SPA/AAP Pediatric Anesthesiology 2009

Abstract Listing

ORALS

YIA/1 Preliminary Experience with Reconstituted Blood in Children Undergoing Craniofacial Reconstruction SurgeryPA Stricker, Davis AR, Mendohlson J, Burgess B, Ciampa B, Bartlett SP, Sesok-Pizzini DA, Jobes DRThe Children’s Hospital of Philadelphia and University of Pennsylvania School of Medicine

YIA/2` How do Pediatric Anesthesiologists define HypotensionOO Nafiu, KK Tremper, M Morris, WT Chimbira, S Malviya, P ReynoldsUniversity of Michigan, Ann Arbor, Michigan

RRA/1 Electrocarediographic Effects of Dexmedetomidine in Patients following Cardiothoracic Surgery – Preliminary ResultsR Komarlu, P Callahan, SE Lichtenstein, D Damain, A Phadke, D Shiderly, G Arora, R Orr, P Wearden, VO Morell, R Munoz, C Chrysostomou, EH JoosteChildren’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA

RRA/2 An Innovative Wellness Program for Residents in TrainingH Saadat, AA Considine, R Wardhan, ZN KainYale School of Medicine, New Haven, CT

RRA/3 Continuous Lumbar Plexus Blocks for Perioperative Pain Management in ChildrenJonathan C. Rowell, MD, Kathleen Larkin, MD, Sean Flack, MBChB FRCA, Laurilyn Helmers, MD, Adrian Bosenberg MBChB FFADepartment of Anesthesiology & Pain Medicine, Seattle Children’s Hospital, University of Washington School of Medicine, Seattle, WA

WALK AROUND POSTER DISCUSSION POSTERS

Scientific Group 1CardiacMODERATOR –

1-1 EEG Seizures After Neonatal Cardiac Surgery with High-Flow Bypass and Maximized Oxygen Delivery StrategyD.B. Andropoulos, M.D., M.H.C.M., D.P. Nelson, M.D., S.A. Stayer, M.D., A.R. Stark, M.D., E.D. McKenzie, M.D., J.S. Heinie, M.D., C.D. Fraser, Jr., M.D., R. A. Hrachovy, M.D., E. Mizrahi, M.D.Departments of Anesthesiology (Drs. Andropoulos, Stayer), Pediatrics (Drs. Nelson, Stark, Andropoulos, Stayer, Fraser), Surgery (Drs. Fraser, McKenzie, Heinle), Neurology/Electrophysiology (Drs. Hrachovy and Mizrahli)Baylor College of Medicine/Texas Children’s Hospital, Houston, Texas

1-2 Brain MRI Injury Before and After Neonatal Cardiac Surgery with High-Flow Bypass and Maximized Oxygen Delivery StrategyD.B. Andropoulos, M.D., M.H.C.M., J.V. Hunter, M.D., D.P. Nelson, M.D., S.A. Stayer, M.D., A.R. Stark, M.D., E.D. McKenzie, M.D., J.S. Heinie, M.D., C.D. Fraser, Jr., M.D.Departments of Anesthesiology (Drs. Andropoulos, Stayer), Pediatrics (Drs. Nelson, Stark, Andropoulos, Stayer, Fraser), Radiology (Dr. Hunter), and Surgery (Drs. Fraser, McKenzie, Heinle)Baylor College of Medicine/Texas Children’s Hospital, Houston, Texas

1-3 Experience with Propofol as a Bridge to Extubation in Children with Congenital Heart DiseaseS Teng, E da Cruz, R Friesen, D Polaner, A Czaja, D Ranade, J KaufmanThe Children’s Hospital of Denver, Denver, CO

1-4 Hemodynamic Effects following Administration of Dexmedetomidine via IV Push in Pediatric Patients Status Post Heart Transplant – Preliminary resultsWT Muhly, JW Ibinson, T Suresh, D Damian, S Miller, B Feingold, SE Lichtenstein, PJ Davis, EH JoosteChildren’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA

1-5 Ketamine and complications after procedures requiring general anesthesia in children with pulmonary hypertensionGD Williams, JA Feinstein, K Kamura, E Bair, C RamamoorthyLucile Packard Children’s Hospital, Stanford Medicine School

1-6 The Use of Nitric Oxide in the Management of Hypoxemia due to Pulmonary Arteriovenous Malformations During Separation from Cardiopulmonary Bypass in a Child Undergoing Fontan CompletionDH Gambrell D.O., GA Bushman, M.D., B Harris, M.D.Children’s Hospital of Los Angeles

1-7 A Prospective Audit of Paediatric Cardiac MRI under General Anaesthesia: How safe is it?Emma Stockton, Angus McEwan, Marine Hughes, Andrew TaylorGreat Ormond Street Hospital

1-8 Monitoring cerebrovascular autoregulation with reflectance near-infrared spectroscopy during pediatric cardiac surgeryJO Mytar1, RB Easley1, JK Lee1, LA Vricella2, DE Cameron2, R Thompson3, KM Brady1

1) pediatric anesthesia and critical care medicine 2)cardiacsurgery 3) pediatric cardiologyJohns Hopkins University School of Medicine

1-9 Anethetic management of the Hybrid procedure for Hypoplastic Left Heart Syndrome (HLHS)A.N. Naguib, P. Winch, M. Corridore, J. Isaac, B. Staker, T. John\, R. Rodeman, V. Olshove, J.P. Cheatham, M. GalantowiczDepartment of Pediatric Anesthesia/The Heart Center, Nationwide Children’s Hospital, Columbus, OH

1-10 Activated clotting times and heparin levels in infants: how do they compare?HG Monitz, J Fernandez, TM Fazlollah, SR Tosone, BE Miller, NA GuzzettaEmory University School of Medicine, Children’s Healthcare of Atlanta

1-11 Hyperlactatemia in Children with Congenital Heart Diseases after Operations with Artificial Blood CirculationA.Y. Bakanov, A.V. Najmushin, I.N. Menshugin, A.P. Mihajlov, A.E. BautinV.A. Almazov Heart, Blood and Endocrinology Center Saint-Petersburg, Russia

1-12 The Anesthetic Challenges of a Patient with Secondary Pulmonary Artery Embolization of a Helex Occluder Implanted into a Secundum Atrial Septal DefectGM Almeida-Chen, MD, MPH, J Diaz-Gomez, MD, J Niezgoda, MD, and P Motta, MDCleveland Clinic, Cleveland, OH and Texas Children’s Hospital, Baylor College of Medicine, Houston, TX

1-13 One Lung Anesthesia for Infants, a Case SeriesCJ Sutton, MD; A Naguib, MDNationwide Children’s Hospital, The Ohio State University

1-14 Nuclear Magnetic Resonance Spectroscopy (NMRS): A Means to Evaluate Metobolic Changes in a Developing Hypoxic Rat Pup ModelLW Faberowski, B Peluso, N SerkovaUniversity of Colorado Health Sciences Center at Denver; The Children’s Hospital

CA/7 – 1-15 Evaluation of the i-STAT instrument for monitoring activated clotting times in infantsHG Monitz, J Fernandez, TM Fazlolla, SR Tosone, BE Miller, NA GuzzettaEmory University School of Medicine, Children’s Healthcare of Atlanta

Scientific Group 2General IMODERATOR -

2-1 Evaluation of nurse-led pre-assessment telephone questionnaire method in preoperative screening of elective pediatric surgery: a one month reviewShailesh, S., Apuya, J., Maheswari, K., and Andrews, S.University of Arkansas for Medical Sciences and Arkansas Children’s Hospital, Little Rock, AR

