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Harvard Medical School

Anesthesiology Update

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Updates, Best Practices, and New Guidelines for Clinical Anesthesiology

Ambulatory, Cardiac, Critical Care, Obstetric, Pain Management, Pediatric, Regional, Thoracic

In the past year, there have been a number of very significant clinical changes that affect the practice of anesthesiology. This comprehensive CME program provides a special and timely opportunity for anesthesiologists, nurse anesthetists and others with interest in the field to hear directly from world-renowned specialists and master clinicians about these changes.

The curriculum at Anesthesiology Update 2019 ensures not only that attendees leave with a comprehensive understanding of the latest advances, risk mitigation strategies and anesthesiology guidelines, but also with specific recommendations to incorporate these updates into practice.

The format is engaging and attendees are encouraged to pose questions in sessions as well as one-on-one with the national and international experts who will be delivering the updates and education at this event. This program also features a variety of hands-on, skills advancement workshops.

Updates, best practices and new guidelines cover:

  • Perioperative myocardial protection
  • Evidence-based neuroprotection strategies
  • Trauma and blood management
  • Difficult airway
  • Advances in regional anesthesia
  • Care of the parturient
  • Apology and disclosure
  • Opioid crisis
  • New drugs in the anesthesia pipeline
  • Multimodal general anesthesia
  • Enhanced Recovery After Surgery
  • End-of-life care
  • Preventing burnout

Participants will take away important guidelines and checklists that they can put to immediate use in their anesthesia practice.

Program Highlights

2019 Guidelines, New Innovations, Challenging Cases, and State-of-the-Art Clinical and Patient Safety Updates in the areas of:

  • Regional anesthesia
  • Cardiac anesthesia
  • Critical care medicine
  • Ambulatory anesthesia, office-based anesthesia
  • Pediatric anesthesia
  • Obstetric anesthesia
  • Thoracic anesthesia
  • Preoperative assessment
  • Perioperative transfusion medicine
  • Neuroanesthesia, neurotoxicity, traumatic brain injury
  • Clinician wellness
  • Pain management
  • Patient safety and risk reduction
  • Enhanced recovery after surgery


  • Anesthetic drugs in the development pipeline
  • Anesthetic neurotoxicity
  • Total intravenous anesthesia
  • Inhalational anesthetics
  • Use of nitrous oxide in clinical practice
  • Tranexamic acid
  • Liposomal bupivacaine
  • Beta blockers
  • Gabapentinoids
  • Current uses of ketamine
  • Street drugs in 2019


  • Difficult Airway Workshop
  • ACLS Workshop
  • Regional Anesthesia Workshop


  • ACLS Workshop



6:30am to 7:30am Registration and Continental Breakfast
Physiology and Pharmacology: The New Essentials Moderator: Sugantha Sundar, MD

7:30am to 8:15am TIVA vs. Inhalation Anesthesia: A Practical Comparison Talmage D. Egan, MD

8:15am to 9:00am Anesthesiologists as Master Physiologists: The New Perioperative Physician Jeanine P. Wiener-Kronish, MD

9:00am to 9:45am Management of Patients with Obesity: Best Practices in Clinical Pharmacology of Intravenous Anesthetics Talmage D. Egan, MD

9:45am to 10:00am Q&A Drs. Egan, Sundar and Wiener-Kronish

10:00am to 10:15am Break Refreshments provided

Improving Outcomes for Our Patients

Moderator: Keira P. Mason, MD

10:15am to 11:00am Findings from the Perioperative Brain Health Initiative and Their Impact on Day-to-Day Practice Lee A. Fleisher, MD

11:00am to 11:45am Measuring Patient Outcomes in the Perioperative Period Lee A. Fleisher, MD

11:45am to 12:30pm Updates in Multimodal General Anesthesia Principles and Practices Emery Brown, MD, PhD

12:30pm to 12:45pm Q&A Drs. Brown, Mason and Fleisher

Lunch-and-Learn Roundtables (optional)

12:45pm to 2:15pm Lunch-and-Learn Roundtables (each roundtable limited to a maximum of 25 participants)

