Northwest Anesthesia Seminars, Inc.
Continuing Education for the Medical Professional
Presents
Advanced Difficult Airway Management Workshop
Las Vegas, Nevada
August 31, 2008
December 1, 2008

TARGET AUDIENCE

PROGRAM PURPOSE

OBJECTIVES

PROGRAM SCHEDULE

FACULTY

ACCREDITATION

FAP

COURSE REGISTRATION

Advanced Difficult Airway Management Workshop

Bronchoscopy, for those with a high level of expertise, can answer almost every problem in the airway. Equally clear, obtaining the device, gaining the expertise, and even more importantly, keeping the expertise is not possible for many of us. Therefore, we have taken the track that what actually matters to most medical providers is the void between the Mac 3 and the bronchoscope. In the last few decades, this void has filled and expanded as new research and new tools/gadgets have come into existence. It is our intent to show a large portion of this spectrum. We will present information on unusual laryngoscope blades, the LMA Family, Fastrach, the Proseal LMA, King LTS, Airtraq, Verathon's GlideScope, the Stortz Videoscope, stylets, and tube changers. This information will be directed toward giving you the options to intervene successfully in the difficult airway.

Most importantly, even beyond the complete scope of the course, what is unusual and different is the three layered approach to teaching. First there is the traditional didactic phase, based on slides and lectures by an instructor who has spent many hours analyzing all the research, reports, studies, and devices in order to bring you information on what really works. Then videos will be shown to transition from the static to dynamic situation. Finally, utilizing manikins and trained instructors, each participant will have an opportunity to try various techniques to their satisfaction. We firmly believe that every participant will leave infinitely better prepared to analyze and deal with the difficult airway encountered in his/her practice.

Dates in Las Vegas, Nevada
 
August 31, 2008 December 1, 2008

TARGET AUDIENCE:
This course is designed for Physicians, CRNAs, Physician Assistants, Registered Nurses, and other medical care providers who must maintain state-of-the-art knowledge of not only the specialty, but also of additional, related disciplines which may impact it.

PROGRAM PURPOSE:
There is no greater pressure to perform than when confronted with the obstructed airway in a patient who cannot be ventilated. Possessing state-of-the-art, advanced airway management skill is, therefore, vital for anyone ultimately responsible for airway patency, whether physician, nurse, or other qualified practitioner of anesthesiology, emergency, or critical care medicine. These skills cannot be developed at the time of such an event; sufficient practice must occur prior to the event, when there is time to learn the fine points of using the ever-evolving devices created for just this clinical scenario. It is the only way to assure patient safety and the successful performance of the procedure. This program is designed to prepare the participant to handle airway emergencies professionally, successfully, and comprehensively. It is our intention to show a full spectrum of devices available at any moment in time and provide instruction and an opportunity for hands-on practice.

OBJECTIVES: At the conclusion of this activity, the participant will be able to:
Update his/her methods of airway assessment which are the most valid and reliable in identifying difficult intubation.

Incorporate tools, such as the ASA Algorithm, which can lead the practitioner through airway management procedures, defining the logical pathway for the selection and discontinuance of devices and techniques to achieve airway patency and ventilation.

Examine the latest airway management devices, identifying the features and uses for each, including the appropriate technique for safe and effective use.

PROGRAM SCHEDULE
ADVANCED DIFFICULT AIRWAY MANAGEMENT WORKSHOP
Las Vegas, Nevada
August 31, 2008
December 1, 2008
0745 Registration - Mandatory Sign-In Continental Breakfast
0800 Welcome:

