ASERlert - aserhq.org · Robin Anderson Desiree Chappell, CRNA, MSNA Vijay Gottumukkala, MS, BS,...

ASER ALERT • VOLUME 2, ISSUE 2 • aserhq.org 1

OFFICIAL PUBLICATION OF

December 2017 | Volume 2, Issue 2

ASERalert

President’s Message

The Round Table- Perioperative Care

Blog

Meet the ASER Team

Learn and Relax on the Beachfront at ASER

Annual Congress 2018pgs. 5 & 7

also in this issue

ASER Annual Congress Registration Brochure

pgs. 13-17

2 ASER ALERT • VOLUME 2, ISSUE 2 • aserhq.org


Board of DirectorsOfficersPresident

Julie Thacker, MDPresident-Elect

Timothy Miller MB, ChB, FRCAVice-President

Stefan D. Holubar, MD, MS, FACS, FASCRSTreasurer

Maxime Cannesson, MD, PhDSecretary

Anderw Shaw, MB, FRCA, FCCM, FFICM

DirectorsRobin AndersonDesiree Chappell, CRNA, MSNAVijay Gottumukkala, MS, BS, MD(anes), FRCATraci Hedrick, MDTerrence Loftus, MDMattew D. McEvoy, MDAnthony Senagore, MD, MBA

Newsletter CommitteeThomas Hopkins, MD: ChairLyla Hance, MPH: Co-ChairTimothy Miller, MB, ChB, FRCA: Board MentorJeffrey Huang, MDUday Jain, MD, PhDAmy McCutchan, MDAsha Naik, FRCA, MBBS, DAChristina Solis, RN, BSN, CLSSBMatthias Stopfkuchen-Evans, MD

About ASERASER is a nonprofit organization with an international membership, which is dedicated to the practice of enhanced recovery in the perioperative patient through education and research. ASER’s mission is to advance the practice of perioperative enhanced recovery, to contribute to its growth and influences, by fostering and encouraging research, education, public policies, programs and scientific progress.

Administrative OfficeAmerican Society for Enhanced Recovery 6737 W Washington St. | Ste. 4210 Milwaukee, WI 53214

414-389-8610 | [email protected]

President’s MessageBy Julie Thacker, MD, President

Thank you for allowing me to serve as the second President of the American Society for Enhanced Recovery (ASER)

and the first ‘surgeon President’! Also, again thanks to our Past President, TJ Gan, for his outstanding service to ASER.

Our growing society has accomplished much in a few short years.

ASER Leadership Forums

In September 2017, ASER wrapped up the last of six Leadership Forums held throughout the United States. These small hands-on workshops were well received. Multi-disciplinary teams from around the country (and some from outside the US) gathered for these two-day intensive courses, sharing and learning about implementing enhanced recovery in their institutions.

Thank you to our sponsors for their generous support and to the attendees for their participation and enthusiasm. As an instructor at all six sessions, we had some memorable conversations and all learned a tremendous amount.

ASER 2018 Annual Congress

Registration is open for the 2018 ASER Annual Congress! Complete program, schedule, speaker, location and poster information is included in this newsletter.

After two successful Annual Congresses in Washington, DC, we are changing locations to sunny and warm Fort Lauderdale, Florida. The decision to change the location was discussed by the Executive Committee. It was decided to try a resort location, and perhaps alternate with the Washington, DC area beginning in 2019. Pending the outcome of the Florida meeting in March, locations for 2019 will be considered. More information on our beautiful new location, the Fort

Lauderdale Marriott Harbor Beach, is included in this newsletter.

Launching New ASER Website in 2018

Thanks to the Website Committee Co-Chairs, Gloria Cheng, MD and Kyle Cologne, MD, for beginning the task of developing a new website for ASER. Proposals have been sent to several vendors and follow-up is underway to select the best company for the website. We will be reaching out to members for help and content for the new website.

Into the Future

Where do we go from here? Many potential ideas are coming forward for ASER. We are always open to suggestions from you, our members.

I look forward to seeing many of you in sunny Florida. Some of you in the northern United States might be particularly glad for a few days in the warm climate and beautiful setting on Florida’s Atlantic coast. Please make your reservation early, space is limited.

Happy Holidays! n

Julie Thacker, MD President American Society for Enhanced Recovery

BIS™ monitoring can help reduce the risks

©2017 Medtronic. All rights reserved. Medtronic, Medtronic logo and Further, Together are trademarks of Medtronic. All other brands are trademarks of a Medtronic company. 05/2017-15-PM-0193(2)-[WF#1750157]

6135 Gunbarrel AvenueBoulder, CO 80301 medtronic.com/covidien800.635.5267

POSTOPERATIVEDELIRIUM IS COMMON,COSTLY &DEADLY.1-5

BIS™ brain function monitoring can help you personalize anesthetic dosing and determine the right amount of anesthetic — not too much, not too little.

That’s why, in early 2017, the European Society of Anesthesiologists recommended depth-of-anesthesia monitoring for the prevention and treatment of postoperative delirium.6

Not all processed EEG systems are the same — know the difference.

To learn more, go to everybodysbis.com

1. Inouye SK, et al. Postoperative delirium in older adults: Best practice statement from the American Geriatrics Society. Intraoperative measures to prevent delirium. J Am Coll Surg. 2014; 220(2):136-148.e1.

