Advances in Clinical Anesthetic Practice 2008

LOMA LINDA UNIVERSITYDepartment of Anesthesiology11234 Anderson Street, Room 2534Loma Linda, California 92354

Lodging and Location

Rancho Las Palmas Resort and Spa is once again the site of Loma Linda University’s annual Advances in Clinical Anesthesia symposium. The choice is obvious to the hundreds of wintertime visitors who appreciate the tranquil beauty of the Coachella Valley, the stunning vistas that surround the City of Rancho Mirage, and who enjoy the superb hospitality and creature comforts provided by one of the country’s finest resort destinations.

Just minutes away, Palm Desert offers a shopping experience often called “the Rodeo Drive of the Desert.” Jewely, apparel, art, home décor and haute couture are complemented by a plentiful variety of fine dining spots. Also in Palm Desert is The Living Desert, where expansive desert gardens bloom, a miniature railway delights visitors of all ages, and close-up encounters with an outstanding collection of animals adds to this unique setting.

To the west, Palm Springs blends historical richness and trendy charm. Streets filled with dozens of boutiques and al fresco bistros can take days to explore.

Adding to Palm Springs’ special ambiance is its location alongside 10,834 foot high Mount San Jacinto—impressive at any time, but especially at sunset. Take the two and one half mile tram ride up the mountain and see spectacular views from the world’s largest rotating tram cars.

And when it’s time to retreat to the Rancho Las Palmas “oasis,” a host of amenities await. Relax in the spa that includes a

peaceful sanctuary pool, whirlpool and sauna. Visit the well-equipped fitness center, play a round of golf on the Ted Robinson-designed course, or try out one of the 25 tennis courts in the desert’s largest tennis club.

Luxurious surroundings abound when you return to your spacious room or suite. See the extensive list of room/suite features on the Rancho Las Palmas Resort and Spa website (www.rancholaspalmas.com.) that distinguish this world-class resort.

ReservationsMake hotel reservations directly by calling Rancho Las Palmas Resort and Spa at (760) 568-2727. Identify yourself as an attendee of the Loma Linda University Anesthesia Symposium to receive special conference rates. Make reservations online at www.rancholaspalmas.com and enter “LLU” in the group code box. Reservations by January 17, 2008, will ensure the conference rate of $250 single/double room rate (occupancy taxes are additional), plus a daily resort fee of $15. The resort fee includes free parking, fitness center admission, in-room high speed internet access, daily newspaper, in-room coffee and tea, and more.

36th annual symposium

Non-profit Organization US Postage

PAIDFort Worth, TXPermit #4209

Program ChairsStanley D. Brauer, MDProfessor of AnesthesiologyDirector of Cardiac AnesthesiologyLoma Linda University School of Medicine

Linda J. Mason, MDProfessor of Anesthesiology and PediatricsDirector of Pediatric AnesthesiologyLoma Linda University School of Medicine

Guest SpeakersJessica A. Alexander, MDClinical ProfessorDepartment of AnesthesiologyThe University of Texas Health Science Center at San AntonioSan Antonio, Texas

David J. Birnbach, MDProfessor and Executive Vice-ChairDepartment of AnesthesiologyPerioperative Medicine and Pain ManagementChief of Women’s AnesthesiaUM/Jackson Memorial Medical CenterAssociate Director, Institute for Women’s HealthMiami, Florida

James G. Ramsay, MD, FRCP (C)Professor of AnesthesiologyEmory University School of MedicineAnesthesiology Service ChiefEmory University HospitalAtlanta, Georgia

Randolph H. Steadman, MDProfessor and Vice-ChairResidency Program DirectorDepartment of AnesthesiologyDavid Geffen School of Medicine at UCLALos Angeles, California

Loma Linda University FacultyRichard L. Applegate, II, MDProfessor of AnesthesiologyVice-Chair, Department of Anesthesiology

Stanley D. Brauer, MDProfessor of AnesthesiologyDirector of Cardiac Anesthesiology

Carl E. Collier, DOAssistant Professor of AnesthesiologyDivision of Regional Anesthesiology

Ihab R. Dorotta, MDAssistant Professor of AnesthesiologyDivision of Critical Care Medicine

