As we prepare for the unavoidable but spectacular Ot-tawa winter, I would like to extend a warm welcome to our new colleagues. A welcome to the new physicians at the Civic, General, HI, and CHEO can be found in this newsletter on page five.

On the Undergraduate front, we have made tremendous advances in our contributions to the University. The num-ber of students has doubled in the last ten years and we currently have 160 students per year. Our MS 3 rotation continues to be one of the most highly ranked rotations, according to our student evaluations. The simulator sessions are also extremely popular. We have a large number of students keenly interested in anesthesia who are doing electives with us. I would like to thank both Simone and Lucie for their work in organizing the undergraduate rotation at the General and at the Civic, respectively. In addition, this year we have 11 tutors in the Case Based Learning, preclerkship curriculum. I would definitely like to express my appreciation to those tutors who have spent the time and energy in tutoring the medical students. If their experi-ence is anything like mine, I enjoyed the experience as a tutor as much in the teaching as in learning from the students. John Penning is organizing the pain curriculum for the UGME. Alan Chaput, with his previous pharmacology credentials, has been leading the re-organization of the pharmacology curriculum. From all accounts, those objectives and lectures have been extremely well received. With all these activities, it is an understatement to say that Lucie Filteau, our UGME Director, has been working very hard and has done an excellent job.

Research has been increasing in success and recognition within our University Department and is strengthening our reputation. A manuscript by Dermot Doherty for his on-going funded research on global ischemia was recently accepted for publication by Circulation. He was of course recipient of the CAS Abbott Career Scientist Award in 2007. Alan Chaput has just received a PSI grant. Our funded research projects now include PROMISE (Perioperative Myocardial Ischemia in Isolated Hy-pertension); PROSE (Perioperative Ischemia Reduction Study); StarVAS (Short Term Atorvastatin Regime for Vascular Surgery); and a RCT on the the safety / efficacy of the perioperative administra-tion of Pregabalin. This is in addition to Shawn Hicks winning the Residents’ Research Competition at the CAS in Halifax. The quality of presentations at the Gary Johnson Day continues to be excel-lent. The increased success and productivity are definitely the fruits of hard work and dedication of many. Congratulations to all! And I apologize for any omissions. I will gladly correct any oversights in the next newsletter. Let me know!

The Champlain LHIN is currently revisiting the maternal / fetal health for the region. CHEO is very much involved in this, along with TOH, as well as many stakeholders in the region. Anesthesia is well represented, with me on the Steering Committee and Susan Goheen on one of the Task Forces. If there are any comments on the progress of this initiative, please feel free to contact myself or Susan. In the meantime, we will attempt to keep everyone updated on the developments.

The Story Continues on Page 13!

Chairman’s Report I N S I D E T H I S I S S U E :

Chairman’s Report 1

Trivia and In the News

2

Chief Resident’s Corner

2

Program Director’s Report

4

Meet our New Staff 5

Regional Update 5

Welcome PGY1’s and Fellows

6

Mentor Dinner 6

News so far this Year

7

CAS Report 8-9

Announcements 10-11

Mark Your Calen-dars

12

Alumni News 13

Letter from the Editor

14

Contributors 14

Department of Anesthesiology

Fall Newsletter F A L L 2 0 0 8 V O L U M E 7 , N U M B E R 3

The University of

Ottawa

Homer Yang and Geraint Lewis

P A G E 2

The first person to

send in the correct

answer to our Trivia

Question will

receive a $20

Chapters Gift Card!!

In the News Now

Fall Trivia

What’s happening in anesthesia now? This section of the newsletter is devoted to current and (hopefully) surprising or controversial news from the anesthesia world. Thank you to Sanjiv Gupta for supplying this issues hot topic!

FDA Rejects Schering-Plough's Anaesthetic Drug Sugammadex

NDA Article Date: 05 Aug 2008

The U.S. FDA has issued a non-approvable letter to Schering-Plough regarding the U.S. firm's New Drug Application (NDA) for sugammadex sodium. The product (also marketed under the brand Bridion) is a selective relaxant binding agent that reverses the effects of neuromuscular blockade by rocuronium in general anaesthesia. In a press statement, Schering-Plough has said that the FDA's concerns over the drug are related to hypersensitivity or allergic reactions. No issues related to the efficacy of the drug have been mentioned by the agency. Schering-Plough acquired the drug after purchasing biopharmaceutical firm Organon Biosciences in November 2007, and has since touted the experimental product as one of its main gains. Schering has noted that the product is the first innovation in two decades in the anaesthesia segment, and has committed to working with the FDA to resolve the issues behind the rejection.

“...the FDA’s concerns over the drugs are

related to hypersensi-tivity or allergic reac-

tions .”

D E P A R T M E N T O F A N E S T H E S I O L O G Y F A L L N E W S L E T T E R

This Issue’s Trivia Question is: Who is the patient in the

painting to the right? Please send your answers to: jeladouceur@toh.on.ca

A big thanks to Sanjiv Gupta for taking over the trivia section. As the Department’s Trivia Expert you can expect to be stumped and challenged by this regular section of the De-partment Newsletter.

