Perioperative Management

Johns Hopkins Clinical Update

The most up-to-date knowledge you need to deliver effective, evidence-based perioperative care.

If your primary viewing mode will be on a computer or tablet, we recommend the Online Video package. In addition to online access, you will receive a USB with MP4 files. Use the USB to watch offline or import into iTunes and other media players and then synch to your mobile device, laptop or desktop. Plus you save $130 including standard shipping charges vs the DVD package.

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795.0000
SKU: 316

Explore Key Topics

This CME program from Johns Hopkins — the leader in perioperative medicine — focuses on current and concise knowledge to improve patient outcomes through preoperative evaluation, intraoperative management, and postoperative care. Perioperative Management includes case-based lectures on topics like cardiac and pulmonary risk assessment, perioperative renal dysfunction, pain management, management of diabetes and hyperglycemia, and more. It will also help you to better:

  • Illustrate effective management of bleeding and thrombotic risks in surgical patients
  • Identify strategies for controlling postoperative pain and reducing opioid dependency
  • Outline ways to prevent, diagnose and treat common infections that complicate surgical procedures
  • Discuss multi-disciplinary approaches to minimize complications and improve patient outcomes

Expand Your Skills

Available online or via audio MP3 CDs, Johns Hopkins’ Perioperative Management provides a maximum of 18.5 AMA PRA Category 1 Credits and access to unbiased, evidence-based content and case-based reviews so you can expand your knowledge and incorporate the latest guidelines into your daily practice.

View our full list of Topics/Speakers, Faculty, Accreditation and Media Format information.

Quick Facts

Provider: Johns Hopkins

Activity Directors:
Nauder Faraday, MD, MPH
Professor of Anesthesiology/Critical Care Medicine, Medicine, and Surgery
Vice Chair, ACCM Faculty and
Staff Development
Director, Perioperative Clinical Research Sr. Associate Dean for Faculty Development

Sean Berenholtz, MD, MHS, FCCM
Professor of Anesthesiology/Critical Care Medicine and Surgery, and
Health Policy and Management Physician Director of Inpatient Quality and Safety Armstrong Institute for Patient Safety and Quality

