Lectures: Session 1
Moderator:  Adam Snyman

Relle Memorial Lecture

POCUS in the Obstetric Patient
Cristian Arzola and Kristina Khanduja

Lectures: Session 2

Moderator:  David Wong

Program Based Learning Sessions

Participants may select one PBL in each of the three sessions.

Sessions

1. Peri-operative Management of Patients with Seizure Disorders
   Zoe Unger and Michael Dinsmore

   ×

   Peri-operative Management of Patients with Seizure Disorders

   Zoe Unger and Michael Dinsmore

   Objectives:
   At the end of the session participants will be able to:

   • Describe the principles of anesthetic management for patients with seizure disorders
   • Identify the management of perioperative seizures
   • Describe common side effects of anti-epileptic medications
2. Laparoscopic Cholecystectomy in a Patient with Pulmonary Hypertension
   Peter Slinger

   ×

   Laparoscopic Cholecystectomy in a Patient with Pulmonary Hypertension

   Peter Slinger

   Objectives:

   • To discuss the anesthetic management differences between pulmonary hypertension due to lung disease vs. left heart disease.
   • To develop a plan to support the right ventricle intra-operatively.
3. My child needs surgery performed under general anesthesia – what questions should I be asking?
   James O’Leary

   ×

   My child needs surgery performed under general anesthesia – what questions should I be asking?

   James O’Leary

   Objectives:
   Focus on the interpretation and integration of recent clinical research reports for weighing risks and benefits of anesthesia in young children.
4. Fluid Responsive vs. Hypovolemic: Hypothetical Cases
   Robert Thiele

   ×

   Fluid Responsive vs. Hypovolemic: Hypothetical Cases

   Robert Thiele

   This lecture takes the participants through two hypothetical cases (one in the operating room, one in the ICU) in which questions are raised regarding the patient’s volume status. Each case is designed to emphasize practical aspects of measuring volume status
5. The Peri-operative Buprenorphine Headache
   Akash Goel, Paul Tumber

   ×

   The Peri-operative Buprenorphine Headache

   Akash Goel, Paul Tumber

   Objectives:

   • To understand the pharmacology of buprenorphine
   • To review the evidence about peri-operative buprenorphine
   • To develop a strategy for managing the peri-operative patient on buprenorphine
6. The Peri-operative Use of Cannabis and Synthetic Cannabinoids
   Ainsley Sutherland

   ×

   The Peri-operative Use of Cannabis and Synthetic Cannabinoids

   Ainsley Sutherland

   With the proliferation of medical marijuana, and pending legalization of recreational marijuana, what are the implications of cannabis use for anesthesia? How should these patients be managed peri-operatively?
7. Aspirin, Anticoagulants and Regional Techniques
   Ahtsham Niazi

   ×

   Aspirin, Anticoagulants and Regional Techniques

   Ahtsham Niazi

   Objectives:

   • How anticoagulation impacts the outcome of regional anesthesia.
   • What do you tell the patient concerning their anticoagulant medication.
   • Look at the guidelines that are available for performing regional anesthesia in the presence of anticoagulants.
8. M & M Discussion: Out of hospital anesthesia
   Matt Kurrek

   ×

   M & M Discussion: Out of hospital anesthesia

   Matt Kurrek

   This PBLD will focus on the clinical and regulatory aspects of OHP (out-of hospital anesthesia).
9. Assessment and Peri-operative Management of the Frail Older Adult
   Ian Randall and Karen Ng

   ×

   Assessment and Peri-operative Management of the Frail Older Adult

   Ian Randall and Karen Ng

   Frailty is an emerging but variably-defined entity that can help to predict worsened peri-operative outcomes. As our population ages and as increasing numbers of patients with multiple comorbid illnesses undergo surgery, an awareness of frailty is necessary for the peri-operative physician. This session will cover potential means of assessment of frailty as well as the peri-operative management of the frail older patient, with input from both an anesthesiologist and a geriatrician.
10. Liver Disease – A real peri-operative risk
    Coimbatore Srinivas

    ×

    Liver Disease – A real peri-operative risk

    Coimbatore Srinivas

    Objectives

    • Assess the severity of cirrhosis using the Child-Pugh and Model for End-Stage Liver Disease scoring systems.
    • Review new concepts in the management of complications of end-stage liver disease including cirrhotic cardiomyopathy, Porto pulmonary hypertension and Hepatorenal syndrome
    • Discuss the management of patients with Chronic liver disease in the peri operative period
11. POCUS in the Obstetric Patient
    Cristian Arzola and Kristina Khanduja

    ×

    POCUS in the Obstetric Patient

    Cristian Arzola and Kristina Khandujak

    By the end of this problem-based learning session participants will be able to:

    • Recognize the appropriate ultrasound modality to complement clinical decision making in the obstetric patient in a step-wise approach
    • Understand the value of point of care ultrasound in improving diagnostic accuracy with a focus on the cardiovascular, respiratory and gastrointestinal system
    • Understand limitations of POCUS in the obstetric patient
12. Cervical Spine Disease and Difficult Intubation
    Gianni Lorello

    ×

    Cervical Spine Disease and Difficult Intubation

    Gianni Lorello

    Objectives:

    • To further understand cervical spine disease
    • To further understand difficult intubation options in patients with cervical spine disease in order to decrease morbidity.

