PGA72 Program

PGA71

PostGraduate Assembly in Anesthesiology

Fri. - Tues. Dec. 8-12 Marriott Marquis NYC/USA

2017

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 CreditsTM

www.pga.nyc Sponsored by:

The New York State Society of Anesthesiologists, Inc.

Contents Letter from Mayor

2

Welcome Letter

3

Our History

4-6

2017 NySSA Officers and board of directors

7

2017 Committee on Annual Sessions

8

General Information

9 - 10

Statement of Educational Mission

11

Faculty disclosure

12

Continuing Medical Education

12

CME Certification Process

13

PGA Program Planner disclosure Statements

13

Thursday Overview

15

Friday Overview

17

Saturday Overview

43

New york State Conference for Anesthesiology residents and Fellows

50 - 52

resident research Contest

50 - 51

Sunday Overview

69

Current Issues Forum

91

Monday Overview

99

Tuesday Overview

121

Poster and Medically Challenging Case report Presentations Scientific Exhibits

134 - 151 152

Faculty Index

153 - 155

Floor Plans

156 - 157

ENGLISH IS THE OFFICIAL L A N G UAG E O F T H E P G A

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

Welcome

71st Annual PostGraduate Assembly in Anesthesiology december 8-12, 2017 Marriott Marquis NyC

dear Colleagues: For 71 years the PostGraduate Assembly (PGA), the annual meeting of the New York State Society of Anesthesiologists, has been a focal point for innovation and change in the medical specialty of anesthesiology. The PGA is currently one of the largest annual gatherings for anesthesiologists worldwide, and a premier international meeting, as more than 30 percent of attendees travel from outside the United States.

We encourage participants to share experiences with fellow practitioners and scientists in the heart of New York City. Our objective is to provide an opportunity to interact with other clinicians for the benefit of your patients, your practice, your graduate medical education program and your research.

Through your feedback and other sources, we identify knowledge and practice gaps within our specialty and address them through a variety of teaching techniques. We hope you find a teaching method suitable to your learning style, and welcome your suggestions for improvement. Teaching formats include lectures, interactive workshops, mini workshops, problem-based learning discussions, focus sessions and poster presentations.

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

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

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

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

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

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

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

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

Social Events allow you and your guests the chance to cap off intense days of learning with memorable evenings filled with Broadway shows, tours, the opera, and the endless exciting restaurants of New York City. The bright lights of Broadway beckon you. Take advantage of everything “the city that never sleeps” has to offer during our 71st annual meeting!

richard A. beers, M.d.

General Chair

2017 | PGA71 Program

SPONSOrEd by:

Audrée A. bendo, M.d., M.S. Scientific Programs Chair

The New york State Society of Anesthesiologists, Inc.

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

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

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

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

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

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

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

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

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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

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

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

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

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

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

* Deceased

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

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

The New york State Society of Anesthesiologists, Inc.

2017 Officers & board of directors President rose berkun, M.d., Williamsville, NY President Elect david S. bronheim, M.d., Great Neck, NY Vice-President Vilma A. Joseph, M.d., M.P.H., Elmont, NY Immediate Past President Andrew d. rosenberg, M.d., Roslyn Heights, NY Secretary Christopher L. Campese, M.d., M.A., CHCQM, Douglastown, NY Treasurer Jason Lok, M.d., Manlius, NY rose berkun, M.d.

PrESIdENT

First Assistant Secretary Jung T. Kim, M.d., New York, New York Second Assistant Secretary Melinda A. Aquino, M.d., Bronxville, NY Assistant Treasurer Steven b. Schulman, M.d., Syosset, NY ASA Director New York State Scott b. Groudine, M.d., Latham, NY ASA Alternate Director New York State david J. Wlody, M.d., New York, NY Speaker, House of Delegates Tracey Straker, M.d., M.S., M.P.H., Yonkers, NY Vice Speaker, House of Delegates Scott N. Plotkin, M.d., Buffalo, NY

david S. bronheim, M.d.

PrESIdENT ELECT

Director, NYSSA District #1 Lance W. Wagner, M.d., Belle Harbor, NY Director, NYSSA District #2 Gregory W. Fischer, M.d., Cos Cob, CT Director, NYSSA District #3 Matthew b. Wecksell, M.d., Chappaqua, NY Director, NYSSA District #4 Lawrence J. routenberg, M.d., Niskayuna, NY Director, NYSSA District #5 Jesus r. Calimlim, M.d., Jamesville, NY Director, NYSSA District #6 richard N. Wissler, M.d., Ph.d., Pittsford, NY Director, NYSSA District #7 Elizabeth L. Mahoney, M.d., Orchard Park, NY

Vilma A. Joseph, M.d., M.P.H. VICE-PrESIdENT

Director, NYSSA District #8 daniel H. Sajewski, M.d., Lloyd Harbor, NY Delegate, MSSNY Steven S. Schwalbe, M.d., Leonia, NY Alternate Delegate, MSSNY rose berkun, M.d., Williamsville, NY Editor, NYSSA SPHERE Samir Kendale, M.d., Brooklyn, NY

Chair, Academic Anesthesiology Committee Suzanne b. Karan, M.d., Rochester, NY General Chair, Committee on Annual Sessions richard A. beers, M.d., Fayetteville, NY Resident and Fellow Section President david G. Currie, M.d., New York, NY Executive Director Stuart A. Hayman, M.S., White Plains, NY

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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2017 Committee on Annual Sessions richard A. beers, M.d., General Chair AdVISOrS

Rebecca S. Twersky, M.D., M.P.H. Andrew D. Rosenberg, M.D. David J. Wlody, M.D. H O N O r A ry C H A I r S James E. Cottrell, M.D. Mieczyslaw Finster, M.D. Elizabeth A. M. Frost, M.D. Alexander W. Gotta, 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 Audrée 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 CO M M I T T E E M E M b E r S Melinda A. Aquino, M.D. Vittoria Arslan-Carlon, M.D. Richard A. Beers, M.D.* Rose Berkun, M.D. Edmond Cohen, M.D. Saundra E. Curry, M.D. Anahita Dabo-Trubelja, M.D. Farida 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. Scott N. Plotkin, M.D.* Lawrence Routenberg, M.D. Daniel H. Sajewski, M.D.* Jay R. Shayevitz, M.D., M.S., FAAP Ketan Shevde, M.D. George Silvay, M.D., Ph.D. Stephen A. Vitkun, M.D., M.B.A., Ph.D. Matthew B. Wecksell, M.D. Michael L. Weinberger, M.D. Richard N. Wissler, M.D., Ph.D. David J. Wlody, M.D. Francine Yudkowitz, M.D., FAAP *

Focus Sessions Ingrid b. Hollinger, M.d., FAAP, Chair bettina Smallman, M.d., Vice-Chair deborah C. richman, M.b., Ch.b., FFA (SA), Vice-Chair

Workshops richard M. Sommer, M.d., Chair James A. Osorio, M.d., Vice-Chair CO M M I T T E E M E M b E r S

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

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. Alessia C. Pedoto, M.D. Allan P. Reed, M.D. Jon D. Samuels, M.D. Linda J. Shore-Lesserson, M.D., FAHA, FASE Tony P. Tsai, M.D., M.B.A. 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., Ph.D. Ashok Masand, M.D. Ngoc Nguyen-Famulare, M.D. Amanda J. Rhee, M.D. Divina J. Santos, M.D. Joseph Schianodicola, M.D. Mourad Shehebar, M.D. P. Sebastian Thomas, M.D. Muoi Trinh, M.D. Albert C. Yeung, M.D.

Mini Workshops Clifford M. Gevirtz, M.d., M.P.H., Chair P. Sebastian Thomas, M.b., b.S., Vice-Chair CO M M I T T E E M E M b E r S 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 C. Pedoto, M.D. Jeremy S. Poppers, M.D. Bharathi Scott, M.D. Jay R. Shayevitz, M.D., M.S., FAAP George Silvay, M.D., Ph.D.

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

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

Problem-based Learning discussions Patricia Fogarty Mack, M.d., Chair Michael K. Urban, M.d., Ph.d., Vice-Chair CO M M I T T E E M E M b E r S Mary Chisholm, 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. Irim Salik, M.D. Jacques H. Scharoun, M.D. Tracey Straker, M.D., M.P.H. Ivan A. Velickovic, M.D. Stacey A. Watt, M.D. Menachem Weiner, M.D. Jan Wong, M.D. Samrat H. Worah, M.D. Albert C. Yeung, M.D. Simon Yu, M.D.

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

CO M M I T T E E M E M b E r S Michael H. Mendeszoon, M.D., M.B.A. Stuart A. Hayman, M.S. * Kelly Mancusi, M.B.A., CMP *

Executive Group Committee on Annual Sessions

resident research Contest Charles W. Emala, Sr., M.S., M.d., Chair Maria A. Bustillo, M.D. Samuel DeMaria Jr., M.D. Andrew Goldberg, M.D. Suzanne Karan, M.D. Ira 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.

International Scholars Elizabeth A. M. Frost, M.d., Co-Chair Paul L. Goldiner, M.d., Co-Chair Richard A. Beers, M.D.* Prianka Desai, M.D. Cheryl K. Gooden, M.D., FAAP Vinod Malhotra, M.D. Archana Mane, M.D. Irene P. Osborn, M.D. Amanda J. Rhee, M.D.

CO M M I T T E E M E M b E r S Apolonia E. Abramowicz, M.D. Alan E. Curle, M.D. Sudhir A. 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 Sandhya Malhotra, M.D. Allen Marchetti, D.O. Suzette Singh, M.D. Dawn M. Sweeney, M.D. Ivan A. Velickovic, M.D. Stephen A. Vitkun, M.D., M.B.A., Ph.D.

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

General Chair richard A. beers, M.d.

Chair, Scientific Programs Audrée A. bendo, M.d., M.S. First Vice-Chair, Scientific Programs Meg A. rosenblatt, M.d.

Second Vice-Chair, Scientific Programs Linda J. Shore-Lesserson, M.d., FAHA, FASE NYSSA President rose berkun, M.d.

NYSSA President Elect david S. bronheim, M.d.

NYSSA Vice-President Vilma A. Joseph, M.d., M.P.H. NYSSA Treasurer Jason Lok, M.d.

NYSSA Secretary Christopher L. Campese, M.d., M.A., CHCQM * NYSSA CME&R Chair Francine S. yudkowitz, M.d., FAAP * NYSSA Academic Anesthesiology Committee Vice-Chair Michael C. Wajda, M.d.

NYSSA Executive Director Stuart A. Hayman, M.S. *

* ex-officio

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

PGA SESSION KEy

General Information

FS

registration PGA registration is located on the 4th floor and will be operational as follows: Thursday, December 7 | 07:00 - 19:00 Friday, December 8 | 07:00 - 19:00 Saturday, December 9 | 07:00 - 16:00 Sunday, December 10 | 07:00 - 16:00 Monday, December 11 | 07:00 - 16:00 Tuesday, December 12 | 07:00 - 15:00

The registration fee includes the following general sessions: m Scientific Panels and Lectures m Exhibit Hall m Focus Sessions m Posters and Medically Challenging Case Report Posters m Scientific Exhibits

Focus Sessions

MW

Mini Workshops

PbL

Problem-based Learning discussions

SP

Scientific Panels

TS

Thoracic Anesthesia Symposium

W

Hands-On Workshops

TICKET rEQUIrEd Workshops, Mini Workshops and Problem-based Learning discussions The sales booth is located on the 4th floor at PGA registration.

Thoracic Anesthesia Symposium is $350.

Workshops are $150, except for W-01, W-09 and W-12, which are $350; and W-05 is $500.

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

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

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

Scientific Exhibits

Complimentary Coffee Service

Saturday, december 9 11:30-15:30 • 7th Floor

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

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

Monday, december 11 | 09:00

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

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

Technical Exhibits 5th Floor Saturday, december 9 | 10:00 -18:00 Sunday, december 10 | 09:00-15:00 Monday, december 11 | 09:00-13:00

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

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

2017 | PGA71 Program

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

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

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

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

9

General Information Speaker ready room 7th Floor The PGA Faculty Speaker Ready Room, is located in the Times Square Room, 7th Floor and will be staffed from 07:00 - 16:00, Friday, December 8 through Tuesday, December 12.

Congress bags will be available: Thursday, december 7 | 07:00-19:00 4th Floor Friday, december 8 | 07:00-19:00 4th Floor Saturday, december 9 | 10:00-18:00 5th Floor Sunday, december 10 | 09:00-15:00 5th Floor Monday, december 11 | 09:00-13:00 5th Floor Tuesday, december 12 | 09:00-16:00 4th Floor

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

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

did you know?!

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

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

PGA Staff Headquarters 7th Floor The Harlem Room, located on the 7th floor of the Marriott, will serve as the NYSSA/PGA Headquarters Office. The room will be open from 07:00 to 17:00 throughout the duration of the PGA. NySSA House of delegates 9th Floor Convenes on Saturday, December 9 at 11:00 and , Sunday, December 10 at 09:30, in the Marquis Ballroom, located on the 9th floor of the Marriott.

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

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

All 17 PGA Hands-On Workshops qualify MOCA 2.0® under the Part IV Category of “Other on-site simulation” and are worth 1 point per hour spent on the activity!

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

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

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

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

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

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

2017 | PGA71 Program

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

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

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

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

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

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

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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

The New York State Society of Anesthesiologists, Inc., designates this live activity for a maximum of 54.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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

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

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

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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

www.pga.nyc

#pga71

CME Certification Process CME Certification In order for the NYSSA/PGA to maintain ACCME accreditation as a CME Provider, and to be in compliance with current AMA CME certification requirements for reporting and awarding CME credits, we are informing you of the following details regarding the verification of credits and issuance of Certificates of Attendance. m CME Certificates will not be issued on-site. m CME Certificates will be issued electronically after the PGA. m Non-educational sessions such as Committee and House of Delegates meetings are not eligible for CME credit. m The deadline for claiming PGA71 credits is June 30, 2018.

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

Program Planner disclosure Statements: The following PGA Program planners, who are in a position to influence CME content, have indicated that they did not disclose any financial relationships: richard A. beers, M.d., PGA General Chair AudrÊe 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 deborah C. richman, M.b., Ch.b., FFA (SA), Vice-Chair, Focus Sessions richard M. Sommer, M.d., Chair, Workshops James A. Osorio, M.d., Vice-Chair, Workshops Cliord M. Gevirtz, M.d., M.P.H., Chair, Mini Workshops P. Sebastian Thomas, M.d., Vice-Chair, Mini Workshops Patricia Fogarty Mack, M.d., Chair, Problem-Based Learning Discussions Michael K. Urban, M.d., Ph.d., Vice-Chair, Problem-Based Learning Discussions Charles W. Emala, Sr., M.S., M.d., Chair, Resident Research Contest Stephen A. Vitkun, M.d., M.b.A., Ph.d., Chair, Scientific Exhibits & Poster Presentations rhoda d. Levine, M.d., Vice-Chair, Scientific Exhibits & Poster Presentations Francine S. yudkowitz, M.d., FAAP, Chair, Continuing Medical Education and Remediation

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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Notable Associations

Are you in Need of MOCA® Patient Safety Credits?

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

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

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 peer-reviewed medical journal published by the Oxford University Press on behalf of the Royal College of Anaesthetists. It was established in 1923 and covers all aspects of anesthesia.

SP-01 Critical Care for Our Patients and Us SP-02 Non-Operating room Anesthesia (NOrA) Update: More Complex Procedures on Sicker Patients SP-04 AACD Panel: Operating room, Patient Safety and Practice Management SP-06 Neuroanesthesia Challenges: Can Anesthesiologists Care better for the Older brain?

SP-08 Ethical Guidelines, Technology, and Pay-for-Value are driving Cutting Edge Practices in Anesthesiology SP-10 Preoperative Management and Optimization: Can We do better?

SP-12 Cutting Edge Practices in Pediatric Anesthesia SP-14 Hot Topics in Acute Pain Management SP-17 BJA Panel: Perioperative Fluids: Impact on Outcomes SP-18 regional Anesthesia Update SP-20 APSF Panel: Postoperative Infections: Can the Anesthesia Provider be at Fault?

SP-23 The difficult Airway SP-25 Controversies in Obstetrical Anesthesia SP-26 The Cardiac Patient Presenting for Non-Cardiac Surgery SP-28 Ambulatory Surgery and Office-based Practice SP-29 The Morbid and Super Morbidly Obese Patient: Challenging Anesthetics FS-15 The Anesthesia Work Station and Safety Issues: Are Our Patients Safer?

FS-23 Infection Control Issues Impacting Anesthesiology Practice FS 28 Occupational Hazards for The Anesthesiologist Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology®. This patient safety activity helps fulfill the patient safety CME requirement for Part II of the Maintenance of Certification in Anesthesiology Program (MOCA) of The American Board of Anesthesiology (ABA). Please consult the ABA website, www.theAbA.org, for a list of all MOCA requirements.

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

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

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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71st Annual PostGraduate Assembly in Anesthesiology december 8-12, 2017 Marriott Marquis NyC

Thursday

december 7, 2017

registration

07:00 - 19:00

T H U r S d A y

FEE rEQUIrEd (Fees listed on page 3.)

Thoracic Anesthesia Symposium - Part I MOCA®

07:00 - 17:00 • Ziegfeld/O’Neill room • 4th Floor MOdErATOr:

Edmond Cohen, M.d.

Professor of Anesthesiology and Thoracic Surgery | Director, Thoracic Anesthesia Icahn School of Medicine at Mount Sinai | New York, New York

TOPICS:

m Lung Injury During Thoracic Surgery: Where is the Evidence? m Problem Based Learning Discussions m All You Want to Know About Thoracic Anesthesia and You Never Asked: Questions and Answers m Pain Management in Thoracic Surgery m Challenging Cases in Thoracic Anesthesia m Issues in Thoracic Anesthesia

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

CO N T I N U E d O N N E x T PAG E

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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T H U r S d A y

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

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

yury Khelemsky, M.d.

Associate Professor of Anesthesiology Chief, Thoracic Anesthesia University of Virginia Health System Charlottesville, Virginia

Assistant Professor of Anesthesiology Program Director, Pain Medicine Fellowship Icahn School of Medicine at Mount Sinai New York, New York

david S. bronheim, M.d.

Jonathan d. Leff, M.d.

Associate Professor of Anesthesiology and Surgery Director, Post Anesthesia Care Icahn School of Medicine at Mount Sinai New York, New York

Associate Professor of Anesthesiology Montefiore Medical Center Bronx, New York

dawn P. desiderio, M.d.

Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Professor of Clinical Anesthesiology Cornell University, Weill Cornell Medical College Clinical Member Memorial Sloan Kettering Cancer Center New York, New York

Gregory W. Fischer, M.d.

Professor and Chair Department of Anesthesiology and Critical Care Medicine Memorial Sloan Kettering Cancer Center New York, New York

Marcelo Gama de Abreu, M.d., Ph.d., dESA Professor of Anesthesiology and Intensive Care Therapy Chair, Translational Research in Anesthesiology and Intensive Care Therapy University Hospital Carl Gustav Carus Dresden, Germany

Leila Hosseinian, M.d.

Assistant Professor of Anesthesiology and Critical Care Icahn School of Medicine at Mount Sinai New York, New York

George Silvay, M.d., Ph.d.

Peter Slinger, M.d., FrCPC Professor of Anesthesiology University of Toronto Toronto General Hospital Toronto, Canada

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

d I S C LO S U r E S : Drs. Blank, Bronheim, Desiderio, Fischer, Hosseinian, Khelemsky, Leff, Silvay, Slinger, Watson and Weiner do not have any financial relationships to disclose.

Dr. Gama de Abreu receives consultant fees from Baxter International Inc. Dr. Viscusi receives funded research support from DURECT Corporation and Pacira Pharmaceuticals, Inc.; consultant fees from Cara Therapeutics, Inc., Eagalet Pharmaceuticals, Heron Therapeutics, Mallinckrodt Pharmaceuticals, Pfizer Inc., Salix Pharmaceuticals, and Trevena, Inc., and is on the speakers’ bureau for Mallinckrodt Pharmaceuticals, Salix Pharmaceuticals.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

Friday

71st Annual PostGraduate Assembly in Anesthesiology december 8-12, 2017 Marriott Marquis NyC

december 8, 2017

registration

07:00 - 19:00

Sessions

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

F r I d A y

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

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

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

Professor of Anesthesiology and Pediatrics Director, Pediatric Anesthesia Icahn School of Medicine at Mount Sinai New York, New York

m demonstrate basic pediatric life-support skills;

A S S I S T E d by:

m recognize the signs of impending respiratory failure and shock;

rhonda A. Alexis, M.d.

Anesthesiologist, General Anesthesia Children’s Hospital of Philadelphia Perelman School of Medicine University of Pennsylvania Philadelphia, Pennsylvania

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

Cheryl K. Gooden, M.d., FAAP Associate Professor of Anesthesiology and Pediatrics Hofstra Northwell School of Medicine Hempstead, New York

m Initiate treatment of impending and overt respiratory failure and shock; m 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 reading requirements, this workshop is limited to pre-registration.

Joanne Hojsak, M.d.

Associate Professor of Pediatrics Chief, Pediatric Critical Care Mount Sinai Kravis Children’s Hospital New York, New York

d I S C LO S U r E S : Drs. Alexis, Dilos, Gooden, Hojsak and Yudkowitz do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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MW-01 Management of Post dural Puncture Headache 07:45 - 08:45 Odets room • 4th Floor SPEAKEr:

Ivan A. Velickovic, M.d.

F r I d A y

Director, Obstetric Anesthesiology SUNY-Downstate Medical Center | Brooklyn, New York

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

Cesar rodriguez-diaz, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York and

rafael Honikman, M.d.

Assistant Professor of Anesthesiology, Perioperative & Pain Medicine The Mount Sinai Hospital | New York, New York

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

07:45 - 08:45 Ziegfeld room • 4th Floor SPEAKEr:

After completion of this session, the participant will be able to: m discuss the management of accidental dural puncture in obstetrics; m develop an evidence-based decision regarding the use of intrathecal catheters in the prevention and management of PdPH; m review the treatment of spinal headache, including therapeutic and prophylactic blood patch.

After completion of this session, the participant will be able to: m delineate the indications and contraindications to sedation for TAVr; m delineate the indications and contraindications to general anesthesia for TAVr; m Enumerate the critical hemodynamic effects during TAVr and the requirements for anesthetic management.

After completion of this session, the participant will be able to: m define three styles of leadership; m Identify their best fit style of leadership; m Identify the style of leadership of the hospital administration and or surgery department.

Michael b. Pesce, M.d., J.d.

Attending Anesthesiologist Kaweah Delta Health Care District | Vasalia, California

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

MW-04 Cardiac Anesthesia Update 07:45 - 08:45 O’Neill room • 4th Floor SPEAKErS:

david barbara, M.d.

Assistant Professor of Anesthesiology | Mayo Clinic | Rochester, Minnesota and

bessie Kachulis, M.d.

Assistant Professor of Anesthesiology Division of Cardiothoracic Anesthesiology | Columbia University, College of Physicians and Surgeons | New York, New York

m discuss the anesthetic implications of implantable cardiac defibrillators, pacemakers, left ventricular assist devices and artificial hearts; m describe the indications, surgical technique and anesthetic challenges; m discuss the safety and efficacy of this procedure; m Examine current literature comparing on and off pump coronary surgery.

d I S C LO S U r E : Drs. Barbara, Honikman, Kachulis, Pesce, Rodriguez-Diaz and Velickovic do not have any financial relationships to disclose.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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#pga71

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

MOCA®

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.

F r I d A y

LECTURES:

m Isolation of the Lung: Double Lumen Tubes m Isolation of the Lung: Endobronchial Blockers m 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.

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

CO N T I N U E d O N N E x T PAG E

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

19

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

F r I d A y

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

yury Khelemsky, M.d.

Associate Professor of Anesthesiology Chief, Thoracic Anesthesia University of Virginia Health System Charlottesville, Virginia

Assistant Professor of Anesthesiology Program Director, Pain Medicine Fellowship Icahn School of Medicine at Mount Sinai New York, New York

david S. bronheim, M.d.

Jonathan d. Leff, M.d.

Associate Professor of Anesthesiology and Surgery Director, Post Anesthesia Care Icahn School of Medicine at Mount Sinai New York, New York

Associate Professor of Anesthesiology Montefiore Medical Center Bronx, New York

dawn P. desiderio, M.d.

Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Professor of Clinical Anesthesiology Cornell University, Weill Cornell Medical College Clinical Member Memorial Sloan Kettering Cancer Center New York, New York

Gregory W. Fischer, M.d.

Professor and Chair Department of Anesthesiology and Critical Care Medicine Memorial Sloan Kettering Cancer Center New York, New York

Marcelo Gama de Abreu, M.d., Ph.d., dESA Professor of Anesthesiology and Intensive Care Therapy Chair, Translational Research in Anesthesiology and Intensive Care Therapy University Hospital Carl Gustav Carus Dresden, Germany

George Silvay, M.d., Ph.d.

Peter Slinger, M.d., FrCPC Professor of Anesthesiology University of Toronto and Toronto General Hospital Toronto, Canada

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

Leila Hosseinian, M.d.

Assistant Professor of Anesthesiology and Critical Care Icahn School of Medicine at Mount Sinai New York, New York

d I S C LO S U r E S : Drs. Blank, Bronheim, Cohen, Desiderio, Fischer, Hosseinian, Khelemsky, Le, Silvay, Slinger, Watson and Weiner do not have any financial relationships to disclose.

Dr. Gama de Abreu receives consultant fees from Baxter International Inc.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

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

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

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

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

F r I d A y

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

Mitchell H. Marshall, M.d.

Jovan Popovic, M.d., FrCPC

Clinical Associate Professor of Anesthesiology Chief, Department of Anesthesiology NYU-Langone Medical Center-Hospital for Joint Diseases New York, New York

Assistant Professor of Anesthesiology NYU-Langone Medical Center Medical Director, NYU-Langone Outpatient Surgery | New York, New York

A S S I S T E d by:

robert A. Altman, M.d.

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

Attending Anesthesiologist NYU-Langone Medical Center-Hospital for Joint Diseases New York, New York

Clinical Assistant Professor of Anesthesiology, Perioperative and Pain Medicine Stanford University Stanford, California

Michael Akerman, M.d.

Attending Anesthesiologist Westchester Medical Center Valhalla, New York

Michael r. Anderson, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Arthur Atchabahian, M.d.

Professor of Clinical Anesthesiology NYU-Langone Medical Center-Hospital for Joint Diseases New York, New York

Patrick birmingham, M.d., FAAP Professor of Anesthesiology Northwestern University Feinberg School of Medicine Division Head of Pain Medicine Executive Vice Chairman, Department of Anesthesiology Ann & Robert H. Lurie Children’s Hospital of Chicago Chicago, Illinois

Marcelle E. blessing, M.d.

Assistant Professor of Anesthesiology Yale New Haven Hospital New Haven, Connecticut

Levon M. Capan, M.d.

Professor of Anesthesia NYU-Langone Medical Center Associate Director, Anesthesia Bellevue Hospital Center New York, New York

Prianka desai, M.d.

Assistant Professor Clinical of Anesthesiology, Perioperative Care, and Pain Medicine NYU-Langone Medical Center New York, New York

david L. Furgiuele, M.d.

Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York

Nicholas E. Heiser, M.d.

Assistant Professor of Anesthesiology University of Nebraska Medical Center Director of Medical Student Anesthesiology Clerkship and Director of Anesthesia Services Nebraska Medicine Fritch Surgery Center Omaha, Nebraska CO N T I N U E d O N N E x T PAG E

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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

Christina L. Jeng, M.d.

Meg A. rosenblatt, M.d.

Assistant Professor of Anesthesiology and Orthopaedics Icahn School of Medicine at Mount Sinai | New York, New York

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

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

Eric M. Kitain, M.d.

Chair, Department of Anesthesiology Norwalk Hospital | Norwalk, Connecticut

yan Lai, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai 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

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

Associate Program Director and Director of Education Regional Anesthesia and Acute Pain Medicine Fellowship Director of Regional Anesthesiology for YNHH Saint Raphael Campus and Center for Musculoskeletal Disease Department of Anesthesia | Yale University New Haven, Connecticut

danielle b. Ludwin, M.d.

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

robert G. Nampiaparampil, M.d.

Assistant Professor of Anesthesiology, Perioperative Care and Pain Medicine | NYU-Langone Medical Center New York, New York

Peter J. Neuburger, M.d.

Assistant Professor of Anesthesiology, Perioperative Care and Pain Medicine | NYU-Langone Medical Center Division of Cardiothoracic Anesthesiology New York, New York

Jennie y. Ngai, M.d.

Assistant Professor of Anesthesiology Director, Cardiothoracic Anesthesiology Fellowship Associate Director, Division of Cardiothoracic Anesthesiology NYU-Langone Medical Center | New York, New York

ryan Potosky, M.d.

Assistant Clinical Professor of Anesthesiology NYU-Langone Medical Center New York, New York

Andrew d. rosenberg, M.d.

Dorothy Reaves Spatz, M.D., Professor of Anesthesiology Chair, Department of Anesthesiology, Perioperative Care and Pain Medicine | NYU-Langone Medical Center New York, New York

Santhanam Suresh, M.d., FAAP Arthur C. King Professor & Chair Department of Pediatric Anesthesiology Ann & Robert H. Lurie Children’s Hospital of Chicago Chicago, Illinois

Tiffany r. Tedore, M.d.

Co-Director, Regional Anesthesiology and Acute Pain Medicine Associate Professor of Anesthesiology Cornell University, Weill Cornell Medical College NewYork Presbyterian Hospital | New York, New York

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

d I S C LO S U r E S : Drs. Altman, Akerman, Anderson, Birmingham, Blessing, Boublik, Capan, Desai, Furgiuele, Heiser, Jeng, J. T. Kim, S. Kim, Kitain, Lai, Lee, Li, Ludwin, Marshall, Nampiaparampil, Neuburger, Ngai, Popovic, Potosky, Rosenblatt, Rosenberg, Suresh, Tedore, Thangada, Tom, Umeh, Wambold, Wardhan, Warren and Weinberg do not have any financial relationships to disclose.

Dr. Atchabahian received consultant fees from Pacira Pharmaceuticals, Inc. and has royalties with McGraw-Hill Companies.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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W-03 Ultrasound Assisted Neuraxial Anesthesia MOCA®

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

Jose C. A. Carvalho, Md, Phd, FANZCA, FrCPC Professor of Anesthesia, Obstetrics and Gynecology University of Toronto Director, Obstetric Anesthesia Mount Sinai Hospital Toronto, Ontario, Canada

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

F r I d A y

m Understand the principles of ultrasound applied to the assessment of the spine; m recognize the normal sonoanatomy of the spine; m Perform a systematic ultrasound assessment of the spine in the sagittal and transverse planes; m Identify a desired interspace; m Identify the optimal needle insertion point; m determine the distance from the skin to the epidural or intrathecal spaces.

A S S I S T E d by:

ricardo bittencourt, M.d., M.b.A. Clinical Fellow Cardiac and Obstetric Anesthesia Sunnybrook Health Science Centre Toronto, Ontario, Canada

bruno C. r. borges, M.d.

Staff Anesthesiologist Hamilton Health Sciences Associate Professor of Anesthesia McMaster University Oakville, Ontario, Canada

Paul M. Wieczorek, M.d., FrCPC Assistant Professor of Anesthesiology McGill University Director, Obstetric Anesthesia Jewish General Hospital Montreal, Quebec, Canada

d I S C LO S U r E S : Drs. Bittencourt, Borges, Carvalho and Wieczorek do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-01 Critical Care for Our Patients and Us 09:00 - 11:30 • North ballroom • 6th Floor

MOCA®

MOdErATOr:

douglas b. Coursin, M.d.

F r I d A y

Professor of Anesthesiology and Medicine University of Wisconsin School of Medicine and Public Health Madison, Wisconsin

After completion of this session, the participant will be able to: m Interpret the recommendations of the recently revised and published guidelines for the Surviving Sepsis Campaign (2016) as they apply to our patients and us; m Illustrate elements of physicians as the 2nd victim and overall practitioner mental health and well-being after an “event”; m Identify the utility and application of a Crisis resource Management approach in aiding our patients and us; m Emphasize the need for Physician self-awareness and care.

FACULTy PrESENTATIONS:

Sepsis Could Kill your Patient, you or yours Mark E. Nunnally, M.d., FCCM Director, Adult Critical Care Services NYU-Langone Medical Center New York, New York

The 2nd Victim-Saving ourselves and Our Colleagues Oliver P. F. Panzer, M.d.

Associate Professor of Anesthesiology Director, Perioperative Ultrasound Education Division of Critical Care & Regional Anesthesia Columbia University, College of Physicians & Surgeons New York, New York

Crisis resource Management: resources to Save Our Patients and Ourselves Vivek K. Moitra, M.d., FCCM Associate Professor of Clinical Anesthesiology Associate Program Director, Critical Care Medicine Columbia University, College of Physicians & Surgeons New York, New York

A Survival Guide for Physicians - dealing with burnout, Aging and Preventable Health Issues douglas b. Coursin, M.d.

d I S C LO S U r E S : Drs. Coursin, Moitra, Nunnally and Panzer do not have any financial relationships to disclose.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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SP-02 Non-Operating room Anesthesia (NOrA) Update: More Complex Procedures on Sicker Patients MOCA®

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

F r I d A y

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: m Understand the need to expand Interventional GI and learn to manage more complex patients for new indications; m Understand the anesthesia-related challenges for NOrA in Interventional radiology (Ir); m describe how to establish and Interventional Stroke Center to improve outcomes for these patients. m Identify the data and outcomes which suggest that anesthesia and sedation in the NOrA environment carries a higher risk for adverse outcomes than in the O.r.

FACUTLy PrESENTATIONS:

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

Associate Professor of Anesthesiology Mayo Clinic College of Medicine | Rochester, Minnesota

The Emergency Patient in Interventional radiology: Hemorrhage Pulmonary Embolism and Sepsis Patricia Fogarty Mack, M.d.

INr: Nuts and bolts of Setting Up a Stroke Center and What’s New in Patient Management Stephen A. Probst, M.d.

SUNY-Health Sciences Center at Stony Brook Assistant Professor of Anesthesiology | Stony Brook, New York

Creating the Safe Non-Operating room Anesthesia (NOrA) Experience Keira P. Mason, M.d.

Associate Professor of Anaesthesia Harvard Medical School | Boston, Massachusetts

d I S C LO S U r E S : Drs. Fogarty Mack, Mason, Narr and Probst do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-03 Common Conundrums in Cardiac Anesthesiology 09:00 - 11:30 • Manhattan ballroom • 8th Floor MOdErATOr:

F r I d A y

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: m describe considerations important to developing an anesthetic plan for a patient for TAVr; m Prescribe an anesthetic and imaging plan for management of the high risk patient undergoing intervention or surgery; m describe situations in which mechanical circulatory support may improve patient outcomes; m Choose between the different methods of mechanical circulatory support; m Incorporate cardiac anesthesia performance outcomes measures into her/his practice.

FACULTy PrESENTATIONS:

Anesthetic Techniques in TAVr and the Evolving role of the Anesthesiologist Peter J. Neuburger, M.d.

Assistant Professor of Anesthesiology, Perioperative Care and Pain Medicine NYU-Langone Medical Center | Division of Cardiothoracic Anesthesiology | New York, New York

Who Should be doing TEE for Interventional Procedures? The Anesthesiologist or Cardiologist?

G. burkhard Mackensen, M.d., Ph.d., FASE Professor of Anesthesiology Chief, Division of Cardiothoracic Anesthesia | UW Medicine Research & Education Endowed Professor in Anesthesiology and Adjunct Professor of Medicine University of Washington School of Medicine | Seattle, Washington

Mechanical Circulatory Support: When Should We Turn to It? Jack S. Shanewise, M.d.

Director, Cardiothoracic Anesthesiology Columbia University, College of Physicians & Surgeons | New York, New York

Performance Outcomes Measures in Cardiac Anesthesia: How Will We Know How We Are doing?

Laurent G. Glance, M.d.

Vice-Chair for Research, Department of Anesthesiology Professor of Anesthesiology and Public Health Sciences | Senior Scientist, RAND (Adjunct) University of Rochester School of Medicine School of Medicine and Dentistry/Strong Memorial Hospital Rochester, New York

d I S C LO S U r E S : Drs. Glance, Konstadt, Neuburger, Mackensen and Shanewise do not have any financial relationships to disclose.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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

MOCA®

MOdErATOr:

Vinod Malhotra, M.d.

Professor of Clinical Anesthesiology | Professor of Anesthesiology in Clinical Urology Cornell University, Weill Cornell Medical College | Vice-Chair, Clinical Affairs Department of Anesthesiology | Clinical Director, Operating Rooms NewYork Presbyterian Hospital | New York, New York

After completion of this session, the participant will be able to: m Understand the utility and limitations of electronic records that are available to anesthesiologists;

F r I d A y

m Identify the processes of implementation of crisis management checklists to improve patient safety; m describe the difference between what works and what does not in a perioperative surgical home care model; m Articulate how the anesthesiologists can improve patient safety and outcomes while maintaining efficiency.

FACULTy PrESENTATIONS:

Getting a New Electronic record to Improve Efficiency - buyers beware: Implementation, Successes and Pitfalls Michael P. Smith, M.d., M.S., Ed. Past President, Association of Anesthesia Clinical Directors Partner, Professional Anesthesia Services TeamHealth Anesthesia Summa Health Systems Akron, Ohio

Crisis Checklists: How to Make Them Work Alexander A. Hannenberg, M.d.

Associate Chair, Department of Anesthesiology Newton-Wellesley Hospital Newton, Massachusetts

Perioperative Surgical Home: Is It All That It Is Made Out to be?

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.

d I S C LO S U r E S : Drs. Hannenberg, Jones, Malhotra and Smith do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

27

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

Michael L. Weinberger, M.d.

