1. science
2. medicine

11th Annual
Pulmonary, Critical Care and
Sleep Medicine Conference
Thursday, May 7 and
Friday, May 8, 2015
Omaha Marriott Regency Hotel
10220 Regency Circle
Omaha, Neb.
DESIGNED FOR:
• Primary Care Physicians
• Hospitalists
• Pulmonologists
• Intensivists
• Nurse Practitioners
• Physician Assistants
• Pharmacists
• Dentists
• Nurses
• Respiratory Therapists
• Sleep Technologists
• EMS Personnel
• Dental Hygienists
• Fellows, Residents, Students
• Other Interested Healthcare Providers
PROVIDED BY:
Creighton University School of Medicine
Division of Pulmonary, Critical Care and Sleep Medicine
Department of Medicine
Creighton University School of Dentistry and
Health Sciences Continuing Education
Welcome from the Course Directors
Michael C. Caldwell, BSBA, R.N., RRT
Manager, Cardiopulmonary Services
Department of Medicine
VA Nebraska Western Iowa Healthcare System
Omaha, Neb.
Zachary S. DePew, M.D.
Assistant Professor of Medicine
Division of Pulmonary and Critical Care Medicine
Department of Medicine
Creighton University School of Medicine
Director, Interventional Pulmonology
Director, CHI Health Lung Health Center
Omaha, Neb.
Naresh A. Dewan, M.D., FCCP, FAASM
Lee E. Morrow, M.D., M.Sc.
We invite you to attend the 11th Annual Pulmonary, Critical
Care and Sleep Medicine Conference and look forward to
seeing you there!
Course Directors
Naresh A. Dewan, M.D., FCCP, FAASM
Professor of Medicine
Program Director, Sleep Medicine
Chief, Pulmonary Section VA NWIHCS Medical Center
Division of Pulmonary, Critical Care & Sleep Medicine
Creighton University School of Medicine
Omaha, Neb.
Lee E. Morrow, M.D., M.Sc.
Professor of Medicine
Division of Pulmonary, Critical Care & Sleep Medicine
Department of Medicine
Creighton University School of Medicine
Omaha, Neb.
Pulmonary Keynote Speaker
Craig A. Piquette, M.D.
Director, Medical ICU
VA NWIHCS Medical Center
Associate Professor of Medicine
Division of Pulmonary, Critical Care, Sleep & Allergy
University of Nebraska College of Medicine
Omaha, Neb.
Sleep Medicine Keynote Speakers
Peter C. Gay, M.D.
Professor of Medicine
Department of Pulmonary & Critical Care Medicine
Sleep Medicine Center
Mayo Clinic College of Medicine
Rochester, Minn.
Teofilo L. Lee-Chiong Jr., M.D.
Professor of Medicine, National Jewish Health
Professor of Medicine, University of Colorado Denver
Denver
Chief Medical Liaison, Philips Respironics
Murrysville, Pa.
Faculty
Milton C. And Janet S. Bemis
Donor Parents
Volunteer Speakers, Nebraska Organ Recovery System
David City, Neb.
Subhash C. Bhatia, M.D., MAMS, FACPsych, DLFAPA
Professor and Senior Associate Chair for Academic Affairs & Faculty Development
Creighton University Department of Psychiatry
Adjunct Professor, University of Nebraska College of Medicine
Chief, Mental Health & Behavioral Sciences Department
VA Nebraska-Western Iowa Health Care System
Omaha, Neb.
Jane M. Emanuel, M.D., FACS
Otolaryngologist
Boys Town National Research Hospital
Omaha, Neb.
Frank M. Freihaut, B.S., RRT
Respiratory Care Coordinator
Respiratory Care Services
Nebraska Medicine
Omaha, Neb.
Harvey A.J. Hopkins, M.D., FCCP
Assistant Clinical Professor
Division of Pulmonary, Critical Care & Sleep Medicine
Department of Medicine
Creighton University School of Medicine
CHI Health Alegent Creighton Clinic
Omaha, Neb.
