department of anesthesiology - Hospital for Special Surgery

Transcription

department of anesthesiology - Hospital for Special Surgery
department of
anesthesiology
2013 annual report
department of anesthesiology 2013 Annual Report
contents
1
A Message from the Director
2013 Highlights & Strategic Accomplishments
2
Anesthesiology at HSS: Specializing in Regional Techniques
4
An Integrated Approach to Patient Care
6
ocus Assessed Transthoracic Echocardiography: F
First Course in North America
7
Orthopedic Special Care Unit
8
Anesthesiology and Bioethics
10
Global International Outreach
12
Department Events
13
Department Growth
2013 Notable Achievements
15
Awards and Special Recognition
15
Leadership Positions and Appointments
16
Media
16
Editorial Appointments
17
2013 Selected Publications
19
Grants
20
Professional and Administrative Staff
a message from the
director
I am very pleased to present the Department of Anesthesiology’s fourth Annual
Report, which highlights the exceptional care we provide to patients at HSS.
In 2013 we introduced the concept of the
Perioperative Orthopedic Surgical Home
(POSH) model of care, a coordinated
approach that is patient-centered, physicianled, and multidisciplinary. The Department of
Anesthesiology, through many preoperative,
intraoperative and postoperative initiatives,
plays a vital role in this multidisciplinary
model, with the primary goal of providing the
highest quality surgical experience.
Some of the Department’s perioperative
initiatives, including the role of regional anesthetics,
acute pain management and orthopedic critical care, are
discussed at length in this report.
We have also highlighted some of the less traditional
but equally important initiatives that have taken place in
our Department over the past year. The roles of focused
transthoracic echocardiography, bioethics in anesthesia and
perioperative medicine, and our global outreach initiatives
set this Department apart from many others that simply
provide basic clinical care. This differentiation is vital
in maintaining HSS’s position as the global standard in
orthopedics.
In addition to clinical accomplishments, our physicians
continue to publish ground-breaking research, lecture
locally, nationally and internationally, and educate the next
generation of regional and orthopedic anesthesiologists.
I hope you enjoy reading about these and other
achievements of the Department of Anesthesiology in our
2013 Annual Report.
Gregory A. Liguori, MD
Anesthesiologist-in-Chief and Director
mission statement
“To achieve an international leadership role by providing the highest quality anesthetic care and pain management for
patients undergoing orthopedic surgery, to advance the science of regional anesthesia, pain management, and orthopedic critical care through clinical and translational research, and to promote educational opportunities to
all students of regional anesthesiology and pain medicine.”
department of anesthesiology 2013 Annual Report
1
In the operating room
with Stephen Harris, MD.
2
2013
highlights
& strategic accomplishments
The Department of Anesthesiology at Hospital for Special Surgery prides itself
on providing exceptional specialty care for an exceptional specialty hospital.
ANESTHESIOLOGY AT HSS: SPECIALIZING IN REGIONAL TECHNIQUES
The Department of Anesthesiology at
Hospital for Special Surgery (HSS)
prides itself on providing exceptional
specialty care for an exceptional
specialty hospital. Recognized as the
premier physicians in the world for
the practice of regional anesthesia
and pain medicine for orthopedics, 85
percent of the 41,441 anesthetics
performed by HSS anesthesiologists
in 2013 involved the application of
regional anesthesia (RA) techniques.
Ideal for joint replacement
procedures, RA is also a key
contributor to the Hospital’s low
rates of infection, complications and
mortality. Its use significantly shortens
surgical time, and patients benefit
from decreased postoperative pain,
less nausea and fewer side effects.
Rates of deep vein thrombosis and
pulmonary embolism are lower
than with general anesthesia, and
use of RA results in a markedly
reduced risk of surgical infection.
The Hospital’s low infection rates
were acknowledged in New York
State’s Hospital Acquired Infection
2012 Report, which was published
in December 2013. The report
confirmed that HSS’ risk-adjusted
surgical site infection rate is less than
half of the state average and the
Hospital’s hip infection rate is less
than half of what would be expected
for our particular mix of patients.
The Department continually
supports research into how RA
affects orthopedic outcomes. In
2013, Stavros Memtsoudis, MD,
PhD, and a team of investigators
studied the impact of anesthesia
technique in patients undergoing
total knee and hip replacement
surgeries by analyzing national
data from approximately 400,000
patients undergoing surgery at 400
hospitals. The goal of the study was
to prove Dr. Memtsoudis’ theory
that regional anesthesia favorably
influences perioperative outcomes.
Postoperative complications, 30-day
mortality, length of stay, and patient
cost were analyzed and compared
based on anesthesia technique:
regional, general, and a combination
of the two.
Dr. Memtsoudis published a landmark
article after successfully proving that
the utilization of regional anesthesia
for primary joint arthroplasty is
associated with superior perioperative
outcomes. The study confirmed that
patients who received regional
anesthesia had statistically significant
decreases in 30-day mortality, length
of hospital stay and in-hospital
complications, including fewer
infections.
department of anesthesiology 2013 Annual Report
3
highlights &
strategic accomplishments
AN INTEGRATED APPROACH
TO PATIENT CARE
“Dr. Kahn stood out
amongst an excellent
staff. He was clear,
agreed to my request
to be awake during
the procedure, and
talked to me the whole
time. A genuinely
caring manner – one
of the best I’ve ever
experienced.”
Anesthesiologists at HSS do much
more than provide anesthesia in
operating rooms; they are also
responsible for many other patient
care services integral to the entire
perioperative experience.
The Perioperative Surgical
Home (PSH) model of care, a
patient-centered, physicianled multidisciplinary system of
coordinated care that guides a
patient throughout the entire surgical
experience, is currently being
developed by the American Society
of Anesthesiologists. The purpose
of the integrated care provided via
the PSH model is to create a better,
more cohesive patient experience
while making surgical care safer
and more efficient. Similarly, HSS
provides a Perioperative Orthopedic
Surgical Home (POSH) model
through multidisciplinary coordination
between the Departments of
—Excerpt from a 2013 Press
Ganey patient survey
41,441
31,143
33,192
34,779
Anesthesiology, Medicine, Surgery,
Nursing and other ancillary services.
The Hospital’s pre-surgical
screening process is tailored
specifically to a patient’s history
and complexity. Patients may
receive pre-surgical consultation
by a physician in the Department
of Medicine, and depending on
complexity of the surgery, medical
history and past experience
with anesthesia, the patient may
also receive an anesthesiology
consultation. During the anesthesia
consultation the anesthesiologist
evaluates past medical history and
assesses the patient’s anesthetic
options. Furthermore, patients with
comorbidities or a complex medical
history may be referred to the
Complex Case Committee for review
prior to surgery. The committee,
chaired by Michael Urban, MD, PhD,
consists of a multidisciplinary group
2013 PAIN MANAGEMENT VOLUME
37,785
15,037
12,196
4,096
2009
2010
2011
2012
TOTAL OR ANESTHETICS
4
2013
Inpatient:
Chronic
& Recuperative
Acute
Pain
Outpatient:
Chronic
& Recuperative
Critical Care Anethesiologist Jemiel
Nejim, MD, with Cheryl Conwell, DNP,
Mario Nova, PA, and Ken Van Ora, PA.
of physicians and other caregivers
which reviews and evaluates high
acuity patients, ensuring the highest
level of specialized care.
On the day of surgery, an
anesthesiologist meets each patient
in the holding area, where he or she
explains the anesthetic procedure
and answers any questions the
patient may have. In the operating
room, the anesthesiologist is
responsible for ensuring the patient’s
safety and comfort during surgery.
In the Hospital’s Post-Anesthesia
Care Unit, Step-Down Unit
and Orthopedic Special Care
Unit, board-certified critical care
anesthesiologists provide 24hour, seven-day-a-week
HSS
coverage and leadership.
anesthesiologists
These double boarddo much more than
certified physicians
provide anesthesia in
provide a level of
operating rooms; they procare unprecedented
vide patient care services
in orthopedic centers
integral to the entire
around the country.
perioperative expe-
rience.
