Department of Anesthesiology & Pain Medicine
27th Annual UC Davis Anesthesiology Update
Monterey, California

REGISTER NOW
Friday - Sunday

November 11-13, 2016
Monterey Plaza Hotel, Monterey, CA

THEME: PATIENT SAFETY

HIGHLIGHTS
  • Topics on Patient Safety and Team Management
  • Point of Care Ultrasound
  • Ultrasound Applications for the Anesthesiologist Workshop
  • The Difficult Airway Workshop
  • Pediatric Anesthesia, Neuro-Anesthesia, Obstetrical Anesthesia and New Drug Updates.
  • Problem Based Learning Discussion at Breakfast Round tables
  • Wine and Cheese Reception Friday evening at the Monterey Plaza hotel



 
PROGRAM

 
REGISTRATION

 
CREDIT

 
 
 
                           
 
 
 

Course Chair
Stephen M. Macres, MD
Professor
Director, Acute Pain Service

Course Co-Chairs
Robin J. Aldwinckle, MBBS, FRCA
Associate Professor
Director, Same Day Surgery Center

Amrik Singh, MD
Professor
Associate Chief, Division of Perioperative Medicine
Director, Anesthesiology Residency Program

Jeffrey Uppington, MBBS, FRCA
Professor
Vice Chair of Clinical Affairs

Guest Faculty
Davinder Ramsingh, MD, Associate Professor
Director of Clinical Research and Perioperative Ultrasound
Department of Anesthesiology
Loma Linda Medical Center

UC Davis Health System Department of Surgery Faculty
Gregory J. (“Jerry”) Jurkovich, MD FACS
Professor and Vice-Chairman

UC Davis Department of Anesthesiology & Pain Medicine
Richard L Applegate II, MD
Professor and Chair

Orode Badakhsh, MD
Assistant Professor

Neal Fleming, MD, PhD
Professor
Director, Cardiovascular and Thoracic Anesthesiology

Kenneth T Furukawa, MD
Professor

Sungeun Lee, MD
Assistant Professor
Director, Pediatric Anesthesia Fellowship Program
Co-Director, Pediatric Perioperative Pain Service

Brian L Pitts, MD, MS
Associate Professor

Stanley Sady, MD
Professor

Nina Schloemerkemper, MD, FRCA
Assistant Professor

Timothy Tautz, MD
Professor
Co-Director, Malignant Hyperthermia Laboratory

Conference Coordinator
Beng Salud, BSBA
CME Specialist
Department of Anesthesiology & Pain Medicine
UC Davis Health System

Friday, November 11

Registration, Continental Breakfast, Visit Exhibits
7:00 am

Welcome and Course Objectives
7:45 am - 8:00am
Moderators: Stephen M. Macres, MD, Amrik Singh, MD

Perioperative Non-Cardiac Point of Care Ultrasound
8:00 am - 8:45am
Davinder Ramsingh, MD

Is my Ultrasound really making me a better/safer Regional Anesthesiologist?
8:45 am - 9:30 am
Robin J. Aldwinckle, MD

Refreshment Break, Visit Exhibits
9:30 am - 10:00 am

Anesthesia Potpourri (Delayed Emergence from Anesthesia, Opioid Induced Respiratory Depression, Pharmacogenetics and Opioid Divergence)
10:00 am - 10:45 am
Stephen M. Macres, MD

Improving Patient Safety through Lifelong  Learning
10:45 am - 11:25 am
Brian L. Pitts, MD

Teaching old dogs new tricks: Incorporating Ultrasound into a Credentialed Daily Practice
11:25 am - 12:05 pm
Kenneth Furukawa, MD

Panel with Q & A
12:05 pm - 12:15 pm
Kenneth Furukawa, MD, Stephen M. Macres, MD,  Brian L. Pitts, MD

Adjourn
12:15 pm

Workshop
Ultrasound Applications for the Anesthesiologist

1:15 pm - 5:30 pm
The Friday afternoon workshop will be a comprehensive review of Ultrasound Guided Peripheral Nerve Blockade, Transthoracic Echocardiography and Miscellaneous Applications of Ultrasound including assessment of the airway, pneumothorax, gastric volume, increase intracranial pressure.
Drs. Robin J. Aldwinckle, Kenneth Furukawa, Stephen M. Macres, Brian L. Pitts, Timothy Tautz, Orode Badakhsh, David Ramsingh, Stanley Sady

 

6:00 pm - 8:00 pm
Meet the Faculty Networking Reception

Saturday, November 12

Problem Based Learning Discussions
6:30 am - 7:45 am

  1. Perioperative Management of the Opioid Dependent Patient, Stephen M. Macres, MD
  2. Are Truncal blocks the New Gold Standard for Abdominal Surgery? Robin J. Aldwinckle, MD
  3. Urgent Surgery in an Octogenarian. Is there a Geriatric Anesthesiologist in the house? Amrik Singh, MD
  4. Anesthesia Machine and Monitoring Equipment Failure: The Current UC Davis Experience
    Kenneth Furukawa, MD
  5. New 2015 updates for ACLS. Brian L. Pitts, MD

