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Pediatric Sedation Outside of the Operating Room

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  • 1. PEDIATRICSEDATIONOUTSIDE OF THEOPERATING ROOMInterContinental San Francisco Hotel, San Francisco, CASeptember 8-9, 2012Weekend Sedation ConferenceExploring the Current Practiceand Frontiers of SedationFriday, September 7, 2012Optional Full-Day Sedation Symposium:The Fundamentals of Sedation: Reviewing The BasicsBridging the SpecialtiesMonday, September 10, 2012Optional Full-Day High Fidelity Pediatric SedationSimulation WorkshopsCourse DirectorKeira P. Mason, MDDirector, Fundamentals of Sedation SymposiumMark G. Roback, MDDirector, Sedation Simulation WorkshopsJames Fehr, MD Featuring Keynote Speaker Kyle Maynard Abstracts Deadline New York Times Bestselling Author of JUNE 1, 2012 “No Excuses” www.PediatricSedationConference.com
  • 2. Planning Committee Keira P Mason, MD . Eduardo Alcaino, DMD Douglas Carlson, MD James Fehr, MD Gerald Ferretti, DDS Steve Green, MD Baruch Krauss, MD Jerrold Lerman, MD Timothy Martin, MD Mark Roback, MDCall For AbstractsDeadline for submission of Abstracts: June 1, 2012Detailed submission guidelines, abstract submission form, and disclosure form can be found at: www.pediatricsedationconference.comAbstracts are blindly reviewed by the abstract committee. Presenting authors will be notified if their abstract is chosen for posterdisplay at the September 8-9, 2012 conference. • Only abstract submitted in proper form will be considered. Please use the template which is available at the above website. • Ensure that the disclosure form is completed and returned with the abstract. (Only Presenting Author needs to complete this form) • Email the file to: amanda.buckley@childrens.harvard.edu. Subject line should read: Abstract submission – Presenting Au- thor’s Last Name, 1.e. – “Abstract Submission – Smith”. • These documents will be processed electronically. The blinded copy will be torn off and submitted to the reviewers. If your document does not strictly follow the proper format it will not be processed.
  • 3. Welcome Letter Dear Colleagues and Friends: It is our pleasure to welcome you to the 2012 Pediatric Sedation Outside of the Operating Room weekend conference, optional Friday symposium entitled The Fundamentals of Sedation: Reviewing the Basics, Bridging the Specialties, and optional Monday High Fidelity Pediatric Simulation Workshops. This year we are presenting a unique, enriching, and exciting conference. As always, we have a diverse group of internationally and nationally recognized speakers from a variety of disciplines. We are grateful to all the speakers and to each and every attendee. We have attendees from multidisciplines (emergency medi- cine, dental medicine, hospital medicine, intensive care medicine, pediatrics, anesthesiology, nursing, oncology, cardiology, radiology, hospital administration). Over the years, 17 countries have been represented (including Italy, the Netherlands, Israel, Canada, Australia, Hong Kong, New Zealand, Japan, Indonesia, South Africa, and Singapore). The specialized tracks, round table luncheons, and open forums enable us to share our experiences, ideas, and challenges. The Planning Committee presents a conference which we hope will interest specialists from every discipline and setting. We have also organized the program to allow time for questions and to encourage you to participate in a lively exchange of ideas. Recently, we introduced a full day of high fidelity sedation simulation and had overwhelming enrollment and feedback. In response to the attendee’s requests, we have continued with this full day of simulation which will be led by multi-specialty experts. Your thoughts and comments are invaluable in planning future courses. Feel free to approach myself, the Course Coordinator, or any member of the Planning Committee with your suggestions. On behalf of the entire faculty, myself, and the Course Coordinator, I would like to invite you to attend “Pediatric Sedation Outside of the Operating Room.” We hope that you find the course both educational and enjoyable. Sincerely, Keira P Mason, MD . Course DirectorEducational GrantsThis program is supported in part by The following company has providededucational grants from the following: in-kind support for the courseExhibitorsPlatinum Silver Bronze
  • 4. Keynote Speakers Kyle Maynard No Excuses: Pursuing Your Dream At All Costs Author of the New York Times Best Seller, “No Excuses” Kyle Maynard has appeared as a guest on The Oprah Winfrey Show, Larry King Live, ABC’s 20/20,Good Morning America, The CBS Early Show and as a cover story in USA Today. He continues to inspire as the author of his book, No Excuses (2005), a New York Times bestseller. Maynard was born March 24, 1986 with a condition known as congenital amputation that has left him with arms that end at the elbows and legs that end near his knees. His story begins as an 11-year old that wanted to wrestle and a coach that gave him an opportunity to try. In spite of his limitations, Maynard found a way to win 36 varsity matches his senior year, while defeating several state place finishers and state champions during his final season. With basically two elbows he can type up to fifty words per minute, eat and write without any adaptations, and drive a vehicle that has little modification. Maynard is the 2004 ESPY Award Winner (Best Athlete with a Disability), and was included in ESPN The Magazine, ESPN 100. He is the recipient of the 2004 Presidents Award for the Sports Humanitarian Hall of Fame. One year later, Maynard was inducted into the National Wrestling Hall of Fame with the Medal of Courage. In 2008, Maynard received the Highest Recognition Award of the Secretary of Health and Human Services because of his efforts as a life role model, motivational speaker and humanitarian. On April 25th of 2009, Maynard became the first quadruple am- putee to step into the cage and compete as an amateur noholds-barred fighter. Maynard’s most recent goal was accomplished when he reached the summit of Mount Kilimanjaro, the tallest mountain in Africa, with a team of several wounded veterans in January of 2012. Colonel Hon S. Pak, MD, FAAD Star Wars Application for Telemedicine in Sedation A Live Demonstration from the Battlefields of Afghanistan Dr. Pak is a recently retired Chief Information Officer of the US Army Medical Depart- ment, an $11 billion healthcare system with more than 60,000 employees. He was the Army’s first Chief Medical Information Officer prior to his promotion to CIO. He also previously served as President of the American Telemedicine Association, lead- ing the effort on global health and standards development for telehealth. Col. Pak has also headed the Advanced Information Technology Group within the Telemedi- cine and Advanced Technology Research Center, which has served as the U.S. De- partment of Defense health IT research and development arm. He is a distinguished graduate of the United States Military Academy.4 Pediatric Sedation OutsideCurrent Practice andRoom of Sedation 2012 Theme Exploring The of The Operating Frontiers