  • Saving for Retirement: Getting Started, Understanding the Options, and Maximizing Savings for the Long Haul
    Jonathan Griswold, MD (This session not eligible for AMA PRA Category 1 Credit™)
  • Risk Mitigation: Apology and Disclosure—Support for the Second Victim Patricia H. Folcarelli, RN, MA, PhD and Stephen D. Pratt, MD
  • Simple, Effective Solutions for the Management of the Narcotic-Tolerant Patient Paragi Rana, MD
  • The Witches' Brew: Street Drugs in 2019 Assia Valovska, MD

Optional Lunch Session

12:45pm to 2:15pm Mitigate Stress: Easy and Practical Meditation Strategies for the Anesthesia Practitioner Balachundhar Subramaniam, MD, MPH

Limited to first 100 registrants. No fee, lunch provided.

Airway Management in 2019

Moderator: Hovig Chitilian, MD

2:15pm to 3:00pm Improved Methods for Awake Fibreoptic Intubation and New Difficult Airway Society Guidelines Ellen O'Sullivan, FRCA, FCAI, FCPSP

3:00pm to 3:45pm The Role of Videolaryngoscopy in 2019 Hovig Chitilian, MD

3:45pm to 4:30pm Emergency Surgical Airway following “Can’t Intubate and Can’t Oxygenate” Ellen O'Sullivan, FRCA, FCAI, FCPSP

4:30pm to 5:15pm Key Lessons Learned from the Difficult Airway Registry Pete Kovatsis, MD

5:15pm to 5:30pm Q&A Drs. Chitilian, Kovatsis and O'Sullivan

Reception and Scientific Poster Session 5:30pm to 7:30pm Reception and Scientific Poster Session Join faculty and colleagues for refreshments and current research in anesthesiology


6:30am to 7:30am Continental Breakfast
What Is New in the Anesthesia Literature? Moderator: Sugantha Sundar, MD

7:30am to 8:10am Myocardial Injury after Non-Cardiac Surgery Daniel Sessler, MD

8:10am to 8:50am Nitrous Oxide in Adult Anesthesia: Is This the End? Philippe Richebé, MD, PhD, DESAR

8:50am to 9:00am Q&A Drs. Richebé, Sessler and Sundar

9:00am to 9:15am Break Refreshments provided

Tools to Reduce Hospital Length of Stay

Moderator: Jeremi Mountjoy, MD, MSc, FRCPC

9:15am to 9:55am How to Implement Enhanced Surgical Recovery and Get It to Stick Michael (Monty) G. Mythen, MBBS, MD, FRCA, FFICM, FCAI (Hon)

9:55am to 10:25am Persistent Postsurgical Pain (PPSP): The Science and Clinical Implications for the Anesthesia Practitioner Philippe Richebé, MD, PhD, DESAR

10:25am to 10:55am Perioperative Thermoregulation Daniel Sessler, MD

10:55am to 11:20am Clinical Applications of Tranexamic Acid: When It’s a Friend (and When It’s a Foe) Susan Goobie, MD, FRCPC

11:20am to 11:30am Q&A Drs. Goobie, Mountjoy, Mythen, Richebé and Sessler

Lunch-and-Learn Roundtables (optional)

11:30am to 1:00pm Lunch-and-Learn Roundtables (each roundtable limited to a maximum of 25 participants)

  • Perioperative Lung Ultrasound Achikam Oren-Grinberg, MD
  • Financial Considerations for Those Nearing or Entering Retirement: Approaches for Asset Utilization, Social Security, and RMDs Jonathan Griswold, MD (This session not eligible for AMA PRA Category 1 Credit™)
  • Managing the Obese Parturient Vilma E. Ortiz, MD
  • Challenging Cases from the Thoracic Operating Room Qi Ott, MD and Nelson Thaemert, MD

Preoperative Assessment

Moderator: Assia Valovska, MD

1:00pm to 1:30pm Challenging Cases in Anesthesiology: Adult Patients Angela M. Bader, MD, MPH

1:30pm to 2:00pm Challenging Cases in Anesthesiology: Pediatric Patients Lynne R. Ferrari, MD