2. Siddiqi N, Harrison JK, Clegg A, Teale EA, Young J, Taylor J, Simpkins SA. Interventions for preventing delirium in hospitalised non-ICU patients. Cochrane Database Syst Rev. 2016 Mar 11;CD005563.

3. Koster S, Hensens AG, Schuurmans MJ, et al. Consequences of delirium after cardiac operations. Ann Thorac Surg. 2012;93(3):705-711.

4. Abelha FJ, Luís C, Veiga D, et al. Outcome and quality of life in patients with postoperative delirium during an ICU stay following major surgery. Crit Care. 2013;17(5):R257.

5. Veiga D, Luis C, Parente D, et al. Postoperative delirium in intensive care patients: risk factors and outcome. Rev Bras Anestesiol. 2012;62(4):469-483.

6. Aldecoa C, Bettelli G, Bilotta F, et al. European Society of Anaesthesiology evidence-based and consensus-based guidelines on postoperative delirium. Eur J Anaesthesiol 2017; 34:1-23.


Why a new location?

Fort Lauderdale was selected because it is easy to get to, has great hotels and meeting facilities and in March is warm and sunny, particularly when the rest of the US is still enduring winter!

The Fort Lauderdale airport has 325 arrival flights a day, offering nonstop service to 140 US cities and flights from Canada, Bahamas, Caribbean, Mexico, Latin America, and Europe. The airport is ranked 21st in the U.S. in total passenger traffic and 13th in domestic origin and destination passengers.

Why the Marriott Fort Lauderdale Harborside?

Breathe in the crisp ocean air and immerse yourself in the warmth of the Sunshine State at the Fort Lauderdale Marriott Harbor Beach Resort & Spa. Situated along a quarter-mile of private beach, the hotel provides tropical

tranquility while also offering easy access to attractions including Las Olas Boulevard and Fort Lauderdale Airport. Dive into a refreshing lagoon pool, take to the Atlantic for jet skiing or snorkeling, or pamper yourself at a full-service spa.

When it’s time to refuel, savor creative cuisine at one of three restaurants, sip handcrafted cocktails while relaxing under swaying palm trees or perk up with a treat from Starbucks. The hotel guest rooms are an ideal beachfront oasis at the end of the day

Splash into unforgettable poolside fun!

The Marriott 8,000 square-foot lagoon pool is an experience to remember and offers activities for guests of all ages. Guests can order delicious seafood and creative cocktails from the on-site restaurant, Sea Level, that will be conveniently delivered poolside.

Experience true spa relaxation.

Refresh the body and mind next to the ocean at The Spa at Fort Lauderdale

Learn and Relax on the Beachfront at ASER Annual Congress 2018


Valuable insight to help you guide volume administration.

Clarity gives you the control to make more informed decisions.

1. Michard F, Biais M. Rational fl uid management: dissecting facts from fi ction. Br J Anaesth 2012

For professional use. CAUTION: Federal (United States) law restricts this device to sale by or on the order of a physician. See instructions for use for full prescribing information, including indications, contraindications, warnings, precautions and adverse events.

Edwards Lifesciences devices placed on the European market, meet the essential requirements referred to in Article 3 of the Medical Device Directive 93/42/EEC, and bear the CE marking of conformity.

Edwards, Edwards Lifesciences, the stylized E logo, ClearSight, Enhanced Surgical Recovery Program, FloTrac and Swan-Ganz are trademarks of Edwards Lifesciences Corporation. All other trademarks are the property of their respective owners.

© 2017 Edwards Lifesciences Corporation. All rights reserved. AR11991

Edwards Lifesciences • One Edwards Way, Irvine CA 92614 USA • edwards.com

Edwards Lifesciences’ range of hemodynamic monitoring solutions provides key fl ow parameters shown to be more informative in determining fl uid responsiveness than pressure-based parameters.1

Each off ers continuous information which may be used in Perioperative Goal-Directed Therapy (PGDT) to hemodynamically optimize your moderate to high-risk surgery patients.

The Edwards Enhanced Surgical Recovery Program can help you implement PGDT today. PGDT can help ensure your patients are consistently maintained in the optimal volume range.

Know more. Know now. Edwards.com/ASER17

ClearSight noninvasive systemCO, SV, SVV, SVR, cBP*

FloTrac minimally-invasive systemCO, SV, SVV, SVR

Swan-Ganz systemCCO, RVEDV, RVEF, SvO2

* Continuous Blood Pressure

Important Safety Information

Contraindications ENTEREG Capsules are contraindicated in patients who have taken

therapeutic doses of opioids for more than 7 consecutive days immediately prior to taking ENTEREG.

Warnings and Precautions There were more reports of myocardial infarctions in

patients treated with alvimopan 0.5 mg twice daily compared with placebo-treated patients in a 12-month

study of patients treated with opioids for chronic pain. In this study, the majority of myocardial

infarctions occurred between 1 and 4 months after initiation of treatment. This imbalance

has not been observed in other studies of alvimopan, including studies

of patients undergoing bowel resection surgery who received

alvimopan 12 mg twice daily for up to 7 days. A

causal relationship with alvimopan has not

been established.

Indication and UsageENTEREG is indicated to accelerate the time to upper and lower gastrointestinal recovery following surgeries that include partial bowel resection with primary anastomosis.

