clinical care education research - amazon web services€¦ · and improve our performance. as the...

Clinical Care Education Research 2016-2017 DEPARTMENT PROFILE

3

Compassionate:

Offering exceptional perioperative care and

pain management to a complex population.

Committed:

Equipping future global leaders with the

latest knowledge and skills.

Collaborative:

Working across Vanderbilt University

Medical Center and beyond to achieve

measurably improved outcomes.

We are We are We are We areCreative:

Advancing the frontiers of science,healthcare and technology.

Department of Anesthesiology

Compassionate | Creative | Committed | Collaborative

4

Warren S. Sandberg, MD, PhDChair, Department of Anesthesiology Vanderbilt University Medical Center

Message from the Chair for your interest in the

Vanderbilt University Medical Center

Department of Anesthesiology. Our growth

and success stem from the foundation of

Vanderbilt University Medical Center’s

five-pillar commitment to excellence, which

consists of people, service, quality, growth

& finance, and innovation. Our department

follows the Vanderbilt credo, driving us to

achieve excellence in healthcare, research

and education; we treat others as we wish

to be treated; and we continuously evaluate

and improve our performance. As the role

of the anesthesiologist evolves into that

of a perioperative consultant, our diverse

team of experts remains at the forefront of

knowledge and technology in patient care,

research and education.

Our values - compassion, creativity, com-

mitment and collaboration - emerge as the

keystones of our structure and systems,

as seen throughout this guide. We are

compassionate, based not only on our own

assessment but also on what we are being

told. Our patients are recovering faster and

with greater comfort through implementa-

tion of Enhanced Recovery After Surgery

(ERAS) protocols, a collaborative effort led

by our faculty, our trainees and our

surgical colleagues.

We are creative, advancing the frontiers of

science, healthcare and technology. Our

informatics infrastructure continues to

increase patient safety and clinician

effectiveness through innovative methods

and novel use of both live and

archived data.

Our investigators brought in more than

$8.0 million in total extramural research

funding in 2015-16. This included more

than $4.5 million in awarded NIH grants,

which placed Vanderbilt Anesthesiology

9th among U.S. academic anesthesiology

departments in NIH funding. Within the

department, faculty published 241 papers

in fiscal year 2016, up from 197 papers

in fiscal year 2015, within peer-reviewed

literature. Twenty-seven members of the

department have been elected into the

Association of University

Anesthesiologists (AUA).

At the 2015 Annual Meeting of the

American Society of Anesthesiologists,

department members contributed more

than 100 entries, including oral presenta-

tions, medically challenging cases, poster

presentations, problem-based learning

discussions, workshops, panel discussions

and refresher courses.

Our dedicated faculty is committed to

equipping graduates for a promising

future in anesthesiology. We offer training

using cutting edge technology along with

opportunities to improve systems of care.

We provide a closely guided mentorship

program, balancing subspecialty training,

clinical experience and a broad range

of academics.

Much of our success can be attributed

to the collaboration that occurs across

Vanderbilt University Medical Center and

beyond. Our clinical teams assisted patients

in more than 80,000 encounters last year,

spanning the entire spectrum of anesthesi-

ology; for every age group, subspecialty and

procedure, caring for patients along their

journey to wellness. And we are moving

beyond Vanderbilt’s traditional walls. The

Vanderbilt Health Affiliated Network is the

largest of its kind and growing rapidly, and

our department is leading telemedicine and

remote presence projects to bring our skills

and values to more patients.

As you read through the following pages,

we invite you to contact us or visit our web-

site at www.vandydreamteam.com to learn

more about our progams.

Thank you

5

Department Leadership

Matthew Weinger, MD

Vice Chair, Faculty Affairs

Division Chiefs

Suanne Daves, MD

Chief, Pediatric Cardiac

Anesthesiology

Brian J. Gelfand, MD

Associate Vice Chair,

Educational Affairs

Matthew McEvoy, MD

Vice Chair, Educational

Affairs

Stephen Doherty, MMHCDepartment Administrator

David H. Chestnut, MD

Chief, Obstetric

Anesthesiology

Eric Delpire, PhD

Chief, Basic Science Research

Ann Walia, MBBS

Chief, Veterans Affairs

Anesthesiology Service

Pratik Pandharipande, MD, MSCI

Chief, Anesthesiology

Critical Care Medicine

Mias Pretorius, MBChB, MSCI

Chief, Cardiothoracic

Anesthesiology

Executive Committee

Edward Sherwood, MD, PhD

Vice Chair, Research

Cornelius Vanderbilt Chair in

Anesthesiology

Andrew Shaw, MB, FRCA, FFICM, FCCMExecutive Vice Chair, Anesthesiology

Mark Rice, MD

Associate Vice Chair,

Clinical Affairs

Chief, Multispecialty Adult

Anesthesiology

Katherine Dobie, MD

Chief, Ambulatory

Anesthesiology

Brent Dunworth, CRNA, MBA

Chief CRNA

Associate Director for Anesthesia

Advanced Practice Nursing

Kurt Dittrich, MD

Interim Chief, Pain Medicine

Previous Department Chairs

Dr. Benjamin H. Robbins

1946-1961Dr. Charles B. Pittinger

1962-1969Dr. Bradley E. Smith

1969-1993Dr. Charles Beattie

1994-2001Dr. Jeffrey R. Balser

2001-2004Dr. Michael S. Higgins

2004-2010

History

of anesthesiology in the United States, established on December 12, 1945.

After observing that the battlefield-wounded of World War II were more likely to survive if they received immediate, skilled anesthesia care,

Vanderbilt physicians advocated that anesthesiology be established as an autonomous department. At that time, few medical schools pos-

sessed an academic anesthesiology service of any type.

This tradition of pioneering in our specialty continues today. Our exemplary faculty provide top-quality clinical services for a full spec-

trum of medical specialties. Vanderbilt Anesthesiology is recognized as an innovator in perioperative management, healthcare information

technology, clincial outcomes research, education and international capacity building. We also have high-caliber basic science and clinical

research teams pursuing fundamental and translational knowledge to directly improve patient safety and care.

About NashvilleNashville’s history of country music earned the city its fame as Music City, USA - but this metropolis is about much more than tunes and twang. Visi-tors and residents enjoy great dining, entertainment and cultural life. Travel to and from Nashville is convenient and

inexpensive, since the Nash-ville International Airport is a Southwest Airlines hub. With a growing population of more than 650,000 people, Nashville has been nicknamed “Nowville” by GQ magazine and called the “It City” by The New York Times. A hub for massive and rapid

economic growth, Nashville was ranked the #1 city in the U.S. by Forbes in terms of business sector growth, with employment growth of 47.7% since 2010, as well as the #1 metro housing market in the nation.

About Vanderbilt University Medical Center


providers of specialty care by U.S. News and World Report and named the No. 1 hospital in Tennessee and the Metro Nashville area.

Vanderbilt University Medical Center named among the “100 great hospitals in America” (Becker’s Hospital Review, 2016).

Vanderbilt University Medical Center named one of healthcare’s “Most Wired” by the American Hospital Association in Hospi-tals and Health Networks magazine (2016).

Monroe Carell Jr. Children’s Hospital at Van-derbilt named as one of the elite children’s hospitals in the nation, with 10 out of a possible 10 specialties nationally ranked (U.S. News & World Report, 2016).

8

Serving in one of the largest clinical

programs in the nation, the Vanderbilt

Department of Anesthesiology’s clini-

cians provide procedural, critical care,

pain management and all periopera-

tive anesthesia services for more than

100,000 adult and pediatric patient

encounters annually at more than 100

anesthetizing locations. Of these, more

than 8,000 patients are seen annually

in the Vanderbilt Interventional Pain

Clinic, and approximately 23,000

Vanderbilt adult and pediatric patients

receive anesthetic care during a radio-

logic, gastrointestinal or other diagnos-

tic or therapeutic procedure.

The department’s faculty, residents, fel-

lows, certified registered nurse anesthe-

tists (CRNAs) and nurse practitioners

provide care in our operating rooms,

five adult intensive care units and the

pediatric and neonatal intensive care

units and perform approximately 4,000

anesthetics per year in the labor and

delivery suite.

Our trauma service, which includes the

orthopedic trauma program, is among

the busiest in the nation and ranked

as a Level One trauma facility, with

more than 1,700 LifeFlight helicopter

transports this year.

The Vanderbilt Preoperative Evaluation

Center (VPEC) offers preoperative

evaluation before patients undergo

procedures at Vanderbilt University

Medical Center. In 2015 – for the

seventh year in a row – VPEC received

a Professional Research Consultants,

Inc., patient satisfaction award, the

coveted 5-Star Award for Overall Qual-

ity of Care. Our One Hundred Oaks

VPEC location, which opened in 2009,

has received the same award for four

years in a row. The center scored in the

90th – 99th percentiles based on 2014

calendar year results, compared with

similar centers nationwide.

Perioperative medicine is built on full

engagement in patient care, from diag-

nosis to operative recovery. It includes

a full-time teaching service with 24/7

consultative availability and exten-

sive use of system-wide information

technology and mobile applications to

support clinical decision-making, cap-

ture data and measure outcomes, such

as the quality of recovery after surgery.

Vanderbilt is one of the few medical

training centers with a 3D transesoph-

ageal echocardiography (TEE) simula-

tor, used to teach the essential skill of

cardiac ultrasound.

Highlighted on the following pages are

the services provided by the depart-

ment’s clinical divisions.

Clinical CareWe are compassionate, offering exceptional perioperative care and pain management to a complex population.

“We’ve initiated a surveillance monitoring project allowing clinicians to stabilize their patients early enough so they do not need to be rescued...”Lisa Weavind, MBBCh, FCCM, MMHC, Professor of Anesthesiology and Surgery Division of Anesthesiology Critical Care Medicine

9

The Vanderbilt Department of An-esthesiology provides perioperative consult services to Vanderbilt Uni-versity Hospital, Monroe Carell Jr. Children’s Hospital at Vanderbilt and the Nashville Veterans Administra-

evaluation and preparation, intra-operative care, acute postoperative care and pain management, as well as ICU care, to critically ill patients. By providing care before, during and after surgery, patients are receiving better, more standardized care.

Intraoperative careThe department has established a system of seamless communica-tion from the operating room to the postoperative care unit (PACU) through innovative methods devel-oped internally by the Vanderbilt Anesthesiology & Perioperative In-formatics Research (VAPIR) Division.

providers on items such as glucose levels, length of stay, unplanned ICU admission and increased creatinine levels. Providers can check their compliance against clinical path-ways and compare their practices against departmental aggregate

data. These include on-time starts and turnover time, clinical process data and patient care methods. The system uses Vanderbilt Uni-versity Medical Center’s archive of perioperative patient data from over 932,000 anesthetics, combined with institutional data sources, to foster more integrated care teams.

Postoperative care Enhanced Recovery After Surgery (ERAS) care pathways, initiated in the 1990’s in Europe, are evi-dence-based protocols designed to improve pain control and speed patient recovery for adults and children. To date, Vanderbilt has implemented ERAS protocols in six surgical populations, securing itself as a national leader in ERAS.

“In the 2015-2016 year, Anesthesiol-ogy interacted with approximately 1200 patients, and through the

413 bed days back to the hospital by reducing length of stay, resulting

resources,” states Dr. Adam King, Clinical Chief of the Anesthesiolo-gy Perioperative Consult Service.

Hospital stays are most often extended to address pain control, postoperative ileus and postoper-ative complications. Because of this, ERAS protocols focus largely on pain management through use of nerve blocks and increased use of non-opioid pain medications, as well as preoperative evaluations to better prepare for surgery.

Pain managementDedicated teams of pain specialists

surgical divisions 24 hours a day, 365 days a year. From postopera-tive guidance and minor procedure anesthesia, to complex chronic pain management and surgical interven-

-ized and tailored plans for pain management for a wide range of conditions. “Our focus is collabora-tive and multidisciplinary; we work with our nurse, surgery, medicine, oncology, palliative care, rehabili-tation and pharmacy colleagues to create systems of care with greater reach across the healthcare system, both inpatient and outpatient,” said Dr. David A. Edwards, Clinical Chief of the Chronic Pain Service.

The Perioperative Consult Service A patient-centered initiative

Patient

10

Division of Ambulatory Anesthesiology

The Division of Ambulatory

Anesthesiology is led by Dr. Katherine

Dobie, MD, and consists of 12 faculty

members and 34 nurse anesthetists

who practice in five locations,

including three free-standing

community surgicenters. These

locations include Cool Springs Surgery

Center, Vanderbilt Bone and Joint

Surgery Center, Medical Center East,

Vanderbilt Outpatient Surgery and

Tennessee Fertility Institute.

The division provides anesthesia for

approximately 21,000 procedures

annually, including spine, surgical

oncology, pain, GI, orthopedic,

pediatric, ENT, urologic,

neurosurgical, general surgery and

higher-acuity plastic surgery.

The trend in surgical healthcare

continues toward significant growth

for outpatient surgeries; it is now

estimated that more than 70 percent

of all surgeries are performed in

the outpatient setting. The Division

of Ambulatory Anesthesiology is

committed to addressing this trend

with innovation as we explore how

to care safely for sicker patients

undergoing more complex surgeries in

the outpatient environment.

Ambulatory Anesthesiology is

unique compared to other academic

departments, with its high volume of

patient encounters and its partnership

with community practices in two joint

ventures within the greater Nashville

area.

The ambulatory faculty presented

seven abstracts at the 2016 meeting of

the Society for Ambulatory Anesthesia

(SAMBA) and are currently enrolling

patients in six randomized controlled

clinical trials.

Residents and fellows learn the

practice of ambulatory anesthesiology

by rotating to four centers, one of

which is focused on the practice

of ambulatory regional anesthesia.

Two regional anesthesia fellows

spend a combined 32 weeks with the

Ambulatory Division, where they learn

the critical and distinct practice of

regional and ambulatory anesthesia as

a combination, which is necessary as

we continue to innovate and expand

the population of ambulatory surgery

care to include more complex cases.

11

Division of Anesthesiology Critical Care Medicine

The Division of Anesthesiology

Critical Care Medicine (ACCM) is

led by Pratik Pandharipande, MD,

MSCI. The division provides critical

care services in the burn ICU, cardio-

vascular ICU, neurological ICU and

surgical ICU at Vanderbilt University

Medical Center, and in the surgical ICU

at the VA Medical Center in Nashville.

Additionally, division members pro-

vide perioperative anesthetic care for

patients undergoing major surgery, and

some participate in the perioperative

consult service.

The division includes 24 anesthesi-

ology-intensivists, along with more

than 35 acute care nurse practitioners

(ACNPs) and physician assistants

(PAs), making it one of the largest

anesthesiology critical care medicine

divisions in the country. Additional-

ly, there are eight neurointensivists,

certified by the United Council for

Neurologic Subspecialties. An ongoing

alliance between the ACCM Division

and the School of Nursing supports an

ACNP intensivist training program.

The division strives to provide excellent

patient care, promote education, and

engage in scholarly activity. Faculty

and fellows keep abreast of modern

technology and the changing spectrum

of caring for the critically ill. This

includes proficiency in ultrasound,

echocardiography and management of

patients with ventricular assist devices

or who are on ECMO.

The ACCM Fellowship has recently

been approved for 10 ACGME-accred-

ited fellowship positions per year and

has received accreditation for five years.

Fellows have a diverse clinical expe-

rience through our subspecialty ICUs

and an innovative didactic program.

Division faculty frequently participate

in regional, national and international

educational activities and have taken

on leadership roles in national organi-

zations such as SCCM, ASA, SOCCA

and the American Delirium Society; in

VUH and VUMC administration,

including the directorship of the BICU,

NCU, CVICU and CELA; and in the

medical school curriculum redesign,

via innovative immersion programs.

Active research programs encompass

clinical and translational research that

focuses on perioperative risk factors

and mechanisms of cognitive impair-

ment, kidney injury, sepsis and its

monitoring, education and implemen-

tation science, health resource utili-

zation, multisensory training, device

development and quality improvement

projects, including remote bedside

monitoring and use of rapid response

teams.

Active grants in the division include

two R01s, a K23 training grant, an R03

grant and FAER mentored research

and education grants, in addition to

smaller industry and VICTR grants.

Faculty have been involved in more

than 20 peer-reviewed manuscripts and

textbook chapters in the past academic

year.

12

Division of Cardiothoracic Anesthesiology

The Division of Cardiothoracic Anesthe-

siology is led by Dr. Mias Pretorius and

includes 14 faculty members and 11 nurse

anesthetists. Each month, three residents

rotate through the service. The fellowship

program, under the leadership of Drs.

Mias Pretorius and Bantayehu Sileshi,

currently trains three clinical fellows per

year (expanding to five in FY2017).

The division provides perioperative care

for approximately 1,400 adult cardiac pro-

cedures per year. These include coronary

artery bypass graft (on- and off-pump)

surgery, valvular surgery, heart and lung

transplantation, adult congenital proce-

dures, hybrid procedures, aortic surgery

and ventricular assist device (VAD) in-

sertions. The VAD program at Vanderbilt

currently places about 80 devices per year

for both bridge-to-transplant and desti-

nation therapy indications. Our structural

heart disease program employs the newest

techniques involving transcatheter aortic

valve replacement (TAVR), catheter-based

repair of mitral regurgitation (Mitra-

clip) and left atrial appendage occlusion

(Watchman).

Members within the division provide an-

esthetic care to over 700 general thoracic

cases annually. In addition, anesthesia ser-

vices are also provided for interventional

pulmonology, cardiology and electrophys-

iology procedures, which together account

for approximately 3,500 cases annually. A

subset of the division’s faculty members

rotate through the adult cardiovascular

intensive care unit, under the medical

direction of division faculty member

Tony Hernandez, MD.

Intraoperative transesophageal echocar-

diography (TEE) is an integral part of our

clinical practice and is performed on all

adult cardiac patients. Our faculty mem-

bers also provide TEE in the electrophys-

iology suite to rule out thrombosis of the

left atrial appendage, to guide trans-septal

puncture and to guide transcatheter valve

procedures. All studies are performed and

interpreted by a cardiothoracic anesthesi-

ologist, and cases are digitally archived for

future study. The division uses 4 Philips

EPIQ and 3 CX50 consoles, and these

machines were installed in 2015.

Division faculty members conduct

research in vascular biology, precision

perioperative medicine, acute kidney

injury and the perioperative inflammatory

response. Extramural grant support comes

from the Department of Defense, the

National Institutes of Health and industry.

Dr. Susan Eagle received a $270,000 grant

from Baxter Medical for an investigator

initiated trial, “Peripheral intravenous

device for detecting intravascular volume

overload in dialysis patients.” Dr. Eagle is

co-inventor of the IV device and is princi-

pal investigator of the trial.

The division has a significant education

presence. Dr. Andrew Shaw served as the

scientific program chair for the Society of

Cardiovascular Anesthesiologists (SCA)

2016 annual meeting. Two simulators

are available for training in the division’s

echocardiography lab and at Vanderbilt’s

Center for Experiential Learning and

Assessment.