Credits: Earn a maximum of 18.5 AMA PRA Category 1 Credits

  • Perioperative Cardiac Risk Assessment and Testing - Ilan Wittstein, MD
  • Perioperative Myocardial Ischemia and Stroke: Mechanisms and Management Strategies - Nauder Faraday, MD, MPH
  • Perioperative Management of Patients with Cardiomyopathy - Todd Dorman, MD, FCCM
  • Preoperative Evaluation: Optimized, Not Cleared - Leonard Feldman, MD
  • Perioperative Management of Patients on Anti-Platelet Therapy - Nauder Faraday, MD, MPH
  • Perioperative Management of Patients with Warfarin and Direct Oral Anticoagulants (DOACs) - Nauder Faraday, MD, MPH
  • Preoperative Evaluation and Management of the Patient with Heart Failure - Ilan Wittstein, MD
  • Controversies in the Management of Perioperative Hypotension - Todd Dorman, MD, FCCM
  • Evidence-Based Preoperative Testing - Sean Berenholtz, MD, MHS, FCCM
  • Controversies in the Preoperative Management of Prescription Medications, Herbals, and Supplements - Heather Sateia, MD
  • Perioperative Risks and Management of Pulmonary Hypertension - Megan P. Kostibas, MD
  • Management of Perioperative Anemia, Transfusion, and Bleeding - Nauder Faraday, MD, MPH
  • Preoperative Pulmonary Risk Assessment and Testing - Peter Rock, MD, MBA, FCCM, FCCP
  • Solutions to Burnout I: The Surprising Science of Gratitude - J. Bryan Sexton, PhD
  • Solutions to Burnout II: Relationship Resilience - J. Bryan Sexton, PhD
  • Solutions to Burnout III: Coping with Change and Hope as a Muscle - J. Bryan Sexton, PhD
  • Prevention and Treatment Surgical Wound Infections - Pamela Lipsett, MD, FACS, FCCM
  • Perioperative Management of the Patient with a Pacemaker or ICD - Ilan Wittstein, MD
  • Management of the Patient with Aortic Stenosis for Noncardiac Surgery - MaryBeth Brady, MD
  • "It's Only a Sedation..." Strategies to Prevent and Manage Adverse Outcomes - Laeben Lester, MD
  • Managing Common Perioperative Problems Using Point of Care Ultrasound (POCUS) - Stephanie Cha, MD
  • Managing the Hazards of Perioperative Care Transfer: The Handoff - Lee Goeddel, MD, MPH
  • Perioperative Respiratory Insufficiency: Mechanisms and Management - Peter Rock, MD, MBA, FCCM, FCCP
  • Perioperative Management of Diabetes and Hyperglycemia - Leonard Feldman, MD
  • Perioperative Renal Dysfunction - Derek Fine, MD
  • Acute Pain Management: The Case for Multimodal Therapy - Marie Hanna, MD
  • Preventing, Identifying, and Managing Common Healthcare Associated Infections - Pamela Lipsett, MD, FACS, FCCM
  • Opioid Addiction - The Role of Perioperative Clinicians in Prevention and Treatment - Marie Hanna, MD
  • Perioperative Fluid Management - Pamela Lipsett, MD
  • Perioperative Glucose Management in the Brittle Diabetic - Leonard Feldman, MD
  • Perioperative Management of Chronic Steroids and Other Immunosuppressant Drugs - Heather Sateia, MD
  • Pain Management in the Opioid-Tolerant Patient: A Case-Based Discussion - Marie Hanna, MD
  • Prehabilitation of the Frail Patient for Elective Surgery - Frederick Sieber, MD
  • Perioperative Management of the Patient with Obstructive Sleep Apnea - Peter Rock, MD, MBA, FCCM, FCCP
  • Perioperative Management of Hepatic Dysfunction - Aliaksei Pustavoitau, MD
  • Perioperative DVT and Pulmonary Embolism - Nauder Faraday, MD, MPH
  • Post-Operative Delirium: Prevention and Treatment - Frederick Sieber, MD
  • Identifying and Managing Risks in Ambulatory Surgery Patients - Tina Tran, MD
  • 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
  • Creating and Managing a Preoperative Evaluation Center - Jerry Stonemetz, MD
  • Managing End of Life Issues in Surgical Patients - Pamela Lipsett, MD, FACS, FCCM
  • Perioperative Management of the Patient with Dementia - Frederick Sieber, MD
  • Diagnosis and Management of Postoperative Alcohol Withdrawal - Frederick Sieber, MD
  • 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
  • Medico-Legal Liability in Perioperative Medicine: Common Pitfalls and How to Avoid Them - Jerry Stonemetz, MD

Activity Directors

Nauder Faraday, MD, MPH

  • Professor of Anesthesiology/Critical Care Medicine, Medicine, and Surgery
  • Vice Chair, ACCM Faculty and Staff Development
  • Director, Perioperative Clinical Research
  • Sr. Associate Dean for Faculty Development

 

Sean Berenholtz, MD, MHS, FCCM

  • Professor of Anesthesiology/Critical Care Medicine and Surgery,
  • and Health Policy and Management
  • Physician Director of Inpatient Quality and Safety
  • Armstrong Institute for Patient Safety and Quality

Johns Hopkins Speakers

Mary Beth Brady, MD

  • Associate Professor of Anesthesiology/Critical Care Medicine
  • Vice Chair for Education
  • Director, Perioperative Transesophageal ECHO Program

Stephanie Cha, MD

  • Assistant Professor of Anesthesiology/Critical Care Medicine

Todd Dorman, MD, FCCM

  • Professor of Anesthesiology/Critical Care Medicine, Surgery, and Nursing
  • Vice Chair, Critical Care Services
  • Associate Dean and Director of Continuing Medical Education

Leonard Feldman, MD

  • Associate Professor of Medicine
  • Division of General Internal Medicine
  • Director of Education, Johns Hopkins Hospitalist Service

Derek Fine, MD

  • Associate Professor of Medicine
  • Division of Nephrology

Lee Goeddel, MD, MPH

  • Assistant Professor of Anesthesiology/Critical Care Medicine

Marie Hanna, MD

  • Associate Professor of Anesthesiology/Critical Care Medicine
  • Director, Acute Pain Service

Megan P. Kostibas, MD

  • Assistant Professor of Anesthesiology/Critical Care Medicine

 

Laeben Lester, MD

  • Assistant Professor of Anesthesiology/Critical Care Medicine

Pamela Lipsett, MD, FACS, FCCM

  • Professor of Surgery and Anesthesiology/Critical Care Medicine
  • Director, General Surgery and Surgical Critical Care Training Programs
  • Co-Director, Surgical Intensive Care

Aliaksei Pustavoitau, MD

  • Assistant Professor of Anesthesiology/Critical Care Medicine
  • Director, Liver Transplant Anesthesiology

