GS94 | 9:30–11:00 am
Use of Hypothermia in Critical Illness
Moderator: Larry M. Gentilello, MD, FACS, Dallas, TX
Use of hypothermia in various approaches to the support of the critically ill patient will be discussed. Hypothermia is used for the following situations: (1) traumatic brain injury to enhance recovery; (2) acute cardiac arrest to preserve neurologic function; (3) suspended animation on the battlefield or following severe hemorrhagic insult for delayed resuscitation following control of injuries; and (4) effective cooling and hypothermia of organs to optimize transplantation success.
Sponsored by the Program Committee
GS95 | 9:30–11:00 am
Abdominal Surgical Emergencies in Children for the General Surgeon
Moderator: Dennis P. Lund, MD, FACS, Madison, WI
In many communities, general surgeons are asked to see children with acute abdominal emergencies. This panel will focus on the diagnosis and management of the more common abdominal emergencies encountered in the pediatric age group.
Sponsored by the Program Committee
GS96 | 9:30–11:00 am
The Pathophysiology of Obesity
Moderator: Walter J. Pories, MD, FACS, Greenville, NC
In recent years, a great deal has been learned regarding the pathophysiology of obesity. This knowledge has led to more rational management of this common disorder. This panel will discuss what is known and how it relates to present and potential future therapies in patients with morbid obesity.
Sponsored by the Program Committee
GS97 | 9:30–11:00 am
Advances in Thyroid Surgery
Moderator: Douglas J. Turner, MD, Baltimore, MD
This session will review technical advances in thyroid surgery, including endoscopic approaches, robotic surgery, and the use of nerve monitoring devices.
Sponsored by the Program Committee
GS98 | 9:30–11:00 am
Pay for Performance: The Future Is Now
Co-Moderators:
R. Scott Jones, MD, FACS, Charlottesville, VA
David R. Hunt, MD, FACS, Baltimore, MD
This program will evaluate the current status of the use of quality metrics in reimbursement models. Existing national quality measurement programs and strategies for future models will be presented.
Sponsored by the Program Committee
GS99 | 9:30–11:30 am
Anal Disease: Fistula to Fissure
Moderator: Herand Abcarian, MD, FACS, Chicago, IL
This symposium will cover the newest issues involved in the treatment of common anal diseases, including hemorrhoids, perirectal abscesses, fistulae in ano, and chronic fissures. Practical approaches to the diagnosis, relevance of associated diseases, anatomic considerations, and therapeutic modalities, including surgical treatment, will be covered.
Sponsored by the Program Committee and the Advisory Council for Colon and Rectal Surgery
GS100 | 9:30–11:30 am
Monitoring and Computerization in the ICU: What Is Available, What Do You Need, and What Is The Future?
Co-Moderators:
H. David Reines, MD, FACS, Falls Church, VA
M. Michael Shabot, MD, FACS, Los Angeles, CA
This session will review current available technology for monitoring and computerization in the intensive care unit (ICU) and review upcoming technology for the future. Bedside physiologic monitoring devices, computerized bedside ICU flowsheets, and the electronic medical record will be discussed. In addition, remote computerized monitoring of ICU patients will be discussed as a new strategy to provide 24-hour care of critically ill patients.
Sponsored by the Committee on Perioperative Care
GS101 | 9:30 am–12:00 noon
Line Sepsis Liability: Defense and Prevention
Moderator: Hugh A. Gamble II, MD, FACS, Greenville, MS
Using the model of a mock trial, the documented liability incurred related to line sepsis will be graphically illustrated. In the process, generic guidelines for participating in a strong defense by a defendant surgeon will be outlined. A didactic presentation will provide guidelines that will enhance the safety of central line replacement and maintenance.
Sponsored by the Committee on Patient Safety and Professional Liability
GS102 | 9:30 am–12:00 noon
Body Contouring: Postbariatric Surgery
Moderator: Susan E. Downey, MD, FACS, Santa Monica, CA
This course will discuss pitfalls and potential complications inherent in reconstructions of patients who have had massive weight loss. Surgical planning and procedure, pre- and postoperative care, and patient selection will be addressed.
Sponsored by the Advisory Council for Plastic and Maxillofacial Surgery
GS103 | 9:30 am–12:30 pm
The Surgeon and the Law
Moderator: James B. Alexander, MD, FACS, Camden, NJ
The practice of medicine, in general, and surgery in particular, has become politicized, both at the state and federal level. There are initiatives to enhance or restrict practice opportunities for surgeons. The panel will discuss federal and state legislative actions that are current at the time of the meeting and current consequences of more mature laws.
Sponsored by the Committee on Patient Safety and Professional Liability
GS104 | 10:00–11:30 am
The Disruptive Professional
Moderator: Peter J. Fabri, MD, FACS, Tampa, FL
Disruptive behavior on the part of physicians and allied health professionals is a barrier to effective communication and high-quality patient care. This session will address the scope of the problem, the impact on allied health professionals, the legal issues, and the negative impact on patient safety. The panel will suggest solutions for preventing and resolving disruptive behavior.
