Clinical Care Education Research 2016-2017 DEPARTMENT PROFILE

3

Compassionate:Offering exceptional perioperative care and pain management to a complex population.

Committed:Equipping future global leaders with the latest knowledge and skills.

Collaborative:Working across Vanderbilt University Medical Center and beyond to achieve measurably improved outcomes.

We are We are We are We areCreative:Advancing the frontiers of science,healthcare and technology.

Department of Anesthesiology

Compassionate | Creative | Committed | Collaborative

4

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

Message from the Chair for your interest in the Vanderbilt University Medical Center Department of Anesthesiology. Our growth and success stem from the foundation of Vanderbilt University Medical Center’s five-pillar commitment to excellence, which consists of people, service, quality, growth & finance, and innovation. Our department follows the Vanderbilt credo, driving us to achieve excellence in healthcare, research and education; we treat others as we wish to be treated; and we continuously evaluate and improve our performance. As the role of the anesthesiologist evolves into that of a perioperative consultant, our diverse team of experts remains at the forefront of knowledge and technology in patient care, research and education.

Our values - compassion, creativity, com-mitment and collaboration - emerge as the keystones of our structure and systems, as seen throughout this guide. We are compassionate, based not only on our own assessment but also on what we are being told. Our patients are recovering faster and with greater comfort through implementa-tion of Enhanced Recovery After Surgery (ERAS) protocols, a collaborative effort led by our faculty, our trainees and our surgical colleagues.

We are creative, advancing the frontiers of science, healthcare and technology. Our informatics infrastructure continues to increase patient safety and clinician effectiveness through innovative methods and novel use of both live and archived data.

Our investigators brought in more than $8.0 million in total extramural research funding in 2015-16. This included more than $4.5 million in awarded NIH grants, which placed Vanderbilt Anesthesiology 9th among U.S. academic anesthesiology departments in NIH funding. Within the department, faculty published 241 papers in fiscal year 2016, up from 197 papers in fiscal year 2015, within peer-reviewed literature. Twenty-seven members of the department have been elected into the Association of University Anesthesiologists (AUA).

At the 2015 Annual Meeting of the American Society of Anesthesiologists, department members contributed more than 100 entries, including oral presenta-tions, medically challenging cases, poster presentations, problem-based learning discussions, workshops, panel discussions and refresher courses.

Our dedicated faculty is committed to equipping graduates for a promising future in anesthesiology. We offer training using cutting edge technology along with opportunities to improve systems of care. We provide a closely guided mentorship program, balancing subspecialty training, clinical experience and a broad range of academics.

Much of our success can be attributed to the collaboration that occurs across Vanderbilt University Medical Center and beyond. Our clinical teams assisted patients in more than 80,000 encounters last year, spanning the entire spectrum of anesthesi-ology; for every age group, subspecialty and procedure, caring for patients along their journey to wellness. And we are moving beyond Vanderbilt’s traditional walls. The Vanderbilt Health Affiliated Network is the largest of its kind and growing rapidly, and our department is leading telemedicine and remote presence projects to bring our skills and values to more patients.

As you read through the following pages, we invite you to contact us or visit our web-site at www.vandydreamteam.com to learn more about our progams.

Thank you

5

Department Leadership

Matthew Weinger, MD Vice Chair, Faculty Affairs

Division Chiefs

Suanne Daves, MD Chief, Pediatric Cardiac Anesthesiology

Brian J. Gelfand, MDAssociate Vice Chair,Educational Affairs

Matthew McEvoy, MD Vice Chair, Educational Affairs

Stephen Doherty, MMHCDepartment Administrator

Message from the Chair

David H. Chestnut, MDChief, Obstetric Anesthesiology

Eric Delpire, PhDChief, Basic Science Research

Ann Walia, MBBSChief, Veterans Affairs Anesthesiology Service

Pratik Pandharipande, MD, MSCIChief, Anesthesiology Critical Care Medicine

Mias Pretorius, MBChB, MSCI Chief, Cardiothoracic Anesthesiology

Executive Committee

Edward Sherwood, MD, PhDVice Chair, ResearchCornelius Vanderbilt Chair inAnesthesiology

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

Mark Rice, MDAssociate Vice Chair,Clinical AffairsChief, Multispecialty Adult Anesthesiology

Katherine Dobie, MDChief, Ambulatory Anesthesiology

Brent Dunworth, CRNA, MBAChief CRNAAssociate Director for Anesthesia Advanced Practice Nursing

Kurt Dittrich, MDInterim Chief, Pain Medicine

Previous Department Chairs

Dr. Benjamin H. Robbins1946-1961

Dr. Charles B. Pittinger 1962-1969

Dr. Bradley E. Smith1969-1993

Dr. Charles Beattie1994-2001

Dr. Jeffrey R. Balser2001-2004

Dr. Michael S. Higgins2004-2010

History

The Vanderbilt Department of Anesthesiology was one of the first independent departments of anesthesiology in the United States, established on December 12, 1945.

After observing that the battlefield-wounded of World War II were more likely to survive if they received immediate, skilled anesthesia care, Vanderbilt physicians advocated that anesthesiology be established as an autonomous department. At that time, few medical schools pos-sessed an academic anesthesiology service of any type.

This tradition of pioneering in our specialty continues today. Our exemplary faculty provide top-quality clinical services for a full spec-trum of medical specialties. Vanderbilt Anesthesiology is recognized as an innovator in perioperative management, healthcare information technology, clincial outcomes research, education and international capacity building. We also have high-caliber basic science and clinical research teams pursuing fundamental and translational knowledge to directly improve patient safety and care.

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

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

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

About Vanderbilt University Medical Center

Dr. Michael S. Higgins2004-2010

Vanderbilt University Medical Center (VUMC) named among the nation’s finest providers of specialty care by U.S. News and World Report and named the No. 1 hospital in Tennessee and the Metro Nashville area.

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

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

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

8

Serving in one of the largest clinical programs in the nation, the Vanderbilt Department of Anesthesiology’s clini-cians provide procedural, critical care, pain management and all periopera-tive anesthesia services for more than 100,000 adult and pediatric patient encounters annually at more than 100 anesthetizing locations. Of these, more than 8,000 patients are seen annually in the Vanderbilt Interventional Pain Clinic, and approximately 23,000 Vanderbilt adult and pediatric patients receive anesthetic care during a radio-logic, gastrointestinal or other diagnos-tic or therapeutic procedure.

The department’s faculty, residents, fel-lows, certified registered nurse anesthe-tists (CRNAs) and nurse practitioners provide care in our operating rooms, five adult intensive care units and the pediatric and neonatal intensive care units and perform approximately 4,000

anesthetics per year in the labor and delivery suite.

Our trauma service, which includes the orthopedic trauma program, is among the busiest in the nation and ranked as a Level One trauma facility, with more than 1,700 LifeFlight helicopter transports this year.

The Vanderbilt Preoperative Evaluation Center (VPEC) offers preoperative evaluation before patients undergo procedures at Vanderbilt University Medical Center. In 2015 – for the seventh year in a row – VPEC received a Professional Research Consultants, Inc., patient satisfaction award, the coveted 5-Star Award for Overall Qual-ity of Care. Our One Hundred Oaks VPEC location, which opened in 2009, has received the same award for four years in a row. The center scored in the 90th – 99th percentiles based on 2014

calendar year results, compared with similar centers nationwide.

Perioperative medicine is built on full engagement in patient care, from diag-nosis to operative recovery. It includes a full-time teaching service with 24/7 consultative availability and exten-sive use of system-wide information technology and mobile applications to support clinical decision-making, cap-ture data and measure outcomes, such as the quality of recovery after surgery.Vanderbilt is one of the few medical training centers with a 3D transesoph-ageal echocardiography (TEE) simula-tor, used to teach the essential skill of cardiac ultrasound.

Highlighted on the following pages are the services provided by the depart-ment’s clinical divisions.

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

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

9

Clinical Care

Lisa Weavind, MBBCh, FCCM, MMHC, Professor of Anesthesiology and Surgery Division of Anesthesiology Critical Care Medicine

The Vanderbilt Department of An-esthesiology provides perioperative consult services to Vanderbilt Uni-versity Hospital, Monroe Carell Jr. Children’s Hospital at Vanderbilt and the Nashville Veterans Administra-tion Hospital, offering preoperative evaluation and preparation, intra-operative care, acute postoperative care and pain management, as well as ICU care, to critically ill patients. By providing care before, during and after surgery, patients are receiving better, more standardized care.

Intraoperative careThe department has established a system of seamless communica-tion from the operating room to the postoperative care unit (PACU) through innovative methods devel-oped internally by the Vanderbilt Anesthesiology & Perioperative In-formatics Research (VAPIR) Division. An electronic notification informs providers on items such as glucose levels, length of stay, unplanned ICU admission and increased creatinine levels. Providers can check their compliance against clinical path-ways and compare their practices against departmental aggregate

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

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

“In the 2015-2016 year, Anesthesiol-ogy interacted with approximately 1200 patients, and through the benefits of ERAS, returned a median 413 bed days back to the hospital by reducing length of stay, resulting in more efficient use of hospital resources,” states Dr. Adam King, Clinical Chief of the Anesthesiolo-gy Perioperative Consult Service.

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

Pain managementDedicated teams of pain specialists offer consult services to medical and surgical divisions 24 hours a day, 365 days a year. From postopera-tive guidance and minor procedure anesthesia, to complex chronic pain management and surgical interven-tion, our consultants offer special-ized and tailored plans for pain management for a wide range of conditions. “Our focus is collabora-tive and multidisciplinary; we work with our nurse, surgery, medicine, oncology, palliative care, rehabili-tation and pharmacy colleagues to create systems of care with greater reach across the healthcare system, both inpatient and outpatient,” said Dr. David A. Edwards, Clinical Chief of the Chronic Pain Service.

The Perioperative Consult Service A patient-centered initiative

“The first time I was in the hospital, I couldn’t eat at all. I either felt sick or my leg was hurting too much. With

the second surgery, there was not as much pain, and I was more ‘with it’ because I wasn’t on a pain pump.”

Patient

10

Division of Ambulatory Anesthesiology

The Division of Ambulatory Anesthesiology is led by Dr. Katherine Dobie, MD, and consists of 12 faculty members and 34 nurse anesthetists who practice in five locations, including three free-standing community surgicenters. These locations include Cool Springs Surgery Center, Vanderbilt Bone and Joint Surgery Center, Medical Center East, Vanderbilt Outpatient Surgery and Tennessee Fertility Institute.

The division provides anesthesia for approximately 21,000 procedures annually, including spine, surgical oncology, pain, GI, orthopedic, pediatric, ENT, urologic,

neurosurgical, general surgery and higher-acuity plastic surgery.

The trend in surgical healthcare continues toward significant growth for outpatient surgeries; it is now estimated that more than 70 percent of all surgeries are performed in the outpatient setting. The Division of Ambulatory Anesthesiology is committed to addressing this trend with innovation as we explore how to care safely for sicker patients undergoing more complex surgeries in the outpatient environment.

Ambulatory Anesthesiology is unique compared to other academic

departments, with its high volume of patient encounters and its partnership with community practices in two joint ventures within the greater Nashville area.

The ambulatory faculty presented seven abstracts at the 2016 meeting of the Society for Ambulatory Anesthesia (SAMBA) and are currently enrolling patients in six randomized controlled clinical trials.

Residents and fellows learn the practice of ambulatory anesthesiology by rotating to four centers, one of which is focused on the practice of ambulatory regional anesthesia.

Two regional anesthesia fellows spend a combined 32 weeks with the Ambulatory Division, where they learn the critical and distinct practice of regional and ambulatory anesthesia as a combination, which is necessary as we continue to innovate and expand the population of ambulatory surgery care to include more complex cases.

11

Division of Anesthesiology Critical Care Medicine

The Division of Anesthesiology Critical Care Medicine (ACCM) is led by Pratik Pandharipande, MD, MSCI. The division provides critical care services in the burn ICU, cardio-vascular ICU, neurological ICU and surgical ICU at Vanderbilt University Medical Center, and in the surgical ICU at the VA Medical Center in Nashville. Additionally, division members pro-vide perioperative anesthetic care for patients undergoing major surgery, and some participate in the perioperative consult service.

The division includes 24 anesthesi-ology-intensivists, along with more than 35 acute care nurse practitioners (ACNPs) and physician assistants (PAs), making it one of the largest

anesthesiology critical care medicine divisions in the country. Additional-ly, there are eight neurointensivists, certified by the United Council for Neurologic Subspecialties. An ongoing alliance between the ACCM Division and the School of Nursing supports an ACNP intensivist training program.

The division strives to provide excellent patient care, promote education, and engage in scholarly activity. Faculty and fellows keep abreast of modern technology and the changing spectrum of caring for the critically ill. This includes proficiency in ultrasound, echocardiography and management of patients with ventricular assist devices or who are on ECMO.

The ACCM Fellowship has recently

been approved for 10 ACGME-accred-ited fellowship positions per year and has received accreditation for five years. Fellows have a diverse clinical expe-rience through our subspecialty ICUs and an innovative didactic program.

Division faculty frequently participate in regional, national and international educational activities and have taken on leadership roles in national organi-zations such as SCCM, ASA, SOCCA and the American Delirium Society; in VUH and VUMC administration, including the directorship of the BICU, NCU, CVICU and CELA; and in the medical school curriculum redesign, via innovative immersion programs.

Active research programs encompass clinical and translational research that

focuses on perioperative risk factors and mechanisms of cognitive impair-ment, kidney injury, sepsis and its monitoring, education and implemen-tation science, health resource utili-zation, multisensory training, device development and quality improvement projects, including remote bedside monitoring and use of rapid response teams.

