Department of Anesthesiology Annual Report 2011
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Transcript of Department of Anesthesiology Annual Report 2011
Department of Anesthesiology 2011 Annual Report
Advancing the Practice of
REGIONAL ANESTHESIOLOGY
AND PAIN MANAGEMENT
Department of Anesthesiology
MISSIONSTATEMENT
“To achieve an internationalleadership role by providingthe highest quality anestheticcare and pain managementfor patients undergoingorthopaedic surgery, toadvance the science ofregional anesthesia, pain management, andorthopaedic critical carethrough clinical and translational research, andto promote educationalopportunities to all studentsof regional anesthesiologyand pain medicine.”
Clinical Care
ResearchEducation
Department ofAnesthesiology
A MESSAGE FROM THE DIRECTOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2011 HIGHLIGHTS AND STRATEGIC ACCOMPLISHMENTS
Improving Patient Safety Through Clinical Initiatives,
Quality Assessment and Performance Improvement . . . . . . . . . . . . . . . . . . . . . 2
Pain Management: A Tradition of Caring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Enhancing the Patient Experience through Clinical Research . . . . . . . . . . . . . . . . 7
Serving as the Most Trusted Educator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Going Lean with Information Technology Initiatives. . . . . . . . . . . . . . . . . . . . . 11
DEPARTMENT GROWTH AND STAFF AWARDS. . . . . . . . . . . . . . . . 12
STAFF IN THE SPOTLIGHT
Humanitarian Service Around the World . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Teambuilding at the JPMorgan Chase Corporate Challenge . . . . . . . . . . . . . 14
PROFESSIONAL AND ADMINISTRATIVE STAFF . . . . . . . . . . . . . . . . 16
2011 NOTABLE ACHIEVEMENTS
Awards and Special Recognition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Leadership Positions and Appointments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Editorial Appointments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Grants. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Selected Publications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Annual Report 2011 1
By all metrics, 2011 was an exceptionally productive year in the Department of Anesthesiology.
It was a year in which we solidified our position as the premier department in the world for
the practice of regional anesthesia and pain medicine for orthopedics. In our 2011 Annual
Report, I invite you to review some of our key clinical, scientific and educational accomplish-
ments which are due in no small part to the exceptional team with which I am surrounded.
We base the foundations of our practice on the highest quality clinical care for our patients,
the most rigorous scientific research in the field and unparalleled educational programs.
The outstanding clinical outcomes of surgical patients at HSS continue to be closely linked to
the anesthetic, analgesic, and perioperative care provided by members of our Anesthesiology
Department. Exceptional pain control scores and the lowest infection rates are a direct result
of the regional anesthetic and analgesic techniques employed by our physicians. One of our
major new programs in 2011 was the recruitment of a dedicated team of critical care physi-
cians who have been working to develop and adopt standards and protocols to care for the
most complex post-surgical patients at HSS. While we aspire to be leaders in treating post-
operative complications, we aim ultimately to completely prevent these complications.
Our multi-faceted Pain Medicine Division continues to be extraordinarily successful in managing and minimizing post-
surgical pain. Our Recuperative Pain Management Service, the first and only service of its kind in the country, complements
our Acute and Chronic Pain Services providing our patients with the highest quality of specialized pain management care.
As we work continuously to decrease side effects of medications and improve the entire patient experience, our success is
evident in our 99th percentile ranking in 2011 Press Ganey inpatient pain control scores.
Advancing clinical research continues to be at the core of our mission, and 2011 was our most productive year to date. Our
dedicated research team completed approximately 64 publications, abstracts and poster presentations, with many of our efforts
focused on the primary research themes of improving the patient experience and enhancing patient safety. Collaborations with
the HSS Research Division, the Weill Medical College Department of Epidemiology and Biostatistics, and our medical and
surgical colleagues at HSS led to unprecedented scientific advances into anesthetic and analgesic techniques for orthopedics.
Along with our advancements in clinical care and research in 2011, we continued to provide the most comprehensive and
sought-after educational experience for students of regional anesthesia and acute pain medicine in orthopedics. As our national
and international reputation grows, we have become the choice for resident and fellow education in regional anesthesia, and in
2011 we trained more residents than in any other year. Our 15th Annual Symposium entitled, “Controversies and Fundaments
in Regional Anesthesia” was profoundly successful and continues to be internationally recognized as one of the finest educa-
tional experiences in regional anesthesia for orthopedics in the world.
I hope you enjoy reading about these and other Anesthesiology Department accomplishments in our 2011 Annual Report.
Gregory A. Liguori, MD
Anesthesiologist-in-Chief and Director
Gregory A. Liguori, MDAnesthesiologist-in-Chief
and Director
Improving Patient Safetythrough Clinical Initiatives,Quality Assessment andPerformance Improvement
To ensure alignment with the Hospital’s
strategic initiative to elevate quality
to the highest possible level, the
Department is committed to continu-
ously evaluating our clinical programs
to optimize patient safety and improve
patient care. In order to do this, we
maintain a robust Quality Assessment
and Performance Improvement
(QA/PI) program that incorporates
education, research and evidence-based
practice improvements such as clinical
data analysis, incident reporting, bench-
marking, quality indicator monitoring,
systems failure mode and effect analysis.
Under the direction of Chris Edmonds,
MD, QA/PI Director and Maureen
Stanton, RN, QA/PI Manager, we are
constantly developing new initiatives to
elevate quality to the highest level.
In January 2011, a highly-specialized
Critical Care Team was established to
perfect treatment of the complex ortho-
pedic patient and bring contemporary
intensive care to sick patients at HSS.
The team, comprised of critical care
trained physicians with extensive skill
in cardiac, thoracic and orthopedic
anesthesia and vast experience in car-
ing for critically ill patients, allowed us
to expand the level of specialty care
provided by our physicians and enabled
the implementation of many new
critical care initiatives, including the
sequential organ failure assessment
(SOFA) and ventilator management
pathway. Patients undergoing complex
surgery and those at risk for critical
illness have their physiologic status
assessed using the SOFA, which assigns
points for the status of the cardiovascu-
lar, pulmonary, renal, hepatic, and
central nervous systems and has been
validated and correlated with outcomes
in critical illness. At HSS, the SOFA
score initiative helps determine the
acuity of patients in the recovery room,
aids in the allocation of resources to
critical patients and serves as a valuable
research tool. The ventilator manage-
ment pathway utilizes contemporary
evidence for care of critically ill patients
requiring intensive care in an effort to
minimize complications and decrease
the duration of ventilation. An exten-
sion of the ventilator management
initiative is the incorporation of a care
“bundle” of simple interventions that
have helped prevent ventilator associat-
ed pneumonia. Ultimately, these new
critical care endeavors optimize the
2 Department of Anesthesiology
25,000
27,000
29,000
31,000
33,000
35,000
37,000
20112010200920082007
Total OR Anesthetics
Critical Care Team: Sean Garvin, MD, Michael Urban, MD, PhD, Kethy Jules-Elysee, MD, StavrosMemtsoudis, MD, PhD and Michael Nurok Mb ChB, PhD (Not pictured: Thomas Quinn, MD)
perioperative care of our orthopedic
patients and vastly improve patient
centered outcomes.
In a collaborative endeavor with the
Laboratory and Information Technology
Department, we implemented the Epocal
Point of Care (EPOC) blood analysis sys-
tem in September 2011. Using EPOC,
anesthesiologists can perform bedside
testing of glucose, blood gas and hemo-
globin. Results are obtained within
minutes and wireless technology instantly
transmits results to the lab and HSS
clinical systems. This new point of care
testing system enables anesthesiologists
to quickly identify and treat critical
values, therefore enhancing patient
care and safety.
QA Committee meeting discussions led
to several multidisciplinary conferences
in 2011, enabling a multitude of
improvements in patient care:
• The Postoperative Ileus
Management Conference
featured speakers Dr. Edward
Parrish, HSS Rheumatology,
and Dr. Carl Crawford, NYPH
Gastroenterology and Hepatology.
The conference provided an
extensive perspective of effective
changes to improve outcomes.
• The Anesthesia Q/A team met with
an interdisciplinary group to discuss
the need for more intensive and
concerted intra-op monitoring for
patients with VP shunts undergoing
spine surgery.
• An interdisciplinary evaluation of
patient verification of surgical side
on anesthesia and surgical consent
forms initiated by the QA team lead
to a revision of the forms to provide
a more clear indication of the correct
surgical side.
• The Massive Transfusion Protocol
was developed to alert the blood
bank of an emergent condition
enabling the rapid availability of
blood products.