F r I d A y

Associate Clinical Professor of Anesthesiology Columbia University, College of Physicians & Surgeons Director, Pain Management Center | New York Presbyterian Hospital - Columbia Campus | New York, New York

MW-06 Getting Paid in the Future: How New reimbursement Systems Effect Anesthesiologists 11:45 - 12:45 • Wilder room • 4th Floor SPEAKEr:

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

After completion of this session, the participant will be able to: m delineate the changes to Medicare reimbursements; m Enumerate at least four (4) quality measures to meet these changes; m Formulate a plan to meet these quality measures;

President and CEO | Somnia, Inc | New Rochelle, New York

m delineate how to position your Anesthesia practice to survive these changes.

MW-07 Anesthesia for Major Vascular Surgery

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

Marc E. Koch, M.d.

11:45 - 12:45 • Ziegfeld room • 4th Floor SPEAKErS:

Joseph A. Gallombardo, M.d.

Resident Fellow Icahn School of Medicine at Mount Sinai | New York, New York and

Joshua Heller, M.d.

Resident Fellow Icahn School of Medicine at Mount Sinai | New York, New York

MW-08 Perioperative Coagulopathy and Massive Hemorrhage Update 11:45 - 12:45 • O’Neill room • 4th Floor SPEAKEr:

Maria A. bustillo, M.d.

m Enumerate the possible complications that can arise from endovascular approaches; m delineate anesthetic risk factors for the vascular patient; m Enumerate the possibilities for postoperative analgesia in this population of patients.

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

Associate Professor of Clinical Anesthesiology Chief, Division of Neuroanesthesiology Weill Cornell Medical College | New York, New York

d I S C LO S U r E : Dr. Bustillo, Gallombardo, Heller, Koch and Weinberger do not have any financial relationships to disclose.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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PbL-01 Predicting and Managing Postoperative Atrial Fibrillation 11:45 - 12:45 • Soho room • 7th Floor 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

PbL-02 The Pregnant Patient for Non-Obstetric Surgery 11:45 - 12:45 • Herald room • 7th Floor SPEAKEr:

Ellen S. Steinberg, M.d.

Professor of Anesthesiology, Obstetrics and Gynecology | SUNY-Health Sciences Center at Stony Brook | Stony Brook, New York

PbL-03 LAST: Local Anesthetic Systemic Toxicity 11:45 - 12:45 • Gramercy room • 7th Floor

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

F r I d A y

After completion of this session, the participant will be able to: m Identify various anesthetic and non-obstetrical surgery considerations throughout pregnancy; m Formulate an anesthetic plan that takes into consideration the fetal and maternal effects of nonobstetric surgery, during pregnancy; m Manage the issues surrounding laparoscopic surgery in the parturient.

SPEAKErS:

danielle b. Ludwin, M.d.

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

Jeffrey bernstein, M.d.

Chief, Division of Obstetrical Anesthesia | Assistant Professor of Clinical Anesthesiology | Assistant Professor Department of OBGYN and Women’s Health | Montefiore Medical Center/Albert Einstein College of Medicine Bronx, New York

PbL-04 Applying New Guidelines on the Management of Postoperative Pain

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

After completion of this session, the participant will be able to: m discuss new guidelines from the APS;

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

m Incorporate new pain management guidelines into their practice.

SPEAKErS:

Mohammed Piracha, M.d.

Instructor in Anesthesiology | Cornell University, Weill Cornell Medical College | New York, New York and

Ivan A. Velickovic, M.d.

Director, Obstetric Anesthesiology | SUNY-Downstate Medical Center | Brooklyn, New York

d I S C LO S U r E S : Drs. Amar, Bernstein, Ludwin, Piracha, Steinberg and Velickovic do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

29

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

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

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

F r I d A y

New York Medical College | Valhalla, New York and Galina Leyvi, M.d. | Associate Professor of Anesthesiology Albert Einstein College of Medicine/Montefiore Medical Center Bronx, New York

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

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

Seth I. Perelman, M.d. | Clinical Associate Professor, Department of Anesthesiology, Perioperative Care, and Pain Medicine | NYU-Langone Medical Center | NYU-School of Medicine | New York, New York and Joseph S. yeh, M.d. | Assistant Professor of Anesthesiology | NYU-Langone Medical Center | New York, New York

PbL-07 Fractured Humerus in a Patient on Clopidrogrel: ASrA Guidelines 11:45 - 12:45 • Plymouth room • 6th Floor SPEAKEr:

After completion of this session, the participant will be able to: m review current ASrA guidelines regarding anticoagulation and antiplatelet therapy; m Select the appropriate anesthetic management plan in the anticoagulated patient.

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

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

Jaime Aaronson, M.d. | Assistant Professor of Anesthesiology Weill Cornell Medicine | NYPresbyterian Hospiral | New York, New York and 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

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

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

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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W-04 Ultrasound Assisted Neuraxial Anesthesia MOCA®

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

Jose C. A. Carvalho, M.d., Ph.d., FANZCA, FrCPC Professor of Anesthesia, Obstetrics and Gynecology University of Toronto Director, Obstetric Anesthesia Mount Sinai Hospital Toronto, Ontario, Canada

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

F r I d A y

m Understand the principles of ultrasound applied to the assessment of the spine; m recognize the normal sonoanatomy of the spine; m Perform a systematic ultrasound assessment of the spine in the sagittal and transverse planes; m Identify a desired interspace; m Identify the optimal needle insertion point; m determine the distance from the skin to the epidural or intrathecal spaces.

A S S I S T E d by:

ricardo bittencourt, M.d., M.b.A. Clinical Fellow Cardiac and Obstetric Anesthesia Sunnybrook Health Science Centre Toronto, Ontario, Canada

bruno C. r. borges, M.d.

Staff Anesthesiologist Hamilton Health Sciences Associate Professor of Anesthesia McMaster University Oakville, Ontario, Canada

Paul M. Wieczorek, M.d., FrCPC Assistant Professor of Anesthesiology McGill University Director, Obstetric Anesthesia Jewish General Hospital Montreal, Quebec, Canada

d I S C LO S U r E S : Drs. Bittencourt, Borges, Carvalho and Wieczorek do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-05 Complications of Chronic Organ Failure 13:00 - 15:30 • North ballroom • 6th Floor MOdErATOr:

F r I d A y

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

After completion of this session, the participant will be able to: m describe the most effective way to reverse the most commonly used anticoagulants; m discuss the evaluation and management of encephalopathy in patients with chronic liver disease; m Explain the current recommendations about how to manage glucose control in the perioperative setting and in the ICU. m describe the course of postoperative respiratory failure and effective interventions to mitigate and manage it.

FACULTy PrESENTATIONS:

reversal of Anticoagulation daryl J. Kor, M.d., M.Sc. Professor of Anesthesiology Mayo Clinic Rochester, Minnesota

Hepatic Encephalopathy and Liver Failure Zdravka Zafirova, M.d.

Associate Attending Anesthesiologist Memorial Sloan Kettering Cancer Center New York, New York

Update on Tight Glycemic Control Andrew b. Leibowitz, M.d.

Professor of Anesthesiology, Perioperative and Pain Medicine, and Surgery Icahn School of Medicine at Mount Sinai System Chair, Department of Anesthesiology Mount Sinai Health Systems New York, New York

The Patient with Chronic Lung disease Michael F. O’Connor, M.d., FCCM

d I S C LO S U r E S : Drs. Kor, Leibowitz, O’Connor and Zafirova do not have any financial relationships to disclose.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

SP-06 Neuroanesthesia Challenges: Can Anesthesiologists Care better for the Older brain?

MOCA®

13:00 - 15:30 • South ballroom • 6th Floor 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:

F r I d A y

m distinguish the effects of anesthetics on cognitive outcomes after surgery and list the key studies that have been conducted in the area of perioperative neurotoxicity in the aging brain; m review the current evidence for the perioperative management priorities in the emergency management of acute stroke patients to improve outcomes; m define and evaluate implications of frailty, depression and cognitive impairment for outcome of geriatric anesthesia and surgery; m discuss postoperative delirium and POCd as complications of geriatric surgery and how to avoid or manage them.

FACULTy PrESENTATIONS:

Anesthetic Neurotoxicity: What We Know and What We don’t Know?

Ansgar M. brambrink, M.d., Ph.d.

E.M. Papper Professor and Chair, Department of Anesthesiology Columbia University, College of Physicians & Surgeons, New York, New York

Acute Stroke: “Time is brain” Apolonia E. Abramowicz, M.d.

Associate Professor of Clinical Anesthesiology | New York Medical College | Residency Program Director Westchester Medical Center | Valhalla, New York

Knowing the Mind of the Older Surgical Patient: Preoperative Cognitive Screening to Improve Outcomes 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

Minding the Mind of the Older Patient during Surgery: Can We do better?

Gregory J. Crosby, M.d.

Associate Professor of Anaesthesia | Harvard Medical School | Boston, Massachusetts

d I S C LO S U r E S : Dr. Culley received a grant from CRICO to study preoperative cognitive screening in elective surgical patients as a predictor of adverse cognitive outcomes.

Drs. Abramowicz, Bendo, Brambrink and Crosby do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

33

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

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

Mark P. Hamlin, M.d., M.S. Anesthesiologist and Critical Care Medicine Physician | Associate Professor of Anesthesiology and Surgery Director, General and Subspecialty Surgery Critical Care | Medical Director, Respiratory Care Services University of Vermont Medical Center | Burlington, Vermont

After completion of this session, the participant will be able to: m Understand the Emerging role of PoCUS for the anesthesiologist in the perioperative setting; m Understand how to use Lung Ultrasound to assess and diagnose causes of respiratory distress; m Understand how ultrasound can be utilized to assess volume status and fluid responsiveness in hypotensive patients; m Understand the role for Focused Cardiac Ultrasound in Advance Cardiac Life Support to help with diagnosis and management of patients in a pulseless electrical activity (PEA) arrest; m Learn how to use US to assess the Airway as well as Gastric Volume; m Learn how to successfully create and execute an educational program to teach a comprehensive PoCUS exam to anesthesiology trainees.

PrESENTATIONS:

Assessing the dyspneic Patient: basic Lung Ultrasound Stephen C. Haskins, M.d.

Clinical Assistant Professor of Anesthesiology | Cornell University, Weill Cornell Medical College Assistant Attending Anesthesiologist | Hospital for Special Surgery | New York, New York

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

Associate Professor of Anesthesiology | Director, Perioperative Ultrasound Education Division of Critical Care & Regional Anesthesia | Columbia University, College of Physicians & Surgeons | New York, New York

Focused Cardiac Ultrasound in ACLS: The FEEL Protocol 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

The 21st Century Stethoscope: FOrESIGHT- A Comprehensive PoCUS Examination davinder ramsingh, M.d.

Director of Clinical Research and Perioperative Ultrasound Associate Professor of Anesthesiology | Loma Linda University Medical Center | Loma Linda, California

d I S C LO S U r E S : Drs. Bughrara, Hamlin, Haskins and Panzer do not have any financial relationships to disclose.

Dr. Ramsingh receives funded research support from General Electric.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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SP-08 Ethical Guidelines, Technology, and Pay-for-Value are driving Cutting Edge Practices in Anesthesiology MOCA®

13:00 - 15:30 • Astor ballroom • 7th Floor MOdErATOr:

david L. reich, M.d.

President and COO | The Mount Sinai Hospital Horace W. Goldsmith Professor of Anesthesiology | New York, New York

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

F r I d A y

m Understand the meaning of dNr and shared decision making in the operating room; m Appreciate the impact that the next generation of distributed databases has on future clinical practice; m Learn to align anesthesia skillsets with hospital priorities in the pay-for-value era.

FACULTy PrESENTATIONS:

Adapting to the Opioid Overdose Crisis: How Anesthesiologists Can Take a Leading role in Education and Clinical Care Howard A. Zucker, M.d., J.d.

Commissioner of Health for New York State | New York, New York

Preoperative Code Status discussions and Shared decision Making 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

big data and Anesthesiology: Next Generation distributed databases and Future Clinical Practice Matthew T. Levine, M.d.

Clinical Associate Professor of Anesthesiology New York University School of Medicine | New York, New York

Get the Heck Out of the Or: Aligning Anesthesia Skillsets with Hospital Priorities in the Pay-for-Value Era david L. reich, M.d.

d I S C LO S U r E S : Drs. Levine, Reich and Zucker do not have any financial relationships to disclose.

Dr. Urman received funded research support from Mallinckrodt Pharmaceuticals, Medtronic, Inc. and Merck & Co., Inc.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

35

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

donna A. Castello, d.O. Assistant Professor of Anesthesiology Icahn School of Medicine at St. Luke’s | New York, New York

F r I d A y

FACULTy PrESENTATIONS:

Update on regulations Pertaining to Office-based Procedures

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

donna A. Castello, d.O.

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

Assistant Professor of Anesthesiology | SUNY-Health Sciences at Stony Brook | Stony Brook, New York

FS-02 The Impaired Physician: Issues of Professionalism – The Aging Practitioner, the Impaired Physician, Can We Achieve Physician Wellness in the Workplace 15:45 - 17:00 • Wilder room • 4th Floor MOdErATOr:

Michael P. duffy, M.d.

Assistant Clinical Professor of Anesthesiology | Upstate Medical University Attending Anesthesiologist | Crouse Hospital | Syracuse, New York FACULTy PrESENTATIONS:

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

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

Physician Wellness: Can We Achieve That in the Workplace?

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

Cortessa L. russell, M.d.

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

d I S C LO S U r E S : Drs. Castello, Duffy, Russell, Shah and Mr. Bedient do not have any financial relationships to disclose.

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#pga71

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

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

MOdErATOr:

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

Keith A. Jones, M.d.

Chair, Department of Anesthesiology and Perioperative Medicine Professor and Alfred Habeeb Endowed Chair University of Alabama - Birmingham | Birmingham, Alabama

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

FACULTy PrESENTATIONS:

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

F r I d A y

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

Alan E. Curle, M.d.

Professor of Clinical Anesthesiology | Co-Director, Center for Perioperative Medicine | University of Rochester Medical Center | Medical Director, Perioperative Services | Highland Hospital of Rochester | Rochester, New York

The Challenge of demonstrating Value: data, Outcomes, Evidence and Limitations to Implementation Jonathan S. Gal, M.d.

Medical Director, Clinical Revenue Initiatives Mount Sinai Hospital | Assistant Professor of Anesthesiology Director, Governmental & Reimbursement Affairs Department of Anesthesiology, Perioperative, and Pain Medicine Icahn School of Medicine at Mount Sinai | Mount Sinai Health System | New York, New York

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

Gregory W. Fischer, M.d.

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

Professor and Chair | Department of Anesthesiology and Critical Care Medicine | Memorial Sloan Kettering Cancer Center | New York, New York

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

FACULTy PrESENTATIONS:

Lung Protective Strategies in the Operating room

m develop optimal ventilation strategies for the ICU;

Gregory W. Fischer, M.d.

Lung Protective Strategies in the ICU

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

Joseph W. dooley, M.d.

Associate Professor of Anesthesiology | University of Rochester School of Medicine and Dentistry | Rochester, New York

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

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

37

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

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

MOdErATOr:

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

dawn M. Sweeney, M.d.

F r I d A y

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 Ketan Shevde, M.d.

Clinical Professor of Anesthesiology Director, Cardiothoracic Anesthesia SUNY-Downstate Medical Center Brooklyn, New York

FS-06 Anesthesia and the developing brain: do Anesthetics really Harm Children? Animal vs.

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

Jerrold Lerman, M.d., FrCPC, FANZCA Clinical Professor of Anesthesiology | Children’s Hospital of Buffalo Buffalo, New York | Clinical Professor of Anesthesiology University of Rochester School of Medicine and Dentistry Rochester, New York FACULTy PrESENTATIONS:

Animal data Jerrold Lerman, M.d., FrCPC, FANZCA

Human Evidence dean b. Andropoulos, M.d., M.H.C.M..

Anesthesiologist-in-Chief | Texas Children’s Hospital Professor of Anesthesiology and Pediatrics | Vice Chair for Clinical Affairs Department of Anesthesiology | Baylor College of Medicine Houston, Texas

m Stratify the perioperative risks for patients with intracoronary stents; m develop management strategies for perioperative antiplatelet therapy for different types of coronary stents; m discuss the most common sequelae of repaired congenital heart disease; m develop management strategies for patients with repaired congenital heart disease with or without residual lesions; m develop management strategies for patients with Fontan physiology.

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

d I S C LO S U r E S : Drs. Andropoulos, Shevde, Sweeney and Lerman do not have any financial relationships to disclose.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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#pga71

FS-07 Update on Cardiac rhythm devices 15:45 - 17:00 • Manhattan ballroom • 8th Floor MOdErATOr:

Marc E. Stone, M.d. | Professor of Anesthesiology

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

Program Director, Fellowship in Cardiothoracic Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York

m describe the different types of devices, their functions, and current indications for pacemakers and ICd’s;

FACULTy PrESENTATIONS:

The Perioperative Assessment and Evaluation of the Patient with a CIEd

m Perform an appropriate perioperative evaluation of the patient with a pacemaker or ICd;

Jennie y. Ngai, M.d.

m Formulate a plan for perioperative management of patients with implantable devices;

Assistant Professor of Anesthesiology Director, Cardiothoracic Anesthesiology Fellowship Division of Cardiothoracic Anesthesiology NYU-Langone Medical Center | New York, New York

F r I d A y

m Identify procedures that may interfere with these devices.

The Perioperative Management of the Patient with a CIEd: A Case based discussion Marc E. Stone, M.d.

FS-08 Operating room Management: Efficiency and Patient Safety 15:45 - 17:00 • Columbia/duffy rooms • 7th Floor MOdErATOr:

Vinod Malhotra, M.d.

Professor of Clinical Anesthesiology | Professor of Anesthesiology in Clinical Urology | Cornell University, Weill Cornell Medical College Vice-Chair, Clinical Affairs | Department of Anesthesiology Clinical Director, Operating Rooms | NewYork Presbyterian Hospital New York, New York FACULTy PrESENTATIONS:

Applying Lean Methodology in Private Practice: What does it Take and is it Worth the Effort?

After completion of this session, the participant will be able to: m Apply lean methodology to improve efficiency in private practice; m Identify barriers to structured implementation; m Identify opportunities in cost savings from efficient use of resources; m Identify examples of effective use of resources to improve patient safety.

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

Optimizing resource Utilization and Patient Safety: Can Efficiency and Patient Safety Co-Exist ?

Vinod Malhotra, M.d.

d I S C LO S U r E S : Drs. Malhotra, Ngai, Smith and Stone do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

39

PbL-09 ComputerControlled Infusions: Can They Help Us deliver better Care F r I d A y

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

Steven d. boggs, M.d., M.b.A., CPE | Professor and Chair, Department of Anesthesiology | University of Tennessee College of Medicine | Memphis, Tennessee

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

Eric r. Kelhoffer, M.d. | Associate Clinical Member | Anesthesiology & Critical Care | Memorial Sloan Kettering Cancer Center | New York, New York and Keira P. Mason, M.d. | Associate Professor of Anaesthesia | Harvard Medical School | Children’s Hospital Boston | Boston, Massachusetts

PbL-11 What is buprenorphine???: Strategies for Perioperative Analgesic Management in Major Surgery 15:45 - 17:00 • Gramercy room • 7th Floor SPEAKEr:

After completion of this session, the participant will be able to: m Identify the pharmacokinetic and dynamic models needed to use these systems; m delineate the safety profile of continuous infusions; m Identify barriers to the adoption of this technology in the United States; m Formulate a plan to integrate computer- controlled infusions into anesthesia practice.

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

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

Vinay G. Puttanniah, M.d.

Director, Regional Anesthesia and Perioperative Pain Medicine Memorial Sloan Kettering Cancer Center | New York, New York

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

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

Christine Lennon, M.d.

Assistant Professor of Anesthesiology | Cornell University, Weill Cornell Medical College | New York, New York and

m Identify the etiologies and pathophysiology of pulmonary hypertension; m Identify factors that alter pulmonary vascular resistance; m diagnose and manage perioperative complications in patients with pulmonary hypertension.

Edward r. Mathney, M.d.

Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York d I S C LO S U r E S : Drs. Boggs, Kelhoffer, Lennon, Mathney, Mason and Puttanniah do not have any financial relationships to disclose.

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

Anjalee dave, M.d., M.S. | Instructor in Anesthesiology | Cornell University, Weill Cornell Medical College | Attending Anesthesiologist NewYork-Presbyterian Hospital | New York, New York and

Albert C. yeung, M.d.

Assistant Attending Anesthesiologist | Department of Anesthesiology New York Presbyterian Hospital | Cornell University, Weill Cornell Medical College | New York, New York

PbL-14 Obstetric Analgesia in the Patient with Previous back Surgery

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

F r I d A y

m Identify the perioperative complications associated with rigid bronchoscopy.

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

rishimani S. N. Adsumelli, M.d., b.S., FFArCS Associate Professor of Anesthesiology | SUNY-Health Sciences Center at Stony Brook | Stony Brook, New York and

Shamantha G. reddy, M.d.

Assistant Professor of Anesthesiology | Albert Einstein College of Medicine | Co-Director, Quality improvement and Patient Safety Montefiore Medical Center | Bronx, New York

PbL-15 ErAS: Enhanced recovery after Surgery 15:45 - 17:00 • Plymouth room • 6th Floor

After completion of this session, the participant will be able to: m Identify the postoperative changes associated with various types of spinal surgery; m design an obstetrical anesthetic plan with contingencies for the patient with a history of scoliosis repair.

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

SPEAKErS:

Sudheer K. Jain, M.d.

Assistant Professor of Anesthesiology | NYU-Langone Medical Center Director, Peri-Anesthesiology Services Tisch Hospital | New York, New York and

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

Igor Muntyan, M.d.

Clinical Associate Professor of Anesthesiology NYU-Langone Medical Center | New York, New York

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

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

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

Curtis V. Choice, M.d. | Assistant Professor of Anesthesiology Montefiore Medical Center | Site, Director | Hutchinson Ambulatory Surgery Center | Bronx, New York and Jolie Narang, M.d. | Associate Professor of Anesthesiology | Albert Einstein College of Medicine/Montefiore Medical Center | Bronx, New York d I S C LO S U r E S : Drs. Adsumelli, Choice, Dave, Jain, Narang, Muntyan, Reddy and Yeung do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

41

Notes

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

71st Annual PostGraduate Assembly in Anesthesiology december 8-12, 2017 Marriott Marquis NyC

Saturday

december 9, 2017

registration

07:00 - 16:00

Sessions

07:00 - 17:00

NySSA resident and Fellow Section Meeting

08:30 - 17:00

Welcome: PGA 71 Opening Ceremony

08:30

32nd Annual robertazzi Memorial Panel

09:00

Poster Presentations & Medically Challenging Case reports

09:30 - 11:30

Technical Exhibits

10:00 - 16:00

Scientific Exhibits

11:30 - 15:30

NySSA House of delegates

11:00

reference Committee

13:45

American board of Anesthesiology Program

17:30 FEE rEQUIrEd (Fees listed on page 3.)

S A T U r d A y

ll

Exhibit Ha

n o i t p e c re 9 Sat., dec.

5 - 6 pm

Join Us!

Experience and evening inspired

by NYC’s favorite neighborhoods!

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

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

43

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

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

MOCA® MOdErATOrS:

dennis P. dimaculangan, M.d.

Clinical Associate Professor of Anesthesiology SUNY-Downstate Medical Center Brooklyn, New York and

Krystof J. Neumann, M.d.

S A T U r d A y

Associate Professor of Anesthesiology University of Rochester School of Medicine and Dentistry | Director, Regional Anesthesia University of Rochester Medical Center Medical Director and Chief of Anesthesia Strong West Ambulatory Surgery Center Rochester, New York and

david Seligsohn, M.d.

Assistant Professor of Anesthesiology SUNY Downstate Medical Center Director, Regional Anesthesiology NYU Lutheran Medical Center Brooklyn, New York

A S S I S T E d by:

Chester C. buckenmaier, III, M.d., COL, MC, USA | Program Director, Defense and Veterans Center for Integrative Pain Management | Rockville, Maryland

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 SUNydownstate. you will be instructed in small groups with hands-on practice by world renowned faculty.

As a participant you can expect the following: m Cadavers expertly dissected to show anatomy; m Hands-on practice on dissected cadavers; m Ultrasound display on large LCd screens; m Ultrasound guided blocks demonstrated on live models; m Ultrasound guided blocks practiced on cadavers; m Participants will rotate between cadaver and live model stations After completion of this session, the participant will be able to: m demonstrate basic skills in ultrasound technology; m Apply ultrasound technology to perform peripheral and neuraxial blocks; m relate cadaver anatomy of peripheral nerve structures to livemodel sonoanatomy; m discuss advantages and pitfalls of ultrasound guidance for paravertebral blocks; m Utilize ultrasound techniques to perform truncal field blocks (TAP block, ilioinguinal-iliohypogastric blocks).

Scott M. Croll, M.d., COL, MC, USA Assistant Professor of Anesthesiology USUHS Chief, Anesthesiology Department Evans Army Community Hospital Fort Carson, Colorado

Mitchell E. Fingerman, M.d.

Division Chief & Fellowship Director Regional & Ambulatory Anesthesiology Washington University School of Medicine St. Louis, Missouri

Carlo d. Franco, M.d.

Lei Li, M.d.

Camberly I. Spring, M.d.

Associate, Anesthesiology | Director, Regional Anesthesia | Geisinger Medical Center | Danville, Pennsylvania

Assistant Professor of Anesthesiology University of Rochester School of Medicine and Dentistry Rochester, New York

Emily Lin, M.d.

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

Joseph J. Poli, M.d.

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

Assistant Professor of Anesthesiology University of Rochester School of Medicine and Dentistry | Rochester, New York

Kishore Gandhi, M.d., M.P.H., CPE

Sonia G. Pyne, M.d.

Assistant Professor of Anesthesiology Tufts University Medical School Boston, Massachusetts | Acute Pain Service Chief Baystate Medical Center Springfield, Massachusetts

Jeff L. xu, M.d.

Attending Anesthesiologist | University Medical Center of Princeton | Plainsboro Township, New Jersey

Assistant Professor of Anesthesiology University of Rochester School of Medicine and Dentistry | Rochester, New York

brinda b. Kamdar, M.d.

Christopher b. robards, 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

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

Assistant Professor of Anesthesiology Mayo Clinic | Jacksonville, Florida

Assistant Professor of Anesthesiology Chief, Regional Anesthesia & Acute Pain Management | Program Director, Regional Anesthesiology & Acute Pain Medicine Fellowship | Westchester Medical Center/New York Medical College | Valhalla, New York

Ali N. Shariat, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai St. Luke’s | New York, New York

d I S C LO S U r E S : Drs. Buckenmaier, Croll, Dimaculangan, Fingerman, Franco, Gandhi, Kamdar, Li, Lin, Neumann, Poli, Pyne, Robards, Seligsohn, Spring, Shariat, Victor-Vega and Xu.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

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

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

SPEAKEr:

Jaroslav Usenko, M.d.

Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College New York, New York

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

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

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

SPEAKEr:

Jess W. brallier, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

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

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

Marc E. Stone, M.d.

Professor of Anesthesiology Program Director, Fellowship in Cardiothoracic Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

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

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

S A T U r d A y

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

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

SPEAKEr:

Vandana Sharma, M.d.

m discuss the staffing in the preanesthesia clinic.

Assistant Professor of Anesthesiology Upstate Medical University Syracuse, New York

d I S C LO S U r E : Drs. Brallier, Sharma, Stone and Usenko do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

45

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

MOCA®

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

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

Station I Paravertebral Nerve blocks

m Utilize ultrasound technology to perform;

Station II Spinal and Epidural Anesthesia Station III Truncal blocks, including TAP (Transversus Abdominis Plane), Quadratus Lumborum, and rectus Sheath blocks S A T U r d A y

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

m Paravertebral Nerve blocks; m Spinal and Epidural anesthesia; m Truncal blocks, including TAP (Transversus Abdominis Plane), Quadratus Lumborum, and rectus Sheath blocks; m Fascia Iliaca, Lateral Femoral Cutaneous, Iliohypogastric and Ilioinguinal Nerve blocks.

WOrKSHOP MOdErATOrS:

Mitchell H. Marshall, M.d.

Jovan Popovic, M.d., FrCPC

Clinical Associate Professor of Anesthesiology Chief, Department of Anesthesiology NYU-Langone Medical Center-Hospital for Joint Diseases New York, New York

Assistant Professor of Anesthesiology NYU-Langone Medical Center Medical Director, NYU-Langone Outpatient Surgery | New York, New York

A S S I S T E d by:

Arthur Atchabahian, M.d.

Jung T. Kim, M.d.

Jennie y. Ngai, M.d.

Professor of Clinical Anesthesiology NYU-Langone Medical Center-Hospital for Joint Diseases | New York, New York

Associate Professor of Anesthesiology Executive Vice Chairman | Department of Anesthesiology | NYU-Langone Medical Center | New York, New York

Assistant Professor of Anesthesiology Director, Cardiothoracic Anesthesiology Fellowship | Division of Cardiothoracic Anesthesiology | NYU-Langone Medical Center | 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

Marcelle E. blessing, M.d.

Assistant Professor of Anesthesiology Yale New Haven Hospital New Haven, Connecticut

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

Prianka desai, M.d.

Assistant Professor Clinical of Anesthesiology, Perioperative Care, and Pain Medicine | NYU-Langone Medical Center | New York, New York

Mitchell y. Lee, M.d., b.A.

ryan Potosky, M.d.

Assistant Professor of Anesthesiology Assistant Residency Director NYU-Langone Medical Center New York, New York

Assistant Clinical Professor of Anesthesiology | NYU-Langone Medical Center | New York, New York

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

Meg A. rosenblatt, M.d.

Associate Program Director and Director of Education | Regional Anesthesia and Acute Pain Medicine Fellowship | Director of Regional Anesthesiology for YNHH Saint Raphael Campus and Center for Musculoskeletal Disease | Department of Anesthesia | Yale University New Haven, Connecticut

robert G. Nampiaparampil, M.d.

Assistant Professor of Anesthesiology, Perioperative Care and Pain Medicine NYU-Langone Medical Center New York, New York

Peter J. Neuburger, M.d.

Assistant Professor of Anesthesiology, Perioperative Care and Pain Medicine NYU-Langone Medical Center Division of Cardiothoracic Anesthesiology New York, New York

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

Andrew d. rosenberg, M.d.

Dorothy Reaves Spatz, M.D., Professor of Anesthesiology Chair, Department of Anesthesiology, Perioperative Care and Pain Medicine NYU-Langone Medical Center New York, New York

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

Lisa Warren, M.d.

Director, Ambulatory and Regional Anesthesia | Massachusetts General Hospital | Department of Anesthesia and Critical Care | Boston, Massachusetts

d I S C LO S U r E S : Drs. Birmingham, Blessing, Boublik, Capan, Desai, Kim, Lee, Li, Marshall, Nampiaparampil, Neuburger, Ngai, Popovic, Potosky, Rosenblatt, Rosenberg, Suresh and Warren do not have any financial relationships to disclose.

Dr. Atchabahian received consultant fees from Pacira Pharmaceuticals, Inc. and has royalties with McGraw-Hill Companies.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

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

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

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

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

WOrKSHOP MOdErATOrS:

yury Khelemsky, M.d.

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

Assistant Professor of Anesthesiology Program Director, Pain Medicine Fellowship Icahn School of Medicine at Mount Sinai New York, New York and

Amaresh Vydyanathan, M.b., b.S.

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

Assistant Professor of Anesthesiology and Pain Medicine Co-Director, Regional Anesthesia and Acute Pain Fellowship Montefiore Medical Center Bronx, New York

m Perform ultrasonographic examination of relevant anatomy in human volunteers;

A S S I S T E d by:

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

Jeffrey Ciccone, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

S A T U r d A y

Karina Gritsenko, M.d.

Program Director, Regional Anesthesia and Acute Pain Medicine Fellowship Director, Regional Anesthesia and Acute Pain Medicine Resident Rotations Associate Professor of Anesthesiology, Family & Social Medicine and Physical Medicine & Rehabilitation Montefiore Medical Center/Albert Einstein College of Medicine Bronx, New York

Amitabh Gulati, M.d., FIPP, CIPS Program Director, Weill Cornell Pain Medicine Fellowship Assistant Attending, Director of Chronic Pain Department of Anesthesiology and Critical Care Memorial Sloan Kettering Cancer Center New York, New York

Jung H. Kim, M.d.

Assistant Professor of Anesthesiology and Division of Pain Medicine 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

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

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

47

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

MOCA®

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

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

m Perform an appropriate airway evaluation;

WOrKSHOP MOdErATOrS:

m Utilize numerous commercially available airway devices;

Allan P. reed, M.d.

Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York and

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

Irene P. Osborn, M.d.

Associate Professor of Anesthesiology Albert Einstein College of Medicine Director, Division of Neuroanesthesia Montefiore Medical Center | Bronx, New York A S S I S T E d by:

S A T U r d A y

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

Steven M. Neustein, M.d.

Prithi P. Singh, M.d.

Assistant Professor of Anesthesiology, Perioperative & Pain Medicine Icahn School of Medicine at Mount Sinai New York, New York

Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Associate Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York

david berman, M.d.

Slawomir P. Oleszak, M.d.

ralph L. Slepian, M.d.

Associate Professor of Anesthesiology SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

Professor of Clinical Anesthesiology VP of Medical Affairs and Associate Chief Medical Officer NewYork-Presbyterian Hospital New York, New York

Assistant Professor of Anesthesiology and Critical Care Medicine | Johns Hopkins University | Baltimore, Maryland

Zana borovcanin, M.d.

Anil Patel, 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

Consultant, Department of Anaesthesia Royal National Throat Nose & Ear Hospital Honorary Senior Lecturer University College | Hospital-London London, United Kingdom President Difficult Airway Society

Associate Professor of Clinical Anesthesia | SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

Levon M. Capan, M.d.

ram roth, M.d.

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

Professor of Anesthesia | NYU-Langone Medical Center | Associate Director, Anesthesia | Bellevue Hospital Center New York, New York

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Associate Professor of Anesthesiology Albert Einstein College of Medicine Bronx, New York

Michael K. rufino, M.d.

Sonia J. Vaida, M.d.

Elvira Cho, M.d.

Staff Anesthesiologist | Interfaith Medical Center | Brooklyn, New York

Assistant Professor of Anesthesiology Albert Einstein College of Medicine Bronx, New York

Edmond Cohen, M.d.

Jon d. Samuels, M.d.

Professor of Anesthesiology, Obstetrics & Gynecology Vice-Chair, Research Director, Obstetric Anesthesia Penn State College of Medicine Penn State Milton S. Hershey Medical Center Hershey, Pennsylvania

Professor of Anesthesiology and Thoracic Surgery | Icahn School of Medicine at Mount Sinai | New York, New York

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

Cheryl K. Gooden, M.d., FAAP Associate Professor of Anesthesiology and Pediatrics | Hofstra Northwell School of Medicine | Hempstead, New York

daniel J. Katz, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

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

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

John J. Schaefer, III, M.d.

Professor of Anesthesia and Perioperative Medicine Medical University of South Carolina Lewis W. Haskell Blackman Endowed Chair | Director, Clinical Effectiveness and Patient Safety Center of Excellence HealthCare Simulation of South Carolina Charleston, South Carolina

John M. Sconzo, M.d.

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

Francis S. Stellaccio, M.d.

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

SUNY Distinguished Teaching Professor Professor of Anesthesiology and ViceChair (Administration/Special Projects) Professor of Pharmacological Sciences Professor of Health Sciences SUNY-Health Sciences Center at Stony Brook | Stony Brook, New York

Charles b. Watson, M.d., FCCM Deputy Surgeon-in-Chief Bridgeport Hospital Yale-New Haven Health System Bridgeport, Connecticut

d I S C LO S U r E S : Drs. Baron, Berman, Borovcanin, Capan, Cho, Cohen, Dilos, Gooden, Katz, Marshall, Neustein, Oleszak, Osborn, Reed, Roth, Rufino, Samuels, Schaefer, Sconzo, Singh, Slepian, Stellaccio, Straker, Vaida, Vitkun and Watson do not have any financial relationships to disclose.

Dr. Patel receives consultant fees from Fisher & Paykel Healthcare.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

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W-09 Advanced Cardiac Life-Support (ACLS) A Certification Course for Skilled Providers

09:00 - 17:00 • Majestic Complex • 6th Floor

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

WOrKSHOP MOdErATOr:

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

m Apply the current guidelines and treatment protocols for Advanced Cardiac Life Support;

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

m 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.

A S S I S T E d by:

rhonda A. Alexis, M.d.

Anesthesiologist, General Anesthesia Children’s Hospital of Philadelphia Perelman School of Medicine University of Pennsylvania Philadelphia, Pennsylvania

This workshop is limited to pre-registration.

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

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

S A T U r d A y

Theodore Lamonica, b.S., NrEMT-P Lecturer in Health Sciences SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

Paul A. Werfel, M.S., NrEMT-P Assistant Professor of Health Sciences Director, Paramedic Program School of Health Technology and Management SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

d I S C LO S U r E S : 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.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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New york State Conference for Anesthesiology residents and Fellows 08:30 - 19:00 • Empire Complex • 7th Floor

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 greetings with leaders from our specialty, interactive presentations, research and scholarly activity sharing, and pertinent discussions to include practice models and contract negotiations.

08:30 09:00 - 10:00

S A T U r d A y

Continental breakfast resident research Contest Presentations 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.

MOdErATOr:

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

Henrik H. Bendixen Professor of Anesthesiology | Vice-Chair for Research | Department of Anesthesiology Columbia University, College of Physicians & Surgeons | New York, New York r E S I d E N T r E S E A r C H CO N T E S T CO M M I T T E E : Andrew Goldberg, M.D. Stacey Watt, M.D. Ervant Nishanian, M.D. Suzanne Karan, M.D. Jun Lin, M.D., Ph.D. Maria Bustillo, M.D. Charles W. Emala, Sr., M.S., M.D. Samuel DeMaria, Jr., M.D.

Menachem Weiner, M.D. Jing Song, M.D. Ira Kass, Ph.D

r-01 research Contest Presenter

Cerebral vs. Somatic Oxygenation as an Early Indicator of Hypovolemia and Tissue Hypoperfusion PrESENTEr:

Christopher H. Choi, M.d.

