CME/CE – Conference Highlights: Anesthesiology 2016 for Surgeons

CME/CE – Conference Highlights: Anesthesiology 2016 for Surgeons
Target Audience (click to view)

This activity is designed to meet the needs of physicians and nurses.

Learning Objectives(click to view)

Upon completion of the educational activity, participants should be able to:

 

  • Discuss the key findings of five studies presented at the 2016 annual meeting of the American Society of Anesthesiologists as they pertain to surgeons.

Method of Participation(click to view)

Release Date: 01/24/2017

Expiration Date: 01/24/2018

Statements of credit will be awarded based on the participant reviewing monograph, correctly answer 2 out of 3 questions on the post test, completing and submitting an activity evaluation.  A statement of credit will be available upon completion of an online evaluation/claimed credit form at http://akhcme.com/akhcme/lessons/44.  You must participate in the entire activity to receive credit.  If you have questions about this CME/CE activity, please contact AKH Inc. at dcotterman@akhcme.com.

Credit Available(click to view)

AKH

CME Credit Provided by AKH Inc., Advancing Knowledge in Healthcare

Physicians
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of AKH Inc., Advancing Knowledge in Healthcare and Physician’s Weekly’s.  AKH Inc., Advancing Knowledge in Healthcare is accredited by the ACCME to provide continuing medical education for physicians.

 

AKH Inc., Advancing Knowledge in Healthcare designates this enduring activity for a maximum of 0.5 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

Physician Assistants
NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME.

 

Nursing
AKH Inc., Advancing Knowledge in Healthcare is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity is awarded 0.5 contact hours.

Commercial Support(click to view)

There is no commercial support for this activity.

Disclosures(click to view)

It is the policy of AKH Inc. to ensure independence, balance, objectivity, scientific rigor, and integrity in all of its continuing education activities. The author must disclose to the participants any significant relationships with commercial interests whose products or devices may be mentioned in the activity or with the commercial supporter of this continuing education activity. Identified conflicts of interest are resolved by AKH prior to accreditation of the activity and may include any of or combination of the following: attestation to non-commercial content; notification of independent and certified CME/CE expectations; referral to National Author Initiative training; restriction of topic area or content; restriction to discussion of science only; amendment of content to eliminate discussion of device or technique; use of other author for discussion of recommendations; independent review against criteria ensuring evidence support recommendation; moderator review; and peer review.

Disclosure of Unlabeled Use & Investigational Product(click to view)

This educational activity may include discussion of uses of agents that are investigational and/or unapproved by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer(click to view)

This course is designed solely to provide the healthcare professional with information to assist in his/her practice and professional development and is not to be considered a diagnostic tool to replace professional advice or treatment. The course serves as a general guide to the healthcare professional, and therefore, cannot be considered as giving legal, nursing, medical, or other professional advice in specific cases. AKH Inc. specifically disclaim responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through participant’s misunderstanding of the content.

Faculty & Credentials(click to view)

Christopher Cole – Managing Editor
Discloses no financial relationships with pharmaceutical or medical product manufacturers.
AKH and PHYSICIAN WEEKLY’S STAFF/REVIEWERS

Dorothy Caputo, MA, BSN, RN- CE Director of Accreditation
Discloses no financial relationships with pharmaceutical or medical product manufacturers.

AKH planners and reviewers have no relevant financial relationships to disclose.

New research was presented at Anesthesiology 2016, the annual meeting of the American Society of Anesthesiologists, from October 22 to 26 in Chicago. The features below highlight some of the studies presented at the conference.
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Preoperative Anxiety Among Latinos

While preoperative anxiety is common and studies have shown that culture and religion can influence these feelings, data are lacking on self-reported changes in anxiety among Latino patients in the preoperative waiting area. For a study, researchers evaluated the baseline and situational anxiety levels of patients scheduled to undergo anesthesia for elective surgery. Patients were grouped into those who were English-speaking Caucasians, English-speaking Latinos, and Spanish-speaking Latinos. No significant differences in baseline anxiety were observed between patient groups. However, Spanish-speaking patients were significantly more likely to experience higher situational anxiety than the English-Speaking Caucasian group. Spanish-speaking patients also had higher anxiety levels than English-speaking Latinos.

