In this online CME self-learning program:
The role of hemodynamic monitoring has direct implications, both in the near- and long-term, in predicting patient outcomes after surgery. The trending of stroke volume and its subsequent guidance of fluid administration can improve a patient’s oxygen delivery index which, in turn, determines the patient’s risk of post-operative complications in a variety of surgeries. The employment of hemodynamic monitoring and goal-directed therapy in a protocolized fashion improves post-operative complications within a given window of opportunity; this program examines the components of successful monitoring techniques and discusses how they may be applied to the overall surgical patient population.
While flow-based hemodynamic monitoring and interventions has been shown to improve morbidity and sometime mortality outcomes to date in surgical patients, practitioners have been reluctant to adopt the practice in a widespread fashion, perhaps in part because the individual studies involve contained small sample sizes. The question also remains: does the same relationship between monitoring and outcomes hold since the advent of less invasive strategies and improved quality of care? At least one meta-analysis of recent studies indicates that it does, which suggests that a failure to employ these monitoring techniques in post-surgical patients may be associated with a gap in care.
Agenda:
This program has been designed for a multidisciplinary physician and nurse audience including: ICU / Anesthesia / Peri-op / Intensivists / Trauma / Critical Care
This program is supported by Educational Grants from Edwards Lifesciences
Release Date: February 24, 2012 -- Expiration Date: February 24, 2014
Faculty: Maurizio Cecconi , MD, MD (UK)
By the end of the session the participant will be able to:
As a provider of continuing medical education, it is the policy of 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 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 ScientiaCME.
Faculty Disclosure: Maurizio Cecconi, MD, MD(UK) discloses that he receives honoraria and expense reimbursement from Edwards Lifesciences, LiDCO, Cheetah Medical, Masimo, and Nexfin Bmeye.
Disclosures of Educational Planners: 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: This program is supported by an educational grant from Edwards Lifesciences, a manufacturer of medical devices.
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