ACCELERATE GI RECOVERYThe ACP used in clinical trials included:

Early diet advancement

Early nasogastric tube (NGT) removal

Early ambulation

In clinical trials, ENTEREG added to an accelerated care pathway (ACP), also commonly called an enhanced recovery pathway (ERP),1,2 was more effective than an ACP alone in helping to

WARNING: POTENTIAL RISK OF MYOCARDIAL INFARCTION WITH LONG-TERM USE: FOR SHORT-TERM HOSPITAL USE ONLY

Increased incidence of myocardial infarction was seen in a clinical trial of patients taking alvimopan for long-term use. No increased risk was observed in short-term trials.

Because of the potential risk of myocardial infarction, ENTEREG is available only through a restricted program for short-term use (15 doses) called the ENTEREG Access Support and Education (E.A.S.E.) Program.


Valuable insight to help you guide volume administration.

Clarity gives you the control to make more informed decisions.

1. Michard F, Biais M. Rational fl uid management: dissecting facts from fi ction. Br J Anaesth 2012

For professional use. CAUTION: Federal (United States) law restricts this device to sale by or on the order of a physician. See instructions for use for full prescribing information, including indications, contraindications, warnings, precautions and adverse events.

Edwards Lifesciences devices placed on the European market, meet the essential requirements referred to in Article 3 of the Medical Device Directive 93/42/EEC, and bear the CE marking of conformity.

Edwards, Edwards Lifesciences, the stylized E logo, ClearSight, Enhanced Surgical Recovery Program, FloTrac and Swan-Ganz are trademarks of Edwards Lifesciences Corporation. All other trademarks are the property of their respective owners.


Edwards Lifesciences • One Edwards Way, Irvine CA 92614 USA • edwards.com

Edwards Lifesciences’ range of hemodynamic monitoring solutions provides key fl ow parameters shown to be more informative in determining fl uid responsiveness than pressure-based parameters.1

Each off ers continuous information which may be used in Perioperative Goal-Directed Therapy (PGDT) to hemodynamically optimize your moderate to high-risk surgery patients.

The Edwards Enhanced Surgical Recovery Program can help you implement PGDT today. PGDT can help ensure your patients are consistently maintained in the optimal volume range.

Know more. Know now. Edwards.com/ASER17

ClearSight noninvasive systemCO, SV, SVV, SVR, cBP*

FloTrac minimally-invasive systemCO, SV, SVV, SVR

Swan-Ganz systemCCO, RVEDV, RVEF, SvO2

* Continuous Blood Pressure

Marriott Harbor Beach. Explore our steam room or relax by our private spa pool.

Satisfy Your Sense of Adventure!

Book all of your thrill-seeking water adventures right on the beach. From wave runners to boogie boards and catamarans to kayaks, there are many options. Whether it’s sailing the sea or snorkeling through aquatic paradise, there’s a world of fun for everyone to explore.

Surf’s Up, Kids!

At Fort Lauderdale Marriott Harbor Beach Resort & Spa’s Surf Club, the kids will discover endless hours of fun for a vacation with memories unlike any other. In this open door activity program, guests from 5-12 years old can access our modern children’s activity center, featuring an innovative multimedia area, arts and crafts, video games and an outdoor interactive splash pad where they can play and cool off. n

View ASER Annual Congress Registration Brochure on pages 13-17


The Round Table- Perioperative Care Blog

By Desiree Chappell, CRNA, ASER Board Member

The Round Table is a space for networking, disseminating information, and sharing ideas and experiences around perioperative care and enhanced recovery. My goal is to

connect those who are researching, supporting, and implementing these principles in a hope to improve communication, streamline practice and ultimately improve patient care and outcomes. Several formats are offered- ie guest bloggers, resource lists, meeting calendars, etc. The most exciting format is our partnership with TopMedTalk and podcast recordings of Round Table discussions on current topics.

Please check out the blog and subscribe.

http://periopcareblog.com/

Please consider a contribution as a guest blogger. You can submit a short 200-300 word piece about your Enhanced Recovery experiences, ideas, research projects, etc. This does not need to be a formal article, an opinion piece is appropriate.

I’m looking for volunteers during the spring ASER meeting to join in Round Table discussions regarding Enhanced Recovery. Email me if you are interested. n

Start a proven Surgical Nutrition protocol, with a proven formula, IMPACT® formulas

IMPACT® formulas — The Proven Solution in Surgical Nutrition

1. Drover JW et al. J Am Col Surg 2011;212:385-399. 2. Majumder A et al. J Am Col Surg 2016;222:1106-1115.

All trademarks are owned by Société des Produits Nestlé S.A.,Vevey, Switzerland. All rights reserved. Florham Park, NJ 07932-1521 U.S.A. © 2017 Nestlé. IPCT-14086-0517

USE UNDER MEDICAL SUPERVISION

Only IMPACT® formulas reduced the risk of infectious complications 51% vs. standard nutrition; versus a 5% reduction in other arginine-supplemented formulas vs. standard nutrition in major elective surgery patients.1

Unique product formula

Used at over 500 hospitals

80+ publications

20+ years

experience51%

reduction in infectious

complications1

Real world proof of reduced

readmissions+ LOS2

For more information on IMPACT® formulas, contact your Nestlé Health Science representative or call 1-800-422-ASK2 (2752)


Meet the ASER Team

There have been some ASER staffing changes to better serve the organization. Let me introduce the ASER Staff with their primary areas of focus.

