Program

2017 Program (June 2-4)

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of the Royal College of Physicians and Surgeons of Canada, and approved by the Canadian Anesthesiologists’ Society.

Dedicated question and answer time has been included in each session.

FRIDAY, JUNE 2
17:30-22:00 • RESEARCH COMPETITIONS

The top 5 abstracts for each category will have 7 minutes to present their abstracts, and 3 minutes to answer questions

Moderators
PJ Devereaux, McMaster University
Sadeesh Srinathan, University of Manitoba
Duminda Wijeysundera, University of Toronto
60 minutes Resident and Fellows Oral Research Presentation Competition
Judges
Bruce Biccard, University of Cape Town and Groote Schuur Hospital, South Africa
Gordon Guyatt, McMaster University
Don Redelmeier, University of Toronto
Sadeesh Srinathan, University of Manitoba
Duminda Wijeysundera, University of Toronto
60 minutes Junior and Mid-career faculty Oral Research Presentation Competition
Judges
Finlay McAlister, University of Alberta
Rupert Pearse, Royal London Hospital
Wojtek Szczeklik, Jagiellonian University Medical College, Poland
Juan Carlos Villar, Hospital Universitario de Santander, Columbia
 45 minutes Research Poster Session
Judges
Otavio Berwanger, Research Institute Heart Hospital, Brazil
Gregory Bryson, University of Ottawa
Matthew Chan, Chinese University of Hong Kong
Wang Cy, University Malaya Medical Centre, Malaysia
Denis Xavier, St. John’s Research Institute, India
15 minutes The Debaters
Moderator: Don Redelmeier, University of Toronto
Should we move from traditional large individual patient randomized controlled trials (RCTs) towards cluster cross-over RCTs in the perioperative setting?
PRO: PJ Devereaux, McMaster University
CON: Gordon Guyatt, McMaster University
15 minutes How to Set up a Research Program to Recruit Patients at Your Hospital
Joel Parlow, Queen’s University
SATURDAY, JUNE 3
08:00-08:30 Continental Breakfast
08:30-08:45  Welcome
08:45-12:30 SESSION 1
Canadian Cardiovascular Society (CCS) Perioperative Guideline Recommendations and Related Implementation Sessions
Moderator: Emmanuelle Duceppe, University of Montreal
30 minutes CCS Perioperative Guideline Recommendations Related to Preoperative Cardiac Risk Assessment
Sadeesh Srinathan, University of Manitoba
i.    Which patients should undergo cardiac risk assessment before non cardiac surgery
ii.    How to communicate perioperative cardiovascular risk
Vikas Tandon, McMaster University
iii.   Methods of preoperative cardiac risk assessment
iv.   Clinical risk indices
v.   Self-reported functional capacity
vi.   Cardiac biomarkers
vii.  Non-invasive cardiac testing
20 minutes How to Set up a Program to Measure Preoperative BNP/NTproBNP
PJ Devereaux, McMaster University
40 minutes CCS Perioperative Guideline Recommendations Related to Perioperative Cardiac Risk  Modification
Joel Parlow, Queen’s University
i. Perioperative aspirin initiation and continuation
ii. Perioperative β-blocker initiation and continuation
iii. Perioperative α2-agonist initiation
iv. Perioperative calcium channel blocker initiation
Paul MacDonald, Cape Breton University
v. Perioperative angiotensin-converting enzyme inhibitor (ACEI) or angiotensin II receptor blocker (ARB) continuation
vi. Perioperative statin initiation and continuation
vii. Preoperative coronary revascularization
viii. Perioperative smoking cessation
10:30-11:00 • Activity break, networking
15 minutes How to Set up a Preoperative Smoking Cessation Program
Jean Wong, University of Toronto
35 minutes CCS Perioperative Guideline Recommendations Related To Monitoring For Perioperative Cardiac Events
Emmanuelle Duceppe, University of Montreal
i. Troponin monitoring
ii. Electrocardiography
Amal Bessissow, McGill University
iii. Telemetry
iv. Pulmonary artery catheter
v. Shared-care management
15 minutes How to Set up a Program to Monitor Perioperative Troponins
Vikas Tandon, McMaster University
20 minutes CCS Perioperative Guideline Recommendations Related to Management of Myocardial Injury After Noncardiac Surgery (MINS)
Kim Styles, Dalhousie University
12:30-13:45 Lunch, networking
13:45-15:15 SESSION 2
Intraoperative Session
Daniel Bainbridge, Western University
20 minutes Impact and Response to Intraoperative Hemodynamics
Gareth Ackland, Queen Mary University of London
20 minutes Evidence to Support Intraoperative Temperature Control and Methods to Achieve Goal
Gregory Bryson, University of Ottawa
20 minutes Intraoperative Fluid Management
Bruce Biccard, University of Cape Town and Groote Schuur Hospital, South Africa
15 minutes The Debaters
Moderator: Daniel Bainbridge, Western University
Should we monitor intraoperative brain function with devices such as the bispectral index (BIS)?
PRO: Hilary Grocott, University of Manitoba
CON: Gregory Bryson, University of Ottawa
15 minutes Should we monitor intraoperative brain oximetry with devices such as near-infrared spectroscopy (NIRS)?

