Anesthesiology, July 2013 CME
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Perioperative Systemic Magnesium to Minimize Postoperative Pain: A Meta-analysis of Randomized Controlled Trials, by Gildasio S. De Oliveira, Jr., M.D., M.S.C.I., Lucas J. Castro-Alves, M.D., Jamil H. Khan, B.S., and Robert J. McCarthy, Pharm.D.
This article is accompanied by an Editorial View.
Magnesium: Is There a Signal in the Noise? by Ramana Naidu, M.D., and Pamela Flood, M.D.
Summary: Previous clinical studies have shown conflicting results regarding the use of perioperative systemic magnesium to minimize postoperative pain. The authors of this month’s CME article sought to bring clarity to the subject via a meta-analysis that included data from more than 1,200 patients. They found that systemically administered magnesium decreased postoperative pain a small, statistically significant amount and that morphine use was reduced. These results indicate magnesium has some utility as an analgesic adjunct after surgery.
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:
- Discuss the properties of intracellular magnesium
- Predict the analgesic effect of intravenous (IV) magnesium on postoperative pain
- Compare the effects of the administration of IV magnesium with other nonopioid analgesic adjuncts
- Anticipate side effects associated with IV magnesium administration.
Faculty & Credentials:
Editor-in-Chief: James C. Eisenach, M.D. receives consulting fees from Adynxx, NeuroGesX, and Vertex.
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.
Article Authors: Gildasio S. De Oliveira, Jr., M.D., M.S.C.I., Lucas J. Castro-Alves, M.D., Jamil H. Khan, B.S., and Robert J. McCarthy, Pharm.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: Ramana Naidu, M.D., and Pamela Flood, 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 relevant financial relationships to disclose.
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.
Core Competencies:Medical knowledge
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.
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