• Live CME Symposia 08
• On-line CME Symposia

Fluid First: Using PLR and SVV to Optimize Volume
Program Description / Statement of Need:

Fluid administration is a first line intervention for patients with unstable cardiovascular status. However, two major problems exist with this intervention: only one half of the patients who receive fluid respond favorably and standard static parameters do not reliably assess the response to fluid. In patients with hemodynamic instability, dynamic parameters such as pulse pressure variation and stroke volume variation are shown to be better predictors of preload responsiveness than static parameters such as central venous pressures and pulmonary artery wedge pressures. Evidence incorporating dynamic parameters in decision–making algorithms favors improved patient outcomes. In addition, a simple maneuver such as passive leg raising is being promoted as a means of providing the patient with a “reversible physiologic” fluid challenge.

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:

By the end of the session the participant will be able to:

1. Define the static and dynamic parameters used in assessing fluid status.
2. Describe the hemodynamic effects of the passive leg raising technique.
3. Cite research related to assessment of fluid responsiveness.

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 0.75 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 0.75 AMA PRA Category 1 Credits™

Release Date: May 30, 2009
Expiration Date: June 1, 2011

Faculty: Jan M. Headley, RN, BS

Faculty Disclosures

Viewing Requirements:

On-line symposium:
Fluid First: Using PLR & SVV to Optimize Volume

Instructions:

• Read the learning objectives above
• 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.
• Take the post-test
• Complete the program evaluation and CME registration. A CE certificate will be emailed to you within 30 days.

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Download the Presentation (optional)

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View the on-line program

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Perform Post-Test

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Complete the Symposium Evaluation and Request CE Certificate