Monitoring Regional Oxygen Saturation: Assessing the Value of NIRS in Clinical Practice



Jeffrey A. Green, MD MSHA FASA

Vice Chair, Department of Anesthesiology          

Virginia Commonwealth University

Richmond, VA 



Conventional cardiovascular monitoring may not detect tissue hypoxia, and conventional cardiovascular support aiming at global hemodynamics may not restore tissue oxygenation.  This webinar will review the use of Near-Infrared Spectroscopy Systems (NIRS) to detect cerebral desaturation and how guided detection and correction of cerebral desaturation may assist clinicians in reducing the perioperative incidence and depth of cerebral desaturation and improving postoperative outcomes in the cardiovascular surgery.


Learning Objectives:

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

  1. Define what is GERD and its mechanisms

  2. Discuss esophageal pH testing and the interpretation of the data

  3. Discuss motility testing in GERD 


Faculty Bio:

Dr. Green is the Associate Professor, Anesthesiology Virginia Commonwealth University.He is a board-certified anesthesiologist with VCU Medical Center since 2001 and the Boyan-Keenan Professor of Anesthesia Safety. While Dr. Green is recognized for his expertise in cardiothoracic anesthesiology and patient safety, he is also dedicated to quality and performance improvement throughout the health system. In that capacity, he serves as Assistant Medical Director for Performance Improvement at VCU Medical Center. 

Derivation and Validation of a Novel Opioid-Induced Respiratory Depression Risk Prediction Tool



Ashish K. Khanna, MD, FCCP, FCCM, 

   Carla Jungquist, NP, DNP


Opioid-induced respiratory depression (OIRD), a form of respiratory compromise, is one of the leading avoidable patient safety issues. Respiratory compromise increases morbidity and mortality as well hospital inpatient costs. This presentation will discuss the results of a recent, multi-center study (PRODIGY, a Medtronic-sponsored study), which was designed to identify people at high risk for OIRD. Results showed that more than 40% of patients on the general care floor experienced OIRD. The investigators will share an easy-to use risk prediction tool they developed to identify patients at high risk that can lead to earlier interventions.


Learning Objectives:

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

1. Describe implementation strategy for continuous respiratory monitoring 

2. Discuss the challenges associated with predicting respiratory compromise postoperatively

3. Recognize patients at risk for respiratory compromise

Continuing Education for Physicians, Nurses, and Respiratory Therapists

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 SynAptiv and Saxe Healthcare Communications. SynAptiv is accredited by ACCME for 1 AMA PRA Category 1 Credit.


Continuing Respiratory Care Education (CRCE) credit by the American Association of Respiratory Care.


This education activity is approved for 1.0 contact hour. Provider Saxe Healthcare Communications approved by California Board of Nursing, Provider # 14477 and the Florida Board of Nursing Provider # 50-17032.


Support for this educational activity from Medtronic