LSA Abstract Submission Form
Lead Author Information
Will present the abstract at the Annual Meeting
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Ochsner Medical Center
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Edward Via College of Osteopathic Medicine- Louisiana
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Presenter Information
Lead Author and Presenter are the same?
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Presenter Name
First Name
Middle Name
Last Name
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*
MD
MD, FASA
DO
DO, FASA
Other
Presenter Membership Status
*
LSA Member
Resident
Medical Student
Researcher
Institution/Practice
*
Ochsner Medical Center
LSU Health - New Orleans
LSU Health - Shreveport
Tulane School of Medicine
UQ Ochsner
Edward Via College of Osteopathic Medicine- Louisiana
Other
Presenter Email
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example@example.com
Presenter Mobile
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You may receive text reminders at this number
Format: (000) 000-0000.
Social Media
We'd like to include your social media plus your training program's information in the final program. Share below.
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About Your Submission
Submission Type
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Abstract
Case Study
Abstract Submission
Case Study
Category
*
Ambulatory Anesthesia
Cardiac Anesthesia
Critical Care Medicine
Fundamentals of Anesthesiology
Neuro Anesthesia
Obstetric Anesthesia
Pain Medicine
Pediatric Anesthesia
Professional Issues
Regional Anesthesia and Acute Pain
Other
Title of Paper
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Authors
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Enter authors names as First Initial Last Name with a comma separating each author. No credentials or other punctuation. For example: A Smith, J Jones, W Miller
Introduction
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Methods
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Results
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Conclusion
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Title
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Authors
*
Enter authors names as First Initial Last Name with a comma separating each author. No credentials or other punctuation. For example: A Smith, J Jones, W Miller
Case/Project Description
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Discussion
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ASA Disclosure Form
I understand that each author on this submission must submit an ASA Disclosure Form by Sunday, October 25, 2026. If not, my abstract will not be considered for the LSA Annual Meeting. See the link below to share with all authors.
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Share this link with all authors:
https://form.jotform.com/221635252147047
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