2007 to 2012

Transcription

2007 to 2012

Department of Anesthesiology Report
2007 to 2012
Photo by Mélanie Provencher
Dr. David Ewing
Dr. Philipp Mossdorf
TOH Anesthesia
CHEO Anesthesia Chief
Civic Campus Site Chief
Dr. Jean-Yves Dupuis
Dr. Robert MacNeil
University of Ottawa
TOH Anesthesia
Heart Institute Cardiac
Riverside Campus Site Chief
Anesthesia Chief Dr. Homer Yang
University of Ottawa Department of Anesthesia Chair,
TOH Department of Anesthesia Chief
Dr. Donald Miller
TOH Anesthesia General
Campus Site Chief
Table of Contents
ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CHAIR & CHIEF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
The Ottawa Hospital –Civic Campus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Malignant Hyperthermia Investigation Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
The Ottawa Hospital – General Campus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Hyperbaric Medicine Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
TOH Pain Clinic. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
The Ottawa Hospital- Riverside Campus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
University of Ottawa Heart Institute – Division of Cardiac Anesthesiology and Critical Care Medicine. . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Children’s Hospital of Eastern Ontario . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Department of Anesthesia Research Summary Contributors: Drs. Wilkes, Bould and Murto.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
TOH Research. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
CHEO Anesthesia Research. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..32
Annual Gary Johnson Anesthesiology Research Day . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Education Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Undergraduate Medical Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Anesthesia Simulation Postgraduate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Medical education. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
The ottawa hospital Fellowships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
CHEO Fellowships. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Cardiac Anesthesiology Fellowship. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Faculty Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Journal Club . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Annual Anesthesia Winterlude Symposium. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Global Anesthesia Activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Publications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Book Chapters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Awards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Historical Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
STAFF LISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Front cover photo: Dr. Caroline Tallmadge
an•es•the•sia : (an”es-the´zhah)
1. New Latin anaesthēsia, from Greek anaisthēsiā, insensibility :
an-, without; see a-1 + aisthēsis, feeling (from aisthanesthai, aisthē-,
to feel; see au- in Indo-European roots).
DEPARTMENT OF ANESTHESIOLOGY REPORT 2007 TO 2012
ACKNOWLEDGEMENTS
As in any large department, it takes a number
of people to make such a report possible.
We acknowledge the assistance of France
Greenwood at the General Campus office and Elaine
Stinson at the Civic Campus office for providing
details incorporated in these reports. Ms Julie
Ghatalia provided the statistics on undergraduate
teaching. Jennifer Borup provided information on
the activities at CHEO for which we are grateful.
Denise Wozny and Alison Conley, at the Department
of Anesthesia research office, provided tremendous
help on research funding details. We also thank
Angie Ross at the Heart Institute for her support.
Holly Videto provided information on the residency
and Family Practice Anesthesia.
Tara Fuller, Assistant to the Chair, has provided
tremendous support in facilitating and coordinating
all the documents to be available in time for editing
and proofreading.
Lynne McHardy, Department Manager, provided
copious detail, both historical and current, on all
aspects of the Department of Anesthesiology. She
also provided timely management and review on
every aspect of this project. This has allowed us to
present a very complete picture of who and where
we are.
The work of Jane Armstrong in editing the text for
flow and consistency of style has been essential
indeed. The artistic flair of Jayne Robertson has
made the report both visually appealing and
easy to read.
We are also grateful for the photographic talents of
Mélanie Provencher, Dr. Lucie Filteau, Dr. Caroline
Tallmadge and Diane Sheppard. The images they
have provided do justice to our dynamic and
multi-faceted department.
1
CHAIR AND CHIEF
Welcome to the
Department of
Anesthesiology 2012
Report, a summary of
2
our activities from
June 2007 to May 2012.
This is one of the largest departments of
anesthesiology in Canada, with over 100 faculty
members, more than 50 residents, about 20
fellows, and a number of valuable support staff,
including research and anesthesia assistants. The
department spans the CHEO, The Ottawa Hospital
(General Campus, Civic Campus and Riverside
Campus), and the Division of Cardiac Anesthesia
at the University of Ottawa Heart Institute (UOHI).
Incorporating the Montfort Hospital as the main
francophone campus for the University of Ottawa
School of Medicine is also under consideration. As
this report demonstrates, there is a strong sense
of coherence and collaboration among all pillars
of our department.
A key element of a successful department is its
ability to play an important role as a citizen in a
larger community. I believe our department has
participated fully as a citizen both in the university
and in the hospitals. I would also like to take this
opportunity to express our appreciation to the
Faculty of Medicine, The Ottawa Hospital, CHEO,
the Heart Institute, the CHEO Research Institute,
Dr. Homer Yang,
Anesthesia Chair and
TOH Anesthesia Chief
and the UOHI for their help and collaboration –
without which it would not have been possible to
achieve our objectives. This includes the support
from our nursing colleagues, administrative
decision-makers, and other colleagues in research
and in education outside of our department.
In the last five years, our department has achieved
significant advances in clinical care, education,
clinical research, quality and patient safety.
In clinical care, there have been tremendous
developments in acute (Dr. Penning) and chronic
pain management (Drs. DiRenna and Smyth), the
establishment of the hub-and-spoke model to
create an integrated care model, and in complex
palliative pain management.
Our program of echocardiography for noncardiac surgery (Dr. Fayad), the only one of its
kind in the country, also plays a leadership role
in offering a fellowship program. The unique
skillsets in perioperative hemodynamic monitoring
and in diagnosing unanticipated cardiovascular
abnormalities build on our already excellent
The University of Ottawa Surgical Skills and Simulation Center (uOSSC) is
an excellent example of collaboration between the University of Ottawa
and The Ottawa Hospital. It is the largest in Canada and third largest in
North America. With the collaboration of the Academy of Innovation in
Medical Education (AIME), our departmental research in education has
blossomed. Our simulation and education research places us among the
top departments, if not at the top, in innovation and productivity. The
credit, of course, must go to Drs. Naik, Bould, Boet and Hamstra for this
very successful endeavour.
A significant development in clinical care is recognizing the importance
of quality and patient safety, directly evolving from the “To Err is Human”
report by the Institute of Medicine. The Ottawa Hospital — through its
enterprise electronic medical records (vOACIS), Patient Safety Learning
System (PSLS), Surgical Information System (SIMS), National Surgical
Quality Improvement Program (NSQIP), and more recently, computerized
order and entry system (CPOE) – has provided the pillars of quality
improvement and patient safety. Our department has established the
Anesthesia Quality and Patient Safety Committee (Dr. Alan Baxter), a
multi-disciplinary coordinating committee to provide oversight on the
available data from these systems affecting perioperative care. “
One cannot improve what one cannot measure”; now we are actually able
to measure processes and outcomes. This is a significant advance in care.
We have a strong Post Graduate Medical Education (PGME) Program and
the core activity is strongly supported by all of our faculty. We are proud
to say we have passed the Royal College Accreditation with flying colors.
We have an excellent working relationship with family medicine in the
GP Anesthesia Program.
I am proud of our department and of its components, for they are truly
global villages within a bigger entity. Our accomplishments would not
have come about without the collaboration of those both inside and
outside the department, focusing on the welfare of our patients, and
caring for them as “our loved ones.”
intraoperative cardiac echocardiography program (Drs. Hynes,
Lambert, Sohmer and Dickie) and add to the multitude of indications
in non-cardiac surgery.
The department’s contributions to pharmacotherapeutics (Dr. Chaput)
and pain management (Drs. Penning and Smyth) in the Undergraduate
Medical Education (UGME) have been acknowledged by the Faculty of
Medicine, as evidenced by the awards and student feedback received.
We are also consistent contributors to the case-based learning tutorials at
the medical school.
3
4
Royal Connection: Dr. Yang’s office at the Civic Campus of The Ottawa
Hospital has a special connection to the Dutch royal family. In 1940,
after the occupation of the Netherlands by Nazi Germany, Princess
Juliana moved to Ottawa with her two young daughters. On January
19, 1943, she gave birth to a third child, Princess Margriet, at the
Ottawa Civic Hospital. The maternity ward was temporarily declared to
be “extraterritorial” by the Canadian government and therefore was
Photo: Mélanie Provencher
considered to be technically international territory. This ensured that
the newborn Princess would derive her citizenship from her mother
only, thus making her solely Dutch. The delivery room was on the third
floor and the mother of Princess Margriet convalesced in what is now
Dr. Yang’s office, where a wall plaque serves as a reminder of the room’s
historical significance. The Dutch royal family remembers Canada with a
yearly gift of tulips for Ottawa.
Princess Margariet Photo Credit : Source unknown.
CLINICAL DEPARTMENTS
The Ottawa
Hospital
Civic
Campus
Dr. David Ewing,
TOH Anesthesia Civic
Campus Site Chief
Any large Canadian teaching hospital will undergo
many changes over a five-year period, and the
Civic Campus has been no exception, with new
surgical programs, transfers of programs between
campuses, the implementation in 2011 of SIMS
computerized perioperative record keeping, as
well as staffing changes. I became the Anesthesia
Civic Campus Site Chief in May 2010, following
Dr. Michael Curran, who spent a productive four
and a half years in the position.
Staffing
Since 2008, there have been several new additions
to the Civic Campus staff. In 2009, we were joined
by Dr. Naveen Eipe, whose interests include Acute
Pain Management; Dr. Jordan Hudson, whose
interests include Perioperative Echocardiography
and Vascular and Thoracic Anesthesia; Dr. Viren
Naik, whose interests are in Simulation and Medical
Education; and Dr. Sanjiv Gupta, whose interest is
in Pharmacology. Dr. George Evans, whose interest
is in Chronic Pain, and Dr. Leo Jeyaraj, whose
interest is in Obstetrical Anesthesia, joined the
group in 2010. Dr. Greg Krolczyk, with an interest
in Neuroanesthesia, joined in 2011. In the summer
of 2012, Sukhjeewan (Cindy) Basran joined our
department. Dr. Basran has interests in Vascular,
Thoracic and Echo. In the fall of 2012 we expect to
be joined by Dr. Jelka Lujic, whose interests include
Neuroanesthesia.
New Programs
Another new program is echocardiography in
non-cardiac surgery. In the deployment of vascular
stents, echo studies of the great vessels now play
an integral role in supporting stent deployment,
not infrequently providing more information
than angiography. In addition, intraoperative
and postoperative echo studies have now
started playing a key role in managing complex
cardiovascular problems. Many case reports
have been published from these management
challenges.
The Bariatric Surgical Program, which started in
September 2009 with the use of two operating
rooms per week and four cases, has grown to four
operating rooms per week with 10 cases in order to
fulfill the Ministry of Health funding requirement of
450 cases a year.
5
The addition to The Ottawa Hospital in 2011 of a new neurosurgeon,
Dr. Amin Kassam, with expertise in skull-based surgery, has challenged
the operating room team with a whole new set of surgical and
neuromonitoring equipment and expertise. TOH is assisting Dr. Kassam
in attracting international patients and will be reconstructing one of the
operating rooms for his use in 2012-13.
Program Transfers
There has been a greater realignment of surgical volumes and services
within TOH. Thoracic surgery moved to the General Campus prior
to 2008. In 2010, major head and neck surgery was transferred to the
General, and major dental maxillofacial surgery and major urological
cancer surgery were transferred to the General in 2011. We may see
more consolidation of total joints in 2012 and a move by breast cancer
surgery to the General in 2013.
6
Photo: TOH
Renovations
Renovations of the operating rooms at the Civic Campus are scheduled
for the latter half of 2012 and into 2013.The plans call for four new
suites to be built in the old operating roo Two rooms will be used for
minimally invasive general surgery and vascular surgery. Three rooms will
be transformed into one neurosurgical suite to allow for intraoperative
CT scanning.
Non-Clinical Time
Thanks to the Alternate Funding Plan and the expansion of our Fellowship
Program, the need for non-clinical time for education (postgraduate
and undergraduate), research and administration has increased in
recent years. We now routinely have six to eight Fellows per year at
the Civic Campus, giving us the flexibility to juggle our non-clinical
commitments throughout the TOH and the University of Ottawa.
Out-of-Hospital Clinics
Since 2007, the Civic group has continued to work at out-of-hospital
clinics. As of mid-2012, the Civic group is providing anesthesia at five
private clinics, compared to two in 2007. We are also actively involved in
the new Out-of Hospital Inspection Program, which was created by the
College of Physicians and Surgeons of Ontario in 2010 to improve the
quality of these clinics.
Challenges Ahead
Going forward, our challenge will be to continue providing excellent
clinical and non-clinical activities at a time of shrinking health care
funding. We have added more on-call coverage for the weekends to
handle last-minute neurointervention and other procedures and to keep
the busy operating rooms running. The hospital hired efficiency experts
from Harvard University in 2011 to improve our backlogged operating
room emergency lists and improve our hospital bed shortage – while not
reducing service. Over time we will see if this strategy improves working
conditions and patient-care efficiency at TOH.
GENERAL
7
Malignant
8
Hyperthermia
Investigation
Unit
Dr. Kevin Nolan,
TOH Anesthesia Malignant
Hyperthermia Unit Director
The Malignant Hyperthermia (MH) Investigation Unit
at the Civic Campus of The Ottawa Hospital was
established in 1978 through the pioneering efforts
of Dr. Vivian Morton, an anesthetist at what was
then the Ottawa Civic Hospital. Following a clinical
experience with an MH crisis, she decided to visit
Dr. Beverly Britt’s MH unit in Toronto. There, Dr.
Morton acquired the skills to counsel and investigate
individuals thought to be susceptible to MH. Various
individual anesthetists have followed in her footsteps
as directors of this unit: Drs. Wayne Lambert, Charles
Cattran, Greg Allen, Gord Reid and Kevin Nolan.
Throughout, Mary Lou Crossan, our dedicated
lab technician/coordinator, helped keep us on a
steady course.
Over the years we have regularly answered phone
and written requests from individual patients and
the health care practitioners who care for them.
Although many of our contacts live in Ontario,
the unit serves patients from all over Canada and
receives email correspondence from a variety of
other countries. We have developed a substantial
family tree database of MH-susceptible families,
along with copies of related medical records. The
MH Unit is an active member and contributor to the
North American Malignant Hyperthermia Registry, an
extensive database of MH-susceptible individuals.
We regularly attend meetings sponsored by the
MH Association of the United States. We correspond
regularly with members of this group, Canadian
anesthesiologists interested in MH and MH
investigators in Europe and New Zealand. The MH
Unit in Ottawa has assisted in the development of
publications in peer-reviewed journals and poster
presentations at international meetings.
Under the leadership of Dr. Victor Neira, an
anesthesiologist at the Children’s Hospital of Eastern
Ontario (CHEO), we have taken part in educational
events involving the management of simulated
MH crises. The MH unit hosted an educational
conference in June 2011 in Ottawa for health
care workers, patients and families interested in
malignant hyperthermia. This event was sponsored
by the MH Association of the United States.
Dr Nolan has been invited to give MH-related presentations at:
TOH General OR nurses Wednesday morning
educational conference, April 2009.
Annual meeting of the Ontario PeriAnesthesia
Nurses Association, October 2009.
CHEO Anesthesia Grand Rounds, March 2010.
Winterlude Anesthesia Conference, Ottawa, February 2011.
TOH Civic OR nurses Wednesday morning
educational conference, February 2011.
MH educational conference, Ottawa, June 2011.
TOH Cardiac Anesthesia Grand Rounds, June 2011.
Currently, we are one of the two remaining MH investigation units in
Canada (the other being in Toronto), the centres in Winnipeg and Calgary
having closed. The MH unit continues to advise individuals who request
assistance and investigate patients for MH susceptibility. We are now
involved in selecting individuals for genetic assessment in collaboration
with genetic counsellors at CHEO, and in developing computer-based
access to our large database of MH individuals. Since November 2011,
due to funding issues, we have not performed muscle biopsy or caffeine
halothane contracture testing.
9
The Ottawa
Hospital
10
General
Campus
Clinical Activities – Operating Room
Clinical activities have grown steadily over the last
five years, and all 17 surgical suites of the General
Campus are used extensively. During the last fiscal
year (April 1, 2011, to March 31, 2012), there were
20,690 elective hours of surgery, representing 7,327
cases, and 6,584 hours of non-elective surgery,
representing 2,664 cases. In all, the General Campus
accounted for 27,274 hours of the 64,609 hours of
surgery time at TOH that year.
The surgical case mix at the General Campus
continues to evolve. Major orthopedics, excluding
spine surgery, and the bulk of surgical oncology
programs have now been consolidated to the
General Campus. During 2011-12, the breakdown
by services by hours used was: orthopedics 28.7%;
general surgery 19%; urology 15.7%; thoracic
surgery 9.1%; otolaryngology 7.3%; gynecologic
oncology 5.1%; ophthalmology 4.4%; and plastics
2.6%. A smaller number of OR hours are used by
dental surgery after the dental services program was
consolidated to the General Campus in 2011.
Dr. Donald Miller,
TOH Anesthesia
General Campus Site Chief
Drs. Calvin Thompson and Larry Byford co- lead the
thoracic anesthesia program, which also recognizes
Drs. Stéphane Moffett and Sylvain Gagné as
subspecialists in thoracic anesthesia. The regional
anesthesia program is led by Dr. Alan Lane. The
“regional group” of subspecialists consists of
Drs. Evans, McKenna and Costache.
Other sub-specialized programs at the General
Campus include the living-related transplant
program, which has a very high success rate for
living –related kidney transplantation. In addition,
the robotics-assisted surgery program was launched
in 2011. Current surgeries being performed with
the Da Vinci® robot include radical prostatectomy
and radical hysterectomy. In over 120 roboticsassisted procedures performed at TOH, there has
been very low associated morbidity and no related
mortality, while hospital stays are reduced to
overnight only. Dr. Calvin Thompson has served as
the anesthesia lead during the implementation of this
multidisciplinary program.
Anesthesia services to the specialties and
subspecialties are provided by 31 full-time and
part-time faculty from the General Campus, as well
as faculty from the Civic Campus, on a rotating basis.
General Campus Anesthesia Services – Birthing Unit
The General Campus division provides exemplary elective anesthesia
services on weekdays for elective cesarean deliveries and related surgical
procedures, a full consultation service and 24/7 services for labour
analgesia and emergency procedures for 3,300 to 3,500 deliveries a
year. Dr. Catherine Gallant is the lead of obstetrical anesthesia services.
The subspecialty group consists of 12 dedicated individuals with an
interest in obstetrical anesthesia who rotate through the birthing
unit on a regular basis.
The anesthesia department is involved in the care of close to 90% of
parturients in this hospital. Over the past three years, our cesarean
delivery rate has ranged from 28% to 30%. Our epidural rate is 55%.
Friday afternoons are now dedicated to an obstetrical anesthesia clinic
where we see high-risk patients with a variety of complex co-morbidities.
We work closely with the advanced practice nurse, Debra Kaye, and the
maternal fetal medicine group, along with other specialties, to devise
multidisciplinary plans for these mothers.
11
GENERAL
Photo: TOH
All members of the birthing unit team have worked hard to improve
patient safety by implementing all three portions of the surgical safety
checklist, with close to 100% compliance. The patient safety learning
system has been enthusiastically embraced and anesthesia is part of
an active quality assurance program that meets to review cases on a
monthly basis.
12
This year the anesthesia department was delighted to start a series
of academic lectures to the maternal fetal medicine fellows and we
look forward to continuing this on an annual basis. We continue to
contribute to undergraduate education by providing a lecture on
epidural analgesia to the second year medical students as part of their
reproductive learning block.
For resident education, in 2011 we purchased a dedicated ultrasound
machine for placement of labour epidurals. We are actively teaching
the residents to become experts in its use. We purchased a low fidelity
simulation mannequin for our newest residents to practise placement of
both epidurals and spinals.
We have upgraded our difficult airway cart by recently purchasing one
that is identical to that available in the main operating room, including
a new bronchoscope.
In 2011, Janet Sample became the clinical manager of the birthing
unit. We have worked together to improve communication between
nursing, obstetrics and anesthesia and look forward to continuing this in
the future.
Clinical Activities – Preoperative Assessment Unit (PAU)
There was a wonderful celebration in 2012 related to the opening of the
new Preoperative Assessment Unit on Level 2 of the South Tower of the
General Campus. The new, modern physical space offers unparalleled
work flow through a large waiting area, spacious consultation rooms,
offices and conference room adapted to patient evaluation and
documentation with the SIMS electric medical record. As the number
of elective cases increases, so do the number of patients in the PAU.
The General Campus PAU assessed 12,132 patients in the 2011-2012
fiscal year. Of those, there were 6,008 anesthesia assessments, 1,974
nursing assessments and 4,150 family physician visits. The total number
exceeds the elective OR volumes due to the number of chart reviews and
re-assessments.
Major changes coming to the PAU process include the implementation
of a patient-completed, pre-screening tool to help determine visit type,
11 surgical pre-printed pre-op order sets for surgeons, and a surgeoncompleted PAU checklist to improve communicationand completion of
required documentation, and to ensure all pre-op orders are completed.
The PAU model will also be standardized across all three campuses,
with the following visit types available, based on surgical procedure
and medical history: telephone nursing assessment, in-person nursing
assessment and anesthesia consult with nursing assessment.
In March 2012, the patient health history pre-screening tool was used in a
pilot by the PAU, Surgery and Nunavut teams, which successfully helped
to triage 12 successful joint patients to Ottawa for their knee surgery.
Barbara Crawford-Newton has played a major role in this project and will
continue to do so as the process becomes fully implemented .
it was announced that the ECT services at TOH would be consolidated
to the General Campus, with full implementation in late 2012.
Other initiatives include updating our fasting guidelines to promote oral
intake of fluids containing carbohydrates pre-op, establishing a smoking
cessation program with the help of Dr. Chris Pysyk, initiating standardized
bowel and skin prep protocols for patients prior to the day of surgery
with the assistance of the surgical division chiefs, and the revision of
the patient education booklets for the Preoperative Assessment Unit,
Surgical Day Care Unit, Same Day Admit Overnight Unit and Same Day
Admit Unit.
Anesthesia for Endoscopy: Anesthesia services for deep conscious
sedation and general anesthesia for endoscopy are provided on
Tuesday mornings.
Lastly, research to determine the usability and validity of the new tools
and processes is currently underway with the Ottawa Hospital Research
Institute and will continue into the next year. This will allow the clinical,
organizational and patient-specific outcomes of the PAU standardization
at TOH to be evaluated.
