OBJECTIVES CREDITS At the end of this activity, participants will be able to: PROVIDED BY HUNTSVILLE HOSPITAL Course Number: CE35131014 & CE35141014 Huntsville Hospital is a Board-approved provider of continuing nursing education in Alabama by the Alabama Board of Nursing. Our approval status is valid through December 12, 2017. Provider Number: ABNP0278. Nursing/RT Contact Hours: Day 1= 9.6; Day 2= 9.6 • Identify 3 drug classes typically associated with pharmacogenomics and anesthesia practice and the 3 single nucleotide polymorphisms associated with opioid metabolism • Describe the 2 types of genetic alterations resulting in altered drug expression/metabolism and 2 ways in which pharmacogenomics impact anesthesia care • Define 2 types of implantable cardiac devices • Relate evidence-based recommendations for anesthesia management of AICD devices • Review & list pre-operative evaluation process (utilizing the ACC/ AHA algorithm) to determine which patients are adequately prepared for anesthesia. • Review pertinent pre-operative medications that should be initiated, continued or discontinued prior to surgery. • Review risk factors for emergence delirium and recognize the role that PTSD neurophysiology plays in anesthesia delivery and emergence from anesthesia. • Differentiate emergence delirium from other post-operative states including dementia. • Describe 4 unique physiologic changes associated with pregnancy and Identify 2 common non-pregnancy surgeries encountered with a pregnant patient • Review evidence-based guidelines/recommendations to practice. • Define 3 OB emergencies and review evidence-based guidelines to anesthesia management of OB emergencies • Review various off-site anesthesia settings (endo, cardiac EP, cardiac cath. lab, radiology, radiation oncology) and list risks and anesthesia delivery issues specific to each area. • Recognize common pit-falls of providing off-site anesthesia and list strategies for providing safe and timely anesthesia in the non-OR setting. • Review lateral vs. sitting position shoulders in neuro cases • Describe prone positioning in multiple type procedures • Recognize situations in the OR that require immediate intervention and review diagnosis of critical OR incidents (basic TEE and other measures). • Review and discuss algorithms for treatment of cardiac arrest under anesthesia and ACLS scenarios and their successful resolutions. • List current indications for transfusion in the operative setting and state risks and benefits of administration of red blood cells (RBCs), fresh frozen plasma (FFP), cryoprecipitate and other blood components in the OR. • Review blood typing and cross-matching, as well as steps for proper and safe administration of blood products; Recognize research on utilization of blood products in the OR • Identify the 6 levels of evidence grading and 3 ways in which primary research studies can be rapidly critiqued • Describe 2 methods of practice change • Define 3 pain pathways contributing to acute postoperative pain and the physiology of non-opioid pain transmission cessation • Articulate 2 non-opioid analgesics to treat acute postoperative pain • Recognize the children and procedures that pose the highest risk for outpatient and inpatient anesthesia. • Evaluate new findings in pediatric anesthesia literature (including pharmacology). • List risks of anesthesia for the developing brain and Discuss strategies for psychological preparation of children and parents for anesthesia. • Review the pathophysiology of pediatric cardiac disease (tetralogy of Fallot, transposition, ASD, VSD, hypoplastic left heart, aortic stenosis, coarctation of the aorta). • Discuss risks of anesthesia for the various pediatric cardiac disorders and list features of genetic syndromes and anesthesia risks for each. • Describe the stages of obesity • Articulate & describe 2 physiologic changes associated with obesity and 2 anesthesia considerations unique to the morbidly obese patient • Describe the use to mechanical devices and the CRNAs role of understanding and the use of air way devices • Review patient information and record keeping devices. Course Number: CME4611014 & CME4621014 Huntsville Hospital designates this live educational activity for a maximum of DAY 1: 8.0 AMA PRA Category 1 Credits™. Huntsville Hospital designates this live educational activity for a maximum of DAY 2: 8.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Huntsville Hospital is accredited by the Medical Association of the State of Alabama to provide medical education for physicians. This program has been prior approved by the American Association of Nurse Anesthetists for 2 CE credits; Code Number 1030713; Expiration Date 02/08/2015. PROVIDED BY MED CITY ANESTHESIA SEMINARS Med City Anesthesia Seminars provides continuing education to the nurse anesthetist. Attendees benefit from focus on evidence-based practice and current trends in anesthesia. This program has been prior approved by the American Association of Nurse Anesthetists for 14 CE credits, 3 of which count toward pharmacology credits (Review of cardiac testing modalities/Statins and Beta blockers; Multimodal anesthesia; Pharmacogenomics in Anesthesia Care). AANA Code Number 1030388; Expiration Date 02/08/15. 