Anesthesiology, September 2012 CME

Purchase Course & Materials

Course Fee
Member price: $10.00
Non-member price: $20.00

This course is a part of ANESTHESIOLOGY Journal CME 2012 Annual Subscription

Course Description

Member price: $10.00, Non-member price: $20.00

The focus of Journal CME is to educate readers on current developments in the science and clinical practice of anesthesiology.

Read the articles:

  1. Editorial View: Ventilation before Paralysis: Crossing the Rubicon, Slowly” by Richardson and Litman, pp. 456-458
  2. Effects of Muscle Relaxants on Mask Ventilation in Anesthetized Persons with Normal Upper Airway Anatomy” by Ikeda et al., pp. 487-493

This case study will highlight the use of succinylcholine and its relationship with rocuronium during mask ventilation through airway dilation during pharyngeal fasciculation. Case study highlights include evaluating total, oral, and nasal tidal volumes with rocuronium, along with the relationship between succinylcholine and total tidal volumes. The study also investigates participants’ responses during pharyngeal fasciculation and dilation of the space at the isthmus of the fauces. In addition, the study examines the connection between the larger increase in abrupt tidal volume through the oral airway route than through the nasal route. 

Learning Objectives:

After completing this activity, the learner will be able to:

  1. Discuss current data on predictive patient factors for difficult mask ventilation.
  2. Recognize the differential effects of succinylcholine and rocuronium on ease of face mask ventilation.
  3. Apply the time course of ventilatory alterations after succinylcholine administration in patient management.
  4. Use the changes in the proportionate oral and nasal ventilation after succinylcholine administration to improve face mask ventilation.

Faculty & Credentials:

Editor-in-Chief: James C. Eisenach, M.D. received consulting fees from Adynxx and NeuroGesX.

CME Editors: Leslie C. Jameson, M.D. received consulting fees and honoraria from Masimo and honoraria from GE Medical. Dan J. Kopacz, M.D. had no relevant financial relationships to disclose.

Authors: Aya Ikeda, M.D., Shiroh Isono, M.D., Yumi Sato, M.D., Hisanori Yogo, M.D., Jiro Sato, M.D., Teruhiko Ishikawa, M.D., and Takashi Nishino, M.D. have no financial interest in or affiliation with any commercial supporter or providers of any commercial services discussed in this educational material.

Editorial Authors: Michael G. Richardson, M.D. and Ronald S. Litman, D.O. have no financial interest in or affiliation with any commercial supporter or providers of any commercial services discussed in this educational material.

ASA Staff: Employees involved in planning have no financial relationships with commercial interests.

Resolutions of Conflicts of Interest

In accordance with the ACCME Standards for Commercial Support of CME, the American Society of Anesthesiologists will implement mechanisms, prior to the planning and implementation of this CME activity, to identify and resolve conflicts of interest for all individuals in a position to control content of this CME activity.


The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

CME Credit:

1.00 AMA PRA Category 1 Credit™

The American Society of Anesthesiologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Society of Anesthesiologists designates this journal-based CME activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

1.00 Non-physician Credit

Non-physicians may receive a Certificate of Completion stating that this activity was designated for 1.00 AMA PRA Category 1 Credit(s)™.


Read the article in print or online, and take the CME exam online.

Required Hardware / Software:

Adobe Acrobat Reader

Internet connection, web browser version must have been released within the last three years.

Activity Release Date:

08/21/2012 (All day)

Activity Expiration Date:

08/20/2015 (All day)

Estimated Time to Complete:

60 minutes