PGA 59 PGA ARCHIVES
-GENERAL SESSIONS-
Listed by day, time, title, Moderator and Panelists, PGA 59
Scientific Panel Sessions
were held December 9-13, 2005
at the New York Marriott Marquis, New York City.

FRIDAY, DECEMBER 9, 2005
1:00 - 3:30 P.M. (1300 - 1530)
SP-01

HOW CAN I IMPROVE ORGAN PROTECTION DURING SURGERY?
Robert N. Sladen, M.D., Panel Moderator
Professor and Vice Chair
Department of Anesthesiology
Director, Cardiothoracic-Surgical Intensive Care Unit
Columbia University College of Physicians & Surgeons
New York, New York

Panelists' Presentations:

Protecting the Brain
ALEX Y. BEKKER, M.D., Ph.D.
Associate Professor of Anesthesiology & Neurosurgery
Chief of Neuroanesthesia
New York University School of Medicine
New York, New York

Protecting the Heart
LEE A. FLEISHER, M.D.
Professor and Chair
Department of Anesthesia
University of Pennsylvania Health System
Philadelphia, Pennsylvania

Protecting the Kidneys
ROBERT N. SLADEN, M.D.

Protecting the Lungs
PETER D. SLINGER, M.D., FRCPC
Professor of Anaesthesiology
University of Toronto and Toronto General Hospital
Toronto, Ontario, Canada

SATURDAY, DECEMBER 10, 2005
09:00 - 11:30 A.M.
SP-02

WELCOME PLENARY SESSION
21st ANNUAL R.W. ROBERTAZZI MEMORIAL PANEL

R. W. Robertazzi

Raphael "Ray" W. Robertazzi was an outstanding clinical anesthesiologist and a pioneer in the development of the specialty in New York City. He trained in Anesthesiology at the New York Post Graduate Hospital, served in the United States Army during World War II, and then returned to the Post Graduate Hospital as Director of Anesthesiology, and Clinical Professor at New York University in the Department of Emery Rovenstine. He successfully blended clinical care and clinical research when he published his observations and the results of his operating room studies. Ray Robertazzi was an inspirational role model to his residents and students.

It’s The Patient.......Not The Procedure
Stephen J. Thomas, M.D., Panel Moderator
Topkins - Van Poznak Professor and Vice-Chair
Department of Anesthesiology
Weill Medical College of Cornell University
New York, New York

Panelists' Presentations:

The Pregnant Patient for Non-Obstetric Surgery
JOY L. HAWKINS, M.D.
Professor of Anesthesiology
Director of Obstetric Anesthesia
University of Colorado School of Medicine
Denver, Colorado

Managing the Patient with CAD for Non-Cardiac Surgery
STEPHEN SLOGOFF, M.D.
Dean, Stritch School of Medicine
Loyola University School of Medicine
Chicago, Illinois
Senior Vice President for Clinical Affairs
Loyola University Health System
Maywood, Illinois

The Patient with Recent Stroke for Non-Neurosurgical Procedure
PIYUSH M. PATEL, M.D., FRCPC
Professor of Anesthesiology
University of California, San Diego
Staff Anesthesiologist
Veterans Affairs Medical Center
San Diego, California

1:00 - 3:30 P.M. (1300 - 1530)
SP-03

The Obesity Epidemic: Anesthesia Implications
Jay B. Brodsky, M.D., Panel Moderator
Professor of Anesthesiology
Stanford University School of Medicine
Stanford, California

Panelists' Presentations:

Physiological and Anesthetic Considerations on
Morbidly Obese Patients
JAY B. BRODSKY, M.D.