Resident Anesthesiologist Yale University School of Medicine New Haven, Connecticut CO - AU T H O r S : Aymen A. Alian

Nadeem Elbetebsi

Hesham Ezz

Kirk H. Shelley

r-02 research Contest Presenter

differential regulation of Sensory Input and Sympathetic Outflow by Ananamide in the dorsal Periaqueductal Gray PrESENTEr:

Christopher J. roberts, M.d., Ph.d.

Resident Anesthesiologist Medical College of Wisconsin Milwaukee, Wisconsin CO - AU T H O r S : Caron Dean

50

Quinn H. Hogan

Francis A. Hopp

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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r-03 research Contest Presenter

Manipulation of the Sphingolipid Pathway determines the Mediator released during FlowInduced dilation in the Human Microcirculation PrESENTEr:

Julie K. Freed, M.d., Ph.d.

Assistant Professor of Anesthesiology Cardiovascular Center Medical College of Wisconsin Milwaukee, Wisconsin CO - AU T H O r S : Andreas D. Beyer

Julie K. Freed

David D. Gutterman

Joseph C. Hockenberry

r-04 research Contest Presenter

Non-Immune Thrombocytopenia, Acquired Antithrombin deficiency and Acute Kidney Injury After Cardiac Surgery PrESENTEr:

Qianqian J. xu, M.d.

Resident Anesthesiologist Yale University School of Medicine New Haven, Connecticut CO - AU T H O r S : Amit Bardia Feng Dai

Manuel Fontes

Paul M. Heerdt

Miklos Kertai Alena Rady

Hossam Tantawy

S A T U r d A y

r-05 research Contest Presenter

Use of an Anesthesia Workstation barrier device to decrease Contamination in a Simulated Operating room PrESENTEr:

Samuel A. Hunter, M.d.

Resident Anesthesiologist Icahn School of Medicine at Mount Sinai New York, New York CO - AU T H O r S : Gabrielle Benesh Samuel DeMaria Blake A Le Grand Hung-Mo M Lin

Andrew Goldberg Rajiv Pasricha

Daniel Katz

r-06 research Contest Presenter

Human Metabolites of 6-Shogaol, a bioactive Ginger Component, relax Airway Smooth Muscle: A Potential Novel Class of bronchodilators PrESENTEr:

Elvedin Lukovic, M.d.

Resident Anesthesiologist Columbia University, College of Physicians & Surgeons New York, New York CO - AU T H O r S : Jennifer Danielsson

Charles W. Emala

2017 | PGA71 Program

Shengmin Sang

SPONSOrEd by:

Yi Zhao

Yingdong Zhu

The New york State Society of Anesthesiologists, Inc.

51

10:30 - 12:00

“The Case of the Patient Found dead in Her bed” Interactive root Cause Analysis Simulation Michael S. Leonard, M.d., M.S., CPPS Associate Chief Quality Officer | University of Rochester Medical Center | Rochester, New York

Featuring — The cast of NySSA resident delegates as the suspects…

12:15 - 13:15

Lunch and remarks from the ASA President and President Elect Sky Lobby | 16th Floor James d. Grant, M.d., M.b.A. President, American Society of Anesthesiologists | Chair, Department of Anesthesiology Beaumont Hospital-Royal Oak | Royal Oak, Michigan and

Linda J. Mason, M.d.

President Elect, American Society of Anesthesiologists | Professor of Anesthesiology and Pediatrics Loma Linda University School of Medicine | Loma Linda, California

S A T U r d A y

52

13:30 - 15:30

NySCArF Poster Presentations Empire Complex | 7th Floor MOdErATOr:

Kane O. Pryor, M.d.

Assistant Professor of Anesthesiology and Psychiatry Cornell University, Weill Cornell Medical College | New York, New York

15:45 - 17:00

Focus Session: FS-11 Contract Negotiations Ziegfield room | 4th Floor Charles J. Assini, Jr., Esq., Legislative Counsel The New York State Society of Anesthesiologists, Inc. Partner, Higgins, Roberts, Beyerl & Coan, P.C. | Schenectady, New York

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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#pga71

PGA71

g n i n e Op mony Cere Saturday, December 9 | 8:30 - 9 am Broadway Ballroom | 6th Floor

S A T U r d A y

Enjoy…

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

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-09 33rd Annual r.W. robertazzi Memorial Panel 09:00 - 11:30 • broadway ballroom • 6th Floor

1912-1971

S A T U r d A y

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

debating the Issues of the day MOdErATOr:

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

Scott b. Groudine, M.d.

Professor of Anesthesiology and Surgery Albany Medical College | Albany, New York

m describe the use of practice guidelines in anesthesia practice and the effect on improving patient safety and outcomes;

FACULTy PrESENTATIONS:

Anesthesia Practice Needs More Guidelines: Pro

m discuss the current evidence and controversies on whether or not anesthesia practice needs more guidelines to improve patient safety and outcomes;

robert S. Lagasse, M.d.

Professor and Vice-Chair Quality Management and Regulatory Affairs Department of Anesthesiology Yale University, School of Medicine New Haven, Connecticut

m discuss the evidence for and against the use of video laryngoscopy vs. direct laryngoscopy for intubation;

Anesthesia Practice Needs More Guidelines: Con

m debate whether video laryngoscopy should replace direct laryngoscopy as the standard of care for intubation.

robert E. Johnstone, M.d.

Professor of Anesthesiology West Virginia University | Morgantown, West Virginia

Video Laryngoscopy Should replace direct Laryngoscopy as the Standard of Care for Intubation: Pro richard Cooper, b. Sc., M. Sc., M.d., FrCPC Professor of Anesthesiology | University of Toronto Director, University of Toronto Anesthesia Airway Fellowship | Toronto, Canada

Video Laryngoscopy Should replace direct Laryngoscopy as the Standard of Care for Intubation: Con 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

d I S C LO S U r E S : Drs. Cooper, Lagasse and Levine do not have any financial relationships to disclose.

Dr. Johnstone received payment for writing commentaries from Anesthesiology News.

Dr. Groudine is on the speakers’ bureau for Merck & Co., Inc.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

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

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

Stephen C. Haskins, M.d.

Clinical Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College Assistant Attending Anesthesiologist Hospital for Special Surgery New York, New York

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

daniel J. Katz, M.d.

After completion of this session, the participant will be able to: m Identify the risk factors associated with surgery during pregnancy m Enumerate the qualifiable rate of miscarriage; m delineate the critical time periods for organogenesis during pregnancy.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

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

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

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

S A T U r d A y

m delineate which pain syndromes are very difficult to effectively treat; m delineate the effect of the FdA mandated rEMS program on opiate prescribing; m delineate which patients are most appropriate for a multidisciplinary approach.

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:

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

m delineate three conditions which contraindicate anesthesia in the office; m delineate the three most common causes of hospital admission from an office-based anesthetic; m define the role of capnography in sedation cases.

Clifford M. Gevirtz, M.d., M.P.H. Medical Director Somnia Pain Management New York, New York

d I S C LO S U r E : Dr. Gevirtz, Haskins, Katz and Padjen do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

55

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

Fenghua Li, M.d.

Associate Professor of Anesthesiology Upstate Medical University | Syracuse, New York and

Staffan b. Wahlander, M.d.

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

Retired Anesthesiologist | New York, New York

S A T U r d A y

PbL-18 Accidental Subdural block, a rare Complication from Labor Epidural Anesthesia 11:45 - 12:45 • Herald room • 4th Floor SPEAKEr:

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

Jing Song, M.d.

Associate Professor Anesthesiology | Director of International Resident & Fellow Exchange Program | Montefiore Medical Center | Director, Research & Clinical Fellowship Program, China Division of Einstein Global Health Institute Albert Einstein College of Medicine | Bronx, New York

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

Assistant Professor of Anesthesiology | Assistant Director, Center for Perioperative Medicine | Assistant Anesthesiology Residency Program Director | Department of Anesthesiology | University of Rochester Medical Center | Rochester, New York

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

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

PbL-20 Management of a Parturient with Congenital Heart disease 11:45 - 12:45 • Olmstead room • 7th Floor SPEAKEr: Christopher F. Ciliberto, M.d.

Assistant Professor of Anesthesiology | Montefiore Medical Center Bronx, New York

m discuss the physiology of the common types of congenital heart disease pre and post repair; m Identify the physiology impact of regency, labor and delivery on the baseline physiology; m Formulate an anesthetic plan to care for these patients in the peripartum period.

d I S C LO S U r E S : Drs. Ciliberto, Gloff, Li, Song and Wahlander do not have any financial relationships to disclose.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

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PbL-21 delirium: What Can I do to Prevent It? 11:45 - 12:45 • Shubert room • 6th Floor SPEAKEr: Kenneth b. Newman, M.d.

Chairman and Medical Director | Department of Anesthesiology Cortland Regional Medical Center | Cortland, New York | Premier Anesthesia | Voluntary Professor and Faculty of Anesthesiology Upstate Medical University | Syracuse, New York

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

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

Assistant Clinical Professor of Anesthesiology SUNY-Downstate Medical Center | Attending Anesthesiologist NYU Lutheran Medical Center | Brooklyn, New York

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

Assistant Professor of Anesthesiology and Pain Management Albert Einstein College of Medicine | Bronx, New York

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

Adam d. Lichtman, M.d., FASE Captain, Medical Corps United States Navy | Director, Surgical Services, Operational Health Support Unit Naval Medical Center, Portsmouth Associate Professor of Anesthesiology | Division of Cardiothoracic Anesthesiology | Cornell University, Weill Cornell Medical College New York, New York and

After completion of this session, the participant will be able to: m recognize risk factors for delirium in the postoperative setting; m Identify patients most likely to develop postoperative delirium; m Formulate an anesthetic plan that minimizes the risk of postoperative delirium; m Apply measures to treat delirium when it occurs.

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

S A T U r d A y

m devise a treatment plan for the patient with peripartum hemorrhage complicated by dIC.

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

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

Janine Limoncelli, M.d.

Medical Director, Gibson Perioperative Surgical Home (GPS Home) | Danbury Hospital | Malignant Hyperthermia Clinical Leader/Educator, Danbury Hospital | Malignant Hyperthermia Association United States Discussion/Consultant Group Assistant Professor Clinical Anesthesia | New York Medical College/Westchester Medical Center | Attending Anesthesiologist Danbury Hospital/Western Connecticut Health Network | Danbury, Connecticut d I S C LO S U r E S : Drs. Aquino, Lichtman, Limoncelli, Newman and Toledano do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

57

SP-10 Preoperative Management and Optimization: Can We do better?

MOCA®

13:00 - 15:30 • North ballroom • 6th Floor MOdErATOr:

david L. Hepner, M.d., M.P.H. Associate Professor of Anaesthesia Harvard Medical School Associate Director, Weiner Center for Preoperative Evaluation Brigham and Women’s Hospital Boston, Massachusetts

After completion of this session, the participant will be able to: m Present a justification to administration for setting up a preoperative clinic;

S A T U r d A y

m Identify and address challenges in educating, training, and medically directing Advanced Practice Providers; m Identify the true value added by testing/interventions and patient preparation in order to positively impact overall operating room cost effectiveness; m Highlight key issues in preoperative evaluation and optimization and highlight recent controversies.

FACULTy PrESENTATIONS:

dollars & Sense: The Value of the Preoperative Clinic bobbie-Jean Sweitzer, M.d., FACP Professor of Anesthesiology, Critical Care and Medicine Director, Anesthesia Perioperative Medicine Clinic University of Chicago Chicago, Illinois

The Advanced Practice Provider: Training for High Quality, Cost Effective Preoperative Practice Jeanna d. blitz, M.d.

Assistant Professor of Anesthesiology NYU-Langone Health New York, New York

Preoperative Evaluation and Optimization in an Era of Health Care reform david L. Hepner, M.d., M.P.H.

Clinical Pearls in Perioperative Optimization Zdravka Zafirova, M.d.

Associate Attending Anesthesiologist Memorial Sloan Kettering Cancer Center New York, New York

d I S C LO S U r E S : Drs. Blitz, Hepner, Sweitzer and Zafirova do not have any financial relationships to disclose.

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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SP-11 Weaponization in Healthcare: The dual Face of Medicine 13:00 - 15:30 • South ballroom • 6th Floor 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: m describe social constructions in medicine; m Compare the benefits and risks of common quality metrics; m Appraise the tradeoffs made by clinicians in daily practice; m discriminate between social, situational and material causes of adverse events.

FACULTy PrESENTATIONS:

Follow the Story: Social Constructions, Politics and Medicine Michael F. O ‘Connor, M.d., FCCM Professor of Anesthesia & Critical Care Section Head, Critical Care Medicine University of Chicago Chicago, Illinois

S A T U r d A y

Follow the Money: bubble Economics and Healthcare J. david roccaforte, M.d.

Assistant Professor of Anesthesiology NYU-Langone Medical Center Surgical Intensive Care Unit Bellevue Hospital New York, New York

Follow the Numbers: Metrics to rule Us All Avery Tung, M.d., FCCM Professor and Quality Chief for Anesthesia Department of Anesthesia and Critical Care University of Chicago Medical Center Chicago, Illinois

Follow the blame: root Cause and rooting Out Mark E. Nunnally, M.d., FCCM

d I S C LO S U r E S : Drs. Nunnally, O’Connor, Roccaforte and Tung do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-12 Cutting Edge Practices in Pediatric Anesthesia MOCA®

13:00 - 15:30 • Astor ballroom • 7th Floor MOdErATOr:

Jerrold Lerman, M.d., FrCPC, FANZCA Clinical Professor of Anesthesiology Children’s Hospital of Buffalo Buffalo, New York Clinical Professor of Anesthesiology University of Rochester School of Medicine & Dentistry Rochester, New York

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

S A T U r d A y

m Understand the diagnostic criteria for obstructive sleep apnea in children, recognize clinical signs of opioid sensitivity and perioperative airway issues and strategies to manage them effectively, and understand how to stratify perioperative risks of sleep apnea; m Learn about physiologic implications of palliative and hybrid shunts in children with congenital heart defects, understand the side effects and complications that may occur after these surgeries, and develop strategies to effectively manage children with these shunts during surgery; m Understand the research that led the FdA to issue warnings about the risk of anesthesia in young children, review the current literature in humans regarding the risk of apoptosis and cognitive deficits after single and multiple exposures to anesthesia, and map out strategies to address the current uncertainties regarding the risk of anesthesia in young children; m review recent insights on the pediatric airway to understand what they mean to the clinician, understand why the pediatric airway is a challenge and how to salvage it when it begins to “sink,” and discuss whether or not direct laryngoscopy is the next practice to disappear.

P r E S E N TAT I O N S :

Obstructive Sleep Apnea: New Concepts in Anesthesia Management Linda J. Mason, M.d.

Professor of Anesthesiology and Pediatrics | Loma Linda University School of Medicine | Loma Linda, California

Palliated and Hybrid Congenital Heart defects dawn M. Sweeney, M.d.

Associate Professor of Anesthesiology and Pediatrics | University of Rochester School of Medicine and Dentistry | Rochester, New York

Why the FdA Thinks Anesthetics Harm Children dean b. Andropoulos, M.d., M.H.C.M. Anesthesiologist-in-Chief | Texas Children’s Hospital | Professor of Anesthesiology and Pediatrics Vice Chair for Clinical Affairs | Department of Anesthesiology | Baylor College of Medicine | Houston, Texas

debunking Fears About the Pediatric Airway Jerrold Lerman, M.d., FrCPC, FANZCA

d I S C LO S U r E S : Drs. Andropoulos, Lerman, Mason and Sweeney do not have any financial relationships to disclose.

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SP-13 ASA Panel: Future of the U.S. Anesthesiology Workforce and Workplace 13:00 - 15:30 • Manhattan ballroom • 8th Floor MOdErATOr:

James d. Grant, M.d., M.b.A. ASA President Chair, Department of Anesthesiology Beaumont Hospital-Royal Oak Royal Oak, Michigan

After completion of this session, the participant will be able to: m Learn about the center for anesthesia workforce studies; m Understand causes of physician burnout and how to avoid this situation; m be updated on new accreditation requirements and the future for anesthesia practices.

FACULTy PrESENTATIONS:

Workforce Studies Mary dale Peterson, M.d.

ASA Treasurer CEO, Driscoll Children’s Health Plan VP, Driscoll Children’s Hospital Corpus Christi, Texas

S A T U r d A y

Physician burnout and resiliency ronald L. Harter, M.d.

ASA Speaker, House of Delegates Professor and Jacoby Chair Department of Anesthesiology The Ohio State University Wexner Medical Center Columbus, Ohio

Accreditation Trends and Their Impact on Practice donald E. Arnold, M.d.

ASA Assistant Treasurer Attending Anesthesiologist Western Anesthesiology Associates, Inc. Mercy Hospital St. Louis, Missouri

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

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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

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

MOdErATOr:

Ansgar M. brambrink, M.d., Ph.d.

E.M. Papper Professor and Chair | Department of Anesthesiology Columbia University College of Physicians & Surgeons | New York, New York FAC U LT y P r E S E N TAT I O N S :

S A T U r d A y

Pro

Con

Gregory J. Crosby, M.d.

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

Associate Professor of Anaesthesia Harvard Medical School Boston, Massachusetts

Professor and Chair | Department of Anesthesiology Chair, Perioperative Services Committee Rutgers New Jersey Medical School | Newark, New Jersey

FS-10 Epidural vs. CSE in Laboring Patients: An Ongoing debate 15:45 - 17:00 • Wilder room • 4th Floor

After completion of this session, the participant will be able to: m Identify the advantages of each technique;

MOdErATOr:

barbara Orlando, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Roosevelt New York, New York FACULTy PrESENTATIONS:

Pro Epidural

Pro CSE

bryan P. Mahoney, M.d.

barbara Orlando, M.d.

m describe the limitations and side effects of each technique; m Elaborate an analgesic plan for each laboring patient.

Assistant Professor of Anesthesiology Director, Residency Training Program Icahn School of Medicine at Mount Sinai St. Lukes Mount Sinai West New York, New York

d I S C LO S U r E S : Drs. Brambrink, Crosby, Orlando and Mahoney do not have any financial relationships to disclose.

Dr. Bekker receives funded research support from Mallinckrodt Pharmaceuticals and Hospira, Inc. He is also on the speaker’s bureau for Mallinckrodt Pharmaceuticals, Hospira, Inc. and Portola Pharmaceuticals, Inc.

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FS-11 Practice Management: How to Evaluate an Anesthesia Contract 15:45 - 17:00 • Ziegfeld room • 4th Floor

After completion of this session, the participant will be able to: m review a contract for private practice and develop an appropriate plan for negotiation;

MOdErATOr:

Michael b. Simon, M.d., M.b.A. Transitional Lead, Sheridan Healthcare, Inc. Sunrise, Florida

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

FACULTy PrESENTATIONS:

Academic Charles J. Assini, Jr., Esq. Legislative Counsel The New York State Society of Anesthesiologists, Inc. Partner, Higgins, Roberts, Beyerl & Coan, P.C. Schenectady, New York

Private Practice ruchir Gupta, M.d.

Assistant Professor of Anesthesiology SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

FS-12 “Hot” Topics in Pain Management

S A T U r d A y

15:45 - 17:00 • Astor ballroom • 7th Floor After completion of this session, the participant will be able to:

MOdErATOr:

Christopher G. Gharibo, M.d.

m describe when opioids are appropriate for the treatment of chronic pain;

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:

m describe the role of alternative non-opioids for chronic pain management;

Opioids for Chronic Pain, Current Issues and Practice

m develop an appropriate treatment plan for chronic pain using opioids and alternatives;

Christopher G. Gharibo, M.d.

Novel Non-Opioid and Opioid Molecules in Chronic Pain Eric S. Schwenk, M.d.

Associate Professor of Anesthesiology Sidney Kimmel Medical College at Thomas Jefferson University Philadelphia, Pennsylvania

d I S C LO S U r E S : Drs. Gupta, Schwenk, Simon and Mr. Assini do not have any financial relationships to disclose.

Dr. Gharibo is on the speaker’s bureau for Axsome Therapeutics, Bayer AG, Celgene Corporation Pharmaceutical Company, Collegium Pharmaceutical, Depomed, Inc., Diachii-Sankyo Pharmaceutical, Kaleo, Mallinckrodt Pharmaceuticals, Nuven, PERNIX Therapeutics, Shionogi Inc., TEVA Pharmaceutical and Trevena, Inc.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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FS-13 Women Leaders: Pathway to Success 15:45 - 17:00 • Marquis “C” • 9th Floor Innovative, informative and interactive panel featuring women leaders in medicine and business discussing varied topics including career development and advancement, contract negotiations, conflict resolution and more.

MOdErATOrS:

Janine M. Limoncelli, M.d.

S A T U r d A y

Medical Director, Gibson Perioperative Surgical Home (GPS Home) Danbury Hospital Malignant Hyperthermia Clinical Leader/Educator Danbury Hospital Malignant Hyperthermia Association United States Discussion/Consultant Group Assistant Professor Clinical Anesthesia New York Medical College/Westchester Medical Center Attending Anesthesiologist Danbury Hospital/Western Connecticut Health Network Danbury, Connecticut and

Melinda A. Aquino, M.d.

Assistant Professor of Anesthesiology and Pain Management Albert Einstein College of Medicine Bronx, New York FACULTy PrESENTATIONS:

rose berkun, M.d.

Assistant Professor of Anesthesiology Kaleida Health Buffalo General Hospital Buffalo, New York

After completion of this session, the participant will be able to: m Successfully negotiate a contract; m Self-advocate in all professional scenarios; m Acknowledge implicit bias and develop strategies for resolution; m Individually navigate work/life balance challenges.

Vilma A. Joseph, M.d., M.P.H. Associate Professor of Clinical Anesthesiology Albert Einstein College of Medicine/Montefiore Medical Center Bronx, New York

Elizabeth A.M. Frost, M.d.

Clinical Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Jennifer O. Estabrook, J.d.

Chief-Operating Officer, FILA North America New York, New York

d I S C LO S U r E S : Drs. Aquino, Berkun, Frost, Joseph, Limoncelli and Mrs. Estabrook do not have any financial relationships to disclose.

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FS-14 Clinical Challenges in the Patient with Obstructive Sleep Apnea (OSA) 15:45 - 17:00 • Manhattan ballroom • 8th Floor MOdErATOr:

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

Eugene r. Viscusi, M.d.

Professor of Anesthesiology Director, Acute Pain Management Jefferson Medical College Thomas Jefferson University Philadelphia, Pennsylvania

m discuss the pathophysiology of obstructive sleep apnea (OSA) in adults;

FACULTy PrESENTATIONS:

m Assess the eligibility of patients with OSA for ambulatory anesthesia;

Preoperative and Intraoperative Management of Patients with OSA

m develop an anesthetic plan for patients with OSA for ambulatory procedures;

rahila bilal, M.d.

m Identify the problems of postoperative pain management in patients with OSA;

Assistant Professor of Anesthesiology Upstate Medical University Syracuse, New York

Postoperative Pain Management in the Patient with OSA

m develop a plan for postoperative pain management for patients with OSA in the in-patient and ambulatory setting.

Eugene r. Viscusi, M.d.

S A T U r d A y

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

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

MOCA®

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

MOdErATOr:

James b. Eisenkraft, M.d.

Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

m discuss advantages and disadvantages of the new anesthesia machines;

FACULTy PrESENTATIONS:

m discuss the new development in monitoring;

Machine Safety

m discuss equipment safety issues in anesthesia practice;

James b. Eisenkraft, M.d.

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

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

m describe the limitations of modern anesthesia machines and intelligent monitors, and apply this knowledge to their practice.

d I S C LO S U r E S : Drs. Aquino, Bilal, Eisenkraft, Limoncelli and McCormick 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., Eagalet Pharmaceuticals, Heron Therapeutics, Mallinckrodt Pharmaceuticals, Pfizer Inc., Salix Pharmaceuticals, and Trevena, Inc., and is on the speakers’ bureau for Mallinckrodt Pharmaceuticals, Salix Pharmaceuticals.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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PbL-25 Can I Prevent Persistent Postsurgical Pain?

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

Anis dizdarevic, M.d.

Assistant Professor of Anesthesiology and Pain Management Columbia University, College of Physicians & Surgeons New York, New York

PbL-26 Obstructive Sleep Apnea and Ambulatory Surgery S A T U r d A y

15:45 - 17:00 • Herald room • 4th Floor SPEAKEr:

danielle b. Ludwin, M.d.

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

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

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

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

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

SPEAKErS:

Aarti Sharma, M.d.

Associate Professor, Clinical Anesthesiology Associate Director, Pediatric Anesthesia NewYork Presbyterian Hospital | New York, New York and

Gordana Stjepanovic, M.d.

Director, Division of Pediatric Anesthesiology Assistant Professor of Anesthesiology NYU-Langone Medical Center | New York, New York

PbL-28 Treating the Injured Athlete without Opioids 15:45 - 17:00 • Olmstead room • 7th Floor SPEAKErS:

Jeffrey M. Ciccone, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York

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

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

d I S C LO S U r E S : Drs. Ciccone, Dizdarevic, Ludwin, Sharma and Stjepanovic do not have any financial relationships to disclose.

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

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PbL-29 Inadequate Spinal Anesthesia for C-Section – Now What do I do?!: Mechanisms, Management and Prevention After completion of this session, the participant will be able to:

15:45 - 17:00 • Shubert room • 6th Floor SPEAKEr:

m describe local-anesthetic maldistribution due to natural variations in CSF flow and anatomy;

Ellen J. brand, M.d.

Assistant Clinical Professor | New York Medical College Valhalla, New York | Medical Director, Obstetric Anesthesia Danbury Hospital | Danbury, Connecticut

PbL-30 Lung Isolation in the Patient with a difficult Airway 15:45 - 17:00 • Uris room • 6th Floor SPEAKErS:

Maria d. Castillo, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York and

Guy Salomon, M.d.

Attending Anesthesiologist | Good Samaritan Hospital | Suffern, New York

PbL-31 Cardiac Arrest during Tonsillectomy

m develop an anesthetic plan to manage the patient with a “failed spinal” for C-Section.

After completion of this session, the participant will be able to: m discuss the indications, different options for, and management of one-lung ventilation; m Apply a plan for the management of simple thoracic cases;

S A T U r d A y

m Employ various options for one-lung ventilation in the context of the difficult airway.

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

PbL-32 Anaphylaxis in the Operating room

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

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

Srinivasa S. Thota, M.d., M.b., b.S.

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

Assistant Professor of Anesthesiology Upstate Medical University | Syracuse, New York and

Todd J. Liu, M.d.

Attending Anesthesiologist Memorial Sloan Kettering Cancer Center | New York, New York

m Identify the differential diagnosis of post induction, pre-incision cardiovascular collapse; m recognize the signs and symptoms of anaphylaxis under general anesthesia; m develop a treatment plan for anaphylaxis.

d I S C LO S U r E S : Drs. Brand, Castillo, Liu, Salomon, Thota and Watt do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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Notes

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Sunday

71st Annual PostGraduate Assembly in Anesthesiology december 8-12, 2017 Marriott Marquis NyC

december 10, 2017

registration

07:00 - 16:00

Sessions

07:45 - 17:00

Technical Exhibits

09:00 - 15:00

Poster Presentations

9:30 - 11:30

House of delegates

9:30

Current Issues Forum

15:45 - 17:00 FEE rEQUIrEd (Fees listed on page 3.)

MW-17 The role of Anesthesiology in Global Health 07:45 - 08:45 • Odets room • 4th Floor SPEAKErS:

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

Elizabeth A. M. Frost, M.d.

Clinical Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York and

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

Clifford M. Gevirtz, M.d., M.P.H. Medical Director Somnia Pain Management New York, New York and

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

ram roth, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

S U N d A y

m delineate at least two NGOs that need anesthesiologist volunteers.

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

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

Jon d. Samuels, M.d.

m delineate the approach to airway assessment and management;

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

m Identify the intraoperative complications which may arise;

SPEAKEr:

m Enumerate at least three postoperative complications which may occur.

CO N T I N U E d O N N E x T PAG E

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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

Tiffany r. Tedore, M.d.

Co-Director, Regional Anesthesiology and Acute Pain Medicine Associate Professor of Anesthesiology Cornell University, Weill Cornell Medical College NewYork-Presbyterian Hospital New York, New York

After completion of this session, the participant will be able to: m Evaluate the risk factors for perioperative thromboembolism; m recognize the need for prophylaxis for deep vein thrombosis; m delineate the new ASA practice guidelines for preventing POVL; m List the tests to monitor anticoagulation activities; m Assess the implications on the neuroaxial procedures;

MW-20 Obstetric Emergencies

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

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

Christopher F. Ciliberto, M.d.

S U N d A y

Assistant Professor of Anesthesiology Montefiore Medical Center Bronx, New York

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

d I S C LO S U r E S : Drs. Ciliberto, Frost, Gevirtz, Roth, Samuels and Tedore do not have any financial relationships to disclose.

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W-10 Hands-On Porcine Heart dissection MOCA®

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

Salvatore G. Vitale, M.d.

Director of Cardiac and Thoracic Anesthesia Mount Sinai Beth Israel Medical Center New York, New York

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

A S S I S T E d by:

Mikel Gorbea, M.d.

Assistant Clinical Instructor and Chief Resident of Anesthesiology SUNY Downstate Medical Center Brooklyn, New York

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

S U N d A y

d I S C LO S U r E S : Drs. Gorbea, Rodriguez-Diaz, Vitale and Weiner do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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

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

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

Meghann M. Fitzgerald, M.d.

Chair, Department of Cardiothoracic Anesthesiology Cleveland Clinic Foundation Cleveland Ohio

Assistant Professor of Clinical Anesthesiology Interim Chief, Cardiac Anesthesiology NewYork Presbyterian Hospital Cornell University, Weill Cornell Medical College New York, New York

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

A S S I S T E d by:

Literature review Lisa Q. rong, M.d.

Assistant Professor of Clinical Anesthesiology NewYork Presbyterian Hospital Cornell University, Weill Cornell Medical College New York, New York

S U N d A y

Arterial and Peripheral Access Guidelines Cindy J. Wang, M.d.

Assistant Professor of Clinical Anesthesiology NewYork Presbyterian Hospital Cornell University, Weill Cornell Medical College New York, New York

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

Assistant Professor of Clinical Anesthesiology NewYork Presbyterian Hospital Cornell University, Weill Cornell Medical College New York, New York

Ultrasound Technique Meghann M. Fitzgerald, M.d.

Logistics and billing Nikolaos J. Skubas, M.d., FACC, FASE, d.Sc.

Hands-on Session Jaideep K. Malhotra, M.d.

Assistant Professor of Clinical Anesthesiology NewYork Presbyterian Hospital Cornell University, Weill Cornell Medical College New York, New York

d I S C LO S U r E S : Drs. Fitzgerald, Kumar, Malhotra, Rong, Skubas and Wang do not have any financial relationships to disclose.

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W-12 Hands-On Echocardiography Workshop: An Interactive and Case-based Approach Using TEE and TTE in the Perioperative Setting MOCA®

08:00 - 15:00 • Empire Complex • 7th Floor WOrKSHOP MOdErATOrS:

Steven N. Konstadt, M.d., M.b.A., FACC Professor and Chair Department of Anesthesiology Maimonides Medical Center Brooklyn, New York and

Alexander J. C. Mittnacht, M.d.

Professor of Anesthesiology Director, Pediatric Cardiac Anesthesia Icahn School of Medicine at Mount Sinai New York, New York and

Linda J. Shore-Lesserson, M.d., FAHA, FASE Professor of Anesthesiology Hofstra Northshore School of Medicine Director, Cardiovascular Anesthesiology Northwell Health System Manhasset, New York

A S S I S T E d 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 Chair Department of Anesthesiology Loma Linda University School of Medicine Loma Linda, California

Himani bhatt, d.O., M.P.A. Assistant Professor of Cardiothoracic Anesthesia Icahn School of Medicine at Mount Sinai New York, New York

Loretta Grecu, M.d.

Associate Professor of Anesthesiology Duke University Durham, North Carolina

Zaharia Hillel, M.d., Ph.d.

Professor of Anesthesiology Director, Cardiothoracic Anesthesia Icahn School of Medicine Mount Sinai St. Luke’s New York, New York

Angela Lee, M.d.

Attending Anesthesiologist Maimonides Medical Center Brooklyn, New York

Workshop description As a participant you can expect the following: m Hands-on small groups TEE computer simulation with expert guidance: m recognize anatomy and pathology from standard TEE views m Learn to choose TEE views that help in the differential diagnosis of hemodynamically unstable patients m Hands-on TEE simulator (Practice TEE with a state of the art TEE simulator); m Practice Transthoracic Echocardiography (TTE) with live human models (standard TTE views, emergency TTE examination); m Expert lecture and introduction: m Focused TTE exam m Standard TTE views m Update on recently published standard TEE exam m Short presentations of various case scenarios illustrating the role echocardiography in the hemodynamically unstable patient (non-cardiac setting) After completion of this session, the participant will be able to: m Perform an appropriate airway evaluation; m Use echo to recognize common causes of hemodynamic instability in the GOr (expert case presentations, hands-on computer simulation);

S U N d A y

m Understand how echo can help with the differential diagnosis in unstable patients (computer simulation, case presentations); m Learn how to obtain a quick transthoracic exam in emergency situations (practice on live models); m Acquire the knowledge to do a focused transthoracic echo exam (expert lecture, practice on live models); m Learn how transesophageal echocardiography can be used as a monitoring tool in cases with expected hemodynamic compromise (hands on TEE simulator, expert lecture).

Peter J. Panzica, M.d.

Vice Chairman, Clinical Anesthesia Director of Anesthesia Network Operations Department of Anesthesia, Critical Care and Pain Management Assistant Professor Harvard Medical School Beth Israel Deaconess Medical Center Boston, Massachusetts

benjamin S. Salter, d.O. Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York CO N T I N U E d O N N E x T PAG E

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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W-12 Hands-On Echocardiography Workshop: An Interactive and Case-based Approach Using TEE and TTE in the Perioperative Setting Christopher y. Tanaka, M.d.

Giuseppe V. Trunfio, 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

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York Director, Cardiac Anesthesiology Maimonides Medical Center Brooklyn, New York

Christopher A. Troianos, M.d., FASE

Nate Weitzel, M.d.

Professor and Chair Cleveland Clinic Lerner College of Medicine Cleveland, Ohio President, Society of Cardiovascular Anesthesiologists

Associate Professor of Anesthesiology Medical Director of Inpatient Surgical Services University of Colorado School of Medicine Aurora, Colorado

S U N d A y

d I S C LO S U r E S : Drs. P. Applegate, R. Applegate, Bhatt, Grecu, Hillel, Konstadt, Lee, Panzica, Salter, Shore-Lesserson, Tanaka, Troianos, Trunfio and Weitzel.

Dr. Mittnacht receives consultant fees and is on the speaker’s bureau for CAS Medical Systems, Inc. (CASMED) he is also a shareholder with Manual Surgical Science.

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SP-14 Hot Topics in Acute Pain Management 08:30 - 11:00 • North ballroom • 6th Floor

MOCA®

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: m Manage acute pain in patients with known or suspected opioid addiction and in patients under treatment for substance abuse; m Apply emerging multimodal analgesic techniques; m Evaluate the current understanding of cannabinoids and perioperative pain management; m Apply novel and emerging uses for ketamine in a safe and effective manner.

FACULTy PrESENTATIONS:

Acute Pain Management in the Patient with Known or Suspected Addiction Eugene r. Viscusi, M.d.

Update on Multimodal Analgesia: New and Emerging Concepts danielle b. Ludwin, M.d.

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

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

S U N d A y

Assistant Professor of Anesthesiology Program Director, Pain Medicine Fellowship Icahn School of Medicine at Mount Sinai New York, New York

The Expanding role of Ketamine and the Acute Pain Service Eric S. Schwenk, M.d.

Associate Professor of Anesthesiology Sidney Kimmel Medical College at Thomas Jefferson University Philadelphia, Pennsylvania

d I S C LO S U r E S : Drs. Ludwin, Khelemsky and Schwenk 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., Eagalet Pharmaceuticals, Heron Therapeutics, Mallinckrodt Pharmaceuticals, Pfizer Inc., Salix Pharmaceuticals, and Trevena, Inc., and is on the speakers’ bureau for Mallinckrodt Pharmaceuticals, Salix Pharmaceuticals.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-15 Thoracic Anesthesia: New Procedures and New Challenges 08:30 - 11:00 • South ballroom • 6th Floor MOdErATOr:

Edmond Cohen, M.d.

Professor of Anesthesiology and Thoracic Surgery Director, Thoracic Anesthesia Icahn School of Medicine at Mount Sinai New York, New York

After completion of this session, the participant will be able to: m Learn about current and future surgical procedures and management strategies; m discuss the progress in lung isolation and learn how to select tubes based on the procedure; m Learn and understand how to manage endoscopic treatment procedures for COPd; m differentiate among the various alternatives for postoperative pain management for patients and develop an individually tailored approach to post thoracotomy pain management.

FACULTy PrESENTATIONS:

Thoracic Surgery: New Procedures, New Challenges raja M. Flores, M.d.

S U N d A y

Professor and Chair Department of Thoracic Surgery Mount Sinai Health System New York, New York

One Lung Ventilation: What’s New? Peter Slinger, M.d., FrCPC Professor of Anesthesiology University of Toronto and Toronto General Hospital Toronto, Canada

Endoscopic Treatment of COPd Edmond Cohen, M.d.

Thoracotomy Pain Management: Present and Future Techniques 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

d I S C LO S U r E S : Drs. Cohen, DeLeon-Casasola, Flores and Slinger do not have any financial relationships to disclose.

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SP-16 Ethical dilemmas in Anesthesia Care 08:30 - 11:00 • Liberty room • 8th Floor After completion of this session, the participant will be able to:

MOdErATOr:

robert E. Johnstone, M.d. | Professor of Anesthesiology West Virginia University | Morgantown, West Virginia

m Understand ethical and legal issues in the management of patients;

SCENArIOS:

your daughter asks you to administer the anesthetic for her planned surgery: Is this ethical? robert E. Johnstone, M.d.