Annual Report 2011 3
“The anesthesiologists were wonderful! They explained everything to me, had great bedside manner and wonderful skills. Dr. Wang, Dr. Bhagat and
Dr. Maalouf helped me with my pain and checked in on me five times per day.” Comment from Press Ganey Patient Satisfaction Survey
Pain Management: A Tradition of Caring
The Department’s Pain Management
Division meets the needs of a multitude
of pain conditions through our Acute,
Recuperative and Chronic Pain
Services. In 2011, under the direction
of Seth Waldman, MD, Spencer Liu,
MD, Vladimir Kramskiy, MD, and
Barbara Wukovits, RN, the Division
managed the care of over 29,000
patients. It was also a year of celebra-
tion as we marked the twentieth and
twenty-fifth anniversaries of the
establishment of the Acute and
Chronic Pain Services respectively.
The success of our postoperative pain
control regimens is reflected in our
99th percentile ranking in Press Ganey
patient satisfaction for every quarter of
2011. Additionally, during that time,
the percentage of HSS patients report-
ing that their pain was “always con-
trolled” was significantly above New
York and national Hospital Consumer
Assessment of Healthcare Providers
and Systems (HCAHPS) survey
result averages.
ACUTE PAIN SERVICE
Since its inception, our Acute Pain
Service (APS) team has treated over
137,000 surgical inpatients. In 2011,
we cared for over 12,000 patients,
managing 7,302 epidurals and 4,522 IV
PCAs on the inpatient units. In addi-
tion to providing pain management
care to our patients, we presented
numerous educational programs to
4 Department of Anesthesiology
Num
ber o
f Pat
ient
s
9,000
9,500
10,000
10,500
11,000
11,500
12,000
12,500
20112010200920082007
Acute Pain Service Volume
Num
ber o
f Pat
ient
s
0
200
400
600
800
1,000
1,200
1,400
20112010200920082007
Recuperative Pain Service Volume
Pain Management Team
HSS clinical staff and shared our
expertise at local and national health-
care meetings. We also continued
research efforts with our surgical col-
leagues, collaborating in the following
areas of study:
• Use of Pregablin for the treatment of
pain following posterior spine
fusions, foot and ankle surgery
• Analgesia after total knee arthroplasty:
peri-articular injection vs epidural +
femoral nerve blockade
• Effect of local anesthetic dose on
interscalene block for shoulder
arthroscopy, patient satisfaction and
return of handgrip strength
RECUPERATIVE PAIN
MEDICINE SERVICE
The Recuperative Pain Medicine (RPM)
Service, a service unique to HSS, is a
transitional service that extends our
treatment of non-routine pain manage-
ment issues beyond the immediate peri-
operative period. The service bridges
the gap between the Acute and Chronic
Pain Services and helps us to maintain
our place as an innovator in the treat-
ment of post-surgical pain.
In 2011, RPM staff treated over
1,300 patients. Although the majority
of these patients were inpatients, many
outpatients were evaluated and treated
by RPM nurse practitioners via our
collaboration with the Department
of Orthopaedic Surgery’s Adult
Reconstruction and Joint Replacement
(ARJR) Service. Treatment modalities
in this collaboration included medica-
tion modifications, dose adjustments
and management of side effects.
Our Pain Helpline continued to
be a valuable resource, as our nurse
practitioners responded to the pain
concerns of hundreds of patients.
The RPM team remains active in staff
and patient education, maintaining
leadership roles on various hospital
committees, coordinating the in-service
“HSS has the most professional, educated and skilled doctors and staff I have ever experienced. I felt very confident I was in the best hands.
Dr. Richman was SO thorough. His expertise is bar none!”Comment from Press Ganey Patient Satisfaction Survey
Patient’s Choice Award
Annual Report 2011 5
PATIENT’S CHOICE AWARD
Congratulations to Semih Gungor, MD, who received the Patient’s
Choice Award from the American Registry. The award is given to
physicians who receive excellent reviews from patients and high
scores on various quality measures. Of the nation’s 720,000 active
physicians, only 5 percent received this honor in 2011.
program on medication management
for physician assistants and participat-
ing in the orientation program of all
new nursing staff. Additionally, our
nurse practitioners provide pain man-
agement information and guidance for
all new patient education initiatives.
2011 presentations included:
• “Pain Management for the 21st
Century VA: More Than Just
Medicine”, U.S. Department of
Veterans Affairs Conference
• Case study “The Highly Motivated to
Succeed Patient” at the Annual HSS
Pain Conference
• Presentation outlining the progress of
the joint RPM/ARJR pilot program at
the HSS 23rd Annual Holiday Total
Knee Course
DIVISION OF MUSCULOSKELETAL AND
INTERVENTIONAL PAIN MANAGEMENT
The Division of Musculoskeletal and
Interventional Pain Management,
known internally as the Chronic Pain
Service (CPS), provides specialized
treatment to patients in need of extend-
ed pain management care. The CPS
provided consults and follow-up treat-
ment for 9,000 outpatients and 3,300
inpatients in 2011. Our pain physicians
performed over 3,100 pain-relieving pro-
cedures in the Special Procedures Unit
(which moved to its new location on
75th Street in late 2011).
Our pain clinic continues to offer
comprehensive pain services to an
underserved patient population. In
2011, the clinic moved to a new loca-
tion on 72nd Street, providing a larger
space to accommodate the growing
needs of our patients. 450 patients
were treated by Semih Gungor, MD,
Donna Lawrence, NP, and clinic staff.
The CPS participated in many new and
ongoing research projects in 2011. The
Chronic Pain Registry, developed in
2010 with the support of an NIH grant,
is well underway and data collection has
begun. We continue to enroll patients
into our platelet rich plasma study, which
was designed to focus on the treatment
of back pain with an emphasis on disco-
genic lumbar conditions. In addition, an
electrical skin conductance study was
completed in 2011 and an abstract will
be presented in 2012 at the American
Society of Regional Anesthesia and Pain
Medicine (ASRA) Annual Meeting.
6 Department of Anesthesiology
Num
ber o
f Pat
ient
s
9,000
10,000
11,000
12,000
13,000
14,000
15,000
16,000
17,000
20112010200920082007
Chronic Pain Service Volume
Enhancing the PatientExperience Through Clinical Research
Under the direction of Jacques Ya
Deau, MD, PhD, Director of Clinical
Research and Carey Ford, Clinical
Research Manager, our physicians and
research team, comprised of ten full
time research staff, work to design
studies that will ultimately improve our
clinical practice. To achieve our goals,
2011 research endeavors focused on
two main areas: improving the patient
experience and enhancing patient
safety. Our investigators published 33
original articles in 2011, continuing
their efforts to improve the practice of
regional anesthesia and pain medicine.
Key to the success of our program is
our ongoing multi-disciplinary collabo-
ration with HSS surgeons, Dr. Yan Ma
and the statisticians of Weill Cornell
Medical College.
IMPROVING THE PATIENT EXPERIENCE
This past year, two of our physician
investigators completed randomized
control trials which evaluated optimal
methods to minimize pain following
orthopedic surgery. The studies were
both designed to challenge traditional
analgesics by comparing the traditional
femoral nerve block to the newer
saphenous nerve block.
Mary Chisholm, MD, studied pain after
anterior cruciate ligament (ACL)
reconstruction surgery. In her study
entitled, “Postoperative Analgesia with
the Subsartorial Saphenous Nerve
Block in ACL Reconstruction,” Dr.
Chisholm found that patients receiving
a saphenous block had equivalent post-
operative pain scores and equal narcotic
use to patients receiving the femoral
block, thus proving the efficacy of the
newer block. Dr. Chisholm’s data was
presented at the 2011 ASRA Annual
Meeting and is currently being pre-
pared for manuscript submission.
David Kim, MD, completed a study,
entitled “Saphenous (Adductor Canal)
Nerve Block vs. Femoral Nerve Block
for Total Knee Arthroplasty: A Novel
Approach for Postoperative Analgesia”,
which investigated pain levels after
total knee replacement surgery (TKR).
Results of Dr. Kim’s study showed that
patients receiving a saphenous block
retained equivalent muscle strength to
those receiving the femoral block.
Additionally, there was no difference
in pain control six to eight hours post
anesthesia administration. The study
was accepted for presentation and
awarded as one of the top abstracts at
the 2012 ASRA Meeting.
Results of both studies supported the
hypothesis that a saphenous nerve
block is as clinically effective as the
more traditional femoral nerve block
for bilateral knee and ACL reconstruc-
tion procedures.
ENHANCING PATIENT SAFETY
To improve patient safety and specifi-
cally address concern in the interna-
tional anesthesia community that low
intra-operative blood pressure may
cause strokes, Jacques Ya Deau, MD,
PhD, designed a study to determine if
there is a connection between blood
pressure and stroke during shoulder
surgery in the sitting position.
Although approximately half of the
patients enrolled in the study had low
Annual Report 2011 7
“Dr. Gungor, Dr. Kahn, and Dr. Swamidoss made such an incredible difference in my life. Their careand sensitivity to my comfort and understanding of the procedure was paramount. Their good humor
under difficult circumstances gave me the encouragement that I really needed at exactly the right time.”
