Anesthesiology, September 2013 CME
Member price: $10.00, Non-member price: $20.00
Neuraxial Anesthesia in Parturients with Intracranial Pathology: A Comprehensive Review and Reassessment of Risk, by Leffert LR and Schwamm LH.
Summary: This month’s Journal CME article examines the risk associated with the use of neuraxial anesthesia in parturients with known intracranial pathology. The authors also propose a framework and recommendations for assessing risk of neurologic deterioration or dural puncture—both planned and inadvertent. In this review article, case examples are used to illustrate these concepts and provide guidance for practicing anesthesiologists to determine the safety of neuraxial anesthesia.
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
- Cite the implications of pathologic intracranial anatomy and physiology in the parturient
- Recognize situations where intracranial compliance will influence anesthetic planning
- Apply the risk-to-benefit ratio to anesthetic management in the parturient with known intracranial pathology
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 financial relationships with commercial interests.
Authors: Lisa R. Leffert, M.D., and Lee H. Schwamm, M.D., 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.
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.