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Editor
Courtney A. Hardy, MD
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Co-Editors
Mark Twite, MD, BCh
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Stuart R. Hall, MD
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INSIDE

President's Message

Letter from the Editor


Annual Meeting Summary

STS-CCAS Database Update

CCAS Website Update

AN INTERESTING CASE

Can’t ventilate?  Is it severe bronchospasm or something else?

Bidirectional cavopulmonary anastamosis in a child with hypoplastic left heart syndrome and cystic fibrosis

LITERATURE REVIEWS

A Growing Problem: Maternal Death and Peripartum Complications Are Higher in Women with Grown-Up Congenital Heart Disease

Outcomes in adult congenital heart surgery: Analysis of the Society of Thoracic Surgeons Database

 

 

 

Candidates for election

Officers

President:  Helen Holtby, MBBS, FRCP(C)

Dr. HoltbyFull Name
Helen M. Holtby, MBBS, FRCP(C)

Name and City/State of the Institution for which you currently work
Hospital for Sick Children
Toronto, Ontario
Canada

Hospital/University Titles
Staff Anesthesiologist, Director of Cardiac Anesthesia

Assistant Professor, University of Toronto

Name and City/State of College attended; degree and year obtained
N/A

Name and City/State of Medical School attended, degree and year obtained
St Bartholomew's Hospital Medical School, University of London UK
MB, BS 1979

Name and City/State of Hospital where Internship was completed; type and dates of Internship
Whipps Cross Hospital, London UK Surgery 1980

Name and City/State of Hospital where Anesthesiology Residency was completed; dates of training
University of Toronto 1980-1984

Name and City/State of Hospital where Fellowship training was completed (if applicable); type and dates of Fellowship
Hospital for Sick Children Toronto 1985 Anesthesia

Name and City/State of Hospital/University where additional training was completed (if applicable); type and dates of training
N/A

Prior involvement with CCAS (if applicable); describe briefly
Board Member, Charter institution, Secretary, Treasurer and now Vice President

What I have done for the CCAS (i.e. meeting attended, newsletter articles submitted, volunteered time to…., etc.)
Attended Board Meetings both in person and teleconference, attended STS database meeting, SPA meeting content development, speaker

Involvement with other national/international (pediatric/cardiac) anesthesia organizations (if applicable); describe briefly
Presenter and moderator at SPA, SCVA, World Congress in Pediatric Cardiology PCICS, APA

 

Vice President/President Elect:  Emad Mossad, MD

Dr. MossadFull name
Emad B Mossad, MD

Name and City/State of the Institution for which you currently work
Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas

Hospital/University Titles
Director of Pediatric Cardiac Anesthesia, Texas Children’s Hospital, Professor of Anesthesia and Pediatrics Baylor College of Medicine

Name and City/State of College attended; degree and year obtained
Cairo University, Cairo, Egypt, Bachelor of Chemistry 1978

Name and City/State of Medical School attended; degree and year obtained
Cairo University School of Medicine, Cairo Egypt, MBBCH 1984

Name and City/State of Hospital where Internship was completed; type and dates of Internship
Cleveland Clinic, Cleveland, Ohio, Rotating Internship 12/1987-12/1988

Name and City/State of Hospital where Anesthesia Residency was completed; dates of training
Cleveland Clinic, Cleveland, Ohio 1/1988-6/1991

Name and City/State of Hospital where Fellowship training completed (if applicable); type and dates of Fellowship
Pediatric Anesthesia Fellowship, Children’s National Medical Center, George Washington University, Washington D.C., 7/1991-6/1992

Name and City/State of Hospital/University where any additional training was completed (if applicable); type and dates of training
Adult Echocardiography Fellowship, Cleveland Clinic, Cleveland, Ohio 7/1994-6/1995

Prior involvement with CCAS (if applicable); describe briefly
Founding Board member 2005-2007. Served as Treasurer (2007-08) and Secretary (2009-2010). Served as Program Chair for the annual meeting in 2009 and 2010.

