Neuromuscular Monitoring

Friday, August 9, 2019, 12:00 AM - Tuesday, August 9, 2022, 12:00 AM PST, Online

This CME activity is designed for all anesthesia care providers to learn more about residual neuromuscular blockade and neuromuscular monitoring. Objective neuromuscular monitoring is standard best practice to rule out residual neuromuscular blockade and improve patient safety. Real-life patient scenarios presented in short video-based sections are used to cover the educational objectives of neuromuscular monitoring practice. You will learn more about residual neuromuscular blockade, as well as he different types of neuromuscular monitoring (subjective vs. objective neuromuscular monitoring) and stimulation patterns. We will show a step-by-step approach to assemble objective neuromuscular monitoring equipment. We discuss factors impacting the duration of action of non-depolarizing neuromuscular blocking drugs and address the different reversing agents.

Please Read Before Continuing
Your participation data from this course will be anonymized and aggregated with other learners' data, and used for research purposes to help improve the course and ultimately patient health outcomes.

  Release Date: August 9, 2019
  Expiration Date: August 9, 2022
  Estimated Time to Complete: 1.00 hours
  CME Credits Offered: 1.00
  Registration Fee: FREE

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

1. Assemble objective neuromuscular monitoring equipment and perform troubleshooting
2. Analyze measurements of objective neuromuscular monitoring
3. Incorporate objective neuromuscular monitoring into your daily practice, understanding the importance of its role in reducing the risk of residual neuromuscular blockade

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation

American Medical Association (AMA)
Stanford Medicine designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: http://lane.stanford.edu/portals/cultural.htm

Bibliography
Sorin J. Brull, Aaron F. Kopman; Current Status of Neuromuscular Reversal and Monitoring: Challenges and Opportunities. Anesthesiology 2017;126(1):173-190. doi: 10.1097/ALN.0000000000001409.

DI MARCO, P. , DELLA ROCCA, G. , IANNUCCELLI, F. , POMPEI, L. , REALE, C. and PIETROPAOLI, P. (2010), Knowledge of residual curarization: an Italian survey. Acta Anaesthesiologica Scandinavica, 54: 307-312. doi:10.1111/j.1399-6576.2009.02131.x

Heier T, Caldwell JE, Feiner JR, Liu L, Ward T, Wright PMRelationship between normalized adductor pollicis train-of-four ratio and manifestations of residual neuromuscular block: a study using acceleromyography during near steady-state concentrations of mivacurium. Anesthesiology. 2010;113:825-832

 

The following planners and speaker have indicated they have no relationships with industry to disclose relative to the content of this activity:

Pedro Tanaka, MD, PhD, MACM
Professor, Department of Anesthesiology, Perioperative and Pain Medicine
Stanford University School of Medicine
Course Director

Christiane Klinkhardt, MD
Professor, Department of Anesthesiology, Perioperative and Pain Medicine
Stanford University School of Medicine
Course Director
Speaker

This activity received no commercial support.