Enhanced Recovery After Surgery - USA
Program & Abstracts
Program & Abstracts Poster Presentations

THURSDAY, NOVEMBER 8, 2018
1:00 pm
Welcome and Introductory Remarks
1:10 pm - 3:00 pm
Keynote Lectures:
ERAS: Past, Present and Future: How I Envision ERAS 10 Years From Now

Olle Ljungqvist, MD, PhD

Prehabilitation: From Risk Stratification to Risk Attenuation
Franco Carli, MD

Leveraging Informatics to Facilitate ERAS Education, Adoption, Implementation and Audit
Daniel Engelman, MD

Panel Discussion
3:00 pm - 3:30 pm
Break and Exhibit Viewing
3:30 pm - 5:00 pm
ERAS State of the Art Updates: Emerging Specialties and What's New

Pediatric Surgery
Aaron Lipskar, MD

Neurosurgery
Michael Wang, MD

Thoracic/Cardiac Surgery
Daniel Engelman, MD

Urology
Steve Riggs, MD

HIPEC
Nelya Melnitchouk, MD

Plastic Surgery
Jessica Erdmann-Sagar, MD

Emergency General Surgery Pathway
Ben Rothstein, MD

Nursing
Valerie Addor

Colorectal
Kevin Kasten, MD

Transplant
J. Raul Soto, MD, MPH

Head & Neck
Zvonimir Milas, MD

Vasculary Surgery
Katherine McGinigle, MD, MPH
5:00 pm - 6:00 pm
Welcome Reception
6:00 pm - 8:00 pm
ERAS USA Board Meeting

FRIDAY, NOVEMBER 9, 2018
7:00 am - 8:00 am
Breakfast and Exhibit Viewing
8:00 am - 9:30 am
Abstract Session I
10 presentations - 7 minute presentation, 3 minute discussion
1.
Addition of Postoperative Ketamine Infusion as Part of an Enhanced Recovery Program for Colorectal Resection Further Reduces Opioid Use
Charlette Hart, RN1, Luke Dosselman MS1 1,2, Walter Peters, MD1, Katerina Wells, MD1
1Baylor University Medical Center, Dallas, TX; 2UT Southwestern Medical Center, Dallas, TX
2.
Decreasing the Use of Opioids without the Utilization of Exparel or Ofirmev in Your ERAS Protocol: Is It Possible?
C. Kenneth Mitchell, Jr., Bryan Thomas, Hallie Neal, Ginny Ledbetter
Bon Secours St. Francis Hospital, Charleston, SC
3.
Eighty-Nine Percent of Opioids Prescribed for Outpatient Pediatric Surgery Go Unused
De-An Zhang MD, Ronen S. Sever MD, Cynthia Nguyen MD, Robert H. Cho MD, Frederic Bushnell MD, Selina C. Poon MD
Shriners For Children Medical Center – Pasadena
4.
Using MMEs to evaluate ERAS opioid-reduction practices and identify areas for improvement
Maile Ravenkamp, MS, Shreya Shetty, MBBS, MS, Tonia Young-Fadok, MD, MS, FACS, FASCRS
Mayo Clinic, Division of Colon and Rectal Surgery, Phoenix, AZ
5.
An Evaluation of the Effectiveness of Liposomal Bupivacaine (Exparel®) Infiltration Intraoperatively in Open Cystectomy as Part of an ERAS Pathway
Lauren Law1*, Carissa Chu3*, Tracy Kuo Lin1, Candy Tsourounis1, Rosa Rodriguez-Monguio1, Lee-Lynn Chen2, Sima Porten3
1Department of Clinical Pharmacy-Medication Outcomes Center UCSF, San Francisco, CA; 2Department of Anesthesia UCSF, San Francisco, CA; 3Department of Urology UCSF, San Francisco, CA
6.
Does Opioid Use Correlate with Overall Compliance to an Enhanced Recovery After Surgery (ERAS) Protocol?
Luke Dosselman MS1,2, Charlette Hart, RN 1, Katerina Wells, MD 1, Walter Peters, MD 1
1Baylor University Medical Center, Dallas, TX; 2UT Southwestern Medical Center, Dallas, TX
7.
Using PSDA cycles to develop a new abdominal wall block: the Transversalis Fascia (TF) block
Tonia Young-Fadok MD, Maile Ravenkamp MS, Shreya Shetty MBBS MS, Siqi Ma BAS
Division of Colon and Rectal Surgery, Mayo Clinic, Phoenix, AZ
8.
Decreased Patient Charges from Multidisciplinary Implementation of Enhanced Recovery After Surgery (ERAS®) at a Tertiary Referral Center
Allyson Cochran MSPH1, William B. Lyman MD1, David A. Iannitti MD1, John B. Martinie MD1, Erin H Baker MD1, Stephen B. Riggs MD2, Bradley R. Davis MD1, Matthew Hanley MD1, Brent D. Matthews MD1, Dionisios Vrochides MD PhD1
1Carolinas Medical Center-Atrium Health, Charlotte, NC; 2Levine Cancer Institute, Charlotte, NC
9:30 am - 10:00 am
Special Lecture
ERAS in Private Practice-Pain Management to Enhanced Recovery

