- Anesthesia and Pain Management
- Innovations in Medical Education
- Surgical Simulation and Training
- Cardiac, Anesthesia and Surgical Outcomes
- Pain Management and Opioid Use
- Nausea and vomiting management
- Shoulder Injury and Treatment
- Simulation-Based Education in Healthcare
- Pediatric Pain Management Techniques
- Cardiac Arrest and Resuscitation
- Advances in Oncology and Radiotherapy
- Spine and Intervertebral Disc Pathology
- Opioid Use Disorder Treatment
- Social Media in Health Education
- Medical Education and Admissions
- Augmented Reality Applications
- Pleural and Pulmonary Diseases
- Virtual Reality Applications and Impacts
- Interactive and Immersive Displays
- Ultrasound in Clinical Applications
- Surgical site infection prevention
- Soft Robotics and Applications
- Electrolyte and hormonal disorders
- Spectroscopy Techniques in Biomedical and Chemical Research
- Airway Management and Intubation Techniques
Columbia University Irving Medical Center
2015-2024
Columbia University
2015-2024
Oregon Health and Science University Hospital
2023
Stanford University
2015-2022
Oregon Health & Science University
2015-2021
McGill University
2020
New York Hospital Queens
2017
NewYork–Presbyterian Hospital
2017
University of Miami
2015
Mayo Clinic in Arizona
2015
Background: In the last decade, widespread use of regional anesthesia in total knee arthroplasty has led to improvements pain control, more rapid functional recovery, and reductions length hospital stay. The aim this study was compare efficacy adductor canal blocks (ACB) periarticular anesthetic injections (PAI), both with bupivacaine, for management arthroplasty. Methods: One hundred fifty-five patients undergoing primary under spinal were randomized 1 3 groups: ACB alone (15 mL 0.5%...
Fascial plane blocks are rapidly emerging to provide safe, feasible alternatives epidural analgesia for thoracic and abdominal pain. We define a new option chest wall upper analgesia, termed the rhomboid intercostal subserratus (RISS) block. The RISS tissue extends deep erector spinae muscle medially serratus anterior laterally. describe 2-part proof-of-concept study validate block, including cadaveric evaluate injectate spread retrospective case series assess dermatomal coverage analgesic...
BACKGROUND: Modern medical education requires frequent competency assessment. The Accreditation Council for Graduate Medical Education (ACGME) provides a descriptive framework of competencies and milestones but does not provide standardized instruments to assess track trainee over time. Entrustable professional activities (EPAs) represent workplace-based method the achievement at point-of-care that can be applied anesthesiology training in United States. METHODS: Experts assessment were...
BackgroundFemoral nerve (FNB) and adductor canal blocks (ACB) are used in the setting of total knee arthroplasty (TKA), but neither has been demonstrated to be clearly superior. Although dynamometer studies have shown ACBs spare perioperative quadriceps function when compared FNBs, widely adopted orthopaedic surgery without significant evidence that they decrease risk falls.MethodsAll patients who received single-shot FNB (129 patients) or ACB (150 at our institution for unilateral primary...
<h3>Background</h3> Interpretation of ultrasound images and knowledge anatomy are essential skills for ultrasound-guided peripheral nerve blocks. Competency-based educational models promoted by the Accreditation Council Graduate Medical Education require development assessment tools achievement different competency milestones to demonstrate longitudinal that occur during training. <h3>Methods</h3> A rigorous study guided psychometric principles was undertaken identify validate domains items...
In 2018, a set of entrustable professional activities (EPAs) and procedural skills assessments were developed for anesthesiology training, but they did not assess all the Accreditation Council Graduate Medical Education (ACGME) milestones. The aims this study to (1) remap 2018 EPA revised ACGME Anesthesiology Milestones 2.0, (2) develop new that combined with original create system assessment addresses level 1 4 milestones, (3) provide evidence validity assessments.
The Accreditation Council for Graduate Medical Education has shifted to competency-based medical education. This educational framework requires the description of outcomes based on knowledge, skills and behaviors expected competent trainees. It also an assessment program provide formative feedback trainees as they progress competency in each outcome. Critical success a curriculum is its practical implementation. article describes development model curricula anesthesiology residency training...
Graduate medical education programs are struggling to evolve toward a competency-based educational model utilizing milestone assessments and modern innovations like e-learning flipped classrooms. At the same time, have limited financial other resources create new materials. One solution is share between programs. Although resource sharing exists, it does not historically provide for extensive cooperation outlined in this report.The Department of Anesthesiology Perioperative Medicine at...
Objective: Stimulating peripheral nerve catheters have become increasingly popular as part of postoperative multimodal analgesia for total knee arthroplasty. We describe a case successful nonsurgical removal knotted stimulating femoral catheter after saline expansion the pocket at bedside. Case report: A 65-year-old female underwent arthroplasty under combined spinal epidural anesthesia. Postoperatively, was placed without complication. The threaded 12 cm past needle tip with minimal...
Lumbar puncture is a necessary staple of pediatric diagnostic medicine. We developed VirtuaLP, an immersive training system for infant lumbar that runs on standalone extended reality headset, allowing more accessible and flexible experience. provide suite visual hints to guide the student through procedure. Additionally, VirtuaLP provides feedback each component insertion accuracy, including ideal position, depth, angle.
When there is a shortage of ventilators in hospital, an anesthesia machine can be used as ventilator. However, using ventilator requires that it set up way would not familiar to medical personnel who normally work with ventilators. To teach staff how do this, we developed smartphone augmented reality app allows user interact life-size virtual machine, and leads them through the necessary steps. This makes possible for practice setup procedures preserves 3D spatial layout tasks without...
Background Management of in-hospital cardiac arrest includes many component skills that require considerable training in order to gain mastery. Practicing defibrillation a simulated setting improves performance and time shock delivery but is cumbersome costly. Virtual reality (VR) simulation may provide an alternative platform help medical students learn build confidence the critical steps required operate manual defibrillator. Intervention We performed pilot study implement VR trains...
The Internet is a source of professional self-education for medical students and residents. Unfortunately, much the content discovered through search engines insufficient quality education. Anesthesia Toolbox (AT) was developed to provide online peer-reviewed educational resources anesthesiology trainees faculty. Since 2014, AT has 24 curricula, 822 items, 3238 quiz questions. As March 2020, 64 residency programs in United States subscribed (41% total). onset pandemic March, added 25 (28%...
Introduction The Accreditation Council for Graduate Medical Education (ACGME) offers descriptions of competencies and milestones but does not provide standardized assessments to track trainee competency. Entrustable professional activities (EPAs) special (SAs) are emerging methods assess the level competency obtained by regional anesthesiology acute pain medicine (RAAPM) fellows. Methods A panel RAAPM physicians with experience in education assessment one medical student were recruited...