ISPA Objectives

LECTURE OBJECTIVES

                                     FRIDAY, 17 JUNE 2011
8:15-9:00am
Embryology and Development of the Airway
Robert Holzman, MD FAAP (live feed)
Objective: Understand the embryological basis for the development of the airway, the anesthetic implications, and be able to predict the consequences of airway abnormalities.

9:00-9:30am
Reappraisal of the Pediatric Airway Anatomy
Scott Markowitz, MD
Objective:  Understand the latest research available on pediatric airway anatomy and the possible implications to anesthesia.

9:30-10:15am
Imaging and the Airway: What is New?
Bruno Marciniak, MD
Objective: To determine in imaging techniques what can be useful for the physician for  airway management.

11:00-11:45am
Cuffed Endotracheal Tubes in Children-Beneficial and Safe
Andreas Gerber, MD
Objective:  Dispel old prejudices about cuffed pediatric tubes; present benefits of sealed airway, present clinical data of cuffed airway.

11:45-12:15pm
Real Time Respiratory Data to Guide Ventilation
David Polaner, MD
Objective:
1. Learn how pressure volume and flow volume loops generated in real time can aid in optimizing ventilation during anesthesia.
2. Learn to recognize intraoperative compliance changes that occur with atelectasis or changes in respiratory mechanics induced by surgical events.
3. Learn to use ventilator manipulation to respond to changes in respiratory mechanics and how those changes might improve outcome.

12:00-2:40pm
Cystic Fibrosis: Update and Recent Advances
Scott Sagel, MD
Objective:
1. Describe the clinical symptoms in children with cystic fibrosis (CF);
2. List the range of surgical procedures that occur in patients with CF
3. Discuss current treatment strategies and ongoing research efforts

2:40-3:20pm
Flexible Bronchoscopy and Laryngo-tracheomalacia
Robin Deterding, MD
Objective:
1. Review the indications for flexible bronchoscopy in children with stridor
2. Discuss the role for flexible bronchoscopy in the evaluation and management of children with larygo-tracheomalacia
3. Relate current strategies for treating laryngo-tracheomalacia to the underlying pathophysiology
4. Understand new perspectives on the causes epidimiology and management of laryngo-tracheomalacia

3:20-4:00pm
Laryngotracheal Reconstruction
Peggy Kelley, MD
Objective:
1. Understand the terminology of single staged vs. double staged reconstructive techniques and how the difference relates to an anesthetic choice.
2. Understand how communication between surgeon and anesthesiologist before and after the case is critical to the success of the operation.
3. Understand the conclusion between degree of stenois and success rate of decannulation.

4:15-5:15pm
PANEL: Perioperative Management of Asthma
Robin Deterding, MD; Nathan Rabinovitch, MD; Judit Szolnoki, MD; David Polaner, MD, FAAP - Moderator
Objective:
1. Understand new data and information on the pathophysiology of asthma and reactive airways diseases and current concepts in the outpatient management of asthma
2. Understand how to optimize preoperative medication in the child with asthma
3. Understand how to best manage acute bronchospasm in the perioperative setting