Chief Resident’s Corner P A G E 3 V O L U M E 7 , N U M B E R 3

With the academic year now in full swing, as the new chief resident I want to welcome all of you, especially our new PGY1s and our PGY 2 and FPA residents into our resident family. As well, I want to wish all of our PGY5s the best of luck in their upcoming year as they prepare for their Royal College exams.

I hope you will join me in thanking Shawn Hicks and Amy Rodgers for all of the hard work they did last year as ‘Big Chief’ and ‘Little Chief’ respectively. After many months of negotiations with PAIRO, CAHO and TOH, Shawn, and Ilia Charapov before him, were instrumen-tal in fixing the weekend call stipend compensation we now all enjoy.

This year’s Little Chief (General site resident represen-tative) is Dan Powers and Chris Pysyk is this year’s Baby Chief (resident representative at CHEO).

It is mid September as I write this update and some activities have already taken place but many more are yet to come. At the beginning of July, we had our new resident welcome dinner at the Courtyard restaurant. This is always very well received. In August, there was the Resident Welcome BBQ organized by the PGY5s at Fitzroy Provincial Park. A great time was had by all. Especially by our token staff member, Dr. Gupta. The Korean ribs were a big hit and were my particular fa-vorite! A special thanks goes out to Jen Chow and all the PGY5s that made this event possible.

Our Respirology Core sessions have also begun and it has certainly been a breathless experience thus far! Our Journal Clubs start up this week, and the first Visiting Professor session is scheduled for Oct 1st.

Lastly, our annual Mentorship dinner is scheduled for September 22 at Allium Restaurant. As has been the case in years past, Dr. Tammy Barrows has once more organized this amazing event. Thank you Tammy and all staff members who continue to volunteer their time fostering staff-resident relationships over our time spent at U of O.

A few changes have recently taken place in the organi-zation of the resident call system. Specifically, the A-call resident at the Civic Campus is now responsible for covering the Trauma Code service. In addition, thanks to Dr. Desiree Persaud’s efforts, the A-call resident call room is now located in the main Civic Campus building on the first floor, rather than in the Parkdale Clinic.

A warm welcome back goes out to Susan Fossey and Kim Walton who have returned from their maternity leaves. We also welcome Eric Tsai, our new PGY4 who transferred in from Memorial University. Con-gratulations are in order for Rebecca Chauvin-Moga and Amy Rodgers for their recent marriages. In addi-tion, congratulations to Vance Beck and Anna Shadrina for the recent additions to their families as well as to Travis Nairn who is soon expecting twins! Honorata and I are also expecting a little one towards the end of October.* So, if I get tardy with replying to emails you will know why.

Lukasz Bartosik

Big Chief

* Editors Note: Lukasz and Honorata wel-comed their son Miko-laj Bartosik on Octo-ber 21, 2008 at 3:06am! Mikolaj means Nicholas in Polish. Lukasz and son pictured above.

“Our

Respirology Core

Sessions have

also begun and it

has certainly

been a

breathless

experience thus

far!”

P A G E 4

“On the Carms

front– last year we

added a social

event just for

residents and

applicants so the

applicants can get

the REAL info on

the program”

Linda Wynne’s The Scream!

Program Director’s Report

D E P A R T M E N T O F A N E S T H E S I O L O G Y F A L L N E W S L E T T E R

I am delighted to update the news from the residency program for the newsletter. We have had another highly successful year with 100% success at the RCPSC examination. These included our last FMG for a while who was also our 1st ever Saudi female resident. Abeer Arab finished a very successful residency and is off in Toronto doing a paediatric fellowship at Sick Kids.

We also graduated the 1st 4 anesthesia residents from the NESR stream (aka Sudbury program). Jordan Cuthbert-Hudson and Chris Hudson (yes, they also met & got married during residency – who says residents don’t have time for a social life!) are down at Duke University in the U.S. do-ing fellowships in Critical Care and Cardiac anesthesia respectively. Yvette Grabowski is on staff at the General campus prior to going away to do a fellowship and Natalie Dupuis has accepted a staff position in Sudbury.

Tania Di Renna is undergoing subspecialty training in Chronic pain in Toronto & will be returning to join us in the Pain Clinic. Sean Dickie is doing his Cardiac Anesthesia fellowship at the Heart

Institute and has accepted a staff position there when he finishes. Ilia Charapov is on staff at the Civic and also doing a masters in informatics and Sanjiv Gupta has come on staff at the civic prior to his fellow-ship year. Rob Johnston is continuing his career with NDMC and also gaining thoracic subspecialty train-ing here.

We have several new arrivals to the program – 10 PGY1s, 2 FPAs (Adrienne Mayes and Melissa Forbes). We also have Eric Tsai, a PGY4 transferred in from Nfld and Travis Nairn coming in as a re-entry after 7 years as an emergency physician.

I have totalled our last year for the residents, the total seems to be 2 engagements; 7 weddings and 3 babies (with more on the way!).

