Pediatric Sedation Outside of the Operating Room - CME

Department of Anesthesia 

Course Director: Keira P. Mason, MD 


www.PediatricSedationConference.com 

Call for Abstracts: Deadline June 1, 2011 

Department of Continuing Education 

Pediatric Sedation 

Outside Of The Operating Room 

An International Multidisciplinary Symposium 

The Fairmont Copley Plaza, Boston, MA 

September 17-18, 2011 

Optional Simulation Workshops : September 16 and 19 

Back by 

Popular Demand: 

Optional FULL DAY 

Simulation Workshops 

Limited Enrollment 

September 16 and 19, 2011 

Register For One or Both Days 

Combine with Weekend Course or Separate 

New Multispecialty Directed 

Scenarios 

2011 Theme 

Smile and Dream: Obstacles, Challenges and Solutions 

to Improving Safety Safety Around The World 

Keynote Speakers: 

William P. Magee Jr., MD — Co-Founder and CEO of Operation Smile Smile 

Stewart L. Cohen, Esquire — Partner of Cohen, Placitella and Roth firm, “dedicated 

to legal representation of traumatic brain injury survivors and their families”

Planning Committee 

Amanda M. Buckley, BA 

Douglas Carlson, MD 

*Moderator and Leader of Simulation Workshops 

Maureen Carrier, RN, BSN 

James Fehr, MD* 

Steven Green, MD 

Baruch Krauss, MD 

Jerrold Lerman, MD 

Keira P. Mason, MD 

Morton Rosenberg, DMD 

Pediatric Sedation | Outside of the Operating Room | An International Multidisciplinary Symposium


Outside of the Operating Room 


2011 Theme 

Smile and Dream: Obstacles, Challenges 

and Solutions to Improving Safety 

Around The World 

Keynote Speakers ................................................................................................. 2 

Welcome Letter ..................................................................................................... 3 

Educational Grants & Exhibitors ............................................................................ 4 

Course Objectives ................................................................................................ 6 

National & International Faculty ............................................................................ 7 

Weekend Course Conference Schedule ............................................................... 11 

Optional Simulation Workshop Day Schedule ...................................................... 16 

Call for Abstracts ................................................................................................. 18 

Course Details ..................................................................................................... 19 

Accommodations ................................................................................................ 20 

Registration ......................................................................................................... 21 

2011 Theme Smile and Dream: Obstacles, Challenges and Solutions to Improving Safety Around the World 

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Keynote Speakers 

William P. Magee Jr., MD 

CEO and founder of Operation Smile, a 

charity dedicated to providing free surgeries 

to repair cleft lip, palate and other facial 

deformities for children around the globe. 

To date, has received special recognition 

from UNICEF and has treated more than 

150,000 children worldwide in over 50 

countries. Dr. Magee has been recognized 

by U.S. News & World Report as America’s 

Best Leaders and was awarded The President’s 

Call to Service Award, by President 

George W. Bush. 

Stewart L. Cohen, Esquire 

Partner of Cohen, Placitella and Roth. Won 

a landmark $25 million case, recognized 

as one of the Top 100 Verdicts in the United 

States. President, Brain Injury Association of 

Pennsylvania. Vice President, United Cerebral 

Palsy of Philadelphia. Numerous multimillion 

dollar recoveries in medical and 

hospital malpractice cases. 


Welcome Letter 

Dear Colleagues and Friends: 

It is is our pleasure pleasure to welcome you you to the 2011 Pediatric Sedation Outside of of 

the Operating Room Room conference and optional optional two day simulation and and airway 

workshops. This This year we are are presenting a unique, enriching, and exciting syllabus. 

As always, we have a diverse diverse group group of of internationally internationally and nationally recognized 

speakers from a variety variety of disciplines. disciplines. We are grateful to all the speakers speakers and and to 

each and every attendee. We have attendees from multidisciplines (emergency 

medicine, dental medicine, hospital medicine, intensive care medicine, pediatrics, 

anesthesiology, nursing, oncology, cardiology, radiology, hospital administration). 

Last year 17 countries were represented (including Italy, the Netherlands, Israel, 

Canada, Australia, Hong Kong, New Zealand, Japan, Indonesia, and Singapore). 

The specialized tracks, round table luncheons, and open forums enable us to share 

our experiences, ideas, and challenges. The Planning Committee presents a syllabus 

which we hope will interest specialists from every discipline and setting. We have 

also organized the Program to allow time for questions and to encourage you to 

participate in a lively exchange of ideas. 

Last year we offered one full day of sedation simulation and had overwhelming, 

sold-out, enrollment. In response to the attendee’s requests we have added a 

second full day of simulation as well as a basic and advanced difficult airway 

workshops. These simulation days are optional- you may enroll in one or both. 

Your thoughts and comments are invaluable in planning future courses. The 2010 

course incorporated the suggestions that were made by attendees from Boston, 

and the 2011 course will again incorporate your suggestions from the previous 

conference in San Francisco. Feel free to approach myself, the Course Coordinator, 

or any member of the Planning Committee with your suggestions. 

September is a beautiful time of the year in Boston! The city offers many cultural, 

historical, and recreational activities. We hope you will take the opportunity to 

explore the city. 

On behalf of the entire faculty, myself, and the Course Coordinator, I would like to 

thank you for attending “Pediatric Sedation Outside of the Operating Room.” 

We hope that you find the course both educational and enjoyable. 

