18th Annual Jefferson Anesthesia ConferenceFeaturing Thoracic Anesthesia Workshop

February 23 – March 1, 2013 • Huntley LodgeBig Sky, Montana

Free Workshop and PBLD

Program Faculty

Jefferson Medical CollegeMichael Duggan, M.D. Assistant Professor of Anesthesiology

Zvi Grunwald, M.D. The James D. Wentzler, M.D. Professor and Chairman of Anestheisology

Eric Schwenk, M.D. Instructor in Anesthesiology

Benjamin Vaghari, M.D. Instructor in Anesthesiology

Program DirectorsKishor Gandhi, M.D. Director, Regional Anesthesia

Eugene R. Viscusi, M.D. Director, Acute Pain Management Center

Visiting ProfessorsAdam R. Marcus Anesthesiology News

Oscar de Leon-Casasola, M.D. Professor of Anesthesiology Department of Anesthesiology University of Buffalo Buffalo, New York

Arjunan Ganesh, MBBS Associate Professor of Anesthesiology and Critical Care The Children’s Hospital of Philadelphia

Gary Samms, Esq. Obermayer Attorneys at Law Philadelphia, PA

Learner Objectives At the conclusion of this conference, participants should be able to:

•Review strategies to manage perioperative challenges relating to induction, airway and emergent issues

•Describe novel and emerging technologies in anesthesia practice, and understand their appropriate use

•Review the techniques commonly used in thoracic surgery from perioperative concerns through management of issues that may arise during surgery

•Integrate techniques used for safely administering anesthesia in special populations including the patients with substance abuse issues, the pregnant patient, and fetal and pediatric surgeries

•Review the appropriate management of the morbidly obese patient undergoing bariatric surgery in order to develop management strategies that maximize patient safety

•Develop systems to improve practice and reduce malpractice exposure

•Demonstrate how to obtain and document proper informed consent

•Describe recent instances of fraudulent published research and analyze how these affect current anesthesia practice.

•Review the pharmacology, mechanisms of action, patient selection, risks and benefits of commonly used anesthetics

•Discuss the current evidence regarding the risks and benefits of general, regional, and nerve block methods of anesthesia

•Implement rationale, evidence based strategies for the management of post- operative and chronic pain utilizing appropriate pharmacologic agents

•Develop treatment strategies that employ multimodal pain management and integrate emerging analgesia techniques

•Assess their individual practices in light of the information and discussions during the conference, and identify specific strategies

to implement as part of a continuing improvement process for their practices

Accreditation Jefferson Medical College of Thomas Jefferson University is accredited by the ACCME to provide continuing medical education for physicians. Jefferson Medical College of Thomas Jefferson University designates this live activity for a maximum of 25.0 AMA PRA Category 1 Credits™.

Physicians should claim only credit commensurate with the extent of their participation in the activity.

All faculty participating in continuing medical education activities sponsored by Jefferson Medical College are expected to disclose to the activity audience any real or apparent conflict(s) of interest related to the content of their presentation(s). Full disclosure of faculty relationships will be made at this activity.

This program is approved by the American Association of Nurse Anesthetists for 25 CE Credits; Code Number 1027245; Expiration Date: March 1, 2013.

Thoracic Workshop Hands-on thoracic workshop is included free of charge to all participants. Stations will include advanced airway, thoracic epidural, and advanced ultrasound acute pain techniques.

Problem Based Learning Discussion Small case-based groups moderated by expert faculty. Participants will be able to sign up at registration for topics of their choice. Provided free of charge.

Evaluation & Claiming Credit Participants will be required to complete an online evaluation in order to claim CME credits for the conference. The evaluation will be available at the end of each day’s session. See conference materials for login information.

Refund Policy Written notification of cancellation must be received by February 12, 2013 to obtain a refund (minus $50 administrative fee). No refunds after February 12, 2013. Refunds will be issued after the conference.

18th Annual Jefferson Anesthesia Conference

18th Annual Jefferson Anesthesia Conference

Saturday, February 234:00-6:00 pm Registration

Sunday, February 24Morning (Pain Management) 6:30 Breakfast6:45 – 7:30 (45min) Pain Management for the Non-Specialist deLeon7:30 – 8:00 (30min) Update on Novel Pain Therapies and Concepts Viscusi8:00 – 8:45 (45 min) Anesthetic and Analgesic Management of the Chronic Pain Patient deLeon8:45 – 9:15 (30 min) Questions and Answers

Afternoon (Law and Order) 4:30 – 5:15 (45min) Anesthesia Related Malpractice Suits Samms5:15 – 5:45 (30min) From Digital Distractions to Fujii Fraud, the Year in Review in Anesthesiology News Marcus5:45 – 6:30 (45min) Informed Consent? Is it Either? Samms6:30 – 7:00 (30min) Questions and Answers7:00 – 10:00 pm Reception with Exhibits

