Anesthesiology, December 2012 CME

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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

Residual Neuromuscular Blockade Affects Postoperative Pulmonary Function by Kumar GV, Nair AP, Murthy HS, Jalaja KR, Ramachandra K, Parameswara G.

Summary: Historically, residual neuromuscular blockade (RNMB) has been linked with respiratory complications during the postoperative period following muscle relaxant use. This case study sought to determine whether RNMB causes reductions in forced vital capacity (FVC) and peak expiratory flow (PEF) in the immediate postoperative period. The study found that postoperative FVC and PEF values of RNMB-present patients were lower by 13% and 9% in absolute terms (P < 0.008), and 21% and 19% in relative terms, respectively, compared with RNMB-absent patients. These results indicate impaired respiratory muscle function.

Learning Objectives:

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

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

  • Assess the risk of residual neuromuscular blockade (RNMB) in the postanesthesia care unit
  • Recognize respiratory function changes associated with postoperative RNMB
  • Select the most appropriate neuromuscular blocking agent to minimize RNMB

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: Gopalaiah Venkatesh Kumar, M.B.B.S., D.N.B., Anita Pramod Nair, M.B.B.S., D.N.B., Hanuman Srinivasa Murthy, M.B.B.S., M.D., Koppa Ramegowda Jalaja, M.B.B.S., D.N.B., Karnate Ramachandra, M.B.B.S., M.D., Gundappa Parameswara, M.B.B.S., M.D. 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.

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 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:

11/19/2012 (All day)

Activity Expiration Date:

11/18/2015 (All day)

Estimated Time to Complete:

60 minutes