Elevate:
An educational webinar series
Strategies for the implementation of quantitative NMT monitoring into clinical practice
Thursday, September 21, 2023 | 10:30 am EST | 4:30 pm CET
Presented by Erica M. Harris, CRNA, MSN
Learning objectives
- Discuss the evidence supporting the use of quantitative neuromuscular monitoring
- Review the 2023 ASA Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade
- Discuss the principles and methods used at Duke University Hospital for implementation of quantitative neuromuscular monitoring
- Discuss implementation barriers and solutions to overcome them
- Review tips for successful implementation, including education objectives, training and recommendations for monitoring equipment
Course description
Neuromuscular blocking agents (NMBA) are among the most used medications in anesthesia. The appropriate use of NMBAs and their pharmacologic antagonists is dependent upon accurate assessment of the depth of neuromuscular blockade using objective indices obtained through quantitative neuromuscular monitors. Despite the widespread availability of these devices, their broad adoption remains sorely lacking.
Current data indicate an unacceptably high incidence of inappropriate management of neuromuscular blockade and a high rate of postoperative residual neuromuscular blockade and associated postoperative complications. In order to bridge the gap between evidence and practice, the American Society of Anesthesiologists (ASA) and the European Society of Anesthesiology and Intensive Care (ESAIC) recently published, independently from one another, Practice Guidelines for the Management of Neuromuscular Blockade recommending the use of quantitative neuromuscular monitoring in all patients receiving NMBAs.
In 2016, Erica M. Harris, CRNA co-lead the implementation of quantitative neuromuscular monitoring using electromyography at Duke University Medical Center. She will share her experience with implementation and discuss the principles and methods used over the past 7 years to encourage adoption of quantitative neuromuscular monitoring into clinical practice.
Who should attend
Anesthesiologists, certified registered nurse anesthetists,
anesthesiology assistants
Please complete this form to register for the webinar
Speaker biography
Erica M. Harris, CRNA, MSN
Erica M Harris is a certified registered nurse anesthetist (CRNA) at Duke University Medical Center where she served as CRNA clinical educator from 2016-2023. She recently served as a member of the expert panel for the first international consensus forum on lung-protective ventilation for the surgical patient and co-authored the international expert panel-based consensus recommendations. She has co-chaired numerous quality improvement projects for the implementation of intraoperative lung protective ventilation and the implementation of quantitative neuromuscular monitoring. Her current projects include investigating the barriers and facilitators to the adoption of lung-protective ventilation in the operating room and assisting local anesthesiology groups with the implementation of quantitative neuromuscular monitoring.
Her clinical interests include ROTEM-guided, goal-directed bleeding management and spirometry and driving pressure-guided ventilation strategies during surgery.
The opinions, beliefs and viewpoints expressed in this webinar are solely those of the presenter and do not necessarily reflect the opinions, beliefs and viewpoints of GE HealthCare.
The author is a paid consultant for GE HealthCare and was compensated for creation of this webinar.
©2023 GE HealthCare. GE is a trademark of General Electric Company used under trademark license.
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