The intensivists care for
who experience non-routine
patients as they emerge
pain or other discomfort
from anesthesia and supervise a
postoperatively. At HSS, patients
multidisciplinary team to ensure safe
benefit from the highest quality of
recovery and proper pain control.
specialized pain management care,
Patients are then discharged or
as evidenced by the Hospital’s 99th
transferred to an inpatient room for
percentile ranking in Press Ganey
further recuperation and rehabilitation.
patient satisfaction survey inpatient
Anesthesiologists and nurses on
pain control scores.
the Acute Pain Service round on all
Management of non-routine postinpatient units to examine and treat
surgical pain is extended through
pain issues. This service helps to
the innovative, attending-directed
ensure that pain does not interfere
Recuperative Pain Service, which
with a patient’s physical therapy so
provides short-to-mid term (eight
that their path to recovery is smooth.
week) outpatient pain management
In addition, an anesthesiologist is
treatment.
always available on call to respond
to urgent medical matters, address
Additionally, the Department’s seven
critical concerns and care for patients
board-certified pain management
physicians treat and manage complex
conditions, treat pain due to injury or
illness, and provide longer-term care
for those with chronic pain issues.
Through the POSH model at HSS,
anesthesiologists provide leadership
and participate in a coordinated
team which manages patients from
preoperative assessment through the
post-discharge period. This makes
surgical care safer and more aligned,
while promoting better medical
outcomes at a lower cost. Enhanced
coordination in the management of
surgical patients has been proven to
increase quality, reduce complications
and improve the patient’s perception
of the surgical experience.
department of anesthesiology 2013 Annual Report
5
STATISTICIANSPOTLIGHT
SPOTLIGHT
STATISTICIAN
KARA FIELDS, MS
In 2013, the Department’s Research
Division expanded its formal collaboration with the HSS Epidemiology and
Biostatistics Core with the addition
of statistician Kara Fields, MS, to the
research team. Ms. Fields obtained
her Master’s degree in biostatistics at
Columbia University. She interned at
HSS while attending Columbia, and
was subsequently hired as full-time
biostatistician in September 2012.
Under the direction of Stephen Lyman,
PhD, and Yan Ma, PhD, Ms. Fields
works on study design, statistical
analysis planning, power calculations and data analysis. She evaluates
research protocols using the Clinical
Review Panel process and provides
statistical support for the Department’s
Journal Club meetings and Grand
Rounds. In 2013, she co-authored two
publications and gave an educational
lecture to Department faculty about the
published standards for reporting on
randomized clinical trial methodology
and results.
When asked her thoughts on the collaboration, Ms. Fields remarked, “I am
grateful to be working closely with a
Department that is uniformly dedicated
to conducting and publishing research
of the highest quality. After assisting
in numerous studies which explore
methods to reduce postoperative pain
and frequency of adverse events, I
appreciate how the anesthesiologist’s
responsibilities extend far beyond the
operating room.”
Stephen Haskins, MD, teaching
HSS anesthesiologists Enrique
Goytizolo, MD, Stephen Harris,
MD, and Thomas Quinn, MD.
FOCUS ASSESSED TRANSTHORACIC
ECHOCARDIOGRAPHY
FIRST COURSE IN NORTH AMERICA
Transthoracic echocardiography (TTE) is
a tool traditionally used by cardiologists
to answer complex clinical questions
about a patient’s cardiovascular health.
However, few physicians without formal
training in cardiology utilize a focused
TTE exam for its other potential clinical
benefits. Focused TTE is becoming an
important tool for anesthesiologists and
critical care physicians in the perioperative setting when used to supplement clinical evaluation and optimize
cardiopulmonary resuscitation. There is
growing awareness of the benefits of
focused TTE among anesthesiologists
and intensivists, but there are few opportunities available to adequately train
physicians to incorporate this tool into
their daily practice.
The Focus Assessed Transthoracic
Echocardiography (FATE) exam was established in 1989 and has been taught
via training courses since 1996. The
FATE protocol training course teaches
physicians how to perform a focused
TTE exam and then utilize the information to improve patient management
and care. Prior to the course, participants complete an online e-learning
module to prepare for hands-on training
in the FATE exam. Although FATE
originated in Denmark, the FATE training courses have expanded dramati-
cally establishing a strong international
presence throughout Europe, India, and
South Africa.
In March 2013, the Anesthesiology
Department partnered with USabcd.org
to host the first official FATE course in
North America. Stephen Haskins, MD,
coordinated the program and taught
the course under the supervision of
FATE protocol originator, Professor Erik
Sloth, MD, PhD. Twenty HSS attending
anesthesiologists participated in the
course, learning to perform a focused
cardiac echo exam to supplement
standard clinical evaluation and to
guide cardiopulmonary optimization.
Subsequent to the March course, at
the invitation of Professor Sloth, Dr.
Haskins traveled to Denmark to receive
further training and was designated as
the first clinical instructor of the USabcd.
org FATE Course in the United States.
In July, Dr. Haskins, assisted by Jemiel
Nejim, MD, Sean Garvin, MD, and
Stephen Harris, MD, conducted
a second FATE Course at HSS. In
January 2014, HSS held a FATE
protocol course open to non-HSS
physicians to share this important
skill with doctors outside the HSS
community. This was the first open
FATE course in North America.
highlights &
strategic accomplishments
ORTHOPEDIC SPECIAL CARE UNIT
In October 2013 the Orthopedic
Special Care Unit (OSCU), a oneof-a-kind, dedicated intensive care
unit, opened on the fifth floor of the
Hospital. This four-bed unit was
designed to specifically care for high
acuity patients with complex medical needs. Under the leadership of
Stavros Memtsoudis, MD, PhD,
and Michael Nurok, MBChB, PhD,
a specially trained group of critical
care anesthesiologists and a multidisciplinary team of nurses, nutritionists,
physical and respiratory therapists,
Stavros Memtsoudis, MD, PhD,
Director of Critical Care Services with
critical care anesthesiologists Kethy
Jules-Elysee, MD, left, and Elane
Yang, MD, right.
pharmacists, and patient advocates
work closely together to provide
intensive patient care.
conditions that existed prior to their
operation, such as pulmonary hypertension, obstructive sleep apnea, or
coronary artery disease.
The OSCU, in conjunction with
NewYork-Presbyterian Hospital’s specialty ICUs, differentiates HSS from
Most patients are admitted to the
other hospitals performing orthopedic
OSCU because of the complexity
surgery. The unit allows us to safely
of their operation and the need for
undertake increasingly complex and
mechanical ventilation. Occasionchallenging cases, and helps the
ally, the OSCU is used for
In
Hospital maintain a leaderpatients with surgical
the Hospital’s
ship role in advancing
complications or for
Orthopedic Special
the care of the complex
advanced monitorCare Unit, board-certiorthopedic patient into
ing of patients with
fied critical care anesthesithe 21st century.
complex medical
ologists provide 24-hour,
seven-day-a-week coverage and leadership.
“Dr. Swamidoss is one of the most wonderful human beings on the planet. He
was kind, caring, patient and took the time to allay my fears about surgery and
other issues that pertained to my health and welfare.”
—Excerpt from a 2013 Press Ganey patient survey
department of anesthesiology 2013 Annual Report
7
highlights &
strategic accomplishments
ANESTHESIOLOGY AND BIOETHICS
“Dr. Maalouf was the
doctor to truly make
me at ease. He brought
comfort and courage
where there was only
pain and fear.This man
embodies the true
meaning of medicine.”
—Excerpt from a 2013 Press
Ganey patient survey
Left: Michael Finkenbine, CRNA, and Lauren
Turteltaub, MD. Center: Kaitlyn LaFerrara,
CRNA. Right: Stephen Haskins, MD, and
Caroline Dejean, MD.
87
Advances in medicine are often
accompanied by social and ethical
challenges. Although anesthesiology
and ethics are not always readily associated, as facilitators of perioperative
surgical services, anesthesiologists are
confronted with difficult patient care
decisions that go beyond perioperative evaluation, selection of anesthetic
technique and postoperative care.
The Department of Anesthesiology
addresses these ethical challenges
through multiple clinical, educational
and research initiatives.
In 2013, Douglas Green, MD,
Michael Nurok, MB ChB, PhD, and
Gregory Liguori, MD, were part of a
team that revised the Hospital’s Do
Not Resuscitate (DNR) policies, ensuring alignment with New York State
Law and national society guidelines
on patient options for DNR in the
operating room. In addition, they are
currently developing a policy for situations where requested care may not be
clinically appropriate. HSS anesthesiologists serve on a variety of committees
to promote ethics in medicine:
 Mary Chisholm, MD, serves as a
member of the HSS Institutional
Review Board. The Board oversees
the treatment of human subjects and
brings a focus on ethics to the committee’s activities. Dr. Nurok serves
as an alternate member.
