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3rd Annual Anesthesiology Update 2019

Mackinac Island, MI US
August 2, 2019 to August 4, 2019

Course Directors: Robert J. Friedhoff, M.D.Timothy R. Long, M.D.


Anesthesiology Update will present the latest findings and recommendations for topics at the forefront of anesthesiology.  Topics include pre-operative preparation of the surgical patient, the patient with liver disease and lung transplant patients, OB analgesic techniques, care of the congenital heart patient in the OR, care of the ambulatory patient in the chronic pain clinic, pharmacogenetics for anesthesia and quality improvement techniques.  Enjoy earning your CME credits at a beautiful, classic summer resort that is family oriented.

Course Highlights:

  • Evaluate the latest findings and recommendations for topics at the forefront of anesthesiology.
  • Assess pre-operative preparation of the surgical patient, the cardiac patient in your OR, OB emergencies, perioperative care of the pediatric patient and post-operative care of the surgical patient.
  • Discuss anesthesiology topics with renowned experts who are actively engaged in clinical practice, research and education.
  • Enjoy the high quality Mayo Clinic CME experience.
  • Immerse yourself and your family in the nature and outdoors surrounding the Grand Hotel,  Mackinac Island, Michigan.

Registration Fees

Full Fee: MD, DO, Scientist$595
Reduced Fee: CRNA, AA, NP, PA, Allied Health Professional, Student Fee$475


Additional Information

Exhibitor Information
Exhibitor Forms 

This course offers the unique opportunity for commercial companies to interact with health care providers and highlight their products and services. If you are interested in exhibiting at this course, please complete the attached exhibit forms and submit to Laura Wilson

Target Audience

This course is designed for practicing anesthesiologists, CRNAs, anesthesiology assistants, nurse practitioners, physician assistants, and all other perioperative healthcare providers.

Learning Objectives

Upon conclusion of this program, participants should be able to:

  • Identify indications for intraoperative TEE during non-cardiac surgery.
  • Describe issues for anesthetizing patients with congenital heart disease
  • Discuss the risks of anesthesia and surgery in patients with liver disease
  • Identify and appropriately manage patients on high (red zone) doses of opioids.
  • Identify sources of waste in healthcare
  • Discribe pharmacokinetics and the concept of context-sensitive half-life
  • Discribe the unique aspects of post lung transplant patients undergoing non cardiac procedures.
  • Discuss the mechanism of perineural dexmedetomidine for providing perioperative analgesia.
  • Discribe the contra indications for awake craniotomy and review the importance of teamwork in the process.
  • Describe the most recent evidence for possible neurotoxicity of inhalation anesthetics.
  • Review respiratory physiology relevant to the discussion of perioperative use of spontaneous vs controlled ventilation.
  • Discuss the evolving physiology of the microcirculation and integrate that understanding into intraoperative fluid management.
  • Discuss how to respond to an aspiration event in patient undergoing anesthesia
  • Compare programmed intermittent epidural bolus and continuous epidural infusion techniques for labor analgesia management.
  • Review the technique of placing a nasotracheal tube in a patient with a normal or a difficult airway.
  • Define the concept of emotional intelligence and integrate emotional intelligence into communication in the workplace
  • Describe the implications of anesthesia on the Eco-system.
  • List regional anesthetic alternatives to an interscalene brachial plexus block for shoulder surgery, and be able to identify common sonoanatomy in the posterior cervical triangle.
  • Describe the current applications of pharmacogenomics in the perioperative setting

Attendance at this Mayo Clinic course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

Course summary
Available credit: 
  • 12.50 AANA
  • 12.50 ABA
  • 12.50 AMA PRA Category 1 Credit
  • 12.50 Attendance
Event starts: 
08/02/2019 - 7:00am
Event ends: 
08/04/2019 - 12:30am
Click here to view the program schedule in your mobile device 
Grand Hotel
286 Grand Avenue
Mackinac Island, MI 49757
United States

Experience the tradition of the Grand Hotel, located on northern Michigan’s Mackinac Island. You will never forget the spectacular views from rocking chairs overlooking the Straits of Mackinac from the world’s longest porch. Third-generation, family-owned by the Musser family, Grand Hotel is rich in history, a place where time moves at the pace of horse-drawn carriages and bicycles. Here, meals are an event and traditions such as Afternoon Tea in the Parlor and nightly dancing remain a noteworthy part of the guest experience. Grand Hotel is recognized as Travel + Leisure’s 500 World’s Best Hotels and the Best Hotel in Michigan, and Condé Nast Traveler’s Top 5 Midwest Resorts.

Guest rooms have been reserved for attendees and their guests with special conference rates at the Grand Hotel. In order to receive the special rate, reservations must be made by completing the reservation form and emailing, faxing or mailing it to the hotel’s reservation department. The hotel will accept reservation forms until the rooms have all been booked. (Reservations cannot be made by telephone.)

Grand Hotel
286 Grand Avenue
Mackinac Island, MI 49757

Fax: (906) 847-0945


Grand Hotel rate breakdown:                                                                        DOUBLE OCCUPANCY                      

                                                                                                                            Daily, Per Person                              SINGLE
                                                                                                                      First Guest     2nd Guest                    OCCUPANCY

Smaller, interior-view rooms                                                                            $398.00         $100.00                        $423.00

Larger, interior-view and smaller, lake-view rooms                                         $518.00         $100.00                        $543.00

Special, deluxe lake-view guest rooms, some with balcony                            $698.00         $100.00                        $723.00

Grand Hotel operates on the Modified American Plan. This means that your daily rate includes breakfast and dinner. (PDFs contain complete price breakdown.) 