Jane Svinicki, CAE Executive Director [email protected]

Executive Committee and Board directives, bylaws/policies, strategic direction, financial organization, external networking, establishment and implementation of new project/process, oversight of annual and long-range activities

Sandy Schueller Account Executive [email protected]

Annual Congress management, Committee initiatives, and financials assistance

Anna Matel Antoine Account Coordinator [email protected]

Membership management, website, newsletter assistance, marketing/branding, financial processing (including event registration), general operations

Please feel welcome to reach out to any of us directly. We’re happy to work through any association matters, and are looking to get to know all of the ASER members better in the coming months. ASER has a mix of our long term staff, Jane over 30 years with SAMI, Sandy is a 4 year employee and Anna is a newcomer at just 4 months. More information about our staff is available on the SAMI website at www.svinicki.com.

Good-bye and thanks to Samantha ‘Sam’ Dobrzynski who served ASER for several years. Sam is now the event coordinator for the Junior Volleyball Association.

Management staff for ASER is provided by Svinicki Association Management, Inc. (SAMI). Our company’s mission since its founding in 1986 is to provide excellent, comprehensive management services that empower dynamic associations to succeed. We work towards this every day by staying true to our company’s core values:

• Consistent, Open Communication

• Knowledge and Awareness of Association Management Trends

• Client Friendly Staff who are Approachable, Open-minded, and Personable

• Effective and Efficient Use of Today’s Technology

• Integrity and Transparency in Relationships with Clients

• Team Based Approach to Client Management n

Jane Svinicki

Sandy Schueller

Anna Matel Antoine

References:1. Grocott et al. Perioperative increase in global blood flow to explicit defined goals and

outcomes after surgery: a Cochrane systematic review. Br J Anaesth 20132. Giglio MT, Marucci M, Testini M, Brienza N. Goal-directed haemodynamic therapy and

gastrointestinal complications in major surgery: a meta-analysis of randomized controlledtrials. Br J Anaesth 2009; 103: 637–46

3. Dalfino L, Giglio MT, Puntillo F, Marucci M, Brienza N. Haemodynamic goal-directed therapyand postoperative infections: earlier is better. A systematic review and meta-analysis. Crit Care 2011; 15: R154

4. Corcoran T et al. Perioperative Fluid Management Strategies in Major Surgery: A StratifiedMeta-Analysis. Anesthesia – Analgesia 2012

Edwards, Edwards Lifesciences, the stylized E logo, and Enhanced Surgical Recovery are trademarks of Edwards Lifesciences Corporation. All other trademarks are the property of their respective owners.


Edwards Lifesciences • edwards.com One Edwards Way, Irvine CA 92614 USA

A large body of evidence demonstrates that hemodynamic optimization through Perioperative Goal-Directed Therapy (PGDT), utilizing dynamic parameters which are informative

in determining fluid responsiveness, has been shown to reduce post-surgical complications.1–4

When evidence inspires action, Edwards Enhanced Surgical Recovery program is here to help you implement PGDT.

30+ randomized controlled trials and

14+ meta-analyses confirmed reduction of risk for AKI,anastomotic leaks, pneumonia, SSI and UTI.1–4

You can reduce post-surgical

complications by

32%1

in your moderateto high-risk patients.

Edwards.com/ASER2017

We Know PreOp Nutrition

Learn More Atdrinkclearfast.com/medical-professionals

Implementation ConsultingCustom Drinking InstructionsStellar Customer SupportHospital & Volume Pricing

ClearFast PreOp is a ready-to-drink, clear, complex carb rich beverage that

hydrates & nourishes in the immediate preop window.

Since 2013, hundreds of thousands of servings of ClearFast have improved patient outcomes across the nation!

Your ASER membership expires December 31st, 2017-

Renew Today!

ASER is working on your behalf to give you the most up-to-date evidence in perioperative care practices.

Member benefits include:

• Access to enhanced recovery/perioperative publications andongoing research

• Enhanced recovery implementation consultation and guidance

• Implementation resources and patient educational materials

• Membership discounts

• Professional development opportunities

• Network with experts in enhanced recovery & perioperativemedicine

Thank you again for your continued support!

Click here to renew your ASER membership today!

http://aserhq.org/membership/

HEALTH ASSURANCETwistle enhances clinician productivity with the ultimate goal of better outcomes for patients.Twistle automatically nudges patients to comply with protocols. Twistle’s confi gurable pathways are equally applicable for perioperative, specialty or primary care.

35%Decreasein ALOS

WORKFLOW LIBRARYChoose from our library, build your own, or have us build onefor you.

AUTOMATIONConstruct workfl ows to automate communication with patients.

USER MANAGEMENTEasily set up and add users within your organization.

AUTO-TRIAGEAutomatically triage messages to a colleague or team, ensuring the right people get the right message at the right time.

ONCALLDecide when you are accessible, and triage to colleagues when you’re not by inputting times and dates of availability.

GROUP MESSAGINGSet up and collaborate with various teams within your organization. Set up teams for doctors, nursing staff and more.

DELIVERY CONFIRMATION See when a message has been read.

ATTACHMENTSInclude photos, videos, PDFs, and other media–rich fi les.

CLOSE CONVERSATIONSStop receiving messages from users when treatment plans are complete.

INTEGRATIONInterface with EHRs, registries, analytics tools and smart devices such as Fitbits and glucose monitors.

