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The Department of Anesthesiology, Perioperative and Pain Medicine at theIcahn School of Medicine at Mount Sinai, New York, NY, USA presents the08:50 – 09:00 Bloodless Cardiac SurgeryJitka Lomova, Prague, Czech Republic09:00 – 09:10 Emergent Reversal Strategies for AntiCoagulants: An Evolving TopicMark Smith, Rochester, MN, USA09:10 – 09:30SPECIAL LECTURE Introduction:George Silvay, New York, NY, USA Risk of Hypotension During Anesthesiaand How to Prevent ItMichael Sander, Giessen, Germany09:30 – 09:50SPECIAL LECTURE Introduction:Marc Stone, New York, NY, USA Disclosure and the Second VictimPhenomenonRobert Lagasse, New Haven, CT, USA09:50 – 10:20 DISCUSSION & COFFEE BREAK10:20 – 12:10MISCELLANEOUS TOPICS Moderators:Michael Sander, Giessen, GermanyB.D. Woltersom-Zwierzynska,Groningen, The Netherlands10:20 - 10:30 POCUS in Non-Cardiac SurgeryDaniel Bainbridge, London, Ontario, Canada10:30 – 10:40 Evaluation of Gastric Contents byUltrasound: Technique and EvidenceFor UseMarc Sherwin, New York, NY, USA10:40 – 10:50 Dermatologic Surgery with LocalAnesthesiaMartin Barsch, Linz, Austria10:50 – 11:00 Perioperative Analgesic Managementof The Opioid Use Disorder PatientSteven Halle, New York, NY, USA11:00 – 11:10 Language Mapping During AwakeBrain Surgery in Adults: ClinicalConsiderationsEkaterina Pataraia, Vienna, Austria11:10 – 11:20 Postoperative and PostdischargeNausea and Vomiting: Latest Evidencefor Prevention and TreatmentJamie Hyman, New York, NY, USA11:20 – 11:30 E-Smoking and AnesthesiaRam Roth, New York, NY, USA11:30 – 11:45 Perioperative Management of CardiacRhythm DevicesMarc Stone, New York, NY, USA11:45 – 12:00 Year-in-Review For PerioperativeMedicine-Best Papers of 2019Adriana Oprea, New Haven, CT, USA12:00 -12:10 DISCUSSIONThe 38th Annual International Symposium:Clinical Update in Anesthesiology, Surgeryand Perioperative MedicineComplimentary workshops, including: Ultrasound-Guided Regional Block;Transthoracic Echocardiography; POCUS.12:10 CONCLUDING COMMENTSGeorge Silvay, New York, NY, USA* Workshops and presentations of interesting and complex casesby residents, fellows and junior faculty will not be eligible forCME credits.The information presented is accurate as of July 26, 2019Directors: George Silvay, M.D., Ph.D., Menachem Weiner, M.D., Marc Stone, M.D.SAVE THE DATE!St. Kitts Marriott Resort,St. Kitts, West IndiesThe 39th Annual International Symposium: Clinical Update in Anesthesiology,Surgery and Perioperative Medicine and Complimentary WorkshopsOral presentation of interesting & complex cases for residents, fellows and junior attendings.January 17-22, 2021Information will be announced regarding location inSt. Kitts, West Indies during the 38th Annual SymposiumJanuary 19-24, 2020For abstract information contact: Email: menachem.weiner@mountsinai.orgDeadline: October 30, 2019For information for faculty: george.silvay@mountsinai.orgFor general information: margorie.fraticelli@mountsinai.orgSymposium website: www.clinicalupdateinanesthesiology.org

Symposium ScheduleCourse Registration Form11:10 – 11:20 Overview of ICU Treatment of AIDSPatientsIlona Bobek, Budpest, Hungary11:20 – 11:40 DISCUSSION & COFFEE BREAK38th Annual International Symposium:Clinical Update in Anesthesiology, Surgery and Perioperative MedicineJanuary 19 – 24, 2020; St. Kitts Marriott Resort; St. Kitts, West Indies11:40 – 13:10 Controversies in Anesthesia andSurgeryNameAddressCity State Zip CountryTelephone E-MailType of Credit Card Credit Card #THURSDAY, JANUARY 23, 2020Expiration date:Registration Fee:Before December 14, 2019PLEASE CIRCLE ONEPhysiciansCRNAs, Perfusionists, PAPhysicians in training Moderators:Meg Rosenblatt, New York, NY, USAChristopher