Monday, February 25 Morning (Thoracic Anesthesia & Analgesia) 6:30 Breakfast6:45 - 7:30 (45min) Fluid Management in Thoracic Surgical Patient Duggan7:30 – 8:00 (30min) Thoracic Epidural: Current Evidence and Application deLeon8:00 – 8:45 (45min) Does Analgesia Really Matter? From Pain to Cancer Recurrence Gandhi8:45 – 9:15 (30min) Questions and Answers Exhibits will be available

Afternoon (PBLD) 4:30 – 6:00 (90 min) Problem Based Learning Discussion (Session #1) All Lecturers6:00 – 7:30 (90 min) Problem Based Learning Discussion (Session #2) All Lecturers Exhibits will be available

Tuesday, February 26 Morning (Challenging Cases) 6:30 Breakfast6:45 - 7:30 (45min) Anesthesia for Outpatient and Inpatient Bariatric Surgery Grunwald7:30 – 8:00 (30min) Introduction to TEE Duggan

8:00 – 8:45 (45min) Care of the Patient with LVAD for Non-Cardiac Surgery Duggan8:45 – 9:15 (30min) Questions and Answers Exhibits will be available

Afternoon (What’s New in Regional and Acute Pain?) 4:30 – 5:15 (45min) Ultrasound of Central Neuraxial Blocks in Obstetrics Schwenk5:15 – 5:45 (30min) Anesthesia and Analgesia for Patients with Substance Abuse Histories Vaghari5:45 – 6:30 (45min) Local Anesthetic Toxicity (LAST): Updates In Management Gandhi6:30 – 7:00 (30min) Questions and Answers Exhibits will be available

Wednesday, February 27Afternoon (Advanced Thoracic Workshop) 4:30 – 5:15 (45min) Lung Isolation Technique for Thoracic Surgery Duggan5:15 – 5:45 (30min) Advanced Nerve Block Techniques

for Thoracic Surgery Gandhi5:45 – 7:45 (120min) Workshop

Thursday, February 28Morning (What’s New in Pediatrics) 6:30 Breakfast6:45 – 7:30 (45min) Pediatric Regional Anesthesia Ganesh7:30 – 8:00 (30 min) Anesthesia for the Neonate Ganesh8:00 – 8:45 (45min) Management of Pediatric Patient, Caring for the Little Patient and Avoiding the Big Problems Grunwald8:45 – 9:15 (30min) Questions and Answers

Afternoon 4:30 – 5:15 (45min) Emerging Analgesic Techniques Viscusi5:15 – 5:45 (30min) Anesthesia for Fetal Surgery Ganesh5:45 – 6:30 (45min) Current Analgesic Approaches for Total Joint Arthroplasty: What is the Evidence? Gandhi6:30 – 7:00 (30min) Questions and Answers

Friday, March 1Morning 6:30 Breakfast6:45 – 7:30 (45min) Current Concepts and Controversies in

Acute Pain Management Viscusi7:30 – 8:00 (30 min) Questions and Answers8:00 – 8:15 (15min) Conference Closing Remarks

Course Schedule

18th Annual Jefferson Anesthesia Conference for Cross Country and Downhill Skiers (JACXCS 2013) • February 23-March 1, 2013

18th Annual Jefferson Anesthesia ConferenceBig Sky Downhill Ski ResortLocated in southwestern Montana 50 miles from Yellowstone National Park, Big Sky has a unique pristine beauty. Big Sky, with its lodges, shops, and restaurants, is easily accessed via excellent jet service to nearby Bozeman. The nationally renowned Lone Mountain Guest Ranch offers 75 kilometers of professionally groomed Nordic trails for all levels of cross-country skiers. Located five miles from the conference center, the scenic trails wind through forested areas, open meadows and continue onto high alpine terrain. PSIA certified instructors teach beginning to advanced striding, skating, as well as group and private lessons. Naturalists guide backcountry tours of Yellowstone National Park and the Spanish Peaks wilderness area. Gourmet meals and a full-service Nordic ski shop are available on-site. Free shuttle bus service connects the Ranch and the conference center; however, car rental offers the Nordic skier even greater flexibility.

Big Sky Downhill Ski Resort recently expanded its vertical rise to 4,180 feet. Big Sky has 3,500 skiable acres, with runs that are 10% beginner, 47% intermediate and 43% expert. The Lone Peak tram opens previously inaccessible chutes and couloirs, plus three new bowl areas above the Lone Peak treeline. Big Sky offers big skiing days; the runs are long, the lifts swift, and crowds are rare. Big Sky’s average annual 33 foot snowfall, keeping the resort open until late April, is complemented by snowmaking. Kids ski free—up to two kids age 10 or under per paying adult. Children’s ski school (ages 4–14, 406-995-5743) and child care (ages 1-1⁄2–5, 406-995-5847) are available.

All lectures will be at the Yellowstone Conference Center, adjoining the Huntley Lodge at the base of the downhill mountain.

All Day Wilderness Area ToursHorseback Riding www.jakeshorses.com

Old Fashioned Sleigh Ride Dinner www.lmranch.com

Sled Dog Adventure www.huskeypower.com

Snowmobile Tours www.winteryellowstone.com

Snowshoeing www.yellowstonesafari.com

Yellowstone Snowcoach Cross-Country Tour www.yellowstoneguides.com

Winter Fly Fishing East Slope Outdoors www.eastslopeoutdoors.comGallatin Riverguides www.mountanaflyfishing.comLone Mountain Ranch www.lmranch.com

ReceptionAll conference participants and their families are invited to attend the Sunday evening reception and product exhibits.

