Critical Care News

Volume 3, Number 4

September, 1996

The Newsletter of the Section on Critical Care of the American Academy of Pediatrics.

Questions or comments should be addressed to the editorial staff

• New Investigator Award
• AAP Fall Meeting Schedules

  Section Program Schedule

  Abstract Schedule

  Distinguished Career Award - John Downes, MD

• Job Postings
• Suggestions & Comments
• Results of Manpower Survey

New Investigator Awards:

Paula Ann Chorazy, MD
Heidi Connolly, MD

The following individuals were the recipients of the 1996 American Academy of Pediatrics Section of Critical Care New Investigator Research Grant. Each will receive a grant of $5,000.

1. Paula Ann Chorazy, MD

Department of Pediatrics, Medical College Of Wisconsin

Modulation of oxyradical toxicity by glutathione redox elements.

2. Heidi Connolly, MD

Department of Pediatrics - University of Rochester School Of Medicine and Dentistry

Tissue oxygen delivery: Implications for cellular hypoxia

1996 AAP Fall Scientific Program Schedule

Boston, MA

SECTION PROGRAM SCHEDULE

Saturday, October 26

7:00 p.m. - 9:00 p.m.

Executive Committee Meeting/Dinner

Sunday, October 27

8:45 a.m. - Noon

Symposium of Transplantation Issues

8:45 a.m. - 9:30 a.m.

Update on Pediatric Liver Transplantation

Ann E. Thompson, MD, FAAP, FCCM

9:30 a.m. - 10:15 a.m.

Update on Pediatric Lung Transplantation

John H. Arnold, MD, FAAP

10:15 a.m. - 10:30 a.m.

Break

10:30 a.m. - 11:15 a.m.

Old and New Immunosuppresive Agents in Pediatric Transplantation

Robert B. Ettinger, MD, FAAP

11:15 a.m. - Noon

Tissue Engineering of Hepatocytes

Joseph P. Vacanti, MD

Noon - 1:30 p.m.

Section Business Meeting/Lunch

1:30 p.m. - 5:00 p.m.

Abstract Presentations

Monday, October 28

8:45 a.m. - Noon

Symposium on Applied Critical Care Research

8:45 a.m. - 9:30 a.m.

Continuous Assessment of Autonomic and Mechanical Influences on Cardiovascular Regulation: A Multivariate Approach for the ICU

J. Philip Saul, MD, FAAP

9:30 a.m. - 10:15 a.m.

Nonlinear Dynamics in Critical Care: Fractals, Chaos, and Complexity at the Bedside

Ary Goldberger, MD, FAAP, FCCM

10:15 a.m. - 10:30 a.m.

Break

10:30 a.m. - 11:15 a.m.

"Dust Off Your Stethoscope"

Daniel C. Shannon, MD, FAAP

11:15 a.m. - Noon

Re-engineering the Heart: Cardiac Surgery for the 21st Century

Edward B. Clark, MD, FAAP

1:30 p.m. - 2:00 p.m.

Presentation of Distinguished Career Award - John Downes, MD

2:00 p.m. - 4:15 p.m.

Presentation of Best Abstract Awards

ABSTRACT SCHEDULE

Sunday October 27

Moderators: Jeff Rubenstein, MD and Brahm Goldstein, MD

1:30-1:45

Hemodynamic effects of rocuronium bromide in pediatric patients following surgery for congenital heart disease

A.F. Rossi, MD; H.S. Seiden, MD; R.P. Gross, RN, MSN; R.B. Griepp, MD. The Mount Sinai Medical Center, New York, New York.

1:45-2:00

Cardiovascular complications adversely affect survival during extracorporeal membrane oxygenation

J.A. Becker, MD; B.L. Short, MD, FAAP; G.R. Martin, MD, FAAP. Children's National Medical Center, Washington DC.

2:00-2:15

Randomized trial of protocol-driven mechanical ventilation versus ECMO in pediatric patients with acute respiratory distress syndrome

C. Steinhart, MD, FAAP; J. Fackler, MD; M. Heulitt, MD; D. Nichols, MD; T. Green, MD; J. Ware, PhD. Medical College of Georgia, Augusta, Georgia.

