Anesthesiology, January 2013 CME
Member price: $10.00, Non-member price: $20.00
Preoperative and Intraoperative Predictors of Postoperative Acute Respiratory Distress Syndrome in a General Surgical Population by Blum JM, Stentz MJ, Dechert R, et al.
Summary: Acute respiratory distress syndrome (ARDS) is defined as the rapid onset of hypoxia. In-hospital mortality of patients with ARDS often occurs at a rate of more than 30%. This study explores the incidence and risk factors for new onset postoperative ARDS in the noncardiothoracic, vascular, and trauma surgical populations that have not been well defined previously. The authors hypothesized that patients with known predictors of end-organ dysfunction, large volume resuscitations, and extended exposure to elevated ventilator settings would have an increased risk for the development of postoperative ARDS. The study findings suggest that ARDS development is associated with median drive pressure, fraction inspired oxygen, transfusion, and crystalloid volume.
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:
- Identify preoperative predictors for the development of postoperative acute respiratory distress syndrome (ARDS) in low-risk patients,
- Describe intraoperative factors associated with the development of ARDS,
- Estimate the mortality rate from ARDS after low- and high-risk surgical procedures.
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: James M. Blum, M.D., Michael J Stentz, M.D., M.S., Ronald Dechert, R.R.T., D.P.H., M.S., Elizabeth Jewell, M.S., Milo Engoren, M.D., Andrew L. Rosenberg, M.D., Daryl J. Kor, M.D., Daniel Talmor, M.D., M.P.H., and Pauline K. Park, M.D. have no financial interest in or affiliation with any commercial supporter or providers of any commercial services discussed in this educational material. 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.