Annual Meeting

WSA 2018 Annual Meeting • September 8-9, 2018
The Osthoff Resort • Elkhart Lake, Wisconsin

Anesthesia Now: Not Your General "General"

CLICK HERE to Register Online

or CLICK HERE to Download the Program Brochure



Please join us for a very exciting meeting in beautiful Elkhart Lake, Wisconsin. The meeting will take place at the Osthoff Resort on the shore of Elkhart Lake. This was the site of our meeting a few years ago and was rated so highly by the attendees that we are returning. Early September is a beautiful season to spend some time in the northern Kettle Moraine. The quaint village of Elkhart Lake has many fine restaurants and shops which are within easy walking distance of the hotel. It is also home to the famous Elkhart Lake racetrack.

Nearby attractions include the Wade House, historic downtown Plymouth, the Village of Kohler, and the lakeshore in Sheboygan is twenty minutes away. There is a water park there for those who might want to bring children.

A fantastic program has been put together by Dr. Barbara Meinecke. Highlights include many currently hot topics. Dr. David Dickerson, from the University of Chicago, will speak on Opioid Sparing Techniques. Aimee Becker, MD, Chairman at the University of Wisconsin, Madison, will speak on At-Risk Anesthesiologists.

There will be a lecture on the impact of healthcare system consolidation on anesthesiology practices. Other timely topics include dental sedation, OR considerations for implanted devices, Suboxone management perioperatively, temperature neuroprotection, and OR distractions.

There will be a workshop on regional anesthesia and interesting problem based learning discussions.

This will be a great chance to earn some continuing medical education from a panel of experts both regionally and nationally in a beautiful location. This is one of the benefits of your WSA membership, so please join us for this easily accessed learning opportunity.

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James J. Nicholson, MD
President, WSA


Goals and Objectives:Screen_Shot_2018-04-26_at_9.23.34_AM.png

After participating in this activity, the attendee will be able to:

  • Appreciate opportunities for neuroprotection in the setting of transient cerebral ischemia (e.g. Stroke clot retrieval, cerebral aneurysm surgery) in the perioperative setting.
  • Understand the various sedation practices of the dental community, with a specific consideration regarding the pediatric patient.
  • Be able to implement strategies to reduce persistent opioid use after surgery.
  • Learning the anesthetic considerations for patients having spinal cord stimulators or intrathecal pumps going for surgery.
  • Develop strategies and/or protocols to reduce the risk adverse outcomes.
  • Learn how the American Society of Anesthesiologists is engaging federal stakeholders on this topic and what that may mean for your individual practice.
  • Learn how recent “regulatory relief” changes to the Merit- based Incentive Payment System may affect your bottom line.
  • Understand common upper and lower extremity blocks, and how to trouble-shoot them.

 


Schedule of Events:

Saturday, September 8, 2018

7:00am-7:50am:   Registration and Continental Breakfast
7:50-8:00am:  

Welcome
Barbara Meinecke, MD
Children's Hospital of Wisconsin

8:00-9:00am:   Healthcare Consolidation: Implications for Anesthesia Practices
Jay Mesrobian, MD
Medical College of Wisconsin
8:00-9:30am:   Ultrasound-Guided Regional Anesthesia Workshop
Ashleigh Dixon, MD
University of New Mexico
Christopher Anderson, MD
Medical College of Wisconsin
9:00-10:00am:   Dental Sedations/Anesthetics and What the Anesthesiologist Should Know When Advertising Your Patients
Christina Diaz, MD
Children's Hospital of Wisconsin
10:00-10:30am:   Break with Exhibitors
10:30-11:30am:   Making Federal Regulation Less Burdensome: A Discussion on ASA Regulatory Advocacy
Matt Popovich, PhD, Director of Quality and Regulatory Affairs
American Society of Anesthesiologists
11:30-12:00pm:   Legislative Update
Eric Jensen, JD, Lobbyist
Wisconsin Society of Anesthesiologists
12:00-12:30pm:   Annual Business Meeting
12:30-1:30pm:   Luncheon and ASA Update
James Grant, MD, MBA, President
American Society of Anesthesiologists
1:30-2:30pm:   Can Anesthesia Reduce Persistent Opioid Use After Surgery?
David Dickerson, MD
University of Chicago
1:30-3:00pm:   Ultrasound-Guided Regional Anesthesia Workshop
Ashleigh Dixon, MD
University of New Mexico
Christopher Anderson, MD
Medical College of Wisconsin
2:30-3:00pm:   Break with Exhibitors
3:00-4:00pm:   Anesthetic Considerations for Patients with Spinal Cord Stimulators and Intrathecal Pumps
Al Abd-Elsayed, MD
University of Wisconsin, Madison
3:00-5:00pm:   Problem-Based Learning Discussion Breakouts
I'm Not Agreeing to That! Consent and Assent Issues in the Underage Population

Susan Staudt, MD, Children's Hospital of Wisconsin
The Curse of the Bleeding Tonsil - Choose Your Own Adventure
Christina Diaz, MD, Children's Hospital of Wisconsin
New Updates to the Treatment of Local Anesthetic System Toxicity
Christina Spofford, MD, PhD, Medical College of Wisconsin
Jeremy Groth, MD, Medical College of Wisconsin
The Laboring Patient with a Spinal Cord Stimulator for Pain Management
Cathy Drexler, MD, Medical College of Wisconsin
4:00-5:00pm:   Suboxone Management and Other Issues with Chronic Pain Patients in the OR
Stacy Peterson, MD, Medical College of Wisconsin
Sarah Endrizzi, MD, Medical College of Wisconsin
5:30-8:00pm:   Evening Event TBA