  • 5. International NationalFaculty FacultyAnthony Absalom, MBChB, FRCA, MD Thomas Anthony Anderson, MD, PhD James J. Fehr, MDProfessor of Anesthesia Instructor in Anesthesia Associate Professor,University Medical Center Groningen Department of Anesthesia, Anesthesia and PediatricsGroningen, Netherlands Critical Care & Pain Medicine Washington University Massachusetts General Hospital Director, Saigh Pediatric Simulation CenterEduardo A. Alcaino, BDS (Hons) MDSc FRACDS St Louis Children’s Hospital Somaletha T. Bhattacharya MD, FFARCSIMRACDS (Paed) Instructor in Anesthesia Lynne Ferrari, MDSpecialist Paediatric Dentist Department of Anesthesia, Chief, Perioperative Anesthesia ServicesVisiting Specialist Westmead Centre for Oral Health Critical Care & Pain Medicine Associate Professor of AnesthesiaVisiting Specialist Sydney Dental Hospital Massachusetts General Hospital Harvard Medical SchoolPresident of IAPD (International Association of Children’s Hospital BostonPaediatric Dentists) Clay Bordley, MD, MPHSpecialist Clinical Associate, Associate Professor of Pediatrics Gerald Ferretti, DDS, MS, MPHUniversity of Sydney, Australia Chief, Division of Pediatric Hospital and Emergency Medicine Professor and Chair of Pediatric Dentistry Medical Director, Pediatric Emergency Department School of Dental MedicineFranz E. Babl, MD, MPH Duke University Case Western Reserve UniversityAssociate Professor of Emergency Medicine Division Chief, Pediatric DentistryUniversity of Melbourne William Burns Rainbow Babies & Children’s HospitalRoyal Children’s Hospital and President of Global R&DMurdoch Children’s Research Institute Piramal Critical Care Roberta Forman, RN, BSN, MHAMelbourne, Australia Orchard Park, NY Department of Radiology Children’s Hospital BostonMaria Sammartino, MD Douglas Carlson, MDAssistant Professor, Professor of Pediatrics Steven Ganzberg, DMD, MS Washington University Clinical Professor and Chief,Anesthesia and Intensive Care Chief, Division of Pediatric Hospital Medicine Section of AnesthesiologyCatholic University of Sacred Heart (UCSC) St. Louis Children’s Hospital Director, Section of Dental AnesthesiologyRome, Italy UCLA School of Dentistry Maureen Carrier, RN, BSNDouglas Stewart, DMD Department of Radiology Steven Green, MDProgram Director, Grad Diploma in Children’s Hospital Boston Professor of Emergency Medicine and PediatricsClinical Dentistry Loma Linda University Medical Center and Children’s HospitalClinical Associate Professor, Yasmeen Daud, MD Loma Linda, CAClinical Dentistry (Sedation) Assistant Professor of PediatricsUniversity of Sydney Washington University Kim Hamlin, MDSydney, Australia Division of Pediatric Hospital Medicine Assistant Professor of Pediatrics St. Louis Children’s Hospital Washington University Division of Pediatric Hospital Medicine Jennifer Dearden, MD St. Louis Children’s Hospital Instructor in Anesthesia Harvard Medical School Gregory Hammer, MD Children’s Hospital Boston Associate Director, Pediatric ICU Anesthesia Director, Lucile Packard’s Children’s Hospital at Stanford Dana Farber Cancer Institute Professor, Anesthesiology and Pediatrics Stanford University School of Medicine Talmage D. Egan, MD Professor, Anesthesiology Tim Horeczko, MD, MSCR, FACEP FAAP , Adjunct Professor, Pharmaceutics Assistant Professor of Clinical Emergency Medicine Adjunct Professor, Bioengineering Department of Emergency Medicine Director, Neuroanesthesia UC Davis School of Medicine K.C. Wong Presidential Endowed Chair Director, Pediatric Advanced Life Support University of Utah UC Davis Medical Center Pediatric Sedation Outside of The Operating Room 2012 Theme Exploring The Current Practice and Frontiers of Sedation 5
  • 6. National Faculty Zeev N. Kain, MD, MBA Sam Mireles, MD Echo Rowe, MD Professor & Chair Clinical Assistant Professor Clinical Assistant Professor Associate Dean for Clinical Research Pediatric Cardiac Anesthesia Department of Anesthesia Department of Anesthesiology & Lucile Packard Children’s Hospital Lucile Packard Children’s Hospital Perioperative Care Stanford University School of Medicine Stanford University School of Medicine University of California, Irvine Manchula Navaratnam, MBChB, FRCA M. Saif Siddiqui, MD Robert (Bo) Kennedy, MD Clinical Instructor of Anesthesia Associate Professor of Anesthesiology Professor of Pediatrics Pediatric Cardiac Anesthesia UAMS College of Medicine Washington University Lucile Packard Children’s Hospital Director, Radiology Sedation and Anesthesia Associate Director, Stanford University School of Medicine Arkansas Children’s Hospital Educational Affairs, Emergency Services St. Louis Children’s Hospital Anna Maria Onisei, MD Michael Stabile, MD, MBA Associate Professor of Anesthesiology Adjunct Clinical Professor of Anesthesia Babu Koka, MBBS UAMS College of Medicine Vanderbilt University Medical School Clinical Director, Perioperative Anesthesia Associate Medical Director Chief of Anesthesia Council Assistant Professor of Anesthesia PULSE Center Operation Smile International Harvard Medical School Arkansas Children’s Hospital Children’s Hospital Boston Jennifer Wagner, MD Colonel (ret) Hon S. Pak, MD Clinical Assistant Professor Calvin Kuan, MD, FAAP Chief Executive Officer, Department of Anesthesia Attending Physician Pediatric Intensive Care Unit Diversinet Lucile Packard Children’s Hospital Children’s Hospital and Research Center Oakland Formerly, U.S. Army Medical Department, CIO, OTSG Stanford University School of Medicine Clinical Associate Professor Pediatric Cardiac Anesthesia Randy Prescilla, MD Randall Wetzel, MB BS Lucile Packard Children’s Hospital Instructor in Anesthesia Professor & Chair Stanford University School of Medicine Harvard Medical School Department of Anesthesiology and Critical Care Medicine Assistant in Perioperative Anesthesia Children’s Hospital Los Angeles Mohamed Mahmoud, MD Children’s Hospital Boston Associate Professor of Clinical Anesthesia and Pediatrics Vanessa Young, RN, BA Director, Radiology