Comment from Press Ganey Patient Satisfaction Survey
Research Team
blood pressure during surgery, none
showed any evidence of brain injury or
dysfunction postoperatively. The
research concluded that, under the
right conditions, controlled hypoten-
sion can be recommended and is safe
for patients undergoing shoulder
arthroscopy. Dr. Ya Deau’s paper,
entitled “Stroke, regional anesthesia in
the sitting position, and hypotension:
a review of 4,169 ambulatory surgery
patients” was published in Regional
Anesthesia and Pain Medicine.
Stavros Memtsoudis, MD, PhD, used
a national database to analyze inpatient
falls after hip and knee arthroplasty.
The study, “In-Hospital Patient Falls
After Total Joint Arthroplasty:
Incidence, Demographics, and Risk
Factors in the United States” analyzed
trends, risk factors, complications, and
hospital cost for inpatient falls. The
research determined that, given the
associated morbidity, mortality, and
increased cost, proper resources should
be allocated to minimize the risk of
falls in this patient population.
Dr. Memtsoudis also collaborated with
Dr. Spencer Liu on a study analyzing
perioperative demographics and
pulmonary outcomes of patients with
obstructive sleep apnea (OSA).
“Perioperative pulmonary outcomes in
patients with sleep apnea after noncar-
diac surgery” determined that patients
with OSA developed pulmonary com-
plications more frequently than other
patients after both orthopedic and
general surgical procedures. The
study, published in Anesthesia and
Analgesia, determined that OSA is an
independent risk factor for periopera-
tive pulmonary complications; results
of the study are being used to improve
perioperative outcomes in this growing
patient population.
Serving as the Most Trusted Educator
Under the direction of David Lee, MD,
Medical Director, Education, Jonathan
Beathe, MD, Director, Training
Programs, and Mary Hargett,
Administrative Director, Education,
it is our goal to promote educational
opportunities to all students of regional
anesthesiology and pain medicine.
In 2011, to enhance the educational
8 Department of Anesthesiology
Current and Alumni HSS Anesthesia Fellows
experience of our fellows, we expanded
our cadaver laboratory curriculum and
made significant changes to our written
laboratory syllabus. In addition, we
maintained significant representation at
educational conferences worldwide and
hosted the HSS Visiting Professor
Lecture Series, presenting the First
Annual Visiting Professor Lecture
in Anesthesiology.
CADAVER LABORATORY CURRICULUM
The Department achieved a new mile-
stone in regional anesthesia education
with the addition of a novel and com-
prehensive cadaver laboratory curricu-
lum. Led by Christopher DiMeo, MD,
David Kim, MD, and Carrie Guheen,
MD, the laboratory is arranged into
specific block modules including supra-
clavicular blocks (interscalene and
supraclavicular), infraclavicular blocks
(infraclavicular and axillary), blocks of
the anterior thigh (femoral, lateral
femoral cutaneous and saphenous),
and blocks of the posterior thigh
(sciatic and popliteal). Unlike typical
cadaver courses which make use of
embalmed specimens, the laboratory
employs fresh frozen cadavers which
replicate the look and feel of living tis-
sue. Because these specimens are not
embalmed, ultrasonography yields
images that compare favorably to
those found in the operating room
while needle placement and local
anesthetic injection mimic the
proprioceptive feedback found in liv-
ing tissue. Students in the laboratory
therefore have the opportunity to not
only dissect the anatomy relevant to
a particular nerve block, but also
practice regional block and catheter
placement techniques in an environ-
ment free of time constraints or fear
of complications. In all, our cadaver
laboratory provides students of
regional anesthesia the substrate and
time necessary to develop the
knowledge and skill critical to
safe, efficacious peripheral nerve
block technique.
FIRST ANNUAL VISITING PROFESSOR
LECTURE IN ANESTHESIOLOGY
In December 2011, Michael F. Mulroy,
MD, participated in the HSS Visiting
Professor Lecture Series, presenting
the First Annual Visiting Professor
Lecture in Anesthesiology. Dr.
Mulroy’s Grand Rounds, “Femoral
Nerve Blockade: Balancing Pain Relief
with Rehabilitation Milestones”, was
presented to a multidisciplinary group
Annual Report 2011 9
Michael F. Mulroy, MD, (right) with Philip D. Wilson, Jr., MD, and Leon Root, MD.
“Dr. DelPizzo is wonderful. Words cannot describe how much I appreciate her.”
Comment from Press Ganey Patient Satisfaction Survey
including surgeons, nurses, and
physical therapists.
In his presentation, Dr. Mulroy noted
that femoral nerve blockade provided
excellent postoperative analgesia but
was associated with an almost seven
percent incidence of postoperative falls
in one study. He went on to address
what could be done to preserve effec-
tive analgesia while reducing patient
risk and enhancing rehabilitation. In
addition to presenting Grand Rounds,
Dr. Mulroy also moderated a “Visiting
Professor Journal Club” for the
Anesthesiology staff and met with
members of several disciplines of the
Hospital’s leadership team to share best
practice information.
2011 CONFERENCE HIGHLIGHTS
American Society of Regional
Anesthesia and Pain Medicine
(ASRA) Annual Meeting
Several members of our attending staff,
fellows, and support staff participated
as both faculty and attendees at the
2011 ASRA Annual Meeting in Las
Vegas. Ten abstracts from the
Department were accepted for presen-
tation and we received two of the six
awards presented; a considerable
achievement given that over 300
abstracts were submitted.
Dr. Spencer Liu’s abstract (presented by
Pamela Shaw, Assistant Research
Coordinator and Co-Investigator) enti-
tled “Uncomplicated Removal of
Epidural Catheters in 4,365 Patients with
International Normalized Ratio Greater
than 1.4 during Initiation of Warfarin
Therapy” was awarded “Best of
Abstracts.” 2010-2011 Fellow Lei Li,
MD, received the “Resident Travel
Award” for her abstract submission enti-
tled “Cervical Spine Disease is a Risk
Factor for Persistent Phrenic Nerve
Paresis following Interscalene Block for
Shoulder Surgery”, a study completed
under the direction of Victor Zayas, MD.
Annual Regional
Anesthesia Symposium
The Department’s 15th Annual
Symposium, “Controversies and
Fundamentals in Regional Anesthesia”
took place in May 2011 at The New York
Palace Hotel with over 200 attendees.
The event was organized and directed by
Daniel Maalouf, MD, and Devan Bhagat,
MD, Program Chairs, and Mary Hargett,
Program Director. Registrants attended
didactic sessions, problem-based learn-
ing discussions and intimate, hands-on
workshops. Featured Guest Faculty were
John Dilger, MD, Sandra Kopp, MD,
10 Department of Anesthesiology
and Carlos Mantilla, MD, from the
Mayo Clinic in Rochester, Minnesota.
The entire Department attending
staff contributed to the workshops
with the assistance of current and
alumni fellows.
Annual Pain Awareness Program
The Department sponsored its Fifth
Pain Awareness Program, “Chronic
Pain: The Journey to Understanding
and Treatment” in September 2011.
Over 55 attendees were presented with
a cross-section of topics related to the
physiologic, psychosocial, and cultural
dimensions of persistent pain. The
program was directed by Barbara
Wukovits, RN and presented by HSS
faculty including Mary Chisholm, MD,
Kate DelPizzo, MD, Vladimir Kramskiy,
MD, Brian Phillips, NP, and Cheryl
Conwell, DNP. Guest Faculty included
Lara Dhringa, MD, from Beth Israel
Medical Center and Maureen Cooney,
RN, from Westchester Medical Center.
Going Lean with Information Technology Initiatives
HSS’ has implemented the continuous
performance improvement philosophy
Lean, aimed at reducing sources of waste
to promote greater efficiency and
improve patient care. Within the
Department we are utilizing Lean
philosophies to streamline clinical and
administrative processes. In 2011, I.T.
Manager Mike Bieltz designed a
number of information technology
programs to eliminate waste and
increase productivity:
• With the assistance of Brian
Philips, NP, a new web application
was developed that allows the
RPM service to track patient visits
from any hospital computer and
easily access a multitude of infor-
mation including location of
patient’s pain and related pain
scores, hospital discharge pain
medications, surgical reports and
visit notes. This web application
eliminated time consuming
manual reporting.
• The Department’s transesophageal
echocardiogarphy (TEE) exam
verifies the TEE competency
of physicians for credentialing
requirements. In 2011, the exam
(which was previously paper-based)
was placed online with a new
Department electronic learning
application that certifies anesthesi-
ologist’s competency in TEE as
well as providing exam results
and valuable reports on the
learning process.