 

Registration, Continental Breakfast, Visit Exhibits
7:00 am

Welcome and Course Objectives
7:45 am - 8:00 am
Moderator:  Robin J. Aldwinckle, MBBS, FRCA

The Surgical M&M Conference-- An Anachronism or the Key to Improving Outcomes?
8:00 am - 8:25 am
Gregory J. Jurkovich, MD FACS

Lessons Learned from 2500 trauma deaths
8:25 am - 8:50 am
Gregory J. Jurkovich, MD FACS

Patient Safety: Moving Beyond Mere Checklists
8:50 am - 9:30 am
Jeffrey Uppington, MD

Panel Discussion with Q & A
9:30 am - 9:45 am
Gregory J. Jurkovich, MD FACS, Jeffrey Uppington, MD

Refreshment Break, Visit Exhibits
9:45 am - 10:15 am

Does it really matter what we do with that Pacer Thing during Surgery?
10:15 am - 10:50 am
Richard L. Applegate II, MD

Cardiac Ultrasound:  It's Time to FoCUS
10:50 am - 11:25 am
Orode Badakhsh, MD

Take a Deep Breath – Sugammadex
11:25 am - 12:00 pm
Neal Fleming, MD, PhD

Panel Discussion with Q & A
12:00 pm - 12:15 pm
Richard L. Applegate II, MD, Orode Badakhsh, MD, Neal Fleming, MD, PhD

Adjourn
12:15 pm

 

Difficult Airway Workshop
1:15 pm - 5:30 pm
Anesthesia providers, by virtue of their training and field of medical practice, are considered the airway experts. Since most patients have normal and manageable airway, and since the incidence of airway related morbidity and mortality is extremely low, almost all of us are glad to accept that tag. But do all of us possess the same expertise and comfort level when presented with a known or unanticipated difficult airway? Do all of us consistently meet high standard of care when presented with such a situation? The answer is no, according to the 4th national audit project (NAP4), a UK based study of major airway complications across all hospitals belonging to the national health service, covering nearly three million general anesthetics. According to the data, airway management was judged to be ‘good’ in only 1/5th of cases. One third of cases had ‘poor’ airway management while the remainder had ‘good and poor’. Other findings from the NAP4 analysis included the following;

  • Poor planning and ‘failure to plan for failure’ contributed to poor outcomes
  • Awake fiberoptic intubation was not always used when indicated
  • Difficult intubation was managed by multiple repeat attempts at intubation, often leading to a can’t intubate can’t ventilate situation
  • 60% emergency needle cricothyroidotmies failed
  • Almost 1/3 of airway events during anesthesia occurred during emergence and recovery


This difficult airway workshop will address some of these issues. The emphasis will be on reviewing the pertinent literature and providing hands on experience with different techniques. There will be five skill stations, catering to small groups:

  1. Videolaryngoscopy station:   The use of video laryngoscopy as primary or rescue airway device is becoming more and more popular. This station will focus on commonly used devices and their common applications.
  2. Airway topicalization for awake intubation: The instructor will demonstrate an effective and reliable technique to topicalize the airway for awake nasal or oral intubation.
  3. Flexible endoscopy: The participants will learn how to effectively operate the flexible scope for bronchoscopy and airway instrumentation.
  4. Double lumen tube/ bronchial blockers/airway exchange catheters: The participants will learn proper placement of double lumen tubes and bronchial blockers for lung isolation as well as use of airway exchange catheters for intubation and extubation strategies.   

 
Surgical Airway: The participants will learn and practice techniques to obtain a surgical airway (needle and open cricothyroidotomy) on pig trachea.
Drs. Orode Badakhsh, Neal Fleming, Stanley Sady, Nina Schloemerkemper, Amrik Singh

Sunday, November 13

Problem Based Learning Discussions
6:30 am - 7:45 am

  1. Retained Placenta in L&D: where do we go from here?, Nina Schloemerkemper, MD
  2. Do we really need all these Intra-Operative lines?
    Stanley Sady, MD
  3. It was only booked as a Lap Choly
    Neal Fleming, MD, PhD
  4. Let’s Keep it Safe! Sedation Outside the Operating Room-pediatric off site experiences.
    Sungeun Lee, MD
  5. Why are we up so early, talking about OB anesthesia?
    Timothy Tautz, MD

 

Registration, Continental Breakfast, Visit Exhibits
7:00 am

Welcome and Course Objectives
7:45 am - 8:00 am
Moderator: Jeffrey Uppington, MD

No Woman Should Die in Pregnancy and Childbirth".  Access, Algorithms, and Accountability in Obstetric Anesthesia
8:00 am - 8:40 am
Timothy Tautz, MD

Maintaining Spinal Cord Perfusion Pressure: The pressure is on!
8:40 am - 9:00 am
Nina Schloemerkemper, MD, FRCA

Prone CPR? Are you changing your position?
9:00 am - 9:20 am
Nina Schloemerkemper, MD, FRCA

Children with Obstructive Sleep Apnea- they really can’t get Codeine?
9:20 am - 10:00 am
Sungeun Lee, MD

Adjourn
10:00 am

The University of California, Davis, Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Physicians Credit Designation

  • Physician Credit: The University of California, Davis, Health System designates this live activity for a maximum of 20.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • Physician Assistant: The National Commission on Certification of Physician Assistants (NCCPA) states that AMA PRA Category 1 Credits™ are acceptable for continuing medical education requirements for recertification.