General Campus - Satellite Anesthesia Services Program
In addition to their many other supportive roles in the perioperative
setting, duly qualified anesthesia assistants have been instrumental
in the provision and expansion of satellite anesthesia services in the
following domains:
Electroconvulsive Therapy: Within the Mental Health Program,
electroconvulsive therapy (ECT) services are offered in the Post
Anesthesia Care Unit Monday, Wednesday and Friday mornings. In 2011,
Anesthesia for Brachytherapy: Brachytherapy services were consolidated
to a new unit built on the main floor of the General Campus in 2010.
Services for general anesthesia for complex brachytherapy afterloading
catheter insertions are provide on Mondays and Wednesday.
Anesthesia for Radiofrequency Ablations, MRIs and Cardioversions:
Anesthesia services for these procedures are provided on an
as-needed basis.
CARD
The Cardiac Arrest Roles Defined (CARD) study, which aims to improve
multidisciplinary operating room team crisis management, is currently
in its second phase. The study, run by Dr. Tania Di Renna, Dr. Simone
Crooks and Dr. Sylvain Boet, received TOHAMO funding this year
and has successfully trained over 140 multidisciplinary health care
professionals at the Civic and General Campuses on teamwork and crisis
management using simulation.
The goal of this initiative is to evaluate a novel cardiac arrest protocol,
which has been designed to eliminate the problems of role definition
and overcrowding during intraoperative cardiac arrests. The project
13
has also expanded to the OB and neonatal department with OB CARD
currently being developed. It is hoped that this collaborative effort
between neonatology, obstetrics and anesthesia will improve outcomes
in perinatal crisis management.
14
Other Departmental Activities
Since 2005, TOH General Campus Department of Anesthesiology has
been proud to serve as the home of the editorial office of the Canadian
Journal of Anesthesia, whose editor-in-chief is Dr. Donald R. Miller.
Among the benefits of hosting an editorial office “in-house” are ready
access for faculty members to pre-submission inquiries, educational
opportunities (within the CanMEDS Framework) in editorial peer review,
and the ability to offer editorial electives for senior residents in anesthesia.
The journal is owned by the Canadian Anesthesiologists’ Society and
published by Springer Science + Business Media LLC New York.
Journal content is driven by the mission statement: “Excellence in
research and knowledge translation related to the clinical practice of
anesthesia, pain management, perioperative medicine and critical care.”
Articles are received in either English or French, and those accepted for
publication appear in the language of submission. All articles are peer
reviewed and published articles appear both in print and online. The
publishing model is subscription-based, although authors are able to pay
a fee to retain copyright of individual articles for a fee, under the Creative
Commons Licence and the publisher’s Open Choice program.
The journal’s international exposure and reach continue to grow. In 2011,
749 articles were submitted by authors from 52 different countries. The
journal published 203 articles in 12 monthly issues (Can J Anesth 2011;
Volume 58) representing 1,326 editorial pages. These articles included
invited editorials, reports of original investigations (clinical and basic
sciences articles), case reports/case series, reviews, systematic reviews,
continuing professional development (CPD) modules and letters to
the editor.
In keeping with the mission statement, the content spanned the fields of
anesthesia, acute and chronic pain, perioperative medicine and critical
care. In addition, the journal published the Canadian Anesthesiologists’
Society Guidelines to the Practice of Anesthesia 2011 Edition. The
February 2012 issue was devoted to medical education, with substantial
input from Drs. S. Boet and V. Naik , experts in medical education at TOH
Department of Anesthesia. The one-year journal Impact Factor, which
is an independent measure of mean journal citation frequency, remains
stable. In 2009, it was 2.306, while in 2010 it was 2.18.
Hyperbaric
Medicine
Unit
The Ottawa Hospital’s Hyperbaric Medicine
Unit (HMU) is the only hospital-based
hyperbaric unit in Eastern Ontario.
The Ottawa Hospital’s Hyperbaric Medicine Unit
(HMU) is the only hospital-based hyperbaric unit
in Eastern Ontario. The Hyperbaric Medicine Unit
opened its doors in 1995 at TOH’s General Campus.
In 2007, the HMU expanded to two chambers to
meet the growing demands for treatment and
moved to a new space within the hospital. The HMU
employs a Perry Sigma II dual place system with a
locking chamber, as well as a Perry Sigma II/III dual
place chamber.
Hyperbaric oxygen therapy provided in TOH’s HMU
is covered under the Ontario Health Insurance Plan
for the following Undersea and Hyperbaric Medical
Society approved conditions:
• Air or gas embolism
Dr. Peter Duffy, TOH
Hyperbaric Unit Director
• Carbon monoxide poisoning and smoke
inhalation; carbon monoxide complicated
by cyanide poisoning
• Clostridial myositis and myonecrosis
(gas gangrene)
• Crush injury, compartment syndrome,
and other acute traumatic ischemias
• Decompression sickness
• Enhancement of healing in selected
problem wounds
• Exceptional blood loss (anemia)
• Necrotizing soft tissue infections
• Refractory osteomyelitis
• Delayed radiation injury (soft tissue
and bony necrosis)
• Compromised skin grafts and flaps
• Thermal burns
Most commonly seen are problem wounds related
to diabetes and peripheral vascular disease and
radiation injury. We see a combination of in-patients
and out-patients and accept outside referrals.
Patients are seen for consultation, transcutaneous
oximetry studies, HBO2 treatments, and follow-ups,
or some combination of these.
15
The team consists of a medical director, safety director, charge
respiratory therapist, seven rotating hyperbaric physicians (with
backgrounds in anesthesia and otolaryngology), 28 rotating hyperbaric
controllers and/or attendants (all of which are registered respiratory
therapists), and one secretary.
The Hyperbaric Medicine Unit’s Best Practice Committee includes the
entire team and is dedicated to advancing patient care, promoting
patient and employee safety, and enhancing communication. Among
other continuous quality improvement projects, regular learning
activities, safety drills and other emergency procedures are conducted to
ensure and maintain staff proficiency.
16
Photos: Mélanie Provencher
TOH
Pain Clinic
Dr. Tania DiRenna,
TOH Pain Clinic Director
The Ottawa Hospital Pain Clinic consolidated
to a single site within the Critical Care Wing
(Level I), near the General Campus Department
of Anesthesia administrative offices, in 2009.
The Pain Clinic is an impressive, modern facility
comprising a large waiting area and reception,
10 examination areas and a lead-lined fluoroscopy
suite with access to fluorosccopy service three days/
week. There are also physician’s offices, a conference
area and a small library.
The Pain Clinic is collaborating with an expanding
number of clinical services to create interdisciplinary clinics, including a Pelvic Pain Clinic
with gynecologist Dr. Sony Singh. We will also be
collaborating with the Department of Psychiatry to
create a joint clinic. In April 2012, the Pain Clinic
acquired the services of psychologist and researcher
Dr. Patricia Poulin. Dr. Poulin is extensively published
and is currently involved in many pain-related
research projects in the clinic.
The Pain Clinic continues to evolve under the
medical leadership of Dr. Tania DiRenna, who
assumed this role from Dr. Cathy Smyth in 2011.
Dr. Smyth was awarded a grant from The Ottawa
Hospital Academic Medical Organization (TOHAMO)
for the hub-and-spoke Pain Preceptorship Project,
which involves assessing and managing complex
pain patients with their family doctors in the
community setting. This project has many benefits,
including providing support for family practitioners
and building a network of family doctor resources.
The neuromodulation program is running well, with
support from the hospital for the implantation of
spinal cord stimulators and baclofen pumps. The
pain physicians are collaborating closely with the
Neurosurgery Division to help in the recruitment of
a neurosurgeon with subspecialty training in pain.
Chronic Pain Education Initiatives
Dr. Cathy Smyth collaborated with Dr. John Penning
to establish the University of Ottawa Medical
Undergraduate Pain Week curriculum that is offered
during the integration block. Chronic Pain physicians
are responsible for giving yearly lectures and running
case-based learning sessions.
17
Dr. Smyth is also a representative on the Royal College of Physicians
and Surgeons of Canada specialty committee responsible for creating
the Pain Medicine Residency Program, which is expected to be rolled
out in 2014. In addition, she serves as the vice-chair of the Academic
Pain Directors Committee (Canada).
Pain physicians are responsible for organizing and teaching at the
Family Medicine “Essentials of Chronic Pain” Continuing Medical
Education day.
The Pain Fellowship Program will be welcoming two new fellows for the
2012-2013 year. Dr. George Evans is the pain fellowship director and
in this role has developed a weekly education curriculum with didactic
teaching and interactive multidisciplinary rounds.
Pain Clinic Administration
The pain team is collaborating closely with The Ottawa Hospital
quality plan to improve pain control throughout the hospital. Initiatives
18
Photo: Dr. Caroline Tallmadge
include the creation of the Pain Education Series, which is a collection
of 10 modules created by Dr. Tania Di Renna and Susan Madden that
will be posted on TOH Infonet. Completion of the first three modules
will become mandatory for all nurses and residents. The pain team is
collaborating with the Department of Internal Medicine to give priority
to inpatient chronic pain consults.
Dr. Di Renna and Pain Clinic Manager Sean Gehring are creating a novel
approach to pain services triaging, which involves a web-based triaging
system for all TOH pain services.
19
Special patients/special procedures
Andrea Blakeley was a special patient of TOH Complex Cancer Pain
Clinic. Andrea has kindly allowed us to tell her story. We met her in
November 2011 when Gyne-Oncology asked for our assistance in
managing her pain from cervical cancer.
Over the next two months, we trialed several pharmaceutical
approaches, but Andrea’s pain grew worse as her cancer escalated.
Andrea was finally admitted to hospital to have an intraspinal catheter
implanted. Although her pain subsided, it still presented a challenge.
20
Ultimately, her pain was controlled during the last months of her life
through the use of a continuous intraspinal catheter (port-a-cath) infusing
lidocaine and morphine. Andrea was comfortable and able to spend
time with friends and family, watching hockey games and going out for
walks, until she peacefully passed away on April 25, 2012.
Andrea was accomplished in sports and in her career. At age 11, she
was the first girl to play on the Nepean Raiders minor hockey team.
She attended St. Lawrence University on a hockey scholarship and
was a Hall of Fame star. She had a thriving career as a lawyer and
Crown attorney. Andrea excelled at everything she took on, including
her battle with cancer.
She has left cherished memories with her partner, Janice Mulcock,
her parents Michael (OHI ECHO lab) and Christine Blakeley, and
her brothers, Mark and Andrew. The Pain Clinic staff and especially
our fellow, Dr. Mairi Chadwick, made a special friend caring for this
exceptional young person. —Dr. Catherine Smyth
Photo of Andrea provided by: Dr. Cathy Smyth
The
Ottawa
Hospital
Riverside Campus
Infrastructure
Over the last five years, the Riverside Campus
has continued to fulfil its role as an outpatient
facility. It operates five main operating rooms,
which processed 5,685 cases last year, and one
fluoroscopy-equipped cystoscopy room, able
to provide anesthesia on the main floor, which
handled a further 3,335 cases. There is also a
lithotripsy unit on the main floor, which operates
10 days a month (eight spots/day).
On the second floor remains the Eye Care Centre,
which has four operating room Two of these rooms
are exclusively allocated for cataract surgeries,
with one of the other two rooms hosting mostly
retinal cases. They operate under an Anesthesia
Care Team (ACT) model of one anaesthesiologist
with five anesthesia assistants. There were 9,300
cataract surgeries and 1,329 other ophthalmological
Dr. Robert MacNeil,
TOH Riverside Anesthesia
Site Chief
cases performed here last year. Preoperative
assessments and postoperative care are also
carried out in this unit.
Cardioversions on an elective basis continue to be
held on the occasional Tuesday morning. There
have been 18 cardioversions in the past year.
Staff
There are three anesthesia staff who work 1.6 FTEs
total exclusively for this campus. The remainder
of the anesthesia staff are assigned from the Civic
Campus anesthesia group, with the exception of
one daily assignment from the General Campus
anesthesia group. Information on their individual
and collective research and educational activities
can be found in the reports from those sites.
21
Highlights
Highlights over the past five years include:
• Integration of the computer record keeping – SIMS project;
• Walking Wounded Program, which is successfully coordinated by
Kerry Cook, Clinical Manager of the Operating Room, Pre-Admission
Unit (PAU), Surgical Day Care Unit (SDCU) and the Post-Anesthetic
Care Unit (PACU);
22
• Regional Block Program, providing local anesthesia infusions
for day care patients after discharge, with the support of
anesthesia assistants;
• Teleconferencing of the Wednesday morning educational
departmental rounds.
Dr. Robert McBurney had served as the most recent Anesthesia Site
Chief since the last report in June 2007 up until May 31st, 2010 when he
was succeeded by Dr. Robert MacNeil.
RIVERSIDE
Photo: TOH
UOHI Division
of Cardiac
Anesthesiology and
Critical Care Medicine
Dr. Jean-Yves Dupuis,
Heart Institute Cardiac
Anesthesia Chief
Infrastructure
The University of Ottawa Heart Institute (UOHI) has
undergone many changes in infrastructure over the
last five years that have affected the activities of
the Division of Cardiac Anesthesiology and Critical
Care Medicine. Two new operating rooms (ORs)
were added in late 2007 and the UOHI now runs
four operating rooms daily and on occasion, a fifth
OR for emergency cases. Other additions have
been a second electrophysiology (EP) laboratory
and a fourth cardiac catheterization laboratory in
2009. These facilities have allowed the development
of new cardiology and surgical programs, such
as transcatheter aortic valve implantation (TAVI),
minimally invasive coronary artery surgery and
complex electrohypsiological ablations (e.g.
ventricular tachycardia and atrial fibrillation). As
a result of those changes and new programs,
anesthesia service requirements have increased
by 15% in the Cardiac Surgical Intensive Care Unit
(CSICU), 50% in the EP/catheterization laboratories
and 20% in the pre-admission unit. To meet the
increased demand for anesthesia and critical care
services, the division increased its manpower from
11 to 13 consultants during the last five years and a
fourteenth consultant will soon be added.
In August 2011, the UOHI received approval from the
provincial government to proceed with the planning
and construction of a new facility and the renovation
of existing facilities to house the life support
services. Planning is underway and it is hoped that
construction will start over the next five years and
will be completed within 10 years. At that point, the
UOHI will have six cardiac surgical operating rooms,
six cardiology catheterization laboratories, three
electrophysiology laboratories and 27 CSICU beds.
Clinical Performance
While the number of cardiac surgical cases has
not increased much, patient comorbidity, surgical
complexity and duration are significantly greater
than a decade ago. For example, the number of
octogenarians undergoing cardiac surgery has
increased from 5.1% to 10.6% over the last 10
years. Interestingly, the mortality in those patients
has decreased from 8.9% to 6.7%. In fact, the
overall cardiac surgical mortality decreased from
3.4% to 3% during the same time period. These
results are undoubtedly the result of better surgical
technique in association with better anesthesia
and postoperative care. The quality of cardiac
surgical care at the UOHI was highlighted in a
2009 Fraser Institute report comparing the results
of coronary artery surgery between Ontario and
American hospitals (Walker M, Hazel M, Esmail N.
A comparative analysis of mortality rates associated
with coronary artery bypass graft (CABG) surgery
in Ontario and select US States. Studies in Health
Policy. Fraser Institute. February 2009). The surgical
23
results at the UOHI were the best in Ontario and the only ones in the
province that matched the best American centres. The Division of
Cardiac Anesthesiology and Critical Care Medicine takes great pride
in its role in this excellent clinical performance.
24
Other Highlights
In November 2011, Dr. James Robblee stepped down after 15 years
as Division Chief and was replaced by Dr. Jean-Yves Dupuis. In the
history of the UOHI, only Dr. Wilbert Keon (Division of Cardiac Surgery)
and Dr. Donald Beanlands (Division of Cardiology) served longer in
a Division Chief function. Dr. Robblee significantly contributed to the
development of the Division of Cardiac Anesthesiology and Critical
Care Medicine. He also took part in preparing many projects at the
UOHI, ensuring the Division was involved in every major development.
New Programs and Initiatives
• Perioperative TEE
• Three-dimension (3D) echocardiography in all cardiac
operating rooms
• Continuous medical education: local, national and international
• Quality assurance: periodic review by Dr. Hynes of randomly
selected TEE exams performed by Division members and fellows
• Research on 3D TEE for evaluation of valve repair
CSICU
• Ultrasound for invasive procedures: central line and chest
tube insertion
• Local and Multicentre Critical Care Research
• Monitoring and reporting of patient physiological score
Clinical Programs • Transcatheter aortic valve implantation (femoral and transapical)
• Surgical aortic valve repair
• Percutaneous mitral valve repair (MitraClip)
Areas of Clinical Activity
• Cardiac Surgical Suite (4 regular operating rooms and 1 emergency
operating room)
• Electrophysiology (EP) laboratories (2 EP rooms and 1 general
procedure room)
• Cardiology Catheterism Laboratory (3 laboratories)
• Cardiac Surgical Intensive Care Unit Activity (19 beds)
• Pre-admission Unit
• Percutaneous ablation of ventricular tachycardia
• Implantation of Impella ventricular assist device
25
Weighted Case Volume
Table 1. Cardiac Surgical Case Load by Type by Year.
CASE TYPE
2007/2008
2008/2009
2009/2010
2010/2011
2011/2012
CABG (or OPCAB)
783
728
715
593
660
CABG & Valves or Complex
173
171
161
175
173
Valves Only
189
208
208
251
216
Other Open Heart
211
224
250
365
349
Heart Transplant
9
13
12
19
24
Artificial Hearts and VADs
3
8
6
8
11
Total
1367
1351
1352
1411
1433
Table 2. Critical Care Activity in Cardiac Surgical Intensive Care Unit (CSICU).
Year
2007/2008
2008/2009
2009/2010
2010/2011
2011/2012
Total Patient Days
4607
5180
5456
5525
5374
Beds
19
19
19
19
19
Table 3. Case load in the Electrophysphyiology and Catheterization Laboratories.
26
Year
2007/2008
2008/2009
2009/2010
2010/2011
2011/2012
Defibrillators
267
342
384
390
452
All ablations
287
338
449
523
505
Complex ablations
N/A
N/A
N/A
147
190
Percuatneous PFO/ASD closure
23
23
37
27
36
Table 4. Consultations in the Pre-Admission Unit
Year
2007/2008
2008/2009
2009/2010
2010/2011
2011/2012
Cardiac Surgery
651
567
544
581
490
Cardiology: EP/other
20
150
210
270
345
Total
671
717
754
851
835
Children’s
Hospital
of Eastern
Ontario
Clinical Activities
The Anesthesiology Department at the
Children’s Hospital of Ontario (CHEO) performs
about 8,500 surgical procedures and 9,500
anesthetic procedures a year. Consisting of
17 anesthesiologists, the team has grown by
almost one-third over the past five years to
match increased clinical demands and to enhance
academic activities.
CHEO has a pediatric cardiac surgery program and
provides surgical service in almost every specialty
except for transplant and very complex cardiac
surgery. CHEO anesthesia has also developed an
acute and chronic pain service and several other
clinical initiatives over the past five years.
CHEO’s anesthesiologists are sub-specialized
in pediatric anesthesia and are required to have
completed either a fellowship program or an
equivalent of training. Among our recruits in recent
years are two pediatric anesthesiologists with
substantial training in pediatric cardiac anesthesia
Dr. Philipp Mossdorf,
CHEO Anesthesia Chief
who have joined the cardiac program. One of the
recruited anesthesiologists has a keen interest in
pediatric pain management.
Currently, we provide three fellowship positions
funded by the Department of Anesthesia. Fellows
participate in all clinical activities.
While the number of anesthesia assistants in the
department has increased, we are hoping to add
one additional full-time equivalent to establish full
anesthesia assistant coverage.
Initiatives
A number of initiatives and processes have
been introduced in the last five years to improve
efficiency, quality and patient care:
Since the introduction of a new flexible block
schedule in September 2004, operating room
capacity has increased by 4% without budget or
resource adjustments. The increase in capacity is
used primarily to address wait time commitments.
27
28
A Team in Charge (TIC) has been in operation since September 2011.
Consisting of representatives from anesthesia, surgery and OR nursing,
the TIC is tasked with facilitating smooth clinical operations during the
day and has proven to be instrumental to the effective and efficient
operation of the OR.
With the introduction in 2009 of a standardized procedural sedation
outside the operating room environment, anesthesia assistants now
provide sedation to all children requiring it, with anesthesia staff backup. This provides consistent quality and expertise in pediatric sedation,
improving patient safety.
A full-time nurse practitioner specializing in pain was recruited and a
proposal for an addition RN has been submitted.
Blood transfusions in children pose particular challenges. Guidelines for
the management of massive transfusion in children have recently been
developed recently, led by anesthesia.
CHEO
Photo: CHEO
The assistance of anesthesia assistants (AA) is extremely important in
the safe conduct of pediatric anesthesia. The effort to provide sufficient
coverage by AAs is ongoing.
A team of nurses and physicians is collecting data as a basis to
improve the time needed between cases. As well, as of September
2011, start times in the OR have been measured and services held
accountable for delays.
To ensure data-driven decision-making, a new governance system has
been established in the past two years. The Perioperative Leadership
Team (PLT), with representation from anesthesia, surgery, nursing and
administrative staff as well as the Family Forum, ensures follow-up on
various projects, oversees quality assurance parameters, and keeps
staff informed.
Anesthesia is also involved in numerous corporate CHEO patient safety
initiatives. Since the Institute of Medicine Report “To Err is Human”
in 1999, there has been a notable change in focus on risk and risk
management in pediatric anesthesia: What once was considered an
acceptable risk may be completely unacceptable today. Anesthesia is
engaged in developing tools such as clinical guidelines, pathways and
pre-printed orders to improve the flow of operations and enhance safety
and the quality of care to our patients.
Since 2007, one parent has been allowed to stay with the child during the
induction of anesthesia. This project was awarded the CHEO Gold Ribbon
Award. Most importantly, the child and parent during a stressful period
are able to be together, a circumstance which is of benefit to both.
29
0
2007
2008
2009
2010
2011
2012
Publications
Department of Anesthesia
Research Summary
1600000
25
1400000
20
Number
1000000
15 Bould and Murto.
Contributors: Drs. Wilkes,
Anesthesia
Research
30
Year
25
20
1600000
40
1400000
35
1200000
30
1000000
15
800000
10
5
2007
2008
2009
2010
2011
2012
Year
Number
Number
“Nothing has such power
to broaden the mind as
the ability to investigate
systematically and truly
all that comes under
thy observation in life.” –
Marcus Aurelius
Dollars
TOH
800000
10
A renewed commitment to research across the University of Ottawa
Department of Anesthesiology has
0
resulted in unparalleled
engagement
of both2011
staff and
trainees alike. Increases in both the value of grants
2007
2008
2009
2010
2012
5
procured (Figure 1) and the number of publications in peer-reviewed journals (Figure 2) attest to the renewal
of research in the department. Only four months intoPublications
2012, we have met the number and dollar value of
2007
2008
2009
2010
2011
2012
grants awarded in 2011.
