docProgram - UCSF Department of Anesthesia and Perioperative Care
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Program - UCSF Department of Anesthesia and Perioperative Care
TABLE OF CONTENTS Welcome. Find your way. Schedule of Events Letter from the Chiefs WARC Organizing Committee Upcoming WARC Conferences Letter from the Chair WARC History Eger Lecturer Keynote Speaker Oral Presentations Poster Presentations 2 5 6 6 7 8 10 11 12 16 WARC 2016 1 SCHEDULE OF EVENTS Plan your days. Friday, April 29 4:00 PM – 8:00 PM Registration Italian Room 6:30 PM – 8:30 PM Welcome Reception Colonial Ballroom 7:30 PM – 9:30 PM Chief Residents’ Dinner Aliment, 786 Bush St 7:30 PM – 9:30 PM Chairs’ Dinner Scala’s Bistro, 432 Powell St 7:00 AM – 12:00 PM Registration Italian Room 7:00 AM – 8:00 AM Breakfast Visit Exhibits and Posters Colonial Ballroom Grand Ballroom 8:00 AM – 10:15 AM Oral Presentations: Session 1 Grand Ballroom 10:15 AM – 10:30 AM Break Visit Exhibits and Posters Italian Room Grand Ballroom 10:30 AM – 12:30 PM Oral Presentations: Session 2 Grand Ballroom 12:30 PM – 1:45 PM Lunch 5th Annual Eger Lecture Dr. George Gregory Colonial Ballroom 1:45 PM – 2:45 PM Poster Showcase Grand Ballroom 2:45 PM – 4:30 PM Poster Presentations & Judging Grand Ballroom 4:30 PM End of Saturday Day Program (Chief residents only) (Department chairs only) Saturday, April 30 2 WARC 2016 Saturday, April 30 continued 6:00 PM – 7:15 PM Reception Colonial Ballroom 7:15 PM – 9:15 PM Dinner & Awards Ceremony Keynote Speaker Jesse Levinson, PhD Awards Presentation for Day 1 Colonial Ballroom 9:15 PM All-Resident Gathering Golden Gate Tap Room, 449 Powell St 7:00 AM – 8:00 AM Breakfast Visit Exhibits and Posters Colonial Ballroom Grand Ballroom 8:00 AM – 9:45 AM Oral Presentations: Session 3 Grand Ballroom 9:45 AM – 10:15 AM Break Visit Exhibits and Posters Italian Room Grand Ballroom 10:15 AM – 11:15 AM Oral Presentations: Session 4 Grand Ballroom 11:45 AM – 12:00 PM Awards Presentation for Day 2 Grand Ballroom 12:15 PM Meeting Adjourned Sunday, May 1 WARC 2016 3 WARC Sponsors Diamond Sponsor Masimo Silver Sponsor CEP America Bronze Sponsor American Society of Anesthesiologists California Anesthesia MY VOICE MATTERS All of our decisions are by consensus — which makes CEP America a great fit for me. Carl Law, MD Anesthesia Partner Good Samaritan Hospital May 1st Breakfast Sponsor Sheridan Healthcare Premium Exhibitor Edwards Standard Exhibitor Cook Medical Drager Grifols Mallinckrodt Merck Mylan Teleflex/Arrow Physician-owned. Physician-managed. CEP America’s democratic structure and collaborative culture ensure our physicians have a voice and work together for the patient. Learn more about a career with CEP America at: go.cep.com/bestcare Your Life. Your Career. Your Partnership. LETTER FROM THE CHIEFS The UCSF Department of Anesthesia welcomes you to the 54th Annual Western Anesthesia Residents’ Conference. We are excited to have you join us in the city, which held the first WARC in 1963. Anesthesia residents Drs. Giles Merkel and Morley Singer organized the first conference at UCSF as a symposium for anesthesia residents to present original research and interesting case reports and to stimulate and be stimulated by their peers. We hope this year’s conference will meet those same goals. WARC 2016 would not be possible without the help of countless individuals. We would like to specifically thank the following people for their support: Dr. Michael Gropper, our department chair for his unwavering support; Dr. Edmond Eger, our distinguished advisor who has guided the WARC conference from its very first conference in 1963 through today; Drs. Manny Pardo, Kristina Sullivan and Mark Rollins for their leadership and assistance with planning this event; Melissa Patrick, our assistant director of education, for always keeping us on track; and the other members of the WARC organizing committee. We are delighted to have you join us at WARC 2016, and we hope you have a wonderful conference this year. Tina Dong, MD and Jeremy Pearl, MD Chief Residents Department of Anesthesia & Perioperative Medicine University of California, San Francisco WARC 2016 5 PLANNING WARC 2016 Organizing Committee Pedram Aleshi Ben Alter Michael Bokoch Joyce Chang Gregory Chinn Tina Dong Edmond Eger Marla Ferschl Courtney Flookes Michael Gropper Marisa Hernandez-Morgan Bradley Lee Masood Memarzadeh Manuel Pardo Melissa Patrick Jeremy Pearl Mark Rollins Paul Su Kristina Sullivan Thanh-Giang Vu Elizabeth Whitlock Michael Wu Upcoming WARC Conferences Nineteen anesthesiology programs participate in the Western Anesthesia Residents’ Conference (WARC). Held annually, the conferences showcase academic achievements and discoveries intended to advance the education and practice of anesthesia. 2017 Oregon Health & Science University 2018 University of California, San Diego 2019 University of Colorado 2020 Stanford University 6 WARC 2016 LETTER FROM THE CHAIR Welcome Welcome to the 54th annual Western Anesthesia Residents’ Conference (WARC). UCSF is particularly proud to host this year’s meeting, as WARC was established in 1963 by our own Ted Eger, who remains an active emeritus professor at UCSF and has been closely involved with the planning. We are also excited to share our beautiful city with the other WARC programs, and I know that our residents will prove engaging hosts for their colleagues across the West. I have the opportunity to attend many conferences throughout the year, but the WARC remains my favorite, as it reminds me of the bright future of our specialty. I particularly want to thank our chief resi- dents, Tina Dong and Jeremy Pearl, for guiding our preparations, in addition to Melissa Patrick, assistant director for education, for keeping us on track. I hope you enjoy your time in San Francisco, and I look forward to to a great weekend of science and socializing. Michael Gropper, MD, PhD Professor and Chair Department of Anesthesia & Perioperative Care University of California, San Francisco WARC 2016 7 perspectives A History of the Western Anesthesia Residents’ Conference By Tina Dong, MD Dr. William K. Hamilton organized the first anesthesia residents’ conference in the Midwestern United States in 1961. This meeting proposed to provide a forum for residents in which they would not be overshadowed by the “authorities” who conducted national meetings, such as the ASA. These residents’ meetings also would serve as an opportunity