Enhanced Recovery After Surgery - USA
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Preliminary Program

Accreditation Information

Jointly Accredited Provider In support of improving patient care, this activity has been planned and implemented by Cine-Med and ERAS. Cine-Med is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians
Cine-Med designates this live activity for 15.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nurses
This activity provides 15.5 contact hours for nurses.

All other healthcare professionals will receive a Certificate of Participation. For information on the applicability and acceptance of Certificates of Participation for activities designated for AMA PRA Category 1 Credit(s)™, consult your professional licensing board.


Thursday, November 10, 2022
7:00 AM - 7:30 AM
Registration and Welcome
Misty Eller MSN, ANP-C
7:30 AM - 7:45 AM
Pre-Test and Review
Misty Eller MSN, ANP-C
7:45 AM - 8:05 AM
ERAS Team Building, Collaboration, Documentation
Shawn Ehler MSN, MBA, RN
8:05 AM - 8:25 AM
Administration: Role Development of ERAS Nurse
Johnathan Tom MSN, RN
8:25 AM - 8:35 AM
Coffee Break
8:35 AM - 9:35 AM
ERAS Implementation Guide

Nuts and Bolts
Misty Eller MSN, ANP-C

Best Practice: Denmark Experience
Angie Balfour RN, MSc (ERAS Nurse)