What I have done for the CCAS (i.e. meetings attended, newsletter articles written, volunteered for…, etc.)
Attended annual winter meetings 2006-2012. Contributed to newsletters in spring 2009 and fall 2009.

Involvement with other National/International (pediatric/cardiac) anesthesia organizations (if applicable); describe briefly
Served on the Education committee of the SCA in 2002. Served as moderator and speaker for the SCA on the Congenital Heart Disease Workshop in 2005, 2008, 2010. Served at the ASA on the Clinical Forum committee in 1999-2001.

 

Secretary/Treasurer:  Nina Guzzetta, MD

Dr. GuzzettaFull Name:
Nina A. Guzzetta, MD, FAAP

Name and City/State of Hospital/Institution for which you work.
Emory University School of Medicine, Children’s Healthcare of Atlanta, Atlanta, Georgia

Hospital/Institution Titles.
Associate Professor of Anesthesiology

Name and City/State of College attended; degree and year obtained.
Vanderbilt University, Nashville, Tennessee – B.S. 1985

Name and City/State of Medical School attended, degree and year obtained.
Emory University School of Medicine, Atlanta, Georgia – M.D. 1989

Name and City/State of Hospital where Internship was completed; type and dates attended; degree and year obtained.
Emory University School of Medicine, Atlanta, Georgia – Internal Medicine/Pediatrics 1989-1990

Name and City/State of Hospital where Anesthesiology Residency was completed; dates of training.
Harvard Medical School/Brigham and Women’s Hospital, Boston, Massachusetts – 1990-1993

Name and City/State of Hospital where Fellowship training was completed (if applicable); type and dates of Fellowship.
Emory University School of Medicine, Atlanta, Georgia – Cardiac Anesthesia Fellowship 1993-1994

Name and City/State of Hospital/University where additional training was completed (if applicable); type and dates of training.
Emory University School of Medicine, Children’s Healthcare of Atlanta, Atlanta, Georgia – Pediatric Cardiac Anesthesia Fellowship 1994

Prior involvement with CCAS or SPA (Board, Committee, etc) (if applicable) – please provide a brief description of these activities.
Board of Directors CCAS – term beginning 10/2010
CCAS Annual Meeting Program Co-Director - 2013, 2014
CCAS Annual Meeting Program Director - 2015
CCAS rFVIIa Task Force: Recommendations for the use of rFVIIa in pediatric cardiac surgery

Involvement with other national/international (pediatric) anesthesia organizations (if applicable) – please provide a brief description of organization.
ASA Abstract Review Subcommittee on Pediatric Anesthesia 10/2010 – 10/2012
ASA Educational Track Subcommittee on Pediatric Anesthesia 10/2011 – 10/2012

 

Directors-At-Large – 4 open positions

Courtney Hardy, MD (Chicago)

Dr. HardyFull Name
Courtney A. Hardy, MD, FAAP

Name and City/State of Hospital/Institution for which you work.
Ann and Robert Lurie Children’s Hospital of Chicago (Formerly Children’s Memorial Hospital) Chicago, Illinois. Northwestern University Feinberg School of Medicine

Hospital/Institution Titles.
Assistant Professor of Pediatric Anesthesiology. Pediatric Anesthesia Fellowship Program Director. Director of Congenital Cardiac Anesthesia Education.

Name and City/State of College attended; degree and year obtained
Rockhurst College, Kansas City, MO.  BS Biology 1995

Name and City/State of Medical School attended, degree and year obtained.
Loyola University Chicago Stritch School of Medicine. MD 2000

Name and City/State of Hospital where Internship was completed; type and dates attended; degree and year obtained.
Indiana University, Indianapolis Indiana 2000-2001

Name and City/State of Hospital where Anesthesiology Residency was completed; dates of training.
Loyola University  Chicago, IL 2001-2004

Name and City/State of Hospital where Fellowship training was completed (if applicable); type and dates of Fellowship.
Childrens Memorial Hospital Chicago IL 2004-2005 (Pediatric Anesthesia)

Name and City/State of Hospital/University where additional training was completed (if applicable); type and dates of training.
NA

 Prior involvement with CCAS or SPA (Board, Committee, etc) (if applicable) – please provide a brief description of these activities.