Sincerely, 


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Educational Grants Exhibitors 

This program is supported in part by unrestricted 

educational grants from the following: 

Platinum 

Gold 

Other 

VERATHON 

Gold 

Silver 

Other 


Boston Attractions 

The Boston Public Library 

Located just steps from The Fairmont Copley Plaza, the Boston Public Library is one of the 

unique and historic venues in the city. 

The Public Gardens 

Visit this picturesque park and the bronze statues of the Mallard family, the ducks made famous 

in Robert McCloskey’s children’s classic, Make Way for Ducklings. Or experience the city’s one 

of a kind Swan Boats. 

Boston Common 

The Boston Common offers guests more than 50 acres of outdoor adventures. From picnicking 

to ice skating, Boston Common’s unique attractions and historic past make it a must-see on any 

vacation. 

Prudential Center Sky Walk 

Enjoy sweeping, panoramic views from the Prudential Center Skywalk. Rising 50 floors above 

the ground at the Prudential Tower this one-of-a-kind attraction offer the city’s only high-rise 

vantage point just minutes from The Fairmont Copley Plaza hotel. 

The Freedom Trail 

Follow the red brick road past 16 sites that mark Boston’s colonial history and role in the start of 

the Revolutionary War. Favorite sightseeing stops include Paul Revere’s house and the Old North 

Church where the lanterns were hung, sending Revere on his midnight ride. 

The John F. Kennedy Library and Museum 

Explore the life and times of the thirty-fifth president of the United States at the John F. Kennedy 

Library and Museum. 

The Museum of Fine Arts, Boston 

Home to a vast collection of American, Asian, Egyptian & Impressionist works, the Museum of 

Fine Arts a breathtaking destination. 

The Museum of Science 

Located on the scenic Charles River, the Museum of Science is on the cutting edge of science 

education with innovative and interactive exhibits and programs. 

The New England Aquarium 

At The New England Aquarium, guests can explore the world beneath the sea. With 7,000 

animals, interactive exhibits and more, the New England Aquarium offers kids of all ages an 

unforgettable experience. 

Quincy Market and Faneuil Hall 

A short walk from The Fairmont Copley Plaza, Faneuil Hall Marketplace, which includes Faneuil 

Hall, Quincy Market, North Market and South Market offers guests a fun-filled escape featuring 

world-class shopping, dining and live entertainment. 

Beyond Boston 

Cape Cod 

Located 50 miles south of Boston, Cape Cod offers more than 500 miles of shoreline which 

embraces wide beaches, perfect sightseeing, a network of hiking and biking trails, and challenging 

golf courses. 

Rockport and Gloucester 

Located 30 miles north of Boston, Rockport & Gloucester are serene seaport and fishing communities 

with great restaurants, shops, galleries. 

Newport, Rhode Island 

Located 75 miles south of Boston, Newport attractions include the Cliff Walk, Historical Mansions, 

International Tennis Hall of Fame, and many beaches to choose from. 


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Course Objectives 

The main objective of this course is to provide a comprehensive 

review of all areas of pediatric sedation outside of the operating 

room. This multi-specialty conference represented is intended for 

physicians (anesthesia, dental, dental anesthesiology, emergency 

medicine, gastroenterology, hospital medicine, internal medicine, 

oncology, pediatrics, radiology) nurses, nurse practitioners, nurse 

anesthetists and administrators interested in sedation. Our faculty 

is from the United States and abroad, and represents a collection 

of national and internationally recognized experts. This conference 

attracts a diverse group of national and international attendees, all 

of whom share an interest in pediatric sedation. At the suggestion 

of past attendees, we will again offer expanded didactic sessions 

which will contain multiple, concurrently-run, focused, personalized, 

specialized afternoon tracks featuring pertinent and timely topics of 

interests in the field of hospital medicine, pediatric nursing, the art 

and science of sedation, and innovations in sedation… equipment 

and sedatives. Our didactics will continue to include large general 

sessions as well as an offering of small, interactive round-table 

discussions with the faculty and attendees. The specialized tracks, 

round table luncheons, and open forums enable us to share our 

experiences, ideas, and challenges. 


National and International Faculty 

International 

Faculty 

Riku Aantta, MD, PhD 

Chief Administrative Physician 

Departments of Anesthesiology and 

Intensive Care, 

Emergency Care and Pain Medicine 

Turku University Hospital 

Turku, Finland 

Eduardo Alcaino, BDS(Hons), MDSc, 

FRARACDS* 

Visiting Specialist in Pediatric Dentistry 

Westmead Centre for Oral Health 

Sydney Dental Hospital 

IAPD President Elect 

(Representative of Nations) 

Specialist Clinical Associate 

University of Sydney 

Paulo Costa, MD, PhD 

Professor of Pediatrics 

Federal University of Goias, Brazil, 

Brazil 

David Gozal, MD * 

Director, Sedation Service 

Department of Anesthesiology and Critical 

Care Medicine 

Hadassah Medical Center 

Jerusalem, Israel 

Maria Sammartino, MD * 

Assistant Professor, Anesthesia and 

Intensive Care 

Catholic University of Sacred Heart (UCSC) 

Rome, Italy 

Douglas Stewart, DMD * 

Program Director, Grad Diploma in 

Clinical Dentistry 

Clinical Associate Professor, 

Clinical Dentistry (Sedation) 

