CCAS CARDIAC POSTERS – Thursday, April 15, 2010 Mounted – No later than 7:30am, Thursday, April 15, 2010 Removed – No later than 5:15pm, Thursday, April 15, 2010 C1 The Pharmacokinetics of Ketamine in Pediatric Cardiac Patients C Ramamoorthy, GB Hammer, J Galinkin, DR Drover Stanford 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 Twite The 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 cardiac disease on ECMO: A preliminary study. JM Schwartz, MM Bembea, W Savage, LA Vricella, RB Easley, A Everett. Johns Hopkins School of Medicine, Baltimore, MD 21287 C5 Cervical epidural for diagnosis of catecholaminergic polymorphic ventricular tachycardia in a pediatric patient Shiu-Yi Emily Chen, Gerald Bushman, Giovanni Cucchiaro Childrens Hospital Los Angeles, University of Southern California 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 LV Faculty 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 Mossad Baylor 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 Sowinski Indiana University School of Medicine, Butler University College of Pharmacy and Health Sciences, Purdue University College of Pharmacy, Nursing, and Health Sciences, University of Cincinnati, Winkle College of Pharmacy 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 Perrotta Departments 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 1 Anesthesiology, Children's National Medical Center, Washington, DC, 2 Cardiology, Children's National Medical Center, Washington, DC. RRA2 Does ultrasound improve the efficacy of dorsal penile nerve block in children? D. Faraoni, A. Gilbeau, E. Engelman, L. Barvais, D. Hennart. From the department of anesthesia. CUB – Erasme Hospital. Brussels. Belgium. RRA3 AXILLARY BLOCK FACILITATES PICC LINE PLACEMENT IN HIGH RISK INFANTS *Katherine Keech MD, *Adrian Bosenberg FFA (SA), #Dennis Shaw MD *Departments Anesthesia Pain Management and #Radiology, Seattle Children’s Hospital YIA1 Genotypes of ABCB1 Transporter Can Predict Morphine-induced Respiratory Depression in Children undergoing Tonsillectomy Chidambaran V, Goodman H, Plapp R, Zhang X, Sadhasivam S Department of Anesthesiology, Cincinnati Children’s Hospital Medical Center YIA2 Cerebral Blood Flow and Cerebrovascular Autoregulation After Pediatric Cardiac Arrest and Hypothermia JK Lee1, KK Kibler1, JO Mytar1, E Carter1, RB Easley1, CW Hogue1, M Czosnyka2, P Smielewski2, D Jacobs3, K Hirsch4, DH Shaffner1, RC Koehler1, KM Brady1 1 Department 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, 2010 Mounted – No later than 7:30am, Friday, April 16, 2010 Removed – No later than 6:30pm, Friday, April 16, 2010 CR1 Airway Compromise in Interventional Radiology Suite after Thrombin Injection for Vertebral Artery Pseudoaneurysm Jay B. Tuchman MD, Antonio Cassara MD, James G. Cain MD University of Pittsburgh School of Medicine. Pittsburgh, Pennsylvania CR2 Nine-Year-Old with Craniofacial Dystosis: Previously East to Ventilate, Why Can’t I Ventilate Him Now? Vijay Pallekonda, MD, Angelina Bhandari, MD, and Jennifer Lam, MD Department of Anesthesiology, Rush Medical College, Chicago, IL CR3 Preemptive Placement of a Tracheostomy in a Child with Cherubic Syndrome LM Loveland Baptist M.D., W Binstock M.D. Comer Children’s Hospital, The University of Chicago Hospitals, Department of Anesthesia and Critical Care, Chicago, IL CR4 Management of Newborn with Significant Rhabdomyoma with Superimposed SVT after an EXIT procedure. Kelly Ryan, MD; A. Bhandari, MD: A. Stayapriya,MD Rush University, Chicago, IL CR5 Anesthetic Management of Conjoined Twins with a Single Heart for Cardiac Catheterization Andrew D. Pitkin, MBBS MRCP FRCA; Nicole C. Dobija, MD DDS. Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA CR6 REGIONAL NERVE BLOCK AS THE PRIMARY ANESTHETIC FOR A 7 YEAR OLD PATIENT WITH CYANOTIC CONGENITAL HEART DISEASE Quigley TW, Annabi E University of Arizona Department of Anesthesia, Tucson, AZ CR7 Combined Resection of hepatoblastoma with intracaval right atrial extension with cardiopulmonary bypass J Freely, C Hardy, T Uejima Children’s Memorial Hospital Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago IL. CR8 Near Cardiac Arrest in a Neonate with Massive Sacrococcygeal Teratoma E Chamberlin, M Lewis, K Fuentes, K Sullivan Nemours Children’s Clinic, Jacksonville, Fl CR9 Negative Pressure Alveolar Hemorrhage following Upper Airway Obstruction Niyakorn G, Rubin KP Rainbow Babies & Children’s Hospital, Case Western Reserve University, Cleveland CR10 Use of Anesthetic Effect Monitoring During Pediatric Liver Transplant of Patient with Cystic Fibrosis to Facilitate Immediate Extubation J. Reich, A. Kalra, W. Yee, R. Schumann, MI Ahmed Tufts Medical Center CR11 Electrophysiologic monitoring unaffected during General Anesthesia with Dexmedetomidine for Bilateral Deep Brain Stimulator Implantation in a childwith Pantothenate Kinase-Associated Neurodegeneration. H Karlberg Hippard, D. Curry, M Gorena, M Watcha Baylor College of Medicine, Texas Children’s Hospital, Houston, Tx CR12 10 year old boy for dental surgery with fulminate Adrenoleukodystrophy: Considerations for Anesthesia management Jason Stiendler, MD, Zulfiqar Ahmed, MD, Yassir Haidar-Ahmad, MD, Nasser Durgham, MD Children’s Hospital of Michigan, Wayne State University, Detroit, MI CR13 Anesthesia for Diagnostic Thoracoscopy in a Patient with Poland Syndrome W Miller, MD, 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 MD University of Miami Miller School of Medicine, Miami, FL CR15 Intraoral lesions in a Patient with Juvenile Hyaline Fibromatosis: A Case Report Ferschl MB, Waisel D Children’s Hospital Boston, Boston, MA CR16 The use of a Glide Scope with a Fiberoptic Scope to facilitate a Nasal Intubation in a 3 Month Old Infant with a Pierre Robin Sequence. Ryan Smith, MD1; Jeffrey Steiner, DO1,2, and Peter Szmuk, MD1,2 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 Hemophiliac Granger S, M.D, Verghese ST, M.D, Roberts R, M.D, Eric Jaryszak MD, Shah R M.D, Hsu L, M.D The George Washington University Medical Center, Washington D.C CR19 Anesthetic Management of a patient with Erythrodermolysis Bullosum for Dental Extraction and Restoration with No Touch Care. Some Issues with Airway Sharing Yassir Haider Ahmad, MD, Jason Stiendler, MD, Monica Talpesh, MD, Zulfiqar Ahmed, MD Children’s Hospital of Michigan, Wayne State University, Detroit, MI CR20 Case Report - Acquired Tracheoesophageal Fistula After Alkaline Disk Battery Ingestion I Chui, M Hache Columbia University, College of Physicians and Surgeons CR21 Incidental Finding of Complete Tracheal Rings upon Intubation for Surgical Repair of Complete Atrioventricular Canal Defect. Andrew Pitkin, MBBS, MRCP, FRCA, Jonathon