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CME: Are We Applying Goal Directed Therapy Concepts During High-Risk Surgery?


Program Description / Statement of Need:

In this online CME self-learning program:

The use of a pre-emptive strategy of hemodynamic monitoring and coupled therapy reduces surgical mortality and morbidity. Dr. Cannesson discusses current practices and makes suggestions for practice improvements. He suggests that relying on basic hemodynamic monitoring is not enough to get the full hemodynamic picture, that using mini Invasive and cardiac output monitors while applying Goal Directed Therapy (GDT) protocol have potential to improve patients’ outcome. Dr. Cannesson concludes that decision support system and closed loop systems need to be implemented in clinical practice.




  • - The importance of goal-directed therapy: a statistical and literature-based demonstration of need and variations in practice
  • - Roles of hemodynamic monitoring techniques durring high-risk surgery
  •     -  Invasive arterial pressure
  •     -  Central venous pressure
  •     -  Dynamic parameters … and their limitations
  •     -  Cardiac output
  • - 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:

    • Give an example of how the use of a pre-emptive strategy of hemodynamic monitoring and coupled therapy reduces surgical mortality and morbidity.
    • Describe mini-invasive and cardiac output monitors that are available today.
    • Describe how decision support systems and closed loop systems will effect clinical practice
    • Describe differences between ASA and ESA members in terms of GDT and other protocols.



    This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through ScientiaCME. ScientiaCME is accredited by the ACCME to provide continuing medical education for physicians.


    Credit Designation: ScientiaCME designates this educational activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)™ toward the AMA Physician's Recognition Award. Physicians should only claim credit commensurate with the extent of their participation in the activity.

    Release Date: January 14, 2012
    Expiration Date: January 14, 2014

    Faculty: Maxime Cannesson 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 IMS 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: M. Cannesson, MD reports being a speaker and / or consultant for:  Bmeye,  CNsystem,  ConMed,  Covidien, Edwards Lifesciences, Fresenius Kabi, Masimo Corp., and Philips Medical Systems.

    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. 

    Commercial Support Disclosure: Supported through an educational grant from Edwards Lifesciences.


    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 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 registration. A 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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