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CME: The Use of Dynamic Parameters in Perioperative Fluid Management


Program 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.




  • -      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

Program 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.



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

    Faculty: Gerald Manecke Jr. MD

    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.


    Viewing Requirements:



    Windows 2000 or above
    Internet Explorer 5.5
    Adobe Acrobat Reader*

    Mac OS 10.2.8
    Adobe Acrobat Reader*
    Internet Explorer is not supported on the Macintosh


    *Required to view Printable PDF Version


    Privacy Policy



    -Read the learning objectives and faculty disclosures above

    -Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowedge gained by participating in this CME activity.

    -View the on-line program. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.

    -Take the post-test

    -Complete the program evaluation and CME registration. A CE certificate will be emailed to you.

    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.

    Download the Presentation (optional)


    View the online program


    Perform Post-Test

    Complete the Symposium Evaluation and Request CE Certificate

Supported through an educational grant from Edwards Lifesciences


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