Stanford Advanced 2019 AND FIBEROPTIC COURSE And .
MARCH30 – 312019Stanford AIRWAYANDandFIBEROPTICFiberopticCOURSECourseLi Ka Shing Center for Learning and Knowledge, Stanford, CAA Continuing Medical Education ConferencePresented by Stanford UniversityDepartment of Anesthesiology,Perioperative and Pain MedicineSPONSORED BY THE STANFORD UNIVERSITY SCHOOL OF MEDICINE
Conference Overview: cme.stanford.edu/advancedairwayCOURSE HIGHLIGHTSANNUAL STANFORD ADVANCED AIRWAY MANAGEMENT AND FIBEROPTIC COURSEThis comprehensive, multidisciplinary, state-of-the-art course offers airway trainingto a national and international audience. The course, which is ideally suited for theanesthesiologists, critical care, emergency medicine, and ENT physician, provides participantswith the essential evidence-based knowledge and technical skills to manage anticipated andunanticipated difficult airway in the operating room, emergency department, and intensivecare unit, as well as in diverse clinical settings. The conference will integrate various educationalformats including didactic lectures, hands-on training, Lunch and Learn discussions, and smallgroup breakouts. New this year is our participant engagement system, which enables learnersto submit questions electronically throughout the conference for expert panel discussion.We are also incorporating a call for case studies by the participants; the case winners will bepresented by faculty experts to the whole audience. Learn new, up-to-date information, andimprove your advanced airway skills in this unique, intense two-day course. Over 30 evidence-based lectures, reviews,and case discussions “Bring Your Own Case”: submit achallenging airway case for presentationat the meeting at cme.stanford.edu/advancedairway 12 state-of-the-art difficult airway stations Integrated, 6 station fiberoptic intubationcourse, including preoperative endoscopicairway examination (PEAE) Immersive, high fidelity simulation Small learning groups with 3-5 : 1participant-to-instructor ratio Ample time for each participant to practiceand acquire new skills Q & A by the panel of expertsBecome a Stanford H&N Anesthesia andAdvanced Airway Management Program(SAAMP) insider and benefit from over 20years of national and international teachingexperience. Learn from the experts whoteach advanced airway management daily!LEARNING OBJECTIVESSKILLS STATIONS INCLUDEAt the conclusion of this activity, participants should be able to:1. Integrate into practice effective approaches and strategies for predicting and managingdifficult airway, per latest evidence-based medicine data.2. Develop skills for alternative ventilation strategies using supraglottic airway (SGA) devices,techniques for SGA-endotracheal tube exchange, and surgical techniques for rescueventilation.3. Apply advanced oxygenation techniques, such as Transnasal Humidified Rapid-InsufflationVentilatory Exchange (THRIVE).4. Enhance crisis resources management (CRM) skills for debriefing situations in practice.5. Determine proper patient selection and preparation for awake flexible fiberopticintubation (FOI).TARGET AUDIENCEThis is an international conference designed to meet the educational needs of physiciansspecializing in anesthesia, critical care, emergency medicine, head neck surgery, internalmedicine, otolaryngology, and pediatrics as well as anesthesia care providers, CertifiedRegistered Nurse Anesthetists (CRNA), and Emergency Medical Technicians (EMT). Please register early – space is limited!IntroducersVideo laryngoscopesLight-guided intubationSupraglottic airwaysIntubating LMAFiberoptic assisted airway exchangetechniquesFiberoptic styletsCombined video intubation techniquesFiberoptic evaluation of the lower airway,and lung separation techniquesRetrograde intubationPercutaneous and surgical emergencyairway accessUltrasound-guided access to cricothyroidmembraneEmergency supraglottic airway ventilationAdvanced oxygenation techniques (THRIVE)Airway exchange catheters and stagedextubationPediatric difficult airwayDifficult airway simulation scenarios
