ISHRS 2022 CME Webinar
Anesthesia Complications
Presented on April 13, 2022
Now available on demand
Registration Fees Per Webinar:
- Physician Attendee of ISHRS 2021 Virtual World Congress, $0.00 USD
- ISHRS Physician Member, Non Attendee of ISHRS 2021 Virtual World Congress, $50.00 USD
- ISHRS Physician Pending-Member, Non Attendee of ISHRS 2021 Virtual World Congress, $75.00 USD
- Physician Non Member, Non Attendee of ISHRS 2021 Virtual World Congress, $100.00 USD
Moderator: Aman Dua, MBBS, MD, FISHRS | India
Co-Moderator: Marie A. Schambach, MD, FISHRS | Guatemala
Program Description
The live online webinar occurred on the date and time as noted. The live program was recorded and is available for viewing on demand until Dec. 31, 2022.
This 2.5-hour CME activity was a live webinar that was recorded with the intention to be re-watched or viewed as on-demand education. The program is intended for physicians who perform hair transplantation surgery utilizing either strip or FUE graft harvest methods. This webinar is being conducted to provide physicians knowledge on consultation and evaluation of patients seeking for hair restoration treatment and surgery. As a result of this activity, learners will gain more knowledge to be able to accurately evaluate for patients to achieve optimal results. The online live component included presentations, panel discussion, and audience participation via verbal questions and discussion, typed chat Q&A and polling.
Professional Practice Gap
Pain control is fundamental to any surgical procedure in medicine. It is critical that the hair restoration surgeon has the fundamental knowledge and skills to administer local anesthetic with as little pain as possible, and to maximize its effectiveness. Hair restoration surgery has unique challenges because most procedures are performed on an outpatient basis, in physician offices while the patient is awake or with mild conscious sedation. Every patient has a particular threshold of pain tolerance, and it is incumbent upon the physician to help control pain during and after their surgical procedure and provide a suitable experience for the patients to keep them relaxed and comfortable. Certain areas of the body, such as the beard, require special administration techniques. In addition, large areas of the scalp, face, and body may be anesthetized during procedures which require the physician to be not only cognizant of the techniques to administer the anesthetic effectively, but also aware of complications of using the anesthetics during these cases. Specific knowledge is required to anticipate and effectively manage complications related to anesthesia.
Educational Need
Knowledge of local anesthesia, pain management, and mild or moderate conscious sedation are fundamental for a successful outcome and patient experience in hair restoration surgery. The surgeon must have a firm knowledge base of all the medications used during and after a surgical procedure. Hair restoration surgery is performed while the patient is awake and conscious, which can be difficult for patients during prolonged procedures. The use of oral and/or intravenous benzodiazepines such as diazepam or midazolam can help provide the patients a more comfortable experience, but these need to be administered correctly and cautiously to avoid complications such as respiratory depression. Techniques in the administration of local anesthesia, particularly in facial or body hair excision where large amounts of lidocaine may be used, are imperative to provide adequate pain control for the surgical procedure and preventing complications such as the overdose of lidocaine. These techniques must be mastered to provide minimal discomfort in the administration of these medications and maximize their effectiveness. Physicians need further training to be aware of possible complications and prepared to recognize and manage them when they occur.
References
Hallway A, Vu J, Lee J, Palazzolo W, Walijee J, Brummett C, Englesbe M, Howard R. Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway. J AM Coll Surg. 2019 Sept; 229(3): 316-322.
Sim V, Hawkins S, Gave A, Bulanov A, et al. How low can you go: Achieving Postoperative Outpatient Pain Control without Opioids. J Trauma Acute Care Surg. 2019 Jul; 87(1): 100-103.
Yu JM, and Yu AY. Donor Area Harvesting Beard to Scalp. In: W.P. Unger and R. Shapiro, eds. Hair Transplantation, 5th Ed. London: Informa Healthcare, 2011; 300-302.
Norwood OT. Patient Selection, Hair Transplant Design and Hairstyle. J Dermatol Surg Oncol 1992;18(5):386-394.