University of Sydney 

*Weekend Course + Simulation Faculty 

National 

Faculty 

Iqbal Ahmed, MBBS, FRCA, FAAP 

Director, Anesthesia Residency Program 

Interim Director, Pediatric Anesthesia 

Assistant Professor and Chief, 

Pediatric Cardiac Anesthesia 

Tufts University School of Medicine 

Boston, MA 

Julianne Bacsik, MD + 

Assistant Professor of Anesthesia 

Harvard Medical School 

Children’s Hospital Boston 

Somaletha T. Bhattacharya MD, 

FFARCSI + 

Instructor in Anesthesia 

Department of Anesthesia, 

Critical Care & Pain Medicine 

Massachusetts General Hospital 

Clay Bordley, MD, MPH 

Associate Professor of Pediatrics 

Chief, Division of Pediatric Hospital 

and Emergency Medicine 

Medical Director, 

Pediatric Emergency Department 

Duke University 

Kathy Bucci RN, BSN + 

Department of Radiology 


Angela Camfield, MD, MS 

Assistant Professor of Pediatric Anesthesia 

Tufts Medical Center 

Floating Hospital for Children 

Boston, MA 

Douglas Carlson, MD * 


Washington University 

Chief, Division of Pediatric Hospital Medicine 

St. Louis Children’s Hospital 

Maureen Carrier, RN, BSN + 



Hovig V. Chitilian, MD 

Instructor of Anesthesia 

Harvard Medical School, 

Critical Care & Pain Medicine 

Massachusetts General Hospital 


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National Faculty 

Hyun Kee Chung, MD 




David Clendenin, MD 




Lawrence B. Cohen, MD, FACP 

Associate Clinical Professor of Medicine 

Mount Sinai School of Medicine 

New York Gastroenterology 

Associates 

New York, NY 

Stewart Cohen, Esquire 

Partner of Cohen, Placitella and Roth Firm 

Lauren J. Cornella, MD 

Instructor of Anesthesia 

Brigham and Women’s Hospital 


Yasmeed Daud, MD + 

Assistant Professor of Pediatrics 


Division of Pediatric Hospital Medicine 


Jennifer Dearden, MD 




Anesthesia Director, 

Dana Farber Cancer Institute 

James A. Dinardo, MD, FAAP 

Professor of Anesthesia 



Lynn Doucette, RN, BSN + 



Denise Downey, MSN, CPEN 

ED Nursing Educator 

Department of Emergency Medicine 



Talmage D. Egan, MD 

Professor, Anesthesiology 

Adjunct Professor, Pharmaceutics 

Adjunct Professor, Bioengineering 

Director, Neuroanesthesia 

K.C. Wong Presidential Endowed Chair 

University of Utah 

Francine Falvo, BSN, CPEN 

Staff Nurse II 



James J. Fehr, MD * 

Assistant Professor, 

Anesthesia and Pediatrics 


Director, Saigh Pediatric Simulation Center 

St Louis Children’s Hospital 

Lynne Ferrari, MD 

Chief, Perioperative Anesthesia Services 

Associate Professor of Anesthesia 



Eric Fleegler, MD + 

Instructor in Pediatrics, 

Division of Emergency Medicine, 



Roberta Forman, RN, BSN + 



Priscilla J. Garcia, MD, MHA 

Assistant Professor of Anesthesiology and 

Pediatrics 

Baylor College of Medicine 

Texas Children’s Hospital 

Kim Hamlin, MD + 

Instructor of Pediatrics 


Division of Pediatric Hospital Medicine 


Patricia A. Hickey, PhD, MBA, RN, 

FAAN 

Vice President, 

Cardiovascular and Critical Care Services 


8 Pediatric Sedation | Outside of the Operating Room | An International Multidisciplinary Symposium


Zeev N. Kain, MD, MBA 

Professor & Chair 

Associate Dean for Clinical Research 

Department of Anesthesiology & 

Perioperative Care 

University of California, Irvine 

Eric R. Kelhoffer, MD 

Assistant Clinical Member 

Memorial Sloan Kettering Cancer Center 

Assistant Attending, Memorial Hospital 

Assistant Professor, 

Cornell University Medical Center 

Robert (Bo) Kennedy, MD * 



Associate Director, 

Educational Affairs, Emergency Services 


Monica E. Kleinman, MD 



Clinical Director, Medical/Surgical 

Intensive Care Unit 

Medical Director, Transport Program 


Babu Koka, MBBS 

Clinical Director, Perioperative Anesthesia 




Baruch Krauss, MD, EdM * 

Associate Professor of Pediatrics 


Director, Inpatient Sedation Service 



William P. Magee Jr., MD 

Co-Founder and CEO of Operation Smile 

Mohamed Mahmoud, MD + 

Assistant Professor of Clinical Anesthesia 

and Clinical Pediatrics 

Cincinnati Children’s Hospital Medical 

Center 


Shobha V. Malviya, MBBS 

Professor, Department of Anesthesiology 

Director, Pediatric Pain and Sedation Service 

Director, Pediatric Anesthesiology Research 

Associate Director, Pediatric Anesthesiology 

University of Michigan Health System 

Timothy W. Martin, MD, MBA * 

Professor of Anesthesiology 

Vice Chair for Education & Administration 

Department of Anesthesiology 

UAMS College of Medicine 

Chief, Division of Pediatric Anesthesia 

Arkansas Children’s Hospital 

Keira P. Mason, MD 

Associate Professor of Anesthesia 


Director, Radiology Anesthesia and Sedation 


Terri Mauriello, RN, BSN 



