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Anesthesiology CME Program  |   February 2007
Instructions for Obtaining Journal CME Credit
Article Information
Anesthesiology CME Program
Anesthesiology CME Program   |   February 2007
Instructions for Obtaining Journal CME Credit
Anesthesiology 2 2007, Vol.106, 413-414. doi:
Anesthesiology 2 2007, Vol.106, 413-414. doi:
Anesthesiology’s journal-based CME program is open to all readers. Members of the American Society of Anesthesiologists participate at a preferred rate, but you need not be an ASA member or a journal subscriber to take part in this CME activity.
Please complete the following steps:
  1. Read the article by Flick et al.  entitled “Perioperative cardiac arrests in children between 1988 and 2005 at a tertiary referral center: A study of 92,881 patients” on page 226 and the accompanying editorial by Morray and Posner entitled “Pediatric perioperative cardiac arrest: In search of definition(s)” on page 207 of this issue.

  2. Review the questions and other required information for CME program completion (published in both the print and online journal).

  3. When ready, go to the CME Web site: . Submit your answers, form of payment, and other required information by December 31 of the year following the year of publication.

The American Society of Anesthesiologists is approved by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education programs for physicians.
The American Society of Anesthesiologists designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit  ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Purpose:  The focus of the journal-based CME program, and the articles chosen for the program, is to educate readers on current developments in the science and clinical practice of the specialty of Anesthesiology.
Target Audience:  Physicians and other medical professionals whose medical specialty is the practice of anesthesia.
Learning Objectives:  After reading this article, participants should have a better understanding of the pathophysiology of perioperative cardiac arrests in children.
Disclosure Information:
Authors  –Randall P. Flick, M.D., Juraj Sprung, M.D., Ph.D., Tracy E. Harrison, M.D., Stephen J. Gleich, M.S., Darrell R. Schroeder, M.S., Andrew C. Hanson, B.S., Shonie L. Buenvenida, R.N., C.C.R.P., and David O. Warner, M.D.
Grants or research support:  None
Consultantships or honoraria:  None
The article authored by Drs. Flick, Sprung, Harrison, Gleich, Schroeder, Hanson, Buenvenida, and Warner was supported solely from institutional and/or departmental sources.
Authors  –Jeffrey P. Morray, M.D., and Karen Posner, Ph.D.
Grants or research support:  None
Consultantships or honoraria:  None
The article authored by Drs. Morray and Posner was supported solely from institutional and/or departmental sources.
Question Writers  –Peter L. Bailey, M.D., and Leslie C. Jameson, M.D.
Drs. Bailey and Jameson have no grants, research support, or consultant positions, nor do they receive any honoraria from outside sources, which may create conflicts of interest concerning this CME program.
Article Questions
Based on the article by Flick et al.  entitled “Perioperative cardiac arrests in children between 1988 and 2005 at a tertiary referral center: A study of 92,881 patients”and its accompanying editorial by Morray and Posner entitled “Pediatric perioperative cardiac arrest: In search of definition(s)”in the February issue of Anesthesiology, choose the one correct answer for each question:
1. Which of the following statements concerning the incidence of perioperative cardiac arrest in pediatric patients is most  likely true?
A. It is highest in children older than 1 yr of age.
B. It is lowest in infants.
C. It is highest in neonates.
D. It is the same across all age groups.
2. Which of the following statements concerning perioperative cardiac arrest (POCA) in pediatric noncardiac surgery patients is most  likely true?
A. POCA occurs most often in the postanesthesia care unit.
B. Patients with cardiac causes of POCA have the highest survival rates.
C. Overall hospital survival in these patients is greater than 90%.
D. The majority of such patients was without significant preexisting morbidity.
3. Which of the following is the most  common cause of perioperative cardiac arrest in pediatric noncardiac surgery patients?
A. Hypovolemia
B. Difficult airway
C. Drug administration error
D. Procedural complication
4. Which of the following statements comparing registry reports and single-center database reports is most  likely true?
A. The denominator (total number of cases) is not known in either.
B. Underreporting is of greater concern with single-center database reports.
C. Selection bias is not a concern with either type of report.
D. Incidence calculations based on registry report data are less reliable.
5. Which of the following statements concerning the mortality rate after perioperative cardiac arrest in pediatric surgery patients is most  likely true?
A. It is higher after noncardiac surgery than after cardiac surgery.
B. It increases with patient age in noncardiac surgery patients.
C. It is lower for anesthesia-related causes than for other causes.
D. It increases with patient age in cardiac surgery patients.