25
20
600000
15
400000
10
200000
5
0
0
2007
2008
2009
2010
2011
Year
The Department of Anesthesiology has long held excellence in education at the core of its mission;
it should
come as no surprise that learning has figured prominently in the revitalization our research.
40
35
Number
The addition of Drs. Viren Naik, Dylan Bould and Sylvain Boet to the University of Ottawa faculty has
30
accelerated research within our simulation in anesthesia group. The University of Ottawa Skills and
25
Simulation
Centre (uOSSC) and the Fellowship in Simulation and Medical Education are a focal point for
20
collaboration among our faculty. The uOSSC provides a platform for multidisciplinary projects that expand
15
traditional
anesthesia strengths in crisis resource management and high-fidelity simulation to colleagues
10
in medicine, surgery and obstetrics. Results of this collaboration can be seen in the wide variety of topics
5
represented
in grants and publications from the education/simulation group.
Dr. Gregory Bryson,
TOH Anesthesia
Research Director
0
2007
2008
2009
Year
2010
2011
2012
2012
600000
400000
200000
0
Dollars
1200000
Both faculty and trainees have expressed a desire to advance their
skills and are seeking postgraduate degrees to advance their research
interests. Faculty members Drs. Amy Fraser and Ben Sohmer are
completing MEd degrees at the University Illinois – Chicago and
University of Cincinnati (respectively), Drs. Jordan Hudson and Chris
Hudson are completing Masters of Public Health degrees at Harvard
University, and Dr. Diem Tran is completing a MSc in Epidemiology at the
University of Ottawa. Dr. Sylvain Boet is completing a PhD in Education
at Université de Strasbourg. Dr. Ashraf Fayad is completing a Masters of
Clinical Research at University of Liverpool, U.K. Our residents are also
seeking additional training with Drs. Dan McIsaac and Louise Sun joining
the Hudsons in the Harvard MPH program. This unprecedented degree
of research commitment and preparation bodes well for research in the
department in the years ahead.
Several large, externally funded clinical trials evaluating cardiovascular
outcomes following surgery and the influence of perioperative pain
management on cognition and persistent postoperative pain energized
the department’s research team in 2009-10. As these trials move to
publication, researchers exploring perioperative care will have new
resources to draw upon. The University of Ottawa Heart Institute has long
had both automated records and a departmental database. This resource
led to the development of the renowned CARE (cardiac anesthesia risk
evaluation) score in 2001 and a host of subsequent publications. In 2010,
The Ottawa Hospital launched its electronic health record (PICIS) and will
soon roll out the ACUPAM database for the acute pain service. These
digital resources will spark research and patient safety initiatives that will
drive the clinical research agenda over the next five years.
Turning research questions into publications requires energy, time
and support. All participating hospitals have motivated their faculty to
pursue their research interests and funded the time required to do so. All
departments have invested in the research infrastructure suited to their
programs: Research assistants, database coordinators, and collaborations
with methodologists at local research institutes have provided the
platform for innovative research. Investigators have capitalized on the
support of their colleagues and have aggressively sought and received
“innovation” funds from their academic maintenance.
Education researchers have further capitalized on grants offered by
University of Ottawa. These local grants have been leveraged to seek
larger funding opportunities at the provincial and national level. Under
the direction of Vice Chair of Research Dr. Howard Nathan, the Chairman’s
Research Fund has provided both the financial and logistical support
to obtain external funding and deliver quality results to publication.
The results of this collaborative process were recognized with awards
and prizes given to University of Ottawa investigators at provincial and
national meetings.
Research at the University of Ottawa is a team effort and we would like to
take this opportunity to thank our colleagues and staff. You provide both
the support and stimulus to explore anesthesia practice. Our researchers
systematically investigate the observations of our clinicians and teachers.
With the knowledge gained, together we will change practice.
31
CHEO
Anesthesia
Research
32
The introduction of a hospital-wide alternate
funding plan (AFP) in April 2004 has been
instrumental in creating a favourable research
environment. In 2007, at a retreat held to define
clinical, academic, administrative and educational
roles, the following research objectives were
developed:
1. Ensure protected time,
2. Expect one first author publication per
average weekly number of assigned
academic days per year,
3. Hire a clinical research assistant or coordinator,
4. Attract an individual with a Master’s degree
in epidemiology or education,
5. Strive for accumulative research funding
over $500,000.
To this end, the amount of protected nonclinical time for all staff members has averaged
20% over the last few years. We have hired two
clinical research coordinators. Dr. Dylan Bould
has a Master’s in Education and Dr. Victor Neira is
working towards an MEd. Our overall publication
rate is improving.
Dr. Kimmo Murto,
CHEO Research Director
Our medical education research arm has been
flourishing. Dr. Bould is a senior associate of the
University of Ottawa Academy for Innovation in
Education (AIME). In addition, both he and Dr. Neira
are affiliated with the highly acclaimed University
of Ottawa Skills and Simulation Centre. Dr. Bould
has been working to bring the U.K. simulationbased course “Managing Emergencies in Pediatric
Anesthesia” to Canada. He has established a
network for curricular and research collaboration
in seven Canadian universities and has been asked
to be the research lead for this collaborative effort.
Dr. Neira is a collaborator and will advance his own
agenda to assess, measure and teach CanMEDs
qualities to physicians. He is also involved in
establishing a clinical database to assess patients
undergoing scoliosis surgery.
Dr. Murto is the principal investigator for two
ongoing randomized controlled trials investigating
postoperative pain relief using oral celecoxib and
locally administered clonidine for post-tonsillectomy
and hernia surgery respectively. Recruitment for
a large cohort of patients (382) in our hospital
sleep lab has been completed for a study to
determine a clinical prediction rule to diagnose
obstructive sleep apnea in children.
Significant progress has been made to improve our research
infrastructure. The department provides partial funding for one of
our clinical research coordinators. Both have demonstrated excellent
administrative abilities and proven to be effective at patient/family
recruitment. Much of their success can be attributed to the resources and
training provided by the CHEO Research Institute clinical research unit.
We have formed links with laboratories to assess analgesic
pharmacogenetics and measure drug levels using high performance
liquid chromatography and mass spectroscopy. A formal research
committee has been struck and we hope to establish a formal clinical/
research-based pediatric anesthesia fellowship.We are also being
contacted by pharmaceutical companies to run various clinical drug trials,
funding from which will be used to support our various research initiatives.
33
Annual Gary
Johnson
Anesthesiology
The Annual Gary Johnson Anesthesiology Research
Day is held to recognize the research activity of our
residents and fellows. While the format of the day
continues to evolve, a nationally or internationally
recognized researcher is always invited to speak and
to adjudicate the presentations. Visiting professors
since 2007 have been:
Dr. Kimmo Murto,
Gary Johnson Research
Day Coordinator
2008: Dr. Viren Naik
2009: Dr. Vincent Chan
2010: Dr. Jerrold Lerman
2011: Dr. David McKnight
We are beginning to see activity in areas related
to bench and medical education research.
Research Day
34
Examples include:
2008: Dr. Shawn Hicks, first prize for “Intralipid
does not Improve Survival in a Swine Model
of Bupivacaine.”
2010: Dr. Manoj Lalu, first prize for “Safety of Cell
Therapy with Mesenchymal Stromal Cells (MSCs):
A Systematic Review.“
2011: Dr. Devin Sydor, second prize for “The
Effects of Team Dynamics on Trainees’ Ability to
Challenge Authority: Measuring Health Advocacy
with Patient Simulation.”
At the closing dinner, prizes are awarded to the top
three research competition participants and our
graduating residents and fellows receive diplomas.
The very successful 2011 dinner, held at the National
Arts Centre, provided a chance to honour Dr. Gary
Johnson on the occasion of his retirement. A former
chair of the department, Dr. Johnson initiated this
annual celebration of research.
Undergraduate
MD Programme
Fellowship
Education
Education Summary
Vision
The Department of
Anesthesia will be an
international leader in
anesthesia education
by providing learning
excellence with best
education practices that
are guided by education
scholarship.
Dr. Viren Naik,
Vice Chair of Education
Faculty
Development
Postgraduate
Residency
Program
Vision
The Department of
Anesthesia will be an
international leader in
anesthesia education by
providing learning
excellence with best
education practices
that are guided by
education scholarship
Simulation
Based Education
Research
in Education
Six pillars support this vision:
1. Undergraduate Education
2.Postgraduate Education
3.Fellowship Education
4.Faculty Education
5.Simulation-based Education
6.Research in Education
1.Anesthesia has a strong presence in the
undergraduate MD programs. Our faculty teach
in both the clerkship and pre-clerkship. Our
commitment is recognized, with faculty selected
to the University of Ottawa’s prestigious
Distinguished Teacher Program, designed to
train future leaders in undergraduate education.
2.Our residency program is our “crown jewel.”
We have the best mentors and the best
residents in the country. We continue to be one
of the strongest and most popular postgraduate
programs. We continue to proactively adapt our
curriculum for the best education experience.
3.Our fellowship program invites applicants
from across the nation and around the world.
We offer post-residency training in almost
every anesthesia subspecialty. We balance
clinical service and education with the
opportunity to engage in scholarly projects
for a well-rounded experience.
4. We believe that the best
teachers never stop learning. With
that in mind, we have a strong commitment
to faculty development through rounds,
workshops, a high quality visiting professor
program, and an annual faculty development
day dedicated to continuing professional
development.
5. We continue to demonstrate our international
leadership in simulation-based education at
the University of Ottawa. Simulation-based
education is integrated into our undergraduate,
postgraduate and continuing education
activities. The University of Ottawa Skills and
Simulation Centre (uOSSC) is the largest
simulation centre in Canada focused on high
fidelity mannequin and procedural skills
simulation.
6.Our department has actively recruited faculty to
make education research one of our research foci.
Our grants, publications and awards are a proven
metric of our success. New and established
researchers are engaged in both quantitative and
qualitative research in best education practices in
collaboration with the Academy for Innovation in
Medical Education (AIME).
35
Undergraduate
Medical
Education
36
MEDICAL EDUCATION
Having taken on a leadership role in the delivery of
pharmacology, physiology and pain management
at the pre-clerkship level, and offering a popular
clerkship rotation, Anesthesia has increased its
profile in Undergraduate Medicine over the past
five years.
of Anesthesia has assumed a leadership role in the
delivery of pharmacology and pain management
teaching. Dr. Alan Chaput, who is the content
expert for pharmacology and therapeutics, has
been selected for the faculty’s distinguished
professor program, committing 120 hours a year
for two years to dedicated undergraduate teaching.
The University of Ottawa School of Medicine
underwent a cycle of curriculum review and renewal
in 2008 and accreditation in 2009- 2010 under
the guidance of Dr. Lucie Filteau, the previous
Undergraduate Anesthesia Director. The process
was a positive experience for both the medical
school and the department. The Council for
Accreditation of Canadian Medical Schools
expressed strong approval of the solid education
delivered in the English, French, and Aboriginal
streams and awarded the faculty with its highest
standard – accreditation for eight years.
Dr. John Penning directs the pain curriculum, which
is part of the integration block and is presented to
students prior to starting their clinical clerkship. The
course consists of a weeklong intensive workshop
that brings together basic and clinical sciences
through lectures and small group teaching and
involves over 25 faculty fellows and residents.
Curriculum renewal has solidified anesthesia’s
contribution to undergraduate education at the
pre-clerkship and clerkship level. The Department
Dr. Nikhil Rastogi,
Undergraduate Program
Director
Over the past five years the medical school has
transitioned to case-based learning (CBL) from
problem-based learning and many faculty members
have taken the training course for CBL. Faculty also
lecture at the undergraduate level in physiology,
pharmacology and reproductive medicine. In total,
47 staff delivered 512 hours of dedicated teaching
at the pre-clerkship level in the last academic year.
The Anesthesia Clerkship rotation is a two-week compulsory block in third
year and is combined with Emergency Medicine to make up the Acute
Care Block. A total of 156 students rotate through our ORs in both the
English and French streams at three different sites. As part of the rotation,
there is an airway management workshop and a simulation session for
crisis management. Highly rated by students, this block highlights our role
as experts and teachers of airway management, fluid management and
resuscitation pharmacology. A teaching guide has been developed and is
distributed annually to all staff, residents and fellows to aid in the delivery
of the clerkship curriculum.
The Ottawa Anesthesia Primer, a handbook for medical students written
by staff and residents under the guidance of Dr. Pat Sullivan, is expected
to be available in electronic and print format in the fall of 2012. This is a
follow-up to Anesthesia for Medical Students, which has been a favorite in
anesthesia programs across the country.
Departmental Teaching Activity
Overall Teaching Activity
(Departmental Members Only)
(Including Fellows and Residents)
1%
4%
2% 1%
3% 1%
5%
4%
5%
21%
12%
2%
1%
1%
2%
4%
22%
16%
Anaesthesia
Otolaryngology
BMI
Paediatrics
CMM
Pathology
ECM
Psychiatry
Emergency
Radiology
Family Medicine
Surgery
Medicine
Overall
1%
16%
5%
2%
4%
5%
10%
14%
22%
1%
Obs-Gyn
1%
3%
Ophthalmology
Ophthalmology
10%
37
Anesthesia
Simulation
38
Much has changed
over the last five years
in simulation within
our department.
Dr. Michelle Chiu,
Anesthesia Simulation
Co-Director
One of the most significant developments was the
establishment of the University of Ottawa Skills and
Simulation Center (uOSSC) at the Civic Campus of
The Ottawa Hospital in 2010. Dr. Viren Naik is the
Medical Director of the uOSSC. At 25,000 sq ft, it
is the largest simulation center in Canada and our
department comprises one its largest user groups.
We would like to thank Drs. Robert Elliott, Patti
Murphy and Earl Wynands for their guidance and
significant contributions as the founders of our
simulation centre and curricula. We would not be
where we are today without their vision! There are
currently seven simulation faculty in our department:
Drs. Michelle Chiu (Simulation Director), Sylvain Boet,
Dylan Bould, Simone Crooks, George Dumitrascu,
Amy Fraser and Victor Neira. With a successful
track record in research and many international
presentations, our faculty is widely recognized for
their expertise in simulation and medical education.
Our faculty members are the foundation underlying
the successes of our simulation program.
Undergraduate Medical Education
We continue to be active in the undergraduate
curriculum with 112 third-year students rotating
through the uOSSC annually during their anesthesia
clerkship rotation.
Postgraduate Medical Education
Our Anesthesia residents have multiple opportunities
during their residency to participate in simulation
sessions at the uOSSC. Our Postgraduate Year-1
(PGY-1) residents attend the Acute Critical Events
Simulation (ACES) Course, where they receive
simulation-based training on the principles of
resuscitation, and the Transition into Independent
Call (TIC) Course, where they receive teaching
and experiential practice with the responsibilities
of being on-call in anesthesia. All PGY-2 to PGY-5
residents participate twice a year as the “hotseat”
in charge of a clinical situation and four times a year
as “helpers” or “confederates” in the scenario.
Residents receive regular pediatric simulation training
when rotating through the Children’s Hospital of
Eastern Ontario (CHEO). We continue to work closely
with our simulation colleagues in the departments
of Obstetrics/Gynecology, Emergency Medicine and
Surgery to provide our residents with opportunities
to acquire medical knowledge from and develop
communication strategies between different specialties. For over 10 years,
we have collaborated in inter-disciplinary Anesthesia/OB simulation
sessions to address the unique challenges in jointly managing the care
of critically ill obstetrics patients. At CHEO, anesthesia residents regularly
participate alongside anesthesia assistants and nurses in inter-professional
simulation. In 2011, we introduced multi-disciplinary simulation sessions,
where PGY-3 Anesthesia, Emergency, Surgery and OB residents learn to
manage multiple critically ill patients in the emergency room. In 2012 we
teamed up with the Department of Surgery to develop tissue models that
allow surgery residents to “operate” on a mannequin. This breakthrough
facilitated the introduction of joint Anesthesia/Surgery perioperative team
training simulation sessions – an educational experience that residents
from both departments have enthusiastically embraced.
39
EDUCATION
40
Fellowship
We have four graduates of our internationally subscribed Anesthesia
Fellowship in Simulation and Medical Education. Our graduates have
initiated new (Dr. Jay Ross, Winnipeg) and joined in established (Dr.
Devin Sydor, Kingston) simulation training programs across Canada and
around the world (Dr. Abeer Arab, Saudi Arabia). Dr. Dan Power will take
a leading role as a member of the Canadian Forces Steering Committee
on Simulation Training. He will be their first formally trained simulation
instructor. In total, our Fellows have accrued $83,178 in funding as primary
investigators in their research projects. Please see the Fellowship Director’s
section for further details on their accomplishments.
In 2009, we partnered our fellowship program with the University of
Ottawa Academy for Innovation in Medical Education (AIME) and uOSSC.
With other AIME/uOSSC Fellows and clinician educators, our Fellows
attend the AIME Health Care Education Scholar’s Program (HESP),
which “seeks to develop a community of medical educators and inspire
innovation and scholarship in healthcare education.” Our Fellows also
attend the AIME Foundational Elements of Applied Simulation Theory
(FEAST) Curriculum, which provides them with a solid grounding in
simulation theory and practice via interactive teaching covering simulation
in education, research in simulation and effective simulation instruction
and design.
Continuing Medical Education and Patient Safety
The use of simulation has risen exponentially in departmental continuing
medical education (CME) events. This reflects the growing belief in the
important role of simulation-based training in the improvement of patient
safety. We hear from our residents how their simulation experiences have
improved their ability to manage critical incidents in clinical practice. Our
annual Winterlude Conference Perioperative Crisis Resource Management
(CRM) workshops have been well received. Dr. Ben Sohmer has conducted
workshops for novice physicians (residents and staff) on the basics of
transesophageal echocardiography. Simulation-based education will be
featured prominently at our inaugural departmental Faculty Development
Day in November 2012 at the uOSSC.
Also occurring in Ottawa this November is the Royal College Simulation
Summit. Dr. Viren Naik is co-chair of this conference and our simulation
faculty are on the planning committee. Our simulation faculty and
anesthesia residents regularly volunteer to demonstrate to the public
the benefits of practicing perioperative crisis management; our TOH
Foundation demonstrations are legendary and we are approached
regularly to participate. Inter-professional, intra-operative, in-situ
simulation has debuted at TOH for the Cardiac Arrest Roles Defined
(CARD) study. The goal of CARD, led by Dr. Tania DiRenna, is to improve
the management of intraoperative cardiac arrest by using a cognitive aid
based on role clarification to enhance team crisis management skills.
Every aspect of simulation-based training is covered. This includes
developing the technical skills of bronchoscope manipulation in the
bronchoscopic simulator to the mastery of the non-technical skills of team
leadership and effective communication strategies in high-fidelity crisis
resource management scenarios. It is all geared towards the overall goal
of maximizing patient safety.
Postgraduate
The Ottawa Anesthesia Residency
Program continues with its strong
heritage of teaching, education
and research. With expanding numbers of
medical students, the program has grown to record
Medical
education
numbers of resident applicants. We have yet to have
a vacant position in anesthesia in Ottawa and have
always matched on the first round of the Canadian
Residency Matching System (CaRMS).
41
Program numbers have increased
from 48 in 2007 to 54 in 2012.
CaRMS Applicants: uOttawa Anesthesia
200
60
IMG
180
160
CMG
140
50
40
120
100
30
80
20
60
40
10
20
0
2007
match
2008
match
2009
match
2010
match
2011
match
CMG (Canadian Medical Graduates)
IMG (International Medical Graduates)
Dr. Desiree Persaud,
Residency Program Director
2012
match
0
2007
2008
2009
2010
Residents per academic year
2011
42
Between 2007 and 2012 we will have had a projected total of
49 graduates. These include one foreign medical graduate,
11 international medical graduates, three military anesthesia
residents and seven family practice-anesthesia residents. We also
graduated 10 residents from the joint Ottawa/Northern Ontario School
of Medicine (NOSM) program. This joint program matched the last two
residents in 2011, as NOSM will soon have its own anesthesia program.
Our success in the Royal College examinations is illustrated by the
100% pass rate of our Canadian medical graduates from the classes
of 2007 to 2011.
The scope of practice of graduating residents has varied from year to
year. On average, 63% of graduating residents over the last five years
have pursued clinical fellowships, and 45% of those remained in Ottawa
for their fellowship year.
12
Fellowships
10
Graduates
8
6
4
2
0
2007/08
2008/09
2009/10
2010/11
2011/12
One of the more remarkable years in the postgraduate training program
was 2010, when the University of Ottawa underwent its regular, sixyear accreditation review. Our residency program again obtained full
accreditation. The first edition of the national anesthesia curriculum,
co-edited by Dr. Patti Murphy (Ottawa Anesthesia Education Director
2006-11), was fully endorsed and integrated into every Canadian
anesthesia program. In July 2010, Dr. Desiree Persaud became the
Ottawa Anesthesia Residency Program’s eighth director. As a former
graduate of the program who has garnered local, provincial and national
teaching awards, Dr. Persaud brings broad experience combined with a
fresh, new approach to the residency program.
The Ottawa Skills and Simulation Centre opened its doors in the fall of 2010,
giving rise to new momentum in innovation in education and research, with
anesthesia at the forefront. The program has benefited immensely from the
leadership of Dr. Viren Naik, who not only serves as the medical director
of the skills and simulation centre but also has a major role in simulation
education at the Royal College. With Dr. Dylan Bould at the helm, education
research is flourishing. Traditional methods of teaching and evaluation are
being challenged, the debate over competency-based training versus time
spent in an educational setting is evolving, and restrictions in duty hours for
residents have been introduced. All these factors will influence our training
program in the coming years.
With Dr. Simone Crooks as the director of postgraduate anesthesia
training in simulation, every anesthesia resident has two formal
simulation training encounters a year. There are also multidisciplinary
team-based training sessions in development, covering themes such as
cardiac arrest, general surgery and trauma. Additionally, a new program,
Transition to Independent Call, was developed in 2011 to address the
needs of PGY-1 anesthesia residents as they take on call responsibilities.
Research has flourished in the residency program. Dr. Alan Chaput has
successfully integrated basic principles of critical appraisal in the resident
journal clubs. Dr. Gregory Bryson has organized a comprehensive series
of research core lectures. New in 2012 will be the integration of both
journal club research principles and core lecture program themes, led by
Dr. Jordan Hudson. A few residents have also taken advantage of elective
time with Dr. Don Miller, editor of the Canadian Journal of Anesthesia.
