CCAS CARDIAC POSTERS – Thursday, April 15, 2010Mounted – No later than 7:30am, Thursday, April 15, 2010Removed – No later than 5:15pm, Thursday, April 15, 2010

C1 The Pharmacokinetics of Ketamine in Pediatric Cardiac PatientsC Ramamoorthy, GB Hammer, J Galinkin, DR DroverStanford University

C2 NSE and S100 protein levels are potential markers of neurological injury in children undergoing cardiopulmonary bypass

A Sophocles, Z Pan, R Friesen, M TwiteThe Children’s Hospital & University of Colorado School of Medicine, Denver

CO

C3 Cefazolin Tissue Penetration in a Porcine Model of Cardiac Surgery and Cardiopulmonary Bypass Measured by In Vivo Microdialysis

Kilbaugh TJ, Berkowitz D, Kubin J, Pastuszko A , Zaoutis TE, Jobes DR, Greeley WJ, Zuppa AF

The Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA

C4 Ability of GFAP to detect neurologic injury in pediatric patients with cardiacdisease on ECMO: A preliminary study.JM Schwartz, MM Bembea, W Savage, LA Vricella, RB Easley, A Everett.Johns Hopkins School of Medicine, Baltimore, MD 21287

C5 Cervical epidural for diagnosis of catecholaminergic polymorphic ventricular tachycardia in a pediatric patient

Shiu-Yi Emily Chen, Gerald Bushman, Giovanni CucchiaroChildrens Hospital Los Angeles, University of Southern California

C6 Risk Profile for Infants with Single Ventricle Physiology Undergoing Noncardiac Surgery While Palliated with a BT Shunt or Sano Conduit

S.S. Sharma MD MPH, James Pierce MD, G.A. Bushman MD Sabine Von Busse MD, Mari Baldwin MD

Childrens Hospital Los Angeles, University of Southern California, USC Keck School of Medicine

C7 SjO2/SvO2 correlation during pediatric cardiac surgery with cardiopulmonary bypass (CPB) under fentanyl-midazolam anesthesia

Klamt JG, Nabarro P, Vicente WVA, Garcia LVFaculty of Medicine of Ribeirão Preto – University of São Paulo

C8 Limitations of cerebral oxygenation monitoring in children with congenital heart disease and profound polycythemia

EA Gottlieb, EB MossadBaylor College of Medicine, Texas Children’s Hospital, Houston, Texas

C9 Pharmacokinetics of cefuroxime are not significantly altered by cardiopulmonary bypass in children

CA Knoderer, SA Saft, SG Walker, DP Healy, KM SowinskiIndiana University School of Medicine, Butler University College of Pharmacy

and Health Sciences, Purdue University College of Pharmacy, Nursing, and Health Sciences, University of Cincinnati, Winkle College of Pharmacy

C10 Cold Agglutinins in Children Undergoing Repair of Congenital Heart Defects with Cardiopulmonary Bypass

DA Rosen, RA Gustafson, KC Gustafson, BP Neal, BP Keeley, PL PerrottaDepartments of Anesthesia,Perfusion Surgery and Pathology. West Virginia

University

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

RRA1 EXHALED CARBON MONOXIDE IS REBREATHED DURING LOW- FLOW ANESTHESIA IN INFANTS AND CHILDREN VG Nasr1, N Deutsch1, M Slack2, J Kanter2, K Ratnayaka2, RJ Levy1

1Anesthesiology, Children's National Medical Center, Washington, DC, 2Cardiology, Children's National Medical Center, Washington, DC.

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

RRA3 AXILLARY BLOCK FACILITATES PICC LINE PLACEMENT IN HIGH RISK INFANTS

*Katherine Keech MD, *Adrian Bosenberg FFA (SA), #Dennis Shaw MD*Departments Anesthesia Pain Management and #Radiology, Seattle Children’s

Hospital

YIA1 Genotypes of ABCB1 Transporter Can Predict Morphine-induced Respiratory Depression in Children undergoing Tonsillectomy

Chidambaran V, Goodman H, Plapp R, Zhang X, Sadhasivam S Department of Anesthesiology, Cincinnati Children’s Hospital Medical Center

YIA2 Cerebral Blood Flow and Cerebrovascular Autoregulation After Pediatric Cardiac Arrest and HypothermiaJK Lee1, KK Kibler1, JO Mytar1, E Carter1, RB Easley1, CW Hogue1, M

Czosnyka2, P Smielewski2, D Jacobs3, K Hirsch4, DH Shaffner1, RC Koehler1, KM Brady1

1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, 2 Department of

Academic Neurosurgery, Addenbrooke's Hospital, Cambridge, U.K., 3 University of Maryland, Baltimore, MD, 4 Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD

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

CR1 Airway Compromise in Interventional Radiology Suite after Thrombin Injection for Vertebral Artery Pseudoaneurysm

Jay B. Tuchman MD, Antonio Cassara MD, James G. Cain MDUniversity of Pittsburgh School of Medicine. Pittsburgh, Pennsylvania

CR2 Nine-Year-Old with Craniofacial Dystosis: Previously East to Ventilate, Why Can’t I Ventilate Him Now?

Vijay Pallekonda, MD, Angelina Bhandari, MD, and Jennifer Lam, MDDepartment of Anesthesiology, Rush Medical College, Chicago, IL

CR3 Preemptive Placement of a Tracheostomy in a Child with Cherubic SyndromeLM Loveland Baptist M.D., W Binstock M.D.Comer Children’s Hospital, The University of Chicago Hospitals, Department of

Anesthesia and Critical Care, Chicago, IL

CR4 Management of Newborn with Significant Rhabdomyoma with Superimposed SVT after an EXIT procedure.

Kelly Ryan, MD; A. Bhandari, MD: A. Stayapriya,MDRush University, Chicago, IL

CR5 Anesthetic Management of Conjoined Twins with a Single Heart for Cardiac Catheterization

Andrew D. Pitkin, MBBS MRCP FRCA; Nicole C. Dobija, MD DDS.Department of Anesthesiology, University of Florida College of Medicine,

Gainesville, Florida, USA

CR6 REGIONAL NERVE BLOCK AS THE PRIMARY ANESTHETIC FOR A 7 YEAR OLD PATIENT WITH CYANOTIC CONGENITAL HEART

DISEASEQuigley TW, Annabi E

University of Arizona Department of Anesthesia, Tucson, AZ

CR7 Combined Resection of hepatoblastoma with intracaval right atrial extension with cardiopulmonary bypass

J Freely, C Hardy, T UejimaChildren’s Memorial Hospital Department of Anesthesiology, Northwestern

University Feinberg School of Medicine, Chicago IL.

CR8 Near Cardiac Arrest in a Neonate with Massive Sacrococcygeal TeratomaE Chamberlin, M Lewis, K Fuentes, K SullivanNemours Children’s Clinic, Jacksonville, Fl

CR9 Negative Pressure Alveolar Hemorrhage following Upper Airway ObstructionNiyakorn G, Rubin KPRainbow Babies & Children’s Hospital, Case Western Reserve University,

Cleveland

CR10 Use of Anesthetic Effect Monitoring During Pediatric Liver Transplant of Patient with Cystic Fibrosis to Facilitate Immediate Extubation

J. Reich, A. Kalra, W. Yee, R. Schumann, MI AhmedTufts Medical Center

CR11 Electrophysiologic monitoring unaffected during General Anesthesia with Dexmedetomidine for Bilateral Deep Brain Stimulator Implantation in a

childwith Pantothenate Kinase-Associated Neurodegeneration.H Karlberg Hippard, D. Curry, M Gorena, M WatchaBaylor College of Medicine, Texas Children’s Hospital, Houston, Tx

CR12 10 year old boy for dental surgery with fulminate Adrenoleukodystrophy: Considerations for Anesthesia management

Jason Stiendler, MD, Zulfiqar Ahmed, MD, Yassir Haidar-Ahmad, MD, Nasser Durgham, MD

Children’s Hospital of Michigan, Wayne State University, Detroit, MI

CR13 Anesthesia for Diagnostic Thoracoscopy in a Patient with Poland SyndromeW Miller, MD, 1 P Olomu, MD, 1 Steve Megison, MD, 1 Jeffrey Steiner, DO, 1,2

Peter Szmuk, MD1,2

UT Southwestern and Children’s Medical Center, Dallas, TX1 and Outcomes Research Consortium2

CR14 An Interesting Case of Anesthetic Management for a Moyamoya and Sickle Cell Patient Undergoing an Encephaloduroarteriosynangiosis Procedure

Monique E. Cadogan MD, Norman J. Halliday MDUniversity of Miami Miller School of Medicine, Miami, FL

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

CR16 The use of a Glide Scope with a Fiberoptic Scope to facilitate a Nasal Intubation in a 3 Month Old Infant with a Pierre Robin Sequence.

