UCSF - University of California, San Francisco
US Dept of Veteran Affairs, San Francisco
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Reducing the Risk of Perioperative Death with the Beta Blocker and Clonidine Protocol


to Reducing the Risk of Perioperative Death (BBAC)

This online course will teach you why and how to implement a perioperative risk reduction protocol using the beta blocker and clonidine ("B.B.A.C.") protocol. You can take the course for free. Start here.

Navigation & Sound Control
You can navigate through the course using the detailed menu at above left or through the text menu at the bottom or top right of the page. For accessibility, the lessons include background narration (sound) which comes on automatically in Internet Explorer but which can be turned off by turning down your speakers or by pressing the "Stop" button on top of your browser. Users of other browsers can download the sound by clicking on the audio icon on each page.

Style & Substance
While thorough and scientifically exacting, the lessons are often presented in a colloquial, and sometimes humorous vein. Part of this research project is to assess the efficacy of various pedogogical approaches, including humor. Please be sure to fill out the evaluation and feedback form at the end of the course. Thank you.

Primary Course Objectives
Complete list of course objectives here

bullet Describe the epidemiology of cardiac disease and patients coming for cardiac and non-cardiac surgery in the United States.
bullet Identify the risk factors for cardiac morbidity and mortality
bullet Identify and implement strategies for cardiac risk stratification and reducation and describe the relative merits and dangers of each approach
bullet Explain how to implement a program for cardiac risk reduction therapy.
Don Poldermans MD dismissed from Erasmus University for scientific misconduct. Evaluation of the effect of this event on PCRRT is underway. See article.

Study in 38,779 patients demonstrates that BBAC works in at-risk patients!
Read it here. Oct. 2010

Simple, Inexpensive, Instant, JCAHO Compliant Drug Labels for Anesthesia
Clinical Reminders for VA Hospitals available for download here

BBAC is now BBACS!
Beta Blockers and Clonidine and STATINS! (Oh, My!)
Read the New England Journal article here
September 3, 2009

Does Perioperative Beta Blockade Work?
Yes! A response to Brady and Lindenauer et al. 2005

Principal Faculty and Credentials
Arthur Wallace, M.D., Ph.D.
Professor of Anesthesiology and Perioperative Medicine, UCSF Medical Center
Attending Anesthesiologist, San Francisco VA Medical Center

Click here to download the Beta Blocker & Clonidine Protocol
Link opens a new window. Protocol in Adobe Reader .pdf format.

Media used - Web-based educational materials
Press Release from UCSF & VAMC 9/2/05 (Adobe .pdf)

Method of physician participation in the learning process
Reading and/or listening to the web presentation. Online registration, quizzes and evaluation forms. Email contact with principal faculty is also available.

Estimated time to complete the course - 2+ hours

Disclosure: Conflict of interest statement: Neither I, Dr. Arthur Wallace, nor any member of my family, has a financial arrangement or affiliation with any corporate organization offering financial support or grant monies for this education program. Dr. Wallace has disclosed ownership interest in Cardiac Engineering. All conflicts of interest have been resolved in accordance with the ACCME's Standards for Commercial Support.

Date of original release - April 3, 2005
Most recent update - September 4, 2009

Content by Art Wallace MD PhD
Web Design by Plumsites

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