RESIDENCY
43
There has been a great deal of scholarly activity in the residency
program. An Ottawa anesthesia resident has contributed to every
chapter in the forthcoming Ottawa Anesthesia Primer edited by
Dr. Patrick Sullivan. This book is an extension of the popular Anesthesia
for Medical Students textbook. Our residents have taken a leadership
role in teaching Respiratory Therapy students as part of the Anesthesia
Assistant training at Algonquin College, leading a variety of problembased learning (PBL) courses for medical students and a number of
core lectures to junior anesthesia residents.
44
In 2010, Dr. Louise Sun (PGY-4 anesthesia resident) and Dr. Dan McIsaac
(PGY-3 anesthesia resident) were also enrolled in the Masters of Public
Health Program at Harvard University. Dr. Manoj Lalu also successfully
incorporated a major scientific research component within residency.
Since 2007, our residents have had more than 25 publications in peerreviewed journals and 20 poster presentations at various meetings,
including the Canadian Anesthesiologists’ Society annual meeting.
Involvement in hospital administration and committees is fully
supported in the program. A few residents have completed electives
in hospital administration. Anesthesia residents have also been on a
number of hospital and university committees, such as the physician
engagement committee, patient quality and safety committee, appeals
committee, professionalism committee and the postgraduate medical
education committee, as well as various specialty program accreditation
reviews. Our residents also serve as representatives at the Professional
Association of Internes and Residents of Ontario (PAIRO), the Ontario
Anesthesia Society and the Canadian Anesthesia Society.
the ottawa
hospital
Fellowships
Dr. Amy Fraser,
TOH Corporate
Fellowship Director
The Ottawa Hospital continues to
expand and improve its fellowship
training program
Our long-established programs in Chronic Pain and
Regional Anesthesia have been expanded to include
a number of other fellowship program At present,
fellowship programs are offered in the subspecialties
of Acute Pain (Fellowship Director: Dr. Naveen Eipe),
Chronic Pain (Dr. George Evans), Neuroanesthesia
(Dr. Kevin Nolan and
Dr. Tom Polis), Obstetric Anesthesia (Dr. Catherine
Gallant and Dr. Susan Goheen), Perioperative
Echocardiography (Dr. Ashraf Fayad), Regional
Anesthesia (Dr. Anne Lui), Simulation (Dr. Sylvain
Boet and Dr. Michelle Chiu), Thoracic Anesthesia (Dr.
Larry Byford and Dr. Calvin Thompson), and Vascular
Anesthesia (Dr. Ashraf Fayad). Two programs, Airway
Management and Perioperative Medicine, are
inactive at this time.
The position of Corporate Fellowship Director
was established in late 2009 to better manage the
increasing size and complexity of the fellowship
workload at TOH. Dr. George Dumitrascu held the
position from its inception in 2009 to December
2011. Dr. Amy Fraser was appointed to the position
in January 2012. Administrative support for the
Corporate Fellowship Director is primarily provided
by Lynne McHardy and Elaine Stinson.
Some fundamental changes were introduced to
fellowship contracts in 2010 to make our programs
more competitive and better aligned with other
Canadian programs Fellows’ salaries were increased,
and Fellows also began to provide coverage of
late rooms and Saturday morning Acute Pain
Service rounds.
At present, the Corporate Fellowship Director
is actively pursuing initiatives that are intended
to improve the fellowship programs in three
fundamental ways:
•
Recruitment of high-quality candidates who are
practising at the Royal College of Physicians and
Surgeons of Canada Anesthesia Fellow level;
•
Provision of first-class education and training; and
•
Achievement of research and academic excellence
from our fellows.
45
46
Our fellowship programs have remained popular with Canadian-trained
and international anesthesia graduates. In the last application cycle, we
received over 120 applications for 12 positions. Our graduating fellows
have gone on to found and/or direct subspecialty programs across
Canada (Dr. Jennifer Szerb, Regional Anesthesia) and around the world
(Dr. Abeer Arab, Simulation). Recent fellows have also established new
perioperative patient care programs (Dr. Jonathan Antrobus, Regional),
developed educational measurement tools (Dr. Cathy Delbridge,
Regional), presented at international conferences (Dr. Wes Edwards and
Dr. Ali Faris, Obstetric), and won peer-reviewed research grants (Dr. Dan
Power and Dr. Devin Sydor, Simulation). In some cases, Fellows from
outside Canada have gone on to enter Canadian anesthesia residency
training programs.
Fellowship
Photos: Dr. Caroline Tallmadge
CHEO
Fellowships
CHEO has for many years offered a one-year clinical
fellowship or a combined clinical/research fellowship
for those considering a subspecialty career or
wishing to pursue an academic career. With three
positions currently funded by the Department of
Anesthesia, this fellowship attracts candidates from
around the world seeking advanced and broader
clinical exposure in Pediatric Anesthesia prior to
entering into a mixed adult/pediatric anesthesia
practice. Fellows are actively involved in supervised
clinical practice and are offered protected research
time to develop their academic interests.
47
Dr. Leslie Hall,
CHEO Fellowship Director
Photos: Diane Sheppard
Cardiac
Anesthesiology
FellowshipS
Between 2007 and 2012, we successfully trained
nine highly competent, consultant cardiac
anesthesiologists. While some have chosen to
remain in Ottawa, others have joined academic
practices both nationally and internationally.
The education of our fellows has significantly
evolved over the last five years. This process was
initiated by the former fellowship director, Dr.
Ben Sohmer, and continues under the guidance
of Dr. Sean Dickie, who became the fellowship
director in September 2010. What originally began
as informal bedside teaching has evolved into
multiple teaching opportunities within the entire
perioperative environment, including both formal
teaching sessions and less formal coffee rounds.
48
Dr. Sean Dickie, UOHI
Fellowhsip Director
In an attempt to formalize our fellowship teaching,
we have recently developed an internet-based
Wiki page, complete with articles, lectures and
our formal UOHI perioperative transesophageal
echocardiography teaching curriculum. The page
allows fellows to electronically document their
progress with assigned readings and TEE studies
and gives the fellowship director the opportunity to
provide any necessary direction
We have enjoyed great success in teaching
perioperative TEE to our fellows. To date, our
fellows have a 100% success rate for the National
Board of Echocardiography (NBE) advanced
perioperative TEE exam. Our fellows consistently
finish in the top tenth percentile of all applicants
in any given year and in two consecutive years
we have had a fellow finish in the top five of all
candidates in North America. This is evidence
that our TEE teaching curriculum is effective
in educating the next generation of advanced
perioperative echocardiographers.
With the development of a formalized advanced
TEE certification from the NBE, cardiac anesthesia
fellows have devoted their non-clinical time
and energy towards achieving this certification.
However, we have made recent progress on the
research front with the peer-reviewed publication
of Dr. Diem Tran’s fellow research project and the
submission for publication of Dr. Juliet Atherstone’s
research project. We are anticipating that fellow
research will improve both qualitatively and
quantitatively in the near future.
With the recent addition of several new 3D echo
machines within the cardiac ORs, we have the
distinction of being only the second training centre
in Canada with full 3D echo capabilities in all of
our cardiac operating rooms. This will allow us to
define ourselves as a centre of excellence in 3D
echo training and research. This will also benefit
our fellows, who will help define the future of 3D
echocardiography.
Faculty
Development
In 2012, the position of Department of Anesthesia
Director of Faculty Development was created to
coordinate, facilitate and expand local Continuing
Medical Education (CME) opportunities within
the Department of Anesthesia. The role of the
Director is to collaborate with all the members
of the Department on issues related to faculty
development. A primary goal of the position
is to facilitate continuing education through
planning and implementation of medical
education programs and to attain Royal College
of Physicians and Surgeons of Canada CME
accreditation for these programs.
To achieve this primary goal, the first annual
Department of Anesthesia Faculty Development
Day is in development and scheduled to take place
Dr. Benjamin Sohmer,
Director of Faculty
Development
in November 2012. With the use of the University of
Ottawa Skills and Simulation Centre, this half-day
workshop will draw upon high fidelity simulation and
place an emphasis on self-assessment.
Many excellent educators and educational initiatives
exist at each of the University of Ottawa campuses.
An additional role of the Director is to function as
an educational liaison between campuses. Ideally,
all members of the department should have the
opportunity to learn and develop with assistance and
guidance from their internal, high quality educational
resources and colleagues. Dr. Benjamin Sohmer, a
member of the Division of Cardiac Anesthesia, has
been appointed Director for a term of three years.
49
Journal
Club
the Department of Anesthesiology
held five or six Journal Clubs each
year from 2008 to 2012.
These consist of traditional Journal Clubs, in which
salient journal articles are presented, critically
evaluated and discussed, and Research Journal
Clubs, in which new research projects in the
Department are presented and feedback given.
These rounds are attended by residents, as well
as staff from The Ottawa Hospital General, Civic
and Riverside Campuses, the Children’s Hospital
of Eastern Ontario and the Ottawa Heart Institute.
They are typically held at one of the hospitals.
50
Dr. Jordan Hudson,
Anesthesia Journal Club
Co-ordinator
In September 2007, Dr. Alan Chaput took charge
of Journal Club with a mandate to improve the
residents’ ability to appraise research methodology.
With his background in research and epidemiology,
Dr. Chaput incorporated a greater emphasis
on rigorous analysis and critical appraisal. This
change was well received by the Department. In
September 2012, Dr. Jordan Hudson will take over
the responsibilities of Journal Club coordinator and
will endeavor to uphold the tradition of academic
discussion and education.
Each Journal Club consists of three or four articles
related to a specific theme, often selected to
compare and contrast methodologies or to offer
varying perspectives on a common clinical topic. An
overview, including educational objectives and links
to the articles, is e-mailed to Ottawa area residents
and anesthesiologists beforehand. Additional
material, which may include other relevant articles,
editorials and critical appraisal tools, is frequently
included as background information. This allows
participants to arrive at Journal Club prepared to
discuss the articles at hand.
During Research Journal Clubs, two or
three researchers from the Department are
invited to present ongoing research projects.
Presenters may be residents, fellows, or staff
anesthesiologists. The research presented may
be clinical, educational, basic science, or of
mixed methodology. Department members are
encouraged to present projects at the design
phase as well as later on, in order to share insight
into the process of trial conceptualization and
design. Presenters may also share information on
methodology, present results, and obtain feedback
and advice from audience members.
The format consists of formal presentations, typically given by a resident or fellow pre-assigned to each journal article, which summarize the methods
and provide critical appraisal. The audience is then engaged in further discussion and debate, both of the article itself and its impact vis-à-vis the
theme of the Journal Club. Implications for clinical practice are also discussed. Each University of Ottawa anesthesiology resident is required to
present and analyze an article for Journal Club at least once during residency.
Summary of Journal Club activities, September 2007-present
Date
Theme
Presenters
Objectives
2007/09/17
Statins and perioperative
cardiovascular risk
Dr. Jen Chow
1) Review the results from recent studies that have demonstrated a reduction in
adverse cardiovascular outcomes in patients treated with statins perioperatively
Dr. Lukasz Bartosik
Dr. Firas Al-Qadhi
2007/10/22
Pregabalin and gabapentin for
perioperative pain
Dr. Dan Power
Dr. Ali Namazie
Dr. Greg Krolzyk
2007/11/19
Research
Dr. Sanjiv Gupta
Dr. Leilani Doyle
Dr. Rebecca Chauvin
2) Compare and contrast different research methodologies including case-control
and cohort studies, and RCTs
1) Review the results from recent studies that have demonstrated improved pain
outcomes in patients treated with pregabalin and gabapentin perioperatively
2) Compare and contrast different research methodologies including RCT and
meta-analysis
1)Review basic aspects of research including asking a research question,
reviewing current evidence, deciding on a study design, calculating a sample
size and other practical issues in an interactive format
2) Discuss the available evidence behind opioid-induced hyperalgesia and
tolerance
3) Discuss how to design a study to determine if low-dose intrathecal fentanyl
administered with intrathecal morphine shortens the duration of postoperative
analgesia provided by intrathecal morphine
2008/01/14
NSAIDs and cardiovascular risk
Dr. Matt Quon
Dr. Ashley Meister
Dr. Carla Lipan
1)Review the results from recent studies that have demonstrated adverse
cardiovascular outcomes associated with treatment with NSAIDs and discuss
perioperative implications
2)Review case-control methodology
3) Compare and contrast meta-analyses of both randomized and observational
studies
2008/02/18
Economic analysis in anesthesia
Dr. Karolinah Lukitto
1)Review and critique the methodology and results of three economic analyses
Dr. Sinan Demir
2)Review various methods of economic analysis (cost analysis, cost-minimization
analysis, cost-effectiveness analysis, cost-utility analysis, cost-benefit analysis)
and how to critique these studies
Dr. Robert Sikorski
51
2008/09/17
Patient safety
Dr. Jeremy Stewart
Dr. Chris Pysyk
Dr. Ahmed El-Alfy
1) Review and critique methods of qualitative research and how these methods
differ from quantitative research
2) Explore the methodological advantages of closed claims analysis
3) Discuss how closed claims analyses have altered our practice
4)Review the pros and cons of case-control methodology
5) Discuss whether residual neuromuscular blockade leads to clinically significant
adverse postop outcomes
2009/02/23
Delirium
Dr. Melissa Forbes
1)Explore the pros and cons of large database research
Dr. Alan Chaput
2)Gain an appreciation for the burden of illness of postoperative delirium
3)Review the pathophysiology of postop delirium
4) Review the process of getting a study off the ground from concept to patient
randomization
52
5)Review the pros and cons of RCTs
2009/04/20
Perioperative glycemic control
Dr. Joel Berube
Dr. Rebecca Moga
Dr. Eric Tsai
1)Review the evidence for tight glycemic control in the perioperative period, with
particular emphasis on intraoperative glucose control and clinical outcomes
2) Compare and contrast advantages and disadvantages of various research
methods including database analysis, RCTs and meta-analysis
3)Focus on causality, and discuss which types of studies allow you to draw a
cause-effect relationship
4) Discuss intention-to-treat (ITT) analysis
5)Review the statistics of meta-analysis
2009/09/09
Research
Dr. Greg Bryson
1)Review studies highlighting functional disability following ambulatory surgery
Dr. Ben Sohmer
2)Review studies highlighting impact of surgery and hospitalization on caregivers
3) Describe characteristics of measurement tools for disability and caregiver
burden
4)Explore optional study designs
2009/10/26
Postoperative cognitive
dysfunction
Dr. David Goulet
Dr. Travis Nairn
Dr. Ramez Hendy
1)Review the evidence linking anesthetic technique and surgery to postoperative
cognitive dysfunction
2) Compare and contrast advantages and disadvantages of various research
methods including database analysis, RCTs and meta-analysis
3)Focus on causality, and discuss which types of studies allow you to draw a
cause-effect relationship
2010/01/18
Magnesium
Dr. Steve Masselink
Dr. Tim O’Connor
Dr. Hilary Meggison
1)Examine the various therapeutic effects and uses of magnesium sulfate in the
perioperative period
2) Discuss choice of outcomes in pain studies
3 Review methods of randomization in RCTs
4)Review basic statistical tests for continuous and categorical data frequently
cited in RCTs
2010/02/22
Anesthetics and the developing
brain
Dr. Marie-Jo Plamondon
1)Recognise differences between animal and human research methodology
Dr. Jen Mihill
2)Appreciate how animal research can be applied to everyday clinical practice
Dr. Alim Punja
3)Review evidence for and against anesthetic effects on learning disabilities and
cognitive performance
4) Understand the importance of twin studies and when they should be used
2010/04/19
Simulation
Dr. Natalie Clavel
1)Gain exposure to educational/simulation research
Dr. Susan Fossey
2) Discuss concepts of validity and reliability
Dr. Vance Beck
3)Observe the relationship between education and patient safety
53
2010/09/27
Research
Dr. Don Miller
1)List and review the criteria used to assess the quality of a biomedical journal
2)Rank the top 10 anesthesia journals using these criteria
3)List the criteria by which to judge the quality of an RCT
4)List the types of editorial peer review
5) Discuss the strengths and limitations of editorial peer review and the impact on
the reporting quality of published clinical trials
2010/10/25
Anesthetic technique and cancer
Dr. Ahmed Soliman
1)Review the evidence linking anesthetic technique to cancer-related outcomes
Dr. Richard Waldolf
2)Review the strengths and weaknesses of observational research
Dr. Louise Sun
3) Use the STROBE checklist to critically appraise observational studies
4)Review the importance of multivariate analysis in observational studies
54
5)Review Cox proportional hazards regression
2011/01/17
2011/02/28
TEE for noncardiac surgery
Dr. Jordan Zacny
1)Review evidence for safety of TEE
Dr. Melanie Toman
2)Review evidence for benefit of TEE in non-cardiac surgery
Dr. Rya Boscariol
3)Review optimal study designs for safety outcomes
Transfusion strategies in pediatric Dr. Yvonne Kaethler
patients
Dr. Richard Waldolf
1) Compare and contrast studies of transfusion triggers in critically ill pediatric
and adult patients
Dr. Janie DesRosiers
2)Review evidence linking length of storage of transfused RBCs and MODS in
pediatric ICU patients
3)Review issues around the need for non-inferiority trials and their design
4)Review the benefits of conducting a cohort analysis of patients enrolled in
an RCT
2011/09/12
Remifentanil for labor analgesia
Dr. Marc Dore
1)Review evidence supporting efficacy of remifentanil for labour analgesia
Dr. Diana Noseworthy
2)Review evidence supporting safety of remifentanil for labour analgesia
Dr. Andy Roberts
3)Review key features of dose-finding studies
4) Discuss general issues of studies that examine safety outcomes
2011/09/12
Tool development and validation
Dr. Maria Hudecova
1)Review methods of tool development
Dr. Sandra Bromley
2)Review methods of validating tools and explore the importance of validation
Dr. Dan McIsaac
3)Learn why snoring, tiredness, observed apnea and hypertension are important
in predicting OSA
4)Appreciate important factors that correlate with recovery in a variety of
surgical patients
5)Evaluate the importance of intraoperative blood loss, heart rate and MAP and
how these can predict major complications or mortality at 30 days
2011/10/24
Perioperative dexamethasone –
pros and cons
Dr. Teresa Furtak
1)Review recent evidence of the effects of dexamethasone on postoperative pain
Dr. Doris Leung
2)Review the safety profile of dexamethasone in the periop period with a focus on
postop infections
Dr. Chris Kirby
3) Discuss optimal study designs for evaluating safety outcomes
2011/01/16
Fast track pediatric surgery
Dr. Brock Wilson
Dr. Raylene Sauve
Dr. Reva Ramlogan
1)Review methodology for studying the impact of a ‘program of care’ (vs. a single
intervention)
2) Discuss challenges in studying perioperative programs
3)Review evidence of safety and efficacy of fast-track surgery programs in
pediatrics
2011/02/27
Articles hot off the press
Dr. Janet Young
1)Review evidence for management of dural puncture in labour
Dr. Joey Tremblay
2)Examine the association of preop management of DM2 and outcomes
Dr. Matthew Silvaggio
3)Review evidence of the perioperative use of ketorolac in terms of both safety
and efficacy
55
Annual
Anesthesia
56
Winterlude
Symposium
For the last 18 years, the University of Ottawa’s
Department of Anesthesiology has held an annual
symposium to coincide with the city’s famed
Winterlude festival. Winterlude, which offers
skating on the canal, ice sculptures and a festive
atmosphere, adds a great deal to the experience
of the guest faculty and visiting delegates drawn
from across Canada.
The Annual Anesthesia Winterlude Symposium
brings together practising anesthesiologists and
other experts to foster knowledge and skills by
providing a forum for discussion and dialogue on
emerging concepts. In recent years, this meeting
has grown from a regional Continuing Medical
Education event to a nationally known symposium,
attracting delegates from across Canada and
eminent speakers from Europe and North America.
Dr. Naveen Eipe,
Chair of the Winterlude
Committee
The symposium is hosted by the Department of
Anesthesiology of the University of Ottawa with
a mandate to focus on current perioperative
challenges and controversies encountered by
anesthesiologists. We promote the introduction of
cutting-edge research, review standards of practice
and facilitate delegates’ learning needs.
The 18th symposium was held Feb. 4-5, 2012,
at the Westin Hotel in Ottawa, attracting more
than 200 delegates. The theme for 2012 was The
Science and Practice of Perioperative Medicine.
Plenary sessions were dedicated to Ambulatory
Surgery, Patient Safety and Outcomes, and
Transfusion and Thrombosis. The Winterlude
Debate focused on the role of anesthesiologists
in out-of-OR sedation and was well received.
Winterlude each year also offers the Earl Wynands
Lecture, which is sponsored by the Royal College
of Physicians and Surgeons of Canada The 2012
lecture was on Workplace Stress and Burnout.
In response to feedback from previous years,
in 2012 we dedicated the entire first day to the
lectures and talks and the second morning to
workshops and case-based learning. The workshops
were held in the new University of Ottawa Skills and
Simulation Centre (uOSSC). Simultaneously, we
offered case-based learning sessions with visiting
faculty at the adjacent Ottawa Heart Institute (OHI).
Feedback from delegates was encouraging – most
found the program stimulating and rewarding.
The continued success of this meeting is the result of the hard work of
the planning committee, contributions of our own faculty and support
from industry. Lynne McHardy, Administrator of the Department of
Anesthesiology, has managed this meeting since its inception and has
ably led the ‘behind the scenes’ team. We continue to be supported
by industry sponsors, whose unrestricted educational grants allow us
to provide this high quality program at an affordable cost.
Delegate feedback, input from the planning committee and the
emergence of topical issues and trends will continue to shape the content
of the symposium. Our goal is for it to remain an important event on the
national scene and a symbol of excellence for the University of Ottawa’s
Department of Anesthesiology.
Website: www.anesthesia.org/Winterlude Email: [email protected]
57
2012 Winterlude DEMOGRAPHICS 2006-2012
2012 Winterlude Delegates distance from Ottawa
250
>2000km
1001- 2000km
AA, RT, RT, Others
200
501- 1000km
150
201- 500km
100
50-200km
Residents, Fellows
Anesthesiologists
Total
50
Area
0
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Global
Anesthesia
Activities
58
Dr. Patti Murphy,
Chair of the World
Anesthesia Interest Group
Dr. Hooper has been on many missions over the
past eight years, including trips to Bolivia, Peru,
Bangladesh, China, Ethiopia, Mali and Ghana.
Most have these have been with Interplast, now
called ReSurge International, which provides cleft
lip and palate repair and burn repair surgery, mostly
in children. As part of these missions, he has also
taught local surgeons and anesthesia providers.
clinical teaching of the local “anesthetic officers.”
