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PEDIATRIC
SEDATION
OUTSIDE OF THE
OPERATING ROOM
New York Marriott Downtown, New York City
September 28-29, 2013
Weekend Sedation Conference
Exploring the Current Practice
and Frontiers of Sedation Across The Specialties
Friday, September 27, 2013
Option 1: Full-Day Sedation Symposium: The Fundamentals of Sedation:
Reviewing the Basics Bridging the Specialties
Option 2: Full-Day High Fidelity Pediatric Sedation Simulation Workshops
Course Director
Keira P. Mason, MD
Director, Fundamentals of Sedation Symposium
Mark G. Roback, MD
Director, Sedation Simulation Workshops
James Fehr, MD
Featuring
Saturday
Keynote Speake
r
Bonnie St. John
Olympic Athlete
and
Bestselling
Author
Featuring
Sundayker
Abstracts Deadline
JULY 1, 2013
Keynote Spea
, Esq.
Stewart L. CMiohshen
aps
Sedation
Reviewed by
tice
Medical Malprac
Attorney
www.PediatricSedationConference.com
Welcome Letter
Planning Committee
Dear Colleagues and Friends:
It is our pleasure to welcome you to the 2013 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 Friday High Fidelity Pediatric Simulation
Workshops. This year we are presenting a unique, enriching, and exciting
conference.
Keira P. Mason, MD
Doug Carlson, MD
James Fehr, MD
Baruch Krauss, MD
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 medicine, 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.
The full day of high fidelity sedation simulation has 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.
Mark Roback, MD
Morton Rosenberg, DMD
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 and
workshops both educational and enjoyable.
Sincerely,
David Rothman, DDS
Michael Stabile, MD
Educational Grants
This program is supported in part by
educational grants from the following:
Exhibitors
Bronze
Keira P. Mason, MD
Course Director
The following company has provided
in-kind support for the course
Keynote Speakers
Bonnie St. John
Olympic Medal Winning Athlete and Best-Selling Author
Harnessing Your Inner Strength to Achieve Success
Hailed as “one of the five most inspiring women in America” by NBC Nightly News, Bonnie
St. John challenges audiences to question their own limitations and shows them how to
re-energize their lives to achieve peak performance.
Bonnie St. John is the first African-American to win medals in Winter Paralympic competition as a ski racer. In the 1984 Winter Paralympics in Innsbruck, Austria, St. John won a
bronze medal in the slalom, a bronze medal in the giant slalom, and was awarded a silver
medal for overall performance thereby earning her the distinction of being the second fastest woman in the world on one leg in that year. At the 2002 Paralympics in Salt Lake City,
Utah, St. John was asked to speak during the opening ceremonies.
St. John had her right leg amputated above the knee when she was 5 years old. Despite this challenge, she went on to excel.
She graduated magna cum laude from Harvard University in 1986, was awarded a Rhodes Scholarship. St. John also worked in
the White House during the Clinton administration as a Director for the National Economic Council.
St. John has written and published six
books including a #1 best seller, How
Great Women Lead.
In February 2007, St. John was honored at the White House by President
George W. Bush who said: “[Bonnie
St. John] is the kind of person that you
really want to be around, and the kind
of person that shows that individual
courage matters in life.”
She has been featured extensively in
local, national, and international media,
including: the New York Times, People
Magazine, the Today Show, and CNN.
I was ahead in the slalom. But in the
second run, everyone fell on a dangerous
spot. I was beaten by a woman who got up
faster than I did. I learned that people fall
down, winners get up, and gold medal
winners just get up faster.
Stewart L. Cohen, Esq.
Learning from our Mistakes:
Sedation Mishaps Reviewed by A Medical Malpractice Attorney
Partner of Cohen, Placitella and Roth. Won a landmark $25 million case, recognized
as one of the Top 100 Verdicts in the United States. President, Brain Injury Association of Pennsylvania. Vice President, United Cerebral Palsy of Philadelphia. Multimillion dollar recoveries in medical and hospital malpractice cases.