13

Division of Multispecialty Adult Anesthesiology

The Division of Multispecialty Adult

Anesthesiology is led by Mark Rice,

MD. This is the department’s largest

division, providing perioperative an-

esthetic care for more than 12,000 pa-

tients annually in 45 operating rooms

and procedure suites for a wide variety

of surgical services, including general

surgery, orthopedics, urology, plas-

tic surgery, ophthalmology, vascular

surgery, otolaryngology, hepatobiliary

surgery, liver and renal transplantation

and oral/maxillofacial surgery. The

division has 48 full- and part-time

faculty members, most of whom have

significant subspecialty training and

expertise. As Vanderbilt is a Level One

Trauma Center, MSA faculty and staff

provide 24-hour coverage for emergen-

cy and trauma surgery for the region.

In July 2014, a Perioperative Consul-

tative Service was created to provide

co-management of surgical patients,

from decision to operate until after

discharge from the hospital. This

started with a pilot program involving

colorectal surgical patients and quickly

grew to include abdominal wall

reconstruction, surgical weight loss

and hepato-biliary-pancreatic/surgical

oncology patients. Plans are underway

with other surgical services to extend

this coverage to another two services

within the next year.

MSA division faculty provide anes-

thesiology residents a variety of both

introductory and advanced clinical

experiences and make numerous con-

tributions to the department’s educa-

tional programs for medical students,

residents and fellows. Additionally,

MSA faculty members teach and su-

pervise residents from other special-

ties, as well as student registered nurse

anesthetists who rotate in the MSA di-

vision. Division faculty members pur-

sue a wide range of academic interests,

including regional anesthesia, airway

management, information technology,

perioperative cognitive dysfunction,

echocardiography, ultrasound imaging

and perioperative medicine.

The division’s members are also highly

active in research, with numerous

investigator-initiated clinical research

projects currently in progress. Work is

ongoing in informatics, regional anes-

thesia, airway management, perioper-

ative medicine and drug protocols in

an effort to improve perioperative care

and throughput.

14

Division of Neuroanesthesiology

Neurosurgery and other neurologic

services continue to expand at Van-

derbilt University Medical Center,

and faculty members specializing in

neuroanesthesiology are providing

increasingly complex anesthesia and

sedation services.

The Vanderbilt Department of Neu-

rological Surgery currently has the

highest volume of deep brain stimula-

tor implantations in North America.

The Vanderbilt Brain Tumor Center

provides comprehensive care for

patients with brain tumors, and more

than 400 major brain tumor operations

are performed annually. Because of

increasing case volumes, two new neu-

rointerventional neurosurgeons have

recently joined Vanderbilt, operating

in our state-of-the-art interventional

radiology rooms dedicated solely to

neurosurgical procedures. The Joint

Commission designated Vanderbilt as

an Advanced Certification Compre-

hensive Stroke Center, where the most

complex of stroke patients are treated.

Annual surgical volume is approxi-

mately 4,800 neurologic cases per year.

The Division of Neuroanesthesiology

engages in research aimed at improving

patient outcomes and cost-

effectiveness, as well as expanding the

clinical knowledge of certain diseas-

es. Paramount to the success of the

division is the collegial working rela-

tionship among operating room and

intensive care unit team members.

VUMC has seven designated neurosur-

gical operating rooms, where anesthe-

sia services are provided for operations,

including brain tumor, blood vessel

malformation, aneurysms, stroke

intervention, trauma, complex spinal

procedures, functional neurosurgery

and chronic pain management. The

Division of Neuroanesthesiology also

provides specialized anesthesia services

for “awake craniotomies,” when pa-

tients are intermittently awake to facili-

tate speech and motor mapping during

surgery in order to preserve the most

vital areas of the brain. Additionally,

anesthesia is provided by the division

in neurointerventional radiology suites

and at Monroe Carell Jr. Children’s

Hospital at Vanderbilt. Like their surgi-

cal colleagues, neuroanesthesiologists

face many unique challenges, including

the length of procedures (which may

last more than 16 hours), unusual

patient positioning and unexpected

intraoperative events, such as seizures

or intracranial hemorrhage. Residents

on the neuroanesthesia rotation, as

well as the faculty leading the training,

discover that the ability to make an

immediate impact on an operation is

both exciting and gratifying.

15

Division of Obstetric Anesthesiology

The Division of Obstetric Anesthesi-

ology is led by David Chestnut, MD.

Dr. Chestnut is the editor of Chestnut’s Obstetric Anesthesia: Principles and Practice. Now in its fifth edition, this

book is widely considered the premier

obstetric anesthesia textbook. Former

division director Curtis Baysinger,

MD, is co-editor of the second edition

of A Practical Approach to Obstetric Anesthesia, another highly regarded

textbook, published in 2016.

The division provides dedicated, 24-

hour, in-house obstetric anesthesia care

for approximately 4,500 deliveries at


(VUMC) annually - over half of which

are considered high risk. In addition to

offering the full complement of tech-

niques for labor analgesia, the division

provides consultation and critical care

management services for high-risk

obstetric patients, as well as specialized

anesthesia care for fetal surgery.

The division collaborates with VUMC

maternal-fetal medicine, gynecologic

oncology and urology physicians in

an innovative approach to the care of

patients with placenta accreta/percreta,

which is a form of abnormal, invasive

placentation that places the mother at

high risk for massive blood loss and

significant morbidity. With this ap-

proach, patients with known placenta

accreta/percreta undergo a modified

cesarean delivery through a fundal

uterine incision, and the placenta is left

in situ, with plans to perform hysterec-

tomy six weeks postpartum. This mul-

tidisciplinary approach seems to result

in decreased maternal blood loss and

morbidity, and it is a focus of ongoing

investigation.

The division also provides anesthe-

sia services for approximately 2,500

gynecologic surgical procedures in a

suite of three operating rooms adjacent

to the labor and delivery unit. Division

faculty and staff collaborate with the

department’s Perioperative Service to

provide anesthesia care using multi-

modal, enhanced-recovery-after-

surgery (ERAS) protocols.

The division sponsors an ACGME-

accredited obstetric anesthesia fellow-

ship, and the fellowship complement

was increased from one to two fellows

per year, beginning in July, 2016. The

division is also taking a leadership role

in the use of in situ simulation training

for obstetric emergencies.

Recent clinical research projects

include a landmark assessment of an-

algesic efficacy and patient satisfaction

with administration of nitrous oxide

for labor analgesia. Women who chose

nitrous oxide for labor analgesia and

subsequently underwent vaginal deliv-

ery reported high levels of satisfaction

with nitrous oxide, despite variable la-

bor analgesic effectiveness. Future re-

search will probe the reasons for these

paradoxical findings. Other planned

clinical research projects include an

assessment of a novel multi-modal

regimen for providing postcesarean

analgesia in patients with a history of

opioid abuse.

Dr. David Chestnut is the 2016 ASA Rovenstine Lecturer. The lecture is the premier event at the annual meeting of the American Society of Anesthesiologists.

16

Clinicians at VUMC’s Interventional Pain Center utilize a multidisciplinary approach to pain care, offering thorough evaluations, consultations and referrals in order to employ the most advantageous treatment modal-ities.

The Interventional Pain Center sees patients with all types of pain, including back, neck, abdominal, pelvic, nerve and joint pain, as well as chronic headache. During the first clinic visit, a patient’s medical history is thoroughly reviewed, and his or her condition is evaluated by Vanderbilt pain specialists to develop

a team-based treatment plan. This team includes specialists from anesthesiology, psychology, psychiatry, neurology, neurosurgery, orthopedics or rehabilitation. Interventional Pain Center physicians also work closely with a patient’s primary care provid-ers to close the loop effectively and foster shared responsibility for patient health.

Monroe Carell Jr. Children’s Hospital at Vanderbilt is the site of a unique pediatric pain clinic, where Vanderbilt providers work with patients, their families and their physicians to provide the best pain management for

the pediatric patient’s specific needs. The neonatal intensive care unit at the Children’s Hospital also has its own specialized pain management program, and there is a regional anesthesia program to treat young patients as well.

The Comprehensive Pain Service (CPS) at VUMC also continues to grow, as patients benefit in increasing numbers from epidural catheters, peripheral nerve blocks and peripheral nerve catheters for pain management for complex shoulder and arm surgery, lower extremity surgeries and repeated burn debridements.

Division of Pain Medicine

Division member Dr. Tracy Jackson presented “The Hardest Pill to Swallow” on chronic pain and opioid addiction at TEDx Nashville.

17

Division of Pediatric Anesthesiology

The Division of Pediatric Anesthesiol-

ogy is led by Suanne Daves, MD. The

division provides perioperative care for

more than 13,000 patients annually at

theMonroe Carell Jr. Children’s Hospi-

tal at Vanderbilt, making it the region’s

major pediatric referral center.

The Pediatric Pain Service provides an

increasing number of inpatient

consultations and works closely with

the many surgical services at the

Children’s Hospital to provide a full

spectrum of perioperative pain man-

agement strategies.

Education and training of medical

students, anesthesia residents, nurses

and associated healthcare personnel is

a major faculty commitment. Amanda

Lorinc, MD, Assistant Professor of

Anesthesiology, directs Pediatric Liver

Transplant Anesthesia, a program

launched in 2015. Areas of academ-

ic interest for the division’s faculty

include safe transfusion practices, mul-

tidisciplinary approaches to decreasing

surgical-site infections, situational

awareness during handovers in care,

difficult airway management, pediatric

pain management, regional anesthesia,

extracorporeal membrane oxygenation

(ECMO) and perioperative care of

cardiovascular patients.

The division is an active member of

Wake Up Safe, a quality improvement

initiative of the Society for Pediatric

Anesthesia. Wake Up Safe is a Patient

Safety Organization (PSO), as defined

by The Patient Safety and Quality

Improvement Act of 2005, and its

participants are leading children’s

hospitals throughout the country.

Through voluntary reporting from its

member institutions, Wake Up Safe has

developed the first-ever national reg-

istry of adverse perioperative events in

pediatric patients. Its goal is to help de-

fine quality in pediatric anesthesia and

develop quality improvement systems

in an effort to help improve anesthetic

care for children of all ages.

The division is also an active partner

with the quality improvement office

of the Children’s Hospital and partic-

ipates in Solutions for Patient Safety,

a network of more than 100 children’s

hospitals in 39 states and Canada that

partners with Child Health Patient

Safety Organization (PSO), our nation’s

only PSO dedicated to the safety of

hospitalized pediatric patients.

181818

The Division of Pediatric Cardiac

Anesthesiology, led by Suanne Daves,

MD, was formed in 2007 to support the

Monroe Carell Jr. Children’s Hospital at

Vanderbilt. Children with heart defects

represent a complex group of patients

who often require intensive surgical re-

pairs to thrive or even survive into adult-

hood. The Pediatric Heart Institute at

the Children’s Hospital is a high-volume

regional referral center and is ranked 19th

in US News and World Report’s list of top

hospitals in the care of pediatric patients

with congenital heart disease.

Two new areas of focus for the division’s

quality improvement efforts are

decreasing the incidence of early surgical

re-intervention in the cardiac surgical

patient and identifying effective strate-

gies in the prevention of catheter-related

venous thrombosis in the pediatric

cardiac population.

Training pediatric anesthesiology fellows

in the care of the critically ill child

undergoing cardiac surgery or catheter-

ization is a core mission of the division.

Fellows spend two months on the cardi-

ac service, and many elect to spend part

of their training in the cardiac critical

care unit.

Patrick Guffey, MD, Warren S. Sandberg, MD, PhD, Sarah Miller, Suanne Daves, MD, Elizabeth Donner, Marlin Sanders, Madolyn Miller, Andrew Shaw, MB, FRCA, FFICM, FCCM

Since 2006, the Dr. James Phythyon Endowed Lectureship in Pediatric Anesthesiology has brought renowned experts in the

-ship was established by the family of Dr. James Phythyon, a founding member of the Pediatric Anesthesiology Division. Dr. Phythyon’s widow, Mrs. Marlin Sanders, and the couple’s daughters, Mary Neal Meador, Elizabeth Donner and Sarah Miller, are strong supporters of the department. Each year, they attend the lecture and other events in honor of Dr. Phythyon. In 2016, , presented a well-received Grand Rounds lecture entitled “The National Anesthesia Incident Reporting System.”

in Pediatric Anesthesiology

Division of Pediatric Cardiac Anesthesiology

19

The Vanderbilt Department of

Anesthesiology embraces collaborative

practice in its approach to patient

care, involving anesthesiologists

and residents, certified registered

nurse anesthetists (CRNAs), student

registered nurse anesthetists (SRNAs)

and anesthesia technicians. Serving as

Chief CRNA and Associate Director for

Anesthesia Advanced Practice Nursing,

Brent Dunworth, MSN, MBA, APN,

CRNA, leads the CRNA Division.

The more than 150 CRNAs in the

division provide anesthesia for all

types of surgical procedures, including

cardiac, pediatrics, vascular, trauma,

neurosurgery, plastics, radiologic and

special procedures. CRNAs administer

general, regional and monitored

anesthesia care for scheduled and

emergency surgical, obstetric and

diagnostic procedures.

Key responsibilities of CRNAs include

preoperative patient evaluation,

management of the patient through

completion of the operative procedure,

safe transport of the patient to

the recovery area and assurance

of the appropriate postoperative

care. Additionally, CRNAs provide

instruction and education for student

nurse anesthetists (SRNAs). They

also support the residency education

mission by providing service

coverage to allow residents to attend

educational activities and participate

in elective rotations. Our CRNAs are

full partners in department clinical

practice initiatives and frequently

contribute to the development of quality

improvement and efficiency initiatives.

Thus, the CRNAs are essential to many

core endeavors. In terms of personnel,

the CRNA division is the largest within

the Department of Anesthesiology.

Vanderbilt is the primary clinical

affiliate of the Middle Tennessee School

of Anesthesia (MTSA) in Madison,

Tennessee, which is the second largest

nurse anesthesia program in the

country. Vanderbilt is also a clinical

affiliate for the Union University

Nurse Anesthesia program in Jackson,

Tennessee. Student nurse anesthetists

assist in approximately 7,000 anesthetics

per year while on Vanderbilt rotations.

The CRNA division mirrors the

operating room organization of


(VUMC). CRNAs who serve in a lead

or service specialist position facilitate

communication with all members of

the patient care team. In addition to

SRNA training, the CRNA division has

The Veterans Affairs Anesthesiology Service is led by Ann Walia, MBBS. The division provides perioperative patient care services for more than 10,000 procedures annually at the Veterans Administration Medical Center in Nashville and the medical center at the Alvin C. York campus in Murfreesboro, Tennessee. These two facilities make up the core of the Tennessee Valley Healthcare System (TVHS), which also includes 11 community-based health clinics.

Areas of particular clinical interest in the division include airway management and ultrasound-guided regional anesthesia. The group also supports an active Pre-Anesthesia Evaluation Clinic, with an annual workload of more than 5,000 visits. The service also provides primary coverage for the VA Surgical Intensive Care Unit, acute and chronic pain management and emergency airway management. This year, the division initiated a Perioperative Care service for selected surgical services, with

the goals of decreasing ICU and hospital length of stay, improving patient satisfaction and improving coordination of care. The Chronic Pain Management center is located at the Murfreesboro campus, and the team there provides a comprehensive set of services.

The Veterans Affairs Anesthesiology service has a rate of 90 percent for on-time first-case starts and a day-of-surgery case cancellation rate of less than 1 percent. For the past five years, the area has achieved 100 percent compliance with all national performance measures.

“Even though 80 percent of our surgical patients are classified as ASA3 and 4, our morbidity and mortality rate is lower than the national average,” said Veterans Affairs Anesthesiology Service Chief Ann Walia, MBBS. “We have a great team here, and they work hard to provide excellent care to our veterans.”

The TVHS Anesthesiology Service was one of the first in the nation to implement e-Consults for preoperative anesthesia evaluations. This initiative saves the patient’s travel cost incurred by the VA and decreases unnecessary testing. This has increased both patient and provider satisfaction. The TVHS has also been selected as a beta test site for the National Surgical Quality and Workflow Management initiative.

Veterans Affairs Anesthesiology Service

Ann Walia, MBBS Brent Dunworth, CRNA, MBA

20

developed strong continuing education

unit-eligible educational programs designed

specifically for CRNAs. Vanderbilt CRNAs

are always positioned on the cutting-edge of

new developments in anesthesiology.

VUMC is staffed by 38 anesthesia

technicians who contribute to safe, efficient

anesthesia care by providing highly skilled

assistance to anesthesiologists and nurse

anesthetists at both on- and off-campus

clinical locations.

CRNAs

Anesthesia Technicians/Technologists

21

EducationWe are committed, equipping future global leaders with the latest knowledge and skills.

The Office of Educational Affairs

supports and oversees undergraduate

medical education, graduate medical

education for residents and fellows,

and continuing education for faculty

and advanced practice nurses. The

extensive education and training

programs offered by the Department

of Anesthesiology prepare medical

students, residents, fellows, nurses and

faculty for productive careers as clini-

cians, academicians and scientists. We

offer ACGME-accredited fellowships in

Adult Cardiothoracic Anesthesiology,

Anesthesiology Critical Care Medicine,

Pain Medicine, Pediatric Anesthesi-

ology, Obstetric Anesthesiology and

Clinical Informatics. We also offer

fellowships in Regional Anesthesiology

and Global Anesthesiology.

Residents and fellows benefit from

in-depth training in all subspecialty

disciplines of clinical anesthesiology,

critical care and pain medicine. A full

calendar of continuing medical educa-

tion opportunities for faculty, residents,

fellows, nurse anesthetists and nurse

practitioners is in place, including:

• Grand Rounds, which features lead-

ing experts from around the world;

• Mortality, Morbidity & Improvement

(MM&I) Conferences, which focus on

recent cases, with the goal of improving

patient care;

• ABA BASIC and ADVANCED

EXAM Prep Series, which are designed

to prepare CA1s , CA2s and CA3s,

respectively, for their high-stakes

exams as part of the sequence of board

certification;

• Mock Oral Board Exams, which are

given twice a year to CA1, CA2 and

CA3 residents in order to prepare them

for the oral board portion of the ABA

APPLIED exam;

• Simulation Training Program, which

includes Milestone-based assessment

in order to give residents training in

rare, high-stakes events, as well as to

prepare them for the OSCE portion of

the APPLIED Exam;

• BH Robbins Scholar Program, which

offers one-on-one mentorship and

collaboration for aspiring physician-

scientists preparing for careers as

academic anesthesiologists;

• Faculty Development Seminars,

which provide targeted training for

professional development;

• Combined Integrative Health and

Pain Medicine Quarterly Rounds,

which focus on issues related to the

management and treatment of pain.

We offer a wide-range of learning op-

portunities that parallels our excellent

clinical training and development. As

a result, the average score of Vanderbilt

anesthesiology residents on in-training

exams is in the 75th– 80th percentile

when compared to the nation.

“We view everyone as lifelong learners.”

Associate Professor of Anesthesiology

22

ResidentsThe department’s fully accredited res-

idency program is highly sought after

by the nation’s top medical students.

Proof of this is in the numbers: in the

2016 National Residency Match, the

department received more than 950

applications for 18 positions.