Yolanda J. Milliman-Richard, RN, 

BSN 

Director of Nursing 



James R. Miner, MD 

Associate Professor of Emergency Medicine 

University of Minnesota Medical School 

Research Director 


Hennepin County Medical Center 

Cheryl A. O’Connell, MBA, RN, NE-BC 

Director, Ambulatory Cardiology/Patient 

Services 


Patrick N. Olomu, MD, FRCA, FAAP 

Assistant Professor of Anesthesiology 

Pediatric Anesthesiologist 

University of Texas Southwestern 

Medical Center & 

Children’s Medical Center Dallas, Texas 

Anna Maria Onisei, MD * 


Division of Pediatric Anesthesiology & Pain 

Medicine, Arkansas Children’s Hospital 


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John Pawlowski, MD, PhD + 

Assistant Professor in Anesthesia 


Co-Director, Shapiro Simulation and 

Skills Center 

Beth Israel Deaconess Medical Center 

Jack Percelay, MD, MPH, FAAP 

ELMO Pediatrics, 

New York, NY 

Pediatric Board Member 

Society of Hospital Medicine 

Randy Prescilla, MD 




Sharon Redd, MD + 




Mark G. Roback, MD * 

Professor of Pediatrics & Emergency Medicine 

University of Minnesota Medical School 

Director, Division of Emergency Medicine 

Amplatz Children’s Hospital 

Morton Rosenberg, DMD * 

Professor and Head 

Division of Anesthesia and Pain Control 

Department of Oral and Maxillofacial 

Surgery 

Tufts University School of Dental Medicine 

Cyril Sahyoun, MD + 

Clinical Fellow in Pediatrics, 

Division of Emergency Medicine, 



Sulpicio G. Soriano, MD, FAAP 

Professor of Anesthesia 


Children’s Hospital Boston Endowed Chair 

in Pediatric Neuroanesthesiology 


Michael Stabile, MD, MBA 

Adjunct Clinical Professor of Anesthesia 

Vanderbilt University Medical School 

Chief of Anesthesia Council 

Operation Smile International 

Rosalie Tassone, MD, MPH 

Associate Professor of Anesthesiology 

Division Chief of Pediatric Anesthesiology 

University of Illinois at Medical Center at 

Chicago 

Joss Thomas, MD, MPH, FCCP 


Director of Pediatric Anesthesia 

University of Iowa 

Laura Torres, MD 

Associate Professor of Anesthesiology 

and Pediatrics 

Baylor College of Medicine 

Texas Children’s Hospital 

Bistra Vlassakova, MD + 




Peter Weinstock, MD, PhD 



Director, Children’s Hospital Boston 

Simulator Program 

David Whiting, MD 




Steven Zgleszewski, MD 



Anesthesia Director, 

Gastroenterology Procedure Unit 









Scenarios 

See Page 14 


Weekend Course Conference Schedule 

Saturday, September 17, 2011 

7:00 – 8:30 am Registration/ Breakfast: Meet the Sponsors OR 

Breakfast Breakout Panels: open forum, interactive round table discussions (Optional; 

Each limited to 15; Pre-Registration and Fee Required; Breakfast Provided) 

Art and Science of Pediatric Nursing: Yolanda Milliman-Richard,RN, Kathy Bucci, RN, 

Lynn Doucette, RN, Francine Falvo, RN, Denise Downey, RN 

Dexmedetomidine: Randy Prescilla, MD, Mohamed Mahmoud, MD 

Difficult Airway Workshop: Basic and Advanced: Angela Camfield, MD, Hyun Kee Chung, 

MD, Paulo Costa, MD, Jennifer Dearden, MD, Anna Marie Onisei, MD, 

Joss Thomas, MD 

Emergency Medicine: James Miner, MD, Mark Roback, MD 

Pediatric Hospital Medicine: Douglas Carlson, MD, Clay Bordely, MD 

Advancing Safety in Sedation Part 1— Moderator: Keira P. Mason, MD 

8:45 – 9:00 am International Sedation Task Force: An Update: Keira P. Mason, MD 

9:00 – 10:00 am The Power of Medicine: William Magee, MD 

10:00 – 10:15 am Q & A 

10:15 – 10:45 am 

Value of Simulation in Sedation Training and Emergency Preparedness: 

Peter Weinstock, MD 

10:45 – 11:00 am Morning Break 

11:00 – 11:45 am 

Sedation and the Non Anesthesiologist — Moderator: Keira P. Mason, MD 

Deep Sedation and Non Anesthesiologists: Fact, Fiction and Controversy 

Lawrence Cohen, MD 

11:45 – 12:15 pm Training and Credentialing of Non Anesthesiologists for Sedation: Douglas Carlson, MD 

12:15 – 12:30 pm Panel Discussion 

12:30 – 2:00 pm 

Lunch on your own OR Optional Lunch Breakout Panels: 

Small, open forum, interactive round table discussions (Each limited to 15; 

Pre-registration and fee required;Lunch provided) Difficult Airway Workshop: Basic 

and Advanced: Angela Camfield, MD, Hyun Kee Chung, MD, Paulo Costa, MD, Jennifer 

Dearden, MD, Anna Marie Onisei, MD 

Innovations in Sedation—Moderator: Steven Zgleszewski, MD 

2:00 – 2:45 pm Advances in Propofol Formulation and Delivery: Beyond the Milky Way: Talmage Egan, MD 

2:45 – 3:30 pm Alpha 2 Agonists- Past, Present and Future: Riku Aantaa, MD 

3:30 – 3:50 pm PALS: An Update: Monica Kleinman, MD 


4:05 – 4:25 pm Break 

Friday September 16, 2011 

5:00 – 7:00 pm Early Bird Registration (Open to all Registrants) 

Program changes/substitutions 

may be made without notice. 