PRO: Summer Syed, McMaster University
CON: George Djaiani, University of Toronto

15:15-15:45 Activity break, networking 
15:45-18:00 SESSION 3
Perioperative Venous ThromboEmbolism (VTE) and Management of Anticoagulants
Moderator:  Ameen Patel, McMaster University
20 minutes Which Patients and How to Reverse Anticoagulation Before Surgery
Sam Schulman, McMaster University
20 minutes What Patients and What Measures for Venous Thrombosis Embolism (VTE) Prevention in Patients Undergoing Orthopedic Surgery
Mark Crowther, McMaster University
20 minutes To Bridge or Not to Bridge Patients on Chronic Anticoagulation
Sam Schulman, McMaster University
20 minutes What Patients and What Measures for VTE Prevention in Patients Undergoing Non-Orthopedic Noncardiac Surgery
Noel Chan, McMaster University
15 minutes

How to Set up a Perioperative VTE Prevention Program
Sam Schulman, McMaster University

15 minutes Wrap up, feedback, and overview of next days agenda

Reception to follow

SUNDAY, JUNE 4
08:00-08:30 Continental Breakfast
08:30-09:15 SESSION 4
Perioperative Acute and Chronic Pain
Moderator: Michael McGillion, McMaster University
25 minutes Management of Acute Postoperative Pain
Claudia Gomez, University of Ottawa
20 minutes How Big an Issue is Chronic Incisional Pain and Can Anything be Done for This Entity
Hance Clarke, University of Toronto
09:15-10:00 SESSION 5
Perioperative Bleeding and Transfusion
Moderator: Keyvan, Karkouti, University of Toronto
25 minutes Diagnostic Criteria For Important Perioperative Bleeding, Prediction, Impact, Management
Pavel Roshanov, McMaster University
20 minutes Who Should I Transfuse
Keyvan Karkouti, University of Toronto
10:00-10:30 Activity break, networking
10:30-11:30 SESSION 6
Perioperative Pneumonia, Wound Infection, and Sepsis
Moderator:  Maria Tiboni, McMaster University
20 minutes Prediction, Prevention, and Management of Perioperative Pneumonia
Finlay McAlister, University of Alberta
20 minutes Perioperative Wound Infection – Incidence, Prediction, Prevention, and Management
Shariq Haider, McMaster University
20 minutes Diagnosis, Prevention, and Management of Perioperative Sepsis
Rupert Pearse, Royal London Hospital
11:30-12:10 SESSION 7
Perioperative Acute Kidney Injury and Electrolyte Imbalances
Moderator: Gregory Bryson, University of Ottawa
20 minutes Perioperative Acute Kidney Injury – Incidence, Prediction, Prevention, and Management
Ron Wald, University of Toronto
20 minutes Management Strategies for Common Perioperative Electrolyte Abnormalities
John Neary, McMaster University
12:10-12:25 SESSION 8
Query paradigm shift
Moderator: Manoj Lalu, University of Ottawa  
15 minutes The Debaters
Do remote automated non-invasive monitors represent the next major paradigm change in perioperative medicine?
PRO: PJ Devereaux, McMaster University  
CON: John Neary, McMaster University
Wrap up session