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Society of Cardiovascular Anesthesiologists Photo courtesy of Tourism Vancouver Society of Cardiovascular Anesthesiologists 30th Annual Meeting & Workshops June 18 – 22, 2008 Vancouver Convention & Exhibition Centre Vancouver, British Columbia, Canada SCA 30th Annual Meeting & Workshops • Officers Christina Mora Mangano, MD President Steven N. Konstadt, MD President-Elect Solomon Aronson, MD Secretary-Treasurer James G. Ramsay, MD Past-President Board of Directors George E. Burgess, III, MD Albert T. Cheung, MD Gregg S. Hartman, MD Robert J. Marino, M.D. C. David Mazer, MD David L. Reich, MD Jack S. Shanewise, MD Stanton K. Shernan, MD Linda Shore-Lesserson, MD Robert N. Sladen, MD Scientific Program Committee Scott T. Reeves, MD Scientific Program Committee Chair Scott T. Reeves, MD, Chair David A. Zvara, MD, Vice Chair Colleen G. Koch, MD, Coordinator of Workshops & PBLDs François Beique, MD Mary Beth Brady, MD Albert T. Cheung, MD R. Lebron Cooper, MD Brian Donohue, MD, PhD Benjamin Drenger, MD • SCA 30th Annual Meeting & Workshops David A. Zvara, MD Scientific Program Committee Vice Chair Colleen G. Koch, MD, FACC Coordinator of Workshops & PBLDs Amanda Fox, MD Kathryn E. Glas, MD A. Stephane Lambert, MD Andrew D. Maslow, MD C. David Mazer, MD Joseph Miller, MD Kent H. Rehfeldt, MD Kathryn Rouine-Rapp, MD David Royston, MBChB Nikolaos J. Skubas, MD Claudia Spies, MD Marc E. Stone, MD Madhav Swaminathan, MD Junzo Takeda, MD Katja Turner, MD Michael H. Wall, MD Hilary Grocott, MD (ad hoc) Charles Hogue, MD (ad hoc) John Butterworth, MD (ad hoc) Leanne Groban, MD (ad hoc) SCA 30th Annual Meeting & Workshops June 18 - 22, 2008 • Vancouver Convention & Exhibition Centre • Vancouver, BC, Canada GENERAL INFORMATION Target Audience Cardiothoracic anesthesiologists, critical care physicians, general anesthesiologists, nurses, perfusionists and other allied health personnel, epidemiologists/researchers and all those involved in the care of the cardiovascular surgery patient will benefit from attendance at this meeting. Statement of Need The field of cardiovascular anesthesiology is a dynamic specialty that changes as modern cardiovascular medicine changes. New additions to the armamentarium of cardiovascular medicine include percutaneous interventions, valvular heart surgery, minimally invasive techniques, heart failure devices, electrophysiologic interventions, and the changing status of cardiac surgery. Current practitioners in cardiovascular anesthesiology demand an educational course that is current and up to date with cardiology and cardiac surgical advances. The Annual Meeting provides this educational tool. The Annual Meeting provides teaching of intraoperative echocardiography for management of patients undergoing various cardiac surgical procedures. Also provided are workshops in cardiopulmonary bypass and heart failure. Multidisciplinary faculty with excellent evaluations from attendees are included in the faculty. Interactive workshops and discussion sessions with the experts center on patient-oriented educational programs to teach the requisite skills and concepts necessary for advanced care of these patients. This interdisciplinary program sponsored and offered by the SCA for its members has been developed to meet the growing demand for such educational needs. Workshops Fee includes workshop, continental breakfast (morning workshops), coffee breaks and syllabus. CME Accreditation: The Society of Cardiovascular Anesthesiologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Designation: The Society of Cardiovascular Anesthesiologists designates this educational activity for a maximum of 4 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Registration Limitations: Please note limitations. Pre-registration of workshops and evening sessions is available to SCA Members only. If space is available, sessions will be opened to non-members on site. 30th Annual Meeting Location: All scientific sessions, workshops and PBLDs will be held at the Vancouver Convention & Exhibition Centre. Fee includes continental breakfasts, coffee breaks, (2) lunches, (1) reception and the meeting syllabus. CME Accreditation: The Society of Cardiovascular Anesthesiologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Designation: The Society of Cardiovascular Anesthesiologists designates this educational activity for a maximum of 29.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Refund Policy For the Workshops, Evening Sessions, Annual Meeting, PBLDs, and guest fee a full refund will be provided through May 8, 2008; an 80% refund will be provided from May 9, 2008 through June 5, 2008. After June 5, 2008, the Society will not refund any registration fees. Refunds will be determined by the date the written cancellation is received in the SCA’s headquarters. Americans With Disabilities Act The Society of Cardiovascular Anesthesiologists has fully complied with the legal requirements of the ADA and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please contact SCA at (804) 282-0084 by June 5, 2008 in order to receive service. Vancouver Convention & Exhibition Centre, Vancouver, BC, Canada All scientific sessions will take place at the Vancouver Convention & Exhibition Centre. 200-999 Canada Place Vancouver, BC, Canada (604) 647-7390 http://www.vcec.ca/ Hotels The Fairmont Waterfront: www.fairmont.com/waterfront/ Pan Pacific Vancouver Hotel: www.panpacific.com/Vancouver/Overview.html IMPORTANT TRAVEL INFORMATION: Passports will be required for U.S. citizens who travel to Canada in 2008. Travelers from all other countries should check with their individual governments for travel requirements and documentation. SCA 30th Annual Meeting & Workshops • SCA 30th Annual Meeting & Workshop Faculty Martin Abel, MBBCh Professor of Anesthesiology Mayo Clinic College of Medicine Rochester, MN Rebecca L. Cain, MD Assistant Professor of Anesthesiology Medical University of South Carolina Charleston, SC John E. Ellis, MD Professor of Anesthesiology University of Chicago Chicago, IL Christopher J. Jankowski, MD Assistant Professor of Anesthesiology Mayo Clinic College of Medicine Rochester, MN Jake Abernathy, MD Assistant Professor of Anesthesiology Medical University of South Carolina Charleston, SC Javier Campos, MD Vice Chair for Clinical Affairs Director of Cardiothoracic Anesthesia University of Iowa Iowa City, IA Nauder Faraday, MD Associate Professor of Anesthesiology Johns Hopkins Medical Institution Baltimore, MD David Kaemmer, CCP Senior Perfusionist Duke University Medical Center Durham, NC Amanda Fox, MD Staff Anesthesiologist Brigham & Women’s Hospital Boston, MA Marc Kanchuger, MD Chief, Cardiothoracic and Transplant Anesthesia NYU School of Medicine New York, NY Shamsuddin Akhtar, MD Assistant Professor of Anesthesiology Director of Medical Studies Yale University School of Medicine New Haven, CT Michael Andritsos, MD Assistant Professor Ohio State University Columbus, OH David Ansley, MD Clinical Professor University of British Columbia Vancouver, British Columbia, Canada Solomon Aronson, MD Vice Chair of Anesthesiology Duke University Medical Center Durham, NC Michael Avidan, MD Associate Professor Washington University St. Louis, MO Steven Barker, PhD, MD Professor University of Arizona Tucson, AZ François Beique, MD, FRCPC Associate Professor of Anesthesiology McGill University Montreal, Quebec, Canada Ian Black, MD Associate Program Director, Anesthesia Critical Care, San Antonio Military Medical Center Assistant Professor of Anesthesiology, Uniformed Services University of the Health Services San Antonio, TX Steven F. Bolling, MD Professor of Surgery Adult Cardiac Surgery, Cardiovascular Center University of Michigan Ann Arbor, MI Mary Beth Brady, MD Assistant Professor of Anesthesiology Director of Intraoperative TEE Johns Hopkins Medical Institution Baltimore, MD Thomas Burch, MD Assistant Professor of Anesthesiology Children’s Hospital Boston Boston, MA John Butterworth, IV, MD R.K. Stoelting Professor and Chairman Indiana University School of Medicine Indianapolis, IN Michael Byas-Smith, MD Associate Professor of Anesthesiology Emory University School of Medicine Atlanta, GA Cedric Carter, MB, BS, MRCP Associate Professor, Department of Pathology and Laboratory Medicine Vancouver General Hospital Vancouver, British Columbia, Canada Frandics Chan, MD Assistant Professor of Radiology Lucile Packard Children’s Hospital Stanford, CA Mark Chaney, MD Associate Professor of Anesthesiology Director of Cardiac Anesthesia University of Chicago Chicago, IL Davy Cheng, MD, MSc, FRCPC Chair of Anesthesiology & Perioperative Medicine University Hospital of Western Ontario London, Ontario, Canada Albert T. Cheung, MD Professor of Anesthesia and Critical Care University of Pennsylvania Philadelphia, PA Edmond Cohen, MD Professor of Anesthesiology Mount Sinai Medical Center New York, NY Neal Cohen, MD Professor of Anesthesia and Medicine UCSF School of Medicine San Francisco, CA R. Lebron Cooper, MD Vice Chair of Anesthesiology for Clinical Operations Ochsner Clinic Foundation New Orleans, LA James DiNardo, MD Associate Professor of Anesthesia Harvard Medical School Boston, MA George Djaiani, MD Associate Professor of Anesthesia Toronto General Hospital Toronto, Ontario, Canada Brian S. Donahue, MD, PhD Associate Professor of Anesthesiology Vanderbilt Children’s Hospital Nashville, TN Susan Garwood, MD Associate Professor of Anesthesiology Yale University School of Medicine New Haven, CT Kathryn Glas, MD Assistant Professor of Anesthesiology Emory University School of Medicine Atlanta, GA Glenn P. Gravlee, MD Professor of Anesthesiology University of Colorado at Denver Denver, CO William J. Greeley, MD, MBA Professor and Chair of Anesthesiology Children’s Hospital of Philadelphia Philadelphia, PA Katherine P. Grichnik, MD Associate Professor of Anesthesiology Duke University Medical Center Durham, NC Hilary Grocott, MD Professor of Anesthesiology University of Manitoba Winnipeg, Manitoba, Canada Gershon Growe, MD Clinical Professor University of British Columbia Vancouver, BC, Canada Gregg S. Hartman, MD Professor of Anesthesiology Dartmouth-Hitchcock Medical Center Lebanon, NH Lori B. Heller, MD Acting Instructor Swedish Hospital Staff Anesthesiologist University of Washington Seattle, WA Steven E. Hill, MD Professor of Anesthesiology Duke University Medical Center Durham, NC Benjamin Drenger, MD Associate Professor of Anesthesiology Hadassah University Hospital Jerusalem, Israel Charles Hogue, MD Associate Professor of Anesthesiology & Critical Care Medicine Johns Hopkins Medical Institution Baltimore, MD Thomas Ebert, MD, PHD Professor of Anesthesiology Medical College of Wisconsin Milwaukee, WI Helen Holtby, MD Associate Professor of Anesthesiology University of Toronto Toronto, Ontario, Canada • SCA 30th Annual Meeting & Workshops Keyvan Karkouti, MD Associate Professor Toronto General Hospital Toronto, Ontario, Canada Brian P. Kavanagh, MD Chair, Department of Anesthesia University of Toronto Toronto, Ontario, Canada Judy Kersten, MD Professor of Anesthesiology, Pharmacology & Toxicology Medical College of Wisconsin Milwaukee, WI Merril L. Knudtson, MD, FRCPC Professor of Medicine University of Calgary, Foothills Hospital Calgary, Alberta, Canada Colleen G. Koch, MD, MS, FACC Staff Physician Department of CT Anesthesia Cleveland Clinic Foundation Cleveland, OH Benjamin Kohl, MD Assistant Professor University of Pennsylvania Philadelphia, PA Steven Konstadt, MD Chairman and Professor of Anesthesiology Maimonides Medical Center Brooklyn, NY Garrett Kovarik, MD Assistant Professor McGill University Montreal, Quebec, Canada Yoan Lamarche, MD, MSc, FRCSC Cardiac Surgery Montreal Heart Institute Vancouver, British Columbia, Canada A. Stephane Lambert, MD Assistant Professor of Anesthesia University of Ottawa Heart Institute Ottawa, Ontario, Canada Jerrold Levy, MD Professor of Anesthesiology Deputy Chair, Research Emory University School of Medicine Atlanta, GA Martin London, MD Professor of Clinical Anesthesia University of California, San Francisco San Francisco, CA SCA 30th Annual Meeting & Workshop Faculty Feroze Mahmood, MD Instructor in Anesthesia Beth Israel Deaconess Medical Center Boston, MA Andrew Maslow, MD Associate Clinical Professor of Anesthesiology Brown Medical School Providence, RI Idit Matot, MD Associate Professor of Anesthesiology Chairman, Department of Anesthesiology and Critical Care Tel Aviv Sourasky Medical Center Tel Aviv University, Israel C. David Mazer, MD Professor and Vice Chair for Research Department of Anesthesia St. Michael’s Hospital Toronto, Ontario, Canada Nutan Mehta, MD Chief of Cardiothoracic Anesthesia St. Francis Hospital Wilmington, DE Joseph P. Miller, MD Assistant Professor of Anesthesia Uniformed Services University Olympia, WA Alexander Mittnacht, MD Assistant Professor Mount Sinai School of Medicine New York, NY Donald Oxorn, MD Professor of Anesthesiology & Medicine (Cardiology) University of Washington Seattle, WA Peter J. Panzica, MD Vice Chairman of Anesthesia Beth Israel Deaconess Medical Center Boston, MA Ronald G. Pearl, MD, PhD Professor and Chairman of Anesthesiology Stanford University Medical Center Stanford, CA Wanda Popescu, MD Assistant Professor of Anesthesiology Yale University School of Medicine New Haven, CT Kenneth Shann, CCP Associate Director, Perfusion Services Montefiore Medical Center Bronx, NY Harish Ramakrishna, MD Director of Cardiothoracic Anesthesiology Mayo Clinic Arizona Phoenix, AZ Andrew Shaw, MD, FRCA Associate Professor of Anesthesiology Duke University Medical Center Durham, NC Chandra Ramamoorthy, MB, BS Associate Professor Director of Pediatric Cardiac Anesthesiology Stanford University Medical Center Stanford, CA Stanton K. Shernan, MD Associate Professor of Anesthesiology Brigham & Women’s Hospital Boston, MA Emad B. Mossad, MD Director of Pediatric Cardiac Anesthesia Texas Children’s Hospital Houston, TX Kent H. Rehfeldt, MD Assistant Professor of Anesthesiology Mayo Clinic College of Medicine Rochester, MN Glenn S. Murphy, MD Associate Professor of Anesthesiology Northwestern University School of Medicine Chicago, IL David L. Reich, MD Horace W. Goldsmith Professor and Chair Mount Sinai School of Medicine New York, NY Bryant A. Murphy, MD Cumberland Anesthesia Associates Cape Fear Valley Medical Center Fayetteville, NC Paul Reynolds, MD Uma and Sujit Pandit Professor and Chief of Pediatric Anesthesiology University of Michigan Ann Arbor, MI Gregory A. Nuttall, MD Professor of Anesthesiology Mayo Clinic College of Medicine Rochester, MN Christopher O’Connor, MD Professor of Anesthesiology Rush University Medical Center Chicago, IL E. Andrew Ochroch, MD Associate Professor University of Pennsylvania Philadelphia, PA Robert M. Savage, MD Head, Section of Perioperative Imaging Cleveland Clinic Foundation Cleveland, OH Jack S. Shanewise, MD, FASE Professor of Clinical Anesthesiology Columbia University College of Physicians & Surgeons New York, NY Christina T. Mora Mangano, MD Professor and Chief, Cardiovascular Anesthesiology Stanford University Stanford, CA Nancy A. Nussmeier, MD Professor and Chair of Anesthesiology SUNY Upstate Medical University Syracuse, NY David S. Rubenson, MD Director, Cardiac Non-Invasive Laboratory Scripps Clinic Medical Group San Diego, CA Albert C. Perrino, Jr., MD Professor of Anesthesiology Yale University School of Medicine New Haven, CT Scott Reeves, MD Professor and Chair, Anesthesia & Perioperative Medicine Medical University of South Carolina Charleston, SC Paul S. Myles, MBBS Professor and Director Alfred Hospital and Monash University Melbourne Victoria, Australia David Royston, MBCHB Consultant Cardiothoracic Anaesthetist Harefield Hospital Harefield, Middlesex, United Kingdom Rafael D. Rieves, MD Acting Division Director Food and Drug Administration Silver Spring, MD Gary Roach, MD Professor of Anesthesiology Kaiser-Permanente, San Francisco San Francisco, CA G. Alec Rooke, MD, PhD Visiting Professor of Anesthesia Harvard Medical School Boston, MA Kathryn Rouine-Rapp, MD Professor of Anesthesia and Perioperative Care University of California, San Francisco San Francisco, CA Douglas Shook, MD Program Director Cardiac Anesthesiologist Brigham & Women’s Hospital Boston, MA Linda Shore-Lesserson, MD Associate Professor of Anesthesiology Albert Einstein School of Medicine Bronx, NY Nikolaos J. Skubas, MD Assistant Professor of Anesthesiology Weill Medical College of Cornell University New York, NY Robert N. Sladen, MD, MBChB Professor and Vice Chair of Anesthesiology Columbia University New York, NY Thomas F. Slaughter, MD Professor and Section Chief of Cardiothoracic Anesthesiology Wake Forest University Baptist Medical Center Winston Salem, NC Peter D. Slinger, MD Professor of Anesthesia University of Toronto Toronto, Ontario, Canada Brian C. Spence, MD Assistant Professor of Anesthesiology Dartmouth-Hitchcock Medical Center Lebanon, NH Bruce D. Spiess, MD Professor of Anesthesiology & Emergency Medicine Director, VCURES Virginia Commonwealth University Medical Center Richmond, VA Mark Stafford-Smith, MD Professor of Anesthesiology Director, Fellowship Education and Cardiothoracic Anesthesia & Critical Care Medicine Fellowship Duke University Medical Center Durham, NC Marc E. Stone, MD Assistant Professor or Anesthesiology Mount Sinai School of Medicine New York, NY Erin A. Sullivan, MD Associate Professor of Anesthesiology University of Pittsburgh Pittsburgh, PA Sugantha Sundar, MD Instructor Harvard Medical School Boston, MA Madhav Swaminathan, MD Assistant Professor of Anesthesiology Duke University Medical Center Durham, NC Junzo Takeda, MD Professor & Chairman of Anesthesiology School of Medicine, Keio University Tokyo, Japan Jason Taylor, MD Associate Professor of Anesthesiology Medical University of South Carolina Charleston, SC Daniel M. Thys, MD Professor and Chair of Anesthesiology St. Luke’s-Roosevelt Hospital Center New York, NY Claude P. Tousignant, MD Assistant Professor of Anesthesia University of Toronto Toronto, Ontario, Canada Katja R. Turner, MD Assistant Professor - Clinical Ohio State University Columbus, OH Joyce A. Wahr, MD Consultant Clinical Strategies Minnetonka, MN Michael H. Wall, MD, FCCM Associate Professor of Anesthesiology and Surgery Washington University School of Medicine St. Louis, MO Stuart Weiss, MD Associate Professor of Anesthesiology University of Pennsylvania Philadelphia, PA William S. Whitley, MD Assistant Professor of Anesthesiology Emory University School of Medicine Atlanta, GA David A. Zvara, MD Professor and Chairman of Anesthesiology Ohio State University Columbus, OH SCA 30th Annual Meeting & Workshops • SCA 30th Annual Meeting Program TUESDAY, June 17, 2008 3:00-6:00 pm = Fellow Track Registration WEDNESDAY, June 18, 2008 • For workshop details, see pages 12 and 13. 