Document 6501737

Transcription

Document 6501737
Registration
To register for the 20th Annual Winterlude
Anesthesia Symposium this registration form with
payment must be received. Please remember if
paying by cheque it must be received before
December 15th, 2013.
On Site registration will be available
Registration Information:
Family Name:
How to Register
There are four easy ways to register for Winterlude
Symposium 2014. Payment must accompany form.
1. Register Online
http://www.anesthesia.org/winterlude
2. Register by Fax
Simply complete this form and fax to 613- 761-5032.
Fax registrations must include payment by credit card.
4. Onsite Registration
Mailing Address:
If mailing, please ensure your cheque and registration are
received before December 15th, 2013 to ensure proper
processing.
Province/ State
Postal / Zip Code
Registration Form
3. Register by Mail
Complete this form and mail the completed form and your
payment to the address below.
Cheques should be payable to:
“Anesthesia Symposium Fund.”
Given Name:
City:
20th Annual Anesthesia
Winterlude Symposium
Winterlude Symposium
c/o Lynne McHardy
Department of Anesthesiology,
The Ottawa Hospital & University of Ottawa
1053 Carling Avenue, B309, Ottawa, Ontario, K1Y 4E9
Cancellation policy:
Telephone:
Fax:
Email:
A refund will be made (less $50 processing fee) if a cancellation request is
received in writing no later than December 15th, 2013.
No Refunds will be given after December 15th, 2013. The Planning
Committee reserves the right to cancel or move the conference should this
become necessary. In this circumstance, each registrant will be notified by
telephone or email and a full refund will be given. Winterlude Anesthesia 2013 is
not responsible for any other costs incurred, such as airline or hotel penalties.
Photography Consent:
Hospital Affiliation:
Professional Status:
A conference photographer will be onsite at the University of Ottawa Department
of Anesthesia 20th Annual Winterlude Symposium, and may take posed or
candid shots of presenters, delegates, and others during Conference-hosted
events. These images may be posted on the University of Ottawa Department of
Anesthesia website or in other departmental publications. By registering for the
University of Ottawa Department of Anesthesia 20th Annual Winterlude
Symposium, I agree to the use of photographs which become the property of the
University of Ottawa, Department of Anesthesia.
Declaration of Potential Conflict of Interest:
Speakers are requested to disclose to the audience any real or apparent conflict(s)
of interest that may have a direct bearing on the subject matter of this program
http://www. anesthesia.org/winterlude Program
0700-0750
Saturday February 1st
Registration, Breakfast and Exhibits
0750-0800
Welcome and Introductory Remarks
Plenary Session - Preoperative Preparation
0800-0830
0830-0900
0900-0910
Preoperative Assessment and Optimization
OSA Diagnosis, Management and Prognosis
Panel Discussions/Questions
Plenary Session - Intraoperative Management
0910-0940
0940-1010
1010-1020
Fluid Management in ERAS
Perioperative Echocardiography
Panel Discussion/Questions
1020-1050
1050-1130
How Can Anesthesia Improve Outcomes?
1130-1230
PBL’s
1230-1330
Lunch and Exhibits
1330-1500
Workshops
1500-1530
Coffee and Exhibits
1530-1615
1600-1730
Moderator:
Dr. Gregory Bryson
Dr. Sylvain Gagne
Dr. Frances Chung
Mea Culpa: A professional and Personal Reflection
on Human Error in Medicine
February 1st & 2nd, 2014
The Westin Hotel, Ottawa
Improving Patient Safety & Outcomes
Moderator:
Dr. Ashraf Fayad
Dr. Ronald Collins
Dr. Andre Denault
Moderator:
Dr. Homer Yang
Dr. Daniel Sessler
Moderator:
Dr. Donald Miller
J. Earl Wynands Lecture
20th Annual Anesthesia Winterlude
Symposium
Dr. Naveen Eipe
Coffee and Exhibits
The Royal College Lecture
Problem Based Learning- 1 hour (max 20 each)
11:30am - 12:30pm
a.
Acute Pain to Chronic Pain- an Anesthesiologists Perspective
Dr. Asokumar Buvanendran
b.
Postoperative Management of OSA
Dr. Frances Chung
c.
Challenging Airway Cases
Dr. Johannes Huitink
d.
Enhanced Recovery after Surgery (ERAS)
Dr. Ronald Collins
e.
Anesthesia Research and Outcomes
Dr. Gregory Bryson
f.
Obesity
Dr. Sanjiv Gupta
g.
Chronic Pain
Dr. George Evans
Dr. Brian Goldman
A Taste of Winterlude Reception
Workshops – 1.5 hours (max 15 each)
1:30pm - 3:00pm
Sunday, February 2nd, 2014
Plenary Session - Anesthesia and the Brain- Improving
Outcomes at the Extremes of Age
0800-0840
0840-0920
0920-0930
0930-1000
Preventing Postoperative Cognitive Decline in the
Elderly
Early Exposure to Anesthetics and Long Term
Outcomes in Children
Panel Discussion
1000-1040
1045-1130
1130
Moderator:
Dr. Dave Neilipovitz
Dr. Alex Y. Bekker
Winterlude Pain Lecture - Improving Outcomes with
Acute Pain Management
Airway Rescue- The Dutch Experience
Closing Remarks and Wrap Up
1.
Advanced Airway
Drs. Johannes Huitink/Naveen Eipe/Marc Doré
2.
Cardiovascular Ultrasound
Drs. Andre Denault/Ashraf Fayad/Marie-Jo Plamondon
3.
Emergency and Critical Care Ultrasound
Drs. Michael Woo/Scott Millington
4.
Lung Isolation
Drs. Calvin Thompson/Larry Byford
5.
Vascular Access
Dr. Victor Neira
6.
Anesthesia Monitors and Machines Update
Dr. Alex Y. Bekker
7.
Perioperative Cardiac Arrhythmias
Dr. Pablo Nery
Dr. Randall Flick
Coffee and Exhibits
Plenary Session – Perioperative Management
Registration Fees
Workshops & PBL’s
Moderator:
Dr. John Penning
Dr. Asokumar
Buvanendran
Dr. Johannes Huitink
Dr. Naveen Eipe
Registration
Fees:
Staff
Medical Student/
Resident/ Fellow
AA / RRT / RN
Prior to Dec.
15, 2013
After Dec.
15, 2013
$350
$500
$100
$150
Method of Payment
Cheque: Payable to “Anesthesia Symposium Fund”
Card Type
Card Number
Expiry Date:
Signature:
Total Cost:
I authorize Winterlude 2014 to Charge my
account for: Winterlude Symposium
$____________
PBL/ Workshop Registration:
Please select your top 2 PBL and Workshop choices
(1 being your first choice)
PBL’s
Workshops
1st:
1st:
2nd:
2nd:
Every effort will be made to accommodate your choice