Anesthesia and Sedation Christine Quinn, DDS, MD Department of Anesthesiology, Cincinnati Children’s Hospital Medical Center Clinical Professor of Dental Anesthesiology Perioperative and Pain Medicine Residency Director, Dental Anesthesiology Children’s Hospital Boston Timothy W. Martin, MD, MBA UCLA School of Dentistry Professor of Anesthesiology Steven Zgleszewski, MD Vice Chair for Education & Administration Sharon Redd, MD Assistant Professor of Anesthesia Department of Anesthesiology Assistant Professor of Anesthesia Harvard Medical School Arkansas Children’s Hospital Harvard Medical School Anesthesia Director, UAMS College of Medicine Children’s Hospital Boston Gastroenterology Procedure Unit Chief, Division of Pediatric Anesthesia Children’s Hospital Boston Arkansas Children’s Hospital Mark G. Roback, MD Professor of Pediatrics & Emergency Medicine Shannon Zhang, MD Keira P. Mason, MD University of Minnesota Medical School Instructor in Anesthesia Associate Professor of Anesthesia Director, Division of Emergency Medicine Department of Anesthesia, Harvard Medical School Amplatz Children’s Hospital Critical Care & Pain Medicine Director, Radiology Anesthesia and Sedation Massachusetts General Hospital Children’s Hospital Boston David Rothman, DDS Past-President, California Society of Pediatric Dentistry Edward Michna, MD, JD Diplomate, American Board of Pediatric Dentistry Assistant Professor of Anesthesia Practice Limited to Infants, Children, Adolescents Harvard Medical School and Persons With Disabilities Director, Pain Trials Center San Francisco, CA Brigham and Womens Hospital6 Pediatric Sedation OutsideCurrent Practice andRoom of Sedation 2012 Theme Exploring The of The Operating Frontiers
  • 7. Weekend Course OverviewTarget AudienceThis conference is intended for physicians, dentists, registered nurses, nurse practitioners, nurse anesthetists, pharmacists,advanced practice nurses and health care administrators. Specifically, the healthcare professionals have represented thespecialties of anesthesiology, radiology, emergency medicine, hospital medicine, pediatrics, dental medicine, dental anes-thesiology, intensive care medicine and gastroenterology.Course DescriptionThis annual conference entitled, Pediatric Sedation Outside the Operating Room, is taught by multi-specialists, renownedin pediatric sedation, from both the United States and internationally. This course offers both didactic lectures and paneldiscussions. Optional hands-on airway workshops in both basic and advanced airway skills is also offered. Small roundtable discussions with the faculty and afternoon concurrent tracks provides the attendee with an opportunity for discourseand interactive discussions.The field of sedation continues to evolve and policies, recommendations and Center for Medicaid and Medicare Serviceguidelines change in response to the health care environment. Currently, sedation guidelines and recommendations differbetween specialty societies: For example, the American Society of Anesthesiologists (ASA) guidelines on deep sedation are notconcurrent with those of the American Society of Gastroenterology nor American College of Emergency Physicians. Sedativeagents, delivery methods and routes of delivery are changing as new techniques and outcomes continue to be explored andpresented.This course is designed to fill the practice gaps created by this combination of evolving practice guidelines, differing practicestandards among specialty societies, and continuing advances in sedation medicine and technology by updating and reviewingstate-of-the-art techniques for safe and effective delivery of sedation.This conference is intended to improve learner competence and performance by reviewing not only the basics of sedation butalso updating the registrant to current, evolving and state-of-the art practice (i.e. knowledge). The hands-on workshops onairway management and patient simulation using mannequins will allow the learner to apply this competence to their everydaypractice (i.e. performance) and prepare for the rare, unanticipated emergencies. Being prepared for emergencies as well asfor the more common adverse events, the learner will be able to be better equipped to improve patient outcome. This confer-ence is to increase the participant’s breadth of knowledge of pediatric sedation along with elaborate on ways to improve andtrack patient outcomes.Learning ObjectivesAt the end of this course, participants will be able to:• Attain a comprehensive knowledge of current sedation practice.• Describe recent changes in guidelines, regulations, and policies.• Understand current on-going and future developments and initiatives in the field of sedation.• Preview sedation systems and initiatives which are in development.• Justify the role of High Fidelity Simulation in sedation training and practice.• Have met faculty and attendees from both the United States and abroad to develop a global exposure to the many facets of sedation practice.• Complete an in-depth review of physiologic monitoring and develop an appreciation of the role and interpretation of capnography.• Participate in an open forum clinical based case-studies to obtain a comprehensive appreciation to sedation alternatives proposed by faculty from different specialties.• Utilize the hands-on experience attained in the airway workshops to better manage airway emergencies and be able to teach their colleagues that which they have learned. Pediatric Sedation Outside of The Operating Room 2012 Theme Exploring The Current Practice and Frontiers of Sedation 7
  • 8. Saturday, September 8, 2012 Weekend Conference: Exploring the Current Practice and Frontiers of Sedation Course Director: Keira P. Mason, MD Early Bird Weekend Course Registration (Open to all Registrants) 5:30-7:00pm Friday, September 7th 6:30-7:00 AM Early Registration (For registrants attending breakfast breakout panels) Breakfast/ Registration OR Optional Breakfast Breakout Panel 7:00-8:30 AM OPTIONAL BREAKFAST BREAKOUT PANELS: Small, open forum, interactive round table discussions (Optional; Each limited to 15; Pre-Registration and Fee Required; Breakfast Provided) Difficult Airway Workshop: Basic Steven Zgleszewski, MD (leader), Thomas Anthony Anderson, MD, PhD, Shannon Zhang, MD Somaletha Bhattacharya, MD Dental: David Rothman, DDS, Gerald Ferretti, DDS, Douglas Stewart BDS, DipGDP GradDipSciMed, FRSPH, Eduardo Alcaino, DMD , Dexmedetomidine: Randy Prescilla, MD, Mohamed Mahmoud, MD Emergency Medicine: Franz Babl, MD, Clay Bordley, MD Hospital Medicine: Douglas Carlson, MD Ketamine: Steve Green, MD, Mark Roback, MD 8:45 – 9:00 AM Welcome Address: Keira P Mason, MD . 