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Defining an Intraoperative Hypotension Threshold in Association with Stroke in Cardiac Surgery
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Completion of SSTmoderate within the past two years is required for access to SSTdeep programPatient safety is of the utmost importance when administering sedation. Safe Sedation Training – Deep (SSTdeep) – Didactic Modules were developed based on ASA guidelines for non-anesthesiologist physicians seeking privileges for deep sedation, to ensure the highest standards in patient safety.
SSTdeep - Didactic Modules include:1. Advanced Airway Management2. Deep Sedation Pharmacology3. Circulatory Monitoring and Support4. Deep Sedation Team Dynamics and Practice Management
Group Discounts are available for this product! Sign up your entire team and enjoy a discounted rate as follows:
PLEASE NOTE: Your group discount will automatically be applied at the time of checkout.
*Group Discounts Available for 31 + Licenses:Contact Nate Wicks, Senior Sales and Group Relations Manager at (847) 268-9214 or email@example.com for more information.** Group License Purchasers **For product or post-purchase group enrollment (>1 licenses) information contact, Matthew McNutt, Simulation Education and MOCA Coordinator, at (847) 268-9271 or firstname.lastname@example.org.
Additional program details, questions about SSTdeep or if SSTmoderate has previously been completed through another organization other than ASA, please contact email@example.com.
Please note, ASA recommends the completion of the full Safe Sedation Training – Deep program for the most comprehensive training for those administering deep sedation.
Activity Release Date:02/19/2018
Activity Expiration Date:07/23/2020
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SSTdeep - Didactic Modules Learning Objectives
Module 2: Deep Sedation Pharmacology
For sedatives (propofol, ketamine, etomidate, and benzodiazepines) and analgesics (fentanyl, remifentanil,) used in deep sedation:Describe basic pharmacology
· Recognize therapeutic and adverse effects
· Understand pharmacokinetic behavior
· Understand differences between benzodiazepines, propofol, etomidate and ketamine
· Explain the special risks associated with sedation by non-anesthesiologists using propofol, etomidate, or ketamine.
· Describe use of reversal agents for sedatives and analgesics and understand which agents do not have a reversal agent.
· Understand how interactions between analgesics and sedatives dosed to achieve deep sedation influence the duration of action for
o Loss of responsiveness
o Ventilatory depression
Module 3: Circulatory Monitoring and Support
· Identify indications, dosing, and special considerations for selected vasoactive agents and antiarrhythmics used in cardiovascular resuscitation during deep sedation
o Vasoactive agents to treat
§ Hypotension: Phenylephrine, ephedrine, epinephrine
§ Hypertension: Labetolol, hydralazine, metoprolol
o Antiarrhythmics to treat:
§ Bradycardia: Atropine, glycopyrrolate, epinephrine
§ Premature ventricular contractions: Lidocaine
· Emphasize importance of maintaining up to date training in ACLS/PALS.
Module 4: Crisis Resource Management, Recovery, Quality Assurance, and Safety Requirement.
· Review role of patient safety advocate
o Sole activity is to monitor patient & physiologic display and administer sedatives and analgesics as needed
o Not distracted with other procedural duties in sedation suite
o Learn all clinician names and rolls involved in patient care at time out
· In the event of an adverse event:
o Assign rolls according to skill level
o Effectively communicate patient condition to patient care team at onset of adverse event (advocate, inquire, plan)
o Halt procedure if necessary to resuscitation patient
o Ask proceduralist to help with resuscitation as appropriate
o Call by name when requesting help from others
o Close communication loop
o Following an adverse event, determine a course of action that is in the best interest of the patient (i.e. proceed, delay, or cancel)
Accreditation and Credit Desingation
The American Society of Anesthesiologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American Society of Anesthesiologists designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Society of Anesthesiologists remains strongly committed to providing the best available evidence-based clinical information to participants of this educational activity and requires an open disclosure of any potential conflict of interest identified by our faculty members. It is not the intent of the American Society of Anesthesiologists to eliminate all situations of potential conflict of interest, but rather to enable those who are working with the American Society of Anesthesiologists to recognize situations that may be subject to question by others. All disclosed conflicts of interest are reviewed by the educational activity course director/chair to ensure that such situations are properly evaluated and, if necessary, resolved. The American Society of Anesthesiologists educational standards pertaining to conflict of interest are intended to maintain the professional autonomy of the clinical experts inherent in promoting a balanced presentation of science. Through our review process, all American Society of Anesthesiologists CME activities are ensured of independent, objective, scientifically balanced presentations of information. Disclosure of any or no relationships will be made available for all educational activities.
The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.
Estimated Completion Time: 2 hours
Faculty Information: Charles Anderson, M.D., M.B.A., Jeffrey Apfelbaum, M.D., Mark A. Singleton, M.D., Rebecca Twersky, M.D., M.P.H., John Allyn, M.D., Donald Arnold, M.D., Chair, Michael H. Wall, M.D., FCCM, Teodora Nicolescu, M.D., Amanda R. Burden, M.D., Randolph H. Steadman, M.D., M.S., John Rask, M.D., Beverly K. Philip, M.D.
Planner, Faculty and Staff Disclosure: All individuals, including editors, authors, reviewers, and staff for the SSTdeep course reported they have no relationship(s) with commercial interests.
System Requirements: A PC or tablet device (excluding iOS devices) that has the following: i) a modern web-browser such as Google Chrome, Mozilla Firefox (latest update), Safari, or Microsoft Edge, ii) Adobe Flash Player 11, iii) Broadband internet connection.
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