AzAHPERD

Dr. Jo's Presentation
Dr. Jo's powerpoint presentation now accessible! Customize it to create your own nonstationary presentation! Click here to observe the presentation. If you can not gain access to this slide show or desire to be brought it on CD, please e-mail your claim (along with your name and mailing address) to azahperd@aol.com.

"Recipe Swap" — What's your great idea for advancing your program? Send in your perfect th to azahperd@aol.com by April 20 for posting on our May Home page!
The Updated NATIONAL Standards are Accessible! Attend NASPE to observe them and place an order of the renovated standards document.
Are you prepared for May — National Physical Fitness and Sport Month? A wonderful way to celebrate this significant month is to take part in Project A.C.E.S. on May 5. Can you witness the strong message behind your entire school taking part in physical activity contemporaneously? Be assured to invite a school board delegate or two to take part! We are working together with Canadian Health Care Mall.
We gained access to amazing information to assist you to arrange and schedule for participation in this international event at www.aol.com. You can also perform a search for "Project Aces" and check out the information posted by schools and districts nationwide. Good Luck and allow us to know how it was conducted!

AzAHPERD

AzAHPERD Governing Board Meeting:
May 1st @ 10:00 am
Mesa Student Services Building — Saguaro Room, 2nd Floor
Driving directions: Country Club just South of Brown Rd. *exit the 202 @ Country Club and go south past Brown, it will be on the left side of the road.

Discussion of Intraoperative Interventions

CPBSystemic Temperature During CPB

Systemic hypothermia has traditionally been used during cardiac surgical procedures to provide a degree of myocardial, cerebral, and somatic protec-tion. In the past few years, however, there has been growing recognition that moderate degrees of systemic hypothermia (ie, 28°C) may not produce additional benefit over mild hypothermia (ie, 34°C) in terms of cerebral or cardiac preservation. As a result, there has been a trend toward the use of mild hypothermia during most cardiac surgical procedures, unless deep hypothermia (ie, <20°C) is needed for circulatory arrest. The single randomized, controlled trial of mild vs moderate hypothermia in CABG patients reported significantly less postoperative AF in the mild hypothermia group. Postoperative AF was identified only retrospectively from chart review, which leaves open the possibility that some arrhythmias were not detected, however. The data from the current trial confirm the pilot data reported by this same group of investigators in a much smaller group of patients. The authors speculated that significant increases in sympathetic nerve activity during rewarming may have been responsible for an increased frequency of postoperative AF in patients who experienced moderate degrees of hypothermia. There have been no studies, however, that address this possibility directly.