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UNIVERSITY OF PITTSBURGH / UPMC DEPARTMENT OF ANESTHESIOLOGY NEWS September 2016 Note: This newsletter is the first issue since Winter of 2014 to be sent to alumni and other readers outside the department. We sent four newsletters between October 2015 and April 2016 that only went to department staff. Going forward, we will resume distributing the newsletter to our external e-mail list. We are working on updating our newsletter archive to include the October 2015-April 2016 issues. Message from the Chair One Year Down... Hard to believe, but it’s been a year since I arrived in Pittsburgh! The time has gone by very fast. When I look back at my time here so far, a lot of good things have happened. Many of these good things explain why I have been lax about sending out the newsletter for the past several months. Perhaps the most important achievement for all of us has been the generous system support that has enabled us to recruit more effectively. While we are still short staffed, we have been able to successfully recruit many more CRNAs and faculty. Not only that, the quality of the candidates we are interviewing has improved markedly. I really appreciate the efforts of everyone in the department to fill in the gaps until staffing is up to required levels. It took a full court press by many people to drive and implement these changes – in particular, I would like to thank Mark Hudson, Bill Thomson, Tim Lyons, Helen DeFranco, and Linda Fleming for their tireless efforts. We continue to innovate on the clinical side. Under the expert leadership of Mark Hudson, new hospitals are being successfully integrated into our group and we have improved the efficiency of our operations dramatically. Enhanced Recovery After Surgery (ERAS) efforts spearheaded by Stephen Esper, Mike Boisen, Kat Subramaniam, Julie Ging, and Jess Erjavac have caught on like wildfire. Significant cost reductions and decreases in length of stay have been demonstrated systemwide. Another major initiative that will lead to tremendous benefits for our patients, our department, and the system is the establishment of the Centers for Presurgical Care. This initiative, also led by Stephen Esper, in collaboration with UPMC’s Donald D. Wolff, Jr. Center for Quality, Safety, and Innovation and the Department of Surgery, provides not only comprehensive preoperative evaluation, but also prehabilitation services to optimize patients for their procedures. In addition, in collaboration with the frailty initiative, we will assess the suitability of the patient for the proposed procedure and consider alternate therapies in conjunction with our surgical colleagues. Academics efforts have continued to flourish. The SRNA school remains top-rated, and our residency program under Dave Metro had another banner year! In addition to sweeping ALL the awards at the Pennsylvania Anesthesiology Resident Research Conference, numerous awards were garnered by residents and fellows at many other regional and national conferences. Dr. Sakai’s efforts continue to bear fruit as the number of resident presentations at the annual American Society of Anesthesiology meeting continues to increase. Over 200 papers from our department were published in the past year, and research funding remains robust. The upcoming year promises to be full of opportunities to build upon this past year’s accomplishments. As you all know, one of the main reasons I was recruited here was to build upon our already strong academic foundation to make Pitt/UPMC Anesthesiology #1. Over the past year, I spent a substantial amount of time focused on financial and system issues. As discussed above, we have achieved a great deal and resolved important pressing issues. Therefore, during the upcoming year, I plan to focus my energies on growing our academic footprint and developing our people. We have a large number of students, residents, and faculty that are enthusiastic about research and academics. We also have been given a tremendous opportunity to expand our research enterprise. I am looking forward to working with the CRNAs, faculty, residents, fellows, and staff to expand these efforts and integrate them into the fabric of our department. Thank you all very much for your support and feedback over the past year. I have learned a great deal. One of the most important things that I learned is that my initial impressions about Pitt were absolutely right. Our department is full of talented, hard working people dedicated to serving our patients, our colleagues, and each other! I am truly honored to be a part of this group, and look forward to the opportunities the next year will bring! Howard B. Gutstein, MD Peter and Eva Safar Professor and Chair
Transcript
Page 1: UNIVERSITY OF PITTSBURGH / UPMC DEPARTMENT …files.constantcontact.com/d9890af7301/748af09f-a989-4fe2-add1... · UNIVERSITY OF PITTSBURGH / UPMC DEPARTMENT OF ANESTHESIOLOGY NEWS

UNIVERSITY OF PITTSBURGH / UPMC DEPARTMENT OF ANESTHESIOLOGY NEWS September 2016

Note: This newsletter is the first issue since Winter of 2014 to be sent to alumni and other readers outside the department. We

sent four newsletters between October 2015 and April 2016 that only went to department staff. Going forward, we will resume

distributing the newsletter to our external e-mail list. We are working on updating our newsletter archive to include the October

2015-April 2016 issues.

