns; m Explain how opioids and anesthetics affect the fetus and the interpretation of the fetal heart rate tracing; m Formulate a labor analgesia plan for the parturient with an ominous fetal heart rate tracing; m recognize the effects of spinal and general anesthesia on mother and baby; m Formulate a management plan for an emergency cesarean section.

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: m Identify drug addiction vs. drug tolerance vs. physical dependence; m Assess the analgesic options regarding postoperative pain management; m Identify analgesic requirements for the perioperative period; m Formulate an outpatient strategic analgesic plan.

www.pga.nyc

#pga72

PbL-53 Treatment of the Patient with Mitochondrial disease 11:45 - 12:45 • Shubert room • 6th Floor

After completion of this session, the participant will be able to: m Identify clinical signs and symptoms of mitochondrial disease; m develop and implement a safe anesthetic plan for the patient with mitochondrial disease.

SPEAKErS:

Farzana Afroze, M.d.

Assistant Professor of Anesthesiology Albany medical College | Albany, New York and

Helena Oechsner, M.d.

Associate Professor of Anesthesiology | division of Pediatric Anesthesia Albany medical College | Albany, New York

PbL-54 Can Anesthesiologists Affect Cancer Survival?

11:45 - 12:45 • Uris room • 6th Floor SPEAKEr:

Tiffany r. Tedore, M.d.

Co-director, regional Anesthesiology and Acute Pain medicine Associate Professor of Anesthesiology Cornell university, Weill Cornell medical College NewYork Presbyterian hospital | New York, New York

PbL-55 Colloid vs.

Crystalloid: New Answers to an Old Question 11:45 - 12:45 • Plymouth room • 6th Floor SPEAKEr:

Jay S. berger, M.d., Ph.d.

After completion of this session, the participant will be able to: m discuss the literature regarding the effects of type of anesthesia on cancer cell survival; m Identify common events in the perioperative period (i.e. hypothermia, transfusion) that might affect the response of the immune system with regards to cancer; m devise an anesthetic plan for the care of the cancer patient.

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.

Assistant Professor of Anesthesia and Critical Care medicine Albert einstein College of medicine/montefiore medical Center bronx, New York

PbL-56 Non-Invasive Hemodynamic Monitoring 11:45 - 12:45 • royale room • 6th Floor SPEAKEr:

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

M O N d A y

m review various modalities for non-invasive hemodynamic monitoring; m Select patients and procedures in which non-invasive hemodynamic monitoring would be advantageous.

Carlos J. Lopez, III, M.d.

Assistant Professor of Anesthesiology residency Program director upstate medical university | Syracuse, New York

d I S C LO S U r E S : drs. Afroze, berger, lopez and oechsner do not have any financial relationships to disclose. dr. Tedore’s spouse is a shareholder and sits on the board of TG Therapeutics.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

105

MW-26 Update on Factor and blood Transfusion in Anesthesia

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

11:45 - 12:45 • Odets room • 4th Floor

m delineate the incidence and therapy of transfusion related complications.

SPEAKEr:

Aryeh Shander, M.d., FCCM, FCCP, FASA

m Enumerate the latest changes in blood transfusion guidelines; m Enumerate the latest changes in factor transfusion guidelines;

Chief, departments of Anesthesiology, Critical Care medicine, Pain management and hyperbaric medicine englewood hospital and medical Center englewood, New Jersey Clinical Professor of Anesthesiology, medicine and Surgery Icahn School of medicine at mount Sinai New York, New York

MW-27 Anesthesia for difficult Orthopedic Procedures 11:45 - 12:45 • Wilder room • 4th Floor SPEAKEr:

Mitchell H. Marshall, M.d.

After completion of this session, the participant will be able to: m Identify which procedures are at increased risk for perioperative complications; m Identify procedures which would benefit from additional monitoring; m Identify strategies to decrease blood lost.

Clinical Associate Professor of Anesthesiology Chief, department of Anesthesiology NYu-langone medical Center-hospital for Joint diseases New York, New York

MW-28 Introduction to TEE 11:45 - 12:45 • Ziegfeld room • 4th Floor SPEAKEr:

Christopher y. Tanaka, M.d.

M O N d A y

Assistant Professor of Anesthesiology division of Cardiothoracic Anesthesiology montefiore medical Center Assistant Professor of Anesthesiology Albert einstein College of medicine bronx, New York

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 Identify hypokinesis and akinesis of the myocardium.

d I S C LO S U r E S : drs. marshall and Tanaka do not have any financial relationships to disclose. dr. Shander receives funded research support from CSl behring, masimo Corporation and hbo2 Therapeutics; consultant fees from AmAG Pharmaceuticals, baxter International, Inc., Gauss Surgical, Inc., masimo Corporation and Vifor Pharma; and is on the speakers’ bureau for merck & Co., Inc.

106

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

W-17 basic Plus (+) Point-of-Care Surface Ultrasound Workshop 12:00 - 15:00 • Empire Complex • 7th Floor MOdErATOrS:

MOCA®

This intermediate workshop is recommended for: m Somebody who has enrolled in the morning basic workshop and would like to broaden experience and acquire up-to-date skills for the practicing Anesthesiologist. m Somebody who has some basic knowledge in surface ultrasound.

James A. Osorio, M.d.

Assistant Professor of Clinical Anesthesiology Cornell university, Weill Cornell medical Center Program director, Critical Care medicine department of Anesthesiology NewYork Presbyterian hospital | New York, New York and

After completion of this session, the participant will be able to acquire images and interpret information from:

Michael H. Wall, M.d.

JJ buckley Professor and Chairman Interim division Chief, Critical Care medicine department of Anesthesiology | university of minnesota Twin Cities Campus | minneapolis, minnesota

m A standardized comprehensive cardiac exam of the heart. This will include assessment of global and segmental cardiac function, assessment of valvular structure and function, stroke volume measurement - cardiac output estimation and volume status assessment noninvasively by ultrasound. m A systematic advanced lung exam and perform algorithm based lung findings interpretation. m A systematic PoCUS airway examination.

SPEAKErS:

Natalia S. Ivascu, M.d.

Associate Professor of Clinical Anesthesiology Associate Professor of medical ethics in Clinical medicine director, Cardiothoracic Surgical Intensive Care unit director, Pre-Anesthesia evaluation Center director, Post-Anesthesia Care unit | Weill Cornell medicine New York, New York

Workshop participants will review relevant cases for anesthesiologists with the experts using:

Oliver P. F. Panzer, M.d.

Associate Professor of Anesthesiology director, Perioperative ultrasound education division of Critical Care & regional Anesthesia Columbia university, College of Physicians & Surgeons New York, New York

m The PAUSE, FATE, rUSH, FAST, and in the hemodynamically unstable or hypoxic patient, as well as apply diagnostic principles of the FEEL protocol during cardiac arrest, through participation in workshop simulation cases.

Nikolaos J. Skubas, M.d., FACC, FASE, d.Sc.

Workshop participants will participate in the discussion during the moderator session with the experts and learn about the upcoming certification process for the (PoCUS) point-of-care surface ultrasound for anesthesiologists.

Chair, department of Cardiothoracic Anesthesiology Cleveland Clinic Foundation | Cleveland, ohio

A S S I S T E d by:

Nibras bughrara, M.d.

rohan K. Panchamia, M.d.

Christopher y. Tanaka, M.d.

director, Adult Critical Care division director, Adult Critical Care echo Program Assistant Professor of Anesthesiology and Surgery Albany medical Center Albany, New York

Instructor in Anesthesiology & Critical Care medicine Weill Cornell medicine New York, New York

Assistant Professor of Anesthesiology division of Cardiothoracic Anesthesiology montefiore medical Center Assistant Professor of Anesthesiology Albert einstein College of medicine bronx, New York

ranjit deshpande, M.d.

Assistant Professor of Anesthesiology director, Transplant Anesthesiology Yale School of medicine New haven, Connecticut

david A. Kiamanesh, M.d.

Assistant Professor of Anesthesia and Critical Care SuNY-health Sciences Center at Stony brook Stony brook, New York

Ketan Shevde, M.d.

Clinical Professor of Anesthesiology director, Cardiothoracic Anesthesia SuNY-downstate medical Center brooklyn, New York

Julia b. Sobol, M.d.

Assistant Professor of Anesthesiology Columbia university, College of Physicians & Surgeons New York, New York

Christopher Tam, M.d.

Instructor of Anesthesiology NewYork Presbyterian hospital New York, New York

Timothy T. Tran, M.d.

Assistant Professor of Anesthesiology university of Colorado-Anschutz medical Campus Aurora, Colorado

Adriaan van rensburg, M.d.

M O N d A y

Assistant Professor of Anesthesiology university of Toronto Toronto, ontario, Canada

Paul d. Weyker, M.d.

Associate Physician Kaiser Permanente South San Francisco San Francisco, California

d I S C LO S U r E S : drs. bughrara, deshpande, Ivascu, Kiamanesh, osorio, Panchamia, Panzer, Shevde, Skubas, Sobol, Tam, Tanaka, Tran, van rensburg, Wall and Weyker do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

107

SP-25 Special Considerations for the Perioperative Management of the Cancer Patient 13:00 - 15:30 • North ballroom • 6th Floor MOdErATOr:

Gregory W. Fischer, M.d., FASA Professor and Chair department of Anesthesiology and Critical Care medicine memorial Sloan Kettering Cancer Center New York, New York

After completion of this session, the participant will be able to: m discuss the evolving worldwide impact of cancer on healthcare; m describe perioperative strategies to improve outcomes for cancer patients; m Explain the perioperative implications of new cancer therapies; m discuss how cancer and cancer therapies affect the heart.

FACULTy PrESENTATIONS:

Global Impact of Cancer Vijaya N. r. Gottumukkala, M.b., b.S., M.d., FrCA Professor & deputy Chairman director, Cancer Anesthesia Fellowship Program director, Program for Advancement of Perioperative Cancer Care department of Anesthesiology & Perioperative medicine The university of Texas md Anderson Cancer Center houston, Texas

Can the Anesthesiologist Affect Long Term Cancer Survival?

Gregory W. Fischer, M.d., FASA

M O N d A y

Innovations in Cancer Therapy and the Perioperative Implications david Hyman, M.d. medical oncologist Chief, early drug development Service memorial Sloan Kettering Cancer Center New York, New York

Anesthetic Technique and Effect on Cancer Outcomes Elliott bennett-Guerrero, M.d.

Professor and Vice Chair, Clinical research medical director, Perioperative Quality and Patient Safety SuNY-health Sciences Center at Stony brook Stony brook, New York

d I S C LO S U r E S : drs. bennett-Guerrero and Fischer do not have any financial relationships to disclose. dr. Gottumukkala receives consultant fees from medtronic, Inc. and Pfizer, Inc. dr. hyman receives funded research support from AstraZeneca, Puma biotechnology, Inc., loXo and consultant fees from Atara biotherapeutics, AstraZeneca, bayer AG, boehringer-Ingelheim, Chugai Pharma, CytomX Therapeutics, Genentech and Pfizer, Inc.

108

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-26 The Cardiac Patient Presenting for Non-Cardiac Surgery 13:00 - 15:30 • South ballroom • 6th Floor MOdErATOr:

Jack S. Shanewise, M.d. director, Cardiothoracic Anesthesiology Columbia university, College of Physicians & Surgeons New York, New York

After completion of this session, the participant will be able to: m Formulate a plan for cardiac assessment in the preoperative period; m describe the pharmacologic and surgical treatments for right heart failure; m design an appropriate plan for monitoring the patient with advanced heart failure; m review the current guidelines for glucose management in the Or.

FACULTy PrESENTATIONS:

Managing Pulmonary Hypertension in Non-Cardiac Surgery bessie Kachulis, M.d.

Associate Professor of Anesthesiology director of Thoracic Anesthesia division of Cardiothoracic Anesthesiology Columbia university, College of Physicians & Surgeons New York, New York

Tight Control is Too Tight! How do We Manage Glucose in the Perioperative Patient basem Abdelmalak, M.d., FASA Professor of Anesthesiology director, Anesthesia for bronchoscopic Surgery director, Center for Sedation departments of General Anesthesiology and outcomes research Cleveland Clinic Cleveland, ohio

Are Cardiac Anesthesiologists Still Needed in the TAVr room?

Peter J. Neuburger, M.d.

Assistant Professor of Anesthesiology, Perioperative Care and Pain medicine NYu-langone medical Center division of Cardiothoracic Anesthesiology New York, New York

What’s your FATE? Case discussion of the Use of TTE in Catastrophic Events

M O N d A y

Christopher y. Tanaka, M.d.

Assistant Professor of Anesthesiology division of Cardiothoracic Anesthesiology montefiore medical Center Assistant Professor of Anesthesiology Albert einstein College of medicine bronx, New York

d I S C LO S U r E S : drs. Abdelmalak, Kachulis, Shanewise and Tanaka do not have any financial relationships to disclose. dr. Neuburger receives consultant fees from medtronic, Inc.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

109

SP-27 The Morbid and Super Morbidly Obese Patients: Challenging Anesthetics 13:00 - 15:30 • Manhattan ballroom • 8th Floor MOdErATOr:

William rosenblatt, M.d.

Professor of Anesthesiology director, Anesthesia for otolaryngology Yale School of medicine New haven, Connecticut

After completion of this session, the participant will be able to: m describe the latest developments in surgery for obesity; m Formulate an anesthetic plan involving regional anesthesia for an obese patient; m Apply the latest equipment and techniques in the management of the airway of obese patients; m Enumerate the challenges faced when administering anesthesia to patients with pediatric obesity.