There are a few new things on the education front : Next year the PGY1 mandatory rotations will in-clude General Surgery and an Obstetric rotation mostly in the Birth Unit (that’s OB and not OB-Anesthesia). Psychiatry has been taken off mandatory rotations and there is 1 less anesthesia block. PAU will continue to be linked with APS at the Civic but all new residents at the General will also spend time in the Acute Pain Service. For the first time in a while there is a block in Neuroanesthesia. We have also created a Senior OB rotation at each campus. For next year we are developing a senior rotation at Heart Institute (details to be determined). Joanna Nawrocka has stepped down as resident Coordinator at CHEO and Ibrahim Said (previously Abu Shawan) has taken over and instigated some new and very popular teaching sessions.

On the Carms front– last year we added a social event just for residents and applicants so the applicants can get the REAL info on the program… It turned out to be a great success (judging by the caliber of PGY1s we have!) and will be repeated this year.

The excellent social program for which Ottawa is also renowned has continued very successfully. The annual camping trip was well-received by all the PGY1s in particular – it is their 1st event of the year.

The welcome dinner had its largest ever number of attendees and we are close to the space limit for Allium for the, as usual, highly successful mentor dinner in September. Tammy Barrows has stepped down as Mentor program coordinator after a very successful term. Anne Lui has graciously agreed to take on the role.

The Story Continues on page 13!

Welcome New Staff P A G E 5 V O L U M E 7 , N U M B E R 3

We’ve had several additions to the Depart-ment over the last year or so. We are pleased to welcome:

Ilia Charapov: one of our former resi-dents, he joined the Department, Civic Campus July 2008.

Amy Fraser: one of our former residents, she joined the Department, Civic Campus in December 2007.

Yvette Grabowski: one of our former residents, she joined the Department, Gen-eral Campus July 2008.

Sanjiv Gupta: one of our former resi-dents, he joined the Department, Civic

Campus July 2008.

Stephane Moffett: one of our former residents, he joined the Department, Gen-eral Campus December 2007.

Michael Szeto: a graduate of the McGill Residency Program, he joined the Depart-ment, General Campus November 2006.

Anna Wyand: one of our former resi-dents, she joined the Department, Civic Campus July 2007 but is currently doing a fellowship in Australia.

Victor Neira: Originally from Columbia., he did a Clinical Fellowship in Pediatric Anesthesia at CHEO before joining the

Department, CHEO September 2008.

Gillian Ramsey: a graduate of Queen’s, she joined the Department, CHEO in 2007.

Ben Sohmer: one of our former resi-dents, he joined the Department, Heart Institute June 2007.

Nikil Rastogi: Joining us from the Royal Victoria Hospital, he joined the Depart-ment, General Campus July 2008.

Alan Lane: Joining us from Ireland, he did a fellowship with TOH and joined the Department , General Campus January 2008.

In 2008 alone, we have had strong representation at national meetings with lectures, workshops, and case discus-sions at Winterlude, McGill refresher course, Canadian Anesthesia Society meeting, and the Ontario Anesthesia meeting. We have had visiting elective residents from UBC and University of Edmonton. Our former Regional Anesthesia fellowship graduate, Dr Jennifer Szerb, is now the current vice chair of the Regional Anesthesia Section of the Canadian Anesthesia Society—how proud we are! Current PGY-3 Anesthesia resident, Chris Pysyk, on the heels of his 2007 prize winning ultrasound spine scanning research presentation at Gary Johnson Research day pre-sented posters at both the 2008 Canadian Anesthesia Society meeting in Halifax and the American Society of Re-gional Anesthesia meeting in Cancun.

Recent Ottawa Anesthesia Canadian forces graduate Rob Johnston has been able to make use of his Regional Anes-thesia training in Afghanistan where he is currently posted. He recently sent me a message describing the successful use of the infraclavicular block in a troop who suffered a major combat related bomb injury to his hand.

We are making good use out of our ultrasound units. The Regional Anesthesia Ultrasound program is slowly gaining momentum and has proven invaluable for plexus catheter placement in our trauma and vascular patients in whom placement would not have previously been possible. Our upcoming Regional Anesthesia core program will include some didactic and training sessions with the Ultrasound!

Finally, welcome to our two new Fellows for the 2008/09 Academic year, Ray Tang from UBC and Salah Taqi from McMaster. Congratulations to Ray who recently had another addition to his family!

Happy blocking :)

Desiree Persaud MD FRCPC

Associate Professor University of Ottawa

Regional Anesthesia Director

Department of Anesthesiology, The Ottawa Hospital

“We have

strong

representation

at national

meetings with

lectures,

workshops,

and case

discussions”

Regional Anesthesia Update

Dr. Desiree Pesaud leading the ultrasound workshop at Winterlude 2008

P A G E 6

“Please join us in

welcoming Dr.