Surgeon plans to operate with residents in two Ors, concurrently. you overhear the surgeon tell a patient that he will do the surgery himself. do you have a duty to inform the patient of the surgeon’s plans?

Saundra E. Curry, M.d.

Professor of Anesthesiology | NewYork Presbyterian Hospital Columbia University, College of Physicians & Surgeons | New York, New York

A colleague has written an interesting article. Exploring the topic, you find a nearly identical article published by another author, not referenced. do you have a duty to inform someone?

m Appreciate the implications of plagiarism in writing papers and conducting research; m describe issues surrounding drug shortages and the implications for providing anesthesia; m discuss controversies surrounding executions and whether or not, physicians should be involved in assisting; m Understand the implications of advanced directives in managing patients intraoperatively.

richard d. Urman, M.d., M.b.A., CPE Associate Professor of Anaesthesia | Director (Anesthesia), Center for Perioperative Research Harvard Medical School | Brigham & Women’s Hospital | Boston, Massachusetts

The pharmacist informs you the hospital has run out of propofol, succinylcholine and epinephrine, and will not get new supplies until the next day. Is it ethical to proceed with elective surgery?

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

S U N d A y

A prison warden asks you to place a central line for an execution because no one can start an IV and it would prevent hours of poking by untrained personnel, and possible extravasation. Can you ethically do this?

Lawrence J. Epstein, M.d.

Associate Director, Division of Pain Management | Director, Outpatient Pain Management Associate Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York

A patient with dementia states he wants to be comfortable during surgery for a hip fracture. His medical power of attorney insists on no endotracheal tube, or defibrillation during the surgery. Can you proceed with an anesthetic?

Elizabeth A. M. Frost, M.d.

Clinical Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York

d I S C LO S U r E S : Drs. Curry, Epstein, Frost and Malhotra do not have any financial relationships to disclose.

Dr. Johnstone received payment for writing commentaries from Anesthesiology News.

Dr. Urman received funded research support from Mallinckrodt Pharmaceuticals, Medtronic, Inc. and Merck & Co., Inc.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-17 bJA Panel: Perioperative Fluids – Impact on Outcomes MOCA ®

08:30 -12:00 • Majestic Complex • 6th Floor MOdErATOr:

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

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

Professor and Chair Department of Anesthesiology Cornell University, Weill Cornell Medical College Anesthesiologist-in-Chief NewYork Presbyterian Hospital New York, New York

m Appreciate the impact of fluid restriction and administration strategy on patient outcomes; m Understand evolving concepts in the physiology of fluid therapy;

FACULTy PrESENTATIONS:

m Know what type of fluid to administer for specific indications;

Fluid Administration Strategy in Enhanced recovery Protocols

m Understand best practices for guiding how much fluid to give.

Tong J. Gan, M.d., MHS, FrCA Professor and Chair Department of Anesthesiology SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

Intraoperative Fluid Management and Goal directed Therapy in Enhanced recovery Protocols: What is the Evidence?

Timothy E. Miller, M.b., Ch.b., FrCA

S U N d A y

Associate Professor of Anesthesiology Chief, Division of General, Vascular and Transplant Anesthesia Director, Perioperative Medicine Fellowship Duke University School of Medicine Durham, North Carolina

Choice of Fluid Type Christa boer, Ph.d.

Professor of Research in Perioperative Care VU University Medical Center Amsterdam, Netherlands

Impact on renal Outcomes Andrew Shaw, M.b., b.S., FrCA, FFICM, FCCM Professor and Chief Division of Cardiothoracic Anesthesiology Executive Vice Chair, Department of Anesthesiology Vanderbilt University Medical Center Nashville, Tennessee

d I S C LO S U r E S : Drs. Boer, Gan, Miller and Shaw do not have any financial relationships to disclose.

Dr. Hemmings received funded research support from TEM International.

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MW-21 Active Shooter in the Hospital 12:00 - 13:00 • Odets room • 4th Floor SPEAKErS:

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

Kenneth b. Newman, M.d.

Chairman and Medical Director Department of Anesthesiology Cortland Regional Medical Center Cortland, New York Premier Anesthesia Voluntary Professor and Faculty of Anesthesiology Upstate Medical University Syracuse, New York

m Identify features of the incubation phase of an active shooter incident through situational awareness; m Learn to ask for help early; m Understand how to evacuate in an emergency;

Michael W. dailey, M.d., FACEP, FAEMS

m Know how to conduct a “lockdown”;

Chief, Division of Pre-hospital and Operational Medicine Associate Professor of Emergency Medicine Albany Medical College Albany, New York

m Learn how to fight in a selfdefense situation; m develop flexible thinking for an evolving active shooter situation.

daniel F. Sisto Former 2nd Vice President New York State Troopers Police Benevolent Association Retired Trooper & Senior Firearms Instructor Albany, New York

Michael C. brooks Director, State Trooper Police Surgeons of the New York State Troopers Police Benevolent Association Albany, New York

barbara A. daly Supervisory Special Agent, FBI, Crisis Management/Behavioral Analysis Unit Coordinator, Squad A-17 New York, New York

MW-22 Update on Anesthesia for Spinal Surgery 12:00 - 13:00 • Wilder room • 4th Floor

S U N d A y

SPEAKEr:

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

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

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

CO N T I N U E d O N N E x T PAG E

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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

MW-23 Anesthesia Outside the Operating room

m delineate the requirements for monitoring outside the operating room with emphases on pediatrics;

12:00 - 13:00 • Ziegfeld room • 4th Floor SPEAKEr:

m develop a plan to get back-up;

Jay r. Shayevitz, M.d., M.S., FAAP

m delineate needs for safe anesthesia in extreme environments.

Attending Anesthesiologist Director, Non-OR Anesthesia Montefiore Medical Center Bronx, New York

MW-24 Postoperative Nausea and Vomiting: Practice Guideline Update

After completion of this session, the participant will be able to: m describe the pathophysiology of postoperative vomiting; m Enumerate the associated factors for PONV;

12:00 - 13:00 • O’Neill room • 4th Floor

m Compare and contrast the pharmacologic treatment option;

SPEAKEr:

Kenneth I. rosenfeld, M.d.

m Formulate treatment options for the patient with PONV.

Vice Chair, Clinical Activities Director, Perioperative Services Department of Anesthesiology SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

S U N d A y

MW-25 Complications of regional Anesthesia 12:00 - 13:00 • duffy/Columbia rooms • 7th Floor SPEAKEr:

Joseph Neal, M.d.

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

Anesthesia Faculty Virginia Mason Medical Center Clinical Professor of Anesthesiology University of Washington Seattle, Washington

m Enumerate the coagulation parameters that are acceptable to proceed with regional Anesthesia; m define the incidence of regional anesthesia related complications; m Elucidate the role of ultrasound in preventing regional anesthesia complications.

d I S C LO S U r E S : Drs. Dailey, Neal, Newman, Shayevitz, Urban, Mr. Brooks; Mr. Sisto and SSA Daly do not have any financial relationships to disclose.

Dr. Rosenfeld received consultant fees and is on the speakers’ bureau for Merck & Co., Inc.

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PbL-33 Is rapid Sequence Induction Necessary in the Morbidly Obese 12:00 - 13:00 • Majestic room • 6th Floor

After completion of this session, the participant will be able to: m discuss the indications for rapid sequence intubation; m Identify risk factors for respiratory instability during anesthetic induction in the morbidly obese; m delineate different strategies for anesthetic induction in the morbidly obese.

SPEAKEr:

Francis S. Stellaccio, M.d.

Associate Professor of Clinical Anesthesia SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

PbL-34 Torsade After Hysterectomy: The Impact of Prolonged QT on Antiemesis Guidelines 12:00 - 13:00 • Music box room • 6th Floor SPEAKEr:

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

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:

PbL-35 Jet Ventilation 12:00 - 13:00 • Winter Garden room • 6th Fl. SPEAKEr:

m Assess the airway of a patient with an airway mass; m Identify anesthetic concerns of laser surgery; m describe the indications for and complications of jet ventilation;

Tracey Straker, M.d., M.S., M.P.H. Associate Professor of Anesthesiology Albert Einstein College of Medicine Bronx, New York

m Formulate an anesthetic plan for utilizing jet ventilation.

PbL-36 Maternal Hemorrhage 12:00 - 13:00 • Palace room • 6th Floor SPEAKErS:

rishimani S. N. Adsumelli, M.d., b.S., FFArCS Associate Professor of Anesthesiology SUNY-Health Sciences Center at Stony Brook Stony Brook, New York and

S U N d A y

After completion of this session, the participant will be able to: m recognize the implications of the different types of placental abnormalities on post partum hemorrhage;

Shamantha G. reddy, M.d.

m Identify alternative methods for treating maternal hemorrhage (i.e. embolization);

Assistant Professor of Anesthesiology Albert Einstein College of Medicine Co-Director, Quality improvement and Patient Safety Montefiore Medical Center Bronx, New York

m Establish a plan for multidisciplinary communication and teamwork in the event of maternal hemorrhage.

d I S C LO S U r E S : Drs. Adsumelli, Malhotra, Reddy, Stellaccio and Straker do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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PbL-37 Postoperative Management of the Major Spinal Fusion Patient: Setting the Stage in the Preop Area 12:00 - 13:00 • Shubert room • 6th Floor SPEAKEr: Elaine I. yang, M.d.

Assistant Attending Anesthesiologist | Hospital for Special Surgery Clinical Instructor of Anesthesiology | Cornell University, Weill Cornell Medical College | New York, New York

PbL-38 My Colleague is Suffering burnout: How Can I Help? Caring for the Caregiver 12:00 - 13:00 • Uris room • 6th Floor SPEAKErS:

Sergey V. Pisklakov, M.d.

S U N d A y

Associate Professor of Anesthesiology | Albert Einstein College of Medicine | Director, Neuroanesthesia Fellowship | Department of Anesthesiology | Montefiore Medical Center | Bronx, New York and

Melinda A. Aquino, M.d.

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

After completion of this session, the participant will be able to: m Identify professional difficulties encountered by the burned out physician; m recognize the implications of burnout among medical professionals, with emphasis on anesthesiologists and critical care specialists; m Explain how burnout affects clinical competency, patient care and interaction between members of anesthesia team; m deploy methods to recognize burnout and point out ways to help your colleague anesthesiologist to overcome it; m Formulate a plan for burnout prevention/reduction at your department or Practice.

Assistant Professor of Anesthesiology and Pain Management Albert Einstein College of Medicine | Bronx, New York

PbL-39 Management of Intraoperative bronchospasm 12:00 - 13:00 • Plymouth room • 6th Floor SPEAKErS:

Jessica baer, M.d. | Attending Anesthesiologist Winthrop University Hospital | Mineola, New York and Marcus Gutzler, M.d. | Assistant Professor of Clinical Anesthesiology Cornell University, Weill Cornell Medical College | New York, New York

PbL-40 Upper Endoscopy in a Patient with Severe rheumatoid Arthritis 12:00 - 13:00 • royale room • 6th Floor SPEAKEr: | Lisbeysi Calo, M.d. | Instructor in Anesthesiology West Haven VA Medical Center | West Haven, Connecticut

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

After completion of this session, the participant will be able to: m Identify risk factors for anesthesia in the patient with rheumatoid arthritis; m recognize potential anesthetic interactions with treatments for rheumatoid arthritis; m Implement a safe treatment plan for the rheumatoid arthritis patient undergoing upper endoscopy.

d I S C LO S U r E S : Drs. Aquino, Baer, Calo, Gutzler, Pisklakov and Yang do not have any financial relationships to disclose.

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W-13 Ultrasound, Simulation and Stimulation for Peripheral Nerve blocks MOCA®

12:00 - 15:00 • Soho Complex • 7th Floor

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

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

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

Mitchell H. Marshall, M.d.

Jovan Popovic, M.d., FrCPC

Clinical Associate Professor of Anesthesiology Chief, Department of Anesthesiology NYU-Langone Medical Center-Hospital for Joint Diseases New York, New York

Assistant Professor of Anesthesiology NYU-Langone Medical Center Medical Director, NYU-Langone Outpatient Surgery | New York, New York

A S S I S T E d by:

robert A. Altman, M.d.

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

Attending Anesthesiologist NYU-Langone Medical Center-Hospital for Joint Diseases New York, New York

Clinical Assistant Professor of Anesthesiology, Perioperative and Pain Medicine Stanford University Stanford, California

Michael Akerman, M.d.

Attending Anesthesiologist Westchester Medical Center Valhalla, New York

Michael r. Anderson, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Arthur Atchabahian, M.d.

Professor of Clinical Anesthesiology NYU-Langone Medical Center-Hospital for Joint Diseases New York, New York

Patrick birmingham, M.d., FAAP Professor of Anesthesiology Northwestern University Feinberg School of Medicine Division Head of Pain Medicine Executive Vice Chairman, Department of Anesthesiology Ann & Robert H. Lurie Children’s Hospital of Chicago Chicago, Illinois

Marcelle E. blessing, M.d.

Assistant Professor of Anesthesiology Yale New Haven Hospital New Haven, Connecticut

Levon M. Capan, M.d.

S U N d A y

Professor of Anesthesia NYU-Langone Medical Center Associate Director, Anesthesia Bellevue Hospital Center New York, New York

Prianka desai, M.d.

Assistant Professor Clinical of Anesthesiology, Perioperative Care, and Pain Medicine NYU-Langone Medical Center New York, New York

david L. Furgiuele, M.d.

Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York

Nicholas E. Heiser, M.d.

Assistant Professor of Anesthesiology University of Nebraska Medical Center Director of Medical Student Anesthesiology Clerkship and Director of Anesthesia Services Nebraska Medicine Fritch Surgery Center Omaha, Nebraska

CO N T I N U E d O N N E x T PAG E

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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W-13 Ultrasound, Simulation and Stimulation for Peripheral Nerve blocks Christina L. Jeng, M.d.

Meg A. rosenblatt, M.d.

Assistant Professor of Anesthesiology and Orthopaedics Icahn School of Medicine at Mount Sinai New York, New York

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

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

Eric M. Kitain, M.d.

Chair, Department of Anesthesiology Norwalk Hospital | Norwalk, Connecticut

yan Lai, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Mitchell y. Lee, M.d., b.A.

S U N d A y

Andrew d. rosenberg, M.d.

Dorothy Reaves Spatz, M.D., Professor of Anesthesiology Chair, Department of Anesthesiology, Perioperative Care and Pain Medicine NYU-Langone Medical Center | New York, New York

Santhanam Suresh, M.d., FAAP Arthur C. King Professor & Chair Department of Pediatric Anesthesiology Ann & Robert H. Lurie Children’s Hospital of Chicago Chicago, Illinois

Tiffany r. Tedore, M.d.

Co-Director, Regional Anesthesiology and Acute Pain Medicine Associate Professor of Anesthesiology Cornell University, Weill Cornell Medical College NewYork Presbyterian Hospital New York, New York

Assistant Professor of Anesthesiology Assistant Residency Director NYU-Langone Medical Center New York, New York

Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York

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

Simon Tom, M.d.

Associate Program Director and Director of Education Regional Anesthesia and Acute Pain Medicine Fellowship Director of Regional Anesthesiology for YNHH Saint Raphael Campus and Center for Musculoskeletal Disease Department of Anesthesia Yale University | New Haven, Connecticut

danielle b. Ludwin, M.d.

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

robert G. Nampiaparampil, M.d.

Assistant Professor of Anesthesiology, Perioperative Care and Pain Medicine NYU-Langone Medical Center | New York, New York

Peter J. Neuburger, M.d.

Assistant Professor of Anesthesiology, Perioperative Care and Pain Medicine NYU-Langone Medical Center Division of Cardiothoracic Anesthesiology | New York, New York

Jennie y. Ngai, M.d.

Assistant Professor of Anesthesiology Director, Cardiothoracic Anesthesiology Fellowship Associate Director, Division of Cardiothoracic Anesthesiology NYU-Langone Medical Center | New York, New York

ryan Potosky, M.d.

Assistant Clinical Professor of Anesthesiology NYU-Langone Medical Center | New York, New York

Shruthima Thangada, 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

d I S C LO S U r E S : Drs. Altman, Akerman, Anderson, Birmingham, Blessing, Boublik, Capan, Desai, Furgiuele, Heiser, Jeng, J. T. Kim, S. Kim, Kitain, Lai, Lee, Li, Ludwin, Marshall, Nampiaparampil, Neuburger, Ngai, Popovic, Potosky, Rosenblatt, Rosenberg, Suresh, Tedore, Thangada, Tom, Umeh, Wambold, Wardhan, Warren and Weinberg do not have any financial relationships to disclose.

Dr. Atchabahian received consultant fees from Pacira Pharmaceuticals, Inc. and has royalties with McGraw-Hill Companies.

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SP-18 regional Anesthesia Update

MOCA®

13:00 - 15:30 • North ballroom • 6th Floor 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: m describe techniques to avoid complications associated with regional anesthesia; m discuss the perioperative management of patients who are having regional anesthetics and are taking anticoagulant/antiplatelet medications; m describe the components of a successful shoulder arthroscopy enhanced recovery protocol (ShArP); m Evaluate which patients are suitable and which anesthetics are appropriate for ambulatory lower extremity joint replacement procedures.

FACULTy PrESENTATIONS:

Five Complications to Avoid with regional Anesthesia Joseph M. Neal, M.d.

Anesthesia Faculty Virginia Mason Medical Center Clinical Professor of Anesthesiology University of Washington Seattle, Washington

Patient on Anticoagulant/Antiplatelet Therapy and regional Anesthesia Terese T. Horlocker, M.d.

Professor of Anesthesiology and Orthopedics Mayo Clinic in Rochester Rochester, Minnesota

S U N d A y

Update on Anesthesia for Shoulder Surgery Nabil M. Elkassabany, M.d, MSCE Assistant Professor of Anesthesiology and Critical Care Hospital of the University of Pennsylvania and the Veteran’s Administration Medical Center Staff Anesthesiologist, Philadelphia VA Medical Center Staff Anesthesiologist, Hospital of the University of Pennsylvania Director, Orthopedic Anesthesia Section, Hospital of the University of Pennsylvania Penn Presbyterian Medical Center Philadelphia, Pennsylvania

Ambulatory Lower Extremity Total Joint replacements: The Good, the bad and the Ugly Meg A. rosenblatt, M.d.

d I S C LO S U r E S : Drs. Elkassabany, Horlocker, Neal and Rosenblatt do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-19 ESA Panel: Controversies in Perioperative Anesthesiology Management 13:00 - 15:30 • South ballroom • 6th Floor 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: m build clinical reasoning on which hemodynamic parameters should be the best targets for hemodynamic optimization; m Manage more accurately a patient treated with direct Oral Anticoagulants (dOACs), either for the control of the thrombotic risk and/or the bleeding risk; m Critically assess the literature on safety issues of perioperative administration of starches; m Understand the pathophysiology and manage intraoperative mechanical ventilation in order to reduce the risk of pulmonary complications.

FACULTy PrESENTATIONS:

Hemodynamic Optimization during the Perioperative Period : Which Patients? How? S U N d A y

dan Longrois, M.d., Ph.d.

Professor of Anesthesia and Intensive Care Bichat-Claude Bernard Hospital Paris, France

Perioperative Management of direct Oral Anticoagulants (dOACs) Charles Marc Samama, M.d., Ph.d., FCCP

The Current Place of Starches in Perioperative Fluid Therapy Stefan de Hert, M.d., Ph.d.

Professor of Anesthesiology Past Chair, Scientific Committee of the European Society of Anaesthesiology Director of Research Gent University Hospital Gent, Belgium

Protective Intraoperative Ventilation: State of the Art Practice Marcelo Gama de Abreu, M.d., M.Sc., Ph.d., dESA Professor of Anesthesiology and Intensive Care Therapy Chair, Translational Research in Anesthesiology and Intensive Care Therapy University Hospital Carl Gustav Carus Dresden, Germany

d I S C LO S U r E S : Drs. De Hert, Longrois and Samama do not have any financial relationships to disclose.

Dr. Gama de Abreu receives consultant fees from Baxter International Inc.

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SP-20 APSF Panel: Postoperative Infections: Can the Anesthesia Provider be At Fault?

13:00 - 15:30 • Marquis ballroom • 9th Floor

MOCA®

MOdErATOr:

richard C. Prielipp, M.d., M.b.A. Professor of Anesthesiology | University of Minnesota | Minneapolis, Minnesota

After completion of this session, the participant will be able to: m realize that Health Care Associated Infections (HCAI) affect 4 – 10% of hospitalized patients; m recognize that virulent and resistant bacteria are regularly identified in the Or anesthesia work space, and acknowledge that these bacteria are frequently transmitted to patients while in the Or; m Understand how routine airway procedures (i.e., endotracheal intubation) may rapidly contaminate the anesthesia work space with oral flora; m Acknowledge that anesthesia workspace contamination is associated with postoperative infections in surgical patients; m Compare the functionality and cost-effectiveness of disposable vs. reusable laryngoscopes; m Learn how other routine anesthesia practices (e.g., pre-warming patients, high inspired FiO2; laminar air flow in the Or; intraoperative hypothermia, FAW, etc.) may impact infectious risks.

FACULTy PrESENTATIONS:

Fecal Patina in the Anesthesia Work Area L. Sylvia Munoz-Price, M.d., Ph.d.

Professor of Medicine | Department of Medicine – Division of Infectious Diseases Enterprise Epidemiologist | Froedtert & Medical College of Wisconsin | Milwaukee, Wisconsin

Oral Flora Everywhere: Anesthesia and the Airway david J. birnbach, M.d., M.P.H. Miller Professor and Vice Provost | Senior Associate Dean for Quality, Safety and Risk Director, UM-JMH Center for Patient Safety | University of Miami Miller School of Medicine | Miami, Florida

S U N d A y

reusable vs. disposable Laryngoscopes: Why Should you Care?

G. burkhard Mackensen, M.d., Ph.d., FASE Professor of Anesthesiology | Chief, Division of Cardiothoracic Anesthesia UW Medicine Research & Education | Endowed Professor in Anesthesiology and Adjunct Professor of Medicine University of Washington School of Medicine | Seattle, Washington

How do routine Anesthesia Practices Impact Infectious risks? daniel I. Sessler, M.d.

Michael Cudahy Professor and Chair | Department of Outcomes Research | Cleveland Clinic | Cleveland, Ohio

d I S C LO S U r E S : Drs. Birnbach, Mackensen, Munoz-Price and Prielipp do not have any financial relationships to disclose.

Dr. Sessler received consultant fees from 3M Healthcare; funded research support from Advanced Cooling Technologies, Raiing Medical Company and Welch Allan®.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-21 Chronic Pain: Making Sense Out of All the Spinal Cord Stimulation Alternatives 13:00 - 15:30 • Astor ballroom • 7th Floor 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: m Understand the limitations of tonic (traditional) spinal cord stimulation (SCS); m Comprehend the alternative therapies for patients who have failed tonic SCS; m discern the differences among high frequency SCS, burst SCS, and dorsal root Ganglion SCS; m Understand the limitations of these techniques in clinical practice.

FACULTy PrESENTATIONS:

My Patient with Tonic Spinal Cord Stimulation Has Appropriate Paresthesia, but No Pain Control: Now What?

Oscar A. deLeon-Casasola, M.d.

S U N d A y

High Frequency Spinal Cord Stimulation (HFSCS): Physiology, Indications and Limitations david A. Provenzano, M.d. | President, Pain Diagnostics & Interventional Care | Sewickley, Pennsylvania

burst Spinal Cord Stimulation (bSCS) and dorsal root Ganglion Stimulation: To describe the Potential Value of These Two New Alternatives for SCS 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

Spinal Cord Stimulation: What Have I Learned in 30+ years of Practice That May be Useful To you richard L. rauck, M.d., FIPP Carolinas Pain Institute | Pain Fellowship Director | Wake Forest University School of Medicine | Winston-Salem, North Carolina

d I S C LO S U r E S : Drs. DeLeon-Casasola and Diwan do not have any financial relationships to disclose.

Dr. Provenzano received funded research support from Abbott Laboratories, Medtronic, Inc.; consultant fees from Abbott Laboratories, Bioness, Inc., Boston Scientific Corporation, Medtronic, Inc. and Nevro Corporation.

Dr. Rauck receives funded research support from Boston Scientific Corporation, Mainstay, Medtronic, Inc., Nevro Corporation, Neuros Medical, Inc., Saluda, SPR Therapeutics, St. Jude Medical, Inc. and Stimwave; he is on the speaker’s bureau for Boston Scientific Corporation and receives consultant fees from Boston Scientific Corporation, Medtronic, Inc. and SPR Therapeutics.

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FS-16 NySSA Committee on retirement: The Making of a Successful After completion of this session, retirement with a Second the participant will be able to: Career After retiring? m recognize the challenges faced by the aging anesthesiologist; Exploring Career Options: m Gain a better understanding of the options and opportunities For-Profit vs. Not-for-Profit available in order to pursue a second career;

15:00 - 17:00 • Liberty room • 8th Floor

m Identify ways to impact healthcare in the community;

MOdErATOrS:

m Improve the ability to make informed personalized decisions about to transitioning into retirement;

rhoda d. Levine, M.d.

Co-Chair NYSSA Committee on Retirement Retired, Associate Professor of Anesthesiology Albert Einstein College of Medicine of Yeshiva University Attending Anesthesiologist Montefiore Medical Center Bronx, New York and

m decrease mental stress and improved focus on patient care by being better prepared with a long term plan.

Sandhya Malhotra, M.d.

Co-Chair NYSSA Committee on Retirement Retired Anesthesiologist Forest Hills, New York FACULTy PrESENTATIONS:

Exploring the “For-Profit” Career Option Michael S. Jakubowski, M.d.

Medical Coordinator, OPMC, New York State Department of Health Honorary Staff, Ellis Medicine Schenectady, New York

Considering the “Not-for-Profit” Opportunities Sandhya Malhotra, M.d.

The Overseas Medical Mission

S U N d A y

Cheryl K. Gooden, M.d., FAAP Associate Professor of Anesthesiology and Pediatrics Hofstra Northwell School of Medicine Hempstead, New York

Community Initiatives Impacting Healthcare Policy david I. Weprin, J.d.

New York State Assemblyman Fresh Meadows, New York

d I S C LO S U r E S : Drs. Gooden, Jakubowski, Levine, Malhotra and Assemblyman Weprin do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-22 residual Neuromuscular blockade: Is It a risk to Patients?

15:30 - 17:00 • Columbia/duffy rooms • 7th Floor 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: m Evaluate the use of various neuromuscular monitoring techniques; m recognize the importance of monitoring neuromuscular blocking agents when they are used; m Identify the parameters that indicate safe recovery from neuromuscular blocking agents; m Identify postoperative residual block in the PACU.

FACULTy PrESENTATIONS:

Monitoring Neuromuscular blockade (NMb) Clinically and/or by Using a Nerve Stimulator dominic J. Nardi, M.d.

S U N d A y

Assistant Professor of Anesthesiology Hofstra Northwell School of Medicine Director of Neuroanesthesia Northwell Health North Shore University Hospital Manhasset, New York

What is Adequate reversal, and Should I reverse or Antagonize to Get There?

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

risidual NMb in the PACU and on the Ward: How Often and How Significant?

Farzana Afroze, M.d.

Assistant Professor of Anesthesiology Albany Medical College Albany, New York

d I S C LO S U r E S : Drs. Afroze and Nardi do not have any financial relationships to disclose.

Dr. Groudine is on the speakers’ bureau for Merck & Co., Inc. Dr. Rosenfeld received consultant fees and is on the speakers’ bureau for Merck & Co., Inc.

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FS-17 Current Issues Forum: MACrA Simplified: How We Got Here, How It’s been, Where We’re Going and How to do Well 15:45 - 17:00 • Empire Complex • 7th Floor 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:

A recap of MACrA after year 1, and Expectations based on recent CMS rules Jonathan S. Gal, M.d.

Medical Director, Clinical Revenue Initiatives | Mount Sinai Hospital Assistant Professor of Anesthesiology Director, Governmental & Reimbursement Affairs Department of Anesthesiology, Perioperative, and Pain Medicine Icahn School of Medicine at Mount Sinai Mount Sinai Health System | New York, New York

The Path to APM Success for Anesthesiologists Alexander A. Hannenberg, M.d.

Associate Chair, Department of Anesthesiology Newton-Wellesley Hospital | Newton, Massachusetts

After completion of this session, the participant will be able to: m review the evolution of MACrA replacing the Sustainable Growth rate with the implementation of a new Quality Payment Program starting in 2017; m discuss MIPS vs. Advanced-APMs as the two reporting tracks, and how they are supposed to impact payments now and in the future; m Examine the recent regulatory changes proposed by CMS and their potential effect on anesthesiologists; m Evaluate the availability of procedure-focused APM opportunities, and how Perioperative Surgical Home can open the door to Advanced-APM QP status for anesthesiologists.

FS-18 Vasoplegia: What Is It, How to Treat It

m recognize signs of vasoplegia;

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

m discuss and develop treatment protocols;

MOdErATOr:

m discuss the role of methylene blue in treatment of vasoplegia;

Menachem Weiner, M.d.

Associate Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York FACULTy PrESENTATIONS:

S U N d A y

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

m Know the risk and benefits of various treatment protocols and be able to implement in their practice.

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.

d I S C LO S U r E S : Drs. Gal, Hannenberg, Levin, Weiner and Wlody do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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FS-19 disaster-Management: The Active Shooter and Mass Casualties… Plan, recognition and Physician response 15:45 - 17:00 • Ziegfeld room • 4th Floor

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

MOdErATOr: Chairman and Medical Director | Department of Anesthesiology Cortland Regional Medical Center | Cortland, New York Premier Anesthesia | Voluntary Professor and Faculty of Anesthesiology Upstate Medical University | Syracuse, New York

m Identify the stake holders to develop disaster planning in their institution including the response of the anesthesiology department;

FACULTy PrESENTATIONS:

m develop a plan to deal with an internal or external disaster;

From the Mundane to the Horrific: How to respond to Incidents

m develop strategies to deal with mass casualties or an active shooter.

Kenneth b. Newman, M.d.

Michael J. dailey, M.d.

Chief, Division of Pre-hospital and Operational Medicine Associate Professor of Emergency Medicine | Albany Medical College | Albany, New York

An Active Shooter Is in your Hospital: do you Know What To do? daniel F. Sisto Former 2nd Vice President New York State Troopers | Police Benevolent Association Retired Trooper & Senior Firearms Instructor | Albany, New York and

Michael C. brooks Director, State Trooper Police Surgeons | Benevolent Association New York State Troopers Inc. | Albany, New York

S U N d A y

recognizing a Threat and Profiling barbara A. daly Supervisory Special Agent, FBI, Crisis Management/Behavioral Analysis Unit Coordinator, Squad A-17 | New York, New York

FS-20 Improving Outcomes in the Geriatric Patient

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

15:45 - 17:00 • Odets room • 4th Floor

m Identify the issues of postoperative cognitive decline following surgery;

MOdErATOr:

m Identify the issues surrounding POCd in the elderly;

Stacie G. deiner, M.d.

Associate Professor of Anesthesiology, Neurosurgery, Geriatrics and Palliative Care Icahn School of Medicine at Mount Sinai | New York, New York

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

FACULTy PrESENTATIONS:

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

Stacie G. deiner, M.d.

Preoperative Screening of Cognitive Function Should be the Standard of Care in Elderly Patients deborah J. Culley, M.d.

Associate Professor of Anaesthesiology | Harvard Medical School | Vice Chair for Research Associate Professor of Anesthesiology, Perioperative and Pain Medicine | Brigham & Women’s Hospital | Boston, Massachusetts d I S C LO S U r E S : Drs. Dailey, Deiner, Newman, Mr. Brooks, Mr. Sisto and SSA Daly do not have any financial relationships to disclose.

Dr. Culley received a grant from CRICO to study preoperative cognitive screening in elective surgical patients as a predictor of adverse cognitive outcomes.

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FS-21 The Concept of Enhanced recovery After Surgery (ErAS): What does It Mean to you?

15:45 - 17:00 • Astor ballroom • 7th Floor After completion of this session, the participant will be able to:

MOdErATOr:

Tong J. Gan, M.d., MHS, FrCA

m describe the principles of an ErAS program;

Professor and Chair Department of Anesthesiology SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

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

FACULTy PrESENTATIONS:

How do We Impact Outcome?

m develop a ErAS program in their institutions; m Institute an ErAS program at their institutions.

Anoushka M. Afonso, M.d.

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

Implementation and Long-Term recovery Timothy E. Miller, M.b., Ch.b., FrCA Associate Professor of Anesthesiology Chief, Division of General, Vascular and Transplant Anesthesia Director, Perioperative Medicine Fellowship Duke University School of Medicine Durham, North Carolina

FS-22 Pediatric Pain Management: What is the best Practice?

15:45 - 17:00 • Soho Complex • 7th Floor After completion of this session, the participant will be able to:

MOdErATOr:

bettina Smallman, M.d.

Associate Professor of Anesthesiology Director, Pediatric Anesthesia Upstate Medical University Syracuse, New York

m discuss current methods of pain management in pediatric patients including both pharmacologic and regional methods;

FACULTy PrESENTATIONS:

m describe the medications used for pain relief in children in terms of pharmacokinetics, pharmacodynamics, and adverse side effects;

regional Methods Franklin b. Chiao, M.d.

Director, Pediatric Regional Anesthesia Cornell University Weill Cornell Medical College New York, New York

S U N d A y

m discuss the risks and benefits of various types of regional anesthesia for pediatric patients; m Formulate an anesthetic plan for pain management in pediatric patients undergoing various types of surgical procedures.

Pharmacological Approach bettina Smallman, M.d.

d I S C LO S U r E S : Drs. Afonso, Chiao, Gan, Miller and Smallman do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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FS-23 Infection Control Issues Impacting Anesthesiology Practice

MOCA®

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

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

MOdErATOr:

m describe current infection prevention recommendations and safe injection practices as applicable to anesthesia practice;

richard A. beers, M.d.

Professor of Anesthesiology Upstate Medical University Syracuse, New York Staff Anesthesiologist Auburn Community Hospital Auburn, New York

m Implement infection prevention recommendations into practice.

FACULTy PrESENTATIONS:

The Anesthesia Professional’s role in Limiting Infectious risks richard A. beers, M.d.

Safe Injection Practices: Is this Something New? 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.

S U N d A y

Associate Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Director, Special Operations Quality Improvement Department of Anesthesiology, Perioperative and Pain Medicine Mount Sinai Hospital New York, New York

d I S C LO S U r E S : Drs. Beers, Greene and Rhee do not have any financial relationships to disclose.

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PbL-41 The Transgender Patient: Perioperative Concerns 15:45 - 17:00 • Majestic room • 6th Floor SPEAKErS:

Sergey V. Pisklakov, M.d.

After completion of this session, the participant will be able to: m define the professional terminology related to the anesthetic care of a transgender patient; m Explain the implications of lack of understanding of transgender issues, among members of the Or team on patient safety; m Predict major implications of completed transgender surgery for the perioperative care;

Associate Professor of Anesthesiology Albert Einstein College of Medicine Director, Neuroanesthesia Fellowship Department of Anesthesiology Montefiore Medical Center Bronx, New York and

m Formulate a sensitive and informed communication approach to a transgender patient in the perioperative setting.

Maria A. bustillo, M.d.

Associate Professor of Clinical Anesthesiology Chief, Division of Neuroanesthesia Weill Cornell Medical College New York, New York

PbL-42 Complications of Neuromuscular blockade reversal: Should reversal be Given to All Patients?

15:45 - 17:00 • Music box room • 6th Floor SPEAKEr:

After completion of this session, the participant will be able to: m describe the physiology and pharmacology of neuromuscular blocking drugs and reversal agents; m Identify the risks of residual paralysis and reversal agents; m Manage the emergence from anesthesia in the patient who received neuromuscular blockade.

Mark Abel, M.d.

Attending Anesthesiologist Lawrence Hospital Bronxville, New York

PbL-43 Muscle relaxation After Sugammadex 15:45 - 17:00 • Winter Garden room • 6th Fl. SPEAKErS:

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

S U N d A y

m Identify particular patient populations who may benefit from use of sugammadex; m discuss is the mechanism of action of sugammadex; m develop a plan for the use of sugammadex taking into consideration the side effects, contraindications and cost.

Taylor A. Johnston, M.d.

Assistant Professor of Anesthesiology Columbia University, College of Physicians & Surgeons New York, New York and

bessie Kachulis, M.d.

Assistant Professor of Anesthesiology Division of Cardiothoracic Anesthesiology Columbia University, College of Physicians & Surgeons New York, New York

CO N T I N U E d O N N E x T PAG E

d I S C LO S U r E S : Drs. Abel, Bustillo, Johnston, Kachulis and Pisklakov do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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PbL-44 Motor Vehicle Collision with Traumatic brain Injury 15:45 - 17:00 • Palace room • 6th Floor SPEAKErS:

Anushirvan Minokadeh, M.d.

Clinical Professor of Anesthesiology Vice Chair, Critical Care Medicine UC San Diego Medical Center San Diego, California and

Samrat H. Worah, M.d.

Program Director, Anesthesiology Critical Care Medicine Professor of Anesthesiology SUNY-Downstate Medical Center Brooklyn, New York

PbL-45 Mastectomy Patient with History of Chronic Pain in the Ambulatory Surgical Center 15:45 - 17:00 • Shubert room • 6th Floor

S U N d A y

SPEAKEr:

Hanae K. Tokita, M.d.

Director, Regional Anesthesia Clinical Director, Josie Robertson Surgery Center Assistant Professor of Anesthesiology & Critical Care Medicine Memorial Sloan Kettering Cancer Center New York, New York

PbL-46 What is buprenorphine???: Strategies for Perioperative Analgesic Management in Major Surgery 15:45 - 17:00 • Uris room • 6th Floor SPEAKEr:

Vinay G. Puttanniah, M.d.

Director, Regional Anesthesia and Perioperative Pain Medicine Memorial Sloan Kettering Cancer Center New York, New York

After completion of this session, the participant will be able to: m Explain the initial approach to a trauma/motor vehicle collision victim; m describe the new additions to the ATLS 9th Edition Guidelines; m review the pathophysiology of Traumatic brain Injury; m review the indications for endotracheal intubation in the setting of TbI; m review indications, methods and tenets of ICP management.

