2018 Annual Meeting Live Stream

If you were unable to attend the meeting, 16 of the education sessions were streamed live. If you are interested in watching these sessions as they were presented, you can purchase the streaming package via IARS On Demand.

Each day will feature a free preview session for live streaming. These sessions are noted with an asterisk below and may be accessed through the link next to the session title.

See below for a list of the sessions in the streaming package and stream times. All times listed are in CDT (UTC -5).

Saturday, April 28

ASER: Enhanced Recovery Protocol Elements. What Is the Level of Evidence?* [watch live]
9:30 AM – 11:00 AM
Enhanced Recovery Pathways (ERP) have been demonstrated to improve patient outcomes. This session addresses the level of evidence for some of the elements of an enhanced recovery protocol and evaluate which patient reported outcomes should be measured within an ERP.

SNACC: The Microbiome and Brain Health: An Emerging Frontier of Perioperative Neuroscience
11:15 AM – 12:45 PM
Over the past few years, it has become clear that the microbiome plays an important role in health and disease. The interaction of the microbiome, especially the gut microbiota, with the brain can alter the progression of a wide variety of pathologic processes and diseases, including Alzheimer’s disease, Parkinson’s disease, traumatic brain injury, and psychiatric disorders. While purposely manipulating the microbiome may be a new avenue for therapeutics, many of the pharmacologic and physiologic changes in the perioperative period can have unintended consequences because of disruptions of the microbiota. This panel will introduce the learners to the emerging science of the microbiome as well as evidence by which the microbiome influences brain health.

Regional Anesthesia: An Evidence-Based Look at Current Controversies and Unknowns
2:00 PM – 3:30 PM
This panel will be a lively, interactive session in which the speakers present and debate their insights regarding current controversies in regional anesthesia. The panelists are experienced regional anesthesiologists with adult and pediatric backgrounds. Topics include panelist-specific insights regarding new blocks, drugs, and complications; the ideal anesthetic techniques for total knee replacement; trends in local anesthetic systemic toxicity; and doing blocks in asleep patients.

Investigating, Conceptualizing and Addressing Health Care Disparity in Anesthesiology and Perioperative Medicine
4:00 PM – 5:30 PM
Despite vigorous countermeasures, healthcare disparities persist in the United States, affecting disproportionately disenfranchised and minority populations undergoing surgery and seeking chronic pain treatment. Systematic and individual biases can lead to inferior outcomes and unfair resource allocation. But to what extent do anesthesia providers contribute to this disparity?

Sunday, April 30

WFSA: Universal Access and Safe Anesthesia: Global Anesthesia Workforce
7:30 AM – 9:00 AM
The United Nations Sustainable Development Goals that all UN Member States have agreed to try to achieve Universal Health Coverage by 2030. In 2015, the 68th World Health Assembly unanimously passed resolution 68.15 on strengthening emergency and essential surgical and anesthesia care as a component of universal health coverage. The WHO, WFSA and Global Surgery and Anesthesia communities have been working to improve the quality, accessibility and safety of surgical, obstetric and anesthesia care at the global level. The global anesthesia human resources workforce, standardization of certification and fellowship training of the anesthesia providers are all essential elements in the success of universal access and safe anesthesia.

Can Human Factors and Cognitive Science Make Medicine and Anesthesiology Safer?
9:45 AM – 11:15 AM
Anesthesia associated mortality has decreased significantly in the past 40 years, but half of anesthesia-related mortality is still due to preventable causes. The science of error in high stakes industries such as medicine, aviation, and nuclear power has evolved beyond examining individual fault. Simply telling a doctor, nurse, or pharmacist to ‘do better, try harder, and care more’ does not decrease the risk of error. Instead, examining the way that we think, and creating cognitive tools using the science of human performance, can dramatically improve patient outcomes.

SmartTots: Neurotoxicity in Children Exposed to Anesthesia* [watch live]
11:30 AM – 1:00 PM
Attend the SmartTots Panel to discuss the latest research and updates on the effects of neurotoxicity on children. The panel will examine age-dependent changes in the anesthesia-induced EEG in children, and how this activity relates to brain development, the basic neurobiology of critical period plasticity in early childhood development, and how it relates to anesthetic mechanisms and describe major findings of the Mayo Anesthesia Safety in Kids (MASK) study.

eSAS: Updates to Perioperative Outcomes Research: So Far We’ve Come, So Far to Go
2:00 PM – 3:30 PM
Over the past decade, perioperative databases have become successfully integrated into electronic health records among the majority of academic medical centers. An initial generation of perioperative outcomes research – demonstrating the feasibility of such studies – has now passed. The next generation of perioperative outcomes research demands significantly higher standards for both the data analyzed, and the analyses performed. These demands include improved timeliness and accuracy of data integrated across multiple centers, as well as more appropriate, robust analytic and predictive modeling techniques.