  • SPA Education Committee
  • SPA PBLD Reviewer
  • SPA Presenter at multiple meetings
  • CCAS Newsletter Editor 2010-Current
  • CCAS Presenter at multiple meetings
  • CCAS Database Committee
  • CCAS Co-Website Developer

Involvement with other national/international (pediatric) anesthesia organizations (if applicable) – please provide a brief description of organization.
ABA MOCA Simulation Course Instructor
ABA Pediatric Subspecialty Exam Question Developer
AAP Section on Anesthesiology and Pain Medicine Executive Board Member- Term Begins 2013
Illinois Society of Anesthesiologist Delegate
Member of Pediatric Anesthesia Fellowship Program Directors Committee

 

Kirsten C. Odegard, MD (TCH, Boston)

Dr. OdegardFull Name
Kirsten Cecilie Odegard, MD

Name and City/State of Hospital/Institution for which you work.
Children’s Hospital Boston, Boston MA

Hospital/Institution Titles.
Senior associate in Cardiac Anesthesia, Children’s Hospital Boston
Clinical Director Division of Cardiac Anesthesia, Children’s Hospital Boston
Program Director, Pediatric Cardiac Anesthesia Fellowship, Children’s Hospital Boston
Associate Professor of Anaesthesia, Harvard Medical School

Name and City/State of College attended; degree and year obtained.
6 Years Medical School program, see below

Name and City/State of Medical School attended, degree and year obtained.
Justus - Liebig University, Giessen, Germany 1982-1988

Name and City/State of Hospital where Internship was completed; type and dates attended; degree and year obtained.
Lenox Hill Hospital, New York, NY, Internship in Internal Medicine 1990-1991

Name and City/State of Hospital where Anesthesiology Residency was completed; dates of training.
NYU Medical Center, New York, NY, Anesthesia residency 1993-1996,
Chief Resident 1996

Name and City/State of Hospital where Fellowship training was completed (if applicable); type and dates of Fellowship.
NYU Medical Center, New York, NY, Cardiac Anesthesia fellowship 1996-1997 (3 months at Children’s Hospital Boston)

Name and City/State of Hospital/University where additional training was completed (if applicable); type and dates of training.
Lenox Hill Hospital, New York, NY, Internal Medicine Residency (Board certified) 1991-1993

Prior involvement with CCAS or SPA (Board, Committee, etc) (if applicable) – please provide a brief description of these activities.
Member of the CCAS since 2007, Attended winter meetings, Invited speaker for the winter CCAS meeting 2011. Task force involvement to develop curriculum and training guidelines for pediatric cardiac anesthesia fellowship training in preparation for subspecialty accreditation by ACGME.

Involvement with other national/international (pediatric) anesthesia organizations (if applicable) – please provide a brief description of organization.

Member of the SPA and SCA
Invited speaker to the pediatric session at the SCA meeting 2001 and 2004
Invited speaker to the pediatric session at the ASA meeting 2008
Invited speaker to the Pediatric Cardiac Intensive Care Society (PCICS) meeting 2008 and 2011
Invited speaker and moderator to the pediatric cardiac  session at the Annual Conference of the European Association of Cardiothoracic Anaesthesiologists, 2011

 

Robert F. Seal, MD, FRCPC (Edmonton, Canada)

Dr. SealFull Name 
Robert Franklin Seal, MD

Name and City/State of Hospital/Institution for which you work.  
Stollery Children’s Hospital and Mazankowski Alberta Heart Institute at the University of Alberta, Edmonton, Alberta, Canada

Hospital/Institution Titles. 
Clinical Professor, Department of Anesthesiology and Pain Medicine, University of Alberta;  Director, Pediatric Cardiac Anesthesia, Mazankoswki Alberta Heart Institute and Stollery Children’s Hospital