2015 ANESTHESIA CONFERENCE Saturday, February 7 - 7:00am - 4:45pm AND Sunday, February 8 - 7:00am - 4:45pm at the Huntsville Hospital Dowdle Center in Huntsville, AL AGENDA SPEAKER INFORMATION Huntsville Hospital - Department of Anesthesia is offering a two-day continuing education conference on Anesthesia topics, in partnership with Med City Anesthesia Seminars. This event is reserved for Nurse Anesthetists and Anesthesiologists. Conference will be held at HUNTSVILLE HOSPITAL'S CORPORATE UNIVERSITY AT THE DOWDLE CENTER 109 Governors Drive • Huntsville, AL • 256.265.8025 (Corner of Gallatin St. & Governors Dr. ) Note: Parking is available at the Governors Medical Tower/Spine & Neuro Center on Gallatin Street. Saturday, February 7, 2015 Sunday, February 8, 2015 7:00am-7:25am Registration & Continental Breakfast 7:00am-7:30am Registration & Continental Breakfast 7:25am- 7:30am Welcome 7:30am-8:30am 7:30am-8:30am Pharmacogenomics in Anesthesia Care Dru Riddle ACLS in the OR/Management of Critical Situations in the OR - Anne Sauri 8:30am-9:30am 8:30am-9:30am Anesthesia Considerations for a Cardiac Rhythm Management Devices - Dru Riddle Transfusion in the OR Anne Sauri 9:30am-9:45am Break 9:30am-9:45am Break 9:45am-10:45am Evidence Based Practice - Dru Riddle 9:45am-10:45am Review of Cardiac Testing Modalities/Statins and Beta Blockers - Anne Sauri 10:45am-11:45am Multimodal Anesthesia - Dru Riddle 10:45am-11:45am PTSD and Emergence Delirium - Anne Sauri 11:45am-12:15pm Lunch 11:45am-12:15pm Lunch 12:15pm-1:15pm Update on Pediatric Anesthesia Anne Sauri 1:15pm-1:30pm Break 1:30pm-2:30pm Anesthetic Management of the Pediatric Patient with Coexisting Disease/Cardia Disease Anne Sauri 2:30pm-3:30pm Anesthesia Management of the Morbidly Obese Patient - Dru Riddle 12:15pm-1:15pm Anesthesia for the Pregnant Patient for Non-OB Surgery - Dru Riddle 1:15pm-1:30pm Break 1:30pm-2:30pm OB Emergencies - Dru Riddle 2:30pm-3:30pm Off-site Anesthesia - Anne Sauri 3:30pm-3:45pm Break 3:30pm-3:45pm Break 3:45pm-4:45pm Patient Safety Related to Technology Patsy Langford 3:45pm-4:45pm Patient Safety Related to Positioning Patsy Langford REGISTRATION This event is reserved for Nurse Anesthetists and Anesthesiologists. Cost for Non-Huntsville Hospital Employees: $125 for 1 day or $250 for both days. To register, go to: www.huntsvillehospital.org/conferences The registration website will guide you through the registration process. Conference registration is on a first-come, first-served basis until program is full.If a registrant must drop out before the program begins, participants will need to call 256-265-8025 to cancel their registration up to 3 business days prior to the program. For more information, please call 256.265.8025 Patsy Langford, CRNA For the last fourteen years, Mrs. Langford has practiced as a Certified Registered Nurse Anesthetist. Since 1991, she has embraced and actively participated as a clinical educator for Associate, Bachelors, and Master prepared nursing students. She is an adjunct instructor of advanced pathophysiology at the UAB Graduate School of Nursing. She guest lectures for Universities and organizations. She is a leader in organizing continuing education events in the community. She is an active member and committee member in the ALANA and AANA. She is an active member and State President of the GBAALNC and AALNC. Patsy is a published author and serves as a peer reviewer for professional peer reviewed journal, The Journal of Legal Nurse Consulting. Dru Riddle, CRNA, DNP Assistant Professor of Professional Practice, Deputy Director, TCU Center for Evidence Based Practice and Research - Texas Christian University, School of Nurse Anesthesia Fort Worth, Texas Dru is an Assistant Professor of Professional Practice in the School of Nurse Anesthesia at Texas Christian University in Fort Worth, Texas. He completed his nurse anesthesia training at Old Dominion University in Norfolk, Virginia and works clinically at Baylor All Saints Medical Center in Fort Worth, Texas with a special interest in high-risk OB anesthesia. Dru completed his DNP degree at Texas Christian University and is actively working to complete his PhD in Nursing and Pharmacogenomics at the Medical University of South Carolina. He is actively involved in evidence based practice research and has spoken internationally on research methodologies related to evidence based practice. Anne Sauri, CRNA, DNP Staff Nurse Anesthetist, Alexian Brothers Medical Center Elk Grove Village, Illinois Anne practices full-time as a nurse anesthetist, with experience in a wide variety of clinical settings. She received her anesthesia training at the Cleveland Clinic and practiced pediatric anesthesia there before relocating to Chicago. She has worked at the University of Chicago Medical Center and currently practices as a staff nurse anesthetist at Alexian Brothers Medical Center in the Chicago suburbs. Anne has undergraduate degrees in nursing and political science, and attended law school before completing her anesthesia training. In 2013, she completed her Doctorate of Nursing Practice at the University of Iowa with a doctoral thesis focusing on utilizing simulation to improve pediatric anesthesia safety in the community hospital setting. In addition to being an experienced guest speaker at state-wide conferences, Anne has served as a local facilitator for Johns Hopkins Optimal Anesthesia Management educational meetings.