Jerman, M.D., Nicole Dobija, M.D., D.D.S. Department of Anesthesiology, University of Florida, College of Medicine, Gainesville, FL. USA CR22 Subcutaneous Emphysema after Puncture of the Oropharynx: A Case Report Katherine Keech, MD and Corrie Anderson, MD, FAAP University of Washington School of Medicine and Seattle Children’s Hospital CR23 Anesthetic Management of a Newborn for resection of a Right Ventricle Myxoma Trinh T, MD, Verghese ST, Valairucha S Children’s National Medical Center, The George Washington University Medical Center, Washington, D.C CR24 Management of air embolism during Cardiopulmonary Bypass Dr Tunga 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 ICell Disease Type 2 M. Gangadharan, D. Jobes Children’s Hospital of Philadelphia, Philadelphia, PA CR26 Perioperative Assessment of Coagulation Status in a Patient with Platelet Aggregation Abnormality Kelly Stees, MD Department Of Anesthesiology, The Children’s Hospital, University of Colorado Denver CR27 Walker-Warburg Syndrome- Anesthetic Concerns and Implications Vanessa C. Williams MD, Monique E. Cadogan MD, Maria Wormack MD University of Miami Miller School of Medicine, Miami, FL CR28 Esophageal Foreign Body Impaction in a Child with Epidermolysis Bullosa Jennifer Zieg, MD, Geoffrey Lane, MB, BChir. Department of Anesthesiology, The Children’s Hospital, Aurora, CO CR29 The Use of Dexmedetomidine during Laryngeal Framework Surgery J Tomasson (*), A DeAlarcon(#), M Statham(#), M Mahmoud(*). Department of Anesthesiology(*). Department of Otolaryngology(#). Cincinnati Children’s Hospital Medical Center. University of Cincinnati Medical Center. Ohio CR30 Anesthetic management and Peri-operative implications of Ataxia-Telangectasia Andrew J. Iskander, MD, Justin Lockman, MD, Melania Bembea, MD, MPH, Thomas Crawford, MD, Howard Lederman, MD, PhD, Sharon McGrath-Morrow, MD, R. Blaine Easley, MD The Johns Hopkins Hospital, Baltimore, MD CR31 Granular Cell Tumor in a Six Year Old Presenting in Respiratory Distress EN Marks MD, DG Heatley MD, LLStephenson MD, ES Yun MD University of Wisconsin School of Medicine and Public Health CR32 Perfusion Index-A Useful Tool to Assess Changes in Extremity Perfusion following major Trauma? P Olomu MD, FRCA, 1 A Romero MD, 1 C Brown, MD,1 A Fernandez,1 Peter Szmuk, MD1,2 UT Southwestern and Children’s Medical Center, Dallas, TX1 and Outcomes Research Consortium2 CR33 Evolving Compartment Syndrome Not Masked by a Peripheral Nerve Catheter Benjamin Walker MD, Adrian Bosenberg FFA(SA) Dept. of Anesthesiology and Pain Medicine, Seattle Children’s Hospital, University of Washington School of Medicine, Seattle, WA, USA CR34 Support for Tranexamic acid to reduce allogeneic blood transfusion during calvarial vault remodeling Karen Flotildes, D.O., Anthony Romo, M.D. Fellow in Pediatric Anesthesiology CR35 Ultrasound Guided Axillary Block for Ulnar Lengthening Osteotomy in VATER Syndrome TA Kahute, D.O., WB Binstock, M.D. Comer Children’s Hospital, The University of Chicago Medical Center, Chicago, IL CR36 Patient with Tietze’s Syndrome presenting as Slipping Rib Syndrome Taran S. Sangari, M.D. & Michael L. Schmitz Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, AR CR37 The air-QTM Intubating Laryngeal Airway as a means of rescue ventilation and blind tracheal intubation in two pediatric patients with airway bleeding JR Stockman and N Jagannathan Northwestern University Children’s Memorial Hospital, Chicago, IL CR38 PULLED BY AUTHOR, February 23, 2010 CR39 Failure to intubate a child with Patau (Trisomy 13) Syndrome with fiberoptic via the LMA and Retrograde wire insertion through the cricothyroid with the ENT surgeon in the ER. Roberts R M.D, Verghese S.T M.D, Bauman N MD Children’s National Medical Center, George Washington University Medical Center, Washington D.C CR40 Management of a difficult airway in a patient with trisomy 22 using the Storz video laryngoscope TB Gallen, A Qadeer, I Florentino-Pineda, T Weatherred Medical College of Georgia, Augusta, Ga. CR41 Anesthesia Induced Rhabdomyolysis (AIR) during Corrective Spine Surgery: A Cae Report D. Wang, V. Louis, A. Patel UMDNJ-New Jersey Medical school, Department of Anesthesiology CR42 Anesthetic management of a child with Leigh’s disease for a posterior spinal fusion. DE Meyer, RP Moore St. Louis Children’s Hospital, Washington University School of Medicine, St. Louis, MO CR43 Anesthetic Management of Kasai Hepatoportoenterostomy for Extrahepatic Biliary Atresia in a Neonate with Unpalliated Complex Congenital Heart Disease HV Lauro, DS Fishman, NP Ray State University of New York-Downstate Medical Center, Brooklyn, NY CR44 15 month old presents with signs of pneumonia, additional workup reveals large anterior mediastinal mass. Final diagnosis: Mature teratoma. MA Green, WD Kovarik, J Halter, Maine Medical Center, Portland, ME CR45 Anesthetic Implications in Stuve Wiedemann Syndrome: A Case Report S. Franco, M.D., SH Wang, M.D. Yale University School of Medicine, New Haven, CT CR46 Trifunctional protein deficiency and rhabdomyolysis. An anesthetic complication? LA Cox, R Litman The Children’s Hospital of Philadelphia CR47 ANESTHETIC MANAGEMENT OF A CHILD WITH HEREDITARY XEROCYTOSIS R Koka, TJ Mancuso, ME McCann CR48 Anesthesia Considerations in Pediatric Patients with Glycogen Storage Disease Type IX VB Patel, JF Mayhew, JA Cure, AJ de Armendi The University of Oklahoma Health Sciences Center, Department of Anesthesiology CR49 Intraoperative use of systolic pressure variation in a neonate with bladder extrophy Denisa Haret, MD University of Iowa Hospital and Clinics CR50 Challenges in Airway Evaluation of a Child with Neurofibromatosis scheduled for Magnetic Resonance Imaging Sedation. C. Abdallah, MD, MSc, G. Vezina, MD, D. Preciado, MD. Children’s National Medical Center, Washington DC. CR51 Successful use of a continuous local anesthetic infusion over multiple intercoastal spaces in a pediatric patient following ASD repair via thoracotomy. Robert B Bryskin, Amy Bouchard Nemours Children’s Clinic/Mayo Clinic, Jacksonville, Fl, CR52 Anesthesia for Spine Surgery in a Child with Mitochondrial Disease: A Case Report Mei Lene Wu, MD, Mihaela Visoiu, MD Department of Pediatric Anesthesia, Children’s Hospital of Pittsburgh of UPMC, 44th and Penn Avenue, Pittsburgh, PA 15213 CR53 Pediatric Caudal Epidural Catheter Retention: A Case Report Hermida, Eduardo MD; Glass, Nancy L. MD Department of Anesthesiology, Texas Children’s Hospital, Houston, Texas. CR54 Workshop/Case Presentation: Persistent abdominal pain after appendectomy in a 13 year old female. Susan L. Sager, MD Children’s Hospital Boston CR55 Predictive Ability of Difficult Intravenous