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Christiane Klinkhardt and Pedro Tanaka

Overview

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Overview

This CME activity is designed for all anesthesia care providers to learn more about residual neuromuscular blockade and neuromuscular monitoring. Objective neuromuscular monitoring is standard best practice to rule out residual neuromuscular blockade and improve patient safety.Real-life patient scenarios presented in short video-based sections are used to cover the educational objectives of neuromuscular monitoring practice.

You will learn more about residual neuromuscular blockade, as well as he different types of neuromuscular monitoring (subjective vs. objective neuromuscular monitoring) and stimulation patterns. We will show a step-by-step approach to assemble objective neuromuscular monitoring equipment. We discuss factors impacting the duration of action of non-depolarizing neuromuscular blocking drugs and address the different reversing agents.

Please Read Before Continuing

Your participation data from this course will be anonymized and aggregated with other learners' data, and used for research purposes to help improve the course and ultimately patient health outcomes.

Accreditation

In support of improving patient care, Stanford 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. ****

Credit Designation American Medical Association (AMA)

The Stanford University School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

If you would like to earn CME credit from Stanford University School of Medicine for participating in this course, please review the information here prior to beginning the activity.

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What's inside

Learning objectives

  • Assemble objective neuromuscular monitoring equipment and perform troubleshooting.
  • Analyze measurements of objective neuromuscular monitoring.
  • Incorporate objective neuromuscular monitoring into your daily practice, understanding the importance of its role in reducing the risk of residual neuromuscular blockade.

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Develops essential understanding and techniques for neuromuscular monitoring in anesthesia care
Taught by instructors recognized in the field of neuromuscular monitoring
Suitable for all anesthesia care providers, including beginners and those looking to strengthen their foundation
Offers a comprehensive study of one aspect of health and medicine
Requires prerequisite knowledge and experience in anesthesia care

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Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Neuromuscular Monitoring Course with these activities:
Examine course materials
Reviewing course materials in advance can help you spot prerequisite topics that you may want to brush up on.
Show steps
  • Review the course syllabus
  • Skim assigned chapters
  • Review old notes or summaries of previous coursework
Take NM monitoring practice quizzes
Practice using objective neuromuscular monitoring equipment can help you become familiar with the equipment and process.
Show steps
  • Find practice quizzes
  • Take the quizzes
  • Review your answers and identify areas for improvement
Attend study group for neuromuscular monitoring
Discussing neuromuscular monitoring concepts with peers can help you understand the material more deeply and identify areas where you need additional support.
Show steps
  • Find a study group
  • Review materials together
  • Discuss concepts and case studies
Four other activities
Expand to see all activities and additional details
Show all seven activities
Read Neuromuscular Monitoring, 2nd Edition by Elsevier
This book provides a comprehensive overview of neuromuscular monitoring, including its principles and clinical applications.
Show steps
  • Purchase the book
  • Read the book
  • Take notes and highlight key points
Create a cheat sheet on neuromuscular monitoring
Creating a cheat sheet can help you organize and retain information about neuromuscular monitoring.
Show steps
  • Gather information from course materials
  • Organize the information into a cheat sheet
  • Review and revise your cheat sheet as needed
Find a mentor who can provide guidance on neuromuscular monitoring
A mentor can provide personalized guidance and support, helping you overcome challenges and achieve your learning goals.
Show steps
  • Identify potential mentors
  • Reach out to potential mentors and introduce yourself
  • Meet with your mentor regularly
Contribute to an open-source project related to neuromuscular monitoring
Contributing to an open-source project can help you gain practical experience and make a meaningful contribution to the field.
Show steps
  • Find an open-source project related to neuromuscular monitoring
  • Identify a way to contribute to the project
  • Make your contribution

