September 20-22, 2019
San Francisco, California

Course Descriptions and Objectives

Friday, September 20, 2019

Full-Day Sedation Symposium:
Fundamentals and Practical Applications in Hospital-Based and Dental Sedation

 
Description

BACK BY POPULAR DEMAND!
A Comprehensive Review of the Essentials and Practical Applications of Pediatric Procedural Sedation

This one-day course is a comprehensive introduction and review of the fundamentals of pediatric sedation with an emphasis placed on clinical applications of the content covered. The course offers a unique opportunity to update your knowledge in the format of didactic sessions, open forum question-and-answers, clinical case reviews and interactive video presentations. An optional hands-on workshop will provide personalized one-on-one faculty attention to gain hands-on experience using manikins to practice basic airway resuscitation skills.

This course is designed to provide a review of topics related to the safe and effective delivery of minimal, moderate and deep sedation by parenteral, intranasal, enteral, and inhalation routes of administration. This course serves as an introduction and review of the principles of sedation using a case-based approach. Topics covered will include physiological monitoring, airway evaluation and management, presedation patient assessment and post-sedation readiness for discharge, the basic pharmacology of commonly used sedatives, risk factors for adverse events, emergency preparedness and rescue. A special emphasis will be placed non-pharmacologic techniques and strategies. Clinical case presentations will be presented in an interactive format to maximize discussion, collaborative sharing of ideas and consideration of options for procedural sedation. Case studies will include challenging and complex situations. Question and answer sessions will provide participants with forums to ask questions and discuss specific issues with course faculty.

This course will feature recognized leaders and faculty from different specialties, all leaders in the field of sedation. At the optional airway workshop, the attendee will have the opportunity to gain hands-on experience learning airway techniques to rescue patients from deep sedation, including practice with face masks and ambu bag along with the insertion of nasal and oral airways in a personalized setting with manikins and real equipment.


Upon completion of this activity, participants will be able to:
  • Assess the pediatric airway and identify patients who may require advanced airway management.
  • Recall and apply current recommendations regarding minimal, moderate and deep sedation.
  • Evaluate the pharmacology and clinical application of commonly utilized sedatives and weigh the advantages, disadvantages, efficacy and adverse events associated with each option.
  • Apply sedation concepts learned to evaluate complex and challenging sedation scenarios and formulate a plan.
  • Provide a comprehensive review of the patient presedation assessment necessary to identify appropriate candidates for procedural sedation.
  • Implement recommended physiologic monitoring, including capnography, used to continuously assess patient status and to identify acute changes.
  • Assess post-sedation readiness for discharge by applying standardized discharge criteria.
  • Objectively consider sedative options based on patient condition, length and depth of targeted sedation and procedure to be performed.
  • Employ non-pharmacologic techniques and strategies to minimize sedatives administered and improve the patient experience.
  • Anticipate and prepare for sedation-related adverse events and perform rescue.

Friday, September 20, 2019

Full Day High Fidelity Pediatric Sedation Simulation Workshops



Description
 

Medical simulation is a highly adaptable tool for evaluating individual knowledge and team performance. Medical simulation can improve patient safety by raising an individual’s awareness of their practice and by enhancing team cohesion and performance. Simulation provides a safe environment for learning and evaluation, the opportunity to train with the actual equipment used in the clinical setting, and provides for repetition and reflection. This course is intended for practitioners providing moderate and deep sedation in a variety of practice settings. This activity offers a high-fidelity simulation experience to facilitate effective acquisition of the skills required for successful recognition and management of sedation-related complications. This unique and challenging program provides a clinical simulation experience that addresses the proper assessment and management of complications associated with moderate sedation and deep sedation. Following a brief introduction explaining essential principles, participants will demonstrate appropriate patient management on human patient simulators. This full-day simulation workshop will provide each registrant with six clinical scenarios intended to improve individual skills as well as to impart an understanding of a team approach to crisis resource management. Each registrant will become part of a small team which will rotate together through each of the six scenarios over the course of the day. The scenarios are intended to improve individual skills as well as the team’s reactions and responses. Structured post-simulation debriefings will integrate performance feedback, promote reflective practice, and augment future performance. The full-day of high fidelity simulation scenarios are facilitated by national and internationally recognized faculty with medical simulation expertise.

Course registration is limited to provide each registrant with an optimal, educational hands-on experience. There will be two optional “working” lunches which offers the opportunity to have additional hands-on experience with personalized faculty attention using manikins to develop and improve airway skills. The Airway Workshop is intended to solidify skills at delivering positive pressure ventilation using a face mask and self-inflating bag along with the insertion of nasal and oral airways. The Capnography Workshop will give learners a comprehensive understanding of capnography and they will learn why it is an integral part of monitoring sedation to enhance patient safety.