FACULTy PrESENTATIONS:

Obesity Surgery: The Next Frontier Stephanie b. Jones, M.d.

Associate Professor of Anaesthesia harvard medical School Vice Chair of education department of Anesthesia, Critical Care and Pain medicine beth Israel deaconess medical Center boston, massachusetts

regional Anesthesia for Obese Patients yan Lai, M.d, M.P.H., FASA Assistant Professor of Anesthesiology mount Sinai St. luke’s and West hospitals New York, New York

Airway Management in the Obese Patient M O N d A y

William rosenblatt, M.d.

Pediatric Obesity Audra M. Webber, M.d.

Assistant Professor of Anesthesiology university of rochester School of medicine and dentistry Associate Program director Pediatric Anesthesia Fellowship department of Anesthesiology and Perioperative medicine rochester, New York

d I S C LO S U r E S : drs. rosenblatt and Webber do not have any financial relationships to disclose. dr. Jones’ spouse receives consultant fees from Allurion, Inc. (Intragastric balloon). dr. lai receives royalties from uptodate.com.

110

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

FS-24 Oral Presentation of Selected Posters on display at PGA72 15:45 - 17:00 • Odets room • 4th Floor

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

MOdErATOr:

m Assess new research for validity;

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

m develop programs in their institutions for residents to participate research.

SuNY distinguished Teaching Professor Professor of Anesthesiology and Vice-Chair (Special Projects) Professor of Pharmacological Sciences Professor of health Sciences SuNY-health Sciences Center at Stony brook Stony brook, New York

PGA72 had 370 poster submissions.

Each poster was reviewed and scored by the PGA Scientific Exhibit and Poster Committee.

This session will feature the top scoring presenters discussing their work.

FS-25 Management of Patients on Psychotropic Medications 15:45 - 17:00 • Wilder room • 4th Floor

After completion of this session, the participant will be able to: m Understand the pharmacology of relevant drug interactions and have alternate anesthesia medication plan in place;

MOdErATOr:

Jeanna d. blitz, M.d. medical director, Pre Admission Testing department of Anesthesiology, Perioperative Care and Pain medicine NYu langone health New York, New York

m recognize the different side effects of these drugs and have a monitoring and management plan in place.

FACULTy PrESENTATIONS:

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

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

Associate Professor of Anesthesiology Associate director, Preadmission Testing Center director, endocrine Anesthesia Yale School of medicine New haven, Connecticut

M O N d A y

d I S C LO S U r E S : drs. blitz, oprea and Vitkun do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

111

FS-26 Pediatric Pain Management: What is the best Practice?

15:45 - 17:00 • Ziegfeld room • 4th Floor MOdErATOr:

bettina Smallman, M.d.

Associate Professor of Anesthesiology director, Pediatric Anesthesia upstate medical university Syracuse, New York FACULTy PrESENTATIONS:

Pharmacological Approach bettina Smallman, M.d.

Pediatric Pain Management: What is the best Practice?

Santhanam Suresh, M.d., FAAP Arthur C. King Professor & Chair department of Pediatric Anesthesiology Ann & robert h. lurie Children’s hospital of Chicago Chicago, Illinois

FS-27 Vasoplegia: What Is It, How to Treat It 15:45 - 17:00 • Columbia/duffy rooms • 7th Fl. MOdErATOr:

Menachem M. Weiner, M.d.

Associate Professor of Anesthesiology, Perioperative and Pain medicine Icahn School of medicine at mount Sinai New York, New York FACULTy PrESENTATIONS:

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.

After completion of this session, the participant will be able to: m recognize signs of vasoplegia; m discuss and develop treatment protocols; m discuss the role of methylene blue in treatment of vasoplegia; m Know the risk and benefits of various treatment protocols and be able to implement in their practice.

The role of Methylene blue Menachem M. Weiner, M.d.

Standard Treatment Protocols Matthew A. Levin, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

d I S C LO S U r E S : drs. levin, Smallman, Suresh and Weiner do not have any financial relationships to disclose.

112

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

FS-28 Assigned to Ir and MrI: What the Anesthesiologist Needs to Know 15:45 - 17:00 • O’Neill room • 4th Floor After completion of this session, the participant will be able to:

MOdErATOr:

m discuss the various hazards to personnel providing care in these out of Or settings;

Apolonia E. Abramowicz, M.d.

Associate Professor of Clinical Anesthesiology New York medical College residency Program director Westchester medical Center Valhalla, New York

m Implement strategies and protocols to prevent adverse events;

FACULTy PrESENTATIONS:

Update on Novel Procedures in Ir and MrI and Their Anesthetic Implications

m recognize the many novel procedures being offered in Ir and their anesthesia implications; m determine best practices for providing anesthesia.

Apolonia E. Abramowicz, M.d.

Occupational Hazards in the Ir, MrI Suites and radiation Safety Andrew J. Iskander, M.d.

Associate Professor of Anesthesiology division Chief, Pediatric Anesthesiology SuNY-health Sciences Center at Stony brook Stony brook, New York

FS-29 Problems in the PACU 15:45 - 17:00 • Empire Complex • 7th Floor

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

MOdErATOr:

m develop a differential diagnosis of delirium in the PACU; m recognize the signs of residual neuromuscular block and develop an appropriate treatment plan;

Stacie G. deiner, M.d.

Associate Professor of Anesthesiology, Neurosurgery, Geriatrics and Palliative Care Icahn School of medicine at mount Sinai New York, New York

m develop a treatment plan for patients exhibiting signs of delirium.

FACULTy PrESENTATIONS:

Emergence delirium Stacie G. deiner, M.d.

residual Neuromuscular block

M O N d A y

Michael A. Akerman, M.d.

Assistant Professor of Anesthesiology Weill Cornell medicine New York, New York

d I S C LO S U r E S : drs. Abramowicz, Akerman, deiner and Iskander do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

113

FS-30 Challenges in regional Anesthesia: bleeding vs. Clotting 15:45 - 17:00 • Astor ballroom • 7th Floor MOdErATOr:

yan Lai, M.d., M.P.H. FASA Assistant Professor of Anesthesiology mount Sinai St. luke’s and West hospitals New York, New York

FACULTy PrESENTATIONS:

Use of Antifibrinolytics in Orthopedic Anesthesia yan Lai, M.d., M.P.H. FASA

regional Anesthesia in the Patient on Anticoagulation Michael r. Anderson, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

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; m develop strategies for use of antifibrinolytics for orthopedic surgery; 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; develop strategies for use of antifibrinolytics for orthopedic surgery.

M O N d A y

d I S C LO S U r E S : dr. Anderson does not have any financial relationships to disclose. dr. lai receives royalties from uptodate.com.

114

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

After completion of this session, the participant will be able to: m review data regarding the impact of dexamethasone on postoperative analgesia; m recognize side effects of dexamethasone; m Implement a plan utilizing dexamethasone in the appropriate patient.

PbL-57 Impact of dexamethasone on Post-Op Analgesia 15:45 - 17:00 • Majestic room • 6th Floor

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

SPEAKEr:

Jacques T. yadeau, M.d., Ph.d.

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.

Associate Attending Anesthesiologist | hospital for Special Surgery Clinical Associate Professor of Anesthesiology Cornell university, Weill Cornell medical Center | New York, New York

PbL-58 Obstructive Sleep Apnea and Ambulatory Surgery 15:45 - 17:00 • Music box room • 6th Floor SPEAKEr:

danielle b. Ludwin, M.d.

Associate Professor of Anesthesiology | Columbia university, College of Physicians & Surgeons | New York, New York

PbL-59 The Transgender Patient: Perioperative Concerns 15:45 - 17:00 • Winter Garden room • 6th Floor SPEAKErS:

Maria A. bustillo, M.d.

Associate Professor of Clinical Anesthesiology | Chief, division of Neuroanesthesia | Weill Cornell medical College | New York, New York and

Sergey V. Pisklakov, M.d.

Associate Professor of Anesthesiology | Albert einstein College of medicine director, Neuroanesthesia Fellowship | department of Anesthesiology montefiore medical Center | bronx, New York

PbL-60 Anesthetic Challenges in the Electrophysiology Suite 15:45 - 17:00 • Palace room • 6th Floor SPEAKErS:

Lisa Q. rong, M.d.

Assistant Professor of Clinical Anesthesiology | NewYork Presbyterian hospital | Cornell university, Weill Cornell medical College | New York, New York and

Irene C. Stadnyk, M.d.

After completion of this session, the participant will be able to: m define the professional terminology related to the anesthetic care of a transgender patient; m Explain the implications of lack of understanding of transgender issues, among members of the Or team on patient safety; m Predict major implications of completed transgender surgery for the perioperative care; m Formulate a sensitive and informed communication approach to a transgender patient in the perioperative setting.

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 Understand occupational hazards and radiation exposure in the EP suite; m discuss the effects of anesthetic agents on cardiac electrophysiology; m Formulate a plan to care for challenging cases in the EP suite and similar remote locations.

M O N d A y

Attending Anesthesiologist | NewYork Presbyterian hospital | New York, New York

d I S C LO S U r E S : drs. bustillo, Pisklakov, rong and Stadnyk and do not have any financial relationships to disclose. dr. ludwin receives consultant fees from Avenue Therapeutics, Inc. dr. Yadeau receives funded research support from mallinckrodt Pharmaceuticals.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

115

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

PbL-61 Can I Prevent Persistent Postsurgical Pain?

15:45 - 17:00 • Shubert room • 6th Floor SPEAKEr:

Anis dizdarevic, M.d. | Assistant Professor of Anesthesiology and Pain medicine | Columbia university, College of Physicians & Surgeons New York, New York

PbL-62 Is an IV Necessary for a Pediatric Exam Under Anesthesia (EUA)?

15:45 - 17:00 • Uris room • 6th Floor SPEAKEr:

Vittoria Arslan-Carlon, M.d., FASA | director of Pediatric Anesthesia | department of Anesthesiology and CCm | memorial Sloan Kettering Cancer Center | New York, New York

PbL-63 Community Hospital: GI bleed in the Patient with LVAd 15:45 - 17:00 • Plymouth room • 6th Floor SPEAKErS:

Tazeen beg, M.d. | Assistant Professor of Clinical Anesthesiology Section Chief, Anesthesia for endoscopy | SuNY-health Sciences Center at Stony brook | Stony brook, New York and Aaron N. Primm, M.d. | Assistant Professor of Anesthesiology NYu-langone medical Center | New York, New York

M O N d A y

PbL-64 Active Shooter in the Hospital: What do I do?

15:45 - 17:00 • royale room • 6th Floor SPEAKErS:

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

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 Identify procedures for which an intravenous like might not be necessary; m Formulate an anesthetic plan for children undergoing brief diagnostic procedures without intravenous access.

After completion of this session, the participant will be able to: m Identify procedures commonly necessary in patients with VAds; m Compare the needs of inpatient VAd patients with ambulatory VAd patients; m develop a collaborative plan for the management of VAd patients in an endoscopy suite.

After completion of this session, the participant will be able to: m Identify stakeholders to develop disaster planning in their institution including the response of the anesthesiology department; m develop a plan to deal with an external or internal disaster; m develop strategies to deal with active shooter in the hospital.

ramapo Anesthesia | medical director | Premier Anesthesia Chief Trooper Surgeon | New York State Police | Suffern, New York and

barbara A. daly Supervisory Special Agent, FbI, Crisis management/behavioral Analysis unit Coordinator, Squad A-17 | New York, New York and

david A. Livingston, M.d.

Chair, department of Anesthesiology bronx-lebanon hospital Center bronx, New York

d I S C LO S U r E S : drs. Arslan-Carlon, beg, dizdarevic, livingston, Newman, Primm and SSA daly do not have any financial relationships to disclose.

116

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

72nd Annual PostGraduate Assembly in Anesthesiology december 7-11, 2018 Marriott Marquis NyC

Tuesday

december 11, 2018

registration

07:00 - 19:00

Sessions

07:45 - 17:00

20th Annual bragging Contest

13:00 - 15:30 FEE rEQUIrEd (Fees listed on page 3.)

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

MW-29 beyond Nasal Cannula: New Approaches to Nasal Oxygenation and Ventilation in Adult and Pediatric Patients

m Enumerate the advantages of newer forms of ventilation including dual control modes, proportional assist ventilation; m bi-level airway pressure release ventilation and neurally adjusted ventilatory assist; m Identify the clinical limitations of these new forms of ventilation;

07:45 - 08:45 • Odets room • 4th Floor SPEAKErS:

m Identify which patients are most suitable for these modes of ventilation.

Jerry y. Chao, M.d., M.Sc. Assistant Professor of Anesthesiology | Children’s hospital at montefiore/montefiore medical Center | bronx, New York and

Eric J. Cheng, M.d.

Assistant Professor of Anesthesiology and Critical Care montefiore medical Center | bronx, New York

After completion of this session, the participant will be able to: m discuss the role of newer anesthetic agents in the neonatal period;

MW-30 Neonatal Anesthesia Update

m discuss the requirements for postoperative observation in very young neonates;

07:45 - 08:45 • Wilder room • 4th Floor

m Complications encountered in neonatal anesthesia.

SPEAKEr:

Gordana Stjepanovic, M.d. director, division of Pediatric Anesthesiology | Assistant Professor of Anesthesiology | NYu-langone medical Center | New York, New York

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

MW-31 Thoracic Anesthesia Update

m Enumerate the indications for lung separation and thorascopy;

07:45 - 08:45 • Ziegfeld room • 4th Floor

m determine which lung separation device is appropriate for the planned surgery;

SPEAKEr:

Edmond Cohen, M.d.

