The Society of Critical Care Anesthesiologists

Volume 30 | Issue 3 | August 2019

President’s Message
by Daniel R. Brown, MD, PhD, FCCM

I hope that you are having a great summer. The contributions from many SOCCA volunteers are helping develop exciting projects with deliverables I believe the membership as a whole will find engaging and valuable. In this issue of the Interchange, I would like to highlight some the current efforts by the Education and Research Committees since they met in May in Montreal.

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Editor’s Message
by Kevin W. Hatton, MD, FCCM

It has been my privilege to be Editor of the SOCCA Interchange. It is a daunting task…but worth the work. This work has easily demonstrated to me the power of our Society and its membership. The vast knowledge, experience, and ability to collaborate, frequently with short notice, is exciting, invigorating and a testament to you all.

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Education Committee Update
by Sheela Pai Cole, MD

The SOCCA Education Committee has undergone substantial changes in the past year. We have grown to become 12-person strong and we have developed clear directives, focusing on the SOCCA strategic goals. Coordinating a successful annual meeting remains the prime focus of the committee and planning for the next annual meeting (to be held in San Francisco) has already begun under the direction of Peter Von Homeyer MD, FASE, the annual program chair.

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Research Committee Update
by Robert D. Stevens, MD, FCCM

The SOCCA Research Committee has embarked on a strategic realignment intended to best serve the members of the Society and of the Anesthesiology Critical Care community, at large. The Research Committee has traditionally worked to aggregate and analyze data on Anesthesiology Critical Care practices and on SOCCA membership.

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Social Media Highlights
by Michael Fierro, MD

Nearly three years ago SOCCA dove into #SoMe with its twitter account @SOCCA_CritCare, and since that time has covered 3 SOCCA conferences, 2 ASA meetings, and shared #CriticalCare content with over 800 followers. We had our most engaging twitter exchange yet during May’s annual meeting (#SOCCA19) and the aligned meeting days with the International Anesthesia Research Society (IARS) and the Association of University Anesthesiologists (AUA).

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Prediction of Patient Deterioration on the General Care Floor and its Implications for Critical Care – A Special Series on Perioperative Patient Safety
by Ashish K. Khanna MD, FCCP, FCCM*

While anesthesia-related intraoperative mortality is rare, all-cause postoperative mortality, defined as death within the first 30 days of surgery, remains common. Overall, 30-day postoperative morality occurs in approximately 1-2% of all patients—approximately 1,000 times more frequently than anesthesia-related intraoperative mortality.

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Work-Life Balance: Squeezing Water from a Stone
by Jordan Brand, MD

While there is some disagreement about the details, many observers of the medical profession believe that we are sailing into the teeth of an intensivist shortage, especially with an aging population that has a greater expectation for complex care late in life. The severity of this shortage is hard to assess, as conclusions have varied widely depending on the methodology used.

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“Did You See This?”
by C. Patrick Henson, DO

Adult acute respiratory distress syndrome (ARDS) remains a serious problem, accounting for or complicating close to 10% of all ICU admissions, and with an associated mortality in the 35-45% range. Robust clinical evidence for ventilatory management has helped to create established and accepted guidelines for parameters such as ideal tidal volume of 4-8 cc/kg predicted body weight, optimal PEEP to avoid hypoxemia and de-recruitment while minimizing barotrauma, and this has resulted in improved survival outcomes in patients with ARDS.

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Call for Articles

If you have an interesting case report, an idea for a pro-con discussion, a review idea, or an opinion on a recently published article, please review the submission guidelines, then submit your proposal/ article to the Newsletter Editor, Craig S. Jabaley, MD at on or before October 15, 2019. If your article is chosen for the newsletter, we will contact you for editing and formatting. Thank you.

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