In order to reduce lost to follow up and accurately monitor hearing in infants and older children who are unable to complete behavioral hearing evaluations, it is critical that the diagnostic ABR be completed efficiently and accurately. This can be confounded by difficult test environments and poor infant sleep state. This presentation will discuss difficult test environments/populations and options for ABR protocols, equipment characteristics, sedation/anesthesia options and strategies which can be utilized to optimize the ABR evaluation.
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Learning Outcomes
- After this course learners will be able to describe the relationship between obtaining complete test results at the initial ABR appointment and reducing loss to follow-up rates.
- After this course learners will be able to list diagnostic ABR protocols which may help reduce test time and new types of technology which may allow for more effective/efficient ABR evaluations.
- After this course learners will be able to describe developmentally supportive positioning and touch to help infants achieve an optimal sleep state.
- After this course learners will be able to explain the importance of developing relationships with other care providers.
- After this course learners will be able to discuss case studies from environments and patient populations which are difficult to test.
- After this course learners will be able to describe techniques to complete ABR evaluations on older patient populations which are difficult-to-test.
Course created on March 1, 2017
Agenda
| 0-5 Minutes | Introduction |
| 5-10 Minutes | Difficult to Test Cases: Nonsedate ABRs: Achieving Best Infant State |
| 10-20 Minutes | Difficult to Test Cases: Nonsedate Protocol Recommendations for Maximal Efficiency |
| 20-45 Minutes | Difficult to Test Cases: Nonsedate ABR case studies (inpatient and outpatient) |
| 45-50 Minutes | Difficult Test Environments, Conditions, and People |
| 50-55 Minutes | Difficult-to-Test Cases: Use of anesthesia and sedation |
| 55-80 Minutes | Difficult-to-Interpret Cases: Hearing loss, neurologically abnormal ABR, or poor ABR evaluation? |
| 80-90 Minutes | Summary, Q & A |
Reviews
668 ReviewsPresented By
Kelly Baroch
AuD CCC-A
Kelly Baroch, Au.D. is a clinical audiologist with Cincinnati Children's Medical Center and the coordinator of the Infant Hearing Program, which she developed in 2003. She completes diagnostic hearing evaluations and sensory care plans for inpatient newborns and infants. She has given numerous state and national presentations on early identification and intervention of hearing loss in the medically complex population, auditory development in infants, and the effects of the NICU environment on sensory development. She is involved with several research projects and consults with Audiology and NICU programs nationally.
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Gayle Riemer
MA CCC-A, FAAA
Gayle Riemer, MA, is a clinical audiologist and former Senior Clinical Director with Cincinnati Children's Medical Center. In her current position, she specializes in providing ABR evaluations on difficult-to-evaluate children, performing evaluations in operating rooms, recovery rooms, anesthesia induction rooms, ECHO labs, cardiac catheter labs, ICU, and inpatient bedsides. She is also a member of the Craniofacial Team and an audiology advisor for the International Adoption Center at Cincinnati Children's. She is involved in several research projects and manages the electronic medical record's audiology clinical documentation.
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Gayle Riemer: Financial: Gail Riemer is employed by Cincinnati Children's Hospital Medical Center, AudiologyOnline's cooperative partner for this event. Non-financial: Geil Riemer has no non-financial relationships to disclose.
Sponsor Disclosure: This course is presented by AudiologyOnline is partnership with Cincinnati Children's Hospital.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
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