Posters:
Difficult Airway Management Using Human Dynamic Macrosimulation: Practicing Anesthesiologists Do Not Follow the ASA Difficult Airway Guidelines
2004 ASA Meeting Abstracts (A-1262)
Presenting Author: Ryan Romeo, M.D.
Department / Institution: Anesthesiology, Magee Womens Hospital of Pittsburgh.
Category: PATIENT SAFETY
Summary: Nearly half of a group of practicing anesthesiologists failed to appropriately manage a simulated difficult airway in the emergent pathway.
Presentation Info: Monday, 10/25/2004, 2:00 PM - 4:00 PM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Cerebrospinal Fluid Caffeine Levels after Severe Traumatic Brain Injury in Humans: Implications on Secondary Injury
2004 ASA Meeting Abstracts (A-354)
Presenting Author: Kathleen T. Sachse, M.D.
Department / Institution: Safar Center for Resuscitation Research, University of Pittsburgh.
Category: CLINICAL NEUROSCIENCES
Summary: Caffeine inhibits neuropotective adenosine A1 receptors. We assessed caffeine
levels in CSF in adults (n31) early after severe head injury. We report
clinically relevant caffeine levels (21676 ng/mL) which may exacerbate secondary injury.
Presentation Info: Wednesday, 10/27/2004,
9:00 AM - 11:00 AM, at the Las Vegas Convention Center, in the
poster
presentation area in Hall C2.
Use of Nitric Oxide for Treatment of Pulmonary Hypertensive Crisis in a Child after Protamine Administration
2004 ASA Meeting Abstracts (A-1461)
Presenting Author: Hadi Sakhai, M.D.
Department / Institution: Pediatric Anesthesiology, Childrens Hospital of Pittsburgh.
Category: PEDIATRIC ANESTHESIA
Summary: We report a case of a child presenting for repair of an atrial septal defect who
developed severe systemic hypotension with concomitant pulmonary hypertensive
crisis after protamine administration. Having exhausted convential treatments,
nitric oxide was added to the inhaled gases with a rapid resolution of the
pulmonary hypertension.
Presentation Info: Tuesday, 10/26/2004, 9:00 AM - 12:00 PM, at the Las Vegas Convention Center, in the
poster presentation area in Hall C2.
Development of a Clinical Productivity Based Incentive Compensation Plan in a Multi-Site Academic Anesthesia Department
2004 ASA Meeting Abstracts
Presenting Author: Jay A. Roskoph, M.D., M.B.A.,* John P. Williams, M.D.,* Amr E. Abouleish, M.D., M.B.A.,‡
From the *Department of Anesthesiology, The University of Pittsburgh Medical Center; ‡Department of Anesthesiology, University of Texas Medical Branch, Galveston, Texas.
Continuous Paravertebral Blocks for Acute Pain Management
2004 ASA Meeting Abstracts (A-960)
Presenting Author: Bruce Ben-David, M.D.
Department / Institution: Anesthesiology, University of Pittsburgh Medical Center.
Category: LOCAL ANESTHESIA AND PAIN
Summary: Continuous peripheral neural blockade offers a number of advantages over
epidural analgesia. However, its use is typically restricted to extremity
surgery. Single shot paravertebral blocks have been shown to be very effective
for both anesthesia and postoperative analgesia in unilateral surgery such as
hernia repair and breast surgery.
Presentation Info: Wednesday, 10/27/2004, 9:00 AM - 11:00 AM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Bilateral Single Paravertebrals Blocks for Radical Prostatectomy. Report of 50 Cases.
2004 ASA Meeting Abstracts (A-959)
Presenting Author: Bruce Ben-David MD
Department / Institution: Anesthesiology, University of Pittsburgh Medical Center.
Category: LOCAL ANESTHESIA AND PAIN
Summary: Patient controlled administration of intravenous opiate (PCA) or epidural analgesia represent the typical techniques for postoperative analgesia in patients undergoing radical prostatectomy. However the side effects of these techniques, e.g. prolonged ileus, pruritis, nausea and vomiting, may hinder the patient’s recovery and discharge from the hospital.
Presentation Info: Wednesday, 10/27/2004, 9:00 AM - 11:00 AM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Is Patient Consent a Barrier in Performing Peripheral Nerve Blocks?
2004 ASA Meeting Abstracts (A-994)
Presenting Author: Jacques E Chelly MD
Department / Institution: Anesthesiology, University of Pittsburgh Medical Center.
