Anesthesiology Grand Rounds (February 21, 2024)

Needs Statement

Anesthesiologists, certified registered nurse anesthetists, student nurse anesthetists, nurse practitioners, certified anesthesiology assistants, and anesthesiology fellows, residents, and medical students need to receive regular updates on new advances in anesthesiology research and technologies. Expert presentations on cutting-edge anesthesiology topics will be used as an impetus for discussion. The aim of the series is to expand clinical knowledge, improve competence, enhance the quality of anesthesiology care, and improve patient outcomes.

Educational Objectives

More to Lose? Popular Weight Loss and Diabetes Medications: Side Effects and Anesthetic Considerations

At the conclusion of the session, the participants should be able to:

• Identify GLP-1 agonist medications and their common side effects.
• Apply American Society of Anesthesiology recommendations to hold GLP-1 agonists peri-operatively.
• Use basic gastric ultrasound to qualitatively and quantitatively assess stomach contents.
• Utilize “full stomach” precautions for patients taking GLP-1 agonists.

Postoperative Nausea and Vomiting

At the conclusion of the session, the participants should be able to:

• Demonstrate greater understanding of the pathophysiology of postoperative nausea and vomiting.
• Recognize risk factors for postoperative nausea and vomiting.
• Identify common anti-emetics used in preoperative and intraoperative settings.
• Review current consensus guidelines and recommendations regarding postoperative nausea and vomiting.

New Blocks on the Block

At the conclusion of the session, the participants should be able to:

• Describe how to perform IPACK (local anesthetic infiltration of the interspace between the popliteal artery and the posterior knee capsule) and PENG (pericapsular nerve group) blocks.
• Identify the indications for use of the IPACK and PENG blocks.
• State the risks and benefits of these blocks.
• Apply evidence-based decision-making strategies to determine when to use these blocks in the perioperative setting.

Target Audience

Accreditation/Credit Designation

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Policy

Baylor College of Medicine (BCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. BCM is committed to sponsoring CE activities that are scientifically based, accurate, current, and objectively presented.

In accordance with the ACCME Standards for Commercial Support, BCM has implemented a mechanism requiring everyone in a position to control the content of an educational activity (i.e., directors, planning committee members, faculty) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships at the time of the activity or within 24 months prior.

In addition, BCM has requested activity faculty/presenters to disclose to participants any unlabeled use or investigational use of pharmaceutical/device products; to use scientific or generic names (not trade names) in referring to products; and, if necessary to use a trade name, to use the names of similar products or those within a class. Faculty/presenters have also been requested to adhere to the ACCME's validation of clinical content statements.

BCM does not view the existence of financial relationships with commercial interests as implying bias or decreasing the value of a presentation. It is up to participants to determine whether the relationships influence the activity faculty with regard to exposition or conclusions. If at any time during this activity you feel that there has been commercial/promotional bias, notify the Activity Director or Activity Coordinator. Please answer the questions about balance and objectivity in the activity evaluation candidly.

All of the relevant financial relationships listed for these individuals have been mitigated.