E. Wayne Hull, RPSGT
Polysomnographer and Clinical Supervisor
Sleep Laboratory
Department of Medicine
VA Nebraska Western Iowa Healthcare System
Omaha, Neb.
Bryan J. Krajicek, M.D.
Pulmonologist
Pulmonary Medicine Institute, PC
Omaha, Neb.
Mark A. Malesker, Pharm.D., FCCP, FCCP, FASHP, BCPS
Professor of Pharmacy Practice and Medicine
Departments of Pharmacy Practice and Medicine
School of Pharmacy and Health Professions
Creighton University
Omaha, Neb.
Doug R. Moore, M.D.
Pulmonary and Critical Care Medicine Fellow
Division of Pulmonary, Critical Care & Sleep Medicine
Creighton University School of Medicine
Omaha, Neb.
Shailendra K. Saxena, M.D., Ph.D.
Associate Professor
Department of Family Medicine
Creighton University School of Medicine
Omaha, Neb.
Sanjeev K. Sharma, M.D., MBA
Associate Professor
Department of Family Medicine
Creighton University School of Medicine
Omaha, Neb.
Stephanie A. Vondrak, DDS
Fellow, American Academy of Craniofacial Pain
Diplomate, American Board of Craniofacial Dental Sleep Medicine
Member, American Academy of Dental Sleep Medicine
Vondrak Dental
Elkhorn, Neb.
Tammy O. Wichman, M.D.
Associate Professor of Medicine
Chief, Pulmonary Critical Care Sleep Medicine
Division of Pulmonary, Critical Care & Sleep Medicine
Program Director, Department of Internal Medicine
Creighton University School of Medicine
Alegent Creighton Clinic
Omaha, Neb.
Day 1 – Thursday, May 7
Schedule
Purpose and Objectives
7:00 a.m.
Registration, Continental Breakfast, & Visit Exhibits
7:25 a.m.
Welcome, Program Overview & Audience Response System Training
Lee E. Morrow, M.D., M.Sc.
Purpose — After participating in this day-long
conference, attendees will increase their didactic
knowledge regarding select pulmonary and critical care
topics. Clinical vignettes and the audience response
system will be used to assess learners’ mastery of the
educational content provided.
Objectives — The participant should be able to:
• Provide case studies of clinical decision making
errors and delineate strategies to reduce the
likelihood of making such cognitive errors in
practice
• Review novel pulmonary and critical care therapies
which were approved by the FDA in the past 12
months and understand the role(s) of these agents
in clinical practice
• Explore the recent changes to the Center
for Disease Control recommendations on
Pneumococcal, Influenza and Pertussis vaccination
schedule
• Integrate pharmacokinetics, pharmacodynamics
and patient-specific physiology into the clinical
management of patients taking novel anticoagulant
therapies
• Compare and contrast conflicting beliefs on brain
death through a review of the Jahi McMath case
• Incorporate the perspectives of the organ donor
family when considering organ donation candidacy
and/or managing the organ donor in the ICU
• Synthesize a prioritized plan for the evaluation and
management of the organ donor, taking into
account their unusual physiologic derangements
and the unique goals of care in these instances
• Delineate the benefits of timely liberation from
mechanical ventilation and review how clinicians
can identify the ‘optimal’ time to extubate
• Introduce the ethical controversies and
unique challenges to routine ICU care that were
encountered by the UNMC Biocontainment Unit
team while treating patients with Ebola
• Assess the beneficial and potentially harmful
aspects of palliative airway management in patients
with advanced malignant disease
• Summarize the results of the most clinically
important articles from the pulmonary and critical
care literature in the past year
• Demonstrate how attitudes towards blood product
transfusion have evolved over time and how
clinicians are better able to gauge which products
should be used in various clinical situations
Planning Committee: Lee E. Morrow, M.D., M.Sc.; Naresh A. Dewan,
M.D., FCCP, FAASM; Mark A. Malesker, Pharm.D.; Sally C. O’Neill,
Ph.D.; Michael C. Caldwell, BSBA, R.N., RRT; E. Wayne Hull, RPSGT,
Cindra L. Altman, B.A., RPSGT, R.EEG/EPT-T.; Donal D. Scheidel, DDS;
Beth Steinbrink, B.A.
