The field of sedation continues to evolve and policies, recommendations and Center for Medicaid and Medicare Service guidelines change in response to the health care environment. Currently, sedation guidelines and recommendations differ between specialty societies: For example, the American Society of Anesthesiologists (ASA) guidelines on deep sedation are not concurrent with those of the American Society of Gastroenterology nor American College of Emergency Physicians. Sedative agents, delivery methods and routes of delivery are changing as new techniques and outcomes continue to be explored and presented. This course is designed to fill the practice gaps created by this combination of evolving practice guidelines, differing practice standards among specialty societies, and continuing advances in sedation medicine and technology by updating and reviewing state-of-the-art techniques for safe and effective delivery of sedation.

This conference is intended to improve learner competence and performance by reviewing not only the basics of sedation but also updating the registrant to current, evolving and state-of-the art practice (i.e. knowledge). The hands-on workshops on airway management and patient simulation using mannequins will allow the learner to apply this competence to their everyday practice (i.e. performance) and prepare for the rare, unanticipated emergencies. Being prepared for emergencies as well as for the more common adverse events, the learner will be able to be better equipped to improve patient outcome. This confer­ence is to increase the participant’s breadth of knowledge of pediatric sedation along with elaborate on ways to improve and track patient outcomes.

Upon completion of this activity, participants will be able to:

• Analyze recent changes in guidelines, regulations, policies and future developments in sedation systems and their impact on patient care.
• Complete an in-depth review of physiologic monitoring and develop an appreciation of the role and interpretation of capnography. 
• Utilize the hands-on experience attained in the airway workshops to better manage airway emergencies 

This course is designed to provide a review of topics related to the safe and effective delivery of minimal, moderate and sedation by inhalation, enteral, and parenteral routes of administration. This course is intended to be an introduction and review of the up-to-date policies and guidelines governing sedation. The topics will include physiological monitoring, airway evaluation, the etiology and management of central and obstructive apnea, patient assessment, discharge and recovery guidelines, risk factors for adverse events, emergency preparedness, non-pharmacologic techniques and the basic pharmacology of commonly used sedatives. Clinical case presentations will be presented in an interactive format to maximize discussion, collaborative sharing of ideas and consideration of all options. Case studies will include challenging and complex situations. Question and answer sessions will provide participants with forums to ask questions and discuss specific issues with course faculty.

This course will feature recognized leaders and faculty from different specialties, all leaders in the field of sedation. The attendee will have the opportunity to gain hands-on experience learning airway techniques to rescue patients from deep sedation, including manikin practice with face masks and ambu bag along with the insertion of nasal and oral airways in a personalized setting with manikins and real equipment.

Upon completion of this activity, participants will be able to:

• Review current rules and regulations regarding minimal, moderate and deep sedation.
• Evaluate the pharmacology and clinical application of commonly utilized sedatives and weigh the advantages, disadvantages, efficacy and adverse events associated with each option.
• Evaluate complex and challenging sedation scenarios and formulate a plan.
• Provide a comprehensive review of patient evaluation including airway assessment, relevant medical history and vital signs necessary to evaluate patients as appropriate sedation candidates.
• Apply the discharge criteria and available recovery guidelines for discharge home following sedation.
• Determine the role and application of capnography.
• Prepare for unanticipated emergency situations.

Friday, September 27, 2013

Option 2: High Fidelity Pediatric Sedation Simulation Workshop

Description

Pediatric Sedation Hands-On Simulation is now recognized by the American Society of Anesthesiologists (ASA) in the “October 20, 2010 statement on granting privileges for deep sedation to non-anesthesiologist sedation practitioners.” Although this sedation conference provides AMA PRA Category 1 Credits™ for the didactic and simulator portions, this does not imply endorsment by the ASA. The ASA does not endorse nor certify any sedation-related training curriculum.

This course is intended for practitioners providing IV moderate sedation and deep sedation and offers an educational high fidelity simulation experience to provide skills for successful recognition and management of sedation-related complications. This unique and challenging program provides a clinical simulation experience that addresses the proper assessment and management of complications associated with moderate sedation, deep sedation. Following a brief introduction explaining essential principles, participants will demonstrate appropriate patient management on human patient simulators. (Laerdal SimMan). This full-day simulation workshop will provide each registrant with six clinical scenarios intended to improve individual skills as well as to impart an understanding of a team approach to crisis resource management. Each registrant will become part of a small team which will will rotate together through each of the six scenarios over the course of the day. The scenarios are intended to improve individual skills as well as the team’s reactions and responses. Effective post-simulation debriefings will integrate critical performance feedback, promote reflective practice, and augment future performance. The full-day of high fidelity simulation scenarios are taught by national and internationally recognized faculty of simulation experts and aims to provide participants with knowledge and skills to recognize and manage sedation-related emergencies.

Course registration is limited to provide each registrant with an optimal, educational hands -on experience. There will be an optional “working” lunch which offers the opportunity to have a hands-on experience with personalized faculty attention using manikins to develop and improve airway skills. Two airway workshops will be offered: Basic and Advanced. The Basic Airway Workshop is intended to solidify skills at delivering positive pressure ventilation using a face mask and ambu bag along with the insertion of naso and oral airways. The Advanced Airway Workshop offers the opportunity to place laryngeal mask airways, intubate and use new state-of-the-art airway equipment.

Medical simulation is a highly adaptable tool for evaluating individual knowledge and team performance.
Medical simulation can improve patient safety by raising an individual’s awareness of their practice and by enhancing team cohesion and performance.
Simulation provides a safe arena for learning and evaluation, trains with actual equipment used in the clinical realm, and provides for repetition and reflection.
Medical simulation should be educational,reflective and fun.

Upon completion of this activity, participants will be able to:

• Explain the importance of human-factors leading to and in the management of crisis and prepare for the management of rare events.
• Summarize the components of a simulation based learning encounter and determine how to incorporate simulation into the process of training sedation care providers.
• Establish and demonstrate appropriate components of an adequate primary assessment.
• Develop an algorithm for the recognition and management of various anatomical and pathological causes of airway obstruction.
• Create a differential diagnosis for the etiology of respiratory depression and understand the different management techniques.
• Demonstrate appropriate management of cardiovascular compromise.
• Demonstrate proficiency in directing a team during a crisis.