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Anesthesiology
NEWS
American Society of Anesthesiologists Annual Meeting

Moderators | Problem-Based Learning Discussions | Panels | Workshops | Oral Presenations | Committees | Abstracts

We congratulate the many individuals from the Department of Anesthesiology that have been asked to participate in the 2008 Annual Meeting of the American Society of Anesthesiologists.

The 2008 American Society of Anesthesiologists (ASA) Annual Meeting was held last month at the Orange County Convention Center in Orlando, FL. The meeting began on Saturday, October 18 and ran through Wednesday, October 22. The Department of Anesthesiology had a significant presence at the meeting, with many of our department members participating in various events.

The ASA was formed in 1905 and currently serves more than 43,000 members. Its mission is to uphold the highest standards of the practice of anesthesiology and to improve patient care through education and research. The Annual Meeting of the ASA offers an opportunity for members to network with colleagues, keep abreast of the latest research and scientific breakthroughs, and to further their medical education by earning continuous education credits.

The ASA Annual Meeting Chair, Patricia Kapur, MD, said of this year’s meeting; “Hundreds of ASA members have committed time to develop this wonderful program, from developing educational content to reviewing submitted scientific abstracts, supported by our dedicated ASA Annual Meeting staff.”  The program included nearly 2000 scientific abstracts in addition to refresher course lectures, panels, clinical forums, point-counter point debates, problem-based learning discussions, and workshops.

Next year’s ASA Annual Meeting will be held October 17-21, 2009 in New Orleans, LA. We will send a reminder next year to alumni and friends that will include registration details and a list of faculty, fellows, and residents that will be representing the Department of Anesthesiology. We hope to see you there!

Participants in the 2008 meeting included:

Moderators:

Lynn M. Broadman, MD                
Clinical Professor of Anesthesia
Moderator - Pediatric Anesthesia Panel
Controversies in Pediatric Regional Anesthesia

Jacques E. Chelly, MD, PhD, MBA
Professor and Vice Chair of Clinical Research
Director of Regional and Acute Interventional Perioperative Pain Division
Co-Moderator - Pain Medicine Scientific Abstracts/Poster Sessions
Regional Anesthesia and Acute Pain: Acute Pain Clinical

Doris K. Cope, MD
Professor and Vice Chair of Pain Medicine
Director, Interprofessional Program on Pain Research, Education, and Health Care
Co-Moderator - Resident Component, Resident Research Forum
Patient Safety and Practice Management
Co-Moderator - Professional Issues Poster Session
History and Education

Joseph J. Quinlan, MD
Chief Anesthesiologist, UPMC Presbyterian and UPMC Montefiore
Professor
Co-Moderator - Fundamentals of Anesthesiology Workshop
ASA Difficult Airway Workshop and Airway Simulation

 

Problem-Based Learning Discussions:

Theresa A. Gelzinis, MD     
Assistant Professor    
Leader - Cardiac Anesthesia Problem-Based Learning Discussion (PBLD)
Repair of a Ruptured Thoracoabdominal Aneurysm in a Patient with Severe Aortic Stenosis Using ECMO

Manuel C. Vallejo, MD
Director, Obstetric Anesthesia
Associate Professor
Leader - Obstetric Anesthesia Problem-Based Learning Discussion (PBLD)
Double Vision, Hemi-Facial Drooping and Drooling in a Parturient Given Two Epidural Blood Patches
Leader - Professional Issues Problem-Based Learning Discussion (PBLD)
Dental Injury in the Operating Room: What Every Anesthesiologist Needs to Know

 

Panel Members:

Barbara W. Brandom, MD
Attending Anesthesiologist, Children’s Hospital of Pittsburgh of UPMC
Director NAMH Registry
Professor
Panel Member – Fundamentals of Anesthesiology
Neuromuscular Blocking Agents: Current Controversies and a Peek into the Future
Perioperative Monitoring of Neuromuscular Function Does Not Represent Current Practice

Jacques E. Chelly, MD, PhD, MBA
Professor and Vice Chair of Clinical Research
Director of Regional and Acute Interventional Perioperative Pain Division
Panel Member - Regional Anesthesia and Acute Pain Panel
Trauma and Critical Care: The Role of Regional Anesthesia --Why, How, and Why Not?
Pre and Post Operative Topics: Hot Topics, What Should Happen in the Emergency Room           

Franklyn P. Cladis, MD
Assistant Professor
Panel Member - Pediatric Anesthesia
Implications of Common Medical Diseases in Pediatric Anesthesia
Asthma

