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INTRODUCTION

10/05/2023 Anesthesiology Journal Club - Hypotension-Avoidance Versus Hypertension-Avoidance Strategies in Noncardiac 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:

  • Identify the existing literature and evidence behind various perioperative blood pressure management strategies 
  • Identify the associated consequence of perioperative hypotension
  • Explain the findings of the POISE-3 trial and the targeted strategies for blood pressure management

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

Suggested Additional Reading

  1. Vafi Salmasi, Kamal Maheshwari, Dongsheng Yang, Edward J. Mascha, Asha Singh, Daniel I. Sessler, Andrea Kurz; Relationship between Intraoperative Hypotension, Defined by Either Reduction from Baseline or Absolute Thresholds, and Acute Kidney and Myocardial Injury after Noncardiac Surgery: A Retrospective Cohort Analysis. Anesthesiology 2017; 126:47–65
  2. Daniel I. Sessler, Christian S. Meyhoff, Nicole M. Zimmerman, Guangmei Mao, et al. Period-dependent Associations between Hypotension during and for Four Days after Noncardiac Surgery and a Composite of Myocardial Infarction and Death: A Substudy of the POISE-2 Trial. Anesthesiology 2018; 128:317–327
  3. Victor G. B. Liem, Sanne E. Hoeks, Kristin H. J. M. Mol, Jan Willem Potters, Frank Grüne, Robert Jan Stolker, Felix van Lier; Postoperative Hypotension after Noncardiac Surgery and the Association with Myocardial Injury. Anesthesiology 2020; 133:510–522.


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:
Benjamin Genovese, MD — PGY-2 Resident, UPMC Department of Anesthesiology & Perioperative 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.
Paul Lecker DO, MBA — PGY-2 Resident (PITTrack Program), UPMC Department of Anesthesiology & Perioperative 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.
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.
Toby Moghalu MD — PGY-2 Resident, Department of Anesthesiology and Perioperative 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.