pediatric sedation outside of the operating room

Featuring Keynote Speaker

Kyle Maynard New York Times

Bestselling Author of“No Excuses”

PEDIATRIC SEDATIONOUTSIDE OF THEOPERATING ROOMInterContinental San Francisco Hotel, San Francisco, CA

September 8-9, 2012Weekend Sedation ConferenceExploring the Current Practice and Frontiers of Sedation

Friday, September 7, 2012Optional Full-Day Sedation Symposium: The Fundamentals of Sedation: Reviewing The Basics Bridging the SpecialtiesMonday, September 10, 2012Optional Full-Day High Fidelity Pediatric Sedation Simulation Workshops

Course Director Keira P. Mason, MDDirector, Fundamentals of Sedation SymposiumMark G. Roback, MD

Director, Sedation Simulation WorkshopsJames Fehr, MD

Abstracts Deadline JUNE 1, 2012

www.PediatricSedationConference.com

Planning Committee

Call For AbstractsDeadline for submission of Abstracts: June 1, 2012 Detailed submission guidelines, abstract submission form, and disclosure form can be found at: www.pediatricsedationconference.com

Abstracts are blindly reviewed by the abstract committee. Presenting authors will be notified if their abstract is chosen for poster display at the September 8-9, 2012 conference.

• Only abstract submitted in proper form will be considered. Please use the template which is available at the above website.• Ensure that the disclosure form is completed and returned with the abstract. (Only Presenting Author needs to complete this form)• Email the file to: [email protected]. Subject line should read: Abstract submission – Presenting Au-

thor’s Last Name, 1.e. – “Abstract Submission – Smith”.• These documents will be processed electronically. The blinded copy will be torn off and submitted to the reviewers. If your

document does not strictly follow the proper format it will not be processed.

Keira P. Mason, MD

Timothy Martin, MD Mark Roback, MDJerrold Lerman, MD

Douglas Carlson, MDEduardo Alcaino, DMD James Fehr, MD

Steve Green, MD Baruch Krauss, MDGerald Ferretti, DDS

Dear Colleagues and Friends: It is our pleasure to welcome you to the 2012 Pediatric Sedation Outside of the Operating Room weekend conference, optional Friday symposium entitled The Fundamentals of Sedation: Reviewing the Basics, Bridging the Specialties, and optional Monday High Fidelity Pediatric Simulation Workshops. This year we are presenting a unique, enriching, and exciting conference. As always, we have a diverse group of internationally and nationally recognized speakers from a variety of disciplines. We are grateful to all the speakers and to each and every attendee. We have attendees from multidisciplines (emergency medi-cine, dental medicine, hospital medicine, intensive care medicine, pediatrics, anesthesiology, nursing, oncology, cardiology, radiology, hospital administration). Over the years, 17 countries have been represented (including Italy, the Netherlands, Israel, Canada, Australia, Hong Kong, New Zealand, Japan, Indonesia, South Africa, and Singapore). The specialized tracks, round table luncheons, and open forums enable us to share our experiences, ideas, and challenges. The Planning Committee presents a conference which we hope will interest specialists from every discipline and setting. We have also organized the program to allow time for questions and to encourage you to participate in a lively exchange of ideas. Recently, we introduced a full day of high fidelity sedation simulation and had overwhelming enrollment and feedback. In response to the attendee’s requests, we have continued with this full day of simulation which will be led by multi-specialty experts. Your thoughts and comments are invaluable in planning future courses. Feel free to approach myself, the Course Coordinator, or any member of the Planning Committee with your suggestions. On behalf of the entire faculty, myself, and the Course Coordinator, I would like to invite you to attend “Pediatric Sedation Outside of the Operating Room.” We hope that you find the course both educational and enjoyable.

Sincerely,

Keira P. Mason, MDCourse Director

Welcome Letter

Educational GrantsThis program is supported in part by educational grants from the following:

Exhibitors

The following company has provided in-kind support for the course

Platinum Silver Bronze

Pediatric Sedation Outside of The Operating Room2012 Theme Exploring The Current Practice and Frontiers of Sedation4

Keynote SpeakersKyle MaynardNo Excuses: Pursuing Your Dream At All Costs Author of the New York Times Best Seller, “No Excuses”

Kyle Maynard has appeared as a guest on The Oprah Winfrey Show, Larry King Live, ABC’s 20/20,Good Morning America, The CBS Early Show and as a cover story in USA Today. He continues to inspire as the author of his book, No Excuses (2005), a New York Times bestseller. Maynard was born March 24, 1986 with a condition known as congenital amputation that has left him with arms that end at the elbows and legs that end near his knees. His story begins as an 11-year old that wanted to wrestle and a coach that gave him an opportunity to try. In spite of his limitations, Maynard found a way to win 36 varsity matches his senior year, while defeating several state place finishers and state champions during his final season. With basically two elbows he can type up to fifty words per minute, eat and write without any adaptations, and drive a vehicle that has little modification. Maynard is the 2004 ESPY Award Winner (Best Athlete with a Disability), and was included in ESPN The Magazine, ESPN 100. He is the recipient of the 2004 Presidents Award for the Sports Humanitarian Hall of Fame. One year later, Maynard was inducted into the National Wrestling Hall of Fame with the Medal of Courage. In 2008, Maynard received the Highest Recognition Award of the Secretary of Health and Human Services because of his efforts as a life role model, motivational speaker and humanitarian. On April 25th of 2009, Maynard became the first quadruple am-putee to step into the cage and compete as an amateur noholds-barred fighter. Maynard’s most recent goal was accomplished when he reached the summit of Mount Kilimanjaro, the tallest mountain in Africa, with a team of several wounded veterans in January of 2012.

Dr. Pak is a recently retired Chief Information Officer of the US Army Medical Depart-ment, an $11 billion healthcare system with more than 60,000 employees. He was the Army’s first Chief Medical Information Officer prior to his promotion to CIO. He also previously served as President of the American Telemedicine Association, lead-ing the effort on global health and standards development for telehealth. Col. Pak has also headed the Advanced Information Technology Group within the Telemedi-cine and Advanced Technology Research Center, which has served as the U.S. De-partment of Defense health IT research and development arm. He is a distinguished graduate of the United States Military Academy.

