Comprehensive Advances in Neurophysiologic Intraoperative Monitoring

Saturday and SundayDecember 11 and 12, 2010Eden Roc ResortMiami Beach, Florida

Symposium DirectorsBernard Allan Cohen, Ph.D., FASNM, CNIM, DABNMBernard Gran, M.D.

Presented by American Society of Neurophysiological Monitoring

Jointly sponsored by

Target AudienceNeurosurgeons, Neurologists, Physiatrists, Orthopedists, ENT Surgeons, Anesthesiologists, Nurses, Neurophysiologists (doctorateand masters level), Audiologists and medical practitioners creden-tialed in neurophysiologic intraoperative monitoring and involved ininterventional intraoperative neuromonitoring of evoked potentials,EMG and EEG during surgical procedures.

Course DescriptionThis symposium provides an important update for neurologicalphysicians and advanced practitioners who collaborate on the neuromonitoring team, as well as surgeons and anesthesiologistswho require intraoperative neuromonitoring (IONM) during procedures. Didactic sessions and interactive panel debates willfocus on pre-existing conditions, data analysis, anesthetic consider-ations, complications and troubleshooting, reporting changes to the surgical team and report writing. Experts in IONM education willexamine common and important methods, including:

� Somatosensory and transcranial motor evoked potentials andEMG for complex spine surgery.

� Auditory evoked potentials and cranial nerve monitoring forcraniotomy and skull-based monitoring.

� EEG and MSEP for carotid endarterectomy and aneurysm monitoring.

Conference ObjectivesUpon completion of this conference, participants should be betterable to:

� Interpret anatomic correlates of IONM data to facilitate surgical intervention.

� Effectively analyze data and report change.

� Formulate an appropriate plan of action when presented with challenging data results.

Accreditation and CreditsThis activity has been planned and implemented in accordance with

the Essential Areas and Policies of the Accreditation Council for ContinuingMedical Education through the joint sponsorship of Baptist Health SouthFlorida and the American Society of Neurophysiological Monitoring.Baptist Health South Florida is accredited by the ACCME to provide continuing medical education for physicians.

Baptist Health South Florida designates this educational activity for amaximum of 13 AMA PRA Category 1 Credits™. Physicians should only claimcredit commensurate with the extent of their participation in the activity.

This activity has been approved for 13 contact hours by Florida StateBoard of Nursing provider #50-182, Baptist Health South Florida. (Session I: 3.5; Session II: 3.0; Session III: 3.0; Session IV: 3.5)

Comprehensive Advances in Neurophysiologic Intraoperative Monitoring

ASNM is approved by the American Academy of Audiology to offer AcademyCEUs for this activity. The program is worth a maximum of 1.4 CEUs. Academy approval of this continuing education activity does not imply endorsement of course content, specific products, or clinical procedures.

The American Society of Electroneurodiagnostic Technologists hasgranted ASET Continuing Education [ACE] credits for this program. Suchcrediting, however, should not be construed by program participants asan endorsement of any type of instruments or supplies mentioned or involved in these presentations.

Symposium DirectorsBernard Allan Cohen, Ph.D., FASNM,CNIM, DABNMClinical Neurophysiologist, Private Practice Founder and Managing Director, Neurological Monitoring Associates, LLCMilwaukee, Wisconsin

Bernard Gran, M.D. Neurologist, Intraoperative Monitoring Supervising PhysicianBaptist, Doctors and South Miami HospitalsVice Chief, Baptist Neuroscience CenterMiami, Florida

FacultyRebecca J. Clark-Bash, R. EEG/EPT., CNIM, CLTM, FASNMASNM Program Co-chairIntraoperative Neuromonitoring Technologist and EducatorPresident, Knowledge Plus, Inc.Lincolnshire, Illinois

Joseph Bush, M.S., R. EEG T., CNIM,DABNMASNM Program Co-chairNeurophysiology SupervisorBaptist Neuroscience CenterMiami, Florida

Clare Gale, B.S., CNIM/R. EEG T.,CRTTIntraoperative Neuromonitoring Technologist and EducatorSecretary/Treasurer, American Society of Neurophysiological Monitoring President, SpineMon, Inc.Baltimore, Ohio

Elizabeth Tracy Mishler, Au.D., CCC-ADoctor of AudiologyPresident, O.R. Monitoring Consultants, Inc.Adjunct Faculty MemberWashington University School of MedicineSaint Louis, Missouri