2-2 Carbon Monoxide Exposure During Routine Anesthetics in ChildrenRJ Levy1, V Nasr1, O Rivera1, R Roberts1, M Slack1, J Kanter1, K Ratnayaka1, RF Kaplan1, FX McGowan2

1Children’s National Medical Center, GWU School of Medicine and Health Sciences 2Children’s Hospital, Boston, Harvard Medical School

2-3 Does Dexmedetomidine provide analgesia in pediatric tonsillectomy and adenoidectomy patients?Olutoyin Olutove M.D., Chris Glover M.D., Mehernoor Watcha M.D., Carla Giannoni M.D., Marcell Sulek M.D., Ellen Friedman M.D., Stephen S. Stayer M.D., Diedra Larrier M.D. and John Diefenderfer B.S.Departments of Anesthesia and Otolaryngology, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas

2-4 In Boys with Obstructive Sleep Apnea, Caffeine Decreased Post-Extubation Adverse Respiratory EventsDouglas Maposa, M.D.*, Priyantha Perera, M.D.*, Alice Chuang, Ph.D.§Samia N. Khalil, M.D.**Department of Anesthesiology §Department of Ophthalmology and Visual SciencesThe University of Texas Medical School at Houston, Houston, Texas

2-5 Using Lean (Toyota) Methods in Creation of a Regional Block Room to Expedite Surgical Case FlowKatherine Cashman, MD, Laurilyn Helmers, MD, Sean Flack, MB ChB, FCA, Lyn Martin, MDSeattle Children’s Hospital, Seattle, WA; University of Washington Department of Anesthesia, Seattle, WA

2-6 Anesthetic Management of Tonsillectomy and Adenoidectomy – a survey of Society for Pediatric AnesthesiaJ Steiner, S Adefeyisan, D Henry, R Pop, P SzmukUniversity of Texas Southwestern and Children’s Medical Center, Dallas, TX

2-7 Attention-deficit disorder: Anesthesia effects on behavioral patternsTara Doherty, D.O., Terri Voepel-Lewis, M.S.N. R.N., Lindsey Kelly, B.S. Shobha Malviya, M.D.Alan R. Tait, Ph.D.University of Michigan Medical Center – Mott Children’s Hospital

2-8 Efficacy of the Storz Miller I Video Laryngoscope Blade in a Simulated Difficult IntubationJE Fiadjoe, P. Stricker, M. Rehman, RS Hackell, A. Salam, RS LitmanThe Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania

2-9 High body mass index in children as a risk factor for intra-operative hypotensionS. Maclean, A. Cowan, OO NafiuUniversity of Michigan, Ann Arbor, Michigan

2-10 Impact of high concentrations of sevoflurane on laryngeal reflex responsesTO Erb, BS von Ungern-Sternberg, K Keller, FJ FreiDivision of Anesthesiology, University Children’s Hospital, Basel, Switzerland

2-11 Temperature Changes During Induction of General Anesthesia in Pediatric PatientsM Shukry, D Frimberger, AJ de Armendi, JA CureUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK

2-12 Anesthesia for cardiac sympathectomy in children with congenital long QT syndrome – A case seriesC.A. Kenyon, R. Flick, C. Moir, M.J. Ackerman, C.M. PabelickMayo Clinic, Rochester, MN

2-13 Spontaneous Postoperative Rostral Migration of a Thoracic Epidural Catheter in a 15-Month Old Discovered by Incidental X-RaysM Marino, R Jennings, C SeefelderDepartment of Anesthesiology, Perioperative and Pain Medicine, Children’s Hospital Boston, Boston, MA

2-14 Spinal Anesthesia in a two-week old full term neonate presenting with hypotonia and failure to thrive with suspected congenital myopathy for vastus muscle biopsyBettina Smallman MD, Neal Puthumana MD, David Romano MDSUNY Upstate Medical University

2-15 The Effect of a 3:1 Volume Mixture of Propofol 1% and Thiopental 2.5% in Reducing the Pain on Injection of Propofol in ChildrenD Fahringer, MD, S Goodwin, MD, F Gurgis, MD, M Warde, RN. BSNNemours Children’s Clinic, Jacksonville, FL

Scientific Group 3General IIMODERATOR -

3-1 Emergency Paediatric Tracheostomy: A Review of Six CasesF Wrightson*, E Hipwell*, J Smith***Specialist Registrar, **Consultant, Anaesthetics, Great Ormond Street Hospital, London

3-2 A Retrospective Review of Non-cardiac Surgery and Anesthesia in Patients with Surgically Corrected D-Transposition of the Great ArteriesRE Christensen, PI Reynolds, BK Bukowski, SV MalviyaUniversity of Michigan Health System, Ann Arbor, MI

3-3 Anesthetic management of patients with 22q11.2 deletion syndromeGore C., Diefenderfer J., Young M., Gottlieb E., Stayer S.Department of Anesthesiology, Texas Children’s Hospital, Baylor College of Medicine, Houston, TX

3-4 Preoperative Pulmonary Function Testing in Patients with Duchenne Muscular Dystrophy Predicts the Need for Postoperative VentilationD Baker, R. Schenkelberg, J Cole, D MurrayWashington University School of Medicine, St. Louis, MO

3-5 Perioperative Complications in Children with Spinal Muscular AtrophyA Laubach, MD, U Athiraman, MD, R Graham, MD, N Sethna, MDChildren’s Hospital of Boston, Harvard Medical School, Boston, MA

3-6 Can Dexmedetomidine be used as a sole anesthetic in the management of patients with anterior medistinal mass?Priscilla Gracia, M.D., Kalyani Govindan M.D., Mary Pina CRNA, Olutoyin Olutoye M.D.Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas

3-7 Real Time Assessment of Perioperative Behaviors with Refined PACBISSadhasivam S, Hosu L, Hein E, Varughese A, Jou F, Samol N, Kurth CD, Cohen L, Gunter JCincinnati Children’s Hospital Medical Center, Department of Anesthesiology

3-8 Comparison of Anesthetic Techniques in Standard Pediatric Voiding CystourethrogramM. Hausdorff, B Vickers, A ReddySt. Barnabas Medical Center, Livingston, NJ

3-9 The Age-Dependent Effect of Sevoflurane-Induced Neuronal Degeneration in Organotypic Hippocampal Slice CulturesEG Piehl, P Guillod, LW FaberowskiUniversity of Colorado Health Sciences Center at Denver; The Children’s Hospital

3-10 A comparison of the use of intra-operative vasopressors during pediatric liver transplantation for patients with and without portal hypertensionAP Ambardekar, M Rehman, S Cook-Sather, H Gurnaney, J Fiadjoe, C Pasquariello, B Kamath, E Rand, K Olthoff, A JawadChildren’s Hospital of Philadelphia, Philadelphia, PA

3-11 The association between intraoperative glucose levels with morbidity and mortality in pediatric liver transplantationW.T. Chimbira MBChB FRCA, O.O. Nafiu MD, FRCA, I. Lewis MRCP FRCA, P. Picton MRCP, FRCAUniversity of Michigan Health Systems, Ann Arbor, Michigan

3-12 Anesthetic considerations in patients with Loeys-Dietz syndromeJennifer Hickman MD, Susan Taylor MDChildren’s Hospital of Wisconsin

3-13 Effect of Propofol on Sevoflurane induced agitation in young children – a novel approachB Smallman*, I Yamout**, D Sweeney***, HJ Lemmens**Syracuse Upstate Medical University*, Lucile Packard Children’s Hospital at Stanford**, Golisano Children’s Hospital at University of Rochester Medical Center***