Colonel Hon S. Pak, MD, FAADStar Wars Application for Telemedicine in Sedation A Live Demonstration from the Battlefields of Afghanistan

Pediatric Sedation Outside of The Operating Room2012 Theme Exploring The Current Practice and Frontiers of Sedation 5

International Faculty

National Faculty

Anthony Absalom, MBChB, FRCA, MDProfessor of AnesthesiaUniversity Medical Center Groningen Groningen, Netherlands

Eduardo A. Alcaino, BDS (Hons) MDSc FRACDS MRACDS (Paed)Specialist Paediatric DentistVisiting Specialist Westmead Centre for Oral HealthVisiting Specialist Sydney Dental HospitalPresident of IAPD (International Association of Paediatric Dentists)Specialist Clinical Associate,University of Sydney, Australia

Franz E. Babl, MD, MPHAssociate Professor of Emergency MedicineUniversity of MelbourneRoyal Children’s Hospital and Murdoch Children’s Research Institute Melbourne, Australia

Maria Sammartino, MD Assistant Professor, Anesthesia and Intensive CareCatholic University of Sacred Heart (UCSC)Rome, Italy

Douglas Stewart, DMD Program Director, Grad Diploma in Clinical Dentistry Clinical Associate Professor,Clinical Dentistry (Sedation)University of Sydney Sydney, Australia

Thomas Anthony Anderson, MD, PhD Instructor in AnesthesiaDepartment of Anesthesia, Critical Care & Pain MedicineMassachusetts General Hospital

Somaletha T. Bhattacharya MD, FFARCSI Instructor in AnesthesiaDepartment of Anesthesia, Critical Care & Pain MedicineMassachusetts General Hospital

Clay Bordley, MD, MPHAssociate Professor of Pediatrics Chief, Division of Pediatric Hospital and Emergency Medicine Medical Director, Pediatric Emergency Department Duke University

William BurnsPresident of Global R&DPiramal Critical CareOrchard Park, NY

Douglas Carlson, MD Professor of Pediatrics Washington University Chief, Division of Pediatric Hospital MedicineSt. Louis Children’s Hospital

Maureen Carrier, RN, BSN Department of RadiologyChildren’s Hospital Boston

Yasmeen Daud, MD Assistant Professor of Pediatrics Washington UniversityDivision of Pediatric Hospital MedicineSt. Louis Children’s Hospital

Jennifer Dearden, MDInstructor in AnesthesiaHarvard Medical SchoolChildren’s Hospital BostonAnesthesia Director,Dana Farber Cancer Institute

Talmage D. Egan, MDProfessor, AnesthesiologyAdjunct Professor, PharmaceuticsAdjunct Professor, BioengineeringDirector, NeuroanesthesiaK.C. Wong Presidential Endowed ChairUniversity of Utah

James J. Fehr, MD Associate Professor, Anesthesia and Pediatrics Washington UniversityDirector, Saigh Pediatric Simulation CenterSt Louis Children’s Hospital

Lynne Ferrari, MDChief, Perioperative Anesthesia ServicesAssociate Professor of AnesthesiaHarvard Medical SchoolChildren’s Hospital Boston

Gerald Ferretti, DDS, MS, MPHProfessor and Chair of Pediatric Dentistry School of Dental Medicine Case Western Reserve UniversityDivision Chief, Pediatric Dentistry Rainbow Babies & Children’s Hospital

Roberta Forman, RN, BSN, MHADepartment of Radiology Children’s Hospital Boston

Steven Ganzberg, DMD, MSClinical Professor and Chief,Section of AnesthesiologyDirector, Section of Dental AnesthesiologyUCLA School of Dentistry

Steven Green, MDProfessor of Emergency Medicine and PediatricsLoma Linda University Medical Center and Children’s HospitalLoma Linda, CA

Kim Hamlin, MD Assistant Professor of Pediatrics Washington UniversityDivision of Pediatric Hospital MedicineSt. Louis Children’s Hospital

Gregory Hammer, MDAssociate Director, Pediatric ICULucile Packard’s Children’s Hospital at StanfordProfessor, Anesthesiology and PediatricsStanford University School of Medicine

Tim Horeczko, MD, MSCR, FACEP, FAAPAssistant Professor of Clinical Emergency MedicineDepartment of Emergency MedicineUC Davis School of MedicineDirector, Pediatric Advanced Life SupportUC Davis Medical Center


National FacultyZeev N. Kain, MD, MBAProfessor & ChairAssociate Dean for Clinical ResearchDepartment of Anesthesiology & Perioperative CareUniversity of California, Irvine

Robert (Bo) Kennedy, MD Professor of PediatricsWashington UniversityAssociate Director, Educational Affairs, Emergency ServicesSt. Louis Children’s Hospital

Babu Koka, MBBSClinical Director, Perioperative AnesthesiaAssistant Professor of AnesthesiaHarvard Medical SchoolChildren’s Hospital Boston

Calvin Kuan, MD, FAAPAttending Physician Pediatric Intensive Care UnitChildren’s Hospital and Research Center OaklandClinical Associate ProfessorPediatric Cardiac AnesthesiaLucile Packard Children’s HospitalStanford University School of Medicine

Mohamed Mahmoud, MD Associate Professor of Clinical Anesthesia and PediatricsDirector, Radiology Anesthesia and SedationCincinnati Children’s Hospital Medical Center

Timothy W. Martin, MD, MBA Professor of AnesthesiologyVice Chair for Education & AdministrationDepartment of AnesthesiologyArkansas Children’s HospitalUAMS College of MedicineChief, Division of Pediatric AnesthesiaArkansas Children’s Hospital

Keira P. Mason, MDAssociate Professor of AnesthesiaHarvard Medical SchoolDirector, Radiology Anesthesia and SedationChildren’s Hospital Boston

Edward Michna, MD, JDAssistant Professor of Anesthesia Harvard Medical School Director, Pain Trials CenterBrigham and Women's Hospital

Sam Mireles, MDClinical Assistant ProfessorPediatric Cardiac AnesthesiaLucile Packard Children’s HospitalStanford University School of Medicine

Manchula Navaratnam, MBChB, FRCAClinical Instructor of AnesthesiaPediatric Cardiac AnesthesiaLucile Packard Children’s HospitalStanford University School of Medicine

Anna Maria Onisei, MD Associate Professor of AnesthesiologyUAMS College of MedicineAssociate Medical DirectorPULSE CenterArkansas Children’s Hospital

Colonel (ret) Hon S. Pak, MD Chief Executive Officer, DiversinetFormerly, U.S. Army Medical Department, CIO, OTSG

