Anesthesiology, October 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. Prevention of intraoperative awareness with explicit recall in an unselected surgical population: A randomized comparative effectiveness trial” by Mashour et al.  and 
  2. Bispectral index versus minimum alveolar concentration for prevention of intraoperative awareness: Does a practical controlled trial provide CERtainty?”, the accompanying editorial by Memtsoudis and Liu

Intraoperative awareness with explicit recall occurs in approximately 0.15% of all surgical cases. Historically, efficacy trials based on the Bispectral Index™ (BIS) monitor and anesthetic concentrations have focused on high-risk patients, but there are no effectiveness data applicable to an unselected surgical population. A recent randomized controlled trial assigned surgical patients to alerting algorithms based on either BIS values or anesthetic concentrations. The primary outcome was the incidence of definite intraoperative awareness; secondary outcomes included postanesthetic recovery variables. This trial was unable to determine a difference between protocols based on BIS values and anesthetic concentration in the prevention of intraoperative awareness in an unselected surgical population.

Learning Objectives:

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

  1. Evaluate research conclusions based on comparative effectiveness research,
  2. Employ alert or alarm interventions to reduce patient awareness, and
  3. Use minimum alveolar concentration-based or Bispectral Index-directed care to enhance medical management.

Faculty & Credentials:

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

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

Authors: George A. Mashour, M.D., Ph.D., Amy Shanks, M.S., Kevin K. Tremper, Ph.D., M.D., Sachin Kheterpal, M.D., M.B.A., Christopher R. Turner, M.D., Ph.D., M.B.A., Satya Krishna Ramachandran, M.D., F.R.C.A., Paul Picton, M.D., F.R.C.A., Christa Schueller, B.S., Michelle Morris, M.S., John C. Vandervest, B.S., Nan Lin, Ph.D., Michael S. Avidan, M.B., B.Ch. 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 relationships with commercial interests.

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.

Target Audience:

ANESTHESIOLOGY Journal CME is intended for anesthesiologists. Researchers and other health care professionals with an interest in anesthesiology may also participate.

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 enduring material 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:

09/18/2012 (All day)

Activity Expiration Date:

09/17/2015 (All day)

Estimated Time to Complete:

60 minutes