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department of anesthesiology 2013 Annual Report

department of anesthesiology

2013 annual report

contents1 AMessage from the Director

2013 Highlights & Strategic Accomplishments

2 AnesthesiologyatHSS:SpecializinginRegionalTechniques

4 AnIntegratedApproachtoPatientCare

6 FocusAssessedTransthoracicEchocardiography:FirstCourseinNorthAmerica

7 OrthopedicSpecialCareUnit

8 AnesthesiologyandBioethics

10 GlobalInternationalOutreach

12 Department Events

13 Department Growth

2013 Notable Achievements

15 AwardsandSpecialRecognition

15 LeadershipPositionsandAppointments

16 Media

16 EditorialAppointments

17 2013SelectedPublications

19 Grants

20 Professional and Administrative Staff


I am very pleased to present the Department of Anesthesiology’s fourth Annual Report, which highlights the exceptional care we provide to patients at HSS.

In 2013 we introduced the concept of the Perioperative Orthopedic Surgical Home (POSH) model of care, a coordinated approach that is patient-centered, physician-led, and multidisciplinary. The Department of Anesthesiology, through many preoperative, intraoperative and postoperative initiatives, plays a vital role in this multidisciplinary model, with the primary goal of providing the highest quality surgical experience.

Some of the Department’s perioperative initiatives, including the role of regional anesthetics, acute pain management and orthopedic critical care, are discussed at length in this report.

We have also highlighted some of the less traditional but equally important initiatives that have taken place in our Department over the past year. The roles of focused transthoracic echocardiography, bioethics in anesthesia and

perioperative medicine, and our global outreach initiatives set this Department apart from many others that simply provide basic clinical care. This differentiation is vital in maintaining HSS’s position as the global standard in orthopedics.

In addition to clinical accomplishments, our physicians continue to publish ground-breaking research, lecture locally, nationally and internationally, and educate the next generation of regional and orthopedic anesthesiologists. I hope you enjoy reading about these and other achievements of the Department of Anesthesiology in our 2013 Annual Report.

Gregory A. Liguori, MDAnesthesiologist-in-Chief and Director

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directora message from the

mission statement“Toachieveaninternationalleadershiprolebyprovidingthehighestqualityanestheticcareandpainmanagementforpatientsundergoingorthopedicsurgery,toadvancethescienceofregionalanesthesia,painmanagement,andorthopediccriticalcarethroughclinicalandtranslationalresearch,andtopromoteeducationalopportunitiestoallstudentsofregionalanesthesiologyandpainmedicine.”

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In the operating room with Stephen Harris, MD.

department of anesthesiology 2013 Annual Report 3

2013

ANESTHESIOLOGY AT HSS: SPECIALIZING IN REGIONAL TECHNIQUES

The Department of Anesthesiology at Hospital for Special Surgery (HSS) prides itself on providing exceptional specialty care for an exceptional specialty hospital. Recognized as the premier physicians in the world for the practice of regional anesthesia and pain medicine for orthopedics, 85 percent of the 41,441 anesthetics performed by HSS anesthesiologists in 2013 involved the application of regional anesthesia (RA) techniques.

Ideal for joint replacement procedures, RA is also a key contributor to the Hospital’s low rates of infection, complications and mortality. Its use significantly shortens surgical time, and patients benefit from decreased postoperative pain, less nausea and fewer side effects. Rates of deep vein thrombosis and pulmonary embolism are lower than with general anesthesia, and

use of RA results in a markedly reduced risk of surgical infection. The Hospital’s low infection rates were acknowledged in New York State’s Hospital Acquired Infection 2012 Report, which was published in December 2013. The report confirmed that HSS’ risk-adjusted surgical site infection rate is less than half of the state average and the Hospital’s hip infection rate is less than half of what would be expected for our particular mix of patients.

The Department continually supports research into how RA affects orthopedic outcomes. In 2013, Stavros Memtsoudis, MD, PhD, and a team of investigators studied the impact of anesthesia technique in patients undergoing total knee and hip replacement surgeries by analyzing national data from approximately 400,000

patients undergoing surgery at 400 hospitals. The goal of the study was to prove Dr. Memtsoudis’ theory that regional anesthesia favorably influences perioperative outcomes. Postoperative complications, 30-day mortality, length of stay, and patient cost were analyzed and compared based on anesthesia technique: regional, general, and a combination of the two.

Dr. Memtsoudis published a landmark article after successfully proving that the utilization of regional anesthesia for primary joint arthroplasty is associated with superior perioperative outcomes. The study confirmed that patients who received regional anesthesia had statistically significant decreases in 30-day mortality, length of hospital stay and in-hospital complications, including fewer infections.

highlights& strategic accomplishments

The Department of Anesthesiology at Hospital for Special Surgery prides itself on providing exceptional specialty care for an exceptional specialty hospital.

AN INTEGRATED APPROACH TO PATIENT CARE

Anesthesiologists at HSS do much more than provide anesthesia in operating rooms; they are also responsible for many other patient care services integral to the entire perioperative experience.

The Perioperative Surgical Home (PSH) model of care, a patient-centered, physician-led multidisciplinary system of coordinated care that guides a patient throughout the entire surgical experience, is currently being developed by the American Society of Anesthesiologists. The purpose of the integrated care provided via the PSH model is to create a better, more cohesive patient experience while making surgical care safer and more efficient. Similarly, HSS provides a Perioperative Orthopedic Surgical Home (POSH) model through multidisciplinary coordination between the Departments of

Anesthesiology, Medicine, Surgery, Nursing and other ancillary services.

The Hospital’s pre-surgical screening process is tailored specifically to a patient’s history and complexity. Patients may receive pre-surgical consultation by a physician in the Department of Medicine, and depending on complexity of the surgery, medical history and past experience with anesthesia, the patient may also receive an anesthesiology consultation. During the anesthesia consultation the anesthesiologist evaluates past medical history and assesses the patient’s anesthetic options. Furthermore, patients with comorbidities or a complex medical history may be referred to the Complex Case Committee for review prior to surgery. The committee, chaired by Michael Urban, MD, PhD, consists of a multidisciplinary group

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“Dr. Kahn stood out amongst an excellent staff. He was clear, agreed to my request to be awake during the procedure, and talked to me the whole time. A genuinely caring manner – one of the best I’ve ever experienced.”

—Excerpt from a 2013 Press Ganey patient survey

31,14333,192

34,77937,785

41,441

2009 2010 2011 2012 2013

15,037

12,196

4,096

Inpatient: Chronic

& Recuperative

AcutePain

Outpatient: Chronic

& Recuperative

highlights & strategic accomplishments

TOTALORANESTHETICS

2013PAINMANAGEMENTVOLUME


of physicians and other caregivers which reviews and evaluates high acuity patients, ensuring the highest level of specialized care.

On the day of surgery, an anesthesiologist meets each patient in the holding area, where he or she explains the anesthetic procedure and answers any questions the patient may have. In the operating room, the anesthesiologist is responsible for ensuring the patient’s safety and comfort during surgery.

In the Hospital’s Post-Anesthesia Care Unit, Step-Down Unit and Orthopedic Special Care Unit, board-certified critical care anesthesiologists provide 24-hour, seven-day-a-week coverage and leadership. These double board-certified physicians provide a level of care unprecedented in orthopedic centers around the country.

The intensivists care for patients as they emerge from anesthesia and supervise a multidisciplinary team to ensure safe recovery and proper pain control. Patients are then discharged or transferred to an inpatient room for further recuperation and rehabilitation.

Anesthesiologists and nurses on the Acute Pain Service round on all inpatient units to examine and treat pain issues. This service helps to ensure that pain does not interfere with a patient’s physical therapy so that their path to recovery is smooth. In addition, an anesthesiologist is always available on call to respond to urgent medical matters, address critical concerns and care for patients

who experience non-routine pain or other discomfort

postoperatively. At HSS, patients benefit from the highest quality of specialized pain management care, as evidenced by the Hospital’s 99th percentile ranking in Press Ganey patient satisfaction survey inpatient pain control scores.