3-14 A case report of Jehovah’s Witness patient with a mixed mitochondrial disorder undergoing surgery using a tourniquetDH Gambrell, D.O., D Filsinger, M.D., GA Bushman, M.D.Children’s Hospital of Los Angeles

3-15 Angiotensin Converting Enzyme Inhibitors and Intraoperative Hypotension in Children under AnesthesiaWT Chimbira FRCA, I Lewis FRCA and PI Reynolds MDUniversity of Michigan Health System, Ann Arbor, MI

Scientific Group 4PainMODERATOR -

4-1 The Side Effects and Safety of Epidural Analgesia following Pediatric Scoliosis SurgeryE Demers Lavelle (1), W Lavelle (2), G Youssef (3), L Mounir-Soliman (3), J Niezgoda (3)(1) Department of Anesthesia and Pediatrics, SUNY Upstate Medical University, Syracuse, NY; (2) Department of Orthopaedic Surgeryk, SUNY Upstate Medical University, Syracuse, NY; (3) Department of Pediatric Anesthesia, Cleveland Clinic, Cleveland, OH

4-2 Determination of spinal cord and dural sac location by ultrasound prior to caudal block in normal neonates and infantsS. Verma, MD, S Flack MBChB FCA (SA), AT Bosenberg, MBChB FFA (SA)Department of Anesthesiology & Pain Medicine, Seattle Children’s Hospital, University of Washington School of Medicine, Seattle, WA

4-3 Sex Differences in PACU Opioid Requirements in Children Following ENT SurgeryC Ing, J Saroyan, J Haddad, G Gereau-Haddon, E Grunstein, A Kakavouli, L SunColumbia University, College of Physicians and Surgeons, New York, NY

4-4 Efficacy of postoperative epidural analgesia in adolescent scoliosis surgery: A Meta-AnalysisAndreas H. Taenzer, MD, FAAP; Cantwell Clark V, MD, MSDartmouth Medical School, Hanover, NH

4-5 New Teaching Model for Practicing Ultrasound Techniques: No Perishable Food products!Y Liu, N Glass, R PowerTexas Children’s Hospital, Baylor College of Medicine, Houston, TX

4-6 Preemptive analgesia in children using caudal epidural ropivacaine: A prospective, randomized, double-blinded, controlled studyGC Matchett, M Gabaldon, S Tan, C LeeLoma Linda University Medical Center, Loma Linda, CA

4-7 Hemodynamic and sedative effects of dexmedetomidine and ketamine for procedural sedation in childrenJoseph D. TobiasDepartments of Anesthesiology & Pediatrics, University of Missouri, Columbia, Missouri

4-8 Epidural Versus IV PCA for Postoperative Pain Control in Pediatric Scoliosis PatientsE Demers Lavelle (1), W Lavelle (2), G Youssef (3)(1) Department of Anesthesia and Pediatrics, SUNY Upstate MedicalUniversity, Syracuse, NY; (2) Department of Orthopaedic Surgery, SUNY Upstate Medical University, Syracuse, NY; (3) Department of Pediatric Anesthesia, Cleveland Clinic, Cleveland, OH

4-9 Thoracic epidural analgesia for pectus repairS Shetty, M.D., S Bidani, M.D., H Karlberg, M.D., D Cooper, B.S. MF Watcha, M.D.Texas Children’s Hospital, Department of Anesthesiology, and Baylor College of Medicine, Houston, TX

4-10 Balanced Scorecard for Pediatric Quality ManagementD Vermaire, K Goldschneider, R GoinsCincinnati Children’s Hospital Medical Center, Cincinnati, OH

4-11 Pain-morphine interaction in descending pain-modulatory pathwaysinvolving noradrenergic A7 neurons but not serotonergic neurons of the nucleus raphe magnusD Bajic, KG CommonsDepartment of Anesthesiology, Pain and Perioperative Medicine, Children’s Hospital Boston, Boston, MA

4-12 Spinal Anesthesia in Infant Rats: Preliminary Observations and Development of a ModelCB Berde, B Yahalom, UK Athiraman, S SorianoChildren’s Hospital Boston and Harvard Medical School

4-13 Comparison of Postoperative Opioid Usage between Children who received Remifentanil or Sufentanil Infusions During Spine Fusion SurgeryTM Doherty, T Voepel-Lewis, RE Christensen, AR Tait, A Mitchell, S MalviyaUniversity of Michigan Health Systems, Ann Arbor, MI

4-14 Epidural Analgesia in Postoperative Care for Pediatric Pectus DeformitiesAnjana Kundu, MBBS, DA, Tracy E Harrison MD, Nathalia Jimenez MD, MPH, Kristy Seidel, MS, Lyn n D. Martin, MDDepartment of Anesthesiology and Pain Medicine, Seattle Children’s Hospital, University of Washington School of Medicine, Seattle, Washington, USA

Scientific Group 5Pain/CardiacMODERATOR -

5-1 Intravenous patient-controlled analgesia provides equivalent pain control compared to thoracic epidural analgesia for patients undergoing minimally invasive pectus excavatum repairCL Mai, TR Mark, P Colombani, S Kost-ByerlyJohns Hopkins Hospital, Baltimore, MD

5-2 What can we learn from a Daily Pediatric Pain Report?CB Groenewald, TE Harrison, RT Wilder, PE CarnsMayo Clinic, Rochester, MN

5-3 Addition of Low-Dose Morphine to Caudal Block is a Questionable Benefit Following PyloromyotomyDT Chevalier, JF Mayhew, G MychaskiwUniversity of Mississippi School of Medicine, Jackson, MS

5-4 Improving Safety for a Pediatric Acute Pain ServiceD Vermaire, K Goldschneider, R GoinsCincinnati Children’s Hospital Medical Center, Cincinnati, OH

5-5 Effects of Intrathecal Morphine on the Postoperative Pain Experience in Patients Undergoing Posterior Spinal ‘FusionB. McClain, R. Kingsley, A. Considine, K. MillerYale School of Medicine, New Haven, CT

5-6 Evaluation of the Clinical Significance of Pain Scores in Children following SurgeryND Jeffreys MD, S Malviya MD, AR Tait PhD, T Voepel-Lewis MSN, RNUniversity of Michigan Health Systems, Ann Arbor, MI

5-7 Long Term Narcotic Use in Scoliosis Patients after Acute Pain Control with Epidural CathetersElizabeth A. Demers Lavelle, M.D. (1), William F. Lavelle, M.D. (2), George Youssef, M.D. (3)(1) Department of Anesthesia and Pediatrics, SUNY Upstate MedicalUniversity, Syracuse, NY; (2) Department of Orthopaedic Surgery, SUNY Upstate Medical University, Syracuse, NY; (3) Department of Pediatric Anesthesia, Cleveland Clinic, Cleveland, OH

5-8 Patient and Parental Satisfaction in a Pediatric Pain ServiceD Vermaire, K Goldschneider, R GoinsCincinnati Children’s Hospital Medical Center, Cincinnati, OH

5-9 Anesthetic management of the newborn with Hypoplastic Left Heart Syndrome and Intact Atrial SeptumNathan Brakke, MD; Mark D. Twite, MDThe Children’s Hospital, Denver & University of Colorado

5-10 Changes in near infrared spectroscopy during deep hypothermic circulatory arrestJoseph D. TobiasDepartments of Anesthesiology & Pediatrics, University of Missouri, Columbia, Missouri

