Clinical Care Education Research

2016-2017 DEPARTMENT PROFILE We are We are We are We are Compassionate: Creative: Committed: Collaborative:

Offering exceptional perioperative care and Advancing the frontiers of science, Equipping future global leaders with the Working across Vanderbilt University pain management to a complex population. healthcare and technology. latest knowledge and skills. Medical Center and beyond to achieve measurably improved outcomes.

Department of Anesthesiology

Compassionate | Creative | Committed | Collaborative

3 Message from the Chair

Thank you for your interest in the We are creative, advancing the frontiers of Our dedicated faculty is committed to Vanderbilt University Medical Center science, healthcare and technology. Our equipping graduates for a promising Department of Anesthesiology. Our growth informatics infrastructure continues to future in anesthesiology. We offer training and success stem from the foundation of increase patient safety and clinician using cutting edge technology along with Vanderbilt University Medical Center’s effectiveness through innovative methods opportunities to improve systems of care. five-pillar commitment to excellence, which and novel use of both live and We provide a closely guided mentorship consists of people, service, quality, growth archived data. program, balancing subspecialty training, & finance, and innovation. Our department clinical experience and a broad range follows the Vanderbilt credo, driving us to Our investigators brought in more than of academics. achieve excellence in healthcare, research $8.0 million in total extramural research and education; we treat others as we wish funding in 2015-16. This included more Much of our success can be attributed to be treated; and we continuously evaluate than $4.5 million in awarded NIH grants, to the collaboration that occurs across and improve our performance. As the role which placed Vanderbilt Anesthesiology Vanderbilt University Medical Center and Warren S. Sandberg, MD, PhD of the anesthesiologist evolves into that 9th among U.S. academic anesthesiology beyond. Our clinical teams assisted patients Chair, Department of Anesthesiology of a perioperative consultant, our diverse departments in NIH funding. Within the in more than 80,000 encounters last year, Vanderbilt University Medical Center team of experts remains at the forefront of department, faculty published 241 papers spanning the entire spectrum of anesthesi- knowledge and technology in patient care, in fiscal year 2016, up from 197 papers ology; for every age group, subspecialty and research and education. in fiscal year 2015, within peer-reviewed procedure, caring for patients along their literature. Twenty-seven members of the journey to wellness. And we are moving Our values - compassion, creativity, com- department have been elected into the beyond Vanderbilt’s traditional walls. The mitment and collaboration - emerge as the Association of University Vanderbilt Health Affiliated Network is the keystones of our structure and systems, Anesthesiologists (AUA). largest of its kind and growing rapidly, and as seen throughout this guide. We are our department is leading telemedicine and compassionate, based not only on our own At the 2015 Annual Meeting of the remote presence projects to bring our skills assessment but also on what we are being American Society of Anesthesiologists, and values to more patients. told. Our patients are recovering faster and department members contributed more with greater comfort through implementa- than 100 entries, including oral presenta- As you read through the following pages, tion of Enhanced Recovery After Surgery tions, medically challenging cases, poster we invite you to contact us or visit our web- (ERAS) protocols, a collaborative effort led presentations, problem-based learning site at www.vandydreamteam.com to learn by our faculty, our trainees and our discussions, workshops, panel discussions more about our progams. surgical colleagues. and refresher courses.

4 Department Leadership

Executive Committee Division Chiefs

Brian J. Gelfand, MD Matthew McEvoy, MD Mark Rice, MD David H. Chestnut, MD Suanne Daves, MD Eric Delpire, PhD Associate Vice Chair, Vice Chair, Educational Associate Vice Chair, Chief, Obstetric Chief, Pediatric Cardiac Chief, Basic Science Research Educational Affairs Affairs Clinical Affairs Anesthesiology Anesthesiology Chief, Multispecialty Adult Anesthesiology

Andrew Shaw, MB, FRCA, Edward Sherwood, MD, PhD Matthew Weinger, MD Kurt Dittrich, MD Katherine Dobie, MD Brent Dunworth, CRNA, MBA FFICM, FCCM Vice Chair, Research Vice Chair, Faculty Affairs Interim Chief, Pain Medicine Chief, Ambulatory Chief CRNA Executive Vice Chair, Cornelius Vanderbilt Chair in Anesthesiology Associate Director for Anesthesia Anesthesiology Anesthesiology Advanced Practice Nursing

Stephen Doherty, MMHC Mias Pretorius, MBChB, MSCI Pratik Pandharipande, MD, MSCI Ann Walia, MBBS Department Administrator Chief, Cardiothoracic Chief, Anesthesiology Chief, Veterans Affairs Anesthesiology Critical Care Medicine Anesthesiology Service 5 Previous Department Chairs

Dr. Benjamin H. Robbins Dr. Charles B. Pittinger Dr. Bradley E. Smith Dr. Charles Beattie Dr. Jeffrey R. Balser Dr. Michael S. Higgins 1946-1961 1962-1969 1969-1993 1994-2001 2001-2004 2004-2010

History

Š‡ƒ†‡”„‹Ž–‡’ƒ”–‡–‘ˆ‡•–Š‡•‹‘Ž‘‰›™ƒ•‘‡‘ˆ–Š‡Ƥ”•–‹†‡’‡†‡–†‡’ƒ”–‡–• 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 Vanderbilt University Medical Center

Vanderbilt University Medical Center Vanderbilt University Medical Center ȋȌƒ‡†ƒ‘‰–Š‡ƒ–‹‘ǯ•Ƥ‡•– named one of healthcare’s “Most Wired” by providers of specialty care by U.S. News the American Hospital Association in Hospi- and World Report and named the No. 1 tals and Health Networks magazine (2016). hospital in Tennessee and the Metro Nashville area. Monroe Carell Jr. Children’s Hospital at Van- derbilt named as one of the elite children’s Vanderbilt University Medical Center hospitals in the nation, with 10 out of a named among the “100 great hospitals in possible 10 specialties nationally ranked America” (Becker’s Hospital Review, 2016). (U.S. News & World Report, 2016).

About Nashville Nashville’s history of country inexpensive, since the Nash- economic growth, Nashville music earned the city its fame ville International Airport is a was ranked the #1 city in the as Music City, USA - but this Southwest Airlines hub. With U.S. by Forbes in terms of metropolis is about much more a growing population of more business sector growth, with than tunes and twang. Visi- than 650,000 people, Nashville employment growth of 47.7% tors and residents enjoy great has been nicknamed “Nowville” since 2010, as well as the #1 dining, entertainment and by GQ magazine and called the metro housing market in the cultural life. Travel to and from “It City” by The New York Times. nation. Nashville is convenient and A hub for massive and rapid Clinical Care We are compassionate, offering exceptional perioperative care and pain management to a complex population.

Serving in one of the largest clinical anesthetics per year in the labor and calendar year results, compared with programs in the nation, the Vanderbilt delivery suite. similar centers nationwide. Department of Anesthesiology’s clini- cians provide procedural, critical care, Our trauma service, which includes the Perioperative medicine is built on full pain management and all periopera- orthopedic trauma program, is among engagement in patient care, from diag- tive anesthesia services for more than the busiest in the nation and ranked nosis to operative recovery. It includes 100,000 adult and pediatric patient as a Level One trauma facility, with a full-time teaching service with 24/7 encounters annually at more than 100 more than 1,700 LifeFlight helicopter consultative availability and exten- anesthetizing locations. Of these, more transports this year. sive use of system-wide information than 8,000 patients are seen annually technology and mobile applications to in the Vanderbilt Interventional Pain The Vanderbilt Preoperative Evaluation support clinical decision-making, cap- Clinic, and approximately 23,000 Center (VPEC) offers preoperative ture data and measure outcomes, such Vanderbilt adult and pediatric patients evaluation before patients undergo as the quality of recovery after surgery. receive anesthetic care during a radio- procedures at Vanderbilt University Vanderbilt is one of the few medical logic, gastrointestinal or other diagnos- Medical Center. In 2015 – for the training centers with a 3D transesoph- tic or therapeutic procedure. seventh year in a row – VPEC received ageal echocardiography (TEE) simula- a Professional Research Consultants, tor, used to teach the essential skill of The department’s faculty, residents, fel- Inc., patient satisfaction award, the cardiac ultrasound. lows, certified registered nurse anesthe- coveted 5-Star Award for Overall Qual- tists (CRNAs) and nurse practitioners ity of Care. Our One Hundred Oaks Highlighted on the following pages are provide care in our operating rooms, VPEC location, which opened in 2009, the services provided by the depart- five adult intensive care units and the has received the same award for four ment’s clinical divisions. pediatric and neonatal intensive care years in a row. The center scored in the units and perform approximately 4,000 90th – 99th percentiles based on 2014

“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

8 The Perioperative Consult Service A patient-centered initiative

The Vanderbilt Department of An- data. These include on-time starts Hospital stays are most often esthesiology provides perioperative and turnover time, clinical process extended to address pain control, consult services to Vanderbilt Uni- data and patient care methods. postoperative ileus and postoper- versity Hospital, Monroe Carell Jr. The system uses Vanderbilt Uni- ative complications. Because of Children’s Hospital at Vanderbilt and versity Medical Center’s archive of this, ERAS protocols focus largely the Nashville Veterans Administra- perioperative patient data from over on pain management through use –‹‘ ‘•’‹–ƒŽǡ‘ơ‡”‹‰’”‡‘’‡”ƒ–‹˜‡ 932,000 anesthetics, combined with of nerve blocks and increased use evaluation and preparation, intra- institutional data sources, to foster of non-opioid pain medications, as operative care, acute postoperative more integrated care teams. well as preoperative evaluations to care and pain management, as well better prepare for surgery. as ICU care, to critically ill patients. Postoperative care By providing care before, during and Enhanced Recovery After Surgery Pain management after surgery, patients are receiving (ERAS) care pathways, initiated Dedicated teams of pain specialists better, more standardized care. in the 1990’s in Europe, are evi- ‘ơ‡” ‘•—Ž–•‡”˜‹ ‡•–‘‡†‹ ƒŽƒ† dence-based protocols designed surgical divisions 24 hours a day, Intraoperative care to improve pain control and speed 365 days a year. From postopera- The department has established a patient recovery for adults and tive guidance and minor procedure system of seamless communica- children. To date, Vanderbilt has anesthesia, to complex chronic pain tion from the operating room to implemented ERAS protocols in six management and surgical interven- the postoperative care unit (PACU) surgical populations, securing itself –‹‘ǡ‘—” ‘•—Ž–ƒ–•‘ơ‡”•’‡ ‹ƒŽ- through innovative methods devel- as a national leader in ERAS. ized and tailored plans for pain oped internally by the Vanderbilt management for a wide range of Anesthesiology & Perioperative In- “In the 2015-2016 year, Anesthesiol- conditions. “Our focus is collabora- formatics Research (VAPIR) Division. ogy interacted with approximately tive and multidisciplinary; we work ‡Ž‡ –”‘‹ ‘–‹Ƥ ƒ–‹‘‹ˆ‘”• 1200 patients, and through the with our nurse, surgery, medicine, providers on items such as glucose „‡‡Ƥ–•‘ˆǡ”‡–—”‡†ƒ‡†‹ƒ oncology, palliative care, rehabili- levels, length of stay, unplanned ICU 413 bed days back to the hospital tation and pharmacy colleagues to admission and increased creatinine by reducing length of stay, resulting create systems of care with greater levels. Providers can check their ‹‘”‡‡ƥ ‹‡–—•‡‘ˆŠ‘•’‹–ƒŽ reach across the healthcare system, compliance against clinical path- resources,” states Dr. Adam King, both inpatient and outpatient,” said ways and compare their practices Clinical Chief of the Anesthesiolo- Dr. David A. Edwards, Clinical Chief against departmental aggregate gy Perioperative Consult Service. of the Chronic Pain Service.

DzŠ‡Ƥ”•––‹‡ ™ƒ•‹–Š‡Š‘•’‹–ƒŽǡ  ‘—Ž†ǯ–‡ƒ–ƒ–ƒŽŽǤ ‡‹–Š‡”ˆ‡Ž–•‹ ‘”›Ž‡‰™ƒ•Š—”–‹‰–‘‘— ŠǤ‹–Š –Š‡•‡ ‘†•—”‰‡”›ǡ–Š‡”‡™ƒ•‘–ƒ•— Š’ƒ‹ǡƒ† ™ƒ•‘”‡Ǯ™‹–Š‹–ǯ„‡ ƒ—•‡ ™ƒ•ǯ–‘ƒ’ƒ‹’—’Ǥdz Patient 9 Division of Ambulatory Anesthesiology

The Division of Ambulatory neurosurgical, general surgery and departments, with its high volume of Two regional anesthesia fellows Anesthesiology is led by Dr. Katherine higher-acuity plastic surgery. patient encounters and its partnership spend a combined 32 weeks with the Dobie, MD, and consists of 12 faculty with community practices in two joint Ambulatory Division, where they learn members and 34 nurse anesthetists The trend in surgical healthcare ventures within the greater Nashville the critical and distinct practice of who practice in five locations, continues toward significant growth area. regional and ambulatory anesthesia as including three free-standing for outpatient surgeries; it is now a combination, which is necessary as community surgicenters. These estimated that more than 70 percent The ambulatory faculty presented we continue to innovate and expand locations include Cool Springs Surgery of all surgeries are performed in seven abstracts at the 2016 meeting of the population of ambulatory surgery Center, Vanderbilt Bone and Joint the outpatient setting. The Division the Society for Ambulatory Anesthesia care to include more complex cases. Surgery Center, Medical Center East, of Ambulatory Anesthesiology is (SAMBA) and are currently enrolling Vanderbilt Outpatient Surgery and committed to addressing this trend patients in six randomized controlled Tennessee Fertility Institute. with innovation as we explore how clinical trials. to care safely for sicker patients The division provides anesthesia for undergoing more complex surgeries in Residents and fellows learn the approximately 21,000 procedures the outpatient environment. practice of ambulatory anesthesiology annually, including spine, surgical by rotating to four centers, one of oncology, pain, GI, orthopedic, Ambulatory Anesthesiology is which is focused on the practice pediatric, ENT, urologic, unique compared to other academic of ambulatory regional anesthesia. 10 Division of Anesthesiology Critical Care Medicine

The Division of Anesthesiology anesthesiology critical care medicine been approved for 10 ACGME-accred- focuses on perioperative risk factors Critical Care Medicine (ACCM) is divisions in the country. Additional- ited fellowship positions per year and and mechanisms of cognitive impair- led by Pratik Pandharipande, MD, ly, there are eight neurointensivists, has received accreditation for five years. ment, kidney injury, sepsis and its MSCI. The division provides critical certified by the United Council for Fellows have a diverse clinical expe- monitoring, education and implemen- care services in the burn ICU, cardio- Neurologic Subspecialties. An ongoing rience through our subspecialty ICUs tation science, health resource utili- vascular ICU, neurological ICU and alliance between the ACCM Division and an innovative didactic program. zation, multisensory training, device and the School of Nursing supports an development and quality improvement surgical ICU at Vanderbilt University Division faculty frequently participate ACNP intensivist training program. projects, including remote bedside Medical Center, and in the surgical ICU in regional, national and international monitoring and use of rapid response at the VA Medical Center in Nashville. The division strives to provide excellent educational activities and have taken teams. Additionally, division members pro- patient care, promote education, and on leadership roles in national organi- vide perioperative anesthetic care for engage in scholarly activity. Faculty zations such as SCCM, ASA, SOCCA Active grants in the division include patients undergoing major surgery, and and fellows keep abreast of modern and the American Delirium Society; in two R01s, a K23 training grant, an R03 some participate in the perioperative technology and the changing spectrum VUH and VUMC administration, grant and FAER mentored research consult service. of caring for the critically ill. This including the directorship of the BICU, and education grants, in addition to The division includes 24 anesthesi- includes proficiency in ultrasound, NCU, CVICU and CELA; and in the smaller industry and VICTR grants. ology-intensivists, along with more echocardiography and management of medical school curriculum redesign, Faculty have been involved in more than 35 acute care nurse practitioners patients with ventricular assist devices via innovative immersion programs. than 20 peer-reviewed manuscripts and or who are on ECMO. textbook chapters in the past academic (ACNPs) and physician assistants Active research programs encompass year. (PAs), making it one of the largest The ACCM Fellowship has recently clinical and translational research that 11 Division of Cardiothoracic Anesthesiology

The Division of Cardiothoracic Anesthe- for both bridge-to-transplant and desti- Tony Hernandez, MD. response. Extramural grant support comes siology is led by Dr. Mias Pretorius and nation therapy indications. Our structural from the Department of Defense, the Intraoperative transesophageal echocar- includes 14 faculty members and 11 nurse heart disease program employs the newest National Institutes of Health and industry. diography (TEE) is an integral part of our anesthetists. Each month, three residents techniques involving transcatheter aortic Dr. Susan Eagle received a $270,000 grant clinical practice and is performed on all rotate through the service. The fellowship valve replacement (TAVR), catheter-based from Baxter Medical for an investigator adult cardiac patients. Our faculty mem- program, under the leadership of Drs. repair of mitral regurgitation (Mitra- initiated trial, “Peripheral intravenous bers also provide TEE in the electrophys- Mias Pretorius and Bantayehu Sileshi, clip) and left atrial appendage occlusion device for detecting intravascular volume iology suite to rule out thrombosis of the currently trains three clinical fellows per (Watchman). overload in dialysis patients.” Dr. Eagle is left atrial appendage, to guide trans-septal year (expanding to five in FY2017). co-inventor of the IV device and is princi- Members within the division provide an- puncture and to guide transcatheter valve pal investigator of the trial. The division provides perioperative care esthetic care to over 700 general thoracic procedures. All studies are performed and for approximately 1,400 adult cardiac pro- cases annually. In addition, anesthesia ser- interpreted by a cardiothoracic anesthesi- The division has a significant education cedures per year. These include coronary vices are also provided for interventional ologist, and cases are digitally archived for presence. Dr. Andrew Shaw served as the artery bypass graft (on- and off-pump) pulmonology, cardiology and electrophys- future study. The division uses 4 Philips scientific program chair for the Society of surgery, valvular surgery, heart and lung iology procedures, which together account EPIQ and 3 CX50 consoles, and these Cardiovascular Anesthesiologists (SCA) transplantation, adult congenital proce- for approximately 3,500 cases annually. A machines were installed in 2015. 2016 annual meeting. Two simulators dures, hybrid procedures, aortic surgery subset of the division’s faculty members are available for training in the division’s Division faculty members conduct and ventricular assist device (VAD) in- rotate through the adult cardiovascular echocardiography lab and at Vanderbilt’s research in vascular biology, precision sertions. The VAD program at Vanderbilt intensive care unit, under the medical Center for Experiential Learning and perioperative medicine, acute kidney currently places about 80 devices per year direction of division faculty member Assessment. injury and the perioperative inflammatory 12 Division of Multispecialty Adult Anesthesiology

The Division of Multispecialty Adult In July 2014, a Perioperative Consul- tional programs for medical students, ative medicine and drug protocols in Anesthesiology is led by Mark Rice, tative Service was created to provide residents and fellows. Additionally, an effort to improve perioperative care MD. This is the department’s largest co-management of surgical patients, MSA faculty members teach and su- and throughput. division, providing perioperative an- from decision to operate until after pervise residents from other special- esthetic care for more than 12,000 pa- discharge from the hospital. This ties, as well as student registered nurse tients annually in 45 operating rooms started with a pilot program involving anesthetists who rotate in the MSA di- and procedure suites for a wide variety colorectal surgical patients and quickly vision. Division faculty members pur- of surgical services, including general grew to include abdominal wall sue a wide range of academic interests, surgery, orthopedics, urology, plas- reconstruction, surgical weight loss including regional anesthesia, airway tic surgery, ophthalmology, vascular and hepato-biliary-pancreatic/surgical management, information technology, surgery, otolaryngology, hepatobiliary oncology patients. Plans are underway perioperative cognitive dysfunction, surgery, liver and renal transplantation with other surgical services to extend echocardiography, ultrasound imaging and oral/maxillofacial surgery. The this coverage to another two services and perioperative medicine. division has 48 full- and part-time within the next year. faculty members, most of whom have The division’s members are also highly significant subspecialty training and MSA division faculty provide anes- active in research, with numerous expertise. As Vanderbilt is a Level One thesiology residents a variety of both investigator-initiated clinical research Trauma Center, MSA faculty and staff introductory and advanced clinical projects currently in progress. Work is provide 24-hour coverage for emergen- experiences and make numerous con- ongoing in informatics, regional anes- cy and trauma surgery for the region. tributions to the department’s educa- thesia, airway management, perioper- 13 Division of Neuroanesthesiology

Neurosurgery and other neurologic rointerventional neurosurgeons have division is the collegial working rela- vital areas of the brain. Additionally, services continue to expand at Van- recently joined Vanderbilt, operating tionship among operating room and anesthesia is provided by the division derbilt University Medical Center, in our state-of-the-art interventional intensive care unit team members. in neurointerventional radiology suites and faculty members specializing in radiology rooms dedicated solely to and at Monroe Carell Jr. Children’s neuroanesthesiology are providing neurosurgical procedures. The Joint VUMC has seven designated neurosur- Hospital at Vanderbilt. Like their surgi- increasingly complex anesthesia and Commission designated Vanderbilt as gical operating rooms, where anesthe- cal colleagues, neuroanesthesiologists sedation services. an Advanced Certification Compre- sia services are provided for operations, face many unique challenges, including hensive Stroke Center, where the most including brain tumor, blood vessel the length of procedures (which may The Vanderbilt Department of Neu- complex of stroke patients are treated. malformation, aneurysms, stroke last more than 16 hours), unusual rological Surgery currently has the Annual surgical volume is approxi- intervention, trauma, complex spinal patient positioning and unexpected highest volume of deep brain stimula- mately 4,800 neurologic cases per year. procedures, functional neurosurgery intraoperative events, such as seizures tor implantations in North America. and chronic pain management. The or intracranial hemorrhage. Residents The Vanderbilt Brain Tumor Center The Division of Neuroanesthesiology Division of Neuroanesthesiology also on the neuroanesthesia rotation, as provides comprehensive care for engages in research aimed at improving provides specialized anesthesia services well as the faculty leading the training, patients with brain tumors, and more patient outcomes and cost- for “awake craniotomies,” when pa- discover that the ability to make an than 400 major brain tumor operations effectiveness, as well as expanding the tients are intermittently awake to facili- immediate impact on an operation is are performed annually. Because of clinical knowledge of certain diseas- tate speech and motor mapping during both exciting and gratifying. increasing case volumes, two new neu- es. Paramount to the success of the surgery in order to preserve the most

14 Division of Obstetric Anesthesiology

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.