for residents to compare notes, to stimulate and be stimulated by their peers, and to learn about differences in approaches to teaching and research. The success of this initial meeting and the new development of academic anesthesia departments in the western United States led to its imitation on the West Coast. In 1963, residents 8 WARC 2016 Giles Merkel and Morley Singer, guided by Drs. Stuart Cullen and Edmond Eger, organized the first West Coast Anesthesia Residents’ Research Conference, a mouthful that persisted until the 13th conference. The current name, adopted in 1981, recognized that the participants were not limited to those living at the edge of the continent. For several years, WARC was held in the Bay Area because of its central location and the earlier development of strong academic programs in that location. The first and third meetings were held in San Francisco at UCSF with the second conference held at Stanford. As the variety and number of participants increased, it was felt that diversifying the host institutions would better serve the resident participants. Part of the benefit of the conference to the residents was learning how to arrange and run a meeting. Clearly, that benefit was limited if only programs in the San Francisco Bay Area organized the conference. Since this was to be a residents’ conference, residents assumed responsibility for its organization and conduct. Residents raised the funds needed to support the conference and made all local arrangements. They invited papers, composed and ran the program. The residents presented all the papers and moderated the programs. Faculty were encouraged to contribute but were (and sometimes still are) admonished not to speak until all residents who desired to speak had been heard. Five conferences organized and conducted by anesthesia residents presently exist in the US: the Midwest Conference (1961), the Western Conference (1963), the Gulf Atlantic Conference (1974), the New England Conference (2006), and the Mid-Atlantic Conference (2014). One might ask why these conferences have flourished. In part, the answer lies in the focus of the meeting. No other conference serves the residents and fellows in so many ways. WARC 2016 9 5th Annual Eger Lecturer George A. Gregory, MD Professor Emeritus, Anesthesia/Pediatrics University of California, San Francisco Saturday, April 30 12:30 PM Dr. George A. Gregory was born in Colorado and attended medical school at UCSF. After an internship at Los Angeles County Hospital, he was first a surgery resident and then an anesthesia resident at UCSF. Following a research fellowship with Dr. Edmond Eger, he joined UCSF’s anesthesia faculty and was assigned to work for one year in the newly developing neonatal intensive care unit (NICU). He actually worked there for more than 40 years. While there he developed methods for treating the often-fatal hyaline membrane disease, including continuous positive airway pressure (CPAP) and other forms of respiratory support. He, along with others, developed new methods for monitoring sick infants and demonstrated the utility and safety of these methods. Dr. Scott Robinson and he demonstrated that anesthesia could be safely provided for premature infants using opioids, which improved treatment and outcomes throughout the world. Previously these infants received little or no anesthesia for surgery due to the erroneous belief that they did not feel pain. 10 WARC 2016 Following retirement (and for the previous 20 years) he has provided anesthesia for surgical repair of congenital anomalies and the aftermath of burns in developing countries with a group called ReSurge International (formerly known as Interplast). He has been the chief of anesthesia for this group for the past 10 years. A large part of his work in these countries is providing education. Anesthesia providers there are very hungry for further knowledge. The goal of ReSurge (and others) is to provide the education needed to allow local surgeons, anesthesia providers, and nurses to provide the care required rather than send American and other teams there to do the surgery. This approach has been very successful in at least 15 countries. Dr. Gregory is also determining the outcomes of the surgery provided by NGOs in these countries to see if outcomes can be improved. KeyNote Speaker Jesse Levinson Co-Founder, CTO Zoox Saturday, April 30 7:15 PM Jesse Levinson is the co-founder and CTO of Zoox, a venturebacked startup seeking to redefine transportation by creating ground-up, fully autonomous vehicles for point-to-point mobility in cities. Jesse is responsible for overseeing the company’s software, artificial intelligence, computing, and sensing platforms. Prior to Zoox, Jesse graduated summa cum laude from Princeton and then com- pleted a computer science Ph.D. and postdoc under Sebastian Thrun at Stanford. There, he developed algorithms for Stanford’s winning entry in the 2007 DARPA Urban Challenge, and went on to lead the self-driving car team’s research efforts. Jesse also cocreated a popular mobile photography app, Pro HDR, that has been purchased by more than a million people. WARC 2016 11 PRESENTATIONS Oral Presentations: Session 1 Saturday, April 30, 8:00 AM – 10:15 AM 8:00 – 8:15 Jacob sunshine University of Washington Methylprednisolone Therapy in Acute Traumatic Spinal Cord Injury: Analysis of a Regional Spinal Cord Model Systems Database (#169) 8:15 – 8:30 Michael Benson University of Utah Pedal-Powered Oxygen Concentrator (#210) 8:30 – 8:45 Ran Zhang University of New Mexico Acute pulmonary tumor embolus during renal cell carcinoma resection (#209) 8:45 – 9:00 Samantha Madrid Harbor-UCLA Medical Center Utilization of Near-Infrared Spectroscopy in Monitoring Cerebral Oxygenation in Response to Intermittent Perfusion During Deep Hypothermic Circulatory Arrest (#149) 9:00 – 9:15 Quentin Baca Stanford University Maternal blood: a window into the neonatal immune system (#182) 9:15 – 9:30 Tracy Burns University of California, Irvine Language Matters; Differences in Child and Parent Pain Score Agreement (#191) 9:30 – 9:45 Christine Wong Loma Linda University Using Lean Six Sigma Quality Improvement Principles to Decrease Delivery Time of Blood to the Operating Room (#231) 9:45 – 10:00 Nichole Townsend Mayo Clinic Arizona Unexpected Ecmo After Minimally-Invasive Mitral Valve Repair (#87) 10:00 – 10:15 Alian aquino University of Arizona Does the Meyer-Overton Correlation Explain