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Increasing Patient Compliance With Preoperative Medications

Day-of-surgery hospital admission for elective surgery can reduce bed occupancy, but this practice relies on patients to ensure that they are appropriately prepared based upon advice from their pre-assessment visits at clinics. Medication errors made by patients in these situations can cause harm or discomfort or may lead to a cancellation of their operation. Participants in a study who were undergoing elective orthopedic surgery were randomized to receive verbal instructions or a newly implemented, simple medication instruction sheet in a pre-assessment clinic. Patients were evaluated based on the error rate at which they were taking their regular medications before surgery. The researchers observed the following:

Instruction sheet Verbal instructions
Proper continuation or omission of medications 74% 54%
Incorrect omission of medications 25% 42%
Incorrect continuation of medication 2% 6%

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Improving Outcomes With PSHs

The perioperative surgical home (PSH) is a patient-centered, team-based model of care designed to guide patients through the complete surgical experience. For a study, researchers compared cases of patients who underwent total knee, hip, or shoulder joint replacement before and after implementation of a PSH model. The model was designed to decrease intraoperative fluid use, reduce continuous femoro-sciatic nerve or brachial plexus blocks, and eliminate use of Foley catheters. It also aimed to ensure timely pain consult responses and to discharge patients as soon as the necessary criteria were met. Following implementation of the PSH model, preoperative imaging use dropped by 9% per case and the average number of tests per case was decreased by 22%. The average units of red blood cell use per case was reduced by 87% and the average length of stay decreased by 0.6 days. With the PSH model, patient satisfaction continually improved in the domains of pain management and doctor communication.

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Combining Pediatric Dental & Medical Surgeries

Combining dental and non-dental medical operations may address various financial, parental-time, and safety issues, including unnecessary exposure to general anesthesia. However, few studies have assessed the safety of combining restorative dental procedures and other surgeries under general anesthesia in a pediatric population. For a retrospective review, 55 patients (median age, 59 months) underwent a median of three procedures under a single anesthetic. Seven patients had perioperative complications, including vomiting, pain, fever, and pneumonia. Only four patients were admitted due to perioperative concerns, whereas eight were admitted for unrelated reasons.

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The Value of “Prehabilitation”

Efforts to streamline the recovery of surgical patients often neglect patient education and empowerment. For a study, investigators administered a 10-question patient survey on postoperative Day 2 to determine the effects of a “prehabilitation” course among patients enrolled in a colorectal enhanced recovery program (ERAS) and a matched cohort. ERAS included teaching patients about nutrition, physical conditioning, and mental health. It also provided information on expectations for length of stay, the recovery regimen, pain control, and potential postoperative complications. Researchers found that patients who were enrolled in ERAS subjectively reported statistically higher levels of satisfaction, empowerment, and preparedness.

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NEWS FROM ANESTHESIOLOGY 2016

Postoperative Delirium, Cognitive Changes Theme of ASA 2016

More Americans Undergo Procedures Involving Anesthesia Outside of O.R.

Many back pain patients get limited relief from opioids and worry about taking them, survey shows

Public health insurance may be a predictor of pain in post anesthesia care unit

American Society of Anesthesiologists recognizes Hannah Wunsch, M.D., with its 2016 Presidential Scholar Award

American Society of Anesthesiologists honors Alexander Hannenberg, M.D., with its Distinguished Service Award

Experimental drug shows promise in treating Alzheimer’s disease

American Society of Anesthesiologists names Jeffrey Plagenhoef, M.D., new president

Easing Labor Pain May Help Reduce Postpartum Depression in Some Women, Early Research Suggests

Linda J. Mason, M.D., elected first vice president of the American Society of Anesthesiologists

Patients benefit from tranexamic acid during heart surgery, withholding blood pressure meds before surgery, studies show

 

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