Sean H Flack, MD

Sean H Flack, MD

Anesthesiology

On staff since July 2004

Children's Title: Regional Anesthesia Director; Interim Medical Director, PASS Clinic

Academic Title: Associate Professor

Research Center: Center for Clinical and Translational Research

"I come to work every day because I have the opportunity to make a difference in the lives of my patients and their families. I cherish the trust parents place in me and do my utmost to repay their trust by delivering the highest standard of care that I can."

  • Patient Testimonials

  • Awards and Honors

    Award Name Award Description Awarded By Award Date
    Elected to Board of Directors Society for Pediatric Anesthesia 2015 - 2016
    Appointed chair, communications committee Society for Pediatric Anesthesia 2014 - 2015
    Best Doctors' List Washington Magazine 2012
  • Publications

    Manuscripts in Refereed Journals

    • Rani A. Sunder, Eric J. Monroe, Sean H. Flack.
      Pitfalls of a Shared Neuraxial Space. Wandering Epidural Catheter
      Anesthesiology, 2019 : 1311151
    • Walker BJ, Schmale GA, McCreary F, McFadyen JG, Bompadre V, Flack SH, Bosenberg AT
      Regional anesthesia for anterior cruciate ligament reconstruction in adolescents
      Paediatr Anaesth, 2016 : 26668-9
    • Grigg E, Anderson C, Pankovich M, Martin L, Flack S
      Systemic ropivacaine toxicity from a peripheral nerve infusion in a medically complex patient
      J Clin Anesth, 2015 : 27338-40
    • Walker BJ, Long JB, De Oliveira GS, Szmuk P, Setiawan C, Polaner DM, Suresh S; PRAN Investigators
      Peripheral nerve catheters in children: an analysis of safety and practice patterns from the pediatric regional anesthesia network (PRAN)
      Br J Anaesth, 2015 : 115457-62
    • Grigg E, Anderson C, Pankovich M, Martin L
      2. Systemic ropivacaine toxicity from a peripheral nerve infusion in a medically complex patient
      J Clin Anesth, 2015 : 27338-40
    • Flack SH, Martin LD, Walker BJ, Bosenberg AT, Helmers LD, Goldin AB, Haberkern CM
      Ultrasound-guided rectus sheath block or wound infiltration in children: a randomized blinded study of analgesia and bupivacaine absorption
      Paediatr Anaesth, 2014 : 24968973
    • Latham GJ, Veneracion ML, Joffe DC, Bosenberg AT, Flack SH, Low DK
      High-frequency micro-ultrasound for vascular access in young children--a feasibility study by the High-frequency UltraSound in Kids studY (HUSKY) group
      Paediatr Anaesth, 2013 : 23529-35
    • Flack SH, Anderson CTM
      Ultrasound guided lower extremity nerve blocks
      Paediatr Anaesth, 2012 : 2272 - 80
    • Waker BJ, Flack SH, Bosenberg AT
      Predicting Lumbar Plexus Depth in Children and Adolescents.
      Anesth Analg, 2011 : 112661 - 665
    • Flack SH, Anderson CM, Bernards CM
      Morphine Distribution in Spinal Cord Following Chronic
      Anesth Analg, 2011 : 112460 - 464
    • Flack SH, Bernards CM
      Cerebrospinal fluid and spinal cord distribution of hyperbaric bupivacaine and baclofen during slow intrathecal infusion in pigs.
      19996952 Anesthesiology, 2010 Jan. : 165-73
    • Flack SH, Ojemann J, Haberkern C
      Cerebral hemispherectomy in infants and young children.
      Paediatr Anaesth, 2008 : 18967- 973
    • Piper NA, Flack SH, Loeser JD, Lynn AM
      Epidural analgesia in a patient with an intrathecal catheter and subcutaneous pump to deliver baclofen.
      16918665 Paediatric anaesthesia, 2006 Sept. : 989-92
    • Walker B, Long J, Sathyamoorthy M, Birstler J, Wolf C, Bosenberg A, Flack S, et al.
      Complications in Pediatric Regional Anesthesia: An Analysis of Over 100,000 Blocks from the Pediatric Regional Anesthesia Network (PRAN).
      Anesthesiol, 129721-732

