Harvard Anesthesiology Update 2023
Harvard Anesthesiology Update 2023 (Course) ensures not only that attendees leave with a comprehensive understanding of the latest advances, risk mitigation strategies and anesthesiology guidelines, but also with specific recommendations to incorporate these updates into practice.
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The Comprehensive 2023 Anesthesiology Update
Cardiac, Regional, Office-Based, Thoracic, Obstetric, Neuro, and Pediatric
Anesthesiology Update held between May 8–12, 2023.
- In the past year, there have been a number of very significant clinical changes that affect the practice of anesthesiology. This comprehensive CME program provides a special and timely opportunity for anesthesiologists, nurse anesthetists and others with interest in the field to hear directly from world-renowned specialists and master clinicians about these changes.
- The format is engaging and attendees are encouraged to pose questions of the national and international experts who will be delivering the updates and education at this event.
Updates, best practices and new guidelines cover:
- Myocardial injury after non-cardiac surgery
- Advances in transfusion practices
- The processed EEG: scientific foundation – practical application – clinical limitations
- Coagulation monitoring during surgery
- Non-invasive cardiac output monitoring in the perioperative period
- Pharmacological considerations in the geriatric patient
- Postoperative respiratory depression
- Genomics to improve perioperative care
- Total intravenous anesthesia: theoretical foundation and practical considerations
- Best papers in the anesthesia literature from the past year
- New developments in anesthetic pharmacology: hypnotics and analgesics
- All things are poison: antidotes in anesthesia
- Pros and cons of transpulmonary pressure measurement
- Drugs for sedation: mixing everything together or not?
- Successfully converting labor analgesia to cesarean anesthesia
- Maternal cardiac arrest
- Integrating technology for postpartum hemorrhage management
- Drug testing in anesthesia: “prevention and protection” or “major risk for minimal gain”
- The patients’ view on patient safety
- Consensus statement on unrecognized esophageal intubation: published by the PUMA group (Project for Universal Management of the Airway)
- Understanding differential analgesic efficacy: insights from practical patient phenotyping
- Perioperative stroke: what is current?
Schedule
Monday, May 08, 2023
New in the Literature Impacting Clinical Practice
Moderators: Sugantha Sundar, MD and Jeremi R. Mountjoy, MD, FRCPC
8:00am to 8:30am Myocardial Injury after Non-Cardiac SurgeryDaniel I. Sessler, MD 8:30am to 9:00am Advances in Transfusion PracticesKeyvan Karkouti, MSc, MD, FRCC 9:00am to 9:15am Q & ADrs. Karkouti, Mountjoy, Sessler, and Sundar 9:15am to 9:30am Break Cutting-Edge Monitoring Updates
Moderators: Jeremi R. Mountjoy, MD, FRCPC and Sugantha Sundar, MD
9:30am to 10:10am Total Intravenous Anesthesia: Theoretical Foundation and Practical ConsiderationsTalmage D. Egan, MD 10:10am to 10:50am Coagulation Monitoring during SurgeryKeyvan Karkouti, MSc, MD, FRCC 10:50am to 11:30am Non-Invasive Cardiac Output Monitoring in the Perioperative PeriodLaszlo Vutskits, MD, PhD 11:30am to 11:45am Q & ADrs. Egan, Karkouti, Mountjoy, Sundar, and Vutskits 11:45am to 1:15pm Break Lunch and Learn Roundtables (optional)
Available to in-person attendees for an additional fee.
11:45am to 1:15pm Lunch and Learn Roundtables(Choose one of the options below. Each roundtable limited to a maximum of 25 participants. ) Acupuncture Workshop
Yuan-Chi Lin, MD, MPH and Cynthia Tung, MD
Blood Management Is a New Standard of Care to Promote Blood Health
Susan M. Goobie, MD, FRCPCEvidence-Based Anesthesia Care for the Geriatric Patient
Moderators: Jeremi R. Mountjoy, MD, FRCPC and Sugantha Sundar, MD
1:15pm to 1:45pm Pharmacological Considerations in the Geriatric PatientRuben Azocar, MD 1:45pm to 2:15pm Hip Fracture in the Elderly—The Spinal Conundrum: Anesthetic ChoicesSheila Barnett, MD 2:15pm to 2:30pm Q & ADrs. Azocar, Barnett, Mountjoy, and Sundar 2:30pm to 2:45pm Break Focusing on Outcomes in Our Patients
Moderators: Rae Allain, MD and Jeremi R. Mountjoy, MD, FRCPC
2:45pm to 3:15pm Postoperative Respiratory DepressionDaniel I. Sessler, MD 3:15pm to 3:45pm Discussing Periprocedural Risk with High-Risk PatientsRae Allain, MD 3:45pm to 4:15pm Perioperative Organ ProtectionLaszlo Vutskits, MD, PhD 4:15pm to 4:45pm The Clinical Pharmacology of Intravenous Anesthetics in Obese PatientsTalmage D. Egan, MD 4:45pm to 5:15pm Cannabis: Friend or Foe?Brian E. McGeeney, MD, MPH, MBA 5:15pm to 5:30pm Q & ADrs. Allain, Egan, McGeeney, Mountjoy, Sessler, and Vutskits Course Reception
5:30pm to 7:30pm In-Person Networking ReceptionJoin colleagues and faculty for networking and refreshments Tuesday, May 09, 2023What Is New in the Literature?