Randy Prescilla, MDInstructor in AnesthesiaHarvard Medical School Assistant in Perioperative AnesthesiaChildren’s Hospital Boston

Christine Quinn, DDS, MDClinical Professor of Dental AnesthesiologyResidency Director, Dental AnesthesiologyUCLA School of Dentistry

Sharon Redd, MD Assistant Professor of Anesthesia Harvard Medical School Children’s Hospital Boston

Mark G. Roback, MD Professor of Pediatrics & Emergency Medicine University of Minnesota Medical SchoolDirector, Division of Emergency MedicineAmplatz Children’s Hospital

David Rothman, DDS Past-President, California Society of Pediatric DentistryDiplomate, American Board of Pediatric DentistryPractice Limited to Infants, Children, Adolescents and Persons With DisabilitiesSan Francisco, CA

Echo Rowe, MD Clinical Assistant ProfessorDepartment of AnesthesiaLucile Packard Children’s HospitalStanford University School of Medicine

M. Saif Siddiqui, MDAssociate Professor of AnesthesiologyUAMS College of MedicineDirector, Radiology Sedation and AnesthesiaArkansas Children’s Hospital

Michael Stabile, MD, MBAAdjunct Clinical Professor of AnesthesiaVanderbilt University Medical School Chief of Anesthesia CouncilOperation Smile International

Jennifer Wagner, MD Clinical Assistant ProfessorDepartment of AnesthesiaLucile Packard Children’s HospitalStanford University School of Medicine

Randall Wetzel, MB BSProfessor & ChairDepartment of Anesthesiology and Critical Care MedicineChildren’s Hospital Los Angeles

Vanessa Young, RN, BADepartment of Anesthesiology, Perioperative and Pain MedicineChildren’s Hospital Boston

Steven Zgleszewski, MDAssistant Professor of AnesthesiaHarvard Medical SchoolAnesthesia Director,Gastroenterology Procedure UnitChildren’s Hospital Boston

Shannon Zhang, MDInstructor in AnesthesiaDepartment of Anesthesia, Critical Care & Pain MedicineMassachusetts General Hospital


Weekend Course OverviewTarget Audience This conference is intended for physicians, dentists, registered nurses, nurse practitioners, nurse anesthetists, pharmacists, advanced practice nurses and health care administrators. Specifically, the healthcare professionals have represented the specialties of anesthesiology, radiology, emergency medicine, hospital medicine, pediatrics, dental medicine, dental anes-thesiology, intensive care medicine and gastroenterology.

Course Description This annual conference entitled, Pediatric Sedation Outside the Operating Room, is taught by multi-specialists, renowned in pediatric sedation, from both the United States and internationally. This course offers both didactic lectures and panel discussions. Optional hands-on airway workshops in both basic and advanced airway skills is also offered. Small round table discussions with the faculty and afternoon concurrent tracks provides the attendee with an opportunity for discourse and interactive discussions.

The field of sedation continues to evolve and policies, recommendations and Center for Medicaid and Medicare Service guidelines change in response to the health care environment. Currently, sedation guidelines and recommendations differ between specialty societies: For example, the American Society of Anesthesiologists (ASA) guidelines on deep sedation are not concurrent with those of the American Society of Gastroenterology nor American College of Emergency Physicians. Sedative agents, delivery methods and routes of delivery are changing as new techniques and outcomes continue to be explored and presented.

This course is designed to fill the practice gaps created by this combination of evolving practice guidelines, differing practice standards among specialty societies, and continuing advances in sedation medicine and technology by updating and reviewing state-of-the-art techniques for safe and effective delivery of sedation.

This conference is intended to improve learner competence and performance by reviewing not only the basics of sedation but also updating the registrant to current, evolving and state-of-the art practice (i.e. knowledge). The hands-on workshops on airway management and patient simulation using mannequins will allow the learner to apply this competence to their everyday practice (i.e. performance) and prepare for the rare, unanticipated emergencies. Being prepared for emergencies as well as for the more common adverse events, the learner will be able to be better equipped to improve patient outcome. This confer-ence is to increase the participant’s breadth of knowledge of pediatric sedation along with elaborate on ways to improve and track patient outcomes.

Learning Objectives

At the end of this course, participants will be able to:• Attain a comprehensive knowledge of current sedation practice.• Describe recent changes in guidelines, regulations, and policies.• Understand current on-going and future developments and initiatives in the field of sedation.• Preview sedation systems and initiatives which are in development.• Justify the role of High Fidelity Simulation in sedation training and practice.• Have met faculty and attendees from both the United States and abroad to develop a global exposure to the many facets of

sedation practice.• Complete an in-depth review of physiologic monitoring and develop an appreciation of the role and interpretation of capnography. • Participate in an open forum clinical based case-studies to obtain a comprehensive appreciation to sedation alternatives

proposed by faculty from different specialties. • Utilize the hands-on experience attained in the airway workshops to better manage airway emergencies and be able to teach

their colleagues that which they have learned.


Saturday, September 8, 2012Weekend Conference: Exploring the Current Practice and Frontiers of SedationCourse Director: Keira P. Mason, MD

6:30-7:00 AM Early Registration (For registrants attending breakfast breakout panels)

7:00-8:30 AM

Breakfast/ Registration OR Optional Breakfast Breakout Panel

OPTIONAL BREAKFAST BREAKOUT PANELS: Small, open forum, interactive round table discussions (Optional; Each limited to 15; Pre-Registration and Fee Required; Breakfast Provided)Difficult Airway Workshop: Basic Steven Zgleszewski, MD (leader), Thomas Anthony Anderson, MD, PhD, Shannon Zhang, MDSomaletha Bhattacharya, MDDental: David Rothman, DDS, Gerald Ferretti, DDS, Douglas Stewart BDS, DipGDP, GradDipSciMed, FRSPH, Eduardo Alcaino, DMDDexmedetomidine: Randy Prescilla, MD, Mohamed Mahmoud, MDEmergency Medicine: Franz Babl, MD, Clay Bordley, MDHospital Medicine: Douglas Carlson, MD Ketamine: Steve Green, MD, Mark Roback, MD

8:45 – 9:00 AM9:00 – 10:15 AM

10:15 – 10:45 AM

Welcome Address: Keira P. Mason, MDKeynote Address: Kyle Maynard, No Excuses: Pursuing Your Dream at all Costs. New York Times Bestselling Author of “No Excuses.”Question and Answer Panel