Professor of Anesthesiology and Thoracic Surgery | director, Thoracic Anesthesia | Icahn School of medicine at mount Sinai | New York, New York

m Evaluate and treat intraoperative complications during thoracic surgery.

T U E S d A y

d I S C LO S U r E S : drs. Chao, Cheng, Cohen and Stjepanovic do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

117

W-18 beyond direct Laryngoscopy: Fiberoptic and Other Techniques for Adult and Pediatric Airway Management MOCA®

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

richard M. Sommer, M.d.

Clinical Professor of Anesthesiology Vice-Chair, Clinical operations department of Anesthesiology NYu-langone medical Center New York, New York

After completion of this session, the participant will be able to: m Perform airway evaluation, patient preparation and techniques of fiberoptic intubation, video laryngoscopy and transtracheal jet ventilation for adult and pediatric patients.

A S S I S T E d by:

Anna Clebone, M.d.

Assistant Professor of Anesthesia & Critical Care The university of Chicago Chicago, Illinois

Charles M. Fermon, M.d.

Professor of Anesthesiology (Clinical) NYu-langone medical Center New York, New York

Kenneth H. Jacobson, M.d.

Assistant Professor of Anesthesiology NYu-langone medical Center New York, New York

Narasimhan Jagannathan, M.d.

Professor of Anesthesiology Northwestern university School of medicine Associate Chair, Academic Affairs director, Pediatric Anesthesia research department of Pediatric Anesthesiology Ann & robert h. lurie Children’s hospital of Chicago Chicago, Illinois

brian S. Kaufman, M.d.

Professor of medicine, Anesthesiology, Neurology and Neurosurgery | NYu School of medicine director of NY harbor VA Simulation laboratory New York, New York

Jerome Lax, M.d.

Assistant Professor of Clinical Anesthesiology NYu-langone medical Center New York, New York

T U E S d A y

118

Igor Muntyan, M.d.

Clinical Associate Professor of Anesthesiology NYu-langone medical Center New York, New York

Keith J. ruskin, M.d.

Professor of Anesthesiology and Critical Care university of Chicago medicine Chicago, Illinois

Jon d. Samuels, M.d.

Assistant Professor of Clinical Anesthesiology Joan and Sanford I. Weill medical College of Weill Cornell university New York, New York

Patricia M. Sequeira, M.d.

Assistant Professor of Anesthesiology NYu-langone medical Center New York, New York

George J. Spessot, M.d.

Clinical Associate Professor of Anesthesiology NYu-langone medical Center Attending Anesthesiologist NYu-langone medical Center-hospital for Joint diseases New York, New York

Kenneth M. Sutin, M.d.

Professor of Clinical Anesthesiology and Surgery NYu-langone medical Center Assistant director, Critical Care bellevue hospital New York, New York

d I S C LO S U r E S : drs. Clebone, Fermon, Jacobson, Kaufman, lax, muntyan, ruskin, Samuels, Sequeira, Sommer, Spessot and Sutin do not have any financial relationships to disclose. dr. Jagannathan is on the speaker’s bureau for Vyaire medical.

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

W-19 Ultrasound for Vascular Access: A Workshop MOCA®

08:00 - 11:00 • Soho Complex • 7th Floor WOrKSHOP MOdErATOrS:

Nikolaos J. Skubas, M.d., FACC, FASE, d.Sc.

Meghann M. Fitzgerald, M.d.

Chair, department of Cardiothoracic Anesthesiology Cleveland Clinic Foundation Cleveland, ohio

Assistant Professor of Clinical Anesthesiology Interim Chief, Cardiac Anesthesiology NewYork Presbyterian hospital Cornell university, Weill Cornell medical College New York, New York

After completion of this session, the participant will be able to: m demonstrate basic skills in ultrasound technology; m Utilize ultrasound technology for central venous and arterial access; m Optimize billing for ultrasound use in vascular access.

A S S I S T E d by:

Literature review Lisa Q. rong, M.d.

Assistant Professor of Clinical Anesthesiology | NewYork Presbyterian hospital Cornell university, Weill Cornell medical College | New York, New York

Arterial and Peripheral Access Guidelines daryl W. banton, M.d.

Clinical Instructor of Clinical Anesthesiology NewYork Presbyterian hospital Cornell university, Weill Cornell medical College | New York, New York

basics of Ultrasound Shreyajit r. Kumar, M.d.

Assistant Professor of Clinical Anesthesiology | NewYork Presbyterian hospital Cornell university, Weill Cornell medical College | New York, New York

Ultrasound Technique Meghann M. Fitzgerald, M.d.

Logistics and billing Nikolaos J. Skubas, M.d., FACC, FASE, d.Sc.

Hands-on Session Workshop Faculty Jaideep K. Malhotra, M.d.

Assistant Professor of Clinical Anesthesiology | NewYork Presbyterian hospital Cornell university, Weill Cornell medical College | New York, New York

d I S C LO S U r E S : drs. banton, Fitzgerald, Kumar, malhotra, Skubas and rong do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

T U E S d A y

119

SP-28 best Practices in Ambulatory Surgery Patients MOCA®

09:00 - 11:30 • North ballroom • 6th Floor MOdErATOr:

rebecca S. Twersky, M.d., M.P.H., FASA Chief of Anesthesia | Josie robertson Surgery Center memorial Sloan Kettering Cancer Center | New York, New York

After completion of this session, the participant will be able to: m describe interventions that allow patients to undergo ambulatory/short stay total joint replacements; m Identify the high risk patients for ambulatory surgery and efficient processes for patient selection; m discuss how to safely and efficiently manage ambulatory surgery advanced GI procedures and minimally invasive pulmonary procedures outside the operating room; m discuss evidence based strategies for non-opioid analgesia and analgesia adjuncts following ambulatory surgery.

FACULTy PrESENTATIONS:

ErAS for TJr Meg A. rosenblatt, M.d., FASA Professor of Anesthesiology and orthopaedics | Icahn School of medicine at mount Sinai Chair, department of Anesthesiology | mount Sinai St. luke’s and West hospitals | New York, New York

Advanced GI and Pulmonary Ambulatory Procedures Outside the Operating room basem Abdelmalak, M.d., FASA Professor of Anesthesiology | director, Anesthesia for bronchoscopic Surgery director, Center for Sedation | departments of General Anesthesiology and outcomes research Cleveland Clinic | Cleveland, ohio

Is Every Patient Eligible for Ambulatory Anesthesia david L. Hepner, M.d., M.P.H. Associate Professor of Anaesthesia | harvard medical School Associate director, Weiner Center for Preoperative evaluation brigham and Women’s hospital | boston, massachusetts

Evidence-based Approach to Procedure Specific Pain Management Using Non-Opioids and the role of Analgesia Adjuncts Tong J. Gan, M.d., MHS, FrCA, FASA

T U E S d A y

120

Professor and Chair | department of Anesthesiology SuNY-health Sciences Center at Stony brook Stony brook, New York

d I S C LO S U r E S : drs. Abdelmalak, hepner, rosenblatt and Twersky do not have any financial relationships to disclose. dr. Gan receives consultant fees from Acacia Anesthesia, PllC, edwards lifeSciences Corporation, mallinckrodt Pharmaceuticals, medtronic, Inc. and merck & Co., Inc.

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-29 Physician Well being 09:00 - 11:30 • South ballroom • 6th Floor MOdErATOr:

Saundra E. Curry, M.d.

Professor of Anesthesiology NewYork Presbyterian hospital Columbia university, College of Physicians & Surgeons New York, New York

After completion of this session, the participant will be able to: m discuss the recent literature on mindfulness programs in graduate medical education; m Enumerate the risk factors and treatment options for chemical dependency in anesthesiologists; m describe strategies for financial well being for anesthesiology residents and practicing anesthesiologists; m review risk factors for burnout as well as effective interventions.

FACULTy PrESENTATIONS:

Mindfullness George Gallos, M.d.

Associate Professor of Anesthesiology Columbia university, College of Physician & Surgeons New York, New York

Chemical dependency Suzanne b. Karan, M.d., FASA Associate Professor of Anesthesiology and Perioperative medicine residency Program director university of rochester/Strong memorial hospital rochester, New York

Financial Wellness daniel J. Katz, M.d.

Assistant Professor of Anesthesiology Icahn School of medicine at mount Sinai New York, New York

burnout bryan P. Mahoney, M.d., FASA Assistant Professor of Anesthesiology director, residency Training Program mount Sinai St. luke’s and West hospitals New York, New York

d I S C LO S U r E S : drs. Curry, Gallos, Katz, Karan and mahoney do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

T U E S d A y

121

MW-32 Postoperative Vision Loss (POVL): What Can be done to Prevent It? 11:45 - 12:45 • Odets room • 4th Floor SPEAKEr:

Fenghua Li, M.d.

Associate Professor of Anesthesiology upstate medical university Syracuse, New York

After completion of this session, the participant will be able to: m define the anatomic differences in the forms of postoperative vision loss; m delineate the factors that appear to be critical in contributing to the development of POVL; m Employ recommended strategies to minimize risk of prone positionrelated postoperative visual loss.

After completion of this session, the participant will be able to: m Provide an update and overview on outpatient pediatric anesthesia;

MW-33 Update on Pediatric Outpatient Anesthesia 11:45 - 12:45 • Wilder room • 4th Floor SPEAKEr:

Glenn E. Mann, M.d.

Assistant Professor of Anesthesiology Associate director, Pediatric Anesthesiology Albert einstein College of medicine Children’s hospital at montefiore medical Center bronx, New York

m review practice recommendations for pediatric anesthesia; m review appropriate patients and procedure types for outpatient pediatric surgery; m Formulate an appropriate plan for anesthetic induction and maintenance with the overall goal of faster reunion with parents and discharge with adequate pain control and PO intake; m determine optimal intraoperative and postoperative pain control strategies; m Identification and treatment of postoperative issues such as emergence agitation, pain and nausea/vomiting;

MW-34 regional Techniques for Cardiac/Cardiac-related Procedures: Is There room for blocks?

11:45 - 12:45 • Ziegfeld room • 4th Floor SPEAKErS:

Himani bhatt, d.O., M.P.A., FASE, FASA

T U E S d A y

Assistant Professor of Cardiothoracic Anesthesia Icahn School of medicine at mount Sinai New York, New York and

Ali N. Shariat, M.d.

Assistant Professor of Anesthesiology mount Sinai St. luke’s and West hospitals New York, New York

m This mini-workshop is tailored toward the “general anesthesiologist” who provides anesthetic care to the pediatric patient.

After completion of this session, the participant will be able to: m Increase awareness of regional techniques for cardiac and cardiac related procedures; m review anatomy and technical skills to perform regional blocks for cardiac and cardiac related procedures; m discuss potential advantages of adding regional blocks as adjunct for pain management.

d I S C LO S U r E S : drs. li, mann and Shariat do not have any financial relationships to disclose. dr. bhatt receives consultant fees from Neochord, llC.

122

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

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

PbL-65 The Patient with Multiple Sclerosis

m discuss the signs and symptoms of multiple sclerosis; m develop an anesthetic plan to minimize MS exacerbation;

11:45 - 12:45 • Majestic room • 6th Floor

m Implement a complete perioperative plan to manage the MS patient requiring major surgery.

SPEAKErS:

Farzana Afroze, M.d.

Assistant Professor of Anesthesiology Albany medical College | Albany, New York and

Helena Oechsner, M.d.

Associate Professor of Anesthesiology | division of Pediatric Anesthesia Albany medical College | Albany, New York

PbL-66 Traumatic brain Injury and Cervical Spine Management

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

11:45 - 12:45 • Music box room • 6th Floor

m Implement an anesthetic plan to maximize neurologic outcome in such a trauma patient.

SPEAKEr:

Matthew b. Wecksell, M.d.

m Identify common coincident injuries in a patient with a traumatic brain or cervical spinal cord injury;

Chief, General Anesthesiology, department of Anesthesiology Associate Professor of Anesthesiology and Neurosurgery | Westchester medical Center | Advanced Physician Services | member of the Westchester medical Center health Network | Valhalla, New York and

Kenneth M. Fomberstein, M.d.

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

Attending Anesthesiologist | lenox hill hospital Northwell health | New York, New York

m review challenges in providing care in the interventional radiology suite;

PbL-67 Anaphylaxis in Interventional radiology

m Identify signs and symptoms of contrast reaction;

11:45 - 12:45 • Winter Garden room • 6th Floor SPEAKEr:

m Formulate a plan to manage hypotensive emergencies in NOrA locations.

diana Anca, M.d. | Assistant Clinical Professor of Anesthesiology mount Sinai St. luke’s and West hospitals | New York, New York

PbL-68 Managing the Patient with HELLP Syndrome 11:45 - 12:45 • Palace room • 6th Floor

After completion of this session, the participant will be able to: m diagnose the parturient with HELLP Syndrome; m Identify the anesthetic implications of HELLP Syndrome;

SPEAKEr:

m Manage the HELLP syndrome patient in the peripartum period.

Stephanie r. Goodman, M.d.

Professor of Anesthesiology | Columbia university medical Center Program director, obstetrical Anesthesiology Fellowship | Columbia university, College of Physicians & Surgeons | New York, New York and

Allison J. Lee, M.d.

Assistant Professor of Clinical Anesthesiology Columbia university, College of Physicians & Surgeons | New York, New York

T U E S d A y

d I S C LO S U r E S : drs. Afroze, Anca, Fomberstein, Goodman, lee, oechsner and Wecksell do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

123

PbL-69 Preprocedure Evaluation Clinic: Lessons Learned in the First 10 years 11:45 - 12:45 • Shubert room • 6th Floor

After completion of this session, the participant will be able to: m Identify patients who would benefit from pre-procedure anesthesiology evaluation; m Implement a strategy to optimize patient’s preoperative medical status.

