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News & Events

Dr. Macpherson authors chapter for an Online Medical Resource

December 14, 2017

JMMacpherson, MD authored a chapter for the online medical  resource Up To Date, 'Anesthesia for Esophageal Surgery'

Please view the chapter here





Dr. Pisharoty was a featured speaker at the 2nd Annual World Congress of Digestive Diseases

December 13, 2017


Dr. Pisharoty gave a talk entitled “Ultrasound and Fluoroscopy-Guided Interventional Procedures for the Management of Chronic Pain from APGastrointestinal Diseases” at the 2nd Annual World Congress of Digestive Diseases in Fukuoka Japan on December 5th, 2017. He was able to explain some of the cutting edge interventional procedures that we perform here at the University of Rochester to physicians from all over the world. 
Dr. Pisharoty and Dr. Smith are writing a book entitled The Practical Management of Abdominal Pain: A Clinician’s Guide to Non-Surgical Intervention.





SimSTAT wins an Innovation Award for Medical Education Technology

December 8, 2017

WBWendy Bernstein MD MBA FASA is a member of the ASA Editorial Board for Computerized Simulation which is developing the SimSTAT virtual OR platform in collaboration with CAE Healthcare.  SimSTAT recently won an innovation award for medical education technology.  SimSTAT offers interactive and realistic screen based simulations for anesthesia professionals and can be accessed on the ASA website.  


Dr. Julie Wyrobek quoted in Anesthesiology News

November 27, 2017

JWDr. Julie Wyrobek was interviewed and quoted in the Nov. 13th 2017 article of Anesthesiology News, “Difficult Airway Response Team Tackles ACE Inhibitor Angioedema”. She discusses the anesthesiologist's role in the management of ACE Inhibitor Induced Angioedema, it's differentiation from anaphylaxis,  and how DART teams can be critical in controlling these challenging airways. 

Please view the article here.


Dr. Dworkin to Receive Founders Award from the American Academy of Pain Medicine

November 16, 2017

RDRobert H. Dworkin, PhD, has been selected as the 2018 recipient of the American Academy of Pain Medicine (AAPM) Founders Award. The Founders Award is given “to an individual for outstanding contributions to the science or practice of pain medicine. This award is given for continued contributions for the basic or clinical science of pain medicine or for demonstration of clinical excellence or innovation in the practice of pain medicine.” Dr. Dworkin will be presented the award at the AAPM annual meeting in Vancouver in April 2018.


Dr. Wojtczak Presents 4 Posters at ASA Meeting

November 2, 2017

Dr. Jacek Wojtczak presented four posters during the annual meeting of the American Society of Anesthesiologists October 21-25, 2017 in Boston. JW

  • Ultrasound in Extraglottic Device Placement
  • Virtual Reality (VR)-based Situational Awareness and Dexterity Training
  • Paralaryngeal Pressure in Cadavers Prevents Insertion of Oropharyngeal Devices into the Esophagus
  • Pneumatic Devices for the Accurate Application of Cricoid and Paralaryngeal Pressures

Dr. Papadakos’ Quoted in Rochester Business Journal

November 1, 2017

PPappaDr. Peter Papadakos’ was interviewed and quoted in the October 27, 2017 issue of the Rochester Business Journal for an article titled, “Electronic medical records proving a boon and a burden”.
He discusses today’s EMR systems, how errors can occur which can be potentially devastating , and training of physicians to reduce the risk.


Article by Drs. Shannon Smith and Robert Dworkin featured by Journal of Pain

October 24, 2017

RDSSAn article by Drs. Shannon Smith, Robert Dworkin, and their co-authors was selected by the Journal of Pain to be featured as a journal club article. This article focuses on identifying the abuse potential of a medication by implementing a standardized assessment of inappropriate medication use events in clinical trials. The article considers the strengths and limitations of two methods designed to evaluate inappropriate medication use events – Misuse, Abuse, and Diversion Drug Event Reporting System (MADDERS) and Self-Reported Misuse, Abuse, and Diversion (SR-MAD) -- with recommended considerations for further development and current implementation. The American Pain Society, which publishes the Journal of Pain, highlighted the journal club selection on Twitter.



Dr. Pisharoty Publishes in Anesthesiology News

October 23, 2017

APDr. Anil Pisharoty’s article, “Safety and Regulation of Surgery and Anesthesia in the Office-Based Setting in the United States” was published in the October 2017 issue of Anesthesiology News.  The article describes the process by which an office surgery center becomes accredited.  Maintenance of accreditation is also explained.  In addition, the economic factors that bear upon the viability of the operation of an office surgery center are reviewed.



ACTTION Cited in Congressional Testimony

October 6, 2017


At a hearing titled, “The Federal Response to the Opioid Crisis”, FDA Commissioner Scott Gottlieb had the following positive comments about ACTTION in recent testimony before the US Senate’s Health, Education, Labor, and Pensions (HELP) Committee:  “We know that developing non-opioid and non-addictive pain medicines is challenging for many reasons; therefore, FDA is interested in progressing the entire field of pain drug development.  To address the issues related to the trials needed for approval, FDA has participated in a public-private partnership (PPP) under the Critical Path initiative, the Analgesic Clinical Trial Translation, Innovations, Opportunities, and Networks (ACTTION).  The ACTTION PPP is a collaboration among a broad spectrum of national and international groups aimed at advancing the science in this area, including academia, FDA and other government agencies, pharmaceutical and device companies, professional organizations, and patient advocacy groups.”

Dr. Robert Dworkin is Director of ACTTION; Drs. Shannon Smith and Jennifer Gewandter are Assistant Directors.



Dr. Papadakos’ Article Achieves 500 Citations 

October 5, 2017



Dr. Peter Papadakos’ article in Critical Care Medicine reached 500 citations on Oct. 5th.  The article, “Effects of inhaled nitric oxide in patients with acute respiratory distress syndrome: Results of a randomized phase II trial”, was published in Critical Care Medicine.   A large-multi-centered trial, it changed the way ARDS is treated and added a great deal of insight into the pathophysiology of the disease.




Dr. Dworkin to Present at National Academy of Medicine

October 4, 2017


To address the urgent public health need associated with opioids, the National Academy of Medicine and National Institutes of Health are hosting a public workshop on “Advancing Therapeutic Development for Pain and Opioid Use Disorders” on October 11-12, 2017. Robert Dworkin, PhD, was a member of the workshop planning committee, will present a lecture on “Clinical Perspectives on Developing Therapies to Prevent the Acute to Chronic Pain Transition,” and will serve on a panel that will evaluate the value of establishing “A US Network for Pain Research.”


Dr. Gail Johnson Guest Speaker

September 29, 2017


 Dr. Gail Johnson was the keynote speaker at the annual Neuroscience Research Symposium at the University of Guelph, Guelph, Ontario, Canada in May.  The title of her talk was, “Friend and Foe: The role of transglutaminase 2 in   astrocytes and neurons”.

 In August she was an invited speaker at the Transglutaminases in Medicine seminar at Debrecen University in Hungary, speaking on “Deletion of astrocytic transglutaminase 2 improves outcomes subsequent to injury”.

 In September she was an invited speaker at the Center for Aging at the University of Kentucky.  The subject of her talk was Friend and Foe: The role of transglutaminase 2 in CNS injury.


Dr. Gail Johnson Authors Book Chapter

September 28, 2017

GJ Dr. Gail Johnson authored a book chapter titled, “Assessing the degradation of tau in primary neurons: The role of autophagy”, in Methods in Cell Biology, Volume 141, 2017, pp 229-244. 


Dr. Papadakos Receives 2017 Presidential Citation from Neurocritical Care Society

September 26, 2017


Dr. Peter Papadakos is the recipient of the 2017 Presidential Citation from the Neurocritical Care Society, which is based on nomination by the committee chairs and senior leadership of the NCS.  His name will be announced as the recipient at the Society’s Award Ceremony at the 15th Annual Meeting in Waikoloa, Hawaii, Oct. 10, 2017.

In his letter, Society President, Dr. Michel Torbey stated, “There are some members, such as you (Dr. Papadakos), who have shown exceptional support and dedication to the Society and have strengthened the neurocritical care community through their contributions.”



Gail Johnson Awarded RO1 Grant

September 25, 2017

Dr. Gail Johnson has been awarded an RO1 grant titled, “The degradation of tau by selective autophagy”. The overall focus of the grant is on understanding the processes that regulate the clearance of the tau protein from neurons. The lab will be studying how neurons normally clear damaged or abnormally modified tau and how these processes are affected by aging. Defining the normal processes of tau clearance are necessary before they can understand why in the disease state neurons are not able to target and degrade disease relevant forms of tau.

8 Transplants in 10 Days for Solid Organ Transplant Team

September 21, 2017

UR’s Solid Organ Transplant team recently performed eight transplants in just 10 days, an uncommon number of procedures given the lack of donated organs available in our region and nationwide.  Dr. Robert Hernandez-Alejandro, Chief of the Division of Solid Organ Transplant, attributes this to the stellar dedication of the entire multidisciplinary team.   The cases consisted of five kidney transplants one pancreas transplant, and two liver transplants. 

The team, in addition to surgeons, transplant coordinators, pathologists, pharmacists, nurse practitioners, social workers, dieticians, nurses, includes “dedicated transplant anesthesiologists”:  Drs. Joe Dooley, Keith Franklin, Jeff Kolano, Stewart Lustik, Laura McElroy, and Chris Galton. 

Department of Anesthesiology and Perioperative Medicine Wins 2017 Compliance Integrity Award

September 20, 2017

Comp AwdThe annual awards – instituted this year – aim to recognize URMC departments and UR Medicine affiliates that have exemplified the highest ideals of health care compliance excellence and leadership. 

Our Department was recognized because it went the extra mile to ensure it was billing correctly for services involving residents.   Ted Case, Chief Compliance Officer, said, “They identified an important billing question few academic practices have probably ever considered and had the courage to bring the question forward. . .I applaud their careful and thoughtful commitment to compliance.”  The team that worked on the project included:  Dr. Michael Eaton, Oren Harary, Karen Mackay, Dr. Stewart Lustik, and Dr. Stephen Breneman (shown pictured with Ted Case).


Dr. Gloff and Team Participate in Special Delivery

September 19, 2017


Strong Memorial Hospital’s Cardiac Catheterization Lab is an unusual place for the birth of a child, but for Jessica Driffill, it was the right place.

The Webster woman’s “special delivery” required a huge team of UR Medicine experts – cardiologists, high-risk obstetricians, neonatologists, anesthesiologists, nurses and support staff – to safely deliver 2-pound, 4-ounce Jackson Driffill 10 weeks early.

Working closely with anesthesiologist Marjorie Gloff, M.D., cardiologists completed the heart procedure and the Obstetrics team immediately performed the c-section.  Also assisting from the Anesthesia team were Joe Poku, Jonathon Schwartz, Yang Gu and Sam Satler for cardiology consult services.

Please read the full story here.

Drs. Smith and Arekapudi Lead Problem-Based Learning Discussions

September 18, 2017

Smith TorontoAnil torontoDr. Daryl Smith led a Problem-Based Learning Discussion entitled, “Operating Room Fires” at the 62nd Annual Ontario Anesthesiology Medical Conference on September 16, 2017 in Toronto, Canada.