Annual Report 2011 11
“My experience in Dr. Tom Quinn’s care was excellent – it made all the different in my recuperation – I am extremely
pleased and thankful for such excellence!”Comment from Press Ganey Patient Satisfaction Survey
NAOMI DONG, MDASSISTANT ATTENDING ANESTHESIOLOGIST
Dr. Dong completed her residency at St. Luke’s-Roosevelt,where she served as chief resident. She then completed a Fellowship in Pediatric Anesthesiology with a six-monthPediatric Cardiac Anesthesia continuum at Children’s Hospitalof Philadelphia. We welcome Dr. Dong to our pediatric anesthesia team.
CARRIE R. GUHEEN, MDASSISTANT ATTENDING ANESTHESIOLOGIST
Dr. Guheen joined our Attending staff after graduating from ourRegional Anesthesia and Acute Pain Medicine Fellowship, duringwhich she was awarded for clinical excellence. She completedher residency in anesthesiology at NewYork-PresbyterianHospital/Weill Cornell Medical College, serving as co-chief resident in her final year and receiving the Joseph F. ArtusioAward for Outstanding Resident.
The Department of Anesthesiology was proud to announce the addition oftwo outstanding physicians to our team in 2011:
In addition to our new physicians, we added thirteen new staff members to our talented team in 2011. The Department welcomed:
Aris Azar, RN
Pain Medicine
James Bae, MS
Research Assistant
Lorna Co, CRNA
Jodie Curren, RN
Research Nurse
Amanda Goon
Research Assistant
Bingjing Liu
Administrative Assistant, Dr. Wang
Andrea Martin
LPN, Dr. Gungor
Deepa Mathew, NP
Pain Medicine
Shane Reid, MS
Research Assistant
Paul Scott, CRNA
Wendy Smart-Lazare, CRNA
Geraldine Tomakin-Pilla, NP
PACU
Daniel Yoo, MS
Research Assistant
12 Department of Anesthesiology
“No other anesthesiologist has ever spent so much time with us.
HSS is the best!!!”Comment from Press Ganey Patient Satisfaction Survey
Staff Awards
Congratulations to Barbara Wukovits, RN, Director of Pain Services, who was presented the 2011 Gigi Viellion Scholarship
Award by the HSS Alumni Association. Barbara was chosen for her clinical excellence, leadership skills, extensive research
and publications. Barbara was also a recipient of the 2011 HSS Interdisciplinary Team Award, along with Gregory Liguori, MD.
The two were awarded for their work on the CAUDI Bundle Team, which was created to implement evidence-based
guidelines to assess urinary catheter use and develop tools to monitor the occurrence of urinary tract infections in our
inpatient population.
Junior Rigby, Chief Anesthesia Technician/Supervisor, was selected as one of four recipients of the 2011 HSS Safety Champion
Award. Junior was cited for his professionalism and dedication to improving the services provided by the anesthesia technical
staff to ensure the highest levels of patient and staff safety.
Annual Report 2011 13
We Congratulate our 2011 TEACHERS OF THE YEAR
Michael Gordon, MD, was selected as the
2010-2011 Teacher of the Year by the 2011 graduating fellows.
Dr. Gordon was also the recipient of this award in 2007.
Douglas Green, MD, was chosen as the
2011 HSS Teacher of the Year by the graduating
anesthesiology residents of Weill Cornell Medical College.
14 Department of Anesthesiology
Humanitarian Service Around the World
Teambuilding at theJPMorgan Chase Corporate Challenge
In June 2011, in a fun night filled with
HSS team spirit and camaraderie, 116
HSS staff members, including 17 of
our Department, participated in the
JPMorgan Chase Corporate Challenge,
a 5K run in Central Park. As the
Department coordinated and sponsored
the event, it was fitting that two of our
staff members, Dr. Michael Nurok and
Kate Collins, NP, placed first of male
and female HSS runners respectively.
Kethy Jules-Elysee, MD, participated in medical missions to
rural Haiti in January and July 2011. During each week-long
trip, Dr. Jules-Elysee cared for approximately 500 patients
from 6 months to 101 years old. Children most often pre-
sented with fever and respiratory tract infections, while adults
had various conditions including asthma, superficial wound
infections and blood pressures as high as 250/140.
Several members of our team volunteered their services in
medical missions to Guatemala in 2011. In May, Jeffrey
Ngeow, MD, on his third trip with the HOPE Mission,
treated 350 Ixil Indian patients for a multitude of conditions
including scabies, lice, worms, malnutrition, anemia, high
blood pressure and diabetes. Richard King, MD, participated
in a week long mission in June, providing anesthesia for 42
surgical procedures for the country’s indigent population.
Donna Lawrence, NP, traveled with Cornerstone Christian
Center in July; she assisted in treating the medical and dental
needs of approximately 200 children in an orphanage.
Richard King, MD, provides anesthesia on a recent humanitarian trip to Guatemala. Dr. King receives thanks from one of his patients.
Annual Report 2011 15
We would not be the leaders we are today without the support and efforts of our dedicated support staff. As weacknowledge their role in our successes, we invite you to learn more about three members of our exceptional team:
MARY KELLY, RN, EVENING PAIN MANAGEMENT COORDINATOR
Role: I facilitate the pain control regimes of post surgical patients, employing multi-modal techniques
to help alleviate postoperative pain. My wide scope of responsibilities include ensuring plan effectiveness
and patient safety, educating patients about their treatment and working with the patient care team to
ensure that a comprehensive and patient-specific pain management plan is in place.
A member of the HSS family since: May 2000
Why I love my job: I enjoy the challenges of my position because I truly believe that my contributions
improve the patient’s post-operative experience. I relish my daily interactions with my HSS colleagues
by whom I’ve always felt encouraged and supported.
Goals: I am currently enrolled in, and looking forward to completing, the advanced practice nursing
Master’s program at PACE University. Although my goal is to remain in the Anesthesia Department,
I am enthusiastic about the opportunities that will arise once I obtain my Master’s degree.
SESLE OLSEN, CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)Role: I spend my days in the ORs with the anesthesiologists providing sedation and general anesthesia
for patients undergoing orthopedic surgery.
A member of the HSS family since: June 2006
Why I love my job: It is truly rewarding to see my patients in recovery following surgery, doing
well after both minor and complex procedures. I enjoy and respect the people I work with and the
atmosphere of collegiality and professionalism that characterizes the Department.
Goals: To continue to grow professionally and further develop my clinical skills.
DANIEL YOO, MS, RESEARCH ASSISTANT
Role: I am responsible for the administration and coordination of the anesthesiologists’ research
studies. I am involved in the entire research process including study protocol development, enrolling
patients in clinical studies, data collection and analysis, manuscript preparation and editing.
A member of the HSS family since: April 2011
Why I love my job: It is exciting to be involved in what are often ground-breaking projects from
inception through to publication. I enjoy the patient interaction while conducting such valuable
anesthesia research. I like working at HSS because of its strong commitment to superlative patient
care. Within the Anesthesia Department, I enjoy the sense of camaraderie and appreciate how
the Department strives to support and help each person grow professionally.
Goals: Short-term, I would like to obtain my certification in clinical research. Long term, I aspire to
combine my knowledge in acupuncture and anesthesia to explore the use of alternative medicine for
the treatment of pain and post-operative nausea and vomiting.