Ryan Smith, MD1; Jeffrey Steiner, DO1,2, and Peter Szmuk, MD1,2

1 UT Southwestern Medical Center Dallas, Department of Anesthesiology and Pain Management, 2 Member Outcome Research Consortium

CR17 A Unique Method to Remove Foreign Body from the Trachea of an 850 GM Premature Newborn Without Intubation

Susan Verghese, MD; Raafat Hannallah, MD; David Powell, MD; Maria Pena, MD

Children's National Medical Center; George Washington University Medical Center, Washington, D.C.

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

a HemophiliacGranger S, M.D, Verghese ST, M.D, Roberts R, M.D, Eric Jaryszak MD, Shah R

M.D, Hsu L, M.DThe George Washington University Medical Center, Washington D.C

CR19 Anesthetic Management of a patient with Erythrodermolysis Bullosum for Dental Extraction and Restoration with No Touch Care. Some Issues with Airway Sharing

Yassir Haider Ahmad, MD, Jason Stiendler, MD, Monica Talpesh, MD, Zulfiqar Ahmed, MDChildren’s Hospital of Michigan, Wayne State University, Detroit, MI

CR20 Case Report - Acquired Tracheoesophageal Fistula After Alkaline Disk Battery Ingestion

I Chui, M HacheColumbia University, College of Physicians and Surgeons

CR21 Incidental Finding of Complete Tracheal Rings upon Intubation for Surgical Repair of Complete Atrioventricular Canal Defect.

Andrew Pitkin, MBBS, MRCP, FRCA, Jonathon Jerman, M.D., Nicole Dobija, M.D., D.D.S.

Department of Anesthesiology, University of Florida, College of Medicine, Gainesville, FL. USA

CR22 Subcutaneous Emphysema after Puncture of the Oropharynx: A Case ReportKatherine Keech, MD and Corrie Anderson, MD, FAAP

University of Washington School of Medicine and Seattle Children’s Hospital

CR23 Anesthetic Management of a Newborn for resection of a Right Ventricle MyxomaTrinh T, MD, Verghese ST, Valairucha SChildren’s National Medical Center, The George Washington University Medical

Center, Washington, D.C

CR24 Management of air embolism during Cardiopulmonary BypassDr Tunga SureshMD, Dr Edmund Jooste MD, Dr Mihaela Visoiu MD, Dr Steven

Lichtenstein MD.Children’s Hospital of Pittsburgh, UPMC, Pittsburgh.

CR25 Case Report of the Anesthetic Management of VSD Closure in a Patient with I-Cell Disease Type 2

M. Gangadharan, D. JobesChildren’s Hospital of Philadelphia, Philadelphia, PA

CR26 Perioperative Assessment of Coagulation Status in a Patient with Platelet Aggregation Abnormality

Kelly Stees, MDDepartment Of Anesthesiology, The Children’s Hospital, University of Colorado

Denver

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

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

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

CR30 Anesthetic management and Peri-operative implications of Ataxia-Telangectasia Andrew J. Iskander, MD, Justin Lockman, MD, Melania Bembea, MD, MPH,

Thomas Crawford, MD, Howard Lederman, MD, PhD, Sharon McGrath-Morrow, MD, R. Blaine Easley, MD

The Johns Hopkins Hospital, Baltimore, MD

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

CR32 Perfusion Index-A Useful Tool to Assess Changes in Extremity Perfusion following major Trauma?

P Olomu MD, FRCA, 1 A Romero MD, 1 C Brown, MD,1 A Fernandez,1 Peter Szmuk, MD1,2

UT Southwestern and Children’s Medical Center, Dallas, TX1 and Outcomes Research Consortium2

CR33 Evolving Compartment Syndrome Not Masked by a Peripheral Nerve CatheterBenjamin Walker MD, Adrian Bosenberg FFA(SA)Dept. of Anesthesiology and Pain Medicine, Seattle Children’s Hospital,

University of Washington School of Medicine, Seattle, WA, USA

CR34 Support for Tranexamic acid to reduce allogeneic blood transfusion during calvarial vault remodeling

Karen Flotildes, D.O., Anthony Romo, M.D.Fellow in Pediatric Anesthesiology

CR35 Ultrasound Guided Axillary Block for Ulnar Lengthening Osteotomy in VATER Syndrome

TA Kahute, D.O., WB Binstock, M.D.Comer Children’s Hospital, The University of Chicago Medical Center, Chicago,

IL

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

CR37 The air-QTM Intubating Laryngeal Airway as a means of rescue ventilation and blind tracheal intubation in two pediatric patients with airway bleeding

JR Stockman and N JagannathanNorthwestern University Children’s Memorial Hospital, Chicago, IL

CR38 PULLED BY AUTHOR, February 23, 2010

CR39 Failure to intubate a child with Patau (Trisomy 13) Syndrome with fiberoptic via the LMA and Retrograde wire insertion through the cricothyroid with the

ENT surgeon in the ER.Roberts R M.D, Verghese S.T M.D, Bauman N MDChildren’s National Medical Center, George Washington University Medical

Center, Washington D.C

CR40 Management of a difficult airway in a patient with trisomy 22 using the Storz video laryngoscope

TB Gallen, A Qadeer, I Florentino-Pineda, T Weatherred

Medical College of Georgia, Augusta, Ga.

CR41 Anesthesia Induced Rhabdomyolysis (AIR) during Corrective Spine Surgery: A Cae Report

D. Wang, V. Louis, A. PatelUMDNJ-New Jersey Medical school, Department of Anesthesiology

CR42 Anesthetic management of a child with Leigh’s disease for a posterior spinal fusion.

DE Meyer, RP MooreSt. Louis Children’s Hospital, Washington University School of Medicine, St.

Louis, MO

CR43 Anesthetic Management of Kasai Hepatoportoenterostomy for Extrahepatic Biliary Atresia in a Neonate with Unpalliated Complex Congenital Heart

DiseaseHV Lauro, DS Fishman, NP RayState University of New York-Downstate Medical Center, Brooklyn, NY

CR44 15 month old presents with signs of pneumonia, additional workup reveals large anterior mediastinal mass. Final diagnosis: Mature teratoma.

MA Green, WD Kovarik, J Halter,Maine Medical Center, Portland, ME

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

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

CR47 ANESTHETIC MANAGEMENT OF A CHILD WITH HEREDITARY XEROCYTOSISR Koka, TJ Mancuso, ME McCann

CR48 Anesthesia Considerations in Pediatric Patients with Glycogen Storage Disease Type IX

VB Patel, JF Mayhew, JA Cure, AJ de ArmendiThe University of Oklahoma Health Sciences Center, Department of

Anesthesiology

CR49 Intraoperative use of systolic pressure variation in a neonate with bladder extrophy

Denisa Haret, MDUniversity of Iowa Hospital and Clinics

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

CR51 Successful use of a continuous local anesthetic infusion over multiple intercoastal spaces in a pediatric patient following ASD repair via thoracotomy.

