Evidence-based Clinical Care: Anesthesia Guidelines and Preventing Acute Kidney Injury

This Evidence-based Clinical Care course will review the new systemwide, pre-anesthesia/sedation testing guidelines developed for planned procedures. Adequate preoperative patient evaluation and preparation may improve patient outcomes, decrease complications and reduce incidence of acute kidney injury, delays, cancellations, costs, length of hospital stay and mortality.

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Original Release Date: August 2019
Review Date: July 2022
 

Target Audience

Primary Care Physicians, Emergency Department Physicians, Hospitalists, Pediatricians, Internal Medicine Physicians, Infectious Disease Physicians and Physician Assistants.

Learning Objectives

  • Explain the evidence-based data supporting standardization efforts to improve presurgical planning.
  • Utilize preprocedure testing guidelines successfully for planned procedures.
  • Recognize the impact of standardization efforts to decrease unnecessary presurgical testing, waste and delays due to lack of patient optimization.
  • Implement prevention strategies to reduce the incidence of acute kidney injury.
Additional information
Bibliography: 
  • 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery, Circulation 2014;130: e278-e333
  • Preoperative Testing Before Noncardiac Surgery: Guidelines and Recommendations. Mayo Clinic, Rochester, Minnesota. Am Fam Physician 2013; 87(6):414-418.
  • Evaluation of cardiac risk prior to noncardiac surgery. UpToDate, Jul 2018
  • BHQN Pre-Op Evaluation According to Type of Procedure Algorithm. Version 1 (2014)
  • Cardiac Risk Stratification for Noncardiac Surgery. Cleveland Clinic Journal of Medicine 2009; 76(S4): S9-S15
  • Revised Cardiac Risk Index. Circulation 1999: 100:1043-1049
  • Multifactorial Index of Cardiac Risk in Noncardiac Surgical Procedures N Engl J Med. 1977 Oct 20;297(16): 845-50
  • Practice Guidelines for the Perioperative Management of Patients with Obstructive Sleep Apnea, Anesthesiology Feb 2014; 120(2): 1-19
  • Society of Anesthesia and Sleep Medicine Guidelines on Preoperative Screening and Assessment of Adult Patients with Obstructive Sleep Apnea, Anesthesia and Analgesia Aug 2016; 123(2): 452-473
  • Practice Advisory for the Perioperative Management of Patients with Cardiac Implantable Electronic Devices: Pacemakers and Implantable Cardioverter-Defibrillators. Anesthesiology Feb 2011; 114(2): 247-261
  • 2016 ACC/AHA Guideline Focused Update on Duration of Dual Antiplatelet Therapy in Patients with Coronary Artery Disease. American College of Cardiology 2016; 68(10): 1082-1115
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.

Course Summary
Available credit: 
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
Course opens: 
08/01/2019
Course expires: 
07/31/2024

PHYSICIAN LEADERS
Edward Abraham, M.D., Guillermo Pol, M.D., Jose Davila, M.D., and Samir Kulkarni, M.D., have no relevant financial relationships with ineligible companies* to disclose and have indicated that the presentation or discussion will not include off-label or unapproved product usage. 

FACULTY
Bianca Capella, APRN-BC, R.N.-BSN
Corporate Clinical Consultant | Evidence-Based Clinical Care
Baptist Clinical Enterprise, Baptist Health South Florida

Erika Gonzalez, MSN, R.N., CCRN NE-BC
Director, Evidence-Based Clinical Care
Baptist Clinical Enterprise, Baptist Health South Florida

Bianca Capella, APRN-BC, R.N.-BSN, and Erika Gonzalez, MSN, R.N., CCRN, NE-BC, have no relevant financial relationships with ineligible companies* to disclose and have indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Physician subcommittee leaders, non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*. 

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
Please login or register for a Baptist Health CME account to take this course.

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