An initiative of the American Society ofAnesthesiologists®

Syllabus

Perioperative Quality and Enhanced Recovery Conference

Friday, October 12, 2018The Hilton of Union Square333 O’Farrell StSan Francisco, CA 94102

American Society for Enhanced Recovery6737 W. Washington St., Suite 4210 Milwaukee, WI 53214(P) 414-389-8610 • (F) 414-276-7704 • www.aserhq.org • info@aserhq.org

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Meeting Accreditation Information

Welcome!

Learning Objectives• Discuss the various elements of an enhanced

recovery pathway.

• Appreciate the current evidence base, as well as gaps in understanding and controversies.

• Understand the role of the perioperative surgical home in the new care delivery models, and how to apply these models to improve outcomes.

RegistrationRegistration for the Perioperative Quality and Enhanced Recovery Conference includes breakfast, coffee breaks, lunch and the program syllabus. Note that all fees are quoted in U.S. currency.

Satisfactory Completion Learners must complete an evaluation form to receive a certificate of completion. If you are seeking continuing education credit for a specialty not listed below, it is your responsibility to contact your licensing/certification board to determine course eligibility for your licensing/certification requirement.

Dear Colleagues,Welcome to San Francisco, CA and to the fall conference of the American Society for Enhanced Recovery (ASER). It is a great opportunity to have a one-day meeting before the American Society of Anesthesiologists (ASA) annual meeting. This year’s conference is co-branded with ASA Perioperative Surgical Home. This unique relationship provides a wonderful opportunity for attendees to stay abreast of the most recent scientific information on enhanced recovery and topics related to perioperative medicine, and an opportunity for colleagues and associates from different specialties and healthcare sectors to meet and enjoy a pleasant venue in San Francisco.I am grateful to my co-Chairs, Dr. Timothy Miller and Dr. Julie Thacker. They have provided valuable input in selecting the speakers and the wide variety of topics for the meeting, from prehabilitation and preoperative nutrition, anemia management, perioperative pain, fluid and blood pressure management, to the role of neuromonitoring and neuromuscular function, patient reported outcomes as well as economics of Enhanced Recovery Programs. The meeting caps off with a debate on the role of surgeons and anesthesiologists in postoperative care.

Physicians In support of improving patient care, this activity has been planned and implemented by Amedco LLC and Inova, Inc. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Credit Designation Statement – Amedco LLC designates this live activity for a maximum of 6.50 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Special NeedsThe American Society for Enhanced Recovery fully complies with the legal requirements of the Americans with Disabilities Act and the rules and regulations thereof. If any attendee in this educational activity is in need of accommodations, please contact the ASER at (414) 389-8610.

Cancellation PolicyAll cancellations must be in writing and sent via U.S. mail, email or fax. Fee for cancellations postmarked or date stamped before September 24, 2018 will be completely refunded with an administrative fee of $25. NO REFUNDS WILL BE MADE AFTER SEPTEMBER 24, 2018.

American Society for Enhanced Recovery (ASER) Photo and Video DisclosurePhotos and video footage are periodically taken of people participating in an ASER meeting. Please be aware that by registering for an ASER meeting or participating in an activity or attending an event at an ASER meeting, you authorize ASER to use these photos and video footage for promotional purposes in ASER publications, advertising, marketing materials, brochures, social media (including Facebook, YouTube, Instagram, Twitter, and other social media sites operated by ASER), and the ASER website without additional prior notice or permission and without any compensation. All photos and videos are property of ASER.

Dr. Henrik Kehlet, the pioneer of enhanced recovery, will appropriately deliver the Pioneer’s Lecture on the past, present and future of Enhanced Recovery. Other speakers include leaders and experts in surgery and anesthesiology, both at home and abroad. I would like to thank the corporate sponsors for their generous support, without which this meeting would not be possible. We encourage all attendees to visit the exhibits, learn what is available and offer insights to the exhibitors.Tong Joo (TJ) Gan, MD, MBA, MHSFounding PresidentAmerican Society for Enhanced Recovery (ASER)Professor and Chairman, Department of AnesthesiologyStony Brook Medicine, Stony Brook, NY

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Invited Speakers Tong J. Gan, MD, MBA, MHS, FRCA