Access Score on IV Cannulation Failure Gershon Fink, DO1, Radu B Pop, MS1’2, Jeffrey W Steiner, DO1, 2, Peter Szmuk, MD1, 2 University of Texas Southwestern and Children's Medical Center (1) and Outcome Research Consortium, Dallas, Texas, United States; (2) Outcomes Research Consortium. CASE REPORTS – Saturday, April 17, 2010 Mounted – No later than 7:00am, Saturday, April 17, 2010 Removed – No later than 1:00pm, Saturday, April 17, 2010 General Anesthesia Group Moderator – Nathalia Jimenez, MD CR56 A 4 year old with Intraop Hyperthermia- and It is Not MH Katherine Lee, MD; M. Lee, MD; A.Bhandari,MD Rush University Medical Center, Chicago, Il CR57 Successful resuscitation of bupivacaine-induced cardiotoxicity in a neonate EP Lin, LA Aronson Cincinnati Children’s Hospital Medical Center, Cincinnati, OH CR58 Massive Embolism of Cyanoacrylate Glue during Vein of Galen Embolization M Zelisko1, Y Liu2 and S Stayer 1 Presenting author and 2corresponding author Texas Children's Hospital and Baylor College of Medicine CR59 Bilateral adrenal pheochromocytomas C B Groenewald , D T Haile College of Medicine,Mayo Clinic, Rochester,MN CR60 Anesthetic Management of a patient with Klippel-Trenaunay-Weber Syndrome for Lower Extremity Amputation Ashli R. Zerby, MD1, Jeff Steiner, DO1,2; Patrick Olomu, MD1 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 zebras Charles Eastwood, MD, CM and Lori A. Aronson, MD, FAAP Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio CR62 A Case of The Foreign Body of The Esophagus Turned Into Acquired Tracheoesophageal Fistula J.A. George, T. Kim, D.E. Tunkel The Johns Hopkins University School of Medicine, Baltimore, Maryland CR63 Pulmonary Edema and Depressed Cardiac Function after Intranasal Phenylephrine 1% spray, in a Child. Mary F Rabb, M.D., David Zarzour M.D., Jael Carbajal, M.D., Samia Khalil, M.D. and Douglas Maposa M.D. The University of Texas Health Science Center, Houston, Texas CR64 An Unusual Presentation of Tension Pneumothorax during a Laparoscopic Splenectomy RG Baijal Texas Children’s Hospital, Baylor College of Medicine, Houston, TX CR65 Hypertensive crisis during ethanol embolization of the renal artery due to renin washout Elaina E. Lin†, Philip Roman†, Gregory J. Latham‡ †Johns Hopkins School of Medicine; ‡Seattle Children’s Hospital, University of Washington CR66 Surgical Ligation of the Trachea During TEF Repair in an Infant with Congenital Heart Disease Debra Gambrell DO , Gerald Bushman MD Childrens Hospital Los Angeles, University of Southern California CR67 Dealing with Teenagers with POTS: Anesthetic management made optimal with IV hydration, BIS, SCD and RSI. S Valairucha, S Pestieau, K Yang, ST Verghese CR68 The Use of Arndt Pediatric Endobronchial Blocker for One Lung Ventilation in 2 Infants See Wan Tham Seattle Children’s Hospital Cardiac Anesthesia/Pain Group Moderator – Carlos Javier Campos Lopez, MD, FAAP CR69 Cervical epidural for diagnosis of catecholaminergic polymorphic ventricular tachycardia in a pediatric patient Shiu-Yi Emily Chen, Gerald Bushman, Giovanni Cucchiaro Childrens Hospital Los Angeles, University of Southern California CR70 The IMPACT Procedure: Management of a neonate with hypoplastic left heart syndrome (HLHS) and intact atrial septum (IAS) for emergent immediate postnatal resuscitation and intervention. ID Theruvath, JM Steven, LM Montenegro Children’s Hospital of Philadelphia, Philadelphia, PA CR71 Unexplained Pulmonary Edema in a 5 year-old Boy with an Undiagnosed Brain Tumor Undergoing an Uncomplicated Repair of an Atrial Septal Defect MK Baldwin, GA Bushman Children’s Hospital Los Angeles, Los Angeles, California CR72 Congenital Complete Heart Block: A Neonatal Anesthetic Emergency D Almazan, MH Martin, C Ramamoorthy Stanford University School of Medicine CR73 Case Report: Pulmonary Hypertensive Crisis in a Neonate Following Protamine Administration after Cardiopulmonary Bypass MC Gummerson, M.D.*, MC Wesley, M.D.§*, EA Bacha, M.D.†, PR Hickey, M.D.§* § Division of Cardiac Anesthesia; *Department of Anesthesiology, Perioperative and Pain Medicine; † Department of Cardiac Surgery; Children’s Hospital Boston, Harvard Medical School; Boston, MA CR74 Case Report: Intraoperative TEE guiding surgical decision making during removal of a cardiac foreign body in a 5-year-old female. H Schroeck, R Valley. University of North Carolina at Chapel Hill, Chapel Hill, NC. CR75 Anesthetic management of a neonate with hypoplastic left heart syndrome (HLHS) and intact atrial septum (IAS) for emergent immediate postnatal transcatheter atrial septostomy and stent placement ID Theruvath, JM Steven, LM Montenegro Children’s Hospital of Philadelphia, Philadelphia, PA CR76 Duplicate – same poster for Friday CR35 CR77 Treatment of Complex Regional Pain Syndrome with Continuous Regional Nerve Catheters in Children G Rutkowski, R Slover, S Santangelo The Children’s Hospital, Denver, Colorado CR78 Mid-Thigh Approach to Ultrasound Guided Sciatic Nerve Block in Pediatric Patients AS Stone1, MD, Y Liu, MD2, K Nguyen, MD and M Watcha, MD Department of Pediatric Anesthesiology, Texas Children's Hospital/Baylor College of Medicine, Houston, TX 77030 1 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 Group Moderator – George N. Youssef, MB, ChB CR81 A Funny Thing Happened On The Way To The Norwood A Armstrong, RD Valley University of North Carolina Hospital, Chapel Hill, NC CR82 Use of the LMA Classic Excel™ for Airway Rescue in a Patient with Known Difficult Airway S Williams, MD,1 PN Olomu, MD, FRCA,1 D Davis, MD,1 J Steiner, DO,1,2 CD Glover, MD1 UT Southwestern and Children’s Medical Center, Dallas, TX1 and Outcomes Research Consortium2 CR83 Anesthestic airway management for a patient with craniofacial defects resulting from amniotic band sequence M Chiu, JA Lampert, PJ Taub and RN Lintner Mount Sinai Kravis Children's Hospital, New York, NY CR84 Ultrasound Guided Airway Imaging for the Evaluation of Pediatric Patients with Laryngeal Pathology David Vent and Elizabeth Demers Lavelle SUNY Upstate Medical University CR85 Costello Syndrome: LMAs do not relieve all cases of glossoptosis Dominic S. Carollo, MD, Jimmie Colon, MD, Bobby Nossaman, MD, Usha Ramadhyani, MD Department of Anesthesiology, Ochsner Medical Center, New Orleans, LA 70121 CR86 GlideScope-Assisted Placement of Disposable Electrodes for Recurrent Laryngeal Nerve Monitoring During Thyroidectomy. J. Garcia Wojtczak, MD and I. Tkachenko, MD. University of Chicago CR87 Challenges of lung isolation in a twenty-two month old female with massive right-sided bronchopleural fistula. JL Alford, S Seraphin, M Hernandez Department of Anesthesia and Critical Care. The University of Chicago