Active grants in the division include two R01s, a K23 training grant, an R03 grant and FAER mentored research and education grants, in addition to smaller industry and VICTR grants. Faculty have been involved in more than 20 peer-reviewed manuscripts and textbook chapters in the past academic year.

12

Division of Cardiothoracic Anesthesiology

The Division of Cardiothoracic Anesthe-siology is led by Dr. Mias Pretorius and includes 14 faculty members and 11 nurse anesthetists. Each month, three residents rotate through the service. The fellowship program, under the leadership of Drs. Mias Pretorius and Bantayehu Sileshi, currently trains three clinical fellows per year (expanding to five in FY2017).

The division provides perioperative care for approximately 1,400 adult cardiac pro-cedures per year. These include coronary artery bypass graft (on- and off-pump) surgery, valvular surgery, heart and lung transplantation, adult congenital proce-dures, hybrid procedures, aortic surgery and ventricular assist device (VAD) in-sertions. The VAD program at Vanderbilt currently places about 80 devices per year

for both bridge-to-transplant and desti-nation therapy indications. Our structural heart disease program employs the newest techniques involving transcatheter aortic valve replacement (TAVR), catheter-based repair of mitral regurgitation (Mitra-clip) and left atrial appendage occlusion (Watchman).

Members within the division provide an-esthetic care to over 700 general thoracic cases annually. In addition, anesthesia ser-vices are also provided for interventional pulmonology, cardiology and electrophys-iology procedures, which together account for approximately 3,500 cases annually. A subset of the division’s faculty members rotate through the adult cardiovascular intensive care unit, under the medical direction of division faculty member

Tony Hernandez, MD.

Intraoperative transesophageal echocar-diography (TEE) is an integral part of our clinical practice and is performed on all adult cardiac patients. Our faculty mem-bers also provide TEE in the electrophys-iology suite to rule out thrombosis of the left atrial appendage, to guide trans-septal puncture and to guide transcatheter valve procedures. All studies are performed and interpreted by a cardiothoracic anesthesi-ologist, and cases are digitally archived for future study. The division uses 4 Philips EPIQ and 3 CX50 consoles, and these machines were installed in 2015.

Division faculty members conduct research in vascular biology, precision perioperative medicine, acute kidney injury and the perioperative inflammatory

response. Extramural grant support comes from the Department of Defense, the National Institutes of Health and industry. Dr. Susan Eagle received a $270,000 grant from Baxter Medical for an investigator initiated trial, “Peripheral intravenous device for detecting intravascular volume overload in dialysis patients.” Dr. Eagle is co-inventor of the IV device and is princi-pal investigator of the trial.

The division has a significant education presence. Dr. Andrew Shaw served as the scientific program chair for the Society of Cardiovascular Anesthesiologists (SCA) 2016 annual meeting. Two simulators are available for training in the division’s echocardiography lab and at Vanderbilt’s Center for Experiential Learning and Assessment.

13

Division of Multispecialty Adult Anesthesiology

The Division of Multispecialty Adult Anesthesiology is led by Mark Rice, MD. This is the department’s largest division, providing perioperative an-esthetic care for more than 12,000 pa-tients annually in 45 operating rooms and procedure suites for a wide variety of surgical services, including general surgery, orthopedics, urology, plas-tic surgery, ophthalmology, vascular surgery, otolaryngology, hepatobiliary surgery, liver and renal transplantation and oral/maxillofacial surgery. The division has 48 full- and part-time faculty members, most of whom have significant subspecialty training and expertise. As Vanderbilt is a Level One Trauma Center, MSA faculty and staff provide 24-hour coverage for emergen-cy and trauma surgery for the region.

In July 2014, a Perioperative Consul-tative Service was created to provide co-management of surgical patients, from decision to operate until after discharge from the hospital. This started with a pilot program involving colorectal surgical patients and quickly grew to include abdominal wall reconstruction, surgical weight loss and hepato-biliary-pancreatic/surgical oncology patients. Plans are underway with other surgical services to extend this coverage to another two services within the next year.

MSA division faculty provide anes-thesiology residents a variety of both introductory and advanced clinical experiences and make numerous con-tributions to the department’s educa-

tional programs for medical students, residents and fellows. Additionally, MSA faculty members teach and su-pervise residents from other special-ties, as well as student registered nurse anesthetists who rotate in the MSA di-vision. Division faculty members pur-sue a wide range of academic interests, including regional anesthesia, airway management, information technology, perioperative cognitive dysfunction, echocardiography, ultrasound imaging and perioperative medicine.

The division’s members are also highly active in research, with numerous investigator-initiated clinical research projects currently in progress. Work is ongoing in informatics, regional anes-thesia, airway management, perioper-

ative medicine and drug protocols in an effort to improve perioperative care and throughput.

14

Division of Neuroanesthesiology

Neurosurgery and other neurologic services continue to expand at Van-derbilt University Medical Center, and faculty members specializing in neuroanesthesiology are providing increasingly complex anesthesia and sedation services.

The Vanderbilt Department of Neu-rological Surgery currently has the highest volume of deep brain stimula-tor implantations in North America. The Vanderbilt Brain Tumor Center provides comprehensive care for patients with brain tumors, and more than 400 major brain tumor operations are performed annually. Because of increasing case volumes, two new neu-

rointerventional neurosurgeons have recently joined Vanderbilt, operating in our state-of-the-art interventional radiology rooms dedicated solely to neurosurgical procedures. The Joint Commission designated Vanderbilt as an Advanced Certification Compre-hensive Stroke Center, where the most complex of stroke patients are treated. Annual surgical volume is approxi-mately 4,800 neurologic cases per year.

The Division of Neuroanesthesiology engages in research aimed at improving patient outcomes and cost-effectiveness, as well as expanding the clinical knowledge of certain diseas-es. Paramount to the success of the

division is the collegial working rela-tionship among operating room and intensive care unit team members.

VUMC has seven designated neurosur-gical operating rooms, where anesthe-sia services are provided for operations, including brain tumor, blood vessel malformation, aneurysms, stroke intervention, trauma, complex spinal procedures, functional neurosurgery and chronic pain management. The Division of Neuroanesthesiology also provides specialized anesthesia services for “awake craniotomies,” when pa-tients are intermittently awake to facili-tate speech and motor mapping during surgery in order to preserve the most

vital areas of the brain. Additionally, anesthesia is provided by the division in neurointerventional radiology suites and at Monroe Carell Jr. Children’s Hospital at Vanderbilt. Like their surgi-cal colleagues, neuroanesthesiologists face many unique challenges, including the length of procedures (which may last more than 16 hours), unusual patient positioning and unexpected intraoperative events, such as seizures or intracranial hemorrhage. Residents on the neuroanesthesia rotation, as well as the faculty leading the training, discover that the ability to make an immediate impact on an operation is both exciting and gratifying.

15

Division of Obstetric Anesthesiology

The Division of Obstetric Anesthesi-ology is led by David Chestnut, MD. Dr. Chestnut is the editor of Chestnut’s Obstetric Anesthesia: Principles and Practice. Now in its fifth edition, this book is widely considered the premier obstetric anesthesia textbook. Former division director Curtis Baysinger, MD, is co-editor of the second edition of A Practical Approach to Obstetric Anesthesia, another highly regarded textbook, published in 2016.

The division provides dedicated, 24-hour, in-house obstetric anesthesia care for approximately 4,500 deliveries at Vanderbilt University Medical Center (VUMC) annually - over half of which are considered high risk. In addition to offering the full complement of tech-niques for labor analgesia, the division

provides consultation and critical care management services for high-risk obstetric patients, as well as specialized anesthesia care for fetal surgery.

The division collaborates with VUMC maternal-fetal medicine, gynecologic oncology and urology physicians in an innovative approach to the care of patients with placenta accreta/percreta, which is a form of abnormal, invasive placentation that places the mother at high risk for massive blood loss and significant morbidity. With this ap-proach, patients with known placenta accreta/percreta undergo a modified cesarean delivery through a fundal uterine incision, and the placenta is left in situ, with plans to perform hysterec-tomy six weeks postpartum. This mul-tidisciplinary approach seems to result

in decreased maternal blood loss and morbidity, and it is a focus of ongoing investigation.

The division also provides anesthe-sia services for approximately 2,500 gynecologic surgical procedures in a suite of three operating rooms adjacent to the labor and delivery unit. Division faculty and staff collaborate with the department’s Perioperative Service to provide anesthesia care using multi-modal, enhanced-recovery-after- surgery (ERAS) protocols.

The division sponsors an ACGME- accredited obstetric anesthesia fellow-ship, and the fellowship complement was increased from one to two fellows per year, beginning in July, 2016. The division is also taking a leadership role

in the use of in situ simulation training for obstetric emergencies.

Recent clinical research projects include a landmark assessment of an-algesic efficacy and patient satisfaction with administration of nitrous oxide for labor analgesia. Women who chose nitrous oxide for labor analgesia and subsequently underwent vaginal deliv-ery reported high levels of satisfaction with nitrous oxide, despite variable la-bor analgesic effectiveness. Future re-search will probe the reasons for these paradoxical findings. Other planned clinical research projects include an assessment of a novel multi-modal regimen for providing postcesarean analgesia in patients with a history of opioid abuse.

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

16

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

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

team-based treatment plan. This team includes specialists from anesthesiolo-gy, psychology, psychiatry, neurology, neurosurgery, orthopedics or reha-bilitation. Interventional Pain Center physicians also work closely with a pa-tient’s primary care providers to close the loop effectively and foster shared responsibility for patient health.

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

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

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

burn debridements.

Division of Pain Medicine

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

17

Division of Pediatric Anesthesiology

The Division of Pediatric Anesthesiol-ogy is led by Suanne Daves, MD. The division provides perioperative care for more than 13,000 patients annually at theMonroe Carell Jr. Children’s Hospi-tal at Vanderbilt, making it the region’s major pediatric referral center.

The Pediatric Pain Service provides an increasing number of inpatient consultations and works closely with the many surgical services at the Children’s Hospital to provide a full spectrum of perioperative pain man-agement strategies.

Education and training of medical students, anesthesia residents, nurses and associated healthcare personnel is a major faculty commitment. Amanda Lorinc, MD, Assistant Professor of Anesthesiology, directs Pediatric Liver Transplant Anesthesia, a program launched in 2015. Areas of academ-ic interest for the division’s faculty include safe transfusion practices, mul-tidisciplinary approaches to decreasing surgical-site infections, situational awareness during handovers in care, difficult airway management, pediatric pain management, regional anesthesia, extracorporeal membrane oxygenation

(ECMO) and perioperative care of cardiovascular patients.

The division is an active member of Wake Up Safe, a quality improvement initiative of the Society for Pediatric Anesthesia. Wake Up Safe is a Patient Safety Organization (PSO), as defined by The Patient Safety and Quality Improvement Act of 2005, and its participants are leading children’s hospitals throughout the country. Through voluntary reporting from its member institutions, Wake Up Safe has developed the first-ever national reg-istry of adverse perioperative events in

pediatric patients. Its goal is to help de-fine quality in pediatric anesthesia and develop quality improvement systems in an effort to help improve anesthetic care for children of all ages.

The division is also an active partner with the quality improvement office of the Children’s Hospital and partic-ipates in Solutions for Patient Safety, a network of more than 100 children’s hospitals in 39 states and Canada that partners with Child Health Patient Safety Organization (PSO), our nation’s only PSO dedicated to the safety of hospitalized pediatric patients.

18

The Division of Pediatric Cardiac Anesthesiology, led by Suanne Daves, MD, was formed in 2007 to support the Monroe Carell Jr. Children’s Hospital at Vanderbilt. Children with heart defects represent a complex group of patients who often require intensive surgical re-pairs to thrive or even survive into adult-hood. The Pediatric Heart Institute at the Children’s Hospital is a high-volume regional referral center and is ranked 19th in US News and World Report’s list of top hospitals in the care of pediatric patients with congenital heart disease.

Two new areas of focus for the division’s quality improvement efforts are decreasing the incidence of early surgical re-intervention in the cardiac surgical patient and identifying effective strate-gies in the prevention of catheter-related venous thrombosis in the pediatric cardiac population.

Training pediatric anesthesiology fellows in the care of the critically ill child undergoing cardiac surgery or catheter-ization is a core mission of the division. Fellows spend two months on the cardi-ac service, and many elect to spend part of their training in the cardiac critical care unit.

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

Since 2006, the Dr. James Phythyon Endowed Lectureship in Pediatric Anesthesiology has brought renowned experts in the field to Vanderbilt’s campus as visiting professors. The lecture-ship was established by the family of Dr. James Phythyon, a founding member of the Pediatric Anesthesiology Division. Dr. Phythyon’s widow, Mrs. Marlin Sanders, and the couple’s daughters, Mary Neal Meador, Elizabeth Donner and Sarah Miller, are strong supporters of the department. Each year, they attend the lecture and other events in honor of Dr. Phythyon. In 2016, Patrick Guffey, MD, presented a well-received Grand Rounds lecture entitled “The National Anesthesia Incident Reporting System.”

Dr. James Phythyon Endowed Lectureship in Pediatric Anesthesiology

Division of Pediatric Cardiac Anesthesiology

19

The Vanderbilt Department of Anesthesiology embraces collaborative practice in its approach to patient care, involving anesthesiologists and residents, certified registered nurse anesthetists (CRNAs), student registered nurse anesthetists (SRNAs) and anesthesia technicians. Serving as Chief CRNA and Associate Director for Anesthesia Advanced Practice Nursing, Brent Dunworth, MSN, MBA, APN, CRNA, leads the CRNA Division.

The more than 150 CRNAs in the division provide anesthesia for all types of surgical procedures, including cardiac, pediatrics, vascular, trauma, neurosurgery, plastics, radiologic and special procedures. CRNAs administer general, regional and monitored anesthesia care for scheduled and emergency surgical, obstetric and diagnostic procedures.

