Advances in Pediatric Cardiac Surgery
Cardiopulmonary Bypass, Coagulation and Perioperative Management
26th – 27th February 2010
Unidade de Cirurgia Pediátrica
Divisão de Cirurgia Cardiovascular
Anfiteatro do Instituto do Coração - HC - FMUSP
São Paulo - São Paulo – Brazil
Introduction:
Dear Friends and Colleagues,
It is our great pleasure to invite you to São Paulo on occasion of the scientific
meeting “ Advances in Pediatric Cardiac Surgery”, sponsored by Pediatric Cardiac
Surgery Unit of Heart Institute – University of São Paulo Medical School.
The two days scientific program will focus on “Cardiopulmonary Bypass,
Coagulation and Perioperative Management”. The invited international guests will
give special and practical attention on perfusion techniques, problems of
coagulation, inflammatory response to CPB, with a brief sight in basic sciences.
Our speakers are recognized to have substantial knowledge and to added many
contributions to treatment of children with congenital heart disease.
The organizers believe that bringing together respected international scholars in
these specific topics will have a significant impact on treatment of pediatric cardiac
patients in our daily practice.
Course Highlights:
 Quality of care
 Basic Science
 Optimizing Cardiopulmonary Bypass in Neonates
 Myocardial protection
 Systemic Inflammatory Response
 Cerebral Protection
 Coagulation Issues and Disorders
Course Director
Miguel L. Barbero-Marcial, PhD MD
Professor Department of Cardiopneumology – São Paulo University
Chief Pediatric Cardiac Surgery Division - Department of Cardiovascular Surgery
Heart Institute of São Paulo University (InCor-HC-FMUSP)
Faculty:
Emad B. Mossad, MD
Director of Pediatric Cardiovascular Anesthesia
Texas Children's Hospital
Professor of Anesthesiology and Pediatrics
Baylor College of Medicine
Ricardo Munoz, MD FAAP FCCM
Chief Cardiac Intensive Care
Director Cardiac Recovery Program
Associate Professor Critical Care Medicine, Pediatrics and Surgery
Children’s Hospital of Pittsburgh – UPMC
Talya Frey, BS, CCP, FPP
Staff Perfusionist
The Children’s Hospital of Philadelphia
Scientific Committee
Arlindo Riso
Carla Tanamati
Juliano Gomes Penha
Luiz Fernando Caneo
Marcelo B. Jatene
Sponsors:
Maquet – Getting Group
Braile Biomédica
Formedics -
Scientific Program
Friday, Feb 26
Opening Plenary Session – 8 to 12 a.m.
Optimizing Cardiopulmonary Bypass in Neonates moderator: Marcelo B. Jatene, Alfredo Fiorelli
8 a.m. – Welcome and Introduction
Miguel L. Barbero-Marcial
8:15 a.m. - Priming, hemodilution and blood transfusion
Talya Frey
8:35 a.m. - Temperature, perfusion flow, regional perfusion and circulatory arrest:
monitoring CPB and the patient hemodynamics
Emad B. Mossad
8:55 a.m. - Magnesium supplementation during cardiopulmonary bypass, is it
relevant?
Ricardo Munoz
Break – 10 a.m.
Myocardial protection
moderator: Carla Tanamati, Dagoberto
10:30 a.m. - What’s new and safe about cardioplegia solutions?
Emad B. Mossad
10:50 a.m. - Low cardiac output: prevention and post-operative management
Ricardo Munoz
11:10 a.m. - Cardiac Assist: from drugs to mechanical support - the role of ECMO
team
Talya Frey
Lunch – 12 a.m.
Featured Plenary Session – 2 to 6 p.m.
Systemic Inflammatory Response
moderator: Arlindo Riso, Filomena Galas
2 p.m. - MUF and conventional ultrafiltration
Talya Frey
2:20 p.m. - Steroids: are they useful?
Emad B. Mossad
2:40 p.m. - Plasma exchange in the pediatric cardiac critically ill child with
multiorgan dysfunction
Ricardo Munoz
Break – 3:30 p.m.
Cerebral Protection
moderator: Luiz Fernando Caneo, Solange Copola
4 p.m. - Monitoring the Brain
Emad B. Mossad
4:20 p.m. – Perfusion techniques: Low flow versus No flow.
Talya Frey
4: 40 p.m. – Neurologic outcome in children admitted to Pediatric Cardiac Critical
Care Unit
Ricardo Munoz
Panel Discussion – 5:30 to 6 p.m.
moderator: Miguel L. Barbero-Marcial, Filomena Galas
speakers: Talya Frey, Ricardo Munoz, Emad B. Mossad
Sarturday, Feb 27
Featured Plenary Session – 9 a.m. to 2 p.m.
Coagulation Issues
moderator: Marcelo Jatene, Cirilo/Roberto Rached
9 a.m. - The immature coagulation system in neonates with and without congenital
heart defects
Jorge David Carneiro, MD
9:20 a.m. - Monitoring the coagulation during CPB
Talya Frey
9:40 a.m. - Hemotransfusion: fresh whole blood versus stored component blood
therapy, does it matters?
Talya Frey
Break – 10:30 p.m.
Coagulation Disorders
moderator: Carla Tanamati, Juliano Gomes Penha
11 a.m. - Is there any good option after aprotitin discontinuity?
Emad B. Mossad,MD
11:20 a.m. - Reexploration for excessive bleeding: is a risk factor for adverse
outcomes?
Filomena R. Galas,MD
11:40 a.m. - Transfusion guidelines in neonatal surgery
Emad B. Mossad,MD
Final Breakout Session – 12:30 to 1:30 p.m.
Panel Discussion
moderator: Miguel L. Barbero-Marcial, Marcelo Jatene, Filomena Galas
speakers: Talya Frey, Ricardo Munoz, Emad B. Mossad
Closing Remarks – 1:30 p.m.
Miguel L. Barbero-Marcial
Adjourn: 2 p.m.