Eva Katharina Ritzl, M.D., FRCP Director, Intraoperative NeuromonitoringAdjunct Investigator, Clinical Epilepsy SectionJohns Hopkins Hospital Assistant Professor of Neurology Johns Hopkins School of Medicine Baltimore, Maryland

Jay L. Shils, Ph.D., DABNM, FASNM Director of Intraoperative Monitoring The Lahey ClinicAssistant Professor, NeurosurgeryTufts University School of Medicine Department of NeurosurgeryBurlington, Massachusetts

Vitaly Siomin, M.D. Neurosurgeon, Baptist Neuroscience CenterMiami, Florida

Tod B. Sloan, M.D., MBA, Ph.D.,CPE, FAIC, FASNM, FASEPM Professor, Department of AnesthesiologyAssociate Chair for Development Department of AnesthesiologyUniversity of Colorado Health Science CenterDenver, Colorado

Cathleen Zippay, R. EEG/EP T., R. NCS T., CNIM Director, Neuro IOM ServicesSubsidiary Sentient MedicalHunt Valley, Maryland

Disclosures and Conflict of Interest ResolutionsBaptist Health requires disclosure and resolution of all conflicts of interest to ensure balance, independence, objectivity and scientific rigor in all

CME programming. Conflicts of interest of all individuals who control CME content will be identified and resolved prior to this educational activity.Full disclosure will be made in the syllabus. Presenters will also disclose discussion of off-label uses.

Saturday, December 11Session I

7:55 a.m. Welcome and Opening RemarksBernard Allan Cohen, Ph.D., DABNM, and Bernard Gran, M.D., Symposium Directors

MODERATOR: Eva Katharina Ritzl, M.D.8:00 a.m. State of the Science in Neuromodulation and Deep Brain

Stimulation: Pediatric Applications, Adult Applications, Monitoring Methods and Device Updates, Staffing Model Recommendations, Troubleshooting RecommendationsJay L. Shils, Ph.D.

9:00 a.m. Modality Specific Anesthetic Recommendations: Protocols, Contraindications, Challenges and the New Propofol ShortageTod B. Sloan, M.D., Ph.D.

10:00 a.m. Break and Exhibits10:30 a.m. Intraoperative Monitoring of the Lower Cranial Nerves

During Skull Base Surgery: Free Run and Evoked Electromyographic TechniqueElizabeth Tracy Mishler, Au.D.

11:30 a.m. Comprehensive Policy and Procedure Manual Development:Foundations for IONM Lab Accreditation-Joint Commission;ABRET LAB-NIOM, ABNMPRebecca Clark-Bash, R. EEG/EP T., and Clare Gale, B.S., R. EEG/T.

12:00 noon Lunch (on your own) Session II

MODERATOR: Elizabeth Tracy Mishler, Au.D.1:30 p.m. Transcranial Motor Evoked Potentials: Comprehensive

Review of Method and Alarm CriteriaJay L. Shils, Ph.D.

2:30 p.m. Break and Exhibits3:00 p.m. Spinal Cord Monitoring During Intraspinal Extramedullary

and Intramedullary Tumor Operations: D-Wave RecordingChallenges and Evidence-based RecommendationsEva Katharina Ritzl, M.D.

SYMPOSIUM SCHEDULE4:00 p.m. Complications and Risk Factors in Complex Spine Surgery

Vitaly Siomin, M.D.5:00 p.m. Adjourn

5:30-7 p.m. Welcome Reception

Sunday, December 12Session III

MODERATOR: Tod B. Sloan, M.D., Ph.D.7:55 a.m. Welcome and Announcements8:00 a.m. Intraoperative Neurophysiological Monitoring in Vestibular

Schwannoma Surgery: Advances and Clinical ImplicationsElizabeth Tracy Mishler, Au.D.

9:00 a.m. IOM Credentialing and Certification: Updates and ConsiderationsRebecca Clark-Bash, R.EEG\EP T, CNIM, CLTM, FASNM

10:00 a.m. Break and Exhibits10:30 a.m. Current Method and Interpretation of Intraoperative EEG

Eva Katharina Ritzl, M.D.11:30 a.m. Lunch (on your own)

Session IVMODERATOR: Cathleen Zippay, R. EEG\EPT

1:00 p.m. Intraoperative Monitoring for Surgeries at the Jugular ForamenJay L. Shils, Ph.D.

