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Scientific Program 

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Scientific Program Schedule

Friday, September 11, 2020 (all times are CT)

1:20-1:30 pm

Welcome & Opening Remarks
Zhuang T. Fang, MD, UCLA


1:30-2:00 pm

Keratoconus and Corneal Transplantation
Uri Soiberman, MD, Wilmer Eye Institute, Johns Hopkins University 

  • Discuss the natural history of keratoconus.
  • Discuss treatment options for keratoconus.
  • Describe the technique used in deep anterior lamellar keratoplasty.


2:00-2:30 pm

Adapting to Times: Providing Care for Patients Receiving Outpatient Ophthalmic Procedures Amidst the COVID-19 Pandemic
Jennifer Katsura, CRNA, UCLA Medical Center & Zhuang Fang, MD, UCLA

  • Discuss the impacts of the COVID-19 pandemic on the anesthetic care of patients receiving outpatient ophthalmic procedures.
  • Describe pre-operative COVID-19 protocols for outpatient ophthalmic procedures.
  • Discuss anesthetic protocols for enhanced provider protection amid the COVID-19 pandemic.


2:30-3:00 pm

Monitored Anesthesia Care: A Simplified Proven Approach
Alan Zamora, MSN, CRNA, UCLA Health System & Zhuang Fang, MD, UCLA

  • Discuss Ideal MAC technique
  • Identify challenges to MAC anesthesia
  • Discuss possible approach in standardizing MAC via 622 technique.


3:00-3:30 pm   

E-Cigarette Vaping, Marijuana Use and their Implications in Anesthesia
Elaine Liew, MD, UCLA Medical Center

  • Discuss new information about vaping. 
  • Evaluate the risks of vaping to our health.
  • Discuss EVALI as a phenomenon associated with vaping. 


3:30-4:00 pm    

Eliminating the Preoperative History and Physical Examination in Low Risk Surgery Patients---Risky Business or Long Overdue?
Susan Wolf, PA-C, AA, BA, MPAS, MMS, Wilmer Eye Institute, Johns Hopkins Hospital

  • List/evaluate tools used to screen patients to determine the need for a preoperative evaluation.
  • Determine the risks of eliminating the preoperative history and physical examination.
  • Determine if there is a difference in the incidence of significant medical events in the population that received a preoperative history and physical examination compared to those that did not.


4:00-4:30 pm   

Fast-Track Evaluation for Ophthalmic Surgery
Teri Fraley, RN, UCLA & Zhuang Fang, MD, UCLA

  • Identify syndromes associated with difficult airway that are associated with cataract, glaucoma or strabismus.
  • Identify factors that should be considered when scheduling a medically complex pediatric patient for outpatient surgery.
  • Discuss benefits/risks of the use of different pre-medication regiments in medically complex pediatric patients. 


4:30-5:00 pm   

Telemedicine in Anesthesia Practice
Richard Rivers, MD, PhD, Johns Hopkins University & Susan Wolf, PA-C, AA, BA, MPAS, MMS, Wilmer Eye Institute, Johns Hopkins Hospital

  • Discuss the meaning of telemedicine on the ambulatory setting
  • Describe the limitations of telemedicine in the ophthalmic patient population
  • Discuss how telemedicine has been affected by COVID-19

 

Saturday, September 12, 2020 (all times are CT)

9:00-9:15 am   

Welcome & Overview
Zhuang T. Fang, MD, UCLA


9:15-9:45 am   

Genetic Eye Disorders & Their Anesthetic Implications
Jefferson Doyle, MD, PhD, MHS, Wilmer Eye Institute

  • Discuss inherited eye disorders with occult or frank systemic manifestations.
  • Discuss ways they can manifest systemically.
  • Learn to identify cases ahead of time to prevent complications.


9:45-10:15 am  

Anesthetic Consideration for Children with Congenital Disease Undergoing Ophthalmic Surgery
Ihab Ayad, MD, University of California, Los Angeles

  • Discuss trisomy 21 common medical problems and their implication during anesthesia.
  • Focus on neck instability in trisomy 21 patients and cardiac lesions as two common features.
  • Discuss criteria and proper precautions to care for those children during ophthalmic surgery.


10:15-10:45 am

Update on Glaucoma in Pathophysiology and Treatment
Simon Law, MD, PharmD, Jules Stein Eye Institute

  • Discuss the disease process of glaucoma.
  • Recognize the risk factors of glaucoma.
  • Discuss the current medical and surgical treatment options.


10:45-11:15 am

Eyelid and Orbit Anatomic Pearls
Robert Goldberg, MD, Jules Stein Eye Center, UCLA

  • Discuss pertinent orbital anatomy for injections. 
  • Recognize danger areas in the orbit. 
  • Discuss orbital surface anatomy as it applies to anesthesiology. 


11:15 am-12:00 pm

Hustead Memorial Lecture: The Reemergence of Akinesia as a Target of Ophthalmic Anesthesia in Robotics, Stem Cell Transfer, and Gene Therapy
Scott Greenbaum, MD, NYU School of Medicine

  • Identify the advantages of a still eye during cataract surgery.
  • Identify the advantages of a still eye during newer eye surgical techniques.
  • Discuss the advantages of akinesia provided by parabulbar anesthesia versus general and retrobulbar anesthesia.


12:00-12:15 pm

Break


12:15-12:45 pm

Cardiac Arrest in Ophthalmic ORs
Vinodkumar Singh, MD, University of Alabama at Birmingham

  • Discuss causes of cardiac arrest in Ophthalmic cases.
  • Discuss the reasons that may lead to cardiac arrest.
  • Describe the precautions needed in ophthalmic surgeries.


12:45-1:15 pm

Ophthalmic Anesthesia Malpractice Claims
Michael Morley, MD, Massachusetts General Hospital & Anne Menke, RN, PhD, Ophthalmic Mutual Insurance Company

  • List the top 3 types of injury patients suffered after anesthesia/sedation for eye surgery.
  • Discuss risks to consider during a preoperative assessment.
  • Consider measures that can improve the safety of ophthalmic anesthesia.


1:15-1:45 pm  

Staying out of Legal Crosshairs: An Overview of Opioid Enforcement Trends
Jason Steinhardt, JD, University of Maryland Law School

  • Recognize methods used by law enforcement to investigate suspicious opioid prescriptions
  • Understand "red flags" that may contribute to legal scrutiny
  • Understand the legal processes may be initiated based on suspicious opioid prescription patterns


1:45-2:15 pm   

Update in ASC Compliance and Regulation During COVID-19 Pandemic
Elethia Dean, RN, PhD, ASC Compliance      

  • Identify one update to Medicare Conditions for Coverage in 2020.
  • List one deficiency citation related to COVID-19 pandemic.


2:15-3:15 pm   

Panel Discussion – Management of Difficult Cases

Moderator: Scott Greenbaum, MD, NYU School of Medicine

Zhuang Fang, MD, UCLA
Eric Fry, MD, Fry Eye Associates
Howard Palte, MD, Bascom Palmer Eye Institute
Tina Tran, MD, Johns Hopkins

  • Describe clinical situations in which anesthetic management is contentious.
  • Outline key considerations in opting between MAC and GA.
  • List patient factors that may preclude surgery in an outpatient facility.
  • Discuss important equipment and backup facilities for day-case eye surgery.
  • Debate the pros and cons of preoperative for eye surgery cases.
  • Recognize common clinical syndromes associated with ocular pathology.

3:15-3:45 pm   

Question & Answer & Discussion  

3:45-4:15 pm   

OAS Membership Business Meeting


 



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