//2019 Sol Shnider, M.D. Obstetric Anesthesia Meeting
2019 Sol Shnider, M.D. Obstetric Anesthesia Meeting2019-01-08T12:49:00+00:00

2019 Sol Shnider, M.D. Obstetric Anesthesia Meeting

March 14-17, 2019 • Grand Hyatt Hotel on Union Square • San Francisco, California

Jointly Provided by:

Welcome to the SOAP 2019 Sol Shnider, M.D. Obstetric Anesthesia Meeting

On behalf of the leadership of the Society for Obstetric Anesthesia and Perinatology (SOAP), I would like to welcome you to the SOAP Sol Shnider 2019 Obstetric Anesthesia Meeting. This outstanding meeting has an extraordinarily rich history and an outstanding track record. The meeting was founded by Drs. Sol Shnider, Sam Hughes and Mark Rosen in 1976, and remains one of the premier refresher course programs for obstetric anesthesia in the world.

The goal for this meeting is to provide practical, high quality educational content for those who practice clinical obstetric anesthesia. We have carefully structured the program based on solicited feedback from practitioners and previous meeting attendees to cover all key aspects in the field of obstetric anesthesia in a clinically focused program. The meeting presentations will be given by SOAP’s best speakers and content experts, as well as accomplished obstetric anesthesiologists in the Bay Area.

I am proud to present what we hope for you will be a highly enriching program, a comprehensive update on current optimal practice, and a meaningful professional experience for all those that attend. I look forward to seeing and interacting with you at the SOAP Sol Shnider 2019 Obstetric Anesthesia Meeting.

Sincerely,

Brendan Carvalho MBBCh, FRCA
Chair, Program Committee
SOAP Sol Shnider 2019 Meeting

HOTEL ACCOMMODATIONS 

A block of rooms has been reserved at the Grand Hyatt San Francisco, 345 Stockton Street, San Francisco, California, 94108. Room rate is $299.00 single/double occupancy plus tax. These rates are limited, so reserve your room early by visiting: https://aws.passkey.com/go/ SOAP2019 or by calling 415-398-1234. Please mention the SOAP 2019 Sol Shnider, M.D. Obstetric Anesthesia Meeting when making your reservations.

The deadline to book your hotel reservations is February 20, 2019. After this deadline, rooms will be provided on a space available basis only.

This AAA Four Diamond hotel offers spectacular views of the city skyline and San Francisco Bay. Revel in modern guestrooms and suites that highlight residential style amenities and state-of-the-art technology.

Located in the heart of the world-renowned Union Square, the city’s shopping and entertainment area and minutes away from the downtown financial district, Grand Hyatt San Francisco is the ideal starting point to discover the captivating sights of the vibrant City by the Bay. Learn more about the hotel at www.grandsanfrancisco.hyatt.com.

PROGRAM COMMITTEE

Brendan Carvalho, M.B., B.Ch., FRCA
Program Chair
Stanford University School of Medicine