 Dr. Chisholm and Dr. Nurok are members of the HSS Ethics Committee,
and Dr. Green serves as Co-Chair.
Committee members foster an interdisciplinary approach to clinical ethics
and convene regularly to review
current research and approaches.
The committee supports clinicians,
patients and family members who are
facing ethical challenges, and members provide consultations to assist in
the resolution of ethical issues.
D
r. Nurok serves on several national
society committees that manage ethics and related topics, including the
American Society of Anesthesiologists Committee on Ethics and
the Society of Critical Care Medicine’s Quality and Safety Committee. In 2013, he gave a number of
invited lectures around the country
on ethics-related topics.
of medical ethics in the 20th Century,
informed consent, decision-making at
the end of life, reproductive medicine,
and ethics in pediatrics and surgery.
Following each lecture, Dr. Chisholm
facilitates small group discussions
where students, prepared through
assigned readings and a case-based
To prepare medical students for
written application of the issue,
challenging ethical questions
review the topic of the week.
they may face in
The
She is also a member of
their practice, Weill
Department
the selection committee
Cornell Medical
of Anesthesiology
for the student prize theCollege offers
addresses ethical chalsis in ethics. According
an annual course
lenges through multiple
to Dr. Chisholm, “interwhich introduces
clinical, educational
acting with the students,
second year medical
and research inisharing difficult situations
students to issues
tiatives.
that do not have clear-cut
and methods in clinical
solutions and helping them think
ethics. Dr. Chisholm is a
clearly about the issues make this a
member of the diverse faculty,
rewarding teaching experience.”
which includes members from
Medicine, Surgery, Anesthesiology,
The Department’s principal investigaNursing, Public Health, Geriatrics,
tors, in conjunction with members of
Pediatrics, Obstetrics and Gynecology,
the Research Division, have published
Pastoral Care, Philosophy and
several manuscripts in 2013 as a
Health Law – all with expertise in
result of our physician’s work in the
medical ethics. Lecture topics in the
field of ethics.
eight-week course include the rise
TEACHING SPOTLIGHT
ANNUAL INTERDISCIPLINARY
PROFESSOR IN
ANESTHESIOLOGY
In December, Christopher Wu, MD,
Chief of the Division of Obstetrics &
Regional Anesthesia and Acute Pain
at Johns Hopkins Medicine, presented
Grand Rounds to the HSS Medical
Staff as the third annual Distinguished
Visiting Professor in Anesthesiology. Dr. Wu also moderated a Visiting Professor Journal Club for the anesthesiology staff, visited HSS clinical settings
to share best practice information and
joined members of the Hospital’s leadership team for continued discussion of
his lecture topic.
Dr. Wu’s Grand Rounds lecture:
“Dying for the Weekend: Does the
Weekend Effect Exist?” detailed his
research on the weekend effect, a possible increase in morbidity and mortality
when patients are admitted or cared for
over the weekend. His research and literature review
showed that the existence of a weekend effect varies; for example, hospitals
with staffing rates that remained the
same showed no weekend effect, while
those with reduced staffing on weekends did report a significant effect.
While the existence of this effect is not
yet fully proven, if the weekend effect
is confirmed it may lead to changes in
healthcare policy and delivery.
Pictured above: Gregory Liguori, MD,
Director, Anesthesiology, Christopher Wu, MD,
Thomas P. Sculco, MD, Surgeon-in-Chief.
department of anesthesiology 2013 Annual Report
highlights &
strategic accomplishments
This page: Swetha Pakala, MD, on a
teaching mission in Vietnam.
Opposite: Dr. Pakala with 2012-2013
Fellow Suzuko Suzuki, MD, on a
medical mission in Haiti.
GLOBAL INTERNATIONAL
OUTREACH
Anesthesiologists at HSS, as leaders in
the field of orthopedic anesthesia, are
committed to reducing disparities in
healthcare and narrowing the burden of
surgical and anesthetic disease in low
and middle-income countries. Most of
these countries have a critical shortage
of qualified surgical and anesthesia
providers, causing a healthcare
workforce crisis.
To help alleviate this, HSS anesthesiologists take an active role volunteering
in surgical missions around the world,
including Dominican Republic, Ecuador,
Ghana, India and Haiti. They are making strides within global international
outreach through their participation in
these missions, which provide surgery
to those who would otherwise be unable to afford them. Over the course of
10
one week, teams are able to perform
an average of 50 operations, and many
of these surgeries prove to be lifechanging for patients.
orthopedic hospital, serves as a major
teaching institution and referral center
for orthopedics. As a government hospital, HTO treats patients who cannot
afford private healthcare, a majority of
whom are orthopedic trauma patients
who require surgery.
Through this global collaboration, HSS anesthesiologists
visit HTO twice each year
to teach regional anesthesia techniques to
their anesthesia providers, helping to improve
outcomes, safety and
postoperative pain analgesia while decreasing the need
for expensive equipment. Ultimately, the goal of the collaboration is
to strengthen the anesthesia workforce
in Vietnam and provide an improved
standard of anesthetic care. Sustainable development through teaching is
the key to empowering local communities and providing lasting change.
HSS
anesthesiologists
take an active role in
volunteering in surgical missions around
the world, including
Ghana, India and
Haiti.
While short-term
surgical missions are
impactful, the effect
is often finite. As a
result, the Department is fostering a
new focus on long-term
collaborations that provide
a greater impact by teaching
anesthesia providers modern and safe
practices, with a particular focus on
regional anesthesia for orthopedic surgery. In 2013, the Department began
a collaboration with the Hospital for
Traumatology and Orthopedics (HTO) in
Ho Chi Min City, Vietnam. This 440 bed
highlights &
strategic accomplishments
department of anesthesiology 2013 Annual Report
11
5
department
events
1
1–5: In June 2013, the Department
again proudly hosted HSS participation
in the JPMorgan Corporate Challenge, a
3.5 mile race benefiting the Central Park
Conservancy. More than 400 HSS staff
members participated in a night filled with
fun, camaraderie and team spirit.
2
5
3
4
7
7: At the Department’s bi-annual
retreat, 50 staff members and physicians participated in an afternoon
of teambuilding, and gained insight
about themselves and their coworkers by completing the MeyersBriggs personality assessment.
8–9: Many of the Department’s
research and administrative staff
members attended the American
Society of Anesthesiologists’ Annual Meeting, held in San Francisco in October 2013. Six physicians
and staff members participated
in a pre-conference 5K race, and
Research Assistant Marcus DiLallo
came in second place with a time
of 17.17. Marcus also finished
the 2013 New York City Marathon
with a time of 2:55:37.
12
8
9
department
growth
The Department of Anesthesiology proudly announced the addition of five
outstanding physicians to our team in 2013.
STEPHEN C.
HASKINS, MD
Assistant Attending
Anesthesiologist
Dr. Haskins is a
graduate of New
York University School of Medicine. He
completed residency training at NewYork
Presbyterian-Weill Cornell Medical College, where he served as Chief Resident
and received the Ronald A. Leff Award
for Excellence in Clinical Teaching by
a Resident. He is a graduate of HSS’
regional anesthesia and acute pain medicine fellowship, where he received the
Attending Anesthesiologists’ Award for
Clinical Excellence. Dr. Haskins is boardcertified in anesthesiology with additional certifications in Basic Perioperative
Transesophageal Echocardiography and
Focus Assessed Transthoracic Echocardiography (FATE).
MEGHAN
KIRKSEY, MD,
PHD
Assistant Attending
Anesthesiologist
residency at NewYork-Presbyterian
Hospital-Weill Cornell Medical College
and a critical care anesthesiology fellowship at NYPH-Columbia University. She
received the Resident Research Award
from Weill Cornell Medical College and
the Award for Clinical Excellence during
her HSS residency rotation. Dr. Kirksey is
double board certified in anesthesiology
and critical care.
