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Activity Description

Pain following thoracotomy is a significant and common pain experienced by patients after surgery that poses multiple implications that severely impact quality of life. Pain management continues to represent a major societal issue so it is incumbent upon healthcare professionals throughout the world to adopt effective approaches to manage postoperative pain relief.

This activity examines important challenges in post-thoracotomy pain management and reviews fundamentals of pain pathways, and the role of Cryo nerve block in multimodal treatment of post thoracotomy pain. The expert faculty, through illustrative case reviews and discussions, assess optimal multimodal analgesia techniques in patients undergoing rib fracture repair, and video assisted thoracic surgical lobectomy. 

Cardiac Rhythm Management

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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 atricure 2020 CryoA David Glick pres

Fundamentals of Pain Pathways and the Role of Cryo Nerve Block in Multimodal Treatment of Post-Thoracotomy Pain
David Glick, DC, DAAPM, CPE, FASPE

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tmb atricure 2020 CryoA C Towe pres

Case Review: Rib Plating
Christopher Towe, MD

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tmb atricure 2020 CryoA C Quinn pres

Case Review: Video Assisted Thoracic Surgical Lobectomy
Curtis Quinn, MD

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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 atricure 2020 CryoA David Glick port

David Glick, DC, DAAPM, CPE, FASPE
HealthQ2, Medical Director
Richmond, VA

tmb atricure 2020 CryoA C Towe port

Christopher Towe, MD
Division of Thoracic and Esophageal Surgery
University Hospitals
Cleveland, OH

tmb atricure 2020 CryoA C Quinn port

Curtis Quinn, MD
Division of Thoracic Surgery
Elliot Health System
Manchester, NH

 

CME Information

CME Released: 1/07/2020; Valid for credit through 1/07/2021

Target Audience

This activity has been developed to meet the educational needs of cardiothoracic surgeons, anesthesiologists, physician assistants, nurse practitioners fellows, and other physicians and associated healthcare professionals who perform and support thoracotomy procedures.

Activity Goal

This activity is designed to address the following core and team competencies:
Patient Care, Medical Knowledge, Practice-based learning and improvement, Interprofessional Collaboration, and Roles & Responsibilities.

Learning Objectives

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

  • Examine important challenges in post-thoracotomy pain management.
  • Review fundamentals of pain pathways and the role of Cryo nerve block in multimodal treatment of post thoracotomy pain.
  • Assess rationale and best practices of multimodal analgesia techniques in patients undergoing rib fracture repair and video assisted thoracic surgical lobectomy.   

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.

Physicians: Ciné-Med designates this enduring activity for a maximum of 1.25 AMA PRA Category 1Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: Ciné-Med provides 1.25 Contact Hour for Nurses.

Disclosure Policy

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 are made known during faculty presentations. 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 MediaSphere Medical and Ciné-Med employees in control of content have indicated that they have no relevant financial relationships to disclose.

It is the policy of MediaSphere Medical and Ciné-Med to ensure balance, independent objectivity, and scientific rigor in all its supported educational programs. All faculty members participating in educational activities are required to disclose to the program audience any real of apparent conflicts of interest held within the past 12 months.

MediaSphere Medical and Ciné-Med implement a mechanism to identify and resolve all conflicts of interest prior to delivering the educational activity to learners. Faculty disclosures will be made available at the outset of the faculty introductory slides.

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 cme@mediaspheremed.com.

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 © 2020 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. Rationale and Best Practices for Multimodal Analgesia to Manage Post-Thoracotomy Pain
  2. Please enter your information, and complete the following CME/CEU 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. Intercostal Cryo Nerve Block (CryoNB) is a procedure used to temporarily block nerve conduction along the peripheral nerve pathways; similar to the effect of local anesthetics, and the procedure which involves freezing targeted nerves, allows for the complete regeneration of the internal structure and function of the affected nerve.
  13. Select one*  

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  14. 2. The therapeutic effect of CryoNB is a function of location of the nerve ablation and not the length of actual nerve ablated.
  15. Select one*  

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  16. 3. As it relates to Peripheral Sensitization, after injury, a peripheral nervous system neuron becomes abnormally sensitive to stimuli, resulting in either or both, a decreased threshold for activation and/or increased rate of firing.
  17. Select one*  

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  18. 4. The reliance on opioid treatment of post-thoracotomy pain increases dependency amongst thoracotomy patients, with 1 in 7 patient developing an opioid addiction, and 1 in 11 patients undergoing minimally invasive lung surgery patients developing an opioid dependence.
  19. Select one*  

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  20. 5. Chronic pain after thoracotomy can affect more than 50% of patients, and poorly managed thoracotomy pain can result in postoperative pulmonary complications, and due to the multifactorial pathophysiology of thoracotomy pain, a multimodal approach to analgesia is mandated.
  21. Select one*  

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  22. 6. Which of the following are key components of the role of CryoNB in multimodal treatment of post-thoracotomy pain?
  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. Examine important challenges in post-thoracotomy pain management.
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  31. Review fundamentals of pain pathways and the role of Cryo nerve block in multimodal treatment of post thoracotomy pain.
    Invalid Input Please Select one

  32. Assess the rationale and best practices of multimodal analgesia techniques in patients undergoing rib fracture repair and video assisted thoracic surgical lobectomy.
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  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 activity 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