The Division of Obstetric Anesthesi- provides consultation and critical care in decreased maternal blood loss and in the use of in situ simulation training ology is led by David Chestnut, MD. management services for high-risk morbidity, and it is a focus of ongoing for obstetric emergencies. Dr. Chestnut is the editor of Chestnut’s obstetric patients, as well as specialized investigation. Recent clinical research projects Obstetric Anesthesia: Principles and anesthesia care for fetal surgery. The division also provides anesthe- include a landmark assessment of an- Practice. Now in its fifth edition, this The division collaborates with VUMC sia services for approximately 2,500 algesic efficacy and patient satisfaction book is widely considered the premier maternal-fetal medicine, gynecologic gynecologic surgical procedures in a with administration of nitrous oxide obstetric anesthesia textbook. Former oncology and urology physicians in suite of three operating rooms adjacent for labor analgesia. Women who chose division director Curtis Baysinger, an innovative approach to the care of to the labor and delivery unit. Division nitrous oxide for labor analgesia and MD, is co-editor of the second edition patients with placenta accreta/percreta, faculty and staff collaborate with the subsequently underwent vaginal deliv- of A Practical Approach to Obstetric which is a form of abnormal, invasive department’s Perioperative Service to ery reported high levels of satisfaction Anesthesia, another highly regarded placentation that places the mother at provide anesthesia care using multi- with nitrous oxide, despite variable la- textbook, published in 2016. high risk for massive blood loss and modal, enhanced-recovery-after- bor analgesic effectiveness. Future re- The division provides dedicated, 24- significant morbidity. With this ap- surgery (ERAS) protocols. search will probe the reasons for these hour, in-house obstetric anesthesia care proach, patients with known placenta paradoxical findings. Other planned The division sponsors an ACGME- for approximately 4,500 deliveries at accreta/percreta undergo a modified clinical research projects include an accredited obstetric anesthesia fellow- Vanderbilt University Medical Center cesarean delivery through a fundal assessment of a novel multi-modal ship, and the fellowship complement (VUMC) annually - over half of which uterine incision, and the placenta is left regimen for providing postcesarean was increased from one to two fellows are considered high risk. In addition to in situ, with plans to perform hysterec- analgesia in patients with a history of per year, beginning in July, 2016. The offering the full complement of tech- tomy six weeks postpartum. This mul- opioid abuse. division is also taking a leadership role niques for labor analgesia, the division tidisciplinary approach seems to result 15 Division of Pain Medicine

Clinicians at VUMC’s Interventional a team-based treatment plan. This the pediatric patient’s specific needs. Pain Center utilize a multidisciplinary team includes specialists from The neonatal intensive care unit at approach to pain care, offering anesthesiology, psychology, psychiatry, the Children’s Hospital also has its thorough evaluations, consultations neurology, neurosurgery, orthopedics own specialized pain management and referrals in order to employ the or rehabilitation. Interventional Pain program, and there is a regional most advantageous treatment modal- Center physicians also work closely anesthesia program to treat young ities. with a patient’s primary care provid- patients as well. ers to close the loop effectively and The Interventional Pain Center sees foster shared responsibility for patient The Comprehensive Pain Service patients with all types of pain, health. (CPS) at VUMC also continues to including back, neck, abdominal, grow, as patients benefit in increasing Division member Dr. Tracy Jackson pelvic, nerve and joint pain, as well Monroe Carell Jr. Children’s Hospital numbers from epidural catheters, presented “The Hardest Pill to as chronic headache. During the first at Vanderbilt is the site of a unique peripheral nerve blocks and peripheral Swallow” on chronic pain and opioid clinic visit, a patient’s medical history pediatric pain clinic, where Vanderbilt nerve catheters for pain management addiction at TEDx Nashville. is thoroughly reviewed, and his providers work with patients, their for complex shoulder and arm surgery, or her condition is evaluated by families and their physicians to lower extremity surgeries and repeated Vanderbilt pain specialists to develop provide the best pain management for burn debridements. 16 Division of Pediatric Anesthesiology

The Division of Pediatric Anesthesiol- Education and training of medical (ECMO) and perioperative care of pediatric patients. Its goal is to help de- ogy is led by Suanne Daves, MD. The students, anesthesia residents, nurses cardiovascular patients. fine quality in pediatric anesthesia and division provides perioperative care for and associated healthcare personnel is develop quality improvement systems more than 13,000 patients annually at a major faculty commitment. Amanda The division is an active member of in an effort to help improve anesthetic theMonroe Carell Jr. Children’s Hospi- Lorinc, MD, Assistant Professor of Wake Up Safe, a quality improvement care for children of all ages. tal at Vanderbilt, making it the region’s Anesthesiology, directs Pediatric Liver initiative of the Society for Pediatric major pediatric referral center. Transplant Anesthesia, a program Anesthesia. Wake Up Safe is a Patient The division is also an active partner launched in 2015. Areas of academ- Safety Organization (PSO), as defined with the quality improvement office The Pediatric Pain Service provides an ic interest for the division’s faculty by The Patient Safety and Quality of the Children’s Hospital and partic- increasing number of inpatient include safe transfusion practices, mul- Improvement Act of 2005, and its ipates in Solutions for Patient Safety, consultations and works closely with tidisciplinary approaches to decreasing participants are leading children’s a network of more than 100 children’s the many surgical services at the surgical-site infections, situational hospitals throughout the country. hospitals in 39 states and Canada that Children’s Hospital to provide a full awareness during handovers in care, Through voluntary reporting from its partners with Child Health Patient spectrum of perioperative pain man- difficult airway management, pediatric member institutions, Wake Up Safe has Safety Organization (PSO), our nation’s agement strategies. pain management, regional anesthesia, developed the first-ever national reg- only PSO dedicated to the safety of extracorporeal membrane oxygenation istry of adverse perioperative events in hospitalized pediatric patients. 17 Division of Pediatric Cardiac Anesthesiology

The Division of Pediatric Cardiac Two new areas of focus for the division’s Anesthesiology, led by Suanne Daves, quality improvement efforts are MD, was formed in 2007 to support the decreasing the incidence of early surgical Monroe Carell Jr. Children’s Hospital at re-intervention in the cardiac surgical Vanderbilt. Children with heart defects patient and identifying effective strate- represent a complex group of patients gies in the prevention of catheter-related who often require intensive surgical re- venous thrombosis in the pediatric pairs to thrive or even survive into adult- cardiac population. hood. The Pediatric Heart Institute at the Children’s Hospital is a high-volume Training pediatric anesthesiology fellows regional referral center and is ranked 19th in the care of the critically ill child in US News and World Report’s list of top undergoing cardiac surgery or catheter- hospitals in the care of pediatric patients ization is a core mission of the division. with congenital heart disease. Fellows spend two months on the cardi- ac service, and many elect to spend part of their training in the cardiac critical care unit.

”Ǥ ƒ‡•Š›–Š›‘†‘™‡†‡ –—”‡•Š‹’ in Pediatric Anesthesiology

Since 2006, the Dr. James Phythyon Endowed Lectureship in Pediatric Anesthesiology has brought renowned experts in the Ƥ‡Ž†–‘ƒ†‡”„‹Ž–ǯ• ƒ’—•ƒ•˜‹•‹–‹‰’”‘ˆ‡••‘”•ǤŠ‡Ž‡ –—”‡- 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, ƒ–”‹  —ơ‡›ǡ, presented a well-received Grand Rounds lecture entitled “The National Anesthesia Incident Reporting System.” 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

18 Veterans Affairs Anesthesiology Service &HUWLÀHG5HJLVWHUHG1XUVH$QHVWKHWLVWV

the goals of decreasing ICU and safe transport of the patient to hospital length of stay, improving the recovery area and assurance patient satisfaction and improving of the appropriate postoperative coordination of care. The Chronic care. Additionally, CRNAs provide Pain Management center is located instruction and education for student at the Murfreesboro campus, nurse anesthetists (SRNAs). They and the team there provides a also support the residency education comprehensive set of services. mission by providing service The Veterans Affairs Anesthesiology coverage to allow residents to attend service has a rate of 90 percent for educational activities and participate Ann Walia, MBBS on-time first-case starts and a day- Brent Dunworth, CRNA, MBA in elective rotations. Our CRNAs are of-surgery case cancellation rate full partners in department clinical The Veterans Affairs Anesthesiology of less than 1 percent. For the past The Vanderbilt Department of practice initiatives and frequently Service is led by Ann Walia, MBBS. five years, the area has achieved 100 Anesthesiology embraces collaborative contribute to the development of quality The division provides perioperative percent compliance with all national practice in its approach to patient improvement and efficiency initiatives. patient care services for more than performance measures. care, involving anesthesiologists Thus, the CRNAs are essential to many 10,000 procedures annually at the and residents, certified registered core endeavors. In terms of personnel, Veterans Administration Medical “Even though 80 percent of our nurse anesthetists (CRNAs), student the CRNA division is the largest within Center in Nashville and the medical surgical patients are classified as registered nurse anesthetists (SRNAs) the Department of Anesthesiology. center at the Alvin C. York campus ASA3 and 4, our morbidity and and anesthesia technicians. Serving as in Murfreesboro, Tennessee. These mortality rate is lower than the Chief CRNA and Associate Director for Vanderbilt is the primary clinical two facilities make up the core of the national average,” said Veterans Anesthesia Advanced Practice Nursing, affiliate of the Middle Tennessee School Tennessee Valley Healthcare System Affairs Anesthesiology Service Brent Dunworth, MSN, MBA, APN, of Anesthesia (MTSA) in Madison, (TVHS), which also includes 11 Chief Ann Walia, MBBS. “We have CRNA, leads the CRNA Division. Tennessee, which is the second largest community-based health clinics. a great team here, and they work nurse anesthesia program in the hard to provide excellent care to our Areas of particular clinical interest The more than 150 CRNAs in the country. Vanderbilt is also a clinical veterans.” in the division include airway division provide anesthesia for all affiliate for the Union University management and ultrasound- The TVHS Anesthesiology Service types of surgical procedures, including Nurse Anesthesia program in Jackson, guided regional anesthesia. The was one of the first in the nation cardiac, pediatrics, vascular, trauma, Tennessee. Student nurse anesthetists group also supports an active to implement e-Consults for neurosurgery, plastics, radiologic and assist in approximately 7,000 anesthetics Pre-Anesthesia Evaluation Clinic, preoperative anesthesia evaluations. special procedures. CRNAs administer per year while on Vanderbilt rotations. with an annual workload of more This initiative saves the patient’s general, regional and monitored than 5,000 visits. The service also travel cost incurred by the VA and anesthesia care for scheduled and The CRNA division mirrors the provides primary coverage for the decreases unnecessary testing. This emergency surgical, obstetric and operating room organization of VA Surgical Intensive Care Unit, has increased both patient and diagnostic procedures. Vanderbilt University Medical Center acute and chronic pain management provider satisfaction. The TVHS has (VUMC). CRNAs who serve in a lead and emergency airway management. also been selected as a beta test site Key responsibilities of CRNAs include or service specialist position facilitate This year, the division initiated for the National Surgical Quality and preoperative patient evaluation, communication with all members of a Perioperative Care service for Workflow Management initiative. management of the patient through the patient care team. In addition to selected surgical services, with completion of the operative procedure, SRNA training, the CRNA division has 19 CRNAs

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.

Anesthesia Technicians/Technologists 20 Education We are committed, equipping future global leaders with the latest knowledge and skills.

The Office of Educational Affairs tion opportunities for faculty, residents, rare, high-stakes events, as well as to supports and oversees undergraduate fellows, nurse anesthetists and nurse prepare them for the OSCE portion of medical education, graduate medical practitioners is in place, including: the APPLIED Exam; education for residents and fellows, • Grand Rounds, which features lead- • BH Robbins Scholar Program, which and continuing education for faculty ing experts from around the world; offers one-on-one mentorship and and advanced practice nurses. The collaboration for aspiring physician- extensive education and training • Mortality, Morbidity & Improvement scientists preparing for careers as programs offered by the Department (MM&I) Conferences, which focus on academic anesthesiologists; of Anesthesiology prepare medical recent cases, with the goal of improving students, residents, fellows, nurses and patient care; • Faculty Development Seminars, faculty for productive careers as clini- which provide targeted training for • ABA BASIC and ADVANCED cians, academicians and scientists. We professional development; EXAM Prep Series, which are designed offer ACGME-accredited fellowships in to prepare CA1s , CA2s and CA3s, • Combined Integrative Health and Adult Cardiothoracic Anesthesiology, respectively, for their high-stakes Pain Medicine Quarterly Rounds, Anesthesiology Critical Care Medicine, exams as part of the sequence of board which focus on issues related to the Pain Medicine, Pediatric Anesthesi- certification; management and treatment of pain. ology, Obstetric Anesthesiology and Clinical Informatics. We also offer • Mock Oral Board Exams, which are We offer a wide-range of learning op- fellowships in Regional Anesthesiology given twice a year to CA1, CA2 and portunities that parallels our excellent and Global Anesthesiology. CA3 residents in order to prepare them clinical training and development. As for the oral board portion of the ABA a result, the average score of Vanderbilt Residents and fellows benefit from APPLIED exam; anesthesiology residents on in-training in-depth training in all subspecialty exams is in the 75th– 80th percentile disciplines of clinical anesthesiology, • Simulation Training Program, which when compared to the nation. critical care and pain medicine. A full includes Milestone-based assessment calendar of continuing medical educa- in order to give residents training in

“We view everyone as lifelong learners.” ƒ––Š‡™ ˜‘›ǡǡ‹ ‡Šƒ‹”ˆ‘”†— ƒ–‹‘ƒŽơƒ‹”•ƒ† Associate Professor of Anesthesiology

21 2IÀFHRI(GXFDWLRQDO$IIDLUV)DFXOW\DQG6WDII

Residents views of challenging cases at national training. The Accreditation Council model of learning for anesthesiology The department’s fully accredited res- meetings every year, a clear indication for Graduate Medical Education education. VStar is the school’s IT idency program is highly sought after that the department’s educational pro- (ACGME) core competencies form a platform for learning management, by the nation’s top medical students. grams are creating physician-scholars framework for the training program, launched in 2014. The flipped class- Proof of this is in the numbers: in the who are prepared for medical practice, and a major curricular revision is room is a learning environment in 2016 National Residency Match, the peer-education and scientific investi- underway that is targeting the new which course content is accessed by department received more than 950 gation. ACGME Milestones system, as well as learners outside of the classroom, and applications for 18 positions. the recent changes to the ABA Certifi- classroom time is used for interactive The department’s educational pro- cation process. projects and discussion. Once the Vanderbilt Anesthesiology’s four-year gram for residents and fellows consists flipped classroom is complete, anesthe- residency program currently enrolls of a combination of comprehensive The goal of ongoing curriculum devel- siology residents at every level of train- 18 resident physicians per year. Our didactic conferences, mentored clinical opment and revision in the Milestones ing will have access to rotation-specific physician educators are nationally and training by subspecialists in every era is to continue to achieve or exceed curriculum and learning modules internationally recognized as leaders domain of anesthesiology, simulation this level of academic achievement. 24 hours a day. Our faculty are also in their fields, and the department suc- training and self-study. Simulation Director of Educational Research and developing the same concept for nurse cessfully supports residents interested training features prominently in the Curriculum Development Leslie anesthetist training in East Africa. in academic anesthesiology so they can cognitive, procedural and teamwork Fowler, MEd, is overseeing the de- develop careers focused on advancing aspects of anesthesia education, and partment’s curriculum improvements. Fellows knowledge in the specialty. The depart- the Center for Experiential Learning Among other projects, Leslie is work- Building from the department’s ment typically has 25-30 residents who and Assessment is a nationally re- ing with the School of Medicine’s VStar strength in subspecialties, eight clin- present original research and over- nowned, on-campus resource for this team to develop a “flipped classroom” ical fellowships, as well as a research

22 —‡” –‡”•Š‹’”‘‰”ƒ program. The program combines in Jackson, Tennessee. Student nurse ƒ‹–‡ƒ ‡‘ˆ‡”–‹Ƥ ƒ–‹‘ the didactic training of the School of anesthetists participate in approx- in Anesthesiology (MOCA®) The Anesthesia Summer Nursing’s ACNP Program with sup- imately 7,000 anesthetics per year Internship Program provides an plemental specialty lectures in critical while on Vanderbilt rotations, and opportunity for undergraduate care medicine. Students perform their on-campus training is coordi- and medical students to their clinical rotations in seven of the nated by the Department of Anesthe- participate in research projects Vanderbilt and VA ICUs. Students siology. also receive additional exposure to with our faculty. The program ICU medicine through twice- The Center for Experiential receives funding from FAER and monthly simulation sessions and Learning and Assessment (CELA) NIH to support summer student weekly clinical case conferences, CELA offers medical learners at all interns and is a part of the NIH taught jointly by members of both levels a simulation education on Short Term Training Program for faculties. Additional partnership computerized, life-like mannequins. Minority Students (STTP). programs between the Anesthesiol- Participants get hands-on training in ogy Department and the School of anesthesiology airway management, fellowship, are offered to individuals Nursing are being planned. Van- critical care, perioperative seeking advanced, focused training. derbilt University Medical Center is management and transesophageal one of the largest employers of nurse echocardiogram procedures. The following clinical fellowships are practitioners in the country, and the offered at Vanderbilt: Division of Anesthesiology Critical CELA was endorsed by the American Adult Cardiothoracic Anesthesiology* Care Medicine has 35 Acute Care Society of Anesthesiologists (ASA) – 3 fellows Nurse Practitioners who work in as one of approximately 40 centers MOCA® simulation courses are taught at Clinical Informatics* - 1-2 fellows intensive care settings. in the nation officially approved Vanderbilt’s Center for Experiential Learn- Anesthesiology Critical Care Medicine* to deliver certified educational ing and Assessment (CELA), where state Nurse Anesthetists programs. Anesthesiologists can of the art immersive patient simulation – 10 fellows –”ƒ‹‹‰‹•‘ơ‡”‡†Ǥ Global Anesthesiology** – 1-2 fellows The continuing receive continuing medical education (first fellowship awarded in 2016) education of more (CME) simulation training at CELA Obstetric Anesthesiology* – 2 fellows than 100 Certified that qualifies for American Board Pain Medicine* – 3 fellows Registered Nurse of Anesthesiology Maintenance Pediatric Anesthesiology* – 4 fellows Anesthetists in of Certification in Anesthesiology Regional Anesthesiology** – 2 fellows the department (MOCA®) credit. To achieve the ASA is supported with endorsement, the CELA program *ACGME Accredited recurring pro- met strict criteria, including having **ACGME Accreditation not offered grams, including strong leadership and the necessary Grand Rounds and equipment, facilities and personnel to Advanced Practice Nurses Mortality, Morbidity & Improvement provide consistent, effective training. The Department of Anesthesiology (MM&I) Conferences. In addition, has a unique partnership with the Vanderbilt is a primary clinical affil- Vanderbilt University School of iate of the Middle Tennessee School Arna Banerjee, MBBS, Assistant Dean Nursing to offer an Acute Care Nurse of Anesthesia (MTSA) in Madison, for Simulation in Medical Education and Practitioner (ACNP) Intensivist track Tennessee, and of the Union Uni- Administration and Associate Professor as part of the ACNP master’s degree versity Nurse Anesthesia program of Anesthesiology, Surgery and Medical Education 23 (GXFDWLRQDO5HVHDUFK The department is a national leader pediatric, general adult and obstet- in rigorous educational research. ric populations, respectively. Dr. Dr. Scott Watkins (APSF), Dr. Chris Bantayehu Sileshi (GE Foundation) Cropsey (FAER) and Dr. Mary focuses on the implementation of a Scott Watkins, MD, DiMiceli-Zsigmond (GE Foundation) novel perioperative data collection and Mary DiMiceli- Zsigmond, MD all have grant-funded educational tool in low- and middle-income research investigating the use of countries and the development of decision support tools to improve anesthesia curricula for nonphysician team-based care delivery in high- anesthesia providers. stakes perioperative events in Bantayehu Sileshi, MD (pictured far left) Chris Cropsey, MD (pictured at left)

Building Safe Anesthesia Capacity Around the World

Vanderbilt’s and trauma-related morbidity and and educate medical staff in anesthesia Vanderbilt International Journal Club, Department of mortality in the perioperative period. and pain management services. the Global Surgery website (VIGH), Anesthesiology and research and service provided in is commited to As part of the ImPACT program, the In 2016, Dr. Newton received the Guatemala, Ethiopia and Mozambique improving department received over $4 million in Nicholas M. Greene, MD, Award for are organized and nurtured as part of perioperative and grant funding from the GE Outstanding Humanitarian Contribu- this endeavor. anesthetic care in Foundation’s Developing Health tion, given by the ASA’s Committee on Dr. Mark Newton medically under- Globally program to support research Global Humanitarian Outreach. Dr. Kelly McQueen, Professor of served regions of in curriculum development and Anesthesiology and Surgery, is Director Dr. Mark Newton Vanderbilt Anesthesia Global Health the world. capacity-building in Kenya and other of Vanderbilt Anesthesia Global Health Vanderbilt International Anesthesia low-resource regions of the world. Dr. and Development and Development and the Vanderbilt (VIA) is developing interactive cur- Mark Newton and Dr. Matt McEvoy Global Anesthesia Fellowship, and is a ricula and training providers who will serve as co-principal investigators. The mission of globally recognized expert in the field. practice around the world. Anesthesia Dr. McQueen is currently leading Dr. Newton directs the Vanderbilt Global Health research efforts as principal investigator ImPACT Africa (Improving Perioper- International Anesthesia program and Development for several grants: one in Ethiopia ative & Anesthesia Care and Training and divides his time between being a is the support of and two in Mozambique. She is in Africa) is a sustainable training pediatric anesthesiologist at Vanderbilt all global endeav- also exploring additional research program that aims to improve and serving as chief anesthesiologist for ors within the opportunities in South Africa. perioperative outcomes related to Kijabe Hospital in rural Kenya. Department of surgical interventions through the Under his guidance, Vanderbilt Dr. Kelly McQueen Anesthesiology, For more information on all of these ongoing training of skilled anesthesia anesthesiologists, residents, fellows including sustained service activities, programs, please see the Global providers. This program has a particu- and nurse anesthetists in the training research and education. As such, the Health tab on the Department of lar focus on improving maternal, infant program travel to Kenya for training Global Anesthesia Fellowship, the Anesthesiology website. 24 Research We are creative, advancing the frontiers of science, healthcare and technology.