Name and City/State of College attended; degree and year obtained. 
University of Alberta, Edmonton, Alberta, Canada, 1977-1979

Name and City/State of Medical School attended, degree and year obtained.
University of Alberta, Edmonton, Alberta, Canada, BSc(Med) 1981, MD (with distinction) 1983

Name and City/State of Hospital where Internship was completed; type and dates attended; degree and year obtained.
Royal Columbian Hospital, New Westminster, British Columbia, Canada, 1983-1984

Name and City/State of Hospital where Anesthesiology Residency was completed; dates of training. 
University of British Columbia, Vancouver, British Columbia, 1985-1989

Name and City/State of Hospital where Fellowship training was completed (if applicable); type and dates of Fellowship.

Name and City/State of Hospital/University where additional training was completed (if applicable); type and dates of training. 
Royal Brompton Hospital, London, United Kingdom, Adult and Pediatric Cardiac Anesthesia, Senior Registrar, 1988

Prior involvement with CCAS or SPA (Board, Committee, etc) (if applicable) – please provide a brief description of these activities.

Involvement with other national/international (pediatric) anesthesia organizations (if applicable) – please provide a brief description of organization.
Charter Member and President (2002-2004) of the Canadian Pediatric Anesthesia Society (CPAS).  This followed nine years of involvement as a member of the executive of the Section of Pediatric Anesthesia of the Canadian Anesthesiogists’ Society from which CPAS took its origins. Actively involved as the Communications Officer of the Canadian Pediatric Anesthesia Society (principally management of the website and the list-servers).  Also many years of involvement on the Board of Directors and Committees of the Canadian Anesthesiologists’ Society including serving as President of the Canadian Anesthesiologists’ Society from 2000-2002.

 

Susan R. Staudt, MD (Milwaukee)

Dr. StaudtFull Name
Susan R Staudt, MD MSEd

Name and City/State of Hospital/Institution for which you work
Medical College of Wisconsin/Childrens Hospital of Wisconsin,  Milwaukee

Hospital/Institution Titles
Assistant Professor of Anesthesiology, Pediatric Fellowship Program Director

Name and City/State of College attended; degree and year obtained
Undergraduate: University of Illinois at Champaign Urbana, BS in Biology and Education, 1982

Name and City/State of Medical School attended, degree and year obtained
University of Pennsylvania School of Medicine, Philadelphia PA
MD and Master’s Degree in Adult Education, 1988

Name and City/State of Hospital where Internship was completed; type and dates attended; degree and year obtained
Internship/Pediatric  Residency: Childrens Hospital of Philadelphia, Philadelphia PA 1988-1991

Name and City/State of Hospital where Anesthesiology Residency was completed; dates of training
Anesthesiology Residency: Thomas Jefferson University Hospital, Philadelphia, PA 1991-1993

Name and City/State of Hospital where Fellowship training was completed (if applicable); type and dates of Fellowship
Fellowships in Pediatric Anesthesiology and CCM: Childrens Hospital of Philadelphia, Philadelphia PA 1993-1994

Name and City/State of Hospital/University where additional training was completed (if applicable); type and dates of training
NA

Prior involvement with CCAS or SPA (Board, Committee, etc) (if applicable) – please provide a brief description of these activities
CCAS Member since inception.
Member, CCAS Task Force –Recombinant Factor VIIa; 
SPA Member since 1995; service on research and education committees
Pro-Con Debate Participant, CCAS Annual Meeting 2012

I have  interests in development of the fellowship training curriculum in pediatric cardiac anesthesiology, and in education about congenital cardiac anesthesia care for practicing anesthesiologists. I would like to develop CCAS peer reviewed curricular offerings on congenital cardiac topics that can be disseminated via the SPA/CCAS website.

I am also a member of the AASPD section for pediatric fellowship directors, Pediatric Anesthesia Program Directors Group. I am active with the Pediatric Anesthesia Leadership Conference, have worked on a committee to develop a  vetted 2nd fellowship year curriculum for pediatric pain management. I spent 8 years in private pediatric practice before returning to academics, and would love to help grow CCAS membership from this practitioner group.