Dr. Anil Arekapudi, former faculty and residency program alumnus, also led a Problem-Based Learning Discussion entitled, “Management for a Malignant Hyperthermia Reaction”.


Dr. Sonia Pyne publishes in Arthroscopy

September 13, 2017

SPDr. Sonia Pyne has published and Article titled “The Effect of Intra-articular Cocktail Versus Femoral Nerve Block for Patients Undergoing Hip Arthroscopy.”  The purpose was to compare clinical efficacy and complication rate as measured by postoperative falls and development of peripheral neuritis between intra-articular blockade and femoral nerve block in patients undergoing arthroscopic hip surgery.

Dr. Karan published an article in the recent issue of Anesthesia and Analgesia

September 11, 2017

SKDr. Karan and Dr. Diachun (former faculty) and colleagues from other institutions published an article in the recent issue of Anesthesia and Analgesia entitled “Enhancing Feedback on Professionalism and Communication Skills in Anesthesia Residency Programs” (A&A August 2017, 125(2)). The accompanying editorial regarding this article highlights the need for more studies in this area.

Professionalism The Forgotten Core Competency

Enhancing Feedback on Professionalism and Communication Skills in Anesthesia Residency Programs

Dr. Papadakos Guest Speaker at NYSSRC Symposium

September 10, 2017

papaDr. Peter Papadakos was the guest speaker at the 37th Annual NYSSRC  (NY State Society for Respiratory Care) Symposium held at The Turning Stone Resort in Verona, NY on Sept. 7-8.  He gave a Plenary Lecture:  Physiology and ARD’s, What’s New, What’s Forgotten; and a breakout session:  Sleep Apnea and the Neurocritical Care Patient.

Drs. Saran, Kreso, & Karan Publish

September 9, 2017


Drs. Jagroop Saran, Melissa Kreso, Suzanne Karan and colleagues have published their article in Anesthesia & Analgesia (doi: 10.1213).  The article is titled, “Anesthetic Considerations for Patients Undergoing Bronchial Thermoplasty”.  

Saran, Jagroop S. MD; Kreso, Melissa MD; Khurana, Sandhya MBBS; Nead, Michael MD, PhD; Larj, Michael MD; Karan, Suzanne MD 

Dr. Daryl Smith Presents at International Symposium

September 8, 2017

DSDr. Daryl Smith presented an original research paper entitled: “Analgesic Techniques for Iliac Crest Bone Graft Donor Sites for Alveolar Cleft Repair: A Comparative Study” at the 11th International Symposium on Pediatric Pain in Kuala Lumpur, Malaysia, July 6-9, 2017. The paper is the product of the research collaboration between the Department of Plastic Surgery and the Department of Anesthesiology, Pediatric Anesthesiology Section.

Department Name Change approved by Board of Trustees

September 1, 2017

Renaming the Department of Anesthesiology to the Department of Anesthesiology and Perioperative Medicine  in the School of Medicine and Dentistry


That within the School of Medicine and Dentistry the Department of Anesthesiology shall be renamed the Department of Anesthesiology and Perioperative Medicine effective September 1, 2017.


The Division of Anesthesiology was established in 1950.  In 1969, the Department of Anesthesiology was established as an independent department.  The mission of the department is to deliver Medicine of the Highest Order through excellence in Perioperative Medicine, Pain Management and Critical Care, outstanding education, and innovations in research.  As the role of the department has grown to include care outside the operating room, a name change to the Department of Anesthesiology and Perioperative Medicine is consistent with the department’s current vision and strategic plan.

The Department of Anesthesiology’s vision is to improve the health of patients having procedural care within UR Medicine by caring for the whole patient, ensuring that decisions about care involve the patient’s and family’s values, and are truly in their best interests.  The department aims to maximize the chances patients have for good outcomes and expand vigilance for adverse events from the operating room and ICU to the entire perioperative experience.  The department seeks to improve the health of patients broadly by becoming the center of choice to train anesthesiologists as experts in perioperative care and discovering new and better ways to educate and to improve care through focused clinical and basic science research.  The department seeks to provide state-of-the art compassionate and comprehensive care for patients with acute and chronic pain in an integrated, multidisciplinary team. 

This vision of perioperative medicine builds on the current roles of the anesthesiologist as an intraoperative specialist and the physician best trained to evaluate the general medical health of patients before surgery or invasive procedures.

The Department of Anesthesiology has eighty-one clinical and seven research primary faculty actively engaged in caring for patients having procedures from decision to operate until recovery, educating learners at all levels and performing clinical and basic science research. 

 A change in the department name to the Department of Anesthesiology and Perioperative Medicine will provide greater clarity, visibility across the University and community, and understanding of the nature of the department’s mission.

The department faculty have approved this name change unanimously.  

Dr. Gewandter has Proposal Accepted for Presentation at APS

August 31, 2017


Dr. Gewandter’s symposium proposal is 1 of only 12 symposia accepted for presentation at the 2018 annual American Pain Society meeting. 

The symposium is titled “Mechanism-based approach to clinical trial design in chemotherapy-induced peripheral neuropathy (CIPN).” The symposium will address considerations for designing mechanistically informed clinical trials, including eligibility criteria, patient-reported assessments, and biomarkers based on the current understanding of basic and clinical science mechanisms, neurobiology, and clinical course of painful CIPN. Dr. Gewandter’s talk will be based on the conclusions from an ACTTION Public-private partnership consensus meeting on design considerations for CIPN clinical trials. The symposium will also include talks by her colleagues Patrick Dougherty, PhD (MD Anderson Cancer Center) and Roy Freeman, MD (Harvard Medical School). 


Dr. Majeed Awarded ASA Mentoring Program Support

August 21, 2017


Congratulations to Dr. Zahraa Majeed who has been awarded $2000 by the 2017 ASA Mentoring Program Committee on Professional Diversity.

One of the primary goals of the mentorship program is to promote ASA involvement and advocacy.  Mentees are expected to participate in and report back on an advocacy related activity over the timeframe of their project.  


Dr. Gewandter has Manuscript Accepted for Publication

August 15, 2017

JGDr. Gewandter has recently had a manuscript accepted for publication in Pain Reports. The manuscript presents a checklist of recommendations for reporting randomized clinical trials (RCTs) of treatments for pain. It will be published as part of a broader series of articles, the “ACTTION guide to clinical trials of pain treatments,” which aims to improve the design, execution, analysis, interpretation, and reporting of pain RCTs. 

Gewandter JS, Eisenach JC, Gross RA, Jensen MP, Keefe FJ, Lee DA, Turk DC. Checklist for the preparation and review of pain clinical trial publications: a pain-specific supplement to CONSORT. Pain Reports 2017; In press


Dr. Papadakos Publishes Book

August 7, 2017

PPDr. Peter Papadakos has published a book titled, “Distracted Doctoring”, which presents original essays by distinguished experts in their fields, addressing the critical problem of distracted doctoring.  The book makes an urgent case for reform, because while electronic technology has revolutionized the practice of medicine, it also poses a unique challenge to health care.  Smartphones in the hands of doctors and nurses have become dangerously seductive devices that can endanger their patients.


Dr. Papadakos Named to Editorial Board

July 27, 2017

PappaDr. Peter Papadakos has been named to the editorial board of Currents, the newsletter of the Society of Neurocritical Care.  He also Chairs the Advocacy Committee and serves on the Chairs Committee of the society.

Drs. Saran, Hoefnagel, Skinner, Feng & Smith Publish

July, 26, 2017

Drs. Jagroop Saran, Amie Hoefnagel (former faculty), Kristin Skinner, Changyong Feng, and Daryl Smith have published their article in Journal of Pain Research (2017:10).  The article is titled, “Comparison of single-injection ultrasound-guided approach versus multilevel landmark-based approach for thoracic paravertebral blockade for breast tumor resection: a retrospective analysis at a tertiary care teaching institution”.

View Publication Here

Drs. Fawole and Webber Publish

July 18, 2017

CFAWDr. Chiagozie Fawole and Dr. Audra Webber have published a Review Article in the July issue of the Journal of Pediatric Neurology, titled “Approaches to Sedation in Pediatric Neuroimaging: What the Radiologist Should Know”.

DOI:; ISSN 1304-2580

Dr. Sergiy Nadtochiy Selected for Award

June 30, 2017


Congratulations to Dr. Nadtochiy on being selected by the Class of 2020 as their recipient of The Manual Goldman Prize for Excellence in First Year Teaching award.  This award will be presented at the SMD Opening Convocation scheduled on Tuesday, September 12th at 4:00 pm in the Class of’62 Auditorium.

2017 Gabel Award Winner – Dr. Laura McElroy

June 27, 2016


Dr. Laura McElroy is the 2017 recipient of the Ronald A. Gabel, MD Award for Teaching Excellence.  Announced at the resident graduation ceremony, the award recognizes the faculty member who has had an important impact on the residents’ understanding of the art and science of patient care in Anesthesiology, has displayed excellence in clinical or didactic teaching during the academic year, and upholds the highest of personal ethical standards, including integrity, fairness, and respect and compassion for others. 

Congratulations, Dr. McElroy!

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2017 Lawrence Award and Resident Teacher of the Year

June 26, 2017


Dr. Carmen Cellura is the 2017 recipient of the Robert M. Lawrence, MD First Resident Award and the Resident Teacher of the Year.  Announced at the resident graduation ceremony, the Lawrence award recognizes the CA-2 resident who shows an enthusiasm for learning and dedication to the specialty of Anesthesiology, is acknowledged by all to uphold the highest of personal ethical standards, and has displayed the highest level of excellence in the specialty of clinical anesthesia. 

Congratulations, Dr. Cellura!

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Drs. Gewandter and Dworkin published in BMJ Open

June 20, 2017


An article by Drs. Gewandter and Dworkin examining the reporting and interpretation of confidence intervals in randomized clinical trials published in 6 major medical journals was accepted for publication by BMJ Open.

Interpretation of confidence intervals in clinical trials with non-significant results: systematic review and recommendations

Gewandter JS, McDermott MP, Kitt RA, Chaudari J, Koch JG, Evans SR, Gross RA, Markman JD, Turk DC, Dworkin RH. BMJ Open, In Press.

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Drs. Gewandter and Dworkin published in Neurology

June 9, 2017

JGAn article by Drs. Gewandter and Dworkin examining design characteristics and reporting in clinical trials of chemotherapy-induced peripheral neuropathy (CIPN) by has been accepted for Publication by Neurology.

Chemotherapy-induced peripheral neuropathy clinical trials: review and recommendations.

Gewandter JS, Freeman R, Kitt RA, Cavaletti G, Gauthier LR, McDermott MP, Mohile NA, Mohile SG, A. Gordon S, Tejani MA, Turk DC, Dworkin RH. Neurology, In Press.


Anesthesiology Team Building/Field Day at Beaver Hollow was a Huge Success!

