Supplemental Online Lesson

Lesson S21: Preanesthetic Assessment of the Patient with Sjögren Syndrome

Registration Fee: $15.00
2.0 AMA PRA Category 1 Credits^TM
available until November 30, 2012

Review Date: September, 2011

REGISTRATION INFORMATION FOR SUPPLEMENTAL LESSONS:

Click on the link below to download and print the course material and post-test exam.  Register for the exam to enter your responses to receive CME credit.  There are ten questions in the examination and you must achieve a score of 80% or better to earn CME credit.  Following successful completion, your certificate will be immediately available online.  In addition, a historical record of  completed CME courses is maintained online in an individualized profile.  This includes copies of course certificates which can be printed at any time.

The registration fee for this course is $15.00

Physicians are provided with two opportunities to successfully complete the exam presented here. 

Software Requirements: Adobe Acrobat Reader and any standard Internet Browser.

Sjögren syndrome received widespread public attention when Venus Williams, one of the most well-known American tennis players, was diagnosed with the disorder and withdrew from the U.S. Open. A survey of anesthesiologists at an academic center indicated that knowledge of this disorder was lacking. The disease, while relatively rare, does occur with some frequency in young people, especially women. Anesthesiologists should be aware of anesthetic consequences of this disorder, especially those related to extreme fatigue, autoimmuine disorders and dryness of the mouth and eyes.

CASE HISTORY

A 45 year old female presented for shoulder arthroscopy due to recurrent dislocation. She had been in her usual state of health until about a year or so previously when she noticed increased tiredness. She also noted that her eyes had seemed very irritated for several months and she was required to use artificial tears several times a day. Airway examination revealed many cavities and several loosened teeth.  Her BMI was 28.1. 

LEARNING OBJECTIVES

At the end of this activity, the participant should be able to:

1. State the incidence of Sjögren syndrome
2. Identify the population most likely to be affected
3. Define autoimmune disorder
4. Differentiate between primary and secondary Sjögren syndrome
5. List the symptoms of Sjögren syndrome
6. Describe the Schirmer test
7. Select blood tests that help in diagnosing Sjögren syndrome
8. Choose appropriate preanesthetic tests
9. Create an anesthetic plan for a patient with Sjögren syndrome
10. Anticipate and prevent post anesthetic complications

TARGET AUDIENCE:  Anesthesiologists

Accreditation Statement

Mount Sinai School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation: The Mount Sinai School of Medicine designates each educational activity for a maximum of 2 AMA PRA Category 1 Credits^TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

It is the policy of Mount Sinai School of Medicine to ensure objectivity, balance, independence, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. Presenters must also make a meaningful disclosure to the audience of their discussions of unlabeled or unapproved drugs or devices.

Disclosures

The author, the reviewer, and the editor have no relation-ships with pharmaceutical companies or manufacturers of products to disclose. This educational activity may contain discussion of published and/or investigational uses of agents for the treatment of disease. Some uses of these agents have not been approved by the FDA. Please refer to the official prescribing information for each product for approved indications, contraindications, and warnings.

CONTACT INFORMATION

Questions regarding course content may be directed to Dr. Elizabeth Frost: ElzFrost@aol.com.

If you require technical assistance with completing this course, please contact Continuing Education Online Customer Service at 718-648-8080 or send e-mail to ceo.contact7@proceo.com.

CALL FOR WRITERS

If you would like to write a CME lesson in Anesthesiology News, please send an e-mail to Elizabeth A.M. Frost, MD, at ElzFrost@aol.com