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Pediatric Anesthesiology 2010 is co-sponsored by the Society for Pediatric Anesthesia and the
American Academy of Pediatrics Section on Anesthesiology and Pain Medicine.


FACULTY & DISCLOSURES


IMPORTANT!

SPA MEMBERS: It is NOT necessary for you to complete printed Verification of Participation forms. Simply complete your online Meeting Evaluation. Your Verification of of Participation Form will be filled in automatically, and you can print your own CME certificates.

You MUST complete a meeting evaluation to receive a CME certificate.

Abstracts & Posters

  • Oral Presentations
  • Case Reports
  • Walk Around Poster Discussions

Oral Presentations

Saturday, April 17, 2010 – 10:00 am – 10:45 am

RRA1             
EXHALED CARBON MONOXIDE IS REBREATHED DURING LOW-FLOW ANESTHESIA IN INFANTS AND CHILDREN
VG Nasr1, N Deutsch1, M Slack2, J Kanter2, K Ratnayaka2, RJ Levy1
1Anesthesiology, Children's National Medical Center, Washington, DC,  
2Cardiology, Children's National Medical Center, Washington, DC.

RRA2             
Does ultrasound improve the efficacy of dorsal penile nerve block in children?
D. Faraoni, A. Gilbeau, E. Engelman, L. Barvais, D. Hennart.
From the department of anesthesia. CUB – Erasme Hospital. Brussels. Belgium.

RRA3             
AXILLARY BLOCK FACILITATES PICC LINE PLACEMENT IN HIGH RISK INFANTS
*Katherine Keech MD, *Adrian Bosenberg FFA (SA), #Dennis Shaw MD
*Departments Anesthesia Pain Management and #Radiology, Seattle Children’s  Hospital 

YIA1              
Genotypes of ABCB1 Transporter Can Predict Morphine-induced Respiratory Depression in Children undergoing Tonsillectomy
Chidambaran V, Goodman H, Plapp R, Zhang X, Sadhasivam S
Department of Anesthesiology, Cincinnati Children’s Hospital Medical Center

YIA2              
Cerebral Blood Flow and Cerebrovascular Autoregulation After Pediatric Cardiac Arrest and Hypothermia
JK Lee1, KK Kibler1, JO Mytar1, E Carter1, RB Easley1, CW Hogue1, M Czosnyka2, P Smielewski2, D Jacobs3, K Hirsch4, DH Shaffner1, RC Koehler1, KM Brady1
1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, 2Department of Academic Neurosurgery, Addenbrooke's Hospital, Cambridge, U.K., 3University of Maryland, Baltimore, MD, 4Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD

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Friday Case Reports | Saturday Case Reports

Case Reports - Friday, April 16, 2010

Mounted – No later than 7:30am, Friday, April 16, 2010
Removed – No later than 6:30pm, Friday, April 16, 2010

CR1                
Airway Compromise in Interventional Radiology Suite after Thrombin Injection for Vertebral Artery Pseudoaneurysm
Jay B. Tuchman MD, Antonio Cassara MD, James G. Cain MD
University of Pittsburgh School of Medicine. Pittsburgh, Pennsylvania

CR2                
Nine-Year-Old with Craniofacial Dystosis: Previously East to Ventilate, Why Can’t I Ventilate Him Now?
Vijay Pallekonda, MD, Angelina Bhandari, MD, and Jennifer Lam, MD
Department of Anesthesiology, Rush Medical College, Chicago, IL

CR3                
Preemptive Placement of a Tracheostomy in a Child with Cherubic Syndrome
LM Loveland Baptist M.D., W Binstock M.D.
Comer Children’s Hospital, The University of Chicago Hospitals, Department of Anesthesia and Critical Care, Chicago, IL

CR4                
Management of Newborn with Significant Rhabdomyoma with Superimposed SVT after an EXIT procedure
Kelly Ryan, MD; A. Bhandari, MD: A. Stayapriya,MD
Rush University, Chicago, IL

CR5                
Anesthetic Management of Conjoined Twins with a Single Heart for Cardiac Catheterization
Andrew D. Pitkin, MBBS MRCP FRCA; Nicole C. Dobija, MD DDS.
Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA

CR6                
REGIONAL NERVE BLOCK AS THE PRIMARY ANESTHETIC FOR A 7 YEAR OLD PATIENT WITH CYANOTIC CONGENITAL HEART DISEASE
Quigley TW, Annabi E
University of Arizona Department of Anesthesia, Tucson, AZ

CR7                
Combined Resection of hepatoblastoma with intracaval right atrial extension with cardiopulmonary bypass
J Freely, C Hardy, T Uejima
Children’s Memorial Hospital Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago IL

CR8                
Near Cardiac Arrest in a Neonate with Massive Sacrococcygeal Teratoma
E Chamberlin, M Lewis, K Fuentes, K Sullivan
Nemours Children’s Clinic, Jacksonville, Fl

CR9                
Negative Pressure Alveolar Hemorrhage following Upper Airway Obstruction
Niyakorn G, Rubin KP
Rainbow Babies & Children’s Hospital, Case Western Reserve University, Cleveland

CR10              
Use of Anesthetic Effect Monitoring During Pediatric Liver Transplant of Patient with Cystic Fibrosis to Facilitate Immediate Extubation
J. Reich, A. Kalra, W. Yee, R. Schumann, MI Ahmed
Tufts Medical Center

CR11              
Electrophysiologic monitoring unaffected during General Anesthesia with Dexmedetomidine for Bilateral Deep Brain Stimulator Implantation in a child with Pantothenate Kinase-Associated Neurodegeneration
H Karlberg Hippard, D. Curry, M Gorena, M Watcha
Baylor College of Medicine, Texas Children’s Hospital, Houston, TX

CR12              
10 year old boy for dental surgery with fulminate Adrenoleukodystrophy: Considerations for Anesthesia management
Jason Stiendler, MD, Zulfiqar Ahmed, MD, Yassir Haidar-Ahmad, MD, Nasser Durgham, MD
Children’s Hospital of Michigan, Wayne State University, Detroit, MI

CR13              
Anesthesia for Diagnostic Thoracoscopy in a Patient with Poland Syndrome
W Miller, MD, 1P Olomu, MD, 1Steve Megison, MD, 1Jeffrey Steiner, DO, 1,2Peter Szmuk, MD1,2
UT Southwestern and Children’s Medical Center, Dallas, TX1 and Outcomes Research Consortium2

CR14              
An Interesting Case of Anesthetic Management for a Moyamoya and Sickle Cell Patient Undergoing an Encephaloduroarteriosynangiosis Procedure
Monique E. Cadogan MD, Norman J. Halliday MD
University of Miami Miller School of Medicine, Miami, FL

CR15              
Intraoral lesions in a Patient with Juvenile Hyaline Fibromatosis: A Case Report 
Ferschl MB, Waisel D
Children’s Hospital Boston, Boston, MA

CR16              
The use of a Glide Scope with a Fiberoptic Scope to facilitate a Nasal Intubation in a 3 Month Old Infant with a Pierre Robin Sequence
Ryan Smith, MD1; Jeffrey Steiner, DO1,2, and Peter Szmuk, MD1,2
1UT Southwestern Medical Center Dallas, Department of Anesthesiology and Pain Management, 2Member Outcome Research Consortium

CR17              
A Unique Method to Remove Foreign Body from the Trachea of an 850 GM Premature Newborn Without Intubation
Susan Verghese, MD; Raafat Hannallah, MD; David Powell, MD;
Maria Pena, MD
Children's National Medical Center; George Washington University Medical Center, Washington, D.C.

