Intra-abdominal Hypertension in the ICU- More Common than you think; The Resurgence of the REBOA Catheter; Traumatic Diaphragmatic Injuries - Uncommon but Menacing if Overlooked

Monday, October 22, 2018, 12:00 AM - Tuesday, October 22, 2019, 12:00 AM


Surgery Grand Rounds

1. Define intra-abdominal hypertension and describe measurement techniques
2. Identify at-high patients and surveillance strategies
3. Apply international guidelines to his/her practice
4. Determine the best way to diagnose traumatic diaphragmatic injuries
5. Identify various ways to treat traumatic diaphragmatic injuries
6. Weigh potential morbidity associated with missed traumatic diaphragmatic injuries against the risks of an early operation for diagnosis
7. Describe the indications and contraindications for inserting a REBOA catheter
8. List potential complications from REBOA catheter placement
9. Describe 3 zones of the aorta and the indications for placement of a REBOA catheter in each zone

Accreditation Statement

In support of improving patient care, Indiana University School of Medicine 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

Indiana University School of Medicine designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

References:

Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain ML, De Keulenaer B, Duchesne J, Bjorck M, Leppaniemi A, Ejike JC, Sugrue M, Cheatham M, Ivatury R, Ball CG, Reintam Blaser A, Regli A, Balogh ZJ, D'Amours S, Debergh D, Kaplan M, Kimball E, Olvera C; Pediatric Guidelines Sub-Committee for the World Society of the Abdominal Compartment Syndrome

Awareness and knowledge of intra-abdominal hypertension and abdominal compartment syndrome: results of an international survey. Wise R, Roberts DJ, Vandervelden S, Debergh D, De Waele JJ, De Laet I, Kirkpatrick AW, De Keulenaer BL, Malbrain ML

Is clinical examination an accurate indicator of raised intra-abdominal pressure in critically injured patients? Kirkpatrick AW, Brenneman FD, McLean RF, Rapanos T, Boulanger BR

Intra-Abdominal Hypertension Is More Common Than Previously Thought: A Prospective Study in a Mixed Medical-Surgical ICU. Murphy PB, Parry NG, Sela N, Leslie K, Vogt K, Ball I

Laparotomy in the emergency department. Mattox KL, Allen MK, Feliciano DV.

Western Trauma Association critical decisions in trauma: resuscitative thoracotomy. Burlew CC, Moore EE, Moore FA, Coimbra R, McIntyre RC Jr, Davis JW, Sperry J, Biffl WL

Endovascular balloon occlusion of the aorta is superior to resuscitative thoracotomy with aortic clamping in a porcine model of hemorrhagic shock. White JM, Cannon JW, Stannard A, Markov NP, Spencer JR, Rasmussen TE

For questions about accessibility or to request accommodations please contact the CME office at 317-274-0104 or [email protected]. One week advance notice will allow us to provide seamless access. Please ensure to specify the accommodations you need in order to participate.

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Attendance (1.00 hours)

In accordance with the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support, educational programs sponsored by the Indiana University School of Medicine must demonstrate balance, independence, objectivity, and scientific rigor.

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