These are nurses with a year of extra training who
are the mainstay of anesthetic service provision
in Uganda. Being part of a small, independent
group posed a challenge in terms of infrastructure
and resources. Basic necessities such as electricity,
oxygen, suction, drugs and sterile supplies were
frequently unavailable.
Dr. Patti Murphy
With CANHEAR Uganda, Dr. Patti Murphy visited
Uganda for two weeks in 2009 to provide clinical
anesthetic services in support of a small team that
included three ear, nose and throat (ENT) surgeons,
two audiologists, two biomedical technicians and a
nurse. The purpose of the mission was to support
Canadian ENT surgeons in teaching the local ENT
surgeons to refine their technique in performing
tympanoplasty/mastoidectomy, surgery for head
and neck cancer, and thyroid surgery.
Dr. Nik Rastogi
In November 2011, Dr. Nik Rastogi, of TOH
General Campus went on a two-week mission
with Medical Ministry International to Cotacachi,
Ecuador, where he worked in two hospitals, one of
them a teaching hospital. Dr. Rastogi also spent a
few days working in the mobile medical and dental
clinic, which offered treatment in a different village
each day, making a great impact on patients despite
a shortage of personnel and the language barrier.
Dr. Rastogi participated in about 20 procedures,
among them a laparoscopic cholecystectomy under
spinal anesthesia and two pediatric cases, including
one in the CT scanner.
Dr. Murphy first worked in Mulago Hospital in
Kampala, then in a small community hospital in
Mbale. In addition to providing support to surgical
teaching, Dr. Murphy also participated in daily
Dr. Linda Wynne
In February 2011, Dr. Linda Wynne visited the Kilema District Hospital
in Tanzani to assess resources and needs to aid in planning for missions
and educational module development with the Canadian African
Community Health Alliance (CACHA), as well as the Canadian Network
for International Surgery (CNIS).
Dr. Wynne also participated in the “Medicos en action” trip in January
2012 to the Hermano Pedro public hospital in Antigua, Guatemala,
which is run by a Franciscan order. Every week of the year, except Holy
Week and Christmas, a different surgical mission arrives from around the
world, mainly the U.S., Canada, Germany and Spain. Two of the groups
are Canadian: Operation Walk, for orthopedic surgery, and Medicos en
action, for general surgery, gynecology and ENT. Team members pay
their own expenses as well as help pay for supplies.
Dr. Dylan Bould
Dr. Dylan Bould (CHEO) is a faculty member of the University of Zambia
Master of Medicine Anesthesia Residency Program, which accepted its
first eight residents in 201l. This is a partnership between the University
of Zambia and the Tropical Health and Education Trust, currently funded
by the U.K. Department for International Development. Dr. Bould
visited Lusaka to teach in November 2011, and will visit again each
year. Beginning in 2012, University of Ottawa anesthesia residents will
accompany him for a global health and anesthesia elective.
In addition to providing service, the program is also meant to create
capacity in anesthesiology, which is a new profession in Zambia.
Prior to this new program, no physician anesthesiologists had been
trained in Zambia since independence in 1964, and there are fewer
than 10 physician anesthesiologists in a country of more than 12 million
people. The program is focused on developing a body of professionals
who, in time, will be able to advocate for patient safety, investigate
research questions appropriate to their environment and, ultimately,
become self-sustaining, rendering visiting faculty redundant.
World Anesthesia Interest Group
Dr. Patti Murphy initiated the World Anesthesia Interest Group, which
had its inaugural meetings in early 2012. Comprised of both staff and
residents, its members include:
Staff: Drs. Tammy Barrows, Dylan Bould, Holly Evans, Jordan Hudson,
Chris Hudson, Donald Miller, Stéphane Moffett, Nikhil Rastogi, Dennis
Reid, Cathy Smyth, William Splinter, Linda Wynne, Caroline Tallmadge
and Patti Murphy.
Residents: Drs. Natalie Clavel, Rya Boscariol, Amir Bouzari, Doris Leung,
Raylene Sauve, Reva Ramlogan, Mathew Silvaggio, Tinu Birdi, Lillia Fung,
Louise Sun and Susan Fossey.
59
The purpose of the group is to:
• Identify staff and residents with an interest in global health
• Provide a mechanism for interested residents to link with
staff for future missions
• Provide a venue for members returning from trips to provide
debriefs, allowing others to benefit from lessons learned
• Provide inspiration to foster future involvement in projects
• Provide support and encouragement to those interested but
perhaps a bit hesitant to take on this sometimes daunting work
The group plans to meet two or three times a year. In addtion, it
will work with Dr. Hassan Shenassa, who is developing educational
modules for anesthesia provideirs who support him on his missions
with CACHA to Tanzania.
Below, the inaugural meeting of the World Anesthesia Group,
February 29, 2012.
60
Members from left to right: Louise Sun, Nikhil Rastogi, Hassan Shenassa, Linda Wynne, Patti Murphy, Caroline Tallmadge, Jordan Hudson, Takpal Birdi,
Chris Hudson, Lillia Fung Photo provided by Dr. Patti Murphy
University of Ottawa Department of Anesthesiology
Grants 2007-2012
Grants 2007
1. Chiu M, Chadwick C, Segal R, Cross, Lui A, Bryson GL, Taljaard M, Evans H. Efficacy of Thoracic Paravertebral Block in Reducing Chronic Pain and Disability after
Breast Cancer Surgery with Axillary Lymph Node Dissection. Canadian Anesthesiologists’ Society $10,000
2. Chiu M, Chadwick C, Segal R, Cross P, Lui A, Bryson GL, Taljaard M, Evans H. Efficacy of Thoracic Paravertebral Block in Reducing Chronic Pain and Disability after
Breast Cancer Surgery with Axillary Lymph Node Dissection. Ottawa Regional Cancer Clinic Foundation $49,500 (over 2 years)
3. Doherty D, Messier. Piceatannol: A pharamcological approach to ischemic conditioning. University of Ottawa Department of Anesthesiology. $8,000
4. Doherty D, Kumar, Kryworuchko. The anti-inflammatory effects of anti-CD18 therapy after ischemic brain injury in the mouse. Canadian Anesthesiologists’ Society/
Abbott Career Investigator Award. $120,000 (over 2 years)
5.Fayad A. Perioperative Mycardial Ischemia in Isolated Systolic Hypertension (PROMISE). Age 45+ with Elevated Systolic Blood Pressure Special Competition, Heart
and Stroke Foundation of Ontario, $179,000,
6.McNally D, Doherty, D. Vitamin D-parathyroid axis abnormalities in children with congenital heart defects: prevalence and association with post operative
hypocalcemia, cardiovascular dysfunction and inflammation. A pilot study CHEORI Resident Grant. $2,500
7.Neilipovitz DN, Bryson GL, Nagpal S, Nathan H. Short Term Atorvastatin Regime for Vascular Surgery (STAR VaS) Study. Canadian Anesthesiologists’ Society. $20,000
8.Robblee J. Blood conservation using antifibrinolytics in a randomized trial (BART) study of high-risk cardiac surgical patients. CIHR. $11,736
9.Shinkaruk K, Nolan K. Preparation of Datex Ohmeda Aestiva 5 Anesthetic workstation for Malignant Hyperthermia (MH) Susceptible Patients. The Ottawa Hospital
Patient Safety Grant. $3,000
10.Splinter W, Vaillencourt, Doherty D. The use of off-label medications in children during the perioperative period. A cohort study into the usage of orphan drugs in
anesthesia and critical care over a 1 month period in a tertiary care pediatric hospital. Ontario MedBuy. $10,000
Grants 2008
1. Chaput A, Madden S. Implementation of a computerized Acute Pain Service database to monitor and prevent adverse events related to treatment of acute pain at
The Ottawa Hospital. University of Ottawa Department of Anesthesiology. $30,000
2. Dhanni S, Murto K. Inter-observer reliability of USCOM non-invasive Doppler ultrasound cardiac monitor in children. University of Ottawa Department of
Anesthesiology. $4,750
3. Jay O, Daboval T, Murto, K. Improving the non-invasive monitoring of core temperature in infants. FHS/CHEO. $20,450
4.Fayad A. Perioperative Mycardial Ischemia in Isolated Systolic Hypertension (PROMISE). Age 45+ with Elevated Systolic Blood Pressure Special Competition,
Heart and Stroke Foundation of Ontario, $183,000,
5.Murto K. Pilot study: Validation of the American Society of Anesthesiologists’ (ASA) guidelines to identify children with obstructive sleep apnea. University of Ottawa
Department of Anesthesiology. $4,750
6.Neilipovitz DN, Bryson GL, Nagpal S, Nathan H.Short Term Atorvastatin Regime for Vascular Surgery. Heart & Stroke Foundation Ontario. $99,799 (over 2 years)
7.Robblee J. Plan-Do-Study-Act for continuous quality improvement with perioperative patients. University of Ottawa Heart Institute AMO. $25,000
8.Yang H, Jetty P, Gofton W, Watters J, Ruddy T, Wells G, Fayad A. Perioperative Ischemia Reduction Study. Heart & Stroke Foundation Ontario. $49,994
61
Grants 2009
1.Arab AA, Cherry R, Tarshis J, O’Leary S, Lee AC, Naik VN. Simulation assisted oral examination for anesthesia certification in Canada. University of Ottawa Academy
for Innovation in Medical Education. $20,500.
2. Bould MD, 2009–2010. Self-assessment debriefing versus personalized instructor debriefing: A prospective randomized study. The Network of Excellence in
Simulation for Clinical Teaching and Learning. $27,414.
3. Bould MD, 2009 – 2010. Patient simulator-based education for teaching anesthesia residents cognitive and interpersonal non-technical skills for the management of
life-threatening airway crisis: impact of technical skills of cricothyrotomy, The Network of Excellence in Simulation for Clinical Teaching and Learning. $21,942.
4. Chaput A, Yang H, Bryson GL, Evans H, Power B, Jetty P, Beaule P. A randomized, double-blind, placebo-controlled trial to determine if the use of pregabalin
preoperatively and for 3 days post-operatively in high risk orthopedic and vascular surgery patients reduces acute post-operative pain and delirium. Physicians’
Services Incorporated. $159,000 (over 2 years).
5. Chiu M, Chadwick C, Segal R, Cross P, Lui A, Bryson GL, Taljaard M, Evans H. Efficacy of Thoracic Paravertebral Block in Reducing Chronic Pain and Disability after
Breast Cancer Surgery with Lymph Node Dissection (TPVB study). Women’s Breast Health Centre Research. $13,506.
62
GRANTS
6. Chiu M,Chadwick C, Segal R, Cross P, Lui A, Bryson GL, Taljaard M, Evans H. Efficacy of Thoracic Paravertebral Block in Reducing Chronic Pain and Disability after
Breast Cancer Surgery with Lymph Node Dissection. Canadian Breast Cancer Foundation Ontario. $258,829 (over 2 years).
7. Crooks S, Chiu M, Dumitrascu G Elliott R. High Fidelity Simulation as an Assessment Tool: A comparison with traditional methods of evaluating resident performance.
University of Ottawa Educational Initiatives in Residency Education. $3,000.
8. Doherty D, Chakraborty, Menon, McNally. The Prevalence of Vitamin D deficiency in Pediatric Critical Illness. CHEO RI. $26,737.
9. Doherty D, Messier. Piceatannol: A pharmacological approach to ischemic preconditioning. University of Ottawa Department of Anesthesiology. $8,000.
10. Doherty D, McNally, Ward, Chakraboorty. Vitamin D-parathyroid axis abnormalities in children with congenital heart defects: Prevalence and association with post
operative hypocalcemia, cardiovascular dysfunction, and inflammation; a pilot study. University of Ottawa Department of Anesthesiology.
$10,500.
11. Dupuis JY Bourke M, McDonald B. A Multi-Centre, Randomised, Double-Blind, Placebo Controlled Trial on Efficacy and Safety of FXIII Replenishment with two
different Doses of Recombinant Factor XIII following Cardiopulmonary Bypass Surgery. Novo-Nordisk. $72,353.
12. Dupuis JY Registry for Off-Label Use of Recombinant Factor VIIa- A Canadian Multi-Centre, Web-Based Registry. Novo-Nordisk. $17,300.
13. Dupuis JY The effect of acadesine on clinically significant adverse cardiovascular events in high-risk subjects undergoing coronary artery bypass graft (CABG) surgery
using cardiopulmonary bypass. Sponsor: Shering-Plough. Amount: $28,149.
14.MacDonald B. Esophageal Doppler hemodynamic monitoring to optimize fluid therapy in CSICU patients. University of Ottawa Heart Institute AMO. $25,000.
15.Moulin D, Smyth C, Wynne L. Development of a National Neuropathic Pain Database. Pfizer $104,450
16.Murto K, MacCormick, Lamontagne C, Rosen D, Vaillencourt. Celecoxib for pediatric adenotonsillectomy: a randomized controlled double blinded study. University
of Ottawa Department of Anesthesiology. $8,000.
17.Murto K, El-Alfy A, Ramphal, Halton, Vaillancourt R, Chaput A. The impact of genotype on plasma and CSF PK of celecoxib in children. CHEO RI.$30,000.
18.Murto K, El-Alfy A, Ramphal, Halton, Vaillancourt R, Chaput A. The impact of genotype on plasma and CSF PK of celecoxib in children. CHEO RI University of Ottawa
Department of Anesthesiology. $8,000.
19.Neira V, Mossdorf P, Doherty D, Nakajima A, Jabbour, Allain, Writer H. Evaluation of High Fidelity Simulation Based Training in Crisis Resource Management for
Anesthesia, Emergency Medicine and Pediatrics Residents in Critical Pediatric Respiratory Events. University of Ottawa Department of Anesthesiology. $6,000.
20.Posner G, Nakajima A, Varpio L, Naik VN. Assessing residents disclosure of Adverse Events: Simulated Scenario vs Standardized Patient. University of Ottawa
Academy for Innovation in Medical Education. $15,500.
21.Robblee J. CSICU readmissions and long-term outcome. University of Ottawa Heart Institute AMO. $25,000.
22.Robblee J. Survey Standards for critical care - Identify risks for patients and staff. University of Ottawa Heart Institute AMO. $25,000.
23.Rubens F, Dupuis JY. The effect of acadesine on clinically significant adverse cardiovascular events in high-risk subjects undergoing coronary artery bypass graft
(CABG) surgery using cardiopulmonary bypass. Schering-Plough. $28,149.
24.Splinter W. Dexmedetomidine. $11,375.
25. Vaillancourt R, Splinter W, Doherty D. The use of off-label medications in children during the perioperative period. A cohort study into the usage of orphan drugs in
anesthesia and critical care over a 1 month period in a tertiary care pediatric hospital. Ontario MedBuy. $9789.37.
26.Yang H, Jetty P, Gofton W, Watters J, Ruddy T, Wells G, Fayad A. Perioperative Ischemia Reduction Study III (PROSE III). The Ottawa Hospital Academic Medical
Organization. $606,502 (over 2 years).
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Grants 2010
1.Anderson V, Hutchison J.S., Doherty D. Serum biomarkers and quality of life in children with traumatic brain injury (TBI), Ontario Neurotrauma Foundation (ONF)
and The Victorian Neurotrauma Initiative (Australia), $50,527.
2.Arab AA, Friedman Z, Naik VN. Addressing challenging gap in the curriculum: Teaching professionalism using simulation. University of Ottawa Educational
Initiatives in Residency Education. $9,200.
3. Bryson GL, Power B, Taljaard M, Nathan H. Functional recovery and caregiver burden following surgery in the elderly. Canadian Anesthesiologists’ Society. $40,000.
4. Chaput A, Jetty P, Neilipovitz DN, Power B, Skinner C. A pilot study to evaluate the polysomnographic effects of pregabalin in postoperative patients. Canadian
Anesthesiologists’ Society. $10,000.
5. Chaput A, Madden S, Charapov I, Penning J, Szeto M. Implementation of a computerized Acute Pain Service database to monitor and prevent adverse events
related to treatment of acute pain at The Ottawa Hospital. University of Ottawa Department of Anesthesiology. $8,107.
6. Chaput A, Jetty P, Neilipovitz DN, Power B, Skinner C. A pilot study to evaluate the polysomnographic effects of pregabalin in postoperative patients. Pfizer.
$30,000.
7. Doherty D, 2010-2012 The Prevalence of Vitamin D Deficiency in Pediatric Critical Illness, Seed Grant, Children’s Hospital of Eastern Ontario.
CHEO Research Institute. $26,737.
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8. Doherty D. Messier C. Piceatannol: A pharmacological approach to ischemic preconditioning. JP Bickell Foundation. $76,749.
9.Fraser A, Chiu M, Crooks S, Naik VN. Simulated based education vs didactic teaching sessions for sterile technique training for Anesthesia Practitioners.
The Ottawa Hospital Academic Medical Organization. $13,300.
10.Hudson C. Compare CT-angiography with transesophageal echocardiography to detect and quantify atheromatous disease of the thoracic aorta.
University of Ottawa Heart Institute AMO. $25,000.
11.Macdonald J. ABC’s of dialogue: Establishing a therapeutic relationship in acute care medicine. University of Ottawa Heart Institute AMO. $25,000.
12.Murto K, 2010-2011 Celecoxib for pediatric Adenotonsillectomy: A randomized controlled-double-blinded study. Department of Anesthesiology Chairman Fund
Competition. $20,000.
13.Naik VN, Sydor D, Thompson C, Woo, Pugh, Worthington J, Patel R. Online learning and simulation training for residents in ultrasound-guided central venous
catheter insertion for a standardized approach at the Ottawa Hospital. University of Ottawa Educational Initiatives in Residency Education. $8,500.
14.Neilipovitz DN, Bormanis J, Bryson GL, Chaput A, Giulivi A, Jetty P, Pagliarello G, Taljaard M. Study using plasma for patients requiring emergency surgery.
PALM. $7,054.
15.Sohmer B, Hudson C, Hudson J, Naik VN. Psychomotor readiness optimized for beginner echocardiographers. University of Ottawa Educational Initiatives in
Residency Education. $3,000.
16. Wilson K, Harris C, Jarvis V, Kowal J, Nathan H, Smyth C. Coping with Chronic Neuropathic Among Cancer Survivors: A Multidisciplinary Approach. CIHR. $82,397.
Grants 2011
1. Bould MD, Everett T, Neira V, Naik VN. Simulation-based assessment for pediatric anesthesiology: a prospective, multicenter study. University of Ottawa Academy
for Innovation in Medical Education. $24,900.
2. Bould MD, Everett T, Ng, Letal, Cowie, Fleming, Kulkarni, Buu. Simulation-based assessment for pediatric anesthesiology: a prospective, multicenter study. Royal
College of Physicians and Surgeons of Canada. $45,278.
3. Bould MD, Everett T, Letal, Kulkarni, Cowie. Simulation-based assessment for pediatric anesthesiology: a prospective, multicenter study. Canadian
Anesthesiologists’ Society. $28,079.
4. Bould MD, Everett T, Letal, Kulkarni, Cowie. Simulation-based assessment for pediatric anesthesiology: a prospective, multicenter study. University of Ottawa
Department of Anesthesiology. $20,000.
5. Bryson GL, Power B, Taljaard M, Nathan H. Functional recovery and caregiver burden following surgery in the elderly. University of Ottawa Department of
Anesthesiology. $20,000.
6. Chaput A, Neilipovitz DN, Skinner C, Jetty P, Power B. Identification of risk factors for sleep deficits in postoperative abdominal aortic aneurysm repair patients
using polysomnography: an Observational Study. University of Ottawa Department of Anesthesiology. $20,000.
7. Doja A, Naik VN, Sharma M, DeMeulemeester C, Lindsay, Bould MD. The development of a feasible, valid and reliable tool for assessment of performance during
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‘Stroke Codes.” University of Ottawa Educational Initiatives in Residency Education. $9,000.
8.Naik VN, Sydor D, Thompson C, Woo, Pugh, Worthington J, Patel R. Online learning and simulation training for residents in ultrasound-guided central venous
catheter insertion for a standardized approach at TOH. University of Ottawa Educational Initiatives in Residency Education. $8,500.
9.Naik VN, Punja A, Sydor D, Chiu M, Lee. Investigating the reliability and feasibility of a summative oral examination administered remotely over the internet.
University of Ottawa Educational Initiatives in Residency Education. $3,500.
10.Malas T, Price J, Lam K, Hendry P, Brandys T, Boodhwani M, Naik VN. The Use of Visualization in Surgical Simulation Training to Evaluate Performance of Vascular
Anastamosis on a High-Fidelity In-Vivo Model. University of Ottawa Department of Surgery.
11.Murto K, 2011-2012 The addition of clonidine to a 0.2% ropivacaine for wound instillation after lower abdominal surgery in children. Department of Surgery Research
Fund. $10,000.
12.Murto K, 2011-2012 The addition of clonidine to a 0.2% ropivacaine for wound instillation after lower abdominal surgery in children. Department of Anesthesiology
Chairman Fund. $7,500.
13.Murto K. Celecoxib for pediatric adenotonsillectomy: a randomized controlled double-blinded study. CHEO Department of Surgery Research Fund. $7,500.
14.Murto K, MacCormick A, Lamontagne C, Rosen D, Vaillancourt R. Celecoxib for pediatric adenotonsillectomy: a randomized controlled double blinded study. CHEO
RI University of Ottawa Department of Anesthesiology. $20,000.
15.Murto K. Celecoxib Plasma and Cerebral Spinal Fluid Pharmacokinetics in Children. November 2011 application to C17 (Children’s Cancer and Blood Disorders)
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for $138,465.
GRANTS
16.Neilipovitz DN, Bormanis J, Bryson GL, Chaput A, Giulivi A, Jetty P, Pagliarello G, Taljaard M. Study using plasma for patients requiring emergency surgery. University
of Ottawa Department of Anesthesiology. $20,000.
17.Neilipovitz DN. The Ottawa Sleep Tool (TOAST) for ICU patients. The Ottawa Hospital–Intensive Care Unit. $10,000.
18.Sohmer B, Hudson C, Hudson J, Naik VN. Psychomotor Readiness Optimized for Beginner Echocardiographers (PROBE). University of Ottawa Educational Initiatives
in Residency Education. $3,000.
Grants 2012
1. Boet S, Power D, Bould MD, Everett T, Gale M. Does instruction on cognitive aid use improve performance and retention of skills? A simulation based randomized
controlled trial. The Ottawa Hospital Academic Medical Organization. $28,628.