CR18              
THE KISS THAT ALMOST TOOK HIS BREATH AWAY! – Airway
Compromise due to Compressing Hematoma of the Neck from Hickeys in a Hemophiliac

Granger S, M.D, Verghese ST, M.D, Roberts R, M.D, Eric Jaryszak MD, Shah R M.D, Hsu L, M.D.
The George Washington University Medical Center, Washington D.C

CR19              
Anesthetic Management of a patient with Erythrodermolysis Bullosum for Dental Extraction and Restoration with No Touch Care. Some Issues with Airway Sharing
Yassir Haider Ahmad, MD, Jason Stiendler, MD,  Monica Talpesh, MD,  Zulfiqar Ahmed, MD
Children’s Hospital of Michigan, Wayne State University, Detroit, MI

CR20              
Case Report - Acquired Tracheoesophageal Fistula After Alkaline Disk Batter Ingestion
I Chui, M Hache
Columbia University, College of Physicians and Surgeons

CR21              
Incidental Finding of Complete Tracheal Rings upon Intubation for Surgical Repair of Complete Atrioventricular Canal Defect
Andrew Pitkin, MBBS, MRCP, FRCA, Jonathon Jerman, M.D.,
Nicole Dobija, M.D., D.D.S.
Department of Anesthesiology, University of Florida, College of Medicine, Gainesville, FL. USA

CR22              
Subcutaneous Emphysema after Puncture of the Oropharynx: A Case Report
Katherine Keech, MD and Corrie Anderson, MD, FAAP
University of Washington School of Medicine and Seattle Children’s Hospital

CR23              
Anesthetic Management of a Newborn for resection of a Right Ventricle Myxoma
Trinh T, MD, Verghese ST, Valairucha S
Children’s National Medical Center, The George Washington University Medical Center, Washington, D.C

CR24              
Management of air embolism during Cardiopulmonary Bypass
Dr Tunga Suresh MD, Dr Edmund Jooste MD, Dr Mihaela Visoiu MD,
Dr Steven Lichtenstein MD
Children’s Hospital of Pittsburgh, UPMC, Pittsburgh

CR25              
Case Report of the Anesthetic Management of VSD Closure in a Patient with I-Cell Disease Type 2
M. Gangadharan, D. Jobes
Children’s Hospital of Philadelphia, Philadelphia, PA

CR26              
Perioperative Assessment of Coagulation Status in a Patient with Platelet Aggregation Abnormality
Kelly Stees, MD
Department Of Anesthesiology, The Children’s Hospital, University of Colorado Denver

CR27              
Walker-Warburg Syndrome- Anesthetic Concerns and Implications
Vanessa C. Williams MD, Monique E. Cadogan MD, Maria Wormack MD
University of Miami Miller School of Medicine, Miami, FL

CR28              
Esophageal Foreign Body Impaction in a Child with Epidermolysis Bullosa
Jennifer Zieg, MD, Geoffrey Lane, MB, BChir.
Department of Anesthesiology, The Children’s Hospital, Aurora, CO

CR29              
The Use of Dexmedetomidine during Laryngeal Framework Surgery
J Tomasson (*), A DeAlarcon(#), M Statham(#), M Mahmoud(*).
Department of Anesthesiology(*).  Department of Otolaryngology(#).
Cincinnati Children’s Hospital Medical Center. University of Cincinnati Medical Center, Ohio

CR30              
Anesthetic management and Peri-operative implications of Ataxia-Telangectasia
Andrew J. Iskander, MD, Justin Lockman, MD, Melania Bembea, MD, MPH, Thomas Crawford, MD, Howard Lederman, MD, PhD,
Sharon McGrath-Morrow, MD, R. Blaine Easley, MD
The Johns Hopkins Hospital, Baltimore, MD

CR31              
Granular Cell Tumor in a Six Year Old Presenting in Respiratory Distress
EN Marks MD, DG Heatley MD, LLStephenson MD, ES Yun MD
University of Wisconsin School of Medicine and Public Health

CR32              
Perfusion Index-A Useful Tool to Assess Changes in Extremity Perfusion following major Trauma?
P Olomu MD, FRCA,1 A Romero MD,1 C Brown, MD,1 A Fernandez,1 Peter Szmuk, MD1,2
UT Southwestern and Children’s Medical Center, Dallas, TX1 and Outcomes Research Consortium2

CR33              
Evolving Compartment Syndrome Not Masked by a Peripheral Nerve Catheter
Benjamin Walker MD, Adrian Bosenberg FFA(SA)
Dept. of Anesthesiology and Pain Medicine, Seattle Children’s Hospital, University of Washington School of Medicine, Seattle, WA, USA

CR34              
Support for Tranexamic acid to reduce allogeneic blood transfusion during calvarial vault remodeling
Karen Flotildes, D.O., Anthony Romo, M.D.
Fellow in Pediatric Anesthesiology

CR35              
Ultrasound Guided Axillary Block for Ulnar Lengthening Osteotomy in VATER Syndrome
TA Kahute, D.O., WB Binstock, M.D.
Comer Children’s Hospital, The University of Chicago Medical Center, Chicago, IL

CR36              
Patient with Tietze’s Syndrome presenting as Slipping Rib Syndrome
Taran S. Sangari, M.D. & Michael L. Schmitz
Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, AR

CR37              
The air-QTM Intubating Laryngeal Airway as a means of rescue ventilation and blind tracheal intubation in two pediatric patients with airway bleeding
JR Stockman and N Jagannathan
Northwestern University Children’s Memorial Hospital, Chicago, IL

CR38              
PULLED BY AUTHOR, February 23, 2010

CR39              
Failure to intubate a child with Patau (Trisomy 13) Syndrome with fiberoptic via the LMA and Retrograde wire insertion through the cricothyroid with the ENT surgeon in the ER
Roberts R M.D, Verghese S.T M.D, Bauman N MD
Children’s National Medical Center, George Washington University Medical Center, Washington D.C.

CR40              
Management of a difficult airway in a patient with trisomy 22 using the Storz video laryngoscope
TB Gallen, A Qadeer, I Florentino-Pineda, T Weatherred
Medical College of Georgia, Augusta, GA

CR41              
Anesthesia Induced Rhabdomyolysis (AIR) during Corrective Spine Surgery: A Cae Report
D. Wang, V. Louis, A. Patel
UMDNJ-New Jersey Medical school, Department of Anesthesiology

CR42              
Anesthetic management of a child with Leigh’s disease for a posterior spinal fusion
DE Meyer, RP Moore
St. Louis Children’s Hospital, Washington University School of Medicine, St. Louis, MO

CR43              
Anesthetic Management of Kasai Hepatoportoenterostomy for Extrahepatic Biliary Atresia in a Neonate with Unpalliated Complex Congenital Heart Disease
HV Lauro, DS Fishman, NP Ray
State University of New York-Downstate Medical Center, Brooklyn, NY

CR44              
15 month old presents with signs of pneumonia, additional workup reveals large anterior mediastinal mass.  Final diagnosis: Mature teratoma.
MA Green, WD Kovarik, J Halter,
Maine Medical Center, Portland, ME

CR45              
Anesthetic Implications in Stuve Wiedemann Syndrome: A Case Report
S. Franco, M.D., SH Wang, M.D.
Yale University School of Medicine, New Haven, CT

CR46              
Trifunctional protein deficiency and rhabdomyolysis. An anesthetic complication?
LA Cox, R Litman
The Children’s Hospital of Philadelphia

CR47              
Anesthetic Management of a Child with Hereditary Xerocytosis
R Koka, TJ Mancuso, ME McCann

CR48              
Anesthesia Considerations in Pediatric Patients with Glycogen Storage Disease Type IX
VB Patel, JF Mayhew, JA Cure, AJ de Armendi
The University of Oklahoma Health Sciences Center, Department of Anesthesiology

CR49              
Intraoperative use of systolic pressure variation in a neonate with bladder extrophy
Denisa Haret, MD
University of Iowa Hospital and Clinics

CR50              
Challenges in Airway Evaluation of a Child with Neurofibromatosis scheduled for Magnetic Resonance Imaging Sedation
C. Abdallah, MD, MSc, G. Vezina, MD, D. Preciado, MD.
Children’s National Medical Center, Washington DC.

CR51              
Successful use of a continuous local anesthetic infusion over multiple intercoastal spaces in a pediatric patient following ASD repair via thoracotomy
Robert B Bryskin, Amy Bouchard
Nemours Children’s Clinic/Mayo Clinic, Jacksonville, FL

CR52              
Anesthesia for Spine Surgery in a Child with Mitochondrial Disease: A Case Report
Mei Lene Wu, MD, Mihaela Visoiu, MD
Department of Pediatric Anesthesia, Children’s Hospital of Pittsburgh of UPMC, 44th and Penn Avenue, Pittsburgh, PA 15213

CR53              
Pediatric Caudal Epidural Catheter Retention:  A Case Report
Hermida, Eduardo MD; Glass, Nancy L. MD
Department of Anesthesiology, Texas Children’s Hospital, Houston, Texas

CR54              
Workshop/Case Presentation:  Persistent abdominal pain after appendectomy in a 13 year old female
Susan L. Sager, MD
Children’s Hospital Boston

CR55              
Predictive Ability of Difficult Intravenous Access Score on IV Cannulation Failure
Gershon Fink, DO1, Radu B Pop, MS1,2, Jeffrey W Steiner, DO1,2,
Peter Szmuk, MD1,2
University of Texas Southwestern and Children's Medical Center (1) and Outcome Research Consortium, Dallas, Texas, United States; (2) Outcomes Research Consortium.

