Ross Feldman, Medical Director, Cardiac Sciences Program


Volume 2, Issue 43 - November 3, 2018

Defining Fund Raising Priorities for 2019
The SBH Foundation remains a very important source of support for new CSP initiatives and is the basis for ongoing CSP programs including CHaRM, the recent pilot projects and the technology/equipment support competitions. Over the past year I have based my discussions with the Foundation on the white paper we developed in October 2017 with input from all sections on fundraising priorities. It is time to revisit those priorities starting from scratch. Please think about those smaller (less than $100 K), medium ($100 - 500 K), larger ($0.5 M - 5.0 M) and jumbo (greater than $5 M) projects that you would like to see supported over the next 5 years. Rakesh, Colette and Scott will be asked to submit priority lists from their respective sections. Stay tuned.

Shout Outs

Welcome to Kiran Singh, the program's new Administrative Director!

Publications by our Faculty this week

Mazer CD, Whitlock RP, Fergusson DA, Belley-Cote E, Connolly K, Khanykin B, Gregory AJ, de Médicis É, Carrier FM, McGuinness S, Young PJ, Byrne K, Villar JC, Royse A, Grocott HP, Seeberger MD, Mehta C, Lellouche F, Hare GMT, Painter TW, Fremes S, Syed S, Bagshaw SM, Hwang NC, Royse C, Hall J, Dai D, Mistry N, Thorpe K, Verma S, Jüni P, Shehata N; TRICS Investigators and Perioperative Anesthesia Clinical Trials Group. Six-Month Outcomes after Restrictive or Liberal Transfusion for Cardiac Surgery. N Engl J Med. 2018 Sep 27;379(13):1224-1233. doi: 10.1056/NEJMoa1808561. Epub 2018 Aug 26.


Volume 2, Issue 42 - October 28, 2018


Shout Outs
Big shout out to Shelley Zieroth who was just elected as President of the Canadian Heart Failure Society and to the Council of the Canadian Cardiovascular Society Council at this year's Canadian Cardiovascular Congress.

Publications by our Faculty this week

Kehler DS, Hay JL, Stammers AN, Hamm NC, Kimber DE, Schultz ASH, Szwajcer A, Arora RC, Tangri N, Duhamel TA. A systematic review of the association between sedentary behaviors with frailty. Exp Gerontol. 2018 Oct 22;114:1-12. doi: 10.1016/j.exger.2018.10.010. [Epub ahead of print] Review.

Spence J, Belley-Côté E, Oczkowski S, Jacobsohn E, Whitlock R, Devereaux PJ, Connolly S. When and how should we cluster and cross over: methodological and ethical issues (letter 1). Can J Anaesth. 2018 Oct 17. doi: 10.1007/s12630-018-1237-5. [Epub ahead of print] No abstract available.

Agarwal P, Cole LK, Chandrakumar A, Hauff KD, Ravandi A, Dolinsky VW, Hatch GM. Phosphokinome Analysis of Barth Syndrome Lymphoblasts Identify Novel Targets in the Pathophysiology of the Disease. Int J Mol Sci. 2018 Jul 12;19(7). pii: E2026. doi: 10.3390/ijms19072026.

Shehata N, Whitlock R, Fergusson DA, Thorpe KE, MacAdams C, Grocott HP, Rubens F, Fremes S, Lellouche F, Bagshaw S, Royse A, Rosseel PM, Hare G, Medicis E, Hudson C, Belley-Cote E, Bainbridge D, Kent B, Shaw A, Byrne K, Syed S, Royse CF, McGuiness S, Hall J, Mazer CD. Transfusion Requirements in Cardiac Surgery III (TRICS III): Study Design of a Randomized Controlled Trial. J Cardiothorac Vasc Anesth. 2018 Feb;32(1):121-129. doi: 10.1053/j.jvca.2017.10.036. Epub 2017 Nov 3.