KANUPRIYA
KUMAR, MD
Assistant Attending
Anesthesiologist
Prior to joining the
HSS medical staff,
Dr. Kumar served as Director of Regional
Anesthesia at Johns Hopkins Bayview
Medical Center. She received her medical
degree at Albert Einstein College of Medicine and completed residency training in
anesthesiology and critical care medicine at Johns Hopkins University. Board
certified in anesthesiology, Dr. Kumar is a
graduate of HSS’ Fellowship in Regional
Anesthesia and Pain Medicine.
A graduate of WeillCornell/Rockefeller/Sloan-Kettering’s
Tri-Institutional MD-PhD Program, Dr.
Kirksey completed an anesthesiology
JEMIEL A.
NEJIM, MD
Assistant Attending
Anesthesiologist
Double board-certified in anesthesiology and critical care, Dr. Nejim graduated
from David Geffen School of Medicine at
University of California, Los Angeles. He
completed an anesthesiology residency
at University of California, San Francisco
and then worked at UCSF as an attending
anesthesiologist. After completing a critical care medicine fellowship at UCSF, Dr.
Nejim joined the critical care anesthesiology staff at HSS.
ELAINE I.
YANG, MD
Assistant Attending
Anesthesiologist
Dr. Yang attended
New York University
School of Medicine and completed an
anesthesiology residency at University of
California, San Francisco and critical care
medicine fellowship at New York-Presbyterian Hospital-Columbia University. Dr.
Yang worked as a staff anesthesiologist
at North Shore University Hospital prior
to joining the HSS medical staff. She is
double board-certified in anesthesiology
and critical care.
Thirteen new talented staff members also joined our team in 2013.
Jennifer Cheng, PhD
Research Assistant
Marguerite Cox
Pain Management Registrar
Sumudu Dehipawala
Research Assistant
Natasha Desai
Research Assistant
Kaye Estioco, RN
Research Nurse
Michael Finkenbine, CRNA
Certified Nurse Anesthetist
Elaine Hyatt, CRNA
Certified Nurse Anesthetist
Dia Kennedy, CRNA
Certified Nurse Anesthetist
Colin McKenzie
Anesthesia Technician
Mikhail Miller
IT Programmer
Olive Militar, PA
Physician Assistant
Lauren Mount, MD
Research Assistant
Tabatha Poole, PA
Physician Assistant
department of anesthesiology 2013 Annual Report
13
notable
achievements
14
Daniel Maalouf, MD, in the
operating room with 2013–
2014 Fellow Jesse Ng, MD.
2013
notable
achievements
AWARDS AND SPECIAL
RECOGNITION
Mary F. Chisholm, MD
Invited Speaker, Burke Rehabilitation
Center, White Plains, NY
Richard S. King MD
Invited Speaker, Northwest Anesthesia Seminars, New York, NY
Meghan Kirksey, MD, PhD
Invited Speaker, Society for Anesthesia
and Sleep Medicine, San Francisco, CA
Invited Speaker, American Society of
Anesthesiologists Meeting, San
Francisco, CA
Stavros G. Memtsoudis, MD, PhD
Best Abstract Selection, American Society
of Anesthesiology
Best Poster Selection, American Society
of Regional Anesthesia
Best Poster Selection, European Society
of Anesthesiology
Invited Speaker, American Society of
Anesthesiologists Annual Meeting,
San Francisco, CA
Invited Speaker New York School of
Regional Anesthesia Annual Meeting,
New York, NY
Invited Speaker, Research Conference,
University of Toronto, Toronto Western
Hospital, Toronto, Canada
Invited Speaker, University of Toronto,
Sunnybrook Health Sciences Centre,
Toronto, Canada
Moderator, American Society of
Anesthesiologists Meeting, San
Francisco, CA
Visiting Professor, Anesthesiology Grand
Rounds, Stanford University, Palo Alto, CA
Visiting Professor, Grand Rounds,
University of Michigan, Ann Arbor, MI
Michael Nurok, MB ChB, PhD
Invited Speaker, American Society of
Anesthesiologists 2013 Annual
Meeting, San Francisco, CA
Invited Speaker, Post Graduate Assembly
in Anesthesiology, New York, NY
Moderator, American Society of
Anesthesiologists 2013 Annual
Meeting, San Francisco, CA
Cephas P. Swamidoss, MD, MPH
Cornell Anesthesiology Residents’
Teacher of the Year Award
HSS Fellows’ Teacher of the Year Award
Michael Urban, MD, PhD
Invited Speaker, American Society of
Anesthesiologists Annual Meeting,
San Francisco, CA
William F. Urmey, MD
Invited Speaker, American Society of
Regional Anesthesia Annual Meeting,
Boston, MA
Seth A. Waldman, MD
Tri-Institutional Fellows’ Teacher of the
Year Award
Jacques T. Ya Deau, MD, PhD
Invited Speaker, American Society of
Anesthesiologists Annual Meeting,
San Francisco, CA
Invited Speaker, American Society of
Regional Anesthesia Annual Meeting,
Boston, MA
LEADERSHIP POSITIONS AND
APPOINTMENTS
James D. Beckman, MD
Instructor, Anatomy Course, NewYork-
Presbyterian Hospital, New York, NY
Jonathan C. Beathe, MD
Member, ASA Advisory Council
Douglas S. T. Green, MD
Instructor, Bio-Ethics Course, NewYork Presbyterian Hospital, New York, NY
Carrie R. Guheen, MD
Instructor, Anatomy Course, NewYork Presbyterian Hospital, New York, NY
Instructor, Block Workshop, American
Society of Regional Anesthesia
Annual Meeting, Boston, MA
Instructor, Residents’ Regional Anesthesia
Workshop, American Society of
Anesthesiologists Annual Meeting,
San Francisco, CA
Semih Gungor, MD
International Advisory Board, Journal
of the Society of Anesthesiology and
Reanimation Specialists Society of
Turkey
Stephen C. Haskins, MD
Instructor, Residents’ Regional Anesthesia
Workshop, American Society of
Anesthesiologists Annual Meeting,
San Francisco, CA
Richard L. Kahn, MD
Instructor, Anatomy Course, NewYork Presbyterian Hospital, New York, NY
David L. Lee, MD
Member, Medical School Admissions
Committee, Weill Cornell Medical
College
Instructor, Anatomy Course, NewYork Presbyterian Hospital, New York, NY
Daniel B. Maalouf, MD, MPH
Instructor, Block Workshop and Ask
department of anesthesiology 2013 Annual Report
15
notable
achievements
the Expert Interactive Demonstration,
American Society of Regional
Anesthesia Annual Meeting, Boston, MA
Swetha R. Pakala, MD
Member, Health Volunteers Overseas
Anesthesia Steering Committee
Stavros G. Memtsoudis, MD, PhD
Chair, Membership Committee, Society for
Anesthesia and Sleep Medicine
Member, Committee on Critical Care
Medicine, New York State Society of
Anesthesiologists
Member, Committee on Database
Research, American Society of
Anesthesiologists
Member, Committee on Research,
American Society of Regional
Anesthesia
Member, Research Committee, Society of
Anesthesia and Sleep Medicine
Member, Scientific Review Committee,
Society for Critical Care Medicine
Member, Scientific Update Committee,
Society for Anesthesia and Sleep
Medicine
Lauren H. Turteltaub, MD
Instructor, Anatomy Course, NewYork Presbyterian Hospital, New York, NY
Jeffrey Y.F. Ngeow, MD
Director At Large, New York Society of
Interventional Pain Physicians
Member, Pain Committee, New York State
Society of Anesthesiologists
Honorary Member, Chinese American
Society of Anesthesiologists
Michael Nurok, MB ChB, PhD
Member, Ethics Committee, American
Society of Anesthesiologists
Member, Quality & Safety Committee,
Society of Critical Care Medicine
Member, Anesthesiology Advisory Board,
Society of Critical Care Medicine
Visiting Professor, Grand Rounds,
Department of Anesthesiology,
Brigham and Women’s Hospital,
Harvard Medical School, Boston, MA
Visiting Professor, Grand Rounds,
Department of Anesthesiology, Cedars
Sinai Medical Center, Los Angeles, CA
AWARDS SPOTLIGHT
William F. Urmey, MD
Board of Directors, American Society of
Regional Anesthesia and Pain
Medicine
Chair, Distinguished Service Award
Committee, American Society of
Regional Anesthesia and Pain
Medicine
Seth A. Waldman, MD
Secretary, New York State Society of
Interventional Pain Physicians
Jacques T. Ya Deau, MD, PhD
Instructor, Ultrasound and Simulation
Workshop and Ask the Expert
Interactive Demonstration, American
Society of Regional Anesthesia
Annual Meeting, Boston, MA
MEDIA
Stavros G. Memtsoudis, MD, PhD
Interview “Perioperative Outcomes
in Patients having Major Orthopedic
Surgery”, New York School of
Regional Anesthesia On-Line
Newsletter, September 2013
William F. Urmey, MD
Featured VIP Lecture Video “The Benefits
and Current Limitations of Traditional
Catheter-through-Needle Continuous
Nerve Blocks”, Blockjocks VIP OnLine Newsletter, Issue1, July 16th,
2013
Kethy M. Jules-Elysee, MD
Editorial Board, HSS Journal
Gregory A. Liguori, MD
Editor, Anesthesia and Analgesia
Associate Editor, Regional Anesthesia and
Pain Medicine
Daniel B. Maalouf, MD, MPH
Scientific Reviewer, Journal of Clinical
Anesthesiology
Stavros G. Memtsoudis, MD, PhD
Guest Editor, Clinical Orthopedics and
Related Research
Scientific Reviewer, Anesthesiology
Scientific Reviewer, Anesthesia and
Analgesia
Scientific Reviewer, Annals of Internal
Medicine
Scientific Reviewer, Annals of Thoracic
Surgery
Scientific Reviewer, Chest
Scientific Reviewer, Cleveland Clinic
Journal of Medicine
Scientific Reviewer, Clinical Anatomy
Scientific Reviewer, Critical Care
Scientific Reviewer, HSS Journal
Scientific Reviewer, Journal of the
American Medical Association
Scientific Reviewer, Journal of Clinical
Epidemiology
Scientific Reviewer, Journal of Clinical
Orthopedics and Related Research
Scientific Reviewer, Journal of Thoracic
and Cardiovascular Surgery
Scientific Reviewer, Regional Anesthesia
and Pain Medicine TEACHERS OF THE YEAR
Cephas Swamidoss, MD, was chosen as
the 2013 HSS Teacher of the Year by the
anesthesiology residents of Weill Cornell
Medical College and was also awarded Teacher
of the Year by the Anesthesiology Department’s
graduating fellows. This is the first time a
physician has won both awards in the same year.
