Department of Anesthesiology Annual Report 2011

Department of Anesthesiology 2011 Annual Report

Advancing the Practice of

REGIONAL ANESTHESIOLOGY

AND PAIN MANAGEMENT

Department of Anesthesiology

MISSIONSTATEMENT

“To achieve an internationalleadership role by providingthe highest quality anestheticcare and pain managementfor patients undergoingorthopaedic surgery, toadvance the science ofregional anesthesia, pain management, andorthopaedic critical carethrough clinical and translational research, andto promote educationalopportunities to all studentsof regional anesthesiologyand pain medicine.”

Clinical Care

ResearchEducation

Department ofAnesthesiology

A MESSAGE FROM THE DIRECTOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2011 HIGHLIGHTS AND STRATEGIC ACCOMPLISHMENTS

Improving Patient Safety Through Clinical Initiatives,

Quality Assessment and Performance Improvement . . . . . . . . . . . . . . . . . . . . . 2

Pain Management: A Tradition of Caring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Enhancing the Patient Experience through Clinical Research . . . . . . . . . . . . . . . . 7

Serving as the Most Trusted Educator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Going Lean with Information Technology Initiatives. . . . . . . . . . . . . . . . . . . . . 11

DEPARTMENT GROWTH AND STAFF AWARDS. . . . . . . . . . . . . . . . 12

STAFF IN THE SPOTLIGHT

Humanitarian Service Around the World . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Teambuilding at the JPMorgan Chase Corporate Challenge . . . . . . . . . . . . . 14

PROFESSIONAL AND ADMINISTRATIVE STAFF . . . . . . . . . . . . . . . . 16

2011 NOTABLE ACHIEVEMENTS

Awards and Special Recognition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Leadership Positions and Appointments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Editorial Appointments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Grants. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Selected Publications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Annual Report 2011 1

By all metrics, 2011 was an exceptionally productive year in the Department of Anesthesiology.

It was a year in which we solidified our position as the premier department in the world for

the practice of regional anesthesia and pain medicine for orthopedics. In our 2011 Annual

Report, I invite you to review some of our key clinical, scientific and educational accomplish-

ments which are due in no small part to the exceptional team with which I am surrounded.

We base the foundations of our practice on the highest quality clinical care for our patients,

the most rigorous scientific research in the field and unparalleled educational programs.

The outstanding clinical outcomes of surgical patients at HSS continue to be closely linked to

the anesthetic, analgesic, and perioperative care provided by members of our Anesthesiology

Department. Exceptional pain control scores and the lowest infection rates are a direct result

of the regional anesthetic and analgesic techniques employed by our physicians. One of our

major new programs in 2011 was the recruitment of a dedicated team of critical care physi-

cians who have been working to develop and adopt standards and protocols to care for the

most complex post-surgical patients at HSS. While we aspire to be leaders in treating post-

operative complications, we aim ultimately to completely prevent these complications.

Our multi-faceted Pain Medicine Division continues to be extraordinarily successful in managing and minimizing post-

surgical pain. Our Recuperative Pain Management Service, the first and only service of its kind in the country, complements

our Acute and Chronic Pain Services providing our patients with the highest quality of specialized pain management care.

As we work continuously to decrease side effects of medications and improve the entire patient experience, our success is

evident in our 99th percentile ranking in 2011 Press Ganey inpatient pain control scores.

Advancing clinical research continues to be at the core of our mission, and 2011 was our most productive year to date. Our

dedicated research team completed approximately 64 publications, abstracts and poster presentations, with many of our efforts

focused on the primary research themes of improving the patient experience and enhancing patient safety. Collaborations with

the HSS Research Division, the Weill Medical College Department of Epidemiology and Biostatistics, and our medical and

surgical colleagues at HSS led to unprecedented scientific advances into anesthetic and analgesic techniques for orthopedics.

Along with our advancements in clinical care and research in 2011, we continued to provide the most comprehensive and

sought-after educational experience for students of regional anesthesia and acute pain medicine in orthopedics. As our national

and international reputation grows, we have become the choice for resident and fellow education in regional anesthesia, and in

2011 we trained more residents than in any other year. Our 15th Annual Symposium entitled, “Controversies and Fundaments

in Regional Anesthesia” was profoundly successful and continues to be internationally recognized as one of the finest educa-

tional experiences in regional anesthesia for orthopedics in the world.

I hope you enjoy reading about these and other Anesthesiology Department accomplishments in our 2011 Annual Report.

Gregory A. Liguori, MD

Anesthesiologist-in-Chief and Director

Gregory A. Liguori, MDAnesthesiologist-in-Chief

and Director

Improving Patient Safetythrough Clinical Initiatives,Quality Assessment andPerformance Improvement

To ensure alignment with the Hospital’s

strategic initiative to elevate quality

to the highest possible level, the

Department is committed to continu-

ously evaluating our clinical programs

to optimize patient safety and improve

patient care. In order to do this, we

maintain a robust Quality Assessment

and Performance Improvement

(QA/PI) program that incorporates

education, research and evidence-based

practice improvements such as clinical

data analysis, incident reporting, bench-

marking, quality indicator monitoring,

systems failure mode and effect analysis.

Under the direction of Chris Edmonds,

MD, QA/PI Director and Maureen

Stanton, RN, QA/PI Manager, we are

constantly developing new initiatives to

elevate quality to the highest level.

In January 2011, a highly-specialized

Critical Care Team was established to

perfect treatment of the complex ortho-

pedic patient and bring contemporary

intensive care to sick patients at HSS.

The team, comprised of critical care

trained physicians with extensive skill

in cardiac, thoracic and orthopedic

anesthesia and vast experience in car-

ing for critically ill patients, allowed us

to expand the level of specialty care

provided by our physicians and enabled

the implementation of many new

critical care initiatives, including the

sequential organ failure assessment

(SOFA) and ventilator management

pathway. Patients undergoing complex

surgery and those at risk for critical

illness have their physiologic status

assessed using the SOFA, which assigns

points for the status of the cardiovascu-

lar, pulmonary, renal, hepatic, and

central nervous systems and has been

validated and correlated with outcomes

in critical illness. At HSS, the SOFA

score initiative helps determine the

acuity of patients in the recovery room,

aids in the allocation of resources to

critical patients and serves as a valuable

research tool. The ventilator manage-

ment pathway utilizes contemporary

evidence for care of critically ill patients

requiring intensive care in an effort to

minimize complications and decrease

the duration of ventilation. An exten-

sion of the ventilator management

initiative is the incorporation of a care

“bundle” of simple interventions that

have helped prevent ventilator associat-

ed pneumonia. Ultimately, these new

critical care endeavors optimize the

2 Department of Anesthesiology

25,000

27,000

29,000

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37,000

20112010200920082007

Total OR Anesthetics

Critical Care Team: Sean Garvin, MD, Michael Urban, MD, PhD, Kethy Jules-Elysee, MD, StavrosMemtsoudis, MD, PhD and Michael Nurok Mb ChB, PhD (Not pictured: Thomas Quinn, MD)

perioperative care of our orthopedic

patients and vastly improve patient

centered outcomes.

In a collaborative endeavor with the

Laboratory and Information Technology

Department, we implemented the Epocal

Point of Care (EPOC) blood analysis sys-

tem in September 2011. Using EPOC,

anesthesiologists can perform bedside

testing of glucose, blood gas and hemo-

globin. Results are obtained within

minutes and wireless technology instantly

transmits results to the lab and HSS

clinical systems. This new point of care

testing system enables anesthesiologists

to quickly identify and treat critical

values, therefore enhancing patient

care and safety.

QA Committee meeting discussions led

to several multidisciplinary conferences

in 2011, enabling a multitude of

improvements in patient care:

• The Postoperative Ileus

Management Conference

featured speakers Dr. Edward

Parrish, HSS Rheumatology,

and Dr. Carl Crawford, NYPH

Gastroenterology and Hepatology.

The conference provided an

extensive perspective of effective

changes to improve outcomes.

• The Anesthesia Q/A team met with

an interdisciplinary group to discuss

the need for more intensive and

concerted intra-op monitoring for

patients with VP shunts undergoing

spine surgery.

• An interdisciplinary evaluation of

patient verification of surgical side

on anesthesia and surgical consent

forms initiated by the QA team lead

to a revision of the forms to provide

a more clear indication of the correct

surgical side.

• The Massive Transfusion Protocol

was developed to alert the blood

bank of an emergent condition

enabling the rapid availability of

blood products.


