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Monday, April 5, 2010 • Volume 12, Issue 14

New Departmental Research Publications Swaminathan M, Hudson CC, Phillips-Bute BG, Patel UD, Mathew JP, Newman MF, Milano CA, Shaw AD, Stafford-Smith M: Impact of early renal recovery on survival after cardiac surgery-associated acute kidney injury. Ann Thorac Surg. Apr;89(4): 1098-104. Lobato RL, Despotis GJ, Levy JH, Shore-Lesserson LJ, Carlson MO, Bennett-Guerrero E. Anticoagulation management during cardiopulmonary bypass: A survey of 54 North American institutions. J Thorac Cardiovasc Surg. 2010 Mar 18. [Epub ahead of print]. Bennett-Guerrero E, Gan TJ, Roche AM, Mythen MG. Comment on reference to maximum dose for starch. Anesthesiology. 2010 Mar;112(3):757-8; author reply 758-60.

Academic Evening - Calling All Artists Academic Evening will also celebrate artistic talents of members of the department - EVERYONE is eligible to participate. You are welcome to display any art you have created --- framed photos, paintings, bead-work, weaving, crochet, knitting...whatever you wish to share. Please send to Bridget White (white200@mc.duke.edu) 1) photographs (electronically) 2) description of your article of artwork you wish to display Include with all submissions: Your name: Name of artwork: Any points you want to make about the piece: Size: (e.g. framed size, need for easel - floor or table, amount of table space required to display) Artwork will be displayed at Academic Evening on Tuesday, May 18th, 5:45pm. There are NO exclusions. You are allowed to display the same artwork as previous years. *If you have a photograph you would like to be considered for the AE program cover, please submit early. To keep deadlines consistent, please send information by Monday, April 19th.

http://anesthesiology.duke.edu

Lecture Hall Renovation Notice

the Eye Center).

For the month of June, Wednesday morning Resident Lectures and Grand Rounds will be held in the large meeting room in the lower level of the Searle Center. There will be NO Grand Rounds on Wednesday, June 30. The Resident Lecture on June 30 will be held in Room 1308 Duke North (on the way to

The reason for the relocation of the rooms is for a planned renovation and refurbishing of the 2001-2002-2003 lecture hall area, so we should have nicer space when we return.

Hyperbaric Grand Rounds MEDICINE AND WORK PERFORMANCE AT HIGH TERRESTRIAL ALTITUDES 5 PM, Monday, April 19 Joseph & Kathleen Bryan Research Bldg, Room 103 311 Research Drive

Stephen R. Muza, Ph.D. U.S. Army Research Institute of Environmental Medicine Natick, MA USA

Department of Anesthesiology Research Conference Monday, April 12, 2010 5-6 pm in 5685-HAFS

“Catching, not Fishing - Smart Candidate Selection for Genetic Association Studies” Andrew Shaw, BSc, MBBS, FRCA, FCCM Associate Professor Anesthesiology-Cardiac Division

Upcoming: Monday, June 14th 1


ACADEMIC EVENING 2010

CALL FOR ABSTRACTS DEADLINE MONDAY, APRIL 19, 2010

Eighteenth Annual Academic Evening Tuesday, May 18, 2010 at 5:45 pm Millennium Hotel Durham, NC

5:45 pm – Poster Presentations 7pm – Dinner, Guest Speaker, Awards Guest Speaker: Dr. Nancy Andrews

Residents, Fellows, Medical Students, CRNAs, and Junior Faculty are invited to submit abstracts of work they have performed for presentation at Academic Evening. Abstracts may represent original clinical, laboratory scientific or case reports. Submission to other scientific organizations (e.g. ASA, Gulf Atlantic Residents’ Conference) does not preclude acceptance for Academic Evening. In fact, we encourage submission of abstract that have been submitted to national meetings such as the ASA. Abstracts must be no more than one page (8.5” x 11”) including diagrams and tables. All abstracts submitted will be accepted for presentation. The Abstract Selection Committee will choose a set of abstracts to be judged for prizes. Complete, specific abstract submission instructions are on the Abstract Cover Sheet. Questions? Contact June Santa - june.santa@duke.edu, 684-6252 or Cathleen Peterson-Layne, PhD,MD - layne003@mc.duke.edu, 970-6408 (pager)

