News from IARS 2016
ISPCOP up-date from the 2016 annual meeting of the International Anesthesia Research Society (IARS), held in San Francisco, USA, May 21 – 24.
Photo Credit: Footage Firm
In their PBLD, Drs. Olubukola Nafiu and Elizabeth S. Yun, presented a problem-based learning discussion (PBLD) titled: Tonsillectomy in obese children: fools dare where angels fear to tread! This PBLD focused on the burgeoning problem of childhood obesity. The session was attended by 12 registrants with a wide variety of clinical experience and it generated lively discussions. Drs. Nafiu and Yun emphasized the need for screening obese children for obesity-related co-morbidities including hypertension, diabetes, and sleep disordered breathing during the preoperative assessment. The presenters also provided the attendees with simple tools for classifying children within BMI categories. The moderators discussed childhood obesity and the many differences between childhood and adult obesity. The perioperative interactions between pediatric obesity and airway complications were specifically addressed. As for the adult patient with obesity, the difficult dilemma of medication dosing particularly in the extremely obese child is a major concern for the pediatric anesthesiologist that was explored during this PBLD. Finally, the subject of the supraglottic airway for tonsillectomy generated considerable discussion among participants, reflecting the high level of interest in this subject.
Dr. Stephanie Jones and Dr. Cindy Ku led a PBLD bright and early on Sunday morning, entitled "How Big is Too Big for Outpatient Surgery?” A small but enthusiastic group of participants covered a variety of topics including the patient with obstructive sleep apnea in a freestanding ambulatory surgery center (ASC), working with surgeons and their schedulers to establish acceptable guidelines for the patient with obesity in an ASC, intraoperative ventilation strategies, and options for opioid-sparing multimodal pain control in the US and France.