Vanderbilt Anesthesiology’s four-year

residency program currently enrolls

18 resident physicians per year. Our

physician educators are nationally and

internationally recognized as leaders

in their fields, and the department suc-

cessfully supports residents interested

in academic anesthesiology so they can

develop careers focused on advancing

knowledge in the specialty. The depart-

ment typically has 25-30 residents who

present original research and over-

views of challenging cases at national

meetings every year, a clear indication

that the department’s educational pro-

grams are creating physician-scholars

who are prepared for medical practice,

peer-education and scientific investi-

gation.

The department’s educational pro-

gram for residents and fellows consists

of a combination of comprehensive

didactic conferences, mentored clinical

training by subspecialists in every

domain of anesthesiology, simulation

training and self-study. Simulation

training features prominently in the

cognitive, procedural and teamwork

aspects of anesthesia education, and

the Center for Experiential Learning

and Assessment is a nationally re-

nowned, on-campus resource for this

training. The Accreditation Council

for Graduate Medical Education

(ACGME) core competencies form a

framework for the training program,

and a major curricular revision is

underway that is targeting the new

ACGME Milestones system, as well as

the recent changes to the ABA Certifi-

cation process.

The goal of ongoing curriculum devel-

opment and revision in the Milestones

era is to continue to achieve or exceed

this level of academic achievement.

Director of Educational Research and

Curriculum Development Leslie

Fowler, MEd, is overseeing the de-

partment’s curriculum improvements.

Among other projects, Leslie is work-

ing with the School of Medicine’s VStar

team to develop a “flipped classroom”

model of learning for anesthesiology

education. VStar is the school’s IT

platform for learning management,

launched in 2014. The flipped class-

room is a learning environment in

which course content is accessed by

learners outside of the classroom, and

classroom time is used for interactive

projects and discussion. Once the

flipped classroom is complete, anesthe-

siology residents at every level of train-

ing will have access to rotation-specific

curriculum and learning modules

24 hours a day. Our faculty are also

developing the same concept for nurse

anesthetist training in East Africa.

FellowsBuilding from the department’s

strength in subspecialties, eight clin-

ical fellowships, as well as a research

23232323

fellowship, are offered to individuals

seeking advanced, focused training.

The following clinical fellowships are

offered at Vanderbilt:

Adult Cardiothoracic Anesthesiology*

– 3 fellows

Clinical Informatics* - 1-2 fellows

Anesthesiology Critical Care Medicine*

– 10 fellows

Global Anesthesiology** – 1-2 fellows

(first fellowship awarded in 2016)

Obstetric Anesthesiology* – 2 fellows

Pain Medicine* – 3 fellows

Pediatric Anesthesiology* – 4 fellows

Regional Anesthesiology** – 2 fellows

Advanced Practice NursesThe Department of Anesthesiology

has a unique partnership with the

Vanderbilt University School of

Nursing to offer an Acute Care Nurse

Practitioner (ACNP) Intensivist track

as part of the ACNP master’s degree

program. The program combines

the didactic training of the School of

Nursing’s ACNP Program with sup-

plemental specialty lectures in critical

care medicine. Students perform

their clinical rotations in seven of the

Vanderbilt and VA ICUs. Students

also receive additional exposure to

ICU medicine through twice-

monthly simulation sessions and

weekly clinical case conferences,

taught jointly by members of both

faculties. Additional partnership

programs between the Anesthesiol-

ogy Department and the School of

Nursing are being planned. Van-

derbilt University Medical Center is

one of the largest employers of nurse

practitioners in the country, and the

Division of Anesthesiology Critical

Care Medicine has 35 Acute Care

Nurse Practitioners who work in

intensive care settings.

Nurse AnesthetistsThe continuing

education of more

than 100 Certified

Registered Nurse

Anesthetists in

the department

is supported with

recurring pro-

grams, including

Grand Rounds and

Mortality, Morbidity & Improvement

(MM&I) Conferences. In addition,

Vanderbilt is a primary clinical affil-

iate of the Middle Tennessee School

of Anesthesia (MTSA) in Madison,

Tennessee, and of the Union Uni-

versity Nurse Anesthesia program

in Jackson, Tennessee. Student nurse

anesthetists participate in approx-

imately 7,000 anesthetics per year

while on Vanderbilt rotations, and

their on-campus training is coordi-

nated by the Department of Anesthe-

siology.

The Center for Experiential Learning and Assessment (CELA)CELA offers medical learners at all

levels a simulation education on

computerized, life-like mannequins.

Participants get hands-on training in

anesthesiology airway management,

critical care, perioperative

management and transesophageal

echocardiogram procedures.

CELA was endorsed by the American

Society of Anesthesiologists (ASA)

as one of approximately 40 centers

in the nation officially approved

to deliver certified educational

programs. Anesthesiologists can

receive continuing medical education

(CME) simulation training at CELA

that qualifies for American Board

of Anesthesiology Maintenance

of Certification in Anesthesiology

(MOCA®) credit. To achieve the ASA

endorsement, the CELA program

met strict criteria, including having

strong leadership and the necessary

equipment, facilities and personnel to

provide consistent, effective training.

The Anesthesia Summer Internship Program provides an opportunity for undergraduate and medical students to participate in research projects with our faculty. The program receives funding from FAER and NIH to support summer student interns and is a part of the NIH Short Term Training Program for Minority Students (STTP).

Arna Banerjee, MBBS, Assistant Dean for Simulation in Medical Education and Administration and Associate Professor of Anesthesiology, Surgery and Medical Education

MOCA® simulation courses are taught at Vanderbilt’s Center for Experiential Learn-ing and Assessment (CELA), where state of the art immersive patient simulation

in Anesthesiology (MOCA®)

*ACGME Accredited

**ACGME Accreditation not offered

24

Vanderbilt’s

Department of

Anesthesiology

is commited to

improving

perioperative and

anesthetic care in

medically under-

served regions of

the world. Vanderbilt International Anesthesia (VIA) is developing interactive cur-ricula and training providers who will

practice around the world.

ImPACT Africa (Improving Perioper-

ative & Anesthesia Care and Training

in Africa) is a sustainable training

program that aims to improve

perioperative outcomes related to

surgical interventions through the

ongoing training of skilled anesthesia

providers. This program has a particu-

lar focus on improving maternal, infant

and trauma-related morbidity and

mortality in the perioperative period.

As part of the ImPACT program, the

department received over $4 million in

grant funding from the GE

Foundation’s Developing Health

Globally program to support research

in curriculum development and

capacity-building in Kenya and other

low-resource regions of the world. Dr.

Mark Newton and Dr. Matt McEvoy

serve as co-principal investigators.

Dr. Newton directs the Vanderbilt

International Anesthesia program

and divides his time between being a

pediatric anesthesiologist at Vanderbilt

and serving as chief anesthesiologist for

Kijabe Hospital in rural Kenya.

Under his guidance, Vanderbilt

anesthesiologists, residents, fellows

and nurse anesthetists in the training

program travel to Kenya for training

and educate medical staff in anesthesia

and pain management services.

In 2016, Dr. Newton received the

Nicholas M. Greene, MD, Award for

Outstanding Humanitarian Contribu-

tion, given by the ASA’s Committee on

Global Humanitarian Outreach.

Vanderbilt Anesthesia Global Health and Development

The mission of

Anesthesia

Global Health

and Development

is the support of

all global endeav-

ors within the

Department of

Anesthesiology,

including sustained service activities,

research and education. As such, the

Global Anesthesia Fellowship, the

Vanderbilt International Journal Club,

the Global Surgery website (VIGH),

and research and service provided in

Guatemala, Ethiopia and Mozambique

are organized and nurtured as part of

this endeavor.

Dr. Kelly McQueen, Professor of

Anesthesiology and Surgery, is Director

of Vanderbilt Anesthesia Global Health

and Development and the Vanderbilt

Global Anesthesia Fellowship, and is a

globally recognized expert in the field.

Dr. McQueen is currently leading

research efforts as principal investigator

for several grants: one in Ethiopia

and two in Mozambique. She is

also exploring additional research

opportunities in South Africa.

For more information on all of these

programs, please see the Global

Health tab on the Department of

Anesthesiology website.

Building Safe Anesthesia Capacity Around the World

Dr. Mark Newton

Dr. Kelly McQueen

The department is a national leader

in rigorous educational research.

Dr. Scott Watkins (APSF), Dr. Chris

Cropsey (FAER) and Dr. Mary

DiMiceli-Zsigmond (GE Foundation)

all have grant-funded educational

research investigating the use of

decision support tools to improve

team-based care delivery in high-

stakes perioperative events in

pediatric, general adult and obstet-

ric populations, respectively. Dr.

Bantayehu Sileshi (GE Foundation)

focuses on the implementation of a

novel perioperative data collection

tool in low- and middle-income

countries and the development of

anesthesia curricula for nonphysician

anesthesia providers.

Scott Watkins, MD, and Mary DiMiceli-Zsigmond, MD

Chris Cropsey, MD (pictured at left)

Bantayehu Sileshi, MD (pictured far left)

Dr. Mark Newton

25

Research

The vision of the Research Division

is to improve upon the department’s

currently successful program by fos-

tering excellence, collaboration and

the development of young investiga-

tors in anesthesiology.

In federal fiscal year 2014, the

Vanderbilt University School of

Medicine (VUSM) ranked 10th

among U.S. medical schools for

National Institutes of Health (NIH)

funding, and VUSM funding from

all sources has more than doubled

since 2001.

Anesthesia investigators brought

in more than $8 million in total

extramural research funding. This

included more than $4.5 million in

awarded NIH grants, which placed

Vanderbilt Anesthesiology 9th

among U.S. academic anesthesiolo-

gy departments in NIH funding.

Within the department, faculty

published 241 papers in fiscal year

2016, up from 197 papers in fiscal

year 2015, within peer-reviewed

literature.

Anesthesia clinical research centers

include Vanderbilt Anesthesiology

Clinical Research Advisory Com-

mittee (VACRAC) and Vanderbilt

Anesthesiology & Perioperative

Informatics Research (VAPIR).

VACRAC reviews research protocols

with a panel of experienced inves-

tigators. This process has improved

the design and execution of clinical

research projects, resulting in more

rapid and effective study origination

and completion.

VAPIR Director Dr. Jonathan

Wanderer has strengthened internal

communication and plays a vital

role in providing superior perioper-

ative care. The division collaborates

internally with colorectal surgeons

to understand the relationship

between interoperative hypothermia

and surgical site infections.

The team also creates innovative

techniques for efficient communica-

tion with clinicians to improve pa-

tient care. Through the development

of automated email systems and

dashboards, VAPIR has strength-

ened internal communication and

plays a vital role in providing near

real time feedback to clinicians to

help them improve perioperative

care.

The Vanderbilt Department of

Anesthesiology has a strong, multi-

faceted approach to research, which

can be viewed on the following

pages.

We are creative, advancing the frontiers of science, healthcare and technology.

Andrew Shaw, MB, FRCA, FFICM, FCCMExecutive Vice Chair and Professor of Anesthesiology

“We focus on precision medicine throughout the entire perioperative process.”

26

The research of the Basic Science Research Division is diverse and ranges from ion channel physiology and pharmacology to immunology to pain.Multiple projects by investigators are sponsored by the National Institutes of Health. Brief descriptions of work within the Research Division and its core investigators follow.

Dr. Frederic T. (Josh) Billings, IV, Assistant Professor of Anesthesiology and Medicine, is focusing on mechanisms of surgery-induced organ injury, specifically the impact of perioperative oxidative damage to kidney, brain and heart, and developing new therapy for perioperative organ injury in humans.

Dr. Stephen Bruehl, Professor of Anesthesiology, has identified pain-related alterations in interacting

cardiovascular-pain modulatory systems that contribute to enhanced pain responsiveness.

Dr. Kevin Currie, Associate Professor of Anesthesiology and Pharmacology, is currently investigating G protein-coupled receptors (including opioid and prostanoid receptors) and the serotonin transporter (an important target for antidepressants) control catecholamine secretion and the sympathoadrenal stress response.

Dr. Eric Delpire, Professor of Anesthesiology, Molecular Physiology and Biophysics and Chief of the Basic Science Research Division, utilizes genetically-modified mouse models and a variety of molecular techniques to investigate how neuronal Cl- transporters modulate inhibitory synaptic transmission and how renal

Na+ transporters and associated proteins regulate salt reabsorption and blood pressure. The laboratory utilizes high throughput screening and protein modeling to identify novel compounds/drugs that target these transporters and regulators.

Dr. Jerod Denton, Associate Professor of Anesthesiology and Pharmacology, is doing early-stage drug discovery for a family of potassium channels involved in renal, endocrine, cardiac and brain function. The goal is to develop sharp pharmacological tools for exploring the integrative physiology and, ultimately, druggability of these channels.

Drs. Brad and Carrie Grueter, Assistant Professors, are researching the neurobiology of addiction and reward-related behaviors.

Dr. Matthias Riess, Professor of Anesthesiology and Pharmacology, is investigating the mechanisms of cardio- and neuroprotection following cardiac arrest, myocardial infarction and stroke in various translationally relevant cell, isolated organ and animal models.

Dr. Andrew Shaw, Executive Vice Chair and Professor of Anesthesiology, is researching common mechanistic factors leading to organ failure after cardiothoracic surgery.

Dr. Edward Sherwood, Cornelius Vanderbilt Chair in Anesthesiology and Vice Chair for Research, Dr. Julia Bohannon, Research Assistant Professor and Dr. Antonio Hernandez, Associate Professor of Clinical Anesthesiology, are studying several aspects of sepsis and burn injury and the application of immunotherapy in critically ill patients.

Symposium AwardsBest Oral Presentation | Loren Smith, MD, PhD

Roger England Research Award for Excellence in Support of Basic and Clinical Science | Travis Spain

The Bradley Smith Mentorship Award | Susan Eagle, MD

Charles Bernard Pittinger Prize-Clinical Translational Research | Josh Billings, MD, MSCI

Charles Bernard Pittinger Prize-Basic Science Research | Brad Grueter, PhD

Best Poster Presentation | Sujay Kharade, PhD

Best Poster Presentation | Brandon Turner

Charles Bernard Pittinger Prize-Health Services and Informatics Research | Jon Wanderer, MD, MPhil (not pictured)

The research symposium highlights current research of clinical and translational investigators and basic scientists

27

The Vanderbilt Anesthesiology &

Perioperative Informatics Research

(VAPIR) Division and Perioperative

Informatics work beyond the walls

of the operating room, advancing

patient care through innovations

in patient safety and quality. By

integrating active research, state

of the art technologies and clinical

applications, VAPIR and Perioper-

ative Informatics

are advancing the

frontiers of science

and healthcare.

Both have achieved

measurable out-

comes of success in

patient care, infra-

structure and edu-

cational programs.

Faculty members

engage with

students through

mentorship and

training programs, equipping the

next generation of professionals.

VAPIR, led by Dr. Jonathan

Wanderer, director, and Dr. Jesse

Ehrenfeld, associate director, is

responsible for managing the

Perioperative Data Warehouse

(PDW), which contains full data

from more than 880,000 procedures.

The division collaborates internal-

ly and externally to strengthen its

mission to improve patient care here

and abroad. Students, residents and

fellows can participate in seminars,

journal clubs and a structured

summer research training program.

Experts in biomedical informatics

and clinical research share their

research at monthly seminars as

visiting scholars. Among its many

achievements, VAPIR has:

• Created the informatics backbone

that supports the Vanderbilt Periop-

erative Consult Service.

• Developed a suite of real-time

data visualization tools to enable

clinicians to view quality and per-

formance metrics effortlessly via

automated email systems and online

tracking dashboards.

• Enabled substantial reductions

in surgical site infections and in

institutional supply costs through

cross-disciplinary collaborations.

Perioperative Informatics, led by Dr.

Brian Rothman, designs, develops

and implements enhancements to

Vanderbilt’s Perioperative Informa-

tion Management System (VPIMS).

Using health information technology

solutions, the area supports best

practice care and workflows to im-

prove patient safety, care quality, effi-

ciency and communication through

accurate and reliable real-time data

acquisition and delivery.

Under Rothman’s leadership, Periop-

erative Informatics has

implemented web-based

solutions for situation-

al awareness (SAGA),

postoperative anesthesia

note documentation (PAV),

intraoperative decision

support and the case board

(eORBoard). Perioperative

nursing now uses electron-

ic checklists to support

perioperative Enhanced

Recovery After Surgery

(ERAS) protocols that are

reducing lengths of stay. Periopera-

tive Informatics’ new Post Anesthe-

sia Care Unit oriented case board

was created in collaboration with bed

management to deliver transparent,

real time, patient status data for effi-

cient enterprise-wide patient flow.

Other collaborations include

Integrated Presence and Bedside

Monitoring, which are bringing

perioperative, real-time monitoring

and decision support to the ICUs

and to surgical patients on general

care floors.

Advancing Technology to Improve Patient Care

Jesse Ehrenfeld, MD, MPH, and Jonathan Wanderer, MD, MPhil

28

The VACRAC (Vanderbilt Anesthesiology Clinical Research

Advisory Committee), in partnership with the Perioperative

Clinical Research Institute, supports new investigators in de-

veloping clinical research projects that will lead to publication

and, if possible, extramural funding. The committee oversees

the development and conduct of industry-sponsored and

investigator-initiated research by developing and managing

essential research services and programs.

The committee:

• Mentors potential investigators throughout the research

development process.

• Creates opportunities for ongoing learning about research

methods, proposal writing, IRB applications, data manage-

ment and analysis and presentation/publication skills.

• Reviews new research proposals and regularly audits on-

going investigations for effectiveness and compliance with

regulatory and safety guidelines.

VACRAC members are Edward Sherwood, MD, PhD (chair);

Pratik Pandharipande, MD, MSCI (co-chair); Matt Shotwell,

PhD (co-chair); Josh Billings, MD, MSCI; Brian Donahue,

MD, PhD; Matthew McEvoy, MD; Damon Michaels, MMHC,

CCRP; Andrew Shaw, MB, FRCA, FFICM, FFCM; Yandong

Jiang, MD, PhD; Mark Rice, MD; and Matthew Weinger, MD.

through Mentorship

Edward Sherwood, MD, PhD, Cornelius Vanderbilt Chair in Anesthesiology and Vice Chair, Research, and Pratik Pandharipande, MD, MSCI, Division Chief, Anesthesiol-ogy Critical Care Medicine

The Perioperative Clinical Research Institute

(PCRI) is led by Edward Sherwood, MD,

PhD, and Damon Michaels, MMHC, CCRP.

The division provides a full range of support

services, including regulatory management,

data management, contracts management,

biostatistics, biomedical informatics and

financial oversight. The group also trains new

investigators so they achieve their own funded

research that leads to major publications. The

end goal is stronger clinical research, with an

eye toward publication in leading journals

and changing practice.

Clinical research within the department in-

cludes both industry-sponsored, grant funded

and investigator-initiated clinical projects

that focus on the advancement of medical

practice in the fields of perioperative care,

chronic pain and medical devices. Most of

the department’s investigators are practicing

physicians who use their clinical expertise to

develop research protocols that seek to answer

clinically significant questions.

The PCRI oversees more than 155 active clin-

ical trials, with many more studies in develop-

ment. The team consists of highly trained and

broadly experienced research professionals,

including six research nurses, two research

assistants, one senior clinical trials associate

and one administrative assistant.