May 25, 2017


Retreat 2Retreat 3Retreat 7

The Department hosted it’s very first Anesthesiology Team Building/Field Day on 5/21/2017 at Beaver Hollow.  The event was fun and relaxing and really gave us the opportunity to come together and learn more about how we interact with each other.  Some clear themes played out at the retreat.  1) We are perfectionists.  2) We are competitive. 3) Two-thirds of us are not equipped to build a catapult or sling-shot that can function for that purpose.  4) We are supportive of each other.  5) We are way more similar than we like to admit sometimes.  6) Give us a task and ask us to complete it efficiently and we will do just that – and do it some serious style!  All-in-all it was a hugely successful day and a lot of fun for all!

Dr. Glance has three articles published 

May 17, 2017


Raising the Alarm on Brain Attacks in Surgical Patients: Are We Doing Enough to Prevent and Treat Postoperative Strokes?
Glance LG, Holloway RG.
Anesthesiology. 2017 May 17. doi: 10.1097/ALN.0000000000001686. [Epub ahead of print] No abstract available. 

Impact on hospital ranking of basing readmission measures on a composite endpoint of death or readmission versus readmissions alone.
Glance LG, Li Y, Dick AW.
BMC Health Serv Res. 2017 May 5;17(1):327. doi: 10.1186/s12913-017-2266-4.

Building Bridges Across Clinical Registries.
Glance LG, Wanderer JP, Dick AW, Dutton RP.
Anesth Analg. 2017 Mar 31. doi: 10.1213/ANE.0000000000002005. [Epub ahead of print] No abstract available. 


Dr. Ramaiah Paper Published in Minerva Anestesiologica 

May 12, 2017

VRDr. Vijay Ramaiah co-authored a paper which has been accepted for publication in Minerva Anestesiologica, titled, “The safety and efficacy of the use of the flexible laryngeal mask airway with positive pressure ventilation in elective ENT surgery: a 15-year retrospective single-center study”.
Nekhendzy V, Ramaiah VK, Collins J, Lemmens HJ, Most SP, Minerva Anestesiol. 2017 Mar 28 [Epub ahead of print]



Dr. Papadakos’ Speaker at 25th ORNAC Meeting in Niagara Falls

May 11, 2017

papaDr. Peter Papadakos gave the Plenary Lecture entitled, “Electronic Distraction in the Operating Room: A Major Safety Issue”, at the 25th ORNAC (Operating Room Nurses Association of Canada) National Conference April 30-May 4, 2017 at the Scotia Bank Convention Centre, Niagara Falls, Ontario.



Dr. Papadakos’ Book One of Most Used References 

April 27, 2017

ppDr. Peter Papadakos’ book, Encyclopedia of Trauma Care, edited with Dr. Mark Gestring, has reached a major milestone since being released in 2015.  It has reached over 76,000 downloads, making it one of the most used references in surgery.

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Drs. Shannon Smith and Robert Dworkin publish in Journal of Pain

April 26, 2017

RDSSThe Journal of Pain has accepted an article by Drs. Shannon Smith and Robert Dworkin and their colleagues that reviews methods to identify assessments of inappropriate medication use events (e.g., abuse, misuse) occurring in clinical trials. In general, many currently available instruments measuring inappropriate medication use have clinical utility to evaluate patient adherence to opioid therapy in clinical practice or risk of inappropriate use, but these instruments do not distinguish between types of events, consider intent underlying the events, or evaluate a specific medication’s abuse potential per se. Understanding a medication’s abuse potential, separate from an individual’s risk of inappropriate medication use, is necessary to inform scheduling, labeling, and treatment guidelines. Two measures of inappropriate medication use events were identified and their strengths and limitations are reviewed


Andrew Wojtovich Receives the Furth Fund Award 

April 24, 2017

wojoAndrew P. Wojtovich, Ph.D., assistant professor of Anesthesiology, received the University’s Furth Fund award. The Furth Fund, was created to provide early career scientists with $10,000 in research funds.

Dr. Wojtovich's lab focuses on the roles of Reactive Oxygen Species (ROS) in mitochondrial physiology and stress signaling. The lab uses model organisms and optogenetic tools to control the site and timing of ROS production. With these tools, they investigate complex ROS biology in order to gain a better understanding ROS on a nano-scale. The lab uses a wide variety of approaches and translates findings from C. elegans to mammals. The expected outcome is a framework for developing targeted antioxidant therapies to overcome the obstacles that have led to so many clinical trial failures for existing antioxidant drugs.

Congratulations Dr. Wojtovich!  


Daryl I. Smith, MD Visiting Professor University of Florida, Jacksonville

April 11, 2017

DSDr. Daryl I. Smith was Visiting Professor at the University of Florida, Jacksonville Department of Anesthesiology on April 4-5, 2017. His lecture: “Use of Sympathetic Ganglion Blockade to Treat Ventricular Tachydysrhythmias: Clinical Indications, Techniques and Controversies”,  was followed by his leading a  discussion the Regional Anesthesia literature in a Journal Club format.

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Dr. Dworkin Receives Two Awards for Highly Cited Articles

April 4, 2017


Two articles published in the journal Pain by Robert Dworkin, PhD, and colleagues received awards for most highly cited articles of 2016.

One of the articles received 157 citations in 2016 and a total of 1,106 citations since it was published (Dworkin et al., Core outcome measures for chronic pain clinical trials: IMMPACT recommendations, Pain 2005;113:9-19); the second article received 89 citations in 2016 and a total of 857 citations since it was published (Dworkin et al., Pharmacologic management of neuropathic pain: evidence-based recommendations, Pain 2007;132:237-251).

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Drs. Kent and Dasika and Nguyen Mai Book Chapter Accepted for Publication

April 3. 2017

JKJDNMDr. Joel Kent, Dr. Jayanth Dasika, and medical student Nguyen Mai, have had their book chapter accepted for publication.  The chapter is titled, “Pain” and is scheduled for publication in the 4th Edition of The Behavioral Sciences and Health Care.  The textbook is due to be released within the next couple of months.  

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Dr. Zahraa Majeed First Author in AIDS Care Article

March 23, 2017


Dr. Zahraa Majeed is first author in an article that was published online in the journal, AIDS Care, titled, “Depression partially mediated the relationship between basic psychological needs and quality of life among people living with HIV”.

Few studies have examined the relationship between basic psychological needs (BPN), depression and quality of life (QOL) in people living with HIV (PLWH). This cross-sectional study found that BPN frustration was related with lower QOL. The strength of this relationship was reduced after controlling for depression. This suggests that depression partially mediated the relationship between BPN and QOL. BPN and depression may be specific targets for psychosocial interventions aimed at improving QOL in PLWH to promote successful aging.

Zahraa Majeed, Edwin van Wijngaarden, James G. Dolan and Krupa N. Shah, published online 05 Mar 2017

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Dr. Duncan McLean Publishes in Annals of Surgery

March 22, 2017


Dr. Duncan McLean co-authored an article which was published in the March 10, 2017 issue of Annals of Surgery.  The article, titled, “Effects of Intraoperative Fluid Management on Postoperative Outcomes: A Hospital Registry Study”, evaluated the dose-response relationship between intraoperative fluid administration and postoperative outcomes in a large cohort of surgical patients.

Shin CH1, Long DR, McLean D, Grabitz SD, Ladha K, Timm FP, Thevathasan T, Pieretti A, Ferrone C, Hoeft A, Scheeren TW, Thompson BT, Kurth T, Eikermann M. Ann Surg. 2017 Mar 10. doi: 10.1097/SLA.0000000000002220. [Epub ahead of print]

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Dr. Shapiro Elected Chair-Elect of AAMC Northeast Group on Educational Affairs

March 21, 2017


Dr. Janine Shapiro has been elected Chair-Elect of the American Association of Medical Colleges (AAMC) Northeast Group on Educational Affairs (NEGEA).  Her term will officially start at the 2017 NEGEA Annual Conference which will be held at the University of Rochester on May 4-6.  She was also selected to serve as the AAMC Regional Director for their Leadership Education and Development Program.

Congratulations, Dr. Shapiro! 

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Dr. Alison Vogt Named Chief of Anesthesia at Noyes Health

March 9, 2017

AVDr. Alison Vogt has been named Chief of Anesthesia at Noyes Health in Dansville.  Alison has been going to Noyes several days a month since late 2016 and will continue a similar schedule.  She is an attending anesthesiologist at Highland and is also Chief of Anesthesia at Jones Memorial Hospital in Wellsville, Director of Anesthesia Regional Outreach at UR Medicine, and Director of OB Anesthesia at Highland Hospital.   Alison’s professional interests include operating room resource utilization and management, obstetric anesthesia, and rural anesthesia.

Congratulations, Alison!

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Dr. Wissler Elected to Board of Assoc. of Anesthesia Clinical Directors

March 9, 2017


Dr. Richard Wissler has been elected as a Director-at-Large to the Board of the Association of Anesthesia Clinical Directors (AACD), a national organization of OR Directors.  Dr. Ashwani Chhibber served as their President in the past.  This board position presents an opportunity to gain access to other experts in OR management and provides an opportunity for input into some of their initiatives.

Congratulations, Dr. Wissler! 

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Dr. Papadakos Publishes in European Journal of Anaesthesiology

March 9, 2017


Dr. Peter Papadakos and colleagues from Beaumont Health, Brigham and Woman’s and Harvard Medical School, published a paper on the usage patterns of personal electronic devices in the operating room, in the European Journal of Anaesthesiology.  This was a survey generated by the ASA looking at the risk and benefits of these devices in operating rooms throughout the U.S. The study used the modified CAGE tool developed here at the University of Rochester.

Soto RG, Neves SE, Papadakos PJ, Shapiro FE. Personal electronic device use in the operating room: A survey of usage patterns, risk and benefits. Eur J Anaesthesiol.2017 Apr’34(4):246. PMID 28248710

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Dr. Eaton and Chris Smith Attend Course

February 28, 2017

Eat ConfCS

Dr. Michael Eaton and Chris Smith, Perioperative Services Administrator, attended a 4-day course on Perioperative Management at the University of Iowa.  The course was led by Dr. Franklin Dexter, who will be coming to Rochester for journal club and Grand Rounds on March 8-9, 2017.

Janis Yovanovich, RN at CPM Publishes in Journal of Urologic Nursing

February 27, 2017


Janis Yovanovich, RN, a CPM pre-screening nurse, co-authored an article in the Journal of Urologic Nursing, titled, “Cystectomy-Enhanced Recovery Program: Nursing Implications.  The article’s focus is that cystectomy is a complex procedure with a tenuous perioperative course.  Enhanced recovery programs are bundle strategies, developed to enhance the recovery of surgical patients.  This article outlines the components of the enhanced recovery programs for cystectomy patients from a nursing implementation perspective, and that nurses are vital to the enhanced recovery efforts of our patients.    

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February 24, 2017

WBDr. Wendy Bernstein has joined the Department as the Vice-Chair for Education and Director of Simulation.  She is a member of the Cardiac Anesthesiology team.
Prior to joining our faculty, Dr. Bernstein was Associate Professor of Anesthesiology  and Cardiothoracic Anesthesiology Fellowship Director at the University of Maryland.
Welcome, Dr. Bernstein!