“The anesthesiologists were wonderful! They explained everything to me, had great bedside manner and wonderful skills. Dr. Wang, Dr. Bhagat and

Dr. Maalouf helped me with my pain and checked in on me five times per day.” Comment from Press Ganey Patient Satisfaction Survey

Pain Management: A Tradition of Caring

The Department’s Pain Management

Division meets the needs of a multitude

of pain conditions through our Acute,

Recuperative and Chronic Pain

Services. In 2011, under the direction

of Seth Waldman, MD, Spencer Liu,

MD, Vladimir Kramskiy, MD, and

Barbara Wukovits, RN, the Division

managed the care of over 29,000

patients. It was also a year of celebra-

tion as we marked the twentieth and

twenty-fifth anniversaries of the

establishment of the Acute and

Chronic Pain Services respectively.

The success of our postoperative pain

control regimens is reflected in our

99th percentile ranking in Press Ganey

patient satisfaction for every quarter of

2011. Additionally, during that time,

the percentage of HSS patients report-

ing that their pain was “always con-

trolled” was significantly above New

York and national Hospital Consumer

Assessment of Healthcare Providers

and Systems (HCAHPS) survey

result averages.

ACUTE PAIN SERVICE

Since its inception, our Acute Pain

Service (APS) team has treated over

137,000 surgical inpatients. In 2011,

we cared for over 12,000 patients,

managing 7,302 epidurals and 4,522 IV

PCAs on the inpatient units. In addi-

tion to providing pain management

care to our patients, we presented

numerous educational programs to


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Acute Pain Service Volume

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0

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Recuperative Pain Service Volume

Pain Management Team

HSS clinical staff and shared our

expertise at local and national health-

care meetings. We also continued

research efforts with our surgical col-

leagues, collaborating in the following

areas of study:

• Use of Pregablin for the treatment of

pain following posterior spine

fusions, foot and ankle surgery

• Analgesia after total knee arthroplasty:

peri-articular injection vs epidural +

femoral nerve blockade

• Effect of local anesthetic dose on

interscalene block for shoulder

arthroscopy, patient satisfaction and

return of handgrip strength

RECUPERATIVE PAIN

MEDICINE SERVICE

The Recuperative Pain Medicine (RPM)

Service, a service unique to HSS, is a

transitional service that extends our

treatment of non-routine pain manage-

ment issues beyond the immediate peri-

operative period. The service bridges

the gap between the Acute and Chronic

Pain Services and helps us to maintain

our place as an innovator in the treat-

ment of post-surgical pain.

In 2011, RPM staff treated over

1,300 patients. Although the majority

of these patients were inpatients, many

outpatients were evaluated and treated

by RPM nurse practitioners via our

collaboration with the Department

of Orthopaedic Surgery’s Adult

Reconstruction and Joint Replacement

(ARJR) Service. Treatment modalities

in this collaboration included medica-

tion modifications, dose adjustments

and management of side effects.

Our Pain Helpline continued to

be a valuable resource, as our nurse

practitioners responded to the pain

concerns of hundreds of patients.

The RPM team remains active in staff

and patient education, maintaining

leadership roles on various hospital

committees, coordinating the in-service

“HSS has the most professional, educated and skilled doctors and staff I have ever experienced. I felt very confident I was in the best hands.

Dr. Richman was SO thorough. His expertise is bar none!”Comment from Press Ganey Patient Satisfaction Survey

Patient’s Choice Award


PATIENT’S CHOICE AWARD

Congratulations to Semih Gungor, MD, who received the Patient’s

Choice Award from the American Registry. The award is given to

physicians who receive excellent reviews from patients and high

scores on various quality measures. Of the nation’s 720,000 active

physicians, only 5 percent received this honor in 2011.

program on medication management

for physician assistants and participat-

ing in the orientation program of all

new nursing staff. Additionally, our

nurse practitioners provide pain man-

agement information and guidance for

all new patient education initiatives.

2011 presentations included:

• “Pain Management for the 21st

Century VA: More Than Just

Medicine”, U.S. Department of

Veterans Affairs Conference

• Case study “The Highly Motivated to

Succeed Patient” at the Annual HSS

Pain Conference

• Presentation outlining the progress of

the joint RPM/ARJR pilot program at

the HSS 23rd Annual Holiday Total

Knee Course

DIVISION OF MUSCULOSKELETAL AND

INTERVENTIONAL PAIN MANAGEMENT

The Division of Musculoskeletal and

Interventional Pain Management,

known internally as the Chronic Pain

Service (CPS), provides specialized

treatment to patients in need of extend-

ed pain management care. The CPS

provided consults and follow-up treat-

ment for 9,000 outpatients and 3,300

inpatients in 2011. Our pain physicians

performed over 3,100 pain-relieving pro-

cedures in the Special Procedures Unit

(which moved to its new location on

75th Street in late 2011).

Our pain clinic continues to offer

comprehensive pain services to an

underserved patient population. In

2011, the clinic moved to a new loca-

tion on 72nd Street, providing a larger

space to accommodate the growing

needs of our patients. 450 patients

were treated by Semih Gungor, MD,

Donna Lawrence, NP, and clinic staff.

The CPS participated in many new and

ongoing research projects in 2011. The

Chronic Pain Registry, developed in

2010 with the support of an NIH grant,

is well underway and data collection has

begun. We continue to enroll patients

into our platelet rich plasma study, which

was designed to focus on the treatment

of back pain with an emphasis on disco-

genic lumbar conditions. In addition, an

electrical skin conductance study was

completed in 2011 and an abstract will

be presented in 2012 at the American

Society of Regional Anesthesia and Pain

Medicine (ASRA) Annual Meeting.


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Enhancing the PatientExperience Through Clinical Research

Under the direction of Jacques Ya

Deau, MD, PhD, Director of Clinical

Research and Carey Ford, Clinical

Research Manager, our physicians and

research team, comprised of ten full

time research staff, work to design

studies that will ultimately improve our

clinical practice. To achieve our goals,

2011 research endeavors focused on

two main areas: improving the patient

experience and enhancing patient

safety. Our investigators published 33

original articles in 2011, continuing

their efforts to improve the practice of

regional anesthesia and pain medicine.

Key to the success of our program is

our ongoing multi-disciplinary collabo-

ration with HSS surgeons, Dr. Yan Ma

and the statisticians of Weill Cornell

Medical College.

IMPROVING THE PATIENT EXPERIENCE

This past year, two of our physician

investigators completed randomized

control trials which evaluated optimal

methods to minimize pain following

orthopedic surgery. The studies were

both designed to challenge traditional

analgesics by comparing the traditional

femoral nerve block to the newer

saphenous nerve block.

Mary Chisholm, MD, studied pain after

anterior cruciate ligament (ACL)

reconstruction surgery. In her study

entitled, “Postoperative Analgesia with

the Subsartorial Saphenous Nerve

Block in ACL Reconstruction,” Dr.

Chisholm found that patients receiving

a saphenous block had equivalent post-

operative pain scores and equal narcotic

use to patients receiving the femoral

block, thus proving the efficacy of the

newer block. Dr. Chisholm’s data was

presented at the 2011 ASRA Annual

Meeting and is currently being pre-

pared for manuscript submission.

David Kim, MD, completed a study,

entitled “Saphenous (Adductor Canal)

Nerve Block vs. Femoral Nerve Block

for Total Knee Arthroplasty: A Novel

Approach for Postoperative Analgesia”,

which investigated pain levels after

total knee replacement surgery (TKR).

Results of Dr. Kim’s study showed that

patients receiving a saphenous block

retained equivalent muscle strength to

those receiving the femoral block.

Additionally, there was no difference

in pain control six to eight hours post

anesthesia administration. The study

was accepted for presentation and

awarded as one of the top abstracts at

the 2012 ASRA Meeting.

Results of both studies supported the

hypothesis that a saphenous nerve

block is as clinically effective as the

more traditional femoral nerve block

for bilateral knee and ACL reconstruc-

tion procedures.

ENHANCING PATIENT SAFETY

To improve patient safety and specifi-

cally address concern in the interna-

tional anesthesia community that low

intra-operative blood pressure may

cause strokes, Jacques Ya Deau, MD,

PhD, designed a study to determine if

there is a connection between blood

pressure and stroke during shoulder

surgery in the sitting position.

Although approximately half of the

patients enrolled in the study had low


“Dr. Gungor, Dr. Kahn, and Dr. Swamidoss made such an incredible difference in my life. Their careand sensitivity to my comfort and understanding of the procedure was paramount. Their good humor

under difficult circumstances gave me the encouragement that I really needed at exactly the right time.”

