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?Association of Physician Assistants in Cardiothoracic and?Vascular Surgery37th?Annual Meeting | April 4-8, 2018?FINAL PROGRAM WITH OBJECTIVES??Wednesday, April 4, 2018???1600-1800???????? Registration? ? ? ? ? ? ? ? ? ? ? ? ? ?Overture Foyer???Thursday, April 5, 2018? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ???0630-1700???????? Registration? ? ? ? ? ? ? ? ? ? ? ? ? ?Overture Foyer?0630-0830???????? Continental Breakfast? ? ? ? ? ? ? ? ? ? ? ? ? ?Overture Foyer/ Symphony I/II?0730-1730???????? GENERAL SESSION? ? ? ? ? ? ? ? ? ? ? ? ? ?Symphony III/ IV?0730-0830???????? APACVS Presidential Address? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Steven Gottesfeld PA-C???????????????????????? ? ? ? ?0830-0930???????? Patient Safety? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Thor Sundt, MDObjectives: - Recognize the challenges and limitations of Human Factors. Approaches to Improving Patient Safety in Cardiothoracic Surgical Care. - Identify Common Causes of and Factors Associated with Medical errors in surgery. - Develop Mechanisms to Collate and Analyze Error Causation. - Implement Effective Communication Tools Between and Within Teams, e.g. Preoperative Briefings, Postoperative Debriefings, and Hand-offs.?? ? ? ? 0930-0945???????? Coffee Break? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ??Overture Foyer?? ? ? ? ? 09450-1045?????? Checklists/ Briefing/ Debriefing? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Thor Sundt, MDObjectives:Discuss the Impact of Checklists Have on Human-Medicine Interfaces.Review Models for and Impact of Perioperative Briefing with the Team. ?? ? ? ? ?1045-1115???????? Non-Technical Skills in the OR? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Jamie Robertson, PhD, MPHObjectives:Discuss Behavioral Marker Systems that Have Been Developed to Rate Surgeons’ Non-Technical Skills.Review Non-Technical Skills required by Surgeons in the operating Room.?? ? ? ? ? ?1115-1145???????? Conflict Resolution? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Stephen Mayberg PhDObjectives:Discuss the Relationship Between Good Communication and Patient Outcomes/ Satisfaction.Review Common Sources of Workplace Conflict and How to Avoid them.?? ? ? ? ? ?1145-1315???????? Lunch and Learn? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Sponsored by: Saphena? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Concerto B, C & D???? ? ? ?1315-1345???????? Perioperative Pain? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Padma Gulur, MDObjectives:Discuss Strategies for Perioperative Pain Management.Discuss Transition Strategies from Opiod to Non-Opiod Measures in the Inpatient Setting.?? ? ? ? ?1345-1415???????? Prescribing Controlled Substances? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Padma Gulur, MD?Objectives:Discuss Current Regulatory Initiatives and Their Impact on Clinical Practice.Discuss the Mechanisms of Addiction.? ? ? ? ?1415-1445???????? Panel DiscussionObjectives:Discuss the Impact of New Prescribing Laws on PA Practice.Discuss the New Mechanisms of Regulatory Compliance.?? ? ? ? ?1445-1500???????? Coffee Break? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer??? ? ? ? ?1500-1600?????????Care of the Arresting Cardiac Surgery Patient: A Review of the?? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Literature? ?? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Aaron Morton, MMSc, PA-C, FAPACVSObjectives:Review the Literature with Regards to Resuscitation of the Arresting Cardiac Surgery Patient.Discuss Differences in Management Between ACLS and The STS Protocol.?? ? ? ? ? 1600-1700 ? ? ? ? The PA Experience in India? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Anitha Chandrasekhar, PA-CObjectives:Review PA Practice in India, Drawing Comparisons to PA Practice in the US.Discuss the Current Globalization of PA Practice and Its Implications on International Collaboration.?? ? ?1700-1800???????? APACVS Member Meeting??1315-1800???????? CONCURRENT TRACK SESSIONS?? ? ? ? ? ?Extracorporeal Membrane Oxygenation?Course (ECMO)**? ? ? ? ? ?Chamber A Faculty: ?Patti Raval, PA-C, Chair; Gregg Steahr, PA-C; Donald Botta, MD; John Fritsch, CCP; Mary Nelson, BSN, RN; Bradford Ledzian, PA-C?1315-1325??? ??? History of ECMOObjectives: - Describe the First Successful ECMO Case. - Discuss the Outcomes of The CESAR Trial.?? ? ? ? ? 1325-1335?? ???? Physiology of ECMOObjectives: - Understand Oxygen Delivery and Consumption Mismatch. - Identify Physiologic Changes ECMO Has on Mismatch.?? ? ? ? ? 1335-1405? ? ? ? VA ECMO??Objectives: - Identify Indications and Contraindications for VA ECMO. - Identify Different Cannulation Positions and Physiology Behind Each. - Discuss Weaning Strategies.??????????????????? ? ? ? ? ?1405-1440? ? ? ? VV ECMOObjectives: - Identify Indications and Contraindications for VV ECMO. - Identify Different Cannulation Positions and Physiology Behind Each. - Discuss Weaning Strategies.?? ? ? ? ? ?1440-1455? ? ? ? Maintenance of ECMOObjectives: - Discuss the Difference Between Radial/ Pre/ Post Membrane ABG. - Discuss How to Adjust Sweep based on ABG Results. - Review Anticoagulation and Its Risks.1455-1525? ? ? ? Complications of ECMOObjectives: - Discuss Limb Ischemia and the Use of Distal Perfusion Catheters. - Understand Hemolysis. - Discuss Harlequin Syndrome and How to Adjust for It.?? ? ? ? ? 1525-1800? ? ? ? Hands-on/ Simulation:? ? ? ? ? ? Cannulation TechniquesObjectives: - Discuss Techniques for VA Peripheral Cannulation. - Discuss Techniques for VA Central Cannulation. - Discuss Techniques for VV Peripheral and Double-Lumen Cannulation.? ? ? ? ? Circuit Set-upObjectives: - Discuss Different Size Cannulas and When to Use Each. - Identify Primary Components of the ECMO Circuit. - Discuss oxygenators and when to change out.? ? ? ? ? ? ? ? ? Simulation Lab - Practice Care of the ECMO Patient Using Reality Based Scenarios - Demonstrate Knowledge of Line Management, Trouble Shooting and Drip Management Using Reality Based Scenarios and Manikins??????????????????1830-2000???????? Welcome Reception?? ? ? ? ? ? ? ? ? ? ? ? ? Exhibit Hall: Symphony I & II, Overture Foyer???Friday, April 6, 2018? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ??0630-1800? ? ? ? ?Registration? ? ? ? ? ? ? ? ? ? ? ? ? ?Overture Foyer?0630-1600???????? Exhibit Hall Hours? ? ? ? ? ? ? ? ? ? ? ? ? ?Symphony I & II?0630-0830???????? Continental Breakfast? ? ? ? ? ? ? ? ? ? ? ? ? ?Overture Foyer, Symphony I/II?0730-1145???????? CONCURRENT TRACK SESSIONS??? ? ? ? ? ?Cardiac Track???? ? ? ? ? ?Symphony III & IV?? 0730-0830???????? Acute Aortic Syndrome? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Tomas Martin, MDObjectives: - Define the Pathophysiology of Acute Aortic Syndromes. - Define Standard Diagnostics of Acute Aortic Syndrome. - Discuss the Management of Acute Aortic Syndrome.? ? ? 0830-0930 ? ? ? ? Chronic Aortic Dissection? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Gabrielle DiLuozzo, MDObjectives: - Discuss the Features of Chronic Aortic Dissection. - Discuss Management Options for Chronic Aortic Dissection. - Define Operative Indications for Chronic Aortic Dissection.? ? ? ?0930-0945???????? Coffee Break/ Visit Exhibitors? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer, Symphony I & II?? ? ? ?0945-1045???????? Genetic Disease Affecting the Aorta? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Duke Cameron, MDObjectives: - Identify Common Genetic Diseases Affecting the Aorta. - Describe the Genetic Basis of Aortic Disease. - Review Genetic Screening for Aortic Disease.?? ? ?1045-1145? ? ? ? ? Multidisciplinary Complex Aortic Treatment Program? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Rick Bello, MDObjectives: - Discuss the Multidisciplinary Approach to Complex Aortic Disease. - Review the Indications for Multimodal Aortic Interventions. - Describe the Surgical Approaches to Complex Aortic Disease.????? ? ? ? ? Thoracic Track? ? ? ? ? ?Chamber A?? ? ?0730-0800???????? Overview on Surgical Management of NSCLC? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Thomas D’Amico, MDObjectives: - Discuss the Current Indications for the Surgical Management of NSCLC. - Discuss the Current Modalities for Resection of NSCLC.?? ? ? ? ?0800-0830???????? VATS Lobectomy? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Thomas D’Amico, MDObjectives: - Discuss the Current State of VATS Lobectomy. - Discuss the Current Indications for VATS lobectomy.?? ? ? ? ?0830-0900???????? Robotic Lobectomy Mark Berry, MDObjectives: - Discuss the Current Indications for Robotic Lobectomy - Discuss the Oncologic Efficacy of Robotic Lobectomy? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?? ? ? ? ?0900-0930???????? Panel Discussion? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Thomas D’Amico, MD & Mark Berry, MDObjective: - Discuss the Current Advantages of Robotic Versus Thoracoscopic Resection. - Discuss the Current Disadvantages of Robotic versus Thoracoscopic Resection. - Discuss the Current Oncologic Efficacy of both Robotic and Thoracoscopic Resection.?? ? ? ? ?0930-0945???????? Coffee Break/ Visit Exhibits? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer, Symphony I & II?? ? ? ? 0945-1015???????? Esophagus Cancer Surgery Overview? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Thomas D’Amico, MDObjectives: - Discuss the Current Incidence of Esophageal Cancer. - Discuss the Current Evaluation Modalities for Esophageal Cancer.?? ? ? ?1015-1045???????? Open Esophagectomy? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Duykhanh Ceppa, MDObjectives: - Discuss the Current Approaches for Surgical Resection of Esophageal Cancer. - Discuss the Current Data Associated with Open Versus Minimally Invasive Esophagectomy. ?? ? ? ? 1045-1115???????? Minimally Invasive Esophagectomy (MIE)? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Mark Berry, MDObjectives: - Discuss the Current Indications for Minimally Invasive Esophagectomy. - Discuss the Technical Variations of Minimally Invasive Esophagectomy.? ? ? ?1115-1145???????? Panel Discussion? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Thomas D’Amico, MD, Duykhanh Ceppa, MD & Mark Berry, MDObjectives: - Discuss the Most Recent Literature Relative to Open Versus MIE. - Discuss the Advantages of MIE Versus Open Esophagectomy. - Discuss the Disadvantages of MIE Versus Open Esophagectomy.?????????????????????????? ? ? ? ? Critical Care?Track?? ? ??Boot Camp? ? ? ? ? ?Concerto Ballroom A?? ? ? ? ? 0730-0830???????? Management of Acute Post-Operative Hemodynamics? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Rick Bello, MD?? ? ? ? ?0830-0930???????? Inotropes, Vasopressors and Chronotropes, OH MY!? A Review for?the?Young and the Seasoned? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Matthew Robertus, PharmDObjectives: - Review the Mechanism of Action of Vasopressors and Inotropes. - Discuss Common Side Effects of Different Vasopressors and Inotropes. - Review Data for the Use of Alternative Agents. - Discuss Where Angiotensin II Fits into Therapy.?? ? ? ? ? 0930-0945???????? Coffee Break/ Visit Exhibits? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer, Symphony I & II?? ? ? ? ?0945-1045???????? “Paging Hematology”:? Management of Bleeding Patients in a NOVAL World? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Neil Kumar, MDObjectives: - Review the Current FDA Approved NOVAL Agents and Their Indications. - Discuss the Evidenced Based Approach to Common Coagulopathies.?? ? ? ? ?1045-1145???????? Post-Cardiopulmonary Bypass Complications: The Common and the Outliers? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Seth Zebrak, PA-CObjectives: - Review Incidence of Common Complications After Cardiopulmonary Bypass. - Discuss Diagnosis, Treatment and Expected Outcomes with These Complications.??1145-1315?????????Lunch & Learn:?? ?Sponsored by:?Getinge Group? ?Concerto B, C & D?1315-1730???????? CONCURRENT TRACK SESSIONS?? ? ? ? ? Cardiac Track? ? ? ? ? ?Symphony III & IV? ? ?1315-1415 ? ? ? ?Dysrhythmia A & P and Antiarrhythmic Pharmacology? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Jackoline Constantino, PharmDObjectives: - Review the Cardiac Myocyte Electrophysiology. - Review the Anatomy & Physiology of the Cardiac Conduction System. - Review Pharmacology of Antiarrhythmic Medications and Classification Scheme. - Outline Pharmacokinetics/Pharmacodynamics of the Most Common Antiarrhythmic Medications.? ? ? ?1415-1515 ? ? ? ?Evaluation of Vascular Disease in the Cardiac Surgery Patient?? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Dejah?Judson, MDObjectives: - Review Completing a Thorough Vascular Physical Exam for Pre- operative Evaluation. - Understand Appropriate Vascular Testing Including ABIs, Carotid Duplex, etc. - Recognize the Indications for Combined Revascularizations (i.e., CEA- CABG).?? ? ?1515-1530???????? Coffee Break/ Visit Exhibits? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Symphony I & II?? ? ? ? ? 1530-1630???????? Heart Failure Introduction? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Mauricio Velez, MDObjectives: - Provide an Overview of Systolic and Diastolic Heart Failure. - Review the Diagnosis of Right and Left Ventricular Failure. - Describe First Line Treatment Considerations in Acute and Chronic Heart Failure?? ? ? ? ? 1630-1730???????? Future of Mechanical Support? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Valluvan Jeevanandam, MDObjectives: - Review the Indications for Mechanical Circulatory Support. - Understand New Technology and Modalities of Mechanical Circulatory Support. - Discuss New Indications for Mechanical Circulatory Support.?? ? ? ? ? ?Thoracic Track? ? ? ? ? ?Chamber A?? ? ? 1315-1345???????? Multidisciplinary Teams? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Duykhanh Ceppa, MDObjectives: - Discuss the Structure and Importance of Multidisciplinary Care in Thoracic Oncology. - Discuss the Multidisciplinary Approaches to Management of Thoracic Malignancies.?? ? ? ? ? 1345-1415???????? Oncology: Molecular Testing and Treatment? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Erin Kunz, PA-CObjectives: - Discuss a Brief Overview of the Current Status of Molecular Testing. - Discuss a Brief Overview of Current Molecularly Targeted Therapies.?? ? ? ? ? 1415-1445???????? Stereotactic Body Radiation Therapy/Radio Frequency Ablation? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Jeremiah Thomas Martin, MDObjectives: - Discuss the Current Indications for Stereotactic Body Radiation. - Discuss the Current Applications for Radio Frequency Ablation in Thoracic Malignancies.?? ? ? ? 1445-1515???????? Panel Discussion? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Duykhanh Ceppa, MD, Erin Kunz, PA-C & Jeremiah Martin, MDObjectives: - Discuss the Benefits of Multidisciplinary Care. - Discuss the Impact of Molecular Testing on the Conduct of Surgical Resection.?? ? ? ? ? 1515-1530???????? Coffee Break/ Visit Exhibits? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Symphony I & II?? ? ? ? ? 1530-1600???????? Energy Based Platforms in Minimally Invasive Thoracic Surgery? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Jeremiah Thomas Martin, MDObjectives: - Discuss a Brief Overview of the Current Energy Based Platforms in Minimally Invasive Thoracic Surgery. - Discuss the Indications, Use and Contraindications for Energy Based Platforms in Minimally Invasive Thoracic Surgery.?? ? ? ? ? ?1600-1630???????? Electromagnetic Navigation Bronchoscopy (ENB)? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Christine Argento, MDObjectives: - Discuss the Current Interventional Bronchoscopy Techniques Available To Aid in the Diagnosis and Treatment of Thoracic Malignancies. - Describe the Use of Electromagnetic Navigation Bronchoscopy. - Review Case Presentations for the Use of ENB.?? ? ? ? 1630-1700???????? Endobronchial Ultrasound Biopsy (EBUS)? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Christine Argento, MDObjectives: - Describe the Use of EBUS for Staging and Diagnosis in Thoracic Malignancies. - Discuss the Indications and Limitations for EBUS. - Review Case Presentations for the Use of EBUS.?? ? ? ? ? ?1700-1730???????? Panel Discussion? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Christine Argento, MD & Jeremiah Martin, MDObjectives: - Discuss the Barriers to Access to New Technologies for Diagnosis and Treatment. - Discuss the Synergy Between Interventional Pulmonology and Thoracic Surgery.???? ? ? ? ? ?Critical Care Track?(CCT)? ? ? ? ? ?Concerto Ballroom A?? ? ? 1315-1415???????? Cardiothoracic GI Complications: “Follow Your Gut”? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Heather Morgan PA-CObjectives: - Review Early Signs and Symptoms of Ischemic Bowel and Common Causes. - Discuss Current Models for Stress Ulcer Prophylaxis. - Review Post-Anesthesia Bowel Dysfunction, Causes and Treatment. ?? ? ? ? 1415-1515???????? "You Snooze, You Lose": CVICU Extubation Goals and?Strategies???????????? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? James Blum, MDObjectives: - Discuss the Latest Guidelines/ Goals Strategies for early Extubation. - Review General Concepts in Pulmonary ICU Management for Cardiothoracic Patients.?? ? ? 1515-1530???????? Coffee Break/ Visit Exhibits? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer, Symphony I & II?? ? ? 1530-1630???????? Neurologic Management of Misadventures in the Cardiothoracic and Vascular Patient? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Bradford Ledzian, PA-CObjectives: - Discuss Early Post-Operative Neurologic Complications and Their Management. - Review Imaging Modalities and their Indications Based on Patient Presentation.?? ? ? ? ? 1630-1730???????? Renal Management in the Cardiothoracic and Vascular Patient: "To Squeeze or Squirt"? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Cyril Kuriakose, MDObjectives: - Discuss the Treatment of Acute Kidney Injury After Cardiothoracic Surgery. - Review Electrolyte Management in the Chronic Kidney Disease Patient.??0730-1800???????? Bedside Ultrasound Course **? ? ? ? ? ? ? ? ? ? ? ? ??Soprano & Picasso ??Faculty: ?Robert Kollpainter, PA-C, Chair; Francisco Norman, PA-C; Jonathan Monti, PA-C;? ? ? ? ? ? ? ? Jeremy Amayo, PA-C; Nicole Heidenreich, PA-C; Thomas Pahl, PA-C;? ? ? ? ? ? ? ? Hana Dubsky PA-C; Kim Kuphal, PA-C?This is a one-day, intensive course designed to change the way its participants think about point-of-care-ultrasound. This course will take a turn from the traditional, systems based, model of teaching and will instead begin with the most commonly utilized protocol in emergency medicine, the eFAST exam, and build on it to gain a further and more comprehensive understanding of the RUSH and BLUE protocols. This course will also take an in-depth look at procedural ultrasound to gain understanding of the proven techniques to get the needle where it needs to go as safely as possible.?This course is a collaborative effort by the Association of Physicians in Cardiothoracic and Vascular Surgery and the Society of Point-of-Care Ultrasound with the goal of providing exceptional didactic lectures with scanning labs mentored by physician assistants that are leaders in the field of point-of-care ultrasound.Objectives: - Understanding Why Point-of Care Ultrasound is Becoming the “New Normal” In Modern Medicine and Why It Offers a Significant Advancement in the Ability to Diagnose and Assess Patients at the Bedside. - Review the Basic Principles of Sound Waves, i.e. What They Are, How They Are Created, how they Interact with Tissues - All to Render and Easily to Interpret an Image. - Explore the Basic Functions (Depth, Gain, “other buttons”) of the Ultrasound Machine in Order to Optimize Diagnostic Images As Well As the Basic Ultrasound Modes (b-mode, m-mode, color doppler). - Discuss the Use of the FAST Exam as a Screening Tool and Learn/Obtain the Basic Images Required (RUQ, LUQ, Pelvic, and Subxyphoid) as well as Expansion of the eFAST exam to all Relevant Aspects of Lung Ultrasound That Confidently Rules Out/ In a Pneumothorax/ Hemothorax. - Build on the Views Learned from the eFAST Exam, Learning/ Obtaining 4 Additional Cardiac Views, Evaluation of the Abdominal Aorta, Lower Extremity Ultrasound as well as Understand the Pump-Tank-Pipe Model to Delineate Causes of Shock. - Explore Diagnosing the Patient in Respiratory Distress Utilizing the BLUE Protocol and Differentiating Causes of Shock by Lung Ultrasound with the FALLS Protocol. - Understand the Benefits of Ultrasound Guidance for Placement of Indwelling Catheters, Thoracentesis, and Thoracostomy Tubes.??????TBA? ? ? ? ? ? ? ? ? ?APACVS Evening Event?? ? ? ? ? ? ? ? ? ? ? ? ? Supported by a grant from Getinge Group???Saturday, April 7, 2018? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ??0630-1800? ? ? ? ?Registration? ? ? ? ? ? ? ? ? ? ? ? ? ?Overture Foyer?0630-1600???????? Exhibit Hall Hours? ? ? ? ? ? ? ? ? ? ? ? ? ?Symphony I & II?0630-0800???????? Continental Breakfast? ? ? ? ? ? ? ? ? ? ? ? ? ?Overture Foyer?0730-1145???????? CONCURRENT TRACK SESSIONS??? ? ? ? ? ?Cardiac Track?? ? ? ? ? ?Symphony III & IV?? ? ? 0730-0830??????? Cardiac Angiography from the Surgeon Perspective? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Stephanie Mayberg, MS, PA-CObjectives: - Review Coronary Anatomy. - Define Angiographic Findings Amenable to Surgical Revascularization. - Discuss Characteristics of Lesions Amenable to Percutaneous Intervention.?? ? ? ? 0830-0930 ? ? ? ?Donor Heart Harvest: An Indian PA Experience? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Anitha Chandrasekhar, PA-CObjectives: - Discuss the Role of the PA in a Large, Busy Transplant Program. - Compare and Contrast the Indian PA Experience to the US PA Experience in Similar Roles.?? ? ? ? 0930-0945???????? Coffee Break/ Visit Exhibitors? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer, Symphony I & II?? ? ? ?0945-1045???????? TAVR Coordination? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Amy Simone, PA-CObjectives: - Describe the Impact of a TAVR Coordinator on Patient Outcomes. - Review the Standard TAVR Evaluation. - Describe Common Pitfalls in TAVR Evaluation.? ? ? ? 1045-1145???????? Frontiers in the Treatment of Aortic Valve Disease? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Ben Burroughs PA-CObjectives: - Discuss New Approaches to Aortic Valve Intervention. - Review Center’s Experience with Transcarotid TAVR. - Discuss Indications and Contraindications for Transcarotid TAVR.???? ? ? ? ? ?Thoracic Track?(Thoracic)? ? ? ? ? ?Chamber A?? ? ? ? 0730-0800???????? Lung Cancer Screening? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Cathy Hogan, ANPObjectives: - Discuss the Requirements and Structure of a Lung Cancer Screening Program. - Discuss the Current Process of Lung Cancer Screening. - Discuss the Current Data Associated with lung Cancer Screening.?? ? ? ? 0800-0830???????? Smoking Cessation? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Hillary Crittenden, FNP-BC, MSNObjectives: - Discuss the Current Burden of Smoking Related Illness and Surgical Comorbidity in the US. - Discuss Current Techniques for Smoking Cessation. - Review Current Statistics Related to Various Smoking Cessation Interventions.?? ? ? ? ?0830-0900???????? Lung Cancer Staging? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Erin Kunz, PA-CObjectives: - Review the New Staging Criteria for NSCLC. - Review the Current Stage Specific Statistics Associated with 5-year Survival of NSCLC.?? ? ? ?0900-0930???????? Panel Discussion? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Cathy Hogan, ANP, Hillary Crittenden FNP-BC & Erin Kunz, PA-CObjectives: - Discuss the Make-up of the Team in a Screening Program. - Discuss the Role of the APP in a Screening Program.?? ? ? ?0930-0945???????? Coffee Break/ Visit Exhibits? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer, Symphony I & II?? ? ? ?0945-1015? ? ? ? ?Benign Esophageal Problems: Gerd, Achalasia, GPEH? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Matthew Hartwig, MDObjectives: - Review the Current Benign Esophageal Problems Amenable to Surgical Intervention. - Discuss the Current Pathophysiology and Incidence of the Most Common Benign Esophageal Problems.?? ? ? ? ? 1015-1045???????? Surgical Evaluation for Benign Esophageal Disease Including GERD,?Achalasia, Giant Paraesophageal Hernia? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Kim Howard, PA-CObjectives: - Discuss the Current Standards for Evaluating a Patient with Benign Esophageal Disease. - Discuss the Interpretation of Current Modalities for the Evaluation of Benign Esophageal Disease.?? ? ? ? ? 1045-1115???????? Management of Benign Esophageal Disease Including GERD,?Achalasia,?Giant Paraesophageal Hernia? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Matthew Hartwig, MDObjectives: - Discuss the Current Surgical Interventions for Management of Benign Esophageal Disease. - Discuss the Current Data Associated with Minimally Invasive Surgical Intervention for GERD.?? ? ? ? 1115-1145? ? ? ? ? Panel Discussion? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Matthew Hartwig, MD, Kim Howard, PA-CObjectives: - Discuss the Recent Trends with Increased Patient Volume in Benign Esophageal Disease. - Discuss the Difficulties Associated with Reimbursement for Newer or Novel Procedures.???? ? ? ? ? ?Critical Care Track??? ? ? ? ? ?Concerto Ballroom A?? ? ? ?0730-0830???????? CVICU APPs: Where We’ve Been and Where We Are Going? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Tim Buchman, MDObjectives: - Discuss the Growing Role of APPs in the CVICU/ CVOR. - Review Employment Trends, Compartmentalization of Roles and Expanded Scopes of Practice.?? ? ? ?0830-0930???????? Cardiopulmonary Failure: Management of the End Stage Patient "Transplant in Waiting"??????????????? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Dave Hormuth, MDObjectives: - Review the Transplant Listing Process and Current Approach to End Stage Cardiac Failure. - Discuss Salvage Plans for Failing Heart and Lung Pre-Transplant Patients.?? ? ? 0930-0945???????? Coffee Break/ Visit Exhibits? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer, Symphony I & II?? ? ? ? ? 0945-1045???????? Management of Pulmonary Hypertension?(PAH)?????????????????????? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Renee Lassinger, NPObjectives: - Discuss Differences between PAH WHO Classifications and the Significance of each Classification. - Review the Anatomical Structural Differences Between WHO Classifications. - Discuss the Different Medication Options for PAH and Potential Side Effects of Medications. - Discuss Treatment Options for End-Stage PAH Including but not Limited to Transplantation and Palliative Care.?? ? ? ? ?1045-1145???????? Management of Post-Transplant Complications for Non- Transplant Centers?????????????????????????? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Renee Lassinger, NPObjectives: - Discuss the Goal of Treating Post-Cardiac Transplant Patients in the Community. - Discuss the Common Maladies Seen in the 1st 5 Years Post-Cardiac Transplantation that do not Require Transfer Back to Transplant Center. - Review When and What Immunizations can be Given Post-Cardiac Transplant. - Discuss the Side Effects of Common Medications to Treat General Post-Transplant Complications.????????????????????????1145-1315? ? ? ? ?Lunch & Learn:?? Learning Curves: Acquiring?New Skills and Endoscopic? ? ? ? ? ? ? ? ? ? ? ? ? ? Harvest Techniques? ? ? ? ? ? ? ? ? ? ? ? ? ?Christopher Darst, MPAS, PA-C? ? ? ?Chief PA of Cardiothoracic Surgery? ? ? ? ? Bryan Heart, Lincoln, NE? ? ? ? ? ? ? ? ? ? ? ? ? Sponsored by:??Terumo? ? ? ? ? ? ? ? ? ? ? ? ? Concerto B, C & D???1315-1730???????? CONCURRENT TRACK SESSIONS??? ? ? ? ? ?Cardiac Track? ? ? ? ? ?Symphony III & IV?? ? 1315-1415 ? ? ? ?EP For the Non-EP: Pacer Lead Removal? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?George Palmer, MDObjectives: - Discuss Indications for Pacer Lead Removal. - Describe Techniques for Pacer Lead Removal. - Review Complications Associated with Pacer Lead Removal.?? ? ? ?1415-1515???????? Mitral Valve Repair???????????? ???????? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Adanna Akujo, MDObjectives: - Review Surgical Approaches to Mitral Valve Repair. - Compare Outcomes of Mitral Valve Repair vs. Replacement. - Discuss Indications for Mitral Valve Repair.?? ? ? 1515-1530???????? Coffee Break/ Visit Exhibitors? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer, Symphony I & II?? ? ? 1530-1630???????? Minimally Invasive Coronary Revascularization? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Husam Balkhy, MDObjectives: - Discuss the Surgical Approach to Minimally Invasive Coronary Revascularization. - Define Patient Characteristics Amenable to Minimally Invasive Revascularization. - Compare Outcomes of MICS vs. open CABG. ?? ? ? 1630-1730 ? ? ? ? Prevention and Management of Sternal Wound Infections? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Jeffrey Pearl, MDObjectives: - Review Risk Factors for Sternal Wound Infection. - Discuss Management Modalities for Sternal Wound Infection. - Understand the Diagnosis of Sternal Wound Infection.???? ? ? ? ? ?Thoracic Track??? ? ? ? ? ? Chamber A?? ? ? 1315-1345???????? Evaluation of Anterior Mediastinal Masses? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Betty Tong, MDObjectives: - Describe the Most Current Anterior Mediastinal Problems. - Review the Current Clinical Standards for Evaluation of Anterior Mediastinal Abnormalities.?? ? ? 1345-1415???????? VATS Thymoma Including for Myasthenia Gravis? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Betty Tong, MDObjectives: - Discuss Indications for VATS Thymectomy. - Review the Technique for VATS Thymectomy.?? ? ?1415-1445???????? Robotic Resection of Anterior Mediastinal Masses? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Matthew Hartwig, MDObjectives: - Describe the Indications for Robotic Resection of Anterior Mediastinal Masses. - Discuss the Technique of Robotic Resection of Anterior Mediastinal Masses.?? ? ? ? 