2:00 p.m. Outsourcing Intraoperative Monitoring: Pros and ConsBernard Allan Cohen, Ph.D.

2:45 p.m. Break and Exhibits3:15 p.m. Neurophysiological Monitoring of Surgical Repair of

Thoraco-Abdominal Aortic AneurysmsTod B. Sloan, M.D., Ph.D.

4:00 p.m. AMA and CPT Coding for IONM: Pending Changes, Updates and OpportunitiesBernard Allan Cohen, Ph.D.

5:00 p.m. Adjourn

Registration FeesGo to www.signmeup.com/72306 to register.Discounted rates are available until November 11, 2010.

ASNM Members Non-membersOn or before November 11 $425 $525After November 11 $550 $650

The registration fee includes tuition, an electronic version of thecourse syllabus that will be available to download prior to the symposium, daily continental breakfast, Welcome Networking Reception and break refreshments on Saturday. Registrations cannot be processed or confirmed without full payment.

Syllabus OptionsThe registration fee includes access to electronic handouts that willbe available to download prior to the symposium. A printed syllabus is available for an additional charge and must be orderedin advance. At the time of registration you will be asked to selectone of the following options:

� Electronic version — Access to downloadable version prior tosymposium • No charge

� Electronic version and a printed syllabus • $75 (AvailableONLY if purchased prior to the meeting)

� Printed syllabus only (not attending the symposium — no registration fee) • $150

Cancellation PolicyCancellations must be sent in writing and postmarked by November 17 to receive a refund of the registration fee, less a $50administrative fee. Cancellations postmarked after November 17will forfeit the registration fee.

For Additional InformationPlease call Monica Clark at 920-362-2737 or e-mail ASNMregister@gmail.com.

Location and AccommodationsFor 50 years, the Eden Roc, a Renaissance Beach Resort & Spa, has graced Miami Beach’s pristine Golden Mile at 45th Street andCollins Avenue. This legendary landmark was completely renovated in 2008 and is a South Florida premier resort property. For moreinformation about Eden Roc, go to boldnewedenroc.com.

A block of rooms has been reserved at the special conference rate of $179, plus applicable taxes, and will be honored through November 19, 2010, based on availability. Make your hotel reservations now by calling 800-319-5354; reference Group Code ASN.Or go to www.marriott.com/miasr, click on Special Rates & Awards listed under Optional Information and reference Group CodeASNASNA (all caps).

This symposium is a collaborative continuing education project between the American Society of Neurophysiological Monitoring and the Baptist Hospital of Miami Neuroscience Center.

The American Society of Neurophysiological Monitoring (ASNM) serves as the leading organizationin the field of interventional neurophysiological assessment and monitoring. As part of its mission, theASNM fosters the growth and stature of neurophysiological monitoring as a profession and provideseducation and dissemination of knowledge in this field.

The Baptist Hospital of Miami Neuroscience Center provides the most comprehensive and innovative techniques to diagnose and treat the brain, spine and nervous system. The Center’s staff includes neurologists, neurosurgeons, neurointensivists and neuroradiologists, who are widely acclaimed for their clinical,research and educational leadership, as well as specialty-trained nurses and clinicalprofessionals.

The Neuroscience Center and Baptist Hospital are part of Baptist Health South Florida, the largest not-for-profit, faith-basedhealthcare organization in the region. Other affiliates of Baptist Health include Baptist Children’s Hospital, South Miami Hospital, Homestead Hospital, Mariners Hospital, Doctors Hospital, Baptist Cardiac & Vascular Institute and Baptist Outpatient Services. For more information about Baptist Health, go to baptisthealth.net.

Symposium Planning Committee:Bernard Allan Cohen, Ph.D., FASNM, CNIM, DABNMBernard Gran, M.D.Rebecca J. Clark-Bash, R. EEG/EP T., CLTM, CNIM, FASNMJoseph Bush, M.S., R. EEG T., CNIM, DABNMClare Gale, B.S., R. EEG T., CRTT, CNIMSergio M. Gonzalez-Arias, M.D., Ph.D., FACS

Leah Hanson, R. EEG/EP T.Allan Herskowitz, M.D.Shawn Regan, B.S., CNIMJay L. Shils, Ph.D.Cathleen Zippay, R. EEG/EP T., R. EDT, CNIM