Obstructive Sleep Apnea and Airway Management
DAVID A. ZVARA, M.D..
Associate Professor of Anesthesiology
Wake Forest University School of Medicine
Winston-Salem, North Carolina

Perioperative Management of Metabolic Disorders
PATRICK J. NELLIGAN, M.B, B. Ch.
Assistant Professor of Anesthesiology
University of Pennsylvania Health Systems
Philadelphia, Pennsylvania

Postoperative Management of the Bariatric Patient
JON D. SAMUELS, M.D.
Assistant Professor of Anesthesiology
Weill Medical College of Cornell University
New York, New York

SP-04

How Can I Improve Postoperative Outcomes in Elderly Patients?
Terri G. Monk, M.D., Panel Moderator
Professor of Anesthesiology
Duke University Medical Center
Durham, North Carolina

Panelists' Presentations:

Are Old People Different Physiologically?
JEFFREY H. SILVERSTEIN, M.D.
Chair for Research
Department of Anesthesiology
Associate Dean for Research
Mount Sinai School of Medicine
New York, New York

The Elderly Outpatient: The Challenge of Preoperative
Evaluation and Discharging Them Home
KATHRYN E. MCGOLDRICK, M.D.
Professor and Chair
Department of Anesthesiology
Westchester County Medical Center
New York Medical College
Valhalla, New York

Regional Anesthesia for the Elderly
STEPHEN M. KLEIN, M.D.
Assistant Professor of Anesthesiology
Division of Ambulatory & Regional Anesthesia
Duke University Medical Center
Durham, North Carolina

Clinical Implications of Postoperative Cognitive Dysfunction
TERRI G. MONK, M.D.

SP-05

Can We Do Enough for Pediatric Pain Outside of a Children’s Hospital?
Charlotte Bell, M.D., Panel Moderator
Professor and Director of Pediatric Anesthesiology
New York University School of Medicine
New York, New York

Panelists' Presentations:

Practical Management of Postopertaive Pain in Infants, Children
and Adolescents
CHARLOTTE BELL, M.D.

Pediatric Pain Management Using Neuraxial, Regional
and Local Blockade
MILES H. DINNER, M.D.
Professor of Clinical Anesthesiology
Weill Medical College of Cornell University
Director, Pediatric Anesthesiology
New York Presbyterian Hospital
New York, New York

Acupressure and Acupuncture (With or Without Complementary Techniques) in Children
YUAN-CHI LIN, M.D.
Assistant Professor of Anesthesiology & Pediatrics
Children’s Hospital of Boston
Boston, Massachusetts

Chronic Pain Syndromes Seen in Daily Practice
WILLIAM S. SCHECHTER, M.D.
Associate Clinical Professor of Anesthesia & Pediatrics
Columbia University College of Physicians & Surgeons
New York, New York

SUNDAY, DECEMBER 11, 2005
09:00 - 11:30 A.M.
SP-06

Gertie F. Marx Memorial Lecture on Obstetrical Anesthesia: DOES NEURAXIAL LABOR ANALGESIA AFFECT OUTCOME?
Lawrence C. Tsen, M.D., Panel Moderator
Associate Professor of Anaesthesia
Harvard Medical School
Director of Anesthesia Center for Reproductive Medicine
Brigham & Women’s Hospital
Boston, Massachusetts

Panelists' Presentations:

Effects on Newborn Behavior and the Impact on Breastfeeding
YAAKOV BEILIN, M.D.
Co-Director, Obstetric Anesthesia
Associate Professor of Anesthesiology, Obstetrics &
Gynecology and Reproductive Sciences
Mount Sinai School of Medicine
New York, New York

Mode of Delivery: Is it Influenced by Labor Analgesia?
JOY L. HAWKINS, M.D.
Professor of Anesthesiology
Director of Obstetric Anesthesia
University of Colorado School of Medicine
Denver, Colorado

Maternal Fever and Neonatal Outcome
LAWRENCE C. TSEN, M.D.

Effects on Fetal Heart Rate and Fetal Well-Being
DAVID J. WLODY, M.D.
Clinical Associate Professor of Anesthesia
Vice-Chair for Clinical Affairs
Regional Director, Obstetrical Anesthesia
SUNY-Downstate Medical Center
Chair, Department of Anesthesiology
Long Island College Hospital
Brooklyn, New York

SP-07

Using Practice Guidelines to Improve Outcome:
What the Clinician Needs to Know
Lee A. Fleisher, M.D., Panel Moderator
Robert D. Dripps Professor and Chair
Department of Anesthesia
Professor of Medicine
University of Pennsylvania Health System
Philadelphia, Pennsylvania

Panelists' Presentations:

Wading Through the American College of Cardiology/American
Heart Association Algorithm
LEE A. FLEISHER, M.D.

