CE Description
In this module, students learn about the general management of patients with single-ventricle anatomy and physiology. This includes changes as palliation progresses from stage I to stage III, physiologic features that can increase the risk of decompensation, monitoring, mechanical ventilation strategies and their impact, and differences in cardiopulmonary resuscitation for these patients.
After successfully completing this module, students should be able to:
• Explain the concept of neonatal single-ventricle anatomy and physiology and the general types of strategies to manage these patients
• Describe how the anatomy and physiology change from stage I to stage II and stage III, including how therapies differ
• Describe the mechanisms that result in increased risk for decompensation and death in patients with single-ventricle physiology
• List and explain the different types of monitoring that can be beneficial in the acute and chronic management of a patient with shunt-dependent single-ventricle physiology
• Explain mechanical ventilation strategies and how they impact the physiology of a patient with single-ventricle anatomy and physiology, specifically, with regard to stage of surgery and presence of heart failure
• Describe the treatment strategies of the single-ventricle patient with near arrest or cardiac arrest
Continuing Education Information
PALS Plus™: Congenital Heart Disease; Enduring Web Course
Original Release Date: 02/01/2023
Last Review Date: August 2022
Termination Date: 01/31/2026
Description
In this module, participants will learn about the general management of patients with single-ventricle anatomy and physiology. This will include changes as palliation progresses from stage I to stage III, physiologic features that can increase the risk of decompensation, monitoring, mechanical ventilation strategies and their impact, and differences in cardiopulmonary resuscitation for these patients.
Learning Objectives
At the conclusion, participants should be able to:
1. Explain the concept of neonatal single-ventricle anatomy and physiology and the general types of strategies to manage these patients
2. Describe how the anatomy and physiology change from stage I to stage II and stage III, including how therapies differ
3. Describe the mechanisms that result in increased risk for decompensation and death in patients with single-ventricle physiology
4. List and explain the different types of monitoring that can be beneficial in the acute and chronic management of a patient with shunt-dependent single-ventricle physiology
5. Explain mechanical ventilation strategies and how they impact the physiology of a patient with single-ventricle anatomy and physiology, specifically with regard to stage of surgery and presence of heart failure
6. Describe the treatment strategies of the single-ventricle patient with near arrest or cardiac arrest
Accreditation Terms
Joint Accreditation: 02/01/2023 - 01/31/2026
CAPCE: 02/01/2023 - 01/31/2026
AARC: N/A
Accreditation Statements
In support of improving patient care, this activity has been planned and implemented by the American Heart Association and the American Academy of Pediatrics. The American Heart Association 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.
AMA Credit Designation Statement - Physicians
The American Heart Association designates this activity for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AAPA Credit Acceptance Statement – Physician Assistants
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.50 hours of Category I credit for completing this program.
AANP Credit Acceptance Statement – Nurse Practitioners
American Academy of Nurse Practitioners (AANP) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
ANCC Credit Designation Statement - Nurses
The maximum number of hours awarded for this CE activity is 1.50 contact hours.
Continuing Education Accreditation – Emergency Medical Services
This continuing education activity is approved by the American Heart Association, an organization accredited by the Commission on Accreditation of Pre-Hospital Continuing Education (CAPCE), for 1.50 Advanced CEHs, activity number 23-AMHA-F3-0001.
By claiming CAPCE credit, the claimant acknowledges the following: I understand that the American Heart Association as a requirement of CAPCE accreditation will submit a record of my course completions to the CAPCE AMS. I further understand that my course completion records may be accessed by or shared with such regulators as state EMS offices, training officers, and NREMT on a password-protected, need-to-know basis. In addition, I understand that I may review my record of CAPCE-accredited course completions by contacting CAPCE.
Participation and Successful Completion
Successful completion of this CE activity includes the following:
1. Complete all portions of the online course
2. Complete the course evaluation
3. Print the Certificate/Statement of Credit
Disclosure Statement
All persons in a position to control educational content of a CE activity provided by the American Heart Association must disclose to the audience all financial relationships with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. The presence or absence of all financial relationships will be disclosed to the audience in activity materials. All unlabeled/unapproved uses of drugs or devices discussed will also be disclosed to the audience. All relevant financial relationships have been mitigated prior to the commencement of the activity.
The following authors/faculty have declared NO financial interest(s) and/or affiliations:
Sarah Tabbutt, MD, PhD
Mary E. McBride, MD, MEd
Maya Dewan, MD, MEd
Comilla Sasson, MD, PhD
The list represents the relationships that may be perceived as actual or reasonable conflicts of interest as reported on the Disclosure Questionnaire, which all AHA volunteers are required to complete and submit. The focus is on relevant financial relationships with commercial interests in the 24-month period preceding the time that the individual is being asked to assume a role controlling content:
N/A
Target Audiences
1. Physicians
2. Physician Assistants
3. Nurse Practitioners
4. Nurses
5. EMS
ADA Statement
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Audience
PALS Plus: CHD is for healthcare providers who either direct or participate in the management of respiratory and/or cardiovascular emergencies and cardiopulmonary arrest in pediatric patients. This includes personnel in emergency response, emergency medicine, intensive care, and critical care units such as physicians, nurses, paramedics, and others.