FacultyINTERNATIONALLY RENOWNEDFACULTY/EXPERTSAll faculty are affiliated with StanfordUniversity Medical Center unlessotherwise noted.Vladimir Nekhendzy, MDCourse DirectorClinical Professor of Anesthesiologyand Otolaryngology- Head and NeckSurgeryPast President, Society for Head andNeck Anesthesia (SHANA)Jeremy Collins, MB, ChB, FRCACourse Co-DirectorClinical Associate Professor ofAnesthesiologyEdward Damrose, MD, FACSCourse Co-DirectorProfessor, Department ofOtolaryngology/Head and Neck SurgeryChief, Division of LaryngologyDirector, Stanford Voice and SwallowingCenterNaola Austin, MDClinical Assistant Professor ofAnesthesiologyJennifer Basarab-Tung, MDClinical Assistant Professor ofAnesthesiologyThomas Bradley, MDFellow, Stanford Advanced AirwayManagement ProgramClinical Instructor of AnesthesiologyCarlos Brun, MDClinical Assistant Professor ofAnesthesiology (Affiliated)Staff Anesthesiologist and IntensivistVeteran’s Affairs Palo Alto Health CareSystemJohn ‘Mike’ Denton, MDFellow, Stanford Advanced AirwayManagement ProgramClinical Instructor of AnesthesiologyAlex Butwick, MDAssociate Professor of AnesthesiologySusan Galgay, MDClinical Instructor of AnesthesiologyLynn Cintron, MDAffiliate, Department of AnesthesiaSanta Clara Valley Medical CenterAssociate Clinical Professor ofAnesthesiology (Adjunct)University of California, IrvineTiffany Cheng, MDClinical Instructor of AnesthesiologyDavid Drover, MDProfessor of AnesthesiologyMarc Gautreau, MDClinical Associate Professor, SurgeryEmergency MedicineAndrew Giustini, MD, PhDChief ResidentStanford Combined PediatricsAnesthesiology ProgramSara Goldhaber-Fiebert, MDClinical Associate Professor ofAnesthesiologyRichard Jaffe, MD, PhDProfessor of Anesthesiology andNeurosurgeryAmit Joseph, MDClinical Instructor of AnesthesiologyElizabeth Koch, MDClinical Instructor of AnesthesiologyVivek Kulkarni, MD, PhDClinical Associate Professor ofAnesthesiologyAmy Lu, MDClinical Assistant Professor ofAnesthesiologycontinued Register online at cme.stanford.edu/advancedairway
Faculty ContinuedJames McAvoy, MDChief ResidentStanford Anesthesiology ProgramBrian Tse, MDSenior ResidentStanford Anesthesiology ProgramFred Mihm, MDProfessor of AnesthesiologyCo-Director, Intensive Care UnitsChief, Division of Critical Care Medicine,Department of AnesthesiologyAlexei Wagner, MD, MBAClinical Assistant Professor of SurgeryEmergency MedicineAssistant Director of Adult EmergencyMedicineBrita Mittal, MDClinical Instructor of AnesthesiologyBill Mulkerin, MDClinical Assistant Professor of Surgery –Emergency MedicinePeriklis Panousis, MDClinical Assistant Professor ofAnesthesiologyRadhamangalam ‘RJ’ Ramamurthi,MDClinical Associate Professor ofAnesthesiologyTeresa Roman-Micek, BSInterCEPT Simulation CoordinatorLead SimulationistStanford Center for Immersive andSimulation-Based Learning (CISL)Amit Saxena, MDClinical Assistant Professor ofAnesthesiologyLena Scotto, MDStaff Anesthesiologist,El Camino Hospital, Mountain View,CaliforniaAssistant Clinical Professor ofAnesthesiology (Adjunct)Kristen Telischak, MDStaff Anesthesiologist,Anesthesia Care Associates MedicalGroup, Burlingame, CaliforniaAssistant Clinical Professor ofAnesthesiology (Adjunct)Tammy Wang, MDClinical Assistant Professor ofAnesthesiologyOlga Wolke, MDClinical Assistant Professor ofAnesthesiologyAhmed Zaafran, MDClinical Assistant Professor ofAnesthesiology (Affiliated)Santa Clara Valley Medical Center, SanJose, CaliforniaGuest FacultyLaura Cavallone, MDAssociate Professor of AnesthesiologyWashington University in St. LouisRichard Cooper, BSc, MSc, MD, FRCPCProfessor of AnesthesiaUniversity of Toronto, ON, CanadaPast President, Society for AirwayManagement (SAM)FACULTY DISCLOSUREThe Stanford University School ofMedicine adheres to ACCME Criteria,Standards, and Policies regardingindustry support of continuing medicaleducation. Disclosure of faculty andcommercial relationships will be madeprior to the activity.Please register early- space is limited!