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Ron Blum, CRNA Featured in Trend Section of  Democrat & Chronicle

February 22, 2017

RBRon Blum, CRNA was featured in the Sunday, Feb. 19th, Hot Jobs section of the Democrat & Chronicle.   “According to the NYS Dept. of Labor, job prospects for nurse anesthetists in the Finger Lakes region is expected to increase 20% between 2012 and 2022, much faster than the average for all occupations.   The growth is attributed to the effects of healthcare legislation, an increased emphasis on preventive care, and demand for healthcare services from a baby-boom population living longer and more active lives than previous generations.”

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Drs. Balofsky and Papadakos Book Chapter in “Handbook Clinical Neurology”

February 21, 2017

BAPDrs. Ari Balofsky (former resident and Critical Care fellow) along with Peter Papadakos and Neurology resident, Dr. J. George, published a book chapter entitled, Neuropulmonology in the leading textbook, “Handbook Clinical Neurology” edited by Eelco Wijdicks and published by Elsevier.

Neuropulmonology refers to the complex interconnection between the central nervous system and the respiratory system.  Neurologic injury includes traumatic brain injury, hemorrhage, stroke, and seizures, and in each there are far-reaching effects that can result in pulmonary dysfunction.  This review presents the spectrum of pulmonary abnormalities seen in neurocritical care and neurology.

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Dr. Laurent G. Glance will be presenting at Public Health Grand Rounds on 2/17/2017

February 13, 2017

GlanceJointly sponsored by the Department of Public Health Sciences, Center for Community Health 

“Can we do better?  Can quality measurement help?”

Friday, February 17, 2017
Helen Wood Hall Auditorium
12:00 pm – 1:00 pm

Welcome, Leslie Higgins, NP

February 9, 2016

LHWe would like to welcome Leslie Higgins, NP to our department. Leslie is working as an extension of the CPM and will be stationed primarily in the SSC to help streamline the process for patients going into and coming out of anesthesia. She hails from 5-3600 where she worked with neurosurgical patients and has been working with us now for the past month. We are lucky to have someone excited about developing a new CPM NP position in the SSC. Leslie will be available in SSC from 6:30am – 3pm and during those hours, she will be available to help evaluate problems that arise with SSC patients. Please be sure to say hello and welcome!

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Dr. Wojtczak Co-Authors Paper in the Journal of Ultrasound in Medicine

February 6, 2017

WojDr. Jacek Wojtczak is the co-author of a paper, “Effectiveness and Validity of Sonographic Upper Airway Evaluation to Predict Difficult Laryngoscopy, published in the Journal of Ultrasound in Medicine, a publication of the American Institute of Ultrasound in Medicine.  2016:35;e27-e36.

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CRNA’s Kara Hedman and Carrie Mann Publish in AANA

January 4, 2017

KHCMKara Hedman, CRNA and Carrie Mann, CRNA have published an article in the December 2016 issue of the AANA Journal.  The article is titled, “Low-Dose Vasopressin and Analogues to Treat Intraoperative Refractory Hypotension in Patients Prescribed Angiotensin-Converting Enzyme Inhibitors Undergoing General Anesthesia:  A Systematic Review.

Congratulations Kara and Carrie!

Drs. Yin and Sweeney Present Poster at PGA

December 21, 2016


Dr.  Susan Yin (shown in picture) and Dr. Dawn Sweeney presented a  poster at the recent NYS Society of Anesthesiologists’ Postgraduate Assembly meeting in NYC.  The title was “Minimizing Morbidity and Maintaining Mobility in Morquio”.   Dr. Yin additionally presented the poster at the NYSCARF  (New York State Conference for Anesthesiology Residents and Fellows) later that same day.

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Dr. Finkelstein Named Chief of Anesthesiology at Highland

December 16, 2016

SFDr.  Steve Finkelstein has been named the Associate Chair for Clinical Practice and Chief of Anesthesia Services at Highland Hospital effective January 1, 2017.  He succeeds Dr. Gregory Previte, who will remain an anesthesiologist at Highland.

Congratulations, Dr. Finkelstein!

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Dr. Gloff Co-Director of the Center for Perioperative Medicine

December 15, 2016


Dr.  Marjorie Gloff has been named Co-Director of the Center for Perioperative Medicine.  Dr. Gloff has spearheaded several important initiatives, including piloting telemedicine visits for pre-surgical screening, the institution of a pre-operative anemia clinic, reducing same day surgery cancellations and piloting the pediatric perioperative surgical home. 

Congratulations, Dr. Gloff!

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Dr. Lyons Named Chief of Sedation at Highland Hospital

December 14, 2016

DLDr.  David Lyons has been named Chief of Sedation at Highland Hospital.  He serves in the same role at Strong Memorial.

Congratulations, Dr. Lyons!

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Dr. Shannon Smith Featured in Research Connections

December 13, 2016

SSDr. Shannon Smith was featured in an article in the Research Connections newsletter regarding development of an improved measure of pain intensity (

Current assessments of pain intensity typically provide respondents with little or no instruction regarding how to make their ratings, and these assessments often neglect to account for the contextual details (e.g., whether patients should rate the average of the day’s pain or the day’s worst pain) that could increase the “noise” in pain ratings. Dr. Smith is spearheading an effort with the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION; public-private partnership to develop and qualify a pain intensity assessment to address these concerns.

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Dr. Papadakos Speaker and Visiting Professor in Ecuador

December 12, 2016

PPDr. Peter Papadakos served as a moderator and faculty at III Neurocritical Care and Research Symposium/III Simposio Internacional de Cuidados Neurocricos e Investigacion, Universidad San Francisco De Quito, Quito, Ecuador, November 21-23.  Sponsored by Texas Heart Institute, Baylor college of Medicine, his talk was “SDRA en Neurocritico/ARDS in Neuro ICU”.
He was also a Visiting Professor at the Universidad San Francisco De Quito and is involved in a neurophysiology project looking at Neurocritical illness at high altitudes.

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An article by Dr. Gewandter and colleagues has been accepted by the Journal of Clinical Epidemiology

December 8, 2016

JGAn article by Dr. Gewandter and colleagues, including present and past Anesthesiology department residents Joseph Poku and Jaqueline Lozano, has been accepted by the Journal of Clinical Epidemiology. The article presents results from a systematic review investigating the reporting of Data and Safety Monitoring Boards (DSMB) in publications of randomized controlled trials published in 6 major medical journals.

Reporting of data monitoring boards in publications of randomized clinical trials is often deficient: ACTTION systematic review and recommendations

Jennifer S. Gewandter, Rachel A. Kitt, Matthew R. Hunsinger, Joseph Poku, Jacqueline Lozano, Jenna Chaudari, Scott Evans, Robert A. Gross, Michael P. McDermott, Michael C. Rowbotham, Dennis C. Turk, Robert H. Dworkin

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Drs. Smith & Tran publish in the Journal of Pain Research 

December 7, 2016

DSNT“Delay in Diagnosis of Vertebrobasilar Insufficiency, The Masking Effect of Headache and Coexisting Pain Syndromes: A Case Report Submission”  was accepted for publication in the Journal of Pain Research.

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Dr. Glance et al publish in Anesthesiology

November 29, 2016


Quality of Quality Measurement: Impact of Risk Adjustment, Hospital Volume, and Hospital Performance

Laurent G. Glance, M.D., Yue Li, Ph.D., Andrew W. Dick, Ph.D.  Anesthesiology. 2016 Dec;125(6):1092-1102. PMID: 27662399

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Dr. Jen Gewandter Featured on CTSI Blog

November 17, 2017

JGDr. Jennifer Gewandter was featured in an article posted on the Clinical & Translational Science Institute Blog titled, “Junior Women Research Faculty Group: Fostering Camaraderie and Career Development”.  Despite improvements in gender equity in biomedical research, women still face barriers early in their scientific careers that prevent or delay advancement.

Dr. Gewandter and Dr. Linda Chaudron, Senior Associate Dean of Inclusion and Culture Development, recently established the Junior Women Research Faculty group to help provide peer mentoring opportunities for women.  The group will hold seminars, discussions, and workshops every other month on topics like creating an Individual Development Plan (IDP) that truly reflects what you are passionate about, negotiating writing letters of recommendation for yourself and others imposter syndrome, and mentoring.

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Dr. Dawn Sweeney Presents Grand Rounds at MGH

November 16, 2017

DSDr. Dawn Sweeney was the Grand Rounds guest speaker at Massachusetts General Hospital in Boston in July 2016.  The topic of her talk was, “Epidermolysis Bullosa and Anesthesia”.

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Dr. Wojtczak Publishes in Anaesthesia

October 31, 2016

WojDr. Jacek Wojtczak has published an article that features an accompanying editorial in Anaesthesia (2016, 71, 1024-1029 [article] and 999-1012 [editorial]). 
Article – “Ultrasound evaluation of the impact of cricoid pressure versus novel ‘paralaryngeal pressure’ on anteroposterior oesophageal diameter”
Editorial – “Cricoid pressure: apply – but be ready to release” – authored by J. Turnbull and A. Patel, Scientific Officer and President of the Difficult Airway Society, respectively.

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Dr. Breneman Visiting Professor 

October 30, 2016

SBDr. Stephen Breneman was a Visiting Professor at the University of Vermont on Oct. 12-13, 2016 and gave three presentations:

  • University of Vermont Teaching Academy Education Grand Rounds – “Using Brain Bandwidth Effectively: Cognitive Load Theory and Instructional Design”
  • Department of Anesthesiology Resident Lecture – “Setting Education Goals and Changing Clinician Behavior: Pet Peeves”
  • Department of Anesthesiology Grand Rounds – “Practicing Anesthesia”

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Anesthesiology Faculty present posters at the ASA meeting in Chicago

October 28, 2016


Drs. Tran and Chhibber Publish in Pediatric Anesthesia and Critical Care Journal

October 21, 2016


Drs. Nobuyuki-Hai Tran and Ashwani Chhibber have published the article, “Anesthetic management of a pediatric patient with NEB1-Genotype Nemaline Rod Myopathy for cleft palate repair”, in the April 2016 issue of Pediatric Anesthesia and Critical Care Journal.  

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Dr. Glance Receives Award at University of Maryland Lecture

October 20, 2016


Dr. Laurent Glance was presented the 30th Annual Professors Martin Helrich and M. Jane Matjasko Lecture in Anesthesiology Award for a talk he gave on September 7, 2016 at the University of

Maryland School of Medicine.  The title of his talk was,“Can We Do Better?  Can Quality Measurement Help”. 

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Dr. Papadakos Commentary in Anesthesiology News

October 19, 2016


Dr. Peter Papadakos published in the October 2016 issue of Anesthesiology News, the Commentary, “Not All Drug Abuse Is From Health Providers and Oxycodone”.