In addition to our Grand Luncheon Buffet, other facilities are available at Grand Hotel for lunch.


9 years of age and under, no charge (except for luggage charge)
10 through 17 years of age, $59.00 daily, per person
18 years of age and older, $139.00 daily, per person




Shepler's Mackinac Island Ferry
Shepler's Ferry to Mackinac Island can be accessed by driving to Mackinaw City (on Michigan’s lower peninsula) or St. Ignace (upper peninsula). Get driving directions to Mackinaw City or St. Ignace. Registered attendees of the Anesthesiology Update course receive a travel discount by using Shepler’s Ferry and can purchase tickets online using the password "MAYO2019" or identify yourself as a conference attendee at the ticket office. Rate is $19 for adults and $10 for children. 


New for 2018: All Options are Self Park
Ample parking is available at Shepler's Ferry and attendees have options that include:

Mackinaw City – Overnight Parking
Premium On-Site Parking $25.00 / night:
 Our premium parking option allows you to park right at the dock parking lot. You will receive a parking ticket when you enter the lot and you will be required to pay as you exit for your return home. Before parking, come to our unloading area, where we will tag your bags for your hotel. Then you can find a spot in the lot adjacent our dock. Save time and buy your ferry tickets online and go right from your car to the boat, skipping the ticket office line completely.
Standard Off-Site Parking $5.00 / night: If you choose our standard overnight parking option, first come to the dock to unload bags and bikes. You will need to go to the ticket office to pay for your parking prior to heading to that lot. The lot is approximately four blocks away, with continuous tram service offered back from the lot. Our ticket office cast members will give you directions to the lot when you pick up your parking pass. Please plan to arrive one hour prior to your desired ferry departure time.
Day Parking - Free

St. Ignace – Overnight Parking
Standard Parking $5.00 / night:
 All of our parking in St. Ignace is right at the dock. You will receive a parking ticket when you enter the dock area and you will be required to pay for the number of nights parked upon exiting for your departure home. (There will be no charge if you are just visiting for the day.)


By Air
Mackinac Island Airport (MCD):
Mackinac Island Airport’s 3,500-foot lighted, paved runway is capable of accommodating private and charter aircraft. The airport is one mile from Grand Hotel. Horse-drawn taxi service is available from the airport to Grand Hotel. For more information, please call (906) 847-3323.

Charter Airlines:
Fly from your airport directly to Mackinac Island on one of North Country Aviation’s charter planes, including the Cessna 421C, Air Carrier Certificate N4CA490Y.  For more information, including servicing airports and rates, please contact North Country Aviation directly at 800-959-1829 or click here for more information. 

Pellston Regional Airport (PLN):
Pellston Regional Airport is located 12 miles south of Mackinaw City. Air taxi service between the Pellston Regional Airport and Mackinac Island Airport is available 24 hours a day. For information, call Great Lakes Air at (906) 643-7327.

Commercial Airlines:
Commercial air service to Pellston is available daily through Delta Airlink in Detroit.

Limousine and Shuttle Service:
Mackinaw Shuttle is available at the Pellston, Michigan Airport for taxi service between the Pellston Airport and the Mackinaw City ferry docks along with other Michigan cities on a 24-hour basis. This service is also available on a charter basis. Reservations are recommended.

Guest Faculty
Zeljko J. Bosnjak, Ph.D., F.A.H.A.
Professor, Departments of Medicine and Physiology
Medical College of Wisconsin
Milwaukee Wisconsin

Mayo Clinic Faculty
Devon O. Aganga, M.D. 
Adam W. Amundson, M.D.
Katherine W. Arendt, M.D. 
Maria Thereza P. Barbosa, M.D.
William (W Brian) B. Beam, M.D.
Robert C. Chantigian, M.D.
Jonathan E. Charnin, M.D.
Molly M. Herr, M.D.
Philippe R. Housmans, M.D., Ph.D. 
Terry L. Hunt, II M.D. 
Adam K. Jacob, M.D.
Christopher J. Jankowski, M.D., M.B.O.E.
Mark T. Keegan, M.D.
Yvette N. Martin McGrew, M.D., Ph.D.
Kent H. Rehfeldt, M.D.
Eduardo S. Rodrigues, M.D. 
Emily E. Sharpe, M.D.
Charles (Chase) R. Sims, III M.D. 

In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.


Credit Statement(s):

Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 12.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity contributes to the requirement for Part II: Lifelong Learning and Self-Assessment of the American Board of Anesthesiology’s (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0®.  This activity is designated for a maximum of 12.5 MOCA® credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Maintenance of Certification in Anesthesiology Program®, MOCA®, MOCA 2.0®, and MOCA Minute® are registered trademarks  of the American Board of Anesthesiology®.
This program has been prior approved by the American Association of Nurse Anesthetists for 12.50 Class A CE credits; Code Number 1037834; Expiration Date 8/4/2019.

Other Healthcare Professionals
A certificate of attendance will be provided to other healthcare professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s), please go here to review disclosures.

Available Credit

  • 12.50 AANA
  • 12.50 ABA
  • 12.50 AMA PRA Category 1 Credit
  • 12.50 Attendance


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Cancellation and Refund Policy:

Request for cancellations must be submitted in writing to When cancelling a registration for a course 14 days or more before the course start date, a full refund (minus a $75 administrative fee) will be issued in the same form of payment the registration was received. No refunds are granted less than 14 days before the course start date.

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