Troianos, Cleveland, OH, USA11:40 – 11:50 Hip Fractures: Urgent or Emergent?Michael Anderson, New York, NY, USA11:50 – 12:00 Ketamine for Chronic PainChristopher Curatolo, Dover, NH, USA12:00 – 12:10 Controversies in Intraneural InjectionsYan Lai, New York, NY, USA12:10 – 12:20 Do We Really Need LiposomalBupivacaine?Meg Rosenblatt, New York, NY, USA12:20 – 12:30 The Use of Sugammadex in SpecialSituationsRoss Renew, Rochester, MN, USA12:30 – 12:40 Opioid Crisis and the AnesthesiologistLawrence Epstein, New York, NY, USA12:40 – 12:50 The Cyber Revolution in Education:A Blessing or a Curse? Bozena Woltersom-Zwierzynska,Groningen, The Netherlands12:50 – 13:10 DISCUSSIONAfter December 14, 2019 750 500 300 900 600 400Make check payable to:Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York.Mail payment to:M. Fraticelli, Dept. of Anesthesiology, Box 1010, Icahn School of Medicine at Mount Sinai,One Gustave L. Levy Place, New York, NY, 10029-6574.For bank transfer information please email: margorie.fraticelli@mountsinai.orgFull refund if written notice of cancellation prior to November 15, 2019.20% Administrative fee retained from November 16 to December 31, 2019.No refunds after January 1, 2020.Symposium website: www.clinicalupdateinanesthesiology.org07:30 – 09:30REGISTRATION07:45 – 09:20 WORKSHOP: HANDS ON REGIONAL BLOCKMeg Rosenblatt, New York, NY, USA; Michael Anderson, New York, NY, USA;Yan Lai , New York, NY, USA;Elisha Dickstein, New York, NY, USA;Benjamin Salter, New York, NY, USA;Bob Williams, New York, NY, USA09:30 – 09:50SPECIAL LECTURE Introduction:Menachem Weiner, New York, NY, USA Outcomes of Patients With PulmonaryHypertension Following Non-CardiacSurgery: Analysis of US National DataHarish Ramakrishna, Rochester, MN, USA09:50 – 11:40 PRACTICE MANAGEMENT & LEGALAND ETHICAL DILEMMAS Moderators: Richard Beers, Syracuse, NY, USAArno Nierich, Zwolle, The Netherlands09:50 – 10:00 Update on the Controversy overSurgical Attire and Infectious ConcernsRichard Beers, Syracuse, NY, USA10:00 – 10:10 Electronic Distraction of theOperating Room StaffPeter Papadakos Rochester, NY, USA10:10 – 10:20 Practice Management Update 2020Maria Galati, New York, NY, USA10:20 – 10:30 Is there a Doctor on This Aircraft?What You Need to Know When YouAnswer YesDavid Bronheim, New York, NY, USA10:30 – 10:40 An Update for 2020 on the GermanHealth Care SystemEdwin Boelke, Dusseldorf, Germany10:40 – 10:50 Hospital Organization in MassCasualtiesJosef Wichelewski, Eilat, Israel10:50 – 11:00 Medical Marijuana: Fact or Fiction?Laura Ardizzone, New York, NY, USA11:00 – 11:30 DISCUSSION & COFFEE BREAK11:30 – 13:10 PRESENTATION OF INTERESTING& COMPLEX CASES OR RESEARCH by residents, fellows and junior attending Deadline for abstract submission:October 31, 2019E-mail: Menachem.weiner@mountsinai.org(Power point 8 min. presentation). Moderator:Menachem Weiner, New York, NY, USA Members of Jury:Ulku Aypar, Ankara, TurkeyEdwin Boelke, Dusseldorf, GermanyVladimir Cerny, Prague, Czech RepublicGeorge Djaiani, Toronto, CanadaIsabelle Michaux, Yvoir, BelgiumJan Rival, Detroit, MI, USAJeffery Vender, Evanston, IL, USAJosef Wichelewski, Eliat, IsraelProgram TBA. Prizes will be awarded to the three bestpresentations on Friday (before the coffee break).FRIDAY JANUARY 24, 202007:30 – 08:30REGISTRATION08:00 – 09:10HEMATOLOGY Moderators:George Djaiani, Toronto, Ontario, CanadaLinda Shore-Lesserson, Long Island, NY, USA08:00 – 08:10 Innovations in Blood ConservationTechniques and Transfusion MedicineArno Nierich, Zwolle, The Netherlands08:10 – 08:20 Cross-Talk Between Infectionand ThrombosisHushan Ao, Beijing, China08:20 – 08:30 Optimizing Blood TransfusionVia Implementation of aBundled InterventionChristopher Jankowski, Rochester, MN, USA08:30 – 08:40 Anticoagulation Guidelines for CPBLinda Shore-Lesserson, Long Island, NY, USA08:40 – 08:50 Updates on Anesthesia forSickle Cell AnemiaRobert Friedhoff, Rochester, MN, USA(continued on the back)