Volume 2, Issue 41 - October 21, 2018


In The News

This will be a busy week for the CSP- beyond many of you catching up after your return from the CCC in Toronto. The second Visiting Professor seminar for the year is being held Wednesday at 4 pm. Dr. Manos Brilakis, University of Minnesota, will be talking about “Contemporary Treatment of Coronary Chronic Total Occlusions. Look forward to seeing you there. Additionally, the first provincial workshop for Shared Health's Cardiothoracic and Vascular provincial clinical team will be held Friday. I co-chair the team which includes the CSP leadership. We will report on the progress of this important initiative.

Annual Reviews. On my arrival in Winnipeg my initial plan was to formally meet with all physicians annually to review our progress. I will be continue that plan for all physician assistants/clinical assistants. However, for faculty members of the Cardiology, Cardiac Surgery and Cardiac Anaesthesia sections, I will be deferring to the annual evaluations by your section chiefs which I will review with them. On the other hand, I am more than happy to schedule an annual performance conversation (including coffee :-)) with any/all CSP physicians at their request. Let me/Janessa know.

Shout Outs
Congratulations to Dr. Michael Yamashita, his wife Meme on the birth of their new baby boy Daniel.
Congratulations to Carly Lodewyks for receiving her MSc from the Department of Community Health Sciences!


Publications by our Faculty this Week

Grocott HP, Bryson GL. By any other name: consensus in the nomenclature of perioperative neurocognitive disorders. Can J Anaesth. 2018 Nov;65(11):1171-1174. doi: 10.1007/s12630-018-1215-y. Epub 2018 Oct 16. No abstract available.

Grocott HP. Letter by Grocott Regarding Article, "Evolution of Cognitive Function After Transcatheter Aortic Valve Implantation". Circ Cardiovasc Interv. 2017 Feb;10(2):e004829. doi: 10.1161/CIRCINTERVENTIONS.116.004829. No abstract available.

Volume 2, Issue 40 - October 14, 2018


Publications by our Faculty this Week

Grocott HP. Anesthetic Agents and Postoperative Delirium after Off-pump Coronary Bypass Graft Surgery: An Insufficiently Complex Approach to a Complex Problem. J Cardiothorac Vasc Anesth. 2018 Aug;32(4):e87-e88. doi: 10.1053/j.jvca.2018.03.024. Epub 2018 Mar 21. No abstract available.

Grocott HP. Optimizing Lung Collapse With a Bronchial Blocker: It's Not What You Use, but How You Use It. J Cardiothorac Vasc Anesth. 2018 Aug;32(4):e93-e94. doi: 10.1053/j.jvca.2018.03.006. Epub 2018 Mar 7. No abstract available.

Alex S, Hiebert B, Arora R, Menkis A, Shah P. Survival and Long-Term Outcomes of Aortic Valve Replacement in Patients Aged 55 to 65 Years. Thorac Cardiovasc Surg. 2018 Jun;66(4):313-321. doi: 10.1055/s-0037-1602825. Epub 2017 May 16.


Volume 2, Issue 39 - October 7, 2018

CSP News of the Week

Remember the date. CSP Faculty Meeting October 17, 5 pm. Let me know if there are any agenda items you would like to see added.

Publications by our Faculty this Week

Yanagawa B, Graham MM, Afilalo J, Hassan A, Arora RC. Frailty as a risk predictor in cardiac surgery: Beyond the eyeball test. J Thorac Cardiovasc Surg. 2018 Sep 5. pii: S0022-5223(18)32301-8. doi: 10.1016/j.jtcvs.2018.08.054. [Epub ahead of print] No abstract available.

Schultz A, Dahl L, McGibbon E, Brownlie J, Cook C, Elbarouni B, Katz A, Nguyen T, Sawatzky JA, Sinclaire M, Throndson K, Fransoo R. Health Outcome and Follow-up Care Differences Between First Nation and Non-First Nation Coronary Angiogram Patients: A Retrospective Cohort Study. Can J Cardiol. 2018 Oct;34(10):1333-1340. doi: 10.1016/j.cjca.2018.07.418. Epub 2018 Jul 29.

