Neuraxial Regional Anesthesia Epidural Workshop

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1 Neuraxial Regional Anesthesia Epidural Workshop Friday, September 21, 2018 Hynes Convention Center 900 Boylston St. Boston, MA Preliminary Program

2 Purpose: The core faculty of the popular AANA Regional Anesthesia Workshops offers an opportunity to update current knowledge of epidural anesthesia techniques and clinical applications. Target Audience: The workshop is intended for anesthesia providers desiring to learn or update their clinical knowledge of epidural anesthesia. Friday, September 21, :00 8:05 am Welcome and Overview 8:05 9:05 am 9:05 10:05am Neuraxial Regional Anesthesia (1 Class A CE) 1. Review anatomy to the epidural space. 2. Describe techniques and methods to improve success of epidural placement. Clinical Conundrums Epidural Misadventures (1 Class A CE) 1. Recognize the causes of clinical misadventures associated with epidural anesthesia. 10:05 10:20 am Refreshment Break 10:20 11:20 am 11:20 12:20 pm Application of Ultrasound in Epidural Placement (1 Class A CE) 1. Describe the basics of ultrasonography. 2. Describe lumbar spine ultrasound technique. Catheter In, Now What? Obstetric and Surgical Dosing Applications (1 Class A CE with 1 Pharm) 1. Describe the calculation of appropriate dosages of drugs for epidural analgesia/anesthesia. Beth Ann Clayton, DNP, MS, CRNA CAPT Lisa A. Osborne Smith, PhD, CRNA, NC, USN 12:20 1:15 pm Lunch Provided 2 P a g e

3 1:15 2:15 pm 2:15-4:15 pm Obstetric Application of Regional Anesthesia (1 Class A CE with.25 Pharm) 1. Describe changes of pregnancy that may affect the use of or placement of neuraxial anesthetic techniques. 2. Describe methods to improve the outcome of OB neuraxial techniques. 3. Review commonly used local anesthetic and opioid drug combinations for labor analgesia. 4. Review side effects of epidural opioids. 5. Discuss neurological side effects and complications associated with regional anesthesia in the parturient. Learning Stations with Hands-On Demonstration and Guidance (2 Class A CE) 1. Demonstrate the superficial anatomical landmarks applicable to epidural anesthesia techniques. 2. Demonstrate manipulation of equipment, proper needle insertion, and drug instillation. 3. Apply knowledge of pharmacology in the calculation of appropriate dosages of drugs for epidural analgesia/anesthesia. Beth Ann Clayton, DNP,MS, CRNA CAPT Lisa A. Osborne Smith, PhD, CRNA, NC, USN Franklin J. McShane, DNP, CRNA Mary S. Nadolny, MS, CRNA 4:15 PM Program Ends Workshop Faculty Dr. Reese holds a BS degree in Nursing, a BS in Nurse Anesthesia, a MBA in Health Services Management, and two earned doctoral degrees (a Ph.D. in Health Services Administration, Ph.D. in Adult Education). His US Navy career spanned three decades, rising from the enlisted ranks to retire at the rank of Captain. He retired as an Associate Professor in both the Department of Anesthesiology and Department of Obstetrics and Gynecology Medical College of Virginia Physicians. Dr. Reese is the recipient of the AANA s Alice McGaw Clinical Practitioner Award (2000), the Helen Lamb Outstanding Educator award (2006), and the Agatha Hodgins Award for Outstanding Accomplishment (2016). 3 P a g e

4 Beth Ann Clayton, DNP, MS, CRNA Dr. Clayton is the Nurse Anesthesia Program Director for the University of Cincinnati. She is a member of the Obstetric Anesthesia Guidelines Committee, and the AANA Closed Claims Committee in which her primary responsibility was to review the obstetric anesthesia cases. Dr. Clayton is also a member of the AANA Spinal/Epidural workshop faculty. CAPT Lisa A. Osborne Smith, PhD, CRNA, NC, USN Dr. Osborne Smith is the Program Director of the Oregon Health and Sciences University. She has been a practicing CRNA since 1998 and a large portion of her practice is dedicated to the use of regional anesthesia. She has been teaching the regional anesthesia workshop since She is a former active duty Navy officer of 26 years with extensive regional anesthesia experience. Mr. Kasson is on faculty at Northern Kentucky University as Adjunct Assistant Professor of Clinical Nursing. He has been a faculty member and speaker at the AANAs highly acclaimed Spinal and Epidural Workshops since 2008 and was the recent president of the Ohio State Association of Nurse Anesthetists. As author and coauthor he has published articles in the AANA Journal and Anesthesia and Analgesia as well as the chapter on Obstetrical Anesthesia in the latest edition of Nagelhout's textbook Nurse Anesthesia. As a speaker he has presented at state association meetings and the AANAs national meetings. Franklin J. McShane, DNP, CRNA Dr. McShane is the Program Director of the Nurse Anesthesia Program at Rosalind Franklin University. Prior to taking that position, he practiced in a small independent private practice anesthesia group in rural Wisconsin for 18 years. Mary S. Nadolny, MS, CRNA Ms. Nadolny is a retired Navy CRNA who is currently pursuing a MPA/MPH at New York University in New York City. She continues to practice as a CRNA while a full-time graduate student. Accreditation Statement: This course has been prior approved by the American Association of Nurse Anesthetists for 7.0 Class A CE credits; AANA Code Number ; Expiration date 09/21/2018. AANA designates this program as meeting the criteria for up to 1.25 CE Credits in Pharmacology/Therapeutics. The American Association of Nurse Anesthetists is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. Provider approved by the California Board of Registered Nursing, Provider # P a g e

5 Conflict of Interest Disclosure: This educational activity is being presented without the provision of commercial support and without bias or conflict of interest from the planners and the presenters. In Kind Support: Ultrasound equipment for this educational activity has been provided by Sonosite and GE. The planners of this workshop disclose that Sonosite and GE was not involved in any component of the planning process for this educational activity. Sonosite and GE understands that they must abide by the American Association of Nurse Anesthetists (AANA) Provider Unit s policies and procedures. Educational sessions will be monitored by AANA staff to ensure content integrity and prevent bias. Accreditation does not imply that the AANA or the American Nurses Credentialing Center s Commission on Accreditation (ANCC) approves or endorses any product displayed, mentioned, or used in any of the educational activities. 5 P a g e