A5008436309- Simulation-Based Education in Healthcare
- Cardiac, Anesthesia and Surgical Outcomes
- Organ Transplantation Techniques and Outcomes
- Liver Disease and Transplantation
- Airway Management and Intubation Techniques
- Patient Safety and Medication Errors
- Surgical Simulation and Training
- Innovations in Medical Education
- Anesthesia and Pain Management
- Anesthesia and Sedative Agents
- Cardiac Arrest and Resuscitation
- Clinical Reasoning and Diagnostic Skills
- Nausea and vomiting management
- Liver Disease Diagnosis and Treatment
- Hemodynamic Monitoring and Therapy
- Head and Neck Surgical Oncology
- Cancer, Stress, Anesthesia, and Immune Response
- Tracheal and airway disorders
- Transplantation: Methods and Outcomes
- Electrolyte and hormonal disorders
- Central Venous Catheters and Hemodialysis
- Organ Donation and Transplantation
- Blood transfusion and management
- Reconstructive Surgery and Microvascular Techniques
- Enhanced Recovery After Surgery
Icahn School of Medicine at Mount Sinai
2016-2025
Pain and Rehabilitation Medicine
2025
Mount Sinai Hospital
2016-2025
Mount Sinai Hospital
2011-2024
Mount Sinai Health System
2015-2023
Stanford University
2020
Harvard University
2020
University of Louisville
2020
State of Illinois
2020
Creative Commons
2019
Remote monitoring and artificial intelligence will become common intertwined in anesthesiology by 2050. In the intraoperative period, technology lead to development of integrated systems that integrate multiple data streams allow anesthesiologists track patients more effectively. This free up focus on complex tasks, such as managing risk making value-based decisions. also enable continued integration remote control towers having profound effects coverage practice models. PACU ICU, early...
Medical Education 2010: 44: 1006–1015 Objectives Advanced cardiac life support (ACLS) skills tend to degrade over time. There is mounting evidence that high-fidelity simulation (HFS) advantageous teaching ACLS. The aspects of HFS enhance learning are not entirely clear, but the anxiety generated by a scenario may retention through well-established pathways. We sought determine whether an with added emotional stress could provoke and, if so, or participants ACLS would demonstrate better...
Background Effective communication is critical for patient safety. One potential threat to in the operating room incivility. Although examined other industries, little has been done examine how incivility impacts ability deliver safe care a crisis. We therefore sought determine influenced anaesthesiology resident performance during standardised simulation scenario of occult haemorrhage. Methods This multicentre, prospective, randomised control trial from three academic centres....
Despite increasing representation in medicine, women continue to be a minority academic practice and leadership, especially male-dominated fields like anesthesiology. Differences compensation participation leadership may represent barriers career advancement for Key factors promotion anesthesiology are research, funding, publication. As such, designation as first or senior author on publication professional journal act currency promotion. Here, we examine the prevalence of female authorship...
Background Pulse oximetry is ubiquitous in anesthesia and generally a reliable noninvasive measure of arterial oxygen saturation. Concerns regarding the impact skin pigmentation race/ethnicity on accuracy pulse oximeter exist. The authors hypothesized greater prevalence occult hypoxemia (arterial saturation [Sao2] less than 88% despite measured by [Spo2] 92%) patients undergoing who self-reported other White. Methods Demographic physiologic data, including race/ethnicity, were extracted from...
We sought to determine whether mannequin-based simulation can reliably characterize how board-certified anesthesiologists manage simulated medical emergencies. Our primary focus was identify gaps in performance and establish psychometric properties of the assessment methods.A total 263 consenting participating existing simulation-based maintenance certification courses at one eight centers were video recorded performing emergency scenarios. Each participated two 20-min, standardized,...
Abstract Background Awake intubation is the standard of care for management anticipated difficult airway. The performance awake may be perceived as complex and time-consuming, potentially leading clinicians to avoid this technique airway management. This retrospective review intubations at a large academic medical center was performed determine average time taken perform intubation, its effects on hemodynamics, incidence characteristics complications failure. Methods Anesthetic records from...
