- Anesthesia and Pain Management
- Spine and Intervertebral Disc Pathology
- Cardiac, Anesthesia and Surgical Outcomes
- Shoulder Injury and Treatment
- Nausea and vomiting management
- Airway Management and Intubation Techniques
- Pain Management and Treatment
- Anesthesia and Sedative Agents
- Climate Change and Health Impacts
- Anesthesia and Neurotoxicity Research
- Pain Management and Opioid Use
- COVID-19 and healthcare impacts
- Pain Mechanisms and Treatments
- Peripheral Nerve Disorders
- Dental Anxiety and Anesthesia Techniques
- Infection Control and Ventilation
- Musculoskeletal pain and rehabilitation
- Medical History and Innovations
- Hemodynamic Monitoring and Therapy
- Pediatric Pain Management Techniques
- Foreign Body Medical Cases
- Healthcare cost, quality, practices
- Total Knee Arthroplasty Outcomes
- Spinal Hematomas and Complications
- Tracheal and airway disorders
University of Iowa
2019-2025
Stanford Medicine
2025
Stanford University
2017-2025
University of Iowa Hospitals and Clinics
2020-2024
University of Iowa Health Care
2020-2024
University of Miami
2024
Kameda Medical Center
2023
University of Alberta Hospital
2019-2020
Alberta Hospital Edmonton
2019-2020
University of Alberta
2016-2020
The past two decades have seen an increase in cannabis use due to both regulatory changes and interest potential therapeutic effects of the substance, yet many aspects substance their health implications remain controversial or unclear.In November 2020, American Society Regional Anesthesia Pain Medicine charged Cannabis Working Group develop guidelines for perioperative cannabis. Perioperative Use Cannabinoids Guidelines Committee was with drafting responses nine key questions using a...
Background To provide recommendations on risk mitigation, diagnosis and treatment of infectious complications associated with the practice regional anesthesia, acute chronic pain management. Methods Following board approval, in 2020 American Society Regional Anesthesia Pain Medicine (ASRA Medicine) commissioned evidence-based guidelines for best practices infection control. More than 80 research questions were developed literature searches undertaken by assigned working groups comprising...
<h3>Background and Objectives</h3> The primary objective of this study was to compare the analgesic efficacy combined suprascapular axillary nerve block (SSAX) with interscalene (ISB) after arthroscopic shoulder surgery. Our hypothesis that ultrasound-guided SSAX would provide postoperative analgesia equivalent ISB. <h3>Methods</h3> Sixty adult patients undergoing surgery received either or ISB prior general anesthesia, in a randomized fashion. Pain scores, satisfaction, adverse effects were...
Introduction Postdural puncture headache (PDPH) can follow unintentional dural during epidural techniques or intentional neuraxial procedures such as a lumbar spinal anesthesia. Evidence-based guidance on the prevention, diagnosis management of this condition is, however, currently lacking. This multisociety aims to fill void and provide practitioners with comprehensive information patient-centric recommendations prevent, diagnose manage patients PDPH. Methods Based input from committee...
Importance Postdural puncture headache (PDPH) can follow unintentional dural during epidural techniques or intentional neuraxial procedures, such as a lumbar spinal anesthesia. Evidence-based guidance on the prevention, diagnosis, and management of this condition is, however, currently lacking. Objective To fill practice guidelines void provide comprehensive information patient-centric recommendations for preventing, diagnosing, managing PDPH. Evidence Review With input from committee...
We recently described a lateral-to-medial approach for transversus abdominis plane (LM-TAP) block, which may permit preoperative initiation of the block.Our objective was to evaluate feasibility continuous LM-TAP blocks in clinical practice comparison with thoracic epidural analgesia (TEA).A randomised, open-label study.University Hospital, London Health Sciences Centre, London, Ontario, Canada from July 2008 August 2012.Fifty adult patients undergoing open abdominal surgery via laparotomy...
Detailed knowledge of variations the infraorbital foramen (IOF) and establishment a constant reference point for needle insertion are important safe successful regional block avoiding iatrogenic injury to nerve during surgery in midfacial region. Infraorbital foramina from 133 sides 67 dry intact adult skulls undetermined gender were examined shape, number, location relation bony landmarks, relationship maxillary teeth. The angles sagittal Frankfurt planes determined. located at an average...
<h3>Background and Objectives</h3> The objective of this study was to investigate the extent dermatomal spread following an ultrasound-guided thoracic paravertebral block (PVB) when equal volumes local anesthetic are injected at 1 versus 5 vertebral levels. <h3>Methods</h3> Seventy patients undergoing a unilateral mastectomy were randomized receive either single or multiple injections PVB under real-time ultrasound guidance using parasagittal approach. in single-injection group received...
Background: Pain following total knee arthroplasty (TKA) is often severe and can inhibit rehabilitation. Motor-sparing analgesic techniques such as periarticular infiltrations adductor canal blocks have been popularized for analgesia since they preserve motor strength permit early mobilization. Our primary objective was to compare the duration of from motor-sparing with that a standard infiltration. We used time first rescue end point. Methods: randomized 82 patients scheduled elective TKA...
Background: Prolonged times to tracheal extubation (≥15 minutes from dressing on the patient) are consequential based their clinical and economic effect. We evaluated variability among anesthesia practitioners in goals for age-adjusted end-tidal minimum alveolar concentration of sevoflurane (MAC) at surgery end achievement goals. Methods: prospectively studied a cohort 56 adult patients undergoing general with as sole anesthetic agent, scheduled operating room time least 3 hours, non-prone...
( Reg Anesth Pain Med . 2024;49:471–501. doi: 10.1136/rapm-2023-104817) Postdural puncture headache (PDPH) is a complication of dural puncture, either during epidural or spinal anesthesia administration. The symptoms (headache, neck stiffness, hearing reduction) associated with PDPH may be severe and affect daily activities. management prevention has been examined, yet standards for medical care have not identified. This evidence-based clinical practice guidelines seeks to provide more...