2:00pm to 2:15pm Q&A Drs. Bader, Ferrari and Valovska

2:15pm to 2:30pm Break Refreshments provided

Care of the Parturient

Moderator: Philip Hess, MD

2:30pm to 3:00pm HELLP! How to Keep Moms with Preeclampsia Safe Brian T. Bateman, MD, MSc

3:00pm to 3:30pm Practicing Obstetric Anesthesia in the Wake of Drug Shortages Lisa Leffert, MD

3:30pm to 4:00pm Cardiac Disease in the Parturient Philip Hess, MD

4:00pm to 4:30pm Obstetric General Anesthesia: Ten Ways to Reduce Risk and Incidents Lawrence C. Tsen, MD

4:30pm to 5:00pm PDPH Diagnosis and Treatment: Review of Recent Research and Its Immediate Clinical Implications Michaela Farber, MD

5:00pm to 5:30pm Q&A Drs. Bateman, Farber, Hess, Leffert and Tsen

Optional Workshops

5:30pm to 8:00pm Ether Dome Tour Susan Vassallo, MD (Limited to 50 attendees) Includes transportation and refreshments

5:30pm to 10:00pm Regional Anesthesia Workshop Hyun Kee Chung, MD (Limited to 50 attendees) Includes dinner Regional Anesthesia Workshop description


6:30am to 7:30am Continental Breakfast
Old Debates: New Evidence Moderator: Keira P. Mason, MD

7:30am to 8:10am Fit for Surgery: What Does This Mean? Michael (Monty) G. Mythen, MBBS, MD, FRCA, FFICM, FCAI (Hon)

8:10am to 8:50am Fluids or Vasopressors: From Waterworld to Wasteland Walid Habre, MD, PhD

8:50am to 9:30am Perioperative Management of Traumatic Brain Injury Christian Werner, MD, PhD

9:30am to 10:05am Controlled Rapid Sequence Induction and Intubation in Children Walid Habre, MD, PhD

10:05am to 10:15am Q&A Drs. Habre, Mason, Mythen and Werner

10:15am to 10:30am Break Refreshments provided

Everyday Clinical Challenges Moderator: Keira P. Mason, MD

10:30am to 11:10am Monitoring the Central Nervous System in 2019 Christian Werner, MD, PhD

11:10am to 11:50am Are We Poisoning Our Patients? Neurotoxicity and Other Toxicity of Anesthetic Agents in Children Gregory Hammer, MD

11:50am to 12:30pm Perioperative Management of Implantable Cardioverter Defibrillator Scott Streckenbach, MD

12:30pm to 12:45pm Q&A Drs. Hammer, Mason, Streckenbach and Werner

Lunch-and-Learn Roundtables (optional)

12:45pm to 2:15pm Lunch-and-Learn Roundtables (each roundtable limited to a maximum of 25 participants)

  • Becoming More Resilient in the Most Stressful Jobs of Anesthesiology and Critical Care Medicine (How to Thrive, Not Just Survive, in the OR and ICU)
    Gregory Hammer, MD
  • Strategies for Saving for College Jonathan Griswold, MD (This session not eligible for AMA PRA Category 1 Credit™)
  • Tracheostomy Placement: Not Merely Plug and Play Stephanie Yacoubian, MD
  • Acupuncture Workshop Yuan-Chi Lin, MD, MPH and Cynthia Tung, MD
  • The CRNA Perspective: Academic versus Private Practice Janet Valicenti, CRNA and Nelson Aquino, CRNA

The Experts Speak Moderator: Assia Valovska, MD

2:15pm to 2:40pm Advances and New Research in Cardiac Anesthesia J. Danny Muehlschlegel, MD, MSc

2:40pm to 3:05pm Improving Outcomes in Esophageal Surgery Jeremi R. Mountjoy, MSc, MD, FRCPC

3:05pm to 3:30pm Establishing and Refining a Culture of Safety in Anesthesia and Sedation Keira P. Mason, MD

3:30pm to 3:45pm Q&A Drs. Mason, Mountjoy, Muehlschlegel and Valovska

Clinical Pearls: Regional Anesthesia Moderator: Jeremi Mountjoy, MD, MSc, FRCPC

3:45pm to 4:15pm Epidural Anesthesia in the Modern Era: The Case for Routine Use of Fluoroscopy Brian D. Sites, MD

