6th Annual Critical Care Conference
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34th Annual Meeting Final Program


FINAL PROGRAM

AAPA Category 1 CME credit by the Physician Assistant Review Panel Logo This program has been reviewed and is approved for a maximum of 85.50 hours of AAPA Category 1 CME credit by the Physician Assistant Review Panel. Physician assistants should claim only those hours actually spent participating in the CME activity.

This program was planned in accordance with AAPA's CME Standards for Live Programs and for Commercial Support of Live Programs.


Sunday, March 1, 2015
0630-1730  Registration
0730-1230   LAB: BIOSKILLS/CRITICAL SKILLS PROCEDURAL COURSE**
Merin Lab (Off-property) – Transportation Departs at 0700
Course Chair:Steven M. Gottesfeld, PA-C
Sharp Memorial Hospital, San Diego, CA

The Bioskills/Critical Skills Procedural Course provides the guided hands-on experience needed to master the following skills. A combination of practice on mannequins and cadavers will give attendees practical experience needed to excel.

  1. Cadaveric Bronchoscopy
  2. Percutaneous Tracheostomy/Emergent Croicoidotomy
  3. Chest Tube Placement
  4. Endotracheal Intubation and Mechanical Ventilation
  5. Advanced Hemodynamic Monitoring

Participation will be limited to the first 30 individuals who register.
0730-1630   LAB: VASCULAR EXPOSURE AND ANASTOMOSIS SKILLS COURSE **
The Oquendo Center (Off-property) – Transportation Departs at 0700
Course Chair: Shawn M. Gage, PA-C
Duke University Medical Center, Durham, NC
Course Faculty: Jeffrey H. Lawson, MD, PhD
Professor of Surgery, Division of Vascular Surgery Duke University Medical Center, Durham, NC
Stephen E. Hohmann, MD
Texas Vascular Associates, Dallas, TX

This course is intended to provide an experience for Physician Assistants looking to enter into the field of, or improve their fund of knowledge regarding vascular surgical assistance and operative techniques, as well as provide an orientation to the knowledge and skills required to be effective in the Operating Room. At the conclusion of this activity, participants should be able to:

  • Manage the Physician Assistant – Surgeon Relationship and identify the role of the Physician Assistant in Operative Cases
  • Evaluate the core principles of operative first assistance
  • Demonstrate ability to safely expose and dissect blood vessels
  • Demonstrate basic understanding of how to create a vascular anastomosis.
  • Demonstrate the basic skills required of a Physician Assistant in the Operating Room

Participation will be limited to the first 24 individuals who register.
0800-1200   CARDIAC MECHANICAL ASSIST COURSE FOR THE ICU**
Bellagio
Course Chair: Konstadina Darsaklis, MD
Advanced Heart Failure & Transplant Cardiologist
Hartford Hospital, Hartford, CT
View First Talk
View Second Talk
View Third Talk
View Fourth Talk
View Quiz
Listen to Audio 1
Listen to Audio 2
Listen to Audio 3

The Cardiac Mechanical Assist Course for the ICU includes intense didactic and hands-on instruction in the indications and management of cardiac mechanical assist devices in the ICU. The course will cover the indications, contraindications, and management of patients who require IABP (Intra-Aortic Balloon Pump), MCS (Mechanical Circulatory Support), and LVAD (Left Ventricular Assist Device) support in the ICU.

At the conclusion of this activity, participants should be able to:

  • Develop a differential diagnosis and recognize profound cardiogenic shock.
  • Understand the indications and contraindications for Cardiac Mechanical Assist in the ICU.
  • Identify and understand the advantages and disadvantages of common Cardiac Mechanical Assist Devices.
  • Understand the treatment goals and be able to implement a treatment plan.
  • Develop familiarity with common Cardiac Assist Devices and troubleshoot problems.

Participation will be limited to the first 60 individuals who register.
0800-1730   CARDIAC SURGICAL UNIT ADVANCED LIFE SUPPORT (CSU-ALS)**
Bellagio

This course is designed for experienced CVS nurses, NP’s, and PA’s wishing to learn a novel, evidence-based approach to the resuscitation of post-operative heart patients. Using a format similar to Advanced Cardiac Life Support (ACLS), this program will include didactic lectures as well as hands-on practice with emergency pacing, internal and external defibrillation, and open chest resuscitation techniques. At the conclusion of this activity, participants should be able to:

  • Distinguish critical differences between protocols for ACLS versus CALS-S.
  • Discuss common causes of hypotension and their management in the postoperative CVS patient.
  • Identify the appropriate sequencing of emergency procedures to be followed for cardiac arrest in the CVS patient.
  • Obtain hands-on practice with open and closed chest resuscitation scenarios.

