Live-Streamed Sessions from the IARS 2019 Annual Meeting
It’s almost as good as being there! For those who can’t make it to Montreal, we’re live streaming 12 outstanding sessions from the 2019 Annual Meeting. All sessions, times and the link to watch are listed below.
To access even more 2019 Annual Meeting sessions, sign up for IARS On Demand. Get approximately 80 hours of learning, available on your schedule, plus opportunities to claim CME.
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Saturday, May 18
Opening Session and T.H. Seldon Memorial Lecture: Health Research Funding in the 21st Century: Not for the Faint of Heart
8:00 am – 9:30 am EDT
Michael J. Strong, MD, FRCP(C), FANN, FCAHS, President, Canadian Institutes of Health Research; Professor of Neurology and Dean of the Schulich School of Medicine and Dentistry, Western University
A pre-eminent researcher in the field of ALS, Dr. Strong is one of the best speakers we’ve had the pleasure of hearing, having given over 160 lectures around the world. He is also the recipient of the Sheila Essey Award, the Forbes Norris Award and the Queen Elizabeth II Diamond Jubilee Medal. We’re thrilled he could step in, and we’re already on the edge of our seats to hear what he has to say about the landscape of research funding.
AUA Symposium: Anesthesia and Consciousness: How Investigations of the Anesthetized State Shape Current Concepts of Consciousness
10:00 am – 12:00 pm EDT
Consciousness may be seen as the ultimate target system for the anesthesiologist, as anesthesia is commonly perceived as an absence of consciousness. The study of induction of and emergence from general anesthesia as well as in-depth probing of the anesthetized state have provided important insights into the neural correlates of consciousness. This session will discuss recent breakthroughs in the understanding of consciousness and its interface with anesthesia.
SOAP Panel: Attaining the Opioid-Free Cesarean Delivery
2:30 pm – 4:00 pm EDT
Current prescription practices after cesarean delivery over-prescribe opioids both during admission and after discharge from the hospital. One in 300 opioid-naive women become persistent opioid users after cesarean delivery, and there is an increased risk of chronic opioid use after cesarean delivery. This session analyzes how suboptimal patient outcomes in the most commonly performed inpatient surgery in the United States has significant implications for millions of women.
International Science Symposium: Dementia: Let’s Stop Losing Our Minds
4:30 pm – 6:30 pm EDT
During the International Science Symposium, three experts in the study of degenerative brain diseases will discuss what’s new in the study of dementia. Dr. Sandra E. Black, Professor of Neurology at University of Toronto, focuses her research on the cognitive sequelae of stroke and stroke recovery, the differential diagnosis of dementia, the use of neuroimaging techniques to elucidate brain-behavior relationships in stroke and dementia, and more recently, imaging-genetics correlations. Dr. E. Wes Ely, MD, PhD, Professor of Medicine at Vanderbilt University School of Medicine, is the co-director of the Center for Critical Illness, Brain dysfunction, and Survivorship (CIBS Center), which has amassed thousands of patients into cohort studies and randomized trials answering vital questions about ICU acquired brain disease and other components of ICU survivorship. Dr. Erik S. Musiek, Assistant Professor at Washington University School of Medicine in St. Louis focuses on identifying and understanding molecular mechanisms of neurodegeneration in the mammalian brain as well as the circadian clock system and how it regulates oxidative stress, neuroinflammation, and neurodegeneration.
Sunday, May 19
SNACC Panel: Opioid-Free Anesthesia: Biologic Basis and Potential Applications in Neurosurgical Anesthesiology
9:30 am – 11:00 am EDT
The use of opioids is associated with multiple adverse events, including increased postoperative analgesia, ventilatory depression, postoperative addiction, and potentially tumor progression. However, for many neurosurgical procedures, it is difficult to avoid the use of opioids because of the inability to provide complete intraoperative nociception and subsequent immobility to surgical stimulation as well as postoperative analgesia with regional analgesia. This panel will provide the biologic mechanisms and clinical evidence that set the stage for developing anesthetic techniques that minimize the use of opioids for intracranial and spine surgery.