“The anesthesia team was excellent. They did a great job of applying the anesthetic and sedative: I was able to regain feeling in my arm/hand and recover from sedation very
quickly. They also did a great job of providing information regarding the procedure.”Comment from Press Ganey Patient Satisfaction Survey
16 Department of Anesthesiology
ANESTHESIOLOGIST-IN-CHIEF
AND DIRECTOR
Gregory A. Liguori, MD
ATTENDING ANESTHESIOLOGISTSSpencer S. Liu, MD
Medical Director, Acute and Recuperative
Pain Medicine Services
Nigel E. Sharrock, MB ChB
ASSOCIATE ATTENDING
ANESTHESIOLOGISTS
Stephen N. Harris, MD
Stavros G. Memtsoudis, MD, PhD
Jeffrey Y.F. Ngeow, MD
Michael Nurok, MB ChB, PhD
Cephas P. Swamidoss, MD, MPH
Michael K. Urban, MD, PhD
Medical Director, PACU
William F. Urmey, MD
Victor M. Zayas, MD
Director, Pediatric Anesthesia
ASSISTANT ATTENDING
ANESTHESIOLOGISTS
Jonathan C. Beathe, MD
Director, Training Programs
James D. Beckman, MD
Devan D. Bhagat, MD
Bradford E. Carson, MD
Mary F. Chisholm, MD
Kathryn DelPizzo, MD
Christopher A. DiMeo, MD
Naomi Dong, MD
Chris R. Edmonds, MD
Medical Director, Quality Assessment and
Performance Improvement
Sean Garvin, MD
Michael A. Gordon, MD
Enrique A. Goytizolo, MD
Douglas S.T. Green, MD
Carrie R. Guheen, MD
Semih Gungor, MD
Medical Director, Chronic Pain Research
Michael C. Ho, MD
Kethy M. Jules-Elysee, MD
Richard L. Kahn, MD
Medical Director, Ambulatory Surgery
David H. Kim, MD
Richard S. King, MD
Vladimir N. Kramskiy, MD
Medical Director, Ambulatory Recuperative
Pain Medicine
Vincent R. LaSala, MD
Andrew C. Lee, MD
Medical Director, Clinical Initiatives
David L. Lee, MD
Medical Director, Education
Yi Lin, MD, PhD
Daniel B. Maalouf, MD, MPH
John G. Muller, MD
Joseph A. Oxendine, MD
Leonardo Paroli, MD, PhD
Thomas J. Quinn, MD, MBA
Daniel I. Richman, MD
James J. Roch, MD
Lauren H. Turteltaub, MD
Assistant Director, Training Programs
Philip J. Wagner, MD
Director, Web
Seth A. Waldman, MD
Medical Director, Chronic Pain Medicine
David Y. Wang, MD, MS, MPH
Medical Director, Chronic
Pain Education
Jacques T. Ya Deau, MD, PhD
Medical Director, Clinical Research
2010-2011 FELLOWS IN REGIONAL ANESTHESIOLOGY AND ACUTE PAIN MEDICINE
Cindy Chen, MD
Carrie R. Guheen, MD
Cassie Kuo, MD
Lei Li, MD
Jiabin Liu, MD, PhD
Marco Lotano, MD
Asha Manohar, MD
Dawn Yan, MD
2010-2011 ANESTHESIA RESEARCH FELLOW
Anna Maria Bombardieri, MD, PhD
2011-2012 FELLOWS IN REGIONAL ANESTHESIOLOGY AND ACUTE PAIN MEDICINE
Emilio G. Andrade, MD
Anna Maria Bombardieri, MD, PhD
Shawna M. Dorman, MD
Justo K. Gonzalez, MD
Mandip S. Kalsi, MD
Kristy M. Labib, MD
Milica Markovic, MD
Swetha Pakala, MD
Minda Patt, MD
ADMINISTRATIVE DIRECTOR
Roberta Stack, MS
ADMINISTRATION
Mary J. Hargett
Administrative Director, Education
Susan Cardamone, MBA
Assistant Administrative Director
Maureen Stanton, RN
Manager, QA/PI
“I was very impressed with the pain staff’s positive professional attitude – you have a wonderful
pain management program.”Excerpt from Press Ganey Patient Satisfaction Survey
Annual Report 2011 17
Ilene Bacine
Manager, Finances
Mike Bieltz, MBA
Manager, Information Technology
Sarah Kennedy
Coordinator, QA/PI
Dana Libov
Administrative Coordinator
Sheryl Stebel
Administrative Assistant, Dr. Liguori
Ellen Segal
Staff Secretary
PAIN MEDICINE
Barbara Wukovits, RN, BSNC
Director, Pain Services
Nursing Staff
Aris Azar, RN
Kaitlin Collins, MS, RN, ANP
Mary Kelly, RN, BC, ONC
Evening Nurse Coordinator
Donna Lawrence, NP
Deepa Mathew, RN, MS, ANP, GNP
Eileen Moynihan, RN, MA, BSN, ONC
Brian Phillips, MS, RN, FNP
Assistant Director RPM
Chronic Pain Staff
Audrey Bucknor
Office Manager, Dr Richman
Elizabeth Garden
Office Manager, Dr Kramskiy
Alexandra Jacobs, RN, BSN, MA
Dr Richman
Diane Leistman, RN
Dr Waldman
Bingjing Liu
Administrative Assistant, Dr Wang
Neiza Lugo
Registrar/Billing
Cyndi Ma
Secretary, Dr Ngeow
Lilia Macias
Secretary, Dr Richman
Andrea Martin, LPN
Dr Gungor
Susan Ngeow, CPA
Office Manager, Dr Ngeow
Sandra Simpson, LPN
Office Manager, Dr Wang
Evette Staff
Secretary, Dr Richman
Elvi Taveras
Office Manager, Dr Gungor
Bonnie Urquhart
Pain Services Coordinator and Office
Manager, Dr Waldman
Sherrene Wan
Secretary, Dr Ngeow
RESEARCH
Carey Ford, CCRC
Manager, Research
Pamela Shaw, CCRC
Assistant Coordinator, Research
Senior Research Assistants
Valeria Buschiazzo
George Go
Jennifer Stanton Gordon
Research Assistants
James Bae, MS
Amanda Goon
Dorothy Marcello
Shane Reid, MS
Tara Thompson
Daniel Yoo, MS
Research Nurse
Jodie Curren, RN, BSN, ACRN
NURSE ANESTHETISTS
Donna Hasil, CRNA
Chief CRNA
Carol Bohne, CRNA
Elizabeth Caliwara, CRNA
Claire Karlick, CRNA
Sara Listokin, CRNA
Mary Maher, CRNA
Lisa Nigro, CRNA
Sesle Olsen, CRNA
Niles Perlas, CRNA
Paul Scott, CRNA
Wendy Smart-Lazare, CRNA
PACU
Nurse Practitioners
Cheryl Conwell, DNP, ANP-BC
Michele Mangini-Vendel, DNP,
ANCP-BC, CCRN
Geraldine Tomakin-Pilla, ANP-BC
Physician Assistants
Christy Loughlin, PA-C
PA Service Manager, PACU
Kelly Culot, PA-C
Michael Lichardi, PA-C
Kenneth Van Ora, PA-C
ANESTHESIA TECHNICIANS
Junior Rigby
Supervisor/Chief Anesthesia Technician
Garrick Austin
Grell Barnes
Raymond Daniels
Raul Latchman
Hector Pineda
“Dr. Seth Waldman is a true professional and a gentleman. His work and care is outstanding.”
Comment from Press Ganey Patient Satisfaction Survey
18 Department of Anesthesiology
AWARDS AND SPECIAL RECOGNITION
James D. Beckman MDInvited Speaker, New York State Society of
Anesthesiologists’ 65th Annual PostgraduateAssembly in Anesthesiology, New York, NY
Michael A. Gordon, MD Fellows’ “Teacher of the Year” Award, 2010-2011
Enrique Goytizolo, MDInvited Speaker, X International
Symposium: Latino-America Society of Regional Anesthesia, Lima, Peru
Douglas S. T. Green, MDCornell Residents’ “Teacher of the Year”
Award, 2010-2011
Semih Gungor, MD2011 Patient’s Choice Award recipient,
American RegistryInvited Speaker, AnestezIstanbul
Conference, Istanbul, Turkey
Richard S. King, MD Invited Speaker, AnestezIstanbul
Conference, Istanbul, TurkeyInvited Speaker, ASRA Annual Meeting,
Las Vegas, NV
Andrew C. Lee, MDGuest Speaker, 16th Annual Rhode Island
Anesthesia Conference sponsored by Brown University, Providence, RI
Spencer S. Liu, MDBest Abstract, Annual Meeting American
Society of Regional Anesthesia, Las Vegas, NVInvited Speaker, Annual Meeting American
Society of Anesthesiologists, Chicago, ILInvited Speaker, Annual Meeting International
Anesthesia Research Society, Vancouver, BCInvited Speaker, Combined meeting of
Hong Kong Society of Anaesthesia, Australia New Zealand College of Anaesthesia, and Faculty of Pain Medicine, Hong Kong
Invited Speaker, Department of Anesthesiology, New York University, New York, NY
Invited Speaker, Annual meeting of the American Society of Regional Anesthesia, Las Vegas, NV
Invited Speaker, National Association of Orthopedic Nurses 31st Annual Congress, Baltimore, MD
Daniel B. Maalouf, MD, MPHInstructor of Ultrasound-Guided Regional
Anesthesia, Lebanese University, Beirut
Stavros G. Memtsoudis, MD, PhDInvited Speaker, Weill Cornell Medical
College Research Seminar Lecture Series,New York, NY
Invited Speaker, New York State Society of Anesthesiologists’ 65th Annual Postgraduate Assembly in Anesthesiology, New York, NY
Grand Rounds, Universitatsklinik Fur Anasthesiologise, Perioperative Medizin Und Allgemeine Intensivmedizin, Salzburg, Austria
Michael Nurok, MB ChB, PhDInvited Speaker, American Society of
Anesthesiologists Annual Meeting, Chicago, ILInvited Speaker, Department of
Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA
Michael K. Urban, MD, PhDInvited Speaker, 6th Annual Perioperative
Summit Meeting, Miami, FLInvited Speaker, National Association of
Orthopedic Nurses 31st Annual Congress, Baltimore, MD
Invited Speaker, New York State Society of Anesthesiologists’ 65th Annual PostgraduateAssembly in Anesthesiology, New York, NY
William F. Urmey, MDInvited Speaker, ASA Annual Meeting,
Chicago, ILInvited Speaker, ASRA Annual Meeting,
Las Vegas, NVInvited Speaker, 65th Post Graduate
Assembly of the New York State Society of Anesthesiologists, New York, NY
Invited Speaker, 4th SIMPAR San Matteo International Meeting on Pain Research, Pavia, Italy
Invited Speaker, AnestezIstanbul Conference, Istanbul, Turkey.
