PGA70 Program Journal

PGA70 2016

PostGraduate Assembly in Anesthesiology Fri. - Tues. Dec. 9-13 Marriott Marquis NYC/USA

NewYork City 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

www.pga.nyc Sponsored by:

The New York State Society of Anesthesiologists, Inc.

70th Annual PostGraduate Assembly in Anesthesiology December 9 – December 13, 2016 Marriott Marquis, New York | USA

Dear Colleagues: For over sixty-nine years, the Post-Graduate Assembly (PGA), the annual meeting of The New York State Society of Anesthesiologists, has been a focal point of innovation, education, and networking within the medical specialty of anesthesiology. The PGA is one of the largest annual gatherings for anesthesiologists, and approximately twenty-five percent of our attendees travel from outside the United States.

Problem-Based Learning Discussions (PBLs) are open-ended, small group sessions facilitated by moderators with expertise in the topic. As an interesting and relevant hypothetical case unfolds, attendees are encouraged to participate in the discussion of clinical management.

Scientific Exhibits, Poster Presentations and Medically Challenging Case Reports allow attendees to view and discuss presentations of scientific research and interesting cases.

Our objective is to provide a forum for anesthesia professionals to share their knowledge and expertise in the heart of New York City. Through attendee feedback and expert clinicians, we identify knowledge and practice gaps within our specialty and address them using a variety of formats. These include lectures, interactive workshops, mini workshops, problem-based learning discussions, focus sessions and poster presentations.

Technical Exhibits enable attendees to assess available pharmaceuticals, devices, equipment and services useful for their practice, and obtain further information from a multitude of vendors.

Scientific Panels address knowledge and practice gaps with broad topics relevant to the art and science of anesthesiology. The sessions include interactive discussions, during which the panel addresses audience questions and comments.

Hospital Visits take place one day prior to the start of the PGA. Arrangements are made with New York City area institutions.

These provide a venue for attendees to observe the facilities, practices and equipment of a variety of major medical centers in New York City.

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

Social Events enable attendees and their guests to complement intense learning sessions with artistic performances and world-class food and drink. The bright lights of Broadway beckon you to experience everything “the city that never sleeps” has to offer!

Workshops and Mini Workshops are sessions enabling close interaction and hands on experiences with expert instructors. Clinicians have the opportunity to sharpen their knowledge and skills in these concentrated settings.

The Resident Research Contest affords young investigators from all over the world an opportunity to present their work to peers and mentors.

Richard A. Beers, M.D. PGA General Chair Committee on Annual Sessions

E N G L I S H

I S

T H E

O F F I C I A L

Audrée A. Bendo, M.D., M.S. PGA Scientific Programs Chair Committee on Annual Sessions

L A N G UA G E

O F

T H E

P G A

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

NYSSA/PGA History The PostGraduate Assembly in Anesthesiology was initially established in 1945 as a biennial assembly. Its overwhelming success caused the founding organizers to modify their objectives and they decided to hold the PGA annually beginning in 1947. In 1949, an ASA meeting was held in New York in lieu of a PGA. The following is a chronological listing of NYSSA Presidents and PGA General Chairs, as well as Distinguished Service Award Recipients and NYSSA members who served as ASA Presidents.

Years 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 1974 1975 1976 1977 1978 1979 1980

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. * 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. *

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. * 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.

NYSSA Distinguished Service Award History Years 1996 (inaugural recipient) 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 * Deceased

Recipient Names 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 Joffe, M.D. * Mieczyslaw Finster, M.D. Gertie F. Marx, M.D. * Paul L. Goldiner, M.D. James E. Cottrell, M.D. 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.

Years 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

NYSSA Presidents

PGA General Chairs

Joseph W. Kramarczyk, M.D. * Herman Turndorf, M.D. Bernard Hollander, M.D. * Herman Turndorf, M.D. James E. Graber, M.D. * Henrik H. Bendixen, M.D. * Lee S. Binder, M.D. * Henrik H. Bendixen, M.D. * Alexander L. Hastie, M.D. Henrik H. Bendixen, M.D. * Gerald S. Weinberger, M.D. Henrik H. Bendixen, M.D. * Charles J. Vacanti, M.D. Henrik H. Bendixen, M.D. * I. Cary Andrews, M.D. * Mieczyslaw Finster, M.D. Jared C. Barlow, M.D. Mieczyslaw Finster, M.D. Marilyn M. S. Kritchman, M.D. Mieczyslaw Finster, M.D. Patrick A. Fantauzzi, M.D. James E. Cottrell, M.D. Herbert J. Fisch, M.D. * James E. Cottrell, M.D. Peter B. Kane, M.D. James E. Cottrell, M.D. Paul L. Goldiner, M.D. Alexander W. Gotta, M.D. * Anthony A. Ascioti, M.D. Alexander W. Gotta, M.D. * Alexander W. Gotta, M.D. * Alexander W. Gotta, M.D. * James P. Burdick, M.D. Elizabeth A.M. Frost, M.D. Margaret G. Pratila, M.D. Elizabeth A.M. Frost, M.D. Michael S. Jakubowski, M.D. Elizabeth A.M. Frost, M.D. Kenneth J. Freese, M.D. Elizabeth A.M. Frost, M.D. Mark J. Lema, M.D., Ph.D. Mark J. Lema, M.D., Ph.D. Phillip N. Fyman, M.D. Mark J. Lema, M.D., Ph.D. Thel G. Boyette, M.D. Mark J. Lema, M.D., Ph.D. Steven S. Schwalbe, M.D. Vinod Malhotra, M.D. Scott B. Groudine, M.D. Vinod Malhotra, M.D. Michael H. Mendeszoon, M.D., M.B.A. Vinod Malhotra, M.D. Richard A. Beers, M.D. Rebecca S. Twersky, M.D., M.P.H. Robert S. Lagasse, M.D. Rebecca S. Twersky, M.D., M.P.H. Alan E. Curle, M.D. Rebecca S. Twersky, M.D., M.P.H. Paul H. Willoughby, M.D. Andrew D. Rosenberg, M.D. Kathleen A. O’Leary, M.D. Andrew D. Rosenberg, M.D. Salvatore G. Vitale, M.D. Andrew D. Rosenberg, M.D. Michael B. Simon, M.D. David J. Wlody, M.D. Lawrence J. Epstein, M.D. David J. Wlody, M.D. Michael P. Duffy, M.D. David J. Wlody, M.D. Andrew D. Rosenberg, M.D. Richard A. Beers, M.D.

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 Years 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. Mark J. Lema, M.D., Ph.D.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Contents 2016 NYSSA Officers and Board of Directors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2016 Committee on Annual Sessions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5 Statement of Educational Mission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Faculty Disclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Continuing Medical Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 CME Certification Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 PGA Program Planner Disclosure Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Thursday Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Friday Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Saturday Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 New York State Conference for Anesthesiology Residents and Fellows . . . . . . . . . . .44-45 Resident Research Contest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46-47 American Board of Anesthesiology Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Sunday Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Current Issues Forum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Monday Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Tuesday Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Poster and Medically Challenging Case Report Presentations . . . . . . . . . . . . . . . . . 121-135 Scientific Exhibits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136 Technical Exhibitor Company Descriptions and Booth Locations . . . . . . . . . . . . . . 137-142 Technical Exhibitor Product Category Listing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143-145 Faculty Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146-147 Floor Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148-149

There may have been changes since the publication of this Program Journal.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

The New York State Society of Anesthesiologists, Inc. 2016 Officers & Board of Directors President Andrew D. Rosenberg, M.D., Roslyn Heights, NY President Elect Rose Berkun, M.D., Williamsville, NY Vice-President David S. Bronheim, M.D., Great Neck, NY Immediate Past President Michael P. Duffy, M.D., Cazenovia, NY Secretary Vilma A. Joseph, M.D., M.P.H., Elmont, NY Treasurer Jason Lok, M.D., Manlius, NY Andrew D. Rosenberg, M.D. President

First Assistant Secretary Christopher L. Campese, M.D., M.A., CHCQM, Douglaston, NY Second Assistant Secretary Jung T. Kim, M.D., New York, NY Assistant Treasurer Steven B. Schulman, M.D., Syosset, NY ASA Director Scott B. Groudine, M.D., Latham, NY ASA Alternate Director David J. Wlody, M.D., New York, NY Speaker, House of Delegates Charles C. Gibbs, M.D., Rainbow Lake, NY Vice Speaker, House of Delegates Tracey Straker, M.D., M.P.H., Yonkers, NY Director, NYSSA District #1 Lance W. Wagner, M.D., Belle Harbor, NY Director, NYSSA District #2 Ingrid B. Hollinger, M.D., FAAP, New Canaan, CT

Rose Berkun, M.D.

Director, NYSSA District #3 Melinda A. Aquino, M.D., Bronxville, NY

President Elect

Director, NYSSA District #4 Lawrence J. Routenberg, M.D., Schenectady, NY Director, NYSSA District #5 Jesus R. Calimlim, M.D., Jamesville, NY Director, NYSSA District #6 Richard N. Wissler, M.D., Ph.D., Pittsford, NY Director, NYSSA District #7 Scott N. Plotkin, M.D., Buffalo, NY Director, NYSSA District #8 Daniel H. Sajewski, M.D., Lloyd Harbor, NY Delegate to MSSNY Steven S. Schwalbe, M.D., Leonia, NJ Alternate Delegate to MSSNY Rose Berkun, M.D., Williamsville, NY Editor, NYSSA Sphere Samir Kendale, M.D., Brooklyn, NY David S. Bronheim, M.D. Vice-President

Chair, Academic Anesthesiology Suzanne B. Karan, M.D., Rochester, NY General Chair, Annual Sessions Richard A. Beers, M.D., Fayetteville, NY President, Resident and Fellow Section Duncan McLean, M.D., Rochester, NY Executive Director Stuart A. Hayman, M.S., White Plains, NY

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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2016 Committee on Annual Sessions Scientific Exhibits & Poster Presentations

Richard A. Beers, M.D., General Chair

Workshops

Advisors

Rose Berkun, M.D., Chair Richard M. Sommer, M.D., Vice-Chair

Stephen A. Vitkun, M.D., M.B.A., Ph.D., Chair Rhoda D. Levine, M.D. Vice-Chair

Committee Members

Committee Members

Nibras Bughrara, M.D. Won Chee, M.D., M.B.A. Stephanie Cheng, M.D. Edmond Cohen, M.D. Clifford M. Gevirtz, M.D., M.P.H. Tal Levy, M.D. James Osorio, M.D. Alessia C. Pedoto, M.D. Allan P. Reed, M.D. Jon D. Samuels, M.D. Linda J. Shore-Lesserson, M.D., FAHA, FASE Tony Tsai, M.D. Albert Yu, D.O.

Apolonia E. Abramowicz, M.D. Anna Kaminski, D.O. Jung T. Kim, M.D. Galina Leyvi, M.D. Lixin Liu, M.D. Ashok Masand, M.D. Ngoc Nguyen-Famulare, M.D. Amanda Rhee, M.D. Divina Santos, M.D. Joseph Schianodicola, M.D. Mourad Shehebar, M.D. P. Sebastian Thomas, M.D. Albert C. Yeung, M.D.

Rebecca S. Twersky, M.D., M.P.H. Andrew D. Rosenberg, M.D. David J. Wlody, M.D.,

Honorary Chairs James E. Cottrell, M.D. Mieczyslaw Finster, M.D. Elizabeth A. M. Frost, M.D. Alexander W. Gotta, M.D. Merel H. Harmel, M.D. Mark J. Lema, M.D., Ph.D. Vinod Malhotra, M.D. Paul J. Poppers, M.D. Herman Turndorf, M.D.

Scientific Programs Sub-Committees Scientific Panels AudrĂŠe A. Bendo, M.D., M.S., Overall Chair Meg A. Rosenblatt, M.D., 1st Vice-Chair Linda J. Shore-Lesserson,M.D., FAHA, FASE, 2nd Vice-Chair Committee Members

Melinda A. Aquino, M.D.* Vittoria Arslan-Carlon, M.D. Richard A. Beers, M.D.* Rose Berkun, M.D., Edmond Cohen, M.D. Saundra Curry, M.D. Anahita Dabo-Trubelja, M.D. Farida M. F. Gadalla, M.B., Ch.B. Hugh C. Hemmings, Jr.., M.D., Ph.D. John Herbert, M.D. Ingrid B. Hollinger, M.D., FAAP Shaesta G. Humayun, M.D. Jun Lin, M.D., Ph.D. Anuj Malhotra, M.D. Nader Nader, M.D., Ph.D. Kenneth B. Newman, M.D. Lawrence J. Routenberg, M.D. Jay Shayevitz, M.D., M.S. Ketan Shevde, M.D. George Silvay, M.D., Ph.D. Stephen A. Vitkun, M.D., M.B.A., Ph.D. Matthew Wecksell, M.D. Michael B. Weinberger, M.D. Richard N. Wissler, M.D., Ph.D.* David J. Wlody, M.D. Francine S. Yudkowitz, M.D., FAAP*

Focus Sessions Ingrid B. Hollinger, M.D., FAAP, Chair Dawn M. Sweeney, M.D., Vice-Chair Committee Members

Apolonia E. Abramowicz, M.D. Alan E. Curle, M.D. Sudhir Diwan, M.D. Victor Filadora, M.D., M.B.A., Jonathan S. Gal, M.D. Cheryl K. Gooden, M.D., FAAP Tessa Kate Huncke, M.D. Anna Kaminski, D.O. Jerrold Lerman, M.D. , FRCPC, FANZCA Sandhya Malhotra, M.D. Allen Marchetti, D.O. Deborah Richman, M.B., Ch.B. Suzette Singh, M.D. Bettina Smallman, M.D. Ivan Velickovic, M.D. Stephen A. Vitkun, M.D., M.B.A., Ph.D.

Mini Workshops

International Scholars

Clifford M. Gevirtz, M.D., M.P.H., Chair P. Sebastian Thomas, M.D., Vice-Chair

Elizabeth A. M. Frost, M.D., Co-Chair Paul L. Goldiner, M.D., Co-Chair

Committee Members

Committee Members

Apolonia E. Abramowicz, M.D. Jasmine Bhatia, M.B., B.S. Maria A. Bustillo, M.D. Edmond Cohen, M.D. Ghislaine Isidore, M.D. Subhash Jain, M.D. Joseph Marino, M.D. Ngoc Nguyen-Famulare, M.D. Alessia Pedoto, M.D. Paul J. Poppers, M.D. Bharathi Scott, M.D. Jay R. Shayevitz, M.D., M.S., FAAP

Richard A. Beers, M.D.* Cheryl K. Gooden, M.D., FAAP Vinod Malhotra, M.D. Archana Mane, M.D. Irene P. Osborn, M.D. Amanda Rhee, M.D. George Silvay, M.D., Ph.D. Stuart A. Hayman, M.S. (Executive Director)* Kelly A. Mancusi, M.B.A. , CMP* (Director of Meetings)*

Problem-Based Learning Discussions

Committee Members

Patricia Fogarty Mack, M.D., Chair Paul H. Willoughby, M.D., Vice-Chair Committee Members

Mary Chisolm, M.D. Saundra E. Curry, M.D. Cheryl K. Gooden, M.D., FAAP John Hoyt, M.D. Bessie Kachulis, M.D. Anna Kaminski, D.O. Adam D. Lichtman, M.D., FASE Carlos Lopez, III, M.D. Ashok Masand, M.D. Igor Muntyan, M.D. Kenneth B. Newman, M.D. Anita K. Patel, M.D. Sergey V. Pisklakov, M.D. Jacques H. Scharoun, M.D. Tracey Straker, M.D., M.P.H. Michael K. Urban, M.D., Ph.D. Ivan Velickovic, M.D. Stacey A. Watt, M.D. Menachem Weiner, M.D. Samrat H. Worah, M.D. Albert C. Yeung, M.D.

Resident Research Contest Charles W. Emala, Sr., M.S., M.D., Chair Committee Members

Maria A. Bustillo, M.D. Samuel DeMaria, Jr., M.D. Andrew Goldberg, M.D. Suzanne B. Karan, M.D. Ira S. Kass, Ph.D. Jing Song, M.D. Stacey A. Watt, M.D. Menachem Weiner, M.D.

Technical Exhibits Paul H. Willoughby, M.D., Chair David J. Wlody, M.D., VIce-Chair Michael H. Mendeszoon, M.D., M.B.A. Stuart A. Hayman, M.S. (Executive Director)* Kelly A. Mancusi, M.B.A. , CMP (Director of Meetings)*

Executive Group Committee on Annual Sessions General Chair Richard A. Beers, M.D. Chair, Scientific Programs AudrĂŠe A. Bendo, M.D., M.S. 1st Vice Chair, Scientific Programs Meg A. Rosenblatt, M.D. 2nd Vice Chair, Scientific Programs Linda J. Shore-Lesserson, M.D., FAHA, FASE NYSSA President Andrew D. Rosenberg, M.D. NYSSA President Elect Rose Berkun, M.D. NYSSA Vice-President David S. Bronheim, M.D. NYSSA Treasurer Jason Lok, M.D. NYSSA Secretary Vilma A. Joseph, M.D., M.P.H.* NYSSA Continuing Medical Education & Remediation Chair Francine S. Yudkowitz, M.D., FAAP* Vice-Chair, NYSSA Academic Anesthesiology Vacant* NYSSA Executive Director Stuart A. Hayman, M.S.*

* ex-officio

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

General Information Registration

Are you an NYSSA Member?

PGA registration is located on the 4th floor and will be operational as follows:

NYSSA is a medical specialty society, dedicated to providing continuing medical education to its members and advancing the practice of anesthesiology. We are a component society of the American Society of Anesthesiologists (ASA). To be eligible for membership, your principal professional activity must be in New York State. By becoming an NYSSA member, you join a community of over 3,000 New York State anesthesiologists and more than 35,000 anesthesiologists nationwide. We advocate on behalf of both patients and physicians in formulating standards and guidelines, to advance the practice of anesthesiology. Together, NYSSA members provided a powerful and effective voice for our specialty, both in New York State and nationally.

Membership Advantages: • Complementary PGA General Registration • Legislative and legal representation in State government • Legal Resources - Kern Augustine, P.C. • NYSSA Membership Directory • Speakers Bureau Spokespersons • NYSSA Quarterly Publication - Sphere • Public relations media outreach • Liaison with other medical and specialty societies • Financial and insurance program eligibility • Voice your opinion about changes affecting the practice of anesthesiology • Lobby and voice your views to your legislative representatives on issues of critical importance to the practice of anesthesiology • Serve on committees • Headquarters staff and support

Thursday, December 8 Friday, December 9 Saturday, December 10 Sunday, December 11 Monday, December 12 Tuesday, December 13

07:00 07:00 07:00 07:00 07:00 07:00

- 19:00 - 19:00 - 16:00 - 16:00 - 16:00 - 15:00

The registration fee includes the following general sessions: • Scientific Panels • International Forum Session • Current Issues Forum • Memorial Lectures • Resident Research Contest • Exhibit Hall • Focus Sessions • NYSSA Resident and Fellow Section Meeting • Ancillary Sessions Workshops, Mini Workshops and Problem-Based Learning Discussions The sales booth is located on the 4th floor at PGA registration.

Thoracic Anesthesia Symposium is $350.

Workshops are $150, except for W-09 and W-13, which are $350; and W-05 and W-10 which are $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 the PGA attendee services desk, 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 first-come, firstserve 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.

Becoming an NYSSA Member To become a member of NYSSA: • Call: 212-867-7140 • Email: hq@nyssa-pga.org • Scan this QR Code with your mobile device Note: NYSSA is a component society of ASA. All NYSSA members must be a member of ASA.

NYSSA Categories and Annual Dues Membership runs from January 1 – December 31.

Active: Anesthetists practicing in NYS

$595.00

Retired: Members of NYSSA who have been in good standing for 10 years or more.

No fee

Affiliate: Physicians/Scientists who do not

$297.50

practice clinical anesthesiology

Resident: Anesthesia Resident in NYS Medical Student:

$50.00 No fee

PGA Session Key FS: Focus Session MW: Mini Workshop PBL: Problem-Based Learning Discussion SP: Scientific Panel TS: Thoracic Symposium W: Workshop BLACK: General Sessions; included in registration fee.

PURPLE: Optional Sessions; additional registration fees apply.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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General Information Scientific Exhibits will be on display on the 7th Floor. These exhibits offer the latest in scientific progress, both in descriptive and visual forms. Exhibit days and hours are: Saturday, December 10th • 10:00 to 11:30 & 13:30 to 15:00 Sunday, December 11th • 10:00 to 11:30 & 13:30 to 15:00 Poster Presentations and Medically Challenging Case Report Posters will be on display in the Astor Ballroom (7th Floor). All posters have been scheduled for viewing on specific days and times. Authors will be on hand to discuss their work. Exhibit days and hours are: Saturday, December 10th • 09:30-11:30 • 09:30-11:30 Sunday, December 11th Monday, December 12th • 09:30-11:30 Technical Exhibits are located on the 5th Floor. 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.

Exhibit days and hours are: Saturday, December 10th • 10:00 to 18:00 Sunday, December 11th • 09:00 to 15:00 Monday, December 12th • 09:00 to 13:00 Complimentary Coffee Service in the PGA exhibit hall.

Saturday, December 10th • 10:00 and 14:00 Sunday, December 11th • 09:00 and 11:00 Monday, December 12th • 09:00 Lunch Concession Service consisting of 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, Mini Workshop, 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.

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Speaker Ready Room 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 9th through Tuesday, December 13th.

Congress Bags will be available: Thursday, December 8th • 07:00-19:00 • 4th Floor • 07:00-19:00 • 4th Floor Friday, December 9th Saturday, December 10th • 10:00-18:00 • 5th Floor Sunday, December 11th • 09:00-15:00 • 5th Floor Monday, December 12th • 09:00-13:00 • 5th Floor Tuesday, December 13th • 09:00-16:00 • 4th Floor Attendees must hand in a bag ticket, which is included with your badge print-out.

Notable Associations 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.

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.

British Journal of Anaesthesia The British Journal of Anaesthesia is a monthly peerreviewed 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.

European Society of Anaesthesiologists (ESA) The ESA aims for the highest standards of practice and safety in anesthesia, intensive care, emergency medicine and pain treatment through education, research and professional development throughout Europe. The ESA organizes European Anesthesiology Congresses throughout Europe. The meetings are attended by members and nonmembers representing more than 80 countries from around the world.

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

General Information Evaluation Forms During the course of this meeting, you may be asked to assist us in evaluating the various segments of the PGA. We appreciate your time, effort and cooperation in completing, and returning these forms. Your comments will be taken into consideration when planning future PGA programs. Please return them to the session room aide, any staff member in the Regisration Area, or the PGA Headquarters Office on the 7th Floor 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.

NYSSA House of Delegates Convenes on Saturday, December 10th at 11:00 and , Sunday, December 11th at 09:30, in the Marquis Ballroom, located on the 9th floor of the Marriott.

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

Smoking Policy Smoking is not permitted at any PGA function.

Disclaimer The NYSSA/PGA cannot be held responsible for loss of personal property.

PGA Staff Headquarters

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.

Are You in Need of MOCA® Patient Safety Credits?

You can receive both CME and MOCA® Patient Safety credits by attending the following PGA panels: SP-01 SP-02 SP-06 SP-10 SP-11 SP-12 SP-13 SP-15 SP-17 SP-18 SP-25 SP-26 FS-15 FS-23 FS-25 FS-33

Gertie F. Marx Memorial Lecture: What's New in Obstetric Anesthesiology Your Ultrasound Machine is Good for More than Nerve Blocks Perioperative Management of Cerebrovascular Emergencies: New Clinical Paradigms Issues in Perioperative Care of the Older Surgical Patient The Cardiac Patient Presenting for Non-Cardiac Surgery Anesthetic Challenges in the Pediatric Patient Hot Topics in Acute Pain Management The Weaponization of Medical Quality Improvement Regional Anesthesia Update APSF Panel: Production Pressures: Impact on Patient Safety Current Anesthesia Considerations for Spine Surgery Current Controversies Affecting Your Practice The Anesthesia Work Station and Safety Issues: Are Our Patients Safer?

Infection Control Issues Impacting Anesthesiology Practice Update on AHC and AHA Guidelines on Adult and Pediatric Resuscitation Problems in Pediatric Anesthesia

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.

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NYSSA • 110 East 40th Street, Suite 300 • New York, NY 10016 212-867-7140 • hq@nyssa-pga.org • www.nyssa-pga.org 2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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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: • 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.

• Encourage and stimulate ongoing and new anesthesia-related research projects that will enhance and advance the specialty.

• 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.

• Continually investigate and develop alternative methods to determine the educational needs of the diverse health care professionals serviced by the CME&R NYSSA program.

• Comply with the Accreditation Council for Continuing Medical Education’s (ACCME) new Updated Accreditation Criteria adopted in September 2006.

• 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, 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.

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.

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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 newly-acquired 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.

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 post-meeting CE Credits.

Certificates of Attendance will be provided, upon request.

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

CME Certification Process 70th Annual PostGraduate Assembly in Anesthesiology December 9 – December 13, 2016 Marriott Marquis, New York | USA

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.

• Attendees must have their badge scanned at each session.

• CME Certificates will not be issued on-site.

• CME Certificates will be issued electronically after the PGA, upon completion of our feedback survey.

• Non-educational sessions such as Committee and House of Delegates meetings are not eligible for CME credit.

• The deadline for claiming PGA70 credits is June 30, 2017.

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: Richard A. Beers, M.D., PGA General Chair Audrée A. Bendo, M.D., M.S., Chair, Scientific Programs Meg A. Rosenblatt, M.D., First Vice-Chair, Scientific Programs Linda J. Shore-Lesserson, M.D., FAHA, FASE, Second Vice-Chair, Scientific Programs Ingrid B. Hollinger, M.D., FAAP, Chair, Focus Sessions Dawn M. Sweeney, M.D., Vice-Chair, Focus Sessions Rose Berkun, M.D., Chair, Workshops Richard M. Sommer, M.D., Vice-Chair, Workshops Clifford M. Gevirtz, M.D., M.P.H., Chair, Mini Workshops P. Sebastian Thomas, M.D., Vice-Chair, Mini Workshops Patricia Fogarty Mack, M.D., Chair, Problem-Based Learning Discussions Paul H. Willoughby, M.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, Chair, Continuing Medical Education and Remediation

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

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Notes

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

70th Annual PostGraduate Assembly in Anesthesiology

Marriott Marquis, New York | USA

Thursday

December 9 – December 13, 2016

Thursday, December 8, 2016 Times Registration ................................................................................................................. 07:00 Thoracic Anesthesia Symposium.......................................................... 07:00 - 17:00 The Thoracic Anesthesia Symposium requires a ticket.

Please refer to page 3 for fees.

Download the New

Mobile Application!

Once downloaded, you can:

• View the meeting schedule • Search for sessions, speakers & topics • Create a personal PGA itinerary • Explore the exhibit hall • Connect to social media • Get real-time alerts • Navigate the venue with maps • Take session notes

Please silence your mobile devices

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Thoracic Anesthesia Symposium | Thursday, December 8, 2016 All Day Session • 07:00 - 17:00 Ziegfeld/O’Neill Room • 4th Floor

Thursday

PGA 3rd Annual Thoracic Anesthesia Symposium - Part 1 Moderator: Edmond Cohen, M.D. Professor of Anesthesiology | Director, Thoracic Anesthesia | Icahn School of Medicine at Mount Sinai | New York, New York

A one and-a-half day program, with leading national and international experts, in thoracic anesthesia Topics: • Management of One Lung Ventilation: What is Important?

• Problem Based Learning Discussions • All You Want to Know About Thoracic Anesthesia and You Never Asked: Questions and Answers • Pain Management in Thoracic Surgery • Challenging Cases in Thoracic Anesthesia • Issues in Thoracic Anesthesia Assisted by: Randal S. Blank, M.D., Ph.D. Associate Professor of Anesthesiology Chief, Thoracic Anesthesia | University of Virginia Health System | Charlottesville, Virginia

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

David S. Bronheim, M.D. Associate Professor of Anesthesiology and Surgery Leila Hosseinian, M.D. Director, Post Anesthesia Care | Icahn School of Assistant Professor of Anesthesiology and Critical Medicine at Mount Sinai | New York, New York Care | Icahn School of Medicine at Mount Sinai New York, New York Javier H. Campos, M.D. Professor of Anesthesiology Yury Khelemsky, M.D. Director, Cardiothoracic Anesthesia | Executive Assistant Professor of Anesthesiology Medical Director Perioperative Services | University Program Director, Pain Medicine Fellowship of Iowa Hospitals and Clinics | Iowa City, Iowa Icahn School of Medicine at Mount Sinai 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

New York, New York Jonathan D. Leff, M.D. Associate Professor of Anesthesiology Montefiore Medical Center | Bronx, New York

Jennifer A. Macpherson, M.D. Gregory W. Fischer, M.D. Assistant Professor of Anesthesiology Professor and Chair | Department of Anesthesiology Chief, Division of Thoracic Anesthesiology and Critical Care Medicine Memorial Sloan-Kettering Director, Medical Student Anesthesiology Clerkship | University of Rochester School of Cancer Center | New York, New York Medicine and Dentistry | Department of Anesthesiology | Rochester, New York

Robert N. Sladen, M.B., Ch.B., FCCM Allen Hyman Professor of Critical Care Anesthesiology | Columbia University Medical Center | Columbia University, College of Physicians & Surgeons | New York, New York Eugene R. Viscusi, M.D. Professor of Anesthesiology Director, Acute Pain Management Jefferson Medical College Thomas Jefferson University Philadelphia, Pennsylvania Charles B. Watson, M.D., FCCM Deputy Surgeon-in-Chief Bridgeport Hospital Yale-New Haven Health System Bridgeport, Connecticut Menachem Weiner, 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: • • • • • • • • •

Identify the perioperative factors that contribute to lung injury in thoracic patients and strategies to avoid this complication; Understand recent developments in the physiology of one-lung ventilation and use this information to minimize hypoxemia during one-lung anesthesia; Develop a plan to improve the perioperative outcomes of patients having esophagectomy surgery; Manage anesthetic care for patients having airway surgery including invasive pulmonology, tracheal resection and tracheal injuries; Perform paravertebral analgesia and lung ultrasound; Improve their ability to provide safe and reliable lung isolation with double-lumen tubes and bronchial blockers; Understand the intraoperative implications of large mediastinal masses and develop an anesthetic plan to manage these patients; Develop a plan to manage post-thoracotomy pain for patients with contraindications to thoracic epidural analgesia; Discuss recent advances in anesthesia for lung transplantation and patients with pulmonary hypertension.

Disclosures: Drs. Blank, Bronheim, Cohen, Desiderio, Fischer, Hosseinian, Khelemsky, Leff, Macpherson, Sladen, Watson and Weiner do not have any financial relationships to disclose.

Dr. Campos receives consultant fees from ET View Medical, LTD. Dr. Gama de Abreu receives funded research support from Dräger Medical AG, Novalung GmbH and consultant fees from Dräger Medical AG, Novalung GmbH, GE Health Care and Ventinova Ltd. Dr. Viscusi receives funded research support from DURECT Corporation and Pacira Pharmaceuticals, Inc.; consultant fees from Cara Therapeutics, Inc., Mallinckrodt Pharmaceuticals, Merck & Co., Inc., Pacira Pharmaceuticals, Inc., Salix Pharmaceuticals, The Medicines Company, and Trevena, Inc., and is on the speakers’ bureau for Mallinckrodt Pharmaceuticals, Salix Pharmaceuticals and The Medicines Company.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

70th Annual PostGraduate Assembly in Anesthesiology December 9 – December 13, 2016 Marriott Marquis, New York | USA

Friday

Friday, December 9, 2016 Times Registration ................................................................................................................. 07:00 Hands-On Workshops................................................................. 07:00, 08:00 & 12:00 Mini Workshops ......................................................................................... 07:45 & 11:45 Thoracic Anesthesia Symposium ........................................................................ 08:00 Scientific Panels ......................................................................................... 09:00 & 13:00 Problem-Based Learning Discussions................................................ 11:45 & 15:45 Focus Sessions............................................................................................................ 15:45 Thoracic Anesthesia Symposium, Workshops, Mini Workshops and Problem-Based Learning Discussions require a ticket.

Please refer to page 3 for fees.

Please silence your mobile devices

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Friday, December 9, 2016 All Day Session • 07:00 - 17:30 • Majestic Complex • 6th Floor W-01

Pediatric Advanced Life Support (PALS) Workshop Moderator:

Francine S. Yudkowitz, M.D., FAAP Professor of Anesthesiology & Pediatrics Director, Pediatric Anesthesia Icahn School of Medicine at Mount Sinai New York, New York

Friday

Assisted by: Rhonda A. Alexis, M.D. Anesthesiologist, General Anesthesia Children’s Hospital of Philadelphia Perelman School of Medicine University of Pennsylvania Philadelphia, Pennsylvania

Cheryl K. Gooden, M.D., FAAP North American Partners in Anesthesia Bronx Lebanon Hospital Center | Bronx, New York Associate Professor of Anesthesiology & Pediatrics Hofstra Northwell School of Medicine Hempstead, New York

Barbara M. Dilos, D.O. Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Joanne Hojsak, M.D. Associate Professor of Pediatrics Chief, Pediatric Critical Care Mount Sinai Kravis Children’s Hospital New York, New York

After completion of this session, the participant will be able to: • Demonstrate basic pediatric life-support skills; • Recognize the signs of impending respiratory failure and shock; • Initiate treatment of impending and overt respiratory failure and shock; • Identify and appropriately treat rhythm disturbances.

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.

Due to the requirement to review literature in advance, this workshop is limited to pre-registration.

Disclosures: Drs. Alexis, Dilos, Gooden, Hojsak and Yudkowitz did not disclose any financial relationships.

NOTE: This is a full-day Workshop. Lunch will not be provided.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Mini Workshop | Friday, December 9, 2016 | MW-01 through MW-04 Morning Sessions • 07:45 - 08:45 • 4th Floor Rooms MW-01 Odets Room

Management of Post Dural Puncture Headache Speaker: Ivan A. Velickovic, M.D. Director, Obstetric Anesthesiology | SUNY-Downstate Medical Center | Brooklyn, New York After completion of this session, the participant will be able to: • Discuss the management of accidental dural puncture in obstetrics; • Develop an evidence-based decision regarding the use of intrathecal catheters in the prevention and management of PDPH; • Review the treatment of spinal headache, including therapeutic and prophylactic blood patch.

Medical Marijuana: Clinical and Legal Aspects

Friday

MW-02 Wilder Room

Speaker: Nicole Quackenbush, Pharm. D. Director, Medical Marijuana Program | Bureau of Narcotic Enforcement | Albany, New York After completion of this session, the participant will be able to: • Enumerate the different receptors where medical marijuana works; • Recognize the indications and contra-indications for prescribing marijuana; • Recognize the different legal viewpoints of the federal and state governments, with respect to prescribing medical marijuana.

MW-03 Ziegfeld Room

Ultrasound for Nerve Blocks Speaker: Junping Chen, M.D., Ph.D. Senior Attending Anesthesiologist | Assistant Professor of Clinical Anesthesiology | Associate Director of Regional Anesthesia | Icahn School of Medicine at Mount Sinai St. Luke’s | New York, New York After completion of this session, the participant will be able to: • Describe the physics of ultrasonography; • Enumerate the indications for ultrasound guidance; • Identify the topology of ultrasound images.

MW-04 O’Neill Room

Cardiac Anesthesia Update Speaker: Sumeet Goswami, M.D., M.P.H. Fellow, Pain Management | Columbia University, College of Physicians & Surgeons | New York, New York After completion of this session, the participant will be able to: • Discuss the anesthetic implications of implantable cardiac defibrillators, pacemakers, left ventricular assist devices and artificial hearts; • Describe the indications, surgical technique and anesthetic challenges; • Discuss the safety and efficacy of this procedure; • Examine current literature comparing on and off pump coronary surgery.

Disclosures: Drs. Chen, Goswani and Quackenbush do not have any financial relationships to disclose.

Dr. Velickovic receives honoraria from Covidien.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Thoracic Anesthesia Symposium Workshop Stations Friday, December 9, 2016 • Morning Session • 08:00 - 11:00 Shubert Complex • 6th Floor

PGA 3rd Annual Thoracic Anesthesia Symposium - Part 2 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:

Friday

l l l

Isolation of the Lung: Double Lumen Tubes Isolation of the Lung: Endobronchial Blockers Thoracic Epidural/Paravertebral Block

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.

Assisted by: Randal S. Blank, M.D., Ph.D. Jennifer A. Macpherson, M.D. Associate Professor of Anesthesiology | Chief, Thoracic Anesthesia Assistant Professor of Anesthesiology University of Virginia Health System | Charlottesville, Virginia Chief, Division of Thoracic Anesthesiology Director, Medical Student Anesthesiology Clerkship Javier H. Campos, M.D. University of Rochester School of Medicine and Dentistry Professor of Anesthesiology | Director, Cardiothoracic Anesthesia Department of Anesthesiology | Rochester, New York Executive Medical Director Perioperative Services | University of Iowa Hospitals and Clinics | Iowa City, Iowa Anuj Malhotra, M.D. Assistant Professor of Anesthesiology Maria D. Castillo, M.D. 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 Joshua S. Mincer, M.D., Ph.D. Assistant Professorof Anesthesiology Dawn P. Desiderio, M.D. Icahn School of Medicine at Mount Sinai Professor of Clinical Anesthesiology | Cornell University, Weill Attending Physician, Mount Sinai Hospital | New York, New York Cornell Medical College | Clinical Member Section Chief, Thoracic Anesthesia | James J. Peter VA Medical Memorial Sloan-Kettering Cancer Center | New York, New York Center | Bronx, New York Marcelo Gama de Abreu, M.D., Ph.D., DESA Eugene R. Viscusi, M.D. Professor of Anesthesiology and Intensive Care Therapy Professor of Anesthesiology | Director, Acute Pain Management Chair, Translational Research in Anesthesiology and Intensive Care Jefferson Medical College | Thomas Jefferson University Therapy | University Hospital Carl Gustav Carus Philadelphia, Pennsylvania Dresden, Germany Charles B. Watson, M.D., FCCM Yury Khelemsky, M.D. Deputy Surgeon-in-Chief | Bridgeport Hospital Assistant Professor of Anesthesiology | Program Director, Pain Yale-New Haven Health System | Bridgeport, Connecticut Medicine Fellowship | Icahn School of Medicine at Mount Sinai New York, New York Menachem Weiner, M.D. Assistant Professor of Anesthesiology | Icahn School of Medicine at Jonathan D. Leff, M.D. Mount Sinai | New York, New York Associate Professor of Anesthesiology | Montefiore Medical Center Bronx, New York Disclosures: Drs. Blank, Castillo, Cohen, Desiderio, Khelemsky, Leff, Macpherson, Malhotra, Mincer, Watson and Weiner do not have any financial relationships to disclose.

Dr. Campos receives consultant fees from ET View Medical, LTD. Dr. Gama de Abreu receives funded research support from Dräger Medical AG, Novalung GmbH and consultant fees from Dräger Medical AG, Novalung GmbH, GE Health Care and Ventinova Ltd. Dr. Viscusi receives funded research support from DURECT Corporation and Pacira Pharmaceuticals, Inc.; consultant fees from Cara Therapeutics, Inc., Mallinckrodt Pharmaceuticals, Merck & Co., Inc., Pacira Pharmaceuticals, Inc., Salix Pharmaceuticals, The Medicines Company, and Trevena, Inc., and is on the speakers’ bureau for Mallinckrodt Pharmaceuticals, Salix Pharmaceuticals and The Medicines Company.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Workshop | Friday, December 9, 2016 Morning Session • 08:00 - 11:00 • Soho Complex • 7th Floor W-02

Ultrasound, Simulation and Stimulation for Peripheral Nerve Blocks 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 Station IV Nerve Blocks of the Lower Extremity - Ultrasound Technique Workshop Moderators:

Jovan Popovic, M.D., FRCPC Assistant Professor of Anesthesiology NYU-Langone Medical Center Medical Director, NYU-Langone Outpatient Surgery | New York, New York

Friday

Mitchell H. Marshall, M.D. Clinical Associate Professor of Anesthesiology Chief, Department of Anesthesiology NYU-Langone Medical Center-Hospital for Joint Diseases | New York, New York

Assisted by: Michael Akerman, M.D. Attending Anesthesiologist Westchester Medical Center Valhalla, 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 Michael R. Anderson, M.D. Nebraska Medicine Fritch Surgery Center Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Omaha, Nebraska New York, New York Christina L. Jeng, M.D. Assistant Professor of Anesthesiology Arthur Atchabahian, M.D. and Orthopaedics Professor of Clinical Anesthesiology NYU-Langone Medical Center-Hospital Icahn School of Medicine at Mount Sinai for Joint Diseases | New York, New York New York, New York Robert A. Altman, M.D. Attending Anesthesiologist | NYULangone 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

Jung T. Kim, M.D. Associate Professor of Anesthesiology Executive Vice Chairman Department of Anesthesiology NYU-Langone Medical Center New York, New York Sunmi Kim, M.D., B.S. Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York

Mitchell Y. Lee, M.D., B.A. Assistant Professor of Anesthesiology Assistant Residency Director NYU-Langone Medical Center New York, New York Danielle B. Ludwin, M.D. Associate Professor of Anesthesiology Columbia University, College of Physicians & Surgeons New York, New York Milad Nazemzadeh, M.D. Clinical Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York Meg A. Rosenblatt, M.D. Professor of Anesthesiology and Orthopaedics | Icahn School of Medicine at Mount Sinai | Chair, Department of Anesthesiology | Icahn School of Medicine Mount Sinai St. Luke’s | Mount Sinai West | New York, New York Santhanam Suresh, M.D. Arthur C. King Professor & Chair Department of Pediatric Anesthesiology Ann & Robert H. Lurie Children's Hospital of Chicago | Chicago, Illinois

Eric M. Kitain, M.D. Tiffany R. Tedore, M.D. Chair, Department of Anesthesiology Co-Director, Regional Anesthesiology Norwalk Hospital | Norwalk, Connecticut and Acute Pain Medicine Associate Professor of Anesthesiology Yan Lai, M.D. Cornell University, Weill Cornell Medical College | NewYork-Presbyterian Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Hospitalbyterian Hospital New York, New York New York, New York

Shruthima Thangada, M.D. Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York Simon Tom, M.D. Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York Uchenna Umeh, M.D. Assistant Professor of Anesthesiology NYU-Langone Medical Center-Hospital for Joint Diseases New York, New York Daniel B. Wambold, M.D. Attending Anesthesiologist The Valley Hospital Ridgewood, New Jersey 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

After completion of this session, the participant will be able to: • Apply the use of nerve stimulator techniques for upper and lower extremity blocks; • Treat reflex sympathetic dystrophy with either intravenous anesthesia (Bier block) or nerve block; • Utilize ultrasound technology for upper and lower extremity blocks.

Disclosures: Drs. Akerman, Altman, Anderson, Atchabahian, Birmingham, Boublik, Capan, Furgiuele, Heiser, Jeng, J. Kim, S. Kim, Kitain, Lai, Lee, Ludwin, Marshall, Popovic, Rosenblatt, Suresh, Thangada, Tom, Umeh, Wambold, Wardhan, Warren and Weinberg do not have any financial relationships to disclose.

Dr. Nazemzadeh received a consultant fee from Synchrony Medical Communications.

Dr. Tedore's spouse receives a salary from TG Therapeutics.