Penny L. Kimball-Jones, MDAssociate Professor of AnesthesiologyDivision of Cardiac Anesthesiology

Charles Lee, MDAssistant Professor of AnesthesiologyDirector of Liver Transplant and Acute Pain Medicine

John Lenart, MDAssistant Professor of AnesthesiologyAssociate Director,Anesthesiology

Residency ProgramDivision of Regional Anesthesiology

Robert D. Martin, MDProfessor of the Floyd S. Brauer, MD,

Chair in AnesthesiologyChairman of Anesthesiology

Linda J. Mason, MDProfessor of AnesthesiologyDirector of Pediatric Anesthesiology

Michelle L. Schlunt, MDAssistant Professor of AnesthesiologyDivision of Cardiac Anesthesiology

Gary L. Stier, MDAssociate Professor of AnesthesiologyDirector, Anesthesiology Residency Program

Rancho Las Palmas Resort and Spa • Rancho Mirage, California • February 16-20, 2008

Advances in Clinical Anesthetic Practice 2008Rancho Las Palmas Resort and Spa • Rancho Mirage, CA • February 16-20About the Symposium

Conference Registration

Program Information and AssistanceShirley Jones, Symposium Coordinatorsjjones@llu.eduPost Office Box 933Loma Linda, California 92354(909) 558-8173www.llu.edu/llumc/anesthesia/conference.html

Statement of Purpose/Overall ObjectivesThis program is designed to update anesthesiologists and certified registered nurse anesthetists by addressing changing concepts on recent advances in several selected areas that are pertinent issues relevant to contemporary anesthetic practice, including:

Regional Anesthesia topics will update the practitioner on the uses, types, techniques and effects of regional anesthesia. An optional workshop will be available.

Cardiac Anesthesia topics will update the practitioner on monitoring techniques, complications and techniques to improve organ function during the perioperative period.

Obstetrical Anesthesia topics will identify the advantages and disadvantages of the newer labor analgesia techniques including combined spinal-epidural technique; will identify problems in communication that may impact on patient safety.

Perioperative Medicine topics will update the practitioner on mechanisms and approaches to coagulopathy; blood substitutes, the role of consultants in perioperative care, the impact of herbal substances on perioperative care, approaches to perioperative care that may allow faster recovery and the risk of awareness during anesthesia.

Pediatric Anesthesia topics will identify current anesthetic management strategies for the pediatric outpatient including a child with upper respiratory tract infection, child with sleep apnea and what is the youngest age acceptable for outpatient surgery.

Each participant will be provided with a syllabus that has been prepared by the speakers and will serve as an ongoing reference.

Cultural and linguistic issues will also be addressed in one or more of the above lectures as appropriate.

Optional WorkshopThe workshop is intended for the practitioner with some understanding of the basics of regional anesthesia and analgesia, and will provide the attendee with an understanding of:

• The applications of regional anesthesia to pain control in the perioperative period

• The anatomic considerations in regional anesthesia• The use of ultrasound for the administration of

regional anesthesia

Additionally, hands-on experience identifying surface anatomy for several of the techniques presented will be available. Attendees who complete the workshop will receive a certificate indicating their completion of the course.

Accreditation Loma Linda University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Loma Linda University School of Medicine designates this continuing medical education activity for a maximum of 23 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The American Association of Nurse Anesthetists (AANA) has granted approval for up to 23 credits, code #30056; expires February 20, 2008.

Disclosure StatementThis program has been planned and implemented in accordance with ACCME essentials and standards. The Loma Linda University School of Medicine Office of Continuing Medical Education relies on its CME faculty to provide program content that is free of commercial bias. Therefore, in accordance with ACCME standards, any faculty and/or provider industry relationships will be disclosed and resolved.

Sunday, February 17, 2008Moderator: Richard L. Applegate II, MD

7:00-8:00 •Continental Breakfast •Registration•Exhibits

8:00-9:00 Continuous Peripheral Nerve Catheters

Michelle L. Schlunt, MD

9:00-10:00 Advances in Obstetric Anesthesia

David J. Birnbach, MD

10:00-10:20 Break10:20-11:20 Patient Safety on the Labor

and Delivery Suite: Is Improved Communication Possible?

