Friday, September 22, 2017
||Welcome & Opening Remarks - Eric Fry, MD, Fry Eye Associates, P.A.
||Pediatric Ophthalmology & Adult Strabismus Surgery - Scott Olitsky, MD, Children's Mercy Kansas City
Learning Objectives: Participants will be able to describe the basic types of surgery performed by pediatric ophthalmologists and adult strabismus surgeons, and when certain types of procedures may be used; Identify when different types of anesthesia techniques may be used in pediatric ophthalmology and adult strabismus surgery.
||Respiratory Depression and Consideration for Monitoring Following Ophthalmic Surgery - Athir Morad, MD, Johns Hopkins Medicine
Learning Objectives: Participants will be able to discuss the impact of "MAC" sedation and General Anesthesia on post-operative respiration; Review the efficacy of post-operative monitoring in capturing respiratory depression.
||Anesthetic Considerations in Glaucoma Surgery - Paul Munden, MD, University of Kansas Medical Center
Learning Objectives: Participants will be able to discuss the considerations for patient comfort and pain control unique to glaucoma surgery; Implement improved coordination between anesthetist and surgeon to enhance outcomes for glaucoma surgeries.
||Tips and Tricks: Time-Saving Techniques - Tina Roberts, RN, Precision Lens
Learning Objectives: Participants will be able identify techniques to improve patient flow and efficiency for staff; Identify two areas to improve infection control in their facilities and save time.
Hear previews of posters that will be featured during the evening Poster & Exhibitor Reception
||Question & Answer for Previous Lectures
Attendees' chance to ask questions and further discuss content from previous lectures.
||Poster & Exhibitor Reception
P1. Higher Dose of Palonosetron Versus Lower Dose of Palonosetron Plus Droperidol for Preventing PONV After Eye Enucleation and Orbital Hydroxyapatite Implant Surgery: A Randomized, Double-Blind Trial
Fang Tan, Eye Ear, Nose and Throat Hospital of Fudan University, Shanghai, China
P2. Overview of Ophthalmic General Anesthesia: A Year's Experience
Abhisesh Shrestha, MD, Tilganga Institute of Ophthalmology, Kathmandu, Nepal
P3. Anesthetic Management of a Pre-Term with Pulmonary Hypoplasia for Vitreo-Retinal Surgery
Shobha Ravishank, MBBS, DA, Medical Research Foundation, Chennai, India
P4. A Rare Case of Intra-Operative Seizures
Sujatha Vittal, MBBS, DA, Medical Research Foundation, Chennai, India
P5. Second Eye Effect Update
Derek Sakata, MD and Robert Langston, CRNA, University of Utah Moran Eye Hospital, Salt Lake City, Utah
Saturday, September 23, 2017
||Cardiac Disease and Implications of Ophthalmic Surgery - Jochen Steppan, MD, Johns Hopkins Medicine
Learning Objectives: Participants will be able to identify patients presenting for ophthalmological surgery who are at increased perioperative risk due to severe cardiovascular disease presenting for ophthalmological surgery.
||Ophthalmic Anesthesia Jeopardy - Tina Tran, MD, Johns Hopkins Hospital
Learning Objectives: Participants will be able to identify current best practices for ophthalmic surgery; Name different surgical techniques for common ophthalmic surgery; List standard of care practices according to ASA guidelines and recommendations.
||Eye Injury in Non-Ophthalmic Surgery - Zhuang Fang, MD, University of California, Los Angeles
Learning Objectives: Participants will be able to discuss the incidence and common causes of eye injury during non-ophthalmic surgery; Discuss the treatment and strategy for prevention of eye injury during non-ophthalmic surgery.
||Hustead Memorial Lecture: Use of MKO Melt in Ophthalmic Surgery - William Wiley, MD, Cleveland Eye Clinic
Learning Objectives: Participants will be able to discuss the options of using sublingual sedation; Discuss the dosing recommendations, medication strategies, timing, and risks and benefits of sublingual sedation.
|11:45 am-12:00 pm
||Discussion of Previous Lectures
Attendees' chance to ask questions and further discuss content from previous lectures.
||Lunch Break - Attendees on Own
||Update on Hemorrhagic Occlusive Retinal Vasculitis (HORN) - Gregory Fox, MD, Retina Associates, P.A.