ProgramEach participant will attend the fiberoptic course and 12 difficult airway stations. Each participant will also attendone mini-review and one case-based discussion during the Lunch & Learn Session.Saturday, March 30, 20197:00-7:50 am Breakfast/Registration7:50-8:00 am Introduction/WelcomeVladimir Nekhendzy, MD8:00-8:30 am ASA Difficult Airway Algorithm:Best Practice Strategies for SuccessVladimir Nekhendzy, MD8:30-9:00 am Pediatric Difficult AirwayRadhamangalam (RJ) Ramamurthi, MD9:00-9:30 am Extubation of the Difficult AirwayRichard M. Cooper, BSc MSc MD FRCPC9:30-9:45 am Break9:45-12:45 pm Hands-On: Difficult Airway Workshop andFiberoptic Intubation CourseAll faculty12:45 – 12:55 Transition to lunch room12:55-2:00 pm Lunch & Learn (Mini-Reviews):please choose one1 Difficult Airway in ObstetricsAustin, Giustini2 ENT Airway Tools: OperatingLaryngoscopes, Rigid Bronchoscope,Tracheostomy TubesDamrose, Drover, Cavallone3 Pediatric Video LaryngoscopyRamamurthi, Wolke, Wang4 Difficult Airway and Obstructive CleepApneaNekhendzy, Bradley, Cheng5 Lung Isolation in a Patient With theDifficult AirwayKulkarni, Basarab-Tung, Telischak6 Supraglottic Airways in Difficult AirwayManagementButwick, Galgay, Jaffe7 Pharmacology for Airway Managementin Critically IllBrun, Mihm, Scotto8 Prehospital Airway Management:Implications for AnesthesiologistPanousis, Saxena, Cintron9 Rapid Sequence Induction: FullStomach and Cricoid PressureControversyMulkerin, Lu10 Adult Video LaryngoscopyZaafran, Cooper, Tse11 Airway Management Outside of the OperatingRoomMittal, Koch, Denton12 Difficult Airway and ObesityCollins, Joseph, McAvoy2:00-2:40 pm Critical Decision-Making in ASA DifficultAirway Algorithm: Evidence-BasedApproachVladimir Nekhendzy, MD2:40-2:50 pm Break2:50-6:00 pm Hands-On: Difficult Airway Workshop andFiberoptic Intubation CourseAll faculty6:00 pm Adjourncontinued Please register early – space is limited!
Program ContinuedEach participant will attend the fiberoptic course and 12 difficult airway stations. Each participant will also attendone mini-review and one case-based discussion during the Lunch & Learn Session.Sunday, March 31, 201910 Anticipated Difficult Airway: RetrognathiaSaxena, Goldhaber-Fiebert, Ramamurthi7:00-7:50 am Breakfast7:50-8:00 am Review of Day 1Vladimir Nekhendzy, MD8:00-8:30 am Critical Care Physician’s Perspective onDifficult Airway ManagementCarlos Brun, MD8:30-9:00 am Emergency Room Physician’s Perspectiveon Difficult Airway ManagementMarc Gautreau, MD9:00-9:30 am ENT Surgeon’s Perspective on DifficultAirway ManagementEdward Damrose, MD, FACS9:30-9:45 am Break9:45-12:45 pm Hands-On: Difficult Airway Workshop andFiberoptic Intubation CourseAll faculty12:45 – 12:55 Transition to lunch room12:55-2:00 pm Lunch & Learn (Case-Based Discussions):please choose one1 Difficult Airway in the EmergencyDepartmentWagner, Panousis, Austin11 Anticipated Difficult Airway: DifficultFiberoptic IntubationDrover, McAvoy, Koch12 Preoperative Endoscopic AirwayExamination (PEAE)Mittal, Joseph, Butwick2:00-3:05 pm Case-Based Discussions by FacultyBrun, Collins, Damrose, Nekhendzy,Ramamurthi, Wagner3:05-3:15 pm Break3:15-4:00 pm Bring Your Own Case Discussion withExpert PanelNekhendzy (moderator), Collins, Brun,Damrose, Ramamurthi, Cavallone, Cooper,Gautreau4:00-4:20 pm Expert Panel: Q & ABrun, Collins, Damrose, Ramamurthi,Nekhendzy (moderator)4:20-4:30 pm Concluding RemarksVladimir Nekhendzy, MD4:30 pm Adjourn2 Pediatric Difficult Airway: AirwayManagement of Foreign Bodies in