The Association of Physician Assistants In ardiothoracic ... · that better utilizes ultrasound to...

The Association of Physician Assistants In

Cardiothoracic and Vascular Surgery

Miami Hilton Downtown Miami, FL April 3-7, 2019

38th ANNUAL MEETING

Preliminary Program

SCHEDULE-AT-A GLANCE WEDNESDAY, APRIL 3, 2019

0700—1800 Registration Registration Desk, 2nd Floor

0730—1800 Point of Care US Course Symphony IV

THURSDAY, APRIL 4, 2019

FRIDAY, APRIL 5, 2019


0700—0800 Continental Breakfast Overture Foyer I

0930—1000 AM Coffee Break Overture Foyer I

0730—1200 Concurrent Thoracic Surgery Track Picasso

0730—1200 Concurrent Vascular Surgery Track Tenor

0730—1200 Concurrent Cardiac Surgery Track Symphony IV

0730—1700 ECMO Course Symphony III

1200 – 1330 Lunch and Learn: Atricure Concerto B, C and D, 2nd Floor

1330—1700 Concurrent Thoracic Surgery Track Picasso

1330—1700 Concurrent Vascular Surgery Track Tenor

1330—1700 Concurrent Cardiac Surgery Track Symphony IV

1530—1600 PM Coffee Break Overture Foyer I

1700—1830 Networking Event Overture Foyer I

1830—2000 Welcome Reception Symphony I & II

0700 – 1800 Registration Registration Desk, 2nd Floor

0700 – 0800 Continental Breakfast, Visit Exhibits Symphony I/ II

0700 – 1200 Exhibit Hall Symphony I/ II

0930 – 0945 Coffee Break, Visit Exhibits Symphony I/ II

0730 – 1800 Cardiac Surgery First Assistant Boot Camp Symphony III

0730 – 1200 Concurrent Thoracic Surgery Track Picasso

0730—1200 Concurrent Vascular Track Tenor

0730 – 1200 Concurrent Critical Care Track Concerto A

0730 – 1800 APACVS Leadership Track Chamber A

1330—1630 Exhibit Hall Symphony I/II

1200 – 1330 Lunch and Learn: Saphena Concerto B, C & D

1515 – 1530 Coffee Break, Visit Exhibits Symphony I/ II

1330 – 1800 Concurrent Thoracic Surgery Track Picasso

1330 – 1800 Concurrent Vascular Surgery Track Tenor

1330 – 1800 Concurrent Critical Care Track Concerto A

SCHEDULE-AT-A GLANCE

SATURDAY, APRIL 6, 2019

SUNDAY, APRIL 7, 2019


0700—0800 Continental Breakfast Symphony I/ II

0930—1000 AM Coffee Break Symphony I/ II

0730—1200 Thoracic First Assistant Course Symphony IV

0730—1800 Vascular Surgery Boot Camp Symphony III

0730—1200 Concurrent Cardiac Surgery Track Concerto A

0730—1200 Concurrent Critical Care Track Chamber A

1200 – 1330 Lunch and Learn: Getinge Concerto B, C & D

1330—1800 Robotic First Assistant Course Tenor/ Soprano

1330—1800 Concurrent Cardiac Surgery Track Concerto A

1330—1800 Concurrent Critical Care Track Chamber A

1530—1600 PM Coffee Break Symphony I/ II

1830—2000 Women in Surgery Reception Picasso

0700 – 1800 Registration Registration Desk, 2nd Floor

0700 – 0800 Continental Breakfast Overture Foyer I

0930 – 0945 Coffee Break Overture Foyer I

0730 – 1730 General Session Symphony II/IV

1200 – 1330 Lunch and Learn Concerto B, C & D

0730-1700 Concurrent Thoracic Surgery Track

Picasso

0730-0800 Overview on Surgical Management of

NSCLC

Thomas D’Amico, MD

0800-0830 VATS Lobectomy

0900-0930 Panel Discussion

Dr.’s D’Amico and Berry

0930-1000 Coffee Break

TBA

1000-1030 Overview of Surgical Management of

Esophageal Cancer

Thomas D’Amico, MD

1030-1100 Open Esophagogastrectomy

Duykhanh Ceppa, MD

1100-1130 Minimally Invasive Esophagogastrectomy

Mark Berry, MD


Dr.’s D’Amico, Berry and Ceppa

1200-1330 Lunch and Learn

TBA

1330-1400 Multidisciplinary Teams

Duykhanh Ceppa, MD

1400-1430 Oncology: Molecular Testing & Treatment

Erin Kunz, PA-C

1430-1500 Post-Operative Complications That Land

in the APP Clinic

Erin Kunz, PA-C


Dr. Ceppa and Erin Kunz, PA-C

Wednesday, April 3, 2019

0700-1800 Registration

Overture Foyer, Registration Desk

0730-1800 Point of Care Ultrasound Course

Symphony IV

This is a one day Point-of-Care Ultrasound (POCUS) Course designed for the physician assistant in cardiovascular sur-gery, staffed by physician assistants who are at the cutting edge of POCUS education from the Society of Point-of-Care Ultrasound (SPOCUS).

