Special Topics in Anesthesia: Pediatrics

Release Date: August 31, 2017
Expiration Date: December 14, 2018

This educational activity is provided by Dannemiller
Dannemiller

Intended Audience

Physicians, Registered Nurses, CRNAs

Learning Objectives

Upon completion of this activity, the participant should be able to:

  • Describe clinical experience with modified protocol in consecutive patients undergoing fetoscopic surgery for spina bifida aperta (SBA).

  • Discuss the implications for postoperative pediatric patients following tonsillectomy when IV continuous magnesium infusion is administered.

  • Investigated the effect early postoperative oral fluid intake had on the needs for postoperative opioids and the incidence of postoperative vomiting.

  • Investigated the use of smartphone-based behavioral interventions to reduce anxiety in children during induction of anesthesia.

  • Reported a ventral cerebrospinal fluid leak and a lumbar transforaminal epidural blood patch in a child.

  • Measure the incidence of postoperative APN in infants after awake RA vs GA for inguinal hernia repair.

  • Evaluate the effects of anesthesia before age 5 on the intelligence quotient scores at age 6.

  • Determine the impact of preoperative fasting times on children < 36 mos.

  • Determine predictive factors for perioperative homologous transfusion during pediatric scoliosis surgery.

  • Develop and validate a risk stratification score for children undergoing noncardiac surgery.

  • Determine whether children with preoperative anemia undergoing noncardiac surgery would have an increased risk of in-hospital mortality.

  • Discuss the differences observed between the Deep and Light groups in the study by Fredrick et al. study.

  • Discuss the potential value of ultrasound examination of gastric contents in infants presenting for pyloromyotomy.

  • Assess the efficacy of the ANI to monitor postoperative pain in pediatric patients.

  • Assess the effect of general anesthesia on children 0-4 yrs old.

  • Determine the impact of higher fibrinogen concentrations for the reduction of transfusion requirement for children undergoing major surgery.

  • Evaluate perioperative adverse events (AEs) and resource utilization in infants undergoing pyloromyotomy with spinal anesthesia (SA) versus general anesthesia (GA).

  • Assess the risk of opioid-induced respiratory depression in children with neurodevelopmental disabilities.

  • Describe the management of pediatric rib fractures with a thoracic epidural.

  • Evaluate the effect of melatonin premedication on preventing emergence agitation in children after general anesthesia.

  • Compare and contrast the advantages of propofol and dexmedetomidine for provision of deep sedation to small children with respiratory morbidities to facilitate MRI studies.

  • Discuss the observed implications for adverse neurodevelopmental outcomes among children <2-years of age exposed to surgery/anesthesia.

  • Measure the time to adequate end-tidal oxygen fraction ≥ 0.9, in different age groups of children in supine, 30 and 45° head-up positions.

  • Compare gastric pH and residual gastric volume after 1vs 2 h pre-anesthetic clear fluid fasting in children undergoing elective procedures with general anesthesia.

  • Assess gastric volume in fasted children using ultrasound (US) before and after drinking carbohydrate fluids before surgery.

  • Assess the impact of acute coagulopathy on pediatric trauma patients.

  • Discuss risk factors associated with higher incidence of the occurrence of perioperative respiratory adverse events (PRAEs).

  • Relate the observed effect on systolic blood pressure changes when prophylactic anticholinergic agents were administered prior to dexmedetomidine sedation in pediatric patients.

  • Assess the efficacy of retrobulbar block in pediatric vitreoretinal surgery.

  • Identify system- and anesthesiologist-related risk factors for pediatric anesthesia-related cardiac arrest (ARCA) after controlling for patient-related risk.

Statement of Need

This program is designed to assist anesthesia team-members in the area of Pediatrics.

Method of Participation

This activity should take approximately 3 hour to complete. Participants should first read the objectives and other introductory CME/CE information and then proceed to the educational activity. To receive credit for this activity, participants must complete the post-test with a passing score of 80% and then complete the evaluation. Credit is provided through December 15, 2018. No credit will be given after this date. 

In the event you have questions about this activity or are unable to retrieve the certificate, please email cme@dannemiller.com and a certificate will be emailed within 2 weeks.

System requirements

  • Computer, tablet, or smartphone with internet access
  • Web browser (Chrome, Firefox, IE 8+) with javascript enabled

Accreditation

In support of improving patient care, Dannemiller 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.

 

Nurse Anesthetists

Special Topics in Anesthesia: Pediatrics is in compliance with the new CPC Program requirements, created by the NBCRNA, and are classified as Class A CE credits. CRNAs may also apply excess Class A assessed CE credits to fulfill the Class B requirements.

Please visit the NBCRNA website for more information regarding the new CPC Program and how it will affect your upcoming recertification.

  • This program has been prior approved by the American Association of Nurse Anesthetists for 3.0 Class A CE credits; AANA Code Number 1035658; Expiration Date 12/15/2018.

Physicians

Dannemiller designates this enduring material for a maximum of 3.0 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. Dannemiller is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Registered Nurses

Dannemiller designates this educational activity for 3.0 contact hours.

Faculty

Abstractors and their disclosures are identified at the onset of each abstract.

Disclosures

In accordance with the Accreditation Council for Continuing Medical Education (ACCME), Dannemiller requires that any person who is in a position to control the content of a CME activity must disclose all relevant financial relationships they have with a commercial interest.

Dr. James Eisenkraft, content reviewer, and Barbra Thompson, Dannemiller project manager have no financial relationships with commercial interests.

To resolve identified/potential conflicts of interest, the educational content was fully reviewed by a member of the Dannemiller Clinical Content Review Committee who has nothing to disclose. The resulting certified activity was found to provide educational content that is current, evidence based and commercially balanced.

Off-label statement

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by FDA. The opinions expressed in the educational activity are those of the faculty. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Further, attendees/participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.

Disclaimer

The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of Dannemiller. This material is prepared based upon a review of multiple sources of information, but it is not exhaustive of the subject matter. Therefore, healthcare professionals and other individuals should review and consider other publications and materials on the subject matter before relying solely upon the information contained within this educational activity.

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