Message from the Chair

One Year Down...

Hard to believe, but it’s been a year since I arrived in Pittsburgh!

The time has gone by very fast. When I look back at my time here

so far, a lot of good things have happened. Many of these good

things explain why I have been lax about sending out the newsletter

for the past several months.

Perhaps the most important achievement for all of us has been the

generous system support that has enabled us to recruit more

effectively. While we are still short staffed, we have been able to

successfully recruit many more CRNAs and faculty. Not only that,

the quality of the candidates we are interviewing has improved

markedly. I really appreciate the efforts of everyone in the

department to fill in the gaps until staffing is up to required levels. It

took a full court press by many people to drive and implement these

changes – in particular, I would like to thank Mark Hudson, Bill

Thomson, Tim Lyons, Helen DeFranco, and Linda Fleming for their

tireless efforts.

We continue to innovate on the clinical side. Under the expert

leadership of Mark Hudson, new hospitals are being successfully

integrated into our group and we have improved the efficiency of

our operations dramatically. Enhanced Recovery After Surgery

(ERAS) efforts spearheaded by Stephen Esper, Mike Boisen, Kat

Subramaniam, Julie Ging, and Jess Erjavac have caught on like

wildfire. Significant cost reductions and decreases in length of stay

have been demonstrated systemwide. Another major initiative that

will lead to tremendous benefits for our patients, our department,

and the system is the establishment of the Centers for Presurgical

Care. This initiative, also led by Stephen Esper, in collaboration with

UPMC’s Donald D. Wolff, Jr. Center for Quality, Safety, and

Innovation and the Department of Surgery, provides not only

comprehensive preoperative evaluation, but also prehabilitation

services to optimize patients for their procedures. In addition, in

collaboration with the frailty initiative, we will assess the suitability

of the patient for the proposed procedure and consider alternate

therapies in conjunction with our surgical colleagues.

Academics efforts have continued to flourish. The SRNA school

remains top-rated, and our residency program under Dave Metro

had another banner year! In addition to sweeping ALL the awards at

the Pennsylvania Anesthesiology Resident Research Conference,

numerous awards were garnered by residents and fellows at many

other regional and national conferences. Dr. Sakai’s efforts continue

to bear fruit as the number of resident presentations at the annual

American Society of Anesthesiology meeting continues to increase.

Over 200 papers from our department were published in the past

year, and research funding remains robust.

The upcoming year promises to be full of opportunities to build upon

this past year’s accomplishments. As you all know, one of the main

reasons I was recruited here was to build upon our already strong

academic foundation to make Pitt/UPMC Anesthesiology #1. Over

the past year, I spent a substantial amount of time focused on

financial and system issues. As discussed above, we have achieved

a great deal and resolved important pressing issues. Therefore,

during the upcoming year, I plan to focus my energies on growing

our academic footprint and developing our people. We have a large

number of students, residents, and faculty that are enthusiastic

about research and academics. We also have been given a

tremendous opportunity to expand our research enterprise. I am

looking forward to working with the CRNAs, faculty, residents,

fellows, and staff to expand these efforts and integrate them into the

fabric of our department.

Thank you all very much for your support and feedback over the

past year. I have learned a great deal. One of the most important

things that I learned is that my initial impressions about Pitt were

absolutely right. Our department is full of talented, hard working

people dedicated to serving our patients, our colleagues, and each

other! I am truly honored to be a part of this group, and look forward

to the opportunities the next year will bring!

Howard B. Gutstein, MD Peter and Eva Safar Professor and Chair

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In Memoriam

With great sadness, we share news of the passing of several

department alumni.

Peter M. Winter, MD passed away on Saturday, May 14, 2016. Dr.

Winter was the second Chair of the Department of Anesthesiology

and Critical Care Medicine, serving from 1979-1996 after Dr. Peter

Safar. Read more

On May 7, we lost valued alumnus and colleague Terence

McAuliffe, MD, who completed an Anesthesiology/Critical Care

Medicine Fellowship with the department in 1968. Read more

Last, we lost long time former department CRNA Patricia L. Swedlow,

who passed away on August 19, 2016. This marked the third loss

from the UPMC Presbyterian neurosurgery and neuroanesthesiology

group. Pioneering neuroanesthesiologist Maurice S. Albin, MD,

MSc died on July 2, 2016 and the groundbreaking

neurosurgeon Peter Jannetta, MD passed away earlier this year as

well. Read more

News

Phillip Adams, DO, Michael Chiang, Stephanie Puig, PhD, and Grace Lim, MD were our

winners from the sixth annual Multi-Departmental Trainees' Research Day, May 17, 2016.

