ANNUAL CONGRESS OF 2017 ENHANCED RECOVERY ?· 2017 ANNUAL CONGRESS OF ENHANCED RECOVERY AND PERIOPERATIVE…

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  • 2017 ANNUAL CONGRESS OF ENHANCED RECOVERY AND

    PERIOPERATIVE MEDICINE

    6737 W. Washington St., Suite 4210 Milwaukee, WI 53214 (P) 414-389-8610 (F) 414-276-7704 www.aserhq.org info@aserhq.org

    APRIL 27TH29TH, 2017HYATT REGENCY WASHINGTON ON CAPITOL HILL400 NEW JERSEY AVE NW, WASHINGTON, D.C. 20001

    SYLLABUS

  • 2

    Invited Faculty

    Welcome to Washington D.C. and to the 5th Annual Congress of the American Society for Enhanced Recovery (ASER). This is the third year we are co-hosting the event with Evidenced Based Perioperative Medicine (EBPOM). This unique partnership provides a wonderful opportunity for attendees to stay abreast of the most recent scientific information on enhanced recovery and topics related to perioperative medicine, and an opportunity for colleagues and associates from different specialties and healthcare sectors to meet and enjoy a pleasant venue in Washington D.C.

    We are grateful to this years Scientific Program Chair, Dr. Timothy Miller, assisted by Dr. Julie Thacker and Robin Anderson, RN. They have done an incredible job in selecting the speakers and the wide variety of topics for the meeting, from prehabilitation and exercise programs, perioperative pain and fluid management, to wearable technologies and digital innovations for Enhanced Recovery Program. Fascinating topics in Perioperative Medicine will also be covered by national and international experts, as well as procedure specific enhanced recovery case discussions.

    Dr. Henrik Kehlet, the plenary speaker, will discuss his vision for the future of Enhanced Recovery. Other speakers include leaders and experts in surgery, anesthesiology and nursing, both at home and abroad. We also look forward to the scientific abstract session and the discussion with the presenters.

    We would like to thank the corporate sponsors for their generous support, without which this meeting would not be possible. We encourage all attendees to visit the exhibits, learn what is available and offer insights to the exhibitors.

    Tony J. Gan, MD, MHS President American Society for Enhanced Recovery (ASER)

    Monty G. Mythen, MD, FRCA Evidence Based Perioperative Medicine (EBPOM)

    Anoushka Afonso, MDMemorial Sloan Kettering

    Cancer CenterNew York, NY USA

    Robin Anderson, RN, BSNDuke HealthDurham, NC USA

    Solomon Aronson MD, MBA, FACC, FCCP, FAHA, FASE

    Duke University School of Medicine

    Durham, NC USA

    Syed A. Azim, MDStony Brook University

    Medical CenterStony Brook, NY USA

    Kristen Ban, MDLoyola University Medical

    CenterMaywood, IL USA

    Elliot Bennett-Guerrero, MDStony Brook School of

    MedicineStony Brook, NY USA

    Maxime Cannesson, MD, PhD

    UCLAIrvine, CA USA

    Desiree Chappell, CRNA, MSNA

    Norton Audubon AnesthesiaLouisville, KY USA

    Mark Edwards, MRCP, FRCA, MD(Res)

    University Hospital Southampton, UK

    Hampshire, UK

    Lee Fleisher, MDUniversity of PennsylvaniaPhiladelphia, PA USA

    Jeff Gadsden, MD, FRCPC, FANZCA

    Duke University Medical Center

    Durham, NC USA

    Tong J. Gan, MD, MHS, FRCA

    Stony Brook UniversityStony Brook, NY USA

    Mike Grocott, MD, FFCIM, MBBS, FRCP, FRCA, BSc

    University of SouthamptonSouthampton, UK

    Ruchir Gupta, MDStony Brook UniversityStony Brook, NY USA

    Traci Hedrick, MDUniversity of VirginiaCharlottesville, VA USA

    Mitchell T. Heflin, MDDuke University School of

    MedicineDurham, NC USA

    Deborah Hobson, RN, BSNJohns Hopkins HospitalBaltimore, MD USA

    Margaret Holtz, MDWellStar Kennestone

    Regional Medical CenterMarietta, GA USA

    Stefan Holubar, MD, MS, FACS, FASCRS

    Geisel School of Medicine at Darthmouth

    Lebanon, NH USA

    David Hoyt, MD, FACSAmerican College of

    SurgeonsChicago, IL USA

    Welcome

    DEAR COLLEAGUES,

  • 3

    Meeting Accreditation Information

    LEARNING OBJECTIVES Discuss the various elements of an enhanced recovery

    pathway Explain the current evidence base, as well as gaps in

    understanding and controversies Describe new care delivery models and approaches, and

