2009 Midyear Clinical Meeting
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Prevention and Treatment of Delirium in the ICU
Track:
Educational Sessions (CE)
Program Code: 256-L01
Date: Wednesday, December 9, 2009
Time: 8:00 AM to 9:45 AM EST
Location:
3104 - Lido
MEETING PLANNING ASSOCIATE:
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P. Shane Winstead,
PharmD, Assistant Professor (Adjunct Series) Department of Pharmacy Practice and Science,
H-113 Chandler Medical Center, University of Kentucky
Dr. Winstead has worked as a critical care pharmacist at UK Chandler Hospital in Lexington, Kentucky for over 15 years. She received her B.S. Pharmacy degree from the University of Arkansas for Medical Sciences. She also completed a Hospital Pharmacy Residency there prior to moving to Kentucky and pursuing her Pharm.D at UK. Her primary practice area is pulmonary and critical care medicine. She serves as preceptor for the MICU rotation and serves as the residency program director for the Critical Care Specialty Residency. She also holds a leadership position for Pharmacy Services titled Clinical Practice Coordinator.
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PRESENTER(S):
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Jeffrey Bruno,
PharmD, BCPS, Clinical Pharmacy Specialist - Critical Care / Nutrition Support,
The University of Texas MD Anderson Cancer Center
Dr. Bruno received his doctor of pharmacy degree from Xavier University of Louisiana in 2003. He completed a PGY-1 residency at Cleveland Clinic and then completed a PGY-2 residency in Critical Care and Nutrition Support at the University of Texas M. D. Anderson Cancer Center (MDACC), where he currently practices as a Clinical Pharmacy Specialist. Dr. Bruno is highly involved in critical care pharmacy practice, serving as an active member of the Society of Critical Care Medicine and chair of the Program Committee of the Clinical Pharmacy and Pharmacology Section of SCCM. ICU Delirium is a major area of interest for Dr. Bruno. He currently is a member of a multidisciplinary institutional task force at MDACC responsible for hospital-wide implementation of delirium assessment scales and development of a delirium management algorithm for use in cancer patients. He has also co-championed the implementation of delirium assessment in the intensive care units of MDACC.
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Jeffrey Gonzales,
PharmD, BCPS, Assistant Professor, Critical Care,
University of Maryland School of Pharmacy
Dr Gonzales is a Critical Care Assistant Professor at the University of Maryland School of Pharmacy. He is the course master of an elective course that emphasizes Critical Care Pharmacotherapy for the 3rd year pharmacy students. He also teaches critical care topics in a variety of courses throughout the School of Pharmacy curriculum. Dr Gonzales practices clinically as a Critical Care Clinical Pharmacy Specialist in the Medical Intensive Care Unit at the University of Maryland Medical Center, where he serves as a preceptor for residents and students. His areas of interest and research are sedation/delirium, sepsis, ARDS, pulmonary hypertension, and alterations in absorption in the critically ill.
Dr Gonzales received his Doctor of Pharmacy degree at Idaho State University in Pocatello, Idaho. He completed a Pharmacy Practice Residency at the University of Nebraska Medical Center, then completed his Critical Care training as a Critical Care Resident at Detroit Receiving Hospital-Detroit Medical Center. Following his residency training, Dr Gonzales completed a Postdoctoral Fellowship in Critical Care at The University of Michigan College of Pharmacy, where he was the recipient of the 1999 American College of Clinical Pharmacy-Bayer Critical Care Fellowship Award.
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Dr. P. Shane Winstead, PharmD, Assistant Professor (Adjunct Series), Department of Pharmacy Practice and Science; and Clinical Practice Coordinator, Pharmacy Services, University of Kentucky
Description
ACPE Activity #204-000-09-256-L01P
1.75 Contact Hours / Application-based
Educational Content: Level 3
Moderator: P. Shane Winstead, PharmD, Assistant Professor (Adjunct Series), Department of Pharmacy Practice and Science; and Clinical Practice Coordinator, Pharmacy Services, University of Kentucky, Lexington
8:00 a.m. – 8:05 a.m.
Announcements
8:05 a.m. – 8:40 a.m.
The Answer is: Delirium
P. Shane Winstead
8:40 a.m. – 9:15 a.m.
Delirium Assessment: Picking the Right Tool
Jeffrey P. Gonzales, PharmD, BCPS, Assistant Professor, Critical Care, University of Maryland School of Pharmacy, Baltimore
9:15 a.m. – 9:45 a.m.
Delirium Management: Haloperidol and Beyond
Jeffrey J. Bruno, PharmD, BCPS, Clinical Pharmacy Specialist - Critical Care / Nutrition Support, The University of Texas MD Anderson Cancer Center, Houston
Learning Objectives:
- Describe possible predisposing and precipitating causes for development of delirium in this setting.
- Given patient cases, discuss nonpharmacologic and pharmacologic treatment strategies for the management of ICU delirium.
- Identify factors that influence delirium assessment.
- Recognize the pros and cons of the different delirium assessment tools.