NWAS Staff

(Times approximate, anticipating 3 short breaks in the morning segment)
0810 Assessment of the Upper Airway
Here, and throughout the course, there will constant emphasis on the mental preparation required to deal with the abrupt clinical recognition of the difficult airway and the impact this will have on subsequent decisions. The primary goals are awareness of the possibility of the difficult airway despite a seemingly normal prior examination and response to this recognition with clear awareness that repetition of an initially failed technique is almost always a poor option.
Assess the validity and reliability of clinical parameters purported to indicate difficult intubation.
List methods used to identify the patient with a difficult airway.
Define the difficult airway.
Correlate data available on airway assessment with that known of laryngoscopic view in assessing the difficult airway.
0900 Management of Difficult Airways: ASA Practice Algorithm
Track the recommendations for difficult airway management contrasting their applicability in your clinical setting.
Explore the most recent advances in airway management detailing the appropriate use of currently available devices and techniques.
Discuss alternative methods of airway management and their indications.
Analyze the hierarchal diagram of airway management principles denoting the reasons for the stated guidelines for the initiation of an intervention as well as its discontinuance in the light of failure to control the airway.
0950 Break
1010 Options: When Intubation Appears to be Extremely Difficult or Impossible I: Supraglottic devices including the LMA, ProSeal LMA, LMA Supreme, and Cobra PLA, intubating LMAs (Fastrach & CTrach, Air-Q intubating LMA, King LTS, Optical Stylets, Lightwands, Trachlight, and other devices
Discuss the benefits, risks, patient selection and appropriate insertion of the LMA, Fastrach, ProSeal LMA and Air-Q.
List an array of stylets available including the lightwand and discuss the indications, appropriate use and safety procedures associated with the use of each.
1150 Options: When Intubation Appears to be Extremely Difficult or Impossible II: King AIRTRAQ, Glidescope, McGrath Series 5 laryngoscope, Storz Videoscope, Pentax AWS and Fiberoptic instrumentation
Describe the anatomy of the airway focusing upon the approach for performing a cricothyrotomy.
Describe the principle of using a fiberoptic laryngoscope or bronchoscope for endotracheal intubation.
List the advantages and disadvantages of using a Videoscope.
1210 Lunch (on your own)
1350 Proper Techniques for the Use of Airway Devices, and Fiberoptic Instrumentation: Selected Video Presentations
Observe a combination of video presentations of the key points for the LMA insertion, and fiberoptic laryngoscopy.
1600 Hands-On Demonstration and Practice Sessions with Various Airway Devices as Provided by Vendors*
With group instruction, practice the use of the available airway management and intubation devices demonstrating safe, aseptic and appropriate techniques.
Practice and demonstrate the proper technique in using various airway management devices.
Incorporating measures to protect the device, perform an intubation on an anatomical model using the Olympus fiberoptic laryngoscope.
1745 Adjourn

7 CEC / 7 CME

FACULTY
C. F. Ward, MD
Staff Anesthesiologist
Scripps Clinic, Green Hospital
La Jolla, California

Ben Boedeker, DVM, MD, PhD, MBA
Colonel MC US Air Force Reserve
Associate Professor of Anesthesiology
Department of Anesthesiology
University of Nebraska Medical Center
Omaha VA Medical Center
Omaha, Nebraska

*The Hands-On Sessions are based upon vendors supplying equipment for use. In some cases not all equipment discussed will be available for hands-on use. All vendors are provided equal opportunity to participate.

ACCREDITATION:
The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas designates this educational activity for a maximum of 7 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas and Northwest Anesthesia Seminars, Inc. The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas is accredited by the ACCME to provide continuing medical education for physicians.

Physician Assistants AAPA accepts Category I credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

AANA approved for 7 CEC Code #30652 EXP DATE 12/01/2008

NWAS is an approved provider by the California and Florida State Boards of Nursing, Provider number #04833 and 50-7480 respectively. This program offers 7 contact hours.

SKILLS LEVEL CLASSIFICATION
The A. Webb Roberts Center for Continuing Education of Baylor Health Care System, Dallas designates this course as a Level 1 in accordance with AMA/PRA Credit and Classification Guidelines.

CME certificates will be mailed following completion of the course.

COURSE DIRECTOR: Mark Murphy, MD; Chief of Anesthesia, Mercy Medical Center, Durango, Colorado

COURSE CANCELLATION BY PROVIDER: We reserve the right to cancel a course for any reason. In such case, a minimum of 30 days notice will be given to those registered and 100% of tuition paid will be refunded. Neither NWAS nor NW-WWT will be responsible for any non-refundable airfare, accommodations or other expenses you may have incurred. Trip insurance is recommended.

FAP: (Frequent Attendee Points) FAP lets you accumulate points based on dollars spent with NWAS, including net cruise and hotel (but not air). These points can then be redeemed for tuition. A great program to reward you for supporting NWAS! (You must earn enough points for a complete tuition equivalent.)

NWAS, Inc. is going GREEN! With over eight tons of paper used, hundreds of toner cartridges, and the shipping impact, we want to do our part for the environment. Therefore, as of January 1, 2008, NWAS will replace the printed syllabus with a CD containing the lectures in PDF format. A printed syllabus is available after the meeting, upon request only, for a nominal fee.

Call TOLL-FREE (800) 222-6927 • Outside U.S. (509) 547-7065

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Last Update: 5/1/08
NWAS
P.O. Box 2797, Pasco, WA, 99302
1 (800) 222-6927