Lex Hubbard, MD
10:00 am - 10:30 am
Break and Exhibit Viewing
10:30 am - 12:00 pm
Debates Session:
Bowel Prep
PRO:
Walter Peters, MD
CON: Tim Rockall, MD

Epidurals and ERAS
PRO:
Matthias Stopfkuchen-Evans, MD
CON: Mike Scott, MD, MB, ChB

ERAS Pathways Increase Nursing Workload
PRO:
Valerie Addor
CON: Angie Balfour, MD

Are All Patients ERAS Eligible?
PRO:
Nicholas Demartines, MD
CON: Dionisios Vrochides, MD, PhD
12:00 pm - 1:00 pm
Pacira Lunch Symposium
Reducing Opioids within an ERAS Pathway: Cleveland Clinic Experience

Loran Soliman, MD
1:00 pm - 3:00 pm
ERAS: How To Do It
Keynote: Monitoring Compliance And Outcome: Dissemination, Sustainability and Benchmarking

Carol Peden, MD

Starting a New ERAS Program at Your Hospital and How to Build an ERAS Team
Thomas Aloia, MD

The Hospital Administrator's Role
Brent Matthews, MD

Goal-Directed Fluid Therapy: It's Not All in the OR
Aarne Feldheiser, MD

Cardiac Surgery: How the ERAS Process Informs Quality Improvement
Dirk Varelmann, MD, DESA, EDIC
3:00 pm - 3:30 pm
Break and Exhibit Viewing
3:30 pm - 4:45 pm
Frontiers in ERAS Pathways

Perioperative Glucose Control

Tom Schricker, MD

Perioperative Blood Pressure Control
Andrea Kurz, MD

The Geriatric Patient (Preexisting Cognitive Decline)
Armida Parala-Metz, MD

Nuances of Neuromuscular Blockade
Mike Scott, MD, MB ChB

Multi-disciplinary Case Discussion
5:00 pm - 5:30 pm
Patient Engagement Apps
Allyson Cochran
5:30 pm - 6:00 pm
ERAS USA Business Meeting
6:00 pm - 7:30 pm
Networking Reception

