American Society of Anesthesiologists (ASA) Journal CME (May 16, 2017 - May 15, 2020)
Journal CMEFaculty
OVERVIEW
American Society of Anesthesiologists (ASA) Journal CME is organized by American Society of Anesthesiologists (ASA) and will be held during May 16, 2017 - May 15, 2020.
The target audience for this medical event is ANESTHESIOLOGY Journal CME is intended for anesthesiologists. Researchers and other health care professionals with an interest in anesthesiology may also participate. This CME Conference has been approved for a maximum of 1.00 AMA PRA Category 1 Credits.
This comprehensive review summarizes the evidence regarding use of cerebral autoregulation-directed therapy at the bedside and provides an evaluation of its impact on optimizing cerebral perfusion and associated functional outcomes. Multiple studies in adults and several in children have shown the feasibility of individualizing mean arterial blood pressure and cerebral perfusion pressure goals by using cerebral autoregulation monitoring to calculate optimal levels. Nine of these studies examined the association between cerebral perfusion pressure or mean arterial blood pressure being above or below their optimal levels and functional outcomes. Six of these nine studies (66%) showed that patients for whom median cerebral perfusion pressure or mean arterial blood pressure differed significantly from the optimum, defined by cerebral autoregulation monitoring, were more likely to have an unfavorable outcome. The evidence indicates that monitoring of continuous cerebral autoregulation at the bedside is feasible and has the potential to be used to direct blood pressure management in acutely ill patients.
Conference Objectives are :
• Recognize that maintenance of the same mean arterial pressure (MAP) or cerebral perfusion pressure may not be optimal for all patients
• Describe the physiologic mechanisms involved in cerebral autoregulation
• Identify the usefulness and limitations of current methods to determine optimal MAP (or cerebral perfusion pressure) at the bedside
Additional details will be posted as soon as they are available.
The target audience for this medical event is ANESTHESIOLOGY Journal CME is intended for anesthesiologists. Researchers and other health care professionals with an interest in anesthesiology may also participate. This CME Conference has been approved for a maximum of 1.00 AMA PRA Category 1 Credits.
This comprehensive review summarizes the evidence regarding use of cerebral autoregulation-directed therapy at the bedside and provides an evaluation of its impact on optimizing cerebral perfusion and associated functional outcomes. Multiple studies in adults and several in children have shown the feasibility of individualizing mean arterial blood pressure and cerebral perfusion pressure goals by using cerebral autoregulation monitoring to calculate optimal levels. Nine of these studies examined the association between cerebral perfusion pressure or mean arterial blood pressure being above or below their optimal levels and functional outcomes. Six of these nine studies (66%) showed that patients for whom median cerebral perfusion pressure or mean arterial blood pressure differed significantly from the optimum, defined by cerebral autoregulation monitoring, were more likely to have an unfavorable outcome. The evidence indicates that monitoring of continuous cerebral autoregulation at the bedside is feasible and has the potential to be used to direct blood pressure management in acutely ill patients.
Conference Objectives are :
• Recognize that maintenance of the same mean arterial pressure (MAP) or cerebral perfusion pressure may not be optimal for all patients
• Describe the physiologic mechanisms involved in cerebral autoregulation
• Identify the usefulness and limitations of current methods to determine optimal MAP (or cerebral perfusion pressure) at the bedside
Additional details will be posted as soon as they are available.
SPECIALITIES
AnesthesiologyRELATED ONLINE COURSES
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