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Scientific Program    

Accreditation Information       

Disclosure Policy

The American Society of Anesthesiologists remains strongly committed to providing the best available evidence-based clinical information to participants of this educational activity and requires an open disclosure of any potential conflict of interest identified by our faculty members. It is not the intent of the American Society of Anesthesiologists to eliminate all situations of potential conflict of interest, but rather to enable those who are working with the American Society of Anesthesiologists to recognize situations that may be subject to question by others. All disclosed conflicts of interest are reviewed by the educational activity course director/chair to ensure that such situations are properly evaluated and, if necessary, resolved. The American Society of Anesthesiologists educational standards pertaining to conflict of interest are intended to maintain the professional autonomy of the clinical experts inherent in promoting a balanced presentation of science. Through our review process, all American Society of Anesthesiologists CME activities are ensured of independent, objective, scientifically balanced presentations of information. Disclosure of any or no relationships will be made available for all educational activities.

Disclosures

The following speakers, and/or planning committee members have indicated that they have relationships with ineligible companies to disclose.

  • Dr. Sakata disclosed that he is a Fiduciary Officer for Dynasthetics has Stock with Anecare.
  • Dr. Aldave disclosed he is a consultant with Avellino Laboratories, Dompe US, Inc., GlaxoSmithKline, Presbia, and W. L. Gore & Associates, Inc.
  • Dr. Myer has disclosed he is a consultant for Carl Zeiss Meditec, Inc. and Leiters.

All relevant financial relationships for this activity have been mitigated.

All other planners, faculty, and staff have disclosed no relevant financial relationships with ineligible companies.

CME / CE Credits

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the

Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Society of Anesthesiologists and Ophthalmic Anesthesia Society. The American Society of Anesthesiologists is accredited by the ACCME to provide continuing medical education for physicians.

ACCME Accreditation

The American Society of Anesthesiologists designates this live activity for a maximum of 16.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Nurse Anesthetists 

This program has been prior approved by the American Association of Nurse Anesthesiology for 16.00 Class A CE credits; Code Number 1041153; Expiration Date 9/12/2021.
 

Friday, September 10, 2021

Moderator: David Markoff, MD, FACS, Mountain Eye Associates

11:45 am-12:00 pm 
Welcome & Introductions - David Markoff, MD, FACS, Mountain Eye Associates, OAS President                                         

12:00-1:00 pm 
Antisepsis & Intracameral Antibiotics - William Myers, MD, Northwestern University

  • Describe important factors in compounded product use.
  • Discuss options for intracameral antibiotic, including their selection, preparation, and posology.
  • Describe options for ophthalmic antisepsis to reduce toxicity and enhance efficacy.

1:00-2:00 pm ASC Management within an Academic Medical Center Environment  - Derek J. Sakata, MD, John A. Moran Eye Center, University of Utah School of Medicine 

  • Discuss the strengths, weaknesses, opportunities and threats associated with management of an ambulatory surgery center in an academic setting.
  • Appreciate both present and future challenges that academic medicine will face.
  • Free associate ideas to mitigate financial, human resource, operational and other obstacles to a thriving academic practice.

2:00-3:00 pm  
Update on Ocular Venous Air Embolism - Robert Morris, MD, Helen Keller Foundation of Research and Education 

  • Discuss how air embolism can occur during vitrectomy eye surgery.
  • Recognize the symptoms at the onset of OVAE.
  • Discuss prevention strategies to avoid air embolism in eye surgery.

3:00-3:30 pm 
Break 

3:30-4:30pm 
Ophthalmic Plastic Surgery: MAC versus General - Liza M. Cohen, MD, Northwestern University

  • Outline key considerations in deciding between MAC and GA.
  • Discuss the composition, use and benefits of the MKO melt.
  • Describe the utility of using multiple anesthetic adjuncts.

4:30-5:30 pm 
Orbital Anatomy: Enhancing Your Visual Imagery - Randolf Harvey, CRNA, Florida Eye Clinic / ASC 

  • Discuss a mathematical approach to orbital blocks.
  • Identify the vital orbital structures.
  • Discuss pertinent differences in vital orbital structures.


5:30-5:45 pm 
Incidence of Venous Air Embolism During Ocular Air Fluid Exchange - George Dumas, MD, University of Alabama at Birmingham 

  • Describe how air fluid exchange (AFX) is used for retinal stabilization during vitrectomy.
  • Determine perioperative factors which may be associated with ocular venous air embolism.
  • Discuss how systemic venous air embolism as a potentially fatal but less known complication of AFX.