CAS: Social Accountability: How can Anesthesiology Face the Challenge?* [watch live]
3:30 PM – 6:00 PM
This session challenges the international anesthesia community to consider our role in the delivery of anesthesia care to indigenous and rural populations. Anesthesia care is provided in many remote locations, but other areas lack trained anesthesia providers. Whose problem is it? We are all socially accountable. This panel of experts will provide their experiences and perspectives on this challenging aspect of anesthesia care, but most importantly we want to hear from you.

Monday, April 30

SAMBA: The Perioperative Management of the Heroin/Fentanyl Addicted Patient: The Epidemic is Upon Us!* [watch live]
7:30 AM – 9:00 AM
Anesthesiologists are now facing a veritable explosion of surgical patients addicted to heroin (H). According to the DEA “overdose deaths, from prescription drugs and (H), have reached epidemic proportions.” As the number of opioid prescriptions between 1991 and 2011 rose by 300%, Cartels began flooding the USA with (H) and Fentanyl (F). For opioid users, it made (H) cheaper, more potent, and easier to acquire than prescription meds. Recovery from these drugs is extremely difficult.

Clinical Informatics Training for Anesthesiologists
9:45 AM – 11:15 AM
Accessing data in the electronic health record for quality assessment, process improvement, and research has become increasingly complex as academic hospitals migrate to enterprise-wide healthcare systems such as Epic or Cerner. This session will provide insight from a distinguished panel of researchers who have solved many of the technical challenges involved in leveraging the multiple hundred million dollar investments in such systems to obtain date for use in clinical informatics.

Impact of Anesthesia in Patients with Concussion
11:30 AM – 1:00 PM
Mild traumatic brain injury can adversely impact brain homeostasis and this has important implications for the perioperative management of patients with concussion. The rationale for considering concussion in the perioperative period will be discussed, as will the outcome impacts of multiple perioperative factors, including anesthesia, following mild traumatic brain injury. Finally, priorities for investigation of aspects of concussion relevant to the perioperative period will be outlined.

Rise of the Machines: Mechanical Support for Organ Failure
2:00 PM – 3:30 PM
Organ failure is the major cause of morbidity and mortality in surgery, critical care, and chronic disease states. Acute and chronic renal replacement therapies such as hemodialysis can substitute for many of the functions of the kidney. Advances in technology now allow therapies that replace the functions of the other major organs, including the heart, liver, lungs, and brain and spinal cord. This panel will discuss relevant anesthesia issues, current state-of-the-art, and future advances. The four speakers will address mechanical support for the heart (ventricular assist devices and the total artificial heart), the liver (liver support and liver replacement techniques), the lungs (ECMO and artificial lungs), and the central nervous system (brain stimulation techniques and neural interfaces).

SAGA: Your Patient Has Memory Problems: Now What?
4:00 PM – 5:30 PM
The purpose of this panel is provide insight into care management approaches for older adults with memory and attention difficulties. Patients with memory and attention problems need modified care. Recognizing a patient with memory and thinking impairment prior to surgery at minimum requires attention to consent limitations, intraoperative care needs, enhanced risk for delirium and mortality, and post-operative cognitive care planning. If patients develop memory problems after surgery, anesthesiologists need to be aware of next care steps.

Tuesday, May 1

eSAS: Practical Clinical Approaches to Prevention of Postoperative Delirium: A Review of Modern Evidence* [watch live]
8:00 AM – 9:30 AM
This session features research from three exceptional early-stage investigators, who have developed a diverse and complementary expertise studying postoperative delirium prevention through practical clinical approaches. Each investigator is actively involved in recent randomized-controlled trials assessing interventions to prevent postoperative delirium, and will present key findings from such studies.

A National Strategy to Reduce the Opioid Epidemic: A Report from the National Academies of Sciences, Engineering and Medicine
9:45 AM – 11:15 AM
U.S. Department of Health and Human Services data suggest that at least 2 million Americans have an OUD involving prescribed opioids and nearly 600,000 have an OUD involving heroin, with about 90 Americans dying every day from overdoses that involve an opioid. Recognizing the magnitude of the problem, the U.S. Food and Drug Administration (FDA) asked the National Academies of Sciences, Engineering, and Medicine to characterize the epidemic and to recommend actions that the FDA and other public and private organizations should take to address it, balancing society’s interest in reducing opioid-related harms with the needs of individuals suffering from pain.

Encourage, stimulate, and fund ongoing anesthesia-related research projects that will enhance and advance the specialty, and to disseminate current, state-of-the-art, basic and clinical research data in all areas of clinical anesthesia, including perioperative medicine, critical care, and pain management. The IARS is focused solely on the advancement and support of education and scientific research related to anesthesiology.
A&A Case Reports

2019 Annual Meeting

The 2019 IARS Annual Meeting and International Science Symposium will be aligned with the Society of Critical Care Anesthesiologists (SOCCA) and Association of University Anesthesiologists (AUA) Annual Meetings, May 16 – May 20, 2019 at the Fairmont The Queen Elizabeth Hotel in Montreal, Quebec, Canada.

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