Symposium Schedule09:10 – 09:20 Use of Biomarkers for Detection ofAnesthetic Induced NeurotoxicityZeljiko Bosnjak, Milwaukee, WI, USA09:20 – 09:30 DNA Damage and Anesthesia: ShouldWe All Be Concerned?Vladimir Cerny, Prague, Czech Republic09:30 – 09:40 Cognitive Trajectories After Exposureto Regional AnesthesiaJuraj Sprung, Rochester, MN, USA09:40 – 09:50 Perioperative Cognitive Dysfunction inCardiac SurgeryZdravka Zafirova, New York, NY, USA09:50 – 10:00 Myocardial Injury During Non-CardiacSurgeryAchal Dhir, London, Ontario, Canada10:00 – 10:10 CNS Complications After Major NonCardiac SurgeryGeorge Djaiani, Toronto, Ontario, Canada10:10 – 10:20 Residual Neuromuscular Blockadeand Patient Outcomes: Findings fromRecent InvestigationsGlenn Murphy, Evanston, IL, USA10:20 – 10:40SPECIAL LECTURE Introduction:George Silvay, New York, NY, USA Studies That Challenged CardiacAnesthesia and Critical CareDogma in 2019Davy Cheng, London, Ontario, Canada10:40 – 11:10 DISCUSSION & COFFEE BREAK11:10 – 12:30 THORACIC SURGERY ANDANESTHESIA Moderators:Dawn Desiderio, New York, NY, USAPaul Waters, Greenwich, CT, USA11:10 – 11:20 Gas Exchange Impairment DuringOne Lung Ventilation: A StructuredApproachMarcelo Gama de Abreu, Dresden, Germany11:20 – 11:30 Preoperative Preparation of ThoracicPatientsAlessia Pedoto, New York, NY, USA11:30 – 11:40 An Update on the InflammatoryResponse During One-Lung VentilationJavier Campos, Iowa City, IA, USA11:40 – 11:50 Sharing the AirwayDawn Desiderio, New York, NY, USA11:50 – 12:00 Overview of ERAS in General ThoracicSurgeryAndrew Kaufman, New York, NY, USA12:00 – 12:10 Pediatric Scoliosis Repair: Update onPerioperative Analgesic ModalitiesStelian Serban, New York, NY, USA12:10 – 12:20 ORIF in the Management of RibFractures: Road to Faster RecoveryWith Fewer ComplicationsPaul Waters, Greenwich, CT, USA12:20 – 12:30 Lung Transplantation UpdateTheresa Gelzinis, Pittsburgh, PA, USA12:30 – 12:45Special Lecture Introduction:Menachem Weiner, New York, NY, USA Pharmacokinetics andPharmacodynamics: Update 2020Philippe Housmans, Rochester, MN, USA12:45 – 13:00 DISCUSSIONWEDNESDAY, JANUARY 22, 202007:30 – 09:30REGISTRATION07:45 – 09:00 WORKSHOP: POCUSMeg Rosenblatt, New York, NY, USA; Daniel Bainbridge, London, Ontario, Canada;Yan Lai, New York, NY, USA;Theresa Gelzinis, Pittsburgh, PA, USA;Joshua Villar, New York, NY, USA09:10 – 09:30 SPECIAL LECTURE Introduction:Menachem Weiner, New York, NY, USA Enhanced Recovery After CardiacSurgeryChristopher Troianos, Cleveland, OH, USA09:30 – 09:50 SPECIAL LECTURE Introduction:Menachem Weiner, New York, NY, USA Impact on Hospital Rankings FromClinical Documentation in the PACUJonathan Gal, New York, NY, USA09:50 – 11:40CRITICAL CARE Moderators: Vladimir Cerny, Prague, Czech RepublicUmesh Gidwani, New York, NY, USA09:50 – 10:00 Emergency Preservation andResuscitation for Traumatic CardiacArrestTomas Drabek, Pittsburgh, PA, USA10:00 – 10:10 Mechanical Ventilationin Infants and ChildrenGeorge Grigolia, Tbilisi, Georgia10:10 – 10:20 Management of ARDSJohn Klick, Hershey, PA, USA10:20 – 10:30 Treatment of Surgical Infectionsand Their ComplicationsSilvester Krcmery, Bratislava, Slovakia10:30 – 10:40 Specific Skin Problems for IntensiveCare MedicineNorman-Philipp Hoff, Dusseldorf, Germany10:40 – 10:50 Hepatic-Vein Flow Pattern in RightHeart FailureAndrea Szekely, Budpest, Hungary10:50 – 11:00 Angiotensin II: Hero or Villain?Erica Wittwer, Rochester, MN, USA11:00 – 11:10 Update in Cardiac Critical CareUmesh Gidwani, New York, NY, USAHotel Information:St. Kitts