Download the program here. Additional lecture details with learning objectives are listed below.

 

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Scientific Program Schedule

Friday, September 11, 2020 (all times are CT)

1:20-1:30 pm

Welcome & Opening Remarks
Zhuang T. Fang, MD, UCLA

1:30-2:00 pm

Keratoconus and Corneal Transplantation
Uri Soiberman, MD, Wilmer Eye Institute, Johns Hopkins University 

• Discuss the natural history of keratoconus.
• Discuss treatment options for keratoconus.
• Describe the technique used in deep anterior lamellar keratoplasty.

2:00-2:30 pm

Adapting to Times: Providing Care for Patients Receiving Outpatient Ophthalmic Procedures Amidst the COVID-19 Pandemic
Jennifer Katsura, CRNA, UCLA Medical Center & Zhuang Fang, MD, UCLA

• Discuss the impacts of the COVID-19 pandemic on the anesthetic care of patients receiving outpatient ophthalmic procedures.
• Describe pre-operative COVID-19 protocols for outpatient ophthalmic procedures.
• Discuss anesthetic protocols for enhanced provider protection amid the COVID-19 pandemic.

2:30-3:00 pm

Monitored Anesthesia Care: A Simplified Proven Approach
Alan Zamora, MSN, CRNA, UCLA Health System & Zhuang Fang, MD, UCLA

• Discuss Ideal MAC technique
• Identify challenges to MAC anesthesia
• Discuss possible approach in standardizing MAC via 622 technique.

3:00-3:30 pm   

E-Cigarette Vaping, Marijuana Use and their Implications in Anesthesia
Elaine Liew, MD, UCLA Medical Center

• Discuss new information about vaping. 
• Evaluate the risks of vaping to our health.
• Discuss EVALI as a phenomenon associated with vaping. 

3:30-4:00 pm    

Eliminating the Preoperative History and Physical Examination in Low Risk Surgery Patients---Risky Business or Long Overdue?
Susan Wolf, PA-C, AA, BA, MPAS, MMS, Wilmer Eye Institute, Johns Hopkins Hospital

• List/evaluate tools used to screen patients to determine the need for a preoperative evaluation.
• Determine the risks of eliminating the preoperative history and physical examination.
• Determine if there is a difference in the incidence of significant medical events in the population that received a preoperative history and physical examination compared to those that did not.

4:00-4:30 pm   

Fast-Track Evaluation for Ophthalmic Surgery
Teri Fraley, RN, UCLA & Zhuang Fang, MD, UCLA

• Identify syndromes associated with difficult airway that are associated with cataract, glaucoma or strabismus.
• Identify factors that should be considered when scheduling a medically complex pediatric patient for outpatient surgery.
• Discuss benefits/risks of the use of different pre-medication regiments in medically complex pediatric patients. 

4:30-5:00 pm   

Telemedicine in Anesthesia Practice
Richard Rivers, MD, PhD, Johns Hopkins University & Susan Wolf, PA-C, AA, BA, MPAS, MMS, Wilmer Eye Institute, Johns Hopkins Hospital

• Discuss the meaning of telemedicine on the ambulatory setting
• Describe the limitations of telemedicine in the ophthalmic patient population
• Discuss how telemedicine has been affected by COVID-19

 

Saturday, September 12, 2020 (all times are CT)

9:00-9:15 am   

Welcome & Overview
Zhuang T. Fang, MD, UCLA

9:15-9:45 am   

Genetic Eye Disorders & Their Anesthetic Implications
Jefferson Doyle, MD, PhD, MHS, Wilmer Eye Institute

• Discuss inherited eye disorders with occult or frank systemic manifestations.
• Discuss ways they can manifest systemically.
• Learn to identify cases ahead of time to prevent complications.

9:45-10:15 am  

Anesthetic Consideration for Children with Congenital Disease Undergoing Ophthalmic Surgery
Ihab Ayad, MD, University of California, Los Angeles

• Discuss trisomy 21 common medical problems and their implication during anesthesia.
• Focus on neck instability in trisomy 21 patients and cardiac lesions as two common features.
• Discuss criteria and proper precautions to care for those children during ophthalmic surgery.

10:15-10:45 am

Update on Glaucoma in Pathophysiology and Treatment
Simon Law, MD, PharmD, Jules Stein Eye Institute

• Discuss the disease process of glaucoma.
• Recognize the risk factors of glaucoma.
• Discuss the current medical and surgical treatment options.

10:45-11:15 am

Eyelid and Orbit Anatomic Pearls
Robert Goldberg, MD, Jules Stein Eye Center, UCLA

• Discuss pertinent orbital anatomy for injections. 
• Recognize danger areas in the orbit. 
• Discuss orbital surface anatomy as it applies to anesthesiology. 

11:15 am-12:00 pm

Hustead Memorial Lecture: The Reemergence of Akinesia as a Target of Ophthalmic Anesthesia in Robotics, Stem Cell Transfer, and Gene Therapy
Scott Greenbaum, MD, NYU School of Medicine

• Identify the advantages of a still eye during cataract surgery.
• Identify the advantages of a still eye during newer eye surgical techniques.
• Discuss the advantages of akinesia provided by parabulbar anesthesia versus general and retrobulbar anesthesia.

12:00-12:15 pm

Break

12:15-12:45 pm

Cardiac Arrest in Ophthalmic ORs
Vinodkumar Singh, MD, University of Alabama at Birmingham

• Discuss causes of cardiac arrest in Ophthalmic cases.
• Discuss the reasons that may lead to cardiac arrest.
• Describe the precautions needed in ophthalmic surgeries.

12:45-1:15 pm

Ophthalmic Anesthesia Malpractice Claims
Michael Morley, MD, Massachusetts General Hospital & Anne Menke, RN, PhD, Ophthalmic Mutual Insurance Company

• List the top 3 types of injury patients suffered after anesthesia/sedation for eye surgery.
• Discuss risks to consider during a preoperative assessment.
• Consider measures that can improve the safety of ophthalmic anesthesia.

1:15-1:45 pm  

Staying out of Legal Crosshairs: An Overview of Opioid Enforcement Trends
Jason Steinhardt, JD, University of Maryland Law School

• Recognize methods used by law enforcement to investigate suspicious opioid prescriptions
• Understand "red flags" that may contribute to legal scrutiny
• Understand the legal processes may be initiated based on suspicious opioid prescription patterns

1:45-2:15 pm   

Update in ASC Compliance and Regulation During COVID-19 Pandemic
Elethia Dean, RN, PhD, ASC Compliance      

• Identify one update to Medicare Conditions for Coverage in 2020.
• List one deficiency citation related to COVID-19 pandemic.

2:15-3:15 pm   

Panel Discussion – Management of Difficult Cases

Moderator: Scott Greenbaum, MD, NYU School of Medicine

Zhuang Fang, MD, UCLA
Eric Fry, MD, Fry Eye Associates
Howard Palte, MD, Bascom Palmer Eye Institute
Tina Tran, MD, Johns Hopkins

• 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 for eye surgery cases.
• Recognize common clinical syndromes associated with ocular pathology.

3:15-3:45 pm   

Question & Answer & Discussion  

3:45-4:15 pm   

OAS Membership Business Meeting