9:00 – 10:15 AM Keynote Address: Kyle Maynard, No Excuses: Pursuing Your Dream at all Costs. New York Times Bestselling Author of “No Excuses.” 10:15 – 10:45 AM Question and Answer Panel 10:45 - 11:15 AM Book Signing and Morning Break NOVEL TECHNIQUES FOR SEDATION APPROACH AND IMPLEMENTATION Moderator: Douglas Carlson, MD 11:15 - 12:00 PM Anxiety Assessment, Management and Alternative Distraction Techniques Zeev Kain, MD 12:00 - 12:45 PM Innovative Strategies for Sedation and Analgesia for Urgent Procedures Franz Babl, MD 12:45 – 1:00 PM Panel Discussion: Zeev Kain, MD and Franz Babl, MD 1:00 - 2:30 PM Lunch on Your Own OR Optional Lunch Breakout Panel OPTIONAL LUNCH BREAKOUT PANELS Small, open forum, interactive round table discussions (Each limited to 15; Pre-registration and fee required;Lunch provided) Difficult Airway Workshop: Advanced: Jennifer Dearden, MD (leader), Shannon Zhang, MD, Steven Zgleszewski, MD, Marina Sammartino, MD, Thomas Anthony Anderson, MD, PhD Propofol, Sedation and Non-Anesthesia Delivery Models: Douglas Carlson, MD Randall Wetzel, MB BS Innovative and Creative Techniques for Sedation: Zeev Kain, MD, Franz Babl, MD INNOVATIONS IN SEDATION AGENTS Moderator: Mark Roback, MD 2:30 – 3:00 PM Propofol and Ketofol: Clinical Applications, Challenges and Approaches Steven Green, MD 3:00 – 3:30 PM Dexmedetomidine Sedation Keira P Mason, MD . 3:30 – 4:00 PM Inhalation Sedation- Anesthetic Agents Approved for Sedation Purposes: Risks, Outcomes and Practical Application William Burns 4:00 – 4:15PM Panel Discussion: Steve Green, MD, William Burns, Keira Mason, MD 4:15 - 4:30 PM Afternoon Break 4:30 - 5:15 PM Propofol Sedation Programs that Work: Two Examples St. Louis Children’s Hospital: Douglas Carlson, MD Children’s Hospital Los Angeles: Randall Wetzel, MB BS 5:15 - 5:30 PM Panel Discussion: Douglas Carlson, MD, Randall Wetzel, MB BS 5:30 - 8:00 PM Complimentary Cocktail Reception (Faculty, Attendees and Sponsors) * Program changes/substitutions may be made without notice. 8 Pediatric Sedation OutsideCurrent Practice andRoom of Sedation 2012 Theme Exploring The of The Operating Frontiers
  • 9. Sunday, September 9, 2012 Weekend Conference: Exploring the Current Practice and Frontiers of Sedation Course Director: Keira P. Mason, MD 7:00 - 8:30 AM Breakfast/ Registration OR Optional Breakfast Breakout Panel OPTIONAL BREAKFAST BREAKOUT PANELS: Small, open forum, interactive round table discussions (Optional; Each limited to 15; Pre-Registration and Fee Required; Breakfast Provided) Dexmedetomidine: Keira Mason, MD, Vanessa Young, RN, BA Difficult Airway Workshop: Basic: Steven Zgleszewski, MD (leader), Shannon Zhang, MD, Thomas Anthony Anderson, MD, PhD,Somaletha Bhattacharya, MD Ketamine: Steve Green, MD, Timothy Horeczko, MD Nitrous oxide: Franz Babl, MD, Robert Kennedy, MD 8:45 – 9:00 AM Introduction, Report of Adverse Event Sedation Reporting Tool Keira P Mason, MD and Steve Green, MD . 9:00 – 10:00 AM Keynote Address: Star Wars Application for Telemedicine in Sedation: A Live Demonstration from the Battlefields of Afghanistan Col. Hon S. Pak, MD, FAAD10:00 – 10:30 AM Question and Answer Panel10:30 - 10:55 AM Morning Break INNOVATION IN SEDATION TRAINING AND DELIVERY Moderator: Keira P Mason, MD .10:55 - 11:40 AM Innovations in Intravenous Sedation Delivery: Implications for Future Practice Talmage Egan, MD, Anthony Absalom, MBChB, FRCA, MD11:40 - 12:10 PM Innovations in Analgesia: Agents and Routes of Delivery Gregory Hammer, MD12:10 - 12:30 PM The Sad State of Current Sedation Training and Possible Solutions Talmage Egan, MD 12:30 - 1:00 PM Panel Discussion: Gregory Hammer, MD, Talmage Egan, MD, Anthony Absalom, MBChB, FRCA, MD Lunch on Your Own OR Optional Lunch Breakout Panel 1:00 - 2:30 PM OPTIONAL LUNCH BREAKOUT PANEL (Optional; Each limited to 15; Pre-Registration and Fee Required; Breakfast Provided) Difficult Airway Workshop: Advanced: Jennifer Dearden, MD (leader), Shannon Zhang, MD, Babu Koka, MBBS 2:30 - 5:30 PM Concurrent Afternoon Tracks Participants may attend and combine any of the three concurrent specialized tracks. Pre-registration is not required for entry. TRACK A Integration Track: Multi-Specialty Based Case Scenarios for Interactive Discussion and Learning Moderator: Robert Kennedy, MD This interactive workshop will present a case-based approach to procedural sedation, with individualized sedation recommendations and management guidelines by procedure and setting. Emphasis will be placed on both the art and the science of procedural sedation. Topics will include: determining when sedation is needed, determining the type and level of sedation required for each intervention, combining non-pharmacologic techniques for managing acute anxiety and pain with pharmacologic sedation, discussion of individual agents for sedation and analgesia, guidelines for preparation, management, and discharge of sedated patients, monitoring guidelines, sedation for mentally handicapped and psychiatric patients, and medicolegal aspects of pediatric sedation. Case studies and clinical scenarios will be emphasized. Participants are encouraged to bring cases from their practice for discussion. Robert Kennedy, MD, Steve Green, MD, David Rothman, DDS, Franz Babl, MD, Yasmeen Daud, MD, Maureen Carrier, RN BSN, Randy Prescilla, MD TRACK B Innovations in Sedation Moderator: Steven Zgleszewski, MD 2:30 - 3:00 PM Physiological Monitoring: From Capnography to Cerebral Oximetry and BIS monitoring Timothy Horeczko, MD 3:00 - 3:30 PM Nitrous Oxide: New Uses for an Old Agent Franz Babl, MD 3:30 - 4:00 PM Managing Complexity in Sedation from a Safety Perspective Michael Stabile, MD 4:00 - 4:30 PM Sedation Techniques for the Developmentally Challenged David Rothman, DDS 4:30 - 5:00 PM NPO Guidelines: A Risk Versus Benefit Assessment- What are the Outcomes? Mark Roback, MD 5:00 - 5:30 PM Panel Discussion TRACK C Hospital Medicine Moderator: Douglas Carlson, MD 2:30 - 3:00 PM Improving Access and Safety: The Hospitalists Role in Sedation Douglas Carlson, MD, Clay Bordley, MD 3:00 - 3:30 PM Training and Credentialing Hospitalists for Deep Sedation Douglas Carlson, MD 3:30 - 4:00 PM Use of Ketamine and Dexmedetomidine by Hospitalists Clay Bordley, MD 4:00 - 4:30 PM Should Hospitalists Use Propofol? Pro: Douglas Carlson, MD | Con: Keira P Mason, MD . 4:30 - 5:00 PM Billing and Coding for Deep Sedation Douglas Carlson, MD 5:00 - 5:30 PM Sedation Scenarios: What Would You Do? Douglas Carlson, MD, Clay Bordley, MD Pediatric Sedation Outside of The Operating Room 2012 Theme Exploring The Current Practice and Frontiers of Sedation 9
