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CME: Perioperative Fluid Optimization with Goal Directed Therapy:


Program Description / Statement of Need:

In this online CME self-learning program:
Dr. Gan discusses the consequences of hypovolemia and fluid excess, goal directed therapy, and incorporating GDT in enhanced recovery after surgery (ERAS) protocol. Minimally invasive methods to monitor cardiac output are also discussed.
The concept of individualized GDT in surgical patients seems to be an important component for optimization of perioperative fluid management and outcome in high-risk surgical patients.


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 mini-invasive and cardiac output monitors that are available today.
    • Describe the fundamentals of Duke's ERAS Protocol
    • Describe the benefits of Goal Directed Therapy



    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: December 15, 2011
    Expiration Date: February 28, 2015

    Faculty: Tong (TJ) Gan MB, FRCA, FFARCSI

    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 thru content review by ScientiaCME.


    TJ Gan, MD reports being receiving research support and honoraria from Baxter, Cheetah Medical, Covidien, Durect, Eisai, Edwards Life Science, Fresenius-Kabi and Hospira.


    Disclosures of Educational Planner: Steven Sachse is an officer and part owner of ScientiaCME, LLC. ScientiaCME has received grants from Bayer, Edwards Lifesciences, Eisai, Daiichi-Sankyo, Lilly, Merck, Pfizer, Sanofi Aventis, Wolf-Torey Medical.


    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



    -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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