SUBSCRIBER INSTRUCTIONS

Participants will need a computer with internet connection sufficient for streaming media. The activity is a self-paced paper. The online module order is as follows:

1. Learning Activity

2. Post-test

3. Learner Self Evaluation (included in Post-test, linked above)

All components of the activity are taken online. The assessment and post-test will remain locked until the learning module is completed. To receive credit, participants must (1) read the target audience, learning objectives, and disclosure statements, (2) complete the educational activity online, and (3) complete the post-test and activity evaluation. It is estimated that this activity will take approximately 1 hour to complete. To receive 1 credit, the learner must receive a minimum score of 80% on the post-test. Two attempts are permitted to reach 80% score.

The Certificate of Completion will be sent directly to the participant once all requirements have been met and verified by the Continuing Education Coordinator and available for download.

Target Audience: Anesthesiologists & CRNAs

Disclosures: Individuals involved in the planning, reviewing or execution of this activity have indicated they have no relevant financial relationships to disclose.

Program Description:
A guideline for ethical analgesia plan development utilizing peripheral nerve blocks for patients at risk for compartment syndrome impacts CRNA care delivery by increasing patient satisfaction. The purpose of this guideline is to provide evidence-based recommendations for pain management by using peripheral nerve blocks for patients at risk for ACS.

Learning Objectives:
At the conclusion of this activity, participants will be able to:
1. Discuss how the multidisciplinary patient-centered approach for compartment syndrome can be used to make patient care decisions regarding risk assessment, confirming equipment and personnel resources for treatment, analgesic treatment strategies, and future research.
2. When performing a risk assessment for compartment syndrome: List 3 comorbidities, 3 fracture types, and 3 medications which can increase the risk for compartment syndrome.
3. When performing compartment syndrome assessments, name two late-stage compartment syndrome symptoms and discuss the probability of developing compartment syndrome as more than one symptom develops.
4. List one direct and 3 indirect methods of monitoring compartment pressure and discuss how Delta Pressure (Diastolic Pressure – Compartment Pressure = Delta Pressure) is a better indicator of perfusion.
5. Compare and contrast how both single-shot and peripheral nerve block catheter medications and dosages provided in the guideline align with the “six-hour window” of compartment syndrome as part of a multimodal analgesic treatment plan and discuss why the wash-off technique may be a helpful intervention.