WORKSHOPS

The Nuts and Bolts of Doing a Basic Manuscript Peer Review – $50.00

Friday, May 17 from 9:00am – 11:00am

Workshop Facilitators:  Thomas Vetter, MD, MPH, MFA, Dell Medical School University of Texas at Austin, Austin, TX; Jaideep Pandit, MA, DPhil, FRCA, DM University of Oxford, Oxford, UK; Angela Enright, MB, FRCPC, University of British Columbia, Victoria, BC, Canada, and Paloma Toledo, MD, MPH, University of Miami, Miami, FL.

Workshop Co-Facilitators:  Michael Aziz, MD, Oregon Health & Science University, Portland, OR; Karsten Bartels, MD, PhD, MBA, University of Nebraska Medical Center, Omaha, NE; Ashish Khanna, MD, MS, FCCP, FCCM, FASA, Wake Forest University School of Medicine, Winston-Salem, NC and Elizabeth Whitlock, MD, MSc, University of California, San Francisco, San Francisco, CA.

The validity of the published findings and consumer trust in medical journals like Anesthesia & Analgesia ultimately relies upon their peer reviewers and a robust peer review process. Each peer reviewer helps fulfill the mission of Anesthesia & Analgesia to provide the highest quality content that spans the breadth of anesthesiology and its many subspecialties, as well as diverse viewpoints and voices.

This practical, introductory workshop will focus on the fundamentals of undertaking a solid, basic manuscript peer review. The workshop facilitators will lead interactive, roundtable sessions with small groups of workshop participants, using recent, actual manuscripts submitted to Anesthesia & Analgesia. This introductory workshop is particularly intended for younger, early career clinician-scientists. So, no previous peer reviewer experience is expected-just shared curiosity and enthusiasm!

Marketing You and Your Science to the NIH: Grant Prep Workshop – $50.00

Friday, May 17 from 2:30pm – 4:30pm

Meredith C. B. Adams MD, MS, FASA, FAMIA, Wake Forest School of Medicine, Winston-Salem, NC

Many talented and diverse scientists, particularly early in their careers, tend to undersell their objective achievements. Enosiophobia (fear of criticism) commonly strikes the hearts of talented and hardworking investigators. While much of that fear is generally warranted, as reviewers can be critical, many researchers compensate by conveying as much detail as possible through rigor, methods, and approach. Grant documents sharing background and personal scientific accomplishments are awkwardly avoided until the later in the process. Grant reviewers are busy, tired, and potentially reading your work in the stolen moments of their day. This workshop will help you navigate the documents that will help support your future applications as you build a programmatic line of research that will bring substance and impact. Effective writing is a skill and a craft, but writing about science alone will not be enough to convince reviewers to invest in you. Learning how to walk the line between shameless self-promotion and underselling the impact of your work is a career-long journey. Writing and researching can be isolating experiences, but humans (even grant reviewers) connect through stories. Scientists bring a wide variety of backgrounds and unique talents. Learning how to highlight those strengths and areas of diversity will support better and more inclusive science.

The Fine Art of Performing a Complex Manuscript Peer Review – $50.00

Saturday, May 18 from 9:00am – 11:00am

Workshop Facilitators: Thomas Vetter, MD, MPH, MFA, Dell Medical School University of Texas at Austin, Austin, TX; Jaideep Pandit, MA, DPhil, FRCA, DM University of Oxford, Oxford, UK; Angela Enright, MB, FRCPC, University of British Columbia, Victoria, BC, Canada, and Paloma Toledo, MD, MPH, University of Miami, Miami, FL.

Workshop Co-Facilitators: Michael Aziz, MD, Oregon Health & Science University, Portland, OR; Karsten Bartels, MD, PhD, MBA, University of Nebraska Medical Center, Omaha, NE; Ashish Khanna, MD, MS, FCCP, FCCM, FASA, Wake Forest University School of Medicine, Winston-Salem, NC and Elizabeth Whitlock, MD, MSc, University of California, San Francisco, San Francisco, CA.