Grocott HP. Nuances of the cervical interfascial plane and multifidus cervicis plane blocks: Balancing efficacy and risk as a function of technique. J Clin Anesth. 2018 Feb;44:82-83. doi: 10.1016/j.jclinane.2017.10.013. No abstract available.

Volume 2, Issue 38 - September 29, 2018

CSP News of the Week

The CSP welcomes our new members to the team as our complement of CA/PAs continue to grow!
Dana Baker is a new graduate of the MPAS Program.
Jamie Chalmers is a new graduate from the MPAS Program.
Sara Doak is a new graduate from the MPAS program.
Dr. Zengxuan Hu was trained in Urology in China and in General Surgery at UBC.
Dr. Dorsaf Gaied, Dorsaf is a Cardiac surgeon from Tunisia, previously trained in Tunisia and Europe (Monaco+Belgium) Fellowships in cardiac surgery in Quebec (IUCPQ) and in Halifax.


Shout Outs

Last weekend the CSP ran our first official CSU-ALS team course. We are the first centre in Canada to undergo this type of training for our CVICU staff. A special thank you for Belinda Landry for all her organization and to the rest of the team involved: Dr. Rakesh Arora, Reid Love, Sandy Warren, Kim Kummen, Crystal Gurney and Aaron and Josh from CSIU-ALS North America. Congrats!


Publications by our Faculty this Week

Giambruno V, Chu MW, Fox S, Swinamer SA, Rayman R, Markova Z, Barnfield R, Cooper M, Boyd DW, Menkis A, Kiaii B. Robotic-assisted coronary artery bypass surgery: an 18-year single-centre experience. Int J Med Robot. 2018 Jun;14(3):e1891. doi: 10.1002/rcs.1891. Epub 2018 Jan 19.

Villafranca A, Fast I, Jacobsohn E. Disruptive behavior in the operating room: prevalence, consequences, prevention, and management. Curr Opin Anaesthesiol. 2018 Jun;31(3):366-374. doi: 10.1097/ACO.0000000000000592. Review.

Grocott HP. Bronchial Blocker Use in the Difficult Airway Patient Requiring Lung Isolation: Clarification as to What Blockers Are Actually Available. Anesth Analg. 2018 Sep 24. doi: 10.1213/ANE.0000000000003799. [Epub ahead of print] No abstract available.

Volume 2, Issue 37 - September 23, 2018

CSP News of the Week

The First CSP Visiting Professor of the Season. Please join us this Wednesday September 26, 2018 at 4:00 PM at the Sam Cohen Auditorium, Albrechtsen Research Centre for the Cardiac Sciences Program’s monthly Visiting Professor Series Lecture. Dr. Peter Brindley from the University of Alberta will be our first guest of the season. Join us at 4PM for his talk.... “Burnout, Resilience and Beyond: getting past the platitudes” followed by a reception in the Atrium from 5-6 PM. Hope to see you there!

Shoutouts

Congrats to Dr. Andrew Morris and the entire CPD team for another memorable Cardiology Day event..and thanks to all of you that participated in the event (including me :-).

Publications by our Faculty this Week

There were no new publications this week


Volume 2, Issue 36 - September 15, 2018

What is the Shared Health Initiative? What will be its impact on the Cardiac Sciences Program?

Along with most of the CSP leadership, I attended the Shared Health provincial planning workshop on Friday. As you know, this initiative aims to redraw the framework for the delivery of clinical and preventive services across Manitoba. Those aims are convergent with the goals of the CSP in the context of our services- both diagnostic and consultative. The kickoff of Shared Health is especially timely given our current efforts, under the leadership of Essi Shams (our Manager of QI and Patient Safety), to map out the patient journeys for our 6 major clinical programs and to establish new, more efficient and effective pathways for them-- featuring a much expanded role for our “access office”.

We will have important roles in shaping Shared Health’s vision for cardiac services. I co-chair the Cardio-Thoracic- Vascular Provincial Clinical Team (PCT)- joined by the CSP leadership and I also serve on the Integrated Leadership Team (that the PCT’s report to). Together, we look forward to updating you (and getting your input) on the Shared Health planning process as it impacts on the CSP as we progress down this road. Stay tuned.