Anne Lui as the

new Mentorship

Coordinator”

New PGY1 Marc Doré and his partner Caro-

line Fugère at the PGY1 Welcome Dinner

Welcome Fellows

Welcome PGY-1’s

This years’ PGY-1 Welcome Dinner was held Monday July 7, 2008 at the Courtyard Res-taurant on George Street in the Byward Market.

The welcome dinner was a big success and had its largest ever number of attendees with over 37 people coming out to cele-brate the new arrivals into the residency program!

The Department extends a big welcome to our new Resi-dents:

Louise Sun, Rya Boscariol, Ahmed Soliman, Marc Doré, Manoj Lalu, Jordan Zacny, Melanie Toman, Diana Nose-worthy, Janie Des Rosier, and Andy Roberts.

We also welcome Eric Tsai and Travis Nairn as well as our new FPAs: Adrienne Mayes and Melissa Forbes.

Dr. Tammy Barrows has stepped down as Mentorship Coordinator. She has been working as Mentor Coordinator since 2004. The De-partment would like to thank her for her service and great work.

Please join us in welcoming Dr. Anne Lui as the new Mentorship Coordinator.

The Department of Anesthesiology literally took over Allium Restau-rant for its Annual Mentorship Dinner on Monday September 22, 2008 on Holland Avenue. The event was a great success and a lot of fun!

(Vascular 2009).

At the General: Rengarajan Janakiraman (Clinical), Robert Johnston (Thoracic), Raymond Tang (Regional), Iyad Idais (Obstetric).

At the Heart Institute: Cardiac Fellowships: Khaled Makki, Sean Dickie

At CHEO: Pediatric Fellow-ships: Mansour Al Wabari,

Deborah Mervitz, Abdullah Dashti, Naveen Eipe.

We have an excellent number of fellows once again this year as well. The Department is pleased to welcome our 2008-2009 Fellows!

At the Civic: Mohamed Al Ismaili (TEE), Mohamed Al Neaj (Vascular), Nandini Sachdeva (Clinical), Nuoer Sang (Clinical), Salah Taqi (Regional) , Naveen Eipe (Acute Pain), Hesham Talab

Left: George Dumitrascu and Rob

McNeil at the Mentor Dinner

D E P A R T M E N T O F A N E S T H E S I O L O G Y F A L L N E W S L E T T E R

Mentor Dinner

Geraint Lewis and Renga-rajan Janakiraman

Awards 2008 P A G E 7 V O L U M E 7 , N U M B E R 3

Physician Clinician Recognition Award 2008:

Congratulation to Dr. Lawrie Gar-nett who is the recipient of The Ottawa Hospital, Physician Clinician Recognition Award for the year 2008!

The award recognizes the contribu-tions of outstanding clinicians at The Ottawa Hospital. These are physi-cians who are noted for their clinical skills and their contributions to the overall well being of the Medical staff through their activities.

Having contributed his expertise and provided compassionate patient care for all these years, it is befitting that Dr Garnett is being recognized with such honours. Again, our most sincere congratulations to Dr. Garnett!

McMaster’s Athletic Hall of Fame:

Congratulations to Kim Walton who was inducted into the McMaster Ath-letic Hall of Fame for women’s swim-ming and water polo during a cere-mony September 19th at McMaster!

The First Journal Club Event on Patient Safety was held September 15, 2008. Presenter included Dr. Jeremy Stewart (PGY3), Dr. Chris Pysyk (PGY3), and Dr. Ahmed El Alfy (PGY4).

Our first Visiting Professor Dr. Lawrence Tsen from Brigham & Women’s Hospital in Boston deliv-ered the David Power Memorial Lecture October 1, 2008

This academic year already has several successful events under the belt:

Gary Johnson Research Day: A successful day of presentations and awards. The Year End Dinner and Awards were held at the beautiful National Arts Center. Congratula-tions Graduates!

Dr. Wynands’ name.

The SCA invitation states that, “Dr. John Earl Wynands was a beloved teacher, mentor, and colleague of so many of the SCA members, as well as a key leader in the SCA during its formative years.”

Dr. J. Earl Wynands, his wife Mary, son John and daughter-in-law Linda were all present at the reception which showcased photos of Dr. Wynands and his wife.

The Society of Cardiovascular An-esthesiologists (SCA) held its 30th Annual Meeting in Vancouver on June 18-22, 2008.

On June 19th there was a reception held in Dr. Wynand’s honour where it was announced that the SCA Foundation had established the Earl Wynands’ Education Fund.

This fund will support education activities and consideration is being given to begin an annual lecture in

J. Earl Wynands W. OC MD Education Fund

Department Events so Far...