After completion of this session, the participant will be able to: m discuss the evidence regarding various anesthetic and analgesic techniques for breast cancer surgery in patients with chronic pain including regional anesthesia, preoperative gabapentin, intravenous ketamine, and liposomal encapsulated bupivacaine for wound infiltration; m Identify the utility, risks and benefits of performing thoracic paravertebral nerve blocks and serratus anterior, pec 1, and pec 2 blocks for mastectomy; m develop a multimodal plan for the management of acute and chronic post-mastectomy pain.

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

d I S C LO S U r E S : Drs. Minokadeh, Puttanniah, Tokita and Worah do not have any financial relationships to disclose.

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

PbL-47 Is Nitrous Oxide Obsolete?

m discuss the potential risks and advantages of the use of nitrous oxide;

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

m Identify which patients may be at increased risk from use of nitrous oxide;

SPEAKEr:

Kane O. Pryor, M.d.

m Establish an anesthetic plan which does not require the use of nitrous oxide in at-risk patients.

Associate Professor of Anesthesiology and Psychiatry Cornell University, Weill Cornell Medical College New York, New York

PbL-48 Extubation of a bariatric Patient

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

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

m define morbid obesity and calculate body mass index;

SPEAKErS:

m discuss the medical complications associated with morbid obesity;

robert M. Chuda, M.d., M.b.A. Attending Anesthesiologist Lenox Hill Hospital New York, New York and

m design an anesthetic for the specific needs of the morbidly obese patient undergoing bariatric surgery.

ram roth, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

S U N d A y

d I S C LO S U r E S : Drs. Chuda, Pryor and Roth do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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Notes

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71st Annual PostGraduate Assembly in Anesthesiology december 8-12, 2017 Marriott Marquis NyC

Monday

december 11, 2017

registration

07:00 - 16:00

Sessions

08:00 - 17:00

E.A. rovenstine Memorial Panel

08:30 - 10:30

E.A. rovenstine Memorial Lecture

10:45 - 11:45

Technical Exhibits

09:00 - 1:00

Poster Presentations

12:00 - 14:00

Gertie F. Marx Memorial Lecture

13:00 - 15:30 FEE rEQUIrEd (Fees listed on page 3.)

W-14 basic Point of Care Ultrasound (PoCUS) Focused Surface MOCA Ultrasound Workshop for the Perioperative Anesthesiologist ®

After completion of this session, the participant will be able to acquire images, handle a portable ultrasound machine and interpret information from:

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

m A basic focused surface ultrasound exam of the heart, and basic ultrasound exam of the lungs.

Workshop participants will review relevant cases for anesthesiologists with the experts using:

MOdErATOrS:

James A. Osorio, M.d.

Assistant Professor of Clinical Anesthesiology Cornell University, Weill Cornell Medical Center Program Director, Critical Care Medicine | Department of Anesthesiology NewYork Presbyterian Hospital | New York, New York and

Michael H. Wall, M.d.

JJ Buckley Professor and Chairman Interim Division Chief, Critical Care Medicine Department of Anesthesiology | University of Minnesota Twin Cities Campus | Minneapolis, Minnesota

m Point-of-care evaluation in patients with unexpected hypoxia, hypotension, oliguria and cardiac arrest.

Workshop participants will participate in the discussion during the moderator session with the experts and learn about how to get started and continue (PoCUS) point-of-care ultrasound in your department.

M O N d A y

SPEAKErS:

Stephen C. Haskins, M.d.

Adriaan van rensburg, M.d.

Clinical Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College Assistant Attending Anesthesiologist Hospital for Special Surgery | New York, New York

Assistant Professor of Anesthesiology University of Toronto | Toronto, Canada

Natalia S. Ivascu, M.d.

Associate Professor of Clinical Anesthesiology Cornell University, Weill Cornell Medical College New York, New York

Nikolaos J. Skubas, M.d., FACC, FASE, d.Sc. Chair, Department of Cardiothoracic Anesthesiology Cleveland Clinic Foundation | Cleveland, Ohio

2017 | PGA71 Program

Steven G. Venticinque, M.d.

Professor of Clinical Anesthesiology & Surgery Program Director, Anesthesiology Critical Care Fellowship Director, TRISAT Critical Care Consortium Director, Audie L. Murphy VA Surgical ICU Department of Anesthesiology University of Texas Health Science Center San Antonio, Texas CO N T I N U E d O N N E x T PAG E

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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W-14 basic Point of Care Ultrasound (PoCUS) – Focused Surface Ultrasound for the Perioperative Anesthesiologist A S S I S T E d by:

Shanna S. Hill, M.d.

Julia b. Sobol, M.d.

Assistant Professor of Clinical Anesthesiology NewYork Presbyterian Hospital New York, New York

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

david Kiamanesh, M.d.

Christopher Tam, M.d.

Assistant Professor of Anesthesiology Member, Division of Critical Care Anesthesia Columbia University, College of Physicians & Surgeons New York, New York

Instructor of Anesthesiology NewYork Presbyterian Hospital New York, New York

Oliver P.F. Panzer, M.d.

Associate Professor of Anesthesiology Director, Perioperative Ultrasound Education Division of Critical Care & Regional Anesthesia Columbia University, College of Physicians & Surgeons New York, New York

Assistant Professor of Anesthesiology Division of Cardiothoracic Anesthesiology Montefiore Medical Center Assistant Professor of Anesthesiology Albert Einstein College of Medicine Bronx, New York

Amanda J. rhee, M.d.

Timothy T. Tran, M.d.

Associate Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Director, Special Operations Quality Improvement Department of Anesthesiology, Perioperative and Pain Medicine Mount Sinai Hospital New York, New York

Assistant Professor of Anesthesiology University of Colorado-Anschutz Medical Campus Aurora, Colorado

Ketan Shevde, M.d.

Christopher y. Tanaka, M.d.

Paul d. Weyker, M.d.

Associate Physician Kaiser Permanente South San Francisco San Francisco, California

Clinical Professor of Anesthesiology Director, Cardiothoracic Anesthesia SUNY-Downstate Medical Center Brooklyn, New York

M O N d A y

d I S C LO S U r E S : Drs. Haskins, Hill, Ivascu, Kiamanesh, Osorio, Panzer, Rhee, Shevde, Skubas, Sobol, Tam, Tanaka, Tran, van Rensburg, Venticinque, Wall and Weyker do not have any financial relationships to disclose.

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W-15 Thoracic Anesthesia Workshop MOCA

®

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

Edmond Cohen, M.d.

Professor of Anesthesiology and Thoracic Surgery Director, Thoracic Anesthesia | Icahn School of Medicine at Mount Sinai | New York, New York

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

A S S I S T E d by:

Steven M. Neustein, M.d.

Felice E. Agro, M.d.

Professor and Chair | Department of Anesthesiology Intensive Care and Pain Management University Campus Bio-Medico | Rome, Italy

Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Levon M. Capan, M.d.

daniel K. O’Neill, M.d.

Professor of Anesthesia NYU-Langone Medical Center Associate Director, Anesthesia Bellevue Hospital Center New York, New York

Associate Director, Adult Offsite Anesthesiology Services Assistant Professor of Anesthesiology Department of Anesthesiology, Perioperative Care and Pain Medicine | NYU-Langone Medical Center New York, New York

Maria d. Castillo, M.d.

Cesar rodriguez-diaz, M.d.

Assistant Professor of Anesthesiology 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

dawn P. desiderio, M.d.

Peter Slinger, M.d., FrCPC

Professor of Clinical Anesthesiology Cornell University, Weill Cornell Medical College Clinical Member Memorial Sloan Kettering Cancer Center New York, New York

Professor of Anesthesiology University of Toronto and Toronto General Hospital Toronto, Canada

Marian dumitru, M.d.

Jessica L. Spellman, M.d.

Assistant Professor of Anesthesiology Director, Perioperative Transesophageal Echocardiography Division, Cardiothoracic Anesthesia Columbia University, College of Physicians & Surgeons New York, New York

Attending Anesthesiologist Jamaica Hospital Medical Center Jamaica, New York

Alexandra L. Lewis, M.d.

Attending Anesthesiologist Memorial Sloan Kettering Cancer Center New York, New York

Eugene r. Viscusi, M.d.

Professor of Anesthesiology Director, Acute Pain Management Jefferson Medical College Thomas Jefferson University Philadelphia, Pennsylvania

Anuj Malhotra, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Charles b. Watson, M.d., FCCM

Joshua S. Mincer, M.d., Ph.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai Attending Physician, Mount Sinai Hospital | New York, New York Section Chief, Thoracic Anesthesia James J. Peter VA Medical Center | Bronx, New York

Deputy Surgeon-in-Chief Bridgeport Hospital Yale-New Haven Health System Bridgeport, Connecticut

M O N d A y

d I S C LO S U r E S : Drs. Agro, Capan, Castillo, Desiderio, Dumitru, Lewis, Malhotra, Mincer, Neustein, O’Neill, Rodriguez-Diaz, Slinger, Spellman and Watson do not have any financial relationships to disclose.

Dr. Viscusi receives funded research support from DURECT Corporation and Pacira Pharmaceuticals, Inc.; consultant fees from Cara Therapeutics, Inc., Eagalet Pharmaceuticals, Heron Therapeutics, Mallinckrodt Pharmaceuticals, Pfizer Inc., Salix Pharmaceuticals, and Trevena, Inc., and is on the speakers’ bureau for Mallinckrodt Pharmaceuticals, Salix Pharmaceuticals.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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W-16 Simulation Experience for the difficult Airway, Crisis Management and Team MOCA Training

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

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

Adam I. Levine, M.d.

Professor of Anesthesiology, Otolaryngology, Structural and Chemical Biology Vice-Chair, Education | Program Director, Residency Training | Program Director, ASA Endorsed HELPS Simulation Program | Department of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York and

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

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

A S S I S T E d by:

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

ronald S. Levy, M.d.

Associate Professor of Anesthesiology, Critical Care, Surgery and Medical Education | Director, Center for Experiential Learning and Assessment Nashville, Tennessee

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

Wendy K. bernstein, M.d., M.b.A., FASA

Instructor of Anesthesiology | Senior Associate Consultant Mayo Clinic | Rochester, Minnesota

Kimberly r. blasius, M.d.

Katherine M. Loftus, 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

Instructor of Anesthesiology, Perioperative & Pain Medicine Icahn School of Medicine at Mount Sinai | New York, New York

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

M O N d A y

Lauren Licatino, M.d.

Vice Chairman of Education | Director of Simulation Professor of Anesthesiology | University of Rochester Medical Center | Rochester, New York

Andrew Goldberg, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

Jaime b. Hyman, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

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

bryan P. Mahoney, M.d.

Assistant Professor of Anesthesiology Director, Residency Training Program Icahn School of Medicine at Mount Sinai St. Lukes Mount Sinai West | New York, New York

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

Anjan S. Shah, M.d.

Fellow, Simulation Education Department of Anesthesiology, Pain and Perioperative Medicine Icahn School of Medicine at 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

Francis S. yudkowitz, M.d., FAAP Professor of Anesthesiology & Pediatrics Director, Pediatric Anesthesia | Icahn School of Medicine at Mount Sinai | New York, New York

d I S C LO S U r E S : Drs. Banerjee, Bernstein, Blasius, Burden, DeMaria, Goldberg, Hyman, Katz, Khelemsky, Levine, Levy, Licatino, Loftus, Mahoney, Schwartz, Shah, Sim, Torsher and Yudkowitz do not have any financial relationships to disclose.

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SP-23 E.A. rovenstine Memorial Panel: The difficult Airway MOCA®

08:30 - 10:30 • broadway ballroom • 6th Floor MOdErATOr:

richard Cooper, b. Sc., M. Sc., M.d., FrCPC Professor of Anesthesiology University of Toronto Director, University of Toronto Anesthesia Airway Fellowship Toronto, Canada

After completion of this session, the participant will be able to: m Apply his or her experience to airway evaluations and decision making; m Understand risk stratification associated with extubation and strategies to mitigate patient harm; m Understand how to incorporate lessons learned from “near misses” into his or her airway management strategies.

FACULTy PrESENTATIONS:

Personal Assessment of Airway difficulty William rosenblatt, M.d.

Professor of Anesthesiology Director, Anesthesia for Otolaryngology Yale School of Medicine New Haven, Connecticut

Extubation of the difficult Airway? richard Cooper, b. Sc., M. Sc., M.d., FrCPC

Airway Lessons from the Anesthesia Incident reporting System and Anesthesia Quality Institute Keith J. ruskin, M.d.

Professor of Anesthesiology and Critical Care University of Chicago Medicine Chicago, Illinois

M O N d A y

d I S C LO S U r E S : Drs. Cooper, Rosenblatt and Ruskin do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-24 47th E.A. rovenstine Memorial Lecture: Practices and Techniques for Safe Airway Management: History, Practical Tips and Future Challenges 10:45 - 11:45 • broadway ballroom • 6th Floor This annual Memorial Lecture series, which began in 1971, is dedicated to honor the illustrious career of Dr. Emery Andrew Rovenstine, who was Director of Anesthesiology Service from 1935 to 1960 at a place he proudly referred to as “My Bellevue,” which in his time was a charity hospital. He was also Professor of Surgery (Anesthesia) at The New York University School of Medicine. Dr. Rovenstine was a loved and eminent clinician and teacher, who played a major role in the development of academic anesthesia in the United States. In his lifetime, many great honors were bestowed upon him. He served as President of The American Society of Anesthesiologists in 1943/44, and in 1957 received that Society’s Distinguished Service Award. Dr. Rovenstine was the founder of the PostGraduate Assembly 1895-1960 in Anesthesiology. A scholarly man who helped to develop many drugs, techniques and machines to ease pain, Dr. Rovenstine devoted himself to training other physicians in his specialty. He was considered, in his time, to be the most knowledgeable anesthesiologist in the world.

After completion of this session, the participant will be able to: m discuss the practices and techniques for safe airway management; m Learn the history of airway management in anesthesiology clinical practice and implement practical tips; m describe future challenges to our clinical practice.

INTrOdUCTIONS:

richard A. beers, M.d., PGA General Chair Audrée A. bendo, M.d., M.S., PGA Scientific Programs Chair GUEST LECTUrEr:

Carin A. Hagberg, M.d., FASA Division Head Division of Anesthesiology, Critical Care & Pain Medicine Helen Shaffer Fly Distinguished Professor of Anesthesiology Department of Anesthesiology & Perioperative Medicine | University of Texas MD Anderson Cancer Center | Houston, Texas

M O N d A y

About the Lecturer...

Carin A. Hagberg, M.D. is currently the Joseph C. Gabel Professor and Chair in the Department of Anesthesiology at the University of Texas Medical School at Houston, as well as Medical Director of Perioperative Services and Chief of Anesthesiology at Memorial Herman Hospital - Texas Medical Center (TMC) in Houston. She graduated cum laude and received her B.S. degree from the University of Massachusetts in Amherst. She received her M.D. degree from the University of Texas Medical School at Houston in 1988 and performed her residency training at the University of Texas Southwestern Medical School, where she served as Chief Resident from 1991-1992.

Dr. Hagberg has assumed several leadership positions in the Department of Anesthesiology at the University of Texas Medical School at Houston since the inception of her career, including Program Director of Undergraduate Education, Program Director of Residency Education, Vice Chair, and now Chair of the Department. Additionally, she has served as the Director of Neurosurgical Anesthesia, Associate Medical Director of Operative Services, and presently serves as Director of Difficult Airway Management< Medical Director of Perioperative Services and Chief of Anesthesiology at Memorial Hermann Hospital – Texas Medical Center. Dr. Hagberg has been involved in many professional organizations at local, regional, national, and international levels. She has been an active member of the Society of Airway Management and has served in all of the executive positions of this society with the exception of Treasurer. She is currently in her sixth year as Executive Director and has been on the Society’s Board of Directors since 1998. Additionally, she served as President of the Texas Gulf Coast Society of Anesthesiologists. She also serves on many committees in the University of Texas Medical School, the Department of Anesthesiology, and Memorial Hermann Hospital – TMC, the Texas Society of Anesthesiologists, and the American Society of Anesthesiologists.

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The focus of Dr. Hagberg’s career has been neuroanesthesia and difficult airway management, including both educational and clinical research aspects in these areas. She has received several awards as Outstanding Clinical Instructor and has received the Dean’s Award for Excellence in Training every year since she started in the Department of Anesthesiology at UT. Dr. Hagberg has served as Course Director of the first through fifth Biennial Difficult Airway Management: Tips from the Experts, as well as the National Anesthesiology Airway Course. She has been a very popular invited speaker, both nationally and internationally, and gave the Refresher Course lecture, “Current Concepts in the Management of the Difficult Airway,” at the American Society of Anesthesiology Annual Meeting each year from 2000-2010 and the European Society of Anesthesiology Annual Meeting since 2002. She has also performed Visiting Professorships at many academic institutions and has been involved in teaching airway workshops, both nationally and internationally, most recently at the 2nd European Airway Management Society Meeting in Istanbul. Additionally, Dr. Hagberg actively participated in the most recent update of the ASA Practice Guidelines on Management of the Difficult Airway.

Dr. Hagberg has conducted numerous journal clubs (every month for 4 years and every other month for the last 4 years).

She served as Director of Neuroanesthesia on two separate occasions for a total duration of 6 years. In that role, she developed the course syllabus for Neuroanesthesia, introduced EEG monitoring into clinical practice, and implemented onsite television monitoring of surgical procedures. In addition, she also implemented utilization of total intravenous anesthesia and the Laryngeal Mask Airway for awake craniotomies and stereotactic procedures, developed clinical management protocols for neurovascular procedures and developed a pre and post course written examination for the Neuroanesthesia rotation for her residents.

Dr. Hagberg has received over 30 research grants for the conduction of research in the areas of airway management, postoperative pain, blood substitute products, nausea/vomiting and intraoperative hypothermia. She has presented her work in both oral and poster format at scientific meetings, nationally and internationally.

Additionally, Dr. Hagberg is well published in the area of airway management, including letters-to-the-editor, manuscripts, book chapters, and books. Her first book published was the Handbook of Difficult Airway Management, published in 2000.

She serves as editor of the second edition of the textbook, Benumof’s Airway Management, which was published in January, 2007 and the third edition of this book, Benumof and Hagberg’s Airway Management, which was published in October, 2013.

She is also the editor of a new handbook “Difficult Airway Management: A Practical Guide” which was also published in the fall of 2013.

Past rovenstine Memorial Lecturers 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990

Robert N. Sladen, M.B., Ch.B., FCCM Sulpicio G. Soriano, III, M.D. Joseph M. Neal, M.D. David H. Chestnut, M.D. Stephen J. Thomas, M.D. Daniel I. Sessler, M.D. John C. Drummond, M.D. Lee A. Fleisher, M.D. Mark J. Lema, M.D., Ph.D. Steven L. Shafer, M.D. Mark A. Warner, M.D. Michael M. Todd, M.D. James E. Cottrell, M.D. Paul G. Barash, M.D. Michael F. Roizen, M.D. Tony L. Yaksh, Ph.D. Ronald D. Miller, M.D. Bernard V. Wetchler, M.D. James F. Arens, M.D. Edward D. Miller, Jr., M.D. Norig Ellison, M.D. Robert K. Stoelting, M.D. Betty J. Bamforth, M.D. Mieczyslaw Finster, M.D. E.S. Siker, M.D. Joseph F. Artusio, Jr., M.D. Sol N. Shnider, M.D.

1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976

1975

1974

1973 1972 1971

Henrik H. Bendixen, M.D. Paul Janssen, M.D. Michael J. Cousins, M.D. John W. Severinghaus, M.D., F.F.A.R.C.S. Benjamin G. Covino, Ph.D., M.D. Peter G. Wasser, M.D. John F. Nunn, M.D., Ph.D. Henning Pontoppidan, M.D. E.M. Papper, M.D. Edmond I. Eger, II, M.D. Cedric Prys-Roberts, M.A., D.M., Ph.D. Leon E. Farhi, M.D. Alon P. Winnie, M.D., John C. Liebeskind, Ph.D., JoJohn E. Adams, M.D. & Richard J. Miller, Ph.D. E.M. Papper, M.D., Richard J. Kitz, M.D., Robert M. Epstein, M.D., John J. Bonica, M.D. & D. Bruce Scott, M.D. C. Phillip Larson, Jr., M.D., Stanley Dudrick, M.D., H. Barrie Fairley, M.B., B.S., Richard I. Mazze, M.D. & Harvey B. Shapiro, M.D. Herman Turndorf, M.D., Myron B. Laver, M.D., John F. Viljoen, M.D., William C. Sheldon, M.D. & Saul Winegrad, M.D. Herbert Spiegel, M.D. & Ernest E. Rockey, M.D. Samuel Rosen, M.D., William S. Kroger, M.D. & Blaine S. Noshold, Jr., M.D. E. M. Papper, M.D., Albert M. Betcher, M.D., Solomon G. Hershey, M.D. & Richard J. Kitz, M.D.

M O N d A y

d I S C LO S U r E S : Drs. Beers, Bendo and Hagberg do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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PbL-49 Perioperative Control of Hypertension 11:45 - 12:45 • Majestic room • 6th Floor SPEAKErS:

Sudheer K. Jain, M.d.

Assistant Professor of Anesthesiology NYU-Langone Medical Center | Director, Peri-Anesthesiology Services Tisch Hospital | New York, New York and

After completion of this session, the participant will be able to: m describe the pathophysiology of hypertension; m describe the concept of tight control of blood pressure; m Identify the different medications used to control blood pressure; m Formulate an anesthetic plan for the patient with hypertension.

Jing Song, M.d.

Associate Professor of Anesthesiology Director of International Resident & Fellow Exchange Program Montefiore Medical Center | Director, Research & Clinical Fellowship Program, China Division of Einstein Global Health Institute Albert Einstein College of Medicine | Bronx, New York

PbL-50 STAT Cesarean Section: Spinal vs. General 11:45 - 12:45 • Music box room • 6th Floor SPEAKErS:

Sharon Abramovitz, M.d.

Associate Professor of Anesthesiology Cornell University, Weill Cornell Medical College Attending Anesthesiologist NewYork Presbyterian Hospital | New York, New York and

m Evaluate fetal heart rate tracings and understand the etiology of the different types of fetal heart rate patterns; m Explain how opioids and anesthetics affect the fetus and the interpretation of the fetal heart rate tracing; m Formulate a labor analgesia plan for the parturient with an ominous fetal heart rate tracing;

yaakov beilin, M.d.

m recognize the effects of spinal and general anesthesia on mother and baby;

Professor of Anesthesiology, Obstetrics, Gynecology and Reproductive Sciences | Director, Obstetric Anesthesia | Vice-Chair, Quality Icahn School of Medicine at Mount Sinai | New York, New York

m Formulate a management plan for an emergency cesarean section.

PbL-51 Anesthetic Challenges in the Electrophysiology Suite M O N d A y

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

11:45 - 12:45 • Winter Garden room • 6th Fl. SPEAKErS:

Lisa Q. rong, M.d.

Assistant Professor of Clinical Anesthesiology NewYork Presbyterian Hospital/Cornell University, Weill Cornell Medical College | New York, New York and

Cindy J. Wang, M.d.

Assistant Professor of Clinical Anesthesiology NewYork Presbyterian Hospital Cornell University, Weill Cornell Medical College New York, New York

After completion of this session, the participant will be able to: m Identify the major disease processes for which patients are scheduled for procedures in the EP suite; m Understand occupational hazards and radiation exposure in the EP suite; m discuss the effects of anesthetic agents on cardiac electrophysiology; m Formulate a plan to care for challenging cases in the EP suite and similar remote locations.

d I S C LO S U r E S : Drs. Abramovitz, Beilin, Jain, Rong, Song and Wang do not have any financial relationships to disclose.

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PbL-52 Pain Management in the drug Addicted Patient 11:45 - 12:45 • Palace room • 6th Floor SPEAKErS:

Steven G. Halle, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York and

Stellian I. Serban, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai | New York, New York

PbL-53 bowel Obstruction in an Alzheimer’s Patient: Anesthetic Interactions 11:45 - 12:45 • Shubert room • 6th Floor

After completion of this session, the participant will be able to: m Identify drug addiction vs. drug tolerance vs. physical dependence; m Assess the analgesic options regarding postoperative pain management; m Identify analgesic requirements for the perioperative period; m Formulate an outpatient strategic analgesic plan.

After completion of this session, the participant will be able to: m discuss anesthetic interactions between medications for Alzheimer’s disease and anesthetic agents; m Formulate an anesthetic plan which takes into account these interactions and minimizes risk of delirium.

SPEAKEr:

Anna K. Kaminski, d.O. Assistant Professor of Anesthesiology University of Rochester School of Medicine and Dentistry Rochester, New York

PbL-54 Can Anesthesiologists Affect Cancer Survival?

11:45 - 12:45 • Uris room • 6th Floor SPEAKEr:

Tiffany r. Tedore, M.d.

Co-Director, Regional Anesthesiology and Acute Pain Medicine Associate Professor of Anesthesiology Cornell University, Weill Cornell Medical College NewYork Presbyterian Hospital | New York, New York

PbL-55 Colloid vs.

Crystalloid: New Answers to an Old Question 11:45 - 12:45 • Plymouth room • 6th Floor SPEAKEr:

Jay 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: m discuss the literature regarding the effects of type of anesthesia on cancer cell survival; m Identify common events in the perioperative period (i.e. hypothermia, transfusion) that might affect the response of the immune system with regards to cancer; m devise an anesthetic plan for the care of the cancer patient.

After completion of this session, the participant will be able to: m Identify new concepts regarding the use of crystalloid and colloid volume replacement;

M O N d A y

m Formulate a plan to maintain ideal volume status in the perioperative period.

CO N T I N U E d O N N E x T PAG E d I S C LO S U r E S : Drs. Berger, Halle, Kaminski, Serban and Tedore do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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PbL-56 Non-Invasive Hemodynamic Monitoring 11:45 - 12:45 â&#x20AC;˘ royale room â&#x20AC;˘ 6th Floor 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: m review various modalities for non-invasive hemodynamic monitoring; m Select patients and procedures in which non-invasive hemodynamic monitoring would be advantageous.

d I S C LO S U r E S : Dr. Lopez does not have any financial relationships to disclose.

Notes M O N d A y

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MW-26 Update on Factor and blood Transfusion in Anesthesia 11:45 - 12:45 • Odets room • 4th Floor SPEAKEr:

Kenichi Tanaka, M.d., M.Sc.

After completion of this session, the participant will be able to: m Enumerate the latest changes in blood transfusion guidelines; m Enumerate the latest changes in factor transfusion guidelines; m delineate the incidence and therapy of transfusion related complications.

Professor of Anesthesiology University of Pittsburgh Medical Center Pittsburgh, Pennsylvania

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

MW-27 Anesthesia for difficult Orthopedic Procedures

m Identify which procedures are at increased risk for perioperative complications;

11:45 - 12:45 • Wilder room • 4th Floor

m Identify procedures which would benefit from additional monitoring; m Identify strategies to decrease blood lost.

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

MW-28 Introduction to TEE 11:45 - 12:45 • Ziegfeld room • 4th Floor

After completion of this session, the participant will be able to: m Identify the key anatomic views used in TEE; m Identify the key anatomic structures visualized by TEE;

SPEAKEr:

Christopher y. Tanaka, M.d.

m Identify hypokinesis and akinesis of the myocardium.

Assistant Professor of Anesthesiology Division of Cardiothoracic Anesthesiology Montefiore Medical Center Assistant Professor of Anesthesiology Albert Einstein College of Medicine Bronx, New York

M O N d A y

d I S C LO S U r E S : Drs. Marshall and C. Tanaka do not have any financial relationships to disclose.

Dr. K. Tanaka receives funded research support from CSL Behring and Hemo Concepts, Inc. He also receives consultant fees from Octapharma.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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This advanced workshop is recommended for: m Somebody who has completed a basic workshop; m Has basic knowledge and skills in image acquisition; m Has enrolled for the basic Point of Care Ultrasound (PoCUS) Workshop in the morning session, and would like to further skills at the advanced workshop.

W-17 Advanced Point of Care Ultrasound (PoCUS) - Focused Surface Ultrasound Workshop for the Perioperative Anesthesiologist MOCA

After completion of this session, the participant will be able to acquire images and interpret information from: Workshop participants will review relevant cases for anesthesiologists with the experts using: m 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; m A systematic advanced lung exam and perform algorithm based lung finding interpretation; m A systematic PoCUS airway examination.

®

12:00 - 15:00 • Empire Complex • 7th Floor MOdErATOrS:

James A. Osorio, M.d.

Assistant Professor of Clinical Anesthesiology Cornell University, Weill Cornell Medical Center Program Director, Critical Care Medicine Department of Anesthesiology NewYork Presbyterian Hospital | New York, New York and

Workshop participation will review relevant cases for anesthesiologists with the experts using: m The PAUSE, FATE, bLUE, rUSH and FAST protocol in the hemodynamically unstable or hypoxic patient, as well as apply diagnostic principles of the FEEL protocol during cardiac arrest, through participation in workshop simulation cases.

Michael H. Wall, M.d.

JJ Buckley Professor and Chairman Interim Division Chief, Critical Care Medicine Department of Anesthesiology | University of Minnesota Twin Cities Campus | Minneapolis, Minnesota

Workshop participants will participate in the discussion during the moderator session with the experts and learn about the upcoming certification process for (PoCUS) point-of-care ultrasound.

SPEAKErS:

Natalia S. Ivascu, M.d.

Associate Professor of Clinical Anesthesiology | Cornell University, Weill Cornell Medical College New York, New York

Oliver P.F. Panzer, M.d.

Associate Professor of Anesthesiology Director, Perioperative Ultrasound Education Division of Critical Care & Regional Anesthesia | Columbia University, College of Physicians & Surgeons New York, New York

M O N d A y

davinder S. ramsingh, M.d.

Steven G. Venticinque, M.d.

Director of Clinical Research and Perioperative Ultrasound Associate Professor of Anesthesiology Loma Linda University Medical Center Loma Linda, California

Professor of Clinical Anesthesiology & Surgery | Program Director, Anesthesiology Critical Care Fellowship Director, TRISAT Critical Care Consortium Director, Audie L. Murphy VA Surgical ICU Department of Anesthesiology University of Texas Health Science Center San Antonio, Texas

Nikolaos J. Skubas, M.d., FACC, FASE, d.Sc. Chair, Department of Cardiothoracic Anesthesiology | Cleveland Clinic Foundation | Cleveland, Ohio

A S S I S T E d by:

ranjit deshpande, M.d.

Julia b. Sobol, M.d.

Timothy T. Tran, M.d.

Assistant Professor of Anesthesiology Director, Transplant Anesthesiology Yale School of Medicine New Haven, Connecticut

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

Assistant Professor of Anesthesiology University of Colorado-Anschutz Medical Campus | Aurora, Colorado

Christopher Tam, M.d.

Adriaan van rensburg, M.d.

david Kiamanesh, M.d.

Instructor of Anesthesiology NewYork Presbyterian Hospital New York, New York

Assistant Professor of Anesthesiology University of Toronto Toronto, Canada

Christopher y. Tanaka, M.d.

Paul d. Weyker, 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

Associate Physician Kaiser Permanente South San Francisco San Francisco, California

Assistant Professor of Anesthesiology Member, Division of Critical Care Anesthesia | Columbia University, College of Physicians & Surgeons New York, New York

Ketan Shevde, M.d.

Clinical Professor of Anesthesiology Director, Cardiothoracic Anesthesia SUNY-Downstate Medical Center Brooklyn, New York

d I S C LO S U r E S : Drs. Deshpande, Ivascu, Kiamanesh, Osorio, Panzer, Shevde, Skubas, Sobol, Tam, Tanaka, Tran, van Rensburg, Venticinque, Wall and Weyker do not have any financial relationships to disclose.

Dr. Ramsingh receives funded research support from General Electric.

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W-18 Focused Echocardiographic Evaluation in Life Support (FEEL) MOCA

®

12:00 - 15:00 • Soho Complex • 7th Floor MOdErATOrS:

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

Nibras bughrara, M.d.

Director, Adult Critical Care Division Director, Adult Critical Care Echo Program Assistant Professor of Anesthesiology and Surgery Albany Medical Center | Albany, New York and

Adam I. Levine, M.d.

Professor of Anesthesiology, Otolaryngology, Structural and Chemical Biology Vice-Chair, Education Program Director, Residency Training Program Director, ASA Endorsed HELPS Simulation Program Department of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York and

Aliaksei Pustavoitau, M.d., M.H.S. Assistant Professor of Anesthesiology and Critical Care Medicine Director, Perioperative Ultrasound Program Medical Director, Respiratory Care Services Co-director, Liver Transplant Anesthesia Fellowship Department of Anesthesiology and Critical Care Medicine Johns Hopkins University School of Medicine Baltimore, Maryland

A S S I S T E d by:

Stephanie Cha, M.d.

daniel J. Katz, M.d.

Assistant Professor of Anesthesiology and Critical Care Medicine | Johns Hopkins University School of Medicine Baltimore, Maryland

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

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

Mark P. Hamlin, M.d., M.S. Anesthesiologist and Critical Care Medicine Physician | Associate Professor of Anesthesiology and Surgery Director, General and Subspecialty Surgery Critical Care | Medical Director, Respiratory Care Services University of Vermont Medical Center Burlington, Vermont

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

m Learn about differentiation of the cardiac standstill in true PEA and detecting cardiac motion in Pseudo-PEA with transthoracic imaging, and how to identify early return of spontaneous circulation; m Learn to identify the treatable causes of PEA and Pseudo PEA: pericardial tamponade, tension pneumothorax, hypovolemia, pulmonary embolism (or other cause of acute rV dysfunction), LV dysfunction (global or regional) to help guide therapy in your patients; m Obtain skills in how to acquire high-quality subcostal images in a time efficient manner through coached practice on live models; m Learn about the limitations/risks of use of focused echo in cardiac arrest; m Practice and discuss incorporation of focused echo in cardiac arrest in teambased simulation with focus on closed loop communication.

bryan P. Mahoney, M.d.

J. Matthias Walz, M.d.

Assistant Professor of Anesthesiology Director, Residency Training Program Icahn School of Medicine at Mount Sinai St. Luke’s Mount Sinai West New York, New York

Associate Professor of Anesthesiology and Surgery | Academic Vice Chair, Department of Anesthesiology and Perioperative Medicine | Associate Chief Medical Officer, UMMMC Umass Memorial Healthcare Worcester, Massachusetts

Sridhar Musuku, M.d., FrCA Assistant Professor of Anesthesiology Department of Anesthesiology and Critical Care Medicine Albany Medical College Albany, New York

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

Assistant Professor of Anesthesiology Albany Medical Center Albany, New York

Stephen C. Haskins, M.d.

Eric r. Silverman, M.d.

Clinical Assistant Professor of Anesthesiology | Cornell University, Weill Cornell Medical College Assistant Attending Anesthesiologist Hospital for Special Surgery New York, New York

Assistant Professor of Anesthesiology Department of Anesthesiology and Critical Care Medicine | Albany Medical College | Albany, New York

douglas S. Wetmore, M.d.

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

Jeron Zerrillo, M.d.

Assistant Professor of Anesthesiology Associate Director, Division of Liver Transplantation | Fellowship Director, Division of Liver Transplantation Department of Anesthesiology, Perioperative and Pain Medicine Icahn School of Medicine at Mount Sinai Hospital | New York, New York

M O N d A y

d I S C LO S U r E S : Drs. Bughrara, Cha, DeMaria, Hamlin, Haskins, Katz, Levine, Mahoney, Musuku, Pustavoitau, Safa, Silverman, Walz, Wetmore and Zerrillo do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-25 Gertie F. Marx Memorial Lecture: Controversies in Obstetrical Anesthesia MOCA®

13:00 - 15:30 • North ballroom • 6th Floor

This panel was created to honor the life, career and memory of Professor Gertie F. Marx, the “Mother of Obstetric Anesthesia.” Gertie was born in Frankfurt am Main, Germany. She studied medicine in Germany and Switzerland in the mid1930s, before emigrating to the United States.

She trained at Beth Israel Medical Center, where she worked for 10 years as an attending anesthesiologist. She then came to Jacobi Medical Center and the Albert Einstein School of Medicine in the Bronx, becoming the first Director of Obstetric Anesthesiology at those institutions. She continued to work at Jacobi and Einstein for over 40 years, rising to the rank of Professor. Gertie dedicated her life to the “care of mothers and their babies,” which she did through both her clinical care and her research. Gertie held just as strong a commitment to the education of anesthesia residents and medical students, training untold numbers of obstetric After completion of this session, anesthesiologists. To these students of anesthesia, Gertie was the the participant will be able to: model for pride, dedication and professionalism. During her m discuss ethical issues in caring for illustrious career, Gertie received many honors in the U.S., the U.K. patients in the delivery room; and elsewhere. She was only the second woman in the history of m Learn how to safely manage the the ASA to receive the ASA Distinguished Service Award. The last anticoagulated parturient; of many awards that Gertie received in her life, was the m Learn to optimize blood Distinguished Service Award of the NYSSA. replacement therapy and pharmacologic management during maternal hemorrhage; MOdErATOr:

m discuss whether or not ultrasound should be used routinely for obstetrical neuraxial anesthesia.

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:

Ethical Issues in the delivery room david J. Wlody, M.d.

Perioperative Management of the Anticoagulated Parturient Terese T. Horlocker, M.d.

Professor of Anesthesiology and Orthopedics | Mayo Clinic in Rochester | Rochester, Minnesota

M O N d A y

What is the Appropriate blood replacement Strategy for Maternal Hemorrhage? 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

Should Ultrasound be Used routinely for Obstetric Neuraxial Anesthesia?

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

d I S C LO S U r E S : Drs. Carvalho, Horlocker, Toledano and Wlody do not have any financial relationships to disclose.

