CONTROVERSIES IN PERIOPERATIVE MEDICINE SOUTHERN PORTUGAL MAY 14 -20, 201 7 CONTENTS Medical Program .............................................................................................................................. 3 Sunday, May 14 ................................................................................................................................ 8 Monday, May 15 ............................................................................................................................ 15 Tuesday, May 16 ............................................................................................................................ 18 Wednesday, May 17 ....................................................................................................................... 22 Thursday, May 18 ........................................................................................................................... 24 Friday, May 19 ................................................................................................................................ 26 Saturday, May 20 ........................................................................................................................... 28 A Brief History of Portugal .............................................................................................................. 29 Port Wine ....................................................................................................................................... 39 Portuguese Cuisine ......................................................................................................................... 43 Portuguese Language ..................................................................................................................... 46 Weather and Clothing..................................................................................................................... 49 Practical information ...................................................................................................................... 50 Hotel and Staff Contact Information ............................................................................................... 51 Participants List .............................................................................................................................. 52 Notes ............................................................................................................................................. 54 Medical Program FACULTY Dr. Jan-Hinrich Baumert, MD, PhD, DEAA, Senior Physician, Department of Anesthesiology, Intensive Care Medicine and Pain Management, Academic Teaching Hospital Nordstadt, Hannover/Germany, Assistant Professor of Anesthesiology and Intensive Care, Hannover Medical School (MHH), Hannover/Germany. Dr. Hance Clarke MD PhD FRCPC Director of Pain Services / Transitional Pain Program, Medical Director Pain Research Unit, Department of Anesthesia and Pain Management, Toronto General Hospital, Assistant Professor, University of Toronto. Dr. Kathleen Leavitt MD Assistant Professor, Dept Anesthesiology, Director Obstetric Anesthesia, St. Luke's Hospital, University of Missouri, Kansas City (UMKC). Dr. Jerrold Lerman, MD, FRCPC, FANZCA, Clinical Professor of Anesthesia, Women & Children's Hospital of Buffalo, SUNY at Buffalo, New York. Dr. Patricia Murphy MD, FRCPC. Medical Director Cardiovascular ICU, Director Cardiac Operating Rooms, Toronto General Hospital, Associate Professor, University of Toronto. Dr. Grace Shih, MD Professor, Dept Anesthesiology, University of Kansas Medical Center, Kansas City, Kansas. Dr. Michael Sullivan MD FRCPC, Dept of Anesthesia, Southlake Regional Health Centre, Newmarket Ontario. Past-Chair, Specialty Committee in Anesthesiology, Royal College of Physicians and Surgeons of Canada; Critical Care Lead, Central Local Health Integration Network; Councilor, Canadian Medical Protective Association. Dr. Johan Suyderhoud MD. Professor and Chairman, Saint Luke's Hospital/University of Missouri-Kansas City School of Medicine, Kansas City, MO. Dr. Jordan Tarshis, MD, FRCPC, Director Simulation Centre, Sunnybrook Health Sciences Centre, Associate Professor, Department of Anesthesiology, University of Toronto. 3 PROGRAM DIRECTORS Dr. Mark Friedlander, MBChB, FRCPC, Assistant Professor, Department of Anesthesiology, University of Toronto, Consultant Anesthesiologist, North York General Hospital, Toronto, Ontario. Dr. Charles Knapp, MD, FRCPC, Assistant Professor, Department of Anesthesiology, University of Toronto, Consultant Anesthesiologist, North York General Hospital, Toronto, Ontario. 4 Monday, May 15 8:00 – 8:35 am Dr. Jerrold Lerman – Laughing gas, no laughing matter. 