Management of non-routine post-surgical pain is extended through the innovative, attending-directed Recuperative Pain Service, which provides short-to-mid term (eight week) outpatient pain management treatment.

Additionally, the Department’s seven board-certified pain management

physicians treat and manage complex conditions, treat pain due to injury or illness, and provide longer-term care for those with chronic pain issues.

Through the POSH model at HSS, anesthesiologists provide leadership and participate in a coordinated team which manages patients from preoperative assessment through the post-discharge period. This makes surgical care safer and more aligned, while promoting better medical outcomes at a lower cost. Enhanced coordination in the management of surgical patients has been proven to increase quality, reduce complications and improve the patient’s perception of the surgical experience.

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HSS anesthesiologists

do much more than provide anesthesia in

operating rooms; they pro-vide patient care services

integral to the entire perioperative expe-

rience.

Critical Care Anethesiologist Jemiel Nejim, MD, with Cheryl Conwell, DNP, Mario Nova, PA, and Ken Van Ora, PA.

STATISTICIANSPOTLIGHTSTATISTICIANSPOTLIGHT

KARA FIELDS, MS

In2013,theDepartment’sResearch

Divisionexpandeditsformalcollabora-

tionwiththeHSSEpidemiologyand

BiostatisticsCorewiththeaddition

ofstatisticianKaraFields,MS,tothe

researchteam.Ms.Fieldsobtained

herMaster’sdegreeinbiostatisticsat

ColumbiaUniversity.Sheinternedat

HSSwhileattendingColumbia,and

wassubsequentlyhiredasfull-time

biostatisticianinSeptember2012.

UnderthedirectionofStephenLyman,

PhD,andYanMa,PhD,Ms.Fields

worksonstudydesign,statistical

analysisplanning,powercalcula-

tionsanddataanalysis.Sheevaluates

researchprotocolsusingtheClinical

ReviewPanelprocessandprovides

statisticalsupportfortheDepartment’s

JournalClubmeetingsandGrand

Rounds.In2013,sheco-authoredtwo

publicationsandgaveaneducational

lecturetoDepartmentfacultyaboutthe

publishedstandardsforreportingon

randomizedclinicaltrialmethodology

andresults.

Whenaskedherthoughtsonthecol-

laboration,Ms.Fieldsremarked,“Iam

gratefultobeworkingcloselywitha

Departmentthatisuniformlydedicated

toconductingandpublishingresearch

ofthehighestquality.Afterassisting

innumerousstudieswhichexplore

methodstoreducepostoperativepain

andfrequencyofadverseevents,I

appreciatehowtheanesthesiologist’s

responsibilitiesextendfarbeyondthe

operatingroom.”

FOCUS ASSESSED TRANSTHORACIC ECHOCARDIOGRAPHY FIRST COURSE IN NORTH AMERICA

Transthoracic echocardiography (TTE) is a tool traditionally used by cardiologists to answer complex clinical questions about a patient’s cardiovascular health. However, few physicians without formal training in cardiology utilize a focused TTE exam for its other potential clinical benefits. Focused TTE is becoming an important tool for anesthesiologists and critical care physicians in the periop-erative setting when used to supple-ment clinical evaluation and optimize cardiopulmonary resuscitation. There is growing awareness of the benefits of focused TTE among anesthesiologists and intensivists, but there are few op-portunities available to adequately train physicians to incorporate this tool into their daily practice.

The Focus Assessed Transthoracic Echocardiography (FATE) exam was es-tablished in 1989 and has been taught via training courses since 1996. The FATE protocol training course teaches physicians how to perform a focused TTE exam and then utilize the informa-tion to improve patient management and care. Prior to the course, partici-pants complete an online e-learning module to prepare for hands-on training in the FATE exam. Although FATE originated in Denmark, the FATE train-ing courses have expanded dramati-

cally establishing a strong international presence throughout Europe, India, and South Africa.

In March 2013, the Anesthesiology Department partnered with USabcd.org to host the first official FATE course in North America. Stephen Haskins, MD, coordinated the program and taught the course under the supervision of FATE protocol originator, Professor Erik Sloth, MD, PhD. Twenty HSS attending anesthesiologists participated in the course, learning to perform a focused cardiac echo exam to supplement standard clinical evaluation and to guide cardiopulmonary optimization. Subsequent to the March course, at the invitation of Professor Sloth, Dr. Haskins traveled to Denmark to receive further training and was designated as the first clinical instructor of the USabcd.org FATE Course in the United States.

In July, Dr. Haskins, assisted by Jemiel Nejim, MD, Sean Garvin, MD, and Stephen Harris, MD, conducted a second FATE Course at HSS. In January 2014, HSS held a FATE protocol course open to non-HSS physicians to share this important skill with doctors outside the HSS community. This was the first open FATE course in North America.

Stephen Haskins, MD, teaching HSS anesthesiologists Enrique Goytizolo, MD, Stephen Harris,

MD, and Thomas Quinn, MD.



“Dr. Swamidoss is one of the most wonderful human beings on the planet. He was kind, caring, patient and took the time to allay my fears about surgery and

other issues that pertained to my health and welfare.”—Excerpt from a 2013 Press Ganey patient survey

ORTHOPEDIC SPECIAL CARE UNIT

In October 2013 the Orthopedic Special Care Unit (OSCU), a one-of-a-kind, dedicated intensive care unit, opened on the fifth floor of the Hospital. This four-bed unit was designed to specifically care for high acuity patients with complex medi-cal needs. Under the leadership of Stavros Memtsoudis, MD, PhD, and Michael Nurok, MBChB, PhD, a specially trained group of critical care anesthesiologists and a multidis-ciplinary team of nurses, nutritionists, physical and respiratory therapists,

pharmacists, and patient advocates work closely together to provide intensive patient care.

Most patients are admitted to the OSCU because of the complexity of their operation and the need for mechanical ventilation. Occasion-ally, the OSCU is used for patients with surgical complications or for advanced monitor-ing of patients with complex medical

conditions that existed prior to their operation, such as pulmonary hyper-tension, obstructive sleep apnea, or coronary artery disease.

The OSCU, in conjunction with NewYork-Presbyterian Hospital’s spe-cialty ICUs, differentiates HSS from other hospitals performing orthopedic surgery. The unit allows us to safely undertake increasingly complex and

challenging cases, and helps the Hospital maintain a leader-

ship role in advancing the care of the complex orthopedic patient into the 21st century.

In the Hospital’s

Orthopedic Special Care Unit, board-certi-

fied critical care anesthesi-ologists provide 24-hour,

seven-day-a-week cov-erage and leader-

ship.Stavros Memtsoudis, MD, PhD, Director of Critical Care Services with critical care anesthesiologists Kethy Jules-Elysee, MD, left, and Elane Yang, MD, right.

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“Dr. Maalouf was the doctor to truly make me at ease. He brought comfort and courage where there was only pain and fear. This man embodies the true meaning of medicine.”

— Excerpt from a 2013 Press Ganey patient survey

ANESTHESIOLOGY AND BIOETHICS

Advances in medicine are often accompanied by social and ethical challenges. Although anesthesiology and ethics are not always readily as-sociated, as facilitators of perioperative surgical services, anesthesiologists are confronted with difficult patient care decisions that go beyond periopera-tive evaluation, selection of anesthetic technique and postoperative care. The Department of Anesthesiology addresses these ethical challenges through multiple clinical, educational and research initiatives.

In 2013, Douglas Green, MD, Michael Nurok, MB ChB, PhD, and Gregory Liguori, MD, were part of a team that revised the Hospital’s Do Not Resuscitate (DNR) policies, ensur-ing alignment with New York State Law and national society guidelines on patient options for DNR in the operating room. In addition, they are currently developing a policy for situa-tions where requested care may not be

clinically appropriate. HSS anesthesiol-ogists serve on a variety of committees to promote ethics in medicine:

Mary Chisholm, MD, serves as a member of the HSS Institutional Review Board. The Board oversees the treatment of human subjects and brings a focus on ethics to the com-mittee’s activities. Dr. Nurok serves as an alternate member.