Key responsibilities of CRNAs include preoperative patient evaluation, management of the patient through completion of the operative procedure,

safe transport of the patient to the recovery area and assurance of the appropriate postoperative care. Additionally, CRNAs provide instruction and education for student nurse anesthetists (SRNAs). They also support the residency education mission by providing service coverage to allow residents to attend educational activities and participate in elective rotations. Our CRNAs are full partners in department clinical practice initiatives and frequently contribute to the development of quality improvement and efficiency initiatives. Thus, the CRNAs are essential to many core endeavors. In terms of personnel, the CRNA division is the largest within the Department of Anesthesiology.

Vanderbilt is the primary clinical affiliate of the Middle Tennessee School of Anesthesia (MTSA) in Madison, Tennessee, which is the second largest nurse anesthesia program in the country. Vanderbilt is also a clinical affiliate for the Union University Nurse Anesthesia program in Jackson, Tennessee. Student nurse anesthetists assist in approximately 7,000 anesthetics per year while on Vanderbilt rotations.

The CRNA division mirrors the operating room organization of Vanderbilt University Medical Center (VUMC). CRNAs who serve in a lead or service specialist position facilitate communication with all members of the patient care team. In addition to SRNA training, the CRNA division has

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

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

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

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

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

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

Veterans Affairs Anesthesiology Service Certified Registered Nurse Anesthetists

Ann Walia, MBBS Brent Dunworth, CRNA, MBA

20

developed strong continuing education unit-eligible educational programs designed specifically for CRNAs. Vanderbilt CRNAs are always positioned on the cutting-edge of new developments in anesthesiology.

VUMC is staffed by 38 anesthesia technicians who contribute to safe, efficient anesthesia care by providing highly skilled assistance to anesthesiologists and nurse anesthetists at both on- and off-campus clinical locations.

CRNAs

Anesthesia Technicians/Technologists

21

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

The Office of Educational Affairs supports and oversees undergraduate medical education, graduate medical education for residents and fellows, and continuing education for faculty and advanced practice nurses. The extensive education and training programs offered by the Department of Anesthesiology prepare medical students, residents, fellows, nurses and faculty for productive careers as clini-cians, academicians and scientists. We offer ACGME-accredited fellowships in Adult Cardiothoracic Anesthesiology, Anesthesiology Critical Care Medicine, Pain Medicine, Pediatric Anesthesi-ology, Obstetric Anesthesiology and Clinical Informatics. We also offer fellowships in Regional Anesthesiology and Global Anesthesiology.

Residents and fellows benefit from in-depth training in all subspecialty disciplines of clinical anesthesiology, critical care and pain medicine. A full calendar of continuing medical educa-

tion opportunities for faculty, residents, fellows, nurse anesthetists and nurse practitioners is in place, including:

• Grand Rounds, which features lead-ing experts from around the world;

• Mortality, Morbidity & Improvement (MM&I) Conferences, which focus on recent cases, with the goal of improving patient care;

• ABA BASIC and ADVANCED EXAM Prep Series, which are designed to prepare CA1s , CA2s and CA3s, respectively, for their high-stakes exams as part of the sequence of board certification;

• Mock Oral Board Exams, which are given twice a year to CA1, CA2 and CA3 residents in order to prepare them for the oral board portion of the ABA APPLIED exam;

• Simulation Training Program, which includes Milestone-based assessment in order to give residents training in

rare, high-stakes events, as well as to prepare them for the OSCE portion of the APPLIED Exam;

• BH Robbins Scholar Program, which offers one-on-one mentorship and collaboration for aspiring physician- scientists preparing for careers as academic anesthesiologists;

• Faculty Development Seminars, which provide targeted training for professional development;

• Combined Integrative Health and Pain Medicine Quarterly Rounds, which focus on issues related to the management and treatment of pain.

We offer a wide-range of learning op-portunities that parallels our excellent clinical training and development. As a result, the average score of Vanderbilt anesthesiology residents on in-training exams is in the 75th– 80th percentile when compared to the nation.

“We view everyone as lifelong learners.”

Matthew McEvoy, MD, Vice Chair for Educational Affairs and Associate Professor of Anesthesiology

22

ResidentsThe department’s fully accredited res-idency program is highly sought after by the nation’s top medical students. Proof of this is in the numbers: in the 2016 National Residency Match, the department received more than 950 applications for 18 positions.

Vanderbilt Anesthesiology’s four-year residency program currently enrolls 18 resident physicians per year. Our physician educators are nationally and internationally recognized as leaders in their fields, and the department suc-cessfully supports residents interested in academic anesthesiology so they can develop careers focused on advancing knowledge in the specialty. The depart-ment typically has 25-30 residents who present original research and over-

views of challenging cases at national meetings every year, a clear indication that the department’s educational pro-grams are creating physician-scholars who are prepared for medical practice, peer-education and scientific investi-gation.

The department’s educational pro-gram for residents and fellows consists of a combination of comprehensive didactic conferences, mentored clinical training by subspecialists in every domain of anesthesiology, simulation training and self-study. Simulation training features prominently in the cognitive, procedural and teamwork aspects of anesthesia education, and the Center for Experiential Learning and Assessment is a nationally re-nowned, on-campus resource for this

training. The Accreditation Council for Graduate Medical Education (ACGME) core competencies form a framework for the training program, and a major curricular revision is underway that is targeting the new ACGME Milestones system, as well as the recent changes to the ABA Certifi-cation process.

The goal of ongoing curriculum devel-opment and revision in the Milestones era is to continue to achieve or exceed this level of academic achievement. Director of Educational Research and Curriculum Development Leslie Fowler, MEd, is overseeing the de-partment’s curriculum improvements. Among other projects, Leslie is work-ing with the School of Medicine’s VStar team to develop a “flipped classroom”

model of learning for anesthesiology education. VStar is the school’s IT platform for learning management, launched in 2014. The flipped class-room is a learning environment in which course content is accessed by learners outside of the classroom, and classroom time is used for interactive projects and discussion. Once the flipped classroom is complete, anesthe-siology residents at every level of train-ing will have access to rotation-specific curriculum and learning modules 24 hours a day. Our faculty are also developing the same concept for nurse anesthetist training in East Africa.

FellowsBuilding from the department’s strength in subspecialties, eight clin-ical fellowships, as well as a research

Office of Educational Affairs Faculty and Staff

23

fellowship, are offered to individuals seeking advanced, focused training.

The following clinical fellowships are offered at Vanderbilt:Adult Cardiothoracic Anesthesiology* – 3 fellowsClinical Informatics* - 1-2 fellowsAnesthesiology Critical Care Medicine* – 10 fellowsGlobal Anesthesiology** – 1-2 fellows (first fellowship awarded in 2016)Obstetric Anesthesiology* – 2 fellowsPain Medicine* – 3 fellowsPediatric Anesthesiology* – 4 fellowsRegional Anesthesiology** – 2 fellows

Advanced Practice NursesThe Department of Anesthesiology has a unique partnership with the Vanderbilt University School of Nursing to offer an Acute Care Nurse Practitioner (ACNP) Intensivist track as part of the ACNP master’s degree

program. The program combines the didactic training of the School of Nursing’s ACNP Program with sup-plemental specialty lectures in critical care medicine. Students perform their clinical rotations in seven of the Vanderbilt and VA ICUs. Students also receive additional exposure to ICU medicine through twice-monthly simulation sessions and weekly clinical case conferences, taught jointly by members of both faculties. Additional partnership programs between the Anesthesiol-ogy Department and the School of Nursing are being planned. Van-derbilt University Medical Center is one of the largest employers of nurse practitioners in the country, and the Division of Anesthesiology Critical Care Medicine has 35 Acute Care Nurse Practitioners who work in intensive care settings.

Nurse AnesthetistsThe continuing education of more than 100 Certified Registered Nurse Anesthetists in the department is supported with recurring pro-grams, including Grand Rounds and

Mortality, Morbidity & Improvement (MM&I) Conferences. In addition, Vanderbilt is a primary clinical affil-iate of the Middle Tennessee School of Anesthesia (MTSA) in Madison, Tennessee, and of the Union Uni-versity Nurse Anesthesia program

in Jackson, Tennessee. Student nurse anesthetists participate in approx-imately 7,000 anesthetics per year while on Vanderbilt rotations, and their on-campus training is coordi-nated by the Department of Anesthe-siology.

The Center for Experiential Learning and Assessment (CELA)CELA offers medical learners at all levels a simulation education on computerized, life-like mannequins. Participants get hands-on training in anesthesiology airway management, critical care, perioperative management and transesophageal echocardiogram procedures.

CELA was endorsed by the American Society of Anesthesiologists (ASA) as one of approximately 40 centers in the nation officially approved to deliver certified educational programs. Anesthesiologists can receive continuing medical education (CME) simulation training at CELA that qualifies for American Board of Anesthesiology Maintenance of Certification in Anesthesiology (MOCA®) credit. To achieve the ASA endorsement, the CELA program met strict criteria, including having strong leadership and the necessary equipment, facilities and personnel to provide consistent, effective training.

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

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

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

Maintenance of Certification in Anesthesiology (MOCA®)

*ACGME Accredited

**ACGME Accreditation not offered

Summer Internship Program

24

Vanderbilt’s Depart-ment of Anesthesi-ology is commited to improving perioperative and anesthetic care in medically under-served regions of the world. Vander-bilt International

Anesthesia (VIA) is developing inter-active curricula and training providers who will practice around the world.

ImPACT Africa (Improving Perioper-ative & Anesthesia Care and Training in Africa) is a sustainable training program that aims to improve periop-erative outcomes related to surgical interventions through the ongoing training of skilled anesthesia providers. This program has a particular focus on improving maternal, infant and trauma-related morbidity and mortality

in the perioperative period.

As part of the ImPACT program, the department received over $4 million in grant funding from the GE Founda-tion’s Developing Health Globally pro-gram to support research in curriculum development and capacity-building in Kenya and other low-resource regions of the world. Dr. Mark Newton and Dr. Matt McEvoy serve as co-principal investigators.

Dr. Newton directs the Vanderbilt International Anesthesia program and divides his time between being a pediatric anesthesiologist at Vanderbilt and serving as chief anesthesiologist for Kijabe Hospital in rural Kenya. Under his guidance, Vanderbilt anesthesiologists, residents, fellows and nurse anesthetists in the training program travel to Kenya for training and educate medical staff in anesthesia

and pain management services.

In 2016, Dr. Newton received the Nicholas M. Greene, MD, Award for Outstanding Humanitarian Contribu-tion, given by the ASA’s Committee on Global Humanitarian Outreach.

Vanderbilt An-esthesia Global Health and Development

The mission of Anesthesia Global Health and Development is the support

of all global endeavors within the Department of Anesthesiology, including sustained service activities, research and education. As such, the Global Anesthesia Fellowship, the

Vanderbilt International Journal Club, the Global Surgery website (VIGH), and research and service provided in Guatemala, Ethiopia and Mozambique are organized and nurtured as part of this endeavor.

Dr. Kelly McQueen, Professor of Anesthesiology and Surgery, is Director of Vanderbilt Anesthesia Global Health and Development and the Vanderbilt Global Anesthesia Fellowship, and is a globally recognized expert in the field. Dr. McQueen is currently leading research efforts as principal investigator for several grants: one in Ethiopia and two in Mozambique. She is also exploring additional research opportunities in South Africa.

For more information on all of these programs, please see the Global Health tab on the Department of Anesthesiology website.

Building Safe Anesthesia Capacity Around the World

Dr. Mark Newton

Dr. Kelly McQueen

The department is a national leader in rigorous educational research. Dr. Scott Watkins (APSF), Dr. Chris Cropsey (FAER) and Dr. Mary DiMiceli-Zsigmond (GE Foundation) all have grant-funded educational research investigating the use of decision support tools to improve team-based care delivery in high-stakes perioperative events in

pediatric, general adult and obstet-ric populations, respectively. Dr. Bantayehu Sileshi (GE Foundation) focuses on the implementation of a novel perioperative data collection tool in low- and middle-income countries and the development of anesthesia curricula for nonphysician anesthesia providers.

Educational Research

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

Chris Cropsey, MDBantayehu Sileshi, MD

Dr. Mark Newton

25

Research

The vision of the Research Division is to improve upon the department’s currently successful program by fos-tering excellence, collaboration and the development of young investiga-tors in anesthesiology.

In federal fiscal year 2014, the Vanderbilt University School of Medicine (VUSM) ranked 10th among U.S. medical schools for National Institutes of Health (NIH) funding, and VUSM funding from all sources has more than doubled since 2001.

Anesthesia investigators brought in more than $8 million in total extramural research funding. This included more than $4.5 million in awarded NIH grants, which placed Vanderbilt Anesthesiology 9th among U.S. academic anesthesiolo-gy departments in NIH funding.

Within the department, faculty published 241 papers in fiscal year 2016, up from 197 papers in fiscal year 2015, within peer-reviewed literature.

Anesthesia clinical research centers include Vanderbilt Anesthesiology Clinical Research Advisory Com-mittee (VACRAC) and Vanderbilt Anesthesiology & Perioperative Informatics Research (VAPIR).

VACRAC reviews research protocols with a panel of experienced inves-tigators. This process has improved the design and execution of clinical research projects, resulting in more rapid and effective study origination and completion.

VAPIR Director Dr. Jonathan Wanderer has strengthened internal communication and plays a vital role in providing superior perioper-

ative care. The division collaborates internally with colorectal surgeons to understand the relationship between interoperative hypothermia and surgical site infections.

The team also creates innovative techniques for efficient communica-tion with clinicians to improve pa-tient care. Through the development of automated email systems and dashboards, VAPIR has strength-ened internal communication and plays a vital role in providing near real time feedback to clinicians to help them improve perioperative care.

