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Learning objectives

On completion of this activity the participants will be able to

1. Learn about how normothermic machine perfusion affect organ allocation
2. Discuss indications and practical considerations of sick patients listed for liver transplantation
3. Review strategies for prevention and treatment of complications during liver transplantation
4. Learn about strategies to improve outcomes through changes in organ allocation rules
5. Review ethical and practical considerations in organ allocations
6. Discuss the transfusion requirement and treatment algorithms for hepatic coagulopathy

 

Target audience

Transplant anesthesiologists, intensivists, transplant surgeons, residents, and fellows.

 

Organizing committee members (alphabetical):

• Ranjit Deshpande (Yale New Haven Hospital, New Haven, CT)
• Christine Lennon (Weill Cornell Medicine, New York, NY)
• Marina Moguilevitch (Montefiore Medical Center, Bronx, NY)
• Jonathan Paul (Columbia University Irving Medical Center, New York, NY)
• Natalie Smith (The Mount Sinai Hospital, New York, NY)
• Yefim Vilnits (Northshore Medical Center)
• Gebhard Wagener (Columbia University Irving Medical Center, New York, NY)
• Ryan Wang (The Mount Sinai Hospital, New York, NY)
• Joseph Yeh (NYU Langone Health, New York, NY)

 

Platform: In-person meeting

COLUMBIA UNIVERSITY IRVING MEDICAL CENTER

622 WEST 168^TH STREET, New York, NY 10032 Presbyterian Hospital 5^th Floor

Anesthesiology Library

 

Registration Fees and Link:

Complimentary Registration for trainees and/or if no CME credits are required

$30.00 for SATA and SCA Members – CME Credits Needed

$60.00 for Non-SATA and SCA Members – CME Credits Needed

https://sata2022.wufoo.com/forms/qf2rlv41119nky/

 

Meeting Program:

9:00 – 9:30: Breakfast and Welcome

9:30 – 10:30: Session 1

The new world of transplant: Machine perfusion and how it affects anesthesiologist

Leonie van Leeuwen, Mount Sinai Recanati/Miller Transplantation Institute

 

When a patient too sick for transplant:

Futility of transplantation: acute-on chronic liver failure, ETOH, frailty, pulmonary hypertension ….

Patrick Northup, New York University Medical Center

 

LiveON NY: What is the future of transplantation in the Tristate area: New acuity circles and allocation policy

Abraham Warshaw, LiveONY

10:30 – 10:45: Break

10:45 – 11:15: Keynote Address

                TBD

                HT, Lee, Columbia University Irving Medical Center

 

11:15 – 12:00: Pro – Con Debate: Individualized Anesthesia or Protocols?

Pro Individualized Anesthesia:

Marina Moguilevitch, Montefiore Medical Center

Pro: Protocols:

Robert St. Jules, Mount Sinai Hospital

12:00 – 12:30:  Break

12:30 – 1:15: Case Reports

Joe Scarpa, Weill – Cornell University Medical Center

Jonathan Paul, Columbia University Irving Medical Center

 

1:15 – 1:45: When, how and  what do we transfuse: 

The surgeon’s perspective

Jason Hwawksworth, Columbia University Irving Medical Center

The anesthesiologist’s perspective

                Nikhil Chawla, Yale New Haven Hospital, New Haven, CT

 

1:45 – 2:05 Enhanced Recovery After Surgery (ERAS) and pain mamagent for liver transplantation

Mohammad Piracha, Weill – Cornell University Medical Center

 

1:45 – 2:00 Closing Remarks

 

Learning objectives:
1. Discuss the implications of normothermic perfusion on organ preservation
2. Describe the benefits of robotic-assisted laparoscopy for living donor hepatectomy
3. Explain the role of veno-venous bypass in liver transplantation
4. Identify criteria for consideration of simultaneous liver-kidney transplant
5. Understand the critical care management of hypo- and hypernatremia
6. Describe considerations for the heart transplant recipient presenting with cirrhosis
7. Recognize the challenges associated with simultaneous heart-kidney transplant
8. Discuss the critical care management of post-lung transplant recipients

Target audience:
Anesthesiologists, critical care physicians, surgeons, hepatologists, nephrologists, fellows, residents, medical students, certified registered nurse anesthetists (CRNAs), physician assistants, and nursing staff involved in the perioperative care of transplant patients.

Accreditation and CME credit designation:
The Society for the Advancement of Transplant Anesthesia (SATA), University of Pittsburgh Medical Center

Program organizing institutions and planning committee members:
• University of Virginia: Katie Forkin, MD (2024 Meeting Chair)
• Georgetown University: Lorenzo De Marchi, MD
• Johns Hopkins University: Aliaksei Pustavoitau, MD, MHS
• Virginia Commonwealth University: Sergio Navarrete, DO
• George Washington University: Anita Vincent, MD

Platform: In-person meeting

Quayle Learning Center
Main Floor Battle Building at UVA Children’s Center
1204 West Main St.
Charlottesville, Virginia 22903

Parking available at 11th St. Parking Garage next to Battle Building

Registration: https://sata2022.wufoo.com/forms/ms5gods00xbaez/

Registration Fee:
• US $50 at registration if requesting CME credits
• Free registration for:
o Speakers and moderators of the meeting
o Trainees (residents, fellows), medical students, or attendees not requesting CME credits

MEETING PROGRAM:

10:00-10:30 Registration/Coffee

10:30-10:45 Introduction/Welcome: Katie Forkin, MD (UVA)

10:45-11:45 Session 1: What’s New in Abdominal Transplant

Moderator: Sergio Navarrete, DO (VCU)

• Nomothermic ex vivo and in vivo perfusion – Yaz Al Adwan, MD (UVA)
• Robotic-Assisted Laparoscopy Technique for Living Donor Partial Hepatectomy – Seung Duk Lee, MD, PhD (VCU)

11:45-12:00 SATA President address – Gebhard Wagener, MD

12:00-1:00 Lunch Break

1:00-2:00 Session 2: Special Considerations for Abdominal Transplant Recipients

Moderator: Lorenzo DeMarchi, MD (Georgetown)

• Venovenous Bypass (VVB) – Devin O’Conor, MD (Georgetown)
• Simultaneous Liver Kidney Criteria/Challenges – Anita Vincent, MD (GWU)
• Management of Hypo- and Hypernatremia [Critical Care Medicine] – Pedro Mendez-Tellez, MD (Johns Hopkins)

2:00-3:00 Session 3: Cardiothoracic Transplant Topics

Moderator: Aliaksei Pustavoitau, MD, MHS (Johns Hopkins)

• Heart Transplant Recipient with Cirrhosis – Amanda Kleiman, MD (UVA)
• Simultaneous Heart-Kidney Transplant Criteria/Challenges – Megan Kostibas, MD (Johns Hopkins)
• Management of Post-Lung Transplant Recipient [Critical Care Medicine] – Joshua Roach, MD (UVA)

3:00-3:15 Coffee Break

3:15-4:15 Challenging Cases
Moderator: Anita Vincent, MD (GWU)

• Case Presentation #1: Bryant Tran, MD (VCU)
• Case Presentation #2: Jason Robart, MD and Akhil Patel, MD (GWU)
• Case Presentation #3: Beth Wilson, MD (Emory)

4:15-4:30 Closing Remarks: Aliaksei Pustavoitau, MD, MHS (Johns Hopkins)