5-11 Brain Immaturity on MRI is Associated with Pre- and Postoperative Brain Injury in Neonates Undergoing Cardiac SurgeryD.B. Andropoulos, M.D., M.H.C.M., J.V. Hunter, M.D., D.P. Nelson, M.D., S.A. Stayer, M.D., A.R. Stark, M.D., E.D. McKenzie, M.D., J.S. Heinie, M.D., C.D. Fraser, Jr., M.D.Departments of Anesthesiology (Drs. Andropoulos, Stayer), Pediatrics (Drs. Nelson, Stark, Andropoulos, Stayer, Fraser), Radiology (Dr. Hunter) Surgery (Drs. Fraser, McKenzie, Heinle)Baylor College of Medicine/Texas Children’s Hospital, Houston, Texas

5-12 New technology…New uses: Using a GlideScope® Video laryngoscope (Verathon) for TEE probe insertionJ Drescher, S Daves, M HernandezUniversity of Chicago Medical Center and Comer Childen’s Hospital, Chicago, IL

5-13 Intraoperative Transesophageal Echocardiographic Evaluation of Congenitally Corrected Transposition of the Great Arteries for Orthotopic Heart TransplantSergio Bustamante, MD, Ricardo Riveros, MD, Ahmad Adi, MD, Michelle Capdeville, MDThe Cleveland Clinic Foundation, Cleveland, OH

Scientific Group 6Neuro/General AnesthesiaMODERATOR -

6-1 Dexmedetomidine is Less Pro-Apoptotic than Ketamine in the Neonatal Rat BrainJR Liu, Q Li, D Bajic, JC Ibla, SG SorianoDepartment of Anesthesiology, Perioperative and Pain Medicine, Children’s Hospital Boston/Harvard Medical School, Boston, MA

6-2 Isoflurane Alone does not Produce Programmed Cell Death in Hippocampus Tissue Cultures of Seven Day Old MiceU. Schwarz MD, D. Doherty MB BChDepartment of Anesthesia, Children’s Hospital of Eastern Ontario Ottawa, Ontario Canada

6-3 Nuclear Magnetic Resonance Spectroscopy (NMRS): A Means to Evaluate Metobolic Changes within the Developing Cortex and HippocampusLW Faberowski, M Barron, N SerkovaUniversity of Colorado Health Sciences Center at Denver: The Children’s Hospital

6-4 Cerebral Blood Volume and Cerebrovascular Reactivity Measured by Near Infrared SpectroscopyJK Lee1, KK Kibler1, PB Benni2, RB Easley1, M Czosnyka3, P Smielewski3, RC Koehler1, DH Shaffner1, KM Brady1

1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD. 2CAS Medical Systems, Inc (CASMED), Branford, CT. 3Department of Academic Neurosurgery, Addenbrooke’s Hospital, Cambridge, U.K.

6-5 Anesthesia Experience in Infants with Craniosynostosis for Endoscopic Strip Craniectomy: A Retrospective ReviewPM Meier, SM Goobie, MR Proctor, SG SorianoDepartments of Anesthesiology and Neurosurgery, Children’s Hospital Boston and Harvard Medical School, Boston, MA

6-6 Estimation of brain perfusion and central hemodynamics in critically ill newborns after a severe intranatal asphyxiaDN Surkov, VI Snisar, OG KapustinaDnipropetrovs’k State Medical Academy, Children City Hospital #3, Dnipropetrovs’k, Ukraine

6-7 Review of the Effect of Amicar on Blood Loss in Pediatric Idiopathic Posterior Spinal FusionDenisa Haret, MD, M Saif Siddiqui, MD, Richard McCarthy, MD, Carol D Pierce, RNPArkansas Children’s Hospital, University of Arkansas for Medical Sciences

6-8 Anesthetic Management of Endoscopic Strip Craniectomy Surgery for Sagittal Suture Craniosynostosis: A Case-Series/ReviewMeera Gangadharan, James Rogers, D.F. Jimenez, C. BaroneUniversity of Texas Health Science Center, San Antonio, Texas

6-9 Brain-derived Neurotrophic Factor (BDNF) in the Developing Hippocampus: The Effect of Age, Hypoxia and IsofluraneC Wood, N Hamilton, LW FaberowskiUniversity of Colorado Health Sciences Center

6-10 Complications during procedural sedation for MRI: A one-year retrospective analysis in a pediatric settingSheth, M1, Apuya, J2, Killebrew, P2

1University of Mississippi Medical Center and Batson Children’s Hospital, Jackson, MS, 2University of Arkansas for Medical Sciences and Arkansas Children Hospital, Little Rock, AR

6-11 Anesthetic Considerations for neonates and infants undergoing gel treatment for Aneurysm of Galen, 2001 to presentC.A. Gore, M. Young, J. Diefenderfer, S.A. StayerDepartment of Anesthesiology, Texas Children’s Hospital, Baylor College of Medicine, Houston, TX

6-12 Distinguishing Ambiguous from Inadvisable CareA Kuisle, D Waisel, R Sharma, B KussmanChildren’s Hospital Boston and Harvard Medical School, Boston, MA

6-13 Comparing peripheral venous access between obese and normal weight children: preliminary resultsAD Cowan, N Tutuo, C Burke, OO NafiuUniversity of Michigan, Ann Arbor, Michigan

6-14 Dexmedetomidine as an Adjuvant for MRI Sedation in a Neurologically Impaired ChildA Qadeer, LJ Yates, I Florentino-PinedaChildren’s Medical Center, Medical College of Georgia, Augusta, GA

Scientific Group 7Airway/TechniqueMODERATOR -

7-1 Comparison of Dexmedetomidine with Propofol for Magnetic Resonance Imaging Sleep Studies in ChildrenMahmoud M, Gunter J, Donnelly L, Wang Y, Nick T, Sadhasivam SCincinnati Children’s Hospital Medical Center, Department of Anesthesiology

7-2 Comparison of the effects of endotracheal tube or laryngeal mask insertion and removal on intraocular pressure and hemodynamic changes in glaucomatous children under general anesthesiaB. Sennaraj, S. Sadhasivam, J. Devarajan, P. T. Tamilselvan and R. MadanAll India Institute of Medical Sciences, New Delhi, India

7-3 Effect of increasing depth of dexmedetomidine Anesthesia on upper airway Configuration in childrenMahmoud M, Radhakrishman R, McAuliffe J, Beckman E, Wang Y, Nick T, Rajagopal A, Donnelly LCincinnati Children’s Hospital Medical Center, Department of Anesthesiology

7-4 The Children’s Hospital of Philadelphia Difficult Intubation Registry: An UpdateRebecca S. Hackell, John E. Fiadjoe, Sina Shah-Hosseini, Mohamed Rehman, Ronald S. LitmanThe Children’s Hospital of Philadelphia

7-5 Effects of Dexmedetomidine on Epiglottic and Base of Tongue Prolapse in ChildrenS Woelfel MD, A Cassara MD, LM Borland MD, JG Cain MD, B Martin DMD, R Yellow MD, C Telford MS-IIIChildren’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA

7-6 A Prolonged EXIT: Challenges of Fetal AnesthesiaSL Hebbeler, K Banerjee, CR BachmanUniversity of ‘Chicago Medical Center, Chicago, IL

7-7 Retained LTA: An Airway Foreign Body Introduced During AnesthesiaK Hancock, G Merritt, P KelleyUniversity of Colorado at Denver and The Children’s Hospital, Denver, CO

