Non-hematologic Resuscitation Fluids for Intraoperative Care
Perioperative fluid management is one of the primary responsibilities of the anesthesiologist. It is a key component in maintaining homeostasis in patients undergoing surgery. When perioperative fluid management is not optimized, it can result in significant morbidity and mortality for patients and increased financial burden for hospitals and the entire healthcare system. Cancer patients are a special challenge for anesthesiologists, as they have frequently undergone chemotherapy treatments that affect the function of many organ systems and require judicious fluid management. Several strategies for optimal perioperative fluid management have been extensively studied. It remains unclear which strategy is most effective.
Anesthesiologists and CRNAs at City of Hope have different fluid management practices that are often based on outdated evidence. As large multicenter studies have been published in recent years, strong data on fluid management strategies has become widely available. The implementation of improved strategies, however, often lags behind. It is imperative to make fluid management practices more uniform and shorten the time of implementation of strategies that offer improved outcomes for our patients. The lack of consensus guidelines has made perioperative fluid management challenging for the anesthesiologists. As more evidence has become available, practices have shifted. Recent clinical studies have been published that have advanced knowledge on the efficacy of various strategies. It is important for anesthesiologists to keep abreast of these key findings so as to be able to provide safe, evidence- based care to patients.
Target Audience
Anesthesiologists, Certified Nurse Anesthetists and staff working in the operating rooms at City of Hope.
Learning Objectives
- Identify ideal characteristics of a crystalloid fluid.
- Examine the end goals of resuscitation; aerobic metabolism to all tissue beds.
- Outline physical and chemical characteristics of the different types of non-hematologic fluids.
- Assess the parameters of near-zero fluid balance.
- Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics).
Virtual Meeting- Zoom
Michael J. (Jamie) Sullivan, MD, MSEd Chair, Department of Anesthesiology, City of Hope
Presenter: Dr. Sullivan has indicated that there are no relevant financial relationships.
Planner: Evelyn Bonilla, MD has indicated that there are no relevant financial relationships.
This presentation and/or comments will provide a balanced, non-promotional, and evidence-based approach to all diagnostic, therapeutic and/or research related content.
CME Committee/Reviewer no relevant financial relationships: Daneng Li, MD
ACCREDITATION STATEMENT: City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
CREDIT DESIGNATION: City of Hope designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The following credit type(s) are being offered for this course:
• AMA PRA Category 1 Credit™ 1.0
The following may apply AMA PRA Category 1 Credit™ for license renewal:
Registered Nurses: Nurses may report up to 1.0 credit hours toward the continuing education requirements for license renewal by their state Board of Registered Nurses (BRN). AMA PRA Category 1 Credit™ may be noted on the license renewal application in lieu of a BRN provider number.
Physician Assistants: The National Commission on Certification of Physicians Assistants states that AMA PRA Category 1 Credit™ accredited courses are acceptable for CME requirements for recertification.
Available Credit
- 1.00 AMA PRA Category 1 Credit™City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
City of Hope designates this Non-hematologic Resuscitation Fluids for Intraoperative Care for a maximum of 1.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity. - 1.00 Attendance