FEATURES

/ Available for iPhone &

Android devices

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twistle

2018 6TH ANNUAL CONGRESS OF

ENHANCED RECOVERY AND PERIOPERATIVE MEDICINE

6737 W. Washington St., Suite 4210 • Milwaukee, WI 53214 (P) 414-389-8610 • (F) 414-276-7704 • www.aserhq.org • [email protected]

Find us on Social Media

MARCH 15TH-17TH, 2018Marriott Resort Fort Lauderdale Harbor Beach3030 Holiday Dr., Fort Lauderdale, Florida

REGISTER NOW

Invited Speakers

Meeting Accreditation InformationLEARNING OBJECTIVES• Discuss the various elements of an enhanced

recovery pathway.• Appreciate the current evidence base, as well as

gaps in understanding and controversies.• Understand new care delivery models and

approaches, and how to apply these models in their hospital to improve outcomes.

REGISTRATIONRegistration for the 2018 Annual Congress of Enhanced Recovery and Perioperative Medicine includes breakfasts, coffee breaks, lunches, opening reception, all workshops and the program syllabus. Note that all fees are quoted in U.S. currency. Member registrants must have 2018 dues paid in order to receive the member discount. Registration for the meeting can be made either by using the registration form in this brochure or through the ASER’s website at www.aserhq.org.

SATISFACTORY COMPLETION Participants must complete an evaluation form to receive a certificate of completion. Your chosen sessions must be attended in their entirety. Partial credit of individual sessions is not available. NOTE: If you are seeking continuing education credit for a specialty not listed below, it is your responsibility to contact your licensing/certification board to determine course eligibility for your licensing/certification requirement.

ACCREDITATION STATEMENTThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Amedco and American Society of Enhanced Recovery. Amedco is accredited by the ACCME to provide continuing medical education for physicians. Credit Designation Statement - Amedco designates this live activity for a maximum of 14.50 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CREDIT DESIGNATION STATEMENT (CME)Amedco designates this live activity for a maximum of 14.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

APPROVAL STATEMENT (ANAA)This activity has been submitted for review by the American Association of Nurse Anesthetists.

APPROVAL STATEMENT (ANCC)Amedco is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This course is co-provided by Amedco and American Society of Enhanced Recovery. Maximum of 14.50 contact hours.

PHARMACISTSAmedco is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Successful completion of this program qualifies for up to 14.50 contact hours. Note: List day, session title and UAN on PN. NOTE: The only official Statement of Credit is the one you pull from CPE Monitor. You must request your certificate by April 24, 2018 to meet the deadline for submission to CPE Monitor.

AMERICAN SOCIETY FOR ENHANCED RECOVERY (ASER) PHOTO AND VIDEO DISCLOSUREPhotos and video footage are periodically taken of people participating in an ASER meeting. Please be aware that by registering for an ASER meeting or participating in an activity or attending an event at an ASER meeting, you authorize ASER to use these photos and video footage for promotional purposes in ASER publications, advertising, marketing materials, brochures, social media (including Facebook, YouTube, Instagram, Twitter, and other social media sites operated by ASER), and the ASER website without additional prior notice or permission and without any compensation. All photos and videos are property of ASER.

Anoushka Afonso, MDMemorial Sloan Kettering

Cancer CenterNew York, NY USA

Thomas Anthony Aloia, MDThe University of TexasHouston, TX USA

Bret Alvis, MDVanderbilt University Medical

CenterNashville, TN USA

Robin Anderson, RN, BSNDuke HealthDurham, NC USA

Solomon Aronson, MD, MBA, FACC, FCCP, FAHA, FASE

Duke University School of Medicine

Durham, NC USA

Angela Bader, MD, PhDHarvard Medical SchoolBoston, MA USA

Joni M. Brady, DNP, RN-BC, CAPA

International Collaboration of PeriAnaesthesia Nurses, Inc.

Alexandria, VA USA

Maxime Cannesson, MD, PhDUniversity of California Los

AngelesIrvine, CA USA

Francesco Carli, MD, MPhilMcGill UniversityMontreal, Quebec, Canada

Desiree Chappell, CRNA, MSNA

Anesthesiology Consultants Enterprises

Norton Audubon AnesthesiaLouisville, KY USA

Philip Corvo,MD, MA, FACSSaint Mary’s Hospital, Trinity

Health of New EnglandHartford, CT USA

Diana L Diesen, MDUniversity of Texas

Southwestern, Dallas, TX USA

Lee Fleisher, MDUniversity of PennsylvaniaPhiladelphia, PA USA

Tong J. Gan, MD, MBA, MHS, FRCA

Stony Brook UniversityStony Brook, NY USA

Vijay Gottumukkala, MB, BS, MD(Anes), FRCA

MD Anderson Cancer CenterHouston, TX USA

Mike Grocott, BSc, MBBS, MD, FRCA, FRCP, FFICM

University of SouthamptonSouthampton, UK

Traci Hedrick, MDUniversity of VirginiaCharlottesville, VA USA

Stefan Holubar, MD, MS, FACS, FASCRS

Cleveland ClinicCleveland, OH USA

Jonathan A. Laryea, MD, FACS, FASCRS, FWACS

University of Arkansas for Medical Sciences

Little Rock, AR USA

Terrence J. Loftus, MDLoftus HealthTempe, AZ USA

Timothy Miller, MB, ChB, FRCA

Duke UniversityDurham, NC USA

Vicki Morton, DNP, AGNP-BCProvidence Anesthesia

AssociatesCharlotte, NC USA

Monty Mythen, MD, FRCA, FFICM, FCAI (Hon)

