SSTmoderate & SSTdeep - Didactic Modules
Back to SSTmoderate & SSTdeep - Didactic Modules
SSTmoderate & SSTdeep - Didactic Modules

SSTmoderate & SSTdeep - Didactic Modules

SSTmoderate program must be completed within the past two years in order to access SSTdeep program.

SSTmoderate - Overview:
Ensure that non-anesthesiologist physician and team members providing Moderate Sedation have the critical clinical information and best practice guidance for their care of routine patients undergoing moderate sedation care with SSTmoderate.

At the start of each module, specific learning objectives are identified. Animated and interactive content is presented to teach about each learning objective.

SSTmoderate didactic modules include:
1. Introduction to Moderate Sedation Course
2. Sedation Continuum
3. Preprocedure Patient Evaluation and Preparation
4. Rescue
5. Respiratory Complications
6. Patient Safety Monitoring
7. Airway Assessment and Management
8. Sedation Pharmacology


SSTdeep - Overview:
Completion of SSTmoderate is required for access to SSTdeep program.
Patient 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 Management
2. Deep Sedation Pharmacology
3. Circulatory Monitoring and Support
4. 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:

1 through 5 Licenses $284.00 per license
6 through 30 Licenses $227.00 per license
31+ Licenses *Group Discounts

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 n.wicks@asahq.org 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 m.mcnutt@asahq.org.

Please note, ASA recommends the completion of the full Safe Sedation Training – Deep program for the most comprehensive training for those administering deep sedation.

Additional program details, questions about SSTdeep or if SSTmoderate has previously been completed through another organization other than ASA, please contact sstdeep@asahq.org.

Activity Release Date:
02/19/2018

Activity Expiration Date:
07/23/2020

Includes
  • SSTmoderate
  • SSTdeep - Didactic Modules
  • List Price: $284.00
Item Details:

SSTmoderate Learning Objectives

Module 1: Introduction to Moderate Sedation Course

Learning Objectives:

·          Solid understanding of the scientific foundation supporting sedation practice

·         

SSTmoderate Learning Objectives

Module 1: Introduction to Moderate Sedation Course

Learning Objectives:

·          Solid understanding of the scientific foundation supporting sedation practice

·          Awareness of current practice guidelines and best practice.

Module 2: Continuum of Sedation

Learning Objectives:

·             Describe the sedation continuum,

·             Identify a spectrum of sedation states

·             Explain the dangers associated with deep sedation.

Module 3: Pre-procedure Patient Evaluation and Preparation

Learning Objectives:

·             Explain the goals of pre-sedation patient education and informed consent,

·             List the main elements of pre-sedation patient evaluation,

·             Perform an ASA Physical Status assessment,

·             Summarize pre-sedation “nothing by mouth” guidelines,

·             Recall the essentials of pre-sedation equipment preparation.

Module 4: Rescue

Learning Objectives:

·          Explain the concepts of rescue and self-rescue,

·          Identify sedation states that require rescue,

·          Differentiate rescue from resuscitation,

·          Outline a general approach to assessing the need for rescue.

Module 5: Respiratory Complications

Learning Objectives:

·        Recognize that airway obstruction and ventilatory depression are the major causes of serious complications during procedural sedation,

·        Explain the pathophysiologic basis of airway obstruction and ventilatory depression,

·        Differentiate between airway obstruction and ventilatory depression using clinical assessment techniques. 

Module 6: Patient Safety Monitoring

Learning Objectives:

·        Summarize the underlying concepts and goals of patient safety monitoring,

·        Explain the importance of the “human monitor” as the Sedation Patient Safety Advocate,

·        Understand the importance of physical confirmation of technological monitoring signals,

·        Discuss the scientific foundation and clinical application of common monitoring techniques,

·        Restate recognized sedation monitoring standards. 

Module 7: Airway Assessment and Management

Learning Objectives:

·        Define the difficult airway.

·        Summarize important elements of airway assessment.

·        Identify the essentials of bag-and-mask ventilation technique.

Module 8: Sedation Pharmacology

Learning Objectives:

  • Recognize the importance of pharmacologic simulation,
  • Appreciate the problem of pharmacologic variability,
  • Identify the concept of drug titration,
  • Appreciate the importance of latency to peak drug effect,
  • Recognize the importance of synergistic drug interactions,
  • Explain the basic pharmacology of benzodiazepines and opioids. 

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 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

This continuing nursing education activity was approved by the Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.

Disclosure Policy

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.

Disclaimer

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: 4 hours

Faculty Information: Talmage Egan M.D., Ken Johnson M.D., Shinju Obara M.D., Diane Tyler R.N. M.S., Sean Runnels M.D., Takahiro Ogura M.D., James Agutter, M. Arch., Noah Syroid M.S.; Ed Dellert, RN, MBA, CHCP

Disclosure: No one involved in the creation and production of SSTModerate have any relevant financial relationship with commercial products or services discussed as part of the SSTModerate course.


SSTdeep Didactic Modules Learning Objectives

 

Module 1: Advanced Airway Management

  • Outline important anatomical components of the airway.
  • Explain the role of supraglottic airways in deep sedation
  • Describe the role of tracheal intubation in deep sedation
  • Clarify the disposition of sedated patients who have been rescued by advanced airway techniques

 

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   Analgesia

o   Sedation

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. 

Disclosure Policy

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.

In-kind Donation

NONE

Disclaimer

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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