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CASE REPORTS – Saturday, April 17, 2010

Mounted – No later than 7:00am, Saturday, April 17, 2010
Removed – No later than 1:00pm, Saturday, April 17, 2010


General Anesthesia Group
Moderator – Nathalia Jimenez, MD


CR56              
A 4 year old with Intraop Hyperthermia- and It is Not MH
Katherine Lee, MD; M. Lee, MD; A. Bhandari, MD
Rush University Medical Center, Chicago, IL

CR57              
Successful resuscitation of bupivacaine-induced cardiotoxicity in a neonate
EP Lin, LA Aronson
Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

CR58              
Massive Embolism of Cyanoacrylate Glue during Vein of Galen Embolization
M Zelisko1, Y Liu2 and S Stayer
1Presenting author and 2corresponding author
Texas Children's Hospital and Baylor College of Medicine

CR59              
Bilateral adrenal pheochromocytomas
C B Groenewald , D T Haile
College of Medicine, Mayo Clinic, Rochester, MN

CR60              
Anesthetic Management of a patient with Klippel-Trenaunay-Weber Syndrome for Lower Extremity Amputation
Ashli R. Zerby, MD1, Jeff Steiner, DO1,2; Patrick Olomu, MD1
1UT Southwestern Medical Center Dallas, Children’s Medical Center, Dallas, TX, 2Member Outcomes Research Consortium.

CR61              
Post-bypass cardiovascular collapse:  A horse in a herd of zebras
Charles Eastwood, MD, CM and Lori A. Aronson, MD, FAAP
Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

CR62              
A Case of The Foreign Body of The Esophagus Turned Into Acquired Tracheoesophageal Fistula
J.A. George, T. Kim, D.E. Tunkel
The Johns Hopkins University School of Medicine, Baltimore, Maryland

CR63              
Pulmonary Edema and Depressed Cardiac Function after Intranasal Phenylephrine 1% spray, in a Child.
Mary F Rabb, M.D., David Zarzour M.D., Jael Carbajal, M.D.,
Samia Khalil, M.D. and Douglas Maposa M.D.
The University of Texas Health Science Center, Houston, Texas

CR64              
An Unusual Presentation of Tension Pneumothorax during a Laparoscopic Splenectomy
RG Baijal
Texas Children’s Hospital, Baylor College of Medicine, Houston, TX

CR65              
Hypertensive crisis during ethanol embolization of the renal artery due to renin washout
Elaina E. Lin†, Philip Roman†, Gregory J. Latham‡
†Johns Hopkins School of Medicine; ‡Seattle Children’s Hospital, University of Washington

CR66              
Surgical Ligation of the Trachea During TEF Repair in an Infant with Congenital Heart Disease
Debra Gambrell DO , Gerald Bushman MD
Childrens Hospital Los Angeles, University of Southern California

CR67              
Dealing with Teenagers with POTS: Anesthetic management made optimal with IV hydration, BIS, SCD and RSI.
S Valairucha, S Pestieau, K Yang, ST Verghese

CR68              
The Use of Arndt Pediatric Endobronchial Blocker for One Lung Ventilation in 2 Infants
See Wan Tham
Seattle Children’s Hospital

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Cardiac Anesthesia/Pain Group
Moderator – Carlos Javier Campos Lopez, MD, FAAP


CR69              
Cervical epidural for diagnosis of catecholaminergic polymorphic ventricular tachycardia in a pediatric patient
Shiu-Yi Emily Chen, Gerald Bushman, Giovanni Cucchiaro
Childrens Hospital Los Angeles, University of Southern California

CR70              
The IMPACT Procedure: Management of a neonate with hypoplastic left heart syndrome (HLHS) and intact atrial septum (IAS) for emergent immediate postnatal resuscitation and intervention.
ID Theruvath, JM Steven, LM Montenegro
Children’s Hospital of Philadelphia, Philadelphia, PA

CR71              
Unexplained Pulmonary Edema in a 5 year-old Boy with an Undiagnosed Brain Tumor Undergoing an Uncomplicated Repair of an Atrial Septal Defect
MK Baldwin, GA Bushman
Children’s Hospital Los Angeles, Los Angeles, California

CR72              
Congenital Complete Heart Block: A Neonatal Anesthetic Emergency
D Almazan, MH Martin, C Ramamoorthy
Stanford University School of Medicine

CR73              
Case Report: Pulmonary Hypertensive Crisis in a Neonate Following Protamine Administration after Cardiopulmonary Bypass
MC Gummerson, M.D.*, MC Wesley, M.D.§*, EA Bacha, M.D.†, PR Hickey, M.D.§*
§ Division of Cardiac Anesthesia; *Department of Anesthesiology, Perioperative and Pain Medicine; † Department of Cardiac Surgery; Children’s Hospital Boston, Harvard Medical School; Boston, MA

CR74              
Case Report: Intraoperative TEE guiding surgical decision making during removal of a cardiac foreign body in a 5-year-old female.
H Schroeck, R Valley.
University of North Carolina at Chapel Hill, Chapel Hill, NC.

CR75              
Anesthetic management of a neonate with hypoplastic left heart syndrome (HLHS) and intact atrial septum (IAS) for emergent immediate postnatal transcatheter atrial septostomy and stent placement
ID Theruvath, JM Steven, LM Montenegro
Children’s Hospital of Philadelphia, Philadelphia, PA

CR76              
Ultrasound Guided Axillary Block for Ulnar Lengthening Osteotomy in VATER Syndrome
TA Kahute, D.O., WB Binstock, M.D.
Comer Children’s Hospital, The University of Chicago Medical Center, Chicago, IL

CR77              
Treatment of Complex Regional Pain Syndrome with Continuous Regional Nerve Catheters in Children
G Rutkowski, R Slover, S Santangelo
The Children’s Hospital, Denver, Colorado

CR78              
Mid-Thigh Approach to Ultrasound Guided Sciatic Nerve Block in Pediatric Patients
AS Stone1, MD, Y Liu, MD2, K Nguyen, MD and M Watcha, MD
Department of Pediatric Anesthesiology, Texas Children's Hospital/Baylor College of Medicine, Houston, TX 77030
1Presenting author and 2corresponding author

CR79              
Intrathecal Morphine for Idiopathic Scoliosis Surgery: Does Gender or Race Impact Safety or Effectiveness?
Tripi P, Sandadi J, Son-Hing J, Poe-Kochert C, Thompson G
Rainbow Babies & Children’s Hospital, University Hospitals Case Medical Center, Cleveland, OH

CR80           
Use of Caudal Epidural Catheter in Children with Cerebral Palsy with Fused Posterior Spine
Divya Dixit, Mary C Theroux, Pete Gabos and Kirk Dabney
Department of Anesthesiology and Critical Care and Department of Orthopedics, Alfred I. duPont Hospital

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Airway/Other/Safety & Outcomes Research Group
Moderator – George N. Youssef, MB, ChB


CR81              
A Funny Thing Happened On The Way To The Norwood
A Armstrong, RD Valley
University of North Carolina Hospital, Chapel Hill, NC

CR82              
Use of the LMA Classic Excel™ for Airway Rescue in a Patient with Known Difficult Airway
S Williams, MD,1 PN Olomu, MD, FRCA,1 D Davis, MD,1 J Steiner, DO,1,2
CD Glover, MD1
UT Southwestern and Children’s Medical Center, Dallas, TX1 and Outcomes Research Consortium2

CR83              
Anesthestic airway management for a patient with craniofacial defects resulting from amniotic band sequence
M Chiu, JA Lampert, PJ Taub and RN Lintner
Mount Sinai Kravis Children's Hospital, New York, NY

CR84              
Ultrasound Guided Airway Imaging for the Evaluation of Pediatric Patients with Laryngeal Pathology 
David Vent and Elizabeth Demers Lavelle 
SUNY Upstate Medical University

CR85              
Costello Syndrome: LMAs do not relieve all cases of glossoptosis
Dominic S. Carollo, MD, Jimmie Colon, MD, Bobby Nossaman, MD, Usha Ramadhyani, MD
Department of Anesthesiology, Ochsner Medical Center, New Orleans, LA 70121

CR86              
GlideScope-Assisted Placement of Disposable Electrodes for Recurrent Laryngeal Nerve Monitoring During Thyroidectomy.
J. Garcia Wojtczak, MD and I. Tkachenko, MD.
University of Chicago

CR87              
Challenges of lung isolation in a twenty-two month old female with massive right-sided bronchopleural fistula.
JL Alford, S Seraphin, M Hernandez
Department of Anesthesia and Critical Care. The University of Chicago Medical
Center. Chicago, IL

CR88              
Noninvasive Hemoglobin Measurement with Masimo Radical 7 in two Children with Sickle Cell Disease
W Miller1, SS Hussein1, JW Steiner1,2, RB Pop1,2, P Szmuk1,2
UT Southwestern and Children’s Medical Center, Dallas, TX1 and Outcome Research Consortium2