7-8 Novel Use of Urethral Catheter for Atraumatic Nasal IntubationChris GloverUT Southwestern – Children’s Medical Center, Dallas, TX

7-9 Overcoming the Pilot Balloon “Blues”PG KovatsisChildren’s Hospital Boston, Boston, MA

7-10 Transversus Abdominis Plane Block in ChildrenBJ Walker1, SH Flack1, L Langford2, MT Bosenberg2, AT Bosenberg1,2

University of Washington School of Medicine, Seattle Children’s Hospital, Seattle, WA1 and Red Cross Children’s Hospital, Cape Town, South Africa2

7-11 Regional Anesthesia in Children – Localizing Techniques Pediatric Regional Anesthesia Network (PRAN) data from 1/2007 to 10/2008Andreas Taenzer, MD, FAAP1; Joseph Cravero, MD, FAAP1; Elliott Krane, MD, FAAP2; Lynn Martin, MD, FAAP, FCCM3; David M. Polaner, MD, FAAP4; Santhanam Suresh, MD, FAAP5, and the members of the Pediatric Regional Anesthesia Network1Children’s Hospital at Dartmouth and Dartmouth Medical School, Lebanon, NH; 2Lucile Packard Children’s Hospital, Stanford University School of Medicine, Stanford, CA; 3Seattle Children’s Hospital, University of Washington School of Medicine, Seattle, WA; 4TheChildren’s Hospital, Denver and University of Colorado School of

Medicine, Aurora, CO; 5Children’s Memorial Hospital, Northwestern University School of Medicine, Chicago, IL

7-12 Use of Simulation to Teach Pediatric Lung Isolation TechniquesAnna Maria Onisei MD, Denisa Haret MD, Travis HillArkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas

7-13 The Impact of Inhalational Induction Versus Rapid Sequence Induction on Perioperative ComplicationsAA Considine, D Snegovskikh, SM WangYale University School of Medicine, New Haven, CT

7-14 A Brief Sedation with Inhaled Anesthetic Agents Satisfies the Pediatric Diagnostic CT Procedures with great Safety and Expedition of Patients’ DischargeJunzheng Wu, Rosella Court, Mattias KonigCincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

7-15 Pyloromyotomy – The role of Suxamethonium in the 21st centuryRaju Reddy, Karthik SabapathiBirmingham Childrens Hospital, Birmingham, UK

Scientific Group 8Safety & Outcomes Research/EducationMODERATOR -

8-1 Exhaled Carbon Monoxide Screening for Environmental Tobacco Smoke Exposure in Preanesthetic ChildrenD Dukellis, J Zuk, JE Morrison Jr, Z Pan, RH FriesenDepartment of Anesthesiology, The Children’s Hospital, University of Colorado Denver

8-2 Protective Ventilation: Physiological and Inflammatory Markers During One Lung VentilationM. Theroux, A. Olivant Fisher, M. Rodriguez, A. Costarino, L. Horner, T. Miller, and T. ShafferA.I. duPont Children’s Hospital and Nemours Biomedical Research

8-3 Preliminary data from the Pediatric Regional Anesthesia Network (PRAN): demographics, practice patterns and complicationsDavid M. Polaner, MD, FAAP1; Adrian T. Bosenberg, MB, ChB4, Joseph Cravero, MD, FAAP2, Elliot Krane, MD, FAAP3, Lynn Martin, MD, FAAP, FCCM4, Santhanam Suresh, MD, FAAP5, Andreas Taenzer, MD, FAAP2 and the members of the Pediatric Regional Anesthesia Network

1TheChildren’s Hospital, Denver and University of Colorado School of Medicine, Aurora, CO 2Children’s Hospital at Dartmouth and Dartmouth Medical School, Lebanon, NH; 3Lucile Packard Children’s Hospital, Stanford University School of Medicine, Stanford, CA; 4Seattle Children’s Hospital, University of Washington School of Medicine, Seattle, WA;; 5Children’s Memorial Hospital, Northwestern University School of Medicine, Chicago, IL

8-4 Analysis of the Pre-induction Checkout of the Anesthesia Machine for Quality Assurance Before and After Implementation of a Feedback SystemR Koka, PG KovatsisChildren’s Hospital, Boston, MA

8-5 Neuraxial Ultrasound Findings in Neonates with Anorectal MalformationN. Dublin, MT Bosenberg, AT BosenbergDepartment of Anaesthesia, Red Cross Children’s War Memorial Hospital and University of Cape Town, South Africa

8-6 Epidemiology of Post-Anesthesia Adverse Events Reported in the Pediatric PACUA Kakavouli, M Carson, E Silverstein, O Ohkawa, L SunDepartment of Anesthesia, Columbia University of New York

8-7 Robot-assisted laparoscopic surgery – a five year experience in a pediatric hospitalAnna Maria Onisei MD, Jesus Apuya MD, Denisa Haret MD, Shailesh Shah MD, Pam KillebrewArkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas

8-8 Parental Attitudes to Videotaping: A Pediatric Hospital SurveyDr Katherine Taylor1 3, Ms A Le Huquet3, Dr. Christopher Parshuram2 3

Departments of Anesthesia1 and Intensive Care2, Centre for Safety Research3 Hospital for Sick Children, Toronto, Canada

8-9 Reliability of VoceraTM Communications Devices in the Operating RoomS. Shah-Hosseini1, JE Richardson2, JS Ash2, JE Fiadjoe1, Caroline Paquariello, M.D.1, MA Rehman1

1Children’s Hospital of Philadelphia, Philadelphia, PA/2Oregon Health & Science University

8-10 Development of a Pediatric Intra-Operative Cardiac Arrest Documentation and Quality Assurance ToolTO Oyetunde, JM Schwartz, ES Heitmiller, DH ShaffnerThe Johns Hopkins School of Medicine, Baltimore, MD

8-11 Anesthetic Challenges in a Three Year Old Male with Mitochondrial CytopathyMM Koshel, D ChatterjeeDepartment of Anesthesiology, SUNY Upstate Medical University, Syracuse, NY

8-12 Caudal Block revisited; what are the risks?HH Lee MD1, AT Bosenberg MBChB FFA (SA)1, S Flack MBChB FCA (SA)1, L Martin MD, FAAP1, DM Polaner, MD, FAAP2, J Cravero, MD, FAAP3, E Krane, MD, FAAP4, S Suresh, MD, FAAP5, A Taezner, MD, FAAP3

Department of Anesthesiology & Pain Medicine, Seattle Children’s Hospital, University of Washington School of Medicine, Seattle1, The Children’s Hospital, Denver and University of Colorado School of Medicine, Aurora, CO2, Children’s Hospital at Dartmouth and Dartmouth Medical School, Lebanon, NH3, Lucile Packard Children’s Hospital, Stanford University School of Medicine, Stanford, CA4, Children’s Memorial Hospital, Northwestern University School of Medicine, Chicago, IL5

8-13 Severe Compartment Syndrome Following Extravasation of Fluids in a Critically Ill NeonateK Martinez-Lu MD, TW Weatherred MD and I Florentino-Pineda MD MBAMedical College of Georgia and Children’s Medical Center, Augusta, GA

8-14 The Children’s Memorial Hospital Pediatric Anesthesiology Fellowship: Education in Regional Anesthesia TechniquesA Ambrosy, S Amin, S SureshChildren’s Memorial Hospital, Chicago, IL

