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CCAS Database Update

Anesthesia Fellowship Update

CCAS Pediatric Cardiac Anesthesia Conference

CCAS Charter Members

A randomized clinical trial of regional cerebral perfusion versus deep hypothermic circulatory arrest:  Outcomes for infants with functional single ventricle.

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00Pediatric Cardiovascular Anesthesia Fellowship Update

By James DiNardo, M.D. and Dean Andropoulos, M.D.

In 2005, the Anesthesiology RRC proposed to the ACGME that a 12 month Pediatric Cardiovascular Anesthesiology Fellowship be certified, along with its Adult CV Anesthesiology counterpart. At that time there had been little input from organized Pediatric Anesthesiology, i.e. the SPA or the CCAS. After a number of discussions, including a workshop session at the December 2005 CCAS Pediatric Cardiac Anesthesia Conference at the Pediatric Cardiac Intensive Care Society Meeting, it was decided by the SPA and CCAS to ask the RRC to withdraw the application for a separate Pediatric CV Anesthesiology Fellowship, to allow more time to study the issues involved, and ensure input and collaboration from a broad spectrum of anesthesiologists involved in pediatric and pediatric cardiac anesthesia.

In addition, the anticipated Anesthesiology Specialty Board Certification for Pediatric Anesthesiology in the next few years was felt to be a necessary condition to prepare for further subspecialty recognition.  The CCAS Board decided in October 2006 to study the issue of training and certification in Pediatric Cardiac Anesthesiology, and develop recommendations for clinical and didactic training at all levels, over the next 1-2 years. Under the direction of Dr. Jim DiNardo, these recommendations will be communicated to the CCAS and SPA memberships, for comments and suggestions.   In addition, the programs that currently offer additional Pediatric Cardiovascular Anesthesiology Fellowship training after the general Pediatric Anesthesia fellowship year will collaborate to assess their current clinical and didactic training, with the goal of demonstrating success with the existing programs, and then adapting the existing guidelines as necessary for the permanent recommendations. These programs currently include Boston Children’s Hospital, Children’s Healthcare of Atlanta, Children’s Hospital of Philadelphia, Lucille Packard Children’s Hospital, Texas Children's Hospital, and the Cleveland Clinic.

CCAS members interested in this issue are referred to the 2 excellent editorials by Victor Baum and Duncan deSouza published this spring:  Baum VC, deSouza DG. Beginning a Career in Pediatric Cardiac Anesthesia: Up the Creek, But Where’s the Paddle? Ped Anes 2007;17:407; and deSouza DG, Baum VC. An Orphan Subspecialty, or Whither Pediatric Cardiac Anesthesia?  J Cardiothorac Vasc Anes 2007;21:171.

Watch for future updates on this issue, as well as opportunities for input/discussion at CCAS conferences and Board meetings.