CR89              
Liver transplantation of a pediatric patient while on extra corporeal membrane oxygenation with heparin induced thrombocytopenia.
CJ Karsanac, IS Landsman
Monroe Carell Jr. Children’s Hospital at Vanderbilt, Nashville, TN

CR90              
THE ANESTHETIC CHALLENGES OF AN EX UTERO INTRAPARTUM SURGERY (EXIT) FOR FETAL CONGENITAL CYSTIC ADENOMATOID MALFORMATION (CCAM)
GM Almeida-Chen, MD, MPH, J Feldman, MD, and K Tran, MD
The Department of Anesthesiology and Critical Care Medicine, The Children’s Hospital of Philadelphia

CR91              
Case Report: Postoperative Conversion Disorder in a Pediatric Patient 
Amy Judge, M.D. and Fred Spielman, M.D.
University of North Carolina Hospitals, Chapel Hill, NC

CR92              
Is This Patient Really That Anemic?
E Williams and J Niezgoda
Cleveland Clinic Foundation, Cleveland, OH

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Walk Around Poster Discussions - Saturday, April 17, 2010

11:00am – 12:30pm
Mounted – No later than 7:30am, Friday, April 16, 2010
Removed – No later than 1:00pm, Saturday, April 17, 2010


Cardiac Anesthesia Group 1
Moderator – Susan T. Verghese, MD


P1                   
The Pharmacokinetics of Ketamine in Pediatric Cardiac Patients
C Ramamoorthy, GB Hammer, J Galinkin, DR Drover
Stanford University

P2                   
NSE and S100 protein levels are potential markers of neurological injury in children undergoing cardiopulmonary bypass
A Sophocles, Z Pan, R Friesen, M Twite
The Children’s Hospital & University of Colorado School of Medicine,
Denver, CO

P3                   
Cefazolin Tissue Penetration in a Porcine Model of Cardiac Surgery and Cardiopulmonary Bypass Measured by In Vivo Microdialysis
Kilbaugh TJ, Berkowitz D,  Kubin J, Pastuszko A , Zaoutis TE, Jobes DR, Greeley WJ, Zuppa AF
The Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA

P4                   
Ability of GFAP to detect neurologic injury in pediatric patients with cardiac disease on ECMO: A preliminary study.
JM Schwartz, MM Bembea, W Savage, LA Vricella, RB Easley,
A Everett.          
Johns Hopkins School of Medicine, Baltimore, MD 21287

P5                   
Cervical epidural for diagnosis of catecholaminergic polymorphic ventricular tachycardia in a pediatric patient
Shiu-Yi Emily Chen, Gerald Bushman, Giovanni Cucchiaro
Childrens Hospital of Los Angeles, University of Southern California

P6                   
Risk Profile for Infants with Single Ventricle Physiology Undergoing Noncardiac Surgery While Palliated with a BT Shunt or Sano Conduit
S.S. Sharma MD MPH, James Pierce MD, G.A. Bushman MD Sabine Von Busse MD, Mari Baldwin MD
Childrens Hospital Los Angeles, University of Southern California, USC Keck School of Medicine

P7                   
SjO2/SvO2 correlation during pediatric cardiac surgery with cardiopulmonary bypass (CPB) under fentanyl-midazolam anesthesia
Klamt JG, Nabarro P, Vicente WVA, Garcia LV
Faculty of Medicine of Ribeirão Preto – University of São Paulo

P8                   
Limitations of cerebral oxygenation monitoring in children with congenital heart disease and profound polycythemia
EA Gottlieb, EB Mossad
Baylor College of Medicine, Texas Children’s Hospital, Houston, Texas

P9
Pharmacokinetics of cefuroxime are not significantly altered by cardiopulmonary bypass in children
CA Knoderer, SA Saft, SG Walker, DP Healy, KM Sowinski
Indiana University School of Medicine, Butler University College of Pharmacy and Health Sciences, Purdue University College of Pharmacy, Nursing, and Health Sciences, University of Cincinnati, Winkle College of Pharmacy

P10                 
Cold Agglutinins in Children Undergoing Repair of Congenital Heart Defects with Cardiopulmonary Bypass
DA Rosen, RA Gustafson, KC Gustafson, BP Neal, BP Keeley, PL Perrotta
Departments of Anesthesia,Perfusion Surgery and Pathology. West Virginia University

P11                 
Lung Reperfusion Injury in Pediatric Patients after Balloon Angioplasty for Pulmonary Artery stenosis.
SM Yacouby, EB Mossad
Baylor College of Medicine, Texas Children’s Hospital

P12                 
Femoral Artery Catheterization in Cardiac Neonates and Infants
A Artico CPNP-AC, RH Friesen MD, E DaCruz MD
Dept. of Anesthesiology and Division of Cardiology, Children’s Hospital, University of Colorado Denver

P13                 
Cardiac Arrest upon induction of anesthesia in children with cardiomyopathy: An analysis of incidence and risk factors.
Salah Al –Otaibi, Carolyne Pehora, Helen Holtby, Katherine Taylor
Department of Anesthesia Hospital for Sick Children Toronto Canada

P14                 
The effect of isoflurane on the developing hypoxic rat brain
Lisa Wise-Faberowski, MD: Brittany Peluso, BS
University of Colorado; The Children’s Hospital Denver

P15                 
Heparin Turnover During Cardiopulmonary Bypass with new Low-volume Extracorporeal Systems in Pediatric Open Heart Surgery
Wolf H.-G1, Hertfelder H.-J3, Asfour B2, Hraska V2, Odenthal E3, Oldenburg J3, Schindler1
Dep. Pediatric Anesthesiology1, Dep. Cardio-thoracic Surgery2, German Pediatric Heart Center, Sankt Augustin, Germany; Dep. Exp. Hematology and Transfusinmedicine3, University of Bonn, Germany

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Cardiac Anesthesia Group 2
Moderator – Shobha Malviya, MD, FAAP


P16                 
Perioperative Bleeding and Patient Outcomes in the Neonatal Congenital Heart Population – The Post-Aprotinin Era
NS Wilder, M Kavarana, T Voepel-Lewis, T Lee, RG Ohye
C.S. Mott Children’s Hospital, University of Michigan, Ann Arbor, MI

P17                 
Outcome of drowned hypothermic children with cardiac arrest treated with cardiopulmonary bypass
P Suominen, N Vallila, L Hartikainen, H Sairanen, R Korpela
Hospital for Children and Adolescents, Helsinki, Finland

P18                 
Bleeding risk and transfusion requirements during infant cardiac surgery in the post-Aprotinin era
Emad Mossad, MD, Meredith Reyes, MD, Purviben Jariwala, MT(ASCP),
Jun Teruya, MD, DSc and Charles Fraser, MD
Departments of Pediatric Anesthesia, Pathology and Congenital Heart Surgery, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas

P19                 
Cerebral Oximetry in a Newborn with Hypoplastic Left Heart and Restrictive Atrial Septum From Birth to Atrial Septostomy
Dawnisa K. Baker M.D., Suanne Daves M.D., Lewis McCarver MS, CRNA
Monroe Carrell Jr. Children’s Hospital at Vanderbilt

P20                 
Congenital Cardiac Anesthesia: Extubation in the OR is a safe option. A case series.
Dr Tunga Suresh MD, Dr Steven Lichtenstein MD, Dr Edmund Jooste MD,
Dr Mihaela Visoiu MD.
Children’s Hospital of Pittsburgh, UPMC. Pittsburgh

P21                 
Somatic Growth After the Hybrid Approach Verse Norwood in Single Ventricle Physiology
N. Moiduddin, PE Michels, R. Rodeman, JP Cheatham, M. Galantowicz,
M. Corridore
Nationwide Children’s Hospital, The Ohio State University, Columbus, Ohio

P22                 
Intraoperative stroke detected by near-infrared spectroscopy (NIRS) in a young patient with congenital heart disease
DG Daaboul, K Yuki, J Harrington, A Casta
Department of Anesthesiology, Perioperative and Pain medicine, Children’s Hospital Boston

P23                 
Volatile versus Narcotic Anesthetic for Surgical Repair of Congenital Heart Disease: The Effect on Postoperative EEG
Lisa Wise-Faberowski, MD;  Jeannie Zuk, PhD;  Robert Friesen, MD;
Peter Fritz, MD, Glenn Merritt, MD, Randall Clark, MD, Scott Stenquist, MD, Mark Twite, MBBS
University of Colorado; The Children’s Hospital Denver

P24                 
Perioperative blood pressure control with clevidipine in pediatric patients undergoing cardiac surgery
JD Tobias1, WS Schechter2, A Phillips3, S Weinstein4, R Michler4,
John Berkenbosch5, Carlos Montoya6
1Departments of Anesthesiology & Pediatrics, University of Missouri, Columbia, Missouri; 2Departments of Anesthesiology & Pediatrics, Columbia University, New York, NY; 3Department of Cardiothoracic Surgery, The Heart Center, Nationwide Children’s Hospital, Columbus, Ohio; 4Department of Cardiac Surgery, Montefiore Hospital, New York, NY; 5Department of Pediatrics, University of Louisville, Louisville, Kentucky; 6Pediatric Cardiology, Winthrop University, New York, NY

P25                 
Early Extubation in the Operating Room Following Congenital Heart Surgery: A Large Retrospective Study
M. Schlunt, C. Lee, A. Ahana, T. Bartsch
Loma Linda University Medical Center, Department of Anesthesiology, Loma Linda, CA

P26                 
Measurement of Absolute Viscerosomatic Tissue Oxygen Saturation: Preliminary Results
RJ Ing, DB MacLeod, K Ikeda, WA Ames, SR Schulman.
Department of Anesthesiology, Duke University Medical Center, Durham, NC.

