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INTRODUCTION

11/15/24 - Anesthesiology Journal Club - Continuation vs Discontinuation of Renin-Angiotensin System Inhibitors Before Major 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:

  • Evaluate current evidence for and against holding RAAS inhibitors prior to surgery
  • Review current guidelines regarding RAAS inhibitor management prior to surgery.
  • Evaluate impact of RAAS inhibitors on intra-operativee and post-operative complications.

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

Suggested Additional Reading

  1. Legrand M, et al (2024). Continuation vs discontinuation of renin-angiotensin system inhibitors before major non-cardiac surgery. JAMA. 332(12):970-978
  2. Roshanov PS, Rochwerg B, Patel A, et al. Withholding versus continuing angiotensin- converting enzyme inhibitors or angiotensin II receptor blockers before noncardiac surgery: an analysis of the vascular events in noncardiac surgery patients cohort evaluation prospective cohort. Anesthesiology. 2017;126(1):16-27
  3. Halvorsen S, Mehilli J,Cassese S, etal; ESC Scientific Document Group. 2022 ESC guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery. Eur Heart J. 2022;43(39):3826-3924


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 is accredited by the ACCME to provide continuing medical education for physicians.


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:
Abiyeh Agbeh, MD — PGY-2 Resident, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh. University of Pittsburgh Medical Center
No relationships with industry relevant to the content of this educational activity have been disclosed.
Maria Eibel, MD — PGY-2 Resident, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh. University of Pittsburgh Medical Center
No relationships with industry relevant to the content of this educational activity have been disclosed.
Morgan Zopp, MD — PGY-2 Resident, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh. University of Pittsburgh Medical Center
No relationships with industry relevant to the content of this educational activity have been disclosed.
Stephen McHugh, MD, FASA — Assistant Professor, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine
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.
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.