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Anesthesiology residents match into fellowships

October 11, 2016

Dr. Lynnie Correll – Pediatric Anesthesiology, University of Rochester
Dr. Ryan McConn – Pain Management, SUNY Upstate Medical Center
Dr. Niruja Sathiyadevan – Pediatric Anesthesiology, Penn State, Hershey, PA
Dr. Mark Williams – Pain Management, University of Rochester

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Shannon Smith, PhD Presents at World Congress on Pain

October 6, 2016


Shannon Smith, PhD presented a talk on “Assessing pain intensity in analgesic clinical trials: ACTTION recommendations” as part of a Topical Workshop at the 16th World Congress on Pain in Yokohama, Japan on Sept. 28th. Her presentation focused on the need to provide more guidance to clinical trial participants regarding their pain intensity ratings, how the validity of pain intensity ratings can be improved by training trial participants, and the results of meta-analyses comparing the assay sensitivity of ratings of average and worst pain intensity in clinical trials.

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Renee Robinson, RN, FNP Talks at NP Conference

October 5, 2016

rrob Renee Robinson, RN, FNP, Cluster Leader for the Center for Perioperative Medicine and APP Manager Ambulatory and Medicine Service Line, presented at the 32nd Annual Nurse Practitioner of NYS Conference in Niagara Falls on Sept. 30th. The title of her talk was “Preoperative Evaluation of the Surgical Patient: It’s about optimization. . .not clearance”.

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Dr. Papadakos Quoted in Cardiology News Stories

September 27, 2016


Dr. Peter Papadakos has been quoted in an article that first appeared in CardioSource World News and subsequently in the American College of Cardiology. Titled “Putting the MD in Social Media”, authored by Debra L. Beck and Rick McGuire, the article talks about what social media means for the provision of medical services or for physicians trying to better communicate with their patients.

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Dr. Papadakos Article in BottomLine Health

September 26, 2016


Dr. Peter Papadakos’ article, “Watch Out for Your Doctor’s Smartphone” appears in the October 2016 issue of BottomLine Health. The article discusses the downsides of smartphones for the patient including bacterial contamination, interruptions to workflow and distractions, and addiction. “When doctors are fixated on the computerized record of a patient. . .they miss important information such as speech patterns and body language.”

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Dr. Papadakos’ Article in Critical Care Connections

September 25, 2016


Dr. Peter Papadakos has published his article, “Patient-Centered Care in the Digital World”, in the August/September 2016 issue of Critical Care Connections, the newsletter of the Society of Critical Care Medicine. Vol. 15(4):11.

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Dr. Smith's Scientific Abstracts Accepted ASA 2016

September 22, 2016

DSDr. Daryl Smith has two scientific abstract submissions that have been accepted for presentation at the 2016 ASA Annual Meeting in Chicago, October 22-26.

Titles of his abstracts are:  “Analgesic Techniques for ICBG Donor Sites for Alveolar Cleft Repair: A Comparative Study” and “Comparing Instructor and Trainee Preferences in Using a Foot Controlled Injection Device: An Initial Step in Standardizing Technical Instruction”.

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Dr. Papadakos Recipient of NCS Presidential Citation

September 21, 2016

ppDr. Peter Papadakos received the 2015 Presidential Citation by the Neurocritical Care Society at their annual meeting in Scottsdale, AZ Oct. 8th.  He received the award for his service to the Society and his contributions to the field of neurocritical care.

With a worldwide membership of multi-professional health care providers, the Neurocritical Care Society is dedicated to improving the health care and outcomes of patients with life-threatening neurological illnesses by promoting quality patient care, professional collaboration, research, training and advocacy.

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Dr. Jagroop Saran Publishes

September 20, 2016


Dr. Jagroop Saran and colleagues have published the article, “Chronic diphenhydramine abuse and withdrawal: A diagnostic challenge”, ahead of print on 9/14/16 in Neurology: Clinical Practice and is featured on their website currently.

JS Saran, RL Barbano, R Schult, TJ Wiegand, O Selioutski.  Case | Neurol Clin Pract 10.1212/CPJ.0000000000000304; published ahead of print September 14, 2016, doi: 10.1212/CPJ.0000000000000304: 2163-0933.

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Dr. Jin Medically Challenging Case Accepted ASA 2016

September 19, 2016


Dr. Chelsea Jin has been notified that her medically challenging case submission was accepted for presentation at the 2016 ASA Annual Meeting in Chicago, October 22-26.

The title of her case is:  “New Onset Atrial Fibrillation in Chronic ECT Patient After Ketamine Induction”.

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ACTTION Awarded Additional 5 Year Support

September 15, 2016


ACTTION has been awarded another 5 years of support from the FDA up to a maximum of $4,000,000 for the 5 years. Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) is a public-private partnership with the Food and Drug Administration, whose mission is to is to identify, prioritize, sponsor, coordinate, and promote innovative activities — with a special interest in optimizing clinical trials — that will expedite the discovery and development of improved analgesic, anesthetic, addiction, and peripheral neuropathy treatments for the benefit of the public health. Dr. Robert Dworkin is the Director, and Drs. Shannon Smith and Jennifer Gewandter are Assistant Directors.

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Drs. Shannon Smith, Jennifer Gewandter, Robert Dworkin, and colleagues have published in Journal of Pain

August 16, 2016


Drs. Shannon Smith, Jennifer Gewandter, Robert Dworkin, and colleagues have published an article entitled “Participant preferences for pharmacologic chronic pain treatment trial characteristics: an ACTTION adaptive choice-based conjoint study”.

Recruiting participants is one of the largest impediments to clinical trial completion. In this study of individuals with chronic pain, we used a computerized adaptive survey to evaluate preferences regarding 8 researcher-modifiable pain treatment trial characteristics . Understanding these preferences may allow investigators to choose clinical trial methods that boost enrollment, potentially increasing the speed with which new analgesic medications can be evaluated.

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Dr. Mark Williams and colleagues publish in Journal of Pain

August 15, 2016

MWDr. Williams and co-authors, including Anesthesiology Department colleagues Drs. Kendrick Lee (former resident and pain fellow), Robert Dworkin, and Shannon Smith, have published an article entitled “Adverse event reporting in clinical trials of intravenous and invasive pain treatments: an ACTTION systematic review”. This systematic review of IV and invasive pain treatment trials demonstrates that little improvement has been seen in adverse event (AE) reporting in these trials despite widely disseminated AE reporting recommendations by the Consolidated Standards of Reporting Trials (CONSORT) group. In addition, 8% of trials failed to report any AE information. The authors conclude that researchers conducting trials of IV and invasive pain treatments need to improve the assessment and reporting of AEs in order to understand the full clinical impact of these treatments.

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Dr. Robert Dworkin Appointed Co-Chair of Federal Pain Research Strategy Working Group

August 4, 2016


Robert H. Dworkin, PhD, is serving as Co-Chair of the Federal Pain Research Strategy working group on the “Transition from Acute to Chronic Pain.” This is one of five working groups that are developing a strategic plan for pain research across multiple federal agencies (e.g., NIH, FDA, CDC, VA) with the ultimate goal of enhancing the federal research agenda to relieve pain and improve evidence-based patient care. The “Transition from Acute to Chronic Pain” working group will provide recommendations for research targeting neurobiologic and psychosocial mechanisms of the transition from acute pain to the development of chronic pain.

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Dr. Gewandter and colleagues’ manuscript accepted for publication in Muscle and Nerve

July 19, 2016


This review evaluates the content and content validity of the existing measure for 3 commonly studied peripheral neuropathy conditions (diabetic, chemotherapy, and HIV neuropathy) in order to help researchers evaluate which measure would be most useful for their studies as well as serve as a basis for optimizing a current measure or creating a new one.   Jennifer S. Gewandter, Laurie Burke, Guido Cavaletti, Robert H. Dworkin, Christopher Gibbons, Tony D. Gover, David N. Herrmann, Justin C. McArthur, Michael P. McDermott, Bob A. Rappaport, Bryce B. Reeve, James W. Russell, A. Gordon Smith, Shannon M. Smith, Dennis C. Turk, Aaron I. Vinik, Roy.

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Dr. Papadakos Publishes in Quarterly Newsletter of the Society of Neurocritical Care

July 18, 2016


Dr. Peter Papadakos published an article, "The Rise in Bogus Science - The Explosion of Predatory Journals" in the Quarterly Newsletter of the Society of Neurocritical Care Currents, Vol. 11, No. 2. Dr. Papadakos is an advocate in bringing the explosion of questionable for-profit medical journals to light. They are a danger to the integrity of medical science.

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Dr. Gewandter and co-authors have  article published in PAIN

July 14, 2016


Dr. Gewandter and co-authors, including past anesthesiology residents Drs. Hoang and Rothstein and current and future pain fellows Drs. Kralovic and Iwan published a systematic review in PAIN. The review identified deficiencies in reporting of analgesic clinical trials with cross-over designs. It provides recommendations for the details that should be included in primary publications of cross-over trials to ensure readers’ ability to critically evaluate the results, use the data in meta-analyses, and plan future trials.

Jennifer S. Gewandter, Michael P. McDermott, Andrew McKeown, Kim Hoang, Katarzyna Iwan, Sarah Kralovic, Daniel Rothstein, Ian Gilron, Nathaniel P. Katz, Srinivasa N. Raja, Stephen Senn, Shannon M. Smith, Dennis C. Turk, Robert H. Dworkin. Reporting of cross-over clinical trials of analgesic treatments for chronic pain: ACTTION systematic review and recommendations.

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Dr. Lyons Wins Gabel Award

July 13, 2016


Dr. David Lyons has received the 2016 Ronald A. Gabel, MD Award for Teaching Excellence, announced at the Resident Graduation Party on Saturday, June 18. The award, named in honor of Dr. Gabel, former Chair of the Department, recognizes excellence in clinical or didactic teaching and deems the individual upholds the highest of personal ethical standards, including integrity, fairness, and respect and compassion for others.

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Top Abstracts at the Society for Education of Anesthesia Annual Meeting

July 12, 2016


Two abstracts from our Department were chosen as the top six abstracts for oral presentation at the Society for Education in Anesthesia’s annual meeting in Baltimore, MD on June 4, 2016.  The first authors of the abstracts were Dr. Kaitlyn Mitchell and Dr. Colin Sheehan.

Dr. Sheehan presented a new safety and quality program at URMC entitled, “Implementation of the Safety Program at the Institutional Level: Difficult Airway Response Team (DART) Program”.  Dr. Kaitlyn Mitchell presented, “Educational Innovation in Difficult Airway Management: Multidisciplinary Difficult Airway Course” and was awarded the second best abstract in the innovative curriculum category.  Both were mentored by Dr. Zana Borovcanin.

Congratulations to Kaitlyn and Colin!

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Dr. Correll Wins Resident Teacher of the Year

July 11, 2016


Dr. Lynnie Correll has received the 2016 Resident Teacher of the Year Award, announced at the Resident Graduation Party on Saturday, June 18. The recipient of the award is chosen by the medical students, and is based on their evaluations of the resident who has had the most impact on teaching the ANS 601 course.

Congratulations, Dr. Correll!

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Dr. Andrew Wojtovich Article Accepted in Molecular Pharmacology

June 29, 2016


Dr. Andrew Wojtovich and colleagues have had their manuscript, “Dihydromunduletone is a Small-Molecule Selective Adhesion G Protein-Coupled Receptor Antagonist”, accepted for publication in the journal, Molecular Pharmacology. Hannah M. Stoveken, Laura L. Bahr, M.W. Anders, Andrew P. Wojtovich, Alan V. Smrcka, and Gregory G. Tall, DOI: 10.1124/mol.116.104828.

