Anesthesiology, August 2013 CME
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Effect of Intraoperative High Inspired Oxygen Fraction on Surgical Site Infection, Postoperative Nausea and Vomiting, and Pulmonary Function: Systematic Review and Meta-analysis of Randomized Controlled Trials, by Hovaguimian F, Lysakowski C, Elia N, Tramèr MR.
Summary: Previous findings have been conflicting regarding the role of high inspired oxygen fraction (FIO2) and perioperative outcomes. After reviewing the findings from 22 trials published in 26 reports, the authors of this month's CME article determined that intraoperative high FIO2 decreases the risk of surgical site infection in surgical patients receiving prophylactic antibiotics, with a weak beneficial effect on nausea and no increase in the risk of postoperative atelectasis.
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 inclusion criteria for meta-analysis evaluation.
- Determine the patient population where high FIO2 is an effective therapy for reducing surgical site infection (SSI) rates.
- Determine the patient population where high FIO2 is an effective therapy for reducing postoperative nausea and vomiting (PONV).
- Determine the patient population where high FIO2 therapy increases postoperative atelectasis.
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 reported no relevant financial relationships with commercial interests.
Authors: Frédérique Hovaguimian, M.D., Christopher Lysakowski, M.D., Nadia Elia, M.D., M.Sc., and Martin R. Tramèr, M.D., D.Phil. have reported 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.
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.
Required Hardware / Software:
Adobe Acrobat Reader
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