WELCOME PLENARY SESSION
22nd ANNUAL R.W. ROBERTAZZI MEMORIAL PANEL

DISPELLING COMMON MYTHS AND DOGMAS
IN CLINICAL PRACTICE
Paul G. Barash, M.D., Panel Moderator
Professor of Anesthesiology
Yale University School of Medicine
New Haven, Connecticut

Are The Protocols For Management of The High Risk Cardiac
Patient Undergoing Non-Cardiac Surgery Harmful?
PAUL G. BARASH, M.D.

Misunderstandings About The Lower Limit of CBF
(Cerebral Blood Flow) Autoregulation May
Be Contributing To Patient Injury
JOHN C. DRUMMOND, M.D., F.R.C.P.C.
Professor of Anesthesiology
The University of California, San Diego
Staff Anesthesiologist
Veterans Affairs Medical Center
San Diego, California

Does Cricoid Pressure Prevent Effective Airway Management?
HANS-JOACHIM PRIEBE, M.D., FRCA
Professor of Anesthesiology
Universitäts Klinikum Freiburg
Freiburg, Germany

CARDIAC IMPLICATIONS FOR NON-CARDIAC SURGERY
Linda J. Shore-Lesserson, M.D., Panel Moderator
Associate Professor of Anesthesiology
Albert Einstein College of Medicine
Chief, Cardiothoracic Anesthesiology
Montefiore Medical Center
Bronx, New York

Management of Uncontrolled Hypertension for
Patient Undergoing Non-Cardiac Surgery
MANUEL L. FONTES, M.D.
Associate Professor of Anesthesiology
Weill Medical College of Cornell University
New York Presbyterian Hospital
New York, New York

Preventing Ischemia in the Perioperative Period
KETAN SHEVDE, M.D.
Clinical Professor of Anesthesiology
Director, Cardiothoracic Anesthesia
SUNY-Downstate Medical Center
Brooklyn, New York

Update on Heart Failure
DEBRA A. SCHWINN, M.D.
James B. Duke Professor of Anesthesiology
Professor of Pharmacology/Cancer Biology,
Medicine (Cardiology) & Surgery
Program Director for Cardiovascular Genomics, Center for
Genomic Medicine, Duke Institute for Genome Sciences & Policy
Duke University Medical Center
Durham, North Carolina

Anesthesia Concerns in the Patient With a
Recent Intracoronary Stent
LINDA J. SHORE-LESSERSON, M.D.

CHRONIC PAIN UPDATE
James P. Rathmell, M.D., Panel Moderator
Director, Department of Anesthesia and Critical Care
Massachusetts General Hospital Pain Center
Boston, Massachusetts

Complications in Pain Medicine
JAMES P. RATHMELL, M.D.

Getting Reimbursed for Your Work in the Pain Clinic
CAROLE W. AGIN, M.D., M.P.A.
Associate Professor of Anesthesiology
SUNY-Health Sciences Center at Stony Brook
Stony Brook, New York
Director, Center for Pain Management
East Setauket, New York

New Interventions for Low Back Pain
MICHEL Y. DUBOIS, M.D.
Professor of Anesthesiology
Director, Pain Program
New York University School of Medicine
New York, New York

Peripheral Opioid Antagonists
JONATHAN MOSS, M.D., Ph.D.
Professor and Vice Chairman for Research
Department of Anesthesia and Critical Care
Professor of the College; Chair, Institutional Review Board
University of Chicago
Chicago, Illinois

Have I Got a Simulated Case For You
Adam I. Levine, M.D., Panel Moderator
Associate Professor of Anesthesiology, Physiology and Biophysics
Director of Residency Training
Mount Sinai School of Medicine
New York, New York

ETHAN O. BRYSON, M.D.
Resident in Anesthesiology
Mount Sinai School of Medicine
New York, New York

JOHN J. MERINGOLO, M.D.
Assistant Professor of Anesthesiology
Director of Anesthesia Simulator Education
Mount Sinai School of Medicine
New York, New York

CHAD EPPS, M.D.
Physician
Mount Sinai School of Medicine
New York, New York

PERIOPERATIVE CARE OF THE MORBIDLY
OBESE PATIENT
Thomas J. Ebert, M.D., Ph.D., Panel Moderator
Professor and Vice Chair for Education
Program Director, Department of Anesthesiology
The Medical College of Wisconsin
V.A. Medical Center
Milwaukee, Wisconsin

Bariatric Surgery: Preop and Anesthetic Induction
THOMAS J. EBERT, M.D., Ph.D.