Graduates at Gary Johnson Research Day. Left to Right: Rob Johnston, Tania DiRenna, Ilia Charapov, Chris Hudson, Jor-dan Cuthbert, Sean Dickie, Sanjiv Gupta, Natalie Dupuis. Front Row: Abeer Arab and Desiree Persaud

“Dr. John Earl

Wynands was

a beloved

teacher,

mentor, and

colleague of so

many of the

SCA members”

J. Earl Wynands and his wife Mary

on their wedding day (SCA Image)

P A G E 8

“ We should all be

very proud of the

Department’s

contributions to

the 2008 CAS

Annual Meeting”

CAS Report This year’s Canadian Anesthesiologists’ Society Meeting took place in Halifax Nova Scotia from June 13 to 17. The theme of this year’s meeting was “The Role of Anesthesiologists in Future Anesthesia Care Delivery”. The meeting was well attended by the Department, and we should all be very proud of the Department’s contributions to the 2008 CAS Annual Meeting. The following is a list of some of our contributors and award winners:

D E P A R T M E N T O F A N E S T H E S I O L O G Y F A L L N E W S L E T T E R

Ibrahim Abu-Shahwan: Comparison Between Sedation and General Anesthesia for Endoscopy in Chil-dren

Gregory Bryson: Best of show; presented at the Richard Knill Research Competition for: Do B-Blockers Decrease MI Following Hip and Knee Arthroplasty?

Tania Di Renna: Post-Operative Vaso Vagal Syncope: Is Intrathecal Anesthesia the Cause?

Dermot Doherty: Mitogen Activated Protein Kinase Pathways Partially Explain the Neuroprotective Effect of Anti-CD18 Therapy after Transient Global Forebrain Ischemia in Mice

George Dumitrascu: Echocardiographic Assessment of Left Ventricular Filling During Elective Cesarean Section under Spinal Anesthesia

Naveen Eipe: Capnography in Children

Ashraf Fayad: Perioperative Myocardial Ischemia in Isolated Systolic Hypertension PROMISE): A Preliminary Report

Sanjiv Gupta: Awake Laryngoscopic Evaluation with Remifentanil Trial

Shawn Hicks: 1st Place Resident Research Prize for: Lipid Therapy in a Swine Model of Bupivacaine Toxicity

Rob Johnston: Simulators can Shorten the Time to Perform Key Therapeutic Maneuvers

Kimmo Murto: Pediatric Perioperative Screening for Sleep Apnea Prior to Adenotonsillectomy

Christopher Pysyk: Ultrasound Measurements of Palpated Intercristal (Tuffier’s) Line Height in Volunteers

Uwe Schwarz: Research Award, Research Grant in Neuroanesthesia

David Skene: Recognized; Canadian Anesthesiologists’ Society Member Emeritus

Right: The Resident’s Competition Winners including

Shawn Hicks with Dr. Sheppard

Below: Uwe Schwarz receiving his research award

P A G E 9

“To catch the reader's attention, place an inte resting sentence or quote from the story here .”

CAS Highlight: Dr. Shawn Hicks We would like to highlight Dr. Shawn Hicks’ tremendous accomplishments at the CAS Meeting. Dr. Hicks abstract won the CAS “Award for the Best Paper in Regional Anesthesia and Acute Pain” and First Prize in the Residents’ Research Competition! Dr. Hicks complete abstract is published below. Congratulations Dr. Hicks!!

Dr. Hicks was quick to point out that this was a collaborative effort with contributions from several staff people in our depart-ment, including Don Miller, Greg Bryson, Elizabeth Renehan. In addition, the experiment was done in James Menegazzi's labora-tory at the University of Pittsburgh, and the project received financial support from the Chair's research fund.

Abstract: Intralipid Does Not Improve Survival in a Swine Model of Bupivacaine-Induced Cardiac Toxicity Shawn Hicks, Brian Suffoletto, Philip Empey, Samuel Poloyac, Eric Loque, David Salcido, Elizabeth Renehan, Clifton Callaway, James Menegazzi.Department of Anesthesia, University of Ottawa, Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, PA,

INTRODUCTION: Treatment of cardiovascular collapse caused by local anesthetic overdose is notoriously refrac-tory to current advanced cardiac life support guidelines. Intravenous intralipid has been suggested as a possible treat-ment (1). We felt that the available experimental evidence was insufficient to determine the effectiveness of this treatment. The objective of this study was to test the use of intralipid emulsion therapy in reversing bupivacaine-induced cardiovascular collapse when added to a standardized resuscitation protocol. METHODS: This experiment was approved by our Institutional Animal Care and Use Committee. Following stan-dardized sedation and instrumentation, 19 mixed-breed domestic swine of either sex (mean mass 25.7kg) were in-duced into cardiovascular collapse (mean arterial pressure of <30 mmHg persisting for >15 seconds) by an intrave-nous injection of 10 mg/kg bupivacaine given over 10 sec. After 5 minutes of standardized resuscitation, animals were randomized to receive either a bolus of 20% intralipid (4 ml/kg) followed by a continuous infusion (0.5 ml/kg/min) or an equal volume of saline. Investigators conducting the resuscitation were blinded to the treatment group. The primary end-point was return of spontaneous circulation (ROSC), defined as mean arterial pressure >60 mmHg for >60 sec. Secondary endpoints include coronary perfusion pressure (CPP) during CPR, time to achieve ROSC, and hemodynamic and metabolic injury post-ROSC, measured via vasopressor administration and arterial blood gas analysis. Blood was sampled at regular intervals for total bupivacaine level measurement by HPLC. RESULTS: Treatment groups were similar with respect to baseline measurements of weight, sex, hemodynamic and metabolic variables. Baseline measurements of heart rate were different, 107.6±9.7 in the intralipid group and 124.1±20.4 in the saline group (p<0.009). The time to cardiovascular collapse after bupivacaine was 30.0±6.9 sec. There was no difference in ROSC between the intralipid group (3/10) and the saline group (4/9). CPP did not differ between groups for any of the 7 time points measured. The average time to ROSC was not different between the in-tralipid group (10.0±2.5 min) and the saline group (10.4±.6 min) and the total number of shocks administered was similar between groups (mean 8.42±6.2). In the animals that achieved ROSC, more norepinephrine was required in the intralipid group compared to the saline group to maintain a MAP greater than 60 mmHg. Serum bupivacaine lev-els ranged from 10 to 45 mcg/ml, decreasing over time, with a transient increase after vasopressor administration. DISCUSSION: We found no improvement in ROSC with the use of in-tralipid during treatment of bupivacaine-induced cardiovascular collapse. These results are in stark contrast to previously published data showing a survival benefit in dogs (1). References: (1) Reg Anesth Pain Med; (2003) 28: 198-202.

