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

New Departmental Research PublicationsSwaminathan 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 ArtistsAcademic 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.

Lecture Hall Renovation NoticeFor 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 Eye Center).

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.

Department of Anesthesiology Research ConferenceMonday, April 12, 20105-6 pm in 5685-HAFS

“Catching, not Fishing - Smart Candidate Selection for Genetic Association Studies”

Andrew Shaw, BSc, MBBS, FRCA, FCCMAssociate ProfessorAnesthesiology-Cardiac Division

Upcoming:Monday, June 14th

Hyperbaric Grand RoundsMEDICINE AND WORK PERFORMANCE

AT HIGH TERRESTRIAL ALTITUDES

Stephen R. Muza, Ph.D.U.S. Army Research Institute of Environmental

MedicineNatick, MA USA

5 PM, Monday, April 19Joseph & Kathleen Bryan Research Bldg, Room 103

311 Research Drive

CALL FOR ABSTRACTSDEADLINE MONDAY, APRIL 19, 2010

Eighteenth Annual Academic Evening

Tuesday, May 18, 2010 at 5:45 pmMillennium Hotel

Durham, NC

ACAD

EMIC

EVE

NING

5:45 pm – Poster Presentations7pm – Dinner, Guest Speaker, AwardsGuest 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)

2010

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THIs MoNTH IN THE DEPARTMENT of ANEsTHEsIoLogy

April 2010MoNDAy TUEsDAy WEDNEsDAy THURsDAy fRIDAy5 6 7 8 9

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

2:30-3:30 p.m., VAMCVA EchocardiographyConference

5-6 p.m., 5685-HAFSFaculty Meeting

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

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

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

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

6:30 a.m., 2001DNResident Conference Lecture: “Conse-quences of Hypovolemia:Theories & Basic Science” - TJ Gan, MD

7:15 a.m., 2001DNGrand Rounds: “Surgical Wound Infec-tion: More Mandates than Data” - Elliott Bennett-Guerrero, MD

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

12:00-12:45 p.m., 2003DNCritical Care Grand Rounds: “Adult Respiratory Distress Syndrome (ARDS)” - Dr. Neil MacIntyre

4-5 p.m., 5680A-HAFSPediatric Conference

5-6 p.m., 7683A-HAFSResident Journal Club

5-6 p.m., 5685-HAFSDepartment Fellow/Faculty Fellow/Fac-ulty Preceptor Seminar: “Patient Safety Topics” - Jonathan Mark, MD

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

2:30-3:30 p.m., VAMCVA EchocardiographyConference

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

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

5-6 p.m., 5685-HAFSCT Conference

5-6 p.m. 6686-HAFSGVTCCM Conference: “Domestic Volun-teerism” - John Scarborough, MD

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

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

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

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

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

12:00-12:45 p.m., 2003DNCritical Care Conference: CANCELLED

4-5 p.m., 5680A-HAFSPediatric Conference

5-6 p.m., Location TBAEducation Executive Committee Meeting

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

2:30-3:30 p.m., VAMCVA EchocardiographyConference

5-6 p.m., 5685-HAFSCT Conference

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

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

6:30 a.m., 2001DNResident Conference Lecture: “DNR Orders: Legal & Ethical Issues” - Holly Muir, MD

7:15 a.m., 2001DNGrand Rounds: “Perioperative Blood Transfusion” - David Martin, MD

12:00 p.m., 5685-HAfsoffICE PRofEssIoNALs DAy

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

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

4-5 p.m., 5680A-HAFSPediatric Conference

5-6 p.m., 7683A-HAFSResident Education Session: “Thoracic Epidural Anesthesia/Analgesia - Clinical Pearls” - Mark Stafford Smith, MD

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

2:30-3:30 p.m., VAMCVA EchocardiographyConference

5-6 p.m., 5685-HAFSCT Conference

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

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

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

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

7:15 a.m., 2001DNGrand Rounds: “Clinical Case Confer-ence: Obstructive Sleep Apnea” - Drs. Ronald Olson, Richard Moon & Andrew Krystal

5 p.m., Chen Conference RoomNeuroradiology Conference

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

12:00-12:45 p.m., 2003DNCritical Care Conference

4-5 p.m., 5680A-HAFSPediatric Conference

Upcoming:2010 Academic Evening: Tuesday, May 18, 2010. | Millennium Hotel | Durham, NC2010 Resident graduation Banquet: Saturday, June 12, 2010 | Hope Valley Country Club | Durham, NC2010 AsA Annual Meeting: October 16-20, 2010 | San Diego, CA2010 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.

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ANEsTHEsIoLogy CME ACTIVITIEs

Departmental CME Activities

Carolina Cadaver CourseMay 22-23, 2010 | The Duke school of Nursing, Durham, NCfor 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 oRJune 6-9, 2010 | Disney’s yacht and Beach Club Resort, Lake Buena Vista, fLfor more information, contact Katherine siler: siler006@mc.duke.edu.

13th Annual Duke Cardiothoracic Update and TEE Review CourseAugust 5-8, 2010 | sea Pines Resort, Hilton Head Island, sCfor 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 Course2010 Dates Available | Duke University Medical Center, Durham, NCfor 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 ul-trasound 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 Echocardiography2010 Dates Available | Duke University Medical Center, Durham, NCfor 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.

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THE BACK PAgE

ClassifiedsWanted

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

SAVE THE DATE

2010Office Professional Day

Celebration

Wednesday, April 21, 20105685-HAFS Building

save the Date: Duke surgery global Health symposium, April 24, 2010The 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 DepartmentCongratulations 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 DayWarwick 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. 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

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 OlufolabiDaniel Geniton Dr. Charles PeeryDr. Joel Goldberg Dale PotterDr. Nancy Knudsen Joseph RybickiDr. Karen Nielsen

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