SPEAKEr:

George Silvay, M.d., Ph.d. | Professor of Anesthesiology Icahn School of medicine at mount Sinai | New York, New York

PbL-70 Quality and Peer review: Using Metrics to Improve your Guidelines and Processes 11:45 - 12:45 • Uris room • 6th Floor SPEAKEr:

After completion of this session, the participant will be able to: m recognize which quality measures are most appropriate for peer review and quality reporting; m Utilize metrics to improve the quality of anesthesia care.

Natalie F. Holt, M.P.H., M.d. | Assistant Professor of Anesthesiology Yale university School of medicine | New haven, Connecticut medical director, Ambulatory Procedures unit | Veterans Affairs medical Center, West haven Campus | West haven, Connecticut

PbL-71 New Techniques for Fluid Management from Operating room to ICU 11:45 - 12:45 • Plymouth room • 6th Floor SPEAKErS:

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.

ruchir Gupta, M.d., FASA | Assistant Professor of Anesthesiology SuNY-health Sciences Center at Stony brook | Stony brook, New York and Shaji P. Poovathoor, M.d. | Associate Professor of Anesthesiology SuNY-health Sciences Center at Stony brook | Stony brook, New York

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

PbL-72 Truncal blocks for Post-Operative Analgesia 11:45 - 12:45 • royale room • 6th Floor SPEAKErS:

T U E S d A y

Elisha J. dickstein, M.d.

Assistant Professor of Anesthesiology, Perioperative and Pain medicine Icahn School of medicine at mount Sinai | New York, New York and

m discuss different modalities of regional anesthesia available to control postoperative pain; m Identify the most appropriate regional technique for thoracic and abdominal procedures; m Implement a collaborative plan to minimize postoperative pain and opioid requirements.

Jordan F. Wicker, M.d.

Assistant Professor of Anesthesiology | Icahn School of medicine at mount Sinai | New York, New York

d I S C LO S U r E S : drs. dickstein, Gupta, holt, Poovathoor, Silvay and Wicker do not have any financial relationships to disclose.

124

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

SP-30 Controversies Affecting your Practice: What is best for Our Patients?

13:00 - 15:30 • North ballroom • 6th Floor MOdErATOr:

richard A. beers, M.d.

Professor of Anesthesiology | upstate medical university | Syracuse, New York

After completion of this session, the participant will be able to: m review the valid and relevant scientific evidence and discuss the benefits and risks associated with postponement of hip fracture surgery for up to five days in patients with unstable medical conditions or treated with oral anticoagulants; m discuss the evidence behind current recommendations for surgical attire published by national organizations and professional associations; m Compare the benefits and risks associated with reversal of steroid-based non-depolarizing muscle relaxants using anticholinesterases such as neostigmine or binding agents such as sugammadex; m discuss testing available to recognize the MH susceptible patient and their value to the clinical practice of anesthesiology.

FACULTy PrESENTATIONS:

What is the Optimum Time and Anesthetic for Hip Fracture repair? david L. Furgiuele, M.d.

Assistant Professor of Anesthesiology NYu-langone medical Center New York, New York

Identifying the MH Susceptible Patient: Are We ready for Genetic Testing? ronald S. Litman, d.O. Professor of Anesthesiology and Pediatrics Perelman School of medicine at the university of Pennsylvania The Children’s hospital of Philadelphia medical director, mhAuS hotline medical director, Institute for Safe medication Practice Philadelphia, Pennsylvania

Sugammadex vs. Anticholinesterase reversal Curtis V. Choice, M.d., M.S. Assistant Professor of Anesthesiology montefiore medical Center Site director hutchinson Clinic Ambulatory Surgery Center bronx, New York

Surgical Attire: Examining the Evidence richard A. beers, M.d.

T U E S d A y

d I S C LO S U r E S : drs. beers, Choice, Furgiuele and litman do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

125

SP-31 20th Annual bragging Contest: Any Case you Have done, I Have done a better One 13:00 - 15:30 • South ballroom • 6th Floor MOdErATOr:

Clifford M. Gevirtz, M.d, M.P.H. medical director Somnia Pain management New York, New York

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 Understand and gain insight into the thought processes of colleagues and mentors as they describe their management of complex problems in anesthesia care.

FACULTy PrESENTATIONS:

representing: Mount Sinai St. Luke’s and West Hospitals Jonathan b. Lesser, M.d.

Professor of Anesthesiology, Perioperative & Pain medicine mount Sinai St. luke’s and West hospitals New York, New York

representing: Albany Medical Center Nibras bughrara, M.d. director, Adult Critical Care division director, Adult Critical Care echo Program Assistant Professor of Anesthesiology and Surgery Albany medical Center Albany, New York and

Elizabeth Finucane, d.O. Senior resident Albany medical Center Albany, New York

representing: SUNy-Health Sciences Center at Stony brook Ellen S. Steinberg, M.d.

Professor of Anesthesiology, obstetrics and Gynecology SuNY-health Sciences Center at Stony brook Stony brook, New York

representing: Icahn School of Medicine at Mount Sinai Guy Salomon, M.d.

T U E S d A y

126

Assistant Professor of Anesthesiology, Perioperative and Pain medicine Icahn School of medicine at mount Sinai New York, New York and

Kenneth Flax, M.d.

Anesthesiology resident Icahn School of medicine at mount Sinai New York, New York

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

representing: University of rochester/Strong Memorial Hospital Janine r. Shapiro, M.d.

Associate dean for Faculty development medical director for Continuing medical education Professor of Anesthesiology university of rochester School of medicine and dentistry rochester, New York

representing: Columbia University, College of Physicians & Surgeons bessie Kachulis, M.d.

Associate Professor of Anesthesiology director of Thoracic Anesthesia division of Cardiothoracic Anesthesiology Columbia university, College of Physicians & Surgeons New York, New York and

yefim Vilnits, M.d.

Assistant Professor of Anesthesiology Columbia university, College of Physicians & Surgeons New York, New York

representing: Upstate Medical University brendan McGinn, M.d.

Assistant Professor of Anesthesiology upstate medical university Syracuse, New York and

Fiona y. Chen, M.d., Ph.d.

Anesthesiology resident upstate medical Center Syracuse, New York

representing: Montefiore Medical Center Kiri Mackersey, M.d.

Assistant Professor of Anesthesiology montefiore medical Center bronx, New York

representing: Long Island Jewish Medical Center Michelle S. Kars, M.d.

Assistant Professor of Anesthesiology long Island Jewish medical Center New hyde Park, New York

d I S C LO S U r E S : drs. bughrara, Chen, Finucane, Flax, Gevirtz, Kachulis, lars, lesser, mackersey, mcGinn, Salomon, Shapiro, Steinberg and Vilnits do not have any financial relationships to disclose.

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

T U E S d A y

127

FS-31 blood Management: Patients for Whom blood is Not an Option

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

15:45 - 17:00 • Odets room • 4th Floor

m develop and implement a strategy to minimize blood loss and manage unanticipated hemorrhage according to the wishes of the patient.

MOdErATOr:

Linda J. Shore-Lesserson, M.d., FAHA, FASE

m develop and implement a preoperative strategy to optimize these patients prior to surgery in a multidisciplinary team approach;

Professor of Anesthesiology | hofstra Northwell School of medicine director, Cardiovascular Anesthesiology | Northwell health System manhasset, New York FACULTy PrESENTATIONS:

Pharmacological Approach to blood Management Linda J. Shore-Lesserson, M.d., FAHA, FASE

blood Management: Patients for Whom blood is Not an Option Himani bhatt, d.O., M.P.A., FASE, FASA Assistant Professor of Cardiothoracic Anesthesia Icahn School of medicine at mount Sinai New York, New York

FS-32 Anesthetic Challenges in Laparoscopic and robotics Surgery

After completion of this session, the participant will be able to: m discuss the advantages and disadvantages of robotic assisted laparoscopic surgeries; m Plan appropriately for robotic assisted laparoscopic surgeries;

15:45 - 17:00 • Wilder room • 4th Floor

m discuss the complications of robotic laparoscopic surgery;

MOdErATOr:

m recognize and manage the complications of robotic assisted laparoscopic surgery.

daniel M. Gainsburg, M.d., M.S. Professor of Anesthesiology & urology department of Anesthesiology, Perioperative and Pain medicine Icahn School of medicine at mount Sinai The mount Sinai medical Center New York, New York FACULTy PrESENTATIONS:

Pros and Cons: Anesthetic Considerations for robotic-Assisted Laparoscopic Surgery Marina Svyatets, M.d.

Clinical Associate Professor of Anesthesiology SuNY-downstate medical Center brooklyn, New York

T U E S d A y

128

Anesthetic Complications of robotic-Assisted Laparoscopic Surgery daniel M. Gainsburg, M.d., M.S.

d I S C LO S U r E S : drs. Gainsburg, Shore-lesserson and Svyatets do not have any financial relationships to disclose. dr. bhatt receives consultant fees from Neochord, llC.

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

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

FS-33 Pediatric Patient with Complex Preexisting disease for Non-Complex Surgery

m develop a plan of anesthetic management for patients after cancer therapy; m develop a plan for management of patients with congenital heart disease for both simple surgical procedures and for more complex surgical procedures.

15:45 - 17:00 • Ziegfeld room • 4th Floor MOdErATOr:

Vittoria Arslan-Carlon, M.d., FASA director of Pediatric Anesthesia department of Anesthesiology and CCm memorial Sloan Kettering Cancer Center New York, New York

FACULTy PrESENTATIONS:

The Pediatric Cancer Survivor Vittoria Arslan-Carlon, M.d., FASA

The Child with Congenital Heart disease Alexander J. C. Mittnacht, M.d.

Professor of Anesthesiology director, Pediatric Cardiac Anesthesia Icahn School of medicine at mount Sinai New York, New York

d I S C LO S U r E S : dr. Arslan-Carlon does not have any financial relationships to disclose. dr. mittnacht receives consultant fees, and is on the speaker’s bureau for CAS medical Systems, Inc. (CASmed), manual Surgical Science and Pacira Pharmaceuticals, Inc., he is also a shareholder and has stock options with manual Surgical Science.

T U E S d A y

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

129

Poster and Medically Challenging Case report Presentations Astor ballroom • 7th Floor Saturday, december 8, 2018 • 9:30 - 11:30 Sunday, december 9, 2018 • 9:30 - 11:30 Monday, december 10, 2018 • 12:00 - 14:00 CHAIr:

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

SuNY distinguished Teaching Professor | Professor of Anesthesiology and Vice-Chair Administration/Special Projects | Professor of Pharmacological Sciences Professor of health Sciences | SuNY-health Sciences Center at Stony brook | Stony brook, New York

Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM

Saturday december 8, 2018 • 9:30 - 11:30 POSTErS The Correlation between Cerebral Oximetry And PaCO2: A Preliminary Analysis

Qi Ott, M.d.

P-9001

yelyzaveta Plechysta, M.d.

P-9002

Surgery For Infective Endocarditis: Epidemiological data From A Spanish registry

Maria Heredia-rodriguez, M.d., Ph.d.

P-9003

relationship between Cd14 rs2569190 Polymorphism And Mortality In Septic Shock

Maria Heredia-rodriguez, M.d., Ph.d.

P-9004

Cerebral Oxygen Saturation And Postoperative behavioral Changes In Pediatrics

Maria Heredia-rodriguez, M.d., Ph.d.

P-9005

Association between Creatinine Clearance And Precision Of Postoperative Hs-CTnT

Esther Gómez, M.d., Ph.d.

P-9006

Postoperative Kidney Oxygen Saturation And AKI After Adult Cardiac Surgery

Esther Gómez, M.d., Ph.d.

P-9007

requirements For Novel Patient Monitoring From The View Of Intensive Care Staff

Akira-Sebastian Poncette, M.d.

P-9008

Prognostic Performance Of The QSOFA Score For In-Hospital Mortality In ICU

Akira-Sebastian Poncette, M.d.

P-9009

ravinder Pandey, M.d.

P-9010

ravinder Kumar Pandey, M.d.

P-9011

International Medical Student Simulation Experiences, The Changing Times

Padmaja Upadya, M.d.

P-9012

Angiotensin Axis blockade And AKI In Patients Undergoing Colorectal Surgery

Anthony bonavia, M.d.

P-9013

Propofol, dexmedetodine Or Their Combination For Patients After Cardiac Surgery?

Is Administration Of 5% dextrose reduces PONV In Laparoscopic Cholecystectomy?

Analgesic Efficacy Of Pectoral Nerve blocks In breast Carcinoma Surgeries.

130

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM Effect Of Varying Time Interval Of Fentanyl Injection On dose Of Propofol

Vanlalnghaka darlong, M.d.

P-9014

Lokesh Kashyap, M.d.

P-9015

bethany Latten

P-9016

Nicholas Mechas, dMd

P-9017

david Peral, Ph.d.

P-9018

Protective Mechanical Ventilation For Peripheral Vascular Surgery.

Andre Schmidt, M.d., Ph.d., MSc, dESA

P-9019

Flexible And rigid bronchoscopy With And Without remifentanil

Troy Seelhammer, M.d.

P-9020

Matilde Zaballos, M.d., Ph.d.

P-9021

robert McClain, M.d.

P-9022

Mindaugas Pranevicius, M.d.