NOTE: This Workshop will be repeated on Sunday as W-14 .

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

15

Workshop | Friday, December 9, 2016 Morning Session • 08:00 - 11:00 • Empire Complex • 7th Floor W-03

Ultrasound Assisted Neuraxial Anesthesia

Friday

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, Canada

Assisted by: Cristian Arzola, M.D., M. Sc. Assistant Professor of Anesthesia University of Toronto Staff Anesthesiologist Mount Sinai Hospital Toronto, Canada

Clarita Margarido, M.D., Ph.D. Assistant Professor of Anesthesia University of Toronto Staff Anesthesiologist Sunnybrook Health Sciences Center Toronto, Canada

Paul M. Wieczorek, M.D., FRCPC Assistant Professor of Anesthesiology McGill University Director, Obstetric Anesthesia Jewish General Hospital Montreal, Canada

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

Disclosures: Drs. Arzola, Carvalho, Margarido and Wieczorek do not have any financial relationships to disclose.

NOTE: This Workshop will be repeated Friday as W-04.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Scientific Panel | Friday, December 9, 2016 Morning Session • 09:00 - 11:30 • North Ballroom • 6th Floor SP-01

Gertie F. Marx Memorial Lecture | What’s New in Obstetric Anesthesiology 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 mid 1930s, 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 commitment to the education of anesthesia residents and medical students, training untold numbers of obstetric anesthesiologists. To these students of anesthesia, Gertie was the model for pride, dedication and professionalism. During her illustrious career, Gertie received many honors in the U.S., the U.K. and elsewhere. She was only the second woman in the history of the ASA to receive the ASA Distinguished Service Award. The last of many awards that Gertie received in her life, was the Distinguished Service Award of the NYSSA.

Friday

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

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.

Panel Moderator: David J. Wlody, M.D. Professor of Clinical Anesthesiology | Vice-Chair, Education | Department of Anesthesiology Director, Anesthesiology Residency Program | SUNY-Downstate Medical Center | Brooklyn, New York After completion of this session, the participant will be able to: • • • •

Describe the most recent changes in the Newborn Advanced Life Support protocol; Obtain the necessary tools to shorten their patient’s length of stay after Cesarean Section; Understand the underlying pathophysiology of preeclampsia and how this affects patient care; Learn to optimize blood replacement therapy and pharmacologic management during maternal hemorrhage.

Presentations:

What's New in Neonatal Resuscitation?

Kallol Chaudhuri, M.D., Ph.D. Professor and Vice Chair (Academics) | Director, Obstetric Anesthesia | Co-Director, Pediatric Anesthesia Texas Tech University Health Sciences Center | Lubbock, Texas

Enhanced Recovery After Cesarean Section Richard M. Smiley, M.D., Ph.D. Virginia Apgar, M.D., Professor of Anesthesiology and Obstetrics and Gynecology | Columbia University, College of Physicians & Surgeons | New York, New York

What's New in Preeclampsia?

Ira M. Bernstein, M.D. Professor and John Van Sicklen Maeck Chair | Department of Obstetrics, Gynecology and Reproductive Sciences University of Vermont College of Medicine | Burlington, Vermont

What's New in Maternal 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 Disclosures: Drs. Beilin, Bernstein and Chaudhuri do not have any financial relationships to disclose.

Dr. Smiley’s spouse owns stock in Abbott Laboratories, AbbVie Inc. and Amgen, Inc.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

17

Scientific Panel | Friday, December 9, 2016 Morning Session • 09:00 - 11:30 • South Ballroom • 6th Floor SP-02

Your Ultrasound Machine is Good for More than Nerve Blocks Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

Friday

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.

Panel Moderator: Mark P. Hamlin, M.D., M.S. Anesthesiologist and Critical Care Medicine Physician | Associate Professor of Anesthesiology and Surgery Director of General and Subspecialty Surgery Critical Care | Medical Director of Respiratory Care Services University of Vermont Medical Center | Burlington, Vermont After completion of this session, the participant will be able to: • • • • •

Demonstrate use of ultrasound as a diagnostic tool; Describe the use of ultrasonography for evaluation of pneumothorax and pleural effusion; Discuss the physiology of hemodynamic instability; Summarize the ultrasound images needed to assess preload and cardiac contractility; Integrate the use of focused ultrasound in ACLS.

Presentations:

The Focus Assessed Transthoracic ECHO (FATE Exam) Stephen C. Haskins, M.D. Assistant Attending Anesthesiologist | Hospital for Special Surgery | Clinical Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College | New York, New York

Evaluation of Pnemothorax and Pleural Effusion Mark P. Hamlin, M.D., M.S.

Volume Assessment Oliver P. F. Panzer, M.D. Assistant Professor of Anesthesiology | Director, Perioperative Ultrasound Education | Division of Critical Care & Regional Anesthesia | Columbia University, College of Physicians & Surgeons | New York, New York

Focused Echocardiography Evaluation in Life Support (FEEL Algorithm) Nibras Bughrara, M.D. Assistant Professor of Anesthesiology and Surgery | Albany Medical Center | Albany, New York Disclosures: Drs. Bughrara, Hamlin, Haskins and Panzer do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Scientific Panel | Friday, December 9, 2016 Morning Session • 09:00 - 11:30 • Manhattan Ballroom • 8th Floor SP-03

Interventional Procedures in Patients with Structural Heart Disease

Panel Moderator: Steven N. Konstadt, M.D., M.B.A., FACC Professor and Chair | Department of Anesthesiology | Maimonides Medical Center | Brooklyn, New York After completion of this session, the participant will be able to: Identify effective interventional procedures for patients with structural heart disease; Manage various cath lab procedures such as paravalvular leak and postinfarction VSD device closure; Discuss new developments and updates on catheter-based aortic valve replacement and mitral valve repairs; Review state of the art endovascular aortic valve repairs.

Friday

• • • •

Presentations:

Paravalvular Leak and Postinfarction VSD Devise Closure in the Cath Lab Alexander J. C. Mittnacht, M.D. Professor of Anesthesiology | Director, Pediatric Cardiac Anesthesia | Icahn School of Medicine at Mount Sinai New York, New York

Update on Catheter Based Aortic Valve Replacement (TAVR) Jack S. Shanewise, M.D. Director, Cardiothoracic Anesthesiology | Columbia University, College of Physicians & Surgeons New York, New York

New Developments in Catheter Based Mitral Valve Repair Chirojit Mukherjee, M.D., Ph.D., FASE Chair, Department of Anesthesia & Intensive Care | Helios Clinic for Cardiac Surgery Karlsruhe | Karlsruhe, Germany

State of the Art Review of Endovascular Aortic Repair (TEVAR) Wanda M. Popescu, M.D. Associate Professor of Anesthesiology | Director, Thoracic and Peripheral Vascular Anesthesia Section Director, Thoracic Anesthesia Division | Co-Director, Grand Rounds | Yale University, School of Medicine New Haven, Connecticut Disclosures: Drs. Konstadt, Popescu and Shanewise do not have any financial relationships to disclose.

Dr. Mittnacht has stock options with Manual Surgical Science and his spouse receives consultant fees and is on the speakers bureau for CAS Medical Systems, Inc. (CASMED).

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Panel | Friday, December 9, 2016 Morning Session • 09:00 - 11:30 • Astor Ballroom • 7th Floor SP-04

Non-Operating Room Anesthesia (NORA): Many NORAs, Different Challenges

Friday

Panel Moderator: Patricia Fogarty Mack, M.D. Associate Professor of Clinical Anesthesiology | Director, Quality and Patient Safety Director, Non-Operating Room Anesthesiology | Cornell University, Weill Cornell Medical College New York, New York After completion of this session, the participant will be able to: • • • •

Discuss scheduling issues, efficiencies and metrics required to make NORA-areas productive; Understand the anesthesia-related challenges for NORA in gastroenterology; Understand the anesthesia-related challenges for NORA in interventional radiology; Understand the anesthesia-related challenges for NORA in the electrophysiology and cath labs.

Presentations:

NORA Management and Scheduling: How to Make It Productive!

Steven D. Boggs, M.D., M.B.A., CPE Associate Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York Director, Operating Room | Chief, Anesthesia Service | James J. Peters VA Medical Center | Bronx, New York

Anesthesia for Gastroenterology Richard D. Urman, M.D., M.B.A. Associate Professor of Anaesthesia | Director (Anesthesia), Center for Perioperative Research | Harvard Medical School | Brigham & Women's Hospital | Boston, Massachusetts

Anesthesia in the Interventional Radiology Suite Patricia Fogarty Mack, MD

Anesthesia in the Electrophysiology and Cath Labs Jeremy M. Bennett, M.D. Assistant Professor, Cardiothoracic Anesthesiology | Medical Director Non-OR Cardiac Anesthesia Vanderbilt University Medical Center | Nashville, Tennessee Disclosures: Drs. Bennett, Boggs, Fogarty Mack and Urman do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Mini Workshops | Friday, December 9, 2016 | MW-05 through MW-08 Mid-Day Sessions • 11:45 - 12:45 • 4th Floor Rooms MW-05 Odets Room

Interventional Pain Management Update Speaker: Michael L. Weinberger, M.D. Associate Clinical Professor of Anesthesiology | Columbia University, College of Physicians & Surgeons Director, Pain Management Center | NewYork-Presbyterian Hospital - Columbia Campus New York, New York After completion of this session, the participant will be able to: • Enumerate the indications for intrathecal pumps and spinal cord stimulators; • Delineate the relative and absolute contraindications for spinal interventions; • Enumerate at least three complications which can arise from interventional approaches.

Management of Anesthesia Departments: The Good, the Bad and the UGLY

Friday

MW-06 Wilder Room

Speaker: Philip W. Lebowitz, M.D., M.B.A. Professor of Clinical Anesthesiology | Albert Einstein College of Medicine | Attending Anesthesiologist Montefiore Medical Center | Bronx, New York After completion of this session, the participant will be able to: • Delineate the challenges facing management during times of expanding caseload, as well as decreasing caseload; • Formulate a plan for managing during change of ownership or contract; • Delineate a plan for managing difficult internal and external consumers.

MW-07 Ziegfeld Room

Anesthesia for Major Vascular Surgery Speakers: Joseph A. Gallombardo, M.D. Resident | Icahn School of Medicine at Mount Sinai New York, New York

Joshua Heller, M.D. Resident | Icahn School of Medicine at Mount Sinai New York, New York

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

MW-08 O’Neill Room

Perioperative Coagulopathy and Massive Hemorrhage Update Speaker: Maria A. Bustillo, M.D. Associate Professor of Clinical Anesthesiology | Chief, Division of Neuroanesthesia | Weill Cornell Medical College New York, New York After completion of this session, the participant will be able to: • Define which medications may affect the coagulation pathway; • Delineate which medications may complicate regional anesthesia; • Define which tests may help to guide intraoperative therapy.

Disclosures: Drs. Bustillo, Gallombardo, Heller, Lebowitz and Weinberger do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Problem-Based Learning Discussions | Friday, December 9, 2016 Mid-Day Sessions • 11:45 - 12:45 • Various Floors • PBL-01 through PBL-08 PBL-01 Soho Room - 7th Floor

Predicting and Managing Postoperative Atrial Fibrillation Speaker: 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

Friday

After completion of this session, the participant will be able to: • Discuss the epidemiology and scope of the occurrence of postoperative atrial fibrillation; • Review proven measures of prophylaxis for postoperative atrial fibrillation; • Employ acute therapy measures for postoperative atrial fibrillation; • Employ methods to prevent stroke associated with postoperative atrial fibrillation.

PBL-02 Herald Room - 7th Floor

The Pregnant Patient for Non-Obstetric Surgery Speaker: Ellen S. Steinberg, M.D. Professor of Anesthesiology, Obstetrics and Gynecology | SUNY-Health Sciences Center at Stony Brook | Stony Brook, New York After completion of this session, the participant will be able to: • Identify various anesthetic and non-obstetrical surgery considerations throughout pregnancy; • Formulate an anesthetic plan that takes into consideration the fetal and maternal effects of non-obstetric surgery, during pregnancy; • Manage the issues surrounding laparoscopic surgery in the parturient.

PBL-03 Gramercy Room - 7th Floor

LAST: Local Anesthetic Systemic Toxicity Speakers: Danielle B. Ludwin, M.D. Associate Professor of Anesthesiology Columbia University, College of Physicians & Surgeons New York, New York

Jeffrey Bernstein, M.D. Chief, Division of Obstetrical Anesthesia | Assistant Professor of Clinical Anesthesiology | Assistant Professor of Obstetrics, Gynecology and Womens Health | Albert Einstein College of Medicine/Montefiore Medical Center Bronx, New York

After completion of this session, the participant will be able to: • Identify the signs and symptoms of Local Anesthetic Systemic Toxicity; • Formulate a plan to treat Local Anesthetic Systemic Toxicity.

PBL-04 Olmstead Room - 7th Floor

Applying the New American Pain Society Guidelines Speakers: Milica Markovic, M.D. Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College Brooklyn, New York

Ivan A. Velickovic, M.D. Director, Obstetric Anesthesiology SUNY-Downstate Medical Center Brooklyn, New York

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

Disclosures: Drs. Amar, Bernstein, Ludwin, Markovic, Steinberg and Velickovic do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

PBL-05 Shubert Room - 6th Floor

Small Bowel Obstruction in a Patient with Repaired Congenital Heart Disease Speakers: Draginja R. Cvetkovic, M.D. Assistant Professor of Anesthesiology New York Medical College Valhalla, New York

Galina Leyvi, M.D. Associate 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: • Understand the prevalence of adult patients who have previously repaired congenital heart disease; • Incorporate knowledge of the pathophysiology of commonly repaired congenital heart disease into an anesthetic plan.

PBL-06 Uris Room - 6th Floor

Speaker: Joseph S. Yeh, M.D. Assistant Professor of Anesthesiology | NYU-Langone Medical Center | New York, New York

Friday

How Low Can We Go? New Guidelines for Perioperative Blood Management

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

PBL-07 Plymouth Room - 6th Floor

Fractured Humerus in a Patient on Clopidrogrel: ASRA Guidelines Speaker: Yan Lai, 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: • Review current ASRA guidelines regarding anticoagulation and antiplatelet therapy; • Select the appropriate anesthetic management plan in the anticoagulated patient.

PBL-08 Royale Room - 6th Floor

Anesthesia Challenges in the Electrophysiology Lab Speaker: Jeremy M. Bennett, M.D. Assistant Professor of Cardiothoracic Anesthesiology | Medical Director Non-OR Cardiac Anesthesia Vanderbilt University Medical Center | Nashville, Tennessee After completion of this session, the participant will be able to: • Identify the major disease processes for which patients are scheduled for procedures in the EP suite; • Understand occupational hazards and radiation exposure in the EP suite; • Formulate a plan to deal with challenging cases in the EP suite and similar remote locations.

Disclosures: Drs. Bennett, Cvetkovic, Lai, Leyvi and Yeh do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Friday, December 9, 2016 Afternoon Session • 12:00 - 15:00 • Empire Complex • 7th Floor W-04

Ultrasound Assisted Neuraxial Anesthesia

Friday

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, Canada

Assisted by: Cristian Arzola, M.D., M. Sc. Assistant Professor of Anesthesia University of Toronto Staff Anesthesiologist Mount Sinai Hospital Toronto, Canada

Clarita Margarido, M.D., Ph.D. Assistant Professor of Anesthesia University of Toronto Staff Anesthesiologist Sunnybrook Health Sciences Center Toronto, Canada

Paul M. Wieczorek, M.D., FRCPC Assistant Professor of Anesthesiology McGill University Director, Obstetric Anesthesia Jewish General Hospital Montreal, Canada

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

Disclosures: Drs. Arzola, Carvalho, Margarido and Wieczorek do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Scientific Panel | Friday, December 9, 2016 Afternoon Session • 13:00 - 15:30 • North Ballroom • 6th Floor SP-05

The Adult Patient with Organ System Failure Panel Moderator: 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:

•

Describe the physiologic implications of organ system failure that are pertinent to general anesthesiologists; Summarize the literature about how to manage patients with chronic respiratory disease, elevated intracranial pressure, cirrhosis, and mechanical devices in the perioperative period; List the complications that are strongly associated with these conditions, and discuss the evaluation and management of the most common or important of them.

Friday

• •

Presentations:

Perioperative Respiratory Failure in Patients with Chronic Lung Disease Mark E. Nunnally, M.D., FCCM Director, Adult Critical Care Services | NYU-Langone Medical Center | New York, New York

The Patient with Elevated Intracranial Pressure James R. Munis, M.D., Ph.D. Associate Professor of Anesthesiology | Mayo Clinic Foundation | Assistant Professor of Physiology and Biomedical Engineering | Rochester, Minnesota

Coming Soon to an Operating Room Near You: The Patient with Hepatic Failure Vivek 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

Advanced Heart Failure: Tips for Managing Patients with LVADs Michael F. O’Connor, M.D., FCCM

Disclosures: Drs. Moitra, Munis, Nunnally and O’Connor do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Panel | Friday, December 9, 2016 Afternoon Session • 13:00 - 15:30 • South Ballroom • 6th Floor SP-06

Neuroanesthesia: New Clinical Paradigms in the Perioperative Management of Cerebrovascular Emergencies Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

Friday

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.

Panel Moderator: Audrée A. Bendo, M.D., M.S. 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: • •

Identify new and emerging treatment modalities for stroke and subarachnoid hemorrhage; Review the current evidence for the perioperative management priorities in the emergency management of acute cerebrovascular disorders; • Formulate systems-based and perioperative priorities and protocols for state-of-the-art patient care in Acute Ischemic Stroke and Aneurysm Rupture; • Describe the areas of controversy in the critical care management of patients with acute cerebrovascular disease.

Presentations:

Aneurysmal Rupture is a Neurointerventional Emergency Irene P. Osborn, M.D. Associate Professor of Anesthesiology | Albert Einstein College of Medicine | Director, Division of Neuroanesthesia Montefiore Medical Center | Bronx, New York

Acute Ischemic Stroke: The Interventionalists' Perspective Sundeep Mangla, M.D. Director, Interventional Neuroradiology | Associate Professor of Radiology, Neurosurgery, and Neurology Associate Professor, School of Graduate Studies | PhD Program in Biomedical Engineering SUNY-Downstate Medical Center | Brooklyn, New York

Acute Ischemic Stroke from the Anesthesiologists' Perspective Apolonia E. Abramowicz, M.D. Former Associate Professor of Clinical Anesthesiology and Clinical Neurosurgery | Albert Einstein School of Medicine | Montefiore Medical Center | Bronx, New York

Critical Care Management of Cerebrovascular Emergencies Martin Smith, M.B., B.S., FRCA, FFICM Consultant and Honorary Professor | Neuroanaesthesia and Neurocritical Care | The National Hospital for Neurology and Neurosurgery | University College London Hospitals | Honorary Professor Department of Medical Physics and Biomedical Engineering | University College London London, United Kingdom Disclosures: Drs. Abramowicz, Bendo, Mangla, Osborn and Smith do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Scientific Panel | Friday, December 9, 2016 Afternoon Session • 13:00 - 15:30 • Astor Ballroom • 7th Floor SP-07

Practice Management 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

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

Define and apply glossary of times used for scheduling and monitoring of diagnostic and therapeutic procedures, and discuss whether or not we are all speaking the same language; Discuss the evidence for and against various operating room guidelines; Identify and discuss whether or not the perioperative surgical home has demonstrated value in improving health, delivering healthcare and reducing cost of care; Implement and manage conflict resolution and negotiation in their department/institution; Discuss techniques to improve patient safety, quality and efficiency in their practice.

Friday

Panel Moderators: 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

Presentations:

Are We All Speaking the Same Language?: AACD Procedure Times Glossary Michael P. Smith, M.D., M.S., Ed.

Society Guidelines for the OR: Little Evidence, Much Anecdote, Major Headache Robert E. Johnstone, M.D. Professor of Anesthesiology | West Virginia University | Morgantown, West Virginia

Perioperative Surgical Home: A Fad or Reality?

Keith A. Jones, M.D. Chair, Department of Anesthesiology and Perioperative Medicine | Professor and Alfred Habeeb Endowed Chair University of Alabama - Birmingham | Birmingham, Alabama

Patient Safety, Quality and Efficiency: How Can We Make a Difference?

Vinod Malhotra, M.D. Disclosures: Drs. Johnstone, Jones, Malhotra and Smith do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Panel | Friday, December 9, 2016 Afternoon Session • 13:00 - 15:30 • Manhattan Ballroom • 8th Floor SP-08

Technology, Monitoring, and Pharmacology in Anesthesiology: Cutting Edge Practices

Friday

Panel 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: • • • •

Understand Target-Controlled, Closed-Loop, Computer-Assisted Personalized Sedation and other Computer-Controlled Infusion Systems for Anesthesia; Describe novel anesthetic medications and pharmacogenetics as applied to anesthesiology; Discuss monitoring and outcomes research to improve anesthetic safety and practice; Understand non-invasive monitoring of stroke volume and fluid responsiveness (ERAS applications).

Presentations:

Computer-Controlled Infusion Systems in Anesthesiology Steven D. Boggs, M.D., M.B.A., CPE Associate Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York Director, Operating Room | Chief, Anesthesia Service | James J. Peters VA Medical Center | Bronx, New York

Anesthesia, Novel Drugs and Pharmacogenetics Richard D. Urman, M.D., M.B.A. Associate Professor of Anaesthesia | Director (Anesthesia), Center for Perioperative Research | Harvard Medical School | Brigham & Women's Hospital | Boston, Massachusetts

Monitoring and Outcomes Research in Anesthesiology David L. Reich, M.D.

Non-Invasive Monitoring of Stroke Volume and Fluid Responsiveness Paul M. Heerdt, M.D., Ph.D., FAHA, FCCP Professor of Anesthesiology | Yale University School of Medicine | New Haven, Connecticut

Disclosures: Drs. Boggs, Heerdt, Reich and Urman do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Focus Sessions | Friday, December 9, 2016 | FS-01 & FS-02 Afternoon Sessions • 15:45 - 17:00 • 4th Floor Rooms FS-01 Odets Room

Office-Based Anesthesia Issues Focus Session Moderator: Donna Castello, D.O. Assistant Professor of Anesthesiology | Icahn School of Medicine Mount Sinai West | Mount Sinai St. Luke's New York, New York Faculty Presentations:

Which Patients and What Procedures for Office-Based Settings Andrew M. Glasgow, M.D.

Donna Castello, D.O.

Friday

Update on Regulations Pertaining to Office-Based Procedures After completion of this session, the participant will be able to: • Identify what procedures, and which patients, are suitable for office-based procedures and which should not be done in this venue; • Incorporate the new state regulations pertaining to office-based anesthesia to their practice.

FS-02 Wilder Room

The Disruptive Physician, the Impaired Physician: The Joint Commission and the Department of Health Guidelines and Recommendations Focus Session Moderator: Michael P. Duffy, M.D. Clinical Assistant Professor of Anesthesiology | Upstate Medical University | Attending Anesthesiologist Crouse Hospital | Syracuse, New York Faculty Presentations:

The Disruptive Physician: TJC and Institutional Approach Michael P. Duffy, M.D.

The Impaired Physician: The DOH and the Committee for Physician Health Terrance M. Bedient, FACHE Vice-President, Medical Society of the State of New York | Director, Committee for Physician Health Albany, New York After completion of this session, the participant will be able to: • Identify and assess the disruptive/impaired physician; • Interpret the current recommendations of the Department of Health’s Committee for Physician Health; • Develop a plan to manage the disruptive/impaired physician in their institution/department.

Disclosures: Drs. Castello, Duffy, Glasgow and Mr. Bedient do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Focus Sessions | Friday, December 9, 2016 | FS-03 & FS-04 Afternoon Sessions • 15:45 - 17:00 • 4th Floor Rooms FS-03 Ziegfeld Room

The Surgical Home Focus Session Moderator: Alan E. Curle, M.D. Associate Professor of Clinical Anesthesiology | Director, Center for Perioperative Medicine University of Rochester Medical Center | Medical Director, Perioperative Services | Highland Hospital of Rochester Rochester, New York Faculty Presentations:

Theory vs. Reality: The Arguments Behind Friday

Alan E. Curle, M.D.

The Challenges of Demonstrating Value with the Perioperative Surgical Home Jonathan S. Gal, 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: • Identify the Perioperative Surgical Home’s triple aim of improving health, improving delivery of healthcare, and reducing the cost of care; • 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; • 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; • Recognize the net effect from the proposed areas of cost savings, when the costs of implementing the Perioperative Surgical Home are also considered.

FS-04 O’Neill Room

Lung Protective Strategies Focus Session Moderator: Gregory W. Fischer, M.D. Professor and Chair | Department of Anesthesiology and Critical Care Medicine | Memorial Sloan-Kettering Cancer Center | New York, New York Faculty Presentations:

Lung Protective Strategies in the Operating Room Gregory W. Fischer, M.D.

Lung Protective Strategies in the ICU Joseph W. Dooley, M.D. Associate 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: • Develop ventilation strategies to avoid barotrauma in the operating room; • Develop optimal ventilation strategies for the ICU; • Apply optimal ventilation strategies to patients in the operating room and in the ICU.

Disclosures: Drs. Curle, Dooley, Fischer and Gal do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Focus Sessions | Friday, December 9, 2016 | FS-05 & FS-06 Afternoon Sessions • 15:45 - 17:00 • 7th Floor Rooms FS-05 Empire Complex

Challenges in Regional Anesthesia Focus Session Moderator: Michael R. Anderson, M.D. Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York Faculty Presentations:

Regional Anesthesia in the Patient on Anticoagulation Michael R. Anderson, M.D.

Yan Lai, M.D. Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York

Friday

Use of Antifibrinolytics in Orthopedic Anesthesia

After completion of this session, the participant will be able to: • Discuss the use of regional anesthesia in patients on anticoagulation or requiring anticoagulation; • Develop a plan for use of regional anesthesia in patients on anticoagulation or requiring anticoagulation; • Discuss the advantages and disadvantages of antifibrinolytics in orthopedics; • Develop strategies for use of antifibrinolytics for orthopedic surgery.

FS-06 Astor Ballroom

Anesthesia and the Developing Brain: Do Anesthetics Really Harm Children? Animal versus the Human Evidence Focus Session 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 Faculty Presentations:

Animal Data Jerrold Lerman, M.D., FRCPC, FANZCA

Human Evidence Linda J. Mason, M.D. Professor of Anesthesiology and Pediatrics | Loma Linda University School of Medicine | Loma Linda, California After completion of this session, the participant will be able to: • Discuss the animal data demonstrating negative effects of anesthetics on the developing brain; • Discuss the current knowledge regarding the possible negative effect of anesthetics on the developing brain in humans; • Discuss the areas of research to elucidate the effect of anesthetics on the developing brain of humans; • Discuss the ethical issues of not providing anesthetic care to infants; • Advise parents about their child’s impending surgery and anesthetic when asked about the effects of anesthetic agents on their child.

Disclosures: Drs. Anderson, Lai, Lerman and Mason do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Focus Sessions | Friday, December 9, 2016 | FS-07 & FS-08 Afternoon Sessions • 15:45 - 17:00 • Various Floors FS-07 Manhattan Ballroom • 8th Floor

Clinical Challenges in the Patient with Obstructive Sleep Apnea (OSA) Focus Session Moderator: Eugene R. Viscusi, M.D. Professor of Anesthesiology | Director, Acute Pain Management | Jefferson Medical College | Thomas Jefferson University | Philadelphia, Pennsylvania Faculty Presentations:

Friday

Preoperative and Intraoperative Management of Patients with OSA Rahila Bilal, M.D. Assistant Professor of Anesthesiology | Upstate Medical University | Syracuse, New York

Postoperative Pain Management in the Patient with OSA Eugene R. Viscusi, M.D. After completion of this session, the participant will be able to: • Discuss the pathophysiology of obstructive sleep apnea (OSA) in adults; • Assess the eligibility of patients with OSA for ambulatory anesthesia; • Develop an anesthetic plan for patients with OSA for ambulatory procedures; • Identify the problems of postoperative pain management in patients with OSA; • Develop a plan for postoperative pain management for patients with OSA in the in-patient and ambulatory setting.

FS-08 Columbia/Duffy Rooms • 7th Floor

Operating Room Efficiency: Optimizing Resource Utilization Without Compromising Patient Safety Focus Session 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 Faculty Presentations:

Patient Safety Vinod Malhotra, M.D.

Resource Utilization 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 After completion of this session, the participant will be able to: • Discuss different approaches to increase OR-efficiency; • Discuss the risks to patient safety and how to avoid this complication; • Develop plans to increase operating room efficiency without compromising safety.

Disclosures: Drs. Bilal, Malhotra and Smith do not have any financial relationships to disclose.

Dr. Viscusi receives funded research support from DURECT Corporation and Pacira Pharmaceuticals, Inc.; consultant fees from Cara Therapeutics, Inc., Mallinckrodt Pharmaceuticals, Merck & Co., Inc., Pacira Pharmaceuticals, Inc., Salix Pharmaceuticals and The Medicines Company, and Trevena, Inc.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Problem-Based Learning Discussions | Friday, December 9, 2016 Afternoon Sessions • 15:45 - 17:00 • Various Floors • PBL-09 through PBL-16 PBL-09 Soho Room - 7th Floor

Peer Review and the Anatomy of a Lawsuit Speaker: Vilma A. Joseph, M.D., M.P.H. Associate Professor of Clinical Anesthesiology | Albert Einstein College of Medicine/Montefiore Medical Center Bronx, New York After completion of this session, the participant will be able to: • Describe medical-legal issues regarding confidentiality and the peer review process; • Describe the process of a hospital, state or federal investigation; • Analyze landmark court cases surrounding peer review issues; • Recognize the implications of being reported to the National Practitioner Databank; • Improve management of Quality and Performance Improvement issues.

Friday

PBL-10 Herald Room - 7th Floor

Protective One-Lung Ventilation Speaker: 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 After completion of this session, the participant will be able to: • Identify the cause of hypoxemia during one-lung ventilation; • Employ various strategies to improve oxygenation during one-lung ventilation.

PBL-11 Gramercy Room - 7th Floor

Lung Separation in a Patient with a Difficult Airway Speaker: 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 After completion of this session, the participant will be able to: • Discuss the indications, different options for, and management of one-lung ventilation; • Apply a plan for the management of simple thoracic cases; • Employ various options for one-lung ventilation in the context of the difficult airway.

PBL-12 Olmstead Room - 7th Floor

Do I Need Point-of-Care Testing of Hemostasis and Coagulation in My Practice?

Speakers: 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

Cheuk Y. Lai, M.D. Fellow in Cardiac Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

After completion of this session, the participant will be able to: • Identify the clinical conditions in for which a thromoelastogram-type monitoring system would be useful; • Incorporate the use of thromboelastography, where appropriate in clinical practice.

Disclosures: Drs. Joseph, Lai and Stone do not have any financial relationships to disclose.

Dr. Campos receives consultant fees from ET View Medical, LTD. Dr. Gama de Abreu receives funded research support from Dräger Medical AG, Novalung GmbH and consultant fees from Dräger Medical AG, Novalung GmbH, GE Health Care and Ventinova Ltd.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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PBL-13 Shubert Room - 6th Floor

Three Year Old with Aspiration of a Corn Kernel Speakers: Anjalee Dave, M.D. Instructor in Anesthesiology Cornell University, Weill Cornell Medical College Attending Anesthesiologist NewYork-Presbyterian Hospital | New York, New York

Albert C. Yeung, M.D. Assistant Attending Anesthesiologist | Department of Anesthesiology | NewYork-Presbyterian Hospital Cornell University, Weill Cornell Medical College New York, New York

Friday

After completion of this session, the participant will be able to: • Identify the clinical presentation and epidemiology of children with foreign body aspiration; • Evaluate a patient presenting for removal of a tracheobronchial foreign body; • Formulate an anesthetic plan for patients undergoing rigid bronchoscopy for removal of an airway foreign body; • Explain the advantages and disadvantages of various strategies for ventilation and maintenance of anesthesia; • Identify the perioperative complications associated with rigid bronchoscopy.

PBL-14 Uris Room - 6th Floor

Obstetric Analgesia in the Patient with Previous Back Surgery Speakers: Shamantha G. Reddy, M.D. Assistant Professor of Anesthesiology Albert Einstein College of Medicine Bronx, New York

Rishimani S. N. Adsumelli, M.D., B.S., FFARCS 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: • Identify the postoperative changes associated with various types of spinal surgery; • Design an obstetrical anesthetic plan with contingencies for the patient with a history of scoliosis repair.

PBL-15 Plymouth Room - 6th Floor

ERAS: Enhanced Recovery After Surgery Speakers: Igor Muntyan, M.D. Clinical Associate Professor of Anesthesiology NYU-Langone Medical Center New York, New York

Sudheer K. Jain, M.D. Assistant Professor of Anesthesiology | NYU-Langone Medical Center | Director, Peri-Anesthesiology Services Tisch Hospital | New York, New York

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

PBL-16 Royale Room - 6th Floor

What is Too Obese for the Ambulatory Surgery Center?

Speakers: Jolie Narang, M.D. Associate Professor of Anesthesiology Albert Einstein College of Medicine/Montefiore Medical Center Bronx, New York

Curtis V. Choice, M.D. Professor of Anesthesiology | Montefiore Medical Center Site, Director | Hutchinson Ambulatory Surgery Center Bronx, New York

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

Disclosures: Drs. Adsumelli, Choice, Dave, Narang, Muntyan, Reddy, and Yeung do not have any financial relationships to disclose.

Dr. Jain receives consultant fees from Martin, Clearwater & Bell, LLP and DOPF Inc.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

70th Annual PostGraduate Assembly in Anesthesiology December 9 – December 13, 2016 Marriott Marquis, New York | USA

Times Registration ....................................................................................................................................... 07:00 Hands-On Workshops .......................................................................... 07:30, 08:00, 09:00 & 12:00 Mini Workshops.................................................................................................. 07:30 , 07:45 & 11:45 Welcome Plenary Session: Breakfast on Broadway............................................................................................................. 08:30 32nd Annual Robertazzi Memorial Panel .......................................................................... 09:00 Poster Presentations & Medically Challenging Case Reports .............................................. 09:30 NYSSA Resident and Fellow Section Meeting....................................................................... 08:00 Technical Exhibits ............................................................................................................................ 10:00 Scientific Exhibits............................................................................................................. 10:00 & 13:30 Problem-Based Learning Discussions ...................................................................... 11:45 & 15:45 Scientific Panels ............................................................................................................................... 13:00 Focus Sessions ...................................................................................................................................15:45

Saturday

Saturday, December 10, 2016

Additional Activities: NYSSA House of Delegates .......................................................................................................... 11:00 Reference Committee .....................................................................................................................13:45 American Board of Anesthesiology Program.........................................................................17:30

Workshops, Mini Workshops and Problem-Based Learning Discussions require a ticket.

Please refer to page 3 for fees.

Please silence your mobile devices 2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Saturday, December 10, 2016 All Day Session • 07:30 - 17:00 This workshop takes place off-site, at SUNY-Downstate Medical Center. Transportation is provided.

W-05

Hands-On Cadaver, Ultrasound and Live Model Regional Anesthesia Workshop Station I Station II Station III Station IV Station V Station VI Station VII Station VIII Station IX Station X

Cadaver Interscalene and Supraclavicular Blocks Cadaver Infraclavicular and Axillary Blocks Cadaver Paravertebral Blocks Cadaver Femoral Block Cadaver Sciatic and Popliteal Blocks Model Ultrasound Interscalene and Supraclavicular Block Model Ultrasound Infraclavicular and Axillary Blocks Model Ultrasound Guided Epidural and Spinal Blocks Model Ultrasound Femoral Blocks Model Ultrasound Sciatic and Popliteal Blocks

Saturday

Workshop Moderators:

Stefan E. Lucas, M.D. Managing Partner, SCI Anesthesia, PLLC Rochester, New York Chief of Anesthesia United Memorial Medical Center Batavia, New York

Assisted by: Chester C. Buckenmaier, III, M.D., COL, MC, USA Program Director, Defense and Veterans Center for Integrative Pain Management Rockville, Maryland Scott M. Croll, M.D., COL, MC, USA Assistant Professor of Anesthesiology USUHS Chief, Anesthesiology Department Evans Army Community Hospital Fort Carson, Colorado

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

Brinda B. Kamdar, M.D. Program Director, Acute Pain and Regional Fellowship | Instructor, Harvard Medical School Department of Anesthesia, Critical Care, and Pain Medicine | Massachusetts General Hospital Boston, Massachusetts Melissa A. Kreso, M.D. Assistant Professor of Anesthesiology University of Rochester School of Medicine and Dentistry | Rochester, New York

Carlo D. Franco, M.D. Professor of Anesthesiology and Anatomy Rush University Medical Center Chair, Regional Anesthesia JHS Hospital of Cook County | Chicago, Illinois

Allison J. Lee, M.D. Assistant Professor of Anesthesiology Columbia University, College of Physicians & Surgeons | New York, New York

Gary W. Haber, M.D. Medical Director Linden Oaks Surgery Center Rochester, New York

Joseph J. Poli, M.D. Assistant Professor of Anesthesiology University of Rochester School of Medicine and Dentistry | Rochester, New York

Sonia G. Pyne, M.D. Assistant Professor of Anesthesiology University of Rochester School of Medicine and Dentistry | Rochester, New York Cassandre S. Victor-Vega, M.D., M.P.H. Assistant Professor of Anesthesiology Tufts University Medical School Boston, Massachusetts | Acute Pain Service Chief Baystate Medical Center | Springfield, Massachusetts Albert Yu, D.O., M.S. Assistant Professor of Anesthesiology University of Rochester Medical Center Rochester, New York

Workshop Description: Hands-On Cadaver, Ultrasound and Live Model Regional Anesthesia Workshop will be held in the state of the art anatomy lab at SUNY-Downstate Medical Center (Brooklyn, New York.) Round trip bus transportation is provided from the New York Marriott Marquis directly to SUNY-Downstate. You will be instructed in small groups with hands-on practice by world renowned faculty.

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

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

Demonstrate basic skills in ultrasound technology; Apply ultrasound technology to perform peripheral and neuraxial blocks; Relate cadaver anatomy of peripheral nerve structures to live-model sonoanatomy; Discuss advantages and pitfalls of ultrasound guidance for paravertebral blocks; Utilize ultrasound techniques to perform truncal field blocks (TAP block, ilioinguinal-iliohypogastric blocks).

Disclosures: Drs. Buckenmaier, Croll, Haber, Kamdar, Kreso, Lee, Lucas, Neumann, Poli, Pyne, Victor-Vega and Yu do not have any financial relationships to disclose.

Dr. Franco receives honoraria from B. Braun Medical Inc.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Mini Workshops | Saturday, December 10, 2016 | MW-09 through MW-12 Morning Sessions • 07:45 - 08:45 • 4th Floor Rooms MW-09 O’Neill Room Starts at 07:30

FIRE in the OR, What Every Anesthesiologist Needs to Know Speaker: Terrance R. Burns, M.D. Assistant Clinical Professor of Anesthesiology | SUNY-Buffalo School of Medicine and Biomedical Sciences Kaleida Millard Fillmore Gates | Buffalo, New York After completion of this session, the participant will be able to: • Identify the three components needed for a fire to start; • Prioritize how to put out a fire; • Understand the different fire extinguisher types.

MW-10 Odets Room

Neurophysiological Monitoring Speaker: Jess W. Brallier, M.D. Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York

Saturday

After completion of this session, the participant will be able to: • Delineate the parameters which are observed during anesthesia; • Enumerate the confounding factors which may interfere with the monitoring; • Delineate the current limitations of monitoring.

MW-11 Wilder Room

Management of Pacemakers and ICDs 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 After completion of this session, the participant will be able to: • Delineate the indications for cardiac pacemakers and implantable cardiac defibrillators (ICD); • Delineate the ASA guidelines for the intra-operative management of pacemakers and ICDs; • Delineate the anesthetic implications of transcatheter aortic valve implantation; • Delineate the anesthetic considerations of transseptal puncture for cardiac ablation.

MW-12 Ziegfeld Room

Setting Up and Running a Pre-Anesthetic Assessment Clinic Speaker: Vandana Sharma, M.D. Assistant Professor of Anesthesiology | Upstate Medical University | Syracuse, New York After completion of this session, the participant will be able to: • Delineate the challenges in creating a pre-anesthesia clinic; • Discuss the systems used in the pre-anesthesia clinic; • Discuss the objectives of the pre-anesthesia clinic; • Discuss the staffing in the pre-anesthesia clinic.

Disclosures: Drs. Brallier, Burns, Sharma and Stone do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Saturday, December 10, 2016 Morning Session • 08:00 - 11:00 • Soho Complex • 7th Floor W-06

Advanced Ultrasound, Simulation and Stimulation for Peripheral Nerve Blocks 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 Station IV Nerve Blocks of the Lower Extremity - Ultrasound Technique Workshop Moderators:

Mitchell H. Marshall, M.D. Clinical Associate Professor of Anesthesiology Chief, Department of Anesthesiology NYU-Langone Medical Center-Hospital for Joint Diseases | New York, New York

Jovan Popovic, M.D., FRCPC Assistant Professor of Anesthesiology NYU-Langone Medical Center Medical Director, NYU-Langone Outpatient Surgery | New York, New York

Saturday

Assisted by: Michael Akerman, M.D. Attending Anesthesiologist Westchester Medical Center Valhalla, 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 Michael R. Anderson, M.D. Nebraska Medicine Fritch Surgery Center Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Omaha, Nebraska New York, New York Christina L. Jeng, M.D. Assistant Professor of Anesthesiology Arthur Atchabahian, M.D. and Orthopaedics Professor of Clinical Anesthesiology NYU-Langone Medical Center-Hospital Icahn School of Medicine at Mount Sinai for Joint Diseases | New York, New York New York, New York Robert A. Altman, M.D. Attending Anesthesiologist | NYULangone 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

Jung T. Kim, M.D. Associate Professor of Anesthesiology Executive Vice Chairman Department of Anesthesiology NYU-Langone Medical Center New York, New York Sunmi Kim, M.D., B.S. Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York

Mitchell Y. Lee, M.D., B.A. Assistant Professor of Anesthesiology Assistant Residency Director NYU-Langone Medical Center New York, New York Danielle B. Ludwin, M.D. Associate Professor of Anesthesiology Columbia University, College of Physicians & Surgeons New York, New York Milad Nazemzadeh, M.D. Clinical Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York Meg A. Rosenblatt, M.D. Professor of Anesthesiology and Orthopaedics | Icahn School of Medicine at Mount Sinai | Chair, Department of Anesthesiology | Icahn School of Medicine Mount Sinai St. Luke’s | Mount Sinai West | New York, New York Santhanam Suresh, M.D. Arthur C. King Professor & Chair Department of Pediatric Anesthesiology Ann & Robert H. Lurie Children's Hospital of Chicago | Chicago, Illinois

Eric M. Kitain, M.D. Tiffany R. Tedore, M.D. Chair, Department of Anesthesiology Co-Director, Regional Anesthesiology Norwalk Hospital | Norwalk, Connecticut and Acute Pain Medicine Associate Professor of Anesthesiology Yan Lai, M.D. Cornell University, Weill Cornell Medical College | NewYork-Presbyterian Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Hospitalbyterian Hospital New York, New York New York, New York

Shruthima Thangada, M.D. Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York Simon Tom, M.D. Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York Uchenna Umeh, M.D. Assistant Professor of Anesthesiology NYU-Langone Medical Center-Hospital for Joint Diseases New York, New York Daniel B. Wambold, M.D. Attending Anesthesiologist The Valley Hospital Ridgewood, New Jersey 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

After completion of this session, the participant will be able to: • Apply the use of nerve stimulator techniques for upper and lower extremity blocks; • Treat reflex sympathetic dystrophy with either intravenous anesthesia (Bier block) or nerve block; • Utilize ultrasound technology for upper and lower extremity blocks.