Anesthesia and Consciousness? (#172) 12 WARC 2016 PRESENTATIONS Oral Presentations: Session 2 Saturday, April 30, 10:30 AM – 12:30 PM 10:30 – 10:45 Andrew Slupe Oregon Health and Science University Dexmedetomidine Sedation Does Not Influence Supraventricular Tachycardia Inducibility (#153) 10:45 – 11:00 Elizabeth Whitlock University of California, San Francisco Practice Patterns and Outcomes of Older Anesthesiologists (#230) 11:00 – 11:15 Meagan Gold University of Colorado Severe Cold Contact Urticaria in a Complex Parturient (#81) 11:15 – 11:30 Helen Chan University of Arizona Peripheral Nerve Blocks for Posteropertive Pain Control in Pediatric Orthopedic Surgeries (#122) 11:30 – 11:45 Michael Ohebsion University of Southern California Effect of Non-routine Perioperative Laboratory Values on 30 day Mortality after Non-Cardiac Surgery (#208) 11:45 – 12:00 Julianne Ahdout Cedars-Sinai Medical Center Assessment Of Preoperative Anxiety Using Visual Facial Anxiety Scale: An Alternative To The Verbal Rating Scale? (#204) 12:00 – 12:15 Ben Illium University of California, San Diego Neuron-targeted Caveolin-1 delays onset and extends survival in the hSOD1G93A mouse model of amyotrophic lateral sclerosis (#176) 12:15 – 12:30 Alexander Chang University of California, Los Angeles Apical Myocardial Ischemia has Different Effects on Endocardial and Epicardial Longitudinal and Circumferential Strain (#143) WARC 2016 13 PRESENTATIONS Oral Presentations: Session 3 Sunday, May 1, 8:00 AM – 9:45 AM 8:00 – 8:15 Quynh Dierickx Stanford University Is perioperative acetaminophen harmful for some Asian Americans? (#207) 8:15 – 8:30 Catherine Chiu University of California, San Francisco Improved Analgesia after Implementation of an Enhanced Recovery After Surgery Pathway for Total Mastectomy (#123) 8:30 – 8:45 Matthew Harrison University of California, Davis Conditions of Pediatric Anesthesia associated with Long-term Hippocampal Dysfunction; an Interim Report (#198) 8:45 – 9:00 Jordan Starr University of Washington A web based risk calculator incorporating preoperative opioid use to predict revision of total-knee arthroplasty (#235) 9:00 – 9:15 Sara Paquet Cedars-Sinai Medical Center An Observational Study To Evaluate the Effect of Simulated Operating Room Noise On an Anesthesiologists’ Ability To Monitor Pulse Oximetry and Perform Cognitive Tasks (#189) 9:15 – 9:30 Matthew Fisher University of California, Los Angeles Epigenomic Medicine: DNA Methylation in PreOperative Blood is Associated with Post-Operative Atrial Fibrillation (#144) 9:30 – 9:45 Patrick Leiter Loma Linda University A Comparison of Midazolam and Zolpidem as Oral Premedication in Children (#200) 9:45 – 10:00 Mike Bokoch University of California, San Francisco Deletion of the endothelial thrombin receptor PAR1 predisposes mice to hypertensive intracranial hemorrhage (#174) 14 WARC 2016 PRESENTATIONS Oral Presentations: Session 4 Sunday, May 1, 10:15 AM – 11:15 AM 10:15 – 10:30 Rachel Douglas University of Washington Communication Failures in Anesthesia Malpractice Claims (#196) 10:30 – 10:45 Lauren Steffel Stanford University Randomized Comparison of Popliteal-Sciatic Catheter Tip Migration in Cadaver Model Using OverThe-Needle Versus Through-The-Needle Catheter Designs (#134) 10:45 – 11:00 Maksim Fedarau University of California, Davis Evaluating cancellations of surgeries that occurred on the day of or one day before intended operation date at the Children’s Surgery Center at a large university medical center (#205) 11:00 – 11:15 Evan Davidson University of California, San Diego Adductor Canal versus Femoral Continuous Peripheral Nerve Blocks For Knee Arthroplasty: A One-Year Follow-Up Pilot Study of Two Randomized, Controlled Clinical Trials (#124) WARC 2016 15 Presentations Poster Presentations Imma Achilike, MD, MPH Oregon Health & Science University 136 Urgent awake airway management of a woman presenting with severe posterior epistaxis requiring surgical intervention Airway Anuj Aggarwal, MD Stanford University 156 Ehlers Danlos, POTS, and a Headache Cured Chronic Pain Bashar K. Ahmed, MD University of Arizona 14 False positive findings indicating emergent abdominal surgery in patients with cirrhosis System and Practice-Based Projects Melanie Mae Aiken, MD Albert Phan Nguyen, MD University of California, San Diego 181 She that Rebels Against Reason: A Young Woman with Pulmonary Hypertension Gambles Her Life on Pregnancy. OB Anesthesia Benedict Alter, MD, PhD University of California, San Francisco 15 Anesthetic management of a patient with Friedreich’s Ataxia presenting with intrauterine fetal demise requiring dilation and evacuation OB Anesthesia Jeremy Alvord, MD Mayo Clinic Arizona 54 Post-Operative Anaphylactoid Reaction To Human Albumin Post Heart Transplant Critical Care Valerie Au, MD Cedars-Sinai Medical Center 117 Interscalene Brachial Plexus Block For Forequarter Amputation In Adult with Recurrent Liposarcoma: A Case Report Acute Pain and Regional Anesthesia Rita Avakian, MD, MPH University of Southern California 190 Catheter Embolization in 17 Month Old Infant Pediatric Anesthesia Diosdada baja, MD Terry Vien, DO University of California, Davis 35 Erroneous Placement of AntimicrobialImpregnated Central Venous Catheter in a Susceptible Patient System and Practice-Based Projects 16 WARC 2016 Presentations Rina Balasubramanian, MD University of California, Davis 141 Perioperative management of a noncompliant adult patient undergoing the Ross-Konno procedure for congenital hypertrophic obstructive cardiomyopathy Cardiothoracic Anesthesia Robyn Balden, MD, PhD Cedars-Sinai Medical Center 173 Airway management in a patient with foramen magnum stenosis presenting for transoral odontoidectomy Airway Marlene Barnhouse, MD University of California, San Diego 78 Altered Mental Status After Minimal Narcotics Use In Elderly Patient With Non Specific Encephalopathy And Acute Renal Injury Chronic Pain Odmara Barreto Chang, MD, PhD University of California, San Francisco 88 Newborn Seizure at Birth Secondary to Coconut Water Induced Hyponatremia During Pregnancy OB Anesthesia Robert Bellerose, MD University of California, Davis 97 Management of coagulopathy in a patient with acute intracranial hemorrhage and a left ventricular assist device undergoing emergent craniotomy Neuroanesthesia Danielle birmingham, md Maksim Fedarau, MD University of California, Davis 30 From India to the US: Anesthetic Management of an Infant at Risk