Foundation will be honoring the following: Physician Lifetime Achievement Award—Nelson Schiller, MD; Meritorious Service Award—Thomas Ryan, MD; Outstanding Achievement in Perioperative Echocardiography Award— Daniel Thys, MD; Richard Popp Excellence in Teaching Award—Mikel Smith, MD; Cardiovascular Sonographer Distinguished Teacher Award—Michelle Bierig, MPH, RDCS, RCS, RDMS, FASE; and Excellence in Teaching in Pediatrics Award—Tal Geva, MD. Tickets are available for purchase and seating is limited so purchase them early. If you cannot attend the Gala but wish to make a contribution to the ASE Foundation in support of research please visit http://www.asefoundation.org/donate/. President’s Reception follows the end of the first full day of sessions, Saturday, June 20th. Join your colleagues from 4:30—6:30 pm in the Exhibit and Poster Hall for complimentary hors d’oruvres and cocktails while exploring the exhibit areas. The ‘‘Taste of Portland’’ will be held Sunday, June 22 at the Leftbank Annex, a post WWII industrial building that has become synonymous with the urban feel of the Portland metro area. The Willamette Valley of Echocardiography has teamed up with the ASE Foundation to host this event, which showcases the abundance of local organic food and beverages from local vintners and microbreweries. A little fact: Portland has more microbreweries within the city limits than any other city in the world. Along with that, there are 400+ vineyards in the surrounding Willamette Valley producing some of the best
Pinot Noir. The focus of the event is to raise funds to support scholarships and travel grants that will be awarded to students entering the field of echocardiography with the goal of raising $10,000. The event will begin at 7:00 pm and feature a DJ to keep the night going until 12:00 am. Tickets are $35 per person and can be purchased during registration and all attendees are welcome and encouraged to attend. We hope to see you and your colleagues there! Echo Jeopardy continues with host John Gorcsan, III, MD, FASE. In this fun-filled educational event, watch as teams are challenged with some interesting cases scattered throughout several different categories. It’s sure to be an interesting competition. Heeling Hearts 5K Glow Run—‘‘Making strides toward cardiovascular health:’’ On Friday, June 20th join your colleagues by participating in this this nighttime 5K to light up the night sky with glow sticks as you enjoy great views from downtown Portland. Once you cross the finish line you’ll be greeted by an after party that will be just as much fun as the race itself! Proceeds from the race go toward cardiovascular health initiatives supported by the ASE Foundation. The race is open and advertised to the public as well as attendees. I am excited to be the Sonographer Chair for the Silver Anniversary meeting and having you visit Portland. I hope some of the above will encourage you and your colleagues to attend. I highly encourage you to extend your trip a day or two to visit places such as the Columbia Gorge, Mt Hood, Mount St. Helens, and the Oregon coast.
COUNCIL FOR PERIOPERATIVE ECHOCARDIOGRAPHY (COPE) COMMUNICATION From Humble Beginnings As the immediate past chairman of the Council for Perioperative Echocardiography (COPE), I ‘‘volunteered’’ to write the history of the council for an upcoming edition of the Journal of the American Society of Echocardiography (JASE). When asked to do so at the 2013 annual meeting, I would have almost a year to complete it. I am glad I started investigating the topic early, as the story is already becoming cloudy and the written documentation of our earliest meeting minutes are on paper and are stashed away in warehouses. What exactly is history? Merriam Webster defines history as ‘‘a chronological record of significant events (as affecting a nation or institution) often including an explanation of their causes.’’ Being from the south, I prefer a more simplistic definition of telling a tale. The Council for Intraoperative Echocardiography (IOC) was formed in 1994. Michael Cahalan, MD was its first chairman.1 At the time, the ASE had 3 councils: the Council on Cardiovascular Sonography, the Council on Pediatric and Congenital Heart Disease, and the IOC. The IOC was ‘‘established to address issues related to echocardiography in the surgical arena.’’2 Fast forward 4 years, when ASE President Richard E. Kerber, MD, requested that each of the 3 council chairmen present an overview of council activities in JASE. Dr. Joseph Savino did so in the September 1998 issue and would lay the ground work for the next several decades of activity within the council. He wrote: the scope of .interest (within the IOC) is broad and includes education, certification, quality assurance, research, and indications and contraindications for transesophageal echocardiography (TEE). Currently the council is addressing 3 specific issues pertinent in the perioperative environment:
Volume 27 Number 4
1. the annual Intraoperative Echocardiography Symposium. 2. the promotion of an educational exchange between the ASE and the Society of Cardiovascular Anesthesiologists (SCA), and 3. the development of a standardized intraoperative TEE examination.2 These were very lofty goals. It is worth looking at each of them individually and how each affected the direction of the council.