ERAS Recommendations: Updates & Future
Mike Scott MD (ERAS USA President)
9:35 AM - 9:50 AM
Overcoming Challenges (2-year Anniversary)
Misty Eller ANP-C/Allyson Cochran PhD
9:50 AM - 10:20 AM
Team Building and Leadership Principles
Jeanette Amery DNP, AGACNP-BC
10:20 AM - 10:30 AM
Coffee Break
10:30 AM - 11:00 AM
Staff Education: How Do You Do That?
Lesley Coots DNP, FNP-BC, CCRN
11:00 AM - 11:30 AM
Pain Management Techniques, Opioid Use
Jacque Crosson DNP, RN
11:30 AM - 11:45 AM
Post-Test and Review
Misty Eller MSN, ANP-C
11:45 AM - 12:00 PM
Closing Remarks and Group Discussion
Jeanette Amery DNP, AGACNP-BC
1:00 PM - 1:15 PM
Presidential Welcome
1:15 PM - 1:45 PM
Panel I: Getting ERAS into Your Institution and Pre-OP
Moderators: Mike Scott, MD, Jeanette Amery, NP, DNP, AGACNP-BC; Angie Balfour
  1. Why ERAS - Executive Engagement - Charlotte Hart, RN
  2. Building Your Team - Paula Spencer
  3. LEAN & Implementation (10min) - Pranav Shah (Pre-recorded Video)
  4. Questions
1:45 PM - 3:15 PM
Pre-Operative Optimization
The Big 5 Fixes: Discussion (20min)
Chair: Kevin Elias, MD
  1. Why - Mike Scott, MD
  2. Anemia - Mike Scott, MD
  3. Glycemic Management - Matthias Stopfkuchen - Evans, MD
  4. Chronic Opioid Use - Marc Royo, MD
  5. Nutrition - Mike Scott, MD
  6. Questions
3:15 PM - 3:30 PM
Coffee Break
3:30 PM - 4:30 PM
Abstract Session I
(5 minutes for presentation, 5 minute group discussion)
Chair: Michael Yang, MD
Moderators: Misty Eller, ANP-C; Angie Balfour
3:30 PM - 3:35 PM
1. Preoperative Insomnia on Poor Postoperative Pain Control After Elective Spine Surgery and the Modified CAPPS Score
Michael M.H. Yang; Jay Riva-Cambrin; Jonathan Cunningham; Steven Casha
The University of Calgary, Cumming School of Medicine, Department of Clinical Neurosciences, Canada
3:35 PM - 3:40 PM
2. Nursing Implementation of ERAS in Postoperative Flap Patients
Jessica Erdmann-Sager, MD; Caitlin Sachs, NP; Kari Thompson,PA; Marykate Hegarty MSN, MHCA, RN; Alyssa Willis, RN; Katie Bradley, RN; Brenna FitzGerald, RN; Elizabeth Callaghan, RN; Hannah Delorey; Courtney Nolan
Brigham and Women's Hospital
3:40 PM - 3:45 PM
3. The Impact of Enhanced Recovery After Head and Neck Cancer Surgery Plus Reconstruction on Post-Operative and Oncologic Outcomes
Catherine H. Frenkel; Allyson R. Cochran; Daniel S. Brickman; Zavonir L. Milas
Atrium Health
3:45 PM - 3:50 PM
Group Discussion
3:55 PM - 4:00 PM
5. WITHDRAWN
4:00 PM - 4:05 PM
6. Using the Fractal Management System to Implement ERAS across a Health System
Heather McFarland, DO; Naomi Compton; Magdalen Canitia; Ronald Charles, MD; Soozan Abouhassan, MD
University Hospitals Cleveland Medical Center Cleveland, OH
4:05 PM - 4:10 PM
Group Discussion
4:10 PM - 4:15 PM
7. Improvement of Compliance with ERAS Protocols through Systemizing Patient, Nursing, and Provider Education
Heather McFarland, MD; Soozan Abouhassan, MD; Ron Charles, MD; Naomi Compton; Magdalen Canitia
University Hospitals, Cleveland Medical Center
4:15 PM - 4:20 PM
8. Opioid Prescribing Patterns and the Effect of CKD in Pediatric Urology Population: A Retrospective Cohort Analysis
Darren Ha, MS1,2; Kristen M Meier, MD1,2; Eliza D Blanchette, MD1,2; Megan A Brockel, MD1,2; Vijaya M Vemulakonda, MD1,2; Kyle O Rove, MD1,2
1University of Colorado School of Medicine 2Children’s Hospital Colorado
4:20 PM - 4:25 PM
9. Keeping Patients HAPI: How Adapting the ERAS Pathway Can Reduce CAUTI and Pressure Injuries
Katie Bradley, RN; Alyssa Willis, RN; Elizabeth Callaghan, RN; Madeline Johnson, RN; Brenna Fitzgerald, RN; Kevin Elias, MD; Leah Slattery, PA; Hannah Delorey; Courtney Nolan; Natalie Finn, RN; MaryKate Hegarty, RN, MSN; Matthew Paley, RN, MSN
Division of Gynecologic Oncology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
4:25 PM - 4:30 PM
10. Socioeconomic Status and Postoperative Opioid Consumption for Cystectomy ERAS Patients
Hailey Holck, BS; Samuel Ivan, MD; Ornob Roy, MD, MBA; and Stephen Riggs, MD, MBA
Department of Urology, Levine Cancer Institute/Atrium Health, Charlotte, NC
4:30 PM - 6:00 PM
Reception: Exhibits and Posters
6:15 PM - 9:30 PM
ERAS Board of Directors Meeting
Fisher Room