Robert B Bryskin, Amy Bouchard Nemours Children’s Clinic/Mayo Clinic, Jacksonville, Fl,

CR52 Anesthesia for Spine Surgery in a Child with Mitochondrial Disease: A Case Report

Mei Lene Wu, MD, Mihaela Visoiu, MDDepartment of Pediatric Anesthesia, Children’s Hospital of Pittsburgh of UPMC,

44th and Penn Avenue, Pittsburgh, PA 15213

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

CR54 Workshop/Case Presentation: Persistent abdominal pain after appendectomy in a 13 year old female.

Susan L. Sager, MDChildren’s Hospital Boston

CR55 Predictive Ability of Difficult Intravenous Access Score on IV Cannulation Failure

Gershon Fink, DO1, Radu B Pop, MS1’2, Jeffrey W Steiner, DO1, 2, Peter Szmuk, MD1, 2

University of Texas Southwestern and Children's Medical Center (1) and Outcome Research Consortium, Dallas, Texas, United States; (2)

Outcomes Research Consortium.

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

General Anesthesia GroupModerator – Nathalia Jimenez, MD

CR56 A 4 year old with Intraop Hyperthermia- and It is Not MHKatherine Lee, MD; M. Lee, MD; A.Bhandari,MDRush University Medical Center, Chicago, Il

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

CR58 Massive Embolism of Cyanoacrylate Glue during Vein of Galen EmbolizationM Zelisko1, Y Liu2 and S Stayer

1Presenting author and 2corresponding authorTexas Children's Hospital and Baylor College of Medicine

CR59 Bilateral adrenal pheochromocytomasC B Groenewald , D T HaileCollege of Medicine,Mayo Clinic, Rochester,MN

CR60 Anesthetic Management of a patient with Klippel-Trenaunay-Weber Syndrome for Lower Extremity Amputation

Ashli R. Zerby, MD1, Jeff Steiner, DO1,2; Patrick Olomu, MD1

1.UT Southwestern Medical Center Dallas, Children’s Medical Center, Dallas, TX, 2. Member Outcomes Research Consortium.

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

CR62 A Case of The Foreign Body of The Esophagus Turned Into Acquired Tracheoesophageal Fistula

J.A. George, T. Kim, D.E. TunkelThe Johns Hopkins University School of Medicine, Baltimore, Maryland

CR63 Pulmonary Edema and Depressed Cardiac Function after Intranasal Phenylephrine 1% spray, in a Child.Mary F Rabb, M.D., David Zarzour M.D., Jael Carbajal, M.D., Samia Khalil,

M.D. and Douglas Maposa M.D.The University of Texas Health Science Center, Houston, Texas

CR64 An Unusual Presentation of Tension Pneumothorax during a Laparoscopic Splenectomy

RG BaijalTexas Children’s Hospital, Baylor College of Medicine, Houston, TX

CR65 Hypertensive crisis during ethanol embolization of the renal artery due to renin washout

Elaina E. Lin†, Philip Roman†, Gregory J. Latham‡†Johns Hopkins School of Medicine; ‡Seattle Children’s Hospital, University of

Washington

CR66 Surgical Ligation of the Trachea During TEF Repair in an Infant with Congenital Heart Disease

Debra Gambrell DO , Gerald Bushman MDChildrens Hospital Los Angeles, University of Southern California

CR67 Dealing with Teenagers with POTS: Anesthetic management made optimal with IV hydration, BIS, SCD and RSI.

S Valairucha, S Pestieau, K Yang, ST Verghese

CR68 The Use of Arndt Pediatric Endobronchial Blocker for One Lung Ventilation in 2 Infants

See Wan ThamSeattle Children’s Hospital

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

CR69 Cervical epidural for diagnosis of catecholaminergic polymorphic ventricular tachycardia in a pediatric patient

Shiu-Yi Emily Chen, Gerald Bushman, Giovanni CucchiaroChildrens Hospital Los Angeles, University of Southern California

CR70 The IMPACT Procedure: Management of a neonate with hypoplastic left heart syndrome (HLHS) and intact atrial septum (IAS) for emergent immediate

postnatal resuscitation and intervention.ID Theruvath, JM Steven, LM MontenegroChildren’s Hospital of Philadelphia, Philadelphia, PA

CR71 Unexplained Pulmonary Edema in a 5 year-old Boy with an Undiagnosed Brain Tumor Undergoing an Uncomplicated Repair of an Atrial Septal Defect

MK Baldwin, GA BushmanChildren’s Hospital Los Angeles, Los Angeles, California

CR72 Congenital Complete Heart Block: A Neonatal Anesthetic EmergencyD Almazan, MH Martin, C RamamoorthyStanford University School of Medicine

CR73 Case Report: Pulmonary Hypertensive Crisis in a Neonate Following Protamine Administration after Cardiopulmonary Bypass

MC Gummerson, M.D.*, MC Wesley, M.D.§*, EA Bacha, M.D.†, PR Hickey, M.D.§*

§ Division of Cardiac Anesthesia; *Department of Anesthesiology, Perioperative and Pain Medicine; † Department of Cardiac Surgery; Children’s Hospital

Boston, Harvard Medical School; Boston, MA

CR74 Case Report: Intraoperative TEE guiding surgical decision making during removal of a cardiac foreign body in a 5-year-old female.

H Schroeck, R Valley.University of North Carolina at Chapel Hill, Chapel Hill, NC.

CR75 Anesthetic management of a neonate with hypoplastic left heart syndrome (HLHS) and intact atrial septum (IAS) for emergent immediate postnatal

transcatheter atrial septostomy and stent placementID Theruvath, JM Steven, LM MontenegroChildren’s Hospital of Philadelphia, Philadelphia, PA

CR76 Duplicate – same poster for Friday CR35

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

CR78 Mid-Thigh Approach to Ultrasound Guided Sciatic Nerve Block in Pediatric Patients

AS Stone1, MD, Y Liu, MD2, K Nguyen, MD and M Watcha, MDDepartment of Pediatric Anesthesiology, Texas Children's Hospital/Baylor

College of Medicine, Houston, TX 770301 Presenting author and 2 corresponding author

CR79 Intrathecal Morphine for Idiopathic Scoliosis Surgery: Does Gender or Race Impact Safety or Effectiveness?

Tripi P, Sandadi J, Son-Hing J, Poe-Kochert C, Thompson G Rainbow Babies & Children’s Hospital, University Hospitals Case Medical

Center, Cleveland, OH

CR80 Use of Caudal Epidural Catheter in Children with Cerebral Palsy with Fused Posterior Spine

Divya Dixit, Mary C Theroux, Pete Gabos and Kirk Dabney Department of Anesthesiology and Critical Care and Department of Orthopedics,

Alfred I. duPont Hospital

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

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

CR82 Use of the LMA Classic Excel™ for Airway Rescue in a Patient with Known Difficult Airway

S Williams, MD,1 PN Olomu, MD, FRCA,1 D Davis, MD,1 J Steiner, DO,1,2 CD Glover, MD1

UT Southwestern and Children’s Medical Center, Dallas, TX1 and Outcomes Research Consortium2

CR83 Anesthestic airway management for a patient with craniofacial defects resulting from amniotic band sequence

M Chiu, JA Lampert, PJ Taub and RN LintnerMount Sinai Kravis Children's Hospital, New York, NY

CR84 Ultrasound Guided Airway Imaging for the Evaluation of Pediatric Patients with Laryngeal Pathology 

David Vent and Elizabeth Demers Lavelle SUNY Upstate Medical University

CR85 Costello Syndrome: LMAs do not relieve all cases of glossoptosisDominic S. Carollo, MD, Jimmie Colon, MD, Bobby Nossaman, MD, Usha

Ramadhyani, MDDepartment of Anesthesiology, Ochsner Medical Center, New Orleans, LA 70121

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

CR87 Challenges of lung isolation in a twenty-two month old female with massive right-sided bronchopleural fistula.