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

Ventilation Strategies
ANDREW B. LEIBOWITZ, M.D.
Associate Director of Anesthesiology and Surgery
Co-Director, Surgical Intensive Care Unit
Mount Sinai School of Medicine
New York, New York

Recovery and Pain Management
LOIS A. CONNOLLY, M.D.
Associate Professor of Anesthesiology
Medical College of Wisconsin
Chief of Anesthesiology Services
Froedtert Hospital
Milwaukee, Wisconsin

KEEPING ABREAST OF CHANGES IN PERIOPERATIVE
AND PRACTICE MANAGEMENT
Vinod Malhotra, M.D., Panel Moderator
Professor of Clinical Anesthesiology
Weill Medical College of Cornell University
Vice-Chair for Clinical Affairs
Department of Anesthesiology
Clinical Director of Operating Rooms
New York Presbyterian Hospital
New York, New York

Efficiency and Quality in the Perioperative Arena
VINOD MALHOTRA, M.D.

Anesthesia Information Systems
MICHAEL O'REILLY, M.D.
Associate Professor of Anesthesiology
University of Michigan School of Medicine
Ann Arbor, Michigan

Negotiating Your Share of Hospital Pay for Performance Bonuses
JOANNE M. CONROY, M.D.
Executive Vice President
Atlantic Health System
Chief Operating Officer
Morristown Memorial Hospital
Morristown, New Jersey

Dealing with Disruptive Physicians and Problem Colleagues:
Practical and Legal Issues
JUDITH JURIN SEMO, Esq., J.D.
Judith Jurin Semo, PLLC
Washington, DC

CURRENT APPROACHES TO REGIONAL ANESTHESIA
Andrew D. Rosenberg, M.D., Panel Moderator
Clinical Professor of Anesthesiology and Orthopaedics
New York University School of Medicine
Chair, Department of Anesthesiology
Hospital for Joint Diseases, Orthopaedic Institute
New York, New York

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

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

Complications of Peripheral Nerve Blocks
MEG A. ROSENBLATT, M.D.
Associate Professor of Anesthesiology
Director, Division of Orthopaedic Anesthesiology
Mount Sinai School of Medicine
New York, New York

Catheter Techniques
JOSEPH M. NEAL, M.D.
Anesthesia Faculty
Virginia Mason Medical Center
Clinical Professor of Anesthesiology
University of Washington
Seattle, Washington

BEYOND COX2 - OPTIMIZING ACUTE PAIN MANAGEMENT
Peter S.A. Glass, M.B., Ch.B., Panel Moderator
Professor and Chair
Department of Anesthesiology
SUNY-Health Sciences Center at Stony Brook
Stony Brook, New York

Acetaminophen and NSAIDS: Should I Use Them?
SCOTT S. REUBEN, M.D.
Professor of Anesthesiology and Pain Medicine 
Tufts University School of Medicine and the
Baystate Medical Center
Springfield, Massachusetts

What Role Do Gabapentin//Paragablin,
Ketamine Have in Acute Pain?
Peter S.A. Glass, M.B., Ch.B.

