Pediatric Anesthesiology 2002
March 7-10, 2002
Fontainebleau Hilton Resort
Miami Beach, Florida

Primary Objectives

Secondary Objectives


Clinical trials: Are clinicians getting the information they want?

How have pediatric clinical trials influenced practice: Past and future.

Post-marketing drug safety: Does FDA approval provide guarantees?

Generic drugs: Availability and viability

Fetal Surgery

Evolution and spectrum of fetal interventions

Anesthesia for fetal surgery

Designing a clinical trial of fetal surgery: The myelomeningocele saga

Pro/Con: Standards improve quality of clinical care

AAP Advocacy Lectures

Ethical implications of pediatric research.

Pediatric research from the child's perspective.

Oral analgesics in children

Update in Cardiac Anesthesia

Anesthesia and myocardial function

Anesthetics and stress ablation



Refresher Courses

PACU problems and solutions

Anesthesia for children in remote locations

Neonatal pain management

Ventilators in the OR

Myopathies in pediatric anesthesia

Perioperative apnea in neonates

Sedation systems

Induction techniques in children



Regional anesthesia for the lower extremity

Managing epidurals

Sub-arachnoid blocks

Regional anesthesia for the upper extremity

What's new for acute pain

Designing clinical trials

Magical distractions for children


After the completion of the PBLD, the participant should be able to:

1. Penetrating eye injury in a child with full stomach.
Case: 2 ½ year old presents to an ER with penetrating injury to the left eye. Parents report he just ingested a full breakfast.

2. Appendectomy in a child with motor weakness.
Case: 5 year-old presents with acute abdomen believed due to acute appendicitis. On careful questioning, parents describe progressive inability to keep up with peers and delayed onset of walking in infancy. They have some vague recollection that an uncle died during anesthesia.

3. Spinal surgery in a patient with residual congenital heart disease.
Case: 20 year-old with scoliosis and tetralogy of Fallot. He had a repair early in childhood, but has cardiac sequelae including moderate branch pulmonary artery stenosis, severe pulmonary insufficiency, right ventricular dysfunction and ventricular arrhythmias.

4. Head trauma with difficult airway.
Case: 9 year-old with Hurler's syndrome presents with a depressed skull fracture sustained in a fall. Parents report doctors saying it was nearly impossible to "get the breathing tube in" for previous surgeries. One elective procedure had to be cancelled after 4 hours of unsuccessful attempts. The child is unconscious, but breathing spontaneously.

5. Pyloric stenosis without IV access.
Case: 4 week old infant presents for pyloromyotomy. He arrives in the OR holding area with an infiltrated IV. Intern in her first week of training reports that she has been trying to get a new one for the past 5 hours. Extremities are notable for numerous ecchymoses.

6. Multiple trauma with pulmonary infiltrates
Case: 7 year old unrestrained passenger in a MVA presents with multiple traumatic injuries including closed head injury, bilateral femoral fractures, an open elbow fracture. Preoperative chest film shows bilateral pulmonary infiltrates.

7. Critical care medicine fellow and propofol sedation
Case: Quality assurance nurse monitor reports to you that a critical care medicine fellow has taken a 4 year-old trauma patient to the MRI scanner and has asked the nursing staff to prepare propofol for infusion to facilitate the scan. The child is breathing through a natural airway. The fellow states that his attending is at home, but he is fully qualified to manage any airway issue that might arise.

8. Tracheoesophageal fistula and murmur
Case: Newborn 35-week gestation infant with tracheoesophageal fistula scheduled for repair. Found to have a murmur on pre-operative evaluation.

9. Mediastinal mass for bone marrow aspirate in oncology clinic
Case: 6 year old with newly diagnosed anterior mediastinal mass and leukocytosis for bone marrow aspirate in oncology clinic. Family reports a new "bluish" tinge to his face and mild periorbital edema. Oncologist advocating this "less invasive" diagnostic approach to avoid going to the OR for mediastinal biopsy.

10. Thoracic epidural for coarctation repair
Case: 4 year old with discrete coarctation of the aorta presents for surgical repair. Parents have heard that epidural analgesia is superior to conventional (intravenous) methods.

11. Failing spinal in a former premie
Case: 10 week old former 29-week gestation infant for bilateral herniorrhaphy. Infant had been home for one month prior to surgery on home apnea monitoring. Parents report several alarms, but they are questionable because the baby is fine when they check him. Spinal anesthesia selected, but the infant becomes quite restless and agitated, crying intermittently, before the surgeons have finished the first side.

12. Infant for total cranial vault reshaping.
Case: 9 month-old infant with severe Apert's syndrome for major craniofacial surgery.