Disclosures: Drs. Akerman, Altman, Anderson, Atchabahian, Birmingham, Boublik, Capan, Furgiuele, Heiser, Jeng, J. Kim, S. Kim, Kitain, Lai, Lee, Ludwin, Marshall, Popovic, Rosenblatt, Suresh, Thangada, Tom, Umeh, Wambold, Wardhan, Warren and Weinberg do not have any financial relationships to disclose.

Dr. Nazemzadeh received a consultant fee from Synchrony Medical Communications.

Dr. Tedore's spouse receives a salary from TG Therapeutics.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Workshop | Saturday, December 10, 2016 Morning Session • 08:00 - 11:00 • Shubert Complex • 6th Floor W-07

Ultrasound Guided Injections in Chronic Pain Medicine Station I Head and Neck Blocks Station II Thoracic and Truncal Blocks Station III Musculoskeletal Injections Workshop Moderators: Yury Khelemsky, M.D. Assistant Professor of Anesthesiology Program Director, Pain Medicine Fellowship Icahn School of Medicine at Mount Sinai New York, New York

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

Jeffrey Ciccone, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York Karina Gritsenko, M.D. Program Director, Regional Anesthesia and Acute Pain Medicine Fellowship | Director, Regional Anesthesia and Acute Pain Medicine Resident Rotations | Assistant 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 New York, New York

Saturday

Assisted by:

Jung H. Kim, M.D. Assistant Professor of Anesthesiology and Division of Pain Medicine | Icahn School of Medicine at Mount Sinai New York, New York Anuj Malhotra, 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:

• • • • • • •

Understand the advantages of using ultrasound guidance to perform pain medicine procedures; Review indications and risks of ultrasound guided pain procedures; Describe sono-anatomy of anatomic structures pertinent to pain procedures; List relevant equipment and medications required for ultrasound guided pain medicine procedures; Perform ultrasonographic examination of relevant anatomy in human volunteers; Review needle technique relevant to each procedure, as well as other ergonomic considerations; Evaluate economic considerations of utilizing an ultrasound in pain practice.

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

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Saturday, December 10, 2016 Morning Session • 08:00 - 11:00 • Manhattan Ballroom • 8th Floor W-08

Difficult Airway Management A Hands-On Demonstration Workshop Moderators: Allan P. Reed, M.D. Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Irene P. Osborn, M.D. Associate Professor of Anesthesiology Albert Einstein College of Medicine Director, Division of Neuroanesthesia Montefiore Medical Center Bronx, New York

Saturday

Assisted by: David Berman, M.D. Anesthesiology Resident Icahn School of Medicine at Mount Sinai | New York, New York

Dietmar Enk, M.D. Professor of Anesthesiology Maastrict University Maastrict, Netherlands

Zana Borovcanin, M.D. Professor of Anesthesiology Chief, Division of General Anesthesiology | Director, Advanced Airway Management University of Rochester School of Medicine and Dentistry Rochester, New York

Cheryl K. Gooden, M.D., FAAP North American Partners in Anesthesia | Bronx Lebanon Hospital Center | Bronx, New York Associate Professor of Anesthesiology & Pediatrics Hofstra Northwell School of Medicine | Hempstead, New York

Levon M. Capan, M.D. Professor of Anesthesia NYU-Langone Medical Center Associate Director, Anesthesia Bellevue Hospital Center New York, New York

Daniel J. Katz, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York

Ram Roth, M.D. Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai New York, New York

Francis S. Stellaccio, M.D. Associate Professor of Clinical Anesthesia | SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

Michael Rufino, M.D. Assistant Professor of Anesthesiology | Albert Einstein College of Medicine Bronx, New York

Tracey Straker, M.D., M.P.H. Associate Professor of Anesthesiology Albert Einstein College of Medicine Bronx, 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

Sonia J. Vaida, M.D. Professor of Anesthesiology, Obstetrics & Gynecology | ViceChair, Research | Director, Obstetric Anesthesia | Penn State College of Medicine | Penn State Milton S. Hershey Medical Center Hershey, Pennsylvania

John J. Schaefer, III, M.D. Professor of Anesthesia and Perioperative Medicine Elvira Cho, M.D. Medical University of South Carolina Staff Anesthesiologist Lewis W. Haskell Blackman Interfaith Medical Center Endowed Chair | Director, Clinical Brooklyn, New York Effectiveness and Patient Safety Steven M. Neustein, M.D. Center of Excellence | HealthCare Mohammad A. Chouthry, M.D. Professor of Anesthesiology Simulation of South Carolina Chair, Department of Anesthesia Icahn School of Medicine at Mount Charleston, South Carolina Faxton - St. Luke's Healthcare Sinai | New York, New York Utica, New York Prithi P. Singh, M.D. Slawomir P. Oleszak, M.D. Associate Professor of Edmond Cohen, M.D. Associate Professor of Anesthesiology Professor of Anesthesiology Icahn School of Medicine at Mount Anesthesiology | SUNY-Health Icahn School of Medicine at Mount Sciences Center at Stony Brook Sinai | New York, New York Sinai | New York, New York Stony Brook, New York Barbara M. Dilos, D.O. Ralph L. Slepian, M.D. Anil Patel, M.D. Professor of Anesthesiology Professor of Clinical Anesthesiology Icahn School of Medicine at Mount Consultant, Department of VP of Medical Affairs and Associate Anaesthesia | Royal National Throat Chief Medical Officer Sinai | New York, New York Nose & Ear Hospital | Honorary NewYork-Presbyterian Hospital Senior Lecturer | University College New York, New York Hospital-London London, United Kingdom President Difficult Airway Society Mitchell H. Marshall, M.D. Clinical Associate Professor of Anesthesiology | Chief, Department of Anesthesiology | NYU-Langone Medical Center-Hospital for Joint Diseases | New York, New York

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

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

Perform an appropriate airway evaluation; Utilize numerous commercially available airway devices; Apply the ASA Difficult Airway Practice Parameters in clinical scenarios.

Disclosures: Drs. Berman, Borovcanin, Capan, Cho, Chouthry, Cohen, Dilos, Gooden, Katz, Marshall, Neustein, Oleszak, Osborn, Reed, Roth, Rufino, Samuels, Schaefer, Singh, Slepian, Stellaccio, Straker, Vaida, Vitkun and Watson do not have any financial relationships to disclose.

Dr. Enk receives royalties and material support from Cook Medical and Ventinova Medical. He is also a paid consultant for Ventinova Medical.

Dr. Patel receives consultant fees from F&P Healthcare.

40

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Workshop | Saturday, December 10, 2016 All Day Session • 09:00 - 17:00 • Majestic Complex • 6th Floor W-09

Advanced Cardiac Life-Support (ACLS) A Certification Course for Skilled Providers Workshop Moderator: 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 Assisted by: Theodore Lamonica, NREMT-P Lecturer in Health Sciences SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

Linda M. Cimino, Ed.D., M.S., CPNP, ANP, CCRC, CHSE Assistant Professor of Clinical Anesthesiology Assistant Professor of Clinical Health Sciences Assistant Professor of Clinical Nursing 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

Saturday

Rhonda A. Alexis, M.D. Anesthesiologist, General Anesthesia Children’s Hospital of Philadelphia Perelman School of Medicine University of Pennsylvania Philadelphia, Pennsylvania

Malcom 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

After completion of this session, the participant will be able to: • Apply the current guidelines and treatment protocols for Advanced Cardiac Life Support; • Demonstrate Basic Life Support skills.

Requirements for Certificate: To receive an ACLS Certificate, the participant will have to successfully complete the course and pass a written and practical examination, which will be administered at the end of the course.

This workshop is limited to pre-registration.

Disclosures: Drs. Alexis and Vitkun, Ms. Cimino, Mr. Devine, Mr. Lamonica and Mr. Werfel do not have any financial relationships to disclose.

Note: This is a full day workshop. A lunch voucher will be provided.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Saturday 42

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Welcome Plenary Session | Saturday, December 10, 2016 Morning Session • 09:00 - 11:30 • Broadway Ballroom • 6th Floor SP-09

32nd Annual R.W. Robertazzi Memorial Panel

(1912-1971)

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

Debating the Issues of the Day

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

Define the Smart Tots program; Discuss the current evidence and whether or not the research should change our current clinical practice; Define goal directed fluid therapy and identify the cases where it may be used; Evaluate whether or not goal directed fluid therapy vs. standard therapy will enhance recovery after major surgery.

Saturday

Panel Moderator: Scott B. Groudine, M.D. Professor of Anesthesiology and Surgery | Albany Medical College | Albany, New York

Presentations:

Should the "Smart Tots" Research Program Change Our Current Practice?

Pro 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

Con Sulpicio G. Soriano, III, M.D. Professor of Anaesthesia | Harvard Medical School | Boston Children's Hospital Endowed Chair in Pediatric Neuroanesthesia | Boston, Massachusetts

Goal Directed Fluid Therapy is an Essential Element of an Enhanced Recovery Protocol for Major Surgery Pro Tong J. Gan, M.D., MHS, FRCA Professor and Chair | Department of Anesthesiology | SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

Con Girish P. Joshi, M.B., B.S., M.D., FFARCS Professor of Anesthesiology and Pain Management | University of Texas Southwestern Medical School Dallas, Texas Disclosures: Drs. Groudine, Joshi, Lerman and Soriano do not have any financial relationships to disclose.

Dr. Gan is on the speakers bureau for Edwards Lifesciences Corporation.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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New York State Conference for Anesthesiology

Residents and Fellows Saturday, December 10, 2016 |

08:00 - 17:00 • Empire Complex • 7th Floor

Saturday

Looking to the Future: Pearls to Supplement Your Training NYSCARF provides an opportunity for residents and fellows in anesthesiology to gain perspective on the future of the specialty. The program will include two ultrasound workshops, presentations of original research, and pertinent discussions to include practice models and contract negotiations. The conference will conclude with resident poster presentations. Medical students are welcome to attend.

08:00 - 10:30 Continental Breakfast and Resident Research Contest Presentations Charles W. Emala, Sr., M.S., M.D., Moderator Henrik H. Bendixen Professor of Anesthesiology Vice-Chair for Research | Department of Anesthesiology Columbia University, College of Physicians & Surgeons | New York, New York

10:30-10:45 Introductions of NYSSA Resident and Fellow Leadership Richard A. Beers, M.D. PGA General Chair Professor of Anesthesiology | SUNY-Upstate Medical University Veteran’s Administration Medical Center | Syracuse, New York

10:45-11:30 Personal Finance for Residents and Fellows Daniel J. Katz, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

11:30-12:30 Luncheon with ASA Leadership Jeffrey S. Plagenhoef, M.D. President, American Society of Anesthesiologists

12:30-13:15 Private Practice vs Academics Ben Toure, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York

13:15-15:00

Saturday

Workshop: Acute Chronic Pain Procedures Neel Mehta, M.D. Director | Weil Cornell Pain Medicine Center Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College | New York, New York, New York Yan Lai, M.D. Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai New York, New York Ali N. Shariat, M.D. Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai St. Luke’s | New York, New York

15:00-16:30 Gas Man® Session James H. Philip, M(E)E, M.D. Anesthesiologist and Director, Clinical Bioengineering Department of Anesthesiology | Brigham and Women’s Hospital Professor of Anaesthesia | Harvard Medical School | Boston, Massachusetts

Hosts: Duncan McLean, M.B.Ch.B., President; David Currie, M.D., President-elect; Meera Kirpekar, M.D., Secretary/Treasurer - NYSSA Resident and Fellow Section

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Ancillary Session | Saturday, December 10, 2016 09:00 - 10:30 • Empire Complex • 7th Floor

Resident Research Contest

Saturday

Program Chair 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

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

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

Research Contest Presenter — R-01

Activation of Mitochondrial Calcium-Activated Potassium Channels Improves Left-Ventricular Function After Myocardial Infarction in Mice Presenter:

Friederike U. Behmenburg, M.D. Department of Anesthesiology | University Hospital | Duesseldorf, Germany | Institutes of Cardiovascular Physiology and Molecular Cardiology | Heinrich-Heine-University | Duesseldorf, Germany | Department of Anesthesiology | Laboratory of Experimental Intensive Care and Anesthesiology | Academic Medical Center University of Amsterdam | Netherlands

Co-Authors:

Ulrich Flögel André Heinen

Markus W. Hollmann N. Holscher

Ragnar Huhn

Research Contest Presenter — R-02

The Use of Epinephrine in Caudal Anesthesia Increases Stroke Volume and Cardiac Output in Children

46

Presenter:

Chang A. Liu, M.D. Department of Anesthesiology | Critical Care and Pain Medicine | Massachusetts General Hospital Boston, Massachusetts

Co-Authors:

Thomas A. Anderson

Charles J. Cote

Jinghu Sui

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Research Contest Presenter — R-03

Histopathological Observations in the Brains of Children Exposed to Inhalational Anesthetic Agents: A Retrospective Autopsy-Based Study Presenter:

Mansoor M. Aman, M.D. Department of Anesthesiology | Drexel University College of Medicine | Hahnemann University Hospital Department of Pediatrics | Pathology and Laboratory Medicine and Neurology | Drexel College of Medicine St. Christopher’s Hospital for Children | Philadelphia, Pennsylvania

Co-Authors:

Michael S. Green Christos D. Katsetos

George Muchaskiw Poovendran Saththasivam

Leigh A. Stevens Kirtanaa Voralu

Research Contest Presenter — R-04

Impaired Relaxation of Airway Smooth Muscle in Mice Lacking the Cytoskeletal Regulatory Protein Gelsolin: A Potential Novel Target for Airway Relaxation Maya Mikami, M.D. Department of Anesthesiology | College of Physicians and Surgeons | Columbia University | New York, New York Department of Biology and Biochemistry | University of Houston | Baylor College of Medicine | Houston, Texas Department of Environmental Health Sciences | Johns Hopkins Bloomberg School of Public Health Baltimore, Maryland | Department of Chemical & Biomolecular Engineering | Johns Hopkins University Baltimore, Maryland

Co-Authors:

Steven S. An Jennifer Danielsson

Charles W. Emala Tiarra Joell

Seema Khurana Elizabeth Townsend

Hwan Mee Yong Yi Zhang

Research Contest Presenter — R-05

Saturday

Presenter:

The Effects of 48 Hour Exposure of Cultured Rat Cardiomyocytes to Milrinone on Myocardial Necrosis-Related Gene Expressions Presenter:

Farshad Rashidian, D.O. Department of Anesthesiology | Drexel University | Philadelphia, Pennsylvania

Co-Authors:

Michael Green Paul Langevin

Henry Liu Christopher Snell

Rayhan Tariq Marcus Zebrower

Research Contest Presenter — R-06

Novel Expression of GABAA Receptors on Resistance Arteries That Modulate Myogenic Tone Presenter:

Peter D. Yim, M.D. Columbia University Department of Anesthesiology | New York, New York | Johns Hopkins University Department of Anesthesiology and Critical Care Medicine | Baltimore, Maryland

Co-Authors:

Dan Berkowitz Charles W. Emala

George Gallos Fu Xiao Wen

Dingbang Xu

Resident Research Committee: Maria A. Bustillo, M.D. Samuel DeMaria, Jr., M.D. Charles W. Emala, Sr., M.S., M.D. Andrew Goldberg, M.D.

Suzanne B. Karan, M.D. Ira S. Kass, Ph.D. Jun Lin, M.D., Ph.D. Ervant Nishanian, M.D., Ph.D.

Jing Song, M.D. Stacey A. Watt, M.D. Menachem Weiner, M.D.

Announcements and prizes will be awarded at the luncheon, on Saturday at 11:30-12:30 in the Empire Room.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

47

Mini Workshops | Saturday, December 10, 2016 | MW-13 through MW-16 Mid-Day Sessions • 11:45 - 12:45 • 4th Floor Rooms MW-13 Odets Room

Point of Service Transthoracic Echocardiography (TTE) Speaker: Stephen C. Haskins, M.D. Assistant Attending Anesthesiologist | Hospital for Special Surgery | Clinical Instructor of Anesthesiology | Cornell University, Weill Cornell Medical College | New York, New York After completion of this session, the participant will be able to: • Identify the key anatomic views used in TTE; • Identify the key anatomic structures visualized by TTE; • Identify hypokinesis and akinesis of the myocardium.

MW-14 Wilder Room

The Pregnant Patient for Non-Obstetric Surgery

Saturday

Speaker: Daniel J. Katz, 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: • Identify the risk factors associated with surgery during pregnancy; • Enumerate the qualifiable rate of miscarriage; • Delineate the critical time periods for organogenesis during pregnancy.

MW-15 Ziegfeld Room

Problems in the Office-Based Surgery Patients 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: • Delineate three conditions which contraindicate anesthesia in the office; • Delineate the three most common causes of hospital admission from an office-based anesthetic; • Define the role of capnography in sedation cases.

MW-16 O’Neill Room - Ends at 13:00

Active Shooter in the Hospital Speaker: Terrance R. Burns, M.D. Assistant Clinical Professor of Anesthesiology | SUNY-Buffalo School of Medicine and Biomedical Sciences Kaleida Milard Fillmore Gates | Buffalo, New York After completion of this session, the participant will be able to: • Identify features of the incubation phase of an active shooter incident through situational awareness; • Learn to ask for help early; • Understand how to evacuate in an emergency; • Know how to conduct a “lockdown”; • Learn how to fight in a self-defense situation; • Develop flexible thinking for an evolving active shooter situation.

Disclosures: Drs. Burns, Gevirtz, Haskins and Katz do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Problem-Based Learning Discussions | Saturday, December 10, 2016 Mid-Day Sessions • 11:45 - 12:45 • Various Floors • PBL-17 through PBL-24 PBL-17 Soho Room - 7th Floor

Emergency Management of Severe Brain Injury Speakers: Staffan B. Wahlander, M.D. Attending Anesthesiologist | New York, New York

Fenghua Li, M.D. Associate Professor of Anesthesiology and Neuroanesthesia Upstate Medical University | Syracuse, New York

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

PBL-18 Herald Room - 7th Floor

Accidental Subdural Block, a Rare Complication from Labor Epidural Anesthesia Saturday

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

PBL-19 Gramercy Room - 7th Floor

Epidural Anesthesia and New Oral Anticoagulant Therapy Speakers: David L. Lee, M.D. Clinical Assistant Professor of Anesthesiology Hospital for Special Surgery Clinical Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College | New York, New York

Minda L. Patt, 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: • Discuss new oral anticoagulants; • Review potential complications of epidural analgesia in the setting of anticoagulants and pharmacologic DVT prophylaxis; • Develop a plan to manage oral anticoagulant medication in the patient receiving epidural analgesia.

PBL-20 Olmstead Room - 7th Floor

Acute Stroke: Anesthetic Management Matters Speaker: Zirka H. Anastasian, M.D. Assistant Professor of Anesthesiology | Columbia University, College of Physicians & Surgeons | New York, New York After completion of this session, the participant will be able to: • Differentiate the clinical presentation of thromboembolic stroke from intracranial hemorrhage; • Employ the appropriate anesthetic and hemodynamic management strategies to maintain adequate cerebral perfusion.

Disclosures: Drs. Anastasian, Lee, Li, Patt, Song and Wahlander do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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PBL-21 Shubert Room - 6th Floor

Torsade After Hysterectomy: The Impact of Prolonged QT on Antiemesis Guidelines Speaker: Anuj Malhotra, 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: • Review the mechanism of action of antiemetic medications; • Identify potential side effects and complications from antiemetic medications; • Formulate a comprehensive plan to limit postoperative nausea and vomiting.

PBL-22 Uris Room - 6th Floor

Coagulopathic Parturient Refuses General Anesthesia for Cesarean Delivery: Is Regional Acceptable?

Saturday

Speaker: Roulhac D. Toledano, M.D., Ph.D. Assistant Clinical Professor of Anesthesiology | SUNY-Downstate Medical Center | Attending Anesthesiologist NYU-Lutheran Medical Center | Brooklyn, New York After completion of this session, the participant will be able to: • Discuss the dilemma when patient wishes conflict with standard medical practice; • List conditions that predispose a parturient to disseminated intravascular coagulation (DIC); • Identify the risks and benefits of neuraxial blockade in this obstetric emergency; • Discuss risks and benefits of general anesthesia for cesarean delivery in this patient; • Devise a treatment plan for the patient with peripartum hemorrhage complicated by DIC. PBL-23 Plymouth Room - 6th Floor

Cardiac Arrest After Interscalene Block: Treatment Guidelines Speaker: Melinda A. Aquino, M.D. Assistant Professor of Anesthesiology and Pain Management | Albert Einstein College of Medicine | Bronx, New York After completion of this session, the participant will be able to: • Recognize the complications of regional anesthesia for shoulder surgery; • Formulate a plan to treat cardiac toxicity due to local anesthetic.

PBL-24 Royale Room - 6th Floor

The Diagnosis and Management of a Malignant Hyperthermic Reaction Speakers: Adam D. Lichtman, M.D., FASE Captain, Medical Corps United States Navy Director of 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

Janine Limoncelli, M.D. Assistant Professor of Anesthesiology Danbury Hospital Danbury, Connecticut

After completion of this session, the participant will be able to: • Identify patients at risk for malignant hyperthermia; • Recognize the signs of malignant hyperthermia; • Formulate and execute a plan for the management of a malignant hyperthermia reaction.

Disclosures: Drs. Aquino, Lichtman, Limoncelli, Malhotra and Toledano do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Scientific Panel | Saturday, December 10, 2016 Afternoon Session • 13:00 - 15:30 • North Ballroom • 6th Floor SP-10

Issues in Perioperative Care of the Older Surgical Patient Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

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.

Panel 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: • •

Saturday

• •

Review the epidemiology and outcomes of surgery in older patients; Discuss assessment and implications of frailty, depression and cognitive impairment for outcomes of anesthesia and surgery in the older patient; Review postoperative delirium and cognitive impairment and discuss how to avoid or manage them; Review current thinking, latest research and best practices for managing pain in the older surgical patient.

Presentations:

What Are We Doing? The Landscape of Surgical Care and Complications in Older Patients Richard P. Dutton, M.D., M.B.A. Executive Director | Anesthesia Quality Institute | Park Ridge, Illinois

Age-Appropriate Preoperative Evaluation of the Older Surgical Patient Deborah J. Culley, M.D. Attending Anesthesiologist | University of Wisconsin School of Medicine and Public Health Professor and Medical Director of Perioperative Services | American Family Children's Hospital University of Wisconsin Hospital and Clinics | Madison, Wisconsin

Perioperative Brain Failure: Clarifying Confusion Gregory J. Crosby, M.D.

Managing Pain in the Older Surgical Patient M. Carrington Reid, M.D., Ph.D. Director, Translational Research Institute on Pain in Later Life | Irving Sherwood Wright Associate Professor of Geriatrics | Division of Geriatrics and Palliative Medicine | Weill Cornell Medicine | New York, New York Disclosures: Drs. Crosby, Dutton and Reid do not have any financial relationships to disclose.

Dr. Culley receives funded research support from Anesthesia Patient Safety Foundation (APSF), National Institute on Aging (NIA) and Controlled Risk Insurance Company (CRICO).

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Panel | Saturday, December 10, 2016 Afternoon Session • 13:00 - 15:30 • South Ballroom • 6th Floor SP-11

The Cardiac Patient Presenting for Non-Cardiac Surgery Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

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.

Panel Moderator: Gregory W. Fischer, M.D. 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:

Saturday

• • •

Use knowledge of cardiac pathophysiology to better plan anesthetic management of patients with cardiac disease presenting for non-cardiac surgery; Understand the risk/benefit of holding antiplatelet medications in patients with coronary stents; Determine which patients with rhythm problems should proceed with non-cardiac surgery.

Presentations:

The Patient with Valvular Heart Disease Gregory W. Fischer, M.D.

The Patient with Cardiac Rhythm Management Devices Marc E. Stone, M.D. Clinical Professor of Anesthesiology | Director, Neuroanesthesia Program | NYU-Langone Medical Center New York, New York

The Patient with Atrial Fibrillation 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

The Patient with Coronary Stents Paul G. Barash, M.D. Professor of Anesthesiology | Yale University, School of Medicine | New Haven, Connecticut

Disclosures: Drs. Barash, Bennett-Guerrero, Fischer and Stone do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Scientific Panel | Saturday, December 10, 2016 Afternoon Session • 13:00 - 15:30 • Astor Ballroom • 7th Floor SP-12

Anesthetic Challenges in the Pediatric Patient Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

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.

Panel Moderator: Linda J. Mason, M.D. Professor of Anesthesiology and Pediatrics | Loma Linda University School of Medicine | Loma Linda, California After completion of this session, the participant will be able to: Manage the pediatric difficult airway; Understand drug dosing for obese children undergoing anesthesia; Develop an anesthetic management plan for the patient with asthma; Use new ventilator strategies for the pediatric patient in the OR.

Presentations:

The Zebra, Princess Juliana and Airway Management: Lessons Learned from the PeDI Registry

Saturday

• • • •

John E. Fiadjoe, M.D. Assistant Professor of Anesthesiology and Critical Care | Children's Hospital of Philadelphia Philadelphia, Pennsylvania

Perioperative and Anesthetic Management of the Child with Asthma Linda J. Mason, M.D.

Drug Dosing for Obese Children 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

Ventilating Patients in the OR: What Your Anesthesia Machine Tells You If You Know Where to Look Frank H. Kern, M.D., FCCM Professor of Anesthesiology | Long Island Jewish Medical Center | New Hyde Park, New York

Disclosures: Drs. Fiadjoe, Kern, Lerman and Mason do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Focus Sessions | Saturday, December 10, 2016 | FS-09 & FS-10 Afternoon Sessions • 15:45 - 17:00 • 4th Floor Rooms FS-09 Odets Room

Controversies in Neuroanesthesia Focus Session Moderator: Alex Y. Bekker, M.D., Ph.D. Professor and Chair | Department of Anesthesiology | Chair, Perioperative Services Committee Rutgers New Jersey Medical School | Newark, New Jersey Faculty Presentations:

Are Anesthetics Neurotoxic or Neuroprotective?

Alex Y. Bekker, M.D., Ph.D.

Does Neuromonitoring Improve Outcomes?

Saturday

Martin Smith, M.B., B.S., FRCA, FFICM Consultant and Honorary Professor | Neuroanaesthesia and Neurocritical Care | The National Hospital for Neurology and Neurosurgery | University College London Hospitals | Honorary Professor | Department of Medical Physics and Biomedical Engineering | University College London | London, United Kingdom After completion of this session, the participant will be able to: • Describe the effects of anesthetics on the central nervous system; • Develop an appropriate anesthetic plan for neurosurgery in their institutions; • Describe the various neuromonitoring modalities available; • Select the appropriate neuromonitoring modalities for their cases.

FS-10 Wilder Room

The Concept of Enhanced Recovery AFTER SURGERY (ERAS): What Does It Mean to You? Focus Session Moderator: Tong J. Gan, M.D., MHS, FRCA Professor and Chair | Department of Anesthesiology | SUNY-Health Sciences Center at Stony Brook Stony Brook, New York Faculty Presentations:

Clinical Pathways to Success: What Are the Basics of ERAS? Tong J. Gan, M.D., MHS, FRCA

ERAS and the Anesthesiologist: How Do We Impact Outcome?

Anoushka M. Afonso, M.D. Assistant Attending Anesthesiologist | Memorial Sloan-Kettering Cancer Center | New York, New York After completion of this session, the participant will be able to: • Describe the principles of an ERAS program; • Develop a ERAS program in their institutions; • Describe the role of the anesthesiologist in an ERAS program; • Institute an ERAS program at their institutions.

Disclosures: Drs. Afonso, Bekker and Smith do not have any financial relationships to disclose.

Dr. Gan is on the speakers bureau for Edwards Lifesciences Corporation.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Focus Sessions | Saturday, December 10, 2016 | FS-11 & FS-12 Afternoon Sessions • 15:45 - 17:00 • Various Floors FS-11 Ziegfeld Room • 4th Floor

MACRA, MIPS, Measures and Money Focus Session Moderator: 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 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. 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

Saturday

After completion of this session, the participant will be able to: • Describe the various new payment systems currently in practice; • Adjust their practices to comply with four new payment systems.

FS-12 Astor Ballroom • 7th Floor

“Hot” Topics in Pain Management Focus Session Moderator: 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 Faculty Presentations:

Opioids for Chronic Pain, Current Issues and Practice Christopher G. Gharibo, M.D.

Use of Ketamine in Chronic Pain Steven G. Halle, 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: • Describe when opioids are appropriate for the treatment of chronic pain; • Describe the role for ketamine for chronic pain management; • Develop an appropriate treatment plan for chronic pain using opioids and alternatives; • Develop a treatment plan using ketamine to treat chronic pain.

Disclosures: Drs. Halle, Lagasse and Philip do not have any financial relationships to disclose.

Dr. Gharibo receives consultant fees and is on the speakers bureau for Endo Pharmaceuticals, Collegium Pharmaceutical, TEVA Pharmaceutical Industries, Ltd., AstraZeneca, Depomed, Inc., Kaléo Pharma, Pemix Therapeutics, Daichii Sankyo Pharmaceutical, Shionogi Inc.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Focus Sessions | Saturday, December 10, 2016 | FS-13 & FS-14 Afternoon Sessions • 15:45 - 17:00 • Various Floors FS-13 Marquis “C” • 9th Floor

Perioperative Challenges in the Patient with Heart Disease Focus Session Moderator: Dawn M. Sweeney, M.D. Associate Professor of Anesthesiology and Pediatrics | University of Rochester School of Medicine and Dentistry Rochester, New York Faculty Presentations:

Adult with Repaired Congenital Heart Disease Dawn M. Sweeney, M.D.

Patient with Stent

Saturday

Paul G. Barash, M.D. Professor of Anesthesiology | Yale University, School of Medicine | New Haven, Connecticut After completion of this session, the participant will be able to: • Discuss the clinical issues related to the two main types of coronary stents; • Stratify the perioperative risks for patients with intracoronary stents; • Develop management strategies for perioperative antiplatelet therapy for different types of coronary stents; • Discuss the most common sequelae of repaired congenital heart disease; • Develop management strategies for patients with repaired congenital heart disease with or without residual lesions; • Develop management strategies for patients with Fontan physiology.

FS-14 Manhattan Ballroom • 8th Floor

Insight into Legal Process Using Case-Based Mock-Trials Focus Session Moderator: Michael B. Simon M.D., M.B.A. Transitional Lead, Sheridan Healthcare, Inc. | Sunrise, Florida Faculty Presentations:

Expert Witness Anesthesiologist Michael B. Simon, M.D., M.B.A.

Defense or Trial Lawyer Michael J. Schoppmann, Esq. President, MLMIC Services, Medical Liability Mutual Insurance Co. | New York, New York After completion of this session, the participant will be able to: • Discuss the administrative and legal requirements of informed consent; • Communicate to the patient and document in the patient’s medical record information that may reduce their vulnerability to litigation; • Discuss the importance of documentation; • Discuss the importance of guidelines and protocols; • Develop defensive strategies to decrease the likelihood of being successfully sued for malpractice.

Disclosures: Drs. Barash, Simon, Sweeney and Mr. Schoppmann do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Focus Sessions | Saturday, December 10, 2016 | FS-15 Afternoon Session • 15:45 - 17:00 • 4th Floor FS-15 O’Neill Room

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

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

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.

Focus Session Moderator: James E. Eisenkraft, M.D. Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York Faculty Presentations:

Machine Safety James E. Eisenkraft, M.D.

Jan Ehrenwerth, M.D. Professor Emeritus of Anesthesiology | Director, Vascular Anesthesia | Yale University, School of Medicine New Haven, Connecticut

Saturday

Intelligent Monitors

After completion of this session, the participant will be able to: • Discuss advantages and disadvantages of the new anesthesia machines; • Discuss the new development in monitoring; • Discuss equipment safety issues in anesthesia practice; • Develop a plan to safely integrate the new anesthesia machines and intelligent monitors into their practice; • Describe the limitations of modern anesthesia machines and intelligent monitors, and apply this knowledge to their practice.

Disclosures: Dr. Eisenkraft does not have any financial relationships to disclose.

Dr. Ehrenwerth receives a salary from Spacelabs Healthcare.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Problem-Based Learning Discussions | Saturday, December 10, 2016 Afternoon Sessions • 15:45 - 17:00 • Various Floors • PBL-25 through PBL-32 PBL-25 Soho Room - 7th Floor

The Transgender Patient: Perioperative Concerns Speaker: 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 After completion of this session, the participant will be able to: • Define the professional terminology related to the anesthetic care of a transgender patient; • Explain the implications of lack of understanding of transgender issues, among members of the OR team on patient safety; • Predict major implications of completed transgender surgery for the perioperative care; • Formulate a sensitive and informed communication approach to a transgender patient in the perioperative setting.

PBL-26 Herald Room - 7th Floor

Saturday

Obstructive Sleep Apnea and Ambulatory Surgery Speaker: Danielle B. Ludwin, M.D. Associate Professor of Anesthesiology | Columbia University, College of Physicians & Surgeons | New York, New York After completion of this session, the participant will be able to: • Discuss the pathophysiology of Obstructive Sleep Apnea (OSA) in adults; • Make a presumptive diagnosis of OSA in undiagnosed patients; • Assess the eligibility of OSA patients for ambulatory surgery; • Evaluate the effects of anesthetics on patients with OSA; • Formulate postoperative pain control in OSA patients in an outpatient setting; • Establish the outpatient PACU monitoring and discharge criteria for OSA patients.

PBL-27 Gramercy Room - 7th Floor

The Pediatric Difficult Airway: No Larynx in View, Now What Do I Do? Speakers: Gordana Stjepanovic, M.D. Director, Division of Pediatric Anesthesiology Assistant Professor of Anesthesiology NYU-Langone Medical Center | New York, New York

Aarti Sharma, M.D. Associate Professor, Clinical Anesthesiology Associate Director, Pediatric Anesthesia NewYork-Presbyterian Hospital | New York, New York

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

PBL-28 Olmstead Room - 7th Floor

Pitfalls of Pulmonary Hypertension Speakers: Christine Lennon, M.D. Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College New York, New York

Edward R. Mathney, 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: • Identify the etiologies and pathophysiology of pulmonary hypertension; • Identify factors that alter pulmonary vascular resistance; • Diagnose and manage perioperative complications in patients with pulmonary hypertension.

Disclosures:

Drs. Lennon, Ludwin, Mathney, Pisklakov, Sharma and Stjepanovic do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

PBL-29 Shubert Room - 6th Floor

Massive Transfusion Protocol Speakers: Daryn H. Moller, M.D. Assistant Professor of Clinical Anesthesiology SUNY-Health Sciences Center at Stony Brook Stony Brook, New York After completion of this session, the participant will be able to: • Identify new modalities of hemostasis; • Establish an appropriate anesthetic plan to manage the patient undergoing massive hemorrhage; • Develop a multidisciplinary massive transfusion protocol.

PBL-30 Uris Room - 6th Floor

Lung Isolation in the Patient with a Difficult Airway Speakers: Maria D. Castillo, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Guy Salomon, M.D. Attending Anesthesiologist Good Samaritan Hospital Suffern, New York

PBL-31 Plymouth Room - 6th Floor

Saturday

After completion of this session, the participant will be able to: • Discuss the indications, different options for, and management of one-lung ventilation; • Apply a plan for the management of simple thoracic cases; • Employ various options for one-lung ventilation in the context of the difficult airway.

8 Year Old Hit by Car While Riding Bike: Update on Pediatric Trauma Speaker: Stacey A. Watt, M.D. Associate Professor of Anesthesiology University of Buffalo Program Director, Pediatric Anesthesiology Fellowship Women and Children's Hospital of Buffalo Buffalo, New York After completion of this session, the participant will be able to: • Review the most prevalent causes to blunt trauma in the pediatric population; • Discuss the pathophysiology of the pediatric blunt trauma victim; • Design a multidisciplinary plan to care for the pediatric blunt trauma victim.

PBL-32 Royale Room - 6th Floor

Anaphylaxis in the Operating Room Speaker: Srinivasa S. Thota, M.D., M.B., B.S. Assistant Professor of Anesthesiology | Upstate Medical University | Syracuse, New York After completion of this session, the participant will be able to: • Identify the differential diagnosis of post induction, pre-incision cardiovascular collapse; • Recognize the signs and symptoms of anaphylaxis under general anesthesia; • Develop a treatment plan for anaphylaxis.

Disclosures: Drs. Castillo, Moller, Salomon, Thota and Watt do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

70th Annual PostGraduate Assembly in Anesthesiology December 9 – December 13, 2016 Marriott Marquis, New York | USA

Sunday, December 11, 2016 Times

Sunday

Registration ....................................................................................................................................... 07:00 Hands-On Workshops ....................................................................................... 07:30, 08:00 & 12:00 Mini Workshops................................................................................................................ 07:45 & 12:00 Scientific Panels.................................................................................................................08:30 & 13:00 Technical Exhibits ............................................................................................................................ 09:00 Poster Presentations & Medically Challenging Case Reports .............................................. 09:30 Scientific Exhibits............................................................................................................. 10:00 & 13:30 Problem-Based Learning Discussions ...................................................................... 12:00 & 15:45 Scientific Panel - International Forum.......................................................................................13:00 Focus Sessions ...................................................................................................................15:00 & 15:45 Additional Activities: NYSSA House of Delegates .......................................................................................................... 09:30 Workshops, Mini Workshops and Problem-Based Learning Discussions require a ticket.

Please refer to page 3 for fees.

Please silence your mobile devices 2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Sunday, December 11, 2016 All Day Session • 07:30 -17:00 This workshop takes place off-site, at SUNY-Downstate Medical Center. Transportation is provided.

W-10

Hands-On Cadaver, Ultrasound and Live Model Regional Anesthesia Workshop Station I Station II Station III Station IV Station V Station VI Station VII Station VIII Station IX Station X

Cadaver Interscalene and Supraclavicular Blocks Cadaver Infraclavicular and Axillary Blocks Cadaver Paravertebral Blocks Cadaver Femoral Block Cadaver Sciatic and Popliteal Blocks Model Ultrasound Interscalene and Supraclavicular Block Model Ultrasound Infraclavicular and Axillary Blocks Model Ultrasound Guided Epidural and Spinal Blocks Model Ultrasound Femoral Blocks Model Ultrasound Sciatic and Popliteal Blocks

Workshop Moderators:

Dennis P. Dimaculangan, M.D. Clinical Associate Professor of Anesthesiology SUNY-Downstate Medical Center Brooklyn, New York

Assisted by:

Sunday

Mitchell E. Fingerman, M.D. Division Chief & Fellowship Director Regional & Ambulatory Anesthesiology Washington University School of Medicine St. Louis, Missouri Kishore Gandhi, M.D., M.P.H., CPE Attending Anesthesiologist University Medical Center of Princeton Plainsboro Township, New Jersey Benjamin George, M.D. Director, Department of Regional Anesthesia Kings County Hospital Center Brooklyn, New York

David Seligsohn, M.D. Assistant Professor of Anesthesiology SUNY-Downstate Medical Center Director, Regional Anesthesiology NYU Lutheran Medical Center Brooklyn, New York

John Y. Hsih, M.D. Adjunct Instructor NYU Lutheran Medical Center Brooklyn, New York

Emily Lin, M.D. Attending Anesthesiologist North American Partners in Anesthesia (NAPA) New York, New York

David H. Kim, M.D. Attending Anesthesiologist Hospital for Special Surgery Clinical Instructor in Anesthesiology Weill Cornell Medical College New York, New York

Sam Nia, M.D. Fellow in Pain Medicine Mount Sinai Beth Israel | New York, New York

Lei Li, M.D. Associate, Anesthesiology Director, Regional Anesthesia Geisinger Medical Center Danville, Pennsylvania

Christopher B. Robards, M.D. Assistant Professor of Anesthesiology Mayo Clinic | Jacksonville, Florida Ali N. Shariat, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai St. Luke’s | New York, New York

Workshop Description: Hands-On Cadaver, Ultrasound and Live Model Regional Anesthesia Workshop will be held in the state of the art anatomy lab located in the SUNY-Downstate Medical Center (Brooklyn, New York.) Round trip bus transportation is provided from the New York Marriott Marquis directly to SUNY-Downstate. You will be instructed in small groups with hands-on practice by world renowned faculty.

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

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

Demonstrate basic skills in ultrasound technology; Apply ultrasound technology to perform peripheral and neuraxial blocks; Relate cadaver anatomy of peripheral nerve structures to live-model sonoanatomy; Discuss advantages and pitfalls of ultrasound guidance for paravertebral blocks; Utilize ultrasound techniques to perform truncal field blocks (TAP block, ilioinguinal-iliohypogastric blocks).

Disclosures: Drs. Dimaculangan, George, Hsih, Kim, Li, Lin, Nia, Robards, Seligsohn and Shariat do not have any financial relationships to disclose.

Dr. Fingerman is on the speakers’ bureau for Halyard Worldwide, Inc. and Merck & Co., Inc. Dr. Gandhi is on the speakers’ bureau for Pacira Pharmaceuticals, Inc.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Mini Workshops | Sunday, December 11, 2016 | MW-17 through MW-20 Morning Sessions • 07:45 - 08:45 • 4th Floor Rooms MW-17 Odets Room

The Role of Anesthesiology in Global Health Speakers: Elizabeth A. M. Frost, M.D. Clinical Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Ram Roth, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Steven D. Boggs, M.D., M.B.A., CPE Associate Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York | Director, Operating Room | Chief, Anesthesia Service James J. Peters VA Medical Center Bronx, New York

After completion of this session, the participant will be able to: • Identify areas of the world in which there are acute shortages of anesthesia providers; • Enumerate two ways for anesthesiologists to become more involved in remedying these shoratages; • Delineate at least two NGOs that need anesthesiologist volunteers.

MW-18 Wilder Room

Anesthetic Challenges in the Morbidly Obese Speaker: 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 After completion of this session, the participant will be able to: • Delineate the approach to airway assessment and management; • Identify the intraoperative complications which may arise; • Enumerate at least three postoperative complications which may occur.

Thoracic Anesthesia Update

Sunday

MW-19 Ziegfeld Room

Speaker: Edmond Cohen, M.D. Professor of Anesthesiology | 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: • Enumerate the indications for lung separation and thorascopy; • Determine which lung separation device is appropriate for the planned surgery; • Evaluate and treat intraoperative complications during thoracic surgery.

MW-20 O’Neill Room

Obstetric Emergencies Speaker: Christopher F. Ciliberto, M.D. Assistant Professor of Anesthesiology | Montefiore Medical Center | Bronx, New York After completion of this session, the participant will be able to: • Identify the pathophysiologic changes and obstetric management of a parturient with HELLP syndrome; • Compare and contrast the anesthetic management and monitoring techniques used in dealing with a patient with pregnancy induced hypertension.

Disclosures: Drs. Boggs, Ciliberto, Cohen, Frost, Roth and Samuels do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Sunday, December 11, 2016 Morning Session • 08:00 - 11:00 • Shubert Complex • 6th Floor W-11

Hands-On Porcine Heart Disection Workshop Moderator:

New!