 

Sunday, September 9, 2018

7:00-8:00am:   Continental Breakfast
7:30-8:30am:   Best of MARC
Neostigmine Administration to Improve Sugammadex-Mediated Neuromuscular Blockade Reversal in Myasthenia Gravis

Lara Rosewicz, MD, Medical College of Wisconsin
Long QT Syndrome in an Obstetric Patient with Spina Bifida
Jennifer Haas, MD, Medical College of Wisconsin
Undiagnosed Tetralogoy of Fallot in Adults
Avani Patel, MD, Medical College of Wisconsin
Submental Intubation: Two Case Reports Presenting an Alternate Approach to Securing the Airway in Trauma Patients
Thomas Thorsen, DO, Medical College of Wisconsin
Combined Heart and Liver Transplantation
Erik Leindecker, MD, University of Wisconsin, Madison
Perioperative Type I and II Pectoral Nerve Blocks for Pediatric Breast and Thoracic Surgery: A Noval Approach for Bilateral Reduction Mammoplasty
Ian Roche, MD, University of Wisconsin, Madison
8:30-9:30am:   State of the Art Anesthetic Approaches to Improve Perioperative Neurologic Outcomes
Jeffrey Kirsch, MD, Candidate for ASA Vice President of Scientific Affairs
Oregon Health Sciences University
9:30-10:00am:   Break
10:00-11:00am:   Risk Management for Anesthesia Practices: Developing Trends and Current Topics
Brian Thomas, JD
Preffered Physicians Medical
11:00-12:00pm:   Caring for the Caregiver
Aimee Becker, MD
University of Wisconsin, Madison
Bridget Muldowney, MD
University of Wisconsin, Madison
12:00pm:   Closing Remarks and Door Prize
Barbara Meinecke, MD
Children's Hospital of Wisconsin

Problem-Based Learning Discussion (PBLD) Details:

Below, review the description and learning objectives of the PBLDs breakout offered at the WSA Annual Meeting. You will have a chance to register for each during registration.

I'm Not Agreeing to That! Consent and Assent Issues in the Underage Population
Susan Staudt, MD, Children's Hospital of Wisconsin

After completing the activity, the provider:

  1. Know the difference between assent and consent, and the recommendations and regulations guiding same
  2. Formulate a personal approach to waiving (or not waiving) recommended or required preoperative testing
  3. Consider the approaches to take when a minor is declining an elective vs. urgent procedure
  4. Review the systems supports one may need to activate when pursuing necessary emergency care against the wishes of a minor

This PBLD presents a number of common and less common difficult situations where a minor child is at odds with providers or parents and there is a planned procedure and anesthetic. Issues range from preoperative testing, to procedures, surgeries, blood transfusions. Case and state law , hospital guiding policies are discussed. Approaches for providers needing to "just in time" manage such conflict are debated.

The Curse of the Bleeding Tonsil - Choose Your Own Adventure
Christina Diaz, MD, Children's Hospital of Wisconsin

After completing the activity, the provider:

  1. Describe the incidence, time course, and type of tonsil bleeds most commonly encountered
  2. Understand the disease process and patient complications resulting from a tonsil bleed
  3. Discuss optimal Anesthesia management for post-tonsillectomy bleed
  4. Describe pain management options and the influence of OSA on management decisions

New Updates to the Treatment of Local Anesthetic System Toxicity
Christina Spofford, MD, PhD, Medical College of Wisconsin
Jeremy Groth, MD, Medical College of Wisconsin

After completing the activity, the provider:

  1. Review and apply the newest 2018 guidelines for the treatment of LAST
  2. Review recent literature about the mechanisms of toxicity and suggestions for how to make the workplace safer for patients

As anesthesiologists increasingly use non-opioid based therapies for the treatment of acute postoperative pain, local anesthetics take center stage.  Infusions of local anesthetics, peripheral nerve blocks and neuraxial techniques are pose a risk for the development of LAST.  In this session, learners will review and apply the newest 2018 guidelines for the treatment of LAST including recent literature about the mechanisms of toxicity and suggestions for how to make the workplace safer for patients.

The Laboring Patient with a Spinal Cord Stimulator for Pain Management
Cathy Drexler, MD, Medical College of Wisconsin

After completing the activity, the provider:

  1. Describe the components of a Spinal Cord Stimulator (SCS) system, and where they may be implanted
  2. Discuss implications of SCS when considering performance of neuraxial blocks for labor analgesia or Cesarean delivery
  3. Recognize potential risks of performing neuraxial techniques on SCS patients and discuss means of minimizing the risks, including addressing “systems issues”

tn.jpegHotel Information:

The Osthoff Resort
101 Osthoff Ave
Elkhart Lake, WI 53020

www.osthoff.com
800-876-3399

Room Rate: $176 per night

Reservation Deadline: August 8, 2018
*Be sure to identify yourself as a WSA attendee in order to receive the special rate.

 


Continuing Medical Education/MOCA Information:

JA_Logo.jpegCME Accreditation Statement: In support of improving patient care, this activity has been planned and implemented by Amedco and the Wisconsin Society of Anesthesiologists. Amedco is jointly accredited by the American Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

 

Credit Designation Statement: Amedco designates this live activity for a maximum of 11 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

ABA MOCA Credit®: This activity contributes to the patient safety CME requirement for Part II: Lifelong Learning and Self-Assessment of the American Board of Anesthesiology’s (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0™. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.