ChildrenWolke, Wang, Giustini3 Difficult Airway in Critical Care #1Brun, Scotto4 Difficult Airway in Critical Care #2Mihm, Basarab-Tung, Telischak5 Difficult Airway in Head and NeckSurgery #1Nekhendzy, Damrose, Denton, Cheng6 Difficult Airway in Head and NeckSurgery #2Galgay, Cavallone, Lu7 Airway Management in the MorbidlyObese PatientCollins, Kulkarni, Cintron8 Unanticipated Difficult Airway: FailedDirect and Video LaryngoscopyZaafran, Cooper, Tse9 Anticipated Difficult Airway: UnstableC-spineBradley, Jaffe, PanousisPlease register early – space is limited!continued
Program ContinuedDESCRIPTION OF HANDS-ON ADVANCED AIRWAY COURSE ANDFIBEROPTIC INTUBATION COURSEFiberoptic Intubation CourseLecture and 6 hands-on stations15 min Fundamental Technical SkillsTequired for SuccessfulFiberoptic IntubationDrover45 min Hands-On: FiberopticTeaching ModelsCollins, Drover, Jaffe, Saxena,Galgay, Mihm15 min Patient Selection,Indications andContraindicationsfor Flexible FiberopticIntubation: EssentialAttributes for SuccessCollins20 min Hands-On: Oral and NasalFiberoptic IntubationCollins, Drover, Jaffe, Saxena,Galgay, Mihm15 min Awake Flexible FiberopticIntubation: State-of-the-ArtCollins15 min Demo: PreoperativeEndoscopic AirwayExamination (PEAE)Saxena15 min Difficult Flexible FiberopticIntubation: Causes andSolutions to the Problems.Advanced Techniques ofFlexible Fiberoptic Intubation.Collins60 min Hands-On: AdvancedTechniques of FlexibleFiberoptic Intubation,Including FiberopticGuided Airway ExchangeCollins, Drover, Jaffe, Saxena,Galgay, MihmAdvanced Airway Management Course12 difficult airway skills stations arranged in 2 blocks, 6 stations each1234567Video LaryngoscopyZaafran, CooperFiberoptic Stylets/Light WandsLu, Joseph, PanousisLung Separation TechniquesKulkarni, Telischak, Basarab-TungSupraglottic AirwaysButwick, Goldhaber-FiebertIntubating LMACheng, KochPediatric AirwayRamamurthi, Giustini, Wang, WolkeEmergency Airway & SurgicalCricothyroidotomyMulkerin, Wagner, Damrose, Bradley8Airway UltrasoundCintron9 Extubation of Difficult Airway& Airway Exchange CathetersCavallone, Tse10 Retrograde IntubationDenton, McAvoy11 Advanced OxygenationTechniques (THRIVE)Mittal12 SimulationBrun, Austin, Scotto, Roman-MicekACCREDITATIONThe Stanford University School ofMedicine is accredited by the AccreditationCouncil for Continuing Medical Education(ACCME) to provide continuing medicaleducation for physicians.CREDIT DESIGNATIONStanford University School of Medicinedesignates this live activity for amaximum of 17.0 AMA PRA Category 1Credits . Physicians should claim onlythe credit commensurate with the extentof their participation in the activity.The California Board of RegisteredNursing recognizes that ContinuingMedical Education (CME) is acceptablefor meeting RN continuing educationrequirements; as long as the courseis certified for AMA PRA Category 1credits (rn.ca.gov). Nurses will receivea Certificate of Attendance followingthis activity that may be used for licenserenewal.Register online at cme.stanford.edu/advancedairway