CSP News of the Week!

Congratulations to Brett Hiebert and his wife Dayna on the arrival of their baby boy, Blake William Orion Hiebert who was born on September 1, 2018 at 3:28 AM weighing in at 8lbs 6oz.

Congratulations to Dr. Mike Yamashita and his wife Meme on the arrival of their baby boy (still working on the name) Friday September 14, 2018 at 7:16 AM weighting in at 6lbs 8oz.

Publications by our Faculty this Week

Schultz ASH, Dahl L, McGibbon E, Brownlie RJ, Cook C, Elbarouni B, Katz A, Nguyen T, Sawatzky JA, Sinclaire M, Throndson K, Fransoo R. Index coronary angiography use in Manitoba, Canada: a population-level descriptive analysis of First Nations and non-First Nations recipients. BMJ Open. 2018 Mar 25;8(3):e020856. doi: 10.1136/bmjopen-2017-020856.

Lodewyks C, Heinrichs J, Grocott HP, Karkouti K, Romund G, Arora RC, Tangri N, Rabbani R, Abou-Setta A, Zarychanski R. Point-of-care viscoelastic hemostatic testing in cardiac surgery patients: a systematic review and meta-analysis. Can J Anaesth. 2018 Sep 7. doi: 10.1007/s12630-018-1217-9. [Epub ahead of print]

Navarrete M, Ho J, Dwivedi RC, Choi N, Ezzati P, Spicer V, Arora RC, Rigatto C, Wilkins JA. Activity-based protein profiling of intraoperative serine hydrolase activities during cardiacsurgery. J Proteome Res. 2018 Sep 7. doi: 10.1021/acs.jproteome.8b00500. [Epub ahead of print]

Choi N, Whitlock R, Klassen J, Zappitelli M, Arora RC, Rigatto C, Ho J. Early intraoperative iron-binding proteins are associated with acute kidney injury after cardiac surgery. J Thorac Cardiovasc Surg. 2018 Jul 27. pii: S0022-5223(18)32021-X. doi: 10.1016/j.jtcvs.2018.06.091. [Epub ahead of print]

Zelenitsky SA, Calic D, Arora RC, Grocott HP, Lakowski TM, Lillico R, Ariano RE. Antimicrobial Prophylaxis for Patients Undergoing Cardiac Surgery: Intraoperative Cefazolin Concentrations and Sternal Wound Infections. Antimicrob Agents Chemother. 2018 Aug 27. pii: AAC.01360-18. doi: 10.1128/AAC.01360-18. [Epub ahead of print]

Kredentser MS, Blouw M, Marten N, Sareen J, Bienvenu OJ, Ryu J, Beatie BE, Logsetty S, Graff LA, Eggertson S, Sweatman S, Debroni B, Cianflone N, Arora RC, Zarychanski R, Olafson K. Preventing Posttraumatic Stress in ICU Survivors: A Single-Center Pilot Randomized Controlled Trial of ICU Diaries and Psychoeducation. Crit Care Med. 2018 Aug 16. doi: 10.1097/CCM.0000000000003367. [Epub ahead of print]


Volume 2, Issue 35 - September 8, 2018

Publications by our Faculty this Week

Islam MA, Ravandi A, Aukema HM. Linoleic acid derived oxylipins are elevated in kidney and liver and reduced in serum in rats given a high-protein diet. J Nutr Biochem. 2018 Aug 15;61:40-47. doi: 10.1016/j.jnutbio.2018.07.015. [Epub ahead of print]

Mutch WAC, El-Gabalawy R, Girling L, Kilborn K, Jacobsohn E. End-Tidal Hypocapnia Under Anesthesia Predicts Postoperative Delirium. Front Neurol. 2018 Aug 17;9:678. doi: 10.3389/fneur.2018.00678. eCollection 2018.

Grocott HP. The second report of bilateral hand transplantation in a child. Lancet Child Adolesc Health. 2017 Dec;1(4):e3. doi: 10.1016/S2352-4642(17)30131-1. Epub 2017 Nov 15. No abstract available.

