A5000647604- Anesthesia and Pain Management
- Nausea and vomiting management
- Cardiac, Anesthesia and Surgical Outcomes
- Spine and Intervertebral Disc Pathology
- Musculoskeletal Disorders and Rehabilitation
- COVID-19 and healthcare impacts
- Shoulder Injury and Treatment
- Total Knee Arthroplasty Outcomes
- Hemodynamic Monitoring and Therapy
- Diversity and Career in Medicine
- Cardiovascular Syncope and Autonomic Disorders
- Central Venous Catheters and Hemodialysis
- Intraoperative Neuromonitoring and Anesthetic Effects
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Mental Health Treatment and Access
- Anesthesia and Sedative Agents
- Healthcare cost, quality, practices
- Pain Management and Opioid Use
- Primary Care and Health Outcomes
- Pediatric Pain Management Techniques
- Hospital Admissions and Outcomes
- Patient Safety and Medication Errors
- Health Sciences Research and Education
- Orthopaedic implants and arthroplasty
- Cardiac Arrhythmias and Treatments
Mount Sinai Hospital
2017-2025
University of Toronto
2011-2025
Pain and Rehabilitation Medicine
2023
Sinai Health System
2023
Sinai Health System
2020-2022
Institute of Health Services and Policy Research
2017
Sunnybrook Health Science Centre
2017
Health Sciences Centre
2017
Canada Research Chairs
2011
Comorbid depression is common among adults with painful osteoarthritis (OA). We evaluated the relationship between depressed mood and receipt of mental health (MH) care services.In a cohort OA, annual interviews assessed comorbidity, arthritis severity, MH (SF-36 score). Surveys were linked to administrative databases identify health-related visits physicians in two years following baseline interview (1996-98). Prescriptions for anti-depressants ascertained participants aged 65+ (eligible...
<h3>Background and Objectives</h3> The primary aim of this study was to review the impact inserting thoracic epidural catheters in a preoperative block room setting on operating efficiency. <h3>Methods</h3> We conducted retrospective preintervention/postintervention epidurals inserted over 12-month period. included 6 months data prior implementation regional anesthesia following implementation. outcome measure anesthesia-controlled time, defined as time from patient arrival surgical site...
Handovers from the cardiovascular operating room (CVOR) to intensive care unit (CVICU) are complex processes involving transfer of information, equipment and responsibility, at a time when patient is most vulnerable. This typically variable in structure, content execution. variability can lead omission miscommunication critical information leading harm. We set out improve quality handover CVOR CVICU by introducing standardised protocol. study an interventional time-series over 4-month period...
Background Regional anesthesia techniques offer many benefits for total joint arthroplasty (TJA) patients. However, they require personnel and equipment resources, as well valuable operating room (OR) time. A block offers a dedicated environment to perform regional procedures while potentially offsetting costs. Methods The goal of this prospective quality improvement study was develop business case implementation demonstrate the cost-effectiveness program in decreasing OR time TJA. All...
Ultrasound is commonly used to facilitate epidural catheter placement. However, data are lacking regarding its potential confirm position in the space. Our aim was visualize flow space of patients receiving analgesia for labor using color Doppler ultrasound.We conducted a prospective observational cohort study that included who had delivered vaginally under analgesia. We 5-2 mHz curvilinear probe left and right paramedian longitudinal oblique view anterior posterior complex at interspace...
Hip and knee total joint arthroplasty (TJA) procedures are two of the most common inpatient surgical worldwide. Outpatient TJA has emerged as a feasible option. COVID-19 caused significant constraints on resources contributed to growing backlog. We present quality improvement (QI) initiative aimed at adding an outpatient pathway our pre-existing programme, with target performing 25% primary outpatients.This was QI study tertiary level centre. To achieve aim, patient-centred needs analysis...
Evidence supports the feasibility, efficacy and safety of ultrasound (US) use to facilitate insertion lumbar neuraxial blocks.[1 2][1] However, there is limited research on thoracic US-assistance (pre-procedural US scanning skin markings).[3–5][2] We aimed compare conventional
Introduction Total knee arthroplasty is associated with significant postoperative pain. Continuous adductor canal blocks via an inserted catheter are effective analgesia interventions the advantage of decreasing quadriceps weakness and potential extending analgesic effect. The classical insertion technique may have a high likelihood dislodgement out canal. interfascial plane between sartorius muscle femoral artery (ISAFE) approach has migration. purpose this study was to evaluate incidence...
To the Editor, We read with great interest article by Swenson et al .[1][1] would like to commend authors on their innovative and potentially safer approach Adductor Canal Block (ACB). share concern that ACB carries a significant risk of intravascular puncture
Abstract Background Persistent pain is a common yet debilitating complication after breast cancer surgery. Given the pervasive effects of this disorder on patient and healthcare system, post-mastectomy syndrome (PMPS) becoming larger population health problem, especially as prognosis survivorship increases. Interventions that prevent persistent surgery are needed to improve quality life survivors. An intraoperative intravenous lidocaine infusion has emerged potential intervention decrease...
<h3>Background</h3> The introduction of bundled funding for total knee arthroplasty (TKA) has motivated hospitals to improve the quality care while minimizing costs. We identified LOS and percentage patients discharged inpatient rehabilitation primary TKA as potential targets reducing costs, improving patient care, ultimately our performance within payment model. <h3>Objectives</h3> aim improvement project was reduce acute hospitalization length stay (LOS) less than two days decrease using...
Continuous Nerve Block Catheter: Post-operative pain managementWhat is a continuous nerve block catheter?• A catheter infuses local anesthetic ("freezing") medicine that blocks the supplying area of your body where you have surgery and reduces amount pain.• This small (a thin tube) stays under skin can provide to reduce for up 48 hours.• The benefit it helps control number pills may need.Pain cause side effects such as nausea, itchiness, drowsiness, constipation, confusion, dizziness.
To increase peripheral nerve block (PNB) administration for ankle fracture surgeries (AFSs) at our institution to above 50% by January 1st, 2021.Longitudinal, single-center quality improvement study conducted a high-volume tertiary care center.All patients undergoing isolated AFS unimalleolar, bimalleolar, or trimalleolar from July 2017 April 2021 were included in this study.Interventions implemented minimize barriers PNB recruitment and training of expert anesthesiologists regional...
( Reg Anesth Pain Med 2022;47:775–779) Epidural analgesia is one of the most common pain relief treatments during labor and delivery usually very effective. In a small percentage epidurals, misplacement epidural catheter can cause inadequate anesthetic effects. To reduce instances insufficient relief, it would be beneficial to able assess position flow before administering medication. This study was designed visualize in space using structured color Doppler assessment, describe location...