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80020789: Perioperative Management-In It's 26th Year

March 14-17, 2010
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Aperioperative Management - In It's 26th Year Brochure Cover Image


ACCREDITATION STATEMENT
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing. The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
CREDIT DESIGNATION STATEMENT
The Johns Hopkins University School of Medicine designates this educational activity for a maximum of 22.50 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
NURSING CREDIT PENDING
The Institute for Johns Hopkins Nursing is approved as a provider of nurse practitioner continuing education by the American Academy of Nurse Practitioners: AANP Provider Number 061216.

OTHER CREDIT
This activity has been reviewed and is acceptable for up to 22 prescribed credits by the American Academy of Family Physicians.
This course has been approved by the American Association of Nurse Anesthetists for 22 credits; Code Number 32110; Expiration Date: March 17, 2010. American Academy of Physician Assistants accepts AMA Category 1 CME credit for the PRA from organizations accredited by ACCME.


Description:
Thirty million patients undergo surgical procedures in the US each year, and the age and medical complexity of this patient population is increasing. All these patients require preoperative assessment, intraoperative management, and postoperative care. Every year the body of peer-reviewed literature on this topic increases and new guidelines on perioperative management are formulated. In addition, economic and regulatory forces are creating new challenges for health care professionals. As the established leader in perioperative medicine, this course aims to provide the practitioner with the most up-to-date knowledge necessary for delivery of effective clinical care.

Objectives:
After attending this activity, the participant will demonstrate the ability to:
1. Describe current guidelines for preoperative cardiac and pulmonary risk assessment and how to prevent and/or minimize cardiac and pulmonary complications using cost-effective preoperative testing and specific intraoperative and postoperative interventions.
2. Describe the perioperative risks associated with diabetes, obesity, hepatic disease, and advanced age and management strategies to minimize complications in these patients.
3. Describe bleeding and thrombotic risks in surgical patients and how to reduce complications through evidence-based use of blood conservation strategies, transfusion, and management of anti-thrombotic drug therapies.
4. Recognize how to prevent and treat infectious complications in surgical patients.
5. Recognize the impact of health care delivery systems and culture on the quality and safety of perioperative care and describe ways to improve patient outcome through changes in system structure and culture.

Airport Transportation:
Naples Transportation & Tours can provide roundtrip ground transportation from RSW-Fort Myers Airport to Marco Island Marriott Resort with advance reservations. The special group rate is $48.00 per person one way on the dates listed on the link. Service charge and gratuity will apply. For dates outside of the advertised dates, the fee is not guaranteed. Please visit the following web link to make your reservation in advance. For last minute bookings (within 24 hours of transfer), please call 800-592-0848 and ask for the “John Hopkins University” group transportation rate:

Web Link:
https://www.napleseventplanningandtours.com/secure/form-1.php?theid=287

Talks

March 14, 2010  8:00 AM to 8:30 AM

The Perioperative Stress Response

Dorman, Todd
To describe the neurohumoral and cytokine responses to surgery. To discuss the implications of the neurohumoral and cytokine responses to surgery on management of the perioperative patient.
March 14, 2010  8:30 AM to 9:00 AM

Preoperative Cardiac Risk Assessment and Testing

Wittstein, Ilan
To be familiar with the most recent AHA/ACC guidelines for preoperative cardiac risk assessment and testing and the available data that support these guidelines.
March 14, 2010  9:00 AM to 9:30 AM

Mechanisms, Monitoring, and Management of Patients with Coronary Artery Disease

Faraday, Nauder
To reocgnize which therapies are effective for monitoring, preventing and treating myocardial ischemia in patients undergoing noncardiac surgery in accordance with ACC/AHA guidelines and recent clinical trials.
March 14, 2010  9:30 AM to 9:45 AM

Preoperative Evaluation: Optimized, Not Cleared

Feldman, Leonard
March 14, 2010  9:45 AM to 10:00 AM

Evidence-Based Preoperative Testing

Berenholtz, Sean
To discuss the role of routine preoperative testing on patients undergoing surgery.
March 14, 2010  10:30 AM to 11:00 AM

Surgical Site Infections

Lipsett, Pamela
To implement current evidence-based practice for perioperative antibiotic utilization and methods to reduce SSI.
March 14, 2010  11:00 AM to 12:00 PM

Management of the Patient with both Coronary and Cerebrovascular Disease

Faraday, Nauder
To recognize the utility (or lack thereof) of preoperative screening for coronary artery and carotid artery disease in patients undergoing carotid and/or coronary artery bypass surgery.
March 14, 2010  11:00 AM to 12:00 PM

