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The climate crisis is a health crisis, and delivery of healthcare is worsening the problem, putting more vulnerable populations at even higher risk. Anesthetic gas emissions account for a significant amount of OR-associated pollution.  Evidence-based strategies exist to reduce the harm from anesthesia care, including avoidance of high-impact gasses, increased use of total intravenous anesthesia, and mitigation of nitrous oxide infrastructure leaks.

Moderator: Elizabeth E. Hansen, MD, PhD, University of Washington, Seattle, WA

Quantifying the Invisible: Measuring and Reducing Emissions in Anesthesia
Elizabeth E. Hansen, MD, PhD, University of Washington, Seattle, WA

Clearing the Air: Understanding the Environmental Footprint of Anesthesia Practice
Diane Gordon, MD, University of Colorado, Denver, CO

Investigating and Mitigating Nitrous Oxide System Leaks
Wyndam M. Strodtbeck, MD, CommonSpirit Health, Seattle, WA

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This panel will highlight specific tools that will ensure obstetric anesthesia care is more effective, patient-centered, safe, timely, efficient, and equitable.

Moderator: Jill Mhyre, MD, Univ of Arkansas for Med Sciences

SOAP Centers of Excellence – What Makes Them Excellent?
Ruth Landau, MD, Columbia University

Quality Metrics for Obstetric Anesthesia
Mark Zakowski, MD, FASA, Cedars Sinai

Strategies to Drive Forward Obstetric Anesthesia Quality Using QI Metrics
Kelly Fedoruk, MD, Stanford University

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ICU doctors adapt to blood shortages by adopting targeted coagulopathy management for a complex patient, considering thrombotic risk carefully. DOAC reversal is practiced worldwide, requiring knowledge of mechanisms for effective policy-making, patient care optimization, and treatment failure strategies. Increasing ECMO and mechanical circulatory support use globally due to COVID and chronic heart failure raises challenges in understanding anticoagulation, bleeding, and thrombosis intersections.

Moderator: Ian J. Welsby, MBBS, Duke University Medical Center, Durham, NC

ECMO Anticoagulation: Towards Innovation and Paradigm Shifts
Ingrid Moreno Duarte, MD, UT Southwestern/ Children’s Dallas Medical Center, Dallas, TX

Direct Oral Anticoagulant Reversal: 2024 Update
Kamrouz Ghadimi, MD, MHS, Duke University Medical Center, Durham, NC

Hemostasis Algorithms in the ICU: Evidence Review
Sreekanth R. Cheruku, MD, MPH, UT Southwestern Medical Center, Dallas, TX

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The various challenges and controversies related to the management of sedation, role of vasopressors and biomarkers for sepsis resuscitation and post-intensive care recovery will be discussed in this session.

Moderator: Brigid C. Flynn, MD, University of Kansas Health System

Is Analgesia-Based Sedation Always the Right Choice?
Kunal Karamchandani, MD, UT Southwestern Medical Center

Biomarkers in Septic Shock: Is Renin the New Lactate?
Ashish K. Khanna, MD, MS, FCCP, FCCM, FASA, Wake Forest Medical Center

Recovery After Critical Illness: Are PICS Clinics Effective?
Somnath Bose, MD, MPH, Beth Israel Deaconness Medical Center

Vasopressors in Septic Shock: More Questions than Answers!
Emily A. Vail, MD, MSc, University of Pennsylvania

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Critical care is underprioritized globally despite a growing burden of critical illness and evident pandemic under-preparedness. This panel will discuss the current state of critical illness and how to prepare a global workforce with essential knowledge and skills to decrease.

Moderator: Vanessa Moll, MD, PhD, Department of Anesthesiology, University of Minnesota

Global Critical Care (and Essential Emergency and Critical Care): Training the Global Workforce
Ana M. Crawford, MD, Stanford University

The Global Burden of Critical Illness
Didi Odinkemelu, MD, University of Pennsylvania

Essential Emergency and Critical Care – the Fundamentals Everywhere and Every Time
Vanessa Moll, MD, PhD, Department of Anesthesiology, University of Minnesota

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Come watch an engaging panel provide updates and insights on subspecialty ICU care through the lens of a targeted literature review.  Interesting articles you may have missed will be discussed allowing expansion of knowledge and dissemination of ideas.

Moderator: Erin K. Hennessey, MD, MEHP, Stanford Hospital and Clinics, Stanford, CA

Interesting Articles You May Have Missed in the Neuro ICU
Ameeka Pannu, MD, Beth Israel Deaconness Medical Center, Boston, MA

Interesting Articles You May Have Missed in the Liver Transplant ICU
Dragos Galusca, Henry Ford Hospital, Detroit, MI

Interesting Articles You May Have Missed in the Cardiovascular ICU
Nazish K. Hashmi, MD, Duke University, Durham, NC

Interesting Articles You May Have Missed in Obstetrical-Critical Care Medicine
Matthew Wiepking, University of Southern California, Los Angeles, CA

• Airway and Gastric Point-of-Care Ultrasound (POCUS) in Anesthesia Panel
• Anesthesia Education in the Time of COVID, Co-Sponsored by the Society for Education in Anesthesia 
• Anesthesia Effects on Neuroplasticity in Developing Brain – Clinical Aspect and Research Insight
• Artificial Intelligence and Machine Learning to Predict Intensive Care Unit Indices and Outcomes
• Biomarkers, Risk Factors and Practice Recommendations for Perioperative Neurocognitive Disorders 
• Challenges in Managing Diabetic Patients-SGLT2 Inhibitors, GLP1 Agonists, and Insulin Pumps 
• Controversies in Care of the Critically Ill COVID-19 Patient
• Fixing Hemodynamic Instability – Problems and Solutions – Co-Sponsored by the APSF 
• Is Less Really More for the Brain in the ICU 
• Junior Faculty Success: Leadership Development Tools that Work 
• Neurological Complication After TEVAR Procedures
• Obstructive Sleep Apnea in Pregnant Women: Updates on Screening, Treatment, and Management, Co-Sponsored by the Society for Anesthesia and Sleep Medicine 
• Perioperative Brain Health – Insights from Young Investigators 
• Perioperative Teams: Mythical or Magical? How to Apply Organizational Psychology Research Findings to Enhance Perioperative Team Building and Performance 
• Preparing the Mind for Surgery: Examining the Potential for Physical, Cognitive, and Mindfulness Training to Improve Postoperative Outcomes 
• Preserving Brain Health in Older Adults: How Can We Help as Anesthesiologists? 
• Pulmonary Hypertension Update: Definition, Dangers and Disasters 
• Sleep and Circadian Disruption: Risk Factors and Pathological Pathways for Delirium and Neurocognitive Dysfunction 
• SmartTots: Behavioral and Cognitive Changes in Children Following Anesthesia and Surgery: Assessment and Relevance 
• “So, Doc, I Hear Anesthesia is Bad for My Brain”: Translating Research into Shared Decision-Making and Better Care for Older Patients Concerned about Postoperative Neurocognitive Disorders 
• The Anesthesiologist’s Role in Reducing the Impact of the Opioid Crisis