SATURDAY, NOVEMBER 10, 2018
7:00 am - 8:00 am
Breakfast and Exhibit Viewing
8:00 am - 10:00 am
Abstract Session II
10 presentations - 7 minute presentation, 3 minute discussion
10.
Using a Mobile App for Realtime Collection of Patient Reported Outcomes in Hepatopancreatobiliary Surgery within an Enhanced Recovery After Surgery Pathway: Pilot Study Interim Analysis
Ryan Pickens MD 1, Allyson Cochran MSPH 2, Kendra Tezber RN 1, Renna Berry 3, Emily Bhattacharya 4, Denice Koo MS 4, Lacey King RN 1, David A. Iannitti MD 1, John B. Martinie MD 1, Erin H. Baker MD 1, Jarrett Hunt MS 3, Dionisios Vrochides MD PhD 1
1 Division of HPB Surgery, Department of Surgery, Atrium Health, Charlotte, NC 2 Carolinas Center for Surgical Outcomes Science, Department of Surgery, Atrium Health, Charlotte, NC 3 Information and Analytics Services, Atrium Health, Charlotte, NC 4 SeamlessMD, Toronto, Canada
11.
Use of a text messaging platform to increase patient compliance and satisfaction with a novel neurosurgical ERAS protocol
Brendan J. McShane, B.A., Patricia Zadnik Sullivan, M.D., Rachel A. Pessoa, MSN, CRNP, Diana Gardiner, MSN, CRNP, Zarina S. Ali, M.D.
Hospital of the University of Pennsylvaina
12.
Implementing Natural Language Processing Based Point-Of-Care Clinical Decision Support Drives Adherence to ERAS® Clinical Pathways
Jennifer Holder-Murray, MD, FACS, FASCRS 1,2; Katie Meister, BS1; Steven Foos, RN, MSN1; Nancy Zimmerman, RN, BSN3; Brian Collins, MS, DBA3; Curtis Stratman, BS, MBA4; Stephen Esper, MD, MBA1,2
1UPMC, Pittsburgh, PA; 2University of Pittsburgh, Pittsburgh, PA; 3medCPU, New York, NY; 4UPMC Enterprises, Pittsburgh, PA
13.
Compliance with preoperative glucose screening and effects of carbohydrate loading on hyperglycemia among Gynecologic Oncology patients enrolled in an Enhanced Recovery After Surgery (ERAS) pathway
Stephanie Alimena, MD1, Michele Anderson2, and Kevin Elias, MD2
1. Brigham and Women’s Hospital and Massachusetts General Hospital, Department of Obstetrics and Gynecology 2. Brigham and Women’s Hospital, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology
14.
Standardized Patient Kits in Colorectal Surgery Improve Compliance with ERAS Protocols and Outcomes
Sarah E. Deery, MD, MPH1, Paul M. Cavallaro, MD1, Sean T. McWalters, MS, CPHQ2, Syrene R. Reilly, MBA3, Holly N. Milch, NP1, David W. Rattner, MD1, Elizabeth A. Mort, MD, MPH3,4, David C. Hooper, MD5, Marcela G. del Carmen, MD, MPH1,6, Liliana G. Bordeianou, MD, MPH1
1Colorectal Center, Massachusetts General Hospital, Boston MA, 2Edward P. Lawrence Center for Quality and Safety, Massachusetts General Hospital, Boston, MA, 3Department of Patient Safety and Quality, Massachusetts General Hospital, Boston, MA, 4Department of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA, 5Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, Boston, MA, 6Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA
15.
Hospital-wide Impact of Compliance to Enhanced Recovery After Surgery (ERAS®) Protocols
Ryan Pickens1, William Lyman1, Allyson Cochran2, David Iannitti2, John Martinie2, Erin Baker2, Stephen Riggs3, Bradley Davis4, Brent Matthews1, Dionisios Vrochides2
1 Department of Surgery, Carolinas Medical Center, Charlotte, NC; 2 Division of HPB Surgery , Carolinas Medical Center, Charlotte, NC; 3 Department of Urology, Carolinas Medical Center, Charlotte, NC; 4 Division of GI/MIS Surgery, Carolinas Medical Center, Charlotte, NC
16.
Use of cadaver models to compare US-guided TAP block with new laparoscopic Transversalis Fascia block
Tonia Young-Fadok MD MS 1, Natalie Langley PhD 2, Sonya Van Nuland PhD 2, Shreya Shetty MBBS MS 1, Tiffany Weidner MD 1, Patrick Hangge MD 1, Naresh Patel MD 3
1 Division of Colon and Rectal Surgery, Mayo Clinic, Phoenix, AZ; 2 Mayo Clinic School of Medicine, Phoenix, AZ; 3 Dept of Neurologic Surgery, Mayo Clinic, Phoenix, AZ
17.
The Addition of an ERAS® Variable to Predictive Modeling for Pancreaticoduodenectomy Improves Predictive Ability
Keith Murphy MSPH, William B. Lyman MD, Allyson Cochran MSPH, Michael Passeri MD, Russell C. Kirks MD, David A Iannitti MD, John B Martinie MD, Erin H. Baker MD, Dionisios Vrochides MD PhD
Carolinas Medical Center-Atrium Health, Charlotte, NC
18.
Initial Implementation of an Enhanced Recovery After Surgery (ERAS) Protocol for Lumbar Spinal Fusion
G. Damian Brusko, BS, Julie A. Heger, BS, Gregory W. Basil, MD, John Paul G. Kolcun, BS, Glen R. Manzano, MD, Allan D. Levi, MD, Michael Y. Wang, MD
Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL
19.
Implementation of ERAS Principles in Patients Undergoing Cytoreductive Surgery and Hyperthermic Intra-operative Chemotherapy (HIPEC): Conquering the Last Frontier?
Chris Webb1, Ryan Day1, Cristine Velazco1, Nabil Wasif2
1Department of General Surgery, Mayo Clinic Hospital, Phoenix, AZ, USA. 2Department of General Surgery, Section of Surgical Oncology, Mayo Clinic Arizona, Phoenix, AZ, USA.
20.
Traditional Outcome Measures May Not Be Adequate to Capture Early Benefits of ERAS® for Hepatectomy
William B. Lyman MD, Ryan C. Pickens MD, Allyson Cochran MSPH, David A. Iannitti MD FACS, John B. Martinie MD FACS, Erin H. Baker MD, Dionisios Vrochides MD PhD FACS FRCSC
Division of HPB Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA
21.
Scaling an Enhanced Recovery Program to an Institution Wide Initiative: It Takes a Village
Kruse, B., Recinos, I., Eska, A., Aloia, T., & Gottumukkala, V.
The University of Texas MD Anderson Cancer Center Institute for Cancer Care Innovation
10:00 am - 10:30 am
Break and Exhibition Viewing
10:30 am - 12:00 pm
Multimodal Pain Management in The Era of Opioid Crisis and Shortage:

Opioid Crisis and Shortage
Mohamed Elkersh, MD

Multimodal Systemic Analgesia: Mechanisms of Action
Richard Urman, MD

Tell Me What To Do: The Anesthesiologist
Matthias Stopfkuchen-Evans, MD

Tell Me What To Do: The Surgeon
Tonia Young-Fadok, MD, MS

The Opioid Tolerant Patient
Christopher Jankowski, MD

Non-Pharmacologic Aspects Of Pain Management
Joseph Hsu, MD
12:00 pm - 12:30 pm
ERAS State of the Art Updates: Emerging Specialties and What's New

Orthopedics
Joseph Hsu, MD

Bariatric Surgery
C. Kenneth Mitchell, MD

Anesthesiology
Matthias Stopfkuchen-Evans, MD

Gynecology
Kevin Elias, MD

HPB Dionisios
Vrochides, MD, PhD
12:30 pm - 1:30 pm
Baxter Lunch Symposium
Reducing Postoperative Complications in the age of ERAS

Professor Michael James Scott M.B. Ch.B. FRCP FRCA FFICM
1:30 pm – 2:15 pm
Breakout Sessions

Hands-on: TAP Blocks and Other Techniques

Tonia Young-Fadok, MD, MS

Auditing and Reporting for ERAS
Kevin Elias, MD

ERAS: From Preop to Discharge, What's Important for Nursing. Understanding Education, Sustainability and Dissemination of Evidence-Based Protocols; Spread the Word!
Jacque Crosson
2:15 pm - 2:45 pm
Opportunities for Research

How to Conduct Studies that Will Inform Best Practices

Elizabeth Wick, MD

Reporting Guidelines
Kevin Elias, MD
2:40 pm - 3:00 pm
Closing Comments and Adjournment

ERAS USA thanks the following companies for their sponsorship support for the Annual Congress:
Silver Level:

Abbott Nutrition

Bronze Level:
Recro Pharmaceuticals

Thank you also to:
Baxter
Pacira Pharmaceuticals
for their support of Symposia.

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