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

00A review of the CCAS program at
Pediatric Anesthesiology 2009

Dean B. Andropoulos, M.D.

The third annual CCAS Program was held at Pediatric Anesthesiology 2009 on March 19th in Jacksonville Florida. Dr. Emad Mossad was the program director, and planned an outstanding meeting, attended by 205 registrants. The morning session was entitled “Heart Failure/Transplant,” and was moderated by Dr. Mossad. The first speaker was Dr. Jeffrey Towbin, Chief of Cardiology at Cincinnati Children’s Hospital, who presented an excellent update on the etiology, diagnosis, and treatment options for cardiomyopathy. His lecture was followed by a lecture on, “Million Dollar Baby: Ventricular Assist Devices,” presented by Dr. David McMullan, cardiac surgeon at Seattle Children’s Hospital, who gave a thorough overview of the options for VADs in children, with emphasis on the newest and most successful device, the Berlin Heart, as well as several prototypes in development. Dr. Barry Kussman from Boston Children’s Hospital then gave a very well organized lecture on “Pediatric Heart Transplant Trends and Outcomes,” which was an excellent review of the state of the art, including ABO incompatible transplantation in infants.

The second morning session was entitled, “Coagulation/Blood Transfusion,” and was moderated by Dr. Suanne Daves. The first lecture was given by Dr. Nina Guzzetta from Children’s Healthcare Atlanta, “Monitoring Coagulation in the Pediatric Cardiac OR/ICU,” and presented new data on thromboelastography and other methods to monitor coagulation. Her lecture was followed by Dr. Patricia Massicotte a hematologist and expert on transfusion and coagulation,  from Edmonton, Alberta, who gave a thought provoking talk on “Transfusion Dilemmas in Pediatric Cardiac Surgery.”  Dr. Michael Eaton from the University of Rochester then gave a very interesting and entertaining lecture, “Life After Aprotinin.”

The session before lunch was a fascinating series of lectures, followed by a lively question and answer session moderated by Dr. Jim DiNardo, “Hybrid Anesthesia-Myth and Reality,” by Drs. Helen Holtby from Toronto Sick Children’s Hospital, Pablo Motta from Texas Children's Hospital, and Peter Winch from Columbus Children’s Hospital.

The immediate post-luncheon session was a debate, “Who Should Provide Sedation/Anesthesia for Patients Undergoing Cardiac Catheterization?”, moderated by Dr. Chandra Ramamoorthy, and vigorously presented/debated by Dr. Laura Diaz from the Children’s Hospital of Philadelphia, Dr. Ian James from Great Ormond Street, London, and Dr. Glyn Williams from Stanford.

The next session was an electrophysiology update prepared by Drs. Anthony Clapcich from Columbia University, Maria Zestos from Michigan Children’s Hospital, and presented by electrophysiologist Dr. Naomi Kertesz from Texas Children's Hospital.  This was a rapid-fire presentation of ECG unknown rhythms, and “diagnosed” by the attendees using the audience response system with immediate feedback which generated a lot of audience comment.

The final sessions of the day were two sessions comprising the Workshop on Transesophageal Echocardiography in Children coordinated by Dr. Wanda Miller-Hance from Texas Children's Hospital, with facilitators Drs. Greg Stratmann from UC San Francisco, and Komal Kamra from Stanford. After a terrific overview of the basic TEE exam in CHD by Dr. Miller-Hance, the audience was divided into three individual sections for stations on Tetralogy of Fallot, single ventricle anatomy, and complete atrioventricular canal, with ample audience interaction.

The electronic audience response system was used extensively throughout the entire program, with each moderator preparing a series of questions concerning the upcoming session, with immediate results displayed, and serving as the focus for many of the questions to the speakers. The questions were submitted in written form to the moderator, and as a result the discussion was organized, informative, and provided ample opportunity for exchange of ideas.

Because of the outstanding success and attendance for the CCAS Program, the CCAS was asked by the SPA Board and Education Committee to hold a similar program in both 2010 and 2011. Congratulations to Dr. Emad Mossad for planning such an outstanding meeting. He will work with Dr. Sharma Anshuman from St. Louis Children’s Hospital, on the next CCAS Program planned for Pediatric Anesthesiology 2010 in San Antonio, Texas on April 15th, 2010.


Pediatric Anesthesiology 2010