18th Annual Perioperative and Critical Care Conference Agenda

Session titles and presenters are subject to change.

Course Directors
Thomas E. MacGillivray, MD, Houston, TX
Rakesh C. Arora, MD, PhD, Winnipeg, MB, Canada

Friday, September 10, 2021
8:45 a.m. – 9:15 a.m. ET	Social Event: Meet & Greet with Course Directors
9:30 a.m. – 9:35 a.m. ET	Introduction and Welcome Thomas E. MacGillivray, MD, Houston, TX Rakesh C. Arora, MD, PhD, Winnipeg, MB, Canada

9:35 a.m. – 10:20 a.m. ET
What’s New in Cardiac ERAS
Moderators: Michael C. Grant, MD, Baltimore, MD,and Subhasis Chatterjee, MD, Houston, TX
	How We Do ERAS – Preoperative Gina McConnell, BSN, RN, CCRN, Raleigh, NC
	How We Do ERAS – Postoperative Kenan W. Yount, MD, MBA, Charlottesville, VA
	Panel Discussion: Making the Case for ERAS to Administrators Rawn Salenger, MD, Towson, MD Michael C. Grant, MD, Baltimore, MD Subhasis Chatterjee, MD, Houston, TX Gina McConnell, BSN, RN, CCRN, Raleigh, NC Kenan W. Yount, MD, MBA, Charlottesville, VA

10:20 a.m. – 11:05 a.m. ET
What’s New in Thoracic ERAS
Moderators: Linda W. Martin, MD, MPH, Charlottesville, VA, and Erin A. Gillaspie, MD, Nashville, TN
	Esophageal ERAS Has Arrived Jonathan Cools-Lartique, MD, Montreal, QC
	Thoracic ERAS Can Be Implemented Anywhere Dao M. Nguyen, MD, Miami, FL
	Panel Discussion: Can ERAS Equalize Outcomes between Open and VATS? Reza J. Mehran, CD, MDCM, MSc, Houston, TX Linda W. Martin, MD, MPH, Charlottesville, VA Erin A. Gillaspie, MD, Nashville, TN Jonathan Cools-Lartique, MD, Montreal, QC Dao M. Nguyen, MD, Miami, FL

11:05 a.m. –
11:30 a.m. ET

Break

11:30 a.m. – 12:15 p.m. ET
Opioid Avoidance in ERAS – Less Pain, More Gain
Moderators: Annemarie Thompson, MD, Durham, NC, and Rakesh C. Arora, MD, PhD, Winnipeg, MB, Canada
	Why Are We Avoiding Opioids in the First Place? Linda W. Martin, MD, MPH, Charlottesville, VA
	What’s on the Menu for Non-Opioid Alternatives? Michael C. Grant, MD, Baltimore, MD
	Panel Discussion: Controversies in Analgesia Rakesh C. Arora, MD, PhD, Winnipeg, MB, Canada Annemarie Thompson, MD, Durham, NC Linda W. Martin, MD, MPH, Charlottesville, VA Michael C. Grant, MD, Baltimore, MD

12:15 p.m. –
1:15 p.m. ET

Lunch

1:15 p.m. – 2:00 p.m. ET
Postoperative Atrial Fibrillation (POAF): Nuisance and Nemesis
Moderators: Subhasis Chatterjee, MD, Houston, TX, and David J. Bunnell, MSHS, PA-C, Hagerstown, MD
	Prevention & Management of POAF after Cardiac Surgery Dawn S. Hui, MD, San Antonio, TX
	Antithrombotic Therapy for POAF in Cardiac and Thoracic Surgery Thomas S. Metkus Jr., MD, Baltimore, MD
	Panel Discussion: Should We Be More Aggressive with Cardioversion for POAF? Spencer J. Melby, MD, St. Louis, MO Subhasis Chatterjee, MD, Houston, TX David J. Bunnell, MSHS, PA-C, Hagerstown, MD Thomas S. Metkus Jr., MD, Baltimore, MD Dawn S. Hui, MD, San Antonio, TX