Involvement with other national/international (pediatric) anesthesia organizations (if applicable) – please provide a brief description of organization

 

Mark D. Twite, MD, BCh (Denver)

Dr. TwiteFull Name
Mark Twite, MD, BCh

Name and City/State of Hospital/Institution for which you work.
Children’s Hospital Colorado

Hospital/Institution Titles.
Director, Pediatric Cardiac Anesthesia, Children’s Hospital Colorado
Associate Professor, Department of Anesthesiology, University of Colorado

Name and City/State of College attended; degree and year obtained.
Corpus Christi College, University of Cambridge, England
BA (Hons) Medical Sciences 1991

Name and City/State of Medical School attended, degree and year obtained.
Addenbrooke’s Medical School, University of Cambridge, England
MA MB BChir 1994

Name and City/State of Hospital where Internship was completed; type and dates attended; degree and year obtained.
Pediatric Residency
Royal Hospital for Sick Children, Edinburgh, Scotland
MRCPCH (Member of the Royal College of Paediatrics and Child Health, UK)
1994 – 1999

Pediatric Critical Care Fellowship
Children’s Hospital Colorado
2000 – 2003

Name and City/State of Hospital where Anesthesiology Residency was completed; dates of training.
University of Colorado 2003-2006

Name and City/State of Hospital where Fellowship training was completed (if applicable); type and dates of Fellowship.
Pediatric Anesthesia & Pediatric Cardiac Anesthesia
Birmingham Children’s Hospital, England
FRCP (Fellow of the Royal College of Physicians, UK)
2006 - 2007

Name and City/State of Hospital/University where additional training was completed (if applicable); type and dates of training.
International Medical Corps
Director of Pediatric Medical Services
Kosovo/Macedonia
1999 - 2000

Prior involvement with CCAS or SPA (Board, Committee, etc) (if applicable) – please provide a brief description of these activities.
As a practicing pediatric cardiac anesthesiologist I was very excited when the CCAS was founded in 2005. I have attended the annual CCAS meetings since 2007 and informally attended the board of director’s open meeting every year. In 2007 Courtney Hardy and I started the CCAS Newsletter, and we remain co-editors for this bi-annual publication. In addition to helping edit the newsletter, I have made written contributions to it as well. I helped develop the new CCAS website which was launched this year. I am Education Section Editor for the CCAS website and I have contributed many lectures on various aspects of pediatric cardiac anesthesia which are available for all CCAS members. At the CCAS meetings I have had an oral poster presentation (2010) and I was an invited speaker at this years meeting in Tampa, Florida. I have been a member of the CCAS/STS Database development group since 2009.

Involvement with other national/international (pediatric) anesthesia organizations (if applicable) – please provide a brief description of organization.
Society for Pediatric Anesthesia
Young Investigator Award 2007
Poster presentations 2008-2012
PBLD 2008, 2012
Editorial Board: Seminars in Cardiothoracic and Vascular Anesthesia
Section editor for Congenital Cardiac Anesthesia
Planning Committee for Colorado Cardiac Conference 2007 - present
Pediatric Cardiac Anesthesiologist for ‘Surgeons for Hope’ cardiac surgery missions to Mozambique (2008), Senegal (2009) Nicaragua (2010 and 2012)

 

Scott G. Walker, MD (Indiana)

Dr. WalkerFull Name
Scott G. Walker, M.D.