Medical Center. Chicago, IL CR88 Noninvasive Hemoglobin Measurement with Masimo Radical 7 in two Children with Sickle Cell Disease W Miller1, SS Hussein1, JW Steiner1,2, RB Pop1,2, P Szmuk1,2 UT Southwestern and Children’s Medical Center, Dallas, TX1 and Outcome Research Consortium2 CR89 Liver transplantation of a pediatric patient while on extra corporeal membrane oxygenation with heparin induced thrombocytopenia. CJ Karsanac, IS Landsman Monroe Carell Jr. Children’s Hospital at Vanderbilt, Nashville, TN CR90 THE ANESTHETIC CHALLENGES OF AN EX UTERO INTRAPARTUM SURGERY (EXIT) FOR FETAL CONGENITAL CYSTIC ADENOMATOID MALFORMATION (CCAM) GM Almeida-Chen, MD, MPH, J Feldman, MD, and K Tran, MD The Department of Anesthesiology and Critical Care Medicine, The Children’s Hospital of Philadelphia CR91 Case Report: Postoperative Conversion Disorder in a Pediatric Patient Amy Judge, M.D. and Fred Spielman, M.D. University of North Carolina Hospitals, Chapel Hill, NC CR92 Is This Patient Really That Anemic? E Williams and J Niezgoda Cleveland Clinic Foundation, Cleveland, OH WALK AROUND POSTER DISCUSSION SESSION Saturday, April 17, 2010 – 11:00am – 12:30pm Mounted – No later than 7:30am, Friday, April 16, 2010 Removed – No later than 1:00pm, Saturday, April 17, 2010 Cardiac Anesthesia Group 1 Moderator – Susan T. Verghese, MD P1 The Pharmacokinetics of Ketamine in Pediatric Cardiac Patients C Ramamoorthy, GB Hammer, J Galinkin, DR Drover Stanford University P2 NSE and S100 protein levels are potential markers of neurological injury in children undergoing cardiopulmonary bypass A Sophocles, Z Pan, R Friesen, M Twite The Children’s Hospital & University of Colorado School of Medicine, Denver CO P3 Cefazolin Tissue Penetration in a Porcine Model of Cardiac Surgery and Cardiopulmonary Bypass Measured by In Vivo Microdialysis Kilbaugh TJ, Berkowitz D, Kubin J, Pastuszko A , Zaoutis TE, Jobes DR, Greeley WJ, Zuppa AF The Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA P4 Ability of GFAP to detect neurologic injury in pediatric patients with cardiac disease on ECMO: A preliminary study. JM Schwartz, MM Bembea, W Savage, LA Vricella, RB Easley, A Everett. Johns Hopkins School of Medicine, Baltimore, MD 21287 P5 Cervical epidural for diagnosis of catecholaminergic polymorphic ventricular tachycardia in a pediatric patient Shiu-Yi Emily Chen, Gerald Bushman, Giovanni Cucchiaro Childrens Hospital of Los Angeles, University of Southern California P6 Risk Profile for Infants with Single Ventricle Physiology Undergoing Noncardiac Surgery While Palliated with a BT Shunt or Sano Conduit S.S. Sharma MD MPH, James Pierce MD, G.A. Bushman MD Sabine Von Busse MD, Mari Baldwin MD Childrens Hospital Los Angeles, University of Southern California, USC Keck School of Medicine P7 SjO2/SvO2 correlation during pediatric cardiac surgery with cardiopulmonary bypass (CPB) under fentanyl-midazolam anesthesia Klamt JG, Nabarro P, Vicente WVA, Garcia LV Faculty of Medicine of Ribeirão Preto – University of São Paulo P8 Limitations of cerebral oxygenation monitoring in children with congenital heart disease and profound polycythemia EA Gottlieb, EB Mossad Baylor College of Medicine, Texas Children’s Hospital, Houston, Texas P9 Pharmacokinetics of cefuroxime are not significantly altered by cardiopulmonary bypass in children CA Knoderer, SA Saft, SG Walker, DP Healy, KM Sowinski Indiana University School of Medicine, Butler University College of Pharmacy and Health Sciences, Purdue University College of Pharmacy, Nursing, and Health Sciences, University of Cincinnati, Winkle College of Pharmacy P10 Cold Agglutinins in Children Undergoing Repair of Congenital Heart Defects with Cardiopulmonary Bypass DA Rosen, RA Gustafson, KC Gustafson, BP Neal, BP Keeley, PL Perrotta Departments of Anesthesia,Perfusion Surgery and Pathology. West Virginia University P11 Lung Reperfusion Injury in Pediatric Patients after Balloon Angioplasty for Pulmonary Artery stenosis. SM Yacouby, EB Mossad Baylor College of Medicine, Texas Children’s Hospital P12 Femoral Artery Catheterization in Cardiac Neonates and Infants A Artico CPNP-AC, RH Friesen MD, E DaCruz MD Dept. of Anesthesiology and Division of Cardiology, Children’s Hospital, University of Colorado Denver P13 Cardiac Arrest upon induction of anesthesia in children with cardiomyopathy: An analysis of incidence and risk factors. Salah Al –Otaibi, Carolyne Pehora, Helen Holtby, Katherine Taylor Department of Anesthesia Hospital for Sick Children Toronto Canada P14 The effect of isoflurane on the developing hypoxic rat brain Lisa Wise-Faberowski, MD: Brittany Peluso, BS University of Colorado; The Children’s Hospital Denver P15 Heparin Turnover During Cardiopulmonary Bypass with new Low-volume Extracorporeal Systems in Pediatric Open Heart Surgery Wolf H.-G1, Hertfelder H.-J3, Asfour B2, Hraska V2, Odenthal E3, Oldenburg J3, Schindler1 Dep. Pediatric Anesthesiology1, Dep. Cardio-thoracic Surgery2, German Pediatric Heart Center, Sankt Augustin, Germany; Dep. Exp. Hematology and Transfusinmedicine3, University of Bonn, Germany Cardiac Anesthesia Group 2 Moderator – Shobha Malviya, MD, FAAP P16 Perioperative Bleeding and Patient Outcomes in the Neonatal Congenital Heart Population – The Post-Aprotinin Era NS Wilder, M Kavarana, T Voepel-Lewis, T Lee, RG Ohye C.S. Mott Children’s Hospital, University of Michigan, Ann Arbor, MI P17 Outcome of drowned hypothermic children with cardiac arrest treated with cardiopulmonary bypass P Suominen, N Vallila, L Hartikainen, H Sairanen, R Korpela Hospital for Children and Adolescents, Helsinki, Finland P18 Bleeding risk and transfusion requirements during infant cardiac surgery in the post-Aprotinin era Emad Mossad, MD, Meredith Reyes, MD, Purviben Jariwala, MT(ASCP), Jun Teruya, MD, DSc and Charles Fraser, MD Departments of Pediatric Anesthesia, Pathology and Congenital Heart Surgery, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas P19 Cerebral Oximetry in a Newborn with Hypoplastic Left Heart and Restrictive Atrial Septum From Birth to Atrial Septostomy Dawnisa K. Baker M.D., Suanne Daves M.D., Lewis McCarver MS, CRNA Monroe Carrell Jr. Children’s Hospital at Vanderbilt P20 Congenital Cardiac Anesthesia: Extubation in the OR is a safe option. A case series. Dr Tunga Suresh MD, Dr Steven Lichtenstein MD, Dr Edmund Jooste MD, Dr Mihaela Visoiu MD. Children’s Hospital of Pittsburgh, UPMC. Pittsburgh P21 Somatic Growth After the Hybrid Approach Verse Norwood in Single Ventricle Physiology N. Moiduddin, PE Michels, R. Rodeman, JP Cheatham, M. Galantowicz, M. Corridore Nationwide Children’s Hospital, The Ohio State University, Columbus, Ohio P22 Intraoperative stroke detected