  • 10. OPTIONAL FULL-DAY SEDATION SYMPOSIUM The Fundamentals of Sedation: Reviewing the Basics Bridging the Specialties Friday, September 7, 2012 Course Director Keira P. Mason, MD Director, Fundamentals of Sedation Symposium Mark Roback, MD10 Pediatric Sedation OutsideCurrent Practice andRoom of Sedation 2012 Theme Exploring The of The Operating Frontiers
  • 11. Optional Full-DaySedation SymposiumThe Fundamentals of Sedation: Reviewing the BasicsBridging the SpecialtiesA NEW COURSE OFFERING! A Comprehensive Review of the Essentials of Pediatric SedationThis one-day course is a comprehensive introduction and review of the fundamentals of pediatric sedation. This offers aunique opportunity to update your knowledge in the format of didactic sessions, open forum question-and-answers and clinicalcase reviews. An optional hands-on workshop will provide personalized one-on-one faculty attention to gain hands-on experi-ence using manikins to practice basic airway resuscitation skills.This course is designed to provide a review of topics related to the safe and effective delivery of minimal, moderate and seda-tion by inhalation, enteral, and parenteral routes of administration. This course is intended to be an introduction and review ofthe up-to-date policies and guidelines governing sedation. The topics will include physiological monitoring, airway evaluation,the etiology and management of central and obstructive apnea, patient assessment, discharge and recovery guidelines, riskfactors for adverse events, emergency preparedness, non-pharmacologic techniques and the basic pharmacology of commonlyused sedatives. Clinical case presentations will be presented in an interactive format to maximize discussion, collaborativesharing of ideas and consideration of all options. Case studies will include challenging and complex situations. Question andanswer sessions will provide participants with forums to ask questions and discuss specific issues with course faculty.This new course will feature recognized leaders and faculty from different specialties, all leaders in the field of sedation. Theattendee will have the opportunity to gain hands-on experience learning airway techniques to rescue patients from deep seda-tion, including manikin practice with face masks and ambu bag along with the insertion of nasal and oral airways in a personal-ized setting with manikins and real equipment.Learning ObjectivesAt the end of this course, participants will be able to:• Understand current rules and regulations regarding minimal, moderate and deep sedation.• Outline the pharmacology and clinical application of commonly utilized sedatives.• Weigh advantages, disadvantages, efficacy and adverse events associated with different sedative options.• Evaluate complex and challenging sedation scenarios and formulate a plan.• Comprehend the risk factors for sedation-related adverse events.• Provide a comprehensive review of patient evaluation including airway assessment, relevant medical history and vital signs necessary to evaluate patients as appropriate sedation candidates.• Review the discharge criteria and available recovery guidelines for discharge home following sedation.• Understand the role and application of capnography.• Prepare for unanticipated emergency situations.• Summarize the clinical and physiologic occurrences which herald an ensuing adverse event. Pediatric Sedation Outside of The Operating Room 2012 Theme Exploring The Current Practice and Frontiers of Sedation 11
  • 12. Friday, September 7, 2012 Optional Full-Day Sedation Symposium: The Fundamentals of Sedation: Reviewing the Basics SYMPOSIUM Bridging the Specialties SCHEDULE Course Director: Keira P. Mason, MD Director, Fundamentals of Sedation Symposium: Mark Roback, MD This full-day course provides an overview of sedation administered outside the OR and is directed toward a multidisciplinary audience that includes physicians, dentists, nurses, hygienists, students and trainees. The morning session “sets the stage” for successful sedation and challenges the participants to consider their goals for sedation and how best to achieve them. Introductory sedation lectures and the Pediatric Airway Workshop are directed toward both medical and dental personnel. The remainder of the session targets medical- or dental- specific groups to reflect particular interests and practice. In the afternoon, case scenarios will be presented with the intent to foster vigorous discussion of options for sedation and best practice models. The day will reach a conclusion with Sedation Jeopardy to test your sedation knowledge and poise under pressure. Please remember to phrase your answer in the form of a question. 7:00 - 8:00 AM Registration and Breakfast 8:00 - 8:15 AM Welcome and Introduction Keira Mason and Mark Roback 8:15 - 10:45 AM SEDATION OUTSIDE THE OR: GETTING STARTED Moderator: Mark Roback Mark Roback, MD 8:15 - 8:35 AM Define Sedation, Distinguish Sedation from Analgesia and Amnesia Depth of Sedation Continuum: Guidelines at Assessing Sedation Depth and Accompanying Risks 8:35 - 8:45 AM Setting Up: Personnel, Physiologic Monitors, Equipment and Resuscitation Supplies Jennifer Dearden, MD 8:45 - 9:05 AM The Pediatric Airway: Anatomy, Hallmarks of Increased Risk, Strategies of Management Timothy Horeczko, MD 9:05 - 9:25 AM Essentials of Pediatric Physiology and Anatomy 9:25 - 9:55 AM Physiological Monitoring: Deciphering the EKG, Pulse Oximeter and Capnograph Keira P Mason, MD . 9:55 - 10:15 AM Patient Selection: Pre-sedation Assessment: Evaluation of Who is Appropriate for Sedation and When is a Consult with Anesthesia Recommended Return to Pre-sedation State and Readiness for Discharge- Discharge Criteria: Different Options and Assessment Tools David Rothman, DDS 10:15 - 10:45 AM Management of Challenging Patients: Autism, Obesity and the Neurologically Challenged 10:45 - 11:15 AM Morning Break Non-Pharmacologic Strategies for Behavior Management: Expert Approaches 11:15 - 11:45 AM Timothy Horeczko, MD and David Rothman, DDS CHOOSE EITHER SESSION TO ATTEND 11:45 - 12:45 PM Pharmacology of Sedation :A Broad Review Pharmacology of Sedation: Dental Essentials Medical: Timothy Horeczko, MD (Moderator/Lecturer) Dental: Eduardo Alcaino, DMD (Moderator) • A Pharmacologic Review of Commonly Used Medication Christine Quinn, DDS (Lecturer) • Emergency Medications: Options and Routes of Delivery 11:45 - 12:30 PM • Inhaled Nitrous sedation • Oral “Conscious Sedation” agents Eduardo Alcaino, DMD (Lecturer) 12:30-12:45 p.m. • Local Anesthetics12 Pediatric Sedation OutsideCurrent Practice andRoom of Sedation 2012 Theme Exploring The of The Operating Frontiers