Moderators: Sugantha Sundar, MD and Vesela P. Kovacheva, MD, PhD
8:00am to 8:30am Protective Ventilation during Surgery: Update in 2023Lorenzo Ball, MD, PhD 8:30am to 9:00am The Changing Landscape of Office-Based Anesthesia: Keeping It SafeFred E. Shapiro, DO, FASA 9:00am to 9:15am Q & ADrs. Ball, Kovacheva, Shapiro, and Sundar 9:15am to 9:30am Break Old Topics Revisited: New Insights
Moderators: Sugantha Sundar, MD and Vesela P. Kovacheva, MD, PhD
9:30am to 10:10am New Developments in Anesthetic Pharmacology: Hypnotics and AnalgesicsMichel Struys, MD, PhD, FRCA 10:10am to 10:50am Exercise Physiology: What You Need to KnowJames DiNardo, MD 10:50am to 11:30am Pros and Cons of Transpulmonary Pressure MeasurementLorenzo Ball, MD, PhD 11:30am to 11:45am Q & ADrs. Ball, DiNardo, Kovacheva, Struys, and Sundar 11:45am to 1:15pm Break Lunch and Learn Roundtables (optional)
Available to in-person attendees for an additional fee.
11:45am to 1:15pm Lunch and Learn Roundtables(Choose one of the options below. Each roundtable limited to a maximum of 25 participants. ) Challenging Cases in the Endoscopy Suite
Eswar Sundar, MD
Understanding Medical Devices for Management of Type 1 Diabetes Mellitus
Jeremi R. Mountjoy, MD, FRCPCInnovations in Optimizing Patient Care and the Environment
Moderators: Lynne Ferrari, MD and Vesela P. Kovacheva, MD, PhD
1:15pm to 1:45pm Drugs for Sedation: Mixing Everything Together or Not?Michel Struys, MD, PhD, FRCA 1:45pm to 2:15pm The Green Operating Room: Sustainability in AnesthesiaBrian Chesebro, MD 2:15pm to 2:45pm Surgical Length of Stay Predictions Using Artificial Intelligence to Optimize Capacity ManagementLynne Ferrari, MD 2:45pm to 3:00pm Q & ADrs. Chesebro, Ferrari, Kovacheva, and Struys 3:00pm to 3:15pm Break Maternal Health in 2023
Moderators: Philip Hess, MD and Vesela P. Kovacheva, MD, PhD
3:15pm to 3:45pm Successfully Converting Labor Analgesia to Cesarean AnesthesiaPhilip Hess, MD 3:45pm to 4:15pm Maternal Cardiac ArrestRebecca Minehart, MD 4:15pm to 4:45pm Enhanced Recovery after Cesarean SectionEmily Naoum, MD 4:45pm to 5:15pm Integrating Technology for Postpartum Hemorrhage ManagementMichaela K. Farber, MD, MS 5:15pm to 5:30pm Q & ADrs. Farber, Hess, Kovacheva, Minehart, and Naoum Optional Evening Workshops
Available to in-person attendees for an additional fee.