Scott T. Reeves, MD, MBA, FASE
ANNUAL INTRAOPERATIVE SYMPOSIUM The symposium was designed from the beginning to be an all day session held at the ASE annual meeting. It was ‘‘not intended to be a review for the beginner, but rather a series of in depth discussions and lectures on controversial topics in intraoperative echocardiography.’’2 Initially, lectures focused on complex individual topics with the 1999 session being a typical example. Lectures were given by Society leaders, Harry Rakowski, MD (Echocardiography of the Aortic Root), Lawrence Siegal, MD (Minimally Invasive Heart Surgery), and Pamela Sears-Rogan, MD (TEE of the Mitral Valve). Over the next decade, as the specialty matured, the Intraoperative Symposium changed to be an all day advance educational discussion on a specific topic with live intraoperative feeds and surgical porcine wet lab dissections. A few examples include 2007’s Perioperative echocardiography for heart failure surgery;
Journal of the American Society of Echocardiography 19A
2008’s iSee my heart and 2009’s Utility of intraoperative echocardiography to guide surgical decision-making. PROMOTION OF EXCHANGES BETWEEN THE ASE AND SCA In July 1998, the ASE and SCA negotiated with the National Board of Medical Examiners to form the National Board of Echocardiography (NBE), which would develop a certification process in Advanced Perioperative Echocardiography. The NBE board was composed of cardiologists and cardiac anesthesiologists and was initially led by ASE president-elect, Dr. Harry Rakowski, and SCA president-elect, Dr. Dan Thys. Concurrent with the certification process, the SCA and ASE collaborated in the development of the Comprehensive Review of Intraoperative Echo course that was first held in 1998. Drs. Robert Savage and Sol Aronson chaired the meeting, and both went on to be chairmen of the IOC.3 A testimony of the longevity of this meeting is that the 17th Annual Comprehensive Review and Update of Perioperative Echo will be held in Atlanta, Georgia this May. DEVELOPMENT OF A STANDARDIZED INTRAOPERATIVE TEE EXAMINATION In addition, Dr. Joseph Savino charged Dr. Jack Shanewise to appoint a working group of cardiac anesthesiologists and cardiologists to ‘‘develop a standard intraoperative TEE examination that defines the essential components.that should be a part of all intraoperative TEE assessments.’’2 In 1999, JASE published ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination. This paper would become one of the most frequently cited manuscripts in the history of JASE. The IOC and eventually COPE would go on to develop many additional guideline and standard papers in the years that followed. 1. Guidelines for Performing a Comprehensive Transesophageal Echocardiography Examination: Recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, September 2013 2. Basic Perioperative Transesophageal Echocardiography Examination: A Consensus Statement of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, May 2013 3. Guidelines for Performing Ultrasound Guided Vascular Cannulation: Recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, December 2011 4. Guidelines for the Performance of a Comprehensive Intraoperative Epiaortic Ultrasonographic Examination, JASE, November 2007
20A Journal of the American Society of Echocardiography
5. Guidelines for Performing a Comprehensive Epicardial Echocardiography Examination: Recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, April 2007 6. ASE/SCA Recommendations and Guidelines for Continuous Quality Improvement in Perioperative Echocardiography, JASE, November 2006 7. ASE and SCA Task Force Guidelines for Training in Perioperative Echocardiography, JASE, June 2002. 8. ASE/SCA Guidelines for Performing a Comprehensive Intraoperative Multiplane Transesophageal Examination, JASE, October 1999 Since its inception in 1994, the IOC has been a leader within the ASE. However, with advancing technologies intraoperative echocardiography was no longer limited to the operating room. As a past IOC chairman, Dr. Stan Shernan, wrote in 2012, ‘‘significant advances have enabled the expansion of echocardiography applications to the perioperative environment and include preoperative TTE and TEE; intraoperative TEE, epicardial, epiaortic and surface echocardiography for central line placement; and postoperative TTE and TEE in the intensive care unit. In addition, a rapidly growing body of evidence continues to support the utility of perioperative echocardiography to facilitate risk stratification, improve perioperative medical management, and favorably influence clinical decision-making.’’1 Hence, the IOC requested and received permission from the ASE Board of Directors to change its name to the Council for Perioperative Echocardiography (COPE). In 2013, COPE formally awarded the first Outstanding Achievement in Perioperative Echocardiography award to Dr. Jack Shanewise for his outstanding contribution to the council, ASE and the specialty. The Intraoperative Council (now the Council for Perioperative Echocardiography) has a rich history within the American Society of Echocardiography. It came from humble beginnings to become a leader in establishing the standards for perioperative echocardiography care. It has been an honor to work alongside sonographers, cardiac surgeons, cardiologists and cardiac anesthesiologists within the council to achieve this reality.