The vision of the Research Division Within the department, faculty ative care. The division collaborates is to improve upon the department’s published 241 papers in fiscal year internally with colorectal surgeons currently successful program by fos- 2016, up from 197 papers in fiscal to understand the relationship tering excellence, collaboration and year 2015, within peer-reviewed between interoperative hypothermia the development of young investiga- literature. and surgical site infections. tors in anesthesiology. Anesthesia clinical research centers The team also creates innovative In federal fiscal year 2014, the include Vanderbilt Anesthesiology techniques for efficient communica- Vanderbilt University School of Clinical Research Advisory Com- tion with clinicians to improve pa- Medicine (VUSM) ranked 10th mittee (VACRAC) and Vanderbilt tient care. Through the development among U.S. medical schools for Anesthesiology & Perioperative of automated email systems and National Institutes of Health (NIH) Informatics Research (VAPIR). dashboards, VAPIR has strength- funding, and VUSM funding from VACRAC reviews research protocols ened internal communication and all sources has more than doubled with a panel of experienced inves- plays a vital role in providing near since 2001. tigators. This process has improved real time feedback to clinicians to Anesthesia investigators brought the design and execution of clinical help them improve perioperative in more than $8 million in total research projects, resulting in more care. extramural research funding. This rapid and effective study origination included more than $4.5 million in and completion. The Vanderbilt Department of awarded NIH grants, which placed Anesthesiology has a strong, multi- VAPIR Director Dr. Jonathan Vanderbilt Anesthesiology 9th faceted approach to research, which Wanderer has strengthened internal among U.S. academic anesthesiolo- can be viewed on the following communication and plays a vital gy departments in NIH funding. pages. role in providing superior perioper-

“We focus on precision medicine throughout the entire perioperative process.” Andrew Shaw, MB, FRCA, FFICM, FCCM Executive Vice Chair and Professor of Anesthesiology 25 /DE5HVHDUFK$GYDQFLQJ0HGLFDO6FLHQFH —ƒŽ‡•–Š‡•‹‘Ž‘‰›‡•‡ƒ” Š›’‘•‹—

Symposium Awards Best 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

The research of the Basic Science cardiovascular-pain modulatory Na+ transporters and associated Dr. Matthias Riess, Professor of Research Division is diverse and ranges systems that contribute to enhanced proteins regulate salt reabsorption and Anesthesiology and Pharmacology, is from ion channel physiology and pain responsiveness. blood pressure. The laboratory utilizes investigating the mechanisms of cardio- pharmacology to immunology to pain. high throughput screening and protein and neuroprotection following cardiac Multiple projects by investigators are Dr. Kevin Currie, Associate Professor modeling to identify novel compounds/ arrest, myocardial infarction and stroke sponsored by the National Institutes of Anesthesiology and Pharmacology, drugs that target these transporters and in various translationally relevant cell, of Health. Brief descriptions of work is currently investigating G protein- regulators. isolated organ and animal models. within the Research Division and its coupled receptors (including opioid and core investigators follow. prostanoid receptors) and the serotonin Dr. Jerod Denton, Associate Professor Dr. Andrew Shaw, Executive Vice transporter (an important target for of Anesthesiology and Pharmacology, Chair and Professor of Anesthesiology, Dr. Frederic T. (Josh) Billings, IV, antidepressants) control catecholamine is doing early-stage drug discovery for a is researching common mechanistic Assistant Professor of Anesthesiology secretion and the sympathoadrenal family of potassium channels involved factors leading to organ failure after and Medicine, is focusing on stress response. in renal, endocrine, cardiac and brain cardiothoracic surgery. mechanisms of surgery-induced function. The goal is to develop sharp organ injury, specifically the impact Dr. Eric Delpire, Professor of pharmacological tools for exploring the Dr. Edward Sherwood, Cornelius of perioperative oxidative damage to Anesthesiology, Molecular Physiology integrative physiology and, ultimately, Vanderbilt Chair in Anesthesiology kidney, brain and heart, and developing and Biophysics and Chief of the druggability of these channels. and Vice Chair for Research, Dr. Julia new therapy for perioperative organ Basic Science Research Division, Bohannon, Research Assistant Professor injury in humans. utilizes genetically-modified mouse Drs. Brad and Carrie Grueter, Assistant and Dr. Antonio Hernandez, Associate models and a variety of molecular Professors, are researching the Professor of Clinical Anesthesiology, Dr. Stephen Bruehl, Professor of techniques to investigate how neuronal neurobiology of addiction and reward- are studying several aspects of sepsis Anesthesiology, has identified pain- Cl- transporters modulate inhibitory related behaviors. and burn injury and the application of related alterations in interacting synaptic transmission and how renal immunotherapy in critically ill patients.

26 Advancing Technology to Improve Patient Care

The Vanderbilt Anesthesiology & journal clubs and a structured tion Management System (VPIMS). Perioperative Informatics Research summer research training program. Using health information technology (VAPIR) Division and Perioperative Experts in biomedical informatics solutions, the area supports best Informatics work beyond the walls and clinical research share their practice care and workflows to im- of the operating room, advancing research at monthly seminars as prove patient safety, care quality, effi- patient care through innovations visiting scholars. Among its many ciency and communication through in patient safety and quality. By achievements, VAPIR has: accurate and reliable real-time data integrating active research, state • Created the informatics backbone acquisition and delivery. of the art technologies and clinical that supports the Vanderbilt Periop- applications, VAPIR and Perioper- erative Consult Service. Under Rothman’s leadership, Periop- ative Informatics erative Informatics has Jesse Ehrenfeld, MD, MPH, and Jonathan are advancing the implemented web-based Wanderer, MD, MPhil frontiers of science solutions for situation- and healthcare. al awareness (SAGA), Both have achieved postoperative anesthesia measurable out- note documentation (PAV), comes of success in intraoperative decision patient care, infra- support and the case board structure and edu- (eORBoard). Perioperative cational programs. nursing now uses electron- Faculty members ic checklists to support engage with perioperative Enhanced students through Recovery After Surgery mentorship and (ERAS) protocols that are training programs, equipping the • Developed a suite of real-time reducing lengths of stay. Periopera- next generation of professionals. data visualization tools to enable tive Informatics’ new Post Anesthe- clinicians to view quality and per- sia Care Unit oriented case board VAPIR , led by Dr. Jonathan formance metrics effortlessly via was created in collaboration with bed Wanderer, director, and Dr. Jesse automated email systems and online management to deliver transparent, Ehrenfeld, associate director, is tracking dashboards. real time, patient status data for effi- responsible for managing the • Enabled substantial reductions cient enterprise-wide patient flow. Perioperative Data Warehouse in surgical site infections and in ”‹ƒ‘–Šƒǡ (PDW), which contains full data institutional supply costs through Other collaborations include from more than 880,000 procedures. cross-disciplinary collaborations. Integrated Presence and Bedside The division collaborates internal- Monitoring, which are bringing ly and externally to strengthen its Perioperative Informatics, led by Dr. perioperative, real-time monitoring mission to improve patient care here Brian Rothman, designs, develops and decision support to the ICUs and abroad. Students, residents and and implements enhancements to and to surgical patients on general fellows can participate in seminars, Vanderbilt’s Perioperative Informa- care floors. 27 6KDSLQJ7RPRUURZ·V/HDGHUV 3HULRSHUDWLYH&OLQLFDO5HVHDUFK,QVWLWXWH 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 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: The Perioperative Clinical Research Institute that focus on the advancement of medical • Mentors potential investigators throughout the research (PCRI) is led by Edward Sherwood, MD, practice in the fields of perioperative care, development process. PhD, and Damon Michaels, MMHC, CCRP. chronic pain and medical devices. Most of • Creates opportunities for ongoing learning about research The division provides a full range of support the department’s investigators are practicing methods, proposal writing, IRB applications, data manage- services, including regulatory management, physicians who use their clinical expertise to ment and analysis and presentation/publication skills. data management, contracts management, develop research protocols that seek to answer • Reviews new research proposals and regularly audits on- biostatistics, biomedical informatics and clinically significant questions. going investigations for effectiveness and compliance with financial oversight. The group also trains new The PCRI oversees more than 155 active clin- regulatory and safety guidelines. investigators so they achieve their own funded ical trials, with many more studies in develop- research that leads to major publications. The ment. The team consists of highly trained and VACRAC members are Edward Sherwood, MD, PhD (chair); end goal is stronger clinical research, with an broadly experienced research professionals, Pratik Pandharipande, MD, MSCI (co-chair); Matt Shotwell, eye toward publication in leading journals including six research nurses, two research PhD (co-chair); Josh Billings, MD, MSCI; Brian Donahue, and changing practice. assistants, one senior clinical trials associate MD, PhD; Matthew McEvoy, MD; Damon Michaels, MMHC, Clinical research within the department in- and one administrative assistant. CCRP; Andrew Shaw, MB, FRCA, FFICM, FFCM; Yandong cludes both industry-sponsored, grant funded Jiang, MD, PhD; Mark Rice, MD; and Matthew Weinger, MD. and investigator-initiated clinical projects

28 &HQWHUIRU5HVHDUFKDQG,QQRYDWLRQLQ6\VWHPV6DIHW\

factors, usability and systems situational awareness, the workload engineering and design, cog- and stress of individual clinicians and nitive psychology, biomedical of teams, individual and group informatics and implementa- performance-shaping factors, hu- tion science techniques, the man-technology interactions and Center studies performance novel methods of information presen- during patient care and in tation to generate practical benefits realistic simulations to better in terms of improved clinical care understand how and why care processes and outcomes. deviates from optimal, then proposes interventions to The Center’s involvement with VUMC improve the safety and quality operational initiatives in quality im- of care. provement ranges from participating VUMC’s Center for Research and Dittus, MD, MPH, and consists of in the review and analysis of serious Innovation in Systems Safety (CRISS) anesthesiologists, PhD researchers, CRISS investigators are particularly clinical events and conducting formal is an institution-wide resource that nursing and design staff, and faculty interested in designing and evaluating usability testing of VUMC software conducts basic and applied research in collaborators across Health Sciences medical technologies (i.e., devices and applications under development and healthcare informatics, patient safety, and in the School of Engineering. information systems) with an empha- of medical devices being considered and clinical quality and designs and sis on the effects of the introduction for purchase to re-engineering blood evaluates informatics user interfaces, CRISS is highly interdisciplinary and of new technologies on clinical care, transfusion processes, improving care processes and medical technolo- collaborative, with projects spanning and the use of electronically generat- clinician handovers and enhancing gy. Directed by Matthew B. Weinger, numerous clinical domains (from the ed clinical data to identify evolving compliance with perioperative time- MD, CRISS is an integral part of Medical Home to the operating room) events and support decision-making. outs and checklists. Vanderbilt’s Institute for Medicine and and disciplines (medicine, nursing and CRISS explores the nature of expertise, Public Health (IMPH), led by Robert pharmacy). Using a range of human clinician-clinician communication,

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29 Key Clinical Research Studies

Bret Alvis, MD: Novel Use of Pulse Oximetry with Elizabeth Card, MSN, APRN, FNP-BC: A Ran- Antonio Hernandez, MD: Comparison of Endotra- 'H¿QLQJ3HULRSHUDWLYH0RUELGLW\DQG0RUWDOLW\LQ an Oral Airway domized controlled trial of 2% chlorhexidine gluco- cheal Intubation Over the Aintree via the I-gel and Western Kenya: A Quality Improvement Project nate skin preparation cloths for the prevention of Laryngeal Mask Airway Supreme Pilot Study for the prediction of donor liver adipose post op surgical site infections in spine patients Micro CE Pilot Study content Magnetic Resonance Imaging Douglas Hester, MD: King Vision Video Laryn- Katherine Dobie, MD: Perioperative Management goscope vs. Glidescope Video Laryngoscope: A Educational Methods in Graduate Medical Curtis Baysinger, MD: 7KHHIIHFWVRI6LOGHQD¿O RI3DWLHQWVZLWK,PSODQWDEOH&DUGLRYHUWHU'H¿EULOOD- Comparative Study in Ambulatory Surgery Center Education Survey DVKRUWHUDFWLQJ3'(LQKLELWRURQWKHKXPDQ tors in Ambulatory Settings Patients fetoplacental microcirculation in women with Stuart McGrane, MB, ChB: “Anesthesiology SUHHFODPSVLD$VWXG\XVLQJWKHLQYLWURGXDOSHU- Quality and Medical Management in the Outpatient Michael Higgins, MD, MPH: Nasopharyngeal Olympics” as a Method for Assessing Resident IXVHGVLQJOHLVRODWHGFRW\OHGRQKXPDQSODFHQWDO Surgical Home versus Nasal Cannula Oxygen Supplementation in Knowledge and Skills model Oral Surgery Patients Susan Eagle, MD: Non-invasive device to com- Kelly McQueen, MD, MPH: Determining the A “less-rapid” sequence anesthetic induction/ pare peripheral venous pressure with standard Elizabeth Hughes, MD: ACGME Case Log Survey Perioperative Mortality Rate in Low-income intubation sequence? Does Apneic Oxygenation invasive monitoring during resuscitation of hemor- Countries by means of an oxygenating laryngoscope blade rhagic shock Heather Jackson, MSN, APRN-BC: A Random- prolong the “duration of apnea without desatura- ized Controlled Trial of Auricular Acupuncture to Impacting the Global Trauma Crisis: Pilot Study tion” in paralyzed non-obese and morbidly obese Jesse M. Ehrenfeld, MD, MPH: Using Natural Facilitate Outpatient Opioid Weaning in Mozambique patients? Language Processing to Identify LGBTI Patients in the VUMC EMR and determine how LGBTI status Yandong Jiang, MD, PhD: Determining the The Global Burden of Pain Evaluation Proposal $VWXG\XVLQJWKHLQYLWURGXDOSHUIXVHGKXPDQ DIIHFWVGLDJQRVLVWUHDWPHQWDQGKHDOWKRXWFRPHV correlation between pre-operative serum bicar- placental model to compare: I.) Changes in bonate and the risk of post-operative respiratory Puneet Mishra, MD: GREAT Knee Pain Reduc- fetoplacental perfusion pressure induced by The perioperative management of von Willebrand LQVXI¿FLHQF\ WLRQ7ULDO*HQLFXODU5DGLRIUHTXHQF\$EODWLRQ(I¿- DOWHUHGIHWDOÀRZUDWHVLQVLQJOHLVRODWHGFRW\OHGRQV Disease cacy in Achieving Total Knee Pain Reduction Trial harvested from healthy versus preeclamptic moth- Comparison of mask ventilation techniques in ers. II.) Slope of the increase in FAP induced by Is 30 Day Mortality Used as a Measure for Surgi- patients requiring general anesthesia Than Nguyen, MD: Pediatric Craniofacial Surgery hypoxemia in single isolated cotyledons harvested cal Outcome? from healthy versus preeclamptic mothers Perioperative Registry (PCSPR) Steve Klintworth, BSN, RN, CCRP: A Ran- Usability of Novel Patient Data Visualizations domized Controlled Trial of 2% Chlorhexidine Claudia Benkwitz, MD, PhD: $GRXEOHEOLQG Jason O’Neal, MD: The role of medication use in Using Department of Defense and Civilian Medical Gluconate Skin Preparation Cloths for the Preven- delirium after cardiac surgery UDQGRPL]HGSODFHERFRQWUROOHGVWXG\LQFKLOGUHQ Treatment Facility Data tion of Post-Operative Surgical Site Infections in (<7 mos) comparing the effects of antithrombin Colorectal Patients III (ATIII) or placebo on the coagulation system On-pump versus off-pump coronary artery bypass - in infants with known low ATIII levels undergoing 'H¿QLQJWKH,PSDFWRI3DWLHQWVZLWK+LJK8WLOL]D grafting and the incidence of delirium tion of Healthcare Services Avinash Kumar, MD: Stroke-related Early Tra- open congenital cardiac surgery cheostomy vs. Prolonged Orotracheal Intubation in Michael Pilla, MD: Intraoperative Cardiac Arrest Utility of the Surgical Apgar Score on Postopera- Neurocritical care Trial 2 Frederic T. Billings, MD: The Effect of Maintain- During Adult Liver Transplantation: A Multi-Center tive Outcomes in Pediatrics ing Physiologic Oxygenation on Oxidative Stress Study A Novel method of evaluating critical care fellows During Cardiac Surgery and key factors for success in a multifaceted Leslie Fowler, MEd: Survey of Anesthesia Pro- Uma Shastri, MD: The Effect of Pectoralis Block gram Structure and Support fellowship using Data Envelopment Analysis James L. Blair, DO: Peri-anesthetic Imaging of on Analgesia after Simple Mastectomy Cognitive Decline (PAICOD) – A Prospective Pilot Susan Krauser Lupear, CRNA: Peer Support Study AAPAE community and conference needs assess- Andrew Shaw, MB, FRCA, FFICM, FCCM: A Following Critical Patient Incidents ment 'RXEOH%OLQG5DQGRPL]HG3ODFHER&RQWUROOHG Clifford Bowens, MD: Comparison of Perineural Study of Levosimendan in Patients with Left Ven- Letha Mathews, MBBS: Radiographically Mea- Catheter Depth for the Continuous Popliteal Nerve Intraoperative Transfusion data & Computer tricular Systolic Dysfunction Undergoing Cardiac sured Neck Motion During Intubation with MILS by Block Using Ultrasound Guidance and Dermabond Tomography exam orders Surgery Requiring Cardiopulmonary Bypass Two Different Video Laryngoscopes David Byrne, MD: Matched retrospective cohort Stephen Harvey, MD: Gaunfacine for PONV after Edward Sherwood, MD, PhD: $PXOWLFHQWHUUDQ- Matthew McEvoy, MD: Enhanced Recovery After study evaluating preoperative versus postop- Sinus Surgery GRPL]HGGRXEOHEOLQGHGSODFHERFRQWUROOHGVWXG\ Surgery in Colorectal Surgery: A Large-Scale erative nerve block catheters effect on patient of CYT107 to restore absolute lymphocyte counts Quality Improvement Project outcomes in the orthopedic trauma population Patrick Henson, DO: Use of a Structured Handoff in sepsis patients Tool to Improve Preoperative Communication Enhanced Recovery After Surgery in Surgical The Impact of Quantitative Neuromuscular Weight Loss: A Pilot Project to Track Patient Monitoring in the PACU on Residual Blockade and Recovery after Discharge Postoperative Recovery Staff Accomplishments

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 Elizabeth Demarcus, Sr. Financial Kristi Hasty, Department Education Hongjuan Blazer, Sr. Business multi-center observational study Analyst, earned the Master of Specialist, earned a Bachelor’s degree Intelligence Analyst, passed the Tableau The Epidemiology and Impact of Medication Errors Management in Healthcare degree in Health Care Administration from ‡•–‘’͡ ‡”–‹Ƥ ƒ–‹‘‡šƒ‹ƒ” Š in the Perioperative Setting from the Owen Graduate School of Columbia Southern University in 2016. Impact of waiting and provider behavior on surgical Management at Vanderbilt University January 2016. outpatients’ perception of care in December 2015. Stephen Doherty, Department Adminis- Steve Klintworth, Research Nurse IV, trator, passed the examinations to earn Jonathan P. Wanderer, MD, MPhil: Evaluation of Damon Michaels, Director of PCRI, ACS NSQIP Surgical Risk Calculator Implementa- earned a Bachelor of Science in Nursing –Š‡‡”–‹Ƥ‡†‡†‹ ƒŽ”ƒ –‹ ‡š‡ —–‹˜‡ tion in Preoperative Informed Consent Conversa- earned the Master of Management degree from the University of Southern (CMPE) credential from the American tions in Healthcare degree from the Owen Indiana. The degree was College of Medical Practice Executives Graduate School of Management at PACU Overnight: Impact on Length of Stay awarded in January 2016. in January 2016. Vanderbilt University in December Evaluation of Electronic Screening Tools for Preop- 2015. Martha Tanner, Editorial erative Assessment Assistant III, completed Perioperative Outcomes Awareness Project Callie Hanks, Program Coordinator for the Vanderbilt Program in CRISS, co-authored an article entitled Research Administration The Electronic Medical Record Habits of Highly “Know Yourself, Know the System: Effective Anesthesia Residents Development (VPRAD) in Developing a Successful Career and October 2015. Decision support for intraoperative low blood Being Promoted as an Academic pressure Anesthesiologist,” published in Teresa Turnbo, Sr. Clinical International Anesthesiology Clinics, Real-time decision support for postoperative nau- Trials Specialist, sea and vomiting (PONV) prophylaxis 2016. completed the Vanderbilt Dawn Martin, Administrative Assistant III, Program in Research received the VUMC Credo Award, recognizing Scott Watkins, MD: Improving Team Performance Patricia Hendricks, Research Nurse in Simulated Pediatric Emergencies through Incor- Administration ‹†‹˜‹†—ƒŽ•™Š‘ ‘•‹•–‡–Ž›†‡‘•–”ƒ–‡ Specialist III, was recognized for 30 poration of Non-Technical Skills into an Electronic Development (VPRAD) ‡š ‡’–‹‘ƒŽ ”‡†‘„‡Šƒ˜‹‘”ǡƒ––Š‡—‰—•–͚͙͘͞ Decision Support Tool years of service to VUMC during the in December 2015. Clincal Enterprise Leadership Assembly. October 2015 service recognition activities. 31 Advancing Medical Education through Endowments Special Lectureships & Awards