Saturday, 18 June 2010
8:00-8:45am
Laryngospasm: Pathophysiology & Treatment
Thomas Erb, MD
Objective
1. To explore Pathophysiology of laryngospasm
2. To review pharmacologic prevention measures
3. To describe treatment options
8:45-9:15am
Cricoid Pressure-Unfavorable and Unessential
Andreas C. Gerber, MD
Objective:
1.    Basis for use of cricoid pressure, critical look at cricoid pressure
2.    Discuss available evidence for cricoid pressure.
9:15-10:00am
Operative and Non-Operative Management of Mandibular Hypoplasia
Greg Allen, MD
Objective:
1. To learn how to asses and evaluate the infant with airway compromise secondary to mandibular hypoplasia
2. To discuss options of non-surgical management of airway compromise secondary to mandibular hypoplasia
3. To review the options for the surgical management of airway compromise secondary to mandibular hypoplasia
10:45-11:30am
Opening the Upper Airway -Maneuvers in Pediatric Anesthesia
Thomas Erb, MD
Objective:
1. To describe the effects of airway maneuvers
2. To discuss and compare the effectiveness of airway opening maneuvers in anesthetized infants and children
11:30-12:00pm
  Base of Tongue/Epiglottis Collapse
Robert Yellon, MD
Objective:
1. Identify patients at risk for airway obstruction from collapse at the base of the tongue and epiglottis
2. Discuss sedation and anesthesia for evaluating patients with tongue base/epiglottic collapse
3. Understand current management and treatment options for patients with base of tongue/epiglottic collapse
1:15-1:45pm
Dexmedetomidine
James G. Cain, MD
Objective:
1.    Learn how dexmedetomidine works
2.    Learn the beneficial effects of dexmedetomidine
3.    Learn adverse effects of dexmedetomidine.
1:45-2:30pm
Effects of Dexmedetomidine and Propofol on Airway Anatomy
Mohamed Mahmoud, MD
Objective:
1. Discuss the effect of dexmedetomidine and propofol on upper airway morphology in children with and without history of obstructive sleep apnea.
2. Discuss the use of MRI sleep studies in the management of obstructive sleep apnea.
3. Explore the use of dexmedetomidine for potential difficult airway scenarios.
2:30-3:00pm
Videostroboscopy
Larry E. Borland, MD & Joseph E. Dohar, MD
Objective:
1. Discuss videostroboscopy in voice/speech evaluation - why, technique, and examples of findings
2. Present characteristics of the pediatric patient population requiring anesthetic care.
3. Present anesthetic sedation technique facilitating videostroboscopic speech/voice evaluation in a selected pediatric patient population
3:15-4:15pm PANEL: Airway Management Outside the OR
Emily Dobyns, MD; Geoffrey Lane, MB; Timothy G. Givens, MD; Moderator - Rita Agarwal, MD;
Objective:
1. Discuss challenges of managing airways in patients under emergent conditions
2. Review pharmacologic option for rapid sequence induction
3. Review available options for managing the difficult airway

Sunday, 18 JUNE 2011
8:10-9:00am
The Larynx
Mona M. Abaza, MD MS
Objective:
1. Understand Laryngeal anatomy as it relates to the airway.
2. Understand the process that effects it.
3. Understand the modalities available to treat it.
9:00-9:45am Sleep Studies and Evaluation for Surgery
Norman Friedman, MD
Objective:
1. To define the indications for obtaining a sleep study
2. To demonstrate the components measured during a sleep study.
3. To illustrate how one interprets the results
4. To describe the systemic effects of OSA and its implication for the perioperative period
9:45-10:3am
Drugs and Obstructive Sleep Apnea
David Polaner, MD
Objective:
1. Recognize the differences in opioid responses and requirements in child with OSA.
2. Understand the physiology causing altered responses to opioids in children with OSA.
3. Learn how clinical responses to drug titration can aid in choosing appropriate drug doses.
10:30-11:00am
Trisomy 21 and the Airway
Lawrence M. Borland, MD
Objective:
1. Present characteristics of the airway in the Trisomy-21 patient
2. Discuss airway management of the Trisomy-21 patient in relation to their unique problems
3. Present outcomes data on anesthetic management of the Trisomy-21 patient.
11:30-12:15pm
Teaching and Evaluating Airway Skills
Geoffrey Lane, MB, FRCA                                                                               Objective:
1. Discuss how to improve teaching practical airway skills
2. Review use of video recording to improve feedback for trainees
3. Consider practical methods for objecive evaluation of airway skills
12:30-2:30pm
WORKSHOP: Pediatric Airway
Geoffrey Lane, MB; Rita Agarwal, MD FAAP; Judit Szolnoki, MD; Jennifer Zieg, MD
Objective:
1. Understand the advantages, use and differences between the various airway devices in the workshop.
2. Improve pediatric airway skills through practice with fiber-optic and video- laryngoscopes using mannequins
3. Discuss uses of the airway equipment to manage various difficult pediatric airway scenarios.