Modern Approaches to Fluid Resuscitation
Program Description / Statement of Need:
A common theme existing among the medical subspecialties is that there is neither a consensus nor a forum to better understand the issues surrounding fluid resuscitation. Confusion is common as to definitions, indications, current methods of monitoring, and as to what end-points or goals should be achieved. Descriptors such as “wet” or “dry” may be misleading when the target should be patient specific “euvolemia”. The scope of tissue hypoxia needs to be meaningful to clinicians caring for the critically ill. Modern approaches to resolve these points of confusion are discussed in this half day seminar. Specific proposed algorithms for specific patient conditions will be presented.
Target Audience: This program has been designed for a multidisciplinary physician and nurse audience including:
Emergency Medicine / ICU / Anesthesia / Peri-op / Intensivists / Trauma / Critical Care
Program Objectives:
1. Discuss current literature regarding optimal End-points and Goal-directed resuscitation strategies.
2. Define what comprises: “Too wet, Too Dry or Just right?” Striving for Euvolemia.
3. Answer current questions regarding clinical practice: What Protocols, Which Monitoring Tool: Pressure based or Flow based, What Parameters for what patient and in what environment?
4. Through case based scenarios describe where the specific type of monitoring may be optimally applied.
Accreditation:
This CME activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of The Institute for Medical Studies (IMS) and Med-CE-online.com. IMS is accredited by the ACCME to provide CME for physicians. IMS designates this educational activity for a maximum of 3.0 hours AMA PRA Category 1 Credits™ . Physicians should only claim credit commensurate with the extent of their participation in the activity.
Nurses may claim credit for activities approved for AMA PRA Category 1 Credits™ in most states, for up to 50% of the nursing requirement for recertification. This course is designated for 3.0 AMA PRA Category 1 Credits™
Release Date: July 1, 2008
Expiration Date: June 30, 2011
Faculty:
Faculty Disclosures
Viewing Requirements:
Download the Symposium Workbook - (optional)
Download the Gracias Presentation (optional)
Download the Roche Presentation (optional)
Download the Rivers Presentation (optional)
View the on-line program
Perform Post-Test (optional)
Complete the Symposium Evaluation and Request CE Certificate
Program Description / Statement of Need:
A common theme existing among the medical subspecialties is that there is neither a consensus nor a forum to better understand the issues surrounding fluid resuscitation. Confusion is common as to definitions, indications, current methods of monitoring, and as to what end-points or goals should be achieved. Descriptors such as “wet” or “dry” may be misleading when the target should be patient specific “euvolemia”. The scope of tissue hypoxia needs to be meaningful to clinicians caring for the critically ill. Modern approaches to resolve these points of confusion are discussed in this half day seminar. Specific proposed algorithms for specific patient conditions will be presented.
Target Audience: This program has been designed for a multidisciplinary physician and nurse audience including:
Emergency Medicine / ICU / Anesthesia / Peri-op / Intensivists / Trauma / Critical Care
Program Objectives:
1. Discuss current literature regarding optimal End-points and Goal-directed resuscitation strategies.
2. Define what comprises: “Too wet, Too Dry or Just right?” Striving for Euvolemia.
3. Answer current questions regarding clinical practice: What Protocols, Which Monitoring Tool: Pressure based or Flow based, What Parameters for what patient and in what environment?
4. Through case based scenarios describe where the specific type of monitoring may be optimally applied.
Accreditation:
This CME activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of The Institute for Medical Studies (IMS) and Med-CE-online.com. IMS is accredited by the ACCME to provide CME for physicians. IMS designates this educational activity for a maximum of 3.0 hours AMA PRA Category 1 Credits™ . Physicians should only claim credit commensurate with the extent of their participation in the activity.
Nurses may claim credit for activities approved for AMA PRA Category 1 Credits™ in most states, for up to 50% of the nursing requirement for recertification. This course is designated for 3.0 AMA PRA Category 1 Credits™
Release Date: July 1, 2008
Expiration Date: June 30, 2011
Faculty:
Tong J. Gan, MB, FRCA, FFARCSI
Professor and Vice Chair
Department of Anesthesiology
Duke University Medical Center
Durham, NC
Professor and Vice Chair
Department of Anesthesiology
Duke University Medical Center
Durham, NC
Vicente H. Gracias MD, FACS, FCCP*
Associate Professor of Surgery
Chief Surgical Critical Care
Medical Director Critical Care
University of Pennsylvania School of Medicine
Philadelphia, PA
Associate Professor of Surgery
Chief Surgical Critical Care
Medical Director Critical Care
University of Pennsylvania School of Medicine
Philadelphia, PA
Babak Sarani, MD
Assistant Professor of Surgery
Director of the Rapid Response Team
Division of Traumatology and Surgical Critical Care
University of Pennsylvania School of Medicine
Philadelphia, PA
Assistant Professor of Surgery
Director of the Rapid Response Team
Division of Traumatology and Surgical Critical Care
University of Pennsylvania School of Medicine
Philadelphia, PA
Munish Goyal, MD
Assistant Professor of Emergency Medicine
University of Pennsylvania School of Medicine
Philadelphia, PA
Assistant Professor of Emergency Medicine
University of Pennsylvania School of Medicine
Philadelphia, PA
Faculty Disclosures
Viewing Requirements:
PC
Windows 2000 or above
Internet Explorer 5.5 or Firefox
*Adobe Acrobat Reader
Flash Player Plugin(v7.0.1.9 or greater)
*Required to view Printable PDF Version
Windows 2000 or above
Internet Explorer 5.5 or Firefox
*Adobe Acrobat Reader
Flash Player Plugin(v7.0.1.9 or greater)
*Required to view Printable PDF Version
MAC
Mac OS 10.2.8
Safari
*Adobe Acrobat Reader
Flash Player Plugin(v7.0.1.9 or greater)
Internet Explorer is not supported on the Macintosh
On-line symposium: Modern Approaches to Fluid Resuscitation: Modes, Metrics, and Maximization
Mac OS 10.2.8
Safari
*Adobe Acrobat Reader
Flash Player Plugin(v7.0.1.9 or greater)
Internet Explorer is not supported on the Macintosh
-
Instructions:
- Read the learning objectives above
- Optionally, download and print the workbook and/or presentations so that you can take notes during the on-line program
- View the on-line program. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
- Optionally, take the post-test
- Complete the program evaluation and CME registration. A CE certificate will be emailed to you within 72 hours.
Download the Symposium Workbook - (optional)
Download the Gracias Presentation (optional)
Download the Roche Presentation (optional)
Download the Rivers Presentation (optional)
View the on-line program
Perform Post-Test (optional)
Complete the Symposium Evaluation and Request CE Certificate