  • 13. 12:45 – 2:00 PM Lunch on your own OR OPTIONAL AIRWAY LUNCH: Difficult Airway Workshop: Basic (Medical and Dental) Pre-Registration and Fee Required Steven Zgleszewski, MD, Jennifer Dearden, MD (leader), Mahmoud, MD, Thomas Anthony Anderson, MD, PhD and Sam Mireles, MD - The Pediatric Airway: Anatomy, Hallmarks of Increased Risk, Strategies at Management - Basic Airway station for practice • The difficult airway algorithm • Recognize hypoventilation without and without monitors • Verbal breathing cues, tactile stimulation, airway positioning • Positive pressure ventilation: bag-mask ventilation and laryngeal mask airway • Managing oral/airway foreign bodies (dental focus) CHOOSE EITHER SESSION TO ATTEND 2:00 - 2:30 PM Rescue: Managing Sedation Adverse Events Preparation and Anticipation of Dental Sedation Emergencies Medical: Mark Roback, MD (Moderator/Lecturer) Dental: Gerald Ferretti, DDS (Moderator) • Risk factors and predictors Steven Ganzberg, DMD (Lecturer) • Management and approach • Identification of Challenging Patients • Special populations • Risk factors and predictors of Adverse Events • Emergency Medication: Options and Routes of Delivery 2:30 - 3:00 PM How to Construct and Bill a Safe and Efficient Sedation Service: Managing Sedation-Related Adverse Events in Pediatric Dentistry Medical: Doug Carlson, MD (Moderator/Lecturer) Dental: Eduardo Alcaino, DMD (Moderator) • Training recommendations David Rothman, DDS (Lecturer) • Privileges and credentialing • Setting up an Emergency Cart “Crash” • Set-up and personnel • Techniques at management and approach • When to call 911 3:00 - 4:15 PM Case Studies in Pediatric Sedation 3:00 - 3:30 PM Medical: Mark Roback, MD, Steve Green, MD, Doug Carlson, MD Panel Discussion Drs. Rothman and Ganzberg Keira Mason, MD 3:30 - 4:15 PM • Cases presented from various sedation venues and audience How to Design and Implement a Safe and Efficient queried about best practice strategies Dental Sedation Practice • Extensive Q&A time allotted Dental: Gerald Ferretti, DDS (Moderator) Christine Quinn, DDS 3:30 - 3:50 PM • Training recommendations • Privileges and credentialing David Rothman, DDS 3:50 - 4:15 PM • Set-up and personnel • Dental National Sedation Guidelines and Recommendations 4:15 - 4:50 PM Rules, Guidelines and Politics of Sedation Case Studies in Pediatric Dental Sedation Medical: Steve Green, MD Dental: Drs. Ganzberg and Quinn • How has sedation practice been organized by those in authority? • Cases presented from dental sedation scenarios and audience • What are the “rules” of sedation, and how do I apply them to queried about best practice strategies provide optimal sedation for my patients? • Extensive Q&A time allotted • NPO Guidelines: fact and fiction • What political issues or barriers might I anticipate in this process? 4:50 - 5:30 PM Sedation Jeopardy — A Unique and Entertaining Learning Format Interactive game show style format. Questions, responses and detailed answers Joint Medical and Dental: Mark Roback, MD 5:30 - 5:45 PM Closing Remarks and Open Forum Feedback: Mark Roback, MD* Program changes/substitutions may be made without notice. Pediatric Sedation Outside of The Operating Room 2012 Theme Exploring The Current Practice and Frontiers of Sedation 13
  • 14. High Fidelity Pediatric Sedation Simulation Workshop Objectives Pediatric Sedation Hands-On Simulation is now recognized by the American Society of Anesthesiologists (ASA) in the “October 20, 2010 statement on granting privileges for deep sedation to non-anesthesiologist sedation practitioners.” Although this seda- tion conference provides AMA PRA Category 1 Credits™ for the didactic and simulator portions, this does not imply endorsment by the ASA. The ASA does not endorse nor certify any sedation-related training curriculum. This course is intended for practitioners providing IV moderate sedation and deep sedation and offers an educational high fidel- ity simulation experience to provide skills for successful recognition and management of sedation-related complications. This unique and challenging program provides a clinical simulation experience that addresses the proper assessment and manage- ment of complications associated with moderate sedation, deep sedation. Following a brief introduction explaining essential principles, participants will demonstrate appropriate patient management on human patient simulators. (Laerdal SimMan). This full-day simulation workshop will provide each registrant with six clinical scenarios intended to improve individual skills as well as to impart an understanding of a team approach to crisis resource management. Each registrant will become part of a small team which will will rotate together through each of the six scenarios over the course of the day. The scenarios are intended to improve individual skills as well as the team’s reactions and responses. Effective post-simulation debriefings will integrate criti- cal performance feedback, promote reflective practice, and augment future performance. The full-day of high fidelity simulation scenarios are taught by national and internationally recognized faculty of simulation experts and aims to provide participants with knowledge and skills to recognize and manage sedation-related emergencies. Course registration is limited to provide each registrant with an optimal, educational hands -on experience. There will be an optional “working” lunch which offers the opportunity to have a hands-on experience with personalized faculty attention using manikins to develop and improve airway skills. Two airway workshops will be offered: Basic and Advanced. The Basic Airway Workshop is intended to solidify skills at delivering positive pressure ventilation using a face mask and ambu bag along with the insertion of naso and oral airways. The Advanced Airway Workshop offers the opportunity to place laryngeal mask airways, intubate and use new state-of-the-art airway equipment. 1. Medical simulation is a highly adaptable tool for evaluating individual knowledge and team performance. 2. Medical simulation can improve patient safety by raising an individual’s awareness of their practice and by enhancing team cohesion and performance. 3. Simulation provides a safe arena for learning and evaluation, trains with actual equipment used in the clinical realm, and provides for repetition and reflection. 