ANESTHESIOLOGY, May 2014 CME
Member price: $0.00, Non-member price: $20.00
Health Outcomes with and without Use of Inotropic Therapy in Cardiac Surgery: Results of a Propensity Score‒Matched Analysis by Nielsen DV, Hansen MK, Johnsen SP, Hansen M, Hindsholm K, Jakobsen CJ.
Summary: According to previous studies, inotropes used to obtain short-term hemodynamic benefits in cardiac surgery may carry a risk of increased myocardial ischemia and adverse outcomes. The study in this month’s Journal CME article investigated the association between intra- and postoperative use of inotropes and mortality and postoperative complications. In this observational study of 6,005 patients using propensity score matching, perioperative use of inotropes was independently associated with increased 1-year mortality. The results indicate that the beneficial effects of current inotropic drugs may be limited to only short-term hemodynamic improvement in patients after cardiac 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
- Anticipate the postoperative adverse events that occur most frequently in cardiac surgery patients
- Predict the possible effects of using perioperative inotropic agents
- Recognize how the timing of inotrope administration influences the complication risk.
Faculty & Credentials:
Editor-in-Chief: James C. Eisenach, M.D., receives con- sulting fees from Adynxx, NeuroGesX, and Vertex.
CME Editors: Leslie C. Jameson, M.D., receives honoraria from Masimo and honoraria from GE Medical International. Dan J. Kopacz, M.D., has ownership in Solo-Dex LLC.
Authors: Dorthe Viemose Nielsen, M.D., Malene Kærslund Hansen, M.B.B.S., Søren Paaske Johnsen, M.D., Ph.D., Mads Hansen, M.D., Karsten Hindsholm, M.D., H.D., and Carl-Johan Jakobsen, M.D., have reported no financial relationships with commercial interests.
Authors: Sachin Kheterpal, M.D., M.B.A., and Jean-Luc Fellahi, 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.
Resolution of Conflict of Interests
In accordance with the ACCME Standards for Commercial Support of CME, the American Society of Anesthesiologists has implemented mechanisms, prior to the planning and implementation of this Journal-based CME activity, to identify and resolve conflicts of interest for all individuals in a position to control content of this Journal-based CME activity.
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)™.
Anesthesiology’s Journal CME is open to all readers. To take part in Anesthesiology Journal-based CME, complete the following steps:
- Read the CME information presented on this page.
- Register at http://education.asahq.org/2014-journal-cme. Non-members will be asked to provide payment.
- Read this month’s article designated for CME credit available online within the activity.
- Achieve a score of at least 50% correct on the six-question online journal CME quiz and complete the evaluation.
- Claim credit in15-minute increments, for a maximum of 1 AMA PRA Category 1 Credit™ per journal article.
Required Hardware / Software:
Adobe Acrobat Reader, Internet connection, web browser version must have been released within the last three years.