The Vanderbilt Department of Anesthesiology has a strong, multi-faceted approach to research, which can be viewed on the following pages.

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

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

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

26

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

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

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

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

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

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

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

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

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

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

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

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

Annual Anesthesiology Research Symposium

Lab Research Advancing Medical Science

Symposium AwardsBest Oral Presentation | Loren Smith, MD, PhD

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

The Bradley Smith Mentorship Award | Susan Eagle, MD

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

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

Best Poster Presentation | Sujay Kharade, PhD

Best Poster Presentation | Brandon Turner

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

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

27

The Vanderbilt Anesthesiology & Perioperative Informatics Research (VAPIR) Division and Perioperative Informatics work beyond the walls of the operating room, advancing patient care through innovations in patient safety and quality. By integrating active research, state of the art technologies and clinical applications, VAPIR and Perioper-ative Informatics are advancing the frontiers of science and healthcare. Both have achieved measurable out-comes of success in patient care, infra-structure and edu-cational programs. Faculty members engage with students through mentorship and training programs, equipping the next generation of professionals.

VAPIR, led by Dr. Jonathan Wanderer, director, and Dr. Jesse Ehrenfeld, associate director, is responsible for managing the Perioperative Data Warehouse (PDW), which contains full data from more than 880,000 procedures. The division collaborates internal-ly and externally to strengthen its mission to improve patient care here and abroad. Students, residents and fellows can participate in seminars,

journal clubs and a structured summer research training program. Experts in biomedical informatics and clinical research share their research at monthly seminars as visiting scholars. Among its many achievements, VAPIR has:• Created the informatics backbone that supports the Vanderbilt Periop-erative Consult Service.

• Developed a suite of real-time data visualization tools to enable clinicians to view quality and per-formance metrics effortlessly via automated email systems and online tracking dashboards. • Enabled substantial reductions in surgical site infections and in institutional supply costs through cross-disciplinary collaborations.

Perioperative Informatics, led by Dr. Brian Rothman, designs, develops and implements enhancements to Vanderbilt’s Perioperative Informa-

tion Management System (VPIMS). Using health information technology solutions, the area supports best practice care and workflows to im-prove patient safety, care quality, effi-ciency and communication through accurate and reliable real-time data acquisition and delivery.

Under Rothman’s leadership, Periop-erative Informatics has implemented web-based solutions for situation-al awareness (SAGA), postoperative anesthesia note documentation (PAV), intraoperative decision support and the case board (eORBoard). Perioperative nursing now uses electron-ic checklists to support perioperative Enhanced Recovery After Surgery (ERAS) protocols that are

reducing lengths of stay. Periopera-tive Informatics’ new Post Anesthe-sia Care Unit oriented case board was created in collaboration with bed management to deliver transparent, real time, patient status data for effi-cient enterprise-wide patient flow. Other collaborations include Integrated Presence and Bedside Monitoring, which are bringing perioperative, real-time monitoring and decision support to the ICUs and to surgical patients on general care floors.

Annual Anesthesiology Research Symposium

Advancing Technology to Improve Patient Care

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

Brian Rothman, MD

28

The VACRAC (Vanderbilt Anesthesiology Clinical Research Advisory Committee), in partnership with the Perioperative Clinical Research Institute, supports new investigators in de-veloping clinical research projects that will lead to publication and, if possible, extramural funding. The committee oversees the development and conduct of industry-sponsored and investigator-initiated research by developing and managing essential research services and programs.

The committee:• Mentors potential investigators throughout the research development process.• Creates opportunities for ongoing learning about research methods, proposal writing, IRB applications, data manage-ment and analysis and presentation/publication skills. • Reviews new research proposals and regularly audits on-going investigations for effectiveness and compliance with regulatory and safety guidelines.

VACRAC members are Edward Sherwood, MD, PhD (chair); Pratik Pandharipande, MD, MSCI (co-chair); Matt Shotwell, PhD (co-chair); Josh Billings, MD, MSCI; Brian Donahue, MD, PhD; Matthew McEvoy, MD; Damon Michaels, MMHC, CCRP; Andrew Shaw, MB, FRCA, FFICM, FFCM; Yandong Jiang, MD, PhD; Mark Rice, MD; and Matthew Weinger, MD.

Shaping Tomorrow’s Leaders through Mentorship

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

Perioperative Clinical Research Institute

The Perioperative Clinical Research Institute (PCRI) is led by Edward Sherwood, MD, PhD, and Damon Michaels, MMHC, CCRP. The division provides a full range of support services, including regulatory management, data management, contracts management, biostatistics, biomedical informatics and financial oversight. The group also trains new investigators so they achieve their own funded research that leads to major publications. The end goal is stronger clinical research, with an eye toward publication in leading journals and changing practice.

Clinical research within the department in-cludes both industry-sponsored, grant funded and investigator-initiated clinical projects

that focus on the advancement of medical practice in the fields of perioperative care, chronic pain and medical devices. Most of the department’s investigators are practicing physicians who use their clinical expertise to develop research protocols that seek to answer clinically significant questions.

The PCRI oversees more than 155 active clin-ical trials, with many more studies in develop-ment. The team consists of highly trained and broadly experienced research professionals, including six research nurses, two research assistants, one senior clinical trials associate and one administrative assistant.

29

VUMC’s Center for Research and Innovation in Systems Safety (CRISS) is an institution-wide resource that conducts basic and applied research in healthcare informatics, patient safety, and clinical quality and designs and evaluates informatics user interfaces, care processes and medical technolo-gy. Directed by Matthew B. Weinger, MD, CRISS is an integral part of Vanderbilt’s Institute for Medicine and Public Health (IMPH), led by Robert

Dittus, MD, MPH, and consists of anesthesiologists, PhD researchers, nursing and design staff, and faculty collaborators across Health Sciences and in the School of Engineering.

CRISS is highly interdisciplinary and collaborative, with projects spanning numerous clinical domains (from the Medical Home to the operating room) and disciplines (medicine, nursing and pharmacy). Using a range of human

factors, usability and systems engineering and design, cog-nitive psychology, biomedical informatics and implementa-tion science techniques, the Center studies performance during patient care and in realistic simulations to better understand how and why care deviates from optimal, then proposes interventions to improve the safety and quality of care.

CRISS investigators are particularly interested in designing and evaluating medical technologies (i.e., devices and information systems) with an empha-sis on the effects of the introduction of new technologies on clinical care, and the use of electronically generat-ed clinical data to identify evolving events and support decision-making. CRISS explores the nature of expertise, clinician-clinician communication,

situational awareness, the workload and stress of individual clinicians and of teams, individual and group performance-shaping factors, hu-man-technology interactions and novel methods of information presen-tation to generate practical benefits in terms of improved clinical care processes and outcomes.

The Center’s involvement with VUMC operational initiatives in quality im-provement ranges from participating in the review and analysis of serious clinical events and conducting formal usability testing of VUMC software applications under development and of medical devices being considered for purchase to re-engineering blood transfusion processes, improving clinician handovers and enhancing compliance with perioperative time-outs and checklists.

Center for Research and Innovation in Systems Safety

Research Faculty and Staff

Perioperative Clinical Research Institute

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

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

Curtis Baysinger, MD: The effects of Sildenafil, a shorter acting PDE5 inhibitor, on the human fetoplacental microcirculation in women with pre-eclampsia: A study using the in vitro, dual perfused, single isolated cotyledon, human placental model

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

A study using the in vitro dual perfused, human placental model to compare: I.) Changes in fetopla-cental perfusion pressure induced by altered fetal flow rates in single isolated cotyledons harvested from healthy versus preeclamptic mothers. II.) Slope of the increase in FAP induced by hypox-emia in single isolated cotyledons harvested from healthy versus preeclamptic mothers

Claudia Benkwitz, MD, PhD: A double-blind, randomized, placebo-controlled study in children (<7 mos) comparing the effects of antithrombin III (ATIII) or placebo on the coagulation system in in-fants with known low ATIII levels undergoing open congenital cardiac surgery

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

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

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

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

Elizabeth Card, MSN, APRN, FNP-BC: A

Randomized controlled trial of 2% chlorhexidine gluconate skin preparation cloths for the prevention of post op surgical site infections in spine patients

Katherine Dobie, MD: Perioperative Management of Patients with Implantable Cardioverter Defibrilla-tors in Ambulatory Settings

Quality and Medical Management in the Outpatient Surgical Home

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

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

The perioperative management of von Willebrand Disease

Is 30 Day Mortality Used as a Measure for Surgical Outcome?

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

Defining the Impact of Patients with High Utilization of Healthcare Services

Utility of the Surgical Apgar Score on Postoperative Outcomes in Pediatrics

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

AAPAE community and conference needs assess-ment

Intraoperative Transfusion data & Computer Tomography exam orders

Stephen Harvey, MD: Gaunfacine for PONV after Sinus Surgery

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

Antonio Hernandez, MD: Comparison of Endotra-

cheal Intubation Over the Aintree via the I-gel and Laryngeal Mask Airway Supreme

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

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

Elizabeth Hughes, MD: ACGME Case Log Survey

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

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

Comparison of mask ventilation techniques in patients requiring general anesthesia

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

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

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

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

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

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

Enhanced Recovery After Surgery in Surgical Weight Loss: A Pilot Project to Track Patient Re-

covery after Discharge

Defining Perioperative Morbidity and Mortality in Western Kenya: A Quality Improvement Project

Micro CE Pilot Study

Educational Methods in Graduate Medical Educa-tion Survey

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

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

Impacting the Global Trauma Crisis: Pilot Study in Mozambique

The Global Burden of Pain Evaluation Proposal

Puneet Mishra, MD: GREAT Knee Pain Reduction Trial, Genicular Radiofrequency Ablation Efficacy in Achieving Total Knee Pain Reduction Trial

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

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

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

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

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

Andrew Shaw, MB, FRCA, FFICM, FCCM: A Dou-ble-Blind, Randomized, Placebo-Controlled Study of Levosimendan in Patients with Left Ventricular Systolic Dysfunction Undergoing Cardiac Surgery Requiring Cardiopulmonary Bypass

Edward Sherwood, MD, PhD: A multicenter, ran-domized, double-blinded, placebo-controlled study of CYT107 to restore absolute lymphocyte counts in sepsis patients

Key Clinical Research Studies

31

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

A Study Evaluating Gene Expression Response to TLR4 Agonists

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

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

Anticoagulation Quality Improvement Project

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

The Epidemiology and Impact of Medication Errors in the Perioperative Setting

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

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

PACU Overnight: Impact on Length of Stay

Evaluation of Electronic Screening Tools for Preop-erative Assessment

Perioperative Outcomes Awareness Project

The Electronic Medical Record Habits of Highly Effective Anesthesia Residents

Decision support for intraoperative low blood pressure

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

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

Elizabeth Demarcus, Sr. Financial Ana-lyst, earned the Master of Management in Healthcare degree from the Owen Graduate School of Management at Vanderbilt University. The degree was awarded in December 2015.

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

Dawn Martin, Administrative Assis-tant III, was selected as a recipient of a VUMC Credo Award, recognizing individuals who consistently demon-strate exceptional credo behavior. The award was presented at the August 10th 2016 Clinical Enterprise Leadership Assembly.

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

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

Kristi Hasty, Department Education Specialist, earned a Bachelor’s degree in Health Care Administration from Co-lumbia Southern University. The degree was awarded in January 2016.

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

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

Teresa Turnbo, Sr. Clinical Trials Special-ist, completed the Vanderbilt Program in Research Administration Develop-ment (VPRAD) in December 2015.

Max Terekhov, Sr. IT Business Analyst, received professional accreditation by the American Statistical Society,

becoming one of 249 accredited profes-sional statisticians (PStat) in the ASA. In addition, he earned an MBA from Middle Tennessee State University. The degree was awarded in January 2016.

Hongjuan Blazer, Sr. Business Intel-ligence Analyst, passed the Tableau Desktop 9 certification exam in March 2016.

Jonathan Dulong, Associate Director of Administration, completed the Boston Marathon in April 2016, with a time of 4:38:59.

Lana Vandivier, Administrative Assistant III, received a B.S. in Business Manage-ment from Bethel University in June 2016.

Stephen Doherty, Department Adminis-trator, passed the examinations to earn the Certified Medical Practice Executive (CMPE) credential from the American College of Medical Practice Executives in January 2016.

Staff Accomplishments

32

The department hosts special lectureships throughout the year and presents distinct recognitions to department members who have provided exemplary service both to their patients and to their colleagues.

Many of these are a direct result of philan-thropic support from our alumni, as well as from current department members and other program supporters. Funding is provided by private donors, whose gifts materially improve the academic life of the Vanderbilt Depart-ment of Anesthesiology.

The Benjamin Howard Robbins Scholar Program began in 2007 to support the profes-sional development of young clinician-scien-tists within the department. Building critical research skills under the mentorship of an established scientist helps prepare young in-vestigators to eventually establish a vigorous, independently funded research program. The program is named in honor of the the depart-ment’s first chairman, himself a renowned physician-scientist. The BH Robbins Scholar Program is multidisciplinary, encouraging and supporting mentorships and collabora-tions that extend far beyond the traditional boundaries of anesthesia.

“This program provides a unique mentored research experience for young scholars that culminates in a two-year multidisciplinary fellowship, with at least one year devoted to research,” said Department Chair Warren Sandberg, MD, PhD.

“Our Robbins scholars benefit from one-on-

one mentorship, a wealth of research and educational resources, protected research time and a stipend during their residency and fellowship.”

The BH Robbins Scholar Program is co-directed by Frederic T. (Josh) Billings, IV, MD, MSCI, and Jerod Denton, PhD. The areas of research for our current scholars are described briefly here.