for Malignant Hyperthermia Pediatric Anesthesia Max Blanter, MD Cedars-Sinai Medical Center 80 Case Report: Ultrasound Guided Fascia Iliaca Block as the Sole Anesthetic for Hip Hemiarthroplasty in a Critically Ill Patient Acute Pain and Regional Anesthesia WARC 2016 17 Presentations Evan Bohnenblust, MD Cedars-Sinai Medical Center 142 Anesthetic Management of a Patient with Left Atrial Mass and Rheumatic Heart Disease Cardiothoracic Anesthesia Lindsay Borg, MD Stanford University 211 Identifying Housestaff Barriers to Self Care: Mentorship Matters System and Practice-Based Projects Reza borna, MD Delara Brandal, MD University of California, Los Angeles 96 Twice in a blue moon: air leak on two separate occasions during a thyroidectomy Airway Eric Boudreau, MD University of California, San Diego 40 A Novel Teaching Method of Laryngoscopy Utilizing the Language of Aviation System and Practice-Based Projects Victoria Bradford, MD, MBA Loma Linda University 212 Perioperative Surgical Home Decreases Hospital Length of Stay; Continued Improvement with Further Implementation System and Practice-Based Projects Sarah C. Burke, MD Alec Peniche, MD University of California, San Francisco 213 Improving Preoperative Communication for Anesthesia Scheduling: Educational & Resource Utilization Project System and Practice-Based Projects Tracy burns, md Christine Saseun, MD University of California, Irvine 157 Fluoroscopically guided pudendal nerve blocks in the treatment of chronic pelvic pain – a single center outcomes evaluation Chronic Pain Lucas Campos, MD, PhD Niharika Saw, MD Jordan Newmark, MD Stanford University 158 Creation of White Paper Guidelines to Reduce Neuromodulation Associated Infections Chronic Pain Matthew Careskey, MD University of California, San Francisco 192 A Case Series Discussing Anesthetic Management of Spinal Tethering Surgeries Pediatric Anesthesia 18 WARC 2016 Presentations Josemine Marie Miranda Carey, MD University of California, San Francisco 57 Atenolol toxicity in acute renal failure: an unusual presentation and its management Critical Care Tomas Carvajal, MD Mayo Clinic Arizona 161 Right Ventricular Dysfunction After Coronary Artery Bypass Graft Surgery Mimicking Malignant Hyperthermia – Case Report Of A Diagnostic Challenge Critical Care Jeffrey Cashin, MD Harbor-UCLA Medical Center 239 Anesthesia for Whole Lung Lavage for the Treatment of Pulmonary Alveolar Proteinosis: A Case Report Cardiothoracic Anesthesia Marc A Cerruti, MD University of Arizona 162 Iron and Carbon Monoxide Attenuate the Fibrinogenolytic Effects of Indian Cobra (Naja naja) Venom Critical Care Joseph Chang, MD University of Southern California 58 Perioperative cerebral oximetry in a patient with severe carotid disease and multiple comorbidities who required urgent surgical intervention for hemorrhaging bladder cancer. Neuroanesthesia Denise P. Chang, MD University of California, San Francisco 193 Designing and Implementing an ERAS Pathway for Pediatric Spine Surgery Pediatric Anesthesia Yuan-Jiun Nicole Chao, MD University of California, San Francisco 121 An Oldie but a Goodie: The Role of Fenoldopam in the Management of Intraoperative Refractory Hypertension during Aortorenal Bypass Surgery for Fibromuscular Dysplasia of the Renal Artery Cardiothoracic Anesthesia Adrian Chase, MD University of California, Davis 2 FNA Revealed Misleading Diagnostic Workup on Planned Mediastinal Mass Resection Perioperative Challenges and Emergencies WARC 2016 19 Presentations Vivek Chellappa, MD University of California, Los Angeles 214 A Novel Perioperative Smoking Cessation Initiative System and Practice-Based Projects Melvina Cheung, MD University of Colorado 84 A Rare Case of Amiodarone-induced Anaphylactic reaction: Coronary Vasospasm with Peripheral Vasodilation during Mitral Ring Annuloplasty Cardiothoracic Anesthesia Gregory Chinn, MD, PhD Roger Lee, MD University of California, San Francisco 45 Delayed Awakening After Transsphenoidal Surgery Neuroanesthesia Elena Cho, MD Bryan Clark, MD Loma Linda University 137 The Effect of Cricoid Pressure on Apneic Oxygen Reserve In Adult Patients Undergoing Endotracheal Intubation for Scheduled Surgery Airway Joseph Chung, MD Cedars-Sinai Medical Center 59 Perioperative Considerations for a Patient with Acute Ruptured Papillary Muscle Cardiothoracic Anesthesia Christopher Clave, MD Stanford University 25 Lung Isolation for VATS lobectomy in a patient with a (R) upper-lobe tumor, and concurrent tracheal polyp. What would you do? Airway Michael K. Cluff, MD Loma Linda University 183 Accidental Dural Puncture and Subsequent Intrathecal Catheter Placement for Labor Analgesia leads to Cranial Nerve VI Palsy OB Anesthesia Shara cohn, MD Claire Miller, BA Stanford University 184 Risk Factors for Postpartum Hemorrhage after Vaginal Delivery OB Anesthesia 20 WARC 2016 Presentations Shawn Coleman, MD Cedars-Sinai Medical Center 109 Tracheal Rupture after Bougie Assisted Endotracheal Intubation in a Patient with Unrecognized Pars Membranosa Defect Airway Ashley A. Colletti, MD University of Washington 215 Development and implementation of real-time anesthesiology decision support for pediatric traumatic brain injury System and Practice-Based Projects Erin Conner, MD Stanford University 194 The Development and Implementation of an Inpatient Pre-Anesthesia Diet to Decrease Fasting Times and NPO Violations Pediatric Anesthesia Adrian Coon, MD Maxwell Thompson, MD University of California, San Francisco 206 Perioperative Management with Fibrodysplasia Ossificans Progressiva (FOP) Perioperative Challenges and Emergencies Erin Crawford, MD Stanford University 41 Awake craniotomy in a patient with Eisenmenger syndrome Neuroanesthesia Bradley Culling, DO University of New Mexico 195 Unusual dystonic reaction after general anesthesia in a patient with twenty-nine uneventful prior anesthetics Pediatric Anesthesia Julee Hong Dalton, MD University of California, San Francisco 62 Iatrogenic foreign body after attempted closure of bronchopleural fistula with fibrin sealant in pediatric patient Pediatric Anesthesia Dennis Danforth, MD University of California, San Diego 34 Pacemaker Mediated Tachycardia associated with Somatosensory Evoked Potential Stimuli Perioperative Challenges and Emergencies Justin Daniels, MD Loma Linda University 163 Comparison of Thromboelastrography and BRISK Profiles Predictive Value for Standard Coagulation Labs Critical Care Mark Davis, MD Cedars-Sinai