Salvatore G. Vitale, M.D. Director of Cardiac and Thoracic Anesthesia Mount Sinai Beth Israel Medical Center New York, New York

Assisted by:

Cesar Rodriguez-Diaz, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York

Menachem Weiner, M.D. Associate Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York

Mikel Gorbea, M.D. Assistant Clinical Instructor and Chief Resident of Anesthesiology SUNY-Downstate Medical Center Brooklyn, New York

Sunday

After completion of this session, the participant will be able to: • Identify cardiac anatomy in the porcine heart ; • Identify porcine anatomical structures and learn the relationship to echocardiographic structures; • Identify porcine anatomical structures and relate them to human surgical anatomic landmarks.

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Disclosures: Drs. Gorbea, Rodriguez-Diaz, Weiner and Vitale do not have any financial relationships to disclose.

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Workshop | Sunday, December 11, 2016 Morning Session • 08:00 - 11:00 • Soho Complex • 7th Floor W-12

Ultrasound for Vascular Access: A Workshop Workshop Moderators: Nikolaos J. Skubas, M.D., FACC, FASE, D.Sc. Professor of Clinical Anesthesiology & Cardiothoracic Surgery Director, Cardiac Anesthesia | Attending Anesthesiologist Cornell University, Weill Cornell Medical College New York, New York

Meghann M. Fitzgerald, M.D. Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College New York, New York

Presentations: Central Venous Cannulation Meghann M. Fitzgerald, M.D. Basics of Ultrasound Shreyajit R. Kumar, M.D. Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College New York, New York

Logistics and Billing Nikolaos J. Skubas, M.D., FACC, FASE, D.Sc.

Lisa Q. Rong, M.D. Instructor in Anesthesiology Cornell University, Weill Cornell Medical College Assistant Attending Anesthesiologist NewYork-Presbyterian Hospital New York, New York

Sunday

Arterial Cannulation Alexander J. C. Mittnacht, M.D. Professor of Anesthesiology Director, Pediatric Cardiac Anesthesia Icahn School of Medicine at Mount Sinai New York, New York

Break-Out Sessions Jaideep K. Malhotra, M.D. Assistant Professor of Clinical Anesthesiology Cornell University, Weill Cornell Medical College Assistant Attending Anesthesiologist NewYork-Presbyterian Hospital New York, New York

Cindy Wang, M.D. Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College Assistant Attending Anesthesiologist NewYork-Presbyterian Hospital New York, New York

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

Disclosures: Drs. Fitzgerald, Kumar, Malhotra, Rong, Skubas and Wang do not have any financial relationships to disclose.

Dr. Mittnacht has stock options with Manual Surgical Science and his spouse receives consultant fees and is on the speakers bureau for CAS Medical Systems, Inc. (CASMED).

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Sunday, December 11, 2016 All Day Session • 08:00 - 15:00 • Empire Complex • 7th Floor W-13

Hands-On Echocardiography Workshop: An Interactive and Case-Based Approach Using TEE and TTE in the Perioperative Setting Workshop Moderators: Steven N. Konstadt, M.D., M.B.A., FACC Professor and Chair Department of Anesthesiology Maimonides Medical Center Brooklyn, New York

Alexander J. C. Mittnacht, M.D. Professor of Anesthesiology Director, Pediatric Cardiac Anesthesia Icahn School of Medicine at Mount Sinai New York, New York

Linda J. Shore-Lesserson, M.D., FAHA, FASE Professor of Anesthesiology Hofstra Northshore-Long Island Jewish School of Medicine | Director, Cardiovascular Anesthesiology | Northshore-Long Island Jewish Medical Center | New Hyde Park, New York

Assisted by: Patricia M. Applegate, M.D. Associate Professor of Medicine and Cardiology Loma Linda University School of Medicine Loma Linda, California Richard L. Applegate, II, M.D. Professor and Vice-Chair | Department of Anesthesiology | Loma Linda University School of Medicine | Loma Linda, California

Wanda M. Popescu, M.D. Associate Professor of Anesthesiology | Director, Thoracic and Peripheral Vascular Anesthesia Section Director, Thoracic Anesthesia Division | Co-Director, Grand Rounds | Yale University, School of Medicine New Haven, Connecticut

Sunday

Sasha K. Shillcutt, M.D., FASE Associate Professor of Anesthesiology | Director, Perioperative Echocardiography | Director, Clinical Research | University of Nebraska Medical Center Lynn A. Belliveau, M.D., M.P.H. Associate Professor of Anesthesiology | Maimonides Omaha, Nebraska Medical Center | Brooklyn, New York Nikolaos J. Skubas, M.D., FACC, FASE, D.Sc. Professor of Clinical Anesthesiology & Cardiothoracic Himani Bhatt-Verma, D.O., M.P.A. Surgery | Director, Cardiac Anesthesia | Attending Assistant Professor of Cardiothoracic Anesthesia Anesthesiologist | Cornell University, Weill Cornell Icahn School of Medicine at Mount Sinai Medical College | New York, New York New York, New York Zaharia Hillel, M.D., Ph.D. Professor of Anesthesiology Director, Cardiothoracic Anesthesia Icahn School of Medicine Mount Sinai St. Luke's New York, New York

Christopher A. Troianos, M.D., FASE Chair of the Anesthesiology Institute Cleveland Clinic Foundation Cleveland, Ohio | President Elect, Society of Cardiovascular Anesthesiologists Giuseppe V. Trunfio, M.D. Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York Director, Cardiac Anesthesiology | Maimonides Medical Center | Brooklyn, New York Menachem Weiner, M.D. Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York Nate Weitzel, M.D. Associate Professor of Anesthesiology Medical Director of Inpatient Surgical Services University of Colorado School of Medicine Aurora, Colorado

Workshop Description:

As a participant you can expect the following: • Hands-on small groups TEE computer simulation with expert guidance: - Recognize anatomy and pathology from standard TEE views - Learn to choose TEE views that help in the differential diagnosis of hemodynamically unstable patients • Hands-on TEE simulator (Practice TEE with a state of the art TEE simulator); • Practice Transthoracic Echocardiography (TTE) with live human models (standard TTE views, emergency TTE examination); • Expert lecture and introduction: - Focused TTE exam - Standard TTE views - Update on recently published standard TEE exam - Short presentations of various case scenarios illustrating the role echocardiography in the hemodynamically unstable patient (non-cardiac setting)

• • • • •

After completion of this session, the participant will be able to: Use echo to recognize common causes of hemodynamic instability in the GOR (expert case presentations, hands-on computer simulation); Understand how echo can help with the differential diagnosis in unstable patients (computer simulation, case presentations); Learn how to obtain a quick transthoracic exam in emergency situations (practice on live models); Acquire the knowledge to do a focused transthoracic echo exam (expert lecture, practice on live models); Learn how transesophageal echocardiography can be used as a monitoring tool in cases with expected hemodynamic compromise (hands on TEE simulator, expert lecture).

Disclosures: Drs. P. M. Applegate, R. L. Applegate, Belliveau, Bhatt-Verma, Hillel, Konstadt, Popescu, Shore-Lesserson, Skubas, Troianos, Trunfio, Weiner and Weitzel do not have any financial relationships to disclose.

Dr. Mittnacht has stock options with Manual Surgical Science and his spouse receives consultant fees and is on the speakers bureau for CAS Medical Systems, Inc. (CASMED).

Dr. Shillcutt receives consultant fees from E-echocardiography.com.

Note: This is a full day workshop. A lunch voucher will be provided.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Scientific Panel | Sunday, December 11, 2016 Morning Session • 08:30 - 11:00 • North Ballroom • 6th Floor SP-13

Hot Topics in Acute Pain Management Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

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.

Panel Moderator: Eugene R. Viscusi, M.D. Professor of Anesthesiology | Director, Acute Pain Management | Jefferson Medical College Thomas Jefferson University | Philadelphia, Pennsylvania After completion of this session, the participant will be able to: • • • •

Evaluate emerging challenges in acute pain management; Apply novel and emerging approaches to acute pain management; Learn the current challenges and appropriate place for opioids in acute pain management; Understand and discuss the controversies in acute pain management for infants and children.

Presentations:

Novel and Emerging Techniques for Acute Pain Management Eugene R. Viscusi, M.D.

Danielle B. Ludwin, M.D. Associate Professor of Anesthesiology | Columbia University, College of Physicians & Surgeons New York, New York

Sunday

Acute Pain Management in the Patient with Opioid Tolerance, Dependence and Addiction

Acute Pain Management in Enhanced Recovery Pathways: What the Evidence Tells Us Tong J. Gan, M.D., MHS, FRCA Professor and Chair | Department of Anesthesiology | SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

Controversies in Acute Pain Management in Infants and Children 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 Disclosures: Drs. Ludwin and Suresh do not have any financial relationships to disclose.

Dr. Gan is on the speakers bureau for Edwards Lifesciences Corporation Dr. Viscusi receives funded research support from DURECT Corporation and Pacira Pharmaceuticals, Inc.; consultant fees from Cara Therapeutics, Inc., Mallinckrodt Pharmaceuticals, Merck & Co., Inc., Pacira Pharmaceuticals, Inc., Salix Pharmaceuticals, The Medicines Company, and Trevena, Inc., and is on the speakers’ bureau for Mallinckrodt Pharmaceuticals, Salix Pharmaceuticals and The Medicines Company.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Panel | Sunday, December 11, 2016 Morning Session • 08:30 - 11:00 • Liberty Room • 8th Floor SP-14

Thoracic Anesthesia Update Panel Moderator: Edmond Cohen, M.D. Professor of Anesthesiology | 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: • • • •

Learn about current and future management strategies for esophageal surgery; Discuss the progress in lung isolation and learn how to select tubes based on the procedure; Describe the changes that have occurred in Thoracic Anesthesia to improve outcomes; Differentiate among the various alternatives for postoperative pain management for patients and develop an individually tailored approach to post thoracotomy pain management.

Presentations:

Present and Future of Esophageal Surgery Raja M. Flores, M.D. Professor and Chair | Department of Thoracic Surgery | Mount Sinai Health System | New York, New York

Sunday

Progress in Lung Isolation: Which Tube for Which Procedure?

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

A Decade of Thoracic Anesthesia: What has Changed?

Edmond Cohen, M.D.

Post Thoracotomy Pain Management: An Individually Tailored Approach Oscar A. De Leon-Casasola, M.D. Professor of Anesthesiology and Medicine | Vice-Chair, Clinical Affairs | Senior Vice-Chair | Department of Anesthesiology | University of Buffalo | Chief, Pain Medicine and Professor of Oncology | Roswell Park Cancer Institute | Buffalo, New York

Disclosures: Drs. Cohen, DeLeon-Casasola and Flores do not have any financial relationships to disclose.

Dr. Campos receives consultant fees from ET View Medical, LTD.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Scientific Panel | Sunday, December 11, 2016 Morning Session • 08:30 - 11:00 • Majestic Complex • 6th Floor SP-15

The Weaponization of Medical Quality Improvement Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

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.

Panel Moderator: 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: • • • •

List the components of the Quality Improvement Infrastructure in Medicine and how they are intended to function; Explore how these components are ideally situated to control care and advance agendas; Consider how the allocation of resources to quality improvement reflects the priority list of health care systems; Define the tensions between the needs for profitability and safe clinical practice.

Presentations:

The Social Construction of Medical Care Mark E. Nunnally, M.D., FCCM

Michael F. O'Connor, M.D., FCCM Professor of Anesthesia & Critical Care | Section Head, Critical Care Medicine | University of Chicago Chicago, Illinois

Sunday

Protocols: To Guide or To Blame?

Efficiency vs. Productivity - Are Safety and Profitability Mutually Exclusive?

J. David Roccaforte, M.D. Assistant Professor of Anesthesiology | NYU-Langone Medical Center | Surgical Intensive Care Unit Bellevue Hospital | New York, New York

Metrics: Measuring Success or Exerting Control Avery Tung, M.D., FCCM Professor and Quality Chief for Anesthesia | Department of Anesthesia and Critical Care University of Chicago Medical Center | Chicago, Illinois Disclosures: Drs. Nunnally, O’Connor and Roccaforte do not have any financial relationships to disclose.

Dr. Tung receives a salary as Section Editor for Critical Care for Anesthesia and Analgesia.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Panel | Sunday, December 11, 2016 Morning Session • 08:30 - 12:00 • South Ballroom • 6th Floor SP-16

Perioperative Brain Injury and Protection Panel Moderator: Hugh C. Hemmings, Jr., M.D., Ph.D. Professor and Chair | Department of Anesthesiology | Cornell University, Weill Cornell Medical College Anesthesiologist-in-Chief | NewYork-Presbyterian Hospital | New York, New York After completion of this session, the participant will be able to: • • •

Understand anesthetic neurotoxicity; Describe the causes and incidence of postoperative dysfunction/delirium; Develop strategies to minimize postoperative cognitive dysfunction/delirium.

Presentations:

Anesthetic Neurotoxicity: Do Our Drugs Kill Brain Cells?

Hugh C. Hemmings, Jr., M.D., Ph.D.

Sunday

Mechanisms and Risk Factors of Postoperative Delirium and Cognitive Dysfunction 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

Neurologic Monitoring and Postoperative Delirium Michael S. Avidan, M.B., B.Ch., FCASA Dr. Seymour & Rose T. Brown Professor of Anesthesiology | Director, Institute of Quality Improvement Research and Infomatics (INQUIRI) | Division Chief, Cardiothoracic Anesthesiology | Washington University School of Medicine at St. Louis | St. Louis, Missouri

Perioperative Cognitive Protection Stacey G. Deiner, M.D. Associate Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai New York, New York Disclosures: Drs. Avidan, Deiner and Hemmings do not have any financial relationships to disclose.

Dr. Culley receives funded research support from Anesthesia Patient Safety Foundation (APSF), National Institute on Aging (NIA) and Controlled Risk Insurance Company (CRICO).

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Problem-Based Learning Discussions | Sunday, December 11, 2016 Mid-Day Sessions • 12:00 - 13:00 • 6th Floor Rooms • PBL-33 through PBL-40 PBL-33 Majestic Room

Unusual Complications of Difficult Intubations in the Morbidly Obese: Recognition and Management Speaker: Francis S. Stellaccio, M.D. Associate Professor of Clinical Anesthesia | SUNY-Health Sciences Center at Stony Brook | Stony Brook, New York After completion of this session, the participant will be able to: • Evaluate complications from a difficult intubation; • Identify and distinguish between pre-existing anatomical abnormalities and aberrations caused by therapeutic procedures; • Manage the patient with difficult intubation at each point in the process, and be able to plan a new course of action.

PBL-34 Music Box Room

Hold the ACE or ARB? Perioperative Management of Antihypertensives 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 After completion of this session, the participant will be able to: • Identify the pro and con data regarding perioperative beta-blockade and perioperative outcomes; • Understand the physiology behind the beneficial and adverse effects of perioperative beta-blockade use; • Formulate evidence-based guidelines for perioperative beta-blockers.

PBL-35 Winter Garden Room

Speaker: Tracey Straker, M.D., M.P.H. Associate Professor of Anesthesiology | Albert Einstein College of Medicine | Bronx, New York

Sunday

Jet Ventilation

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

PBL-36 Palace Room

Maternal Hemorrhage Speakers: Shamantha G. Reddy, M.D. Assistant Professor of Anesthesiology Albert Einstein College of Medicine Bronx, New York

Rishimani S. N. Adsumelli, M.D., B.S., FFARCS 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: • Recognize the implications of the different types of placental abnormalities on post partum hemorrhage; • Identify alternative methods for treating maternal hemorrhage (i.e. embolization); • Establish a plan for multidisciplinary communication and teamwork in the event of maternal hemorrhage.

Disclosures: Drs. Adsumelli, Gloff, Reddy, Stellaccio and Straker do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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PBL-37 Shubert Room

Complications of Neuromuscular Blockade Reversal: Should Reversal Be Given to All Patients?

Speaker: Mark Abel, M.D. Attending Anesthesiologist | Lawrence Hospital | Bronxville, New York After completion of this session, the participant will be able to: • Describe the physiology and pharmacology of neuromuscular blocking drugs and reversal agents; • Identify the risks of residual paralysis and reversal agents; • Manage the emergence from anesthesia in the patient who received neuromuscular blockade.

PBL-38 Uris Room

My Colleague is Suffering Burnout: How Can I Help?

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

Melinda A. Aquino, M.D. Assistant Professor of Anesthesiology and Pain Management | Albert Einstein College of Medicine Bronx, New York

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

Sunday

• • •

Identify professional difficulties encountered by the burned out physician; Recognize the implications of burnout among medical professionals, with emphasis on anesthesiologists and critical care specialists; Explain how burnout affects clinical competency, patient care and interaction between members of anesthesia team; Deploy methods to recognize burnout and point out ways to help your colleague anesthesiologist to overcome it; Formulate a plan for burnout prevention/reduction at your department or practice.

PBL-39 Plymouth Room

Management of Intraoperative Bronchospasm Speakers: Marcus Gutzler, M.D. Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College New York, New York

Jessica Baer, M.D. Attending Anesthesiologist Winthrop University Hospital Mineola, New York

After completion of this session, the participant will be able to: • Identify causes of bronchospasm in the intraoperative period; • Select an appropriate anesthetic plan for management of intraoperative bronchospasm; • Formulate a plan utilizing updated ventilator modalities to manage a patient with perioperative bronchospasm.

PBL-40 Royale Room

Trauma Team to the ER: New Trauma Resuscitation Guidelines Speaker: Mitchell Y. Lee, M.D. Assistant Professor of Anesthesiology | Assistant Residency Director | NYU-Langone Medical Center New York University School of Medicine | New York, New York After completion of this session, the participant will be able to: • Discuss new trauma resuscitation guidelines; • Develop a multidisciplinary trauma team approach to managing the trauma victim.

Disclosures: Drs. Abel, Aquino, Baer, Gutzler, Lee and Pisklakov do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Mini Workshops | Sunday, December 11, 2016 | MW-21 through MW-25 Afternoon Sessions • 12:00 - 13:00 • 4th & 7th Floor Rooms MW-21 Odets Room - 4th Floor

Difficult Cases in Pain Medicine: Problems and Solutions Speaker: Kristoffer Padjen, M.D., Ph.D. Assistant Professor of Anesthesiology, Perioperative Care, and Pain Medicine | NYU- Langone Medical Center | New York, New York After completion of this session, the participant will be able to: • Delineate which pain syndromes are very difficult to effectively treat; • Delineate the effect of the FDA mandated REMS program on opiate prescribing; • Delineate which patients are most appropriate for a multi-disciplinary approach.

MW-22 Wilder Room - 4th Floor

Update on Anesthesia for Spinal Surgery 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: • Evaluate the proper monitoring and position required for spinal surgery; • Assess the need for cell-saver, autologous blood donation and hemodilution; • Enumerate the risk factors for postoperative visual loss; • Implement changes in practice to avoid postoperative visual loss.

MW-23 Ziegfeld Room - 4th Floor

Anesthesia Outside the Operating Room Speaker: Jay R. Shayevitz, M.D., M.S., FAAP Attending Anesthesiologist | Director, Non-OR Anesthesia | Montefiore Medical Center | Bronx, New York

Sunday

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

MW-24 O’Neill Room - 4th Floor

Regional Anesthesia for Head and Neck Surgery Speaker: 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 After completion of this session, the participant will be able to: • Identify the key pre-anesthetic assessment issues in head and neck surgery; • Delineate which anatomic structures can be injured during surgery which has post-procedure implications; • Delineate a plan for post-operative analgesia.

MW-25 Columbia/Duffy Room - 7th Floor

Are You Ready to be a Director or Chair of an Anesthesia Department?

Speaker: Steven D. Boggs, M.D., M.B.A., CPE Associate Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York | Director, Operating Room | Chief, Anesthesia Service | James J. Peters VA Medical Center | Bronx, New York After completion of this session, the participant will be able to: • Define three styles of leadership; • Identify their best fit style of leadership; • Identify the style of leadership of the hospital administration and or surgery department.

Disclosures: Drs. Boggs, DeMaria, Padjen, Shayevitz and Urban do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Sunday, December 11, 2016 Mid-Day Session • 12:00 - 15:00 • Soho Complex • 7th Floor W-14

Ultrasound, Simulation and Stimulation for Peripheral Nerve Blocks 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 Station IV Nerve Blocks of the Lower Extremity - Ultrasound Technique Workshop Moderators:

Assisted by:

Mitchell H. Marshall, M.D. Clinical Associate Professor of Anesthesiology Chief, Department of Anesthesiology NYU-Langone Medical Center-Hospital for Joint Diseases | New York, New York

Michael Akerman, M.D. Attending Anesthesiologist Westchester Medical Center Valhalla, 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 Michael R. Anderson, M.D. Nebraska Medicine Fritch Surgery Center Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Omaha, Nebraska New York, New York Christina L. Jeng, M.D. Assistant Professor of Anesthesiology Arthur Atchabahian, M.D. and Orthopaedics Professor of Clinical Anesthesiology NYU-Langone Medical Center-Hospital Icahn School of Medicine at Mount Sinai for Joint Diseases | New York, New York New York, New York

Sunday

Robert A. Altman, M.D. Attending Anesthesiologist | NYULangone 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

Jung T. Kim, M.D. Associate Professor of Anesthesiology Executive Vice Chairman Department of Anesthesiology NYU-Langone Medical Center New York, New York Sunmi Kim, M.D., B.S. Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York

Jovan Popovic, M.D., FRCPC Assistant Professor of Anesthesiology NYU-Langone Medical Center Medical Director, NYU-Langone Outpatient Surgery | New York, New York

Mitchell Y. Lee, M.D., B.A. Assistant Professor of Anesthesiology Assistant Residency Director NYU-Langone Medical Center New York, New York Danielle B. Ludwin, M.D. Associate Professor of Anesthesiology Columbia University, College of Physicians & Surgeons New York, New York Milad Nazemzadeh, M.D. Clinical Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York Meg A. Rosenblatt, M.D. Professor of Anesthesiology and Orthopaedics | Icahn School of Medicine at Mount Sinai | Chair, Department of Anesthesiology | Icahn School of Medicine Mount Sinai St. Luke’s | Mount Sinai West | New York, New York Santhanam Suresh, M.D. Arthur C. King Professor & Chair Department of Pediatric Anesthesiology Ann & Robert H. Lurie Children's Hospital of Chicago | Chicago, Illinois

Eric M. Kitain, M.D. Tiffany R. Tedore, M.D. Chair, Department of Anesthesiology Co-Director, Regional Anesthesiology Norwalk Hospital | Norwalk, Connecticut and Acute Pain Medicine Associate Professor of Anesthesiology Yan Lai, M.D. Cornell University, Weill Cornell Medical College | NewYork-Presbyterian Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Hospitalbyterian Hospital New York, New York New York, New York

Shruthima Thangada, M.D. Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York Simon Tom, M.D. Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York Uchenna Umeh, M.D. Assistant Professor of Anesthesiology NYU-Langone Medical Center-Hospital for Joint Diseases New York, New York Daniel B. Wambold, M.D. Attending Anesthesiologist The Valley Hospital Ridgewood, New Jersey 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

After completion of this session, the participant will be able to: • Apply the use of nerve stimulator techniques for upper and lower extremity blocks; • Treat reflex sympathetic dystrophy with either intravenous anesthesia (Bier block) or nerve block; • Utilize ultrasound technology for upper and lower extremity blocks.

Disclosures: Drs. Akerman, Altman, Anderson, Atchabahian, Birmingham, Boublik, Capan, Furgiuele, Heiser, Jeng, J. Kim, S. Kim, Kitain, Lai, Lee, Ludwin, Marshall, Popovic, Rosenblatt, Suresh, Thangada, Tom, Umeh, Wambold, Wardhan, Warren and Weinberg do not have any financial relationships to disclose.

Dr. Nazemzadeh received a consultant fee from Synchrony Medical Communications.

Dr. Tedore's spouse receives a salary from TG Therapeutics.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Scientific Panel | Sunday, December 11, 2016 Afternoon Session • 13:00 - 15:30 • North Ballroom • 6th Floor SP-17

Regional Anesthesia Update Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

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.

Panel Moderator: Meg A. Rosenblatt, M.D. Professor of Anesthesiology and Orthopaedics | Icahn School of Medicine at Mount Sinai | Chair, Department of Anesthesiology | Icahn School of Medicine Mount Sinai St. Luke’s | Mount Sinai West | New York, New York After completion of this session, the participant will be able to: • • • •

Discuss the perioperative management of patients who are having regional anesthetics and take anticoagulant or antiplatelet medications; Describe the evidence for the use of ultrasound in the performance of ultrasound-guided regional anesthesia; Determine the components of a successful enhanced recovery program for patients undergoing total joint replacements; Describe ultrasound guided nerve blocks for non-orthopedic surgeries and know when they are appropriately used.

Presentations:

The Patient on Anticoagulant/Antiplatelet Therapy and Regional Anesthesia

The 2nd ASRA Evidence-Based Medicine Analysis of Ultrasound-Guided Regional Anesthesia

Sunday

Terese T. Horlocker, M.D. Professor of Anesthesiology and Orthopedics | Mayo Clinic in Rochester | Rochester, Minnesota

Joseph M. Neal, M.D. Anesthesia Faculty | Virginia Mason Medical Center | Clinical Professor of Anesthesiology University of Washington | Seattle, Washington

Enhanced Recovery After Total Joint Replacement: Facts and Myths Jacques T. YaDeau, M.D., Ph.D. Associate Attending Anesthesiologist | Hospital for Special Surgery | Clinical Associate Professor of Anesthesiology | Cornell University, Weill Cornell Medical Center | New York, New York

Ultrasound Guided Blocks for Non-Orthopedic Surgery Meg A. Rosenblatt, M.D.

Disclosures: Drs. Horlocker, Neal, Rosenblatt and YaDeau do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Panel | Sunday, December 11, 2016 Afternoon Session • 13:00 - 15:30 • Manhattan Ballroom • 8th Floor SP-18

Production Pressures: Impact on Patient Safety Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

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.

Panel Moderator: Mark A. Warner, M.D. Professor of Anesthesiology | Mayo Clinic Foundation | Rochester, Minnesota After completion of this session, the participant will be able to: • • •

Understand key patient care elements impacted by production pressures; Recognize how production pressures may negatively impact patient safety; Discuss the potential negative impact of production pressures on anesthesia professionals.

Presentations:

Production Pressures: A Deep-Seated Aspect of High-Risk Endeavors

Sunday

David M. Gaba, M.D. Associate Dean for Immersive and Simulation-Based Learning | Professor of Anesthesiology, Perioperative and Pain Medicine | Stanford University School of Medicine | Stanford, California | Staff Anesthesiologist & Co-Director, Patient Simulation Center of Innovation | VA Palo Alto Health Care Systems | Palo Alto, California

Production Pressures, Medical Errors and the Pre-Anesthetic Checkout 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

Production Pressure, Stress and Burnout in a Challenging Economic Climate Mary Ann Vann, M.D. Assistant Professor of Anaesthesia | Harvard Medical School | Boston, Massachusetts

Production Pressure, Productivity: Primum Non Nocere?

Myriam P. Garzon, M.D., M.B.A. Anesthesiologist, Anesthesia Section | Orlando VA Medical Center | Orlando, Florida

Efficiency and Patient Safety: Are They Inversely Related?

Brian J. Cammarata, M.D. Director, Quality Assurance | Old Pueblo Anesthesia | Clinical Assistant Professor of Anesthesiology University of Arizona | Chief Medical Information Officer | Tucson Medical Center | Tucson, Arizona

Wasteful Cognitive Biases for Turnover Time and Anesthesia Time Reduction Franklin Dexter, M.D., Ph.D. Professor of Anesthesiology | Director, Division of Management Consulting | University of Iowa Hospital and Clinics | Iowa City, Iowa Disclosures: Drs. Cammarata, DeMaria, Dexter, Gaba, Garzon, Vann and Warner do not have any financial relationships to disclose.

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Scientific Panel | Sunday, December 11, 2016 Afternoon Session • 13:00 - 15:30 • South Ballroom • 6th Floor SP-19

_________________________________________________________

International Forum

The faculty presenting this program are participating courtesy of the European Society of Anaesthesiologists as part of a collaborative educational exchange with the PostGraduate Assembly in Anesthesiology.

This is a continuing series of annual forums to discuss anesthesia practices throughout the world.

European Anaesthesiology: A Different Paradigm Panel Moderator: Charles Marc Samama, M.D., Ph.D., FCCP Professor and Chair | Department of Anaesthesia and Intensive Care Medicine | Cochin University Hospital Paris, France After completion of this session, the participant will be able to: • • • • •

Appreciate the differences in philosophy between European and U.S. anesthesiology practices; Understand the integrative approach of anesthesiologists for perioperative care; Discuss the aging concerns in the practice of anesthesiologists; Define the updated European Guidelines on VTE Prophylaxis and massive bleeding; Discuss the clinical practice of muscle relaxants in Europe and the impact on postoperative pulmonary complications.

Presentations:

Andreas Hoeft, M.D., Ph.D. Director, Department of Anesthesiology and Intensive Care Medicine | University of Bonn | Bonn, Germany

Sunday

ICU-OR-ER in Europe: An Integrative Approach of Anesthesiologist for Perioperative Care

Aging Considerations: Also in Europe Idit Matot, M.D. Chair, Division of Anesthesiology, Critical Care and Pain | Tel Aviv Medical Center | Professor of Anesthesiology Sackler School of Medicine, Tel Aviv University | Tel Aviv, Israel

VTE Prophylaxis and Massive Bleeding: New and Updated European Guidelines Charles Marc Samama, M.D.

Clinical Practice of Muscle Relaxant Use in Europe and Possible Impact on Postoperative Pulmonary Complications Manfred Blobner, M.D. Professor of Anesthesiology | Klinikum rechts der Isar | Technische Universitat Munchen | Munich, Germany Disclosures: Drs. Hoeft and Matot do not have any financial relationships to disclose.

Dr. Blobner receives consultant fees and honoraria from MSD, Germany, a subsidiary of Merck & Co., Inc Dr. Samama receives consultant fees from Daichii-Sankyo Company, Medtronic, Inc., and honoraria from Aspen, Siemens and LFB. Host: Audrée A. Bendo, M.D., M.S.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Panel | Sunday, December 11, 2016 Afternoon Session • 13:00 - 15:30 • Astor Ballroom • 7th Floor SP-20

Hot Topics in Chronic Pain Management Panel Moderator: Oscar A. DeLeon-Casasola, M.D. Professor of Anesthesiology and Medicine | Vice-Chair, Clinical Affairs | Senior Vice-Chair Department of Anesthesiology | University of Buffalo | Chief, Pain Medicine and Professor of Oncology Roswell Park Cancer Institute | Buffalo, New York After completion of this session, the participant will be able to: • • •

Address the most prominent topics in pain management in 2016; Discuss the evidence in the literature on these topics; Review the current clinical applications of cannabinoids for pain management and the evidence for regenerative medicine.

Presentations:

The Science of Cannabinoids for Pain Management

Sunday

Sudhir A. Diwan, M.D., ABIPP, FIPP Executive Director | Manhattan Spine and Pain Medicine | Attending in Pain Medicine | Lenox Hill Hospital Affiliate of North Well Health System | New York, New York | Associate Clinical Professor of Physiatry (PM&R) Albert Einstein College of Medicine | Bronx, New York

Would You Use Marijuana If You Knew This?

Oscar A. De Leon-Casasola, M.D.

Predictors of Outcomes for Both Nonsurgical and Surgical Spine Care Richard L. Rauck, M.D., FIPP Carolinas Pain Institute | Pain Fellowship Director | Wake Forest University School of Medicine Winston-Salem, North Carolina

Critical Appraisal of the Evidence on Regenerative Medicine Dmitri Souzdalnitski, M.D. Attending Anesthesiologist | Western Reserve Hospital | Cuyahoga Falls, Ohio

Disclosures: Drs. DeLeon-Casasola, Diwan and Souzdalnitski do not have any financial relationships to disclose.

Dr. Rauck receives funded research support from Boston Scientific Corporation, Medtronic, Inc., Nevro Corporation and St. Jude Medical Inc. He is on the speaker’s bureau and receives consultant fees from Boston Scientific Corporation and Jazz Pharmaceuticals.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Focus Sessions | Sunday, December 11, 2016 Afternoon Sessions • 15:00 - 17:00 • Marquis Ballroom “C” • 9th Floor FS-16

NYSSA Committee on Retirement Burn Bright, Burnout, Burn Up: A Medical Career?

Focus Session Moderator: Rhoda D. Levine, M.D. Retired, Associate Professor of Anesthesiology | Albert Einstein College of Medicine of Yeshiva University Attending Anesthesiologist | Montefiore Medical Center | Bronx, New York Co-Chair, NYSSA Committee on Retirement

Faculty Presentations:

"You Just Know It's Time When...”

Elizabeth A. M. Frost, M.D. Clinical Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York

Emphasizing Issues Leading to Burnout and Its Consequences from Medical School, Through Residency and Your Career Arthur S. Hengerer, M.D., FACS Board Chair | Federation of State Medical Boards | Euless, Texas | Board Chair | New York State Office of Professional Medical Conduct | Albany, New York

Sunday

Discussing Physician Fatigue and Wellness Programs for Physicians Haleh Saadat, M.D., FAAP Associate Professor of Anesthesiology | Frank H. Netter MD School of Medicine - Quinnipiac University Hamden, Connecticut After completion of this session, the participant will be able to: • Highlight issues associated with the phenomenon of "burnout", particularly as it applies to physicians; • Discuss recognition of signs, contributing factors, consequences, and possible solutions to the problem of "physician burnout" focusing on the specialty of anesthesiology.

Disclosures: Drs. Frost, Hengerer, Levine and Saadat do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Sunday, December 11, 2016 Afternoon Session • 15:30 - 17:00 • Columbia/Duffy Rooms • 7th Floor Special Session

Neuromuscular Blockade: Past, Present, Future and Pediatric Panel Moderator: Scott B. Groudine, M.D. Professor of Anesthesiology and Surgery Albany Medical College Albany, New York After completion of this session, the participant will be able to: • Recognize the importance of chemical structure in neuromuscular blocking agents to their function; • Identify the weaknesses of different neuromuscular blocking agents from the past and present; • Identify the direction current research is going to fill the pharmacologic gaps in neuromuscular blocking agents.

Presentations:

Past Ruchir Gupta, M.D. Assistant Professor of Anesthesiology SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

Sunday

Present and Future 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

Pediatric Farzana Afroze, M.D. Assistant Professor of Anesthesiology Albany Medical College Albany, New York

Disclosures: Drs. Afroze, Groudine and Gupta do not have any financial relationships to disclose.

Dr. Rosenfeld is on the speakers’ bureau for Merck & Co., Inc. and receives honoraria from Baxter International Inc.

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Focus Sessions | Sunday, December 11, 2016 | FS-17 & FS-18 Afternoon Sessions • 15:45 - 17:00 • Various Floors FS-17 Empire Complex - 7th Floor

Current Issues Forum: Perspectives on Medical Malpractice in New York - 2016 and Beyond Focus Session Moderator: David J. Wlody, M.D. Professor of Clinical Anesthesiology | Vice-Chair, Education Department of Anesthesiology | Director, Anesthesiology Residency Program | SUNY-Downstate Medical Center Brooklyn, New York Faculty Presentations:

Medical Malpractice: The Insurer’s Perspective Michael J. Schoppmann, Esq. President, MLMIC Services, Medical Liability Mutual Insurance Co. New York, New York

Medical Malpractice in New York: The Legislative Perspective Moe Auster, Esq. Senior Vice President, Legislative & Regulatory Affairs | Medical Society of the State of New York Albany, New York

FS-18 Wilder Room - 4th Floor

Sunday

After completion of this session, the participant will be able to: • Describe the issues confronting medical liability insurers in a challenging regulatory environment; • Describe the prospects for changes regarding medical liability in the upcoming legislative session.

Vasoplegia: What Is It, How to Treat It Focus Session Moderator: Menachem Weiner, M.D. Associate Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York Faculty Presentations:

Standard Treatment Protocols Matthew A. Levin, M.D. Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York

The Role of Methylene Blue Menachem Weiner, M.D. After completion of this session, the participant will be able to: • Recognize signs of vasoplegia; • Discuss and develop treatment protocols; • Discuss the role of methylene blue in treatment of vasoplegia; • Know the risk and benefits of various treatment protocols and be able to implement in their practice.

Disclosures: Drs. Levin, Weiner, Wlody, Mr. Auster and Mr. Schoppmann do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Focus Sessions | Sunday, December 11, 2016 | FS-19 & FS-20 Afternoon Sessions • 15:45 - 17:00 • 4th Floor Rooms FS-19 Ziegfeld Room

Guidelines That May Affect Your Practice Focus Session Moderator: Apolonia E. Abramowicz, M.D. Former Associate Professor of Clinical Anesthesiology and Clinical Neurosurgery | Albert Einstein School of Medicine | Montefiore Medical Center | Bronx, New York Faculty Presentations:

Stay Abreast of National Guidelines that Impact the Practice of Anesthesiology: What Other Specialists Think We Should be Doing Apolonia E. Abramowicz, M.D.

Managing Surgical Pain Starts in The OR: The American Academy of Pain 2016 Guidelines Karina Gritsenko, M.D. Program Director, Regional Anesthesia and Acute Pain Medicine Fellowship Director, Regional Anesthesia and Acute Pain Medicine Resident Rotations Assistant Professor of Anesthesiology, Family & Social Medicine, and Physical Medicine & Rehabilitation Montefiore Medical Center/Albert Einstein College of Medicine | Bronx, New York

Sunday

After completion of this session, the participant will be able to: • Discuss important guidelines impacting on perioperative management; • Adapt patient management to important non-anesthesia developed guidelines; • Describe the guidelines for surgical pain management issued by the American Academy of Pain Medicine; • Develop pain treatment plans for surgical patients that incorporate recommendations by the American Academy of Pain Management.

FS-20 Odets Room

Update on Cardiac Rhythm Devices Focus Session Moderator: 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 Faculty Presentation:

The Perioperative Assessment and Evaluation of the Patient with a CIED Jennie Y. Ngai, M.D. Assistant Professor of Anesthesiology | Director, Cardiothoracic Anesthesiology Fellowship | Division of Cardiothoracic Anesthesiology | NYU-Langone Medical Center | New York, New York

The Perioperative Management of the Patient with a CIED, a Case Based Discussion Marc E. Stone, M.D. After completion of this session, the participant will be able to: • Describe the different types of devices, their functions, and current indications for pacemakers and ICD’s; • Perform an appropriate perioperative evaluation of the patient with a pacemaker or ICD; • Formulate a plan for perioperative management of patients with implantable devices; • Identify procedures that may interfere with these devices.

Disclosures: Drs. Abramowicz, Gritsenko, Ngai and Stone do not have any financial relationships to disclose.

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Focus Sessions | Sunday, December 11, 2016 | FS-21 & FS-22 Afternoon Sessions • 15:45 - 17:00 • 7th Floor Rooms FS-21 Astor Ballroom

Problems in Geriatric Anesthesia Focus Session Moderator: Stacie G. Deiner, M.D. Associate Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York Faculty Presentations:

Delirium Following Anesthesia in the Elderly: What Is the Significance and Can It Be Prevented?

Stacie G. Deiner, M.D.

Surgical Procedures in the Elderly and Cognitive Decline: Is There an Issue?

Robert A. Whittington, M.D. Associate Professor of Anesthesiology | Columbia University, College of Physicians & Surgeons | New York, New York After completion of this session, the participant will be able to: • Identify the issues of postoperative cognitive decline following surgery; • Identify the issues surrounding delirium in the elderly; • Develop strategies to minimize POCD and delirium in the elderly following surgery and anesthesia.

FS-22 Soho Complex

Pediatric Pain Management: What Is the Best Practice?

Sunday

Focus Session Moderator: Bettina Smallman, M.D. Associate Professor of Anesthesiology | Director of Pediatric Anesthesia | Upstate Medical University Syracuse, New York Faculty Presentations:

Regional Methods 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

Pharmacological Approach Bettina Smallman, M.D. After completion of this session, the participant will be able to: • Discuss current methods of pain management in pediatric patients including both pharmacologic and regional methods; • Describe the medications used for pain relief in children in terms of pharmacokinetics, pharmacodynamics, and adverse side effects; • Discuss the risks and benefits of various types of regional anesthesia for pediatric patients; • Formulate an anesthetic plan for pain management in pediatric patients undergoing various types of surgical procedures.

Disclosures: Drs. Deiner, Smallman, Suresh and Whittington do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Focus Sessions | Sunday, December 11, 2016 | FS-23 Afternoon Session • 15:45 - 17:00 • 8th Floor FS-23 Manhattan Ballroom

Infection Control Issues Impacting Anesthesiology Practice Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

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.

Focus Session Moderator: Richard A. Beers, M.D. Professor of Anesthesiology Upstate Medical University Veteran’s Administration Medical Center Syracuse, New York Faculty Presentations:

The Anesthesia Professional's Role in Limiting Infectious Risks Richard A. Beers, M.D.

Safe Injection Practices: Is This Something New?

Sunday

Elliott S. Greene, M.D. Professor of Anesthesiology Albany Medical College Albany, New York

How to Develop a Program to Reduce Surgical Site Infections Amanda J. Rhee, 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: • Describe current infection prevention recommendations and safe injection practices as applicable to anesthesia practice; • Implement infection prevention recommendations into practice.

Disclosures: Drs. Beers, Greene and Rhee do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Problem-Based Learning Discussions | Sunday, December 11, 2016 Afternoon Sessions • 15:45 - 17:00 • 6th Floor Rooms • PBL-41 through PBL-48 PBL-41 Majestic Room

Delirium: What Can I Do to Prevent It? Speakers: Kenneth B. Newman, M.D. Chairman and Medical Director | Adirondack Medical Center Premier Anesthesia | Saranac Lake, New York Clinical Professor of Anesthesiology | Voluntary Faculty Upstate Medical University | Syracuse, New York

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

After completion of this session, the participant will be able to: • Recognize risk factors for delirium in the postoperative setting; • Identify patients most likely to develop postoperative delirium; • Formulate an anesthetic plan that minimizes the risk of postoperative delirium; • Apply measures to treat delirium when it occurs.

PBL-42 Music Box Room

Toxicology and Trauma in a Teenager Speaker: Anna K. Kaminski, D.O. Assistant 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: • Review the anesthetic implications of the substances most commonly used and abused by young adults and teenagers; • Formulate an anesthetic plan which incorporates knowledge of potential substance abuse in the care of the trauma victim.

Hip Fracture in a Patient with Coronary Stents Speakers: Michael J. FitzPatrick, M.D. Assistant Professor of Anesthesiology Albany Medical Center | Albany, New York

Sunday

PBL-43 Winter Garden Room

Bessie Kachulis, M.D. Assistant Professor of Anesthesiology | Division of Cardiothoracic Anesthesiology | Columbia University, College of Physicians and Surgeons | New York, New York

After completion of this session, the participant will be able to: • Discuss the latest recommendations regarding dual antiplatelet therapy in the patient with coronary stents; • Develop a comprehensive plan to manage dual antiplatelet therapy in the hip fracture patient for the perioperative period.

