Nurse Anesthetist Review & Update

Accreditation

Intended Audience

Certified Registered Nurse anesthetists (CRNAs), nurse anesthesia students, and other anesthesia health care professionals interested in a thorough review and update in the practice of anesthesia.

Learning Objectives

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

• Describe the physiological processes associated with the coagulation pathway.
• Identify and discuss common acquired and inherited bleeding disorders.
• Describe the contemporary standard of care with respect to the intraoperative management of blood pressure in the adult patient.
• Recognize situations in which the loss of the normal CNS blood flow reserve makes the CNS vulnerable to BP management that nominally falls within the standard of care.
• Identify common and uncommon complications associated with blood transfusions.
• Describe mechanism of action of drugs that alter the hemostatic mechanism; describe the influence these drugs have on regional anesthesia.
• Describe a systematic approach to the manipulation of the volume of the intracranial contents.
• Describe the potential impact of anesthetic agents and techniques on intracranial pressure.
• Discuss the pathophysiology of diabetes; discuss mechanism of hypoglycemic drugs; discuss anesthetic implications of oral hypoglycemic.
• Identify Issues related to fatigue and medical care; discuss Standards of various organizations for work-rest time.
• Describe the role of legal system in anesthetic practice.
• List and discuss 2013 revised AANA standards of practice.
• Identify anesthetic implications and management in pacemaker patients and in patients with cardiac stents.
• Identify newer antihypertensive drugs and describe mechanism of action.
• Identify side effects of drugs commonly used in anesthesia.
• Identify common medication and practice errors associated with anesthesia practice.
• Discuss utility of modern kinetic and dynamic principles as applied daily in the O.R.; Discuss clinical combinations of opioids and sedatives for rapid recovery.
• Using simulation, describe concepts of basic kinetic and dynamic principles of anesthetic agents.
• Discuss changes in pharmacokinetics and dynamics in obese patients.
• Identify new trends in anesthesia IV drugs.
• Identify physiologic changes associated with aging, and describe pharmacokinetic and dynamic changes in anesthetic drugs.
• Identify controversial practices in administration of anesthesia.
• Using evidenced-based data, develop a plan to address these controversial areas in anesthesia management.
• Identify anesthetic challenges associated with GI endoscopy and prone position procedures.
• Identify common tests for pregnancy, diabetes, anticoagulation, and heart failure.
• Discuss the pathophysiology of allergies; identify signs and symptoms of reactions.
• Identify drugs that interact with the NMDA receptor.
• Describe traditional reversal of nondepolarizing blocking drugs; discuss concerns related to traditional reversal.
• Identify anesthetic challenges and solutions for the non-pediatric anesthetist.
• Identify anesthetic challenges and solutions for the occasional obstetrical anesthetist.
• Describe trends in AANA membership demographics, education, employment, and public relations.
• Discuss initiatives regarding CRNA Wellness, PAC, and research.
• Discuss the etiology, frequency and presentation of perioperative stroke.

At the conclusion of this Ultrasound in Anesthesia Hands-on Workshop, the participant should be able to:

• Describe the basic structure and function in afferent nerve conduction
• Describe the relationship between high frequency and amplitude of acute pain; Discuss the peripheral and central sensitization of pain pathway modulators
• Identify the basic anatomy of the brachial plexus as it relates to placement of nerve stimulator blocks.
• Describe the variations on individual anatomy as seen using ultrasound (sona-anatomy).
• Describe the appropriate nerve blocks for both acute pain management and surgical anesthesia.
• Demonstrate ultrasound approaches to upper extremity blocks and describe the performance and evaluation of brachial plexus anesthesia.
• Demonstrate ultrasound approaches to lower extremity blocks and describe the expected performance and evaluation of lumbar plexus anesthesia.

Statement of Need

Practicing anesthesiologists, anesthesiology residents, and practicing CRNAs require a thorough periodic review of our specialty's core information. Dannemiller has organized such a review of this body of information by drawing on the opinions of expert anesthesiology educators, as well as feedback from anesthesia professionals and participants at previous Dannemiller programs. Based on this information, this course has been designed to provide an in-depth, state-of-the-art review of the practice of anesthesia. It is intended to meet the needs of those preparing for certification or re-certification examinations, and/or practitioners who desire a comprehensive review of our discipline's core body of information.

Method of Participation

This program consists of lectures, enhanced by slide presentations, daily question and answer periods, and a complete electronic syllabus. The course sessions will provide a complete review and study of current anesthesia practices.

Accreditation

Nurse Anesthetists

This program has been prior approved by the American Association of Nurse Anesthetists for 40 CE credits; AANA Code Number 1028059; Expiration Date 12/07/13.