6:30 am-5:30 pm 7:00-8:00 am 8:00 am-12:00 pm Registration Continental Breakfast REFRESHER COURSE LECTURES Moderator: Scott Reeves, MD 8:00-8:35 am RC #1 Ischemic Preconditioning: Where are we after 10 years? Judy Kersten, MD 8:40-9:15 am RC #2 Cardiopulmonary Bypass Catastrophes: When seconds count Glenn Gravlee, MD 9:20-9:55 am RC #3 Anesthesia On The Frontline: Lessons learned from Iraq Ian Black, MD 9:55-10:15 am Coffee Break 10:15-10:50 am RC #4 Thrilla In Manila, The Aprotinin Controversy Continues C. David Mazer, MD 10:55-11:30 am RC #5 Renal Failure After Cardiothoracic Surgery Mark Stafford-Smith, MD 11:30 am-12 pm RC #6 Pharmacoepidemilogy of Cardioprotective Medications: Implications for the Clinician Martin London, MD 8:00-10:00 am 8:00-9:55 am 9:55-10:15 am WORKSHOP 1: Leveraging Your TEE Knowledge in the OR Moderators: Mary Beth Brady, MD/Joseph Miller, MD WORKSHOP 2: Hands-on Thoracic ANESTHESIA Moderators: R. Lebron Cooper, MD/Edmond Cohen, MD Coffee Break 10:15 am-12:15 pm WORKSHOP 3: TEE – New and Review Moderator: Kent Rehfeldt, MD 10:15 am-12:15 pm WORKSHOP 4: Adults with Congenital Heart Disease: Arrhythmias, Sequelae and Recent Advances in non-Surgical Management Moderators: Kathryn Rouine-Rapp, MD/Chandra Ramamoorthy, MB, BS 12:15-1:30 pm Lunch on own 1:00-4:00 pm WORKSHOP 5: HANDHELD ULTRASOUND Moderators: Kathryn Glas, MD/François Beique, MD, FRCPC 1:00-4:00 pm WORKSHOP 6: Essentials of CPB Moderator: Madhav Swaminathan, MD, FASE 1:30-2:45 pm FOCUS Update Moderators: Bruce Spiess, MD/Scott Reeves, MD 2:45-3:00 pm Coffee Break 1:45-3:45 pm Poster Discussion I 1:45-3:45 pm Poster Discussion II 3:00-4:00 pm Expert Review of Best Abstracts Moderator: Martin London, MD 4:00-5:30 pm Complex Case Presentations in Cardiovascular Anesthesiology Moderator: Christina Mora Mangano, MD 4:15-7:15 pm WORKSHOP 7: TEE AdvanceD Clinical Cases Moderators: Nikolaos Skubas, MD/Kent Rehfeldt, MD • SCA 30th Annual Meeting & Workshops SCA 30th Annual Meeting Program THURSDAY, June 19, 2008 6:15 am-5:30 pm Registration 6:45-8:00 am Problem Based Learning Discussions Separate registration required. Please see page 33. 7:00-8:00 am Continental Breakfast 8:00-10:45 am = Fellow Track Evidence-Based Practice Moderator: C. David Mazer, MD Evidence-based Cardiology Interventions (stent update) Merril L. Knudtson, MD Evidence-based Perfusion Practice Kenneth Shann, CCP Evidence-based Transfusion Practice Colleen Koch, MD, FACC Evidence-based Monitoring Hilary Grocott, MD 10:45-11:00 am 11:00 am-12:00 pm Coffee Break Session A: Professional Development: When patient care is the easy part Moderator: David Zvara, MD Dealing with the Disruptive Colleague: Record-keeping, counseling and steps to dismissal Steven J Barker, PhD, MD Narcotic and Substance Abuse in Clinical Practice: How to recognize it and what to do about it Katja Turner, MD Session B: DHCA - Strategies to Improve Outcomes after Deep Hypothermic Circulatory Arrest Moderator: Albert T. Cheung, MD Evidence-based on Clinical Studies David Reich, MD Evidence-based on Experimental Studies William Greeley, MD, MBA 12:00-1:30 pm 1:30-3:30 pm Lunch on Own Session A: Contemporary Management of the Thoracic Surgical Patient Moderator: Katja Turner, MD Review of Respiratory Physiology: Remembering what we forgot Stuart Weiss, MD Acute Lung Injury and ARDS After Lung Resection: Is aggressive fluid restriction the answer? Robert Sladen, MD 2008 Update on Lung Transplantation Erin Sullivan, MD >>>>>> Continued on page 8 SCA 30th Annual Meeting & Workshops • SCA 30th Annual Meeting Program 1:30-3:30 pm Session B: CCAS/SCA JOINT SESSION – Adults with Congenital Heart Disease: Overview, non-Echocardiographic Imaging and the Pregnant Patient Moderators: Kathryn Rouine-Rapp, MD/Chandra Ramamoorthy, MB, BS Overview of CHD Helen Holtby, MD Non-Echocardiographic Imaging Technologies Frandics Chan, MD The Pregnant Patient with a Single Ventricle Sugantha Sundar, MD Session C: Poster Discussion III 3:30-4:15 pm Coffee Break and Opening of Exhibits 4:15-5:30 pm Session A: Gender Issues in Cardiovascular Medicine: Why can’t women be more like men? Moderator: Mary Beth Brady, MD The Preoperative Profile – It’s a boy! It’s a girl! Does it really make a difference? Susan Garwood, MD Surgical Outcomes – Is there a difference? Why? Nancy Nussmeier, MD Perioperative Implications of Estrogen Replacement Charles Hogue, MD Session B: Pharmacology: Novel Pharmacology for Cardiac Anesthesia Moderators: Amanda Fox, MD/Junzo Takeda, MD Propofol for Myocardial Protection: What is the evidence? David Ansley, MD Treating Perioperative Pulmonary Hypertension with Inhaled Milrinone or Prostacyclin: Does it work? Yoan Lamarche, MD, MSc, FRCSC Pros and Cons of Perioperative ACE-Inhibitor and Angiotensin Receptor Blocker Use with Cardiovascular Surgery John Butterworth IV, MD Session C: Crazy Stuff and Wild Times Moderator: Kent Rehfeldt, MD OPCAB Revisited: Is there really any benefit? Davy Cheng, MD Coronary Stents: Are we going back to bare-metal? Harish Ramakrishna, MD Percutaneous Aortic Valve Replacement: Is this the way of the future or the way out future? Robert Savage, MD FRIDAY, June 20, 2008 6:15 am-5:30 pm Registration 6:45-8:00 am Problem Based Learning Discussions Separate registration required. Please see page 33 for details. 7:00-8:00 am Continental Breakfast = Fellow Track • SCA 30th Annual Meeting & Workshops SCA 30th Annual Meeting Program 8:00-10:15 am Monograph Session: Medically Challenging Patients Undergoing Cardiothoracic Surgery Moderator: Neal Cohen, MD Airway Challenges in the Patient Who Requires Lung Isolation Peter Slinger, MD = Fellow Track Managing the Patient with an Anterior Mediastinal Mass Javier Campos, MD Cardiothoracic Surgery in the Morbidly Obese Patient Thomas Ebert, MD, PhD The Jehovah`s Witness Requiring Cardiothoracic Surgery Steven Hill, MD 10:15-11:00 am 11:00 am-12:00 pm Coffee Break with Exhibitors Keynote Speaker 12:00-12:30 pm Business Meeting 12:30-1:30 pm Lunch with Exhibitors and Posters 1:30-3:30 pm Session A: Contemporary Issues in Vascular Surgery Moderator: Brian Donahue, MD, PhD Anesthesia and the Endovascular Stenting Patient Michael Andritsos, MD Carotid Disease and CABG: Recent data on surgical timing and outcome John Ellis, MD Evidence-based Perioperative Evaluation in Vascular Surgery Patients E. Andrew Ochroch, MD The Use of Ultrasound During Vascular Anesthesia: From line placement to LV assessment Gregg Hartman, MD Session B: Anesthesia & Analgesia: aprotinin in cardiac surgery and the fda Moderator: Charles Hogue, MD Variability in Platelet Response to Aspirin: Implications for perioperative management Nauder Faraday, MD The Anemia Paradox: Worse outcome after cardiac surgery from both anemia and transfusion Keyvan Karkouti, MD The FDA and Aprotinin Rafael D. Rieves, MD Session C: ASCCA/SCA Joint Session – Critical Care 2008 Moderator: Michael Wall, MD, FCCM Can Intra-Operative Ventilation Cause ARDS? Brian Kavanagh, MB Vasopressin and Steroids in Sepsis: Is there an answer? Michael Avidan, MD Best Critical Care Papers 2007-2008 for the CVT Anesthesiologist Michael Wall, MD, FCCM 3:30-4:15 pm Coffee Break with Exhibitors 4:15-5:30 pm Session A: HITT Moderators: David Royston, MBChB/Colleen Koch, MD, MS, FACC Incidence and Methods of Presentation of HITT Cedric Carter, MD Clinical Management Case Discussion Linda Shore-Lesserson, MD Case Discussion Jerrold Levy, MD >>>>>> Continued on page 10 SCA 30th Annual Meeting & Workshops • SCA 30th Annual Meeting Program 4:15-5:30 pm Session: B: SAGA/SCA JOINT SESSION: Controversies in Preoperative Evaluation of the Elderly Patient Moderator: G. Alec Rooke, MD, PhD Should We Pay Closer Attention to the Preoperative Hematocrit? Gregory A. Nuttall, MD SAGA Should BNP be Measured in All Elderly Patients Preoperatively? Shamsuddin Akhtar, MD Should We Screen for Patients at Risk of Postoperative Delirium or Cognitive Decline? Christopher Jankowski, MD Session C: SCA Debates: Workforce Paradigms in Cardiothoracic and Vascular Anesthesiology Moderator: David Zvara, MD The SCA Should Recommend Credentialing Guidelines to Hospitals for CT Anesthesiologists Pro: Glenn Gravlee, MD/Con: Gary Roach, MD The SCA Should Recommend that Low Volume Programs Close Pro: Mark Chaney, MD/Con: Bryant Murphy, MD 5:30-7:00 pm Reception in Exhibit Hall 6:00-8:00 pm American Society of Anesthesiology Practice Guidelines for Perioperative Transesophageal Echocardiography (No CME credit awarded) Moderators: Daniel M. Thys, MD/Scott Reeves, MD A task force of the American Society of Anesthesiology has been meeting to revise the 1996 Practice Guidelines for Perioperative Transesophageal Echocardiography. This session will allow the membership of the SCA to review the proposed updated guidelines and to comment to the task force regarding specific issues raised. SATURDAY, June 21, 2008 6:15 am-5:30 pm Registration 6:45-8:00 am Problem Based Learning Discussions Separate registration required. Please see page 33. 7:00-8:00 am Continental Breakfast 8:00-10:15 am Ischemic MR Moderators: A. Stephane Lambert, MD/Scott Reeves, MD Understanding Ischemic MR David Rubenson, MD Intraoperative Evaluation of Ischemic MR Stanton Shernan, MD The Surgical Approach to Ischemic MR Steven F. Bolling, MD 10:15-11:00 am 11:00 am-12:00 pm Coffee Break with Exhibitors Session A: How’s Your Sugar, Daddy? Moderator: François Beique, MD, FRCPC Intraoperative Glycemic Control: It just makes sense! Pro: Benjamin Kohl, MD Intensive Insulin Therapy During Cardiac Surgery Does Not Reduce Perioperative Death or Morbidity Con: Martin D Abel, MBBCh = Fellow Track 10 • SCA 30th Annual Meeting & Workshops SCA 30th Annual Meeting Program 11:00 am-12:00 pm Session B: Research: Multicenter trials and research consortia: the whole is bigger than the sum of the parts Moderator: Hilary Grocott, MD The iPegasus Group Andrew Shaw, MD, FRCA Nuances of Perioperative Multicenter Trials Paul Myles, MBBS 12:00-1:30 pm 1:30-3:30 pm Lunch with Exhibitors and Posters Session A: The Forgotten Ventricle: Understanding Right Ventricular Function Moderators: Benjamin Drenger, MD/Marc Stone, MD The Physiology of RV Failure Ron Pearl, MD TEE Assessment of Pulmonary Hypertension and RV Failure Claude Tousignant, MD Current Medical Management of Pulmonary Hypertension Idit Matot, MD Current Surgical Management of RV Failure Marc E. Stone, MD Session B: Hematology Moderator: Colleen Koch, MD, MS, FACC Issues in Blood Banking That Impact Outcomes: Leukocyte depletion, female plasma donors: What’s the data? Gershon Growe , MD Age of Red Cells: Does shelf life matter? C. David Mazer, MD Red Cell Alternatives: Are we any closer or just one day older? Bruce Spiess, MD Emerging Recombinant Clotting Factors: When, in whom, and how much? Linda Shore-Lesserson, MD Session C: Poster Discussion IV 3:30-4:15 pm Coffee Break 4:15-5:30 pm Echo Jeopardy Moderators: Andrew Maslow, MD/Peter Panzica, MD/Robert Savage, MD/Feroze Mahmood, MD Contestants: Jack Shanewise, MD/Martin London, MD/Nikolaos Skubas, MD/David Zvara, MD/Donald Oxorn, MD/Solomon Aronson, MD 6:00-9:00 pm 30th Anniversary SCA Party SUNDAY, June 22, 2008 6:45-10:00 am 7:00-8:00 am 8:00-10:00 am Registration Continental Breakfast Headaches, Heart Aches and Hangovers: A rapid fire case-based TEE conference on the images that drive us all crazy Moderators: Andrew Maslow, MD/Albert Cheung, MD Faculty: Albert Cheung, MD/Andrew Maslow, MD/Benjamin Kohl, MD/Rebecca Cain, MD/Lori Heller, MD/Steven Konstadt, MD Workshop 8: handheld ultrasound (enrollment limited to 50) Moderators: Kathryn Glas, MD/François Beique, MD, FRCPC = Fellow Track SCA 30th Annual Meeting & Workshops • 11 SCA 30th Annual Meeting Program WORKSHOPS WEDNESDAY, June 18, 2008 8:00-10:00 am WORKSHOP 1: Leveraging Your TEE Knowledge in the OR Moderators: Mary Beth Brady, MD/Joseph Miller, MD The Upset Stomach: How and when to incorporate epicardial imaging into your practice Jake Abernathy, MD A Picture Is Worth A 1000 Words: Clincally relevant echocardiographic and anatomic correlations Feroze Mahmood, MD Quantitate Or Not To Quantitate? Appropriate use of qualitative doppler imaging in clinical practice William Whitley, MD Great Image…Now What? Panel 8:00-9:55 am WORKSHOP 2: Hands-on Thoracic anesthesia Moderators: R. Lebron Cooper, MD/Edmond Cohen, MD Isolation of the Lung: DLT Javier Campos, MD Isolation of the Lung: Univent/Blockers Peter Slinger, MD Epidural/Paravertebral Blocks Katherine Grichnik, MD Hands-on Demonstration Stations (Registrants will rotate through each station.) Javier Campos, MD/Peter Slinger, MD/Kathy Grichnik, MD/R. Lebron Cooper, MD/Edmond Cohen, MD/Christopher O’Connor, MD/Joyce Wahr, MD #1: Left sided DLT/Tube Exchangers – Javier Campos, MD #2: Right sided DLT/Tube Exchangers – Christopher O’Connor, MD #3: Univent Tube – R. Lebron Cooper, MD #4: Arndt Endobronchial Blocker – Peter Slinger, MD #5: Cohen Flexitip Endobronchial Blocker – Edmond Cohen, MD #6: Thoracic Epidural (Torso) – Joyce Wahr, MD; Katherine Grichnik, MD 10:15 am-12:15 pm WORKSHOP 3: TEE – New and Review Moderator: Kent Rehfeldt, MD Intraoperative Assessment of the Thoracic Aortic: TEE and epiaortic scanning Marc Kanchuger, MD Diastolic Function: Intraoperative Case Studies Madhav Swaminathan, MD Balloon Pump and Beyond: Echo assessment of assist devices Thomas Burch, MD Introduction to Tissue Doppler and Strain Rate Imaging Nikolaos Skubas, MD 10:15 am-12:15 pm WORKSHOP 4: Adults with Congenital Heart Disease: Arrhythmias, Sequelae and Recent Advances in non-Surgical Management Moderators: Kathryn Rouine-Rapp, MD/Chandra Ramamoorthy, MB, BS Arrhythmias in Adults with CHD Emad B. Mossad, MD Sequelae of CHD in the Adult Paul I. Reynolds, MD Recent Advances in the Non-surgical Management of CHD James DiNardo, MD 12 • SCA 30th Annual Meeting & Workshops SCA 30th Annual Meeting Program WORKSHOPS 1:00-4:00 pm WORKSHOP 5: handheld ultrasound Moderators: Kathryn Glas, MD/François Beique, MD, FRCPC Faculty for hands-on: Regional -Michael Byas-Smith, MD/Brian Spence, MD/Jason Taylor, MD Vascular: François Beique, MD, FRCPC/Alexander Mittnacht, MD/Gregg Hartman, MD TTE: Donald Oxorn, MD/Kathryn Glas, MD/Katherine Grichnik, MD 1:00-4:00 pm WORKSHOP 6: Essentials of CPB Madhav Swaminathan, MD, FASE Learning From Our Colleagues: A perfusionist’s perspective of going on and off bypass David Kaemmer, CCP CPB Management Issues in High Stroke Risk Patients George Djaiani, MD How Low Can You Go? Hemodilution and hematocrit Nutan Mehta, MD CPB Temperature Management Strategies: Current perspectives Glenn Murphy, MD CPB Strategies In Aortic Surgery: Partial bypass, cerebral perfusion and rewarming Wanda Popescu, MD Managing the Complicated Patient: Herapin-induced Thrombocytopenia Thomas Slaughter, MD 4:15-7:15 pm WORKSHOP 7: TEE AdvanceD Clinical Cases Moderators: Nikolaos Skubas, MD/Kent Rehfeldt, MD Quantitation of Regurgitant Lesions Albert Perrino, MD 3-D: Imaging Tomorrow Douglas Shook, MD Challenging Cases In Prosthetic Valve Assessment Albert Cheung, MD Echocardiographic Findings In Systemic Disease Kent Rehfeldt, MD SUNDAY, June 22, 2008 8:00-10:00 am Workshop 8: handheld ultrasound Moderators: Kathryn Glas, MD and François Beique, MD, FRCPC Faculty for hands-on: Regional -Michael Byas-Smith, MD/Brian Spence, MD/Garrett Kovarik, MD Vascular: François Beique, MD, FRCPC/Alexander Mittnacht, MD/Gregg Hartman, MD SCA 30th Annual Meeting & Workshops • 13 SCA 30th Annual