Dexmedetomidine: Adjunct to Sedation/Analgesia?
THOMAS J. EBERT, M.D., Ph.D.
Professor and Vice Chair for Education
Program Director, Department of Anesthesiology
The Medical College of Wisconsin
V.A. Medical Center
Milwaukee, Wisconsin

Using Regional Techniques as Multimodal Pain Therapy
PAUL H. WILLOUGHBY, M.D.
Associate Professor of Anesthesiology
SUNY-Health Sciences Center at Stony Brook
Stony Brook, New York

Gertie F. Marx Memorial Lecture:
CURRENT DEBATES IN OBSTETRICAL ANESTHESIA

This panel was created to honor the life, career and memory of Professor Gertie F. Marx, the "Mother of Obstetric Anesthesia". Gertie was born in Frankfurt am Main, Germany. She studied medicine in Germany and Switzerland in the mid 1930s before emigrating to the United States. She trained at Beth Israel Medical Center, where she worked for 10 years as an attending anesthesiologist. She then came to Jacobi Medical Center and the Albert Einstein School of Medicine in the Bronx, becoming the first Director of Obstetric Anesthesiology at those institutions. She continued to work at Jacobi and Albert Einstein for

over 40 years, rising to the rank of Professor. Gertie dedicated her life to the "care of mothers and their babies" which she did through both her clinical care and her research. Gertie held just as strong a commitment to the education of anesthesia residents and medical students, training untold numbers of obstetric anesthesiologists. To these students of anesthesia, Gertie was the model for pride, dedication and professionalism. During her illustrious career, Gertie received many honors in the U.S., the U.K. and elsewhere. She was only the second woman in the history of the ASA to receive the ASA Distinguished Service Award. The last of the many awards that Gertie received in her life was the Distinguished Service Award of the NYSSA.

Yaakov Beilin, M.D., Panel Moderator
Associate Professor of Anesthesiology, Obstetrics &
Gynecology and Reproductive Sciences
Co-Director, Obstetric Anesthesia
Director, Performance Improvement Committee
Mount Sinai School of Medicine
New York, New York

Use of Non-Particulate Antacid for Elective Cesarean Delivery
YAAKOV BEILIN, M.D.

Spinal Anesthesia in Severe Pre-Eclampsia
ALAN C. SANTOS, M.D., M.P.H.
Chair, Department of Anesthesiology
Ochsner Clinic Foundation
New Orleans, Louisiana

Use of Supplemental Oxygen During Cesarean Section Delivery
DAVID J. WLODY, M.D.
Clinical Associate Professor of Anesthesia
Vice-Chair for Clinical Affairs
Director, Obstetric Anesthesia
SUNY-Downstate Medical Center
Chair, Department of Anesthesiology
Long Island College Hospital
Brooklyn, New York

Phenylephrine vs. Ephedrine For Treatment of Hypotension
EDWARD T. RILEY, M.D.
Associate Professor of Anesthesia
Associate Professor of Obstetrics and Gynecology
Director of Obstetric Anesthesia
Stanford University School of Medicine
Stanford, California

PEDIATRIC UPDATE
Myron Yaster, M.D., Panel Moderator
The Richard J. Traystman Professor of Pediatrics Anesthesiology and
Critical Care Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

Adolescents: The Forgotten Pediatric Patient
COREY SCHER, M.D.
Associate Professor of Anesthesiology
Mount Sinai School of Medicine
New York,New York

Practical Pediatric Regional Anesthesia
SANTHANAM SURESH, M.D., FAAP
Director, Pain Services
Children's Memorial Hospital
Associate Professor of Anesthesiology & Pediatrics
Feinberg School of Medicine
Northwestern University
Chicago, Illinois

Pediatric Sedation
MILES H. DINNER, M.D.
Professor of Clinical Anesthesiology
Weill Medical College of Cornell University
Attending Anesthesiologist
New York Presbyterian Hospital
New York, New York

Six Sigma Strategy for Pediatric Pain Management
MYRON YASTER, M.D.

This is a continuing series of annual forums to discuss anesthesia practices throughout the world.

THE EUROPEAN SOCIETY OF ANAESTHESIOLOGISTS
HITS NEW YORK

The faculty at this program participated courtesy of the
EUROPEAN SOCIETY OF ANAESTHESIOLOGISTS as part of a
collaborative educational exchange with the PostGraduate
Assembly in Anesthesiology.