Name and City/State of Hospital/Institution for which you work.
Riley Hospital for Children
Indianapolis, IN

Hospital/Institution Titles.
Director, Division of Pediatric Anesthesiology
Director, Pediatric Cardiovascular Anesthesia
Program Director, Pediatric Anesthesia Fellowship

Name and City/State of College attended; degree and year obtained.
Indiana University
Bloomington, IN
BA, Chemistry 1988

Name and City/State of Medical School attended, degree and year obtained.
Indiana University School of Medicine
Indianapolis, IN
MD 1992

Name and City/State of Hospital where Internship was completed; type and dates attended; degree and year obtained.
Ball Memorial Hospital
Muncie, IN
Transitional Year, 1992-1993

Name and City/State of Hospital where Anesthesiology Residency was completed; dates of training.
Indiana University
Indianapolis, IN 1993-1996

Name and City/State of Hospital where Fellowship training was completed (if applicable); type and dates of Fellowship.
Riley Hospital for Children
Pediatric Anesthesiology
Indianapolis, IN 1996-1997

Name and City/State of Hospital/University where additional training was completed (if applicable); type and dates of training.
Children’s Hospital Boston
Pediatric Cardiac Anesthesia Clerkship
June 1997

Prior involvement with CCAS or SPA (Board, Committee, etc) (if applicable) – please provide a brief description of these activities.
Invited Speaker, CCAS Annual Meeting, April 2008 (“Fontan Pathophysiology”)
Invited Speaker, CCAS Annual Meeting, April 2011 (“Chronic Hypoxemia: Anesthetic Implications”)

Involvement with other national/international (pediatric) anesthesia organizations (if applicable) – please provide a brief description of organization.
President, Pediatric Anesthesia Program Directors Association (PAPDA) 2011 – present
At-large board member, PAPDA 2009 – 2011
Member, Pediatric Anesthesia Leadership Council 2011 – present

 

Jumbo Williams, MBChB, FRCA (Stanford)

Dr. WilliamsFull Name
Glyn D. (Jumbo) Williams

Name and City/State of Hospital/Institution for which you work.
Lucile Packard Children’s Hospital, Stanford University, Stanford, CA

Hospital/Institution Titles
Professor, Department of Anesthesia, Stanford University Medical Center, Stanford Uniiversity.

Name and City/State of College attended; degree and year obtained.
Not applicable

Name and City/State of Medical School attended, degree and year obtained.
Godfrey Huggins School of Medicine, Zimbabwe University, MBChB 1976.

Name and City/State of Hospital where Internship was completed; type and dates attended; degree and year obtained.
Mpilo Hospital, Bulawayo, Zimbabwe, 1977 (House Surgeon, House Physician).
Mpilo Hospital, Bulawayo, Zimbabwe, 1978 (Senior House Officer: Obstetrics & Gynecology, Anesthesia).

Name and City/State of Hospital where Anesthesiology Residency was completed; dates of training.
FFA (SA): King Edward VI Hospital, University of Natal, Durban, South Africa, 1981-4.

Name and City/State of Hospital where Fellowship training was completed (if applicable); type and dates of Fellowship.
Cardiac Anesthesia: King Edward VI Hospital, University of Natal, Durban, South Africa, 1985.
Pediatric Anesthesia: Children’s Hospital, University of Washington, Seattle WA, 1988-90.

Name and City/State of Hospital/University where additional training was completed (if applicable); type and dates of training.
Not applicable.

Prior involvement with CCAS or SPA (Board, Committee, etc) (if applicable) – please provide a brief description of these activities.
CCAS: Member of CCAS/STS Database Committee and Committee representative to STS Database Research Committee (2009 – present). Privileged to coauthor article reporting first data analysis from CCAS/STS Anesthesia module.
CCAS: Member of CCAS recombinant FVIIa Taskforce. Privileged to coauthor article reporting the findings of the rFVIIa Taskforce (2010-2012).
CCAS: Program Co-chair 2012 (Tampa, FL).
CCAS: Program Chair 2013 (Las Vegas, NV).
CCAS: Invited speaker or moderator – 2007, 2008, 2009, 2011, 2112. Have attended all CCAS annual meetings. Attend Board meetings.
SPA: Workshop presenter – 2007, 2008, 2010. Invited speaker – 2012.

Involvement with other national/international (pediatric) anesthesia organizations (if applicable) – please provide a brief description of organization.
ASA: Taskforce on central venous catheters, pediatric anesthesia consultant – 2010.
SCA: Invited speaker – 2000, 2011.

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