2. Boet S, Alam F, Piquette D, Leblanc VR. Using mental practice and modeling to enhance clinical learning experiences in medical education harnessing novel podcast
technology. The University of Ottawa Educational Initiatives in Residency Education. $8,500.
3. Bould MD, Everett T, Cheng A, Eppich W, Moreau K, MacKinnon R. Characterizing The Debriefer: A Mixed Methods Study Of Debriefing in Simulation. University of
Ottawa Academy for Innovation in Medical Education. $19,750.
4. Bould MD, Everett T, Cheng A, Eppich W, Moreau K, MacKinnon R. Characterizing the Debriefer: A Mixed Methods Study Of Debriefing in Simulation. Children’s
Hospital of Eastern Ontario AMO. $36,857.
5. Bould MD, Moreau K, Clarkin C, McCarthy A, Ismailova F, Kinnear J. Global health partnerships in anaesthesia residency: the lived experience for postgraduate
trainees. University of Ottawa Academy for Innovation in Medical Education. $11,300.
6. DiRenna T, Crooks S, Boet A, Fraser A, Naik VN, Power D. Cardiac Arrest Roles Defined (C.A.R.D.) protocol in perioperative cardiac arrests: a simulation-based
multidisciplinary study. The Ottawa Hospital Academic Medical Organization. $47,835.
7. Doja A, Posner G, Sutherland S, Writer H, Bould MD. Formal, informal, or hidden curriculum: what type of interprofessional education is being delivered in the
delivery room? University of Ottawa Academy for Innovation in Medical Education. $8,230.
8.Lai A, Boet S, Haligula A, Bould MD. Learning crisis resource management: Practicing versus observational role in simulation training. University of Ottawa
Educational Initiatives in Residency Education $12,900.
9.Lalu M, Stewart D. In vivo assessment of a cellular clinical-grade immunotherapeutic for septic shock (CELLS2). Canadian Anesthesiologists’ Society/ LMA-Vitaid
Residents’ Research Grant. $7,500.
10.Macdonald J, Hartwick M, Naik VN. Communication as a Medical Skill (ComMS) Check - Validation of a communication curriculum to enable medical professionals to
develop rapport and therapeutic relationships in acute care environments. University of Ottawa Educational Initiatives in Residency Education. $ 6,500.
11.Murto K. Celecoxib Plasma and Cerebral Spinal Fluid Pharmacokinetics in Children. March 2012 application to CIHR (Children’s Cancer and Blood Disorders) for
$147,000. (Results to be announced June 2012.)
12.Naik VN, Sydor D, Thompson C, Woo M, Pugh D, Patel R. Interactive online learning for staff physicians in US guided central venous catheter insertion for a
standardized approach at TOH. The Ottawa Hospital Academic Medical Organization. $100,000.
13.Power D, Bould MD, Gale M, Everett T, Boet S. Does Instruction on Cognitive Aids Use improve Performance and Retention of Skills? A simulation-based
randomized controlled trial. University of Ottawa Academy for Innovation in Medical Education. $16,350.
14.Robblee J. Real time adverse event reporting in the operating room – triggers. University of Ottawa AMO. $25,000.
15.Smyth C, Nathan H, DiRenna T, Wynne L, Lewis G, Poulin P, Jarvis H. Refinement of a chronic pain preceptorship program (Phase II) connecting family practitioners in
the Champlain LHIN with the Academic Pain Clinic (TOHPC). The Ottawa Hospital Academic Medical Organization. $100,000.
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Publications 2007-2012
Publications 2007
1.Abu-Shahwan I, Mack D. Propofol and remifentanil for deep sedation in children undergoing gastrointestinal endoscopy. Paediatr Anaesth 2007; 17(5):460-463.
2.Abu-Shahwan I, Chowdary K. Ketamine is effective in decreasing the incidence of emergence agitation in children undergoing dental repair under sevoflurane
general anesthesia. Paediatr Anaesth 2007; 17(9):846-850.
3.Abu-Shahwan I. Ambulatory anesthesia and the lack of consensus among Canadian pediatric anesthesiologists: a survey. Paediatr Anaesth 2007; 17(3):223-229.
4.Akbari A, Wilkes P, Lindheimer M, Lepage N, Filler G. Reference intervals for anion gap and strong ion difference in pregnancy: a pilot study. Hypertens Pregnancy
2007; 26(1):111-119.
5. Baxter AD, Kanji S. Protocol implementation in anesthesia: beta-blockade in non-cardiac surgery patients. Can J Anaesth 2007; 54(2):114-123.
6. Boodhwani M, Rubens F, Wozny D, Rodriguez R, Nathan HJ. Effects of sustained mild hypothermia on neurocognitive function after coronary artery bypass surgery:
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a randomized, double-blind study. J Thorac Cardiovasc Surg 2007; 134(6):1443-1450.
7. Bryson GL, Macneil R, Jeyaraj LM, Rosaeg OP. Small dose spinal bupivacaine for Cesarean delivery does not reduce hypotension but accelerates motor recovery.
Can J Anaesth 2007; 54(7):531-537.
8. Bryson GL, Thompson C, Gagne S, Byford L, Penning J, Kattan M. The addition of adrenaline to thoracic epidural meperidine does not improve analgesia following
thoracotomy. Can J Anaesth 2007; 54(11):882-890.
9. Chan V, Kulik A, Bourke ME, Ressler L, Mesana TG, Ruel M. Clopidogrel is safe early after on- and off-pump coronary artery bypass surgery. J Card Surg 2007; 22(6):
493-497.
10. Chan V, Veinot JP, Hynes M, Lapierre H, Ruel M. Infected right ventricular myxoma and pulmonary valve endocarditis. J Thorac Cardiovasc Surg 2007;134:248-9.
11. Crosby ET. Considerations for airway management for cervical spine surgery in adults. Anesthesiol Clin 2007; 25(3):511-33, ix.
12.Ellis JA, Martelli B, Lamontagne C, Splinter W. Evaluation of a continuous epidural analgesia program for postoperative pain in children. Pain Manag Nurs 2007;
8(4):146-155.
13.Fayad A. Left ventricular outflow obstruction in a patient with undiagnosed hypertrophic obstructive cardiomyopathy. Can J Anaesth 2007; 54(12):1019-1020.
14.Fayad A. A misplaced guide wire in the false lumen during endovascular repair of a type B aortic dissection. Can J Anaesth 2007; 54(11):947-948.
15.Fayad A. Images in Anesthesia. Transesophageal echocardiographic diagnosis of a failed balloon catheter during endovascular stenting of a descending thoracic
aneurysm. Can J Anaesth 2007; 54(10):848-849.
16. Kulik A, Rubens FD, Gunning D, Bourke ME, Mesana TG, Ruel M. Radial artery graft treatment with phenoxybenzamine is clinically safe and may reduce
perioperative myocardial injury. Ann Thorac Surg 2007; 83(2):502-509.
17.Mesana TG, Ibrahim M, Kulik A, Ruel M, Dover K, Nicholson D et al. The “hybrid flip-over” technique for anterior leaflet prolapse repair. Ann Thorac Surg 2007;
83(1):322-323.
18.Miller DR, Wozny D. Research awards program of the Canadian Anesthesiologists’ Society/Canadian Anesthesia Research Foundation: survey of past recipients.
Can J Anaesth 2007; 54(4):314-319.
19.Miller DR. Science journals and global outreach initiatives in developing countries. Can J Anaesth 2007; 54(11):868-871.
20.Nathan HJ, Rodriguez R, Wozny D, Dupuis JY, Rubens FD, Bryson GL et al. Neuroprotective effect of mild hypothermia in patients undergoing coronary artery
surgery with cardiopulmonary bypass: five-year follow-up of a randomized trial. J Thorac Cardiovasc Surg 2007; 133(5):1206-1211.
21.Neilipovitz DT, Crosby ET. No evidence for decreased incidence of aspiration after rapid sequence induction. Can J Anaesth 2007; 54(9):748-764.
22.Neilipovitz DT, Zunder I, Pagliarello G. Extension of a shortened endotracheal tube. Can J Anaesth 2007; 54(5):399-400.
23.Rodriguez RA, Rodriguez CD, Mesana T, Nathan HJ. Distinguishing air from solid emboli using ultrasound: in-vitro study of the effect of Doppler carrier frequency.
J Neuroimaging 2007; 17(3):211-218.
24.Rubens FD, Boodhwani M, Mesana T, Wozny D, Wells G, Nathan HJ. The cardiotomy trial: a randomized, double-blind study to assess the effect of processing of
shed blood during cardiopulmonary bypass on transfusion and neurocognitive function. Circulation 2007; 116(11 Suppl):I89-I97.
25.Rubens FD, Nathan H. Lessons learned on the path to a healthier brain: dispelling the myths and challenging the hypotheses. Perfusion 2007; 22(3):153-160.
27.Rubens FD, Boodhwani M, Nathan H. Interpreting studies of cognitive function following cardiac surgery: a guide for surgical tea Perfusion 2007; 22(3):185-192.
29. van Klei WA, Bryson GL, Yang H, Kalkman CJ, Wells GA, Beattie WS. The value of routine preoperative electrocardiography in predicting myocardial infarction after
noncardiac surgery. Ann Surg 2007; 246(2):165-170.
30. van Klei WA, Bryson GL, Yang H, Kalkman CJ, Wells GA, Beattie WS. The value of routine preoperative electrocardiography in predicting myocardial infarction after
noncardiac surgery. Ann Surg 2007; 246(2):165-170.
31. Wijeysundera DN, Karkouti K, Dupuis JY, Rao V, Chan CT, Granton JT et al. Derivation and validation of a simplified predictive index for renal replacement therapy
after cardiac surgery. JAMA 2007; 297(16):1801-1809.
Publications 2008
1.Abu-Shahwan I. Ketamine does not reduce postoperative morphine consumption after tonsillectomy in children. Clin J Pain 2008; 24(5):395-398.
2.Abu-Shahwan I. Is sevoflurane and remifentanil induction of anesthesia safe in children with severe dilated cardiomyopathy? J Cardiothorac Vasc Anesth 2008;
22(5):744-745.
3.Abu-Shahwan I. Effect of propofol on emergence behavior in children after sevoflurane general anesthesia. Paediatr Anaesth 2008; 18(1):55-59.
4.Allan R, Hynes M, Burwash IG, Veinot JP, Chan KL. Coronary artery complications in infective endocarditis. Ann Thorac Surg 2008; 86(4):1381.
5. Baxter AD, Cardinal P, Hooper J, Patel R. Rapid response systems--the real merit of MERIT? Crit Care Med 2008; 36(2):655-656.
6. Baxter AD, Cardinal P, Hooper J, Patel R. Medical emergency teams at The Ottawa Hospital: the first two years. Can J Anaesth 2008; 55(4):223-231.
7. Bhananker SM, Azavedo LF, Splinter WM. Addition of morphine to local anesthetic infiltration does not improve analgesia after pediatric dental extractions. Paediatr
Anaesth 2008; 18(2):140-144.
8. Boodhwani M, Nathan HJ, Mesana TG, Rubens FD. Effects of shed mediastinal blood on cardiovascular and pulmonary function: a randomized, double-blind study.
Ann Thorac Surg 2008; 86(4):1167-1173.
9. Bryson GL. Waiting for hip fracture repair - do outcomes and patients suffer? Can J Anaesth 2008; 55(3):135-139.
10. Devereaux PJ, Yang H, Yusuf S, Guyatt G, Leslie K, Villar JC et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE
trial): a randomised controlled trial. Lancet 2008; 371(9627):1839-1847.
11. Dupuis JY. Predicting outcomes in cardiac surgery: risk stratification matters? Curr Opin Cardiol 2008; 23(6):560-567.
12.Eipe N, Doherty D. Flexible laryngeal mask airway for head and neck oncoplastic surgery? Eur J Anaesthesiol 2008; 25(11):947.
13.Eipe N, Kim J, Ramsey G, Mossdorf P. Anesthesia for laser treatment for retinopathy of prematurity--all clear now? Paediatr Anaesth 2008; 18(11):1103-1105.
69
14.Farion KJ, Splinter KL, Newhook K, Gaboury I, Splinter WM. The effect of vapocoolant spray on pain due to intravenous cannulation in children: a randomized
controlled trial. CMAJ 2008; 179(1):31-36.
15.Fayad A. Echocardiography images of endovascular mal-aligned stent grafts. Can J Anaesth 2008; 55(5):306-307.
16.Fayad A, Yang H. Is Peri-Operative Isolated Systolic Hypertension (ISH) a Cardiac Risk Factor? Curr Cardiol Rev 2008; 4(1):22-33.
17.Fayad A. Thoracic endovascular stent graft with a bird’s beak sign. Can J Anaesth 2008; 55(11):785-786.
18.Fergusson DA, Hebert PC, Mazer CD, Fremes S, Macadams C, Murkin JM et al. A comparison of aprotinin and lysine analogues in high-risk cardiac surgery. N Engl
J Med 2008; 358(22):2319-2331.
19.Hutchison JS, Doherty DR, Orlowski JP, Kissoon N. Hypothermia therapy for cardiac arrest in pediatric patients. Pediatr Clin North Am 2008; 55(3):529-44, ix.
20.Irwin D, Vaillancourt R, Dalgleish D, Thomas M, Grenier S, Wong E et al. Standard concentrations of high-alert drug infusions across paediatric acute care. Paediatr
Child Health 2008; 13(5):371-376.
21.Miller DR. Disclosure of conflicts of interest in biomedical publications. Can J Anaesth 2008; 55(5):265-269.
22.Murto K, Bryson GL, Abushahwan I, King J, Moher D, El-Emam K et al. Parents are reluctant to use technological means of communication in pediatric day care.
Can J Anaesth 2008; 55(4):214-222.
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23.Neema PK, Manikandan S, Ahuja A, Dharan BS, Gandhi S, Krishnamanohar SR et al. Case 4--2008: difficult weaning from cardiopulmonary bypass in the lateral
position caused by lung collapse. J Cardiothorac Vasc Anesth 2008; 22(4):616-624.
24.Ozard J, Mossdorf P, Doja A, Writer H, Doherty DR. Acute hypomagnesaemia causing intra-operative lower limb movements in a paraplegic patient, despite full
neuromuscular blockade. Acta Anaesthesiol Scand 2008; 52(7):1018-1020.
25.Rubens FD, Wells GA, Nathan HJ. Letter by Rubens et al regarding article, “Continuous-flow cell saver reduces cognitive decline in elderly patients after coronary
bypass surgery”. Circulation 2008; 117(21):e348.
Publications 2009
1. Boodhwani M, Rubens FD, Wozny D, Nathan HJ. Effects of mild hypothermia and rewarming on renal function after coronary artery bypass grafting. Ann Thorac
Surg 2009; 87(2):489-495.
2. Bould MD, Crabtree NA, Naik VN. Assessment of procedural skills in anaesthesia. Br J Anaesth 2009; 103(4):472-483.
3. Byrick RJ, Naik VN, Wynands JE. Simulation-based education in Canada: will anesthesia lead in the future? Can J Anaesth 2009; 56(4):273-278.
4. Choi PT, Beattie WS, Bryson GL, Paul JE, Yang H. Effects of neuraxial blockade may be difficult to study using large randomized controlled trials: the PeriOperative
Epidural Trial (POET) Pilot Study. PLoS One 2009; 4(2):e4644.
5. Chong PC, Greco EF, Stothart D, Maziak DE, Sundaresan S, Shamji FM et al. Substantial variation of both opinions and practice regarding perioperative fluid
resuscitation. Can J Surg 2009; 52(3):207-214.
6. Doherty DR. Towards a pharmacological neuro-protectant: can anesthesia deliver? Can J Anaesth 2009; 56(10):721-724.
7. Doherty DR, Parshuram CS, Gaboury I, Hoskote A, Lacroix J, Tucci M et al. Hypothermia therapy after pediatric cardiac arrest. Circulation 2009; 119(11):1492-1500.
8.Eipe N, Barrowman N, Writer H, Doherty D. A weight-based formula for tracheal tube size in children. Paediatr Anaesth 2009; 19(4):343-348.
9.Eipe N. Nasal intubation after tongue-flap surgery? Acta Anaesthesiol Scand 2009; 53(2):269-270.
10.Eipe N, Kim J. Unusually startling code blues! Paediatr Anaesth 2009; 19(1):68-69.
11.Eipe N, Lai L, Doherty DR. Severe pulmonary hypertension and adenotonsillectomy in a child with Trisomy-21 and obstructive sleep apnea. Paediatr Anaesth 2009;
19(5):548-549.
12.Eipe N, Penning J. Bowel surgery and multimodal analgesia: same game, new team? Anesth Analg 2009; 109(5):1703-1704.
13.Eipe N. Left molar intubation for tongue flap division. Paediatr Anaesth 2009; 19(2):196.
14.Eipe N, Murto K. Adrenal insufficiency and thyroid replacement therapy. Paediatr Anaesth 2009; 19(4):422-423.
15. Kim J, Neilipovitz D, Cardinal P, Chiu M. A comparison of global rating scale and checklist scores in the validation of an evaluation tool to assess performance in the
resuscitation of critically ill patients during simulated emergencies (abbreviated as “CRM simulator study IB”). Simul Healthc 2009; 4(1):6-16.
16. Kim J, Thornton J, Eipe N. Spinal anesthesia for the premature infant: is this really the answer to avoiding postoperative apnea? Paediatr Anaesth 2009; 19(1):56-58.
17.Lane A, Crosby ET. Blood management for hip reconstruction surgery. Orthop Clin North Am 2009; 40(3):417-425.
18.Miller DR, Donati F, Drolet P. Special announcement: perioperative cardiovascular rounds and continuing professional development modules in the Journal. Can J
Anaesth 2009; 56(6):402-407.
19.Miller DR. Special notice to readers and authors on scientific misconduct. Can J Anaesth 2009; 56(6):408-411.
20.Nathan HJ. Invited commentary. Ann Thorac Surg 2009; 87(1):288.
21.Pysyk CL, Murto K, Kuehn S, Doherty DR. Surgical diagnosis is an important variable to consider in postanesthesia exposure-associated learning disabilities.
Anesthesiology 2009; 111(6):1382-1386.
22.Rodriguez RA, Nathan HJ, Ruel M, Rubens F, Dafoe D, Mesana T. A method to distinguish between gaseous and solid cerebral emboli in patients with prosthetic
heart valves. Eur J Cardiothorac Surg 2009; 35(1):89-95.
23.Splinter WM, Eipe N. Anti-NMDA receptor antibodies encephalitis. Paediatr Anaesth 2009; 19(9):911-913.
24.Tang R, Evans H, Chaput A, Kim C. Multimodal analgesia for hip arthroplasty. Orthop Clin North Am 2009; 40(3):377-387.
Publications 2010
1. Blew P, Muir JG, Naik VN. The evolving Royal College examination in anesthesiology. Can J Anaesth 2010; 57(9):804-810.
2. Boet S, Bould MD, Schaeffer R, Fischhof S, Stojeba N, Naik VN et al. Learning fibreoptic intubation with a virtual computer program transfers to ‘hands on’
improvement. Eur J Anaesthesiol 2010; 27(1):31-35.
3. Boodhwani M, Hamilton A, de VB, Mesana T, Williams K, Wells GA et al. A multicenter randomized controlled trial to assess the feasibility of testing modified
ultrafiltration as a blood conservation technology in cardiac surgery. J Thorac Cardiovasc Surg 2010; 139(3):701-706.
4. Bould MD, Boet S, Riem N, Kasanda C, Sossou A, Bruppacher HR. National representation in the anaesthesia literature: a bibliometric analysis of highly cited
anaesthesia journals. Anaesthesia 2010; 65(8):799-804.
5. Bruppacher HR, Alam SK, LeBlanc VR, Latter D, Naik VN, Savoldelli GL et al. Simulation-based training improves physicians’ performance in patient care in highstakes clinical setting of cardiac surgery. Anesthesiology 2010; 112(4):985-992.
6. Bryson GL, Charapov I, Krolczyk G, Taljaard M, Reid D. Intravenous lidocaine does not reduce length of hospital stay following abdominal hysterectomy. Can J
Anaesth 2010; 57(8):759-766.
7. Bryson GL. Methods and madness: agitation, delirium, and postoperative cognitive dysfunction. Can J Anaesth 2010; 57(9):799-803.
8. Crosby ET. The role of simulator-based assessments in physician competency evaluations. Can J Anaesth 2010; 57:627-635.
9. Doherty DR, Pascuet E, Ni A, Stewart P, Splinter W, Vaillancourt R. Off-label drug use in pediatric anesthesia and intensive care according to official and pediatric
reference formularies. Can J Anaesth 2010; 57(12):1078-1088.
10. Doherty DR, Hutchison JS. Study of hypothermia therapy after pediatric cardiac arrest. Pediatr Crit Care Med 2010; 11(2):315-316.
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11.Eipe N, Penning J. Opioid conversions and patient-controlled analgesia parameters in opioid-dependent patients. Can J Anaesth 2010; 57(12):1129-1130.
12.Eipe N, Doherty DR. A review of pediatric capnography. J Clin Monit Comput 2010; 24(4):261-268.
13.Fayad A, Yang H, Terry Ruddy, James Watters, George Wells. Perioperative Myocardial Ischemia and Isolated systolic Hypertension (ISH) in Non-cardiac Surgery.
Canadian Journal of Anesthesia. Aug 2010. In press.
14.Fayad A. Echocardiography images of inferior vena cava tumour thrombus in patient with renal cell carcinoma. Can J Anaesth. 2008. Aug; 55(8): 557-8.
15.Fayad A. Thoracic endovascular stent graft with a bird’s beak sign. Can J Anaesth. 2008 Nov; 55(11):785-6.
16.Geier C, Elgeti T, Ozcelik C, Fayad A. Hypertrophic cardiomyopathy - a matter of genes. Can J Anaesth. 2008 May; 55(5):309-11.
17.Fayad A. Echocardiography images of endovascular mal-aligned stent grafts. Can J Anaesth. 2008 May; 55(5):306-7.
18.Fayad A. Left ventricular outflow obstruction in a patient with undiagnosed hypertrophic obstructive cardiomyopathy. Can J Anaesth. 2007 Dec; 54(12):1019-20.
19.Fayad A. A misplaced guide wire in the false lumen during endovascular repair of a type B aortic dissection. Can J Anaesth. 2007 Nov; 54(11): 947-8.
20.Fayad A. Images in Anesthesia. Transesophageal echocardiographic diagnosis of a failed balloon catheter during endovascular stenting of a descending thoracic
aneurysm. Can J Anaesth. 2007 Oct; 54(10):848-9.
