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CME: The Use of Dynamic Parameters in Perioperative Fluid Management

ACCREDITATION EXPIRED: February 28, 2015

Activity Description / Statement of Need:

In this online CME self-learning program:

Concepts in perioperative fluid management have changed dramatically since the 1940’s, however, current practices are often based in traditional assumptions and are not often patient specific. This session reviews key historical concepts as a precursor to the rational for goal directed therapy and the physiologic rationale for use of volume responsiveness dynamic parameters in the management of the critically ill perioperative patient. Evidence supporting the use of goal directed therapy for improving both patient and economic outcomes is discussed.

 

Agenda:

 

  • -      Overview and brief history of perioperative patient management
  • -      The case for aggressive, perioperative goal-directed therapy
  • -      Dynamic parameters in the setting of perioperative patient management
  • -      Patient case(s)
  • -      Summary of the evidence

Target Audience:

This program has been designed for a multidisciplinary physician and nurse audience including: Emergency Medicine / ICU / Anesthesia / Peri-op / Intensivists / Trauma / Critical Care

Supported through an educational grant from Edwards Lifesciences

Release Date: November 15, 2011 -- Expiration Date: February 28, 2015

Faculty: Gerald Manecke Jr., MD

Agenda

Learning Objectives

By the end of the session the participant will be able to:

  • Describe two opposite fluid replacement strategies.
  • Delineate parameters used for goal directed therapy.
  • Interpret SV and SVV values in a case study format.

Accreditation

ACCREDITATION FOR THIS COURSE HAS EXPIRED. YOU MAY VIEW THE PROGRAM, BUT CME / CE IS NO LONGER AVAILABLE AND NO CERTIFICATE WILL BE ISSUED.


Faculty Disclosure and Resolution of COI

As an accredited provider of continuing medical education, it is the policy of the ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is not to prevent a person with a significant financial or other relationship from participating in CME activities, but rather to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity: for this CME activity, any COI has been resolved through content review by ScientiaCME.

 

Disclosure of Faculty: Gerald Manecke Jr., MD, reports receiving grant and travel expense support, and being a consultant / speakers bureau member / and speaker with honorarium from Edwards Lifesciences.

 

Disclosures of Educational Planner: Steven Sachse is an officer and part owner of ScientiaCME, LLC, which has received a grant from the commercial supporter of this program: Edwards Lifesciences.

 

Commercial Support Disclosure: Supported through an educational grant from Edwards Lifesciences, a manufacturer of medical devices.

Instructions

  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge gained by participating in this CME activity.
  • View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
  • Minimum participation threshold: Take the post-test. A score of 60% or higher is required to pass and proceed to the activity evaluation.
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

Cultural/Linguistic Competence & Health Disparities

System Requirements

PC
Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
MAC
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh

*Required to view Printable PDF Version

Perform Pre-Test (optional)

Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.