2:15-2:30

Survey of peripherally inserted central venous catheters in children

R.R. Thiagarajan, MBBS, MRCP; C. Ramamoorthy, MBBS, FRCA; S.L. Bratton, MD; T. Gettmann, RN. University of Washington, Seattle, Washington.

2:30-2:45

Antibiotic restriction does not alter endemic colonization with resistant gram negative organisms in a PICU

P. Toltzis, MD; T. Yamashita, Ph.D.; L. Vilt, RN; J.L. Blumer, PhD, MD, FAAP. Case Western Reserve University School of Medicine, Cleveland, Ohio.

2:45-3:00

Break

Moderators: Otwell Timmons, MD and Harold Amer, MD

3:00-3:15

Patient outcomes in the pediatric intensive care unit are not effected by insurance status

R.C. Sachdeva, MD, FAAP; F. Stein, MD, FAAP; I. Done, RN; LS Jefferson, MD, FAAP. Baylor College of Medicine, Houston, Texas.

3:15-3:30

Are pediatric critical care medicine training programs meeting the needs of practicing intensivists?

R.J. Brilli, MD, FAAP. Children's Hospital Medical Center, Cincinnati, Ohio.

3:30-3:45

Coffee Break

3:45-4:00

Pediatric intensivists practice model analysis: change from on-call to in-house coverage

G.S. Park, MD, FAAP; K.A. Dietrich, MD; J.A. Paschall, MD, FAAP; M.A. McCravey, MD, FAAP. Mary Bridge Children's Hospital, Tacoma, Washington.

4:00-4:15

Parents' and pediatricians' attitudes toward discussions of terminal care and organ donation

S.L. Zorn, MD, FAAP; J.M. Dean, MD, FAAP. University of Utah, Salt Lake City, Utah.

Moderators: Leticia Castillo, MD and Dan Notterman, MD

4:15-4:30

1H-MRS determined cerebral lactate is associated with poor neurologic outcomes in children with CNS disease

R.M. Perkin, MD, FAAP; S. Ashwal, MD, FAAP; B.A. Holshouser, PhD; L.G. Tomasi, MD; G.A. Nystrom, MD; D.B. Hinshaw, Jr., MD. Loma Linda University School of Medicine, Loma Linda, California.

4:30-4:45

Changes in PaCO2 affect blood flow and oxygen saturation in cephalad directed jugular venous catheters

R. Pettignano, MD, FAAP; M. Labuz RN; M. Heard, RN; K Kesser, RRT; R. Clark, MD. Egleston Children's Hospital at Emory University, Atlanta, Georgia.

4:45-5:00

Status epilepticus in 149 consecutive pediatric patients

R.M. Perkin, MD, FAAP; P. Jansen, MD, FAAP; S. Ashwal, MD, FAAP. Loma Linda University School of Medicine, Loma Linda, California.

Monday October 28

Moderators: Curt Steinhart, MD and Brahm Goldstein, MD

2:00-2:15

Best In-Training Abstract

Effects of indwelling femoral artery catheters on leg growth

S. Percy, Jr., MD; B.M. Greenwald, MD, FAAP; T. Pretino, MA; D.A. Notterman, MD, FAAP. The New York Hospital-Cornell Medical Center, New York, New York.

2:15-2:30

Best In-Training Abstract

Dysregulation of class II MHC expression in human astroglioma cell lines

M.K. Winkler, MD; E.N. Benveniste, PhD. University of Alabama at Birmingham, Birmingham, Alabama.

2:30-2:45

Best In-Training Abstract

Outcome of catheter-related venous thrombosis in treated and untreated children

A.M. Goodman, MD; C Sivit, MD; B. Krafte-Jacobs, MD, FAAP. Children's National Medical Center, Washington, DC.

2:45-3:00

Best In-Training Abstract

Parental attitudes concerning end of life decisions in a pediatric intensive care unit

L.C. Hauck, MD, FAAP; J.J. Fins, MD; D.A. Notterman, MD, FAAP. The New York Hospital-Cornell Medical Center, New York, New York.