 

AMA PRA Category 1 Credits™

  • General Session:  Up to 10.25 AMA PRA Category 1 Credits™
  • Optional Breakfast Roundtable Sessions:  Up to 2.5 AMA PRA Category 1 Credits™ (1.25 credit for each session)
  • Optional Afternoon Workshops:  Up to 4 AMA PRA Category 1 Credits™
  • Pain Credit:  Up to (number) AMA PRA Category 1 Credits™
  • Pain Management:  California Business and Professions Code (Section 2190.5) requires physicians and surgeons to complete 12 hours of mandatory continuing education on pain management and the appropriate care of  the terminally ill.  Physicians licensed prior to January 2002 were to have completed this requirement by December 31, 2006.  Physicians licensed on or after January 1, 2002 must complete this requirement within 4 years of their initial license or by their second renewal date, whichever occurs first.

Monterey Plaza Hotel
400 Cannery Row    
Monterey, California 93940
Tel 831-646-1700 | 800-334-3999
Email reservations@montereyplazahotel.com
http://www.montereyplazahotel.com
$221 Inland View  
$252 Partial Ocean View
$325 Ocean View
$375 Ocean View Balcony
 
A block of rooms is being held for conference participants at the special rates listed above. After October 12, 2016, reservations will be on a space and rate available basis.  Reservations should be made directly with the hotel. Please be aware that a limited number of rooms in each category have been reserved and the hotel will likely sell out prior to the reservations deadline of October 7.


By staying at the host hotel, you help the University of California, Davis meet its contractual obligations with the Monterey Plaza Hotel and keep future registration fees reasonable. Please consider that when making your accommodation decisions. We encourage you to stay at the host hotel.  Just 100 miles south of San Francisco, Monterey's breathtaking scenery, rich history, world-renowned attractions and outdoor adventures invite one to grab life by the moments! Monterey is a dramatic setting for endless choices of activities all within minutes of convenient, charming overnight accommodations. Monterey is named a Top North American Golf Destination and the 2013 Top Ten Wine Travel Destination in the World. The Monterey Bay National Marine Sanctuary is home to favorite marine life that can be observed in one of the most amazing natural environments found anywhere in the United States. www.SeeMonterey.com


Air Travel To Monterey,  Peninsula Airport (MRY):  For the Monterey Peninsula and the California Central Coast, regular flights are available from San Francisco, Los Angeles, Phoenix, Denver, Las Vegas, Salt Lake City, LA/Ontario and San Diego. The five carriers that currently provide service to Monterey are affiliated with airlines around the world.

United Airlines Group Discount:  To obtain Groups and Meetings discount prices go to http://www.united.com and enter Offer Code ZW7M657891

Ground Transportation:  Hertz Car Rental: 1(800)654-2240 and request ID CV#04H70008 for discounted rates.
 
Layered clothing is recommended as the meeting room temperature may be uncomfortable for some, depending on personal preferences. If you have any special needs due to a disability as specified in the Americans with Disabilities Act, please call the Office of Continuing Medical Education at (916) 734-5390 so we may make the necessary accommodations for you.

Please register early – space is limited.
Tuition is $650. Confirmation of registration will be sent within two weeks after receipt of registration form.  The fees will increase after September 5, 2016.
 
Tuition includes continental breakfasts, refreshment breaks, electronic syllabus, and an online certificate of attendance.  Tuition may be paid by check, American Express, Discover, MasterCard or VISA. Cash is not accepted. UC Davis Health System and UC Davis School of Medicine faculty and staff are eligible for tuition discounts. See registration form for details. Conference materials cannot be guaranteed unless registration is received by October 28, 2016. The Office of Continuing Medical Education reserves the right to cancel this conference. In such a case, a full refund will be given.
 
Registration forms received without payment will not be processed until payment is received, and payment must follow within 10 days. Early discount rates are honored if payment is received by the date noted on the registration form. After that date, the late fee is applied.
 
On-site Fees: At door registrations will be charged at a higher rate. Please see registration form for details.
 
Cancellation and Refund Policy:  A refund of tuition, less $75 administrative fee, will be allowed if requested in writing by October 28, 2016. No refunds will be provided after this date.
 
Electronic Evaluation And Credit:  The link to your electronic syllabus, evaluation and certificate of credit will be available for 30 days after the last day of the conference.  Once you have completed the online evaluation your certificate will be available to print. However, after 30 days this link will expire and these items are no longer available online. You must contact the Office of CME to receive your certificate. A $15 administrative fee will be applied.