The department hosts special lectureships one mentorship, a throughout the year and presents distinct wealth of research and recognitions to department members who educational resources, have provided exemplary service both to their protected research patients and to their colleagues. time and a stipend during their residency Many of these are a direct result of philan- thropic support from our alumni, as well as and fellowship.” Jerod Denton, PhD from current department members and other program supporters. Funding is provided by The BH Robbins Adam Kingeter, MD, Michael Chi, MD, Joseph Schlesinger, MD, Marcos Lopez, MD, Frederic T. (Josh) Billings, MD, MSCI private donors, whose gifts materially improve Scholar Program is the academic life of the Vanderbilt Depart- co-directed by Frederic in Music Media and Technology. His original ment of Anesthesiology. T. (Josh) Billings, IV, MD, MSCI, and Jerod research articles have been published in Anes- Denton, PhD. The areas of research for our thesiology and Anesthesia & Analgesia. The Benjamin Howard Robbins Scholar current scholars are described briefly here. Program began in 2007 to support the profes- Heidi Smith, MD, MSCI, (Scholar 2011- sional development of young clinician-scien- Joseph Schlesinger, MD, (Scholar 2011- 2016), is the principal investigator of ground- tists within the department. Building critical 2016), is currently examining multisensory breaking research on pediatric delirium. The Josh BIllings, MD, MSCI research skills under the mentorship of an perceptual training, specifically improving initiative monitors children hospitalized in established scientist helps prepare young in- unisensory pulse oximetry pitch perception Pediatric Critical Care Units (PCCUs) for vestigators to eventually establish a vigorous, and attentional load processing. He builds delirium. Dr. Smith is mentored by Pratik independently funded research program. The on this research by looking at the psycho- Pandharipande, MD, MSCI. program is named in honor of the the depart- acoustic features of auditory alarms and the ment’s first chairman, himself a renowned development of a salient multisensory alarm Adam Kingeter, MD, (Scholar 2013-2019), is physician-scientist. The BH Robbins Scholar for the healthcare setting. Dr. Schlesinger is in his third year as a BH Robbins Scholar and Program is multidisciplinary, encouraging mentored by Mark Wallace, PhD, Director of is joining the Department of Anesthesiology and supporting mentorships and collabora- the Vanderbilt Brain Institute, and Matthew as an assistant professor. His research activ- tions that extend far beyond the traditional Weinger, MD. Schlesinger has presented his ities center on evidence-based, value-driven boundaries of anesthesia. work at the American Society of Anesthe- health care. Current projects include the ICU siologists, the Society for Neuroscience, the Provider Awareness of the Charge Environ- “This program provides a unique mentored Society of Critical Care Anesthesiologists ment (ICU-PRICE) study, which examines research experience for young scholars that and the American Medical Association. He is the impact of charge transparency on the culminates in a two-year multidisciplinary now internationally recognized for his work, ordering patterns of ICU care providers, as fellowship, with at least one year devoted to presenting during the summer of 2016 at the well as several studies investigating methods research,” said Department Chair Warren International Association for Music & Medi- to decrease hospital charges to patients while Sandberg, MD, PhD. cine in Beijing, China. He collaborates beyond maximizing the quality of their care. He Vanderbilt, notably with McGill University is mentored by Melinda Buntin, PhD, the “Our Robbins scholars benefit from one-on- and the Centre for Interdisciplinary Research Dean of the Department of Health Policy at 32 Vanderbilt, and his mentorship committee in the neuroinflammatory pathway of de- Special Lectureships & Awards members include Pratik Pandharipande, lirium. He is mentored by Andrew Shaw, MD, MSCI, Andrew Shaw, MB, FRCA, MB, FRCA, FFICM, FCCM. ”Ǥ ƒ‡•Š›–Š›‘†‘™‡†‡ –—”‡•Š‹’‹‡†‹ƒ–”‹  FFICM, FCCM, and C. Lee Parmley, MD, Anesthesiology JD, MMHC. Loren Smith, MD, PhD, (Scholar 2016- The lectureship was established by the family of Dr. James Phythyon, a founding 2017), has identified an association member of the Pediatric Anesthesiology Division. Dr. Phythyon’s widow, Marcos Lopez, MD, MS, (Scholar 2014- between preoperative high density lipo- Mrs. Marlin Sanders, and the couple’s daughters, Mary Neal Meador, Elizabeth 2019), is investigating the impact of intra- protein (HDL) levels and a decreased risk Donner and Sarah Miller, are strong supporters of the department. operative oxidative stress on postoperative of acute kidney injury (AKI) after cardiac endothelial function in patients random- surgery. She is currently characterizing Š‡ƒ†‹†‰‡‡†‹ƒ–”‹ ƒ‹ƒƒ‰‡‡–†‘™‡† —† ized to hyperoxia or normoxia during cardiac surgery patients’ HDL with respect Retired Vanderbilt anesthesiologist Paula C. Sandidge, MD, created The Sandidge cardiac surgery. He was recently awarded to size distribution and anti- Pediatric Pain Management Endowed Fund at Monroe Carell Jr. Children’s Hospital a Foundation for Anesthesia Education inflammatory, anti-oxidant and cholester- at Vanderbilt in 2010 to recognize and encourage progress in pain management for and Research Mentored Research Training ol efflux activities to elucidate a possible children. Grant to support this research. Dr. Lopez AKI-protective mechanism for HDL. Dr. is mentored by Josh Billings, MD, MSCI, Smith is mentored by Josh Billings, MD, Pratik Pandharipande MD, MSCI, and MSCI, and MacRae Linton, MD. Š‡‹Žƒ—•ƒƒŒ‡‘”‹ƒŽ —†ˆ‘”‡•‹†‡–†— ƒ–‹‘ David Harrison, MD. Pediatric anesthesiologist Dila Vuksanaj, MD, practiced at Children’s Hospital for 13 Puneet Mishra, MD, (Scholar 2016-2019), years, dedicating herself to her patients and to the hundreds of trainees who looked Michael Chi, MD, (Scholar 2015-2020), is currently the principal investigator for to her as a role model, mentor and friend. Following her death in 2009, her family, is currently studying the application of a randomized control trial examining the including her husband, Jacques Heibig, MD, founded the Dila Vuksanaj Memorial reactive oxygen species (ROS)-responsive efficacy of preoperative genicular nerve Fund for Resident Education. microspheres for targeted anti-inflamma- radiofrequency ablation in reducing pain tory therapy of chronic neuropathic pain. and improving functional outcomes in ”Ǥ”ƒ†Ž‡›Ǥ‹–Š†‘™‡†‡ –—”‡•Š‹’‘‡†‹ ƒŽ Dr. Chi is mentored by Jerod Denton, patients undergoing total knee arthroplas- Professionalism PhD, Craig Duvall, PhD, Ronald Wiley, ty. Over the course of this year, Dr. Mishra ‘”‡” Šƒ‹”ƒ”ƒ†Ž‡›Ǥ‹–Šǡǡ†‡Ƥ‡†™Šƒ–‹–‡ƒ•–‘„‡ƒ–”—‡ MD, PhD, David Edwards, MD, PhD, and plans to conduct a second randomized professional, and in 2009 a lectureship on medical professionalism was established Edward Sherwood, MD, PhD. control trial investigating the effectiveness in his name by then Department Chairman Michael Higgins, MD. The goal of the of preoperative transforaminal epidural Ž‡ –—”‡•Š‹’‹•–‘”‡ƪ‡ –‘–Š‡ Šƒ”ƒ –‡”‹•–‹ •ǡ”‡•’‘•‹„‹Ž‹–‹‡•ƒ†”‡™ƒ”†•‘ˆ’”‘ˆ‡•- Scott Hubers, MD, (Scholar 2015-2017), injections with clonidine as well as dexa- sionalism as applied to the practice of anesthesiology. is currently studying the cardiovascular methasone in reducing back and radic- consequences of dipeptidyl peptidase IV ulopathic pain in patients undergoing a (DPP4) inhibition using intra-arterial single level lumbar discectomy. Dr. Mishra ”ǤŠƒ”Ž‡•‡ƒ––‹‡†‘™‡†‡ –—”‡•Š‹’ infusions of peptides in the setting of is mentored by Stephen Bruehl, PhD, Established by Dr. Warren Sandberg, the lectureship is intended to bring innovators angiotensin-converting enzyme (ACE) in- and Andrew Shaw, MB, FRCA, FFICM, in anesthesiology from unique backgrounds and compelling world views to Vander- hibition. Dr. Hubers is mentored by Nancy FCCM. bilt as visiting professors. Brown, MD, Mias Pretorius, MBChB, MSCI, and JoAnn Lindenfeld, MD. Dianne Lou, MD, PhD, (Scholar 2016- 2020), is interested in the pathophysiology “We’ve developed tools to assess for delirium Jason O’Neal, MD, (Scholar 2015-2016), of sepsis/systemic inflammatory response on a daily basis.” is currently investigating preoperative syndrome and genomics for guiding preci- Heidi Smith, MD, MSCI, Assistant Professor of Anesthesiology risk factors for delirium following cardiac sion medicine. She joined the BH Robbins Division of Pediatric Cardiac Anesthesiology surgery and several biomarkers implicated Scholar Program in July 2016. 33 Selected Publications, 2015-2016

