Enhanced Recovery After Surgery

Transcription

1 Mayo School of Continuous Professional Development Enhanced Recovery After Surgery Optimal Surgical Recovery Requires Teamwork Pointe Hilton Tapatio Cliffs Resort Phoenix, Arizona Friday Saturday February 12-13, 2016 JOINTLY PROVIDED BY Mayo School of Continuing Professional Development and Mayo Continuing Nursing Education In collaboration with $75 DISCOUNT when you register at ce.mayo.edu/node/6480 by January 18, 2016

2 General Information COURSE DESCRIPTION/HIGHLIGHTS Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, multi-modal approach to perioperative care. Evidence-based data is employed to optimize the patient s post-op recovery promoting early recovery while post-op complications and costs are reduced. This proactive approach is comprised of data-driven, well thought-out interventions: Post-op recovery starts in pre-op. Starting with clearly defined preoperative preparation that involves the spectrum of health care team members, including the patient. Intraoperative approaches that have the entire scope of the patient s care in mind including post-op recovery multimodality pain control, pre-emption of nausea, and fluid management to minimize post-op ileus. Post-op order sets and team care that optimize patient recovery, convey the experience of accumulated knowledge and minimize complications and hospital stay. We will provide evidence-based best practices from foremost international leaders. Discussion panels will allow attendees to pick the brains of teams who have successfully improved their patients outcomes, and then return to their institutions with a plan. COURSE LEARNING OBJECTIVES Upon completion of this course, participants should be able to: Surgeons Recognize the science and evidence supporting best practices in Enhanced Recovery to optimize their patient outcomes Anethesiologists and CRNAs Develop an improved understanding of how intraoperative interventions re: fluids, PONV prophylaxis, pain management, etc., can continue to affect patient outcomes in the post-operative period. Nursing Develop an improved understanding of how an enhanced recovery team approach with preoperative preparation, intraoperative interventions and postoperative management affect patient recovery outcomes, and how nursing staff are integral to these improved outcomes. Hospital Administrators Recognize their involvement in facilitating the logistics of bringing together multidisciplinary teams that will improve patient outcomes and reduce costs. CREDIT Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Mayo Clinic College of Medicine designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Participants can earn up to ANCC nursing contact hours commensurate with the extent of their participation in the activity. Mayo Continuing Nursing Education is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. AAFP Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Other Health Care Professionals A certificate of attendance will be provided to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

3 General Information INTENDED AUDIENCE Enhanced recovery is a team sport. It is exceedingly difficult to institute new practices without a team. Consider attending as a real team: surgeon (from any abdominal specialty general, colorectal, GYN, urology, hepatobiliary), anesthesiologist, nurse caring for patient, and administrator. Any health care professional involved in the patient s perioperative course will gain new perspective and incentive to do better from this course. GRANTS/EXHIBITS This course is supported in part by educational grants, in accordance with ACCME standards. As of this printing, a complete listing of commercial supporters was not available. Appropriate acknowledgment will be given to all supporters at the meeting. Exhibits will be available for viewing at all scheduled breaks. DISCLAIMER Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course. AMERICANS WITH DISABILITIES ACT Mayo Clinic College of Medicine fully intends to comply with the legal requirements of the Americans with Disabilities Act. If you need assistance, please notify us at least two weeks prior to the activity. address: mca.cme@mayo.edu MEETING LOCATION & ACCOMMODATIONS Pointe Hilton Tapatio Cliffs Resort North 7th Street Phoenix, Arizona Reservations: (800) Resort: (602) Pointe Hilton Tapatio Cliffs Resort offers guests a scenic stay coupled perfectly with a collection of amenities for business or pleasure. Golf enthusiasts from across the nation make their way to Tapatio Cliffs Resort to experience the highly-praised greens of Lookout Mountain Golf Club. Other first-class perks and services include a variety of restaurants, Falls Water Village and the Tocaloma Spa & Salon. We also offer versatile event facilities for your wedding, social or corporate function. Experience the distinctive beauty of this welcoming property. You can also visit our local, vanity website for any other content information you may need: A special group rate of $219 (USD), per room per night, plus applicable city/state sales tax, single or double occupancy, is extended to course participants and guests. Group rates apply three days prior to and three days post-course dates, based upon availability. Resort fee waived services include: high speed internet, self and valet parking, 20% off spa services, access to fitness center, Admittance to Falls Water Village (up to four people). Attendees are responsible for their own reservations. The standard hotel reservation cancellation policy will apply to individual reservations unless otherwise specified. RECREATION/LEISURE ACTIVITIES Visit or for additional recreation and leisure activities. TRANSPORTATION Hertz is offering a reduced daily rate for participants attending the course. Visit Hertz online at (CV) 03NR0011 in Special rates include unlimited mileage and are subject to availability. Advance reservations are recommended; blackout dates may apply. SuperShuttle vans offer airport transportation to and from area hotels and businesses. To make reservations, call (800) or (602) , or visit Travel arrangements are the sole responsibility of the individual registrant.