HSCE Program Review Committee: Mark Malesker, Pharm.D.; Philip
Brauer, Ph.D.; Scott DiLorenzo, B.A., DDS; Susan Connelly, M.N., APRNNP; Dennis Higginbotham, DDS; Dan Hilleman, Pharm.D.; William
Hunter III, M.D.; Linda Lazure, Ph.D., R.N.; Sally C. O’Neill, Ph.D.
PULMONARY MEDICINE PART I
7:30 a.m.
Challenging Pulmonary Consults:
Interactive Cases
Lee E. Morrow, M.D., M.Sc.
8:00 a.m.
Pulmonary & Critical Care Prescribing Update 2015
Mark A. Malesker, Pharm.D., FCCP, FCCP, FASHP, BCPS
8:30 a.m.
Revisiting Pneumonia, Influenza &
Pertussis Vaccinations
Tammy O. Wichman, M.D.
9:00 a.m.
The Nuts & Bolts of Novel Anticoagulants
Mark A. Malesker, Pharm.D., FCCP, FCCP, FASHP, BCPS
9:30 a.m.
Break & Visit Exhibits
CRITICAL CARE MEDICINE PART I
9:45 a.m.
10:15 a.m.
10:45 a.m.
11:15 a.m.
11:45 a.m.
The Uncommon Case of Jahi McMath
Lee E. Morrow, M.D., M.Sc.
The Gift of Life – Perspectives of an
Organ Donor’s Family
Milton and Janet Bemis
Managing the Organ Donor
Lee E. Morrow, M.D., M.Sc.
Ventilator Liberation – Best Time to Pull the Tube
Frank M. Freihaut, B.S., RRT
Lunch & Visit Exhibits
PULMONARY MEDICINE PART II
12:45 p.m.
An Insider’s View of Ebola and the
Biocontainment Unit
Keynote Speaker: Craig A. Piquette, M.D.
1:45 p.m.
Palliative Airway Management in Malignant Disease
Zachary S. DePew, M.D.
2:15 p.m.
The Five Most Important Pulmonary Publications from 2014
Bryan J. Krajicek, M.D.
2:45 p.m.
Break & Visit Exhibits
CRITICAL CARE MEDICINE PART II
3:00 p.m.
The Five Most Important Critical Care Publications from 2014
Doug R. Moore, M.D.
3:30 p.m.
The Bleeding ICU Patient
Lee E. Morrow, M.D., M.Sc.
4:00 p.m.
Evaluation & Adjournment Day One
ACCREDITATION STATEMENT: In support of improving patient care, Creighton
University Health Sciences Continuing Education is accredited by the American Nurses
Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education
(ACPE), and the Accreditation Council for Continuing Medical Education (ACCME) to
provide continuing education for the healthcare team.
DISCLOSURE POLICY: It is the policy of Creighton University Health Sciences
Continuing Education, to ensure balance, independence, objectivity and scientific rigor
in all its educational activities. All faculty participating in this activity are expected to
disclose to the audience any significant financial interest or other relationship he/she
has with the manufacturer(s) of any commercial product(s) discussed in an educational
presentation.
Day 2 – Friday, May 8
Schedule
Purpose and Objectives
7:00 a.m.
Registration, Continental Breakfast, & Visit Exhibits
7:30 a.m.
Welcome, Program Overview & Audience Response System Training
Naresh A. Dewan, M.D., FCCP, FAASM
Purpose — This year the Sleep Medicine Update
has been designed to focus on “What Can I tell my
Patient”. Major topics covered under this theme include
perioperative risk, comorbidities and all treatment
options for OSA. An additional session will highlight the
important articles in Sleep Medicine-Year in Review along
with a discussion on Hypoventilation syndromes and the
use of NIV and Advanced PAP modalities in hypercapnic
respiratory failure.