P A G E 1 0

Rebecca and David Moga’s wedding showers

Wedding Announcements The Department has seen a lot of weddings over the past year. We extend our congratula-tions to all the newly wed and newly engaged couples.

Rebecca Chauvin became Mrs. Rebecca Moga on Octo-ber 6, 2007. For those of us who have been wondering who Dr. Moga is—this should help clear things up! She and her husband David Moga are pictured on the left.

Lukasz Bartosik and his wife Honorata were married Octo-ber 7, 2006 in Ottawa.

Amy Rodgers and Greg Roe-ske were married August 23, 2008.

Marc Doré and his fiancée Caroline were married Octo-ber 18, 2008.

Nicole Hale and Andy Weekes were married Sep-tember 30, 2007.

Engaged:

Joel Berube is engaged to Kristyn Phillips. They are plan-ning their wedding for Spring 2009.

I am excited to share the news that my son Hayward, after much much hard work on his part and that of his therapists no longer meets full diagnostic criteria for autism. (YEAH!) He has been reclassified in the PDD-NOS range. In the past 18 months he has gone from an essentially non-verbal moderate-severe autistic child to meeting almost all of his developmental milestones. His lan-guage in particular is now only 4 months behind that of his peers.

D E P A R T M E N T O F A N E S T H E S I O L O G Y F A L L N E W S L E T T E R

Above: Nicole Hale and Andy Weekes Left: Amy Rodgers and Greg Roeske Right: Lukasz and Honorata Bartosik

A toast to love and laugh-ter & ‘happily ever after’! Again, congratulations to all of you.

Other Department News His success has enabled him to start pre-school this fall and he is doing wonderfully. Craig and I are so thankful for all the won-derful advice, amazing support and kind thoughts from everyone in the department since we began this journey with him.

Tammy Barrows

Great News from Tammy Barrows:

“Craig and I are so thankful for all the won-

derful advice, amazing sup-port and kind

thoughts from everyone…”

Baby Announcements P A G E 1 1 V O L U M E 7 , N U M B E R 3

Dr. Vance Beck and his wife are happy to announce the arrival of their daughter Olivia Katherine Beck on June 25, 2008. Born 2 weeks late at 8.2lbs she is already proving to be a handful!! Dr. Beck will be back in Ottawa the summer of 2009.

Dr. Anna Shadrina and her husband Alex Zhmutskiy are now proud parents of little Veronika, born June 24, 2008 weighing 7.1lbs.

Dr. Simone Crooks and Hassan are thrilled to announce the arrival of Sofia Shenassa who was born March 22, 2008, weighing 6 lbs, 11 oz. Simone says, “I am a little stunned, very exhausted and com-pletely in love with the sweetest little girl ever”.

Dr. Amy Fraser and Krishna Sharma welcomed their daughter Ally Sharma into the world March 17, 2008.

Dr. Lukasz Bartosik and his wife Hon-orata welcomed their son on October 21, 2008. The little guy wanted to meet the world bottom first but Nathalie Flem-ing changed his mind. Lukasz wanted to thank Dr. Elliott for an excellent spinal.

And there are more baby an-nouncements: Drs Hendy, Fossey, Al-Qadhi, Wyand, Walton and Ramez have all welcomed a little one into their lives over the past year or so.

Above: Sofia Shenassa

Below: Ally Sharma

Kathmandu, Nepal who even pro-duced a tribute to him.

Farewell: Dr. Marc Marion’s (right) last day was celebrated with chocolate cake. Dr. Marion was an FP with the department from Sep-tember 2007 to September 2008. He has now returned to Carleton Place to resume Family Practice.