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This Month in the Department of Anesthesiology April 2010 MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

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7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Conference

5-6 p.m., 5685-HAFS CT Conference: “ECHO Conference”

7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Journal Club

2:30-3:30 p.m., VAMC VA Echocardiography Conference

5-6 p.m. 6686-HAFS GVTCCM Conference: “TBA” - Brian Ginsberg, MB

6:15-7:15 a.m., 5685-HAFS CT Anesthesia Fellow/Faculty Preceptor Seminar: “Mitral Valve Repair” - G. Burkhard Mackensen, MD

5-6 p.m., 5685-HAFS Faculty Meeting

IRB Deadline: Submit 1 original and 3 copies to Dr. Gan’s office by 5 p.m.

6:30 a.m., 2001DN Resident Conference Lecture: “Consequences of Hypovolemia: Theories & Basic Science” - TJ Gan, MD 7:15 a.m., 2001DN Grand Rounds: “Surgical Wound Infection: More Mandates than Data” - Elliott Bennett-Guerrero, MD

12:00-12:45 p.m., 2003DN Critical Care Grand Rounds: “Adult Respiratory Distress Syndrome (ARDS)” - Dr. Neil MacIntyre 4-5 p.m., 5680A-HAFS Pediatric Conference 5-6 p.m., 7683A-HAFS Resident Journal Club 5-6 p.m., 5685-HAFS Department Fellow/Faculty Fellow/Faculty Preceptor Seminar: “Patient Safety Topics” - Jonathan Mark, MD

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7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Conference

5-6 p.m., 5685-HAFS CT Conference

7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Journal Club

2:30-3:30 p.m., VAMC VA Echocardiography Conference

5-6 p.m. 6686-HAFS GVTCCM Conference: “Domestic Volunteerism” - John Scarborough, MD

6:15-7:15 a.m., 5685-HAFS CT Anesthesia Fellow/Faculty Preceptor Seminar

5-6 p.m., 5685-HAFS Department Research Conference: “Catching, not Fishing - Smart Candidate Selection for Genetic Association Studies” - Andrew Shaw, MD

IRB Deadline: Submit 1 original and 3 copies to Dr. Gan’s office by 5 p.m.

5:30-6:30 p.m., 5680A Perioperative Leadership Group Meeting

6:30 a.m., 2001DN Resident Conference Lecture: “Basic Pharmacology & Coagulation Effects of Plasma Volume Expanders” - Tony Roche, MD

12:00-12:45 p.m., 2003DN Critical Care Conference: CANCELLED 4-5 p.m., 5680A-HAFS Pediatric Conference

7:15 a.m., 2001DN Grand Rounds: “Statewide Research Infrastructures in South Carolina – The Journey, Status Report & Implications for Meaningful Use” - Iain Sanderson, MSc, FRCA

5-6 p.m., Location TBA Education Executive Committee Meeting

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7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Conference

5-6 p.m., 5685-HAFS CT Conference

7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Journal Club

2:30-3:30 p.m., VAMC VA Echocardiography Conference

5-6 p.m. 6686-HAFS GVTCCM Conference: “History of ICU and Transplantation” - Jeff Baker, MD

6:15-7:15 a.m., 5685-HAFS CT Anesthesia Fellow/Faculty Preceptor Seminar 6:30 a.m., 2001DN Resident Conference Lecture: “DNR Orders: Legal & Ethical Issues” - Holly Muir, MD 7:15 a.m., 2001DN Grand Rounds: “Perioperative Blood Transfusion” - David Martin, MD 12:00 p.m., 5685-HAFS OFFICE PROFESSIONALS DAY

4-5 p.m., 5680A-HAFS Pediatric Conference 5-6 p.m., 7683A-HAFS Resident Education Session: “Thoracic Epidural Anesthesia/Analgesia - Clinical Pearls” - Mark Stafford Smith, MD

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7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Conference

5-6 p.m., 5685-HAFS CT Conference

7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Journal Club

2:30-3:30 p.m., VAMC VA Echocardiography Conference

5-6 p.m. 6686-HAFS GVTCCM Conference: “TBA” - Minou Pham, MD

6:15-7:15 a.m., 5685-HAFS CT Anesthesia Fellow/Faculty Preceptor Seminar

IRB Deadline: Submit 1 original and 3 copies to Dr. Gan’s office by 5 p.m.