— Bonnie St. John
International National
Faculty
Faculty
Anthony Absalom, MBChB, FRCA, MD
Professor of Anesthesia
University Medical Center Groningen
Groningen, Netherlands
Eduardo A. Alcaino, BDS (Hons), MDSc, FRACDS
Visiting Specialist in Pediatric Dentistry
Westmead Centre for Oral Health
Sydney Dental Hospital
IAPD President Elect
(Representative of Nations)
Specialist Clinical Associate
University of Sydney
Sydney, Australia
Maria Sammartino, MD
Assistant Professor,
Anesthesia and Intensive Care
Catholic 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
Mike R. J. Sury, FRCA, PhD
Consultant Pediatric Anaesthetist
Great Ormond Street Hospital for Children
Honorary Senior Lecturer in Anaesthesia
PORTEX Unit of Paediatric Anaesthesia
Institute of Child Health
University College of London
London, England
Iqbal Ahmed, MD, FRCA
Director, Anesthesia Residency Program
Interim Director, Pediatric Anesthesia
Assistant Professor and Chief
Pediatric Cardiac Anesthesia
Tufts University School of Medicine
Boston, MA
Dean B. Andropolous, MD, MHCM
Professor of Anesthesiology and Pediatrics
Baylor College of Medicine
Chief of Anesthesiology
Texas Children’s Hospital
Thomas Anthony Anderson, MD, PhD
Instructor in Anesthesia
Department of Anesthesia,
Critical Care & Pain Medicine
Massachusetts General Hospital
Nelson Aquino, CRNA, MS
Department of Anesthesia,
Boston Children’s Hospital
Somaletha T. Bhattacharya, MBBS
Instructor in Anesthesia
Department of Anesthesia,
Critical Care & Pain Medicine
Massachusetts General Hospital
Douglas W. Carlson, MD
Professor of Pediatrics
Washington University
Chief, Division of Pediatric Hospital Medicine
St. Louis Children’s Hospital
Maureen Carrier, RN, BSN
Department of Radiology
Boston Children’s Hospital
Jerry Chao, MD
Assistant Professor of Anesthesia
Albert Einstein College of Medicine
Department of Anesthesiology
Montefiore Medical Center
Joseph Cravero, MD
Professor of Anesthesia
Harvard Medical School
Boston Children’s Hospital
Yasmeen Daud, MD
Assistant Professor of Pediatrics
Washington University
Division of Pediatric Hospital Medicine
St. Louis Children’s Hospital
Sedation Outside of The Operating Room
4 Pediatric
2013 Theme Exploring The Current Practice and Frontiers of Sedation Across The Specialties
Jennifer L. Dearden, MD
Instructor in Anesthesia
Harvard Medical School
Boston Children’s Hospital
Anesthesia Director,
Dana Farber Cancer Institute
Dayna Downing
Simulation Specialist
Children’s Medical Center
Dallas, TX
James J. Fehr, MD
Associate Professor of Anesthesia and Pediatrics
Washington University
Director, Saigh Pediatric Simulation Center
St Louis Children’s Hospital
Lynne R. Ferrari, MD
Associate Professor of Anesthesia
Harvard Medical School
Chief, Perioperative Anesthesia Services
Boston Children’s Hospital
Gerald A. Ferretti, DMD
Professor and Chair of Pediatric Dentistry
School of Dental Medicine
Case Western Reserve University
Division Chief, Pediatric Dentistry
Rainbow Babies & Children's Hospital
Eric Fleegler, MD, MPH
Harvard Medical School
Boston Children’s Hospital
Roberta Forman, RN, BSN, MHA
Department of Radiology
Boston Children’s Hospital
Kim P. Hamlin, MD
Assistant Professor of Pediatrics
Washington University
Division of Pediatric Hospital Medicine
St. Louis Children’s Hospital
Timothy Horeczko, MD, MSCR
Assistant Professor of Emergency Medicine
UC Davis School of Medicine
Director, Pediatric Advanced Life Support
UC Davis Medical Center
Robert (Bo) M. Kennedy, MD
Professor of Pediatrics
Washington University
Associate Director,
Educational Affairs, Emergency Services
St. Louis Children’s Hospital
Monica E. Kleinman, MD
Associate Professor of Anesthesia
Harvard Medical School
Clinical Director,
Medical/Surgical Intensive Care Unit
Medical Director, Transport Program
Boston Children’s Hospital
National
Faculty
Babu Koka, MBBS
Clinical Director, Perioperative Anesthesia
Assistant Professor of Anesthesia
Harvard Medical School
Boston Children’s Hospital
Manchula Navaratnam, MBChB, FRCA,
Clinical Assistant Professor of Anesthesia
