Evidence-based Clinical Care: Craniotomy

This course provides evidence-based data supporting the standardization of care throughout Baptist Health for patients requiring a craniotomy. Included in this course are treatment algorithms and physician resources.

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Target Audience

Neurologists, Neurosurgeons, Neurointensivists, Neuroradiologists, Radiologists, Geriatric Medicine Physicians, Internal Medicine Physicians, Intensivists, Emergency Medicine Physicians, Radiologists, Hospitalists and Physician Assistants.
 

Learning Objectives

  • Explain evidence supporting systemwide standardization efforts for subdural hematoma and craniotomy that will improve discharge process, reduce overall length of stay and maintain optimal patient outcomes.
  • Utilize the appropriate power plans for subdural hematomas (admission and craniotomy post-op), neurosurgical drain and monitoring devices and craniotomy (non-anterior skull base) post-op.
Additional information
Bibliography: 
  • Badenes, R., Prisco, L., Maruenda, A., & Taccone, F. S. (2017). Criteria for Intensive Care admission and monitoring after elective craniotomy. Current Opinion in Anaesthesiology, 30(5), 540-545.
  • Flint, A. C., Chan, S. L., Rao, V. A., Efron, A. D., Kalani, M. A., & Sheridan, W. F. (2017). Treatment of chronic subdural hematomas with subdural evacuating port system placement in the intensive care unit: Evolution of practice and comparison with bur hole evacuation in the operating room. Journal of Neurosurgery, 127(6), 1443-1448.
  • Florman, J. E., Cushing, D., Keller, L. A., & Rughani, A. I. (2017). A protocol for postoperative admission of elective craniotomy patients to a non-ICU or step-down setting. Journal of Neurosurgery, 127(6), 1392-1397.
  • Mohamed, W.R.A., Leach, M.J., Reda, N.A., Abd-Ellatif, M.M., Mohammed, M.A., & Aziz, M.A.A. (2017). The effectiveness of clinical pathway directed care on hospitalization-related outcomes in patients with severe traumatic brain injury: a quasi-experimental study. Journal of Clinical Nursing.
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial. 

Course Summary
Available credit: 
  • 0.25 AMA PRA Category 1 Credit™
  • 0.25 General certificate of attendance
Course opens: 
05/01/2019
Course expires: 
12/17/2021

Craniotomy Design Team Members

Arlene Torres, Daniel Raul Hartnett, Erika Gomez, Esther M. Jorge, Honoree Ceballos, Ivette Hernandez, Jacqueline Perez, Jacqueline Porras, Jaime Gergara, Jayme Strauss, Jessica Martin, Jose de la Cuetara, Karel Fuentes, M.D., Katie Modzelewska, Lisa Bus, Margaret Perreira, Mariana Velazquez, Mercedes Frias, Michael Gomez, Monika Tamo, Nathaniel Ortiz, Nayive Quezada, Nelkys Casal, Olga Manrique, Patrice Sanon Dawon, Sashah Topping, Sergio Gonzalez-Arias, M.D., Stacy Lowe, Vera Bryant, Vernon Bartholomew and Vitaly Siomin, M.D., have no relevant financial relationships with ineligible companies* to disclose.

All other non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.  

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
             
Baptist Health South Florida designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 0.25 AMA PRA Category 1 Credit™
  • 0.25 General certificate of attendance
Please login or register for a Baptist Health CME account to take this course.

Required Hardware/Software

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Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.