    Published Abstracts

    • Benjamin J. Walker, Felicia McCreary, Grant McFadyen, Viviana Bompadre, Sean Flack, Adrian Bosenberg, and Gregory A. Schmale
      No Advantage of Continuous Catheter over Single-Shot Regional Anesthetic for Pain Control after Anterior Cruciate Ligament Reconstruction in Youth: A Randomized Controlled Trial
      2014
    • Latham, G., Veneracion, M., Bosenberg, A., Joffe, D., Flack, S., Low, D.
      High frequency micro-ultrasound for vascular access in young children - a feasibility study by the High frequency UltraSound in Kids studY (HUSKY) group.
      Las Vegas, NV: society for Pediatric Anesthesiology Winter Meeting 2013., 2013
    • Sean H. Flack, MB ChB, Martin, L., Haberkern, C., Bosenberg, A.
      Plasma bupivicaine levels after local anesthetic infiltration or ultrasound-guided rectus sheath block in children: A randomized blinded double-cohort study
      Society of Pediatric Anesthesia Meeting, 2013
    • Latham, G, Veneracion, M, Bosenberg, A, Joffe, D, Low, D
      High frequency micro-ultrasound for vacular access in young children-a feasibility study by the High Frequency Ultrasound in Kids Study (HUSKY) group
      SPA Winter Meeting, 2013
    • Grant McFadyen, Benjamin Walker, Felicia McCreary, Carmen Ocampo, Daniel Low, Martha Pankovich, Sean Flack, Adrian Bosenberg
      Pain control for anterior cruciate ligament reconstruction
      2013
    • Martin LD, Haberkern CM, Bosenberg A, Walker B, Flack S
      Plasma bupivacaine levels after local anesthetic infiltration or ultrasound-guided rectus sheath block in children: A randomized blinded double-cohort study
      2013
    • K Larkin, S Flack, L Helmers, A Bosenberg
      Psoas Compartment Catheters for Perioperative Pain Management in Children
      SPA/AAP Annual Meeting 2007
    • Benjamin Walker, Sean Flack, Adrian Bosenberg
      Prediction of Lumbar Plexus Depth in Children
      SPA/AAP Annual Meeting San Antonio 2010
    • K Cashman, L Helmers, S Flack, L Martin
      Using Lean (Toyota) methods in Creation of a Regional Block Room to Expedite Surgical Case Flow
      SPA/AAP Annual Meeting, Jackson, FL 2009
    • Flack SH, Bernards CM
      Morphine Distribution Following Chronic Intrathecal Infusion in
      ASA Annual Meeting, New Orleans 2009
    • K Larkin, S Flack, L Helmers, A Bosenberg
      Psoas Compartment Catheters for Perioperative Pain Management in Children
      ASA Annual Meeting in San Francisco, CA 2007
    • Benjamin J. Walker, Sean H. Flack, Adrian T. Bosenberg
      Estimation of Lumbar Plexus Depth
      ASA Annual Meeting, New Orleans 2009
    • S. Verma, S Flack, AT Bosenberg
