- Cardiac, Anesthesia and Surgical Outcomes
- Ultrasound in Clinical Applications
- Hemodynamic Monitoring and Therapy
- Anesthesia and Pain Management
- Venous Thromboembolism Diagnosis and Management
- Radiology practices and education
- Musculoskeletal pain and rehabilitation
- Cardiac Valve Diseases and Treatments
- French Urban and Social Studies
- Pain Management and Placebo Effect
- Takotsubo Cardiomyopathy and Associated Phenomena
- Tuberculosis Research and Epidemiology
- Aortic aneurysm repair treatments
- Infective Endocarditis Diagnosis and Management
- Connective tissue disorders research
- Pain Mechanisms and Treatments
- Pericarditis and Cardiac Tamponade
- Pain Management and Opioid Use
- Migration, Identity, and Health
- Mobile Health and mHealth Applications
- Advanced Proteomics Techniques and Applications
- Veterinary Pharmacology and Anesthesia
- Anesthesia and Sedative Agents
- Bone Metabolism and Diseases
- Medical Imaging and Pathology Studies
Queen's University
2013-2023
University of Ottawa
2022
Ottawa Hospital
2022
Kingston Health Sciences Centre
2020
Grünenthal Group (Germany)
2011-2019
Kingston General Hospital
2012-2019
Queens University
2019
McMaster University
2016-2017
St. Joseph’s Healthcare Hamilton
2016
Cleveland Clinic
2016
The PeriOperative ISchemia Evaluation-2 (POISE-2) trial compared aspirin with placebo after noncardiac surgery.The authors randomly assigned 10,010 patients undergoing surgery to receive 200 mg or 2 4 h before and then 100 daily for up 30 days surgery. Herein, the report effect of on venous thromboembolism (VTE), including deep vein thrombosis pulmonary embolism, as well an updated pooled analysis randomized trials antiplatelet therapy VTE prevention in patients.Six thousand five hundred...
OBJECTIVE: To evaluate the tolerability and efficacy of tapentadol immediate release (IR) oxycodone IR for relief moderate to severe pain in elderly nonelderly patients. METHODS: Post hoc data analyses were conducted on a 90‐day randomized, phase 3, double‐blind, flexible‐dose study (ClinicalTrials.gov: NCT00364546) adults with lower back or osteoarthritis who received 50 mg 100 mg, HCl 10 15 every 4 h 6 as needed relief. Treatment‐emergent adverse events discontinuations recorded. RESULTS:...
To investigate efficacy and tolerability of tapentadol immediate release (IR) in the treatment moderate to severe acute pain three surgical models.Three randomized, double-blind, placebo- active-controlled, multicenter, phase 3 trials were performed total hip replacement surgery, abdominal hysterectomy, bunionectomy with trial medications administered every 4-6 hours as needed for up 72 hours. Tapentadol IR was included all trials, oxycodone trial, morphine hysterectomy trials; active...
A 74-yr-old man was hospitalized after a non-ST elevation myocardial infarction. The patient scheduled for bypass grafting angiography revealed complex left anterior descending coronary artery disease with moderate in the circumflex (Cx) and right arteries (RCAs). It noted that Cx had an anomalous origin which arose from RCA (Fig. 1).Figure 1.: Coronary angiogram anterior-posterior view showing (ACx) arising proximal (RCA). ACx follows retro-aortic course around aortic root. RCC = cusp; LCC...
Focused Cardiac Ultrasound (FoCUS) has proven instrumental in guiding anesthesiologists’ clinical decision-making process. Training residents to perform and interpret FoCUS is both feasible effective. However, the degree of knowledge retention after training remains a subject debate. We sought provide description our 4-week curriculum, assess among anesthesia at 6 months rotation. A prospective analysis involving eleven senior was carried out. At end Rotation (EOR) participants completed...
A 50-yr-old woman was found to have a left ventricle (LV) mass diagnosed from transthoracic echocardiogram that ordered as part of the routine work-up. An electrocardiogram also showed T-wave abnormalities in lateral leads. To better characterize mass, subsequent cardiac magnetic resonance image suggested an LV myxoma with calcification. Concern about potential for thrombus formation and embolism led surgery being scheduled resection mass. After induction general anesthesia, intraoperative...
Focused Cardiac Ultrasound (FoCUS) has proven instrumental in guiding anesthesiologists' clinical decision-making process. Training residents to perform and interpret FoCUS is both feasible effective. However, the degree of knowledge retention after training remains a subject debate. We sought provide description our 4-week curriculum, assess among anesthesia at 6 months rotation.A prospective analysis involving eleven senior was carried out. At end Rotation (EOR) participants completed...
Point-of-care ultrasound is invaluable in the setting of obstetric anesthesia, where differential diagnosis for dyspnea, hypoxemia and/or hemodynamic abnormalities broad. This report describes a previously apparently healthy parturient with an uncomplicated pregnancy at 35-weeks gestation who underwent emergency cesarean section under general anesthesia due to severe acute abdominal pain and fetal bradycardia. Intraoperatively, she presented hypertension tachycardia that were difficult...
<ns3:p><ns3:bold>Background: </ns3:bold>Chronic pain is a serious health issue impacting both the quality of life and productivity patients.<ns3:sup/>Chronic post-sternotomy (CPSP) characterized by numbness, severe tenderness on palpation, allodynia, as well constant across anterior chest wall that can persist for months to years after sternotomy. All patients experience early post-operative following coronary artery bypass graft (CABG); unfortunately, approximately 30-40% CABG subsequently...