REFERENCES 1. Shernan S. Council on perioperative echocardiography communication: A new award to recognize a new era in cardiovascular ultrasound. J Am Soc Echocardiogr 2012;25:24A-5. 2. Savino JS. Council on intraoperative echocardiography. J Am Soc Echocardiogr 1998;9:18A-9. 3. Rakowski H. President’s Message Partners in Education. J Am Soc Echocardiogr 1999;11:15A-6.
Volume 27 Number 4
Pinot Noir. The focus of the event is to raise funds to support scholarships and travel grants that will be awarded to students entering the field of echocardiography with the goal of raising $10,000. The event will begin at 7:00 pm and feature a DJ to keep the night going until 12:00 am. Tickets are $35 per person and can be purchased during registration and all attendees are welcome and encouraged to attend. We hope to see you and your colleagues there! Echo Jeopardy continues with host John Gorcsan, III, MD, FASE. In this fun-filled educational event, watch as teams are challenged with some interesting cases scattered throughout several different categories. It’s sure to be an interesting competition. Heeling Hearts 5K Glow Run—‘‘Making strides toward cardiovascular health:’’ On Friday, June 20th join your colleagues by participating in this this nighttime 5K to light up the night sky with glow sticks as you enjoy great views from downtown Portland. Once you cross the finish line you’ll be greeted by an after party that will be just as much fun as the race itself! Proceeds from the race go toward cardiovascular health initiatives supported by the ASE Foundation. The race is open and advertised to the public as well as attendees. I am excited to be the Sonographer Chair for the Silver Anniversary meeting and having you visit Portland. I hope some of the above will encourage you and your colleagues to attend. I highly encourage you to extend your trip a day or two to visit places such as the Columbia Gorge, Mt Hood, Mount St. Helens, and the Oregon coast.
COUNCIL FOR PERIOPERATIVE ECHOCARDIOGRAPHY (COPE) COMMUNICATION From Humble Beginnings As the immediate past chairman of the Council for Perioperative Echocardiography (COPE), I ‘‘volunteered’’ to write the history of the council for an upcoming edition of the Journal of the American Society of Echocardiography (JASE). When asked to do so at the 2013 annual meeting, I would have almost a year to complete it. I am glad I started investigating the topic early, as the story is already becoming cloudy and the written documentation of our earliest meeting minutes are on paper and are stashed away in warehouses. What exactly is history? Merriam Webster defines history as ‘‘a chronological record of significant events (as affecting a nation or institution) often including an explanation of their causes.’’ Being from the south, I prefer a more simplistic definition of telling a tale. The Council for Intraoperative Echocardiography (IOC) was formed in 1994. Michael Cahalan, MD was its first chairman.1 At the time, the ASE had 3 councils: the Council on Cardiovascular Sonography, the Council on Pediatric and Congenital Heart Disease, and the IOC. The IOC was ‘‘established to address issues related to echocardiography in the surgical arena.’’2 Fast forward 4 years, when ASE President Richard E. Kerber, MD, requested that each of the 3 council chairmen present an overview of council activities in JASE. Dr. Joseph Savino did so in the September 1998 issue and would lay the ground work for the next several decades of activity within the council. He wrote: the scope of .interest (within the IOC) is broad and includes education, certification, quality assurance, research, and indications and contraindications for transesophageal echocardiography (TEE). Currently the council is addressing 3 specific issues pertinent in the perioperative environment:
Volume 27 Number 4
1. the annual Intraoperative Echocardiography Symposium. 2. the promotion of an educational exchange between the ASE and the Society of Cardiovascular Anesthesiologists (SCA), and 3. the development of a standardized intraoperative TEE examination.2 These were very lofty goals. It is worth looking at each of them individually and how each affected the direction of the council.