P-9023

Ayman Farag, M.d.

P-9024

The Incarcerated Patient-What Is The best Operating room Management?

Michael Grinn, M.d.

P-9025

Non-Clinical Time distribution Within An Academic Anesthesiology department

Katherine Hagan, M.d.

P-9026

Adejare Windokun, M.d., MbA

P-9027

The Hospital Cost Of Postoperative Complications Following Liver resection

Luka Cosic, M.d.

P-9028

The Health Economics Of Liver resection Complications: A Systematic review

Luka Cosic, M.d.

P-9029

Jessica Lehmann, d.O.

P-9030

Stephan Maman

P-9031

Nasim Nourmohammadi, d.O.

P-9032

Noelia ramayo, Student

P-9033

rosalind ritchie, M.d.

P-9034

Sushil Ambesh, M.d.

P-9035

Marcus Geist, M.d., M.A.

P-9036

Correlate TOF And diaphrgamatic Thickness Fraction In MG Patients For Thymectomy Preoperative risk Assessment For Cervical Spine Subluxation In rA Patients Effect Of Cannabis Use On Patients Undergoing Office based Anesthesia Is Sevoflurane As Efective And Secure As Conventional Intravenous Sedation?

Multicenter Study Of The Protector Laryngeal Mask In Non-Paralyzed Patients Position Effect during robotic Gentitourinary Surgery Model Of CbF during General Anesthesia Versus Sedation For Thrombectomy Airway Management Of A Patient With bMI Of 114.3 Undergoing respiratory Failure

Implementing A Clinical Pathway For Hip Fractures At A Community Hospital

Patient Satisfaction And Postoperative Complaints Insurance Status Predicts Postoperative Mortality After Total Knee Arthroplasty Angioedema Case Series: Airway Management by difficult Airway response Team Oropharyngeal Leak Pressure And Laryngeal Mask Airway Protector™ Size Selection real-Time Cost Awareness May Change Anesthesia behavior Pectoralis block II For Postoperative Analgesia In breast Surgery Fentanyl Exposure In Palliative Cancer Patients - The role Of Cytochrome P450 3A

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

131

Saturday december 8, 2018 • 9:30 - 11:30 Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM Pain Control, Personal And Cost Success In Pediatric Orthopedic Surgery

Peter Lichtenthal, M.d.

P-9037

ryan ricciardelli, b.S.

P-9038

James Sweet, M.d.

P-9039

Can Pre-Operative Anxiety Scales be Used To Predict Post-Operative delirium?

Ali Atoot

P-9040

regional Anesthesia For Pediatric Vascular ring Surgery And 24 Hour Opioid Use

Lisa Caplan, M.d.

P-9041

Parental Perspectives Of The Informed Consent Process In Clinical research

Izabela Leahy, MS

P-9042

Is Voluntary reporting Of Adverse Events Accurate?

Izabela Leahy, MS

P-9043

renu Sinha, M.d.

P-9044

Ahmed Aiyad, MSc

P-9045

Paul Kessler, M.d., Ph.d.

P-9046

Vimi rewari, M.d.

P-9047

Jose Soliz, M.d.

P-9048

yao Liu, M.d.

P-9049

Gregory Wirak

P-9050

Ashish Govinda Amatya, M.d.

MCC-7001

Anesthetic Management Of A LVAd Patient For A TAVr

Meghan Park, M.d.

MCC-7002

Safe delivery Of A Neonate With Congenital Pulmonary Airway Malformation

Meghan Park, M.d.

MCC-7003

Kerolos yousef, d.O., MbA

MCC-7004

Sana Annan, M.d.

MCC-7005

M. Aaron Chyfetz, M.d.

MCC-7006

Abdenasser Samkaoui, M.d., Ph.d.

MCC-7007

Amelia Updegraff

MCC-7008

Ketamine For Improved Pain Control In Spinal Fusion For Idiopathic Scoliosis Improving Patient Safety by reducing Poly-Pharmacy

dexmedetomidine Effect On Serum Cortisol In Paediatric Ophthalmic Surgery Leg Elevation And The Incidence Of PostSpinal Hypotension In CS Prolonged Catheter Use And Infection In regional Anesthesia rectus Sheath block Versus Intrathecal Morphine - A Non Inferiority Trial Postoperative Complications With TAP Versus Epidural After Liver Cancer Surgery bupivacaine Polarizes Tumor-Associated Macrophages To M2 Type In breast Cancer Lifelong Neurobehavioral Changes due To Anesthetic Exposure In Larval C. Elegans

M E d I C A L Ly C H A L L E N G I N G C A S E r E P O r T P O S T E r S Case Of Ascending Aortic IAbP Insertion, Alternative To retrograde Femoral route.

removal Of Pericardial Cyst Through VATS, Case report And review Of Literature.

COMPLETE AIrWAy ObSTrUCTION CAUSEd by LAryNGEAL PAPILLOMATOSIS; A CASE rEPOrT Treatment Of Malignant Hyperthermia With ryanodex: Act First And Think Second Acute Aortic Thrombosis After radical Cystectomy Massive Transfusion Considerations: Global reversal Of bloodflow After KSW To LV

132

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM Anesthetic Management Of desmin Myofibrillar Myopathy: A rare And New Myopathy.

Vijay ramaiah, M.d.

MCC-7009

One Lung Ventilation In A Patient With Unilateral Vocal Cord Paralysis

Ehab Al bizri, M.d.

MCC-7010

Airway Management during Transoral resection Of Cervical Spinal Chordoma

Ehab Al bizri, M.d.

MCC-7011

Combined Spinal Epidural (CSE) For Parturient With Lumboperitoneal Shunt (LPS)

Ehab Al bizri, M.d.

MCC-7012

Same day Surgery In A Patient With Myotonic dystrophy

Kimmy bais, MbbS

MCC-7013

Christopher devlin, M.d.

MCC-7014

dharti Patel, M.d.

MCC-7015

Marissa rubin, M.d.

MCC-7016

Kristen Skinner, d.O.

MCC-7017

Catalina Echevarria, M.d.

MCC-7018

Christiano dos Santos e Santos, M.d.

MCC-7019

Unique Considerations For Care Of An Obstetric Patient With Incarcerated Uterus

Susan Herrick, M.d.

MCC-7020

Epidural In A Patient With Congenital Pulmonic Stenosis And Intracranial Tumor

robert Kerris, M.d.

MCC-7021

Intravascular Migration Of Epidural Catheter In A Patient With brugada Syndrome

Sun Mei Liu, M.d.

MCC-7022

Tanmay Patil, EdAIC

MCC-7023

Jenny Pennycuff, M.d., MS

MCC-7024

Nidhi Shah

MCC-7025

Adam Wetcher, M.d.

MCC-7026

Grace yau, M.d.

MCC-7027

Theresa Pham, d.d.S.

MCC-7028

Jared rosenberg, M.d.

MCC-7029

dipal Shah, M.d.

MCC-7030

birgitta Warvarovsky, ddS, MS

MCC-7031

Varun Channagiri, M.d.

MCC-7032

Fatal Intraoperative ArdS Secondary To Severe Cytokine release Syndrome Anesthetic Implications Of MTHFr Gene Mutation difficult Airway: Patient With Klippel Feil Syndrome & dandy Walker Malformation The Myelopathic Patient Presenting For Elective Non-Spinal Surgery GUILLAIN-bArrĂŠ SyNdrOME AFTEr MULTILEVEL ArTHrOdESIS SUrGEry. A CASE rEPOrT. Anesthetic Management For A C Section due To A Gigantic Cervico-Medullary AVM

Management Of Labour And delivery In A Woman With WPW Syndrome With SVT. Heart Arrhythmia Following Phenylephrine bolus Anesthetic Management Of A Parturient With TrAPS Anesthetic Management Of A Parturient With A Hypoplastic right Ventricle Euglycemic diabetic Ketoacidosis In Pregnancy Angelman Syndrome: Considerations For Anesthesia Tracheal bronchus Found during Lung Isolation For Transthoracic Esophagectomy Anesthetic Management In A Patient With Large Anterior Mediastinal Thymoma A Posthoc difficult Airway Study Using 3d Airway reconstructions Off Label Use Of Ketamine For Analgesia In A burn Victim With Opioid Tolerance

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

133

Saturday december 8, 2018 • 9:30 - 11:30 Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM Osteogenesis Imperfecta related Knee Pain Treated With A Genicular Nerve block

Naga ratnakar davuluri, M.d.

MCC-7033

radicular Pain And Weakness Of Left Foot Treated With Piriformis NS Injection

badie Mansour, M.d.

MCC-7034

diagnostic Pseudofacet block In Collegiate Athlete With bertolotti Syndrome

Charles Mouch, M.d.

MCC-7035

Francis Nahm, M.d., Ph.d.

MCC-7036

Clairese Webb, M.d.

MCC-7037

Mark Williams, MbbS

MCC-7038

Christopher Allphin, d.O.

MCC-7039

Adaora Chima, M.d.

MCC-7040

daniel denis, d.O.

MCC-7041

Cardiac Arrest during A routine Tonsillectomy And Adenoidectomy

Henry Huang, M.d.

MCC-7042

rectal Prolapse In A Premature Infant Following bilateral Inguinal Hernia repair

Keshar Kubal, M.d.

MCC-7043

Kerriann Parchment, M.d.

MCC-7044

Lana Volz, M.d.

MCC-7045

Aruna Wickramasinghe, M.d.

MCC-7046

Epiduroscopic decompression Of The Symptomatic Perineural Cyst Thoracic Outlet Syndrome: Is It due To Cervical rib Or Myofascial dysfunction?

Ultrasound Assisted Obturator And Femoral Articular branch Ablation Management Of Pediatric Airway Venous Malformation Fetal Hydrops From A Large Scalp Hemangioma

Prolonged Use Of A Laryngeal Mask Airway In A Pediatric Elective Case

Hay-Wells Syndrome: Anesthetic Management And Considerations Inhalation Injury In An Ex-Preemie: Case report Apneic Oxygenation Pediatric Video Laryngoscope

Managing Heart Failure In An Infant With Vein Of Galen Malformation delayed Emergence From General Anesthesia - An Unusual Cause.

Arthur Zak, M.d.

MCC-7047

Jameel Khan, M.d., FCArCSI

MCC-7048

Sphenopalatine Ganglion block Used To Treat Postdural Puncture Headache

Joyce Liu, d.O.

MCC-7049

The Use Of Erector Spinae Plane Catheters For Thoracotomies In Single Patient

Nihar Patel, M.d.

MCC-7050

Farzad Izaddoust dar

P-9051

Margarida Fonseca

P-9052

Esther Gómez, M.d., Ph.d.

P-9053

Susan Herrick, M.d.

P-9054

bradford Smith, M.d.

P-9055

Sunday december 10, 2018 • 9:30 - 11:30 POSTErS FIbrES - FIbrinogen rEplenishment In Surgery High Flow Nasal Cannula Or Non Invasive Ventilation?

Association between IL6rs1800795 Polymorphism And death In Septic Shock Patients Transthoracic Echocardiography And In-Hospital Cardiac Arrest: A Case Series WHOLE LUNG LAVAGE FOr PULMONAry ALVEOLAr PrOTEINOSIS: A 20 yEAr CASE SErIES

134

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM Handoffs: We Pass On IPASS

Stephen breneman, M.d., Phd

P-9056

Eric Simon, M.d.

P-9057

The Use Of Virtual reality In The Education Of residents In Anesthesiology

George Tewfik, M.d.

P-9058

Positive Urine Toxicology Screen Associated With Worse Postoperative Outcomes

Akshay bhatt, M.d.

P-9059

Anesthesiologists’ Influence On HbA1c Trajectory In diabetic CAbG Patients

Nathaniel borochov, b.A.

P-9060

Minute Ventilation Of OSA Patients And risk Of Postoperative Hypoventilation

barak Cohen, M.d.,M.H.A

P-9061

Matthew Conboy, b.A.

P-9062

Jeongpyo Hong

P-9063

Sun Mei Liu, M.d.

P-9064

Malgorzata Mallek-Grabowska, M.d.

P-9065

Eric Noll, M.d., Ph.d.

P-9066

Kevin Nolt, M.d.

P-9067

Ana raquel Oliveira, M.d.

P-9068

Fancesco ricottilli, M.d.

P-9069

deeya Sharma

P-9070

Oscar Valencia Orgaz, M.d.

P-9071

Spine Surgery Postoperative Intubation As VTE And Pneumonia risk Factors

Steven Henick, b.S.

P-9072

Prolonged Length Of Stay In Spine Surgery: Paraspinal Infection And Spinal Tumor

Steven Henick, b.S.

P-9073

Shaul Cohen, M.d.

P-9074

Shruti Shah, M.d.

P-9075

Antoine baudino, M.d.

P-9076

Mohsin butt, MbbS, FCPS

P-9077

Fiona desmond, M.d.

P-9078

Anesthesiology resident Preparedness For Practice Perceptions-A National Survey

Executive Functioning After Surgery And Anesthesia Efficiency Of Nasal Airway Inserted In The Oral Airway during Mask Ventilation beyond Sugammadex: A review Of Medications That Interfere With birth Control Using An Indirect Calorimetry To Evaluate Metabolic response during Anesthesia Validation Of MrI For Quantification Of Pulmonary Aeration Impairment Alcohol Intoxicated Trauma Patients: Hemodynamic Effects Of General Anesthesia dEEP NECK SPACE INFECTIONS: A rETrOSPECTIVE STUdy OF AIrWAy MANAGEMENT High-Flow Nasal Cannula Preoxygenation In Obese Patients Patients’ Perspectives Of The Pre-Anesthesia Visit--A Qualitative Analysis.