Chang S. Virtual Painless Hair Transplant Anesthesia. Hair Transplant Forum Int’l. 2009; 19(4): 124-127.
Garcia M, Garces M. Facial Hair Transplantation with Follicular Unit Excision: Effective Technique in the Micrograft of Beard and Mustache. Hair Transplant Forum Int’l. 2020; 30(6): 216-219.
Gupta A, Bah M. NSAIDS in the Treatment of Postoperative Pain. Curr Pain Headache Rep. 2016 Nov; 20(11): 62.
Kerure A, Patwardhan N. Complications in Hair Transplantation. J Cutan Aesthet Surg 2018 Oct-Dec;11(4):182-189
Seager D, Simmons C. Local Anesthesia in Hair Transplantation. Dermatol Surg. 2002 Apr;28(4):320-8
Target Audience and Prerequisites
This webinar is taught at the physician level. It is geared toward beginner- to intermediate-level hair restoration surgeons.
Learning Objectives
As a result of participating in this activity, the learners should be able to:
• Define the anatomy and nerves related to hair transplant procedures
• Describe the various types of anesthesia techniques that can be used in hair restoration surgery
• Identify anesthesia solutions utilized in hair transplant surgery
• Explain the unique needs for beard anesthesia administration
• Predict complications that might occur and how to manage them effectively
• Describe how to administer anesthesia in special situations
Continuing Medical Education (CME) Credit Statement
The International Society of Hair Restoration Surgery is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The International Society of Hair Restoration Surgery designates this Other Activity (blended synchronous and enduring) for a maximum of 2.50 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
To receive CME credit and a CME certificate, participants must participate in the activity, complete the evaluation survey and the CME Claim Form by Dec. 31, 2022.
Format
Internet/online, via computer or mobile device.
Official Language
The official language of the webinar is English. Simultaneous interpretation is not provided for this webinar.
Disclosures of Relevant Financial Relationships of Planners, Faculty, and Others
The following individuals have no relevant financial relationships with ineligible companies to disclose:
Conradin von Albertini, MD, FISHRS – Planner
Waris Anwar, MBBS, FISHRS – Planner
Victoria Ceh, MPA – Planner & Manager
Aman Dua, MBBS, MD, FISHRS – Faculty
Bruno F. Ferreria, MD – Planner & Faculty
Steven Gabel, MD, FISHRS – Planner
Alex Ginzburg, MD, FISHRS – Faculty
James A. Harris, MD, FISHRS – Planner
Ramida Kasemsomporn, MD, MSc – Faculty
Rita Kaufman – Planner & Manager
Samuel M. Lam, MD, FISHRS
Matthew Lopresti, DO – Planner
Ricardo Mejia, MD – Faculty
Ratchathorn Panchaprateep, MD, PhD, FISHRS – Planner
Sandeep S. Sattur, MCh – Faculty
Marie A. Schambach, MD, FISHRS – Planner & Faculty
Miriam Scheel, MD | Guatemala – Faculty
Mayank Singh, MBBS, MS, MCh – Faculty
Melanie Stancampiano – Planner & Manager
Mark A. Waldman, MD – Planner
Sara M. Wasserbauer, MD, FISHRS – Faculty
The following individuals have relevant financial relationships:
None.
All of the relevant financial relationships listed for these individuals have been mitigated.
Commercial Support
None.
CME Information
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Disclaimer
The webinar content has been made available by the ISHRS for educational purposes only. The content is not intended to represent the only, nor necessarily the best, method or procedure appropriate for the medical situations discussed, but rather is intended to present views, statements, and opinions that may be of interest to others. The views expressed herein are those of the individual authors and not necessarily those of the ISHRS. The ISHRS assumes no responsibility or liability in connection with your use or misuse of the webinar content or any materials or techniques described in the content, and it makes no warranty or representation as to the validity or sufficiency of any information provided.
Questions: Learners may contact the ISHRS Headquarters with questions about this CME activity at phone +1-800-444-2737 or +1-630-262-5399, or fax +1-630-262-1520, or email: [email protected]