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Maximum: 1 CME cr.
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Program overview
Learning objectives
CME Accreditation

Course Faculty
The contents for this course were organized in April 2018 by:

Prof. Dr. Dan Longrois
Department of Anaesthesia and Intensive Care
Bichat-Claude Bernard Hospital
Paris, France

Prof. Dr. Bernd Saugel
Center of Anesthesiology and Intensive Care Medicine
University Medical Center Hamburg-Eppendorf
Hamburg, Germany

Prof. Dr. Thomas Scheeren
Department of Anaesthesiology
University of Groningen
Groningen, Netherlands

This course underwent a final revision in September 2018, before being made available to participants in the online ESA Academy and on the ESA Academy learning app (available for iOS and Android).


The New Data on the Management of IOAH Program consists of 3 Sections:

Section 1 is composed of 4 eLearning modules:
Definitions of IOAH
- Impact of IOAH on Postoperative Outcome

Expert Section I

Section 2 is composed of 4 eLearning modules:
IOAH: Open Issues
- IOAH: From Definitions to Management
- Expert Section II
- Summary
and References

Section 3 is the final evaluation containing the Assessment & Certificate.


This course has an estimated duration of 90 minutes

Please note that to obtain the certificate, participants are required to complete all activities in all 3 sections.

1. Summarize current literature on the association of IOAH and poor postoperative outcome 

2. Recognize that different definitions of IOAH have been used and be able to understand the limitations of all definitions when making decisions for an individual patient

3. Understand that the ‘noise’ inherent in measuring arterial blood pressure renders the use of threshold values to define IOAH difficult to use in individual patients

4. Discuss that loss of brain autoregulation is the most robust definition of IOAH in individual patients and that cerebral blood pressure autoregulation can be measured with cerebral near infrared spectroscopy (NIRS) or transcranial Doppler. 

5. Summarize the literature on the effects of vasoconstrictors on organ perfusion 

6. Provide an evidence-based algorithm to manage IOAH by considering volume status and the potential deleterious effects of vasoconstrictors

7. It will provide, for those interested, an in-depth physiological approach that can explain how vasoconstrictors can alter organ perfusion despite correction of IOAH

New Data on Management of IOAH, made available on https://academy.esahq.org/esa/2018/elearning_modules_2018/226781 and organized by The European Society of Anaesthesiology, is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to provide the following CME activity for medical specialists.

Each medical specialist should claim only those credits that he/she actually spent in the educational activity. The EACCME is an institution of the European Union of Medical Specialists (UEMS). Only those e-learning materials that are displayed on the UEMS-EACCME website have formally been accredited.

Through an agreement between the European Union of Medical Specialists (UEMS) and the American Medical Association (AMA), physicians may convert EACCME credits to an equivalent number of AMA PRA Category 1 CreditsTM. Information on the process to convert EACCME credit to AMA credit can be found at www.ama-assn.org/education/earn-credit-participation-international-activities.

This module has been funded by an unrestricted educational grant from the Masimo Corporation. The content is unbiased and has been reviewed by the ESA eLearning Committee.

The Authors: Dan Longrois

The Co-authors: Bernd Saugel

                         Thomas Scheeren

The Storyboard writer: Jackie Johnson

Declare that the material in this educational module is free from any conflict of interest, in accordance with ESA and UEMS guidelines.

For further information, please contact the ESA Education Department

New Data on the Management of IOAH: Section 1
New Data on the Management of IOAH: Section 2
New Data on the Management of IOAH: Assessment & Certificate

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