Joseph Schlesinger, MD, (Scholar 2011-2016), is currently examining multisensory perceptual training, specifically improving unisensory pulse oximetry pitch perception and attentional load processing. He builds on this research by looking at the psycho-acoustic features of auditory alarms and the development of a salient multisensory alarm for the healthcare setting. Dr. Schlesinger is mentored by Mark Wallace, PhD, Director of the Vanderbilt Brain Institute, and Matthew Weinger, MD. Schlesinger has presented his work at the American Society of Anesthe-siologists, the Society for Neuroscience, the Society of Critical Care Anesthesiologists and the American Medical Association. He is now internationally recognized for his work, presenting during the summer of 2016 at the International Association for Music & Medi-cine in Beijing, China. He collaborates beyond Vanderbilt, notably with McGill University and the Centre for Interdisciplinary Research

in Music Media and Technology. His original research articles have been published in Anes-thesiology and Anesthesia & Analgesia.

Heidi Smith, MD, MSCI, (Scholar 2011-2016), is the principal investigator of ground-breaking research on pediatric delirium. The initiative monitors children hospitalized in Pediatric Critical Care Units (PCCUs) for delirium. Dr. Smith is mentored by Pratik Pandharipande, MD, MSCI.

Adam Kingeter, MD, (Scholar 2013-2019), is in his third year as a BH Robbins Scholar and is joining the Department of Anesthesiology as an assistant professor. His research activ-ities center on evidence-based, value-driven health care. Current projects include the ICU Provider Awareness of the Charge Environ-ment (ICU-PRICE) study, which examines the impact of charge transparency on the ordering patterns of ICU care providers, as well as several studies investigating methods to decrease hospital charges to patients while maximizing the quality of their care. He is mentored by Melinda Buntin, PhD, the Dean of the Department of Health Policy at

Special Lectureships & AwardsAdvancing Medical Education through Endowments

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

BH Robbins Scholars

Jerod Denton, PhD

Josh BIllings, MD, MSCI

33

Dr. James Phythyon Endowed Lectureship in Pediatric AnesthesiologyThe lectureship was established by the family of Dr. James Phythyon, a founding

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

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

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

The Sandidge Pediatric Pain Management Endowed FundRetired Vanderbilt anesthesiologist Paula C. Sandidge, MD, created The Sandidge

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

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

children.

The Dila Vuksanaj Memorial Fund for Resident EducationPediatric anesthesiologist Dila Vuksanaj, MD, practiced at Children’s Hospital for 13

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

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

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

Fund for Resident Education.

Dr. Bradley E. Smith Endowed Lectureship on Medical ProfessionalismFormer chairman Bradley E. Smith, MD, defined what it means to be a true

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

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

lectureship is to reflect on the characteristics, responsibilities and rewards of profes-

sionalism as applied to the practice of anesthesiology.

Dr. Charles Beattie Endowed LectureshipEstablished by Dr. Warren Sandberg, the lectureship is intended to bring innovators

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

bilt as visiting professors.

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

Vanderbilt, and his mentorship committee members include Pratik Pandharipande, MD, MSCI, Andrew Shaw, MB, FRCA, FFICM, FCCM, and C. Lee Parmley, MD, JD, MMHC.

Marcos Lopez, MD, MS, (Scholar 2014-2019), is investigating the impact of intra-operative oxidative stress on postoperative endothelial function in patients random-ized to hyperoxia or normoxia during cardiac surgery. He was recently awarded a Foundation for Anesthesia Education and Research Mentored Research Training Grant to support this research. Dr. Lopez is mentored by Josh Billings, MD, MSCI, Pratik Pandharipande MD, MSCI, and David Harrison, MD.

Michael Chi, MD, (Scholar 2015-2020), is currently studying the application of reactive oxygen species (ROS)-responsive microspheres for targeted anti-inflamma-tory therapy of chronic neuropathic pain. Dr. Chi is mentored by Jerod Denton, PhD, Craig Duvall, PhD, Ronald Wiley, MD, PhD, David Edwards, MD, PhD, and Edward Sherwood, MD, PhD.

Scott Hubers, MD, (Scholar 2015-2017), is currently studying the cardiovascular consequences of dipeptidyl peptidase IV (DPP4) inhibition using intra-arterial infusions of peptides in the setting of angiotensin-converting enzyme (ACE) in-hibition. Dr. Hubers is mentored by Nancy Brown, MD, Mias Pretorius, MBChB, MSCI, and JoAnn Lindenfeld, MD.

Jason O’Neal, MD, (Scholar 2015-2016), is currently investigating preoperative risk factors for delirium following cardiac surgery and several biomarkers implicated

in the neuroinflammatory pathway of de-lirium. He is mentored by Andrew Shaw, MB, FRCA, FFICM, FCCM.

Loren Smith, MD, PhD, (Scholar 2016-2017), has identified an association between preoperative high density lipo-protein (HDL) levels and a decreased risk of acute kidney injury (AKI) after cardiac surgery. She is currently characterizing cardiac surgery patients’ HDL with respect to size distribution and anti-inflammatory, anti-oxidant and cholester-ol efflux activities to elucidate a possible AKI-protective mechanism for HDL. Dr. Smith is mentored by Josh Billings, MD, MSCI, and MacRae Linton, MD.

Puneet Mishra, MD, (Scholar 2016-2019), is currently the principal investigator for a randomized control trial examining the efficacy of preoperative genicular nerve radiofrequency ablation in reducing pain and improving functional outcomes in patients undergoing total knee arthroplas-ty. Over the course of this year, Dr. Mishra plans to conduct a second randomized control trial investigating the effectiveness of preoperative transforaminal epidural injections with clonidine as well as dexa-methasone in reducing back and radic-ulopathic pain in patients undergoing a single level lumbar discectomy. Dr. Mishra is mentored by Stephen Bruehl, PhD, and Andrew Shaw, MB, FRCA, FFICM, FCCM.

Dianne Lou, MD, PhD, (Scholar 2016-2020), is interested in the pathophysiology of sepsis/systemic inflammatory response syndrome and genomics for guiding preci-sion medicine. She joined the BH Robbins Scholar Program in July 2016.

Special Lectureships & Awards

34

Selected Publications, 2015-2016

Peer-reviewed Original and Review Articles

Aline F, Wanderer JP, Ehrenfeld JM: Manag-ing the Impact of the ICD-10 Transition on a Data Warehouse. J Med Syst 2016; 40:57

Alvis BD, Hughes CG: Physiology Consider-ations in Geriatric Patients. Anesthesiol Clin 2015; 33:447-56

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

Bane CE, Jr., Ivanov I, Matafonov A, Boyd KL, Cheng Q, Sherwood ER, Tucker EI, Smiley ST, McCarty OJ, Gruber A, Gailani D: Factor XI Deficiency Alters the Cytokine Response and Activation of Contact Proteases during Polymicrobial Sepsis in Mice. PLoS One 2016; 11:e0152968

Banerjee A: Using Simulation for Primary Cer-tification. Int Anesthesiol Clin 2015; 53:42-59

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

Beazley B, Bulka CM, Landsman IS, Ehrenfeld JM: Demographic Predictors of NPO Viola-tions in Elective Pediatric Surgery. J Perianesth Nurs 2016; 31:36-40

Beyenbach KW, Yu Y, Piermarini PM, Denton J: Targeting renal epithelial channels for the control of insect vectors. Tissue Barriers 2015; 3:e1081861

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

Bohannon JK, Luan L, Hernandez A, Afzal A, Guo Y, Patil NK, Fensterheim B, Sherwood ER: Role of G-CSF in monophosphoryl lipid A-mediated augmentation of neutrophil functions after burn injury. J Leukoc Biol 2016; 99:629-40

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

Boyer RB, Hocking KM, Booth GS, Berry JM, Spain TW, Michaels DR, Sandberg WS, Pilla MA: An Evaluation of Induced Failure Modes in the Belmont® Rapid Infuser. Anesth Analg 2016; 122:1062-9

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

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

Bruehl S: Complex regional pain syndrome. BMJ 2015; 351:h2730

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

Buchheit T, Van de Ven T, Hsia HL, McDuffie M, MacLeod DB, White W, Chamessian A, Keefe FJ, Buckenmaier CT, Shaw AD: Pain Pheno-types and Associated Clinical Risk Factors Following Traumatic Amputation: Results from Veterans Integrated Pain Evaluation Research (VIPER). Pain Med 2016; 17:149-61

Burns JW, Gerhart JI, Bruehl S, Post KM, Smith DA, Porter LS, Schuster E, Buvanen-dran A, Fras AM, Keefe FJ: Anger arousal and behavioral anger regulation in everyday life among people with chronic low back pain: Relationships with spouse responses and neg-ative affect. Health Psychol 2016; 35:29-40

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

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

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

Craig BT, Rellinger EJ, Mettler BA, Watkins S, Donahue BS, Chung DH: Laparoscopic Nissen fundoplication in infants with hypoplastic left heart syndrome. J Pediatr Surg 2016; 51:76-80

Cropsey C, Kennedy J, Han J, Pandharipande P: Cognitive Dysfunction, Delirium, and Stroke in Cardiac Surgery Patients. Semin Cardiotho-rac Vasc Anesth 2015; 19:309-17

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

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

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

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

DiMiceli-Zsigmond M, Williams AK, Rich-ardson MG: Expecting the Unexpected: Per-spectives on Stillbirth and Late Termination of Pregnancy for Fetal Anomalies. Anesth Analg 2015; 121:457-64

Dobie KH, Tiwari V, Sandberg WS: “What Have We Done for Us Lately?”--Defining Per-formance and Value at the Individual Clinician Level. Anesthesiol Clin 2015; 33:659-77

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

Downing JW, Baysinger CL: Oxygenating laryngoscopy. Anaesthesia 2016; 71:727-8

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

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

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

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

Enkhbaatar P, Nelson C, Salsbury JR, Carmical JR, Torres KE, Herndon D, Prough DS, Luan L, Sherwood ER: Comparison of Gene Expres-sion by Sheep and Human Blood Stimulated with the TLR4 Agonists Lipopolysaccharide and Monophosphoryl Lipid A. PLoS One 2015; 10:e0144345

35

France CR, Burns JW, Gupta RK, Buvanendran A, Chont M, Schuster E, Orlowska D, Bruehl S: Expectancy Effects on Conditioned Pain Modulation Are Not Influenced by Naloxone or Morphine. Ann Behav Med 2016; 50:497-505

France DJ, Levin S, Ding R, Hemphill R, Han J, Russ S, Aronsky D, Weinger M: Factors In-fluencing Time-Dependent Quality Indicators for Patients With Suspected Acute Coronary Syndrome. J Patient Saf 2016 Jan [Epub]

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

Frawley G, Bell G, Disma N, Withington DE, de Graaff JC, Morton NS, McCann ME, Arnup SJ, Bagshaw O, Wolfler A, Bellinger D, Davidson AJ, General Anesthesia compared to Spinal anesthesia (GAS) Consortium: Predictors of Failure of Awake Regional Anesthesia for Neo-natal Hernia Repair: Data from the General Anesthesia Compared to Spinal Anesthesia Study--Comparing Apnea and Neurodevel-opmental Outcomes. Anesthesiology 2015; 123:55-65 (Stephen Hays is a G.A.S. consor-tium member)

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

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

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

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

Gruss C, Terekhov MA, Ehrenfeld JM, Kunic RJ, Wanderer JP: Estimating virtual neck circumference for preoperative STOP-BANG assessment: a retrospective cohort study. Can J Anaesth 2016; 63:120-2

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

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

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

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

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

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

Hayhurst CJ, Durieux ME: Differential Opioid Tolerance and Opioid-induced Hyperalge-sia: A Clinical Reality. Anesthesiology 2016; 124:483-8

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

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

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

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

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

Hernando D, Sharma SD, Aliyari Ghasabeh M, Alvis BD, Arora SS, Hamilton G, Pan L, Shaffer JM, Sofue K, Szeverenyi NM, Welch EB, Yuan Q, Bashir MR, Kamel IR, Rice MJ, Sirlin CB, Yokoo T, Reeder SB: Multisite, multivendor validation of the accuracy and reproducibility of proton-density fat-fraction quantification at 1.5T and 3T using a fat-water phantom. Magn Reson Med 2016 Apr [Epub]

Hester DL, Ehrenfeld J: Anesthesia and seda-tion in the gastroenterology suite: leveraging clinical data to support operational workflows. Techniques in Gastrointestinal Endoscopy 2016; 18:18-21

Hocking KM, Baudenbacher FJ, Sileshi B, Boyer RB, Kohorst KL, Brophy CM, Eagle SS: Peripheral Venous Waveform Analysis for Detecting Hemorrhage and Iatrogenic Volume Overload in a Porcine Model. Shock 2016 Apr [Epub]

House LM, Calloway NH, Sandberg WS, Ehrenfeld JM: Prolonged patient emergence time among clinical anesthesia resident train-ees. J Anaesthesiol Clin Pharmacol 2015

House LM, Marolen KN, St Jacques PJ, McEvoy MD, Ehrenfeld JM: Surgical Apgar score is associated with myocardial injury after noncardiac surgery. J Clin Anesth 2016; 34:395-402

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

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

Itagaki T, Gubin TA, Sayal P, Jiang Y, Kacmarek RM, Anderson TA: The effectiveness of nasal

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

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

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

Jering MZ, Marolen KN, Shotwell MS, Denton JN, Sandberg WS, Ehrenfeld JM: Combining the ASA Physical Classification System and Continuous Intraoperative Surgical Apgar Score Measurement in Predicting Postopera-tive Risk. J Med Syst 2015; 39:147