Do Sedation Guidelines for Non-Anesthesiologists
Improve Outcome?

BEVERLY K. PHILIP, M.D.
Professor of Anaesthesia
Harvard Medical School
Director, Day Surgery Unit
Brigham & Women’s Hospital
Boston, Massachusetts

Obstructive Sleep Apnea and Pulmonary Function
JEFFREY B. GROSS, M.D.
Professor of Anesthesiology
University of Connecticut School of Medicine
Farmington, Connecticut

Regional Anesthesia and the Anticoagulated Patient
TERESE T. HORLOCKER, M.D.
Professor of Anesthesiology and Orthopedics
Mayo Clinic College of Medicine
Rochester, Minnesota

SP-08

REGIONAL ANESTHESIA: IMPROVING YOUR
SUCCESS RATE
Andrew D. Rosenberg, M.D., Panel Moderator
Clinical Professor of Anesthesiology
New York University School of Medicine
Chair, Department of Anesthesiology
Hospital for Joint Diseases, Orthopaedic Institute
New York, New York

Panelists' Presentations:

Using the Nerve Stimulator for Regional Anesthesia
WILLIAM F. URMEY, M.D.
Assistant Professor of Clinical Anesthesiology
Weill Medical College of Cornell University
Attending Anesthesiologist
Hospital for Special Surgery
New York, New York

Ultrasound for Regional Anesthesia
VINCENT W. CHAN, M.D.
Professor of Anesthesiology
University Health Network
Toronto, Ontario, Canada

Update on Lower Extremity Blocks
STEPHEN M. KLEIN, M.D.
Assistant Professor of Anesthesiology
Division of Ambulatory & Regional Anesthesia
Duke University Medical Center
Durham, North Carolina

Update on Upper Extremity Blocks
DAVID L. BROWN, M.D.
Edward Rotan Distinguished Professor and Chair
Department of Anesthesiology and Pain Medicine
University of Texas-MD Anderson Cancer Center
Houston, Texas

1:00 - 3:30 P.M. (1300 - 1530)
SP-09

AWARENESS FOLLOWING SURGERY:
HYPE OR REALITY?
Jeffrey L. Apfelbaum, M.D., Panel Moderator
Professor and Chair
Department of Anesthesia and Critical Care
University of Chicago Hospitals
Pritzker School of Medicine
Chicago, Illinoisnt>

Panelists' Presentations:

Memory Formation During Anesthesia
ROBERT VESELIS, M.D.
Associate Professor of Anesthesiology
Memorial-Sloan Kettering Cancer Center
New York, New York

Summary of the ASA Advisory on Intraoperative Awareness
JEFFREY L. APFELBAUM, M.D.

Responsiveness During Surgery -vs- Awareness
DONALD M. MATHEWS, M.D.
Associate Professor of Anesthesiology
New York Medical College
Valhalla, New York Chief, Ambulatory Anesthesia Services
St. Vincent’s Hospital and Medical Center
New York, New York

Clinical Perspectives: Intraoperative Awareness as a Focal Point of Perioperative Management
DANIEL J. COLE, M.D.
Professor of Anesthesiology
Mayo Clinic College of Medicine
Chair, Department of Anesthesiology
Mayo Clinic Scottsdale
Scottsdale, Arizona

SP-10

CONVENTIONAL AND UNCONVENTIONAL PAIN TECHNIQUES
Mark J. Lema, M.D., Ph.D., Panel Moderator
Professor and Chair
Department of Anesthesiology
SUNY-Buffalo School of Medicine Biomedical Sciences
Chair, Department of Anesthesiology and Roswell Park Cancer Institute
Buffalo, New York

Panelists' Presentations:

Molecular Mechanisms of Pain Transmission: Can Treating Acute Pain Prevent Chronic Pain?
MARK J. LEMA, M.D., Ph.D.

