Session Title: Intraoperative ACLS

Series Gap:

Members of the department of Anesthesia benefit from structured and regular review of literature and professional guidelines for patient care and management. Such examples include: updates in national guidelines for anticoagulation for regional and neuraxial anesthesia and updates in the perioperative surgical home. In addition, unique to our department is the rare use of critically important emergency drugs, protocols and equipment, which, because of their importance and rare use, need to be reviewed periodically by ALL members of the department. Educational topics are selected each month that provide current information that is relevant to our practice here and have high potential to improve patient care. 

Continual improvement and an evidence-based approach to the practice of anesthesia, with an emphasis on patient safety, improved patient outcomes, reduction in anesthetic complications, crisis management, and proper use of new pharmacologic agents and techniques with special attention to non-opioid modalities of pain management.

Session Gap:

Advanced Cardiovascular Life Support was designed for out of hospital cardiac arrests.  This lecture will review the current recommendations about how to manage intraoperative cardiac arrests.  

Target Audience:

Anesthesiologists, CRNA's, and infrequent sub-specialists when appropriate to enhance educational impact

Series Objectives: 

  1. Apply the pharmacokinetics/dynamics of new medications in the practice of anesthesia, with an emphasis on providing opioid free anesthesia.

  2. Be aware of any updates within the national anesthesia guidelines, such as the American Society of Anesthesiologist and American Society of Regional Anesthesia.

  3. Incorporate new techniques such as point of care ultrasound, PECs blocks, etc into everyday practice.

  4. Communicate in a more culturally sensitive manner to help improve patient care experience.

Session Objectives:

  • Explain the differences between advance cardiovascular life support for out of operating room arrests vs intraoperative cardiac arrest
  • Recognize considerations that make intraoperative cardiac arrest different than out of operating room arrest
  • Discuss the proposed treatment algorithms for common intraoperative causes for cardiac arrest
  • Describe diagnosis specific intraoperative ACLS protocols

Series Cultural and Linguistic Competency:

Transgender patients deserve the same high quality care we provide for all patients. However, this patient population faces discrimination quite frequently. Often this discrimination may be unintentional, so we hope to provide the proper training to staff to recognize their implicit biases and improve communication with transgender patients.

Session Cultural and Linguistic Competency:

Elderly patients with many medical comorbidities often have advanced directives that request no cardiopulmonary resuscitation in the event of a cardiac arrest.  However given the effect of medications use in the perioperative period, most often the perioperative team will resuscitate a patient in the OR in the event of a reversible cause of the arrest.  


  • Paul Weyker, MD, Department Of Anesthesiology

Series References:

KP Guidelines, American Society of Anesthesiologist, Surgical Journals

Session References:

  1. Anesth Analg 2018;126:876-888
  2. Anesth Analg 2018;126:889-903
  3. Can J Anesth/J Can Anesth (2012) 59:586-603


The regular presenters and program planners of this case conference have disclosed that they have no relevant financial relationships with commercial interest (s). The CME Department has reviewed their disclosure information for the planner(s) and/or committee / faculty or this program and they do not have relationships that present a relevant financial conflict of interest.

Kaiser Permanente South San Francisco takes responsibility for the content, quality, and scientific integrity of this CME Activity.

Kaiser Permanente does not endorse any brand-name products.

Accreditation Statement:

Kaiser Permanente South San Francisco Medical Center is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians.

Credit Statement:

The Kaiser Permanente South San Francisco Medical Center designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses may report up to a maximum total of 1.0 AMA PRA Category 1 Credit(s)™ towards the Continuing Medical Education requirements for license renewal by the California Board of Registered Nurses.

Session date: 
Friday, January 10, 2020 - 7:15am to 8:15am
Kaiser Permanenete
1200 El Camino Real
3rd Fl, Chestnut Conference Room
South San Francisco, CA 94080
United States
  • 1.00 AMA PRA Category 1 Credit(s)™

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CME Office: 
South San Francisco Medical Center
Conference room: 
Chestnut Conference Room