Oakstone Perioperative Management 2025

This online CME course — created by the established leader in perioperative medicine specifically for clinicians who provide patient care before, during, and after surgery — delivers current and concise knowledge ideally suited to improving patient outcomes through perioperative evaluation, intraoperative management, and postoperative care.

Perioperative Management is based on an examination of evidence-based, peer-reviewed literature, recent research, course participant feedback, and input from colleagues inside and outside Johns Hopkins. Speakers deliver the most up-to-date knowledge in a series of 50 expert continuing medical education lectures and eight informative Q&A sessions.

Date of Original Release: May 15, 2025

Learning Objectives

After participating in this activity, the learner will demonstrate the ability to:

Describe current guidelines for preoperative cardiac and pulmonary risk assessment and list several ways to predict and prevent cardiac and pulmonary complications using preoperative testing and intraoperative and postoperative interventions
Recognize the risks of perioperative anemia and transfusion as well as the risks and benefits of perioperative anti-thrombotic therapies, and list several strategies to reduce bleeding and thrombotic complications through evidence-based approaches to anemia management, transfusion, coagulation testing, and pharmacologic interventions with anti-thrombotic and anti-fibrinolytic agents
Describe the perioperative complications associated with diabetes, renal insufficiency, liver disease, delirium, and frailty, and list current management strategies to optimize outcomes in patients with these medical conditions
Describe strategies to control acute postoperative pain, including in patients who chronically use opioids or cannabis
Recognize how to prevent, diagnose, and treat common healthcare associated infections that complicate surgical procedures
Recognize the perioperative implications of the growing use of newer pharmacologic therapies for diabetes, obesity, heart failure, and immunomodulators and the pros/cons of emerging physiologic monitoring technologies for use in the OR, PACU, and wards
Recognize the impact of burnout, and its relation to gender, race, and micro-aggressions, on clinician wellbeing and patient safety, and describe strategies to improve work-force wellbeing, communication, and the quality/safety of clinical care for of individual healthcare worker, patients, and the health system
Intended Audience

This activity is intended for anesthesiology, critical care medicine, family practice, general surgery, hospitalist, internal medicine, nurse anesthetist, nurse practitioner, orthopedic surgery, pain medicine, physician assistant, and urology.

+ Topics:

01. Preoperative Cardiac Risk Assessment and Testing – Ilan Wittstein, MD.mp4
02. Prevention and Treatment of Perioperative Myocardial Injury – Nauder Faraday, MD, MPH.mp4
03. Perioperative Management of Patients with Cardiomyopathy – Todd Dorman, MD, MCCM, FSACME.mp4
04. Preoperative Evaluation – Optimized, Not Cleared – Lenny Feldman, MD.mp4
05. Questions and Answers Panel Discussion – Faculty.mp4
06. Perioperative Management of Patients on Anti-Platelet Therapy – Nauder Faraday, MD, MPH.mp4
07. Perioperative Management of Patients on Vitamin K Antagonists and Direct Oral Anticoagulants (DOACs) – Nauder Faraday, MD, MPH.mp4
08. Preoperative Evaluation and Management of the Patient with Heart Failure – Ilan Wittstein, MD.mp4
09. Preoperative Management of the Patient with “New ECG Abnormalities” – Ilan Wittstein, MD.mp4
10. Practical Interpretation and Perioperative Implications of an ECHO Report – MaryBeth Brady, MD.mp4
11. Preoperative Lab Testing- Choosing Wisely – Lee Goeddel, MD, MPH.mp4
12. Resolving Common Perioperative Conundrums – The Role of Point of Care Ultrasound (POCUS) – Stephanie Cha, MD.mp4
13. Questions and Answers Panel Discussion – Faculty.mp4
14. Preoperative Pulmonary Risk Assessment and Testing – Peter Rock, MD, MBA, FCCM.mp4
15. Perioperative Management of the Patient with Pulmonary Hypertension – Megan Kostibas, MD.mp4
16. Management of Perioperative Anemia, Transfusion, and Bleeding – Nauder Faraday, MD, MPH.mp4
17. Burnout and the Role of Gender, Race, and Micro-aggressions – J. Bryan Sexton, PhD.mp4
18. Questions and Answers Panel Discussion – Faculty.mp4
19. Work-Life Integration – Measuring and Understanding Health Care Worker Well-Being – J. Bryan Sexton, PhD.mp4
20. Perioperative Respiratory Insufficiency – Mechanisms and Management – Peter Rock, MD, MBA, FCCM.mp4
21. Perioperative Management of the Patient with Pacemakers and ICDs – Ilan Wittstein, MD.mp4
22. Perioperative Considerations of COVID – Megan Kostibas, MD.mp4
23. Perioperative Hypotension – Todd Dorman, MD, MCCM, FSACME.mp4
24. Incidence, Implications, and Management of Postoperative Atrial Fibrillation – Stephanie Cha, MD.mp4
25. Managing the Difficulty Airway- Updated ASA Guidelines – Laeben Lester, MD.mp4
26. “It’s only a sedation case.” – Strategies to Prevent a Cardiopulmonary Catastrophe – Laeben Lester, MD.mp4
27. Controversial Debates – Navigating Non-Operating Room Anesthesia (NORA) – Megan Kostibas, MD and Stephanie Cha, MD.mp4
28. Questions and Answers Panel Discussion – Faculty.mp4
29. Perioperative Management of Diabetes and Hyperglycemia – Lenny Feldman, MD.mp4
30. Perioperative Renal Dysfunction – Derek Fine, MD.mp4
31. Acute Pain Management – Limiting Narcotics through Multimodal Analgesia – Kara Segna, MD.mp4
32. Prevention and Treatment of Surgical Site Infections – Pamela Lipsett, MD.mp4
33. Questions and Answers Panel Discussion – Faculty.mp4
34. Preventing, Identifying, and Managing Common Healthcare Associated Infections – Pamela Lipsett, MD, MHPE, FACS, FCCM.mp4
35. Perioperative Management of the Patient with Obstructive Sleep Apnea – Peter Rock, MD, MBA, FCCM.mp4
36. Case-Based Perioperative Care of the Patient with Diabetes Hyperglycemia – Lenny Feldman, MD.mp4
37. Perioperative Management of Hyponatremia and Other Electrolyte Abnormalities – Derek Fine, MD.mp4
38. Perioperative Management of the Patient with Chronic Opioid Use Disorder – Methadone, Buprenorphine, and More – Kara Segna, MD.mp4
39. Perioperative Management of the Pregnant Patient for Non-Obstetrical Surgery – Kara Segna, MD.mp4
40. Perioperative Management of Cannabis – Kara Segna, MD.mp4
41. Perioperative Management of Steroids, Biologics and Immune Checkpoint Inhibitors – Lenny Feldman, MD.mp4
42. Perioperative Fluid Management – Pamela Lipsett, MD, MHPE, FACS, FCCM.mp4
43. Questions and Answers Panel Discussion – Faculty.mp4
44. Perioperative DVT and Pulmonary Embolism – Nauder Faraday, MD, MPH.mp4
45. Post-Operative Delirium – Prevention and Treatment – Frederick E. Sieber, MD.mp4
46. Identifying and Managing Risks in Ambulatory Surgery Patients – Tina Tran, MD.mp4
47. Caring for the Liver Patient Undergoing Non-Liver Transplant Surgery – Aliaksei Pustavoitau, MD.mp4
48. Questions and Answers Panel Discussion – Faculty.mp4
49. Improving Perioperative Quality and Safety through System and Culture Change – J. Bryan Sexton, PhD.mp4
50. Implementing Programs to Enhance Recovery after Surgery (ERAS) – Aliaksei Pustavoitau, MD, MPH.mp4
51. Managing End of Life Care in Surgical Patients – Pamela Lipsett, MD, MHPE, FACS, FCCM.mp4
52. Prehabilitation of the Frail Patient – Frederick E. Sieber, MD.mp4
53. Looking into the Future – Anesthesia Workforce Trends – Frederick E. Sieber, MD.mp4
54. ERAS for Ambulatory Surgery – Tina Tran, MD.mp4
55. New Monitoring Devices for the OR – Neurologic, Hemodynamic, and More – Lee Goeddel, MD, MPH.mp4
56. Continuous Physiologic Monitoring Outside the OR – Why, Which One, Where, and for Whom. – Lee Goeddel, MD, MPH.mp4
57. Questions and Answers Panel Discussion – Faculty.mp4
Syllabus.pdf