The validity of the published findings and consumer trust in medical journals like Anesthesia & Analgesia ultimately relies upon their peer reviewers and a robust peer review process. Each peer reviewer helps fulfill the mission of Anesthesia & Analgesia to provide the highest quality content that spans the breadth of anesthesiology and its many subspecialties, as well as diverse viewpoints and voices.

This pragmatic, advanced workshop will focus on the nuances of undertaking a more complex manuscript peer review. The workshop facilitators will lead interactive, roundtable sessions with small groups of workshop participants, using recent, actual manuscripts submitted to Anesthesia & Analgesia. This advanced workshop is principally intended for more experienced clinician-scientists, who are seeking to make a greater contribution to scholarly publishing. Hearty, collegial dialogue will be encouraged!

Point-of-Care Ultrasound (POCUS) During Medical Emergencies/ Focused Echocardiographic Evaluation in the Peri Resuscitative Period $225.00

Saturday, May 18 from 9:00am – 1:00pm

Nibras Bughrara, MD, FCCM, FASA, Albany Medical College, Albany, NY; Aliaksei Pustavoitau, MD, The Johns Hopkins Hospital, Baltimore, MD; Ranjit Deshpande, MD, FCCM, Yale School of Medicine, New Haven, CT

This 4-hour workshop will review the emerging role of focused echocardiographic assessment using the sub-xiphoid view during management of medical emergencies including cardiac arrest and emergent tracheal intubation in critically ill patients. Critically ill patients undergoing tracheal intubation often have a “physiologically difficult airway”, wherein the patients physiological derangements predispose the patient to hemodynamic collapse and other complications during tracheal intubation and initiation of positive pressure ventilation. The use of POCUS during these situations can guide management to appropriately resuscitate and/or optimize patients and prevent peri-procedural complications. The session will consist of a mixture of lectures discussing the use of bedside focused echocardiography in adult cardiac life support (ACLS) and airway management in critically ill patients , as well as hands-on training to facilitate skill acquisition. By focusing on just one view that yields valuable information, three stations will allow participants to practice obtaining images on live models through the subxiphoid window and review relevant normal anatomy while contrasting with recorded clips demonstrating pathological cases. The participants will then practice incorporating focused echocardiography during cardiac arrest and emergent tracheal intubation in a team-based setting with a focus on closed-loop communication, using high-fidelity simulation scenarios. This workshop offers the attendees the opportunity to learn clinical skills and concepts related to focused echocardiography, while discussing further avenues of research around the integration of this technique during routine care and its impact on patient outcomes.

Advanced Regional Anesthesia Ultrasound Techniques – $225

Saturday, May 18 from 2:30 p m – 4:30 pm

Moderators: Santhanam Suresh, MD, MBA, FASA, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL and Kristin Schreiber, MD, PhD, Brigham and Women’s Hospital, Boston, MA

Facilitators: Pradeep Dinaker, MD, MS, MBA, FAAP, Boston Children’s Hospital, Boston, MA, David Furgiuele, MD, NYU Langone Health, New York, NY, Vicente Garcia Tomas, MD, Northwestern University Feinberg School of Medicine, Rebecca Johnson, MD, Mayo Clinic, Rochester, MN, Amanda Kumar, MD, Duke University Hospital, Durham, NC, Jinlei Li, MD, PhD, Yale University, New Haven, CT, Mitchell Marshall, MD, NYU Langone Health, New York, NY, Iyabo Muse, MD, FASA, UVA Health, Charlottesville, VA, Steven Orebaugh, MD, University of Pittsburgh, Pittsburgh, PA, Daniel A Perez, MD, University of Miami Miller School of Medicine, Miami, FL, Santhanam Suresh, MD, MBA, FASA, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, Uchenna Umeh, MD, FASA, Hospital for Special Surgery, New York, NY, Kamen Vlassakov, MD, Brigham and Women’s Hospital, Boston, MA

This hands-on session, including a diverse faculty of international experts, will allow participants to learn and/or gain depth of knowledge and facility in the sonoanatomy of a wide range of clinically useful regional anesthetic techniques. Instruction will consist of a brief review of relevant published studies and didactic instruction regarding anatomy, but focus predominantly on guiding participants in the actual practical conduct of ultrasound imaging with real time guidance as to anatomical landmarks and technical pearls.