4. Medical simulation should be educational,reflective and fun. Learning Objectives At the end of this course, participants will be able to: • Discuss the importance of simulation context and physical setting. • Explain the importance of human-factors leading to and in the management of crisis. • Anticipate and prepare for the management of rare events. • Summarize the components of a simulation based learning encounter. • Comprehend the advantages of simulation-based learning. • Acquire an understanding of how simulation may be incorporated into credentialing and training of sedation care providers. • Establish and demonstrate appropriate components of an adequate primary assessment. • Develop an algorithm for the recognition and management of various anatomical and pathological causes of airway obstruction. • Create a differential diagnosis for the etiology of respiratory depression and understand the different management techniques. • Describe and demonstrate appropriate management of cardiovascular compromise. • Demonstrate proficiency in directing a team during a crisis.14 Pediatric Sedation OutsideCurrent Practice andRoom of Sedation 2012 Theme Exploring The of The Operating Frontiers
  • 15. OPTIONAL FULL-DAY HIGH FIDELITY PEDIATRIC SEDATIONSIMULATION WORKSHOPS Monday, September 10, 2012 Course Director Keira P. Mason, MD Director, Sedation Simulation Workshops James Fehr, MD Pediatric Sedation Outside of The Operating Room 2012 Theme Exploring The Current Practice and Frontiers of Sedation 15
  • 16. CONFERENCE Monday, September 10, 2012 SCHEDULE Optional Full-Day High Fidelity Pediatric Sedation Simulation Workshops: Simulation Sessions: Taught by Multi-Specialty Experts (Optional; Pre-registration and fee required) Participants will rotate through each of the six scenarios/workshops with detailed debriefing Course Director: Keira P. Mason, MD Director, Sedation Simulation Workshops: James Fehr, MD 6:30-7:30 AM Registration/Breakfast Included 7:30-8:30 AM Introduction: Simulation in the 21st Century Integration into Sedation Training James Fehr, MD 8:30-9:30 AM Scenario 1 9:30-10:30 AM Scenario 2 10:30-11:00 AM Morning Break 11:00-12:00 PM Scenario 3 12:00-1:00 PM Lunch Included 1:00-2:00 PM Scenario 4 2:00-3:00 PM Scenario 5 3:00-4:00 PM Scenario 6 4:00-4:30 PM Closing Remarks and Debriefing/Interactive Feedback Program changes/substitutions may be made without notice. Moderator and Leader of Simulation Workshops: James Fehr, MD Anesthesia Directed Scenario: Calvin Kuan, MD*, Manchula Navaratnam, MBChB, FRCA, Echo Rowe, MD, Jennifer Wagner, MD Dental Medicine Directed Scenario: Timothy Martin, MD*, Eduardo Alcaino, BDS(Hons), MDSc, FRARACDS, Doug Stewart, BDS, DipGDP GradDipSciMed, FRSPH , Emergency Medicine Directed Scenario: Robert Kennedy, MD*, Roberta Forman, RN, BSN Hospital Medicine Directed Scenario: Douglas Carlson, MD*, Yasmeen Daud, MD, Kim Hamlin, MD Procedural Sedation Scenario: Anna Maria Onisei, MD, Saif Siddiqui, MD* Post Sedation Recovery Event Scenario: TBA * Indicates a Scenario Leader16 Pediatric Sedation OutsideCurrent Practice andRoom of Sedation 2012 Theme Exploring The of The Operating Frontiers
  • 17. Children’s Hospital Boston is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 3/1/2012 to 2/28/2014. Provider ID# 346978 THIS COURSE HAS BEEN APPROVED FOR: 2 Day Weekend Course Only (9/8-9/9/2012): 13 CE Lecture Hours Optional Friday Symposium (9/7/2012): 7.75 CE Lecture Hours Optional Monday Simulation Workshop (9/10/2012): 7.5 CE Participation HoursThis course is designed to meet the California Business and Professions Code, Chapter 4, Article 2.85, Section 1647.13requirement for “a minimum of 7 hours of approved courses of study related to oral conscious sedation of minor patients as acondition of certification renewal as an oral conscious sedation provider.” We are registered providers of continuing educationby the Dental Board of California RP# 5079.Accommodation / Travel This year there are only a limited number of hotel rooms available through- out San Francisco because of large city-wide events. Many of the hotels are already in a sold-out situation. Please reserve hotel space early. A limited number of rooms have been reserved at the InterContinental San Francisco Hotel, 888 Howard St., San Francisco, CA (Telephone: 1-866-781-2364) until August 1, 2012. Please specify that you are enrolled in this course to receive a reduced room rate of $345 per night Single/Double. Hotel arrange- ments can also be made online at: http://bit.ly/wKKWtU. Please do not pur- chase non-refundable airline ticket(s) until you have received an email from our office confirming your paid registration. For airline reservations contact the HMS Travel Desk toll free 1-877-4-HARVMD (1-877-442-7863) Monday - Friday 9 AM - 8 PM (EST). From outside the U.S., Canada and Virgin Islands, please call 617-559-3764.AccreditationThe Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuingmedical education for physicians.The Harvard Medical School designates this live activity for a maximum of 33.25 AMA PRA Category 1 Credits™.Physicians should claim only the credit commensurate with the extent of their participation in the activity.4 Day Course with 2 Breakout Panels and 2 Airway Workshops: A maximum of 33.25 AMA PRA Category 1 Credits™2 Day Weekend Course Only: A maximum of 13 AMA PRA Category 1 Credits™Optional Friday Symposium with Airway Workshop: A maximum of 8.75 AMA PRA Category 1 Credits™Optional Friday Symposium: A maximum of 7.75 AMA PRA Category 1 Credits™Optional Monday Simulation Workshop: A maximum of 7.5 AMA PRA Category 1 Credits™Each Optional Breakout Panel: A maximum of 1.25 AMA PRA Category 1 Credits™Each Optional Airway Workshop: A maximum of 1.25 AMA PRA Category 1 Credits™This course is currently pending approval for AANA, nursing CEU, ACEP category 1, and Risk Management credits.ACGME CompetenciesThis course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies:* Patient care* Medical knowledge* Practice-based learning and improvement* Interpersonal and communication skills* Systems-based practice Pediatric Sedation Outside of The Operating Room 2012 Theme Exploring The Current Practice and Frontiers of Sedation 17
