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president's message

It’s been an Honor and a Privilege


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Simulators for Transesophageal Echocardiography Training

drug & innovation update

The Effect of Fish Oil on Hemostasis and Coagulations During Cardiac Surgery

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Cardiomyocyte Proliferation Contributes to Heart Growth in Young Humans

Effect Of Rescue Breathing During Cardiopulmonary Resuscitation On Lung Function After Restoration Of Spontaneous Circulation In A Porcine Model Of Prolonged Cardiac Arrest

Goal-Directed Therapy In Cardiac Surgery: A systematic review and meta-analysis

Remifentanil During Cardiac Surgery Is Associated With Chronic Thoracic Pain One Year After Sternotomy

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Coronary Artery Bypass Surgery With or Without Mitral Valve Annuloplasty in Moderate Functional Ischemic Mitral Regurgitation: Final Results of the Randomized Ischemic Mitral Evaluation (RIME) Trial

Echo Corner

Case: 34-year-old female coming for open-heart surgery. Her intraop echo exam revealed this finding.

foundation Update

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President's Message

It’s been an Honor and a Privilege

When my presidency began 2 years ago, I asked that all of us continue to support the SCA - our society - no less than the manner that led us to our noteworthy and successful past. As I now prepare to turn over the gavel to Scott Reeves, I can say with pride and certainty that our society - with the dedicated help and commitment from our membership, has moved forward and we have much to celebrate and be proud of. As we prepare to enter an era of certain change for our profession, there remains much to do. However, it is with the spirit of our history of meeting challenges that I would like to review some of the significant moments that occurred in the SCA over these last two years.

  • A new interactive website was created to help facilitate our goal of outreach and enable us to build creative electronic educational opportunities.
  • We now have a comprehensive, self-directed professional development program in echocardiography and clinical ultrasound. The “SCA On-CUE” program launched with Course Directors: Colin Royse and Alistair Royse, is the first On-line Clinical Ultrasound and Echocardiography Courses provided to SCA members and should complement our other conferences, workshops, and update meetings.
  • Our new website also features a member friendly option including a portal with online dues payment, CME registration and discounts, CME verification and certificates, member directory, free job postings as well as a “SCA MEMBER FORUM” page.
  • After a request from our membership committee led by Glenn Murphy, the SCA introduced social media services (Facebook) to its members.
  • The electronic fellowship education lecture series created by many volunteers who worked with Steve Ginsberg in developing content was launched.
  • An inaugural and now what appears to be an annual SCA-STS symposium brokered by Stan Shernan was agreed to by SCA and STS leadership and will be held at the annual STS and SCA meetings respectively.
  • The ASA and SCA worked together to create, promote and house a basic TEE instructional tool with NBE acknowledgement for anesthesiologists to achieve TEE basic certification.
  • A contract for management of the CV Fellowship match program was negotiated and signed on behalf of all cardiovascular-thoracic fellowship accredited programs.
  • The CV Fellowship match program was launched.
  • The SCA launched the Annual Thoracic Anesthesia symposium which was chaired by Peter Slinger.
  • After a herculean effort by many individuals, most noteworthy Mark Stafford Smith and Al Cheung, the SCA formally submitted a 400 plus page application to the ABA for sub-specialty certification. This marks an important step in a long process that began over 8 years ago when the SCA was granted fellowship accreditation status.
  • After countless hours of work and commitment by many individuals the SCA has now successfully completed negotiations with the STS for an adult cardiac anesthesia database module to be enveloped into the existing STS adult cardiac surgery database. The SCA is pleased to now be a part of this premiere data set as an Adult Cardiovascular Anesthesia module going forward. The 60 database fields in the cardiac anesthesia module were created with help from a work group led by Joseph Mathew. These fields are comprehensive and will enable one to capture patient risk factors, operative techniques, processes, and clinical outcomes. This database relationship between the SCA and the STS leapfrogs our society into a leading position to shape and manage our future with evidence based arguments regarding the value of anesthesia sub-specialty care. This partnership with the STS Adult Cardiac Surgery Database – the largest cardiothoracic surgery outcomes and quality improvement program in the world – connects our soon to be created databank to more than 4.9 million cardiothoracic surgical procedure records.

Now that the plan to have a SCA database formally exists, it is important that we all participate. The Society of Cardiovascular Anesthesiologists invites and encourages you to join your colleagues in participating in the SCA-STS National Database for the collection of adult cardiac anesthesia clinical data because we are in the best position to measure our clinical performance accurately and objectively.

This SCA/STS national database has many participation benefits including:

  • A standardized format for data collection to assess the care of adult patients undergoing cardiothoracic operations
  • Quarterly performance outcomes reports in a risk-adjusted format which allows comparison of local outcomes to regional benchmarks and national standards
  • Analysis of major outcomes and process-of-care measures that impact adult cardiac surgery patients
  • Composite quality measure scores for CABG and AVR and associated ratings
  • Risk profiles of patients in your practice benchmarked against national standards
  • Feedback reports to identify areas for quality improvement
  • Reports feedback to document outcomes for quality improvement initiatives
  • Assessment data on new technology and techniques
  • Documentation of the quality of care delivered by your practice for interested third-party entities
  • Participation in a national quality improvement effort for adult cardiac surgery that has an impact at the local, regional, and national levels.

Thank you for working so hard to help push the SCA forward. This is my last president’s message and it’s been an Honor and a Privilege to serve the SCA as your president.

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