Jacques T. YaDeau, MD, PhDInvited Speaker, ASRA Annual Meeting,
Las Vegas, NV
Victor M. Zayas, MDInvited Speaker, ASRA Annual Meeting,
Las Vegas, NV
LEADERSHIP POSITIONS ANDAPPOINTMENTS
Jonathan C. Beathe, MDMember, ASA Advisory Council
Semih Gungor, MDSymposium Chair, International Anesthesia
Symposium, Istanbul, Turkey
David L. Lee, MDMember, Medical School Admissions
Committee, Weill Cornell Medical College
Spencer S. Liu, MDExaminer, American Board of AnesthesiologyChair, Committee for ASRA AQI Clinical
Registry
Jeffrey Y. F. Ngeow, MDAdvisory Board Member, New York Society
of Interventional Pain Practice Member, Review Committee for Grant
Application, Cornell Clinical and Translational Science Center
Member, Pain Committee, New York State Society of Anesthesiologists
Honorary Member, Chinese American Society of Anesthesiologists
Michael Nurok, MB ChB, PhDAmerican Society of Anesthesiologists:
Committee on EthicsChair, International LAM Registry
William F. Urmey, MDBoard of Directors, American Society of
Regional Anesthesia and Pain Medicine Chair, Distinguished Service Award
Committee, American Society of Regional Anesthesia and Pain Medicine
Seth A. Waldman, MDSecretary, New York State Society of
Interventional Pain Physicians
EDITORIAL APPOINTMENTS
Jonathan C. Beathe, MDScientific Reviewer: Journal of Clinical
AnesthesiologyScientific Reviewer: Journal of Clinical
Orthopedics and Related Research
Gregory A. Liguori, MDEditor: Anesthesia and AnalgesiaAssociate Editor: Regional Anesthesia and
Pain Medicine
Spencer S. Liu, MDEditor: Regional Anesthesia & Pain MedicineSection Editor, Pain Medicine: Anesthesia
& Analgesia
Daniel B. Maalouf, MD, MPHScientific Reviewer: Journal of Clinical
Anesthesiology
Stavros G. Memtsoudis, MD, PhD Scientific Reviewer: Annals of Internal
MedicineScientific Reviewer: Annals of Thoracic SurgeryScientific Reviewer: AnesthesiologyScientific Reviewer: Anesthesia and AnalgesiaScientific Reviewer: Cleveland Clinic
Journal of MedicineScientific Reviewer: Clinical Anatomy Scientific Reviewer: Critical CareScientific Reviewer: HSS JournalScientific Reviewer: Journal of Clinical
AnesthesiologyScientific Reviewer: Journal of Clinical
Orthopedics and Related ResearchScientific Reviewer: Journal of Critical Care
MedicineScientific Reviewer: Regional Anesthesia
and Pain Medicine Scientific Reviewer: The Journal of Thoracic
and Cardiovascular Surgery
Michael Nurok, MB ChB, PhDScientific Reviewer: Cochrane Review Group
Annual Report 2011 19
Scientific Reviewer: Critical CareScientific Reviewer: Millbank QuarterlyScientific Reviewer: Social Science and MedicineScientific Reviewer: Sociology of Health and
Illness
William F. Urmey, MDScientific Reviewer: AnesthesiologyScientific Reviewer: Regional Anesthesia &
Pain Medicine
Seth A. Waldman, MDEditorial Reviewer: The Medical Letter
Jacques Ya Deau, MD, PhDEditor: HSS JournalGuest Editor: Anesthesia and AnalgesiaScientific Reviewer: Regional Anesthesia and
Pain MedicineScientific Reviewer: Regional Anesthesia and
Pain Medicine
GRANTS
“Comparative Effectiveness of Interventions forChronic Pain Management.” National Institute of Health RC2 Award November 2009- November 2011Principal Investigator: Charles Inturrisi,PharmD; Weill Cornell Medical CollegeCo-Investigators: Semih Gungor, MD andSeth A. Waldman, MDThe goals of this project are to establish a retrospective chronic pain data registry forpatients of 4 New York City academic hospital-based pain clinics that employ inter-disciplinary pain management treatments; usePractice Based Evidence (PBE) methodologyto create a comprehensive, prospective chron-ic pain data registry, using the retrospectiveregistry as a foundation; and use both reg-istries to identify specific pain managementinterventions that are most effective for specific patient types with chronic pain.
“Chronic Pain Management Costs in a Multi-Institutional Patient Registry.” Clinical and Translational Science Center(CTSC) Pilot Award June 1, 2010- May 31, 2012Principal Investigator: Bruce R. Schackman,PhD, Weill Cornell Medical CollegeCo-Investigators: Semih Gungor, MD andSeth A. Waldman, MD In collaboration with Dr. Inturrisi’s NIH spon-sored chronic pain registry, this project willcollect cost information from a subset ofpatients across the four institutions.
“Implementation of Electronic Medical Recordsto Initiate a Chronic Pain Registry.” Clinical and Translational Science Center(CTSC) Pilot Award June 1, 2010- May 31, 2012
Principal Investigator: Seth A. Waldman, MDConversion of paper based office charts to elec-tronic format enabling participation in theNIH sponsored chronic pain registry lead byDr. Inturrisi. Registry will include detailedpatient characteristics (including severity of ill-ness) and assessments, treatments, interven-tions and outcomes data that have been stan-dardized across four participating pain clinicsduring the first year of the project.
SELECTED PUBLICATIONS
Original Articles
Beathe J, Sites B. Training Guidelines forRegional Anesthesia. American Society ofAnesthesiologists Newsletter, April 2011
Gritsenko K, Marcello D, Liguori GA, Jules-Elysée K, Memtsoudis SG. Meningitis orepidural abscesses after neuraxial block forremoval of infected hip or knee prostheses.British Journal of Anaesthesia. 2011 Dec 16.[Epub ahead of print]
Hargett MJ, Kopp SL, Liguori GA, Neal JM,and Weller RS002E Guidelines for FellowshipTraining in Regional Anesthesiology and AcutePain Medicine Second Edition, 2010. Regional Anesthesia Pain Medicine. 2011May/June;36(3):282-88.
Jules-Elysee KM, Lipnitsky JY, Patel N,Anastasian G, Wilfred S, Urban MK, SculcoTP. Use of Low-Dose Steroids in DecreasingCytokine Release During Bilateral Total KneeReplacement Regional Anesthesia and PainMedicine 2011;36(1):36-40.
Janicki PK, Vealey R, Liu J, Escajeda J, PostulaM, Welker K. Genome-wide Association UsingPooled DNA to Identify Candidate MarkersMediating Susceptibility to PostoperativeNausea and Vomiting. Anesthesiology 2011;115(1):54-64.
Liu SS, Buvanendran A, Viscusi ER, Hutton E,Lubenow T, Zhou J, Shaw PM, Moric M, LenartS. Uncomplicated removal of epidural cathetersin 4365 patients with international normalizedration greater than 1.4 during initiation of war-farin therapy. Regional Anesthesia and PainMedicine 2011 May-June; 36(3): 236-40.
Liu SS, Chisholm MF, Ngeow J, John RS, ShawP, Ma Y, Memtsoudis SG. Postoperative hypox-emia in orthopedic patients with obstructive sleepapnea. HSS Journal: The Musculoskeletal Journal ofHospital for Special Surgery; 2011 Feb; 7 (1): 2-8.
Liu SS, YaDeau JT, Shaw PM, Wilfred SE,Shetty T, Gordon M. Incidence of unintention-al intraneural injection and postoperative neu-rological complications with ultrasound-guidedinterscalene and supraclavicular blocks.
Anaesthesia (The Journal of the Association ofAnaesthetists of Great Britain and Ireland).2011; 66(3): 168-174
Liu SS, Wu CL, Ballantyne JC, Buvanedran A,Rathmell JP, Warren DT, Viscusi ER, GinsbergB, Rosenquist R, Ya Deau JT, Liguori GA. Anend and a beginning for ASRA AcutePOP.Regional Anesthesia and Pain Medicine 2011May-June; 36(3): 289
Bang H, Chiu YL, Memtsoudis SG, Mandl LA,Gonzalez Della Valle A, Mushlin AI, Marx RG,Mazumdar M. Total Hip and Total KneeArthroplasties: Trends and DisparitiesRevisited American Journal of Orthopedics2010;39(9):E95-E102.