Medical Center 164 Trauma in a patient with a left ventricular assist device Critical Care WARC 2016 21 Presentations Christopher Der, MD Jill Yaung, MD Cedars-Sinai Medical Center 185 Intracranial Tumor and Anesthetic Management for C-Section OB Anesthesia Gurpreet Dhaliwal, MD Harbor-UCLA Medical Center 46 Letter to the Editor: Re: “A Costly Lesson: Fatal Respiratory Depression Induced by Clindamycin during Postoperative Patient Controlled Analgesia” Perioperative Challenges and Emergencies Christina Doan, MD University of California, San Diego 23 Eclampsia, Cerebral Edema and PRES in the Neurocritical Care Unit OB Anesthesia David Joshua Douin, MD University of Colorado 32 Anesthetic management of a giant paraesophageal hernia with cardiac compromise Perioperative Challenges and Emergencies Koorosh Joshua Elihu, MD Harbor-UCLA Medical Center 68 Full cardiopulmonary arrest during ERCP: A case report of systemic air embolism with full recovery Perioperative Challenges and Emergencies Mohamed Eloustaz, MD, MPH University of Southern California 138 Immediate Post-Operative bleeding after ENT surgery Airway Bradford Nicholas Ence, MD, MPH University of Utah 16 Echocardiographic Detection of Valvular Lesion in the Preoperative Setting System and Practice-Based Projects Victoria S. Fahrenbach, MD Stanford University 175 Validation of Anesthetic Binding Sites within the GABAa Receptor via In Silico Docking Scores of Propofol Derivatives and Nonimmobilizer Controls Neuroanesthesia 22 WARC 2016 Presentations Lauren Farac, MD Cedars-Sinai Medical Center 125 Use of bilateral transversus abdominus plane blocks for peritoneal dialysis catheter placement in a patient with severe pulmonary hypertension and congestive heart failure Acute Pain and Regional Anesthesia Viken Farajian, MD University of California, Davis 186 Anesthetic Management of Parturient with Potential Fetal Susceptibility of Malignant Hyperthermia OB Anesthesia Evan Franke, MD Mayo Clinic Arizona 43 An Unexpected Cause of Blood Pressure Discrepancy Between Radial and Femoral Arterial Lines After Deep Hypothermic Circulatory Arrest for Ascending Aortic Aneurysm Repair Cardiothoracic Anesthesia Serena Frazee, MD Virgina Mason Medical Center 108 An Unusual Case of Succinylcholine Prolongation Perioperative Challenges and Emergencies Dmitry Garmaev, MD University of New Mexico 126 Tuohy Needle Tip Deformation Resulting in Inability to Thread Epidural Catheter Acute Pain and Regional Anesthesia Dmitry Garmaev, MD Melissa Welker, MD University of New Mexico 197 Ketamine/fentanyl-induced neurotoxicity: a case report. Pediatric Anesthesia Joshua Garza, MD University of Arizona 159 Transient Receptor Channel Vanilloid-1 Antagonist as a Pharmacological Treatment for Preemptive Analgesia and Reducing Anesthesia-Induced Hypothermia Chronic Pain WARC 2016 23 Presentations Kiumars Ghadjar, MD, MS University of Southern California 67 Perioperative Management of High Risk Patient with Renal Cell Carcinoma and Caval and Atrial Tumor Extension (Level IV) under Cardiopulmonary Bypass Cardiothoracic Anesthesia Antasia Giebler, DO University of Colorado 12 Ultrasound-guided adductor canal block complicated by LAST Acute Pain and Regional Anesthesia Andrew J. Giustini, MD, PhD Stanford University 7 Lung isolation using an EZ blocker for a Left Pneumonectomy Cardiothoracic Anesthesia Marga Glasser, MD, MS University of California, San Diego 77 PEA Arrest During ERCP: Venous Air Embolism or Pulmonary Embolism? Perioperative Challenges and Emergencies Iman Hadaya, MD University of California, San Francisco 48 Central Neurogenic Hyperventilation: A Case Report Critical Care David Hadiprodjo, MD University of Southern California 33 Robotic Partial Nephrectomy in an ASA IV Patient With Multiple Comorbidities Perioperative Challenges and Emergencies Daniel A. Hansen, MD Mayo Clinic Arizona 145 Impella 2.5 As A Left Ventricular Vent with Venoarterial Extracorporal Membrane Oxygenation Cardiothoracic Anesthesia Elizabeth E. Hansen, MD, PhD University of Washington 216 Real-time decision support for postoperative nausea and vomiting prophylaxis System and Practice-Based Projects Eli Johnsen Harris, MD University of New Mexico 160 Modified subcutaneous tunneling technique that allows passing two Y-type Medtronic extensions in a single pass Critical Care 24 WARC 2016 Presentations Anna Harter, MD, MAS Stanford University 127 Infraclavicular catheter placement for surgical anesthesia and postoperative analgesia in a patient with TAR syndrome (thrombocytopenia with absent radius) and known difficult airway Acute Pain and Regional Anesthesia Austin Henry, DO University of Washington 165 Urinothorax - an unexpected cause of pleural effusion Critical Care Jordan Higgins, MD University of California, San Francisco 56 Inherited Factor VII Deficiency in Labor: A Case Report OB Anesthesia Jimmy John Hoang, MD Loma Linda University 129 Programmed Intermittent Boluses: A Novel Infusion Strategy for Adductor Canal Catheters Following Total Knee Arthroplasty. Acute Pain and Regional Anesthesia Michael G. Holmes, MD University of Washington 85 Prolonged thoracic epidural analgesia for chest tube pain during pregnancy Acute Pain and Regional Anesthesia Shao-Pu Hsu, MD Cedars-Sinai Medical Center 236 Successful Anesthetic in Patient with Systemic Mastocytosis Perioperative Challenges and Emergencies Chloe Hughes, MD University of Colorado 22 Diagnosis and Management of a Tracheal-Aortic Fistula: A Case Report Cardiothoracic Anesthesia Jared R.E. Hylton, MD, MS University of California, Davis 217 Volatile Anesthetic Waste Reduction: Anesthesiologists as Leaders in Operating Room Cost Reduction and Quality Improvement System and Practice-Based Projects WARC 2016 25 Presentations Nicole Jackman, MD, PhD University of California, San Francisco 218 Improving fresh gas flow utilization with inhaled anesthetics System and Practice-Based Projects Anoosh D. Javaherian, MD University of Southern California 11 Ketamine Treatment for Resistant Complex Regional Pain Syndrome (CRPS) Type 1 Chronic Pain Christine Jette, MD Stanford University 219 Average Length of PACU Stay for Common Ambulatory Procedures at a Children’s Hospital System and Practice-Based Projects Jason Johns, MD Luke McCage, MD Stanford University 130 Does a Block Nurse Improve Timeout Compliance? The Re-evaluation of Timeout Compliance During Regional Anesthesia Training. Acute Pain and Regional Anesthesia Christopher