Dr. Chisholm and Dr. Nurok are mem-bers of the HSS Ethics Committee, and Dr. Green serves as Co-Chair. Committee members foster an inter-disciplinary approach to clinical ethics and convene regularly to review current research and approaches. The committee supports clinicians, patients and family members who are facing ethical challenges, and mem-bers provide consultations to assist in the resolution of ethical issues.

Dr. Nurok serves on several national society committees that manage eth-ics and related topics, including the

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Left: Michael Finkenbine, CRNA, and Lauren Turteltaub, MD. Center: Kaitlyn LaFerrara, CRNA. Right: Stephen Haskins, MD, and Caroline Dejean, MD.


American Society of Anesthesi-ologists Committee on Ethics and the Society of Critical Care Medi-cine’s Quality and Safety Commit-tee. In 2013, he gave a number of invited lectures around the country on ethics-related topics.

To prepare medical students for challenging ethical questions they may face in their practice, Weill Cornell Medical College offers an annual course which introduces second year medical students to issues and methods in clinical ethics. Dr. Chisholm is a member of the diverse faculty, which includes members from Medicine, Surgery, Anesthesiology, Nursing, Public Health, Geriatrics, Pediatrics, Obstetrics and Gynecology, Pastoral Care, Philosophy and Health Law – all with expertise in medical ethics. Lecture topics in the eight-week course include the rise

of medical ethics in the 20th Century, informed consent, decision-making at the end of life, reproductive medicine, and ethics in pediatrics and surgery.

Following each lecture, Dr. Chisholm facilitates small group discussions where students, prepared through assigned readings and a case-based

written application of the issue, review the topic of the week.

She is also a member of the selection committee for the student prize the-sis in ethics. According to Dr. Chisholm, “inter-acting with the students,

sharing difficult situations that do not have clear-cut

solutions and helping them think clearly about the issues make this a rewarding teaching experience.”

The Department’s principal investiga-tors, in conjunction with members of the Research Division, have published several manuscripts in 2013 as a result of our physician’s work in the field of ethics.

The Department

of Anesthesiology addresses ethical chal-

lenges through multiple clinical, educational

and research ini-tiatives.

ANNUAL INTER- DISCIPLINARY PROFESSOR IN ANESTHESIOLOGY

InDecember,Christopher Wu, MD,

ChiefoftheDivisionofObstetrics&

RegionalAnesthesiaandAcutePain

atJohnsHopkinsMedicine,presented

GrandRoundstotheHSSMedical

StaffasthethirdannualDistinguished

VisitingProfessorinAnesthesiology.

Dr.WualsomoderatedaVisitingPro-

fessorJournalClubfortheanesthesiol-

ogystaff,visitedHSSclinicalsettings

tosharebestpracticeinformationand

joinedmembersoftheHospital’slead-

ershipteamforcontinueddiscussionof

hislecturetopic.

Dr.Wu’sGrandRoundslecture:

“DyingfortheWeekend:Doesthe

WeekendEffectExist?”detailedhis

researchontheweekendeffect,apos-

sibleincreaseinmorbidityandmortality

whenpatientsareadmittedorcaredfor

overtheweekend.

Hisresearchandliteraturereview

showedthattheexistenceofaweek-

endeffectvaries;forexample,hospitals

withstaffingratesthatremainedthe

sameshowednoweekendeffect,while

thosewithreducedstaffingonweek-

endsdidreportasignificanteffect.

Whiletheexistenceofthiseffectisnot

yetfullyproven,iftheweekendeffect

isconfirmeditmayleadtochangesin

healthcarepolicyanddelivery.

TEACHINGSPOTLIGHT

Pictured above: GregoryLiguori,MD,Director,Anesthesiology,ChristopherWu,MD,ThomasP.Sculco,MD,Surgeon-in-Chief.

GLOBAL INTERNATIONAL OUTREACH

Anesthesiologists at HSS, as leaders in the field of orthopedic anesthesia, are committed to reducing disparities in healthcare and narrowing the burden of surgical and anesthetic disease in low and middle-income countries. Most of these countries have a critical shortage of qualified surgical and anesthesia providers, causing a healthcare workforce crisis.

To help alleviate this, HSS anesthesiolo-gists take an active role volunteering in surgical missions around the world, including Dominican Republic, Ecuador, Ghana, India and Haiti. They are mak-ing strides within global international outreach through their participation in these missions, which provide surgery to those who would otherwise be un-able to afford them. Over the course of

one week, teams are able to perform an average of 50 operations, and many of these surgeries prove to be life-changing for patients.

While short-term surgical missions are impactful, the effect is often finite. As a result, the Depart-ment is fostering a new focus on long-term collaborations that provide a greater impact by teaching anesthesia providers modern and safe practices, with a particular focus on regional anesthesia for orthopedic sur-gery. In 2013, the Department began a collaboration with the Hospital for Traumatology and Orthopedics (HTO) in Ho Chi Min City, Vietnam. This 440 bed

orthopedic hospital, serves as a major teaching institution and referral center for orthopedics. As a government hos-pital, HTO treats patients who cannot afford private healthcare, a majority of whom are orthopedic trauma patients who require surgery.

Through this global collabora-tion, HSS anesthesiologists

visit HTO twice each year to teach regional an-esthesia techniques to their anesthesia provid-ers, helping to improve

outcomes, safety and postoperative pain analge-

sia while decreasing the need for expensive equipment. Ulti-

mately, the goal of the collaboration is to strengthen the anesthesia workforce in Vietnam and provide an improved standard of anesthetic care. Sustain-able development through teaching is the key to empowering local communi-ties and providing lasting change.

HSS anesthesiologists

take an active role in volunteering in surgi-cal missions around the world, including

Ghana, India and Haiti.


10

This page: Swetha Pakala, MD, on a teaching mission in Vietnam.

Opposite: Dr. Pakala with 2012-2013 Fellow Suzuko Suzuki, MD, on a

medical mission in Haiti.



department of anesthesiology 2013AnnualReport

eventsdepartment

12

1–5: In June 2013, the Department again proudly hosted HSS participation in the JPMorgan Corporate Challenge, a 3.5 mile race benefiting the Central Park Conservancy. More than 400 HSS staff members participated in a night filled with fun, camaraderie and team spirit.

7: At the Department’s bi-annual retreat, 50 staff members and phy-sicians participated in an afternoon of teambuilding, and gained insight

about themselves and their co-workers by completing the Meyers-

Briggs personality assessment.

8–9: Many of the Department’s research and administrative staff members attended the American Society of Anesthesiologists’ An-

nual Meeting, held in San Francis-co in October 2013. Six physicians

and staff members participated in a pre-conference 5K race, and

Research Assistant Marcus DiLallo came in second place with a time

of 17.17. Marcus also finished the 2013 New York City Marathon

with a time of 2:55:37.

1 2

3

7

8 9

4

5


The Department of Anesthesiology proudly announced the addition of five outstanding physicians to our team in 2013.

Thirteen new talented staff members also joined our team in 2013.

growthdepartment

STEPHEN C. HASKINS, MD Assistant Attending Anesthesiologist

Dr. Haskins is a graduate of New

York University School of Medicine. He completed residency training at NewYork Presbyterian-Weill Cornell Medical Col-lege, where he served as Chief Resident and received the Ronald A. Leff Award for Excellence in Clinical Teaching by a Resident. He is a graduate of HSS’ regional anesthesia and acute pain medi-cine fellowship, where he received the Attending Anesthesiologists’ Award for Clinical Excellence. Dr. Haskins is board-certified in anesthesiology with addi-tional certifications in Basic Perioperative Transesophageal Echocardiography and Focus Assessed Transthoracic Echocar-diography (FATE).