The Ins-and-Outs of Manuscript Preparation: Pearls and Pitfalls – $50.00

Saturday, May 18, 2:30 pm – 4:30 pm

Facilitators: Thomas Vetter, MD, MPH, MFA, University of Texas at Austin, Austin, TX; Jaideep Pandit, MA, BM, DPhil, FRCA, FFPMRCA, DM, University of Oxford, Oxford, UK; Lisbeth Evered, MS, PhD, Weill Cornell Medical College, New York, NY; Jennifer Weller, MD, MBBS, MClinEd, FRCA, FANZCA, University of Auckland, Auckland, New Zealand

Writing a manuscript for a medical journal is very akin to writing a newspaper article—albeit a scholarly one. Like any journalist, you have a story to tell. You need to tell your story in a way that is easy to follow and makes a compelling case to the readers, who initially include the journal editors and peer reviewers. Medical journals like Anesthesia & Analgesia expect authors of original research report manuscripts to adhere to the conventional Introduction-Methods-Results-and-Discussion (IMRaD) scientific reporting structure. This pragmatic workshop will focus on the mechanics (“ins-and-outs”) as well as common pearls and pitfalls of writing an original research report manuscript: What makes for a catchy title? What to include in a persuasive abstract? How to create an engaging introduction? How to convey coherent methods? How to present clear results? What makes for an effective discussion? This hybrid workshop will lead off with a handful of brief didactic presentations and ample time for round-robin Q&A, then segue to interactive, roundtable discussions with small groups of workshop participants, using exemplary papers recently published in Anesthesia & Analgesia. This dynamic workshop is open to anyone who is seeking to make a greater contribution to scholarly publishing. Robust yet friendly and supportive discourse will be encouraged!

 

PBLD SESSIONS – $5 PER SESSION

Problem-based learning discussions are meant to explore case-based learning. These small group sessions have limited spots available; please only sign up for the session(s) you will attend.

Emergent Cesarean Delivery in a Patient with Sickle Cell Disease, Acute Chest Syndrome and Dilated Ascending Aorta; Anesthetic Considerations.

Ioannis Angelidis, MD, MSPH, New York University Langone Medical Center, New York, NY

Friday, May 17 from 9:00am – 10:00am
Severe maternal morbidity has increased by 200% from 1993-2014, with maternal mortality rising to a rate most recently estimated as 17.4:100,000. It is a public health issue, and 60% of deaths were classified as preventable. The most common causes of maternal mortality in the US are cardiac disease, hemorrhage, and sepsis. A 36-year-old female with a history of sickle cell disease, preeclampsia with severe features and dilated ascending aorta presented emergently at 33w5d with acute chest syndrome and underwent a cesarean delivery due to recurrent late fetal decelerations. Her ascending aorta was dilated over 45 mm and her preoperative hemoglobin (Hb) was 7.2 g/dL. The patient also had pneumonia requiring supplemental oxygen.

Carcinoid Syndrome and Major Intraabdominal Surgery: One Surgery with Three Etiologies for Hypotension

Manxu Zhao, MD, Cedars Sinai Medical Center, Los Angeles, CA

Friday, May 17 from 11:00am – 12:00pm
Patients with carcinoid syndrome and carcinoid cardiac disease who undergo major intraabdominal surgery can develop intraoperative hypotension that is multifactorial in origin. Recognizing what is the cause of the hypotension is critical to properly treating the hemodynamic instability.

Descending Thoracic Aortic Repair – Spinal Cord Protection Strategies

Harendra Arora, MD, MBA, FASA, University of Mississippi Medical Center, Jackson, MS

Friday, May 17 from 2:30pm – 3:30pm
This session will provide an overview of the risk and pathophysiology of spinal cord ischemia in patients undergoing descending thoracic aortic repairs. Review of the current literature on the topic of spinal cord protection for patients undergoing thoracic aortic repairs will be provided, highlighting the clinical situations when CSF drainage is best indicated.