SmartTots Panel: Anesthesia and Neurotoxicity: A Conundrum for Clinicians
11:00 am – 12:30 pm EDT
SmartTots, a partnership between the IARS and the FDA, coordinates and funds pediatric anesthetic neurotoxicity research with the goal of making surgery safer for the millions of infants and young children who undergo anesthesia and/or sedation each year. SmartTots works together with multiple stakeholders to leverage their collective resources to identify and lessen the risk for children. The SmartTots panel this year will discuss the latest preclinical and clinical studies, the reliability of the research models used, the ability to tie the Preclinical data to Clinical data, and ultimately, what are the implications for kids?
SOCCA Panel: Sepsis-Induced Coagulopathy: Mechanisms and Management
2:00 pm – 3:30 pm EDT
Sepsis is a serious clinical condition with life-threatening organ dysfunction caused by a dysregulated host response to infection. Sepsis remains a major public health problem worldwide resulting in over 265,000 deaths each year in the U.S. and the number of sepsis cases has continued to rise. Much progress has been made in understanding the inflammatory signaling pathways that drive procoagulant responses, highlighting the link between inflammation and coagulation and providing an alternative approach to management of SIC. This session will provide a better understanding of the underlying pathological and molecular mechanisms and describe changing diagnostic criteria of SIC to improve clinical practice and patient outcome of SIC.
Encouraging the Next Generation of Women: Growing Junior Faculty as Leaders
4:00 pm – 5:30 pm EDT
With the increasing number of women in the anesthesia specialty, many are being identified for leadership roles early in their career. However, medical training alone does not prepare junior faculty to negotiate and navigate the dynamics of the workforce. While on-the-job experience is critical to growth, formal leadership training and discussion can aid junior female leaders to identify their leadership style, communicate mindfully, visualize outcomes, and plan strategically. This session will highlight challenges that junior female faculty face in various roles, with each panelist addressing a facet of leadership in academic medicine: education, clinical service, and research.
Monday, May 20
Intraoperative Opioids: Postoperative Consequences, Opioid-Free Anesthesia and Nociception-Index Guided Administration
7:30 am – 9:30 am EDT
Anesthesiologists need to know about the consequences of the strong opioids they administer during surgery. For the last decade, it has been reported that high intraoperative opioid doses have strong negative consequences on postoperative pain and analgesic consumption. This session will discuss what the negative consequences of high intraoperative doses of opioids are, whether they exist with all opioids, and what physiological mechanisms exist in Opioid Induced Hyperalgesia (OIH) and with opioid tolerance. Additionally, the presenters will outline new monitors available in anesthesia to better evaluate intraoperative nociception and to better titrate opioid administration to the real need of the anesthetized patient.
ASER Review Course Lecture: Perioperative Medicine and Enhanced Recovery: Current State and Future Directions
11:30 am – 12:15 pm EDT
ERAS, although commonly used in adults, is not implemented in children universally. This session will address potential opportunities for implementing ERAS and the value of this technique in preoperative care. In addition, the session will also address the implications of these protocols in value-based care.
SAGA Panel: Waves of Delirium: Anesthetic-Induced EEG Patterns that Predict Postoperative Delirium
2:00 pm – 3:30 pm EDT
A large body of research has clearly documented age-related changes in the anatomy and physiology of the human brain. However, we know much less about how these age-related changes in the human brain impact the response to anesthetic drugs. Age-related changes in neurophysiology are thought to be in part responsible for the increased risk of post-operative delirium, therefore it is expected that EEG-based tools will aid in the detection, prevention, and possibly treatment of delirium. This session studies the intersection of age, neurophysiology, and postoperative delirium and cognitive dysfunction.
eSAS Panel: Update and Primer on New Techniques in Basic Science Anesthesia Research (Optogenetics, CRISPR Cas-9, and Next-Gen Sequencing)
4:00 pm – 5:30 pm EDT
In recent years, a host of novel techniques have emerged that are broadly relevant to basic science research in anesthesia. This session will provide an introduction to the theoretical and practical aspects of optogenetics, viral tools, CRISPR Cas-9 genome editing, and Next-Gen sequencing and provide recent examples of how these techniques can be applied to areas relevant to anesthesia research. Attendees will leave this session with a general sense of which techniques may be employed to more rigorously answer the questions they are investigating.
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