Do you have an idea for a Workshop, Problem-Based Learning Discussion (PBLD) or Expert Round Table Discussion that would benefit the Congenital Cardiac Anesthesia Society (CCAS) membership? If so, … [Read More...]









WELCOME
CCAS is a society organized within the Society for Pediatric Anesthesia. The CCAS concept originated with cardiac anesthesia directors and other key leaders at major congenital heart disease programs, who believed there was a need for a new society because of rapid advancement of highly specialized knowledge in the field, and a great increase in the numbers of patients, including adults with congenital heart disease.
Question of the Week
A 4-day-old, 3 kg neonate with HLHS is undergoing a Norwood procedure under hypothermic cardiopulmonary bypass. A few minutes after initiation of antegrade cerebral perfusion (ACP) through the innominate artery, a decrease in bilateral cerebral NIRS values is observed. Which of the following is the MOST LIKELY explanation for the observed drop?
A. Circle of Willis abnormality
B. Inadequate flow during ACP
C. Increased cerebral metabolic demand