Workshops
90 min session x 3

Workshops

1. Airway Ultrasound in Surgical Airways (Hands-on Skills-based)
   Eric You-Ten, Dekel Lait, Fabricio Zasso

   ×

   Airway Ultrasound in Surgical Airways

   Eric You-Ten, Dekel Lait, Fabricio Zasso

   Objectives:
   At the end of this hands-on workshop employing various models including pig tracheas, participants will be able to:

   • Use neck ultrasound to identify important neck landmarks for surgical airways
   • Practice the Seldinger technique and the open bougie scalpel technique
2. Lumbar Spine Ultrasound (Hands-on Skills-based)
   Naveed Siddiqui, Gayani Jayasooriya, Adrian Koziak, Yusuke Mazda, Jesse May

   ×

   Lumbar Spine Ultrasound

   Naveed Siddiqui, Gayani Jayasooriya, Adrian Koziak, Yusuke Mazda, Jesse May

   Objectives:
   At the end of this hands-on workshop employing various models including pig tracheas, participants will be able to:

   • To understand the basic concepts of anatomy and sonoanatomy of the lumbar spine.
   • Hands on experience to learn the technique of identifying best intervertebral space for neuraxial anesthesia
   • Determine the exact interspace (especially in spinals)
   • Select the best insertion point
   • Determine the angle of the puncture
   • Learn how to identify the typical midline and para-median ultrasound neuraxial imaging
   • Calculate the depth of the epidural space from the skin
   • Learn tools to overcome the barriers for actual implementation of the technique in your daily practice
3. Peri-operative Applications of POCUS (Hands-on Skills-based)
   Marcos Silva Restrepo, Catalina Casas Lopez, Pablo Perez d’Empaire, Wilfredo Puentes

   ×

   Peri-operative Applications of POCUS

   Marcos Silva Restrepo, Catalina Casas Lopez, Pablo Perez d’Empaire, Wilfredo Puentes

   Objectives:
   At the end of this hands-on workshop employing various models including pig tracheas, participants will be able to:

   • To describe non-cardiac applications of POCUS in the peri-operative setting
   • To understand common pitfalls of POCUS
   • To describe common POCUS findings during resuscitation
4. Useful Regional Blocks for Ambulatory Anesthesia (Hands-on Skills-based)
   Karen Lam, Robert Bechamp, Melissa Ho, Darryl Hoffer, Sarah Tierney

   ×

   Useful Regional Blocks for Ambulatory Anesthesia

   Karen Lam, Robert Bechamp, Melissa Ho, Darryl Hoffer, Sarah Tierney

   Objectives:
   At the end of this hands-on workshop employing various models including pig tracheas, participants will be able to:

   • To review the sonoanatomy of major upper limb and lower limb blocks for common ambulatory cases.
   • To demonstrate appropriate scanning technique and needle approach when performing ultrasound-guided regional blocks.
   • To review the mechanisms of complications of peripheral nerve blocks and strategies for their prevention.
5. Should I Believe this Study? The potential of big data to answer big questions (Small Group Interactive Learning)
   Karim Ladha

   ×

   Should I Believe this Study? The potential of big data to answer big questions

   Karim Ladha

   In this workshop, participants will gain an understanding of the potential as well as pitfalls of large observational studies in anesthesia research. Participants will go through the process of designing a study and use real data to answer a research question.
6. Anesthesia and Artificial Intelligence, Virtual Reality and Augmented Reality (Small Group Interactive Learning)
   Clyde Matava and Fahad Alam

   ×

   Anesthesia and Artificial Intelligence, Virtual Reality and Augmented Reality

   Clyde Matava and Fahad Alam

   This workshop will bring hands on experience for attendees from virtual reality, augmented reality and artificial intelligence and its early application to anesthesia. Following this workshop, attendees will

   • Understand the constructs of artificial intelligence, virtual reality, augmented reality in peri-operative medicine
   • Appreciate the use of electronic help managing peri-operative crises
   • Apply a framework to help navigate the digital advances impacting anesthesia
7. ACLS Simulation (Hands-on Skills-based)
   Chris Hudson

   ×

   ACLS Simulation

   Chris Hudson

   With the aid of high fidelity simulation, participants will have the opportunity to learn and review ACLS in the context of real-life peri-operative scenarios. Registration limited to 3/session.