  • 18. Registration Information September 8-9, 2012 Two Day Weekend Course: Exploring the Current Practice and Frontiers of Sedation $699 (USD) Registered Nurses/Allied Health Professionals $599 (USD) Optional Breakfast Breakout Panels: Difficult Airway Workshop: Basic $100 (USD) Dental $50 (USD) Dexmedetomidine $50 (USD) Emergency Medicine $50 (USD) Hospital Medicine $50 (USD) Ketamine $50 (USD) Nitrous Oxide $50 (USD) Optional Lunch Breakout Panels: Difficult Airway Workshop: Advanced $100 (USD) Innovative and Creative Techniques for Sedation $50 (USD) Propofol, Sedation and Non-Anesthesia Delivery Models $50 (USD) Friday, September 7, 2012 Optional Day: Fundamentals of Sedation: Reviewing the Basics $495 (USD) Bridging the Specialties Lunch on your own OR Optional Lunch: Difficult Airway Workshop: Basic $100 (USD) Monday, September 10, 2012 Optional Day: High Fidelity Pediatric Sedation Simulation Workshops (Breakfast and Lunch Included) $679 (USD) Reduced Weekend Course Tuition Fee for four or more attendees from the same hospital/institution: $599 per person. This reduced tuition fee only includes the weekend course. (In order to receive this discount, please contact the HMS-DCE office at (617) 384-8600.) Registration by credit card (VISA or MasterCard) can be made at: www.pediatricsedationconference.com Registration by check (draft on a United States bank), please make payable to Harvard Medical School and mail with registration form to Harvard Medical School– Department of Continuing Education, PO Box 417476, Boston, MA 02241-7476. Telephone or fax registration is not accepted. Registration with cash payment is not permitted. Upon receipt of your paid registration an email confirmation from the HMS-DCE office will be sent to you. Be sure to include an email address that you check frequently. Your email address is used for critical information including: registration confirmation, evaluation and certificate. Inquiries By phone 617-384-8600, Monday-Friday, 10 AM to 4 PM (EST) or by email at: hms-cme@hms.harvard.edu. Online Information To register or view activity information online, visit: www.pediatricsedationconference.com To ensure proper registration, please add the first three characters of the source code found above your name on the mailing panel. Disclosure Policy Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, review­ rs and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any e conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations. Refund Policy A handling fee of $60 is deducted for cancellation. Refund requests must be received by postal mail, email or fax one week prior to this activity. No refunds will be made thereafter. Course Location All sessions for this course will be held at the InterContinental San Francisco Hotel, 888 Howard St., San Francisco, CA (Telephone: 1-866-781-2364)18 Pediatric Sedation OutsideCurrent Practice andRoom of Sedation 2012 Theme Exploring The of The Operating Frontiers
  • 19. Pediatric Sedation Outside of the Operating Room Course# 321418 September 8-9, 2012 Two Day Weekend Course: Exploring the Current Practice and Frontiers of Sedation $699 (USD) Registered Nurses/Allied Health Professionals $599 (USD) Optional Breakfast Breakout Panels: Difficult Airway Workshop: Basic $100 (USD) Dental $50 (USD) Dexmedetomidine $50 (USD) Emergency Medicine $50 (USD) Hospital Medicine $50 (USD) Ketamine $50 (USD) Nitrous Oxide $50 (USD) Optional Lunch Breakout Panels: Difficult Airway Workshop: Advanced $100 (USD) Innovative and Creative Techniques for Sedation $50 (USD) Propofol, Sedation and Non-Anesthesia Delivery Models $50 (USD) Friday, September 7, 2012 Optional Day: The Fundamentals of Sedation: Reviewing the Basics $495 (USD) Bridging the Specialties Lunch on your own OR Optional Lunch: Difficult Airway Workshop: Basic $100 (USD) Monday, September 10, 2012 Optional Day: High Fidelity Pediatric Sedation Simulation Workshops (Breakfast and Lunch Included) $679 (USD) TOTAL $ ________ (USD) Print Name Clearly — All Fields Required First ___________________________ Middle Initial ________ Last _____________________________________________________________ Mailing Address _______________________________________________________________________________________________________ City ____________________________ State _________________ Zip Code ____________ Country __________________________________ Daytime Phone (_____) ___________________________ Fax Number (_____) ___________________________________________________ Email Address _________________________________________________________________________________________________________ Please note Your email address is used for critical information about the course including: registration confirmation, course evaluation and certificate. Please be sure to include an email address you check daily or frequently. □ Please check if you wish to be excluded from receiving email notices of future Harvard Medical School Department of Continuing Education programs. Profession ________________________________ Degree ____________________________________________________________________ Primary Specialty (Physicians Only) ___________________________________________________________ Board Certified: Yes □ No □ Professional School Attended (Physicians only) □ Harvard Medical School □ U.S. Medical School □ International Year of Graduation ____________ Please select up to two breakfast panels and/or two lunch panels. Panels are limited to 15; assignments are made in the order received. SEPTEMBER 8, 2012 SEPTEMBER 9, 2012 Difficulty Airway Workshop: Basic–$100 (USD)BREAKFAST Dental–$50 (USD) Dexmedetomidine–$50 (USD) Emergency Medicine–$50 (USD) Hospital Medicine–$50 (USD) Ketamine–$50 (USD) Nitrous Oxide–$50 (USD) Propofol, Sedation and Non-Anesthesia Delivery Models–$50 (USD)LUNCH Innovative and Creative Techniques for Sedation–$50 (USD) Difficult Airway Workshop: Advanced–$100 (USD)
  • 20. BACHarvard Medical School POPULAR K BY Non-profit Org.Department of Continuing Education Optional FU DEMAND U.S. Postage PAID Pediatric LL-DAY HigP Box 825.O. Se h Fi New Multi dation Simulation delity N  ashua, NHBoston, MA 02117-0825 specialty D Wo irected Sce rkshops Permit No. 375 LIMITED narios May Comb ENRO ine with W LLMENT eekend Co SEPTEM urse BER 10, 2 012PEDIATRICSEDATION Course Director Keira P. Mason, MD Director, Sedation Symposium Mark G. Roback, MDOUTSIDE OF THE Director, Sedation Simulation Workshops James Fehr, MDOPERATING ROOM Abstracts Deadline June 1, 2012InterContinental San Francisco Hotel San Francisco, CA For more details please visit us at www.PediatricSedationConference.comSeptember 8-9, 2012 Source Code:Weekend Sedation ConferenceExploring the Current Practiceand Frontiers of SedationFriday, September 7, 2012Optional Full-Day Sedation Symposium:The Fundamentals of Sedation: Reviewing The BasicsMonday, September 10, 2012Optional Full-Day High Fidelity Pediatric SedationSimulation Workshops