16
EDITORIAL APPOINTMENTS
Jonathan C. Beathe, MD
Scientific Reviewer, Journal of Clinical
Anesthesiology
Scientific Reviewer, Journal of Clinical
Orthopedics and Related Research
Seth Waldman, MD, received the 2013 Teacher
of the Year Award from the Tri-Institutional
Pain Fellows, who rotated between Memorial
Sloan-Kettering, NewYork-Presbyterian Hospital
and HSS.
notable
achievements
Michael Nurok, MB ChB, PhD
Scientific Reviewer, Clinical Orthopaedics
and Related Research
Scientific Reviewer, Critical Care
Scientific Reviewer, Critical Care Medicine
Scientific Reviewer, Journal of Critical Care
Scientific Reviewer, Current Opinion in
Anesthesiology
Scientific Reviewer, Anthropology &
Medicine
Scientific Reviewer, Millbank Quarterly
Scientific Reviewer, Social Science and
Medicine
Scientific Reviewer, Sociology of Health
and Illness
William F. Urmey, MD
Scientific Reviewer, Anesthesiology
Scientific Reviewer, Regional Anesthesia &
Pain Medicine
Seth A. Waldman, MD
Scientific Reviewer, The Medical Letter
Jacques T. Ya Deau, MD, PhD
Associate Editor, Regional Anesthesia and
Pain Medicine
Editorial Board, HSS Journal
Scientific Reviewer, Anesthesia and
Analgesia
2013 SELECTED PUBLICATIONS
Original Articles
Bjerke-Kroll BT, Christ AB, McLawhorn
AS, Sculco PK, Jules-Elysée KM,
Sculco TP. Periprosthetic Joint Infections
Treated with Two-Stage Revision over
14years: An Evolving Microbiology Profile.
J Arthroplasty. 2013 Oct 4. [Epub ahead
of print]
Blanco JS, Perlman SL, Cha
HS, DelPizzo K. Multimodal pain
management after spinal surgery
for adolescent idiopathic scoliosis.
Orthopedics. 2013 Feb;36(2 Suppl):33-5.
Bombardieri AM, Memtsoudis SG,
Go G, Ma Y, Sculco TP, Sharrock
NE. Pulmonary circulatory changes
after bilateral total knee arthroplasty
under regional anaesthesia. J Clin Anes
2013;25:4-8.
Danninger T, Haskins S, Stundner O,
Ma Y, Nejim J, et al. (2013) The Effect
of Incremental Airway Resistance on
Cardiac Performance and Pulmonary
Pressure in Spontaneously Breathing
Volunteers. J Anesth Clin Res Oct 2013,
4:360.
Gesell MW, González Della Valle A,
Bartolomé García S, Memtsoudis SG,
Ma Y, Haas SB, Salvati EA. Safety and
efficacy of multimodal thromboprophylaxis
following total knee arthroplasty: a
comparative study of preferential aspirin
vs. routine coumadin chemoprophylaxis. J
Arthroplasty. 2013 Apr;28(4):575-9. Epub
2012 Nov 8.
Jules-Elysee K, Reid SC, Kahn RL,
Harris S, Edmonds C, Urban MK.
Prolonged Diaphragm Dysfunction After
Interscalene Brachial Plexus Block
And Shoulder Surgery: A prospective
observational pilot study. Brit J Anesthesia
December 2013
Liguori EC, Hargett MJ, Liguori GA.
Thomas Linwood Bennett, MD: one of
New York City’s first prominent physician
anesthetists. Anesth Analg. 2013
Oct;117(4):1003-9. Epub 2013 Aug 19.
Memtsoudis SG, Besculides MC,
Mazumdar M. The perioperative sleep
apnea epidemic - A rude Awakening.
NEJM 2013; (368(25):2352-3.
Memtsoudis SG, Hargett M, Russell
LA, Parvizi J, Cats-Baril WL, Stundner
O, Sculco TP. For the Consensus
Conference on Bilateral Total Knee
Arthroplasty Group. Consensus Statement
from the Consensus Conference
on Bilateral Total Knee Arthroplasty
Group. Clin Orthop Relat Res. 2013
Aug;471(8):2649-57. Epub 2013 Apr 6.
Memtsoudis SG, Liu SS. Bilateral
total knee arthroplasties: a call for
practice guidelines. J Clin Anesth. 2013
May;25(3):171-2 Epub 2013 Mar 27
Memtsoudis SG, Mantilla CB, Parvizi
J, Stundner O, Mazumdar M. Have
Bilateral Total Knee Arthroplasties
Become Safer?: A Population-Based
Trend Analysis. Clin Orthop Relat Res.
2013;471:17-25.
Memtsoudis SG, Stundner O, Rasul R,
Sun X, Chiu YL, Fleischut P, Danninger
T, Mazumdar M. Sleep apnea and total
joint arthroplasty under various types of
anesthesia: a population-based study of
perioperative outcomes. Reg Anesth Pain
Med 2013 Jul-Aug;38(4):274-81.
Memtsoudis SG, Sun X, Chiu
YL, Stundner O, Liu S, Banerjee
S, Mazumdar M, Sharrock NE.
Perioperative Comparative Effectiveness
of Anesthetic Technique in Orthopedic
Patients. Anesthesiology 2013;
118(5):1046-58.
Memtsoudis SG, Stundner O, Sun
X, Chiu YL, Ma Y, Fleischut P, Kerr
GE, Girardi FP, Walz JM. Critical Care
in Patients Undergoing Lumbar Spine
Fusion: A Population-Based Study. J
Intensive Care Med. 2013 Jun 10. [Epub
ahead of print]
Memtsoudis SG, Stundner O, Yoo
D, Gonzalez Della A, Boettner F,
Bombardieri AM, Jules-Elysee K,
Poultsides P, Ma Y, Sculco TP. Does
Limb Preconditioning Reduce Pain After
Total Knee Arthroplasty? A Randomized,
Double-blind Study. Clin Orthop Relat Res.