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

Joffe ME, Grueter BA: Cocaine Experience En-hances Thalamo-Accumbens N-Methyl-D-As-partate Receptor Function. Biol Psychiatry 2016 May [Epub]

Joffe ME, Vitter SR, Grueter BA: GluN1 deletions in D1- and A2A-expressing cell types reveal distinct modes of behavioral regulation. Neuropharmacology 2016 Mar [Epub]

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

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

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

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

36

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

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

Kharade SV, Flores D, Lindsley CW, Satlin LM, Denton JS: ROMK Inhibitor Actions in the Nephron Probed with Diuretics. Am J Physiol Renal Physiol 2015; 310:F732-F737

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

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

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

Klonoff DC, Draznin B, Drincic A, Dungan K, Gianchandani R, Inzucchi SE, Nichols JH, Rice MJ, Seley JJ: PRIDE Statement on the Need for a Moratorium on the CMS Plan to Cite Hospitals for Performing Point-of-Care Capillary Blood Glucose Monitoring on Criti-cally Ill Patients. J Clin Endocrinol Metab 2015; 100:3607-12

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

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

Kummerow Broman K, Phillips S, Hayes RM, Ehrenfeld JM, Holzman MD, Sharp K, Kripal-ani S, Poulose BK: Insurance status influences emergent designation in surgical transfers. J Surg Res 2016; 200:579-85

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

Ladha KS, Wanderer JP, Nanji KC: Age as

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

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

Lee H, Bach E, Noh J, Delpire E, Kandler K: Hyperpolarization-independent maturation and refinement of GABA/glycinergic connec-tions in the auditory brain stem. J Neurophysi-ol 2016; 115:1170-82

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

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

Lovvorn HN, 3rd, Pierce J, Libes J, Li B, Wei Q, Correa H, Gouffon J, Clark PE, Axt JR, Hansen E, Newton M, O’Neill JA, Jr., Kenyan Wilms Tumor C: Genetic and chromosomal alterations in Kenyan Wilms Tumor. Genes Chromosomes Cancer 2015; 54:702-15

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

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

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

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

McEvoy M, Nicochuk J, Ehrenfeld JM, Sand-berg WS: Maintenance of Certification in An-esthesiology Part 4: Improvement in Medical Practice: Is It of Value and Where Do I Begin? Advances in Anesthesia 2015; 33:157-73

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

Anesthesiol Clin 2016; 54:107-30

McEvoy MD, Hand WR, Stiegler MP, DiLoren-zo AN, Ehrenfeld JM, Moran KR, Lekowski R, Nunnally ME, Manning EL, Shi Y, Shotwell MS, Gupta RK, Corey JM, Schell RM: A Smart-phone-based Decision Support Tool Improves Test Performance Concerning Application of the Guidelines for Managing Regional Anes-thesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy. Anesthesiology 2016; 124:186-98

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

McGrane S, Smith HAB, Pandharipande P: Acute brain dysfunction during critical illness. ICU Management 2015; 15:176-78

Merchant A, Calvo L, Outhay M, Sidat M, Lyon C, McQueen KAK: Basic ICU Capacity in the Province of Zambezia in Mozambique. Critical Care Medicine 2015; 43:83

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

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

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

Monroe TB, Gore JC, Bruehl SP, Benningfield MM, Dietrich MS, Chen LM, Newhouse P, Fillingim R, Chodkowski B, Atalla S, Arrieta J, Damon SM, Blackford JU, Cowan RL: Sex differences in psychophysical and neurophys-iological responses to pain in older adults: a cross-sectional study. Biol Sex Differ 2015; 6:25

Monroe TB, Misra S, Habermann RC, Dietrich

MS, Bruehl SP, Cowan RL, Newhouse PA, Sim-mons SF: Specific Physician Orders Improve Pain Detection and Pain Reports in Nursing Home Residents: Preliminary Data. Pain Manag Nurs 2015; 16:770-80

Morandi A, Brummel NE, Pandharipande P: Melatonin and the future of critically ill patients’ outcomes. Minerva Anestesiol 2015; 81:1277-9

Morey TE, Sappenfield JW, Gravenstein N, Rice MJ: Joint Commission and Regulatory Fatigue/Weakness/Overabundance/Distrac-tion: Clinical Context Matters. Anesth Analg 2015; 121:394-6

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

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

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

O’Neal JB, Shaw AD: Goal-directed therapy in the operating room: is there any benefit? Curr Opin Anaesthesiol 2016; 29:80-4

O’Neal JB, Shaw AD: Predicting, preventing, and identifying delirium after cardiac surgery. Perioper Med (Lond) 2016; 5:7

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

Oto J, Su Z, Duggan M, Wang J, King DR, Kacmarek RM, Jiang Y: Efficacy of coaxial ventilation with a novel endotracheal catheter equipped with a functional cuff: A swine mod-el study. Eur J Anaesthesiol 2016; 33:250-6

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

37

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

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

Patel MB, Jackson JC, Morandi A, Girard TD, Hughes CG, Thompson JL, Kiehl AL, Elstad MR, Wasserstein ML, Goodman RB, Beckham JC, Chandrasekhar R, Dittus RS, Ely EW, Pand-haripande PP: Incidence and Risk Factors for Intensive Care Unit-related Post-traumatic Stress Disorder in Veterans and Civilians. Am J Respir Crit Care Med 2016; 193:1373-81

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

Phillips ML, Willis BC, Broman AJ, Lam HV, Nguyen TT, Austin TM: Bimodal analgesia vs fentanyl in pediatric patients undergoing bilateral myringotomy and tympanostomy tube placement: a propensity matched cohort study. J Clin Anesth 2016; 32:162-8

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

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

Qiao S, Olson JM, Paterson M, Yan Y, Zaja I, Liu Y, Riess ML, Kersten JR, Liang M, Warltier DC, Bosnjak ZJ, Ge ZD: MicroRNA-21 Mediates Isoflurane-induced Cardioprotection against Ischemia-Reperfusion Injury via Akt/Nitric Oxide Synthase/Mitochondrial Permeability Transition Pore Pathway. Anesthesiology 2015; 123:786-98

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

Rathmell JP, Strichartz G, Wanderer J: Neo-

saxitoxin versus Traditional Local Anesthetics: Mechanism of Action and Sites of Notable Effect. Anesthesiology 2015; 123(4):A23

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

Reynolds WS, Dmochowski R, Wein A, Bruehl S: Does central sensitization help explain idio-pathic overactive bladder? Nat Rev Urol 2016

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

Rice MJ, Morey TE, Sappenfield JW, Gra-venstein N: In Response. Anesth Analg 2016; 122:581

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

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

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

Rothman BS, Shotwell MS, Beebe R, Wan-derer JP, Ehrenfeld JM, Patel N, Sandberg WS: Electronically Mediated Time-out Initiative to Reduce the Incidence of Wrong Surgery: An Interventional Observational Study. Anesthesiology 2016 Jun [Epub]

Saddawi-Konefka D, Hung SL, Kacmarek RM, Jiang Y: Optimizing Mask Ventilation: Litera-ture Review and Development of a Conceptual Framework. Respir Care 2015; 60:1834-40

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

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

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

Semler MW, Rice TW, Shaw AD, Siew ED, Self WH, Kumar AB, Byrne DW, Ehrenfeld JM, Wanderer JP: Identification of Major Adverse Kidney Events Within the Electronic Health Record. J Med Syst 2016; 40:167

Shaw AD, Schermer CR, Lobo DN, Munson SH, Khangulov V, Hayashida DK, Kellum JA: Impact of intravenous fluid composition on outcomes in patients with systemic inflam-matory response syndrome. Crit Care 2015; 19:334

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

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

Simmons SF, Schnelle JF, Sathe NA, Slagle JM, Stevenson DG, Carlo ME, McPheeters ML: Defining Safety in the Nursing Home Setting: Implications for Future Research. J Am Med Dir Assoc 2016; 17:473-81

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

Smith HA, Gangopadhyay M, Goben CM, Jacobowski NL, Chestnut MH, Savage S, Rutherford MT, Denton D, Thompson JL, Chandrasekhar R, Acton M, Newman J, Noori HP, Terrell MK, Williams SR, Griffith K, Cooper TJ, Ely EW, Fuchs DC, Pandharipande PP: The Preschool Confusion Assessment Method for the ICU: Valid and Reliable Delirium Monitor-ing for Critically Ill Infants and Children. Crit Care Med 2016; 44:592-600

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

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

Starnes JR, McEvoy MD, Ehrenfeld JM, Sandberg WS, Wanderer JP: Automated Case Cancellation Review System Improves Sys-tems-Based Practice. J Med Syst 2015; 39:134

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

Sun LS, Li G, Miller TL, Salorio C, Byrne MW, Bellinger DC, Ing C, Park R, Radcliffe J, Hays SR, DiMaggio CJ, Cooper TJ, Rauh V, Maxwell LG, Youn A, McGowan FX: Association Be-tween a Single General Anesthesia Exposure Before Age 36 Months and Neurocognitive Outcomes in Later Childhood. JAMA 2016; 315:2312-20

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

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

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

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

Terekhov MA, Ehrenfeld JM, Wanderer JP: Preoperative Surgical Risk Predictions Are Not Meaningfully Improved by Including the Surgical Apgar Score: An Analysis of the Risk Quantification Index and Present-On-Ad-mission Risk Models. Anesthesiology 2015; 123:1059-66

38

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

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

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

Vasilevskis EE, Pandharipande PP, Graves AJ, Shintani A, Tsuruta R, Ely EW, Girard TD: Validity of a Modified Sequential Organ Failure Assessment Score Using the Richmond Agitation-Sedation Scale. Crit Care Med 2016; 44:138-46

Vasilopoulos T, Morey TE, Dhatariya K, Rice MJ: Limitations of Significance Testing in Clin-ical Research: A Review of Multiple Compar-ison Corrections and Effect Size Calculations with Correlated Measures. Anesth Analg 2016; 122:825-30

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

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

Wanderer JP, Gruss CL, Ehrenfeld JM: Using Visual Analytics to Determine the Utilization of Preoperative Anesthesia Assessments. Appl Clin Inform 2015; 6:629-37

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

Wanderer JP, Nathan N: Pre- and Postopera-tive Troponin Elevation: Effects on Postopera-tive Mortality. Anesth Analg 2016; 123:1

Wanderer JP, Rathmell JP: A Brief History of

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

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

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

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

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

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

Wanderer JP, Rathmell JP: Perioperative and Acute Care Transfusion Strategies: One size may not fit all. Anesthesiology 2016; 125(1):A21

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

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

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

Wills TA, Baucum AJ, 2nd, Holleran KM, Chen Y, Pasek JG, Delpire E, Tabb DL, Colbran RJ, Winder DG: Chronic intermittent alcohol disrupts the GluN2B-associated proteome and specifically regulates group I mGlu recep-tor-dependent long-term depression. Addict Biol 2015 Nov [Epub]

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

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

Yeung CK, Billings FTt, Claessens AJ, Roshan-ravan B, Linke L, Sundell MB, Ahmad S, Shao B, Shen DD, Ikizler TA, Himmelfarb J: Coen-zyme Q10 dose-escalation study in hemodial-ysis patients: safety, tolerability, and effect on oxidative stress. BMC Nephrol 2015; 16:183

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

Book Chapters

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

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

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

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

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

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

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

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

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

Baysinger CL, Staat B: Uteroplacental anat-omy, blood flow, respiratory gas excahnge, drug transfer, and teratogenicity. In: Baysing-er C, Bucklin B, Gambling D, eds. A Practical Approach to Obstetric Anesthesia, 2nd edition. Philadelphia, Pennsylvania: Wolters Kluwer; 2016, pp 19-33

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

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

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

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

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

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

39

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Whitney,Gina, Suanne Daves, Brian Dona-hue: Multiorgan effects of congenital cardiac surgery. In: Andropoulos DB, Stayer SA, Mossad EB, Miller-Hance WC, eds. Anesthesia for Congenital Heart Disease, 3rd edition. Hoboken, New Jersey: John Wiley & Sons, Inc.; 2015

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

Books and Guides

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

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

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

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

Wiklund ME, Kendler J, Hochberg L, Weinger M B: Technical Basis for User Interface Design of Health IT (NIST GCR 15-996). Washing-ton, DC: National Institute of Standards and Technology, US Department of Commerce; September, 2015

Case Reports

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

Bennett JM, Deegan R, Maltais S, Preto-rius M: Failed Percutaneous Transcatheter Tricuspid Valve-in-Valve Replacement Caused by Retained Valve Holder. Anesth Analg 2016; 122:34-6

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

Cropsey CL, McEvoy MD: Local Anesthetic Systemic Toxicity in a Nonoperative Location. Simul Healthc 2015; 10:326-8

Epstein RH, St Jacques PJ, Wanderer JP, Bombulie MR, Agarwalla N: Prophylactic An-tibiotic Management of Surgical Patients Not-ed as “Allergic” to Penicillin at Two Academic Hospitals. A A Case Rep 2016; 6:263-7

Franklin AD, Menser CC, Naftel RP: Fluo-roscopically Guided Epidural Blood Patch Effective for Treatment of a Postsurgical Pseudomeningocele in a Pediatric Patient. Reg Anesth Pain Med 2016; 41:542-3

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

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

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

Mehr SR, Neeley RC, Wiley M, Kumar AB: Profound Autonomic Instability Complicated by Multiple Episodes of Cardiac Asystole and Refractory Bradycardia in a Patient with An-ti-NMDA Encephalitis. Case Rep Neurol Med 2016; 2016:7967526

Sobey JH, Franklin A: Ultrasound-Guided Tibial Nerve Block for Definitive Treatment of Tarsal Tunnel Syndrome in a Pediatric Patient. Reg Anesth Pain Med 2016; 41:415-6