2:00 p.m. – 2:45 p.m. ET
How to Manage the Right Ventricle after LVAD Placement
Moderators: Sarah Schettle, PA-C, MBA, Rochester, MN, and John M. Stulak, MD, Rochester, MN
	MCS Escalation: When to Pull the Trigger for RV Leora Yarboro, MD, Charlottesville, VA
	How to Use POCUS for Post-LVAD RV Management Jose L. Diaz-Gomez, MD, Houston, TX
	Panel Discussion: Patient Selection Lessons to Reduce RVF Amy G. Fiedler, MD, Madison, WI John M. Stulak, MD, Rochester, MN Sarah Schettle, PA-C, MBA, Rochester, MN Leora Yarboro, MD, Charlottesville, VA Jose L. Diaz-Gomez, MD, Houston, TX

2:45 p.m. –
3:00 p.m. ET

Break

3:00 p.m. – 3:45 p.m. ET
Complications after Thoracic Surgery – Leaks of Esophagus, Air, and Pus
Moderators: David T. Cooke, MD, Sacramento, CA, and Amie J. Kent, MD, New York, NY
	Current Management of Esophageal Leaks Wayne L. Hofstetter, MD, Houston, TX
	Rapid Resolution of Air Leaks – Make It Stop M. Blair Marshall, MD, Boston, MA
	Empyema – Where Are We Going? Chadrick E. Denlinger, MD, Indianapolis, IN
	Panel Discussion: When Is It Time to Go Back to the OR? Amie J. Kent, MD, New York, NY David T. Cooke, MD, Sacramento, CA Wayne L. Hofstetter, MD, Houston, TX M. Blair Marshall, MD, Boston, MA Chadrick E. Denlinger, MD, Indianapolis, IN

3:45 p.m. – 4:35 p.m. ET
Abstract Session
Moderators: Amy G. Fiedler, MD, Madison, WI, and Namrata Patil, MD, MPH, Boston, MA
	Sustained Reduction of Discharge Opioid Prescriptions Within an Enhanced Recovery After Surgery Program for Thoracic Surgery: A Multilevel Generalized Linear Model Andres Zorrilla-Vaca, MD, Boston, MA
	Management of Ischemic and Hemorrhagic Stroke in Patients on VA-ECMO Rochelle Prokupets, Baltimore, MD
	Surgical Standardization: The New Normal Keki Balsara, MD, MBA, Nashville, TN
	To Chew or Not to Chew? Preventing Post-Operative Ileus in the Cardiac Surgery Patient Sirivan Seng, MD, Upland, PA
	The Impact of Preoperative Alcohol Use Screening on Post-Operative Delirium in Elective Cardiac Surgery Patients Mudra Dave, Winnipeg, MB

4:35 p.m. –
5:00 p.m. ET

Social Event: Conversation Starters

Saturday, September 11, 2021
8:45 a.m. – 9:15 a.m. ET	Wellness Event: Bouncing Back —10 Ways to Stay Positive Today

9:45 a.m. – 10:30 a.m. ET
What’s Now in ECMO?
Moderators: Subhasis Chatterjee, MD, Houston, TX, and Rita K. Milewski, MD, PhD, MS, New Haven, CT
	STS/ELSO ECMO Survey Results Rita K. Milewski, MD, PhD, MS, New Haven, CT
	Debate: Dual Lumen vs. IJ/Fem in COVID Errol L. Bush, MD, Baltimore, MD (Dual Lumen) J. W. Awori Hayanga, MD, MPH, Morgantown, WV (IJ/Fem)
	Panel Discussion: How Has COVID Changed ECMO? Jonathan W. Haft, MD, Ann Arbor, MI Subhasis Chatterjee, MD, Houston, TX Rita K. Milewski, MD, PhD, MS, New Haven, CT Errol L. Bush, MD, Baltimore, MD J. W. Awori Hayanga, MD, MPH, Morgantown, WV

10:30 a.m. –
10:50 a.m. ET

Break

10:50 a.m. – 11:40 a.m. ET
Ethical Conundrums & Controversies in ECMO
Moderators: J. W. Awori Hayanga, MD, MPH, Morgantown, WV, and HelenMari Merritt-Genore, DO, Omaha, NE
	Panel Discussion: Can You Put a Prisoner on ECMO? ... and Other Such Conundrums Robert M. Sade, MD, Charleston, SC Susan Moffatt-Bruce, MD, PhD, MBA, Columbus, OH Bo S. Kim, MD, Baltimore, MD Jonathan W. Haft, MD, Ann Arbor, MI Errol L. Bush, MD, Baltimore, MD J. W. Awori Hayanga, MD, MPH, Morgantown, WV HelenMari Merritt-Genore, DO, Omaha, NE