Interventional Techniques for Intractable Lower Back Pain: Unconventional and Conventional Therapies
SUDHIR A. DIWAN, M.D.
Assistant Professor of Anesthesiology
Weill Medical College of Cornell University
New York, New York

Complete Regional Pain Syndrome (CRPS) Type 1 of Two Years Duration Not Improving: What Are My Choices for Treatment?
MICHEL Y. DUBOIS, M.D.
Professor of Anesthesiology
Director, Pain Program
New York University School of Medicine
New York, New York

Sophistry in Pain Management
OSCAR A. DeLEON-CASASOLA, M.D.
Professor of Anesthesiology
Vice-Chair for Clinical Affairs
University of Buffalo
Chief, Pain Medicine
Roswell Park Cancer Institute
Buffalo, New York

SP-11

CURRENT TRENDS IN CRITICAL CARE MEDICINE
Neal H. Cohen, M.D., Panel Moderator
Vice Dean
Professor of Anesthesia and Medicine
University of California School of Medicine at San Francisco
San Francisco, California

Panelists' Presentations:

Transfusion Therapy: What's the Trigger?
BRUCE D. SPIESS, M.D.
Professor and Vice Chair
Department of Anesthesiology
Director Cardiothoracic Anesthesia
Director of VCURES (Shock Center)
Medical College of Virginia
Richmond, Virginia

Differentiating Control From Support Modes
JAMES E. SZALADOS, M.D., J.D., M.B.A.
Partner, Westside Anesthesia Associates of Rochester, LLP.
Medical Director of Respiratory Care
Attending in Critical Care and Medicine
Unity Health System at Park Ridge Hospital
Rochester, New York

Keeping the ICU Patient Sedated and Pain-Free
GREGORY E. KERR, M.D., M.B.A.
Associate Professor of Anesthesiology
Weill Medical College of Cornell University
Medical Director, Cardiothoracic Intensive Care Unit & Post Anesthesia Care Unit
New York Presbyterian Hospital
New York, New York

Perioperative Management of the Patient Receiving Renal Replacement Therapy (CRRT)
NEAL H. COHEN, M.D.

MONDAY, DECEMBER 12, 2005
09:00 - 10:30 A.M.
SP-12

PGA International Forum

INTERNATIONAL FORUM

Transatlantic Controversy: Can We Agree on a B and C?
Gordon B. Drummond, M.A., M.B., Ch.B., FRCA, FRCPED,
Panel Moderator

Chair, Scientific Programme Committee, ESA
Senior Lecturer
Department of Anaesthesia, Intensive Care and Pain Medicine
Royal Infirmary
Edinburgh, Scotland, United Kingdom

Panelists' Presentations:

Let the Patient Breathe!
GORDON B. DRUMMOND, M.A., M.B., Ch.B., FRCA, FRCPED

Beta Block or Not: Is There Enough Evidence?
HANS-JOACHIM PRIEBE, M.D., F.R.C.A.
Professor of Anesthesiology
Universitäts Klinikum Freiburg
Freiburg, Germany

Fighting for the Airway
DERMOT W. McKEOWN, M.B., Ch.B., FRCA, FRCSED
Consultant in Anaesthesia and Intensive Care
Royal Infirmary
Edinburgh, Scotland

10:45 - 11:45 A.M.
SP-13

35th ANNUAL
E.A. ROVENSTINE MEMORIAL LECTURE

This annual Memorial Lecture series is dedicated to honor the illustrious career of Dr. Emery Andrew Rovenstine, who was Director of Anesthesiology Service from 1935 to 1960 at what he proudly referred to as "My Bellevue," which in his time was a charity hospital. He was also Professor of Surgery (Anesthesia) at The New York University School of Medicine. Dr. Rovenstine was a loved and eminent clinician and teacher, who played a major role in the development of academic anesthesia in the United States. In his lifetime many great honors were bestowed upon him. He served as President of The American Society of Anesthesiologists in 1943/44, and in 1957 received that Society's Distinguished Service Award. Dr. Rovenstine was the founder of the PostGraduate Assembly in Anesthesiology. A scholarly man who helped to develop many drugs, techniques and machines to ease pain, Dr. Rovenstine devoted himself to training other physicians in his specialty. He was considered in his time to be the most knowledgeable anesthesiologist in the world.