Read more

Shushma Aggarwal, MD; Cheryl D. Bernstein, MD; Jacques E. Chelly, MD, PhD,

MBA; ZongFu Chen, MD; Franklyn P. Cladis, MD; Peter J. Davis, MD; Andrew Herlich,

DMD, MD; Steven L. Orebaugh, MD; Jerome Parness, MD, PhD; Doreen E. Soliman, MD;

Erin Sullivan, MD; and Ajay D. Wasan, MD were all named in Pittsburgh Magazine's 2016

"Best Doctors" list. Read more

Congratulations and thank you to our 2016 retirees, Shushma

Aggarwal, MD; Barbara Brandom, MD; Charles Buffington, MD;

Rajani Chuensumran, MD; Evelyn Gonzalez-Abola, MD; Thomas

Lace, MD; Richard McHugh, MD; and Bharati Parikh, MD. The

Department of Anesthesiology hosted a celebration in their honor on

June 27, 2016 at the University Club. Photos from the celebration

can be viewed online.

The University of Pittsburgh Anesthesiology Interest Group (AIG) was

selected by the American Society of Anesthesiologists Medical

Student Component as winner of the 2015-2016 Outstanding AIG

Student Chapter Award. This award distinguishes the group as one of

the top AIGs in the nation. Read more

Bruce Ben-David, MD; Andrew Herlich, DMD, MD, FAAP; Steven L. Orebaugh, MD;

and Joseph J. Quinlan, MD were elected to the Association of University Anesthesiologists.

Read more

Dr. Peter Winter

Patricia Swedlow

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Stephen A. Esper, MD, MBA will receive funding from the American

Heart Association for a two-year GRA Winter 2016 Mentored Clinical

& Population Research Award titled "A Pilot Study in Feasibility and

Safety: Point of Care Testing with Thromboelastography for Blood

Product Transfusion." Read more

Dan Devinney, CRNA, BSN, MBA, JD accepted the position of Clinical Director of UPMC

Passavant. Dan has been the Assistant Director at UPMC Mercy from 2013 to present. He

previously worked as a staff CRNA at UPMC Passavant from 1996 through 2013. Dan

graduated from the Mercy Hospital School of Anesthesia in August 1984. He also earned a

law degree from Duquesne University in 1993 and an MBA in 1995.

Kirsten Radaker, CRNA, MSN accepted the position of CRNA Assistant Clinical

Director of UPMC Mercy. Kirsten has been a staff CRNA at UPMC Mercy from 2011 to

present. She previously worked as a CVICU RN at UPMC Mercy from 1997 through

2009. Kirsten graduated from the University of Pittsburgh School of Nursing Nurse

Anesthesia Program in 2010.

Kirsten and Dan bring a myriad of experience both clinically and professionally to these

leadership roles. Congratulations to both!

Tomas Drabek, MD, PhD will serve as a co-investigator on the new

project "Dopamine System-focused Neurorehabilitation Model for

Improving Neurorecovery among Cardiac Arrest Survivors." Read

more

Catherine Duda-Hampel, DrPH, MPH joined the department as our Executive

Administrator, also managing the Department of Critical Care Medicine and the ICU Service

Center. Catherine comes to us with an impressive 15+ year track record in clinical program

development, operations management, and administration. She previously served as Chief

Administrative Officer of the Departments of Anesthesiology and Emergency Medicine at the

David Geffen School of Medicine at UCLA, where she provided senior administrative

leadership for all clinical, educational, research, and financial functions within the two

departments. She also previously served in numerous administrative management positions

in UCLA Health System, UCLA Radiology, COPE Health Solutions, and Balance

Pharmaceuticals Inc. Originally from Pittsburgh, Catherine earned her BS in Biological

Sciences from Carnegie Mellon University and both a Master and Doctor of Public Health in

Health Policy and Management at UCLA.

Calin Gorun-Gorunescu, MD won a 2016 UPMC Richard L.