Marriott Resort & Royal Beach Casino858 Frigate Bay, St. Kitts, West Indies1-869-466-1200ROOMRATE/SINGLERATE/DOUBLERun of house 259.00 287.50Room Rate includes breakfast for Single/Double occupancy only.Breakfast will be served in the Saba Ballroom.HOTEL RESERVATIONS ARE MADE DIRECTLY WITH THE HOTEL:For reservation please call: Toll-Free Reservation Center: 1-800-MARRIOTT. Make sure youmention the group code: MSA.Group Rate for the hotel is only available through December 19, 2019.A credit card will be requested and a two (2) night deposit taken at time of booking. Please noteresort fees are not included in room rateAll persons travelling by air outside of the United States are required to present a passport orother valid travel document to enter or re-enter the United States. For more information visit:www.travel.state.govEducational ObjectivesThe 38th Annual International Symposium: Clinical Update in Anesthesiology, Surgery andPerioperative Medicine is designed to help busy professionals advance their knowledge andkeep current by providing a review of innovations, recent advances and best practices incardiothoracic, vascular and general anesthesiology, surgery, perioperative medicine, and criticalcare. In addition, three workshops will be conducted for interested participants.At the conclusion of the symposium, participants will be able to:1. Describe and implement new diagnostic modalities, therapeutic agents and managementstrategies in the fields of cardiothoracic, vascular and general anesthesia, surgery, critical careand perioperative medicine.2. Recognize and implement best practice anesthetic management of patients with significantcomorbidities.3. Discuss the current and future management of patients with cardiac, thoracic and vascularpathophysiology.4. Three WORKSHOPS: 1 – Regional block; 2 – ECHO will demonstrate with expertsthe latest techniques; 3 – POCUS

Symposium ScheduleTarget AudienceAnesthesiologists, cardiothoracic, vascular andgeneral surgeons, cardiologists, intensivists,nurse anesthetists, physicians in-training,perfusionists, physician assistants, and nurses.Verification of attendance will be providedto all professionals.Educational Methods Didactic lectures and discussions byrecognized leaders in their field. Oral presentation of abstracts of relevantbasic science research and interestingclinical cases. Workshops: Ultrasound-guided regionalanesthesia; TTE; POCUSAccreditation StatementThis activity has been planned andimplemented in accordance with theAccreditation Requirements and Policies ofthe Medical Society of the State of New York(MSSNY) through the joint providership ofthe Westchester Academy of Medicine andDepartment of Anesthesiology, Icahn Schoolof Medicine at Mount Sinai, New York.The Westchester Academy of Medicine isaccredited by MSSNY to provide ContinuingMedical Education for physicians.The Westchester Academy of Medicinedesignates this live activity for a maximum of22 AMA PRA Category I Credits . Physiciansshould claim only the credit commensurate withthe extent of their participation in the activity.Disclosure StatementThe Westchester Academy of Medicine (WAM)and the Medical Society of the State of NewYork (MSSNY) relies upon planners and facultyparticipants in its CME activities to provideeducational information that is objective andfree of bias. In this spirit and in accordancewith the guidelines of MSSNY and the ACCME,anyone with the potential to control the contentof a CME activity are expected to disclose theexistence of any relevant financial interestor other relationship the faculty member(spouse or partner) or provider has with themanufacturer of any commercial productdiscussed in an educational presentation.SUNDAY, JANUARY 19TH, 