    how to apply these models in their hospital to improve outcomes

    ACCREDITATION STATEMENTThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Amedco and Sexual Medicine Society of North America (SMSNA). Amedco is accredited by the ACCME to provide continuing medical education for physicians.

    CREDIT DESIGNATION STATEMENT (CME)

    Amedco designates this live activity for a maximum of 17.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    APPROVAL STATEMENT (AANA)

    This program has been prior approved by the American Association of Nurse Anesthetists for 17.75 Class A CE credits; Code Number 1034556; Expiration Date 4/29/2017

    APPROVAL STATEMENT (ANCC)

    Amedco is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centers Commission on Accreditation. This course is co-provided by Amedco and American Society for Enhanced Recovery. Maximum of 17.75 contact hours.

    Robert Isaak, DOUNC School of MedicineChapel Hill, NC USA

    Henrik Kehlet, MD, PhDRigshospitalet Copenhagen

    UniversityCopenhagen, DENMARK

    Michael Kelly, MDHackensack UMCHackensack, NJ USA

    Adam King, MDVanderbilt UniverstyNashville, TN USA

    Clifford Y. Ko, MD, MS, MSHS, FACS, FACRS

    UCLA Schools of Medicine and Public Health

    Los Angeles, CA USA

    Lindsey Koshansky, RN, BSNLocus HealthCharlottesville, VA USA

    Terrence Loftus, MDLoftus HealthTempe, AZ USA

    Christopher Mantyh, MDDuke HealthDurham, NC USA

    Amy McCutchan, MDIndiana UniversityIndianapolis, IN USA

    Matthew D. McEvoy, MDVanderbilt UniversityNashville, TN USA

    Frederic Michard, MD, PhDRyan-KayLausanne, Switzerland

    Timothy Miller, MDDuke UniversityDurham, NC USA

    Vicki Morton, DNP, AGNP-BCProvidence Anesthesiology

    AssociatesCharlotte, NC USA

    James Nicholson, MDStony Brook Medical CenterStony Brook, NY USA

    Rupert Pearse, MD, FRCA, FFICM

    Queen Mary University of London

    London, UK

    Bethany Sarosiek, RN, MSN, MPH, CNL

    UVA Health SystemCharlottesville, VA USA

    Michael Scott, MDVirginia Commonwealth

    University Health SystemRichmond, VA USA

    Anthony Senagore, MD, MBAUniversity of Texas Medical

    Branch at GalvestonGalveston, TX USA

    Daniel Sessler, MDThe Cleveland ClinicCleveland, OH USA

    Andrew Shaw, MB, FRCA, FCCM, FFICM

    Vanderbilt UniversityNashville, TN USA

    Roy Soto, MDOakland University William

    Beaumont School of MedicineRoyal Oak, MI USA

    Julie Thacker, MDDuke University Durham, NC USA

    Robert Thiele, MDUniversity of Virginia School of

    MedicineCharlottesville, VA USA

    Paul Wischmeyer, MDDuke University School of

    MedicineDurham, NC USA

    Sabino Zani Jr., MDDuke HealthDurham, NC USA

    Invited Faculty continued

  • 4

    Schedule of Events

    THURSDAY, APRIL 27TH 20170630 0800 Registration

    0645 0745 BREAKFAST & Nestle Health Science Symposia:The Role of Immunonutrition in the Enhanced Recovery Protocol (ERP) Bundle

    SESSION 1: ENHANCED RECOVERY INTRODUCTION SESSION Moderator: Timothy Miller, MD

    Location: Regency A

    0800 0810 Introduction Timothy Miller, MD

    0810 0825 ERAS and ASER in 2016 Tong J. Gan, MD, MHS, FRCA

    0825 0840 Perioperative Medicine A Global Perspective Mike Grocott, MD, FFCIM, MBBS, FRCP, FRCA, BSc