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12 


Sunday, September 18, 2011 

7:00 - 8:30am Registration/Breakfast: Meet the sponsors OR 

Breakfast Breakout Panels: open forum, interactive round table discussions (Optional; 

Each limited to 15; Pre-Registration and Fee Required; Breakfast Provided) 

Dexmedetomidine: Keira P. Mason, MD, Steven Zgleszewski, MD 

Difficult Airway Workshop — Basic and Advanced: Iqbal Ahmed, MD, Lauren Cornella, MD, 

Jennifer Dearden, MD, David Gozal, MD, Priscilla Garcia, MD, 

Eric Kelhoffer, MD, Laura Torres, MD 

Emergency Medicine: James Miner, MD, Mark Roback, MD 

8:45 – 9:45am 

Ketamine: Baruch Krauss, MD, Robert Kennedy, MD 

Pediatric Hospital Medicine: Jack Percelay, MD, Clay Bordley, MD 

Advancing Safety in Sedation Part II — Moderator: Keira P. Mason, MD 

Learning from the Mistakes of Others — A Journey through Sedation Litigation: 

Stewart Cohen, Esq 

9:45 – 10:00am Q & A: Stewart Cohen, Esq 

10:00 – 10:30am 

The Essentials of Sedation Management 

Moderator: Lynne Ferrari, MD 

4:25 – 5:10 pm Peri-Sedation Anxiety… The Child, the Parent and the Provider: Zeev Kain, MD 

5:10 – 5:40 pm Assessment of Sedation Depth and Discharge Readiness: Shobha Malviya, MD 

5:40 – 6:10 pm Optimizing Safety Through Organizational Strategies: Michael Stabile, MD 


6:30 – 8:00 pm COCKTAIL RECEPTION 

Understanding Obesity and the Pharmacology of Intravenous Anesthetics 

Talmage Egan, MD 

10:30 – 11:00am To Err is Human: Zeev Kain, MD 

11:00 – 11:15am Morning Break: Meet the Sponsors 

Sedation: Hot Topics — Moderator: Babu Koka, MBBS 

11:15 – 11:45am Will Sedation Keep My Baby Out of Harvard? Sulpicio Soriano, MD 

11:45 – 12:15pm 

Propofol-Pros, Cons and Limitations: James Miner, MD 

12:15 – 12:45pm Capnography: Basics and Beyond: Baruch Krauss, MD 

12:45 – 1:00pm Panel Discussion 

Lunch on your own OR Optional Lunch Breakout Panels: 

Small, open forum, interactive round table discussions (Each limited to 15; 

Pre-registration and fee required;Lunch provided) 

1:00 – 2:30pm 

Difficult Airway Workshop: Basic and Advanced: Iqbal Ahmed, MD, 

Lauren Cornella, MD, Jennifer Dearden, MD, Priscilla Garcia, MD, David Gozal, MD, Eric 

Kelhoffer, MD, Laura Torres, MD, Steven Zgleszewski, MD 

Ask the Expert: Lunch with a Medical Malpractice Attorney: Stewart Cohen, Esq 



2:30 – 5:30 pm 

2:30 – 3:15 pm 

Sunday, September 18, 2011 

Afternoon Tracks: Participants may attend and combine any of the four concurrent 

specialized tracks. Pre-registration is not required for entry. 

A. Sedation and the Hospital Medicine Specialist 

Moderator: Douglas Carlson, MD 

Making the Pie Bigger. Adding Value with Hospitalist Run Sedation Services: 

Jack Percelay, MD 

3:15 – 4:00 pm Whom Should Hospitalists Sedate, How and Why: Clay Bordley, MD 

4:00 – 4:45 pm 

From Favors to Expectations, Starting, Growing and Managing a Hospitalist-Based 

Sedation Service: Clay Bordley, MD 

4:45 – 5:30 pm Billing, Coding and Rules for Deep Sedation: Doug Carlson 

B. The Advancing and Evolving Role of Nursing in Sedation 

Moderator: Yolanda Milliman-Richard, RN, BSN 

2:30 – 3:15 pm Political/ Organizational Tools for Nursing Success: Patricia Hickey, RN 

3:15 – 4:00 pm Sedation, the FDA, CMS and the Evolving Role of Nursing: Cheryl O’Connell, RN 

4:00 – 4:30 pm Partnering with Families: Denise Downey, RN, Francine Falvo, RN 


Challenging Cases: Interactive Open Forum: 

4:45 – 5:30 pm 

Moderators: Cheryl O’Connell, RN,Yolanda Milliman-Richard, RN, Denise Downey, RN 

C. Art and Science of Sedation... An Interactive Multispecialty Approach 

2:30 – 5:30 pm 

Moderator: Baruch Krauss, MD 

This interactive workshop will present a case-based approach to procedural sedation, with 

individualized sedation recommendations and management guidelines by procedure and 

setting. Emphasis will be placed on both the art and the science of procedural sedation. 

Topics will include: determining when sedation is needed, determining the type and level 

of sedation required for each intervention, combining non-pharmacologic techniques for 

managing acute anxiety and pain with pharmacologic sedation, discussion of individual 

agents for sedation and analgesia, guidelines for preparation, management, and discharge 

of sedated patients, monitoring guidelines, sedation for mentally handicapped and psychiatric 

patients, and medicolegal aspects of pediatric sedation. Case studies and clinical 

scenarios will be emphasized. Participants are encouraged to bring cases from their practice 

for discussion. 