      Determination of spinal cord and dural sac location by ultrasound prior to caudal block in normal neonates and infants.
      SPA/AAP Annual meeting, Jacksonville, FL 2009
    • McCreary F, Bosenberg A, Flack SH
      Incidence of Dural Puncture With Epidural Blocks in Children: A Review of the PRAN data
      Departmental Academic Evening, Seattle 2011
    • HH Lee, AT Bosenberg, S Flack, L Martin, DM Polaner, J Cravero, E Krane, MD, S Suresh, A Taezner
      Caudal Block revisited; what are the risks?
      SPA/AAP Annual meeting Jacksonville 2009
    • Flack SH, Anderson CTMA, McFadyen JG, Pankovich M, Bosenberg AT
      . Time Taken for Epidural Catheter Placement Impact of a Regional Anesthesia Team.
      SPA/AAP Annual Meeting Tampa, FL Spring 2012.
    • Flack SH , Walker B, Bosenberg A, Goldin A, Wong K, McFadyen G, Helmers L, Haberkern C
      Ultrasound-guided rectus sheath block for post-operative pain control following umbilical hernia repair
      SPA/AAP Annual Meeting, San Diego 2011
    • S Flack, C Barnards
      Effect of Baricity and Posture on Bupivacaine Distribution after Chronic Intrathecal infusion
      ASRA Annual Meeting, Cancun, Mexico 2008
    • SH Flack, CM Haberkern, JG Ojemann
      Anesthesia for Cerebral Hemispherectomy in Infants and Young Children
      SPA/AAP Annual Meeting 2007
    • David E. Liston , J. Grant McFadyen, Benjamin J. Walker, Sean H. Flack, Adrian T. Bosenberg
      Lumbar Plexus Catheters Versus Lumbar Epidurals for Pain Management following Pelvic Osteotomy
      SPA/AAP Annual Meeting San Antonio 2010
    • CTM Anderson, J Kuratani, R Saneto, D Kim, H Karl, S Flack, L Helmers
      Dexmedetomidine versus Propofal Administration in Neurologically Children Undergoing EEG Neurodiagnostic Studies
      SPA/AAP Annual Meeting 2007
    • Flack SH, Anderson CTMA, McFadyen JG, Pankovich M, Bosenberg T.
      Time Taken for Epidural Catheter Placement - Impact of a Regional lAnesthesia Team
      SPA/AAP Annual Meeting. Tampa, FL Spring, 2012
    • BJ Walker, SH Flack, L Langford, MT Bosenberg, AT Bosenberg
      Transversus Abdominis Plane Block in Children
      SPA/AAP Annual meeting Jacksonville 2009
    • Liston D, Gentry K, McGuire S, Katz C, Flack SH
      Using Continuous Performance Improvement to Streamline the Initiation of Epidural Infusions in the Operating Room
      SPA/AAP Annual Meeting San Diego 2011
    • S Flack, C Bernards
      Effects of Baricity and Posture on Baclofen Distribuion After Chronic Intrathecal Infusion
      ASA Annual Meeting, Orlando, FL 2008
    • J Rowell, K Larkin, S Flack, L Helmers, A Bosenberg
      Lumbar Plexus Catheters for Perioperative Pain Management in Children
      SPA/AAP Annual Meeting, Jacksonville, FL 2009