P27                 
Comparative Opioid Pharmacology After Cardiac Surgery – A Multi-site, NIH-funded Study
GB Hammer, DR Drover, EJ Krane, CA Cohane, M Tingle, J Gallinkin
Stanford University School of Medicine, Stanford, CA

P28                 
Unusual Complication of Left Pigtail Chest Tube Insertion
MG Danekas, PP Dietrich
University of North Carolina Department of Anesthesiology, Chapel Hill, NC

P29                 
Pediatric Cardiopulmonary Bypass: A Survey of Current Practices
BW Lee, MD, ML Schlunt, MD, C Lee, MD
Loma Linda University Department of Anesthesiology

P30                 
Proposed Neonatal Intraoperative Resuscitation Algorithm
E Lee, JM Schwartz, DH Shaffner, ES Heitmiller
Johns Hopkins University School of Medicine, Baltimore, MD

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Airway Group
Moderator – Olutoyin Olutoye, MD, FAAP


P31                 
Temporal Variation of the Leak Pressure of Uncuffed Pediatric Endotracheal Tubes Following Intubation: A Prospective Observational Study
S Patel*†, K Lalwani*, J Koh*, L Wu*, R Fu*
†University of Arizona School of Medicine, Tucson, AZ; *Oregon Health and Science University, Portland, OR

P32                 
Negative Pressure Pulmonary Hemorrhage in Children: A Case Series
M Seely, DO, M Zestos, MD, B Jwaida, MD, S Kemper, DO
Children’s Hospital of Michigan, Detroit, MI

P33                 
Cobra perilaryngeal airway (CobraPLA TM ) is not an ideal supraglottic device in pediatric ophthalmic surgery.
Rani A Sunder1, Renu Sinha2, Anil Agarwal2
1St Louis Childrens Hospital, St Louis, MO. 2All India Institute of Medical Sciences, New Delhi, India.

P34                 
Routine extraluminal use of the 5F Arndt Endobronchial Blocker in infants and children up to 24 months.
Lianne L. Stephenson MD., Christian Seefelder, MD
Department of Anesthesia, University of Wisconsin, Madison, WI, and Children’s Hospital Boston, MA

P35                 
Airway strategies for the continuum of care in a neonate with type III laryngotracheoesophageal cleft
Kim-Phuong Nguyen, Priscilla Garcia, Adam Stone, Oluyinka Olutoye,
Ellen Friedman, Nancy Glass, and Stephen Stayer
Baylor College of Medicine, Texas Children’s Hospital

P36                 
A helium and oxygen mixture facilitates bronchoscopy through an LMA during general anesthesia
JD Tobias
Departments of Anesthesiology & Pediatrics, University of Missouri, Columbia, Missouri 65212

P37                 
A QUALITY ASSURANCE PROJECT TO ASSESS OPTIMAL ENDOTRACH-
EAL TUBE SELECTION IN CHILDREN

Rania Aziz MD, Anuradha Patel MD, Melissa Davidson MD, Minh CJ Tran MD, Huma Quraishi MD, Catherine Schoenberg BSN Department of Anesthesiology & Peri-operative Medicine, UMDNJ- New Jersey Medical School, Newark, NJ, United States

P38                 
An evaluation of efficacy of the GlideScope Cobalt Video Baton for Intubation on Children Weighing Less than 10 kilograms
P Olomu1, O Abu Fetuh1, C Glover1, JW Steiner1,2, RB Pop1,2,  P Szmuk1,2
University of Texas Southwestern and Children's Medical Center (1) and Outcome Research Consortium, Dallas, Texas, United States; (2) Outcomes Research Consortium.

P39                 
Anaesthesia for bowel obstruction in a neonate with undetected TOF
Dr Alet Jacobs, Dr Raju Reddy
Birmingham Children’s Hospital, Birmingham, UK

P40                 
The Use of Dexmedetomidine During Nasotracheal Intubation in a Patient with Charge Syndrome
LK Crews MD, D Mattingly, and I Florentino-Pineda MD MBA
Medical College of Georgia,  Augusta GA

P41                 
Intranasal Septal Perforation in a 4 year old by an Impacted Button Battery: A Case Report and Review of the Literature
D Mattingly, LK Crews MD, I  Florentino-Pineda MD, MBA
Medical College of Georgia and Children’s Medical Center Augusta, Georgia

P42                 
An Acute Presentation of Congenital Lobar Emphysema
F Chaudhry, D Wang, MC Tran, M. Davdison, A. Patel, E. Delphin
UMDNJ-New Jersey Medical School, New Jersey, Newark, NJ.

P43                 
Epiglottits after Ingestion of a Caustic Agent-An Interesting Case Report in a Pediatric Patient
J Aunspaugh, K Lienhart
Arkansas Children’s Hospital/University of Arkansas for Medical Sciences

P44                 
Impact of Delayed Imaging on Morbidity and  Challenges for Anesthesia in Children with Anterior Mediastinal Mass - A retrospective five year study
Mian,A , Parray, T, Khan, S.A , Ramirez, M, Watkins, B, Siddiqui, MS
Departments of Hematology Oncology and Anesthesiology University of Arkansas for Medical Sciences and Arkansas Children’s Hospital

P45                 
The risk of difficult Endotracheal intubation during Rapid sequence induction for neonates.
Khaled Sedeek, MD1, Mohamed El Sharif1, Saifeldin Mahmoud, MD1, and Josée Lavoie, MD2.
Penn State University, Hershey Medical Center, Hershey, PA & Montreal Children’s Hospital, McGill University, Montreal, Quebec.

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General Anesthesia Group 1
Moderator – Raafat S. Hannallah, MD


P46                 
A Comparison of Inhalational Inductions in Children in the Operating Room versus the Induction Room
AM Varughese, KM Miller, CM Menzie, M. Patino, NS Hagerman
Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

P47                 
Clinical Trial of Methylprednisolone in Children to Reduce Inflammation and Improve Outcome from OLV
MC Theroux, A Olivant Fisher, ME Rodriguez, KW Reichard, SA Shah,
AT Costarino, TH Shaffer
A.I duPont Hospital for Children, Wilmington, Delaware

P48                 
Neck circumference in children as a predictor of peri-operative adverse respiratory events.
Olubukola O Nafiu, Constance C Burke, Terri Voepel-Lewis, Joyce Lee, Shobha Malviya.
Mott Children’s Hospital, University of Michigan, Ann Arbor, Michigan.

P49                 
VALIDATION OF A PICTORIALNAUSEA RATING SCALE FOR CHILDREN
Mathew M. Wyatt1, Mehernoor F. Watcha MD1, Amy Baxter MD2, Carl L von Baeyer, PhD3, William V Baxter, PhD4, Traci Leong, PhD5, Sarah McClure1, Aimee Kakascik MD1
1Baylor College of Medicine, Texas Children’s Hospital, Houston TX,  2Pediatric Emergency Medicine Associates,  Children's Healthcare of Atlanta, Atlanta, GA, 3Psychology and Pediatrics, University of Saskatchewan, Saskatoon, Canada; 4Oriental Light and Magic, Tokyo, Japan, and 5Biostatistics, Rollins School of Public Health, Atlanta, GA (Supported by Hope Street Kids Foundation)

P50                 
High body mass index in older children as a risk factor for peri-operative complications.
Andrew Baldock, Constance Burke, Robert Christensen, Olubukola O Nafiu
Mott Children’s Hospital, University of Michigan, Ann Arbor, Michigan.