MEGHAN KIRKSEY, MD, PHD Assistant Attending Anesthesiologist

A graduate of Weill-Cornell/Rockefeller/Sloan-Kettering’s Tri-Institutional MD-PhD Program, Dr. Kirksey completed an anesthesiology

residency at NewYork-Presbyterian Hospital-Weill Cornell Medical College and a critical care anesthesiology fellow-ship at NYPH-Columbia University. She received the Resident Research Award from Weill Cornell Medical College and the Award for Clinical Excellence during her HSS residency rotation. Dr. Kirksey is double board certified in anesthesiology and critical care.

KANUPRIYA KUMAR, MD Assistant Attending Anesthesiologist

Prior to joining the HSS medical staff,

Dr. Kumar served as Director of Regional Anesthesia at Johns Hopkins Bayview Medical Center. She received her medical degree at Albert Einstein College of Medi-cine and completed residency training in anesthesiology and critical care medi-cine at Johns Hopkins University. Board certified in anesthesiology, Dr. Kumar is a graduate of HSS’ Fellowship in Regional Anesthesia and Pain Medicine.

JEMIEL A. NEJIM, MD Assistant Attending Anesthesiologist

Double board-certi-fied in anesthesiol-

ogy and critical care, Dr. Nejim graduated from David Geffen School of Medicine at University of California, Los Angeles. He completed an anesthesiology residency at University of California, San Francisco and then worked at UCSF as an attending anesthesiologist. After completing a criti-cal care medicine fellowship at UCSF, Dr. Nejim joined the critical care anesthesiol-ogy staff at HSS.

ELAINE I. YANG, MD Assistant Attending Anesthesiologist

Dr. Yang attended New York University

School of Medicine and completed an anesthesiology residency at University of California, San Francisco and critical care medicine fellowship at New York-Presby-terian Hospital-Columbia University. Dr. Yang worked as a staff anesthesiologist at North Shore University Hospital prior to joining the HSS medical staff. She is double board-certified in anesthesiology and critical care.

Jennifer Cheng, PhD Research AssistantMarguerite Cox Pain Management RegistrarSumudu Dehipawala Research Assistant

Natasha Desai Research AssistantKaye Estioco, RN Research NurseMichael Finkenbine, CRNA Certified Nurse AnesthetistElaine Hyatt, CRNA Certified Nurse Anesthetist

Dia Kennedy, CRNA Certified Nurse AnesthetistColin McKenzie Anesthesia TechnicianMikhail Miller IT ProgrammerOlive Militar, PA Physician Assistant

Lauren Mount, MD Research AssistantTabatha Poole, PA Physician Assistant

13

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Daniel Maalouf, MD, in the operating room with 2013–2014 Fellow Jesse Ng, MD.

notable achievements


AWARDS AND SPECIAL RECOGNITION

Mary F. Chisholm, MD Invited Speaker, Burke Rehabilitation Center, White Plains, NY

Richard S. King MD Invited Speaker, Northwest Anesthesia Seminars, New York, NY

Meghan Kirksey, MD, PhD Invited Speaker, Society for Anesthesia and Sleep Medicine, San Francisco, CA Invited Speaker, American Society of Anesthesiologists Meeting, San

Francisco, CA

Stavros G. Memtsoudis, MD, PhD Best Abstract Selection, American Society of Anesthesiology Best Poster Selection, American Society of Regional Anesthesia Best Poster Selection, European Society of Anesthesiology Invited Speaker, American Society of Anesthesiologists Annual Meeting,

San Francisco, CAInvited Speaker New York School of Regional Anesthesia Annual Meeting,

New York, NYInvited Speaker, Research Conference, University of Toronto, Toronto Western

Hospital, Toronto, CanadaInvited Speaker, University of Toronto, Sunnybrook Health Sciences Centre,

Toronto, CanadaModerator, American Society of Anesthesiologists Meeting, San

Francisco, CAVisiting Professor, Anesthesiology Grand Rounds, Stanford University, Palo Alto, CA Visiting Professor, Grand Rounds,

University of Michigan, Ann Arbor, MI

Michael Nurok, MB ChB, PhD Invited Speaker, American Society of Anesthesiologists 2013 Annual

Meeting, San Francisco, CAInvited Speaker, Post Graduate Assembly in Anesthesiology, New York, NY Moderator, American Society of Anesthesiologists 2013 Annual

Meeting, San Francisco, CA

Cephas P. Swamidoss, MD, MPH Cornell Anesthesiology Residents’ Teacher of the Year Award HSS Fellows’ Teacher of the Year Award

Michael Urban, MD, PhD Invited Speaker, American Society of Anesthesiologists Annual Meeting,

San Francisco, CA

William F. Urmey, MDInvited Speaker, American Society of Regional Anesthesia Annual Meeting,

Boston, MA

Seth A. Waldman, MD Tri-Institutional Fellows’ Teacher of the Year Award

Jacques T. Ya Deau, MD, PhD Invited Speaker, American Society of Anesthesiologists Annual Meeting,

San Francisco, CAInvited Speaker, American Society of Regional Anesthesia Annual Meeting,

Boston, MA

LEADERSHIP POSITIONS AND APPOINTMENTS

James D. Beckman, MDInstructor, Anatomy Course, NewYork-

Presbyterian Hospital, New York, NY

Jonathan C. Beathe, MDMember, ASA Advisory Council

Douglas S. T. Green, MDInstructor, Bio-Ethics Course, NewYork- Presbyterian Hospital, New York, NY

Carrie R. Guheen, MDInstructor, Anatomy Course, NewYork- Presbyterian Hospital, New York, NYInstructor, Block Workshop, American Society of Regional Anesthesia

Annual Meeting, Boston, MAInstructor, Residents’ Regional Anesthesia Workshop, American Society of

Anesthesiologists Annual Meeting, San Francisco, CA

Semih Gungor, MDInternational Advisory Board, Journal of the Society of Anesthesiology and

Reanimation Specialists Society of Turkey

Stephen C. Haskins, MDInstructor, Residents’ Regional Anesthesia Workshop, American Society of Anesthesiologists Annual Meeting,

San Francisco, CA

Richard L. Kahn, MDInstructor, Anatomy Course, NewYork- Presbyterian Hospital, New York, NY

David L. Lee, MDMember, Medical School Admissions Committee, Weill Cornell Medical

CollegeInstructor, Anatomy Course, NewYork- Presbyterian Hospital, New York, NY

Daniel B. Maalouf, MD, MPHInstructor, Block Workshop and Ask

2013notableachievements

15

the Expert Interactive Demonstration, American Society of Regional Anesthesia Annual Meeting, Boston, MA

Stavros G. Memtsoudis, MD, PhD Chair, Membership Committee, Society for Anesthesia and Sleep MedicineMember, Committee on Critical Care Medicine, New York State Society of

Anesthesiologists Member, Committee on Database Research, American Society of

Anesthesiologists Member, Committee on Research, American Society of Regional

Anesthesia Member, Research Committee, Society of Anesthesia and Sleep MedicineMember, Scientific Review Committee, Society for Critical Care MedicineMember, Scientific Update Committee, Society for Anesthesia and Sleep

Medicine

Jeffrey Y.F. Ngeow, MDDirector At Large, New York Society of Interventional Pain PhysiciansMember, Pain Committee, New York State Society of AnesthesiologistsHonorary Member, Chinese American Society of Anesthesiologists

Michael Nurok, MB ChB, PhDMember, Ethics Committee, American Society of Anesthesiologists Member, Quality & Safety Committee, Society of Critical Care MedicineMember, Anesthesiology Advisory Board, Society of Critical Care MedicineVisiting Professor, Grand Rounds, Department of Anesthesiology,

Brigham and Women’s Hospital, Harvard Medical School, Boston, MA

Visiting Professor, Grand Rounds, Department of Anesthesiology, Cedars

Sinai Medical Center, Los Angeles, CA

Swetha R. Pakala, MDMember, Health Volunteers Overseas Anesthesia Steering Committee

Lauren H. Turteltaub, MDInstructor, Anatomy Course, NewYork- Presbyterian Hospital, New York, NY