Douglas Carlson, MD, Maureen Carrier, RN, Francine Falvo, RN, Zeev Kain, MD, 

Robert Kennedy, MD, Baruch Krauss, MD, Mark Roback, MD 

D. Innovations in Sedation… Equipment and Sedatives 

Moderator: Michael Stabile, MD 

2:30 – 3:00 pm Is Nitrous Making a Comeback? Robert Kennedy, MD 

3:00 – 3:30 pm Expanded Roles of Ketamine: James Miner, MD 

3:30 – 4:00 pm Clinical Applications/Limitations of Dexmedetomidine: Keira Mason, MD 

4:00 – 4:30 pm Cerebral Oximetry... Could It Replace Pulse Oximetry?: Michael Stabile, MD 

4:30 – 5:00 pm Non Invasive Monitoring of Cardiac Physiology: James Dinardo, MD 

5:00 – 5:30 pm Panel Discussion: Open Forum 


13


Outside of the Operating Room 


Optional Pediatric Sedation Simulation 

Two Unique Full Day Options 

September 16 and/or 19, 2011 

Multi-Specialty Directed Scenarios 

and Difficult /Advanced Airway Workshops 


Workshop Director: James Fehr, MD 


Full Day Pediatric Sedation Simulation Objectives 

Pediatric Sedation Hands-On Simulation 

Simulation is now recognized by the American Society 

of Anesthesiologists (ASA) in the “October 20, 2010 

statement on granting privileges for deep sedation to 

non-anesthesiologist sedation practitioners.” Although 

this sedation conference provides AMA PRA Category 

1 Credits for the didactic and simulator portions, this 

does not imply endorsement by the ASA. The ASA does 

not endorse nor certify any sedation-related training 

curriculum. 

This year we will offer two (2) full days of unique handson 

experiences through immersion in multi-specialty 

directed sedation scenarios. Expert faculty from multiple 

disciplines, both national and international, will lead 

these scenarios. Space is limited as these workshops 

will offer a small group of participants the opportunity 

to immerse in simulation. Participants will receive 

scenarios and course materials. Each day will feature 

unique scenarios directed by faculty in Hospital Medicine, 

Anesthesia, Emergency Medicine, Dental Medicine 

and Nursing. Each participant will rotate through 5 

sedation simulation scenarios designed to offer handson 

experience and opportunity to learn and apply new 

knowledge. Experience in Basic and/or Advanced 

Airway Management with hands-on participation and 

state-of-the-art airway devices will complete this full day 

of training. 

1. Medical simulation is a highly adaptable tool 

for evaluating individual knowledge and team 

performance. 

2. Medical simulation can improve patient safety 

by raising an individual’s awareness of their 

practice and by enhancing team cohesion and 

performance. 

3. Simulation provides a safe arena for learning 

and evaluation, trains with actual equipment 

used in the clinical realm, and provides for 

repetition and reflection. 

4. Medical simulation should be educational, 

reflective and fun. 

Objectives 

1. Understand the importance of simulation context 

and physical setting. 

2. Understand the importance of human-factors 

leading to and in the management of crisis. 

3. Anticipate and prepare for the management of 

rare events. 

4. Understand the components of a simulationbased 

learning encounter. 

5. Learn the advantages of simulation-based 

learning. 

6. Understand the elements of effective teamwork 

and communication. 

7. Develop an understanding of how simulation 

may be incorporated into credentialing and 

training of sedation care providers. 

Pediatric Airway Workshop (Basic/Advanced) 

Objectives: 

1. Review the American Society of Anesthesiologists 

(ASA) airway algorithm. 

2. Compare the normal and abnormal pediatric 

airway. 

3. Understand the preparation for an expected 

difficult airway. 

4. Understand the options available in the 

management of the difficult pediatric airway. 

5. Formulate a emergency preparedness plan in 

the event of an unanticipated difficult airway.. 

6. Understand the advantages, disadvantages, 

challenges and risks associated with supraglottic 

devices. 

7. Understand the etiologies of airway obstruction 

and techniques in their management. 


15

16 

Optional Simulation Workshop Schedule 

Friday, September 16, 2011 (Optional: Limited Enrollment) 

Simulation Sessions: Taught by Multi-Specialty Experts 

(Pre-Registration Required) 

Participants will spend one hour in each of the six scenarios/workshops 

6:30 – 7:30 am Registration/Breakfast Included 

7:30 – 8:30 am 

8:30 – 9:30 am Scenario 1 

9:30 – 10:30 am Scenario 2 

Introduction: Simulation in the 21st Century Integration 

into Sedation Training: James Fehr, MD 

10:30 – 11:00 am Break 

11:00 – 12:00 pm Scenario 3 

12:00 – 1:00 pm Lunch Included 

1:00 – 2:00 pm Scenario 4 

2:00 – 3:00 pm Scenario 5 

3:00 – 4:00 pm Scenario 6 

4:00 – 4:30 Closing Remarks and Debriefing/Interactive Feedback 

Moderator and Leader of Simulation Workshops: James Fehr, MD 

Dental Medicine Directed Scenario: Eduardo Alcaino, DMD, Douglas Stewart, DMD. 