P51                 
PHARMACOGENETICS OF MORPHINE AND PERSONALIZING PERIOPERATIVE ANALGESIA IN CHILDREN
Sadhasivam S, McAuliffe J, Chidambaran V, Jou F, Goodman H, Plapp R, Vinks A
Cincinnati Children’s Hospital Medical Center, Department of Anesthesiology

P52                 
Bicarbonate Verifies Intravenous Position of Catheters in Anesthetized Children
Nur I, Barzilai A, Keidan I, A Gonzalez, White SE, Dobjia N.
Department of Anesthesia and Intensive Care, Sheba Medical Center, Tel Aviv University, Israel1, and Department of Anesthesiology, University of Florida, Gainesville, Florida2

P53                 
PACBIS and Prediction of Postoperative Maladaptive Behaviors in Children
Sadhasivam S, Cohen L, Gorman K, Hosu L, Otten M, Nick T, Kurth CD, Gunter JG
Cincinnati Children’s Hospital Medical Center, Department of Anesthesiology

P54                 
Hypoxia Decreases Opioid Requirements in Healthy Children Living At Altitude
J.A. Rabbitts M.B.,Ch.B., N.M. Dietz M.D., J. Räsänen M.D.
Mayo Foundation for Education and Research, Rochester MN

P55                 
Hyperglycemia is not a risk factor for post-spine fusion infection in cerebral palsy patients
Elaina E. Lin, Dolores B. Njoku
Johns Hopkins School of Medicine

P56                 
Anesthetic Considerations for Multivisceral Organ Transplant in a Patient with Complex I Mitochondrial Disorder.
Herodotos Ellinas, MD, Raymond Dumont, MD, Christian Seefelder, MD
Children’s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI and Children’s Hospital Boston, Harvard Medical School, Boston, MA

P57                 
Ultrasound Guided Transverse Abdominis Plane (TAP) Block in Infants and Children: An Observational Analysis.
Steinfeldt J, Kho M, Minhas A, Cambic, A, Sivaja G, Wang D PhD, Suresh S
Children’s Memorial Hospital Chicago, IL

P58                 
Post-Operative Hyponatremia Following Calvarial Remodeling in Craniosynostosis
Schmitt E1, Bykowski, M2, Naran S2, Grunwaldt L2, Moritz M3, Losee J2,
Cladis F1
1Department of Anesthesiology, University of Pittsburgh School of Medicine,
2Division of Plastic Surgery, University of Pittsburgh School of Medicine,
3Department of Pediatrics, University of Pittsburgh School of Medicine

P59                 
Incidence of Complications Using a Loading Dose Propofol Method of Deep Sedation for Pediatric MRI
Solina Tith, B.S., Kirk Lalwani, M.D., F.R.C.A., M.C.R., Danny Robinson, M.D., Rochelle Fu, Ph.D.
Anesthesiology and Peri-Operative Medicine, Oregon Health & Science University, Portland, Oregon

P60                 
Pediatric Resident Acute Care Curriculum
M McBride2, W Waldrop1,2, J Fehr1,2, D Murray1
Departments of Anesthesiology1 and Pediatrics2 Washington University in St. Louis

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General Anesthesia Group 2
Moderator – Mehernoor F. Watcha, MD


P61                 
Axillary Block for Patient with Raynaud’s Phenomenon Undergoing Total Body Cooling and Requiring Invasive Arterial Blood Pressure Monitoring
NR Janosy, J Pineda, A Zimmerman, VC Swanson
Doernbecher Children’s Hospital Portland, OR; The Children’s Hospital Denver, CO

P62                 
Venous Air Embolism and Developmental Hip Dysplasia
Lori A. Aronson, MD and Ximena Soler, MD
Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

P63                 
Does Simethicone Premedication Decrease Emergence Agitation in Pediatric Myringotomy Patients?
Zulfiqar Ahmed, Dima Daaboul, Lori Stricker, Maria Zestos, Claire Pascual, Debashish Bhattacharya, David Madgy, Michael Haupert, Jillian Tweedie
Department of Anesthesia and Otolaryngology Children’s Hospital of Michigan Detroit MI

P64                 
Effect of dexamethasone on postoperative morbidity in children undergoing prolonged dental rehabilitation under general anesthesia
McIntyre R, Hardcastle C, Eng R, Nettel-Aguirre A, Urmson C, Lardner D, Livingstone M, Ewen A, Cox R
Departments of Anesthesiology, Pediatrics and Community Health Sciences, University of Calgary, Alberta, Canada (Dr. Urmson is currently at the University of Saskatchewan, Saskatoon, SK, Canada)

P65                 
DOES THE AGE OF THE NEWBORN AND THE BICARBONATE LEVEL HAVE ANY IMPACT ON POST-OP LENGTH OF STAY AFTER PYLOROMYOTOMY? A RETROSPECTIVE REVIEW OF 253 NEWBORNS AND YOUNG INFANTS AT A TERTIARY HOSPITAL
S. Elliott, S. T. Verghese, F. G. Quershi, A. D. Sandler, N. M. Shara;
The George Washington University Medical Center, Children's National Medical Center 111, Michigan Avenue, N.W

P66                 
Evaluation of distal radial artery cross sectional internal diameter in pediatric patients by ultrasound.
EQS Varga MD; NJ Halliday MD; K Candiotti MD; B Saltzmann MD;
S Gayer MD; J Tutiven, MD; J Giquel MD; GC Sanchez MD, K Arheart Ed.D.
University of Miami, Jackson Memorial Hospital, Bascom Palmer Eye Institute

P67                 
Abdominal obesity in children and risk of peri-operative complications. Can a child’s pant size predict peri-operative adverse events?
OO Nafiu (MD, FRCA), Constance C Burke (BSN), Vivian Onyewuche (MD), Joyce Lee (MD), Shobha Malviya (MD)
Mott Children’s hospital, University of Michigan, Ann Arbor, Michigan.

P68                 
Does Succinylcholine still have a place in Pediatric Anesthesia? A survey of current practice.
Dr C Doherty, Dr E Ng, Dr E McLeod
The Hospital for Sick Children, University of Toronto, Toronto, Canada

P69                 
LUMBAR PLEXUS CATHETERS VERSUS LUMBAR EPIDURALS FOR PAIN MANAGEMENT FOLLOWING PELVIC OSTEOTOMY
David E. Liston MD, MPH, J. Grant McFadyen MBChB FRCA, Benjamin J. Walker MD, Sean H. Flack MBChB FCA, Adrian T. Bosenberg MBChB FFA(SA)
Department of Anesthesiology and Pain Medicine, Seattle Children’s Hospital, Seattle, WA

P70                 
Clevidipine for controlled hypotension during spinal surgery in adolescents
J. Allee, JD Tobias
University of Missouri, Columbia, Missouri 65212

P71                 
Dexmedetomidine For Discography In Pediatric Patients: A Case Series
Furstein J, Patel M, Mahmoud M
Cincinnati Children’s Hospital Medical Center, Department of Anesthesiology

P72                 
A RARE RESPIRATORY COMPLICATION AFTER SURGICAL RELIEF OF CHRONIC AIRWAY OBSTRUCTION
Tariq Parray MD, Shailesh Shah MD, Sonia Shah MD, Timothy W Martin MD,
Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas
for Medical Sciences/Arkansas Children’s Hospital.

P73
AN UNUSUAL COMPLICATION DURING THE ENDOSCOPIC REMOVAL OF AN ESOPHAGEAL FOREIGN BODY.
Tariq Parray MD, Saif M Siddiqui MD, Melissa Hughes MD,
M Irfan Suleman MD
Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital.

P74                 
Dexmedetomidine controls the hemodynamic responses to tourniquet pain
JD Tobias
Departments of Anesthesiology & Pediatrics, University of Missouri, Columbia, Missouri 65212

P75                 
Transfusion in surgically treated neonates during 2005-2007 at Hospital and Maternidade Santa Joana (HMSJ).
Valinetti EA, M.D., PhD; Katayama A, M.D.; Cardoso MSC, M.D., PhD; Ohira H, M.D.; Barbosa S, M.D.; Amaro AR, M.D.
Hospital e Maternidade Santa Joana, São Paulo, São Paulo, Brazil

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General Anesthesia Group 3
Moderator – Wanda C. Miller-Hance, MD


P76                 
A Survey of Peri-Operative Management of Sickle Cell Disease in North America

Firth PG, MBChB (1) (*), Nelson K, MD (2) (*), Bender MA, MD PhD (3), Haberkern CM, MD, MPH (4), Yaster M, MD (5), Goodwin SR, MD (6). (*) Drs Firth and Nelson contributed equally to this manuscript and are co-first authors.
1. Massachusetts General Hospital, Boston MA.  2. Johns Hopkins Hospital, Baltimore MD.  3. Seattle Children’s Hospital, Fred Hutchinson Cancer Research Center, and the University of Washington, Seattle WA. 4. Seattle Children’s Hospital and the University of Washington, Seattle WA.  5. Johns Hopkins Hospital, Baltimore MD.  6. Nemours Children’s Institute, Jacksonville FL.

