Dr. Vaccani is a pediatric Otolaryngologist – Head & Neck Surgeon working at CHEO since 2003. He completed his surgical residency at the University of Ottawa and his Fellowship at the Royal Children’s Hospital in Melbourne, Australia in Pediatric Otolaryngology.
Dr. Vaccani is an Associate Professor at the University of Ottawa in the Department of Otolaryngology. He is currently the CHEO Chief of Surgery.
His research interests are in medical education and the assessment of children with hearing loss.
The Feasibility of Magnetic Resonance Imaging Without General Anesthesia Using the “Bundle and Scan” Technique for Infants With Sensorineural Hearing Loss
The purpose of this study is to determine the feasibility of magnetic resonance imaging (MRI) without general anesthesia (GA) for infants being evaluated for sensorineural hearing loss (SNHL) using the bundle and scan technique.
Paediatric adenotonsillectomy, part 1: surgical perspectives relevant to the anesthetist
Obstructive sleep apnoea is a systemic inflammatory disease with multiple end-organ effects, increased sensitivity to opioids and reported pain. The anaesthetic technique should be adjusted accordingly and can be informed by preoperative overnight oximetry, an increasingly accepted diagnostic tool for OSA. Residual symptoms of oSDB/OSA after AT imply severe baseline disease and/or an underlying medical complexity.
Paediatric adenotonsillectomy, part 2: considerations for anaesthesia
The perioperative anaesthetic care of a child undergoing AT is evolving. Perioperative risk stratification is becoming less reliant on PSG as overnight pulse oximetry is an increasingly acceptable alternative. Validated paediatric questionnaires to diagnose OSA or predict critical PRAEs are being developed. These are likely to incorporate objective measures, such as overnight pulse oximetry, to improve performance of the tools. Preparation is required to address the unique airway challenges inherent in the child undergoing AT. Increased pain and sensitivity to opioid-induced respiratory depression in the child with OSA compel using a multimodal opioid-sparing analgesic technique.