Pediatric Cardiac Anesthesia
Lucile Packard Children’s Hospital
Stanford University School of Medicine
Michele Trinka, MSN, RN, CCRN, PCCN
Program Manager, Simulation Lab
Clinical Educator, PALS/PEARS/ACLS
Children’s Medical Center
Dallas, TX
Ronald Kosinski, DMD
Assistant Professor
School of Dental Medicine,
SUNY at Stony Brook
Chief, Division of Pediatric Dentistry Schneiders Dental
Anna Maria Onisei, MD
Assistant Professor of Anesthesiology
UAMS College of Medicine
Associate Medical Director
PULSE Center
Arkansas Children’s Hospital
Robert A. Veselis, MD
Professor of Anesthesia
Director, Neuroanesthesiology Research Laboratory
Associate Attending Anesthesiologist, Memorial
Sloan-Kettering Cancer Center, Cornell Medical School
Baruch Krauss, MD, EdM
Associate Professor of Pediatrics
Harvard Medical School
Director, Inpatient Sedation Service
Department of Emergency Medicine
Boston Children’s Hospital
Calvin Kuan, MD, FAAP
Attending Physician Pediatric Intensive Care Unit
Children’s Hospital and Research Center Oakland
Clinical Associate Professor
Pediatric Cardiac Anesthesia
Lucile Packard Children’s Hospital
Stanford University School of Medicine
Jerrold Lerman, MD, FRCPC, FANZCA
Clinical Professor of Anesthesia
Women and Children's Hospital of Buffalo State
University of New York
Mohamed Mahmoud, MD
Associate Professor of Clinical Anesthesia and Pediatrics
Director, Radiology Anesthesia and Sedation
Cincinnati Children’s Hospital Medical Center
Timothy W. Martin, MD, MBA
Professor of Anesthesiology
Vice Chair for Education & Administration
Department of Anesthesiology
Arkansas Children’s Hospital
UAMS College of Medicine
Chief, Division of Pediatric Anesthesia
Arkansas Children’s Hospital
Keira P. Mason, MD
Associate Professor of Anesthesia
Harvard Medical School
Director, Radiology Anesthesia and Sedation
Boston Children’s Hospital
Kai Matthes, MD, PhD
Assistant Professor of Anesthesia
Harvard Medical School
Department of Anesthesia
Boston Children's Hospital
Edward Michna, MD, JD
Assistant Professor of Anesthesia
Harvard Medical School
Director, Pain Trials Center
Brigham and Women’s Hospital
Randy Prescilla, MD
Instructor in Anesthesia
Harvard Medical School
Boston Children’s Hospital
Ricardo A. Quiñonez, MD, FAAP
Assistant Professor of Pediatrics
Section of Hospital Medicine
Co-Director Pediatric Hospital Medicine
Fellowship Program,
Baylor College of Medicine
Texas Children’s Hospital
Sharon L. Redd, MD
Assistant Professor of Anesthesia
Harvard Medical School
Clinical Director, Day Surgical Unit
Boston Children’s Hospital
Mark G. Roback, MD
Professor of Pediatrics & Emergency Medicine
University of Minnesota Medical School
Director, Division of Emergency Medicine
Amplatz Children’s Hospital
David L. Rothman, DDS
Past-President, California Society of Pediatric
Dentistry Diplomate, American Board of Pediatric
Dentistry Practice Limited to Infants,
Children, Adolescents and Persons with Disabilities
San Francisco, CA
Echo Rowe, MD
Clinical Assistant Professor
Department of Anesthesia
Lucile Packard Children’s Hospital
Stanford University School of Medicine
M. Saif Siddiqui, MD
Associate Professor of Anesthesiology
UAMS College of Medicine
Director, Radiology Sedation and Anesthesia
Arkansas Children's Hospital
Jennifer Wagner, MD
Clinical Assistant Professor
Department of Anesthesia
Lucile Packard Children’s Hospital
Stanford University School of Medicine
Michael Webb, DDS, MEd
Private Practice, Center for Pediatric Dentistry and Sedation
Pediatric Dentistry & Dental Anesthesiology
Richmond, VA
Sarah Wiser, MD
Department of Anesthesia
Newton Wellesley Hospital
Vanessa Young, RN, BA
Senior Research Nurse Coordinator
Department of Anesthesiology,
Boston Children’s Hospital
Steven Zgleszewski, MD
Assistant Professor of Anesthesia
Harvard Medical School
Anesthesia Director,
Gastroenterology Procedure Unit
Boston Children’s Hospital
Shannon Zhang, MD, MS
Instructor in Anesthesia
Department of Anesthesia,
Critical Care & Pain Medicine
Massachusetts General Hospital
John Zhong, MD
Clinical Assistant Professor
