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Introduction

This activity reviews the challenges of post-thoracotomy pain and examines the role of Cryoablation for improving postoperative pain control in patients undergoing thoracic surgery. The experts share their clinical decision-making strategies and procedural approaches for treating patients undergoing chest wall surgery and nuss repair of pectus excavatum, and provide pearls of wisdom that will assist in the successful adoption and optimal use of cryoablation within a thoracic surgery practice

Access Webcast

Webcast

Viewing Options: Click on the presentation titles below to view individual segments of the activity, or the Access Button to view the activity in its entirety

CME/CE Credit: To earn credit, participants must access the Obtain Credit page, and successfully complete the post-activity CME test.

tmb atricure 2021 Pain Gaspari pres

CryoNB in Thoracic Surgery
Mario Gasparri, MD

tmb atricure 2021 Pain Jaroszewski pres

Cryoablation of the Intercostal Nerves for Postoperative Pain Control After Pectus Excavatum Repair
Dawn Jaroszewski, MD, MBA, FACS

tmb atricure 2021 Pain Ravanbakhash pres

Cryoablation for Newbies
Samine Ravanbakhsh, MD

tmb atricure 2021 Pain panel

Panel Discussion
Mario Gasparri, MD, Dawn Jaroszewski, MD, MBA, FACS, Samine Ravanbakhsh, MD

Cardiac Rhythm Management

Educational grant support provided by:

AtriCure

Joint-Providers

MediaSphere Medical, LLC and Ciné-Med

 

Faculty

Faculty

Mario Gaspari MD

Mario Gasparri, MD
Professor of Surgery
Division of Cardiothoracic Surgery
Medical College of Wisconsin
Milwaukee, WI

tmb atricure 2021 Pain Jaroszewski port

Dawn Jaroszewski, MD, MBA, FACS
Professor of Surgery
Chair Division of Thoracic Surgery
Mayo Clinic Arizona
Phoenix, AZ 

tmb atricure 2021 Pain Ravanbakhash port

Samine Ravanbakhsh, MD
Department of Cardiothoracic Surgery
Division of Thoracic Surgery
Mayo Clinic Arizona
Phoenix, AZ

 

CME Information

CME Released: 4/5/2021; Valid for credit through 4/5/2022

CME Certificate Fulfillment

To successfully earn credit, participants must complete the activity online during the valid credit period that is noted above. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test, accessible at Obtain Credit page. CME/CE certificates are issued to your inbox upon successful completion.

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.

Learning Objectives

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

  • Evaluate cryoablation of the Intercostal Nerves for postoperative pain Control after Pectus Excavatum Repair.
  • Review the role of CryoNB for the management of pain in thoracic surgery.  
  • Assess key strategies to successfully adopt cryoablation within a thoracic surgery practice and discuss optimal use within patients undergoing thoracic surgery.

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 and responsibilities.

Accreditation Statement

Jointly Accredited Provider TMTo support the improvement of patient care, this activity has been planned and implemented by MediaSphere Medical and Ciné-Med. 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 health-care team.

Physicians: Ciné-Med designates this educational activity for a maximum of 1.5 AMA PRA CATEGORY 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nurses: Ciné-Med designates this activity for 1.5 Contact Hours for nurses.

Disclosure Policy

MediaSphere Medical and Ciné-Med adheres to accreditation requirements concerning industry support of continuing medical education. 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. Speakers will disclose any relationships at the beginning of 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.

Non Endorsement Statement

MediaSphere Medical and Ciné-Med verify 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.

Educational grant support provided by:

AtriCure

Joint Providership

MediaSphere Medical, LLC and Ciné-Med

 

 

Obtain CME Credit

CME/CE Test
  1. Pain Management Strategies in Cardiothoracic and Chest Wall Surgery Patients
  2. Please complete the following CME/CE post-test. Your submission will be reviewed and notification provided shortly regarding certificate fulfillment status. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test.

  3. First Name: *  
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  4. Last Name: *  
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  7. Degree: *  
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  8. Institution: *  
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  10. City: *  
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  12. 1. Chest wall trauma, whether planned or unplanned, open or minimally invasive are considered to be the most painful injuries?
  13. Select one*  

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  14. 2. When evaluating pain caused by chest wall trauma, which important factors and impacts of pain experienced by thoracic surgery patients should be considered?
  15. Select one*  




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  16. 3. The mechanism of action of CryoNB for pain management includes; freezing targeted nerves with Nitrous Oxide, which temporarily blocks nerve conduction by ablating axon and myelin sheath that enables complete regeneration as endo/peri/epineurium remains intact.
  17. Select one*  

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  18. 4. When assessing the benefits of Cryoablation in the postoperative pain control of patients after Nuss repair, which statement is accurate?
  19. Select one*  




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  20. 5. When evaluating best practices for incorporating cryoablation into a thoracic surgery practice, which are important pearls to consider based upon the presentation, Cryoablation for Newbies from Dr. Samine Ravanbakhsh?
  21. Select one*  



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

  23. Background

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


  24. I would consider my level of expertise in the subject matter prior to the webcast as:
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  25. I would consider my level of expertise in the subject matter after the activity
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  26. Considering my experience and background, the material presented was:
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  27. 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)

  28. Evaluate cryoablation of the Intercostal Nerves for postoperative pain Control after Pectus Excavatum Repair.
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  29. Review the role of CryoNB for the management of pain in thoracic surgery.
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  30. Assess key strategies to successfully adopt cryoablation within a thoracic surgery practice and discuss optimal use within patients undergoing thoracic surgery.
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  31. Information Presented
    Please evaluate the information that was presented by answering Yes, No, Maybe or Not Applicable

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