We hear so much confusion from colleagues on fluids, hemodynamic management, and goal-directed therapy! Should we be calculating fluids with the 4-2-1 rule, restricting fluids, or using goal-directed therapy (GDT)? What does GDT even mean?? Which monitors are available to use for GDT strategies and how do I incorporate the values to guide care? If you aren’t using a GDT monitor, how do you know when the patient needs volume? If you are relying on heart rate, blood pressure, and/or urine output, you are behind as these are late indicators of hypovolemia. Do you know how to use PPV and SVV appropriately? Keeping up with current evidence on fluid and hemodynamic management is challenging as the number of publications in this field has increased tremendously over the last few years. We hope you leave this presentation understanding which patients/cases benefit from GDT, knowing how to use advanced hemodynamic monitoring in a GDT strategy, the types of monitors available, protocols for their use, and how to use GDT in the context of ERAS and non-ERAS settings, all to avoid iatrogenic harm.

Learning Outcomes:

1. Describe differences in fluid administration for goal-directed, restricted, and traditional strategies.
2. Explain the function and use of advanced hemodynamic monitoring for goal-directed therapy.
3. Describe a goal-directed therapeutic strategy combining fluid therapy and medications for hemodynamic management.

This program has been prior approved by the American Association of Nurse Anesthesiology for 1.0 Class A CE credits; Code Number 1045784; Expiration Date 9/30/2026.

• Amy D. Yerdon, DNP, MNA, CRNA, CNE, CHSE - University of Alabama at Birmingham School of Nursing
• Desiree L. Chappell, MSNA, CRNA, FAANA - NorthStar Anesthesia, TopMedTalk

Accreditation Information:
The American Association of Nurse Anesthesiology is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. 

AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.

Disclosure Statement:
Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

Post-Test Attempt Notice:
A minimum passing score of 80% is required to pass this course. You have TWO opportunities to achieve a passing score. If you fail to achieve a passing score of 80%, you will not receive CE credit for this course.

Content Disclaimer:
The views, information, or opinions expressed within the videos and audio are solely those of the individuals involved and do not necessarily represent those of the American Association of Nurse Anesthesiology.

Course content has been prepared by the presenter/developer, and each viewer agrees that the presenter/developer is solely responsible for the content and the accuracy thereof. The viewer agrees that the American Association of Nurse Anesthesiology has no responsibility or liability for the accuracy or completeness of the content.

Refund Policy:
Continuing education activities are nonrefundable.