Professional Aspects: Horizons for the CRNA Profession

o List three significant factors that will influence the anesthesia practice community within three to five years
o Discuss how decreasing reimbursement, increased demand, and the shortage of anesthesia providers may alter the clinical practice landscape in the next five to ten years.

Anesthesia for Orthopedic Trauma

o Discusses techniques and decision making for orthopedic trauma cases. Includes cervical spine injuries and airway management. Also includes discussion of long bone fractures and risk of fat embolism, compartment syndrome and offers advice on the role of regional anesthesia in trauma.

Upper and Lower Extremity Blocks: Basic Anatomy and Technique

o Describe the surface and neural anatomy important for performing upper extremity regional anesthesia.
o Discuss strategies to minimize the occurrence of complications associated with upper and lower extremity regional anesthesia
o Describe the surface and neural anatomy important for performing lower extremity regional anesthesia
o Discuss strategies to reduce complications of administering local anesthetic agents during regional blocks

Basic Principles of Regional Anesthesia

o The details of performing regional techniques often make a large difference in success rates. This topic explores the technical aspects of regional, how to avoid complications, use of nerve stimulation to locate appropriate nerves, the importance of parasthesias, and pearls that increase success rates and prevent problems with blocks.

Coagulation and Regional Anesthesia

o Discuss the role of platelets in hemostasis.
o Discuss the implications of antiplatelet agents for spinal and epidural anesthesia

Dexmeditomidine in Practice

o Covers the intraoperative use of this alpha 2 agonist for MAC reduction, sedation and control of chronic pain patients on large doses of narcotics. Includes literature and practical case management references to use for awake intubations, neurosurgical cases, morbid obesity and sleep apnea, and respiratory compromised patients. Dexmeditomidine's unique ability to blunt stress response and sedate patients without respiratory depression is a major advantage over many other agents.

Hypothermia and Preventing the Complications of Heat Loss

o List the patients most at risk for intraoperative heat loss and hypothermia
o Discuss strategies for preventing heat loss during surgery and anesthesia

Difficult Airway Management

o How to identify and plan for cases involving difficult airways. A view of intubation techniques and aids will be presented. Includes recent literature review of techniques and helpful hints.

Awareness Under General Anesthesia

o Discuss factors that place patients at increased risk for unintended awareness under general anesthesia
o Describe subjective experiences reported by patients experiencing unintended awareness under general anesthesia

Ketamine: New Uses as an Analgesic: Short and Long Term Effects on Pain

o Over the last few years there is evidence that the intraoperative use of ketamine can decrease both short-term postoperative pain but also can lower pain scores for prolonged periods of time.

Neuromuscular Blockade, Monitoring and Reversal

o Discuss the normal function of the neuromuscular junction
o Discuss common side effects associated with the pharmacological reversal of neuromuscular blockade

Remifentanil- A Useful Addition to Your Practice

o The helpful role of Remifentanil in a variety of cases in both general anesthesia and sedation will be discussed. The unique properties of this drug and various dosing techniques will be presented.
Included are block success rates from the literature and review of helpful approaches.

Physiology of Pregnancy: Anesthesia for Labor and Delivery

o Outline epidural infusion solutions for various patient types
o Discuss dosing of spinal and epidural anesthetics
o Outline appropriate orders following surgery or intrathecal opioids
o Contrast spinal and epidural techniques

Ultrasound in Anesthesia

o Discusses the use of ultrasound for central line placement and regional anesthesia. New smart friendly machines give a real time window into the body during invasive procedures. This is a rapidly evolving technique that is changing the practice of anesthesia.

Professional Aspects: Horizons for the CRNA Profession

o List three significant factors that will influence the anesthesia practice community within three to five years
o Discuss how decreasing reimbursement, increased demand, and the shortage of anesthesia providers may alter the clinical practice landscape in the next five to ten years.