JL Alford, S Seraphin, M HernandezDepartment of Anesthesia and Critical Care. The University of Chicago MedicalCenter. Chicago, IL

CR88 Noninvasive Hemoglobin Measurement with Masimo Radical 7 in two Children with Sickle Cell Disease

W Miller1, SS Hussein1, JW Steiner1,2, RB Pop1,2, P Szmuk1,2

UT Southwestern and Children’s Medical Center, Dallas, TX1 and Outcome Research Consortium2

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

CR90 THE ANESTHETIC CHALLENGES OF AN EX UTERO INTRAPARTUM SURGERY (EXIT) FOR FETAL CONGENITAL CYSTIC

ADENOMATOID MALFORMATION (CCAM)GM Almeida-Chen, MD, MPH, J Feldman, MD, and K Tran, MDThe Department of Anesthesiology and Critical Care Medicine, The Children’s

Hospital of Philadelphia

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

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

WALK AROUND POSTER DISCUSSION SESSIONSaturday, April 17, 2010 – 11:00am – 12:30pmMounted – No later than 7:30am, Friday, April 16, 2010Removed – No later than 1:00pm, Saturday, April 17, 2010

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

P1 The Pharmacokinetics of Ketamine in Pediatric Cardiac PatientsC Ramamoorthy, GB Hammer, J Galinkin, DR DroverStanford University

P2 NSE and S100 protein levels are potential markers of neurological injury in children undergoing cardiopulmonary bypass

A Sophocles, Z Pan, R Friesen, M TwiteThe Children’s Hospital & University of Colorado School of Medicine, Denver

CO

P3 Cefazolin Tissue Penetration in a Porcine Model of Cardiac Surgery and Cardiopulmonary Bypass Measured by In Vivo Microdialysis

Kilbaugh TJ, Berkowitz D, Kubin J, Pastuszko A , Zaoutis TE, Jobes DR, Greeley WJ, Zuppa AF

The Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA

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

P5 Cervical epidural for diagnosis of catecholaminergic polymorphic ventricular tachycardia in a pediatric patient

Shiu-Yi Emily Chen, Gerald Bushman, Giovanni CucchiaroChildrens Hospital of Los Angeles, University of Southern California

P6 Risk Profile for Infants with Single Ventricle Physiology Undergoing Noncardiac Surgery While Palliated with a BT Shunt or Sano Conduit

S.S. Sharma MD MPH, James Pierce MD, G.A. Bushman MD Sabine Von Busse MD, Mari Baldwin MD

Childrens Hospital Los Angeles, University of Southern California, USC Keck School of Medicine

P7 SjO2/SvO2 correlation during pediatric cardiac surgery with cardiopulmonary bypass (CPB) under fentanyl-midazolam anesthesia

Klamt JG, Nabarro P, Vicente WVA, Garcia LVFaculty of Medicine of Ribeirão Preto – University of São Paulo

P8 Limitations of cerebral oxygenation monitoring in children with congenital heart disease and profound polycythemia

EA Gottlieb, EB MossadBaylor College of Medicine, Texas Children’s Hospital, Houston, Texas

P9 Pharmacokinetics of cefuroxime are not significantly altered by cardiopulmonary bypass in children

CA Knoderer, SA Saft, SG Walker, DP Healy, KM SowinskiIndiana University School of Medicine, Butler University College of Pharmacy

and Health Sciences, Purdue University College of Pharmacy, Nursing, and Health Sciences, University of Cincinnati, Winkle College of Pharmacy

P10 Cold Agglutinins in Children Undergoing Repair of Congenital Heart Defects with Cardiopulmonary Bypass

DA Rosen, RA Gustafson, KC Gustafson, BP Neal, BP Keeley, PL PerrottaDepartments of Anesthesia,Perfusion Surgery and Pathology. West Virginia

University

P11 Lung Reperfusion Injury in Pediatric Patients after Balloon Angioplasty for Pulmonary Artery stenosis.

SM Yacouby, EB MossadBaylor College of Medicine, Texas Children’s Hospital

P12 Femoral Artery Catheterization in Cardiac Neonates and InfantsA Artico CPNP-AC, RH Friesen MD, E DaCruz MDDept. of Anesthesiology and Division of Cardiology, Children’s Hospital,

University of Colorado Denver

P13 Cardiac Arrest upon induction of anesthesia in children with cardiomyopathy: An analysis of incidence and risk factors.

Salah Al –Otaibi, Carolyne Pehora, Helen Holtby, Katherine Taylor Department of Anesthesia Hospital for Sick Children Toronto Canada

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

P15 Heparin Turnover During Cardiopulmonary Bypass with new Low-volume Extracorporeal Systems in Pediatric Open Heart Surgery

Wolf H.-G1, Hertfelder H.-J3, Asfour B2, Hraska V2, Odenthal E3, Oldenburg J3, Schindler1

Dep. Pediatric Anesthesiology1, Dep. Cardio-thoracic Surgery2, German Pediatric Heart Center, Sankt Augustin, Germany; Dep. Exp. Hematology

and Transfusinmedicine3, University of Bonn, Germany

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

P16 Perioperative Bleeding and Patient Outcomes in the Neonatal Congenital Heart Population – The Post-Aprotinin Era

NS Wilder, M Kavarana, T Voepel-Lewis, T Lee, RG OhyeC.S. Mott Children’s Hospital, University of Michigan, Ann Arbor, MI

P17 Outcome of drowned hypothermic children with cardiac arrest treated with cardiopulmonary bypass

P Suominen, N Vallila, L Hartikainen, H Sairanen, R KorpelaHospital for Children and Adolescents, Helsinki, Finland

P18 Bleeding risk and transfusion requirements during infant cardiac surgery in thepost-Aprotinin era

Emad Mossad, MD, Meredith Reyes, MD, Purviben Jariwala, MT(ASCP), Jun Teruya, MD, DSc and Charles Fraser, MD

Departments of Pediatric Anesthesia, Pathology and Congenital Heart Surgery, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas

P19 Cerebral Oximetry in a Newborn with Hypoplastic Left Heart and Restrictive Atrial Septum From Birth to Atrial Septostomy

Dawnisa K. Baker M.D., Suanne Daves M.D., Lewis McCarver MS, CRNAMonroe Carrell Jr. Children’s Hospital at Vanderbilt

P20 Congenital Cardiac Anesthesia: Extubation in the OR is a safe option. A case series.

Dr Tunga Suresh MD, Dr Steven Lichtenstein MD, Dr Edmund Jooste MD, Dr Mihaela Visoiu MD.