‡‡”Ǧ”‡˜‹‡™‡†”‹‰‹ƒŽƒ†‡˜‹‡™”–‹ Ž‡• Booth GS, ‹ŽŽƒǣ Preventing the pre- Chang MP, Lyon CB, Janiszewski D, Aksamit ‡Ž’‹”‡ǣ STIM and Orai Proteins in Calcium ventable: How the blood bank laboratory D, Kateh F, Sampson J: Evaluation of a cardio- Signaling: an AJP-Cell Physiology series of Ž‹‡ ǡƒ†‡”‡” ǡŠ”‡ˆ‡Ž† ǣ Manag- information system fails to protect patients pulmonary resuscitation curriculum in a low Themed Reviews. Am J Physiol Cell Physiol ing the Impact of the ICD-10 Transition on a that refuse blood. Transfus Apher Sci 2016 Apr resource environment. Int J Med Educ 2015; 2016; 310:C401 Data Warehouse. J Med Syst 2016; 40:57 [Epub} 6:136-41 DiMiceli-Zsigmond M, Williams AK, ‹ Š- Ž˜‹•ǡ —‰Š‡• ǣ Physiology Consider- Boyer RB, Hocking KM, Booth GS, Berry JM, Choi L, Ferrell BA, Vasilevskis EE, Pandhar- ƒ”†•‘ ǣ Expecting the Unexpected: Per- ations in Geriatric Patients. Anesthesiol Clin ’ƒ‹ǡ‹ Šƒ‡Ž•ǡƒ†„‡”‰ǡ‹ŽŽƒ ipande PP, Heltsley R, Ely EW, Stein CM, spectives on Stillbirth and Late Termination of 2015; 33:447-56 ǣ An Evaluation of Induced Failure Modes Girard TD: Population Pharmacokinetics of Pregnancy for Fetal Anomalies. Anesth Analg in the Belmont® Rapid Infuser. Anesth Analg Fentanyl in the Critically Ill. Crit Care Med 2015; 121:457-64 2016; 122:1062-9 2016; 44:64-72 Baldi R, Ghosh D, ”—‡–‡”ǡ Patel S: Elec- trophysiological Measurement of Cannabi- ‘„‹‡ ǡ‹™ƒ”‹ǡƒ†„‡”‰ǣ “What noid-Mediated Synaptic Modulation in Acute ”—‡ŠŽǡ Burns JW, —’–ƒǡ Buvanendran Craig BT, Rellinger EJ, Mettler BA, ƒ–‹•ǡ ƒ˜‡‡‘‡ˆ‘”•ƒ–‡Ž›ǫdzǦǦ‡Ƥ‹‰‡”- Mouse Brain Slices. Curr Protoc Neurosci 2016; A, Chont M, Orlowska D, Schuster E, France ‘ƒŠ—‡ǡ Chung DH: Laparoscopic Nissen formance and Value at the Individual Clinician 75:6 29 1-6 19 CR: Do Resting Plasma Beta-Endorphin Levels fundoplication in infants with hypoplastic left Level. Anesthesiol Clin 2015; 33:659-77 Predict Responses to Opioid Analgesics? Clin J heart syndrome. J Pediatr Surg 2016; 51:76-80 Bane CE, Jr., Ivanov I, Matafonov A, Boyd KL, Pain 2016 May [Epub] Donald C, Š”‡ˆ‡Ž† ǣ The Opportunity for Cheng Q, Š‡”™‘‘†ǡ Tucker EI, Smiley Cropsey C, Kennedy J, Han J, Pandharipande Medical Systems to Reduce Health Disparities ST, McCarty OJ, Gruber A, Gailani D: Factor ”—‡ŠŽǡ Maihofner C, Stanton-Hicks M, ǣ Cognitive Dysfunction, Delirium, and Stroke Among Lesbian, Gay, Bisexual, Transgender  ‡Ƥ ‹‡ ›Ž–‡”•–Š‡›–‘‹‡‡•’‘•‡ Perez RS, Vatine JJ, Brunner F, Birklein F, in Cardiac Surgery Patients. Semin Cardiotho- and Intersex Patients. J Med Syst 2015; 39:178 and Activation of Contact Proteases during Schlereth T, Mackey S, Mailis-Gagnon A, rac Vasc Anesth 2015; 19:309-17 Polymicrobial Sepsis in Mice. PLoS One 2016; Livshitz A, Harden RN: Complex regional ‘™‹‰ ǡƒ›•‹‰‡”ǣ Oxygenating 11:e0152968 pain syndrome: evidence for warm and cold ƒ˜‹†•‘ ǡ‹•ƒǡ†‡ ”ƒƒơ ǡ‹–Š‹‰- laryngoscopy. Anaesthesia 2016; 71:727-8 subtypes in a large prospective clinical sample. ton DE, Dorris L, Bell G, Stargatt R, Bellinger Pain 2016; 157:1674-81 ƒ‡”Œ‡‡ǣ Using Simulation for Primary Cer- DC, Schuster T, Arnup SJ, Hardy P, Hunt RW, Dugas AF, Kirsch TD, Toerper M, Korley F, –‹Ƥ ƒ–‹‘Ǥ –‡•–Š‡•‹‘ŽŽ‹͚͙͘͝Ǣ͛͝ǣ͚͜Ǧ͝͡ Takagi MJ, Giribaldi G, Hartmann PL, Salvo Yenokyan G, ”ƒ ‡ǡ Hager D, Levin S: ”—‡ŠŽǣ Complex regional pain syndrome. I, Morton NS, von Ungern Sternberg BS, An Electronic Emergency Triage System to BMJ 2015; 351:h2730 Locatelli BG, Wilton N, Lynn A, Thomas JJ, Basher S, ‹  ǡƒŽ–ƒ‹•ǣƒ –ƒ„Ž‡‘—–ƪ‘™ Improve Patient Distribution by Critical Out- graft anastomosis technique for HeartWare Polaner D, Bagshaw O, Szmuk P, Absalom comes. J Emerg Med 2016; 50:910-8 HVAD implantation. J Cardiovasc Surg (Torino) Bucher BT, Duggan EM, Grubb PH, ”ƒ ‡ AR, Frawley G, Berde C, Ormond GD, Marmor 2015; 56:945-8 DJ, Lally KP, Blakely ML: Does the American J, McCann ME, GAS consortium: Neurode- Easdown LJ, Moore DE, Jr.: Maintaining College of Surgeons National Surgical Quality velopmental outcome at 2 years of age after Professional Excellence in Contemporary general anaesthesia and awake-regional Beazley B, Bulka CM, Landsman IS, Ehrenfeld Improvement Program pediatric provide ac- Anesthesia Practice. Int Anesthesiol Clin 2016; tionable quality improvement data for surgical anaesthesia in infancy (GAS): an international 54:170-87 ǣ Demographic Predictors of NPO Viola- neonates? J Pediatr Surg 2016 Apr [Epub] multicentre, randomised controlled trial. Lan- tions in Elective Pediatric Surgery. J Perianesth cet 2016; 387:239-50 (Stephen Hays is a G.A.S. Nurs 2016; 31:36-40 consortium member) Ƥ”† ǡ ”‹ƥ ǡƒ˜‹‡•ǡǯ‡ƒŽǡ — ŠŠ‡‹–ǡƒ†‡‡ǡ •‹ƒ ǡ —ƥ‡ǡ Crane PB, Kindell LC, O’Neal JB, Chitwood MacLeod DB, White W, Chamessian A, Keefe WR, Jr., Kypson AP: Seasonal Incidence of Beyenbach KW, Yu Y, Piermarini PM, Denton FJ, Buckenmaier CT, Pain Pheno- Davidson AJ, Morton NS, Arnup SJ, de ǣ Targeting renal epithelial channels for the Šƒ™ǣ Emergent Coronary Artery Bypass Grafting types and Associated Clinical Risk Factors ”ƒƒơ ǡ‹•ƒǡ‹–Š‹‰–‘ǡ ”ƒ™Ž‡› Surgery. Heart Surg Forum 2016; 19:E048-53 control of insect vectors. Tissue Barriers 2015; Following Traumatic Amputation: Results from G, Hunt RW, Hardy P, Khotcholava M, von 3:e1081861 Veterans Integrated Pain Evaluation Research Ungern Sternberg BS, Wilton N, Tuo P, Salvo I, (VIPER). Pain Med 2016; 17:149-61 Ormond G, Stargatt R, Locatelli BG, McCann Ƥ”† ǡ —†‹‡ŽŽƒǡǯ‡ƒŽǡ ”‹ƥ ǡ ‹ŽŽ‹‰• –ǡ ‡†”‹ •ǡ Schildcrout JS, ME, General Anesthesia compared to Spinal Landrine H, Kindell LC, Davies SW, Sarpong Shi Y, Petracek MR, Byrne JG, Brown NJ: High- anesthesia (GAS) Consortium: Apnea after DF, ǯ‡ƒŽ ǡ Crane P, Nelson MA, Ferguson Burns JW, Gerhart JI, ”—‡ŠŽǡ Post KM, TB, Chitwood WR, Kypson AP, Anderson EJ: Dose Perioperative Atorvastatin and Acute Smith DA, Porter LS, Schuster E, Buvanen- Awake Regional and General Anesthesia in Kidney Injury Following Cardiac Surgery: Infants: The General Anesthesia Compared Comparison of Risk of Atrial Fibrillation in dran A, Fras AM, Keefe FJ: Anger arousal and Black Versus White Patients After Coronary A Randomized Clinical Trial. JAMA 2016; behavioral anger regulation in everyday life to Spinal Anesthesia Study--Comparing 315:877-88 Apnea and Neurodevelopmental Outcomes, a Artery Bypass Grafting. Am J Cardiol 2016; among people with chronic low back pain: 117:1095-1100 Relationships with spouse responses and neg- Randomized Controlled Trial. Anesthesiology 2015; 123:38-54 (Stephen Hays is a G.A.S. ‘Šƒ‘ ǡ—ƒǡ ‡”ƒ†‡œǡ Afzal ƒ–‹˜‡ƒơ‡ –Ǥ ‡ƒŽ–Š•› Š‘Ž͚͙͘͞Ǣ͛͝ǣ͚͡Ǧ͘͜ A, Guo Y, Patil NK, Fensterheim B, Sherwood consortium member) Enkhbaatar P, Nelson C, Salsbury JR, Carmical JR, Torres KE, Herndon D, Prough DS, —ƒǡ ǣ Role of G-CSF in monophosphoryl lipid Carayon P, Weinger MB, Brown R, Cartmill A-mediated augmentation of neutrophil ‡Ž’‹”‡ǣResearch antibodies: do not use Š‡”™‘‘†ǣ Comparison of Gene Expres- RS, Slagle J, Van Roy KS, Walker JM, Wood sion by Sheep and Human Blood Stimulated functions after burn injury. J Leukoc Biol 2016; KE: How Do Residents Spend Their Time in them to stain your reputation. Am J Physiol 99:629-40 Cell Physiol 2015; 309:C707-8 with the TLR4 Agonists Lipopolysaccharide the Intensive Care Unit? Am J Med Sci 2015; and Monophosphoryl Lipid A. PLoS One 2015; 350:403-8 10:e0144345 34 France CR, Burns JW, —’–ƒǡ Buvanendran Gunnerson KJ, Shaw AD, Chawla LS, Bihorac ing of Myometrial Calcium-Mobilization to mask vs face mask ventilation in anesthetized, A, Chont M, Schuster E, Orlowska D, ”—‡ŠŽ A, Al-Khafaji A, Kashani K, Lissauer M, Shi Identify Modulators of Uterine Contractility. apneic pediatric subjects over 2 years of age: a ǣš’‡ –ƒ ›ơ‡ –•‘‘†‹–‹‘‡†ƒ‹ J, Walker MG, Kellum JA, Sapphire Topaz i: PLoS One 2015; 10:e0143243 randomized controlled trial. Paediatr Anaesth ‘†—Žƒ–‹‘”‡‘– ƪ—‡ ‡†„›ƒŽ‘š‘‡‘” TIMP2*IGFBP7 biomarker panel accurately 2016; 26:173-81 Morphine. Ann Behav Med 2016; 50:497-505 predicts acute kidney injury in high-risk surgi- ‡”ƒ†‡œǡ‘Šƒ‘ ǡ—ƒǡ Fenster- cal patients. J Trauma Acute Care Surg 2016; heim BA, Guo Y, Patil NK, McAdams C, Wang ƒ •‘ǡ Thomas S, Stabile V, Han X, Shot- ”ƒ ‡ ǡ Levin S, Ding R, Hemphill R, Han 80:243-9 J, Š‡”™‘‘†ǣThe role of MyD88- and well M,  —‡‡ǣ Chronic Pain Without J, Russ S, Aronsky D, ‡‹‰‡”ǣ Factors In- TRIF-dependent signaling in monophosphoryl Clear Etiology in Low- and Middle-Income ƪ—‡ ‹‰‹‡Ǧ‡’‡†‡–—ƒŽ‹–› †‹ ƒ–‘”• Guo Y,—ƒǡ Rabacal W, Bohannon JK, Fen- lipid A-induced expansion and recruitment of Countries: A Narrative Review. Anesth Analg for Patients With Suspected Acute Coronary sterheim BA, ‡”ƒ†‡œǡŠ‡”™‘‘†ǣ innate immunocytes. J Leukoc Biol 2016 Jun 2016; 122:2028-39 Syndrome. J Patient Saf 2016 Jan [Epub] IL-15 Superagonist-Mediated Immunotoxicity: [Epub] Role of NK Cells and IFN-gamma. J Immunol Jann JT, Edmiston EK, Š”‡ˆ‡Ž† ǣ Im- ”ƒŽ‹ǡ —‰Š‡•ǣ Fluoroscopically 2015; 195:2353-64 Hernando D, Sharma SD, Aliyari Ghasabeh M, portant Considerations for Addressing LGBT guided tunneled trans-caudal epidural cathe- Alvis BD,”‘”ƒǡ ƒ‹Ž–‘ ǡƒǡŠƒơ‡” Health Care Competency. Am J Public Health ter technique for opioid-free neonatal epidural —’–ƒǡ ˜‘›ǣ Initial Experience of JM, Sofue K, Szeverenyi NM, Welch EB, Yuan 2015; 105:e8 analgesia. J Anesth 2016; 30:493-7 the American Society of Regional Anesthesia Q, Bashir MR, Kamel IR, ‹ ‡ ǡ Sirlin CB, and Pain Medicine Coags Regional Smart- Yokoo T, Reeder SB: Multisite, multivendor Jering MZ, Marolen KN, Shotwell MS, Denton Frawley G, Bell G, Disma N, Withington DE, de phone Application: A Novel Report of Global validation of the accuracy and reproducibility ǡƒ†„‡”‰ǡŠ”‡ˆ‡Ž† ǣ Combining ”ƒƒơ ǡ‘”–‘ǡ ƒǡ”—’ ǡ Distribution and Clinical Usage of an Electron- ‘ˆ’”‘–‘Ǧ†‡•‹–›ˆƒ–Ǧˆ”ƒ –‹‘“—ƒ–‹Ƥ ƒ–‹‘ƒ– –Š‡Š›•‹ ƒŽŽƒ••‹Ƥ ƒ–‹‘›•–‡ƒ† ƒ‰•Šƒ™ǡ‘Žƪ‡”ǡ‡ŽŽ‹‰‡”ǡƒ˜‹†•‘ ic Decision Support Tool to Enhance Guideline 1.5T and 3T using a fat-water phantom. Magn Continuous Intraoperative Surgical Apgar AJ, General Anesthesia compared to Spinal Use. Reg Anesth Pain Med 2016; 41:334-8 Reson Med 2016 Apr [Epub] Score Measurement in Predicting Postopera- anesthesia (GAS) Consortium: Predictors of tive Risk. J Med Syst 2015; 39:147 Failure of Awake Regional Anesthesia for Neo- Hand WR, Stoll WD, McEvoy MD, McSwain JR, ‡•–‡”ǡŠ”‡ˆ‡Ž† ǣ Anesthesia and seda- natal Hernia Repair: Data from the General Sealy CD, Skoner JM, Hornig JD, Tennant PA, tion in the gastroenterology suite: leveraging Jiang Y,ƒ ƒ”‡ǣƥ ƒ ›‘ˆ—’‡”‹- Anesthesia Compared to Spinal Anesthesia Wolf B, Day TA: Intraoperative goal-directed Ž‹‹ ƒŽ†ƒ–ƒ–‘•—’’‘”–‘’‡”ƒ–‹‘ƒŽ™‘”ƪ‘™•Ǥ posed High-frequency Jet Ventilation Applied Study--Comparing Apnea and Neurodevel- hemodynamic management in free tissue Techniques in Gastrointestinal Endoscopy to Variable Degrees of Tracheal Stenosis: One opmental Outcomes. Anesthesiology 2015; transfer for head and neck cancer. Head Neck 2016; 18:18-21 Step Forward to Optimized Patient Care. 123:55-65 (Stephen Hays is a G.A.S. consor- 2016; 38 Suppl 1:E1974-80 Anesthesiology 2015; 123:747-9 tium member) Hocking KM, Baudenbacher FJ, Sileshi B, ƒ•ǡ‡‹‰‡”ǣ Know Yourself, Know Boyer RB, Kohorst KL, Brophy CM, Eagle ‘ơ‡ǡ ”—‡–‡”ǣ Cocaine Experience En- Galvez JA, ‘–ŠƒǡDoyle CA, Morgan S, the System: Developing a Successful Career ǣ Peripheral Venous Waveform Analysis for hances Thalamo-Accumbens N-Methyl-D-As- Simpao AF, Rehman MA: A Narrative Review and Being Promoted as an Academic Anesthe- Detecting Hemorrhage and Iatrogenic Volume partate Receptor Function. Biol Psychiatry of Meaningful Use and Anesthesia Information siologist. Int Anesthesiol Clin 2016; 54:155-69 Overload in a Porcine Model. Shock 2016 Apr 2016 May [Epub] Management Systems. Anesth Analg 2015; [Epub] 121:693-706 Hanna GM, Fishman I, Edwards DA, Shen S, ‘ơ‡ǡ‹––‡”ǡ ”—‡–‡”ǣ GluN1 Kram C, Liu X, Shotwell M, Gilligan C: Devel- House LM, Calloway NH, Sandberg WS, deletions in D1- and A2A-expressing cell types Gamboa JL, ‹ŽŽ‹‰• –ǡ Bojanowski MT, opment and Patient Satisfaction of a New Š”‡ˆ‡Ž† ǣ Prolonged patient emergence reveal distinct modes of behavioral regulation. Gilliam LA, Yu C, Roshanravan B, Roberts LJ, Telemedicine Service for Pain Management time among clinical anesthesia resident train- Neuropharmacology 2016 Mar [Epub] 2nd, Himmelfarb J, Ikizler TA, Brown NJ: Mito- at Massachusetts General Hospital to the ees. J Anaesthesiol Clin Pharmacol 2015 chondrial dysfunction and oxidative stress in Island of Martha’s Vineyard. Pain Med 2016 Johnson KB, Patterson BL, Ho YX, Chen Q, patients with chronic kidney disease. Physiol Apr [Epub] House LM, Marolen KNǡ– ƒ “—‡• ǡ Nian H, Davison CL, Slagle J, Mulvaney SA: Rep 2016; 4:e12780  ˜‘›ǡŠ”‡ˆ‡Ž† ǣ Surgical Apgar The feasibility of text reminders to improve ƒ›Š—”•– ǡ—”‹‡—šǣ‹ơ‡”‡–‹ƒŽ’‹‘‹† score is associated with myocardial injury medication adherence in adolescents with Gamboa JL, ”‡–‘”‹—•ǡ Sprinkel KC, Brown Tolerance and Opioid-induced Hyperalge- after noncardiac surgery. J Clin Anesth 2016; asthma. J Am Med Inform Assoc 2016; 23:449- NJ, Ikizler TA: Angiotensin converting enzyme sia: A Clinical Reality. Anesthesiology 2016; 34:395-402 55 inhibition increases ADMA concentration in 124:483-8 patients on maintenance hemodialysis--a —‰Š‡• ǡ Brummel NE, Girard TD, Graves Jungquist CR, Correll DJ, Fleisher LA, Gross randomized cross-over study. BMC Nephrol Held JM, Litt J, ‡‡†› ǡ ”ƒ‡ǡ AJ, Ely EW, ƒ†Šƒ”‹’ƒ†‡ǣ Change in J, —’–ƒǡ Pasero C, Stoelting R, Polomano 2015; 16:167 Gunter OL, Rae L, Kahn SA: Surgeon-Per- endothelial vascular reactivity and acute brain R: Avoiding Adverse Events Secondary to formed Hemodynamic Transesophageal dysfunction during critical illness. Br J Anaesth Opioid-Induced Respiratory Depression: Greenberg SE, VanHouten JP, Lakomkin N, Echocardiography in the Burn Intensive Care 2015; 115:794-5 Implications for Nurse Executives and Patient Ehrenfeld J, Jahangir AA, Boyce RH, Obremk- Unit. J Burn Care Res 2016; 37:e63-8 Safety. J Nurs Adm 2016; 46:87-94 sey WT, Sethi MK: Does Admission to Medi- —‰Š‡• ǡƒ†Šƒ”‹’ƒ†‡ǡ Thompson cine or Orthopaedics Impact a Geriatric Hip Helwani MA, ƒ‹‡†ǣ Automated pulse JL, Chandrasekhar R, Ware LB, Ely EW, Girard Kahle KT, ‡Ž’‹”‡ǣ Kinase-KCC2 coupling: Cl- Patient’s Hospital Length of Stay? J Orthop pressure variation display in the operating TD: Endothelial Activation and Blood-Brain rheostasis, disease susceptibility, therapeutic Trauma 2016; 30:95-9 room and in the intensive care unit. J Clin Barrier Injury as Risk Factors for Delirium in target. J Neurophysiol 2016; 115:8-18 Anesth 2015 Oct [Epub] Critically Ill Patients. Crit Care Med 2016 Apr [Epub] ”—••ǡ‡”‡Š‘˜ǡŠ”‡ˆ‡Ž† ǡ Kunic Kahle KT, Khanna AR, Alper SL, Adragna NC, RJ, Estimating virtual neck ƒ†‡”‡” ǣ Herington JL, Swale DR, Brown N, Shelton Lauf PK, Sun D, ‡Ž’‹”‡ǣ K-Cl cotransport- circumference for preoperative STOP-BANG EL, Choi H, Williams CH, Hong CC, Paria BC, Itagaki T, Gubin TA, Sayal P, Jiang Y, Kacmarek ers, cell volume homeostasis, and neurological assessment: a retrospective cohort study. Can Denton JS, Reese J: High-Throughput Screen- ǡ†‡”•‘ǣŠ‡‡ơ‡ –‹˜‡‡••‘ˆƒ•ƒŽ disease. Trends Mol Med 2015; 21:513-23 J Anaesth 2016; 63:120-2 35 Kahle KT, Khanna AR, Duan J, Staley KJ, a predictor of rescue opioid administration Anesthesiol Clin 2016; 54:107-30 MS, ”—‡ŠŽǡ Cowan RL, Newhouse PA, Sim- Delpire E, Poduri A: The KCC2 Cotransporter immediately after the emergence of general ‘• ǣ’‡ ‹Ƥ Š›•‹ ‹ƒ”†‡”• ’”‘˜‡ and Human Epilepsy: Getting Excited About anesthesia. J Clin Anesth 2015; 27:537-42 McEvoy MD, Hand WR, Stiegler MP, DiLoren- Pain Detection and Pain Reports in Nursing Inhibition. Neuroscientist 2016 May [Epub] zo AN, Ehrenfeld JM, Moran KR, Lekowski R, Home Residents: Preliminary Data. Pain Le HT, Hangiandreou N, Timmerman R, ‹ ‡ Nunnally ME, Manning EL, Shi Y, Shotwell MS, Manag Nurs 2015; 16:770-80 Kamdar M, Edwards DA, Volney S, Rathmell J: MJ, Smith WB, Deitte L, Janelle GM: Imaging —’–ƒǡ‘”‡› ǡ Schell RM: A Smart- A novel retrocrural approach for celiac plexus Artifacts in Echocardiography. Anesth Analg phone-based Decision Support Tool Improves Morandi A, Brummel NE, Pandharipande block: the single-needle retroaortic technique. 2016; 122:633-46 Test Performance Concerning Application of ǣ Melatonin and the future of critically ill RAPM 2015; 40:610-615 the Guidelines for Managing Regional Anes- patients’ outcomes. Minerva Anestesiol 2015; Lee H, Bach E, Noh J, Delpire E, Kandler K: thesia in the Patient Receiving Antithrombotic 81:1277-9 Kharade SV, Flores D, Lindsley CW, Satlin LM, Hyperpolarization-independent maturation or Thrombolytic Therapy. Anesthesiology ‡–‘ ǣ ROMK Inhibitor Actions in the ƒ†”‡Ƥ‡‡–‘ˆ Ȁ‰Ž› ‹‡”‰‹  ‘‡ - 2016; 124:186-98 ‘”‡›ǡƒ’’‡Ƥ‡Ž† ǡ ”ƒ˜‡•–‡‹ǡ Nephron Probed with Diuretics. Am J Physiol tions in the auditory brain stem. J Neurophysi- ‹ ‡ ǣ Joint Commission and Regulatory Renal Physiol 2015; 310:F732-F737 ol 2016; 115:1170-82 McEvoy MD, Wanderer JP, King AB, Geiger Fatigue/Weakness/Overabundance/Distrac- TM, ‹™ƒ”‹ǡ‡”‡Š‘˜ǡŠ”‡ˆ‡Ž† ǡ tion: Clinical Context Matters. Anesth Analg Kharade SV, Nichols C, ‡–‘ ǣ The Lee LAǡƒ–Š‡™•ǣ Anesthesia for Adults Furman WR, Lee LA,ƒ†„‡”‰ǣ A periop- 2015; 121:394-6 shifting landscape of KATP channelopathies with Chronic Spinal Cord Injury. UpToDate erative consult service results in reduction in and the need for ‘sharper’ therapeutics. Future 2016; Apr:Topic 104423 (Version 1.0) cost and length of stay for colorectal surgical Myler CS, —’–ƒǣ Spinal Anesthesia in a Med Chem 2016; 8:789-802 patients: evidence from a healthcare redesign Patient With a History of Systemic Capillary project. Perioper Med (Lond) 2016; 5:3 Levin MA, ƒ†‡”‡” ǡŠ”‡ˆ‡Ž† ǣ Data, Leak Syndrome (Clarkson Disease). Reg Kla KM, Lee LAǣ Perioperative visual loss. Best Big Data, and Metadata in Anesthesiology. Anesth Pain Med 2015; 40:723-5 Pract Res Clin Anaesthesiol 2016; 30:69-77 Anesth Analg 2015; 121:1661-7  ”ƒ‡ǡ‹–Š ǡƒ†Šƒ”‹’ƒ†‡ǣ Acute brain dysfunction during critical illness. ‰—›‡ǡ Hill S, Austin TM, Whitney GM, ICU Management 2015; 15:176-78 Kla, KM, Lee, LAǣ Minimizing Complications Lovvorn HN, 3rd, Pierce J, Libes J, Li B, Wei Wellons JC, 3rd, Lam HV: Use of blood-sparing in Major Spine Surgery. Current Anesthesiolo- ǡ‘””‡ƒ ǡ ‘—ơ‘ ǡŽƒ”ǡš– ǡ surgical techniques and transfusion algo- gy Reports. 2016 Jun [Epub] Hansen E, Newton M, O’Neill JA, Jr., Kenyan Merchant A, Calvo L, Outhay M, Sidat M, Lyon rithms: association with decreased blood Wilms Tumor C: Genetic and chromosomal ǡ —‡‡ǣ Basic ICU Capacity in the administration in children undergoing primary Province of Zambezia in Mozambique. Critical open craniosynostosis repair. J Neurosurg Ž‘‘ơǡ”ƒœ‹ǡ”‹ ‹ ǡ—‰ƒ alterations in Kenyan Wilms Tumor. Genes K, Gianchandani R, Inzucchi SE, Nichols JH, Chromosomes Cancer 2015; 54:702-15 Care Medicine 2015; 43:83 Pediatr 2015:556-63 ‹ ‡ ǡ Seley JJ: PRIDE Statement on the Need for a Moratorium on the CMS Plan to Lyon C, Aksamit D, Janiszewski D, Kateh F, Merchant A, Hendel S, Shockley R, Schlesing- Norman BC, Jackson JC, Graves JA, Girard Cite Hospitals for Performing Point-of-Care Chang M, Sampson J: Evaluation of Pediatric er J, Vansell H,  —‡‡ǣ Evaluating Prog- TD, Pandharipande PP, Brummel NE, Wang Capillary Blood Glucose Monitoring on Criti- Mortality and Critical Care Capacity in Tappita, ress in the Global Surgical Crisis: Contrasting L, Thompson JL, Chandrasekhar R, Ely EW: cally Ill Patients. J Clin Endocrinol Metab 2015; Liberia. Critical Care Medicine 2015; 43:86 Access to Emergency and Essential Surgery Employment Outcomes After Critical Illness: 100:3607-12 and Safe Anesthesia Around the World. World An Analysis of the Bringing to Light the Risk J Surg 2015; 39:2630-5 Factors and Incidence of Neuropsychological Lyon CB, Merchant AI, Schwalbach T, Pinto EF, Dysfunction in ICU Survivors Cohort. Crit Care Kougias P, Tiwari V, Berger DH: Use of Jeque EC,  —‡‡ǣ Anesthetic Care in simulation to assess a statistically driven Mozambique. Anesth Analg 2016; 122:1634-9 Miller A, Moon B, Anders S, Walden R, Brown Med 2016 May [Epub] surgical scheduling system. J Surg Res 2016; S, Montella D: Integrating computerized clini- cal decision support systems into clinical work: Goal-directed therapy in 201:306-12 Mathews L, Lee LAǣ Anesthesia for Adults ǯ‡ƒŽ ǡŠƒ™ǣ with Acute Spinal Cord Injury. UpToDate 2016; A meta-synthesis of qualitative research. Int J –Š‡‘’‡”ƒ–‹‰”‘‘ǣ‹•–Š‡”‡ƒ›„‡‡Ƥ–ǫ—”” Med Inform 2015; 84:1009-18 Opin Anaesthesiol 2016; 29:80-4 ‘—ƒ‰‘›‡ǡ‡Ž’‹”‡ǣ The Ste20 kinases Jan;Topic 91915 (Version 3.0) SPAK and OSR1 travel between cells through exosomes. Am J Physiol Cell Physiol 2016; Mathieu V, Chantome A, Lefranc F, Cimmino Monroe TB, Gibson SJ, ”—‡ŠŽǡ Gore JC, ǯ‡ƒŽ ǡŠƒ™ǣ Predicting, preventing, 311:C43-53 A, Miklos W, Paulitschke V, Mohr T, Maddau Dietrich MS, Newhouse P, Atalla S, Cowan and identifying delirium after cardiac surgery. L, Kornienko A, Berger W, Vandier C, Evidente RL: Contact heat sensitivity and reports of Perioper Med (Lond) 2016; 5:7 Kummerow Broman K, Phillips S, Hayes RM, A, Delpire E, Kiss R: Sphaeropsidin A shows unpleasantness in communicative people with Ehrenfeld JM, Holzman MD, Sharp K, Kripal- promising activity against drug-resistant mild to moderate cognitive impairment in Orena EF, ‹‰ǡ —‰Š‡• : The role of Alzheimer’s disease: a cross-sectional study. ƒ‹ǡ‘—Ž‘•‡ǣ •—”ƒ ‡•–ƒ–—•‹ƪ—‡ ‡• cancer cells by targeting regulatory volume anesthesia in the prevention of postopera- emergent designation in surgical transfers. J increase. Cell Mol Life Sci 2015; 72:3731-46 BMC Med 2016; 14:74 tive delirium: a systematic review. Minerva Surg Res 2016; 200:579-85 Anestesiol 2016; 82:669-83 - Monroe TB, Gore JC, ”—‡ŠŽǡ‡‹‰Ƥ‡Ž†  ˜‘›ǡ‹ ‘ Š— ǡŠ”‡ˆ‡Ž† ǡƒ† MM, Dietrich MS, Chen LM, Newhouse P, Ladha K, Vidal Melo MF, McLean DJ, Wan- „‡”‰ǣƒ‹–‡ƒ ‡‘ˆ‡”–‹Ƥ ƒ–‹‘‹- Oto J, Su Z, Duggan M, Wang J, King DR, derer JP, Grabitz SD, Kurth T, Eikermann M: esthesiology Part 4: Improvement in Medical Fillingim R, Chodkowski B, Atalla S, Arrieta Kacmarek RM, ‹ƒ‰ǣƥ ƒ ›‘ˆ ‘ƒš‹ƒŽ Intraoperative protective mechanical venti- Practice: Is It of Value and Where Do I Begin? J, Damon SM, Blackford JU, Cowan RL: Sex ventilation with a novel endotracheal catheter lation and risk of postoperative respiratory Advances in Anesthesia 2015; 33:157-73 †‹ơ‡”‡ ‡•‹’•› Š‘’Š›•‹ ƒŽƒ†‡—”‘’Š›•- ‡“—‹’’‡†™‹–Šƒˆ— –‹‘ƒŽ —ơǣ•™‹‡‘†- complications: hospital based registry study. iological responses to pain in older adults: a el study. Eur J Anaesthesiol 2016; 33:250-6 BMJ 2015; 351:h3646 ”‘••Ǧ•‡ –‹‘ƒŽ•–—†›Ǥ‹‘Ž‡š‹ơ‡”͚͙͘͝Ǣ McEvoy MD, DiLorenzo AN, ‘™Ž‡”ǡ 6:25 Schell RM: Faculty Development of Education Pallmann P, ”‡–‘”‹—•ǡ Ritz C: Simultaneous Ladha KS, Wanderer JP, Nanji KC: Age as Researchers in Academic Anesthesiology. Int comparisons of treatments at multiple time Monroe TB, Misra S, Habermann RC, Dietrich 36 points: Combined marginal models versus saxitoxin versus Traditional Local Anesthetics: Semler MW, Rice TW, Š”‡ˆ‡Ž† ǣ Lever- Stark RJ, Choi H, Koch SR, Fensterheim BA, joint modeling. Stat Methods Med Res 2015 Mechanism of Action and Sites of Notable aging Clinical Informatics in the Conduct of Lamb FS, Š‡”™‘‘†ǣ Endothelial cell Sep [Epub] ơ‡ –Ǥ‡•–Š‡•‹‘Ž‘‰›͚͙͘͝Ǣ͙͚͛ȋ͜Ȍǣ͚͛ Clinical Trials. J Med Syst 2015; 39:112 tolerance to lipopolysaccharide challenge is induced by monophosphoryl lipid A. Clin Sci Parker R, ‹ ‡ ǣ‡‡Ƥ–•‘ˆƒ–‹‘š‹†ƒ– Rathmell JP, ƒ†‡”‡” ǣ Unraveling the Semler MW, Rice TW, Shaw AD, Siew ED, Self (Lond) 2016; 130:451-61 supplementation in multi-trauma patients. Neurobiology of Consciousness: Anesthesia, WH, —ƒ”ǡ Byrne DW, Ehrenfeld JM, Romanian Journal of Anesthesia and Intensive Loss of Behavioral Response to Stimuli, and ƒ†‡”‡” ǣ †‡–‹Ƥ ƒ–‹‘‘ˆƒŒ‘”†˜‡”•‡ Starnes JR, McEvoy MD, Ehrenfeld JM, Care 2015; 22:77-8 Functional Connectivity in the Brain. Anesthe- Kidney Events Within the Electronic Health ƒ†„‡”‰ǡƒ†‡”‡” ǣ Automated Case siology 2016; 124(4):A21 Record. J Med Syst 2016; 40:167 Cancellation Review System Improves Sys- Patel MB, Jackson JC, Morandi A, Girard TD, tems-Based Practice. J Med Syst 2015; 39:134 —‰Š‡• ǡ Thompson JL, Kiehl AL, Elstad Reynolds WS, Dmochowski R, Wein A, ”—‡ŠŽ Shaw AD, Schermer CR, Lobo DN, Munson MR, Wasserstein ML, Goodman RB, Beckham ǣ Does central sensitization help explain idio- SH, Khangulov V, Hayashida DK, Kellum JA: Stewart MK, Romain CV, Banerjee A, Li W, JC, Chandrasekhar R, Dittus RS, Ely EW, Pand- pathic overactive bladder? Nat Rev Urol 2016 ’ƒ –‘ˆ‹–”ƒ˜‡‘—•ƪ—‹† ‘’‘•‹–‹‘‘ Murphy AJ, Sexton KW, Webb LE, Terhune Šƒ”‹’ƒ†‡ǣ Incidence and Risk Factors for ‘—– ‘‡•‹’ƒ–‹‡–•™‹–Š•›•–‡‹ ‹ƪƒ- KP: Peer resident assessment in surgical Intensive Care Unit-related Post-traumatic ‹ ‡ ǡ Coursin DB: Glucose Meters: Here matory response syndrome. Crit Care 2015; education: is it equivalent to expert attending Stress Disorder in Veterans and Civilians. Am J Today, Gone Tomorrow? Crit Care Med 2016; 19:334 assessment? Journal of the American College Respir Crit Care Med 2016; 193:1373-81 44:e97-100 of Surgeons 2015; 221:e74-e75 Siew ED, Basu RK, Wunsch H, Shaw AD, ƒ–‹Žǡ—ƒǡ‘Šƒ‘ ǡ Guo Y, ‹ ‡ ǡ‘”‡›ǡƒ’’‡Ƥ‡Ž† ǡ ”ƒ- Goldstein SL, Ronco C, Kellum JA, Bagshaw Sun LS, Li G, Miller TL, Salorio C, Byrne MW, Hernandez A, Fensterheim B, Š‡”™‘‘†ǣ venstein N: In Response. Anesth Analg 2016; SM, 15th ADQI Consensus Group: Optimizing ‡ŽŽ‹‰‡”ǡ ‰ǡƒ”ǡƒ† Ž‹ơ‡ ǡHays IL-15 Superagonist Expands mCD8+ T, NK and 122:581 administrative datasets to examine acute ǡ DiMaggio CJ, Cooper TJ, Rauh V, Maxwell NKT Cells after Burn Injury but Fails to Im- kidney injury in the era of big data: workgroup LG, Youn A, McGowan FX: Association Be- prove Outcome during Burn Wound Infection. statement from the 15(th) ADQI Consensus tween a Single General Anesthesia Exposure Rice SD, ‹ ‡ ǡ Wedig G: Is Our US Health PLoS One 2016; 11:e0148452 Care System Actually a Market-Based Econo- Conference. Can J Kidney Health Dis 2016; Before Age 36 Months and Neurocognitive my? Anesth Analg 2015; 121:1114-5 3:12 Outcomes in Later Childhood. JAMA 2016; Phillips ML, Willis BC, Broman AJ, Lam HV, 315:2312-20 Austin TM: Bimodal analgesia Sileshi B, O’Hara BK, Davis ME, Haglund NA, ‰—›‡ǡ ‹ Šƒ”†•‘ ǡ Domaradzki KA, McWeeney vs fentanyl in pediatric patients undergoing DT: Implementing an Obstetric Emergency Meng X, ‡‡‰ƒǡ Stulak JM, Kushwaha Swale DR, Kurata H, Kharade SV, Sheehan bilateral myringotomy and tympanostomy Team Response System: Overcoming