10:45 - 11:15 AM Book Signing and Morning Break

NOVEL TECHNIQUES FOR SEDATION APPROACH AND IMPLEMENTATION Moderator: Douglas Carlson, MD

11:15 - 12:00 PM12:00 - 12:45 PM12:45 – 1:00 PM

Anxiety Assessment, Management and Alternative Distraction Techniques Zeev Kain, MDInnovative Strategies for Sedation and Analgesia for Urgent Procedures Franz Babl, MDPanel Discussion: Zeev Kain, MD and Franz Babl, MD

1:00 - 2:30 PM Lunch on Your Own OR Optional Lunch Breakout Panel

OPTIONAL LUNCH BREAKOUT PANELS Small, open forum, interactive round table discussions (Each limited to 15; Pre-registration and fee required;Lunch provided)Difficult Airway Workshop: Advanced: Jennifer Dearden, MD (leader), Shannon Zhang, MD, Steven Zgleszewski, MD, Marina Sammartino, MD, Thomas Anthony Anderson, MD, PhDPropofol, Sedation and Non-Anesthesia Delivery Models: Douglas Carlson, MD Randall Wetzel, MB BSInnovative and Creative Techniques for Sedation: Zeev Kain, MD, Franz Babl, MD

INNOVATIONS IN SEDATION AGENTSModerator: Mark Roback, MD

2:30 – 3:00 PM3:00 – 3:30 PM3:30 – 4:00 PM4:00 – 4:15PM

Propofol and Ketofol: Clinical Applications, Challenges and Approaches Steven Green, MDDexmedetomidine Sedation Keira P. Mason, MD Inhalation Sedation- Anesthetic Agents Approved for Sedation Purposes: Risks, Outcomes and Practical Application William BurnsPanel Discussion: Steve Green, MD, William Burns, Keira Mason, MD

4:15 - 4:30 PM Afternoon Break

4:30 - 5:15 PM

5:15 - 5:30 PM

Propofol Sedation Programs that Work: Two ExamplesSt. Louis Children’s Hospital: Douglas Carlson, MD Children’s Hospital Los Angeles: Randall Wetzel, MB BSPanel Discussion: Douglas Carlson, MD, Randall Wetzel, MB BS

5:30 - 8:00 PM Complimentary Cocktail Reception (Faculty, Attendees and Sponsors)

Early Bird Weekend Course Registration (Open to all Registrants) 5:30-7:00pm Friday, September 7th

* Program changes/substitutions may be made without notice.


Saturday, September 8, 2012Weekend Conference: Exploring the Current Practice and Frontiers of SedationCourse Director: Keira P. Mason, MD

Sunday, September 9, 2012Weekend Conference: Exploring the Current Practice and Frontiers of SedationCourse Director: Keira P. Mason, MD

7:00 - 8:30 AM

Breakfast/ Registration OR Optional Breakfast Breakout Panel

OPTIONAL BREAKFAST BREAKOUT PANELS:Small, open forum, interactive round table discussions (Optional; Each limited to 15; Pre-Registration and Fee Required; Breakfast Provided) Dexmedetomidine: Keira Mason, MD, Vanessa Young, RN, BADifficult Airway Workshop: Basic: Steven Zgleszewski, MD (leader), Shannon Zhang, MD, Thomas Anthony Anderson, MD, PhD,Somaletha Bhattacharya, MDKetamine: Steve Green, MD, Timothy Horeczko, MDNitrous oxide: Franz Babl, MD, Robert Kennedy, MD

8:45 – 9:00 AM9:00 – 10:00 AM

10:00 – 10:30 AM

Introduction, Report of Adverse Event Sedation Reporting Tool Keira P. Mason, MD and Steve Green, MDKeynote Address: Star Wars Application for Telemedicine in Sedation: A Live Demonstration from the Battlefields of Afghanistan Col. Hon S. Pak, MD, FAADQuestion and Answer Panel

10:30 - 10:55 AM Morning Break

INNOVATION IN SEDATION TRAINING AND DELIVERY Moderator: Keira P. Mason, MD

10:55 - 11:40 AM11:40 - 12:10 PM12:10 - 12:30 PM 12:30 - 1:00 PM

Innovations in Intravenous Sedation Delivery: Implications for Future Practice Talmage Egan, MD, Anthony Absalom, MBChB, FRCA, MDInnovations in Analgesia: Agents and Routes of Delivery Gregory Hammer, MDThe Sad State of Current Sedation Training and Possible Solutions Talmage Egan, MDPanel Discussion: Gregory Hammer, MD, Talmage Egan, MD, Anthony Absalom, MBChB, FRCA, MD

1:00 - 2:30 PM

Lunch on Your Own OR Optional Lunch Breakout Panel

OPTIONAL LUNCH BREAKOUT PANEL(Optional; Each limited to 15; Pre-Registration and Fee Required; Breakfast Provided)Difficult Airway Workshop: Advanced: Jennifer Dearden, MD (leader), Shannon Zhang, MD, Babu Koka, MBBS

2:30 - 5:30 PM Concurrent Afternoon Tracks Participants may attend and combine any of the three concurrent specialized tracks. Pre-registration is not required for entry.

TRACK A Integration Track: Multi-Specialty Based Case Scenarios for Interactive Discussion and Learning Moderator: Robert Kennedy, MD

This interactive workshop will present a case-based approach to procedural sedation, with individualized sedation recommendations and management guidelines by procedure and setting. Emphasis will be placed on both the art and the science of procedural sedation. Topics will include: determining when sedation is needed, determining the type and level of sedation required for each intervention, combining non-pharmacologic techniques for managing acute anxiety and pain with pharmacologic sedation, discussion of individual agents for sedation and analgesia, guidelines for preparation, management, and discharge of sedated patients, monitoring guidelines, sedation for mentally handicapped and psychiatric patients, and medicolegal aspects of pediatric sedation. Case studies and clinical scenarios will be emphasized. Participants are encouraged to bring cases from their practice for discussion.Robert Kennedy, MD, Steve Green, MD, David Rothman, DDS, Franz Babl, MD, Yasmeen Daud, MD, Maureen Carrier, RN BSN, Randy Prescilla, MD