Category: LOCAL ANESTHESIA AND PAIN
Summary: Peripheral nerve blocks have been demonstrated to provide effective
postoperative pain management in patients undergoing major surgeries, especially
as part of a multimodal approach. However, the rate of patient consent has been
identified as one of the barriers for performing these blocks.
Presentation Info: Wednesday, 10/27/2004, 9:00 AM - 11:00 AM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Nuclear factor –kB activity and arterial response to LPS in rats.
2004 ASA Meeting Abstracts (A-456)
Presenting Author: Marie-Francoise Doursout, Ph.D.
Department / Institution: Anesthesiology, University of Pittsburgh Medical Center.
Category: CRITICAL CARE
Summary: The pro-inflammatory effects of endotoxin are believed to be mediated by the
activation of transcription factors such as nuclear factor-κB (NF-κB). Although NF-κB is responsible for inducible nitric oxide synthase (iNOS) gene expression by lipopolysaccharide (LPS), whether nitric oxide (NO) generation through constitutive NOS (cNOS) is dependent on NF-κB activation remains to be established.
Presentation Info: Sunday, 10/24/2004, 9:00 AM - 11:00 AM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2, Room 3.
Continuous Femoral Nerve Infusions Improves Immediate Outcomes Following Total Knee Arthroplasty in a Community Hospital
2004 ASA Meeting Abstracts (A-993)
Presenting Author: Jacques E Chelly, MD
Department / Institution: Anesthesiology, University of Pittsburgh Medical Center.
Category: LOCAL ANESTHESIA AND PAIN
Summary: To evaluate the impact of continuous femoral nerve blocks and single shot
sciatic blocks on immediate outcome measures in postoperative total knee
arthroplasty patients.
Presentation Info: Monday, 10/25/2004, 9:00 AM - 11:00 AM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Assessment of Infection, Rejection and Preservation Injury in Liver Transplant Patients Using the Inflammatory Markers: Procalcitonin, Serum Amyloid A and Haptoglobin
2004 ASA Meeting Abstracts (A-438)
Presenting Author: Ramona Nicolau-Raducu, M.D., Ph.D.,
Department / Institution: Anesthesiology, UPMC, Presbyterian Hospital.
Category: CRITICAL CARE
Summary: Infection, rejection and preservation injury are major postoperative complications in transplant patients. Prior studies in transplant patients have demonstrated that procalcitonin (PCT) is a marker for infection [1], serum amyloid A (SAA) is a marker for rejection [2] and haptoglobin (HG) is a marker for general inflammation [3]. The goal of this study was to evaluate if these systemic inflammatory markers can be used to diagnose and differentiate these episodes in orthotopic liver transplant (OLT) patients.
Presentation Info: Sunday, 10/24/2004, 9:00 AM - 11:00 AM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2 - Room 3.
Body Temperature Changes with High and Low Concentrations of Ropivacaine Used for Labor Analgesia
2004 ASA Meeting Abstracts (A-1214)
Presenting Author: Venkat R.R. Mantha, F.F.A.R.S.C.I.,
Department / Institution: Anesthesiology, Magee-Womens Hospital
Category: OBSTETRIC ANESTHESIA
Summary: Continuous infusion of local anesthetics for labor analgesia is reportedly associated with increase in parturient’s body temperature. The mechanism is unclear. We wanted to see if the concentration or the total volume of the solution used might affect temperature.
Presentation Info: Tuesday, 10/26/2004, 2:00 PM - 4:00 PM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Ondansetron Blunts Plasma Vasopressin Increases Induced by Morphine Administration in Ferrets
2004 ASA Meeting Abstracts (A-99)
Presenting Author: Eric P. Wilkens, M.D.,
Department / Institution: Anesthesiology, University of Pittsburgh Medical Center
Category: ANESTHETIC ACTION AND BIOCHEMISTRY
Summary: Post-operative nausea and vomiting are significant problems. Elevated plasma arginine vasopressin (AVP) levels have been correlate with nausea and emesis.1,2 A method for standardizing nausea and vomiting thresholds for anesthetic agents using measurable serum markers, such as arginine vasopressin, would be extremely useful. This study measures the change in plasma vasopressin levels with morphine alone or morphine in combination with ondansetron pretreatment.
Presentation Info: Monday, 10/25/2004, 9:00 AM - 11:00 AM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Desflurane vs Sevoflurane Wake-Up Times in Laparascopic Gastric Bypass Patients
2004 ASA Meeting Abstracts (A-128)
Presenting Author: Ryan C. Romeo, M.D.