Peter J. Davis, MD
Chief Anesthesiologist, Children’s Hospital of Pittsburgh of UPMC
Professor of Anesthesia and Pediatrics
Panel Member - Pediatric Anesthesia
The Significant Pediatric Anesthesia Articles of 2008: the Editors Opine
Anesthesia and Analgesia

Mark E. Hudson, MD
Vice Chair for Clinical Operations
Associate Professor
Panel Member - Professional Issues Panel
Incentive Plans in Academics -- Lessons Learned
Herding Cats Would Be Easier: Implementing Clinical Compensation Plans for a Mixture of Anesthesiologists

Steven L. Orebaugh, MD
Associate Chief, UPMC South Side
Associate Professor
Panel Member - Professional Issues
Novel Ways to Speed Operating Room Throughput Process Analysis in Outpatient Knee Surgery: Effects of Regional vs General Anesthesia on Patient Throughput

Raymond M. Planinsic, MD
Director of Hepatic and Intestinal Transplantation Anesthesiology
Associate Professor
Panel Member - Fundamentals of Anesthesiology Panel
Controversies in Solid Organ Transplant
Ischemia Reperfusion Injury -- Mechanisms and the Role of Anesthetic Preconditoning

John P. Williams, MD
Safar Professor and Chair
Department of Anesthesiology and Pain Medicine
Panel Member - Professional Issues Panel
Reevaluating the Wheel's Utility in a Future ofHovercrafts
Reshaping Residencies for the Future

 

Workshop Participants:

Shawn T. Beaman, MD
Assistant Professor
Faculty Participant - Fundamentals of Anesthesiology Workshop
Faculty ASA Difficult Airway Workshop and Airway Simulation

Theresa A. Gelzinis, MD     
Assistant Professor
Faculty Participant - Fundamentals of Anesthesiology Workshop
Faculty ASA Difficult Airway Workshop and Airway Simulation

Robert G. Krohner, DO
Associate Professor
Faculty Participant - Fundamentals of Anesthesiology Workshop
Basic Adult Fiberoptic Laryngoscopy
Faculty Participant - Fundamentals of Anesthesiology Workshop
ASA Difficult Airway Workshop and Airway Simulation

William R. McIvor, MD
Director of Medical Student Simulation Education
Assistant Professor
Faculty Participant - Professional Issues Workshop
SEA Practical Simulator Training Skills with a View Toward MOCA

David G. Metro, MD
Residency Program Director
Associate Professor
Faculty Participant - Fundamentals of Anesthesiology Workshop
Faculty ASA Difficult Airway Workshop and Airway Simulation

Rita M. Patel, MD
Vice Chair for Education
Professor
Associate Dean for Graduate Medical Education
Faculty Participant - Professional Issues Workshop
Advanced Teaching Workshop

Ryan C. Romeo, MD
Assistant Professor
Faculty Participant - Fundamentals of Anesthesiology Workshop
Faculty ASA Difficult Airway Workshop and Airway Simulation

William Simmons, MD
Clinical Associate Professor
Faculty Participant - Fundamentals of Anesthesiology Workshop
Advanced Fiberoptic Laryngoscopy
Joseph F. Talarico, MD
Assistant Professor
Faculty Participant - Fundamentals of Anesthesiology Workshop
ASA Difficult Airway Workshop and Airway Simulation

Cynthia M. Wells, MD
Assistant Professor
Faculty Participant - Fundamentals of Anesthesiology Workshop
ASA Difficult Airway Workshop and Airway Simulation

Steven L. Whitehurst, MD
Assistant Professor
Faculty Participant – Professional Issues Workshop
SNACC Practical Simulator Training Skills With a View Toward MOCA

John P. Williams, MD
Safar Professor and Chair
Department of Anesthesiology and Pain Medicine
Faculty Participant – Professional Issues Workshop
SEA Practical Simulator Training Skills With a View Toward MOCA

 

Oral Presentations:

Beverly A. Pearce-Smith, MD
Clinical Assistant Professor
 (Mark E Hudson, MD, Jacques E Chelly, MD, PhD, Sanjay Saha, MHS)
Oral Presentation - Regional Anesthesia and Acute Pain
Regional Anesthesia and Ultrasound
Cost-Benefit Analyses of Adding Ultrasound Guided Nerve Blocks to an Existing Acute Pain Service

Third Party Reimbursement Practices favor performing US Guided Nerve Blocks.  Using an Ambulatory Surgical Model, the added billing modifier associated with the use of US will quickly offset the cost of the necessary capital equipment.

