State-of-the-Art Anesthesiology for the Generalist: Practical Updates and High-Risk Management 2027
General anesthesiology clinicians frequently encounter high-risk perioperative scenarios but may have variable familiarity with current evidence, evolving medication guidance, principles of crisis management, and multidisciplinary care pathways. This creates variability in risk recognition, escalation, communication, and management of complex patients in the operating room, non-operating room anesthesia (NORA) locations, and perioperative settings. There is a gap between current best practices and real-world management of high-risk perioperative conditions, including advanced cardiac disease, anticoagulation, difficult airway physiology, pulmonary hypertension, extracorporeal membrane oxygenation (ECMO), liver disease, anaphylaxis, transfusion management, pregnancy, analgesia, and vasopressor selection.
Target Audience
Anesthesiology physicians
Learning Objectives
Upon completion of this activity, participants will be able to:
1. Recognize high-risk perioperative conditions in general anesthesiology practice.
2. Employ current evidence-based practices and practical management strategies to navigate high-risk perioperative environments.
Course summary
- 9.25 AMA PRA Category 1 Credit™
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
This Live activity is designated for a maximum of 9.25 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
- 9.25 AMA PRA Category 1 Credit™ Participation
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
This Live activity is designated for a maximum of 9.25 AMA PRA Category 1 Credit™ Participation. Learners should claim only credit commensurate with the extent of their participation in the activity.
University of Kentucky, Karpf Auditorium
7:00 AM – 6:00 PM · 18 talks
| 7:00 – 7:30 AM | Registration, breakfast & coffee |
| 7:30 – 7:45 AM | Welcome & opening remarks Zaki-Udin . Hassan, MD · Aibek Mirrakhimov, MD |
| 7:45 – 8:15 AM | Perioperative Management of Advanced Heart Failure Sanjay Dwarakanath, MD |
| 8:15 – 8:45 AM | Perioperative Medication Updates: GLP-1, SGLT2 Inhibitors, Anticoagulants Aibek Mirrakhimov, MD |
| 8:45 – 9:15 AM | Severe Aortic Stenosis for Non-Cardiac Surgery Sanjay Dwarakanath, MD |
| 9:15 – 9:45 AM | Laryngospasm and Airway Crisis Sarah Hall, MD |
| 9:45 – 10:15 AM | Regional Anesthesia in Anticoagulated Patients Alvin Wu, MD |
| 10:15 – 10:45 AM | Pediatric Anesthesia Pearls for the Generalist Sarah Hall, MD |
| 10:45 – 11:15 AM | Physiologically Difficult Airway Jasdeep Dhaliwal, MD |
| 11:20 – 11:50 AM | Lunch |
| 12:00 – 12:30 PM | Anesthesia for MRI Sarah Hall, MD |
| 12:30 – 1:00 PM | Rescue Transesophageal Echocardiography in Non-Cardiac Surgery Harish Ram, MD |
| 1:00 – 1:30 PM | Anesthesia for Neurointerventional Procedures Dinesh Ramaiah, MD |
| 1:30 – 2:00 PM | Perioperative Management of Pulmonary Hypertension Johannes W. Steyn, MD |
| 2:00 – 2:30 PM | Managing Extracorporeal Membrane Oxygenation in Non-Cardiac Surgery Jasdeep Dhaliwal, MD |
| 2:30 – 3:00 PM | Perioperative Management of Advanced Liver Disease Yan Pokrovskiy, DO |
| 3:00 – 3:30 PM | Perioperative Anaphylaxis: Recognition and Management Harish Ram, MD |
| 3:30 – 3:45 PM | Coffee break |
| 3:45 – 4:15 PM | Viscoelastic Testing (TEG/ROTEM) for Transfusion Management Yan Pokrovskiy, DO |
| 4:15 – 4:45 PM | Non-Obstetric Surgery in Pregnancy James Damron, MD |
| 4:45 – 5:15 PM | Opioid-Sparing and Multimodal Analgesia Updates Thomas R. Owen, MD |
| 5:15 – 5:45 PM | Vasopressor Selection in the Operating Room: A Practical Approach Johannes W. Steyn, MD |
| 5:45 – 6:00 PM | Closing remarks & key takeaways Zaki-Udin Hassan, MD · Aibek Mirrakhimov, MD |
Zaki Hassan, MD MBA FASA CPE
Aibek Mirrakhimov, MD, FACC, FASE, FCCP
James Damron
Jasdeep Dhaliwal
Sanjay Dwarakanath
Dr. Sarah Hall, MD PhD
Zaki Hassan, MD MBA FASA CPE
Aibek Mirrakhimov, MD, FACC, FASE, FCCP
Thomas Owen, MD
Yan Pokrovskiy, DO
Harish Ram, MD
Dinesh Ramaiah, Dinesh Ramaiah MBBS
Alvin Wu, MD

Available Credit
- 9.25 AMA PRA Category 1 Credit™
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
This Live activity is designated for a maximum of 9.25 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
- 9.25 AMA PRA Category 1 Credit™ Participation
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
This Live activity is designated for a maximum of 9.25 AMA PRA Category 1 Credit™ Participation. Learners should claim only credit commensurate with the extent of their participation in the activity.

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