To Ablate Or Not To Ablate: Current Management of Atrial Fibrillation

OSUWexnerbloglogo2014 CME Webcast Discusses To Ablate Or Not To Ablate Current Management of Atrial Fibrillation. In 1998, Dr. Michel Hice-uh-gaire, a cardiologist in Bordeaux, France, determined that the electrical triggers for atrial fibrillation were most commonly located in the pulmonary veins and that he could cure atrial fibrillation by ablating these triggers with a catheter. In the 2 decades since, ablation has a key element in the cardiologist’s toolbox to treat atrial fibrillation. But which patients are best served by medical treatment and which ones are best treated with catheter ablation? On this CME webcast, we’re going to explore this question. Joining our moderator is cardiac electrophysiologist and Professor of Internal Medicine at the Ohio State University, Dr. John Hummel.

View a video introduction of this webcast

What you’ll learn in this webcast

As a result of this educational activity, webcast participants will be able to: Understand the risks of atrial fibrillation; and Understand when to initiate a strategy to maintain sinus rhythm.

You’ll also learn about the following:

  • Clinical implications of atrial fibrillation
  • Patient selection for atrial ablation
  • The ablation procedure
  • Return to work and exercise
  • Medication management after atrial ablation
  • Maze procedure
  • Management of recurrent atrial fibrillation after an ablation procedure
  • Apple Watch EKG app

You can find this and many other MedNet21 programs on the OSU – CCME website.

Call our MedNet21 Program Manager at 614.293.3473 for more details about subscribing to MedNet21 as a hospital or as an individual. You can also e-mail him at derrick.freeman@osumc.edu.

Sports Shoulder and Elbow Injuries

OSUWexnerbloglogo2014 Sports Shoulder and Elbow Injuries. Prior to his surgery, Tommy John had won 124 major league games. After surgery, he went on to win 164 more, had 3 all-star appearances, and 2 second place finishes for the Cy Young award. He retired in 1989 at age 46. For the last two years of his career, he was the oldest player in the major leagues. The surgery has become legendary and by 2014, fully one third of all major league pitchers had undergone the Tommy John procedure. A professional baseball pitcher may be the extreme, but anyone who uses their arms for sports, recreation, or work can put their elbows and shoulders at risk of damage. And these joints are incredibly complex. So when things go wrong, you need someone who really knows what they are doing to evaluate and treat it. On this CME webcast, we have just that person to tell us about sports-related elbow and shoulder injuries. Dr. Jonathan Barlow is an Assistant Professor of Orthopedics.

View a video introduction of this webcast

What you’ll learn in this webcast

As a result of this educational activity, webcast participants will be able to: HELP providers have a framework for making accurate shoulder and elbow diagnoses; and UPDATE providers on current trends and literature that guides management of shoulder and elbow pathology.

You’ll also learn about the following:

  • Demographics of shoulder and elbow injuries
  • Is the Tommy John procedure an improvement over nature?
  • Tennis elbow
  • Shoulder impingement syndrome
  • Stingers/burners
  • Shoulder dislocations

You can find this and many other MedNet21 programs on the OSU – CCME website.

Call our MedNet21 Program Manager at 614.293.3473 for more details about subscribing to MedNet21 as a hospital or as an individual. You can also e-mail him at derrick.freeman@osumc.edu.

View On-line Education for Esophageal Motility Disorders and Achalasia

OSUWexnerbloglogo2014 View On-line Education for Esophageal Motility Disorders and Achalasia. Achalasia is still with us but now we have some very exciting new treatments that are allowing surgeons to treat patients with minimally invasive techniques. Joining our moderator, Dr. Jim Allen, in the studio to tell us about these new advances are two of the Ohio State University’s experts in minimally invasive surgery. Dr. Kyle Perry is an Associate Professor of Surgery from the Division of General Surgery, and Dr. Jeffrey Hazey is also an Associate Professor of Surgery and is the Director of the Division of General Surgery.

View a video introduction of this webcast

What you’ll learn in this webcast

As a result of this educational activity, webcast participants will be able to: UNDERSTAND the pathophysiology of achalasia; and DESCRIBE both endoscopic and surgical techniques for treating achalasia.