Comment from Press Ganey Patient Satisfaction Survey

Research Team

blood pressure during surgery, none

showed any evidence of brain injury or

dysfunction postoperatively. The

research concluded that, under the

right conditions, controlled hypoten-

sion can be recommended and is safe

for patients undergoing shoulder

arthroscopy. Dr. Ya Deau’s paper,

entitled “Stroke, regional anesthesia in

the sitting position, and hypotension:

a review of 4,169 ambulatory surgery

patients” was published in Regional

Anesthesia and Pain Medicine.

Stavros Memtsoudis, MD, PhD, used

a national database to analyze inpatient

falls after hip and knee arthroplasty.

The study, “In-Hospital Patient Falls

After Total Joint Arthroplasty:

Incidence, Demographics, and Risk

Factors in the United States” analyzed

trends, risk factors, complications, and

hospital cost for inpatient falls. The

research determined that, given the

associated morbidity, mortality, and

increased cost, proper resources should

be allocated to minimize the risk of

falls in this patient population.

Dr. Memtsoudis also collaborated with

Dr. Spencer Liu on a study analyzing

perioperative demographics and

pulmonary outcomes of patients with

obstructive sleep apnea (OSA).

“Perioperative pulmonary outcomes in

patients with sleep apnea after noncar-

diac surgery” determined that patients

with OSA developed pulmonary com-

plications more frequently than other

patients after both orthopedic and

general surgical procedures. The

study, published in Anesthesia and

Analgesia, determined that OSA is an

independent risk factor for periopera-

tive pulmonary complications; results

of the study are being used to improve

perioperative outcomes in this growing

patient population.

Serving as the Most Trusted Educator

Under the direction of David Lee, MD,

Medical Director, Education, Jonathan

Beathe, MD, Director, Training

Programs, and Mary Hargett,

Administrative Director, Education,

it is our goal to promote educational

opportunities to all students of regional

anesthesiology and pain medicine.

In 2011, to enhance the educational


Current and Alumni HSS Anesthesia Fellows

experience of our fellows, we expanded

our cadaver laboratory curriculum and

made significant changes to our written

laboratory syllabus. In addition, we

maintained significant representation at

educational conferences worldwide and

hosted the HSS Visiting Professor

Lecture Series, presenting the First

Annual Visiting Professor Lecture

in Anesthesiology.

CADAVER LABORATORY CURRICULUM

The Department achieved a new mile-

stone in regional anesthesia education

with the addition of a novel and com-

prehensive cadaver laboratory curricu-

lum. Led by Christopher DiMeo, MD,

David Kim, MD, and Carrie Guheen,

MD, the laboratory is arranged into

specific block modules including supra-

clavicular blocks (interscalene and

supraclavicular), infraclavicular blocks

(infraclavicular and axillary), blocks of

the anterior thigh (femoral, lateral

femoral cutaneous and saphenous),

and blocks of the posterior thigh

(sciatic and popliteal). Unlike typical

cadaver courses which make use of

embalmed specimens, the laboratory

employs fresh frozen cadavers which

replicate the look and feel of living tis-

sue. Because these specimens are not

embalmed, ultrasonography yields

images that compare favorably to

those found in the operating room

while needle placement and local

anesthetic injection mimic the

proprioceptive feedback found in liv-

ing tissue. Students in the laboratory

therefore have the opportunity to not

only dissect the anatomy relevant to

a particular nerve block, but also

practice regional block and catheter

placement techniques in an environ-

ment free of time constraints or fear

of complications. In all, our cadaver

laboratory provides students of

regional anesthesia the substrate and

time necessary to develop the

knowledge and skill critical to

safe, efficacious peripheral nerve

block technique.

FIRST ANNUAL VISITING PROFESSOR

LECTURE IN ANESTHESIOLOGY

In December 2011, Michael F. Mulroy,

MD, participated in the HSS Visiting

Professor Lecture Series, presenting

the First Annual Visiting Professor

Lecture in Anesthesiology. Dr.

Mulroy’s Grand Rounds, “Femoral

Nerve Blockade: Balancing Pain Relief

with Rehabilitation Milestones”, was

presented to a multidisciplinary group


Michael F. Mulroy, MD, (right) with Philip D. Wilson, Jr., MD, and Leon Root, MD.

“Dr. DelPizzo is wonderful. Words cannot describe how much I appreciate her.”


including surgeons, nurses, and

physical therapists.

In his presentation, Dr. Mulroy noted

that femoral nerve blockade provided

excellent postoperative analgesia but

was associated with an almost seven

percent incidence of postoperative falls

in one study. He went on to address

what could be done to preserve effec-

tive analgesia while reducing patient

risk and enhancing rehabilitation. In

addition to presenting Grand Rounds,

Dr. Mulroy also moderated a “Visiting

Professor Journal Club” for the

Anesthesiology staff and met with

members of several disciplines of the

Hospital’s leadership team to share best

practice information.

2011 CONFERENCE HIGHLIGHTS

American Society of Regional

Anesthesia and Pain Medicine

(ASRA) Annual Meeting

Several members of our attending staff,

fellows, and support staff participated

as both faculty and attendees at the

2011 ASRA Annual Meeting in Las

Vegas. Ten abstracts from the

Department were accepted for presen-

tation and we received two of the six

awards presented; a considerable

achievement given that over 300

abstracts were submitted.

Dr. Spencer Liu’s abstract (presented by

Pamela Shaw, Assistant Research

Coordinator and Co-Investigator) enti-

tled “Uncomplicated Removal of

Epidural Catheters in 4,365 Patients with

International Normalized Ratio Greater

than 1.4 during Initiation of Warfarin

Therapy” was awarded “Best of

Abstracts.” 2010-2011 Fellow Lei Li,

MD, received the “Resident Travel

Award” for her abstract submission enti-

tled “Cervical Spine Disease is a Risk

Factor for Persistent Phrenic Nerve

Paresis following Interscalene Block for

Shoulder Surgery”, a study completed

under the direction of Victor Zayas, MD.

Annual Regional

Anesthesia Symposium

The Department’s 15th Annual

Symposium, “Controversies and

Fundamentals in Regional Anesthesia”

took place in May 2011 at The New York

Palace Hotel with over 200 attendees.

The event was organized and directed by

Daniel Maalouf, MD, and Devan Bhagat,

MD, Program Chairs, and Mary Hargett,

Program Director. Registrants attended

didactic sessions, problem-based learn-

ing discussions and intimate, hands-on

workshops. Featured Guest Faculty were

John Dilger, MD, Sandra Kopp, MD,


and Carlos Mantilla, MD, from the

Mayo Clinic in Rochester, Minnesota.

The entire Department attending

staff contributed to the workshops

with the assistance of current and

alumni fellows.

Annual Pain Awareness Program

The Department sponsored its Fifth

Pain Awareness Program, “Chronic

Pain: The Journey to Understanding

and Treatment” in September 2011.

Over 55 attendees were presented with

a cross-section of topics related to the

physiologic, psychosocial, and cultural

dimensions of persistent pain. The

program was directed by Barbara

Wukovits, RN and presented by HSS

faculty including Mary Chisholm, MD,

Kate DelPizzo, MD, Vladimir Kramskiy,

MD, Brian Phillips, NP, and Cheryl

Conwell, DNP. Guest Faculty included

Lara Dhringa, MD, from Beth Israel

Medical Center and Maureen Cooney,

RN, from Westchester Medical Center.

Going Lean with Information Technology Initiatives

HSS’ has implemented the continuous

performance improvement philosophy

Lean, aimed at reducing sources of waste

to promote greater efficiency and

improve patient care. Within the

Department we are utilizing Lean

philosophies to streamline clinical and

administrative processes. In 2011, I.T.

Manager Mike Bieltz designed a

number of information technology

programs to eliminate waste and

increase productivity:

• With the assistance of Brian

Philips, NP, a new web application

was developed that allows the

RPM service to track patient visits

from any hospital computer and

easily access a multitude of infor-

mation including location of

patient’s pain and related pain

scores, hospital discharge pain

medications, surgical reports and

visit notes. This web application

eliminated time consuming

manual reporting.

• The Department’s transesophageal

echocardiogarphy (TEE) exam

verifies the TEE competency

of physicians for credentialing

requirements. In 2011, the exam

(which was previously paper-based)

was placed online with a new

Department electronic learning

application that certifies anesthesi-

ologist’s competency in TEE as

well as providing exam results

and valuable reports on the

learning process.


“My experience in Dr. Tom Quinn’s care was excellent – it made all the different in my recuperation – I am extremely

pleased and thankful for such excellence!”Comment from Press Ganey Patient Satisfaction Survey

NAOMI DONG, MDASSISTANT ATTENDING ANESTHESIOLOGIST

Dr. Dong completed her residency at St. Luke’s-Roosevelt,where she served as chief resident. She then completed a Fellowship in Pediatric Anesthesiology with a six-monthPediatric Cardiac Anesthesia continuum at Children’s Hospitalof Philadelphia. We welcome Dr. Dong to our pediatric anesthesia team.