Johnson, MD University of California, San Francisco 26 An Unusual Case of High Spinal Anesthesia OB Anesthesia Luke Johnson, MD University of Colorado 75 Pulsatile Waveform after Placement of Central Venous Catheter Perioperative Challenges and Emergencies James Harvey Jones, MD University of California, Davis 199 Pre-Anesthetic Fasting: A Source of Dissatisfaction among Pediatric Inpatients and their Families Pediatric Anesthesia Caroline Kan, MD Daniel Cherkassky, MD Roya Yumul, MD, PhD Cedars-Sinai Medical Center 21 Anesthetic Implications in a 24-year old male with Russell-Silver Syndrome Perioperative Challenges and Emergencies 26 WARC 2016 Presentations Raina Khan, MD University of Southern California 92 An Unusually Hairy Airway Airway Sameer Khan, MD Harbor-UCLA Medical Center 100 Anesthetic considerations for endovascular repair in an ascending aortic dissection Cardiothoracic Anesthesia Perioperative Anaphylaxis: Diagnosis and Treatment Perioperative Challenges and Emergencies Kyeong Seon Michelle Kim, MD 69 University of California, Davis M. Tyler King, MD Stanford University 220 Is it possible to include more clinical information in pulse oximetry tones without introducing errors in interpretation? System and Practice-Based Projects Laura M. Kirk, MD University of Colorado 70 Weakness following neuromuscular blockade reversal with neostigmine Perioperative Challenges and Emergencies Michael Kissen, MD Cedars-Sinai Medical Center 86 Post-Intubation Tracheal Perforation in a patient with metastatic thyroid cancer and tracheal stenosis Airway Kathleen E. Knapp, MD Mayo Clinic Arizona 146 Unexplained Cardiopulmonary Instability During Robotic Prostatectomy Cardiothoracic Anesthesia Nikolai Kolotiniuk, MD University of California, San Diego 147 “Hemoglobin Concentration and Hematocrit Measurement During Cardiac Surgery: Comparison of Three Point-ofCare Devices” Cardiothoracic Anesthesia Sarang S. Koushik, MD Mayo Clinic Arizona 105 Bilateral Vocal Fold Granulomas Following Double Lumen Tube Placement Airway WARC 2016 27 Presentations Marcus Aleksander Kuikka, MBBS, MS University of New Mexico 76 Anesthetic management of a patient with mitochondrial cytopathy during extensive spinal surgery Neuroanesthesia Amanda Kumar, MD Stanford University 221 Radiation Exposure of Anesthesia Residents System and Practice-Based Projects Andrew Kuo, MD Cedars-Sinai Medical Center 187 Anesthetic Management of Obstetric Patient with Sickle Cell Crisis and Pulmonary Embolism OB Anesthesia Jason Lang, MD University of California, San Francisco 50 The Almost Hundred-Year-Old Man Who Fell and Fractured His Hip – A Challenging Case Acute Pain and Regional Anesthesia Bradley H. Lee, MD University of California, San Francisco 17 Regional and General Anesthesia Considerations in Patients with Osteogenesis Imperfecta Perioperative Challenges and Emergencies Esther J. Lee, MD, MS Tina M. Yu, MD University of California, San Francisco 42 Blind Lumbar Epidural Blood Patch (EBP) for Headache and Cranial Nerve (CN) VI palsy Associated with Spontaneous Intracranial Hypotension (SIH) Acute Pain and Regional Anesthesia Joshua T. Lee, MD University of California, Davis 60 Revisiting the ASA Guidelines for the Placement of Neuraxial Blocks in Healthy Parturients with Gestational Thrombocytopenia OB Anesthesia Tim Lee, MD University of California, Davis 114 Greater Occipital Nerve Block for Postdural Puncture Headache Acute Pain and Regional Anesthesia 28 WARC 2016 Presentations Eric Lee, MD Stanford University 234 Anesthesiologists Must Be Familiar With The Ventilatory Changes of Peroral Endoscopic Myotomy (POEM) Perioperative Challenges and Emergencies Jason Leong, MD Stanford University 51 Potential loss of airway with Ambu Scope Airway Androcles Lester, MD University of New Mexico 237 Case Report: Failure of breathing circuit from cracked expiratory limb filter. Chronic Pain Jeffrey B. Lewis, MD University of California, Davis 52 Delayed Emergence From Anesthesia Following Burr Hole Evacuation of Subdural Hematoma Neuroanesthesia Li Li, MD, PhD University of Washington 73 Acute Respiratory Alkalosis, Labile Blood Pressures, and Severe Orthostatic Hypotension After a Left Neck Dissection Perioperative Challenges and Emergencies David Li, MD University of California, Davis 148 The effect of dexmedetomidine on outcomes of cardiac surgery in elderly patients Cardiothoracic Anesthesia John Liaghat, MD University of California, Davis 222 Retrospective Analysis of Perioperative Complications from Prone Positioning for surgery under General Anesthesia System and Practice-Based Projects Denise Lim, MD Virginia Mason Medical Center 238 Comparison of perioperative vasoactive therapy and hospital length of stay in patients undergoing pheochromocytoma resection and receiving preoperative alpha-1 receptor antagonism therapy System and Practice-Based Projects WARC 2016 29 Presentations David Liu, MD University of California, Los Angeles 223 A quality improvement process to decrease post-operative nausea and vomiting: design, implementation, and initial experience. System and Practice-Based Projects Sarah A. Low, MD, Student University of Arizona 104 Complex Medical and Interventional Management in an Atypical Case of Primary Erythromelalgia Chronic Pain Donald Luna, MD University of New Mexico 37 A case report of a pregnant minor with delta granule storage pool deficiency OB Anesthesia Eli Luong, MD Harbor-UCLA Medical Center 38 Unexpected massive pulmonary embolism detected on transesophageal echocardiography during open heart aortic valve replacement necessitating pulmonary embolectomy Cardiothoracic Anesthesia Wendy Ma, MD Stanford University 120 Megaesophagus due to Achalasia: How Should You Secure the Airway? A Case Report Airway Jai Madhok, MD, MSE Stanford University 49 Resistance to dexmedetomidine in the setting of chronic amphetamine (Adderall) and venlafaxine (Effexor) use Perioperative Challenges and Emergencies Katrina McGuire, MD University of Arizona 224 Does the Quality of the Physician and Nurse PACU Handoff Improve with the Implementation of a Formal Handoff Tool? System and Practice-Based Projects Hilario Medina Ramirez, MD University of Southern California 47 Severe metabolic alkalosis with hypernatremia followed by massive blood transfusion. Critical Care 30 WARC 2016 Presentations Masood Memarzadeh, MD University of California, San Francisco 79 Granulation Tissue: A Potential Cause of Airway