5:45-7:15 pm
Exhibit & Networking Reception 

Saturday, September 11, 2021 

Moderator: George A. Dumas, MD, University of Alabama at Birmingham 

8:00-9:00 am
Dexmedetomidine in CE - William Myers, MD, Northwestern University
  • Discuss newer options for procedural sedation for selected patients.
  • Consult in a more informed manner between ophthalmologist and anesthesia team on selected patients.
  • Collaborate to advance scientific research on patients prone to agitation with standard sedation.
    9:00-10:00 am 
    Ophthalmic Blocks: A Geometrical Approach - Randolf Harvey, CRNA, Florida Eye Clinic / ASC
    • Direct the needle tip parallel to the orbital apex, the optic nerve and the macular.
    • Identify the orbital-globe relationship utilizing an external measurement and the geometrical approach.
    • Discuss the relevant anatomy of the eye and orbit.

    10:00-10:30 am 
    Break 

    Saturday, September 11, 2021 (continued) 
    10:30-11:30 am
    Hustead Memorial Lecture: The Science of Sight - Addressing Corneal Blindness in the Developing World - Anthony J. Aldave, MD, The Stein Eye Institute, David Geffen School of Medicine at UCLA 
    • Describe the prevalence and causes of visual impairment and blindness from corneal diseases.
    • Describe the challenges faced in addressing visual impairment and blindness from corneal diseases.
    • Describe the effectiveness of approaches to decrease the burden of visual impairment and blindness from corneal diseases.
      12:00-1:00 pm 
      Lunch (provided) 

      1:30-2:30 pm 
      Perioperative Management of Cardiac Implantable Electronic Devices: Understanding What, How and Why- Lindsey A. Nelson, MD, MedStream Anesthesia, PLLC  

      • Discuss specific issues related to the equipment characteristics and troubleshooting for anesthesiologists.
      • Discuss the pathophysiology and device characteristics of cardiac implantable devices.
      • Describe proactive strategies to prevent malfunction of the devices during surgery.

        2:30-3:30 pm 
        Customized Corneal Transplantation: A Revolution in Evolution - Anthony J. Aldave, MD, The Stein Eye Institute, David Geffen School of Medicine at UCLA 

        • Describe the various forms of corneal transplantation that are currently available.
        • Describe the advantages of lamellar corneal transplantation over penetrating keratoplasty.
        • Describe the relevant criteria to be considered when deciding when to implant a keratoprosthesis (artificial cornea transplantation).

          3:30-5:30 pm 
          Extra/Intraconal Orbital Block Workshop - Randolf Harvey, CRNA, Florida Eye Clinic / ASC, Howard Palte, MD, University of Miami & Richard Rivers, MD, Johns Hopkins 

          • Discuss common complications of orbital blocks.
          • Discuss avoidance of orbital block complications.
          • Discuss treatment of orbital block complications.


          Sunday, September 12, 2021 
          Moderator: George Dumas, MD, University of Alabama at Birmingham 
          7:15-7:45 am
          OAS Membership Business Meeting

          7:45-8:45 am
          Pre-operative Anesthesia Evaluation for Cataract Extraction - Carolyn Jackson, MSN, CRNA, Johns Hopkins University School of Nursing

          •  Discuss strategies for lens placement in an eye with compromised or absent capsular support.
          • Determine when topical or retrobulbar anesthesia for cataract surgery is appropriate in standard and complex cataract surgery.
          • Discuss the appropriate steps to take when faced with a high risk for choridal hemorrhage.

          8:45-9:30 am
          Global Ophthalmology in Haiti  - William Myers, MD, Northwestern University 

          • Discuss how to volunteer in the global ophthalmology environment
          • Aid in the educational their peers in resource poor countries
          • Enhance their enjoyment of professional practice by volunteerism.

          9:30-10:00 am
          Extra-Ocular Muscle Injury And Diplopia from Ophthalmic Blocks - David Markoff, MD, Mountain Eye Associates 

          • Describe possible mechanism of damage to extra-ocular muscles from needle blocks.
          • Describe possible muscle toxicities from various anesthetic agents.
          • Describe ways to minimize risk of muscle injury with eye anesthesia.

          10:00-11:30 am
          Complex Case Discussion Panel Presentation - Eric Fry, MD, Fry Eye Associates, David Markoff, MD, Mountain Eye Associates, George Dumas, MD, University of Alabama at Birmingham & Randolf Harvey, CRNA, Florida Eye Clinic / ASC 

          • Describe clinical situations in which anesthetic management is contentious.
          • List patient factors that may preclude surgery in an outpatient setting.
          • Debate the pros and cons of preoperative assessment for eye surgery cases.

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