Vital Times 2021 - 84

SPECIAL FEATURES
In-Person Meetings are Back!
CSA Fall Anesthesia Conference
Overview
Michael Gropper, MD, PhD
he 2021 Fall Anesthesia Conference was held at
the Grand Hyatt Kauai Resort and Spa on Poipu
Beach, a premier destination in Kauai, Hawaii.
The meeting was the second in-person meeting since
the beginning of the COVID-19 pandemic. While the ASA
conference was in-person, only about one-third of the
usual attendees participated. It was the perfect venue
to celebrate travel and in-person meetings, and the
enthusiasm of the participants was palpable from
the start.
While two of the five speakers presented virtually, the
CSA staff made for a seamless experience. The talks
covered a broad range from state-of-the-art clinical
practice to thought-provoking presentations on topics
highlighted by the recent pandemic.
Kate Leslie, MD, FANZCA, Professor of Anesthesia
at Royal Melbourne Hospital, is one of Australia's
most prominent anesthesiologists, and author of
innumerable high-impact clinical trials. She gave
an update on " Depth of Anesthesia and Long-Term
Outcomes, " a topic of considerable controversy.
Dr. Leslie described her recent publication in The
Lancet, in which she showed similar mortality in
high-risk patients who received either light or deep
anesthesia. She emphasized the importance of some
type of EEG monitoring to measure the depth of
anesthesia. Her next presentation was " Awareness
and Dreaming During Anesthesia, " where Dr. Leslie
demonstrated that while dreaming is relatively
common during anesthesia, and especially during
emergence, true awareness under anesthesia is rare.
T
Most dreams were not unpleasant. Dr. Leslie reiterated
the importance of EEG monitoring, especially when
using muscle relaxants. Dr. Leslie's final presentation
was compelling, describing the lack of enrollment of
women and under-represented minorities in clinical
trials. While progress has been made, these groups
are still not fully represented, and Dr. Leslie is doing
important work in our specialty to ensure that, in
future trials, participant enrollment reflects the
population as a whole.
84 | CSA Vital Times

Vital Times 2021

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