Tim Martin, MD*, Anna Maria Onisei, MD 

Hospital Medicine Directed Scenario: Doug Carlson, MD*, Yasmeen Daud, MD, 

Kim Hamlin, MD 

Anesthesia Directed Scenario: John Pawlowski, MD, PhD*, Sharon Redd, MD Bistra 

Vlassakova, MD, Julianne Bacsik, MD 

Team Building: Monica Kleinman, MD*, Maureen Carrier, RN, Terri Mauriello, RN 

Emergency Medicine Directed Scenario: Baruch Krauss*, MD, Eric Fleegler, MD, and 

Cyril Sahyoun, MD 

Difficult Airway Workshop: David Clendenin, MD, Jennifer Dearden, MD*, 

Priscilla Garcia, MD, David Gozal, MD, Eric Kellhoffer, MD, Mohamed Mahmoud , MD, 

Patrick Olumu, MD, Maria Sammartino, MD, Rosalie Tassone, MD, MPH, 

Joss Thomas, MD, Laura Torres, MD, David Whiting, MD, Steven Zgleszewski, MD 

*Indicates Scenario/Workshop Leader 


Optional Simulation Workshop Schedule 

Monday, September 19, 2011 (Optional; Limited Enrollment) 

Simulation Sessions: Taught by Multi-Specialty Experts 

(Pre-Registration Required) 

Participants will spend one hour in each of the six scenarios/workshops 

6:30 – 7:30 am Registration/Breakfast Included 

7:30 – 8:30 am 

8:30 – 9:30 am Scenario 1 

9:30 – 10:30 am Scenario 2 

Introduction: Simulation in the 21st Century Integration 

into Sedation Training: James Fehr, MD 

10:30 – 11:00 am Break 

11:00 – 12:00 pm Scenario 3 

12:00 – 1:00 pm Lunch Included 

1:00 – 2:00 pm Scenario 4 

2:00 – 3:00 pm Scenario 5 

3:00– 4:00 pm Scenario 6 

4:00 – 4:30 pm Closing Remarks and Debriefing/Interactive Feedback 

Moderator and Leader of Simulation Workshops: James Fehr, MD 

Dental Medicine Directed Scenario: Eduardo Alcaino, DMD*, Morton Rosenberg, 

DMD, Douglas Stewart, DMD 

Hospital Medicine Directed Scenario: Doug Carlson, MD*, Yasmeen Daud, MD, 

Kim Hamlin, MD 

Anesthesia Directed Scenario: John Pawlowski, MD, PhD*, Sharon Redd, MD, 

Bistra Vlassakova, MD, Julianne Bacsik, MD 

Team Building: Monica Kleinman, MD*, Anna Maria Onisei, MD, Maureen Carrier, RN, 

Terri Mauriello, RN 

Emergency Medicine Directed Scenario: Robert Kennedy, MD*, Mark Roback, MD 

Difficult Airway Workshop: Somaletha T. Bhattacharya, MD, Hovig V. Chitilian, MD, 

David Clendenin, MD*, Jennifer Dearden, MD, Presilla Garcia, MD, David Gozal, MD, 

Eric Kelhoffer, MD, Mohamed Mahmoud , MD, Maria Sammartino, MD, 

Rosalie Tassone, MD, MPH, David Whiting, MD, Steven Zgleszewski, MD 

*Indicates Scenario/Workshop Leader 


17

18 

Call For Abstracts 

Deadline for submission of Abstracts: June 1, 2011 

Detailed submission guidelines, abstract submission form, and disclosure form can be found 

at: www.cme.hms.harvard.edu/courses/pediatric 

Abstracts are blindly reviewed by the abstract committee. Presenting authors will be notified 

if their abstract is chosen for poster display at the September 17 – 18, 2011 conference. 

• Only abstract submitted in proper form will be considered. Please use the template which 

is available at the above website. 

• Ensure that the disclosure form is completed and returned with the abstract. 

(Only Presenting Author needs to complete this form) 

• Email the file to: amanda.buckley@childrens.harvard.edu. Subject line should read: 

Abstract submission – Presenting Author’s Last Name, 1.e. – “Abstract Submission – Smith”. 

• These documents will be processed electronically. The blinded copy will be torn off and 

submitted to the reviewers. If your document does not strictly follow the proper format 

it will not be processed. 

Accreditation 

Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) 

to provide continuing medical education for physicians. 

Harvard Medical School designates this live activity for a maximum of the following AMA PRA Category 1 Credits. 

· Course Only – 14.5 

· Each Optional Panel - 1.5 

· Each Optional Simulation Workshop Day - 7.5 

Physicians should only claim credit commensurate with the extent of their participation in the activity. 

This course is currently pending approval for AANA, nursing CEU, ACEP category 1, and Risk Management credits. 


Course Details 

Tuition Fees 

Weekend Course (September 17-18, 2011) $699 (USD) 

Optional Breakfast Breakout Panels: 

Art and Science of Pediatric Nursing $50 (USD) 

Dexmedetomidine $50 (USD) 

Emergency Medicine $50 (USD) 

Ketamine $50 (USD) 

Pediatric Hospital Medicine $50 (USD) 

Difficult Airway Workshop: Basic $100 (USD 

Difficult Airway Workshop: Advanced $100 (USD) 

Optional Lunch Breakout Panels: 

Difficult Airway Workshop: Basic* $100 (USD) 

Difficult Airway Workshop: Advanced* $100 (USD) 

Ask the Expert: Lunch with Medical Malpractice Attorney $100 (USD) 

Optional Pediatric Sedation Simulation Days 

(Breakfast and Lunch Included – You may Register for one or both Days. 

Combine with weekend course or separate.) 

New scenarios offered on each day. 

Friday, September 16, 2011 $579 (USD) 

Monday, September 19, 2011 $579 (USD) 

Reduced Weekend Course Tuition Fee for five or more attendees from the same 

hospital/institution: $599 per person. (In order to receive this discount, please 

contact the HMS-DCE office at (617) 384-8600.) 

All foreign payments must be made by a draft on a United States Bank or by Visa or MasterCard. 