2013 Jun 13. [Epub ahead of print]
Motaghedi R, Bae JJ, Memtsoudis SG,
Kim DH, Beathe JC, Paroli L, Yadeau
JT, Gordon MA, Maalouf DB, Lin Y, Ma
Y, Cunningham-Rundles S, Liu SS.
Association of Obesity With Inflammation
and Pain After Total Hip Arthroplasty. Clin
Orthop Relat Res. Epub 2013 Oct 5.
Nurok M, Sadovnikoff N. Why are we
doing this case? Can perioperative futile
care be defined? Curr Opin Anaesthesiol.
2013 Apr;26(2):176-81.
Poultsides LA, Ma Y, Della Valle A,
Chiu YL, Sculco TP, Memtsoudis SG.
In-hospital Surgical Site Infections after
Primary Hip and Knee Arthroplasty –
Incidence and Risk Factors. J Arthroplasty
2013;28:385-9.
Poultsides LA, Memtsoudis SG,
Vasilakakos T, Wanivenhaus F, Do
HT, Finerty E, Alexiades M, Sculco TP.
Infection Following Simultaneous Bilateral
Total Knee Arthroplasty. J Arthroplasty.
2013 Sep;28(8 Suppl):92-5. Epub 2013
Aug 9.
Pumberger M, Memtsoudis SG,
Stundner O, Herzog R, Boettner
F, Gausden E, Hughes AP. An
Analysis of the Safety of Epidural and
Spinal Neuraxial Anesthesia in More
Than 100,000 Consecutive Major
Lower Extremity Joint Replacements.
Reg Anesth Pain Med. 2013 NovDec;38(6):515-9.
Rasouli MR, Maltenfort MG, Ross D,
Hozack WJ, Memtsoudis SG, Parvizi
J. Perioperative morbidity and mortality
following bilateral total hip arthroplasty. J
Arthroplasty. Epub 2013 May 9.
department of anesthesiology 2013 Annual Report
17
notable
achievements
Stundner O, Chiu YL, Sun X,
Mazumdar M, Fleischut P, Poultsides
L, Gerner P, Fritsch G, Memtsoudis
SG. Comparative perioperative outcomes
associated with neuraxial versus general
anesthesia for simultaneous bilateral total
knee arthroplasty. Reg Anesth Pain Med
2012;37:638-44.
Abstracts and Presentations
Danninger T, DiLallo M, Dehipawala
S, Sharrock NE, Memtsoudis SG.
Postoperative Dizziness and Arterial Tone
in Patients undergoing THA. Society
of Critical Care Anesthesiologists, San
Francisco, October 8-9, 2013. Best
abstract selection, ASA 2013
Stundner O, Danninger T, Memtsoudis
SG. Hemodynamic Response to Dynamic
Changes in Upper Airway Impedance - a
Volunteer Study. J Anesthe Clinic Res.
2013; 4:317.
Danninger T, Dillalo M, Dehiwapala S,
Slacek T, Sharrock NE, Memtsoudis
SG. Postoperative Dizziness and Arterial
Tone in Patients undergoing TJA. Post
Graduate Assembly 2013. New York, NY.
December 13-17, 2013.
Stundner O, Danninger T, Memtsoudis
SG. Regional anesthesia in patients with
significant comorbid disease. Minerva
Anestesiol. 2013 Nov;79(11):1281-90.
Epub 2013 Jun 10
Stundner O, Danninger, T, Chiu YL,
Sun X, Goodman SM, Russell LA,
Figgie M, Mazumdar M, Memtsoudis
SG. Rheumatoid Arthritis versus
Osteoarthritis in Patients Receiving
Total Knee Arthroplasty: Perioperative
Outcomes. J Arthroplasty. 2013 Jun 11.
[Epub ahead of print]
Stundner O, Kirksey M, Chiu YL,
Mazumdar M, Poultsides L, Gerner
P, Memtsoudis SG. Demographics and
Perioperative Outcome in Patients with
Depression and Anxiety Undergoing Total
Joint Arthroplasty: A Population-Based
Study. Psychosomatics. 2013 MarApr;54(2):149-57. Epub 2012 Nov 27.
Stundner O, Rasul R, Chiu YL, Sun X,
Mazumdar M, Brummett CM, Ortmaier
R, Memtsoudis SG. Peripheral Nerve
Blocks in Shoulder Arthroplasty: How Do
They Influence Complications and Length
of Stay? Clin Orthop Relat Res. 2013 Oct
29. [Epub ahead of print]
Vulcano E, Memtsoudis SG, Gonzalez
Della Valle A. Bilateral total knee
arthroplasty guidelines: are we there yet?
J Knee Surg. 2013 Aug;26(4):273-9.
Epub 2013 Jan 2.
Yadeau JT, Goytizolo EA, Padgett
DE, Liu SS, Mayman DJ, Ranawat AS,
Rade MC, Westrich GH. Analgesia after
total knee replacement: local infiltration
versus epidural combined with a femoral
nerve blockade: a prospective, randomized
pragmatic trial. Bone Joint J. 2013
May;95-B(5):629-35.
18
Danninger T, Rasul R, Poeran
J, Stundner O, Mazumdar M,
Memtsoudis SG. Blood transfusions in
THA and TKA: An Analysis of Outcomes.
Society of Critical Care Anesthesiologists,
San Francisco, October 8-9, 2013.
Danninger T, Stundner O, Yoo D, Kao
I, Walz JM, Memtsoudis SG. The Effect
of Postoperative Blood Transfusions
on Muscle Tissue Oxygenation. Society
of Critical Care Anesthesiologists, San
Francisco, October 8-9, 2013.
Danninger T, Stundner O, Rasul R,
Poeran J, Mazumdar M, Fleischut PM,
Memtsoudis SG. Blood transfusions
in Total Hip and Knee Arthroplasty: An
Analysis of Outcomes. American Society
of Anesthesiologists, San Francisco,
October 10-15, 2013.
Danninger T, Stundner O, Rasul R, Sun
X, Chiu YL, Fleischut P, Mazumdar M,
Memtsoudis SG. Choice of anesthesia
type and perioperative outcomes in
patients with sleep apnea undergoing
total joint arthroplasty: a population-based
study. American Society of Regional
Anesthesia and Pain Medicine Meeting,
Boston, May 2-5, 2013. Best abstract
award, ASRA 2013
Danninger T, Stundner O, Yoo D, Kao
I, Walz JM, Memtsoudis SG. The Effect
of Postoperative Blood Transfusions on
Muscle Tissue Oxygenation. American
Society of Anesthesiologists, San
Francisco, October 10-15, 2013.
Fleischut PM, Gaber-Baylis L, Faggiani
SL, Mazumdar M, Memtsoudis
SG. Practice Patterns for Ambulatory
Meniscectomies: An Analysis of Data
From the Anesthesia Quality Institute.
American Society of Anesthesiologists,
San Francisco, October 10-15, 2013.
Fleischut PM, Gaber-Baylis L, Faggiani
SL, Mazumdar M, Memtsoudis
SG. Practice Patterns in Total Knee
Arthroplasty. American Society of
Anesthesiologists, San Francisco, October
10-15, 2013.
Fleischut PM, Vaz, AM, Eskreis-Winkler
JM, Lazar AN, Madhu Mazumdar M,
Memtsoudis SG. The Burden of Obesity
on Perioperative Resource Utilization.
American Society of Anesthesiologists,
San Francisco, October 10-15, 2013.
Fleischut, PM, Vaz, AM, Faggiani
SL, Christian P. Tope CP, Mazumdar
M, Memtsoudis SG. The Impact of
Real-Time Automated Error Detection
and Notification on Anesthesia Record
Documentation of Relief Time. American
Society of Anesthesiologists, San
Francisco, October 10-15, 2013.
Fleishut PM, Faggiani S, Tope
C, Mazumdar M, Danninger T,
Memstoudis SG. The Impact of RealTime Automated Paging and E-mail
Notifications on Anesthesia Record
Documentation. Euroanesthesia Congress,
May 31- June 4, 2013, Barcelona, Spain
Gerner P, Danninger T, Stundner O,
Rasul R, Memtsoudis SG. Sleep apnea
is a risk factor for inpatient falls after joint
arthroplasty. Society of Anesthesia and
Sleep Medicine, San Francisco, October
7-9, 2013.