University College LondonLondon, England

George Joseph Nassif, Jr., DOFlorida HospitalAltamonte Springs, FL USA

Frank G. Opelka, MD, FACSAmerican College of

SuregeonsWashington, DC USA

Carol J. Peden, MB, ChB, MD, MPH

Keck Medicine of University of Southern California

Los Angeles, CA USA

Michael R. Pinsky, MD, DrhcUniversity of Pittsburgh School

of MedicinePittsburgh, PA USA

Lynn Reede, DNP, MBA, CRNA, FNAP

American Association of Nurse Anesthetists

Park Ridge, IL USA

Bethany Sarosiek, RN, MSN, MPH, CNL

UVA Health SystemCharlottesville, VA USA

Michael Scott, MB, ChBVirginia Commonwealth

University Health SystemRichmond, VA, USA

Anthony Senagore, MD, MBAUniversity of Texas Medical

Branch at GalvestonGalveston, TX USA

Daniel I. Sessler, MDThe Cleveland ClinicCleveland, OH USA

Julie Thacker, MDDuke UniversityDurham, NC USA

Elizabeth Wick, MDUniversity of California, San

FranciscoSan Franciscon, CA USA

Judson Williams, MD, MHSDuke University Medical

CenterWakeMed Health and

HospitalsDurham, NC USA

Christopher Wu, MDJohns Hopkins UniversityBaltimore, MD USA

Schedule of Events

THURSDAY, MARCH 15, 20187:00 – 8:00am Breakfast

8:00 – 9:30AM SESSION 1: PRESIDENTIAL SESSIONModerator: Stefan Holubar, MD, MS, FACS, FASCRS

8:00 – 8:20am ASER 2018: Past/Present/Future Julie Thacker, MD

8:20 – 8:40am POQI 2018: Past/Present/Future Timothy Miller, MB, ChB, FRCA

8:40 – 9:05am TBD TBD

9:05 – 9:30am Optimizing Patient Outcomes Frank G. Opelka, MD, FACS

9:30 – 10:00am Break with Sponsors and Exhibitors

10:00 – 12:00PMSESSION 2: ENHANCED RECOVERY ACROSS THE SURGICAL SPECTRUMModerator: Anthony Senagore, MD

10:00 – 10:15am Pediatrics: Parents/Pains Dana L. Diesen, MD

10:15 – 10:30am Plastics Free Flaps Anoushka Afonso, MD

10:30 – 10:45am Hepatobiliary Thomas Anthony Aloia, MD

10:45 – 11:00am Hip & Knee Bret Alvis, MD

11:00 – 11:15am Emergency Laparotomy Michael Scott, MB, ChB

11:15 – 11:30am Cardiothoracic Judson Williams, MD, MHS

11:30 – 12:00pm Panel Discussion / Q&A

12:00 – 1:15pm Lunch & Edwards Lifesciences Symposia: Update on Hypotension in Surgical Patients Daniel I. Sessler, MD

1:15 – 3:15PMSESSION 3: ENHANCED RECOVERY: SOLUTIONS TO THE OPIOID CRISISModerators: Vijay Gottumukkala, MS, BS, MD(Anes), FRCA; Julie Thacker, MD; Stefan Holubar, MD, MS, FACS, FASCRS

1:15 – 1:30pm Opioid Burden Lynn Reede, DNP, MBA, CRNA, FNAP

1:30 – 1:45pm Opioid-free Analgesia George Joseph Nassif, Jr., DO

1:45 – 2:00pm Epidurals, Spinals and Blocks Christopher Wu, MD

2:00 – 2:15pm Management of Patient on Chronic Opioid Therapy Traci Hedrick, MD

2:15 – 3:15pm Case Discussion

3:15 – 3:45pm Break with Sponsors and Exhibitors

3:45 – 5:30PM CONCURRENT BREAKOUTS

• Auditing, Reporting to the C-Suite Julie Thacker, MD; TBD; Frank G. Opelka, MD, FACS; Lee Fleisher, MD

• Regional Anesthesia Workshop TBD

5:30 – 7:00pm Opening Reception and Poster Presentations

FRIDAY, MARCH 16, 20187:00 – 8:00am Breakfast

8:00 – 9:30AMSESSION 4: EBPOM-1/POQI-3: PERIOPERATIVE HYPOTENSION: FIRST DO NO HARMModerator: Mike Grocott, BSc, MBBS, MD, FRCA, FRCP, FFICM

8:00 – 8:12am Physiology of Blood Pressure Michael Pinsky, MD, Drhc

8:12 – 8:24am Preoperative Blood Pressure Management Angela Bader, MD, PhD

8:24 – 8:36am Intraoperative Blood Pressure Management Daniel Sessler, MD

8:36 – 8:48am Postoperative Blood Pressure Management Julie Thacker, MD

8:48 – 9:30am Panel Discussion / Q&A


10:00 – 12:00PM SESSION 5: EPBOM-2: PERIOPERATIVE SPACE: OWNERSHIP VS. COLLABORATIONModerator: Monty Mythen, MD, FRCA, FFICM, FCAI (Hon)

10:00 – 10:30am Debate: The Current Preoperative Pathway is Fundamentally Flawed Solomon Aronson, MD, MBA, FACC, FCCP, FAHA, FASE; Traci Hedrick, MD

10:30 – 11:00am Debate: Postoperative Care has to be Delivered by the Surgeon Lee Fleisher, MD; Anthony Senagore, MD

11:00 – 11:30am Debate: Collaborative Decision Making is the Best Approach to Discuss Perioperative Risk Angela Bader, MD, PhD; Frank G. Opelka, MD, FACS