202016:00 – 18:00 PRE-REGISTRATION in the ballroomfoyer (final collection of slides)MONDAY, JANUARY 20TH, 202007:30 – 08:30 REGISTRATION08:00 – 08:20 WELCOME AND ANNOUNCEMENTSGeorge Silvay, New York, NY, USAMenachem Weiner, New York, NY, USA08:20 – 11:10 UPDATE IN CARDIAC DISEASE,SURGERY, AND ANESTHESIA I Moderators:Davy Cheng, London, Ontario, CanadaPeter Faries, New York, NY, USA08:20 – 08:30 Atrial Fibrillation following CardiacSurgery-The GuidelinesBen O’Brien, London, UK08:30 – 08:40 New Vasopressors in Cardiac Surgeryand ICUIsabelle Michaux, Yvoir, Belgium08:40 – 08:50 Management of Carotid Artery Diseaseand Prevention of StrokePeter Faries, New York, NY, USA08:50 – 09:00 Anesthetic Considerations DuringTranscarotid Artery Stenting UnderCerebral Flow ReversalDavid O’Connor, Hackensack, NJ, USA09:00 – 09:10 Top 5 ECMO PitfallsBrigid Flynn, Kansas City, MO, USA09:10 – 09:20 Establishing a Perioperative EchoQuality Improvement ProcessJared Feinman, Philadelphia, PA, USA09:20 – 09:30 Anesthesia for Patients with VADs forNon-Cardiac SurgeryDonna Greenhalgh, Manchester, UK09:30 – 09:40 Near-infrared Spectroscopy in CardiacSurgery and ICUNorbert Huebner, Bad Rothenfelde, Germany09:40 – 09:50 Optimal Blood Management in CardiacSurgeryGregory Nuttall, Rochester, MN, USA09:50 – 10:00 Minimizing Renal Failure DuringCardiac SurgeryJoe Szokol, Evanston, IL, USA10:00 – 10:10 Oxygenation of Lung Tissue During CPBMartin Dworschak, Vienna, Austria10:10 – 10:20 Evidence for the use of Vasopressin inCardiac SurgeryFrank Kletzin, Rostock, Germany10:20 – 10:30 Continuous Cardiac OutputDetermination in the ORKent Rehfeldt, Rochester, MN, USA10:30 – 10:50SPECIAL LECTURE Introduction:George Silvay, New York, NY, USA Shared Decision Making in thePerioperative Setting: A ComplexMulti-Faceted ConstructHilary Grocott, Winnipeg, Manitoba, Canada10:50 – 11:10DISCUSSION & COFFEE BREAK11:10 – 13:15 UPDATE IN CARDIAC DISEASE,SURGERY, AND ANESTHESIA II Moderators:Hilary Grocott, Winnipeg, Manitoba, CanadaDonna Greenhalgh, Manchester, UK11:10 – 11:20 Update in the Treatment of Atherosclerosis:When Statins are Not EnoughAllen Unger, New York, NY, USA11:20 – 11:30 Update on Transcatheter Interventionof the Mitral and Tricuspid ValvesJoerg Ender, Leipzig, Germany11:30 – 11:40 Using a Navigation System for Surgeryof Thoracoabdominal PathologiesEhsan, Natour, Groningen, The Netherlands11:40 – 11:50 Ischemic Mitral Regurgitation: Repairvs. ReplacementSulkhan Lominadze, Tbilisi, Georgia11:50 – 12:00 Is There a Stable Heart Failure Patient?Johanna Contreras, New York, NY, USA12:00 – 12:10 Advantage of Multiple Arterial Graftsfor Coronary RevascularizationRichard Daly, Rochester, MN, USA12:10 – 12:20 Major Depressive Disorder andCardiovascular DiseaseNiki Dietz, Rochester, MN, USA12:20 – 12:30 Xenon Anesthesia for Cardiac SurgeryJan Hofland, Nijmegen, The Netherlands12:30 – 12:40 Update on Heart TransplantationHynek Riha, Prague, Czech Republic12:40 – 12:50 Anesthesia in the EP/Cath LabTheodore Cios, Hershey, PA12:50 – 13:05SPECIAL LECTURE Introduction:Menachem Weiner, New York, NY, USA Evidence Reversals: What Proportionof Evidence Reverses With Time?Janet Martin, London, Ontario, Canada13:05 – 13:15 DISCUSSION18:00 – 20:00 COCKTAIL RECEPTIONat the North PoolTUESDAY, JANUARY 21, 202007:30 – 09:30REGISTRATION07:45 – 09:00WORKSHOP: TRANSTHORACIC ECHO Joerg Ender, Leipzig, Germany;Marc Stone, New York, NY, USA;Benjamin Salter, New York, NY, USA;B.D. Woltersom-Zwierzynska, Groningen, The Netherlands;Bob Williams, New York, NY, USA09:10 – 10:20ADVERSE EFFECTS OF ANESTHESIA Moderators:Ulku Aypar, Ankara, TurkeyJeffery Vender, Evanston, IL, USA