Meeting Program PROBLEM-BASED LEARNING DISCUSSIONS (PBLDs) Co-Chairs: Colleen G. Koch, MD; Amanda Fox, MD; Joseph Miller, MD Each table is limited to 15 participants and two faculty members to allow for small group interaction, discussion, and exchange of ideas. Separate registration is required on page 33. THURSDAY, JUNE 19, 2008 6:45-8:00 am TABLE 1 Endovascular Stenting for TAA: To drain or not to drain? Albert Cheung, MD and Maged Argalious, MD TABLE 2 Blue Sky at Night: Techniques for managing congenital heart disease patients for non-cardiac surgery Emad Mossad, MD and Kathryn Rouine-Rapp, MD TABLE 3 Stop The Heart, Not The Head: Managing circulatory arrest for aortic arch surgery Annette Mizuguchi, MD, PhD and Albert Perrino, MD TABLE 4 It’s Just a Ten Minute Case: Providing support for AICD testing Benjamin Sohmer, MD and Mark Chaney, MD TABLE 5 Blood is Thicker Than Water: Making sense of current anticoagulants Linda Shore-Lesserson, MD and Wanda Popescu, MD TABLE 6 I Can’t Put it Back: Managing problems after lung resection Christopher O’Connor, MD and Katherine P. Grichnik, MD TABLE 7 Just Pull, It’ll Reach: Managing patients for tracheal resections Javier H. Campos, MD and Andra Duncan, MD TABLE 8 Inflammation and Cardiac Surgery: Impact the cascade, impact outcomes? David Collard, MD and Brian Birmingham, MD FRIDAY, JUNE 20, 2008 6:45-8:00 am TABLE 9 Cardiac Testing for Non Cardiac Surgery: An evidence-based approach Susan Garwood, MD and Josh Stearns, MD TABLE 10 Robotic-Assisted MV Repair: Practical management issues Pierre LeVan, MD and Robert Savage, MD TABLE 11 Off-Pump CABG: Management issues that impact outcomes Jack Shanewise, MD and Hong Liu, MD TABLE 12 Who is At Risk for SAM After MV Repair? Andrew Maslow, MD and Mohammed Minhaj, MD TABLE 13 Protecting the ‘Beans’: Strategies for perioperative renal protection in cardiac surgery Robert Sladen, MD and Theodore Alston, MD TABLE 14 Carotid Revascularization: Are stents replacing open procedures? Galina Leyvi, MD and Joseph Miller, MD TABLE 15 Echocardiography in the Endovascular Suite Jill Morganstern, MD and Jacob Gutsche, MD TABLE 16 Cool Down, Warm Up: Temperature management strategies and outcomes in cardiac surgery Hilary Grocott, MD and Michael D’Ambra, MD SATURDAY, JUNE 21, 2008 6:45-8:00 am TABLE 17 Atrial Fibrillation Following Cardiac Surgery: Do pharmacologic interventions impact outcomes? Joseph Mathew, MD and Nannette Schwann, MD TABLE 18 ARDS Update: Prevalence and management strategies Michael Wall, MD and James Ramsay, MD TABLE 19 Is Cerebral Oximetry Useful in Cardiac Surgery? Dean Andropoulos, MD and James DiNardo, MD TABLE 20 Carcinoid Disease and Myasthenia Gravis: Disorders with unique perioperative implications for cardiothoracic surgery Marc Kanchuger, MD and Roman Sniecinski, MD TABLE 21 Management Considerations for Axial Flow Ventricular Assist Device Implantation: How are these devices different from pulsatile VADs? Alina Grigore, MD and Michelle Capdeville, MD TABLE 22 Major Vascular Surgery in Patients with Coronary Artery Disease Requiring CABG. Which should come first? Davy Cheng, MD and Andrew Ochroch, MD TABLE 23 Epicardial Echocardiography in Cardiac Surgery: Indications and how-to Jutta Novalija, MD, PhD and Steven Konstadt, MD TABLE 24 Ethics: Organ donation after cardiac death. Should anesthesiologists be involved? Richard Wolman, MD and Michael O’Connor, DO, MPH Theodore Alston, MD Boston, MA C. David Collard, MD Houston, TX Jacob Gutsche, MD Penn Valley, PA Joseph Miller, MD Olympia, WA E. Andrew Ochroch, MD Philadelphia, PA Linda Shore-Lesserson, MD Bronx, NY Dean Andropoulos, MD Houston, TX Michael D’Ambria, MD Cambridge, MA Marc S. Kanchuger, MD New York, NY Mohammed Minhaj, MD Chicago, IL Albert C. Perrino Jr., MD New Haven, CT Robert N. Sladen, MD New York, NY Maged Argalious, MD Cleveland, OH James A. DiNardo, MD Boston, MA Steven Konstadt, MD Brooklyn, NY K. Annette Mizuguchi, MD Boston, MA Wanda Popescu, MD New Haven, CT Roman Sniecinski, MD Atlanta, GA Brian W. Birmingham, MD Winnetka, IL Andra Duncan, MD Aurora, OH Pierre T. LeVan, MD Maywood, IL Jill Morganstern, MD New York, NY James G. Ramsay, MD Atlanta, GA Benjamin Sohmer, MD Ottawa, Ontario, Canada Javier H. Campos, MD Iowa City, IA Susan Garwood, MD New Haven, CT Galina Leyvi, MD Bronx, NY Emad Mossad, MD Cleveland, OH Kathryn Rouine-Rapp, MD San Francisco, CA Josh Stearns, MD Baltimore, MD Michelle J. Capdeville, MD Cleveland, OH Katherine P. Grichnick, MD Durham, NC Hong Liu, MD Sacramento, CA Jutta Novalija, MD, PhD Milwaukee, WI Robert M. Savage, MD Cleveland, OH Michael Wall, MD St. Louis, MO Mark Chaney, MD Chicago, IL Alina M. Grigore, MD Houston, TX Andrew Maslow, MD Providence, RI Michael S. O’Connor, DO, MPH Cleveland, OH Nannette M. Schwann, MD Allentown, PA Richard Wolman, MD Madison, WI Joseph P. Mathew, MD Durham, NC Christopher J. O’Connor, MD Chicago, IL Jack S. Shanewise, MD New York, NY Davy C. H. Cheng, MD, MSc, FRCPC Hilary Grocott, MD London, Ontario, Canada Winnipeg, Manitoba, Canada Albert T. Cheung, MD Philadelphia, PA 14 • SCA 30th Annual Meeting & Workshops 30th Annual Meeting Accepted Abstracts Wednesday, June 18 • 1:45 – 3:45 pm Poster Discussion I – Vascular/Thoracic Moderators: K.W. Tim Park, MD and Christopher O’Connor, MD (SCA 1–12) SCA1 IMPACT OF BLOOD GLUCOSE LEVEL ON POSTOPERATIVE OUTCOME IN 212 PATIENTS WITH ACUTE TYPE A AORTIC DISSECTION Basciani R; Carrel T; Eberle B; Haehnle A; Immer F; Zobrist C University Hospital Bern, Bern, BE, Switzerland SCA2 TRANSESOPHAGEAL ASSESSMENT OF RIGHT VENTRICULAR FUNCTION DURING ONE LUNG VENTIALTION IN NONCARDIAC THORACIC SURGERY DeCamp M; Gangadharan S; Hess P; Karthik S; Leckie R; Lerner A; Mahmood F; Matyal R; Mitchell J; Panzica P; Pawlowski J; Subramaniam B BIDMC, Boston, MA, USA SCA3 CONTINUOUS INSULIN INFUSION HAS THE POTENTIAL TO DECREASE THE INCIDENCE OF PERIOPERATIVE MYOCARDIAI INFARCTION IN PATIENTS UNDERGOING LOWER EXTREMITY BYPASS SURGERY AND ABDOMINAL AORTIC ANEURYSM SURGERY Bose R1; Mahmood F1; Matyal R1; Mitchell J1; Novack V2; Panzica P1; Subramaniam B1; Sundar E1;Talmor D1 Beth Israel Deaconess Medical Center1, Boston, MA, USA; Harvard Clinical Research Institute2, Boston, MA, USA SCA4 TIGHT GLUCOSE CONTROL MAY PROVIDE BENEFICIAL CARDIOPROTECTIVE EFFECTS IN NON-DIABETICS BUT NOT IN DIABETICS UNDERGOING VASCULAR SURGERY Bose R; Mahmood F; Matyal R; Mitchell J; Novack V; Panzica P; Subramaniam B; Sundar E;Talmor D Beth Israel Deaconess Medical Center, Boston, MA, USA SCA5 EVALUATION OF PULSE PRESSURE VARIATION AND CORRECTED FLOW TIME AS PREDICTORS OF FLUID RESPONSIVENESS DURING ONE-LUNG VENTILATION Bahk J2; Hong D2; Jeon Y2; Lee J1 Samsung Medical Center1, Seoul, Korea; Seoul National University Hospital2, Seoul, Korea SCA6 DESCENDING THORACIC AORTIC CROSS-CLAMPING CAN CHANGE A PHARMACOKINETICS OF PROPOFOL IN HUMANS. Kakinohana M; Kamizato K; Sugahara K University of the Ryukyus, Nishihara, Okinawa, Japan SCA7 FACTORS ASSOICATED WITH RENAL DYSFUNCTION AFTER BILATERAL ORTHOTOPIC LUNG TRANSPLANT Balsara K; Davis R; Lin S; Phillips-Bute B; Satyapriya A; Welsby I Duke University Medical Center, Durham, NC, USA SCA9 A RANDOMIZED, DOUBLE BLINDED, PLACEBO CONTROLLED CLINICAL TRIAL OF THE USE OF KETAMINE IN THORACIC SURGERY Bennett-Guerrero E; D’Alonzo R; D’Amico T; Podgoreanu M; Shaw A Duke University Medical Center, Durham, NC, USA SCA10 A SEVEN-YEARS EXPERIENCE OF INTRAOPERATIVE AWAKE GENERAL ANESTHESIA WITH REMIFENTANIL FOR THE CAROTID ENDARTERECTOMY Bassi F; Giordano F; Gonano N; Roccato A; Vetrugno L Hospital, Udine, Italy SCA11 PREDICTORS OF PERI-OPERATIVE RED BLOOD CELL TRANSFUSION IN LUNG TRANSPLANTATION De Perrot M; Karkouti K; Ma M; McRae K; Slinger P Toronto General Hospital, Toronto, Ontario, Canada; SCA12 VALIDATION OF A CLINICAL RISK PREDICTION SCORE OF THE LIKELIHOOD TO BENEFIT FROM CARDIAC TESTING AND CORONARY REVASCULARIZATION BEFORE MAJOR VASCULAR SURGERY Ganon-Rozenthal T2; Landesberg G2; Subramaniam B1;Talmor D1 Beth Israel Deaconess Medical Center1, Boston, MA, USA; Hadassah Medical Center2, Kiryat-Hadassah, Jerusalem, Israel Wednesday, June 18 • 1:45 – 3:45 pm Poster Discussion II – CPB Moderators: Sheldon Goldstein, MD and Manuel Fontes, MD (SCA 13–24) SCA13 DOES PROPHYLACTIC ADMINISTRATION OF SIVELESTAT SODIUM HYDRATE IMPROVE POSTOPERATIVE PAO2/FIO2 RATIO IN PATIENTS UNDERGOING CARDIAC AND AORTIC SURGERY WITH CARDIOPULMONARY BYPASS? Gamo M; Higashi T; Hirose Y; Kokawa A;Yazawa R Kanagawa Cardiovascular and Respiratory Center, Yokohama, Kanagawa, Japan SCA14 PLATELET TRANSFUSION IN CARDIAC SURGERY DOES NOT CONFER INCREASED RISK FOR ADVERSE MORBID OUTCOMES Blackstone E; Figueroa P; Koch C; Li L; McGrath T; Mihaljevic T; Xu M Cleveland Clinic, Cleveland, OH, U.S. SCA15 STATINS ARE INDEPENDENTLY ASSOCIATED WITH REDUCED MORTALITY IN PATIENTS WITH PREOPERATIVE RENAL INSUFFICIENCY UNDERGOING CORONARY ARTERY BYPASS GRAFT SURGERY Collard C1; Elayda M2; Lee V2; Pan W1;Tolpin D1 Baylor College of Medicine1, Houston, Texas, USA; The Texas Heart Institute2, Houston, Texas, USA SCA8 IS EXTUBATION IN THE OPERATING ROOM (OR) AFTER IVORLEWIS ESOPHAGECTOMY SAFE? Amar D; Pedoto A; Rizk N; Zhang H Memorial Sloan-Kettering Cancer Center, New York, NY, USA SCA 30th Annual Meeting & Workshops • 15 SCA16 MOLECULAR CLASSIFICATION AND PREDICTION OF MULTIPLE ORGAN FAILURE COMPLICATING CARDIAC SURGERY USING MULTIPLEX SERUM PROTEIN MARKERS Mathew J; Newman M; Podgoreanu M;Turer A; van der Westhuizen J; White W DUMC, Durham, NC, USA SCA17 A RANDOMISED CONTROLLED TRIAL OF CELL SALVAGE IN ROUTINE CARDIAC SURGERY Armstrong J1; Bottrill F1; Dyer M2; Klein A1; Nashef S1; Sharples L1; Vuylsteke A1 Papworth Hospital1, Cambridge, Cambs, UK; Bristol University2, Bristol, Avon, UK SCA18 HIGH-DOSE MAGNESIUM THERAPY DOES NOT DECREASE ATRIAL FIBRILLATION AFTER CARDIAC SURGERY Mathew J; Newman M; Podgoreanu M; Stafford-Smith M;Thunberg C; White W Duke University Medical Center, Durham, NC, USA SCA19 DIASTOLIC DYSFUNCTION IS PREDICTIVE OF ADVERSE OUTCOMES FOLLOWING CARDIAC SURGERY INDEPENDENT OF SYSTOLIC FUNCTION Antonio B1; Groban L1; Houle T1; Kincaid E1; Kon N1; Ntuen E1; Sanders D1; Zvara D2 Wake Forest University School of Medicine1, Winston-Salem, NC, USA; Ohio State University Medical Center2, Columbus, OH, USA SCA20 EARLY POSTOPERATIVE NEUTROPHIL GELATINASE-ASSOCIATED LIPOCALIN (NGAL) PREDICTS ACUTE KIDNEY INJURY (AKI) FOLLOWING CARDIAC SURGERY Body S1; Collard C2; Fox A1; Liu K1; Muehlschlegel J1; Perry T1; Shernan S1 Brigham and Women’s Hospital1, Boston, MA, United States of America; Texas Heart Institute2, Houston, TX, United States of America SCA21 THE EFFECT OF SINGLE DOSE INTRAVENOUS AMIODARONE IN PATIENTS WITH RHEUMATIC ATRIAL FIBRILLATION UNDERGOING VALVULAR HEART SURGERY Chauhan S; Das S; Gharde P; Hasija S; Kapoor P; Kiran U; Sahu B; Selvaraj T All India Institute of Medical Sciences, New Delhi, Delhi, India SCA22 AN INVESTIGATION OF THE COMPARATIVE VALIDITY OF BNP AND TROPONIN-I FOR MEASUREMENT OF ISCHEMIA-REPERFUSION INJURY IN HEART TRANSPLANTATION McIlroy D; Roubos N; Wallace S Alfred Hospital, Melbourne, Victoria, Australia SCA23 IDENTIFICATION OF COMMON GENETIC VARIANTS ASSOCIATED WITH SEVERE POSTOPERATIVE BLEEDING AFTER CORONARY ARTERY BYPASS GRAFT SURGERY Aranki S1; Body S1; Collard C2; Fox A1; Lichtner P3; Liu K1; Meitinger T3; Muehlschlegel J1; Perry T1; Shernan S1 Brigham and Women’s Hospital1, Boston, MA, United States; Texas Heart Institute, St. Luke’s Episcopal Hospital2, Houston, TX, United States; Institute of Human Genetics3, Neuherberg, Bavaria, Germany 16 • SCA 30th Annual Meeting & Workshops SCA24 HEART-TYPE FATTY ACID BINDING PROTEIN IS AN EARLY-PEAKING AND INDEPENDENT PREDICTOR OF DEATH AFTER CORONARY ARTERY BYPASS GRAFT SURGERY Body S1; Collard C2; Fox A1; Liu K1; Muehlschlegel J1; Perry T1; Shernan S1 Brigham and Women’s Hospital1, Boston, MA, United States; Texas Heart Institute, St. Luke’s Episcopal Hospital2, Houston, TX, United States Thursday, June 19 • 1:30 – 3:30 pm Session C: Poster Discussion III Perioperative Monitoring/Echocardiography Moderators: Christopher Troianos, MD and George Silvay, MD (SCA 25–36) SCA25 EVALUATION OF PULSE PRESSURE VARIATION AS AN INDICATOR OF HEMODYNAMIC INSTABILITY AND A PREDICTOR OF FLUID RESPONSIVENESS DURING THE DISPLACEMENT OF HEART IN PATIENTS UNDERGOING OFF-PUMP CORONARY ARTERY BYPASS SURGERY Bahk J2; Jeon Y2; Lee J1; Lee J1 Samsung Medical Center1, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Hospital2, Seoul, Korea SCA26 VALUE OF AUGMENTED REALITY ENHANCED TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) FOR DETERMINING OPTIMAL ANNULOPLASTY RING SIZE DURING MITRAL VALVE REPAIR Borger M; Ender J; Falk V; Gessat M; Jacobs S; Koncar Zeh J; Mukherjee C University Leipzig Heartcenter, Leipzig, Saxony, Germany SCA27 IMPACT OF 3D TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN IMPROVING IDENTIFICATION OF MITRAL VALVE PATHOLOGY Glower D; Jungwirth B; Lemons J; Mackensen GB; Phillips-Bute B; Swaminathan M Duke University Medical Center, Durham, NC, USA SCA28 TRANSESOPHAGEAL ECHOCARDIOGRAPHIC FEATURES OF ENDOLEAKS AFTER STENT-GRAFT PROCEDURES FOR CHRONIC TYPE B AORTIC DISSECTION: RELATION TO FOLLOW-UP RESULTS Imoto K1; Koide Y1; Okamura K1; Okazaki K1;Yamakawa M2 Yokohama City Unversity Medical Center1, Yokohama, Kanagawap, Japan; Fujisawa Shonandai Hospital2, Fujisawa, Kanagawa-p, Japan SCA29 SPECKLE TRACKING IMAGING PROVIDES UNIQUE INSIGHT INTO LEFT VENTRICULAR SYSTOLIC FUNCTION---ASSESSMENT OF LEFT VENTRICULAR ROTATION Ashraf M1; Mahajan A1; Marcucci C2; Swaminathan M2; Zhou W1 UCLA1, Los Angeles, CA, USA; Duke Medical Center2, Durham, NC, USA SCA30 SPECKLE TRACKING IS SUPERIOR TO TISSUE DOPPLER FOR INTRAOPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY STRAIN ANALYSIS AND ENABLES ASSESSMENT OF SEQUENTIAL VENTRICULAR CONTRACTION Aronson S; Lauer R; Marcucci C; Swaminathan M Duke University, Durham, NC, USA SCA31 REAL TIME THREE-DIMENSIONAL INTRAOPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY FOR EVALUATING MITRAL VALVE PATHOLOGY Fox J; Nascimben L; Shernan S; Shook D Brigham and Women’s Hospital, Boston, MA, USA SCA32 THE HELICAL BAND THEORY OF MYOCARDIAL FUNCTION IS SUPPORTED BY SPECKLE TRACKING WITH INTRAOPERATIVE TEE DURING CARDIAC SURGERY Aronson S; Lauer R; Marcucci C; Swaminathan M Duke University, Durham, NC, USA SCA33 THE POSTOPERATIVE ELECTROCARDIOGRAM IS NOT PREDICTIVE OF ADVERSE CARDIAC EVENTS FOLLOWING CORONARY ARTERY BYPASS GRAFT SURGERY Body S1; Collard C2; Fox A1; Liu K1; Muehlschlegel J1; Orav EJ1; Perry T1; Shernan S1 Brigham and Women’s Hospital, Boston, MA, United States; Texas Heart Institute, St. Luke’s Episcopal Hospital2, Houston, TX, United States SCA34 ASSESSMENT OF LEFT VENTRICULAR FUNCTION USING SPECKLE TRACKING ECHOCARDIOGRAPHY DURING VASOPRESSORINDUCED INCREASES IN AFTERLOAD IN A RABBIT MODEL. Ashraf M; Corniea J; Ho J; Mahajan A; Sanchez E; Zhou W University of California, Los Angeles, CA, USA SCA35 DIASTOLIC DYSFUNCTION AND POSTOPERATIVE ATRIAL FIBRILLATION IN PATIENTS UNDERGOING CORONARY REVASCULARIZATION SURGERY Carroll J; Carroll J; Djaiani G; Karski J; Lavi R; Meineri M University Health Network, Toronto, Ontario, Canada SCA36 PROGNOSTIC VALUE OF PERIOPERATIVE TROPONIN I LEVELS FOR PREDICTING CARDIOVASCULAR COMPLICATIONS FOLLOWING CARDIAC SURGERY IN POSTMENOPAUSAL WOMEN Grogan K1; Hogue C1; Stearns J1;Thompson R2 Johns Hopkins Medical Institutions1, Baltimore, MD, USA; Bloomberg School of Public Health2, Baltimore, MD, USA Saturday, June 21 • 1:30 – 3:30 pm Session C: Poster Discussion IV – Experimental Circulation Moderators: Edwin Avery, MD and Michael Avidan, MD (SCA 37–48) SCA37 NORMOTHERMIC CARDIOPULMONARY BYPASS REDUCES DIAPHRAGM CONTRACTILE FORCES IN RATS Atchison F; Ereth M; Ermilov L; Mantilla C; Neal J; Pulido J; Sieck G; Zhan W Mayo Clinic, Rochester, MN, USA SCA38 INHIBITION OF APOPTOTIC PROTEIN P53 LOWERS THE THRESHOLD FOR HELIUM-INDUCED CARDIOPROTECTION IN RABBITS Amour J; Pagel P; Pratt P; Warltier D; Weihrauch D Medical College of Wisconsin, Milwaukee, Wisconsin, US SCA39 THE EFFECT OF TEMPERATURE AND MINOCYCLINE ON OUTCOME AFTER PROLONGED HYPOTHERMIC CIRCULATORY ARREST IN RATS Beuke L; Drabek T; Feldman K; Kochanek P; Lahoud-Rahme M; Stezoski J;Tisherman S University of Pittsburgh, Pittsburgh, PA, USA SCA40 PITX2 REGIONAL GENE VARIANTS ARE ASSOCIATED WITH NEWONSET ATRIAL FIBRILLATION AFTER CARDIAC SURGERY Body S1; Collard C2; Fox A1; Liu K1; Muehlschlegel J1; Perry T1; Shernan S1 Brigham and Women’s Hospital1, Boston, MA, USA; Texas Heart Institute2, Houston, TX, USA SCA41 DOES THE PERIOPERATIVE APPLICATION OF MOXIFLOXACIN INFLUENCE LONG TERM NEUROLOGIC AND HISTOLOGIC OUTCOME FOLLOWING DEEP HYPOTHERMIC CIRCULATORY ARREST IN RATS? Blobner M1; Denzler S1; Jungwirth B2; Kellermann K1; Kochs E1; Stueckle J1 Klinikum rechts der Isar1, Munich, Bavaria, Germany; Duke University2, Durham, NC, USA SCA42 GENE EXPRESSION SIGNATURES OF CEREBRAL INJURY FOLLOWING DEEP HYPOTHERMIC CIRCULATORY ARREST IN NEONATAL PIGS Cindy B1; Dobra A3; Du P2; Jaggers J1; Lin S2; Podgoreanu M1; Sheikh A1; Villamizar N1 Duke University1, Durham, NC, USA; Northwestern University2, Chicago, IL, USA; University of