Overview

I am involved in diverse studies that include defining clinically relevant pharmacodynamic endpoints for drugs used in paediatric anaesthetic and perioperative care, and providing feedback on aspects of quality of intraoperative care, with the common goal of improving patients' experiences & safety.

Examples of such studies include: examining the effects of anaesthetic drugs on myocardial repolarization, with the aim of producing evidence-based advice on the safety of these agents in children with, or at risk of, long QT syndromes; analyzing intraoperative Code Blue data to help focus preventative strategies; correlating perioperative thermoregulation management with surgical outcomes in scoliosis correction surgery and in the National Surgical Quality Improvement Programme – Pediatrics (NSQIP-P).

Publications

Using physiological monitoring data for performance feedback: an initiative using thermoregulation metrics.
Görges M and West NC and Whyte SD
DOI: 10.1007/s12630-016-0762-3
PubMed: 27785761
03/2017

Preoperative warming and undesired surgical and anesthesia outcomes in pediatric spinal surgery-a retrospective cohort study.
Görges M and West NC and Cheung W and Zhou G and Miyanji F and Whyte SD
DOI: 10.1111/pan.12939
PubMed: 27312044
09/2016

Changes in QTc associated with a rapid bolus dose of dexmedetomidine in patients receiving TIVA: a retrospective study.
Görges M and Whyte SD and Sanatani S and Dawes J and Montgomery CJ and Ansermino JM
DOI: 10.1111/pan.12780
PubMed: 26507917
12/2015

The safety of modern anesthesia for children with long QT syndrome.
Whyte SD and Nathan A and Myers D and Watkins SC and Kannankeril PJ and Etheridge SP and Andrade J and Collins KK and Law IH and Hayes J and Sanatani S
DOI: 10.1213/ane.0000000000000389
PubMed: 25076102
10/2014

ACS national surgical quality improvement program: targeting quality improvement in Canadian pediatric surgery.
Skarsgard ED and Bedford J and Chan T and Whyte S and Afshar K
DOI: 10.1016/j.jpedsurg.2014.02.047
PubMed: 24851748
05/2014

A retrospective audit to examine the effectiveness of preoperative warming on hypothermia in spine deformity surgery patients.
Görges M and Ansermino JM and Whyte SD
DOI: 10.1111/pan.12204
PubMed: 23738627
11/2013

Usability and performance characteristics of the pediatric air-Q® intubating laryngeal airway.
Whyte SD and Cooke E and Malherbe S
DOI: 10.1007/s12630-013-9918-6
PubMed: 23519724
06/2013

Normal Tp-e values in children.
Sanatani S and Whyte S
DOI: 10.1213/ane.0b013e31823554ac
PubMed: 22184612
01/2012

The effects of droperidol and ondansetron on dispersion of myocardial repolarization in children
Pediatric Anesthesia
DISHA MEHTA and SHUBHAYAN SANATANI and SIMON D. WHYTE
DOI: 10.1111/j.1460-9592.2010.03408.x
09/2010

Total intravenous anesthesia and spontaneous respiration for airway endoscopy in children--a prospective evaluation.
Malherbe S and Whyte S and Singh P and Amari E and King A and Ansermino JM
DOI: 10.1111/j.1460-9592.2010.03290.x
PubMed: 20337953
05/2010

Caudal and Intravenous Anesthesia Without Airway Instrumentation for Laparoscopic Inguinal Hernia Repair in Infants: A Case Series
A&A practice
Krishnan, P. and Whyte, S.D. and Baird, R. and Malherbe, S.
DOI: 10.1213/XAA.0000000000001251
2020

