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TACO

Houston, Texas

Texas Anesthesia Conference for Obstetrics
Anesthesiology
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Texas Anesthesia Conference for Obstetrics

FRIDAY - SUNDAY, MARCH 14 - 16, 2008
at the Hilton Houston Post Oak Hotel, Houston, Texas

Activity Director:
  • Maya S. Suresh, MD
  • Activity Co-Directors:
  • Quisqueya T. Palacios, MD
  • José M. Rivers, MD
  • Conference Coordinators:
  • Ellen Seaback, CMP, CAE
  • Annette Brieno
  • Needs and Target Audience

    Continuing advances in science and technology place increasing and changing demands on specialists in obstetric anesthesiology. In addition, the focus on quality improvement and patient safety and health outcomes in medicine has created a need for evidence-based clinical information and data to direct quality of care and development of practice guidelines that address standards of care of patients before, during, and after surgical, obstetric, therapeutic, and diagnostic procedures. Thus there is a critical need for leading-edge educational programs to address the acquisition and maintenance of competence in the field.

    Based on its review of participant evaluations from the 2007 conference, articles in the medical literature, and clinical practice guidelines, the planning committee identified needs to be addressed. In addition, the planning committee identified topics of interest to practitioners in the field based on the 39th Annual Meeting of the Society for Obstetric and Perinatology (S.O.A.P.), held May 16-19, 2007, in Alberta, Canada. (Drs. Palacios, Suresh, and Wali from Baylor College of Medicine were invited faculty at the 2007 S.O.A.P. meeting.)

    This conference is designed to provide an update on current topics and issues in obstetric anesthesiology practice. In addition, given the significant potential adverse outcomes in the management of the difficult airway, demonstration and hands-on training involving proven techniques and equipment will be provided at the difficult airway workshop.

    Educational Methods and Objectives

    Through the use of lectures, presentations and a syllabus, the participants should be able to describe and discuss:

    • Recently updated American Society of Anesthesiologists (ASA) Practice Guidelines for Obstetric Anesthesia;
    • Lessons learned from the past and how to apply evidencebased medicine with regard to neuraxial anesthesia and the use of supplemental oxygen, fluid preloading, test dose, sterile precautions, and ultrasound guided technique;
    • Prevention of chronic pain after cesarean section;
    • Parturients with co-morbidities and anesthetic management in obstetric medicine;
    • Ethical dilemmas and anesthetic challenges in obstetrics;
    • Key crisis management skills and strategies for prevention of medical errors and airway disasters and improving patient safety in obstetric anesthesia;
    • Strategies and management of obstetric hemorrhage; and
    • Acquiring advanced airway management skills and maintaining competency utilizing supraglottic devices, supralaryngeal airways, fiberoptic intubation, and learning strategies for facilitating airway exchange and extubation of difficult airways.

    Accreditation/Credit Designation

    Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Baylor College of Medicine designates this educational activity for a maximum of 23.25 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. The presentations, HIV in Pregnancy? Anesthetic Challenges and Pregnant Jehovah?s Witness Patient: Ethical and Anesthetic Dilemmas, have been designated by Baylor College of Medicine for .50 credits of education each in medical ethics and/or professional responsibility.

    Evaluation

    Evaluation by questionnaire will address program content, presentation, and possible bias.

    Texas Anesthesia Conference for Obstetrics 2008 Program
    Friday, March 14, 2008
    6:00   Registration and Buffet Breakfast
    6:50   Introduction and Welcome
    Maya S. Suresh, MD
    Interim Chairman
    Professor of Anesthesiology and Obstetrics and Gynecology
    Division Chief of Obstetric and Gynecology Anesthesiology
    Update On New Topics In Obstetric Anesthesia
    7:00   What's New in Obstetric Anesthesia
    Craig M. Palmer, MD
    7:40   New Devices and Techniques for Regional Analgesia for Labor
    Scott Segal, MD
    8:10   Supplemental Oxygen for Cesarean Section - Pro and Con Issues
    Scott Segal, MD
    8:40   ASA Committee on OB Anesthesia Update
    Craig M. Palmer, MD
    Lessons From the Past: Evidence-Based Medicine
    9:00   Is Fluid Preloading Neccessary to Neuraxial Anesthesia?
    Brendan Carvalho, MBBCh, FRCA, MDCH
    9:20   Is Test Dose in Obstetric Anesthesia Valid?
    Stephanie Goodman, MD
    9:40   Are Sterile Precautions Necessary With Neuraxial Anesthesia?
    Quisqueya T. Palacios, MD
    10:10   Panel Discussion
    10:30   Breaks / Exhibits
    Labor Analgesia
    11:00   Ultra-Sound Facilitated Obstetric Epidurals and Spinals
    Erik Felton, MD
    11:30   What is MLAC and Should I Believe it?
    Scott Segal, MD
    12:00   CSE For Labor Analgesia: What, Why and How?
    Uma Munnur, MD
    12:20   Patient-Controlled Epidural Labor Analgesia - Evidence-Based Update
    Craig M. Palmer, MD
    12:40   Panel Discussion
    13:00   Lunch (on your own)
    Ethical Dilemmas and Anesthetic Challenges in Obstetrics
    14:00   HIV in Pregnancy: Anesthetic Challenges
    José M. Rivers, MD
    14:30   Pregnant Jehovah's Witness Patient: Ethical and Anesthetic Dilemmas
    Connie Tran, MD
    Post-OP Analgesia in Obstetrics
    15:00   Pain Translation, Transmission, Modulation and Development of Chronic Pain Development
    Oscar A. de Leon-Casasola, MD
    15:45   New Options for Optimizing Post Cesarean Delivery Analgesia
    Brendan Carvalho, MBBCh, FRCA, MDCH
    16:15   Break
    16:30   Depo-Dur in Obstetrics
    Karen Mitchell, MD
    16:50   Are All Pregnant Women Really Full Stomach?
    Scott Segal, MD
    17:10   Panel Discussion
    17:35   Adjourn