Washington3, Seattle, WA, USA SCA43 ADVANCED AGE AND MYOCARDIAL SERCA2A ACTIVITY FOLLOWING LUNG RESECTION IN SWINE Heerdt P;Yoon E Weill Cornell Medical College, New York, NY, USA SCA44 A COMPARISON OF GENE EXPRESSION CHANGES IN PERIPHERAL CIRCULATING LEUKOCYTES AND CEREBRAL TISSUE IN RESPONSE TO CPB/DHCA IN RATS Conlon N1; Dobra A2; Mackensen GB1; Podgoreanu M1; Qing M1 Duke University Medical Center1, Durham, NC, USA; University Of Washington2, Seattle, WA, USA SCA45 L-ARGININE COMPROMISES PROPOFOL PROTECTION OF THE ENDOTHELIUM AGAINST TNF-ALPHA INDUCED APOPTOTIC CELL DEATH Fan Q4; Liu H2; Luo T2; Ouyang J3; Wang F2; Xia Z1; Xia Z2;Yang X4 Hong Kong University1, Hong Kong, China; Renmin Hospital of Wuhan University2, Wuhan, Hubei, China; Basic Medical School of Wuhan Uni3, Wuhan, Hubei, China; Beijing Chaoyang HospitalAffiliate of Capital Medical University4, Beiing, China SCA46 DIFFERENTIAL CARDIOVASCULAR RESPONSES OF NNOS IN MICE DURING ACUTE HEMODILUTIONAL ANEMIA AND SYSTEMIC HYPOXIA Adamson L1; Hare G2; Marsden P1; Mazer D2;Tsui A1 University of Toronto1, Toronto, Ontario, Canada; St. Michael’s Hospital2, Toronto, Ontario, Canada SCA 30th Annual Meeting & Workshops • 17 SCA47 EXPLORING THE INTERACTION OF REMOTE ISCHEMIC AND ANESTHETIC-INDUCED PRECONDITIONING PATHWAYS Kim MK3; Lee JW1; Li J2; Redington A2;Tropak M2 Yonsei University Medical College1, Seoul, Republic of Korea; The Hospital for Sick Children2, Toronto, Ontario, Canada; Kyung-Hee University Medical College3, Seoul, Republic of Korea SCA54 INTRAOPERATIVE MANAGEMENT OF CARDIAC OUTPUT AND STROKE VOLUME VARIATION MEASURED BY THE ARTERIAL PRESSURE WAVEFORM ANALYSIS DURING THE VALVE REPLACEMENT SURGERY FOR THE AORTIC STENOSIS PATIENT Nohmi T; Ohnishi Y;Yoshitani K National Cardiovascular Center, Suita, Osaka, Japan SCA48 IN-VITRO STUDY OF THE SMALL MOLECULE PROTEASE INHIBITOR CU-2010 – A NOVEL HEMOSTASIS MODULATOR WITH ANTIFIBRINOLYTIC AND ANTICOAGULATIVE PROPERTIES Dietrich W1; Nicklisch S2; Spannagl M3; van de Locht A2 Institute for Research in Cardiac Anesthesia1, Munich, Bay, Germany; Curacyte Discovery GmbH2, Leipzig, Sa, Germany; Ludwig Maximilian University, Munich3, Munich, Bay, Germany SCA55 THE USE OF PULSECO™ FOR BIVENTRICULAR PACING OPTIMIZATION AFTER CARDIAC SURGERY Booth J; Cabreriza S; Quinn TA; Richmond M; Spotnitz H; Weinberg A Columbia University, Houston, TX, United States; Columbia University, New York, NY, United States Friday Posters – Friday, June 20 12:30 – 1:30 pm Moderators: Nikolaos Skubas, MD and Wanda Popescu, MD (SCA 49-88) SCA49 USE OF CREATININE LEVELS FOR STAGING OF ACUTE KIDNEY INJURY IN PEDIATRIC PATIENTS UNDERGOING OPEN HEART SURGERY Breuer T; Cserép Z; Fischer K; Hartyánszky I; Héthársi B; Sápi E; Szatmári A; Székely A; Szenczi B;Tóth R Gottsegen György Hungarian Institute of Cardiology, Budapest, Budapest, Hungary SCA50 EFFECT OF ORAL SILDENAFIL CITRATE AND ORAL BERAPROST COMBINED TREATMENT ON INTRAOPERATIVE HEMODYNAMICS IN PATIENTS WITH PULMONARY HYPERTENSION UNDERGOING VALVULAR HEART SURGERY. Choi Y1; Hong SW1; Jung SM2; Lee JH1; Lee JY1 Yonsei University College of Medicine1, Seoul, Republic of Korea; Yonsei University College of Medicine, Seoul, Republic of Korea; Konyang University College of Medicine2, Daejeon, Republic of Korea SCA51 THE IN VITRO EFFECTS OF REMIFENTANIL ON ISOLATED HUMAN INTERNAL MAMMARY ARTERY Cabrera M; Camacho J; Charris H; Delgadillo A; Echeverri D; Montes F; Umaña J Fundacion Cardio Infantil, Bogota, Cundinamar, Colombia SCA52 “INTRAOPERATIVE USEFULNESS OF REALTIME 3D ECHOCARDIOGRAPHY FOR TRANSAPICAL AORTIC VALVE IMPLANTATION.” Ender J; Koncar-zeh J; Krohmer E; Mohr F; Mukherjee C; Walther T Leipzig Heart Center,University Clinic, Leipzig, Sachsen, Germany SCA53 PREOPERATIVE BLOOD PRESSURE MANAGEMENT WITH SODIUM NITROPRUSSIDE OR NITROGLYCERIN IS ASSOCIATED WITH AN INCREASED RISK OF 30-DAY MORTALITY COMPARED WITH CLEVIDIPINE: RESULTS OF THE ECLIPSE TRIALS Aronson S1; Avery E6; Cheung A4; Fontes M5; Levy J2; Lumb P3; Newman M1 Duke University Med. Center1, Durham, NC, US; Emory University2, Atlanta, GA, US; University of Southern California3, Los Angeles, CA, US; University of Pennsylvania4, Philadelphia, PA, US; Cornell University5, Ithaca, NY, US; Massachusetts General Hospital6, Boston, MA, US 18 • SCA 30th Annual Meeting & Workshops SCA56 LOCATION OF THE CARADIOPULMONARY BYPASS MACHINE IN THE OPERATING ROOM: AN INITIAL SURVEY OF DIFFERENCES IN PRACTICE PATTERNS Barron M; Candiotti K; Gaitan B; Martin M University of Miami Miller School of Medicine, Miami, FL, USA SCA57 MEASUREMENT OF PULMONARY ARTERY VELOCITY (VTI) BY TRANSESOPHAGEAL PULSED WAVE DOPPLER ECHOCARDIOGRAPHY (PWD) TO ESTIMATE CARDIAC INDEX (CI). Gonzalez Luza M1; Penna A1; Rufs J2; Sabbatino A2 Universidad de Chile1, Santiago, RM, Chile; Hospital DIPRECA2, Santiago, RM, Chile; Hospital Clinico Universidad de Chile1, Santiago, RM, Chile SCA58 IMPAIRED LYMPHOCYTE GLUCOSE METABOLISM AND ENERGETICS AFTER CARDIAC SURGERY IN HUMANS: POSSIBLE MECHANISMS FOR CELL DEATH AND IMMUNOSUPPRESSION Bilodeau M2; Briet F1; Chan E1; Chan T2; Errett L1; Kadakia A1; Maughan A1; Mazer CD1; Michaud D1; Zhang H1 Keenan Research Centre in the Li Ka Shing Knowledge Institute, St Michael’s Hospital, University of Toronto1, Toronto, ON, Canada; Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc2, Montreal, QC, Canada SCA59 COMPARISON OF THE SNAP II AND BIS VISTA INDICES DURING NORMOTHERMIC CARDIOPULMONARY BYPASS Fitzgerald P; McCarthy R; Patel K; Sherwani S Northwestern University Feinberg School of Medicine, Chicago, IL, USA SCA60 EVALUATION OF AN ENDOTRACHEAL CONTINUOUS CARDIAC OUTPUT MONITOR IN PATIENTS UNDERGOING CARDIAC SURGERY Corniea J; Crowley R; Duvvuri R; Ho J; Mahajan A; Salehi A; Sanchez E UCLA, Los Angeles, CA, USA SCA61 PERIOPERATOVE CHANGES IN HUMAN ATRIAL NATRIURETIC PEPTIDE, RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM, AND RENAL FUNCTION IN PATIENTS UNDERGOING OFF-PUMP CORONARY ARTERY BYPASS SURGERY Kato J2; Katori N2;Takeda J2; Ueda T1;Yamada T2 Kawasaki City Hospital1, Kawasaki-shi, Kanagawa-k, Japan; School of Medicine, Keio University2, Shinjuku-ku, Tokyo, Japan SCA62 CAN INTRAOPERATIVE TEE PRECISELY EVALUATE THE OPTIMAL SIZE AND POSITION OF PA BANDING? Baba H; Honma T; Imai H; Kurokawa S Niigata University, Niigata City, Niigata Pr, Japan SCA63 GLOBAL STRAIN BY SPECKLE TRACKING: PERIOPERATIVE OBSERVATIONS DURING CARDIAC SURGERY. A PILOT STUDY Fontes M; Heerdt P; Johnston C; Leverich A; Skubas N Weill Cornell Medical College, New York, NY, USA SCA64 CASE WORKLOAD AFTER MIDNIGHT AT ONE ACADEMIC INSTITUTION: DO CARDIOTHORACIC (CT) ANESTHESIOLOGISTS OR NON-CT ANESTHESIOLOGISTS WORK MORE? Maratea E2; Sniecinski R1;Tanaka K1 Emory University Hospital1, Atlanta, GA, USA; Emory Crawford Long Hospital2, Atlanta, GA, USA SCA65 COMBINING STRAIN AND PERFUSION IMAGING COULD IMPROVE THE OUTCOME IN EVALUATION OF CORONARY ISCHEMIA Ashraf M1; Belchik T2; Mahajan A1; Sahn D2; Wei K2 University of California, Los Angeles1, Los Angeles, CA, USA; Oregon Health Science Center2, Portland, OR, USA SCA66 INTRAOPERATIVE PLACEMENT OF PULMONARY ARTERY CATHETER USING TRANSESOPHAGEAL ECHOCARDIOGRAPHY. Ecuyer J; Kanchuger M; Ngai J; Ostrowski J; Wang M New York University, NY, NY, US SCA67 PREDICTION AND DIAGNOSIS OF POSTOPERATIVE DEEP VEIN THROMBOSIS IN PATIENTS UNDERGOING TOTAL KNEE OR HIP ARTHROPLASTY ; USING BY PLASMA D-DIMER AND ULTRASONOGRAPHY Minami T; Sawai T;Tatsumi S Osaka Medical College, Takatsuki, Osaka, JAPAN SCA68 THE INCIDENCE OF THROMBOEMBOLIC EVENTS IN PATIENTS WITH ANTIBODIES TO HEPARIN-PF4 AFTER CARDIAC SURGERY Krakow E; Ortel T; Welsby I; Whitlach N DUMC, Durham, NC, USA SCA69 BLOOD PRESSURE CONTROL PREDICTS 30-DAY MYOCARDIAL INFARCTION IN CARDIAC SURGERY PATIENTS: ANALYSIS FROM THE ECLIPSE TRIALS Aronson S8; Avery E1; Cheung A7; Dyke C3; Kereiakes D4; Levy J5; Lumb P6; Richardson Jr J2 Massachusetts General Hospital1, Boston, MA, US; St.Vincent’s Hospital2, Birmingham, AL, USA; Gaston Memorial Hospital3, Gastonia, NC, USA; The Christ Hospital4, Cincinnati, OH, USA; Emory University5, Atlanta, GA, US; University of Southern California6, Los Angeles, CA, US; University of Pennsylvania7, Philadelphia, PA, USA; Duke University Medical Center8, Durham, NC, US SCA70 PREOPERATIVE ACE INHIBITOR USE ATTENUATES HEPARININDUCED HYPOTENSION Chaney M1; Drum M3; Strouch Z1;Taneja R2 University of Chicago Hospitals1, Chicago, IL, USA; University of Texas Southwestern Medical Center2, Dallas, Texas, USA; University of Chicago3, Chicago, IL, USA SCA71 PLATELET FUNCTIONS IN CHILDREN UNDERGOING SURGERY FOR CYANOTIC CHD. Brill A2; Rivo J1; Varon D3 University of Washington1, Seattle, WA, USA; Hebrew University Medical Center2, Jerusalem, Israel; Hadassah University Medical Center3, Jerusalem, Israel SCA72 SEVOFLURANE INHALATION PROTECTS ENDOTHELIUM AGAINST ISCHEMIA-REPERFUSION INJURY IN A DOSE DEPENDENT MANNER: A HUMAN IN VIVO STUDY Arain S; Novalija E; Novalija J;Thomas E MCW, Milwaukee, WI, USA SCA73 PRACTICE TRENDS IN PROTECTIVE LUNG VENTILATION FOR THORACIC SURGERY Amar D; Desiderio D; Frisk S; Heerdt P; Pedoto A; Zhang H Memorial Sloan-Kettering Cancer Center, New York, NY, USA SCA74 PERIOPERATIVE MORBIDITY FOLLOWING DIFFERENT TYPES OF CORONARY REVASCULARAZATION SURGERY Carroll J; Cusimano R; Djaiani G; Karski J; Lavi R University Health Network, Toronto, Ontario, Canada SCA75 2-DIMENSIONAL STRAIN IMAGING PROVIDES INSIGHT INTO UNDERSTANDING THE ALTERED DYNAMIC FUNCTION OF HEART DURING VENTRICULAR ARRHYTHMIAS ARISING FROM DIFFERENT VENTRICULAR LOCATIONS. Ashraf M1; Dave A1; Mahajan A1; Swaminathan M2; Zhou W1 UCLA1, Los Angeles, CA, USA; Duke Medical Center2, Durham, NC, USA SCA76 TRANSFUSION OF FRESH FROZEN PLASMA DURING CARDIOVASCULAR SURGERY INCREASES THE RISK OF POSTOPERATIVE INFECTION Iwade M; Nomura M; Seino Y; Shoji S Tokyo Women’s Medical University, Tokyo, Japan SCA77 DIASTOLIC FILLING CORRELATES WITH THE DEGREE OF SYSTOLIC SHORTENING Ashraf M1; Ho J1; Mahajan A1; Sahn D2 University of California, Los Angeles1, Los Angeles, CA, USA; Oregon Health Science Center2, Portland, OR, USA SCA78 CHANGES IN BLOOD PRESSURE AFTER MODIFIED ULTRAFILTRATION IN CONGENITAL HEART SURGERY: CORRELATION WITH BLOOD VISCOSITY. Aeschlimann N; Becker P; Canessa R; Carvajal C; Godoy C; Lema G; Merino W; Ocaranza MP Pontificia Universidad Catolica de Chile, Santiago, Region Met, Chile SCA79 PREOPERATIVE MALADAPTATION OF LYMPHOCYTE GLUCOSE METABOLISM IN CARDIAC SURGERY PATIENTS Bilodeau M2; Briet F1; Chan E1; Chan T2; Harrington A1; Maughan A1; Mazer CD1; Zhang H1 Keenan Research Centre in the Li Ka Shing Knowledge Institute, St Michael’s Hospital, University of Toronto1, Toronto, ON, Canada; Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Saint-Luc2, Montreal, QC, Canada SCA 30th Annual Meeting & Workshops • 19 SCA80 THROMBIN GENERATION IS ATTENUATED WITH APROTININ, BUT NOT WITH EPSILON-AMINOCAPROIC ACID IN PATIENTS UNDERGOING CARDIOPULMONARY BYPASS SURGERY Greilich P; Sarode R; Satyanarayana N;Taneja R; Whitten C UT Southwestern Medical Center, Dallas, TX, USA SCA81 INFLUENCE OF TOTAL AND SUBTOTAL ASCENDING AORTA ANEURYSMECTOMY ON HEMODYNAMIC INDICES OF ARTERIAL STIFFENING Fontes M; Girardi L; Karen R; Paul H; Skubas N Weill Medical College of Cornell, NYC, NY, USA SCA82 COMPARISON OF SENSITIVE URINARY MARKERS OF RENAL INJURY AND INFLAMMATION AFTER CARDIAC SURGERY WITH CPB. Epema A; Loef B; Mungroop H; Oeveren W University Medical Center Groningen, Groningen, Netherlands SCA83 ANESTHETIC MANAGEMENT FOR TRANS-CATHETER AORTIC VALVE IMPLANTATION: INITIAL EXPERIENCE Karski J; Meineri M; Vegas A; Wasowicz M Toronto General Hospital/University of Toronto, Toronto, Ontario, Canada SCA84 HEMODYNAMIC EFFECTS OF PHOSPHODIESTERASE-3 INHIBITORS, OLPRINONE AND MILRINONE AFTER OPEN HEART SURGERY IN CHILD OF CONGENITAL HEART DISEASE Iwasaki T; Kanazawa T; Morita K; Shimizu K; Suzuki S;Toda Y Okyama University Graduate School of Medical and Dentistry, Okayama City, Okayama, Japan SCA85 NORMOTHERMIC CARDIOPULMONARY BYPASS REDUCES PHRENIC NERVE NEUROMUSCULAR TRANSMISSION IN RATS Atchison F; Ereth M; Ermilov L; Mantilla C; Neal J; Pulido J; Sieck G; Zhan W Mayo Clinic, Rochester, MN, USA SCA86 EVALUATION OF RADIAL ARTERIAL LINE INSERTION FOLLOWING IPSILATERAL RADIAL CATHETERIZATION Cruchley P; Kim HH; Way M St. Mary’s General Hospital, Kitchener, ON, Canada SCA87 LOW TIDAL VOLUME AND HIGH POSITIVE-END EXPIRATORY PRESSURE MECHANICAL VENTILATION INCREASE PULMONARY INFLAMMATORY RESPONSE AND VENTILATOR-INDUCED LUNG INJURY IN NORMAL LUNG Brown M; Deitch E; Delphin E; Doucet D; Hong C; Lu Q; Pisarenko V; Xu D University of Medicine and Dentistry of New Jersey, Newark, New Jersey, United States SCA88 SYSTEMS APPROACH TO RESTARTING A CARDIAC SURGERY PROGRAM AND IMPROVING OUTCOMES Kaur S; Mueller C UMass Memorial Medical Center, Worcester, MA, USA 20 • SCA 30th Annual Meeting & Workshops Saturday Posters – Saturday, June 21 12:00 – 1:30 pm Stanton Shernan, MD and Solomon Aronson, MD (SCA 89-128) SCA89 DETECTING AORTIC DISSECTION USING MODIFIED TRANSESOPHAGEAL ECHOCARDIOGRAPHY Brandon Bravo Bruinsma G2; Buhre W1; Cheung A3; Moons KGM1; Nierich A2; van ‘t Hof AWJ2; van Zaane B1 University Medical Center Utrecht1, Utrecht, The Netherlands; Isala Clinics2, Zwolle, Overijssel, the Netherlands; University of Pennsylvania3, Philadelphia, PA, USA SCA90 PREVALENCE AND STAFFING OF SPECIALIZED PRE-ANESTHESIA CLINICS FOR DAY ADMISSION CARDIOVASCULAR SURGERY WITHDRAWN BY AUTHOR PATIENTS. Flynn B; Silvay G Mount Sinai Medical Center, New York, NY, United States SCA91 CARDIOVASCULAR EFFECTS OF ORAL TRIIODOTHYRONINE IN PATIENTS UNDERGOING VALVULAR CARDIAC SURGERY Choi Y1; Hong SW1; Jung SM2; Lee JH1; Lee JY1 Yonsei University College of Medicine1, Seoul, Republic of Korea; Yonsei University College of Medicine, Seoul, Republic of Korea; Konyang University College of Medicine2, Daejeon, Daejeon, Republic of Korea SCA92 CHANGES IN MYOCARDIAL PERFORMANCE INDEX WITH ABDOMINAL AORTIC CROSS CLAMP APPLICATION Bose R; Karthik S; Mahmood F; Matyal R; Mitchell, MD J; Panzica P; Subramaniam B; Zhao X BIDMC, Boston, MA, USA SCA93 ASSESSMENT OF LEFT VENTRICULAR REGIONAL FUNCTION BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY: COMPARISON OF VISUAL ESTIMATION WITH SPECKLE TRACKING Keller D1; Mackensen G1; Mahajan A2; Marcucci C1; Mathew J1; PhillipsBute B1; Podgoreanu M1; Swaminathan M1 DUMC1, Durham, NC, USA; UCLA2, Los Angeles, CA, USA SCA94 DESCRIPTIVE STUDY OF BLOOD TRANSFUSION AND BLOOD CONSERVATION IN CARDIAC SURGERY IN AN ACADEMIC CENTER Hankinson J; Neira V; Sawchuk C; Syed S;Thabane L McMaster University, Ottawa, Ontario, Canada; McMaster University, Hamilton, ON, Canada SCA95 HALF-MOLAR SODIUM-LACTATE SOLUTION HAS A BENEFICIAL EFFECT IN PATIENTS AFTER CORONARY ARTERY BYPASS GRAFTING Boom C1; Leverve X2 National Cardiovascular Center Harapan1, Jakarta Selatan, Jakarta, Indonesia; Universite Joseph Fourier2, France SCA96 PLASMA DONOR GENDER AND RESPIRATORY COMPLICATIONS AFTER CORONARY ARTERY BYPASS SURGERY Phillips-Bute B1; Stafford-Smith M1;Troughton M2; Welsby I1 DUMC1, Durham, NC, USA; UAB2, Birmingham, AL, USA SCA97 THE OUTCOME OF MINIMALLY INVASIVE MITRAL VALVE SURGERY IN PATIENTS WITH SEVERE MITRAL STENOSIS WITHOUT AORTIC CROSS CLAMPING Churchwell K; Moahmed T; Sathappan K;Theilade C Vanderbilt University, Nashville, TN, USA SCA106 POST-CARDIAC SURGERY ACUTE KIDNEY INJURY BEFORE AND AFTER APPLICATION OF APROTININ-USE GUIDELINES Hill S; Lin S; Mathew J; Phillips-Bute B; Shaw A; Stafford-Smith M; Swaminathan M; Welsby Ian Duke University Medical Center, Durham, NC, United States SCA98 GENOMIC INFLUENCES CHARACTERIZING AMBULATORY AND POST-CARDIAC SURGERY ATRIAL FIBRILLATION Mathew J; Mathew J; Newman M; Podgoreanu M; Shaw A; White W Duke University, Durham, NC, USA SCA107 INTEGRATION OF ADVANCED PATIENT SIMULATION INTO RESIDENT EDUCATION FOR CARDIAC ANESTHESIA TRAINING Lynch J;Torsher L Mayo Clinic, Rochester, MN, USA SCA99 IS GENERAL ANESTHESIA UNDER CONVENTIONAL MECHANICAL VENTILATION SUITABLE TO MANAGE THE PATIENTS DURING PEDIATRIC CARDIAC CATHETERIZATION. Kanazawa T Okayama University Hospital, Okayama City, Okayama, Japan SCA108 A COMPARATIVE RANDOMIZE STUDY OF 300 CASES OF LMA(PROSEAL) WITH STANDARD ORAL ENDOTRACHEAL TUBE FOR ANESTHESIA AND POST OPERATIVE VENTILATION IN CORONARY ARTERY BYPASS GRAFTING Shastri N Heart Care Clinic, Ahmedabad, Gujarat, INDIA SCA100 THE DETERIORATION OF THE DIASTOLIC FUNCTION DURING OFF-PUMP CABG DEPENDS ON REGIONAL WALL MOTION ABNORMALITIES Mizunuma M2; Nomura M1; Ozaki M1; Seino Y1;Tomaru T2 Tokyo Women’s Medical University1, Shinjuku, Tokyo, Japan; Showa University Fujigaoka Hospital2, Yokohama, Kanagawa, Japan SCA101 MEASUREMENT OF LEFT VENTRICULAR SYSTOLIC STRAIN : A COMPARISON OF TRANSTHORACIC AND TRANSESOPHAGEAL ECHOCARDIOGRAPHICTECHNIQUES Keller D1; Mackensen GB1; Mahajan A2; Marcucci C1; Mathew J1; Phillips-Bute B1; Podgoreanu M1; Swaminathan M1 DUMC1, Durham, NC, USA; UCLA2, Los Angeles, CA, USA SCA102 INTRAOPERATIVE TEE DIAGNOSIS OF SUBACUTE MECHANICAL VALVE THROMBOSIS IN A PATIENT RECEIVING ENOXAPARIN BRIDGE THERAPY FOR ANTICOAGULATION Frogel J; Mallu S Henry Ford Hospital, Detroit, MI, USA SCA103 EFFECT