TRACK B Innovations in Sedation Moderator: Steven Zgleszewski, MD

2:30 - 3:00 PM3:00 - 3:30 PM 3:30 - 4:00 PM 4:00 - 4:30 PM4:30 - 5:00 PM5:00 - 5:30 PM

Physiological Monitoring: From Capnography to Cerebral Oximetry and BIS monitoring Timothy Horeczko, MDNitrous Oxide: New Uses for an Old Agent Franz Babl, MDManaging Complexity in Sedation from a Safety Perspective Michael Stabile, MDSedation Techniques for the Developmentally Challenged David Rothman, DDSNPO Guidelines: A Risk Versus Benefit Assessment- What are the Outcomes? Mark Roback, MDPanel Discussion

TRACK C Hospital Medicine Moderator: Douglas Carlson, MD

2:30 - 3:00 PM3:00 - 3:30 PM3:30 - 4:00 PM4:00 - 4:30 PM

4:30 - 5:00 PM5:00 - 5:30 PM

Improving Access and Safety: The Hospitalists Role in Sedation Douglas Carlson, MD, Clay Bordley, MDTraining and Credentialing Hospitalists for Deep Sedation Douglas Carlson, MDUse of Ketamine and Dexmedetomidine by Hospitalists Clay Bordley, MDShould Hospitalists Use Propofol? Pro: Douglas Carlson, MD | Con: Keira P. Mason, MDBilling and Coding for Deep Sedation Douglas Carlson, MDSedation Scenarios: What Would You Do? Douglas Carlson, MD, Clay Bordley, MD


OPTIONAL FULL-DAY SEDATION SYMPOSIUM

The Fundamentals of Sedation: Reviewing the Basics Bridging the Specialties

Friday, September 7, 2012

Course Director Keira P. Mason, MD

Director, Fundamentals of Sedation Symposium Mark Roback, MD


A NEW COURSE OFFERING! A Comprehensive Review of the Essentials of Pediatric SedationThis one-day course is a comprehensive introduction and review of the fundamentals of pediatric sedation. This offers a unique opportunity to update your knowledge in the format of didactic sessions, open forum question-and-answers and clinical case reviews. An optional hands-on workshop will provide personalized one-on-one faculty attention to gain hands-on experi-ence using manikins to practice basic airway resuscitation skills.

This course is designed to provide a review of topics related to the safe and effective delivery of minimal, moderate and seda-tion by inhalation, enteral, and parenteral routes of administration. This course is intended to be an introduction and review of the up-to-date policies and guidelines governing sedation. The topics will include physiological monitoring, airway evaluation, the etiology and management of central and obstructive apnea, patient assessment, discharge and recovery guidelines, risk factors for adverse events, emergency preparedness, non-pharmacologic techniques and the basic pharmacology of commonly used sedatives. Clinical case presentations will be presented in an interactive format to maximize discussion, collaborative sharing of ideas and consideration of all options. Case studies will include challenging and complex situations. Question and answer sessions will provide participants with forums to ask questions and discuss specific issues with course faculty.

This new course will feature recognized leaders and faculty from different specialties, all leaders in the field of sedation. The attendee will have the opportunity to gain hands-on experience learning airway techniques to rescue patients from deep seda-tion, including manikin practice with face masks and ambu bag along with the insertion of nasal and oral airways in a personal-ized setting with manikins and real equipment.

Learning Objectives At the end of this course, participants will be able to:• Understand current rules and regulations regarding minimal, moderate and deep sedation.• Outline the pharmacology and clinical application of commonly utilized sedatives.• Weigh advantages, disadvantages, efficacy and adverse events associated with different sedative options.• Evaluate complex and challenging sedation scenarios and formulate a plan.• Comprehend the risk factors for sedation-related adverse events.• Provide a comprehensive review of patient evaluation including airway assessment, relevant medical history and vital signs

necessary to evaluate patients as appropriate sedation candidates.• Review the discharge criteria and available recovery guidelines for discharge home following sedation.• Understand the role and application of capnography.• Prepare for unanticipated emergency situations.• Summarize the clinical and physiologic occurrences which herald an ensuing adverse event.

Optional Full-Day Sedation SymposiumThe Fundamentals of Sedation: Reviewing the BasicsBridging the Specialties


7:00 - 8:00 AM8:00 - 8:15 AM

Registration and BreakfastWelcome and Introduction Keira Mason and Mark Roback

8:15 - 10:45 AM

SEDATION OUTSIDE THE OR: GETTING STARTEDModerator: Mark Roback

8:15 - 8:35 AM

8:35 - 8:45 AM

Mark Roback, MDDefine Sedation, Distinguish Sedation from Analgesia and AmnesiaDepth of Sedation Continuum: Guidelines at Assessing Sedation Depth and Accompanying RisksSetting Up: Personnel, Physiologic Monitors, Equipment and Resuscitation Supplies

8:45 - 9:05 AM

Jennifer Dearden, MDThe Pediatric Airway: Anatomy, Hallmarks of Increased Risk, Strategies of Management

9:05 - 9:25 AM9:25 - 9:55 AM

Timothy Horeczko, MDEssentials of Pediatric Physiology and AnatomyPhysiological Monitoring: Deciphering the EKG, Pulse Oximeter and Capnograph

9:55 - 10:15 AM

Keira P. Mason, MDPatient Selection: Pre-sedation Assessment: Evaluation of Who is Appropriate for Sedation and When is a Consult with Anesthesia RecommendedReturn to Pre-sedation State and Readiness for Discharge- Discharge Criteria: Different Options and Assessment Tools

10:15 - 10:45 AM

David Rothman, DDSManagement of Challenging Patients: Autism, Obesity and the Neurologically Challenged

10:45 - 11:15 AM Morning Break

11:15 - 11:45 AMNon-Pharmacologic Strategies for Behavior Management: Expert ApproachesTimothy Horeczko, MD and David Rothman, DDS

CHOOSE EITHER SESSION TO ATTEND

11:45 - 12:45 PM Pharmacology of Sedation :A Broad ReviewMedical: Timothy Horeczko, MD (Moderator/Lecturer)• A Pharmacologic Review of Commonly Used Medication• Emergency Medications: Options and Routes of Delivery

Pharmacology of Sedation: Dental Essentials Dental: Eduardo Alcaino, DMD (Moderator) Christine Quinn, DDS (Lecturer)11:45 - 12:30 PM • Inhaled Nitrous sedation • Oral “Conscious Sedation” agentsEduardo Alcaino, DMD (Lecturer)12:30-12:45 p.m. • Local Anesthetics

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Friday, September 7, 2012Optional Full-Day Sedation Symposium: The Fundamentals of Sedation: Reviewing the Basics Bridging the Specialties

Course Director: Keira P. Mason, MDDirector, Fundamentals of Sedation Symposium: Mark Roback, MDThis full-day course provides an overview of sedation administered outside the OR and is directed toward a multidisciplinary audience that includes physicians, dentists, nurses, hygienists, students and trainees. The morning session “sets the stage” for successful sedation and challenges the participants to consider their goals for sedation and how best to achieve them. Introductory sedation lectures and the Pediatric Airway Workshop are directed toward both medical and dental personnel. The remainder of the session targets medical- or dental-specific groups to reflect particular interests and practice. In the afternoon, case scenarios will be presented with the intent to foster vigorous discussion of options for sedation and best practice models. The day will reach a conclusion with Sedation Jeopardy to test your sedation knowledge and poise under pressure. Please remember to phrase your answer in the form of a question.