Children’s Hospital of Pittsburgh, UPMC. Pittsburgh

P21 Somatic Growth After the Hybrid Approach Verse Norwood in Single Ventricle Physiology

N. Moiduddin, PE Michels, R. Rodeman, JP Cheatham, M. Galantowicz, M. Corridore

Nationwide Children’s Hospital, The Ohio State University, Columbus, Ohio

P22 Intraoperative stroke detected by near-infrared spectroscopy (NIRS) in a young patient with congenital heart disease

DG Daaboul, K Yuki, J Harrington, A CastaDepartment of Anesthesiology, Perioperative and Pain medicine, Children’s

Hospital Boston

P23 Volatile versus Narcotic Anesthetic for Surgical Repair of Congenital Heart Disease: The Effect on Postoperative EEG

Lisa Wise-Faberowski, MD; Jeannie Zuk, PhD; Robert Friesen, MD; Peter Fritz, MD, Glenn Merritt, MD, Randall Clark, MD, Scott Stenquist, MD, Mark Twite,

MBBSUniversity of Colorado; The Children’s Hospital Denver

P24 Perioperative blood pressure control with clevidipine in pediatric patients undergoing cardiac surgery

JD Tobias1, WS Schechter2, A Phillips3, S Weinstein4, R Michler4, John Berkenbosch5, Carlos Montoya6

1Departments of Anesthesiology & Pediatrics, University of Missouri, Columbia, Missouri; 2Departments of Anesthesiology & Pediatrics, Columbia

University, New York, NY; 3Department of Cardiothoracic Surgery, The Heart Center, Nationwide Children’s Hospital, Columbus, Ohio; 4Department of Cardiac Surgery, Montefiore Hospital, New York, NY; 5Department of Pediatrics, University of Louisville, Louisville, Kentucky; 6Pediatric Cardiology, Winthrop University, New York, NY

P25 Early Extubation in the Operating Room Following Congenital Heart Surgery: A Large Retrospective Study

M. Schlunt, C. Lee, A. Ahana, T. BartschLoma Linda University Medical Center, Department of Anesthesiology, Loma

Linda, CA

P26 Measurement of Absolute Viscerosomatic Tissue Oxygen Saturation: Preliminary Results

RJ Ing, DB MacLeod, K Ikeda, WA Ames, SR Schulman. Department of Anesthesiology, Duke University Medical Center, Durham, NC.

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

P28 Unusual Complication of Left Pigtail Chest Tube InsertionMG Danekas, PP DietrichUniversity of North Carolina Department of Anesthesiology, Chapel Hill, NC

P29 Pediatric Cardiopulmonary Bypass: A Survey of Current PracticesBW Lee, MD, ML Schlunt, MD, C Lee, MDLoma Linda University Department of Anesthesiology

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

Airway GroupModerator – Olutoyin Olutoye, MD, FAAP

P31 Temporal Variation of the Leak Pressure of Uncuffed Pediatric Endotracheal Tubes Following Intubation: A Prospective Observational Study

S Patel*†, K Lalwani*, J Koh*, L Wu*, R Fu*†University of Arizona School of Medicine, Tucson, AZ; *Oregon Health and

Science University, Portland, OR

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

P33 Cobra perilaryngeal airway (CobraPLA TM ) is not an ideal supraglottic device in pediatric ophthalmic surgery.

Rani A Sunder 1, Renu Sinha 2, Anil Agarwal 2

1- St Louis Childrens Hospital , St Louis , MO. 2- All India Institute of Medical Sciences, New Delhi , India.

P34 Routine extraluminal use of the 5F Arndt Endobronchial Blocker in infants and children up to 24 months.

Lianne L. Stephenson MD., Christian Seefelder, MDDepartment of Anesthesia, University of Wisconsin, Madison, WI, and Children’s Hospital Boston, MA

P35 Airway strategies for the continuum of care in a neonate with type IIIlaryngotracheoesophageal cleftKim-Phuong Nguyen, Priscilla Garcia, Adam Stone, Oluyinka Olutoye, Ellen

Friedman, Nancy Glass, and Stephen StayerBaylor College of Medicine, Texas Children’s Hospital

P36 A helium and oxygen mixture facilitates bronchoscopy through an LMA during general anesthesia

JD TobiasDepartments of Anesthesiology & Pediatrics, University of Missouri, Columbia,

Missouri 65212

P37 A QUALITY ASSURANCE PROJECT TO ASSESS OPTIMAL ENDOTRACH-EAL TUBE SELECTION IN CHILDRENRania Aziz MD, Anuradha Patel MD, Melissa Davidson MD, Minh CJ Tran MD,

Huma Quraishi MD, Catherine Schoenberg BSN Department of Anesthesiology & Peri-operative Medicine, UMDNJ- New Jersey

Medical School, Newark, NJ, United States

P38 An evaluation of efficacy of the GlideScope Cobalt Video Baton for Intubation onChildren Weighing Less than 10 kilogramsP Olomu1, O Abu Fetuh1, C Glover1, JW Steiner1,2,, RB Pop1,2, P Szmuk1,2

University of Texas Southwestern and Children's Medical Center (1) and Outcome Research Consortium, Dallas, Texas, United States; (2)

Outcomes Research Consortium.

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

P40 The Use of Dexmedetomidine During Nasotracheal Intubation in a Patient with Charge Syndrome

LK Crews MD, D Mattingly, and I Florentino-Pineda MD MBAMedical College of Georgia, Augusta GA

P41 Intranasal Septal Perforation in a 4 year old by an Impacted Button Battery: A Case Report and Review of the Literature

D Mattingly, LK Crews MD, I Florentino-Pineda MD, MBAMedical College of Georgia and Children’s Medical Center Augusta, Georgia

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

P43 Epiglottits after Ingestion of a Caustic Agent-An Interesting Case Report in a Pediatric Patient

J Aunspaugh, K LienhartArkansas Children’s Hospital/University of Arkansas for Medical Sciences

P44 Impact of Delayed Imaging on Morbidity and Challenges for Anesthesia in Children with Anterior Mediastinal Mass -A retrospective five year study

Mian,A , Parray, T, Khan, S.A , Ramirez, M, Watkins, B, Siddiqui, MSDepartments of Hematology Oncology and Anesthesiology University of

Arkansas for Medical Sciences and Arkansas Children’s Hospital

P45 The risk of difficult Endotracheal intubation during Rapid sequence induction for neonates.

Khaled Sedeek, MD 1, Mohamed El Sharif 1, Saifeldin Mahmoud, MD 1, and Josée Lavoie, MD 2.

Penn State University, Hershey Medical Center, Hershey, PA & Montreal Children’s Hospital, Mc Gill University, Montreal, Quebec.

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

P46 A Comparison of Inhalational Inductions in Children in the Operating Room versus the Induction Room

AM Varughese , KM Miller, CM Menzie, M. Patino, NS Hagerman Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

P47 Clinical Trial of Methylprednisolone in Children to Reduce Inflammation and Improve Outcome from OLV

MC Theroux, A Olivant Fisher, ME Rodriguez, KW Reichard, SA Shah, AT Costarino, TH Shaffer

A.I duPont Hospital for Children, Wilmington, Delaware

P48 Neck circumference in children as a predictor of peri-operative adverse respiratory events.

Olubukola O Nafiu, Constance C Burke, Terri Voepel-Lewis, Joyce Lee, Shobha Malviya.

Mott Children’s Hospital, University of Michigan, Ann Arbor, Michigan.

P49 VALIDATION OF A PICTORIAL NAUSEA RATING SCALE FOR CHILDREN

Mathew M. Wyatt1, Mehernoor F. Watcha MD1, Amy Baxter MD 2, Carl L von Baeyer, PhD3, William V Baxter, PhD4, Traci Leong, PhD5, Sarah

McClure1,Aimee Kakascik MD1,1 Baylor College of Medicine, Texas Children’s Hospital, Houston TX, 2

Pediatric Emergency Medicine Associates, Children's Healthcare of Atlanta, Atlanta, GA, 3Psychology and Pediatrics, University of Saskatchewan, Saskatoon, Canada; 4 Oriental Light and Magic, Tokyo, Japan, and 5 Biostatistics, Rollins School of Public Health, Atlanta, GA (Supported by Hope Street Kids Foundation)

P50 High body mass index in older children as a risk factor for peri-operative complications.

Andrew Baldock, Constance Burke, Robert Christensen, Olubukola O NafiuMott Children’s Hospital, University of Michigan, Ann Arbor, Michigan.