Girardi FP, Gogia J, Kotwal S, Memtsoudis SG,Pumberger M. Spinal Surgery – An Update.European Musculoskeletal Review, 2011;6(2):105-9.
Goodman S, Krauser D, MacKenzie CR,Memtsoudis SG. Cardiac arrest during totalhip arthroplasty in a patient on an angiotensinreceptor antagonist. HSS Journal: TheMusculoskeletal Journal of Hospital for Special Surgery.
Memtsoudis SG, Bombardieri AM, Ma Y,Girardi F. The effect of low versus high tidalvolume ventilation on inflammatory markers inhealthy individuals undergoing posterior spinefusion in the prone position: a randomized con-trolled trial. Journal of Clinical Anesthesia. 2011Oct 14. [Epub ahead of print]
Memtsoudis SG, Bombardieri AM, Walz JM,Ma Y, Chiu YL, Mazumdar M. Mortality ofpatients with respiratory insufficiency and adultrespiratory distress syndrome after surgery: Theobesity paradox. Journal of Intensive CareMedicine. 2011 Jul 21. [Epub ahead of print]
Memtsoudis SG, Dy C, Ma Y, Chiu YL,Gonzalez Della Valle A, Mazumdar M. In-hos-pital patient falls following total joint arthro-plasty: Incidence, demographics and risk factorsin the United States. Journal of Arthroplasty.2011 Nov 22. [Epub ahead of print]
Memtsoudis SG, Hughes A, Ma Y, Chiu YL,Sama AA, Girardi FP. Increased in-hospitalcomplications after primary posterior versusprimary anterior cervical fusion. ClinicalOrthopaedics and Related Research. 2011Mar;469(3):649-57.
Memtsoudis SG, Hughes A, Ma Y, Chiu YL,Sama AA, Girardi FP. Erratum to: IncreasedIn-Hospital Complications after PrimaryPosterior Versus Primary Anterior CervicalFusion. Clinical Orthopaedics and RelatedResearch. 2011 Feb 20. [Epub ahead of print]
Memtsoudis SG, Kirskey M, Ma Y, Chiu YL,Mazumdar M, Pumberger M, Girardi F.
“Dr. Kahn was AMAZING! He made all the difference between comfort and anxiety for me.”
Comment from Press Ganey Patient Satisfaction Survey
20 Department of Anesthesiology
Metabolic syndrome and lumbar spine fusionsurgery: epidemiology and perioperative out-comes. Spine 2011 Oct 21. [Epub ahead of print]
Memtsoudis SG, Kuo C, Ma Y, Edwards A,Mazumdar M, Liguori GA. Changes in anes-thesia related factors in ambulatory knee andshoulder surgery: United States 1996-2006.Regional Anesthesia and Pain Medicine 2011Jul-Aug; 36(4): 327-31
Memtsoudis SG, Liu SS, Ma Y, Chiu YL, WalzJM, Mazumdar M. Perioperative pulmonaryoutcomes in patients with sleep apnea afternon-cardiac surgery. Anesthesia & Analgesia2011 Jan; 112(1): 113-21.
Memtsoudis SG, Ma Y, Chiu YL, Poultsides L,Gonzalez DellaValle A, Mazumdar M. Bilateraltotal knee arthoplasty: Risk factors for majormorbidity and mortality. Anesthesia &Analgesia. 2011 Oct;113(4):784-90.
Memtsoudis SG, Vougioukas VI, Ma Y, Gaber-Byliss LK, Girardi FP. Perioperative morbidityand mortality after anterior, posterior and ante-rior/posterior spine fusion surgery. Spine 2011Oct 15;36(22):1867-1877.
Memtsoudis SG, Besculides MC. PerioperativeComparative Effectiveness Research. BestPractice & Research Clinical Anaesthesiology2011 Dec; 25(4): 535-47
Passias PG, Ma Y, Chiu YL, Mazumdar M,Girardi FP, Memtsoudis SG. Comparative safetyof simultaneous and staged anterior and posteri-or spinal surgery. Spine 2011 Feb 4. [Epub aheadof print]
Nurok M, Sundt TM, Frankel A. Teamworkand Communication in the Operating Room:Relationship to Discrete Outcomes andResearch Challenges. Anesthesiology Clinics.2011 Mar; 29(1): 1-11.
Nurok M, Evans LA, Lipsitz S, Satwicz P, KellyA, Frankel A. The Relationship of the EmotionalClimate of Work and Threat to Patient Outcomein a High Volume Thoracic Surgery OperatingRoom Team. Quality and Safety in Health Care2011 March; 20(3): 237-42
Rade MC, YaDeau JT, Ford C, Reid MC.Postoperative delirium in elderly patients afterelective hip or knee arthoplasty performedunder regional anesthesia. HSS Journal: TheMusculoskeletal Journal of Hospital for SpecialSurgery; 2011 July; 7 (2): 151-6.
Su EP, Chatzoudis N, Sioros V, Go G, SharrockNE. Markers of thrombin generation duringresurfacing and noncemented total hip arthro-plasty: a pilot study. Clinical Orthopaedics andRelated Research. 2011 Feb;469(2):535-40.
Gulotta LV, Padgett DE, Sculco RP, Urban M,Lyman S, Nestor BJ. Fast Track THR: One
Hospital’s Experience with a 2 Day Length ofStay Protocol for Total Hip Replacement. HSSJournal: The Musculoskeletal Journal of Hospitalfor Special Surgery; 2011 Oct; 7(3): 223-8.
Urmey W. Electrical nerve stimulation andlocoregional anesthesia: new modalities.European Journal of Pain Supplements. 2011Nov; 5(2): 499-505
Yadeau JT, Casciano M, Liu SS, Edmonds CR,Gordon M, Stanton J, John R, Shaw PM,Wilfred S, Stanton M. Stroke, regional anes-thesia in the sitting position, and hypotension:A review of 4169 ambulatory surgery patients.Regional Anesthesia and Pain Medicine 2011Sep-Oct;36(5):430-5.
YaDeau JT, Liu SS, Bang H, Shaw PM,Wilfred SE, Shetty T, Gordon M. Cerebraloximetry desaturation during sitting positionshoulder surgery with regional anesthesia.Canadian Journal of Anaesthesia. 2011Nov;58(11):986-92.
Yadeau JT, Liu SS, Rade MC, Marcello D,Liguori GA. Performance characteristics andvalidation of the Opioid-Related SymptomDistress Scale for evaluation of analgesic sideeffects after orthopedic surgery. Anesthesia &Analgesia. 2011 Aug;113(2):369-77.
Abstracts and Poster Presentations
Bombardieri AM, Girardi FP, Ma Y,Memtsoudis SG. Comparative effectiveness ofcentrally versus peripherally transduced venouspressure monitoring in the perioperative peri-od in spine patients. Society of Critical CareAnesthesiologists (SOCCA) 2011 AnnualMeeting, Chicago, IL
Bombardieri AM, Girardi FP, Ma Y, MemtsoudisSG. The effect of low versus high tidal volumeventilation on markers of lung injury in healthyindividuals undergoing posterior spine fusion.American Society of Anesthesiologists (ASA)2011 Annual Meeting, Chicago, IL
Bombardieri AM, Beckman J, Girardi FP,Memtsoudis SG. Cerebral blood flow velocityis preserved in the prone position during pos-terior lumbar surgery. American Society ofAnesthesiologists (ASA) 2011 Annual Meeting,Chicago, IL
Bombardieri AM, Beckman J, Girardi FP,Memtsoudis SG. Cerebral blood flow velocity ispreserved in the prone position during posteriorlumbar surgery. 65th Postgraduate Assembly inAnesthesiology, December, New York, NY
Bombardieri AM, Beckman J, Girardi FP, MaY, Shaw P, Memtsoudis SG. Comparativeeffectiveness of centrally versus peripherallytransduced venous pressure monitoring in theperioperative period in spine patients.
