Enhanced Perioperative Medical
Management for Total Joint Arthroplasty
How to control haemostasis, pain, and infection
PROGRAM
www.oic.it/arthroplasty
Grand Hotel Baglioni
Florence
22­23 May 2014
Presidents
Andrea Baldini
Patrizio Caldora
Gradimento Scientifico
Enhanced Perioperative Medical Management for Total Joint Arthroplasty
How to control haemostasis, pain, and infection
Florence 22­23 May 2014
Meeting Presidents
Andrea Baldini (Firenze)
Patrizio Caldora (Arezzo)
Scientific Secretariat
Bernardo Barbanti (Firenze)
Lorenzo Castellani (Firenze)
Domenico Lup (Arezzo)
Meeting Website
www.oic.it/arthroplasty
Organising Secretariat
OIC srl
Viale Giacomo Matteotti, 7
50121 Florence ­ Italy
Tel. +39 055 50351
Fax +39 055 5001912
[email protected]
Thursday 22 May
8.00
Registration
8.45­9.00
Welcome
A. Baldini, P. Caldora, G. Berni
HAEMOSTASIS CONTROL (BLEEDING / THROMBOEMBOLISM)
9.00­10.05 Lectures
Moderators: L. Bolognese, P.F. Indelli
9.00
Modern blood management in arthroplasty
G. Gentilini
9.10
How to reach 0% transfusion rate in TKA
E. Thienpont
9.20
Multimodal protocol for bleeding control in TKA
I. Miniati
9.30
The right balance between clots and hematomas in arthroplasty
J. Parvizi
9.40
Antiplatelet therapy in patients with coronary stent undergoing orthopedic
surgery: is still no man’s land?
L. Bolognese
9.50
Discussion
10.05­10.20 Coffee break
10.20­11.20 Point­Counterpoints
Moderators: G. Danelli, F. Giron
10.20
LMWHs are still the gold standard in arthroplasty
In favour ­ R. Abbate
In opposition ­ A. Gonzalez Della Valle
10.32
Discussion
10.40
A low hemoglobin transfusion trigger is not dangerous
In favour ­ H. Husted
In opposition ­ G. Gentilini
10.52
Discussion
11.00
Detection of DVT: all patients need pre and postop ultrasound screening
In favour ­ M. Marcucci
In opposition ­ M. Scardino
11.12
Discussion
11.20­12.30
Round Table interactive discussion on common thromboembolic complications
in arthroplasty, thromboembolic prophylaxis regimens, complications related to
bleeding, blood management, clinical consequences of blood loss in arthroplasty
Facilitators: A. Baldini, P. Caldora
Discussants: R. Abbate, F. Giron, A. Gonzalez Della Valle, H. Husted,
J. Parvizi, R. Rossini
12.30­13.40 Industry Workshop (see page 9)
13.40­14.30 Free time for lunch
3
Thursday 22 May
PAIN CONTROL
14.30­15.30 Lectures
Moderators: P. Adravanti, E. Gabbai
14.30
What works and what does not work for pain control in arthroplasty
G. Danelli
14.40
Patient mental preparation to the arthroplasty procedure
J.L. Chiti
14.50
Optimized pain control protocol
J. MacDonald
15.00
Cost/effectiveness of the various modalities for pain control
J.­N. Argenson
15.10
How to avoid chronic pain after hip and knee arthroplasty
E. Thienpont
15.20
Discussion
15.30­16.30 Point­Counterpoints
Moderators: J.­N. Argenson, A.R. De Gaudio
15.30
What I would like for a better pain control…
…from my anaesthesiologist ­ P. Adravanti …from my surgeon ­ E. Gabbai
15.42
Discussion
15.50
Dealing with pain in a “Fast Track” protocol
EU perspective ­ H. Husted US perspective ­ J. Parvizi
16.02
Discussion
16.10
Best technique for local wound infiltrations
Injection site matters ­ E. Thienpont
The drug matters ­ F. Traverso
16.22
Discussion
16.30­17.00 Coffee break
17.00­18.30 Round Table interactive discussion on strategies for pain control in arthroplasty, the
role of patient education, fast track protocols with European and American flavors, the
science behind local infiltration techniques
Facilitators: A. Baldini, P. Caldora
Discussants: G. Danelli, E Gabbai, H. Husted, J. MacDonald, J. Parvizi,
E. Thienpont
4
Friday 23 May
INFECTION CONTROL
8.30­9.30
Lectures
Moderators: B. Moretti, G. Riccio
8.30
Prevention of infection ­ the host factors
M.C. Ferrari
8.40
Prevention of infection ­ the wound factors
J. Parvizi
8.50
Prevention of infection ­ the environment factors
A. Gonzalez Della Valle
9.00
The fight against the slime: can we ever win?