Stony Brook UniversityStony Brook, NY USA

Elliott Bennett-Guerrero, MDStony Brook UniversityStony Brook, NY USA

Maxime Cannesson, MD, PhDUniversity of California Los Angeles

Los Angeles, CA USA

Vincent Chan, MDUniversity of TorontoToronto, Ontario CANADA

Lee Fleisher, MDUniversity of PennsylvaniaPhiladelphia, PA USA

Alex Hannenberg, MDAmerican Society of Anesthesiologists

Boston, MA USA

Traci Hedrick, MD, FACSUniversity of VirginiaCharlottesville, VA USA

Henrik Kehlet, MD, PhD, FACS (Hon)

Rigshospitalet Copenhagen University

Copenhagen DENMARK

Timothy Miller, MB, ChB, FRCA

Duke UniversityDurham, NC USA

Glenn Murphy, MDUniversity of ChicagoChicago, IL USA

Frank G. Opelka, MD, FACSAmerican College of SurgeonsWashington, DC USA

Michael Scott, MB, ChBVirginia Commonwealth University Health System

Richmond, VA USA

Daniel I. Sessler, MDThe Cleveland ClinicCleveland, OH USA

Michel Struys, MD, PhDUniversity of GroningenGroningen, NETHERLANDS

Julie K.M. Thacker, MD, FACS, FASCRS

Duke UniversityDurham, NC USA

Thomas Vetter, MD, MPHThe University of Texas at AustinAustin, TX USA

Christopher Wu, MDJohns Hopkins UniversityBaltimore, MD USA

Program Schedule Friday, October 12, 2018All Events located in Plaza Ballroom unless listed otherwise.

7:00am RegistrationGolden Gate Foyer

7:00 – 8:00amBreakfastGolden Gate 1 - 5

8:00 – 8:15amWelcome and Overview of Program

Tong J. Gan, MD, MBA, MHS, FRCA; Julie Thacker, MD, FACS, FASCRS; Alex Hannenberg, MD

8:15 – 10:10amSession 1Moderator: Tong J. Gan, MD,

MBA, MHS, FRCA

8:15 – 8:40amPioneer’s Lecture: Past, Present and Future of Enhanced Recovery

Henrik Kehlet, MD, PhD, FACS, (Hon)

8:40 – 8:50amPerioperative Quality Initiatives Process

Tong J. Gan, MD, MBA, MHS, FRCA

8:50 – 9:10amPrehabilitation and Preoperative Nutrition

Timothy Miller, MB, ChB, FRCA

9:10 – 9:30amPreop Anemia ClinicMichael Scott, MB, ChB

9:30 – 9:50amPerioperative Fluid Management and GDFT

Maxime Cannesson, MD, PhD

9:50 – 10:10amPanel Discussion

10:10 – 10:40amBreak with Sponsors and Exhibitors

Golden Gate 1 - 5

10:40 – 12:00pmSession 2Moderator: Timothy Miller, MB,

ChB, FRCA

10:40 – 11:00amThe Role of Neuromuscular Function in ERP

Glenn Murphy, MD

11:00 – 11:20amOpioid Free Anesthesia, Recipe for Success

Christopher Wu, MD

11:20 – 11:40amHemodynamic Management: The Peril of Hypotension

Daniel I. Sessler, MD

11:40 – 12:00pmPanel Discussion

12:00 – 1:00pmLunch with Sponsors and Exhibitors

Golden Gate 1 - 5

1:00 – 2:40pmSession 3Moderator: Traci Hendrick, MD,

FACS

1:00 – 1:20pmThe Role of NeuromonitoringMichel Struys, MD, PhD

1:20 – 1:40pmRegional Anesthesia in ERPVincent Chan, MD

1:40 – 2:00pmPatient-reported OutcomesElliott Bennett-Guerrero, MD

2:00 – 2:20pmEnhanced Recovery in a Value Based Payment World

Alex Hannenberg, MD

2:20 – 2:40pmPanel Discussion

2:40 – 3:10pmBreak with Sponsors and Exhibitors

Golden Gate 1 - 5

3:10 – 5:10pmSession 4Moderator: Julie Thacker, MD

3:10 – 3:30pmEnhanced Recovery Program: Tips for Implementation Success

Julie Thacker, MD, FACS, FASCRS

3:30 – 3:50pmPostoperative RehabilitationTraci Hedrick, MD, FASC

3:50 – 4:10pmHow to do Enhanced Recovery Research and Get it Published?

