Related objectives

• Discuss the use of robots in surgical procedures
• Identify the issues of concern with the use of pneumoperitonium used in robotic surgical procedures
• Identify the physiological derangements associated with steep head down position utilized in some robotic surgical procedures.
• Review some of the recent articles concerning evidence based findings regarding robotic procedures

• Discuss the anesthetic concerns for a morbidly obese pregnant patient
• Review methods to improve success of regional anesthesia in the morbidly obese patient

• Review reasons why the pregnant patient may be prone to intubation difficulties
• Discuss methods to help reduce difficult intubation in the OB patient

• The learner will understand the anatomy, physiology, techniques, and evaluation of epidural anesthesia

• The learner will understand the causes of clinical misadventures associated with epidural anesthesia

• Differentiate between postpartum headache and PDPH
• Discuss management of PDPH with emphasis on Epidural Blood Patch

• Review types of trauma encountered in pregnancy
• Discuss anesthetic management of the pregnant trauma patient

• Identify and compare the hallmark signs and symptoms of the more commonly encountered neuromuscular disorders: Myasthemia gravis, Eaton-Lambert Syndrome, Myotonia (four categories) and Muscular dystrophy
• Discuss the etiology of the four neuromuscular disorders.
• Compare normal neuromuscular transmission with that of a patient with one of the four neuromuscular disorders
• Review the current methods of diagnosis and treatment options
• Understand the anesthetic implications and the appropriate management of a patient with one of these neuromuscular disorders and be able to design an effective plan of care for a patient with a neuromuscular disorder

• Recognize during the pre-anesthetic evaluation defensive posturing, and body language exhibited by adults or pediatric patients as potential signs of abuse
• Screen patients with a history of domestic violence victimization that will result in doing no further harm to the patient
• Describe the key components to be evaluated during an anesthetic assessment of a suspected domestic violence patient
• Select the appropriate anesthetic to be administered safely by incorporating the physiological cascade symptomatology present in victims/patients of domestic violence
• Identify those patients that may exhibit potential devastating effects of endogenous released catecholamines, or the lack thereof, to insure the safe provision in the administration of an anesthetic

• Discuss the types of cardiac stents used, the use of anti-thrombic medications and some of the research being done on newer stents
• Discuss some of the challenges facing the anesthesia and surgical teams in the care of a patient with cardiac stents
• Review some of literature associated with the use of drug eluting and bare metal cardiac stents and their significance in adopting standards of care

• The learner will understand the clinical pharmacology of epidural anesthesia

• Discuss the legal and ethical issues surrounding a patient’s rights in making self-determination, “Do-Not-Resuscitate” and other end-of-life Advanced Directives and it’s impact on how we practice anesthesia
• Contrast palliative care with curative care
• Compare pain management techniques employed in anesthesia to other comfort measures useful in end-of-life care

• The learner will understand the importance of sterile technique and timely recognition of systemic infection associated with epidural anesthesia

• Identify common work stressors and the long term effects these create physiologically and emotionally.
• Describe the impact of production pressure on work performance
• Implement skills or behaviors that will reduce the level of professional or personal stress.
• Develop fitness for duty criteria for the CRNA
• Describe the stages and symptoms of burnout and how it relates to practice and personal life.
• Identify management techniques for improving a dysfunctional department

• Review the general principles related to bacteriology and the effectiveness of antibiotics
• Identify the various antibiotics, their classifications, mechanism of action, contraindications and effects on various anesthetics in use
• Review the studies that have lead to the widespread use of antibiotics in surgery today

• Review the Pharmacokinetics and Dynamics of Ketamine
• Discuss some of the uses past and present of Ketamine
• Explore the literature for new and relevant findings for the use of Ketamine in anesthesia today

• At the close of day one, two and four a review of the days presentations will be held in an interactive format
• Each open forum earns one credit hour (4 total)

* Pharmacology