5:30pm to 8:00pm Ether Dome TourSusan Vassallo, MD
(Limited to 50 in-person attendees)
Includes transportation and refreshments5:30pm to 9:30pm ACLS WorkshopHovig Chitilian, MD
(Limited to 50 in-person attendees)
Includes dinnerACLS Workshop descriptionWednesday, May 10, 2023Clinician Wellness
Moderators: Sugantha Sundar, MD and Jeremi R. Mountjoy, MD, FRCPC
8:00am to 8:30am Lifestyle Medicine for LeadersElizabeth Pegg Frates, MD, FACLM, DipABLM 8:30am to 9:00am Drug Testing in Anesthesia: “Prevention and Protection” or “Major Risk for Minimal Gain”Michael Fitzsimons, MD 9:00am to 9:15am Q & ADrs. Fitzsimons, Frates, Mountjoy, and Sundar 9:15am to 9:30am Break Patient Safety in 2023
Moderators: Jeremi R. Mountjoy, MD, FRCPC and Sugantha Sundar, MD
9:30am to 10:00am Improving Perioperative Communication: What, Why, HowSatya Krishna Ramachandran, MD 10:00am to 10:30am The Patient’s View on Patient SafetyJannicke Mellin-Olsen, MD, DPH 10:30am to 11:30am “Circle Up”—Workflow Adaptation and Psychological Support via Briefing, Debriefing, and Peer Support: A Brief WorkshopChristopher Roussin, PhD, MS and Lon Setnik, MD, MHPEd 11:30am to 11:45am Q & ADrs. Mellin-Olsen, Mountjoy, Ramachandran, Roussin, Setnik, and Sundar 11:45am to 1:15pm Break Lunch and Learn Roundtables (optional)
Available to in-person attendees for an additional fee.
11:45am to 1:15pm Lunch and Learn Roundtables(Choose one of the options below. Each roundtable limited to a maximum of 25 participants. ) PAVING the Path to Wellness
Amy E. Comander, MD,
Perioperative Management of Cardiac Implantable Electronic Devices
Charles B. Nyman, MBBCHPearls in Airway Management
Moderators: Jeremi R. Mountjoy, MD, FRCPC and Vesela P. Kovacheva, MD, PhD
1:15pm to 1:45pm Consensus Statement on Unrecognized Esophageal Intubation: Published by the PUMA Group (Project for Universal Management of the Airway)Ellen O’Sullivan, FRCA, FCAI, FCPSP 1:45pm to 2:15pm Airway Management Lessons from Trees, Slime, Mold, and Our EnvironmentJohn Fiadjoe, MD 2:15pm to 2:45pm Case Discussion on the ASA Difficult Airway Guidelines Decision TreeEllen O’Sullivan, FRCA, FCAI, FCPSP 2:45pm to 3:00pm Q & ADrs. Fiadjoe, Kovacheva, Mountjoy, and O’Sullivan 3:00pm to 3:15pm Break Regional Anesthesia and Pain Management
Moderators: Vesela P. Kovacheva, MD, PhD and Jeremi R. Mountjoy, MD, FRCPC
3:15pm to 3:45pm Fluoroscopy for Routine Epidural Placement: Should It Be the New Standard?Brian D. Sites MD, MS 3:45pm to 4:15pm From League Tables to Precision Medicine: Patient Stratification for Acute Pain ManagementPhilipp Lirk, MD, MSC, PhD 4:15pm to 4:45pm Block or No Block? The Importance of Defining Value in Acute Pain MedicineBrian D. Sites MD, MS 4:45pm to 5:15pm Ultrasound-Guided Neuraxial BlocksBrinda Kamdar, MD 5:15pm to 5:30pm Q & ADrs. Kamdar, Kovacheva, Lirk, Mountjoy, and Sites Optional Evening Workshop
Available to in-person attendees for an additional fee.
5:30pm to 9:30pm Regional Anesthesia WorkshopMichael D. Herrick, MD, Patrick R. Hartmann, MD, and Kamen V. Vlassakov, MD
(Limited to 50 in-person attendees)
Includes dinnerRegional Anesthesia Workshop descriptionThursday, May 11, 2023Risk Reduction: Why, When, and How
Moderators: Sugantha Sundar, MD and Vesela P. Kovacheva, MD, PhD
8:00am to 8:30am “Medication without Harm”Jannicke Mellin-Olsen, MD, DPH 8:30am to 9:00am Lessons Learned from the Closed Claims DatabasesKaren Domino, MD, MPH 9:00am to 9:15am Q & ADrs. Domino, Kovacheva, Mellin-Olsen, and Sundar 9:15am to 9:30am Break Innovations in Neurosciences
Moderators: Sugantha Sundar, MD and Vesela P. Kovacheva, MD, PhD
9:30am to 10:10am Dimensions of ConsciousnessGeorge Mashour, MD, PhD 10:10am to 10:50am Probing Consciousness: Sleep, Anesthesia, Dream, Meditation, PsychedelicsBalachundhar Subramaniam, MD, MPH, FASA 10:50am to 11:30am Perioperative Stroke: What Is Current?George Mashour, MD, PhD 11:30am to 11:45am Q & ADrs. Kovacheva, Mashour, Subramaniam, and Sundar 11:45am to 1:15pm Break Lunch and Learn Roundtables (optional)
Available to in-person attendees for an additional fee.