Jules-Elysée, K; Sculco, T; Beathe, J,
YaDeau, JT; Buschiazzo, V; McLawhorn,
A; Purdue, E; Ma, Y. Effects of Steroids
on Thrombogenic Markers in Patients
Undergoing Unilateral Total Knee Surgery.
American Society of Regional Anesthesia
and Pain Medicine Meeting, Boston, May
2-5, 2013.
Kao I, Danninger T, Stundner O,
Rasul R, Chiu YL, Sun X, Fleischut
PM, Brummett C, Mazumdar M,
Memtsoudis SG. Addition of Peripheral
Nerve Blockade to General Anesthesia
for Total Shoulder Arthroplasty - Do
perioperative outcomes differ? American
Society of Regional Anesthesia and Pain
Medicine Meeting, Boston, May 2-5, 2013.
Kirksey M, Yoo D, Stundner O,
Danninger T, Memtsoudis SG.
Diminished sleep efficiency after total
knee replacement surgery may be
ameliorated by perioperative melatonin:
a double-blind placebo controlled study.
Society of Anesthesia and Sleep Medicine,
notable
achievements
“On every occasion when Dr. Goytizolo has been my anesthesiologist, he
has been ideal in every way. He listens, he acts, he advocates, he consoles, he
responds, he communicates. In short, he uses his skills, intelligence and humanity
to produce the best possible outcome for his patient. After my most recent
surgery, I awoke in PACU completely pain-free. For that and for all the other
things Dr. Goytizolo has done for me that are intangible and difficult to express,
I am deeply grateful and appreciative.” —Excerpt from a 2013 patient letter
San Francisco, October 7-9, 2013.
Lazar AN, Lazar CM, Gaber-Baylis
L, Faggiani SL, Giambrone GP,
Mazumdar M, Memtsoudis SG,
Fleischut PM. National Practice Patterns
in Anesthetic care for the treatment of hip
fractures. NYSORA 2013, New York, NY,
September 21, 2013.
Littlejohn JE, Gaber-Baylis L,
Mazumdar M, Memtsoudis SG,
Fleischut PM. Practice Patterns for
Cesarean Sections: An Analysis of Data
From the Anesthesia Quality Institute.
American Society of Anesthesiologists,
San Francisco, October 10-15, 2013.
Memtsoudis SG, Danninger T,
Stundner O, Rasul R, Suzuki S, Poeran
J, Mariano ER, Mazumdar M. Inpatient
falls after THA – the role of anesthesia
type and peripheral nerve blocks.
American Society of Anesthesiologists,
San Francisco, October 10-15, 2013.
Memtsoudis SG, Poultsides L,
Stundner O, Do H, Figgie M, Sculco
TP. The Impact of Selection Criteria
for Bilateral Knee Arthroplasties on
Perioperative Outcomes. American
Society of Regional Anesthesia and Pain
Medicine Meeting, Boston, May 2-5, 2013.
Memtsoudis SG, Stundner O,
Danninger T, Ma Y, Bae J, Yoo D, Kao
I, Maalouf D, Gonzalez Della Valle A,
Sculco TP, Heard SO, Walz JM. The
impact of neuraxial anesthesia on distal
and proximal tissue perfusion - a pilot
study. American Society of Regional
Anesthesia and Pain Medicine Meeting,
Boston, May 2-5, 2013.
Memtsoudis SG, Stundner O,
Mazumdar M, Gonzalez Della Valle
A, Poultsides L, Sculco TP. The
Perioperative Management of Bilateral
Total Knee Arthroplasty Patients: The
Results of the Consensus Conference on
Bilateral Total Knee Arthroplasty Group.
American Society of Regional Anesthesia
and Pain Medicine Meeting, Boston, May
2-5, 2013.
Kahn RL, Bae JJ, Ya Deau JT, Muller JG,
Gonzalez J, Liguori GA, MacGillivray
JD, Rose HA, Riley JW, Curren J, Chen
E, Fields K. Mepivacaine and fentanyl
for spinal anesthesia: a double blinded
randomized dose-response trial. American
Society of Regional Anesthesia and Pain
Medicine Meeting, Boston, May 2-5, 2013.
Stundner O, Danninger T, Ma Y,
Bae J, Yoo D, Maalouf D, Gonzalez
Della Valle A, Sculco TP, Walz JM,
Memtsoudis SG. Neuraxial Anesthesia
in Patients Undergoing Total Knee
Arthroplasty: Comparison of Upper
and Lower Extremity Tissue Perfusion.
American Society of Anesthesiologists,
San Francisco, October 10-15, 2013.
Stundner O, Danninger T, Rasul R,
Mazumdar M, Gerner P, Memtsoudis
SG. Predictors of Hospital Admission
after Rotator Cuff Repair: The
Role of Peripheral Nerve Blockade.
Euroanesthesia Congress, May 31- June
4, 2013, Barcelona, Spain. Best poster
selection ESA 2013.
Suzuki S, Rasul R, Poeran J,
Danninger T, Wu C, Mazumdar M,
Vougioukas VV, Memtsoudis SG. Does
the impact of the type of anesthesia
on outcomes differ by patient age and
comorbidity burden? Post Graduate
Assembly 2013. New York, NY. December
13-17, 2013.
Urban MK, Wolfe SW, Sanghavi
NM, Magid SK. The One Year
Incidence of Postoperative Myocardial
Ischemia in Patients Undergoing Major
Orthopedic Surgery. American Society of
Anesthesiologists, San Francisco, October
10-15, 2013.
Urban MK, Labib KM, Reid SC,
Buschiazzo VL, Goon AK. Does
Pregabalin Improve Pain Management
After Posterior Spinal Fusions? American
Society of Anesthesiologists, San
Francisco, October 10-15, 2013.
Grants
Effect of Steroids Given Over 24
Hours on Cytokine Release, Urinary
Desmosine Level and Thrombogenic
Markers in Patients Undergoing
Unilateral Total Hip Replacement
(Thrombosis Hip)
Principal Investigator: Kethy JulesElysee, MD
IRB# 2012-008
Period: January 2013- December 2013
Randomized Controlled Trial of
Subanesthetic Intravenous Ketamine
Infusion in conjunction with
Continuous Epidural Infusion for
Treatment of Refractory CRPS
Principal Investigator: Daniel
Richman, MD
IRB# 2013-003
Period: August 1, 2013 – July 31, 2018
HSS Clinician Scientist Program
Award
Principal Investigator: Stavros G.
