Anesthesia for Internists

Eric Nelson DO, Leonard Feldmen MD FACP SFHM, and Kurt Pfeifer MD FACP SFHM

SUMMARY

The goal of surgical anesthesia is to both relieve and prevent pain during surgical procedures and to facilitate surgery by rendering the patient paralyzed and amnestic when appropriate. While some procedures require a small amount of sedation, others require general anesthetic sedation or regional anesthesia. This module discusses the basic forms of surgical anesthesia and contraindications to each, as well as the most commonly used anesthetic drugs, their mechanisms of actions, and side effects. An overview of the American Society of Anesthesiologists Physical Classification Status System will be presented along with issues that will prompt an anesthesiologist to cancel a surgery on the day of surgery.

GOAL

To provide hospitalists with up-to-date information about surgical anesthesia.

TARGET AUDIENCE

This activity is designed for hospitalists.

LEARNING OBJECTIVES

After completing the module, the participant will demonstrate the ability to:

  1. Define the basic forms of surgical anesthesia and when they are commonly used.
  2. Describe contraindications to each form of anesthesia (surgically and patient specific).
  3. Describe the most commonly used anesthetic drugs and their mechanisms of actions and side effects.
  4. Define the American Society of Anesthesiologists Physical Status Classification and its implications.
  5. Identify issues that will prompt an anesthesiologist to cancel a surgery on the day of surgery.
ACCREDITATION STATEMENT

The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CREDIT DESIGNATION STATEMENT

The Society of Hospital Medicine designates this activity for a maximum of 2 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Release date: October 6, 2017 

Expiration date: October 6, 2020

Estimated time to complete activity: 2 hours

Instructions

The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: an unaccredited pre-test, a study program, a post-test, & CME evaluation. All sections must be completed to receive CME credit.

Course summary
Available credit: 
  • 2.00 AMA PRA Category 1 Credit™
  • 2.00 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points [and patient safety MOC credit] in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit
  • 2.00 Equivalent Credit
Course opens: 
10/06/2017
Course expires: 
10/06/2020
Cost:
$0.00
Parent activity set: 
Rating: 
0

FACULTY & DISCLOSURES

Leonard Feldman, MD, FACP, SFHM
Assistant Professor of Medicine
Johns Hopkins University School of Medicine
Urban Health Residency and Track Director
Associate Program Director, Osler Medical Residency
Director, Comprehensive General Medicine Consult Service
Founding Editor-in-Chief, Consultative & Perioperative Medicine Essentials for Hospitalists
Baltimore, Maryland

Dr Feldman reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Kurt Pfeifer, MD, FACP, SFHM
Professor of Medicine
General Internal Medicine
Medical Director, Froedtert and Medical College of Wisconsin Eye Institute Perioperative Services
Medical College of Wisconsin
Associate Editor-in-Chief, Consultative & Perioperative Medicine Essentials for Hospitalists
Milwaukee, Wisconsin
Dr. Pfeifer reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Eric W. Nelson, DO
Associate Professor
Anesthesia and Perioperative Medicine
Medical University of South Carolina
Charleston, South Carolina
Dr Nelson reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Click here to download references.

Accreditation Statement

The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Statement

The Society of Hospital Medicine designates this activity for a maximum of 2 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Available Credit

  • 2.00 AMA PRA Category 1 Credit™
  • 2.00 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points [and patient safety MOC credit] in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit
  • 2.00 Equivalent Credit

Accreditation Period

Course opens: 
10/06/2017
Course expires: 
10/06/2020

Price

Cost:
$0.00
Please login or register to take this course.

The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: an unaccredited pre-test, a study program, a post-test, & CME evaluation. All sections must be completed to receive CME credit.

Click START to begin.