M. Lisanti
9.10
Anti­biofilm strategies in orthopaedics: where are we?
C.L. Romanò
9.20
Discussion
9.30­10.30 Point­Counterpoints
Moderators: A. Farese, C.L. Romanò
9.30
The best prophylaxis for primary arthroplasty
Orthopaedic surgeon view point ­ M. Innocenti
Infectivologist view point ­ G. Riccio
9.42
Discussion
9.50
How to deal with fever (38°C) after arthroplasty (10 days postop.)
The infectivologist perspective ­ T. Ascione
The surgeon perspective ­ R. Rossi
10.02
Discussion
10.10
Prolonged wound drainage (7 days) after hip arthroplasty
What the infectivologist suggests ­ A. Farese
What the surgeon suggests ­ J. MacDonald
10.22
Discussion
10.30­11.00 Coffee break
11.00­12.30 Round Table interactive discussion on infection prevention in arthroplasty, current
modalities to treat the operative environment and the patient, future directions in
infection control
Facilitators: A. Baldini, P. Caldora
Discussants: T. Ascione, A. Farese, A. Gonzalez Della Valle, J. Parvizi,
G. Riccio, C.L. Romanò
12.30
Completing CME questionnaires for italian accreditation
Adjourn
5
FACULTY LIST
R. Abbate (Heamostasis­Italy)
P. Adravanti (Orthopaedics­Italy)
J.­N. Argenson (Orthopaedics­France)
T. Ascione (Infectivology­Italy)
A. Baldini (Orthopaedics­Italy)
L. Bolognese (Cardiology­Italy)
P. Caldora (Orthopaedics­Italy)
J.L. Chiti (Physiatry­Italy)
G. Danelli (Anaesthesiology­Italy)
A.R. De Gaudio (Anaesthesiology­Italy)
A. Farese (Infectivology­Italy)
M.C. Ferrari (Infectivology­Italy)
E. Gabbai (Anaesthesiology­Italy)
G. Gentilini (Haematology­Italy)
F. Giron (Orthopaedics­Italy)
A. Gonzalez Della Valle (Orthopaedics­USA)
H. Husted (Orthopaedics­Denmark)
P.F. Indelli (Orthopaedics­Italy)
M. Innocenti (Orthopaedics­Italy)
M. Lisanti (Orthopaedics­Italy)
J. MacDonald (Orthopaedics­USA)
M. Marcucci (Orthopaedics­Italy)
I. Miniati (Rheumatology­Italy)
B. Moretti (Orthopaedics­Italy)
J. Parvizi (Orthopaedics­USA)
G. Riccio (Infectivology­Italy)
C.L. Romanò (Orthopaedics­Italy)
R. Rossi (Orthopaedics­Italy)
R. Rossini (Cardiology­Italy)
M. Scardino (Anaesthesiology­Italy)
E. Thienpont (Orthopaedics­Belgium)
F. Traverso (Orthopaedics­Italy)
6
MEETING INFORMATION
MEETING VENUE
Grand Hotel Baglioni
P.zza Unità Italiana, 6
Tel +39 055 23580
Fax +39 055 23588895
www.hotelbaglioni.it
ORGANISING SECRETARIAT
OIC srl
Viale Giacomo Matteotti, 7
50121 Florence ­ Italy
Tel. +39 055 50351
Fax +39 055 5001912
www.oic.it/arthroplasty
[email protected]
REGISTRATION DESK
The Organising Secretariat is located in the Meeting Area close to the Auditorium and open
with the following time schedule:
Thursday, 22 May 8.00–18.30
Friday, 23 May 8.00–12.30
The registration to the Meeting is free of charge for participants with limited seats available in
the Auditorium, therefore pre­registration is required on first­come­first­served basis.
The registration kit includes:
u Access to the scientific sessions
u Meeting kit including name badge and certificate of attendance
u Programme
u CME questionnaire for those participants interested in the Italian CME credits
u Coffee breaks on 22 and 23 May according to the programme
BADGE
Each participant receives a name badge upon check­in at the Registration desk.