PBL-44 Palace Room

Trauma Team to the ER: New Trauma Resuscitation Guidelines Speakers: Samrat H. Worah, M.D. Program Director, Anesthesiology Critical Care Medicine Professor of Anesthesiology | SUNY-Downstate Medical Center | Brooklyn, New York

Anushirvan Minokadeh, M.D. Clinical Professor of Anesthesiology Vice Chair, Critical Care Medicine UC San Diego Medical Center | San Diego, California

After completion of this session, the participant will be able to: • Review various non-invasive ventilation modalities available for PACU; • Identify appropriate patients for the use of non-invasive ventilator assistance; • Establish guidelines for the use of non-invasive ventilation in the postoperative patient.

Disclosures: Drs. FitzPatrick, Kachulis, Kaminski, Levine, Minokadeh, Newman and Worah do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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PBL-45 Shubert Room

Non-Surgical Approaches for the Herniated Disc Speaker: Leena Mathew, M.D. Associate Professor of Anesthesiology | Program Director Pain Fellowship | Columbia University, College of Physicians & Surgeons | New York, New York After completion of this session, the participant will be able to: • Identify etiologies of pain from herniated disc; • Describe various interventional techniques to address pain from herniated lumbar disc; • Formulate an interventional based plan for the management of a patient with herniated lumbar disc.

PBL-46 Uris Room

Mass Casualty: Anesthetic Management Speaker: Adam D. Lichtman, M.D., FASE Captain Medical Corps United States Navy | Director of 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 After completion of this session, the participant will be able to: • Recognize challenges of administering anesthesia in a mass casualty situation; • Formulate a plan for the care of anesthetic management mass casualty victims.

PBL-47 Plymouth Room

Sunday

Is Nitrous Oxide Obsolete?

Speaker: Kane O. Pryor, M.D. Associate Professor of Anesthesiology and Psychiatry | Cornell University, Weill Cornell Medical College New York, New York After completion of this session, the participant will be able to: • Discuss the potential risks and advantages of the use of nitrous oxide; • Identify which patients may be at increased risk from use of nitrous oxide; • Establish an anesthetic plan which does not require the use of nitrous oxide in at-risk patients.

PBL-48 Royale Room

Extubation of a Bariatric Patient Speakers: Ram Roth, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Robert M. Chuda, M.D., M.B.A. Attending Anesthesiologist Lenox Hill Hospital New York, New York

After completion of this session, the participant will be able to: • Define morbid obesity and calculate body mass index; • Discuss the medical complications associated with morbid obesity; • Design an anesthetic for the specific needs of the morbidly obese patient undergoing bariatric surgery.

Disclosures: Drs. Chuda, Lichtman, Mathew, Pryor and Roth do not have any financial relationships to disclose.

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70th Annual PostGraduate Assembly in Anesthesiology December 9 – December 13, 2016 Marriott Marquis, New York | USA

TODAY’S SPECIAL SESSION:

Rovenstine Memorial Lecture Guest Lecturer: Robert N. Sladen, M.B., Ch.B., FCCM Broadway Ballroom • 10:45 am

Monday, December 12, 2016 Times

Workshops, Mini Workshops and Problem-Based Learning Discussions require a ticket.

Please refer to page 3 for fees.

Monday

Registration ....................................................................................................................................... 07:00 Hands-On Workshops .................................................................................................... 08:00 & 11:45 E.A. Rovenstine Memorial Panel..................................................................................................08:30 Technical Exhibits ............................................................................................................................ 09:00 Poster Presentations & Medically Challenging Case Reports .............................................. 09:30 46th Annual Rovenstine Memorial Lecture......................................................................................10:45 Problem-Based Learning Discussions ...................................................................... 11:45 & 15:45 Mini Workshops.................................................................................................................................11:45 Scientific Panels ................................................................................................................................13:00 Focus Sessions ...................................................................................................................................15:45

Please silence your mobile devices

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Monday, December 12, 2016 Morning Session • 08:00 - 11:00 • Empire Complex • 7th Floor W-15

Basic Focused Surface Ultrasound for the Perioperative Anesthesiologist Workshop Moderators: James A. Osorio, M.D. Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical Center | Program Director, Critical Care Medicine | Department of Anesthesiology NewYork-Presbyterian Hospital | NewYork, New York Stephen C. Haskins, M.D. Assistant Attending Anesthesiologist Hospital for Special Surgery | Clinical Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College New York, New York

Oliver P. F. Panzer, M.D. Assistant Professor of Anesthesiology Director, Perioperative Ultrasound Education Division of Critical Care & Regional Anesthesia | Columbia University, College of Physicians & Surgeons | New York, New York

Natalia S. Ivascu, M.D. Associate Professor of Clinical Anesthesiology Cornell University, Weill Cornell Medical Center | New York, New York

Nikolaos J. Skubas, M.D., FACC, FASE, D.Sc. Professor of Clinical Anesthesiology & Cardiothoracic Surgery | Director, Cardiac Anesthesia | Attending Anesthesiologist Cornell University, Weill Cornell Medical College | New York, New York

Adriaan van Rensburg, M.D. Assistant Professor of Anesthesiology Director, Point of Care Ultrasound University of Toronto Toronto, Canada Steven G. Venticinque, M.D. Professor of Clinical Anesthesiology & Surgery | Program Director, Anesthesiology Crtical Care Fellowship Director, TRSAT Critical Care Consortium Director, Audie L. Murphy VA Surgical ICU Department of Anesthesiology | University of Texas Health Science Center | San Antonio, Texas

Assisted by:

Monday

Jan Boublik, M.D., Ph.D. Clinical Assistant Professor, Anesthesiology, Perioperative and Pain Medicine Stanford University | Stanford, California

Amanda J. Rhee, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Medical Director, Patient Safety Mount Sinai Hospital New York, New York

Shanna S. Hill, M.D. Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College Sudarshan Setty, M.D. New York, New York Assistant Professor of Anesthesiology University of Minnesota Wolf Benjamin Kratzert, M.D. Minneapolis, Minnesota Assistant Clinical Professor of Anesthesiology Department of Anesthesiology and Ketan Shevde, M.D. Perioperative Medicine | UCLA David Geffen Clinical Professor of Anesthesiology School of Medicine | Los Angeles, California 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 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 Paul D. Weyker, M.D. Assistant Professor of Anesthesiology Columbia University, College of Physicians & Surgeons Divisions of Critical Care, General/Regional Anesthesia and Pain Medicine New York, New York

After completion of this session, the participant will be able to acquire images, handle a portable ultrasound machine and interpret information from: • 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: • Point-of-care evaluation in patients with unexpected hypoxia, hypotension, oliguria and cardiac arrest.

Disclosures: Drs. Boublik, Haskins, Hill, Ivascu, Kratzert, Osorio, Panzer, Rhee, Setty, Shevde, Skubas, Sobol, Tanaka, Venticinque, van Rensburg, and Weyker do not have any financial relationships to disclose.

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Workshop | Monday, December 12, 2016 Morning Session • 08:00 - 11:00 • Shubert Complex • 6th Floor W-16

Thoracic Anesthesia Workshop with Simulator and Cadaveric Torso Workshop Moderator: Edmond Cohen, M.D. Professor of Anesthesiology | Director, Thoracic Anesthesia Icahn School of Medicine at Mount Sinai | New York, New York Assisted by: Felice E. Agro, M.D. Professor and Chair Department of Anesthesiology Intensive Care and Pain Management University Campus Bio-Medico Rome, Italy Levon M. Capan, M.D. Professor of Anesthesia NYU-Langone Medical Center Associate Director, Anesthesia Bellevue Hospital 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 Jonathan D. Leff, M.D. Associate Professor of Anesthesiology Montefiore Medical Center Bronx, New York

Cesar Rodriguez-Diaz, M.D. 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 Anesthesiology Columbia University, College of Physicians & Surgeons New York, New York Eugene R. Viscusi, M.D. Professor of Anesthesiology Director, Acute Pain Management Jefferson Medical College Thomas Jefferson University Philadelphia, Pennsylvania Charles B. Watson, M.D., FCCM Deputy Surgeon-in-Chief Bridgeport Hospital Yale-New Haven Health System Bridgeport, Connecticut

Monday

Jennifer A. Macpherson, M.D. Assistant Professor of Anesthesiology Chief, Division of Thoracic Anesthesiology Maria D. Castillo, M.D. Director, Medical Student Assistant Professor of Anesthesiology Anesthesiology Clerkship Icahn School of Medicine at Mount Sinai University of Rochester School of New York, New York Medicine and Dentistry Department of Anesthesiology Samuel DeMaria, Jr., M.D. Rochester, New York Associate Professor of Anesthesiology Director, Division of Liver Transplantation Anuj Malhotra, M.D. Assistant Program Director for Academic Assistant Professor of Anesthesiology Affairs, Anesthesiology Residency Icahn School of Medicine at Mount Sinai Training Program | Director of Research, New York, New York The Mount Sinai HELPS Center Department of Anesthesiology | Mount Joshua S. Mincer, M.D., Ph.D. Sinai Health System | New York, New York Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Dawn P. Desiderio, M.D. Attending Physician, Mount Sinai Acting Chair| Professor of Clinical Hospital | New York, New York Anesthesiology | Cornell University, Weill Section Chief, Thoracic Anesthesia Cornell Medical College | Clinical James J. Peter VA Medical Center Member | Memorial Sloan-Kettering Bronx, New York Cancer Center | New York, New York Steven M. Neustein, M.D. Marian Dumitru, M.D. Professor of Anesthesiology Attending Anesthesiologist Icahn School of Medicine at Mount Sinai Jamaica Hospital Medical Center New York, New York Jamaica, New York

Daniel K. O’Neill, M.D. 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

After completion of this session, the participant will be able to: • Place left and right-sided double lumen endobronchial tube, utilizing fiberoptic bronchoscopy; • Place various types of endobronchial blockers to provide one lung ventilation; • Apply techniques for successful lung separation in patients with a difficult airway; • Manage hypoxia in a patient with one-lung ventilation; • Manage postoperative analgesia in the post-lung resection patient.

Disclosures: Drs. Agro, Capan, Castillo, Cohen, DeMaria, Desiderio, Dumitru, Khelemsky, Leff, Macpherson, Malhotra, Mincer, Neustein, O’Neill, Rodriguez-Diaz, Spellman and Watson do not have any financial relationships to disclose.

Dr. Campos receives consultant fees from ET View Medical, LTD. Dr. Viscusi receives funded research support from DURECT Corporation and Pacira Pharmaceuticals, Inc.; consultant fees from Cara Therapeutics, Inc., Mallinckrodt Pharmaceuticals, Merck & Co., Inc., Pacira Pharmaceuticals, Inc., Salix Pharmaceuticals and The Medicines Company, and Trevena, Inc.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Monday, December 12, 2016 Morning Session • 08:00 - 11:00 • Soho Complex • 7th Floor W-17

Simulation Experience for the Difficult Airway, Crisis Management and Team Training 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 Assisted by: Arna Banerjee, M.D., FCCM Associate Professor of Anesthesiology, Critical Care, Surgery and Medical Education | Director, Center for Experiential Learning and Assessment Nashville, Tennessee

Monday

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

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

Daniel J. Katz, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai 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 Ronald S. Levy, M.D. Susan Brown Logan Distinguished Professor Department of Anesthesiology Distinguished Teaching Professor, University of Texas System | Director, Patient Simulation Center | The University of Texas Medical Branch Galveston, Texas

Amanda R. Burden, M.D. Associate Professor of Anesthesiology Director, Clinical Skills and Simulation Cooper Medical School of Rowan University Cooper University Hospital | Camden, New Jersey Bryan P. Mahoney, M.D. Assistant Professor of Anesthesiology Director, Residency Training Program Andrew Goldberg, M.D. Icahn School of Medicine at Mount Sinai Assistant Professor of Anesthesiology St. Luke's and Mount Sinai West Hospital Icahn School of Medicine at Mount Sinai New York, New York New York, New York Jaime B. Hyman, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Rebecca D. Minehart, M.D., M.S.H.P.Ed. Assistant Program Director | Massachusetts General Hospital | Anesthesia Residency Program | Director, MGH Obstetric Anesthesia Fellowship | Assistant Professor of Anaesthesia Harvard Medical School | Boston, Massachusetts

John P. Rask, M.D., M.A. 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 Alan J. Sim, M.D. 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 Laurence Torsher, M.D. Assistant Professor of Anesthesiology Mayo Clinic | Rochester, Minnesota Francine S. Yudkowitz, M.D., FAAP Professor of Anesthesiology & Pediatrics Director, Pediatric Anesthesia Icahn School of Medicine at Mount Sinai New York, New York

After completion of this session, the participant will be able to: • Apply skills of dynamic decision-making, resource management, leadership and teamwork to a crisis scenario in the OR; • Demonstrate communication and leadership skills in working with different personalities and behaviors during a crisis scenario.

Disclosures: Drs. Banerjee, Blasius, Burden, DeMaria, Goldberg, Hyman, Katz, Khelemsky, Levy, Mahoney, Rask, Schwartz, Sim, Torsher and Yudkowitz do not have any financial relationships to disclose.

Dr. Levine receives royalties from Springer Publishing and honorarium from ASA Editorial Board for Simulation Education.

Dr. Minehart receives consultant fees from Rivanna Medical Inc. NOTE: This Workshop will be repeated as W-19, this afternoon.

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Scientific Panel | Monday, December 12, 2016 Morning Session • 08:30 - 10:30 • Broadway Ballroom • 6th Floor SP-21

E.A. Rovenstine Memorial Panel Anesthesiology, Critical Care Medicine (or Perioperative Medicine) and Therapeutic Passions Panel Moderator: Douglas B. Coursin, M.D. Professor of Anesthesiology and Internal Medicine | University of Wisconsin School of Medicine and Public Health | Madison, Wisconsin After completion of this session, the participant will be able to: • • •

Discuss the ACLS guidelines and whether or not we need perioperative guidelines; Discuss end of life and hospice considerations and alternatives for managing these patients; Describe coagulation tests that have been used to direct transfusion treatment in surgical bleeding patients and discuss what is missing in our management.

Presentations:

Why Do We Need Perioperative ACLS Guidelines?

Mark E. Nunnally, M.D., FCCM Director, Adult Critical Care Services | NYU-Langone Medical Center | New York, New York

Perioperative End of Life and Hospice Considerations: Is There Another Path?

Perioperative Coagulation and Transfusion: What Are We Missing?

Ian J. Welsby, B.Sc., M.B., B.S., FRCA Associate Professor of Anesthesiology and Critical Care | Associate Professor of Medicine Third Year Mentor - Anesthesiology, Surgery, and Environmental Physiology Study Program (ASEP) Duke University School of Medicine | Durham, North Carolina

Monday

May S. Hua, M.D. Assistant Professor of Anesthesiology | Columbia University, College of Physicians & Surgeons New York, New York

Disclosures: Drs. Coursin and Nunnally do not have any financial relationships to disclose.

Dr. Hua receives funded research support from National Institute on Aging.

Dr. Welsby receives funded research support from Terumo BCT.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Panel | Monday, December 12, 2016 Morning Session • 10:45 - 11:45 • Broadway Ballroom • 6th Floor SP-22

46th Annual

E.A. Rovenstine Memorial Lecture

(1895 - 1960)

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 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.

Introductions:

Richard A. Beers, M.D., PGA General Chair Audrée A. Bendo, M.D., M.S., PGA Scientific Programs Chair

Monday

Prior to the start of the lecture, there will be a brief ceremony to award the winners of the Resident Research Contest.

The Anesthesiologist as Perioperative Physician: Past, Present and Future Guest Lecturer:

Robert N. Sladen, M.B., Ch.B., FCCM Allen Hyman Professor Emeritus of Critical Care Anesthesiology Columbia University Medical Center Columbia University, College of Physicians & Surgeons New York, New York

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

Describe the role of the Anesthesiologist as Perioperative Physician; Discuss the challenges we have faced, our current practice and future direction.

Disclosure: Dr. Sladen does not have any financial relationships to disclose.

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About the Lecturer...

Robert Neil Sladen, M.B., Ch.B., is a native of South Africa who graduated from the University of Cape Town Medical School. After postgraduate training in internal medicine in Cape Town and the United Kingdom, he completed a residency in anesthesiology at the University of British Columbia in Vancouver, Canada. He then moved to the U.S. to become one of the first Critical Care Fellows at Stanford University. Dr. Sladen served eight years on faculty at Stanford and eleven years on faculty at Duke University, and then in 1997 joined the at Columbia University Medical Center (CUMC) in New York.

Over the next 18 years at CUMC, Dr. Sladen held the offices of Executive Vice-Chair of Anesthesiology and Chief of the Division of Critical Care Medicine, Medical Director of the Cardiothoracic and Surgical Intensive Care Units and Medical Director of Respiratory Care.

On the national level, Dr. Sladen served as a Senior Examiner for the American Board of Anesthesiology, Chair of the Board of Trustees of the International Anesthesia Research Society, President of the Association of Anesthesiology Subspecialty Program Directors and as a Director of the Board of the Society of Cardiovascular Anesthesiology. He is a Past-President of the Society of Critical Care Anesthesiologists and a recipient of its Lifetime Achievement Award, and a Fellow of the College of Critical Care Medicine (FCCM).

Dr. Sladen has had a career-long focus on the anesthesiologist as perioperative physician, with specific emphasis on preoperative assessment, perioperative renal protection and postoperative analgesia and sedation. He has considerable experience in the care of the patient with heart failure requiring mechanical circulatory support, and a strong interest in the challenges and ethics of critical care in the aging and end-of-life decision-making.

Dr. Sladen is currently Allen Hyman Professor Emeritus of Critical Care Anesthesiology at CUMC and the College of Physicians & Surgeons of Columbia University.

Past Rovenstine Memorial Lecturers 2015

Sulpicio G. Soriano, III, M.D.

1988

2014

Joseph M. Neal, M.D.

1987

Paul Janssen, M.D. Michael J. Cousins, M.D.

2013

David H. Chestnut, M.D.

1986

John W. Severinghaus, M.D., F.F.A.R.C.S.

2012

Stephen J. Thomas, M.D.

1985

Benjamin G. Covino, Ph.D., M.D.

2011

Daniel I. Sessler, M.D.

1984

Peter G. Wasser, M.D.

John C. Drummond, M.D.

1983

John F. Nunn, M.D., Ph.D.

Lee A. Fleisher, M.D.

1982

Henning Pontoppidan, M.D.

2008

Mark J. Lema, M.D., Ph.D.

1981

E.M. Papper, M.D.

2007

Steven L. Shafer, M.D.

1980

Edmond I. Eger, II, M.D.

2006

Mark A. Warner, M.D.

1979

Cedric Prys-Roberts, M.A., D.M., Ph.D.

2005

Michael M. Todd, M.D.

1978

Leon E. Farhi, M.D.

2004

James E. Cottrell, M.D.

1977

Alon P. Winnie, M.D., John C. Liebeskind, Ph.D.,

2003

Paul G. Barash, M.D.

2002

Michael F. Roizen, M.D.

2001

Tony L. Yaksh, Ph.D.

2000

Ronald D. Miller, M.D.

1999

Bernard V. Wetchler, M.D.

1998

James F. Arens, M.D.

1997

Edward D. Miller, Jr., M.D.

1996

Norig Ellison, M.D.

1995

Robert K. Stoelting, M.D.

1994

Betty J. Bamforth, M.D.

1993

Mieczyslaw Finster, M.D.

1992

E.S. Siker, M.D.

1991

Joseph F. Artusio, Jr., M.D.

1990

Sol N. Shnider, M.D.

1989

Henrik H. Bendixen, M.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. &

1975

C. Phillip Larson, Jr., M.D., Stanley Dudrick, M.D.,

Monday

2010 2009

D. Bruce Scott, M.D. H. Barrie Fairley, M.B., B.S., Richard I. Mazze, M.D. & Harvey B. Shapiro, M.D. 1974

Herman Turndorf, M.D., Myron B. Laver, M.D., John F. Viljoen, M.D., William C. Sheldon, M.D. & Saul Winegrad, M.D.

1973

Herbert Spiegel, M.D. & Ernest E. Rockey, M.D.

1972

Samuel Rosen, M.D., William S. Kroger, M.D. & Blaine S. Noshold, Jr., M.D.

1971

E. M. Papper, M.D., Albert M. Betcher, M.D., Solomon G. Hershey, M.D. & Richard J. Kitz, M.D.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Problem-Based Learning Discussions | Monday, December 12, 2016 Mid-Day Sessions • 11:45 - 12:45 • 6th Floor Rooms • PBL-49 through PBL-56 PBL-49 Majestic Room

Perioperative Control of Hypertension Speakers: Jing Song, M.D. Associate Professor of Anesthesiology Director, 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

Sudheer K. Jain, M.D. Assistant Professor of Anesthesiology NYU-Langone Medical Center | Director, Perianesthesiology Services | Tisch Hospital New York, New York

After completion of this session, the participant will be able to: • Describe the pathophysiology of hypertension; • Describe the concept of tight control of blood pressure; • Identify the different medications used to control blood pressure; • Formulate an anesthetic plan for the patient with hypertension.

PBL-50 Music Box Room

STAT Cesarean Section: Spinal Versus General Speakers: Yaakov Beilin, M.D. Professor of Anesthesiology, Obstetrics & Gynecology and Reproductive Sciences | Co-Director, Obstetric Anesthesia Vice-Chair, Quality | Icahn School of Medicine at Mount Sinai New York, New York

Sharon Abramovitz, M.D. Associate Professor of Anesthesiology Cornell University, Weill Cornell Medical College Attending Anesthesiologist NewYork-Presbyterian Hospital New York, New York

After completion of this session, the participant will be able to: • Evaluate fetal heart rate tracings and understand the etiology of the different types of fetal heart rate patterns; • Explain how opioids and anesthetics affect the fetus and the interpretation of the fetal heart rate tracing; • Formulate a labor analgesia plan for the parturient with an ominous fetal heart rate tracing; • Recognize the effects of spinal and general anesthesia on mother and baby; • Formulate a management plan for an emergency cesarean section.

Monday

PBL-51 Winter Garden Room

Egg Allergy and Malignant Hyperthermia: Recipe for Sedation Speakers: Eric R. Kelhoffer, M.D. Associate Clinical Member | Anesthesiology & Critical Care Memorial Sloan-Kettering Cancer Center | New York, New York

Keira P. Mason, M.D. Associate Professor of Anaesthesia | Harvard Medical School | Children’s Hospital Boston Boston, Massachusetts

After completion of this session, the participant will be able to: • Recognize patient with egg allergy and associated cross reactivities; • Develop a plan for sedation of a patient with both MH history and egg allergy.

Disclosures: Drs. Abramovitz, Beilin, Kelhoffer, Mason and Song do not have any financial relationships to disclose.

Dr. Jain receives consultant fees from Martin, Clearwater, & Bell LLP and DOPF Inc.

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PBL-52 Palace Room

Pain Management in the Drug Addicted Patient Speaker: Stelian I. Serban, 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: • Identify drug addiction vs. drug tolerance vs. physical dependence; • Assess the analgesic options regarding postoperative pain management; • Identify analgesic requirements for the perioperative period; • Formulate an outpatient strategic analgesic plan.

PBL-53 Shubert Room

Patient on Multiple Chemotherapeutic Agents for Exploratory Laparotomy: Anesthetic Considerations Speaker: Anoushka M. Afonso, M.D. Assistant Attending Anesthesiologist | Memorial Sloan-Kettering Cancer Center | New York, New York After completion of this session, the participant will be able to: • Identify commonly used chemotherapeutic agents and their side effects; • Formulate a comprehensive anesthetic plan addressing these side effects, as well as possible anesthetic interactions with these medications.

PBL-54 Uris Room

Can Anesthesiologists Affect Cancer Survival?

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: • Discuss the literature regarding the effects of type of anesthesia on cancer cell survival; • Identify common events in the perioperative period (i.e. hypothermia, transfusion) that might affect the response of the immune system with regards to cancer; • Devise an anesthetic plan for the care of the cancer patient.

PBL-55 Plymouth Room

Colloid vs Crystalloid: New Answers to an Old Question Monday

Speaker: Jay Berger, M.D., Ph.D. Assistant Professor of Anesthesia and Critical Care Medicine | Albert Einstein College of Medicine/Montefiore Medical Center | Bronx, New York After completion of this session, the participant will be able to: • Identify new concepts regarding the use of crystalloid and colloid volume replacement; • Formulate a plan to maintain ideal volume status in the perioperative period.

PBL-56 Royale Room

Non-Invasive Hemodynamic Monitoring Speaker: Carlos J. Lopez, III, M.D. Assistant Professor of Anesthesiology | Residency Program Director | Upstate Medical University | Syracuse, New York After completion of this session, the participant will be able to: • Review various modalities for non-invasive hemodynamic monitoring; • Select patients and procedures in which non-invasive hemodynamic monitoring would be advantageous.

Disclosures: Drs. Afonso, Berger, Lopez and Serban do not have any financial relationships to disclose.

Dr. Tedore's spouse receives a salary from TG Therapeutics.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Mini Workshops | Monday, December 12, 2016 | MW-26 through MW-28 Mid-Day Sessions • 11:45 - 12:45 • 4th Floor Rooms MW-26 Odets Room

Integration of Regional Anesthesia Techniques in the Perioperative Management of Trauma Patients Speaker: Malikah Latmore, M.D. Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai St. Luke’s | Mount Sinai West New York, New York After completion of this session, the participant will be able to: • Recognize short and long term benefits of including regional anesthesia techniques in the perioperative management of patients with traumatic orthopedic injuries; • Explore practical problems faced by the anesthesiologist caring for the orthopedic trauma patient; • Review common contraindications to neuraxial and regional anesthesia in trauma patients.

MW-27 Wilder Room

Anesthesia for Difficult Orthopedic Procedures Speaker: Mitchell H. Marshall, M.D. Clinical Associate Professor of Anesthesiology | Chief, Department of Anesthesiology | NYU-Langone Medical Center-Hospital for Joint Diseases | New York, New York After completion of this session, the participant will be able to: • Identify which procedures are at increased risk for perioperative complications; • Identify procedures which would benefit from additional monitoring; • Identify strategies to decrease blood lost.

MW-28 Ziegfeld Room

Monday

Introduction to TEE Speaker: 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 After completion of this session, the participant will be able to: • Identify the key anatomic views used in TTE; • Identify the key anatomic structures visualized by TTE; • Identify hypokinesis and akinesis of the myocardium.

Disclosures: Drs. Latmore, Marshall and Tanaka do not have any financial relationships to disclose.

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Workshop | Monday, December 12, 2016 Afternoon Session • 12:00 - 15:00 • Empire Complex • 7th Floor W-18

Advanced Focused Surface Ultrasound for the Perioperative Anesthesiologist This advanced workshop is recommended for: • Somebody who has completed a basic workshop; • Has basic knowledge and skills in image acquisition; • Has enrolled for the basic session, and would like to further their skills at the advanced workshop.

Workshop Moderators: James A. Osorio, M.D. Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical Center | Program Director, Critical Care Medicine | Department of Anesthesiology NewYork-Presbyterian Hospital | NewYork, New York Natalia S. Ivascu, M.D. Associate Professor of Clinical Anesthesiology Cornell University, Weill Cornell Medical Center | New York, New York Oliver P. F. Panzer, M.D. Assistant Professor of Anesthesiology Director, Perioperative Ultrasound Education Division of Critical Care & Regional Anesthesia | Columbia University, College of Physicians & Surgeons | New York, New York

Nikolaos J. Skubas, M.D., FACC, FASE, D.Sc. Professor of Clinical Anesthesiology & Cardiothoracic Surgery | Director, Cardiac Anesthesia | Attending Anesthesiologist Cornell University, Weill Cornell Medical College | New York, New York

Adriaan van Rensburg, M.D. Assistant Professor of Anesthesiology Director, Point of Care Ultrasound University of Toronto Toronto, Canada

Christopher Y. Tanaka, M.D. Attending Anesthesiologist Division of Cardiothoracic Anesthesiology Montefiore Medical Center | Assistant Professor of Anesthesiology | Albert Einstein College of Medicine | Bronx, New York

Steven G. Venticinque, M.D. Professor of Clinical Anesthesiology & Surgery | Program Director, Anesthesiology Crtical Care Fellowship Director, TRSAT Critical Care Consortium Director, Audie L. Murphy VA Surgical ICU Department of Anesthesiology | University of Texas Health Science Center | San Antonio, Texas

Jan Boublik, M.D., Ph.D. Clinical Assistant Professor, Anesthesiology, Perioperative and Pain Medicine Stanford University | Stanford, California

Sudarshan Setty, M.D. Assistant Professor of Anesthesiology University of Minnesota Minneapolis, Minnesota

Christopher Tam, M.D. Instructor in Anesthesiology Cornell University, Weill Cornell Medical College New York, New York

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

Ketan Shevde, M.D. Clinical Professor of Anesthesiology Director, Cardiothoracic Anesthesia SUNY-Downstate Medical Center Brooklyn, New York

Paul D. Weyker, M.D. Assistant Professor of Anesthesiology Columbia University, College of Physicians & Surgeons | Divisions of Critical Care, General/Regional Anesthesia and Pain Medicine New York, New York

Assisted by:

Monday

Wolf Benjamin Kratzert, M.D. Assistant Clinical Professor of Anesthesiology Department of Anesthesiology and Perioperative Medicine UCLA David Geffen School of Medicine Los Angeles, California

Julia B. Sobol, M.D. Assistant Professor of Anesthesiology Columbia University, College of Physicians & Surgeons | New York, New York

After completion of this session, the participant will be able to acquire images and interpret information from: • A standardized comprehensive cardiac exam of the heart. This will include assessment of global and segmental cardiac function, valvular structure and function, stroke volume measurement - cardiac output estimation and volume status assessment noninvasively by ultrasound; • A systematic advanced lung exam and perform algorithm based lung findings interpretation.

Workshop participants will review relevant cases for anesthesiologists with the experts using: • The PAUSE, FATE, RUSH, FAST and FEEL protocol in the hemodynamically unstable or hypoxic patient, through participation in workshop simulation cases and panel discussion.

Disclosures: Drs. Boublik, Bughrara, Ivascu, Kratzert, Osorio, Panzer, Setty, Shevde, Skubas, Sobol, Tam, Tanaka, van Rensburg, Venticinque and Weyker do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Monday, December 12, 2016 Mid-Day Session • 12:00 - 15:00 • Soho Complex • 7th Floor W-19

Simulation Experience for the Difficult Airway, Crisis Management and Team Training 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

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

Assisted by: Arna Banerjee, M.D., FCCM Associate Professor of Anesthesiology, Critical Care, Surgery and Medical Education | Director, Center for Experiential Learning and Assessment Nashville, Tennessee

Monday

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

Daniel J. Katz, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai 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 Ronald S. Levy, M.D. Susan Brown Logan Distinguished Professor Department of Anesthesiology Distinguished Teaching Professor, University of Texas System | Director, Patient Simulation Center | The University of Texas Medical Branch Galveston, Texas

Amanda R. Burden, M.D. Associate Professor of Anesthesiology Director, Clinical Skills and Simulation Cooper Medical School of Rowan University Cooper University Hospital | Camden, New Jersey Bryan P. Mahoney, M.D. Assistant Professor of Anesthesiology Director, Residency Training Program Andrew Goldberg, M.D. Icahn School of Medicine at Mount Sinai Assistant Professor of Anesthesiology St. Luke's | Mount Sinai West Icahn School of Medicine at Mount Sinai New York, New York New York, New York Jaime B. Hyman, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Rebecca D. Minehart, M.D., M.S.H.P.Ed. Assistant Program Director | Massachusetts General Hospital | Anesthesia Residency Program | Director, MGH Obstetric Anesthesia Fellowship | Assistant Professor of Anaesthesia Harvard Medical School | Boston, Massachusetts

John P. Rask, M.D., M.A. 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 Alan J. Sim, M.D. 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 Laurence Torsher, M.D. Assistant Professor of Anesthesiology Mayo Clinic | Rochester, Minnesota Francine S. Yudkowitz, M.D., FAAP Professor of Anesthesiology & Pediatrics Director, Pediatric Anesthesia Icahn School of Medicine at Mount Sinai New York, New York

After completion of this session, the participant will be able to: • Apply skills of dynamic decision-making, resource management, leadership and teamwork to a crisis scenario in the OR; • Demonstrate communication and leadership skills in working with different personalities and behaviors during a crisis scenario.

Disclosures: Drs. Banerjee, Blasius, Burden, DeMaria, Goldberg, Hyman, Katz, Khelemsky, Levy, Mahoney, Rask, Schwartz, Sim, Torsher and Yudkowitz do not have any financial relationships to disclose.

Dr. Levine receives royalties from Springer Publishing and honorarium from ASA Editorial Board for Simulation Education.

Dr. Minehart receives consultant fees from Rivanna Medical Inc.

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Scientific Panel | Monday, December 12, 2016 Afternoon Session • 13:00 - 15:30 • North Ballroom • 6th Floor SP-23

Ethical Dilemmas in Anesthesia Care Panel Moderator: Robert E. Johnstone, M.D. Professor of Anesthesiology | West Virginia University | Morgantown, West Virginia After completion of this session, the participant will be able to: • • • •

Find solutions to competing interests of the parturient and fetus; Understand ethical and legal issues in the management of patients with DNR and similar directives; Devise ways to include medical students in clinical anesthesia care; Learn ways to care for patients who refuse blood products.

Presentations:

Delivery Suite Dilemma: Reconciling Maternal Autonomy and Fetal Well-Being David J. Wlody, M.D. Professor of Clinical Anesthesiology | Vice-Chair, Education | Department of Anesthesiology Director, Anesthesiology Residency Program | SUNY-Downstate Medical Center | Brooklyn, New York

Holding Area Dilemma: A Redo CABG Patient Gives You a 20 Page Directive Elizabeth A. M. Frost, M.D. Clinical Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York

Teaching Dilemma: This Is an Academic Institution: So, Do I Involve Medical Students in All Clinical Anesthesia Care?

Monday

Saundra E. Curry, M.D. Professor of Anesthesiology | New York Presbyterian Hospital | Columbia University, College of Physicians & Surgeons | New York, New York

Operating Room Dilemma: Major Surgery and the Patient Refuses Blood Products Robert E. Johnstone, M.D.

Disclosures: Drs. Curry, Frost, Johnstone and Wlody do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Panel | Monday, December 12, 2016 Afternoon Session • 13:00 - 15:30 • South Ballroom • 6th Floor SP-24

Patient Blood Management

Panel 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: • • •

Define the pillars of patient blood management and apply them to surgical patients; Describe coagulation tests that have been used to direct transfusion treatment in surgical bleeding patients; Define the risks of blood transfusion and the pharmacologic agents that are being used in place of blood.

Presentations:

What is Patient Blood Management?

Aryeh Shander, M.D., FCCM, FCCP 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

Acute Traumatic Coagulopathy: Physiologic Principles and Transfusion Strategy

Monday

Jeffrey W. Simmons, M.D. Associate Professor | Director, Anesthesiology Simulation and MOCA Course | Section of Trauma and Acute Care Anesthesia | Division of Multispecialty Anesthesia | Department of Anesthesiology and Perioperative Medicine University of Alabama School of Medicine - Birmingham | Birmingham, Alabama

Dual Anti-Platelet Therapy: Management in the Perioperative Period Linda J. Shore-Lesserson, M.D., FAHA, FASE

Alternatives to Allogeneic Blood: Do We Have Enough Evidence?

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 Disclosures: Drs. Bennett-Guerrero, Shore-Lesserson and Simmons do not have any financial relationships to disclose.

Dr. Shander receives funded research support from CSL Behring and Masimo Corporation; consultant fees from Vifor Pharma, AMAG Pharmaceuticals, Inc., HbO2 Therapeutics; and is on the speakers’ bureau for CSL Behring, Masimo Corporation and Merck & Co., Inc.

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Scientific Panel | Monday, December 12, 2016 Afternoon Session • 13:00 - 15:30 • Astor Ballroom • 7th Floor SP-25

Current Anesthesia Considerations for Spine Surgery Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

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.

Panel Moderator: Deborah Rusy, M.D., M.B.A. Attending Anesthesiologist | University of Wisconsin School of Medicine and Public Health Professor and Medical Director of Perioperative Services | American Family Children's Hospital University of Wisconsin Hospital and Clinics | Madison, Wisconsin After completion of this session, the participant will be able to: • • •

•

Manage the airway in cervical spine surgery patients, learn about perioperative complications and recent advances in spinal cord protection; Understand the various causes of pediatric scoliosis and manage the neuromuscular and idiopathic pediatric spine patient; Enumerate the various modalities of monitoring used in spine surgery (e.g., SSEP, MEP, Screw Stim, EMG, direct stim, Dermatomal EP), know how anesthetic management affects monitoring, additionally what to do and NOT to do when changes occur; Understand the causes of pain (acute and chronic), the effects of chronic opioid use and intraoperative requirements, formulate a plan for multimodal pain management and describe new modalities for relief, i.e., physical therapy, spinal cord stimulation, meditation.

Presentations:

Anesthetic Management of the Patient Undergoing Cervical Spine Surgery Ehab S. A. Farag, M.D., FRCA Staff Anesthesiologist | Director of Clinical Research | Associate Professor | Cleveland Clinic Lerner College of Medicine | Outcomes Research General Anesthesiology | Cleveland, Ohio

Deborah Rusy, M.D., M.B.A.

Monday

Management of the Neuromuscular and Idiopathic Pediatric Spine Patient

Intraoperative Neurophysiologic Monitoring for Spine Surgery Marc J. Bloom, M.D., Ph.D. Clinical Professor of Anesthesiology | Director, Neuroanesthesia Program | NYU-Langone Medical Center New York, New York

Pain Management for the Patient Undergoing Spine Surgery Irene P. Osborn, M.D. Associate Professor of Anesthesiology | Albert Einstein College of Medicine | Director, Division of Neuroanesthesia | Montefiore Medical Center | Bronx, New York Disclosures: Drs. Bloom, Farag, Osborn and Rusy do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Focus Sessions | Monday, December 12, 2016 | FS-24 & FS-25 Afternoon Sessions • 15:45 - 17:00 • 4th Floor Rooms FS-24 Odets Room

Oral Presentation of Selected Posters on Display at PGA70 Focus Session Moderator: Stephen A. Vitkun, M.D., M.B.A., Ph.D. SUNY Distinguised 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

PGA70 had 357 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.

After completion of this session, the participant will be able to: • Assess new research for validity; • Develop programs in their institutions for residents to participate research.

FS-25 Wilder Room

Update on AHC and AHA Guidelines on Adult and Pediatric Resuscitation Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

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.

Monday

Focus Session Moderator: 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 Faculty Presentations:

Adult Guidelines Deborah C. Richman, M.B., Ch.B., FFA(SA)

Updates in Pediatric Resuscitation Cheryl K. Gooden, M.D., FAAP North American Partners in Anesthesia | Bronx Lebanon Hospital Center | Bronx, New York Associate Professor of Anesthesiology & Pediatrics | Hofstra Northwell School of Medicine | Hempstead, New York After completion of this session, the participant will be able to: • Discuss the changes in the resuscitation guidelines; • Implement the changes into their practice.

Disclosures: Drs. Gooden, Richman and Vitkun do not have any financial relationships to disclose.

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Focus Sessions | Monday, December 12, 2016 | FS-26 & FS-27 Afternoon Sessions • 15:45 - 17:00 • Various Floors FS-26 Ziegfeld Room • 4th Floor

The Cancer Patient and Anesthesia Focus Session Moderator: Anahita Dabo-Trubelja, M.D. Assistant Attending in Anesthesiology | Memorial Sloan-Kettering Cancer Center | New York, New York Faculty Presentations:

The Immunocompromised Patient Anahita Dabo-Trubelja, M.D.

Chemotherapeutic Considerations in the Perioperative Period Vittoria Arslan-Carlon, M.D. Assistant Attending | Department of Anesthesiology and CCM | Memorial Sloan-Kettering Cancer Center New York, New York After completion of this session, the participant will be able to: • Describe the anesthetic implications of the immunocompromised patient; • Discuss the most frequent chemotherapeutics, and their potential effects in the perioperative period; • Develop an anesthetic plan for the patient with cancer on or following completion of chemotherapy treatment.

FS-27 Astor Ballroom • 7th Floor

Current Issues in Obstetric Anesthesia Focus Session Moderator: 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

Obstetric Hemorrhage Yaakov Beilin, M.D.

Monday

Faculty Presentations:

ACOG/National Partnership Guidelines for Venous Thromboembolism Prophylaxis and How They May/Will Affect Anesthesia Practice Richard M. Smiley, M.D., Ph.D. Virginia Apgar, M.D., Professor of Anesthesiology, Obstetrics and Gynecology | Columbia University, College of Physicians & Surgeons | New York, New York After completion of this session, the participant will be able to: • Identify the etiology of third trimester bleeding; • Formulate an anesthetic plan for the parturient at risk for massive hemorrhage; • Describe the criteria for preeclampsia; • Formulate an anesthetic plan for the patient with preeclampsia.

Disclosures: Drs. Arslan-Carlon, Beilin and Dabo-Trubelja do not have any financial relationships to disclose.

Dr. Smiley’s spouse owns stock in Abbott Laboratories, AbbVie Inc. and Amgen, Inc.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Focus Sessions | Monday, December 12, 2016 | FS-28 & FS-29 Afternoon Sessions • 15:45 - 17:00 • 7th Floor Rooms FS-28 Soho Complex

Update for the Anesthesiologist in the EP Lab Focus Session Moderator: Himani Bhatt-Verma, D.O., M.P.A. Assistant Professor of Cardiothoracic Anesthesiology | Icahn School of Medicine at Mount Sinai New York, New York Faculty Presentations:

Update on Atrial Fibrillation Procedures Himani Bhatt-Verma, D.O., M.P.A.

V-Tach and Related Procedures Alexander J. C. Mittnacht, M.D. Professor of Anesthesiology | Director, Pediatric Cardiac Anesthesia | Icahn School of Medicine at Mount Sinai New York, New York After completion of this session, the participant will be able to: • Discuss procedures to cure and prevent recurrence of atrial fibrillation and the possible complications associated with these procedures; • Discuss procedures to prevent systemic embolization in patients with atrial fibrillation and the associated risks of these procedures; • Develop an anesthetic management for procedures to treat atrial fibrillation; • Discuss procedures to treat ventricular tachycardia; • Develop an anesthetic plan for management of patients for treatment of ventricular tachycardia.

FS-29 Empire Complex

Update on Thoracic Anesthesia

Monday

Focus Session Moderator: Edmond Cohen, M.D. Professor of Anesthesiology | Director, Thoracic Anesthesia | Icahn School of Medicine at Mount Sinai New York, New York Faculty Presentations:

Lung Isolation in the Morbidly Obese Patient Javier H. Campos, M.D. Professor of Anesthesiology | Executive Medical Director of Operating Rooms | Vice-Chair, Clinical Affairs Director, Cardiothoracic Anesthesia | University of Iowa Hospitals and Clinics | Iowa City, Iowa

Management of Hypoxemia During OLV Edmond Cohen, M.D. After completion of this session, the participant will be able to: • Discuss the complications of lung isolation; • Determine which methods of lung isolation would be most advantageous in the setting of a morbidly obese patient; • Recognize and treat hypoxemia during one lung ventilation; • Develop a practical approach to optimize ventilation during procedures requiring one lung ventilation.

Disclosures: Drs. Bhatt-Verma and Cohen do not have any financial relationships to disclose.

Dr. Campos receives consultant fees from ET View Medical, LTD. Dr. Mittnacht has stock options with Manual Surgical Science and his spouse receives consultant fees and is on the speakers bureau for CAS Medical Systems, Inc. (CASMED).