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Dr. Dworkin Delivers Plenary Lecture at World Institute of Pain

June 20, 2016


At the recent meeting of the World Institute of Pain (May 20-23, 2016; New York City), Robert Dworkin, PhD, delivered a plenary lecture on “Toward an evidence-based approach to the design of clinical trials” and a second presentation on “Beyond NNTs: Have pain treatment guidelines neglected safety and tolerability?”

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Janet Pennella-Vaughan, NP Wins Nurse Practitioner of the Year Award

June 9, 2016


Janet Pennella-Vaughan, NP was awarded the University of Rochester Nurse Practitioner of the Year Award on May 9, 2016 during celebration of National Nurses’ Week.

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Dr. Dailor Selected for Senior Leader Education and Development Program (SLED)

June 1, 2016


Dr. Ellen Dailor has been selected to participate in the University’s Senior Leader Education and Development Program (SLED). The program is a two-year educational leadership development program created to provide leadership development opportunity for URSMD faculty in senior leadership positions. It is designed to foster practical knowledge from recognized theoretical models and best practices.

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Dr. Papadakos Named Co-Chair of Society of Neurocritical Care Advocacy Committee

June 1, 2016


Dr. Peter Papadakos has been named Co-Chair of the Society of Neurocritical Care Advocacy Committee. The committee is responsible for the public face of the society making the case to patients, the public, policy makers and other healthcare professionals that complex, life-threatening neurological diseases are best cared for by a multidisciplinary team with special expertise in neurocritical care. He has also been appointed to serve on the branding task force. The Society of Neurocritical Care is the largest international society in the field of the care of critical ill neurosurgery and neurology patients. Dr. Papadakos also serves as an editor for the Society’s Journal Neurocritical Care.

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Dr. Dworkin Delivers 3 Lectures on ACTTION

May 31, 2016

Robert Dworkin

Robert Dworkin, PhD, Director of the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) public-private partnership with the FDA presented overviews of ACTTION’s activities at recent meetings of the Measures for Justice Institute (April 10-11, 2016, Rochester, NY), Pediatric Anesthesia and Neurodevelopment Assessment (PANDA) Study and SmartTots public-private partnership (April 16-17, 2016, Columbia University), and Evolution Summit for Best Practices in North American Clinical Trials (May 9-11, 2016, Palm Beach, FL).

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Student Entrepreneurs Win 2nd Place in Mark Ain Business Model Competition

May 26, 2016

MGSP eaton

Aspiring student entrepreneurs presented their business models to a panel of judges during the 10th annual Mark Ain Business Model Competition. This year 18 interdisciplinary teams of 60 students submitted applications to the competition. Second Place went to StimSense, which offers a medical device that objectively quantifies depth of anesthesia throughout surgery to guide proper dosing, reduce post-operative complications and achieve better patient recoveries. The team consisted of Martin Gitomer, from Princeton, NJ; Alin Ponici, from Livingston, NJ; Shwe Pyie, from Union City, CA; and Jia Shi, from Shanghai, China. Their faculty mentor for the project was Dr. Michael Eaton.

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Drs. Daryl Smith and Anil Arekapudi Lead Problem Based Learning Discussion

May 25, 2016


Drs. Daryl Smith and Anil Arekapudi lead a Problem Based Learning Discussion at the annual meeting of the International Anesthesia Research Society (IARS) in San Francisco, CA on May 21, 2016. The topic of their PBLD was: Use of Sympathetic Ganglion Blockade to Treat Ventricular Tachydysrhythmia: Clinical Indications, Techniques and Controversies.

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Dr. McElroy Participates in Advanced Endoscopy Nurses Course

May 18, 2016


Dr. Laura McElroy provided anesthesia to patients who volunteered to be part of the 2nd Annual Advanced Endoscopy Nurses teaching course on 4/22 and 4/23 at the University, a very unique course and the only one of its kind in the U.S. The participants were from 7 different states including California. The overall course satisfaction rating was 97.5% with 96% saying they intended to return next year. The procedures were live broadcasted. This is the second year Dr. McElroy has helped with the course.

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Dr. Dailor Speaker at Cameroon Cardiology Congress

May 17, 2016

dailor conf

Dr. Ellen Dailor recently had the privilege of being a speaker and panelist with the Cardiac Centre of Shisong at the 10th Scientific Congress of the Cameroonian Society of Cardiologists.  The picture at top left includes a patient who is a student in Yaounde; she is less than 2 months post-op and came to the Congress to show support.  The man in the picture is a cardiac surgeon and the other woman is the patient’s cardiologist in Yaounde.

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Drs. Papadakos & Colleagues Generate White Paper

May 16 , 2016


Dr. Peter Papadakos is a member of the American Assoc. for Respiratory Care (AARC) and University HealthSystem Consortium’s (UHC) Respiratory Care Network Committee.  They have generated a white paper, “Safe Initiation and Management of Mechanical Ventilation”, which provides guidance for best practices for safe initiation and management of mechanical ventilation.  It helps define the competency, training, and interdisciplinary approach necessary for patient safety and improved outcomes.

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Drs. Wojtovich and Brookes Publish in Anesthesiology

May 13, 2016

anes Drs. Andrew Wojtovich, Paul Brookes, PhD student, C. Owen Smith, and colleagues have published the article “Cardiac Slo2.1 Is Required for Volatile Anesthetic Stimulation of K+ Transport  and Anesthetic  Preconditioning”, in the May 2016 issue of Anesthesiology, Vol. 124, 1065-1076.    Their article was also mentioned in ASAP, the weekly membership publication of the American  Society of Anesthesiologists. 

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Drs. Glance, Eaton and Lustik Publish in Medical Care

May 13, 2016


Drs. Laurent Glance, Michael Eaton, Stewart Lustik, and colleagues have published the article “Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared with Weekdays” in Medical Care, 2016 Apr 22 [Epub ahead of print]. The authors concluded patients undergoing nonemergent major cardiac and noncardiac surgery on the weekends have a clinically significantly increased risk of death and major complications compared with patients undergoing surgery on weekdays. These findings should prompt decision makers to seek to better understand factors, such as physician and nurse staffing, which may contribute to the weekend effect.

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Dr. Ellen Dailor Featured in Catholic Courier

May 12, 2016


Dr. Ellen Dailor’s international missionary work in Cameroon was featured in the May 2016 issue of the Diocese of Rochester Catholic Courier in the Regional Life Section. Earlier this year, she logged a seven-week trip to Cameroon which marked her 7th volunteer visit to the West African country. In Cameroon she worked with other missionaries and a local medical team to perform desperately needed heart surgeries. “Most of the patients we operate on are at the point that they require surgery in order to survive,” Dailor said. She noted that a large percentage of her patients are young people with rheumatic heart disease caused by strep throat. She has been performing missionary service since 2001 and plans to continue ministering in Cameroon.

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Dr. Marjorie Gloff Guest Speaker at Can-Am Conference

May 11, 2016


Dr. Marjorie Gloff was one of the featured speakers at the 34th Annual Cam-Am Conference on May 7, 2016. Her talk, “The University of Rochester’s Journey to Establishing a Perioperative Surgical Home”, discussed a new and exciting concept that anesthesiologists can use to help engage patients early in their perioperative course; a way to ensure that each patient is cared for at the right time and the right place. The CPM is reaching out across departments to improve perioperative care of patients and some of these initiatives were addressed during her talk, including our Periop Anemia Optimization Clinic as well as the Periop Surgical Home for our Sawgrass Surgical Center.

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Dr. Peter Papadakos Awarded Tenure

May 2, 2016


Dr. Peter Papadakos has received promotion to Professor of Anesthesiology with tenure. He also holds joint appointments as Professor of Neurosurgery, Professor of Surgery and Professor of Neurology.

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Drs. Glance, Eaton and Lustik Publish Anesthesia & Analgesia Article

April 28, 2016


Drs. Laurent Glance, Michael Eaton, Stewart Lustik, and colleagues have published the article “Feasibility of Report Cards for Measuring Anesthesiologist Quality for Cardiac Surgery” in the May 2016 issue of Anesthesia & Analgesia. The authors concluded the impact of anesthesiologists on the total variability in cardiac surgical outcomes was probably about one-fourth as large as the surgeons’ contribution.  None of the anesthesiologists caring for cardiac surgical patients in NYS over a 3+ year period were identified as performance outliers.  The use of a performance metric based on death or major complications for pay for performance may not be feasible for cardiac anesthesiologists.  (Anesth Analg 2016;122(5):1603-13)

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Drs. S. Smith, Gewandter, Williams and Dworkin Publish

April 21, 2016

Drs. Shannon Smith, Jennifer Gewandter, Mark Williams and Robert Dworkin, along with their co-authors, have published a manuscript in Pain titled, “Pain intensity rating training: results from an exploratory study of the ACTTION PROTECCT system”. 
This article reports on a study of a training protocol that involves specific, standardized guidance regarding how to rate daily average pain intensity.  The goal of the training was to improve the validity and reliability of pain intensity ratings in pain treatment trials.

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Dr. Papadakos Front Page of Anesthesiology News

April 14, 2016

PapaDr. Peter Papadakos article, “Digital Journals: The Real and The Predatory” was featured on the front page of the April 2016 issue of Anesthesiology News.  He discusses the recent explosion of invitations to submit papers to online journals, some accepting and publishing the article before requiring several-thousand dollar processing fees upon publication.

“Another negative aspect of these journals is that patients may be getting false information when they Internet search on various diseases.  The consumer has no safeguards to filter true versus false data and treatments.”

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MaryTherese Biltucci Publishes 2 Papers

April 13, 2016


MaryTherese Biltucci, RDH, MA, MS has published two online articles.  The first, titled “Peer Learning in Higher and Medical Education A Literature Review”, explores peer learning (PL), peer tutoring (PT), and peer-assisted learning (PAL) as instructional strategies to increase the benefits of traditional learning in higher education, medical and graduate medical education.

The second, “Developing Residents as Teachers: Stage One – Instruction of Medical Students, Guides for Developing Small Group Teaching”, was co-authored by Drs. Suzanne Karan, Dierdre Cavan, Eric Faden, Duncan McLean, Kaitlyn Mitchell, Jagroop Saran, Zahraa Majeed, Lynnie Correll, Yang Gu, Nikolay Manuylov, Sean Philippo,  and Colin Sheehan.  The primary goal was to develop anesthesiology residents as educators with a secondary goal of changing the style of medical learning from lecture-based education to more active learning.

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Dr. Annie Philip Featured in Democrat & Chronicle 

April 12, 2016

PhilipDr. Annie Philip was one of three pain physicians featured in an article in the April 8, 2016 Health and Lifestyle section of the Democrat & Chronicle titled, “A new approach to pain relief”. 

She, along with colleagues, Dr. Calvin Chiang and Dr. John Markman, discuss the management of chronic pain, including the physical and mental aspects.   Dr. Philip states, “We educate and empower patients to manage their pain.  They can do it and they don’t need a lot of medication.  When a patient really understands this, then they start to relax, and that’s when the healing happens.”   Physical therapy is always recommended.