Learning Objectives: Participants will be able to identify the syndrome HORN; Discuss the potential risks and benefits surrounding the use of antibiotics during intra-ocular surgery.
||Pro/Con Debate: Anesthesia Provides Both Sedation and Ophthalmic Block? - Dave Stange, CRNA, Medical and Surgical Eye Associates (pro) & Athir Morad, MD, Johns Hopkins Medicine (con)
Learning Objectives: Participants will be able to describe the benefits of Propofol in an ophthalmic block model; Discuss the benefits of the block model for the surgeon; Review the risks and complications of the ophthalmic block; Discuss alternatives to the performance of ophthalmic blocks by anesthesiologists.
||Parabulbar Block - Scott Greenbaum, MD, Greenbaum Eye Associates
Learning Objectives: Participants will be able to identify the indications for sub-Tenon's anesthesia; Discuss the important differences between anterior and posterior sub-Tenon's anesthesia.
||The Peri/Retrobulbar Block: Utilizing the Geometrical Approach, A Shifting Paradigm - Randolf Harvey, CRNA, Florida Eye Clinic / Ambulatory Surgery Center
Learning Objectives: Participants will be able to direct the needle tip parallel to the orbital apex, the optic nerve and the macula; Identify the orbital-globe relationship using an external measurement and the geometrical approach.
| 4:00-5:30 pm
||Hands-On Eye Block Workshop with Pig Eyes & Cadaver Heads (additional $20 fee required) - Richard Rivers, MD, PhD, MBA, Johns Hopkins University; Gary Cass MD, Tampa Eye and Specialty Surgery Center; Scott Greenbaum, MD Greenbaum Eye Associates; Howard Palte, MBChB, Bascom Palmer Eye Institute
Learning Objectives: Participants will be able to discuss the relevant anatomy of the eye and orbit; Review the principles of topical, peribulbar, retrobulbar, sub-Tenon's and nerve blocks; Recognize pre-operative risk factors and complications and their appropriate treatments; Impart detailed knowledge of the orbital anatomy; Demonstrate the techniques for performing the blocks and discuss their potential complications.
Session participants will be provided a Certificate of Completion at the conclusion of the workshop.
Sunday, September 24, 2017
||Member Business Meeting
Open to all OAS members: Join us for breakfast and your chance to hear updates from OAS leadership on the organization's finances, membership and future initiatives. Also, participate in the election of the 2017 Board of Directors.
||Smart Oxygen Delivery System - Derek Sakata, MD, University of Utah, John Moran Eye Hospital & Robert Langston, CRNA, University of Utah, John Moran Eye Hospital\
Learning Objectives: Participants will be able to describe oxygen delivery systems for non-intubated patients undergoing sedation; Describe respiratory monitoring of non-intubated patients undergoing sedation.
||Cataract Surgery: From Less Drops to Drop-less - David Markoff, MD, Mountain Eye Associates
Learning Objectives: Participants will be able to describe the different methods of administering antibiotic and anti-inflammatory medications for cataract surgery; Discuss the pros and cons associated with transitioning from drops to drop-less cataract surgery.
|9:30-10:00 am ||Non-Narcotic Perioperative Analgesia: A New Optic for the Ophthalmic Anesthesiologist - Lindsey Nelson, MD Vail Valley Medical Center|
Learning Objectives: Participants will be able to discuss the causes of the current opioid epidemic and the implications for the perioperative management of pain in patients undergoing eye surgery; Discuss the pathways of pain and current effective non-narcotic strategies in both the acute pain and acute on chronic pain patients.
||Propofol 'Sedation': Is it Mad, Bad and Dangerous to Know? - Michael Phelps, MD, Johns Hopkins Hospital
Learning Objectives: Participants will be able to describe the continuum of consciousness that includes MAC and general anesthesia; Identify potential concerns using general anesthesia without a secure airway.
||You Be the Judge: Interesting Cases - Howard Palte, MBChB, Bascom Palmer Eye Institute
Learning Objectives: Participants will be able to describe clinical situations in which anesthetic management is contentious; Outline key considerations in opting between MAC and GA; List patient factors that may preclude surgery in an outpatient facility; Discuss important equipment and backup facilities for day-case eye surgery; Debate the pros and cons of preoperative assessment for eye surgery cases; Recognize common clinical syndromes associated with ocular pathology.
|11:30 am-12:00 pm
||Cataract Surgery: The Good, the Bad and the Ugly! - Eric Fry, MD, Fry Eye Associates, P.A.
Learning Objectives: Participants will be able to discuss the appropriate steps to take when faced with a choridal hemorrhage; Determine when topical or retrobulbar anesthesia for cataract surgery is appropriate in standard and complex cataract surgery; Discuss strategies for lens placement in an eye with compromised or absent capsular support.