William F. Urmey, MDBoard of Directors, American Society of Regional Anesthesia and Pain

MedicineChair, Distinguished Service Award Committee, American Society of

Regional Anesthesia and Pain Medicine

Seth A. Waldman, MDSecretary, New York State Society of Interventional Pain Physicians

Jacques T. Ya Deau, MD, PhDInstructor, Ultrasound and Simulation Workshop and Ask the Expert

Interactive Demonstration, American Society of Regional Anesthesia Annual Meeting, Boston, MA

MEDIA

Stavros G. Memtsoudis, MD, PhDInterview “Perioperative Outcomes in Patients having Major Orthopedic

Surgery”, New York School of Regional Anesthesia On-Line Newsletter, September 2013

William F. Urmey, MDFeatured VIP Lecture Video “The Benefits and Current Limitations of Traditional

Catheter-through-Needle Continuous Nerve Blocks”, Blockjocks VIP On-Line Newsletter, Issue1, July 16th, 2013

EDITORIAL APPOINTMENTS

Jonathan C. Beathe, MDScientific Reviewer, Journal of Clinical AnesthesiologyScientific Reviewer, Journal of Clinical Orthopedics and Related Research

Kethy M. Jules-Elysee, MDEditorial Board, HSS Journal

Gregory A. Liguori, MDEditor, Anesthesia and AnalgesiaAssociate Editor, Regional Anesthesia and Pain Medicine

Daniel B. Maalouf, MD, MPHScientific Reviewer, Journal of Clinical Anesthesiology

Stavros G. Memtsoudis, MD, PhD Guest Editor, Clinical Orthopedics and Related Research Scientific Reviewer, AnesthesiologyScientific Reviewer, Anesthesia and AnalgesiaScientific Reviewer, Annals of Internal MedicineScientific Reviewer, Annals of Thoracic SurgeryScientific Reviewer, Chest Scientific Reviewer, Cleveland Clinic Journal of MedicineScientific Reviewer, Clinical Anatomy Scientific Reviewer, Critical CareScientific Reviewer, HSS JournalScientific Reviewer, Journal of the American Medical Association Scientific Reviewer, Journal of Clinical EpidemiologyScientific Reviewer, Journal of Clinical Orthopedics and Related Research Scientific Reviewer, Journal of Thoracic and Cardiovascular SurgeryScientific Reviewer, Regional Anesthesia and Pain Medicine

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Cephas Swamidoss, MD, was chosen as the 2013 HSS Teacher of the Year by the anesthesiology residents of Weill Cornell Medical College and was also awarded Teacher of the Year by the Anesthesiology Department’s graduating fellows. This is the first time a physician has won both awards in the same year.

Seth Waldman, MD, received the 2013 Teacher of the Year Award from the Tri-Institutional Pain Fellows, who rotated between Memorial Sloan-Kettering, NewYork-Presbyterian Hospital and HSS.

AWARDSSPOTLIGHT TEACHERS OF THE YEAR


Michael Nurok, MB ChB, PhDScientific Reviewer, Clinical Orthopaedics and Related ResearchScientific Reviewer, Critical CareScientific Reviewer, Critical Care MedicineScientific Reviewer, Journal of Critical CareScientific Reviewer, Current Opinion in AnesthesiologyScientific Reviewer, Anthropology & MedicineScientific Reviewer, Millbank QuarterlyScientific Reviewer, Social Science and MedicineScientific Reviewer, Sociology of Health and Illness

William F. Urmey, MDScientific Reviewer, AnesthesiologyScientific Reviewer, Regional Anesthesia & Pain Medicine

Seth A. Waldman, MDScientific Reviewer, The Medical Letter

Jacques T. Ya Deau, MD, PhDAssociate Editor, Regional Anesthesia and Pain MedicineEditorial Board, HSS JournalScientific Reviewer, Anesthesia and Analgesia

2013 SELECTED PUBLICATIONS

Original ArticlesBjerke-Kroll BT, Christ AB, McLawhorn AS, Sculco PK, Jules-Elysée KM, Sculco TP. Periprosthetic Joint Infections Treated with Two-Stage Revision over 14years: An Evolving Microbiology Profile. J Arthroplasty. 2013 Oct 4. [Epub ahead of print]

Blanco JS, Perlman SL, Cha HS, DelPizzo K. Multimodal pain management after spinal surgery for adolescent idiopathic scoliosis. Orthopedics. 2013 Feb;36(2 Suppl):33-5.

Bombardieri AM, Memtsoudis SG, Go G, Ma Y, Sculco TP, Sharrock NE. Pulmonary circulatory changes after bilateral total knee arthroplasty under regional anaesthesia. J Clin Anes 2013;25:4-8.

Danninger T, Haskins S, Stundner O, Ma Y, Nejim J, et al. (2013) The Effect of Incremental Airway Resistance on Cardiac Performance and Pulmonary Pressure in Spontaneously Breathing Volunteers. J Anesth Clin Res Oct 2013, 4:360.

Gesell MW, González Della Valle A, Bartolomé García S, Memtsoudis SG, Ma Y, Haas SB, Salvati EA. Safety and efficacy of multimodal thromboprophylaxis following total knee arthroplasty: a comparative study of preferential aspirin vs. routine coumadin chemoprophylaxis. J Arthroplasty. 2013 Apr;28(4):575-9. Epub 2012 Nov 8.

Jules-Elysee K, Reid SC, Kahn RL, Harris S, Edmonds C, Urban MK. Prolonged Diaphragm Dysfunction After Interscalene Brachial Plexus Block And Shoulder Surgery: A prospective observational pilot study. Brit J Anesthesia December 2013

Liguori EC, Hargett MJ, Liguori GA. Thomas Linwood Bennett, MD: one of New York City’s first prominent physician anesthetists. Anesth Analg. 2013 Oct;117(4):1003-9. Epub 2013 Aug 19.

Memtsoudis SG, Besculides MC, Mazumdar M. The perioperative sleep apnea epidemic - A rude Awakening. NEJM 2013; (368(25):2352-3.

Memtsoudis SG, Hargett M, Russell LA, Parvizi J, Cats-Baril WL, Stundner O, Sculco TP. For the Consensus Conference on Bilateral Total Knee Arthroplasty Group. Consensus Statement from the Consensus Conference on Bilateral Total Knee Arthroplasty Group. Clin Orthop Relat Res. 2013 Aug;471(8):2649-57. Epub 2013 Apr 6.

Memtsoudis SG, Liu SS. Bilateral total knee arthroplasties: a call for practice guidelines. J Clin Anesth. 2013 May;25(3):171-2 Epub 2013 Mar 27

Memtsoudis SG, Mantilla CB, Parvizi J, Stundner O, Mazumdar M. Have Bilateral Total Knee Arthroplasties Become Safer?: A Population-Based Trend Analysis. Clin Orthop Relat Res. 2013;471:17-25.

Memtsoudis SG, Stundner O, Rasul R, Sun X, Chiu YL, Fleischut P, Danninger T, Mazumdar M. Sleep apnea and total joint arthroplasty under various types of anesthesia: a population-based study of perioperative outcomes. Reg Anesth Pain Med 2013 Jul-Aug;38(4):274-81.

Memtsoudis SG, Sun X, Chiu YL, Stundner O, Liu S, Banerjee S, Mazumdar M, Sharrock NE. Perioperative Comparative Effectiveness of Anesthetic Technique in Orthopedic

Patients. Anesthesiology 2013; 118(5):1046-58.