CARRIE R. GUHEEN, MDASSISTANT ATTENDING ANESTHESIOLOGIST

Dr. Guheen joined our Attending staff after graduating from ourRegional Anesthesia and Acute Pain Medicine Fellowship, duringwhich she was awarded for clinical excellence. She completedher residency in anesthesiology at NewYork-PresbyterianHospital/Weill Cornell Medical College, serving as co-chief resident in her final year and receiving the Joseph F. ArtusioAward for Outstanding Resident.

The Department of Anesthesiology was proud to announce the addition oftwo outstanding physicians to our team in 2011:

In addition to our new physicians, we added thirteen new staff members to our talented team in 2011. The Department welcomed:

Aris Azar, RN

Pain Medicine

James Bae, MS

Research Assistant

Lorna Co, CRNA

Jodie Curren, RN

Research Nurse

Amanda Goon

Research Assistant

Bingjing Liu

Administrative Assistant, Dr. Wang

Andrea Martin

LPN, Dr. Gungor

Deepa Mathew, NP

Pain Medicine

Shane Reid, MS

Research Assistant

Paul Scott, CRNA

Wendy Smart-Lazare, CRNA

Geraldine Tomakin-Pilla, NP

PACU

Daniel Yoo, MS

Research Assistant


“No other anesthesiologist has ever spent so much time with us.

HSS is the best!!!”Comment from Press Ganey Patient Satisfaction Survey

Staff Awards

Congratulations to Barbara Wukovits, RN, Director of Pain Services, who was presented the 2011 Gigi Viellion Scholarship

Award by the HSS Alumni Association. Barbara was chosen for her clinical excellence, leadership skills, extensive research

and publications. Barbara was also a recipient of the 2011 HSS Interdisciplinary Team Award, along with Gregory Liguori, MD.

The two were awarded for their work on the CAUDI Bundle Team, which was created to implement evidence-based

guidelines to assess urinary catheter use and develop tools to monitor the occurrence of urinary tract infections in our

inpatient population.

Junior Rigby, Chief Anesthesia Technician/Supervisor, was selected as one of four recipients of the 2011 HSS Safety Champion

Award. Junior was cited for his professionalism and dedication to improving the services provided by the anesthesia technical

staff to ensure the highest levels of patient and staff safety.


We Congratulate our 2011 TEACHERS OF THE YEAR

Michael Gordon, MD, was selected as the

2010-2011 Teacher of the Year by the 2011 graduating fellows.

Dr. Gordon was also the recipient of this award in 2007.

Douglas Green, MD, was chosen as the

2011 HSS Teacher of the Year by the graduating

anesthesiology residents of Weill Cornell Medical College.


Humanitarian Service Around the World

Teambuilding at theJPMorgan Chase Corporate Challenge

In June 2011, in a fun night filled with

HSS team spirit and camaraderie, 116

HSS staff members, including 17 of

our Department, participated in the

JPMorgan Chase Corporate Challenge,

a 5K run in Central Park. As the

Department coordinated and sponsored

the event, it was fitting that two of our

staff members, Dr. Michael Nurok and

Kate Collins, NP, placed first of male

and female HSS runners respectively.

Kethy Jules-Elysee, MD, participated in medical missions to

rural Haiti in January and July 2011. During each week-long

trip, Dr. Jules-Elysee cared for approximately 500 patients

from 6 months to 101 years old. Children most often pre-

sented with fever and respiratory tract infections, while adults

had various conditions including asthma, superficial wound

infections and blood pressures as high as 250/140.

Several members of our team volunteered their services in

medical missions to Guatemala in 2011. In May, Jeffrey

Ngeow, MD, on his third trip with the HOPE Mission,

treated 350 Ixil Indian patients for a multitude of conditions

including scabies, lice, worms, malnutrition, anemia, high

blood pressure and diabetes. Richard King, MD, participated

in a week long mission in June, providing anesthesia for 42

surgical procedures for the country’s indigent population.

Donna Lawrence, NP, traveled with Cornerstone Christian

Center in July; she assisted in treating the medical and dental

needs of approximately 200 children in an orphanage.

Richard King, MD, provides anesthesia on a recent humanitarian trip to Guatemala. Dr. King receives thanks from one of his patients.


We would not be the leaders we are today without the support and efforts of our dedicated support staff. As weacknowledge their role in our successes, we invite you to learn more about three members of our exceptional team:

MARY KELLY, RN, EVENING PAIN MANAGEMENT COORDINATOR

Role: I facilitate the pain control regimes of post surgical patients, employing multi-modal techniques

to help alleviate postoperative pain. My wide scope of responsibilities include ensuring plan effectiveness

and patient safety, educating patients about their treatment and working with the patient care team to

ensure that a comprehensive and patient-specific pain management plan is in place.

A member of the HSS family since: May 2000

Why I love my job: I enjoy the challenges of my position because I truly believe that my contributions

improve the patient’s post-operative experience. I relish my daily interactions with my HSS colleagues

by whom I’ve always felt encouraged and supported.

Goals: I am currently enrolled in, and looking forward to completing, the advanced practice nursing

Master’s program at PACE University. Although my goal is to remain in the Anesthesia Department,

I am enthusiastic about the opportunities that will arise once I obtain my Master’s degree.

SESLE OLSEN, CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)Role: I spend my days in the ORs with the anesthesiologists providing sedation and general anesthesia

for patients undergoing orthopedic surgery.

A member of the HSS family since: June 2006

Why I love my job: It is truly rewarding to see my patients in recovery following surgery, doing

well after both minor and complex procedures. I enjoy and respect the people I work with and the

atmosphere of collegiality and professionalism that characterizes the Department.

Goals: To continue to grow professionally and further develop my clinical skills.

DANIEL YOO, MS, RESEARCH ASSISTANT

Role: I am responsible for the administration and coordination of the anesthesiologists’ research

studies. I am involved in the entire research process including study protocol development, enrolling

patients in clinical studies, data collection and analysis, manuscript preparation and editing.

A member of the HSS family since: April 2011

Why I love my job: It is exciting to be involved in what are often ground-breaking projects from

inception through to publication. I enjoy the patient interaction while conducting such valuable

anesthesia research. I like working at HSS because of its strong commitment to superlative patient

care. Within the Anesthesia Department, I enjoy the sense of camaraderie and appreciate how

the Department strives to support and help each person grow professionally.

Goals: Short-term, I would like to obtain my certification in clinical research. Long term, I aspire to

combine my knowledge in acupuncture and anesthesia to explore the use of alternative medicine for

the treatment of pain and post-operative nausea and vomiting.

“The anesthesia team was excellent. They did a great job of applying the anesthetic and sedative: I was able to regain feeling in my arm/hand and recover from sedation very

quickly. They also did a great job of providing information regarding the procedure.”Comment from Press Ganey Patient Satisfaction Survey