Barriers SS, Shaw A, Maltais S: Outcomes of Patients J, Raphemot R, Voigtritter KR, Figueroa EE, tube placement: a propensity matched cohort and Sustaining Response Dose. Jt Comm J Implanted Using a Left Thoracotomy Tech- Meiler J, Blobaum AL, Lindsley CW, Hopkins study. J Clin Anesth 2016; 32:162-8 Qual Patient Saf 2015; 41:514-21 nique for A Miniaturized Centrifugal Continu- CR, ‡–‘ ǣ ML418: The First Selective, ous-Flow Pump. ASAIO J 2016 Jun [Epub] Sub-Micromolar Pore Blocker of Kir7.1 Po- Price CC, Levy SA, Tanner J, Garvan C, Ward J, tassium Channels. ACS Chem Neurosci 2016; Rooks HJ, Anthony JR, Sexton KW, Marshall 7:1013-23 Akbar F, Bowers D, ‹ ‡ǡ Okun M: Ortho- AP, Guillamondegui OD, Ehrenfeld JM, Shack Simmons SF, Schnelle JF, Sathe NA, Slagle pedic Surgery and Post-Operative Cognitive RB, Thayer WP: Transfers for Hand Surgery JM, Stevenson DG, Carlo ME, McPheeters ML: Decline in Idiopathic Parkinson’s Disease: Con- Correlate with Increased Reoperations for ‡Ƥ‹‰ƒˆ‡–›‹–Š‡—”•‹‰ ‘‡‡––‹‰ǣ Tabing AK, Š”‡ˆ‡Ž† ǡƒ†‡”‡” ǣ siderations from a Pilot Study. J Parkinsons Dis Complications. Am Surg 2015; 81:1177-81 Implications for Future Research. J Am Med Limiting the accessibility of cost-prohibitive 2015; 5:893-905 Dir Assoc 2016; 17:473-81 drugs reduces overall anesthetic drug costs: a retrospective before and after analysis. Can J ‘–Šƒǡ Shotwell MS, ‡‡„‡ǡƒ- Anaesth 2015; 62:1045-54 Prielipp RC, Morell RC, Coursin DB, Brull SJ, derer JP, Ehrenfeld JM, Patel N, Sandberg Slagle JM, Anders S,‘”–‡”Ƥ‡Ž†ǡ”‘Ž† Barker SJ, Vender JS, Cohen NH: In A, Calderwood C, ‹ ‡ ǡ ǣ Electronically Mediated Time-out ‡‹‰‡”ǣ‹‰‹Ƥ ƒ– Response. Anesth Analg 2015; 121:1680-2 Initiative to Reduce the Incidence of Wrong Physiological Disturbances Associated With Taibo CL, Moon TD, Joaquim OA, Machado CR, Surgery: An Interventional Observational Non-Routine Event Containing and Routine Merchant A,  —‡‡ǡ Sidat M, Folgosa E: Qiao S, Olson JM, Paterson M, Yan Y, Zaja I, Liu Study. Anesthesiology 2016 Jun [Epub] Anesthesia Cases. J Patient Saf 2015; 11:198- Analysis of trauma admission data at an urban Y, ‹‡••ǡ Kersten JR, Liang M, Warltier DC, 203 hospital in Maputo, Mozambique. Int J Emerg Bosnjak ZJ, Ge ZD: MicroRNA-21 Mediates Med 2016; 9:6 ƒ††ƒ™‹Ǧ‘‡ƨƒǡ —‰ǡƒ ƒ”‡ǡ Smith HA, Gangopadhyay M, Goben CM, •‘ƪ—”ƒ‡Ǧ‹†— ‡†ƒ”†‹‘’”‘–‡ –‹‘ƒ‰ƒ‹•– ‹ƒ‰ǣ Optimizing Mask Ventilation: Litera- Ischemia-Reperfusion Injury via Akt/Nitric ture Review and Development of a Conceptual Jacobowski NL, Chestnut MH, Savage S, Talbot TR, Carr D, Parmley CL, Martin BJ, Gray Oxide Synthase/Mitochondrial Permeability Framework. Respir Care 2015; 60:1834-40 Rutherford MT, Denton D, Thompson JL, B, Ambrose A, Starmer J: Sustained Reduction Transition Pore Pathway. Anesthesiology Chandrasekhar R, Acton M, Newman J, Noori of Ventilator-Associated Pneumonia Rates 2015; 123:786-98 ǡ‡””‡ŽŽǡ‹ŽŽ‹ƒ•ǡ ”‹ƥ–Šǡ‘‘’‡” Using Real-Time Course Correction With a Ven- ƒ’’‡Ƥ‡Ž† ǡ‹ ‡ ǡGravenstein N, Mo- TJ, Ely EW, Fuchs DC, ƒ†Šƒ”‹’ƒ†‡ǣ The tilator Bundle Compliance Dashboard. Infect Raghunathan K, Bonavia A, Nathanson BH, rey TE: Still Waiting for Evidence That Current Preschool Confusion Assessment Method for Control Hosp Epidemiol 2015; 36:1261-7 Noninvasive Hemoglobinometry Adds Value. the ICU: Valid and Reliable Delirium Monitor- Beadles CA, Shaw AD, Brookhart MA, Miller Anesth Analg 2016 Jun [Epub] TE, Lindenauer PK: Association between ing for Critically Ill Infants and Children. Crit ‡”‡Š‘˜ǡŠ”‡ˆ‡Ž† ǡƒ†‡”‡” ǣ Initial Fluid Choice and Subsequent In-hospital Care Med 2016; 44:592-600 Preoperative Surgical Risk Predictions Are Mortality during the Resuscitation of Adults Sathiyakumar V, Shi H, Thakore RV, Lee YM, Not Meaningfully Improved by Including the with Septic Shock. Anesthesiology 2015; Joyce D, Ehrenfeld J, Obremskey WT, Sethi Smith JL, ‹ ‡ ǣ Why Have So Many Intra- Surgical Apgar Score: An Analysis of the Risk 123:1385-93 MK: Isolated sacral injuries: Postoperative vascular Glucose Monitoring Devices Failed? J —ƒ–‹Ƥ ƒ–‹‘ †‡šƒ†”‡•‡–ǦǦ†- length of stay, complications, and readmis- Diabetes Sci Technol 2015; 9:782-91 mission Risk Models. Anesthesiology 2015; sion. World J Orthop 2015; 6:629-35 Rathmell JP, Strichartz G, ƒ†‡”‡” ǣ Neo- 123:1059-66 37 Thakore RV, Greenberg SE, Shi H, Foxx AM, the Perioperative Surgical Home. Anesthesiol- Wynn JL, Wilson CS, Hawiger J, Scumpia PO, Atkins JH, Š”‡ˆ‡Ž† ǣ Physiology and Francois EL, Prablek MA, Nwosu SK, Archer ogy 2015; 123(1):A23 Marshall AF, Liu JH, Zharkikh I, Wong HR, anesthesia for neurologic, ENT and ophthal- KR, Ehrenfeld JM, Obremskey WT, Sethi MK: Lahni P, Benjamin JT, Plosa EJ, Weitkamp mologic surgery. In: Ehrenfeld JM, Urman Surgical site infection in orthopedic trauma: A Wanderer JP, Rathmell JP: A Changing Anes- JH, Š‡”™‘‘†ǡ Moldawer LL, Ungaro RD, Segal, S, eds. Anesthesia Student Survival case-control study evaluating risk factors and thesiology Workforce: East and West, Males R, Baker HV, Lopez MC, McElroy SJ, Colliou Guide: A Case-Based Approach, 2nd edition. cost. J Clin Orthop Trauma 2015; 6:220-6 and Females, Then and Now. Anesthesiology N, Mohamadzadeh M, Moore DJ: Targeting New York, New York: Springer; 2016 2015; 123(5):A23 IL-17A attenuates neonatal sepsis mortality Thomas S, Meadows J,  —‡‡ǣ Access induced by IL-18. Proc Natl Acad Sci USA Badr R, Š”‡ˆ‡Ž† ǣ Physiology and anes- to Cesarean Section Will Reduce Maternal Wanderer JP, Rathmell JP: Accelerated 2016; 113:E2627-35 thesia for general and bariatric. In: Ehrenfeld Mortality in Low-Income Countries: A Mathe- Recovery: From a Fortnight to Four Nights. JM, Urman RD, Segal, S, eds. Anesthesia Stu- matical Model. World J Surg 2016; 40:1537-41 Anesthesiology 2015; 123(6):A23 Yeung CK, ‹ŽŽ‹‰• –ǡ Claessens AJ, Roshan- dent Survival Guide: A Case-Based Approach, ravan B, Linke L, Sundell MB, Ahmad S, Shao 2nd edition. New York, New York: Springer; Uner A, Goncalves GH, Li W, Porceban M, Wanderer JP, Rathmell JP: ADVERSE Drug B, Shen DD, Ikizler TA, Himmelfarb J: Coen- 2016 Caron N, Schonke M, Delpire E, Sakimura K, Events: Incidence & risk reduction across zyme Q10 dose-escalation study in hemodial- Bjorbaek C: The role of GluN2A and GluN2B the care continuum. Anesthesiology 2016; ›•‹•’ƒ–‹‡–•ǣ•ƒˆ‡–›ǡ–‘Ž‡”ƒ„‹Ž‹–›ǡƒ†‡ơ‡ –‘ Barnett S, Pratt S, Š”‡ˆ‡Ž† ǣ Professional- NMDA receptor subunits in AgRP and POMC 124(1):A23 oxidative stress. BMC Nephrol 2015; 16:183 ism, safety, and teamwork. In: Ehrenfeld JM, neurons on body weight and glucose homeo- Urman RD, Segal, S, eds. Anesthesia Student stasis. Mol Metab 2015; 4:678-91 Wanderer JP, Rathmell JP: Anesthesiologists Zhu L, McDavid S, —””‹‡ǣ “Slow” Survival Guide: A Case-Based Approach, 2nd & Ultrasonography: A Historical Window. Voltage-Dependent Inactivation of CaV2.2 edition. New York, New York: Springer; 2016 Vasilevskis EE, Pandharipande PP, Graves Anesthesiology 2015; 123(3):A23 Calcium Channels Is Modulated by the PKC AJ, Shintani A, Tsuruta R, Ely EW, Girard Activator Phorbol 12-Myristate 13-Acetate Baysinger CL, Staat B: Uteroplacental anat- (PMA). PLoS One 2015; 10:e0134117 ǣƒŽ‹†‹–›‘ˆƒ‘†‹Ƥ‡†‡“—‡–‹ƒŽ”‰ƒ Wanderer JP, Rathmell JP: Assessing the ‘›ǡ„Ž‘‘†ƪ‘™ǡ”‡•’‹”ƒ–‘”›‰ƒ•‡š ƒŠ‰‡ǡ Failure Assessment Score Using the Richmond Quality of Anesthesia Quality Metrics. Anes- drug transfer, and teratogenicity. In: Baysing- Agitation-Sedation Scale. Crit Care Med 2016; thesiology 2016; 124(6):A21 ‘‘Šƒ’–‡”• er C, Bucklin B, Gambling D, eds. A Practical 44:138-46 Approach to Obstetric Anesthesia, 2nd Adams J, Wolfe JW, Š”‡ˆ‡Ž† ǣ Pharma- edition. Philadelphia, Pennsylvania: Wolters Wanderer JP, Rathmell JP: Perioperative Kluwer; 2016, pp 19-33 Vasilopoulos T, Morey TE, Dhatariya K, ‹ ‡ and Acute Care Transfusion Strategies: One cology of adjunct agents. In: Ehrenfeld JM, - Urman RD, Segal, S, eds. Anesthesia Student  ǣ‹‹–ƒ–‹‘•‘ˆ‹‰‹Ƥ ƒ ‡‡•–‹‰‹Ž‹ •‹œ‡ƒ›‘–Ƥ–ƒŽŽǤ‡•–Š‡•‹‘Ž‘‰›͚͙͘͞Ǣ ical Research: A Review of Multiple Compar- 125(1):A21 Survival Guide: A Case-Based Approach, 2nd Bose R, Š”‡ˆ‡Ž† ǣ Physiology and anes- ‹•‘‘””‡ –‹‘•ƒ†ơ‡ –‹œ‡ƒŽ —Žƒ–‹‘• edition. New York, New York: Springer; 2016 thesia for elderly patients. In: Ehrenfeld JM, with Correlated Measures. Anesth Analg 2016; Urman RD, Segal, S, eds. Anesthesia Student Wanderer JP, Rathmell JP: Postoperative 122:825-30 Adams J, Wolfe JW, Š”‡ˆ‡Ž† ǣ Pharmacol- Survival Guide: A Case-Based Approach, 2nd Acute Kidney Injury: Risk Factors and Pos- edition. New York, New York: Springer; 2016 sible Interventions. Anesthesiology 2016; ogy of inhalational agents. In: Ehrenfeld JM, Vincent JL, Shehabi Y, Walsh TS, Pandhar- 124(5):A21 Urman RD, Segal, S, eds. Anesthesia Student ipande PP, Ball JA, Spronk P, Longrois D, Survival Guide: A Case-Based Approach, 2nd ‹––”‹ Šǣ Headaches. In: Huntoon M, ed. Strom T, Conti G, Funk GC, Badenes R, Mantz edition. New York, New York: Springer; 2016 A Review of Pain Medicine for Board Exams. J, Spies C, Takala J: Comfort and patient-cen- Wanderer JP, Rathmell JP: Randomized New York, New York: Oxford University Press; tred care without excessive sedation: the Controlled Trials vs. Administrative Database 2016 Studies. Anesthesiology 2015; 123(2):A23 Adams J, Wolfe JW, Š”‡ˆ‡Ž† ǣ Pharmacol- eCASH concept. Intensive Care Med 2016; ogy of intravenous agents. In: Ehrenfeld JM, 42:962-71 Urman RD, Segal, S, eds. Anesthesia Student Edwards DA, Boezaart AP: The applied anat- Whitney GM, Woods MC, ”ƒ ‡ ǡ Austin Survival Guide: A Case-Based Approach, 2nd omy of the abdominal and pelvic sympathetic Walters JL, ƒ •‘ǡ Byrne D,  —‡‡ǣ TM, ‡‡‰ƒ ǡ Paroskie A, Booth GS, Young edition. New York, New York: Springer; 2016 ganglia. In: Boezaart AP, ed. The Anatomical Postsurgical pain in low- and middle-income PP, Dmochowski RR, ƒ†„‡”‰ǡ‹ŽŽƒǣ Foundations of Regional Anesthesia and Acute Reducing intraoperative red blood cell unit countries. Br J Anaesth 2016; 116:153-5 Adams J, Wolfe JW, Š”‡ˆ‡Ž† ǣ Pharma- Pain Medicine. Potomac, Maryland: Bentham wastage in a large academic medical center. Science Publishers; 2016 Transfusion 2015; 55:2752-8 cology of local anesthetics. In: Ehrenfeld JM, ƒ†‡”‡” ǡ ”—••ǡŠ”‡ˆ‡Ž† ǣ Using Urman RD, Segal, S, eds. Anesthesia Student Visual Analytics to Determine the Utilization Survival Guide: A Case-Based Approach, 2nd Edwards DA, Le-Wendling L, Kent M, Tighe P: of Preoperative Anesthesia Assessments. Appl Wills TA, Baucum AJ, 2nd, Holleran KM, Chen edition. New York, New York: Springer; 2016 The acute pain team. In: Stuart-Smith K, ed. Clin Inform 2015; 6:629-37 Y, Pasek JG, Delpire E, Tabb DL, Colbran RJ, Perioperative Medicine - Current Controver- Winder DG: Chronic intermittent alcohol sies. New York, New York: Springer; 2016 disrupts the GluN2B-associated proteome and Adams J, Wolfe JW, Š”‡ˆ‡Ž† ǣ Pharma- Rathmell JP: An- cology principles. In: Ehrenfeld JM, Urman ƒ†‡”‡” ǡ —‡‡ǡ •’‡ ‹Ƥ ƒŽŽ›”‡‰—Žƒ–‡•‰”‘—’  Ž—”‡ ‡’- esthesiologists Without Borders: Working for tor-dependent long-term depression. Addict RD, Segal, S, eds. Anesthesia Student Survival Š”‡ˆ‡Ž† ǣ Ethical and legal issues in an- Better Surgical Outcomes in Resource Limited Biol 2015 Nov [Epub] Guide: A Case-Based Approach, 2nd edition. esthesia. In: Ehrenfeld JM, Urman RD, Segal, Settings. Anesthesiology 2016; 124(3):A21 New York, New York: Springer; 2016 S, eds. Anesthesia Student Survival Guide: A Case-Based Approach, 2nd edition. New York, Wu A, Brovman EY, Whang EE, Ehrenfeld JM, New York: Springer; 2016 Wanderer JP, Nathan N: Pre- and Postopera- Urman RD: The Impact of Overestimations Atkins JH, Š”‡ˆ‡Ž† ǣAmbulatory surgery –‹˜‡”‘’‘‹Ž‡˜ƒ–‹‘ǣơ‡ –•‘‘•–‘’‡”ƒ- of Surgical Control Times Across Multiple and out of OR procedures. In: Ehrenfeld JM, tive Mortality. Anesth Analg 2016; 123:1 Specialties on Medical Systems. J Med Syst Urman RD, Segal, S, eds. Anesthesia Student Š”‡ˆ‡Ž† ǣ Physiology & anesthesia for 2016; 40:95 Survival Guide: A Case-Based Approach, 2nd urologic surgery. In: Ehrenfeld JM, Urman Wanderer JP, Rathmell JP: A Brief History of edition. New York, New York: Springer; 2016 RD, Segal, S, eds. Anesthesia Student Survival 38 Guide: A Case-Based Approach, 2nd edition. atric Anaesthesia and Critical Care (Special Westman A, ˜‘›ǣ Intraoperative ‡‡–– ǡ‡‡‰ƒǡ Maltais S, Preto- New York, New York: Springer; 2016 Edition). United Kingdom: World Federation of problems. In: Ehrenfeld JM, Urman RD, Segal, ”‹—•ǣ Failed Percutaneous Transcatheter Societies of Anaesthesiologists; 2015, Vol 30, S, eds. Anesthesia Student Survival Guide: A Tricuspid Valve-in-Valve Replacement Caused ƒ›•ǡ Deshpande JK: Neurotoxicity of No 1, pp 178-86. ISBN: 1353-4882 Case-Based Approach, 2nd edition. New York, by Retained Valve Holder. Anesth Analg 2016; anesthesia on developing brain. In: Baheti New York: Springer; 2016 122:34-6 DK, Dhayagude SH, Deshpande JK, Menon R, ‡™–‘ǡǣ Major elective surgery in eds. World Clinics Anesthesia, Critical Care, & children, and surgery in remote and rural Whitney,Gina, —ƒ‡ƒ˜‡•ǡ”‹ƒ‘ƒ- ‹  ǡ‡‡†› ǡ‹‡‰”‹•–ǡ Mudrick Pain Pediatric Anesthesia-II. New Delhi, India: locations. In: Homer R, Walker I, Bell G, eds. Š—‡ǣ—Ž–‹‘”‰ƒ‡ơ‡ –•‘ˆ ‘‰‡‹–ƒŽ ƒ”†‹ƒ  J, Hernandez A, Bennett J, Wagner CE: Jaypee; 2015, pp 117-42 Update in Anaesthesia: Paediatric Anaesthe- surgery. In: Andropoulos DB, Stayer SA, Malignant Hyperthermia During Double-Lung sia and Critical Care (Special Edition). United Mossad EB, Miller-Hance WC, eds. Anesthesia Transplantation. J Cardiothorac Vasc Anesth ‡”ƒ†‡œǡŠ‡”™‘‘†ǣ Anesthesiology Kingdom: World Federation of Societies of for Congenital Heart Disease, 3rd edition. 2016; 30:443-5 principles, pain management, and conscious Anaesthesiologists; 2015, Vol 30, No 1, pp 133- Hoboken, New Jersey: John Wiley & Sons, Inc.; sedation. In: Townsend CM, Beauchamp RD, 40. ISBN: 1353-4882 2015 ”‘’•‡›ǡ ˜‘›ǣ Local Anesthetic Evers MB, Mattox KL, eds. Sabiston Textbook Systemic Toxicity in a Nonoperative Location. of Surgery: The Biological Basis of Modern Ori A, Š”‡ˆ‡Ž† ǣ Quality assurance, Young JL, Lockhart EM, ƒ›•‹‰‡”ǣ Man- Simul Healthc 2015; 10:326-8 Surgical Practice, 20th edition. Philadelphia, patient and provider safety. In: Ehrenfeld JM, agement of the opioid dependent parturient. Pennsylvania: Elsevier; 2016 Urman RD, Segal, S, eds. Anesthesia Student In: Baysinger C, Bucklin B, Gambling D, eds. Epstein RH, – ƒ “—‡• ǡƒ†‡”‡” ǡ Survival Guide: A Case-Based Approach, 2nd A Practical Approach to Obstetric Anesthe- ‘„—Ž‹‡ǡ Agarwalla N: Prophylactic An- ‹‰‡–‡”ǡ ˜‘›ǣ Electrolytes and edition. New York, New York: Springer; 2016 sia, 2nd edition. Philadelphia, Pennsylvania: tibiotic Management of Surgical Patients Not- acid-base analysis. In: Ehrenfeld JM, Urman Wolters Kluwer; 2016, pp 655-67 ed as “Allergic” to Penicillin at Two Academic RD, Segal, S, eds. Anesthesia Student Survival ‹ Šƒ”†•‘ ǡ‹‹ ‡Ž‹Ǧ•‹‰‘†ǣ Hospitals. A A Case Rep 2016; 6:263-7 Guide: A Case-Based Approach, 2nd edition. Fetal assessment. In: Baysinger C, Bucklin B, ‘‘•ƒ† —‹†‡• New York, New York: Springer; 2016 Gambling D, eds. A Practical Approach to Ob- ”ƒŽ‹ǡ‡•‡”ǡ Naftel RP: Fluo- stetric Anesthesia, 2nd edition. Philadelphia, Baysinger C, Bucklin B, Gambling D, eds: A roscopically Guided Epidural Blood Patch ‹‰‡–‡”ǡ ˜‘›ǣ Fluids and trans- Pennsylvania: Wolters Kluwer; 2016 Practical Approach to Obstetric Anesthesia, ơ‡ –‹˜‡ˆ‘””‡ƒ–‡–‘ˆƒ‘•–•—”‰‹ ƒŽ fusion therapy. In: Ehrenfeld JM, Urman RD, 2nd edition. Philadelphia, Pennsylvania: Wolt- Pseudomeningocele in a Pediatric Patient. Segal, S, eds. Anesthesia Student Survival ‘ƒ‡ŽŽ‹ǣ Pediatric surgery. In: Ehrenfeld ers Kluwer; 2016 Reg Anesth Pain Med 2016; 41:542-3 Guide: A Case-Based Approach, 2nd edition. JM, Urman RD, Segal, S, eds. Anesthesia Stu- New York, New York: Springer; 2016 dent Survival Guide: A Case-Based Approach, Eckstrand KL, Ehrenfeld JM, eds: Lesbian, Jelly CA, Jiang Y, Hoeft M, ‹ƒ‰ǣ Transe- 2nd edition. New York, New York: Springer; Gay, Bisexual, and Transgender Healthcare: sophageal Echocardiography Assisting in the Lai D, Š”‡ˆ‡Ž† ǣ History of anesthesia and 2016 A Clinical Guide to Preventive, Primary, and Diagnosis of Intraabdominal Hemorrhage introduction to the specialty. In: Ehrenfeld Specialist Care. New York, New York: Springer; During Cardiac Arrest. A A Case Rep 2016; JM, Urman RD, Segal, S, eds. Anesthesia Stu- Sandberg WS, Dmochowski R, Beauchamp 2016 6:201-3 dent Survival Guide: A Case-Based Approach, RD: Safety in the surgical environment. In: 2nd edition. New York, New York: Springer; Townsend CM, Beauchamp RD, Evers MB, Ehrenfeld JM, Urman RD, Segal S, eds: Anes- ‘”‹ ǣ Case 2015-1: ‘My Aircraft’ – ‘Your Air- 2016 Mattox KL, eds. Sabiston Textbook of Surgery: thesia Student Survival Guide: A Case-Based craft’ – A Look at a Standardized Communica- The Biological Basis of Modern Surgical Prac- Approach, 2nd edition. New York, New York: tion Case: A Case Report from the Anesthesia McLean BC, Plunkett A, Š”‡ˆ‡Ž† ǣ Anes- tice, 20th edition. Philadelphia, Pennsylvania: Springer; 2016 Incident Reporting System. ASA Newsletter thetic techniques: General, sedation, MAC. Elsevier; 2016, pp 187-200 2016; Jan In: Ehrenfeld JM, Urman RD, Segal, S, eds. Frederickson TW, Gordon DB, De Pinto M, Anesthesia Student Survival Guide: A Case- Shah PR, Wagner C, Šƒ™ǣ Echocardiog- Kral LA, Furnish T, —’–ƒǡ Austin PN, eds: Mahanna E, Edwards DA, Tarante N, Rahman Based Approach, 2nd edition. New York, New raphy and ultrasound in the intensive care Reducing Adverse Drug Events Related to M, Petersen JW, Bihorac A: Variant Neurogen- York: Springer; 2016 unit. In: Evans AS, Kerr GE, Chung I, Varghese Opioids Implementation Guide. Philadelphia, ic Stunned Myocardium in a Young Female R, eds. Modern Concepts and Practices in Pennsylvania: Society of Hospital Medicine; After Subarachnoid Hemorrhage. A A Case McLean BC, Plunkett A, Š”‡ˆ‡Ž† ǣ Anes- Cardiothoracic Critical Care. Hershey, Penn- 2015 Rep 2016; 6:10-13 thetic techniques: Regional. In: Ehrenfeld JM, sylvania: IGI Global; 2015, pp 890-907. ISBN: 9781466686038 Urman RD, Segal, S, eds. Anesthesia Student Wiklund ME, Kendler J, Hochberg L, Weinger ‡Š”ǡ‡‡Ž‡›ǡ‹Ž‡›ǡ—ƒ”ǣ Survival Guide: A Case-Based Approach, 2nd ǣ Technical Basis for User Interface Design Profound Autonomic Instability Complicated edition. New York, New York: Springer; 2016 Urman RD, Š”‡ˆ‡Ž† ǣ Malignant hyper- of Health IT (NIST GCR 15-996). Washing- by Multiple Episodes of Cardiac Asystole and thermia. In: Ehrenfeld JM, Urman RD, Segal, ton, DC: National Institute of Standards and Refractory Bradycardia in a Patient with An- Nava RD, Bhalla TǡŠ”‡ˆ‡Ž† ǣ Postoper- S, eds. Anesthesia Student Survival Guide: A Technology, US Department of Commerce; ti-NMDA Encephalitis. Case Rep Neurol Med ative care unit and common postoperative Case-Based Approach, 2nd edition. New York, September, 2015 2016; 2016:7967526 problems. In: Ehrenfeld JM, Urman RD, Segal, New York: Springer; 2016 S, eds. Anesthesia Student Survival Guide: A ƒ•‡‡’‘”–• ‘„‡› ǡ ”ƒŽ‹ǣ Ultrasound-Guided Case-Based Approach, 2nd edition. New York, Walters JL,  ˜‘›ǣ Peripheral, arterial, ‹„‹ƒŽ‡”˜‡Ž‘ ˆ‘”‡Ƥ‹–‹˜‡”‡ƒ–‡–‘ˆ New York: Springer; 2016 and central lines and gastric tube placement. Ž˜‹•ǡ‘„‡›ǣ Oral Baclofen With- Tarsal Tunnel Syndrome in a Pediatric Patient. In: Ehrenfeld JM, Urman RD, Segal, S, eds. Reg Anesth Pain Med 2016; 41:415-6 Anesthesia Student Survival Guide: A Case- drawal Resulting in Progressive Weakness ‡™–‘ǡǣAnaesthesia for emergency and Sedation Requiring Intensive Care pediatric general surgery. In: Homer R, Walker Based Approach, 2nd edition. New York, New York: Springer; 2016 Admission. The Neurohospitalist 2016; Townley KR, Lane J, Packer R, —’–ƒǣ Un- I, Bell G, eds. Update in Anaesthesia: Paedi- Mar:1941874416637404 intentional Infusion of Phenylephrine into the 39 Epidural Space. A A Case Rep 2016; 6:124-6 Ely EW, ƒ†Šƒ”‹’ƒ†‡ǣ The Evolving 152:233-4 ›‡• ǡƒ–‹•ǣ A ‘Wake up’ call for Approach to Brain Dysfunction in Critically Ill our specialty-time to examine the impact of †‹–‘”‹ƒŽ•Ȁ‘‡–ƒ”‹‡•Ȁ‘‘‡˜‹‡™• Patients. JAMA 2016; 315:1455-6 ƒ†„‡”‰ǣ Searching for Meaningful production pressure on patient safety. Paedi- Topics of Improvement in Anesthesiology. atr Anaesth 2016; 26:667-8 ƒ•ƒŽǡŠƒ•–”‹ǡ —’–ƒǡƒŽƒ•ǣ Con- ƒ”˜‡›ǣ Dealing with Deception: A Perspec- Anesthesiology 2016; 124:261-3 tinuous Perineural Catheters for Postoperative tive on Malingering. Anesthesiology News Lam H, ‰—›‡ǡ Austin TM: Routine Pain From an Ambulatory Surgery Center. Reg 2016; May Sandberg WS, Talbot TR: Injection Rhymes epidurography for epidural placement in anes- Anesth Pain Med 2016; 41:543 with Infection? Anesthesiology 2016; 124:752-4 thetized pediatric patients. Paediatr Anaesth ‡•–‡”ǣ Master Techniques in Upper and 2016; 26:326-7 ƒ›•‹‰‡”ǣ Editorial comment on Ranga- Lower Airway Management. Anesth Analg Schetz M, Shaw AD, Vincent JL: Is the liter- nathan et al. Chronic headache and backache 2016; 122:914 ature inconclusive about the harm of HES? Lubrano M, ƒ†‡”‡” ǡŠ”‡ˆ‡Ž† ǣ are long-term sequelae of unintentional dural We are not sure. Intensive Care Med 2016 Mar Long-Term Opioid Therapy for Chronic Pain. puncture in the obstetric population, J Clin Isono S, ƒ†„‡”‰ǡ ‹ƒ‰ǣ Do You [Epub] Ann Intern Med 2015; 163:147 Anesth 2015; 27:201-6. Obstetric Anesthesia Believe What You See or What You Hear? Ul- Digest 2016; 36:4-5 trasound versus Stethoscope for Perioperative  ŠŽ‡•‹‰‡” ǣ Pulse Oximetry: Perception,  —‡‡ǣ The Case for Oxygen in Global Clinicians. Anesthesiology 2016; 124:989-91 Pitch, Psychoacoustics, and Pedagogy. Anesth Surgical Care. World J Surg 2016; 40:1786 ƒ›•‹‰‡”ǣ Editorial comment on Rein- Analg 2016; 122:1253-5 ‹ƒ‹‡‡–ƒŽǤ‘–‹—‘—•™‘—†‹ƤŽ–”ƒ–‹‘ ‹ƒ‰ǡŠƒ™ǣ Albumin Supplementation ‹‡••ǡ Aufderheide TP, Yannopoulos D: with ropivacaine for analgesia after caesarean as a Therapeutic Strategy in Cardiac Surgery:  ŠŽ‡•‹‰‡” ǣ Making Opioids Safer at the Therapeutic Hypothermia in Children. N Engl J section: a randomized, placebo controlled tri- Useful Tool or Expensive Hobby? Anesthesiol- End-of-Life. The Doctor Weighs In, July 30, Med 2015; 373:979-80 al, Acta Anaestheseiol Scand 2014; 58:973-79. ogy 2016; 124:983-5 2015 http://thedoctorweighsin.com/making- Obstetric Anesthesia Digest 2015; 35:167-8 opioids-safer-at-the-end-of-life/ Accessed July Saied N, Helwani MA, ƒ†Šƒ”‹’ƒ†‡ǣ Kellum JA, Šƒ™ǣ Assessing Toxicity of In- 30, 2016 Intraoperative protective ventilation: too early ƒ›•‹‰‡”ǣ Editorial comment on Weigand travenous Crystalloids in Critically Ill Patients. –‘”‡†‡Ƥ‡ƒƒ‰‡‡–’ƒ”ƒ‡–‡”•ǫ  et al. Buprenorphine and naloxone compared JAMA 2015; 314:1695-7 Š‡”™‘‘†ǣ What’s New in Shock? October 2015; 351:h5126 with methadone treatment in pregnancy, 2015. Shock 2015; 44:291-3 Obstet Gynecol 2015; 125:363-8. Obstetric ‹Ž‡ŽŽ›ǡ ˜‘›ǣ Review of Barash’s  ŠŽ‡•‹‰‡” ǣ In Response. Anesth Analg Anesthesia Digest 2015; 35:192-3 Clinical Anesthesia Fundamentals. Anesth ‘„‡›ǡ‹‰ǡ ˜‘›ǣ Postopera- 2015; 121:836 Analg 2016; 122:1715-16 tive Ketamine: Time for a Paradigm Shift. Reg ‡™‹–œǡƒ–‹•ǡ‘ƒŠ—‡ǣ Anesth Pain Med 2016; 41:424-6 Tabing AK, Š”‡ˆ‡Ž† ǡƒ†‡”‡” ǣ In Assessing the Risks of Noncardiac Surgery for ‹‰ǡ ˜‘›ǡ ‘™Ž‡”ǡƒ†‡”‡” reply: Observational study of prolonged times Children With Congenital Heart Disease. J Am JP, Geiger TM, Furman WR, Sandberg WS: Wanderer JP, Poler SM, ‘–Šƒǣ Show to tracheal extubation. Can J Anaesth 2016; Coll Cardiol 2016; 67:802-3 Disruptive Education: Training the Future Gen- Me the Data! A Perioperative Data Warehouse 63:117-8 eration of Perioperative Physicians. Anesthesi- of Epic Proportions. Anesth Analg 2016; Š‹ ǡ‹ ‡ ǣ Propofol: To shake or not ology 2016; 125:266-8 122:1742-3 Tabing AK, Š”‡ˆ‡Ž† ǡƒ†‡”‡” ǣ In to shake. Romanian Journal of Anesthesia and ”‡’Ž›ǣ‡˜‘ƪ—”ƒ‡‘”†‡•ƪ—”ƒ‡ǣŠ‹ Š‘‡‹• Intensive Care 2016; 1:5-6 Logan MK, Benjamin BE, Blake N, Chapman Letters more expensive? Limiting the accessibility of RC, Neder M, Plohal A, Sims NM, Sparnon E, cost-prohibitive drugs: The story is incom- †™ƒ”†•ǣ Fentanyl: widely used, deadly Trbovich P, ‡‹‰‡”ǣ A Roundtable Dis- Camann WR, Baysinger CL, Collins MR, Valle- plete. Can J Anaesth 2016; 63:361 when abused. The Conversation, June 16, 2016 cussion: Working Toward Safer, Easier-to-Use jo MC, Anderson J, Wood CL, Hawkins JL, Car- http://theconversation.com/fentanyl-widely- Infusion Systems. Biomed Instrum Technol valho B, Rollins MD, Bishop J, Brumley J: How ‡”‡Š‘˜ǡŠ”‡ˆ‡Ž† ǡƒ†‡”‡” ǣ In used-deadly-when-abused-60511 Accessed 2015; Suppl:6-12 to say “Yes” to nitrous oxide for Labor. Society Reply. Anesthesiology 2016; 124:1196-7 July 30, 2016 for Obstetric Anesthesia and Perinatology McEvoy MD, Lien CA: Education in Anesthe- Summer Newsletter 2015; 45:22-24 †™ƒ”†•ǣ’‹‘‹†‡’‹†‡‹ ƒơ‡ –•ƒŽŽ siology: Is It Time to Expand the Focus? A A Tennesseans. The Tennessean, April 24, 2016 Case Rep 2016; 6:380-2 Davis RE, Hansen EN, ‡™–‘ǣ Faith- Newsletter Articles http://www.tennessean.com/story/opinion/ Based Organizations and Academic Global contributors/2016/04/24/opioid-epidemic-af-  ˜‘›ǣ The Add-on. Anesthesiology Surgery’s Moral Imperative. JAMA Surg 2016; fects-all-tennesseans/83197228/ Accessed July 2016; 125:412-3 ”‘  ǣ How SCOR Data Helps Tennessee 30, 2016 151:296 Ambulatory Surgery Center Prove It’s Worth. SAMBA Link 2016; Apr:12-12  —‡‡ǣ Oxygen: The Missing Element Ehrenfeld JM, Spickard WA, 3rd, Cutrer WB: Kappen TH, Wanderer JP, Ehrenfeld JM, in Low-Income Countries. World J Surg 2016; ‡‹‰‡”ǣ Is Intraoperative Hypotension Medical Student Contributions In The Work- 40:249-50  —‡‡ǡ Stabile M: Global Patient Safety. place: Can We Put a Value on Priceless? J Med Truly a Too Simple Problem for Useful Decision ASA Monitor 2016; May Syst 2016; 40:128 Support? Anesth Analg 2016 Jun [Epub] Realities of Anesthesia Care in  —‡‡ǣ ‹ ‡ǡ ǡ Coursin DB: Measuring Glucose Resource-limited Settings. Anesthesiology Kla KM, Coursin DB, Limitations Š”‡ˆ‡Ž† ǣ The Storm Abroad: Anesthe- ‹ ‡ ǣ with Point-of-Care Meters: Be Careful! APSF 2016; 124:521-2 ‘ˆ–Š‡—’‹ŽŽƒ”›‡ƪ‡šǣ‘–Š‡›‡• ƒ˜‡ –ǫ Newsletter 2015; Oct siology During Wartime: Giving Blood on the Anesthesiology 2015; 123:1480-1 ƒ––Ž‡Ƥ‡Ž†Ǥ‡•–Š‡•‹‘Ž‘‰›‡™•͚͙͘͝ –Ǣ 41(10) ‰—›‡ǡ ‘ƒŠ—‡ǣ Sex matching and red cell safety. J Thorac Cardiovasc Surg 2016; Shah PR, ‡”ƒ†‡œǡǣ Critical Care Ultra- 40 sound: Lessons Learned in Implementation. Anesthesiology Newsletter 2015; 79:16-18 Department recognized for military support