Simmons, MD Speak Up for Safety Award. The award honors the

dedication of Dr. Richard Simmons to improving the quality of

healthcare and patient safety and is given to those who embody

those values. Dr. Gorun-Gorunescu is honored for his attention to

detail, which resulted in life-saving actions in a recent case. When

notified about the award, Dr. Gorun-Gorunescu acknowledged the

work of many other people, such as the PACU nurse, surgeon, and

anesthesia team, in saving the patient’s life. Read more

Ibtesam A. Hilmi, MB CHB, FRCA was promoted to Professor of

Anesthesiology. Read more

Gregg E. Homanics, PhD received the Medical Student Research

Mentoring Merit Award from the University of Pittsburgh School of

Medicine at 2016 Scholars Day. Read more

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James W. Ibinson MD, PhD; K. Grace Lim, MD; Ajay D. Wasan, MD, MSc; and Andrea

Gillman, PhD are all department principle investigators (PIs) or Co-PIs on research projects

that recently won University of Pittsburgh Clinical and Translational Science Institute Pain

Research Challenge awards. Read more

James W. Ibinson, MD, PhD, A. Murat Kaynar, MD, MPH, and Marsha Ritter Jones, MD,

PhD were awarded UPP Foundation Grants. Read more

A half hour PBS/ WQED Public Cable TV special called "Journey to Medicine" was filmed in

Pittsburgh and focused on Gateway Medical Society's mentorship program. Read more

K. Grace Lim, MD was awarded a $10,000 SEAd

Grant for her project, "Residents as Teachers: Effect

of a Patient Education Strategy on Resident Self-

Efficacy and Maternal Outcomes (The EDUCATE

Study)" at the Spring 2016 SEA Meeting. Read more

She was also selected to receive a Building

Interdisciplinary Research Careers in Women's Health

(BIRCWH) in Pittsburgh NIH K12 scholar award. This

mentored career-development program connects

BIRCWH scholars to senior faculty with shared

research interest in women's health and sex-

differences research. Read more

Lastly, Dr. Lim was appointed as the new Director of Obstetric Anesthesiology at Magee-

Womens Hospital of UPMC. Read more

Sanford M. Littwin, MD joined the department as Operating Room

Clinical Director of UPMC Presbyterian/Montefiore. Read more

Michael P. Mangione, MD was nominated for the 2016 Golden Apple

Award. Read more

The spring 2016 issue of Pennsylvania Physician Magazine featured

an article about Kristin M. Ondecko Ligda, MD (read more). She

was also featured as a guest blogger on the Pennsylvania Medical

Society website (read more) and was nominated for the American

Medical Association's Women Physicians Section's Inspirational

Physician Recognition Award (read more).

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Steven L. Orebaugh, MD was spotlighted in a Pittsburgh Post-

Gazette article for his fiction book, A Night in the Life. He also signed

copies of his book on August 6 at Half-Price Books at Village Square

Mall in Bethel Park. Read more

Rita M. Patel, MD was selected for the 2016 Society for Education

in Anesthesia/Duke Award for Excellence and Innovation in

Anesthesia Education. Read more

Joseph J. Quinlan, MD was promoted to the new role of Director

of Operating Room Management for the UPMC System. Over the

past 15 years, Dr. Quinlan has made his mark as the Chief

Anesthesiologist at UPMC Presbyterian. In addition to being an

outstanding clinician and educator, he has developed methods to

keep scheduling as efficient and effective as possible in the face of

an environment with frequent emergencies, cancellations, and

disruptions. Additional systemwide responsibilities for Dr. Quinlan

include management of the anesthetizing locations cap and serving

as the Chief Compliance Officer for Anesthesiology.

Shawn T. Beaman, MD will serve as the Interim Chief of

Anesthesiology at UPMC Presbyterian. Dr. Beaman has been our

Associate Residency Program Director for the past seven years, and

has been the Director of our General/Trauma Anesthesia Service at

Presbyterian for the past three years. His educational efforts have

been recognized by his election into the prestigious University of

Pittsburgh Academy of Master Educators.

Tetsuro Sakai, MD, PhD was invited to speak at the 2016

International Liver Transplantation Society Annual International

Congress on May 4-7, 2016 (read more). He was also invited to Icahn

School of Medicine at Mount Sinai Department of Anesthesiology to

serve as a Visiting Professor (read more) and was elected to the Pitt

Non-Tenured Faculty Promotions and Appointments Committee (read

more).