Friday, September 7, 2012Optional Full-Day Sedation Symposium: The Fundamentals of Sedation: Reviewing the Basics Bridging the Specialties

Course Director: Keira P. Mason, MDDirector, Fundamentals of Sedation Symposium: Mark Roback, MD

12:45 – 2:00 PM

Lunch on your own OR

OPTIONAL AIRWAY LUNCH: Difficult Airway Workshop: Basic (Medical and Dental)Pre-Registration and Fee RequiredSteven Zgleszewski, MD, Jennifer Dearden, MD (leader), Mahmoud, MD, Thomas Anthony Anderson, MD, PhD and Sam Mireles, MD- The Pediatric Airway: Anatomy, Hallmarks of Increased Risk, Strategies at Management- Basic Airway station for practice • The difficult airway algorithm • Recognize hypoventilation without and without monitors • Verbal breathing cues, tactile stimulation, airway positioning • Positive pressure ventilation: bag-mask ventilation and laryngeal mask airway • Managing oral/airway foreign bodies (dental focus)

CHOOSE EITHER SESSION TO ATTEND

2:00 - 2:30 PM Rescue: Managing Sedation Adverse EventsMedical: Mark Roback, MD (Moderator/Lecturer) • Risk factors and predictors • Management and approach • Special populations

Preparation and Anticipation of Dental Sedation EmergenciesDental: Gerald Ferretti, DDS (Moderator) Steven Ganzberg, DMD (Lecturer) • Identification of Challenging Patients • Risk factors and predictors of Adverse Events • Emergency Medication: Options and Routes of Delivery

2:30 - 3:00 PM How to Construct and Bill a Safe and Efficient Sedation Service:Medical: Doug Carlson, MD (Moderator/Lecturer) • Training recommendations • Privileges and credentialing • Set-up and personnel

Managing Sedation-Related Adverse Events in Pediatric DentistryDental: Eduardo Alcaino, DMD (Moderator) David Rothman, DDS (Lecturer) • Setting up an Emergency Cart “Crash” • Techniques at management and approach • When to call 911

3:00 - 4:15 PM Case Studies in Pediatric SedationMedical: Mark Roback, MD, Steve Green, MD, Doug Carlson, MD Keira Mason, MD • Cases presented from various sedation venues and audience queried about best practice strategies • Extensive Q&A time allotted

3:00 - 3:30 PM Panel Discussion Drs. Rothman and Ganzberg3:30 - 4:15 PMHow to Design and Implement a Safe and Efficient Dental Sedation Practice Dental: Gerald Ferretti, DDS (Moderator) Christine Quinn, DDS3:30 - 3:50 PM • Training recommendations • Privileges and credentialing

David Rothman, DDS3:50 - 4:15 PM • Set-up and personnel • Dental National Sedation Guidelines and Recommendations

4:15 - 4:50 PM Rules, Guidelines and Politics of SedationMedical: Steve Green, MD • How has sedation practice been organized by those in authority? • What are the “rules” of sedation, and how do I apply them to provide optimal sedation for my patients? • NPO Guidelines: fact and fiction • What political issues or barriers might I anticipate in this process?

Case Studies in Pediatric Dental SedationDental: Drs. Ganzberg and Quinn • Cases presented from dental sedation scenarios and audience queried about best practice strategies • Extensive Q&A time allotted

4:50 - 5:30 PM Sedation Jeopardy — A Unique and Entertaining Learning FormatInteractive game show style format. Questions, responses and detailed answersJoint Medical and Dental: Mark Roback, MD

5:30 - 5:45 PM Closing Remarks and Open Forum Feedback: Mark Roback, MD

* Program changes/substitutions may be made without notice.


Pediatric Sedation Hands-On Simulation is now recognized by the American Society of Anesthesiologists (ASA) in the “October 20, 2010 statement on granting privileges for deep sedation to non-anesthesiologist sedation practitioners.” Although this seda-tion conference provides AMA PRA Category 1 Credits™ for the didactic and simulator portions, this does not imply endorsment by the ASA. The ASA does not endorse nor certify any sedation-related training curriculum.

This course is intended for practitioners providing IV moderate sedation and deep sedation and offers an educational high fidel-ity simulation experience to provide skills for successful recognition and management of sedation-related complications. This unique and challenging program provides a clinical simulation experience that addresses the proper assessment and manage-ment of complications associated with moderate sedation, deep sedation. Following a brief introduction explaining essential principles, participants will demonstrate appropriate patient management on human patient simulators. (Laerdal SimMan). This full-day simulation workshop will provide each registrant with six clinical scenarios intended to improve individual skills as well as to impart an understanding of a team approach to crisis resource management. Each registrant will become part of a small team which will will rotate together through each of the six scenarios over the course of the day. The scenarios are intended to improve individual skills as well as the team’s reactions and responses. Effective post-simulation debriefings will integrate criti-cal performance feedback, promote reflective practice, and augment future performance. The full-day of high fidelity simulation scenarios are taught by national and internationally recognized faculty of simulation experts and aims to provide participants with knowledge and skills to recognize and manage sedation-related emergencies.

Course registration is limited to provide each registrant with an optimal, educational hands -on experience. There will be an optional “working” lunch which offers the opportunity to have a hands-on experience with personalized faculty attention using manikins to develop and improve airway skills. Two airway workshops will be offered: Basic and Advanced. The Basic Airway Workshop is intended to solidify skills at delivering positive pressure ventilation using a face mask and ambu bag along with the insertion of naso and oral airways. The Advanced Airway Workshop offers the opportunity to place laryngeal mask airways, intubate and use new state-of-the-art airway equipment.