    0840 0900 ERAS Results, Successes and Challenges Julie Thacker, MD

    0900 0930 System Wide Implementation Clifford Y. Ko, MD, MS, MSHS, FACS, FACRS

    0930 1000 Break with Sponsors and Exhibitors Location: Regency BCD

    SESSION 2: ASER AND POQI CONSENSUS STATEMENTS PATIENTS FOCUSED AND SCIENCE BASED

    Moderators: Andrew Shaw, MB, FRCA, FCCM, FFICM; Anthony Senagore, MD, MBA

    Location: Regency A

    1000 1020 Perioperative Fluid Management within ERPs Robert Thiele, MD

    1020 1040 Perioperative Analgesia within ERPs Matthew D. McEvoy, MD

    1040 1100 Prevention of Postoperative Infection within ERPs Stefan Holubar MD, MS, FACS, FASCRS

    1100 1120 Patient Reported Outcomes Elliot BennettGuerrero, MD

    1120 1200 Panel Discussion

    1200 1330 LUNCH & Edwards Lifesciences Symposia: Preventable Hypotension Know More. Act Early. Location: Regency A

    SESSION 3: OPTIMIZATION PROGRAMSModerators: Solomon Aronson, MD, MBA, FACC, FCCP, FAHA, FASE;

    Matthew McEvoy, MD Location: Regency A

    1330 1350 Perioperative Nutrition Paul Wischmeyer, MD

    1350 1410 POSH Perioperative Optimization of Senior Health Mitchell T. Heflin, MD

    1410 1430 Fit 4 Surgery School Mark Edwards, MRCP, FRCA, MD(Res)

    1430 1450 Prehabilitation and Exercise Programs Mike Grocott, BSc, MBBS, MD, FRCA, FRCP, FFICM1450 1515 Panel Discussion

    1515 1545 Break with Sponsors and Exhibitors Location: Regency BCD

    SESSION 4: INNOVATIONS TO IMPROVE QUALITYModerators: Maxime Cannesson, MD, PhD;

    Stefan Holubar, MD, MS, FACS, FASCRSLocation: Regency A

    1545 1605 Wearable Technologies and Digital Innovations for ERPs Frederic Michard, MD, PhD

    1605 1625 Measurement to Maintain and Improve Quality of ERPs Mike Grocott, BSc, MBBS, MD, FRCA, FRCP, FFICM

    1625 1645 EHRs and ERAS: The Challenges of Data Collection and Automation Julie Thacker, MD

    1645 1705 Theres an App for That: Connecting with Patients Where They Are Bethany Sarosiek, RN, MSN, MPH, CNL

    1705 1715 Panel Discussion

    1715 1730 Annual Business Meeting

    1730 1900 Opening Reception and Poster Presentations Location: Regency BCD

    FRIDAY, APRIL 28TH 2017

    0630 0800 Registration

    0645 0745 BREAKFAST & Medtronic Symposia: The New ESA Policy on Guideline Development and What it Means for Everyday Practice: Examples from the 2017 Guidlines

    SESSION 5: ERAS RESCUE: CONTINGENCY PLANS TO KEEP PATIENTS ON TRACKModerators: Julie Thacker, MD; Roy Soto, MD

    Location: Regency A

    0800 0820 Postoperative Ileus Traci Hedrick, MD

    0820 0840 Should We Be Obsessed with Readmissions? Christopher Mantyh, MD

    0840 0900 Discharge Criteria Kristen Ban, MD

    0900 0930 Panel Discussion

    0930 1000 Break with Sponsors and Exhibitors Location: Regency BCD

    SESSION 6: THE FUTUREModerators: Tong J. Gan, MD, MHS, FRCA; Timothy Miller, MD

    Location: Regency A

  • 5

    Schedule of Events continued

    1000 1005 Poster Winner Announcement

    1005 1040 Plenary Lecture Enhanced Recovery in 2020 Henrik Kehlet, MD, PhD

    1040 1110 Volume to Value Transition in the USA Lee Fleisher, MD

    1110 1140 Five Phases of Care for Best Surgical Outcomes David Hoyt, MD, FACS

    1140 1200 Panel Discussion

    1200 1330 LUNCH & Mallinckrodt Pharmaceuticals Symposia: Multimodal Analgesia in the Era of Enhanced Recovery and the Perioperative Surgical Home