by near-infrared spectroscopy (NIRS) in a young patient with congenital heart disease DG Daaboul, K Yuki, J Harrington, A Casta Department of Anesthesiology, Perioperative and Pain medicine, Children’s Hospital Boston P23 Volatile versus Narcotic Anesthetic for Surgical Repair of Congenital Heart Disease: The Effect on Postoperative EEG Lisa Wise-Faberowski, MD; Jeannie Zuk, PhD; Robert Friesen, MD; Peter Fritz, MD, Glenn Merritt, MD, Randall Clark, MD, Scott Stenquist, MD, Mark Twite, MBBS University of Colorado; The Children’s Hospital Denver P24 Perioperative blood pressure control with clevidipine in pediatric patients undergoing cardiac surgery JD Tobias1, WS Schechter2, A Phillips3, S Weinstein4, R Michler4, John Berkenbosch5, Carlos Montoya6 1 Departments of Anesthesiology & Pediatrics, University of Missouri, Columbia, Missouri; 2Departments of Anesthesiology & Pediatrics, Columbia University, New York, NY; 3Department of Cardiothoracic Surgery, The Heart Center, Nationwide Children’s Hospital, Columbus, Ohio; 4Department of Cardiac Surgery, Montefiore Hospital, New York, NY; 5Department of Pediatrics, University of Louisville, Louisville, Kentucky; 6Pediatric Cardiology, Winthrop University, New York, NY P25 Early Extubation in the Operating Room Following Congenital Heart Surgery: A Large Retrospective Study M. Schlunt, C. Lee, A. Ahana, T. Bartsch Loma Linda University Medical Center, Department of Anesthesiology, Loma Linda, CA P26 Measurement of Absolute Viscerosomatic Tissue Oxygen Saturation: Preliminary Results RJ Ing, DB MacLeod, K Ikeda, WA Ames, SR Schulman. Department of Anesthesiology, Duke University Medical Center, Durham, NC. P27 Comparative Opioid Pharmacology After Cardiac Surgery – A Multi-site, NIHfunded Study GB Hammer, DR Drover, EJ Krane, CA Cohane, M Tingle, J Gallinkin Stanford University School of Medicine, Stanford, CA P28 Unusual Complication of Left Pigtail Chest Tube Insertion MG Danekas, PP Dietrich University of North Carolina Department of Anesthesiology, Chapel Hill, NC P29 Pediatric Cardiopulmonary Bypass: A Survey of Current Practices BW Lee, MD, ML Schlunt, MD, C Lee, MD Loma Linda University Department of Anesthesiology P30 Proposed Neonatal Intraoperative Resuscitation Algorithm E Lee, JM Schwartz, DH Shaffner, ES Heitmiller Johns Hopkins University School of Medicine, Baltimore, MD Airway Group Moderator – Olutoyin Olutoye, MD, FAAP P31 Temporal Variation of the Leak Pressure of Uncuffed Pediatric Endotracheal Tubes Following Intubation: A Prospective Observational Study S Patel*†, K Lalwani*, J Koh*, L Wu*, R Fu* † University of Arizona School of Medicine, Tucson, AZ; *Oregon Health and Science University, Portland, OR P32 Negative Pressure Pulmonary Hemorrhage in Children: A Case Series M Seely, DO, M Zestos, MD, B Jwaida, MD, S Kemper, DO Children’s Hospital of Michigan, Detroit, MI P33 Cobra perilaryngeal airway (CobraPLA TM ) is not an ideal supraglottic device in pediatric ophthalmic surgery. Rani A 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, MD Department of Anesthesia, University of Wisconsin, Madison, WI, and Children’s Hospital Boston, MA P35 Airway strategies for the continuum of care in a neonate with type III laryngotracheoesophageal cleft Kim-Phuong Nguyen, Priscilla Garcia, Adam Stone, Oluyinka Olutoye, Ellen Friedman, Nancy Glass, and Stephen Stayer Baylor College of Medicine, Texas Children’s Hospital P36 A helium and oxygen mixture facilitates bronchoscopy through an LMA during general anesthesia JD Tobias Departments of Anesthesiology & Pediatrics, University of Missouri, Columbia, Missouri 65212 P37 A QUALITY ASSURANCE PROJECT TO ASSESS OPTIMAL ENDOTRACHEAL TUBE SELECTION IN CHILDREN Rania Aziz MD, Anuradha Patel MD, Melissa Davidson MD, Minh CJ Tran MD, Huma Quraishi MD, Catherine Schoenberg BSN Department of Anesthesiology & Peri-operative Medicine, UMDNJ- New Jersey Medical School, Newark, NJ, United States P38 An evaluation of efficacy of the GlideScope Cobalt Video Baton for Intubation on Children Weighing Less than 10 kilograms P Olomu1, O Abu Fetuh1, C Glover1, JW Steiner1,2,, RB Pop1,2, P Szmuk1,2 University of Texas Southwestern and Children's Medical Center (1) and Outcome Research Consortium, Dallas, Texas, United States; (2) Outcomes Research Consortium. P39 Anaesthesia for bowel obstruction in a neonate with undetected TOF Dr Alet Jacobs, Dr Raju Reddy Birmingham Children’s Hospital, Birmingham, UK P40 The Use of Dexmedetomidine During Nasotracheal Intubation in a Patient with Charge Syndrome LK Crews MD, D Mattingly, and I Florentino-Pineda MD MBA Medical College of Georgia, Augusta GA P41 Intranasal Septal Perforation in a 4 year old by an Impacted Button Battery: A Case Report and Review of the Literature D Mattingly, LK Crews MD, I Florentino-Pineda MD, MBA Medical College of Georgia and Children’s Medical Center Augusta, Georgia P42 An Acute Presentation of Congenital Lobar Emphysema F Chaudhry, D Wang, MC Tran, M. Davdison, A. Patel, E. Delphin UMDNJ-New Jersey Medical School, New Jersey, Newark, NJ. P43 Epiglottits after Ingestion of a Caustic Agent-An Interesting Case Report in a Pediatric Patient J Aunspaugh, K Lienhart Arkansas Children’s Hospital/University of Arkansas for Medical Sciences P44 Impact of Delayed Imaging on Morbidity and Challenges for Anesthesia in Children with Anterior Mediastinal Mass -A retrospective five year study Mian,A , Parray, T, Khan, S.A , Ramirez, M, Watkins, B, Siddiqui, MS Departments of Hematology Oncology and Anesthesiology University of Arkansas for Medical Sciences and Arkansas Children’s Hospital P45 The risk of difficult Endotracheal intubation during Rapid sequence induction for neonates. Khaled Sedeek, 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 1 Moderator – Raafat S. Hannallah, MD P46 A Comparison of Inhalational Inductions in Children in the Operating Room versus the Induction Room AM Varughese , KM Miller, CM Menzie, M. Patino, NS Hagerman Cincinnati Children’s Hospital Medical Center, Cincinnati, OH P47 Clinical Trial of Methylprednisolone in Children to Reduce Inflammation and Improve Outcome from OLV MC Theroux, A Olivant Fisher, ME Rodriguez, KW Reichard, SA Shah, AT Costarino, TH Shaffer A.I duPont Hospital for Children, Wilmington, Delaware P48 Neck circumference in children as a predictor of peri-operative adverse respiratory events. Olubukola O Nafiu, Constance C Burke, Terri Voepel-Lewis, Joyce Lee, Shobha Malviya. Mott Children’s Hospital, University of Michigan, Ann Arbor, Michigan. P49 VALIDATION OF A 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 Nafiu Mott Children’s Hospital, University of Michigan, Ann Arbor, Michigan. P51 