UT Southwestern Medical Center
Staff Anesthesiologist
Children’s Medical Center
Dallas, TX
Judith Zier, MD, FAAP
Assistant Clinical Professor
Pediatric Critical Care
Children's Hospitals and Clinics of Minnesota
Michael Stabile, MD, MBA
Adjunct Clinical Professor of Anesthesia
Vanderbilt University Medical School
Chief of Anesthesia Council
Operation Smile International
Pediatric Sedation Outside of The Operating Room
2013 Theme Exploring The Current Practice and Frontiers of Sedation Across The Specialties
5
Saturday, September 28, 2013
Weekend Conference: Day 1
Exploring the Current Practice and Frontiers of Sedation Across The Specialties
Course Director: Keira P. Mason, MD
6:30 – 7:00 AM
Early Registration
7:00 – 8:15 AM
Registration/Breakfast OR
SMALL, OPEN FORUM, INTERACTIVE ROUND TABLE DISCUSSIONS (Optional; Each limited to 15; Pre-Registration and Fee Required; Breakfast Provided)
Propofol, Sedation, and Non-Anesthesia Delivery Models: Douglas Carlson, MD, Dean Andropolous, MD, Ricardo Quinonez, MD
Difficult Airway Workshop: Basic: Jennifer Dearden, MD (Leader), Iqbal Ahmed, MD, Thomas Anthony Anderson, MD, Nelson Aquino, MD
Sarah Wiser, MD, Shannon Zhang, MD
8:30 – 8:45 AM
8:45 – 9:45 AM
9:45 – 10:00 AM
Welcome Address: Keira P. Mason, MD
Keynote Address: Bonnie St. John: Harnessing Your Inner Strength to Achieve Success
Question and Answer Panel
10:00 – 10:20 AM
Book Signing and Morning Break
10:20 – 10:50 AM
Obesity: Clinical Assessment and Should the Dosages be Altered? Jerrold Lerman, MD
SEDATION PROGRAMS THAT WORK: AN IN-DEPTH EXPLORATION
Moderator: Keira P. Mason, MD
10:50 – 11:10 AM
11:10 – 11:40 AM
11:40 – 12:15 PM
12:15 – 12:30 PM
12:30 - 2:00 PM
Do Sedation Outcomes Differ Amongst Specialty Providers? Joseph Cravero, MD
Multi Specialist Tiered Sedation Delivery Method: Nuts and Bolts, Politics, Billing, Tier, and Triage Dean Andropolous, MD
Incorporating Safety Strategies into a Sedation Service Douglas Carlson, MD and Michael Stabile, MD
Panel Discussion: Joseph Cravero, MD, Dean Andropolous, MD, Douglas Carlson, MD, Michael Stabile, MD, Jerrold Lerman, MD
Lunch on Your Own OR
SMALL, OPEN FORUM, INTERACTIVE ROUND TABLE DISCUSSIONS (Optional; Each limited to 15; Pre-Registration and Fee Required; Lunch Provided)
Ketamine: Bo Kennedy, MD, Mark Roback, MD
Hospital Medicine: Douglas Carlson, MD, Ricardo Quinonez, MD
CHALLENGES IN SEDATION MANAGEMENT
Moderator: Kai Matthes, MD
2:00 – 2:25 PM
2:25 – 2:55 PM
2:55 – 3:25 PM
3:25 – 3:40 PM
Obstructive Sleep Apnea: Diagnosis, Evaluation and Sedation Management Lynne Ferrari, MD
Sedation for the Developmentally Challenged: Autism and Spectrums David Rothman, DDS
Sedation Literature of 2012: Important, Novel and Interesting Contributions Timothy Martin, MD
Panel Discussion: Lynne Ferrari, MD, David Rothman, DDS, Timothy Martin, MD
3:40 - 4:00 PM
Afternoon Break
4:00 - 4:20 PM
4:20 - 4:50 PM
4:50 - 5:20 PM
5:20 - 5:30 PM
Sedation, Amnesia, Memory: Exploring the Effect of Different Sedatives Robert Vesselis, MD
Nitrous Oxide: Clinical Applications Explored Bo Kennedy, MD
Expanded Roles of Ketamine Mark Roback, MD
Panel Discussion: Robert Vesselis, MD, Bo Kennedy, MD, Mark Roback, MD
5:30 - 8:00 PM
Complimentary Cocktail Reception (Faculty, Attendees and Sponsors)
* Program changes/substitutions may be made without notice.
Sedation Outside of The Operating Room
6 Pediatric
2013 Theme Exploring The Current Practice and Frontiers of Sedation Across The Specialties
Sunday, September 29, 2013
Weekend Conference: Day 2
Exploring the Current Practice and Frontiers of Sedation Across The Specialties
Course Director: Keira P. Mason, MD
7:00 - 8:15 AM
Breakfast/ Registration OR
SMALL, OPEN FORUM, INTERACTIVE ROUND TABLE DISCUSSIONS (Optional; Each limited to 15; Pre-Registration and Fee Required; Breakfast Provided)
Dexmedetomidine: Keira Mason, MD, Mohamed Mahmoud, MD
Difficult Airway Workshop: Advanced: Small, hands-on, one-on-one interaction with faculty to review, practice and improve advanced airway skills: A
unique opportunity to trial advanced airway equipment.