Thomas Vetter, MD, MPH

4:10 – 4:50pmDebate: Postoperative Care is Best Delivered by the Surgeon

Pro: Frank G. Opelka, MD, FACSCon: Lee Fleisher, MD

4:50 – 5:10pmPanel Discussion

5:10 – 5:15pmClosing Remarks

5:15 – 6:15pmWine ReceptionGolden Gate 1 - 5

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The Hilton of Union Square Lobby Level

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Disclosure of Conflict of Interest

Directions for Claiming CME Credit

Guidebook Mobile App

The following table of disclosure information is provided to learners and contains the relevant financial relationships that each individual in a position to control the content disclosed to Amedco. All of these relationships were treated as a conflict of interest, and have been resolved. (C7 SCS 6.1- ‐6.2, 6.5)

All individuals in a position to control the content of CE are listed below.

To claim your CME credit, visit http://aser.cmecertificateonline.com. Click on the “Perioperative Quality and Enhanced Recovery Conference 2018” link, complete the survey and print your certificate. Questions? Email Certificate@AmedcoEmail.com

The 2018 Perioperative Quality and Enhanced Recovery Conference has gone mobile using guidebook!

We strongly encourage you to download our mobile guide to enhance your experience at the Perioperative Quality and Enhanced Recovery Conference. You’ll be able to plan your day with a personalized schedule and download all the meeting materials.

The app is compatible with iPhones, iPads, and Android devises, Windows Phone 7 and Blackberry users can access the same information via our mobile site at http://guidebook.com/browse/.

First Last Role Commercial InterestMaxime Cannesson Speaker Masimo: Research Grant Site Principal Investigator, Masimo: Consultant, Edwards Lifesciences:

Consultant, Edwards Lifesciences: Research Grant Site Principal Investigator, Medtronic: Consultant, Sironis: Stock Shareholder

Vincent Chan Speaker Aspen Pharma: Speakers Bureau

Tong J. Gan Speaker, Planning Committee

Edwards: Consultant, Mallinckrodt: Consultant, Merck: Speakers Bureau, Medtronic: Consultant

Tim Miller Speaker, Planning Committee

Edwards Lifesciences: Consultant, Mallinckrodt: Consultant, Edwards Lifesciences: Research Grant Overall Principal Investigator

Glenn Murphy Speaker Merck: Consultant

Michael Scott Speaker Merck: Consultant

Daniel Sessler Speaker Edwards: Consultant

Michel Struys Speaker Fresenius: Consultant, Drager: Research Grant Site Principal Investigator, The Medicines Co.: Research Grant Site Principal Investigator, The Medicines Company: Consultant, Masimo: Research Grant Overall Principal Investigator, Masimo: Consultant

Julie Thacker Speaker, Planning Committee

Medtronic: Speakers Bureau, Edwards: Speakers Bureau, Merck: Consultant, Pacira: Consultant, J&J: Scientific/Medical Advisory Board Member, Cheetah: Consultant

You can get the guide via one of the methods below:• Download ‘Guidebook’ from the Apple App Store or the Android Marketplace• Visit http://guidebook.com/getit from your phone’s browser• Scan the following image with your mobile phone (QR-Code reader required,

e.g. ‘Red Laser’, ‘Barcode Scanner’)

From the Guidebook application, tap “Find Guides” then “Have a passphrase”.

Enter the code ‘aser18’ and the guide will download to your device!

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Commercial Supporters Platinum

Gold

Silver

Bronze

Exhibitors • Cheetah Medical, Inc.• Deltex Medical SC, Inc.• Enhanced Medical

Nutrition (EMN)• ePreop, Inc.

• Heron Therapeutics• LiDCO Limited• medCPU• Trevena, Inc.

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Notes

American Society for Enhanced Recovery6737 W. Washington St., Suite 4210 Milwaukee, WI 53214

(P) 414-389-8610 • (F) 414-276-7704 • www.aserhq.org • info@aserhq.org

Thank you for attending!

An initiative of the American Society ofAnesthesiologists®

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