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SP-26 The Cardiac Patient Presenting for Non-Cardiac Surgery MOCA®

13:00 - 15:30 • South ballroom • 6th Floor 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: m discuss whether the information obtained in the cardiology consult is of value in the perioperative period; m Learn how to manage valvulopathies in patients for non-cardiac surgery; m Learn what you need to know about CIEds; m Learn how to safely manage the patient with atrial fibrillation for non-cardiac surgery.

FACULTy PrESENTATIONS:

Is there Any Value to Cardiology Consults during the Perioperative Period?

Lee A. Fleisher, M.d.

Robert Dunning Dripps Professor of Anesthesia Chair, Department of Anesthesiology and Critical Care University of Pennsylvania Perelman School of Medicine Philadelphia, Pennsylvania

Managing Valvulopathies in Patients for Non-Cardiac Surgery Gregory W. Fischer M.d.

CIEds: What you Need to Know in 2017 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

The Patient with Atrial Fibrillation for Non-Cardiac Surgery david Amar, M.d.

Professor of Anesthesiology Cornell University, Weill Cornell Medical College Director, Thoracic Anesthesia Memorial Sloan Kettering Cancer Center New York, New York

M O N d A y

d I S C LO S U r E S : Drs. Amar, Fischer, Fleisher and Stone do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-27 Much Ado About blood, Fluids and Other Factors 13:00 - 15:30 • Manhattan ballroom • 8th Floor MOdErATOr:

Linda J. Shore-Lesserson, M.d., FAHA, FASE Professor of Anesthesiology Hofstra Northwell School of Medicine Director, Cardiovascular Anesthesiology Northwell Health System Manhasset, New York

After completion of this session, the participant will be able to: m define the pillars of patient blood management and apply them to surgical patients; m describe coagulation tests that have been used to direct transfusion treatment in surgical bleeding patients; m define the risks of blood transfusion and the end-organ effects of transfusion; m Identify alternate strategies for volume replacement to blood transfusion.

FACULTy PrESENTATIONS:

Transfusion in Cardiac Patients: When to Pull the Trigger?

Jonathan d. Leff, M.d., FASE Associate Professor of Anesthesiology Montefiore Medical Center Bronx, New York

Pharmacologist Management of bleeding: Are the New Factor Concentrates Safe?

Kenichi Tanaka, M.d., M.Sc. Professor of Anesthesiology University of Pittsburgh Medical Center Pittsburgh, Pennsylvania

Fluid Therapy in the Critically Ill: What’s the Goal?

M O N d A y

Andrew Shaw, M.b., b.S., FrCA, FFICM, FCCM Professor and Chief Division of Cardiothoracic Anesthesiology Executive Vice Chair, Department of Anesthesiology Vanderbilt University Medical Center Nashville, Tennessee

Monitoring Hemostasis: What’s the benefit of POC Monitoring?

Linda J. Shore-Lesserson, M.d., FAHA, FASE

d I S C LO S U r E S : Drs. Leff, Shaw and Shore-Lesserson do not have any financial relationships to disclose.

Dr. Tanaka receives funded research support from CSL Behring and Hemo Concepts, Inc. He also receives consultant fees from Octapharma.

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FS-24 Oral Presentation of Selected Posters on display at PGA71 15:45 - 17:00 • Odets room • 4th Floor

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

MOdErATOr:

m Assess new research for validity;

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

m develop programs in their institutions for residents to participate research

SUNY Distinguished Teaching Professor Professor of Anesthesiology and Vice-Chair (Special Projects) Professor of Pharmacological Sciences Professor of Health Sciences SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

PGA71 had 370 poster submissions.

Each poster was reviewed and scored by the PGA Scientific Exhibit and Poster Committee.

This session will feature the top scoring presenters discussing their work.

FS-25 MACrA, MIPS, Measures and Money 15:45 - 17:00 • Wilder room • 4th Floor After completion of this session, the participant will be able to:

MOdErATOr:

robert S. Lagasse, M.d.

m describe the various new payment systems currently in practice;

Professor and Vice-Chair Quality Management and Regulatory Affairs Department of Anesthesiology Yale University, School of Medicine New Haven, Connecticut

m Adjust their practices to comply with the 4 new payment systems.

FACULTy PrESENTATIONS:

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

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

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

M O N d A y

d I S C LO S U r E S : Drs. Lagasse, Philip and Vitkun do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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FS-26 The Cancer Patient and Anesthesia 15:45 - 17:00 • Ziegfeld room • 4th Floor MOdErATOr:

Anahita dabo-Trubelja, M.d.

Assistant Attending in Anesthesiology Memorial Sloan Kettering Cancer Center | New York, New York FACULTy PrESENTATIONS:

Can We Make a difference?

After completion of this session, the participant will be able to: m discuss the journey in evaluating anesthetic techniques to improve oncological outcomes; m discuss the need for safe surgery and anesthesia and develop an appropriate treatment plan; m discuss the current trend in perioperative care of the pediatric cancer patient and develop a perioperative plan for the pediatric cancer patient.

Anahita dabo-Trubelja, M.d.

Perioperative Care of the Pediatric Cancer Patient Vittoria Arslan-Carlon, M.d.

Director of Pediatric Anesthesia Department of Anesthesiology and CCM Memorial Sloan Kettering Cancer Center | New York, New York

FS-27 Current Issues in Obstetric Anesthesia 15:45 - 17:00 • Astor ballroom • 7th Floor 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 FACULTy PrESENTATIONS:

M O N d A y

Continuous Spinal Anesthesia for Cesarean Section in the Super Morbidly Obese: What Is Old Is New Again?

Arthur L. Calimaran, M.d.

Professor and Vice Chair for Education Residency Program Director | Department of Anesthesiology Director of Ob Anesthesia & Wiser Surgery Center University of Mississippi Medical Center | Jackson, Mississippi

After completion of this session, the participant will be able to: m discuss the risks and benefits of a continuous spinal anesthetic; m Identify the patients in whom continuous spinal anesthesia may be the optimal anesthetic management; m develop and implement a plan for use of continuous spinal anesthesia; m review the different modalities for post-dural puncture headache treatment and their evidence; m discuss the risks and benefits of utilizing regional anesthesia for the treatment of post-dural puncture headache; m develop an appropriate plan for treatment of their patient with post-dural puncture headache.

Post dural Puncture Headache: Treatment Modalities daniel J. Katz, M.d.

Assistant Professor of Anesthesiology | Icahn School of Medicine at Mount Sinai | New York, New York

d I S C LO S U r E S : Drs. Arslan-Carlon, Beilin, Calimaran, Dabo-Trubelja and Katz do not have any financial relationships to disclose.

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FS-28 Occupational Hazards for the Anesthesiologist 15:45 - 17:00 • Soho Complex • 7th Floor

MOCA®

MOdErATOr:

Zvi C. Jacob, M.d.

Assistant Professor of Anesthesiology Head of Off-Site Anesthesia Section SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

After completion of this session, the participant will be able to: m discuss the various hazards to personnel providing care in these out of Or settings; m Implement strategies and protocols to prevent adverse events; m recognize the many novel procedures being offered in Ir and their anesthesia implications;

FACULTy PrESENTATIONS:

Occupational Hazards in the Ir, MrI Suites and radiation Safety

m determine best practices for providing anesthesia in these “remote”locations.

Zvi C. Jacob, M.d

Update on Novel Procedures in Ir and MrI and Their Anesthetic Implications Scott d. Lipson, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

FS-29 Update on Thoracic Anesthesia 15:45 - 17:00 • Empire Complex • 7th Floor MOdErATOr:

Edmond Cohen, M.d.

Professor of Anesthesiology and Thoracic Surgery Director, Thoracic Anesthesia Icahn School of Medicine at Mount Sinai | New York, New York FACULTy PrESENTATIONS:

Cardiac Complications in Thoracic Surgery

After completion of this session, the participant will be able to: m discuss the complications of lung isolation; m determine which methods of lung isolation would be most advantageous in the setting of a morbidly obese patient; m recognize and treat hypoxemia during one lung ventilation; m develop a practical approach to optimize ventilation during procedures requiring one lung ventilation.

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

Lung Separation in the Patient with a difficult Airway

M O N d A y

Peter Slinger, M.d., FrCPC Professor of Anesthesiology | University of Toronto and Toronto General Hospital | Toronto, Canada

d I S C LO S U r E S : Drs. Amar, Cohen, Jacob, Lipson and Slinger do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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FS-30 Challenges in regional Anesthesia: bleeding vs. Clotting 15:45 - 17:00 • Columbia/duffy rooms • 7th Floor MOdErATOr:

Joseph M. Neal, M.d.

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

Anesthesia Faculty Virginia Mason Medical Center Clinical Professor of Anesthesiology University of Washington Seattle, Washington FACULTy PrESENTATIONS:

m discuss the use of regional anesthesia in patients on anticoagulation or requiring anticoagulation;

regional Anesthesia in the Patient on Anticoagulation

m develop a plan for use of regional anesthesia in patients on anticoagulation or requiring anticoagulation;

Michael r. Anderson, M.d.

m discuss the advantages and disadvantages of antifibrinolytics in orthopedics;

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

m develop strategies for use of antifibrinolytics for orthopedic surgery.

Use of Antifibrinolytics in Orthopedic Anesthesia yan Lai, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai New York, New York

M O N d A y

d I S C LO S U r E S : Drs. Anderson, Lai and Neal do not have any financial relationships to disclose.

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

PbL-57 Impact of dexamethasone on Post-Op Analgesia

m review data regarding the impact of dexamethasone on postoperative analgesia; m recognize side effects of dexamethasone;

15:45 - 17:00 • Majestic room • 6th Floor

m Implement a plan utilizing dexamethasone in the appropriate patient.

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:

PbL-58 Methadone and Ketamine: New Uses for Old Medications

m review the use of several narcotic analgesics during major spine surgery; m develop a patient care plan which incorporates the need for postoperative pain management in the intraoperative plan. (C, P)

15:45 - 17:00 • Music box room • 6th Floor 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:

PbL-59 Epidural Analgesia and deep Vein Thrombosis (dVT) Prophylaxis

m discuss new oral anticoagulants; m review potential complications of epidural analgesia in the setting of anticoagulants and pharmacologic dVT prophylaxis;

15:45 - 17:00 • Winter Garden room • 6th Fl. SPEAKEr:

m develop a plan to manage oral anticoagulant medication in the patient receiving epidural analgesia.

david L. Lee, M.d.

Assistant Attending Anesthesiologist | Hospital for Special Surgery Clinical Assistant Professor of Anesthesiology Cornell University, Weill Cornell Medical College | New York, New York

PbL-60 Anesthetic Neurotoxicity: Can We reduce the risk?

15:45 - 17:00 • Palace room • 6th Floor 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: m discuss why patients at the extremes of age may be particularly susceptible to toxicity from anesthetic agents;

M O N d A y

m Formulate an anesthetic plan to minimize the risk of anesthetic toxicity in susceptible populations.

d I S C LO S U r E S : Drs. Koenigsberg, Kopman, Lee and YaDeau do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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PbL-61 Can I Prevent Persistent Postsurgical Pain?

15:45 - 17:00 • Shubert room • 6th Floor SPEAKEr:

Anis dizdarevic, M.d.

Assistant Professor of Anesthesiology and Pain Medicine Columbia University, College of Physicians & Surgeons | New York, New York

PbL-62 Maximizing Scheduling and Operating room Efficiency

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

15:45 - 17:00 • Uris room • 6th Floor SPEAKEr:

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

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

m Identify specific measurements to assess the efficiency of the operating room;

PbL-63 Is Medical Clearance Necessary for Screening Colonoscopy?

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

M O N d A y

PbL-64 Catastrophic Central Line Complication in a Polytrauma Patient: The Intersection of Critical Care and Medical Ethics at the End of Life

m determine the importance of appropriate Or time allocation; m develop a plan to maximize Or efficiency in their own institution.

After completion of this session, the participant will be able to: m review the challenges of providing anesthesia for procedures where the procedural list has never met the patient; m Implement mechanisms for risk stratification of patients for screening procedures.

After completion of this session, the participant will be able to: m review the concept of goal-direct care; m Implement strategies for handling a catastrophic complication.

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

ryan Laterza, M.d. | Assistant Professor of Anesthesiology University of Colorado School of Medicine | Denver, Colorado and brian M. Keech, M.d. | Assistant Professor of Anesthesiology | Denver Health & Hospital Authority (DHHA) | Denver, Colorado

d I S C LO S U r E S : Drs. Beg, Dizdarevic, Laterza and Keech do not have any financial relationships to disclose.

Dr. Rosenfeld received consultant fees and is on the speakers’ bureau for Merck & Co., Inc.

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71st Annual PostGraduate Assembly in Anesthesiology december 8-12, 2017 Marriott Marquis NyC

Tuesday

december 12, 2017

registration

07:00 - 19:00

Sessions

07:45 - 17:00

19th Annual bragging Contest

13:00 - 15:30 FEE rEQUIrEd (Fees listed on page 3.)

MW-29 Practical Guide to Using different Modes of Ventilation 07:45 - 08:45 • Odets room • 4th Floor SPEAKErS:

Jerry y. Chao, M.d., M.Sc. Assistant Professor of Anesthesiology Children’s Hospital at Montefiore/Montefiore Medical Center Bronx, New York and

Eric J. Cheng, M.d.

After completion of this session, the participant will be able to: m Enumerate the advantages of newer forms of ventilation including dual control modes, proportional assist ventilation, bi-level airway pressure release ventilation and neurally adjusted ventilatory assist; m Identify the clinical limitations of these new forms of ventilation; m Identify which patients are most suitable for these modes of ventilation.

Assistant Professor of Anesthesiology and Critical Care Montefiore Medical Center | Bronx, New York

MW-30 Neonatal Anesthesia Update 07:45 - 08:45 • Wilder room • 4th Floor SPEAKEr:

Gordana Stjepanovic, M.d.

After completion of this session, the participant will be able to: m discuss the role of newer anesthetic agents in the neonatal period; m discuss the requirements for postoperative observation in very young neonates;

Director, Division of Pediatric Anesthesiology Assistant Professor of Anesthesiology NYU-Langone Medical Center | New York, New York

m Complications encountered in neonatal anesthesia.

MW-31 Thoracic Anesthesia Update

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

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

Edmond Cohen, M.d.

Professor of Anesthesiology and Thoracic Surgery Director, Thoracic Anesthesia Icahn School of Medicine at Mount Sinai | New York, New York

m Enumerate the indications for lung separation and thorascopy; m determine which lung separation device is appropriate for the planned surgery; m Evaluate and treat intraoperative complications during thoracic surgery.

d I S C LO S U r E S : Drs. Chao, Cheng, Cohen and Stjepanovic do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

T U E S d A y

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W-19 beyond direct Laryngoscopy: Fiberoptic and Other Techniques for Adult and Pediatric Airway Management MOCA®

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

richard M. Sommer, M.d.

Clinical Professor of Anesthesiology Vice-Chair, Clinical Operations Department of Anesthesiology NYU-Langone Medical Center New York, New York

After completion of this session, the participant will be able to: m Perform airway evaluation, patient preparation and techniques of fiberoptic intubation, video laryngoscopy and transtracheal jet ventilation for adult and pediatric patients.

A S S I S T E d by:

Charles M. Fermon, M.d.

Irene P. Osborn, M.d.

Professor of Anesthesiology (Clinical) NYU-Langone Medical Center New York, New York

Associate Professor of Anesthesiology Albert Einstein College of Medicine Director, Division of Neuroanesthesia Montefiore Medical Center Bronx, New York

Kenneth H. Jacobson, M.d.

Assistant 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

Jerome Lax, M.d.

Assistant Professor of Clinical 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

T U E S d A y

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Jon d. Samuels, M.d.

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

Patricia M. Sequeira, M.d.

Assistant Professor of Anesthesiology NYU-Langone Medical Center New York, New York

George J. Spessot, M.d.

Clinical Associate Professor of Anesthesiology NYU-Langone Medical Center Attending Anesthesiologist NYU-Langone Medical Center-Hospital for Joint Diseases New York, New York

Kenneth M. Sutin, M.d.

Professor of Clinical Anesthesiology and Surgery NYU-Langone Medical Center Assistant Director, Critical Care Bellevue Hospital New York, New York

d I S C LO S U r E S : Drs. Fermon, Jacobson, Jagannathan, Lax, Muntyan, Osborn, Samuels, Sequeira, Sommer, Spessot and Sutin do not have any financial relationships to disclose.

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

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W-20 Ultrasound for Vascular Access: A Workshop MOCA®

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

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

Meghann M. Fitzgerald, M.d.

Chair, Department of Cardiothoracic Anesthesiology Cleveland Clinic Foundation Cleveland, Ohio

Assistant Professor of Clinical Anesthesiology Interim Chief, Cardiac Anesthesiology NewYork Presbyterian Hospital Cornell University, Weill Cornell Medical College New York, New York

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

A S S I S T E d by:

Literature review Lisa Q. rong, M.d.

Assistant Professor of Clinical Anesthesiology | NewYork Presbyterian Hospital Cornell University, Weill Cornell Medical College | New York, New York

Arterial and Peripheral Access Guidelines Cindy J. Wang, M.d.

Assistant Professor of Clinical Anesthesiology | NewYork Presbyterian Hospital Cornell University, Weill Cornell Medical College | New York, New York

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

Assistant Professor of Clinical Anesthesiology | NewYork Presbyterian Hospital Cornell University, Weill Cornell Medical College | New York, New York

Ultrasound Technique Meghann M. Fitzgerald, M.d.

Logistics and billing Nikolaos J. Skubas, M.d., FACC, FASE, d.Sc.

Hands-on Session Jaideep K. Malhotra, M.d.

Assistant Professor of Clinical Anesthesiology | NewYork Presbyterian Hospital Cornell University, Weill Cornell Medical College | New York, New York

d I S C LO S U r E S : Drs. Fitzgerald, Kumar, Malhotra, Rong, Skubas and Wang do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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SP-28 Ambulatory Surgery and Office-based Practice MOCA®

09:00 - 11:30 • North ballroom • 6th Floor 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: m discuss the most up-to-date clinical anesthesia practices in ambulatory and office-based anesthesia; m develop strategies on implementing an ErAS program for outpatient breast surgery and understand the role of regional anesthesia; m Understand the concept of “fast track” recovery for ambulatory surgery, and identify specific care processes, anesthetic agents and techniques that can promote or hinder it; m Identify the risks associated with managing OSA patients outside the operating room and discuss safe anesthetic techniques for OSA and NOrA; m discuss current controversies associated with stocking dantrolene and succinylcholine in ASCs and officebased practices.

FACULTy PrESENTATIONS:

New Innovations for Outpatient breast Cancer Surgery Hanae K. Tokita, M.d.

Director, Regional Anesthesia | Clinical Director, Josie Robertson Surgery Center Assistant Professor of Anesthesiology & Critical Care Medicine Memorial Sloan Kettering Cancer Center | New York, New York

Fast Track recovery: Making It Happen 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

Management of the OSA Patient for Ambulatory Non-Operating room Anesthesia (NOrA) Procedures ruchir Gupta, M.d.

Assistant Professor of Anesthesiology | SUNY-Health Sciences Center at Stony Brook | Stony Brook, New York

Pros and Cons of Stocking dantrolene and Succinylcholine in ASCs and ObA Meena S. desai, M.d.

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Nova Anesthesia Professionals, President and CEO Villanova, Pennsylvania | Immediate Past Board Chair, Accreditation Association for Ambulatory Health Care (AAAHC) Past President Society for Ambulatory Anesthesia (SAMBA)

d I S C LO S U r E S : Drs. Desai, Gupta, Philip, Tokita and Twersky do not have any financial relationships to disclose.

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

SP-29 The Morbid and Super Morbidly Obese Patient: Challenging Anesthetics MOCA®

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

douglas r. bacon, M.d., M.A. Professor and Chair | Department of Anesthesiology | University of Mississippi Medical Center | Jackson, Mississippi

After completion of this session, the participant will be able to: m Understand the physiologic changes in morbid and super morbid obesity; m Comprehend the changes in the course of labor and the challenges of obstetrical anesthesia in these patients; m Incorporate the most common orthopedic operations and the corresponding best anesthetic practices; m discuss the best drug strategy and anesthetic techniques to ensure rapid recovery and postoperative alertness and mobility in the obese patient.

FACULTy PrESENTATIONS:

Physiology of Morbid and Super Morbid Obesity douglas r. bacon, M.d., M.A.

Obstetrical Anesthesia in Patients with bMIs approaching and Exceeding 100 Arthur L. Calimaran, M.d.

Professor and Vice Chair for Education Residency Program Director Department of Anesthesiology Director of Ob Anesthesia & Wiser Surgery Center University of Mississippi Medical Center Jackson, Mississippi

Orthopedic Anesthetic Challenges in Morbidly and Super Morbidly Obese Patient 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

ErAS for the Obese Surgical Patient: Can We Improve Outcomes?

Tong J. Gan, M.d., MHS, FrCA Professor and Chair Department of Anesthesiology SUNY-Health Sciences Center at Stony Brook Stony Brook, New York

d I S C LO S U r E S : Drs. Bacon, Calimaran, Gan and Marshall do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

T U E S d A y

125

MW-32 Postoperative Vision Loss (POVL): What Can be done to Prevent It? 11:45 - 12:45 • Odets room • 4th Floor SPEAKEr:

m delineate the factors that appear to be critical in contributing to the development of POVL; m Employ recommended strategies to minimize risk of prone position-related postoperative visual loss.

MW-33 Update on Pediatric Outpatient Anesthesia

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

11:45 - 12:45 • Wilder room • 4th Floor SPEAKEr:

Glenn E. Mann, M.d.

Assistant Professor of Anesthesiology Associate Director, Pediatric Anesthesiology Albert Einstein College of Medicine Children’s Hospital at Montefiore Medical Center Bronx, New York

MW-34 regional Techniques for Cardiac/Cardiac-related Procedures: Is There room for blocks?

11:45 - 12:45 • Ziegfeld room • 4th Floor SPEAKErS:

Himani bhatt, d.O., M.P.A. Assistant Professor of Cardiothoracic Anesthesia Icahn School of Medicine at Mount Sinai New York, New York and

Ali N. Shariat, M.d.

Assistant Professor of Anesthesiology Icahn School of Medicine at Mount Sinai St. Luke’s New York, New York

126

m define the anatomic differences in the forms of postoperative vision loss;

Associate Professor of Anesthesiology Upstate Medical University Syracuse, New York

Fenghua Li, M.d.

T U E S d A y

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

m Provide an update and overview on outpatient pediatric anesthesia; m review practice recommendations for pediatric anesthesia; m review appropriate patients and procedure types for outpatient pediatric surgery; m Formulate an appropriate plan for anesthetic induction and maintenance with the overall goal of faster reunion with parents and discharge with adequate pain control and PO intake; m determine optimal intraoperative and postoperative pain control strategies; m Identification and treatment of postoperative issues such as emergence agitation, pain and nausea/vomiting; m This mini-workshop is tailored toward the “general anesthesiologist” who provides anesthetic care to the pediatric patient.

After completion of this session, the participant will be able to: m Increase awareness of regional techniques for cardiac and cardiac related procedures; m review anatomy and technical skills to perform regional blocks for cardiac and cardiac related procedures; d I S C LO S U r E S : Drs. Bhatt, Li, Mann and Shariat do not have any financial relationships to disclose.

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

m discuss potential advantages of adding regional blocks as adjunct for pain management. www.pga.nyc

#pga71

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

PbL-65 Non-Surgical Approaches for the Herniated disc

m Identify etiologies of pain from herniated disc; m describe various interventional techniques to address pain from herniated lumbar disc;

11:45 - 12:45 • Majestic room • 6th Floor

m Formulate an interventional based plan for the management of a patient with herniated lumbar disc.

SPEAKEr:

Leena Mathew, M.d. | Associate Professor of Anesthesiology Program Director Pain Fellowship | Columbia University, College of Physicians & Surgeons | New York, New York

PbL-66 Analgesia for Thoracic Surgery: Is Paravertebral block “better” Than Thoracic Epidural?

11:45 - 12:45 • Music box room • 6th Floor 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 and 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: m discuss various pain management techniques for the thoracic surgical patient; m Employ a comprehensive plan to individualize the use of specific pain management techniques in the thoracic surgical patient.

After completion of this session, the participant will be able to: m review challenges in providing care in the interventional radiology suite;

PbL-67 Profound Hypotension in Interventional radiology

m Identify signs and symptoms of contrast reaction;

11:45 - 12:45 • Winter Garden room • 6th Floor

m Formulate a plan to manage hypotensive emergencies in NOrA locations.

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:

PbL-68 Managing the Patient with HELLP Syndrome 11:45 - 12:45 • Palace room • 6th Floor

m diagnose the parturient with HELLP Syndrome; m Identify the anesthetic implications of HELLP Syndrome; m Manage the HELLP syndrome patient in the peripartum period.

SPEAKEr:

Stephanie r. Goodman, M.d. | Professor of Anesthesiology Columbia University Medical Center | Program Director, Obstetrical Anesthesiology Fellowship | Columbia University, College of Physicians & Surgeons | New York, New York and Allison J. Lee, M.d.

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

d I S C LO S U r E S : Drs. Anca, Goodman, Latmore, Lee, Mathew and Weinberg do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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PbL-69 Shortness of breath in the PACU: Acute Pulmonary Embolism 11:45 - 12:45 • Shubert room • 6th Floor SPEAKEr:

After completion of this session, the participant will be able to: m Identify common causes of respiratory distress in the postoperative period; m Incorporate a plan to stratify and triage the care of the PACU patient with respiratory distress.

Meghan A. Kirksey, M.d., Ph.d. | Clinical Assistant Professor in Anesthesiology | Cornell University, Weill Cornell Medical College | Assistant Attending Anesthesiologist | Hospital for Special Surgery | New York, New York

PbL-70 Quality and Peer review: Using Metrics to Improve your Guidelines and Processes 11:45 - 12:45 • Uris room • 6th Floor

After completion of this session, the participant will be able to: m recognize which quality measures are most appropriate for peer review and quality reporting; m Utilize metrics to improve the quality of anesthesia care.

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

PbL-71 New Techniques for Fluid Management from Operating room to ICU 11:45 - 12:45 • Plymouth room • 6th Floor

After completion of this session, the participant will be able to: m dentify new concepts regarding the use of crystalloid and colloid volume replacement; m Formulate a plan to maintain ideal volume status in the perioperative period.

SPEAKErS:

ruchir Gupta, M.d. | Assistant Professor of Anesthesiology SUNY-Health Sciences Center at Stony Brook | Stony Brook, New York and Shaji P. Poovathoor, M.d. | Associate Professor of Anesthesiology SUNY-Health Sciences Center at Stony Brook | Stony Brook, New York

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128

PbL-72 Patient on Multiple Chemotherapeutic Agents for Exploratory Laparotomy: Anesthetic Considerations

After completion of this session, the participant will be able to: m Identify commonly used chemotherapeutic agents and their side effects; m Formulate a comprehensive anesthetic plan addressing these side effects, as well as possible anesthetic interactions with these medications.

11:45 - 12:45 • royale room • 6th Floor SPEAKEr:

Anoushka M. Afonso, M.d. | Assistant Attending Anesthesiologist Memorial Sloan Kettering Cancer Center | New York, New York

d I S C LO S U r E S : Drs. Afonso, Gupta, Holt, Kirksey and Poovathoor do not have any financial relationships to disclose.

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

SP-30 Controversies Affecting your Practice 13:00 - 15:30 • North ballroom • 6th Floor After completion of this session, the participant will be able to:

MOdErATOr:

richard A. beers, M.d.

Professor of Anesthesiology | Upstate Medical University | Syracuse, New York Staff Anesthesiologist | Auburn Community Hospital | Auburn, New York FACULTy PrESENTATIONS:

Can’t Ventilate, Can’t Intubate: Should we be Teaching Surgical or Percutaneous Cricothyrotomy Surely Surgical!

Carin A. Hagberg, M.d., FASA Division Head Division of Anesthesiology, Critical Care & Pain Medicine Helen Shaffer Fly Distinguished Professor of Anesthesiology | Department of Anesthesiology & Perioperative Medicine | University of Texas MD Anderson Cancer Center | Houston, Texas

m Compare and contrast the safety and efficacy of surgical and percutaneous cricothyrotomy in the “Cannot Intubate, Cannot Ventilate” scenario; m Evaluate the clinical utility of the everyday availability of ultrasonographic equipment to facilitate routine procedures in obstetrical anesthesia; m discuss the advantages, disadvantages, and clinical utility of providing anesthesia with little or no systemic opioid medications.

Positively Percutaneous!

Irene P. Osborn, M.d.

Associate Professor of Anesthesiology | Albert Einstein College of Medicine Director, Division of Neuroanesthesia | Montefiore Medical Center | Bronx, New York

Ultrasound is an Indispensable Tool for regional Anesthesia and Analgesia in Obstetrics: Fact or Fiction?

Flat Out Fact!

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

Fiction for Sure! richard M. Smiley, M.d., Ph.d.

Virginia Apgar MD Professor of Anesthesiology, Obstetrics and Gynecology Columbia University, College of Physicians & Surgeons | New York, New York

Should Anesthesiologists routinely draw Up Medications? reconciling Concerns for Patient Safety and the Impact upon the Environment and Population Health Patient Safety Considerations Elena N. bukanova, M.d.

Assistant Professor of Anesthesiology and Quality Management Yale New Haven Hospital | New Haven, Connecticut

Environmental and Population Health Considerations Jodi d. Sherman, M.d.

Associate of Anesthesiology | Environmental Compliance Officer Yale University School of Medicine | New Haven, Connecticut d I S C LO S U r E S : Drs. Beers, Bukanova, Carvalho, Hagberg, Osborn, Sherman and Smiley do not have any financial relationships to disclose.

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

T U E S d A y

129

SP-31 19th Annual bragging Contest: Any Case you Have done, I Have done a better One

After completion of this session, the participant will be able to: m discuss the anesthetic management of patients who present with or develop unusual or unique medical issues that demand innovative anesthetic management strategies;

13:00 - 15:30 • South ballroom • 6th Floor

m Understand and gain insight into the thought processes of colleagues and mentors as they describe their management of complex problems in anesthesia care.

MOdErATOr:

Clifford M. Gevirtz, M.d, M.P.H. Medical Director | Somnia Director | New York, New York FACULTy PrESENTATIONS:

Albany Medical Center Scott b. Groudine, M.d.

Professor of Anesthesiology and Surgery | Albany Medical College | Albany, New York

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

Marie-Louise Meng, M.d.

Assistant Professor of Anesthesiology | Division of Adult Cardiothoracic and Obstetric Anesthesiology Columbia University Medical Center | New York, New York

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

Newyork-Presbyterian Hospital & Cornell University, Weill Cornell Medical College 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

SUNy-Health Sciences Center at Stony brook Thomas E. Corrado, M.d.

Assistant Professor of Anesthesiology | SUNY-Health Sciences Center at Stony Brook | Stony Brook, New York

SUNy-downstate Medical Center Marina Svyatets, M.d.

Clinical Associate Professor of Anesthesiology | SUNY-Downstate Medical Center | Brooklyn, New York and

Anrew Villion, M.d.

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130

Resident in Anesthesiology | SUNY-Downstate Medical Center | Brooklyn, New York

University of rochester/Strong Memorial Hospital Janine r. Shapiro, M.d.

Associate Dean for Faculty Development Medical | Director for Continuing Medical Education Professor of Anesthesiology | University of Rochester School of Medicine and Dentistry | Rochester, New York

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

Upstate Medical University Jan r. Wong, M.d.

Assistant Professor of Anesthesiology and Pediatrics Upstate Medical Center Syracuse, New York and

John M. Oehler, M.d.

Resident SUNY Upstate Medical Center Syracuse, New York

Long Island Jewish Medical Center Michelle S. Kars, M.d.

Assistant Professor of Anesthesiology Long Island Jewish Medical Center New Hyde Park, New York

d I S C LO S U r E S : Drs. Corrado, Gevirtz, Kachulis, Kars, Meng, Oehler, Osborn, Samuels, Shapiro, Svyatets, Villion and Wang do not have any financial relationships to disclose.

Dr. Groudine is on the speakersâ&#x20AC;&#x2122; bureau for Merck & Co., Inc.

Notes

T U E S d A y

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

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FS-31 blood Management: Patients for Whom blood is Not an Option 15:45 - 17:00 • Odets room • 4th Floor MOdErATOr:

Linda J. Shore-Lesserson, M.d., FAHA, FASE

After completion of this session, the participant will be able to: m develop and implement a preoperative strategy to optimize these patients prior to surgery in a multidisciplinary team approach; m develop and implement a strategy to minimize blood loss and manage unanticipated hemorrhage according to the wishes of the patient.

Professor of Anesthesiology | Hofstra Northwell School of Medicine Director, Cardiovascular Anesthesiology Northwell Health System | Manhasset, New York FACULTy PrESENTATIONS:

blood Management: Patients for Whom blood is Not an Option Himani bhatt, d.O., M.P.A. Assistant Professor of Cardiothoracic Anesthesia | Icahn School of Medicine at Mount Sinai | New York, New York

Preparing for and Managing Intraoperative Hemorrhage Kenichi Tanaka, M.d., M.Sc. Professor of Anesthesiology | University of Pittsburgh Medical Center | Pittsburgh, Pennsylvania

FS-32 Anesthetic Challenges in Laparoscopic and robotics Surgery 15:45 - 17:00 • Wilder room • 4th Floor MOdErATOr:

daniel M. Gainsburg, M.d., M.S. Associate Professor of Anesthesiology Icahn School of Medicine at Mount Sinai School New York, New York

After completion of this session, the participant will be able to: m discuss the advantages and disadvantages of robotic assisted laparoscopic surgeries; m Plan appropriately for robotic assisted laparoscopic surgeries; m discuss the complications of robotic laparoscopic surgery; m recognize and manage the complications of robotic assisted laparoscopic surgery.

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 T U E S d A y

132

daniel M. Gainsburg, M.d., M.S.

d I S C LO S U r E S : Drs. Bhatt, Gainsburg, Shore-Lesserson and Svyatets do not have any financial relationships to disclose.

Dr. Tanaka receives funded research support from CSL Behring and Hemo Concepts, Inc. He also receives consultant fees from Octapharma.

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

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

FS-33 Problems in Pediatric Anesthesia: Malignant Hyperthermia

m Prepare the anesthesia machine for MH susceptible patients; m recognize the signs of MH; m Manage the patient who develops signs of MH during an anesthetic;

15:45 - 17:00 â&#x20AC;˘ Ziegfeld room â&#x20AC;˘ 4th Floor

m recognize scenarios not consistent with the diagnosis of MH.

MOdErATOr:

Francine S. yudkowitz, M.d., FAAP Professor of Anesthesiology and 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

d I S C LO S U r E S : Drs. Lipson and Yudkowitz do not have any financial relationships to disclose.

T U E S d A y

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

133

Poster and Medically Challenging Case report Presentations Astor ballroom • 7th Floor Saturday, december 9, 2017 • 9:30 - 11:30 Sunday, december 10, 2017 • 9:30 - 11:30 Monday, december 11, 2017 • 12:00 - 14:00 CHAIr:

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

SUNY Distinguished Teaching Professor | Professor of Anesthesiology and Vice-Chair Administration/Special Projects | Professor of Pharmacological Sciences Professor of Health Sciences | SUNY-Health Sciences Center at Stony Brook | Stony Brook, New York Authors should be available to discuss their work at their designated time. Authors will appear in alphabetical order from pages 134 through 151.

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 134 through 151 did not disclose any financial relationships, except for the following: P-9019 | Barbara Kabon received material support from Fresenius Kabi. Edith Fleischmann received material support from Fresenius Kabi P-9038 | The authors report receiving research grants from Alfred Mann Foundation (EG, RLR, MW), Boston Scientific (EG), CNS Therapeutics (EG, MS), Collegium Pharmaceutical, Inc. (EG), Flowonix Medical (EG, GM), GW Pharmaceuticals (MW), Jazz Pharmaceuticals (EG, GM, MS), Mallinckrodt (GM, MS), Medtronic, Inc. (EG, GM, MS), Myoscience (EG), NeurAxon Inc. (EG), Pfizer Inc. (MW), Spinal Restoration, Inc. (EG), and St. Jude Medical, Inc. (EG); serving as a consultant for Abbott Laboratories (EG), Alfred Mann Foundation (EG), Axonics Modulation Technologies (TD), Bioness, Inc (TD), Boston Scientific (MW), Cervel Neurotech, Inc. (EG, RLR), CNS Therapeutics (EG), Covidien (EG), Cumberland Pharmaceuticals Inc. (EG), Ethos Laboratories (TD), Flowonix Medical (TD, EG, GM), Jazz Pharmaceuticals (TD, EG, PK, GM, MW), Mainstay Medical (EG), Medtronic, Inc. (TD, EG, PK, GM), Myoscience (EG), NeuroPhage Pharmaceuticals (EG), Nevro Corp (TD, EG), Palyon (EG), Spinal Modulation (TD, EG), SpineThera (TD), SPR Therapeutics (EG), St. Jude Medical, Inc. (TD, EG), Tenex Health, Inc. (EG), VertiFlex Inc. (EG), Vertos Medical, Inc. (TD, EG), and Xalud Therapeutics, Inc. (EG); serving on the speakers bureau for Jazz Pharmaceuticals (TD, PK, GM, MS, MW), Medtronic, Inc. (EG, PK, GM, MS); serving on the advisory board for Axonics Modulation Technologies (TD), Bioness, Inc (TD), Flowonix Medical (TD, EG), Jazz Pharmaceuticals (TD), Medtronic, Inc. (TD), Nevro Corp (TD), North American Neuromodulation Society (MS), Spinal Modulation (TD), SPR Therapeutics (MS), and St. Jude Medical, Inc. (TD); receiving payment for development of educational presentations for Medtronic, Inc. (EG); receiving a consultancy fee or honorarium from Jazz Pharmaceuticals (MS), Medtronic, Inc. (MS), and SPR Therapeutics (MS); receiving fees for participation in review activities for Jazz Pharmaceuticals (EG); receiving meeting travel support from Jazz Pharmaceuticals (TD), Medtronic, Inc. (TD), Nevro Corp (TD), Spinal Modulation (TD), and St. Jude Medical, Inc. (TD); receiving fees for meeting participation/lecturer from Jazz Pharmaceuticals (MW); receiving royalties from McGraw-Hill (MW); receiving fees for expert testimony from Mylan (MW); being a stockholder of Axonics Modulation Technologies (TD), Bioness, Inc (TD), Ethos Laboratories (TD), Medtronic, Inc. (EG), Nevro Corp (TD, EG), Relypsa Inc. (I-ZH), Spinal Modulation (TD), SpineThera (TD), and Vertos Medical, Inc. (TD, RLR); and being an employee and stockholder of Jazz Pharmaceuticals (I-ZH, RR).

