Santa Fe 2008
Anesthesia Encore Symposium
September 8-11, 2008
The Eldorado Hotel
Santa Fe, New Mexico

Directions to the Eldorado Hotel
Transfers into Santa Fe

 

Program Objectives

 

Anesthesioeconomics and Patient Safety: Considerations for Inhalation Agent Selection

o Examine the impact of economic trends upon current anesthesia practice
o Identify the anesthetic considerations and outcomes, which contribute to the "total cost" of a surgical procedure
o Discuss similarities and differences in current inhalational anesthetic agents
o Identify techniques, which are advantageous for patient safety and patient satisfaction

PONV: It's Everybody's Problem

o Review the differing receptor site pathways which trigger PONV
o Recognize patient populations and incidence of PONV
o Identify the pharmacological classifications of medications available to the anesthesia practitioner to block these pathways
o Discuss the advantages of differing treatment modalities
o Explore the potential of combination therapy as it relates to preventing PONV

Current Concepts & Anesthetic Considerations for Liver Transplantation

o Discuss intraoperative anesthesia management of patients undergoing a liver transplant.
o Examine the physiological components of end stage liver disease
o Identify the impact of the disease on coagulation and metabolic management of these patients

The Other Side of Organ Transplants: A Question of Ethics

o Identify the basis of the Public perception of and attitude towards organ donation
o Define the criteria parameters of a the differing types of organ donors
o Discuss the ethical involvement as it relates to the decision-making process of organ donation

Professionals Managing Professionals

o Discuss the multifaceted aspects of being positioned in a leadership role
o Examine leadership styles and their influence on the day-to-day management of a Department of Anesthesiology
o Identify the 12 questions used to identify human capital in your anesthesia department.
o Discuss the importance of the Fours keys to a Productive Department.

Nontransplant Anesthesia for the Transplanted Patient

o Discuss intraoperative anesthesia plans for the transplanted patient.
o Examine the physiological impact of transplanted organs on anesthesia pharmacology.

Cognitive Dysfunction and General Anesthesia: Cause and Effect

o Identify and differentiate between the types of Cognitive Dysfunction
o Examine contributing factors as they relate to the occurrence of cognitive dysfunction
o Discuss ISPOCD1 study findings as it relates to postoperative cognitive dysfunction
o Examine impact of anesthetic choices as it relates to the improving cognitive function in the postoperative patient

Obstructive Sleep Apnea: Cause for Concern

o Review causative factors of Obstructive Sleep Apnea
o Discuss physiological changes associated with Obstructive Sleep Apnea
o Outline anesthetic safety parameters specific to this patient population


Nimbex: A Versatile Option

o Review the criteria used to select an appropriate NMB
o Assess techniques used to assess the postoperative neuromuscular recovery
o Discuss the characteristics and appropriate clinical use of Nimbex
o Learn how using predictable recovery relaxants can enhance recovery and reduce complications
o Demonstrate how the use of Nimbex can achieve a cost savings by avoiding costly complications

Medical Direction/ Supervision: The Influence on CRNA Practice

o Present historical data as it relates to the relevance of supervision and CRNA practice
o Define medical direction and it's impact on CRNA scope of practice
o Outline the criteria differences between medical direction and Supervision ce
o Discuss the importance of understanding the conceptual difference between medical direction /supervision as it pertains to access to anesthesia care in America

Legislative Issues 101 or How To Get Politicians On Your Side of the Fence

o Review the process for legislative change and the impact that individuals and professional organizations have upon the process.
o Discuss some historical aspects of legislative change and the resources that are available to us as practitioners to implement change.
o Guide you in making effective change when dealing with the legislative process and other professional organizations.

Consciousness Monitoring: An Update on Using BIS During Anesthesia Care

o Provide an update on the Bispectral Index commonly referred to as "BIS"
o Discuss the clinical development efforts that demonstrated the efficacy of the monitor as a measure of the effects of anesthetics on the brain and conscious
o Examine the clinical utility of the monitor in everyday anesthetic practice
o Discuss the role that the BIS can play in today's changing health care environment.

Sugammadex

o Review current concepts of neuromuscular blockade reversal
o Explore the mechanism of action of Sugammadex
o Assess its pharmacological benefits
o Discuss the clinical advantages of the use of Sugammadex

Malignant Hyperthermia Update

o Review the physiological changes associated with Malignant Hyperthermia
o Discuss the "triggering agents" found in the anesthetic drug regimen
o Identify preventative steps to avoid the exacerbation of Malignant Hyperthermia
o Outline appropriate treatment for Malignant Hyperthermia

Negative Pressure Pulmonary Edema: Have you seen it?

o Review the anatomy of the micropulmonary system
o Discuss the physiological components of Pulmonary Edema
o Recognize the different types of Pulmonary Edema and their causative factors
o Define Negative Pressure Pulmonary Edema.
o Understand the sequence of events leading to the formation of NPPE and causative factors.
o Identify clinical symptoms
o Specify treatment modalities and relate preventative measures
o Present clinical case studies in order to better understand the occurrence of NPPE

Postoperative Ischemic Optic Neuropathy: What happens?

o Review the anatomy and physiology of the Optic Nerve
o Identify pre-disposing factors of ischemic optic neuropathy
o Distinguish causative factors that may occur during general anesthesia
o Discuss measures that anesthesia providers can incorporate in to their practice to enhance the prevention of this syndrome

Faculty

Deborah Geisler, CRNA, MHSA, Private Practitioner, Ponte Vedra Beach, FL
2001-2002 President,, American Association of Nurse Anesthetists
Michael Geisler, CRNA, BSN, Private Practitioner, Ponte Vedra Beach, FL
Chief CRNA, Mayo Clinic, Jacksonville, FL, Retired


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