Estimated Time of Completion

30 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 to discuss appropriate methods for incorporating that research into clinical practice.

Objectives

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

1. Describe the factors used to determine a patient’s risk of perioperative thromboembolism.
2. Design a bridging therapy plan based on protocols from the Cleveland Clinic for patients who require having anticoagulant therapy stopped.
3. List the surgical and invasive procedures that have low risks for thromboembolism and can be safely performed without discontinuing  anticoagulation therapy.

Target Audience

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

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 0.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association Council on Continuing Medical Education for Category 2 credit.

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

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

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:

The following faculty member has indicated he has no relationship that, in the context of his presentation, could be perceived as a potential conflict of interest:

Kostiya Peki, MD, MPH