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This Refresher Corurse includes the following manuscripts:Right Ventricular Dysfunction Following Lung Resection, by Marcos F. Vidal Melo, M.D., Ph.D. and Yasuko Nagasaka, M.D., Ph.D.Achieving and Managing Lung Separation, by Edmond Cohen, M.D.Perioperative Lung Protection Strategies in One-Lung and Two-Lung Ventilation, by Peter Slinger, M.D.Hypoxia during Thoracic Surgery, by Javier Campos, M.D.
CME Credit: 1.00 AMA PRA Category 1 Credit™
Activity Release Date:09/27/2016
Activity Expiration Date:09/26/2019
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Learning Objectives: After completing this activity, the participant should be able to:• Discuss the physiopathology of perioperative right ventricular failure• Formulate strategies to manage intraoperative right ventricular failure according to its cause• Propose approaches to...
Learning Objectives: After completing this activity, the participant should be able to:• Discuss the physiopathology of perioperative right ventricular failure• Formulate strategies to manage intraoperative right ventricular failure according to its cause• Propose approaches to monitor and treat patients with right ventricular failure secondary to lung resection• Differentiate between lung isolation and lung separation• Describe currently available methods to achieve lung separation• Discuss the advantages and limitations of endobronchial blockers compared with double-lumen tubes for thoracic surgical procedures• Identify patients at increased risk for perioperative lung injury• Develop an evidence-based intraoperative ventilation strategy to improve postoperative outcomes• Apply recent knowledge of perioperative fluid management and inflammation to decrease the incidence of postoperative respiratory complications in thoracic and nonthoracic surgery• List the factors that potentially predict hypoxemia during one-lung ventilation• Discuss the physiology of one-lung ventilation and the response of hypoxic pulmonary vasoconstriction• Describe the different modalities to restore or improve oxygenation, including ventilatory maneuvers and the use of extracorporeal membrane oxygenation in unique situations
Faculty and DisclosuresEditor-in-Chief: Alan Jay Schwartz, M.D. has reported no relevant financial relationships with commercial interests.Associate Editors: Amanda R. Burden, M.D. and Samuel H. Wald, M.D. have reported no relevant financial relationships with commercial interests. Laurence Torsher, M.D. receives honoraria from Elsevier.Manuscript Editor: Nancy Megley has reported no relevant financial relationships with commercial interests.Authors: Yasuko Nagasaka, M.D. has reported a one-time lecture and travel grant from 3M. Marcos F. Vidal Melo, M.D. has reported that he receives investigator-initiated funding from Merck. Javier Campos, M.D. has reported that he receives consulting fees from ETView Medical Ltd. Edmond Cohen, M.D. and Peter Slinger, M.D. have reported no relevant financial relationships with commercial interests. ASA Staff: Anne Farace and Matthew McNutt have reported no relevant financial relationships with commercial interests.
Target Audience: Physicians involved with anesthesiology education, clinical practice, and research.
CME 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 enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Disclosure Statement: 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.
Disclaimer: 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.
Required Hardware / Software: Adobe Acrobat Reader, Internet connection, Media Player. Web browser version must have been released within the last three years.
Activity Release Date: 9/27/2016 Activity Expiration Date: 9/26/2019
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