Heather Sateia, MD

  • Assistant Professor of Medicine

Frederick Sieber, MD

  • Professor of Anesthesiology/Critical Care Medicine
  • Clinical Director, Johns Hopkins
  • Bayview Medical Center

Jerry Stonemetz, MD

  • Vice Chair, ACCM Clinical Affairs
  • Staff Anesthesiologist, Department of Anesthesiology

Tina Tran, MD

  • Assistant Professor of Anesthesiology/Critical Care Medicine
  • Director, Ophthalmic Anesthesia
  • Assistant Director Anesthesiology Residency Program

Ilan Wittstein, MD

  • Assistant Professor of Medicine
  • Division of Cardiology

Guest Faculty

Peter Rock, MD, MBA, FCCM, FCCP

  • Professor of Medicine, Surgery, and Anesthesiology
  • Chair, Department of Anesthesiology
  • University of Maryland School of Medicine
  • Baltimore, MD

 

J. Bryan Sexton, PhD

  • Associate Professor of Psychiatry
  • Duke University School of Medicine
  • Director of Patient Safety, Training and Research
  • Durham, NC

Accreditation Statement

The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

The Johns Hopkins University School of Medicine designates this enduring material activity for a maximum of 18.5 AMA PRA Category 1 Credits ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Original Release: April 1, 2019
Date Credits Expire: April 1, 2022
Estimated Time to Complete: 18.5 hours

A certificate of credit will be provided after successful completion of the activity evaluation and post-test. A minimum passing rate of at least 70%, within three attempts is needed. A $45 processing fee is required before taking the online post-test. Instructions will be provided in the electronic syllabus. Registrations for credit will not be accepted after the expiration date of the activity.

Policy on Speaker and Provider Disclosure

It is the policy of the Johns Hopkins University School of Medicine that the speaker and provider globally disclose conflicts of interest. The Johns Hopkins University School of Medicine OCME has established policies that will identify and resolve conflicts of interest prior to this educational activity. Detailed disclosure will be made prior to presentation of the education.

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, coagulation testing, anticoagulant reversal agents, and/or management of anti-thrombotic drug therapies.
  • Describe strategies to control acute postoperative pain using multimodal analgesia and reduce risk for chronic opioid dependency.
  • Recognize how to prevent, diagnose, and treat common healthcare associated infections that complicate surgical procedures.
  • Describe the perioperative complications associated with diabetes, renal insufficiency, delirium, and frailty, and list management strategies to optimize outcomes in patients with these medical conditions.
  • 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 multi-disciplinary 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.

CONFIDENTIALITY DISCLAIMER FOR CME ACTIVITY PARTICIPANTS

I certify that I am attending a Johns Hopkins University School of Medicine CME activity for accredited training and/or educational purposes. I understand that while I am attending in this capacity, I may be exposed to "protected health information," as that term is defined and used in Hopkins policies and in the federal HIPAA privacy regulations (the "Privacy Regulations"). Protected health information is information about a person's health or treatment that identifies the person.

I pledge and agree to use and disclose any of this protected health information only for the training and/or educational purposes of my visit and to keep the information confidential. I agree not to post or discuss this protected health information, including pictures and/or videos, on any social media site (e.g. Facebook, Twitter, etc.), in any electronic messaging program or through any portable electronic device.

I understand that I may direct to the Johns Hopkins Privacy Officer any questions I have about my obligations under this Confidentiality Pledge or under any of the Hopkins policies and procedures and applicable laws and regulations related to confidentiality. The contact information is: Johns Hopkins Privacy Officer, telephone: 410-735-6509, e-mail: HIPAA@jhmi.edu.

"The Office of Continuing Medical Education at the Johns Hopkins University School of Medicine, as provider of this activity, has relayed information with the CME attendees/participants and certifies that the visitor is attending for training, education and/or observation purposes only."

For CME Questions, please contact the CME Office
(410) 955-2959 or e-mail cmenet@jhmi.edu.
For CME Certificates, please call (410) 502-9634.

Johns Hopkins University School of Medicine Office of Continuing Medical Education
Turner 20/720 Rutland Avenue
Baltimore, Maryland 21205-2195

Reviewed & Approved by:
General Counsel, Johns Hopkins Medicine (4/1/03)
(Updated 4/09 and 3/14)

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To participate in additional CME activities presented by the Johns Hopkins University School of Medicine Continuing Medical Education Office, please visit www.hopkinscme.edu.