Perioperative Management of the Hypertensive Patient

Dorman, Todd
To describe the assessment and management of a patient presenting with elevated blood pressure for elective surgery.
March 14, 2010  11:00 AM to 12:00 PM

The Pre-Op Patient with a New Left Bundle Branch Block

Rock, Peter
To discuss the perioperative implications of bundle branch block.
March 14, 2010  11:00 AM to 12:00 PM

The Preoperative Patient with a Pacemaker or AICD

Wittstein, Ilan
To be familiar with the management of pacemakers and cardiac defibrillators in the perioperative period.
March 14, 2010  12:00 PM to 12:30 PM

Perioperative Risks and Management of Pulmonary Hypertension

Simon, Brett
To familiarize caregivers with the risks, new medical therapies and perioperative management of patients with pulmonary hypertension.
March 15, 2010  7:45 AM to 8:15 AM

Preoperative Pulmonary Risk Assessment and Testing

Rock, Peter
To describe conditions that increase the risk of post-operative pulmonary complications.
March 15, 2010  8:15 AM to 8:45 AM

Perioperative Management of Patients with Cardiomyopathy

Dorman, Todd
To compare and contrast the assessment and management of patients with diastolic dysfunction to those with systolic dysfunction.
March 15, 2010  8:45 AM to 9:15 AM

Mechanisms and Management of Patients with Pulmonary Disease

Rock, Peter
To describe risk stratifications and treatments to improve post-operative pulmonary outcomes.
March 15, 2010  9:15 AM to 9:45 AM

Perioperative Management of Patients on Chronic Antithrombotic Therapy

Faraday, Nauder
To recognize the thrombotic risks of short-term withdrawal of antiplatelet and anticoagulant agents and the bleeding risks of continuing antithrombotic therapy in the perioperative period.
March 15, 2010  10:15 AM to 10:45 AM

Preventing, Identifying and Managing Common Nosocomial Infections

Lipsett, Pamela
To identify the three most common perioperative infectious complication and name and utilize at least one new measure of prevention.
March 15, 2010  10:45 AM to 11:15 AM

Management of Perioperative Bleeding

Faraday, Nauder
To recognize the risks and benefits of blood transfusion and identify several therapies that are effective for reducing the need for transfusion.
March 15, 2010  11:15 AM to 11:45 AM

The Preoperative Patient with Obstructive Sleep Apnea

Rock, Peter
To recognize pathophysiology of post and perioperative implications.
March 15, 2010  11:45 AM to 12:30 PM

Managing the Difficult Airway

Berkow, Lauren
To assess the airway, predict the possibilty of airway difficulty and create plans to safely manage a potential difficult airway in the perioperative period.
March 15, 2010  11:45 AM to 12:30 PM

Perioperative Management of the Obese Patient

Berkow, Lauren
To understand the disease processes associated with obesity and has to manage perioperative management issues that can occur in the obese patient.
March 15, 2010  11:45 AM to 12:30 PM

Regional vs. General Anesthesia: Does It Change Outcome?

Martinez, Elizabeth
To review the current state of the literature. To review clinical scenarios.
March 16, 2010  7:45 AM to 8:15 AM

Perioperative Fluid Management

Lipsett, Pamela
To compare and contrast crystalloids and colloids for perioperative use.
March 16, 2010  8:15 AM to 8:45 AM

Perioperative Renal Dysfunction

Fine, Derek
To describe the importance of preexisting chronic kidney disease in the perioperative management of patients.
March 16, 2010  8:45 AM to 9:15 AM

Perioperative Management of Diabetes and Hyperglycemia

Feldman, Leonard
March 16, 2010  9:15 AM to 9:45 AM

Post-Operative Delirium, Cognitive Decline, and Depression

Sieber, Frederick
To identify risk factors for POCD. To recognize the importance of postoperative delirium.
March 16, 2010  10:15 AM to 10:45 AM

Perioperative Risks and Management of the Elderly Patient

Sieber, Frederick
To recognize special risks in the elderly surgical patient.
March 16, 2010  10:45 AM to 11:15 AM

Essentials of Acute Pain Management

Bravos, David
To understand options for perioperative pain management.
March 16, 2010  11:15 AM to 12:15 PM

Allergy and Anaphylaxis

Dorman, Todd
To describe the evaluation and management of a patient with an anaphylactic event in the perioperative period.
March 16, 2010  11:15 AM to 12:15 PM

Pain Management in the Opioid-Tolerant Patient: A Case-Based Discussion

Bravos, David
To understand options for pain management in opioid tolerant patient.
March 16, 2010  11:15 AM to 12:15 PM

