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

00Other recent and upcoming CCAS educational activities

Dean B. Andropoulos, M.D.
Chandra Ramamoorthy, M.B., B.S.

CCAS participated in the 7th International Conference of the Pediatric Cardiac Intensive Care Society, in Miami Beach on December 2-6, 2008.  Dr. Chandra Ramamoorthy put together an excellent half day program for Friday December 5, 2008. The Keynote speaker for this Friday afternoon session was Dr Andreas Loepke from Cincinnati Children’s Hospital.  His talk on Anesthetic Neurotoxicity in the Developing Brain: Can We Extrapolate From Rats? was outstanding and got the meeting off to a great start.  This was followed by a debate between 2 surgeons, Drs Frank Hanley and  Francois LaCour- Gayet  on “Total Body Hypothermic Cardiopulmonary Bypass 50 Years Later: Do We Still Need It?”  The role of selective cerebral hypothermia was briefly discussed. Following a short break the afternoon continued with a debate on who should provide sedation in the cardiac catheterization laboratory. Dr. Kirsten Odegaard from The Children’s Hospital at Boston opined that clearly anesthesiologists would be safer; Dr. Dave Balser, Interventional Cardiologist from St. Louis Children’s Hospital countered. This was followed by a brief presentations on ischemic preconditioning by Dr. Frank McGowan, Dexmedetomidine by Dr. Laura Diaz from Children’s Hospital of Phialdelphia, followed by Dr .Ken Brady from the John’s Hopkins Hospital on cerebral autoregulation after cardiopulmonary bypass: what we don’t know could hurt our patients. The afternoon session ended with a lively presenatation of a problem based discussion by Dr. Helen Holtby from the Hospital for Sick Children in Toronto. The audience participation for this PBLD was lively and at 5 pm despite the sunshine outside there were still many in attendees in the auditorium.  The evaluations for the CCAS session at the PCICS were uniformly excellent.  Several attendees thought the anesthesia session with the debate and interactive format was better than didactic lectures. The next join session of the CCAS and PCICS will be in December of 2010.  Stay tuned for updates in the coming year

At the upcoming 5th World Congress of Paediatric Cardiology and Cardiac Surgery, to be held in Cairns, Australia, June 21-26, 2009, the CCAS will have a major role in the Anesthesia, Intensive Care, and Perfusion sessions on June 22-23. Dr. Andropoulos has served on the organizing committee for this program. On  Monday June 22 the morning session is an anesthsia session, the first half will be devoted to training in Pediatric Cardiac Anesthesia, moderated by Dr. Andropoulos and including Dr. DiNardo as a speaker. The second session is an expert panel, including Drs. Helen Holtby, Peter Laussen, Ian James all of CCAS, discussing clinical issues such as steroids, glycemic control, antifibrinolytics, and inotrope choice. The afternoon session is entilted „Risky Business,“ and will feature accomplished speakers from high-risk industries including aviation and the military, and also experts in the field of quality and safety in healthcare. The session will include plenary lectures and panel discussions on how lessons learnt from industry can be applied to medical practice in order to improve safety and reduce risk.  Other sessions include:

Tuesday Morning June 23: Systemic oxygen delivery in infants and children undergoing surgery for congenital heart disease.
The maintenance of adequate systemic oxygen delivery is one of the key areas of research in peri-operative congenital cardiac care. This theme will form the focus of the morning session. In the first half of the session, we will focus on the monitoring and assessment of systemic oxygen delivery in surgical patients, including Dr. Andropoulos speaking about brain oxygenation monitoring . In the second half, we will hear from experts in the field, on topics related to current and future techniques for the manipulation of systemic oxygen delivery, in order to optimise patient outcomes.

Tuesday Afternoon June 23 session: "Extracorporeal life support".
This session will involve experts in the field, who will discuss the history, and current status of ECLS in the cardiac population. Specific topics will include the role of ECMO in sepsis, decision-making strategies in cardiac disease, and long-term support in children with end-stage cardiac failure.

For additional information about the World Congress, go to:


Pediatric Anesthesiology 2010