Friday, November 11, 2022
7:00 AM - 8:00 AM
Breakfast
8:00 AM - 9:00 AM
Keynote Lecture: Quality Improvement and Implementation Strategies in the Real World
Speaker:
Heather McFarland, MD
Chairs: Hans de Boer, MD; Jacque Crosson, Janette Amery, NP, DNP, AGACNP-BC
9:00 AM - 10:00 AM
Operationalizing ERAS: A Framework for Improving Outcomes and Increasing Staff Engagement
Speakers: Allyson Cochran PhD; Paula Spencer
10:00 AM - 10:30 AM
How to Educate Your Resident: Training the Next Generation
Speaker: Kevin Elias, MD
10:30 AM - 11:00 AM
Coffee Break: Exhibits and Posters
11:00 AM - 12:00 PM
Panel II: Perioperative Care - PSU, OR and PACU
Chair: Charlette Hart, RN
  1. Presurgical– PSU - Paula Spencer
  2. OR - Nursing - Jacque Crosson
  3. OR - Anesthesia - Pranav Shah, MD
  4. PACU - Nursing - Jacque Crosson
  5. PACU - Anesthesia – Marc Royo, MD
12:00 PM - 1:15 PM
Enter A New World of Postoperative Pain Management
Speaker: Mark Mainous, MD, FACS
Lunch Symposium Sponsored by Heron Therapeutics
1:15 PM - 2:15 PM
Abstract Session II
(5 minutes for presentation, 5 minute group discussion)
Chair: Matthias Stopfkuchen - Evans, MD
Panel: Allyson Cochran PhD, Michael Yang, MD
1:15 PM - 1:20 PM
11. Associations between compliance with an Enhanced Recovery After Surgery (ERAS) Program and Survival from Advanced Stage Ovarian Cancer
Jason Silberman, MD; Sue Li, MD; Andrea Pelletier, MPH; Kevin M. Elias, MD
Department of Obstetrics and Gynecology and Reproductive Biology, Brigham and Women’s Hospital, Boston, MA
1:20 PM - 1:25 PM
12. Expanding Pharmacotherapy Data Collection, Analysis, and Implementation in ERAS® Programs for Elective Hepato-Pancreato-Biliary (HPB) Surgeries: The Methodology of a Retrospective Cohort Study
Camron J. Sohn1, John A. Roberts1, Richard H. Parrish II1, Katheryn M. Peterson2, Allyson R. Cochran3, Josh Davis2, Dionisios Vrochides2, Enhanced Recovery Comparative Pharmacotherapy Collaborative
1Mercer University School of Medicine, Columbus, Georgia 2Atrium Health, Division of HPB Surgery, Carolinas Medical Center, Charlotte, North Carolina 3Atrium Health, Carolinas Center for Surgical Outcomes Science, Charlotte, North Carolina
1:25 PM - 1:30 PM
13. Safety and Tolerability of IV Oliceridine, a G Protein-Selective µ Opioid Receptor Agonist, Among Patients Undergoing Cardiothoracic Procedures
Andrew Shaw1, Erik DeBoer2, Cathy Michalsky2, Donna Cronin2, Daniel Engelman3
1Department of Intensive Care and Resuscitation, The Cleveland Clinic, Cleveland, OH 2Trevena, Inc., Chesterbrook, PA 3Heart and Vascular Program, Baystate Health, University of Massachusetts Medical School-Baystate, Springfield, MA
1:30 PM - 1:35 PM
Group Discussion
1:35 PM - 1:40 PM
14. Racial Bias in Reporting Complications Among Gynecologic Oncology Patients Enrolled in an Enhanced Recovery After Surgery (ERAS) Pathway
Stephanie Alimena, MD1; Parisa Fallah, MD1,2; Briana Stephenson, PhD3; Kevin M. Elias, MD1,4
1Brigham and Women's Hospital, Boston MA; 2Massachusetts General Hospital, Boston, MA; 3Harvard T.H. Chan School of Public Health, Boston, MA; 4Dana Farber Cancer Institute, Boston, MA.
1:40 PM - 1:45 PM
15. Lower incidence of Adverse Events Predicted with Oliceridine than with Morphine: An Exploratory Analysis of Phase 3 Trial Results Following Stratification by Dose
Eugene R Viscusi1, Erik DeBoer2, Cathy Michalsky2, Donna Cronin2; Todd L Wandstrat2
1Department of Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA 2Trevena, Inc., Chesterbrook, PA
1:45 PM - 1:50 PM
16. Long-term Results from Prospectively Collected Patient-Reported Outcomes Using Mobile Health Technology in Hepatopancreatobiliary Surgery
Ansley Ricker MD; Joshua Davis MD; Jordan Robinson MD; Allyson Cochran PhD; Misty Eller, Michael Driedger MD; John Martinie MD, David Iannitti MD, Erin Baker MD, Dionisios Vrochides MD PhD
Atrium Health Carolinas Medical Center
1:50 PM - 1:55 PM
Group Discussion
1:55 PM - 2:00 PM
17. ERAS May Improve Discharge Narcotic Utilization
Ronald Charles MD; Heather McFarland DO; Soozan Abouhassan MD; Peter Pronovost MD; Julie Clancy; Naomi Compton
University Hospitals Cleveland Medical Center
2:00 PM - 2:05 PM
18. Improving health equity among ovarian cancer patients enrolled in an Enhanced Recovery After Surgery (ERAS) Pathway
Stephanie Alimena, MD1; Parisa Fallah, MD1,2; Beryl Manning-Geist, MD3; Michael Worley, Jr, MD1,4; Kevin M. Elias, MD1,4
1Brigham and Women's Hospital, Boston, MA. 2Massachusetts General Hospital, Boston, MA. 3Memorial Sloan Kettering Cancer Center, New York, NY. 4Dana Farber Cancer Institute, Boston, MA.
2:05 PM - 2:10 PM
19. Respiratory Therapists and Nursing Led Simplified Protocol to Increase Compliance with the Six- hour Postcardiac Surgery Extubation
Raghad Said, MD; Charina Ballesteros, RN; Kathleen Peschetti, RN
Hackensack University Medical Center
2:10 PM - 2:15 PM
Group Discussion
2:15 PM - 2:45 PM
Coffee Break: Exhibitors and Posters
2:45 PM - 4:30 PM
Rapid Fire ERAS Updates
  1. Head and Neck - Catherine Frenkel, MD
  2. HIPEC - Nelya Melnitchouk, MD
  3. Plastic Surgery - Jessica Erdmann- Sager, MD
  4. Nurse APP - Misty Eller, ANP-C
  5. Gynecology - Gregg Nelson, MD
  6. Spine Surgery - Michael Yang, MD
  7. Transplant - Jeanette Amery, NP, DNP, AGACNP-BC
  8. Breast Surgery - Barbara Pockaj, MD
4:30 PM - 6:00 PM
What’s New in ERAS?
Monitoring ERAS Patients Post-discharge: (20 min presentation, 10 min discussion)
Gita Mody, MD