The badge is the official Meeting pass and must be worn at all times.
Badges are colour­coded as follows:
Blue ­ Faculty
Transparent ­ Participant
Yellow ­ Exhibitor
7
CERTIFICATE OF ATTENDANCE
Registered participants receive a certificate of attendance with the registration kit.
COMMERCIAL EXHIBITION
The technical exhibition is located in the outside foyer of the Auditorium to maximize inte­
raction between participants and sponsor representatives.
CATERING
Coffee breaks are served in the catering room located in front of the Auditorium according to
the programme.
INTERNET – WIFI
WiFi is free and available in the Meeting areas, participants may require the password at the
Registration desk.
OFFICIAL LANGUAGE
English is the official language, simultaneous translation to Italian is provided in the Audito­
rium. Participants may collect the headsets at the Registration desk.
INSURANCE
The Organisers do not assume any liability for personal injuries sustained or loss of, or dama­
ge to, property belonging to participants (or their accompanying persons), either during or as
result of the Meeting. Participants are recommended to make their own arrangements with
respect to health and travel insurance.
CANCELLATIONS AND REFUNDS
Any change or cancellation of hotel reservations must be sent in writing to the Organising
Secretariat. No­shows incur in a 100% penalty charge, meanwhile approved refunds are pro­
cessed after the Meeting.
ITALIAN CME CREDITS – CREDITI FORMATIVI ECM
Il Meeting “Gestione Medica Perioperatoria Avanzata per Interventi di Artroprotesi” ha
ottenuto 5,5 crediti formativi ECM rivolti alle seguenti categorie e discipline.
Medici specialisti in: Anestesia e Rianimazione, Cardiologia, Ematologia, Geriatria, Malattie
Infettive, Medicina Fisica e Riabilitazione, Medicina Interna, Medicina Trasfusionale, Ortopedia
e Traumatologia.
Assistenti Sanitari, Fisioterapisti ed Infermieri.
Avranno diritto ai crediti ECM solo coloro che saranno presenti per l’intera durata del Meeting
(giorni 22 e 23 maggio) ed avranno compilato i questionari di apprendimento e di valuta­
zione nonché la scheda anagrafica, avendo cura di inserire tutti i dati richiesti e firmare in
originale tutti i moduli. La rilevazione delle presenze avverrà attraverso la compilazione dei
questionari, che saranno distribuiti unicamente all’inizio dei lavori e che dovranno essere
riconsegnati al personale addetto all’uscita della sala al termine della prima giornata. Sarà
cura del partecipante ritirare nuovamente il questionario presso il desk registrazioni
all’inizio dei lavori della seconda giornata per poi restituirlo definitivamente al ter­
mine del Meeting così da certificare la presenza obbligatoria richiesta al 100% del
programma formativo.
8
Thursday 22 May
Industry Workshop
12.30­13.40 Modern oral approach in thromboembolic prophylaxis:
daily­based and scientific evidence for a simplified patient
management
Facilitators: A. Baldini, P.Caldora
Discussants: C. Cimminiello, M. Scardino, L. Vena
9
ACKNOWLEDGMENTS
The Organisers would like to thank the following companies
for their generous support
A special thank to:
11
Quality of Life
for Orthopaedic Patients
L’impegno di Zimmer è di capire i bisogni dei pazienti
prefiggendosi come obiettivo il miglioramento dei risultati
clinici. Il business di Zimmer è guidato dai bisogni del
“nuovo paziente” che è più attivo, più competente e vive
più a lungo.
Il nuovo paziente è anche donna, visto che oggi le donne rappresentano
il 63% dei pazienti soggetti a patologie legate all’articolazione del ginocchio,
paragonato al vecchio 52% di 10 anni fa.
L’incremento è dovuto in parte alla maggiore incidenza
di artrite e osteoporosi e alla longevità della donna paragonata all’uomo. Le donne inoltre prendono l’85% delle
decisioni in ambito salute.
Il nostro spirito di innovazione nei prodotti, processi e tecnologie
cambia l’attenzione alle cure in ortopedia ogni giorno.
La Zimmer ha scritto la storia dell’ortopedia per oltre 75 anni grazie
alle idee e allo spirito di inventiva dei pionieri della chirurgia ortopedica: innovazione ed esperienza sono gli obiettivi che ci poniamo
quotidianamente alla Zimmer.
www.zimmer.com

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