FOLMIVES Clinical Validation: Continous Ventilation With SGAd + FOI

does Parturient Positioning during Epidural block Affect Epidural Pressure?

The Effect Of Adding IV Phenylephrine To Ephedrine before CSE For C/S Mechanical Ventilation Guided by Transpulmonary Pressure during Thymectomy Preoperative Smoking Abstinence duration And Intraoperative Haemodynamics & Pain Audit Of Urgent Airway Management In The Emergency department

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

135

Sunday december 10, 2018 • 9:30 - 11:30 Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM The ASA Classification Underestimates The Chronic disease burden In Children

Izabela Leahy, MS

P-9079

Sabine Nabecker, M.d.

P-9080

John rubin, M.d.

P-9081

Improving Patient Satisfaction Through Virtual Pre-Anesthesia Consultation

Cyrus Tanhaee, M.d.

P-9082

Perioperative dosing Of Acetaminophen And Ketorolac In Underweight Adults

Quinn Thomas, M.d.

P-9083

January Tsai, M.d.

P-9084

Tom Vansteenkiste

P-9085

Elise Fraser, b.S., M.d. Candidate

P-9086

Jonathan Jahr, M.d.

P-9087

Comparison Of Analgesic Efficacy Of Sublingual Sufentanil Vs Oxycodone After TKA

Luca Miglionico, M.d.

P-9088

FMrI And MrI Post-Sternotomy: Implications For Chronic Post-Surgical Pain

Nilufer Nourouzpour

P-9089

Alessia Pedoto, M.d., FASA

P-9090

Anthony Plunkett, M.d.

P-9091

Amarinder Sidhu, M.d.

P-9092

Ayse Pervin Sutas bozkurt, M.d.

P-9093

Opioids In Pediatric dental Anesthesia; do We Need Them?: A retrospective review

donna bracken, M.d.

P-9094

New Onset diabetes Insipidus In Children Undergoing Posterior Spinal Fusion

doris Hardacker, M.d.

P-9095

Audra Webber, M.d.

P-9096

Lior Felman, M.d.

P-9097

Novel Use Of Sphenopalatine Ganglion block For Treatment Of Postoperative Nausea

Jason Longwell, M.d.

P-9098

Evaluation Of Erector Spinae Plane block In Thoracic Surgery.

Sung Hyun Lee, M.d.

P-9099

Jan Sverre Vamnes, Ph.d.

P-9100

Physiology In Apnoeic Oxygenation during Nasal Cannula Therapy Insurance Status Predicts Outcomes For Liver Transplants And Hepatectomies

rAdIATION THErAPy-INdUCEd bIT-FLIP rESET IN A PACING NONdEPENdENT PATIENT The Top 10 Quality Indicators For Anesthesia Selected by belgian Anesthesiologists Perioperative Opioid Use Among Ambulatory Lumpectomy Patients An Ex-Vivo Assessment Of The Effects Of Meloxicam IV On Platelet Function

Intercostal Liposomal bupivacaine On Postoperative Analgesia In Lung Surgery.

Home Healthcare For Education And Treatment Of Opioid Overdose.

Quadratus Lumborum block For Inguinal Hernia repairs: An Opioid-Free Alternative Comparison Of Treatment Alternatives In Chronic Knee Pain

Collaborative design And Utilization Of A Preoperative Screening Tool.

LOW VOLUME ISNb COMPArEd TO SEdATION FOr dISLOCATEd SHOULdEr rEdUCTION IN THE Er

Evaluation Of Quadratus Lumborum block After Laparoscopic Cholecystectomy

136

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM

M E d I C A L Ly C H A L L E N G I N G C A S E r E P O r T P O S T E r S Post Operative Takotsubo Cardiomyopathy In A Patient Following Liver Transplant

Noor Abdalla, M.d.

MCC-7051

Amlan bhattacharjee, M.d.

MCC-7052

Igor Izrailtyan, M.d.

MCC-7053

Kathryn Klatman, M.d.

MCC-7054

Muhammad Mubashir, M.d.

MCC-7055

CrITICAL AS IN A PArTUrIENT WITH SEVErE PrE-ECLAMPSIA FOr EMErGENT C-SECTION

Pankaj Nayyar, M.d.

MCC-7056

8.2 Cm Aortic Arch Aneurysm repaired Using Transapical And Percutaneous Methods

Asha Nookala, M.d.

MCC-7057

Transhepatic Echocardiography: A Novel Approach To Evaluate Intraoperative Shock

Mercades Meuli, d.O.

MCC-7058

Cardiac Arrest Upon Induction Of IV Sedation To Hemodialyzed Patient For Colonos

Adil Mohiuddin, M.d.

MCC-7059

Ana raquel Oliveira, M.d.

MCC-7060

Ahmed Attaallah, M.d., Ph.d.

MCC-7061

dan Ellis, M.d.

MCC-7062

Mathias Emmerich, M.d., dEAA

MCC-7063

rapid Sequence Intubation With Succinylcholine After Sugammadex

Austin Ferguson, d.O.

MCC-7064

delayed Extubation In A Patient With Myotonic dystrophy

Kaitlyn Hartman, M.d.

MCC-7065

Karl Hinrichs, M.d.

MCC-7066

boshra Iravani, ddS

MCC-7067

Wenhui Ou, M.d.

MCC-7068

Pascal Owusu-Agyemang, M.d.

MCC-7069

Joshua Pickett, d.O.

MCC-7070

Andrea Poon, M.d.

MCC-7071

Cirrhosis + Severe Type III Von Willebrand disease = Not your Typical Live donor

Prateek Prasanna, d.O.

MCC-7072

Anesthetic Management Of Pheochromocytoma With Inferior Vena Cava Invasion

Gloria rodriguez, M.d.

MCC-7073

Acute Intraoperative Cardiac Tamponade during ICd Placement Epicardial Tumor Identified by Perioperative Transesophageal Echocardiography Management Of A Patient With A Large Anterior Mediastinal Mass And Syncope Hypovolemia Induced SAM In Orthotopic Liver Transplant

Accidental Awareness during General Anaesthesia - A Case report Succinylcholine-Induced rhabdomyolysis In A Healthy Muscular Male Anesthetic Care For Gender Affirming Surgery Follow your Heart, but Take your brain With you

Anesthetic Considerations For Management Of Obstructive Sleep Apnea Perioperative Management Of Patient’s With Mobius Sequence Hemoptysis After Tracheal blisters Were Cauterized A Case Of Undiagnosed Pseudocholinesterase deficiency Catecholamine-Secreting Tumor resection In An Asymptomatic 50-year-Old Male A Novel Modified Pediatric Face Mask In A Patient With A Tracheostoma during EGd

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

137

Sunday december 10, 2018 • 9:30 - 11:30 Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM Epidural Anesthesia In A Patient With A Mediastinal Mass And Abdominal Surgery

Malina Varner, M.d.

MCC-7074

ryan Schmoll

MCC-7075

Ali Atoot

MCC-7076

Artem Gindin, M.d.

MCC-7077

Mohammed Idris, M.d.

MCC-7078

danielle Levin, b.A.

MCC-7079

Neil Mathur, M.d.,M.S.

MCC-7080

differential diagnosis Of Seizures In Patient With Severe Pre-Eclampsia

Vasilije Mijovic, M.d.

MCC-7081

Subdural Catheter Migration In An Urgent Case With A difficult Airway

Jason randall, MbbS

MCC-7082

Michael Szpejda

MCC-7083

Virgilio de Gala Jr., M.d.

MCC-7084

Cara Esser, M.d.

MCC-7085

david Convissar, M.d.

MCC-7086

January Tsai, M.d.

MCC-7087

Christine Freeman, M.d.

MCC-7088

Shruti Shah, M.d.

MCC-7089

Patient With Hemifacial Microsomia - Should I Prepare For A difficult Airway?

Titilopemi Aina, M.d.

MCC-7090

Sevoflurane Via Nasal CPAP For removal Of Unexpected ball-Valve Laryngeal Mass

Gavriel Ausubel, d.O.

MCC-7091

Anesthetic Approach To A Pediatric difficult Airway due To Sutured Lips

Alberto de Armendi, M.d., Ph.d., M.b.A.

MCC-7092

Megan Logan, M.d.

MCC-7093

Michael rubin, M.d.

MCC-7094

Amarinder Sidhu, M.d.

MCC-7095

Andie Leigh Smestad, M.d.

MCC-7096

Successful Use Of Sugammadex In A Neurosurgical Patient With Myasthenia Gravis Successful Use Of IV Cosyntropin For Post dural Puncture Headache A Novel Case Of Post-Partum Splenic Artery Aneurysm rupture Pheochrocytoma And Pregnancy Acute dystonia After Just One dose Of Metoclopramide during Cesarean Section A diagnostic Strategy For Peripartum Seizures: Is It Eclampsia?

A rare Case Of Spinal Epidural Hematoma After Uncomplicated Spinal Anesthesia Unstable bradycardia Under General Anesthesia Nasal PCV For A Patient With recent UrI And ETT Lidocaine Improved Sore-Throat Head Turn To relieve Airway Collapse Post-Extubation Limitations In The Use Of Video double Lumen Tubes: The displaced bronchus demystifying A Successful Post-Operative Plan In A Chronic buprenorphine Patient Spinal Cord Stimulator Trial Improved Cancer-related back Pain

Intrauterine bladder rupture - A rare Cause Of Neonatal respiratory distress Foreign body removal Performed by Anesthesiology Team during Upper Endoscopy Airway Management In Neonates With Congenital Granular Cell Tumor Newborn With Fetal Exposure To Zika Virus With Large Lumbar Myelomeningocele

138

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM Ventilatory Compromise during Endoscopic retrieval Of Forty rare Earth Magnets

Madiha yazdani, M.d.,MbA

MCC-7097

ESP Nerve block After T4 Corpectomy In Patient With Ewing Sarcoma Of The Spine

Jasmeet Easwar, d.O.

MCC-7098

Kevin Kotamarti, M.d.

MCC-7099

Kim Phuong Nguyen, M.d.

MCC-7100

Erector Spinae Plane block For Chest Tube Insertion Site Pain: A Case report US Guided QL block For 10 Month Old With Epidermolysis bullosa And Chronic Pain

Monday december 11, 2018 • 12:00 - 14:00 POSTErS EFFECTS OF INTErMITTENT ANd CONTINUOUS rENAL rEPLACEMENT TrEATMENTS ON MOrTALITy

Canan balci, M.d.

P-9101

dETErMINATION OF NIrS ANd bIS VALUES IN TrAUMATIC brAINE INJUry PATIENS

Canan balci, M.d.

P-9102

determination Of bIS And INVOS Values In braine death

Canan balci, M.d.

P-9103

Kevin Emr, M.d.

P-9104

Christopher root, bA

P-9105

Krishnaveni Sirigaddi, MbbS

P-9106

The Impact Of Social Media On How Medical Students rank residency Programs

James McKeever, M.d.

P-9107

NyU Langone Health - Safe Opioid Prescribing Seminar

James McKeever, M.d.

P-9108

Corey Scher, M.d.

P-9109

Jackson Su, M.d.

P-9110

Kumar baskar Gomathy, M.d.

P-9111

Michael Mueller, M.d.

P-9112

Johnathan renew, M.d.

P-9113

diana romano, M.d.

P-9114

Paul Mongan

P-9115

Transthoracic Subxiphoid-Only Echocardiography: Effective, Efficient, & Easy Two-Handed Mask Seal Technique Improves Ventilation during Two-rescuer CPr Effect Of 4-day FoTE Training In Anesthesiology residency: 3 years Experience

The Neurobiology Of Heroin Addiction: The Epidemic For Anesthesiologists Is Here!

Point-Of-Care I-STAT device Access Improvement Project For Anesthesia Providers MAGNESIUM SULFATE NEbULIZATION ON THE INCIdENCE OF POST OPErATIVE SOrE THrOAT Study Of Modafinil For recovery After General Anesthesia In Patients With OSA Comparative Investigation Of AMG-And EMG-based Neuromuscular Monitors Clinical Impact Of Intraoperative Hyperlactatemia during Craniotomy Improving Temperature Management In Elective repeat Cesarean Sections

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

139

Monday december 11, 2018 • 12:00 - 14:00 Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM FETAL HEArT rATE dECELErATION AFTEr NEUrAxIAL ANd MATErNAL dEMOGrAPHIC

barbara Orlando, M.d.

P-9116

Philip Wan

P-9117

ryan Wang, M.d.

P-9118

Andrew bennett, M.d.

P-9119

Maria Teresa Gudin, M.d.

P-9120

Titilopemi Aina, M.d.

P-9121

Kara barnett, M.d.

P-9122

double-Curved Tube For Oral Tracheal Intubation

romy Fontoura, M.d.

P-9123

Systematic review Of Cognitive Screening Tests To Predict Postoperative delirium

Maria Garstka, M.d.

P-9124

Serum Potassium Levels during reperfusion In Adult Cadaveric Liver Transplant

Kai Wen Leong, M.d.

P-9125

Comparing The Environmental Impact Of Anesthetics Gases during TATME Procedures

Sanjiv Mathur, M.d.

P-9126

rCT Comparing Apnea: SuperNOVA Vs Nasal Cannula In Obese Patients Under Sedation

Michael Pedro, M.d.

P-9127

Use Of Intra - Operative Albumin In renal Transplant recipients A Meta Analysis

Anjan Trikha, M.d.

P-9128

Why beecher Was Left Off The Initial World War 2 Subcommittee On Anesthesia

david Waisel, M.d.