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12:00-12:45 p.m., 2003DN Critical Care Grand Rounds: “Endocrine in the ICU” - Dr. Shiva Sarraf-Yazdi

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6:30 a.m., 2001DN Resident Conference Lecture: “Vascular Keywords Review” Kerri Wahl, MD

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12:00-12:45 p.m., 2003DN Critical Care Conference 4-5 p.m., 5680A-HAFS Pediatric Conference

7:15 a.m., 2001DN Grand Rounds: “Clinical Case Conference: Obstructive Sleep Apnea” - Drs. Ronald Olson, Richard Moon & Andrew Krystal 5 p.m., Chen Conference Room Neuroradiology Conference

Upcoming: 2010 Academic Evening: Tuesday, May 18, 2010. | Millennium Hotel | Durham, NC 2010 Resident Graduation Banquet: Saturday, June 12, 2010 | Hope Valley Country Club | Durham, NC 2010 ASA Annual Meeting: October 16-20, 2010 | San Diego, CA 2010 Annual Alumni Reception: Sunday, October 17, 2010 | San Diego, CA | More information TBA! 2010 Annual Departmental Holiday Party: Saturday, December 11, 2010 | 7 p.m. to 11 p.m. More details to come.

http://anesthesiology.duke.edu

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ANESTHESIOLOGY CME ACTIVITIES

Departmental CME Activities Carolina Cadaver Course

May 22-23, 2010 | The Duke School of Nursing, Durham, NC For more information, contact Kate Shaw: katerahere@gmail.com. This activity is designed to educate or refresh the knowledge of practicing anesthesiologists, critical care specialists, and certified registered nurse anesthetists (CRNAs) in the anatomical requirements, techniques, and side effects of ultrasound-guided regional anesthesia and peripheral nerve blockade.

3rd Annual Emerging Technologies in the OR

June 6-9, 2010 | Disney’s Yacht and Beach Club Resort, Lake Buena Vista, FL For more information, contact Katherine Siler: siler006@mc.duke.edu.

13th Annual Duke Cardiothoracic Update and TEE Review Course August 5-8, 2010 | Sea Pines Resort, Hilton Head Island, SC For more information, contact Jaime Cooke: jca24@notes.duke.edu.

Mark your calendars for another year of cutting-edge research and updated information designed for medical personnel of all skill levels. NEW FOR THIS YEAR! Critical Care Track!

Ultrasound Guided Regional Anesthesia Preceptorship Course 2010 Dates Available | Duke University Medical Center, Durham, NC For more information, contact Katherine Siler: siler006@mc.duke.edu.

Participants in the Duke Preceptorship will spend three days in the regional block area, operating rooms and on the floor with post surgery patients observing ultrasound guided single shot nerve blocks and catheter techniques in a wide variety of clinical scenarios. They will learn how to set up the block area for maximum efficiency in the OR environment, improve their decision making ability and make choices in the performance of regional anesthesia. A one-on-one discussion with the Duke Faculty member reviewing cases, scanning techniques and the image library as well as covering handout materials will augment the preceptorship experience.

Visiting Preceptorship in Intraoperative Transesophageal Echocardiography 2010 Dates Available | Duke University Medical Center, Durham, NC For more information, contact Jaime C. Cooke: jca24@notes.duke.edu.

Participants in the Duke Intraoperative TEE Preceptorship spend one three-day session in the cardiac operating suites, observing techniques of intraoperative TEE and interpretation of images. Preceptors will participate in active discussions with cardiothoracic anesthesia faculty and fellows, and learn the basic TEE exam. They will also learn how to troubleshoot difficult cases and enhance their decision-making skills in the operating room. Cases will be reviewed with fellows and faculty and images from pathology libraries will be used to augment the preceptorship experience.

http://anesthesiology.duke.edu

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THE BACK PAGE Save the Date: Duke Surgery Global Health Symposium, April 24, 2010 The Duke Department of Surgery and the Duke Global Health Institute invite you to attend a symposium on global health issues in surgery on Saturday, April 24, 2010 at Duke University. Thought leaders will address important issues related to providing surgical care to underserved populations including public policy, funding, governance, and disparities in access to care. For more information and to register, please visit:

http://globalhealth.duke.edu/news-events/conferences/global-health-surgery-symposium

Deadline for Registering: April 10, 2010.