72
21.Fergusson DA, Hébert PC, Mazer CD, Fremes S, MacAdams C, Murkin JM, Teoh K, Duke PC, Arellano R, Blajchman MA, Bussières JS, Côté D, Karski J, Martineau R,
Robblee JA, Rodger M, Wells G, Clinch J, Pretorius R; BART Investigators. A comparison of aprotinin and lysine analogues in high-risk cardiac surgery. N Engl J Med
2008;358:2319-31. Epub 2008 May 14. Erratum in: N Engl J Med 2010;363:1290.
22.Grisoli D, Chan V, Tran A, Ressler L, Nicholson D, Hynes M et al. Frequency and surgical management of complex posterior leaflet prolapse of the mitral valve. J
Heart Valve Dis 2010; 19(5):568-575.
23.Hall R, Beattie S, Cheng D, Choi P, Denault AY, Mazer D et al. Can we develop a Canadian Perioperative Anesthesiology Clinical Trials Group? Can J Anaesth 2010;
57(12):1051-1057.
24.Hayter MA, Friedman Z, Katznelson R, Hanlon JG, Borges B, Naik VN. Effect of sleep deprivation on labour epidural catheter placement. Br J Anaesth 2010;
104(5):619-627.
25.Hudson CC, Welsby IJ, Phillips-Bute B, Mathew JP, Lutz A, Chad HG et al. Glycosylated hemoglobin levels and outcome in non-diabetic cardiac surgery patients.
Can J Anaesth 2010; 57(6):565-572.
26. Kanji S, Jones E, Goddard R, Meggison HE, Neilipovitz D. Efficiency and safety of a standardized protocol for intravenous insulin therapy in ICU patients with
neurovascular or head injury. Neurocrit Care 2010; 12(1):43-49.
27.Michaud A, Dupuis JY. Echocardiographic evaluation of TASER X26 in healthy volunteers. Am J Emerg Med 2010; 28(4):521-523.
28.Miller DR. 2010 Guidelines and international standards to the practice of anesthesia. Can J Anaesth 2010; 57(11):957-960.
29.Moga R, Nicholson D, Hudson JK, Hudson CC. A little-known valve. J Cardiothorac Vasc Anesth 2010.
30.Murto K. Diagnostic Challenge: Obstructive Sleep Apnea in Children Undergoing Anesthesia for Tonsil Surgery. Society for Ambulatory Anesthesia 2010; 25(3): 6.
31.Nairn TK, Giulivi A, Neurath D, Tokessy M, Sia YT, Ruel M et al. Urgent replacement of a mechanical mitral prosthesis in an anticoagulated patient with Bombay red
blood cell phenotype. Can J Anaesth 2010; 57(6):583-587.
32.Parush A, Kramer C, Foster-Hunt T, Momtahan K, Hunter A, Sohmer B. Communication and team situation awareness in the OR: Implications for augmentative
information display. J Biomed Inform 2011;44:477-85. Epub 2010 Apr 8.
33.Pascuet E, Cowin L, Vaillancourt R, Splinter W, Vadeboncoeur C, Dumond LG et al. A comparative cost-minimization analysis of providing paediatric palliative respite
care before and after the opening of services at a paediatric hospice. Healthc Manage Forum 2010; 23(2):63-66.
34.Pysyk CL, Persaud D, Bryson GL, Lui A. Ultrasound assessment of the vertebral level of the palpated intercristal (Tuffier’s) line. Can J Anaesth 2010; 57(1):46-49.
35.Rodriguez RA, Rubens FD, Wozny D, Nathan HJ. Cerebral emboli detected by transcranial Doppler during cardiopulmonary bypass are not correlated with
postoperative cognitive deficits. Stroke 2010; 41(10):2229-2235.
36.Roy D, Neira V. Need for shortening of epidural catheter – not applicable for all types of catheters. J Anesth Clin Pharmacol 2010; 26 (3): 428.
37.Ruel M, Dickie S, Chow BJ, Labinaz M. Interventional valve surgery: building a team and working together. Semin Thorac Cardiovasc Surg 2010; 22(2):145-149.
38.Splinter WM, Thomson ME. Somatic paravertebral block decreases opioid requirements in children undergoing appendectomy. Can J Anaesth 2010; 57(3):206-210.
39.Swaminathan M, Hudson CC, Phillips-Bute BG, Patel UD, Mathew JP, Newman MF et al. Impact of early renal recovery on survival after cardiac surgery-associated
acute kidney injury. Ann Thorac Surg 2010; 89(4):1098-1104.
40.Thomas M, Dhanani S, Irwin D, Writer H, Doherty D. Development, dissemination and implementation of a sedation and analgesic guideline in a pediatric intensive
care unit...it takes creativity and collaboration. Dynamics 2010; 21(4):16-25.
41.Thompson C, Moga R, Crosby ET. Failed videolaryngoscope intubation in a patient with diffuse idiopathic skeletal hyperostosis and spinal cord injury. Can J Anaesth
2010; 57(7):679-682.
42. Vadeboncoeur CM, Splinter WM, Rattray M, Johnston DL, Coulombe L. A Pediatric Palliative Care Program in Development Trends in Referral and Location of Death.
Arch Dis Child. 2010; 95: 686-689.
43. Vaillancourt R, Collins M, Vadeboncoeur C, Jacob P, Graham N, Foster D et al. Successful treatment of a seizure disorder with chronic high-dose chloral hydrate: a
pediatric case report. J Palliat Care 2010; 26(4):311-313.
44. Wilkes P, Akbari A. Unappreciated aspects of fluid and electrolyte physiology and implications to patient recovery. Can J Anaesth 2010; 57(7):636-640.
45.Yang H. Further reflections on recent updates to perioperative beta-blocker guidelines. Can J Anaesth 2010; 57(7):712-713.
Publications 2011
1.Antrobus JD, Bryson GL. Enhanced recovery for arthroplasty: good for the patient or good for the hospital? Can J Anaesth 2011; 58(10):891-896.
2. Bahaziq W, Crosby E. Physician professional behaviour affects outcomes: a framework for teaching professionalism during anesthesia residency. Can J Anaesth 2011;
58(11):1039-1050.
3. Belway D, Tee R, Nathan HJ, Rubens FD, Boodhwani M. Temperature management and monitoring practices during adult cardiac surgery under cardiopulmonary
bypass: results of a Canadian national survey. Perfusion 2011; 26(5):395-400.
4. Boet S, Borges BC, Naik VN, Siu LW, Riem N, Chandra D et al. Complex procedural skills are retained for a minimum of 1 yr after a single high-fidelity simulation
training session. Br J Anaesth 2011; 107(4):533-539.
5. Boet S, Bould MD, Diemunsch P. Evolving challenges and opportunities for difficult airway management guidelines. Can J Anaesth 2011; 58(8):703-708.
6. Boet S, Collange O, Bould MD. Teaching hemodynamics via horticulture. Can J Anaesth 2011; 58(6):588-589.
7. Boet S, Bould MD, Bruppacher HR, Desjardins F, Chandra DB, Naik VN. Looking in the mirror: self-debriefing versus instructor debriefing for simulated crises. Crit
Care Med 2011; 39(6):1377-1381.
8. Boet S, Bould MD, Diemunsch PA. Combined rigid videolaryngoscopy-flexible bronchoscopy for intubation. Korean J Anesthesiol 2011; 60(5):381-382.
9. Bould MD, Sury MR. Defining awakening from anesthesia in neonates: a consensus study. Paediatr Anaesth 2011; 21(4):359-363.
10. Bould MD, Boet S, Sharma B, Shin E, Barrowman NJ, Grantcharov T. h-Indices in a university department of anaesthesia: an evaluation of their feasibility, reliability,
and validity as an assessment of academic performance. Br J Anaesth 2011; 106(3):325-330.
73
11. Bryson GL, Wyand A, Wozny D, Rees L, Taljaard M, Nathan H. A prospective cohort study evaluating associations among delirium, postoperative cognitive
dysfunction, and apolipoprotein E genotype following open aortic repair. Can J Anaesth 2011; 58(3):246-255.
12. Bryson GL, Wyand A, Wozny D, Rees L, Taljaard M, Nathan H. The clock drawing test is a poor screening tool for postoperative delirium and cognitive dysfunction
after aortic repair. Can J Anaesth 2011; 58(3):267-274.
13. Devereaux PJ, Xavier D, Pogue J, Guyatt G, Sigamani A, Garutti I et al. Characteristics and Short-Term Prognosis of Perioperative Myocardial Infarction in Patients
Undergoing Noncardiac Surgery: A Cohort Study. Ann Intern Med 2011; 154(8):523-528.
14. Devereaux PJ, Guyatt G, Yang H, Yusuf S. Essay for the CIHR/CMAJ award: impact of the Perioperative Ischemic Evaluation (POISE) trial. CMAJ 2011;
183(6):E351-E353.
15. Dhanani S, Barrowman NJ, Ward RE, Murto KT. Intra- and inter-observer reliability using a noninvasive ultrasound cardiac output monitor in healthy anesthetized
children. Paediatr Anaesth 2011; 21(8):858-864.
16. Dhanani S, Barrowman NJ, Ward RE, Murto KT. Intra- and inter-observer reliability using a noninvasive ultrasound cardiac output monitor in healthy anesthetized
children. Paediatr Anaesth 2011; 21(8):858-864.
74
17. Donati F, Miller DR, Fiset P. Target-controlled infusion devices: are we missing much? Can J Anaesth 2011; 58(4):349-353.
18.Eipe N, Penning J. Postoperative respiratory depression with pregabalin: a case series and a preoperative decision algorithm. Pain Res Manag 2011; 16(5):353-356.
19.Ellis J, Martelli B, Lamontagne C, Pascuet E, Taillefer L, Gaboury I et al. Improved practices for safe administration of intravenous bolus morphine in a pediatric
setting. Pain Manag Nurs 2011; 12(3):146-153.
20.Elmistekawy E, Lapierre H, Bourke M, Dennie C, Labinaz M, Ruel M. Repeat cardiac surgery in a Jehovah’s Witness patient with thrombocytopenia. Can J Cardiol
2011; 27(6):869-8.
21.Elmistekawy EM, Gawad N, Bourke M, Mesana T, Boodhwani M, Rubens FD. Is bilateral internal thoracic artery use safe in the elderly? J Card Surg 2012;27:1-5. Epub
2011 Nov 24.
22.Elmistekawy E, Chan V, Bourke ME, Dupuis JY, Rubens FD, Mesana TG, Ruel M. Off-pump coronary artery bypass grafting does not preserve renal function better
than on-pump coronary artery bypass grafting: results of a case-matched study. J Thorac Cardiovasc Surg 2012;143:85-92. Epub 2011 Oct 27.
23.Fayad AA, Yang HY, Ruddy TD, Watters JM, Wells GA. Perioperative myocardial ischemia and isolated systolic hypertension in non-cardiac surgery. Can J Anaesth
2011; 58(5):428-435.
24.Forero M, Neira VM, Heikkila AJ, Paul JE. Continuous lumbar transversus abdominis plane block may spread to supraumbilical dermatomes. Can J Anaesth 2011;
58(10):948-951.
25.Forster AJ, Worthington JR, Hawken S, Bourke M, Rubens F, Shojania K et al. Using prospective clinical surveillance to identify adverse events in hospital. BMJ Qual
Saf 2011; 20(9):756-763.
26. Kraeva N, Riazi S, Loke J, Frodis W, Crossan ML, Nolan K et al. Ryanodine receptor type 1 gene mutations found in the Canadian malignant hyperthermia population.
Can J Anaesth 2011; 58(6):504-513.
27.Labrosse MR, Boodhwani M, Sohmer B, Beller CJ. Modeling leaflet correction techniques in aortic valve repair: A finite element study. J Biomech 2011;
44(12):2292-2298.
28.Lapierre H, Chan V, Sohmer B, Mesana TG, Ruel M. Minimally invasive coronary artery bypass grafting via a small thoracotomy versus off-pump: a case-matched
study. Eur J Cardiothorac Surg 2011; 40(4):804-810.
29.Miller DR. Update to readers and authors on ethical and scientific misconduct: retraction of the “Boldt articles”. Can J Anaesth 2011; 58(9):777-781.
30.Miller DR, Roth SH. Special theme issue: mechanisms of anesthesia. Can J Anaesth 2011; 58(2):125-130.
31.Miller DR. Publication fraud: implications to the individual and to the specialty. Curr Opin Anaesthesiol 2011; 24(2):154-159.
32.Neira VM, Gardin L, Ryan G, Jarvis J, Roy D, Splinter W. A transesophageal echocardiography examination clarifies the cause of cardiovascular collapse during
scoliosis surgery in a child. Can J Anaesth 2011; 58(5):451-455.
33.Parush A, Kramer C, Foster-Hunt T, Momtahan K, Hunter A, Sohmer B. Communication and team situation awareness in the OR: Implications for augmentative
information display. J Biomed Inform 2011; 44(3):477-485.
34.Price J, Naik V, Boodhwani M, Brandys T, Hendry P, Lam BK. A randomized evaluation of simulation training on performance of vascular anastomosis on a highfidelity in vivo model: the role of deliberate practice. J Thorac Cardiovasc Surg 2011; 142(3):496-503.
35.Riem N, Boet S, Tritsch L, Bould D. LMA with positive pressure ventilation is safe! Korean J Anesthesiol 2011; 61(1):88-89.
36.Robblee JA, Wilkes PR, Dickie SJ, Rubens FD, Bormanis J. Bleeding in a Jehovah’s Witness patient undergoing a redo aortic valve replacement controlled with
cryoprecipitate and a prothrombin complex concentrate. Can J Anaesth. 2012;59:299-303. Epub 2011 Dec 10.
37.Rodriguez RA, Bussiere M, Bourke M, Mesana T, Nathan HJ. Predictors of duration of unconsciousness in patients with coma after cardiac surgery. J
Cardiothorac Vasc Anesth 2011; 25(6):961-967.
38.Sine K, Vaillancourt R, Pascuet E, Martelli B, Lamontagne C, Ellis J et al. Review of prescribing practices for intermittent bolus administration of morphine. Can J
Hosp Pharm 2011; 64(1):25-30.
39.Sury MR, Bould MD. Defining awakening from anesthesia in infants: a narrative review of published descriptions and scales of behavior. Paediatr Anaesth 2011;
21(4):364-372.
40.Tran DT, Dupuis JY, Mesana T, Ruel M, Nathan HJ. Comparison of the EuroSCORE and Cardiac Anesthesia Risk Evaluation (CARE) score for risk-adjusted
mortality analysis in cardiac surgery. Eur J Cardiothorac Surg 2012; 41:307-13. Epub 2011 Dec 12.
in vivo model: the role of deliberate practice. J Thorac Cardiovasc Surg 2011; 142(3):496-503.
33.Riem N, Boet S, Tritsch L, Bould D. LMA with positive pressure ventilation is safe! Korean J Anesthesiol 2011; 61(1):88-89.
34.Rodriguez RA, Bussiere M, Bourke M, Mesana T, Nathan HJ. Predictors of duration of unconsciousness in patients with coma after cardiac surgery. J
Cardiothorac Vasc Anesth 2011; 25(6):961-967.
35.Sine K, Vaillancourt R, Pascuet E, Martelli B, Lamontagne C, Ellis J et al. Review of prescribing practices for intermittent bolus administration of morphine. Can J
Hosp Pharm 2011; 64(1):25-30.
36.Sury MR, Bould MD. Defining awakening from anesthesia in infants: a narrative review of published descriptions and scales of behavior. Paediatr Anaesth 2011;
21(4):364-372.
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Publications 2012 (to April 30)
1. Bould MD, Naik VN, Hamstra SJ. Review article: new directions in medical education related to anesthesiology and perioperative medicine. Can J Anaesth 2012;
59(2):136-150.
2. Chan V, Ruel M, Chaudry S, Lambert S, Mesana TG. Clinical and echocardiographic outcomes after repair of mitral valve bileaflet prolapse due to myxomatous disease.
J Thorac Cardiovasc Surg 2012; 143(4 Suppl):S8-11.
3. Chaput AJ, Bryson GL. Postoperative delirium: risk factors and management: Continuing Professional Development. Can J Anaesth 2012.
4. Charapov I, Eipe N. Cardiac arrest in the operating room requiring prolonged resuscitation. Can J Anaesth 2012.
5. Chiu M, Arab AA, Elliott R, Naik VN. An experiential teaching session on the anesthesia machine check improves resident performance. Can J Anaesth 2012; 59(3):280287.
6.Eipe N, McGuire T. Submental intubation: another anesthetic option for maxillofacial trauma. Paediatr Anaesth 2012; 22(5):494-496.
76
7.Elmistekawy E, Chan V, Bourke ME, Dupuis JY, Rubens FD, Mesana TG et al. Off-pump coronary artery bypass grafting does not preserve renal function better than onpump coronary artery bypass grafting: results of a case-matched study. J Thorac Cardiovasc Surg 2012; 143(1):85-92.
8.Elmistekawy EM, Gawad N, Bourke M, Mesana T, Boodhwani M, Rubens FD. Is bilateral internal thoracic artery use safe in the elderly? J Card Surg 2012; 27(1):1-5.
9.Giglioli S, Boet S, De Gaudio AR, Linden M, Schaeffer R, Bould MD et al. Self-directed deliberate practice with virtual fiberoptic intubation improves initial skills for
anesthesia residents. Minerva Anestesiol 2012; 78(4):456-461.
10.Fayad A. “How long do we have to wait to accept a change in our practice”. Anaesthesia. Corrospondence 1098. 2012:67;4.
11.Miller DR. Special theme issue on advances in education in anesthesiology. Can J Anaesth 2012; 59(2):127-131.
12.Miller DR. Advances in medical education in anesthesia. Can J Anaesth 2012; 59(2):224-225.
13.Naik VN, Wong AK, Hamstra SJ. Review article: leading the future: guiding two predominant paradigm shifts in medical education through scholarship. Can J Anaesth
2012; 59(2):213-223.
14.Posner G, Naik V, Bidlake E, Nakajima A, Sohmer B, Arab A et al. Assessing residents’ disclosure of adverse events: traditional objective structured clinical examinations
versus mixed reality. J Obstet Gynaecol Can 2012; 34(4):367-373.
15.Power DJ, Boet S, Bould MD. Code reader: a novel concept that warrants more research. Simul Healthc 2012; 7(2):136-137.
16.Osman A, Fayad A, Bryson G, Fergusson D, Lalu M. “Practice guidelines for ultrasound guided subclavian vein catheterization: analyzing the evidence. Letter to the
Editor. Anesthesia Analgesia. In press.
17.Osman A, Fayad A, Bryson G, Lalu M. Ultrasound-guided Subclavian Vein Catheterization: A Systematic Review and Meta-Analysis. Abstract CAS June 2012.
Abstract 1341957.
18.Tran DT, Dupuis JY, Mesana T, Ruel M, Nathan HJ. Comparison of the EuroSCORE and Cardiac Anesthesia Risk Evaluation (CARE) score for risk-adjusted mortality
analysis in cardiac surgery. Eur J Cardiothorac Surg 2012; 41(2):307-313.
Book Chapters 2007-2012
Book Chapters 2007
1. Doherty D, Hutchison J S. Hypoxic Ischemia Encephalopathy. Pediatric
Critical Care: Basic Science and Clinical Evidence, Eors: Derek
Wheeler, Hector Wong, Published by Springer-Verlag,.
3. Evans H, Nielsen KC, Steele SM. Regional Anesthesia for Ambulatory
Surgery. In Handbook of Ambulatory Anesthesia. Twersky R and Philip
B (eds), Springer; 2008: 195-233.
2. Dumitrascu, G. “Allergic Reactions”. In Decision Making in
Anesthesiology 4th edition, under Bready LL. 2007.
4. Hutchison JS, Dermot D, Orlowski J, Kissoon N. Hypothermia Therapy
for Cardiac Arrest in Pediatric Patients. Pediatric Clinics of North
America Volume 55, Issue 3. Pages 529-544.
3. Dumitrascu, G. “Hyperparathyroidism”. In Decision Making in
Anesthesiology 4th edition, under Bready LL. 2007.
4. Dumitrascu, G. “Chronic Obstructive Pulmonary Disease”. In Decision
Making in Anesthesiology 4th edition, under Bready LL. 2007.
5. O’Brien ER, Nathan HJ. “Coronary Physiology and Atherosclerosis”
in Kaplan J (ed): Essentials of Cardiac Anesthesia, First Edition. W.B.
Saunders Company, 2008.
5. Evans H, Nielsen KC, Greengrass R, Steele SM. Equipment for
Continuous Peripheral Nerve Blocks. In Textbook of Regional
Anesthesia and Acute Pain Management. Hadzic A (ed), McGraw-Hill, 2007.
6. Saint-Pierre A, Buithieu J, Coutu S, Lambert AS. Mitral Valve.
In Denault, Couture, Vegas, Buithieu, Tardif, Transesophageal
Echocardiography, Informa Healthcare, New York, 2008 (in Press).
6. Evans H, Steele SM. Regional Anesthesia for Cosmetic Surgery. In
Anesthesia for Cosmetic Surgery. Freidberg BL (ed), Cambridge;
2007 Apr.
1. DiRenna, T. Functional Pain Syndromes: Presentation and
Pathophysiology: Book Review. Canadian Journal of Anesthesia /
Journal canadien d’anesthésie. 56(11) November 2009
7. Schlosser R, Nielsen KC, Evans H et al. Peripheral Nerve Blocks for
Outpatient Surgery. In Textbook of Regional Anesthesia and Acute
Pain Management. Hadzic A (ed), McGraw-Hill, 2007.
2. Hudson JK, Shaw A. TEE in the critical care unit. In: Mathew J,
Swaminathan M, Ayoub C (Eds.). Clinical manual & review of
transesophageal echocardiography 2nd ed. 2010.
Book Chapters 2008
3. Tang R, Evans H, Chaput AJ, Kim C. Multimodal analgesia for hip
arthroplasty. Orthop Clin N Am 2009;40:377-87.
1. Lambert AS, Mitral Regurgitation. In: Perrino A, Reeves S. Practical
Approach to Transesophageal Echocardiography (ed.), 2nd ed.
Philadelphia: Lippincott Williams & Wilkins; 2008: 171-188.
2. Evans H, Steele SM. Paravertebral Anesthesia. In Principles of
Anesthesia. Longnecker D, Brown D, Newman M, Zapol W (eds),
McGraw-Hill; 2008.
Book Chapters 2009
4. Wilkes, PRH. Normal [SID]. In: JA Kellum, PWG Elbers (Eds.). Stewart’s
Textbook of Acid-Base. AcidBase.org/Paul WG Elbers, Amsterdam,
The Netherlands; 2009: 201-216.