Symposium ScheduleTarget AudienceAnesthesiologists, cardiothoracic, vascular andgeneral surgeons, cardiologists, intensivists,nurse anesthetists, physicians in-training,perfusionists, physician assistants, and nurses.Verification of attendance will be providedto all professionals.Educational Methods Didactic lectures and discussions byrecognized leaders in their field. Oral presentation of abstracts of relevantbasic science research and interestingclinical cases. Workshops: Ultrasound-guided regionalanesthesia; TTE; POCUSAccreditation StatementThis activity has been planned andimplemented in accordance with theAccreditation Requirements and Policies ofthe Medical Society of the State of New York(MSSNY) through the joint providership ofthe Westchester Academy of Medicine andDepartment of Anesthesiology, Icahn Schoolof Medicine at Mount Sinai, New York.The Westchester Academy of Medicine isaccredited by MSSNY to provide ContinuingMedical Education for physicians.The Westchester Academy of Medicinedesignates this live activity for a maximum of20 AMA PRA Category I Credits . Physiciansshould claim only the credit commensurate withthe extent of their participation in the activityDisclosure StatementThe Westchester Academy of Medicine (WAM)and the Medical Society of the State of NewYork (MSSNY) relies upon planners and facultyparticipants in its CME activities to provideeducational information that is objective andfree of bias. In this spirit and in accordancewith the guidelines of MSSNY and the ACCME,anyone with the potential to control the contentof a CME activity are expected to disclose theexistence of any relevant financial interestor other relationship the faculty member(spouse or partner) or provider has with themanufacturer of any commercial productdiscussed in an educational presentation.Funding StatementsThe planners and faculty participants do nothave any financial arrangements or affiliationswith any commercial entities whose products,research or services may be discussed in thesematerials.SUNDAY, JANUARY 19TH, 202016:00 – 18:00 PRE-REGISTRATION in the ballroomfoyer (final collection of slides)MONDAY, JANUARY 20TH, 202007:30 – 08:30 REGISTRATION08:00 – 08:20 WELCOME AND ANNOUNCEMENTSGeorge Silvay, New York, NY, USAMenachem Weiner, New York, NY, USA08:20 – 11:10 UPDATE IN CARDIAC DISEASE,SURGERY, AND ANESTHESIA I Moderators:Davy Cheng, London, Ontario, CanadaPeter Faries, New York, NY, USA08:20 – 08:30 Atrial Fibrillation following CardiacSurgery-The GuidelinesBen O’Brien, London, UK08:30 – 08:40 New Vasopressors in Cardiac Surgeryand ICUIsabelle Michaux, Yvoir, Belgium08:40 – 08:50 Management of Carotid Artery Diseaseand Prevention of StrokePeter Faries, New York, NY, USA08:50 – 09:00 Anesthetic Considerations DuringTranscarotid Artery Stenting UnderCerebral Flow ReversalDavid O’Connor, Hackensack, NJ, USA09:00 – 09:10 Top 5 ECMO PitfallsBrigid Flynn, Kansas City, MO, USA09:10 – 09:20 Establishing a Perioperative EchoQuality Improvement ProcessJared Feinman, Philadelphia, PA, USA09:20 – 09:30 Anesthesia for Patients with VADs forNon-Cardiac SurgeryDonna Greenhalgh, Manchester, UK09:30 – 09:40 Near-infrared Spectroscopy in CardiacSurgery and ICUNorbert Huebner, Bad Rothenfelde, Germany09:40 – 09:50 Optimal Blood Management in CardiacSurgeryGregory Nuttall, Rochester, MN, USA09:50 – 10:00 Minimizing Renal Failure DuringCardiac SurgeryJoe Szokol, Evanston, IL, USA10:00 – 10:10 Oxygenation of Lung Tissue During CPBMartin Dworschak, Vienna, Austria10:10 – 10:20 Evidence for the use of Vasopressin inCardiac SurgeryFrank Kletzin, Rostock, Germany10:20 – 10:30 Continuous Cardiac OutputDetermination in the ORKent Rehfeldt, Rochester, MN, USA10:30 – 10:50SPECIAL LECTURE Introduction:George Silvay, New York, NY, USA Shared Decision Making in thePerioperative Setting: A ComplexMulti-Faceted