P51 PHARMACOGENETICS OF MORPHINE AND PERSONALIZING PERIOPERATIVE ANALGESIA IN CHILDREN

Sadhasivam S, McAuliffe J, Chidambaran V, Jou F, Goodman H, Plapp R, Vinks A

Cincinnati Children’s Hospital Medical Center, Department of Anesthesiology

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

University, Israel1, and Department of Anesthesiology, University of Florida, Gainesville, Florida2

P53 PACBIS and Prediction of Postoperative Maladaptive Behaviors in ChildrenSadhasivam S, Cohen L, Gorman K, Hosu L, Otten M, Nick T, Kurth CD, Gunter

JGCincinnati Children’s Hospital Medical Center, Department of Anesthesiology

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

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

P56 Anesthetic Considerations for Multivisceral Organ Transplant in a Patient with Complex I Mitochondrial Disorder.

Herodotos Ellinas, MD, Raymond Dumont, MD, Christian Seefelder, MDChildren’s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI and Children’s Hospital Boston, Harvard Medical School, Boston, MA

P57 Ultrasound Guided Transverse Abdominis Plane (TAP) Block in Infants and Children: An Observational Analysis.

Steinfeldt J, Kho M, Minhas A, Cambic, A, Sivaja G, Wang D PhD, Suresh SChildren’s Memorial Hospital Chicago, IL

P58 Post-Operative Hyponatremia Following Calvarial Remodeling in Craniosynostosis

Schmitt E1, Bykowski, M2, Naran S2, Grunwaldt L2, Moritz M3, Losee J2, Cladis F1

1Department of Anesthesiology, University of Pittsburgh School of Medicine, 2Division of Plastic Surgery, University of Pittsburgh School of Medicine,

3Department of Pediatrics, University of Pittsburgh School of Medicine

P59 Incidence of Complications Using a Loading Dose Propofol Method of Deep Sedation for Pediatric MRI

Solina Tith, B.S., Kirk Lalwani, M.D., F.R.C.A., M.C.R., Danny Robinson, M.D., Rochelle Fu, Ph.D.Anesthesiology and Peri-Operative Medicine, Oregon Health & Science

University, Portland, Oregon

P60 Pediatric Resident Acute Care CurriculumM McBride2, W Waldrop1,2, J Fehr1,2, D Murray1

Departments of Anesthesiology1 and Pediatrics2 Washington University in St. Louis

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

P61 Axillary Block for Patient with Raynaud’s Phenomenon Undergoing Total Body Cooling and Requiring Invasive Arterial Blood Pressure Monitoring

NR Janosy, J Pineda, A Zimmerman, VC SwansonDoernbecher Children’s Hospital Portland, OR; The Children’s Hospital Denver,

CO

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

P63 Does Simethicone Premedication Decrease Emergence Agitation in Pediatric Myringotomy Patients?

Zulfiqar Ahmed, Dima Daaboul, Lori Stricker, Maria Zestos, Claire Pascual, Debashish Bhattacharya, David Madgy, Michael Haupert, Jillian Tweedie

Department of Anesthesia and Otolaryngology Children’s Hospital of Michigan Detroit MI

P64 Effect of dexamethasone on postoperative morbidity in children undergoing prolonged dental rehabilitation under general anesthesia

McIntyre R, Hardcastle C, Eng R, Nettel-Aguirre A, Urmson C, Lardner D, Livingstone M, Ewen A, Cox R

Departments of Anesthesiology, Pediatrics and Community Health Sciences, University of Calgary, Alberta, Canada (Dr. Urmson is currently at the

University of Saskatchewan, Saskatoon, SK, Canada)

P65 DOES THE AGE OF THE NEWBORN AND THE BICARBONATE LEVEL HAVE ANY IMPACT ON POST-OP LENGTH OF STAY AFTER

PYLOROMYOTOMY? -A RETROSPECTIVE REVIEW OF 253 NEWBORNS AND YOUNG INFANTS AT A TERTIARY HOSPITAL

S. Elliott, S. T. Verghese, F. G. Quershi, A. D. Sandler, N. M. Shara; The George Washington University Medical Center, Children's National Medical

Center 111, Michigan Avenue, N.W

P66 Evaluation of distal radial artery cross sectional internal diameter in pediatric patients by ultrasound.

EQS Varga MD; NJ Halliday MD; K Candiotti MD; B Saltzmann MD; S Gayer MD; J Tutiven, MD; J Giquel MD; GC Sanchez MD, K Arheart Ed.D.

University of Miami, Jackson Memorial Hospital, Bascom Palmer Eye Institute

P67 Abdominal obesity in children and risk of peri-operative complications. Can a child’s pant size predict peri-operative adverse events?

OO Nafiu (MD, FRCA), Constance C Burke (BSN), Vivian Onyewuche (MD), Joyce Lee (MD), Shobha Malviya (MD)

Mott Children’s hospital, University of Michigan, Ann Arbor, Michigan.

P68 Does Succinylcholine still have a place in Pediatric Anesthesia? A survey of current practice.

Dr C Doherty, Dr E Ng, Dr E McLeodThe Hospital for Sick Children, University of Toronto, Toronto, Canada

P69 LUMBAR PLEXUS CATHETERS VERSUS LUMBAR EPIDURALS FOR PAIN MANAGEMENT FOLLOWING PELVIC OSTEOTOMY

David E. Liston MD, MPH, J. Grant McFadyen MBChB FRCA, Benjamin J. Walker MD, Sean H. Flack MBChB FCA, Adrian T. Bosenberg MBChB

FFA(SA) Department of Anesthesiology and Pain Medicine, Seattle Children’s Hospital,

Seattle, WA

P70 Clevidipine for controlled hypotension during spinal surgery in adolescentsJ. Allee, JD TobiasUniversity of Missouri, Columbia, Missouri 65212

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

P72 A RARE RESPIRATORY COMPLICATION AFTER SURGICAL RELIEF OF CHRONIC AIRWAY OBSTRUCTION

Tariq Parray MD, Shailesh Shah MD, Sonia Shah MD, Timothy W Martin MD, Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansasfor Medical Sciences/Arkansas Children’s Hospital.

P73 AN UNUSUAL COMPLICATION DURING THE ENDOSCOPIC REMOVAL OF AN ESOPHAGEAL FOREIGN BODY.

Tariq Parray MD, Saif M Siddiqui MD, Melissa Hughes MD, M Irfan Suleman MD

Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital.

P74 Dexmedetomidine controls the hemodynamic responses to tourniquet painJD Tobias

Departments of Anesthesiology & Pediatrics, University of Missouri, Columbia, Missouri 65212

P75 Transfusion in surgically treated neonates during 2005-2007 at Hospital and Maternidade Santa Joana (HMSJ).

Valinetti EA, M.D., PhD; Katayama A, M.D.; Cardoso MSC, M.D., PhD; Ohira H, M.D.; Barbosa S, M.D.; Amaro AR, M.D.

Hospital e Maternidade Santa Joana, São Paulo, São Paulo, Brazil

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

P76 A Survey of Peri-Operative Management of Sickle Cell Disease in North AmericaFirth PG, MBChB (1) (*), Nelson K, MD (2) (*), Bender MA, MD PhD (3),

Haberkern CM, MD, MPH (4), Yaster M, MD (5), Goodwin SR, MD (6). (*) Drs Firth and Nelson contributed equally to this manuscript and are co-first authors.

1. Massachusetts General Hospital, Boston MA. 2. Johns Hopkins Hospital, Baltimore MD. 3. Seattle Children’s Hospital, Fred Hutchinson Cancer

Research Center, and the University of Washington, Seattle WA. 4. Seattle Children’s Hospital and the University of Washington, Seattle WA. 5. Johns Hopkins Hospital, Baltimore MD. 6. Nemours Children’s Institute, Jacksonville FL.