11:30 – 12:00pm Panel Discussion

12:00 – 1:15pm Sponsored Lunch Symposium

Schedule of Events

THURSDAY, MARCH 15, 20187:00 – 8:00am Breakfast

8:00 – 9:30AM SESSION 1: PRESIDENTIAL SESSIONModerator: Stefan Holubar, MD, MS, FACS, FASCRS

8:00 – 8:20am ASER 2018: Past/Present/Future Julie Thacker, MD

8:20 – 8:40am POQI 2018: Past/Present/Future Timothy Miller, MB, ChB, FRCA

8:40 – 9:05am TBD TBD

9:05 – 9:30am Optimizing Patient Outcomes Frank G. Opelka, MD, FACS


10:00 – 12:00PMSESSION 2: ENHANCED RECOVERY ACROSS THE SURGICAL SPECTRUMModerator: Anthony Senagore, MD

10:00 – 10:15am Pediatrics: Parents/Pains Dana L. Diesen, MD

10:15 – 10:30am Plastics Free Flaps Anoushka Afonso, MD

10:30 – 10:45am Hepatobiliary Thomas Anthony Aloia, MD

10:45 – 11:00am Hip & Knee Bret Alvis, MD

11:00 – 11:15am Emergency Laparotomy Michael Scott, MB, ChB

11:15 – 11:30am Cardiothoracic Judson Williams, MD, MHS


12:00 – 1:15pm Lunch & Edwards Lifesciences Symposia: Update on Hypotension in Surgical Patients Daniel I. Sessler, MD

1:15 – 3:15PMSESSION 3: ENHANCED RECOVERY: SOLUTIONS TO THE OPIOID CRISISModerators: Vijay Gottumukkala, MS, BS, MD(Anes), FRCA; Julie Thacker, MD; Stefan Holubar, MD, MS, FACS, FASCRS

1:15 – 1:30pm Opioid Burden Lynn Reede, DNP, MBA, CRNA, FNAP

1:30 – 1:45pm Opioid-free Analgesia George Joseph Nassif, Jr., DO

1:45 – 2:00pm Epidurals, Spinals and Blocks Christopher Wu, MD

2:00 – 2:15pm Management of Patient on Chronic Opioid Therapy Traci Hedrick, MD

2:15 – 3:15pm Case Discussion


3:45 – 5:30PM CONCURRENT BREAKOUTS

• Auditing, Reporting to the C-Suite Julie Thacker, MD; TBD; Frank G. Opelka, MD, FACS; Lee Fleisher, MD

• Regional Anesthesia Workshop TBD

5:30 – 7:00pm Opening Reception and Poster Presentations

FRIDAY, MARCH 16, 20187:00 – 8:00am Breakfast

8:00 – 9:30AMSESSION 4: EBPOM-1/POQI-3: PERIOPERATIVE HYPOTENSION: FIRST DO NO HARMModerator: Mike Grocott, BSc, MBBS, MD, FRCA, FRCP, FFICM

8:00 – 8:12am Physiology of Blood Pressure Michael Pinsky, MD, Drhc

8:12 – 8:24am Preoperative Blood Pressure Management Angela Bader, MD, PhD

8:24 – 8:36am Intraoperative Blood Pressure Management Daniel Sessler, MD

8:36 – 8:48am Postoperative Blood Pressure Management Julie Thacker, MD

8:48 – 9:30am Panel Discussion / Q&A


10:00 – 12:00PM SESSION 5: EPBOM-2: PERIOPERATIVE SPACE: OWNERSHIP VS. COLLABORATIONModerator: Monty Mythen, MD, FRCA, FFICM, FCAI (Hon)

10:00 – 10:30am Debate: The Current Preoperative Pathway is Fundamentally Flawed Solomon Aronson, MD, MBA, FACC, FCCP, FAHA, FASE; Traci Hedrick, MD

10:30 – 11:00am Debate: Postoperative Care has to be Delivered by the Surgeon Lee Fleisher, MD; Anthony Senagore, MD

11:00 – 11:30am Debate: Collaborative Decision Making is the Best Approach to Discuss Perioperative Risk Angela Bader, MD, PhD; Frank G. Opelka, MD, FACS

11:30 – 12:00pm Panel Discussion

12:00 – 1:15pm Sponsored Lunch Symposium

Schedule of Events continued

Hotel & Trasportation Information

FRIDAY, MARCH 16, 2018 cont.1:15 – 3:15PMSESSION 6: SHOW ME THE EVIDENCE: OPTIMIZING CARE & OUTCOMESModerator: Terrance J. Loftus, MD

1:15 – 1:30pm Prehabilitation Francesco Carli, MD, MPhil

1:30 – 1:45pm Lung-protective Strategies & RNMB Desiree Chappell, CRNA, MSNA

1:45 – 2:00pm Restrictive IV Fluid Management & AKI Maxime Cannesson, MD, PhD

2:00 – 2:15pm Adherence: What Elements Really Matter? Jonathan A. Laryea, MD, FACS, FASCRS, FWACS

2:15 – 2:30pm We Are Building a Cathedral: The Connecticut Surgical Quality Collaborative Experience Philip Corvo, MD, MA, FACS



3:45 – 5:30PMCONCURRENT BREAKOUTS

• Research Methodology Workshop Anoushka Afonso, MD; Christopher Wu; Anthony Senagore, MD