ANESTHESIOLOGIST-IN-CHIEF

AND DIRECTOR

Gregory A. Liguori, MD

ATTENDING ANESTHESIOLOGISTSSpencer S. Liu, MD

Medical Director, Acute and Recuperative

Pain Medicine Services

Nigel E. Sharrock, MB ChB

ASSOCIATE ATTENDING

ANESTHESIOLOGISTS

Stephen N. Harris, MD

Stavros G. Memtsoudis, MD, PhD

Jeffrey Y.F. Ngeow, MD

Michael Nurok, MB ChB, PhD

Cephas P. Swamidoss, MD, MPH

Michael K. Urban, MD, PhD

Medical Director, PACU

William F. Urmey, MD

Victor M. Zayas, MD

Director, Pediatric Anesthesia

ASSISTANT ATTENDING

ANESTHESIOLOGISTS

Jonathan C. Beathe, MD

Director, Training Programs

James D. Beckman, MD

Devan D. Bhagat, MD

Bradford E. Carson, MD

Mary F. Chisholm, MD

Kathryn DelPizzo, MD

Christopher A. DiMeo, MD

Naomi Dong, MD

Chris R. Edmonds, MD

Medical Director, Quality Assessment and

Performance Improvement

Sean Garvin, MD

Michael A. Gordon, MD

Enrique A. Goytizolo, MD

Douglas S.T. Green, MD

Carrie R. Guheen, MD

Semih Gungor, MD

Medical Director, Chronic Pain Research

Michael C. Ho, MD

Kethy M. Jules-Elysee, MD

Richard L. Kahn, MD

Medical Director, Ambulatory Surgery

David H. Kim, MD

Richard S. King, MD

Vladimir N. Kramskiy, MD

Medical Director, Ambulatory Recuperative

Pain Medicine

Vincent R. LaSala, MD

Andrew C. Lee, MD

Medical Director, Clinical Initiatives

David L. Lee, MD

Medical Director, Education

Yi Lin, MD, PhD

Daniel B. Maalouf, MD, MPH

John G. Muller, MD

Joseph A. Oxendine, MD

Leonardo Paroli, MD, PhD

Thomas J. Quinn, MD, MBA

Daniel I. Richman, MD

James J. Roch, MD

Lauren H. Turteltaub, MD

Assistant Director, Training Programs

Philip J. Wagner, MD

Director, Web

Seth A. Waldman, MD

Medical Director, Chronic Pain Medicine

David Y. Wang, MD, MS, MPH

Medical Director, Chronic

Pain Education

Jacques T. Ya Deau, MD, PhD

Medical Director, Clinical Research

2010-2011 FELLOWS IN REGIONAL ANESTHESIOLOGY AND ACUTE PAIN MEDICINE

Cindy Chen, MD

Carrie R. Guheen, MD

Cassie Kuo, MD

Lei Li, MD

Jiabin Liu, MD, PhD

Marco Lotano, MD

Asha Manohar, MD

Dawn Yan, MD

2010-2011 ANESTHESIA RESEARCH FELLOW

Anna Maria Bombardieri, MD, PhD

2011-2012 FELLOWS IN REGIONAL ANESTHESIOLOGY AND ACUTE PAIN MEDICINE

Emilio G. Andrade, MD

Anna Maria Bombardieri, MD, PhD

Shawna M. Dorman, MD

Justo K. Gonzalez, MD

Mandip S. Kalsi, MD

Kristy M. Labib, MD

Milica Markovic, MD

Swetha Pakala, MD

Minda Patt, MD

ADMINISTRATIVE DIRECTOR

Roberta Stack, MS

ADMINISTRATION

Mary J. Hargett

Administrative Director, Education

Susan Cardamone, MBA

Assistant Administrative Director

Maureen Stanton, RN

Manager, QA/PI

“I was very impressed with the pain staff’s positive professional attitude – you have a wonderful

pain management program.”Excerpt from Press Ganey Patient Satisfaction Survey


Ilene Bacine

Manager, Finances

Mike Bieltz, MBA

Manager, Information Technology

Sarah Kennedy

Coordinator, QA/PI

Dana Libov

Administrative Coordinator

Sheryl Stebel

Administrative Assistant, Dr. Liguori

Ellen Segal

Staff Secretary

PAIN MEDICINE

Barbara Wukovits, RN, BSNC

Director, Pain Services

Nursing Staff

Aris Azar, RN

Kaitlin Collins, MS, RN, ANP

Mary Kelly, RN, BC, ONC

Evening Nurse Coordinator

Donna Lawrence, NP

Deepa Mathew, RN, MS, ANP, GNP

Eileen Moynihan, RN, MA, BSN, ONC

Brian Phillips, MS, RN, FNP

Assistant Director RPM

Chronic Pain Staff

Audrey Bucknor

Office Manager, Dr Richman

Elizabeth Garden

Office Manager, Dr Kramskiy

Alexandra Jacobs, RN, BSN, MA

Dr Richman

Diane Leistman, RN

Dr Waldman

Bingjing Liu

Administrative Assistant, Dr Wang

Neiza Lugo

Registrar/Billing

Cyndi Ma

Secretary, Dr Ngeow

Lilia Macias

Secretary, Dr Richman

Andrea Martin, LPN

Dr Gungor

Susan Ngeow, CPA

Office Manager, Dr Ngeow

Sandra Simpson, LPN

Office Manager, Dr Wang

Evette Staff

Secretary, Dr Richman

Elvi Taveras

Office Manager, Dr Gungor

Bonnie Urquhart

Pain Services Coordinator and Office

Manager, Dr Waldman

Sherrene Wan

Secretary, Dr Ngeow

RESEARCH

Carey Ford, CCRC

Manager, Research

Pamela Shaw, CCRC

Assistant Coordinator, Research

Senior Research Assistants

Valeria Buschiazzo

George Go

Jennifer Stanton Gordon

Research Assistants

James Bae, MS

Amanda Goon

Dorothy Marcello

Shane Reid, MS

Tara Thompson

Daniel Yoo, MS

Research Nurse

Jodie Curren, RN, BSN, ACRN

NURSE ANESTHETISTS

Donna Hasil, CRNA

Chief CRNA

Carol Bohne, CRNA

Elizabeth Caliwara, CRNA

Claire Karlick, CRNA

Sara Listokin, CRNA

Mary Maher, CRNA

Lisa Nigro, CRNA

Sesle Olsen, CRNA

Niles Perlas, CRNA

Paul Scott, CRNA

Wendy Smart-Lazare, CRNA

PACU

Nurse Practitioners

Cheryl Conwell, DNP, ANP-BC

Michele Mangini-Vendel, DNP,

ANCP-BC, CCRN

Geraldine Tomakin-Pilla, ANP-BC

Physician Assistants

Christy Loughlin, PA-C

PA Service Manager, PACU

Kelly Culot, PA-C

Michael Lichardi, PA-C

Kenneth Van Ora, PA-C

ANESTHESIA TECHNICIANS

Junior Rigby

Supervisor/Chief Anesthesia Technician

Garrick Austin

Grell Barnes

Raymond Daniels

Raul Latchman

Hector Pineda

“Dr. Seth Waldman is a true professional and a gentleman. His work and care is outstanding.”



AWARDS AND SPECIAL RECOGNITION

James D. Beckman MDInvited Speaker, New York State Society of

Anesthesiologists’ 65th Annual PostgraduateAssembly in Anesthesiology, New York, NY

Michael A. Gordon, MD Fellows’ “Teacher of the Year” Award, 2010-2011

Enrique Goytizolo, MDInvited Speaker, X International

Symposium: Latino-America Society of Regional Anesthesia, Lima, Peru

Douglas S. T. Green, MDCornell Residents’ “Teacher of the Year”

Award, 2010-2011

Semih Gungor, MD2011 Patient’s Choice Award recipient,

American RegistryInvited Speaker, AnestezIstanbul

Conference, Istanbul, Turkey

Richard S. King, MD Invited Speaker, AnestezIstanbul

Conference, Istanbul, TurkeyInvited Speaker, ASRA Annual Meeting,

Las Vegas, NV

Andrew C. Lee, MDGuest Speaker, 16th Annual Rhode Island

Anesthesia Conference sponsored by Brown University, Providence, RI

Spencer S. Liu, MDBest Abstract, Annual Meeting American

Society of Regional Anesthesia, Las Vegas, NVInvited Speaker, Annual Meeting American

Society of Anesthesiologists, Chicago, ILInvited Speaker, Annual Meeting International

Anesthesia Research Society, Vancouver, BCInvited Speaker, Combined meeting of

Hong Kong Society of Anaesthesia, Australia New Zealand College of Anaesthesia, and Faculty of Pain Medicine, Hong Kong

Invited Speaker, Department of Anesthesiology, New York University, New York, NY

Invited Speaker, Annual meeting of the American Society of Regional Anesthesia, Las Vegas, NV

Invited Speaker, National Association of Orthopedic Nurses 31st Annual Congress, Baltimore, MD

Daniel B. Maalouf, MD, MPHInstructor of Ultrasound-Guided Regional

Anesthesia, Lebanese University, Beirut

Stavros G. Memtsoudis, MD, PhDInvited Speaker, Weill Cornell Medical

College Research Seminar Lecture Series,New York, NY

Invited Speaker, New York State Society of Anesthesiologists’ 65th Annual Postgraduate Assembly in Anesthesiology, New York, NY

Grand Rounds, Universitatsklinik Fur Anasthesiologise, Perioperative Medizin Und Allgemeine Intensivmedizin, Salzburg, Austria

Michael Nurok, MB ChB, PhDInvited Speaker, American Society of

Anesthesiologists Annual Meeting, Chicago, ILInvited Speaker, Department of

Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA

Michael K. Urban, MD, PhDInvited Speaker, 6th Annual Perioperative

Summit Meeting, Miami, FLInvited Speaker, National Association of

Orthopedic Nurses 31st Annual Congress, Baltimore, MD

Invited Speaker, New York State Society of Anesthesiologists’ 65th Annual PostgraduateAssembly in Anesthesiology, New York, NY

William F. Urmey, MDInvited Speaker, ASA Annual Meeting,

Chicago, ILInvited Speaker, ASRA Annual Meeting,

Las Vegas, NVInvited Speaker, 65th Post Graduate

Assembly of the New York State Society of Anesthesiologists, New York, NY

Invited Speaker, 4th SIMPAR San Matteo International Meeting on Pain Research, Pavia, Italy

Invited Speaker, AnestezIstanbul Conference, Istanbul, Turkey.