Comings and Goings in the Department Congratulations to Dr. Ken Honjo who was promoted to Postdoctoral Associate, effective April 1, 2010. Please welcome Michael Russell, MD to the department. Mike is a new Faculty member at the Duke Health Raleigh Hospital effective April 1, 2010.

100 Miles. One Day Warwick Ames, MD

Some of you may know that I like to run. Long story but new venture and it has been my salvation to a certain degree. The distances have gotten longer and reached a peak last weekend at the ‘Umstead 100 mile Endurance Race’, a 12.5 mile loop of the Umstead trails that has to be completed 8 times, ideally within 24 hours. I thought it would be fun. I was wrong.

reduced to a shuffle at 1 am in the morning, with the temperature in the mid 30’s and dressed in seemingly just a thong, I began to get hypothermia. At mile 82, an aid station, I sat down for the first time, by a heater. Realizing that hyponatremia was also ongoing, I ate some salt tablets and finally laid down. I decided to quit and leave the fight for another day. My pacer on the other hand was not so keen to quit. Wackus is a cherished running buddy who, for a living, sells Hondas at the Southpoint dealership. He found me clothes and fed me chicken soup. Almost an hour later, I felt better. But it was 2:20 and we had only 3 hours and 40 minutes to complete over 18 miles. Somehow somewhere we spouted virtual wings and made it with 6 minutes to spare. I cannot thank my pacer enough but will try with words and endless beer vouchers (and possibly the purchase of a new Honda) . The reward? Apart from the satisfaction of completing 100 miles, finishers of any registered 100 mile race get, not a medal, but a belt buckle (another long story). The Umstead buckle is not glorious and simply reads ‘100 miles. One day’. I am very proud of mine.

April 5 - 11 Birthday Wishes Dr. Ryan Fink

Dr. Adeyemi Olufolabi

Daniel Geniton

Dr. Charles Peery

Dr. Joel Goldberg

Dale Potter

Dr. Nancy Knudsen

Joseph Rybicki

Dr. Karen Nielsen Note: If you do not want your name listed here, please send a removal notice to keith010@ mc.duke.edu.

SAVE THE DATE

First my preparation was poor. It is hard to train for any race like this whilst working at Duke and trying to keep the family happy. Some may have spotted me early morn, walking up the wrong way of the parking lot escalator in preparation for the uphills. A couple of days before the race I was up all night with a pediatric heart transplant which, not to sound ungrateful, really messed with my sleep schedule. As for the race I knew that running 8 loops would be dull but each loop was in fact very different. The first was fast and I blew my quadriceps, which tends to happens on down hill racing. Umstead isn’t mountainous but it is not exactly flat. On the second lap, I realized that this was going to be tough. On the fourth my bowels let go, which was unexpected but fortunately I reached the toilets every time it happened. After the first fifty miles, someone, without my prior knowledge or consent, inserted coarse sandpaper between my butt cheeks and that particular agony began in earnest. I prayed at the end of each loop to get a pacer (someone not racing but runs with you to encourage you to run). I began to slow horribly and started to panic. Towards the end of lap 6 (approaching mile 75) a few running friends found me shuffling along and injected me with hope. But my troubles started to mount. I began feeling unbelievable nausea, frantically tried to vomit and each step was a disaster. I couldn’t eat or drink anything. Because I was

http://anesthesiology.duke.edu

2010 Office Professional Day Celebration Wednesday, April 21, 2010 5685-HAFS Building

Classifieds Wanted Loan of exercise bike for impending ACL surgery. If you have a bike that is collecting dust or an unfulfilled New Year’s resolution, please contact David MacLeod (812-3201 / david.macleod@duke.edu)

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04-05-10