Exhibits Exhibits will be available for participants during Sunday evenings reception, and both Monday and Tuesday mornings and evenings.

Breakfast A light continental breakfast and afternoon snacks will be available every day.

Register and Save!!Hotel accommodations in Big Sky are very pleasant; however, the supply is limited. Hotel space may not be available after mid-January. We urge you to make your hotel and air reservations as early as possible! As a conference registrant, you and your family are entitled to special rates. To obtain any of these discounts you must identify yourself as a Jefferson Anesthesia Conference participant.

AccommodationsThe Huntley Lodge and Shoshone Condominium Hotel, offering downhill ski-in, ski-out convenience, has 200 hotel rooms and 94 condominium units which adjoin the conference center. Guests may use the outdoor heated pool, jacuzzi, health club, massage and spa services, shops, dining room, and Chet’s Bar. Conference participants are eligible for discounted rates on hotel rooms ($221/night, double occupancy) and condominium suites ($377/night, sleeps up to 4 adults). All guests of the Huntley Lodge and Shoshone condominiums receive complimentary daily breakfast buffet in the Huntley Main Dining Room and Summit Hotel guests receive complimentary daily breakfast buff in the Peak Restaurant. Larger units are also available. Call for reservations: 800-548-4486.

Cross-Country Trail Passes and LessonsThe Lone Mountain Ranch offers Jefferson Anesthesia Conference participants discounted group lessons, rentals and trail passes. Purchase passes and lessons directly from the Ranch.

Downhill Lift Tickets and Equipment RentalsAdult downhill lift tickets may be obtained for $63/day or obtain a 5 day pass for $295. Purchase lift tickets from the concierge or the lift ticket office. Discounts for lift tickets are only offered to participants that are staying with Big Sky Resorts.

Registration Form

Registrant Information (PLEASE PRINT)

Last Name _________________ First Name _________________ MI __ Male Female

Degree _____________________ (MD, DO, CRNA, RN, etc.) Specialty _____________________

Affiliation/Organization ______________________________________________________

Address________________________________________________________________

City _______________________________________ State _______ Zip _____________

Phone _____________________ Home Work Cell Fax _____________________

Email Address ____________________________________________________________

Please do not include me in upcoming events mailing lists

AANA Membership Number ______________________ *Last 4 numbers SSN ____________* Please provide the last four digits of your Social Security Number as your Web ID. This will allow you to access your CME transcript after the course at http://jeffline.jefferson.edu/jeffcme/JeffETC/

I will be accompanied by: ___________________________________ (for reception nametags)

Registration Please register by February 12, 2013 to guarantee conference materials. Until January 1, 2013 After January 1, 2013

Practicing physicians...............................................................$745 ......................................... $795

Nurses (including advanced nurse practitioners/anesthetists) ..............$675 ......................................... $725

Allied Health Professionals ......................................................$675 ......................................... $725

Resident/Fellows (including nurses in training) .............................$500 ......................................... $550 (trainees please include letter of verification from department chair)

Refund Policy Written notification of cancellation must be received by February 12, 2013 to obtain a refund (minus $50 administrative fee). No refunds after February 12, 2013. Refunds will be issued after the conference.

Payment Must accompany conference registration.□ Check/money order enclosed payable to “JMC-Continuing Medical Education”□ □ I hereby authorize use of my credit card: □ □ MasterCard □ Visa

Card Number __________________________________ Expiration Date __________ Amount $ _____________ Signature ______________________________________

Mail or fax to:Jefferson Medical CollegeOffice of Continuing Medical Education 1020 Locust Street M5 Jeff Hall Philadelphia, PA 19107 Attn: jacXCs

To register online: http://jeffline.jefferson.edu/jeffcme

Important Telephone Numbers/Websites:

Conference Information and Questions Suzanne McCade 215-955-7196 suzanne.mccade@jefferson.edu

Registration Information Jefferson CME Phone 888-533-3263

Register Online http://jeffline.jefferson.edu/jeffcme

Conference Registration Fax Jefferson CME Fax 215-923-3212

Hotel Reservations Huntley Lodge 800-548-4486

Air/Car Reservations Montana Travel 800-247-3538 Airport Transfers Karst Stage Shuttle 800-287-4759www.karstage.com e-mail airport@karststage.com XC Skiing, Sleigh Ride Lone Mountain Ranch 406-995-4644 Downhill Ski School Children and Adults 406-995-5743

Phone: 888-JEFF-CME (533-3263)Fax: 215-923-3212

Note: Faxed forms must include credit card information.

Cancellation Policy:The University reserves the right to cancel or postpone this course due to unforeseen circumstances. In the event of cancellation or postponement, the University will refund registration fees, but is not responsible for related costs or expenses to participants, including cancellation fees assessed by hotels, airlines, or travel agencies.

Photo credit: Eugene Viscusi, MD