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

40

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

Editorials/Commentaries/Book Reviews

Bansal V, Shastri U, Gupta R, Canlas C: Con-tinuous Perineural Catheters for Postoperative Pain From an Ambulatory Surgery Center. Reg Anesth Pain Med 2016; 41:543

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

Baysinger CL: Editorial comment on Rein-ikainen et al. Continuous wound infiltration with ropivacaine for analgesia after caesarean section: a randomized, placebo controlled tri-al, Acta Anaestheseiol Scand 2014; 58:973-79. Obstetric Anesthesia Digest 2015; 35:167-8

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

Benkwitz C, Watkins SC, Donahue BS: Assessing the Risks of Noncardiac Surgery for Children With Congenital Heart Disease. J Am Coll Cardiol 2016; 67:802-3

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

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

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

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

Ehrenfeld JM: The Storm Abroad: Anesthe-siology During Wartime: Giving Blood on the Battlefield. Anesthesiology News 2015 Oct; 41(10)

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

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

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

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

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

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

Kilkelly SR, McEvoy MD: Review of Barash’s Clinical Anesthesia Fundamentals. Anesth Analg 2016; 122:1715-16

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

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

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

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

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

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

Nguyen TT, Donahue BS: Sex matching and red cell safety. J Thorac Cardiovasc Surg 2016;

152:233-4

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

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

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

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

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

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

Sobey CM, King AB, McEvoy MD: Postopera-tive Ketamine: Time for a Paradigm Shift. Reg Anesth Pain Med 2016; 41:424-6

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

Letters

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

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

Kappen TH, Wanderer JP, Ehrenfeld JM, Weinger MB: Is Intraoperative Hypotension Truly a Too Simple Problem for Useful Decision Support? Anesth Analg 2016 Jun [Epub]

Kla KM, Coursin DB, Rice MJ: Limitations of the Pupillary Reflex: Do the Eyes Have It? Anesthesiology 2015; 123:1480-1

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

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

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

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

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

Saied N, Helwani MA, Pandharipande PP: Intraoperative protective ventilation: too early to redefine management parameters? BMJ 2015; 351:h5126

Schlesinger JJ: In Response. Anesth Analg 2015; 121:836

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

Tabing AK, Ehrenfeld JM, Wanderer JP: In reply: Sevoflurane or desflurane: Which one is more expensive? Limiting the accessibility of cost-prohibitive drugs: The story is incom-plete. Can J Anaesth 2016; 63:361

Terekhov MA, Ehrenfeld JM, Wanderer JP: In Reply. Anesthesiology 2016; 124:1196-7

Newsletter Articles

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

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

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

Shah PR, Hernandez, A: Critical Care Ultra-

41

1

SEPTEMBER/OCTOBER 2015

Press Coverage

Click to view

AMAnesthesiA Monitor

Dunworth named associate director of Advanced Practice, AnesthesiaVanderbilt ReporterJuly, 2015

Undone in the ICUVanderbilt MedicineSummer 2015

ERAS Pathways Within PSH Framework Ideal For Improving Colorectal Sur-gery Patient OutcomesAnesthesiology NewsJuly 2015

Leaders Co-chair International conference Vanderbilt ReporterJuly, 2015

ERAS Pathways Ideal for Improving Outcomes After Colorectal Surgery Gastroenterology & Endoscopy NewsJuly 2015

Visit the newsfeed on the homepage of website to view additional news

Department Chair Dr. Sandberg was presented with the honor-able Committee for the Employ-er Support of the Guard and Re-serve, (ESGR) Patriotic Employer Award on September 2, 2015. Dean of Vanderbilt University School of Medicine and President and CEO of Vanderbilt University Medical Center Dr. Jeffrey Balser received the ESGR Pro Patria Award. Dr. Jesse Eh-renfeld, associate director of the Informatics Research Division in Anesthesiology and U.S. Navy Commander recommended San-

derg and Balser for the outstand-ing support given to him while performing his military duties as a US Navy Reserve Officer. 

The Committee for the Employ-er Support of the Guard and Re-serve, or ESGR, is a Department of Defense organization, working to foster support and cooperation between employers and their em-ployees who serve our country in the National Guard or Reserve. ESGR provides a means for these

military members to recognize the support and encouragement given to them by their immediate supervisors or higher level super-visors through an awards pro-gram.  Additionally, businesses and organizations are encouraged to see the value in hiring Guards-men and Reservists and support-ing them while they perform their military duties, both in training and in carrying out their military mission when called upon.

Dr. Jeffrey Balser, Dr. Jesse Ehrenfeld, Dr. Sandberg and Carl Lambert, Committee Chair, Tennessee ESGR

Leadership Recognized for Military Support

savethedate

SUNDAY | OCTOBER 25, 2015 | 6:00 pm– 9:00 pm | Roy’s San Diego Waterfront (Big Island Room)

2015 Annual Alumni Reception

Department of Anesthesiology

Compassionate | Creative | Committed | Collaborative

Department recognized for military support

Dr. Warren S. Sandberg, Department Chair, was presented with the honorable Committee for the Em-ployer Support of the Guard and Reserve (ESGR) Patriotic Employer Award. Dr. Jeffrey Balser, President & CEO, Vanderbilt University Medical Center, and Dean, Vanderbilt University School of Medicine, received the ESGR Pro Patria Award. Dr. Jesse Ehrenfeld recommended Dr. Balser and Dr. Sandberg for the out-standing support given to him while performing his military duties as a US Navy Reserve Officer.

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

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

The Vanderbilt Department of Anesthesiology recognizes and supports those who serve our in military.

Dr. Balser, Dr. Ehrenfeld, Dr. Sandberg and Carl Lambert, Committee Chair, Tennessee ESGR

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

Sobey JH, Newton M, Romanelli T, Hummel, J: Worlds Apart: How Vanderbilt Children’s Hospital Pediatric Anesthesia Fellowship Fosters Leadership Skills in Global Health. Society for Pediatric Anesthesia Newsletter, SPACIES, 2016; Summer (Volume 29, Number 2) http://www2.pedsanesthesia.org/newslet-ters/2016summer/spacies.html Accessed July 30, 2016

Poems/Stories

Harvey ST: Alms. Ann Intern Med 2016; 164:341

Harvey ST: Reconnecting. JAMA 2016; 315:1171

Hester D: Roentgen’s Garden. JAMA 2015; 314:87

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

Hester DL: Lines Written on Viewing “Ether Day, 1846” in the Bullfinch Amphitheater. Anesthesiology 2016; 124:1408-9

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

42

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

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

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

Raj Gupta, MD, named Associate Professor of Anesthesiology

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

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

Antonio Hernandez, MD, named CVICU Medical Director

Doug Hester, MD, named Associate Professor of Anesthesiology

Jill Kilkelly, MD, named Associate Professor of Clinical Anesthesiology

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

Buffy Lupear, CRNA, named Senior Quality and Patient Advisor

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

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

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

Mark Newton, MD, named Professor of Anesthesiology

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

Mark Rice, MD, named Associate Vice Chair for Clinical Affairs

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

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

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

Jason Slagle, PhD, named Research Associate Professor of Anesthesiology

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

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

Achievements LeadershipMatthew McEvoy, MD, is now a member of the Vander-bilt Academy for Excellence in Teaching and joins members Warren Sandberg, MD, PhD, Scott Watkins, MD, Amy Rob-ertson, MD, Jesse Ehrenfeld, MD, MPH, Michael Richard-son, MD, Jane Easdown, MD, and Michael Pilla, MD.

Mark Rice, MD, named to the ABA MOCA Minute Commit-tee as editor.

Warren Sandberg, MD, PhD, served as a member of the Scientific Affairs Refer-ence Committee at the 2015 ASA House of Delegates meeting, which took place during the 2015 Annual ASA Meeting in San Diego, California. Also:• Named President-Elect of Tennessee Soci-ety of Anesthesiologists for 2016. •Co-editor of the third edition of David Long-necker’s Anesthesiology, along with Mark Newman, Sean Mackey and Warren Zapol. Publisher is McGraw-Hill, and publication is planned for May 2017.

Andrew Shaw, MB, FRCA, FFICM, FCCM, has been invited to serve as co-editor of the sixth edition of Frederick Hensley’s A Practical Approach to Cardiac Anesthesia, along with Dr. Glenn Gravlee and Dr. Karsten Bartels from UC Denver. Publisher: Wolters Kluwer. Also:• Elected for membership into the FAER (Foundation for Anesthesia Education and Research) Academy of Research Mentors in Anesthesiology and joins academy members Warren Sandberg, MD, PhD, and Edward Sherwood, MD, PhD, within our department.

• Named as recipient of the 2015 Vicenza Award for his contributions to the field of international critical care nephrology.• Scientific Program Committee Chair for the Society of Cardiovascular Anesthesiologists’ 2016 annual meeting.

Edward Sherwood, MD, PhD, has been selected to join the AUA (Association of Uni-versity Anesthesiologists) Scientific Advisory Board for 2016 . The SAB is responsible for planning the scientific program of the AUA Annual Meeting. Also:•Invited to serve on the Promotions & Tenure Committee.

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

Curtis Baysinger, MD, is co-editor of the sec-ond edition of A Practical Approach to Obstet-ric Anesthesia, which published in February 2016. Publisher: Wolters Kluwer. Also:

Vanderbilt Academy for Excellence in Teaching members: Matthew McEvoy, MD, Jane Easdown, MD, Jesse Ehrenfeld, MD, MPH, Scott Watkins, MD, Amy Robertson, MD, Michael Richardson, MD, Warren S. Sandberg, MD, PhD Not pictured: Michael Pilla, MD

New Clinical/Leadership Roles

Recognizing faculty achievements

43

• TSA District 2 Director

James Berry, MD, and Douglas Hester, MD, were recently appointed to the editorial board of “Mind-to-Mind” – the poetry section of the journal Anesthesiology.

Josh Billings, MD, MSCI, has been appointed to the scientific program committee for the Society of Cardiovascular Anesthesiologists’

annual meeting.

David Chestnut, MD, is the 2016 ASA Rovenstine Lecturer and the editor of the fifth edition of Chestnut’s Obstetric Anesthesia: Principles and Practice, which published in April 2014. Publisher: Elsevier.

Approval for funding by FAER (Foundation for Anesthesia Education and Research) was received by Christopher Cropsey, MD, for his grant entitled “Effects of an Electronic Decision Support Tool on Team Performance During In-situ Simulation of Perioperative Cardiac Arrest.”

Susan Eagle, MD, received a $270,000 grant from Baxter Medical for an investigator initiated trial “Peripheral intravenous device for detecting intravascular volume overload in dialysis patients.” Dr. Eagle is co-inventor of the IV device and is principal investigator of

the trial. Also:• Co-founded startup company, Volumetrix, which has been recommended for Phase I STTR funding by the National Science Foun-dation for project: “Wireless point-of-care sensor for continuous fluid status monitoring of patients with congestive heart failure.” Vol-umetrix seeks to fulfill critical unmet needs in medicine by developing novel non-invasive devices and algorithms for intravascular volume status determination.•Startup company, InvisionHeart LLC, received FDA clearance for its mobile wireless 12-lead ECG system. InvisionHeart has received awards from Google Entrepreneurs, NEXT award for best healthcare startup in Nashville and the 2015 Southeastern Medical Device Association(SEMDA) for best emerg-ing company. InvisionHeart was also one of 10 startups nationwide chosen to participate in the inaugural event that provides the opportunity to learn from experts and gain exposure to Silicon Valley investors.

Jesse Ehrenfeld, MD, MPH, has been named to the advisory committee of the Substi-tutable Medical Applications & Reusable Technology (SMART) Platforms project, AMA announced. The SMART project, created at Boston Children’s Hospital and Harvard Medical School, aims to provide doctors better EHR systems by developing “a flexible information infrastructure that allows for free, open development of plug and play ap-plications (apps) to increase interoperability among health care technologies,” according to a news release. Also:• Editor-in-Chief, Journal of Medical Systems.•Invited to serve as chair of the Administra-tive Affairs Reference Committee at the 2015 House of Delegates meeting during the 2015 Annual ASA Meeting.• Joined the Rewards, Recognition, and Retention Committee as a physician repre-sentative. This committee is being formed to reconfigure/replace the Elevate Steering Committee, which mainly met to adjudicate the Credo and Five Pillar Leader awards that were given out quarterly.•Invited to serve on the ASA Committee on

Anesthesia Care Team for the 2016 Gover-nance year (October 2015-October 2016).•Joined the OHSE (Office of Health Sciences Education) as Director of Education Research, the National Health IT Safety Collaborative and our hospital’s Hover Board Committee.•Serving on this year’s VUSM Faculty Teach-ing and Clinical Service Awards Selection Committee. •Co-chaired a panel on medical-school educa-tion reform at the Association of Health Care Journalists’ national conference in Cleveland, Ohio, on April 9, 2016. He also addressed the conference of health journalists as a member of the American Medical Association’s Board of Trustees.

Rajnish Gupta, MD, has been asked to be part of the conference leadership for ASRA (American Society of Regional Anesthesia and Pain Medicine).Duties will include: 2016 - Co-Workshop Chair for the 2016 ASRA Spring Meeting2017 - Refresher Course Chair for the 2017 ASRA Spring Meeting2018 - Workshop Chair for the 2018 ASRA World Congress on Regional Anesthesia and Pain Medicine2019 - Chair of 2019 ASRA Spring Meeting

Rajnish Gupta, MD, and Matthew McEvoy, MD, published the iOS and Android versions of a new app developed in collaboration with ASRA, called ASRA Coags Pain. This app is

based on the 2015 Guidelines published by ASRA on the use of anticoagulant medica-tions for interventional pain procedures (as opposed to the acute pain regional anes-thesia blocks the previous app was directed towards). iOS - https://itunes.apple.com/us/app/asra-coags-pain/id1033651708?mt=8Android - https://play.google.com/store/apps/details?id=com.asra.asracoagspain&hl=en

Doug Hester, MD, was one of four “poets who heal” who read from their works April 19 at the Williamson County Public Library. “Alternative Medicine: Poets Who Heal” was presented as part of the Vanderbilt University Lectures in the Library series.