William Simmons, MD received the National Medical Association Scroll of Merit “ in

recognition of his leadership and promotion of wellness, healthcare equality, medical

education, and efforts towards increasing the pipeline of minority students entering

medicine” (Read more). Dr. Simmons was also one of three mentors in Gateway Medical

Society’s Journey to Medicine Academic Mentorship Program selected to receive the

Jefferson Award for Volunteerism, the highest award for volunteerism in the nation, in June

2016. Read more

Many department presenters participated in the Society for Education in Anesthesia (SEA)

2016 Spring Meeting, June 3-5, 2016, Baltimore, MD (read more). Phillip S. Adams, DO

won the 3rd place abstract award at the meeting for his oral presentation, “Integrated Clinical

Subspecialty and Research Training In Anesthesiology: Academic Anesthesiology Scholar

Tracks” (authors: Phillip S. Adams, DO; Tetsuro Sakai, MD, PhD; James Ibinson, MD/PHD;

Keith M. Vogt, MD, PhD; Sandra C. Hirsch, MBA; Yan Xu, PhD; David G. Metro, MD).

SRNAs and CRNAs from UPMC Presbyterian

participated in the Tunch and Wolf Walk for the Homeless

on June 11, 2016 in Pittsburgh. Read more

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Monique Saxon, MSN, CRNA and Robert Scott Lang, MD were voted Outstanding CRNA and Outstanding Anesthesiologist, respectively, by the graduating student nurse anesthetist class of fall 2016. Read more

Erin A. Sullivan, MD was appointed as a Senior Examiner for the

American Board of Anesthesiology (ABA) Part 2 exam for a four-year

term beginning in 2017. Read more

Pei Tang, PhD was invited to give the talk, "Probing Channel

Structure, Dynamics, and Function," on February 28, 2016 at the

symposium on Pentameric Ligand-gated Ion Channels at the

60th annual meeting Biophysical Society in Los Angeles, CA.

A paper by Nicole Verdecchia, MD; Vladyslav Melnyk, MD; and Steven L. Orebaugh, MD,

“The Physical Relationship of the Sciatic Nerve and its Paraneural Sheath,” was chosen as a

“top 5” abstract for NYSORA 2016. Read more

Brian A. Williams, MD, MBA received the VA Pittsburgh Healthcare

System's Excellence in Research Award. Read more

Education News

Our residents swept the first place awards in ALL categories at the 11th Annual

Pennsylvania Anesthesiology Resident Research Conference on Saturday, May 14,

2016 at Penn State Milton S. Hershey Medical Center. Read more

Peter Yeh, MD (PGY-4 resident) was chosen as President-elect of

the Society for Obstetric Anesthesia and Perinatology Resident

Affairs Committee. Read more

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Michael Schnetz, MD, PhD (PGY-3 Resident) was accepted into the

FAER Resident Scholar Program. Read more

Congratulations to the Residency and Fellowship Graduating Classes of 2016! Read more

A resident/fellow welcome picnic was held at the home of Drs. Howard Gutstein and Jill

Schumacher on July 9, 2016. Read more

David G. Metro, MD; Anne E. Kamarchik, MD; Melanie Hodge,

MD; and Brian Gierl, MD served on a Surgicorps international

survival mission trip in Antigua, Guatemala. Read more

2016 Safar Symposium and Multi-Departmental Trainees' Research Day

The 14th annual Safar Symposium and sixth annual Multi-Departmental Trainees'

Research Day was held on May 16-17, 2016. This yearly event honors the late Dr. Peter

Safar (founding Chair of the Department of Anesthesiology and Critical Care Medicine) and

his wife Eva for their contributions to the scientific community and highlights current research

in areas spanning Dr. Safar's interests. Read more

2016 FAER Medical Student Anesthesia Research Fellows Anh Nguyen

and Elizabeth Snajdar

The Department of Anesthesiology was one of 37 sites nationwide selected to host the

Foundation for Anesthesia Education and Research (FAER) Medical Student Anesthesia

Research Fellowship Program in 2016. Read more

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Dr. Jan Smith Reflects on Joining the Department of

Anesthesiology 50 Years Ago

At the end of my anesthesiology

residency at the Peter Bent Brigham

Hospital, I interviewed at

Massachusetts General Hospital

(MGH) for a fellowship position in

their respiratory unit, then run by

Drs. Henning Pontoppidan, Hendrik

Bendixen, and John Hedley-Whyte.

With a broader interest in medicine,

my chief at the time, Dr. Leroy

Vandam, suggested that I interview

with Dr. Peter Safar, a former trainee

of his, who was developing a

multidisciplinary ICU Program in

Pittsburgh. I decided not to go to

MGH and interviewed with Dr. Safar

in the lobby of the Sheraton Hotel in

Boston. I was offered a fellowship

position.