P77 Anesthetic Management and Outcomes in Patients with Hypoplastic Left Heart Who Underwent Non-Cardiac Surgery

R Christensen, P Reynolds, A Gholami, S MalviyaUniversity of Michigan Health System, Ann Arbor, MI

P78 Complications and Risk Factors of Adenotonsillectomies Using Laryngeal Mask Airway in Children

AI Hunyady, SM DeCarlo, D Poulson, Y MedvidEastern Maine Medical Center

P79 Anesthetic Management and Outcomes in Patients with Truncus Arteriosus Who Underwent Non-Cardiac Surgery

R Christensen, A Gholami, P Reynolds, S MalviyaUniversity of Michigan Health System, Ann Arbor, MI

P80 TRANSIENT PARAPLEGIA FOLLOWING ANESTHESIA FOR MRISM NykielSt. Louis Children’s Hospital/ Washington University, St. Louis, MO

P81 Real Time Ultrasound Guided Peripheral Vascular Access in Pediatric Patients

SW SamoyaMonroe Carell Jr. Children’s Hospital at Vanderbilt University

P82 Improvement in the perioperative adverse events self-reporting using new software.

S Ohkawa, B Thumm, A Forde, A Kakavoli, M Carson, L SunMorgan Stanley Children’s Hospital of New York, Columbia University College

of Physicians and Surgeons, Children’s Hospital Los Angeles

P83 STUCK TO THE WORLDTariq Parray MD, Saif Siddiqui MD, Shailesh Shah MDDivision of Pediatric Anesthesiology and Pain Medicine, University of Arkansas

for Medical Sciences / Arkansas Children’s Hospital.

P84 A Case of a Migrating Foreign Body as a Cause of Persistent WheezingTariq Parray MD, Saif Siddiqui MD, Mathew Ragland MD Shailesh Shah MD, Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas

for Medical Sciences/Arkansas Children’s Hospital.

P85 SEVERE TRACHEAL STENOSIS IN AN ASYMPTOMATIC PATIENT SCHEDULED FOR MRI

Tariq Parray MD, Shailesh Shah MD, Abid Ul Ghafoor MD, Timothy W Martin MD

Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital.

P86 Anesthesia Care and Perioperative Outcomes in Infants and Young Children Undergoing Strabismus Surgery

Anne Stowman, B.S., Kumar Belani, MDDepartments of Anesthesiology, Pediatrics, Medicine & Environmental Health

Sciences, University of Minnesota

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

P88 An Audit of Pre-Operative Screening of Children with Unknown Sickle Cell Disease Status at a Tertiary Referral Paediatric Hospital

J Navaratnarajah, S Bhatia, E Hrobonova, AE BlackGreat Ormond Street Hospital for Children NHS Trust, London UK

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

Safety & Outcomes Research GroupModerator - Philip G. Morgan, MD

P90 A Simulation Based Assessment of the Pediatric Anesthesia Skills of Anesthesiology Residents

James Fehr, MD, Megan Brockel, MD, Dawnisa Baker, MD and David Murray, MD

Department of Anesthesiology, Washington University in St. Louis

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

P92 Design and implementation of an anonymous near-miss reporting system for a large, academic pediatric anesthesia department.

Patrick J. Guffey MD1; Judit Szolnoki MD2; David Polaner MD3. 1Pediatric Anesthesia Fellow, The Children’s Hospital. Department of Anesthesia. University of Colorado, Denver. 2 Assistant Professor, Director of Quality

Improvement. The Children’s Hospital. Department of Anesthesia. University of Colorado, Denver. 3Associate Professor, Director of Acute Pain Management. The Children’s Hospital. Departments of Anesthesia and Pediatrics. University of Colorado, Denver.

P93 Performance Validation of a Modified MRI Compatible Temperature Probe in Children

VG Nasr, L Diaz, R Schumann, MI Ahmed.Tufts-Medical Center, Boston, MA

P94 Respiratory Complications Associated With Ketamine Premedication for Measurement of Intraocular Pressure in Children

Lei Wu, BA; Kirk Lalwani, MD, FRCA, MCR; Karla Hook, RN; Bella Almario RN; Rochelle Fu, PhD; Beth Edmunds, MD

Oregon Health and Science University School of Medicine, Portland, OR

P95 Preparation of Modern Anesthesia Workstations for Malignant Hyperthermia Susceptible Patients

TW Kim, ME NemergutJohns Hopkins Hospital, Baltimore, MD

P96 Safety of anesthesia for children in a mobile magnetic resonance operating roomCox RG1, Levy R2, Neil SG1, Farran RP1, Ewen A1, Hamilton M2, Myles ST2,

Hader W2, Sutherland G2

Departments of Anesthesiology1 and Clinical Neurosciences2, University of Calgary, Alberta, Canada

P97 Office-Based Deep Sedation for Pediatric Ophthalmologic Procedures Using a Sedation Service Model

Matthew Tomlinson, B.S., Kirk Lalwani, M.D., F.R.C.A., Jeffrey Koh, M.D., M.B.A. and David Wheeler, M.D.

Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, Oregon, United States

P98 A novel mainstream capnometer system for non-intubated children requiring oxygen administration

K Miyasaka, S Abe, Y Shiima, F Takatori, S YamamoriNagano Children’s Hospital and Ogino Memorial Laboratory/Nihon Kohden

P99 The Reliability of Global and Checklist Scoring Methods in a Pediatric Acute Care Simulation Curriculum

W Waldrop, M McBride, J Fehr, D MurrayWashington University in St. Louis Department of Pediatrics and Anesthesiology

P100 One Lung Ventilation for Anterior Spine Fusion: Perioperative Complications in Healthy Children

Divya Dixit, Robert P Brislin, Susmita Nesargi, Alfred T Dorsey, Suken A Shah and Mary C Theroux

Department of Anesthesiology and Critical Care and Department of Orthopedics, Alfred I. Dupont Hospital

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

Center, Oklahoma City, OK

P102 Evaluation and Implementation of an Automated Medication Dispensing System into Anesthesia Worksites at a Large University Hospital

E. Rebello, CE Cowles, S. Kee, M. Hernandez, K SapireThe University of Texas MD Anderson Cancer Center, Houston, TX

P103 Success of a Difficult Airway Registry at a Tertiary Care Pediatric HospitalPaul Sheeran, Sandra McDermott, Deanie Davis, Amy BrenskiUniversity of Texas Southwestern Medical Center, Children’s Medical Center

Dallas, Dallas, TX

P104 ABA certification and CME have an important role in maintaining highest standards in the practice of anesthesiology

L. De Marchi, J. Wu, BS Freeman Georgetown University, Washington, DC

Pain/Neuro GroupModerator - Senthilkumar Sadhasivam, MD

P105 POST-DURAL PUNCTURE HEADACHE IN CHILDREN: WHAT IS THE EFFECTIVE VOLUME FOR EPIDURAL BLOOD PATCH?

Felicia Birch, MD, See Wan Tham, MBBS, Sally Rampersad, MB, FRCA, Adrian Bosenberg, MBChB, FFA(SA)Department Anesthesiology and Pain Medicine, Seattle Children’s Hospital

P106 A Simple, Near-Ideal Simulation Model for Ultrasound-guided Regional Anesthesia

Charles B. Eastwood, MD, CM & David L Moore, MDCincinnati Children’s Hospital Medical Center, Cincinnati, OH

P107 Ultrasound Guided Axillary Nerve Blockade in Infants and Children: A Retrospective Analysis

A Sawardekar, J Stockman, M Kho, G Sivaja, S SureshDepartment of Pediatric Anesthesiology, Children's Memorial Hospital,

Northwestern University’s Feinberg School of Medicine, Chicago, IL

P108 Combined Intrathecal / Epidural Analgesia for Pain Management after Pediatric Spinal Fusions for Scoliosis

L Wang, C Lee, S Kishan, ML SchluntLoma Linda University Medical Center, Loma Linda, CA

P109 Pharmacokinetics of Intranasal Ketorolac in ChildrenDR Drover, GB HammerStanford University School of Medicine

P110 Acute post-operative pain in infants: Use of the skin conductance monitorPriti G Dalal, Kim Kopenhaver Haidet, Kelli Welker, Lisa Klick, Stella Britcher,

Sarah Rebstock, Dmitri Bezinover, Charles Palmer, Cheston Berlin, Piotr Janicki

Departments of Anesthesiology and Pediatrics, Penn State Children’s Hospital, Hershey Medical Center, Hershey, PA 17033

P111 Experience with a standardized anesthesia protocol for robotic-assisted laparoscopic surgery in young children

PM Meiera, LM Pereirac, RP Prescillaa, BJ Minnillob, HT Nguyenb, CS Houcka

Departments of Anesthesiologya and Urologyb Children’s Hospital Boston, and College of Pharmacy and Health Sciencesc, Boston, MA

P112 Single high-dose rectal acetaminophen in infants with IHPS.Khaled Sedeek, MD 1, Mohamed El Sharif 1, Saifeldin Mahmoud, MD 1, and

Josée Lavoie, MD 2.