P-9129

Synovial Complement Activity Correlates Postoperative Pain Of Knee Arthroplasty

Tzu hsuan Cheng, M.d.

P-9130

Trends In PCA Pause Alarm duration And Frequency At An Acute Care Hospital

Kevin Hui, b.A.

P-9131

Jefferson Tang, M.d.

P-9132

Juan Vidal díaz Sánchez

P-9133

Carlos diez

P-9134

Nerve Growth Factor In The Chronification Of Acute Pain: A Systematic review

daryl Smith, M.d.

P-9135

Protein Kinase C And Neuropathic Pain: A Systematic review Of The Literature

daryl Smith, M.d.

P-9136

racial disparities In Preeclampsia And Preterm birth Management Of Obstetric Hemorrhage Using A Quantitative blood Loss System Impact Of Peri-Operative renal Insufficiency On Outcomes In Hip Fracture Patient retrospective Observational Study On Opioid Free Anesthesia In Outpatient Surgery Challenges Of Liberal Fasting Guidelines In Low-resource Settings Atrial Fibrillation In The Outpatient Cancer Surgery Setting

Intrathecal Morphine Improves Postoperative Outcomes In Open Liver resection Serratus Fascial block With ropivacaine 3 Mg/Kg: Plasma Levels And EKG Effects.

Conduction delay And Myocardial depression Of A Lethal dose Of bupivacaine

140

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM

M E d I C A L Ly C H A L L E N G I N G C A S E r E P O r T P O S T E r S Intraoperative Use Of FEIbA For reversal Of Coagulopathy during Liver Transplant

raksha bangalore

MCC-7101

Intraoperative Cardiac Arrest In A Trauma Patient From Vagal Stimulation

raksha bangalore

MCC-7102

Unmasked Left Ventricular Outflow Tract Obstruction After TAVr

Ashley black, M.d.

MCC-7103

Magdalena Fermandois, M.d.

MCC-7104

daniel Garcia, M.d., Ph.d.

MCC-7105

Jacob Jones, M.d.

MCC-7106

daryl Kerr, M.d.

MCC-7107

Nicholas Wright, M.d.

MCC-7108

Adewale Adeyooye, M.d.

MCC-7109

Alex domanski

MCC-7110

Mitchell Miller, M.d.

MCC-7111

Sachin Sahni, M.d.

MCC-7112

Andrew Torres, M.d.

MCC-7113

Lori Ann Edwards, M.d.

MCC-7114

Adnan Khan, M.d.

MCC-7115

Gregory Pivarunas, d.O.

MCC-7116

Mizanur Ahmed, M.d.

MCC-7117

Anesthetic Challenges In Patient With Myotonic dystrophy And Subglottic Stenosis

Mohammed Al-Samrrai, M.d.

MCC-7118

Norepinephrine Producing Para-Aortic Paraganglioma In A Jehovah Witness

Mohammed Al-Samrrai, M.d.

MCC-7119

Layne bettini, M.d., J.d.

MCC-7120

Gary Chan, M.d.

MCC-7121

Unexpected Finding After AVr: Interatrial Septum balloon Shaped Anomaly TPA Administration In LVAd Patient For Management Of CVA Following VT Ablation Case report: Acquired Gerbode’s defect Following Tricuspid Valve Endocarditis Intraoperative Use Of Impella device For On-Pump Coronary Artery bypass Graft CrT-d Lead Causing Tricuspid Perforation In A Patient With Cardiac Sarcoidosis A Case Of distributive Shock due To Toxic Epidermal Necrolysis ICU And Operative Management Of Symptomatic Cerebral Vasospasm A Case Of Thymoglobulin® Induced Anaphylaxis In The Perioperative Setting Intra-Arterial Injection Of Lidocaine In Patient With raynauds Syndrome Challenging Management For Patient With Allergy To Medication Preservatives When Two Views Are better Than One: The “Glideroptic” Approach Pregnancy And Pheochromocytoma - What Should An Anesthesiologist Consider?

Airway Compromise due To Esophageal Cancer With Tracheal Invasion And b/L rLNP Quadratus Lumborum 2 For Laparoscopic repair A Of diaphragmatic bochdalek Hernia

Unexplained Perioperative Metabolic Acidosis Epiglottic Obstruction Of Vocal Cords Following Laryngeal Mask Airway Placement

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

141

Monday december 11, 2018 • 12:00 - 14:00 Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM Anesthetic Optimization Of A Newly diagnosed renin-Secreting Tumor

Ashley dahl, M.d.

MCC-7122

daniel delaney, M.d.

MCC-7123

Stefano Ferazzoli, M.d.

MCC-7124

Andrew Fisher, d.O.

MCC-7125

Tyler Fong, M.d.

MCC-7126

Akshat Gargya, M.d.

MCC-7127

dharampalsinh Gohil, d.O.

MCC-7128

John Kim, M.d.

MCC-7129

Chunhua Li, M.d.

MCC-7130

yiyi Liu, M.d.

MCC-7131

Larkin Luo, M.d.

MCC-7132

Gabriel Mena, M.d.

MCC-7133

Erick Mendoza, M.d.

MCC-7134

Perioperative Anaphylactic Shock: Cross-reactivity In Neuromuscular blocking drug

Ana raquel Oliveira, M.d.

MCC-7135

bilateral Vocal Fold Impairment And Subglottic Stenosis: A respiratory Emergency

Michelle Schmugge, M.d.

MCC-7136

Grace yau, M.d.

MCC-7137

Acute MCA Stroke In Setting Of Impending respiratory Failure

Cory Helder, M.d.

MCC-7138

Subcutaneous Cellulitis Following Lumbar Epidural Placement

Anish Garg, d.O.

MCC-7139

Michael Greenberg, M.d.

MCC-7140

Suzana Sobot Novakovic, M.d.

MCC-7141

James Sweet, M.d.

MCC-7142

Eric Zhou, M.d.

MCC-7143

Justin McMaster, M.d.

MCC-7144

Jaspinder Sra, M.d.

MCC-7145

Larry Wineland, M.d.

MCC-7146

Transtracheal block In A Patient With A Vocal Cord Nodule The dangers Of Pneumoperitoneum And Vagally Mediated reflexes Management Of Prion disease In The Operating room Total Intravenous Anesthesia For bronchoscopy In A Patient W/ Nemaline Myopathy Peripheral Extracorporeal Membrane Oxygenation In Airway Surgery: A Case Series A Case Of A Spontaneous Pneumothorax during Lumbar Laminectomy Intraoperative STEMI: The Importance Of Communication And Efficiency right Ventricle Perforation during Placement Of A Leadless Cardiac Pacemaker Hot Wheels: Possible MH Unmasked during Trauma Anti-NMdA receptor Antibodies May Attenuate Effectiveness Of rocuronium Severe Venous Gas Embolism during Laparoscopic Gynecologic Oncologic Surgery Awake Intubation In bleeding Airway

Heliox Application during Awake Tracheostomy

Fibrinogen Levels In Acute Fatty Liver Of Pregnancy And Postpartum Hemorrhage Epidural Analgesia during Labor In A Patient With Poland Syndrome - Case report The Case For Neuraxial Anesthesia In Patients With Type I Chiari Malformations

Communication Matters In Emergencies Involving Medically Frail Patients Unanticipated difficult Airway In Patient Undergoing Thoracic Surgery Airway Management Of Spontaneous Intramucosal Esophageal Hematoma-A rare Entity Correcting Arterial Hypotension With A beta blocker

142

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

Posters and Medically Challenging Case Report Posters are not eligible for AMA PRA Category 1 CreditsTM Levorphanol: A Novel Approach To Treatment Of A Severe Case Of Insulin Neuritis

Jessica barenboim, M.d.

MCC-7147

Michael Khalili, M.d.

MCC-7148

Jibin Mathew, M.d.

MCC-7149

Eric Michel, d.O.

MCC-7150

Anjalena Pasam, M.d.

MCC-7151

William Tyson, M.d.

MCC-7152

Cooled radiofrequency denervation For Joint Pain Following Sacroilitis bertie Zhang, Student

MCC-7153

Successful Opiate Free Surgery: Pediatric Tonsillectomy And Adenoidectomy

Kevin Emr, M.d.

MCC-7154

Elizabeth Finucane, d.O.

MCC-7155

Andrea Macias Mendoza, M.d.

MCC-7156

Joseph Mongone, M.d.

MCC-7157

Carlos Plata-Martinez, M.d., M.P.H.

MCC-7158

Successful Treatment Of Central Pain Via Spinal Cord Stimulation Intrathecal Clonidine Withdrawal resulting In Hypertensive Urgency Naltrexone And The Challenges Of Acute Pain Management In Trauma Patients CErVICOGENIC HEAdACHE: AN UNUSUAL PrESENTATION radiofrequency Ablation Of The Paravertebral Joint In bertolotti’s Syndrome

Not For The Faint Of Heart: HOCM And OSA In Pediatric Airway Surgery.

Emergency Intubation In The Or due To Ludwig’s Angina Sphenopalatine Ganglion (SPG) block: A Novel Use In Pediatric Patients Airway Management In A Pediatric Patient With VACTErL Syndrome

I FOrbId THE USE OF NArCOTICS dUrING My SON’S SUrGEry! Anaesthetic Challenges Of A Paediatric Patient With Harlequin Ichthyosis Continuous brachial Plexus Anesthesia For Analgesia And Flap Site Sympatholysis Pneumothorax After Interscalene brachial Plexus block For Shoulder Surgery Minimizing Opiates - Erector Spinae Plane block For Thoracotomy In 1 year Old

2018 | PGA72 Program

SPONSOrEd by:

Sharon redd, M.d.

MCC-7159

Felicia Tan Su-yen, MbbS

MCC-7160

Sherwin barvarz, M.d.

MCC-7161

bruno Corte, M.d.

MCC-7162

Jeffrey deygoo, M.d.

MCC-7163

The New york State Society of Anesthesiologists, Inc.

143

Scientific Exhibits Saturday, december 8, 2018 • 11:30 - 15:30 • rotunda Area • 7th Floor CHAIr:

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

SuNY distinguished Teaching Professor | Professor of Anesthesiology and Vice-Chair Administration/Special Projects | Professor of Pharmacological Sciences Professor of health Sciences | SuNY-health Sciences Center at Stony brook | Stony brook, New York

Scientific Exhibits are not eligible for AMA PRA Category 1 CreditsTM

Scientific Exhibits will be judged for awards by the following Committee Members: Galina leyvi, m.d.

Amanda rhee, m.d. muoi Trinh, m.d.

P. Sebastian Thomas, m.d. lixin liu, m.d., Ph.d.

Jung Kim, m.d.

Ngoc Nguyen-Famulare, m.d.

A. elisabeth Abramowicz, m.d.

Joseph Schianodicola, m.d. rhoda levine, m.d.

Ashok masand , m.d., m.b.A. Albert Yeung, m.d. divina Santos, m.d.

Anna Kaminski, d.o. mourad Shehebar, m.d.

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

ribbons may be awarded in the following categories:

best Instructional Exhibit best Scientific Exhibit best Exhibit for Clinical Application Special Award The written exhibit descriptions have been reproduced as submitted online by each exhibitor.

The PGA is not responsible for the accuracy of the contents.

Acupuncture Treatment For Circadian rhythm Sleep disorder And Various Insomnia Falls From An Operating room Table: A Patient Safety Educational Tool Pressure-Control Nasal Mask Ventilation reduces Stresses In Teaching Intubation Sphenopalatine Ganglion block relieves Postdural Puncture Headache And Migraines

144

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

Mitsuru Nakatsuka, M.d.

S-8001

rafael Ortega, M.d.

S-8002

James Tse, M.d., Ph.d.

S-8003

danielle Levin, b.A.

S-8004

www.pga.nyc

#pga72

Faculty Listing Aaronson, Jaime Abdelmalak, basem Abramovitz, Sharon Abramowicz, Apolonia E. Afonso, Anoushka M. Afroze, Farzana Agro, Felice Akerman, Michael A. Alexis, rhonda A. Amar, david Anca, diana Anderson, Michael r.

Applegate, Patricia M. Applegate, II, richard L. Aquino, Melinda A. Arnold, donald E. Arslan-Carlon, Vittoria Assini, Jr., Charles J. Atchabahian, Arthur baer, Jessica banerjee, Arna banton, daryl W. baron, Elvera bedient, Terrance M. beers, richard A. beg, Tazeen beilin, yaakov bekker, Alex y. bendo, AudrĂŠe A. bennett-Guerrero, Elliott berger, Jay S. berger, Miles berkun, rose bernstein, Jeffrey bernstein, Wendy K. bhatt, Himani birmingham, Patrick bittencourt, ricardo blank, randal S. blasius, Kimberly r. blessing, Marcelle E. blitz, Jeanna d. boggs, Steven d. bonsu, Princeton borges, bruno C.r. borovcanin, Zana boublik, Jan brallier, Jess W. brambrink, Ansgar M. brand, Ellen J. bronheim, david S. brooks, Michael C. buckenmaier, Chester buggy, donal bughrara, Nibras bunte, Sebastian burnett, Garrett W. bustillo, Maria A. Campos, Javier H. Capan, Levon M. Carvalho, Jose C.A. Castello, donna Castillo, Maria d.

Cha, Stephanie Chao, Jerryy.

Chen, Fiona y.

Cheng, Eric J. Chin, Ki Jinn Cho, Elvira Choice, Curtis V. Chuda, robert M.