8-15 Innovative Method to Track Resident Knowledge and Skill Acquisition During Pediatric Anesthesia TrainingDestiny Chau, M.D., Raeford E Brown Jr., M.D.Department of Anesthesiology, University of Kentucky Medical Center, Kentucky Children’s Hospital Lexington, Kentucky

Scientific Group 9OtherMODERATOR -

9-1 The Prevalence of Perioperative Hypothermia in a Pediatric SettingBridget Pearce, MDC.S. Mott Children’s Hospital, Ann Arbor, MI

9-2 Changes in Intraocular Pressure during Surgery in Prone Position in Pediatric PatientsS Adefeyisan, J Steiner, D Swift, D Weakley, L Nagy, D Sessler, P SzmukUniversity of Texas Southwestern and Children’s Medical Center, Dallas, TX

9-3 Measurement of central venous pressure from a peripheral intravenous catheter in the prone position during spinal surgeryJoseph D. TobiasDepartments of Anesthesiology & Pediatrics, University of Missouri, Columbia, Missouri

9-4 Regional skin necrosis as a complication of infant radial artery cannulationGordon N, Seefelder CDepartment of Anesthesiology, Perioperative and Pain Medicine, Children’s Hospital Boston/Harvard Medical School, Boston, MA

9-5 Ambulatory Surgery in the Pediatric Population of the U.S.A.JA Rabbitts, R FlickMayo Clinic, Rochester, MN

9-6 Postoperative Hypoxemia in Term and Preterm Infants after Chloral Hydrate SedationLitman R.S., Soin, K., Salam, A.The Children’s Hospital of Philadelphia, Department of Anesthesiology, University of Pennsylvania School of Medicine

9-7 Effect of work schedule on sleep and fatigue in Pediatric Anesthesia Attendings and Fellows: A preliminary studyM Lee, SR Kudchadkar, M Yaster, A Gotschalk, RB EasleyDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, MD

9-8 A History of Pediatric Anesthesiology: From 1950’s to the Current EraCL Mai, M YasterDepartments of Anesthesiology, Critical Care Medicine, and Pediatrics, The Johns Hopkins Medical Institutions, Baltimore, MD

9-9 Perioperative “Green” Opportunities

N WebelSeattle Children’s Hospital and University of Washington Department of Anesthesiology

9-10 Anesthetic considerations for Sandhoff diseaseTamara Norwood, MD, Denisa Haret, MDArkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, AR

9-11 Pharmacogenetics and Feasibility of Personalizing Perioperative Analgesia in ChildrenSadhasivam S, McAuliffe J, Jou F, Vinks A, Zhang K. Plapp RCincinnati Children’s Hospital Medical Center, Department of Anesthesiology

9-12 Measuring Blood Levels of Desflurane in Children: Potential Applications for Fetal SurgeryKha M. Tran, MD*, Sina Shah-Hosseini, MSE*, Qing Cheng Meng, PhD†, Emily Parke, DO*, Lynne G. Maxwell, MD*Children’s Hospital of Philadelphia*, and University of Pennsylvania Medical Center†, Philadelphia, PA

9-13 Evaluation of Manually Controlled Propofol and Remifentanil Infusions during Spine Surgery using Pharmacokinetic and Pharmacodynamic ModelsC. Cripe, MD, JM Feldman, MDChildren’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA

9-14 Outcomes in Children following AdenotonsillectomyConstance N. Burke, R.N., B.S.N., Sue M. Hadden, R.N., B.S.N., Sally Skotcher, R.N., B.S.N.C.S. Mott Children’s Hospital, University of Michigan Health Care Center

Case Reports Group 10GeneralMODERATOR -

10-1 Pilot Study – Perioperative AcupunctureJeannie Seybold MD, Alex Leon-Guerrero BS, Brenda Golianu MDStanford University School of Medicine, Stanford, CA

10-2 Perioperative extracorporeal membrane oxygenation for resection of carinal papillomaN.A. Tutuo MBBS, FANZCA, O.O. Nafiu MD, FRCA, L.R. Riegger MD, WT Chimbira MBCHB, FRCA

University of Michigan, Michigan

10-3 Cardiovascular collapse during staged resection of a sacrococcygeal teratomaTonya LK Miller, MD; Lyn Means, MDChildren’s Hospital Boston

10-4 Acquired Tracheoesophageal Fistula in Infancy: Communication is Key to Successful OutcomeArundathi Reddy, MBBS, Joseph A. Iocono, MD and Raeford E Brown, Jr, MDUniversity of Kentucky Medical Center

10-5 Unexpected Death after Pediatric Outpatient Glaucoma SurgeryMM Sheth, A LerantDepartment of Anesthesiology, University of Mississippi Medical Center, Jackson, MS

10-6 Persistent third degree atrio-ventricular block diagnosed during anesthesia in a “healthy” pediatric patientY AlSayegh, MD, C Abdallah, MD, MScDivision of Anesthesiology, Children’s National Medical Center, Washington, DC

10-7 How Much Air is Too Much Air? Venous air embolism in an eleven-month-old infantS.P. Seraphin, MD, W. Binstock, MDUniversity of Chicago, Department of Anesthesia and Critical Care, Chicago, Illinois

10-8 Acute episode of hypotension after loading dexmedetomidine in an adolescent with history of recent septic shockJ Tomasson, M MahmoudDepartment of Anesthesiology, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio

10-9 Techniques & Complications of Pediatric CT-guided Lung Biopsy under General Anesthesia: 14 Consecutive CasesH Naumann, A Pittaway, AM LynnSeattle Children’s Hospital, WA

10-10 Anesthesia for 2 infants with Pyloric Stenosis & Pierre Robin sequenceA Pittaway, H Naumann, C Haberkern

Seattle Children’s Hospital, WA

10-11 Management of General Anesthesia in a teenager manifesting advanced symptoms of Kearns-Sayre Syndrome: A Case ReportMK Baldwin, GA BushmanChildren’s Hospital of Los Angeles, Los Angeles, CA

10-12 Ophthalmic Anesthesia management for a patient with Cornelia de Lange SyndromeA Cherian, H Palte, S GayerBascom Plamer Eye Institute, University of Miami

10-13 Use of Dexmedetomidine as Adjuvantg for the Anesthesia Management in Obese Children with Obstructive Sleep Apnea undergoing Tonsillectomy and AdenoidectomyR.A. Mendiola M.D., I. Florentino-Pineda M.D. M.B.A.Division of Pediatric Anesthesiology, Medical College of Georgia, Augusta, GA

10-14 Rigid Bronhoscopy Through a Fresh Tracheotomy for a Foreign Body Retrieval in an Emergent SituationS Rajan, Z Ahmed, A Al-Alami S Thomas, M Haupert, J. Lelli, N Durgham, M Zestos, M Talpesh, A Wu, C PascualChildren’s Hospital of Michigan, Detroit, MI

10-15 General Anesthesia following a Paradoxical Reaction to Oral Midazolam after Reversal with Flumazenil – A Pediatric Case ReportKP Schwartz, D CabezaAR Children’s Hosital, University of Arkansas for Medical Sciences, Little Rock, AR

Case Reports Group 11Cardiac/AirwayMODERATOR -

11-1 Emergency Interventional Lung Assist for Pulmonary Hypertension. A Pediatric Case ReportKatherine Taylor B.Med (Hons) B.A. FANZCA, Dr. Helen Holtby MBBS FRCP(C)Department of Anesthesia, Hospital for Sick Children, Toronto, Canada

11-2 Case Series: Elastin Arteriopathy: Management of infants with biventricular outflow obstruction, hypertrophic obstructive cardiomyopathy and a propensity for coronary ischemia