Tribute: Dr. Elliott J. Rhine (1938-2008): Dr. Rhine worked at CHEO as an Associate Professor at the Department of Anesthesia from 1974 to 2000 when he retired. Dr. Rhine was known for his overseas work in Saudi Arabia, Nepal, and New Zealand. In fact, he was well-loved by the staff and residents in

Farewells and Tributes

Above: Anna and Veronika Shadrina

Below: Olivia Katherine Beck

P A G E 1 2

Mark your Calendars Anesthesia...

Anesthesia knows how to have a good time! Left: The Ladies! Lucie Filteau’s Birthday bash at the Urban Ele-ment on Parkdale Saturday May 24, 2008. From Left to Right: Drs. Wynne, Murphy, Tallmadge, Ann Escott, Drs. Filteau, Lui, and Per-saud.

Right: Residents Leilani Doyle and Jenn Backstrom (transferred out of Anesthesia) with Prime Minister Steven Harper at a Sens Game. Not only do we know how to have fun but it looks like Anesthe-sia has some connection as well. This photo is from 2006-2007.

D E P A R T M E N T O F A N E S T H E S I O L O G Y F A L L N E W S L E T T E R

Schedule of Events

} November 5th: Visiting Professor Dr. Micheal A. Seropian

} November 17th: Combined Research & Journal Club Meeting

} November 20—23rd: ASRA Conference

} December 3rd: Visiting Professor Dr. Tho-mas J. Ebert

} Family Christmas Party is December 7th at the Centurian Center

} January 7th—Rachel Waugh Memorial Lec-ture at CHEO

Spotlight on: Winterlude Symposium, February 7 & 8, 2009

Planning for the 15th Annual Winterlude Anesthesia Symposium is now well under way. A programme has been established and our speakers have been confirmed. I would like to urge you all to go see the Winterlude’s new and improved website. A big thank you Ilia for working so very hard on the website. It looks fantastic: (http://www.ottawa-anesthesia.org/winterlude/)

Dr. Ashraf Fayad who has been chairing the Winterlude Planning Committee since 2005 has stepped down. Under his guidance and leadership Winterlude hit a record number of attendees. Thank you Dr. Fayad for all your hard work and dedication to this project.

Dr. Dermot Doherty has stepped in as the new Winterlude Planning Committee Chairman, and has wasted no time taking up the reigns. Dr. Doherty’s new ideas are sure to make this year’s Winterlude Symposium exciting. Shawn Hicks and Bernie Mac-Donald have also joined the Planning Committee.

The theme of this year’s Winterlude Symposium is Knowledge Transfer in Periopera-tive Medicine. The conference will focus on addressing problems that are encountered in the application of evidence based medicine in various specialty areas and will en-courage discussion of how to use knowledge to improve safety in patient care and why we are failing to do so.

Registration is now open!!

Above: Dr. Robert Byrick receiving the J. Earl Wy-

nands Lecture Certificate from Dr. Homer Yang

V O L U M E 7 , N U M B E R 3 P A G E 1 3

Program Directors Report (con’t from pg. 2)

Alumni News: Maan Kattan and the Saudi Graduates Hi From Jeddah, Saudi Arabia.

Things are going well here. I started as attending staff in King Abdulaziz Medical City -KAMC-(National Guard Hospital ) as soon as I arrived in Jeddah, and am doing a good variety of cases with a lot Regional and Thoracics. I helped restructure the Acute Pain Service (Ottawa Style ) including all modalities (IV PCA, Epidural and Regional analgesia) with having a full team from APS nurses running clinical duties and educational workshops. Regional modalities are gaining popularity among surgeons here (using stimulating catheters and U/S guidance). I have been running both acute and chronic as director for 8 months now and we are covering all surgical wards after re-launching the APS. Painful Tuesdays is my full day of chronic pain practice (it is quit busy). It includes all types of interventions and a plan to introduce a neuromodulation unit in the near future. I have been chosen as teacher of the year in the annual residents day, as we are heavily involved in Saudi Board teaching. In other news, it was nice to see Patti and Ted in the world congress in South Africa and get to hear about the latest and greatest in Ottawa.

Enough said about me! As for the rest of the Ottawa graduate they are all doing well. Dr. Kaki is now the head of the scientific council for the Saudi Board in Anesthesia for the whole Kingdom. He was also re-elected as a chairman of the anesthesia department in the university hospital. Also, Abdullah Kaki succeeded in founding the Saudi Pain and Regional Anesthesia Society. He is now waiting to be promoted as a full professor soon. As for Dr. Jamal Alhashemi: He got his full professor status this year and is practising both anesthe-sia and ICU in the university hospital and still going crazy with his papers. Dr. Daghistani is our chairman in our hospital and my partner in Regional and Acute pain practice. We do help each other in doing the blocks and difficult thoracic cases and we are starting a new research project together soon. Dr. Simbawa is our resident training coordinator for our site and practising mainly pediatric and vascu-lar anesthesia (he can't wait till the TEE machine arrives by the end of this year). We are all gathering quarterly for fishing and diving trips and monthly for city wide Journal Clubs.