Objectives — The participant should be able to:
• Outline potential perioperative risks and
management strategies for OSA patients
undergoing surgery
SLEEP MEDICINE PART I
7:45 a.m.
OSA-Perioperative Risk Assessment & Management: What Can I Tell My Patient?
Keynote Speaker: Peter C. Gay, M.D.
8:45 a.m.
OSA & Cardiovascular Risk:
What Can I Tell My Patient?
Naresh A. Dewan, M.D., FCCP, FAASM
9:15 a.m.
OSA & Diabetes Risk: What Can I Tell My Patient?
Shailendra K. Saxena, M.D., Ph.D.
9:45 a.m.
Break & Visit Exhibits
• Examine the association of OSA with an increased
risk of cardiovascular disease and diabetes
SLEEP MEDICINE PART II
• Describe how two diseases can occur in a
comorbid relationship to create Overlap
Syndromes and the implications for diagnosis,
treatment and outcome for the patient with COPD,
OSA and obesity hypoventilation
10:00 a.m.
Overlap Syndromes: COPD, OSA &
Obesity Hypoventilation
Teofilo L. Lee-Chiong Jr., M.D.
10:30 a.m.
Hypercapnic Respiratory Failure:
NIV & Advanced PAP Modalities
Naresh A. Dewan, M.D., FCCP, FAASM
11:00 a.m.
Sleep Medicine: Year in Review
Keynote Speaker: Teofilo L. Lee-Chiong Jr., M.D.
12:00 p.m.
Lunch & Visit Exhibits
12:30 p.m.
CPAP Mask Fitting Workshop
Michael C. Caldwell, BSBA, R.N., RRT
E. Wayne Hull, RPSGT
• Discuss the approach to noninvasive ventilation
and advanced PAP modalities in patients with
overlapping hypoventilation syndromes and acute
hypercapnic respiratory failure
• Highlight latest research findings, advances and
new perspectives in the field of sleep science
and medicine derived from literature and classic
studies from a year in review
• Identify the benefits, mask selection and fitting,
and troubleshooting mask fit issues to promote
patient adherence to PAP treatment
• Review the effectiveness of Positive Airway
Pressure (PAP) treatment for sleep apnea and the
testing, appliances, and challenges inherent to
using PAP
• Identify alternate FDA-approved therapies in place
of CPAP for the treatment of mild to moderate
sleep apnea
• Explain treatment for patients needing oral
appliance therapy, the different dental devices
used and their benefits and advantages
SLEEP MEDICINE PART III
1:00 p.m.
1:30 p.m.
2:15 p.m.
2:45 p.m.
3:15 p.m.
OSA-PAP Treatment: What Can I Tell My Patient?
Harvey A.J. Hopkins, M.D., FCCP
OSA-Non-PAP Treatment Options:
What Can I Tell My Patient?
Peter C. Gay, M.D.
OSA-Dental Treatment Options:
What Can I Tell My Patient?
Stephanie A. Vondrak, DDS
Pediatric OSA-ENT Treatment Options:
What Can I Tell My Patient?
Jane M. Emanuel, M.D., FACS
Break & Visit Exhibits
• Identify surgical and non-surgical treatment
options for pediatric patients diagnosed with OSA
SLEEP MEDICINE PART IV
• Discuss neurocognitive consequences of sleep
deprivation and recognize the impact of sleep loss
on cognition and driving safety
3:30 p.m.
4:00 p.m.
4:30 p.m.
• Describe the impact of OSA on neurocognitive
functioning and identify risk factors for cognitive
impairment
MONEY BACK GUARANTEE
We are convinced you’ll leave our programs with more
than enough information to earn back your investment in
these programs many times over.
If you feel you haven’t received your money’s worth by
the end of the program, you will receive a 100% refund of
your registration.
OSA & Cognitive Risk: What Can I Tell My Patient?
Subhash C. Bhatia, M.D., MAMS, FACPsych, DLFAPA
OSA & Driving Risk: What Can I Tell My Patient?
