Principles of Pediatric Anesthesia and Critical Care

May 10-12, 2019 | Friday - Sunday
The Fairmont Copley Plaza, Boston, MA

May 12, 2019

6:45 - 7:45 AM Optional Breakfast Breakout Panels (Pre-Registration and Fee Required)
Management of Difficult Problems: Acute and Chronic Pediatric Pain
Navil Sethna, MBChB
  1. Identify common patient profiles and predictors and describe the inherent issues/barriers to effective management of complex acute and chronic pain.
  2. Discuss management options; pharmacological and psychosocial integrative approaches to (a) alleviate acute pain and (b) rehabilitate children with chronic pain disorders.
Neuromonitoring in the OR: Spinal and Near-Infrared Spectroscopy
Sabeena Chacko, MD, Katherine Zaleski, MD
  1. Understand the basic principles of NIRS and cerebral oximetry.
  2. Understand the factors influencing the cerebral oxygen saturation.
  3. Understand the clinical applications and limitations of cerebral oximetry.
Strategies for Drug Error Prevention
Robert Brustowicz, MD, John Welch, CRNA, MSN
The Session will begin with a brief presentation of strategies that have been implemented at BCH followed by a round table discussion. Participants are encouraged to bring their drug related issues with or without solutions that they have encountered at their home institution for the discussion.

  1. Better understand some institutional and personnel strategies that can be incorporated into their practice to minimize if not prevent drug errors
Best Articles of the Year
Moderator: Petra M. Meier, MD
8:00 - 8:25 AM Pediatric Anesthesia
Joseph Cravero, MD
8:25 - 8:50 AM Journal of Pediatric Surgery
Tom Jaksic, MD, PhD
8:50 - 9:15 AM Anesthesia Analgesia
James DiNardo, MD
9:15 - 9:30 AM Question and Answer Panel Discussion
9:30 - 10:00 AM Morning Break
Current Issues in Acute and Chronic Pediatric Pain Management
Moderator: Bobbie Riley, MD, FAAP
10:00 - 10:25 AM Perioperative Management and Outcomes of the Chronic Pain Patient
Navil Sethna, MBChB
10:25 - 10:50 AM Updates in Regional Anesthesia
Anjali Koka, MD
10:50 - 11:15 AM Pain Processing in Early Infancy: Physiology and Anesthetic Implications
Laura Cornelissen, PhD
11:15 - 11:40 AM Medical Marijuana: Evidence for its Use and Perioperative Management of the Patient Taking Marijuana
Christine Greco, MD
11:40 - 12:00 PM Question and Answer Panel Discussion
Optional Lunch Workshop Offerings
12:15 - 1:30 PM

Acupuncture Workshop (Pre-registration and Fee Required; Lunch Included)
Yuan-Chi Lin, MD, MPH and Cynthia Tung, MD, MPH

The National Institutes of Health suggests that the use of acupuncture results in satisfactory treatment for nausea/vomiting, post-surgery pain, addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma. Acupuncture can be integrated into pediatric perioperative care and pain practice. Attendees of this workshop will attend a brief didactic lecture.

Learning Objectives

  1. Describe the history and theory of acupuncture
  2. Recognize scientific evidence of acupuncture practice.
  3. Describe acupuncture meridian and micro-system paradigms.
  4. Incorporate acupuncture in pediatric peri-operative anesthesia care and pain medicine
12:15 - 4:15 PM

Pediatric Regional Anesthesia Workshop
Optional Workshop
(Pre-registration and Fee Required; Lunch Included)

Workshop Director: Andrea Gomez Morad, MD
Workshop Co-Director: Walid Alrayashi, MD
Faculty: Walid Alrayashi, MD, Tarun Bhalla, MD, MBA, FAAP, Karen Boretsky, MD, Thomas Caruso, MD, MEd, Franklin Chiao, MD, Susan Eklund, MD, Faye Evans, MD, Carine Foz, MD, Ali Hassanpour, MD, Anjali Koka, MD, David Liston, MD, MPH, Ty Muhly, MD, Sam Nia, MD

Learning ultrasound techniques and acquiring skills about common and new nerve blocks for pediatric patients in the Enhanced Recovery After Surgery (ERAS) era.

Appropriate pain control in the perioperative period is of the utmost importance in the pediatric population. Regional anesthesia is an important component of the current multimodal approach to perioperative pain management. ERAS (Enhanced Recovery After Surgery) guidelines emphasize the importance of adequate pain management and early mobilization of the patient and encourages opioid sparing techniques. Currently, the best opioid sparing technique available to pediatric anesthesiologists are neuraxial and peripheral nerve blocks.

Although more research is necessary, we consider that regional anesthesia techniques offer many advantages in the perioperative period. Regional anesthesia decreases the amount of general anesthetic, provides pain relief, and decreases the utilization of opioids with their side effects, facilitating early mobilization and early oral intake, potentially helping to decrease hospital length of stay and costs.

Many regional anesthesia techniques have been developed in the last decade thanks to the current use of ultrasound. Ultrasound has increased the success and safety of regional anesthesia techniques. This workshop is designed for anesthesia practitioners with basic knowledge of ultrasound who want to learn more about peripheral nerve blocks commonly used in pediatric patients and acquire knowledge of newly developed blocks and their application in the pediatric population.

Learning Objectives

  • Acquire knowledge and understanding of the basic anatomic and ultrasound principles for image acquisition and optimization while practicing on pediatric models.
  • Review the important anatomic landmarks and sonoanatomy required to perform common, advanced and novel blocks in children (including paravertebral (PV), Pectoralis (PECs), Erector Spinae (ESP), Lumbar Plexus (LP), Fascia Iliaca (FI), and Quadratus Lumborum (QL).
  • Recognize the indications, contraindications and possible complications of common and newly developed blocks in pediatric patients.
  • Discuss the technical recommendations for the successful placement of nerve blocks (tips and tricks about patient position, transducer manipulation and movements, needle alignment).
  • Compare different clinical models of pediatric regional anesthesia programs from experts in the top programs in the country.


Optional Offering: Pediatric Maintenance of Certification (MOCA®) Simulation Training
Thursday, May 9 or Sunday, May 12, 2019

For those interested in participating in the MOCA® simulation training, please visit: for further details on registration fees and course information.

HMS agrees to provide the following discount conference rate for Physicians attending the "Principles of Pediatric Anesthesia and Critical Care" course.

  • Physicians registered for two full days of the principles of Pediatric Anesthesia and Critical Care: $495.00 USD plus MOCA fee
  • Physicians registered for three full days of the principles of Pediatric Anesthesia and Critical Care: $650.00 USD plus MOCA fee
The $75 early registration discount cannot be applied towards the MOCA tuition rate. Register through Harvard Medical School for the conference and contact Rachel Chenard at Boston Children's Hospital for MOCA® course registration.
MOCA Cancellation Policy
A $200 processing fee will be charged for all cancellations. A 50% cancellation fee will be applied to cancellations within 4 weeks of the course.

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