1. Medical simulation is a highly adaptable tool for evaluating individual knowledge and team performance.2. Medical simulation can improve patient safety by raising an individual’s awareness of their practice and by enhancing team

cohesion and performance.3. Simulation provides a safe arena for learning and evaluation, trains with actual equipment used in the clinical realm, and

provides for repetition and reflection.4. Medical simulation should be educational,reflective and fun.

Learning ObjectivesAt the end of this course, participants will be able to:• Discuss the importance of simulation context and physical setting.• Explain the importance of human-factors leading to and in the management of crisis.• Anticipate and prepare for the management of rare events.• Summarize the components of a simulation based learning encounter.• Comprehend the advantages of simulation-based learning.• Acquire an understanding of how simulation may be incorporated into credentialing and training of sedation care providers.• Establish and demonstrate appropriate components of an adequate primary assessment.• Develop an algorithm for the recognition and management of various anatomical and pathological causes of airway obstruction.• Create a differential diagnosis for the etiology of respiratory depression and understand the different management techniques.• Describe and demonstrate appropriate management of cardiovascular compromise.• Demonstrate proficiency in directing a team during a crisis.

High Fidelity Pediatric Sedation Simulation Workshop Objectives


OPTIONAL FULL-DAY HIGH FIDELITY PEDIATRIC SEDATION

SIMULATION WORKSHOPS Monday, September 10, 2012

Course Director Keira P. Mason, MD

Director, Sedation Simulation Workshops James Fehr, MD


6:30-7:30 AM Registration/Breakfast Included

7:30-8:30 AM Introduction: Simulation in the 21st Century Integration into Sedation Training James Fehr, MD

8:30-9:30 AM 9:30-10:30 AM

Scenario 1Scenario 2

10:30-11:00 AM Morning Break

11:00-12:00 PM Scenario 3

12:00-1:00 PM Lunch Included

1:00-2:00 PM2:00-3:00 PM3:00-4:00 PM

Scenario 4Scenario 5Scenario 6

4:00-4:30 PM Closing Remarks and Debriefing/Interactive Feedback

Moderator and Leader of Simulation Workshops: James Fehr, MD

Anesthesia Directed Scenario:Calvin Kuan, MD*, Manchula Navaratnam, MBChB, FRCA, Echo Rowe, MD, Jennifer Wagner, MD

Dental Medicine Directed Scenario:Timothy Martin, MD*, Eduardo Alcaino, BDS(Hons), MDSc, FRARACDS, Doug Stewart, BDS, DipGDP, GradDipSciMed, FRSPH

Emergency Medicine Directed Scenario:Robert Kennedy, MD*, Roberta Forman, RN, BSN

Hospital Medicine Directed Scenario:Douglas Carlson, MD*, Yasmeen Daud, MD, Kim Hamlin, MD

Procedural Sedation Scenario: Anna Maria Onisei, MD, Saif Siddiqui, MD*

Post Sedation Recovery Event Scenario: TBA

* Indicates a Scenario Leader

Monday, September 10, 2012Optional Full-Day High Fidelity Pediatric Sedation Simulation Workshops: Simulation Sessions: Taught by Multi-Specialty Experts(Optional; Pre-registration and fee required)Participants will rotate through each of the six scenarios/workshops with detailed debriefing

Course Director: Keira P. Mason, MDDirector, Sedation Simulation Workshops: James Fehr, MD

Program changes/substitutions may be made without notice.

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This course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies: * Patient care* Medical knowledge* Practice-based learning and improvement* Interpersonal and communication skills* Systems-based practice

ACGME Competencies

Children’s Hospital Boston is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 3/1/2012 to 2/28/2014. Provider ID# 346978

THIS COURSE HAS BEEN APPROVED FOR:2 Day Weekend Course Only (9/8-9/9/2012): 13 CE Lecture HoursOptional Friday Symposium (9/7/2012): 7.75 CE Lecture HoursOptional Monday Simulation Workshop (9/10/2012): 7.5 CE Participation Hours

This course is designed to meet the California Business and Professions Code, Chapter 4, Article 2.85, Section 1647.13 requirement for “a minimum of 7 hours of approved courses of study related to oral conscious sedation of minor patients as a condition of certification renewal as an oral conscious sedation provider.” We are registered providers of continuing education by the Dental Board of California RP# 5079.

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this live activity for a maximum of 33.25 AMA PRA Category 1 Credits™.Physicians should claim only the credit commensurate with the extent of their participation in the activity.4 Day Course with 2 Breakout Panels and 2 Airway Workshops: A maximum of 33.25 AMA PRA Category 1 Credits™2 Day Weekend Course Only: A maximum of 13 AMA PRA Category 1 Credits™Optional Friday Symposium with Airway Workshop: A maximum of 8.75 AMA PRA Category 1 Credits™ Optional Friday Symposium: A maximum of 7.75 AMA PRA Category 1 Credits™ Optional Monday Simulation Workshop: A maximum of 7.5 AMA PRA Category 1 Credits™ Each Optional Breakout Panel: A maximum of 1.25 AMA PRA Category 1 Credits™Each Optional Airway Workshop: A maximum of 1.25 AMA PRA Category 1 Credits™

This course is currently pending approval for AANA, nursing CEU, ACEP category 1, and Risk Management credits.

Accreditation

Accommodation / TravelThis year there are only a limited number of hotel rooms available through-out San Francisco because of large city-wide events. Many of the hotels are already in a sold-out situation. Please reserve hotel space early.A limited number of rooms have been reserved at the InterContinental San Francisco Hotel, 888 Howard St., San Francisco, CA (Telephone: 1-866-781-2364) until August 1, 2012. Please specify that you are enrolled in this course to receive a reduced room rate of $345 per night Single/Double. Hotel arrange-ments can also be made online at: http://bit.ly/wKKWtU. Please do not pur-chase non-refundable airline ticket(s) until you have received an email from our office confirming your paid registration. For airline reservations contact the HMS Travel Desk toll free 1-877-4-HARVMD (1-877-442-7863) Monday - Friday 9 AM - 8 PM (EST). From outside the U.S., Canada and Virgin Islands, please call 617-559-3764.


Registration Information

Reduced Weekend Course Tuition Fee for four or more attendees from the same hospital/institution: $599 per person. This reduced tuition fee only includes the weekend course. (In order to receive this discount, please contact the HMS-DCE office at (617) 384-8600.)