    Saturday, March 15, 2008
    6:30   Registration / Continental Breakfast
    Lessons Learned - Q/A Issues
    7:00   Medication Error - Vecuronium Instead of Ancef - Lessons Learned
    José M. Rivers, MD
    7:30   Is Regional Anesthesia Always an Answer to Difficult Airway? Lessons Learned
    Shobana Chandrasekhar, MD
    8:00   Cardiac Arrest During General Anesthesia for Stat Cesarean Section - Lessons Learned
    Chawla LaToya Mason, MD
    Hot Topics in Obstetric Medicine: Far Beyond Pregnancy
    8:30   Diabetes Explosion in Pregnancy
    Paul S. Gibson, MD, FRCPC
    9:00   Morbidly Obese Parturient - An Ever Growing Problem
    Holly A. Muir, MD, FRCPC
    9:30   Breaks / Exhibits
    Eebate Neuraxial Techniques for Labor Analgesia Should Be Placed in the Lateral Position
    10:00   Pro
    Shobana Chandrasekhar, MD
    10:45   Con
    Linda S. Polley, MD
    11:30   Panel Discussion
    Hosted Luncheon: The Impact of National Patient Safety Goals from JCAHO for Obstetric Anesthesia
    Keynote Speaker: Edward R. Molina-Lamas, MD
    12:40   Introduction of Speaker
    12:45   Presentation
    13:30   Questions and Answers
    Hot Topics In Obstetric Medicine
    13:45   Anesthetic Challenges in a Parturient with Complex Cardiac Disease
    Holly A. Muir, MD, FRCPC
    14:15   Hypertension in Pregnancy
    Paul S. Gibson, MD, FRCPC
    14:45   Anesthetic Challenges in Preeclampsia
    Linda S. Polley, MD
    15:15   Scoliosis and Pregnancy
    Stephanie Goodman, MD
    15:45   Break / Exhibits
    16:00   Current Thoughts and Controversies in Management of Obstetrical Hemorrhage
    Holly A. Muir, MD, FRCPC
    16:30   Neurological Issues in Pregnancy - Anesthetic Challenges.
    Multiple Sclerosis, Myasthesia-Gravis, Paraplegia
    Maria Lozano-Gorena, MD
    17:00   Herpes in Pregnancy - Anesthetic Issues
    José M. Rivers, MD
    17:20   Panel Discussion
    17:45   Adjourn

    Sunday, March 16, 2008
    7:30   Continental Breakfast
    Maternal Risks, Morbidity, Mortality & Other Topics
    8:00   Morbidity Risk in Pregnancy
    Maya S. Suresh, MD
    8:30   Maternal Mortality - UK and US Statistics
    Paul S. Gibson, MD, FRCPC
    High and Low Platelets
    9:00   Thrombohpilias in Pregnancy
    Paul S. Gibson, MD, FRCPC
    9:30   Thrombocytopenia and TEG Monitoring Usefulness in Obstetrics
    Ashutosh Wali, MD, FFARCSI
    10:00   Non-Obstetric Surgery During Pregnancy
    Stephanie Goodman, MD
    10:30   Break
    10:45   Fetal Heart Rate Monitoring for the Anesthesia Care Team
    Kenneth Moise, MD
    11:15   Neonatal Resuscitation: From Anesthesia Practitioner's Perspective
    Linda S. Polley, MD
    11:45   Have We Found the Magic Bullet for Local Anesthetic Toxicity?
    Ashutosh Wali, MD, FFARCSI
    12:15   Panel Discussion
    12:45   Adjourn