Pediatric Airway Management in COVID-19 Patients: Consensus Guidelines from the Society for Pediatric Anesthesia's Pediatric Difficult Intubation Collaborative and the Canadian Pediatric Anesthesia Society
Anesthesia and Analgesia
Matava, C.T. and Kovatsis, P.G. and Lee, J.K. and Castro, P. and Denning, S. and Yu, J. and Park, R. and Lockman, J.L. and Von Ungern-Sternberg, B. and Sabato, S. and Lee, L.K. and Ayad, I. and Mireles, S. and Lardner, D. and Whyte, S. and Szolnoki, J. and Jagannathan, N. and Thompson, N. and Stein, M.L. and Dalesio, N. and Greenberg, R. and McCloskey, J. and Peyton, J. and Evans, F. and Haydar, B. and Reynolds, P. and Chiao, F. and Taicher, B. and Templeton, T. and Bhalla, T. and Raman, V.T. and Garcia-Marcinkiewicz, A. and G{\'a}lvez, J. and Tan, J. and Rehman, M. and Crockett, C. and Olomu, P. and Szmuk, P. and Glover, C. and Matuszczak, M. and Galvez, I. and Hunyady, A. and Polaner, D. and Gooden, C. and Hsu, G. and Gumaney, H. and P{\'e}rez-Pradilla, C. and Kiss, E.E. and Theroux, M.C. and Lau, J. and Asaf, S. and Ingelmo, P. and Engelhardt, T. and Hervi{\'a}s, M. and Greenwood, E. and Javia, L. and Disma, N. and Yaster, M. and Fiadjoe, J.E.
DOI: 10.1213/ANE.0000000000004872
2020

Effects of Dexmedetomidine on Blood Glucose and Serum Potassium Levels in Children Undergoing General Anesthesia: A Secondary Analysis of Safety Endpoints During a Randomized Controlled Trial.
Anesthesia and analgesia
Görges M and Poznikoff AK and West NC and Brodie SM and Brant RF and Whyte SD
DOI: 10.1213/ane.0000000000004154
PubMed: 31008751
04/2019

Effects of Dexmedetomidine on Myocardial Repolarization in Children Undergoing General Anesthesia: A Randomized Controlled Trial.
Anesthesia and analgesia
Görges M and Sherwin ED and Poznikoff AK and West NC and Brodie SM and Whyte SD
DOI: 10.1213/ane.0000000000004135
PubMed: 30985379
04/2019

Integrating intraoperative physiology data into outcome analysis for the ACS Pediatric National Surgical Quality Improvement Program
Pediatric Anesthesia
Matthias Görges and Kourosh Afshar and Nicholas West and Shanshan Pi and Julie Bedford and Simon D. Whyte
DOI: 10.1111/pan.13531
01/2019

Effects of Dexmedetomidine on Myocardial Repolarization in Children Undergoing General Anesthesia: A Randomized Controlled Trial
Anesthesia and analgesia
G{\"o}rges, M. and Sherwin, E.D. and Poznikoff, A.K. and West, N.C. and Brodie, S.M. and Whyte, S.D.
DOI: 10.1213/ANE.0000000000004135
2019

Effects of Dexmedetomidine on Blood Glucose and Serum Potassium Levels in Children Undergoing General Anesthesia: A Secondary Analysis of Safety Endpoints During a Randomized Controlled Trial
Anesthesia and analgesia
G{\"o}rges, M. and Poznikoff, A.K. and West, N.C. and Brodie, S.M. and Brant, R.F. and Whyte, S.D.
DOI: 10.1213/ANE.0000000000004154
2019

Audit and feedback: to tell or not to tell? That is not the question
Canadian Journal of Anesthesia/Journal canadien d'anesthésie
Simon Whyte
DOI: 10.1007/s12630-018-1206-z
11/2018

Paediatrics
Surgeon's Guide to Anaesthesia and Perioperative Care
2014

The safety of modern anesthesia for children with long QT syndrome
Anesthesia and Analgesia
Whyte, S.D. and Nathan, A. and Myers, D. and Watkins, S.C. and Kannankeril, P.J. and Etheridge, S.P. and Andrade, J. and Collins, K.K. and Law, I.H. and Hayes, J. and Sanatani, S.
DOI: 10.1213/ANE.0000000000000389
2014