Upon completion of this activity, participants will be able to:

  • Explain the importance of human-factors in the management of critical events.
  • Summarize the key components of a simulation based learning encounter.
  • Describe how to incorporate simulation into the process of training sedation care providers.
  • Demonstrate the appropriate components of a primary pediatric assessment.
  • Develop an algorithm for the management of various causes of airway obstruction.
  • Create a differential diagnosis for the etiology of respiratory depression.
  • Construct an effective management strategy for the pediatric patient with respiratory compromise.
  • Demonstrate appropriate management of the pediatric patient with cardiovascular compromise.
  • Demonstrate proficiency in directing a team during a crisis.

September 21-22, 2019

Weekend Conference: “Scaling Up Excellence” in Pediatric Sedation



Description


This annual conference entitled, Pediatric Sedation Outside the Operating Room, is taught by multi-specialists, renowned in pediatric sedation, from both the United States and abroad. This course offers both didactic lectures and panel discussions. An optional hands-on airway workshop in basic skills will be offered. Small round table discussions with the faculty and afternoon concurrent tracks provide the attendee with an opportunity for discourse and interactive discussions.

The field of sedation continues to evolve and policies, recommendations and Center for Medicaid and Medicare Service guidelines change in response to the health care environment. Currently, sedation guidelines and recommendations differ between specialty societies: For example, the American Society of Anesthesiologists (ASA) guidelines on deep sedation are not concurrent with those of the American Society of Gastroenterology nor American College of Emergency Physicians. Sedative agents, delivery methods and routes of delivery are changing as new techniques and outcomes continue to be explored and presented. This course is designed to fill the practice gaps created by this combination of evolving practice guidelines, differing practice standards among specialty societies, and continuing advances in sedation medicine and technology by updating and reviewing state-of-the-art techniques for safe and effective delivery of sedation.

This conference is intended to improve learner competence and performance by reviewing not only the basics of sedation but also updating the registrant to current, evolving and state-of-the art practice (i.e. knowledge). The hands-on workshops on airway management and patient simulation using manikins will allow the learner to apply this competence to their everyday practice (i.e. performance) and prepare for the rare, unanticipated emergencies. Being prepared for emergencies as well as for the more common adverse events, the learner will be able to be better equipped to improve patient outcome. The aim of this conference is to increase the participant’s breadth of knowledge of pediatric sedation along with elaborate on ways to improve and track patient outcomes.


 
Upon completion of this activity, participants will be able to:
  • Analyze recent changes in guidelines, regulations, policies and future developments in sedation systems and their impact on patient care.
  • Complete an in-depth review of physiologic monitoring and develop an appreciation of the role and interpretation of capnography.
  • Develop strategies to better manage airway emergencies.

Saturday, September 21, 2019

A Comprehensive Approach to Pediatric Dental Sedation: The Didactics


 
Description

 
This two part symposium is comprised of a full morning of didactics and the afternoon with five interactive, high-fidelity simulation scenarios. This comprehensive symposium requires registration for both sessions: the morning didactics and afternoon simulation. Alternatively, attendees may choose to register separately for only one of the sessions (morning or afternoon), enabling them the opportunity to cycle back into the weekend workshop.

Upon completion of this activity, participants will be able to:

  • Be able to describe the common errors of judgment and practice that occurred in previous sedation emergencies.
  • Be able to prepare a dental office team for emergencies with a detailed plan of action.
  • Identify and describe the basic elements of a pediatric dental sedation safety checklist.
  • Have undergone a simulation training experience for handling airway emergencies in the dental office setting.

Saturday, September 21, 2019

A Comprehensive Approach to Pediatric Dental Sedation: High-Fidelity Pediatric Dental Sedation Simulation



Description


A unique opportunity to engage in five unique scenarios, inclusive to all areas along the dental sedation continuum. Anesthesia, Pediatric and Dental Faculty with simulation expertise unite to offer hands-on crisis management workshops for the Pediatric Dentist. A small group setting with limited enrollment to maximize participation, engagement and learning. Participants will spend 40 minutes in each of the five scenarios.

Upon completion of this activity, participants will be able to:

  • Explain the importance of human-factors leading to and in the management of crisis and prepare for the management of rare events.
  • Summarize the components of a simulation based learning encounter and determine how to incorporate simulation into the process of training sedation care providers.
  • Establish and demonstrate appropriate components of an adequate primary assessment.
  • Develop an algorithm for the recognition and management of various anatomical and pathological causes of airway obstruction.
  • Create a differential diagnosis for the etiology of respiratory depression and understand the different management techniques.
  • Demonstrate appropriate management of cardiovascular compromise.
  • Demonstrate proficiency in directing a team during a crisis.