On July 1, 1966 - 50 years ago - I began my fellowship in critical care medicine (then

acute medicine) in the Department of Anesthesiology and Critical Care Medicine at the

University of Pittsburgh. My co-fellows were Drs. Clara Jean Ersoz and Jean Pennickx

from Belgium. Dr. Pennickx encouraged others, such as Arsene Mullie, Achiel Bleyaert,

Andre deWolf, and Jan Hendrikx, to train in Pittsburgh.

Clara Jean (nee Babb - her father owned the Babb Insurance Agency in Pittsburgh) was

married to Namik from Turkey - also an anesthesiologist who worked at both the VA

hospital and Montefiore. They had two children - Miriam and Nathanial. Clara Jean

trained with Dr. Rick Siker at Mercy, but due to visa issues, she and Namik pursued

further training in Toronto. My wife and I watched the first landing on the moon at their

Deep Creek home. Clara Jean later became the Medical Director of the ICU at

Presbyterian and after that, the forceful and well-respected Medical Director of St. Clair

Hospital in Pittsburgh. Clara Jean and Namik Ersoz were tragically killed in the TWA

Flight 800 explosion in 1996.

Later additions to the fellowship program were Dr. Michael Hedden, Dr. Terry McAuliffe

from Australia, who recently passed away, and Dr. Stephen Kampschulte from

Germany, who later started the first pediatric ICU at Children's Hospital of Pittsburgh.

He returned to Munich and sadly died from a ruptured cerebral aneurysm.

The head nurse was Mary Ann Scott, a dynamic leader who later become in charge of

EMS activities in the South Hills of Pittsburgh.

Respiratory Therapy was in its infancy and leaders such as Gil Davis, Bela Eross, and

George Nelson all contributed to its development. Ventilators in use were the Bird (with

its oxygenation problems), the early Bennett, and the Moerch ventilator.

We worked hard. We were on call every third night and still had to work the next day.

However, it was a most productive time and the rapport with our surgical and nursing

colleagues was tremendous. Many parties involving all ICU groups were held at our

various homes and apartments.

We performed our own blood gases and calibrated the blood gas machine twice daily.

There were no central lines and arterial lines - femoral route - were in their infancy.

CPR research was pushed and those doing lab research included Drs. Leroy Harris and

Bulent Kirimli. Administrative support was provided by Ms. Diana Maling and Ms.

Patricia Sands.

Numerous visitors from around the world came to Pittsburgh to learn from what Dr.

Safar was doing in the field of critical care medicine. These included Dr. Vladimir

Negovsky from Moscow, Drs. Henrik Bendixen and Henning Pontoppidan, Drs. John

Severinghaus, Ake Grenvik, Miroslav Klain, Rudolf Frey, William Hamilton, and many

others.

A yearly ICU meeting was started, which ultimately served as a stimulus for the

establishment of the Society of Critical Care Medicine. This meeting was very popular

and topical, with an active social program on the Gateway Clipper and visits to The

Meadows.

The concept of critical care medicine was hard for some of our medicine colleagues to

accept. For example, we were ridiculed by our pulmonary medicine colleagues for using

IPPV to treat fulminant pulmonary edema (are you going to blow the fluid back!). Later,

they would accept its efficacy.

The Chair of Medicine rounded regularly on patients in the ICU. Dr. Myers was insistent

on detail and was a superb clinician. He served as an outstanding mentor and role

model, supplementing the outstanding leadership provided by Peter Safar. Many

myocardial infarction patients and patients with decompensated COPD were managed

in this multidisciplinary unit. Our medical, cardiology, and pulmonary colleagues were

very visible and we learned much from them. I later went on to complete a pulmonary

medicine fellowship with Dr. Eugene D. Robin, Chief of Pulmonary Medicine.

This was in 1966...nine hundred years after 1066!

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Recent Publications

Bartels K, Esper SA, Thiele RH. Blood Pressure Monitoring for the Anesthesiologist: A

Practical Review. Anesth Analg. 2016 Jun; 122 (6):1866-79. PubMed link

Cai X, Kardon AP, Snyder LM, Kuzirian MS, Minestro S, de Souza L, Rubio ME,

Maricich SM, Ross SE. Bhlhb5::flpo Allele Uncovers a Requirement for Bhlhb5 for the

Development of the Dorsal Cochlear Nucleus. Dev Biol. 2016 Jun 15; 414 (2):149-60.