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Focus Session | Monday, December 12, 2016 | FS-30 Afternoon Sessions • 15:45 - 17:00 • 7th Floor Room FS-30 Columbia/Duffy Rooms

Education in Anesthesiology Focus Session Moderator: Deborah J. Culley, M.D. Attending Anesthesiologist | University of Wisconsin School of Medicine and Public Health Professor and Medical Director of Perioperative Services | American Family Children's Hospital University of Wisconsin Hospital and Clinics | Madison, Wisconsin Faculty Presentations:

Education in Anesthesiology: The Role of Milestones Jaime B. Hyman, M.D. Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York

An Evolving Understanding of Adult Learning: Its Impact on MOCA Deborah J. Culley, M.D. After completion of this session, the participant will be able to: • Describe the ACGME defined milestones for resident education; • Incorporate into resident evaluation and curriculum the new ACGME defined milestones; • Describe the changes to MOCA requirements; • Comply with MOCA requirements.

Disclosures: Dr. Hyman does not have any financial relationship to disclose.

Dr. Culley receives funded research support from Anesthesia Patient Safety Foundation (APSF), National Institute on Aging (NIA) and Controlled Risk Insurance Company (CRICO).

Monday 2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Problem-Based Learning Discussions | Monday, December 12, 2016 Afternoon Sessions • 15:45 - 17:00 • 6th Floor Rooms • PBL-57 through PBL-64 PBL-57 Majestic Room

Impact of Dexamethasone on Post-Op Analgesia Speaker: Jacques T. YaDeau, M.D., Ph.D. Associate Attending Anesthesiologist | Hospital for Special Surgery | Clinical Associate Professor of Anesthesiology Cornell University, Weill Cornell Medical Center | New York, New York After completion of this session, the participant will be able to: • Review data regarding the impact of dexamethasone on postoperative analgesia; • Recognize side effects of dexamethasone; • Implement a plan utilizing dexamethasone in the appropriate patient.

PBL-58 Music Box Room

Methadone and Ketamine: New Uses for Old Medications Speaker: David J. Kopman, 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: • Review the use of several narcotic analgesics during major spine surgery; • Develop a patient care plan which incorporates the need for post-operative pain management in the intraoperative plan.

PBL-59 Winter Garden Room

Cardiac Arrest in the Pregnant Patient

Monday

Speakers: Jennie Y. Ngai, M.D. Assistant Professor of Anesthesiology Director, Cardiothoracic Anesthesiology Fellowship Division of Cardiothoracic Anesthesiology NYU-Langone Medical Center | New York, New York

Pavithra Ranganathan, M.D. Assistant Professor of Anesthesiology | West Virginia University | Robert C. Byrd Health Sciences Center Morgantown, West Virginia

After completion of this session, the participant will be able to: • Review the effects that the physiology of pregnancy have on the ability to resuscitate an individual in cardiac arrest; • Formulate an anesthetic plan incorporating these effects; • Develop a multidisciplinary plan involving OB and anesthesiology to appropriately mange the pregnant patient in cardiac arrest.

PBL-60 Palace Room

Anesthetic Neurotoxicity: Can We Reduce the Risk?

Speaker: Joanna B. Koenigsberg, M.D. 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 After completion of this session, the participant will be able to: • Discuss why patients at the extremes of age may be particularly susceptible to toxicity form anesthetic agents; • Formulate an anesthetic plan to minimize the risk of anesthetic toxicity in susceptible populations.

Disclosures: Drs. Koenigsberg, Kopman, Ngai, Ranganathan and YaDeau do not have any financial relationships to disclose.

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PBL-61 Shubert Room

Vocal Cord Palsy after Laparoscopic Surgery Speaker: Patricia Fogarty Mack, M.D. Associate Professor of Clinical Anesthesiology | Director, Quality and Patient Safety | Director, Non-Operating Room Anesthesiology | Cornell University, Weill Cornell Medical College | New York, New York After completion of this session, the participant will be able to: • Identify the risk factors for development of vocal cord palsy related to anesthetic care; • Plan an anesthetic for the laparoscopic surgical patient that minimizes the risk of vocal cord paralysis.

PBL-62 Uris Room

Maximizing Scheduling and Operating Room Efficiency 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: • Identify specific measurements to assess the efficiency of the operating room; • Determine the importance of appropriate OR time allocation; • Develop a plan to maximize OR efficiency in their own institution.

PBL-63 Plymouth Room

Interventional Endoscopy: Who Is Too Sick for the GI Suite?

Speaker: 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 After completion of this session, the participant will be able to: • Review the medical conditions requiring interventional endoscopy procedures; • Develop a team approach to manage the critically ill patient in a non-operating room location.

PBL-64 Royale Room

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

Monday

Caring for the Caregiver: Support for the Caregiver after a Medical Error Myrna S. Kcomt, M.D. Assistant Professor of Anesthesiology Montefiore Medical Center | Bronx, New York

After completion of this session, the participant will be able to: • Discuss how adverse healthcare events affect clinical competency, patient care and interaction between members of the anesthesia team; • Identify methods to recognize second victim effect and how to help your colleague anesthesiologist to overcome it; • Describe how to formulate a plan for prevention/reduction of second victim effect; • Identify second victim effect features among medical professionals, with emphasis on anesthesiologists and critical care specialists; • Explore professional difficulties encountered by the physician affected by a healthcare adverse event.

Disclosures: Drs. Beg, Fogarty Mack, Kcomt and Pisklakov do not have any financial relationships to disclose.

Dr. Rosenfeld is on the speakers’ bureau for Merck & Co., Inc. and receives honoraria from Baxter International Inc.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Notes

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70th Annual PostGraduate Assembly in Anesthesiology December 9 – December 13, 2016 Marriott Marquis, New York | USA

Tuesday, December 13, 2016 Times Registration ....................................................................................................................................... 07:00 Mini Workshops.................................................................................................................07:45 & 11:45 Hands-On Workshops .................................................................................................... 08:00 & 12:00 Scientific Panels.................................................................................................................09:00 & 13:00 Problem-Based Learning Discussions ...................................................................................... 11:45 Focus Sessions ...................................................................................................................................15:45

Workshops, Mini Workshops and Problem-Based Learning Discussions require a ticket.

Please refer to page 3 for fees.

Tuesday Tuesday

Please silence your mobile devices

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Mini Workshops | Tuesday, December 13, 2016 | MW-29 through MW-31 Morning Sessions • 07:45 - 08:45 • 4th Floor Rooms MW-29 Odets Room

Neuroanesthesia Update: Changes in Clinical Practice Speaker: Apolonia E. Abramowicz, M.D. Former Associate Professor of Clinical Anesthesiology and Clinical Neurosurgery | Albert Einstein School of Medicine/Montefiore Medical Center | Bronx, New York After completion of this session, the participant will be able to: • Review the implications of new warfarin effect reversal agent and oral anticoagulants in the anesthetic management of intracranial hemorrhage; • Assess the importance to Neuroanesthesiologists of recent national Cervical Spinal Cord Injury and Aneurysmal Subarachnoid Hemorrhage Management Guidelines; • Discuss new interventional modalities in the treatment of intracranial aneurysms and their implications for Neuroanesthesia practice; • Describe new applications of commonly used anesthetic drug combinations for procedure-mandated patient cooperation (spinal cord stimulation, Co.Pa.Ge.A).

MW-30 Wilder Room

Neonatal Anesthesia Update 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: • Discuss the role of newer anesthetic agents in the neonatal period; • Discuss the requirements for postoperative observation in very young neonates; • Complications encountered in neonatal anesthesia.

MW-31 Ziegfeld Room

Coagulation Challenges During the Perioperative Period

Tuesday

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: • Evaluate the risk factors for perioperative thromboembolism; • Recognize the need for prophylaxis for deep vein thrombosis; • Delineate the new ASA practice guidelines for preventing POVL; • List the tests to monitor anticoagulation activities; • Assess the implications on the neuroaxial procedures; • 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.

Disclosures: Drs. Abramowicz and Stjepanovic do not have any financial relationships to disclose.

Dr. Tedore's spouse receives a salary from TG Therapeutics.

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Workshop | Tuesday, December 13, 2016 Morning Session • 08:00 - 11:00 • Empire Complex • 7th Floor W-20

Beyond Direct Laryngoscopy: Fiberoptic and Other Techniques for Adult and Pediatric Airway Management Workshop 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

Assisted by: Jerome Lax, M.D. Assistant Professor of Clinical Anesthesiology NYU-Langone Medical Center New York, New York

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

Igor Muntyan, M.D. Clinical Associate Professor of Anesthesiology | NYU-Langone Medical Center | New York, New York

Narasimhan Jagannathan, M.D. Attending Pediatric Anesthesiologist Department of Pediatric Anesthesia Ann & Robert H. Lurie Children's Hospital of Chicago | Associate Chairman, Academic Affairs | Director, Pediatric Anesthesia Research | Associate Professor of Anesthesiology | Northwestern University Feinberg School of Medicine Chicago, Illinois

Irene P. Osborn, M.D. Associate Professor of Anesthesiology Albert Einstein College of Medicine Director, Division of Neuroanesthesia Montefiore Medical Center Bronx, 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

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

Tuesday

After completion of this session, the participant will be able to: • Perform airway evaluation, patient preparation and techniques of fiberoptic intubation, video laryngoscopy and transtracheal jet ventilation for adult and pediatric patients.

Disclosures: Drs. Fermon, Jacobson, Lax, Muntyan, Osborn, Samuels, Sequeira, Sommer, Spessot and Sutin do not have any financial relationships to disclose.

Dr. Jagannathan receives consultant fees from Teleflex Incorporated.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Workshop | Tuesday, December 13, 2016 Morning Session • 08:00 - 11:00 • Soho Complex • 7th Floor W-21

Ultrasound for Vascular Access: A Workshop Workshop Moderators: Nikolaos J. Skubas, M.D., FACC, FASE, D.Sc. Professor of Clinical Anesthesiology & Cardiothoracic Surgery Director, Cardiac Anesthesia | Attending Anesthesiologist Cornell University, Weill Cornell Medical College New York, New York

Meghann M. Fitzgerald, M.D. Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College New York, New York

Presentations: Central Venous Cannulation Meghann M. Fitzgerald, M.D. Basics of Ultrasound Shreyajit R. Kumar, M.D. Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College New York, New York Arterial Cannulation Alexander J. C. Mittnacht, M.D. Professor of Anesthesiology Director, Pediatric Cardiac Anesthesia Icahn School of Medicine at Mount Sinai New York, New York

Tuesday

Logistics and Billing Nikolaos J. Skubas, M.D., FACC, FASE, D.Sc.

Break-Out Sessions Jaideep K. Malhotra, M.D. Assistant Professor of Clinical Anesthesiology Cornell University, Weill Cornell Medical College Assistant Attending Anesthesiologist NewYork-Presbyterian Hospital New York, New York Lisa Q. Rong, M.D. Instructor in Anesthesiology Cornell University, Weill Cornell Medical College Assistant Attending Anesthesiologist NewYork-Presbyterian Hospital New York, New York Cindy Wang, M.D. Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College Assistant Attending Anesthesiologist NewYork-Presbyterian Hospital New York, New York

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

Disclosures: Drs. Fitzgerald, Kumar, Malhotra, Rong, Skubas and Wang do not have any financial relationships to disclose.

Dr. Mittnacht has stock options with Manual Surgical Science and his spouse receives consultant fees and is on the speakers’ bureau for CAS Medical Systems, Inc. (CASMED).

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Scientific Panel | Tuesday, December 13, 2016 Morning Session • 09:00 - 11:30 • North Ballroom • 6th Floor SP-26

Current Controversies Affecting Your Practice Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

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.

Panel Moderator: George Silvay, M.D., Ph.D. 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: • • •

Identify the infectious and sustainability concerns regarding anesthesia equipment and supplies and cite arguments for and against single-use disposable versus reprocessed re-useable items; Discuss the evidence supporting and refuting the existence of long-term cognitive decline (LTCD) following anesthesia and surgery; Determine the relevance of the information surrounding LTCD to one’s practice and cite actions that may improve outcomes for patients at risk for postoperative cognitive impairment.

Presentations:

Pro/Con Debate I Pitting Infectious Concerns Against Sustainability Worries: Dispose or Re-Use? Infectious Concerns Prevail: The Case for Disposables Richard A. Beers, M.D. Professor of Anesthesiology | Upstate Medical University | Veteran's Administration Medical Center Syracuse, New York

Sustainability is Key: Re-Use Responsibly Jodi Sherman, M.D. Assistant Professor of Anesthesiology | Environmental Compliance Officer | Yale University School of Medicine New Haven, Connecticut

Pro/Con Debate II Long Term Cognitive Decline Associated with Anesthesia and Surgery: Myth or Material?

It's a Myth Michael S. Avidan, M.B., B.Ch., FCASA Dr. Seymour & Rose T. Brown Professor of Anesthesiology | Director, Institute of Quality Improvement Research and Infomatics (INQUIRI) | Division Chief, Cardiothoracic Anesthesiology | Washington University School of Medicine at St. Louis | St. Louis, Missouri Stacie G. Deiner, M.D. Associate Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York

How Do We Manage the Patient at Risk for Postoperative Cognitive Impairment "In the Real World"

Tuesday

It's a Reality

Avery Tung, M.D., FCCM Professor and Quality Chief for Anesthesia | Department of Anesthesia and Critical Care | University of Chicago Medical Center | Chicago, Illinois Disclosures: Drs. Avidan, Beers, Deiner, Sherman and Silvay do not have any financial relationships to disclose.

Dr. Tung receives a salary as Section Editor for Critical Care for Anesthesia and Analgesia.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Panel | Tuesday, December 13, 2016 Morning Session • 09:00 - 11:30 • South Ballroom • 6th Floor SP-27

Update in Ambulatory Surgery and Office-Based Practice Panel Moderator: Rebecca S. Twersky, M.D., M.P.H. 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: • • • • •

Identify conditions that pose significant risk in the ambulatory setting; Understand predictors for morbidity and mortality in ambulatory surgery; Discuss the pharmacology and clinical application of the newest drugs for ambulatory anesthesia; Define the components of enhanced recovery after surgery applied to ambulatory surgery; Highlight key ambulatory surgery safety issues and common accreditation challenges for HOPD, ASC and OBA Practices.

Presentations:

Which Patients May Be Too High Risk for Ambulatory Surgery ?

Bobbie-Jean Sweitzer, M.D. Professor of Anesthesiology, Critical Care and Medicine | Director, Anesthesia Perioperative Medicine Clinic University of Chicago | Chicago, Illinois

New and Novel Drugs in the Ambulatory Setting Tong J. Gan, M.D., MHS, FRCA Professor and Chair | Department of Anesthesiology | SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

ERAS for Ambulatory Surgery Rebecca S. Twersky, M.D., M.P.H.

Quality, Safety and Accreditation in Ambulatory Surgery Tuesday

Arnaldo Valedon, M.D. Vice-President and Chief ASC Division | First Colonies Anesthesia Associates | Frederick, Maryland

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Disclosures: Drs. Sweitzer, Twersky and Valedon do not have any financial relationships to disclose.

Dr. Gan is on the speakers bureau for Edwards Lifesciences Corporation.

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Mini Workshops | Tuesday, December 13, 2016 | MW-32 through MW-34 Mid-Day Sessions • 11:45 - 12:45 • 4th Floor Rooms MW-32 Odets Room

Postoperative Vision Loss (POVL): What Can Be Done to Prevent It? 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: • Define the anatomic differences in the forms of postoperative vision loss; • Delineate the factors that appear to be critical in contributing to the development of POVL; • Employ recommended strategies to minimize risk of prone position-related postoperative visual loss.

MW-33 Wilder Room

Update on Pediatric Outpatient Anesthesia 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 After completion of this session, the participant will be able to: • Provide an update and overview on outpatient pediatric anesthesia; • Review practice recommendations for pediatric anesthesia; • Review appropriate patients and procedure types for outpatient pediatric surgery; • 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; • Determine optimal intraoperative and postoperative pain control strategies; • Identification and treatment of postoperative issues such as emergence agitation, pain and nausea/vomiting; • This mini workshop is tailored toward the “general anesthesiologist” who provides anesthetic care to the pediatric patient.

MW-34 Ziegfeld Room

Postoperative Nausea and Vomiting: Practice Guideline Update 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

Disclosures: Drs. Li and Mann do not have any financial relationships to disclose.

Dr. Rosenfeld is on the speakers’ bureau for Merck & Co., Inc. and receives honoraria from Baxter International Inc.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

Tuesday

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

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Problem-Based Learning Discussions | Tuesday, December 13, 2016 Mid-Day Sessions • 11:45 - 12:45 • 6th Floor Rooms • PBL-65 through PBL-72 PBL-65 Majestic Room

Pediatric Sepsis Recognition Speakers: Michelle C. Carley, M.D. Assistant Professor of Clinical Anesthesiology Cornell University, Weill Cornell Medical College New York, New York

Aarti Sharma, M.D. Associate Professor, Clinical Anesthesiology Associate Director, Pediatric Anesthesia NewYork-Presbyterian Hospital | New York, New York

After completion of this session, the participant will be able to: • Discuss new sepsis guidelines applicable to the pediatric population; • Apply sepsis guidelines in the care of the pediatric patient presenting orthopedic surgery; • Discuss sepsis management in setting of acute sickle crisis.

PBL-66 Music Box Room

Analgesia for Thoracic Surgery: Is Paravertebral Block “Better” Than Thoracic Epidural?

Speakers: Malikah Latmore, M.D. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai St. Luke’s Mount Sinai West | New York, New York

Roniel Y. Weinberg, M.D. Assistant Professor of Anesthesiology | Weill Cornell Medical College Assistant Attending Anesthesiologist NewYork-Presbyterian Hospital | New York, New York

After completion of this session, the participant will be able to: • Discuss various pain management techniques for the thoracic surgical patient; • Employ a comprehensive plan to individualize the use of specific pain management techniques in the thoracic surgical patient.

PBL-67 Winter Garden Room

The TIPS Procedure: Anesthetic Issues in the IR Suite Speaker: Diana Anca, M.D. Assistant Clinical Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai St. Luke's | New York, New York After completion of this session, the participant will be able to: • Discuss the anesthetic implications of the patient with liver failure; • Identify challenges when caring for critically ill patients in remote locations; • Formulate a multidisciplinary plan to address these challenges.

Tuesday

PBL-68 Palace Room

Managing the Patient with HELLP Syndrome Speakers: 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

Allison J. Lee, M.D. Assistant Professor of Clinical Anesthesiology Columbia University, College of Physicians & Surgeons New York, New York

After completion of this session, the participant will be able to: • Diagnose the parturient with HELLP Syndrome; • Identify the anesthetic implications of HELLP Syndrome; • Manage the HELLP syndrome patient in the peripartum period.

Disclosures: Drs. Anca, Carley, Goodman, Latmore, Lee, Sharma and Weinberg do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

PBL-69 Shubert Room

Shortness of Breath in the PACU: Acute Pulmonary Embolism Speaker: Meghan Kirksey, M.D., Ph.D. Clinical Professor in Anesthesiology | Cornell University, Weill Cornell Medical College | Assistant Attending Anesthesiologist Hospital for Special Surgery | New York, New York After completion of this session, the participant will be able to: • Identify common causes of respiratory distress in the postoperative period; • Incorporate a plan to stratify and triage the care of the PACU patient with respiratory distress.

BLD-70 Shubert Room PBL-70 Uris Room

Quality and Peer Review: Using Metrics to Improve Your Guidelines and Processes Speaker: 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 After completion of this session, the participant will be able to: • Recognize which quality measures are most appropriate for peer review and quality reporting; • Utilize metrics to improve the quality of anesthesia care.

PBL-71 Plymouth Room

New Techniques for Fluid Management From Operating Room to ICU Speakers: Shaji P. Poovathoor, M.D. Associate Professor of Anesthesiology SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

Ruchir Gupta, M.D. Assistant 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: • Identify new concepts regarding the use of crystalloid and colloid volume replacement; • Formulate a plan to maintain ideal volume status in the perioperative period.

PBL-72 Royale Room

When Is a Pulmonary Artery Catheter Ever Necessary?

Speaker: June Chan, M.B., B.S., FANZCA Instructor in Anesthesiology | Cornell University, Weill Cornell Medical College New York, New York

Tuesday

After completion of this session, the participant will be able to: • Identify the indications for invasive hemodynamic monitoring; • Select appropriate invasive and non-invasive hemodynamic monitoring for various patient populations.

Disclosures: Drs. Chan, Gupta, Holt, Kirksey and Poovathoor do not have any financial relationships to disclose.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Panel | Tuesday, December 13, 2016 Afternoon Session • 13:00 - 15:30 • North Ballroom • 6th Floor SP-28

18th Annual Bragging Contest: Any Case You Have Done, I Have Done a Better One Panel 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: • •

Discuss the anesthetic management of patients who present with or develop unusual or unique medical issues that demand innovative anesthetic management strategies; Understand and gain insight into the thought processes of colleagues and mentors as they describe their management of complex problems in anesthesia care.

Presentations:

Representing: Veteran’s Integrated Service Network Steven D. Boggs, M.D., M.B.A., CPE Associate Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York | Director, Operating Room | Chief, Anesthesia Service | James J. Peters VA Medical Center | Bronx, New York

Representing: Albany Medical Center Scott B. Groudine, M.D. Professor of Anesthesiology and Surgery | Albany Medical College | Albany, New York

Representing: Columbia University, College of Physicians & Surgeons Bessie Kachulis, M.D. Assistant Professor of Anesthesiology | Division of Cardiothoracic Anesthesiology | Columbia University, College of Physicians & Surgeons New York, New York and

Vikram Saxena, M.D. Assistant Professor of Anesthesiology | Division of Cardiothoracic Anesthesiology | Columbia University, College of Physicians & Surgeons New York, New York

Representing: Montefiore Medical Center & Albert Einstein College of Medicine Irene P. Osborn, M.D. Associate Professor of Anesthesiology | Albert Einstein College of Medicine | Director, Division of Neuroanesthesia | Montefiore Medical Center | Bronx, New York

Representing: NewYork-Presbyterian Hospital & Cornell University, Weill Cornell Medical College Jon D. Samuels, M.D.

Tuesday

Assistant Professor of Clinical Anesthesiology | Joan and Sanford I. Weill Medical College of Weill Cornell University | New York, 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: Upstate Medical University Srinivasa S. Thota, M.D., M.B., B.S. Assistant Professor of Anesthesiology | Upstate Medical University | Syracuse, New York

Disclosures: Drs. Boggs, Gevirtz, Groudine, Kachulis, Osborn, Samuels, Saxena, Steinberg and Thota do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Focus Sessions | Tuesday, December 13, 2016 | FS-31 & FS-32 Afternoon Sessions • 15:45 - 17:00 • 4th Floor Rooms FS-31 Odets Room

Blood Management: The New “Hot” Topic for Your Administrators Focus Session Moderator: Linda J. Shore-Lesserson, M.D., FAHA, FASE Professor of Anesthesiology | Hofstra Northshore-Long Island Jewish School of Medicine | Director, Cardiovascular Anesthesiology | Northshore-Long Island Jewish Medical Center | New Hyde Park, New York Faculty Presentations:

Transfusions as Quality Measure?

Linda J. Shore-Lesserson, M.D., FAHA, FASE

Anemia Management Aryeh Shander, M.D., FCCM, FCCP 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 After completion of this session, the participant will be able to: • Discuss the Joint Commission blood management performance issues; • Discuss the utility of blood transfusion as a quality measure; • Describe best practices for fluid replacement in trauma and surgery; • Integrate appropriate fluid management and blood conservation techniques.

FS-32 Wilder Room

Anesthetic Challenges in Laparoscopic and Robotics Surgery Focus Session Moderator: Daniel M. Gainsburg, M.D., M.S. Associate Professor of Anesthesiology and Urology | Director, GU Anesthesia | Mount Sinai School of Medicine 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

Anesthetic Complications of Robotic-Assisted Laparoscopic Surgery After completion of this session, the participant will be able to: • Discuss the advantages and disadvantages of robotic assisted laparoscopic surgeries; • Plan appropriately for robotic assisted laparoscopic surgeries; • Discuss the complications of robotic laparoscopic surgery; • Recognize and manage the complications of robotic assisted laparoscopic surgery.

Tuesday

Daniel M. Gainsburg, M.D., M.S.

Disclosures: Drs. Gainsburg, Shore-Lesserson and Svyatets do not have any financial relationships to disclose.

Dr. Shander receives funded research support from CSL Behring and Masimo Corporation; consultant fees from Vifor Pharma, AMAG Pharmaceuticals, Inc., HbO2 Therapeutics; and is on the speakers’ bureau for CSL Behring, Masimo Corporation and Merck & Co., Inc.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Focus Session | Tuesday, December 13, 2016 | FS-33 Afternoon Session • 15:45 - 17:00 • 4th Floor FS-33 Ziegfeld Room

Problems in Pediatric Anesthesia Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology® (ABA).

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.

Focus Session Moderator: Francine S. Yudkowitz, M.D., FAAP Professor of Anesthesiology & Pediatrics | Director, Pediatric Anesthesia | Icahn School of Medicine at Mount Sinai | New York, New York Faculty Presentations:

Preparing for the Malignant Hyperthermia (MH) Susceptible Patient Francine S. Yudkowitz, M.D., FAAP

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

Prepare the anesthesia machine for MH susceptible patients; Recognize the signs of MH; Manage the patient who develops signs of MH during an anesthetic; Recognize scenarios not consistent with the diagnosis of MH.

Tuesday

Disclosures: Drs. Lipson and Yudkowitz do not have any financial relationships to disclose.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Poster & Medically Challenging Case Report Presentations Stephen A. Vitkun, M.D., M.B.A., Ph.D., Chair

Astor Ballroom • 7th Floor Authors should be available to discuss their work at their designated time. Titles will appear in numerical order from pages 120 through 133 The written descriptions have been reproduced as submitted by each author. The PGA is not responsible for the accuracy of the contents.

Poster and Medically Challenging Case Report Presentations Primary Author Disclosures The primary authors listed from pages 120 through 133 did not disclose any financial relationships, except for the following: P-9028 on page 124 The authors report receiving research grants from Jazz Pharmaceuticals (GM, RR, MS) and Medtronic, Inc. (GM, RR, MS),serving as a consultant for Jazz Pharmaceuticals (GM, TD, RR, PK, MW), and Medtronic, Inc. (GM, TD, RR, PK),serving on the advisory board for Jazz Pharmaceuticals (TD), receiving support for scientific study/trial from Jazz Pharmaceuticals (RR) and being an employee and stockholder of Jazz Pharmaceuticals (I-ZH, FM, GV).

P-9129 on page 133 The team and the project received the Gruhnentahl National Pain Award in 2015 and £5000 were awarded to further develop this project.

P-9110 on page 132 Dr. Fischer receives a consulting fee from CASMED on behalf of their speaker's bureau.

P-9128 on page 133 Financial relationship disclosures: Lynn R. Webster, M.D. has received some form of financial support from AstraZeneca, Cara Therapeutics, Depomed, Inc., Egalet Corporation, Grünenthal USA, Jazz Pharmaceuticals, Kaléo, Inc, Kempharm, Inc., Mallinckrodt Pharmaceuticals, Orexo, Pain Therapeutics, Pfizer Inc, Scilex Pharmaceuticals, Shionogi, Inc., Teva Pharmaceutical Industries Ltd, and Trevena, Inc. Joseph R. Harper, Pharm.D. and Robert J. Israel are employees of Salix Pharmaceuticals or affiliates.

P-9037 on page 124 Dr. O. Kimberger: Receives honoraria for speaking by 3M P-9092 on page 129 Dr. B. Naik: Receives funded research from Hemosonics P-9073 on page 129 Brian Harvey is an employee of Respiratory Motion, Inc. Respiratory Motion Inc. provided the monitors for the study.

P-9022 on page 123 Frank Overdyk and Tong Joo Gan have received consulting fees from Trevena, Inc. David Soergel, Franck Skobieranda, and David Burt are employees of Trevena, Inc. P-9038 on page 124 Dr. O. Kimberger: Receives honoraria for speaking by Draeger AG and consulting fees and study support by Draeger AG. P-9132 on page 133 Our service was awarded a Gruhnentahl National Pain Award in 2015 and received a £ 5000 prize to continue our investigations on this project.

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Saturday, December 10, 2016 • 09:30-11:30

122

MCC-7001

Pediatric Adrenal Tumor

MCC-7002

Successful Management of a Patient with Williams Syndrome, History of Malignant Hyperthermia and a Difficult Airway

MCC-7003

Difficult One-Lung Ventilation: A Novel Approach Using an Atraumatic Wire in a Difficult Airway

MCC-7004

Sudden Cardiac Arrest in a 32 Year-old Hospital Visitor

MCC-7005

Anesthetic Management of a Parturient with Neurofibromatosis Type I and Severe Cerivcothoracic Scoliosis

MCC-7006

Intravascular Migration of an Epidural Catheter After 10 Hours of Uneventful Use in a Patient For Emergency Caesarean Section

MCC-7007

Lidocaine Infusion Treatment for Trigeminal Neuralgia Related to Vertebrobasilar Dolichoectasia: Pain Control Application to a Refractory Pain Complex

MCC-7008

Anesthesia During Beach Chair Position in a Patient with Hypertrophic Cardiomyopathy Using Transthoracic Echocardiogram

MCC-7009

Post Thoracotomy Pain Syndrome : A Case of Refractory Pain

MCC-7010

Utilization of Intraoperative Real-time Three-Dimensional Transesophageal Echocardiography to Objectively Assess Improvement in Synchronization and Regional Wall Motion after Coronary Reperfusion

MCC-7011

Airway Management in an Acromegalic Patient for Lumbar Discectomy: Disposable Versus Reusable Fiberoptic Scope

MCC-7012

MELAS Syndrome and General Anesthesia: Any Concerns?

MCC-7013

A Rare Case of Acute Gluteal Compartment Syndrome Following Robotic-Assisted Laparoscopic Pyeloplasty

MCC-7014

Quadruple Valve Replacement for Carcinoid Heart Disease

MCC-7015

Sevoflurane for the Treatment of Severe, Refractory Bronchospasm in the Pediatric ICU

MCC-7016

Role of Intraoperative TEE in Identifying Previously Unrecognized RA Thrombus Prior to LVAD Placement in Patient with Decompensated Idiopathic Dilated Cardiomyopathy

MCC-7017

TURBT For Acute Hemorrhage from Recurrent Bladder Tumor in an Octogenarian with Suspected Cardiac Amyloidosis One Month Status Post CABG with Cryo-Maze

MCC-7018

Case Report of a Patient with Severe Mitral Regurgitation Undergoing HIPEC: Role of Anesthesiologists as Perioperative Physicians

MCC-7019

Antibody-Mediated Rejection after Orthotopic Heart Transplant Presenting as Sudden Cardiac Arrest: Assessing the Role of AICD Placement for Secondary Prevention in OHT Patients

MCC-7020

Minimally Invasive Left Anterior Thoracotomy Surgical Approach for Sub-Aortic Stenosis in A Patient with Dextrocardia and Situs Inversus Totalis

MCC-7021

Management of Epidural Abscess Pain in a Pediatric Patient with Acute Lymphoblastic Leukemia

MCC-7024

Hemorrhagic Shock Following Epicardial Pacing Wire Removal

MCC-7025

Anesthetic Management of a Patient with Shy Drager Syndrome

MCC-7027

Minimizing Morbidity and Maintaining Mobility in Morquio

MCC-7028

Intubation for Large Thyroid Masses: Do We Alwaysneed an Awake Fiberoptic?

MCC-7029

A Case of an Unusual Central Venous Pressure Waveform

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

MCC-7030

Management of a Parturient with Platelet Storage Pool Deficiency for Cesarean Section

MCC-7031

Ethical Dilemma: Evaluating Capacity for a Critically Ill Patient

MCC-7032

Anesthetic Management of Combined Heart-Liver Transplantation in a Patient With Ischemic Cardiomyopathy and Cardiac Cirrhosis

MCC-7033

A Ride into the Danger Zone: A Child With Central Core Disease Who Received Multiple Inhalational Anesthetics Prior to Diagnosis

MCC-7034

Labor Epidural for a Parturient With a History of Myelomeningocele

MCC-7035

Adrenal Crisis Following Left Hip Surgery: A Case Report

MCC-7036

A Novel Nasal PAP Mask Assembly Used as a Rescue Device to Maintain Spontaneous Ventilation and Oxygenation in an Elderly Obese Patient with OSA and Airway Obstruction under Deep Sedation and N2O for Circumcision

MCC-7037

Multidisciplinary Care of a Parturient with Widespread Metastatic Disease

MCC-7038

A Fatal Case of Venous Air Embolism Following ERCP

MCC-7039

Epidural Wave Analysis as a Technique for Epidural Catheter Placement Confirmation (Case Study)

MCC-7041

A Novel Nasal PAP Mask Assembly Provided Continuous Oxygenation in a Patient with Known Difficult Airway During Awake Oral Fiberoptic Bronchoscopic Endotracheal Intubation for Craniotomy/Tumor Excision

MCC-7042

Osteogenesis Imperfecta: A New Perspective

MCC-7043

Manual Cuff Palpation may still occur with Esophageal Intubation: A Case Report

MCC-7044

Major Obstetric Haemorrhage Due to Rupture Splenic Artery Aneurysm in 34 Week Parturient.

MCC-7045

Anesthetic Management of Placenta Percreta with Iliac Vein Involvement Followed by Rapid Postoperative Recovery

MCC-7046

Complex Airway Management for Neck Dissection, Tonsillectomy and Removal of Vocal Cord Lesion Combined

MCC-7047

Accidental Aspiration of Dentures in the Airway

MCC-7048

Intraoperative Transthoracic Echocardiograph Use to Guide intraoperative Hypotension

MCC-7049

Anesthetic Management for Electroconvulsive Therapy in a Patient with Left Ventricular Assist Device and Automated Implanted Cardioverter-Defibrillator

MCC-7050

Profound Intraoperative Hypotension Secondary to Unprovoked Pulmonary Embolism During Positioning for Hip Arthroscopy

MCC-7051

Perioperative Goal Directed Therapy (PGDT) In a 101 - Year - Old Patient Presenting for Hip Replacement

MCC-7052

Wolff-Parkinson White (WPW) Syndrome in a Pediatric Patient Presenting for Elective Surgery: Anesthetic Considerations

MCC-7053

Anaphylaxis in the Post Anesthesia Care Unit

MCC-7054

Perioperative Heliox for Airway Obstruction Secondary to Thoracic Aortic Aneurysm

MCC-7055

A Post Dural Puncture Case: More Than Just Pain?

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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MCC-7056

Epidural Anesthesia for Cesarean Section in an Achondroplastic Dwarf

MCC-7057

Thrombosis Complicating Massive Transfusion in a Patient with Placenta Percreta

MCC-7058

Neuraxial Anesthesia in the Setting of Thrombocytopenia: Can It Be Done Safely?

MCC-7059

A Novel Nasal PAP Mask Assembly Provided Continuous Oxygenation in an Obese Pediatric Patient with C3 Vertebral Pathologic Fracture during Induction of General Anesthesia for Posterior Laminectomy/Decompression

MCC-7060

Use of a Novel Nasal PAP Mask Assembly as a Rescue Device to Provide Continuous Nasal Ventilation and Oxygenation in an Obese Patient with SIADH and Respiratory Failure during Difficult Endotracheal Intubation in ER

MCC-7061

Increasing Pain and New Onset Periodic Neurologic Deficits in a Patient with Intrathecal Hydromorphone Infusion

MCC-7062

A Case of Intravenous Buprenorphine for Laparoscopic Cholecystectomy in India

MCC-7063

Anesthesiologist’s Perspective and Management of Acute Type A Aortic Dissections

MCC-7064

A Novel Nasal PAP Mask Assembly Maintained Spontaneous Ventilation and Oxygenation in a High-Risk Patient with Severe Aortic Stenosis, A-fib and CAD During Cystoscopy Under MAC

MCC-7065

Emergent Management of a Patient with a Known History of Difficult Intubation and a Bleeding Neck

MCC-7066

Congenital Absence of the CYP 2D6 Enzyme: Pharmacogenomic Implications for Anesthesia

MCC-7067

Anesthetic Management of Parturient with Cardiomyopathy Scheduled for Urgent Cesarean Section

MCC-7068

Anesthetic Management of a Patient With Metastatic Neuroendocrine Tumor and SVC Syndrome

MCC-7069

Spinal Cord Stimulator In A Patient with Idiopathic Anaphylaxis ? To Place or Not to Place?

MCC-7070

Paravalvular Leak After Mitral Valve Repair: More Than Just Ring Dehiscence

MCC-7071

Unusual Presentation of Suspected Malignant Hyperpyrexia in a Patient Undergoing Abdominoplasty and Rectus Plication Surgery - A Case Report

MCC-7072

Early Detection of Aortic Valve Annulus Tear During TAVR

MCC-7073

Anesthetic Considerations for a Novel Transcatheter Mitral Valve Repair Procedure: The GDS Accucinch System

MCC-7074

Laparotomic Myomectomy in the 18th Week of Pregnancy: A Case Report

MCC-7075

Anesthetic Management of Superficial Temporal Artery to Middle Cerebral Artery Bypass in Patient with Moyamoya Disease

MCC-7076

Incidental Anterior Mediastinal Mass in a Trauma Patient

P-9001

Hemodynamic Optimization Using Goal Directed Fluid Therapy (GDFT) Is Associated With Improved Outcomes in Patients Undergoing Right Hepatectomy: A Multicenter Retrospective Study

P-9002

Effects of Midazolam on Cytokine in the Brain

P-9003

Benchmarking Surgical Systems 2015-30: Applying the Lancet Commission on Global Surgery Key Messages for an Indicator-Based, Near Real-time Capacity Building Index

P-9004

M-mode Measurement of Internal Jugular Vein Collapsibility Index as a Predictor of Fluid Responsiveness During Renal Transplant

P-9005

Prediction of Chronic Pain After Cesarean Delivery Using a Preoperative Questionnaire

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

P-9006

Posterior Circulation Infarcts: A Pictorial Review of Visual Sensorium Deficits

P-9007

Endoscopy Air Insufflation: A Mechanism for Cardiac Arrest

P-9008

Prospective, Randomized And Controlled Trial on Ketamine Infusion During Bilateral Axillo-Breast Approach (BABA) Robotic or Endoscopic Thyroidectomy: Effects on Postoperative Pain and Recovery Profiles

P-9009

Multi-Pharmaceutical and Multimodal Approach To Preventing Postoperative Nausea and Vomiting in an Office Based Plastic Surgery Center

P-9010

Effect of Noise on Anesthesiologist Auditory Processing in the Operating Room

P-9011

Targeting Complement C3 to Inhibit Ischemia/Reperfusion Injury

P-9012

Impact of Morbid Obesity on Cardiac Surgery Resource Utilization and Complications

P-9013

Posterior Reversible Encephalopathy Syndrome Diagnosis After a Posterior Fossa Tumor Resection in a Pediatric Patient

P-9014

A Survey of Anesthesia Providers and Post Anesthesia Care Unit Nurses to Assess Satisfaction with a Postoperative Handoff Protocol

P-9015

An Accurate Method to Measure Blood Volume

P-9016

Retrospective Analysis of Geriatric Patients Undergoing Hip Fracture Surgery: Delaying Surgery is Associated with Increased Morbidity, Mortality and Length of Stay

P-9017

Intralipid Reverse The Use-Dependent Block Induced by Bupivacaine: Study in an Experimental Porcine Model

P-9018

ReMind: Reducing Delirium and Improving Patient Satisfaction with a Perioperative Mindfulness Intervention

P-9019

Cognitive Reserve Measures Are Associated with Reduced Pain Interference

P-9020

Perioperative Staffing Model Improves Quality

P-9021

Promoting Safety in the Ambulatory Surgical Center: A Nurse’s Perspective

P-9022

Respiratory Safety of Oliceridine (TRV130), a Selective μ Receptor G Protein Pathway (μ-GPS) Modulator versus Morphine

P-9023

Outpatient Comparison and Utilization of the M-YPAS Assessment to Estimate the Level of Anxiety at Induction of Anesthesia for the Pediatric Patient by Anesthesiologist and Nurse

P-9024

Comparison of m-YPAS scoring between Pre-operative Nursing and Anesthesiologist in the Outpatient Setting

P-9025

Use of AirSPACE™ Device for Real-Time Positioning During Laryngoscopy

P-9026

Continuous Peripheral Catheter and Infection Rate in Obese Patients

P-9027

Evaluation of Modafinil vs. Placebo for the Treatment of General Anesthesia Delayed Emergence in Obstructive Sleep Apnea Patients: Preliminary Data Demonstrates that Perioperative Administration of Modafinil is Safe.

P-9028

Effectiveness and Safety of Intrathecal Ziconotide as the First Agent in Pump for Adult Patients With Severe Chronic Pain

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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P-9025

Use of AirSPACE™ Device for Real-Time Positioning During Laryngoscopy

P-9026

Continuous Peripheral Catheter and Infection Rate in Obese Patients

P-9027

Evaluation of Modafinil vs. Placebo for the Treatment of General Anesthesia Delayed Emergence in Obstructive Sleep Apnea Patients: Preliminary Data Demonstrates that Perioperative Administration of Modafinil is Safe.

