A5084072144- Cardiac, Anesthesia and Surgical Outcomes
- Organ Transplantation Techniques and Outcomes
- Anesthesia and Sedative Agents
- Anesthesia and Pain Management
- Tracheal and airway disorders
- Renal Transplantation Outcomes and Treatments
- Infection Control in Healthcare
- Alcoholism and Thiamine Deficiency
- Patient Safety and Medication Errors
- Liver Disease and Transplantation
- Transplantation: Methods and Outcomes
- Cardiac Structural Anomalies and Repair
- Airway Management and Intubation Techniques
- Opioid Use Disorder Treatment
- Tendon Structure and Treatment
- Congenital Diaphragmatic Hernia Studies
- Foot and Ankle Surgery
- Hemodynamic Monitoring and Therapy
- Neurological and metabolic disorders
- Maternal and Perinatal Health Interventions
- Electroconvulsive Therapy Studies
- Esophageal and GI Pathology
- Facial Rejuvenation and Surgery Techniques
- Blood donation and transfusion practices
- Takotsubo Cardiomyopathy and Associated Phenomena
University of Miami
2013-2025
Jackson Memorial Hospital
2011-2025
Jackson Health System
2016-2022
Instituto Nacional de Rehabilitación
2016
American Society of Anesthesiologists
2013
American University of Beirut Medical Center
2009
American University of Beirut
2007
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...
Multivisceral transplantation (MVT) is an extraordinarily complex surgical procedure that imposes significant physiological stress driven by hemodynamic instability, fluid shifts, and severe bleeding. These factors can profoundly affect cardiovascular function increase the risk of complications. Stress cardiomyopathy (Takotsubo syndrome), a transient non-ischemic heart failure characterized acute left ventricular dysfunction, recognized complication major surgeries but has not previously...
Steep Trendelenburg during surgery has been associated with many position-related injuries. The American Society of Anesthesiology practice advisory recommends documentation, frequent position checks, avoiding shoulder braces, and limiting abduction upper extremities to avoid brachial plexopathy. We conducted a web-based survey assess anesthesiologists' practices, institutional policies, complications encountered when using steep Trendelenburg.Two thousand fifty randomly selected active...
Background and Objective. End-stage liver disease is characterized by a precarious imbalance of hemostasis. Detrimental consequences hypofibrinolysis, also known as fibrinolytic shutdown, have been recently demonstrated, its significance in visceral (ie, an allograft that contains the intestine) transplant remains unknown. Design Setting. To fill this gap, following institutional review board approval, retrospective study included 49 adult recipients allografts (14 “visceral without liver”...
Complexity of combined heart-liver transplantation has resulted in low adoption rates. We report a case series adult patients receiving en-bloc (HLTx), describe technical aspects, and discuss benefits the technique.Retrospective review HLTx over 18 months, with clinical follow up to 1 year. Primary outcomes included postoperative mortality major complications. Secondary 1-year survival, cardiac or hepatic allograft rejection, infection.Five received HLTx. Mean recipient age was 43 years...
A growing number of surgical patients present to the operating room with implantable cardioverter defibrillators (ICD). Peri-operative care these dictates that ICD function be suspended for many procedures avoid inappropriate, and possibly harmful, therapy triggered by electromagnetic interference (EMI). An alternative reprogramming is use a magnet temporarily suspend its function. However, this approach not without complications. We report case where failed inhibit sensing EMI, shock 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,...
Advanced renal cell carcinoma (RCC) resection has important anesthetic management implications, particularly when tumor extends, suprahepatic, into the right atrium. Use of transesophageal echocardiogram (TEE) is essential in identifying extension and guiding resection. Latest surgical approach avoids venovenous cardiopulmonary bypass yet requires special precautions interventions on anesthesiologist's part. We present a case Level IV RCC resected without salvaged by TEE guidance detection...
Background. New-onset systolic heart failure (HF) after liver transplantation (LT) is a significant cause of morbidity and mortality; however, its characteristics are still insufficiently delineated. HF may involve the left ventricle (LV), right (RV), or both ventricles. We explored incidence, characteristics, etiologies, risks, involved cardiac chambers, outcomes LT. Methods. This study included 528 adult patients with preoperative LV ejection fraction ≥ 55% who underwent LT between 2016...
Perioperative risk factors associated with delayed graft function following deceased donor kidney transplantation: A retrospective, single center study
Tracheoesophageal fistula develops in 5 % to 15 of patients with esophageal cancer. Metal stent placement can be used for treatment. Stent result aspiration, hemorrhage, perforation, migration, and pneumonia. Patients may present medical attention unanticipated worsening the displacement requiring special anesthetic care. We discuss perianesthetic management a patient malignant tracheoesophageal migration who presented endoscopic replacement.
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
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:...
Congenital rubella syndrome (CRS) is caused by virus infection of the pregnant mother leading to teratogenic effects on fetus. Although rare in developed world, manifestations reach far into adulthood and underscore importance careful evaluation before surgery. We present a case an adult with CRS whom unexpected prolonged postoperative respiratory depression occurred. Perioperative workup investigations pertaining patient's insufficiency are discussed.