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SPA Newsletter

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Editor's Corner

I hope everyone is having a wonderful summer and making their plans to attend the Annual SPA and ASA meetings in Las Vegas this October. The SPA program looks excellent this year. The AAP Breakfast Panel is on anesthetizing the otherwise "healthy" child, who only has a little obesity, upper respiratory tract infection or ADHD symptoms (Monday, October 25).

The ASA, as always, has a wonderful selection of pediatric-related panels, problem-based learning discussions, abstract and poster presentations, clinical forum and assorted other topics.

This issue sees the return of "Letters from Africa" by Dr. Mark Newton who is a former colleague of mine. Mark started sharing his adventures in Africa a few years ago. I found them moving and absorbing and hoped that you would too. If any of you or your colleagues have any interesting and diverse experiences that you think the SPA membership might enjoy reading about, please let me know.

Dr. Helen Lauro has provided us with two new sections; one called PedsPassport that lists meetings of possible interest to anesthesiologists practicing pediatrics. The other is a Book Corner in which she discusses new texts of interest. As always please fell free to contribute!

It's time for elections again. A listing of positions and candidates within the SPA organization and a brief description of their qualifications are on the website in the Spring 2004 Newsletter. All the candidates are so good, I know it will be an extremely difficult decision, nevertheless I encourage everyone to read their resum‚s and vote at least five days prior to the SPA Annual Fall Meeting.

The literature reviews and topic review (Williams Syndrome by Dr. Kussman) are exceptional. We have so many wonderful assistant editors working hard to make this a useful and pertinent newsletter that it makes my job both easier and harder. As I was adding the finishing touches to my Editor's Corner, I received the latest issue of Anesthesiology (Aug). Two editorials and an excellent special article are devoted to anesthetic agents and the immature brain. Coincidentally, there is a very succinct review by Dr. Khambatta of an article in Pediatric Anaesthesia on the topic of anesthetic neurotoxicity in the developing brain in this newsletter. Many other literature reviews are on the web-based newsletter, please check them out at www.pedanesthesia.org.

As always, any ideas, suggestions, comments or desires to be a contributor are welcome.

Rita Agarwal MD, FAAP
Editor
The Children's Hospital/UCHSC
Denver, CO, 80218
Agarwal.Rita@tchden.org

Table of Contents

• Editor's Corner
• President's Message
• Society for Pediatric Anesthesia Policy Statment on Provision of Pediatric Anesthesia Care
• Williams Syndrome, Supravalvar Aortic Stenosis and Cardiac Arrest During Anesthesia
• Book Corner
• Out of Africa
• Peds Passport
• MHAUS Research Opportunities
• For Patients: Frequently Asked Questions


• Reviews & Commentary
  • Bariatric surgery for severely overweight adolescents: concerns and recommendations.
    Inge T, et al. Pediatrics 2004;114;217-223
  • Conscious sedation of children with propofol is anything but conscious
    Reeves ST, Havidich JE, and Tobin DP. Pediatrics 2004;114:e74-e76. URL http://www.pediatrics.org/cgi/content/ full/114/1/e74
  • A factorial trial of six interventions for the prevention of postoperative nausea and vomiting.
    Apfel CC, et al. N Engl J Med 2004; 50:2441-2451
  • The effect of dexrazoxane of myocardial injury in dozorubicin-treated children with acute lymphoblastic leukemia
    Lipshultz SE, et al. N Engl J Med 2004; 351:145-153
  • Unilateral negative-pressure pulmonary edema in an infant during bronchoscopy
    Shai Hannania, MD, et al. Pediatrics 2004;113:e501-e503. URL: http://www.pediatrics.org/cgi/content/full/113/5/e501
  • Does pediatric surgical specialty training affect outcome after Ramstedt Pyloromyotomy? A population-based study.
    Langer J, To T. Pediatrics 2004;113:1342-1347
  • Overweight children and adolescents; A risk group for iron deficiency
    Nead KG, et al. Pediatrics 2004;114:104-108
  • A comparison of conservative and aggressive transfusion regimens in the perioperative management of sickle cell disease
    Elliot P. Vichinsky, MD, et al and the Preoperative Transfusion in Sickle Cell Disease Study Group
  • Cholecystectomy in sickle cell anemia patients: Perioperative outcome of 364 cases from the National Preoperative Transfusion Study
    Charles M. Haberkern, et al, and the Preoperative Transfusion in Sickle Cell Disease Study Group
  • Effect of hydroxyurea on the frequency of painful crises in sickle cell anemia
    Samuel Charache, MD, et al
  • Epidural Analgesia in the Management of Severe Vaso-Occlusive Sickle-Cell Crisis.
    Yaster M, et al. Pediatrics 1994;93:310-315


• Literature Reviews
  • A case of propofol toxicity: further evidence for a causal mechanism
    Davinia E Withington, Mary K. Decell, Tareq Al Ayed. Pediatric Anesthesia 2004;14:505
    Death after re-exposure to propofol in a 3-year-old child: a case report
    Josef Holzki, Christoph Aring, Alex Gillor. Paediatric Anaesthesia 2004;14:265
  • Does anaesthesia harm the developing brain - evidence or speculation?
    Andrew Davidson and Sulpicio Soriano. Paediatric Anaesthesia 2004; 14: 199-20.
  • An evaluation of pediatric in-hospital advanced life support interventions using the pediatric Utstein guidelines: a review of 203 cardiorespiratory arrests.
    J. Guay, L. Lortie.Can J Anesth 2004:51:4:373-378
  • A factorial trial of six interventions for the prevention of postoperative nausea and vomiting
    Christian C. Apfel, MD, et al. IMPACT Investigators. N Engl J Med 2004;350:2441-51
  • Interactive Music Therapy as a Treatment for Preoperative Anxiety in Children: A Randomized Controlled Trial
    Kain Z, Caldwell-Andrews A, Krivutza D, Weinberg M, Gaal D, Wang SM, Mayes L. Anesthesia & Analgesia 2004;98:1260-1266.
  • Trends in the practice of parental presence during induction of anesthesia and the use of preoperative sedative premedication in the United States, 1995-2002: results of a follow-up national survey.
    Kain, Z.N. et al. Anesth Analg 2004; 98:1252-9.
  • Anesthetic Complications of Tympanostomy Tube Placement in Children.
    Hoffmann KK, Thompson GK, Burke BL et al. Arch Otolaryngol Head Neck Surg. 128:1040-1043, 2002
  • Neurobehavioral Implications of Habitual Snoring in Children.
    O'Brien CM, et al. Pediatrics 2004; 116:44-50

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