AM Highlights 2012 - Pediatric PACU Challenges

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Course Fee
Member price: $31.50
Non-member price: $42.00

This course is a part of Annual Meeting Highlights 2012

Course Description

THIS IS AN ONLINE ACTIVITY. Hard copies are not available.

Member price: $31.50, Non-member price: $42.00

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This clinical Forum will focus on problems which continue to baffle anesthesiologists in the post-op period because of the multifactorial etiolgy as well difficulty in correctly diagnosing and treating the problem. Emergence delirium is prevalent but poorly understood and treatment regimes are not conclusive. The expert panelist will educate the attendees on the current data regarding identifying this phenomenon and studies to assess and treat the problem. Education of perioperative nurses as well informing the parents of the possibility of emergence delirium can help the management of ED.

Learning Objectives:

After completing this activity, the learner will be able to:

1) Identify the multiple etiology of ED in children;
2) Use perioperative measuring tools to gauge the propensity of a particular child to have ED and prophylactically treat it as well as educate the parents about its occurrence;
3) Identify pain scales utilized in infants and children and the appropriate ways to treat evaluate score and treat pain in this age group;
4) Identify side effects of the commonly used pain medications and the methods to reverse respiratory depression in children.

Faculty & Credentials:

Susan Verghese, M.D.
Children's National Medical Center, Washington, DC, USA.

Susan T Verghese, MD, is Professor of Anesthesiology and Pediatrics at the George Washington University Medical Center, and a senior staff member at the department of anesthesia at Children’s National Medical Center in Washington, DC. She is an internationally recognized expert in Ultrasound Assisted Vascular Access in infants and children. Dr. Verghese earned her medical degree at Christian Medical College, Vellore from the University of Madras, India and joined the CNMC anesthesia staff in 1982 as an attending anesthesiologist. Her residency in Anesthesia was at the Peter Bent Brigham and affiliated hospitals at the Harvard Medical School, Boston, Massachusetts after which she completed a pediatric anesthesia fellowship in 1981 at CNMC.  Dr Verghese is well known national and international speaker and has been invited to the major international meetings as a speaker in Pediatric Anesthesia topics. Her lecture topics include Ultrasound Assisted Vascular Access, Anesthesia for children with CHD coming for non cardiac surgery, Newborn surgical emergencies, and Cutaneous analgesia in children. She has been a journal reviewer for Anesthesia and Analgesia, Practical Reviews in Anesthesiology, Audio Reviews Oakstone Medical Publishing, Anesthesiology News, Pediatric Anesthesia, Journal of Critical Care Medicine and the Journal of Clinical Anesthesia. In addition, she is currently the chair of the Subcommittee on Pediatric Anesthesia and a reviewer for The American Society of Anesthesiologists (ASA) annual meeting abstract submissions for the last few decades.

Zeev Kain, M.D.
UCI, Orange County, CA, USA.

Zeev Kain is the Chair of the Department of Anesthesiology and Perioperative care at UCI School of Medicine, associate dean for clinical operations and the director of the Center for Advancement of Pediatric Health.  Dr. Kain is recognized as an international expert in the clinical management of perioperative anxiety and pain in children. Over the past 20 years, Dr. Kain has built an interdisciplinary team of anesthesiologists, surgeons, developmental pediatricians, clinical psychologists, and acupuncturists to better understand the effects of children’s pain and anxiety during the Perioperative period as well as to develop interventions to prevent emotional trauma and poor outcomes. In recent years, Dr. Kain’s interest in integrative medicine has led him to investigate several promising non-pharmacologic interventions. Dr. Kain has been and continues to be recognized since 2006 as a Best Doctor in America and as an internationally renowned Pediatric Anesthesiologist. As chair, he leads a team of highly accomplished and experienced physicians in the department of Anesthesiology & Perioperative Medicine.   In Dr. Kain’s role as Associate Dean for Clinical Operations, he is dedicated to the continual assessment and improvement to system processes in order to improve patient safety throughout the hospital.

Raafat Hannallah, M.D.
Children's National Medical Center, Washington, DC, USA.

Raafat S. Hannallah, MD, is Professor of Anesthesiology and Pediatrics at George Washington University Medical Center, and a Senior Attending Anesthesiologist at Children’s National Medical Center, in Washington, DC.

Dr. Hannallah earned his medical degree at Cairo University Faculty of Medicine in Cairo, Egypt. His residencies were completed at the McGill University Teaching Hospitals in Montréal, Quebec, Canada. His fellowship in Pediatric Anesthesia was conducted at Montréal Children’s Hospital.

Dr. Hannallah has authored and coauthored more than 100 articles, 110 abstracts, 35 books and book chapters, and 300 invited lectures and presentations around the world concerning pediatric perioperative anesthetic management, ambulatory anesthesia and pain management, and related topics. He is a member of the American Society of Anesthesiologists (Alternate Director for the District of Columbia), the International Anesthesia Research Society, the Society for Ambulatory Anesthesia (Past President), and the Society of Pediatric Anesthesia (membership # 8), among others. Dr. Hannallah is the 2003 recipient of the Society for Ambulatory Anesthesia’s Distinguished Service Award, and the Bernard H. Eliasberg Medal for outstanding contributions to the field of anesthesiology. He currently serves on the Board of Directors of the American Society of Anesthesiologists and the General Assembly of the International Association for Ambulatory Surgery (IAAS).  

Linda J. Mason, M.D..
Loma Linda University Medical Center, Loma Linda, CA, USA.

Linda J. Mason, M.D., is Professor of Anesthesiology and Pediatrics at Loma Linda University and Director of Pediatric Anesthesiology at Loma Linda University Medical Center.  Dr. Mason served the California Society of Anesthesiologists as President of the Society from May 2004 thru May 2005.  She is currently the ASA Assistant Secretary.  Dr. Mason is Past President, Association of Anesthesiology Subspecialty Program Directors (AASPD) (2008-2009) and is a Member, Accreditation Council for Graduate Medical Education (ACGME) Review Committee for Anesthesiology (2010-present).


Susan Verghese, M.D., Zeev Kain, M.D., and Linda J. Mason, M.D. have no financial interest in or affiliation with any commercial supporter or providers of any commercial services discussed in this educational material.  Raafat Hannallah, M.D. discloses financial relationships with Baxter Healthcare, self, consulting fees, and honoraria.

ASA Staff: Employees involved in planning have no relevant financial relationships to disclose.

Resolutions of Conflicts of Interest

In accordance with the ACCME Standards for Commercial Support of CME, the American Society of Anesthesiologists will implement mechanisms, prior to the planning and implementation of this CME activity, to identify and resolve conflicts of interest for all individuals in a position to control content of this CME activity.


The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

Core Competencies:

Medical knowledge

Target Audience:


CME Credit:

1.50 AMA PRA Category 1 Credit™

The American Society of Anesthesiologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Society of Anesthesiologists designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

1.50 Non-physician Credit

Non-physicians may receive a Certificate of Completion stating that this activity was designated for 1.50 AMA PRA Category 1 Credit(s)™.


Take the pre-test, watch the recording and take the post-test online.

Required Hardware / Software:

Internet connection, web browser version must have been released within the last three years. Video is iPad compatible. IE users must have IE 8 or higher (

Activity Release Date:

08/15/2012 (All day)

Activity Expiration Date:

08/14/2015 (All day)

Estimated Time to Complete:

90 minutes