Epub 2016 May 3. PubMed link

Cassavaugh JM, Oravitz TM. Multiple Anesthetics for a Patient with Stiff-Person

Syndrome. J Clin Anesth. 2016 Jun; 31: 197-9. Epub 2016 Apr 16. PubMed link

Delaney M, Wendel S, Bercovitz RS, Cid J, Cohn C, Dunbar NM, Apelseth TO,

Popovsky M, Stanworth SJ, Tinmouth A, Van De Watering L, Waters JH, Yazer M,

Ziman A; Biomedical Excellence for Safer Transfusion (BEST) Collaborative.

Transfusion Reactions: Prevention, Diagnosis, and Treatment. Lancet. 2016 Apr 12.

[Epub ahead of print] Review. PubMed link

Giovannitti JA Jr, Montandon RJ, Herlich A. The Development of Dental Anesthesiology

as a Discipline and Its Role as a Model of Interdisciplinary Collaboration. J Dent Educ.

2016 Aug;80(8):938-47. PubMed link

Gokhale P, Lappen JR, Waters JH, Perriera LK. Intravenous Sedation without Intubation

and the Risk of Anesthesia Complications for Obese and Non-Obese Women

Undergoing Surgical Abortion: A Retrospective Cohort Study. Anesth Analg. 2016 Jun;

122 (6):1957-62. PubMed link

Gupta RG, Schafer C, Ramaroson Y, Sciullo MG, Horn CC. Role of the abdominal vagus

and hindbrain in inhalational anesthesia-induced vomiting. Autonomic Neuroscience:

Basic & Clinical. 2016 Jul 2 [Epub ahead of print]. PubMed link

Hadzic A, Minkowitz HS, Melson TI, Berkowitz R, Uskova A, Ringold F, Lookabaugh J,

Ilfeld BM. Liposome Bupivacaine Femoral Nerve Block for Postsurgical Analgesia after

Total Knee Arthroplasty. Anesthesiology. 2016 Jun; 124 (6):1372-83. PubMed link

Hall-Burton DM, Hudson ME, Grudziak JS, Cunningham S, Boretsky K, Boretsky KR.

Regional Anesthesia is Cost-Effective in Preventing Unanticipated Hospital Admission in

Pediatric Patients Having Anterior Cruciate Ligament Reconstruction. Reg Anesth Pain

Med. 2016 May 20. [Epub ahead of print]. PubMed link

Hudson ME. Benchmarking Anesthesiologists' Performance: Understanding Factors

That Impact Productivity. ASA Monitor. 2016; 80(6):40-42.

Ibinson JW, Buffington CW. Adverse Drug Events Link to Severity of the Event Data

Needed. Anesthesiology. 2016; 125(2):431. PubMed link.

Knight J, Phillips DP, Esper SA, Zeh HJ, Badhwar V, Subramaniam K. Paradoxical

Tumor Embolism and Recurrent Intracardiac Mass From Uterine Intravenous

Leiomyomatosis. J Cardiothorac Vasc Anesth. 2016 May 11. pii: S1053-0770(16)30135-

5. doi: 10.1053/j.jvca.2016.05.013. [Epub ahead of print] PubMed Link

Lim G, Landsittel DP. Effectiveness versus Efficacy of Calabadion and Sugammadex for

Nondepolarizing Neuromuscular Blocking Agent Reversal. Anesthesiology. 2016 Jun;

124 (6):1417. PubMed link

Lim G, Thurston AL, Bauchat JR. Education Committee; Empathetic Care on the

Obstetric Ward: The Anesthesiologist's Role in Bridging the Gap in Patient Experience.

SOAP Newsletter, Spring 2016, p. 9-11. Link to full issue

Lim G, Zorn JM, Dong YJ, DeRenzo JS, Waters JH. Subdural Hematoma Associated

With Labor Epidural Analgesia: A Case Series. Reg Anesth Pain Med. 2016 Sep-Oct;41

(5):628-31. PubMed link

Liu Q, Gold MS. Opioid-induced Loss of Local Anesthetic Potency in the Rat Sciatic

Nerve. Anesthesiology. 2016 Jul 15. [Epub ahead of print]. PubMed link

Martel MO, Finan PH, McHugh RK, Issa M, Edwards RR, Jamison RN, Wasan AD. Day-

to-day Pain Symptoms are Only Weakly Associated with Opioid Craving among Patients

with Chronic Pain Prescribed Opioid Therapy. Drug Alcohol Depend. 2016 May 1;

162:130-6. Epub 2016 Mar 18. PubMed link

Nazarnia S, Subramaniam K. Role of Simulation in Perioperative Echocardiography

Training: Current Evidence and Future Directions. Seminars in Cardiothoracic

and Vascular Anesthesia. Online first, July 4, 2016. PubMed link

Nazarnia S, Subramaniam K. Pro: Veno-arterial Extracorporeal Membrane Oxygenation

(ECMO) Should Be Used Routinely for Bilateral Lung Transplantation. Journal of

Cardiothoracic and Vascular Anesthesia. http://dx.doi.org/10.1053/j.jvca.2016.06.015.