30 109, 120 104 25, 113 39, 59 105, 123 99 21, 67, 82, 113 17, 100 29 123 21, 82, 114 72 72 57, 65, 81 62 116, 128 90, 91 21, 46, 82 81 49 71, 119 48, 72 36 93, 125 96, 116 90, 104 33, 63 33, 102 108 105 60 65, 90 29 49 72, 122, 128 21, 46, 82 23, 31 16, 20 49 46 87, 111 68 51 23, 31 48 21, 46, 82 45 33, 63 68 16, 20 78, 92 44 77 34, 58, 107, 126 51 49 28, 115 16, 20, 21, 41, 75, 99 21, 48, 82, 99 23, 31 36 20, 99 58 117 127 117 76 48 41, 125 96

2018 | PGA72 Program

Chuy, Katherine W. Ciccone, Jeffrey M. Clebone, Anna Cohen, Edmond Cole, daniel J. Corrado, Thomas Costa, Ana C. Crosby, Gregory J. Culley, deborah J. Curle, Alan E. Curry, Saundra E. Cvetkovic, draginja r. daly, barbara dave, Anjalee davis, Nicholas A. de, Arup de Hert, Stefan deiner, Stacie G. delphin, Ellise deMaria, Jr., Samuel desai, Prianka deshpande, ranjit desiderio, dawn P. devine, Malcolm dickstein, Elisha J. dilos, barbara M. dimaculangan, dennis P. dizdarevic, Anis dooley, Joseph W. drenger, benjamin duffy, Michael P. dumitru, Marian Egan, Talmage d.

Eisenkraft, James b.

Eisler, Lisa d.

Elkassabany, Nabil M. Emala, Charles W. Esch, Andrea T. Feng, T. robert Fermon, Charles M. Ferrari, Lynne r.

Fingerman, Mitchell E. Finucane, Elizabeth Fischer, Gregory W. Fishman, david S. Fitzgerald, Meghann M. Flax, Kenneth Fleischut, Peter M. Fleisher, Lee A. Flores, raja M. Fomberstein, Kenneth M. Franco, Carlo d.

Frank, Steven M. Frost, Elizabeth A.M. Furgiuele, david L. Gainsburg, daniel M. Gaiser, robert r.

Gal, Jonathan S. Gallombardo, Joseph A. Gallos, George Gama de Abreu, Marcelo Gan, Tong J. Gevirtz, Clifford M. Gharibo, Christopher G. Glance, Laurent Gloff, Marjorie S. Gooden, Cheryl K. Goodman, Stephanie r.

Gottumukkala, Vijaya N.r.

Grancaric, Natasa Grant, James d.

SPONSOrEd by:

21, 82 16, 20, 47, 67 118 15, 19, 48, 75, 99, 117 33, 86 48 18 60, 63 86, 91 37, 84 84, 121 30 78, 91, 92, 116 41 38 54 85 60, 65, 91, 113 65 49, 58, 59 21, 82 107 16, 20, 99 100 124 17, 48 44 67, 116 37 26 36 99 77 66 52 76 50 30 51 118 38, 61 44 126 16, 37, 108 81, 95 56, 71, 119 126 35 35, 86 75 123 44 74 69, 84 21, 46, 82, 125 128 79, 101 37, 90 28 121 16, 20 39, 120 55, 69, 126 54 26 56 17, 48 123 108 88 62

The New york State Society of Anesthesiologists, Inc.

145

Grecu, Loretta Greene, Elliott S. Gritsenko, Karina Groudine, Scott b.

Gulati, Amitabh Gupta, ruchir Gutzler, Marcus Halle, Steven G. Hamlin, Mark P. Harter, ronald L. Haskins, Stephen C. Hawkins, Joy L. Heiser, Nicholas E. Heller, Joshua Hemmings, Jr., Hugh C. Hepner, david L. Hill, Shanna S. Hillel, Zaharia Hoeft, Andreas Hojsak, Joanne Holt, Natalie F. Honikman, rafael Hosseinian, Leila Houck, Philipp J. Hu, Lingqun Hyman, david Hyman, Jaime b.

Iskander, Andrew J. Ivascu, Natalia S. Jacobson, Kenneth H. Jagannathan, Narasimhan Jain, Sudheer K. Janelle, Gregory M. Jeng, Christina L. Johnston, Taylor A. Johnstone, robert E. Jones, Stephanie b.

Joseph, Vilma A. Joyner, Jr., benny L. Kachulis, bessie Kamdar, brinda b.

Karan, Suzanne b.

Kars, Michelle S. Kassin, Ezra Katz, daniel J. Kaufman, brian S. Kelhoffer, Eric r.

Khelemsky, yury Kiamanesh, david A. Kim, Jung H. Kim, david H. Koch, Marc E. Konstadt, Steven N. Kooij, Fabian O. Kor, daryl J. Kreso, Melissa A. Kumar, Shreyajit Lagasse, robert S. Lai, yan Lambert, david G. Lamonica, Theodore Lax, Jerome Lee, Allison J. Lee, rebecca E. Leff, Jonathan d.

Leibowitz, Andrew b.

Lema, Mark J. Lendrum, robbie A. Lennon, Christine Lerman, Jerrold Lesser, Jonathan b.

Levin, Matthew A.

146

72 93 47 54, 64 47 91, 124 81 104 34, 58 62 34, 55, 58, 97 101 21, 82 28 77 87, 120 98 72 85 17 124 18 16, 32 38 48 108 49 113 97, 107 118 118 41, 104 26 22, 82 94 84, 89 110 65 49 18, 94, 109, 127 44 121 127 76 48, 49, 55, 58, 121 118 40 16, 20, 47, 49, 88, 99 98, 107 47 94 28 72 85 74 29 71, 119 63, 89 22, 46, 82, 110, 114 77 100 118 123 17 16, 26 27 54 85 40 61, 66 126 35, 112

Levine, Adam I. Levine, rhoda d.

Lewis, Alexandra L. Leyvi, Galina Li, Fenghua Li, Jinlei Li, Lei Licatino, Lauren Lichtman, Adam d.

Limoncelli, Janine Lin, Emily Lindenmuth, danielle M. Lipson, Scott d.

Litman, ronald S. Liu, Todd J. Liu, Nathan Livingston, david A. Lock, Sarah L. Loftus, Katherine M. Lopez, III, Carlos J. Lucas, Stephen d.

Ludwin, danielle b.

Mack, Patricia Mackersey, Kiri Madejski, Thomas r.

Mahoney, bryan P. Malhotra, Anuj Malhotra, Jaideep K. Malhotra, Sandhya Malhotra, Vinod Manglik, Savita Mann, Glenn E. Marks, richard I. Marshall, Mitchell H. Mason, Keira P. Mason, Linda J. Mathney, Edward r.

Matot, Idit McCormick, Patrick J. McEvoy, Matthew d.

McGinn, brendan Merchant, Akeel Miller, Steven E. Mittnacht, Alexander J. C. Moitra, Vivek K. Muntyan, Igor Musuku, Sridhar Narang, Jolie Narr, bradly J. Neal, Joseph M. Neuburger, Peter J. Neumann, Krystof J. Neustein, Steven M. Newman, Kenneth b.

Ngai, Jennie y.

Nunnally, Mark E. O'Connor, Michael F. Oechsner, Helena Oleszak, Slawomir O'Neill, daniel K. Oprea, Adriana d.

Orbach-Zinger, Sharon Osorio, James A. Padjen, Kristoffer Palleschi, Gregory T. Panchamia, rohan K. Panzer, Oliver P. F. Panzica, Peter J. Patel, Anil Peden, Carol Pedoto, Alessia C. Perelman, Seth I.

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

49, 58 89 99 30 56, 122 22, 46, 83 44 49 57 57, 65 44 44 92 125 68 56 92, 116 86 49 105 22, 83 22, 29, 83, 115 25, 95 127 90 49, 58, 121 16, 20, 47, 57, 99 71, 119 89 27, 39 81 122 22, 83 21, 46, 82, 106 25, 40 61, 52 40 85 66 24 127 50 18 72, 128 24 41, 118 58 41 25 76, 79 18, 46, 109 44 48, 99 78, 92, 104, 116 30 24 24, 32 105, 123 48 99 111 90 58, 97, 107 55, 64 70 107 34, 55, 58, 98, 107 73 48 86 16, 20, 80 30

Perera, Sauni P. 22, 46, 82 Peterson, Mary dale 62, 52 Philip, beverly 62, 63 29 Piracha, Mohammad 81, 115 Pisklakov, Sergey V 44 Poli, Joseph J. 124 Poovathoor, Shaji P. 21, 46, 82 Popovic, Jovan Primm, Aaron N. 116 Pustavoitau, Aliaksei 58 Puttanniah, Vinay G. 40, 95 Pyne, Sonia 44 92 rabrich, Jeffrey S. 27, 28 randall, Melinda S. 49 rask, John P. 80 reddy, Shamantha G. 48 reed, Allan P. reich, david L. 35, 54 rhee, Amanda J. 93, 98 richman, deborah C. 87 58 rivas, rodrigo rodriguez-diaz, Cesar 18, 99 51 romano, diana N. rong, Lisa Q. 71, 115, 119 rosenberg, Andrew d.

22, 82 22, 46, 65, 76, 83, 102, 120 rosenblatt, Meg A. rosenblatt, William 110 rosenfeld, Kenneth I. 18 roth, ram 48, 69, 96 rothstein, Joanna b.

94 ruskin, Keith J. 118 russell, Cortessa L. 36 Safa, radwan N. 58 Salomon, Guy 126 Salter, benjamin S. 73 Sampathi, Venkata 68 Samuels, Jon d.

48, 69, 118 Sarraf, Leslie M. 46 Schaefer, John J. 48 Schoppmann, Michael J. 64 Schulman, Steven b.

59 Schwartz, Andrew d.

49 Schwenk, Eric S. 64, 88 Sconzo, John 48 Seligsohn, david 44 Sequeira, Patricia M. 118 Serban, Stelian 104 Shah, Syed 36 Shah, Anjan S. 49, 58 Shander, Aryeh 74, 106 Shanewise, Jack S. 109 Shapiro, Janine 127 Shariat, Ali N. 44, 122 Sharma, Aarti 67 Sharma, Vandana 45 Shayevitz, Jay 79 Shevde, Ketan 38, 98, 107 Shih, Henry 73 Shore-Lesserson, Linda J. 72, 74, 128 Silvay, George 124 Silverman, Eric r.

58 Sim, Alan J. 49 Simon, Michael b.

91 Singh, Prithi P. 48 Sisto, daniel 78, 92 Skubas, Nikolaos J. 71, 97, 107, 119 Slepian, ralph L. 48 Slinger, Peter 16, 20, 40, 75, 99 Smallman, bettina 112 Smith, Natalie K. 48, 58 Smith, Michael P. 27, 39 Smoller, brandon J. 58

2018 | PGA72 Program

Sobol, Julia b.

Sommer, richard M. Song, Jing Soriano, III, Sulpicio G. Spellman, Jessica L. Spessot, George J. Spring, Camberly I. Stadnyk, Irene C. Steinberg, Ellen S. Stellaccio, Francis S. Stjepanovic, Gordana Stone, Marc E. Straker, Tracey Suresh, Santhanam Sutin, Kenneth M. Svyatets, Marina Sweeney, dawn M. Sweitzer, bobbie-Jean Tam, Christopher Tanaka, Christopher y.

Tateosian, Vahe Tedore, Tiffany r.

Thies, Karl C. Tokita, Hanae K. Toledano, roulhac d.

Torsher, Laurence Tran, Timothy T. Troianos, Christopher A. Turnbull, Zachary A. Twersky, rebecca S. Umeh, Uchenna Urban, Michael K. Usenko, Jaroslav Vaida, Sonia J. van rensburg, Adriaan Velickovic, Ivan A. Victor-Vega, Cassandre Vilnits, yefim Viscusi, Eugene r.

Vitkun, Stephen A. Vivien, benoĂŽt Vydyanathan, Amaresh Wahlander, Staffan b.

Wall, Michael H., Wardhan, richa Warren, Lisa Watson, Charles b.

Watt, Stacey A. Webber, Audra M. Wecksell, Matthew b.

Weinberg, roniel y.

Weinberger, Michael L. Weiner, Menachem M. Weitzel, Nathaen Werfel, Paul A. Wetmore, douglas Weyker, Paul d.

Whittington, robert A. Wicker, Jordan F. Wieczorek, Paul M. Wlody, david J. Wong, Cynthia A. Wu, Christopher xu, Jeff L. yadeau, Jacques T. yang, Elaine I. yeh, Joseph S. yeung, Albert C. yudkowitz, Francine S. Zerillo, Jeron

SPONSOrEd by:

97, 107 118 56, 104 33, 66 20, 99 118 44 115 29, 126 48, 80 67, 117 32, 45 80 22, 46, 83, 112 118 128 38 87 98, 107 73, 98, 106, 107, 109 48 22, 46, 70, 83, 105 85 46 57, 74, 101 49 98, 107 59, 73 95 84, 120 22, 46, 83 78 45 48 97, 107 29 44 127 16, 88, 99 48, 100, 111 85 47 56 97, 107 22, 83 22, 46, 83 48, 99 68, 94 110 123 22, 83 28 16, 20, 112 73 100 58 98, 107 60 124 23, 31 101 102 77 44 115 81 30 41 17, 49, 61, 92 32

The New york State Society of Anesthesiologists, Inc.

147

Fourth Floor

Sixth Floor

148

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

Seventh Floor

Eighth Floor

2018 | PGA72 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

149

Ninth Floor

150

NySSA | 72nd Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga72

u o y k n a Th PGA72 Supporters