Anesthesia: Standard of Care for Joint Replacement Surgery

Greensboro, NC US
October 10, 2018

Outpatient joint replacement surgery is considered by many to be safe, convenient and cost effective across an ever-widening array of procedures. This delivery model has the potential to increase patient comfort and satisfaction, while improving efficiency and reducing health care costs.

These monthly activities will review best practices for outpatient joint replacement protocols and procedures. They will focus on a model that enables improved access to high-quality care at lower costs with the goals of improving surgical care, mitigating risks and barriers to enable rapid discharge, and achieving high-quality patient outcomes.

Learning objectives
At the end of this educational activity, participants should be able to:

  • Describe how local anesthetics exert their clinical effects.
  • Identify the two main classes of local anesthetics and their clinical implications.
  • Describe vertebral anatomy.
  • Examine the pharmacodynamic differences of certain local anesthetics used in spinal anesthesia.
  • Describe cauda equina syndrome and transient neurologic symptoms (TNS).
  • Review recent literature regarding short-acting spinal anesthesia in total joint arthroplasties.
  • Identify and recognize the complications that can be encountered from spinal anesthesia administration.

Brian W. Paitsel, MD
Chief Anesthesiologist, Medical Director
Gate City Anesthesiology
Greensboro, NC

About the presenter
Brian W. Paitsel, MD, is chief anesthesiologist and medical director at Gate City Anesthesiology in Greensboro, N.C. Dr. Paitsel is also assistant professor of general anesthesiology at Wake Forest University. He is board certified in anesthesiology.

Dr. Paitsel is a member of the North Carolina Medical Society, Society for Obstetric Anesthesia and Perinatology, American Society of Regional Anesthesia & Pain Medicine, and American Society of Anesthesiology. He has given many lectures and presentations related to anesthesiology. His clinical interests include outpatient anesthesiology, obstetric anesthesiology patient simulation training, and anesthesiology education.

Dr. Paitsel holds a bachelor’s degree in physics and a medical degree from Wake Forest University. He completed his residency in anesthesiology at Wake Forest University Baptist Medical Center and his fellowship in obstetric anesthesiology at Forsyth Medical Center, both in Winston-Salem, N.C.

Activity planners
Sarah Chart, RN
Senior Director
OptumHealth Education
Eden Prairie, MN

Rebecca Gleason, RN, CCM
Activity Manager
OptumHealth Education
Eden Prairie, MN

Frank J. Rowan, MD
Orthopaedic Surgeon
Guilford Orthopaedic and Sports Medicine Center Division
Southeastern Orthopaedic Specialists
Greensboro, NC

Disclosures of relevant financial relationships
In accordance with the ACCME Standards for Commercial SupportSM, OptumHealth Education requires all those in the control of activity content to disclose their relevant financial relationships. An individual has a relevant financial relationship if such person (or his/her spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services relate to the activity content.

OptumHealth Education ensures that the content is independent of commercial bias.
Ms. Chart and Ms. Gleason have indicated that they are employees of and own stock in UnitedHealth Group.
Dr. Rowan has indicated that he has no relevant financial relationships.
Dr. Paitsel has indicated that he has no relevant financial relationships.

Method of participation
There are no fees for participating in or receiving credit for this activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

Participants will receive a certificate upon successful completion of the activity, which includes the following:

  • Completing the entire activity
  • Completing the Pre- and Post-Activity Assessments, Activity Evaluation and Application for Certificate of Credit forms

To participate in the activity:

  • You must be logged into your account.
  • Get started by clicking “Begin” and viewing the “CE Info”, then follow the prompts at the bottom of the screen.
  • At the end of the activity, you will be able to view, save or print your certificate of participation.
    • The Area of Practice you indicated in your profile corresponds with your certificate type. A complete listing of all of your activities can be found under “My Account”, “My Activities.”

Accreditation statement
Joint Accreditation LogoIn support of improving patient care, this activity has been planned and implemented by OptumHealth Education and Surgical Center of Greensboro. OptumHealth Education 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 statements
Participants will be awarded up to 1.00 contact hour of credit for attendance and completion of supplemental materials.

Nurse practitioners
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.

OptumHealth Education designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.

AAPC-certified coders
AAPC will honor 1-for-1 CEUs for any live event offering CME credit or AMA PRA Category 1 Credit™. A certificate of attendance or completion is necessary to show participation. The certificate will give the total CMEs possible for the offering. Physicians are advised to claim only the actual hours that they were present during the education. We ask that AAPC-certified members abide by this request also. One hour of instruction is worth 1 CEU.

A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been pre-approved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization with which they wish to obtain credit.

Provided by
This activity is jointly provided by OptumHealth Education and Surgical Center of Greensboro.

Commercial support
There was no commercial support received for this activity.

Hardware/software requirements
To view this activity you will need Internet Explorer 7.0+ or Firefox 3.0+ with Windows Media Player 9+, RealPlayer 12+ or Adobe Flash Player 9+. Be sure to disable any pop-up blocking software prior to beginning this activity.

Target Audience

These materials are intended only for those that attended the live activity on Wednesday, October 10, 2018.

This activity is designed to meet the educational needs of anesthesiologists, nurses, nurse practitioners, PAs and physicians who have an interest in outpatient surgical care.

Activity summary
Available credit: 
  • 1.00 AMA - Physicians
  • 1.00 ANCC - Nurses
  • 1.00 Attendance - General Attendance
Activity opens: 
Activity expires: 
Event starts: 
10/10/2018 - 6:30am EDT
Event ends: 
10/10/2018 - 7:30am EDT
Surgical Center of Greensboro
705 Green Valley Road
Greensboro, NC 27408
United States

Available Credit

  • 1.00 AMA - Physicians
  • 1.00 ANCC - Nurses
  • 1.00 Attendance - General Attendance
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