1445-1515???????? Panel Discussion? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Betty Tong, MD & Matthew Hartwig, MDObjectives: - Discuss the Benefits of Robotic Versus Thoracoscopic Resection of Anterior Mediastinal Masses. - Discuss Multidisciplinary Management of Thymic Malignancies.?? ? ? ? 1515-1530???????? Coffee Break/ Visit Exhibitors? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer, Symphony I & II?? ? ? ? ?1530-1600???????? Lung Surgery Post-Op Complications? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Kristi Seward, PA-CObjectives: - Describe the Most Common Post-Operative Complications from Lung Surgery. - Describe the Management of the Most Common Post-Operative Complications Associated with Lung Surgery.?? ? ? ? ? 1600-1630???????? Esophagus Post-Op Complications? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Betty Tong, MD?Objectives: - Describe the Most Common Post-Operative Complications From Esophageal Surgery. - Describe the Management of the Most Common Post-Operative Complications Associated with Esophageal Surgery.? ?1630-1700???????? Wounds, Misc.? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Kristi?Seward, PA-CObjectives: - Discuss Outpatient Wound Problems. - Discuss the Most Common Post-Operative Problems Managed in the Clinic Setting, Tube Feeds, Heimlich Valves, etc.?? ? ? ? 1700-1730???????? Panel Discussion? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Betty Tong, MD & Kristi Seward, PA-CObjectives: - Discuss the Role of the PA in Leading an Outpatient Thoracic Clinic. - Discuss the Social Impact on Patients Experiencing Long-Term Post- Operative Complications. - Discuss the Options for Administrative Versus Nursing Triage Assistance.???? ? ? ? ? ?Critical Care Track?(CCT)? ? ? ? ? ?Concerto Ballroom A?? ? ? 1315-1415???????? Optimization of Hemodynamics in Mechanical Support Patients? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Craig Jabaley, MDObjective: - Understand the impact of various mechanical circulatory support (MCS) approaches on cardiac pressure-volume relationships. - Describe the role of left ventricular unloading with veno-arterial MCS. - Summarize the importance of recognizing biventricular failure. - Manage hemodynamic alterations associated with veno-venous extracorporeal membrane oxygenation.? ? ? ? ?1415-1515???????? Right Heart Failure: The Struggle is Real?? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Bryan Barrus, MDObjective: - Review Early Diagnosis and Risk Factors for Right Heart Failure. - Discuss Targeted Therapy for the Struggling Right Ventricle Post Cardiopulmonary Bypass.?? ? ? ? 1515-1530???????? Coffee Break/ Visit Exhibits? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer, Symphony I & II?? ? ? ? ? 1530-1630 ? ? ? ? Fast Track ICU:?The Canadian Experience? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Joel Zivot, MDObjectives: - Discuss Fast Track Strategies for ICU Patients as Per the Canadian Experience. - Review Protocol Changes Necessary to Support Fast Track Models.?? ? ? ? 1630-1730???????? ECHO Interpretation? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Jason Morrisette, PA-CObjectives: - Discuss the Basics of ECHO Technology. - Review Traditional Views and Windows, Determining Gradients and Stenosis/ Regurgitation.???? ? ? ? ? ?Leadership Track??? ? ? ? ? ?Picasso?? ? ? ? ? ?0730-0830???????? Building a CVT Service? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Jonathan Sobel, MBA, PA-CObjectives: - Discuss Navigating the Hiring Process Including: Networking, Position Advertisement/ Posting Options & Financial Implications, and Working With Recruiting Companies. - Review Managing the Interview Process Logistics & Conducting Interviews/ Negotiation from the Employer Perspective. - Discuss the Implications of ‘Re-Building’ or ‘Re-booting’ a CTV Service.?? ? ? ? ? 0830-0930???????? Legal Issues on the CTV Service???????????? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Thomas Massing, PA-CObjectives: - Discuss PA Mistakes Versus Malpractice and Why Malpractice Coverage Options Matter, Review Effects of Hospital Only Versus Supplementary Private Malpractice. - Review How to Handle Accusatory Patients, Patients Refusing to See a PA, AMA Situations, etc. - Identify the Most Common Reasons for CTV PAs to be Named in a Suit.?? ? ? ?0930-0945???????? Coffee Break/ Visit Exhibitors? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer, Symphony I & II?? ? ? ?0945-1045???????? Educators Perspective of CVT PA Student Rotations????????? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Lisa Mustone Alexander, EdD, MPH, PA-CObjectives: - Discuss Basic Principles of PA Student Education. - Outline the Process of Setting up a New Student Rotation from Hospital & Organization?Perspectives, and Review the Benefits of Having Students. - Outline the Partnership Process Between Hospital-Based Rotation Sites and PA Schools. - Review & Critique ‘The APACVS Cardiac Service Orientation Curriculum’ from an Educators Perspective.?? ? ? ? 1045-1145???????? Volume to Value: A Paradigm Shift or Quantification of Quality? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Dave Hormuth, MDObjectives: - Define Value Driven Healthcare and its Implication to the PA. - Discuss the Appropriate Value Metrics to Apply to the PA Provider. - Identify the Current State of PA Compensation and Establish a Value Position. - Define and Outline the Optimal Utilization of ‘Top of License” Practice to Maximize PA Value. - Discover Opportunities for the PA Provider to Enhance Growth and Expansion of the Organization.?? ? ? ? ? 1145-1315???????? Lunch:? CVT Association Leadership Coalition Panel**Objectives: - Discuss the Leadership Issues Concerning CTV PAs. - Review APACVS Organizational Leadership CTV PA Concerns. - Discuss Specific Audience Leadership Problems. - Identify Future CTV PA Leadership Training Needs.?? ? ? 