29

VUMC’s Center for Research and

Innovation in Systems Safety (CRISS)

is an institution-wide resource that

conducts basic and applied research in

healthcare informatics, patient safety,

and clinical quality and designs and

evaluates informatics user interfaces,

care processes and medical technolo-

gy. Directed by Matthew B. Weinger,

MD, CRISS is an integral part of

Vanderbilt’s Institute for Medicine and

Public Health (IMPH), led by Robert

Dittus, MD, MPH, and consists of

anesthesiologists, PhD researchers,

nursing and design staff, and faculty

collaborators across Health Sciences

and in the School of Engineering.

CRISS is highly interdisciplinary and

collaborative, with projects spanning

numerous clinical domains (from the

Medical Home to the operating room)

and disciplines (medicine, nursing and

pharmacy). Using a range of human

factors, usability and systems

engineering and design, cog-

nitive psychology, biomedical

informatics and implementa-

tion science techniques, the

Center studies performance

during patient care and in

realistic simulations to better

understand how and why care

deviates from optimal, then

proposes interventions to

improve the safety and quality

of care.

CRISS investigators are particularly

interested in designing and evaluating

medical technologies (i.e., devices and

information systems) with an empha-

sis on the effects of the introduction

of new technologies on clinical care,

and the use of electronically generat-

ed clinical data to identify evolving

events and support decision-making.

CRISS explores the nature of expertise,

clinician-clinician communication,

situational awareness, the workload

and stress of individual clinicians and

of teams, individual and group

performance-shaping factors, hu-

man-technology interactions and

novel methods of information presen-

tation to generate practical benefits

in terms of improved clinical care

processes and outcomes.

The Center’s involvement with VUMC

operational initiatives in quality im-

provement ranges from participating

in the review and analysis of serious

clinical events and conducting formal

usability testing of VUMC software

applications under development and

of medical devices being considered

for purchase to re-engineering blood

transfusion processes, improving

clinician handovers and enhancing

compliance with perioperative time-

outs and checklists.

Bret Alvis, MD: Novel Use of Pulse Oximetry with an Oral Airway

Pilot Study for the prediction of donor liver adipose content Magnetic Resonance Imaging

Curtis Baysinger, MD:

fetoplacental microcirculation in women with -

model

A “less-rapid” sequence anesthetic induction/intubation sequence? Does Apneic Oxygenation by means of an oxygenating laryngoscope blade prolong the “duration of apnea without desatura-tion” in paralyzed non-obese and morbidly obese patients?

placental model to compare: I.) Changes in fetoplacental perfusion pressure induced by

harvested from healthy versus preeclamptic moth-ers. II.) Slope of the increase in FAP induced by hypoxemia in single isolated cotyledons harvested from healthy versus preeclamptic mothers

Claudia Benkwitz, MD, PhD:

(<7 mos) comparing the effects of antithrombin III (ATIII) or placebo on the coagulation system in infants with known low ATIII levels undergoing open congenital cardiac surgery

Frederic T. Billings, MD: The Effect of Maintain-ing Physiologic Oxygenation on Oxidative Stress During Cardiac Surgery

James L. Blair, DO: Peri-anesthetic Imaging of Cognitive Decline (PAICOD) – A Prospective Pilot Study

Clifford Bowens, MD: Comparison of Perineural Catheter Depth for the Continuous Popliteal Nerve Block Using Ultrasound Guidance and Dermabond

David Byrne, MD: Matched retrospective cohort study evaluating preoperative versus postop-erative nerve block catheters effect on patient outcomes in the orthopedic trauma population

Elizabeth Card, MSN, APRN, FNP-BC: A Ran-domized controlled trial of 2% chlorhexidine gluco-nate skin preparation cloths for the prevention of post op surgical site infections in spine patients

Katherine Dobie, MD: Perioperative Management -

tors in Ambulatory Settings

Quality and Medical Management in the Outpatient Surgical Home

Susan Eagle, MD: Non-invasive device to com-pare peripheral venous pressure with standard invasive monitoring during resuscitation of hemor-rhagic shock

Jesse M. Ehrenfeld, MD, MPH: Using Natural Language Processing to Identify LGBTI Patients in the VUMC EMR and determine how LGBTI status

The perioperative management of von Willebrand Disease

Is 30 Day Mortality Used as a Measure for Surgi-cal Outcome?

Usability of Novel Patient Data Visualizations Using Department of Defense and Civilian Medical Treatment Facility Data

-tion of Healthcare Services

Utility of the Surgical Apgar Score on Postopera-tive Outcomes in Pediatrics

Leslie Fowler, MEd: Survey of Anesthesia Pro-gram Structure and Support

AAPAE community and conference needs assess-ment

Intraoperative Transfusion data & Computer Tomography exam orders

Stephen Harvey, MD: Gaunfacine for PONV after Sinus Surgery

Patrick Henson, DO: Use of a Structured Handoff Tool to Improve Preoperative Communication

Antonio Hernandez, MD: Comparison of Endotra-cheal Intubation Over the Aintree via the I-gel and Laryngeal Mask Airway Supreme

Douglas Hester, MD: King Vision Video Laryn-goscope vs. Glidescope Video Laryngoscope: A Comparative Study in Ambulatory Surgery Center Patients

Michael Higgins, MD, MPH: Nasopharyngeal versus Nasal Cannula Oxygen Supplementation in Oral Surgery Patients

Elizabeth Hughes, MD: ACGME Case Log Survey

Heather Jackson, MSN, APRN-BC: A Random-ized Controlled Trial of Auricular Acupuncture to Facilitate Outpatient Opioid Weaning

Yandong Jiang, MD, PhD: Determining the correlation between pre-operative serum bicar-bonate and the risk of post-operative respiratory

Comparison of mask ventilation techniques in patients requiring general anesthesia

Steve Klintworth, BSN, RN, CCRP: A Ran-domized Controlled Trial of 2% Chlorhexidine Gluconate Skin Preparation Cloths for the Preven-tion of Post-Operative Surgical Site Infections in Colorectal Patients

Avinash Kumar, MD: Stroke-related Early Tra-cheostomy vs. Prolonged Orotracheal Intubation in Neurocritical care Trial 2

A Novel method of evaluating critical care fellows and key factors for success in a multifaceted fellowship using Data Envelopment Analysis

Susan Krauser Lupear, CRNA: Peer Support Following Critical Patient Incidents

Letha Mathews, MBBS: Radiographically Mea-sured Neck Motion During Intubation with MILS by Two Different Video Laryngoscopes

Matthew McEvoy, MD: Enhanced Recovery After Surgery in Colorectal Surgery: A Large-Scale Quality Improvement Project

Enhanced Recovery After Surgery in Surgical Weight Loss: A Pilot Project to Track Patient Recovery after Discharge

Western Kenya: A Quality Improvement Project

Micro CE Pilot Study

Educational Methods in Graduate Medical Education Survey

Stuart McGrane, MB, ChB: “Anesthesiology Olympics” as a Method for Assessing Resident Knowledge and Skills

Kelly McQueen, MD, MPH: Determining the Perioperative Mortality Rate in Low-income Countries

Impacting the Global Trauma Crisis: Pilot Study in Mozambique

The Global Burden of Pain Evaluation Proposal

Puneet Mishra, MD: GREAT Knee Pain Reduc--

cacy in Achieving Total Knee Pain Reduction Trial

Than Nguyen, MD: Pediatric Craniofacial Surgery Perioperative Registry (PCSPR)

Jason O’Neal, MD: The role of medication use in delirium after cardiac surgery

On-pump versus off-pump coronary artery bypass grafting and the incidence of delirium

Michael Pilla, MD: Intraoperative Cardiac Arrest During Adult Liver Transplantation: A Multi-Center Study

Uma Shastri, MD: The Effect of Pectoralis Block on Analgesia after Simple Mastectomy

Andrew Shaw, MB, FRCA, FFICM, FCCM: A

Study of Levosimendan in Patients with Left Ven-tricular Systolic Dysfunction Undergoing Cardiac Surgery Requiring Cardiopulmonary Bypass

Edward Sherwood, MD, PhD: -

of CYT107 to restore absolute lymphocyte counts in sepsis patients

The Impact of Quantitative Neuromuscular Monitoring in the PACU on Residual Blockade and Postoperative Recovery

Key Clinical Research Studies

31

A Study Evaluating Gene Expression Response to TLR4 Agonists

Bantayehu Sileshi, MD: Does a novel digital cognitive aid improve thoroughness and diagnostic accuracy of CT anesthesia fellow evaluation of recorded TEE exams?

Christopher Sobey, MD: Randomized controlled trial evaluating postoperative analgesia and muscle strength between single versus continuous adduc-tor canal block for ambulatory ACL reconstruction

Anticoagulation Quality Improvement Project

Paul St. Jacques, MD: Effect of using videola-ryngoscope for tracheal intubation on incidence of emergency surgical airways: A retrospective multi-center observational study

The Epidemiology and Impact of Medication Errors in the Perioperative Setting

Impact of waiting and provider behavior on surgical outpatients’ perception of care

Jonathan P. Wanderer, MD, MPhil: Evaluation of ACS NSQIP Surgical Risk Calculator Implementa-tion in Preoperative Informed Consent Conversa-tions

PACU Overnight: Impact on Length of Stay

Evaluation of Electronic Screening Tools for Preop-erative Assessment

Perioperative Outcomes Awareness Project

The Electronic Medical Record Habits of Highly Effective Anesthesia Residents

Decision support for intraoperative low blood pressure

Real-time decision support for postoperative nau-sea and vomiting (PONV) prophylaxis

Scott Watkins, MD: Improving Team Performance in Simulated Pediatric Emergencies through Incor-poration of Non-Technical Skills into an Electronic Decision Support Tool

Elizabeth Demarcus, Sr. Financial Analyst, earned the Master of Management in Healthcare degree from the Owen Graduate School of Management at Vanderbilt University in December 2015.

Damon Michaels, Director of PCRI, earned the Master of Management in Healthcare degree from the Owen Graduate School of Management at Vanderbilt University in December 2015.

Callie Hanks, Program Coordinator for CRISS, co-authored an article entitled “Know Yourself, Know the System: Developing a Successful Career and Being Promoted as an Academic Anesthesiologist,” published in International Anesthesiology Clinics, 2016.

Patricia Hendricks, Research Nurse Specialist III, was recognized for 30 years of service to VUMC during the October 2015 service recognition activities.

Kristi Hasty, Department Education Specialist, earned a Bachelor’s degree in Health Care Administration from Columbia Southern University in January 2016.

Steve Klintworth, Research Nurse IV, earned a Bachelor of Science in Nursing degree from the University of Southern Indiana. The degree was awarded in January 2016.

Martha Tanner, Editorial Assistant III, completed the Vanderbilt Program in Research Administration Development (VPRAD) in October 2015.

Teresa Turnbo, Sr. Clinical Trials Specialist, completed the Vanderbilt Program in Research Administration Development (VPRAD) in December 2015.

Hongjuan Blazer, Sr. Business Intelligence Analyst, passed the Tableau

2016.

Stephen Doherty, Department Adminis-trator, passed the examinations to earn

(CMPE) credential from the American College of Medical Practice Executives in January 2016.

Staff Accomplishments

Dawn Martin, Administrative Assistant III, received the VUMC Credo Award, recognizing

Clincal Enterprise Leadership Assembly.

32

The department hosts special lectureships

throughout the year and presents distinct

recognitions to department members who

have provided exemplary service both to their

patients and to their colleagues.

Many of these are a direct result of philan-

thropic support from our alumni, as well as

from current department members and other

program supporters. Funding is provided by

private donors, whose gifts materially improve

the academic life of the Vanderbilt Depart-

ment of Anesthesiology.

The Benjamin Howard Robbins Scholar Program began in 2007 to support the profes-

sional development of young clinician-scien-

tists within the department. Building critical

research skills under the mentorship of an

established scientist helps prepare young in-

vestigators to eventually establish a vigorous,

independently funded research program. The

program is named in honor of the the depart-

ment’s first chairman, himself a renowned

physician-scientist. The BH Robbins Scholar

Program is multidisciplinary, encouraging

and supporting mentorships and collabora-

tions that extend far beyond the traditional

boundaries of anesthesia.

“This program provides a unique mentored

research experience for young scholars that

culminates in a two-year multidisciplinary

fellowship, with at least one year devoted to

research,” said Department Chair Warren

Sandberg, MD, PhD.

“Our Robbins scholars benefit from one-on-

one mentorship, a

wealth of research and

educational resources,

protected research

time and a stipend

during their residency

and fellowship.”

The BH Robbins

Scholar Program is

co-directed by Frederic

T. (Josh) Billings, IV, MD, MSCI, and Jerod

Denton, PhD. The areas of research for our

current scholars are described briefly here.

Joseph Schlesinger, MD, (Scholar 2011-

2016), is currently examining multisensory

perceptual training, specifically improving

unisensory pulse oximetry pitch perception

and attentional load processing. He builds

on this research by looking at the psycho-

acoustic features of auditory alarms and the

development of a salient multisensory alarm

for the healthcare setting. Dr. Schlesinger is

mentored by Mark Wallace, PhD, Director of

the Vanderbilt Brain Institute, and Matthew

Weinger, MD. Schlesinger has presented his

work at the American Society of Anesthe-

siologists, the Society for Neuroscience, the

Society of Critical Care Anesthesiologists

and the American Medical Association. He is

now internationally recognized for his work,

presenting during the summer of 2016 at the

International Association for Music & Medi-

cine in Beijing, China. He collaborates beyond

Vanderbilt, notably with McGill University

and the Centre for Interdisciplinary Research

in Music Media and Technology. His original

research articles have been published in Anes-thesiology and Anesthesia & Analgesia.

Heidi Smith, MD, MSCI, (Scholar 2011-

2016), is the principal investigator of ground-

breaking research on pediatric delirium. The

initiative monitors children hospitalized in

Pediatric Critical Care Units (PCCUs) for

delirium. Dr. Smith is mentored by Pratik

Pandharipande, MD, MSCI.

Adam Kingeter, MD, (Scholar 2013-2019), is

in his third year as a BH Robbins Scholar and

is joining the Department of Anesthesiology

as an assistant professor. His research activ-

ities center on evidence-based, value-driven

health care. Current projects include the ICU

Provider Awareness of the Charge Environ-

ment (ICU-PRICE) study, which examines

the impact of charge transparency on the

ordering patterns of ICU care providers, as

well as several studies investigating methods

to decrease hospital charges to patients while

maximizing the quality of their care. He

is mentored by Melinda Buntin, PhD, the

Dean of the Department of Health Policy at

Special Lectureships & AwardsAdvancing Medical Education through Endowments

Adam Kingeter, MD, Michael Chi, MD, Joseph Schlesinger, MD, Marcos Lopez, MD, Frederic T. (Josh) Billings, MD, MSCI

Jerod Denton, PhD

Josh BIllings, MD, MSCI

33

AnesthesiologyThe lectureship was established by the family of Dr. James Phythyon, a founding

member of the Pediatric Anesthesiology Division. Dr. Phythyon’s widow,

Mrs. Marlin Sanders, and the couple’s daughters, Mary Neal Meador, Elizabeth

Donner and Sarah Miller, are strong supporters of the department.

Retired Vanderbilt anesthesiologist Paula C. Sandidge, MD, created The Sandidge

Pediatric Pain Management Endowed Fund at Monroe Carell Jr. Children’s Hospital

at Vanderbilt in 2010 to recognize and encourage progress in pain management for

children.

Pediatric anesthesiologist Dila Vuksanaj, MD, practiced at Children’s Hospital for 13

years, dedicating herself to her patients and to the hundreds of trainees who looked

to her as a role model, mentor and friend. Following her death in 2009, her family,

including her husband, Jacques Heibig, MD, founded the Dila Vuksanaj Memorial

Fund for Resident Education.

Professionalism

professional, and in 2009 a lectureship on medical professionalism was established

in his name by then Department Chairman Michael Higgins, MD. The goal of the

-

sionalism as applied to the practice of anesthesiology.

Established by Dr. Warren Sandberg, the lectureship is intended to bring innovators

in anesthesiology from unique backgrounds and compelling world views to Vander-

bilt as visiting professors.

“We’ve developed tools to assess for delirium on a daily basis.”Heidi Smith, MD, MSCI, Assistant Professor of AnesthesiologyDivision of Pediatric Cardiac Anesthesiology

Vanderbilt, and his mentorship committee

members include Pratik Pandharipande,

MD, MSCI, Andrew Shaw, MB, FRCA,

FFICM, FCCM, and C. Lee Parmley, MD,

JD, MMHC.

Marcos Lopez, MD, MS, (Scholar 2014-

2019), is investigating the impact of intra-

operative oxidative stress on postoperative

endothelial function in patients random-

ized to hyperoxia or normoxia during

cardiac surgery. He was recently awarded

a Foundation for Anesthesia Education

and Research Mentored Research Training

Grant to support this research. Dr. Lopez

is mentored by Josh Billings, MD, MSCI,

Pratik Pandharipande MD, MSCI, and

David Harrison, MD.

Michael Chi, MD, (Scholar 2015-2020),

is currently studying the application of

reactive oxygen species (ROS)-responsive

microspheres for targeted anti-inflamma-

tory therapy of chronic neuropathic pain.

Dr. Chi is mentored by Jerod Denton,

PhD, Craig Duvall, PhD, Ronald Wiley,

MD, PhD, David Edwards, MD, PhD, and

Edward Sherwood, MD, PhD.

Scott Hubers, MD, (Scholar 2015-2017),

is currently studying the cardiovascular

consequences of dipeptidyl peptidase IV

(DPP4) inhibition using intra-arterial

infusions of peptides in the setting of

angiotensin-converting enzyme (ACE) in-

hibition. Dr. Hubers is mentored by Nancy

Brown, MD, Mias Pretorius, MBChB,

MSCI, and JoAnn Lindenfeld, MD.

Jason O’Neal, MD, (Scholar 2015-2016),

is currently investigating preoperative

risk factors for delirium following cardiac

surgery and several biomarkers implicated

in the neuroinflammatory pathway of de-

lirium. He is mentored by Andrew Shaw,

MB, FRCA, FFICM, FCCM.

Loren Smith, MD, PhD, (Scholar 2016-

2017), has identified an association

between preoperative high density lipo-

protein (HDL) levels and a decreased risk

of acute kidney injury (AKI) after cardiac

surgery. She is currently characterizing

cardiac surgery patients’ HDL with respect

to size distribution and anti-

inflammatory, anti-oxidant and cholester-

ol efflux activities to elucidate a possible

AKI-protective mechanism for HDL. Dr.

Smith is mentored by Josh Billings, MD,

MSCI, and MacRae Linton, MD.

Puneet Mishra, MD, (Scholar 2016-2019),

is currently the principal investigator for

a randomized control trial examining the

efficacy of preoperative genicular nerve

radiofrequency ablation in reducing pain

and improving functional outcomes in

patients undergoing total knee arthroplas-

ty. Over the course of this year, Dr. Mishra

plans to conduct a second randomized

control trial investigating the effectiveness

of preoperative transforaminal epidural

injections with clonidine as well as dexa-

methasone in reducing back and radic-

ulopathic pain in patients undergoing a

single level lumbar discectomy. Dr. Mishra

is mentored by Stephen Bruehl, PhD,

and Andrew Shaw, MB, FRCA, FFICM,

FCCM.

