MedEd Learning Experience

Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN detail how capnography may reduce procedure costs. 

Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN describe how capnography can help clinicians identify airway obstructions that would otherwise go unrecognized leading to adverse events.

Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN review the role of sedation and endoscopy nurses play in preventing respiratory compromise. 

Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN review a case where a patient suffered respiratory compromise and discuss whether capnography may have led to earlier detection and intervention.

Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN comment on the frequency and detection of respiratory compromise.

Dr. Ashish Chawla MD and Linda Erfle, BSN, RN review the society guidelines that recommend capnography monitoring during procedural sedation.

Brian D. Berry Jr. RN, BSN, CRNA, MS, MBA and Linda Erfle BSN, RN discuss the harms of alarm fatigue and tools to mitigate false alarms.

Dr. Ashish Chawla MD and Brian D. Berry Jr. RN, BSN, CRNA, MS, MBA discuss whether technology can be used to improve the quality of care during procedural sedation.

Dr. Ashish Chawla MD and Brian D. Berry Jr. RN, BSN, CRNA, MS, MBA review the risks associated with misclassification of patients’ physical status.

Dr. Ashish Chawla MD and Linda Erfle BSN, RN discuss the implications of a higher risk patient population presenting for procedural sedation.

For this segment, we will learn how Nellcor™ pulse oximetry convents the true pulsatile signal to accurate SpO2 measurements. To help provide insight into this topic is Jake Dove, PhD, Senior Principal R&D Engineer at Medtronic. The Nellcor™ pulse oximetry monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.

For this segment, we will review how the various components of the Nellcor™ pulse oximetry system contribute to the quick and accurate acquisition of the true pulsatile signal. To help provide insight into this topic is Jake Dove, PhD, Senior Principal R&D Engineer at Medtronic. The Nellcor™ pulse oximetry monitoring system should not be used as the sole basis for diagnosis or therapy and is i...

For this segment, we will discuss how skin pigmentation influences the amount detectable light available to the pulse oximetry sensor. To help provide insight into this topic is Jake Dove, PhD, Senior Principal R&D Engineer at Medtronic. The Nellcor™ pulse oximetry monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient asse...

For this segment, we will learn how pulse oximetry uses near infrared light to detect the cardiac induced pulsatile signal of arterial blood and then measures the percentage of oxygenated hemoglobin in arterial blood. To help provide insight into this topic is Jake Dove, PhD, Senior Principal R&D Engineer at Medtronic. The Nellcor™ pulse oximetry monitoring system should not be used as the sol...

For this segment, we will discuss the measurement of SpO2 and pulse rate, pulse oximetry accuracy standards, and the patient factors that can impact SpO2 and pulse rate accuracy. To help provide insight into this topic is John Gallagher, DNP, RN, CCNS, CCRN-K, TCRN, RRT, FCCM, Professor, Francis Payne Bolton School of Nursing at Case Western Reserve University. The Nellcor™ pulse oximetry monitori...

For this segment, we will review the evidence evaluating the effect of skin pigmentation on the accuracy of pulse oximetry and consider the consequences for clinical practice. To help provide insight into this topic is John Gallagher, DNP, RN, CCNS, CCRN-K, TCRN, RRT, FCCM, Professor, Francis Payne Bolton School of Nursing at Case Western Reserve University. The Nellcor™ pulse oximetry monitoring...

For this segment, we will discuss the history, development work, and ongoing research dedicated to Nellcor™ pulse oximetry technology. To help provide insight into this topic is Sam Ajizian, M.D. and CMO of Patient Monitoring Medtronic. The Nellcor™ pulse oximetry monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessmen...

Eli Kuhlmann, Sr. Research Manager at Medtronic, teaches us how the concentration of melanin influences the measurement regional oxygen saturation via NIRS. 

Dr. Ronald Bronicki, Professor of Pediatrics at Baylor College of Medicine, Section of Critical Care Medicine & Cardiology at Texas Children’s Hospital, discusses the influence skin pigmentation has on the accuracy of NIRS readings and consider the consequences for clinical practice.

Dr. Ronald Bronicki, Professor of Pediatrics at Baylor College of Medicine, Section of Critical Care Medicine & Cardiology at Texas Children’s Hospital, reviews the body of literature evaluating the value of somatic and cerebral regional oximetry in pediatric patients. 

Dr. Ronald Bronicki, Professor of Pediatrics at Baylor College of Medicine, Section of Critical Care Medicine & Cardiology at Texas Children’s Hospital, presents how regional oximetry represents the balance between oxygen delivery and demand as well as the clinical factors that may influence regional tissue oxygenation. 

Eli Kuhlmann, Sr. Research Manager at Medtronic, describes how the INVOS™ system pediatric algorithm was developed in order to account for factors impacting regional oximetry measurements in pediatric patients. The INVOS™ monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.

Ronald Bronicki, Professor of Pediatrics at Baylor College of Medicine, Section of Critical Care Medicine & Cardiology at Texas Children’s Hospital, teaches us how NIRS uses near infrared light to monitor the percentage of oxygenated hemoglobin in the tissue 2-3 cm beneath the oximeter sensor.

Eli Kuhlmann, Sr. Research Manager at Medtronic, reviews the design elements in the INVOS™ system that enhance its regional oximetry monitoring performance. The INVOS™ monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.

Eli Kuhlmann, Sr. Research Manager at Medtronic, demonstrates how the sensor spacing on the INVOS™ sensor maximizes the detection of the tissue of interest while suppressing the superficial tissue signal. The INVOS™ monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.