OF A PERIOPERATIVE BETA-BLOCKER INITIATIVE ON THE INCIDENCE OF ATRIAL FIBRILLATION AFTER THORACOTOMY Amar D; Frisk S; Zhang H Memorial Sloan-Kettering Cancer Center, New York, New York, USA SCA104 DOES APROTININ AFFECT SURVIVAL IN DOUBLE-LUNG AND HEART-LUNG TRANSPLANTATION? Ahlbrand S; Cornelissen C; Dhillon G; Fujiki M; Hill C; Mora-Mangano C; Oakes D Stanford University, Stanford, CA, USA SCA105 TSE “MASK” IMPROVES OXYGENATION IN SEDATED PATIENTS DURING TEE Barsoum S; Cebula J; Cohen S; Corless M; Hunter C; Negron M; Shindler D;Tse J UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ, USA SCA109 TRACHEAL EXTUBATION IN OPERATING ROOM AFTER OPCAB SURGERY Dal A; Dronam Raju A; Kumar K; Rao R Apollo Heath City, Hyderabad, Andhra Pra, India SCA110 C-REACTIVE PROTEIN (CRP) GENE VARIANTS ARE ASSOCIATED WITH PEAK CRP LEVELS FOLLOWING CORONARY ARTERY BYPASS GRAFT SURGERY Body S1; Collard C2; Fox A1; Liu K1; Muehlschlegel J1; Perry T1; Shernan S1 Brigham and Women’s Hospital1, Boston, MA, United States of America; Texas Hear Institute2, Houston, TX, United States of America SCA111 HYPOTENSION INDUCED BY RIGHT ATRIAL INFLOW OCCLUSION FOR THORACIC AORTIC ENDOVASCULAR STENT PLACEMENT Carvalho N; Gravenstein N; Lee W; Martin T; Peng Y University of Florida, Gainesville, FL, USA SCA112 IS REAL-TIME-3D SUPERIOR TO 2D-TRANSESOPHAGEAL ECHOCARDIOGRAPHY TO IDENTIFY SEGMENTAL INVOLVEMENT OF THE MITRAL VALVE IN MITRAL REGURGITATION? Adams D; Glower D; Jungwirth B; Mackensen GB; Mathew J; PhillipsBute B; Swaminathan M Duke University Medical Center, Durham, NC, USA SCA113 NATURAL HISTORY OF RENAL DYSFUNCTION AFTER BILATERAL ORTHOTOPIC LUNG TRANSPLANT Balsara K; Davis R; Lin S; Phillips-Bute B; Satyapriya A; Welsby I Duke University Medical Center, Durham, NC, USA SCA114 COMPARISON OF THE HYBRID PROCEDURE TO THE STAGE I NORWOOD REPAIR FOR NEONATES WITH HYPOPLASTIC LEFT HEART SYNDROME Castro P1; Farid I3; Mossad E2; Motta P1 Cleveland Clinic1, Cleveland, OH, US; Texas Children’s Hospital2, Houston, TX, US; Akron Children’s Hospital3, Akron, OH, US SCA 30th Annual Meeting & Workshops • 21 SCA115 CHANGES IN MITRAL VALVE GEOMETRY FOLLOWING REPAIR OF ISCHEMIC MITRAL REGURGITATION DeLatorre R; Jervis K; Karthik S; Lerner A; Mahmood F; Panzica P; Subramaniam B BIDMC, Boston, MA, USA SCA116 PREDICTORS OF POSTOPERATIVE DELIRIUM IN CORONARY SURGICAL PATIENTS Baba T; Goto T; Maekawa K; Otomo S;Yoshitake A Kumamoto Chuo Hospital, Kumamoto, Japan SCA117 A RETROSPECTIVE REVIEW OF APROTININ’S SAFETY AND EFFICACY IN NEONATES UNDERGOING CARDIOPULMONARY BYPASS Baker M; Evans F; Fazlollah T; Guzzetta N; Miller B Emory University School of Medicine, Atlanta, GA, USA SCA118 LOW CONTINUOUS CENTRAL VENOUS OXYGEN SATURATION (SCVO2) IN PEDIATRIC PATIENTS UNDERGOING CARDIAC SURGERY Canales C; Corniea J; Crowley R; Ho J; Lee K; Mahajan A; Sanchez E UCLA, Los Angeles, CA, USA SCA119 CAN THROMBOELASTOGRAPHY BE USED TO GUIDE RECOMBINANT FACTOR VIIA THERAPY FOR REFRACTORY HEMORRHAGE AFTER CARDIAC SURGERY? AN OBSERVATIONAL STUDY. Karkouti K; McCluskey S; Meineri M; Mitsakakis N;Wasowicz M Toronto General Hospital/University Health Network, University of Toronto, Ontario, Canada SCA120 OFF-PUMP CABG AND ON-PUMP CABG: A RETROSPECTIVE REVIEW OF INTRAOPERATIVE GLUCOSE CONTROL AND INSULIN REQUIREMENTS Afifi S; Avram M; Hanni K; Patel K; Soong W Northwestern University, Chicago, IL, USA SCA121 ACUTE PREOPERATIVE PLASMAPHERESIS IN PATIENTS WITH HEPARIN-INDUCED THROMBOCYTOPENIA FOR CARDIAC SURGERY Andrews D; Barron M; Gaitan B; Katz J; Shariatmadar S University of Miami Miller School of Medicine, Miami, FL, USA SCA122 RETROGRADE PERCUTANEOUS AORTIC VALVE REPLACEMENT IN SEVERE AORTIC VALVE STENOSIS: ANESTHESIA MANAGEMENT AND SHORT TERM OUTCOME Basciani R; Eberle B; Henle S; Wenaweser P; Windecker S; Zobrist C University Hospital Bern, BE, Switzerland SCA123 DISPROPORTIONATE INCREASE IN ACUTE RENAL FAILURE ASSOCIATED WITH CARDIAC TRANSPLANTATION IN THE UNITED STATES Martinelli S; Milano C; Patel U; Phillips-Bute B; Shaw A; Stafford-Smith M; Swaminathan M Duke University Medical Center, Durham, NC, USA 22 • SCA 30th Annual Meeting & Workshops SCA124 AORTIC VALVE REPLACEMENT AND ACUTE KIDNEY INJURY: MINIMALLY INVASIVE PARASTERNOTOMY VERUSUS MEDIAN STERNOTOMY Glower D; Mathew J; Phillips-Bute B; Shaw A; Stafford-Smith M; Swaminathan M;Ten Clay S Duke University Medical Center, Durham, NC, USA SCA125 ASSESSMENT OF GLOBAL LEFT VENTRICULAR FUNCTION WITH TRANSESOPHAGEAL ECHOCARDIOGRAPHY: COMPARISON OF SPECKLE TRACKING WITH CONVENTIONAL INTRAOPERATIVE MEASUREMENTS Keller D1; Mackensen G1; Mahajan A2; Marcucci C1; Mathew J1; PhillipsBute B1; Podgoreanu M1; Swaminathan M1 DUMC1, Durham, NC, USA; UCLA2, Los Angeles, CA, USA SCA126 IS WHOQOL-BREF QUESTIONNAIRE A RELIABLE AND VALID TOOL FOR THE ASSESSMENT OF QUALITY OF LIFE IN PATIENTS WITH CORONARY ARTERY DISEASE? Montazeri A; Najafi M; Sheikhfatollahi M; Sheikhvatan M Tehran Heart Center, Medical Sciences/University of Tehran, Tehran, Iran SCA127 ALTERED HEPARIN RESPONSIVENESS DURING CARDIOPULMONARY BYPASS IN PATIENTS WITH INFECTIVE ENDOCARDITITS Choi Y1; Hong SW1; Jung SM2; Lee JH1; Lee JY1 Yonsei University College of Medicine1, Seoul, Republic of Korea; Yonsei University College of Medicine, Seoul, Republic of Korea; Konyang University College of Medicine2, Daejeon, Republic of Korea SCA128 PREOPERATIVE SERUM ALBUMIN AS PREDICTOR OF OPERATIVE MORTALITY AND MORBIDITY IN PEDIATRIC CARDIAC SURGERY Del Real A; Estrada Y; Giraldo J; Montes F; Riaño D; Sepulveda Y Fundación Cardio Infantil, Bogota, Cundinamar, Colombia 30th Annual Meeting & Workshops Objectives 2008 Annual Meeting Learning Objectives WEDNESDAY, JUNE 18, 2008 Refresher Course Lectures Ischemic preconditioning: Where are we after 10 years Speaker: J Kersten At the conclusion of this lecture the participant will understand the scientific basis for ischemic preconditioning the its ability to clinical practice Cardiopulmonary Bypass Catastrophes: When Seconds Count Speaker: G Gravlee At the conclusion of this lecture the participant will have an appreciation of the treatment diagnostic and options available for cardiopulmonary bypass catastrophes Regional Anesthesia on the Frontline: Lessons learned from Iraq Speaker: I Black At the conclusion of this lecture the participant will have an appreciation of regional anesthesia techniques, utility of factor VII and anesthesia hardships encountered in times of war. Thrilla in Manila, the Aprotinin controversy continues Speaker: D Mazer At the conclusion of this lecture the participant will be updated on the status of the literature supporting the use of Aprotinin Renal Failure after Cardiothoracic Surgery Speaker: M Stafford-Smith At the conclusion of this lecture the participant will gain an appreciation of the significance of postoperative renal dysfunction following cardiac surgery and ways to minimize it. Pharmacoepidemilogy of Cardioprotective Medications: Implications for the Clinician Speaker: M London At the conclusion of this session the participants should be able to: 1) Review the literature on indications for and efficacy of Cardioprotective orally administered preoperative medications (antianginals, antihypertensives, statins and antiplatelet agents) in general medical populations using large scale pharmacoepidemiologic analyses and practice guidelines. 2) Consider the implications for individual clinicians performing a preoperative anesthesia assessment focusing on vascular, thoracic and cardiac surgery. 3) Consider the implications for hospitals and health care organizations of compliance with (or not) such information. 4) Correlate such data with smaller perioperative studies used for perioperative guideline development. THURSDAY, JUNE 19, 2008 Evidence-Based Practice Moderators: D Mazer Evidence based cardiology interventions (stent update) Speaker: M Knudtson At the end of this session, the participant will understand the latest evidence for percutaneous interventions including stenting, and will learn about evidence based cardiologic interventions that can affect the perioperative management of cardiovascular patients. Evidence based perfusion practice Speaker: K Shann At the end of this session the new paradigm of evidence-based perfusion practice will be reviewed. A framework for interdisciplinary collaboration and the creation of the International Consortium for Evidence-Based Perfusion (ICEBP) will be discussed. Evidence based transfusion practice Speaker: C Koch At the conclusion of this session, the participant will understand the benefits and risks of allogeneic transfusion, and will understand the evidence for recent practice guidelines for transfusion of blood products. Evidence based monitoring Speaker: H Grocott At the conclusion of this session, the participant will learn about different techniques for intraoperative monitoring of neurologic function and understand the rationale for their use. Session A: Professional Development: When Patient Care is the Easy Part Moderator: D Zvara Dealing with the disruptive colleague: record keeping, counseling and steps to dismissal Speaker: S Barker At the conclusion of this session, techniques for recognizing and establishing appropriate guidelines for performance will be discussed for the disruptive employee. Steps toward dismissal will be reviewed from an ethical and legal perspective. Narcotic and substance abuse in clinical practice: How to recognize it and what to do about it Speaker: K Turner At the conclusion of this session the participant will learn the clues suggesting substance abuse in the work place and the appropriate steps to create and implement an action plan to deal with an impaired colleague. SCA 30th Annual Meeting & Workshops • 23 Session B: DHCA - Strategies to Improve Outcomes after Deep Hypothermic Circulatory Arrest Moderator: A Cheung At the conclusion of this session the participants should be able to: 1) Understand the current controversies surrounding the safe conduct of deep hypothermic circulatory arrest such as: a) what is the safe duration of circulatory arrest? b) what is the optimal temperature for deep hypothermia? c) what is the best way to perfuse the brain? d) how should cerebral metabolism be monitored? and e) should pH be managed using alpha-stat or pH-stat? 2) Learn the evidence from published clinical studies that support what the best practices are for the conduct of deep hypothermic circulatory arrest. 3) Learn what experimental evidence exists to support what the best practices are for the conduct of deep hypothermic circulatory arrest. Session A: Contemporary Management of the Thoracic Surgical Patient Moderator: K Turner At the conclusion of this session, the participant will: 1) Understand respiratory physiology as it applies to the practice of anesthesiology; distribution and determining factors of ventilation and perfusion in the normal, diseased and anesthetized lung, commonly used pulmonary function tests, anatomy of the bronchial tree and ways of lung isolation 2) Understand pathophysiology, treatment and prevention of acute lunch injury: determine role of fluid perioperative fluid management as cause and preventive measure; outline evidence based postoperative care in a patient with acute lung injury. 3) Understand current trends in lung transplantation: review of donor and recipient selection; indication of single vs. double lung transplant; perioperative management of the patient presenting for lung transplantation; outcome studies and future therapy options for end-stage lung disease. Session B: CCAS: Adults with Congenital Heart Disease: Overview, non-Echocardiographic Imaging and the Pregnant Patient Moderators: K Rouine-Rapp/C Ramamoorthy An attendee of this session will be able to explain common congenital heart lesions. He/she will compare and contrast non-echocardiographic imaging technologies used to evaluate adults with such lesions. In addition, he/she will assess a pregnant patient with a single ventricle, plan her management, and estimate her perioperative risk. Overview of CHD Speaker: H Holtby Following this lecture the participant will describe the most common congenital heart lesions. He/she will recognize associated defects and summarize the physiology associated with lesions discussed. A “classic” echocardiographic image will be included for each lesion to enable the participant to visualize the congenital defect. Non-echocardiographic imaging technologies Speaker: F Chan Following this lecture, the participant will be able to explain nonechocardiographic imaging technologies used currently to evaluate adult patients with CHD. He/she will list the indications for 24 • SCA 30th Annual Meeting & Workshops the use of MRI and MRA to evaluate these patients and anticipate information provided by non-echocardiographic technologies discussed. The pregnant patient with a single ventricle Speaker: S Sundar Following this lecture the participant will define consensus recommendations for the care of a pregnant patient with a single ventricle. He/she will use these recommendations to choose the most appropriate location for the pregnant patient with a single ventricle to deliver her baby. He/she will discuss the options of her anesthetic care provider and assess her lesion-specific perioperative risk. Session A: Gender Issues in Cardiovascular Medicine - Why can’t women be more like men? Moderator: M Brady At the conclusion of this session, participants will be able to:1) Summarize the differences between the female and male profiles of patients presenting for coronary artery bypass grafting. Specifically, participants will be able to recognize the extent to which these differences are related to gender per se, individual risk factors, or the methodology behind evaluating these differences. 2) Identify the differences in outcome between men and women in terms of the short and long term benefits of coronary artery bypass grafting. In addition, participants will be able to summarize the reasons why these differences occur. 3) Better understand the current controversies of estrogen replacement therapy in cardiovascular surgery including its effect on perioperative risk, short and long term outcome, and the pharmacodynamic and pharmacokinetic responses to perioperative and intraoperative medications. Session B: Pharmacology: Novel Pharmacology for Cardiac Anesthesia Moderators: A Fox/J Takeda At the conclusion of this session, participants will be able to: 1) understand the evidence for and against using propofol for myocardial protection in cardiac surgery. 2) understand the evidence from published clinical studies regarding the efficacy of both inhaled milrinone and prostacyclin for treating perioperative pulmonary hypertension and to review the advantages and disadvantages of these therapies as compared to inhaled nitric oxide and intravenously administered pulmonary vasodilators. 