Foundation will be honoring the following: Physician LifetimeAchievement Award—Nelson Schiller, MD; Meritorious ServiceAward—Thomas Ryan, MD; Outstanding Achievement in Periopera-tive Echocardiography Award— Daniel Thys, MD; Richard PoppExcellence in Teaching Award—Mikel Smith, MD; Cardiovascular So-nographer Distinguished Teacher Award—Michelle Bierig, MPH,RDCS, RCS, RDMS, FASE; and Excellence in Teaching in PediatricsAward—Tal Geva, MD. Tickets are available for purchase and seatingis limited so purchase them early. If you cannot attend the Gala butwish to make a contribution to the ASE Foundation in support ofresearch please visit http://www.asefoundation.org/donate/.

President’s Reception follows the end of the first full day of ses-sions, Saturday, June 20th. Join your colleagues from 4:30—6:30 pmin the Exhibit and Poster Hall for complimentary hors d’oruvres andcocktails while exploring the exhibit areas.

The ‘‘Taste of Portland’’will be held Sunday, June 22 at the Left-bank Annex, a post WWII industrial building that has become synon-ymous with the urban feel of the Portland metro area. TheWillametteValley of Echocardiography has teamed up with the ASE Foundationto host this event, which showcases the abundance of local organicfood and beverages from local vintners and microbreweries. A littlefact: Portland has more microbreweries within the city limits thanany other city in the world. Along with that, there are 400+ vineyardsin the surrounding Willamette Valley producing some of the best

COUNCIL FOR PERIOPERATIVE ECOMMUN

From Humble

As the immediate past chairman of the Council for PerioperativeEchocardiography (COPE), I ‘‘volunteered’’ to write the history ofthe council for an upcoming edition of the Journal of the American So-ciety of Echocardiography (JASE). When asked to do so at the 2013annual meeting, I would have almost a year to complete it. I amglad I started investigating the topic early, as the story is alreadybecoming cloudy and the written documentation of our earliestmeeting minutes are on paper and are stashed away in warehouses.What exactly is history? Merriam Webster defines history as ‘‘a chro-nological record of significant events (as affecting a nation or institu-tion) often including an explanation of their causes.’’ Being from thesouth, I prefer a more simplistic definition of telling a tale.

The Council for Intraoperative Echocardiography (IOC) wasformed in 1994. Michael Cahalan, MD was its first chairman.1 Atthe time, the ASE had 3 councils: the Council on Cardiovascular So-nography, the Council on Pediatric and Congenital Heart Disease,and the IOC. The IOC was ‘‘established to address issues related toechocardiography 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 ofcouncil activities in JASE. Dr. Joseph Savino did so in the September1998 issue and would lay the ground work for the next several de-cades of activity within the council.

He wrote: the scope of.interest (within the IOC) is broad and includeseducation, certification, quality assurance, research, and indications and contra-indications for transesophageal echocardiography (TEE). Currently the councilis addressing 3 specific issues pertinent in the perioperative environment:

Volume 27 Number 4 J

Pinot Noir. The focus of the event is to raise funds to support scholar-ships and travel grants that will be awarded to students entering thefield of echocardiography with the goal of raising $10,000. The eventwill begin at 7:00 pm and feature a DJ to keep the night going until12:00 am. Tickets are $35 per person and can be purchased duringregistration 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 challengedwith some interesting cases scattered throughout several different cat-egories. It’s sure to be an interesting competition.

Heeling Hearts 5K Glow Run—‘‘Making strides toward cardio-vascular health:’’ On Friday, June 20th join your colleagues by partici-pating in this this nighttime 5K to light up the night sky with glowsticks as you enjoy great views from downtown Portland. Once youcross the finish line you’ll be greeted by an after party that will bejust as much fun as the race itself! Proceeds from the race go towardcardiovascular 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 Anniver-sary meeting and having you visit Portland. I hope some of the abovewill encourage you and your colleagues to attend. I highly encourageyou to extend your trip a day or two to visit places such as theColumbia Gorge, Mt Hood, Mount St. Helens, and the Oregon coast.

CHOCARDIOGRAPHY (COPE)ICATIONBeginnings

1. the annual Intraoperative Echocardiogra-phy Symposium.

2. the promotion of an educational exchangebetween the ASE and the Society of Car-diovascular Anesthesiologists (SCA), and

3. the development of a standardized intrao-perative TEE examination.2

These were very lofty goals. It is worthlooking at each of them individually andhow each affected the direction of thecouncil.

ANNUAL INTRAOPERATIVE SYMPOSIUM

The symposium was designed from the beginning to be an all day ses-sion held at theASE annualmeeting. Itwas ‘‘not intended to be a reviewfor the beginner, but rather a series of in depth discussions and lectureson controversial topics in intraoperative echocardiography.’’2 Initially,lectures focused on complex individual topics with the 1999 session be-ing a typical example. Lectureswere given by Society leaders, Harry Ra-kowski, 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 specialtymatured, the Intraoperative Symposium changed to be an all dayadvance educational discussion on a specific topic with live intraopera-tive feeds and surgical porcine wet lab dissections. A few examplesinclude 2007’s Perioperative echocardiography for heart failure surgery;

Scott T. Reeves,MD, MBA, FASE

ournal of the American Society of Echocardiography 19A

2008’s iSee my heart and 2009’sUtility of intraoperative echocardiographyto guide surgical decision-making.