Tracheal transplantation has been envisioned as a viable option for reconstruction of long-segment tracheal defects. We report the first human single-stage transplantation. Narrow-band imaging and bronchoscopic biopsies demonstrate allograft vascularization epithelial lining. The recipient was immunosuppressed with Tacrolimus, Mycophenolate mofetil, corticosteroids. Six months after transplantation, trachea is both functional patient breathing without need tracheostomy or stent.
BACKGROUND: Despite the widespread use of pulse oximetry for intraoperative estimation arterial oxygen saturation, there is growing evidence that certain patient populations may be vulnerable to inaccurate measurements and unrecognized hypoxemia associated with end-organ damage adverse outcomes. In this single-center retrospective cohort study, we sought better elucidate relationship between occult postoperative mortality among patients undergoing anesthesia surgery. METHODS: Data were...
Introduction: Postreperfusion syndrome (PRS) is associated with complications following liver transplantation (LT). Mannitol may play a role in attenuating PRS as free radical scavenger. This study aimed to evaluate the association between intraoperative mannitol administration and incidence of postoperative acute kidney injury (AKI) LT. Methods: A retrospective analysis adult liver-only August 2019 January 2023 at Mount Sinai Hospital was performed. Patients group received 25G drug...
Background Endoscopic sinus surgery (ESS) is a common procedure preferably done with an anesthetic technique ensuring effective postoperative analgesia while speeding discharge home. Although anesthesia administered locally in conjunction vasoconstricting agents known to minimize intraoperative bleeding, its usefulness providing has not been well characterized. The results supporting the use of regional for have also limited. Using randomized, double-blinded and placebo-controlled design, we...
The anesthesiologist has been recognized as an integral member of the liver transplant team, and previous studies have demonstrated that inter-anesthesiologist variability can be a driver outcomes for high-risk patients. We hypothesized experience, defined number transplants performed at our institution, Icahn School Medicine Mount Sinai, would independently associated with Eight hundred forty-nine between January 2003 2013 total 22 anesthesiologists were analyzed. Each was assigned...
Background: Intraoperative cardiac arrest (ICA) has a reported frequency of 1 in 10,000 anesthetics but much higher estimated incidence orthotopic liver transplantation (OLT). Single-center studies ICA OLT are limited by small sample size that prohibits multivariable regression analysis risks. METHODS: Utilizing data from 7 academic medical centers, we performed retrospective, observational study 5296 adult transplant recipients (18–80 years old) between 2000 and 2017 to identify the rate...
Established models for assessment and maintenance of competency in anesthesiology may not be adequate anesthesiologists wishing to reenter practice. The authors describe a program developed their institution incorporating simulator-based education, help determine licensed previously before return practice.The have used simulation retraining at since 2002. Physicians evaluated by the authors' center undergo an adaptable 2-day simulation-based conducted two board-certified anesthesiologists. A...
Abstract Background In free flap head and neck reconstructions, hemodynamic management is complicated by the deleterious effects of excessive crystalloid administration. Patients may undergo periods hypotension or excess fluid The purpose this study was to present our examination hypotheses that intraoperative blood pressure lability are associated with increased administration failure. Methods We reviewed records 445 patients undergoing surgery involving tissue transfer. used multivariate...
Abstract Introduction For patients with catecholamine‐resistant vasoplegic syndrome (VS) during liver transplantation (LT), treatment methylene blue (MB) and/or hydroxocobalamin (B12) has been an acceptable therapy. However, data on the effectiveness of B12 is limited to case reports and series. Methods We retrospectively reviewed records undergoing LT from January 2016 through March 2022. identified VS treated vasopressors MB, abstracted hemodynamic parameters, vasopressor requirements,...
Study Objective. Describe transesophageal echocardiography (TEE) use, preparatory training and opinions about clinical importance, future pathways in a sample of liver transplant anesthesiologists. Design. Online survey questionnaire. Setting. Liver Transplant Centers the United States. Participants. Director Anesthesia or designated alternate respondent. Results. A total 79 Directors alternates from 111 (71%) centers were identified. There 56 responses representing 433 anesthesiologists who...