Vascular Guideline: (20 min presentation, 10 min discussion)
Kate McGinigle, MD, MPH

Emergency General Surgery Guidelines: (20 min presentation, 10 min discussion)
Carol Peden, MB, ChB, Mike Scott, MD
6:00 PM - 7:00 PM
Reception: Exhibitors and Posters

Sartuday, November 12, 2022
7:00 AM - 8:00 AM
Breakfast: Posters and Exhibits
8:00 AM - 9:00 AM
What is the Status of the Surgery we Find?
Olle Ljungqvist, MD

The ERAS Society Implementation Program
Hans de Boer, MD

How to Implement ERAS IP in the USA
Tonia Young-Fadok, MD
9:00 AM - 10:30 AM
Post Op
Nursing - Rachel Curran, RN
APP - Misty Eller, ANP-C
Surgeon - Tonia Young Faddok, MD
Anesthesia / Pain Service - Alex Stone, MD
10:30 AM - 11:00 AM
Coffee Break: Exhibitors and Posters
11:00 AM - 12:00 PM
Panel III: Compliance and Audits, How We Do It
Atrium - Allyson Cochran PhD
The Mayo Clinic - Tonia Young-Fadok, MD
MD Anderson Cancer Center - Larissa Meyer, MD
Brigham and Women’s Hospital - Kevin Elias, MD
VCU - Pranav Shah, MD
12:00 PM - 1:00 PM
Debates
  1. Is ERAS Too Complicated?
    Misty Eller, ANP-C; Jacque Crosson

  2. Has ERAS Become A Standard of Care?
    Angie Balfour, Leslie Coots, DNP, APRN

  3. Resident vs. President
    Mike Scott, MD; Ansley Ricker, MD
1:00 PM
Adjourn