Scott T. Reeves, MD, MBA, FASE
ANNUAL INTRAOPERATIVE SYMPOSIUM The symposium was designed from the beginning to be an all day session held at the ASE annual meeting. It was ‘‘not intended to be a review for the beginner, but rather a series of in depth discussions and lectures on controversial topics in intraoperative echocardiography.’’2 Initially, lectures focused on complex individual topics with the 1999 session being a typical example. Lectures were given by Society leaders, Harry Rakowski, MD (Echocardiography of the Aortic Root), Lawrence Siegal, MD (Minimally Invasive Heart Surgery), and Pamela Sears-Rogan, MD (TEE of the Mitral Valve). Over the next decade, as the specialty matured, the Intraoperative Symposium changed to be an all day advance educational discussion on a specific topic with live intraoperative feeds and surgical porcine wet lab dissections. A few examples include 2007’s Perioperative echocardiography for heart failure surgery;
Journal of the American Society of Echocardiography 19A
2008’s iSee my heart and 2009’s Utility of intraoperative echocardiography to guide surgical decision-making. PROMOTION OF EXCHANGES BETWEEN THE ASE AND SCA In July 1998, the ASE and SCA negotiated with the National Board of Medical Examiners to form the National Board of Echocardiography (NBE), which would develop a certification process in Advanced Perioperative Echocardiography. The NBE board was composed of cardiologists and cardiac anesthesiologists and was initially led by ASE president-elect, Dr. Harry Rakowski, and SCA president-elect, Dr. Dan Thys. Concurrent with the certification process, the SCA and ASE collaborated in the development of the Comprehensive Review of Intraoperative Echo course that was first held in 1998. Drs. Robert Savage and Sol Aronson chaired the meeting, and both went on to be chairmen of the IOC.3 A testimony of the longevity of this meeting is that the 17th Annual Comprehensive Review and Update of Perioperative Echo will be held in Atlanta, Georgia this May. DEVELOPMENT OF A STANDARDIZED INTRAOPERATIVE TEE EXAMINATION In addition, Dr. Joseph Savino charged Dr. Jack Shanewise to appoint a working group of cardiac anesthesiologists and cardiologists to ‘‘develop a standard intraoperative TEE examination that defines the essential components.that should be a part of all intraoperative TEE assessments.’’2 In 1999, JASE published ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination. This paper would become one of the most frequently cited manuscripts in the history of JASE. The IOC and eventually COPE would go on to develop many additional guideline and standard papers in the years that followed. 1. Guidelines for Performing a Comprehensive Transesophageal Echocardiography Examination: Recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, September 2013 2. Basic Perioperative Transesophageal Echocardiography Examination: A Consensus Statement of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, May 2013 3. Guidelines for Performing Ultrasound Guided Vascular Cannulation: Recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, December 2011 4. Guidelines for the Performance of a Comprehensive Intraoperative Epiaortic Ultrasonographic Examination, JASE, November 2007
20A Journal of the American Society of Echocardiography
5. Guidelines for Performing a Comprehensive Epicardial Echocardiography Examination: Recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, April 2007 6. ASE/SCA Recommendations and Guidelines for Continuous Quality Improvement in Perioperative Echocardiography, JASE, November 2006 7. ASE and SCA Task Force Guidelines for Training in Perioperative Echocardiography, JASE, June 2002. 8. ASE/SCA Guidelines for Performing a Comprehensive Intraoperative Multiplane Transesophageal Examination, JASE, October 1999 Since its inception in 1994, the IOC has been a leader within the ASE. However, with advancing technologies intraoperative echocardiography was no longer limited to the operating room. As a past IOC chairman, Dr. Stan Shernan, wrote in 2012, ‘‘significant advances have enabled the expansion of echocardiography applications to the perioperative environment and include preoperative TTE and TEE; intraoperative TEE, epicardial, epiaortic and surface echocardiography for central line placement; and postoperative TTE and TEE in the intensive care unit. In addition, a rapidly growing body of evidence continues to support the utility of perioperative echocardiography to facilitate risk stratification, improve perioperative medical management, and favorably influence clinical decision-making.’’1 Hence, the IOC requested and received permission from the ASE Board of Directors to change its name to the Council for Perioperative Echocardiography (COPE). In 2013, COPE formally awarded the first Outstanding Achievement in Perioperative Echocardiography award to Dr. Jack Shanewise for his outstanding contribution to the council, ASE and the specialty. The Intraoperative Council (now the Council for Perioperative Echocardiography) has a rich history within the American Society of Echocardiography. It came from humble beginnings to become a leader in establishing the standards for perioperative echocardiography care. It has been an honor to work alongside sonographers, cardiac surgeons, cardiologists and cardiac anesthesiologists within the council to achieve this reality.
REFERENCES 1. Shernan S. Council on perioperative echocardiography communication: A new award to recognize a new era in cardiovascular ultrasound. J Am Soc Echocardiogr 2012;25:24A-5. 2. Savino JS. Council on intraoperative echocardiography. J Am Soc Echocardiogr 1998;9:18A-9. 3. Rakowski H. President’s Message Partners in Education. J Am Soc Echocardiogr 1999;11:15A-6.
Volume 27 Number 4