3) learn what the evidence shows regarding the pros and cons of perioperative ACE-inhibitor and angiotensin receptor blocker use with cardiovascular surgery. Session C: Crazy Stuff and Wild Times Moderator: K Rehfeldt At the conclusion of this session, participants will be able to evaluate the potential benefits as well as the limitations inherent to minimally invasive surgical approaches to cardiovascular diseases. Also, participants will be able to review the current status of percutaneous treatments available for coronary artery and aortic valve disease. OPCAB revisited: Is there really any benefit? Speaker: D Cheng At the conclusion of this lecture, participants will be able identify the potential benefits of coronary surgery without cardiopulmonary bypass. Also, participants will review the data related to graft patency following OPCAB procedures. Coronary stents: Are we going back to bare-metal? Speaker: H Ramikrishna At the conclusion of this lecture, participants will understand the rationale for the placement of drug-eluting coronary stents. In addition, the participant will recognize the risks of stent thrombosis and develop a framework for the perioperative management of patients who have undergone coronary stent procedures. Percutaneous aortic valve replacement: Is this the way of the future or the way out future? Speaker: R Savage At the conclusion of this lecture, the participant will understand the current status of percutaneous aortic valve replacement. In addition, the participant will recognize which patients might benefit from the procedure and how echocardiography is used to evaluate the outcome in the cath lab. FRIDAY, JUNE 20, 2008 Monograph Session: Medically Challenging Patients Undergoing Cardiothoracic Surgery Moderator: N Cohen This panel will include a discussion of selected underlying medical conditions and their impact on the perioperative management of patients undergoing cardiothoracic surgery. The discussion will highlight the clinical issues posed by these conditions and define strategies to address them. Session A: Contemporary Issues in Vascular Surgery Moderator: B Donahue After this session, the participant should be able to: Discuss epidemiology of major vessel vascular disease and the general surgical approaches to its management. Identify criteria for selection of endovascular vs open techniques. Describe an algorithmic approach to perioperative management of the vascular surgery patient. Discuss current literature on management of both carotid and coronary vascular disease. Provide rationale for the use of TEE in major vascular surgery and endovascular stent procedures. Anesthesia and the endovascular stenting patient Speaker: M Andritsos After this presentation, the participant should be able to: Discuss patient selection for endovascular stenting of abdominal and thoracoabdominal aneurysms. Discuss the indications for endovascular stent-grafts in abdominal and thoracoabdominal aneurysms. Compare anesthetic techniques and address considerations for endovascular stenting of abdominal and thoracoabdominal aneursysms. Compare morbidity rates following endovascular and open procedures. Carotid disease and CABG: recent data on surgical timing and outcome Speaker: J Ellis After this presentation, the participant should be able to: Describe the epidemiology for concordance of carotid artery disease and coronary artery disease. Describe the mechanisms and risk of cerebrovascular accident following cardiopulmonary bypass. Compare on-pump and off-pump CABG for neurological outcome. Compare staged to combined procedures for treating combined carotid-coronary disease. Manage patients for carotid angioplasty and stenting and/or percutaenous coronary intervention and/or minimally invasive coronary bypass surgery. Describe use of TEE and epi-aortic scanning to detect aortic atherosclerosis Evidence-based perioperative evaluation in vascular surgery patients Speaker: A Ochroch After this presentation, the participant should be able to: Discuss the current standard for assessment of cardiac risk. Review the impact on perioperative preparation on postoperative renal function. Outline a cost effective preoperative testing regimen. Analyze the appropriate use of consultants. The use of ultrasound during vascular anesthesia: from line placement to LV assessment Speaker: G Hartman After this presentation, the participant should be able to: Understand the indications and applications of surface ultrasound for vascular access, including central venous, peripheral venous and arterial cannulations. Discuss the utility of TEE for non cardiac cases, specifically patients undergoing vascular surgery. Develop a better understanding of the pathophysiology than that afforded by pulmonary artery catheterization. Discuss utility of TEE for endovascular stent placement procedures Session B: Anesthesia & Analgesia - Aprotinin in Cardiac Surgery and the FDA Moderator: C Hogue At the conclusion of this lecture the attendee will:1) Have an understanding of the safety monitoring of aprotinin by the FDA 2) Be informed of the current standing of aprotinin for use in cardiac surgery. Session C: ASCCA/SCA Joint Session Critical Care 2008 Moderator: M Wall At the conclusion of this session, the participant will: 1) Understand how intraoperative mechanical ventilation may affect normal and abnormal lungs, and the role of intra-operative ventilation and acute lung injury; 2) Understand the role and current controversies around vasopressin and steroid use in sepsis and septic shock 3) Be exposed to the top critical care papers from 2007-2008 that are of interest to cardiothoracic and vascular anesthesiologists and intensivists. SCA 30th Annual Meeting & Workshops • 25 Session A: HITT Moderators: D Royston/C Koch Incidence and methods of presentation of HIT Speaker: C Carter At the conclusion of this session the participants should be able to: 1) Review the diagnostic criteria for suspicion of HIT based on the various published guidelines (AACP Chest 2004/British Society BJ Haematol 2006) and with particular reference to monitoring of platelet count the 4T’s system. 2) Discuss the various tests available to confirm the diagnosis of HIT to include: Diamed particle gel (results in 1-2 hrs); PF4 antibody testing (results in days to weeks) Heparin induced platelet aggregation (not available in most centres); Serotonin release (research test unavailable in nearly all centres). This section would include sensitivity and specificity of these test systems. Session: B: SAGA/SCA Joint Session: Controversies in Preoperative Evaluation of the Elderly Patient Moderator: G. A. Rooke By the end of the session, the participant should understand factors that increase risk of perioperative complications, especially in older patients. The participant should also understand what steps can be taken to prevent such complications as heart failure, delirium, cognitive decline and myocardial infarction Session C: SCA Debates: Workforce Paradigms in Cardiothoracic and Vascular Anesthesiology Moderator: D Zvara The SCA should recommend credentialing guidelines to hospitals for CT Anesthesiologists Speakers: G Gravlee/G Roach By the end of the session, the participant will review the pros and cons of credentialing guidelines of CT anesthesiologists. The information will assist in developing local and regional guidelines for care. The SCA should recommend that low volume programs close Speakers: M Chaney/ B Murphy By the end of the session, the participant will review the pros and cons of providing care in low volume cardiovascular centers. The information will assist in developing local and regional guidelines for care. SATURDAY, JUNE 21, 2008 Ischemic MR Moderators: S Lambert/S Reeves At the end of the session, the participants will be familiar with the pathophysiology and mechanism of ischemic mitral regurgitation. They will better appreciate the challenges associated with the echocardiographic evaluation and therapeutic decision making in the operating room. Finally, they will have a good understanding of the surgical management options in ischemic MR. Understanding Ischemic MR Speaker: D Rubenson At the end of the session, the participant will better understand the mechanism and pathophysiology of ischemic MR, as well as the preoperative work up of these patients. They will understand 26 • SCA 30th Annual Meeting & Workshops the functional and prognostic implications of MR in patients requiring coronary revascularization. Intraoperative Evaluation of Ischemic MR Speaker: S Shernan At the end of the session, the participant will learn echocardiographic evaluation of ischemic MR, with an emphasis on the special challenges associated with anesthetized patients. They will become familiar with new diagnostic modalities available to the clinician and they will understand the intraoperative decision making process and the postoperative evaluation. The Surgical Approach to Ischemic MR Speaker: S Bolling The participants will understand the various issues surrounding the surgical management of ischemic MR, including when to repair or not to repair, various techniques used to address ischemic MR and the literature to support them. Session A: How’s Your Sugar, Daddy? Moderator: F Beique Intraoperative Glycemic Control: It Just Makes Sense! Speaker: B Kohl By the end of this discussion, the participant should be able to: Understand the etiology of perioperative hyperglycemia in the cardiac surgical patient 2)Summarize the pertinent literature regarding perioperative glycemic control 3)Incorporate the knowledge gained into a rational, ‘take-home’ intraoperative glycemic control strategy Intensive Insulin Therapy During Cardiac Surgery Does Not Reduce Perioperative Death or Morbidity Speaker: M Abel To convince the audience that aggressive control of blood glucose during cardiac surgery may be more dangerous than helpful Session B: Research: Multicenter Trials and Research Consortia: The Whole is Bigger Than the Sum of the Parts Moderator: H Grocott The participants will: 1) Gain an understanding of who are some of the leading multicenter groups performing research in cardiovascular anesthesia and surgery; 2) Better understand the need for large multicenter trials and how some of the important questions in our specialty can only be addressed with these large consortia; 3) Understand some of the nuances of how a multicenter trial group is organized, including their advantages, unique capabilities, as well intrinsic logistical and other difficulties. Session A: The Forgotten Ventricle: Understanding Right Ventricular Function Moderators: B Drenger/M Stone At the conclusion of this session, the participant will be able to: 1) Explain the physiology underlying normal right ventricular function, 2) Describe the pathophysiology of right ventricular failure, 3) Explain how transesophageal echocardiography can be used to assess pulmonary hypertension and right ventricular failure 4) Discuss the current medical management of pulmonary hypertension 5) Discuss surgical options for the management of right ventricular failure SUNDAY, JUNE 22, 2008 Issues in Blood Banking That Impact Outcomes: Leukoreduction Depletion, Female Plasma Donors: What’s the Data? Speaker: G Growe There are changes in blood banking that impact the blood product administered in the perioperative period. The objective of the session is to become aware of the rationale for changes as they relate to blood products and patient outcomes. At the conclusion of the session the participation should be able to understand: 1) The rationale for the practice of leukocyte depletion of blood products; 2) The data on patient outcomes associated with non-leukocyte depleted blood products; and 3) The rationale for the practice excluding of female plasma donors. Headaches, Heart Aches and Hangovers: A rapid fire case based TEE conference on the images that drive us all crazy Moderators: Maslow/Cheung The objectives of this Post SCA Party session are to: Present and discuss the management of an array of challenging cardiac, thoracic, and vascular cases. The audience will be encouraged to actively participate in the evaluation, planning, and management of such patients. The presentations will include available laboratory and imaging data pertinent to each case. Literary references applicable for each of the cases will be cited. Age of Red Cells: Does Shelf Life Matter? Speaker: C. D. Mazer There are a number of hemorheological changes that occur with red blood cells as the duration of storage increases. Some of these changes are time-dependent, others are not. At the conclusion of this session the participants should be able to: 1) To review hemorheological properties associated with red blood cells as the red cell unit shelf life increases. 2) To critically evaluate current data relating patient outcomes to age of the red cell product. WEDNESDAY, JUNE 18, 2008 Red Cell Alternatives: Are We Any Closer or Just One Day Older? Speaker: B Spiess Rationale for finding an alternative to the donor red blood cell are many and relate to economics, limited resources, and associated morbidity. While there is no currently available red cell substitute in clinical practice, technological advancements have created a potential for new substitutes in the future. At the conclusion of this session the participants should be able to: 1) Provide background information and current status of research related to red cell substitutes: hemoglobin-based oxygen and perfluorocarbonbased oxygen carriers. 2) Better understand limitations and complications related to the use of synthetic red cell alternatives. 3) Provide information on the future direction of red cell substituteson the operating room shelf soon? Emerging Recombinant Clotting Factors: When, in Whom, and How Much Speaker: L Shore-Lesserson While recombinant clotting factors have been successfully developed, specific indications for use of these factors in patients undergoing cardiovascular surgery is unclear. At the conclusion of this session the participants should be able to: 1) Understand the mechanism of action for recombinant factors 7 and 13. 2) Understand the clinical indications as well as side effects of factors 7 and 13. 3) Discuss clinical paradigms for the use of recombinant factors in clinical practice. Echo Jeopardy Speakers: A Maslow/ P Panzica/R Savage/F Mahmood To present and review wide range of echocardiographic images and cases in a game format. At the end of the session the audience will have reviewed a wide array of echocardiographic topics in a game format. They will also have had some fun. 2008 Workshop Learning Objectives Workshop #1: Leveraging Your TEE Knowledge in the OR Moderators: M Brady/J Miller The Upset Stomach: How and when to incorporate epicardial imaging into your practice. Speaker: J Abernathy At the conclusion of this session the participants should be able to: Understand the principles, image/probe orientation and views required to obtain a useful, diagnostic epicardial echocardiographic examination. Verbalize the strengths and limitations of epicardial imaging compared with transthoracic and transesophageal echocardiographic imaging. Describe common clinical situations when epicardial imaging should be used to improve decision making in cardiac surgery A Picture is Worth a 1000 Words: Clinically relevant echocardiographic and anatomic correlations. Speaker: F Mahmood At the conclusion of this session the participants should be able to: Visualize, identify and describe the location of structures within the cardiac chambers. Use echocardiography to evaluate extracardiac structures (e.g. intravascular tumors, etc.) and to guide placement of extracardiac interventions (e.g. shunts, etc.) Image and correctly identify the individual leaflets/cusps of all cardiac valves Quantitate or not to quantitate? Appropriate use of qualitative Doppler imaging in clinical practice. Speaker: W Whitley At the conclusion of this session the participants should be able to: Describe all necessary machine adjustments to obtain and optimize a clinically useful color-flow Doppler image. Verbalize clinical situations where qualitative Doppler imaging techniques may not be accurate. Understand the differences between individual color maps and describe when variance maps may improve clinical diagnosis. Great image…now what? Speakers: J Abernathy/F Mahmood/W Whitley/M Brady/J Miller At the conclusion of this session the participants should be able to: Be familiar with the learning points associated with the case SCA 30th Annual Meeting & Workshops • 27 examples shown. Verbalize techniques to yield clinical diagnoses when only suboptimal or limited echocardiographic images are obtained. Verbalize when a change in echocardiographic imaging modality is necessary to produce clinical decisions Workshop #2: Hands on Thoracic Anesthesia Moderators: L Cooper/E Cohen The first part of the workshop will review the methods of lung separation (DLTs and Endobronchial Blockers and Thoracic Epidural). The second part will provide a unique opportunity to participate in the hands-on demonstration of the methods of lung separation. Several stations with fiberscopes attached to video cameras and mannequins with lung models, will be available for demonstration and practice. These will include the insertion and positioning of left and right-sided double lumen tubes. Univent tubes, Arndt Endobronchial blocker, Cohen Flexitip endobronchial Blocker and a Thoracic Epidural with the torso model. Some Stations will include Tube Exchangers for difficult airway. Workshop #3: TEE: New and Review Moderator: K Rehfeldt At the conclusion of the workshop the participant will recognize the importance of intraoperative echocardiography in the anatomic and physiologic assessment of patients undergoing cardiovascular surgery. In addition, participants will understand how newer modalities such as tissue Doppler and strain rate imaging complement the traditional echo exam. Furthermore, participants will review the utility of intraoperative echo in the evaluation of patients with mechanical assist devices. Intraoperative assessment of the thoracic aortic: TEE and epiaortic scanning Speaker: M Kanchuger At the conclusion of this lecture, participants will be able to recognize a variety of pathologic conditions affecting the thoracic aorta and understand their impact in patients undergoing cardiovascular surgery. In addition, participants will understand the indications and relative benefits of epiaortic ultrasound imaging in the cardiac operating room. Diastolic function: Intraoperative case studies Speaker: M Swaminathan At the conclusion of this lecture, participants will be able to review the two-dimensional and Doppler components used to assess diastolic function. Furthermore, participants will recognize via case presentations, how TEE can be used intraoperatively to assess diastolic function and left heart filling pressures Balloon pump and beyond: Echo assessment of assist devices Speaker: T Burch At the conclusion of this lecture, participants will understand the utility of echocardiography in assessing patients who may be candidates for mechanical circulatory support devices. Also, participants will understand the role of intraoperative echo in the evaluation of proper assist device function as well as complications that may arise related to the use of these devices. 