Volume 2, Issue 34 - August 31, 2018

Shout Outs

Congratulations to Dr. Ashish Shah, Dr. Malek Kass and Dr. Nasir Shaikh. This week they performed their first trans-catheter paravalvular leak closure. They hope to provide this structural interventional servicer to many more patients in Manitoba.

Publications by our Faculty this Week

Cloutier JM, Khoo C, Hiebert B, Wassef A, Seifer CM. Physician decision making in anticoagulating atrial fibrillation: a prospective survey of a physician notification system for atrial fibrillation detected on cardiac implantable electronic devices of patients at increased risk of stroke. Ther Adv Cardiovasc Dis. 2018 Apr;12(4):113-122. doi: 10.1177/1753944717749739.

Mazer CD, Whitlock RP, Fergusson DA, Belley-Cote E, Connolly K, Khanykin B, Gregory AJ, de Médicis É, Carrier FM, McGuinness S, Young PJ, Byrne K, Villar JC, Royse A, Grocott HP, Seeberger MD, Mehta C, Lellouche F, Hare GMT, Painter TW, Fremes S, Syed S, Bagshaw SM, Hwang NC, Royse C, Hall J, Dai D, Mistry N, Thorpe K, Verma S, Jüni P, Shehata N; TRICS Investigators and Perioperative Anesthesia Clinical Trials Group. Six-Month Outcomes after Restrictive or Liberal Transfusion for Cardiac Surgery. N Engl J Med. 2018 Aug 26. doi: 10.1056/NEJMoa1808561. [Epub ahead of print]

Zelenitsky SA, Calic D, Arora RC, Grocott HP, Lakowski TM, Lillico R, Ariano RE. Antimicrobial Prophylaxis for Patients Undergoing Cardiac Surgery: Intraoperative Cefazolin Concentrations and Sternal Wound Infections. Antimicrob Agents Chemother. 2018 Aug 27. pii: AAC.01360-18. doi: 10.1128/AAC.01360-18. [Epub ahead of print]

Muller Moran HR, Kass M, Ravandi A, Zieroth S, Schaffer SA, Cordova FJ, Pozeg ZI, Arora RC, Singal RK. Diagnosis of Left Ventricular Assist Device Outflow Graft Obstruction Using Intravascular Ultrasound. Circ Heart Fail. 2016 Dec;9(12). pii: e003472. No abstract available.]


Volume 2, Issue 33 - August 26, 2018

CSP in the News

Notably the initial focus of the Free Press was to highlight the lengthening echo waitlist. However, the interview occurred (fortunately) shortly after our request to extend echo services had been approved. We are still working out the details on how this will be implemented. See article by clicking HERE

Publications by our Faculty this Week

Kredentser MS, Blouw M, Marten N, Sareen J, Bienvenu OJ, Ryu J, Beatie BE, Logsetty S, Graff LA, Eggertson S, Sweatman S, Debroni B, Cianflone N, Arora RC, Zarychanski R, Olafson K. Preventing Posttraumatic Stress in ICU Survivors: A Single-Center Pilot Randomized Controlled Trial of ICU Diaries and Psychoeducation. Crit Care Med. 2018 Aug 16. doi: 10.1097/CCM.0000000000003367. [Epub ahead of print]


Volume 2, Issue 32 - August 19, 2018

CSP in the News

Does having a female physician in the ED on the case improve prognosis of women with STEMI? Based on the reporting around a recent PNAS paper that asked that question we had the opportunity to remind viewers of the ongoing care gap in the management of heart disease in women. The link to the CTV story is below. https://winnipeg.ctvnews.ca/video?clipId=1456454

Publications by our Faculty this Week

Jones PJH, Shamloo M, MacKay DS, Rideout TC, Myrie SB, Plat J, Roullet JB, Baer DJ, Calkins KL, Davis HR, Barton Duell P, Ginsberg H, Gylling H, Jenkins D, Lütjohann D, Moghadasian M, Moreau RA, Mymin D, Ostlund RE Jr, Ras RT, Ochoa Reparaz J, Trautwein EA, Turley S, Vanmierlo T, Weingärtner O. Progress and perspectives in plant sterol and plant stanol research. Nutr Rev. 2018 Aug 7. doi: 10.1093/nutrit/nuy032. [Epub ahead of print]


