Estimated Time of Completion

45 minutes

Overview

Approximately 36 million surgical procedures are performed annually in the United States at an annual cost of nearly $450 billion. Perioperative medical complications can significantly increase morbidity and mortality of these surgeries, as well as the financial cost. However, many complications could be prevented with a comprehensive perioperative risk assessment, evidence-based management, and focused monitoring.

Among healthcare professionals, awareness of recently published clinical trial evidence and innovations in medical therapies and their implications for perioperative clinical practice are important factors related to improving surgical outcomes.

Activity Design

This activity uses an interactive, case-based format to analyze the clinical implications of recent data from clinical trials and discuss appropriate methods for incorporating that research into clinical practice.

Objectives

At the conclusion of this activity, the participant will be able to:

1. Assess perioperative risk by applying the patient’s history, physical exam, and laboratory tests to evidence-based clinical predication rules and guidelines for cardiovascular disease, pulmonary disease, and thromboembolism.
2. Describe PTT and PT measurements, reference rages, and factors that cause abnormal results.
3. Discuss disease conditions and symptoms associated with diabetes that could postpone surgical procedures.
4. Create an individualized surgical risk assessment profile based on a patient’s risk factors, disease conditions, and laboratory findings.

Target Audience

The Perioperative Medicine online learning continuum is directed toward internists, hospitalists, family practitioners, anesthesiologists, physician assistants, and allied health professionals actively engaged in medical care of the perioperative patient.

Accreditation

The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Cleveland Clinic Foundation Center for Continuing Education designates this educational activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity may be submitted for American Osteopathic Association Continuing Medical Education credit in Category 2.

Activity Director

Amir K. Jaffer, MD
Division Chief, Hospital Medicine
Department of Medicine
Leonard M. Miller School of Medicine
University of Miami
Miami, Florida

Faculty

Steven L. Cohn, MD, FACP

Faculty Disclosure

In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), The Cleveland Clinic Foundation Center for Continuing Education requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias.

The following faculty have indicated that they may have a relationship, which in the context of their presentation(s), could be perceived as a potential conflict of interest: