Toxicologic Emergencies Marcel J. Casavant, M.D. and Henry F. Simmons Jr., M.D., P.h.D. Evaluate the indications and contraindications for activated charcoal, whole-bowel irrigation (WBI), and gas tric lavage in managing poisoned patients. Discuss the characteristics of buprenorphine and naloxone in the treatment of opioid or opiate abuse. Recognize the reasons for false-negative and false-positive results of toxicology screening. Utilize the appropriate antidote for a specific poison. Summarize the dosage, indications, and side effects of the antidotes fomepizole, digoxin immune Fab, and L-carnitine. CME Qualifies for a maximum 2 AMA PRA Category 1 Credits ™
Pediatric Anesthesia Update Nancy L. Glass, M.D., M.B.A. and Lynn D. Martin, M.D. Discuss principles of patient-controlled analgesia (PCA) in children. Prescribe an appropriate regimen of parent-controlled analgesia. Recognize the limitations and drawbacks of pediatric PCA. Describe the differences between administering epidural analgesia to children and adults and identify appropriate pediatric candidates for this technique. Evaluate the safety of regional anesthesia blocks in children using data generated by the Pediatric Regional Anesthesia Network. CME Qualifies for a maximum 2 AMA PRA Category 1 Credits ™
Forthcoming Issues in Clinical Anesthesia John C. Drummond, M.D. and John P. Abenstein, M.D. Describe current theories on how anesthesia affects the developing brain. Discuss the studies in children that show subtle but inconclusive changes in intellectual cognitive function after anesthesia. Explain why the polymerization of neuronal proteins induced by certain volatile anesthetics concerns clini cians who treat the elderly. Identify population and workforce trends that will necessitate increased productivity from anesthesia providers. List examples of industrial principles that can be adapted to anesthesia practice to increase quality of care and productivity.CME Qualifies for a maximum 2 AMA PRA Category 1 Credits ™
Control of Chronic Pain and Acute Pain/Hemoglobinopathies Teresa Dews, M.D., John E. Tetzlaff, M.D. and Stacy Ritzman, M.D. Describe the action and effects of opiates. Recognize the differences between addiction, dependence, and tolerance. Develop a treatment plan for prescribing opiates, including mutually agreed upon treatment goals and regular monitoring of the patient for compliance and side effects. Discuss the advantages of using peripheral nerve catheters for management of acute pain. List the most common hemoglobinopathies and coagulopathies, including sickle-cell disease and von Wille brand’s disease. CME Qualifies for a maximum 2 AMA PRA Category 1 Credits ™
Critical Care Medicine Mary O. Gray, M.D. and Judith Hellman, M.D. Describe the management of volume overload using vasodilators, including nitroprusside, nitroglycerin, and nesiritide. Recognize the signs and symptoms of cardiorenal syndrome in a patient with acute decompensated heart failure. Compare the agents used in the management of shock, including phenylephrine, norepinephrine, epinephrine, dopamine, dobutamine, and vasopressin. Identify shock of different etiologies, including cardiogenic, hypovolemic, obstructive, septic (inflammatory), and medication-induced. Discuss the findings of comparative studies of agents used in the management of shock. CME Qualifies for a maximum 2 AMA PRA Category 1 Credits ™
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