4 Program Friday, February :00 a.m. Registration/Continental Breakfast 7:50 Welcome Announcements WHY SHOULD I CHANGE WHAT I AM DOING? 8:00 The Big Picture When Dogma-Based Practices are Disproved by New Evidence 8:30 Improved Patient Outcomes Amanda V. Hayman, M.D., M.P.H. 9:00 Improved Financial Impact Piyush Aggarwal, M.B.B.S. 9:30 Q & A Panel Discussion 9:45 Break CHANGING SURGICAL DOGMA OLD PRACTICES AND NEW EVIDENCE 10:00 Avoiding Bowel Prep Pros and Cons David A. Etzioni, M.D. 10:30 End of Pre-op NPO and Delayed Post-op Feeding 11:00 Surgical Approaches ERAS Works for Lap and Open Cases Tonia M. Young-Fadok, M.D., M.S. 11:30 Pre-op Education Including the Patient 12:00 p.m. Q & A Panel Discussion 12:15 Lunch ANESTHESIA INTRA-OP CHOICES IMPACT POST-OP OUTCOMES 1:00 Pathophysiology of ERAS and Outcomes Michael J. Scott, M.D. 1:30 Multi-modal Analgesia The Bridge Between Pre-, Intra- and Post-op Care Andrew W. Gorlin, M.D. 2:00 Fluid Management for ERAS Rationale, Basics and Advanced Monitoring Michael J. Scott, M.D. 2:30 PONV and Ileus Prophylaxis Starts Intra-op Ryan C. Craner, M.D. 3:00 Q & A Panel Discussion 3:15 Break HOW DO WE CHANGE WHAT WE ARE DOING? 3:30 What is Change Management Methodology? Mark Boundy 3:50 Team Members Identifying Leaders of Change Timothy Rockall, M.D. 4:10 Administration Coordinating the Effort Sean W. Glenn 4:30 ERAS in Pancreas Surgery Horacio J. Asbun, M.D. 4:50 Differences Across Specialties GYN Sean C. Dowdy, M.D. 5:10 Q & A Panel Discussion 5:30 Adjourn