4:15pm to 4:45pm An Indispensable Refresher on Local Anesthetics Philipp Lirk, MD, MSc, PhD

4:45pm to 5:15pm Liposomal Bupivacaine: Lessons Learned Brian D. Sites, MD

5:15pm to 5:30pm Q&A Drs. Lirk, Mountjoy and Sites

Optional Skills Development Workshop

5:30pm to 10:00pm Difficult Airway Workshop

Andrew Miller, MD (Limited to 50 attendees) Off site - Includes dinner and transportation Difficult Airway Workshop description


6:30am to 7:30am Continental Breakfast
Protecting Myocytes: The Aging Neurons Moderator: Sugantha Sundar, MD

7:30am to 8:10am Cardioprotective Effects of Anesthetic Agents: Myth or Reality? Stefan De Hert, MD, PhD

8:10am to 8:50am The Aging Anesthesia Practitioner Gregory J. Crosby, MD

8:50am to 9:30am What to Do with Perioperative Beta-Blocking Therapy, Anno 2019 Stefan De Hert, MD, PhD

9:30am to 9:45am Q&A Drs. Crosby, De Hert and Sundar

9:45am to 10:00am Break Refreshments provided

Perioperative Care of the Obese Patient Moderator: Stephanie B. Jones, MD

10:00am to 10:30am Predicting and Managing MODA: The Morbid Obesity Difficult Airway Naveen Eipe, MBBS, MD

10:30am to 11:00am Evidence-Based Management of Obstructive Sleep Apnea Eswar Sundar, MD

11:00am to 11:30am The Obese Patient in the PACU: VTE, Rhabdomyolysis and PONV Stephanie B. Jones MD

11:30am to 12:00pm Ambulatory Surgery in Morbid Obesity: Controversies and Conundrums Naveen Eipe, MBBS, MD

12:00pm to 12:15pm Q&A Drs. Eipe, Jones and Sundar

Lunch-and-Learn Roundtables (optional) 12:15pm to 1:45pm Lunch-and-Learn Roundtables (each roundtable limited to a maximum of 25 participants)

Corporate Structure and Financial Implications for Private Anesthesia Practice Anh Ngo, MD Anesthetic Implications for Mechanical Thrombectomy after Embolic Stroke Lauren Buhl, MD, PhD and Ala Nozari, MD, PhD Managing the Pregnant Patient for Non-Obstetric Surgery
Jamie L. Daly, MD and Richard Steinbrook, MD Blocks Beyond the Sciatic Nerve: When and How Ivan Valovski, MD The Everyday and the Rare: Anesthesia for Interventional Pulmonology Procedures Ameeka Pannu, MD and John Pawlowski, MD, PhD

The Art of Ambulatory and Office-Based Anesthesia

Moderator: Jeremi Mountjoy, MD, MSc, FRCPC

1:45pm to 2:15pm Office Based Anesthesia: Practice Management and Accreditation Fred Shapiro, DO

2:15pm to 2:45pm Anticoagulants and Regional Anesthesia Lisa Kunze, MD, PhD

2:45pm to 3:15pm Clinical Applications of Ketamine Satya Krishna Ramachandran, MD

3:15pm to 3:30pm Q&A Drs. Kunze, Mountjoy, Ramachandran and Shapiro

3:30pm to 3:45pm Break Refreshments provided

Hot Topics in Pain Management

Moderator: Assia Valovska, MD

3:45pm to 4:15pm Placebo and Clinical Practice Brian E. McGeeney, MD, MPH, MBA

4:15pm to 4:45pm Establishing a Smooth Transition of Care: From Acute to Chronic Pain Musa Aner, MD

4:45pm to 5:15pm Evidence-Based Perioperative Management of the Opioid-Tolerant Patient Thomas Simopoulos, MD

5:15pm to 5:30pm Q&A Drs. Aner, McGeeney, Simopoulos and Valovska

Optional Skills Development Workshop

5:30pm to 10:00pm ACLS Workshop

Hovig Chitilian, MD (Limited to 50 attendees) Includes dinner ACLS Workshop description


6:30am to 7:30am Continental Breakfast
Management of Trauma and Hemorrhage Moderator: Jeremi Mountjoy, MD, MSc, FRCPC