Participation will be limited to the first 50 individuals who register.

Background
In 2003, a group of dedicated UK surgeons embarked upon the development of resuscitation protocols designed specifically for postoperative cardiovascular surgical (CVS) patients. After conducting an exhaustive literature analysis, surgeon surveys, and clinical practicums, they created the Cardiac Surgical Unit Advanced Life Support (CSU-ALS) course. They have partnered with us to create this one-day intensive program for the U.S. that addresses management of postoperative decompensation and emergency re-sternotomy, using a common language for all providers. This approach has been accepted as the official protocol in Europe since 2010. Jill Ley is a member of a U.S. Society of Thoracic Surgeons task force that is currently writing a new guideline for postop resuscitation, which will endorse these concepts.

0800-1730  CARDIAC SURGICAL UNIT ADVANCED LIFE SUPPORT (CSU-ALS)**
TRAIN-THE-TRAINER*

*Invitation Only: Must have previously completed a CSU-ALS Course.
Please contact the APACVS Office if you are interested and qualify.
Bellagio
1000-1015   Coffee Break
1200-1300   Lunch
1300-1800   LAB: ADVANCED STERNAL CLOSURE COURSE**
Merin Lab (Off-property) – Transportation Departs at 1200
Course Chair: Steven M. Gottesfeld, PA-C
Sharp Memorial Hospital, San Diego, CA

The Advanced Sternal Closure Course provides a guided hands-on experience needed to master the following skills. A combination of practice on mannequins and cadavers will give attendees practical experience needed to excel.

  1. Single Wires
  2. Double Wires
  3. Talon Internal Fixation Device
  4. Sternal Plating
  5. Epicardial Pacemaker Wire Placement
  6. Cadaveric Closure Model

Participation will be limited to the first 15 individuals who register.
1345-1730   OPENING SESSION
1345   Welcome/Introduction
Listen to Audio
David Lizotte, APACVS President
1400   FEATURED DEBATE:
Treating Coronary Artery Disease: Surgical Revascularization vs. PCIExploring the Controversy
Moderator: Duke Cameron, MD
Panelists: Robert Adamson, MD; Robert Kumar, MD
View Adamson's Presentation
View Kumar's Presentaion
1530   SUSAN LUSTY ABSTRACT PRESENTATION
LIQUID TRANSPLANT: A Look at Comprehensive Blood Management

Listen to Audio
Christopher L. Aylsworth, PA-C, Carlos R. Ortega, MS, PA-C, Hans M. Haupt, MD
Phoenixville Hospital- Penn Cardiac, Phoenixville, PA, USA
1615   State of the Art CABG: Moving Multiple Arterial Grafting Into the Mainstream
Listen to Audio
John D. Puskas, MD
1700   NCCPA Update
Listen to Audio
Greg Thomas, PA, MPH
1730-1900   Welcome Reception
Exhibit Hall
**Advanced Registration Required
Monday, March 2, 2015
0630-1730   Registration
0630-0730   Continental Breakfast
0730-1200   GENERAL SESSION
0730   Training World Class Bedside Assistants – “Chasing Mastery"
Listen to Audio
Robert Cerfolio, MD
0830   Update on Human Tissue Engineered Grafts
Listen to Audio
Jeffrey Lawson, MD, PhD
0930-1000   Coffee Break
1000-1100   Transcatheter Aortic Valve Replacement (TAVR): Looking Back, Looking Forward
Listen to Audio
Gilbert Tang, MD
1100-1130   Presidential Address
Listen to Audio
David Lizotte, Jr., PA-C, APAS, FAPACVS
1130-1200   APACVS Member Business Meeting (Members Only)
1200-1330   Lunch & Learn (Non-Accredited)
1330-1800   CONCURRENT BREAKOUT SESSIONS
   
Thoracic Breakout
1330-1530   Debate: VATS vs Robotic Assisted Lobectomy
Moderator: John Howington, MD
Panelists: Daniel Miller, MD; Mark Dylewski, MD
View Dylewski's Presentaion
View Howington's Presentaion
Listen to Audio
1530-1600   Break
1600-1700   Management of Prolonged Air Leak and BPF
Listen to Audio
John Howington, MD
1700-1800   VATS Approach to Infected Pleural Space
Listen to Audio
Anthony W. Kim, MD
 