PROMOTION OF EXCHANGES BETWEEN THE ASE AND SCA

In July 1998, the ASE and SCA negotiated with the National Board ofMedical Examiners to form the National Board of Echocardiography(NBE), which would develop a certification process in AdvancedPerioperative Echocardiography. The NBE board was composed ofcardiologists and cardiac anesthesiologists and was initially led byASE president-elect, Dr. Harry Rakowski, and SCA president-elect,Dr. Dan Thys.

Concurrent with the certification process, the SCA and ASEcollaborated in the development of the Comprehensive Review ofIntraoperative Echo course that was first held in 1998. Drs. RobertSavage and Sol Aronson chaired the meeting, and both went on tobe chairmen of the IOC.3 A testimony of the longevity of thismeeting is that the 17th Annual Comprehensive Review and Updateof 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 appointa working group of cardiac anesthesiologists and cardiologists to‘‘develop a standard intraoperative TEE examination that definesthe essential components.that should be a part of all intraoperativeTEE assessments.’’2 In 1999, JASE published ASE/SCA guidelines forperforming a comprehensive intraoperative multiplane transesophagealechocardiography examination. This paper would become one of themost frequently cited manuscripts in the history of JASE. The IOCand eventually COPEwould go on to developmany additional guide-line and standard papers in the years that followed.

1. Guidelines for Performing a Comprehensive TransesophagealEchocardiography Examination: Recommendations from theAmerican Society of Echocardiography and the Society of Car-diovascular Anesthesiologists, JASE, September 2013

2. Basic Perioperative Transesophageal Echocardiography Exami-nation: A Consensus Statement of the American Society ofEchocardiography and the Society of Cardiovascular Anesthesi-ologists, JASE, May 2013

3. Guidelines for Performing Ultrasound Guided Vascular Cannu-lation: Recommendations of the American Society of Echocar-diography and the Society of Cardiovascular Anesthesiologists,JASE, December 2011

4. Guidelines for the Performance of a Comprehensive Intraoper-ative Epiaortic Ultrasonographic Examination, JASE, November2007

5. Guidelines for Performing a Comprehensive Epicardial Echo-cardiography Examination: Recommendations of the AmericanSociety of Echocardiography and the Society of CardiovascularAnesthesiologists, JASE, April 2007

6. ASE/SCA Recommendations and Guidelines for ContinuousQuality Improvement in Perioperative Echocardiography,JASE, November 2006

7. ASE and SCA Task Force Guidelines for Training in Periopera-tive Echocardiography, JASE, June 2002.

8. ASE/SCAGuidelines for Performing aComprehensive Intraoper-ative Multiplane Transesophageal Examination, JASE, October1999

Since its inception in 1994, the IOC has been a leader within theASE. However, with advancing technologies intraoperative echocar-diography was no longer limited to the operating room. As a pastIOC chairman, Dr. Stan Shernan, wrote in 2012, ‘‘significant advanceshave enabled the expansion of echocardiography applications to theperioperative environment and include preoperative TTE and TEE;intraoperative TEE, epicardial, epiaortic and surface echocardiogra-phy for central line placement; and postoperative TTE and TEE inthe intensive care unit. In addition, a rapidly growing body of evidencecontinues to support the utility of perioperative echocardiography tofacilitate risk stratification, improve perioperative medical manage-ment, and favorably influence clinical decision-making.’’1 Hence,the IOC requested and received permission from the ASE Board ofDirectors to change its name to the Council for Perioperative Echocar-diography (COPE). In 2013, COPE formally awarded the firstOutstanding Achievement in Perioperative Echocardiography awardto Dr. Jack Shanewise for his outstanding contribution to the council,ASE and the specialty.

The Intraoperative Council (now the Council for PerioperativeEchocardiography) has a rich history within the American Societyof Echocardiography. It came from humble beginnings to become aleader in establishing the standards for perioperative echocardiogra-phy care. It has been an honor to work alongside sonographers, car-diac surgeons, cardiologists and cardiac anesthesiologists within thecouncil to achieve this reality.

REFERENCES

1. Shernan S. Council on perioperative echocardiography communication: Anew award to recognize a new era in cardiovascular ultrasound. J Am SocEchocardiogr 2012;25:24A-5.

2. Savino JS. Council on intraoperative echocardiography. J Am Soc Echocar-diogr 1998;9:18A-9.

3. Rakowski H. President’s Message Partners in Education. J Am Soc Echocar-diogr 1999;11:15A-6.

20A Journal of the American Society of Echocardiography Volume 27 Number 4