Program Objectives
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Preconvention Workshop on Preoperative Evaluation and Perioperative Medicine
The participant will learn about both medical and logistical aspects of preoperative evaluation and about considerations for the specific disease entities and patient
populations listed.

Advanced Administrative Workshop
Participants will be able to accurately discuss principles and strategies surrounding the issues of accreditation, personnel credentialing and management, and outcome measurement use in an ambulatory surgery center. Specific examples will be used to discuss these issues, including pitfalls of facility accreditation, management of "difficult" surgeons and other staff, and clinical outcome measurement as a tool to improve quality and potentially increase market share. This workshop will consist of both a panel and a set of small roundtable discussions of participants’ own "real-world" experiences and questions.

Ultrasound in Anesthesia Workshop
The aim of this workshop is to allow participants to familiarize themselves with a handheld ultrasound device to facilitate regional anesthetic techniques and central venous cannulation (CVC).Workshop attendees will understand
the benefits of using ultrasound for blocks for ambulatory anesthetic management as well as postoperative pain relief. Handson breakout sessions will cover the use of ultrasound in above and below clavicle upper extremity blocks and ultrasound for CVC insertion using live models and illustrations.

Regional Anesthesia Workshop
Single Injection and Catheter Techniques for Upper Extremity, Lower Extremity, and Paravertebral Blocks: Single injection and catheter echniques will be demonstrated first in a pre-recorded videocast. The peripheral nerve locks will be discussed in more detail in small breakout sessions using live models and illustrations. Workshop attendees will understand the risks and benefits of blocks for ambulatory anesthetic management as well as postoperative pain relief. Breakout sessions will cover upper extremity, lower extremity and paravertebral blocks.

Understanding the New Anesthesia Machines Workshop
At the conclusion of this workshop, the participant will understand the physiology of mechanical ventilation in the operating room and the limitations of traditional anesthesia ventilators. Participants will also understand the features of newer anesthesia ventilators which improve their performance, the indications for, and limitations of, different modes of ventilation including volume controlled ventilation, pressure controlled ventilation, pressure support ventilation and how to use bedside respiratory monitoring effectively to optimize the ventilation strategy.

Clinical Forum/Office-Based Anesthesia Workshop
Through discussion of clinical scenarios, participants will examine the differences between the office environment and the more familiar ASC/hospital setting. Equipment, patient selection, and anesthetic techniques will be discussed. Participants will also learn the regulatory and administrative considerations unique to office-based anesthesia, such as peer review, contracting, management of controlled substances, and legal responsibility for the patient during recovery and after discharge.

Research Poster Discussions
To present current basic and clinical research relevant to the art and science of ambulatory anesthesia. To discuss in a small group format the significance of this research as it relates to the practical aspects of ambulatory anesthesia.

ASA Update
The ASA President will update the audience on issues of importance to anesthesiologists in ambulatory and office practice. Cases From the Real World: This panel will present challenging clinical situations that could be encountered by an anesthesiologist practicing in an outpatient or office setting. Panelists will discuss perioperative management strategies; time is allowed for input from the audience.

SAMBA President's Address
The outgoing SAMBA president will inform the audience of the achievements of the Society during the year.

History of Ambulatory Anesthesia
In recognition of SAMBA's 20th anniversary, a presentation on the history of ambulatory anesthesia will serve to provide a framework for participants to understand the state of the art in this specialty. IARS Address: Summary of Ambulatory Literature: The participant will learn the most relevant findings from recent articles in ambulatory anesthesia literature. Risk and Outcome in Ambulatory Anesthesia: Panel members will update the audience on the overall epidemiology of outcomes in ambulatory anesthesia, on patterns of anesthetic-related pediatric cardiac arrest and on possible mechanisms to reduce surgical risk in the perioperative period.

Obesity and Sleep Apnea
Participants will learn about physiologic considerations in anesthetizing the morbidly obese, as well as the pathophysiology and epidemiology of sleep apnea in adult and pediatric patients.

Regional Anesthesia
The panel will address outcome data from a large regional anesthesia practice in the ambulatory setting, evaluation and follow-up of complications of regional anesthesia and issues in the management of peripheral nerve catheters for analgesia after ambulatory surgery.

Resident Session: Capitalism and Socialism
Economics and Politics in Anesthesia: Participants will discuss the implications of various practice models (private practice and academic practice) and current political and regulatory issues affecting the anesthesiologist.

Nuts and Bolts of Regional Anesthesia
The participant will learn how regional anesthesia practice may enhance efficiency in the ambulatory setting and will hear recommendations for active practitioners on how to teach residents and staff regional techniques. Information on billing for regional anesthesia will also be presented. Administrative Issues: The panel will address issues in patient selection for both adult and pediatric patients and review sedation policies and the role of the ASC medical director in complying with regulations in this area.

Patient Safety
The participant will learn what is known about the etiology of sevoflurane related vaporizer fires and possible methods of prevention. Participants will learn the epidemiology of complications with the laryngeal mask airway and will learn approaches to management of critical incidents in the operating room.

The Cutting Edge
Information on new areas of interest in ambulatory anesthesia will be presented. These include pharmacology and clinical relevance of the alpha-agonist dexmedetomidine, issues relating to depth of anesthesia monitoring, particularly in light of recent recommendations for awareness prevention, and information on the relevance of the inflammatory response and its modulation to perioperative risk and outcome. piece. Sizes may vary depending on your computer

© SOCIETY FOR AMBULATORY ANESTHESIA
520 N. Northwest Highway Park Ridge, Illinois 60068-2573
Tel: (847) 825-5586 Fax: (847) 825-5658
E-mail: samba@asahq.org