Doris K. Cope, MD
Professor and Vice Chair of Pain Medicine
Director, Interprofessional Program on Pain Research, Education, and Health Care
Introduction of the 2008 Lewis H Wright Memorial Lecture of the Wood Library-Museum of Anesthesiology

 

Committees:

Doris K. Cope, MD
Professor and Vice Chair of Pain Medicine
Director, Interprofessional Program on Pain Research, Education, and Health Care
Subcommittee on History and Education

 

Abstracts:

Fenny Anthikad, MD, John Yim, MD
Regional Anesthesia and Acute Pain Poster Session
Regional Anesthesia and Acute Pain: Regional Anesthesia
Superficial Cervical Plexus Blocks for Minimally Invasive Parathyroidectomy in High Risk Patients

This study reports on the feasibility of bilateral superficial cervical plexus blocks as a technique for providing both anesthesia and post-operative analgesia in high-risk patients undergoing minimally invasive parathyroidectomy.

Alon Y. Ben-Ari, MD, Paul Bigeleissen, MD, Jacques E. Chelly, MD, PhD
Regional Anesthesia and Acute Pain Poster Session
Regional Anesthesia and Acute Pain: Regional Anesthesia
Ultrasound Guided Antero-Medial Sciatic Approach

By external rotation of the thigh the nerve lends itself to imaging under the Ultrasound and placement of a nerve block under direct vision. A combined femoral and sciatic nerve block using the antero-medial approach was successfully essayed.
           
Alon Y. Ben-Ari, MD, Jacques E. Chelly, MD, PhD
Regional Anesthesia and Acute Pain Poster Session
Regional Anesthesia and Acute Pain: Regional Anesthesia
Ultrasound Guided Parasacral Nerve Block

Sacral plexus block is a deep block. Ultrasound guided block to this nerve plexus was not described yet. We assert the feasibility of ultrasound guided approach to this deep plexus block.

Thomas E. Borsari, MD, Ibtesam A. Hilmi, FRCA, Tetsuro Sakai, MD, PhD
Professional Issues Poster Session
Patient Safety: Perioperative Airway Safety
Perioperative Pulmonary Aspiration of Patients Who Have Had Esophagectomy with a Gastric Pull Up

Cricoid pressure is not reliable to prevent pulmonary aspiration for the patients who have had a total esophagectomy with a gastric pull-up. Preoperative identification of the esophago-gastric connection with computed tomography is crucial.

Kaul Bupesh, MD, FRCA, Shagufta Chaudhry, MD, Linda Handley,
Manuel C. Vallejo, MD, Jonathan Waters, MD   
Obstetric Anesthesia Poster Session
CQI Databases as a Tool to Modify Teaching and Training of Obstetric Regional Anesthesia

CQI databases can be a valuable tool in making the teaching and training of residents more effective.

Kaul Bupesh, MD, FRCA, Shagufta Chaudhry, MD, Manuel C. Vallejo, MD, Jonathan Waters, MD, Debra Sines, RN      
Obstetric Anesthesia Poster Session
A Five-year Audit of Complications of Obstetric Regional Anesthesia of UPMC Health System      

The incidence of three common complications in obstetric regional anesthesia is presented over a five-year period. Possible reasons for an increase in complications are discussed.
           
Jacques E. Chelly, MD, PhD, MBA, Joel B. Nelson, MD, Dorota M. Szczodry, MD, Kimberley J. Jones, RN, Bruce Ben-David, MD         
Pain Medicine Poster Session
Regional Anesthesia and Acute Pain: Acute Pain Control
Multimodal Analgesia Including Paravertebral Blocks vs. PCA Morphine for Radical Prostatectomy

The study assessed the short and long term benefit of paravertebral blocks for pain management. We demonstrated a reduction in pain and improved functional recovery for radical prostatectmy.

Jacques E. Chelly, MD, PhD, MBA, Mark Hudson, MD, Sanjay Saha, John W. Williams, MD        
Pain Medicine
Regional Anesthesia and Acute Pain: Acute Pain Clinical
Financial Analysis of a Regional Anesthesia/Acute Pain Division

A cost analysis of seven acute pain services was conducted to determine the finances of operating such programs. The analysis demonstrated that financial balance depends on multiple factors and is difficult to reach.
           
Jose del Rio, MD, Eric E. Kelly, PhD, Nicholas J. Hundley, MS, Margaret M. Tarpey, MD  
Cardiac Anesthesia Poster Session
Experimental Circulation: Vascular Biology
Hypoxic Induction of Xanthine Oxidoreductase Is Mediated by Both PI-3 and Map Kinase Pathways

Hypoxemia causes increased in XOR activity with enhanced production of ROS. The cell signaling mechanisms are not defined. Our experiment suggests that PI-3K and MAPK participate. Further exploration may offer therapeutic targets that limit ROS formation.
           