Volume 2, Issue 31 - August 12, 2018

CSP Annoucements

This week we wish farewell and every success to Kim Kummen, Administrative Director, who departs to assume the senior financial management role for the Grace Hospital. Kim has been instrumental in helping to guide the Cardiac Sciences Program through Phase 1 and Phase 2 of the consolidation of acute care services in Winnipeg as well as helping us to avoid "ditches" with the day-to-day bumps in the road that are the norm for us. Good luck Kim. You will be remembered (and missed).

Please join us in welcoming our new Interventional Cardiology fellow, Dr. Karthik Balasubramaniam, who started his fellowship on August 7, 2018.

Publications by our Faculty this Week

Ibrahim OA, Drew D, Hayes CJ, McIntyre W, Seifer CM, Hopman W, Glover B, Baranchuk AM. Implantable loop recorders in the real world: a study of two Canadian centers. J Interv Card Electrophysiol. 2017 Nov;50(2):179-185. doi: 10.1007/s10840-017-0294-y. Epub 2017 Nov 2.

Grocott HP Emergence delirium and intranasal dexmedetomidine: The importance of method, dosing, and timing of administration. Int J Pediatr Otorhinolaryngol. 2018 Sep;112:210. doi: 10.1016/j.ijporl.2018.03.021. Epub 2018 Mar 23.


Volume 2, Issue 30 - August 5, 2018

CSP PILOT PROJECT SUPPORT PROGRAM WILL BE OPEN FOR APPLICATIONS BY AUGUST 15

The CSP will be initiating a pilot project competition with application forms and guidelines available within 2 weeks. This competition will feature support for:
• Research Development Grants of up to $25,000 each
• Innovations in Medical Education and KT Grants of up to $25, 000 each.
This competition will be open to all areas of scholarship within the Cardiac Sciences Program. The application form will be short (2 page limit on the proposal). Notably, PI and co-PI from each project must be from 2 different sections of the CSP. The application deadline will be at the end of September.

CSP SEEKING NOMINATIONS FOR 2018 HEALTH INNOVATION AWARDS: Awards Focus on Improving Patient Care and Advocating Healthy Living

This year’s province-wide awards recognize and celebrate health care system initiatives across the province in four categories:
• patient-centred care, to recognize an initiative that directly results in improved processes, clinical approaches and the culture of patient-centred care in front-line services, such as access to care, quality of care and overall patient experience;
• health system improvement, to recognize creative and pioneering efforts that have resulted in process improvements;
• the Mino Bimaadiziwin Innovation Award for Healthy Living, to recognize an individual or group that has enhanced healthy living activities among Manitobans; and
• the Enid Thompson Award for Health Care Innovation, to recognize an individual who initiated outstanding change that has had a positive effect on patient care in the publicly funded health-care system.

Nominees will demonstrate how their work has advanced and improved care, and how they are sharing what they learned within Manitoba to ensure long-term success.
We are looking to submit one nomination from the Cardiac Sciences Program.
If you have an idea for a nomination (and would be willing to do some of the legwork to support your nominee) get your suggestion to me asap.

More information on the awards and nomination instructions are available at www.gov.mb.ca/health/awards. Nominations will be accepted until Sept. 17 and the winners will be announced later this year.

Publications by our Faculty this Week

Grocott HP. Additional concerns for the scavenging of anesthetic agents used for ICU sedation. J Clin Monit Comput. 2018 Aug 1. doi: 10.1007/s10877-018-0191-7. [Epub ahead of print] No abstract available.

Solati Z, Edel AL, Shang Y, O K, Ravandi A. Oxidized phosphatidylcholines are produced in renal ischemia reperfusion injury. PLoS One. 2018 Apr 23;13(4):e0195172. doi: 10.1371/journal.pone.0195172. eCollection 2018.