Department / Institution: Anesthesiology, University of Pittsburgh Medical Center.
Category: ANESTHETIC ACTION AND BIOCHEMISTRY
Summary: With the increase demand to provide safe, cost effective anesthesia with rapid wake-up times, using less soluble volatile agents in the morbidly obese has been advocated. In a recent study, the use of desflurane instead of sevoflurane was associated with faster immediate recovery.
Presentation Info: Wednesday, 10/27/2004, 2:00 PM - 4:00 PM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
S-Nitrosoalbumin (SNO-Alb) Induces S-Nitrosation Independent of Cell Surface Protein Disulfide Isomerase (csPDI) in Live Rat Pulmonary Vascular Endothelial Cells (RPVECs)
2004 ASA Meeting Abstracts (A-685)
Presenting Author: Li-Ming Zhang, M.D.
Department / Institution: Anesthesiology, University of Pittsburgh School of Medicine.
Category: EXPERIMENTAL CIRCULATION
Summary: Nitric oxide (NO) that is released by endothelial cells has multiple biological functions including regulating vascular tone and inhibiting platelet aggregation. SNO-Alb is the most abundant physiological stable circulating NO carrier in human plasma and exerts similar biological effects as NO (1). In contrast to native albumin, the disposition of SNO-Alb in pulmonary endothelium remains unclear. In previous studies, we have shown that SNO-Alb causes S-nitrosation of the cysteine-rich, zinc-binding protein, metallothionein (MT) in live RPVECs (2). Recent studies also demonstrated that SNO-Alb disposition is affected by csPDI at the endothelial cell surface (3). In the current study, we tested the role of csPDI on the transnitrosation of MT by SNO-Alb via using contemporary imaging approaches, including, fluorescence resonance energy transfer (FRET). FRET is a non-destructive fluorescent microscopy technique suitable for live cells and capable of detecting changes in the conformational state of proteins when modified with appropriate fluorescent proteins.
Presentation Info: Tuesday, 10/26/2004, 9:00 AM - 12:00 PM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Spinal Epidural Hematoma: A Report over 16 Years from a University Hospital
2004 ASA Meeting Abstracts (A-895 )
Presenting Author: Jian-xiong An, M.D.
Department / Institution: Anesthesiology, University of Pittsburgh Medical Center.
Category: LOCAL ANESTHESIA AND PAIN
Summary: The purpose of this study is the multiple etiologies of spinal epidural hematoma (SEH). Because of the rare occurrences, current papers on SEH are case reports. Most reviews of SEH are summaries of case reports by multiple investigators in various institutions. We have researched the etiologies of SEH occurring in UPMC over the last fifteen years using the Medical Archive Retrieval System (MARS) database.
Presentation Info: Tuesday, 10/26/2004, 9:00 AM - 12:00 PM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Lymphatic Drainage of the Porcine Spinal Epidural Space
2004 ASA Meeting Abstracts (A-1099)
Presenting Author: Charles W. Buffington, M.D.
Department / Institution: Anesthesiology, University of Pittsburgh
Category: LOCAL ANESTHESIA AND PAIN
Summary: Little is known about the lymphatic drainage of the spinal epidural space. We studied six farm-raised, anesthetized pigs. We measured epidural space pressure at L3-4 through a Tuohy needle and injected saline into the epidural space at various flow rates through a second Tuohy needle at L2-3. Then we injected radio-opaque contrast and took epidurograms of the lumbar, thoracic and cervical spine. The results indicate that lymphatic channels drain the porcine spinal epidural space.
Presentation Info: Wednesday, 10/27/2004, 9:00 AM - 10:30 AM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Nitrous Oxide Anxiolysis for Elective Cesarean Section
2004 ASA Meeting Abstracts (A-1217)
Presenting Author: Manuel C. Vallejo, M.D.
Department / Institution: Anesthesiology, University of Pittsburgh
Category: OBSTETRIC ANESTHESIA
Summary: Nitrous oxide (N2O) is commonly used to supplement general anesthesia. 50% N2O is widely used in Europe for labor analgesia. The role of N2O as an anxiolytic has yet to be determined in obstetrics. The purpose of this study is to determine if N2O is an effective anxiolytic in women undergoing elective cesarean section under spinal anesthesia.