Jacques T. YaDeau, MD, PhDInvited Speaker, ASRA Annual Meeting,

Las Vegas, NV

Victor M. Zayas, MDInvited Speaker, ASRA Annual Meeting,

Las Vegas, NV

LEADERSHIP POSITIONS ANDAPPOINTMENTS

Jonathan C. Beathe, MDMember, ASA Advisory Council

Semih Gungor, MDSymposium Chair, International Anesthesia

Symposium, Istanbul, Turkey

David L. Lee, MDMember, Medical School Admissions

Committee, Weill Cornell Medical College

Spencer S. Liu, MDExaminer, American Board of AnesthesiologyChair, Committee for ASRA AQI Clinical

Registry

Jeffrey Y. F. Ngeow, MDAdvisory Board Member, New York Society

of Interventional Pain Practice Member, Review Committee for Grant

Application, Cornell Clinical and Translational Science Center

Member, Pain Committee, New York State Society of Anesthesiologists

Honorary Member, Chinese American Society of Anesthesiologists

Michael Nurok, MB ChB, PhDAmerican Society of Anesthesiologists:

Committee on EthicsChair, International LAM Registry

William F. Urmey, MDBoard of Directors, American Society of

Regional Anesthesia and Pain Medicine Chair, Distinguished Service Award

Committee, American Society of Regional Anesthesia and Pain Medicine

Seth A. Waldman, MDSecretary, New York State Society of

Interventional Pain Physicians

EDITORIAL APPOINTMENTS

Jonathan C. Beathe, MDScientific Reviewer: Journal of Clinical

AnesthesiologyScientific Reviewer: Journal of Clinical

Orthopedics and Related Research

Gregory A. Liguori, MDEditor: Anesthesia and AnalgesiaAssociate Editor: Regional Anesthesia and

Pain Medicine

Spencer S. Liu, MDEditor: Regional Anesthesia & Pain MedicineSection Editor, Pain Medicine: Anesthesia

& Analgesia

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

Anesthesiology

Stavros G. Memtsoudis, MD, PhD Scientific Reviewer: Annals of Internal

MedicineScientific Reviewer: Annals of Thoracic SurgeryScientific Reviewer: AnesthesiologyScientific Reviewer: Anesthesia and AnalgesiaScientific Reviewer: Cleveland Clinic

Journal of MedicineScientific Reviewer: Clinical Anatomy Scientific Reviewer: Critical CareScientific Reviewer: HSS JournalScientific Reviewer: Journal of Clinical

AnesthesiologyScientific Reviewer: Journal of Clinical

Orthopedics and Related ResearchScientific Reviewer: Journal of Critical Care

MedicineScientific Reviewer: Regional Anesthesia

and Pain Medicine Scientific Reviewer: The Journal of Thoracic

and Cardiovascular Surgery

Michael Nurok, MB ChB, PhDScientific Reviewer: Cochrane Review Group


Scientific Reviewer: Critical CareScientific Reviewer: Millbank QuarterlyScientific Reviewer: Social Science and MedicineScientific Reviewer: Sociology of Health and

Illness

William F. Urmey, MDScientific Reviewer: AnesthesiologyScientific Reviewer: Regional Anesthesia &

Pain Medicine

Seth A. Waldman, MDEditorial Reviewer: The Medical Letter

Jacques Ya Deau, MD, PhDEditor: HSS JournalGuest Editor: Anesthesia and AnalgesiaScientific Reviewer: Regional Anesthesia and

Pain MedicineScientific Reviewer: Regional Anesthesia and

Pain Medicine

GRANTS

“Comparative Effectiveness of Interventions forChronic Pain Management.” National Institute of Health RC2 Award November 2009- November 2011Principal Investigator: Charles Inturrisi,PharmD; Weill Cornell Medical CollegeCo-Investigators: Semih Gungor, MD andSeth A. Waldman, MDThe goals of this project are to establish a retrospective chronic pain data registry forpatients of 4 New York City academic hospital-based pain clinics that employ inter-disciplinary pain management treatments; usePractice Based Evidence (PBE) methodologyto create a comprehensive, prospective chron-ic pain data registry, using the retrospectiveregistry as a foundation; and use both reg-istries to identify specific pain managementinterventions that are most effective for specific patient types with chronic pain.

“Chronic Pain Management Costs in a Multi-Institutional Patient Registry.” Clinical and Translational Science Center(CTSC) Pilot Award June 1, 2010- May 31, 2012Principal Investigator: Bruce R. Schackman,PhD, Weill Cornell Medical CollegeCo-Investigators: Semih Gungor, MD andSeth A. Waldman, MD In collaboration with Dr. Inturrisi’s NIH spon-sored chronic pain registry, this project willcollect cost information from a subset ofpatients across the four institutions.

“Implementation of Electronic Medical Recordsto Initiate a Chronic Pain Registry.” Clinical and Translational Science Center(CTSC) Pilot Award June 1, 2010- May 31, 2012

Principal Investigator: Seth A. Waldman, MDConversion of paper based office charts to elec-tronic format enabling participation in theNIH sponsored chronic pain registry lead byDr. Inturrisi. Registry will include detailedpatient characteristics (including severity of ill-ness) and assessments, treatments, interven-tions and outcomes data that have been stan-dardized across four participating pain clinicsduring the first year of the project.

SELECTED PUBLICATIONS

Original Articles

Beathe J, Sites B. Training Guidelines forRegional Anesthesia. American Society ofAnesthesiologists Newsletter, April 2011

Gritsenko K, Marcello D, Liguori GA, Jules-Elysée K, Memtsoudis SG. Meningitis orepidural abscesses after neuraxial block forremoval of infected hip or knee prostheses.British Journal of Anaesthesia. 2011 Dec 16.[Epub ahead of print]

Hargett MJ, Kopp SL, Liguori GA, Neal JM,and Weller RS002E Guidelines for FellowshipTraining in Regional Anesthesiology and AcutePain Medicine Second Edition, 2010. Regional Anesthesia Pain Medicine. 2011May/June;36(3):282-88.

Jules-Elysee KM, Lipnitsky JY, Patel N,Anastasian G, Wilfred S, Urban MK, SculcoTP. Use of Low-Dose Steroids in DecreasingCytokine Release During Bilateral Total KneeReplacement Regional Anesthesia and PainMedicine 2011;36(1):36-40.

Janicki PK, Vealey R, Liu J, Escajeda J, PostulaM, Welker K. Genome-wide Association UsingPooled DNA to Identify Candidate MarkersMediating Susceptibility to PostoperativeNausea and Vomiting. Anesthesiology 2011;115(1):54-64.

Liu SS, Buvanendran A, Viscusi ER, Hutton E,Lubenow T, Zhou J, Shaw PM, Moric M, LenartS. Uncomplicated removal of epidural cathetersin 4365 patients with international normalizedration greater than 1.4 during initiation of war-farin therapy. Regional Anesthesia and PainMedicine 2011 May-June; 36(3): 236-40.

Liu SS, Chisholm MF, Ngeow J, John RS, ShawP, Ma Y, Memtsoudis SG. Postoperative hypox-emia in orthopedic patients with obstructive sleepapnea. HSS Journal: The Musculoskeletal Journal ofHospital for Special Surgery; 2011 Feb; 7 (1): 2-8.

Liu SS, YaDeau JT, Shaw PM, Wilfred SE,Shetty T, Gordon M. Incidence of unintention-al intraneural injection and postoperative neu-rological complications with ultrasound-guidedinterscalene and supraclavicular blocks.

Anaesthesia (The Journal of the Association ofAnaesthetists of Great Britain and Ireland).2011; 66(3): 168-174

Liu SS, Wu CL, Ballantyne JC, Buvanedran A,Rathmell JP, Warren DT, Viscusi ER, GinsbergB, Rosenquist R, Ya Deau JT, Liguori GA. Anend and a beginning for ASRA AcutePOP.Regional Anesthesia and Pain Medicine 2011May-June; 36(3): 289

Bang H, Chiu YL, Memtsoudis SG, Mandl LA,Gonzalez Della Valle A, Mushlin AI, Marx RG,Mazumdar M. Total Hip and Total KneeArthroplasties: Trends and DisparitiesRevisited American Journal of Orthopedics2010;39(9):E95-E102.

Girardi FP, Gogia J, Kotwal S, Memtsoudis SG,Pumberger M. Spinal Surgery – An Update.European Musculoskeletal Review, 2011;6(2):105-9.

