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
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.
Upon completion of this activity, the participant will be able to:
Define what is GERD and its mechanisms
Discuss esophageal pH testing and the interpretation of the data
Discuss motility testing in GERD
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.
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