Sarah Faeder, Medical student        
FAER Medical Student Anesthesia Research Fellowship Symposium
Poster/Abstract Session

Marilyn G. Larach, MD, Gregory C. Allen, MD, FRCP, Barbara W. Brandom, MD, Gerald A. Gronert, MD, Erik B. Lehman, MS           
Professional Issues Poster Session
Patient Safety, Practice Management: Quality Assessment Procedures and Outcomes
Serious Complications Associated with Malignant Hyperthermia Events: A NAMH Registry of MHAUS Study

Registry exam reveals a 37% serious MH complication rate. Complications were associated with increased MH clinical grading score, max temperature, and time interval between first anesthetic sign and dantrolene dose.

Marilyn G. Larach, MD, Gregory C. Allen, MD, FRCP, Barbara W. Brandom, MD, Erik B. Lehman, MS           
Professional Issues Poster Session
Patient Safety, Practice Management: Quality Assessment Procedures and Outcomes
Temperature Changes Are Not Late Signs of Malignant Hyperthermia: A NAMH Registry of MHAUS Study.

North American MH Registry exam of 255 cases shows temperature changes are not late MH signs, and may occur <30 minutes after induction. In 12 MH cases, liquid crystal skin probes did not accurately trend with core temperature probes.
           
Lawrence B. Marr, MD, FRCPC, Robert Boretsky, MD, Roxana Barad, MD
Professional Issues Poster Session
Patient Safety: Patient Satisfaction, Patient Education, and Postoperative Outcome
Incidence and Management of Perioperative Corneal Abrasions in a Tertiary Care Hospital

This study demonstrates that the perioperative frequency of corneal abrasion is 0.14%, and that anesthesiologists can diagnose and manage this perioperative complication without the need for ophthalmologist.
           
Li Meng, MD, MPH, Joseph J. Quinlan, MD       
Professional Issues Poster Session
Practice Management: Perioperative Practice Management - Processes, Resources, and Predictors
Evaluation of the Causes of Delays in Discharge from PACU

We studied the reasons of prolonged PACU stay and examined the association between the different factors and PACU stay.

Li Meng, MD, MPH, Amin Kassam, MD, Daniel Prevedello, MD
Neuroanesthesia Poster Session
Clinical Neurosciences: Outcome and Complications III
Anesthesia for EEA - Evaluation of the Safety and Efficacy of the Different Techniques

Propofol, remifentanil, and volatiles were appropriate anesthetic, and remifentanil provided a smoother and earlier emergence for EEA procedures.

Ramona E. Nicolau-Raducu, MD, Kathirvel Subramaniam, MD, Jose Marquez, MD, Hilmi A. Ibtesam, MD, Erin A. Sullivan, MD           
Cardiac Anesthesia Poster Session
Clinical Circulation: Blood/Coagulation
Safety of High Dose Tranexamic Acid Compared with Aprotinin in Thoracic Aortic Surgery

In this retrospective study we compare the safety and efficacy of aprotinin and tetraexamic acid for thoracic aortic surgery. Both are equally effective and safe.

Jennifer Spangauer, Medical Student         
FAER Medical Student Anesthesia Research Fellowship Symposium
Poster/Abstract Session

Li-Ming Zhang, MD, Hui-hua Li, MD, Philip Michael Bauer, PhD, Karla Wasserloos, BS, Bruce Pitt, PhD
Cardiac Anesthesia Poster Session
Experimental Circulation: Vascular Biology
Caveolin-1 Independent Uptake of Albumin in Cultured Pulmonary Endothelial Cells

The result may be a manifestation of caveolin-1 independent albumin transport originally noted in regions of intact caveolin-1null mouse.

Li-Ming-Zhang, MD, Hui-hua Li, MD, Bruce Pitt, PhD  
Cardiac Anesthesia Poster Session
Experimental Circulation: Vascular and Cardiac Pharmacology
S-Nitrosoalbumin Is Cryoprotective for Cultured Rat Pulmonary Endothelial and Smooth Muscle Cells

Collectively, there appears to be a unique interaction between SNO-Alb transport and its cryoprotection in the cellular level and this may have implications in the pathophysiology of hypoxia or ischemia induced vascular injury in pulmonary vasculature.

 

We congratulate and thank all of the 2008 participants, and hope to see more of our faculty, residents, and fellows at the 2009 meeting in New Orleans!

Visit http://www2.asahq.org/web/index.asp for more information.

 

Fifth Annual preASA Meeting of the OAPRS brochure (pdf)

Marquez | 18-Jul-2008 | kmg
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