Jennifer Dearden, MD (Leader), Iqbal Ahmed, MD, Thomas Anthony Anderson, MD, Nelson Aquino, CRNA, Sarah Wiser, MD, Maria Sammartino, MD, Shannon Zhang, MD
8:30 – 8:45 AM
8:45 – 9:30 AM
9:30 – 9:45 AM
9:45 – 10:15 AM
10:15 – 10:45 AM
Introduction, Report and Update of Adverse Event Sedation Reporting Tool Keira P. Mason, MD
Keynote Address: Learning from our Mistakes: Sedation Mishaps Reviewed by a Medical Malpractice Attorney Stewart Cohen, JD
Question and Answer Panel
Using Simulation to Improve Sedation Outcome and Training James Fehr, MD
Target Controlled Intravenous Infusion: A Look to the Future of Precise, Sedation Delivery Methods: A- Live, Hands-on Simulation
and Demonstration Kai Matthes, MD, Anthony Absalom, MBChB, FRCA, MD
10:45 - 11:00 AM
Morning Break
EXPLORING THE FRONTIERS OF SEDATION Moderator: Mark Roback, MD
11:00 - 11:25 AM
11:25 - 11:50 PM
11:50 - 12:15 PM
12:15 - 12:45 PM
12:45 - 1:00 PM
Reviewing Different Sedation Scales: Pros and Cons. Ease of Use and Applicability? Dean Androplous, MD
Dexmedetomidine: Clinical Applications, Limitations and Future Use Keira Mason, MD
Clinical Application of Inhaled Sevoflaurane for Sedation Michael Sury, MD
What's New in Sedation and Analgesia? Jerrold Lerman, MD
Panel Discussion Dean Andropolous, MD, Keira Mason, MD, Michael Sury, MD, Jerrold Lerman, MD
1:00 - 2:30 PM
Lunch on Your Own OR
SMALL, OPEN FORUM, INTERACTIVE ROUND TABLE DISCUSSIONS (Optional; Each limited to 15; Pre-Registration and Fee Required; Lunch Provided)
Nitrous: Bo Kennedy, MD, Judy Zier, MD
Ask the Expert: Lunch with a Medical Malpractice Attorney: Stewart Cohen, JD
2:30 - 5:30 PM
Concurrent Afternoon Tracks You may attend and combine any of the three tracks. Pre-registration is not required.
TRACK A
Integration Track: Multi-Specialty Based Case Scenarios for Interactive Discussion and Learning
Moderator: Robert Kennedy, MD, Mark Roback, MD, David Rothman, DDS, Yasmeen Daud, MD, Maureen Carrier, RN BSN
Mohamed Mahmoud, MD, Saif Siddiqui, MD Keira Mason, MD
This interactive workshop with faculty from multi-specialties will present a unique, case-based approach to procedural sedation, with individualized sedation recommendations and management guidelines by procedure and setting. This is an open-forum setting which allows active engagement of all participants with direction and sharing of sedation faculty which represents an expertise across all sedation specialties. 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.
TRACK B
2:30 - 3:00 PM
3:00 - 3:20 PM
3:20 - 3:50 PM
3:50 - 4:20 PM
4:20 - 4:40 PM
4:40 - 5:00 PM
5:00 - 5:30 PM
TRACK C
2:30 - 3:00 PM
3:00 - 3:30 PM
3:30 - 4:15 PM
4:15 - 4:45 PM
4:45 - 5:30 PM
Innovations in Sedation Moderator: Baruch Krauss, MD
NPO Status and Sedation Risk; Guidelines, Facts, Fiction and Outcome Mark Roback, MD
Clinical Application of BIS Monitoring for Sedation Anthony Absalom, MBChB, FRCA, MD
An Advanced Review of Capnography Baruch Krauss, MD
Development and Implementation of a Non-Anesthesia Delivered Nitrous Program Judith Zier, MD
PALS Monica Kleinman, MD
Distraction Techniques Baruch Krauss, MD
Panel Discussion Mark Roback, MD, Anthony Absalom, MBChB, FRCA, MD, Baruch Krauss, MD, Judith Zier, MD, Monica Kleinman, MD
Hospital Medicine Moderator: Douglas Carlson, MD
The Hands-On Practical Aspects of Nitrous Oxide Application and Utility Judith Zier, MD
Approaches to Developing, Maintaining and Credentialing Sedation Skills Douglas Carlson, MD
Picking the Right Sedation Drugs and When to Refer Ricardo Quinonez, MD
Options and Strategies to Maximize Billing and Reimbursement for Sedation Douglas Carlson, MD
Case Presentations: Decision Making for Safe, Effective and Efficient Sedations Douglas Carlson, MD, and Ricardo Quinonez, MD
Pediatric Sedation Outside of The Operating Room
2013 Theme Exploring The Current Practice and Frontiers of Sedation Across The Specialties
7
September 28-29, 2013
Weekend Course Overview
Target 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 anesthesiology, 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 conference 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.
Call For Abstracts
Deadline for Submission of Abstracts: July 1, 2013
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 28-29, 2013 weekend conference.
OPTION 1:
Friday, September 27, 2013
Full-Day Sedation Symposium
The Fundamentals of Sedation: Reviewing the Basics
Bridging the Specialties
A NEW COURSE OFFERING! A Comprehensive Review of the Essentials of Pediatric Sedation
This 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 experience 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 sedation 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 sedation, including manikin practice with face masks and ambu bag along with the insertion of nasal and oral airways in a personalized 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.
SYMPOSIUM
SCHEDULE
Friday, September 27, 2013
7:15 - 8:15 AM
8:15 - 8:30 AM
8:30 - 12:00 PM
8:30 - 9:00 AM
9:00 - 9:20 AM
9:20 - 10:10 AM
10:10 - 10:30 AM
Optional Full-Day Sedation Symposium:
The Fundamentals of Sedation: Reviewing the Basics, Bridging the Specialties
Course Director: Keira P. Mason, MD
Director, Fundamentals of Sedation Symposium: Mark Roback, MD
This 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 dentalspecific 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.