We all do miss Ottawa (not so much the cold weather), and I hope to see all of you soon within the next year or so.

Maan Kattan

Xmas/holiday parties/brunch are on the horizon. It’s a great time of year for all of us. I know a couple of the more avid poker-playing residents have graduated so to my knowledge there hasn’t been a game recently (or maybe they just haven’t told me!)

Our PGY5s attended Making a Mark in Banff (for the last time – it’s moving to Toronto for this year). As usual, what happens in Banff stays in Banff…

Gary Johnson Day this year was held at the NAC and was very well-received by our biggest ever number of attendees. This event has been peripatetic recently but we will be back at the NAC for 2010 and hopefully from then on.

On a personal note, instead of my usual exotic vacation, I moved for the 1st time in 18 years. Amazing how much one can acquire in 18 years…I discovered a box labeled “Linda’s desk 1997” which gives you some idea what I had to deal with! Condo living is not condu-cive to being a packrat so… welcome to the new-improved me! The dogs have settled nicely into condo living, helped by the discovery that they can lie on the bed and survey the whole condo. They have figured out the elevator much faster than I expected and love the sun-trap of the south-facing terrace. Such hedonists!

Linda Wynne

The Winterlude Symposium continues to provide an excellent venue for our CME as well as for the many visitors from outside Ottawa. This year, Ashraf Fayad, after taking the lead in organizing the Symposium for 3 years, is passing over the reigns to Dermot Doherty. I would like to take this opportunity to express my appre-ciation to Ashraf for all his hard work and for a very successful Winterlude. Of course, Dermot with his usual enthusiasm has already immersed himself in organizing the upcoming Winterlude. Please join me in welcoming Dermot in taking on this leadership role. The upcoming program is promising to be excellent.

Of course, our Department continues to evolve, amidst all the changes around us, in the current healthcare envi-ronment. As usual, my door is open. Please feel free to drop me a line.

Homer Yang

Chairman’s Report (con’t from pg. 1)

Thank you to all the contributors to the Fall 2008 Newslet-ter!

Contributors include: Homer Yang, Linda Wynne, Lukasz Bartosik,, Desiree Persaud, Lucie Filteau, Sanjiv Gupta, Donald Miller, Shawn Hicks, Tammy Barrows, and Maan Kattan,

Again I want to thank Dr. Filteau who has provided many of the stories in the news-letter and continues to provide excellent photos for all the major events. Thank you so much!

Thank you to everyone who has provided me with news snippets and sent me off on news trails. Also, thank you to everyone who has sent me pictures.

Invisible contributions were made by all of the Department Administrative Assistants. Jennifer, Angie, Holly, Lynne, Eric, and France were all instrumental in getting this information.

There have been a few changes in terms of administration in the Department. We have two new administrative staff members.

Jennifer Borup: Administrative Coordinator, Department of Pediatric Anesthesiology at CHEO. Jennifer has a lot of

experience in the medical setting. She was working at the Riverside for 15 years in Health Records, followed by 3 years as Admin Assistant for the Chief of Staff at the Riverside. She also ran a Medical Transcription Business for over 15 years.

Barbara Duplessis: Administrative Assistant for Dr. Homer Yang and Lynne McHardy at the Civic Campus. Barbara is joining us from Canadian Blood Ser-

vices here in Ottawa. Previously she was working for the Calgary Foothills Region as administrative assistant in neurosurgery. She started September 2008.

Welcome Ladies!

Please send any submissions to: University of Ottawa

Department of Anesthesiology

The Ottawa Hospital, Civic Campus

1053 Carling Avenue, Box 249-C

Ottawa, ON K1Y 4E9

Phone: 613-798-5555 ext. 16407

Fax: 613-761-5032

E-mail: jeladouceur@toh.on.ca

So here I am, trying to resurrect the Department Newsletter after a

dormancy period of approximately 2 years—a difficult task for the most

ambitious of us! Of course, it will be impossible for me to fill the shoes

of our very talented former Editor, Dr. Lucie Filteau, and so my task, it

seems, is all the more daunting. I want to thank all of the contributors

to the Fall 2008 newsletter who certainly helped to make this project

an easier one. Unfortunately, there is certainly more to cover than the

scope of this newsletter will allow. So I want to apologize right away

for the events, announcements, news and information that I have inevi-

tably left out of this newsletter. And I would like to take this opportu-

nity to promise to make amends for these oversights in the next issue if

you send me an email detailing what I’ve missed. And I would also like

to encourage all of you to send your comments and suggestions as well

as stories and pictures. Finally, I hope you enjoy the Fall 2008 News-

letter!!

Jessica Ladouceur

SUBMIT, SUBMIT, SUBMIT!!!

Fall 2008 Contributors

The Department of Anesthesiology Newsletter will continue to be published 3 times per year: Fall, Winter/Spring and Summer! Send your photos, events, news, information, etc anytime!

Group Photo—Gary Johnson Research Day

We’re on the Web http://www.ottawa-anesthesia.org/

A Word from the Editor

Admin Update