Dianne Lou, MD, PhD, (Scholar 2016-

2020), is interested in the pathophysiology

of sepsis/systemic inflammatory response

syndrome and genomics for guiding preci-

sion medicine. She joined the BH Robbins

Scholar Program in July 2016.

Special Lectureships & Awards

34

Selected Publications, 2015-2016

Manag-ing the Impact of the ICD-10 Transition on a Data Warehouse. J Med Syst 2016; 40:57

Physiology Consider-ations in Geriatric Patients. Anesthesiol Clin 2015; 33:447-56

Baldi R, Ghosh D, Patel S: Elec-trophysiological Measurement of Cannabi-noid-Mediated Synaptic Modulation in Acute Mouse Brain Slices. Curr Protoc Neurosci 2016; 75:6 29 1-6 19

Bane CE, Jr., Ivanov I, Matafonov A, Boyd KL, Cheng Q, Tucker EI, Smiley ST, McCarty OJ, Gruber A, Gailani D: Factor

and Activation of Contact Proteases during Polymicrobial Sepsis in Mice. PLoS One 2016; 11:e0152968

Using Simulation for Primary Cer-

Basher S, graft anastomosis technique for HeartWare HVAD implantation. J Cardiovasc Surg (Torino) 2015; 56:945-8

Beazley B, Bulka CM, Landsman IS, Ehrenfeld Demographic Predictors of NPO Viola-

tions in Elective Pediatric Surgery. J Perianesth Nurs 2016; 31:36-40

Beyenbach KW, Yu Y, Piermarini PM, Denton Targeting renal epithelial channels for the

control of insect vectors. Tissue Barriers 2015; 3:e1081861

Schildcrout JS, Shi Y, Petracek MR, Byrne JG, Brown NJ: High-Dose Perioperative Atorvastatin and Acute Kidney Injury Following Cardiac Surgery: A Randomized Clinical Trial. JAMA 2016; 315:877-88

Afzal A, Guo Y, Patil NK, Fensterheim B, Sherwood

Role of G-CSF in monophosphoryl lipid A-mediated augmentation of neutrophil functions after burn injury. J Leukoc Biol 2016; 99:629-40

Booth GS, Preventing the pre-ventable: How the blood bank laboratory information system fails to protect patients that refuse blood. Transfus Apher Sci 2016 Apr [Epub}

Boyer RB, Hocking KM, Booth GS, Berry JM,

An Evaluation of Induced Failure Modes in the Belmont® Rapid Infuser. Anesth Analg 2016; 122:1062-9

Burns JW, Buvanendran A, Chont M, Orlowska D, Schuster E, France CR: Do Resting Plasma Beta-Endorphin Levels Predict Responses to Opioid Analgesics? Clin J Pain 2016 May [Epub]

Maihofner C, Stanton-Hicks M, Perez RS, Vatine JJ, Brunner F, Birklein F, Schlereth T, Mackey S, Mailis-Gagnon A, Livshitz A, Harden RN: Complex regional pain syndrome: evidence for warm and cold subtypes in a large prospective clinical sample. Pain 2016; 157:1674-81

Complex regional pain syndrome. BMJ 2015; 351:h2730

Bucher BT, Duggan EM, Grubb PH, DJ, Lally KP, Blakely ML: Does the American College of Surgeons National Surgical Quality Improvement Program pediatric provide ac-tionable quality improvement data for surgical neonates? J Pediatr Surg 2016 Apr [Epub]

MacLeod DB, White W, Chamessian A, Keefe FJ, Buckenmaier CT, Pain Pheno-types and Associated Clinical Risk Factors Following Traumatic Amputation: Results from Veterans Integrated Pain Evaluation Research (VIPER). Pain Med 2016; 17:149-61

Burns JW, Gerhart JI, Post KM, Smith DA, Porter LS, Schuster E, Buvanen-dran A, Fras AM, Keefe FJ: Anger arousal and behavioral anger regulation in everyday life among people with chronic low back pain: Relationships with spouse responses and neg-

Carayon P, Weinger MB, Brown R, Cartmill RS, Slagle J, Van Roy KS, Walker JM, Wood KE: How Do Residents Spend Their Time in the Intensive Care Unit? Am J Med Sci 2015; 350:403-8

Chang MP, Lyon CB, Janiszewski D, Aksamit D, Kateh F, Sampson J: Evaluation of a cardio-pulmonary resuscitation curriculum in a low resource environment. Int J Med Educ 2015; 6:136-41

Choi L, Ferrell BA, Vasilevskis EE, Pandhar-ipande PP, Heltsley R, Ely EW, Stein CM, Girard TD: Population Pharmacokinetics of Fentanyl in the Critically Ill. Crit Care Med 2016; 44:64-72

Craig BT, Rellinger EJ, Mettler BA, Chung DH: Laparoscopic Nissen

fundoplication in infants with hypoplastic left heart syndrome. J Pediatr Surg 2016; 51:76-80

Cropsey C, Kennedy J, Han J, Pandharipande Cognitive Dysfunction, Delirium, and Stroke

in Cardiac Surgery Patients. Semin Cardiotho-rac Vasc Anesth 2015; 19:309-17

-ton DE, Dorris L, Bell G, Stargatt R, Bellinger DC, Schuster T, Arnup SJ, Hardy P, Hunt RW, Takagi MJ, Giribaldi G, Hartmann PL, Salvo I, Morton NS, von Ungern Sternberg BS, Locatelli BG, Wilton N, Lynn A, Thomas JJ, Polaner D, Bagshaw O, Szmuk P, Absalom AR, Frawley G, Berde C, Ormond GD, Marmor J, McCann ME, GAS consortium: Neurode-velopmental outcome at 2 years of age after general anaesthesia and awake-regional anaesthesia in infancy (GAS): an international multicentre, randomised controlled trial. Lan-cet 2016; 387:239-50 (Stephen Hays is a G.A.S. consortium member)

Davidson AJ, Morton NS, Arnup SJ, de

G, Hunt RW, Hardy P, Khotcholava M, von Ungern Sternberg BS, Wilton N, Tuo P, Salvo I, Ormond G, Stargatt R, Locatelli BG, McCann ME, General Anesthesia compared to Spinal anesthesia (GAS) Consortium: Apnea after Awake Regional and General Anesthesia in Infants: The General Anesthesia Compared to Spinal Anesthesia Study--Comparing Apnea and Neurodevelopmental Outcomes, a Randomized Controlled Trial. Anesthesiology 2015; 123:38-54 (Stephen Hays is a G.A.S. consortium member)

Research antibodies: do not use them to stain your reputation. Am J Physiol Cell Physiol 2015; 309:C707-8

STIM and Orai Proteins in Calcium Signaling: an AJP-Cell Physiology series of Themed Reviews. Am J Physiol Cell Physiol 2016; 310:C401

DiMiceli-Zsigmond M, Williams AK, - Expecting the Unexpected: Per-

spectives on Stillbirth and Late Termination of Pregnancy for Fetal Anomalies. Anesth Analg 2015; 121:457-64

“What -

formance and Value at the Individual Clinician Level. Anesthesiol Clin 2015; 33:659-77

Donald C, The Opportunity for Medical Systems to Reduce Health Disparities Among Lesbian, Gay, Bisexual, Transgender and Intersex Patients. J Med Syst 2015; 39:178

Oxygenating laryngoscopy. Anaesthesia 2016; 71:727-8

Dugas AF, Kirsch TD, Toerper M, Korley F, Yenokyan G, Hager D, Levin S: An Electronic Emergency Triage System to Improve Patient Distribution by Critical Out-comes. J Emerg Med 2016; 50:910-8

Easdown LJ, Moore DE, Jr.: Maintaining Professional Excellence in Contemporary Anesthesia Practice. Int Anesthesiol Clin 2016; 54:170-87

Crane PB, Kindell LC, O’Neal JB, Chitwood WR, Jr., Kypson AP: Seasonal Incidence of Emergent Coronary Artery Bypass Grafting Surgery. Heart Surg Forum 2016; 19:E048-53

Landrine H, Kindell LC, Davies SW, Sarpong DF, Crane P, Nelson MA, Ferguson TB, Chitwood WR, Kypson AP, Anderson EJ: Comparison of Risk of Atrial Fibrillation in Black Versus White Patients After Coronary Artery Bypass Grafting. Am J Cardiol 2016; 117:1095-1100

Enkhbaatar P, Nelson C, Salsbury JR, Carmical JR, Torres KE, Herndon D, Prough DS,

Comparison of Gene Expres-sion by Sheep and Human Blood Stimulated with the TLR4 Agonists Lipopolysaccharide and Monophosphoryl Lipid A. PLoS One 2015; 10:e0144345

35

France CR, Burns JW, Buvanendran A, Chont M, Schuster E, Orlowska D,

Morphine. Ann Behav Med 2016; 50:497-505

Levin S, Ding R, Hemphill R, Han J, Russ S, Aronsky D, Factors In-

for Patients With Suspected Acute Coronary Syndrome. J Patient Saf 2016 Jan [Epub]

Fluoroscopically guided tunneled trans-caudal epidural cathe-ter technique for opioid-free neonatal epidural analgesia. J Anesth 2016; 30:493-7

Frawley G, Bell G, Disma N, Withington DE, de

AJ, General Anesthesia compared to Spinal anesthesia (GAS) Consortium: Predictors of Failure of Awake Regional Anesthesia for Neo-natal Hernia Repair: Data from the General Anesthesia Compared to Spinal Anesthesia Study--Comparing Apnea and Neurodevel-opmental Outcomes. Anesthesiology 2015; 123:55-65 (Stephen Hays is a G.A.S. consor-tium member)

Galvez JA, Doyle CA, Morgan S, Simpao AF, Rehman MA: A Narrative Review of Meaningful Use and Anesthesia Information Management Systems. Anesth Analg 2015; 121:693-706

Gamboa JL, Bojanowski MT, Gilliam LA, Yu C, Roshanravan B, Roberts LJ, 2nd, Himmelfarb J, Ikizler TA, Brown NJ: Mito-chondrial dysfunction and oxidative stress in patients with chronic kidney disease. Physiol Rep 2016; 4:e12780

Gamboa JL, Sprinkel KC, Brown NJ, Ikizler TA: Angiotensin converting enzyme inhibition increases ADMA concentration in patients on maintenance hemodialysis--a randomized cross-over study. BMC Nephrol 2015; 16:167

Greenberg SE, VanHouten JP, Lakomkin N, Ehrenfeld J, Jahangir AA, Boyce RH, Obremk-sey WT, Sethi MK: Does Admission to Medi-cine or Orthopaedics Impact a Geriatric Hip Patient’s Hospital Length of Stay? J Orthop Trauma 2016; 30:95-9

Kunic RJ, Estimating virtual neck circumference for preoperative STOP-BANG assessment: a retrospective cohort study. Can J Anaesth 2016; 63:120-2

Gunnerson KJ, Shaw AD, Chawla LS, Bihorac A, Al-Khafaji A, Kashani K, Lissauer M, Shi J, Walker MG, Kellum JA, Sapphire Topaz i: TIMP2*IGFBP7 biomarker panel accurately predicts acute kidney injury in high-risk surgi-cal patients. J Trauma Acute Care Surg 2016; 80:243-9

Guo Y, Rabacal W, Bohannon JK, Fen-sterheim BA, IL-15 Superagonist-Mediated Immunotoxicity: Role of NK Cells and IFN-gamma. J Immunol 2015; 195:2353-64

Initial Experience of the American Society of Regional Anesthesia and Pain Medicine Coags Regional Smart-phone Application: A Novel Report of Global Distribution and Clinical Usage of an Electron-ic Decision Support Tool to Enhance Guideline Use. Reg Anesth Pain Med 2016; 41:334-8

Hand WR, Stoll WD, McEvoy MD, McSwain JR, Sealy CD, Skoner JM, Hornig JD, Tennant PA, Wolf B, Day TA: Intraoperative goal-directed hemodynamic management in free tissue transfer for head and neck cancer. Head Neck 2016; 38 Suppl 1:E1974-80

Know Yourself, Know the System: Developing a Successful Career and Being Promoted as an Academic Anesthe-siologist. Int Anesthesiol Clin 2016; 54:155-69

Hanna GM, Fishman I, Edwards DA, Shen S, Kram C, Liu X, Shotwell M, Gilligan C: Devel-opment and Patient Satisfaction of a New Telemedicine Service for Pain Management at Massachusetts General Hospital to the Island of Martha’s Vineyard. Pain Med 2016 Apr [Epub]

Tolerance and Opioid-induced Hyperalge-sia: A Clinical Reality. Anesthesiology 2016; 124:483-8

Held JM, Litt J, Gunter OL, Rae L, Kahn SA: Surgeon-Per-formed Hemodynamic Transesophageal Echocardiography in the Burn Intensive Care Unit. J Burn Care Res 2016; 37:e63-8

Helwani MA, Automated pulse pressure variation display in the operating room and in the intensive care unit. J Clin Anesth 2015 Oct [Epub]

Herington JL, Swale DR, Brown N, Shelton EL, Choi H, Williams CH, Hong CC, Paria BC, Denton JS, Reese J: High-Throughput Screen-

ing of Myometrial Calcium-Mobilization to Identify Modulators of Uterine Contractility. PLoS One 2015; 10:e0143243

Fenster-heim BA, Guo Y, Patil NK, McAdams C, Wang J, The role of MyD88- and TRIF-dependent signaling in monophosphoryl lipid A-induced expansion and recruitment of innate immunocytes. J Leukoc Biol 2016 Jun [Epub]

Hernando D, Sharma SD, Aliyari Ghasabeh M, Alvis BD,JM, Sofue K, Szeverenyi NM, Welch EB, Yuan Q, Bashir MR, Kamel IR, Sirlin CB, Yokoo T, Reeder SB: Multisite, multivendor validation of the accuracy and reproducibility

1.5T and 3T using a fat-water phantom. Magn Reson Med 2016 Apr [Epub]

Anesthesia and seda-tion in the gastroenterology suite: leveraging

Techniques in Gastrointestinal Endoscopy 2016; 18:18-21

Hocking KM, Baudenbacher FJ, Sileshi B, Boyer RB, Kohorst KL, Brophy CM, Eagle

Peripheral Venous Waveform Analysis for Detecting Hemorrhage and Iatrogenic Volume Overload in a Porcine Model. Shock 2016 Apr [Epub]

House LM, Calloway NH, Sandberg WS, Prolonged patient emergence

time among clinical anesthesia resident train-ees. J Anaesthesiol Clin Pharmacol 2015

House LM, Marolen KN Surgical Apgar

score is associated with myocardial injury after noncardiac surgery. J Clin Anesth 2016; 34:395-402

Brummel NE, Girard TD, Graves AJ, Ely EW, Change in endothelial vascular reactivity and acute brain dysfunction during critical illness. Br J Anaesth 2015; 115:794-5

Thompson JL, Chandrasekhar R, Ware LB, Ely EW, Girard TD: Endothelial Activation and Blood-Brain Barrier Injury as Risk Factors for Delirium in Critically Ill Patients. Crit Care Med 2016 Apr [Epub]

Itagaki T, Gubin TA, Sayal P, Jiang Y, Kacmarek

mask vs face mask ventilation in anesthetized, apneic pediatric subjects over 2 years of age: a randomized controlled trial. Paediatr Anaesth 2016; 26:173-81

Thomas S, Stabile V, Han X, Shot-well M, Chronic Pain Without Clear Etiology in Low- and Middle-Income Countries: A Narrative Review. Anesth Analg 2016; 122:2028-39

Jann JT, Edmiston EK, Im-portant Considerations for Addressing LGBT Health Care Competency. Am J Public Health 2015; 105:e8

Jering MZ, Marolen KN, Shotwell MS, Denton Combining

Continuous Intraoperative Surgical Apgar Score Measurement in Predicting Postopera-tive Risk. J Med Syst 2015; 39:147

Jiang Y, -posed High-frequency Jet Ventilation Applied to Variable Degrees of Tracheal Stenosis: One Step Forward to Optimized Patient Care. Anesthesiology 2015; 123:747-9

Cocaine Experience En-hances Thalamo-Accumbens N-Methyl-D-As-partate Receptor Function. Biol Psychiatry 2016 May [Epub]

GluN1 deletions in D1- and A2A-expressing cell types reveal distinct modes of behavioral regulation. Neuropharmacology 2016 Mar [Epub]

Johnson KB, Patterson BL, Ho YX, Chen Q, Nian H, Davison CL, Slagle J, Mulvaney SA: The feasibility of text reminders to improve medication adherence in adolescents with asthma. J Am Med Inform Assoc 2016; 23:449-55

Jungquist CR, Correll DJ, Fleisher LA, Gross J, Pasero C, Stoelting R, Polomano R: Avoiding Adverse Events Secondary to Opioid-Induced Respiratory Depression: Implications for Nurse Executives and Patient Safety. J Nurs Adm 2016; 46:87-94

Kahle KT, Kinase-KCC2 coupling: Cl- rheostasis, disease susceptibility, therapeutic target. J Neurophysiol 2016; 115:8-18

Kahle KT, Khanna AR, Alper SL, Adragna NC, Lauf PK, Sun D, K-Cl cotransport-ers, cell volume homeostasis, and neurological disease. Trends Mol Med 2015; 21:513-23

36

Kahle KT, Khanna AR, Duan J, Staley KJ, Delpire E, Poduri A: The KCC2 Cotransporter and Human Epilepsy: Getting Excited About Inhibition. Neuroscientist 2016 May [Epub]

Kamdar M, Edwards DA, Volney S, Rathmell J: A novel retrocrural approach for celiac plexus block: the single-needle retroaortic technique. RAPM 2015; 40:610-615

Kharade SV, Flores D, Lindsley CW, Satlin LM, ROMK Inhibitor Actions in the

Nephron Probed with Diuretics. Am J Physiol Renal Physiol 2015; 310:F732-F737

Kharade SV, Nichols C, The shifting landscape of KATP channelopathies and the need for ‘sharper’ therapeutics. Future Med Chem 2016; 8:789-802

Kla KM, Lee LA Perioperative visual loss. Best Pract Res Clin Anaesthesiol 2016; 30:69-77

Kla, KM, Lee, LA Minimizing Complications in Major Spine Surgery. Current Anesthesiolo-gy Reports. 2016 Jun [Epub]

K, Gianchandani R, Inzucchi SE, Nichols JH, Seley JJ: PRIDE Statement on the

Need for a Moratorium on the CMS Plan to Cite Hospitals for Performing Point-of-Care Capillary Blood Glucose Monitoring on Criti-cally Ill Patients. J Clin Endocrinol Metab 2015; 100:3607-12

Kougias P, Tiwari V, Berger DH: Use of simulation to assess a statistically driven surgical scheduling system. J Surg Res 2016; 201:306-12

The Ste20 kinases SPAK and OSR1 travel between cells through exosomes. Am J Physiol Cell Physiol 2016; 311:C43-53