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Dr. Papadakos Featured on the Web and in Print

March 24, 2016

papaDr. Peter Papadakos discussed electronic distraction both during a podcast on Straight Talk MD ( or via PC/Android at  He also authored an article titled, “Distracted Outdoors” for the Spring 2016 issue of Localadk, which features local people of interest in the Adirondack Mountains.

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Dr. Karan Publishes in the International Journal of Obstetric Anesthesia

March 18, 2016

karan Dr. Suzanne Karan has published an editorial titled, “Gestational sleep apnea: have we been caught napping?” in the International Journal of Obstetric Anesthesia. 

 The article reviews what is known about OSA in pregnancy, as compared to the non-pregnant population, and comments on the disparities between what we can do and what we actually do   in    this cohort.  Asked is why we are not doing more and concludes with the suggestion that there is need for a new diagnosis, “gestational sleep apnea”, to parallel other established transient  diagnoses of pregnancy, like gestational hypertension and gestational diabetes mellitus.

Dr. Shapiro Elected to Serve on AAMC Council of Faculty and Academic Societies

March 1, 2016

shapiroDr. Janine Shapiro has been elected to serve on the AAMC  (Assoc. of American Medical Colleges) Council of Faculty and Academic Societies (CFAS) as the representative for the Society for Academic Continuing Medical Education.

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Dr. Karan to Serve on ASA Ad Hoc Committee on Resident Advocacy

February 23, 2016

suzieDr. Suzanne Karan will serve on an American Society of Anesthesiologists (ASA) ad hoc committee on resident advocacy. 

The focus of the ad hoc group will be to explore the opportunities that exist to bolster advocacy training in residents, allowing more latitude and freedom for academic faculty to openly train and educate residents on the essentials of advocacy for patients and the specialty.
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Dr. Papadakos Named Editor for Book Series

February 18, 2016

papaDr. Peter Papadakos has been named editor for the book series, “Clinical Neurology: Best Practices” by Rutgers University Press.  The books will be fairly concise, circa 150-250+ pages, edited by leading experts throughout the world in Neurology, Neurosurgery, and Critical Care. 

This series is part of a new medical education initiative at Rutgers University Press, making it one of three university presses (the other two being Oxford and Cambridge) to provide major publishing opportunities in a not-for-profit environment.

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Dr. Lynnie Correll Featured in Article in Anesthesiology News

February 12, 2016

lcorrellIn the February 2016 issue of Anesthesiology News, Dr. Lynnie Correll is featured in the article “Dexmedetomidine Effective for Stapes Microsurgery and Saves OR Time”.  Local anesthesia and sedation with dexmedetomidine (Precedex, Hospira) is more efficient and better tolerated than general anesthesia when conducting stapes surgery, according to a new study.  The article quotes Dr. Correll, “We’re talking about a very delicate microsurgery within the ear. . .The difficulty is that having surgery in your ear hurts, and people move around a lot”, she explained during a poster presentation at the NYS Society of Anesthesiologists 69th Annual PostGraduate Assembly.  . .”The goal is to potentially create a technique where the patient is awake enough to say, ‘I can hear now’, but they’re not wiggling all over the place, because the size of the bone. . .is only 3 mm.”  The entire article can be found at

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Professors Papadakos and Gestring “Write the Book” on Trauma Care

February 4, 2016

papamarkFeatured in the latest issue of Rochester Medicine magazine, two of URMC’s leading experts on trauma care can now say they wrote the book on it too.  Peter Papadakos, MD, Professor of Anesthesiology and Surgery, Neurosurgery and Neurology, and Mark Gestring, MD, Associate Professor of Surgery, Emergency Medicine, and Pediatrics, are co-editors of the Encyclopedia of Trauma Care, released by Springer Publishing fall of 2015.  The two-volume, 1,801-page manual includes contributions from 48 URMC physicians and doctors around the world.  In encyclopedic format, readers can rapidly thumb through practical, up-to-date information on major topics in trauma management.  In addition to providing information on a range of organ-specific injuries, the manual’s topics include critical care of the trauma patient, trauma system organization, mass injury scenarios, the impact of new technologies, complications in trauma care, and ethical issues.  

Dr. Wojtczak and Colleagues Issued U.S. Patent

January 19, 2016

JacekDr. Jacek Wojtczak1, Christopher Brown, PhD2 and Bo Hu, PhD2 have been issued U.S. Patent #9,230,325 B2 for “Three-Dimensional Model Acquisition Using Planar Mirrors”.

3-D model acquisition of an object is performed using two planar mirrors and a camera.  According to some embodiments, 3-D reconstruction is achieved by recovering the scene geometry, including the equations of the mirrors, the camera parameters and the position of the markers, which give the location and orientation of the subjects.  After establishing the geometry, a volume intersection algorithm is applied to build a 3-D model of the subject.  Camera parameters and spatial constraints of the mirrors may be initially unknown.  Camera parameters may be solved with reference to the object and references in the object.  Further, distance from the camera to at least one point on the object may be determined once camera parameters are solved.  Markers having fixed relative positions may be provided on the object for reference.
1 Dept. of Anesthesiology            2 Department of Computer Science

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Dr. Papadakos Edits Textbook

January 12, 2016

papaDr. Peter J. Papadakos and his wife, Dr. Susan Dantoni, edited a volume of the Critical Care Clinics entitled, “Obstetric and Gynecologic Emergencies”. The book contains contributions from several former faculty and fellows along with current faculty: Dr. Albert Yu, Dr. Anna Kaminski, Dr. Ari Balofsky, Dr. Marcin Karcz, Dr. Amie Hoefnagel, Dr. Max Fedarau and former resident, Dr. Huayong Hu. The book also has contributions from colleagues in the Department of OB/GYN at the University of Rochester along many other international and national experts.

Drs. Balofsky and Papadakos Author Book Chapter

January 8, 2016

A BalPPDr. Ari Balofsky and Dr. Peter Papadakos have authored a chapter in the book, Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care, published by Springer.  The chapter (pp 37-41) is titled, "Recommendations of Sedation and Anesthetic Considerations During Weaning from Mechanical Ventilation". 

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Dr. Mark Williams Review Article Published in Anesthesia & Analgesia

January 7, 2016

Mark WDr. Mark Williams and colleagues, including Dr. Robert Dworkin, have published a Review Article in the January 2016 issue of Anesthesia & Analgesia, titled “Efficacy Outcome Measures for Procedural Sedation Clinical Trials in Adults: An ACTTION Systematic Review”.  AnesAnalg 2016:122(1); 152-170

Please view the abstract here, and like this story on Facebook.

Dr. Papadakos Faculty for the US Naval Sea Cadet Corps

January 6, 2016

pjnavyDr. Peter J. Papadakos served as faculty at the United States Naval Sea Cadet Corps Emergency Medicine Seminar New England, Class 4 at Naval Station Newport, Rhode Island. He was proud to teach 40 highly motivated young people to become Corpsman for their units from around the country. The training was under the command of Lt. Commander David Hull, an outstanding educator and leader. 

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Dr. Papadakos Presents Patient Safety Webinar

December 16, 2015


Dr. Peter Papadakos presented a national patient safety webinar sponsored by AHRQ (Agency of Health Care Research and Quality) and the Society of Critical Care Medicine entitled, “Electronic Distraction in the ICU: An Impediment to Patient Safety”.

Dr. Glance Publishes Two Articles

December 16, 2015

Dr. GlanceDr. Laurent Glance has published two articles, one in the Annals of Surgery titled, “Impact of Risk Adjustment for Socioeconomic Status on Risk-adjusted Surgical Readmission Rates”, and the second in Medical Care titled, “Disparities in 30-Day Rehospitalization Rates Among Medicare Skilled Nursing Facility Residents by Race and Site of Care”.  (Ann Surg. 2015 Dec 10. [Epub ahead of print], PMID: 26655922; Med Care. 2015 Dec;53(12):1058-65.  PMID: 26492217)

Please view the articles in the Annals of Surgery and Medical Care.

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Dr. Papadakos Published Study Guide in NY Times Best Seller

December 8, 2015

PapaDr. Peter Papadakos published the study guide to the New York Times best seller, "A Deadly Wandering", by Pulitzer Prize winner, Matt Richtel, and published by Harper Collins.  The text is widely used in teaching teens and college students the dangers of distracted driving and has had a major impact on public safety.  One of the year's most original and masterfully reported books, "A Deadly Wandering" interweaves the cutting-edge science of attention with the tensely plotted story of a mysterious car accident and its aftermath to answer some of the defining questions of our time: What is technology doing to us?  Can our minds keep up with the pace of change?  How can we find balance?  Through Richtel's beautifully constructed narrative, a complex and far-reaching topic becomes intimate and urgent - an important call to reexamine our own lives.  Over the last number of years, Dr. Papadakos has become a recognized international expert in Electronic Distraction in healthcare.

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Dr. Papadakos Invited Speaker at Ecuador Conference

December 8, 2015

PapadakosDr. Peter Papadakos was an invited speaker at II Simposio Internacional De Cuidados Neurocriticos E Investigacion Clinica at the Auditorio Centro Cultural, Pontificia Universidad Catolica del Ecuator in Quito, Ecuador, Nov. 23-25.  His four lectures were titled, "The Physiology of Mechanical Ventilation", "New Frontiers in Sedation", "Non-Invasive Ventilation in the Neuro-ICU", and "Neurological Complications in Pregnancy".  In addition, Dr. Papadakos has been asked to consult on the development of Neuro Critical Care in Ecuador in collaboration with Universidad San Francisco de Quito School of Medicine on respiratory therapy in Latin America.  While he was at the conference, he also toured Hospital Metropolitano, a state of the art medical center in Ecuador.

Dr. Karan co-author in Journal for Graduate Medical Education

December 7, 2015

Dr. KaranDr. Suzanne Karan is a co-author with Drs. Jeffrey Berger and Michael Wajda on an article entitled "Confessions of Physicians: What Systemic Reporting Does Not Uncover".  This new approach to resident conversation attempts to overcome the stigma of reporting and discussing incidents and situations that negatively affect the quality and safety of care.

Please view the article here.

Dr. McLean co-author in British Medical Journal Article

December 3, 2015

Dr. McLeanDr Duncan J. McLean is co-author with Drs. Ladha, Vidal Melo, Wanderer, Grabitz, Kurth and Eikermann on a manuscript entitled “Intraoperative protective mechanical ventilation and risk of postoperative respiratory complications: hospital based registry study”. In this study, 69,265 patients from three hospitals were enrolled over a 7-year period, comparing lung-protective ventilation with non-protective ventilation. Lung-protective ventilation, defined as positive end-expiratory pressure of 5cm H2O and plateau pressures of 16cm H2O or less, was associated with a decreased risk of postoperative respiratory complications.

Please view the article here.

Drs. Franklin and Papadakos Publish in Anesthesiology News

October 29, 2015

Keith FranklinPeter PapadakosDrs. Keith Franklin and Peter Papadakos published a Supplement for the October 2015 issue of Anesthesiology News entitled, “Perioperative Management of Hypertension”.  The article covers the common issues of hypertension and reviews the common pharmacologic agents.