Career center

Learners who complete Neuromuscular Monitoring Course will develop knowledge and skills that may be useful to these careers:
Nurse Anesthetist
Nurse Anesthetists are registered nurses who have specialized training in administering anesthesia. They work under the supervision of an Anesthesiologist and are responsible for monitoring the patient's vital signs, administering medication, and ensuring their safety throughout the procedure. This course can help Nurse Anesthetists understand the principles of neuromuscular monitoring and how to incorporate it into their daily practice. This can help them to reduce the risk of residual neuromuscular blockade, which can lead to serious complications.
Certified Registered Nurse Anesthetist
Certified Registered Nurse Anesthetists (CRNAs) are advanced practice nurses who have specialized training in administering anesthesia. They work independently and are responsible for the entire anesthesia care of their patients. This course can help CRNAs understand the principles of neuromuscular monitoring and how to incorporate it into their daily practice. This can help them to reduce the risk of residual neuromuscular blockade, which can lead to serious complications.
Anesthesiologist
Anesthesiologists are medical doctors who administer anesthesia to patients undergoing surgery or other medical procedures. They are responsible for monitoring the patient's vital signs, administering medication, and ensuring their safety throughout the procedure. This course can help Anesthesiologists understand the principles of neuromuscular monitoring and how to incorporate it into their daily practice. This can help them to reduce the risk of residual neuromuscular blockade, which can lead to serious complications.
Anesthesia Assistant
Anesthesia Assistants are allied health professionals who work under the supervision of an Anesthesiologist or Nurse Anesthetist. They are responsible for monitoring the patient's vital signs, administering medication, and assisting with the administration of anesthesia. This course can help Anesthesia Assistants understand the principles of neuromuscular monitoring and how to incorporate it into their daily practice. This can help them to reduce the risk of residual neuromuscular blockade, which can lead to serious complications.
Perfusionist
Perfusionists are allied health professionals who operate the heart-lung machine during open-heart surgery and other procedures. They are responsible for monitoring the patient's vital signs, ensuring the proper functioning of the heart-lung machine, and assisting the surgeon. This course can help Perfusionists understand the principles of neuromuscular monitoring and how to incorporate it into their daily practice. This can help them to reduce the risk of residual neuromuscular blockade, which can lead to serious complications.
Critical Care Nurse
Critical Care Nurses are registered nurses who work in intensive care units (ICUs) and other critical care settings. They are responsible for monitoring the vital signs of critically ill patients, administering medication, and providing other care. This course can help Critical Care Nurses understand the principles of neuromuscular monitoring and how to incorporate it into their daily practice. This can help them to reduce the risk of residual neuromuscular blockade, which can lead to serious complications.
Emergency Medicine Physician
Emergency Medicine Physicians are medical doctors who specialize in the treatment of acute illnesses and injuries. They work in emergency departments and are responsible for assessing patients, diagnosing their conditions, and providing treatment. This course can help Emergency Medicine Physicians understand the principles of neuromuscular monitoring and how to incorporate it into their daily practice. This can help them to reduce the risk of residual neuromuscular blockade, which can lead to serious complications.
Neurologist
Neurologists are medical doctors who specialize in the diagnosis and treatment of disorders of the nervous system. They work in a variety of settings, including hospitals, clinics, and research institutions. This course can help Neurologists understand the principles of neuromuscular monitoring and how to incorporate it into their daily practice. This can help them to diagnose and treat disorders of the nervous system more effectively.
Neurosurgeon
Neurosurgeons are medical doctors who specialize in the surgical treatment of disorders of the nervous system. They work in a variety of settings, including hospitals, clinics, and research institutions. This course can help Neurosurgeons understand the principles of neuromuscular monitoring and how to incorporate it into their daily practice. This can help them to perform surgeries more safely and effectively.
Physiotherapist
Physiotherapists are healthcare professionals who work with patients to improve their physical function and mobility. They work in a variety of settings, including hospitals, clinics, and rehabilitation centers. This course can help Physiotherapists understand the principles of neuromuscular monitoring and how to incorporate it into their daily practice. This can help them to assess and treat patients with neuromuscular disorders more effectively.
Occupational Therapist
Occupational Therapists are healthcare professionals who work with patients to improve their ability to perform activities of daily living. They work in a variety of settings, including hospitals, clinics, and rehabilitation centers. This course can help Occupational Therapists understand the principles of neuromuscular monitoring and how to incorporate it into their daily practice. This can help them to assess and treat patients with neuromuscular disorders more effectively.
Speech-Language Pathologist
Speech-Language Pathologists are healthcare professionals who work with patients to improve their communication skills. They work in a variety of settings, including hospitals, clinics, and schools. This course can help Speech-Language Pathologists understand the principles of neuromuscular monitoring and how to incorporate it into their daily practice. This can help them to assess and treat patients with neuromuscular disorders more effectively.
Medical Researcher
Medical Researchers are scientists who conduct research to improve the understanding, diagnosis, and treatment of diseases and injuries. They work in a variety of settings, including universities, hospitals, and research institutions. This course can help Medical Researchers understand the principles of neuromuscular monitoring and how to incorporate it into their research. This can help them to design and conduct studies that are more likely to lead to new discoveries and treatments.
Pharmacist
Pharmacists are healthcare professionals who dispense medication and provide information about its use. They work in a variety of settings, including pharmacies, hospitals, and clinics. This course may help Pharmacists understand the principles of neuromuscular monitoring and how it can be used to assess the effects of medication. This information can help them to provide better care to their patients.
Toxicologist
Toxicologists are scientists who study the effects of toxic substances on humans and the environment. They work in a variety of settings, including universities, government agencies, and private industry. This course may help Toxicologists understand the principles of neuromuscular monitoring and how it can be used to assess the effects of toxic substances. This information can help them to develop new ways to protect people and the environment from the harmful effects of toxic substances.

Reading list

We've selected six books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Neuromuscular Monitoring Course.
Comprehensive reference on clinical anesthesia, including a chapter on neuromuscular monitoring. It valuable resource for anesthesia care providers who want to have a comprehensive understanding of all aspects of clinical anesthesia.
Provides a comprehensive overview of neuropathology. It includes a chapter on neuromuscular disorders, which valuable resource for anesthesia care providers who want to learn more about the pathology of neuromuscular disorders.
Provides a comprehensive overview of electrodiagnostic medicine. It valuable resource for anesthesia care providers who want to learn more about the use of electrodiagnostic medicine in the diagnosis and management of neuromuscular disorders.
This classic textbook of medical physiology provides an overview of the physiology of the neuromuscular system.
This introductory textbook provides a good overview of the physiology and pharmacology of neuromuscular function, which is essential for understanding neuromuscular monitoring.
This classic monograph provides a detailed overview of the physiology and pharmacology of the neuromuscular junction.

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