Cardiac Rhythm Management
banner AtriCure 2018 Cryoanalgesia

 

Activity Description

Pain management is a major challenge for clinicians, who must ensure appropriate and effective pain control for their patients, while remaining cognizant of the various negative effects of opioid dependence and addiction. Postoperative pain control after pectus excavatum repair surgery is an Achilles' heel of the procedure, with the historical mainstays of narcotic based, multimodal therapy offering suboptimal results.   

This activity evaluates the promising strategy of employing intra-operative cryoanalgesia following pectus excavatum repair for improved pain control outcomes. The leading experts share their clinical experiences, assess optimal surgical techniques, and review key strategies to ensure successful procedural implementation of cryoanalgesia therapy in daily practice.

Cardiac Rhythm Management

Access Presentation

Webcast

Click on the session title listed below to view each presentation.

For those wishing to obtain your continuing medical education certification, access Earn CME Credit Tab at the conclusion of the webcast; select the appropriate answer to each posttest question, and successfully obtain the passing score as designated at the top of the test.

tmb AtriCure2018 cryoa GRaff pres

Cryoanalgesia as an Adjunct in Pain Control after the Nuss Procedure
Gary Raff, MD

play-webcast

tmb AtriCure2018 cryoa Gadepalli pres

Cryoablation for Pectus Surgery: Intrapleural Approach
Samir Gadepalli, MD, MBA, MSc

play-webcast

tmb AtriCure2018 cryoa panel

Panel Discussion
Gary Raff, MD and Samir Gadepalli, MD, MBA, MSc

play-webcast

Cardiac Rhythm Management

Commercial Supporter

This activity is supported by an educational grant from AtriCure

Joint-Providers

MediaSphere Medical, LLC and Ciné-Med

 

Faculty

Faculty

tmb AtriCure2018 cryoa SGadepalli port

Samir Gadepalli, MD, MBA, MSc 
Assistant Professor, Pediatric Surgery 
University of Michigan 
Ann Arbor, MI

tmb AtriCure2018 cryoa GRaff port

Gary Raff, MD
UC Davis School of Medicine
Professor of Clinical Surgery 
Division of Cardiothoracic Surgery 
Section of Pediatric Cardiothoracic Surgery 
Sacramento, CA

 

CME Information

CME Released: 7/15/2018; Valid for credit through 7/15/2019

Target Audience

This activity has been developed to meet the educational needs of cardiothoracic surgeons, anesthesiologists, and other physicians and associated professionals who perform and support pectus excavatum repair surgery.

Activity Goal

This activity is designed to address the following ABMS/IOM competencies: Patient Care, Medical Knowledge, and Practice-Based Learning.

Learning Objectives

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

  • Review existing challenges in postoperative pain control approaches and limitations of current analgesic regimens.
  • Evaluate the safety and efficacy of cryoanalgesia as an adjunct in pain control after Nuss procedure.
  • Establish processes and protocols for implementing intercoastal nerve cryoablation after Nuss procedure within clinical practice.

Accreditation Statement

Jointly Accredited Provider TMIn support of improving patient care, this activity has been planned and implemented by Ciné-Med and MediaSphere Medical. Ciné-Med 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.

Ciné-Med designates this enduring activity for a maximum of 1 AMA PRA Category 1Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity provides 1 contact hours for nurses.

Disclosure

MediaSphere Medical and Ciné-Med adheres to accreditation requirements regarding industry support of continuing medical education. Disclosure of the planning committee and faculty's commercial relationships will be made known at the activity. Speakers are required to openly disclose any limitations of data and/or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations. All Ciné-Med and MediaSphere Medical employees and planners in control of content have indicated that they have no relevant financial relationships to disclose.

Faculty Disclosure Summary

Dr. Samir Gadepalli has no personal disclosures. 

Dr. Gary Raff discloses that he serves as a consultant for AtriCure.

Non Endorsement Statement

MediaSphere Medical and Ciné-Med verifies that sound education principles have been demonstrated in the development of this educational offering as evidenced by the review of its objectives, teaching plan, faculty, and activity evaluation process. MediaSphere Medical and Ciné-Med does not endorse or support the actual opinions or material content as presented by the speaker(s) and/or sponsoring organization.

Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. This activity is designed to be completed within the time designated on the title page; physicians and nurses should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™ or Contact Hours, you must receive a minimum score of 70% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read the target audience, learning objectives, and faculty disclosures.
  2. Review the educational presentations
  3. Select the appropriate answer to each posttest question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

Provider Contact Information

For technical support or CME/CE questions regarding this activity, please email us at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Hardware/Software Requirements:

  • A computer with an Internet connection.
  • Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser.
  • Adobe Flash Player and/or an HTML5 capable browser may be required for video or audio playback.
  • Occasionally other additional software may be required such as PowerPoint or Adobe Acrobat Reader.

MediaSphere protects the privacy of personal and other information regarding participants, educational partners, and joint sponsors. MediaSphere and our joint sponsors will not release personally identifiable information to a third party without the individual’s consent, except such information as is required for reporting purposes to the appropriate accrediting agency. MediaSphere maintains physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

Copyright © 2018 by MediaSphere Medical. All rights reserved. No part of this activity may be reproduced or transmitted in any form or by any means, electronic or mechanical, without first obtaining permission from MediaSphere Medical

 

CME/CE Test

CME/CE Test
  1. Cryoanalgesia Therapy in Pain Management for Pectus Repair: Considerations, Patient Outcomes and Implementation
  2. Please enter your information, and complete the following CME post test and evaluation form. Upon successful completion, your submission will be reviewed and you will receive notification shortly regarding the status of your certificate. You must achieve a minimum score of 70% to earn credit for this activity.

  3. First Name: *  
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  4. Last Name: *  
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  5. Primary Email Address: *  
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  6. Confirm Your Email: *  
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  7. Degree: *  
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  8. Institution: *  
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  9. Mailing Address:*  
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  10. City: *  
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  11. State: *  
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  12. 1. Which statement is accurate surrounding pain control after the Nuss procedure?
  13. Select one*  





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  14. 2. Dr. Gary Raff, based upon his Early Pain Protocol within the presentation, Cryoanalgesia as an adjunct in Pain Control after the Nuss Procedure, concludes that even excellent early pain relief with epidurals did not reduce narcotic needs?
  15. Select one*  


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  16. 3. Which statement is accurate regarding established goals of pain therapy?
  17. Select one*  






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  18. 4. Which statement is accurate surrounding potential risks of Cryoanalgesia?
  19. Select one*  






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  20. 5. While ongoing studies may better define the role that cryoanalgesia plays in pain control after thoracic surgery, early benefits of cryoanalgesia have proven that it is safe, reduces narcotic use, and reduces hospital length of stay.
  21. Select one*  


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  22. 6. Dr. Samir Gadepalli, at the conclusion of his presentation, Cryoablation for Pectus Surgery: Intrapleural Approach, outlines a series of tips and tricks when performing the procedure, which include the recommendations to always do the cryo first, protect adjacent structures, set expectations with the patient, and don’t rush.
  23. Select one*  


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  24. Although optional, we respectfully request that you complete the activity evaluation form, since your feedback assists in the development of future educational activities.

  25. Background

    Please rate each question using a scale of 1 to 5 (1 = Beginner, 5 = Advanced)


  26. I would consider my level of expertise in the subject matter prior to the webcast as:
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  27. I would consider my level of expertise in the subject matter after the activity
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  28. Considering my experience and background, the material presented was:
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  29. Extent to which activity met the identified objectives
    Please rate each question using a scale of 1 to 5 (1 = Not Met, 5 = Completely Met)

  30. Review existing challenges in postoperative pain control approaches and limitations of current analgesic regimens.
    Invalid Input Please Select one

  31. Evaluate the safety and efficacy of cryoanalgesia as an adjunct in pain control after Nuss procedure.
    Invalid Input Please Select one

  32. Establish processes and protocols for implementing intercoastal nerve cryoablation after Nuss procedure within clinical practice.
    Invalid Input Please Select one

  33. Information Presented
    Please evaluate the information that was presented by answering Yes, No, Maybe or Not Applicable

  34. Reinforced my current practice/treatment habits:
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  35. Will improve my practice/patient outcomes:
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  36. Enhanced my current knowledge base:
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  37. Provided new ideas or information that I expect to use:
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  38. Information gained from this conference will result in making a change in your practice:
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  39. Future activities on this subject matter is important to my practice:
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  40. Addressed a professional practice gap:
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  41. Was free of commercial bias/influence:
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  42. What barriers do you anticipate in incorporating best practices learned in this activity into clinical activities or quality improvement initiatives at your institution?
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  43. What mechanisms can you identify to overcome these barriers?
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  44. (*) Required Fields
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Cardiac Rhythm Management