Michael Richards, Michael Eisses, Jeremy Geiduschek, Denise JoffeSeattle Children’s Hospital and University of Washington Department of Anesthesiology and Pain Medicine

11-3 Intraoperative use of Cerebral Oximeter and FloTrac/Vigileo cardiac output monitor to guide management of an adolescent with a Fontan physiology undergoing posterior spinal fusionRB Bryskin1, AK Ross2, S Schulman2 and DB MacLeod2

1Anesthesiology, Nemours Children’s Clinic, Jacksonville, Florida and 2Anesthesiology, Duke University Medical Center, Durham, North Carolina

11-4 Unexpected TEE Finding during Cardiac Transplantation in a Child with Emery-Dreifuss Muscular DystrophyGM Almeida-Chen, MD, MPH, J Niezgoda, MD and PX Motta, MDDepartment of Pediatric and Congenital Heart Anesthesiology, Cleveland Clinic, Cleveland, OH

11-5 Cardiac Arrest on Induction of Anesthesia in a Child Receiving Angiotensin-Converting Enzyme InhibitorM Shukry, AJ de Armendi, JA CureUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK

11-6 Anesthetic Management of Stenting Obstructed Total Anomalous Pulmonary Veins in the setting of Complex Single Ventricle PhysiologyM Corridore, A NaguibDepartment of Anesthesiology, The Heart Center, Nationwide Children’s Hospital, Ohio State University Department of Anesthesiology, Columbus, OH

11-7 A Case of Unrecognized Intraoperative Near-Total Transection of a Nasotracheal TubeAndrew J Pittaway BM, BS, FRCASeattle Children’s Hospital, WA, USA

11-8 A Novel Technique of Retrograde Nasal Intubation for the Pierre-Robin Sequence Infant with a Known Difficult AirwayR Ball, B SmallmanDepartment of Anesthesiology, State University of New York, Upstate Medical University, Syracuse, NY

11-9 Spontaneous Ventilation for Type II/III Laryngeal Cleft RepairA. Bhandari, R. MoorthyDepartment of Anesthesiology, Rush Medical College, Chicago, IL

11-10 Management of the difficult infant airway with the Storz Video LaryngoscopeRS Hackell, LD Held, PA Stricker, JE FiadjoeThe Children’s Hospital of Philadelphia and University of Pennsylvania School of Medicine

11-11 Devising a long endotracheal tube to maintain the airway during the management of a complete right main bronchus avulsion in a child with blunt chest traumaEP Lin, EJ Propst, MJ Rutter, GK IstaphanousCincinnati Children’s Hospital Medical Center, Cincinnati, OH

11-12 Pilot Study – Difficult Airway Management in Child Undergoing Cranial ReconstructionV. Virupannavar, MD, M. Hernandez, MD, I. Tkachenko, MDUniversity of Chicago Hospitals

11-13 Use of the McGrath® Videolaryngoscope in a Down Syndrome Child with Cervical Spine SubluxationLynnell Daniel, MD, Patrick N. Olomu, MD, FRCA and John E. McClay, MDUniversity of Texas Southwestern Medical Center and Children’s Medical Center, Dallas, Texas

11-14 EMG Endotracheal Tube Monitoring in a 15 Year-Old with Papillary Thyroid CancerJoan Ann Ascher, M.D., F.A.A.P.; Amanda Rhee, M.D.Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, N.Y.

11-15 Case Series of Children with PHACE Syndrome: Challenges facing the AnesthesiologistK. Ricketts MD and S. Taylor MDChildren’s Hospital of Wisconsin, Milwaukee, WI

Case Reports Group 12Pain/OtherMODERATOR -

12-1 Complex Regional Pain Syndrome of the Abdomen: A Case ReportJ Brunworth, R SloverDepartment of Anesthesiology, The Children’s Hospital,University of Colorado, Denver

12-2 Comparison of the On-Q® Painbuster® Post-Op Pain Relief System to a thoracic epidural for control of postoperative thoracotomy pain in a childJonathan C Rowell, MD, Benjamin M Chang, DO, Sally E. Rampersad, MB, FRCASeattle Children’s Hospital and University of Washington, Seattle, WA

12-3 Ultrasonography-Guided Transversus Abdominis Plane Block in Pediatric AnesthesiaRB BryskinNemours Children’s Clinic, Jacksonville, FL

12-4 Successful Ganglion Impar Block in an Adolescent with Chronic CoccydyniaHerodotos Ellinas, MD, FAAP, Navil Sethna, MD, FAAPChildren’s Hospital Boston, Harvard Medical School, Boston, MA

12-5 Pediatric Complex Regional Pain Syndrome Associated with Avascular Necrosis of BoneE Krane, M.D., K Larkin, M.D., J Gamble, M.D. Ph.D.Stanford University School of Medicine

12-6 CRPS and KetamineAbdi,S. MD PhD, Fink G. DOUniversity of Miami, Jackson Memorial Hospital

12-7 Pancreatitis after Propofol Administration in a Child with Methylmalonic AcidemiaCW Zahalka, CL Mai, E Heitmiller, D NjokuJohns Hopkins University, Baltimore, MD

12-8 Use of Intralipid to treat cardiac toxicity after caudal epidural ropivacaine injections in a premature neonateS. Joffe, A. BhandariRush University Medical Center

12-9 Anesthetic Implications of Methylenetetrahydrofolate Reductase Deficiency: A Case ReportK Miller, C Rinder, S WangYale University School of Medicine, New Haven, CT

12-10 Rapid Institution of ECMO upon delivery in a patient with TGA and intact atrial septum – A Case ReportA Bouchard DO, S Burns MD, K Sullivan MD. S Collins MD. S Schrum MDWolfson Children’s Hospital/Nemours Children’s Clinic

12-11 Fibrin Patch for Post-Dural-Puncture Headache in a five year old Child with Acute Lymphoblastic LeukemiaU. Schwarz MD, I. M. Idais, MD, I. Said MD, CH Lamontagne, MDCM, FRCPCDepartment of Anesthesia, Children’s Hospital of Eastern Ontario, Ottawa, Ontario, Canada

12-12 Postoperative Visual Loss Associated with Genetic Thrombophilic PredispositionJA Tolley, MD, JL Smith MD, PhDIndiana University Department of Anesthesiology, Pediatric Anesthesia Section, Riley Children’s Hospital, Indianapolis, IN and Indiana Unversity Department of Surgery, Pediatric Surgery Section, Pediatric Neurosurgical Division, Riley Children’s Hospital, Indianapolis, IN

12-13 Acute and rapidly worsening bronchospasm induced by intubation confounded the proper position of endotracheal tube in a 4 week old, former 29 weeks preemieJunzheng WuCincinnati Children Hospital Medical Center, Ohio

12-14 Cor triatriatum dexter: a rare cause of neonatal cyanosisDJ Hoye, NA GuzzettaEmory University School of Medicine, Children’s Healthcare of Atlanta

12-15 Anesthesia in a 12 year old boy with somatic overgrowth and severe splenomegalyTB Wong, JC Rowell, C JonmarkerSeattle Children’s Hospital, Seattle, WA

General Posters

GP1 Emergent Airway Management in an Infant with Congenital Laryngeal Cyst Causing Airway ObstructionMG Downard MD, and I Florentino-Pineda MD, MBAMedical College of Georia and Children’s Medical Center, Augusta, GA

GP2 Nasal CPAP in pediatric patients undergoing MRI studyA. Matveevskii, A. Gonzales, J. NobleDepartment of Anesthesiology, Shands Hospital, University of Florida, Gainesville, FL