11:45 a.m. – 12:30 p.m. ET
Addressing the Elephant in the Room: Goal-Directed Perfusion
Moderators: Michael C. Grant, Baltimore, MD, and George Justison, CCP, Denver, CO
	Goal-Directed Perfusion 101 Marco Ranucci, MD, Milan, Italy
	UF, MUF, ZBUF: Making Sense of Ultrafiltration David Fitzgerald, DHA, MPH, CCP, Charleston, SC
	Panel Discussion: Take Homes & Next Steps Slava Barodka, MD, Detroit, MI Marco Ranucci, MD, Milan, Italy David Fitzgerald, DHA, MPH, CCP, Charleston, SC Michael C. Grant, MD, Baltimore, MD George Justison, CCP, Denver, CO

12:30 p.m. –
1:30 p.m. ET

Lunch

1:30 p.m. – 2:15 p.m. ET
Advanced Life Support after Cardiac Surgery: CSU-ALS for ECMO & VADS
Moderators: Aaron Morton, PA-C, Louisville, KY, and Thomas E. MacGillivray, MD, Houston, TX
	CSU-ALS after Cardiac Surgery S. Jill Ley, MS, RN, CSN, San Francisco, CA
	Which of These Things Is Not Like the Other? CSU-ALS, but for ECMO & VADs Joel Dunning, BM BCh, PhD, Middlesbrough, United Kingdom
	Panel Discussion: Real or Make Believe? Subhasis Chatterjee, MD, Houston, TX Michael Firstenberg, MD, Appleton, WI S. Jill Ley, MS, RN, CSN, San Francisco, CA Thomas E. MacGillivray, MD, Houston, TX Aaron Morton, PA-C, Louisville, KY

2:15 p.m. –
2:35 p.m. ET

Break

2:35 p.m. – 3:20 p.m. ET
Patient Experience: COVID-19 ECMO
Moderators: Errol L. Bush, MD, Baltimore, MD, and Erik Suarez, MD, Houston, TX
	Testimony of a COVID-19 ECMO Survivor Maria Young
	Testimony of a COVID-19 ECMO Lung Transplant Recipient Reynaldo Valdez
	Panel Discussion: Where Do We Go From Here? Maria Young (Patient) Monica Young (Patient’s mother) Reynaldo Valdez (Patient) Bo S. Kim, MD, Baltimore, MD Marylou Zyra, RN, BSN, Baltimore, MD Errol L. Bush, MD, Baltimore, MD Erik Suarez, MD, Houston, TX

3:35 p.m. – 4:20 p.m. ET
What to Expect When You’re Expecting the Rest of Your Life
Moderators: Rakesh C. Arora, MD, PhD, Winnipeg, MB, Canada, and Glenn J.R. Whitman, MD, Baltimore, MD
	COVID Long Haulers: Looking Past PICS Pratik Pandharipande, MD, Nashville, TN
	Panel Discussion: The New Normal – Delirium, Cognition, Rehabilitation Babar Khan, MD, Indianapolis, IN Pratik Pandharipande, MD, Nashville, TN Glenn J.R. Whitman, MD, Baltimore, MD Rakesh C. Arora, MD, PhD, Winnipeg, MB, Canada

4:20 p.m. –
4:30 p.m. ET

Closing Remarks
Desiree Chappell, CRNA, Louisville, KY,
Michael (Monty) G. Mythen, MBBS, MD of TopMedTalk, London, United Kingdom

On-Demand Content – Access Anytime

Getting Through your First Night on Call
Atrial Fibrillation Isaac Whitman, MD, Philadelphia, PA
Pacemakers Glenn J.R. Whitman, MD, Baltimore, MD
Shock: The Importance of Filling Pressures and SVR Rita K. Milewski, MD, PhD, MS, New Haven, CT
Ventilator Settings and Modes Bo S. Kim, MD, Baltimore, MD
Postoperative Bleeding Glenn J.R. Whitman, MD, Baltimore, MD
Chest Tubes: What You Need to Know J. W. Awori Hayanga, MD, MPH, Morgantown, WV

Updated September 11, 2021