You’ll also learn about the following:

  • What achalasia is
  • New treatments for achalasia
  • Achalasia in adults versus children
  • Esophageal motility after myotomy or POEM procedure

You can find this and many other MedNet21 programs on the OSU – CCME website.

Call our MedNet21 Program Manager at 614.293.3473 for more details about subscribing to MedNet21 as a hospital or as an individual. You can also e-mail him at derrick.freeman@osumc.edu.

Learn Latest about Pancreatic Cancer

OSUWexnerbloglogo2014 Learn Latest about Pancreatic Cancer.  It seems as though about all physicians learned about the Whipple procedure in medical school and that is what most physicians associate with the surgical treatment of pancreatic cancer. But what has happened in the 80 years since Allen Whipple did his first pancreatic surgery? Well, we now understand pancreatic cancer much better and we have a rapidly expanding repertoire of surgical procedures that can be used in pancreatic cancer. On our CME Webcast today, to tell us about the current approach to pancreatic cancer, are two of Ohio State’s top experts in the disease. First, we have Dr. Peter Muscarella who is an Associate Professor of Surgery from the Division of General Surgery.  Also joining him is Dr. Mark Bloomston, an Associate Professor of Surgery from the Division of Surgical Oncology.

View a video introduction of this webcast

What you’ll learn in this webcast

As a result of this educational activity, webcast participants will be able to: UNDERSTAND the indications for curative resection for pancreatic cancer; to RECOGNIZE the role of new chemotherapy regimens in patients with advanced pancreatic cancer; to REVIEW the epidemiology and diagnostic evaluation of pancreatic cancer; and to DESCRIBE recent advances in staging and multimodality treatment for pancreatic cancer.

You’ll also learn about the following:

  • Why pancreatic cancer frequently presents in advanced stage
  • Current treatment options for pancreatic cancer
  • Screening for pancreatic cancer
  • Biopsy approaches
  • Weight loss, diet, and pancreatic cancer
  • The role of the primary care provider in follow up of pancreatic cancer
  • Advanced endoscopic techniques and pancreatic cancer
  • Histologic types of pancreatic cancer

You can find this and many other MedNet21 programs on the OSU – CCME website.
Call our MedNet21 Program Manager at 614.293.3473 for more details about subscribing to MedNet21 as a hospital or as an individual. You can also e-mail him at derrick.freeman@osumc.edu.

Learn About Moderate and Deep Sedation

OSUWexnerbloglogo2014 Learn About Moderate and Deep Sedation. Here at the Wexner Medical Center, we do nearly 30,000 procedures using moderate sedation every year and when properly used, sedatives can make these procedures better for both the patient and the physician. On this MedNet21 webcast, we’re going to cover what you need to know in order to assess the patient before the procedure, how to choose the best sedative medication for the procedure, how to monitor the patient during the procedure, and how to recover the patient after the procedure. We’re also going to talk about some of the common things that can go wrong, how to anticipate them, and how to manage complications when they occur. With Dr. Jim Allen in the studio today to discuss airway assessment and basic airway rescue is Assistant Professor of Anesthesiology, Dr. John Rogoski. Also, to discuss the medications we use in sedation, we have Associate Professor of Pharmacy, Mary Beth Shirk.

View a video introduction of this webcast

What you’ll learn in this webcast

As a result of this educational activity, participants will be able to: RECOGNIZE the minimum frequency that vital signs should be observed and recorded, DESCRIBE the components of the history required to be recorded prior to performing sedation, DISTINGUISH the order of administration required for fentanyl and midazolam, EXPLAIN the required documentation prior to administering moderate sedation.

You’ll also hear about ways to manage the following cases:
• 52 year-old man with a lung mass and cough referred for bronchoscopy
• 60 year-old woman with COPD exacerbation and respiratory failure requiring intubation
• 50 year-old man with HIV on anti-retroviral medications needs a colonoscopy
• 23 year-old undergoing dental procedure requires oxygen then develops bradycardia
• Patient with atrial fibrillation needs external cardioversion
• After TEE, patient develops cyanosis, headache, and SaO2 = 85%. Blood looks brown

You can find this and many other MedNet21 programs on the OSU – CCME website.

Call our MedNet21 Program Manager at 614.293.3473 for more details about subscribing to MedNet21 as a hospital or as an individual. You can also e-mail him at derrick.freeman@osumc.edu.