Sanjeev K. Sharma, M.D., MBA
Evaluation & Adjournment Day Two
Registration Deadline is
Monday, May 4, 2015
REGISTER ONLINE TODAY AT:
2015pulmonary.eventbrite.com
230212-701900 PUL14
Registration
Program Registration Fees
THURSDAY, MAY 7
Registration Deadline is
Monday, May 4, 2015
Physicians, Nurse Practitioners, Physician Assistants,
Pharmacists & Dentists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $125
Education Credit
Nurses, Respiratory Therapists, Sleep Technologists, EMS Personnel,
Dental Hygienists, Mental Health Providers & Other
Healthcare Professionals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $75
Category 1: Creighton University Health Sciences Continuing
Education designates this live activity for a maximum of 14.75 AMA
PRA Category 1 Credit(s) TM. Physicians should claim only credit
commensurate with the extent of their participation in this activity.
(May 7 = 7.0 credits, May 8 = 7.75 credits)
Fellows, Residents, Full-Time Students . . . . . . . . . . . . . . . . . . . . . . . . . . $25
Verification of full-time student status may be required either by phone call or
email from appropriate authority.
FRIDAY, MAY 8, 2015
Physicians, Nurse Practitioners, Physician Assistants,
Pharmacists & Dentists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $125
Nurses, Respiratory Therapists, Sleep Technologists, EMS Personnel,
Dental Hygienists, Mental Health Providers & Other
Healthcare Professionals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $75
Fellows, Residents, and Full-Time Students . . . . . . . . . . . . . . . . . . . . . . $25
Verification of full-time student status may be required either by phone call or
email from appropriate authority.
2-DAY COMBINED REGISTRATIONS
Physicians, Nurse Practitioners, Physician Assistants,
Pharmacists & Dentists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $180
Nurses, Respiratory Therapists, Sleep Technologists, EMS Personnel,
Dental Hygienists, Mental Health Providers & Other
Healthcare Professionals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $125
Fellows, Residents, and Full-Time Students . . . . . . . . . . . . . . . . . . . . . . $40
Verification of full-time student status may be required either by phone call or
email from appropriate authority.
Registration fee includes continental breakfast, lunch and breaks.
Handout Options: Please be advised that handout materials for this conference
will not be included in the registration fee and will not be distributed as paper
copies, but rather, made available online ahead of time (to the best extent
possible). Participants can download and print the presentations prior to the
conference or follow along on their own laptop during the conference.
• A link will be sent by email a week prior to the conference to download
and print the handouts needed before the event.
• For those needing a traditional handout, they will be available by
pre-order at a cost of $20. Pre-order your handout by April 29, 2015.
No additional handouts will be available to purchase the day of the
conference.
Please note if you require special accommodations (dietary, mobility, hearing, etc.)
for the meeting, there will be an opportunity to enter them through the
online registration.
AAPA accepts AMA category 1 credit for the PRA from
organizations accredited by ACCME.
Nurses CE: Creighton University Health Sciences Continuing
Education designates this activity for 14.75 contact hours for
nurses. Nurses should claim only credit commensurate with the
extent of their participation in this activity.
(May 7 = 7.0 credits, May 8 = 7.75 credits)
Nurses licensed in Iowa and California: This activity was planned
and developed in accordance with the continuing education
standards of the American Nurses Credentialing Center (ANCC).
The Iowa Board of Nursing and the California Board of Nursing
will honor ANCC continuing education credits for face-to-face
programs held outside Iowa and California, or for ANCC-approved
online recorded courses taken in a self-study format.
AAFP: Application for CME credit has been filed with the
American Academy of Family Physicians. Determination of credit
is pending.
Pharmacy: The 11th Annual: Pulmonary, Critical Care and Sleep
Medicine Conference is sponsored by Creighton University Health
Sciences Continuing Education (HSCE). HSCE is accredited by
the Accreditation Council for Pharmacy Education (ACPE) as
a provider of continuing pharmacy education. This activity is
assigned Universal Activity (UAN) # 0839-0000-15-028-L04-P
and is accredited for 14.50 hours for attendance of all CE sessions
on May 7-8, 2015. The 11th Annual: Pulmonary, Critical Care and
Sleep Medicine Conference is a knowledge-based CE activity.