Sponsored by the Committee on Allied Health Professionals
GS105 | 10:00–11:30 am
Perioperative Management of the Bariatric Surgery Patient
Moderator: Edward H. Livingston, MD, FACS, Dallas, TX
Intensive postoperative care is key for successful laparoscopic adjustable banding procedures. This session will discuss Australia’s documented success of these procedures and how such good outcomes were achieved. In addition, a prominent practitioner who has one of the largest and most mature U.S. series of laparoscopic adjustable band patients will lecture about the tricks to achieving excellent weight loss with these procedures. Furthermore, this session will discuss how to manage crucial medication adjustments following bariatric surgery due to patients’ rapid changes in their hypoglycemic and antihypertensive medication requirements. Finally, this session will discuss strategies for minimizing the risk of deep venous thrombosis and pulmonary embolism through the use of appropriate perioperative prophylaxis and will review what can be done about the loose hanging skin and fat that plague bariatric surgical patients after they have lost weight.
Sponsored by the Advisory Council for the Surgical Specialties
GS106 | 10:00–11:30 am
Systemic and Local Hemostatic Agents
Moderator: Peter Rhee, MD, FACS, Los Angeles, CA
Systemic and local hemostatic agents that can reduce bleeding from wounds will be discussed. The uses in civilian and military trauma will be explored along with recommended applications.
Sponsored by the Committee on Trauma
GS107 | 10:00–11:30 am
Extreme Ultrasound: Pushing the Frontier
Co-Moderators:
Scott A. Dulchavsky, MD, PhD, FACS, Detroit, MI
R. Stephen Smith, MD, FACS, Wichita, KS
Surgeon-performed ultrasound is now standard of care in many conditions. Advances in technology, combined with novel applications, have shown that ultrasound may be used for expanded indications to enhance diagnostic and therapeutic capabilities. This program will highlight advances in ultrasound applications that affect decision making in surgery or treatment now and in the future.
Sponsored by the National Ultrasound Faculty
GS108 | 10:00 am–12:00 noon
Pregnancy During a Surgical Career: Strategies for Making it Work in Residency, Academics, and Private Practice
Moderator: Linda G. Phillips, MD, FACS, Galveston, TX
As more women enter surgical fields, the topic of pregnancy is one that causes anxiety for women and men alike. This session will explore strategies with which residents, department chairs, academic surgeons, and surgeons in private practice can structure their education, finances, call, and other issues affected by being pregnant or having a pregnant colleague. No single strategy will be appropriate for all situations; this course offers guidelines to help develop arrangements that may be individualized to a variety of environments. Audience participation will be encouraged.
Sponsored by the Committee on Women’s Issues
GS109 | 10:00 am–12:00 noon
Improving Patient Safety in the Operating Room
Moderator: Edward J. Dunn, MD, MPH, FACS, Ann Arbor, MI
This session will define what “improving patient safety” can mean to the surgeon in practical terms. The panel will discuss how surgeons can apply systems-based problem solving grounded in principles of human factors engineering to the care of their patients. Presentations will emphasize specific applications of these principles to surgical care such as environmental and work process redesign, the prevention of retained foreign bodies, safe blood administration, enhanced communication and teamwork on the surgical team, and surgical residency training in patient safety.
Sponsored by the Committee on Patient Safety and Professional Liability
GS110 | 10:00 am–12:00 noon
Understanding and Reducing Disparities in Surgical Care
Co-Moderators:
John D. Birkmeyer, MD, FACS, Ann Arbor, MI
Juan C. Cendan, MD, FACS, Gainesville, FL
Access to surgical care and surgical outcomes are often suboptimal for minorities and low-income patients. This session will present an overview of disparities in surgical care as they affect patients with different social and cultural backgrounds. Five national leaders in the field will address important issues for understanding and reducing disparities in surgery, including current evidence and observations about disparities in surgery; social and behavioral strategies for reducing disparities in the use of surgery; racial disparities in surgical outcomes and growing evidence that minority patients have poorer outcomes because they are treated in lower quality hospitals; and finally, research and potential policy solutions for reducing such disparities.
Sponsored by the Committee on Diversity and the Surgical Research Committee
GS111 | 10:00 am–12:00 noon
How ACS and the Military Can Cooperate in the Future Training of Surgeons
Moderator: Charles Lane Rice, MD, FACS, Bethesda, MD
The global war on terrorism has placed demands on surgeons and other medical personnel in ways not experienced in previous conflicts. This session will characterize those challenges and illuminate ways in which the College and the military are already working together to adapt current methods of training and education to meet those demands, as well as explore new possibilities for collaboration. Presenters will be knowledgeable surgeons with relevant operational and educational experience.
Sponsored by the Program Committee
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GS117 | 11:00 am - 11:30 am
American College of Surgeons Oncology Group: Raising Quality of Care Through Prospective Clinical Trials
Moderator: Heidi Nelson MD, FACS, Rochester, MN
To understand how ACOSOG trials improve cancer patient care safety.
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