Section on Anesthesiology and Pain Medicine
Chair's Message

Dr Tobias

Joseph Tobias

Hello everyone. I hope that you all had a wonderful summer and had a chance to get away for at least a brief period of time with your families. As is typically the case, I am sure we all found our usually busy operating rooms even busier with school out and the increase in elective surgical procedures over the summer break. This combined with faculty trying to squeeze in summer vacations always makes summer scheduling a challenge. Summer is truly busier than ever with the interview schedule in full swing for next year's pediatric anesthesiology fellowship class. It seems that the number and quality of applicants continue to increase. Now that the school year is approaching, I am hoping to have time to focus a bit more on our academic pursuits in addition to our usual busy clinical and administrative responsibilities.

I am looking forward to seeing many of you shortly in New Orleans for the 28th annual meeting of the Society for Pediatric Anesthesia and continuing into the weekend for the ASA meeting. Our AAP Section Executive Committee holds business meetings biannually, once each year at the SPA's annual meeting in the fall and again at the combined SPA/AAP Winter meeting.  At our fall meeting this year, we will officially welcome Rita Agarwal as our incoming Chairperson-Elect. Congratulations are due to Rita as she takes on this role; we are happy to have her join the Section's leadership group and look forward to her contributions over the coming years.

Looking forward a bit, I am also anticipating a very lively combined Winter meeting of the Society for Pediatric Anesthesiology and the AAP's Section on Anesthesiology & Pain Medicine. The abstract deadline of November 7th is rapidly approaching and will be upon us before we know it. As always, the AAP will be highlighted during the meeting with our usual sessions, including the presentation of the AAP Robert M. Smith Award, the Ask the Experts Panel, the AAP Advocacy Lecture, as well as the presentation of awards to the top three abstracts from our in-training colleagues.

The 2015 Robert M. Smith award will be presented by Dr Rita Agarwal to Dr Charles Lockhart from Denver Children's Hospital(for more on the 2015 award, see page 3.* I guarantee that this will be an entertaining and spirited award presentation to a physician who has helped shape the modern era of pediatric anesthesiology. Dr Gerald Hickson from Vanderbilt University will deliver the AAP Advocacy Lecture entitled: Patient Advocacy Reporting System (PARS). PARS is a peer-review system developed by Dr Hickson and his colleagues at Vanderbilt University. Dr Hickson has rapidly become known as a world leader in this area. PARS has been implemented in several institutions throughout the country. Dr Hickson will give us some insight not only into the potential adverse effects of disruptive behavior on patient outcomes, but also interventions to deal with and potentially correct it.

In response to audience commentary and to keep pace with our changing educational needs, the Ask the Experts Panel will again include two speakers on timely topics in pediatric cardiac anesthesia. Dr Dean Andropoulos from Texas Children's Hospital will discuss recent information regarding neurodevelopmental outcomes after cardiac surgery while Dr Annette Schure will update us on high-risk cardiac lesions for non-cardiac surgery including Williams syndrome, pulmonary hypertension, and sinusoids. As always, the AAP Section on Anesthesiology & Pain Medicine will also present awards (the John J. Downes Resident Research Awards) to our trainees for the top three abstracts submitted to the meeting.

Of particular note, we invite you to join us for a fabulous celebration commemorating the 50th anniversary of our AAP Section on Anesthesiology & Pain Medicine. My sincere thanks to the many departments who graciously provided financial support for this gala event. For more information, please see page 4.*

The ongoing initiatives of the AAP Section on Anesthesiology & Pain Medicine continue to focus on the improved health and well-being of our pediatric patients of all ages. The AAP annual meeting, the National Conference & Exhibition (NCE) and the Annual Leadership Forum (ALF) attract general pediatricians and physicians from many surgical and medical specialties. These meetings are a great opportunity to meet and interact with our colleagues in surgical and medical subspecialties. They remain an important venue for the exchange of information. At this year's meeting, to be held October 11-14 in San Diego, Dr Moises Auron, in collaboration with the AAP Section on Hospital Medicine, will be participating in a session entitled "The Preoperative Environment: Preparation and Intra-operative Care."

The AAP Section on Anesthesiology & Pain Medicine has also just recently completed the writing of a 12 chapter handbook on Procedural Sedation, edited by Dr Joseph Cravero and myself. Once internal reviews are completed and revisions made to the manuscript, it will be ushered through the publication process within the AAP. This handbook is meant as an educational guide for pediatric practitioners from various specialties covering all aspects of procedural sedation. Authors of the chapters include our pediatric colleagues from the fields of emergency medicine, anesthesiology, critical care medicine, and child life. We are anticipating publication in 2015.

In addition to the work that is currently underway on the Manual, the Section currently has seven policy statements in the AAP pipeline. For more information on our statements in progress, including the topics to be covered and the various stages of development, please see page 13.*

These are just a few of the many benefits of belonging to the AAP, which continues to serve as the premier organization promoting the overall health and well-being of infants and children of all ages. We would ask all of you to encourage your fellows and junior faculty to consider joining the AAP and its Section on Anesthesiology & Pain Medicine. My department has launched an initiative which will result in every member of the department becoming a member of the AAP in 2015.

It is an immense honor to be the Chairperson of the Section on Anesthesiology & Pain Medicine of the American Academy of Pediatrics. I remain indebted to my fellow committee members, and I would like to personally thank Drs Connie Houck and Carolyn Bannister for their support, encouragement, and guidance during my term as Chairperson of the Committee. I would also like to thank Dr Corrie Anderson for his endless devotion to the publication of this newsletter.

None of this would be possible without the unending support of Jennifer Riefe, Manager of our Section on Anesthesiology & Pain Medicine. My thanks to Jen for keeping our Section organized and on target for our numerous projects. None of the accomplishments, which I have outlined above, would be possible without her guidance, gentle reminders and organization. I sincerely look forward to seeing everyone in New Orleans at the SPA/ASA meeting and at the SPA Winter meeting in Phoenix. I would encourage all of you to be an active part of this process and would welcome phone calls, curb site chats at meetings, or emails with suggestions for improving our Section.

*Section on Anesthesiology and Pain Medicine Fall 2014 Newsletter