A5070411999- Cardiac, Anesthesia and Surgical Outcomes
- Innovations in Medical Education
- Congenital Heart Disease Studies
- Simulation-Based Education in Healthcare
- Cardiac Arrest and Resuscitation
- Health and Medical Research Impacts
- Patient Safety and Medication Errors
- Hemodynamic Monitoring and Therapy
- Anesthesia and Neurotoxicity Research
- Mechanical Circulatory Support Devices
- Anesthesia and Sedative Agents
- Primary Care and Health Outcomes
- Airway Management and Intubation Techniques
- Advanced Proteomics Techniques and Applications
- Clinical Reasoning and Diagnostic Skills
- Diverse Approaches in Healthcare and Education Studies
- Health Sciences Research and Education
- Pharmaceutical Practices and Patient Outcomes
- Hospital Admissions and Outcomes
- Cardiovascular and Diving-Related Complications
- Healthcare Education and Workforce Issues
- Healthcare cost, quality, practices
- Neonatal and fetal brain pathology
- Trauma and Emergency Care Studies
- Aortic Disease and Treatment Approaches
The University of Texas Southwestern Medical Center
2018-2024
Vanderbilt University Medical Center
2023
University of Vermont
2023
United States Army
2023
Southwestern Medical Center
2018
Children's Medical Center
2018
Cleveland Clinic
2015-2017
Sea Education Association
2016
Society for Ambulatory Anesthesia
2015
Pennsylvania State University
2002-2009
In the world of anesthesia, very few textbooks resonate with anesthesiologists way that The Basics Anesthesia does. This is 7th edition this classic, and timing coincides release an update companion study guide, Miller’s Review. book honors 33-yr stewardship Dr. Miller, ushers in a changing guard Pardo assuming role lead editor. One will quickly notice growth far reaching collection authors have contributed to version; there are total 87 edition. There many familiar names, addition new...
Prompt treatment of severe blood pressure instability requires both cognitive and technical skill. The ability to anticipate respond episodes hemodynamic should improve with training. authors tested the hypothesis that duration hypotension during anesthesia administered by residents correlates concurrent adjusted overall performance evaluations Clinical Competence Committee subsequent in-training exam scores.The obtained data on 70 first- second-year at Cleveland Clinic. Analysis was...
Sherrer, D. Matthew MD, MBA, FASA, FAACD; Franklin, Andrew Kimatian, Stephen J. MD; Black, Ian H. FASA; Tsai, Mitchell MMM, FAACD Author Information
A challenge of pediatric research is the limited ability to obtain tissue samples from small patients. To confront this problem, blood biomarkers can be used as surrogate markers disease processes and aid in patient monitoring detection. Furthermore, proteomic analysis plasma one approach for large-scale discovery biomarkers. This study examined use process patients undergoing cardiopulmonary bypass (CPB) surgery. Proteomic studies are by presence a few high abundance proteins that mask...
Abstract Purpose The purpose of this study was to assess the effectiveness high-fidelity simulation for teaching root cause analysis (RCA) in graduate medical education. Methods Thirty clinical anesthesiology-1 through anesthesiology-3 residents were randomly assigned 2 groups: group A participants received a 10-minute lecture on RCA and participated exercise where error occurs, B only. Participants completed baseline, postintervention, 6-month follow-up assessments, they evaluated their...
THE CURRENT PARADIGM: FAILURE OF REDUCTIONISM Managers are not confronted with problems that independent of each other, but dynamic situations consist complex systems changing interact other. I call such messes…managers do solve problems, they manage messes. —Ackoff1 Health care delivery and its role in the broader economic system is increasingly complex.2 Complexity theory may serve as an ideal platform for operating room (OR) management. OR governance structures have been modeled after...
We describe a process by which we sought to determine how the addition of intraoperative neurophysiologic monitoring (IONM) impacted management cardiopulmonary bypass (CPB) during pediatric cardiac surgery. While maintaining consistent team surgeons, anesthesiologists, nurses, and perfusionists, multi-modal, IONM program was established consisting Near Infrared Spectroscopy, Transcranial Doppler, eight channel electroencephalography. A retrospective review cases from 1 year before...
Penn State Milton S. Hershey Medical Center, Hershey, PA Reprints: Stephen J. Kimatian, MD, Department of Anesthesiology, H187, 500 University Drive, 17033, E-mail: [email protected]
Background Learning style inventories used in conjunction with a measure of academic achievement consistently show an association meaning directed learning patterns success, but have failed to clear undirected styles failure.Using survey methods anesthesia residents, this study questioned whether additional assessment factors related stress, strain, and coping help better define the between risk. MethodsPearson chi squared tests.296 subjects were enrolled from eight institutions 142 (48%)...
We describe a 6-week-old girl with hypoplastic left heart syndrome in whom multimodal neuromonitoring was used during Norwood stage I palliation. After placement of modified Blalock-Taussig shunt, transcranial Doppler measurements revealed retrograde flow the right middle cerebral artery throughout cardiac cycle. Further examination showed that change blood secondary to shunt runoff and clinical correlation noted near infrared spectroscopy regional oxygenation saturation. The surgical...
Dexmedetomidine is increasingly used in children undergoing cardiac catheterization procedures. We compared the percentage of surgical time with hemodynamic instability and incidence postoperative agitation between pediatric patients who received dexmedetomidine infusion those did not agitation.We matched 653 scheduled for catheterization. Two separate multivariable linear mixed models were to assess association use intraoperative blood pressure heart rate instability. A multivariate...
Education's Outcomes Project and its mandate for a transition to competency based curriculum, the Department of Anesthesiology at Penn State Milton S. Hershey Medical Center executed focused 18 month program which engaged entire faculty effected not only curricular, but cultural change in how anesthesiology residents are taught evaluated.This article describes process through department leadership educated, engaged, department's efforts created an environment that sustained progress provided...
Background: No studies have examined how journal clubs (JCs) are implemented in anesthesiology residency training programs.The goal of the study was to close this gap by (1) examining format, content, and goals JCs; (2) identifying features associated with higher resident attendance JC success; (3) program directors' perspectives on JCs.Methods: A 41-question survey sent directors.Answers were analyzed using multivariable logistic regression, linear exploratory factor analysis.Results: Out...
Background: No studies have examined how journal clubs (JCs) are implemented in anesthesiology residency training programs.The goal of the study was to close this gap by (1) examining format, content, and goals JCs; (2) identifying features associated with higher resident attendance JC success; (3) program directors' perspectives on JCs.Methods: A 41-question survey sent directors.Answers were analyzed using multivariable logistic regression, linear exploratory factor analysis.Results: Out...