The course will begin with a brief overview of ultrasound fundamentals (physics/knobology/modes) to gain an un-derstanding as to how the ultrasound machine works. We will then move to understand protocol driven ultrasound that better utilizes ultrasound to answer specific questions to specific problems (when is the patient hypotensive, why is the patient short of breath, etc.). The course will explore the extended Focused Assessment with Sonography in Trauma (eFAST), Rapid Ultrasound for Shock and Hypoten-sion (RUSH), Bedside Lung Ultrasound in Emergency (BLUE) protocols and will focus specifically on the aspects of ultra-sound related to the arena of critical care (cardiac, lung/pleural, renal/genitourinary, abdominal aorta). Other top-ics important to the CVPA, such as vein mapping and nee-dle placement techniques will also be presented.

Thursday, April 4, 2019



0700-0800 Continental Breakfast

Overture Foyer I/ II

0730-1700 Concurrent Vascular Surgery Track

Tenor

0730-0830 Introduction to Vascular Disease &

Vascular Lab Testing

Kimberly Malka, MD

0830-0930 Management of Vascular Emergencies in

the ICU

Dejah Judelson, MD


TBA

1000-1100 Updates on Hemodialysis Access

Raymond Holmes, MD

1100-1200 DVTs: Updates on Anticoagulation &

Venous Thrombolysis

Scott Sundick, MD


TBA

1330-1430 IVC Filter Complications

Edward Arous, MD

1430-1530 Pulmonary Embolism Response Team

Scott Cameron, MD


TBA

1630-1700 Advances in Endovascular Management of

Pulmonary Embolism

S. Jay Matthews, MD

0730-1700 ECMO Course

Symphony III

0730 Welcome Message and Faculty Introduction

0745 Lecture 1: History of ECMO

0820 Cannulation Videos

0845 Lecture 2: VV ECMO

0930 Break

1000 Lecture 3: VA ECMO

1100 Lecture 4: ECMO Complications / Support

1200 Lunch

1230 Lecture 5: ECMO Cannulation Techniques

1330—1730

ECMO LAB

Station 1: Cannulation

Station 2: ECMO Foundation: Circuit Components

Station 3: Air Bubble Alarm

Station 4: Emergency Practicum: Oxygenator Failure

Station 5: Emergency Practicum: Motor Failure

Station 6: Emergency Practicum: Low Flow Alarm

Station 7: Emergency Practicum: High Pressure

Alarm

Station 8: Emergency Practicum: VF/ VT

Station 9: North South Syndrome

Station 10: Emergency Practicum: Pump

Exsanguination


TBA

1600-1630 Lung Cancer Screening

Duykhanh Ceppa, MD

1630-1700 SmokingCessation

Hillary Crittenden, ARNP

0730-1700 Concurrent Cardiac Surgery Track

Symphony IV

0730-0830 History of Cardiopulmonary Bypass

Thomas McGillivray, MD

0830-0930 Emergency ECMO Outcomes

Pramod Bonde, MD


TBA

1000-1100 Cardiac CT

Karen Dill, MD

1100-1200 Cardiac MRI

Joel Fishman, MD


TBA

1330-1430 Revisiting Arterial Conduits

Mario Gaudino, MD

1430-1530 Mobile ECMO

Christy Mulshine, NP


TBA

1600-1700 SYNTAX II & III: What Is The Take Home

Message For Surgeons

Scott Martin, MD

Friday, April 5, 2019




Symphony I/II

0730-1800 Concurrent Thoracic Surgery Track

Picasso

0730-0800 Interventional Bronchoscopy:

Electromagnetic Navigation

Betty Tong, MD

0800-0830 Interventional Bronchoscopy:

Endobronchial Ultrasound

Betty Tong, MD

0830-0900 Energy Based Platforms in Minimally

Invasive Thoracic Surgery

Jerry Martin, MD


Dr.’s Martin and Tong


TBA

1000-1030 Benign Esophageal Problems: GERD,

Achalasia, Giant Paraesophageal Hernia

Matt Hartwig, MD

1030-1100 Surgical Evaluation For Benign

Esophageal Problems

Kim Howard, PA-C

1100-1130 Surgical Management of Benign

Esophageal Disease Including Endoscopic

Techniques

Matt Hartwig, MD


Dr. Hartwig and Kim Howard PA-C


TBA

1330-1400 Mediastinal Problems and How to

Evaluate Them

Matt Hartwig, MD

1400-1430 Surgical Interventions in the Mediastinum

Jerry Martin, MD

1430-1500 Lung Cancer Staging to Guide Treatment

Shari Meyerson, MD


Dr.’s Hartwig, Meyerson and Martin


TBA

1600-1630 Lung Surgery Post-Operative

Complications

Sheri Meyerson, MD

1630-1700 Esophageal Surgery Post-Operative

Complications

Jerry Martin, MD

1700-1730 Wounds, Misc.

Kim Hoard, PA-C


Dr.’s Meyersonand Martin, Kim

Howard PA-C

0730-1800 Concurrent Vascular Surgery Track

Tenor

0730-0830 Advances in Management of Carotid

Disease

Jhanjan Nagarsheth, MD

0830-0930 Introduction to Endovascular Techniques

Raymond Holmes, MD


TBA

1000-1100 Advanced Endovascular Techniques For

Limb Salvage

Scott Sundick, MD

1100-1200 Management of Aortic Trauma

Dejah Judelson, MD


TBA

1330-1430 AAA Management

John Deitch, MD

1430-1530 Management of Type B Dissections

Sheppard Mondy, MD


TBA

1600-1700 FEVAR and Complex TAA Management

Jessica Simons, MD

0730-1700 Concurrent Critical Care Track

Concerto A

0730-0830 Update on Novel Pressors and

Approaches to Multiple Pressor

Utilization

Kayla Nichols PharmD, BCCCP

0830-0930 Emergency Neurologic Life Support:

What to Do In the First Critical Hour of

a Neurologic Emergency

Amay Parikh, MD


TBA

1000-1100 ERAS Cardiac Surgery

Rakesh Arora, MD

1100-1200 Overview of Mechanical Support

Andrew Klein, MD


TBA

1330-1430 Current Management of Right Heart

Failure in the ICU

Chad Miller, MD

1430-1530 Updates in the Management of Septic

Shock: Use of Steroids and IV Vitamin C:

The VICTAS Trial and Its Implications

Katherine Nugent, MD MD


TBA

1600-1700 Prevention of Acute Kidney Injury

Post-op

Daniel Engelman, MD

1700-1800 Sedation and ICU Delerium: Ketamine vs.

Non-Ketamine Based Solutions

Olivia Tucker, MMSc, PA-C

0630-1800 Cardiac Surgery First Assistant Boot Camp

Course

Symphony III

- Participants will practice EVH Skills on Multiple

Platforms in Intimate Teacher/ Student Ratios

- Participants will practice Vein Preparation Skills on

Multiple Platforms in Intimate Teacher/ Student

Ratios

- Participants will practice Coronary Proximal and

Distal on a Porcine Heart Model in Intimate

Teacher/ Student Ratios

- Participants will practice Aortic Valve

Implementation in a Porcine Heart Model in

Intimate Teacher/ Student Ratios

- Participants will practice Aortic Interposition

Grafting in a Porcine Heart Model in Intimate

0730-1700 Concurrent Leadership Track

Chamber A

0730-0830 Current State of PA and CVT PA Practice

Jonathan Sobel, DMSc, MBA, PA-C

0830-0930 The CVT PA Prospective Employee

Assessment

Josanne Pagel, PA-C


TBA

0945-1045 CVT Documentation

Michael Powe

1045-1145 CVT PAs STS Database Documentation &

Data

Ricardo Bello, MD

1145-1300 CVT Association Leadership Coalition

Panel Discussion / Lunch

Bradford Ledzian, PA-C

Saturday, April 6, 2019




Symphony I/II

0730-1200 Thoracoscopic First Assist Course

Symphony IV

The Thoracoscopic First Assist Course has been designed to provide an opportunity for physician assistants who assist in thoracoscopic procedures to immerse themselves in valuable information taught by thought leaders and sur-geons on the forefront of thoracoscopic innovation. The course is designed to present a graduated level of instruc-tion from instrumentation and equipment specific to thoracoscopic lobectomy to camera piloting techniques to error detection to assisting on a thoracoscopic lobecto-my simulator. The course provides a guided, hands-on experience, utilizing fresh tissue for heart, lung and me-diastinal simulation to give attendees the practical

1330-1800 Robotic First Assist Course

Soprano/ Tenor

1. Basic Identification of the components of the Intuitive

Surgical System

2. Room Set-up

3. Draping the robot

4. Emergency Time-Out

5. Communication techniques between bedside assist and

surgeon

6. Instrument identification

7. Insufflation

8. Docking techniques / manipulating robotic Side cart

9. Robotic Instrument insertion

10. Port Hoping technique

11. Identification of faults and problem shooting

12. Bed side instrumentation

13. Basic Port Placement

14. Foregut Cases

15. Lung Resection

Instruction to include didactic segment for:

• Operative considerations including:

• Equipment

• Instrumentation

• Proper stapler selection

• Patient positioning

• OR set up

• Video based descriptions and demonstration of intraoperative assisting techniques including:

• Camera piloting

• Communication

• Retraction

• Exposure Wet lab segment of course to include stations for:

• Equipment and instrument assembly and troubleshooting

• Camera piloting exercises

• Retraction, instrument and stapler selection

• Practicing thoracoscopic maneuvers

• Assisting a master surgeon through a VATS lobectomy

• Error detection

1300-1400 CVT PA Evaluation and Certification

Gregg Thomas, PA-C

1400-1500 CVT Business Management and

Leadership

John Byrnes, PA-C


TBA

1515-1615 Contract Negotiation I

Dave Mittman, PA-C

1615-1715 Contract Negotiation II

Dave Mittman, PA-C

0730-1700 Concurrent Critical Care Track

Chamber A

0730-0830 Ventilation Approaches and

Management in the Cardiovascular and

Thoracic Surgery Patient

Ryan Magnuson, MD

0830-0930 TBA

TBA


TBA

1000-1100 Team Management of Long Term ICU

Patients

Craig Jabaley, MD

1100-1200 Fluid Resuscitation: The Debate

Between LR, NS, Colloid and Sodium

Bicarb

Brendan Riordan, PA-C

0730-1800 Vascular Surgery Boot Camp

Symphony III

Participants will have the opportunity to learn and demon-

strate the following skills:

1. Carotid Cut-down, Carotid Endarterectomy, Patch

Angioplasty

2. AV Access Anastamosis

3. Fem-Pop Anastamosis

4. AAA Planning and Sizing for Stent Grafts

5. AAA-EVAR Simmulation - Practice deploying Graft, Appro-

priate X-Ray Orientation Discussed, Graft Positioning

6. LE Peripheral Intervention, Carotid Stent, EVAR

7. Central Line Insertion

8. IVUS Catheter Placement for LE Lysis, PE Lysis

9. IVC Filter Insertion and Retrieval


TBA

1330-1430 ERAS: Thoracic Surgery

Ray Chihara, MD

1430-1530 Development and Deployment of APPs in

the ICU

Amie Abide, PA-C


TBA

1600-1700 Approach to Coagulopathy in the ICU: DIC

and Thrombotic Emergencies

Neil Kumar, MD

1700-1800 Utilization of US in Critically Ill Patients

Robert Kollpainter, PA-C

0730-1800 Concurrent Cardiac Surgery Track

Concerto A

0730-0830 Mitral and Aortic Valve Repair in 2019:

Similarities and Differences

Marc Moon, MD

0830-0930 Mechanical Circulatory Support in Acute

Myocardial Infarction—The National

Cardiogenic Shock Initiative

Craig Smith, MD


TBA

1000-1100 Post-Operative LVAD Management—It’s

Not About the Pump

Kathy Brown, APRN

1100-1200 Transplant Update

David D’Allessandro, MD


TBA

1330-1430 Active Surveillance in Severe

Asymptomatic Mitral Regurgitation

Tanya Dutta, MD

1430-1530 Advances in Transcatheter

Interventions

Adonna Akujo, MD


TBA

1600-1700 Congenital Disease in the Adult Patient

Tain-Yen Hsia, MD

1700-1800 Updates on Endocarditis

David Yuh, MD

1830-2030 Women in Surgery Reception

Picasso

Sunday, April 7, 2019




Overture Foyer I

0730-1730 General Session

Symphony III/ IV

0800-0830 Presidential Address

Steven Gottesfeld, PA-C

0830-0930 Understanding and Overcoming Burnout

David Bunnell, PA-C


TBA

1000-1100 Transition to Value Based Care

Daniel Engelman, MD

1100-1200 Active Shooter Response At a

Healthcare Facility

TBA


TBA

1330-1430 Anticoagulation Updates

Josh Roberts, PharmD

1430-1530 Innovation in Simulation

Marcus Hoffman, MD

1530-1630 Prescribing Controlled Substances

Padma Gulur, MD

1630-1730 Alternative Post-Operative Pain

Management

Daniel Engelman, MD

The Association of Physician Assistants In ardiothoracic ... · that better utilizes ultrasound to...

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