Patient Safety

Comparing Intraocular Pressure During Da Vinci Robotic Procedures Using MBOS and Tonometry and Validation Of Molloy Bridgeport Observation Scale (MBOS) (.5 Class A CE with .5 Pharm)

Saturday, September 22
9:15 AM - 9:45 AM
Location: Room 311, Hynes

Participants will be able to realize that duration of time in head down position procedures may result in acute rises in patients' intraocular pressure (IOP). Therefore, the acute rises in IOP can cause retinal cell ganglion dysfunction with even brief intervals as noted in the current anesthesia literature.

Learning Objectives:

LaDean Johnson Livingston, DNP, MS, CRNA

Anesthetist
University of Mississippi Medical Center
Ridgeland, Mississippi

Graduated from University of Texas Medical Branch, Galveston, Tx., RN, BSN 1989. Commissioned into the Air force, two days, post graduation. Served during the first, Gulf War, 1989-1992. Graduated from Central Connecticut State University, New Britain, CT. MS in Biology, in 1999 and Memorial Hospital of Rhode Island, Pawtucket, RI, Nurse Anesthesia School in 1999. After graduation, worked for Greater Houston Anesthesiology, 1999-2002. Presently, working for the University of Mississippi Medical center, Jackson, MS., as an Anesthetist, since 2002. Obtained DNP, from University of Alabama at Birmingham, 2013.

Presentation(s):

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Bonnie Lee Molloy, PhD, CRNA

Chief CRNA, Risk Manager & Research Director
Bridgeport Anesthesia Associates
Fairfield, Connecticut

I have been a quality / risk manager of anesthesia practice for over 25 years and a CRNA since 1983. Following an event of postoperative visual loss at our institution in 2005 I began researching intraocular pressure effects during position change in the clinical setting and began my PhD studies at the University of Connecticut in nursing minoring in neuro-ophthalmology, reviewing potential causes of ischemic optic neuropathy. I have conducted 10 years of studies and have 5 publications describing potential interventions that I have trialed. These have significantly reduced increased IOP that can lead to low perfusion states potentiating POVL events. Anesthesia caregivers can easily use my observation scale in everyday practice in the operating room to decrease IOP and thus provide a level of ophthalmic safety for their patients. The Molloy/Bridgeport Observation Scale (MBOS) has been validated by a team of researchers at the University of Mississippi during ST postion robotic procedures. The conclusion is that there is a correlation between the MBOS and IOP measurement by tonometry.

Presentation(s):

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Comparing Intraocular Pressure During Da Vinci Robotic Procedures Using MBOS and Tonometry and Validation Of Molloy Bridgeport Observation Scale (MBOS) (.5 Class A CE with .5 Pharm)

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