Goodman S, Krauser D, MacKenzie CR,Memtsoudis SG. Cardiac arrest during totalhip arthroplasty in a patient on an angiotensinreceptor antagonist. HSS Journal: TheMusculoskeletal Journal of Hospital for Special Surgery.

Memtsoudis SG, Bombardieri AM, Ma Y,Girardi F. The effect of low versus high tidalvolume ventilation on inflammatory markers inhealthy individuals undergoing posterior spinefusion in the prone position: a randomized con-trolled trial. Journal of Clinical Anesthesia. 2011Oct 14. [Epub ahead of print]

Memtsoudis SG, Bombardieri AM, Walz JM,Ma Y, Chiu YL, Mazumdar M. Mortality ofpatients with respiratory insufficiency and adultrespiratory distress syndrome after surgery: Theobesity paradox. Journal of Intensive CareMedicine. 2011 Jul 21. [Epub ahead of print]

Memtsoudis SG, Dy C, Ma Y, Chiu YL,Gonzalez Della Valle A, Mazumdar M. In-hos-pital patient falls following total joint arthro-plasty: Incidence, demographics and risk factorsin the United States. Journal of Arthroplasty.2011 Nov 22. [Epub ahead of print]

Memtsoudis SG, Hughes A, Ma Y, Chiu YL,Sama AA, Girardi FP. Increased in-hospitalcomplications after primary posterior versusprimary anterior cervical fusion. ClinicalOrthopaedics and Related Research. 2011Mar;469(3):649-57.

Memtsoudis SG, Hughes A, Ma Y, Chiu YL,Sama AA, Girardi FP. Erratum to: IncreasedIn-Hospital Complications after PrimaryPosterior Versus Primary Anterior CervicalFusion. Clinical Orthopaedics and RelatedResearch. 2011 Feb 20. [Epub ahead of print]

Memtsoudis SG, Kirskey M, Ma Y, Chiu YL,Mazumdar M, Pumberger M, Girardi F.

“Dr. Kahn was AMAZING! He made all the difference between comfort and anxiety for me.”



Metabolic syndrome and lumbar spine fusionsurgery: epidemiology and perioperative out-comes. Spine 2011 Oct 21. [Epub ahead of print]

Memtsoudis SG, Kuo C, Ma Y, Edwards A,Mazumdar M, Liguori GA. Changes in anes-thesia related factors in ambulatory knee andshoulder surgery: United States 1996-2006.Regional Anesthesia and Pain Medicine 2011Jul-Aug; 36(4): 327-31

Memtsoudis SG, Liu SS, Ma Y, Chiu YL, WalzJM, Mazumdar M. Perioperative pulmonaryoutcomes in patients with sleep apnea afternon-cardiac surgery. Anesthesia & Analgesia2011 Jan; 112(1): 113-21.

Memtsoudis SG, Ma Y, Chiu YL, Poultsides L,Gonzalez DellaValle A, Mazumdar M. Bilateraltotal knee arthoplasty: Risk factors for majormorbidity and mortality. Anesthesia &Analgesia. 2011 Oct;113(4):784-90.

Memtsoudis SG, Vougioukas VI, Ma Y, Gaber-Byliss LK, Girardi FP. Perioperative morbidityand mortality after anterior, posterior and ante-rior/posterior spine fusion surgery. Spine 2011Oct 15;36(22):1867-1877.

Memtsoudis SG, Besculides MC. PerioperativeComparative Effectiveness Research. BestPractice & Research Clinical Anaesthesiology2011 Dec; 25(4): 535-47

Passias PG, Ma Y, Chiu YL, Mazumdar M,Girardi FP, Memtsoudis SG. Comparative safetyof simultaneous and staged anterior and posteri-or spinal surgery. Spine 2011 Feb 4. [Epub aheadof print]

Nurok M, Sundt TM, Frankel A. Teamworkand Communication in the Operating Room:Relationship to Discrete Outcomes andResearch Challenges. Anesthesiology Clinics.2011 Mar; 29(1): 1-11.

Nurok M, Evans LA, Lipsitz S, Satwicz P, KellyA, Frankel A. The Relationship of the EmotionalClimate of Work and Threat to Patient Outcomein a High Volume Thoracic Surgery OperatingRoom Team. Quality and Safety in Health Care2011 March; 20(3): 237-42

Rade MC, YaDeau JT, Ford C, Reid MC.Postoperative delirium in elderly patients afterelective hip or knee arthoplasty performedunder regional anesthesia. HSS Journal: TheMusculoskeletal Journal of Hospital for SpecialSurgery; 2011 July; 7 (2): 151-6.

Su EP, Chatzoudis N, Sioros V, Go G, SharrockNE. Markers of thrombin generation duringresurfacing and noncemented total hip arthro-plasty: a pilot study. Clinical Orthopaedics andRelated Research. 2011 Feb;469(2):535-40.

Gulotta LV, Padgett DE, Sculco RP, Urban M,Lyman S, Nestor BJ. Fast Track THR: One

Hospital’s Experience with a 2 Day Length ofStay Protocol for Total Hip Replacement. HSSJournal: The Musculoskeletal Journal of Hospitalfor Special Surgery; 2011 Oct; 7(3): 223-8.

Urmey W. Electrical nerve stimulation andlocoregional anesthesia: new modalities.European Journal of Pain Supplements. 2011Nov; 5(2): 499-505

Yadeau JT, Casciano M, Liu SS, Edmonds CR,Gordon M, Stanton J, John R, Shaw PM,Wilfred S, Stanton M. Stroke, regional anes-thesia in the sitting position, and hypotension:A review of 4169 ambulatory surgery patients.Regional Anesthesia and Pain Medicine 2011Sep-Oct;36(5):430-5.

YaDeau JT, Liu SS, Bang H, Shaw PM,Wilfred SE, Shetty T, Gordon M. Cerebraloximetry desaturation during sitting positionshoulder surgery with regional anesthesia.Canadian Journal of Anaesthesia. 2011Nov;58(11):986-92.

Yadeau JT, Liu SS, Rade MC, Marcello D,Liguori GA. Performance characteristics andvalidation of the Opioid-Related SymptomDistress Scale for evaluation of analgesic sideeffects after orthopedic surgery. Anesthesia &Analgesia. 2011 Aug;113(2):369-77.

Abstracts and Poster Presentations

Bombardieri AM, Girardi FP, Ma Y,Memtsoudis SG. Comparative effectiveness ofcentrally versus peripherally transduced venouspressure monitoring in the perioperative peri-od in spine patients. Society of Critical CareAnesthesiologists (SOCCA) 2011 AnnualMeeting, Chicago, IL

Bombardieri AM, Girardi FP, Ma Y, MemtsoudisSG. The effect of low versus high tidal volumeventilation on markers of lung injury in healthyindividuals undergoing posterior spine fusion.American Society of Anesthesiologists (ASA)2011 Annual Meeting, Chicago, IL

Bombardieri AM, Beckman J, Girardi FP,Memtsoudis SG. Cerebral blood flow velocityis preserved in the prone position during pos-terior lumbar surgery. American Society ofAnesthesiologists (ASA) 2011 Annual Meeting,Chicago, IL

Bombardieri AM, Beckman J, Girardi FP,Memtsoudis SG. Cerebral blood flow velocity ispreserved in the prone position during posteriorlumbar surgery. 65th Postgraduate Assembly inAnesthesiology, December, New York, NY

Bombardieri AM, Beckman J, Girardi FP, MaY, Shaw P, Memtsoudis SG. Comparativeeffectiveness of centrally versus peripherallytransduced venous pressure monitoring in theperioperative period in spine patients.