Penn State University, Hershey Medical Center, Hershey, PA & Montreal Children’s Hospital, Mc Gill University, Montreal, Quebec.

P113 Extended Postoperative Analgesia via Tunneled Epidural Catheters in 90 Pediatric Bladder Exstrophy Patients

S. Patel1, R. Mathews2, J.Gearhart3, S Kost-Byerly4

Division of Pediatric 1,4Anesthesiology and Critical care Medicine and 2, 3

Urology, Johns Hopkins Hospital, Baltimore, MD

P114 Near Infrared Spectroscopy Values During Painful Procedures in Newborn – Correlation with Behavioral Markers

Rebecca Drinkaus MD, Andreas Taenzer MD, Joseph Cravero MDDartmouth Hitchcock Medical Center, Dartmouth Medical School

P115 Cerebral blood flow autoregulation is preserved after severe cortical impact, but impaired when intracranial pressure is elevated in an infant swine model.

JO Mytar, JK Lee, K Kibler, RB Easley, CW Hogue, RC Koehler, DH Shaffner, KM Brady

Anesthesia and Critical Care Medicine, The Johns Hopkins University School of Medicine

P116 Anaesthetic experience in infratentorial craniotomy surgery in ChildrenDevarajan J. M.D.*, Sung W M.D.^, Avitsian R M.D.*, Cata J M.D.*Department of Pediatric Anesthesiology. *Department of General

Anesthesiology. Anesthesiology Institute. Cleveland Clinic. Ohio. USA

P117 Anesthetic Challenges of the Awake Craniotomy in a Pediatric Patient after Heart Transplant

Kim Poteet-Schwartz, MD, and Persis K. Shroff, MDArkansas Children’s Hospital, University of Arkansas for Medical Sciences

P118 Sustained Sinus Bradycardia during Craniosynostosis Repair related to Endotracheal Tube Compression

Hyangwon Paek M.D., Helena Gunnerson M.D., David J Murray M.D.Department of Pediatric Anesthesiology, Children’s Hospital at Washington

University, St. Louis. MO.

P119 Clinical Course of patients with Ataxia-Telangectasia admitted to the Intensive Care Unit

Justin Lockman, MD, Andrew J. Iskander, MD, Melania Bembea, MD, MPHThomas O. Crawford, MD, Howard Lederman, MD, PhD Sharon McGrath-

Morrow, MD, R. Blaine Easley, MDThe Johns Hopkins Hospital, Baltimore, MD

Other GroupModerator - Olubukola O. Nafiu, MD, FRCA

P120 Prediction of Lumbar Plexus Depth in ChildrenBenjamin Walker MD, Sean Flack MBChB FCA, Adrian Bosenberg MBChB

FFA(SA)Dept. of Anesthesiology and Pain Medicine, Seattle Children’s Hospital,

University of Washington School of Medicine, Seattle, WA, USA

P121 Role of the Nitric Oxide Synthase Immunoreactive Neurons of the Midbrain in Neuronal Adaptations with Development of Morphine Tolerance

D Bajic, KG CommonsDepartment of Anesthesiology, Pain and Perioperative Medicine, Children’s

Hospital Boston, Boston, MA

P122 Evaluation of a new technique for placement of interscalene brachial plexus perineural catheters in children and adolescents under general anesthesia.

LA Cox, HC Gurnaney, G Cucchiaro, A Ganesh The Children’s Hospital of Philadelphia

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

P124 Development of a Web Based Pediatric Regional Anesthesiology Resource: WWW.PEDSREGIONAL.ORG

Corrie T. M. Anderson, MD, FAAPUniversity of Washington School of Medicine and Seattle Children’s Hospital

P125 Evaluation of scientific activity of pediatric anesthesiologists in Canada using the Hirsch index

JD O’Leary, MW Crawford The Hospital for Sick Children, Toronto, ON

P126 Optimizing Perioperative Patient Flow for a Rapid Turnover ENT ServiceElena Adler, MD, and Anna M Varughese, MD, MPHDepartment of Anesthesia, Cincinnati Children's Hospital Medical Center,

Cincinnati, Ohio, United States; University of Cincinnati Medical Center, Cincinnati, OH, United States

P127 The Dark Side of Sedation: 12 Years of Pediatric Sedation for Electroretinography in the Dark.

Brian D Tompkins, M.D., Kirk Lalwani, M.D., F.R.C.A., M.C.R., Kevin Burnes, M.D., Melissa R Krahmer, M.S., and Richard Weleber, M.D

School of Medicine and Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, OR, United

States.

P128 Presenting Research Risks and Benefits to Parents: Does Format Matter? T Voepel-Lewis, M.S.N., R.N., B Zikmund-Fisher, Ph.D., A Fagerlin, Ph.D., AR.

Tait, Ph.D. Department of Anesthesiology, University of Michigan, Ann Arbor MI

P129 Identification of Medical Simulation Center Characteristics at Children’s Hospitals

DA Young, SB IssenbergBaylor College of Medicine/Texas Children’s Hospital; Houston, Texas

P130 Incidence of Complications Using Two Methods of Deep Sedation for Cardiac MRI in Pediatric Patients

Solina Tith, B.S., Kirk Lalwani, M.D., F.R.C.A., M.C.R., Rochelle Fu, Ph.D.Anesthesiology and Peri-Operative Medicine, Oregon Health & Science

University, Portland, Oregon

P131 Is there a need for a formal Curriculum on Sedation of Children in a Pediatric Residency Program and should Anesthesiology lead this effort?

L TorresTexas Children's Hospital, Houston, Texas

P132 A Single Center Experience in the Use of Regional Anesthesia in Pediatric Orthopedic Procedures

C. Kuo, J. Louca, R Baker, S. Ohkawa, L. SunDepartment of Anesthesiology, Columbia University, New York, NY

P133 DOES REGIONAL ANESTHESIA REDUCE BLOOD LOSS IN CRANIOSYNOSTOSIS SURGERY?

K Keech, A Bosenberg, J GrussSeattle Children’s Hospital, University of Washington, Seattle, WA

P134 Intranasal Combination Dexmedetomidine and Midazolam for Pediatric Procedural Sedation

B Greenberg MD, J Schoonover NP, A Graf NP, K Jedlicki NP, E Overbey MD, S Auden MD

Pediatric Anaesthesia Associates, Kosair Children’s Hospital, Louisville KY

P135 Use of Vein Viewer for insertion of peripheral venous cannulas in pediatric patients with difficult intravenous access.

P Szmuk1,2,, RB Pop1, 2, A Farrow-Gillespie1, H Sakhai1, JW Steiner1, 2

University of Texas Southwestern and Children's Medical Center (1) and Outcome Research Consortium, Dallas, Texas, United States; (2) Outcomes Research

Consortium