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INTRODUCTION

9/30/2021 Anesthesiology Grand Rounds - ASA Rehearsal Presentations

QUIZ

EVALUATION

CERTIFICATE

INTRODUCTION

Credit Hours: CME 1.00

Target Audience:

Anesthesiologists and anesthesiologists-in-training and other anesthesia professionals, nurse anesthetists and anesthesia assistants.

Presentations:
 Summary of Experience on Peri-Operative Metabolic Control in Pediatric Patients with Propionic Acidemia or Methylmalonic Acidemia Undergoing Liver or Liver - Kidney Transplantation - Retrospective Analysis
Presented by: Mariusz Ligocki, MD

Analysis Of Academic Chronic Pain Clinic Workflow Using A Lean Six Sigma Methodology
Presented by: Sheri Wang, MD

Virtual Reality Preparation for the Cardiac Anesthesiology Rotation
Presented by: Christopher Lacomis, MD

Effect of Enhanced Recovery After Surgery Protocols on the Incidence of Postoperative Opioid-Induced Ventilatory Events
Presented by: Anthony E. Pannunzio, MD

Ketamine PCA Use for Pediatric Medical Pain
Presented by: A. Paige Pribonic MD

Survey of Provider Perceptions of Enhanced Recovery After Surgery and Perioperative Surgical Home Protocols at a Tertiary Care Hospital
Presented by: Zachary Denham, MD

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Identify whether or not Enhanced Recovery After Surgery protocols reduce the incidence of opioid-induced ventilatory events postoperatively
  • Explore provider perceptions about Perioperative Surgical Home (PSH) and Enhanced Recovery After Surgery (ERAS) protocols and how to best improve and implement them. 
  • Describe the challenges of perioperative metabolic control in patients with methylmalonic and propionic acidemias.
  • Examine the current use of ketamine PCAs in pediatric patients and how they may affect pain scores and opioid use.
  • Review the effect of virtual reality on resident preparation for their cardiac anesthesiology rotation.

Suggested Additional Reading & Joint Accreditation Statement - Note: This Accreditation Statement Supersedes All Other Statements:

Suggested Additional Reading:

  1. L Sun Z, Sessler DI, Dalton JE, et al. Postoperative Hypoxemia Is Common and Persistent: A Prospective Blinded Observational Study. Anesth Analg. 2015;121(3):709-715.
  2. Ruzkova K, Weingarten TN, Larson KJ, Friedhoff RJ, Gavrilov DK, Sprung J. Anesthesia and organic aciduria: is the use of lactated Ringer's solution absolutely contraindicated? Paediatr Anaesth. 2015 Aug;25(8):807-817. doi: 10.1111/pan.12673. Epub 2015 May 5. PMID: 25943188.
  3. Sheehy, Kathy A, et al. “Subanesthetic Ketamine for Pain Management in Hospitalized Children, Adolescents, and Young Adults: A Single-Center Cohort Study.” Journal of Pain Research, Volume 10, 2017, pp. 787–795., https://doi.org/10.2147/jpr.s131156.
  4. Chu, H., Westbrook, R.A., Njue-Marendes, S. et al. The psychology of the wait time experience – what clinics can do to manage the waiting experience for patients: a longitudinal, qualitative study. BMC Health Serv Res 19, 459 (2019). https://doi.org/10.1186/s12913-019-4301-0.
  5. Nielsen PE, Holland RH, Foglia LM. Evaluation of a clinical skills orientation program for residents. Am J Obstet Gynecol. 2003 Sep;189(3):858-60.


Joint Accreditation Statement:

In support of improving patient care, the University of Pittsburgh 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. The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.


The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Each physician should only claim credit commensurate with the extent of their participation in the activity.


Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Authors:
Sheri Wang, MD — PGY-2 Resident, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh. University of Pittsburgh Medical Center
No relationships with industry relevant to the content of this educational activity have been disclosed.
Anthony Pannunzio, MD — PGY-4 Resident, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh. University of Pittsburgh Medical Center
No relationships with industry relevant to the content of this educational activity have been disclosed.
Christopher Lacomis, MD — PGY-3 Resident, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh. University of Pittsburgh Medical Center
No relationships with industry relevant to the content of this educational activity have been disclosed.
Mariusz Ligocki, MD — PGY-2 Resident, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh. University of Pittsburgh Medical Center
No relationships with industry relevant to the content of this educational activity have been disclosed.
Paige Pribonic, MD — PGY-3 Resident, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh. University of Pittsburgh Medical Center
No relationships with industry relevant to the content of this educational activity have been disclosed.
Tetsuro Sakai, MD, PhD, MHA, FASA — Vice Chair for Professional Development; Chair, Academic Promotions Committee; Professor, Anesthesiology and Perioperative Medicine; Professor, Clinical and Translational Science Institute; Faculty Member, McGowan Institute of Regenerative Medicine,
Dr. Sakai receives funding from Springer Inc. (Book royalty).
Zachary Denham, MD — PGY-4 Resident, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh. University of Pittsburgh Medical Center
No relationships with industry relevant to the content of this educational activity have been disclosed.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

This activity is approved for AMA PRA Category 1 Credit™

The University of Pittsburgh is an affirmative action, equal opportunity institution.