P-9028

Effectiveness and Safety of Intrathecal Ziconotide as the First Agent in Pump for Adult Patients With Severe Chronic Pain

P-9029

Excessive Use of Medications Causing Low Incidence of Postoperative Nausea and Vomiting in a Community Teaching Hospital

P-9030

The Continued Tale of Preoperative Testing: A Glance at the Sub-Specialty Cost of ASA I Patients

P-9031

Case Report: Over-Utilization of Hospital Resources in the Non-Compliant Bipolar Patient

P-9032

Cost-Effective Use of Single-Dose Intraoperative Dexamethasone in the Prevention of Postoperative Nausea and Vomiting: A Prospective Observational Study

P-9033

Trends of Intraoperative Opioid and Non-Opioid Analgesic Use at an Academic Tertiary Care Hospital Over a Four-Year Period

P-9034

Rapid Fluid Infusion and Potential Right Heart Overload: A Theoretical Analysis of Why This Is an Unlikely Mechanism Alone

P-9036

Test Infusion of Propofol to Determine the Initial Infusion Rate for Sedation Using the Marsh Pharmacokinetic Model with Short Tthke0

P-9037

The Influence of a Wide Range of Ambient and Core Temperatures on the Accuracy of a Disposable Zero-Heat-Flux Core Thermometer

P-9038

The Accuracy of a Novel Non-Invasive “Double-Sensor” Core Thermometer Under Extreme Ambient Temperatures

P-9040

Preliminary Evaluation of Intralipid in an Experimental Model of Bupivacaine Induce Ventricular Arrhythmias

P-9041

Clinical Course and Evaluation of Osteoporotic Patients Following Rib Fracture

P-9042

Use of Scalp Block in Patients Undergoing Craniotomy: A Retrospective Review of Patients at a Large Cancer Center

P-9043

Immediate Changes in Haemodynamics and Gas Exchange After Initiation of Noninvasive Ventilation In Cardiac Surgical Patients

P-9044

Serum Lactate Levels Predict Longer Intensive Care Length of Stay in Patients Undergoing Cytoreductive Surgery Associated with Hyperthermic Intraperitoneal Chemotherapy: A Cohort Study

P-9045

Audiovisual Entrainment in Pediatric Sedation: A New Concept to Reduce Propofol during Surgery

P-9046

NORA Block Optimization: Playing in the Same Sandbox

P-9047

Communication of Operating Room Staffing Board Enhanced by Inexpensive Netcam Technology

P-9048

Retrospective Review of OB-ICU Patient Profiles at the University of Oklahoma Health Sciences Center

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Sunday, December 11, 2016 • 09:30-11:30 MCC-7077

The Anesthetic Management of a Patient with Situs Inversus Totalis with Intractable Seizures for a Vagal Nerve Stimulator

MCC-7078

Autonomic Dysreflexia: Review of Intraoperative Management

MCC-7079

Total IV Anesthesia with Propofol-Ketamine for EBUS with Biopsy procedure in a Patient with Impaired Ventricular Function

MCC-7080

Anesthesia for Resection of Massive Chest Wall Tumor: A Combined Complex Surgical Procedure

MCC-7081

What a shock! Toddler with Mitochondrial Disease for Pacemaker Insertion: Case Report

MCC-7082

A Novel Nasal PAP Mask Assembly Provided CPAP Pre-Oxygenation and Positive Pressure Ventilation in an Edentulous Elderly Patient with a Large Maxillary Melanoma and Poor Face-Mask Fit during GA Induction

MCC-7083

Submental Intubation and Anesthetic Management of Maxillofacial Trauma in Fahr’s Disease

MCC-7084

A Novel Nasal PAP Mask Assembly Provided Continuous Oxygenation in an Obese, Edentulous Elderly Male Patient with a Septic Left Knee Joint During Induction of General Anesthesia for I & D of Left Knee

MCC-7085

Use of Regional Anesthesia and Dexmedetomidine in a Super Obese Patient

MCC-7086

Modified Awake Intubation of Patient with Actively Draining Intra-Oral Abscess

MCC-7087

A Novel Nasal TSE-PAP Mask Assembly Provided Continuous Oxygenation in an Anesthetized Obese Patient with Difficult Face-Mask Ventilation and Difficult Intubation during Intubation Attempts by a CA1 Anesthesia Resident

MCC-7088

Successful Regional Anesthesia for Knee Arthroscopy, Partial Meniscectomy, and Removal of Loose Body in the Setting of Severe Ischemic Cardiomyopathy

MCC-7089

Intra-Operative Management of Pituitary Apoplexy And Its Implications for the Anesthesia Provider

MCC-7090

Cesarean Delivery Following Hysterectomy Due to Amniotic Fluid Embolism in the OB Suite

MCC-7091

A Challenging Case of Post-Operative Pain Management in a Patient with Tenuous Respiratory Function

MCC-7092

Postoperative Paraplegia Following Spinal Cord Infarction in a Patient with a Thoracic Epidural Catheter

MCC-7093

Acute Thrombosis of Aorto-Femoral Bypass Graft in a Patient After Video-Assisted Thoracoscopic Surgery?

MCC-7094

Atrial Tamponade Secondary to Mediastinal Hematoma in a Patient with a Syncardia Cardiowest Temporary Total Artificial Heart

MCC-7095

Emergency Cesarean Section in a Patient with Uterine Fibroid and Fetal Lymphangioma

MCC-7096

Bringing Awareness and to the Possible Development Of Nasopharyngeal Tear During Nasotracheal Intubation

MCC-7097

A Novel Nasal PAP Mask Assembly Provided CPAP Pre-Oxygenation, PC Nasal Ventilation and Apneic Oxygenation in a Patient with Parry-Romberg Syndrome and Right Mandibular Atrophy during GA Induction

MCC-7098

Acute Postoperative Negative Pressure Pulmonary Edema Immediately Following Extubation

MCC-7099

The Anesthetic Management of a Patient with Hereditary Sensory and Autonomic Neuropathy, Type VII (HSAN VII)

MCC-7100

PEC I and II Nerve Block for Postoperative Pain Control After Mini-Thoracotomy

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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128

MCC-7101

Role of the Transversus Abdominis Plane Blockade in Visceral Pancreatic Pain Control

MCC-7102

Complex Regional Pain Syndrome in Four Children with Sickle Cell Disease and Vasoocclusive Ischemia

MCC-7103

Paradoxical Vocal Cord Motion Disorder: Atypical Cause of Postoperative Stridor Presents A Diagnostic Dilemma for Anesthesiologists

MCC-7104

Perioperative Management for Release of Congenital Alveolar Synechiae in a 5 Day-Old Term Neonate with Van Der Woude Syndrome

MCC-7105

Posterior Mediastinal Mass Presenting As Respiratory Distress in a 6- Week-Old Infant

MCC-7106

Noncardiac Surgery in a Patient with Severe Aortic Stenosis and Coronary Artery Disease

MCC-7107

A Novel Nasal PAP Mask Provided CPAP Pre-Oxygenation and Apneic Oxygenation in a Demanding Obese Patient with Recent Aspiration Pneumonitis during RSI of General Anesthesia for Removal of a Failed Gastric Balloon Pump

MCC-7108

Anesthetic Management of a Surgical Paraganglioma Resection in a Breast Feeding Woman

MCC-7109

Anesthetic Concerns and Management of a Neonate with Esophageal Atresia

MCC-7110

An Inebriated Patient with an Unstable Cervical Spine

MCC-7111

Sugammadex and Muscular Dystrophy: Not so fast!

MCC-7112

Hyperkalemia Induced Cardiac Arrest Following Reperfusion of Ischemic Lower Extremity

MCC-7113

Ketamine Infusion Successfully Used to Treat Lower Extremity CRPS in a Patient that Could Not Tolerate Lumbar Sympathetic Blocks

MCC-7114

Severe Bradycardia Following Cardioversion for Atrial Fibrillation

MCC-7115

Continuous Spinal Anesthesia with Levobupivacaine For Hip Surgery in a Patient With Severe Aortic Stenosis

MCC-7116

Management of Massive Venous Air Embolism During Laparoscopic Liver Resection

MCC-7117

TotalTrack Device in Difficult Airway Management in Thoracic Surgery

MCC-7118

A 21 Month Old Female with Biliary Atresia and Hepatopulmonary Syndrome Presents for Liver Transplantation

MCC-7119

The Dilemma of Removing Epidural Catheters: What is the Right Way?

MCC-7120

Lateral Femoral Cutaneous & Femoral Nerve Regional Block with Dexmedetomidine IV Sedation: An Anesthetic Alternative for Femur IMN in Patient with Cardiac Disease

MCC-7121

Anesthetic Management for a Patient with Moyamoya Disease

MCC-7122

Emergency Awake Nasal Fiberoptic Intubation Using Only Trans-Tracheal Injection in An Unstable Patient with a Hemorrhaging Carotid Artery

MCC-7123

Pain Management in a Patient with Parkinson Disease, Muscular Dystrophy, Physphoglycerate Kinase Deficiency, Chronic Ileus with Limited Ability to Communicate

MCC-7124

Excessive CSF Loss via Epidural Needle from Spinal Needle Dural Puncture During CSE for C/S

MCC-7125

Successful Airway Management with Laryngeal Mask Airway (LMA) in a Two Week Old Patient with Prader-Willi Syndrome for Gastrostomy Tube Placement

MCC-7126

Ultrasound Could be Our Third Eye in a Life-Threatening Emergency

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

MCC-7127

Ketamine Infusion for Sah and Aneurysm Clipping

MCC-7128

Unrecognized Fatal Meningitis in the Post-Partum Period Following an Uneventful Labor and Delivery with Epidural Analgesia

MCC-7129

Case Report of a Patient with Massive Intra-Abdominal Liposarcoma with Acute Pulmonary Embolus.

MCC-7130

General Anesthesia for Stiff Person Syndrome - Case Report

MCC-7131

Carbon Dioxide Embolism During Laparoscopic Hepatectomy: A Case Report

MCC-7132

A Novel Nasal PAP Mask Assembly Provided CPAP Pre-Oxygenation, Pressure Control Ventilation and Apneic Oxygenation in a Cachectic Patient with C3-C6 Fractures and a Rigid C-Collar During GA Induction and Endotracheal Intubation

MCC-7133

Anesthesia Management of a Parturient with a Large Newly Diagnosed Cerebellopontine Angle Schwannoma

MCC-7134

Subcutaneous Emphysema Extending into the Orbit, Pneumothorax and Pneumomediastinum Following Screening Colonoscopy

MCC-7135

A Case of Tracheobronchomalacia Mimicking Acute Pulmonary Embolism

MCC-7136

Suspected Malignant Hyperthermia During Massive Hemorrhage Resuscitation

MCC-7137

A Chronic Headache Treated Successfully by an Epidural Blood Patch

MCC-7138

General Anesthesia for Cesarean Section in a Full-Term Parturient with Type I Arnold-Chiari Malformation Along with Tonsil Herniation

MCC-7139

Combined Cesarean Section and Mitral Valve Replacement for Severe Mitral Regurgitation Secondary to Infective Endocarditis

MCC-7140

Transversus Abdominis Plane Block: A Safe and Practical Armamentarium in the Perioperative Arena

MCC-7141

Management of Placenta Accreta in a Jehovah’s Witness Patient

MCC-7142

A Novel Nasal PAP Mask Assembly Provided Pressure-Support Ventilation and Nitrous Oxide and Maintained Oxygenation in a Morbidly Obese BiPAP-Dependent Patient with CAD and Aortic Aneurysm During Knee Arthroscopy Under Femoral Nerve Block

MCC-7143

Two Unique Approaches to Epidural Blood Patch (EBP) Using Fluoroscopic Guidance on a PostLaminectomy Patient with Persistent Cerebrospinal Fluid (CSF) Leak Headache

MCC-7144

Sedating Craniopagus Twins for MRI-A Daunting Task

MCC-7145

Anesthesia management of Hybrid Surgery of Off-Pump CABG, TAVR and Rotational Atherectomy

MCC-7146

Utility of Obturator Nerve Block in Diagnosis of Hip Pain in Spastic Diplegic Cerebral Palsy

MCC-7147

A Case Report of Acute Respiratory Failure After Ultrasound-Guided Supraclavicular Block

MCC-7148

Direct Oral Anticoagulants: Strategies for Emergent Reversal

MCC-7149

Emergent Pediatric Craniotomy for Tumor De-Bulking in Four Year Old Child.

MCC-7150

Melorheostosis: A Rare Disease and Concerns of Anesthesiology

MCC-7151

Anesthestic Management of a Patient with Subaortic Stenosis for an Elective Ceserean Section

MCC-7152

Spinal Cord Stimulator Trial for Cancer-Related Pain

MCC-7209

Perioperative Management of a Crush Injury Patient with Streptococcal Toxic Shock Syndrome from Necrotizing Fasciitis

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

129

P-9049

Epidural Catheter Migration Rates and Risk Factors in Acute Postoperative Pain Patients: A Review of 18,837 Cases Over a 10 Year Period

P-9050

The Effect of Continuous Versus Intermittent Renal Replacement Therapy on the Outcome of Critically Ill Patients with Acute Renal Failure

P-9051

Knowledge & Opinions of Flemish Health Care Professionals About the WHO Safe Surgery Checklist

P-9052

Safety, Effectiveness And Feasibility of Intranasal Fentanyl for Radiofrequency Ablations of the Lumbar Facet Joints

P-9053

The Use of TIVA Does Not Affect Postoperative PLR and Nlrs After Pancreatic Cancer Surgery When Compared to a Volatile Agent Based Anesthetic

P-9054

Mannitol as a Renal Protective Agent in A Laparoscopic Partial Nephrectomy

P-9055

Acquired Hypernatremia in a General Surgical Intensive Care Unit: Incidence and Prognosis

P-9056

Cold Induced Urticaria Considerations Under General Anesthesia

P-9057

Anesthetics Techniques Used in Pediatric Shock Wave Lithotripsy

P-9058

Risk factors for ICU Length of Stay Following Pediatric Liver Transplant

P-9059

Is the Incidence of Nausea, Vomiting and Hypotension Affected by the Position of Parturients Undergoing Cesarean Section with Combined Spinal-Epidural Technique?

P-9060 A Retrospective Comparison of Ultra Low Dose Narcotic Concentrations in Epidural Fentanyl-Bupivacaine Solution for Postoperative Epidural Analgesia in a Community Hospital

130

P-9061

Medication Error in a Pediatric Anesthesia Setting: Incidence, Etiologies, and Error Reduction Strategies

P-9062

Surgery-Specific Cardiac Output-Guided Haemodynamic Algorithm is Associated with Improved Outcomes in Patients Undergoing Pancreaticoduodenectomy in a High Volume Centre: A Retrospective Comparative Study

P-9063

Paediatric Fasting Times in the Cardiac Catheter Laboratory

P-9064

The Coming Challenges with Affordable Care Act and Increasing Cost of Pharmaceutical Expenses: Five Year Analysis in Observed Pharmaceutical Expenses

P-9065

Feelings of Pressure Among Flemish Health Care Professionals When Using The WHO Safe Surgery Checklist

P-9066

Peripheral Nerve Block Catheters Versus Single Shot Nerve Blocks for Postoperative Pain Control

P-9067

Interaction Between General Anesthesia and Pupillary Light Reflex: Qualitative and Quantitative Assessment with Infrared Pupillometry: A Prospective, Randomized, Interventional Study

P-9068

Preoperative Fluid Administration in Total Joint Arthroplasty Patients Limits Anesthesia Interventions: A Randomized, Controlled, Blinded Study

P-9069

Ketamine Anesthesia for Electroconvulsive Treatment (ECT) for Improvement of Depression (KAID) Clinical Trial: Preliminary Data

P-9070

Comparison of Mortality Prediction Models in Acute Respiratory Distress Syndrome (ARDS) with Extracorporal Membrane Oxygenation and Development of a Novel Prediction Score

P-9071

Does Stylet Reinsertions Upon Piercing Ligamentum Flavum with an Epidural Needle Reduce The Incidence of Accidental Dural Puncture?

P-9072

Air Embolism Potential from IV Fluid Warmers

P-9073

Respiratory Insufficiency with Respiratory Volume Monitor in Obese and Non-Obese Patients

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

P-9074

Does Reduced Concentration of Epidural-PCA Ropivacaine for Labor Pain with Maternal Ambulation Improve Labor and Delivery Outcome?

P-9075

OPIOID study: Outpatient Surgery for Obstructive Sleep Apnea Improved Discharge: A Quality Improvement Project

P-9076

Recent Outcome Trends of Early versus Late Percutaneous Endoscopic Gastrostomy Placement in Patients with Traumatic Brain Injury: Nationwide Population-based Study from 2011 to 2013

P-9077

Recent Outcome Trends of Early versus Late Percutaneous Endoscopic Gastrostomy Placement in Patients with Traumatic Brain Injury: Nationwide Population-based Study from 2011 to 2013

P-9078

A Prospective Randomized Trail of Automated Intermittent Ropivacaine Administration Versus Continuous Ropivacain Infusion in Ultrasound Guided Interscalene Blockage After Major Shoulder Surgery

P-9079

Does The Addition of Intravenous Morphine with or Without Lidocaine to Propofol Blunt The Response to Insertion of an Endoscope For Upper Endoscopy Procedures

P-9080

Developing a Propofol Infusion Pharmacokinetic Dosing Program for Dental Sedation of Pediatric Patients

P-9081

Evolution of Minimal Invasive Cardiac Surgery: Anaesthesia Challenges in a Tertiary Care Centre

P-9082

Effect of Radiant Air-Conditioning System in the Operating Room on Thermal Comfort and Patient’s Body Temperature

P-9083

Study of the Use of Spinal Cord Stimulation (SCS) at the University Hospital of Salamanca

P-9084

Noise in Anesthesia Critical Moments: Analysis and Perceptions

P-9085

Effect of the Curved Blade Size on Direct Laryngoscopic View in Edentulous Patients

P-9086

Under-Utilization of Apfel Scores Necessitating Further Educational Strategies

P-9087

Intrathecal Morphine for Postoperative Analgesia in Patients Undergoing Breast Reconstruction

By D.I.E.P. (Deep Inferior Epigastric Perforator): A Retrospective Study

P-9088

Correlation of Plasma Levels of Bupivacaine and Electrocardiographic Changes: Study in a Porcine Model of Bupivacaine Intoxication

P-9089

An Alternative Approach to Treatment of PDPH Utilizing an Indwelling Epidural Catheter For Administration of an Epidural Blood Patch

P-9090

Integrating Efforts, Improving Outcomes: Pediatric Perioperative Surgical Home Dashboard Expands Thinking and Design Using Health Information Technology

P-9091

Goal Directed Therapy Lowers Intraoperative Fluid Use and Balance, but Not Complication Rates or Length of Stay, in Patients Undergoing Major Liver Resection: A Prospective Multicentre Randomized Controlled Trial

P-9092

Predicting Cryoprecipitate and Platelet Transfusions During Major Spine Surgery With SEER Sonorheometry versus Rotational Thromboelastometry

P-9093

Comparision of 6% Hetastarch Preferred Over Prophylactic IV Ephedrine for Prevention of Hypotension from Intrathecal Ropivacaine for Cesarean Section

P-9094

AKI Classification of Perioperative Renal Function Decline Seriously Underestimates Long-Term Mortality Risk in Patients Undergoing Cardiac Valve Surgery at 18 Years of Follow-Up

P-9095

Impact of an Anesthesia Directed Emergency Case Scheduling at a Community Hospital

P-9096

Physiologic Fluid Optimisation Algorithm Improves Outcomes in Patients Undergoing Pancreaticoduodenectomy: A Prospective Multicentre Randomized Controlled Trial

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

131

Monday, December 12, 2016 • 09:30-11:30

132

MCC-7153

The Blind Nasal Intubation: A Lost Art

MCC-7154

Cardiac Event following Ketamine Induction for ECT

MCC-7155

Pulmonary Artery Catheterization and Monitoring for a Moribund Elderly Patient Undergoing Laparoscopic Splenectomy for Hereditary Spherocytosis

MCC-7157

Triple A to Triple S: From Diagnosis to Anesthetic Management of Allgrove Syndrome

MCC-7158

A Novel Approach to Post Op Ear Pain: Greater Auricular Nerve Continuous Catheter Analgesia

MCC-7159

Perioperative Dental Injuries: A Common Challenge for the Anaesthesiologist - Case Series

MCC-7160

A Known But Missed Cause of Latex Allergy

MCC-7161

Heyde’s Syndrome: The Extremely Rare Constellation of Aortic Stenosis, Angiodysplasia and Acquired Von Willibrand Deficiency

MCC-7162

Transient Sciatic Nerve Weakness after TKA with Continuous Adductor Canal Block

MCC-7163

Pulmonary Hemorrhage After Cryoballoon Ablation for Treatment of Atrial Fibrillation: A Case Report

MCC-7164

Primary Cesarean Section Under General Anesthesia for a Patient with a History of MELAS

MCC-7165

Removal of an Unstable IVC Thrombus Refractory to Medical Treatment in a Patient with Heparin Resistance

MCC-7166

Presentation of Post Operative Cardiogenic Shock Secondary to Enlarging Right Atrial Mass

MCC-7167

14 Months Old with Posterior Mediastinal Mass, Tracheal Compression and Respiratory Distress: Should We Intubate?

MCC-7168

Challenges of HFpEF and Surgery: Case Report and Brief Review of the Literature

MCC-7169

Paraganglioma and the Carotid Artery: Strange Bedfellows

MCC-7170

Postoperative Takotsubo Cardiomyopathy and New-Onset Atrial Fibrillation following Orthotopic Liver Transplantation: A Case Report

MCC-7171

Meralgia Paresthetica: Can Normal Saline Injections Help?

MCC-7172

HemiDiaphragmatic Paralysis following Bariatric Intraventional GI Procedure of Cl. botulinium toxin into Gastric Mucosa: A Case Report

MCC-7173

Severe Metabolic Acidosis Following Thoracotomy

MCC-7174

Intraoperative Acute Hypoxic respiratory Failure, Fluoroscopy Revealed the Diagnosis

MCC-7175

Thoracic Epidural Abscess: A Preventable Complication?

MCC-7176

Management of a 33 Week Pregnant Woman Diagnosed with AML with Blast Crisis

MCC-7177

Postoperative Care of a Patient with Acute Bilateral Vocal Cord Paralysis

MCC-7178

The King Airway Conundrum

MCC-7179

A Subclinical Metabolic Acidosis

MCC-7180

The Anesthetic Management of a Patient Having a Balloon Valvuloplasty for Severe Mitral Stenosis with Intraoperative Event of a Third Degree AV Block.

MCC-7181

Mandatory Preoperative Pregnancy Testing of Adolescent Females: 20 Years in Review - Challenges: Interesting and Ethical

MCC-7182

Ultrasound-Guided Paravertebral Thoracic Blockade for Thoracic Wall Tumour Exeresis: A Clinical Case

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

MCC-7183

Caught Between a Rock and a Hard Place: When Socially Complicated Becomes Medically Challenging

MCC-7184

Repeat Uses of a Novel Nasal PAP Mask Assembly to Provide Continuous Oxygenation During MAC, GA Induction and Re-intubations in a High-Risk Patient with CHF with Bilateral Pleural Effusion Undergoing Atrial Fibrillation Ablation

MCC-7185

Hypoxemia During One Lung Ventilation (OLV) Secondary To Intracardiac Shunt. PFO: A Potentially Underestimated and Often Overlooked Source of Hypoxemia During One Lung Ventilation

MCC-7186

Awake Fiberoptic Intubation With NIM (Neural Integrity Monitor) Tube for Resection of Enlarged Goiter with Use of Video Laryngoscope to Facilitate Correct Electrode Positioning

MCC-7187

Anesthetic Management and Evaluation of a Patient with Loeys-Dietz Syndrome

MCC-7188

Anterior spinal Artery Syndrome Ffollowing Spinal Anesthesia for Elective Inguinal Hernia Repair

MCC-7189

Acute Ventilation Failure: Ditch the Tube?

MCC-7190

Sedation for Us-Guided Biopsy of Superior Mediastinal Mass in a Pediatric Patient: A Case Report

MCC-7191

Charcot-Marie-Tooth Neuropathy: Implications for a Regional Anesthetic

MCC-7192

Lumbar Epidural Blood Patch by Caudal Approach

MCC-7193

Intraoperative Cardiac Arrest from Prolonged Cold Ischemic Time During Cadaveric Liver Transplant

MCC-7194

Management of Life Threatening Complications During Embolization of a Congenital AVM in a 5 Month-Old Male

MCC-7195

Always Stop Before You Block!

MCC-7196

Subarachnoid-Cutaneous Fistula and Subdural Hematoma Complicating Cerebrospinal Fluid Drainage for Thoracoabdominal Aorta Aneurysm Repair

MCC-7197

An Unusual Case of Vision Loss Following Urologic Surgery

MCC-7198

Emergent Bronchial Artery Embolization for Massive Pulmonary Hemorrhage Feasibility of One Lung Ventilation

MCC-7199

Intraoperative Diagnosis of IVC Anastomosis Mismatch During Pediatric Liver Transplantation

MCC-7200

Complex Pain Management in a Child With Sickle Cell Disease for a Court-Ordered Four Extremity Amputation

MCC-7201

Challenging Intubation from Tracheal Compression in Undiagnosed Neck Mass

MCC-7202

Management of a Parturient with Brugada Syndrome

MCC-7203

Anesthetic Management of a Difficult Airway in a Pediatric Patient with Moebius Syndrome

MCC-7204

Routine Coagulation Tests in Trauma: Do We Need More?

MCC-7205

Hemiplegic Conversion Disorder Following Suction D&C in a Patient with No Prior Psychiatric History

MCC-7206

Rapid Expansion of a Sublingual Dermoid Cyst and Associated Airway Compromise

MCC-7207

Development of Subcutaneous Emphysema During Laparoscopic Surgery

MCC-7208

Caesarean Section Under Epidural Anesthesia for a Parturient with Cystic Fibrosis in Acute Pulmonary Compromise

MCC-7210

Myofacial Trigger Points in Hemiplegic Migraine Patient: A Case Report

MCC-7211

Case Report: Severe Bronchrospasm During Cardiopulmonary Bypass

MCC-7212

Tourniquet Use in the Pregnant Patient

MCC-7213

Perioperative Management of a Patient with Kabuki Syndrome 2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

133

134

MCC-7214

Can’t Intubate, can ventilate: Retrograde Wire Intubation Revisited

MCC-7215

Do Not Forget Propofol as a Cause of Green Urine Discoloration

MCC-7216

Dramatic Emergency Complex Cirway Management for a Prematurely Extubated Patient with a Known Difficult Airway

MCC-7217

Anesthestic and Physiologic Considerations in an Infant with Chronic Interstitial Lung Disease Undergoing Video Assisted Thorascopic Surgery (VATS)

MCC-7218

Novel Video Laryngoscope in Difficult Intubation situation

MCC-7219

A Novel Nasal PAP Mask Assembly Maintained Spontaneous Ventilation and Oxygenation in a Patient with Autonomic Neuropathy under Interscalene Block and N2O for Arthroscopic I&D of an Infected Shoulder Joint

MCC-7220

The Long Lasting Effect of a Trigger Point Injection with Normal Saline

MCC-7221

Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL): Postoperative Care Complicated by Unexpected Pseudoseizures

MCC-7222

Tension Hemothorax After Endovascular Repair of Ruptured Type B Aortic Dissection

P-9097

Quiet in the Room!

P-9098

Evaluation of Perioperative Practices for Lactating Cancer Patients

P-9099

Assessment of Knowledge, Attitude and Practice Beliefs in Treating Chronic Non-Cancer Pain Among Health Care Providers in Tertiary Care Hospitals

P-9100

Survey of Reversal Experience Among Primary Anesthetic Providers

P-9101

Retrospective Analysis of Perioperative Blood Transfusion in Geriatric Population Undergoing Hip Fracture Surgery is Associated with Increased Morbidity and Mortality

P-9102

Providing Anesthesiology Residents Clinical Effectiveness Data from an Electronic Medical Record: Does it Change Performance and do they Find it Useful?

P-9103

A Simple Technique to Improve Standard Nasotracheal Intubation

P-9104

Intrathecal Hydromorphone for Post-Cesarean Delivery Pain - A Dose Finding Study

P-9105

Clinical Use of Smartphone for Oxygen Saturation Measurement In Critical Area

P-9106

Trauma Induce Coagulopathy and its Affects on Fibrinogen’s Structural Architecture, What Potential Clinical Benefits can be Inferred from its Conformational Changed 3D Structure?

P-9107

An Audit of the Intraoperative Use of Bispectral Index (BIS) Monitoring in the Cardiac Catheter Laboratory (CCL)

P-9108

The Effect of Hyperglycemia on Blood Coagulation: In-Vitro, Observational Healthy-Volunteer Study Using Rotational Thromboelastometry (ROTEM®)

P-9109

Institution of a Patient Blood Management Program to Decrease Blood Transfusions in Elective Knee and Hip Arthroplasty

P-9110

Tissue Oximetry during Cardiac Surgery and in the Cardiac ICU - A Prospective Observational Trial

P-9111

Suspected Air Embolism Resulting in an Intra-Operative Severe Cardiovascular Collapse Following Hydrogen Peroxide Irrigation of a Large Wound

P-9112

Outcomes Analysis of Utilization of Intravenous Sedation for Skin Graft Reconstruction of Lower Extremities

P-9113

Enhanced Recovery After Surgery (ERAS) Pathway for Thyroplasty Performed Under Monitored Anesthesia Care Using Simultaneous Infusions of Dexmedetomidine, Remifentanil and Propofol

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

P-9114

Impact of Preoperative Anxiety on Propofol Induced Hypotension in Female Patients of Elective Surgery Under General Anaesthesia: Interim Analysis from a Prospective Observational Study

P-9115

Sutured Epidural Catheter for Epidural Block in Obstetric Patients: “Arrow” versus “B. Braun”

P-9116

A Comparison Between Sevoflurano-Remifentanil versus Propofol-Remifentanil in Microlaryngeal Surgery: Evaluation of Cardiovascular Stability and Postoperative Recovery

P-9117

Preoperative Frailty as a Predictor for Postoperative Complications

P-9118

A Comparison of Ventilation Techniques During Harvesting of the Left Internal Mammary Artery for Coronary Artery Bypass Grafting Surgery: A Prospective, Single Center, Randomized Trial

P-9119

Substance Use Disorder: Preventative Strategies in Residency

P-9120

Assessment of Cough Strength in Patients with Tracheostomies

P-9121

Clinical Effects of Preoperative Allopurinol on Perioperative Outcomes in Patients Undergoing Abdominal Hysterectomy

P-9122

Rebound Pain After Subarachnoid Block for Unilateral Total Knee Arthroplasty in a Randomised Controlled Trial

P-9123

Use of Non-Invasive Respiratory Monitoring to Assess Postoperative Risk

P-9124

A Retrospective Case Series on Addition of Dexmedetomidine’s Ability to Increase the Density and Duration of Peripheral Nerve Block

P-9125

Innovative Ways of Teaching Invasive Procedures to New Trainees: Use of a Banana for Epidural Placement

P-9126

Pre-Conditioning Three Receptor Groups in Surgical Patients: A New Approach To Reducing Post-Operative Nausea and Vomiting

P-9127

ALBI Score and Acute Posthepatectomy Liver Failure: A Retrospective Analysis

P-9128

Oral Methylnaltrexone Does Not Negatively Impact Analgesia in Patients with Opioid-Induced Constipation and Chronic Non-Cancer Pain

P-9129

Pain After Cardiac Device Implantation - Are We Improving Outcomes?

P-9130

Prospective Randomized Study to Evaluate the Effectiveness of a Tobacco Educational Program on Anaesthesiologist to Promote Smoking Cessation Before Surgery

P-9131

Suturing the Epidural Catheter Reduces the Incidence of Failed Epidural Block in Obstetric Patients

P-9132

Improving Pain and Outcomes After Cardiac Device Implantation from the Patient’s Point of View

P-9133

Implementation of an Enhanced Surgical Recovery Program (ESRP) in Gynecologic Oncology: How Much Did Intra-Operative Opioid Administration Decrease in First Year Post Implementation?

P-9134

A Financial Forecast of the Future of Anesthesiology

P-9135

Gender Disparities Appear Less in Anesthesiology Than in Other Medical Specialties

P-9136 for

Effect of Intraoperative Anesthesiology Management on Patient Outcomes for Surgical Revascularization Moya Moya Disease: A 7-year Retrospective Study

P-9137

Using the EMR: This is a Bear, or Perhaps a Dragon?

P-9138

Responder Rate with Oliceridine (TRV130), a Novel µ Receptor G Protein Pathway Selective (µ-GPS) Modulator vs. Morphine

P-9139

A Moment in History: Subarachnoid Opioids Are for the First Time Administered in Humans

P-9140

Oral Methylnaltrexone for the Treatment of Opioid-induced Constipation (OIC) in Patients with Chronic Noncancer Pain

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Scientific Exhibits Stephen A. Vitkun,M.D., M.B.A., Ph.D., Chair

Rotunda Area • 7th Floor

Saturday, December 10, 2016 Sunday, December 11, 2016

• 10:00-11:30 and 13:30-15:00

• 10:00-11:30 and 13:30-15:00

Scientific Exhibits will be judged for awards by the following Committee Members: Apolonia E. Abramowicz, M.D.

Lixin Liu, M.D.

Joseph Schianodicola, M.D.

Anna Kaminski, D.O.

Ashok Masand, M.D.

Mourad Shehebar, M.D.

Jung T. Kim, M.D.

Ngoc Nguyen-Famulare, M.D.

P. Sebastian Thomas, M.D.

Rhoda D. Levine, M.D.

Amanda J. Rhee, M.D.

Albert C. Yeung, M.D.

Galina Leyvi, M.D.

Divina Santos, M.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.

The Scientific Exhibitors do not have any financial relationships to disclose.

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S-8001

A Novel Nasal TSE-PAP Mask/Circuit Assembly to Provide Continuous Oxygenation During GA Induction and Emergency Intubation in the OR and at the Remote Anesthesia Locations

S-8002

Interactive Clinical Vignettes? Active Learning for the Modern Classroom

S-8003

Acupuncture to Treat Postoperative Cognitive Dysfunction and the Role of Autophagy and Neurogenesis of Hippocampal Neurons in Aged Patients with Surgical Stress and Anesthesia.

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Company Descriptions and Booth Numbers 3M Health Care .................................................................627, 728 Saint Paul, Minnesota

AXA Advisors...............................................................................613 Miami Beach, Florida

A Royal Treasure, LLC .................................................................809 Inglis, Florida A ROYAL TREASURE'S concept was founded over 30 years ago by making available to convention attendees and business travelers a great therapeutic stress release. We offer an opportunity to experience shipping with products that are covered by a full value exchange policy, unconditional guarantee and free insurance against loss or theft. Come and see us.

Becton Dickinson........................................................................714 Franklin Lakes, New Jersey

abeo Management Corp ............................................................103 Irving, Texas AccuVein ......................................................................................415 Cold Spring Harbor, New York AccuVein, the leader in vein illumination, helps practitioners locate veins for venous access procedures such as IV starts and blood draws by providing a map of the patient's vasculature on the skin's surface. Simply point the lightweight, portable device at the skin and click to display the peripheral veins beneath!

ACIGI Relaxation/Dr. Fuji ...................................................226, 228 Fremont, California Dr. Fuji Cyber Relax Chair Dr. Fuji Cyber Body Slimmer Ambu Inc......................................................................................131 Columbia, Maryland American Academy of Anesthesiologist Assistants (AAAA)..428 Atlanta, Georgia The AAAA® is the national organization for the ethical advancement of the Certified Anesthesiologist Assistant profession and excellence in patient care.

American Anesthesiology, Inc...................................................118 Sunrise, Florida We will be recruiting anesthesiologists.

The American Board of Anesthesiology ..................................206 Raleigh, North Carolina The American Board of Anesthesiology (ABA) administers primary and subspecialty certification exams as well as the Maintenance of Certification in Anesthesiology Program (MOCA®), which is designed to promote lifelong learning, a commitment to quality clinical outcomes and patient safety. Please visit the ABA booth to get details about MOCA 2.0™, the redesigned MOCA program, and the MOCA Minute™ pilot. Staff can also guide you through your portal account.

American Society of Anesthesiologists (ASA) ................607, 609 Schaumburg, Illinois Anesthesia Business Consultants.....................................507, 509 Jackson, Michigan Anesthesia Business Consultants, LLC specializes in billing & practice management services for anesthesia and pain management providers, featuring our proprietary F1RSTAnesthesia software and the powerful F1RSTAnalytics.

Anesthesiology News.................................................................615 New York, New York Anesthesiology News

Belize Asset Management, LLC ........................................ 311, 313 Ambergris Caye, Belize Berall Video L-scope, Inc. ...........................................................212 Brooklyn, New York Berall Video L-scope, Inc. will be presenting the Berall Mac video laryngoscope. It is the newest and most advanced VL in the market. Picture superb and Field-of-Vision wide. Priced to enter the market strongly.

BK Ultrasound .............................................................................716 Peabody, Massachusetts BK Ultrasound will feature its bk3500 Ultrasound System, a high performance ultrasound solution for anesthesiologists, designed for simplicity, ease of use and high-quality image performance.

The simple user interface, high contrast resolution and needle visualization enhancement enables anesthesiologists at all experience levels to quickly perform ultrasound guided procedures with confidence.

BOMImed.....................................................................................217 Winnepeg, Canada Canadian Anesthesiologists' Society .......................................807 Toronto, Ontario 2017 CAS Annual Meeting June 23 - 26, 2017 Scotiabank Convention Centre, Niagara Falls, ON Featuring: Dr. David Gaba, Stanford University Plenary Speaker A renowned leader and early pioneer in patient safety and the use of simulation Carnegie Surgical LLC.................................................................323 Hightstown, New Jersey CASMED .......................................................................................135 Branford, Connecticut Centurion Medical Products......................................................611 Williamston, Michigan Cheetah Medical .........................................................................612 Vancouver, Washington Cheetah Medical's monitoring systems with Bioreactance® technology help clinicians with volume management challenges in a broad range of clinical settings. CHEETAH NICOM & STARLING SV deliver continuous 100% noninvasive hemodynamic monitoring with accuracy equivalent to traditional & more invasive methods.

Ease of use, precision & sensitivity make Cheetah monitors the ideal instrument assessing fluid responsiveness & differential diagnosis in a broad range of patients across the continuum of care.

Cincinnati Sub-Zero....................................................................622 Cincinnati, Ohio Cincinnati Sub-Zero, a Gentherm Company, has been delivering patient temperature management systems since 1963. Our complete line of products includes therapeutic heating/cooling therapy units and warming/cooling blankets.

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CIVCO Medical Solutions ...........................................................724 Kalona, Iowa For over 30 years, CIVCO Medical Solutions has been an industry leader in ultrasound, providing needle guidance solutions and infection control products across the spectrum of care. CIVCO offers a full range of products for regional anesthesia including needle guidance for both in-plane and out-of-plane access.

Clarus Medical LLC......................................................................101 Minneapolis, Minnesota ClearLine MD...............................................................................320 Woburn, Massachusetts Founded by forward-thinking device engineers based on first-hand knowledge of an avoidable adverse event, ClearLine MD develops and markets fluid management devices that advance patient safety.

The Company is delivering a new standard of care for eliminating air from IV lines and avoiding the clinical complications associated with air embolisms.

Cook Medical...............................................................................125 Bloomington, Indiana CSL Behring .................................................................................421 Montville, New Jersey 4 Factor Prothrombin Complex Concentrate (4F- PCC) Cumberland Pharmaceuticals ..................................315, 316, 317 Nashville, Tennessee Caldolor is indicated in adults and pediatric patients for the management of mild to moderate pain and management of moderate to severe pain as an adjunct to opioid analgesics, as well as the reduction of fever.

Davis Medical ..............................................................................722 Roanoke, Virginia The Rhinoguard is the first and only nasal endotracheal tube introducer/dilator. It is designed to enhance the clinician's ability to provide a safe and rapid nasal intubation experience with one easy to use, high quality device eliminating the need for multiple off-label devices.

Dr. Jensen's Anesthesiology Board...........................................624 Iowa City, Iowa Draeger Medical .................................................................114, 116 Telford, Pennsylvania Dupaco ....................................................................................... 411 Oceanside, California ProneView(r) Protective Helmet and Mirror System - Superior Head and Eye Protection for Prone Procedures. Sturdy Helmet, Comfortable cushion inserts and adjustable mirror for neutral neck positioning and eye safety checks.

OPTI-GARD(r) Patient Eye Protector - Protects patients eyes against trauma and unintentional contact. Latex free and self adhering for fast and accurate placement.

Eagle Pharmaceuticals, Inc................................................412, 414 Woodcliff Lake, New Jersey Elsevier.........................................................................................808 Philadelphia, Pennsylvania Books, journals, clinics European Society of Anaesthesiology .....................................209 Brussels, Belgium

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EZCall, a Kronos Solution...........................................................621 Irvine, California EZCall, a Kronos Solution, is the leader in automated physician scheduling. Delivered as a Software as a Service (SaaS) solution, EZCall creates flexible, fair, and equitable physician work schedules.

Even the most complex rules can be automated using a powerful and sophisticated scheduling algorithm. For over 10 years, EZCall has helped organizations make smarter staffing decisions, in less time, ensuring the right provider, is in the right place, at the right time. Visit us online at www.EZCall Flexicare.......................................................................................418 Irvine, California Flexicare is a leading UK manufacturer of medical devices, including airway management, anesthesia and oxygen delivery and monitoring systems. Their innovative solutions includes BritePro Solo (the complete disposable sterile laryngoscope system) and the range of Dual Capnography products.

Fujifilm SonoSite ................................................................407, 409 Bothell, Washington Products: SII Ultrasound System Edge II Ultrasound System M-Turbo Ultrasound System Gallagher Healthcare .................................................................521 Whippany, New Jersey Gallagher one of the largest brokerage companies in the country and is the nation's largest insurance broker for Physicians.

Gallagher is one of the top rated corporations globally. There is no other brokerage that has the deep expertise in managing the total cost of risk for physicians and medical groups. Gallagher is ranked

by Forbes as One of America's Best Employers and a World's Most Ethical Companies Honoree®.

GE Healthcare .....................................................................110, 112 Sun Prairie, Wisconsin Getinge Group ............................................................................619 Wayne, New Jersey Gilman~Ciocia Tax & Financial Planning .................................516 Poughkeepsie, New York Haemonetics ...............................................................................413 Braintree, Massachusetts Haemonetics THE Global Leader in Blood Management Solutions.

Our comprehensive portfolio of devices, information management, and consulting services offers blood management solutions for each facet of the blood supply chain — from plasma and blood collectors to hospitals. We believe that through proper blood management, our portfolio of products and services helps to prevent a transfusion for the patient who doesn’t need one and provides the right blood product, at the right time, in the right dose to the right patient who does.

Halyard Health ............................................................................614 Irvine, California ON-Q* allows for less pain and a faster recovery than opioids alone. Part of a multimodal approach to reduce opioid use, it provides over 3 days of predictable pain relief. With ON-Q*, patients can be both comfortable after surgery and capable of activity while they efficiently move through the recovery process.

For more information, please visit www.Halyardhealth.com

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Havel's Inc. ...................................................................................623 Cincinnati, Ohio .Havel's is the market leader in Echogenic Needles.

Our revolutionary EchoStim®, EchoBlock®, and EchoBlock® MSK for Ultrasound Guided Peripheral Nerve Blocks and injections, are all very popular and were the first of their kind to market. Now as others imitate, Havel's EchoLine™ of products has been expanded to include the new EchoTuohy™, EchoBlock® PTC, and Echoblock® PTC30. These products and others in development continue to make Havel's the company to turn to for echogenic needles.

Hawaiian Moon ...........................................................................720 Clearwater, Florida Say Goodbye to Dry Skin with Hawaiian Moon Organic Aloe Cream!

Hospira, a Pfizer Company ................................................518, 520 New York, New York Hospira, a Pfizer company, is the world's leading provider of injectable drugs and infusion technologies. Through our broad, integrated portfolio, we are uniquely positioned to advance wellness by improving patient and caregiver safety while reducing healthcare costs. We are the recognized leader in IV Clinical Integration, which further supports hospitals in reducing error potential, increasing efficiency and avoiding costs. Learn more at www.hospira.com.

Infinite Trading............................................................................528 Las Vegas, Nevada FDA medical device unit INFINITY MASSAGE CHAIRS.......................................................423 Kingston, New Hampshire The Infinity Riage features the most advanced 3D massage technology on the market and an L-shaped roller track to deliver unmatched stress relief. Users can also control the chair from their Apple or Android devices with the Infinity Riage app. The 3D Infinity Riage provides the ultimate massage every time.

Integrated Anesthesia Medical Group .....................................417 Manhattan Beach, California Intermedix ...................................................................................416 Warren, Michigan Intermedix delivers technology-enabled services and SaaS solutions to health care providers, government agencies and corporations. The company supports more than 15,000 health care providers with practice management, revenue cycle management and data analytic tools. Intermedix connects more than 95 percent of the U.S. population with crisis management and emergency preparedness technologies.

International Medical Development, Inc. ................................202 Huntsville, Utah Intersurgical Inc. .........................................................................709 East Syracuse, New York IntuBrite, LLC...............................................................................708 Vista, California IntuBrite is dedicated to providing healthcare professionals with superior ease and success in life-sustaining endotracheal intubation procedures for their patients. We focus exclusively on the development and manufacture of a full line of direct and video laryngoscopy products.

