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In North America, over 3 million patients have a cardiac pacemaker and nearly 300,000 have an implanted defibrillator. These devices perform complex heart rhythm management from simple pacing to improving heart failure to terminating ventricular and atrial arrhythmias. More than 1.5% of these patients undergo surgery yearly, and the ability of the physician anesthesiologist to understand device function, device capabilities, and separate true malfunction from normal, but difficult to understand behavior, can help improve overall surgical outcomes.
CERTIFIED PROFESSIONALS IN PATIENT SAFETY (CPPS)This activity meets the criteria of the Certification Board for Professionals in Patient Safety for 1.0 CPPS CE hours.
Through the American Board of Medical Specialties (ABMS) and Association of American Medical Colleges’ (AAMC) joint initiative (ABMS MOC Directory) to create a wide array of Maintenance of Certification (MOC) Activities, Patient Safety Module - Drug Errors in Anesthesia has met the MOC requirements as a MOC Part II CME Activity (apply toward general CME requirement) by the following ABMS Member Boards:
Note: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement (only). Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.
These patient safety activities help fulfill the patient safety CME requirement for Part 2 of the Maintenance of Certification in Anesthesiology Program® (MOCA) of The American Board of Anesthesiology (ABA). Please consult the ABA website, www.theABA.org, for a list of all MOCA requirements.
Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology®.
Activity Release Date:11/18/2015
Activity Expiration Date:11/17/2018
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Learning Objectives:After completing this activity, the learner will be able to:
1) Review the 2011 ASA and HRS-ASA advisories regarding the care of the patient with an implanted cardiac device;2) Develop a perioperative strategy for patients with implanted cardiac generators;3) Learn to...
1) Review the 2011 ASA and HRS-ASA advisories regarding the care of the patient with an implanted cardiac device;2) Develop a perioperative strategy for patients with implanted cardiac generators;3) Learn to distinguish a pacemaker from an implanted cardioverter-defibrillator;4) Examine x-ray codes to identify the manufacturer of a cardiac generator;5) Develop a strategy for improving care of patients with a pacemaker or implanted cardioverter-defibrillator.
Faculty & CredentialsMarc Rozner, Ph.D., M.D., Anesthesiology and Perioperative Medicine; Cardiology, University of Texas MD Anderson Cancer Center, Houston, TX.Dr. Rozner is Professor of Anesthesiology and Perioperative Medicine at the University of Texas M. D. Anderson Cancer Center in Houston, where he also holds a joint appointment as Professor of Cardiology. Dr. Rozner started his professional career as a computer programmer in 1968, designing application software, operating systems, and battery-powered hardware throughout the 1970s and 80s. He earned his PhD in toxicology and pharmacology in 1980 at the University of Rochester School of Medicine and Dentistry in Rochester, New York. His work involved free radical production and lipid peroxidation caused by perfluorocarbon (an environmental contaminant) interaction with hepatic microsomes, and he completed a (PhD) fellowship in microbiology and immunology at the Medical College of Virginia. He subsequently received his MD in 1990 and completed an internship in internal medicine at the Medical College of Virginia. He trained in anesthesiology at the University of Virginia School of Medicine. Dr. Rozner's primary interest in perioperative medicine focuses on issues in patients with cardiac pacemakers and implanted cardioverter defibrillators. He has served on 3 panels developing practice parameters for the perioperative care of these patients for both the American Society of Anesthesiologists and the Heart Rhythm Society. Dr. Rozner passed the pacing board exam in 2001 and the recertification exam in 2011. He was named a Best Doctor in America in 2001, and he was elected to the Association of University Anesthesiologists in 2006.
Marc Rozner, Ph.D., M.D. has reported no financial relationships with commercial interests.
Patient Safety Editorial Board Members: David Martin, M.D., Ph.D., Jane Easdown, M.D., Markus Klass, M.D., Ph.D., Lorri Lee, M.D., Richard C. Prielipp, M.D., M.B.A., Tetsu Uejima, M.D. have reported no financial relationships with commercial interestes.
ASA StaffGerry Higgins has reported no relevant financial relationships with commercial interests.
MOCA® Approval Statement: This activity helps fulfill the CME requirement for Part II of the ABA’s Maintenance of Certification in Anesthesiology program (MOCA®). Please consult the ABA website, www.theABA.org, for a full list of MOCA requirements.
CME Accreditation Statement
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 enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Society of Anesthesiologists remains strongly committed to providing the best available evidence-based clinical information to participants of this educational activity and requires an open disclosure of any potential conflict of interest identified by our faculty members. It is not the intent of the American Society of Anesthesiologists to eliminate all situations of potential conflict of interest, but rather to enable those who are working with the American Society of Anesthesiologists to recognize situations that may be subject to question by others. All disclosed conflicts of interest are reviewed by the educational activity course director/chair to ensure that such situations are properly evaluated and, if necessary, resolved. The American Society of Anesthesiologists educational standards pertaining to conflict of interest are intended to maintain the professional autonomy of the clinical experts inherent in promoting a balanced presentation of science. Through our review process, all American Society of Anesthesiologists CME activities are ensured of independent, objective, scientifically balanced presentations of information. Disclosure of any or no relationships will be made available for all educational activities.
DisclaimerThe 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.
Required Hardware / SoftwareInternet connection, web browser version must have been released within the last three years.
Activity Release Date: 11/9/2015Activity Expiration Date: 11/8/2018
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