28 • SCA 30th Annual Meeting & Workshops Introduction to tissue Doppler and strain rate imaging Speaker: N Skubas At the conclusion of this lecture, participants will understand the basic principles behind tissue Doppler and strain rate imaging. In addition, participants will recognize how tissue Doppler and strain imaging complement the traditional echo examination in the assessment of a variety of cardiac disease states. Workshop #4: Adults with Congenital Heart Disease: Arrhythmias, Sequelae and Recent Advances in non-Surgical Management Moderators: K Rouine-Rapp/C Ramamoorthy Arrhythmias in adults with CHD Speaker: E Mossad Following this lecture the participant will describe the prevalence of arrhythmias in adult patients with CHD. He/she will identify specific CHD lesions associated with arrhythmias. Following a case-based discussion of management, the participant will construct an anesthetic plan for an adult patient with CHD presenting for AICD in the cath lab. Sequelae of CHD in the adult Speaker: P Reynolds Following this lecture the participant will identify specific sequelae that occur following palliation or surgical correction of a congenital heart defect. He/she will predict lesion-specific sequelae and anticipate how such sequelae will alter patient physiology. Recent advances in the non-surgical management of CHD Speaker: J DiNardo At the conclusion of this lecture the participant will focus on current interventional management of CHD lesions. Following attendance, the participant will update his/her knowledge of procedures used to treat adults with CHD, including percutaneous pulmonary valve replacement, closure of ASD, VSD and PFO. Workshop #5: Handheld Ultrasound for regional, vascular and TTE Moderators: K Glas/F Beique At the conclusion of this lecture the participant shall be able to: 1) Identify vascular structures; 2) Distinguish nerves from other anatomic structures; 3) Recognize and assess cardiac structures; 4) Apply the handheld US skills to achieve successful nerve blockade; 5) Apply the handheld US skills to avoid vascular structure complications. Each session shall have didactics related to the use of US for vascular, regional and TTE (session 1 only) followed by hands on demonstrations during which the participants identify structures with US on live models. No blocks or vascular access will be performed during the sessions. Workshop #6: Essentials of CPB Moderator: M Swaminathan At the conclusion of this session the participants should be able to: Identify important considerations for initiation and discontinuation of extracorporeal circulation. Delineate strategies used during cardiopulmonary bypass to manage hematocrit, hemodilution, temperature and effect neuroprotection. Discuss cardiopulmonary bypass management of patients with heparin induced thrombocytopenia. Describe cardiopulmonary bypass management strategies in aortic surgery. Workshop #7: TEE Advance Clinical Cases Moderator: N Skubas/K Rehfeldt Quantitation of Regurgitant Lesions Speaker: A Perrino At the conclusion of this lecture the participant will understand the background of the Doppler techniques of proximal isovelocity surface area (PISA), vena contracta, jet area, and continuity equation, and review their application in the quantitative evaluation of regurgitant valve lesions. 3-D: Imaging Tomorrow Speaker: D Shook At the conclusion of this lecture, the participant will comprehend the physics of 3-, and 4-dimensional ultrasound and review the applications of 3-dimensional imaging in valvular pathology and ventricular function. Challenging cases in prosthetic valve assessment Speaker: A Cheung At the conclusion of this lecture, the participant will review the hemodynamic calculations used in the evaluation of prosthetic valve function, the associated echocardiographic demonstrations of intra- and para-prosthetic leaks as well as the unique lesions associated with prosthetic valve endocarditis. Echocardiographic findings in systemic disease Speaker: K Rehfeldt At the conclusion of this lecture, the participant will understand the echocardiographic differences between adaptive and pathologic ventricular hypertrophy, and review the echocardiographic manifestations of infiltrative diseases, diabetes mellitus, carcinoid, and radiation- and drug-induced valvular disease. 2008 PBLD Learning Objectives Thursday June 19, 2008 1. Endovascular Stenting for TAA: To Drain or Not to Drain? Albert Cheung, MD and Maged Argalious, MD a. Become familiar with the current indications for lumbar CSF drainage b. Understand the complications associated with CSF drainage and learn techniques to avoid them c. Become familiar with practical techniques and pitfalls associated with CSF drainage 2. Blue Sky at Night: Techniques for Managing Congenital Heart Disease Patients for Non-cardiac Surgery Emad Mossad, MD and Kathryn Rouine-Rapp, MD a. Become familiar with common lesions seen in cyanotic and acyanotic congenital heart disease b. Become familiar with key anesthetic principles for the management of these patients c. Understand the indications for endocarditis prophylaxis in patients with congenital heart disease 3. Stop The Heart, Not The Head: Managing Circulatory Arrest for Aortic Arch Surgery Annette Mizuguchi, MD, PhD and Al Perrino, MD a. Discuss the current data on cerebral protection, and monitoring in terms of impacting outcomes b. Discuss the advantages and disadvantages of anterograde and retrograde cerebral perfusion c. Become familiar with alternative cannulation techniques 4. It’s Just a Ten Minute Case: Providing Support for AICD Testing Benjamin Sohmer, MD and Mark Chaney, MD a. Understand current nomenclature and indications for resynchronization and defibrillator therapy b. Discuss the anesthetic implications of inducing ventricular fibrillation and techniques to improve chances for return to sinus rhythm c. Discuss difficult case scenarios and how to avoid common pitfalls 5. Blood is Thicker Than Water: Making Sense of Current Anticoagulants Linda Shore-Lesserson, MD and Wanda Popescu, MD a. Discuss the pharmacology and indications of platelet inhibitors, direct anti-thrombins and fibrinolytic agents b. Understand the indications for each of these agents c. Learn techniques for managing patients receiving “nonreversible” anti-coagulants 6. I Can’t Put it Back: Managing Problems After Lung Resection Christopher O’Connor, MD and Katherine P. Grichnik, MD a. Become familiar with the pathophysiology of hypoxemia and right ventricular failure after lung resection and pneumonectomy b. Discuss the data on limiting fluid resuscitation in these patients c. Understand the indications for nitric oxide in managing these patients 7. Just Pull, It’ll Reach: Managing Patients for Tracheal Resections Javier H. Campos, MD and Andra Duncan, MD a. Discuss the surgical indications for tracheal resection b. Discuss anesthetic techniques and tools available to provide ventilation to all lung segments c. To understand advantages and disadvantages of early extubation in these patients SCA 30th Annual Meeting & Workshops • 29 8. Inflammation and Cardiac Surgery: Impact the Cascade, Impact Outcomes? David Collard, MD and Brian Birmingham, MD a. Review the inflammatory cascade as it relates to cardiac surgical procedures. b. Discuss the role of interventions to reduce the inflammatory response on outcomes in cardiac surgery. Friday June 20, 2008 9. Cardiac Testing for Non Cardiac Surgery: An Evidencebased Approach Susan Garwood, MD and Josh Stearns, MD a. To understand the importance of thoroughly evaluating patients with cardiovascular disease undergoing non cardiac surgery. b. To identify specific preoperative evaluative procedures that are recommended for patients with cardiovascular disease undergoing non cardiac surgery. c. To discuss the impact of preoperative testing and perioperative outcomes for patients with cardiovascular disease. 10. Robotic-Assisted MV Repair: Practical Management Issues Pierre LeVan and Robert Savage, MD a. To understand the surgical mechanics and procedures involved for robotic mitral valve repair. b. To plan management strategies in terms of anesthetic technique, invasive monitoring and echocardiographic assistance for patients undergoing robotic assisted valve repair. c. To discuss complications related to robotic-assisted repair procedures. 11. Off-Pump CABG: Management Issues that Impact Outcomes Jack Shanewise, MD and Hong Liu, MD a. To gain an understanding of perioperative management strategies in terms of anesthetic management, patient monitoring, coagulation strategies and postoperative management for patients undergoing off-pump CABG procedures. b. To be able to formulate a comprehensive anesthetic plan for patients having off–pump CABG. 12. Who is at risk for SAM after MV repair? Andrew Maslow, MD and Mohammed Minhaj, MD a. To understand echocardiographic details of patient anatomy and surgical procedure that places a patient ‘at risk’ for SAM with left ventricular outflow tract obstruction following mitral valve repair. b. To be able to identify SAM with left ventricular outflow obstruction following MV repair with intraoperative TEE. c. To understand the impact of intraoperative management maneuvers that may alter outcomes in patients with SAM following MV repair. 30 • SCA 30th Annual Meeting & Workshops 13. Protecting the ‘Beans’: Strategies for Perioperative Renal Protection in Cardiac Surgery Robert Sladen, MD and Ted Alston, MD a. To examine clinical factors which place a patient at high risk for perioperative renal dysfunction. b. To discuss the impact of perioperative renal failure on patient outcomes following cardiac surgery. c. To discuss interventional measures that may impact perioperative renal function. 14. Carotid Revascularization: Are Stents Replacing Open Procedures? Galina Leyvi, MD and Joseph Miller, MD a. To understand the risk and benefits for carotid artery stenting procedures and open carotid revascularization. b. To review recent outcome data examining morbid outcomes following carotid stenting and open revascularization. 15. Echocardiography in the Endovascular Suite Jill Morganstern, MD and Jacob Gutsche, MD a. To recognize the utility of TEE in the evaluation of patients undergoing endovascular procedures b. To understand and recognize complications related to endovascular procedures and the role of TEE in the detecting complications during endovascular procedures 16. Cool Down, Warm Up: Temperature Management Strategies and Outcomes in Cardiac Surgery Hilary Grocott, MD and Michael D’Ambria MD a. To understand the role temperature management in terms of perioperative outcomes for patients undergoing cardiac surgical procedures. b. To develop management strategies for patients undergoing cardiac surgical procedures that necessitate active patient cooling and rewarming. Saturday June 21, 2008 17. Atrial Fibrillation Following Cardiac Surgery: Do Pharmacologic Interventions Impact Outcomes? Joseph Mathew, MD and Nannette Schwann, MD a. To understand the prevalence of postoperative atrial fibrillation and impact on postoperative outcomes for patients undergoing cardiac surgical procedures. b. To discuss perioperative management approaches to reducing the occurrence of postoperative atrial fibrillation. c. To understand the data regarding the risk/benefit and impact of perioperative amiodarone on the prevalence of postoperative atrial fibrillation. 18. ARDS Update: Prevalence and Management Strategies Michael Wall, MD and James Ramsay, MD a. To discuss the prevalence and impact of ARDS on perioperative outcomes b. To understand and discuss the role of current clinical management strategies and how they impact outcomes in patients with ARDS 19. Is Cerebral Oximetry Useful in Cardiac Surgery? Dean Andropoulos, MD and James DiNardo, MD a. To review how cerebral oximetry works and what patient and perioperative factors can influence cerebral oximetry readings. b. To discuss the evidence for and against the utility of cerebral oximetry for influencing postoperative outcomes in both adult and pediatric cardiac surgical patients. c. To discuss how perioperative surgical and anesthetic management could be guided by cerebral oximetry measures. 22. Major Vascular Surgery (AAA, CEA) in Patients with Coronary Artery Disease Requiring CABG. Which should come first? Davy Cheng, MD and Andy Ochroch, MD a. To review the evidence for and against combining versus staging CABG and vascular surgeries. b. To become familiar with the unique perioperative implications of combined versus staged procedure and to discuss related anesthetic management strategies. 20. Carcinoid disease and Myasthenia Gravis: Disorders with Unique Perioperative Implications for Cardiothoracic Surgery Marc Kanchuger, MD and Roman Sniecinski, MD a. To understand the symptoms of carcinoid disease as well as why these patients present for both cardiac and thoracic surgery b. To understand the perioperative management issues for the cardiothoracic surgical patient with carcinoid disease. c. To understand why thymectomy is frequently indicated in patients with myasthenia gravis, and to become familiar with perioperative management strategies. 23. Epicardial Echocardiography in Cardiac Surgery: Indications and How to Jutta Novalija, MD, PhD and Steven Konstadt, MD a. Understand situations in which epicardial echocardiography may be useful in terms of impacting surgical procedure and patient outcomes. b. Understand how to achieve and interpret standard views with the epicardial echo probe. 21. Management Considerations for Axial Flow Ventricular Assist Device Implantation: How are These Devices Different From Pulsatile VADs? Alina Grigore, MD and Michelle Capdeville, MD a. To understand the differences between axial flow and pulsatile VADs. b. To become familiar with the different types of axial flow devices, including the percutaneous Impella device. c. To understand the perioperative implications of managing patients with axial flow devices. 24. Ethics: Organ Donation after Cardiac Death: Should Anesthesiologists be Involved? Richard Wolman, MD and Michael O’Connor, DO, MPH a. Understand the background for the formation of the ASA’s statement on physician participation in donation after cardiac death (DCD) and the new model guidelines for DCD policies. b. Become aware of specific ethical issues involved in the use of non-irreversibly cerebrally injured donors as DCD donors (ALS, pulmonary cripples, etc). c. Better understand patient management issues for critical care anesthesiologists to keep these donors alive until withdrawal of life-support and necessary management strategies to keep the organs viable during withdrawal. 2008 Poster Session Objectives Wednesday Friday Session A: Poster Discussion I – Vascular/Thoracic Session C: Poster Discussion III – Perioperative Monitoring/ Echocardiography At the conclusion of this small, interactive session, the attendee will have been presented with the newest research for vascular and thoracic surgery. Furthermore, he/she will have time to closely examine the research and question the physician scientist presenting the research. Moderators will lead attendees in a focused discussion regarding each abstract. Session B: Poster Discussion II – CPB At the conclusion of this small, interactive session, the attendee will have been presented with the newest research for cardiopulmonary bypass (technologies, personnel, conduct of blood, transfusion, coagulation, organ protection). Furthermore, he/she will have time to closely examine the research and question the physician scientist presenting the research. Moderators will lead attendees in a focused discussion regarding each abstract. At the conclusion of this small, interactive session, the attendee will have been presented with the newest research for echocardiography (TEE, surface echo, epi-aortic scanning) and perioperative monitoring technologies. Furthermore, he/she will have time to closely examine the research and question the physician scientist presenting the research. Moderators will lead attendees in a focused discussion regarding each abstract. Saturday Session C: Poster Discussion IV – Experimental Circulation At the conclusion of this small, interactive session, the attendee will have been presented with the newest research for experimental circulation. Furthermore, he/she will have time to closely examine the research and question the physician scientist presenting the research. Moderators will lead attendees in a focused discussion regarding each abstract. SCA 30th Annual Meeting & Workshops • 31 SCA 30th Annual Meeting & Workshops June 18 - 22, 2008 • Vancouver Convention & Exhibition Centre • Vancouver, BC, Canada WORKSHOP REGISTRATION PLEASE PRINT/TYPE Name_____________________________________________________________________MD______PhD______Other__________ Last First MI Address______________________________________________________________________________________________________ City, State, Zip_________________________________________________________________________________________________ Office Phone ( )___________________________________________ Fax # ( )_______________________________ Email________________________________________________________________________________________________________ WEDNESDAY, June 18, 2008 Unless otherwise indicated, workshop enrollment is limited to 150 registrants. Only one workshop may be attended during each time slot. After May 8, 2008 ___________ 8:00-10:00 am WORKSHOP 1: Leveraging Your TEE Knowledge in the OR $105 $_______________ ___________ 8:00-10:00 am WORKSHOP 2: Hands-on Thoracic anesthesia Enrollment limited to 75 $105 $_______________ ___________ 10:15 am-12:15 pm WORKSHOP 3: TEE – New and Review $105 $_______________ ___________ 10:15 am-12:15 pm WORKSHOP 4: Adults with Congenital Heart Disease: Arrhythmias, Sequelae and Recent Advances in non-Surgical Management $105 $_______________ ___________ 1:00-4:00 pm WORKSHOP 5: handheld ultrasound Enrollment limited to 75 $145 $_______________ ___________ 1:00-4:00 pm WORKSHOP 6: Essentials of CPB $145 $_______________ ___________ 4:15-7:15 pm WORKSHOP 7: TEE AdvanceD Clinical Cases $145 $_______________ $105 $_______________ TOTAL: $_______________ SUNDAY, June 22, 2008 ___________ 8:00-10:00 am Workshop 8: handheld ultrasound Enrollment limited to 50 Please enter this total on page 34: We regret there is no waiting list for sold out workshops or PBLDs. 