Pedram Aleshi, M.D.
University of California, San Francisco

Alexander Butwick, M.B., B.S.,
FRCA, M.S.
Stanford University School of Medicine

Jennifer Lucero, M.D., M.S.
University of California, San Francisco

Mark Rollins, M.D., Ph.D.
University of California, San Francisco

FACULTY 

Gillian Abir, M.B, Ch.B., FRCA
Stanford University School of Medicine

Pedram Aleshi, M.D.
University of California, San Francisco

Jessica Ansari, M.D.
Stanford University School of Medicine

Kristine Breyer, M.D.
University of California, San Francisco

Atisa Britton, M.D.
University of California, San Francisco

Alexander Butwick, M.B., B.S, FRCA, M.S.
Stanford University School of Medicine

Brendan Carvalho, M.B., B.Ch., FRCA
Stanford University School of Medicine

Jeremy Collins, FRCA, M.B., Ch.B.
Stanford University School of Medicine

Maurice L. Druzin, M.D.
Stanford University School of Medicine

Pamela D. Flood, M.D., M.A.
Stanford University School of Medicine

Ashraf S. Habib, M.B.,B. Ch., M.Sc., M.S.N., FRCA
Duke University Medical Center

Eric J. Hunt, M.D., Ph.D.
Permanente Medical Group

Jennifer M. Lucero, M.D., M.S.
University of California, San Francisco

John C. Markley, M.D., Ph.D
University of California, San Francisco

Jalal A. Nanji, B.Sc., M.D., FRCPC
University of Alberta in Edmonton, Canada

Clemens M. Ortner, M.D., M.S., DESA
Stanford University School of Medicine

Anil K Panigrahi, M.D., Ph.D.
Stanford University School of Medicine

Ronald G. Pearl, M.D., Ph.D.
Stanford University School of Medicine

Edward T. Riley, M.D.
Stanford University School of Medicine

Mark D. Rollins, M.D., Ph.D.
University of Utah

Caitlin D. Sutton, B.S., M.D.
Baylor College of Medicine

Andrea J. Traynor, M.D.
Stanford University School of Medicine

Lawrence C. Tsen, M.D.
Brigham & Women’s Hospital

EXHIBITS INFORMATION 

Exhibits will be open during the following times:

Friday, March 15, 2019:
7:00 – 8:00 a.m.
9:45 – 10:30 a.m.
3:15 – 4:00 p.m.

Saturday, March 16, 2019:
7:00 – 8:00 a.m.
9:45 – 10:30 a.m.
3:15 – 4:00 p.m.

LEARNING OBJECTIVES 

  • Apply the latest medical, surgical and pharmacological advances in obstetrical hemorrhage management
  • Integrate cutting-edge neuraxial techniques including programmed intermittent epidural bolus (PIEB) and dural puncture epidural (DPE) tooptimize labor analgesia
  • List the recent publications that will most impact your obstetric anesthesia practice
  • Construct and implement an enhanced recovery after surgery (ERAS) program for cesarean delivery
  • Evaluate point of care ultrasound to enhance your obstetric anesthesia care
  • Implement the latest pre-eclampsia management and care bundles
  • Identify how to prevent and treat side effects of neuraxial opioids
  • Distinguish how to manage pregnant patients with chronic pain and opioid addiction
  • Apply best practice for the management of post-dural puncture headaches
  • Recognize how to provide optimal anesthesia for non-obstetric surgery during pregnancy and postpartum tubal ligation

PROGRAM INFORMATION

Mission of SOAP 
The mission of this Society is to improve the pregnancy-related outcomes of women and neonates through the support of obstetric anesthesiology research, the provision of education to its members, other providers, and pregnant women, and the promotion of excellence in clinical anesthetic care.

ACCME Accreditation
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Society of Anesthesiologists and the Society for Obstetric Anesthesia and Perinatology. The American Society of Anesthesiologists is accredited by the ACCME to provide continuing medical education for physicians.

The American Society of Anesthesiologists designates this live activity for a maximum of 17 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology®

The Maintenance of Certification in Anesthesiology Program® logo is a trademark of the American Board of Anesthesiology.

This patient safety activity helps fulfill the patient safety CME requirement for Part II of the Maintenance of Certification in Anesthesiology Program (MOCA) of The American Board of Anesthesiology (ABA). Please consult the ABA website, www.theABA.org, for a list of all MOCA requirements.

AANA Credits (Program offering Friday through Sunday)
This program has been prior approved by the American Association of Nurse Anesthetists for 17 Class A CE credits; Code Number 1036961; Expiration Date 3/17/2019.

Hands-on Ultrasound for the Obstetric Anesthesia Provider: Cardiac Ultrasound, Hemodynamic Exam, Pulmonary Evaluation, Ultrasound Guided TAP Blocks & Neuraxial Techniques and Basic Fetal Ultrasound
This program has been prior approved by the American Association of Nurse Anesthetists for 4.00 Class A CE credits; Code Number 1036960; Expiration Date 3/14/2019.

The American Society of Anesthesiologists designates this live activity for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CEP Number
Provider approved by the California Board of Registered Nursing, Provider #CEP16975, for 17 Contact Hours.

Target Audience
This meeting is intended for specialists in anesthesiology to include anesthesiologists, nurse anesthetists, residents and fellows. Pediatricians, neonatologists, perinatologists, obstetricians, general practitioners, delivery room nurses, nurse midwives, and clinical pharmacologists may also find educational benefit. The program is generated from member requests and an assessment of need by the program committee. Attendance at this meeting does not guarantee competency or proficiency in the performance of any procedures which may be discussed or taught during the meeting.

Educational Format
CME activities may include the following formats: plenary sessions, debates, lectures, problem-based learning, and skill-set workshops.

Mission of SOAP Program Committee
The mission of the Society’s Program Committee is to provide anesthesiologists, obstetricians, and other physicians and members of related allied health specialties with the knowledge that will reinforce past learning as well as disseminate new concepts, practices, and skills involving anesthesia and analgesia for the pregnant woman.

Participation in the SOAP 2019 Sol Shnider, M.D. Obstetric Anesthesia Meeting
Attendance shall be open to all health practitioners, provided that they have registered for the meeting. CME credit will only be offered to M.D.s, D.O.s, and AAs or the equivalent. CE credit will be offered to CRNAs.

Evaluations
Electronic evaluations by questionnaire will address program content, presentations, and possible bias.

Special Needs Statement
The Society for Obstetric Anesthesia and Perinatology is committed to making its activities accessible to all individuals and fully complies with the legal requirements of the Americans with Disabilities Act and the rules and regulations thereof. If you are in need of an accommodation, please do not hesitate to call the SOAP office at 414-389-8611 and/or submit a description of your needs in writing to soap@ soap.org.

Statement of Need
The SOAP Sol Shinder, M.D. Obstetric Anesthesia Meeting provides a forum devoted exclusively to obstetric anesthesia at which leaders in the field present recent clinical updates and other relevant clinical information.

Commercial Support Acknowledgement
This activity is supported by educational grants. A complete list of supporters will be available in the course syllabus.

Disclosure
The American Society of Anesthesiologists remains strongly committed to providing the best available evidence-based clinical information to participants of this educational activity and requires an open disclosure of any potential conflict of interest identified by our faculty members. It is not the intent of the American Society of Anesthesiologists to eliminate all situations of potential conflict of interest, but rather to enable those who are working with the American Society of Anesthesiologists to recognize situations that may be subject to question by others. All disclosed conflicts of interest are reviewed by the educational activity course director/chair to ensure that such situations are properly evaluated and, if necessary, resolved. The American Society of Anesthesiologists educational standards pertaining to conflict of interest are intended to maintain the professional autonomy of the clinical experts inherent in promoting a balanced presentation of science. Through our review process, all American Society of Anesthesiologists CME activities are ensured of independent, objective, scientifically balanced presentations of information. Disclosure of any or no relationships will be made available for all educational activities.

Disclaimer
The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

PRE-MEETING  WORKSHOP

Thursday, March 14, 2019
SOAP is offering the Hands-on Ultrasound for the Obstetric Anesthesia Provider: Cardiac Ultrasound, Hemodynamic Exam, Pulmonary Evaluation, Ultrasound Guided TAP Blocks & Neuraxial Techniques and Basic Fetal Ultrasound Workshop the day before the full 2019 SOAP Sol Shnider, M.D. Obstetric Anesthesia Meeting begins.

Meeting attendees are encouraged to register for these events early. Please note that registration for the workshops requires a separate, additional fee from the full SOAP 2019 Sol Shnider, M.D. Obstetric Anesthesia Meeting registration.

Hands-on Ultrasound for the Obstetric Anesthesia Provider: Cardiac Ultrasound, Hemodynamic Exam, Pulmonary Evaluation, Ultrasound Guided TAP Blocks & Neuraxial Techniques and Basic Fetal Ultrasound

DESCRIPTION
The purpose of this workshop is to provide the obstetric anesthesiologist with the necessary skills to successfully use ultrasound for guidance. The course will discuss and demonstrate the use of ultrasound as an aid to evaluate cardiac function and intravascular volume status, to evaluate for presence of pneumothorax and pulmonary edema, to aid in neuraxial anesthesia and TAP (transverse abdominis plane) blocks for the parturient and also for basic fetal ultrasound (including evaluation of fetal heart rate and biophysical profile). Instruction includes both didactic and hands-on sessions. Each student will have the opportunity to use ultrasound equipment for scanning live models.