Memtsoudis, MD, PhD, FCCP
Period: July 2012- July 2017
department of anesthesiology 2013 Annual Report
19
staff
professional & administrative
Anesthesiologist-inChief and Director
Assistant Attending
Anesthesiologists
Gregory A. Liguori, MD
Jonathan C. Beathe, MD
Director, Training Programs
Attending
Anesthesiologists
James D. Beckman, MD
Stavros G. Memtsoudis,
MD, PhD
Medical Director, Critical
Care Services
Devan D. Bhagat, MD
Nigel E. Sharrock, MB ChB
Mary F. Chisholm, MD
Associate Attending
Anesthesiologists
Stephen N. Harris, MD
Jeffrey Y.F. Ngeow, MD
Michael Nurok, MB ChB, PhD
Medical Director, SDUOCSU
Cephas P. Swamidoss, MD,
MPH
Adam Booser, MD
Bradford E. Carson, MD
Kathryn DelPizzo, MD
Christopher A. DiMeo, MD
Medical Director, Clinical
Initiatives
Naomi Dong, MD
Chris R. Edmonds, MD
Sean Garvin, MD
Richard L. Kahn, MD
Medical Director, Ambulatory
Surgery
David H. Kim, MD
Richard S. King, MD
Meghan Kirksey, MD, PhD
Kanupriya Kumar, MD
Vincent R. LaSala, MD
Andrew C. Lee, MD
Medical Director,
Quality Assessment and
Performance Improvement
David L. Lee, MD
Medical Director, Education
Philip J. Wagner, MD
Director, Web
Seth A. Waldman, MD
Medical Director, Pain
Medicine
David Y. Wang, MD, MS,
MPH
Medical Director, Chronic
Pain Education
Elaine I. Yang, MD
Assistant Attending
Physicians
Christine Peterson, MD
Director, Inpatient Pain
Services
Vladimir N. Kramskiy, MD
Medical Director, Ambulatory
Recuperative Pain Medicine
Yi Lin, MD, PhD
Michael K. Urban, MD, PhD
Medical Director, PACU
Michael A. Gordon, MD
Medical Director, Acute and
Recuperative Pain Medicine
Services
William F. Urmey, MD
Enrique A. Goytizolo, MD
Jemiel A. Nejim, MD
Jacques T. Ya Deau, MD, PhD
Medical Director, Clinical
Research
Douglas S.T. Green, MD
Joseph A. Oxendine, MD
Thomas Caggiano, MD
Robert S. Griffin, MD, PhD
Director, Ambulatory Pain
Medicine
Swetha R. Pakala, MD
Tin Lun Chiu, MD
Leonardo Paroli, MD, PhD
Katherine Chuy, MD
Thomas J. Quinn, MD, MBA
Stephen Haskins, MD
Daniel I. Richman, MD
Christen-Jennifer Lee, MD
James J. Roch, MD
Sephalie Patel, MD
Lauren H. Turteltaub, MD
Assistant Director
Training Programs
Kevan Stanton, MD
Victor M. Zayas, MD,
Director
Pediatric Anesthesia
Carrie R. Guheen, MD
Semih Gungor, MD
Director, Chronic Pain
Research
Stephen C. Haskins, MD
Michael C. Ho, MD
20
Kethy M. Jules-Elysee, MD
Director, Pre-Anesthesia
Screening
Daniel B. Maalouf, MD, MPH
John G. Muller, MD
2012-2013 Fellows
in Regional
Anesthesiology and
Acute Pain Medicine
Guilherme Holck, MD
Suzuko Suzuki, MD
2013-2014 Fellows
in Regional
Anesthesiology and
Acute Pain Medicine
Elaine Hyatt, CRNA
LuFan Cai, MD
Dia Kennedy, CRNA
Stephanie Cheng, MD
Kaitlyn LaFerrara, CRNA
Caroline Dejean, MD
Sara Listokin, CRNA
Jacob Hedden, MD
Mary Maher, CRNA
Juliet Jackson, MD
Lisa Nigro, CRNA
Jordan Martin, MD
Sesle Olsen, CRNA
Timothy Miu, MD
Paul Scott, CRNA
Jesse Ng, MD
Wendy Smart-Lazare, CRNA
2013 Research Fellow
PACU-SDU-OSCU
Thomas Danninger, MD
Administration
Halsey Julien, CRNA
Claire Karlick, CRNA
Cheryl Conwell, DNP,
ANP-BC
Bobby Stack, MS
Senior Director
Kelly Culot, PA-C
Susan Cardamone, MBA
Associate Director
Michael Lichardi, PA-C
Ilene Bacine
Coordinator, Finance
Wesley Hicken, PA-C
Christy Loughlin, PA-C
Michele Mangini-Vendel,
DNP, ANCP-BC, CCRN
Alexandra Jacobs, RN,
BSN, MA
Dr. Richman
Deepa Maria Jose, RN, MS,
ANP, GNP
Eric Chen
Research Assistant
Jennifer Cheng, PhD
Research Assistant
Mary Kelly, RN, BC, ONC
Evening Nurse Coordinator
Jodie Curren, RN, BSN,
ACRN
Research Nurse
Diane Leistman, RN
Dr. Waldman
Sumudu Dehipawala
Research Assistant
Bingjing Liu
Administrative Assistant, Dr.
Wang
Natasha Desai
Research Assistant
Neiza Lugo
Registrar / Billing
Cyndi Ma
Secretary, Dr. Ngeow
Lilia Macias
Secretary, Dr. Richman
Andrea Martin, LPN
Dr. Gungor
Eileen Moynihan, RN, MA,
BSN, ONC
Marcus DiLallo
Research Assistant
Kaye Estioco, RN
Research Nurse
George Go
Senior Research Assistant
Amanda Goon
Senior Research Assistant
Lauren Mount, MD
Research Assistant
Heather Reel
Research Assistant
Olive Militar, PA-C
Susan Ngeow, CPA
Office Manager, Dr. Ngeow
Mario Nova, PA-C
Grace Parreno, NP
Latha Swamy, MS
Coordinator, Research
Alvin Joseph
QA/PI Assistant
Tabatha Poole, PA-C
Brian Phillips, MS, RN, FNP
Assistant Director, RPM
Daniel Yoo, MS
Senior Research Assistant
Sarah Kennedy, MS
QA/PI Supervisor
Geraldine Tomakin-Pilla, RN,
MA, ANP-BC
Sandra Simpson, LPN
Office Manager, Dr. Wang
Anesthesia Technicians
Mary J. Hargett
Administrative Director,
Education
Janey Quinn, PA-C
Mikhail Miller
IT Programmer
Kenneth Van Ora, PA-C
Evette Staff
Office Manager, Dr. Richman
Matthew Rosenberg
Manager, Finance
Pain Management
Elvi Taveras
Office Manager, Dr. Gungor
Ellen Segal
Staff Secretary
Pamela Shaw
Administrative Coordinator
Maureen Stanton, RN
Manager, QA/PI
Barbara Wukovits, RN
BSNC, Director, Pain
Services
Aris Azar, RN
Nancy Blissett, LPN
Dr. Kramskiy
Kaitlin Collins, MS, RN, ANP
Sheryl Stebel
Administrative Assistant to
Dr. Liguori
Marguerite Cox
Registrar
Nurse Anesthetists
Victoria Emem
Office Manager, Dr. Griffin
Donna Hasil, Chief CRNA
Elizabeth Caliwara, CRNA
Michael Finkenbine, CRNA
Donna Eckenrode, NP
Elizabeth Garden, Office
Manager, Dr. Kramskiy
Bonnie Urquhart
Pain Services Coordinator
and Office Manager, Dr.
Waldman
Sherrene Wan
Secretary, Dr. Ngeow
Junior Rigby
Chief Anesthesia Technician
Garrick Austin
Anesthesia Technician
Grell Barnes
Senior Technician
Raymond Daniel
Senior Technician
Raul Latchman
Anesthesia Technician
Research
Colin McKenzie
Anesthesia Technician
Carey Ford, CCRC
Manager, Research
Hector Pineda
Anesthesia Technician
James Bae, MS
Research Assistant
Valeria Buschiazzo
Administrative Research
Assistant
department of anesthesiology 2013 Annual Report
21
Department of Anesthesiology
Hospital for Special Surgery
535 East 70th Street
New York, NY 10021
www.hss.edu
The 2013 Annual Report of the Department of Anesthesiology is
produced by Hospital for Special Surgery's Department of Anesthesiology
and Education & Academic Affairs.
Managing Editor
Susan Cardamone, MBA
Editor
Bobby Stack, MS
Contributors
Mary Chisholm, MD
Carey Ford, CCRC
Mary J. Hargett, BS
Stephen Haskins, MD
Sarah Kennedy, MS
Michael Nurok, MBChB, PhD
Swetha Pakala, MD
Design
Christina Fisher, MFA
Photography
George Go
Brad Hess
About Hospital for Special Surgery
Founded in 1863, Hospital for Special Surgery (HSS) is a world leader in
orthopaedics, rheumatology and rehabilitation. HSS is nationally ranked
No. 1 in orthopaedics, No. 4 in rheumatology, and No. 5 in geriatrics
by U.S.News & World Report (2013-14), and is the first hospital in
New York State to receive Magnet Recognition for Excellence in
Nursing Service from the American Nurses Credentialing Center three
consecutive times. Located in New York City, HSS also serves patients
in the regional area with physician offices in Greenwich, Long Island,
and Queens, and serves Florida patients with an outpatient rehabilitation
office in South Florida. Patients choose to come to Hospital for Special
Surgery from across the United States and from around the world. HSS
has one of the lowest infection rates in the country. From 2008 to 2013,
HSS has been a recipient of the HealthGrades Joint Replacement
Excellence Award. HSS is a member of the NewYork-Presbyterian
Healthcare System and an affiliate of Weill Cornell Medical College and
as such all Hospital for Special Surgery medical staff are faculty of Weill
Cornell. The Hospital’s Research Division is internationally recognized
as a leader in the investigation of musculoskeletal and autoimmune
diseases. Hospital for Special Surgery is located in New York City and
online at www.hss.edu.
© 2014 Hospital for Special Sugery.
All rights reserved.