American Society of Anesthesiologists (ASA)2011 Annual Meeting, Chicago, IL

Bombardieri AM. Cerebral blood flow velocityduring hypotensive epidural anesthesia. 65thPostgraduate Assembly in Anesthesiology,December, New York, NY

Bombardieri AM, Maalouf D, MemtsoudisSG, Raffaele De Gaudio A. Cerebral bloodflow velocity after tourniquets release duringtotal knee arthroplasty. American Society ofAnesthesiologists (ASA) 2011 Annual Meeting,Chicago, IL

Chen C, Ma Y, Chiu YL, Poultsides L,Gonzalez Della Valle A, Mazumdar M,Memtsoudis S. Bilateral total knee arthroplas-ty: Risk factors for major morbidity and mor-tality. American Society of Regional Anesthesiaand Pain Medicine (ASRA) 2011 AnnualMeeting, Las Vegas, NV

Chisholm MF, Bang H, Marcello D, LotanoM, Buschiazzo V. Postoperative analgesia withthe subsartorial saphenous nerve block in ante-rior cruciate ligament reconstruction.American Society of Regional Anesthesia andPain Medicine (ASRA) 2011 Annual Meeting, Las Vegas, NV

Goytizolo E, Memtsoudis S, Marcello D,Buschiazzo V, Vaz A, Hurtado S, Thompson T.Effect of optimal regional analgesia on arterialtone after total hip arthroplasty. American Societyof Regional Anesthesia and Pain Medicine(ASRA) 2011 Annual Meeting, Las Vegas, NV

Jules-Elysee K, Wilfred S, Memtsoudis SG,Kim D, Ya Deau JT, Urban MK, Licardi M,McLawhorn A, Sculco T. Steroid Modulationon Cytokine Release and Desmosine Level inBilateral Total Knee Replacement. AmericanAcademy of Orthopaedic Surgeons (AAOS)2011 Annual Meeting, San Diego, CA

Poultsides LA, Gonzalez Della Valle A,Memtsoudis SG, Ma Y, Roberts T, Nigel E.Sharrock NE, Salvati EA. Meta-Analysis ofCause of Death Following TJR UtilizingDifferent Thromboprophylaxis Regimens.American Academy of Orthopaedic Surgeons(AAOS) 2011 Annual Meeting, San Diego, CA

Li L, Beckman J, Beathe J, Gondipalli P, ZayasVM, Buschiazzo VL. Cervical spine disease is arisk factor for persistent phrenic nerve paresis fol-lowing interscalene block for shoulder surgery.American Society of Regional Anesthesia andPain Medicine (ASRA) 2011 Annual Meeting,Las Vegas, NV

Liu JB. Analgesia after Total KneeArthroplasty: Peri-articular Injection vs.Epidural plus Femoral Nerve Blockade, aProspective Randomized Controlled Clinical

“Dr. Urban was exceptional. He was great the day of surgery and visited me frequently.”Comment from Press Ganey Patient Satisfaction Survey


Trial. Hospital for Special Surgery FellowResearch Presentations, 2011

Liu SS, Buvanendran A, Viscusi ER, Hutton E,Lubenow T, Zhou J, Shaw PM, Moric M,Lenart S. Uncomplicated removal of epiduralcatheters in 4,365 patients with internationalnormalized ratio greater than 1.4 during initia-tion of warfarin therapy. American Society ofRegional Anesthesia and Pain Medicine(ASRA) 2011 Annual Meeting, Las Vegas, NV

Liu SS, Bieltz M, Wukovits B, Bae JJ.Prospective survey of patient controlledepidural analgesia with bupivacaine and cloni-dine after total hip replacement: A pre and postchange comparison with bupivacaine andhydromorphone. American Society of RegionalAnesthesia and Pain Medicine (ASRA) 2011Annual Meeting, Las Vegas, NV

Liu SS, Bae JJ, Bieltz M, Ma Y, MemtsoudisSG. Association of perioperative use of NSAIDswith postoperative myocardial infarction aftertotal joint replacement. American Society ofRegional Anesthesia and Pain Medicine (ASRA)2011 Annual Meeting, Las Vegas, NV

Lotano M. Postoperative Analgesia with theSubsartorial Saphenous Nerve Block in AnteriorCruciate Ligament Reconstruction. Hospital forSpecial Surgery Fellow Research Presentations,2011

Memtsoudis SG, Guheen CR, Ma Y,Swamidoss CP, Edwards AM, Mazumdar M,Liguori GA. Factors influencing unexpecteddisposition after orthopedic ambulatory sur-gery. American Society of Regional Anesthesiaand Pain Medicine (ASRA) 2011 AnnualMeeting, Las Vegas, NV

Memtsoudis SG, Pumberger M, BombardieriAM, Chiu YL, Poultsides L, Fritsch G, GernerP. Epidemiology and risk factors for periopera-tive mortality after total hip and knee arthro-plasty. American Society of Anesthesiologists(ASA) 2011 Annual Meeting, Chicago, IL

Esposito A, Chiu YL, Mantilla C, Parvizi J,Mazumdar M, Memtsoudis SG. Bilateral kneearthroplasties: Have they become safer? 65thPostgraduate Assembly in Anesthesiology,December, New York, NY

Kirksey K, Poultsides L, Chiu YL, Ma Y,Memtsoudis SG. Trends in in-hospital majormorbidity and mortality after total joint arthro-plasty: USA 1998-2008. Society of Critical CareAnesthesiologists (SOCCA) 2011 AnnualMeeting, Chicago, IL

Kirksey K, Pumberger M, Chiu YL, Girardi F,Memtsoudis SG. Metabolic syndrome andlumbar spine fusion: epidemiology and periop-erative outcomes. American Society ofAnesthesiologists (ASA) 2011 Annual Meeting,Chicago, IL

Sun X, Mazumdar M, Memtsoudis SG. Theutilization of critical care services amongpatients undergoing total hip and knee arthro-plasty. 65th Postgraduate Assembly inAnesthesiology, December, New York, NY

Walz JM, Memtsoudis SG, Barton BA, SollerBR, Heard SO. Tissue Oxygenation inResponse to Intraoperative Homologous BloodTransfusion in Complex Spine Surgery.American Society of Anesthesiologists (ASA)2011 Annual Meeting, Chicago, IL

Walz JM, Memtsoudis SG, Urban MK, GirardiFP, Barton BA, Soller BR, Heard SO. Tissueoxygenation in response to intraoperativehomologous blood transfusion in complexspine surgery. Society of Critical CareAnesthesiologists (SOCCA) 2011 AnnualMeeting, Chicago, IL

Rade MC, YaDeau J, Tedore T, Goytizolo E,Kim D, Green D, Westrick A, Coleman S, KellyB. Lumbar plexus block for pain control after hiparthroscopy. A randomized controlled trial.American Society of Regional Anesthesia andPain Medicine (ASRA) 2011 Annual Meeting,Las Vegas, NV

Shaw PM, Kuo C, Ma Y, Edwards A, Mazumdar M,

Liguori GA, Memtsoudis SG. Changes in anesthe-

sia related factors in ambulatory knee and shoulder

surgery: United States 1996-2006. American Society

of Regional Anesthesia and Pain Medicine (ASRA)

2011 Annual Meeting, Las Vegas, NV

Urban M, Memtsoudis S, Ho M, Marcello D.Goal directed fluid management during complex

spine surgery. Society of Critical Care

Anesthesiologists (SOCCA) 2011 Annual

Meeting, Chicago, IL

Book Chapters

Beathe JC, Flatto R. Knee Arthroscopy In:

Fleisher LA, Roizen MF, eds. Essence of Anesthesia

Practice, 3rd ed., Philadelphia, PA: Elsevier 2011

Memtsoudis SG. Fenomeno Embolico

Perioperatorio IN: Protocolos en Cuidados

Criticos. Editor Sancho Rodriguez Villar.

Publishing Company: Editorial Marban S.L.:

2011; pages 467-474.

“Excellent care by anesthesiologist! Dr. King was exceptional!”


Department of AnesthesiologyHospital for Special Surgery535 East 70th StreetNew York, NY 10021www.hss.edu

Managing EditorSusan Cardamone, MBA

EditorBobby Stack, MS

ContributorsMike Bieltz, MBAChristopher A. DiMeo, MDCarey Ford, CCRCSean Garvin, MDMary J. Hargett, BSMichael Nurok, Mb ChB, PhDMaureen Stanton, RNBarbara Wukovits, RN

DesignLiz Savino

PhotographyGeorge Go

About Hospital for Special SurgeryFounded in 1863, Hospital for Special Surgery (HSS)is a world leader in orthopedics, rheumatology andrehabilitation. HSS is nationally ranked No. 1 in orthopedics, No. 2 in rheumatology, No. 19 in neurology,and No. 16 in geriatrics by U.S.News & World Report(2011-12), and has received Magnet Recognition forExcellence in Nursing Service from the AmericanNurses Credentialing Center, and has one of the lowest infection rates in the country. From 2007 to2011, HSS has been a recipient of the HealthGradesJoint Replacement Excellence Award. A member of theNewYork-Presbyterian Healthcare System and an affiliate of Weill Cornell Medical College, HSS providesorthopedic and rheumatologic patient care at NewYork-Presbyterian Hospital at New York Weill CornellMedical Center. All Hospital for Special Surgery medical staff are on the faculty of Weill Cornell Medical College. The hospital’s research division isinternationally recognized as a leader in the investigationof musculoskeletal and autoimmune diseases.

© 2012 Hospital for Special Surgery.All rights reserved

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Department of Anesthesiology Annual Report 2011

Documents