Vascular Breakout
1330-1430   Carotid Stenting: A Review of the Current Data
Listen to Audio
James Zidar, MD
1430-1530   Mindful Evaluation of the Hemodialysis Access Patient
Listen to Audio
Steve Hohmann, MD
1530-1600   Break
1600-1700   A Review on Venous Insufficiency and Current Treatment
Listen to Audio
Daniel Geersen, PA-C, MPAS
1700-1800   Decision Making For Level of Limb Amputation
Listen to Audio
Shawn M. Gage PA
 
Cardiac Breakout**
View Course Information
1330-1530   Cardiac Surgical Unit Advanced Life Support (CSU-ALS) Part 1a
1530-1600   Break
1600-1800   Cardiac Surgical Unit Advanced Life Support (CSU-ALS) Part 1b
**Advanced Registration Required
Tuesday, March 3, 2015
0630-1730   Registration
0630-0730   Continental Breakfast
0730-1200   GENERAL SESSION
0730   Raising the Bar: the Highs and Lows of Postoperative Glycemic Control in Cardiac Patients
Listen to Audio
Joshua Miller, MD
0830   Management of the Thoracic ICU Patient
Listen to Audio
Arthur Tokarcyzk, MD
0930-1000   Break
1000-1100   New Surgical Procedures for Atrial Fibrilation: How CT Surgeon and EP Cardiologist are Working Together on Combined Procedure
Listen to Audio
Randall Lee, MD
1100-1200   Evaluation and Treatment of Esophageal Cancer
Listen to Audio
Mark Orringer, MD
1200-1330   Lunch & Learn (Non-Accredited)
1330-1800   CONCURRENT BREAKOUT SESSIONS
   
Thoracic Breakout
1330-1430   Tracheal Resection
Listen to Audio
David Finley, MD
1430-1530   Benign Esophageal Disease
Inderpal (Netu) Sarkaria, MD
1530-1600   Break
1600-1700   Robotic Ivor Lewis: Latest Results
Inderpal (Netu) Sarkaria, MD
1700-1800   Post-operative Esophagectomy Pathways
Listen to Audio
Jules Lin, MD
 
Vascular Breakout
1330-1430   AAA Repair: Open vs. Endo? How to Decide
Listen to Audio
Rebecca Kelso, MD
1430-1530   Measure Twice, Cut Once: How to Prepare for an EVAR Case
Listen to Audio
Doug Bashar, PA, MBA
1530-1600   Break
1600-1700   Post EVAR Surveillance: How often, by what modality, is it forever?
Daniel Brunengraber, MD
1700-1800   Considerations in Staged Aortic Debranching for Aneurysmal Disease or Dissection
Listen to Audio
G. Chad Hughes, MD
 
Cardiac Breakout**
View Course Information
1330-1530   Cardiac Surgical Unit Advanced Life Support (CSU-ALS) Part 2a
1530-1600   Break
1600-1800   Cardiac Surgical Unit Advanced Life Support (CSU-ALS) Part 2b
**Advanced Registration Required
Wednesday, March 4, 2015
0630-1730   Registration
0630-0730   Continental Breakfast
0730-1200   CARDIAC GENERAL SESSION
0730   Recent Advances in the Surgical Treatment of Coronary Artery Disease
Listen to Audio
Harold A. Fernandez, MD
0830   On-Pump vs. Off-Pump Coronary-Artery Bypass Surgery
A. Laurie Shroyer, PhD, MSHA
0930-1000   Break
1000   Long-term Outcomes of EVH: Update from the REGROUP Trial
Listen to Audio
Marco A. Zenati, MD
1100   Cardiac Imaging and EECP
Listen to Audio
Michael Poon, MD
1200-1330   Lunch & Learn (Non-Accredited)
1330-1800   CARDIAC GENERAL SESSION
1330   CAD Case Presentations and Discussion
Joseph Tomasino, PA-C
1430   Update on the Emergent Use of Percuteanous Extracorporreal Support in the Critically Ill Patient
Listen to Audio
Karl Limmer, MD
1530-1600   Break
1600   Evaluation and Treatment of Acute Right Heart Failure in the LVAD Patient
Listen to Audio
Robert Adamson, MD
1700   LVAD Update, Axil Flow vs. Centrifugal Pumps
Listen to Audio
Robert Adamson, MD
**Advanced Registration Required