OBJECTIVES:
Upon completion of this workshoip, the participant will be able to:

1. Use ultrasound in order to aide in the clinical assessment of normal and depressed cardiac function

2. Use ultrasound in order to aide in clinical assessment of pulmonary edema and pneumothorax

3. Use ultrasound in order to aide in the clinical assessment of volume responsiveness to shock

4. Use ultrasound in order to facilitate neuraxial anesthesia techniques and also to facilitate performing an ultrasound guided transverse abdominis plane (TAP) block for the parturient

5. Understand basic fetal ultrasound to assess for fetal position and biophysical profile (including fetal heart rate)

PROGRAM SCHEDULE

Thursday, March 14, 2019

1:00-5:00 p.m.
Workshops: Ultrasound
Co-Directors: Kristine Breyer, M.D. & Lindsey Huddleston, M.D., Ph.D.


Friday, March 15, 2019

7:00 – 7:45 a.m.
Registration and Continental Breakfast

7:45 – 8:00 a.m.
Opening Welcome

Session I: Optimizing Labor Analgesia
Moderator: Alexander Butwick, M.B.,B.S., FRCA, M.S.

8:00 – 8:30 a.m.
CSE, DPE, Epidural: Is there an Optimal Labor Analgesia Insertion Technique?
Lawrence Tsen, M.D.

8:30 – 9:00 a.m.
PIEB, CEI, PCEA: Is there an Optimal Labor Analgesic Maintenance Technique?
Brendan Carvalho, M.B., B.Ch., FRCA

9:00 – 9:30 a.m.
Alternatives to neuraxial analgesia for labor pain management
Jennifer M. Lucero, M.D., M.S.

9:30 – 9:45 a.m.
Panel Discussion

9:45 – 10:30 a.m.
Coffee Break

Session II: Comorbidities and High-Risk Patients
Moderator: Lawrence Tsen, M.D.

10:30 – 11:00 a.m.
Management of parturients with cardiac disease
Ronald Pearl, M.D., Ph.D.

11:00 – 11:30 a.m.
Latest on Pre-Eclampsia Management and Care Bundles
Gillian Abir, M.B., Ch.B., FRCA

11:30 – 12:00 p.m.
Anesthetic Management of Invasive Placental Disease
John C. Markley, M.D., Ph.D

12:00 – 12:15 p.m.
Coffee Break

12:15 – 1:30 p.m.
Lunch (hosted)

Session III: Enhanced Recovery and Cesarean Anesthesia
Moderator: Brendan Carvalho, M.B., B.Ch., FRCA

1:30 – 2:00 p.m.
Recommended ERAS protocols for cesarean delivery
Ashraf S. Habib, M.B.,B.Ch., M.Sc., M.S.N., FRCA

2:00 – 2:30 p.m.
Setting up and Evaluation of a Successful ERAS Pathway for Cesarean Delivery
Eric J. Hunt, M.D., Ph.D.

2:30 – 3:00 p.m.
Regional blocks for cesarean delivery analgesia: TAP, QL and beyond
Pedram Aleshi, M.D.

3:00 – 3:15 p.m.
Panel Discussion

3:15 – 4:00 p.m.
Coffee Break

Session IV: Tips and Techniques
Moderator: Pamela D. Flood, M.D., M.A.

4:00 – 4:30 p.m.
Trouble-Shooting Labor Epidurals and Failed Top-ups
Jalal A. Nanji, B.Sc., M.D., FRCPC

4:30 – 5:00 p.m.
Reducing Obstetric General Anesthesia: 10 Practical, Tested Tips
Lawrence Tsen, M.D.

5:00 – 5:30 p.m.
Preventing and Treating Side Effects of Neuraxial Opioids
Ashraf S. Habib, M.B.,B.Ch., M.Sc., M.S.N., FRCA

5:30 – 5:45 p.m.
Panel Discussion

6:00 – 7:30 p.m.
Reception


Saturday March 16, 2019

7:00 – 8:00 a.m.
Registration and Continental Breakfast

Session V: Obstetric Anesthesia Safety Session
(ABA Part 2 MOCA Patient Safety Credit)
Moderator: Gillian Abir, M.B., Ch.B., FRCA

8:00 – 8:30 a.m.
Current Evidence for the Prevention and Treatment of Spinal Hypotension
Mark D. Rollins, M.D., Ph.D.