Sobey JH, Newton M, ‘ƒ‡ŽŽ‹ǡ —‡Žǡ ǣ 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

ƒ”˜‡›ǣ Alms. Ann Intern Med 2016; 164:341

ƒ”˜‡›ǣ Reconnecting. JAMA 2016; 315:1171

‡•–‡”ǣ Roentgen’s Garden. JAMA 2015; 314:87

‡•–‡”ǣ Two Requests on Good Friday in the Preoperative Assessment Clinic. Journal of Medical Humanities 2016; 37:115 ”ǤƒŽ•‡”ǡ”ǤŠ”‡ˆ‡Ž†ǡ”Ǥƒ†„‡”‰ƒ†ƒ”Žƒ„‡”–ǡ‘‹––‡‡Šƒ‹”ǡ‡‡••‡‡  ‡•–‡”ǣ Lines Written on Viewing “Ether ƒ›ǡ͙͜͠͞dz‹–Š‡—ŽŽƤ Š’Š‹–Š‡ƒ–‡”Ǥ Anesthesiology 2016; 124:1408-9 Dr. Warren S. Sandberg, Department Chair, was presented with the honorable Committee for the ’Ž‘›‡”—’’‘”–‘ˆ–Š‡ —ƒ”†ƒ†‡•‡”˜‡ȋ Ȍƒ–”‹‘–‹ ’Ž‘›‡”™ƒ”†Ǥ”Ǥ ‡ơ”‡›ƒŽ•‡”ǡ —”’Š›ǣ Ten-Minute Miracle, Pulse, 2015 https://www.pulsevoices.org/index.php/ President & CEO, Vanderbilt University Medical Center, and Dean, Vanderbilt University School of archive/stories/538-ten-minute-miracle. Medicine, received the ESGR Pro Patria Award. Dr. Jesse Ehrenfeld recommended Dr. Balser and Dr. Accessed 2016 Jul 30 Sandberg for the outstanding support given to him while performing his military duties as a US Navy ‡•‡”˜‡ƥ ‡”Ǥ

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 Guardsmen and Reservists and supporting them while they perform their military duties, both in training and 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.

41 5HFRJQL]LQJIDFXOW\DFKLHYHPHQWV

‡™Ž‹‹ ƒŽȀ‡ƒ†‡”•Š‹’‘Ž‡• Achievements Brian Allen, MD, named the Director of the Kelly McQueen, MD, MPH, named Leadership Regional Anesthesia and Acute Pain Medicine Professor of Anesthesiology and Surgery Matthew McEvoy, MD, is Fellowship Carrie Menser, MD, named Medical Director now a member of the Rob Deegan, MB, ChB, BAO, PhD, FFARCSI, for the Monroe Carell Jr Children’s Hospital Vanderbilt Academy for named Professor of Clinical Anesthesiology at Vanderbilt (MCJCH) Post-Anesthesia Care Excellence in Teaching and Unit (PACU) joins members Warren David Edwards, MD, PhD, named Clinical Ser- Sandberg, MD, PhD, Scott vice Chief of Inpatient Chronic Pain Service. Mark Newton, MD, named Professor of Watkins, MD, Amy Robertson, Anesthesiology MD, Jesse Ehrenfeld, MD, Vanderbilt Academy for Excellence in Teaching members: Matthew Raj Gupta, MD, named Associate Professor of MPH, Michael Richardson, 0F(YR\0'-DQH(DVGRZQ0'-HVVH(KUHQIHOG0'03+6FRWW Anesthesiology Mias Pretorius, MBChB, MSCI, Associate MD, Jane Easdown, MD, and :DWNLQV0'$P\5REHUWVRQ0'0LFKDHO5LFKDUGVRQ0':DUUHQ Professor of Anesthesiology and Medicine, Not pictured: Michael Pilla, MD Michael Pilla, MD. 66DQGEHUJ0'3K' Travis Hamilton, DO, named Section Head of named Division Chief of Cardiothoracic Regional Anesthesiology Services and Acute Anesthesiology ƒ”‹ ‡ǡ, named to Pain Services Also: the ABA MOCA Minute Mark Rice, MD, named Associate Vice Chair • Elected for membership into the FAER Jenna Helmer-Sobey, MD, named Associate ˆ‘”Ž‹‹ ƒŽơƒ‹”• Committee as editor. (Foundation for Anesthesia Education and Fellowship Program Director Research) Academy of Research Mentors in Paul St. Jacques, MD, named Professor of Warren Sandberg, MD, PhD, served as a Anesthesiology and joins academy members Antonio Hernandez, MD, named CVICU Anesthesiology and Biomedical Informatics ‡„‡”‘ˆ–Š‡ ‹‡–‹Ƥ ơƒ‹”• Warren Sandberg, MD, PhD, Edward Medical Director Reference Committee at the 2015 ASA Sherwood, MD, PhD, and Pratik Andrew Shaw, MB, FRCA, FFICM, FCCM, House of Delegates meeting, which took Doug Hester, MD, named Associate Professor named Executive Vice Chair Pandharipande, MD, MSCI, within our place during the 2015 Annual ASA Meeting of Anesthesiology department. in San Diego, California. Ban Sileshi, MD, named Associate Fellowship • Named as recipient of the 2015 Vicenza Also: Jill Kilkelly, MD, named Associate Professor of Program Director for the Cardiothoracic ™ƒ”†ˆ‘”Š‹• ‘–”‹„—–‹‘•–‘–Š‡Ƥ‡Ž†‘ˆ • Named President-Elect of Tennessee Clinical Anesthesiology Anesthesiology fellowship international critical care nephrology. Society of Anesthesiologists for 2016. Ȉ ‹‡–‹Ƥ ”‘‰”ƒ‘‹––‡‡Šƒ‹”ˆ‘”–Š‡ Adam King, MD, named Clinical Chief of the Jason Slagle, PhD, named Research Associate •Co-editor of the third edition of David Society of Cardiovascular Anesthesiologists’ Anesthesia Perioperative Consult Service Professor of Anesthesiology Longnecker’s Anesthesiology, along with 2016 annual meeting. Mark Newman, Sean Mackey and Warren —ơ›—’‡ƒ”ǡǡƒ‡†‡‹‘”—ƒŽ‹–› Chris Sobey, MD, named the Director of the Zapol. Publisher is McGraw-Hill, and Edward Sherwood, MD, PhD, has been and Patient Advisor Pain Fellowship program publication is planned for May 2017. selected to join the AUA (Association of Stuart McGrane, MB, ChB, named Associate Lisa Weavind, MBBCh, FCCM, MMHC, named ‹˜‡”•‹–›‡•–Š‡•‹‘Ž‘‰‹•–•Ȍ ‹‡–‹Ƥ  †”‡™Šƒ™ǡǡ ǡ ǡ ǡ Fellowship Program Director Associate Division Chief of Anesthesiology Advisory Board for 2016 . The SAB is has been invited to serve as co-editor of the Critical Care Medicine and Professor of Anes- ”‡•’‘•‹„Ž‡ˆ‘”’Žƒ‹‰–Š‡• ‹‡–‹Ƥ  sixth edition of Frederick Hensley’s A thesiology and Surgery program of the AUA Annual Meeting. Practical Approach to Cardiac Anesthesia, Also: along with Dr. Glenn Gravlee and Dr. Karsten •Invited to serve on the Promotions & Bartels from UC Denver. Publisher: Wolters Tenure Committee. Kluwer.

