A5074501377- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Sedative Agents
- Intensive Care Unit Cognitive Disorders
- Frailty in Older Adults
- Nausea and vomiting management
- Airway Management and Intubation Techniques
- Anesthesia and Neurotoxicity Research
- Aortic aneurysm repair treatments
- Hemodynamic Monitoring and Therapy
- Anesthesia and Pain Management
- Pharmaceutical Practices and Patient Outcomes
- Hip and Femur Fractures
- Innovations in Medical Education
- Simulation-Based Education in Healthcare
- Patient Safety and Medication Errors
- Aging and Gerontology Research
- Patient Satisfaction in Healthcare
- Cardiovascular Syncope and Autonomic Disorders
- Colorectal Cancer Surgical Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Pediatric Pain Management Techniques
- Cardiovascular and exercise physiology
- Intraoperative Neuromonitoring and Anesthetic Effects
- Insurance and Financial Risk Management
- Medical Education and Admissions
The University of Melbourne
2024
Austin Health
2024
Harvard University
2011-2023
Anesthesia Quality Institute
2023
Albert Einstein College of Medicine
2023
Montefiore Medical Center
2023
Harris foundation
2023
NorthShore University HealthSystem
2023
Beth Israel Deaconess Medical Center
2012-2022
Clinical Orthopaedics and Related Research
2020
Both age and gender influence cardiovascular autonomic control, which in turn may the ability to withstand adverse cardiac events respond orthostatic stress. The purpose of this study was (1) quantify age- gender- related alterations control blood pressure (BP) (2) examine impact these on BP response We measured continuous R-R intervals vasoactive peptide levels supine 60 degrees head-up tilt positions during paced respiration (0.25 Hz) 89 carefully screened healthy subjects (41 men, 48...
Methemoglobinemia is a rare but serious disorder, defined as an increase in oxidized hemoglobin resulting reduction of oxygen-carrying capacity. Although methemoglobinemia known complication topical anesthetic use, few data exist on the incidence and risk factors for this potentially life-threatening disorder.To examine procedure-related to identify patient populations at high complication.Retrospective study academic research setting.Medical records all patients diagnosed having during...
Appropriate monitoring during sedation has been recognized as vital to patient safety in procedures outside of the operating room. Capnography can identify hypoventilation prior hypoxemia; however, it is not clear whether addition capnography improves or cost effective routine colonoscopy, a high volume, low-risk procedure. Our aim was evaluate value EtCO2 colonoscopy with moderate sedation.We conducted prospective study and satisfaction before after introduction outpatient midazolam...
Adverse discharge disposition, which is to a long-term nursing home or skilled facility frequent and devastating in older patients after lower-extremity orthopaedic surgery. Predicting individual patient risk allows for preventive interventions address modifiable factors helps managing expectations. Despite variety of prediction tools perioperative morbidity patients, there no tool available predict successful recovery patient's ability live independently this highly vulnerable population.In...
Background: Moderate sedation has been standard for noninvasive gastrointestinal procedures decades yet there are limited data on reversal agent use and outcomes associated with need of sedation. Aim: To determine prevalence clinical significance during endoscopies colonoscopies. Methods: Individuals adverse events requiring naloxone and/or flumazenil endoscopy or colonoscopy from 2008 to 2013 were identified. A control group was obtained by random selection patients matched procedure type...
We report a case in which flow-directed placement of the pulmonary artery catheter led to its inadvertent coronary sinus, absence congenital anomalies. Incorrect was diagnosed by use transesophageal echocardiography. If unrecognized, might have provided misleading information and mismanagement patient.
The cost of graduate medical education in the United States is subsidized by federal government through direct and indirect Medicare payments. These payments are intended to cover portion resident salaries, teaching expenses, hospital costs associated with academic mission attributable care beneficiaries, using a complex allocation formula. However, there other program expenses that not reimbursed still significantly affect competitiveness quality educational programs. Although most...
Background: Care of non-English speaking patients poses a unique challenge to the anesthesiologist in perioperative setting.Communication limitations can be frustrating both patient and provider, at times compromise quality care, resulting health care disparities.An often overlooked, but critical component is interaction between anesthesia provider interpreter.The goal our study was identify misconceptions regarding determine common knowledge gaps amongst medical interpreters. Methods:A...
Interventional pain management procedures have an important role in the of chronic pain. The present study seeks to identify proportion patients who experience severe during either with or without sedation. There is then attempt any association high levels factors such as age, gender, ethnicity, preprocedure level, procedure type, tobacco use, and baseline pharmaceuticals taken for both and/or mood disorder management.This a prospective survey evaluating patients' discomfort interventional...