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INTRODUCTION

5/4/2023 Anesthesiology Journal Club - Postoperative Delirium After Dexmedetomidine Versus Propofol Sedation in Healthy Older Adults Undergoing Orthopedic Lower Limb Surgery

QUIZ

EVALUATION

CERTIFICATE

INTRODUCTION

Credit Hours: CME 1.00

Target Audience:

Anesthesiologists and anesthesiologists-in-training and other anesthesia professionals, nurse anesthetists and anesthesia assistants.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Describe the current update about research in postoperative delirium.
  • Discuss the possible mechanism underlying the delirium-reducing effects of dexmedetomidine.
  • Review the evidences of postoperative delirium after dexmedetomidine versus propofol sedation.

Suggested Additional Reading & Joint Accreditation Statement - Note: This Accreditation Statement Supersedes All Other Statements:

Suggested Additional Reading

  1. Rade MC,Yadeau JT, Ford C, Reid MC: Postoperative delirium in elderly patients after elective hip or knee arthroplasty performed under regional anesthesia. HSS J 2011; 7:151–6 
  2.  2. Sieber FE, Neufeld KJ, Gottschalk A, Bigelow GE, Oh ES, Rosenberg PB, Mears SC, Stewart KJ, Ouanes JP, Jaberi M, Hasenboehler EA, Li T, Wang NY: Effect of depth of sedation in older patients undergoing hip fracture repair on postoperative delirium: The STRIDE randomized clinical trial. JAMA Surg 2018; 153:987–95
  3. Pereira JV, Sanjanwala RM, Mohammed MK, Le ML, Arora RC: Dexmedetomidine versus propofol sedation in reducing delirium among older adults in the ICU:A systematic review and meta-analysis. Eur J Anaesthesiol 2020; 37:121–31.
Joint Accreditation Statement:

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 


The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Each physician should only claim credit commensurate with the extent of their participation in the activity.


Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Authors:
Fernando Brea Parrilla, MD — PGY-2 Resident, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh
No planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.
Rebecca Minorini, MD — PGY-2 Resident, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh
No planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.
Stephen McHugh, MD, FASA — Assistant Professor, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine
No planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

This activity is approved for AMA PRA Category 1 Credit™

The University of Pittsburgh is an affirmative action, equal opportunity institution.