1315-1415???????? Setting up a CTV PA Residency – Hospital Perspective? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Cragin Greene, MHS, PA-C?Objectives: - Identify Key Hospital Partnerships Needed to Navigate the Residency Establishment Process. - Outline the Resident’s Participation Within the Structure of the Hospital. - Review the Orientation and Onboarding Process. - Discuss CTV Resident Curriculum. - Outline the Responsibilities of Residency PA Leadership.? ? ? ?1415-1515???????? CVT Medical Spanish? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Rafael Pomales, PA-CObjectives: - Review Rules for Communicating with Interpreters and Documentation. - Discuss When Interpreters are Necessary and Who is a Suitable Interpreter. - Review Common CTV Vocabulary & Components of PMHx, PSHx, SHx, FHx, Allergies, Medications Relevant to CTV Surgery. - Discuss Basic ROS and Physical Examination Questions & Prompting, & Aspects of Daily Interaction/ Communication. - Review Spanish Medical Education Opportunities.?? ? ? ?1515-1530???????? Coffee Break/ Visit Exhibitors? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer, Symphony I & II?? ? ? ? 1530-1630???????? Administration-to-Clinical Communication Translation? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Josann Pagel, PA-CObjectives: - Outline the Perceived Clinician Misunderstandings of Administration Communication Style & Goals. - Outline the Perceived Administration Misunderstandings of Clinician Communication Style & Goals. - Review How to Best Present Proposals to Administrators for: Additional Staff, Increased Compensation, Enhanced Scope of Practice & Greater Administrative Representation. - Discuss the Role of PA Administrative Leadership and its Position Within the Hospital Administrative Chain of Command.? ? ? ? 1630-1730???????? Lessons for Chief CTV PAs Learned from the MD Chief Resident Paradigm? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Brittany?Zwischenberber, MDObjectives: - Discuss the Leadership Role of the MD Chief Resident. - Outline the Leadership Learning Objectives and Goal of the MD Chief Resident. - Review the Attending Mentorship Responsibilities Towards the MD Chief Resident. - Discuss the Applicability of the MD Chief Resident Paradigm to the Chief CTV PA. - Outline Common Leadership Difficulties Faced by MD Chief Residents and Methods for Overcoming Them?????Sunday, April 8, 2018? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ???0630-1200? ? ? ? ?Registration? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer?0630-0800???????? Continental Breakfast? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer?0730-1145???????? CONCURRENT TRACK SESSIONS??? ? ? ? ? ?Cardiac Track? ? ? ? ? ?Symphony III & IV?? ?0730-0830???????? Anticoagulation Update?????????????? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Josh Roberts, ?PharmD, BCPS-AQ CARDObjectives: - Discuss New Oral Anticoagulant Agents. - Understand Reversal Considerations for Anticoagulants. - Define Treatment Considerations for New Oral Anticoagulants.? ? ? ? 0830-0930? ? ? ? ?Management of Common Vascular?Complications?in the ICU? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Dejah Judelson, MDObjectives: - Develop Comfort with Performing a Peripheral Vascular Exam and Managing Changes in Exam. - Understand the Immediate Management of Acute Mesenteric Ischemia and Acute Limb Ischemia. - Discuss the Follow Up and Evaluation of Subclavian Stenosis After a LIMA Graft.? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ??? ? ? ? ? 0930-0945???????? Coffee Break? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Overture Foyer?? ? ? ? ? 0945-1015???????? Multi-Disciplinary Approach to Mitral Disease - Cardiologist? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Nikolaos Kakouros, MDObjectives: - Understand Catheter Based Approaches to Mitral Valve Disease. - Describe the Evaluation and Indications for Catheter Based Interventions. - Describe the Common Complications Associated with Catheter Based Intervention.?? ? ? ?1015-1045???????? Multi-disciplinary Approach to Mitral Disease - Cardiac Surgeon?? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Kendra Grubb, MDObjectives: - Understand Catheter Based Approaches to Mitral Valve Disease. - Describe the Evaluation and Indications for Catheter Based Interventions. - Describe the Common Complications Associated with Catheter Based Intervention.? ? ? 1045-1145? ? ? ? ?AKI Prevention Using Biomarker-Directed Intervention? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Joseph Deily, PA-CObjectives: - Describe Biomarker-Directed Interventions. - Discuss Strategies for Renal Protection. - Describe Implementation of Biomarker Based Prevention Strategies.???? ? ? ? ? ?Thoracic Track? ? ? ? ? ? Chamber A?? ? ? ? ?0730-0800???????? How I Teach It? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Sherry Meyerson, MD Objectives: - Discuss Current Techniques for Teaching and Developing Technical and Cognitive Skills. - Review Methodology Associated with Incorporating a New Member to the Team.?? ? ? 0800-0830???????? Camera Piloting? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Scott Balderson PA-CObjectives: - Review the Importance and Technical Facilitation of Camera Piloting Skills in Minimally Invasive Thoracic Surgery. - Discuss Techniques to Maintain Proper Scope Angle, Horizon, and Depth of Field in Minimally Invasive Thoracic Surgery.?? ? ? ? ? 0830-0900???????? Robotic Assisting? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Matthew Vercauteren, PA-CObjectives: - Review the Role of the First Assistant in Thoracic Robotic Procedures. - Review First Assisting Techniques Associated with Thoracic Robotic Procedures.?? ? ? ? ? 0900-0930???????? Panel Discussion? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Sherry Meyerson, MD, Scott Balderson PA-C & TBAObjectives: - Discuss the Importance of Team Based Procedures. - Discuss the Difficulties in Obtaining Expertise with New and Evolving Equipment.?? ? ? ?0930-0945???????? Coffee Break? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Overture Foyer?? ? ? ? 0945-1015???????? Uniportal VATS? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Jeremiah Thomas Martin, MDObjectives: - Discuss the Indications for Uniportal VATS. - Describe the Uniportal Technique for Lung Resection. - Review Case Presentations Related to Uniportal VATS.?? ? ? ?1015-1045???????? Subxyphoid VATS? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Jeremiah Thomas Martin, MDObjectives: - Describe the Indication and Limitation for Subxiphoid VATS - Describe the Technique for Subxiphoid VATS - Review Case Presentations Related to Subxyphoid VATS?? ? ? ? 1045-1115???????? What is the Future of Thoracic Surgery? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Sherry Meyerson, MDObjectives: - Describe New Technologies in Development for Application in Thoracic Surgery. - Describe the Implication of New Minimally Invasive Techniques for Management of Thoracic Malignancies.?? ? ? ? ?1115-1145???????? Panel Discussion? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Jeremiah Martin, MD & Sherry Meyerson, MD??Objectives: - Describe the Technique for Developing a New Approach to Resection. - Describe the Barriers to Incorporating Technological Innovation into Your Practice.????? ? ? ? ? ?Critical Care Track??? ? ? ? ? ?Concerto Ballroom A?? ? ? ? ? ?0730-0830???????? EP for the NON-EP: Complications in the Cardiac- Surgical Patient? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? TBAObjectives: - Review Amiodarone Indications and Side Effects. - Discuss Paroxysmal AFIB Management. - Review Post-MAZE Care and Rhythm Management. - Indications for Permanent Pacemaker Management.?? ? ? 0830-0930???????? Antibiotic Resistant Infections???? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Juan Diaz, PharmDObjectives: - Review the Latest SIRS/SEPSIS Recommendations. - Discuss Procalcitonin and its Diagnostic Implications. ?? ? ? ? ?0930-0945???????? Coffee Break? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?Overture Foyer?? ? ? ? ?0945-1045???????? Endocarditis Reemergence: Contemporary Management in The Age of?the Opioid Epidemic Michael Doll, PA-CObjectives: - Discuss the Implications of the Current Rising Incidence of Endocarditis. - Review Early Pre-Operative Care. - Discuss Indications and Timing of Surgery. - Discuss Post-Operative Pain Management in the Addicted Patient? ? ? ?1045-1145???????? Endocrinopathies & Withdrawal?????????????????????????? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Christopher Galton, MDObjectives: - Post-Operative Management of the Chronic Steroid Dependent Patient. - Review Alcohol Withdraw Management.???1145-1315???????? Lunch & Learn???? ? ? ? ? ? ? ? ? ? ? ? ??Sponsored By:? Atricure? ? ? ? ? ? ? ? ? ? ? ? ? Concerto B, C & D?1315-1515???????? CONCURRENT TRACK SESSIONS??? ? ? ? ? ?Cardiac Track?? ? ? ? ? ?Symphony III & IV?? ? 1315-1415???????? Pre-operative Nutrition Screening? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Ulysiss Torres, MDObjectives: - Define Malnutrition States. - Describe Standard Diagnostic Tools for Malnutrition. - Define Indications for Nutrition Screening.?? ? 1415-1515???????? Dual Antiplatelet Therapy After CABG? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Mohammed Akhter, MDObjectives: - Describe the Role of Dual Anti-Platelet Therapy in Acute Coronary Syndrome. - Discuss outcomes of DAPT after CABG. - Review AHA Guidelines for DAPT in ACS Patients.??????????? ? ? ? ? ?Critical Care Track?(CCT)? ? ? ? ? ?Concerto Ballroom A?? ? ? ?1315-1415???????? TEVAR: Complication Management in a Seemingly Uncomplicated?Procedure? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Kendra Grubb, MDObjectives: - Review Common and Rare Complications of TEVAR and Their Management. - Discuss Lumbar Drain Management.?? ? ? ? ? ?1415-1515 ? ? ? ??Infections of Mechanical Support Devices ? ? ? ??? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Christine Hay, MDObjectives: - Discuss Risk Factors for Mechanical Support Device Infection. - Review Management of Mechanical Support Device Infection Including Indications for Removal/ Exchange.?????0730-1515???? ??LAB: CVT CRITICAL CARE BEDSIDE PROCEDURAL SKILLS**??? ? ? ? ? ? ? ? ? ? ? ? ?Picasso? Course Chair: Angie Brown, PA-C; Paul Possenti, PA-C? ? Course Faculty: Robert F. Carlucci, MPAS, PA-C, FAPACVS; Steven M. Gottesfeld,PA-C The CTV Critical Care Procedure Course will provide the attendees the opportunity to simulate central venous access, arterial line access and PA catheter placement. Intimate preceptor to student ratios ensure thorough understanding & skill acquisition. Objectives: - Review the Organized 10 Step Approach to Bedside Procedures. - Review Indications/ Contraindications/ Complications of Central Venous/ Arterial/ PA access. - Review Femoral/ Subclavian/ Internal Jugular and Forearm Anatomy. - Review Placement Confirmation Techniques. - Discuss Complications, Hemodynamic Interpretation and Review CentralAccess removal. 0730-1515? ? ? ?CARDIAC SURGICAL UNIT ADVANCED LIFE SUPPORT COURSE (CSU-ALS)**? ? ? ? ? ? ? ? ? ? ? ? ? Soprano & Tenor ? ? ? ? ? ? ? ?Course Chair: Aaron Morton, PA-C, MMSc, ATC, FAPACVS ? ? ? ? ? ? ? ?Course Faculty: Adrian Levine, MD & TBA? The CSU-ALS course is designed for attendees interested in learning this?evidenced-based approach to the resuscitation of post-operative cardiac surgery patients. Using a standardized format, this program will include didactic lectures as?well as hands-on practice with emergency pacing, internal and external defibrillation?and open chest resuscitation techniques. Objectives:? ? ? ? ? ? ? · Distinguish Critical Differences Between Protocols for ACLS Versus CSU-ALS.? ? ? ? ? ? ? · 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 Chest Resuscitation Scenarios.? ? ? ? ? ? ? · Obtain Hands-on Practice with Closed Chest Resuscitation Scenarios. ?1515? ? ? ? ? ? ? ? ?Meeting Concludes ................
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