ConstructHilary Grocott, Winnipeg, Manitoba, Canada10:50 – 11:10DISCUSSION & COFFEE BREAK11:10 – 13:15 UPDATE IN CARDIAC DISEASE,SURGERY, AND ANESTHESIA II Moderators:Hilary Grocott, Winnipeg, Manitoba, CanadaDonna Greenhalgh, Manchester, UK11:10 – 11:20 Update in the Treatment of Atherosclerosis:When Statins are Not EnoughAllen Unger, New York, NY, USA11:20 – 11:30 Update on Transcatheter Interventionof the Mitral and Tricuspid ValvesJoerg Ender, Leipzig, Germany11:30 – 11:40 Using a Navigation System for Surgeryof Thoracoabdominal PathologiesEhsan, Natour, Groningen, The Netherlands11:40 – 11:50 Ischemic Mitral Regurgitation: Repairvs. ReplacementSulkhan Lominadze, Tbilisi, Georgia11:50 – 12:00 Is There a Stable Heart Failure Patient?Johanna Contreras, New York, NY, USA12:00 – 12:10 Advantage of Multiple Arterial Graftsfor Coronary RevascularizationRichard Daly, Rochester, MN, USA12:10 – 12:20 Major Depressive Disorder andCardiovascular DiseaseNiki Dietz, Rochester, MN, USA12:20 – 12:30 Xenon Anesthesia for Cardiac SurgeryJan Hofland, Nijmegen, The Netherlands12:30 – 12:40 Update on Heart TransplantationHynek Riha, Prague, Czech Republic12:40 – 12:50 Anesthesia in the EP/Cath LabTheodore Cios, Hershey, PA12:50 – 13:05SPECIAL LECTURE Introduction:Menachem Weiner, New York, NY, USA Evidence Reversals: What Proportionof Evidence Reverses With Time?Janet Martin, London, Ontario, Canada13:05 – 13:15 DISCUSSION18:00 – 20:00 COCKTAIL RECEPTIONat the North PoolTUESDAY, JANUARY 21, 202007:30 – 09:30REGISTRATION07:45 – 09:00WORKSHOP: TRANSTHORACIC ECHO Joerg Ender, Leipzig, Germany;Marc Stone, New York, NY, USA;Benjamin Salter, New York, NY, USA;B.D. Woltersom-Zwierzynska, Groningen, The Netherlands;Bob Williams, New York, NY, USA09:10 – 10:20ADVERSE EFFECTS OF ANESTHESIA Moderators:Ulku Aypar, Ankara, TurkeyJeffery Vender, Evanston, IL, USA

Symposium Schedule09:10 – 09:20 Use of Biomarkers for Detection ofAnesthetic Induced NeurotoxicityZeljiko Bosnjak, Milwaukee, WI, USA09:20 – 09:30 DNA Damage and Anesthesia: ShouldWe All Be Concerned?Vladimir Cerny, Prague, Czech Republic09:30 – 09:40 Cognitive Trajectories After Exposureto Regional AnesthesiaJuraj Sprung, Rochester, MN, USA09:40 – 09:50 Perioperative Cognitive Dysfunction inCardiac SurgeryZdravka Zafirova, New York, NY, USA09:50 – 10:00 Myocardial Injury During Non-CardiacSurgeryAchal Dhir, London, Ontario, Canada10:00 – 10:10 CNS Complications After Major NonCardiac SurgeryGeorge Djaiani, Toronto, Ontario, Canada10:10 – 10:20 Residual Neuromuscular Blockadeand Patient Outcomes: Findings fromRecent InvestigationsGlenn Murphy, Evanston, IL, USA10:20 – 10:40SPECIAL LECTURE Introduction:George Silvay, New York, NY, USA Studies That Challenged CardiacAnesthesia and Critical CareDogma in 2019Davy Cheng, London, Ontario, Canada10:40 – 11:10 DISCUSSION & COFFEE BREAK11:10 – 12:30 THORACIC SURGERY ANDANESTHESIA Moderators:Dawn Desiderio, New York, NY, USAPaul Waters, Greenwich, CT, USA11:10 – 11:20 Gas Exchange Impairment DuringOne Lung Ventilation: A StructuredApproachMarcelo Gama de Abreu, Dresden, Germany11:20 – 11:30 Preoperative Preparation of ThoracicPatientsAlessia Pedoto, New York, NY, USA11:30 – 11:40 An Update on the InflammatoryResponse During One-Lung VentilationJavier Campos, Iowa City, IA, USA11:40 – 11:50 Sharing the AirwayDawn Desiderio, New York, NY, USA11:50 – 12:00 Overview of ERAS in General ThoracicSurgeryAndrew Kaufman, New York, NY, USA12:00 – 12:10 Pediatric Scoliosis Repair: Update onPerioperative Analgesic ModalitiesStelian Serban, New York, NY, USA12:10 – 12:20 ORIF in the Management of RibFractures: Road to Faster RecoveryWith Fewer ComplicationsPaul Waters, Greenwich, CT, USA12:20 – 12:30 Lung Transplantation UpdateTheresa