8:35 – 9:10 am Dr. Hance Clarke – Identifying high risk patients for the development of chronic post-surgical pain and persistent opioid use: the need for transitional pain service. 9:10-9:20 am Break. 9:20 – 9:55 am Dr. Johan Suyderhoud – Integrated pain management. 9:55 – 10:30 am Dr. Jordan Tarshis – Harm reduction in perioperative medicine – Part 1. 10:30 – 10:50 am Questions and Panel Discussion. Tuesday, May 16 8:00 – 8:35 am Dr. Kathleen Leavitt/ Dr. Grace Shih – Medical controversies in the delivery suite: tough cases. 8:35 – 9:10 am Dr. Jan-Hinrich Baumert – Dad isn’t the same after his operation. What happened? 9:10-9:20 am Break. 9:20 – 9:55 am Dr. Jerrold Lerman – What is a mitochondrial myopathy? 9:55 – 10:30 am Dr. Patricia Murphy – Challenges at altitude and lessons from hypoxia. 10:30 – 10:50 am Questions and Panel Discussion. 5 Wednesday, May 17 8:00 – 8:35 am Dr. Patricia Murphy – Difficult decisions in pre-op preparation. 8:35 – 9:10 am Dr. Mike Sullivan – Patient safety – A CMPA perspective. 9:10-9:20 am Break. 9:20 – 9:55 am Dr. Jan-Hinrich Baumert/ Dr. Mike Sullivan/ Dr. Jordan Tarshis – Panel Discussion: Should I cancel this case? 9:55 – 10:15 am Questions and Panel Discussion. Thursday, May 18 8:00 – 8:35 am Dr. Hance Clarke – Pain and the opioid crisis: Optimizing opioid practices within pain management and risk prevention. 8:35 – 9:10 am Dr. Jerrold Lerman – Allergies of latex, antibiotics and foods. 9:10-9:20 am Break. 9:20 – 9:55 am Dr. Jan-Hinrich Baumert – Neurovascular interventions. 9:55 – 10:15 am Questions and Panel Discussion. 6 Friday, May 19 8:00 – 8:35 am Dr. Mike Sullivan – Competence by Design – Concepts and implications for continuing professional development. 8:35 – 9:10 am Dr. Johan Suyderhoud – Cost Control: The CJR Project. 9:10-9:20 am Break. 9:20 – 9:55 am Dr. Jordan Tarshis – Harm reduction in perioperative medicine – Part 2. 9:55 – 10:15 am Questions and Panel Discussion. 7 Sunday, May 14 1:30 p.m. Meeting in Lisbon at The Intercontinental Hotel. Those not meeting there will arrive on their own to the hotel in Evora. If you can be at the meeting point slightly earlier, that would be great. We will load your luggage onto our own vans and perhaps one bus can even get off early. 1 ½ hour drive to Evora. Check-in to our hotel, Convento do Espinheiro. Some time to explore. Anyone who would like to have their bike adjusted this afternoon can do so. Ideally, it would only be those who will be in the conference tomorrow morning. For non-conference people, we will adjust tomorrow morning while others are in conference. 7:00 p.m. This evening we start with welcome cocktails in the garden followed by dinner. Dress casual. Overnight: Convento do Espinheiro, Evora. TODAY’S SIGHTS LISBON Situated on the north bank of the (Tejo) Tagus River, Lisbon has a population of about 540,000. The city is a superb mix of old and the new, spreading across hills and running down to the Tejo Estuary. Its districts are linked by steep cobbled streets, traversed by clanking trams and funicular railways, and lined with traditional shops and cafés. History Legend has it that Lisbon was founded by Ulysses, one of the Greek heroes of the Trojan Wars, but it was the Phoenicians who probably were the first to settle there around 1200 BC. Greeks and Carthaginians followed, before the arrival of the Romans in 205 BC. Their prosperous city of Olisipo was founded around 60 BC by Julius Caesar. The Romans were forced out by the Visigoths, and barbarian rule lasted until the area was captured by the Moors early in the 8 th century AD. They renamed the city Lishbuna. It and its rich hinterland prospered thanks to the trade links that were established with the Arab world. The Moors held the city for some four centuries until their expulsion and the establishment of the Portuguese monarchy in 1147. It became the capital in 1255, when Afonso III moved here from Coimbra. 8 Two centuries later, the city boomed as the departure point for the voyages of the Great Age of Discoveries, when mariners such as Vasco da Gama opened up new trade routes to the east and the Americas. The city’s population grew as well, from an estimated 65,000 in 1527 to around 165,000 in 1620. Wealth from overseas paid for the construction of some of the city’s grandest and most historic monuments, notably at Belém, where Portugal’s finest examples of the home-grown Manueline architectural style are found. Building continued in the early 18 th century, funded by the gold and diamonds pouring in from Brazil. Since the 1980s, Lisbon has undergone a massive regeneration, the most obvious beneficiaries being the Parque dos Naçôes, created to house Expo ’98, and the Estádio da Luz (Stadium of Light), which was revamped for the 2004 European Football Championship.