(May 7 = 7.0 credits, May 8 = 7.5 credits)
Dental: Creighton University is an approved CE provider by the
states of Iowa, Kansas, Minnesota and South Dakota, and this
course meets the requirements for credit in Nebraska. Creighton
is an ADA CERP Recognized provider. ADA CERP is a service of
the American Dental Association to assist dental professionals
in identifying quality providers of continuing dental education.
ADA CERP does not approve or endorse individual courses or
instructors, nor does it imply acceptance of credit hours by boards
of dentistry. Creighton University School of Dentistry designates
this activity for a maximum of 14.5 for both days.
(May 7 = 7.0 credits, May 8 = 7.75 credits)
Respiratory Therapy: Application has been made to the American
Association for Respiratory Care (AARC) for continuing education
contact hours for respiratory therapists.
EMS: EMT, EMS, and Paramedics educational hours have been
applied for through Creighton University and are pending.
DON’T MISS OUT — REGISTER ONLINE TODAY AT:
2015pulmonary.eventbrite.com
FOR MORE INFORMATION CALL:
Creighton University Health Sciences Continuing Education
800.548.2633 or 402.280.5659
healthsciences.creighton.edu
Walk-ins are welcome, however seating or conference materials
cannot be guaranteed. If registration/handout fee is being paid by
check in advance, please make check out to Creighton University
and mail to:
Creighton University HSCE
601 N 30th St
Ste 2130
Omaha, NE 68131
In the unlikely event this program is cancelled, you will be
notified by phone.
Nonprofit Org
U.S. Postage
PAID
Permit No. 227
Omaha, NE
2500 California Plaza
Omaha, Nebraska 68178-0216
230212-701900-7431-110
11th Annual: Pulmonary, Critical Care and
Sleep Medicine Conference
May 7 – 8, 2015
11th Annual
Pulmonary, Critical Care
and Sleep Medicine
Conference
Thursday, May 7 and
Friday, May 8, 2015
Additional Information
CANCELLATION: Please call 402.280.5659 or 800.548.2633 by Monday, May
4, 2015. Refund less $20 if cancelling by Monday, May 4, 2015. No refunds after
Monday, May 4, 2015.
MEETING PLACE: Omaha Marriott Hotel, 10220 Regency Circle, Omaha,
Nebraska, 68114. 800.228.9290 or 402.399.9000. omahamarriott.com
LODGING: Call Kerry Kasper at the Marriott Hotel for the conference rate.
Phone: 402.516.3624. Email: [email protected].
Or visit visitomaha.com for a list of hotels in the area.
EMERGENCY PHONE: 402.399.9000. Ask for the Creighton HSCE Program.
OMAHA MARRIOTT REGENCY DIRECTIONS: From Eppley Airfield: Abbott
Drive South (left) to Downtown area. West (right) on Dodge Street to Regency
Parkway exit. Turn left at first light; turn left at the next light (under Dodge Street).
Turn right at split in road; turn right at Regency Circle. Hotel is on the right. From
I-80: I-680 North to Dodge Street East. Exit Regency Parkway; turn left at first
light. Turn right at Regency Circle. Hotel is on the right.
CLIMATE AND DRESS: Casual dress is encouraged for the entire meeting.
Temperature in meeting rooms can fluctuate. Layered clothing is suggested.
A NOTE FOR THOSE WITH SPECIAL NEEDS: Creighton University Health
Sciences Continuing Education (HSCE) wishes to ensure that no individual with
special needs is excluded, denied services, segregated or otherwise treated
differently from other individuals because of the absence of auxiliary aids and
services. If you are in need of auxiliary aids or services, please contact HSCE at
800.548.2633 or 402.280.5659.
COURTESY: For the concentration and comfort of our participants, we ask that all
cell phones and pagers be silenced during the conference. Breaks are provided for
your communication convenience. Thank you for your cooperation.