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CME: Pediatric Hemodynamic Monitoring

ACCREDITATION EXPIRED: August 19, 2013

Activity Description / Statement of Need:

In this online CME self-learning program:

The pediatric cardiac surgical patient presents with a unique set of challenges. Significant improvement has been made over the past few decades as to mortality and morbidity, due in part to more advanced hemodynamic monitoring capabilities.  While surgical skill has increased, the volume of procedures performed in an institution has been shown to decrease mortality. Monitoring markers of inadequate tissue perfusion, such as lactate levels and SvO2 values post-operatively has significantly decreased complications. Clinicians need to be made aware of new developments in hemodynamic monitoring. This session discusses the rationale for use of SvO2 and lactate levels as well as the related research supporting their use.

 

Agenda:

  •  
  • -      Patient cases
  • -      Hemodynamic monitoring in cardiac surgery overall
  • -      Different populations: factors influencing outcomes in pediatrics versus adults
  • -      The Norwood procedure and post-operative hemodynamics: clinical trial findings
  • -      The role of hemodynamic monitoring in the pediatric patient population
  •              -  Oxygen supply and demand
  •              -  A range of clinical circumstances
  •              -  Incorporation into the Norwood protocol
  • -      Summary of the evidence

Target Audience:

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 an educational grant from Edwards Lifesciences, a manufacturer of medical devices.

Release Date: August 20, 2011 -- Expiration Date: August 19, 2013

Faculty: Paul A. Checchia , MD, FCCM

Agenda

Learning Objectives

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

  • Cite current studies supporting the use of lactate and SvO2.
  • Identify markers of inadequate tissue perfusion.
  • Determine factors that affect venous saturation values.

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 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: Paul A. Checchia MD, FCCM, discloses that he receives honoraria and expense reimbursement 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: This program is supported by an educational grant from Edwards Lifesciences, a manufacturer of medical devices.

 

Unlabled Use Disclosure: This program may contain off-label and/or investigational uses of commercial products.

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.