<strong>Texas</strong> <strong>Anesthesia</strong> <strong>Conference</strong>for <strong>Obstetrics</strong>Activity DirectorActivity Co-DirectorActivity ManagersMaya S. Suresh, MDQuisqueya T. Palacios, MDDavid Madrigal, MHA, C<strong>CME</strong>P and Annette BrienoNeeds and Target AudienceDepartment of Anesthesiology, Baylor College of Medicine developed the <strong>Texas</strong> <strong>Anesthesia</strong><strong>Conference</strong> in <strong>Obstetrics</strong> (TACO) 2011 based on the 2010 TACO <strong>Conference</strong> evaluations andsurveys of previous participants, the 2009 and 2010 In-Training Examinations and MOCAKeywords. The content was also based on national society and scientific meetings andpeer-reviewed publications.The conference will highlight the relevancy of the Practice Guidelines in Obstetric <strong>Anesthesia</strong>,tips to optimize epidural labor analgesia, the use of ultrasound in labor epidural placement andachieving competency.The conference will also focus on the “growing epidemic” of obesity and practical tips from2009–2010 literature. The conference will also address recent issues affecting the provision ofanesthesia in light of shortages of key anesthetic agents, and the changing views of vaginal birthafter Cesarean Section and JCAHO alert on maternal mortality. The conference will providenew ideas on crisis management and Rapid Response teams in management of critical situationsin obstetrics, an update on Closed Claims in obstetrics, and disclosure of adverse events andpreparing for Trial and Deposition.Anesthesiologists and Certified Registered Nurse Anesthetists (CRNAs) should attend.Educational Methods and ObjectivesThrough the use of lectures, case presentations, panel discussions, and question and answersessions, the participant should be able to:• Describe the role of ultrasound for spine demarcation before placement of neuraxial blocks.• Explain the American Society of Anesthesiologists updated practice guidelines for theprevention, detection, and management of respiratory depression associated with neuraxialopioid administration.• Employ lessons learned from the ASA Closed Claims Database Project regarding obstetricanesthesia mishaps to improve patient safety and decrease provider malpractice.• Describe and discuss the determinants and factors associated with failed intubation andmanagement strategies in obstetric patients.• Explain the American Society of Anesthesiologists obstetric anesthesia practice guidelinesregarding fasting regimens in pregnant women factoring in the individual patient and otherresearch studies.EvaluationEvaluation by questionnaire will address program content, presentation, and possible bias.Accreditation/Credit DesignationBaylor College of Medicine is accredited by the Accreditation Council for Continuing MedicalEducation to provide continuing medical education for physicians.Baylor College of Medicine designates this educational activity for a maximum of 24.5 AMAPRA Category 1 Credits. Physicians should only claim credit commensurate with the extent oftheir participation in the activity.The presentation, Full Disclosure of Adverse Events to Patients, has been designated by BaylorCollege of Medicine for .50 credit of education in medical ethics and/or professionalresponsibility.The presentation, Preparing for Trial and Deposition (Right versus Wrong Answer), has beendesignated by Baylor College of Medicine for .75 credit of education in medial ethics and/orprofessional responsibility.
friday, March 4, 20116:00 AM Registration and Continental Breakfast6:55 Welcome and IntroductionMaya S. Suresh, MDChairman Department of AnesthesiologyProfessor of Anesthesiology and <strong>Obstetrics</strong> and GynecologyDivision Chief of <strong>Obstetrics</strong> and Gynecology AnesthesiologyPractice Guidelines: Labor Analgesia Techniques—Old and New ThoughtsModerator: Maya S. Suresh, MD7:05 2006 ASA Practice Guidelines for Obstetric <strong>Anesthesia</strong>: Still Relevant?Lawrence C. Tsen, MD7:35 Loss of Resistance Technique: Air vs Saline—Old or New Debate?Scott Segal, MD7:55 Ultrasound for Labor Epidural Analgesia: When is Competency Reached?Manuel Vallejo, MD8:30 Epidural Equinox: Ten Tips to Optimize Your Epidural Labor Analgesia TechniqueLawrence C. Tsen, MD9:00 Is Combined-Spinal Epidural Analgesia Indicated for All Laboring Patients?Scott Segal, MD9:30 BreakNo Drugs/New Dilemmas/Old Drugs/Blocks RevisitedModerator: Chawla La Toya Mason, MD9:50 Drug Shortages: No Pentothal, Propofol, Succinylcholine, Fentanyl,or Morphine—Stat Section, Now What?Connie K. Tran, MD10:10 Ketamine for Instrumental Vaginal Delivery, Intra and PostpartumPain ManagementJose M. Rivers, MD10:40 Optimizing Oxytocin Use for Cesarean DeliveryLawrence C. Tsen, MD11:10 Transversus Abdominis Plane (TAP) Block for Post-Cesarean Delivery AnalgesiaManuel Vallejo, MD11:30 Panel Discussion12:00 BreakHOSTED LUNCHEON: Chronic Pain After Cesarean Delivery—Myth Or Real?Moderator: Maya S. Suresh, MD12:20 Introduction of Keynote Speaker12:30 Chronic Pain After Cesarean Delivery—New Thoughts and ResearchRuth Landau, MD1:30 Question and Answer SessionIntake During Labor, Infection, VBAC, Uterine RuptureModerator: Jose Rivers, MD2:15 Would You Like Fries with That? An Update on PO Intake During LaborJill M. Mhyre, MD2:45 Practice Advisory for the Prevention, Diagnosis and Management of InfectiousComplications Associated with Neuraxial TechniquesBarbara Leighton, MD3:15 What’s New in Obstetric <strong>Anesthesia</strong>? Practical Tips from the 2009-2010 LiteratureJill M. Mhyre, MD3:45 Break4:00 Changing Views on Vaginal Birth After Cesarean Delivery (VBAC)Christina M. Davidson, MD4:30 Recognition of Uterine Rupture and <strong>Anesthesia</strong> for VBACChawla LaToya Mason, MD5:00 Panel Discussion5:30 Adjourn