nursing matters - nocompromiseicp.com

Continuing Nursing and Allied Health Education Provider Funding Provided ByContinuing Nursing and Allied Health Education Provider Funding Provided By

Nursing Matters

Continuing Nursing and Allied Health Education Provider Funding Provided By

An Online Continuing Education Activityhttps://pfiedler.net/1410

ICP MONITORING:What Have You Been Missing?

OVERVIEWThe management of increased intracranial pressure (ICP) in patients with brain injuries is complex and requires an individualized approach. Traditional management strategies for patients with increased ICP have focused on treatment thresholds based on a defined value. Research demonstrates that real time monitoring of waveform data can yield important information regarding brain compliance and treatment of the underlying pathology to improve patient outcomes. This program will describe clinical strategies to leverage advanced analytics in ICP monitoring to influence care in the intensive care unit (ICU). Faculty will invite questions and stimulate an interactive environment for learning.

OBJECTIVESAfter completing this continuing education activity, the participant should be able to:

1. Discuss the differences between Primary and Secondary brain injury.

2. Integrate concepts of Monro-Kellie Doctrine and autoregulation into causes of increased intracranial pressure (ICP).

3. Identify the main components of the ICP waveform and indication of brain compliance.

4. Discuss available advanced analytics and utility at the intensive care unit (ICU) bedside.

5. Define “ICP dose/ICP burden” and how these concepts can influence care in the Neuro ICU.

INTENDED AUDIENCENurses who care for brain injury patients in the critical care setting.

CONTINUING EDUCATION CREDITAssociation of periOperative Registered Nurses is provider-approved by the California Board of Registered Nursing, Provider Number CEP 13019 for 1 contact hour.

WEBINAR PRESENTERJason Marzuola, MSN, RN, CNRNSenior Manager, Global Medical AffairsCodman Specialty SurgicalIntegra Life SciencesPlainsboro, New Jersey

https://pfiedler.net/1410



INTRACRANIAL DYNAMICS OF TBI:Seeing the Big Picture with Multi-Modality Monitoring

OBJECTIVESAfter completing this continuing education activity, the participant should be able to:1. Discuss the differences between primary and secondary

brain injury.2. Integrate concepts of hypoxia, ischemia, and altered

metabolism into brain injury management.3. Describe technology options available at the intensive

care unit (ICU) bedside to monitor aspects of intracranial dynamics.

4. Discuss example published data describing the use of multi-modality monitoring, and ongoing research in severe TBI “ICP dose/ICP burden” and how these concepts can influence care in the Neuro ICU.



WEBINAR PRESENTERAnita Fetzick, RN, MSN, CCRN-K, CCNS Research Nurse ManagerUniversity of PittsburghPittsburgh, PA

OVERVIEWTraumatic Brain Injury (TBI) represents a major cause of mortality in the United States, contributing to approximately 30% of all injury-related deaths. In 2010, approximately 2.5 million emergency department (ED) visits, hospitalizations, or deaths were associated with TBI, placing a substantial burden on the health care system. Time sensitive treatment and management of the primary brain injury is critical to prevent secondary injury to the brain. Optimization of outcomes for TBI patients requires an individualized approach. Traditional management strategies for patients with increased ICP have focused on treatment thresholds based on a defined value. Research demonstrates that real time multi-modality monitoring data including intracranial pressure (ICP), blood flow monitoring, cerebral tissue oxygenation (PbtO2) can yield important information regarding brain compliance and treatment of the underlying pathology to improve patient outcomes. This program will describe clinical strategies to leverage advanced analytics in multi-modality monitoring to influence care in the intensive care unit (ICU). Faculty will invite questions and stimulate an interactive environment for learning.




CEREBROSPINAL FLUID MANAGEMENT:Flowing Through Best Practices

and Latest Interventions

OBJECTIVESAfter completing this continuing education activity, the participant should be able to:

1. Discuss concepts of brain injury, hydrocephalus, and reasons why an external ventricular drain (EVD) may be needed.

2. Integrate current best practices for EVD levelling and intracranial pressure (ICP) monitoring.

3. Discuss challenges with EVD therapy, including infection and occlusion, and ways to improve practice.

4. Identify how nursing practices, such as EVD dressing care, may impact patient outcomes.



WEBINAR PRESENTERMisti Tuppeny, MSN, APRN-CNS, CCRN, CNRN, CCNSClinical Nurse Specialist for Neuroscience, Behavioral Health & Palliative CareAdvent HealthOrlando, FL

OVERVIEWCerebrospinal fluid (CSF) plays an important role in the nervous system by providing a cushion for the central nervous system, circulating nutrients, removing waste, and autoregulation of cerebral blood flow. Hydrocephalus occurs when excess CSF accumulates in the skull resulting in increased intracranial pressure (ICP), and if left untreated, can cause damage to the sensitive tissues of the central nervous system. In the acute phase, treatment of hydrocephalus typically involves the placement of an external ventricular drain (EVD) which may be used to drain CSF and monitor ICP. Depending on institutional practices, EVDs may left open to drain CSF continuously and intermittently monitoring ICP or clamped to drain CSF when ICP is elevated. This continuing education program will discuss the best practices around leveling and monitoring, challenges associated with EVD therapy, and how evidence-based practices may impact patient outcomes.


nursing matters - nocompromiseicp.com

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