Introductions:

Vinod Malhotra, M.D.
PGA General Chair
Rebecca S. Twersky, M.D.
PGA Scientific Programs Chair

Topic: Editor-in-Chief:  Observations on Science, Clinical Practice and Communications in Anesthesiology
Guest Lecturer: Michael M. Todd, M.D.
Professor and Interim Chair
Department of Anesthesia
University of Iowa Hospitals and Clinics
Iowa City, Iowa

Host: Rebecca S. Twersky, M.D.

1:00 - 3:30 P.M. (1300 - 1530)
SP-14

UPDATE ON CARDIAC ANESTHESIA
Linda J. Shore-Lesserson, M.D., Panel Moderator
Associate Professor of Anesthesiology
Mount Sinai School of Medicine
New York, New York

Panelists' Presentations:

Preventing Central Nervous System (CNS) Dysfunction After Cardiac Surgery: How Far Have We Come?
DAVID L. REICH, M.D.
Professor and Chair
Department of Anesthesiology
Mount Sinai School of Medicine
New York, New York

Off-Pump Coronary Artery Bypass Grafting (CABG), Cardio Pulmonary Bypass (CPB), or Hybrid Procedure? Patient Selection Determines Outcome
CHARLES W. HOGUE, M.D.
Associate Professor of Anesthesiology
Washington University School of Medicine
St. Louis, Missouri

The Impact of Recent Coronary Intervention in the Perioperative Period: Anti-Thrombotic Agents and More
LINDA J. SHORE-LESSERSON, M.D.

Off-Pump Coronary Artery Bypass Surgery:
Myocardial Protection and More
PETER L. BAILEY, M.D.
Professor of Anesthesiology
Director of Cardiac Anesthesia
University of Rochester School of Medicine and Dentistry
Rochester, New York

SP-15

REDUCING PREVENTABLE MISHAPS
Jeffrey B. Cooper, Ph.D., Panel Moderator
Associate Professor of Anaesthesia
Harvard Medical School
Director, Biomedical Engineering, Partners Healthcare System
Director, Center for Medical Simulation
Boston, Massachusetts

Panelists' Presentations:

Role of Simulators in Training and Re-Credentialing
JEFFREY B. COOPER, Ph.D.

Clinical Alarm Systems: Why Are They Disabled?
JULIAN M. GOLDMAN, M.D.
Instructor in Anaesthesia
Harvard Medical School
Assistant in Anesthesia
Massachusetts General Hospital
Physician Advisor to Partners Biomedical Engineering
Boston, Massachusetts
Adjoint Associate Professor of Anesthesiology
University of Colorado School of Medicine
Denver, Colorado

National Patient Safety Goals and Sentinel Event
Alerts Relevant for our Practice
ROBERT S. LAGASSE, M.D.
Professor and Vice-Chair
Department of Anesthesiology
Albert Einstein College of Medicine/Montefiore Medical Center
Weiler Division of Montefiore Medical Center
Bronx, New York

Work Hour Limitations - Are They for Everyone?
STEVEN K. HOWARD, M.D.
Associate Professor of Anesthesiology
Stanford University School of Medicine
Stanford, California
Staff Anesthesiologist
Veterans Affairs Palo Alto Health Care System
Palo Alto, California

SP-16

AVOIDING COMPLICATIONS IN NEUROANESTHESIA
Audrée A. Bendo, M.D., Panel Moderator
Professor of Clinical Anesthesiology
Vice-Chair for Education
Director of Neurosurgical Anesthesia
SUNY-Downstate Medical Center
Brooklyn, New York

Panelists' Presentations:

Preventing Secondary Injury in Head Injury
Audrée A. BENDO, M.D.

Awake Craniotomy: Anesthetic Challenges and Complications
CYNTHIA A. LIEN, M.D.
Professor of Clinical Anesthesiology
Weill Medical College of Cornell University
Attending Anesthesiologist
New York Presbyterian Hospital
New York, New York

Perioperative Visual Loss and Spine Fusion Surgery
STEVEN ROTH, M.D.
Associate Professor of Anesthesia & Critical Care
Chief of Neuroanesthesia
University of Chicago Pritzker School of Medicine
Chicago, Illinois

Cervical Spine Injury: Evaluation and Management
MICHAEL M. TODD, M.D.
Professor and Interim Chair
Department of Anesthesia
University of Iowa Hospitals and Clinics
Iowa City, Iowa

TUESDAY, DECEMBER 13, 2005
09:00 - 11:30 A.M.