Perioperative Management of Patients Presenting with Hip Fracture

Anis Dizdarevic, MD, NY Presbyterian Hospital – Columbia University, New York, NY

Saturday, May 18 from 9:00am – 10:00am
Hip fracture in elderly patients continues to carry a significant risk of morbidity and mortality, necessitating an expedited perioperative planning and optimization. Preoperative cardiac assessment can be challenging especially in patients with unknown or difficult to assess cardiac risk factors. Expedited preoperative echocardiogram can be utilized in select patient population to help guide the perioperative care and anesthetic management. Furthermore, the choice of anesthetic for hip fracture, general versus neuraxial and regional, and their respective risks and benefits, should be patient tailored and goal oriented, in order to minimize surgical stress and perioperative complications.

Pulmonary Artery Catheter Placement and Troubleshooting: A Case Report

Shermeen B. Vakharia, MD, University of California, Irvine, Irvine, CA, Darian Parsey, MD, University of California Irvine, Irvine, CA and Sonali Rao, MD, University of California Irvine, Irvine, CA

Saturday, May 18 from 11:00am – 12:00pm
Pulmonary Artery Catheters (PACs) are inserted in operating rooms and intensive care units for the evaluation and management of critically ill patients in the perioperative period. In this session, we discuss a case involving the misplacement of PAC, that inadvertently ended up in a patient’s upper extremity dialysis fistula. Our aim is to review the history and utility of PACs and the process of ensuring accurate placement. This case will be used as a starting point to discuss the insertion and interpretation of PACs under standard conditions, while also demonstrating potential pitfalls during certain unique intraoperative conditions. We discuss the expected pressure waveform progression, common sources of error, the utility of TEE for confirmation of proper placement of PAC, the unique presentation of incidentally placed subclavian PAC. 

Critical Care Management of the Patient with Traumatic Brain Injury

Jennifer Elia, MD, University of California, Irvine, Irvine, CA and Balbino E. Lopez, MD, University of California, Irvine, Irvine, CA

Saturday, May 18 from 2:30pm – 3:30pm
This PBLD aims to engage learners in the critical care management of patients who suffer traumatic brain injury. It will review current literature on guidelines for surgical vs. conservative management, discuss ICP monitoring, and review the best practices to prevent, reduce, and treat intracranial hypertension. It will also focus on other important aspects of ICU management needed to assure best outcomes for these patients.

‘Just give a Bit of Propofol:’ Anesthetic Challenges in Hospital Based GI Endoscopy

Michael Smith, MD, MS, Mayo Clinic Florida, Jacksonville, FL

Saturday, May 18 from 5:30pm – 6:30pm
Endoscopy anesthesia is an critical skill of all anesthesiologists who practice in the United States. Hospital based units provide some of the challenging patients both from the outpatient and inpatient settings. The goal of this session is to provide a simple framework on how to approach all endoscopy patients for an anesthetic (from simple to complex), what special considerations to factor in when they have higher risk conditions for endoscopy sedation, and considerations for the complex outpatient vs inpatient.

Tonsillectomy in a Child-Avoid the Pitfalls: Co-Sponsored by Society of Anesthesia and Sleep Medicine (SASM)

Kimmo T. Murto, MD, FRCP, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada

Sunday, May 19 from 9:00am – 10:00am
Pediatric adenotonsillectomy is among the most commonly performed pediatric ambulatory surgeries in North America. Routine patients often present with considerations for obstructive sleep disordered breathing (oSDB)/ obstructive sleep apnea (OSA) and associated asthma, obesity or frequent upper respiratory tract infections. This session will focus on the current evidence to predict/reduce perioperative respiratory adverse events (PRAEs), to plan appropriate postoperative disposition location and identify the common causes of unexpected admission or emergency room visits. Addressing these issues are not only important aspects of perioperative care in this setting, but they also provide an opportunity for the session attendee to impact healthcare resource management in their own clinical setting.