Event Date/Time: Feb 01, 2008
End Date/Time: Feb 29, 2008
SPECIFIC OBJECTIVES: TOPIC 1: APPROACH TO ACID-BASE DISTURBANCES - Identify primary metabolic and respiratory acid- base disturbances and their compensatory mechanisms. Discover a formal, stepwise approach to the interpretation of any acid-base problem. Outline the differential diagnosis of the major simple and mixed acid-base disturbances. Several illustrative case studies will be discussed. TOPIC 2: SHOCK AND HEMODYNAMIC MONITORING - Shock is a common problem in the intensive care unit. Define shock and describe the causes. We will focus on the pathophysiology of common entities. Characterize basic resuscitation techniques including volume replacement and the use of vasopressors. The discussion will include a review of early goal directed therapy. Recognize the current controversies surrounding the use of invasive hemodynamic monitoring. Outline the possible indications and contraindications to pulmonary artery catheter placement as well as the complications that can arise. Define new treatments for septic shock. This will include the use of activated protein C and the role of corticosteroids. TOPIC 3: ACUTE RESPIRATORY FAILURE AND MECHANICAL VENTILATION - We will provide a practical review of this exciting topic. We will cover the basics of mechanical ventilation. Characterize the pathophysiology and differential diagnosis of acute hypoxemic and hypersonic respiratory failure. Describe the pathophysiology and differential diagnosis of acute respiratory failure. Identify the basic concepts of management for patients on mechanical ventilation. Differentiate commonly used ventilator modes. We will also discuss the use of positive end expiratory pressure (PEEP). Identify the indications for and complications of mechanical ventilation. Characterize weaning, including general principles and strategies for weaning from mechanical ventilation. TOPIC 4: CRITICAL CARE CASES FOR REVIEW, PART 1 - A variety of Critical Care cases will be presented with audience participation. X-rays and other diagnostic studies will be shown in an attempt to emphasize some of the common problems seen in the ICU. Cases will include a variety of pulmonary as well as non-pulmonary topics. TOPIC 5: PULMONARY THROMBOEMBOLIC DISEASE - A very common, difficult to diagnose problem with devastating consequences if not treated promptly. Characterize the epidemiology, risk factors, & clinical presentation of PE & DVT. Identify the role of DVT prophylaxis and the current status of low molecular weight heparin. Diagram the diagnostic work-up including V/Q scanning, lower extremity studies, CT scanning, pulmonary angiography and others. Outline treatment modalities including anticoagulation, thrombolysis & vena cava filters. TOPIC 6: CRITICAL CARE CASES FOR REVIEW, PART 2 - A variety of Critical Care cases will be presented with audience participation. X-rays and other diagnostic studies will be shown in an attempt to emphasize some of the common problems seen in the ICU. Cases will include a variety of pulmonary as well as non-pulmonary topics. TOPIC 7: PREOPERATIVE PULMONARY ASSESSMENT - The primary care provider is commonly asked to “clear” a patient with lung disease for surgery. Characterize the respiratory effects of anesthesia and surgery with emphasis on patients with at-risk complications. Describe the perioperative risk factors associated with post-op pulmonary complications. Identify the elements of appropriate preoperative evaluation including the role of arterial blood gas measurement and spirometry. Describe preoperative measures that can minimize operative and postoperative respiratory complications.
Original Release Date: July 1, 2006
Review Date: July 1, 2007
Expiration Date: July 1, 2009
10 AMA PRA Category 1 Credits (TM)