3:00-3:15

Best In-Training Abstract

Beneficial effects of continuous infusion vecuronium in intubated pediatric critical care transport patients

K.H. Edwards, MD; W.E. Hardwick, Jr., MD, FAAP; D. Patton, RN; W.D. King RPh, MPH, DrPH. University of Alabama School of Medicine, Birmingham, Alabama.

3:15-3:30

Coffee Break

Moderators: Michele Moss, MD, Timothy Yeh, MD

3:30-3:45

Best Basic Science Abstract

Immunomodulatory effects of liquid perfluorocarbon on alveolar macrophage in vitro

N.H. Salman, MD, FAAP; R.J. Helmke, MS. University of Texas Health Science Center at San Antonio, San Antonio, Texas.

3:45-4:00

Best Clinical Abstract

Detrended fluctuation analysis in acute brain injury: evidence for breakdown of long-range correlation behavior in beat-to-beat fluctuations of heart rate

B. Goldstein, MD, FAAP; CK Peng, PhD; K. Sonnenthal, RN; B. Kimberly, BA; A.L. Goldberger, MD. Oregon Health Sciences University, Portland, Oregon

4:00-4:15

Best Clinical Abstract

Serum lactate predicts postoperative complications after pediatric cardiac surgery

S.D. Shemie, MD, CM. Hospital for Sick Children, University of Toronto, Ontario, Canada.

Second Annual Distinguished Career Award:
Dr. John Downes

Dr. John Downes was the choice for the second annual Distinguished Career Award given by the Section. The award will be presented on Monday, October 28 between 1:30 p.m. - 2:00 p.m. Dr. Downes will give a 20 minute presentation on the history of pediatric critical care medicine.

Pediatric Critical Care Job Postings:

As a service to our members, the Critical Care News will post new physician job listings. Please submit any new listings to the Editors.

New Listings:

Two positions are open in Critical Care Medicine at the Children's Hospital of Michigan. The ICU is a 20-bed unit with 1600 patients per year and currently staffed by 4 intensivists. For further information please contact Dr. Ashok Sarnaik by email at: asarnaik@med.wayne.edu

Suggestions and Comments:

Please address all suggestions for future articles and/or comments to any of the following editors:

Brahm Goldstein, MD, FAAP, FCCM
Univ. of Rochester Medical Center
Box 667 601 Elmwood Ave.
Rochester, NY 14642
Tel 716-275-6542 Fax 716-275-8706
bgmn@db1.cc.rochester.edu

Kristan Outwater, MD, FAAP, FCCM (Chairperson)
PICU
St. Lukes Health Care Assoc.
700 Cooper Ave.
Saginaw, MI 48602
Tel 517-793-6373 Fax 517-793-7649
kmoutwater@msn.com

Otwell Timmons, MD, FAAP
PO Box 32861
Charlotte, NC 28232-2861
Tel 704-355-7815 Fax 704-355-3116
otimmons@med.unc.edu

The success and utility of this newsletter is dependent upon input from Section members. Ideas for articles, job listings, and notices of upcoming events related to Pediatric Critical Care are welcome.

Workforce Survey Results

The July 1996 issue of Critical Care News included an anonymous survey to determine opinions regarding present and future intensivist workforce issues. Peds CCM--The Web Page (http://PedsCCM.wustl.edu) included this survey as well. Five hundred twenty-two surveys were mailed. We received 48 survey responses on paper and 11 as web page forms. 35 respondents were PICU directors. 25 were division chiefs. 56 respondents did pediatrics as their first residency. 14 practiced another specialty in addition to pediatric critical care. 54 were AAP CCM Section members. Survey results are:

We appreciate all those who answered the survey. We thank Barry Markovitz for translating the survey to a web form and including it on PedsCCM. Thanks also to Jacqueline Bucko, Section Manager for Critical care at AAP, who tracked down and fixed the problem of missing return envelopes.

Other issues of Critical Care News Available

• January, 1996
• July, 1996
• January, 1997
• March, 1997
• September, 1997
• January, 1998
• July, 1998
• October, 1998
• January, 1999
• September, 1999