Current recommendations for women undergoing cesarean delivery include 15° left tilt for uterine displacement to prevent aortocaval compression, although this degree of tilt is practically never achieved.
After successfully completing this activity, the learner will be able to do the following:
Recognize the importance of prophylactic measures to avoid hypotension during spinal anesthesia for cesarean delivery (3,5)
Identify the physiologic effects of changes in body position in term pregnancy (2,4,6)
Predict the effect of changes in positioning, blood pressure, and cardiac output on fetal well-being (1)
ANESTHESIOLOGY Journal CME is intended for anesthesiologists. Researchers and other health care professionals with an interest in anesthesiology may also participate.
Allison J. Lee, M.D., Ruth Landau, M.D., James L. Mattingly, C.R.N.A., Margaret M. Meenan, C.R.N.A., Beatriz Corradini, M.Sc., Shuang Wang, Ph.D., Stephanie R. Goodman, M.D., Richard M. Smiley, M.D., Ph.D., Michaela K. Farber, M.D., Brian T. Bateman, M.D., M.Sc., Evan D. Kharasch, M.D., Ph.D., Leslie C. Jameson, M.D., Dan J. Kopacz, M.D., Kari L. Lee, Ginger Clark
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 AMA PRA Category 1 Credit™. 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 education 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.