7:30am to 8:10am Stat Trauma to the Operating Room: Management Pearls David Silver, MD

8:10am to 8:50am Point-of-Care Ultrasound Feroze Mahmood, MD

8:50am to 9:25am Factor Concentrates in the Perioperative Period Adam Lerner, MD

9:25am to 10:00am Perioperative Blood Transfusion Guidelines Lynne Uhl, MD

10:00am to 10:15am Q&A Drs. Lerner, Mahmood, Mountjoy, Silver and Uhl

10:15am to 10:30am Break Refreshments provided

End-of-Life Care Moderator: Keira P. Mason, MD

10:30am to 11:05am Comfort: Symptom Management for Patients at the End of Life Kathleen Lee, MD

11:05am to 11:40am Communication Needs of Patients and Their Families at the End of Life Rachelle Bernacki, MD

11:40am to 12:15pm Continuity: Hospice Care and Care of the Bereaved Susan Morris, PsyD

12:15pm to 12:45pm Q&A Drs. Bernacki, Lee, Mason and Morris

12:45pm to 1:00pm Closing Remarks Sugantha Sundar, MD

Who should attend

  • Anesthesiologists
  • Nurse Anesthetists
  • Anesthesiologist Assistants
  • Residents and Fellows
  • Student Nurse Anesthetists


Stefan De Hert received his medical degree at the University of Antwerp, Belgium in 1984. Subsequently he completed anesthesiology residency training at the Antwerp University Hospital. After his training he accepted a faculty position in the department and served as vice chairman of the Departme...
Languages Spoken: English, Japanese Dr. Egan completed his undergraduate education at Brigham Young University, graduating Magna Cum Laude in the humanities. He attended medical school at the University of Utah School of Medicine where he was inducted into the Alpha Omega Alpha academic honor so...
Dr. Fleisher is interested in health policy and defining metrics around quality of care. He is Chair of the Consensus Standards Advisory Committee and co-chair of the Surgery Standing Committee of the National Quality Forum, and a member of the Administrative Board of the Council of Faculty and...
Professor Walid Habre is Senior Consultant in Paediatric Anaesthesia and Head of the Unit for Anaesthesiological Investigations at the University Hospitals of Geneva. As a clinical scientist, he is leading a research group at the University of Geneva and had several scientific projects granted by...
PRACTICE AREAS Anesthesia/Anesthesiology PROFESSIONAL EDUCATION Medical Education: University of Illinois Emergency Medicine Residency (1982) IL Board Certification: Pediatric Critical Care Medicine, American Board of Pediatrics (1990) Internship: Children's Hospital of Oakland (1983) CA Resi...
Professional background Monty is the Smiths Medical Professor of Anaesthesia and Critical Care at University College London. Director of The UCL Discovery Lab at The London 2012 Olympic legacy Institute of Sport Exercise and Health. Before returning to the UK, Monty was an assistant Professor at...
Dr. Philippe Richebe is Professor and Anesthesiologist at Maisonneuve-Rosemont Hospital, University of Montreal, Quebec, Canada. Dr. Richebe was previously Associate Professor of Anesthesiology and Pain Medicine and the Director of the Post-Operative Pain Chronicization Laboratory at the Universi...
Dr. Sessler is the Michael Cudahy Professor and Chair of the Department of OUTCOMES RESEARCH at the Cleveland Clinic. He is an editor for Anesthesiology and serves as a reviewer for more than 50 journals. His grants total $60 million. Dr. Sessler has published more than 750 full research papers w...
Dr. Brian Sites, MD is a board certified anesthesiologist in Lebanon, New Hampshire. He is currently licensed to practice medicine in New Hampshire. He is affiliated with Dartmouth-Hitchcock Medical Center and is an Associate Professor at Geisel School of Medicine. Associate Dean for Continuing...
ACADEMIC POSITION: Professor of Anesthesiology and Chairman, Department of Anesthesiology, Johannes Gutenberg-Universität Mainz, Germany BACKGROUND: Professor Werner received his medical degrees at the Rheinische Friedrich Wilhelms-Universität in Bonn, Germany in 1986. He subsequently compl...


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