42 A Š‹‡˜‡‡–•ȋ ‘–‹—‡†Ȍ Approval for funding by FAER (Foundation ƪexible information infrastructure that allows 2019 - Chair of 2019 ASRA Spring Meeting for Anesthesia Education and Research) was for free, open development of plug and play received by Christopher Cropsey, MD, for applications (apps) to increase ƒŒ‹•Š —’–ƒǡǡand Matthew McEvoy, Clinical Faculty Š‹•‰”ƒ–‡–‹–Ž‡†Dzơ‡ –•‘ˆƒŽ‡ –”‘‹  interoperability among health care Arna Banerjee, MBBS, received the MD, published the iOS and Android versions Decision Support Tool on Team Performance technologies,” according to a news release. R. Michael Rodriguez Award for Excellence of a new app developed in collaboration with During In-situ Simulation of Perioperative Also: in Teaching at this year’s Faculty Award ASRA, called ASRA Coags Pain. This app is Cardiac Arrest.” • Editor-in-Chief, Journal of Medical Systems. Ceremony. based on the 2015 Guidelines published by • Invited to serve as chair of the Also: ASRA on the use of anticoagulant medica- †‹‹•–”ƒ–‹˜‡ơƒ‹”•‡ˆ‡”‡ ‡‘‹––‡‡ • Named to the ASA’s Ad-Hoc Screen-Based S—•ƒƒ‰Ž‡ǡ, received a $270,000 grant tions for interventional pain procedures (as at the 2015 House of Delegates meeting Simulation Committee. from Baxter Medical for an investigator during the 2015 Annual ASA Meeting. opposed to the acute pain regional initiated trial “Peripheral intravenous device anesthesia blocks the previous app was for detecting intravascular volume overload • Joined the Rewards, Recognition, and C , is co-editor of the directed towards). —”–‹•ƒ›•‹‰‡”ǡ in dialysis patients.” Dr. Eagle is co-inventor Retention Committee as a physician second edition of A Practical Approach to • iOS - https://itunes.apple.com/us/app/ of the IV device and is principal investigator representative. This committee is being Obstetric Anesthesia, which was published in asra-coags-pain/id1033651708?mt=8 of the trial. ˆ‘”‡†–‘”‡ ‘Ƥ‰—”‡Ȁ”‡’Žƒ ‡–Š‡Ž‡˜ƒ–‡ February 2016. Publisher: Wolters Kluwer. • Android - https://play.google.com/store/ Also: Steering Committee, which mainly met to Also: apps/details?id=com.asra. • Co-founded startup company, Volumetrix, adjudicate the Credo and Five Pillar Leader • TSA District 2 Director asracoagspain&hl=en which has been recommended for Phase I awards that were given out quarterly. STTR funding by the National Science • Invited to serve on the ASA Committee on Josh Billings, MD, MSCI, has been Foundation for the project: “Wireless point- Anesthesia Care Team for the 2016 ‘—‰ ‡•–‡”ǡǡ was one of four “poets ƒ’’‘‹–‡†–‘–Š‡• ‹‡–‹Ƥ ’”‘‰”ƒ ‘ˆǦ ƒ”‡•‡•‘”ˆ‘” ‘–‹—‘—•ƪ—‹†•–ƒ–—• Governance year (October 2015-October who heal” who read from their works April committee for the Society of Cardiovascular monitoring of patients with congestive heart 2016). 19 at the Williamson County Public Library. Anesthesiologists’ annual meeting. ˆƒ‹Ž—”‡Ǥdz‘Ž—‡–”‹š•‡‡•–‘ˆ—ŽƤŽŽ ”‹–‹ ƒŽ Ȉ ‘‹‡†–Š‡ ȋƥ ‡‘ˆ ‡ƒŽ–Š ‹‡ ‡• “Alternative Medicine: Poets Who Heal” was unmet needs in medicine by developing novel Education) as Director of Education Research, presented as part of the Vanderbilt University the National Health IT Safety Collaborative Lectures in the Library series. Dƒ˜‹†Š‡•–—–ǡǡ is the 2016 ASA non-invasive devices and algorithms for and our hospital’s Hover Board Committee. Also: Rovenstine Lecturer and the editor of the intravascular volume status determination. • Serving on this year’s VUSM Faculty • Appointed to the editorial board of “Mind- Ƥˆ–Š‡†‹–‹‘‘ˆChestnut’s Obstetric • Startup company, InvisionHeart LLC, received FDA clearance for its mobile wireless Teaching and Clinical Service Awards to-Mind,” the poetry section of the journal Anesthesia: Principles and Practice, which was Selection Committee. published in April 2014. Publisher: Elsevier. 12-lead ECG system. InvisionHeart has Anesthesiology. received awards from Google Entrepreneurs, • Co-chaired a panel on medical-school education reform at the Association of the NEXT award for best healthcare startup in ”ƒ › ƒ •‘, MD, presented “The Hardest Nashville and the 2015 Southeastern Medical Health Care Journalists’ national conference in Cleveland, Ohio, on April 9, 2016. He also Pill to Swallow” on chronic pain and opioid Device Association (SEMDA) for best addiction at TEDx Nashville. emerging company. InvisionHeart was also addressed the conference of health one of 10 startups nationwide chosen to journalists as a member of the American participate in the inaugural event that Medical Association’s Board of Trustees. Šƒ‘‹Ž‡ŽŽ›ǡ, has been appointed to provides the opportunity to learn from the Tennessee Board of Osteopathic Medical experts and gain exposure to Silicon Valley ƒŒ‹•Š —’–ƒǡ, has been asked to be Examiners. investors. part of the conference leadership for ASRA (American Society of Regional Anesthesia and A˜‹ƒ•Š—ƒ”ǡ, has been elected to the Jesse Ehrenfeld, MD, MPH, has been named Pain Medicine). Duties will include: Neurosciences Section Council. to the advisory committee of the 2016 - Co-Workshop Chair for the 2016 ASRA Also: Substitutable Medical Applications & Spring Meeting Ȉ‘Ƥ”‡†‘–Š‡”‘‰”ƒ ”‡†‹–ƒ–‹‘ǡ Reusable Technology (SMART) Platforms 2017 - Refresher Course Chair for the 2017 Š›•‹ ‹ƒ‡”–‹Ƥ ƒ–‹‘Ƭ ‡ŽŽ‘™•Š‹’”ƒ‹‹‰ project, AMA announced. The SMART ASRA Spring Meeting (PACT) Committee for a four year term. project, created at Boston Children’s Hospital 2018 - Workshop Chair for the 2018 ASRA and Harvard Medical School, aims to provide World Congress on Regional Anesthesia and doctors better EHR systems by developing “a Pain Medicine continued on page 44

43

A Š‹‡˜‡‡–•ȋ ‘–‹—‡†Ȍ ”‹ƒ‘–Šƒǡǡselected to serve as incoming data use requests Education Chair of ASA’s Committee on Electronic -Mentoring investigators in using NACOR Residency class of 2020 Match: Clinical Faculty (continued) Media and Information Technology (October (National Anesthesia Clinical Outcomes • 7 of the 18 have dual degrees 2015) and President-Elect for the Society for Registry) data • 57 Peer-reviewed abstract presentations Jason Lane, MD, was elected to the board • 45 peer-reviewed manuscript publications of directors at the Association of Anesthesia Technology in Anesthesia. • Invited by the American Board of Clinical Directors’ annual meeting. Also: Anesthesiology, Inc. (ABA) and American Also: • Invited to serve on the American Society of Society of Anesthesiologists (ASA) to serve Le•Ž‹‡ ‘™Ž‡”ǡ†ǡnamed to the AAPAE • Appointed chair of the Society of Non- Anesthesiologists 2016 Ad Hoc Committee on on the newly created ABA/ASA Council (Association of Anesthesiology Operating Room Interventionalists and Data Governance. Perioperative GME Workgroup to examine Program Administrators & Educators). Anesthesiologists (SONORIA) Collaboration • Invited to participate in an ASA workgroup and review potential changes to the Also: committee. This committee is charged with that will formulate a plan to help prepare anesthesiology residency continuum of • Application selected for the VUSM Faculty the task of acting as a liaison to other members for the implementation of MACRA education to meet the present and future Fellowship to Advance Medical Education. societies and specialties (Radiology, (the “Medicare Access and CHIP needs of our patients and health care This fellowship will provide two selected Cardiology, Gastroenterology). Reauthorization Act”), including the systems. faculty members (or teams) with $25,000 per Merit-based Incentive Payment System • Associate editor for the Cover Editor and year for two years to develop and implement (MIPS). This workgroup is tasked with Illustrations section of Anesthesia & new programs, take existing programs to ‡ŽŽ› —‡‡ǡǡ , was the determining appropriate criteria for EHR Analgesia. the next level or scale up programs that have recipient of an alumni award from The meaningful use for anesthesia care to • Co-PI on a National Science Foundation already been piloted successfully. University of Vermont College of Medicine - propose them to the Centers for Medicare & grant recently awarded to Biomedical • Invited to participate as an alternate the 2016 Service to Medicine & Community Medicaid Services (CMS) for inclusion in the Informatics. The project is entitled “TWC: portfolio coach in the academic year 2015-16 Award. MIPS. Small: Analysis and Tools for Auditing Insider „›ƒ†‡”„‹Ž–ǯ•ƥ ‡‘ˆ ‡ƒŽ–Š ‹‡ ‡• Also: • Chair of (HIMSS) Healthcare Information Accesses.” Education. • ASA Alternate Delegate for TSA. and Management Systems Society’s • Co-investigator on Dr. Thomas Lasko’s R01 Connected Health Committee. grant that was recently approved: • Serving on the ad hoc committee on Dz †‡–‹Ƥ ƒ–‹‘ǡš–”ƒ –‹‘ƒ†‹•’Žƒ›‘ˆ Ž‹•ƒ„‡–Š —‰Š‡•ǡǡand‡•Ž‹‡ ‘™Ž‡”ǡ Approval for funding by VICTR, pending IRB MEd, received the Stephen Abrahamson’s approval, was received by ƒ•‘ǯ‡ƒŽǡǡ Payment Reform. The Steering Committee Clinical Data Patterns with Application to will collect and assemble information from ‡•–Š‡•‹ƒ‘”ƪ‘™•Ǥdz Outstanding Innovation Award for their ˆ‘”Š‹•’”‘Œ‡ –‡–‹–Ž‡†Dz‡—”‘‹ƪƒƒ–‹‘ abstract “A Novel Approach to and postoperative delirium in cardiac ASA members and task oriented workgroups –‘†‡˜‡Ž‘’ƒ†ƒ•™‡”•’‡ ‹Ƥ “—‡•–‹‘• Randomization of ACGME Milestones surgery.” The project was was also approved L‹•ƒ‡ƒ˜‹†ǡŠǡ ǡ ǡ has into Daily Anesthesia Resident Evaluations” for an Innovation Grant through the about anesthesiology’s current state and been elected to VU School of Medicine necessary future direction relevant to the four at the Innovations in Medical Education department. Faculty Senate. Conference held in February. components of MIPS and the development of Also: APMs (alternative payment models). Pratiƒ†Šƒ”‹’ƒ†‡ǡǡ ǡ has been • Led two remote bedside monitoring Michael Pilla, MD, appointed Vice Chair for selected as a member of the FAER programs - Integrated Presence and Bedside the Problem-Based Learning Discussions ASA (Foundation for Anesthesia Education and Jonathan Wanderer, MD, MPhil, has been ‘‹–‘”‹‰Ǥ‘–Š‘ơ‡””‡ƒŽǦ–‹‡ Ž‹‹ ƒŽ Committee for the 2017 governance year. Research) Academy of Research Mentors in selected to serve as an examiner for the information, early recognition and Also: Anesthesiology and joins academy members American Board of Anesthesiology’s (ABA) preemptive intervention to mitigate • Invited to join the VUSM Clinical Practice Warren Sandberg, MD, PhD, Edward Part 2 Examination. complications and improve patient Appointments and Promotions Committee. Sherwood, MD, PhD, and Andrew Shaw, MB, Also: outcomes. • Invited to serve on the Anesthesia Quality FRCA, FFICM, FCCM, within our department. Am›‘„‡”–•‘ǡǡ appointed as Chair Also: Institute Data Use Committee. Committee responsible for: Designee of the Medical Student Education • Received a 2016 Presidential Citation from CRNAs Committee for the Society of Education in the Society of Critical Care Medicine. -Advising on the appropriate handling of re search data requests on an ongoing basis Middle Tennessee School of Anesthesia Anesthesia. • Received an invitation from Dr. Balser to (MTSA) awarded ”ƒ†‘••ǡǡǡ the Also: participate in the School of Medicine (i.e., making a recommendation to the AQI Board on how research requests should be Ikey DeVasher Distinguished Alumni Service • Proposal “Using Interactive Video to Teach Academic Leadership Program, administered Award and ‘ŠŠ‹‡Ž†•ǡǡǡthe Clinical Procedures” will be funded by the „›–Š‡ƥ ‡‘ˆ ƒ —Ž–›ơƒ‹”•Ǥ handled) -Participating with the DUC in review of Clinical Excellence Award. Vanderbilt Institute of Digital Learning. Loren Smith, MD, PhD, received AUA’s Association of University Anesthesiologists Also: Therapeutics) 2015 Washington Fellows Margaret Wood Resident Research Award (AUA). • Grant entitled “Molecular and Functional Program. Dr. Patil participated in advocating and SOCCA’s Young Investigator Award for Šƒ”ƒ –‡”‹œƒ–‹‘‘ˆ–Š‡Ƥ”•–‘™Š—ƒ for increased support of the National her abstract “A Novel Association Between S ‘––ƒ–‹•ǡ, was elected Vice Chair mutation of the SLC12A2 gene” will be Institutes of Health and other science High Density Lipoprotein Levels and the Risk for the anesthesia section of the Society for funded by the NIH. agencies. of Acute Kidney Injury After Cardiac Surgery.” Simulation in Health Care. Jerod Denton, PhD, was invited to join the V‹”ƒ‹™ƒ”‹ǡŠ, elected as “President Editorial Advisory Board for the American Elect” of the Health Applications Society Pediatrics Research Faculty Journal of Physiology – Cell Physiology. (HAS) within the Institute for Operations Stephen Hays, MD, was appointed to the A grant award from the Patient Centered Also: Research and the Management Sciences Part 2 Test Writing Committee of the Outcomes Research Institute (PCORI) was • Awarded with a contract from Japanese (INFORMS) for 2016. The position will American Board of Anesthesiologists. automatically move up to “President” for received by Shilo Anders, PhD, for her grant pharmaceutical company, Ono Pharmaceuticals. Goal is to develop 2017. HAS has 900 members worldwide. proposal entitled “Dissemination Activities for pretherapeutic (and potentially therapeutic) INFORMS has over 8,000 members Amanda Lorinc, MD, was elected as a Young Patient-Centered Non-Routine Events.” Turk in the Society for Pediatric Anesthesia compounds for a family of potassium worldwide. Dr. Tiwari will be running the (SPA). channels implicated in diabetes, pain and HAS cluster in the next annual INFORMS J—Ž‹ƒ‘Šƒ‘ǡŠ, has been endorsed by other diseases. conference, which will be held in Nashville the VUMC Faculty Research Scholars program November 13-16, 2016. Camilla Lyon, MD, spent the month of ƒ†‘ơ‡”‡†ƒ’Žƒ ‡‹–Š‡’”‘‰”ƒǤ November in Kenya in both Kijabe (Central Dƒ ”ƒ ‡ǡǡ ǡhas been awarded a Kenya) and Kisumu (Western Kenya) under 4-year grant from the Eunice Kennedy Shriver S–‡’Š‡”—‡ŠŽǡŠ, served on a panel imPACT Africa with Mark Newton, MD, and National Institute of Child Health and Human led by Michael Anastasi, Executive Editor of Matthew McEvoy, MD. The program is Development (NICHD) for “The Impact of the The Tennessean, discussing “The Culture expanding from Kijabe to Kisumu with a Non Routine Events on Neonatal Safety in of Pain Treatment/Pain Medication” at the nurse anesthesia school and simulation lab. the Perioperative Environment.” Drs. Matt inaugural Tennessee Pain, Opioids, Problems During the month, Dr. Lyon provided junior Weinger, Jason Slagle and Amanda Lorinc and Solutions Forum. and senior Kenyan nurse anesthesia students will work with Dr. France on this project, clinical training and discussed school which is a collaboration of the Department of logistics with local leaders. Ke˜‹—””‹‡ǡŠ, is serving a 5-year term on Anesthesiology, the Department of Pediatric the editorial board of the Journal of Biological Surgery and the Mildred Stahlman Division Chemistry (JBC). of Neonatology. The project will build on ƒ”‡wton, MD, was appointed to the research methods to measure Non Routine World Federation of Societies of Events and care transition quality developed Anaesthesiolgists (WFSA) for a one-year Eric Delpire, PhD, was invited to serve as by Drs. Matthew Weinger, Jason Slagle and term as a member of the ASA Committee on a member of the Kidney Molecular Biology Amanda Lorinc. Representation. and Genitourinary Organ Development Also: –—†›‡ –‹‘ǡ‡–‡”ˆ‘” ‹‡–‹Ƥ ‡˜‹‡™ǡ • Selected to receive the Nicholas M. Greene, for the term beginning July 1, 2015 and A one-year grant award of $45,000 from The MD, Award for Outstanding Humanitarian ending June 30, 2019. Members are Vanderbilt Diabetes Research and Training Contribution by the ASA’s Committee on selected on the basis of their demonstrated Center was received byƒ””‹‡ ”—‡–‡”ǡŠ, Global Humanitarian Outreach. competence and achievement in their for her Pilot & Feasibility grant proposal • ‹‡–‹Ƥ †‹• ‹’Ž‹‡Ǥ–—†›•‡ –‹‘•”‡˜‹‡™ entitled “DGAT1 as a central regulator of grant applications submitted to the NIH, diet-induced obesity.” Heidi Smith, MD, MSCI, was invited to serve make recommendations on these in the role of co-chair of the new Early Career applications to the appropriate NIH Physician Council. Naeem Patil, MBBS, PhD, was selected to national advisory council or board and Also: the ASPET (American Society for •—”˜‡›–Š‡•–ƒ–—•‘ˆ”‡•‡ƒ” Š‹–Š‡‹”Ƥ‡Ž†•‘ˆ • Elected to associate membership in the Pharmacology and Experimental science. Leadership in the Profession

Vanderbilt Department of Anesthesiology American Board of Anesthesiology (ABA) Part II Examiners David Chestnut, MD Vanderbilt Department of Anesthesiology Members of the Stephen Hays, MD Antonio Hernandez, MD Association of University Anesthesiologists (AUA) Shannon Kilkelly, DO Edward Sherwood, MD, PhD ‡ơ”‡›ƒŽ•‡”ǡǡŠ Jonathan Wanderer, MD Arna Banerjee, MBBS Matthew Weinger, MD Curtis Baysinger, MD Frederic T. (Josh) Billings, MD Stephen Bruehl, PhD David Chestnut, MD Brian Donahue, MD, PhD John Downing, MB, ChB Susan Eagle, MD Jesse Ehrenfeld, MD, MPH Michael Higgins, MD, MPH Vanderbilt Department of Anesthesiology Members of the Christopher Hughes, MD ‘—†ƒ–‹‘ˆ‘”‡•–Š‡•‹ƒ†— ƒ–‹‘ƒ†‡•‡ƒ” Šȋ Ȍ Yandong Jiang, MD, PhD Avinash Kumar, MD  ƒ†‡›‘ˆ‡•‡ƒ” Š‡–‘”• Matthew McEvoy, MD Kelly McQueen, MD, MPH Pratik Pandharipande, MD, MSCI Pratik Pandharipande, MD, MSCI Warren Sandberg, MD, PhD Mark Rice, MD Andrew Shaw, MB, FRCA, FFICM, FCCM Matthias Riess, MD, PhD Edward Sherwood, MD, PhD Warren Sandberg, MD, PhD Andrew Shaw, MB, FRCA, FFICM, FCCM Edward Sherwood, MD, PhD Vanderbilt Department of Anesthesiology Members of the Heidi Smith, MD, MSCI, FAAP Paul St. Jacques, MD ‘—†ƒ–‹‘ˆ‘”‡•–Š‡•‹ƒ†— ƒ–‹‘ƒ†‡•‡ƒ” Šȋ Ȍ Lisa Weavind, MBBCh, FCCM, MMHC  ƒ†‡›‘ˆ†— ƒ–‹‘‡–‘”• Matthew Weinger, MD Matthew McEvoy, MD

46 Department of Anesthesiology

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