Obstruction in Trachoestomized Patients Pediatric Anesthesia Laurent Menut, MD University of California, San Francisco 201 Congenital Pulmonary Airway Malformation: Surgical Correction on the First Day of Life Pediatric Anesthesia Justin Merkow, MD University of Colorado 63 Difficult Intubation In a Recent Easy Airway Airway Brita M. Mittal, MD Stanford University 19 The Value of Preoperative Endoscopic Airway Examination in the Management of an Anticipated Difficult Airway Airway Anna Moreno-Galvan, MD University of California, San Diego 10 Emergency phlebotomy for acute iatrogenic polycythemic, hypervolemia during pediatric liver transplantation Perioperative Challenges and Emergencies Sean Morgan, DO University of New Mexico 106 Electroconvulsive Therapy and Demyelinating Disease Neuroanesthesia Dan Moy, MD Stanford University 225 Evaluation of the Bair Hugger model 750 warming unit (Arizant/3M) medical device: A usability heuristic approach System and Practice-Based Projects Jessica Murphy, MD Cedars-Sinai Medical Center 55 Cardiac arrest post-minimally invasive mitral valve repair due to circumflex artery ligation Cardiothoracic Anesthesia Mastoora Nasiri, MD University of California, San Francisco 177 Compromised Flow Through the Artery of Adamkiewicz During Thoracic Extreme Lateral Interbody Fusion With Intraoperative Loss Of Evoked Potentials and Immediate Postoperative Paraplegia Neuroanesthesia WARC 2016 31 Presentations James Nelson, MBBS University of Arizona 178 Transcranial Ultrasound Modulates Mood in Human Volunteers Neuroanesthesia Don Nguyen, MD David Lee, MD University of Southern California 36 Pediatric trauma; stab wound to the left chest complicated by shock and cardiac arrest Pediatric Anesthesia Vu Nguyen, MD Loma Linda University 167 Awareness and Diagnosis of Acute Kidney Injury in the Critically Ill Trauma Patient, a Single-Center Retrospective Review Critical Care Christine No, MD Cedars-Sinai Medical Center 24 Airway Management in a Patient with Rubinstein-Taybi Syndrome Airway Alexander H. Nowlin, MD University of Washington 4 A Case of Factor VII Deficiency Discovered after Epidural Placement OB Anesthesia Kelly O’Hear, MD Stanford University 66 Morbid Obesity and Wheezing – It’s Not Always Asthma Airway Brooks Ohlson, MD Virginia Mason Medical Center 20 From Circuit to Trachea: A rare case of difficult ventilation due to Heat and Moisture Exchanger Filter Occlusion Airway Patrycja Olszynski, MD Stanford University 89 Infraclavicular Nerve Block in a Patient with Amyotrophic Lateral Sclerosis Acute Pain and Regional Anesthesia Brandon Ortega, BA University of Southern California 18 Peri-Operative Management of a Jehovah’s Witness Patient with Severe Anemia and Ongoing Hemorrhage Complicated by Multi-Organ Failure and Renal Cell Carcinoma Perioperative Challenges and Emergencies 32 WARC 2016 Presentations Cesar Padilla, MD Cedars-Sinai Medical Center 188 82 Megha Parekh Marisa Hernandez-Morgan, MD University of California, San Francisco Use of Extracorporeal Membrane Oxygenation “Stand-By” in a High Risk Parturient Undergoing Dilation and Evacuation OB Anesthesia Carcinoid Syndrome: A Case of Severe Gastrointestinal Hypermotility Delaying Discharge Perioperative Challenges and Emergencies Rishi Parikh, MD, PhD University of California, San Diego 179 Temporal control of neuron-targeted Cav-1 expression using optogenetics Neuroanesthesia Travis Pecha, MD University of Utah 116 Case Report: Management of Biventricular Mechanical Circulatory Support Complicated by Extensive Pulmonary Thrombosis Cardiothoracic Anesthesia Sofia Peeva, MD University of Southern California 110 Bradycardic Patient Undergoing Robotic Prostatectomy: Isoproterenol infusion as an alternative to implanted pacemaker. Perioperative Challenges and Emergencies Felipe De Jesus Perez, MD Stanford University 44 Are Patients on Rivaroxaban Safe to Undergo Electroconvulsive therapy (ECT)? Neuroanesthesia Deena Perotti, MD Cedars-Sinai Medical Center 150 Placement of V-A ECMO for a patient with neurogenic cardiomyopathy in status epilepticus. Cardiothoracic Anesthesia Ashley Peterson, MD, MPH Stanford University 13 Management of Unexpected Coma during Ophthalmic Surgery Neuroanesthesia WARC 2016 33 Presentations Ellen Phamduong, MD University of Southern California 39 Trauma Patient Receiving Massive Transfusion Protocol: Minimizing postoperative multi-organ failure Critical Care Kara Pinjuv, MD University of California, San Diego 64 Bilateral Thoracic Paravertebral Catheter Placement for Treatment of DoubleLung Transplant Complications Acute Pain and Regional Anesthesia DeAnna Pollock, MD University of New Mexico 202 General Anesthesia in a six-year old with hydranencephaly Pediatric Anesthesia Rett Quattlebaum, MD Stanford University 95 Intraoperative Hyperthermia: A Case report of suspected Serotonin Syndrome Perioperative Challenges and Emergencies Sandhya Ravichandran, MD University of California, Davis 103 Infant Botulism: A Challenging “Anesthesia Stat” Situation Pediatric Anesthesia Aviva Regev, MD University of California, Los Angeles 226 Application of Time-Driven ActivityBased Costing (TDABC) to the Preoperative Screening Process System and Practice-Based Projects Damoon Rejaei, MD University of California, Davis 29 Spinal Cord Histopathological Alterations in a Patient with Fibromyalgia Chronic Pain Sepehr Rejai, MD University of California, Los Angeles 107 Perioperative Adverse Drug Events: A Report of Intraarticular Morphine Overdose Acute Pain and Regional Anesthesia Robin Robbins, MD University of California, San Diego 151 Pulmonary Artery Catheter Placement by Transesophageal Echocardiography in a Series of Chronic Thromboembolic Pulmonary Hypertension (CTEPH) Patients Cardiothoracic Anesthesia 34 WARC 2016 Presentations Santiago Rojas Paez, MD Stanford University 152 Ecmo Cannulation for elective C-section in patient with severe pulmonary hypertension Cardiothoracic Anesthesia Jennifer Ross, MD, PhD Cedars-Sinai Medical Center 131 The Effect of Opioid-inclusive versus Opioid-sparing Neuraxial Anesthesia on Natural Killer Cell Cytotoxicity Acute Pain and Regional Anesthesia Richard W. Runyan, MD University of Utah 227 Addition of Novel ACLS Leadership Tool Improves Clinical Predictors of Survival from Cardiac Arrest in Simulation-based Study System and Practice-Based Projects Alec C. Runyon, MD Loma Linda University 228 First case on time start delays, a multidisciplinary