Paediatric cases
A Surgeon's Guide to Anaesthesia and Peri-Operative Care
Whyte, S. and Butterworth, S.
DOI: 10.1017/CBO9781139628808.016
2014

Normal Tp-e values in children
Anesthesia and Analgesia
Sanatani, S. and Whyte, S.
DOI: 10.1213/ANE.0b013e31823554ac
2012

Anaesthesia for elective ear, nose and throat surgery in children
Anaesthesia and Intensive Care Medicine
Brown, Z. and Whyte, S.
DOI: 10.1016/j.mpaic.2012.02.010
2012

Dexmedetomidine for co-analgesia in chemotherapy-induced severe enterocolitis.
Winton P and Whyte E and Reimer EJ and Davis J and Whyte S
DOI: 10.1111/j.1460-9592.2011.03575.x
PubMed: 21793978
09/2011

Intubation via the intubating laryngeal airway in two pediatric patients with predicted difficult airways.
Peiris K and Traynor M and Whyte S
DOI: 10.1111/j.1460-9592.2009.03222.x
PubMed: 20078820
02/2010

Anaesthesia for elective ear, nose and throat surgery in children
Anaesthesia & Intensive Care Medicine
Permendra Singh and Simon Whyte
DOI: 10.1016/j.mpaic.2009.02.002
04/2009

Perioperative fluid and electrolyte balance in children
Anaesthesia & Intensive Care Medicine
Simon D. Whyte
DOI: 10.1016/j.mpaic.2008.10.006
02/2009

The effect of propofol concentration on dispersion of myocardial repolarization in children.
Hume-Smith HV and Sanatani S and Lim J and Chau A and Whyte SD
DOI: 10.1213/ane.0b013e3181815ce3
PubMed: 18713888
09/2008

Editorial
Current Anaesthesia and Critical Care
Whyte, S.D.
DOI: 10.1016/j.cacc.2008.09.002
2008

A comparison of the effect on dispersion of repolarization of age-adjusted MAC values of sevoflurane in children.
Whyte SD and Sanatani S and Lim J and Booker PD
DOI: 10.1213/01.ane.0000252417.23986.6e
PubMed: 17242080
02/2007

Torsades de pointes with sevoflurane.
Whyte SD and Sanatani S and Booker PD
DOI: 10.1111/j.1460-9592.2006.01994.x
PubMed: 17040316
11/2006

Anesthetic considerations in the management of Wilms' tumor.
Whyte SD and Mark Ansermino J
DOI: 10.1111/j.1460-9592.2006.01866.x
PubMed: 16677259
05/2006

The effects of propofol and sevoflurane on the QT interval and transmural dispersion of repolarization in children.
Whyte SD and Booker PD and Buckley DG
DOI: 10.1213/01.ane.0000140781.18391.41
PubMed: 15616054
01/2005

The effects of propofol and sevoflurane on the QT interval and transmural dispersion of repolarization in children
Anesthesia and Analgesia
Whyte, S.D. and Booker, P.D. and Buckley, D.G.
DOI: 10.1213/01.ANE.0000140781.18391.41
2005

Newborn life support and the anaesthetist
Current Anaesthesia & Critical Care
Simon Whyte
DOI: 10.1016/j.cacc.2004.08.005
10/2004

Bispectral index during isoflurane anesthesia in pediatric patients.
Whyte SD and Booker PD
DOI: 10.1213/01.ane.0000117223.84646.36
PubMed: 15155318
06/2004

Bispectral index during isoflurane anesthesia in pediatric patients
Anesthesia and Analgesia
Whyte, S.D. and Booker, P.D.
DOI: 10.1213/01.ANE.0000117223.84646.36
2004

Usefulness of the Minute Ventilation Test in Predicting Successful Extubation in Newborn Infants: A Randomized Controlled Trial
Journal of Perinatology
Lorna M Gillespie and Simon D White and Sunil K Sinha and Steven M Donn
DOI: 10.1038/sj.jp.7210886
04/2003