    SESSION 7A: EBPOM 1 BIG DATA AND BIG TRIALS Moderators: Andrew Shaw, MB, FRCA, FCCM, FFICM;

    Lee Fleisher, MDLocation: Regency A

    1330 1355 Large Trials in Perioperative Medicine in the UK: Whats New and Whats in the Pipeline Rupert Pearse, MD, FRCA, FFICM

    1355 1420 Perioperative Myocardial Injury Can it be Prevented? Recent Evidence from Large Trials Daniel Sessler, MD

    1420 1455 Challenges of Big Data The NSQIP Experience Julie Thacker, MD

    1455 1515 Panel Discussion

    1515 1545 Break wtih Sponsors and Exhibitors Location: Regency BCD

    SESSION 7B: MAKING IT ALL HAPPENModerator: Bethany Sarosiek, RN, MSN, MPH, CNL

    Location: Regency A

    13301350 Implementation Basics: Its More Than Just an Order Set Robin Anderson RN, BSN

    13501410 The Change Adoption Triad A Straightforward Approach for the Enhanced Recovery MultiDiscipinary Team Desiree Chappell, CRNA, MSNA

    14101430 Innovative & Engaging Approaches for Educating Patients Lindsey Koshansky, RN, BSN

    14301515 Q&A/Panel Discussion

    15151545 Break with Sponsors and Exhibitors Location: Regency BCD

    SESSION 8A: EMERGENCY SURGERYModerator: Mike Grocott, MD, FFCIM, MBBS, FRCP, FRCA, BSc

    Location: Regency Foyer

    15451610 Fractured Neck of Femur Jeff Gadsden, MD, FRCPC, FANZCA

    16101635 Emergency Laparotomy Rupert Pearse, MD, FRCA, FFICM

    16351715 Surgery May Not be the Right Option The Elephant in the Room Panel Discussion Jeff Gadsden, MD, FRCPC, FANZCA; Terrence Loftus, MD; Rupert Pearse, MD, FRCA, FFICM; Julie Thacker, MD

    SESSION 8B: THEN WHAT? HOW DO WE KEEP MOVING FORWARD?Moderator: Robin Anderson RN, BSN

    Location: Regency Foyer

    15451610 Tracking Process Measure Compliance Does it Help with Sustainability? Deborah Hobson, RN, BSN

    16101635 Nursing Led Research and Enhanced Recovery Vicki Morton, DNP, AGNPBC

    16351715 Panel Discussion: Sustainability and Growth Managing the Spread Robin Anderson RN, BSN; Deborah Hobson, RN, BSN; Bethany Sarosiek, RN, MSN, MPH, CNL; Vicki Morton, DNP, AGNPBC

    SATURDAY, APRIL 29TH 2017

    0700 0800 Registration & Breakfast

    SESSION 9: PROCEDURE SPECIFIC CASE DISCUSSIONS

    Time BreakoutRoom 1BreakoutRoom 2

    BreakoutRoom 3

    BreakoutRoom 4

    0800 1000 HPB OrthopedicReallife

    challenges with implementation

    Colorectal/cystectomy

    1000 1030 BREAK BREAK BREAK BREAK

    1030 1230 HPB OrthopedicReallife

    challenges with implementation

    Colorectal/cystectomy

    FACULTY:HPB Moderator: Michael Scott, MB, ChB, FRCP, FFICM

    Panelists: Robert S. Isaak, DO; Adam King, MD; Sabino Zani Jr., MD

    Orthopedic Moderator: Jeff Gadsden, MD, FRCPC, FANZCAPanelists: James Nicholson, MD; Syed A. Azim, MD; Margaret Holtz, MD;

    Michael Kelly, MD

    Implementation Moderator: Julie Thacker, MDPanelists: Robin Anderson, RN, BSN; Terrence Loftus, MD; Amy McCutchan, MD

    Colorectal/Cystectomy Moderator: Stephan Holubar, MD, MS, FACS, FASCRS

    Panelists: Anoushka Afonso, MD; Desiree Chappell, CRNA, MSNA; Ruchir Gupta, MD

    1230 1330 LUNCH

    SATURDAY AFTERNOON WORKSHOPS

    13301630 Ultrasound - Guided Infiltration Workshop

    13301630 Fluid Optimization for Every Patient: A Noninvasive Solution

    Sponsored by:

    Sponsored by:

  • 6

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