32 • SCA 30th Annual Meeting & Workshops SCA 30th Annual Meeting & Workshops June 18 - 22, 2008 • Vancouver Convention & Exhibition Center • Vancouver, BC, Canada PBLD REGISTRATION PLEASE PRINT/TYPE Name_____________________________________________________________________MD______PhD______Other__________ Last First MI Address______________________________________________________________________________________________________ City, State, Zip_________________________________________________________________________________________________ Office Phone ( )___________________________________________ Fax # ( )_______________________________ Email________________________________________________________________________________________________________ THURSDAY, JUNE 19, 2008 6:45-8:00 am Please indicate your first, second and third choice in the lefthand column. TABLE 1 Endovascular Stenting for TAA: To drain or not to drain? Albert Cheung, MD and Maged Argalious, MD TABLE 2 Blue Sky at Night: Techniques for managing congenital heart disease patients for non-cardiac surgery Emad Mossad, MD and Kathryn Rouine-Rapp, MD TABLE 3 Stop The Heart, Not The Head: Managing circulatory arrest for aortic arch surgery Annette Mizuguchi, MD, PhD and Albert Perrino, MD TABLE 4 It’s Just a Ten Minute Case: Providing support for AICD testing Benjamin Sohmer, MD and Mark Chaney, MD TABLE 5 Blood is Thicker Than Water: Making sense of current anticoagulants Linda Shore-Lesserson, MD and Wanda Popescu, MD TABLE 6 I Can’t Put it Back: Managing problems after lung resection Christopher O’Connor, MD and Katherine P. Grichnik, MD TABLE 7 Just Pull, It’ll Reach: Managing patients for tracheal resections Javier H. Campos, MD and Andra Duncan, MD TABLE 8 Inflammation and Cardiac Surgery: Impact the cascade, impact outcomes? David Collard, MD and Brian Birmingham, MD FRIDAY, JUNE 20, 2008 6:45-8:00 am Please indicate your first, second and third choice in the lefthand column. TABLE 9 Cardiac Testing for Non Cardiac Surgery: An evidence-based approach Susan Garwood, MD and Josh Stearns, MD TABLE 10 Robotic-Assisted MV Repair: Practical management issues Pierre LeVan, MD and Robert Savage, MD TABLE 11 Off-Pump CABG: Management issues that impact outcomes Jack Shanewise, MD and Hong Liu, MD TABLE 12 Who is At Risk for SAM After MV Repair? Andrew Maslow, MD and Mohammed Minhaj, MD TABLE 13 Protecting the ‘Beans’: Strategies for perioperative renal protection in cardiac surgery Robert Sladen, MD and Theodore Alston, MD TABLE 14 Carotid Revascularization: Are stents replacing open procedures? Galina Leyvi, MD and Joseph Miller, MD TABLE 15 Echocardiography in the Endovascular Suite Jill Morganstern, MD and Jacob Gutsche, MD TABLE 16 Cool Down, Warm Up: Temperature management strategies and outcomes in cardiac surgery Hilary Grocott, MD and Michael D’Ambra, MD SATURDAY, JUNE 21, 2008 6:45-8:00 am Please indicate your first, second and third choice in the lefthand column. TABLE 17 Atrial Fibrillation Following Cardiac Surgery: Do pharmacologic interventions impact outcomes? Joseph Mathew, MD and Nannette Schwann, MD TABLE 18 ARDS Update: Prevalence and management strategies Michael Wall, MD and James Ramsay, MD TABLE 19 Is Cerebral Oximetry Useful in Cardiac Surgery? Dean Andropoulos, MD and James DiNardo, MD TABLE 20 Carcinoid Disease and Myasthenia Gravis: Disorders with unique perioperative implications for cardiothoracic surgery Mark Kanchuger, MD and Roman Sniecinski, MD TABLE 21 Management Considerations for Axial Flow Ventricular Assist Device Implantation: How are these devices different from pulsatile VADs? Alina Grigore, MD and Michelle Capdeville, MD TABLE 22 Major Vascular Surgery in Patients with Coronary Artery Disease Requiring CABG. Which should come first? Davy Cheng, MD and Andrew Ochroch, MD TABLE 23 Epicardial Echocardiography in Cardiac Surgery: Indications and how-to Jutta Novalija, MD, PhD and Steven Konstadt, MD TABLE 24 Ethics: Organ donation after cardiac death. Should anesthesiologists be involved? Richard Wolman, MD and Michael O’Connor, DO, MPH Thursday PBLD: r $45 Friday PBLD: r $45 Saturday PBLD: r $45 TOTAL:______________ Please enter this total on page 34. You will be assigned to only one PBLD table per day. We regret there is no waiting list for sold out workshops or PBLDs. SCA 30th Annual Meeting & Workshops • 33 SCA 30th Annual Meeting & Workshops June 18 - 22, 2008 • Vancouver Convention & Exhibition Centre • Vancouver, BC, Canada SCIENTIFIC PROGRAM REGISTRATION Please complete the Workshop Registration and Problem Based Learning Discussion Forms on pages 32 and 33 if necessary. Please print or type on forms and return to: SCA, 2209 Dickens Road, Richmond, VA 23230-2005 Phone (804) 282-0084 • Fax form to: (804) 282-0090 • Register online at: www.scahq.org Name____________________________________________________________________________MD________PhD_______Other_______________ Last First MI Address__________________________________________________________________________________________________________________ City, State, Zip_____________________________________________________________________________________________________________ Office Phone ( )_____________________________________________Fax # ( )_ _________________________________________ Email ________________________________________________________________ Annual Meeting Registration Save $75 (or $25 for residents and fellows) on your meeting registration if you join SCA now and register as a member. After May 8 SCA Member ...................................................................................................................$650.................................$_________ Non-Member (MD, DO, PhD)+...................................................................................$900.................................$_________ Resident/Fellow SCA Member**.............................................................................$250.................................$_________ Resident/Fellow Non-member**............................................................................$300.................................$_________ Perfusionists+.................................................................................................................$550.................................$_________ Non-Physician (licensed to administer anesthesia)+........................................$750.................................$_________ I plan to attend the Saturday Night Reception/Party ......................Complimentary..............................$0.00 Saturday Night Reception/Party Guest #_____ @ ..........................................$70...................................$_________ **When accompanied by a letter from Department Chairperson, verifying Resident/Fellow status. +Pre-registration for Workshops is available to SCA members only. If space is available, sessions will be opened to non-members. Dietary Restrictions?_ ____________________________________________________________________________________________________ Check VISA MasterCard American Express If paying by check, check must be in US funds payable to SCA. Discover Card No. _____________________________________________________________ Exp. Date_ __________________________________________ Signature_ ______________________________________________________________________________________________________________ Name Printed on Card_ ____________________________________________________________________________________________________ Refund Policy: For the Workshops, Annual Meeting, PBLDs, and guest fee a full refund will be provided through May 8, 2008; an 80% refund will be provided from May 9 through June 5, 2008. After June 5, 2008, the Society will not refund any registration fees. Refunds will be determined by the date the written cancellation is received in the SCA's headquarters office. Payment Total Annual Meeting Total (this page) ......................................................................................$_____________ Workshop Total (from page 32) ......................................................................................$_____________ PBLD Total (from page 33)......................................................................................................$_____________ Grand Total...................................................... $ _____________ If you do not receive a confirmation letter from the SCA office within 30 days of submitting your registration form, please call the office to confirm that your registration material has been received. 34 • SCA 30th Annual Meeting & Workshops Society of Cardiovascular Anesthesiologists 30th Annual Meeting & Workshops June 18 - 22, 2008 • Vancouver Convention & Exhibition Centre DO NOT FAX THIS FORM TO SCA HEADQUARTERS HOTEL RESERVATIO0N FORM: Please call, fax or e-mail the hotel of your choice. The Fairmont Waterfront Pan Pacific Vancouver Hotel Ph: 1-800-441-1414 Ph: 1-800-937-1515 Ph: 604-691-1820 (Canada) Ph: 1-800-663-1515 (Canada) Fax: 604-691-1828 Ph: 604-662-8111 www.fairmont.com/waterfront/ Fax: 604-895-2469 www.panpacific.com/Vancouver/Overview.html Please print or type Name_______________________________________________________________________________________________________ Last First MI Preferred Mailing Address______________________________________________________________________________________ City, State, Zip , Postal Code_ ___________________________________________________________________________________ Office Phone (______)_ __________________________________ Home Phone (______)__________________________________ Email__________________________________________________ Fax # (______)________________________________________ Accompanying Person(s) Name(s)__________________________________________________ #Adults_ ______ #Children_ _____ Rates (All rates are in Canadian dollars): The Fairmont Waterfront Pan Pacific Vancouver Hotel r CDN $285 City View r CDN $295 Inner Harbor View r CDN $315 Water View r CDN $325 Harbor Mountain View The Society of Cardiovascular Anesthesiologists has reserved a block of rooms at the above hotels. In order to receive the special conference rate, advise the reservations agent at the hotel of your choice that you are attending the SCA Conference. Reservations must be made prior to May 15, 2008 in order to receive the conference rates. Reservations received after this date will be on a space available basis at regularly published rates. Please call, fax or email the hotel of your choice. In the event your preferred hotel is not available, please call, fax or email your second choice. A 10% provincial tax and a 7% goods and services tax will be added. Please Reserve: _______ Rooms My Arrival Date is:_________________ Arrival Time:__________________ My Departure Date is:______________ r Non Smoking r Smoking r King r Double/Double (Based on availability) Special Requests:_____________________________________________________________________________________________ In order to guarantee your reservation, a credit card will be required. r Please charge first night’s deposit to my: r VISA r JCB r MasterCard r Enroute r American Express r Diners Club Card No. _______________________________________________ Exp. Date_____________________________________________ Signature____________________________________ Name Printed on Card_____________________________________________ Cut-off date: May 15, 2008 Rooms and rates are subject to availability and change Credit card charged upon receipt. Reservations cancelled 48 hour prior to arrival date will receive a full refund if cancellation number is obtained. SCA 30th Annual Meeting & Workshops • 35 Society of cardiovaScular aneStheSiologiStS MeMberShip application 2209 Dickens Road, Richmond, VA 23230-2005 Phone (804) 282-0084 • Fax (804) 282-0090 • Email [email protected] • www.scahq.org Name (Last) (First) MD DO PhD Other (MI) Preferred Mailing Address City State/Country E-mail address Zip/PostalCode OfficePhone OfficeFax Type of Practice: Private University Government Other BoardCertified? Yes No Specialty: _______________________ BoardEligible? Yes No Specialty: ______________________ i aM applying for: (See eligibility reQuireMentS beloW) Active SCA $175 Associate SCA $175 SCA Career Scientist $175 SCA/IARS/SPA/SAMBA/ISAP/STA Resident $75 Active SCA/IARS $210 Associate SCA/IARS $210 SCA/IARS Career Scientist $210 Fellow $75 Residency/Fellowship Ends: (mm/dd/yy) / / AlreadyanIARSmember? Become a joint active SCA/IARS member for $70. Become a joint associate SCA/IARS member for $70. (SCA will verify IARS membership) eligibility reQuireMentS active Members associate Members career Scientists • Diplomate of the American Board of Anesthesiology, or other international equivalent. • Possession of a degree of doctor of medicine, bachelor of medicine, doctor of osteopathy or other international equivalent. • Possession of a valid license to practice medicine. • Completion of an anesthesia residency training program accredited by the ACGME, the American Osteopathic Association or other international equivalent. • Possession of a degree of doctor of medicine, bachelor of medicine, doctor of osteopathy or other international equivalent. • Possession of a valid license to practice medicine. Sca/iarS/Spa/SaMba/iSap/Sta resident /fellow • Career scientist actively involved in research relating to thoracic or cardiovascularanesthesiaorrelatedfields of medicine. • Possession of a doctor of philosophy degree. • Physician in an approved anesthesiology training program accredited by ACGME, the American Osteopathic Association or other international equivalent. • Possession of a degree of doctor of medicine, bachelor of medicine, doctor of osteopathy or other international equivalent. • Signature of director of resident/fellow program required below. MeMberShip includeS Joint Sca/iarS Membership • Subscription to Anesthesia & Analgesia • Annual SCA Monograph • Annual IARS review course lectures book • Six issues of the SCA Newsletter • Reduced fees for the annual meeting of both SCA & IARS • Eligibility for workshops at the SCA annual meeting • Availability of starter and mid-career grants from SCA and research grants from IARS • Access to member only section on SCA website offering online membership directory and other members only benefits • Reporting of MOCA Sca Membership • Subscription to Anesthesia & Analgesia • Annual SCA Monograph • Six issues of the SCA newsletter • Reduced fees for meetings • Eligibility for workshops at the SCA annual meeting • Availability of starter grants and mid-career from SCA • Access to member only section on SCA website offering online membership directory and online CME activities • Reporting of MOCA Signature, Director of Residency Program (Resident/Fellow Only) VISA Joint Sca/iarS/Spa/SaMba/Siva/Sta resident/fellow MasterCard American Express Discover In addition to a monthly subscription to Anesthesia & Analgesia, joint resident membership provides numerous benefitsfromthesixparticipatingsocieties.ContactIARS (216-642-1124 for information about additional member benefits.) Applicant Signature (All Applicants) NO DEBIT CARDS ACCEPTED Check — If paying by check, check must be payable to SCA (US FUNDS ONLY), and mailed to SCA, 2209 Dickens Rd, Richmond, VA 23230-2005. Card No. ____________________________________________________________ Exp. Date ________________________________________ Signature ________________________________________________ Name Printed on Card __________________________________________ 36 • SCA 30th Annual Meeting & Workshops Non-Profit Postage Society of Cardiovascular Anesthesiologists 2209 Dickens Road Richmond, VA 23230-2005 PAID Permit #1430 Richmond, VA Society of Cardiovascular Anesthesiologists 30th Annual Meeting & Workshops June 18 – 22, 2008 Vancouver Convention & Exhibition Centre Vancouver, British Columbia, Canada SCA 30th Annual Meeting & Workshops • 37