Memtsoudis SG, Stundner O, Sun X, Chiu YL, Ma Y, Fleischut P, Kerr GE, Girardi FP, Walz JM. Critical Care in Patients Undergoing Lumbar Spine Fusion: A Population-Based Study. J Intensive Care Med. 2013 Jun 10. [Epub ahead of print]

Memtsoudis SG, Stundner O, Yoo D, Gonzalez Della A, Boettner F, Bombardieri AM, Jules-Elysee K, Poultsides P, Ma Y, Sculco TP. Does Limb Preconditioning Reduce Pain After Total Knee Arthroplasty? A Randomized, Double-blind Study. Clin Orthop Relat Res. 2013 Jun 13. [Epub ahead of print]

Motaghedi R, Bae JJ, Memtsoudis SG, Kim DH, Beathe JC, Paroli L, Yadeau JT, Gordon MA, Maalouf DB, Lin Y, Ma Y, Cunningham-Rundles S, Liu SS. Association of Obesity With Inflammation and Pain After Total Hip Arthroplasty. Clin Orthop Relat Res. Epub 2013 Oct 5.

Nurok M, Sadovnikoff N. Why are we doing this case? Can perioperative futile care be defined? Curr Opin Anaesthesiol. 2013 Apr;26(2):176-81.

Poultsides LA, Ma Y, Della Valle A, Chiu YL, Sculco TP, Memtsoudis SG. In-hospital Surgical Site Infections after Primary Hip and Knee Arthroplasty – Incidence and Risk Factors. J Arthroplasty 2013;28:385-9.

Poultsides LA, Memtsoudis SG, Vasilakakos T, Wanivenhaus F, Do HT, Finerty E, Alexiades M, Sculco TP. Infection Following Simultaneous Bilateral Total Knee Arthroplasty. J Arthroplasty. 2013 Sep;28(8 Suppl):92-5. Epub 2013 Aug 9.

Pumberger M, Memtsoudis SG, Stundner O, Herzog R, Boettner F, Gausden E, Hughes AP. An Analysis of the Safety of Epidural and Spinal Neuraxial Anesthesia in More Than 100,000 Consecutive Major Lower Extremity Joint Replacements. Reg Anesth Pain Med. 2013 Nov-Dec;38(6):515-9.

Rasouli MR, Maltenfort MG, Ross D, Hozack WJ, Memtsoudis SG, Parvizi J. Perioperative morbidity and mortality following bilateral total hip arthroplasty. J Arthroplasty. Epub 2013 May 9.

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Stundner O, Chiu YL, Sun X, Mazumdar M, Fleischut P, Poultsides L, Gerner P, Fritsch G, Memtsoudis SG. Comparative perioperative outcomes associated with neuraxial versus general anesthesia for simultaneous bilateral total knee arthroplasty. Reg Anesth Pain Med 2012;37:638-44.

Stundner O, Danninger T, Memtsoudis SG. Hemodynamic Response to Dynamic Changes in Upper Airway Impedance - a Volunteer Study. J Anesthe Clinic Res. 2013; 4:317.

Stundner O, Danninger T, Memtsoudis SG. Regional anesthesia in patients with significant comorbid disease. Minerva Anestesiol. 2013 Nov;79(11):1281-90. Epub 2013 Jun 10

Stundner O, Danninger, T, Chiu YL, Sun X, Goodman SM, Russell LA, Figgie M, Mazumdar M, Memtsoudis SG. Rheumatoid Arthritis versus Osteoarthritis in Patients Receiving Total Knee Arthroplasty: Perioperative Outcomes. J Arthroplasty. 2013 Jun 11. [Epub ahead of print]

Stundner O, Kirksey M, Chiu YL, Mazumdar M, Poultsides L, Gerner P, Memtsoudis SG. Demographics and Perioperative Outcome in Patients with Depression and Anxiety Undergoing Total Joint Arthroplasty: A Population-Based Study. Psychosomatics. 2013 Mar-Apr;54(2):149-57. Epub 2012 Nov 27.

Stundner O, Rasul R, Chiu YL, Sun X, Mazumdar M, Brummett CM, Ortmaier R, Memtsoudis SG. Peripheral Nerve Blocks in Shoulder Arthroplasty: How Do They Influence Complications and Length of Stay? Clin Orthop Relat Res. 2013 Oct 29. [Epub ahead of print]

Vulcano E, Memtsoudis SG, Gonzalez Della Valle A. Bilateral total knee arthroplasty guidelines: are we there yet? J Knee Surg. 2013 Aug;26(4):273-9. Epub 2013 Jan 2.

Yadeau JT, Goytizolo EA, Padgett DE, Liu SS, Mayman DJ, Ranawat AS, Rade MC, Westrich GH. Analgesia after total knee replacement: local infiltration versus epidural combined with a femoral nerve blockade: a prospective, randomized pragmatic trial. Bone Joint J. 2013 May;95-B(5):629-35.

Abstracts and PresentationsDanninger T, DiLallo M, Dehipawala S, Sharrock NE, Memtsoudis SG. Postoperative Dizziness and Arterial Tone in Patients undergoing THA. Society of Critical Care Anesthesiologists, San Francisco, October 8-9, 2013. Best abstract selection, ASA 2013

Danninger T, Dillalo M, Dehiwapala S, Slacek T, Sharrock NE, Memtsoudis SG. Postoperative Dizziness and Arterial Tone in Patients undergoing TJA. Post Graduate Assembly 2013. New York, NY. December 13-17, 2013.

Danninger T, Rasul R, Poeran J, Stundner O, Mazumdar M, Memtsoudis SG. Blood transfusions in THA and TKA: An Analysis of Outcomes. Society of Critical Care Anesthesiologists, San Francisco, October 8-9, 2013.

Danninger T, Stundner O, Yoo D, Kao I, Walz JM, Memtsoudis SG. The Effect of Postoperative Blood Transfusions on Muscle Tissue Oxygenation. Society of Critical Care Anesthesiologists, San Francisco, October 8-9, 2013.

Danninger T, Stundner O, Rasul R, Poeran J, Mazumdar M, Fleischut PM, Memtsoudis SG. Blood transfusions in Total Hip and Knee Arthroplasty: An Analysis of Outcomes. American Society of Anesthesiologists, San Francisco, October 10-15, 2013.

Danninger T, Stundner O, Rasul R, Sun X, Chiu YL, Fleischut P, Mazumdar M, Memtsoudis SG. Choice of anesthesia type and perioperative outcomes in patients with sleep apnea undergoing total joint arthroplasty: a population-based study. American Society of Regional Anesthesia and Pain Medicine Meeting, Boston, May 2-5, 2013. Best abstract award, ASRA 2013

Danninger T, Stundner O, Yoo D, Kao I, Walz JM, Memtsoudis SG. The Effect of Postoperative Blood Transfusions on Muscle Tissue Oxygenation. American Society of Anesthesiologists, San Francisco, October 10-15, 2013.

Fleischut PM, Gaber-Baylis L, Faggiani SL, Mazumdar M, Memtsoudis SG. Practice Patterns for Ambulatory Meniscectomies: An Analysis of Data From the Anesthesia Quality Institute. American Society of Anesthesiologists, San Francisco, October 10-15, 2013.

Fleischut PM, Gaber-Baylis L, Faggiani SL, Mazumdar M, Memtsoudis SG. Practice Patterns in Total Knee Arthroplasty. American Society of Anesthesiologists, San Francisco, October 10-15, 2013.

Fleischut PM, Vaz, AM, Eskreis-Winkler JM, Lazar AN, Madhu Mazumdar M, Memtsoudis SG. The Burden of Obesity on Perioperative Resource Utilization. American Society of Anesthesiologists, San Francisco, October 10-15, 2013.

Fleischut, PM, Vaz, AM, Faggiani SL, Christian P. Tope CP, Mazumdar M, Memtsoudis SG. The Impact of Real-Time Automated Error Detection and Notification on Anesthesia Record Documentation of Relief Time. American Society of Anesthesiologists, San Francisco, October 10-15, 2013.

Fleishut PM, Faggiani S, Tope C, Mazumdar M, Danninger T, Memstoudis SG. The Impact of Real-Time Automated Paging and E-mail Notifications on Anesthesia Record Documentation. Euroanesthesia Congress, May 31- June 4, 2013, Barcelona, Spain

Gerner P, Danninger T, Stundner O, Rasul R, Memtsoudis SG. Sleep apnea is a risk factor for inpatient falls after joint arthroplasty. Society of Anesthesia and Sleep Medicine, San Francisco, October 7-9, 2013.