5. Wilkes, PRH, Akbari, A. Pregnancy. In: JA Kellum, PWG Elbers (Eds.).
Stewart’s Textbook of Acid-Base. AcidBase.org/Paul WG Elbers,
Amsterdam, The Netherlands: 2009:293-304.
77
Book Chapters 2010
78
1. Hudson JK, Shaw A. TEE in the critical care unit. In: Mathew J,
Swaminathan M, Ayoub C (Eds.). Clinical manual & review of
transesophageal echocardiography 2nd ed. 2010.
6. Feneck , Kneeshaw and Ranucci, Core Topics in. 2011 Invited book
review, Core Topics in Transesophageal Echocardiography. published
in the Canadian Journal of Anesthesiology (accepted for publication
June 17, 2011).
2. Girard M, Fayad A, Vieillard-Baron A. In: Denault AY, Couture P, Vegas
A, Buithieu J, Tardif JC (Eds.).Transesophageal Echocardiography
Multimedia Manual, Second Edition: A Perioperative Transdisciplinary
Approach. Chapter 30 “TEE in The Intensive Care Unit and Nocardiac
Surgery” 740-769, November 2010.
7. Hudson CCC, JKC Hudson, Mackensen GB. The assessment of a
patient with endocarditis. In: Savage RM, Aronson S, Shernan SK
(Ed). Comprehensive textbook of perioperative transesophageal
echocardiography, 2nd ed. Philadelphia: Lippincott, Wilkins and
Williams; 2011: 363-371.
3. Persaud D, Garneau S. Book and New media Reviews: An Introductory
Curriculum for Ultrasound-Guided Regional Anesthesia – A Learner’s
Guide. Canadian Journal of Anesthesia. Apr 2010.
8. Hudson CCC, JKC Hudson, Mackensen GB. Echocardiographic
assessment of cardiomyopathies. In: Savage RM, Aronson S, Shernan
SK (Ed). Comprehensive textbook of perioperative transesophageal
echocardiography, 2nd ed. Philadelphia: Lippincott, Wilkins and
Williams; 2011: 611-621.
Book Chapters 2011
1. Amyot R, Lebeau R, Lambert AS. Imaging artifacts and pitfalls.
In: Denault AY, Couture P, Vegas A, Buithieu J, Tardif JC (Ed).
Transesophageal echocardiography; Multimedia Manual, 2nd ed. New
York: Informa Healthcare; 2011:145-165.
2. Chen RJB, Lambert S. Mitral valve repair with SAM. In: Perrino AC,
Reeves ST, Glas K (Ed.). The practice of perioperative transesophageal
echocardiography: Essential cases. Philadelphia: Lippincott, Wilkins
and Williams; 2011:169-172.
9. Hudson JK, Hudson CC, Hill S. Routine postoperative care of the
thoracic patient. In: Grichnik K, Shaw A, Barbeito A (Eds.).Thoracic
anesthesia: ready to practice. 2011
10.Hudson CC, Hudson JK, Swaminathan M. Aortic insufficiency. In:
Subramaniam B, Rengasamy SK, Subramaniam K (Eds.). Problembased approach to perioperative TEE. In Press.
11.Hudson J. TEE Pocket Manual. CJA (in press). 2011
3. Dickie SJ, Lambert AS. Cleft mitral valve. In: Perrino AC, Reeves
ST, Glas K (Ed.). The practice of perioperative transesophageal
12.Hynes MS, Lambert S. Percutaneous aortic valve. In: Perrino AC,
and Williams; 2011: 194-199.
4. Dickie SJ, Lambert AS. Tricuspid endocarditis. In: Perrino AC, Reeves
13.Hynes MS, Lambert S. Unicuspid aortic valve. In: Perrino AC, Reeves
and Williams; 2011: 267-270.
5. Dickie SJ, Lambert AS. Left ventricular assist device. In: Perrino AC,
14.Lambert AS. Mitral valve diseases. In: Oxorn. Intraoperative
Echocardiography. (Practical Echocardiography Series. Series Editor:
Catherine Otto). Philadelphia:Elsevier Saunders; 2011:19-45.
15.Lambert S. Acute mitral prosthetic dysfunction. In: Perrino AC, Reeves
16.Lambert S. Endocarditis. In: Perrino AC, Reeves ST, Glas K (Ed.).
The practice of perioperative transesophageal echocardiography:
Essential cases. Philadelphia: Lippincott, Wilkins and Williams;
2011:158-161.
17.Lambert S. Prosthetic mitral stenosis. In: Perrino AC, Reeves
18.Lambert S. Mitral paravalvular leaks. In: Perrino AC, Reeves ST,
Glas K (Ed.). The practice of perioperative transesophageal
19.Marcotte, F, Bouchard D, Hynes M. Pulmonic and tricuspid valve.
20.Nicholson D, Lambert S. Non-severe tricuspid valve regurgitation
and mitral valve surgery. In: Perrino AC, Reeves ST, Glas K (Ed.).
The practice of perioperative transesophageal echocardiography:
Essential cases. Philadelphia: Lippincott, Wilkins and Williams;
2011:313-316.
21.Nicholson D, Lambert S. The ins and outs of mitral valve repair. In:
Perrino AC, Reeves ST, Glas K (Ed.). The practice of perioperative
transesophageal echocardiography: Essential cases. Philadelphia:
22.Lippincott, Wilkins and Williams; 2011:183-185.
23.Saint-Pierre A, Buithieu, Lambert AS. Imaging artifacts and pitfalls.
24.Sohmer B, Lambert S. Aortic intramural hematoma. In: Perrino AC,
25.Sohmer B, Lambert S. Eccentric jet. In: Perrino AC, Reeves ST,
Glas K (Ed.). The practice of perioperative transesophageal
26.Sohmer B, Lambert S. Coronary air: diagnosis and management. In:
Perrino AC, Reeves ST, Glas K (Ed.). The practice of perioperative
transesophageal echocardiography: Essential cases. Philadelphia:
Lippincott, Wilkins and Williams; 2011:97-100.
27.Sohmer B, Perrino A. Acute Ischemic MR. In A Perrino, S Reeves
& K Glas (Eds), The Practice of Perioperative Transesophageal
Echocardiography, Essential Cases. Philadelphia: Lippincott Williams
and Wilkins. 2011: 354-359.
Book Chapters 2012
1. Persaud D, Garneau S. Head and Neck: Scalp, Ophthalmic, and
Cervical Blocks. In Essentials of Regional Anesthesia. New York:
Springer. 2012: 463-483.
2. Fayad A, Woo M. Echocardiography in Anesthesia. In Trauma in
Anesthesia. New York: Cambridge University Press. 2012:130-144.
79
Awards 2007-2012
Awards 2007
80
Dr.Wayne Barry
University of Ottawa Lifetime Achievement Award
Dr. Michelle Chiu
Canadian Anesthesiologists’ Society
David S. Sheridan Award
Dr. John Cowan
Canadian Anesthesiologists’
Society Gold Medal Award
Dr. Dermot Doherty Canadian Anesthesiologists’ Society Abbott Career
Scientist’s Award
Dr. Chris PysykGary Johnson Research Day Award: Ultrasound
measurement of Epidural and Neuraxial Structures.
Dr. Anna WyandGary Johnson Research Day Award: Does the
Clock Drawing Test Detect Delirium or Cognitive
Dysfunction PPart – Peri-operative pressure in
anesthesiologists and resident trainees?
Awards 2008
Dr. Jean-Yves DupuisThe Ottawa Hospital Clinician Recognition Award
Dr. Ilia CharapovGary Johnson Research Day Award: Effect of
intravenous lidocaine on discharge, opioid use, and
functional recovery following abdominal hysterectomy.
Dr. Sylvain Gagne
Dr. Lucie Filteau
University of Ottawa, Department of Anesthesia,
Rachel Waugh Clinical Staff Annual Teaching Award
Dr. Yvette GrabowskiGary Johnson Research Day Award: An
Epidemiological Analysis of Preoperative Comorbidity,
Surgical Priority and Outcome in Cardiac Surgery.
Dr. Peter MacEwen
Dave Roberts Memorial Award
Dr. Robert MacNeil
University of Ottawa, Department of Anesthesia
Undergraduate Award
Undergraduate Award
Dr. Lawrie Garnett The Ottawa Hospital Clinician Physician Award
Dr. Sanjiv GuptaGary Johnson Research Day Award: Awake
laryngoscopic evaluation with remefentanil trial.
Dr. Shawn Hicks
Canadian Anesthesiologists’ Society Resident
Research Competition, First Place
Lynne McHardyThe Ottawa Hospital Compass Award
Dr. Shawn HicksGary Johnson Research Day Award: Intralipid does not
improve survival in a swine model of bupivacaine.
Dr. Kimmo Murto
Canadian Anesthesiologists’ Society Top 50 poster
recognition
Dr. Stephane Moffett
Dr. David Neilipovitz
Canadian Anesthesiologists’ Society Organon
Research Award
Dr. Kimmo Murto
CHEO Research Institute Excellence in Clinical
Research Award
Dr. Desiree Persaud
Canadian Anesthesiologists’ Society
Clinical Teacher Award
Dr. Desiree Persaud
Dr. Michael Szeto
Undergraduate Award
Awards 2009
Dr. Benjamin Sohmer
Univesityof Ottawa, Department of Anesthesia, Rachel
Waugh Clinical Staff Annual Teaching Award
Dr. Linda Wynne
Dr. Michael BourkeHeart of Gold Award, University of Ottawa Heart Institute
Dr. Gregory Bryson
Canadian Anesthesiologists’ Society Raymond Martineau
Award for Best Cardiovascular Thoracic Section Paper
Dr. Simone Crooks
Undergraduate Award
Dr. George Dumitrascu
University of Ottawa, Department of Anesthesia, Rachel
Dr. Naveen EipeGary Johnson Research Day Award: Do the ASA
guidelines for OSA correlate with polysomnography in
children?
France GreenwoodThe Ottawa Hospital Compass Award
Dr. Gregory KrolczykGary Johnson Research Day Award: Effect of intravenous
lidocaine infusion on discharge rate, functional recovery,
opioid use, following abdominal hysterectomy
Dr. Peter MacEwen
Undergraduate Award
Dr. Kimmo Murto
Canadian Anesthesiologists’ Society Best Ambulatory
Anesthesia Paper
Dr. John PenningThe Ottawa Hospital Clinician Physician Award
Awards 2010
Dr. Wayne Barry
Canadian Anesthesiologists’ Society Gold Medal
Dr. Dylan Bould
Canadian Anesthesiologists’ Society Best paper in
Simulation and Education
Dr. Alan Chaput
University of Ottawa, Department of Anesthesia, Rachel
Dr. Lucie Filteau
Undergraduate Award
Dr. Sylvain Gagne
Undergraduate Award
Dr. Manoj LaluGary Johnson Research Day Award: Safety of Cell Therapy
with Mesenchymal Stromal Cells (MSCs): A Systematic
Review.
Dr. Shona NairGary Johnson Research Day Award: Long-term Functional
Recovery after Coma due to Stroke, Encephalopathy or
Seizures after Cardiac Surgery measured by the Glasgow
Outcome Scale. Extended: The Long-GOSE Coma Study.
Dr. Dan PowerGary Johnson Research Day Award: Transfusion practices
at the Ottawa Hospital for Ruptured Abdominal Aortic
Aneurysms
Dr. Victor Neira
Dr. James Robblee
Holly Videto
Canadian Anesthesiologists’ Society Ian Whyte Award for
the best abstract on a topic of patient safety – A battery
management program contributes to patient safety
Canadian Anesthesiologists’ Society Best Education Paper
Dr. Diem TranGary Johnson Research Day Award: Risk adjusted Analysis
of Anesthesia Care Delivery at the Ottawa Heart Institute.
Denise WoznyThe Ottawa Hospital Compass Award
81
Awards 2011
Dr. Lawrie Garnett
University of Ottawa, Lifetime Achievement Award
Dr. Juliet AtherstoneGary Johnson Research Day Award: A Novel Technique
for Evaluating the Aortic Valve Using Transesophageal
Echocardiography and Computer Modeling.
Dr. Jordan Hudson
Undergraduate Award
Dr. Dylan BouldAcademy for Innovation in Medical Education - Top
four oral presentations
82
Dr. Robert JeeGary Johnson Research Day Award: Inpatient
Management of Obstructive Sleep Apnea.
Dr. Leo Jeyaraj
Dr. Michael BourkeHeart of Gold Award, University of Ottawa Heart
Institute
Dr. Patti Murphy
Dr. Alan Chaput
Dr. Cathy SmythThe Ottawa Hospital Clinician Physician Award
University of Ottawa, Educator Award for Collaborator,
Competency - Anglophone Stream
Dr. Devin SydorGary Johnson Research Day Award: The Effects of Team
Dynamics on Trainees’ Ability to Challenge Authority:
Measuring Health Advocacy with Patient Simulation.
Dr. Stephane Lambert CME Teaching Academic Award of University
of Ottawa Heart Institute Academic Medical
Organization
Dr. Calvin Thompson
Undergraduate Award
Dr. Homer Yang & POISE 1 Team
Canadian Institutes of Health Research (CIHR) and
Canadian Medical Association Journal (CMAJ) Top
Dr. Stéphane Moffett University of Ottawa, Department of Anesthesia,
Rachel Waugh Clinical Staff Annual Teaching
Award
Dr. Patti Murphy
Achievement in Health Research Award
Awards 2012
Dr. Natalie Clavel Canadian Anesthesiologists’ Society Best Paper in
Ambulatory Anesthesia
Dr. Edward Crosby
Dr. Simone CrooksAcademy for Innovation in Medical Education
(AIME) Best Poster Award
Dr. Leo JeyarajPAIRO Excellence in Teaching Award for the
Dr. Leo Jeyaraj
Undergraduate Award
Dr. Manoj Lalu Canadian Anesthesiologists’ Society/LMA-Vitaid
Residents’ Research Award
Canadian Association for Medical Education
(CAME) Merit Award
Dr. Alim PunjaGary Johnson Research Day Award (Poster
Presentation): Investigating the Reliability and
Feasibility of a Summative Oral Examination
Administered Remotely over the Internet.
Dr. Chris Pysyk
Undergraduate Award
Dr. Louise SunResident Research Competition Finalist
Dr. Louise SunGary Johnson Research Day Award (Podium
Presentation): Postoperative Tracheostomy as
an Independent Predictor of Sternal Wound
Infection: A Retrospective Database Study.
Dr. Homer YangThe Royal College 2012 Mentor of the Year Award
for Region 3
83
Historical Record
Academic Department
In 1969, the Royal College of Physicians and Surgeons of Canada
approved the creation of an academic Department of Anesthesia
at the University of Ottawa.
84
Clinical Department
Hospitals with affiliated research institutes, postgraduate and
undergraduate rotations: The Ottawa Hospital (TOH) was formed
through the amalgamation of the former Ottawa General Hospital
(OGH) and the Ottawa Civic Hospital (OCH), including the University
of Ottawa Heart Institute (UOHI), in April 1, 1998; Children’s Hospital of
Eastern Ontario (CHEO).
Hospitals with postgraduate Anesthesia elective rotations: Queensway
Carleton Hospital; L’hôpital Monfort
Hospitals with undergraduate Anesthesia rotations, francophone:
L’hôpital Monfort; Centre Hospitalier de Gatineau
Chairs and Chiefs
Dr. David Power Dr. Lloyd Hampson Dr. Gary Johnson Dr. David Skene Dr. J. Earl Wynands 1967 - 1970, Chair, uOttawa Department of
Anesthesia
1971 - 1975, Acting Chair, uOttawa Department
of Anesthesia
1976 - 1986, Chair,
uOttawa Department of Anesthesia
Chief, Department of Anesthesia CHEO
1987 - 1988, Acting Chair, uOttawa Department
of Anesthesia
Chief, Department of Anesthesia OGH
1988 - 1996, Chair, uOttawa Department of
AnesthesiologyChief, Department of Anesthesia
UOHI
Dr. Denis Reid
1996 - 1998, Chair, uOttawa Department
of Anesthesia
– Chief, Department of Anesthesia OGH
1998 - 2003, Chair, uOttawa Department
of Anesthesia
Chief, Department of Anesthesia TOH
Dr. Homer Yang
2003 - Present, Chair, uOttawa Department
of Anesthesia
Chief, Department of Anesthesia TOH
Resident Program Directors
Drs. David Power, Lloyd Hampson 1967 - 1970
Michel Tousignant and James Lounder (founders)
Dr. Gary Johnson Dr. David Skene (acting)
Dr. Denis Reid Dr. Patrick Sullivan Dr. Paul Bragg Dr. Linda Wynne Dr. Desiree Persaud 1971 - 1986
1987 - 1988
1988 - 1996
1996 - 2002
2002 - 2006
2006 - 2010
2010 - Present
Undergraduate Program Directors
Dr. Patrick Sullivan
Dr. Patti Murphy
Dr. Craig Reid
Dr. Lucie Filteau
Dr. Nikhil Rastogi
Present)
(1990 – 1995)
(1995 – 2000)
(2000 – 2005)
(2005 – 2010)
(2010 –
Annual Departmental Awards: Year of Inception
Gary Johnson Research Award for Resident Research 1982
Rachel Waugh Memorial Award for Teaching 1987
Dave Roberts Memorial Award for Service 1998
Hockey Challenge Cup 1989
Undergraduate Teaching Award 2006
Chief Resident Award
2006
Memorial Lectures
David Power Memorial Lecture (Held annually at the General Campus)
Rachel Waugh Memorial Lecture (Held annually at CHEO)
John Wrazej Memorial Lecture (Held every four years at the Civic Campus)
In Memoriam
We record the passing of three of our friends and colleagues.
They are sadly missed.
Dr. Elliot RhineFebruary 12, 2008
Dr. Khalid Chowdary
2008
Dr. John AtkinsonNovember 18, 2011
Retirements 2007-2012
It is an impossible task to thank our colleagues for their energy
and wisdom, but they have a place here, always.
We report the retirement of:
Dr. Robert McBurney, 2012
Dr. John Cowan, 2012
Dr. Louise Gauthier, 2012
Dr. Gary Johnson, 2010
Dr. Robert Lawrie Garnett, 2010
Dr. Wayne Barry, 2008
Dr. Andre Boutet, 2007
Dr. David Skene, 2007
85
STAFF LISTS
Administrative Team TOH Department of Anesthesia Civic Site
Anesthesiology Site Chief:
Dr. Dave Ewing
86
Administrative Team TOH Department of Anesthesia General Site
Anesthesiology Site Chief:
Dr. Donald Miller
uOttawa Anesthesiology Program Director: Dr. Desiree Persaud
Deputy Anesthesiology Site Chief:
Dr. Edward Crosby
TOH Fellowship Director: Dr. Amy Fraser
Anesthesia Daily Coordinators:
Dr. Tammy Barrows
Executive Committee Chairman: Dr. Mike Curran
Dr. Paul Connelly
Vascular Fellowship Director: Dr. Ashraf Fayad
Dr. Peter Duffy
uOttawa Simulation Centre Director: Dr. Viren Naik
Dr. Cathy Gallant
Echocardiography Fellowship Director: Dr. Ashraf Fayad
Dr. Stephan Moffett
Regional Anesthesia Fellowship Director: Dr. Ann Lui
Dr. Calvin Thompson
Anesthesia Simulation Co-Director: Dr. Michelle Chiu
TOH Medical Director - Hyperbaric Unit: Dr. Peter Duffy
Acute Pain Fellowship Director: Dr. John Penning
TOH Medical Director - Pain Clinic:
Dr. Tania DiRenna
TOH Medical Director - PAU:
Dr. Sylvain Gagné
Research Director uOttawa
Department of Anesthesia: Dr. Greg Bryson
TOH Anesthesia Undergraduate Director:
Dr. Nick Rastogi
Site Medical Director PAU: Dr. Alan Chaput
Obstetrical Anesthesia Lead:
Dr. Cathy Gallant
Site Director PACU:
Dr. Naveen Eipe
Regional Anesthesia Lead:
Dr. Alan Lane
Obstetrical Anesthesia Lead:
Dr. Susan Goheen
Thoracic Anesthesia Co-leads:
Site Anesthesia Undergraduate Coordinator: Dr. Leo Jeyaraj
Drs. Calvin Thompson/
Larry Byford
Site Anesthesia Resident Coordinator: Dr. Anna Wyand
Research Director - General Site:
Dr. Sylvain Boet
TOH Malignant Hyperthermia Director: Dr. Kevin Nolan
Site Medical Director - PACU:
Dr. Stéphane Moffett
Site Anesthesia Equipment Coordinator: Dr. Pat Sullivan
APS Director - General Site:
Dr. Michael Szeto
Manager: Lynne McHardy
Resident Coordinator:
Dr. Stéphane Moffett
Office Staff: Elaine Stinson
Managing Partner:
Dr. Peter Duffy
Michelle Fortier
Treasurer:
Dr. Chris Wherrett
Joel Richard
Office Manager:France Greenwood
Kelsey Larocque
Office Staff:Francine Gravel
Sylvie Paquette
Justine McNeely
Chloé Houlton
Administrative Team –
University of Ottawa Heart Institute
Division Chief since November 2011; CSICU group
Dr. Jean-Yves Dupuis
Administrative Team –
Children’s Hospital of Eastern Ontario
Anesthesia Chief
Dr. Philipp Mossdorf
Resident Site Coordinator
Dr. Amy Roeske
Director of Perioperative Database; CSICU group Dr. Michael Bourke Undergrad Site Coordinator
Dr. Antoinette Corvo
CSICU group
Dr. Charles Cattran Fellowship Director
Dr. Leslie Hall
Fellowship Coordinator; TEE teaching group
Dr. Sean Dickie Deputy Academic Chief, Director of Research
Dr. Kimmo Murto
Resident Coordinator; Research group; Dr. Christopher Hudson
TEE teaching group
IMG Coordinator
Dr. Anna Shadrina
Office Staff:
Jennifer Borup
Deputy Chief and Director of Perioperative TEE Dr. Mark Hynes
Mike Tennian
Deputy Chief; TEE teaching group
Dr. Stéphane Lambert CSICU group
Dr. John Macdonald
Director CSICU
Dr. Bernard McDonald
TEE teaching group
Dr. Donna Nicholson
Division Chief until November 2011
Dr. James Robblee
Managing Partner; TEE teaching group
Dr. Benjamin Sohmer
Research Director; CSICU group
Dr. Peter Wilkes Scholar (to become full-time consultant staff in 2012)
Dr. Diem Tran
CSICU group
Dr. Sanjay Acharya
Office Staff:Angie Ross
Cheryl Alie
Carrie Haffner
87

2007 to 2012

Transcription

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