Kummerow Broman K, Phillips S, Hayes RM, Ehrenfeld JM, Holzman MD, Sharp K, Kripal-

emergent designation in surgical transfers. J Surg Res 2016; 200:579-85

Ladha K, Vidal Melo MF, McLean DJ, Wan-derer JP, Grabitz SD, Kurth T, Eikermann M: Intraoperative protective mechanical venti-lation and risk of postoperative respiratory complications: hospital based registry study. BMJ 2015; 351:h3646

Ladha KS, Wanderer JP, Nanji KC: Age as

a predictor of rescue opioid administration immediately after the emergence of general anesthesia. J Clin Anesth 2015; 27:537-42

Le HT, Hangiandreou N, Timmerman R, MJ, Smith WB, Deitte L, Janelle GM: Imaging Artifacts in Echocardiography. Anesth Analg 2016; 122:633-46

Lee H, Bach E, Noh J, Delpire E, Kandler K: Hyperpolarization-independent maturation

-tions in the auditory brain stem. J Neurophysi-ol 2016; 115:1170-82

Lee LA Anesthesia for Adults with Chronic Spinal Cord Injury. UpToDate 2016; Apr:Topic 104423 (Version 1.0)

Levin MA, Data, Big Data, and Metadata in Anesthesiology. Anesth Analg 2015; 121:1661-7

Lovvorn HN, 3rd, Pierce J, Libes J, Li B, Wei

Hansen E, Newton M, O’Neill JA, Jr., Kenyan Wilms Tumor C: Genetic and chromosomal alterations in Kenyan Wilms Tumor. Genes Chromosomes Cancer 2015; 54:702-15

Lyon C, Aksamit D, Janiszewski D, Kateh F, Chang M, Sampson J: Evaluation of Pediatric Mortality and Critical Care Capacity in Tappita, Liberia. Critical Care Medicine 2015; 43:86

Lyon CB, Merchant AI, Schwalbach T, Pinto EF, Jeque EC, Anesthetic Care in Mozambique. Anesth Analg 2016; 122:1634-9

Mathews L, Lee LA Anesthesia for Adults with Acute Spinal Cord Injury. UpToDate 2016; Jan;Topic 91915 (Version 3.0)

Mathieu V, Chantome A, Lefranc F, Cimmino A, Miklos W, Paulitschke V, Mohr T, Maddau L, Kornienko A, Berger W, Vandier C, Evidente A, Delpire E, Kiss R: Sphaeropsidin A shows promising activity against drug-resistant cancer cells by targeting regulatory volume increase. Cell Mol Life Sci 2015; 72:3731-46

--

esthesiology Part 4: Improvement in Medical Practice: Is It of Value and Where Do I Begin? Advances in Anesthesia 2015; 33:157-73

McEvoy MD, DiLorenzo AN, Schell RM: Faculty Development of Education Researchers in Academic Anesthesiology. Int

Anesthesiol Clin 2016; 54:107-30

McEvoy MD, Hand WR, Stiegler MP, DiLoren-zo AN, Ehrenfeld JM, Moran KR, Lekowski R, Nunnally ME, Manning EL, Shi Y, Shotwell MS,

Schell RM: A Smart-phone-based Decision Support Tool Improves Test Performance Concerning Application of the Guidelines for Managing Regional Anes-thesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy. Anesthesiology 2016; 124:186-98

McEvoy MD, Wanderer JP, King AB, Geiger TM, Furman WR, Lee LA, A periop-erative consult service results in reduction in cost and length of stay for colorectal surgical patients: evidence from a healthcare redesign project. Perioper Med (Lond) 2016; 5:3

Acute brain dysfunction during critical illness. ICU Management 2015; 15:176-78

Merchant A, Calvo L, Outhay M, Sidat M, Lyon Basic ICU Capacity in the

Province of Zambezia in Mozambique. Critical Care Medicine 2015; 43:83

Merchant A, Hendel S, Shockley R, Schlesing-er J, Vansell H, Evaluating Prog-ress in the Global Surgical Crisis: Contrasting Access to Emergency and Essential Surgery and Safe Anesthesia Around the World. World J Surg 2015; 39:2630-5

Miller A, Moon B, Anders S, Walden R, Brown S, Montella D: Integrating computerized clini-cal decision support systems into clinical work: A meta-synthesis of qualitative research. Int J Med Inform 2015; 84:1009-18

Monroe TB, Gibson SJ, Gore JC, Dietrich MS, Newhouse P, Atalla S, Cowan RL: Contact heat sensitivity and reports of unpleasantness in communicative people with mild to moderate cognitive impairment in Alzheimer’s disease: a cross-sectional study. BMC Med 2016; 14:74

Monroe TB, Gore JC, MM, Dietrich MS, Chen LM, Newhouse P, Fillingim R, Chodkowski B, Atalla S, Arrieta J, Damon SM, Blackford JU, Cowan RL: Sex

-iological responses to pain in older adults: a

6:25

Monroe TB, Misra S, Habermann RC, Dietrich

MS, Cowan RL, Newhouse PA, Sim-

Pain Detection and Pain Reports in Nursing Home Residents: Preliminary Data. Pain Manag Nurs 2015; 16:770-80

Morandi A, Brummel NE, Pandharipande Melatonin and the future of critically ill

patients’ outcomes. Minerva Anestesiol 2015; 81:1277-9

Joint Commission and Regulatory Fatigue/Weakness/Overabundance/Distrac-tion: Clinical Context Matters. Anesth Analg 2015; 121:394-6

Myler CS, Spinal Anesthesia in a Patient With a History of Systemic Capillary Leak Syndrome (Clarkson Disease). Reg Anesth Pain Med 2015; 40:723-5

Hill S, Austin TM, Whitney GM, Wellons JC, 3rd, Lam HV: Use of blood-sparing surgical techniques and transfusion algo-rithms: association with decreased blood administration in children undergoing primary open craniosynostosis repair. J Neurosurg Pediatr 2015:556-63

Norman BC, Jackson JC, Graves JA, Girard TD, Pandharipande PP, Brummel NE, Wang L, Thompson JL, Chandrasekhar R, Ely EW: Employment Outcomes After Critical Illness: An Analysis of the Bringing to Light the Risk Factors and Incidence of Neuropsychological Dysfunction in ICU Survivors Cohort. Crit Care Med 2016 May [Epub]

Goal-directed therapy in

Opin Anaesthesiol 2016; 29:80-4

Predicting, preventing, and identifying delirium after cardiac surgery. Perioper Med (Lond) 2016; 5:7

Orena EF, : The role of anesthesia in the prevention of postopera-tive delirium: a systematic review. Minerva Anestesiol 2016; 82:669-83

Oto J, Su Z, Duggan M, Wang J, King DR, Kacmarek RM, ventilation with a novel endotracheal catheter

-el study. Eur J Anaesthesiol 2016; 33:250-6

Pallmann P, Ritz C: Simultaneous comparisons of treatments at multiple time

37

points: Combined marginal models versus joint modeling. Stat Methods Med Res 2015 Sep [Epub]

Parker R, supplementation in multi-trauma patients. Romanian Journal of Anesthesia and Intensive Care 2015; 22:77-8

Patel MB, Jackson JC, Morandi A, Girard TD, Thompson JL, Kiehl AL, Elstad

MR, Wasserstein ML, Goodman RB, Beckham JC, Chandrasekhar R, Dittus RS, Ely EW, Pand-

Incidence and Risk Factors for Intensive Care Unit-related Post-traumatic Stress Disorder in Veterans and Civilians. Am J Respir Crit Care Med 2016; 193:1373-81

Guo Y, Hernandez A, Fensterheim B, IL-15 Superagonist Expands mCD8+ T, NK and NKT Cells after Burn Injury but Fails to Im-prove Outcome during Burn Wound Infection. PLoS One 2016; 11:e0148452

Phillips ML, Willis BC, Broman AJ, Lam HV, Austin TM: Bimodal analgesia

vs fentanyl in pediatric patients undergoing bilateral myringotomy and tympanostomy tube placement: a propensity matched cohort study. J Clin Anesth 2016; 32:162-8

Price CC, Levy SA, Tanner J, Garvan C, Ward J, Akbar F, Bowers D, Okun M: Ortho-pedic Surgery and Post-Operative Cognitive Decline in Idiopathic Parkinson’s Disease: Con-siderations from a Pilot Study. J Parkinsons Dis 2015; 5:893-905

Prielipp RC, Morell RC, Coursin DB, Brull SJ, Barker SJ, Vender JS, Cohen NH: In Response. Anesth Analg 2015; 121:1680-2

Qiao S, Olson JM, Paterson M, Yan Y, Zaja I, Liu Y, Kersten JR, Liang M, Warltier DC, Bosnjak ZJ, Ge ZD: MicroRNA-21 Mediates

Ischemia-Reperfusion Injury via Akt/Nitric Oxide Synthase/Mitochondrial Permeability Transition Pore Pathway. Anesthesiology 2015; 123:786-98

Raghunathan K, Bonavia A, Nathanson BH, Beadles CA, Shaw AD, Brookhart MA, Miller TE, Lindenauer PK: Association between Initial Fluid Choice and Subsequent In-hospital Mortality during the Resuscitation of Adults with Septic Shock. Anesthesiology 2015; 123:1385-93

Rathmell JP, Strichartz G, Neo-

saxitoxin versus Traditional Local Anesthetics: Mechanism of Action and Sites of Notable

Rathmell JP, Unraveling the Neurobiology of Consciousness: Anesthesia, Loss of Behavioral Response to Stimuli, and Functional Connectivity in the Brain. Anesthe-siology 2016; 124(4):A21

Reynolds WS, Dmochowski R, Wein A, Does central sensitization help explain idio-

pathic overactive bladder? Nat Rev Urol 2016

Coursin DB: Glucose Meters: Here Today, Gone Tomorrow? Crit Care Med 2016; 44:e97-100

-venstein N: In Response. Anesth Analg 2016; 122:581

Rice SD, Wedig G: Is Our US Health Care System Actually a Market-Based Econo-my? Anesth Analg 2015; 121:1114-5

Domaradzki KA, McWeeney DT: Implementing an Obstetric Emergency Team Response System: Overcoming Barriers and Sustaining Response Dose. Jt Comm J Qual Patient Saf 2015; 41:514-21

Rooks HJ, Anthony JR, Sexton KW, Marshall AP, Guillamondegui OD, Ehrenfeld JM, Shack RB, Thayer WP: Transfers for Hand Surgery Correlate with Increased Reoperations for Complications. Am Surg 2015; 81:1177-81

Shotwell MS, -derer JP, Ehrenfeld JM, Patel N, Sandberg

Electronically Mediated Time-out Initiative to Reduce the Incidence of Wrong Surgery: An Interventional Observational Study. Anesthesiology 2016 Jun [Epub]

Optimizing Mask Ventilation: Litera-ture Review and Development of a Conceptual Framework. Respir Care 2015; 60:1834-40

Gravenstein N, Mo-rey TE: Still Waiting for Evidence That Current Noninvasive Hemoglobinometry Adds Value. Anesth Analg 2016 Jun [Epub]

Sathiyakumar V, Shi H, Thakore RV, Lee YM, Joyce D, Ehrenfeld J, Obremskey WT, Sethi MK: Isolated sacral injuries: Postoperative length of stay, complications, and readmis-sion. World J Orthop 2015; 6:629-35

Semler MW, Rice TW, Lever-aging Clinical Informatics in the Conduct of Clinical Trials. J Med Syst 2015; 39:112

Semler MW, Rice TW, Shaw AD, Siew ED, Self WH, Byrne DW, Ehrenfeld JM,

Kidney Events Within the Electronic Health Record. J Med Syst 2016; 40:167

Shaw AD, Schermer CR, Lobo DN, Munson SH, Khangulov V, Hayashida DK, Kellum JA:

-matory response syndrome. Crit Care 2015; 19:334

Siew ED, Basu RK, Wunsch H, Shaw AD, Goldstein SL, Ronco C, Kellum JA, Bagshaw SM, 15th ADQI Consensus Group: Optimizing administrative datasets to examine acute kidney injury in the era of big data: workgroup statement from the 15(th) ADQI Consensus Conference. Can J Kidney Health Dis 2016; 3:12

Sileshi B, O’Hara BK, Davis ME, Haglund NA, Meng X, Stulak JM, Kushwaha SS, Shaw A, Maltais S: Outcomes of Patients Implanted Using a Left Thoracotomy Tech-nique for A Miniaturized Centrifugal Continu-ous-Flow Pump. ASAIO J 2016 Jun [Epub]

Simmons SF, Schnelle JF, Sathe NA, Slagle JM, Stevenson DG, Carlo ME, McPheeters ML:

Implications for Future Research. J Am Med Dir Assoc 2016; 17:473-81

Slagle JM, Anders S,A, Calderwood C, Physiological Disturbances Associated With Non-Routine Event Containing and Routine Anesthesia Cases. J Patient Saf 2015; 11:198-203

Smith HA, Gangopadhyay M, Goben CM, Jacobowski NL, Chestnut MH, Savage S, Rutherford MT, Denton D, Thompson JL, Chandrasekhar R, Acton M, Newman J, Noori

TJ, Ely EW, Fuchs DC, The Preschool Confusion Assessment Method for the ICU: Valid and Reliable Delirium Monitor-ing for Critically Ill Infants and Children. Crit Care Med 2016; 44:592-600

Smith JL, Why Have So Many Intra-vascular Glucose Monitoring Devices Failed? J Diabetes Sci Technol 2015; 9:782-91

Stark RJ, Choi H, Koch SR, Fensterheim BA, Lamb FS, Endothelial cell tolerance to lipopolysaccharide challenge is induced by monophosphoryl lipid A. Clin Sci (Lond) 2016; 130:451-61

Starnes JR, McEvoy MD, Ehrenfeld JM, Automated Case

Cancellation Review System Improves Sys-tems-Based Practice. J Med Syst 2015; 39:134

Stewart MK, Romain CV, Banerjee A, Li W, Murphy AJ, Sexton KW, Webb LE, Terhune KP: Peer resident assessment in surgical education: is it equivalent to expert attending assessment? Journal of the American College of Surgeons 2015; 221:e74-e75

Sun LS, Li G, Miller TL, Salorio C, Byrne MW, Hays

DiMaggio CJ, Cooper TJ, Rauh V, Maxwell LG, Youn A, McGowan FX: Association Be-tween a Single General Anesthesia Exposure Before Age 36 Months and Neurocognitive Outcomes in Later Childhood. JAMA 2016; 315:2312-20

Swale DR, Kurata H, Kharade SV, Sheehan J, Raphemot R, Voigtritter KR, Figueroa EE, Meiler J, Blobaum AL, Lindsley CW, Hopkins CR, ML418: The First Selective, Sub-Micromolar Pore Blocker of Kir7.1 Po-tassium Channels. ACS Chem Neurosci 2016; 7:1013-23

Tabing AK, Limiting the accessibility of cost-prohibitive drugs reduces overall anesthetic drug costs: a retrospective before and after analysis. Can J Anaesth 2015; 62:1045-54

Taibo CL, Moon TD, Joaquim OA, Machado CR, Merchant A, Sidat M, Folgosa E: Analysis of trauma admission data at an urban hospital in Maputo, Mozambique. Int J Emerg Med 2016; 9:6

Talbot TR, Carr D, Parmley CL, Martin BJ, Gray B, Ambrose A, Starmer J: Sustained Reduction of Ventilator-Associated Pneumonia Rates Using Real-Time Course Correction With a Ven-tilator Bundle Compliance Dashboard. Infect Control Hosp Epidemiol 2015; 36:1261-7

Preoperative Surgical Risk Predictions Are Not Meaningfully Improved by Including the Surgical Apgar Score: An Analysis of the Risk

-mission Risk Models. Anesthesiology 2015; 123:1059-66

38

Thakore RV, Greenberg SE, Shi H, Foxx AM, Francois EL, Prablek MA, Nwosu SK, Archer KR, Ehrenfeld JM, Obremskey WT, Sethi MK: Surgical site infection in orthopedic trauma: A case-control study evaluating risk factors and cost. J Clin Orthop Trauma 2015; 6:220-6

Thomas S, Meadows J, Access to Cesarean Section Will Reduce Maternal Mortality in Low-Income Countries: A Mathe-matical Model. World J Surg 2016; 40:1537-41

Uner A, Goncalves GH, Li W, Porceban M, Caron N, Schonke M, Delpire E, Sakimura K, Bjorbaek C: The role of GluN2A and GluN2B NMDA receptor subunits in AgRP and POMC neurons on body weight and glucose homeo-stasis. Mol Metab 2015; 4:678-91

Vasilevskis EE, Pandharipande PP, Graves AJ, Shintani A, Tsuruta R, Ely EW, Girard

Failure Assessment Score Using the Richmond Agitation-Sedation Scale. Crit Care Med 2016; 44:138-46

Vasilopoulos T, Morey TE, Dhatariya K, -

ical Research: A Review of Multiple Compar-

with Correlated Measures. Anesth Analg 2016; 122:825-30

Vincent JL, Shehabi Y, Walsh TS, Pandhar-ipande PP, Ball JA, Spronk P, Longrois D, Strom T, Conti G, Funk GC, Badenes R, Mantz J, Spies C, Takala J: Comfort and patient-cen-tred care without excessive sedation: the eCASH concept. Intensive Care Med 2016; 42:962-71

Walters JL, Byrne D, Postsurgical pain in low- and middle-income countries. Br J Anaesth 2016; 116:153-5

Using Visual Analytics to Determine the Utilization of Preoperative Anesthesia Assessments. Appl Clin Inform 2015; 6:629-37

Rathmell JP: An-esthesiologists Without Borders: Working for Better Surgical Outcomes in Resource Limited Settings. Anesthesiology 2016; 124(3):A21

Wanderer JP, Nathan N: Pre- and Postopera--

tive Mortality. Anesth Analg 2016; 123:1

Wanderer JP, Rathmell JP: A Brief History of

the Perioperative Surgical Home. Anesthesiol-ogy 2015; 123(1):A23

Wanderer JP, Rathmell JP: A Changing Anes-thesiology Workforce: East and West, Males and Females, Then and Now. Anesthesiology 2015; 123(5):A23

Wanderer JP, Rathmell JP: Accelerated Recovery: From a Fortnight to Four Nights. Anesthesiology 2015; 123(6):A23

Wanderer JP, Rathmell JP: ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology 2016; 124(1):A23

Wanderer JP, Rathmell JP: Anesthesiologists & Ultrasonography: A Historical Window. Anesthesiology 2015; 123(3):A23

Wanderer JP, Rathmell JP: Assessing the Quality of Anesthesia Quality Metrics. Anes-thesiology 2016; 124(6):A21

Wanderer JP, Rathmell JP: Perioperative and Acute Care Transfusion Strategies: One

125(1):A21

Wanderer JP, Rathmell JP: Postoperative Acute Kidney Injury: Risk Factors and Pos-sible Interventions. Anesthesiology 2016; 124(5):A21

Wanderer JP, Rathmell JP: Randomized Controlled Trials vs. Administrative Database Studies. Anesthesiology 2015; 123(2):A23

Whitney GM, Woods MC, Austin TM, Paroskie A, Booth GS, Young PP, Dmochowski RR, Reducing intraoperative red blood cell unit wastage in a large academic medical center. Transfusion 2015; 55:2752-8

