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.

SanFrancisco
Photo Credit: Footage Firm

This year ISPCOP participated at the IARS with 2 PBLDs and a 90-minute panel that received a ‘prime time’ 2:45 presentation slot on Sunday afternoon. This well attended panel entitled “Bariatric Anesthesia – Use of Evidence and Technology to Optimize Care” was moderated by Dr. Stephanie Jones, the immediate past president of ISPCOP. Dr. Michael Margarson from Chichester, UK started the event with a discussion of airway assessment and prediction in the bariatric patient. Airway management for our challenging population remains a topic of great interest for practitioners as indicated by the attendee questions at the end of the panel. He was followed by Dr. David Torres from Santiago, Chile who introduced the practical application of ultrasound in airway assessment pre- and postintubation, and also determination of fasting status and gastric content. The possible benefits of the relatively novel concepts of ultrasound for identification of the cricothyroid membrane and confirmation of intubation as well as gastric content assessment became obvious in this presentation. Dr. Roman Schumann, the current ISPCOP president concluded the series of panel talks with an examination of the links between obesity, inflammation, metabolic syndrome and OSA – what we know and what we would like to know. While science has uncovered the connections between these inflammatory conditions, their distinct contributions to the perioperative course of our patients and our ability to improve outcomes remain a matter of active inquiry. The last 15 minutes of the session was dedicated to questions and answers from the audience, and a lively discussion on practical airway management and ultrasound use ensued. This year’s panel was one of the most successful ISPCOP contributions at the IARS, and we are preparing a proposal for the IARS 2017. Let us know what you would like to see addressed next year at This email address is being protected from spambots. You need JavaScript enabled to view it..

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.