PHARMACOGENETICS OF MORPHINE AND PERSONALIZING PERIOPERATIVE ANALGESIA IN CHILDREN Sadhasivam S, McAuliffe J, Chidambaran V, Jou F, Goodman H, Plapp R, Vinks A Cincinnati Children’s Hospital Medical Center, Department of Anesthesiology P52 Bicarbonate Verifies Intravenous Position of Catheters in Anesthetized Children Nur I, Barzilai A, Keidan I, A Gonzalez, White SE, Dobjia N. Department of Anesthesia and Intensive Care, Sheba Medical Center, Tel Aviv University, Israel1, and Department of Anesthesiology, University of Florida, Gainesville, Florida2 P53 PACBIS and Prediction of Postoperative Maladaptive Behaviors in Children Sadhasivam S, Cohen L, Gorman K, Hosu L, Otten M, Nick T, Kurth CD, Gunter JG Cincinnati Children’s Hospital Medical Center, Department of Anesthesiology P54 Hypoxia Decreases Opioid Requirements in Healthy Children Living At Altitude J.A. Rabbitts M.B.,Ch.B., N.M. Dietz M.D., J. Räsänen M.D. Mayo Foundation for Education and Research, Rochester MN P55 Hyperglycemia is not a risk factor for post-spine fusion infection in cerebral palsy patients Elaina E. Lin, Dolores B. Njoku Johns Hopkins School of Medicine P56 Anesthetic Considerations for Multivisceral Organ Transplant in a Patient with Complex I Mitochondrial Disorder. Herodotos Ellinas, MD, Raymond Dumont, MD, Christian Seefelder, MD Children’s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI and Children’s Hospital Boston, Harvard Medical School, Boston, MA P57 Ultrasound Guided Transverse Abdominis Plane (TAP) Block in Infants and Children: An Observational Analysis. Steinfeldt J, Kho M, Minhas A, Cambic, A, Sivaja G, Wang D PhD, Suresh S Children’s Memorial Hospital Chicago, IL P58 Post-Operative Hyponatremia Following Calvarial Remodeling in Craniosynostosis Schmitt E1, Bykowski, M2, Naran S2, Grunwaldt L2, Moritz M3, Losee J2, Cladis F1 1 Department of Anesthesiology, University of Pittsburgh School of Medicine, 2 Division of Plastic Surgery, University of Pittsburgh School of Medicine, 3 Department of Pediatrics, University of Pittsburgh School of Medicine P59 Incidence of Complications Using a Loading Dose Propofol Method of Deep Sedation for Pediatric MRI Solina Tith, B.S., Kirk Lalwani, M.D., F.R.C.A., M.C.R., Danny Robinson, M.D., Rochelle Fu, Ph.D. Anesthesiology and Peri-Operative Medicine, Oregon Health & Science University, Portland, Oregon P60 Pediatric Resident Acute Care Curriculum M McBride2, W Waldrop1,2, J Fehr1,2, D Murray1 Departments of Anesthesiology1 and Pediatrics2 Washington University in St. Louis General Anesthesia Group 2 Moderator – Mehernoor F. Watcha, MD P61 Axillary Block for Patient with Raynaud’s Phenomenon Undergoing Total Body Cooling and Requiring Invasive Arterial Blood Pressure Monitoring NR Janosy, J Pineda, A Zimmerman, VC Swanson Doernbecher Children’s Hospital Portland, OR; The Children’s Hospital Denver, CO P62 Venous Air Embolism and Developmental Hip Dysplasia Lori A. Aronson, MD and Ximena Soler, MD Cincinnati Children’s Hospital Medical Center, Cincinnati, OH P63 Does Simethicone Premedication Decrease Emergence Agitation in Pediatric Myringotomy Patients? Zulfiqar Ahmed, Dima Daaboul, Lori Stricker, Maria Zestos, Claire Pascual, Debashish Bhattacharya, David Madgy, Michael Haupert, Jillian Tweedie Department of Anesthesia and Otolaryngology Children’s Hospital of Michigan Detroit MI P64 Effect of dexamethasone on postoperative morbidity in children undergoing prolonged dental rehabilitation under general anesthesia McIntyre R, Hardcastle C, Eng R, Nettel-Aguirre A, Urmson C, Lardner D, Livingstone M, Ewen A, Cox R Departments of Anesthesiology, Pediatrics and Community Health Sciences, University of Calgary, Alberta, Canada (Dr. Urmson is currently at the University of Saskatchewan, Saskatoon, SK, Canada) P65 DOES THE AGE OF THE NEWBORN AND THE BICARBONATE LEVEL HAVE ANY IMPACT ON POST-OP LENGTH OF STAY AFTER PYLOROMYOTOMY? -A RETROSPECTIVE REVIEW OF 253 NEWBORNS AND YOUNG INFANTS AT A TERTIARY HOSPITAL S. Elliott, S. T. Verghese, F. G. Quershi, A. D. Sandler, N. M. Shara; The George Washington University Medical Center, Children's National Medical Center 111, Michigan Avenue, N.W P66 Evaluation of distal radial artery cross sectional internal diameter in pediatric patients by ultrasound. EQS Varga MD; NJ Halliday MD; K Candiotti MD; B Saltzmann MD; S Gayer MD; J Tutiven, MD; J Giquel MD; GC Sanchez MD, K Arheart Ed.D. University of Miami, Jackson Memorial Hospital, Bascom Palmer Eye Institute P67 Abdominal obesity in children and risk of peri-operative complications. Can a child’s pant size predict peri-operative adverse events? OO Nafiu (MD, FRCA), Constance C Burke (BSN), Vivian Onyewuche (MD), Joyce Lee (MD), Shobha Malviya (MD) Mott Children’s hospital, University of Michigan, Ann Arbor, Michigan. P68 Does Succinylcholine still have a place in Pediatric Anesthesia? A survey of current practice. Dr C Doherty, Dr E Ng, Dr E McLeod The Hospital for Sick Children, University of Toronto, Toronto, Canada P69 LUMBAR PLEXUS CATHETERS VERSUS LUMBAR EPIDURALS FOR PAIN MANAGEMENT FOLLOWING PELVIC OSTEOTOMY David E. Liston MD, MPH, J. Grant McFadyen MBChB FRCA, Benjamin J. Walker MD, Sean H. Flack MBChB FCA, Adrian T. Bosenberg MBChB FFA(SA) Department of Anesthesiology and Pain Medicine, Seattle Children’s Hospital, Seattle, WA P70 Clevidipine for controlled hypotension during spinal surgery in adolescents J. Allee, JD Tobias University of Missouri, Columbia, Missouri 65212 P71 Dexmedetomidine For Discography In Pediatric Patients: A Case Series Furstein J, Patel M, Mahmoud M Cincinnati Children’s Hospital Medical Center, Department of Anesthesiology P72 A RARE RESPIRATORY COMPLICATION AFTER SURGICAL RELIEF OF CHRONIC AIRWAY OBSTRUCTION Tariq Parray MD, Shailesh Shah MD, Sonia Shah MD, Timothy W Martin MD, Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital. P73 AN UNUSUAL COMPLICATION DURING THE ENDOSCOPIC REMOVAL OF AN ESOPHAGEAL FOREIGN BODY. Tariq Parray MD, Saif M Siddiqui MD, Melissa Hughes MD, M Irfan Suleman MD Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital. P74 Dexmedetomidine controls the hemodynamic responses to tourniquet pain JD Tobias Departments of Anesthesiology & Pediatrics, University of Missouri, Columbia, Missouri 65212 P75 Transfusion in surgically treated neonates during 2005-2007 at Hospital and Maternidade Santa Joana (HMSJ). Valinetti EA, M.D., PhD; Katayama A, M.D.; Cardoso MSC, M.D., PhD; Ohira H, M.D.; Barbosa S, M.D.; Amaro AR, M.D. Hospital e Maternidade Santa Joana, São Paulo, São Paulo, Brazil General Anesthesia Group 3 Moderator – Wanda C. Miller-Hance, MD P76 A Survey of Peri-Operative Management of Sickle Cell Disease in North America Firth PG, MBChB (1) (*), Nelson K, MD (2) (*), Bender MA, MD PhD (3), Haberkern CM, MD, MPH (4), Yaster M, MD (5), Goodwin SR, MD (6). (*) Drs Firth and Nelson contributed equally to this manuscript and are co-first authors. 