Traditional & Emerging Approaches
to Challenging Cases in Anesthesiology

Anesthesia for Revascularization of
the Lower Extremity:
Perioperative Decisions and Outcome

Release Date: September 1, 2005
Renewal Date: October 2, 2009
Expiration Date: October 2, 2010

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Estimated Time of Completion: 60 minutes

Description
The Traditional and Emerging Approaches to Challenging Cases in Anesthesiology Series includes cases, corresponding to articles from Anesthesiology News.

Objectives
At the conclusion of this activity, the participant will be able to:

1. Explain the complexities of anesthetizing patients with peripheral vascular disease.
2. List the multiple comorbidities that frequently occur in this population.
3. Formulate a cardiac preoperative evaluation plan based on the American College of Cardiology and American Heart Association guidelines for perioperative evaluation for noncardiac surgery.
4. Discuss the risks and benefits of regional and general anesthesia for peripheral vascular surgery.
5. Describe the evolution of the recommendation for perioperative β-blockade as a mechanism to decrease cardiac morbidity and mortality.
6. Assess the future of anesthesia for vascular surgery as it transitions toward endovascular (minimally invasive) procedures with the use of stents.

Target Audience
This activity is directed to anesthesiologists.

Accreditation
The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Cleveland Clinic Foundation Center for Continuing Education designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association Council on Continuing Medical Education for Category 2 credit.

Activity Director
John E. Tetzlaff, MD
Professor of Anesthesiology
Cleveland Clinic Lerner College of Medicine
of Case Western Reserve University
Director, Center for Anesthesiology Education
Division of Anesthesiology and Critical Care Medicine
Cleveland Clinic
Cleveland, OH

Author / Faculty
Peter K. Schoenwald, MD
Emeritus Head, Section of Vascular Anesthesia
Staff Anesthesiologist
Division of Anesthesiology, Critical Care Medicine, and Pain Management
Cleveland Clinic
Cleveland, OH

Faculty Disclosure
In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), The Cleveland Clinic Foundation Center for Continuing Education requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias.

The following faculty have indicated they have no relationship which, in the context of their presentation, could be perceived as a potential conflict of interest:

Peter K. Schoenwald, MD
John E. Tetzlaff, MD

The Cleveland Clinic Foundation Center for Continuing Education acknowledges
an educational grant for support of this activity from:
Hospira

This CME activity was produced by The Cleveland Clinic Foundation
Center for Continuing Education and UNITECH Communications^®.

CME Disclaimer