Wills TA, Baucum AJ, 2nd, Holleran KM, Chen Y, Pasek JG, Delpire E, Tabb DL, Colbran RJ, Winder DG: Chronic intermittent alcohol disrupts the GluN2B-associated proteome and

-tor-dependent long-term depression. Addict Biol 2015 Nov [Epub]

Wu A, Brovman EY, Whang EE, Ehrenfeld JM, Urman RD: The Impact of Overestimations of Surgical Control Times Across Multiple Specialties on Medical Systems. J Med Syst 2016; 40:95

Wynn JL, Wilson CS, Hawiger J, Scumpia PO, Marshall AF, Liu JH, Zharkikh I, Wong HR, Lahni P, Benjamin JT, Plosa EJ, Weitkamp JH, Moldawer LL, Ungaro R, Baker HV, Lopez MC, McElroy SJ, Colliou N, Mohamadzadeh M, Moore DJ: Targeting IL-17A attenuates neonatal sepsis mortality induced by IL-18. Proc Natl Acad Sci USA 2016; 113:E2627-35

Yeung CK, Claessens AJ, Roshan-ravan B, Linke L, Sundell MB, Ahmad S, Shao B, Shen DD, Ikizler TA, Himmelfarb J: Coen-zyme Q10 dose-escalation study in hemodial-

oxidative stress. BMC Nephrol 2015; 16:183

Zhu L, McDavid S, “Slow” Voltage-Dependent Inactivation of CaV2.2 Calcium Channels Is Modulated by the PKC Activator Phorbol 12-Myristate 13-Acetate (PMA). PLoS One 2015; 10:e0134117

Adams J, Wolfe JW, Pharma-cology of adjunct agents. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Adams J, Wolfe JW, Pharmacol-ogy of inhalational agents. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Adams J, Wolfe JW, Pharmacol-ogy of intravenous agents. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Adams J, Wolfe JW, Pharma-cology of local anesthetics. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Adams J, Wolfe JW, Pharma-cology principles. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Atkins JH, Ambulatory surgery and out of OR procedures. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Atkins JH, Physiology and anesthesia for neurologic, ENT and ophthal-mologic surgery. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Badr R, Physiology and anes-thesia for general and bariatric. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Stu-dent Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Barnett S, Pratt S, Professional-ism, safety, and teamwork. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Baysinger CL, Staat B: Uteroplacental anat-

drug transfer, and teratogenicity. In: Baysing-er C, Bucklin B, Gambling D, eds. A Practical Approach to Obstetric Anesthesia, 2nd edition. Philadelphia, Pennsylvania: Wolters Kluwer; 2016, pp 19-33

Bose R, Physiology and anes-thesia for elderly patients. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Headaches. In: Huntoon M, ed. A Review of Pain Medicine for Board Exams. New York, New York: Oxford University Press; 2016

Edwards DA, Boezaart AP: The applied anat-omy of the abdominal and pelvic sympathetic ganglia. In: Boezaart AP, ed. The Anatomical Foundations of Regional Anesthesia and Acute Pain Medicine. Potomac, Maryland: Bentham Science Publishers; 2016

Edwards DA, Le-Wendling L, Kent M, Tighe P: The acute pain team. In: Stuart-Smith K, ed. Perioperative Medicine - Current Controver-sies. New York, New York: Springer; 2016

Ethical and legal issues in an-esthesia. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Physiology & anesthesia for urologic surgery. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival

39

Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Deshpande JK: Neurotoxicity of anesthesia on developing brain. In: Baheti DK, Dhayagude SH, Deshpande JK, Menon R, eds. World Clinics Anesthesia, Critical Care, & Pain Pediatric Anesthesia-II. New Delhi, India: Jaypee; 2015, pp 117-42

Anesthesiology principles, pain management, and conscious sedation. In: Townsend CM, Beauchamp RD, Evers MB, Mattox KL, eds. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice, 20th edition. Philadelphia, Pennsylvania: Elsevier; 2016

Electrolytes and acid-base analysis. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Fluids and trans-fusion therapy. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Lai D, History of anesthesia and introduction to the specialty. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Stu-dent Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

McLean BC, Plunkett A, Anes-thetic techniques: General, sedation, MAC. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

McLean BC, Plunkett A, Anes-thetic techniques: Regional. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Nava RD, Bhalla T Postoper-ative care unit and common postoperative problems. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Anaesthesia for emergency pediatric general surgery. In: Homer R, Walker I, Bell G, eds. Update in Anaesthesia: Paedi-

atric Anaesthesia and Critical Care (Special Edition). United Kingdom: World Federation of Societies of Anaesthesiologists; 2015, Vol 30, No 1, pp 178-86. ISBN: 1353-4882

Major elective surgery in children, and surgery in remote and rural locations. In: Homer R, Walker I, Bell G, eds. Update in Anaesthesia: Paediatric Anaesthe-sia and Critical Care (Special Edition). United Kingdom: World Federation of Societies of Anaesthesiologists; 2015, Vol 30, No 1, pp 133-40. ISBN: 1353-4882

Ori A, Quality assurance, patient and provider safety. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Fetal assessment. In: Baysinger C, Bucklin B, Gambling D, eds. A Practical Approach to Ob-stetric Anesthesia, 2nd edition. Philadelphia, Pennsylvania: Wolters Kluwer; 2016

Pediatric surgery. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Stu-dent Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Sandberg WS, Dmochowski R, Beauchamp RD: Safety in the surgical environment. In: Townsend CM, Beauchamp RD, Evers MB, Mattox KL, eds. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Prac-tice, 20th edition. Philadelphia, Pennsylvania: Elsevier; 2016, pp 187-200

Shah PR, Wagner C, Echocardiog-raphy and ultrasound in the intensive care unit. In: Evans AS, Kerr GE, Chung I, Varghese R, eds. Modern Concepts and Practices in Cardiothoracic Critical Care. Hershey, Penn-sylvania: IGI Global; 2015, pp 890-907. ISBN: 9781466686038

Urman RD, Malignant hyper-thermia. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Walters JL, Peripheral, arterial, and central lines and gastric tube placement. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Westman A, Intraoperative problems. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Whitney,Gina, -

surgery. In: Andropoulos DB, Stayer SA, Mossad EB, Miller-Hance WC, eds. Anesthesia for Congenital Heart Disease, 3rd edition. Hoboken, New Jersey: John Wiley & Sons, Inc.; 2015

Young JL, Lockhart EM, Man-agement of the opioid dependent parturient. In: Baysinger C, Bucklin B, Gambling D, eds. A Practical Approach to Obstetric Anesthe-sia, 2nd edition. Philadelphia, Pennsylvania: Wolters Kluwer; 2016, pp 655-67

Baysinger C, Bucklin B, Gambling D, eds: A Practical Approach to Obstetric Anesthesia, 2nd edition. Philadelphia, Pennsylvania: Wolt-ers Kluwer; 2016

Eckstrand KL, Ehrenfeld JM, eds: Lesbian, Gay, Bisexual, and Transgender Healthcare: A Clinical Guide to Preventive, Primary, and Specialist Care. New York, New York: Springer; 2016

Ehrenfeld JM, Urman RD, Segal S, eds: Anes-thesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, New York: Springer; 2016

Frederickson TW, Gordon DB, De Pinto M, Kral LA, Furnish T, Austin PN, eds: Reducing Adverse Drug Events Related to Opioids Implementation Guide. Philadelphia, Pennsylvania: Society of Hospital Medicine; 2015

Wiklund ME, Kendler J, Hochberg L, Weinger Technical Basis for User Interface Design

of Health IT (NIST GCR 15-996). Washing-ton, DC: National Institute of Standards and Technology, US Department of Commerce; September, 2015

Oral Baclofen With-drawal Resulting in Progressive Weakness and Sedation Requiring Intensive Care Admission. The Neurohospitalist 2016; Mar:1941874416637404

Maltais S, Preto- Failed Percutaneous Transcatheter

Tricuspid Valve-in-Valve Replacement Caused by Retained Valve Holder. Anesth Analg 2016; 122:34-6

Mudrick J, Hernandez A, Bennett J, Wagner CE: Malignant Hyperthermia During Double-Lung Transplantation. J Cardiothorac Vasc Anesth 2016; 30:443-5

Local Anesthetic Systemic Toxicity in a Nonoperative Location. Simul Healthc 2015; 10:326-8

Epstein RH, Agarwalla N: Prophylactic An-

tibiotic Management of Surgical Patients Not-ed as “Allergic” to Penicillin at Two Academic Hospitals. A A Case Rep 2016; 6:263-7

Naftel RP: Fluo-roscopically Guided Epidural Blood Patch

Pseudomeningocele in a Pediatric Patient. Reg Anesth Pain Med 2016; 41:542-3

Jelly CA, Jiang Y, Hoeft M, Transe-sophageal Echocardiography Assisting in the Diagnosis of Intraabdominal Hemorrhage During Cardiac Arrest. A A Case Rep 2016; 6:201-3

Case 2015-1: ‘My Aircraft’ – ‘Your Air-craft’ – A Look at a Standardized Communica-tion Case: A Case Report from the Anesthesia Incident Reporting System. ASA Newsletter 2016; Jan

Mahanna E, Edwards DA, Tarante N, Rahman M, Petersen JW, Bihorac A: Variant Neurogen-ic Stunned Myocardium in a Young Female After Subarachnoid Hemorrhage. A A Case Rep 2016; 6:10-13

Profound Autonomic Instability Complicated by Multiple Episodes of Cardiac Asystole and Refractory Bradycardia in a Patient with An-ti-NMDA Encephalitis. Case Rep Neurol Med 2016; 2016:7967526

Ultrasound-Guided

Tarsal Tunnel Syndrome in a Pediatric Patient. Reg Anesth Pain Med 2016; 41:415-6

Townley KR, Lane J, Packer R, Un-intentional Infusion of Phenylephrine into the

40

Epidural Space. A A Case Rep 2016; 6:124-6

Con-tinuous Perineural Catheters for Postoperative Pain From an Ambulatory Surgery Center. Reg Anesth Pain Med 2016; 41:543

Editorial comment on Ranga-nathan et al. Chronic headache and backache are long-term sequelae of unintentional dural puncture in the obstetric population, J Clin Anesth 2015; 27:201-6. Obstetric Anesthesia Digest 2016; 36:4-5

Editorial comment on Rein-

with ropivacaine for analgesia after caesarean section: a randomized, placebo controlled tri-al, Acta Anaestheseiol Scand 2014; 58:973-79. Obstetric Anesthesia Digest 2015; 35:167-8

Editorial comment on Weigand et al. Buprenorphine and naloxone compared with methadone treatment in pregnancy, Obstet Gynecol 2015; 125:363-8. Obstetric Anesthesia Digest 2015; 35:192-3

Assessing the Risks of Noncardiac Surgery for Children With Congenital Heart Disease. J Am Coll Cardiol 2016; 67:802-3

Propofol: To shake or not to shake. Romanian Journal of Anesthesia and Intensive Care 2016; 1:5-6

Fentanyl: widely used, deadly when abused. The Conversation, June 16, 2016 http://theconversation.com/fentanyl-widely-used-deadly-when-abused-60511 Accessed July 30, 2016

Tennesseans. The Tennessean, April 24, 2016 http://www.tennessean.com/story/opinion/contributors/2016/04/24/opioid-epidemic-af-fects-all-tennesseans/83197228/ Accessed July 30, 2016

Ehrenfeld JM, Spickard WA, 3rd, Cutrer WB: Medical Student Contributions In The Work-place: Can We Put a Value on Priceless? J Med Syst 2016; 40:128

The Storm Abroad: Anesthe-siology During Wartime: Giving Blood on the

41(10)

Ely EW, The Evolving Approach to Brain Dysfunction in Critically Ill Patients. JAMA 2016; 315:1455-6

Dealing with Deception: A Perspec-tive on Malingering. Anesthesiology News 2016; May

Master Techniques in Upper and Lower Airway Management. Anesth Analg 2016; 122:914

Isono S, Do You Believe What You See or What You Hear? Ul-trasound versus Stethoscope for Perioperative Clinicians. Anesthesiology 2016; 124:989-91

Albumin Supplementation as a Therapeutic Strategy in Cardiac Surgery: Useful Tool or Expensive Hobby? Anesthesiol-ogy 2016; 124:983-5

Kellum JA, Assessing Toxicity of In-travenous Crystalloids in Critically Ill Patients. JAMA 2015; 314:1695-7

Review of Barash’s Clinical Anesthesia Fundamentals. Anesth Analg 2016; 122:1715-16

JP, Geiger TM, Furman WR, Sandberg WS: Disruptive Education: Training the Future Gen-eration of Perioperative Physicians. Anesthesi-ology 2016; 125:266-8

Logan MK, Benjamin BE, Blake N, Chapman RC, Neder M, Plohal A, Sims NM, Sparnon E, Trbovich P, A Roundtable Dis-cussion: Working Toward Safer, Easier-to-Use Infusion Systems. Biomed Instrum Technol 2015; Suppl:6-12

McEvoy MD, Lien CA: Education in Anesthe-siology: Is It Time to Expand the Focus? A A Case Rep 2016; 6:380-2

The Add-on. Anesthesiology 2016; 125:412-3

Oxygen: The Missing Element in Low-Income Countries. World J Surg 2016; 40:249-50

Realities of Anesthesia Care in Resource-limited Settings. Anesthesiology 2016; 124:521-2

Sex matching and red cell safety. J Thorac Cardiovasc Surg 2016;

152:233-4

Searching for Meaningful Topics of Improvement in Anesthesiology. Anesthesiology 2016; 124:261-3

Sandberg WS, Talbot TR: Injection Rhymes with Infection? Anesthesiology 2016; 124:752-4

Schetz M, Shaw AD, Vincent JL: Is the liter-ature inconclusive about the harm of HES? We are not sure. Intensive Care Med 2016 Mar [Epub]

Pulse Oximetry: Perception, Pitch, Psychoacoustics, and Pedagogy. Anesth Analg 2016; 122:1253-5

Making Opioids Safer at the End-of-Life. The Doctor Weighs In, July 30, 2015 http://thedoctorweighsin.com/making-opioids-safer-at-the-end-of-life/ Accessed July 30, 2016

What’s New in Shock? October 2015. Shock 2015; 44:291-3

Postopera-tive Ketamine: Time for a Paradigm Shift. Reg Anesth Pain Med 2016; 41:424-6

Wanderer JP, Poler SM, Show Me the Data! A Perioperative Data Warehouse of Epic Proportions. Anesth Analg 2016; 122:1742-3

Letters

Camann WR, Baysinger CL, Collins MR, Valle-jo MC, Anderson J, Wood CL, Hawkins JL, Car-valho B, Rollins MD, Bishop J, Brumley J: How to say “Yes” to nitrous oxide for Labor. Society for Obstetric Anesthesia and Perinatology Summer Newsletter 2015; 45:22-24

Davis RE, Hansen EN, Faith-Based Organizations and Academic Global Surgery’s Moral Imperative. JAMA Surg 2016; 151:296

Kappen TH, Wanderer JP, Ehrenfeld JM, Is Intraoperative Hypotension

Truly a Too Simple Problem for Useful Decision Support? Anesth Analg 2016 Jun [Epub]

Kla KM, Coursin DB, Limitations

Anesthesiology 2015; 123:1480-1

A ‘Wake up’ call for our specialty-time to examine the impact of production pressure on patient safety. Paedi-atr Anaesth 2016; 26:667-8

Lam H, Austin TM: Routine epidurography for epidural placement in anes-thetized pediatric patients. Paediatr Anaesth 2016; 26:326-7

Lubrano M, Long-Term Opioid Therapy for Chronic Pain. Ann Intern Med 2015; 163:147

The Case for Oxygen in Global Surgical Care. World J Surg 2016; 40:1786

Aufderheide TP, Yannopoulos D: Therapeutic Hypothermia in Children. N Engl J Med 2015; 373:979-80

Saied N, Helwani MA, Intraoperative protective ventilation: too early

2015; 351:h5126

In Response. Anesth Analg 2015; 121:836

Tabing AK, In reply: Observational study of prolonged times to tracheal extubation. Can J Anaesth 2016; 63:117-8

Tabing AK, In

more expensive? Limiting the accessibility of cost-prohibitive drugs: The story is incom-plete. Can J Anaesth 2016; 63:361

In Reply. Anesthesiology 2016; 124:1196-7

Newsletter Articles

How SCOR Data Helps Tennessee Ambulatory Surgery Center Prove It’s Worth. SAMBA Link 2016; Apr:12-12

Stabile M: Global Patient Safety. ASA Monitor 2016; May

Coursin DB: Measuring Glucose with Point-of-Care Meters: Be Careful! APSF Newsletter 2015; Oct

Shah PR, Critical Care Ultra-

41

Department recognized for military support

Dr. Warren S. Sandberg, Department Chair, was presented with the honorable Committee for the

President & CEO, Vanderbilt University Medical Center, and Dean, Vanderbilt University School of Medicine, received the ESGR Pro Patria Award. Dr. Jesse Ehrenfeld recommended Dr. Balser and Dr. Sandberg for the outstanding support given to him while performing his military duties as a US Navy

The Committee for the Employer Support of the Guard and Reserve is a Department of Defense orga-nization working to foster support and cooperation between employers and their employees who serve our country in the National Guard or Reserve. ESGR provides a means for these military members to recognize the support and encouragement given to them by their immediate supervisors or higher level supervisors through an awards program.

Additionally, businesses and organizations are encouraged to see the value in hiring Guardsmenand Reservists and supporting them while they perform their military duties, both in trainingand in carrying out their military mission when called upon.

The Vanderbilt Department of Anesthesiology is proud to have the opportunity to support our military men and women and is thankful for their service to our country.

sound: Lessons Learned in Implementation. Anesthesiology Newsletter 2015; 79:16-18

Sobey JH, Newton M, Worlds Apart: How Vanderbilt Children’s

Hospital Pediatric Anesthesia Fellowship Fosters Leadership Skills in Global Health. Society for Pediatric Anesthesia Newsletter, SPACIES, 2016; Summer (Volume 29, Number 2) http://www2.pedsanesthesia.org/newslet-ters/2016summer/spacies.html Accessed July 30, 2016

Poems/Stories

Alms. Ann Intern Med 2016; 164:341

Reconnecting. JAMA 2016; 315:1171

Roentgen’s Garden. JAMA 2015; 314:87

Two Requests on Good Friday in the Preoperative Assessment Clinic. Journal of Medical Humanities 2016; 37:115

Lines Written on Viewing “Ether

Anesthesiology 2016; 124:1408-9

Ten-Minute Miracle, Pulse, 2015 https://www.pulsevoices.org/index.php/archive/stories/538-ten-minute-miracle. Accessed 2016 Jul 30

42

Brian Allen, MD, named the Director of the Regional Anesthesia and Acute Pain Medicine Fellowship

Rob Deegan, MB, ChB, BAO, PhD, FFARCSI, named Professor of Clinical Anesthesiology

David Edwards, MD, PhD, named Clinical Ser-vice Chief of Inpatient Chronic Pain Service.

