Anesthesiology, October 2013 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 2013 Annual Subscription

Course Description

Member price: $10.00, Non-member price: $20.00

Selective β1-Antagonism with Bisoprolol Is Associated with Fewer Postoperative Strokes than Atenolol or Metoprolol: A Single-center Cohort Study of 44,092 Consecutive Patients, by Ashes et al.

Summary: Perioperative β-blockade has been associated with an increased risk of stroke. The authors of this month’s CME article sought to determine whether use of a β1-selective agent (bisoprolol) would decrease risk of stroke compared to less selective β-blockers (metoprolol or atenolol). In this propensity-adjusted cohort study, those receiving bisoprolol had a 5-fold reduced risk of postoperative stroke compared with those receiving the less selective agents.

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

Learning Objectives:

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

  • Counsel patients on the risks and benefits of perioperative β-blockade
  • Select the best β-blocker to reduce the risk of perioperative stroke
  • Anticipate and mitigate the factors that increase the risk of perioperative stroke

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: Catherine Ashes, M.B.B.S., Saul Judelman, M.B.B.S., Duminda N. Wijeysundera, M.D., Ph.D., Gordon Tait, Ph.D., C. David Mazer, M.D., Gregory M. T., Hare, M.D., Ph.D., and W. Scott Beattie, M.D., Ph.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.

Core Competencies:

Medical knowledge

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:

09/17/2013 (All day)

Activity Expiration Date:

09/16/2016 (All day)

Estimated Time to Complete:

60 minutes