1. Massachusetts General Hospital, Boston MA. 2. Johns Hopkins Hospital, Baltimore MD. 3. Seattle Children’s Hospital, Fred Hutchinson Cancer Research Center, and the University of Washington, Seattle WA. 4. Seattle Children’s Hospital and the University of Washington, Seattle WA. 5. Johns Hopkins Hospital, Baltimore MD. 6. Nemours Children’s Institute, Jacksonville FL. P77 Anesthetic Management and Outcomes in Patients with Hypoplastic Left Heart Who Underwent Non-Cardiac Surgery R Christensen, P Reynolds, A Gholami, S Malviya University of Michigan Health System, Ann Arbor, MI P78 Complications and Risk Factors of Adenotonsillectomies Using Laryngeal Mask Airway in Children AI Hunyady, SM DeCarlo, D Poulson, Y Medvid Eastern Maine Medical Center P79 Anesthetic Management and Outcomes in Patients with Truncus Arteriosus Who Underwent Non-Cardiac Surgery R Christensen, A Gholami, P Reynolds, S Malviya University of Michigan Health System, Ann Arbor, MI P80 TRANSIENT PARAPLEGIA FOLLOWING ANESTHESIA FOR MRI SM Nykiel St. Louis Children’s Hospital/ Washington University, St. Louis, MO P81 Real Time Ultrasound Guided Peripheral Vascular Access in Pediatric Patients SW Samoya Monroe Carell Jr. Children’s Hospital at Vanderbilt University P82 Improvement in the perioperative adverse events self-reporting using new software. S Ohkawa, B Thumm, A Forde, A Kakavoli, M Carson, L Sun Morgan Stanley Children’s Hospital of New York, Columbia University College of Physicians and Surgeons, Children’s Hospital Los Angeles P83 STUCK TO THE WORLD Tariq Parray MD, Saif Siddiqui MD, Shailesh Shah MD Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences / Arkansas Children’s Hospital. P84 A Case of a Migrating Foreign Body as a Cause of Persistent Wheezing Tariq Parray MD, Saif Siddiqui MD, Mathew Ragland MD Shailesh Shah MD, Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital. P85 SEVERE TRACHEAL STENOSIS IN AN ASYMPTOMATIC PATIENT SCHEDULED FOR MRI Tariq Parray MD, Shailesh Shah MD, Abid Ul Ghafoor MD, Timothy W Martin MD Division of Pediatric Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital. P86 Anesthesia Care and Perioperative Outcomes in Infants and Young Children Undergoing Strabismus Surgery Anne Stowman, B.S., Kumar Belani, MD Departments of Anesthesiology, Pediatrics, Medicine & Environmental Health Sciences, University of Minnesota P87 Adverse Effects of Citrate Toxicity in a Pediatric Trauma Patient Kim Poteet-Schwartz, MD and Shirley D’Souza, MD Arkansas Children’s Hospital/University of Arkansas for Medical Sciences P88 An Audit of Pre-Operative Screening of Children with Unknown Sickle Cell Disease Status at a Tertiary Referral Paediatric Hospital J Navaratnarajah, S Bhatia, E Hrobonova, AE Black Great Ormond Street Hospital for Children NHS Trust, London UK P89 The Effect of Nitrous Oxide on Intraocular Pressure in Healthy Adults EB Fox, K Lalwani, R Fu, L Kelly, B Edmunds Oregon Health and Science University, Portland, OR Safety & Outcomes Research Group Moderator - Philip G. Morgan, MD P90 A Simulation Based Assessment of the Pediatric Anesthesia Skills of Anesthesiology Residents James Fehr, MD, Megan Brockel, MD, Dawnisa Baker, MD and David Murray, MD Department of Anesthesiology, Washington University in St. Louis P91 Anesthesia Equipment Rodeo: Re-education in the Operating Room. H Karlberg Hippard, Stephen Stayer, S Jackson, M Arcilla, M Watcha. Baylor College of Medicine, Texas Children’s Hospital, Houston, Tx P92 Design and implementation of an anonymous near-miss reporting system for a large, academic pediatric anesthesia department. Patrick J. Guffey MD1; Judit Szolnoki MD2; David Polaner MD3. 1 Pediatric 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 Nemergut Johns Hopkins Hospital, Baltimore, MD P96 Safety of anesthesia for children in a mobile magnetic resonance operating room Cox RG1, Levy R2, Neil SG1, Farran RP1, Ewen A1, Hamilton M2, Myles ST2, Hader W2, Sutherland G2 Departments of Anesthesiology1 and Clinical Neurosciences2, University of Calgary, Alberta, Canada P97 Office-Based Deep Sedation for Pediatric Ophthalmologic Procedures Using a Sedation Service Model Matthew Tomlinson, B.S., Kirk Lalwani, M.D., F.R.C.A., Jeffrey Koh, M.D., M.B.A. and David Wheeler, M.D. Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, Oregon, United States P98 A novel mainstream capnometer system for non-intubated children requiring oxygen administration K Miyasaka, S Abe, Y Shiima, F Takatori, S Yamamori Nagano Children’s Hospital and Ogino Memorial Laboratory/Nihon Kohden P99 The Reliability of Global and Checklist Scoring Methods in a Pediatric Acute Care Simulation Curriculum W Waldrop, M McBride, J Fehr, D Murray Washington University in St. Louis Department of Pediatrics and Anesthesiology P100 One Lung Ventilation for Anterior Spine Fusion: Perioperative Complications in Healthy Children Divya Dixit, Robert P Brislin, Susmita Nesargi, Alfred T Dorsey, Suken A Shah and Mary C Theroux Department of Anesthesiology and Critical Care and Department of Orthopedics, Alfred I. Dupont Hospital P101 Who Can Pull it Out? MB Rafique, D Maposa, S Sridhar & QS Khan. UT-Houston Medical School, Houston, TX & Univ. of OK Health Sciences Center, Oklahoma City, OK P102 Evaluation and Implementation of an Automated Medication Dispensing System into Anesthesia Worksites at a Large University Hospital E. Rebello, CE Cowles, S. Kee, M. Hernandez, K Sapire The University of Texas MD Anderson Cancer Center, Houston, TX P103 Success of a Difficult Airway Registry at a Tertiary Care Pediatric Hospital Paul Sheeran, Sandra McDermott, Deanie Davis, Amy Brenski University of Texas Southwestern Medical Center, Children’s Medical Center Dallas, Dallas, TX P104 ABA certification and CME have an important role in maintaining highest standards in the practice of anesthesiology L. De Marchi, J. Wu, BS Freeman Georgetown University, Washington, DC Pain/Neuro Group Moderator - Senthilkumar Sadhasivam, MD P105 POST-DURAL PUNCTURE HEADACHE IN CHILDREN: WHAT IS THE EFFECTIVE VOLUME FOR EPIDURAL BLOOD PATCH? Felicia Birch, MD, See Wan Tham, MBBS, Sally Rampersad, MB, FRCA, Adrian Bosenberg, MBChB, FFA(SA) Department Anesthesiology and Pain Medicine, Seattle Children’s Hospital P106 A Simple, Near-Ideal Simulation Model for Ultrasound-guided Regional Anesthesia Charles B. Eastwood, MD, CM & David L Moore, MD Cincinnati Children’s Hospital Medical Center, Cincinnati, OH P107 Ultrasound Guided