Raj Gupta, MD, named Associate Professor of Anesthesiology

Travis Hamilton, DO, named Section Head of Regional Anesthesiology Services and Acute Pain Services

Jenna Helmer-Sobey, MD, named Associate Fellowship Program Director

Antonio Hernandez, MD, named CVICU Medical Director

Doug Hester, MD, named Associate Professor of Anesthesiology

Jill Kilkelly, MD, named Associate Professor of Clinical Anesthesiology

Adam King, MD, named Clinical Chief of the Anesthesia Perioperative Consult Service

and Patient Advisor

Stuart McGrane, MB, ChB, named Associate Fellowship Program Director

Kelly McQueen, MD, MPH, named Professor of Anesthesiology and Surgery

Carrie Menser, MD, named Medical Director for the Monroe Carell Jr Children’s Hospital at Vanderbilt (MCJCH) Post-Anesthesia Care Unit (PACU)

Mark Newton, MD, named Professor of Anesthesiology

Mias Pretorius, MBChB, MSCI, Associate Professor of Anesthesiology and Medicine, named Division Chief of Cardiothoracic Anesthesiology

Mark Rice, MD, named Associate Vice Chair

Paul St. Jacques, MD, named Professor of Anesthesiology and Biomedical Informatics

Andrew Shaw, MB, FRCA, FFICM, FCCM, named Executive Vice Chair

Ban Sileshi, MD, named Associate Fellowship Program Director for the Cardiothoracic Anesthesiology fellowship

Jason Slagle, PhD, named Research Associate Professor of Anesthesiology

Chris Sobey, MD, named the Director of the Pain Fellowship program

Lisa Weavind, MBBCh, FCCM, MMHC, named Associate Division Chief of Anesthesiology Critical Care Medicine and Professor of Anes-thesiology and Surgery

Achievements

LeadershipMatthew McEvoy, MD, is now a member of the Vanderbilt Academy for Excellence in Teaching and joins members Warren Sandberg, MD, PhD, Scott Watkins, MD, Amy Robertson, MD, Jesse Ehrenfeld, MD, MPH, Michael Richardson, MD, Jane Easdown, MD, and Michael Pilla, MD.

, named to the ABA MOCA Minute Committee as editor.

Warren Sandberg, MD, PhD, served as a

Reference Committee at the 2015 ASA House of Delegates meeting, which took place during the 2015 Annual ASA Meeting in San Diego, California. Also:• Named President-Elect of Tennessee Society of Anesthesiologists for 2016. •Co-editor of the third edition of David Longnecker’s Anesthesiology, along with Mark Newman, Sean Mackey and Warren Zapol. Publisher is McGraw-Hill, and publication is planned for May 2017.

has been invited to serve as co-editor of the sixth edition of Frederick Hensley’s A Practical Approach to Cardiac Anesthesia, along with Dr. Glenn Gravlee and Dr. Karsten Bartels from UC Denver. Publisher: Wolters Kluwer.

Also:• Elected for membership into the FAER (Foundation for Anesthesia Education and Research) Academy of Research Mentors in Anesthesiology and joins academy members Warren Sandberg, MD, PhD, Edward Sherwood, MD, PhD, and Pratik Pandharipande, MD, MSCI, within our department. • Named as recipient of the 2015 Vicenza

international critical care nephrology.

Society of Cardiovascular Anesthesiologists’ 2016 annual meeting.

Edward Sherwood, MD, PhD, has been selected to join the AUA (Association of

Advisory Board for 2016 . The SAB is

program of the AUA Annual Meeting. Also:•Invited to serve on the Promotions & Tenure Committee.

Vanderbilt Academy for Excellence in Teaching members: Matthew

Not pictured: Michael Pilla, MD

43

A

Clinical FacultyArna Banerjee, MBBS, received the R. Michael Rodriguez Award for Excellence in Teaching at this year’s Faculty Award Ceremony. Also:• Named to the ASA’s Ad-Hoc Screen-Based Simulation Committee.

C , is co-editor of the second edition of A Practical Approach to Obstetric Anesthesia, which was published in February 2016. Publisher: Wolters Kluwer. Also:• TSA District 2 Director

Josh Billings, MD, MSCI, has been

committee for the Society of Cardiovascular Anesthesiologists’ annual meeting.

D is the 2016 ASA Rovenstine Lecturer and the editor of the

Chestnut’s Obstetric Anesthesia: Principles and Practice, which was published in April 2014. Publisher: Elsevier.

Approval for funding by FAER (Foundation for Anesthesia Education and Research) was received by Christopher Cropsey, MD, for

Decision Support Tool on Team Performance During In-situ Simulation of Perioperative Cardiac Arrest.”

S , received a $270,000 grant from Baxter Medical for an investigator initiated trial “Peripheral intravenous device for detecting intravascular volume overload in dialysis patients.” Dr. Eagle is co-inventor of the IV device and is principal investigator of the trial. Also:• Co-founded startup company, Volumetrix, which has been recommended for Phase I STTR funding by the National Science Foundation for the project: “Wireless point-

monitoring of patients with congestive heart

unmet needs in medicine by developing novel non-invasive devices and algorithms for intravascular volume status determination.• Startup company, InvisionHeart LLC, received FDA clearance for its mobile wireless 12-lead ECG system. InvisionHeart has received awards from Google Entrepreneurs, the NEXT award for best healthcare startup in Nashville and the 2015 Southeastern Medical Device Association (SEMDA) for best emerging company. InvisionHeart was also one of 10 startups nationwide chosen to participate in the inaugural event that provides the opportunity to learn from experts and gain exposure to Silicon Valley investors.

Jesse Ehrenfeld, MD, MPH, has been named to the advisory committee of the Substitutable Medical Applications & Reusable Technology (SMART) Platforms project, AMA announced. The SMART project, created at Boston Children’s Hospital and Harvard Medical School, aims to provide doctors better EHR systems by developing “a

exible information infrastructure that allows for free, open development of plug and play applications (apps) to increase interoperability among health care technologies,” according to a news release. Also:• Editor-in-Chief, Journal of Medical Systems.• Invited to serve as chair of the

at the 2015 House of Delegates meeting during the 2015 Annual ASA Meeting.• Joined the Rewards, Recognition, and Retention Committee as a physician representative. This committee is being

Steering Committee, which mainly met to adjudicate the Credo and Five Pillar Leader awards that were given out quarterly.• Invited to serve on the ASA Committee on Anesthesia Care Team for the 2016 Governance year (October 2015-October 2016).

Education) as Director of Education Research, the National Health IT Safety Collaborative and our hospital’s Hover Board Committee.• Serving on this year’s VUSM Faculty Teaching and Clinical Service Awards Selection Committee. • Co-chaired a panel on medical-school education reform at the Association of Health Care Journalists’ national conference in Cleveland, Ohio, on April 9, 2016. He also addressed the conference of health journalists as a member of the American Medical Association’s Board of Trustees.

, has been asked to be part of the conference leadership for ASRA (American Society of Regional Anesthesia and Pain Medicine). Duties will include: 2016 - Co-Workshop Chair for the 2016 ASRA Spring Meeting2017 - Refresher Course Chair for the 2017 ASRA Spring Meeting2018 - Workshop Chair for the 2018 ASRA World Congress on Regional Anesthesia and Pain Medicine

2019 - Chair of 2019 ASRA Spring Meeting

and Matthew McEvoy, MD, published the iOS and Android versions of a new app developed in collaboration with ASRA, called ASRA Coags Pain. This app is based on the 2015 Guidelines published by ASRA on the use of anticoagulant medica-tions for interventional pain procedures (as opposed to the acute pain regional anesthesia blocks the previous app was directed towards). • iOS - https://itunes.apple.com/us/app/ asra-coags-pain/id1033651708?mt=8• Android - https://play.google.com/store/apps/details?id=com.asra. asracoagspain&hl=en

was one of four “poets who heal” who read from their works April 19 at the Williamson County Public Library. “Alternative Medicine: Poets Who Heal” was presented as part of the Vanderbilt University Lectures in the Library series. Also:• Appointed to the editorial board of “Mind-to-Mind,” the poetry section of the journal Anesthesiology.

, MD, presented “The Hardest Pill to Swallow” on chronic pain and opioid addiction at TEDx Nashville.

, has been appointed to the Tennessee Board of Osteopathic Medical Examiners.

A , has been elected to the Neurosciences Section Council. Also:

(PACT) Committee for a four year term.

continued on page 44

A

Clinical Faculty (continued)Jason Lane, MD, was elected to the board of directors at the Association of Anesthesia Clinical Directors’ annual meeting. Also:• Appointed chair of the Society of Non- Operating Room Interventionalists and Anesthesiologists (SONORIA) Collaboration committee. This committee is charged with the task of acting as a liaison to other societies and specialties (Radiology, Cardiology, Gastroenterology).

, was the recipient of an alumni award from The University of Vermont College of Medicine - the 2016 Service to Medicine & Community Award. Also: • ASA Alternate Delegate for TSA.

Approval for funding by VICTR, pending IRB approval, was received by

and postoperative delirium in cardiac surgery.” The project was was also approved for an Innovation Grant through the department.

Prati has been selected as a member of the FAER (Foundation for Anesthesia Education and Research) Academy of Research Mentors in Anesthesiology and joins academy members Warren Sandberg, MD, PhD, Edward Sherwood, MD, PhD, and Andrew Shaw, MB, FRCA, FFICM, FCCM, within our department. Also: • Received a 2016 Presidential Citation from the Society of Critical Care Medicine.• Received an invitation from Dr. Balser to participate in the School of Medicine Academic Leadership Program, administered

selected to serve as Chair of ASA’s Committee on Electronic Media and Information Technology (October 2015) and President-Elect for the Society for Technology in Anesthesia. Also:• Invited to serve on the American Society of Anesthesiologists 2016 Ad Hoc Committee on Data Governance. • Invited to participate in an ASA workgroup that will formulate a plan to help prepare members for the implementation of MACRA (the “Medicare Access and CHIP Reauthorization Act”), including the Merit-based Incentive Payment System (MIPS). This workgroup is tasked with determining appropriate criteria for EHR meaningful use for anesthesia care to propose them to the Centers for Medicare & Medicaid Services (CMS) for inclusion in the MIPS. • Chair of (HIMSS) Healthcare Information and Management Systems Society’s Connected Health Committee. • Serving on the ad hoc committee on Payment Reform. The Steering Committee will collect and assemble information from ASA members and task oriented workgroups

about anesthesiology’s current state and necessary future direction relevant to the four components of MIPS and the development of APMs (alternative payment models).

Jonathan Wanderer, MD, MPhil, has been selected to serve as an examiner for the American Board of Anesthesiology’s (ABA) Part 2 Examination. Also:• Invited to serve on the Anesthesia Quality Institute Data Use Committee. Committee responsible for: -Advising on the appropriate handling of re search data requests on an ongoing basis (i.e., making a recommendation to the AQI Board on how research requests should be handled) -Participating with the DUC in review of

incoming data use requests -Mentoring investigators in using NACOR (National Anesthesia Clinical Outcomes Registry) data• Invited by the American Board of Anesthesiology, Inc. (ABA) and American Society of Anesthesiologists (ASA) to serve on the newly created ABA/ASA Perioperative GME Workgroup to examine and review potential changes to the anesthesiology residency continuum of education to meet the present and future needs of our patients and health care systems. • Associate editor for the Cover Editor and Illustrations section of Anesthesia & Analgesia.• Co-PI on a National Science Foundation grant recently awarded to Biomedical Informatics. The project is entitled “TWC: Small: Analysis and Tools for Auditing Insider Accesses.”• Co-investigator on Dr. Thomas Lasko’s R01 grant that was recently approved:

Clinical Data Patterns with Application to

L has been elected to VU School of Medicine Faculty Senate. Also:• Led two remote bedside monitoring programs - Integrated Presence and Bedside

information, early recognition and preemptive intervention to mitigate complications and improve patient outcomes.

CRNAsMiddle Tennessee School of Anesthesia (MTSA) awarded the Ikey DeVasher Distinguished Alumni Service Award and the Clinical Excellence Award.

EducationResidency class of 2020 Match: • 7 of the 18 have dual degrees • 57 Peer-reviewed abstract presentations • 45 peer-reviewed manuscript publications

Le named to the AAPAE Council (Association of Anesthesiology Program Administrators & Educators). Also:• Application selected for the VUSM Faculty Fellowship to Advance Medical Education. This fellowship will provide two selected faculty members (or teams) with $25,000 per year for two years to develop and implement new programs, take existing programs to the next level or scale up programs that have already been piloted successfully. • Invited to participate as an alternate portfolio coach in the academic year 2015-16

Education.

andMEd, received the Stephen Abrahamson’s Outstanding Innovation Award for their abstract “A Novel Approach to Randomization of ACGME Milestones into Daily Anesthesia Resident Evaluations” at the Innovations in Medical Education Conference held in February.

Michael Pilla, MD, appointed Vice Chair for the Problem-Based Learning Discussions ASA Committee for the 2017 governance year. Also:• Invited to join the VUSM Clinical Practice Appointments and Promotions Committee.

Am appointed as Chair Designee of the Medical Student Education Committee for the Society of Education in Anesthesia. Also:• Proposal “Using Interactive Video to Teach Clinical Procedures” will be funded by the Vanderbilt Institute of Digital Learning.

Loren Smith, MD, PhD, received AUA’s Margaret Wood Resident Research Award and SOCCA’s Young Investigator Award for her abstract “A Novel Association Between High Density Lipoprotein Levels and the Risk of Acute Kidney Injury After Cardiac Surgery.”

PediatricsStephen Hays, MD, was appointed to the Part 2 Test Writing Committee of the American Board of Anesthesiologists.

Amanda Lorinc, MD, was elected as a Young Turk in the Society for Pediatric Anesthesia (SPA).

Camilla Lyon, MD, spent the month of November in Kenya in both Kijabe (Central Kenya) and Kisumu (Western Kenya) under imPACT Africa with Mark Newton, MD, and Matthew McEvoy, MD. The program is expanding from Kijabe to Kisumu with a nurse anesthesia school and simulation lab. During the month, Dr. Lyon provided junior and senior Kenyan nurse anesthesia students clinical training and discussed school logistics with local leaders.

wton, MD, was appointed to the World Federation of Societies of Anaesthesiolgists (WFSA) for a one-year term as a member of the ASA Committee on Representation. Also:• Selected to receive the Nicholas M. Greene, MD, Award for Outstanding Humanitarian Contribution by the ASA’s Committee on Global Humanitarian Outreach.

Heidi Smith, MD, MSCI, was invited to serve in the role of co-chair of the new Early Career Physician Council. Also:• Elected to associate membership in the

Association of University Anesthesiologists (AUA).

S , was elected Vice Chair for the anesthesia section of the Society for Simulation in Health Care.

Research FacultyA grant award from the Patient Centered Outcomes Research Institute (PCORI) was received by Shilo Anders, PhD, for her grant proposal entitled “Dissemination Activities for Patient-Centered Non-Routine Events.”

J , has been endorsed by the VUMC Faculty Research Scholars program

S , served on a panel led by Michael Anastasi, Executive Editor of the The Tennessean, discussing “The Culture of Pain Treatment/Pain Medication” at the inaugural Tennessee Pain, Opioids, Problems and Solutions Forum.

Ke , is serving a 5-year term on the editorial board of the Journal of Biological Chemistry (JBC).

Eric Delpire, PhD, was invited to serve as a member of the Kidney Molecular Biology and Genitourinary Organ Development

for the term beginning July 1, 2015 and ending June 30, 2019. Members are selected on the basis of their demonstrated competence and achievement in their

grant applications submitted to the NIH, make recommendations on these applications to the appropriate NIH national advisory council or board and

science.

Also:• Grant entitled “Molecular and Functional

mutation of the SLC12A2 gene” will be funded by the NIH.

Jerod Denton, PhD, was invited to join the Editorial Advisory Board for the American Journal of Physiology – Cell Physiology. Also:• Awarded with a contract from Japanese pharmaceutical company, Ono Pharmaceuticals. Goal is to develop pretherapeutic (and potentially therapeutic) compounds for a family of potassium channels implicated in diabetes, pain and other diseases.

D has been awarded a 4-year grant from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) for “The Impact of Non Routine Events on Neonatal Safety in the Perioperative Environment.” Drs. Matt Weinger, Jason Slagle and Amanda Lorinc will work with Dr. France on this project, which is a collaboration of the Department of Anesthesiology, the Department of Pediatric Surgery and the Mildred Stahlman Division of Neonatology. The project will build on research methods to measure Non Routine Events and care transition quality developed by Drs. Matthew Weinger, Jason Slagle and Amanda Lorinc.

A one-year grant award of $45,000 from The Vanderbilt Diabetes Research and Training Center was received by , for her Pilot & Feasibility grant proposal entitled “DGAT1 as a central regulator of diet-induced obesity.”

Naeem Patil, MBBS, PhD, was selected to the ASPET (American Society for Pharmacology and Experimental

Therapeutics) 2015 Washington Fellows Program. Dr. Patil participated in advocating for increased support of the National Institutes of Health and other science agencies.

V , elected as “President Elect” of the Health Applications Society (HAS) within the Institute for Operations Research and the Management Sciences (INFORMS) for 2016. The position will automatically move up to “President” for 2017. HAS has 900 members worldwide. INFORMS has over 8,000 members worldwide. Dr. Tiwari will be running the HAS cluster in the next annual INFORMS conference, which will be held in Nashville November 13-16, 2016.

46

Vanderbilt Department of Anesthesiology Members of the Association of University Anesthesiologists (AUA)

Arna Banerjee, MBBSCurtis Baysinger, MDFrederic T. (Josh) Billings, MDStephen Bruehl, PhDDavid Chestnut, MDBrian Donahue, MD, PhDJohn Downing, MB, ChBSusan Eagle, MDJesse Ehrenfeld, MD, MPHMichael Higgins, MD, MPHChristopher Hughes, MDYandong Jiang, MD, PhDAvinash Kumar, MDMatthew McEvoy, MDKelly McQueen, MD, MPHPratik Pandharipande, MD, MSCIMark Rice, MDMatthias Riess, MD, PhDWarren Sandberg, MD, PhDAndrew Shaw, MB, FRCA, FFICM, FCCMEdward Sherwood, MD, PhDHeidi Smith, MD, MSCI, FAAPPaul St. Jacques, MDLisa Weavind, MBBCh, FCCM, MMHCMatthew Weinger, MD

David Chestnut, MDStephen Hays, MDAntonio Hernandez, MDShannon Kilkelly, DOEdward Sherwood, MD, PhDJonathan Wanderer, MDMatthew Weinger, MD

Leadership in the Profession

Vanderbilt Department of Anesthesiology American Board of Anesthesiology (ABA) Part II Examiners

Pratik Pandharipande, MD, MSCIWarren Sandberg, MD, PhDAndrew Shaw, MB, FRCA, FFICM, FCCMEdward Sherwood, MD, PhD

Matthew McEvoy, MD

Vanderbilt Department of Anesthesiology Members of the

Vanderbilt Department of Anesthesiology Members of the

Department of Anesthesiology

Compassionate | Creative | Committed | Collaborative

Office of the Chair1211 21st Avenue South, 722 MAB

Nashville, TN 37212615-936-1595

www.vandydreamteam.com

clinical care education research - amazon web services€¦ · and improve our performance. as the...

Documents