Gelzinis, Pittsburgh, PA, USA12:30 – 12:45Special Lecture Introduction:Menachem Weiner, New York, NY, USA Pharmacokinetics andPharmacodynamics: Update 2020Philippe Housmans, Rochester, MN, USA12:45 – 13:00 DISCUSSIONWEDNESDAY, JANUARY 22, 202007:30 – 09:30REGISTRATION07:45 – 09:00 WORKSHOP: POCUSMeg Rosenblatt, New York, NY, USA; Daniel Bainbridge, London, Ontario, Canada;Yan Lai, New York, NY, USA;Theresa Gelzinis, Pittsburgh, PA, USA;Joshua Villar, New York, NY, USA09:10 – 09:30 SPECIAL LECTURE Introduction:Menachem Weiner, New York, NY, USA Enhanced Recovery After CardiacSurgeryChristopher Troianos, Cleveland, OH, USA09:30 – 09:50 SPECIAL LECTURE Introduction:Menachem Weiner, New York, NY, USA Impact on Hospital Rankings FromClinical Documentation in the PACUJonathan Gal, New York, NY, USA09:50 – 11:40CRITICAL CARE Moderators: Vladimir Cerny, Prague, Czech RepublicUmesh Gidwani, New York, NY, USA09:50 – 10:00 Emergency Preservation andResuscitation for Traumatic CardiacArrestTomas Drabek, Pittsburgh, PA, USA10:00 – 10:10 Mechanical Ventilationin Infants and ChildrenGeorge Grigolia, Tbilisi, Georgia10:10 – 10:20 Management of ARDSJohn Klick, Hershey, PA, USA10:20 – 10:30 Treatment of Surgical Infectionsand Their ComplicationsSilvester Krcmery, Bratislava, Slovakia10:30 – 10:40 Specific Skin Problems for IntensiveCare MedicineNorman-Philipp Hoff, Dusseldorf, Germany10:40 – 10:50 Hepatic-Vein Flow Pattern in RightHeart FailureAndrea Szekely, Budpest, Hungary10:50 – 11:00 Angiotensin II: Hero or Villain?Erica Wittwer, Rochester, MN, USA11:00 – 11:10 Update in Cardiac Critical CareUmesh Gidwani, New York, NY, USAHotel Information:St. Kitts Marriott Resort & Royal Beach Casino858 Frigate Bay, St. Kitts, West Indies1-869-466-1200ROOMRATE/SINGLERATE/DOUBLERun of house 259.00 287.50Room Rate includes breakfast for Single/Double occupancy only.Breakfast will be served in the Saba Ballroom.HOTEL RESERVATIONS ARE MADE DIRECTLY WITH THE HOTEL:For reservation please call: Toll-Free Reservation Center: 1-800-MARRIOTT. Make sure youmention the group code: MSA.Group Rate for the hotel is only available through December 19, 2019.A credit card will be requested and a two (2) night deposit taken at time of booking. Please noteresort fees are not included in room rateAll persons travelling by air outside of the United States are required to present a passport orother valid travel document to enter or re-enter the United States. For more information visit:www.travel.state.govEducational ObjectivesThe 38th Annual International Symposium: Clinical Update in Anesthesiology, Surgery andPerioperative Medicine is designed to help busy professionals advance their knowledge andkeep current by providing a review of innovations, recent advances and best practices incardiothoracic, vascular and general anesthesiology, surgery, perioperative medicine, and criticalcare. In addition, three workshops will be conducted for interested participants.At the conclusion of the symposium, participants will be able to:1. Describe and implement new diagnostic modalities, therapeutic agents and managementstrategies in the fields of cardiothoracic, vascular and general anesthesia, surgery, critical careand perioperative medicine.2. Recognize and implement best practice anesthetic management of patients with significantcomorbidities.3. Discuss the current and future management of pati

The 38th Annual International Symposium: Clinical Update in Anesthesiology, Surgery . and Perioperative Medicine . Complimentary workshops, including: Ultrasound-Guided Regional Block; Transthoracic Echocardiography; POCUS. The Department of Anesthesiology, Perioperative and Pain Medicine at the

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