Registration and Breakfast
Welcome and Introduction Keira Mason, MD, Mark Roback, MD
SEDATION OUTSIDE THE OR: GETTING STARTED
Moderator: Mark Roback
Mark Roback, MD
Define Sedation, Distinguish Sedation from Analgesia and Amnesia
The Sedation Continuum: Guidelines for Assessing Sedation Depth, Accompanying Risks and An Objective Look at the Limitations of the Continuum
The Sedation “Set Up”: Space, Personnel, Physiologic Monitors, Equipment and Resuscitation Supplies
Jennifer Dearden, MD
The Pediatric Airway: Anatomy, Hallmarks of Increased Risk, Strategies for Preparation and Management
Timothy Horeczko, MD
Essentials of Pediatric Physiology and Anatomy and their applications to sedation
Physiological Monitoring: Interpreting the EKG, Pulse Oximeter and Capnograph
Keira P. Mason, MD
Patient Selection: The “Pearls” of Pre-Sedation Assessment: How to Assess Who is Appropriate for Sedation and When To a Consult with Specialists?
Return to Pre-Sedation State and Readiness for Discharge- Discharge Criteria: Different Options and Scoring Assessment Tools
10:30 - 11:00 AM
David Rothman, DDS
Management of Challenging Patients: Autism, Obesity and the Neurologically Challenged
11:00 - 11:30 AM
Morning Break
11:30 - 12:00 PM
Timothy Horeczko, MD and David Rothman, DDS
Non-Pharmacologic Strategies for Behavior Management: Expert Approaches
12:00 - 1:00 PM
Lunch on Your Own OR Optional Airway Lunch
Optional Lunch: Difficult Airway Workshop: Basic (Medical and Dental)
Pre-Registration and Fee Required | Seaport (3rd Floor)
Small, hands-on, one-on-one interaction with faculty to review, practice and improve advanced airway skills. This is a unique opportunity
to trial advanced airway equipment, including but not limited to video laryngoscopy, fiberoptic intubation, supraglottic airway devices, and
surgical cricothyroidotomy using porcine tracheas.
Jennifer Dearden, MD (Leader), Thomas Anthony Anderson, MD, PhD, David Gozal, MD, Tim Horeczko, MD, Babu Koka, MD
Mohamed Mahmoud, MD, Steven Zgleszewski, MD, Marina Sammartino, MD
Sedation Outside of The Operating Room
10 Pediatric
2013 Theme Exploring The Current Practice and Frontiers of Sedation Across The Specialties
Friday, September 27, 2013
Optional Full-Day Sedation Symposium:
The Fundamentals of Sedation: Reviewing the Basics, Bridging the Specialties
CHOOSE EITHER SESSION TO ATTEND
Medical Session
Dental Session
1:00 - 1:30 PM
Pharmacology of Sedation: A Broad Review of Sedatives
Analgesics and Adjuncts
Timothy Horeczko, MD (Moderator/Lecturer)
• A Pharmacologic Review of Commonly Used Medication
Dental Pharmacology and Adjunctive Behavior Management
Techniques in Pediatric Dentistry
David Rothman, DDS (Moderator/Lecturer)
• Oral “Conscious Sedation” agents
• Local Anesthetics: Pharmacology, physiology, administration
risks, and outcome
• Papuse board- the controversy
1:30 - 2:00 PM
Pharmacology of Sedation: A Broad Review
Timothy Horeczko, MD (Moderator/Lecturer)
• Emergency and Resuscitation Medications: Protocols, Options
and Routes of Administration
Inhalation Sedation: Nitrous Oxide
Eduardo Alcaino, DDS (Lecturer)
• Pharmacology and Physiology
• Clinical indications
• Contraindications and adverse events
• Administration techniques
2:00 - 2:30 PM
Rescue: Managing Sedation Adverse Events
Mark Roback, MD (Moderator/Lecturer)
• Risk factors and predictors of Adverse Events
• Management and approach
• Special populations
Minimal and Moderate Sedation: Oral, Intravenous
and Alternate Routes
David Rothman, DDS (Moderator/Lecturer)
• Definitions
• Qualifications, guidelines and policies
• Necessary equipment and supplies
• Routes of administration
• Sedative options: pharmacology, physiology, clinical indications
outcomes
2:30 - 3:00 PM
How to Design, Implement and Fund a Safe and Efficient
Sedation Service:
Douglas Carlson, MD (Moderator/Lecturer)
• Training recommendations
• Privileges and credentialing
• Set-up and personnel
Deep Sedation: Oral, Intravenous and Alternate Routes
Michael Webb, DDS
• Definitions
• Qualifications, guidelines and policies
• Necessary equipment and supplies
• Routes of administration
• Sedative options: pharmacology, physiology, clinical indications
outcomes
3:00 - 4:30 PM
Case Studies in Pediatric Sedation
Mark Roback, MD, Bo Kennedy, MD, Douglas Carlson, MD
Keira Mason, MD
3:00 - 3:30 PM
Preparation and Anticipation of Dental Sedation Emergencies
Ron Kosinski, DMD
• Setting up emergency protocols, policies and procedures
• Emergency equipment and training
• Review of Pediatric CPR, PALS and ACLS
Cases presented from multi-specialty sedation venues with an open
forum approach to explore techniques at evaluation, planning and
patient management.