Jules-Elysée, K; Sculco, T; Beathe, J, YaDeau, JT; Buschiazzo, V; McLawhorn, A; Purdue, E; Ma, Y. Effects of Steroids on Thrombogenic Markers in Patients Undergoing Unilateral Total Knee Surgery. American Society of Regional Anesthesia and Pain Medicine Meeting, Boston, May 2-5, 2013.

Kao I, Danninger T, Stundner O, Rasul R, Chiu YL, Sun X, Fleischut PM, Brummett C, Mazumdar M, Memtsoudis SG. Addition of Peripheral Nerve Blockade to General Anesthesia for Total Shoulder Arthroplasty - Do perioperative outcomes differ? American Society of Regional Anesthesia and Pain Medicine Meeting, Boston, May 2-5, 2013.

Kirksey M, Yoo D, Stundner O, Danninger T, Memtsoudis SG. Diminished sleep efficiency after total knee replacement surgery may be ameliorated by perioperative melatonin: a double-blind placebo controlled study. Society of Anesthesia and Sleep Medicine,

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San Francisco, October 7-9, 2013.

Lazar AN, Lazar CM, Gaber-Baylis L, Faggiani SL, Giambrone GP, Mazumdar M, Memtsoudis SG, Fleischut PM. National Practice Patterns in Anesthetic care for the treatment of hip fractures. NYSORA 2013, New York, NY, September 21, 2013.

Littlejohn JE, Gaber-Baylis L, Mazumdar M, Memtsoudis SG, Fleischut PM. Practice Patterns for Cesarean Sections: An Analysis of Data From the Anesthesia Quality Institute. American Society of Anesthesiologists, San Francisco, October 10-15, 2013.

Memtsoudis SG, Danninger T, Stundner O, Rasul R, Suzuki S, Poeran J, Mariano ER, Mazumdar M. Inpatient falls after THA – the role of anesthesia type and peripheral nerve blocks. American Society of Anesthesiologists, San Francisco, October 10-15, 2013.

Memtsoudis SG, Poultsides L, Stundner O, Do H, Figgie M, Sculco TP. The Impact of Selection Criteria for Bilateral Knee Arthroplasties on Perioperative Outcomes. American Society of Regional Anesthesia and Pain Medicine Meeting, Boston, May 2-5, 2013.

Memtsoudis SG, Stundner O, Danninger T, Ma Y, Bae J, Yoo D, Kao I, Maalouf D, Gonzalez Della Valle A, Sculco TP, Heard SO, Walz JM. The impact of neuraxial anesthesia on distal and proximal tissue perfusion - a pilot study. American Society of Regional Anesthesia and Pain Medicine Meeting, Boston, May 2-5, 2013.

Memtsoudis SG, Stundner O, Mazumdar M, Gonzalez Della Valle

A, Poultsides L, Sculco TP. The Perioperative Management of Bilateral Total Knee Arthroplasty Patients: The Results of the Consensus Conference on Bilateral Total Knee Arthroplasty Group. American Society of Regional Anesthesia and Pain Medicine Meeting, Boston, May 2-5, 2013.

Kahn RL, Bae JJ, Ya Deau JT, Muller JG, Gonzalez J, Liguori GA, MacGillivray JD, Rose HA, Riley JW, Curren J, Chen E, Fields K. Mepivacaine and fentanyl for spinal anesthesia: a double blinded randomized dose-response trial. American Society of Regional Anesthesia and Pain Medicine Meeting, Boston, May 2-5, 2013.

Stundner O, Danninger T, Ma Y, Bae J, Yoo D, Maalouf D, Gonzalez Della Valle A, Sculco TP, Walz JM, Memtsoudis SG. Neuraxial Anesthesia in Patients Undergoing Total Knee Arthroplasty: Comparison of Upper and Lower Extremity Tissue Perfusion. American Society of Anesthesiologists, San Francisco, October 10-15, 2013.

Stundner O, Danninger T, Rasul R, Mazumdar M, Gerner P, Memtsoudis SG. Predictors of Hospital Admission after Rotator Cuff Repair: The Role of Peripheral Nerve Blockade. Euroanesthesia Congress, May 31- June 4, 2013, Barcelona, Spain. Best poster selection ESA 2013.

Suzuki S, Rasul R, Poeran J, Danninger T, Wu C, Mazumdar M, Vougioukas VV, Memtsoudis SG. Does the impact of the type of anesthesia on outcomes differ by patient age and comorbidity burden? Post Graduate Assembly 2013. New York, NY. December 13-17, 2013.

Urban MK, Wolfe SW, Sanghavi NM, Magid SK. The One Year Incidence of Postoperative Myocardial Ischemia in Patients Undergoing Major Orthopedic Surgery. American Society of Anesthesiologists, San Francisco, October 10-15, 2013.

Urban MK, Labib KM, Reid SC, Buschiazzo VL, Goon AK. Does Pregabalin Improve Pain Management After Posterior Spinal Fusions? American Society of Anesthesiologists, San Francisco, October 10-15, 2013.

Grants Effect of Steroids Given Over 24 Hours on Cytokine Release, Urinary Desmosine Level and Thrombogenic Markers in Patients Undergoing Unilateral Total Hip Replacement (Thrombosis Hip)Principal Investigator: Kethy Jules-Elysee, MDIRB# 2012-008Period: January 2013- December 2013

Randomized Controlled Trial of Subanesthetic Intravenous Ketamine Infusion in conjunction with Continuous Epidural Infusion for Treatment of Refractory CRPSPrincipal Investigator: Daniel Richman, MD IRB# 2013-003Period: August 1, 2013 – July 31, 2018

HSS Clinician Scientist Program Award Principal Investigator: Stavros G. Memtsoudis, MD, PhD, FCCP Period: July 2012- July 2017

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“On every occasion when Dr. Goytizolo has been my anesthesiologist, he has been ideal in every way. He listens, he acts, he advocates, he consoles, he

responds, he communicates. In short, he uses his skills, intelligence and humanity to produce the best possible outcome for his patient. After my most recent

surgery, I awoke in PACU completely pain-free. For that and for all the other things Dr. Goytizolo has done for me that are intangible and difficult to express,

I am deeply grateful and appreciative.” —Excerpt from a 2013 patient letter

Anesthesiologist-in-Chief and DirectorGregory A. Liguori, MD

Attending AnesthesiologistsStavros G. Memtsoudis, MD, PhD Medical Director, Critical Care Services

Nigel E. Sharrock, MB ChB

Associate Attending AnesthesiologistsStephen N. Harris, MD

Jeffrey Y.F. Ngeow, MD

Michael Nurok, MB ChB, PhD Medical Director, SDU-OCSU

Cephas P. Swamidoss, MD, MPH

Michael K. Urban, MD, PhD Medical Director, PACU

William F. Urmey, MD

Jacques T. Ya Deau, MD, PhD Medical Director, Clinical Research

Victor M. Zayas, MD, Director Pediatric Anesthesia

Assistant Attending AnesthesiologistsJonathan C. Beathe, MD Director, Training Programs

James D. Beckman, MD

Devan D. Bhagat, MD

Adam Booser, MD

Bradford E. Carson, MD

Mary F. Chisholm, MD

Kathryn DelPizzo, MD

Christopher A. DiMeo, MD Medical Director, Clinical Initiatives

Naomi Dong, MD

Chris R. Edmonds, MD

Sean Garvin, MD

Michael A. Gordon, MD Medical Director, Acute and Recuperative Pain Medicine Services

Enrique A. Goytizolo, MD

Douglas S.T. Green, MD

Robert S. Griffin, MD, PhD Director, Ambulatory Pain Medicine

Carrie R. Guheen, MD

Semih Gungor, MD Director, Chronic Pain Research

Stephen C. Haskins, MD

Michael C. Ho, MD

Kethy M. Jules-Elysee, MD Director, Pre-Anesthesia Screening

Richard L. Kahn, MD Medical Director, Ambulatory Surgery

David H. Kim, MD

Richard S. King, MD

Meghan Kirksey, MD, PhD

Kanupriya Kumar, MD

Vincent R. LaSala, MD

Andrew C. Lee, MD Medical Director, Quality Assessment and Performance Improvement

