President's Message

Review of the CCAS
Program at Pediatric
Anesthesiology 2009

Other Recent and
Upcoming CCAS
Educational Activities

CCAS Database Update

Fellowship Training Update


  1. Cerebral oximetry during infant
    cardiac surgery: evaluation and
    relationship to early postoperative
  2. Cerebral oxygen saturation-time
    threshold for hypoxic-ischemic
    injury in piglets

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00President's Message

By Chandra Ramamoorthy, MD

Since the last edition of this newsletter the world has changed considerably.  We can say global Dr. Ramamoorthywarming exists without fear of retribution, agree that sub-prime loans were a bad idea and ackowldege that one can sell ponzi schemes to very clever people all of the time!!  So where does the CCAS fit in with all these cataclysmic events?  What can we contribute to make the world a better place?

Education strikes me as something we could do and fortunately it is part of the CCAS mission.  As pediatric cardiac anesthesiologists we walk the lines between cardiac surgery, cardiology and anesthesia.  Our knowledge base must be large to best serve our patients and educate our trainees.  The annual meetings provide a forum for this and yet again the annual CCAS winter meeting was a success with over 200 attendees.  Below, Dr. Andropoulos has outlined the meeting highlights.  We look forward to our next meeting in SanAntonio , Texas in 2010.

As part of our society’s educational mission in the coming years I would like to introduce cardiac anatomy/morphology, its correlation with echocardiography and surgical consideration, as a workshop at the annual meeting.  Overtime we will be able to cover the wide range of congenital heart diseases we encounter in our daily practice and manage these children with a greater understanding of what lies within the heart.  Such an endeavor involves considerable organization, as cardiac anatomical specimens have to be transported to meeting locations.  Drs. Mossad, Sharma and Miller-Hance will no doubt turn this into a success at the next meeting.  The excellent synopsis of congenital heart disease, authored by Dr. DeSouza, available online to CCAS members provides excellent educational material for trainees.  I would like to see our website eventually be a repository of educational material that can be accessed by members anywhere in the world when they are handling difficult a difficult case.           

As an organization we are already discussing sub-specialization and additional training in pediatric cardiac anesthesia and developing a curriculum for a fellowship.  While this raises issues on its impact on pediatric anesthesia fellowships both in the United States and elsewhere, nonetheless I see this as evolutionary and we look forward to working with our colleagues in SPA to advance this agenda.  Dr. DiNardo has outlined some ideas for this.  The CCAS must also play an active role with the SCA and STS on programmatic development of care for the  adults with congenital heart disease.  We all know that by 2010 the number of adults with repaired congenital heart disease will exceed the number of new cases/year.  We need to carefully consider what the issues of such a program will be and whether we are indeed congenital cardiac specialists or pediatric anesthesiologists at heart who like taking of children with heart disease.  Tough choices may be ahead, stay tuned

The database is finally coming to fruition thanks to the perseverance and dedication of Dr. David Vener.  I hope even if the surgeons in your program are not a part of the STS database that you will make use of the datafields to collect and analyze your data for hospital Quality Assurance.  This not only improves our patients care but also raises the visibility of our field, as we develop benchmarks fromwithin the database as indicators of the quality of anesthesia care.  In addition these databases provide great research material.

Despite the economic times we live in, as the field of pediatric cardiology advances therapies for our patients, large and small, will also vastly increase,.  I hope you all share my  enthusiasm for the CCAS as it provides us with a forum to hold interdisciplinary discussions on cutting edge issues in clinical medicine and research.  As an organization we can accomplish much to move our sub-speciality forward.  I thank you for your support and encourage you to write to the board with your ideas on how we can serve you better.