Extensive Q&A time allotted
4:30 - 5:30 PM
3:30 - 4:30 PM
Case Studies and Panel Discussion
David Rothman, Eduardo Alcaino, Ron Kosinski
Sedation Jeopardy — A Unique and Entertaining Learning Format
Joint Medical and Dental Session: Mark Roback, MD
Closing Remarks and Open Forum Feedback: Mark Roback, MD
* Program changes/substitutions may be made without notice.
Pediatric Sedation Outside of The Operating Room
2013 Theme Exploring The Current Practice and Frontiers of Sedation Across The Specialties
11
OPTION 2:
Friday, September 27, 2013
High Fidelity Pediatric Sedation
Simulation Workshop Objectives
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 sedation 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 fidelity 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 management 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 critical 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 Objectives
At 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.
Sedation Outside of The Operating Room
12 Pediatric
2013 Theme Exploring The Current Practice and Frontiers of Sedation Across The Specialties
CONFERENCE
SCHEDULE
Friday, September 27, 2013
Full-Day High Fidelity Pediatric Sedation Simulation Workshops
Course Director: Keira P. Mason, MD
Director, Sedation Simulation Workshops: James Fehr, MD
A unique opportunity for small groups to actively engage with registrants and faculty from multi-specialties: all faculty have simulation
expertise to present 6 sedation scenarios with detailed debriefing after each- scenarios will review skills which include: Assessment and
Management of Anaphylaxis, Over Sedation, Respiratory Depression, Cardiovascular Collapse, Aspiration, Laryngospasm, Disruptive Behavior.
Participants will spend one hour in each of the six scenarios.
6:30-7:30 AM
Registratio and 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 1
Scenario 2
10:30-11:00 AM
Break
11:00-12:00 PM
Scenario 3
12:00-1:00 PM
Lunch OR Optional Difficult Airway Workshop
OPTIONAL LUNCH: Difficult Airway Workshop: Basic (Pre-registration and fee required)
Small, hands-on, one-on-one interaction with faculty to review, practice and improve advanced airway skills. This is a unique opportunity
to trial advanced airway equipment, including but not limited to video laryngoscopy, fiberoptic intubation, supraglottic airway devices, and
surgical cricothyroidotomy using porcine tracheas.
Jennifer Dearden, MD (Leader)
Thomas Anthony Anderson, MD, PhD, David Gozal, MD, Tim Horeczko, MD, Babu Koka, MD, Mohamed Mahmoud, MD
Steven Zgleszewski, MD
1:00-2:00 PM
2:00-3:00 PM
3:00-4:00 PM
Scenario 4
Scenario 5
Scenario 6
4:00-4:30 PM
Closing Remarks and Debriefing/Interactive Feedback
Program changes/substitutions may be made without notice.
Moderator and Leader of Simulation Workshops
James Fehr, MD
Anesthesia Directed Scenario Disruptive Parent, Distraction of Provider Leading to Cardiac Arrest from Unrecognized Apnea
Kai Matthes, MD (Leader), Sharon Redd, MD, Roberta Forman, RN, BSN, MHA
Dental Medicine Directed Scenario Aspiration of a Crown
Calvin Kuan, MD (Leader), Jen Wagner, MD Manchula Navaratnam, MBChB, FRCA, Jerry Chao, MD, Echo Rowe, MD
Emergency Medicine Directed Scenario Resistance to Sedatives Leading to Apnea
Robert Kennedy, MD (Leader)
Hospital Medicine Directed Scenario Anaphylaxis
Yasmeen Daud, MD (Leader), Kim Hamlin, MD
Post Sedation Recovery Event Scenario Respiratory Depression in Recovery
John Zhong (Leader), Michele Trinka, MSN, RN, CCRN, PCCN, Dayna Downing
Procedural Sedation Scenario Laryngospasm
Anna Maria Onisei, MD, Saif Siddiqui, MD (Leader)
Pediatric Sedation Outside of The Operating Room
2013 Theme Exploring The Current Practice and Frontiers of Sedation Across The Specialties
13
Registration Information
Reduced Weekend Course Tuition Fee for four or more attendees from the same hospital/institution: $649 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.com
Registration 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.
Inquiries
By phone 617-384-8600, Monday-Friday, 10 AM to 4 PM (EST) or by email at: [email protected].