Long QT syndrome and anaesthesia.
Booker PD and Whyte SD and Ladusans EJ
DOI: 10.1093/bja/aeg061
PubMed: 12594150
03/2003

Monitoring the depth of anaesthesia
British Journal of Anaesthesia
2003

Monitoring depth of anaesthesia by EEG
Continuing Education in Anaesthesia, Critical Care and Pain
Whyte, S.D. and Booker, P.D.
DOI: 10.1093/bjacepd/mkg106
2003

Paediatric applications of concentration-orientated anaesthesia
Best Practice & Research Clinical Anaesthesiology
Peter Driscoll Booker and Simon David Whyte
DOI: 10.1053/bean.2000.0138
03/2001

Premedication before intubation in UK neonatal units.
Whyte S and Birrell G and Wyllie J
DOI: 10.1136/fn.82.1.f38
PubMed: 10634840
01/2000

Premedication before intubation in UK neonatal units
Archives of Disease in Childhood: Fetal and Neonatal Edition
Whyte, S. and Birrell, G. and Wyllie, J.
DOI: 10.1136/fn.82.1.F38
2000

Paediatric basic life support: a practical assessment.
Whyte SD and Wyllie JP
DOI: 10.1016/s0300-9572(99)00056-8
PubMed: 10488937
07/1999

Patient-controlled analgesia: epidural fentanyl and i.v. morphine compared after caesarean section.
Cooper DW and Saleh U and Taylor M and Whyte S and Ryall D and Kokri MS and Desira WR and Day H and McArthur E
DOI: 10.1093/bja/82.3.366
PubMed: 10434817
03/1999

Neonatal resuscitation--a practical assessment.
Whyte SD and Sinha AK and Wyllie JP
DOI: 10.1016/s0300-9572(98)00143-9
PubMed: 10321844
01/1999

Neonatal resuscitation - A practical assessment
Resuscitation
Whyte, S.D. and Sinha, A.K. and Wyllie, J.P.
DOI: 10.1016/S0300-9572(98)00143-9
1999

Paediatric basic life support: A practical assessment
Resuscitation
Whyte, S.D. and Wyllie, J.P.
DOI: 10.1016/S0300-9572(99)00056-8
1999

Inability to adhere to current european neonatal resuscitation guidelines
Pediatric Research
Whyte, S.D. and Sinha, A.J. and Wyllie, J.P.
DOI: 10.1203/00006450-199809000-00110
1998

Research

Canadian Paediatric Difficult Intubation Database
The first stage of this work has been to establish a local difficult intubation database in our operating rooms. This went live in July 2017. The next stage will be to expand the database to allow other Canadian tertiary paediatric anaesthesia departments to contribute data.

Dexmedetomidine & Myocardial Repolarization Dynamics
This randomised, double-blinded clinical trial will investigate the effect of three clinically relevant doses of dexmedetomidine on the dispersion of myocardial repolarization. Increases in dispersion of repolarization are pro-arrhythmogenic and facilitate torsades de pointes in patients with or at risk of long QT syndromes. As many of these patients are undiagnosed, and as the peri-operative period represents a time of increased risk for them, identifying anaesthetic agents that do not further increase this risk is an important undertaking.


Grants

2016-2017 Evidence to Innovation Seed Grant

“BCCH Pediatric Anesthesia Difficult Airway Database

A Quality Improvement Initiative to Improve Safety in Patients with Difficult Airways”

Honours & Awards

Child & Family Research Institute Innovations in Acute Care & Technology Trainee Clinical Investigator Seed Grant - Project

"The effect of preoperative warming on surgical complications in pediatric scoliosis repair," $5,000. 2013.

Child & Family Research Institute Pharmaceutical Outcomes and Policy Innovations - Project

"5-HT3 Antagonists and Cardiac Safety," $42,667. 2014/15.

Research Group Members

Krystal Cardinal
Victoria McCann, Summer Research Student
Andrew Poznikoff, Clinical Research Coordinator