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

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

Avinash Kumar, MD, has been elected to the Neurosciences Section Council. Also:• Was confirmed on the Program Accredi-tation, Physician Certification & Fellowship Training (PACT) Committee for a four year term.

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

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

Approval for funding by VICTR, pending IRB

approval, was received by Jason O’Neal, MD, for his project entitled “Neuroinflammation and postoperative delirium in cardiac sur-gery.” The project was was also approved for an Innovation Grant through the department.

Pratik Pandharipande, MD, MSCI, has been selected as a member of the FAER (Founda-tion for Anesthesia Education and Research) Academy of Research Mentors in Anesthesi-ology and joins academy members Warren Sandberg, MD, PhD, and Edward Sherwood, MD, PhD, within our department. Also: • Received a 2016 Presidential Citation from the Society of Critical Care Medicine.• Received an invitation from Dr. Balser to participate in the School of Medicine Aca-demic Leadership Program, administered by the Office of Faculty Affairs.

Brian Rothman, MD, selected to serve as Chair of ASA’s Committee on Electronic Media and Information Technology (October 2015) and President-Elect for the Society for Technology in Anesthesia.Also:• Invited to serve on the American Society of Anesthesiologists 2016 Ad Hoc Committee on Data Governance. • Invited to participate in an ASA workgroup that will formulate a plan to help prepare members for the implementation of MACRA (the “Medicare Access and CHIP Reauthoriza-tion Act”), including the Merit-based Incentive Payment System (MIPS). This workgroup is tasked with determining appropriate criteria for EHR meaningful use for anesthesia care to propose them to the Centers for Medicare & Medicaid Services (CMS) for inclusion in the MIPS. • Chair of (HIMSS) Healthcare Information and Management Systems Society’s Connect-ed Health Committee. • Serving on the ad hoc committee on Pay-ment Reform. The Steering Committee will collect and assemble information from ASA members and task oriented workgroups to develop and answer specific questions about anesthesiology’s current state and necessary future direction relevant to the four compo-nents of MIPS and the development of APMs

(alternative payment models).

Jonathan Wanderer, MD, MPhil, has been selected to serve as an examiner for the American Board of Anesthesiology’s (ABA) Part 2 Examination. Also:• Invited to serve on the Anesthesia Quality Institute Data Use Committee. Committee responsible for: Advising on the appropriate handling of re-search data requests on an ongoing basis (i.e., making a recommendation to the AQI Board on how research requests should be handled)Participating with the DUC in review of incoming data use requestsMentoring investigators in using NACOR (National Anesthesia Clinical Outcomes Registry) data• Invited by the American Board of Anes-thesiology, Inc. (ABA) and American Society of Anesthesiologists (ASA) to serve on the newly created ABA/ASA Perioperative GME Workgroup to examine and review potential changes to the anesthesiology residency continuum of education to meet the present and future needs of our patients and health care systems. • Associate editor for the Cover Editor and Il-lustrations section of Anesthesia & Analgesia.• Co-PI on a National Science Foundation grant recently awarded to Biomedical Informatics. The project is entitled “TWC: Small: Analysis and Tools for Auditing Insider Accesses.”• Co-investigator on Dr. Thomas Lasko’s R01 grant that was recently approved: “Identi-fication, Extraction and Display of Clinical Data Patterns with Application to Anesthesia Workflows.”

Lisa Weavind, MBBCh, FCCM, MMHC, has been elected to VU School of Medicine Facul-ty Senate. Also:• Led two remote bedside monitoring programs - Integrated Presence and Bedside Monitoring. Both offer real-time clinical in-formation, early recognition and preemptive intervention to mitigate complications and improve patient outcomes.

CRNAsMiddle Tennessee School of Anesthesia (MTSA) awarded Brad Koss, MS, CRNA, the Ikey DeVasher Distinguished Alumni Service Award and John Shields, DNP, CRNA, the Clinical Excellence Award.

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

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

Elisabeth Hughes, MD, and Leslie Fowler, MEd, received the Stephen Abrahamson’s Outstanding Innovation Award for their ab-stract “A Novel Approach to Randomization of ACGME Milestones into Daily Anesthesia Resident Evaluations” at the Innovations in Medical Education Conference held in February.

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

Amy Robertson, MD, appointed as Chair Designee of the Medical Student Education Committee for the Society of Education in Anesthesia. Also:• Proposal “Using Interactive Video to Teach

Clinical Procedures” will be funded by the Vanderbilt Institute of Digital Learning.

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

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

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

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

Mark Newton, MD, appointed to World Federation of Societies of Anaesthesiolgists (WFSA) for a one-year term as a member of the ASA Committee on Representation. Also:• Selected to receive the Nicholas M. Greene, MD, Award for Outstanding Humanitarian Contribution by the ASA’s Committee on Global Humanitarian Outreach. Heidi Smith, MD, MSCI, was invited to serve in the role of co-chair of the new Early Career Physician Council. Also:• Elected to associate membership in the Association of University Anesthesiologists (AUA).

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

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

Julia Bohannon, PhD, has been endorsed by the VUMC Faculty Research Scholars program and offered a place in the program.

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

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

Eric Delpire, PhD, invited to serve as a member of the Kidney Molecular Biology and Genitourinary Organ Development Study Section, Center for Scientific Review, for the term beginning July 1, 2015 and ending June 30, 2019. Members are selected on the basis of their demonstrated competence and achievement in their scientific discipline. Study sections review grant applications submitted to the NIH, make recommenda-tions on these applications to the appropriate NIH national advisory council or board and survey the status of research in their fields of science. Also:

• Grant entitled “Molecular and Functional characterization of the first known human mutation of the SLC12A2 gene” will be fund-ed by the NIH.

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

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

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

diet-induced obesity.”

Naeem Patil, MBBS, PhD, selected to the ASPET (American Society for Pharmacology and Experimental Therapeutics) 2015 Wash-ington Fellows Program. Dr. Patil participat-ed in advocating for increased support of the National Institutes of Health and other science agencies.

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

Jeffrey Balser, MD, PhDArna Banerjee, MBBSCurtis Baysinger, MDFrederic T. (Josh) Billings, MDStephen Bruehl, PhDDavid Chestnut, MDBrian Donahue, MD, PhDJohn Downing, MB, ChBSusan Eagle, MD

Jesse Ehrenfeld, MD, MPHMichael Higgins, MD, MPHChristopher Hughes, MDYandong Jiang, MD, PhDAvinash Kumar, MDMatthew McEvoy, MDKelly McQueen, MD, MPHPratik Pandharipande, MD, MSCIMark Rice, MD

Matthias Riess, MD, PhDWarren Sandberg, MD, PhDAndrew Shaw, MB, FRCA, FFICM, FCCMEdward Sherwood, MD, PhDHeidi Smith, MD, MSCI, FAAPPaul St. Jacques, MDLisa Weavind, MBBCh, FCCM, MMHCMatthew Weinger, MD

American Board of Anesthesiology Part II ExaminersDavid Chestnut, MDStephen Hays, MDAntonio Hernandez, MDShannon Kilkelly, DOEdward Sherwood, MD, PhDJonathan Wanderer, MDMatthew Weinger, MD

Association of University Anesthesiologists Members

Grant helps expand training outreach pro-gram in Kenya Vanderbilt News, May, 2015

New colorectal surgery protocol reduces length of hospital stay by 25 percent Vanderbilt News, May, 2015

Chestnut to deliver Rovenstine Lecture VUMC Reporter, June, 2015

New apps increase efficiency and safety for anesthesiologists VUMC Reporter, June, 2015

Owen and School of Medicine leaders co-chair international conference on analytics in health care July 29-31 Vanderbilt News, July, 2015

Twinkling Artifact Associated with Guidewire Placement Anesthesia and Analgesia, July, 2015

Undone in the ICU Vanderbilt Medicine, Summer, 2015

Dunworth named associate director of Ad-vanced Practice, Anesthesia VUMC Reporter, September, 2015

ERAS Pathways Ideal for Improving Out-comes After Colorectal Surgery Gastroenterology & Endoscopy News, July, 2015

cont’d. PAGE 46

PRESS COVERAGE

46

ERAS Pathways Within PSH Framework Ideal For Improving Colorectal Surgery Patient Outcomes Anesthesiology News, July, 2015

ASA’s Global Humanitarian Outreach Puts Emphasis on Epidemic of Surgical Disease Anesthesiology News, May 2015

Data Reporting Through AIMS Automated Reporting Systems Can Improve Care Anesthesiology News, May 2015

Dr. Jesse Ehrenfeld: Proud to Serve Vanderbilt Magazine, October, 2015

Taking better care of transgender patients ACP Hospitalists, October 2015

AMA presses CMS for meaningful use hardship exemption Healthcare IT News, October 2015

Staff Breaks Help Improve Outcomes Anesthesiology News, November, 2015

Anesthesiologist Improves African Health Care Anesthesiology News, October, 2015

VU-invented wireless ECG system receives FDA approval Vanderbilt Reporter, October, 2015

Schools of Nursing, Medicine create new LGBT health course VUMC Reporter, November 12, 2015

Preoperative Surgical Risk Predictions Are Not Meaningfully Improved by Including the Surgical Apgar Score: An Analysis of the Risk Quantification Index and Present-On-Admis-sion Risk Models The Journal of the American Society of Anes-thesiologists, November 2015

Assessing Toxicity of Intravenous Crystalloids in Critically Ill Patients JAMA, October, 2015

A Multimodal Intervention Improves Postanes-thesia Care Unit Handovers Anesthesia and Analgesia Featured Podcast, October, 2015

GE Foundation Commits $25 Million to Global Safe Surgery Initiative Fierce Medical Devices, September, 2015

The upside of EHRs: 3 physicians’ perspectives on what they get right Becker’s Health IT and CIO Review, Decem-ber, 2015

Shaw lauded for research mentorship VUMC Reporter, December, 2015

Vanderbilt, Ono Pharmaceutical sign drug discovery agreement Vanderbilt News, December, 2015

Capital needs grow for TN startups The Tennessean, January, 2016 Vanderbilt Anesthesiology Promotes Leader-ship and Diversity to Residents The Tennessee Tribune, January 2016

ADVERSE Drug Events: Incidence & risk reduction across the care continuum The Journal of the American Society of Anes-thesiologists, January 2016

High-Dose Statin Before, After Cardiac Surgery Does Not Reduce Risk of Kidney Injury Journal of American Medical Association, March, 2016

Mind-Controlled Arm Allows Finger Wiggling // Non-Opioid Care Improves Outcomes for

Those on Opioids for Pain // And More! Orthopedics, April 8, 2016

Postsurgical pain in low- and middle-income countries British Journal of Anaesthesia, March 2016

Event highlights crucial role of nurse anesthe-tists at VUMC Reporter, Feb, 2016

Report highlights global need for surgical services Vanderbilt News, April, 2016

Vanderbilt Anesthesia broadens global efforts VUMC Reporter, April, 2016

Improving Care With the ASRA Coags Regional App Anesthesiology News, April, 2016

VUMC speakers shine at TEDx Nashville symposium Vanderbilt News, April 21, 2016

Vanderbilt Medical Center initiative saves lives in Kenya The Tennessean, April 22, 2016

Opioid epidemic affects all Tennesseans The Tennessean, April, 2016

Anesthesiology resident (Loren Smith, MD, PhD) lands research awards Vanderbilt News, May, 2016

Academy for Excellence in Teaching VUMC Reporter, May, 2016

Pretorius named to key Anesthesiology post VUMC Reporter, May, 2016

Faculty awards honor clinical, teaching, re-search excellence Vanderbilt News, May, 2016

Parents urged to use drug lockboxes to keep teens away from narcotics WKRN News, May, 2016

VUMC researchers seek to crack the code of neonatal sepsis Vanderbilt News, June, 2016

Vanderbilt tries to ease transgender challenges

in health system The Tennessean, June, 2016

Hasty selected to participate in academic medi-cine program for women VUMC Reporter, June, 2016

In wake of Orlando shooting, AMA encourages first responders to learn tourniquet use Becker’s Hospital Review, June, 2016

AMA Urges Physician Education on Use of Once-A-Day HIV Prevention Windy City Times, June, 2016

Fentanyl: Widely Used, Deadly When Misused Alternet, June, 2016

AMA calls for ban on powdered alcohol Healio, June, 2016

MorningLine: Opioid Addiction News Channel 5 Network, June, 2016

Pain doctor and patient say long-term opioids cause pain, urge alternatives WSMV, June, 2016

America’s Growing Opioid Epidemic and Alter-native Treatments for Pain Mix 92.9, June, 2016

Malignant hyperthermia: rare but potentially serious problem for surgical patients VUMC Reporter, June, 2016

Worlds Apart: How Vanderbilt Children’s Hos-pital Pediatric Anesthesia Fellowship Fosters Leadership Skills in Global Health SPA News, June 2016

Disruptive Education: Training the Future Gen-eration of Perioperative Physicians The Journal of the Society of Anesthesiologists, July 2016

Commanders have a lot to learn fast on trans-gender issue Stars and Stripes, July, 2016

Changes in care improve recovery for surgery patientsVUMC Reporter, July 2016

47

Department of Anesthesiology

Compassionate | Creative | Committed | Collaborative

Office of the Chair1211 21st Avenue South, 722 MAB

Nashville, TN 37212615-936-1595

www.vandydreamteam.com