P77                 
Anesthetic Management and Outcomes in Patients with Hypoplastic Left Heart Who Underwent Non-Cardiac Surgery
R Christensen, P Reynolds, A Gholami, S Malviya
University of Michigan Health System, Ann Arbor, MI

P78                 
Complications and Risk Factors of Adenotonsillectomies Using Laryngeal Mask Airway in Children
AI Hunyady, SM DeCarlo, D Poulson, Y Medvid
Eastern Maine Medical Center

P79                 
Anesthetic Management and Outcomes in Patients with Truncus Arteriosus Who Underwent Non-Cardiac Surgery
R Christensen, A Gholami, P Reynolds, S Malviya
University of Michigan Health System, Ann Arbor, MI

P80                 
TRANSIENT PARAPLEGIA FOLLOWING ANESTHESIA FOR MRI
SM Nykiel
St. Louis Children’s Hospital/ Washington University, St. Louis, MO

P81                 
Real Time Ultrasound Guided Peripheral Vascular Access in Pediatric Patients
SW Samoya
Monroe Carell Jr. Children’s Hospital at Vanderbilt University

P82                 
Improvement in the perioperative adverse events self-reporting using new software.
S Ohkawa, B Thumm, A Forde, A Kakavoli, M Carson, L Sun
Morgan Stanley Children’s Hospital of New York, Columbia University College of Physicians and Surgeons, Children’s Hospital Los Angeles

P83                 
STUCK TO THE WORLD
Tariq Parray MD, Saif Siddiqui MD, Shailesh Shah MD
Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences / Arkansas Children’s Hospital.

P84                 
A Case of a Migrating Foreign Body as a Cause of Persistent Wheezing
Tariq Parray MD, Saif Siddiqui MD, Mathew Ragland MD Shailesh Shah MD,
Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital.

P85                 
SEVERE TRACHEAL STENOSIS IN AN ASYMPTOMATIC PATIENT SCHEDULED FOR MRI
Tariq Parray MD, Shailesh Shah MD, Abid Ul Ghafoor MD,
Timothy W Martin MD
Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital.

P86                 
Anesthesia Care and Perioperative Outcomes in Infants and Young Children Undergoing Strabismus Surgery
Anne Stowman, B.S., Kumar Belani, MD
Departments of Anesthesiology, Pediatrics, Medicine & Environmental Health Sciences, University of Minnesota

P87                 
Adverse Effects of Citrate Toxicity in a Pediatric Trauma Patient
Kim Poteet-Schwartz, MD and Shirley D’Souza, MD
Arkansas Children’s Hospital/University of Arkansas for Medical Sciences

P88                 
An Audit of Pre-Operative Screening of Children with Unknown Sickle Cell Disease Status at a Tertiary Referral Paediatric Hospital
J Navaratnarajah, S Bhatia, E Hrobonova, AE Black
Great Ormond Street Hospital for Children NHS Trust, London UK

P89                 
The Effect of Nitrous Oxide on Intraocular Pressure in Healthy Adults
EB Fox, K Lalwani, R Fu, L Kelly, B Edmunds
Oregon Health and Science University, Portland, OR

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Safety & Outcomes Research Group
Moderator - Philip G. Morgan, MD


P90                 
A Simulation Based Assessment of the Pediatric Anesthesia Skills of Anesthesiology Residents
James Fehr, MD, Megan Brockel, MD, Dawnisa Baker, MD
and David Murray, MD
Department of Anesthesiology, Washington University in St. Louis

P91                 
Anesthesia Equipment Rodeo: Re-education in the Operating Room.
H Karlberg Hippard, Stephen Stayer, S Jackson, M Arcilla, M Watcha.
Baylor College of Medicine, Texas Children’s Hospital, Houston, TX

P92                 
Design and implementation of an anonymous near-miss reporting system for a large, academic pediatric anesthesia department. 
Patrick J. Guffey MD1; Judit Szolnoki MD2; David Polaner MD3.
1Pediatric Anesthesia Fellow, The Children’s Hospital. Department of Anesthesia.
University of Colorado, Denver. 2Assistant Professor, Director of Quality Improvement. The Children’s Hospital. Department of Anesthesia. University of Colorado, Denver. 3Associate Professor, Director of Acute Pain Management. The Children’s Hospital. Departments of Anesthesia and Pediatrics. University of Colorado, Denver.

P93                 
Performance Validation of a Modified MRI Compatible Temperature Probe in Children
VG Nasr, L Diaz, R Schumann, MI Ahmed.
Tufts-Medical Center, Boston, MA

P94                 
Respiratory Complications Associated With Ketamine Premedication for Measurement of Intraocular Pressure in Children
Lei Wu, BA; Kirk Lalwani, MD, FRCA, MCR; Karla Hook, RN; Bella Almario RN; Rochelle Fu, PhD; Beth Edmunds, MD
Oregon Health and Science University School of Medicine, Portland, OR

P95                 
Preparation of Modern Anesthesia Workstations for Malignant Hyperthermia Susceptible Patients
TW Kim, ME Nemergut
Johns Hopkins Hospital, Baltimore, MD

P96                 
Safety of anesthesia for children in a mobile magnetic resonance operating room
Cox RG1, Levy R2, Neil SG1, Farran RP1, Ewen A1, Hamilton M2, Myles ST2, Hader W2, Sutherland G2
Departments of Anesthesiology1 and Clinical Neurosciences2, University of Calgary, Alberta, Canada

P97                 
Office-Based Deep Sedation for Pediatric Ophthalmologic Procedures Using a Sedation Service Model
Matthew Tomlinson, B.S., Kirk Lalwani, M.D., F.R.C.A.,
Jeffrey Koh, M.D., M.B.A. and David Wheeler, M.D.
Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, Oregon, United States

P98                 
A novel mainstream capnometer system for non-intubated children requiring oxygen administration
K Miyasaka, S Abe, Y Shiima, F Takatori, S Yamamori
Nagano Children’s Hospital and Ogino Memorial Laboratory/Nihon Kohden

P99                 
The Reliability of Global and Checklist Scoring Methods in a Pediatric Acute Care Simulation Curriculum
W Waldrop, M McBride, J Fehr, D Murray
Washington University in St. Louis Department of Pediatrics and Anesthesiology

P100               
One Lung Ventilation for Anterior Spine Fusion: Perioperative Complications in Healthy Children
Divya Dixit, Robert P Brislin, Susmita Nesargi, Alfred T Dorsey,
Suken A Shah and Mary C Theroux
Department of Anesthesiology and Critical Care and Department of Orthopedics, Alfred I. Dupont Hospital

P101               
Who Can Pull it Out?
MB Rafique, D Maposa, S Sridhar & QS Khan.
UT-Houston Medical School, Houston, TX & Univ. of OK Health Sciences Center, Oklahoma City, OK

P102               
Evaluation and Implementation of an Automated Medication Dispensing System into Anesthesia Worksites at a Large University Hospital
E. Rebello, CE Cowles, S. Kee, M. Hernandez, K Sapire
The University of Texas MD Anderson Cancer Center, Houston, TX

P103               
Success of a Difficult Airway Registry at a Tertiary Care Pediatric Hospital
Paul Sheeran, Sandra McDermott, Deanie Davis, Amy Brenski
University of Texas Southwestern Medical Center, Children’s Medical Center Dallas, Dallas, TX

P104               
ABA certification and CME have an important role in maintaining highest standards in the practice of anesthesiology
L. De Marchi, J. Wu, BS Freeman
Georgetown University, Washington, DC

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Pain/Neuro Group
Moderator - Senthilkumar Sadhasivam, MD


P105               
POST-DURAL PUNCTURE HEADACHE IN CHILDREN: WHAT IS THE EFFECTIVE VOLUME FOR EPIDURAL BLOOD PATCH?
Felicia Birch, MD, See Wan Tham, MBBS, Sally Rampersad, MB, FRCA, Adrian Bosenberg, MBChB, FFA(SA)
Department Anesthesiology and Pain Medicine, Seattle Children’s Hospital

P106               
A Simple, Near-Ideal Simulation Model for Ultrasound-guided Regional Anesthesia
Charles B. Eastwood, MD, CM & David L Moore, MD
Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