• Regional Anesthesia Workshop -II TBD

• Using Dynamic Assessment to Guide Fluid Management Sponsored By: Cheetah

SATURDAY, MARCH 17, 20187:00 – 8:00am Breakfast

8:00 – 9:30AMSESSION 7: BUILDING THE ENHANCED RECOVERY TEAM: KEYS TO SUCCESSModerator: Julie Thacker, MD

8:00 – 8:15am Who is the Team? Robin Anderson, RN, BSN

8:15 – 8:30am Role of the Coordinator- Making the Case Bethany Sarosiek, RN, MSN, MPH, CNL

8:30 – 8:45am Data Challenges from Beginning and Beyond Vicki Morton, DNP, AGNP-BC

8:45 – 9:00am Administrative Buy-in Joni M. Brady, DNP, RN-BC, CAPA

9:00 – 9:30am Q&A

9:30 – 10:00am Break

10:00 – 12:00PMSESSION 8: PLENARY SESSIONModerator: Tong J. Gan, MD, MBA, MHS, FRCA

10:00 – 10:10am Research Awards Anoushka Afonso, MD

10:10 – 10:50am PLENARY LECTURE: Enhanced Surgical Recovery: The Future is Yesterday Monty Mythen, MD, FRCA, FFIM, FCAI (Hon)

10:50 – 11:15am AHRQ Enhanced Recovery Grant Elizabeth Wick, MD

11:15 – 11:40am Q.I. in ERP Carol J. Peden, MB, ChB, MD, MPH


HOTELMarriott Resort Fort Lauderdale Harbor Beach3030 Holiday DriveFort Lauderdale, FL 33316Phone: (954) 525-4000

http://www.marriott.com/hotels/travel/fllsb-fort-lauder-dale-marriott-harbor-beach-resort-and-spa/

RESERVATIONSReservations start at $305/night. Reservation can be made online at https://aws.passkey.com/e/49309119

AIRPORT TRANSPORTATIONFort Lauderdale-Hollywood International Airport (FLL), located 5 miles from the hotel.

Visit http://www.broward.org/airport/Pages/Default.aspx details on parking, amenities, flight status, terminal maps and more for the Fort Lauderdale-Hollywood International Airport.

The hotel does not provide shuttle service.

Meeting Registration Form

MAIL OR FAX REGISTRATION FORMThis is how your name will appear on your name badge. *Required fields.

*FIRST NAME: *LAST NAME:

PROFESSION: *HIGHEST DEGREE(S):

*COMPANY/INSTITUTIONAL AFFILIATION:

*ADDRESS:

*STATE/PROVINCE: *ZIP: *COUNTRY:

*PHONE: FAX:

*EMAIL ADDRESS:

Special Needs: Hearing Impaired Sight Impaired Other:

Dietary (Please Specify)

REGISTRATION FEES Course materials, 1 cocktail events, 2 lunches & 3 continental breakfasts Early Bird by 1/5/18 ASER Physician Member Registration ...................................... $600.00 ASER Physician Non-Member Registration*............................. $725.00 ASER Non-Physician Member Registration ................................ $50.00 ASER Non-Physician Non-Member Registration ...................... $150.00 Residents/Fellows/Medical Students Registration ................... $50.00 ASER Industry Member .......................................................... $600.00 ASER Industry Non-Member*................................................. $725.00

*Non-member fee includes 1 year of membership.

2/16/18$700.00$825.00$75.00$175.00$50.00$700.00$825.00

After 3/2/18$800.00$925.00$100.00$200.00$50.00$800.00$925.00

SUB TOTAL:

PAYMENT MUST ACCOMPANY REGISTRATION TOTAL DUE:

METHOD OF PAYMENTThe following methods of payment are acceptable for the registration fee:1. Check: Made payable to ASER. There is a $25 returned check fee. Check Included 2. Credit Card Payments: Visa MasterCard Discover AMEX

NAME ON CARD:

CARD #:

SECURITY CODE: EXP. DATE: /

SIGNATURE:

Paper Registrations By Fax or Mail(SEE CONTACT INFORMATION BELOW)If you are unable to register online please fax or mail your paper registration form.

Onsite RegistrationsOnline registration accepted until March 2, 2018. After March 2nd limited onsite registration is available.

Registration CancellationAll cancellations must be in writing and sent via U.S. mail, email or fax. Fee for cancellations postmarked or date stamped before March 2, 2018 will be completely refunded with an administrative fee of $25. NO REFUNDS WILL BE MADE AFTER MARCH 2, 2018.

Questions? Contact Us:American Society for Enhanced Recovery6737 W. Washington St. Suite 4210Milwaukee, WI [email protected]: 414-389-8610fax: 414-276-7704

PLEASE NOTE: Registration is not complete until you receive a confirmation email for your registration. If you do not receive this email within 5-7 days of registration, please contact us at 414-389-8610.

It is recommended to bring your confirmation of registration with you to the conference.

ONLINE REGISTRATION www.aserhq.orgOnline registration accepted until Friday, March 2, 2018

ASERalertCopyright© ASER 2017 unless otherwise indicated. All rights reserved.

No part of this publication may be reproduced without permission from the editor.

American Society for Enhanced Recovery 6737 W Washington St. | Ste. 4210 | Milwaukee, WI 53214

414-389-8610 | [email protected]

ASERlert - aserhq.org · Robin Anderson Desiree Chappell, CRNA, MSNA Vijay Gottumukkala, MS, BS,...

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