Continuing Medical Education Information

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Jointly provided by the American Society of Anesthesiologists
and Society for Neuroscience in Anesthesiology and Critical Care

This CME activity is supported by educational grants from Masimo.

This CME activity is supported by in-kind donations from Cadwell Laboratories for two Cascade IOM Systems and two LCD Flat Panel Monitors and Natus Neurology Inc. for one Sonara Bilateral TCD and one Sonara Tek TCD.

Overall Learning Objectives

  • At the conclusion of this activity, participants should be able to:
    Learn how, at the basic neuroscience level, mechanisms of emergence from anesthesia are largely distinct from processes that mediate induction and maintenance. Neurobiological and dynamic principles of anesthetic state transitions will be reviewed, as well as the methods by which the anesthetic state can be reversed.
  • Overview the material needed to attain certification in Emergency Neurologic Life Support, as sponsored by the Neurocritical Care Society: “ENLS is a new course that is designed to help healthcare professionals improve patient care and outcomes during the most crucial time - the critical first hours of the patient’s neurological emergency. ENLS demonstrates a collaborative, multi-disciplinary approach and provides a consistent set of protocols, practical checklists, decision points, and suggested communication to use during patient management.” Attendees will increase their knowledge about acute weakness, acute stroke, coma, intracerebral hemorrhage, meningitis/encephalitis, resuscitation after cardiac arrest, spinal cord compression, status epilepticus, subarachnoid hemorrhage, traumatic brain injury, spinal cord injury, increased ICP, and herniation.
  • Gain an appreciation of the process and factors that lead to performing successful research. This will include learning about transitioning from an idea to a completed project including study design, funding, and implementation. This session is directed to trainees and early career neuroanesthesiologists, neurointensivists, and basic neuroscientists.
  • Learn the conceptual and practical aspects of intraoperative neuromonitoring. The learner will learn how to perform and interpret transcranial Doppler, EEG, and evoked potentials. There will be an emphasis on issues in monitoring during surgery. The learner will gain an understanding of the effects of anesthesia and surgery on each monitoring modality.
  • Identify the EEG signatures of different anesthetics.
  • Identify how these EEG signatures relate to mechanisms of anesthetic action.
  • Identify how the EEG can be used to manage unconsciousness in patients in the operating room.
  • Become knowledgeable about the pathogenesis of spinal cord injury. They will be able to consider current methods to attenuate post SCI secondary injury and will understand future directions in the management of SCI. The learner will be able to discuss current status and possible future availability of systemic and local hypothermia, stem cells, other neuroprotective modalities, and the role of advances in neurorehabilation in recovering from SCI.
  • Become familiar with concepts and advances in the integration of genomics with big data and electronic health records. The learner will be able to describe and differentiate genome wide association studies and phenotype wide association studies. In addition attendees will be able to describe how this new technology will enable personalization of care based on genomic profiles and how the combination of genomics with EHR-derived big data will lead to advances in personalized neuroanesthesia and neurocritical care. Finally, the learner will also have an appreciation of legal, financial, and technical obstacles in the development of personalized medicine.
  • Gain insight into the continuum of care from OR to neuroICU in the management of catastrophes during neurosurgery. Attendees will be able to describe issues related to genesis and management of massive hemorrhage during spine surgery. The learner will be able to describe causes, diagnosis, and management of transfusion associated lung injury. Participants will understand the pathogenesis and management of severe venous air embolism during neurosurgery. The learner will be able to better take care of patients presenting to the OR and then neuroICU after TBI with intracranial hematoma in the context of multiple trauma.
  • Describe interventional radiology procedures and their indications and complications. In addition, they will understand the issues in anesthetic management of patients undergoing neuroradiology procedures, including thrombolysis for acute ischemic stroke, vasospasm management, aneurysm coiling, and ablation of arteriovenous malformations and fistulas. The learner will be able to apply knowledge of the controversies in anesthetic approach in deciding the optimal anesthetic to use for these procedures and will understand pros and cons of choices in their intra and post procedure physiologic and medical management. The learner will have knowledge of important issues in making decisions about observation and management of patients after interventional neuroradiological procedures.

ACCME Accreditation and AMA Designation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Society of Anesthesiologists and the Society for Neuroscience in Anesthesiology and Critical Care. The American Society of Anesthesiologists is accredited by the ACCME to provide continuing medical education for physicians.

Directions for Claiming CME Credit

PLEASE NOTE: The ASA Education Center will not open until all registrants have been verified by the ASA. Please check the SNACC website or the Mobile App for updates.

PLEASE NOTE: There will be no printers provided at the SNACC Annual Meeting

Please follow these directions to access the course, claim your CME credits, complete the program evaluation(s) and print your CME certificate(s):

  • Log in to the ASA Education Center at: http://education.asahq.org/
    If you have accessed the ASA Education Center for a previous meeting, please use your existing ASA username and password. If you have not previously accessed the ASA Education Center, you will soon receive an e-mail from the ASA Education Center with log-in instructions.
  • Once you have logged on to the ASA Education Center homepage, click the tab that says “MY CURRENT COURSES” for the link to the SNACC Annual Meeting. “MY CURRENT COURSES” can be found at: http://education.asahq.org/my-activities
  • Select the link to access the SNACC Annual Meeting evaluation and claim credit.
  • To retrieve a username or password, enter your email address at: http://education.asahq.org/user/password

If you have any questions, please contact the ASA Education Center at educationcenter@asahq.org.

The American Society of Anesthesiologists designates this live activity for a maximum of 12.5 credits AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement
The American Society of Anesthesiologists remains strongly committed to providing the best available evidence-based clinical information to participants of this educational activity and requires an open disclosure of any potential conflict of interest identified by our faculty members. It is not the intent of the American Society of Anesthesiologists to eliminate all situations of potential conflict of interest, but rather to enable those who are working with the American Society of Anesthesiologists to recognize situations that may be subject to question by others. All disclosed conflicts of interest are reviewed by the educational activity course director/chair to ensure that such situations are properly evaluated and, if necessary, resolved. The American Society of Anesthesiologists educational standards pertaining to conflict of interest are intended to maintain the professional autonomy of the clinical experts inherent in promoting a balanced presentation of science. Through our review process, all American Society of Anesthesiologists CME activities are ensured of independent, objective, scientifically balanced presentations of information. Disclosure of any or no relationships will be made available for all educational activities.

Disclaimer
The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

Statement of Need 
The overall scientific program of the SNACC 42nd Annual Meeting addresses the specialty’s practice gaps and underlying educational need in multiple areas, including development, design and conduct of a clinical research project, as well as anesthetic concerns in emergency situation and their relationship to neurosciences from the basic science perspective through clinical workshops. A workshop will address the current gap in the anesthesiologists’ knowledge about intraoperative monitoring of the nervous system. There will also be lectures on the novel topic of application of genomics in neuroanesthesia and important updates on intraoperative catastrophes and anesthesia in the neurointerventional suite. This aggregate reflects the diversity of the specialty and the needs and interests of the general and sub-specialist anesthesiologist’s practice. The moderated posters will reflect experimental and clinical neuroscience.

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