P107               
Ultrasound Guided Axillary Nerve Blockade in Infants and Children: A Retrospective Analysis
A Sawardekar, J Stockman, M Kho, G Sivaja, S Suresh
Department of Pediatric Anesthesiology, Children's Memorial Hospital, Northwestern University’s Feinberg School of Medicine, Chicago, IL

P108               
Combined Intrathecal / Epidural Analgesia for Pain Management after Pediatric Spinal Fusions for Scoliosis
L Wang, C Lee, S Kishan, ML Schlunt
Loma Linda University Medical Center, Loma Linda, CA

P109               
Pharmacokinetics of Intranasal Ketorolac in Children
DR Drover, GB Hammer
Stanford University School of Medicine

P110               
Acute post-operative pain in infants: Use of the skin conductance monitor
Priti G Dalal, Kim Kopenhaver Haidet, Kelli Welker, Lisa Klick, Stella Britcher, Sarah Rebstock, Dmitri Bezinover,  Charles Palmer, Cheston Berlin,
Piotr Janicki
Departments of Anesthesiology and Pediatrics, Penn State Children’s Hospital, Hershey Medical Center, Hershey, PA 17033

P111               
Experience with a standardized anesthesia protocol for robotic-assisted laparoscopic surgery in young children
PM Meiera, LM Pereirac, RP Prescillaa, BJ Minnillob, HT Nguyenb, CS Houcka
Departments of Anesthesiologya and Urologyb Children’s Hospital Boston, and College of Pharmacy and Health Sciencesc, Boston, MA

P112               
Single high-dose rectal acetaminophen in infants with IHPS.
Khaled Sedeek, MD1, Mohamed El Sharif1, Saifeldin Mahmoud, MD1, and Josée Lavoie, MD2.
Penn State University, Hershey Medical Center, Hershey, PA & Montreal Children’s Hospital, Mc Gill University, Montreal, Quebec.

P113               
Extended Postoperative Analgesia via Tunneled Epidural Catheters in 90 Pediatric Bladder Exstrophy Patients
S. Patel1, R. Mathews2, J.Gearhart3, S Kost-Byerly4
Division of Pediatric 1,4 Anesthesiology and Critical care Medicine and 2,3Urology, Johns Hopkins Hospital, Baltimore, MD

P114               
Near Infrared Spectroscopy Values During Painful Procedures in Newborn – Correlation with Behavioral Markers
Rebecca Drinkaus MD, Andreas Taenzer MD, Joseph Cravero MD
Dartmouth Hitchcock Medical Center, Dartmouth Medical School

P115               
Cerebral blood flow autoregulation is preserved after severe cortical impact, but impaired when intracranial pressure is elevated in an infant swine model.
JO Mytar, JK Lee, K Kibler, RB Easley, CW Hogue, RC Koehler, DH Shaffner, KM Brady
Anesthesia and Critical Care Medicine, The Johns Hopkins University School of Medicine

P116               
Anaesthetic experience in infratentorial craniotomy surgery in Children
Devarajan J. M.D.*, Sung W M.D.^, Avitsian R M.D.*, Cata J M.D.*
Department of Pediatric Anesthesiology. *Department of General Anesthesiology. Anesthesiology Institute. Cleveland Clinic. Ohio. USA

P117               
Anesthetic Challenges of the Awake Craniotomy in a Pediatric Patient after Heart Transplant
Kim Poteet-Schwartz, MD, and Persis K. Shroff, MD
Arkansas Children’s Hospital, University of Arkansas for Medical Sciences

P118               
Sustained Sinus Bradycardia during Craniosynostosis Repair related to Endotracheal Tube Compression
Hyangwon Paek M.D., Helena Gunnerson M.D., David J Murray M.D.
Department of Pediatric Anesthesiology, Children’s Hospital at Washington University, St. Louis. MO.

P119               
Clinical Course of patients with Ataxia-Telangectasia admitted to the Intensive Care Unit
Justin Lockman, MD, Andrew J. Iskander, MD, Melania Bembea, MD, MPH
Thomas O. Crawford, MD, Howard Lederman, MD, PhD
Sharon McGrath-Morrow, MD, R. Blaine Easley, MD
The Johns Hopkins Hospital, Baltimore, MD

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Other Group
Moderator - Olubukola O. Nafiu, MD, FRCA


P120               
Prediction of Lumbar Plexus Depth in Children
Benjamin Walker MD, Sean Flack MBChB FCA,
Adrian Bosenberg MBChB FFA(SA)
Dept. of Anesthesiology and Pain Medicine, Seattle Children’s Hospital, University of Washington School of Medicine, Seattle, WA, USA

P121               
Role of the Nitric Oxide Synthase Immunoreactive Neurons of the Midbrain in Neuronal Adaptations with Development of Morphine Tolerance
D Bajic, KG Commons
Department of Anesthesiology, Pain and Perioperative Medicine, Children’s Hospital Boston, Boston, MA

P122               
Evaluation of a new technique for placement of interscalene brachial plexus perineural catheters in children and adolescents under general anesthesia.
LA Cox, HC Gurnaney, G Cucchiaro, A Ganesh
The Children’s Hospital of Philadelphia

P123               
Is The New Formulation of Dantrolene Sodium Quicker to Dissolve than The Old Formulation
E Lee, K Kibler, B Easley, H Shaffner, T Kim
The Johns Hopkins School of Medicine, Baltimore, Maryland

P124               
Development of a Web Based Pediatric Regional Anesthesiology Resource: WWW.PEDSREGIONAL.ORG
Corrie T. M. Anderson, MD, FAAP
University of Washington School of Medicine and Seattle Children’s Hospital

P125               
Evaluation of scientific activity of pediatric anesthesiologists in Canada using the Hirsch index
JD O’Leary, MW Crawford
The Hospital for Sick Children, Toronto, ON

P126               
Optimizing Perioperative Patient Flow for a Rapid Turnover ENT Service
Elena Adler, MD, and Anna M Varughese, MD, MPH
Department of Anesthesia, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States; University of Cincinnati Medical Center, Cincinnati, OH, United States

P127               
The Dark Side of Sedation: 12 Years of Pediatric Sedation for Electroretinography in the Dark.
Brian D Tompkins, M.D., Kirk Lalwani, M.D., F.R.C.A., M.C.R.,
Kevin Burnes, M.D., Melissa R Krahmer, M.S., and Richard Weleber, M.D
School of Medicine and Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, OR, United States.

P128               
Presenting Research Risks and Benefits to Parents: Does Format Matter?
T Voepel-Lewis, M.S.N., R.N., B Zikmund-Fisher, Ph.D., A Fagerlin, Ph.D.,
AR Tait, Ph.D.
Department of Anesthesiology, University of Michigan, Ann Arbor MI

P129               
Identification of Medical Simulation Center Characteristics at Children’s Hospitals
DA Young, SB Issenberg
Baylor College of Medicine/Texas Children’s Hospital; Houston, Texas

P130               
Incidence of Complications Using Two Methods of Deep Sedation for Cardiac MRI in Pediatric Patients
Solina Tith, B.S., Kirk Lalwani, M.D., F.R.C.A., M.C.R., Rochelle Fu, Ph.D.
Anesthesiology and Peri-Operative Medicine, Oregon Health & Science University, Portland, Oregon

P131               
Is there a need for a formal Curriculum on Sedation of Children in a Pediatric Residency Program and should Anesthesiology lead this effort?
L Torres
Texas Children's Hospital, Houston, Texas

P132               
A Single Center Experience in the Use of Regional Anesthesia in Pediatric Orthopedic Procedures
C. Kuo, J. Louca, R Baker, S. Ohkawa, L. Sun
Department of Anesthesiology, Columbia University, New York, NY

P133               
DOES REGIONAL ANESTHESIA REDUCE BLOOD LOSS IN CRANIOSYNOSTOSIS SURGERY?
K Keech, A Bosenberg, J Gruss
Seattle Children’s Hospital, University of Washington, Seattle, WA

P134               
Intranasal Combination Dexmedetomidine and Midazolam for Pediatric Procedural Sedation
B Greenberg MD, J Schoonover NP, A Graf NP, K Jedlicki NP, E Overbey MD, S Auden MD
Pediatric Anaesthesia Associates, Kosair Children’s Hospital, Louisville KY

P135               
Use of Vein Viewer for insertion of peripheral venous cannulas in pediatric patients with difficult intravenous access.
P Szmuk1,2, RB Pop1,2, A Farrow-Gillespie1, H Sakhai1, JW Steiner1,2
University of Texas Southwestern and Children's Medical Center (1) and Outcome Research Consortium, Dallas, Texas, United States; (2) Outcomes Research Consortium

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