If paying by check, please make payable to Harvard Medical School – Department of Continuing 

Education, PO Box 825, Boston, MA 02117-0825. If paying by credit card, please register online at 

www.cme.hms.harvard.edu/courses/pediatric. Telephone, fax, or mail-in registration with credit card 

payment is not accepted. Inquiries should be directed to the above address, made by phone: (617) 

384-8600, Monday — Friday, 10am to 4pm (EST), or by email: hms-cme@hms.harvard.edu. Upon 

receipt of your registration form an email confirmation from the HMS-DCE office will be sent to you. 

Therefore, be sure to include an email address that you check daily/frequently. Your email address is 

used for critical information about the course including: registration confirmation, course evaluation 

and certificate. 

Online Information: 

To register or view course information online, visit: 

www.cme.hms.harvard.edu/courses/pediatric 

* The Basic Airway Workshop and Advanced Airway Workshop which are offered as breakfast/lunch breakout sessions on the 

weekend will be offered within the Full Day Optional Simulation Workshop. Attendees for the weekend sessions as well as the 

Full Day Simulation must choose either the Basic or Advanced Airway Workshop. The Advanced Airway Workshop is designed 

to follow after completion of Basic training. 

2011 Theme Smile and Dream: Obstacles, Challenges and Solutions to Improving Safety Around the World 19

20 

Accommodations 

The Fairmont Copley Plaza, Boston Massachusetts 

REFUND POLICY: 

A handling fee of $60 is deducted for cancellation. 

Refund requests must be received by mail one 

week prior to the course. No refunds will be made 

thereafter. 

COURSE LOCATION/ ACCOMMODATIONS: 

All sessions will be held at: 

The Fairmont Copley Plaza 

138 St. James Avenue 

Boston, MA 02116 

Telephone: 617-267-5300 

Hotel rooms in Boston are limited. You are 

urged to make your reservations early. A limited 

number of rooms have been reserved at the 

Fairmont Copley Plaza Boston. (Telephone: 

617-267-5300) until August 20, 2011. Please 

specify that you are enrolled in this course to receive 

a reduced room rate of $289 per night (Fairmont 

Room) or $319 per night (Deluxe Room). 

Hotel arrangements can also be made online at: 

https://resweb.passkey.com/go/hmschildrenshospital 

Travel 

For information on reduced airfare, call the HMS 

Travel Desk toll free 1 (877) 4-HARVMD (1-877- 

442-7863) Monday-–Friday 9 AM - 8 PM (EST). 

From outside the U.S., Canada and Virgin Islands, 

please call (617) 559-3764. 


Registration 

September 17–18, 2011 

Weekend Course: $699 (USD) 

Each Optional Breakout Panel: 

Optional Breakout Panel: Difficult Airway Workshop: 

$50 (USD) 

Hands-On Experience for Alternative Airway Placement: $100 (USD) 

Ask the Expert: Lunch with a Medical Malpractice Attorney 

September 16 & 19, 2011 Please circle one or both days below 

$100 (USD) 

Optional Simulation Workshop Days: Friday and/or Monday $579 (USD) 

TOTAL $ (USD) 

Full Name: 

Mailing Address: 

City: State: Zip Code: Country: 

Daytime Phone: Fax Numbers: 

Email Address: 

Please note: Your email address is used for critical information about the course including: 

registration confirmation, course evaluation and certificate. Please be sure to include an email 

address you check daily or frequently. 

q Please check if you wish to be excluded from receiving email notices of future Harvard Medical 

School Department of Continuing Education Programs. 

Professional School Attended: Year of Graduation: 

Primary Specialty (Physicians Only): Board Certified: Yes q No q 

[ # _ x$579=$_] 

Institution Affiliation: 

Please select up to two panels. Panels are limited to 15; assignments are made in the order received. 

Difficulty Airway Workshop: Basic–$100 (USD) 

Difficult Airway Workshop: Advanced–$100 (USD) 

Emergency Medicine–$50 (USD) 

Ask the Expert: Lunch with a Medical Malpractice Attorney–$100 

Pediatric Hospital Medicine–$50 (USD) 

Art and Science of Pediatric Nursing–$50 (USD) 

Dexmedetomidine–$50 (USD) 

Ketamine–$50 (USD) 

Payment Information 

9/17/11 9/18/11 

If paying by check, make it payable to Harvard Medical School and mail with the completed registration 

form to: Harvard Medical School-Department of Continuing Education, PO Box 825, Boston, MA 02117. 

If paying by credit card, telephone or mail-in registrations are not accepted. Please register online at 

www.cme.hms.harvard.edu/courses/pediatric. Group Registrants: Please contact the HMS-DCE office at 

(617) 384-8600 if you are interested in the reduced weekend course tuition fee of $599 per person for five 

or more attendees from the same hospital/institution. 

Online Registrants: ensure proper registration by adding the first three characters of the source code 

found by your name on the mailing panel. 

[ #_ x $50 = $_ ] 

[ #_ x $100 = $_ ] 

2011 Theme Smile and Dream: Obstacles, Challenges and Solutions to Improving Safety Around the World 21



September 17-18, 2011 

The Fairmont Copley Plaza, Boston, MA 


Outside Of The Operating Room 




Scenarios 


Registering Online? 

Enter source code to ensure proper registration! 

www.cme.hms.harvard.edu/courses/pediatric 

Source Code WEB 




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Popular Demand: 


300 Longwood Avenue 

Boston, MA 02115 

Non-profit Org. 

U.S. Postage 

PAID 

Nashua, NH 

Permit No. 375

Pediatric Sedation Outside of the Operating Room - CME

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