Perioperative Management

Johns Hopkins Clinical Update

Optimize your clinical acumen and patient outcomes with this comprehensive course in perioperative management.

Explore Key Topics

This CME program covers a broad range of topics in perioperative medicine and provides deep insight into current trends in preoperative evaluation, intraoperative management and postoperative care. The Johns Hopkins’ Perioperative Management clinical update includes case-based lectures on topics like perioperative management of diabetes and hyperglycemia, perioperative renal dysfunction, management of patient with aortic stenosis for noncardiac surgery, perioperative management of myocardial ischemia, etc. It will help you to:

• Illustrate effective management of bleeding and thrombotic risks in surgical patients
• Appraise the management of perioperative complications associated with diabetes, renal insufficiency, hepatic dysfunction, delirium, etc.
• Demonstrate the potential of various multidisciplinary programs to improve health outcomes
• Outline ways to prevent, diagnose and treat common healthcare infections that complicate surgical procedures
• Discuss approaches to minimize perioperative complications and improve patient outcomes

• The Perioperative Stress Response - Todd Dorman, MD, FCCM
  

• Preoperative Cardiac Risk Assessment and Testing - Ilan Wittstein, MD

• Perioperative Myocardial Ischemia: Mechanisms and Management Strategies - Nauder Faraday, MD, MPH

• Preoperative Evaluation: Optimized, Not Cleared - Leonard Feldman, MD

• Perioperative Management of Patients on Chronic Anti-Platelet Therapy - Nauder Faraday, MD, MPH

• Perioperative Management of Patients with Cardiomyopathy - Todd Dorman, MD, FCCM
  

• Controversial Clinical Vignettes: Evidence-Based Preoperative Testing - Sean Berenholtz, MD, MHS, FCCM

• Controversies in the Preoperative Management of Prescription Medications, Herbals, and Supplements - Heather Sateia, MD

• The Preoperative Patient with a Pacemaker or ICD - Ilan Wittstein, MD

• Perioperative Management of Patients on Chronic Anti-Coagulant Therapy - Nauder Faraday, MD, MPH

• Health Care Provider Stress I: Recognition and Impact on Provider and Patient Outcomes - J. Bryan Sexton, PhD

• Management of Perioperative Bleeding and Transfusion - Nauder Faraday, MD, MPH

• Perioperative Risks and Management of Pulmonary Hypertension - Brett Simon, MD, PhD

• Preoperative Pulmonary Risk Assessment and Testing - Peter Rock, MD, MBA, FCCM, FCCP

• Health Care Provider Stress II: Fatigue Management - J. Bryan Sexton, PhD

• Surgical Site Infections - Pamela Lipsett, MD, FACS, FCCM

• Perioperative Respiratory Insufficiency: Mechanisms and Management - Peter Rock, MD, MBA, FCCM, FCCP

• Controversial Clinical Vignettes: Managing Bleeding in Patients Anticoagulated with Novel Oral IIa/Xa inhibitors (NOACs) - Nauder Faraday, MD, MPH

• Preoperative Evaluation and Management of the Patient with Heart Failure - Ilan Wittstein, MD

• Management of the Patient with Aortic Stenosis for Noncardiac Surgery - MaryBeth Brady, MD

• Intraoperative TEE for Noncardiac Surgery- Essential, Luxury, or No Value - MaryBeth Brady, MD

• Managing Cardiopulmonary Complications in the Early Postoperative Period - Mark Romig, MD

• Health Care Provider Stress III: Dealing with Difficult Colleagues - J. Bryan Sexton, PhD

• Perioperative Management of Diabetes and Hyperglycemia - Leonard Feldman, MD

• Perioperative Renal Dysfunction - Derek Fine, MD

• Complex Cancer Surgery in the Outpatient Setting - Brett Simon, MD, PhD

• Acute Pain Management: The Case for Multimodal Therapy - Jason Brookman, MD

• Preventing, Identifying, and Managing Common Healthcare Associated Infections - Pamela Lipsett, MD, FACS, FCCM

• Controversial Clinical Vignettes: Perioperative Fluid Management - Pamela Lipsett, MD, FACS, FCCM

• Perioperative Glucose Management in the Brittle Diabetic - Heather Sateia, MD

• Peripheral Nerve Blocks in Acute Pain Management - Jason Brookman, MD

• Pain Management in the Opioid-Tolerant Patient: A Case-Based Discussion - Jason Brookman, MD

• Perioperative Management of Frailty - Frederick E. Sieber, MD

• Meaningful Use of the Electronic Health Record in the Perioperative Period - Mark Romig, MD

• Perioperative Management of the Patient with Obstructive Sleep Apnea - Peter Rock, MD, MBA, FCCM, FCCP

• Perioperative DVT and Pulmonary Embolism - Nauder Faraday, MD, MPH

• Post-Operative Delirium: Prevention and Treatment - Frederick E. Sieber, MD

• Managing End of Life Issues in Surgical Patients - Pamela Lipsett, MD, FACS, FCCM

• Improving Perioperative Quality and Safety through System and Culture Change - Sean Berenholtz, MD, MHS, FCCM

• Programs to Enhance Recovery after Surgery (ERAS) - Sean Berenholtz, MD, MHS, FCCM

• Healthcare Reform, Alternative Payment Models, and Compliance - Jerry Stonemetz, MD

• Controversial Clinical Vignettes: Perioperative Management of the Patient with Dementia - Frederick E. Seiber, MD

• Long-term Functional Decline after Surgery and Critical Illness - Todd Dorman, MD, FCCM
  

• A Practical Approach to Measuring and Improving Safety and Teamwork Culture - Sean Berenholtz, MD, MHS, FCCM

• Improving the Quality of Sepsis Care - Sean Berenholtz, MD, MHS, FCCM

• The Perioperative Surgical Home - Jerry Stonemetz, MD

• Medico-Legal Liability in Perioperative Medicine: Common Pitfalls and How to Avoid Them - Jerry Stonemetz, MD

Learning Objectives

At the conclusion of this CME activity, you will be better able to:

• Describe current guidelines for preoperative cardiac and pulmonary risk assessment and list several ways to predict and prevent cardiac and pulmonary complications using preoperative testing, and intraoperative and postoperative interventions.
• Describe bleeding and thrombotic risks in surgical patients and list several strategies to reduce complications through evidence-based use of blood conservation methods, transfusion, anti-fibrinolytic agents and management of antithrombotic drug therapies.
• Describe the perioperative complications associated with diabetes, renal insufficiency, hepatic dysfunction, delirium, and frailty, and list management strategies to optimize outcomes in patients with these medical conditions.
• Recognize how to prevent, diagnose, and treat common healthcare associated infections that complicate surgical procedures.
• Recognize the impact of structural and cultural factors related to the healthcare system (e.g. provider stress, safety culture, communication strategies) on the safety and quality of healthcare delivery, and describe the potential of various multidisciplinary programs (e.g. enhanced recovery after surgery, perioperative surgical home, CUSP) to improve health outcomes.

Intended Audience

This activity is intended for anesthesiologists, internal medicine specialists, hospitalists, surgeons, family practitioners, nurse anesthetists, nurse practitioners and physician assistants.