8:30 – 9:00 a.m.
Pregnant Patient with Chronic Pain and Opioid Addiction
Pamela D. Flood, M.D., M.A.

9:00 – 9:30 a.m.
OSA in the parturient: Implications for peri- and post-operative period

Jeremy Collins, FRCA, M.B.,Ch.B.

9:30 – 9:45 a.m.
Panel Discussion

9:45 – 10:30 a.m.
Coffee Break

Session VI: New Developments and Concepts
Moderator: Jennifer M. Lucero, M.D., M.S.

10:30 – 10:55 a.m.
Point of Care Ultrasound in Obstetric Anesthesia
Clemens M. Ortner, M.D., M.S., DESA

10:55 – 11:15 a.m.
Neuraxial Ultrasound: Practical Guide to Adoption

Katherine M. Seligman, M.D.

11:15 – 12:00 p.m.
Sam Hughes Lecture: Obstetric anesthesia year in review
Ashraf S. Habib, M.B.,B.Ch., M.Sc., M.S.N., FRCA

12:00 – 12:15 p.m.
Panel Discussion

12:15 – 1:30 p.m.
Lunch on your own

Session VII: Obstetrical Hemorrhage Update
Moderator: Andrea Traynor

1:30 – 1:50 p.m.
Optimal Uterotonic Administration to Prevent and Treat Uterine Atony
Lawrence Tsen, M.D.

1:50 – 2:10 p.m.
Obstetrical Management of PostPartum Hemorrhage
Maurice L. Druzin, M.D.

2:10 – 2:30 p.m.
Transfusion Practices for Obstetric Hemorrhage: What’s the latest?
Anil K Panigrahi, M.D., Ph.D.

2:30 – 2:50 p.m.
Pharmacological Management of Obstetric Hemorrhage
Alexander Butwick, M.B.,B.S., FRCA, M.S.

2:50 – 3:15 p.m.
Panel Discussion

3:15 – 4:00 p.m.
Coffee Break

Session VIII: Clinical Conundrums in Obstetric Anesthesia
Moderator/Lead: Alexander Butwick, M.B.,B.S., FRCA, M.S.

4:00 – 5:30 p.m.
Expert Panel: Lawrence Tsen, MD, Ashraf S. Habib, M.B.,B.Ch., M.Sc., M.S.N., FRCA, Edward T. Riley, M.D., Jennifer M. Lucero, M.D., M.S.


Sunday March 17, 2019

7:00 – 8:00 a.m.
Registration and Continental Breakfast

Session IX: Management Updates Safety Session
(ABA Part 2 MOCA Patient Safety Credit)

Moderator: Mark D. Rollins, M.D., Ph.D.

8:00 – 8:30 a.m.
Anesthesia for non-obstetric surgery during pregnancy
Gillian Abir, M.B., Ch.B., FRCA

8:30 – 9:00 a.m.
Eating during labor and the “Full stomach” pre and post-delivery
Atisa B Britton, M.D.

9:00 – 9:30 a.m.
Post-partum tubal ligation: Optimal Anesthetic Technique and Timing
Andrea J. Traynor, M.D.

9:30 – 9:45 a.m.
Panel Discussion

9:45 – 10:30 a.m.
Coffee Break

Session X: Complications and Uncommon Occurrences
Moderator: Brendan Carvalho, M.B., B.Ch., FRCA

10:30 – 11:00 a.m.
Ethical dilemmas in Obstetric Anesthesia
Caitlin D. Sutton, B.S., M.D.

11:00 – 11:30 a.m.
Management of Postpartum Headaches
Jessica Ansari, M.D.

11:30 – 12:00 a.m.
The Diagnosis and Management of Peripartum Neurologic Complications
Mark D. Rollins, M.D., Ph.D.

12:00 – 12:15 p.m.
Panel Discussion

12:15 p.m.
Adjourn

SAVE THE DATE!

2019 SOAP 51st Annual Meeting

May 1-5, 2019

JW Marriott Desert Ridge Resort and Spa • Phoenix, Arizona