Lexco Wealth Management, Inc. ...............................................410 Tarrytown, New York Lexco Wealth Management is an independent Registered Investment Advisor specializing in comprehensive financial planning and asset protection strategies for anesthesiologists.

LocumTenens.com ......................................................................420 Alpharetta, Georgia Founded in 1995, LocumTenens.com is a full-service staffing firm serving physicians, advanced practice professionals and healthcare facilities looking to solve employment shortages. Operator of the largest online job board for the locums industry, LocumTenens.com provides job-seeking providers direct access to thousands of jobs, in all specialties, posted directly by facilities and agencies nationwide.

Malignant Hyperthermia...........................................................205 Sherburne, New York Malignant Hyperthermia (MH) is a potentially fatal, inherited disorder usually associated with the administration of certain general anesthetics and/or the drug succinylcholine. The disorder is due to an acceleration of metabolism in skeletal muscle.

Mallinckrodt Pharmaceuticals .................................104, 106, 108 Hampton, New Jersey Mallinckrodt Pharmaceuticals is an industry leader in providing specialty biopharmaceutical products used in the treatment of autoimmune and rare disease specialty areas, respiratory therapies, pain and related conditions, and diagnostic procedures. The company's three segments include branded medicines and devices, generic drugs and medical imaging. Visit www.mallinckrodt.com to learn more.

Masimo ........................................................................................107 Irvine, California Masimo is a global medical technology company responsible for the invention of award-winning noninvasive technologies, medical devices, and sensors that are revolutionizing patient monitoring, including Masimo SET®, Masimo rainbow® Pulse CO-Oximetry™, noninvasive and continuous hemoglobin (SpHb®), acoustic respiration rate (RRa™), Masimo Patient SafetyNet™, SedLine® (EEG-based) Brain Function Monitors, and Phasein™ respiratory monitors.

McKesson Business Performance Services ..............................305 Alpharetta, Georgia McKesson, processing over 2.5 million cases annually for over 3,200 anesthesiologists, has the expertise to lead anesthesiologists through the complexities of reimbursement and to identify areas of lost revenue by optimizing revenue, reducing cost, ensuring clean claims, minimizing compliance exposure and accessing superior business intelligence tools.

Medac, Inc....................................................................................113 North Augusta, South Carolina Supported by our core values of integrity, quality, accountability, superior results, and transparency, our mission is to provide comprehensive anesthesia business and technology solutions that reduce risk and improve the lifestyle, profitability, and productivity of our clients.

iProcedures, LLC..........................................................................318 Tampa, Florida KARL STORZ Endoscopy-America, Inc......................................129 El Segundo, California

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MedAmerica ................................................................................219 Emeryville, California CEP America is one of the largest physician-owned, physician-managed groups in the U.S. For more than 40 years, we have offered the best practice locations across the country, comprehensive practice management support, and the opportunity to develop as a leader and impact change within a large organization. Our integrated practice model includes over 3,000 clinicians working across multiple specialties, and we're growing! Learn more about how our careers are different: www.cep.com/careers

NOVAMED USA ...........................................................................605 Elmsford, New York NOVAMED USA provides innovations in airway management, patient warming and temperature monitoring. 2016 features: News in video laryngoscopy with the most versatile, cost efficient system now available. Equip your MR Suite with the #1 choice by MR clinicians, NOVALITE MR Fiber Optic Laryngoscope System.

NOVAMED’s Fiber Optic and LED Laryngoscopes for improved illumination. The air-free, conductive KOALA Warming System.

Reusable, underbody patient warming that ensures total access and $avings.

Medical Liability Mutual Insurance Company (MLMIC) .........706 New York, New York

Octapharma ................................................................................422 Hoboken, New Jersey Octaplas

The Medicines Company............................................................712 New York, New York For the short-term postoperative acute pain management in adult patients in the hospital.

Medtronic............................................................................122, 124 Boulder, Colorado Merck & Co.................................................................................. 321 Hodgkins, Illinois Mindray North America.....................................................511, 513 Mahwah, New Jersey Morris Anesthesia Group...........................................................618 Mountain Lakes, New Jersey Mylan Inc. ....................................................................................327 Canonsburgh, Pennsylvania Mylan is one of the world's leading global pharmaceutical companies. Our portfolio of more than 2,700 separate products includes generic, brand name and over-the-counter medicines in a variety of dosage forms and therapeutic categories. The company has innovative R&D capabilities and is one of the world's largest active pharmaceutical ingredient manufacturers.

Nihon Kohden .............................................................................120 Irvine, California Nihon Kohden America offers a complete Enterprise Monitoring Solution focusing on quality. Our products include a full feature set that come standard with every monitor and the most robust telemetry offering in the industry backed by a 5-year parts and labor warranty.

Nonin Medical .............................................................................508 Plymouth, Minnesota Nonin Medical invented finger pulse oximetry and is known for designing products that provide superior performance in challenging patients and conditions. The latest is Nonin’s SenSmart™ rSO2/SpO2 system that delivers accurate, stable oximetry values you can trust for pediatric to adult patients.

Nonin Medical designs, manufactures and distributes pulse and cerebral oximeters, capnographs, sensors and software to healthcare professionals and consumers in more than 125 countries.

North American Partners in Anesthesia (NAPA).............406, 408 Melville, New York Northwest Anesthesia Seminars ......................................715, 717 Pasco, Washington

Origin Anesthesia .......................................................................314 Rutherford, New Jersey For over 25 years, we have perfected revenue cycle acceleration for anesthesiologists and pain management providers. Origin Anesthesia offers customizable business solutions that optimize practice revenue, enhance cash flow, and increase efficiency so our clients can focus on delivering the best care to their patients. We work with over 2,000 of the nation’s most successful anesthesiology and pain management physicians.

Otto Trading Inc ..........................................................................208 Santa Ana, California UniMed Massager drug free pain management technology, TENS & EMS. Oxford University Press............................................................. 310 New York, New York Oxford University Press publishes some of the most respected and prestigious anaesthesia books and journals in the world. Titles include the number #1 journal in Anesthesiology, the British Journal of Anaesthesia, and its sister journal the BJA Education.

Visit our booth to browse and purchase books at a 20% discount, and to pick up free journal copies.

Pajunk Medical Systems LP .......................................................510 Norcross, Georgia Are you looking for a catheter system that won’t spill?

The E-Cath, developed by Dr. Ban Tsui and PAJUNK®, minimizes leaks by effectively using the “Catheter over Needle” technique, taking the worry out of PNB catheter insertion.

Learn more at: www.easycathusa.com Parker Medical, Inc. ....................................................................427 Highlands Ranch, Colorado Parker Medical's goal is to enable rapid, easy, safe FIRST-PASS INTUBATION. Our constantly-expanding line of Parker Flex-Tip tubes now includes nasopharyngeal tubes, microlaryngeal tubes, subglottic suction tubes, and double-lumen endobronchial tubes with built-in shutoff valves. Metal clamps are no longer needed.

PharMEDium Services, LLC........................................................519 Lake Forest, Illinois At PharMEDium, we are committed to patient safety. We take extraordinary measures to ensure the safety and sterility of our services. Count on PharMEDium to provide sterile preparations with the highest levels of quality assurance and patient safety in mind. From the use of FDA-approved sterile components to proven leadership in R&D, Quality, Labeling/Packaging, and Service, you can expect us to deliver the highest quality compounded sterile preparations to our customers.

PhyMed Healthcare Group ........................................................616 Nashville, Tennessee

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Physicians' Reciprocal Insurers (PRI) ........................................527 Roslyn, New York PRI-Physicians' Reciprocal Insurers is a NYS licensed professional liability carrier. And has been providing coverage to Physicians and Dentists and Facilities in New York State for over 34 years.

Preferred Physicians Medical ....................................................115 Overland Park, Kansas Premier Anesthesia ....................................................................710 Alpharetta, Georgia Premier Anesthesia is a leading, national anesthesia management, staffing and consulting company that builds and manages hospital-based anesthesia practices. We're different due to: our distinctive philosophies; operational expertise and alignment with the hospital; and technology that enables evidence-based care, decision-making and business outcomes.

We are passionate about attracting the right anesthesiologists and CRNA's to join our team.

QGenda................................................................................307, 309 Atlanta, Georgia QGenda is a web-based physician scheduling tool used by 400+ anesthesia groups to automatically generate the most optimized work schedules. QGenda will accommodate complex business rules and accurately schedule the appropriate medical provider based on their skill level, specialty, availability, and preferences.

Additionally, QGenda is HIPAA compliant, integrates with various EMR and Payroll companies, and has a recently released Time Clock portal. Stop by our booth to learn more!

Respiratory Motion, Inc. ............................................................628 Waltham, Massachusetts ExSpiron™ is the first and ONLY monitor to offer - Minute Ventilation, Tidal Volume and Respiratory Rate, for non-intubated patients, offering clinicians a comprehensive and quantifiable assessment of patient adequacy of ventilation. Monitor you patients on Neuraxial Opioids for Adequacy of Ventilation with ExSpiron. Never Miss a Breath with the ExSpiron™. Visit our new website: www.respiratorymotion.com rEVO Biologics.............................................................................617 Framingham, Massachusetts ATryn® Antithrombin (Recombinant) is the first and only plasma-free antithrombin concentrate. ATryn received FDA approval in 2009, and marketing authorization by the European Commission prior to that in 2006. ATryn is a recombinant antithrombin indicated for the prevention of peri-operative and peri-partum thromboembolic events in hereditary antithrombin deficient patients. It is not indicated for treatment of thromboembolic events in hereditary antithrombin deficient patients.

Revolutionary Medical Devices, Inc. ................................512, 514 Tucson, Arizona Super2NOVA™ - Nasal Oxygenation & Ventilation Apparatus The Super2NOVA™ is designed to deliver positive pressure while providing access to the oral cavity.

RIVANNA Medical, LLC ...............................................................719 Charlottesville, Virginia For anesthesia providers, the affordable, hand-held, and untethered Accuro, by RIVANNA, removes the uncertainty of blind-needle guidance. Unlike conventional ultrasound technologies, Accuro is the world's first ultrasound-based system specifically designed to help you apply spinal and epidural anesthesia with automated 3D navigation of the lumbar spine identifying epidural location, depth, and trajectory. Accuro's easy-to-use, innovative technology will improve the efficacy of ultrasound-guided.

Safersonic US ..............................................................................711 Highland Park, Illinois Procedural Efficiency is the cornerstone of the Safersonic Product Line. We manufacture gel free sterile ultrasound covers designed with for the Anesthesiologists. We eliminate the gel under the cover saving time and money, a reduction in artifacts, and better visualization. Clinicians experience Faster Set-up & Faster Breakdown. Eliminate transducer damage from cleaning process.

We fit all transducers. We offer a 1-foot cover. Reduce Inventory.

SAVE TIME AND MONEY! Sharn Anesthesia........................................................................424 Tampa, Florida Sharn Anesthesia has been a leading distributor of anesthesia specialty devices since 1983. We pride ourselves on bringing new and innovative solutions for the PeriAnesthesia arena with a focus on Patient Safety, Infection Prevention and organization. This year visit us to see the latest airway and medication safety products as well as the best in laryngoscopes, patient eye protection and common sense temperature management.

Sheridan Healthcare ..........................................................608, 610 Sunrise, Florida Sheridan Healthcare, Inc. is a leading hospital-based physician services company in the country, providing outsourced clinical and management services in anesthesiology since 1953. Sheridan's anesthesiology division consists of over 2,100 anesthesia providers in 216 programs.

Siemens Healthineers................................................................ 517 Malvern, Pennsylvania TeamHealth .................................................................................319 Knoxville, Tennessee At TeamHealth our purpose is to perfect our physicians' ability to practice medicine, every day, in everything we do. Our philosophy is as simple as our goal is singular: we believe better experiences for physicians lead to better outcomes-for patients, hospital partners and physicians alike.

Teleflex.........................................................................................102 Morrisville, North Carolina TEM Systems, Inc.........................................................................820 Research Triangle Park, North Carolina ROTEM® delta, a whole blood Hemostasis Analyzer has 5 pre-packaged assays to look at the viscoelastic properties of the clot in "real-time." The temograms produced provide clinical information that along with other relevant laboratory data and clinical impression can assist physicians with better blood management decisions for their patients.

UE Medical Devices, Inc..............................................................515 Newton Center, Massachusetts The compact, lightweight design of VL400 series features over 10 interchangeable components that can be easily transformed into reusable VL, disposable VL, or video stylet. Very portable with superior image quality. Low-profile Mac blade has slightly angled camera at its end, lets you see more anterior if needed. The scope runs built-in long-lasting rechargeable battery. There is optional recording function on-board to save still images and videos for quality assurance purpose.

UltraScope ...................................................................................308 Charlotte, North Carolina

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US Navy Medical Officer Programs...........................................215 Bronx, New York As a Navy Physician and Officer in the Navy Medical Corps, you will help lead the highly respected Navy Health Care team as you provide high-quality medical care for Sailors, Marines, service members, their families and, when called upon, humanity at large.

You will have the opportunity to move beyond routine: work at the best military medical facilities, join with top health-care professionals on the highly valued Navy Health Care team, gain management experience, all while serving part-time.

VBM Medical, Inc.........................................................................127 Noblesville, Indiana Difficult Airway Products: 1. Endoscopy Mask & Gastro-Laryngeal Tube, for diagnostic airway endoscopy/fibreoptic intubation, gastroenterology/TEE & gastrointestinal endoscopic procedures.

2. QuickTrach II with Cuff, emergency cricothyrotomy device, One-Step procedure, the quickest without scalpel, dilators or jet ventilator.

3. S-Guide, 2-in-1 combination of malleable Stylet & Introducer, atraumatic soft tip with Oxygenation Channel features.

4. Precision Tourniquet especially for Bier's Block.

Verathon Medical........................................................................523 Bothell, Washington The GlideScope Titanium video laryngoscopes (reusable and single use) are the most advanced GlideScope instruments ever.

Low-profile designs and titanium construction deliver improved maneuverability and working space for routine and difficult airways. With more blade options, clinicians can choose the right airway tool for their wide range of patients.

Wolters Kluwer/Lippincott Williams & Wilkins................522, 524 New York, New York Zotec Partners ....................................................................119, 121 Carmel, Indiana Zotec Partners is the industry leader in specialized anesthesiology billing and practice management services. The company currently serves more than 60 anesthesiology practices with more than 1,000 anesthesiology providers combined, and delivers effective revenue cycle management solutions with proprietary technology, exceptional personalized service and measurable client results. For more information about Zotec Partners, visit http://www.zotecpartners.com.

Ventinova Medical B.V. ..............................................................218 Eindhoven, Noord-Brabant Meet Ventrain, Ventinova's revolutionary small lumen ventilator.

Finally possible: ventilation through a straw! After many successful cases, Ventrain is becoming the standard manual ventilation device for emergency and difficult airway situations in Europe.

Ventrain's effectiveness for airway rescue is stressed in Benumof and Hagberg's Airway Management Handbook (3rd ed.). It is therefore time to introduce Ventrain to the USA! Ventinova is eager to meet you and is looking for sales partners.

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Product Category Listing Active Patient Warming Cincinnati Sub-Zero .................................................................................622 Airway Management Berall Video L-scope, Inc.........................................................................212 BOMImed.....................................................................................................217 Centurion Medical Products.................................................................611 Davis Medical .............................................................................................722 Flexicare .......................................................................................................418 Intersurgical Inc.........................................................................................709 IntuBrite, LLC ..............................................................................................708 NOVAMED USA ..........................................................................................605 Parker Medical, Inc. ..................................................................................427 Revolutionary Medical Devices, Inc..........................................512, 514 UE Medical Devices, Inc..........................................................................515 VBM Medical, Inc.......................................................................................127 Ventinova Medical B.V.............................................................................218 Analytics Intermedix ...................................................................................................416 Origin Anesthesia .....................................................................................314

Blood Management Systems CSL Behring.................................................................................................421 Haemonetics...............................................................................................413 TEM Systems, Inc.......................................................................................820 Capnography Flexicare .......................................................................................................418 Nihon Kohden............................................................................................120 Nonin Medical............................................................................................508 Sharn Anesthesia ......................................................................................424 Carts/Trays Malignant Hyperthermia .......................................................................205 Catheters/Needles Halyard Health ...........................................................................................614 Havel's Inc....................................................................................................623 Pajunk Medical Systems LP...................................................................510 Cerebral Oximetry Masimo .........................................................................................................107 Nonin Medical............................................................................................508

Anesthesia Education US Navy Medical Officer Programs ....................................................215

Certification Board The American Board of Anesthesiology...........................................206

Anesthesia Equipment Centurion Medical Products.................................................................611 ClearLine MD..............................................................................................320 RIVANNA Medical, LLC ............................................................................719 Ventinova Medical B.V.............................................................................218

Circuits Intersurgical Inc.........................................................................................709

Anesthesia Information PhyMed Healthcare Group....................................................................616 US Navy Medical Officer Programs ....................................................215 Anesthesia Machines ClearLine MD..............................................................................................320 Getinge Group ...........................................................................................619 Mindray North America ................................................................511, 513 Anesthesia Management CSL Behring.................................................................................................421 Intersurgical Inc.........................................................................................709 PhyMed Healthcare Group....................................................................616 Respiratory Motion, Inc. .........................................................................628 Anesthesia Services (Clinical) Ambu Inc. ....................................................................................................131 Halyard Health ...........................................................................................614 Integrated Anesthesia Medical Group..............................................417 PhyMed Healthcare Group....................................................................616 Premier Anesthesia ..................................................................................710 Apparel A Royal Treasure, LLC...............................................................................809 Billing Services Anesthesia Business Consultants..............................................507, 509 Gilman~Ciocia Tax & Financial Planning..........................................516 McKesson Business Performance Services......................................305 Origin Anesthesia .....................................................................................314 Zotec Partners ..................................................................................119, 121

CO2 Absorbents Intersurgical Inc.........................................................................................709 Continuing Education Canadian Anesthesiologists' Society.................................................807 Custom Trays Pajunk Medical Systems LP...................................................................510 Defibrillators Nihon Kohden............................................................................................120 Diagnostic - Blood Devices Haemonetics...............................................................................................413 UltraScope...................................................................................................308 Difficult Airway Equipment Berall Video L-scope, Inc.........................................................................212 Centurion Medical Products.................................................................611 Intersurgical Inc.........................................................................................709 UE Medical Devices, Inc..........................................................................515 VBM Medical, Inc.......................................................................................127 Ventinova Medical B.V.............................................................................218 Verathon Medical......................................................................................523 Connectors Intersurgical Inc.........................................................................................709 EchoGenic Needles Havel's Inc....................................................................................................623 Eye Protection (Patient) Dupaco .........................................................................................................411 Sharn Anesthesia ......................................................................................424

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Facemasks Intersurgical Inc.........................................................................................709

Medical Liability Insurance Physicians' Reciprocal Insurers (PRI) ..................................................527

FDA Medical Device Unit Infinite Trading...........................................................................................528

Medication Safety Sharn Anesthesia ......................................................................................424

Fiber Optic Laryngoscopes Carnegie Surgical LLC..............................................................................323 Flexicare .......................................................................................................418

Membership Organization Canadian Anesthesiologists' Society.................................................807

Filters/HMEs Intersurgical Inc.........................................................................................709 Financial Services A Royal Treasure, LLC...............................................................................809 AXA Advisors ..............................................................................................613 Gilman~Ciocia Tax & Financial Planning..........................................516 Lexco Wealth Management, Inc. .........................................................410 Health and Wellness ACIGI Relaxation/Dr. Fuji...............................................................226, 228 Infinite Trading...........................................................................................528 Otto Trading Inc ........................................................................................208 US Navy Medical Officer Programs ....................................................215 Healthcare Analytics Origin Anesthesia .....................................................................................314 Healthcare Consulting Premier Anesthesia ..................................................................................710 Hypo/Hyperthermia Systems Cincinnati Sub-Zero .................................................................................622 Infusion Pumps Halyard Health ...........................................................................................614 Respiratory Motion, Inc. .........................................................................628 Insurance AXA Advisors ..............................................................................................613 Gallagher Healthcare...............................................................................521 Gilman~Ciocia Tax & Financial Planning..........................................516 Intravenous Therapy CSL Behring.................................................................................................421 Octapharma................................................................................................422 Laryngoscopes Berall Video L-scope, Inc.........................................................................212 Carnegie Surgical LLC..............................................................................323 Centurion Medical Products.................................................................611 Flexicare .......................................................................................................418 IntuBrite, LLC ..............................................................................................708 NOVAMED USA ..........................................................................................605 Sharn Anesthesia ......................................................................................424 Lung Isolation Ventinova Medical B.V.............................................................................218 Manual Resuscitators/Ventilators Ventinova Medical B.V.............................................................................218 Massage Chairs Infinity Massage Chairs .........................................................................423 144

Monitoring - Critical Care Cheetah Medical .......................................................................................612 ClearLine MD..............................................................................................320 Flexicare .......................................................................................................418 Masimo .........................................................................................................107 Nihon Kohden............................................................................................120 Respiratory Motion, Inc. .........................................................................628 Monitoring - Patient Cheetah Medical .......................................................................................612 Masimo .........................................................................................................107 Nihon Kohden............................................................................................120 Nonin Medical............................................................................................508 Respiratory Motion, Inc. .........................................................................628 Needle Guidance RIVANNA Medical, LLC ............................................................................719 Non-Invasive Hemodynamic Monitoring Cheetah Medical .......................................................................................612 Nonprofit Organization Oxford University Press ..........................................................................310 US Navy Medical Officer Programs ....................................................215 Pain Management BK Ultrasound ............................................................................................716 Halyard Health ...........................................................................................614 Havel's Inc....................................................................................................623 The Medicines Company .......................................................................712 Pajunk Medical Systems LP...................................................................510 PhyMed Healthcare Group....................................................................616 Respiratory Motion, Inc. .........................................................................628 RIVANNA Medical, LLC ............................................................................719 Patient Positioning Dupaco .........................................................................................................411 Patient Warming Blankets Cincinnati Sub-Zero .................................................................................622 Patient Warming Systems Cincinnati Sub-Zero .................................................................................622 NOVAMED USA ..........................................................................................605 Pharmaceuticals CSL Behring.................................................................................................421 Hospira, a Pfizer Company...........................................................518, 520 Malignant Hyperthermia .......................................................................205 Mallinckrodt Pharmaceuticals ..........................................104, 106, 108 The Medicines Company .......................................................................712 Merck & Co. .................................................................................................321 Mylan Inc......................................................................................................327 Octapharma................................................................................................422 PharMEDium Services, LLC....................................................................519 rEVO Biologics............................................................................................617

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Physician Recruitment Integrated Anesthesia Medical Group..............................................417 MedAmerica ...............................................................................................219 Physician Scheduling EZCall, a Kronos Solution.......................................................................621 QGenda...............................................................................................307, 309 Placement Services Sheridan Healthcare.......................................................................608, 610 Point of Care Ultrasound RIVANNA Medical, LLC ............................................................................719 PONV Sharn Anesthesia ......................................................................................424 Practice Management A Royal Treasure, LLC...............................................................................809 Intermedix ...................................................................................................416 McKesson Business Performance Services......................................305 Premier Anesthesia ..................................................................................710 Sheridan Healthcare.......................................................................608, 610 Zotec Partners ..................................................................................119, 121 Prone Positioning Products Dupaco .........................................................................................................411 Provider Scheduling QGenda...............................................................................................307, 309 Publishers Anesthesiology News..............................................................................615 Elsevier..........................................................................................................808 Oxford University Press ..........................................................................310 Pulse Oximeters Masimo .........................................................................................................107 Nonin Medical............................................................................................508 Recruiting American Anesthesiology, Inc. ............................................................118 Haemonetics...............................................................................................413 Integrated Anesthesia Medical Group..............................................417 MedAmerica ...............................................................................................219 Morris Anesthesia Group .......................................................................618 Premier Anesthesia ..................................................................................710 Sheridan Healthcare.......................................................................608, 610 TeamHealth.................................................................................................319 US NAVY MEDICAL OFFICER PROGRAMS.........................................215 Regional Oximetry Masimo .........................................................................................................107 Nonin Medical............................................................................................508 Revenue Cycle Management Intermedix ...................................................................................................416 McKesson Business Performance Services......................................305 Medac, Inc. ..................................................................................................113 Origin Anesthesia .....................................................................................314

Skin Care Hawaiian Moon .........................................................................................720 Software EZCall, a Kronos Solution.......................................................................621 Haemonetics...............................................................................................413 Staff Scheduling QGenda...............................................................................................307, 309 EZCall, a Kronos Solution.......................................................................621 Staffing Services LocumTenens.com....................................................................................420 Premier Anesthesia ..................................................................................710 Sheridan Healthcare.......................................................................608, 610 Stethoscopes UltraScope...................................................................................................308 Stimulators – Peripheral Pajunk Medical Systems LP...................................................................510 Temperature Management Cincinnati Sub-Zero .................................................................................622 NOVAMED USA ..........................................................................................605 Sharn Anesthesia ......................................................................................424 Transcription Origin Anesthesia .....................................................................................314 Ultrasound BK Ultrasound ............................................................................................716 Fujifilm SonoSite..............................................................................407, 409 Mindray North America ................................................................511, 513 RIVANNA Medical, LLC ............................................................................719 Siemens Healthineers .............................................................................517 Ultrasound Needle Guidance CIVCO Medical Solutions .......................................................................724 Fujifilm SonoSite..............................................................................407, 409 Pajunk Medical Systems LP...................................................................510 Ultrasound Transducer Covers Safersonic US..............................................................................................711 Vein Illumination Device AccuVein ......................................................................................................415 Workforce Management QGenda...............................................................................................307, 309 Video Laryngoscopes Berall Video L-scope, Inc.........................................................................212 Centurion Medical Products.................................................................611 IntuBrite, LLC ..............................................................................................708 NOVAMED USA ..........................................................................................605 UE Medical Devices, Inc..........................................................................515 Verathon Medical......................................................................................523

Scheduling Software Haemonetics...............................................................................................413 QGenda...............................................................................................307, 309 2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Faculty Listing Abel, Mark .................................................................72 Abramovitz, Sharon ...............................................94 Abramowicz, Apolonia ........................26, 82, 110 Adsumelli, Rishimani ......................................34, 71 Afonso, Anoushka ...........................................54, 95 Afroze, Farzana ........................................................80 Agro, Felice ................................................................89 Akerman, Michael .....................................15, 38, 74 Alexis, Rhonda ..................................................12, 41 Altman, Robert ..........................................15, 38, 74 Aman, Mansoor M. .................................................47 Amar, David ..............................................................22 Anastasian, Zirka .....................................................49 Anca, Diana ............................................................116 Anderson, Michael ...........................15, 31, 38, 74 Applegate II, Richard .............................................66 Applegate, Patricia ................................................66 Aquino, Melinda ..............................................50, 72 Arslan-Carlon, Vittoria ........................................103 Arzola, Cristian ..................................................16, 24 Atchabahian, Arthur ................................15, 38, 74 Auster, Moe................................................................81 Avidan, Michael ..............................................70,113 Baer, Jessica ..............................................................72 Banerjee, Arna ...................................................90, 98 Barash, Paul ........................................................52, 56 Bedient, Terrance ....................................................29 Beers, Richard ..................................44, 84, 92, 113 Beg, Tazeen .............................................................107 Behmenburg, Friederike .......................................46 Beilin, Yaakov ...........................................17, 94, 103 Bekker, Alex ..............................................................54 Belliveau, Lynn .........................................................66 Bendo, AudrĂŠe ..........................................26, 77, 92 Bennett, Jeremy ..............................................20, 23 Bennett-Guerrero, Elliott ............................52, 100 Berger, Jay .................................................................95 Berman, David .........................................................40 Bernstein, Ira ............................................................17 Bernstein, Jeffrey ....................................................22 Bhatt-Verma, Himani ....................................66, 104 Bilal, Rahila ................................................................32 Birmingham, Patrick ................................15, 38, 74 Blank, Randal ....................................................10, 14 Blasius, Kimberly .............................................90, 98 Blobner, Manfred ....................................................77 Bloom, Marc ...........................................................101 Boggs, Steven ...........................20, 28, 63, 73, 118 Borovcanin, Zana.....................................................40 Boublik, Jan....................................15, 38, 74, 88, 97 Brallier, Jess ...............................................................37 Bronheim, David .....................................................10 Buckenmaier III, Chester ......................................36 Bughrara, Nibras ..............................................18, 97 Burden, Amanda ..............................................90, 98 Burns, Terrence R. .............................................37, 48 Bustillo, Maria ...........................................................21 Cammarata, Brian ...................................................76 Campos, Javier .........................10, 14, 33, 68, 104 Capan, Levon ................................15, 38, 40, 74, 89 Carley, Michelle .....................................................116 Carvalho, Jose ..................................................16, 24 Castello, Donna .......................................................29 Castillo, Maria .............................................14, 59, 89 Chan, June ..............................................................117

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Chaudhuri, Kallol ....................................................17 Chen, Junping ..........................................................13 Cho, Elvira ..................................................................40 Choice, Curtis ...........................................................34 Chouthry, Mohammad ........................................40 Chuda, Robert .........................................................86 Ciccone, Jeffrey .......................................................39 Ciliberto, Christopher F..........................................63 Cimino, Linda ..........................................................41 Cohen, Edmond ...........10,14, 40, 63, 68, 89, 104 Coursin, Douglas .....................................................91 Croll, Scott ................................................................36 Crosby, Gregory ......................................................51 Culley, Deborah ......................................51, 70, 105 Curle, Alan .................................................................30 Curry, Saundra .........................................................99 Cvetkovic, Draginja ................................................23 Dabo-Trubelja, Anahita ......................................103 Dave, Anjalee ...........................................................34 Deiner, Stacie ...........................................70, 83, 113 DeLeon-Casasola, Oscar ................................68, 78 DeMaria, Jr., Samuel ..................73, 76, 89, 90, 98 Desiderio, Dawn ........................................10, 14, 89 Devine, Malcom .......................................................41 Dexter, Franklin .......................................................76 Dilos, Barbara ....................................................12, 40 Dimaculangan, Dennis .........................................62 Diwan, Sudhir ...........................................................78 Dooley, Joseph ........................................................30 Duffy, Michael ..........................................................29 Dumitru, Marian ......................................................89 Dutton, Richard .......................................................51 Ehrenwerth, Jan ......................................................57 Eisenkraft, James ...................................................57 Emala, Charles ..................................................44, 46 Enk, Dietmar .............................................................40 Farag, Ehab .............................................................101 Fermon, Charles ....................................................111 Fiadjoe, John ............................................................53 Fingerman, Mitchell ...............................................62 Fischer, Gregory .......................................10, 30, 52 Fitzgerald, Meghann ....................................65, 112 FitzPatrick, Michael ................................................85 Flores, Raja ................................................................68 Fogarty Mack, Patricia .................................20, 107 Franco, Carlo ............................................................36 Frost, Elizabeth .........................................63, 79, 99 Furgiuele, David ........................................15, 38, 74 Gaba, David ..............................................................76 Gainsburg, Daniel ................................................119 Gal, Jonathan ..........................................................30 Gallombardo, Joseph ............................................21 Gama de Abreu, Marcelo .......................10, 14, 33 Gan, Tong ...........................................43, 54, 67, 114 Gandhi, Kishore .......................................................62 Garzon, Myriam .......................................................76 George, Benjamin ...................................................62 Gevirtz, Clifford .............................................48, 118 Gharibo, Christopher G. ........................................55 Glasgow, Andrew M................................................29 Gloff, Marjorie ..........................................................71 Goldberg, Andrew ...........................................90, 98 Gooden, Cheryl ......................................12, 40, 102 Goodman, Stephanie .........................................116 Gorbea, Mikel ...........................................................64

Goswami, Sumeet ..................................................13 Greene, Elliott .........................................................84 Gritsenko, Karina ..............................................39, 82 Groudine, Scott ......................................43, 80, 118 Gulati, Amitabh .......................................................39 Gupta, Ruchir ..................................................80, 117 Gutzler, Marcus ........................................................72 Haber, Gary ...............................................................36 Halle, Steven ............................................................55 Hamlin, Mark ............................................................18 Haskins, Stephen .....................................18, 48, 88 Heerdt, Paul ..............................................................28 Heiser, Nicholas .........................................15, 38, 74 Heller, Joshua ...........................................................21 Hemmings Jr., Hugh .............................................70 Hengerer, Arthur .....................................................79 Hill, Shanna ..............................................................88 Hillel, Zaharia ...........................................................66 Hoeft, Andreas .........................................................77 Hojsak, Joanne .........................................................12 Holt, Natalie ............................................................117 Horlocker, Terese .....................................................75 Hosseinian, Leila .....................................................10 Hsih, John Y. ...............................................................62 Hua, May ....................................................................91 Hyman, Jaime .........................................90, 98, 105 Ivascu, Natalia ...................................................88, 97 Jacobson, Kenneth ..............................................111 Jagannathan, Narasimhan ................................111 Jain, Sudheer ....................................................34, 94 Jeng, Christina ...........................................15, 38, 74 Johnstone, Robert ..........................................27, 99 Jones, Keith ..............................................................27 Joseph, Vilma ..........................................................33 Joshi, Girish ...............................................................43 Kachulis, Bessie ..............................................85, 118 Kamdar, Brinda ........................................................36 Kaminski, Anna ........................................................85 Katz, Daniel ..................................40, 44, 48, 90, 98 Kcomt, Myrna .......................................................107 Kelhoffer, Eric ..........................................................94 Kern, Frank ...............................................................53 Khelemsky, Yury ...................10, 14, 39, 89, 90, 98 Kim, David .................................................................62 Kim, Jung H. .............................................................39 Kim, Jung T. .................................................15, 38, 74 Kim, Sunmi ..................................................15, 38, 74 Kirksey, Meghan ...................................................117 Kitain, Eric ...................................................15, 38, 74 Koenigsberg, Joanna ..........................................106 Konstadt, Steven ..............................................19, 66 Kopman, David .....................................................106 Kratzert, Wolf Benjamin .................................88, 97 Kreso, Melissa ..........................................................36 Kumar, Shreyajit .............................................65, 112 Lagasse, Robert .......................................................55 Lai, Cheuk Yin ...........................................................33 Lai, Yan .....................................15, 23, 31, 38, 45, 74 LaMonica, Theodore ..............................................41 Latmore, Malikah ...........................................96, 116 Lax, Jerome ............................................................111 Lebowitz, Philip .......................................................21 Lee, Allison .......................................................36, 116 Lee, David ..................................................................49 Lee, Mitchell .......................................15, 38, 72, 74

NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Leff, Jonathan ............................................10, 14, 89 Lennon, Christine ...................................................58 Lerman, Jerrold ..........................................31, 43, 53 Levin, Matthew ........................................................81 Levine, Adam ..............................................85, 90, 98 Levine, Rhoda .........................................................79 Levy, Ronald .....................................................90, 98 Leyvi, Galina .............................................................23 Li, Fenghua ......................................................49, 115 Li, Lei ...........................................................................62 Lichtman, Adam ...............................................50, 86 Limoncelli, Janine ...................................................50 Lin, Emily ....................................................................62 Lipson, Scott .........................................................120 Liu, Chang ..................................................................46 Lopez, III, Carlos Javier .........................................95 Lucas, Stefan ............................................................36 Ludwin, Danielle ..................15, 22, 38, 58, 67, 74 Macpherson, Jennifer ..............................10, 14, 89 Mahoney, Bryan ...............................................90, 98 Malhotra, Anuj ....................................14, 39, 50, 89 Malhotra, Jaideep .........................................65, 112 Malhotra, Vinod ................................................27, 32 Mangla, Sundeep ...................................................26 Mann, Glenn ...........................................................115 Margarido, Clarita ............................................16, 24 Markovic, Milica ......................................................22 Marshall, Mitchell ......................15, 38, 40, 74, 96 Mason, Keira .............................................................94 Mason, Linda J. .................................................31, 53 Mathew, Leena ........................................................86 Mathney, Edward ....................................................58 Matot, Idit ..................................................................77 Mehta, Neel................................................................45 Mikami, Maya............................................................47 Mincer, Joshua ..................................................14, 89 Minehart, Rebecca .........................................90, 98 Minokadeh, Anushirvan .......................................85 Mittnacht, Alexander ............19, 65, 66, 104, 112 Moitra, Vivek .............................................................25 Moller, Daryn ............................................................59 Mukherjee, Chirojit ................................................19 Munis, James ............................................................25 Muntyan, Igor .................................................34, 111 Narang, Jolie .............................................................34 Nazemzadeh, Milad .................................15, 38, 74 Neal, Joseph .............................................................75 Neumann, Krystof .................................................36 Neustein, Steven .............................................40, 89 Newman, Kenneth .................................................85 Ngai, Jennie ....................................................82, 106 Nia, Sam ......................................................................62 Nunnally, Mark ..........................................25, 69, 91 O'Connor, Michael ...........................................25, 69 Oleszak, Slawomir ................................................40 O'Neill, Daniel .........................................................89 Osborn, Irene .......................26, 40, 101, 111, 118 Osorio, James ...................................................88, 97 Padjen, Kristoffer .....................................................73 Panzer, Oliver ..............................................18, 88, 97 Patel, Anil ...................................................................40 Patt, Minda ................................................................49 Philip, Beverly K. .....................................................55 Philip, James H..........................................................45 Pisklakov, Sergey V. ................................58, 72, 107 Plagenhoef, Jeffrey S. .............................................44 Poli, Joseph ...............................................................36 Poovathoor, Shaji P. .............................................117

Popescu, Wanda ...............................................19, 66 Popovic, Jovan ...........................................15, 38, 74 Pryor, Kane ................................................................86 Pyne, Sonia G. ..........................................................36 Quackenbush, Nicole ............................................13 Ranganathan, Pavithra .......................................106 Rashidian, Farshad ..................................................47 Rask, John P. .......................................................90, 98 Rauck, Richard .........................................................78 Reddy, Shamantha G. .....................................34, 71 Reed, Allan ................................................................40 Reich, David ..............................................................28 Reid, M. Carrington ................................................51 Rhee, Amanda J. ...............................................84, 88 Richman, Deborah ...............................................102 Robards, Christopher B. ........................................62 Roccaforte, David ...................................................69 Rodriguez-Diaz, Cesar ....................................64, 89 Rong, Lisa .........................................................65, 112 Rosenblatt, Meg A. ............................15, 38, 74, 75 Rosenfeld, Kenneth .............................80, 107, 115 Roth, Ram ....................................................40, 63, 86 Rufino, Michael ........................................................40 Rusy, Deborah .......................................................110 Saadat, Haleh ...........................................................79 Salomon, Guy ...........................................................59 Samama, Charles Marc .........................................77 Samuels, Jon D. ..............................40, 63, 111, 118 Saxena, Vikram .......................................................118 Schaefer III, John J. .................................................40 Schoppmann, Michael J. ...............................56, 81 Schwartz, Andrew ...........................................90, 98 Seligsohn, David .....................................................62 Sequeira, Patricia M. ............................................111 Serban, Stelian I. ......................................................95 Setty, Sudarshan ..............................................88, 97 Shander, Aryeh ............................................100, 119 Shanewise, Jack .......................................................19 Shariat, Ali N. .....................................................45, 62 Sharma, Aarti ..................................................58, 116 Sharma, Vandana ....................................................37 Shayevitz, Jay ...........................................................73 Sherman, Jodi ........................................................113 Shevde, Ketan ...................................................88, 97 Shillcutt, Sasha K. ....................................................66 Shore-Lesserson, Linda J. ..................66, 100, 119 Silvay, George ........................................................113 Sim, Alan J. ........................................................90, 98 Simmons, Jeffrey W. ............................................100 Simon, Michael ........................................................56 Singh, Prithi ..............................................................40 Skubas, Nikolaos .......................65, 66, 88, 97, 112 Sladen, Robert N. .............................................10, 92 Slepian, Ralph L. ......................................................40 Smallman, Bettina ..................................................83 Smiley, Richard M. .........................................17, 103 Smith, Martin ....................................................26, 54 Smith, Michael P. ..............................................27, 32 Sobol, Julia .........................................................88, 97 Sommer, Richard ..................................................111 Song, Jing ...........................................................49, 94 Soriano, III, Sulpicio G. ..........................................43 Souzdalnitski, Dmitri .............................................78 Spellman, Jessica ....................................................89 Spessot, George J. ................................................111 Steinberg, Ellen S. ........................................22, 118 Stellaccio, Francis S. ........................................40, 71 Stjepanovic, Gordana ..................................58, 110

Stone, Marc E. ......................................33, 37, 52, 82 Straker, Tracey ...................................................40, 71 Suresh, Santhanam ....................15, 38, 67, 74, 83 Sutin, Kenneth M. .................................................111 Svyatets, Marina ...................................................119 Sweeney, Dawn M. .................................................56 Sweitzer, Bobbie-Jean ........................................114 Tam, Christopher ....................................................97 Tanaka, Christopher Y. .............................88, 96, 97 Tedore, Tiffany R. .......................15, 38, 74, 95, 110 Thangada, Shruthima ..............................15, 38, 74 Thota, Srinivasa S. .........................................59, 118 Toledano, Roulhac D. ............................................50 Tom, Simon .................................................15, 38, 74 Torsher, Laurence .............................................90, 98 Toure, Ben...................................................................45 Troianos, Christopher ............................................66 Trunfio, Giuseppe V. ...............................................66 Tung, Avery .....................................................69, 113 Twersky, Rebecca S. .............................................114 Umeh, Uchenna ........................................15, 38, 74 Urban, Michael ........................................................73 Urman, Richard D. ............................................20, 28 Vaida, Sonia J. ...........................................................40 Valedon, Arnaldo ..................................................114 van Rensburg, Adriaan ..................................88, 97 Vann, Mary Ann ......................................................96, Velickovic, Ivan ................................................13, 22 Venticinque, Steven G. ...................................88, 97 Victor-Vega, Cassandre .........................................36 Viscusi, Eugene ............................10, 14, 32, 67, 89 Vitale, Salvatore .......................................................64 Vitkun, Stephen A. ..................................40, 41, 102 Vydyanathan, Amaresh .......................................39 Wahlander, Staffan B. ............................................49 Wambold, Daniel D. .................................15, 38, 74 Wang, Cindy ....................................................65, 112 Wardhan, Richa .........................................15, 38, 74 Warner, Mark A. .......................................................76 Warren, Lisa .................................................15, 38, 74 Watson, Charles ..................................10, 14, 40, 89 Watt, Stacey ..............................................................59 Weinberg, Roniel .............................15, 38, 74, 116 Weinberger, Michael .............................................21 Weiner, Menachem ....................10, 14, 64, 66, 81 Weitzel, Nate .............................................................66 Welsby, Ian J. .............................................................91 Werfel, Paul ...............................................................41 Weyker, Paul ......................................................88, 97 Whittington, Robert A. .........................................83 Wieczorek, Paul ................................................16, 24 Wlody, David ..............................................17, 81, 99 Worah, Samrat .........................................................85 YaDeau, Jacques ............................................75, 106 Yeh, Joseph ...............................................................23 Yeung, Albert ...........................................................34 Yim, Peter....................................................................47 Yu, Albert ...................................................................36 Yudkowitz, Francine S. ...................12, 90, 98, 120

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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Fourth Floor

Sixth Floor

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70

Seventh Floor

Ninth Floor

2016 | PGA70 Program | Sponsored by: The New York State Society of Anesthesiologists, Inc.

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NYSSA | 70th Annual PostGraduate Assembly in Anesthesiology | www.nyssa-pga.org | #pga70