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  • Overview
  • Pre-Assessment
  • Activity
  • Post-Test
  • Evaluation
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Chest Drainage as a Therapeutic Intervention: Getting Back to Basics

Chest Drainage as a Therapeutic Intervention: Getting Back to Basics

Format

Clinical Review

Time to Complete

1 hour

Released

October 31, 2018

Expires

October 31, 2019
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Maximum Credits

1.00 / AMA PRA Category 1 CreditTM
1.00 / CNE Contact Hour

Accredited Provider

Jointly provided by Haymarket Medical Education (HME) and AKH Inc., Advancing Knowledge in Healthcare.

Commercial Supporter

Supported by an educational grant from Teleflex Incorporated.

Program Description

Tube thoracostomy, or chest tube placement, is a commonly performed surgical procedure during which fluid, blood, and/or air are drained from the chest cavity. Traditional methods involved a 3-bottle drainage system that was prone to accidental disconnections and blockages. Fortunately, such modalities have been largely replaced by commercially produced, disposable plastic multifunction units that fit into a single box; these systems offer improved efficacy with effective drainage, accurate fluid loss measurement, and assistance in detecting air leaks. Despite such advances, the ineffective placement of chest tubes is, unfortunately, common and is associated with significant complications in many individuals who undergo the procedure.

To meet the educational needs of clinicians involved in the management of patients receiving a chest drainage procedure, this activity will provide an in-depth review of the normal anatomy of the thorax and the physiology or respiration as well as a description of the pathologies that may warrant the need for pleural space drainage. Traditional and new-generation chest drainage systems will be compared and trouble-shooting tips for improving the care of patients undergoing chest drainage will be presented.

Intended Audience

Surgeons (including general surgeons, gastrointestinal surgeons, and cardiothoracic surgeons), pulmonologists, emergency medicine physicians, hospitalists, surgical nurses, pulmonology nurses and nurse practitioners (NPs), emergency medicine nurses, emergency medicine physician assistants (PAs), emergency medicine NPs, critical care nurses, and NPs/PAs with a specialty in surgery

Educational Objectives

At the conclusion of this activity, participants should be better able to:

  • Explain the normal anatomy and physiology of the thorax and the physiology of respiration
  • Recall thoracic system pathologies that may warrant the clinical need for chest drainage or evacuation of the air and/or fluid from the chest cavity to help reestablish normal intrathoracic pressure
  • Compare traditional and new-generation chest drainage systems
  • Improve assessment and trouble-shooting skills to provide care for patients with a chest tube, utilizing a systematic approach
  • Conflict Of Interest Disclosure Policy

    In accordance with the ACCME Standards for Commercial Support, HME requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. HME resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational activities.

    Faculty

    Joseph Esherick, MD, FAAFP, FHM
    Director of Medicine
    Ventura County Medical Center
    Ventura, CA

    Dr. Esherick has no relevant financial relationships to disclose.

    Accredited Provider Disclosure

    Haymarket Medical Education staff involved in the planning and content review of this activity have no relevant financial relationships to disclose.

    Credit

    1.00

    Type

    AMA PRA Category 1 Credit(s)TM

    Accreditation Statement

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

    Designation Statement

    Haymarket Medical Education designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Physician Assistant Continuing Education AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM  from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 1.00 Category 1 Credit for completing this activity.

    Credit

    1.00

    Type

    CNE Contact Hour(s)

    Accreditation Statement

    AKH Inc., Advancing Knowledge in Healthcare is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

    Designation Statement

    This activity is awarded 1.00 contact hours.

    Additional Credit Information

    Physician Assistant Continuing Education
    AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM  from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 1.00 Category 1 Credit for completing this activity.

    Nurse Practitioner Continuing Education
    The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM  from organizations accredited by ACCME. Individuals are responsible for checking with the AANPCP for further guidelines.

    Disclosure of Unlabeled Use

    This CME activity may or may not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options for a specific patient's medical condition.

    Disclaimer

    The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Haymarket Medical Education, AKH Inc., Advancing Knowledge in Healthcare, or Teleflex Incorporated. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

    If you have any questions relating to the CME accreditation of this activity, please contact HME at cmequestions@haymarketmedical.com.

    If you have any questions relating to the CE accreditation of this activity, please contact AKH at jgoldman@akhcme.com.

    If you have any questions relating to your certificate or other issues with this activity, please contact myCME.Support@haymarketmedical.com.

    Instructions

    To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

    SYSTEM REQUIREMENTS

    Hardware and Software Requirements
    • A computer with an internet connection
    • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
    • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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