Online Information
To register or view activity information online, visit:
www.pediatricsedationconference.com
To ensure proper registration, please add the first three characters of the source code found above your name on the mailing panel.
Disclosure Policy
Harvard 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, review­ers 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 Policy
A 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 Location
All sessions for this course will be held at New York Marriott Downtown, 85 West Street at Albany Street, New York, NY 10006. (Telephone: 1-877-513-6305)
Accommodation / Travel
This year there are only a limited number of hotel rooms available at the New York
Marriott Downtown Hotel. 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 New York Marriott Downtown, 85 West Street at Albany Street, New York, NY 10006 (Telephone: (877) 513-6305) until September 1, 2013. Please specify that
you are enrolled in this course to receive a reduced deluxe standard room rate of $299 per night Single/
Double. Hotel arrange­ments can also be made online at: www.pediatricsedationconference.com/
html/accomodation.html. Please do not pur­chase 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.
Accreditation
ACGME Competencies
The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide
continuing medical education for physicians.
This course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies:
The Harvard Medical School designates this live activity
for a maximum of 27.25 AMA PRA Category 1 Credits™.
Physicians should claim only the credit commensurate
with the extent of their participation in the activity
This course is currently pending approval for AANA, nursing CEU, ACEP category 1, and Risk Management credits.
Sedation Outside of The Operating Room
14 Pediatric
2013 Theme Exploring The Current Practice and Frontiers of Sedation Across The Specialties
*
*
*
*
*
Patient care
Medical knowledge
Practice-based learning and improvement
Interpersonal and communication skills
Systems-based practice
Pediatric Sedation Outside of the Operating Room
Course# 331418
September 28-29, 2013
Two Day Weekend Course: Exploring the Current Practice and Frontiers of Sedation
$749 (USD)
Optional Breakfast Breakout Panels:
Difficult Airway Workshop: Basic
Propofol, Sedation and Non-Anesthesia Delivery Models
Dexmedetomidine
Difficult Airway Workshop: Advanced
$100 (USD)
$50 (USD)
$50 (USD)
$100 (USD)
Optional Lunch Breakout Panels:
Hospital Medicine
Ketamine
Nitrous Oxide
Ask the Expert: Lunch with a Medical Malpractice Attorney
$100
$100
$100
$100
(USD)
(USD)
(USD)
(USD)
Reduced Weekend Course Tuition Fee for four or more attendees from the same hospital/institution: $649 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.)
Friday, September 27, 2013
Option 1: Full-Day Simulation Workshop
$679 (USD)
Option 2: Fundamentals of Sedation: Reviewing the Basics Bridging the Specialties
$549 (USD)
Lunch on your own OR
Optional Lunch: Difficult Airway Workshop: Basic
TOTAL
$100 (USD)
$ ________ (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
Professional School Attended (Physicians only)
□ Harvard Medical School □ U.S. Medical School □ International
LUNCH
BREAKFAST
Please select up to two breakfast panels and/or two lunch panels.
Panels are limited to 15; assignments are made in the order received.
Difficulty Airway Workshop: Basic – $100 (USD)
Propofol, Sedation and Non-Anesthesia Delivery Models – $50 (USD)
Dexmedetomidine – $50 (USD)
Difficult Airway Workshop: Advanced – $100 (USD)
Difficulty Airway Workshop: Basic – $100 (USD)
Nitrous Oxide – $100 (USD)
Ask the Expert: Lunch with a Medical Malpractice Attorney – $100 (USD)
Hospital Medicine – $100 (USD)
Ketamine – $100 (USD)
□ No □
Year of Graduation ____________
9/27
9/28
9/29
Harvard Medical School
Department of Continuing Education
P.O. Box 825
Boston, MA 02117-0825
B
POPULAARCK BY
DEMAND
Optional FU
LL-DAY Hig
Pediatric
h Fi
Se
New Multi dation Simulation delity
specialty D
W
irected Sceorkshops
narios
LIMITED
ENROLLM
SEPTEMB
PEDIATRIC
SEDATION
OUTSIDE OF THE
OPERATING ROOM
New York Marriott Downtown, New York City
September 28-29, 2013
Weekend Sedation Conference
Exploring the Current Practice
and Frontiers of Sedation Across The Specialties
Friday, September 27, 2013
Option 1: Full-Day Sedation Symposium: The Fundamentals of Sedation:
Reviewing The Basics Bridging the Specialties
Option 2: Full-Day High Fidelity Pediatric Sedation Simulation Workshops
Non-profit Org.
U.S. Postage PAID
Nashua, NH
Permit No. 375
ENT
ER 27, 20
13
Course Director Keira P. Mason, MD
Director, Sedation Symposium Mark G. Roback, MD
Director, Sedation Simulation Workshops James Fehr, MD
Abstracts Deadline
July 1, 2013
For more details please visit us at
www.PediatricSedationConference.com
Source Code: