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

00CCAS database update

Dean B. Andropoulos, M.D.
David Vener, M.D.

The contract between the Society of Thoracic Surgeons and the CCAS for development of the CCAS Database has been completed, and programmers at the Duke Clinical Research Institute, the data warehousing and analysis provider for the STS, are adding the CCAS data fields to the STS Congenital Heart Surgery Database. See the following link for the proposed CCAS Anesthesia Database data fields. Dr. Vener has raised $50,000 of the $60,000 in startup costs for the database, with contributions from the following institutions: Children’s Hospital of Los Angeles, St. Joseph’s Children’s Hospital Tampa, Children’s Healthcare of Atlanta Sibley Heart Center, Cleveland Clinic, Children’s Hospital of Philadelphia, and Texas Children's Hospital and $20,000 in additional pledges from Children’s Hospital Boston, Duke University, Arnold Palmer Children’s Hospital (Orlando) and Miami Chldren’s Hospital. The second of our two payments to the STS and DCRI will be due later this Summer.

Two recent manuscripts in Cardiology in the Young concerning the CCAS Database, and other database issues have recently been published:

Vener DF, Jacobs JP, Schindler E, Maruszewski B, Andropoulos D. Databases for assessing the outcomes of the treatment of patients with congenital and paediatric cardiac disease--the perspective of anaesthesia. Cardiol Young. 2008 Dec;18 Suppl 2:124-9. Review.

Vener DF, Tirotta CF, Andropoulos D, Barach P. Anaesthetic complications associated with the treatment of patients with congenital cardiac disease: consensus definitions from the Multi-Societal Database Committee for Pediatric and Congenital Heart Disease. Cardiol Young. 2008 Dec;18 Suppl 2:271-81. Review.

Both surgical and non-surgical cases, i.e. catheterization laboratory anesthetics, will be able to be entered into the CCAS Database as will be cases performed by non-cardiac surgeons on cardiac patients. Recent literature strongly supports anectodotal evidence that these children are at significantly higher risk than non-cardiac patients.  The STS Congenital Surgical Database committee has added a significant number of new procedure fields in coordination with the CCAS and with the Pediatric Cardiology database group to make this possible.  Details of the participation agreements, costs, and data entry programming will be communicated to all CCAS members in the next 6 months. It is anticipated that the new data fields will be released to the vendors by July 1, 2009 with a “go-live” date of January 1, 2010 for the first round of users. Questions about the database should be addressed to Dr. Vener at:


Pediatric Anesthesiology 2010