David J. Birnbach, MD

11:20-12:20 Intraoperative Opioids—Risk and Rewards

Carl E. Collier, DO

12:20-13:20 Panel Discussion/Q&A Schlunt, Birnbach & Collier13:20-14:00 Lunch Break14:30-17:30 Optional Workshop Michelle L. Schlunt, MD

Richard L. Applegate, II, MDCarl E. Collier, DOCharles Lee, MDJohn Lenart, MD

Monday, February 18, 2008Moderator: Robert D. Martin, MD

7:00-8:00 •Continental Breakfast •Registration•Exhibits

8:00-9:00 Assessing Cardiovascular Function in the Operating Room: Invasive, Non-Invasive or None?

Richard L. Applegate II, MD

9:00-10:00 Perioperative Management of the Patient with Coronary Artery Disease

James G. Ramsay, MD

10:00-10:20 Break10:20-11:20 Diagnosis and Management

of Perioperative Cardiac Dysrhythmias

James G. Ramsay, MD

11:20-12:20 Hypothermia: Past-Present-Future

Ihab R. Dorotta, MBBCh

12:20-13:20 Panel Discussion/Q&A Applegate, Ramsay, Dorotta

Tuesday, February 19, 2008Moderator: Linda J. Mason, MD

7:00-8:00 •Continental Breakfast •Registration•Exhibits

8:00-9:00 Virtual Crisis Management Randolph H. Steadman, MD9:00-10:00 Stress Management for the

Anesthesia ProviderJessica A. Alexander, MD

10:00-10:20 Break10:20-11:20 Anesthesia for Patients with

Hepatic DiseaseRandolph H. Steadman, MD

11:20-12:20 The Potential Dangers of the Perioperative Use of Herbs and Dietary Supplements

Jessica A. Alexander, MD

12:20-13:20 Panel Discussion/Q&A Randolph H. Steadman, MDJessica A. Alexander, MD

Saturday, February 16, 200818:30-20:30 Registration

Wednesday, February 20, 2008Moderator: Stanely D. Brauer, MD/Linda J. Mason, MD

7:00-8:00 •Continental Breakfast •Registration•Exhibits

8:00-9:00 The Perioperative Approach to the Cardiac Patient Undergoing Non-Cardiac Surgery—An Update

Gary L. Stier, MD

9:00-10:00 What’s New in Pediatric Ambulatory Anesthesia

Linda J. Mason, MD

10:00-10:20 Break10:20-11:20 Controversies in Adult Cardiac

AnesthesiaPenny L. Kimball-Jones, MD

11:20-13:20 Anesthesia Challenges and Controversies/Case Discussions

Stanley D. Brauer, MDRobert D. Martin, MD

Continuing Medical Education CreditsSunday Monday Tuesday Wednesday Total

Symposium 5 5 5 5 23Workshop 3

Registration Fees Amount

Physician $550

Alumnus $450

CRNA $450

CRNA Alumnus $350

Resident-in-Training* $250

Optional Workshop** $150

TOTAL

*Credit Card Verification: With credit card orders—for your protection and ours—we request the additional “V-Code” Verification Code from your credit card. This code is found in different places depending on what type of credit card that you have. The new additional number (fraud protection) checking system has been created so that if someone does have possession of your credit card numbers they also need to have possession of your card in order to know what your V-Code numbers are.

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Authorizing Signature

Optional Regional Anesthesia WorkshopSunday, February 17, 200814:30 to 17:30Registration Fee: $150Michelle L. Schlunt, MD3 Category I hours/3 AANA credits available

Continuing Medical Education Registrationhttp://www.llu.edu/llu/medicine/cme/Loma Linda University—CME11234 Anderson Street, Room A537Loma Linda, CA 92354(909) 558-4963 Phone(909) 558-0330 FAX

* With letter of verification. **Must be registered for the conference to be eligible to register for the workshop.

Refund Policy: Registration fees will be refunded for written requests received in our office prior to January 16, 2008. A $50 charge will be retained to cover administrative expenses. After this date, we will have provided guarantees and no refunds can be issued.

Registration fee includes the following per registrant:• Syllabus• Continental breakfast Sunday through Wednesday•Refreshment breaks Sunday through Wednesday