Axillary Nerve Blockade in Infants and Children: A Retrospective Analysis A Sawardekar, J Stockman, M Kho, G Sivaja, S Suresh Department of Pediatric Anesthesiology, Children's Memorial Hospital, Northwestern University’s Feinberg School of Medicine, Chicago, IL P108 Combined Intrathecal / Epidural Analgesia for Pain Management after Pediatric Spinal Fusions for Scoliosis L Wang, C Lee, S Kishan, ML Schlunt Loma Linda University Medical Center, Loma Linda, CA P109 Pharmacokinetics of Intranasal Ketorolac in Children DR Drover, GB Hammer Stanford University School of Medicine P110 Acute post-operative pain in infants: Use of the skin conductance monitor Priti G Dalal, Kim Kopenhaver Haidet, Kelli Welker, Lisa Klick, Stella Britcher, Sarah Rebstock, Dmitri Bezinover, Charles Palmer, Cheston Berlin, Piotr Janicki Departments of Anesthesiology and Pediatrics, Penn State Children’s Hospital, Hershey Medical Center, Hershey, PA 17033 P111 Experience with a standardized anesthesia protocol for robotic-assisted laparoscopic surgery in young children PM Meiera, LM Pereirac, RP Prescillaa, BJ Minnillob, HT Nguyenb, CS Houcka Departments of Anesthesiologya and Urologyb Children’s Hospital Boston, and College of Pharmacy and Health Sciencesc, Boston, MA P112 Single high-dose rectal acetaminophen in infants with IHPS. Khaled Sedeek, 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 MD Dartmouth Hitchcock Medical Center, Dartmouth Medical School P115 Cerebral blood flow autoregulation is preserved after severe cortical impact, but impaired when intracranial pressure is elevated in an infant swine model. JO Mytar, JK Lee, K Kibler, RB Easley, CW Hogue, RC Koehler, DH Shaffner, KM Brady Anesthesia and Critical Care Medicine, The Johns Hopkins University School of Medicine P116 Anaesthetic experience in infratentorial craniotomy surgery in Children Devarajan J. M.D.*, Sung W M.D.^, Avitsian R M.D.*, Cata J M.D.* Department of Pediatric Anesthesiology. *Department of General Anesthesiology. Anesthesiology Institute. Cleveland Clinic. Ohio. USA P117 Anesthetic Challenges of the Awake Craniotomy in a Pediatric Patient after Heart Transplant Kim Poteet-Schwartz, MD, and Persis K. Shroff, MD Arkansas Children’s Hospital, University of Arkansas for Medical Sciences P118 Sustained Sinus Bradycardia during Craniosynostosis Repair related to Endotracheal Tube Compression Hyangwon Paek M.D., Helena Gunnerson M.D., David J Murray M.D. Department of Pediatric Anesthesiology, Children’s Hospital at Washington University, St. Louis. MO. P119 Clinical Course of patients with Ataxia-Telangectasia admitted to the Intensive Care Unit Justin Lockman, MD, Andrew J. Iskander, MD, Melania Bembea, MD, MPH Thomas O. Crawford, MD, Howard Lederman, MD, PhD Sharon McGrathMorrow, MD, R. Blaine Easley, MD The Johns Hopkins Hospital, Baltimore, MD Other Group Moderator - Olubukola O. Nafiu, MD, FRCA P120 Prediction of Lumbar Plexus Depth in Children Benjamin Walker MD, Sean Flack MBChB FCA, Adrian Bosenberg MBChB FFA(SA) Dept. of Anesthesiology and Pain Medicine, Seattle Children’s Hospital, University of Washington School of Medicine, Seattle, WA, USA P121 Role of the Nitric Oxide Synthase Immunoreactive Neurons of the Midbrain in Neuronal Adaptations with Development of Morphine Tolerance D Bajic, KG Commons Department of Anesthesiology, Pain and Perioperative Medicine, Children’s Hospital Boston, Boston, MA P122 Evaluation of a new technique for placement of interscalene brachial plexus perineural catheters in children and adolescents under general anesthesia. LA Cox, HC Gurnaney, G Cucchiaro, A Ganesh The Children’s Hospital of Philadelphia P123 Is The New Formulation of Dantrolene Sodium Quicker to Dissolve than The Old Formulation E Lee, K Kibler, B Easley, H Shaffner, T Kim The Johns Hopkins School of Medicine, Baltimore, Maryland P124 Development of a Web Based Pediatric Regional Anesthesiology Resource: WWW.PEDSREGIONAL.ORG Corrie T. M. Anderson, MD, FAAP University of Washington School of Medicine and Seattle Children’s Hospital P125 Evaluation of scientific activity of pediatric anesthesiologists in Canada using the Hirsch index JD O’Leary, MW Crawford The Hospital for Sick Children, Toronto, ON P126 Optimizing Perioperative Patient Flow for a Rapid Turnover ENT Service Elena Adler, MD, and Anna M Varughese, MD, MPH Department of Anesthesia, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States; University of Cincinnati Medical Center, Cincinnati, OH, United States P127 The Dark Side of Sedation: 12 Years of Pediatric Sedation for Electroretinography in the Dark. Brian D Tompkins, M.D., Kirk Lalwani, M.D., F.R.C.A., M.C.R., Kevin Burnes, M.D., Melissa R Krahmer, M.S., and Richard Weleber, M.D School of Medicine and Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, OR, United States. P128 Presenting Research Risks and Benefits to Parents: Does Format Matter? T Voepel-Lewis, M.S.N., R.N., B Zikmund-Fisher, Ph.D., A Fagerlin, Ph.D., AR. Tait, Ph.D. Department of Anesthesiology, University of Michigan, Ann Arbor MI P129 Identification of Medical Simulation Center Characteristics at Children’s Hospitals DA Young, SB Issenberg Baylor College of Medicine/Texas Children’s Hospital; Houston, Texas P130 Incidence of Complications Using Two Methods of Deep Sedation for Cardiac MRI in Pediatric Patients Solina Tith, B.S., Kirk Lalwani, M.D., F.R.C.A., M.C.R., Rochelle Fu, Ph.D. Anesthesiology and Peri-Operative Medicine, Oregon Health & Science University, Portland, Oregon P131 Is there a need for a formal Curriculum on Sedation of Children in a Pediatric Residency Program and should Anesthesiology lead this effort? L Torres Texas Children's Hospital, Houston, Texas P132 A Single Center Experience in the Use of Regional Anesthesia in Pediatric Orthopedic Procedures C. Kuo, J. Louca, R Baker, S. Ohkawa, L. Sun Department of Anesthesiology, Columbia University, New York, NY P133 DOES REGIONAL ANESTHESIA REDUCE BLOOD LOSS IN CRANIOSYNOSTOSIS SURGERY? K Keech, A Bosenberg, J Gruss Seattle Children’s Hospital, University of Washington, Seattle, WA P134 Intranasal Combination Dexmedetomidine and Midazolam for Pediatric Procedural Sedation B Greenberg MD, J Schoonover NP, A Graf NP, K Jedlicki NP, E Overbey MD, S Auden MD Pediatric Anaesthesia Associates, Kosair Children’s Hospital, Louisville KY P135 Use of Vein Viewer for insertion of peripheral venous cannulas in pediatric patients with difficult intravenous access. P Szmuk1,2,, RB Pop1, 2, A Farrow-Gillespie1, H Sakhai1, JW Steiner1, 2 University of Texas Southwestern and Children's Medical Center (1) and Outcome Research Consortium, Dallas, Texas, United States; (2) Outcomes Research Consortium