11:45am to 1:15pm Lunch and Learn Roundtables(Choose one of the options below. Each roundtable limited to a maximum of 25 participants. ) Case-Based Discussion: Management of the Patient with Pulmonary Hypertension and Right Heart Failure
Anastasia Katsiampoura, MD and Sankalp Sehgal, MD
Postdural Puncture Headache: Update in Management
Vesela P. Kovacheva, MD, PhD and Sharon C. Reale, MD
Use of Predictive Modeling to Improve Decision Making and Prevent Adverse Events in Anesthesia
Pedro Luis Gambus, MD, PhDPediatric Anesthesia Pearls
Moderators: Keira P. Mason, MD and Vesela P. Kovacheva, MD, PhD
1:15pm to 1:45pm Results from the Clinical Trial Network: NECTARINENicola Disma, MD 1:45pm to 2:15pm Perioperative Care of the Gender-Diverse YouthNelson Aquino, MS, CRNA, and Elizabeth Boskey, PhD, MPH, LICW 2:15pm to 2:45pm New Considerations for Optimizing Ambulatory Pediatric AnesthesiaKeira Mason, MD 2:45pm to 3:15pm Opioids and Adolescents: Friends and FoesKaren Boretsky, MD 3:15pm to 3:45pm Difficult Airway Algorithm in Children: What Is New for 2023?Nicola Disma, MD 3:45pm to 4:00pm Q & ADrs. Boretsky, Boskey, Disma, Kovacheva, Mason, and Mr. Aquino 4:00pm to 4:15pm Break Mastering Imaging: Bedside Skills to the Rescue
Moderators: Sugantha Sundar, MD and Vesela P. Kovacheva, MD, PhD
4:15pm to 4:45pm Point-of-Care Ultrasound: Easily MasteredAidan Sharkey, MD 4:45pm to 5:15pm Cricothyrotomy: Getting It RightAkiva Leibowitz, MD 5:15pm to 5:30pm Q & ADrs. Kovacheva, Leibowitz, Sharkey, and Sundar Optional Evening Workshops
Available to in-person attendees for an additional fee.
5:30pm to 9:30pm Perioperative Point-of-Care Ultrasound WorkshopAidan Sharkey MD and Akiva Leibowitz MD
(Limited to 50 in-person attendees)
Includes dinnerPerioperative Point-of-Care Ultrasound Workshop description5:30pm to 9:30pm Advanced Airway WorkshopStephanie Yacoubian, MD, Xiaodong Bao, MD, and Paul Alfille, MD
(Limited to 50 in-person attendees)
Includes dinnerAdvanced Airway Workshop descriptionFriday, May 12, 2023State-of-the-Art Anesthetic Care
Moderators: Vesela P. Kovacheva, MD, PhD and Jeremi R. Mountjoy, MD, FRCPC
8:00am to 8:30am Machine Learning in the Operating Room: Hype Versus RealitySachin Kheterpal, MD, MBA 8:30am to 9:00am Use and Interpretation of EEG Monitoring in the Perioperative PeriodPedro Luis Gambus, MD, PhD 9:00am to 9:30am Genomics to Improve Perioperative CareJochen D. Muehlschlegel, MD, MMSc, FAHA 9:30am to 10:00am Using Data to Collaborate and Improve CareSachin Kheterpal, MD, MBA 10:00am to 10:15am Q & ADrs. Gambus, Kheterpal, Kovacheva, Mountjoy, and Muehlschlegel 10:15am to 10:30am Break End-of-Life Care
Moderators: Yuan-Chi Lin, MD, MPH and Vesela P. Kovacheva, MD, PhD
10:30am to 11:00am Medical Aid in Dying: A New Role for Anesthesiologists?Robert D. Truog, MD, MA 11:00am to 11:30am Comfort: Symptom Management for Patients and Their Families at the End of LifeKathleen Lee, MD 11:30am to 12:00pm Communication Needs of Patients and Their Families at the End of LifeKate Lally, MD 12:00pm to 12:30pm Continuity: Hospice Care and Care of the Bereaved in 2023Sue Morris, PsyD 12:30pm to 12:45pm Q & ADrs. Kovacheva, Lally, Lee, Lin, Morris, and Truog 12:45pm to 1:00pm Closing RemarksSugantha Sundar, MD