    Other Publications

    • Sunder RA, Cheng T, Flack S, Anderson C, Bolnick D
      Pudendal Nerve Block: Peds Online Module 10.1.
      2019
    • Sean Flack and Lynn Martin
      Rapid Changeover in the Operating Room
      in Wellman J, Hagan P, Jeffries H (eds): Leading the Lean Healthcare Journey: Driving Culture Change to Increase Value. Boca Raton, Productivity Press, 2016
    • Lizabeth D. Martin, J. Grant McFadyen
      Regional Anesthesia and Analgesia
      in Kaye AD, Fox CJ, Diaz JH, (eds): Essentials of Pediatric Anesthesiology, 2014 : 323-340
    • 11. Ross AK, Ahmed Z, Flack S, Gooden C, Houck CH, Malviya SV, Agarwal R, Armstead VE, Guffey P, Homi HM
      The Future Is Here.
      Society for Pediatric Anesthesia News, 2012 : 25(1)
    • Sean H. Flack, MB ChB, In: Song K (ed), Orthopedic Knowledge Update
      Advances in Pediatric Anesthesia
      Pediatrics 4 Rosemont, American Academy of Orthopedic Surgeons, 2011 : 29 - 36
    • Sean H. Flack, MB ChB, In: Wellman J, Hagan P, Jeffries H (eds) Leading the Lean Healthcare Journey: Driving Culture Change to Increase Value, Boca Raton
      Rapid Changeover in the Operating Room
      Productivity Press, 2011 : 193 - 201
    • 7. Ross AK, Ahmed Z, Wise-Faberowski LW, Flack S, Gooden C, Houck CH, Malviya SV, Monitto C, Olutoye T, Polaner DM, Reynolds PI, Valley R
      Society for Pediatric Anesthesia/American Academy of Pediatrics / Congenital Cardiac Anesthesia Society Winter Meeting Review
      Anesth Analg, 2010 : 110299 - 271
    • 8. Ross AK, Kussman B, Valley RD, Flack S, Ahmed Z, Gooden CK, Georges L, Lauro HV, Malviya S.
      2010 meeting of the Congenital Cardiac Anesthesia Society (CCAS) and the Society for Pediatric Anesthesia (SPA)
      Anesth Analg, 2010 : 1111331-1333
    • Flack SH, Glover C
      Ultrasound: Is there a Place for it in Regional Anesthesia?
      Society for Pediatric Anesthesia Newsletter, 2008 : 21(2)
    • Ross AK, Gooden CK, Golden S, Aulfqar A, Lauro H, Flack SH, Glass N
      Society of Pediatric Anesthesia/American Academy of Pediatrics Winter Meeting Review
      Anesth Analg, 2007 : 105967 - 973
    • Flack SH
      Anesthesia for Awake Craniotomies in Children
      Med Ed Portal. 2006; available from: http://www.aamc.org/mededportal, ID=423, 2006
    • Flack SH
      Awake Craniotomies: This and other uses for Dexmedetomidine in Pediatric Anesthesia.
      Published on PBLD CD-Rom, ASA Annual meeting, Atlanta 2005, 2005
    • Sean H. Flack, MB ChB, Piper, N. A., Lynn, A.
      Author's reply
      Pediatric Anesth, 17707
    • Flack SH
      9. Regional Anesthesia in Children. Society for Pediatric Anesthesia Lecture Series.
      Available at http://www.pedsanesthesia.org/lecture_series.iphtml
  • Presentations

    Presentation Title Event Location Date
    Caudal for Hypospadias Repair SPA/AAP Annual Meeting March 2018
    12-year-old male 'allergic to narcotics' for rotator cuff repair in an ambulatory surgery center: pediatric regional anesthesia controversies. PBLD SPA/AAP annual meeting Colorado Springs, CO 2016
    Ultrasound-Guided Regional Anesthesia in Children 6th Annual Networking World Anesthesia Convention Vancouver BC May 2015
    Neuraxial Sonoanatomy in Infants and Neonates 4th National Conference of Academy of Regional Anesthesia India, Delhi Sept. 2014
    High Resolution Ultrasonography 4th National Conference of Academy of Regional Anesthesia India, Delhi Sept. 2014
    Ultrasound-Guided Regional Anesthesia in Children 4th National Conference of Academy of Regional Anesthesia India, Delhi Sept. 2014
    Maintaining Continuous Perineural Catheters 4th National Conference of Academy of Regional Anesthesia India, Delhi Sept. 2014
    Pediatric Regional Anesthesia Concerns (Clinical Forum) ASA Annual Meeting San Francisco, CA Oct. 2013
    Continuous, Perineural Catheters Regional Anesthesia in Children Seattle, WA Jan 1, 2009
    Practical Approaces to Quality Society for Pediatric Anesthesia and American Academy of Pediatrics Annual Meeting Jacksonville, FL Jan 1, 2009
    Upper Extremity Nerve Blocks Regional Anesthesia in Children Seattle, WA Jan 1, 2009
  • Research Funding

    Grant Title Grantor Amount Award Date
    A Prospective Randomized Comparative Study of Patient-Controlled Analgesia, Epidural Catheters and Lumbar Plexus Catheters to Provide Analgesia after Pediatric Hip Surgery Seattle Children's Hospital, Department of Anesthesiology Research Pilot Funds Grant $15000 2011 - 2015
    Steady state pharmacokinetics of blood ropivacaine levels in older children receiving lumbar plexus catheters Seattle Children’s Academic Enrichment Fund

Overview

Board Certification(s)

Anesthesiology

Medical/Professional School

University of Cape Town, Observatory, Cape Town

Fellowship

Royal United Hospital NHS, Bath Somerset

Research Focus Area

Translational Research