American Society of Anesthesiologists (ASA)2011 Annual Meeting, Chicago, IL
Bombardieri AM. Cerebral blood flow velocityduring hypotensive epidural anesthesia. 65thPostgraduate Assembly in Anesthesiology,December, New York, NY
Bombardieri AM, Maalouf D, MemtsoudisSG, Raffaele De Gaudio A. Cerebral bloodflow velocity after tourniquets release duringtotal knee arthroplasty. American Society ofAnesthesiologists (ASA) 2011 Annual Meeting,Chicago, IL
Chen C, Ma Y, Chiu YL, Poultsides L,Gonzalez Della Valle A, Mazumdar M,Memtsoudis S. Bilateral total knee arthroplas-ty: Risk factors for major morbidity and mor-tality. American Society of Regional Anesthesiaand Pain Medicine (ASRA) 2011 AnnualMeeting, Las Vegas, NV
Chisholm MF, Bang H, Marcello D, LotanoM, Buschiazzo V. Postoperative analgesia withthe subsartorial saphenous nerve block in ante-rior cruciate ligament reconstruction.American Society of Regional Anesthesia andPain Medicine (ASRA) 2011 Annual Meeting, Las Vegas, NV
Goytizolo E, Memtsoudis S, Marcello D,Buschiazzo V, Vaz A, Hurtado S, Thompson T.Effect of optimal regional analgesia on arterialtone after total hip arthroplasty. American Societyof Regional Anesthesia and Pain Medicine(ASRA) 2011 Annual Meeting, Las Vegas, NV
Jules-Elysee K, Wilfred S, Memtsoudis SG,Kim D, Ya Deau JT, Urban MK, Licardi M,McLawhorn A, Sculco T. Steroid Modulationon Cytokine Release and Desmosine Level inBilateral Total Knee Replacement. AmericanAcademy of Orthopaedic Surgeons (AAOS)2011 Annual Meeting, San Diego, CA
Poultsides LA, Gonzalez Della Valle A,Memtsoudis SG, Ma Y, Roberts T, Nigel E.Sharrock NE, Salvati EA. Meta-Analysis ofCause of Death Following TJR UtilizingDifferent Thromboprophylaxis Regimens.American Academy of Orthopaedic Surgeons(AAOS) 2011 Annual Meeting, San Diego, CA
Li L, Beckman J, Beathe J, Gondipalli P, ZayasVM, Buschiazzo VL. Cervical spine disease is arisk factor for persistent phrenic nerve paresis fol-lowing interscalene block for shoulder surgery.American Society of Regional Anesthesia andPain Medicine (ASRA) 2011 Annual Meeting,Las Vegas, NV
Liu JB. Analgesia after Total KneeArthroplasty: Peri-articular Injection vs.Epidural plus Femoral Nerve Blockade, aProspective Randomized Controlled Clinical
“Dr. Urban was exceptional. He was great the day of surgery and visited me frequently.”Comment from Press Ganey Patient Satisfaction Survey
Annual Report 2011 21
Trial. Hospital for Special Surgery FellowResearch Presentations, 2011
Liu SS, Buvanendran A, Viscusi ER, Hutton E,Lubenow T, Zhou J, Shaw PM, Moric M,Lenart S. Uncomplicated removal of epiduralcatheters in 4,365 patients with internationalnormalized ratio greater than 1.4 during initia-tion of warfarin therapy. American Society ofRegional Anesthesia and Pain Medicine(ASRA) 2011 Annual Meeting, Las Vegas, NV
Liu SS, Bieltz M, Wukovits B, Bae JJ.Prospective survey of patient controlledepidural analgesia with bupivacaine and cloni-dine after total hip replacement: A pre and postchange comparison with bupivacaine andhydromorphone. American Society of RegionalAnesthesia and Pain Medicine (ASRA) 2011Annual Meeting, Las Vegas, NV
Liu SS, Bae JJ, Bieltz M, Ma Y, MemtsoudisSG. Association of perioperative use of NSAIDswith postoperative myocardial infarction aftertotal joint replacement. American Society ofRegional Anesthesia and Pain Medicine (ASRA)2011 Annual Meeting, Las Vegas, NV
Lotano M. Postoperative Analgesia with theSubsartorial Saphenous Nerve Block in AnteriorCruciate Ligament Reconstruction. Hospital forSpecial Surgery Fellow Research Presentations,2011
Memtsoudis SG, Guheen CR, Ma Y,Swamidoss CP, Edwards AM, Mazumdar M,Liguori GA. Factors influencing unexpecteddisposition after orthopedic ambulatory sur-gery. American Society of Regional Anesthesiaand Pain Medicine (ASRA) 2011 AnnualMeeting, Las Vegas, NV
Memtsoudis SG, Pumberger M, BombardieriAM, Chiu YL, Poultsides L, Fritsch G, GernerP. Epidemiology and risk factors for periopera-tive mortality after total hip and knee arthro-plasty. American Society of Anesthesiologists(ASA) 2011 Annual Meeting, Chicago, IL
Esposito A, Chiu YL, Mantilla C, Parvizi J,Mazumdar M, Memtsoudis SG. Bilateral kneearthroplasties: Have they become safer? 65thPostgraduate Assembly in Anesthesiology,December, New York, NY
Kirksey K, Poultsides L, Chiu YL, Ma Y,Memtsoudis SG. Trends in in-hospital majormorbidity and mortality after total joint arthro-plasty: USA 1998-2008. Society of Critical CareAnesthesiologists (SOCCA) 2011 AnnualMeeting, Chicago, IL
Kirksey K, Pumberger M, Chiu YL, Girardi F,Memtsoudis SG. Metabolic syndrome andlumbar spine fusion: epidemiology and periop-erative outcomes. American Society ofAnesthesiologists (ASA) 2011 Annual Meeting,Chicago, IL
Sun X, Mazumdar M, Memtsoudis SG. Theutilization of critical care services amongpatients undergoing total hip and knee arthro-plasty. 65th Postgraduate Assembly inAnesthesiology, December, New York, NY
Walz JM, Memtsoudis SG, Barton BA, SollerBR, Heard SO. Tissue Oxygenation inResponse to Intraoperative Homologous BloodTransfusion in Complex Spine Surgery.American Society of Anesthesiologists (ASA)2011 Annual Meeting, Chicago, IL
Walz JM, Memtsoudis SG, Urban MK, GirardiFP, Barton BA, Soller BR, Heard SO. Tissueoxygenation in response to intraoperativehomologous blood transfusion in complexspine surgery. Society of Critical CareAnesthesiologists (SOCCA) 2011 AnnualMeeting, Chicago, IL
Rade MC, YaDeau J, Tedore T, Goytizolo E,Kim D, Green D, Westrick A, Coleman S, KellyB. Lumbar plexus block for pain control after hiparthroscopy. A randomized controlled trial.American Society of Regional Anesthesia andPain Medicine (ASRA) 2011 Annual Meeting,Las Vegas, NV
Shaw PM, Kuo C, Ma Y, Edwards A, Mazumdar M,
Liguori GA, Memtsoudis SG. Changes in anesthe-
sia related factors in ambulatory knee and shoulder
surgery: United States 1996-2006. American Society
of Regional Anesthesia and Pain Medicine (ASRA)
2011 Annual Meeting, Las Vegas, NV
Urban M, Memtsoudis S, Ho M, Marcello D.Goal directed fluid management during complex
spine surgery. Society of Critical Care
Anesthesiologists (SOCCA) 2011 Annual
Meeting, Chicago, IL
Book Chapters
Beathe JC, Flatto R. Knee Arthroscopy In:
Fleisher LA, Roizen MF, eds. Essence of Anesthesia
Practice, 3rd ed., Philadelphia, PA: Elsevier 2011
Memtsoudis SG. Fenomeno Embolico
Perioperatorio IN: Protocolos en Cuidados
Criticos. Editor Sancho Rodriguez Villar.
Publishing Company: Editorial Marban S.L.:
2011; pages 467-474.
“Excellent care by anesthesiologist! Dr. King was exceptional!”
Comment from Press Ganey Patient Satisfaction Survey
Department of AnesthesiologyHospital for Special Surgery535 East 70th StreetNew York, NY 10021www.hss.edu
Managing EditorSusan Cardamone, MBA
EditorBobby Stack, MS
ContributorsMike Bieltz, MBAChristopher A. DiMeo, MDCarey Ford, CCRCSean Garvin, MDMary J. Hargett, BSMichael Nurok, Mb ChB, PhDMaureen Stanton, RNBarbara Wukovits, RN
DesignLiz Savino
PhotographyGeorge Go
About Hospital for Special SurgeryFounded in 1863, Hospital for Special Surgery (HSS)is a world leader in orthopedics, rheumatology andrehabilitation. HSS is nationally ranked No. 1 in orthopedics, No. 2 in rheumatology, No. 19 in neurology,and No. 16 in geriatrics by U.S.News & World Report(2011-12), and has received Magnet Recognition forExcellence in Nursing Service from the AmericanNurses Credentialing Center, and has one of the lowest infection rates in the country. From 2007 to2011, HSS has been a recipient of the HealthGradesJoint Replacement Excellence Award. A member of theNewYork-Presbyterian Healthcare System and an affiliate of Weill Cornell Medical College, HSS providesorthopedic and rheumatologic patient care at NewYork-Presbyterian Hospital at New York Weill CornellMedical Center. All Hospital for Special Surgery medical staff are on the faculty of Weill Cornell Medical College. The hospital’s research division isinternationally recognized as a leader in the investigationof musculoskeletal and autoimmune diseases.
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