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Minutes of ASE Pediatric and Congenital Heart Disease (PCHD ...

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<strong>Minutes</strong> <strong>of</strong> <strong>ASE</strong> Council on <strong>Pediatric</strong> <strong>and</strong> <strong>Congenital</strong> <strong>Heart</strong> <strong>Disease</strong> Conference Call<br />

Thursday, December 2, 2010<br />

The call was brought to order by Chairman Wyman Lai, MD at 12 noon EST. Members in attendance were<br />

Drs. Benjamin Eidem, Peter Frommelt, Leo Lopez, Mark Lewin, William Border, Meryl Cohen, Andrew<br />

Powell, Carrie Altman, Luc Mertens, <strong>and</strong> Richard Williams; <strong>and</strong> Sonographer Representative Helen Ko.<br />

Cathy Kerr, CAE staffed the call.<br />

1. Quantitative writing group update: Dr. Lopez reported that a project proposal for universal Z<br />

scores is being developed <strong>and</strong> will need funding (estimated at approximately $1.5M). The holdup<br />

on the project is the statistical justification for the number <strong>of</strong> patients needed. The proposal will<br />

be shared with the Council Board, <strong>and</strong> then sent to <strong>ASE</strong> leadership for approval. NIH will be<br />

approached for funding. The proposal will include M-mode, Doppler <strong>and</strong> 2D; NIH may be asked<br />

for direction regarding inclusion <strong>of</strong> 3D.<br />

ACTION ITEM: Drs. Lopez <strong>and</strong> Lai to finalize proposal <strong>and</strong> send out to Council Board members for<br />

review in December.<br />

2. Echo in the NICU guideline: Dr. Mertens said that a final version will be circulated to council<br />

board members within the next few weeks. The document has three parts: TNE, including<br />

indications <strong>and</strong> protocol aspects; conditions; <strong>and</strong> training/accreditation. Once the council<br />

approves, this will go to the Guidelines <strong>and</strong> St<strong>and</strong>ards Committee <strong>and</strong> board. It may then be<br />

shared with other organizations that may wish to sign on to it.<br />

ACTION ITEM: Dr. Mertens <strong>and</strong> Lai to finalize <strong>and</strong> send out a draft for Council Board members to<br />

review in December. The approved version will be sent to the Guidelines & St<strong>and</strong>ards Committee<br />

for approval. Following that, the guidelines will be forwarded to the collaborating European<br />

societies <strong>and</strong> AAP for review, <strong>and</strong> then to the <strong>ASE</strong> Board (preferably before the March 17-18<br />

Board Retreat).<br />

3. Multimodality protocols: Dr. Lai led a discussion regarding “lumping” or “splitting” the guideline<br />

topics. An earlier bottleneck had occurred at the formation <strong>of</strong> the TOF writing group due to slow<br />

interactions with SCMR. The Council Board decided to keep the TOF <strong>and</strong> TGA topics separate,<br />

with a new strategy <strong>of</strong> drawing writing group members solely from the <strong>ASE</strong>.<br />

ACTION ITEM(S): Dr Anne Marie Valente <strong>and</strong> Dr. Tal Geva will continue working on the writing<br />

group on TOF. Dr. Eidem will head a writing group on TGA. A third document on single ventricle<br />

will be kept on hold for now.<br />

4. <strong>PCHD</strong> Committee on Laboratory Organization <strong>and</strong> Productivity: the goal is to gather data on the<br />

number <strong>of</strong> echos performed, staffing, number <strong>of</strong> machines, how physician time is organized, etc.<br />

Dr. Lai distributed a document, which is attached.<br />

ACTION ITEM: Council Board members will review the survey <strong>and</strong> send suggestions to Dr. Lai in<br />

the next two weeks. Drs. Vivek Allada, Lai, Frommelt, <strong>and</strong> Cohen will produce a new version<br />

incorporating suggestions that will be filled out by the Council Board members as a means <strong>of</strong><br />

testing the survey. Once finalized, the survey will be sent out to academic pediatric echo lab<br />

directors.<br />

5. Committee reports: council representatives to <strong>ASE</strong> committees have received an e-mail from<br />

Cathy Kerr asking for their interest in continuing <strong>and</strong> their assessment <strong>of</strong> the possibility <strong>of</strong><br />

attaining a leadership position on their committees. Members who have not yet done so were<br />

asked to send this information to her.

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