Activity Description

Anesthesia Scholarly Connections serves as a forum for anesthesia professionals, including anesthesiologists, nurse anesthetists, student nurse anesthetists, and anesthesia residents, to gather and discuss current research articles, case studies, and advancements in the field of anesthesia. The primary purpose of an anesthesia journal club is to promote ongoing education, critical appraisal of literature, and evidence-based practice within the anesthesia community.

The activities of an anesthesia journal club typically involve regular meetings where members select and review recent publications or relevant topics in anesthesia. During these meetings, participants critically analyze the methodology, results, and implications of the selected articles or cases. Discussions often center around how the findings or insights from the literature can be applied to clinical practice, patient care, and anesthesia management.

Target Audience

Nurse Anesthetists, Anesthesiologists

Goals and Objectives

A growing body of evidence supports a link between intraoperative hypotension (IOH) and adverse postoperative outcomes, notably acute kidney injury (AKI), myocardial injury, and mortality. Moreover, there are indications that anesthesia providers may not be effectively managing intraoperative hemodynamics, potentially leading to iatrogenic harm. Urgent action is needed to raise awareness of this critical issue and offer education on proper hemodynamic management.

Incorporating advanced hemodynamic monitoring technologies, such as the Edwards ClearSight system, holds promise for addressing IOH. By providing continuous and non-invasive monitoring of key parameters like arterial blood pressure and cardiac output, ClearSight enables anesthesia providers to access real-time cardiovascular data. This facilitates prompt detection and intervention for hypotensive episodes, empowering clinicians to proactively optimize hemodynamics and mitigate hypotension-related complications during surgery. Leveraging ClearSight's capabilities can lead to a reduction in the severity, duration, and frequency of IOH, ultimately improving patient outcomes.

At the conclusion of the activity, learners should be better prepared to:

• Describe the physiological mechanisms that contribute to intraoperative hypotension.
• Define intraoperative hypotension and its significance in the perioperative setting.
• Identify the risk factors associated with intraoperative hypotension.
• Identify the risk factors associated with intraoperative hypotension..

References and Resources

1. Frassanito L, Giuri PP, Vassalli F, et al. Hypotension Prediction Index with non-invasive continuous arterial pressure waveforms (ClearSight): clinical performance in Gynaecologic Oncologic Surgery. J Clin Monit Comput. 2022;36(5):1325-1332. doi:10.1007/s10877-021-00763-4
2. Kouz K, Weidemann F, Naebian A, et al. Continuous Finger-cuff versus Intermittent Oscillometric Arterial Pressure Monitoring and Hypotension during Induction of Anesthesia and Noncardiac Surgery: The DETECT Randomized Trial. Anesthesiology. 2023;139(3):298-308. doi:10.1097/ALN.0000000000004629
3. Gregory A, Stapelfeldt W, Khanna A, et al. Intraoperative hypotension is associated with adverse clinical outcomes after noncardiac surgery. Anesth Analg. 2020;x(x):1-12. doi:10.1213/ANE.0000000000005250
4. Stapelfeldt WH, Khanna AK, Shaw AD, et al. Association of perioperative hypotension with subsequent greater healthcare resource utilization. J Clin Anesth. 2021;75(110516). https://doi.org/10.1016/j.jclinane.2021.110516. 

Course Information

Live Course Start Date: March 14, 2024
Live Course End Date: March 14, 2024
Live Course Location: Back Forty Beer Company, 3201 1st Avenue North, Birmingham, AL 35222
CME Release Date:  May 3, 2024
Valid for credit through:  June 3, 2024
Course type: Live Course

Credits Available

Southern Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Southern Medical Association designates this Live Course activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

System Requirements and Instructions for Participation and Credit

System Requirements

• Learners must have Adobe Reader installed in order to view course content.
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Instructions for Participation and Credit

This activity is designed to be completed within the time designated; learners should claim only those credits that reflect the time actually spent in the activity. 

To successfully earn credit, participants must complete the activity online during the valid credit period noted, following these steps:

• Read the goals and objectives, accreditation information, and author disclosures.
• Login in below to study the educational content and references.
• Complete the evaluation and quiz.

Upon successful completion of these components, your certificate will be processed and emailed from customerservice@sma.org. Credits will be archived for 6 years; at any point within this time period you may login to your account to print a duplicate copy of your certificate.