SP-17

RECENT DEVELOPMENTS IN THORACIC ANESTHESIA AND RESPIRATORY CARE
Edmond Cohen, M.D., Panel Moderator
Professor of Anesthesiology
Director of Thoracic Anesthesia
Mount Sinai School of Medicine
New York, New York

Panelists' Presentations:

Volume -vs- Pressure Ventilation During One Lung Ventilation in the Respiratory Compromised Patient
DENHAM S. WARD, M.D., Ph.D.
Professor of Anesthesiology
University of Rochester School of Medicine and Dentistry
Rochester, New York

Current Status of Lung Volume Reduction Surgery
CHARLES W. HOGUE, M.D.
Associate Professor of Anesthesiology
Washington University School of Medicine
St. Louis, Missouri

Management of Hypoxia During One Lung Ventilation:
Beyond PEEP and CPAP

EDMOND COHEN, M.D.

What’s New for Post-Thoracotomy Pain Management
OSCAR A. DeLEON-CASASOLA, M.D.
Professor of Anesthesiology
Vice-Chair for Clinical Affairs
University of Buffalo
Chief, Pain Medicine
Roswell Park Cancer Institute
Buffalo, New York

SP-18

BROADENING THE AMBULATORY EXPERIENCE
Rebecca S. Twersky, M.D., Panel Moderator
Clinical Professor of Anesthesiology
Vice-Chair for Research
Director, Division of Ambulatory Anesthesia
SUNY-Downstate Medical Center
Medical Director, Ambulatory Surgery Unit
Long Island College Hospital
Brooklyn, New York

Panelists' Presentations:

Regional Techniques Patients Can Go Home With
MEG A. ROSENBLATT, M.D.
Associate Professor of Anesthesiology
Director, Division of Orthopaedic Anesthesiology
Mount Sinai School of Medicine
New York, New York

The Ideal Ambulatory Anesthetic: Fact or Fiction
TONG J. GAN, M.D.
Professor and Vice Chair
Department of Anesthesiology
Duke University School of Medicine
Durham, North Carolina

Economics of The Preoperative Process
BRIAN M. PARKER, M.D.
Medical Director
Same Day Surgery & Post Anesthesia Care Unit
Department of General Anesthesiology
Cleveland Clinic Foundation
Cleveland, Ohio

Anesthesiologists Providing Sedation for Office Endoscopy Procedures
ROY G. SOTO, M.D.
Assistant Professor of Anesthesiology
SUNY- Health Sciences Center at Stony Brook
Stony Brook, New York

1:00 - 3:30 P.M. (1300 - 1530)
SP-19

7th ANNUAL BRAGGING CONTEST: ANY CASE YOU HAVE DONE, I HAVE DONE A BETTER ONE
Clifford M. Gevirtz, M.D., M.P.H., Panel Moderator
Medical Director
Metro Pain Management
New York, New York

Panelists' Presentations:

Representing SUNY-Downstate Medical Center
DAVID S. FISHMAN, M.D.
Clinical Assistant Professor of Anesthesiology
SUNY-Downstate Medical Center
Brooklyn, New York

Representing Maimonides Medical Center
STEVEN N. KONSTADT, M.D., FACC, M.B.A.
Professor and Chair
Department of Anesthesiology
Maimonides Medical Center
Brooklyn, New York

Representing Albert Einstein College of Medicine
PHILIP W. LEBOWITZ, M.D., M.B.A.
Professor of Clinical Anesthesiology
Albert Einstein College of Medicine
Attending Anesthesiologist
Montefiore Medical Center
Bronx, New York

Representing Mount Sinai School of Medicine
IRENE P. OSBORN, M.D.
Associate Professor of Anesthesiology
Director of Neuroanesthesia
Mount Sinai School of Medicine
New York, New York

Representing SUNY-Health Sciences Center at Stony Brook
ELLEN S. STEINBERG, M.D.
Clinical Associate Professor of Anesthesiology, Obstetrics & Gynecology
SUNY-Health Sciences Center at Stony Brook
Stony Brook, New York




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