GP3 Resection of Giant Sacrococcygeal Tumor on a Premature Infant – Anesthetic ConsiderationsAbid U. Ghafoor, Isabella Barnes, Edwin Abraham

University of Arkansas for Medical Sciences (Arkansas Children’s Hospital)

GP4 Delayed imaging for the chest for anterior mediastinal mass increases morbidity and increases challenges for anesthesiaM-Irfan Suleman, MD, M. Saif Siddiqui, MD, Shahid Hussain, MD, Benjamin Watkins, MD, Amir Mian, MD, MSDepartment of Anesthesiology, University of Arkansas for Medical Sciences and Arkansas Children’s Hospital, Little Rock, Arkansas

GP5 A Retrospective Review of the Use of the “On-Q” Pump for Post-Operative Pain Management in a Pediatric PopulationTamara Norwood, Anna Maria Onisei, Richard McCarthy, Pamela M. KillebrewArkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, AR

GP6 A Retrospective Chart Review Comparing the Use of Hydrocodone/Acetaminophen (Lortab) in Combination with Midazolam (Versed) in Comparison to Midazolam Alone as Premedication for Children Undergoing Adeno-TonsillectomyGordon L, DO, Lewis M, MD, Bouchard A, DO, Wiltrout SWolfson Children’s Hospital/Nemours Children Clinic

GP7 Does Pregnancy testing in the main laboratory result in OR start time delay in a free-standing Children’s Hospital? Will implementation of bedside point-of-care testing decrease this delay?A Ahmed, E Kaminski, H Tirmizi, J TweedieChildren’s Hospital of Michigan Department of Anesthesiology, Detroit Medical Center/Wayne State University School of Medicine, Detroit, MI

GP8 Airway Trauma: A Diving AccidentFink G. DO, Mendoza L. MDUniversity of Miami/Jackson Memorial Hospital, Miami Children’s Hospital

GP9 Difficult Tracheal Intubation in a Child with LarygomalaciaAndrew Heath MD1; Kevin Pereira MBBS2, Cynthia Tung MD1

1Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, MD, 2Department of Otorhinolaryngology – Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD

GP10 ET Tube Used as a Rescue Nasopharyngeal Airway: A Novel Rescue Technique for cannot intubation and cannot ventilationD. Daaboul, L. Stricker, M. Zestos, Z. Ahmed, C. Pascual and M. Gall

Children’s Hospital of Michigan, Detroit, MI

GP11 “EXIT” of a Fetus to Difficult Airway Management in the ORM. Mathewson, M.D., K. Sedeek, M.D.Penn State Milton S. Hershey Medical Center, Hershey, PA

GP12 Difficulty with Airway Management in a Patient with Hunter SyndromeM. Mathewson, M.D., U. Parekh, M.B.B.S.Penn State Milton S. Hershey Medical Center, Hershey, PA

GP13 An Unexpected Challenging AirwayV.Nasr MD, C Abdallah, MD, MScDivision of Anesthesiology, Children’s National Medical Center, Washington, DC

GP14 Use of the Infant Truview EV02 Laryngoscope for the management of difficult airwayM. Matuszczak, R. Jain, Y. KhalilMedical School, UT Houston, Houston, TX

GP15 A Case of Infant Airway Compromise Secondary to Lympatic MalformationScott Lipson M.D., Francine Yudkowitz M.D.Mount Sinai School of Medicine, New York, NY

GP16 A 23 Day Old Male Patient with Pierre-Robin Syndrome Who Developed Airway Complications of Airway Occlusion and Oxygen DesaturationMM Koshel, JJ BednarczykDepartment of Anesthesiology SUNY Upstate Medical University, Syracuse, NY

GP17 Mainstem Bronchus Foreign Body Extraction in a Child with Hunter’s DiseaseAngela Pennell, MD; Robert Bryskin, MDUniversity of North Carolina Children’s Hospital

GP18 Oxygenation Failure on initiation of cardiopulmonary bypass. An easy method to check for low-pressure system gas leaks on the CPB machineN Gautam, ML Schmitz, L Zabala, S. Ullah, M White, W McKamie, C Johnson, A Lutz, RDB Jaquiss, M. ImamuraSection of Pediatric Cardiothoracic Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, AR

GP19 Pulmonary Embolism in Wilms TumorAJ de Armendi, M Shukry, AR Seshachar, JL Ponder,M Rafique, M Martinez, JA Cure

University of Oklahoma Health Sciences Center, Oklahoma City, OK

GP20 EPS Ablation of Accessory Pathway in a Patient with Danon’s DiseaseJoel Waring MD, Glenn Merritt MDDepartment of Anesthesiology, The Children’s Hospital, Denver, Colorado

GP21 Cardiac and Renal Transplantation in a Patient with Nemaline Myopathy: A Case ReportVinh Nguyen D.O., Nicole Dobija, M.D. D.D.SUniversity of Florida, Department of Anesthesiology, Gainesville, FL

GP22 Anethetic management of infant with Langerhans cell histiocytosisLori T. Justice, MD; Ann Bailey, MDUniversity of North Carolina – Chapel Hill

GP23 Combined Epidural and Neuromuscular Blockade in an Infant with Type I SMAS. Swift, U. ParekhPenn State Milton S. Hershey Medical Center, Hershey, PA

GP24 Negative Pressure Pulmonary Hemorrhage Following Intraoperative LaryngospasmA. Lewis M.D,, B. Jwaida M.D., S. Kemper D.O., Z. Ahmed M.D.Children’s Hospital of Michigan, Detroit, MI

GP25 Anaphylactic Reaction following Administration of Cisatracurium and CefazolinRahul Baijal, MD and Lori A. Aronson, MDCincinnati Children’s Medical Center, Cincinnati, OH

GP26 Severe hypotension during posterior spinal fusion…twice!Liana Hosu, MD, Lori A. Aronson, MD and Lisa Francis, MDCincinnati Children’s Hospital Medical Center, Cincinnati, OH

GP27 Anesthetic Challenges of PHACES Syndrome in an Infant during Laser SurgeryV. Hrdlicka, MD, N. Dong, MDDepartment of Anesthesiology, St. Luke’s-Roosevelt Hospital Center, New York, NY

GP28 Anesthetic management of an infant with Petty-Laxova-Wiedemann SyndromeNathan Brakke, MD; Terrence A. Yemen, MDThe University of Virginia, Charlottesville, Virginia

GP29 Remifentanil and an Inhalational Agent during Vascular Reconstruction for Moyamoya DiseaseTS Sangari, ML Schmitz, L Kulkarni, SR Shah, P KillebrewArkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, AR

GP30 Anesthesia for External Carotid to Middle Cerebral Artery BypassAR Bielsky, C HardyChildren’s Memorial Hospital, Chicago, IL

GP31 Postdural puncture headache in a patient with acute myeloid leukemiaTS Sangari, ML Schmitz, S Ullah, SE HaleArkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, AR

GP32 Dexmedetomidine for postoperative pain control in a teenager with Crohn’s DiseaseV. Virupannavar M.D. and W. Binstock M.D.University of Chicago Hospitals, Chicago, IL

GP33 Lateral femoral cutaneous neuropathy following lateral positioning on a bean bagStephenson L, Webb N, Smithers CJ, Sager S., Seefelder CDepartment of Anesthesiology Perioperative and Pain Management, Department of Nursing, Department of Surgery, Children’s Hospital, Harvard Medical School, Boston, MA