RegistrationSTANFORD ADVANCED AIRWAY MANAGEMENTAND FIBEROPTIC COURSE – MARCH 30-31, 2019Please register and pay online by credit card atcme.stanford.edu/advancedairwayPLEASE REGISTER EARLY – SPACE IS LIMITED. Registrationfee course materials, certificate of participation, and dailybreakfast and lunch. Tuition may be paid by check, Visa, orMasterCard.REGISTRATION FEESEarly BirdDiscountPhysicians/CRNAs 1,195Non-SHC Residents/Fellows 900RegularAfter 2/28/19Physicians/CRNAs 1,295Non-SHC Residents/Fellows 900SpecialRatesReturning Learners: 800International Groups (5 or more): 800Please contact the Stanford CME office if you qualify to registerfor a special rate.If you prefer to pay by phone or check, please contact theStanford Center for CME at (650) 497-8554 for assistance.Please note: Your registration is not confirmed until payment isreceived.CANCELLATION POLICYCancellations received in writing no less than 30 days before thecourse will be refunded, less a 20% administrative fee. No refundswill be made on cancellations received after that date. Pleasesend cancellation requests to stanfordcme@stanford.edu.Stanford University School of Medicine reserves the right tocancel this program; in the event of cancellation, course fees willbe fully refunded. We are not responsible for other costs incurredsuch as non-refundable airline tickets or hotel penalties.ACCOMMODATIONSFor lodging near the Stanford campus, please view ourlodging guide at: visit.stanford.edu/plan/lodgingCONFERENCE LOCATIONLi Ka Shing Center for Learning and Knowledge2nd Floor Conference Center291 Campus Drive, Stanford, CA 94305conferencecenter.stanford.eduStanford Center for Continuing Medical Education1520 Page Mill Road, Palo Alto, CA 94304Phone: (650) 497-8554 Email: stanfordcme@stanford.eduWeb: cme.stanford.eduFor questions about the symposium, please contactMary Sisney, CME Coordinator, Stanford Center forContinuing Medical Education at (650) 724-7166 oremail: msisney@stanford.eduStanford University School of Medicine is committedto ensuring that its programs, services, goods andfacilities are accessible to individuals with disabilities asspecified under Section 504 of the Rehabilitation Act of 1973and the Americans with Disabilities Amendments Act of 2008.If you have needs that require special accommodations,including dietary concerns, please contact the CMEConference Coordinator.Please register early – space is limited!
What Past Participants Said“I found the courseextremely helpful, andwill recommend it toall my anesthesia andhead and neck surgicalcolleagues.”“Professors welcomedquestions and discussions,and the “Lunch andLearn” sessions providedadditional access to theexperts.”“Terrific! Enjoyed very much and learned a lot ofpractical information.”“It was a great combination of “worst nightmarescenario ever” followedby “best advice ever”.I was out of my comfortzone and learned a lot.”“Staff very welcomingand helpful.Organizationof stations betterthan any others I haveattended, includingmany Harvard events.”“Very high quality educators, who wereenthusiastic and committed to making this a firstclass learning experience.”“One of the most usefulhands-on courses Ihave attended. Verymuch appreciated!”Register online at cme.stanford.edu/advancedairway“Very informative andcomprehensive course,with outstandinglectures and workshops.”
Vivek Kulkarni, MD, PhD Clinical Associate Professor of Anesthesiology Amy Lu, MD Clinical Assistant Professor of Anesthesiology continued . Kulkarni, Basarab-Tung, Telischak 6 Supraglottic Airways in Difficult Airway Management Bu
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cholecystectomy. The anesthesia team has tried to intubate the patient three times (once by trainee, twice by staff). The patient develops laryngospasm and is ventilated by hand-bag. He is retaining oxygen saturations 94 percent. The anesthesia staff has called for the fiberoptic intubation set and is preparing to perform fiberoptic intubation.
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