5 Program Saturday, February 13, :00 a.m. Registration / Continental Breakfast 7:50 Welcome Announcements NUT AND BOLTS FOR STARTING ERAS GETTING YOUR PROTOCOL TOGETHER AND IMPLEMENTING IT 8:00 Administration Providing Support for Change Sean W. Glenn 8:20 Surgery What Are We Already Doing? How Can We Improve? Amanda V. Hayman, M.D., M.P.H. 8:40 Anesthesia Communicating Protocols 9:00 Nursing Communicating New Approaches in Multiple Areas Anna Marie C. Hunsaker, M.S.N., R.N. 9:20 Q & A Panel Discussion 9:40 Break ERAS 202 CUTTING EDGE UPDATES 9:55 How to Design and Implement an Anesthesia ERAS Protocol Christopher J. Jankowski, M.D. 10:25 Physiology of Pneumoperitoneum New Medications and Devices Michael J. Scott, M.D. 10:55 New Ideas in Multi-modal Analgesia: TAP Blocks, Liposomal Bupivacaine and Intravenous Acetaminophen Christopher J. Jankowski, M.D. WHAT DO I NEED TO DO WHEN I GET BACK HOME? 11:25 Role of Individuals Paul M. Magtibay, M.D. 11:55 Role of the ERAS Society 12:25 p.m. Q & A Panel Discussion 12:45 Adjourn Registration Information Program schedule is subject to change without notice. Registration is available on our NEW website at ce.mayo.edu/node/6480 The course registration fee includes tuition, access to an online course syllabus, daily continental breakfast and break refreshments. A link to the online syllabus will be sent via one week prior to the course. This allows you to view, save or print the syllabus before attending the course. No printed syllabus will be available. An confirmation will be sent upon receipt of payment and completed registration. If you do not receive your confirmation, or if you have any questions, please us at mca.cme@mayo.edu or call (480) No refund will be granted unless a written notice of cancellation is received. If registration must be canceled, tuition less a $75 administrative fee will be refunded when notification is received on or before Friday, January 29, No refunds will be made after this date. Although it is not Mayo Clinic s policy to limit the number of registrants for a course, conference room facilities may necessitate closure of enrollment. Early registration is strongly recommended. Walk-in registrations cannot be guaranteed. Mayo School of Continuous Professional Development (MSCPD) reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event that MSCPD must cancel or postpone this course, MSCPD will fully refund the registration fee, but are not responsible for any related costs, charges or expenses to participants, including fees assessed by airline, travel or lodging agencies. Mayo Clinic will not be responsible for expenses incurred by individuals who are not confirmed for courses with a closed registration status. Costs incurred by the registrant such as airline/hotel fees or penalties are the responsibility of the registrant. ONLINE SYLLABUS: Your registration fee includes access to an electronic syllabus that will be ed prior to the course. This allows you to view, save, or print the syllabus before attending the course. $75 DISCOUNT FOR EARLY REGISTRATION expires January 18, Early Registration Use Coupon Code ER2016S457 GENERAL SESSION On or before 1/18/2016 After 1/18/2016 Physicians Active in Practice $400 $475 Resident, Retired, Allied Health $350 $425

6 Faculty MAYO CLINIC Piyush Aggarwal, M.B.B.S. Horacio J. Asbun, M.D. Sean C. Dowdy, M.D. David A. Etzioni, M.D. Sean W. Glenn Andrew W. Gorlin, M.D. Anna Marie C. Hunsaker, M.S.N., R.N. Christopher J. Jankowski, M.D. Paul M. Magtibay, M.D. Tonia M. Young-Fadok, M.D., M.S. GUEST FACULTY Mark Boundy Boundy Consulting, LLC Phoenix, Arizona Amanda V. Hayman, M.D., M.P.H. Colorectal Surgeon The Oregon Clinic Portland, OR Chairman ERAS Society Stockholm, Sweden Timothy Rockall, M.B.B.S., F.R.C.S., M.D. Consultant Surgeon The Royal Surrey County Hospital Guildform, UK Michael J. Scott, M.B., ChB Consultant in Anaesthesia and Intensive Care Royal Surrey County Hospital NHS Foundation Trust Guildford, UK FACULTY DISCLOSURE: As a provider accredited by ACCME, Mayo Clinic College of Medicine (Mayo School of CPD) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course Director(s), Planning Committee Members, Faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty will also disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation. NATIONAL PHYSICIAN PAYMENT TRANSPARENCY PROGRAM Mayo Clinic College of Medicine complies with the requirements of the National Physician Payment Transparency Program OPEN PAYMENTS (Physician Payments Sunshine Act).