Presentation Info: Tuesday, 10/26/2004, 2:00 PM - 4:00 PM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Estimation of the Incidence of Malignant Hyperthermia Using a Capture-Recapture Method in the USA
2004 ASA Meeting Abstracts (A-1267)
Presenting Author: Barbara W. Brandom, M.D.
Department / Institution: Anesthesiology, University of Pittsburgh Medical Center
Category: PATIENT SAFETY, PRACTICE MANAGEMENT, HISTORY, and EDUCATION
Summary: The capture-recapture statistical method estimates the size of a sample from incomplete sampling of 2 or more independent sources. Anesthesia providers who are treating a patient for Malignant Hyperthermia (MH) may call the MH Hotline (#800-644-9737). Most patients who are being treated for MH will be admitted to the hospital for continued treatment. Since 1997 there has been a discharge code for MH due to anesthetics (ICD-9-CM 995.86). It is likely that both the Hotline and databases of discharge summaries miss some cases of MH. The capture-recapture method was applied to estimate the incidence of acute MH using these two sources.
Presentation Info: Monday, 10/25/2004, 2:00 PM - 4:00 PM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Total Intravenous Anesthesia (TIVA) with or without Muscle Relaxants Decreases Respiratory System Compliance (Crs) in Healthy Children
2004 ASA Meeting Abstracts (A-1419)
Presenting Author: Etsuro K. Motoyama, M.D
Department / Institution: Anesthesiology, Children's Hospital of Pittsburgh
Category: PEDIATRIC ANESTHESIA
Summary: Previous studies have shown that inhalation anesthesia (GA) causes atelectasis after induction and intubation1. Deep vital capacity (VC) maneuvers plus PEEP restores Crs.1,2 It is not known, however, (1) whether similar decreases in Crs occurs with TIVA; (2) how soon after anesthetic induction atelectasis develops; and (3) if there is a difference in the degree of atelectasis (or reductions in Crs) between GA alone vs. GA plus muscle relaxants. The protocol was approved by IRB; informed consent obtained.
Presentation Info: Monday, 10/25/2004, 9:00 AM - 11:00 AM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Incidence and Morbidity of Reintubation after General Anesthesia in the Post Anesthesia Care Unit
2004 ASA Meeting Abstracts (A-1564)
Presenting Author: Li Meng, M.D.
Department / Institution: Anesthesiology, University of Pittsburgh
Category: RESPIRATION
Summary: The need for reintubation in the Post Anesthesia Care Unit (PACU) after general anesthesia is an uncommon event and very little data are available. The aim of this retrospective study was to assess the incidence, cause, and outcome after reintubation in the PACU following general anesthesia.
Presentation Info: Monday, 10/25/2004, 2:00 PM - 4:00 PM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
Intraoperative Cardiac Arrest during Anesthesia: A Thirteen-Year Survey in a Major University Hospital in the United States
2004 ASA Meeting Abstracts (A-1295)
Presenting Author: Jian-Xiong An, M.D.
Department / Institution: Anesthesiology, University of Pittsburgh School of Medicine
Category: PATIENT SAFETY, PRACTICE MANAGEMENT, HISTORY, and EDUCATION
Summary: Much attention has been raised recently on anesthetic-related cardiac arrest, its mortality and survival predictors by studying a large population of patients. The authors reviewed patients who experienced an intraoperative cardiac arrest during noncardiac surgical procedures between January 1989 and December 2001 at University of Pittsburgh Prebyterian Hospital. The main objectives of the study were to determine the incidence of intraoperative cardiac arrest and to identify possible causes and amenable modifications from a large population of patients.
Presentation Info: Tuesday, 10/26/2004, 9:00 AM - 12:00 PM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
The Anesthesiology Residency Application Process and Correlation to Future Performance
2004 ASA Meeting Abstracts (A-1339)
Presenting Author: David G. Metro, M.D.
Department / Institution: Anesthesiology, University of Pittsburgh School of Medicine
Category: PATIENT SAFETY, PRACTICE MANAGEMENT, HISTORY, and EDUCATION
Summary: In view of the time, effort and expense of the residency application and selection process, it is useful for programs and applicants to identify features that correlate with future performance as a resident. The department’s selection process was reviewed to determine whether a correlation existed between the applicant “score” in the selection process and future performance as a resident in the program.
Presentation Info: Tuesday, 10/26/2004, 2:00 PM - 4:00 PM, at the Las Vegas Convention Center, in the poster presentation area in Hall C2.