Perioperative Management of Steroids and Adrenal Insufficiency

Fine, Derek
To describe the risk factors for and management of adrenal insufficiency in the perioperative period.
March 16, 2010  12:15 PM to 12:45 PM

Perioperative Management of the Patient with Hepatic Disease

Simon, Brett
To familiarize caregivers with the risks, preparation of and perioperative issues in the management of patients with hepatic disease for elective surgery.
March 17, 2010  7:45 AM to 8:15 AM

Perioperative DVT and Pulmonary Embolism

Faraday, Nauder
To recognize that different pharmacologic regimens for DVT prophylaxis are indicated for different surgical patients according to both patient and surgical risk factors for thromboembolism.
March 17, 2010  8:15 AM to 8:45 AM

Management of Patients for Procedures in Ambulatory and Non-OR Locations

Stierer, Tracey
To define scope of ambulatory surgery. To compare and contrast different ambulatory surgery venues. To discuss appropriate patient and procedure selection. To define quality indicators for ambulatory surgery. To identify factors that facilitate optimal outcome.
March 17, 2010  8:45 AM to 9:15 AM

Improving Perioperative Quality and Safety through System and Culture Change

Berenholtz, Sean
To identify two opportunities to improve perioperative quality and safety at your hospital.
March 17, 2010  9:15 AM to 9:45 AM

Health Care Provider Stress: Recognition and Management to Improve Patient Outcomes

Sexton, John
To explore the limitations of human performance. To recognize the roles of predictability and control in the experience of a stress response. To incorporate the practices of psychological safety and expressive writing tools to build resilience in self and others. To integrate the concepts of fatigue, social support, and familiarity with colleagues as contributing factors that protect against or worsen the experience of stress in individuals.
March 17, 2010  10:15 AM to 10:45 AM

Establishing an Effective Preoperative Evaluation Center: Practical Considerations for You and Your Institution

Stonemetz, Jerry
To recognize the rationales for establishing a preop center, the triage algorithm and what constitutes a consult.
March 17, 2010  10:45 AM to 11:15 AM

Pay-for-Performance in Perioperative Medicine

Martinez, Elizabeth
To review the goals of pay-for-performance. To discuss recent experiences with pay for performance. To identify ways to prepare for current and future quality measures.
March 17, 2010  11:15 AM to 12:30 PM

Improving the Quality of Sepsis Care

Berenholtz, Sean
To identify three interventions associated with improved outcomes for patients with sepsis.
March 17, 2010  11:15 AM to 12:30 PM

Medico-Legal Liability in Perioperative Medicine: Common Pitfalls and How to Avoid Them

Stonemetz, Jerry
To recognize highest risk of malpractice cases for preop clearance; to better language for protection.
March 17, 2010  11:15 AM to 12:30 PM

Monitoring Intraoperative Awareness and CNS Function

Sieber, Frederick
To identify risk factors for intraoperative awareness. To recognize current recommendations for awareness monitoring.
March 17, 2010  11:15 AM to 12:30 PM

Postoperative Nausea and Vomiting

Stierer, Tracey
To identify risk factors for PONV. To identify strategies to reduce baseline risk. To understand the rationale use of PONV prophylaxis low, moderate, high risk situations and the use of monotherapy, combination therapy. To understand the treatment of PONV in patients who did not receive prophylaxis or in whom prophylaxis failed.
March 17, 2010  11:15 AM to 12:30 PM

Regulatory Compliance and Pay-for-Performance: Financial Implications for Your Practice and Institution

Stonemetz, Jerry
To recognize the requirements of a compliance plan; to review PQRI for authentic and compliance requirements.

Policy On Speaker And Provider Disclosure

It is the policy of the Johns Hopkins University School of Medicine that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials.

Event Information
Marco Island Marriott
400 S. Collier Blvd.
Marco Island, FL
Directions

Registration Fee(s)

Physicians – $ 660.00
Residents, Fellows, AHP – $ 585.00

Target Audience(s)

Anesthesiologists, surgeons, internal medicine specialists, family practitioners, nurse anesthetists, nurse practitioners and physician assistants

Course Co-Director

Sean Berenholtz
Nauder Faraday

Contact Info

410.502.9634 or cmenet@jhmi.edu

Contact Info

General Info: 410.502.9634

Mailing Address:
Johns Hopkins University School
of Medicine
Thomas B. Turner Building
720 Rutland Avenue, Room 20
Baltimore, Maryland 21205-2195

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