134

P-9039 | The authors report receiving research grants from CNS Therapeutics (MS), Flowonix Medical (GM), GW Pharmaceuticals (MW), Jazz Pharmaceuticals (MS, GM), Mallinckrodt (MS, GM), Medtronic, Inc. (MS, GM), and Pfizer Inc. (MW); serving as a consultant for Axonics Modulation Technologies (TD), Bioness, Inc (TD), Boston Scientific (MW), Ethos Laboratories (TD), Flowonix Medical (TD, GM), Jazz Pharmaceuticals (TD, PK, MW, GM), Medtronic, Inc. (TD, PK, GM), Nevro Corp (TD), Spinal Modulation (TD), SpineThera (TD), St. Jude Medical, Inc. (TD), and Vertos Medical, Inc. (TD); serving on the speakers bureau for Jazz Pharmaceuticals (TD, MS, PK, MW, GM), and Medtronic, Inc. (MS, PK, GM); serving on the advisory board for Axonics Modulation Technologies (TD), Bioness, Inc (TD), Flowonix Medical (TD), Jazz Pharmaceuticals (TD), Medtronic, Inc. (TD), Nevro Corp (TD), North American Neuromodulation Society (MS), Spinal Modulation (TD), SPR Therapeutics (MS), and St. Jude Medical, Inc. (TD); receiving a consultancy fee or honorarium from Jazz Pharmaceuticals (MS), Medtronic, Inc. (MS), and SPR Therapeutics (MS); receiving meeting travel support from Jazz Pharmaceuticals (TD), Medtronic, Inc. (TD), Nevro Corp (TD), Spinal Modulation (TD), and St. Jude Medical, Inc. (TD); receiving fees for meeting participation/lecturer from Jazz Pharmaceuticals (MW); receiving royalties from McGraw-Hill (MW); receiving fees for expert testimony from Mylan (MW); being a stockholder of Axonics Modulation Technologies (TD), Bioness, Inc (TD), Ethos Laboratories (TD), Nevro Corp (TD), Spinal Modulation (TD), SpineThera (TD), and Vertos Medical, Inc. (TD); and being an employee and stockholder of Jazz Pharmaceuticals (I-ZH, FM, GV).

P-9053 | The author is a member of the "Hypotension Probability Indicator: European Target Market Release Working Group " sponsored by Edwards Lifescience. The author gets payment from Edwards LifeScience for this advice.

P-9111 | This project was rewarded a restricted educational grant as a recipient of The Grunentahl National Pain Award in 2015.

P-9122 | Dr. Bao received research support and is a principal investigator on this research study, funded by Pacira Pharmaceuticals, Inc. Dr. Bao also received research funding from Vivozon Inc. for unrelated research.

Dr. Patel received research support from Pacira Pharmaceuticals, Inc., manufacturer of a drug evaluated in this study.

Dr. Gadsden is a consultant and principal investigator on this research study, funded by Pacira Pharmaceuticals, Inc. Dr. Bendsten is a principal investigator on this research study, funded by Pacira Pharmaceuticals.

MCC-7040 | Steven Cataldo is employed by and owns shares of stock with Revolutionary Medical Devices, Inc.

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

Saturday december 9, 2017 â&#x20AC;˘ 9:30 - 11:30 Intrapleural Catheter for Pain Control

Naeem Ahmad, M.d.

P-9037

Sara Alvarez-Zaballos

P-9055

Noelle Arroyo, bA

P-9062

Phui Sze Au yong, MbbS, MMed

MCC-7016

Jonathan bacon, ddS

MCC-7015

Shelby badani, M.d.

MCC-7041

dynamic Occlusion of the Left Ventricular Outflow Tracts by an Embolized Watchmand device

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

MCC-7012

Clinician discharge Opioid Prescribing Patterns in Surgical Patients with Obstructive Sleep Apnea

Nicholas barone, M.d.

P-9036

Pneumocephalus after Combined Spinal-Epidural with Loss-of-resistance to Saline technique

Stamatis baronos, M.d.

MCC-7009

Sylviana barsoum, M.S., M.d.

MCC-7035

ramesh bhattarai, M.d.

MCC-7031

Adjoa boateng, M.d.

P-9045

Leveraging the EMr to Maximize resident Assessments

Stephen breneman, M.d., Ph.d.

P-9006

Using the SuperNO2VA device to Facilitate Awake Fiberoptic Intubation and Provide Post-Operative Nasal Positive Pressure in a Patient with a difficult Airway

Steven Cataldo, M.d.

MCC-7040

Scott Chamberlain, d.O.

MCC-7017

Annie Chen, d.O.

MCC-7034

A Prospective, randomized and Controlled Trial on the Effect of deep Neuromuscular blockade during Transurethral resection of bladder Cancer on Surgical Condition: Comparison with Moderate Neuromuscular blockade: A Preliminary result

Seunghyun Chung, M.d., Ph.d.

P-9010

respiratory Status at PACU discharge as Predictor for PostOperative respiratory depression on the General Hospital Floor

barak Cohen, M.d.

P-9015

Lynnie Correll, M.d., Ph.d.

P-9024

right-Sided Pneumothorax After Thoracotomy and One-Lung Ventilation in an Adult With recurrent Left-sided Congenital diaphragmatic Hernia

Christopher Cowart, M.d.

MCC-7059

Intraocular Pressure during General Anaesthesia with Classic LMA as Compared to Facemask: A randomized Study

Vanlalnghka darlong

P-9014

Frequency-dependent Cardiotoxicity of ropivacaine: Study in an Experimental Porcine Model Hospital Surgical Volume does not Affect readmissions or resource Utilization after Isolated Coronary Artery bypass Grafting (CAbG) When Examining Socioeconomic disparities: A Multistate Analysis, 2007-2011 Anesthetic Challenges of A Paediatric Patient with rubinstein-Taybi Syndrome for dental day Surgery When to Call Code H: Challenges to Managing Acute ST depressions in the Intraoperative Setting Trigger Warning: Anesthetic Management of Mitochondrial disease in an Adult Patient

A Super Obese Patient with OSA for Cholecystectomy: Induction of General Anesthesia Aided by a Novel Nasal PAP Mask Assembly Providing CPAP PreOxygenation and Assisted Nasal Ventilation Postoperative Venous Thromboembolism in High Altitude, A Case report Vocal Cord Laceration from Orotracheal Intubation with Laser-Flex Endotracheal Tube: A Case report

Anesthetic Management of Severe Pericardial Effusion in a Toddler with Pierre robin Sequence and demonstrated difficult Airway Old dog New Tricks: An Alternative Technique for the C-MAC d-blade

Oh No! How Long Have They been NPO?

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

135

Saturday december 9, 2017 • 9:30 - 11:30 Near Miss Venous Air Embolism due to a buretrol® Malpositioned Shut-Off Valve

Alberto de Armendi, M.d., Ph.d., M.b.A.

P-9007

Early Exposure to Anesthesiology: A Horizontal and Vertical Integration Framework for Preclinical Medical Students

Amareen dhaliwal, M.d., MPH, MHA Candidate

P-9005

Unilateral Tympanic Membrane rupture during robotic-Assisted Laparoscopic Prostatectomy

diana Escobar, M.d.

MCC-7029

Ayman Farag, M.d., AbA, AbPA

P-9060

Mohamed Farrag, M.b.b.CH

P-9059

Aida Fernández García

P-9026

Sofia Ferraz

MCC-7023

Alfredo Fiallo, M.d.

MCC-7061

Myroslav Figura, M.d.

MCC-7052

Luis Garcia-Aparicio, M.d., Ph.d.

P-9030

Implementation of Electronic Prescribing to Improve Quality and Efficiency of Anaesthetic Pre-operative Assessments at royal brompton Hospital.

Arianna Gaspari, M.d.

P-9057

Evaluation of a Non-invasive respiratory Volume Monitor without Patient-specific Calibration

Jason Gremillion, M.d.

P-9016

The Use of dexmedetomidine during Cardiac Surgery in a Malignant Hyperthermia Prophylaxis Case

Ajitpal Grewal, M.d.

MCC-7045

Abhishek Gupta, d.O.

P-9027

Somdatta Gupta, M.d.

P-9013

Carmelina Gurrieri, M.d.

P-9012

Andrea Gutierrez, M.d.

P-9018

Shannon Hancher-Hodges, M.d.

MCC-7055

Susie Hannon, Mb bCh bAO LrCP SI

MCC-7051

david Hao, M.d.

MCC-7058

Mark Harris, M.d., MPH

P-9056

Emergency Cesarean Section for Antiphospholipid Syndrome Pregnant Women Endomorphins Potentiate ASIC Currents and Enhance the Lactic Acid-Mediated Increase in Arterial blood Pressure-Effects Amplified in Hindlimb Ischemia Naloxone and its Influence on Nausea, Vomiting and Postoperative Pain in Pediatric Patients An Endoluminal Orotracheal Tube Obstruction in Paediatrics: A Case report The double Use of a double Lumen Tube with an Integrated High-resolution Camera: Continuous Airway Monitoring can Facilitate the Surgical Steps for a bronchoplasty A Novel Nasal PAP Mask Assembly Maintained Spontaneous Ventilation and Oxygenation in a Morbidly Obese Patient with OSA and History of Sedation-Induced Apnea and Severe desaturation during repeated Attempt of Colonoscopy Physiological response to Minimally Invasive Surgery in Pediatric Urology

Anesthetic Management of Infants for Endoscopic Laryngeal Cleft repair Financial Impact of Applying Modified NICE/ASA Guidelines to Current Practice for Preoperative Testing Minute Ventilation Prior to Opioid dose as a Predictor of Opioid-Induced respiratory depression in the PACU Prevention of the Formation of Atelectasis during the Induction Phase in a General Anesthesia by the uso of High-flow Nasal Cannulas in the Obese Patient.

Successful Management of a Post dural Puncture Headache in a Jehovah’s Witness Patient with Cosyntropin Supraclavicular block for Shoulder Surgery in a difficult Case Post-operative Acromioclavicular Joint Injury with Spinal Cord Stimulator Implant Evidence-based Multidisciplinary Algorithm For the diagnosis and Management of Perioperative Myocardial Ischemia

136

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Life Threatening Huperkalemia with Massive Transfusion: What Factors put Patients at risk?

Ellen Hauck, d.O., Ph.d.

P-9017

General Anesthetic Considerations for Elective ENT Procedure in young Women with Severe restrictive Lung disease and Pulmonary Hypertension

rafeek Hegazy, MbbCH

MCC-7042

Postoperative Complication Following Awake Tracheotomy

Zachary Hoffman, M.d.

MCC-7001

Kristin Hoffman, d.O.

MCC-7003

Alexander Hogg, M.d.

MCC-7030

Shaigan Iqbal, M.d.

MCC-7039

dhruv Jain, M.d.

P-9050

Anesthetic Considerations and Management for a Patient with Compression of the Carina and bilateral Mainstem bronchi

Cyriac Joseph, bS

MCC-7014

TEE Captures right Heart Gas Lock due to Massive Carbon dioxide Embolism in a Patient With rare Genetic Vascular Anomaly of Absent right Superior Vena Cava with Persistent Left Superior Vena Cava: A Case report

robert Kale, M.d.

MCC-7010

Melissa Kenevan, M.d.

P-9002

Paul Kessler, M.d., Ph.d.

P-9049

Maryna Khromava, b.S.

P-9043

Patient with Lower Extremity deep Vein Thrombosis and Pulmonary Embolism with right Ventricular Strain who Suffered a Cardiac Arrest (PEA) during an Interventional radiology Procedure to remove the Clot.

Sudheera Kokkada Sathyanarayana, MbbS, M.d.

MCC-7047

Nicotine Withdrawal as a Cause for delirium in a Cardiac Surgery Patient Unexpected Finding of Vocal Cord Polyp After Induction Anesthetic Management of a Patient with Systemic Mastocytosis and Propofol Allergy Ultrasound Guided Thoracic Paravertebral, Pectoralis II, and Serratus Anterior Plane block in breast Surgeries: Spread of Local Anesthetic and Postoperative Analgesia

Characteristics of Anesthesiology Program directors: A Follow-up Study Influence of Tunnelling on the Thoracic Epidural Catheter-related Infection rate benefit to research recruitment at the Preanesthesia Clinic: Learning from the Liver Transplantation Frailty Study

The SuperNOVA Nasal Ventilation Mask to decrease Sedation-related Hypoxemia in High-risk Patients: A Case Series

rachel Kozinn, b.S., M.d. Candidate (MS4)

P-9042

Alessandro Laudani, M.d.

P-9034

Kevin Lee, bS

MCC-7065

Si Jia Lee, MbbS, MMed Anaesthesia

MCC-7032

Postoperative Pain Management in Gynecological Surgery using Sufentanil Sublingual Tablet System Intraoperative Management in a Patient with a History of Left Ventricular Noncompaction Cardiomyopathy Undergoing repeated Cesarean Section Challenging Airway in a Case of Mediastinal Mass

reducing Nausea and Vomiting during Cesarean Section with regional Anesthesia: Is the Application of Scopolamine Patch with or without Intra-operative Acupressure Point P6 Stimulation more effective than Intra-operative Acupressure Point P6 Stimulation alone? Prospective randomized clinical trial.

Hospital readmissions and resource Utilization After Isolated CAbG remains Increased for black and Hispanic Patients After Controlling for Insurance Type The reappearing Pulse Ox: Infraclavicular block for Perioperative Sympathectomy in Severe raynaudâ&#x20AC;&#x2122;s Phenomenon

2017 | PGA71 Program

SPONSOrEd by:

danielle Levin, bA

P-9061

brian Like, M.d., MbA

P-9031

Jacob Loyd, M.d.

P-9052

The New york State Society of Anesthesiologists, Inc.

137

Saturday december 9, 2017 • 9:30 - 11:30 Anesthetic Management of Nager-de reynier Syndromic Patient for Oral and Maxillofacial Surgery

dayo Lukula, M.d.

MCC-7053

Improving the Medical Learning Environment

Saint Magbegor, M.d.

P-9004

Endobronchial Aspiration of a Food bolus with Near-Asphyxia in a Geriatric Patient

Tuong-Thuy Mai, d.O.

MCC-7048

WenJie Mak, MbbS

MCC-7020

Teresa Martínez Marivela, M.d.

P-9029

Gladstone Mcdowell, M.d.

P-9038

Tejal Mehta, M.d.

MCC-7021

Javier Montupil, M.d.

P-9020

Almudena Morales

P-9054

Use of Prothrombin Complex Concentrate for Hemostasis during Emergent Aortic Surgery in Patient with refractory bleeding on rivaroxaban

Sana Na Javeed, M.d.

MCC-7013

Medicolegal Challenge in Obtaining Consent for Urgent Airway Management

dheeraj Nagpal, M.d.

MCC-7026

Sayan Nath, M.d.

P-9051

Thanuja Neerukonda

MCC-7002

dung Nguyen, M.d.

MCC-7060

Katherine Nixon, M.d.

P-9063

Selaiman Noori, M.d.

MCC-7056

daniele Parise, M.d.

MCC-7063

Meghan Park, M.d.

MCC-7057

Perene Patel

P-9009

Nada Pejcic, M.d.

P-9001

Miguel Peñas Garrote, M.d.

P-9047

Anthony Plunkett

P-9033

Nicolas Ponthieu, PG

P-9046

Challenge in Managing Perioperative Hypoglycemia in a Child on Modified Atkins diet Life-threatening Case of Upper Gastrointestinal bleeding in a 15-month-old boy.

Effectiveness and Safety of Intrathecal Ziconotide as the First Agent in Pump for Adult Patients With Severe Chronic Pain A Novel Nasal PAP Mask Assembly Maintained Spontaneous Ventilation and Oxygenation in an Obese Pediatric Patient during EGd at an Adult Endoscopy Suite Effect of Hypercapnia on Cerebral Oximetry in Obese Patients during Laparoscopic Gastric bypass Preliminary Evaluation of Lipid Emulsion on Electrophysiologic Effects of ropivacaine. Study in an Experimental Porcine Model of ropivacaine Intoxication

Efficacy of Clonidine as an Adjuvant to ropivacaine in Ultrasound Guided Transversus Abdominis Plane block in Adult renal Transplant recipients Pulmonary Artery rupture Management With a Single Lumen Endotracheal Tube: old tricks that should be revisited.

Complete bronchus Transection After blunt Trauma A Patient Safety and Cost-effective Solution for Complying with USP797 Compounding regulations for Spiked IV bags- A Solution to the Prepared IV Solution Issue Medically refractory Central Post-Stroke Pain Treated with High-Frequency Spinal Cord Stimulation at 10-kHz Munchausen Syndrome: A Case Presenting as difficult Intubation Successful Use of TAP blocks to Treat Chronic Abdominal Pain End-tidal Carbon dioxide Monitoring during Transthoracic Echocardiography (TEE) with Procedural Sedation: A Pilot Study The Influence of International Teaching Visit on the Use of regional Anesthesia in General Hospital Leskovac, Serbia Administration of Colloids and Perioperative bleeding on Microsurgical breast reconstruction A Prospective, Single-blind, randomized Controlled Trial of Auricular Acupuncture for the reduction of Post-Operative Tonsillectomy Pain in Adults Suitability of the JAWAC sensor to complement CO2 Monitoring to detect obstructive apnea during propofol sedation

138

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www.pga.nyc

#pga71

A Novel Nasal PAP Mask Assembly Maintained Spontaneous Ventilation and Continuous Oxygenation in a Patient with difficult Airway due to Mandibular Fracture during Sequential Oral/Nasal Endotracheal Intubation

Andrea Poon, M.d.

MCC-7038

yodying Punjasawadwong, M.d.

P-9021

William raoofi, M.d.

P-9035

Francisco Javier, redondo, M.d., Ph.d.

P-9040

The Effect of Goal-directed Crystalloid versus Colloid Administration on Postoperative brain Natriureticpeptide Arandomized Controlled Clinical Trial

Christian reiterer, M.d.

P-9019

Intrathecal Ziconotide for Treatment of Chronic Pain: Analysis of the Current Situation based on our Experience

Estefania, romero, M.d.

MCC-7054

Transient Hypoglossal Nerve Palsy Following General Anesthesia: A Case report and review

Alicia ruiz Escobar, M.d.

P-9064

Laert rusha, M.d.

MCC-7043

Iolanda russo-Menna, M.d., Ph.d., MEd

P-9003

Stuart Sacks, b.S.

P-9028

Irim Salik, M.d.

P-9023

Gabriela Samayoa, M.d.

P-9011

Anna Sankovsky, M.d.

MCC-7037

Jonathon Schwartz, M.S.E., M.d.

P-9025

Usman Shah, M.d.

MCC-7033

Hoon Shim, M.d., Ph.d.

MCC-7008

Margo Short, M.d.

MCC-7049

Ujma Shrestha, M.d.

MCC-7064

Jacqueline Sim, MbbS, bMEdSci

MCC-7005

Andie Leigh Smestad, M.d.

MCC-7011

Gumersindo Solares, M.d. Ph.d.

P-9053

Incidence and risk Factors of Emergence Agitation After General Anesthesia at the Postanesthetic Care Unit in Maharaj Nakorn Chiang Mai Hospital: A Prospective Observational Study Systemic Lupus Erythematosus Associated Abdominal Pain responsive to Celiac Plexus block Hyperthermic Chenotherapy Intra-Abdominal Laparoscopic Approach: Effectiveness and Safety in development Porcine Model

A Case of Intra-operative Anaphylaxis due to Contrast dye with a Protracted Post-operative Course Memory, Cognition and brain: How Adults Learn Today Electroconvulsive Therapy (ECT) in Children With Autism: A Systematic review of the ECT Practice and Anesthesia Approach to this Emerging Therapy dexmedetomidine as a Solitary Agent for Sedation og Neonates in the MrI Environment Comparison of Pulse Oximetry readings From Finger vs.

Ear Probe Locations in Anesthetized Patients Congenital Subglottic Stenosis Complicating Tracheal Intubation in an Adult With dwarfism New-onset SVT in the Pediatric PACU after Appendectomy A Novel Nasal PAP Mask Assembly Provided Continuous Active Oxygenation in a Patient with Fragile x Syndrome, Autism and Poor Face-Mask Fit during GA Induction for EUA and dental restoration Fluid Management of a Patient with Nephrogenic diabetes Insipidus Undergoing Cesarean Section refractory bradycardia Secondary to beta blockade Supraventricular Tachycardia in a Parturient with WPW Syndrome following the Administration of Oxytocin during Cesarean Section: A Case report recurrent Hypertriglyceridemia Induced Acute Pancreatitis in Pregnancy Anesthetic Sedation for Valve-in-Valve TAVr in a Patient with Pulmonary Carcinoid Tumor The Effects of the Siting Position on the Cardiac Output during Spinal Anesthesia 2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

139

Saturday december 9, 2017 â&#x20AC;˘ 9:30 - 11:30 Congenital diaphragmatic Hernia

david Stordahl, M.d.

MCC-7019

Jasmine Strambler, M.d.

P-9041

Tolga Suvar, M.d.

MCC-7025

Sameet Syed, M.d.

MCC-7027

Kanza Tahir

MCC-7062

richard Thalappillil, M.d.

P-9032

Kavitha thatte, M.d.

MCC-7006

Hanae Tokita, M.d.

P-9022

Michael Trawicki, M.d.

P-9044

Timely Interventional Embolization Prior to Hemangioma resection in an Infant with Kasabach Meritt Syndrome

Lindsey Van drunen, M.d.

MCC-7022

The Anesthetic Management of a Child with AdHd on guanfacine for a drug-induced Sleep Endoscopy: Is there a dexmedetomidine ceiling effect?

Lana Volz, M.d.

MCC-7018

Emergent Exploratory Laparotomy in a Patient with Superior Vena Cava Obstruction

Kristin Wakin, M.d.

MCC-7044

Sustained Effectiveness of Intrathecal Ziconotide Use as the First Agent in Pump in Patients With Severe Chronic Pain

Mark Wallace, M.d.

P-9039

Matthew Warrick, M.d.

MCC-7050

Adam Wetcher, M.d.

MCC-7046

Ursula Uduak Williams, M.d.

MCC-7028

Matilde Zaballos, M.d., Ph.d.

P-9048

Conservative Fluid Management as a Component of an Enhanced recovery Protocol

Steven Zadora, M.d.

P-9008

Opioid requirement in Patients with rare Mutations in the Mu-opiate receptor Gene (OPrM1)

Li Zhang, M.d., Ph.d.

P-9058

does Gender difference Exist in resident Self Evaluations?

Seizure in the PACU Guide Wire retention and removal General Anesthesia for Caesarean Section in a Full-Term Patient with Chiari Type I Malformation resource Utilization, Postoperative Mortality and Morbidity in Octogenarians: Our Experience 10 years later Emergency Cesarean Section in a Patient with Idiopathic Intracranial Hypertension and Transient Osteoporosis of Pregnancy Outcomes and Safety Among Patients with Obstructive Sleep Apnea (OSA) undergoing Cancer Surgery in a Free-standing Ambulatory Surgical Facility Standardized Train-of-Four Monitoring with the use of Neuromuscular blockade Agents to reduce Adverse Post-Anesthesia Outcomes: A Quality Initiative

Successful Completion of a Supraclavicular Nerve block in a Patient with an Undiagnosed Cervical rib without Thoracic Outlet Syndrome Pulmonary and brain Fat Embolism Syndrome Successful Anesthetic Management for a Medialization Thyroplasty in a Case of Vagus Nerve damage from breast Cancer recurrence Preliminary Evaluation of Intralipid vs. Amiodarone for the Prevention of bupivacaine Induced Ventricular Arrhythmias in an Experimental Porcine Model

140

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Sunday december 10, 2017 â&#x20AC;˘ 9:30 - 11:30 Anesthesia for Thoracic Surgery: A Survey of Middle Eastern Practice

Ahmed Abdulmomen, M.d., FCCM

P-9075

rose Alloteh, M.d.

P-9091

raymond Amponsah, bA

MCC-7086

Fathima Aquila, MbbS

MCC-7078

Emergency Management of Post-Operative bleeding in an Undiagnosed Hypofibrinogenemia Pediatric Patient

Noora Ayyash, ddS

MCC-7119

research for Usability of Heparin binding Protein in Early diagnosis of Septic Shock

Canan balci, M.d.

P-9065

Prevalence of Intensive Care Infections and VentilatorAssociated Pneumonia in the Training Center of Kocaeli

Canan balci

P-9066

Preoperative Frailty as a Predictor of Postoperative Complications in Non-Cardiac Elective Surgery: A Prospective Analysis

Felix balzer

P-9079

raksha bangalore, M.d.

P-9118

xiaodong bao, M.d., Ph.d.

P-9122

Anuschka bhatia

MCC-7085

Eva blazquez-Gomez, M.d., EdAIC

P-9097

Martin burke, M.d.

P-9073

blastomycosis and Severe ArdS Complicating Pregnancy

John Cagino, M.d.

MCC-7111

Evaluation of Lipid Emulsion on the Hemodynamic Effects of ropivacaine: Study in an Experimental Porcine Model of ropivacaine Intoxication

Cristina Cardenas

P-9116

Can we use Peripheral Venous Pressure (PVP) Variability during Leg raise Test to Predict Hypovolemia during Lower body Negative Pressure?

Jose Chavez, M.d.

P-9071

Jin Chen, M.d.

P-9077

Three recent Cases of ACE-I related Angioedema Causing Severe Airway Obstruction

Antonio chiricolo, M.d.

MCC-7125

Comparison of Propofol and Sevoflurane Anesthesia by Means of blood Loss during Transnasal Transspheoidal Approach (TSA) resection of Pituitarytomors

Eunsu Choi, M.d., Ph.d.

P-9072

Jon Christensen, M.d.

MCC-7110

Mike Cranney, d.O.

MCC-7069

Giulia beatrice Crapelli, M.d.

P-9088

Trey Creech, M.d.

MCC-7104

Is Epidural-PCA Analgesia requirement for Labor Pain reduced during the Night? bronchospasms during Anesthetic Emergence Successful Treatment of Acute Allergic reaction to Tranexamic Acid during Total Knee Arthroplasty

Prevalence of burnout in Anesthesiology residents and development of Formal Wellness Program brachial Plexus block With Liposomal bupivacaine for Total Shoulder Arthroplasty or rotator Cuff repair: results from a randomized Controlled Trial Enhanced recovery after surgery for a patient undergoing nephrectomy The Utility of Sugammadex in Ultra Fast-Track Extubation After Pediatric Cardiac Surgery: Preliminary results Stress dose Steroids or does Stress Need Steroids?

Medical Therapy for Atherosclerotic Cardiovascular disease in Patients with Myocardial Injury after Non-cardiac Surgery

Combined Spinal-epidural Anesthesia for Cesarean delivery in a Patient with Tricuspid Atresia Status Post Fontan repair Sugammadex as a reversal Strategy in a Patient with Masthenia Gravis Clinicians and Managers: different Professions a Single Goal Management of Emergent Cesarean Section for Twin b in Parturient with Arnold Chiari I Malformation

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

141

Sunday december 10, 2017 â&#x20AC;˘ 9:30 - 11:30 How Opioid Allergies Alter the Management of TIVA and Peri-Operative Pain regimen: A Case report

Chris Cullom, M.d.

MCC-7083

Matthew dabski, M.d. MPH

MCC-7127

Florence dasrath, b.A., M.d. Candidate

P-9121

Monitored Anesthesia Care with Transesophageal Echocardiography for Transcatheter Aortic Valve replacement Lactate Clearance is not Predictive of Morbidity or Mortality After Liver resection

A Novel Nasal PAP Mask Assembly Maintained Spontaneous Ventilation and Provided Continuous Active Oxygenation in a Frail High-risk dNr/dNI Patient during EGd and Colonoscopy

Vincent deAngelis, M.d.

MCC-7080

Nadeem Elbetebsi, MbChb

P-9070

Mathias Emmerich, M.d., dEAA

MCC-7106

Percent Change of Stroke Volume during Passive Leg raise (PLr) Test as a Predictor of Tolerance to Hypovolemia during Lower body Negative Pressure (LbNP)

Hesham Ezz, MbChb

P-9069

A Novel Approach to Post-Operative Pain Control after Scoliosis Surgery through Continuous Local Anesthetic Infusion Targeting the Thoracolumbar dorsal rami Nerves, a Case report

Gabriel Farkas, M.d.

P-9114

Austin Ferguson, d.O.

MCC-7082

Fernando Ferreira, bSc, rN

P-9107

david Ferson, M.d.

MCC-7067

Andrew Fisher, M.d.

MCC-7081

Christine H Fratzola, M.d.

MCC-7118

Anish Garg, d.O.

MCC-7091

Hui Fen Jacqueline Goh, MbbS, MMed

MCC-7076

Emergency Fiberoptic Intubation in Patient with HOCM

George Gold, M.d.

MCC-7084

Protection of the renal Allograft during Adult Congenital Heart Surgery: A Tale of Two Kidneys

Erin Gottlieb, M.d.

MCC-7129

Natasa Grancaric, M.d.

MCC-7099

Use of Pregabalin in a tertiary Cardio-thoracic referral Centre - Are we Prescribing for the right reasons?

Christina Gullberg, bSc, MSc, rN

P-9108

Epidural Anesthesia for C-section in a Full-Term Patient with Type I Arnold-Chiari Malformation

Imran Hamid, M.d.

MCC-7101

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

P-9094

Pilot Study: An assessment of the endothelial function utilizing finger pulse oximetry (PPG) waveform double Trouble: Continuous Non-invasive Hemodynamic Monitoring during Twin Caesarean-section Under Spinal Anesthesia in a Gravida 2 Para 1 Patient with Advancing Severe Combined Aortic Valve defect

Fat Embolism Syndrome in patient with Severe Pulmonary Hypertension Pain Assessment In Adult Critical Care: Evaluation of Practice Successful Use of the LMA to Manage an Airway Emergency in the GI Suite Anesthetic Management of duodenal Atresia and Aorto-Enteric Fistula Secondary to Vascular Prosthesis Infection A Novel Nasal PAP Mask Assembly Provided Continuous Active Oxygenation in a Pediatric Patient with a brain Abscess during Endotracheal Intubation by a Medical Student General Anesthesia for diagnostic Laparoscopy in Workup of rising Lactic Acidosis Anaesthetic Management of a 40-hour Complex recurrent Sacral Chordoma resection: A Case report

dramatic Improvement of Acute Stage CrPS I in a young Male Athlete Following Lumbar Sympathetic blockade

Isoflurane Modulates Activation and Inactivation Gating of the Prokaryotic Na+ Channel NaChbac

142

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www.pga.nyc

#pga71

Focused Transthoracic Echocardiography and in-hospital Cardiac Arrest: Exploring the Quality and Utility of residentObtained Echocardiograms Moral Hazards of a New Patient Pathway: Varying Inter-professional Interests

Susan Herrick, M.d.

P-9068

Sian Jaggar, MbbS, FrCA, FFPMrCA, CertMedEd, M.d.

P-9109

Hemodynamics and Finger PPG Width Changes during Lower body Negative Pressure

Khaled Jamoor, M.d.

P-9084

davis Jones

P-9123

Julia Kang, bSN

MCC-7117

Anirban Kanjilal, M.d.

MCC-7107

Undiagnosed Abdominal Compartment Syndrome Causing Sudden Cardiac Arrest In Necrotizing Enterocolitis: A Case report

Aida Khizkiyayeva, d.O.

MCC-7074

Emergency Tracheostomy: Airway Management dilemma Following Sudden Cardiac Arrest In A Patient With A Tracheal Mass: A Case report

Aida Khizkiyayeva, d.O.

MCC-7116

Geza Kiss, M.d.

P-9093

Vinday Kudur, d.O.

P-9103

Victoria Lagasse

P-9117

Izabela Leahy, rN MS

P-9096

diana Leite

P-9101

Anaphylaxis to rocuronium: an Unexpected Cause of Extreme Intraoperative Hypotension

Claudio Lumermann, M.d.

P-9080

Analgesic Efficacy of Pectoral Nerve blocks in breast Surgeries

Neethu M, MbbS, M.d.

P-9113

Andrius Macas, M.d.

P-9074

James Maher, M.d. Candidate 2018

P-9100

repair of a Proximal descending Aortic Aneurysm in a 12 year-old Patient

Tuong-Thuy Mai, d.O.

MCC-7126

Local Anesthetic Neurologic Toxicity reversed with a Small dose of Lipid Emulsion

badie Mansour, M.d.

MCC-7089

Scott Mellender, M.d.

P-9092

benjamin Metcalfe, d.O.

MCC-7120

darcy Miller, M.d.

MCC-7128

Publication bias- An Unrecognized Cause of Publication delays in Anesthesiology Airway Management in Pediatric Patient with Traumatic Prolapse of Necrotic buccal Fat Pad Subdural Hematoma and Mass Effect after Epidural Anesthesia

A Comparison between Combined Spinal-Epidural Anesthesia (CSE) with or without Epidural Saline Administration for Cesarean Section ZN deficiency: A Cause of Opioid-Induced Physical dependence and Addiction The Effectiveness of an ErAS Preoperative Health Education Program on Patient Preparation for Surgery Safety, Outcomes, and Cost Effectiveness: Comparison of Circumcisions Procedure at boston Childrens Main Campus vs. Satellite Campus The importance of Quantitative Sensory Testing in diagnosis and Treatment Management

Variability of Left Ventricle Outflow Tract VTI during breathing Cycle May Predict Fluid responsiveness in the Postoperative Period for Non-cardiac Spontaneously breathing Patients The Effect of Intraoperative IV Acetaminophen and Ibuprofen on Postoperative Pain Management and Opioid Use in Pediatric Otolaryngology Surgery Patients

A Comparison of Combined Spinal-Epidural-PCA Analgesia With Continuous Epidural-PCA Analgesia Alone for Labor Pain Hypokalemia, digoxin, and Perioperative Ventricular Fibrillation Arrest in a Premature Neonate with Presumed Congestive Heart Failure The role of Transesophageal Echocardiogram in Inferior Vena Cava Invasive renal Cell Carcinoma

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

143

Sunday december 10, 2017 â&#x20AC;˘ 9:30 - 11:30 Experience of Gender in the Workplace by Anesthesiologists

Joanna Miller, M.d.

P-9078

Guillain-barrĂŠ syndrome during Pregnancy: A challenge for the Anesthesiologist

Adil Mohiuddin, M.d.

MCC-7102

Choroidal Infarction Following Ophthalmic Artery Chemotherapy

Gabrielle Musci, M.d.

P-9098

rotem Naftalovich, M.d.

P-9089

Samantha Ni

MCC-7100

Peter Nielsen, M.d.

P-9125

Chronic Pelvic Pain Management in a Multidisciplinary Pain Unit

Sara Nieto, M.d.

P-9105

Oxygenation in the Operating room: A Case Series of High Flow Nasal Cannula Utilization for Patients with Challenging Airways

Asha Nookala, M.d.

MCC-7088

Neel Pandya, M.d.

MCC-7092

Patricia Pang, M.d.

MCC-7090

Kerriann Parchment, M.d.

MCC-7079

Edward Park, M.d.

MCC-7105

Comparative Study of Perioperative Analgesic Techniques in Total Knee Arthroplasty in Measuring Analgesia and Functional Outcomes

Phani Paruchuri, M.d.

P-9102

Autonomic Hyper-reflexia in a Patient Undergoing Laparposcopic Cholecystectomy

Anjalena Pasam, M.d.

MCC-7073

Neha Pawar, M.d.

P-9104

Alessia Pedoto, M.d.

P-9067

Matthew Perlstein, M.d.

P-9076

Vincenzo Pota, Ph.d.

MCC-7122

david Preiss, M.d., Ph.d.

P-9085

dritan Prifti, M.d.

MCC-7071

detection of Upper Extremity Neurovascular Compromise in a Prone Patient

Michael rahimi, M.d.

MCC-7072

Combined Spinal-Epidural Analgesia for Vaginal delivery in a Parturient with Arnold-Chiari Type I Malformation

Muhammad rana, d.O.

MCC-7108

Methodology of Electroencephalography Guidance of Anesthesia to Alleviate Geriatric Syndromes (ENGAGES-cardiac): A randomized Clinical Trial in Cardiac Surgery Patients

Nicole relke, M.d. Candidate

P-9083

Complete Cognitive recovery and Survival of Massive Pulmonary Embolism during General Anesthesia after Administration of Alteplase: A Case report

Marinell rivera, M.d.

MCC-7087

does Increasing the Concentration of Epidural-PCA Fentanyk for Labor Improbe Analgesia without Effect to Neonate?

Myoclonus after Ephedrine Administration

demographics of an Iraqi Field Hospital under the Mosul Campaign 2017

Severe Pulmonary Hypertension and Femoral Neck Fracture: Attack Plan A Case of a Fascia Iliaca block as an Alternative Analgesic Option for Hip fractures in a Limited resource Setting Management of Unanticipated difficult Airway in Patient with Myotonic dystrophy: Anesthetic Considerations and Alternative Techniques for Placement of double Lumen Endotracheal Tube Successful dosing of an Epidural Catheter for an Emergent Caesarean delivery Following Inadvertent Epidurally-Administered Oxytocin

regional Anesthesia and Patients receiving Opiod Maintenance Therapy Acute Kidney Injury After Minimally Invasive Lung Lobectomy: A retrospective Analysis double disparity for Low Socioeconomic Status Patients in Postoperative Morbidity Following Total Hip Arthroplasty Case report: Shock Septic from descending Necrotizing Mediastinitis Experience with Immunoglobulins and Polymixin b Hemoperfusion A Simple Mobile Application to Improve PACU Communication and Efficiency Anesthetic Management in Ambulatory Setting for a Patient with MELAS Syndrome.

144

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

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Acute, Severe bradycardia with Near-asystole in Laparoscopic Surgery with Pneumoperitoneum

Vincenzo romano, d.O.

MCC-7093

Hiccups and Hoarseness after Interventional Cervical Epidural Steroid Injection

Sachin Sahni, M.d.

MCC-7098

does Higher diluent Volume Improve Quality of Epidural-PCA Infusion Post Cesarean Section?

Ashraf Sakr, M.d.

P-9090

Allen Saks, M.d.

MCC-7121

Attia Salah, M.d.

MCC-7124

The double disparity Facing Traditionally disadvantaged and Underserved Patients with regards to Postoperative Inpatient Mortality after Isolated CAbG Procedure

dahniel L. Sastow, bA

P-9082

A Novel Approach to Improving Operating room Efficiency in Pediatric Hospital by Parallel Processing

baiba Senbruna, M.d.

P-9087

Adinarayanan Sethuramachandran, MbbS, dA, dNb

P-9115

Pre and Perioperative Considerations in a Patient with Cold Induced Anaphylaxis and recently diagnosed Hereditary Angioedema Pulmonary Alveolar Proteinosis

Comparison of dexamethasone and dexmedetomidine as Adjuvants to bupivacaine in Prolonging the duration of Single Injection Supraclavicular brachial Plexus block

Unique Case of Cryofibrinogenemia for Elective Hernia repair

Ushma Shah, M.d.

MCC-7077

Ai Lin Shao, M.d.

MCC-7096

Marc Sherwin, M.d.

MCC-7075

Sophisa Sophonphattana, M.d.

P-9124

Jaspinder Sra, M.d.

MCC-7130

Francis Stellaccio, M.d.

P-9119

Successful Epidural Catheter Placement in a Case of Severe Pediatric Scoliosis for Lower Extremity Surgery

Ming-yun Tang, M.d.

MCC-7114

Laparoscopic Hysterectomy with retrosternal Goiter Abutting right Pulmonary Artery: An Anesthetic Challenge

yenyeen Teh, MbChb

MCC-7068

richard Thalappillil, M.d.

MCC-7070

Jaspreet Toor, d.O.

MCC-7095

Punita Tripathi, M.d.

P-9126

Pakorn Urusopone, M.d.

P-9081

Leo Varzi, d.O.

P-9112

Presentation of Inadvertent Subdural Catheter Placement Non Cardiac Surgery in a Patient with Unrepaired Complete Atrioventricular Canal defect with Eisenmenger Syndrome Is it Necessary to Correct for Heart rate when we are discussing PPG Width during Hypovolemia?

Thoracotomy Without Post Op Analgesics in a Patient with remote Traumatic brain Injury [TbI] - A Case report How many basal Cell Carcinomas do you have!?-Gorlin Syndrome

Airway Management in a Septic Morbidly Obese Male with Significant Submandibular and Sublingual Abscesses Presenting for Emergent Oral Surgery: A Comprehensive, Multimodal Approach Medical Marijuana and the discontinuation of Opioids in a Patient with Neuropathic Chronic Pain Awake Craniotomy Anesthesia: A Comparison between the Monitored Anesthesia Care (MAC) versus the AsleepAwake-Asleep (AAA) Technique The Effect of Preoperative Cognitive dysfunction on Outcomes in Cardiac Surgery review of Methods to Prevent Chronic Pain Syndromes After Cardiac Surgery

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

145

Sunday december 10, 2017 • 9:30 - 11:30 Education & Use of data in Anesthesiology - An Overview of Tools, Techniques, Application and Knowledge Sharing of data Analytics

donald Voltz, M.d.

P-9086

Molly Vora, b.A.

P-9111

retrospective review of Neonatal Abstinence Syndrome (NAS) Incidences and drug Classes of Intrauterine Exposures in Admissions in 2011 vs 2016 at the NICU in Kentucky Childrens Hospital

robert Weaver, M.d.

P-9099

Cervical radiculopathy or Myofascial dysfunction?

Clairese Webb, M.d.

MCC-7097

Minxi Weng, M.d.

MCC-7109

Cale White

P-9106

Gretchen Wienecke, M.d.

MCC-7094

Jennifer Anne Wright, bSc, MSc, rN

P-9110

Madiha yazdani, M.d.

MCC-7112

Chetra yean, M.d. Candidate

P-9120

Steve yun, M.d.

P-9095

Erica Zanath, M.d.

MCC-7123

yang Zhang, M.d.

MCC-7113

rong Zhao, M.d., Ph.d.

MCC-7103

Pain After Cardiac rhythm device Implantation: Fact or Myth?

Anesthetic Management of an Obstetric Patient With Placenta Percreta Gait Analysis in Patients Treated for Lumbar Spondylosis Misdiagnosis of Shoulder Pain Nurses - Attitudes to Pain: Two decades of data, are we Maintaining Positive Attitudes in regards to Pain?

Anesthetic Considerations in a ruptured Ectopic with a Negative b-HCG retraction of Anesthesia Publications: A Systematic review Sub-Lingual Midazolam/Ketamine/Ondansetron for Pediatric Sedation Acute Allograft rejection in the Late Post Heart Transplant Period: An Example of Successful Management Pediatric Patient with Obstructive Peri-glottic Cyst for General Naso-tracheal Anesthesia Anesthesia Management for elective Caesarean Section (C-section) in a Parturient with Placenta Accreta following previous C-section

Monday december 11, 2017 • 12:00 - 14:00 Healthcare disparities in Placenta Accreta Population Critical Evaluation of rotational Thromboelastometry Clotting Times Comparative Evaluation of Miller and Macintosh Lartngoscope blades for Laryngoscopic View and Ease of Intubation in Infants and Small Children

Samrawit Abraha, b.S.

P-9145

Ezeldeen Abuelkasem, MbbCh, MSc

P-9127

Aakanksha Aggarwal, M.d.

P-9128

Oscar Alam, M.d.

MCC-7170

Omar Alnatour

MCC-7142

Ashish Govinda Amatya, M.d.

MCC-7004

Management of Horner’s Syndrome and Hemiparesis Occurring After Thoracic Epidural Placement benefits of Spontaneous Ventilation during Esophageal Stent Placement Coronary Artery bypass Grafting In Patient With Severe Kyphoscoliosis Leading To Severe restrictive Lung disease: A rarity Of A Condition

Nasotracheal Intubation Over Gum-elastic bougie Under General Anaesthesia: A Prospective, randomized and Controlled Study

146

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

Sushil Ambesh, M.d.

www.pga.nyc

#pga71

P-9142

Monday december 11, 2017 • 12:00 - 14:00 A Case of disseminated Intravascular Coagulation during repair of Aortic dissection

Caryl bailey, M.d.

MCC-7188

Jessica barenboim, M.d.

MCC-7137

Andrew bennett, M.d.

MCC-7195

Transcatheter Aortic Valve replacement Through Transcaval Aortic Approach in a Patient with Cold Agglutinin disease and Extensive Iliofemoral disease

Anuschka bhatia

MCC-7192

regional Anesthesia and dexmedetomidine as Primary Anesthetic for Femoral Endarterectomy and Femoral-Popliteal bypass in a Patient with Severe COPd

Kait brennan, dO, MPH

MCC-7167

Luiza buffon

P-9135

John buono, M.d.

MCC-7135

Jeannee Campbell, Physician Assistant

MCC-7132

The Use of Electronic Modalities during the First Month of Anesthesia residency Training in Or

Won Chee, M.d.

P-9146

A rare Case of Acute blood Loss Induced Chronic Ischemic Neuropathic Pain - case report

yinan Chen, M.d., Ph.d

MCC-7202

Shaul Cohen, M.d.

P-9155

Matthew Coleman, M.d.

MCC-7156

Grace Cruz, M.d. , MHA

MCC-7184

daniel delaney, M.d.

P-9134

Antifibrinolytics: When do They reduce blood Loss during Spinal deformity Surgery?

Elizabeth demers Lavelle, M.d.

P-9157

Safety and Efficacy of Intrathecal Morphine for Spinal deformity Surgery

Elizabeth demers Lavelle, M.d.

P-9158

Jeffrey deygoo, M.d.

MCC-7197

duy do, M.d.

MCC-7193

Comparison of Surgical Pleth Index (SPI) Controlled Fentanil Consumption with Traditional Methodology of Fentanil Consumption in Laparoscopic Cholesssectomy Operations

Elif doğan bakı

P-9140

2017 | PGA71 Program

The New york State Society of Anesthesiologists, Inc.

To delay or Proceed: Impact of recent Cocaine Use in Monitored Anesthetic Care for Endoscopy and ColonoscopyTwo Cases of Sick Patients and their Outcomes Management of Unexpected Intraoperative Subglottic Tracheal Stenosis

double-blind, randomized, Placebo-Controlled Trial on the Need of Local Anesthetics on the Prevention of Intravenous Injection Pain of Propofol A Case of Suspected Metastatic Choriocarcinoma Causing Acute Hypoxic respiratory distress and Thyroid Storm.

Masked Hemophagocytic Lymphohistiocytosis in Septic Patients with Cancer: An Opportunity to Further reduce Septic Shock Mortality

Can We Apply Electrical Median Nerve Stimulation for Prophylactic Treatment of Nausea and Vomiting (N/V) in Parturients Undergoing Cesarean Section (C/S) with Combined Spinal-Epidural Technique (CSE)?

Urgent Cesarean delivery during Acute Stanford Type b (debakey III) Aortic dissection: rare Event with Special Anesthetic Considerations Anesthetic Management of Invasive retroperitoneal Leiomyosarcoma: A Case report Transversus Abdominis Plane (TAP) Infiltration vs. Surgical Infiltration of Local Anesthetic in Laparoscopic and robotic assisted Hysterectomy

Clonidine Caudal Combined with dexmedetemodine IV for Awake Incision and drainage of Septic Knee in 1 Month Old Superior Vena Cava Syndrome Following Pacemaker Lead Extraction and ICd Placement

SPONSOrEd by:

147

Monday december 11, 2017 â&#x20AC;˘ 12:00 - 14:00 bilateral Stellate Ganglion block As Treatment For refractory Ventricular Tachycardia

Kevin Emr, M.d., MCC-7166

The Stroke Volume response to Passive Leg raise Predicts Tolerance to Hypovolemia Induced by Lower body Negative Pressure

Hesham Ezz, MbChb

P-9147

Surgical and Anesthetic Challenges Aboard Non Hospital Ships in the Pacific during WWII

Veronique Falciola, M.d

P-9149

Tranexamic Acid in the Obstetric Suite: A Novel Technique for Improved Hemostasis and the Prevention of Postpartum Hemorrhage

Elizabeth Finucane, dO

MCC-7007

Andrew Fisher, dO

MCC-7179

Matthew Fishman, M.d.

MCC-7177

Hoarseness Following Anterior Cervical discectomy and Fusion in a Patient with Sarcoidosis

Camille Fontaine, M.d.

MCC-7145

Anesthetic Management of a Subxyphoid Pericardial Window Challenged by Metastatic Lung Cancer

Camille Fontaine, M.d.

MCC-7146

Mark Friedland, M.d.

MCC-7160

Ashley Fritz, d.O.

MCC-7149

The use of Thromboelastography (TEG) to correct TraumaInduced Coagulopathy

Shira Gambrel, M.d.

MCC-7138

Anesthetic Management of Minimally Invasive Heartmate LVAd Placement

Jean George, d.O.

MCC-7194

ricardo Georges, M.d.

MCC-7153

Sultan Ghuman, M.d.

MCC-7134

Natasa Grancaric, M.d.

MCC-7199

burnout Among Anesthesiology department Staff before and After Wellness Initiative Intervention

Ilya Grinberg, M.d.

P-9133

Use of Ultrasound Guided Quadratus Lumborum block for ErAS Protocol Colorectal Surgery: A Case report

Ayesha Hameed, M.d.

MCC-7198

Point of Care Thromboelestography-guided transfusion therapy in a trauma patient on a direct thrombin inhibitor

robert Haughton, M.d.

MCC-7178

rania Haydar, Mb bch bAO

P-9129

Igor Izrailtyan, M.d.

MCC-7147

Claire Joseph, d.O.

MCC-7190

Jeff Josma, M.d.

MCC-7154

Arunthevaraja Karuppiah, M.d.

MCC-7141

The Surprise Adult Congenital Heart: Emergent Embolectomy for Stroke in a Patient with Fontan Physiology Anesthetic Management of a Patient with brugada Syndrome

Emergent Cesarean Section in a Patient with Systemic Lupus Erythematosus and Atypical HELLP Syndrome Itâ&#x20AC;&#x2122;s Only a Cysto; Spontaneous Hemorrhage after Cystoscopy

Synconvulsion in a Preeclamptic Patient Life Saving Early Intubation in-Hospital Cardiac Arrest Stage 1 Percutaneous dorsal Column Stimulator Placement in a Patient with Local Anesthetic Allergy and Hypokalemic Periodic Paralysis

To restrain or Not to restrain, an Audit of Induction of Anaesthesia in Paediatric Patients Aged 1-5 years Non-opioid Perioperative Management of the Patient resection of Anterior Mediastinal Mass and right Atrial Mass requiring Cardiopulmonary bypass Untreated Wolff-Parkinson-White Syndrome Management during Cesarean Section Hand Ischemia due to Improper Positioning during robotic Prostatectomy

148

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

Coronary Vasospasm: Implications for Treatment of Cardiac Arrest during Anesthesia

Michael Khalili, M.d.

MCC-7182

The Association of Using Same Operating room (Or) Personnel to Or times for Microvascular decompression (MVd) Surgery

Kylash Konanur, d.O.

P-9132

Viachaslau Koushyk, M.d.

MCC-7185

Abdubadie Kutubi

P-9151

Correlation between Number of Spinal Levels Involved in Surgery and the Amount of Analgesia required for Pain Control

William Lavelle, M.d.

P-9159

Cardiovascular Events following Shoulder Arthroscopic Surgery

William Lavelle, M.d.

P-9160

Anesthesia Considerations in Patients with Anti-NMdA Encephalitis undergoing Laparoscopic Surgery requiring General Anesthesia

Cheng-ting Lee, M.d.

MCC-7144

Kay Lee, M.d.

MCC-7169

Jimmy Lin, M.d.

MCC-7143

Ana Lopes

MCC-7152

dayo Lukula, M.d

MCC-7165

Leonor Mendes, M.d.

MCC-7164

Echocardiographic Assessment using Subxiphoid-only View Compared to Focused Transthoracic Echocardiography: A Pilot Study

benjamin Metcalfe, dO

P-9148

An Evening of Ehlers danlos Syndrome

Matthew Moldan, M.d.

MCC-7186

Paul Mongan, M.d.

P-9138

Jessica Montoya, M.d.

MCC-7140

roberto Neisa, M.d., Ph.d.

MCC-7206

Katherine Nixon, M.d.

P-9137

Anesthesia Stat for Mediastinal Mass

Kaylee Nuckolls, d.O.

MCC-7205

Approach to Airway Management in the Trauma Center

Nenna Nwazota, M.d.

MCC-7148

Postpartum Hemorrhagein an Obstetric Patient with Protein deficiency

Anjalena Pasam, M.d.

MCC-7155

Anticipate and Prepare. Patient with repaired TOF. From Cardiac Catheterization Procedure to an Open-Heart Surgery The Feasibility of Utilizing Tissue Oximetry to Assess Endothelial dysfunction-Pilot study

Successful Paravertebral Nerve block for bilateral Mastectomies of the Patient with Friedreichâ&#x20AC;&#x2122;s Ataxia, Obstructive Sleep Apnea, and Traumatic brain Injury Challenges of Airway Management and Postoperative Pain Control in Thoracic Surgery: Our Approach in an Intubated Patient with Known difficult Airway for right-Sided Pneumonectomy Unmasking Thyrotoxicosis in the Operating room Asymptomatic, non-sustained Ventricular Tachycardia after Ultrasound Guided Peripheral Nerve block Systemic Toxicity of ropivacaine After Surgical Wound Infiltration

Intrathecal Narcotics Provide Optimal Pain Management In An Enhanced recovery Pathway for Colorectal Surgery Anesthetic Considerations in Neurofibromatosis Type 1 Suspected Intra-operative Anaphylactic reaction to Heparin Culture results of Pre-Spiked IVs and IV Tubing Indicate That USP 797 regulations for Pre-Spiked IVs Should be revised

Splanchnic Nerve blocks For the Treatemnt of Loin Pain Hematuria Syndrome Successful Perioperative and Anesthetic Management of a Cancer Patient With Myotonic dystrophy (Steinerts disease) Undergoing A Thyroidectomy and Mastectomy The Use of Intraoperative TEE for the Placement of a Percutaneously Inserted Intraventricular Assist device (Impella) in a Patient Undergoing AVr with Severe Acute Left Ventricular Failure.

2017 | PGA71 Program

SPONSOrEd by:

Neha Pawar, M.d.

MCC-7200

yury Potylchansky, M.d.

MCC-7136

dritan Prifti, M.d.

MCC-7180

The New york State Society of Anesthesiologists, Inc.

149

Monday december 11, 2017 • 12:00 - 14:00 be Prepared is the Motto

Jyothsna reddy, M.d. FrCA

MCC-7161

benjamin robelo, M.d

P-9130

Management of Urgent Left Atrial Myxoma removal Surgery in a Patient with Hemodynamic Compromise and Full Stomach.

Aleksandr roberman, M.d.

MCC-7191

Neonatal Abstinence Syndrome: Kentucky Children’s Hospital’s Experience with Outcome Measures and disposition

Alison robles, M.d.

P-9156

Anesthetic Consideration for a patient with Coats’ disease

Camille Samujh, dO

MCC-7176

Anesthetic Management of a Pediatric Patient with Acute Stroke and New Onset restrictive Cardiomyopathy

John-Paul Sara, M.d.

MCC-7173

Sam Satler, M.d.

MCC-7175

Mark Saweris, M.d.

P-9131

Chhavi Sawhney,

P-9144

Gregory Schmitz, M.d.

MCC-7157

Kimberley Schuller, d.O.

MCC-7172

Conversion of VATS Lobectomy to Open Pneumonectomy

daniel Sehrt, M.d.

MCC-7139

Is the Incidence of Nausea, Vomiting, and Hypotension Affected by the Position of Parturients Undergoing Cesarean Section (C/S) with Combined Spinal-Epidural Technique (CSE)?

Trishna Shah, M.d.

P-9154

Shruti Shah, M.d.

MCC-7181

Abha Shah, M.d.

P-9153

Laura Shahnazarian, M.d.

MCC-7171

Avijit Sharma, M.d.

MCC-7158

Stephanie Shen, M.d.

MCC-7133

Shashank S. Shettar, MbbS, M.d.

MCC-7187

Kyle Shilk

P-9136

Akif Shinaishin, M.d.

MCC-7189

Steven Shulman, M.d.

MCC-7150

remziye Sivaci

P-9141

Flash Pulmonary Edema from Iatrogenic Intravenous Administration of Local Anesthetic with Epinephrine during 17 year Old Laparoscopic Appendectomy

Total Thyroidectomy in a 4 year Old with Graves disease and Uncontrolled Hyperthyroidism Pediatric Perioperative Cardiac Arrest in A 7 Week Old with Subglottic Stenosis To Study the Efficacy of Intrathecal Morphine for Perioperative Analgesia After Pelvic Acetabular Stabilisation Anesthetic Management of a 28-Week Parturient with Metastatic Wilms Tumor Junctional Ectopic Tachycardia in a 6 month old Undergoing repair of VSd and ASd

Successful resuscitation of Patient with Arrhythmogenic right Ventricular Cardiomyopathy (ArVC) Presented for a Gynaecology Procedure Wellness Needs in an Academic Anesthesiology department Anesthesia Plan for a Patient with Post Concussion Syndrome: Less is More - A Case report Anesthetic Management for a Patient with Placenta Percreta Invading the Urinary bladder Methylene blue in Severe refractory Septic Shock: A Case report Anesthetic Management of a Patient with an Infected Thoracic Endovascular Stent Graft and Sepsis requiring Emergent Graft Explant and Circulatory Arrest The use of Ketamine Infusion for CrPS Atrial Mass in Sickle Cell Patient Laryngoscope-assisted LMA Placement After Initial Failure with Standard LMA Technique.

Minimally Invasive Surgery in Patients Undergoing Total Intravenous Anesthesia and Inhalation Anestgesia Comparison of the Effects of Inflammatory Cytokines

150

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

www.pga.nyc

#pga71

A Case report: rA Thrombus in a Patient for breast Surgery

bryce Speer, dO

MCC-7183

Jaspinder Sra, M.d.

MCC-7203

Kathleen J. Sullivan, M.d.

MCC-7131

Multiple Endocrine Neoplasia 2 and Pregnancy: A Case report of Anesthetic Management for Adrenalectomy and Thyroidectomy.

Eric Swanson, M.d.

MCC-7151

Acute Pain Management of Upper Limb Gangrene Pain with an Infraclavicular Nerve Catheter

Cheryl Tan, MbChb

MCC-7163

Tuan Tran, dO

P-9143

Cryotherapy of Pain Associated with Traumatic Peripheral Nerve Injury

William Tyson, M.d.

MCC-7201

Urgent Cesarean Section In An Obese Multiparous Parturient With Chronic Anemia, Posterior Placenta Previa, Preterm Premature rupture of Membranes, and Twin Gestation

Justin Varghese, dO

MCC-7159

david Waisel, M.d.

P-9152

Jason Wang, b-bMEd, M.d.

P-9150

Clarence Wong, M.d.

P-9139

Linda Wong, M.d.

MCC-7162

Anesthetic Considerations in a Patient with Ankylosing Spondylitis

Gregory yanez, M.d.

MCC-7196

Idiopathic Epidural Lipomatosis: An Unusual Cause of Lumbar radiculopathy

Waquas yaqoob, b.S.

MCC-7204

Notch it out!

Hyperkalemia Management in the Oncology Patient: A Case of Sodium-Polystyrene-Sulfate Induced bowel Perforation

A Foot Controlled Injection device: A Step towards Enhancing Trainee Education Operator Independence during Neural blockade

1914 Anesthesia Outcome data for roosevelt Hospital, New york City, Ny Health Economic Implications of Complications Associated with Pancreaticoduodenectomy at a University Hospital: A retrospective Cohort Cost Study Mild Hypercapnia is Associated with Higher Cerebral Oxygen Saturation in Patients Undergoing Major Surgery: A Prospective, Single Centre, randomised Controlled Trial Anesthetic Challenges in a Patient with a Mediastinal Mass for Urgent Cesearan Section

2017 | PGA71 Program

SPONSOrEd by:

The New york State Society of Anesthesiologists, Inc.

151

Scientific Exhibits Saturday, december 9, 2017 • 11:30 - 15:30 • rotunda Area • 7th Floor CHAIr:

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

SUNY Distinguished Teaching Professor | Professor of Anesthesiology and Vice-Chair Administration/Special Projects | Professor of Pharmacological Sciences Professor of Health Sciences | SUNY-Health Sciences Center at Stony Brook | Stony Brook, New York

Scientific Exhibits will be judged for awards by the following Committee Members: Galina Leyvi, M.D. Amanda Rhee, M.D. Muoi Trinh, M.D. P. Sebastian Thomas, M.D. Lixin Liu, M.D., Ph.D. Jung Kim, M.D. Ngoc Nguyen-Famulare, M.D. A. Elisabeth Abramowicz, M.D.

Joseph Schianodicola, M.D. Rhoda Levine, M.D. Ashok Masand , M.D., M.B.A. Albert Yeung, M.D. Divina Santos, M.D. Anna Kaminski, D.O. Mourad Shehebar, M.D. Stephen Vitkun M.D., M.B.A., Ph.D.

ribbons may be awarded in the following categories: best Instructional Exhibit best Scientific Exhibit best Exhibit for Clinical Application Special Award The written exhibit descriptions have been reproduced as submitted online by each exhibitor.

The PGA is not responsible for the accuracy of the contents.

The Scientific Exhibitors do not have any financial relationships to disclose.

Lessons in Patient Safety: Stories, Analogies, and the Multimedia Effect

Vafa Akhtar-Khavari, Ed.M

S-8001

Global Health Outreach: Providing and Teaching regional Anesthesia in a resource Limited Environment

Michael Akerman, M.d.

S-8002

12 Minute Meditation Practice for Clinician Wellbeing

Sugantha Sundar, M.d.

S-8003

Max Schober, M.d.

S-8004

death in the Trauma bay: Management of the Unanticipated difficult Airway

Nenna Nwazota, M.d.

S-8005

A Novel Nasal TSE-PAP Mask/Circuit Assembly to Provide Continuous Active Oxygenation in Pediatric Patients and difficult Airway Patients with rare Syndromes and Poor Face-Mask Fit during GA Induction and Endotracheal Intubation

James Tse, Ph.d., M.d.

S-8006

Mitsuru Nakatsuka, M.d.

S-8007

The Optic and Pressure Methods for Acquiring the Epidural Space: An Initial Comparison of Two developing Technologies to Improve Neuraxial block Success rates

Headaches and the Acupuncture Method to Treat Various Headaches

152

NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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Faculty Listing Aaronson, Jaime Abel, Mark Abramovitz, Sharon Abramowicz, A. Elisabeth Adsumelli, rishimani S. N. Afonso, Anoushka M. Afroze, Farzana Agro, Felice E. Akerman, Michael Alexis, rhonda Altman, robert Amar, david Anca, diana Anderson, Michael r.

Andropoulos, dean b.

Applegate, Patricia M. Applegate II, richard L. Aquino, Melinda A. Arnold, donald E. Arslan-Carlon, Vittoria Assini Jr., Charles J. Atchabahian, Arthur bacon, douglas r. baer, Jessica banerjee, Arna barbara, david W. baron, Elvera bedient, Terrance M. beers, richard A. beg, Tazeen beilin, yaakov bekker, Alex y. bendo, AudrĂŠe A. berger, Jay S. berkun, rose berman, david bernstein, Jeffrey bernstein, Wendy K. bhatt, Himani bilal, rahila birmingham, Patrick birnbach, david J. bittencourt, ricardo blank, randal blasius, Kimberly r. blessing, Marcelle E. blitz, Jeanna d. boer, Christa boggs, Steven d. borges, bruno C. r. borovcanin, Zana boublik, Jan brallier, Jess W. brambrink, Ansgar M. brand, Ellen J. bronheim, david S. brooks, Michael C. buckenmaier IIIvChester C. bughrara, Nibras bukanova, Elena N. burden, Amanda bustillo, Maria A. Calimaran, Arthur L. Calo, Lisbeysi Capan, Levon M. Carvalho, Jose C. A. Castello, donna A. Castillo, Maria d.

Cha, Stephanie Chao, Jerry y.

30 95 106 33 41, 81 93, 128 89 101 21, 83 17, 49 21, 83 29, 113, 117 127 21, 83, 118 38, 60 73 73 57, 64, 82 61 116 54, 63 21, 46, 83 125 82 102 18 48 36 94, 104, 129 120 106, 116 62 33, 104 107 64 48 29 102 73, 126, 132 65 21, 46 87 23, 31 16, 20 102 21, 46, 83 58 78 40 23, 31 48 21, 46, 83 45 33, 62 67 16, 20 79, 92 44 34, 111 129 102 28, 95 116, 125 82 21, 46, 48, 83, 101 23, 31, 112, 129 36 67, 101 111 121

2017 | PGA71 Program

Cheng, Eric J. 121 Chiao, Franklin b.

93 Cho, Elvira 48 Choi, Christopher H. 52 Choice, Curtis V. 41 Chuda, robert M. 97 Ciccone, Jeffrey M. 47, 66 Ciliberto, Christopher F. 56, 70 Cimino, Linda 49 Cohen, Edmond 15, 19, 48, 76, 101, 117, 121 Cooper, richard M. 51, 103 Corrado, Thomas E. 130 Coursin, douglas b.

24 Croll, Scott M. 44 Crosby, Gregory J. 33, 62 Culley, deborah J. 33, 92 Curle, Alan E. 37 Curry, Saundra E. 77 Cvetkovic, draginja r.

30 dabo-Trubelja, Anahita 116 dailey, Michael W. 79, 92 dalyvbarbara A. 79, 92 dave, Anjalee 41 de Hert, Stefan 86 deiner, Stacie G. 92 deLeon-Casasola, Oscar A. 76, 88 deMaria, Jr., Samuel 102, 111 desai, Meena S. 124 desai, Prianka 21, 46, 83 deshpande, ranjit 110 desiderio, dawn P. 16, 20, 101 devine, Malcolm 49 dilos, barbara M. 17, 48 dimaculangan, dennis P. 44 diwan, Sudhir A. 88 dizdarevic, Anis 66, 120 dooley, Joseph W. 37 duffy, Michael P. 36 dumitru, Marian 101 Eisenkraft, James b.

65 Elkassabany, Nabil M. 85 Emala, Charles W. 52 Epstein, Lawrence J. 77 Estabrook, Jennifer O. 64 Fermon, Charles 122 Fingerman, Mitchell E. 44 Fischer, Gregory W. 16, 20, 37, 113 Fitzgerald, Meghann 72, 123 Fleisher, Lee A. 113 Flores, raja 76 Fogarty Mack, Patricia 25 Franco, Carlo d.

44 Freed, Julie K. 53 Frost, Elizabeth A. M. 64, 69, 77 Furgiuele, david L. 21, 83 Gainsburg, daniel M. 132 Gal, Jonathan S. 37, 91 Gallombardo, Joseph A. 28 Gama de Abreu, Marcelo 16, 20, 86 Gan, Tong J. 78, 93, 125 Gandhi, Kishore 44 Gevirtz, Clifford M. 55, 69, 130 Gharibo, Christopher G. 63 Glance, Laurent G. 26 Gloff, Marjorie S. 56 Goldberg, Andrew 102 Gooden, Cheryl K. 17, 48, 90 Goodman, Stephanie r.

127 Gorbea, Mikel S. 71 Grant, James d.

54, 61

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Grecu, Loretta Greene, Elliott S. Gritsenko, Karina Groudine, Scott b.

Gulati, Amitabh Gupta, ruchir Gutzler, Marcus Hagberg, Carin A. Halle, Steven G. Hamlin, Mark P. Hannenberg, Alexander A. Harter, ronald L. Haskins, Stephen C. Heiser, Nicholas E. Heller, Joshua Hemmings, Hugh C. Hepner, david L. Hill, Shanna S. Hillel, Zaharia Hojsak, Joanne Holt, Natalie F. Honikman, rafael Horlocker, Terese T. Hosseinian, Leila Hunter, Samuel A. Hyman, Jaime b.

Ivascu, Natalia S. Jacob, Zvi C. Jacobson, Kenneth H. Jagannathan, Narasimhan Jain, Sudheer K. Jakubowski, Michael Jeng, Christina L. Johnston, Taylor A. Johnstone, robert Jones, Keith A. Joseph, Vilma A. Kachulis, bessie Kamdar, brinda b.

Kaminski, Anna K. Kars, Michelle S. Katz, daniel J. Keech, brian M. Kelhoffer, Eric Khelemsky, yury Kiamanesh, david Kim, Jung T. Kim, Jung H. Kim, Sunmi Kirksey, Meghan A. Kitain, Eric M. Koch, Marc E. Koenigsberg, Joanna b.

Konstadt, Steven N. Kopman, david J. Kor, daryl J. Kumar, Shreyajit r.

Lagasse, robert S. Lai, yan Lamonica, Theodore Laterza, ryan d.

Latmore, Malikah Lax, Jerome Lee, Mitchell y.

Lee, Angela Lee, david L. Lee, Allison J. Leff, Jonathan d.

Leibowitz, Andrew b.

Lennon, Christine Leonard, Michael S.

154

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

Lerman, Jerrold Levin, Matthew A. Levine, Adam I. Levine, rhoda Levine, Matthew T. Levy, ronald S. Lewis, Alexandra L. Leyvi, Galina Li, Jinlei Li, Lei Li, Fenghua Licatino, Lauren Lichtman, Adam d.

Limoncelli, Janine M. Lin, Emily Lipson, Scott d.

Liu, Todd J. Loftus, Katherine M. Longrois, dan Lopez, Carlos J. Ludwin, danielle b.

Lukovic, Elvedin Mackensen, G. burkhard Mahoney, bryan P. Malhotra, Vinod Malhotra, Anuj Malhotra, Sandhya Malhotra, Jaideep K. Mann, Glenn E. Marshall, Mitchell Mason, Keira P. Mason, Linda J. Mathew, Leena Mathney, Edward r.

McCormick, Patrick J. Meng, Marie-Louise Miller, Timothy E. Mincer, Joshua S. Minokadeh, Anushirvan Mittnacht, Alexander J. C. Moitra, Vivek K. Munoz-Price, L. Sylvia Muntyan, Igor Musuku, Sridhar Nampiaparampil, robert G. Narang, Jolie Nardi, dominic J. Narr, bradly J. Neal, Joseph M. Neuburger, Peter J. Neumann, Krystof J. Neustein, Steven M. Newman, Kenneth b.

Ngai, Jennie y.

Nunnally, Mark E. Oâ&#x20AC;&#x2122;Connor, Michael F. Oehler, John M. Oleszak, Slawomir P. Oâ&#x20AC;&#x2122;Neill, daniel Orlando, barbara S. Osborn, Irene P. Osorio, James A. Padjen, Kristoffer Panzer, Oliver P. F. Panzica, Peter J. Patel, Anil Perelman, Seth I. Pesce, Michael b.

Peterson, Mary dale Philip, beverly K. Piracha, Mohammad

www.pga.nyc

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Pisklakov, Sergey V. Poli, Joseph J. Poovathoor, Shaji P. Popovic, Jovan Potosky, ryan Prielipp, richard C. Probst, Stephen A. Provenzano, david A. Pryor, Kane O. Pustavoitau, Aliaksei Puttanniah, Vinay G. Pyne, Sonia G. ramsingh, davinder S. rauck, richard L. reddy, Shamantha G. reed, Allan P. reich, david L. rhee, Amanda J. robards, Christopher b. roberts, Christopher J. roccaforte, J. david rodriguez-diaz, Cesar rong, Lisa Q. rosenberg, Andrew d. rosenblatt, Meg A. rosenblatt, William rosenfeld, Kenneth I. roth, ram rufino, Michael K. ruskin, Keith J. russell, Cortessa L. Safa, radwan N. Salomon, Guy Salter, benjamin S. Samama, Charles Marc Samuels, Jon Schaefer, John J. Schwartz, Andrew d.

Schwenk, Eric S. Sconzo, John M. Seligsohn, david Sequeira, Patricia M. Serban, Stelian Sessler, daniel I. Shah, Syed Shah, Anjan S. Shanewise, Jack S. Shapiro, Janine r.

Shariat, Ali N. Sharma, Aarti Sharma, Vandana Shaw, Andrew Shayevitz, Jay Sherman, Jodi d.

Shevde, Ketan Shore-Lesserson, Linda J. Silvay, George Silverman, Eric r.

Sim, Alan J. Simon, Michael b.

Singh, Prithi P. Sisto, daniel F. Skubas, Nikolaos J. Slepian, ralph L. Slinger, Peter Smallman, bettina Smiley, richard M. Smith, Michael P. Sobol, Julia b.

Sommer, richard M. Song, Jing

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2017 | PGA71 Program

Spellman, Jessica L. Spessot, George J. Spring, Camberly I. Steinberg, Ellen S. Stellaccio, Francis Stjepanovic, Gordana Stone, Marc E. Straker, Tracey Suresh, Santhanam Sutin, Kenneth M. Svyatets, Marina Sweeney, dawn M. Sweitzer, bobbie-Jean Tam, Christopher Tanaka, Christopher y.

Tanaka, Kenichi Tedore, Tiffany r.

Thangada, Shruthima Thota, Srinivasa A. Tokita, Hanae K. Toledano, roulhac Tom, Simon Torsher, Laurence Tran, Timothy T. Troianos, Christopher Trunfio, Giuseppe Tung, Avery Twersky, rebecca Umeh, Uchenna O. Urban, Michael K. Urman, richard d.

Usenko, Jaroslav Vaida, Sonia J. van rensburg, Adriaan Velickovic, Ivan A. Venticinque, Steven G. Victor-Vega, Cassandra Villion, Anrew Viscusi, Eugene r.

Vitale, Salvatore G. Vitkun, Stephen A. Vydyanathan, Amaresh Wahlander, Staffan b Wall, Michael H. Wambold, daniel d.

Wang, Cindy J. Wardhan, richa Warren, Lisa Watson, Charles b.

Watt, Stacey A. Weinberg, roniel y.

Weinberger, Michael Weiner, Menachem M. Weitzel, Nate Weprin, david I. Werfel, Paul A. Wetmore, douglas S. Weyker, Paul d.

Wieczorek, Paul M. Wlody, david J. Wong, Jan r.

Worah, Samrat H. xu, Jeff L. xu, Qianqian J. yadeau, Jacques T. yang, Elaine I. yeh, Joseph S. yeung, Albert C. yudkowitz, Francine S. Zafirova, Zdravka Zerrillo, Jeron Zucker, Howard

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101 122 44 29 48, 81 66, 121 39, 45, 113 48, 81 22, 46, 84 122 130 38, 60 58 100 73, 100, 109, 110 109, 114, 132 22, 70, 84, 107 22, 84 67 96, 124 57, 112 22, 84 102 100, 110 73 73 59 124 22, 84 79 35, 77 45 48 99, 110 18, 29 99 44 130 16, 20, 65, 75, 101 71 48, 49, 115 47 56 99, 110 22, 84 72, 106, 123 22, 84 22, 46, 84 16, 20, 48, 101 67 22, 84, 127 28 16, 20, 71, 91 73 90 49 111 100, 110 23, 31 91, 112 131 96 44 53 119 82 30 41 17, 102, 133 32, 58 111 35

The New york State Society of Anesthesiologists, Inc.

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Fourth Floor

Sixth Floor

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NySSA | 71st Annual PostGraduate Assembly in Anesthesiology

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Seventh Floor

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2017 | PGA71 Program

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              

     

   

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  