In this online CME self-learning program:
Fluid administration is a first line intervention for patients with unstable cardiovascular status. However, two major problems exist with this intervention: only one half of the patients who receive fluid respond favorably and standard static parameters do not reliably assess the response to fluid. In patients with hemodynamic instability, dynamic parameters such as pulse pressure variation and stroke volume variation are shown to be better predictors of preload responsiveness than static parameters such as central venous pressures and pulmonary artery wedge pressures. Evidence incorporating dynamic parameters in decision–making algorithms favors improved patient outcomes. In addition, a simple maneuver such as passive leg raising is being promoted as a means of providing the patient with a “reversible physiologic” fluid challenge.
Agenda:
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: September 02, 2011 -- Expiration Date: February 28, 2015
Faculty: Jan Headley, RN
By the end of the session the participant will be able to:
ACCREDITATION FOR THIS COURSE HAS EXPIRED. YOU MAY VIEW THE PROGRAM, BUT CME / CE IS NO LONGER AVAILABLE AND NO CERTIFICATE WILL BE ISSUED.
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.
Faculty Disclosure: Jan Headley, RN, BS, discloses that she is employed by Edwards Lifesciences as Director of Professional Education.
Disclosures of Educational Planners: Steven Sachse is an officer and part owner of ScientiaCME, LLC, which has received a grant from the commerical supporter of this program: Edwards Lifesciences.
Disclosures of Educational Reviewer: Charles Turck, PharmD is an officer and part owner of ScientiaCME, LLC, which has received a grant from the commerical supporter of this program: Edwards Lifesciences.
Commercial Support Disclosure: Supported through an educational grant from Edwards Lifesciences, a manufacturer of medical devices.
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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.