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| Course Schedule |
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Friday, September 27, 2013
Optional Full-Day Sedation Symposium:
The Fundamentals of Sedation: Reviewing the Basics, Bridging the Specialties
Course Director: Keira P. Mason, MD
Director, Fundamentals of Sedation Symposium: Mark Roback, MD
This full-day course provides an overview of sedation administered outside the OR and is directed toward a multidisciplinary audience that includes physicians, dentists, nurses, hygienists, students and trainees. The morning session “sets the stage” for successful sedation and challenges the participants to consider their goals for sedation and how best to achieve them. Introductory sedation lectures and the Pediatric Airway Workshop are directed toward both medical and dental personnel. The remainder of the session targets medical- or dental-specific groups to reflect particular interests and practice. In the afternoon, case scenarios will be presented with the intent to foster vigorous discussion of options for sedation and best practice models. The day will reach a conclusion with Sedation Jeopardy to test your sedation knowledge and poise under pressure. Please remember to phrase your answer in the form of a question.
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7:15 - 8:15 AM
8:15 - 8:30 AM |
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Registration and Breakfast
Welcome and Introduction Keira Mason and Mark Roback |
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8:30 - 12:00 AM
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SEDATION OUTSIDE THE OR: GETTING STARTED
Moderator: Mark Roback |
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8:30 - 9:00 AM
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Mark Roback, MD
Define Sedation, Distinguish Sedation from Analgesia and Amnesia
The Sedation Continuum: Guidelines for Assessing Sedation Depth, Accompanying Risks and An Objective Look at the Limitations of the Continuum
The Sedation “Set Up”: Space, Personnel, Physiologic Monitors, Equipment and Resuscitation Supplies |
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9:00 - 9:20 AM |
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Jennifer Dearden, MD
The Pediatric Airway: Anatomy, Hallmarks of Increased Risk, Strategies for Preparation and Management |
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9:20 - 10:10 AM
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Timothy Horeczko, MD
Essentials of Pediatric Physiology and Anatomy and their applications to sedation
Physiological Monitoring: Interpreting the EKG, Pulse Oximeter and Capnograph |
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10:10 - 10:30 AM
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Keira P. Mason, MD
Patient Selection: The “Pearls” of Pre-Sedation Assessment: How to Assess Who is Appropriate for Sedation and When To a Consult with Specialists?
Return to Pre-Sedation State and Readiness for Discharge- Discharge Criteria: Different Options and Scoring Assessment Tools |
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10:30 - 11:00 AM |
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David Rothman, DDS
Management of Challenging Patients: Autism, Obesity and the Neurologically Challenged |
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| 11:00 - 11:30 AM |
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Morning Break |
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11:30 - 12:00 AM |
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Timothy Horeczko, MD and David Rothman, DDS
Non-Pharmacologic Strategies for Behavior Management: Expert Approaches |
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| 12:45 – 2:00 PM |
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Lunch on Your Own OR Optional Airway Lunch
Optional Lunch: Difficult Airway Workshop: Basic (Medical and Dental)
Pre-Registration and Fee Required | Seaport (3rd Floor)
Small, hands-on, one-on-one interaction with faculty to review, practice and improve advanced airway skills. This is a unique opportunity to trial advanced airway equipment, including but not limited to video laryngoscopy, fiberoptic intubation, supraglottic airway devices, and surgical cricothyroidotomy using porcine tracheas.
Jennifer Dearden, MD (Leader), Thomas Anthony Anderson, MD, PhD, David Gozal, MD, Tim Horeczko, MD, Babu Koka, MD, Mohamed Mahmoud, MD, Steven Zgleszewski, MD, Marina Sammartino, MD |
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CHOOSE EITHER SESSION TO ATTEND |
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Medical Session |
Dental Session |
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1:00 - 1:30 PM
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Pharmacology of Sedation: A Broad Review of Sedatives Analgesics and Adjuncts
Timothy Horeczko, MD (Moderator/Lecturer)
- A Pharmacologic Review of Commonly Used Medication
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Dental Pharmacology and Adjunctive Behavior Management Techniques in Pediatric Dentistry
David Rothman, DDS (Moderator/Lecturer)
- Oral “Conscious Sedation” agents
- Local Anesthetics: Pharmacology, physiology, administration, risks, and outcome
- Papuse board- the controversy
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| 1:30 - 2:00 PM |
Pharmacology of Sedation: A Broad Review
Timothy Horeczko, MD (Moderator/Lecturer)
- Emergency and Resuscitation Medications: Protocols, Options and Routes of Administration
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Inhalation Sedation: Nitrous Oxide
Eduardo Alcaino, DDS (Lecturer)
- Pharmacology and Physiology
- Clinical indications
- Contraindications and adverse events
- Administration techniques
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| 2:00 - 2:30 PM |
Rescue: Managing Sedation Adverse Events
Mark Roback, MD (Moderator/Lecturer)
- Risk factors and predictors of Adverse Events
- Management and approach
- Special populations
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Minimal and Moderate Sedation: Oral, Intravenous
and Alternate Routes
David Rothman, DDS (Moderator/Lecturer)
- Definitions
- Qualifications, guidelines and policies
- Necessary equipment and supplies
- Routes of administration
- Sedative options: pharmacology, physiology, clinical indications outcomes
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| 2:30 - 3:00 PM |
How to Design, Implement and Fund a Safe and Efficient Sedation Service:
Douglas Carlson, MD (Moderator/Lecturer)
- Training recommendations
- Privileges and credentialing
- Set-up and personnel
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Deep Sedation: Oral, Intravenous and Alternate Routes
Michael Webb, DDS
- Definitions
- Qualifications, guidelines and policies
- Necessary equipment and supplies
- Routes of administration
- Sedative options: pharmacology, physiology, clinical indications outcomes
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| 3:00 - 4:30 PM |
Case Studies in Pediatric Sedation
Mark Roback, MD, Bo Kennedy, MD, Douglas Carlson, MD
Keira Mason, MD
Cases presented from multi-specialty sedation venues with an open forum approach to explore techniques at evaluation, planning and patient management.
Extensive Q&A time allotted |
3:00 - 3:30 PM
Preparation and Anticipation of Dental Sedation Emergencies
Ron Kosinski, DMD
- Setting up emergency protocols, policies and procedures
- Emergency equipment and training
- Review of Pediatric CPR, PALS and ACLS
3:30 - 4:30 PM
Case Studies and Panel Discussion
David Rothman, Eduardo Alcaino, Ron Kosinski |
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4:50 - 5:30 PM |
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Sedation Jeopardy — A Unique and Entertaining Learning Format
Joint Medical and Dental Session: Mark Roback, MD
Closing Remarks and Open Forum Feedback: Mark Roback, MD
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| Program changes/substitutions may be made without notice. |
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