David L. Lee, MD Medical Director, Education

Yi Lin, MD, PhD

Daniel B. Maalouf, MD, MPH

John G. Muller, MD

Jemiel A. Nejim, MD

Joseph A. Oxendine, MD

Swetha R. Pakala, MD

Leonardo Paroli, MD, PhD

Thomas J. Quinn, MD, MBA

Daniel I. Richman, MD

James J. Roch, MD

Lauren H. Turteltaub, MD Assistant Director Training Programs

Philip J. Wagner, MD Director, Web

Seth A. Waldman, MD Medical Director, Pain Medicine

David Y. Wang, MD, MS, MPH Medical Director, Chronic Pain Education

Elaine I. Yang, MD

Assistant Attending PhysiciansChristine Peterson, MD Director, Inpatient Pain Services

Vladimir N. Kramskiy, MD Medical Director, Ambulatory Recuperative Pain Medicine

2012-2013 Fellows in Regional Anesthesiology and Acute Pain MedicineGuilherme Holck, MD

Thomas Caggiano, MD

Tin Lun Chiu, MD

Katherine Chuy, MD

Stephen Haskins, MD

Christen-Jennifer Lee, MD

Sephalie Patel, MD

Kevan Stanton, MD

Suzuko Suzuki, MD

staffprofessional & administrative

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2013-2014 Fellows in Regional Anesthesiology and Acute Pain MedicineLuFan Cai, MD

Stephanie Cheng, MD

Caroline Dejean, MD

Jacob Hedden, MD

Juliet Jackson, MD

Jordan Martin, MD

Timothy Miu, MD

Jesse Ng, MD

2013 Research FellowThomas Danninger, MD

AdministrationBobby Stack, MS Senior Director

Susan Cardamone, MBA Associate Director

Ilene Bacine Coordinator, Finance

Mary J. Hargett Administrative Director, Education

Alvin Joseph QA/PI Assistant

Sarah Kennedy, MS QA/PI Supervisor

Mikhail Miller IT Programmer

Matthew Rosenberg Manager, Finance

Ellen Segal Staff Secretary

Pamela Shaw Administrative Coordinator

Maureen Stanton, RN Manager, QA/PI

Sheryl Stebel Administrative Assistant to Dr. Liguori

Nurse AnesthetistsDonna Hasil, Chief CRNA

Elizabeth Caliwara, CRNA

Michael Finkenbine, CRNA

Elaine Hyatt, CRNA

Halsey Julien, CRNA

Claire Karlick, CRNA

Dia Kennedy, CRNA

Kaitlyn LaFerrara, CRNA

Sara Listokin, CRNA

Mary Maher, CRNA

Lisa Nigro, CRNA

Sesle Olsen, CRNA

Paul Scott, CRNA

Wendy Smart-Lazare, CRNA

PACU-SDU-OSCUCheryl Conwell, DNP, ANP-BC

Kelly Culot, PA-C

Wesley Hicken, PA-C

Michael Lichardi, PA-C

Christy Loughlin, PA-C

Michele Mangini-Vendel, DNP, ANCP-BC, CCRN

Olive Militar, PA-C

Mario Nova, PA-C

Tabatha Poole, PA-C

Janey Quinn, PA-C

Geraldine Tomakin-Pilla, RN, MA, ANP-BC

Kenneth Van Ora, PA-C

Pain Management Barbara Wukovits, RN BSNC, Director, Pain Services

Aris Azar, RN

Nancy Blissett, LPN Dr. Kramskiy

Kaitlin Collins, MS, RN, ANP

Marguerite Cox Registrar

Donna Eckenrode, NP

Victoria Emem Office Manager, Dr. Griffin

Elizabeth Garden, Office Manager, Dr. Kramskiy

Alexandra Jacobs, RN, BSN, MA Dr. Richman

Deepa Maria Jose, RN, MS, ANP, GNP

Mary Kelly, RN, BC, ONC Evening Nurse Coordinator

Diane Leistman, RN Dr. Waldman

Bingjing Liu Administrative Assistant, Dr. Wang

Neiza Lugo Registrar / Billing

Cyndi Ma Secretary, Dr. Ngeow

Lilia Macias Secretary, Dr. Richman

Andrea Martin, LPN Dr. Gungor

Eileen Moynihan, RN, MA, BSN, ONC

Susan Ngeow, CPA Office Manager, Dr. Ngeow

Grace Parreno, NP

Brian Phillips, MS, RN, FNP Assistant Director, RPM

Sandra Simpson, LPN Office Manager, Dr. Wang

Evette Staff Office Manager, Dr. Richman

Elvi Taveras Office Manager, Dr. Gungor

Bonnie Urquhart Pain Services Coordinator and Office Manager, Dr. Waldman

Sherrene Wan Secretary, Dr. Ngeow

ResearchCarey Ford, CCRC Manager, Research

James Bae, MS Research Assistant

Valeria Buschiazzo Administrative Research Assistant

Eric Chen Research Assistant

Jennifer Cheng, PhD Research Assistant

Jodie Curren, RN, BSN, ACRN Research Nurse

Sumudu Dehipawala Research Assistant

Natasha Desai Research Assistant

Marcus DiLallo Research Assistant

Kaye Estioco, RN Research Nurse

George Go Senior Research Assistant

Amanda Goon Senior Research Assistant

Lauren Mount, MD Research Assistant

Heather Reel Research Assistant

Latha Swamy, MS Coordinator, Research

Daniel Yoo, MS Senior Research Assistant

Anesthesia TechniciansJunior Rigby Chief Anesthesia Technician

Garrick Austin Anesthesia Technician

Grell Barnes Senior Technician

Raymond Daniel Senior Technician

Raul Latchman Anesthesia Technician

Colin McKenzie Anesthesia Technician

Hector Pineda Anesthesia Technician

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Department of AnesthesiologyHospital for Special Surgery535 East 70th StreetNew York, NY 10021

www.hss.edu

The 2013 Annual Report of the Department of Anesthesiology is produced by Hospital for Special Surgery's Department of Anesthesiology and Education & Academic Affairs.

Managing Editor Susan Cardamone, MBA

Editor Bobby Stack, MS

Contributors Mary Chisholm, MD Carey Ford, CCRC Mary J. Hargett, BS Stephen Haskins, MD Sarah Kennedy, MS Michael Nurok, MBChB, PhD Swetha Pakala, MD

DesignChristina Fisher, MFA

PhotographyGeorge Go Brad Hess

About Hospital for Special SurgeryFounded in 1863, Hospital for Special Surgery (HSS) is a world leader in orthopaedics, rheumatology and rehabilitation. HSS is nationally ranked No. 1 in orthopaedics, No. 4 in rheumatology, and No. 5 in geriatrics by U.S.News & World Report (2013-14), and is the first hospital in New York State to receive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center three consecutive times. Located in New York City, HSS also serves patients in the regional area with physician offices in Greenwich, Long Island, and Queens, and serves Florida patients with an outpatient rehabilitation office in South Florida. Patients choose to come to Hospital for Special Surgery from across the United States and from around the world. HSS has one of the lowest infection rates in the country. From 2008 to 2013, HSS has been a recipient of the HealthGrades Joint Replacement Excellence Award. HSS is a member of the NewYork-Presbyterian Healthcare System and an affiliate of Weill Cornell Medical College and as such all Hospital for Special Surgery medical staff are faculty of Weill Cornell. The Hospital’s Research Division is internationally recognized as a leader in the investigation of musculoskeletal and autoimmune diseases. Hospital for Special Surgery is located in New York City and online at www.hss.edu.

© 2014 Hospital for Special Sugery. All rights reserved.

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