Six Sigma approach to quality improvement System and Practice-Based Projects Sonny Sabhlok, MD University of California, San Francisco 102 Inadvertent infusion of mannitol-ropivacaine solution in epidural space – a possible adjuvant for epidural analgesia? Acute Pain and Regional Anesthesia Sandra H. Sacks, MD, MEd Stanford University 132 Case Report: Short-term Ketamine Infusion for Acute Pain Flare in A Patient with Calciphylaxis Acute Pain and Regional Anesthesia Sina Samie, MD University of Southern California 168 Unusual case of extreme hypocapnea and Metabolic Acidosis as Complication of Urological Surgery. Critical Care Christopher Sanchez, MD University of California, San Francisco 229 Common Themes Within Medical Student Clerkship Reflections Regarding Anesthesia System and Practice-Based Projects WARC 2016 35 Presentations Joshua Santos, MD University of New Mexico 61 To Magnetize or Not? Perioperative Management of a Cardiovascular Implantable Electronic Device in an Emergency Cardiothoracic Anesthesia Alison Schultz, MD University of California, San Francisco 5 How Small is Too Small? Awake tracheostomy in an “Impossible-to-Intubate” Patient Airway Lena Scotto, MD Stanford University 72 General Anesthesia with an LMA SupremeTM in a Patient with Previous Right Pneumonectomy Airway Clair Secomb, MD Stanford University 28 Through the Eye of the Needle: The Case of the Wayward Uniblocker Cardiothoracic Anesthesia Ann Cai Shah, MD University of California, San Francisco 9 Intraoperative massive right atrial thrombus during liver transplant Perioperative Challenges and Emergencies Ruby Shah, MD University of California, Los Angeles 98 IVC filter migration to the right ventricle requiring surgery for filter retrieval under cardiopulmonary bypass and tricuspid valve replacement Cardiothoracic Anesthesia Amir Shbeeb, MD University of Southern California 6 Perioperative Management of Severe Glaucoma for a Robotic Prostatectomy Perioperative Challenges and Emergencies Vinod Singaram, MD, PhD University of California, San Diego 118 Anesthetic implications of Spinal Muscular Atrophy Neuroanesthesia Michael Singleton, MD University of Utah 133 Serum bupivacaine levels after peri-articular injection of liposomal bupivacaine (Exparel) mixed with 0.25% bupivacaine Acute Pain and Regional Anesthesia 36 WARC 2016 Presentations Christy L. Slingwine, MD Cedars-Sinai Medical Center 27 Management of the patient with restrictive cardiomyopathy and large substernal goiter for thyroidectomy Airway Sara Smith, MD Stanford University 139 Does Lidocaine Cream on the Endotracheal Tube Prevent Microaspiration? Airway Claire Soria, MD University of California, San Diego 233 Ehlers-Danlos Syndrome Type III (Hypermobility) in a Patient Undergoing Right Hip Arthroplasty Perioperative Challenges and Emergencies Paul P. Su, MD University of California, San Francisco 90 Risk of Acute Baclofen Withdrawal from Intraoperative Intrathecal Pump Damage: Case reports and literature review Chronic Pain Ryan Suda, MD University of California, San Diego 99 A case of unilateral recurrent laryngeal nerve palsy after Cookgas® air-Q® LMA insertion Airway Alex Suginaka, DO Virginia Mason Medical Center 3 Tachycardia in Reverse Trendelenburg: A Case of Postural Orthostatic Tachycardia Syndrome Perioperative Challenges and Emergencies Lisa Sun, MD University of California, San Francisco 74 Post-operative takotsubo cardiomyopathy leading to a new diagnosis of pheochromocytoma Cardiothoracic Anesthesia Ronald Tang, MD University of Arizona 154 Off-label use of 2.5L Impella device to decrease shearing forces and aid in healing of iatrogenic perforated left ventricle, a case presentation Cardiothoracic Anesthesia Jenica Thangathurai, BS University of Southern California 53 Acute Alcohol withdrawal resulting in Takotsubo (Stress) Cardiomyopathy Critical Care WARC 2016 37 Presentations Aamera Thazyeen, MD University of California, Davis 1 Case Study: Anesthetic management of Foreign body Aspiration in pediatric patient Airway Darrell Tran, MD University of California, San Diego 31 Repair of Tetralogy of Fallot in an adult male with an incomplete childhood repair Cardiothoracic Anesthesia Sophia Turkmani-Bazzi, MD Stanford University 111 Boutique Anesthesia: Awake FESS in a Cystic Fibrosis Patient Who Refuses General Anesthesia Perioperative Challenges and Emergencies Soban Umar, MD, PhD University of California, Los Angeles 155 Inhibition of Free Fatty Acid Receptor GPR40 abolishes Cardioprotection Conferred by Intralipid in Two Rodent Models of Bupivacaine Cardiotoxicity and Ischemia Reperfusion Injury Cardiothoracic Anesthesia Olivia Valencia, MS1 University of Arizona 170 Iron and Carbon Monoxide Attenuate the Fibrinogenolytic Effects of Puff Adder (Bitis arietans) Venom Critical Care Melissa A. Vogelsong, MD Stanford University 83 Awake video laryngoscopy-assisted flexible fiberoptic intubation in a patient with a large supraglottic chordoma Airway Thanh-Giang Vu, MD University of California, San Francisco 113 Management of intraoperative acute loss of MEPs in ACDF for cervical spinal epidural abscess Neuroanesthesia Timothy Ryan Walsh, MD University of California, Los Angeles 115 Dexmedetomidine sedation of patient diagnosed with severe refractory mast cell activation syndrome Perioperative Challenges and Emergencies 38 WARC 2016 Presentations Brant Wilson, MD University of California, San Diego 140 Post-operative Stridor in a Patient with Dejerine-Sottas Syndrome Airway Leah winters, MD Jason Papazian, MD University of Colorado 71 Ultrasound Use to Validate a History of Local Anesthetic Resistance Acute Pain and Regional Anesthesia Andrew T. Young, MD University of California, Los Angeles 171 Validation and Comparative Performance of a Novel Perioperative Risk Score for the Critically Ill Critical Care Tina M. Yu, MD University of California, San Francisco 232 Reducing Cost and Waste By Changing the Oxygen Delivery Device During Post Anesthesia Transport System and Practice-Based Projects Mary Yurashevich, MD, MPH Loma Linda University 180 Isoflurane Reduces Cerebrovascular Depression Induced by Sinusoidal Galvanic Vestibular Stimulation In A Rat Model of Vasovagal Syncope Neuroanesthesia Teri Zhang, MD University of Southern California 112 Methylene Blue; Last Resort in treating Vasopressor – Resistant Vasoplegia during Liver Transplantation: A Case Report Perioperative Challenges and Emergencies WARC 2016 39
