- Anesthesia and Pain Management
- Airway Management and Intubation Techniques
- Anesthesia and Sedative Agents
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Safety and Medication Errors
- Infection Control in Healthcare
- Pregnancy and preeclampsia studies
- Nausea and vomiting management
- Spine and Intervertebral Disc Pathology
- Intensive Care Unit Cognitive Disorders
- Anesthesia and Neurotoxicity Research
- Maternal and Perinatal Health Interventions
- Neonatal Respiratory Health Research
- Surgical Simulation and Training
- Transplantation: Methods and Outcomes
- Hereditary Neurological Disorders
- Dental Research and COVID-19
- Healthcare Operations and Scheduling Optimization
- Facial Rejuvenation and Surgery Techniques
- Pediatric Pain Management Techniques
- Central Venous Catheters and Hemodialysis
- Vascular Procedures and Complications
- Medical History and Innovations
- Maternal and fetal healthcare
- Radiology practices and education
University of Miami
2020-2025
Jackson Memorial Hospital
2020-2024
HCA Healthcare
2023
Sinai Hospital
2023
Jackson Health System
2021-2022
Marymount University
2010
American University of Beirut Medical Center
2008-2009
In Brief BACKGROUND: Emergence from general anesthesia can be associated with coughing, agitation, and hemodynamic disturbances. Remifentanil may attenuate these responses. METHODS: a prospective, double-blind, randomized trial, we enrolled 60 adult patients undergoing nasal surgery using remifentanil-based anesthesia. During the emergence phase, remifentanil group had reduced to one tenth of maintenance rate, whereas control discontinued. RESULTS: Times awakening tracheal extubation were...
This study investigates the effect of suxamethonium vs rocuronium on onset haemoglobin desaturation during apnoea, following rapid sequence induction anaesthesia. Sixty patients were randomly allocated to one three groups. Anaesthesia was induced with lidocaine 1.5 mg.kg(-1), fentanyl 2 microg.kg(-1) and propofol followed by either 1 mg.kg(-1) (Group R) or S). The third group received only SO). median (IQR [range]) time reach S(p)O(2) 95% significantly shorter in Group S (358 (311-373...
Background: There is no ideal anesthesia protocol to perform short invasive procedures in pediatric oncology. The combination of propofol and ketamine may offer advantages over alone. Methods: In a prospective, randomized, double‐blind study, we analyzed 63 consecutive performed 47 oncology children. All patients received 1 μg/kg fentanyl, followed by mg/kg group P ( n =33) or 0.5 PK =30) for the initiation anesthesia. need supplementation with and/or fentanyl maintain an adequate level was...
A 43-year-old woman G4 P2101 at 36 weeks of gestation presented to the labour floor with non-reactive fetal heart tracing and decreased movement. She had a second-trimester ultrasound showing intrauterine growth retardation (IUGR). Patient history hypothyroidism, two demises term planned preterm delivery 34 via caesarean section. Workup was negative for thrombophilia (lupus anticoagulant, anticardiolipin, anti-b2-glycoprotein, factor V Leiden, protein S, C, G20210 mutation, antithrombin III,...
A 29-year-old man with no known allergies and end-stage renal disease due to IgA nephropathy presented for kidney transplantation. In the preoperative area, an 18 G intravenous cannula was placed in lateral dorsal side of left hand cephalic vein. Immediately after injection
With an estimated 100,000 new cases yearly worldwide, Guillain-Barre syndrome (GBS) is the most common cause of flaccid paralysis. GBS exceedingly rare in pregnancy and carries high maternal fetal risk. We report a case 38-year-old essential primigravida who presented at 38 weeks six days gestational age with ascending paraplegia progressing to dysarthria, dysphagia, facial weakness. A clinical diagnosis was made outside institution, supported by elevated protein on lumbar puncture. During...
Spondylothoracic dysostosis is a rare congenital disorder characterised by multiple vertebral malformations, shortening of the spine and fusion ribs at costovertebral junction. These abnormalities create anaesthetic challenges due to difficult airway, severe restrictive lung disease deformity necessitating multidisciplinary approach careful perioperative planning. We present perianaesthetic management parturient with spondylothoracic who successfully underwent preterm caesarean delivery...
Anesthesia practitioners are at risk for percutaneous injuries by blood-contaminated needles and sharp objects that may result in the transmission of human immunodeficiency virus hepatitis viruses. Reporting these is important early prevention management blood-borne infections.To investigate occurrence, reporting, characteristics outcome contaminated (CPIs) anesthesia residents, fellows faculty.A cross-sectional anonymous survey electronically distributed to all 214 a large academic...
Education| May 2022 Facial Pressure Ulcers: Unsightly Complication of Prone Positioning Eliane Varga, M.D.; M.D. Department Anesthesiology, University Miami, Jackson Memorial Hospital, Florida. Search for other works by this author on: This Site PubMed Google Scholar Sae-In Kay, D.O.; D.O. Reine A. Zbeidy, Fouad G. Souki, M.D., M.S. https://orcid.org/0000-0003-0895-5496 Author and Article Information Published online first on March 14, 2022. Address correspondence to Dr. Souki:...
Physiologic changes of pregnancy and cystic fibrosis pathology provide a unique set circumstances. Pulmonary disease accounts for over 90% the morbidity mortality patients with fibrosis. These abnormalities create anesthetic challenges due to multiple organ systems being affected including respiratory, gastrointestinal, cardiovascular, genitourinary tracts, where present chronic respiratory failure, pancreatic insufficiency, poor nutrition, cardiac manifestations. We perianesthetic...
Background and objective Accidental dural puncture (ADP) consequent post-dural headache (PDPH) related to epidural needle use have prompted the design of a pencil-point needle. The aim this prospective, randomized, single-blind pilot study was assess efficacy, ease use, patient satisfaction, adverse events associated with newly designed compared Tuohy conventional in parturients receiving combined spinal-epidural (CSE) anesthesia for labor. Methods After obtaining Institutional Research...
Incidencia y resultado de las lesiones percutáneas contaminadas con sangre entre
Neuraxial anesthesia is the preferred technique for cesarean delivery, however, conversion to general may be required a variety of clinical scenarios, including massive post-partum hemorrhage. Obstetric patients are known have otherwise more difficult airways and emergent situations can increase likelihood failed intubation with potentially disastrous consequences. We describe novel delivery using neuraxial as primary anesthetic electively securing airway patient multiple risk factors...