Patel RM. Educational Advisory Board Report: The Roses and Thorns of GME - A DIO

Perspective. AUA Update. Spring 2016: pp. 3-5. Link to full issue

Rajpal G, Winger DG, Cortazzo M, Kentor ML, Orebaugh SL. Neurologic Outcomes after

Low-volume, Ultrasound-Guided Interscalene Block and Ambulatory Shoulder Surgery.

Reg Anesth Pain Med. 2016 Jul-Aug;41(4):477-81. PubMed link

Sakai T. Residents' scholarly activity: a cost analysis with regard to its effects on

departments. Curr Opin Anaesthesiol. 2015;28(2):180-185. PubMed link

Schisler T, Marquez JM, Hilmi I, Subramaniam K. Pulmonary Hypertensive Crisis on

Induction of Anesthesia: Recommendations for Safe Practice. Semin Cardiothorac Vasc

Anesth. 2016 Jun 1. pii: 1089253216652222. [Epub ahead of print] PubMed link

Schisler T, Subramaniam K. Diagnosis of a Fenestrated Secundum Atrial Septal Defect

Detected by Real-Time Three-Dimensional Transesophageal Echocardiography. Journal

of Cardiothoracic and Vascular Anesthesia. Published Online: August 30, 2016.

Schott N, Schott C. Perioperative Ultrasonography Review. Journal of Perioperative

Echocardiography. 2016;4(1):3-9.

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Schreiber KL, Chelly JE, Lang RS, Abuelkasem E, Geller DA, Marsh JW, Tsung A,

Sakai T. Epidural Versus Paravertebral Nerve Block for Postoperative Analgesia in

Patients Undergoing Open Liver Resection: A Randomized Clinical Trial. Reg Anesth

Pain Med. 2016 Jun 7. [Epub ahead of print] PubMed link

Shah PR, Boisen ML, Winger DG, Marquez J, Bermudez CA, Bhama JK, Shigemura N,

D’Cuhna J, Subramaniam K. Extracorporeal Support During Bilateral Sequential Lung

Transplantation in Patients with Pulmonary Hypertension: Risk factors and Outcomes.

Journal of Cardiothoracic and Vascular Anesthesia. http://dx.doi.org/10.1053/

j.jvca.2016.08.021.

Stollings LM, Jia LJ, Tang P, Dou H, Lu B, Xu Y. Immune Modulation by Volatile

Anesthetics. Anesthesiology. 2016 Jun 10. [Epub ahead of print] PubMed link

Subramaniam K. Practice of Transthoracic Echocardiography by Anesthesiologists -

Focused, Limited, or Comprehensive? Journal of Perioperative Echocardiography.

2016;4(1):1-2.

Wise EM, McIvor WR, Mangione MP. Assessing student usage, perception, and the

utility of a Web-based simulation in a third-year medical school clerkship. Journal of

Clinical Anesthesia. 2016;33:5-13. PubMed link

Upcoming Events

The University of Pittsburgh Physicians Department of Anesthesiology will sponsor the St.

Thomas Anesthesiology Legal Education Symposium March 8-11, 2017 at the

beautiful Frenchman’s Reef Marriott, St. Thomas, US Virgin Islands. This distinctive

program is designed to bring together experts in anesthesiology, medical malpractice

defense law, medical malpractice plaintiff law, risk management, and malpractice

insurance in a collaborative educational program. More info

Redesigning the Perioperative Process:

Prehabilitation, ERAS, and Acute Pain Management

November 4-6, 2016, Nemacolin Woodlands Resort

More info

University of Pittsburgh Department of Anesthesiology Annual Alumni Reception

at the ASA Annual Meeting

Sunday, October 23, 2016, 6-9:00pm

Hyatt Regency Conference Center, Room Prairie B, 2nd floor

2233 S. Martin L. King Drive

Chicago, IL

Please RSVP to [email protected] by October 5, 2016

Have News to Share? Please e-mail us!

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