Jennifer M. Hunter, M.B., Ch.B., Ph.D., FRCA,
Panel Moderator
Chair, Scientific Programme Committee
European Society of Anaesthesiology
Department of Anaesthesia
University Clinical Department
University of Liverpool
Liverpool, England

To Reverse or Not To Reverse: That Is The Question?
Jennifer M. Hunter, M.B., Ch.B., Ph.D., FRCA

Do Anaesthetists Take The Risks of Perioperative Venous
Thrombosis and Pulmonary Embolism Sufficiently Seriously?
PETER J. SIMPSON, M.B., FRCA
President, European Society of Anaesthesiologists
Department of Anaesthesia
Frenchay Hospital
Bristol, England

Over and Under Transfusion: Current Practice Today
DONAT R. SPAHN, M.D., FRCA
Scientific Programme Committee (SPC) Member
European Society of Anaesthesiologists
Professor and Chair
Department of Anesthesiology
University Hospital (CHUV)
Lausanne, Switzerland

36th ANNUAL
E.A. ROVENSTINE MEMORIAL LECTURE

WHAT YOU SHOULD KNOW ABOUT VENTILATION
MANAGEMENT IN THE CRITICALLY ILL
Brian S. Kaufman, M.D., Panel Moderator
Associate Professor of Anesthesiology, Medicine and Neurosurgery
Director of Critical Care Medicine
New York University School of Medicine
New York, New York

Mechanisms of Ventilator Induced Lung Injury
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

Permissive Hypercapnea in The Patient With Respiratory Failure
BRIAN S. KAUFMAN, M.D.

Applying What We Know About Ventilation to
the Operating Room
DOUGLAS B. COURSIN, M.D.
Professor of Anesthesiology and Internal Medicine
University of Wisconsin School of Medicine & Public Health
Madison, Wisconsin

Delirium in the Critically Ill Patient: Acute and
Long-Term Complications
PRATIK PANDHARIPANDE, M.D., MSCI
Assistant Professor of Critical Care
Health Services Research Center
Vanderbilt University School of Medicine
Nashville, Tennessee

MEASURING QUALITY PERFORMANCE IN
PERIOPERATIVE AND CRITICAL CARE
Alexander A. Hannenberg, M.D., Panel Moderator
Associate Chair, Department of Anesthesiology
Newton-Wellesley Hospital
Newton, Massachusetts

How to Improve Patient Safety and Quality in the O.R. and ICU
ELIZABETH MARTINEZ, M.D., M.H.S.
Assistant Professor of Anesthesiology
Johns Hopkins University School of Medicine
Baltimore, Maryland

JCAHO and National Patient Safety and Quality in
the Operating Room and ICU
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

Building a Multi-Institutional Clinical Database
PETER F.R. WALKER, M.D.
VIce-President, Anesthesia Services
North Shore-Long Island Jewish Health System
Manhasset, New York

P4P: Applying it to Anesthesia Practice
ALEXANDER A. HANNENBERG, M.D.

WHAT MONITORS SHOULD WE BE USING?
David L. Reich, M.D., Panel Moderator
Professor and Chair
Department of Anesthesiology
Mount Sinai School of Medicine
New York, New York

Should Brain Function Monitors Be a Standard of Care?
MARC BLOOM, M.D., Ph.D.
Clinical Associate Professor of Anesthesiology
Director of Neuroanesthesia Program
New York University School of Medicine
New York, New York

Temperature Monitoring to Improve Perioperative Outcomes
DANIEL I. SESSLER, M.D.
Chair, Department of Outcomes Research
The Cleveland Clinic
L&S Weakley Professor of Anesthesiology
Director, Outcomes Research Institute
Cleveland, Ohio

Monitoring for Myocardial Ischemia: ECG, PAC, or TEE?
JACK S. SHANEWISE, M.D.
Director, Cardio Thoracic Anesthesiology
Columbia University College of Physicians & Surgeons
New York, New York

What If Our Practice Cannot Afford The
Electronic Medical Record?
DAVID L. REICH, M.D.

8th 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
Somnia Pain Management
New York, New York

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

Representing University of Rochester School of
Medicine and Dentistry
JANINE R. SHAPIRO, M.D.
Associate Professor of Anesthesiology
University of Rochester School of Medicine and Dentistry
Rochester, 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