Registration by credit card (VISA or MasterCard) can be made at: www.pediatricsedationconference.comRegistration by check (draft on a United States bank), please make payable to Harvard Medical School and mail with registration form to Harvard Medical School–Department of Continuing Education, PO Box 417476, Boston, MA 02241-7476. Telephone or fax registration is not accepted. Registration with cash payment is not permitted. Upon receipt of your paid registration an email confirmation from the HMS-DCE office will be sent to you. Be sure to include an email address that you check frequently. Your email address is used for critical information including: registration confirmation, evaluation and certificate.

InquiriesBy phone 617-384-8600, Monday-Friday, 10 AM to 4 PM (EST) or by email at: [email protected].

Online InformationTo register or view activity information online, visit: www.pediatricsedationconference.comTo ensure proper registration, please add the first three characters of the source code found above your name on the mailing panel.

Disclosure PolicyHarvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, review ers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

Refund PolicyA handling fee of $60 is deducted for cancellation. Refund requests must be received by postal mail, email or fax one week prior to this activity. No refunds will be made thereafter.

Course LocationAll sessions for this course will be held at the InterContinental San Francisco Hotel, 888 Howard St., San Francisco, CA (Telephone: 1-866-781-2364)

September 8-9, 2012Two Day Weekend Course: Exploring the Current Practice and Frontiers of Sedation $699 (USD)Registered Nurses/Allied Health Professionals $599 (USD)

Optional Breakfast Breakout Panels:Difficult Airway Workshop: Basic $100 (USD) Dental $50 (USD)Dexmedetomidine $50 (USD)Emergency Medicine $50 (USD)Hospital Medicine $50 (USD)Ketamine $50 (USD)Nitrous Oxide $50 (USD)

Optional Lunch Breakout Panels: Difficult Airway Workshop: Advanced $100 (USD) Innovative and Creative Techniques for Sedation $50 (USD)Propofol, Sedation and Non-Anesthesia Delivery Models $50 (USD)

Friday, September 7, 2012Optional Day:Fundamentals of Sedation: Reviewing the Basics $495 (USD)Bridging the Specialties

Lunch on your own OR Optional Lunch: Difficult Airway Workshop: Basic $100 (USD)

Monday, September 10, 2012Optional Day:High Fidelity Pediatric Sedation Simulation Workshops (Breakfast and Lunch Included) $679 (USD)

September 8-9, 2012Two Day Weekend Course: Exploring the Current Practice and Frontiers of SedationRegistered Nurses/Allied Health Professionals

Optional Breakfast Breakout Panels:Difficult Airway Workshop: Basic Dental Dexmedetomidine Emergency Medicine Hospital Medicine Ketamine Nitrous Oxide

Optional Lunch Breakout Panels:Difficult Airway Workshop: Advanced Innovative and Creative Techniques for Sedation Propofol, Sedation and Non-Anesthesia Delivery Models

$699 (USD) $599 (USD)

$100 (USD)$50 (USD)$50 (USD)$50 (USD) $50 (USD)$50 (USD)$50 (USD)

$100 (USD)$50 (USD)$50 (USD)

Friday, September 7, 2012Optional Day: The Fundamentals of Sedation: Reviewing the BasicsBridging the Specialties

Lunch on your own OR Optional Lunch: Difficult Airway Workshop: Basic

$495 (USD)

$100 (USD)

Monday, September 10, 2012Optional Day:High Fidelity Pediatric Sedation Simulation Workshops (Breakfast and Lunch Included) $679 (USD)

TOTAL $ ________ (USD)

Print Name Clearly — All Fields Required

First ___________________________ Middle Initial ________ Last _____________________________________________________________

Mailing Address _______________________________________________________________________________________________________

City ____________________________ State _________________ Zip Code ____________ Country __________________________________

Daytime Phone (_____) ___________________________ Fax Number (_____) ___________________________________________________

Email Address _________________________________________________________________________________________________________

Please note Your email address is used for critical information about the course including: registration confirmation, course evaluation and certificate. Please be sure to include an email address you check daily or frequently.

□ Please check if you wish to be excluded from receiving email notices of future Harvard Medical School Department of Continuing Education programs.

Profession ________________________________ Degree ____________________________________________________________________

Primary Specialty (Physicians Only) ___________________________________________________________ Board Certified: Yes □ No □Professional School Attended (Physicians only) □ Harvard Medical School □ U.S. Medical School □ International Year of Graduation ____________

SEPTEMBER 8, 2012 SEPTEMBER 9, 2012

Difficulty Airway Workshop: Basic–$100 (USD)

Dental–$50 (USD)Dexmedetomidine–$50 (USD)

Emergency Medicine–$50 (USD)

Hospital Medicine–$50 (USD)

Ketamine–$50 (USD)

Nitrous Oxide–$50 (USD)

Propofol, Sedation and Non-Anesthesia Delivery Models–$50 (USD)

Innovative and Creative Techniques for Sedation–$50 (USD)

Difficult Airway Workshop: Advanced–$100 (USD)

Please select up to two breakfast panels and/or two lunch panels. Panels are limited to 15; assignments are made in the order received.

Pediatric Sedation Outside of the Operating Room Course# 321418

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Non-profit Org. U.S. Postage PAID

Nashua, NH Permit No. 375

PEDIATRIC SEDATIONOUTSIDE OF THEOPERATING ROOM

September 8-9, 2012Weekend Sedation ConferenceExploring the Current Practice and Frontiers of Sedation

Friday, September 7, 2012Optional Full-Day Sedation Symposium: The Fundamentals of Sedation: Reviewing The BasicsMonday, September 10, 2012Optional Full-Day High Fidelity Pediatric Sedation Simulation Workshops

InterContinental San Francisco Hotel San Francisco, CA

BACK BY POPULAR DEMAND Optional FULL-DAY High Fidelity Pediatric Sedation Simulation Workshops

New Multispecialty Directed ScenariosLIMITED ENROLLMENT May Combine with Weekend Course SEPTEMBER 10, 2012

Harvard Medical SchoolDepartment of Continuing EducationP.O. Box 825Boston, MA 02117-0825

Abstracts Deadline

June 1, 2012

Course Director Keira P. Mason, MDDirector, Sedation Symposium Mark G. Roback, MDDirector, Sedation Simulation Workshops James Fehr, MD

For more details please visit us atwww.PediatricSedationConference.com

Source Code:

pediatric sedation outside of the operating room

Documents

abstract submission

day sedation symposium

abstract committee

abstract submission

day of simulation

md james fehr

disclosure form

presenting author