Please view the article here.

Dr. Robert Dworkin Delivers Endowed Lecture

October 29, 2015

Robert DworkinDr. Robert Dworkin delivered the C. Paul Perry Memorial Lecture at the annual meeting of the International Pelvic Pain Society in San Diego, CA on Friday, Oct. 23, 2015.  The title of the lecture was “From Clinical Trials to Clinical Practice:  There’s Many a Lip ‘Twixt Cup and Lip”, and it focused on false positive and negative clinical trial outcomes and their implications for the development of treatment guidelines.

Dr. Borovcanin Abstracts Accepted for World Airway Management Mtg. in Dublin

October 29, 2015

Zana BorovcaninDr. Zana Borovcanin has two abstracts accepted for oral presentation at the World Airway Management Meeting in Dublin, Ireland November 12-14, 2015.  The first abstract, co-authored with Dr. Janine Shapiro and Oren Harary, is entitled “Difficult Airway Response Team Program at the University of Rochester: Adaption of the Johns Hopkins Medicine DART  Program to Improve Patient Outcomes.  The second abstract, co-authored with Drs. Janine Shapiro and Anna Kaminski, is titled, “Multidisciplinary Difficult Airway Course – Innovation in Airway Education”.

Dr. Papadakos Recipient of NCS Presidential Citation

October 16th, 2015

Peter PapadakosDr. Peter Papadakos received the 2015 Presidential Citation by the Neurocritical Care Society at their annual meeting in Scottsdale, AZ Oct. 8th. He received the award for his service to the Society and his contributions to the field of neurocritical care.

With a worldwide membership of multi-professional health care providers, the Neurocritical Care Society is dedicated to improving the health care and outcomes of patients with life-threatening neurological illnesses by promoting quality patient care, professional collaboration, research, training and advocacy.

Dr. Khan Publishes Article in Annals of Cardiac Anesthesia

October 13th, 2015

Dr. Ahmed Khan and colleagues have published an article in the journal Annals of Cardiac Anaesthesia titled, “Anti-inflammatory effects of propofol during cardiopulmonary bypass: A pilot study”. Propofol has been suggested as a useful adjunct to cardiopulmonary bypass (CPB) because of its potential protective effect on the heart mediated by a decrease in ischemia-reperfusion injury and inflammation at clinically relevant concentrations. In view of these potentially protective properties, which modulate many of the deleterious mechanism of inflammation attributable to reperfusion injury and CPB, the authors sought to determine whether starting a low dose of propofol infusion at the beginning of CPB would decrease inflammation as measured by pro-inflammatory markers. Result: The most significant difference was in the level of IL-6 which had a P value of less than 0.06. Starting a low dose propofol early during the CPB was not associated with significant hemodynamic instability in comparison with the control group. Conclusion: The study shows that propofol may be suitable as an anti-inflammatory adjunct for patients undergoing CABG.

Samir A, Gandreti N, Madhere M, Khan A, Brown M, Loomba V. Anti-inflammatory effects of propofol during cardiopulmonary bypass: A pilot study. Ann Card Anaesth 2015;18:495-501.

Dr. Papadakos Invited Speaker at 2 Conferences

October 7th, 2015

Peter PapadakosDr. Peter Papadakos was an invited speaker at the National Focus Conference, Desmond Hotel and Conference Center, Albany, NY on September 29th. He presented three lectures: Management of Pulmonary Hypertension, Ventilation in Severe Trauma, and Electronic Distraction of Allied Health Professionals.

He also spoke at the 35th Annual NYSSRC Symposium at the Turning Stone Resort and Convention Center in Verona, NY on October 1st. His lecture was, “Electronic Distraction of the RT: We must make the patient first”.

Dr. Peter Papadakos Publishes Book

August 25th, 2015

Dr. Eaton and Dr. PapadakosDr. Peter Papadakos has published the "Encyclopedia of Trauma Care".   This encyclopedia is an authoritative compilation of practical information on major topics in trauma management. Its encyclopedic format will allow the reader to rapidly find up-to-date information on a specific topic of interest. The book is organized in an organ-based manner for ease of use when a practitioner is confronted with a particular injury. Each chapter takes the form of a clearly structured review of the subject in question and includes informative illustrations and tables as well as lists of classic references. In addition to the full range of organ-specific injuries, a number of important further topics are covered, including critical care of the trauma patient, trauma system organization, mass injury scenarios, the impact of new technologies, complications in trauma care, and ethical issues. All of the authors are leading experts, and the encyclopedia will provide an excellent source of information for both basic and clinical scientists and trainees in various fields.

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Dr. Shapiro Elected to ACCME Accreditation Review Comm.

August 24th, 2015

Photo of Dr. Janine ShapiroDr. Janine Shapiro was elected to serve on the Accreditation Council for Continuing Medical Education (ACCME) Accreditation Review Committee. The ACCME is responsible for accrediting institutions that offer CME to physicians and other healthcare professionals. Dr. Shapiro also serves the national Continuing Medical Education community through her roles as a member of the Steering Committee of the Association of American Medical Colleges (AAMC) Group on Educational Affairs Section on Continuing Education and Improvement, and as a member of the AAMC Joint Working Group with the Society of Academic Continuing Education  (SACME).

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Dr. Papadakos Quoted In Healthline News

July 29th, 2015

PJ Papadakos

Dr. Peter Papadakos was quoted extensively in an article in Healthline News titled, “Do Cell Phones Spread Infections in Hospitals?”  The article discusses the use of cell phones in the OR by medical staff and the risk of infection they potentially can cause and policies that are now just being discussed to address this growing concern.

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Dr. Papadakos Quoted in Washington Post Article

July 16th, 2015

PJ Papadakos

In the July 13, 2015 Washington Post Health & Science Section, Dr. Peter Papadakos was quoted in an article "Do cellphones belong in the operating room?".  It cites the University of Rochester Medical Center addressing the issue by requiring staff to keep phones silenced when working with patients and forbids using phones for personal matters while at any "clinical work stations", not just operating rooms.

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Dr. Wojtczak Has 4 Presentations Accepted for ASA Meeting

July 9th, 2015

Dr. Jacek Wojtczak

Dr. Jacek Wojtczak has 4 presentations that have been accepted for the October 2015 American Society of Anesthesiologists meeting, titled, “Preoperative Prediction of Difficult Intubation: Sonographic Assessment of Tongue and Oral Cavity Dimensions”; “Mini Ultrasound Systems for the Point-of-Care Lung Sonography: A Useful New Tool?”; “Echogenic Endotracheal Tubes and Laryngeal Mask Airways: A Reality?”; and “Airway Dimensions: External Landmarks and Internal Structures Comparison”.

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Resident Dr. Duncan McLean Featured in Patient Safety Grand Rounds

July 8th, 2015

Dr. Duncan McLeanResident Dr. Duncan McLean was featured in the hospital-wide Patient Safety Grand Rounds: "YoUR Support: Staff Emotional Support After Critical Incidents" on June 29th, 2015.

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Dr. Sonia Pyne Featured in Democrat & Chronicle

July 6th, 2015

Dr. Sonia PyneDr. Sonia Pyne was featured in Hot jobs in the June 27, 2015 edition of the Democrat & Chronicle.  The article, titled, “Meet UR anesthesiologist, Dr. Sonia Pyne”, details an anesthesiologist’s responsibilities, preparation for the position, and quotes Dr. Pyne’s assessment of her role during surgery and her background.  To read the full article: please go to the Democrat and Chronicle website.

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Dr. Glance Selected to Associate Editorial Board of Anesthesiology

Dr. GlanceJune 24th, 2015

Dr. Laurent Glance has been selected to the Associate Editorial Board of Anesthesiology effective Jan. 1, 2016.  In his congratulatory notification, Dr. James Eisenach, Editor-in-Chief of Anesthesiology, states that Dr. Glance is “simply one of the best and brightest in our specialty, and your accomplishments in scholarly activity and leadership were every bit as important as your work for the Journal in our selection”.  Congratulations!

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Dr. Papadakos’ Presentation Accepted for ASA Meeting

June 23rd, 2015

PJ Papadakos

Dr. Peter Papadakos and members of the ASA Safety Committee have had a presentation accepted for the October ASA meeting titled, “Personal Electronic Device Use in the Operating Room: A Survey of Usage Patterns, Risks, and Benefits”.  Other authors include Dr. Roy Soto, Dr. Sara Neves, and Dr. Fred Shapiro.

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Dr. Papadakos’ Commentary Featured in Anesthesiology News

June 23rd, 2015

PJ PapadakosDr. Peter Papadakos’ commentary, “Put the Phone Away, You Are Having an Operation” was featured on the front page of the June 2015 issue of Anesthesiology News.  The article addressed the rise in patients and families not paying attention to health providers and also discusses that patients need to be educated to know their health problems and medications.

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Drs. Karcz and Papadakos Publish in Global Anesthesia and Perioperative Medicine

June 17th, 2015

Karcz, MarcinPJ PapadakosDrs. Marcin Karcz and Peter Papadakos , with colleagues in Germany and the Netherlands, have published the Review Article, “Lung recruitment in trauma patients”, in Global Anesthesia and Perioperative Medicine.  The purpose of the article is to review the major concepts in the mechanical ventilation literature that outline the principles for the use of the open lung management strategy in patients that have been subjected to significant trauma and to delineate both the major techniques of lung recruitment as well as their potential complications.  Glob Anaesth Perioper Med, 2015; Vol. 1(3):76-81.

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Dr. Ashwani Chhibber Named Chief of Anesthesiology at Golisano Children’s Hospital

June 11th, 2015

Chhibber, AshwaniDr. Ashwani Chhibber has been named Chief of Anesthesiology for the new Golisano Children’s Hospital tower set to open in July 2015.  He is Professor of Anesthesiology and Pediatrics and Chief of the Division of Pediatric Anesthesiology.

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Drs. Eaton, Sweeney and Colleagues Publish Paper in Anesthesiology

June 9th, 2015

Eaton, MichaelSweeney, DawnDrs. Michael Eaton, Dawn Sweeney, and colleagues have published a paper titled, “Pharmacokinetics of e-Aminocaproic Acid in Neonates Undergoing Cardiac Surgery with Cardiopulmonary Bypass”, in the May issue of Anesthesiology.  Antifibrionolytic medications such as  e-aminocaproic acid (EACA) are used in pediatric heart surgery to decrease surgical bleeding and transfusion.  Dosing schemes for neonates are often based on adult regimens, or are simply empiric, in part due to the lack of neonatal pharmacokinetic information.  The authors sought to determine the pharmacokinetics of EACA in neonates undergoing cardiac surgery and to devise a dosing regimen for this population.  Ten neonates undergoing cardiac surgery with cardiopulmonary bypass were given EACA according to standard practice, and blood was drawn at 10 time points to determine drug concentrations.  Time-concentration profiles were analyzed using nonlinear mixed effects models.  Parameter estimates (standardized to a 70-kg person) were used to develop a dosing regimen intended to maintain a target concentration shown to inhibit fibrinolysis in neonatal plasma (50 mg/l).   Conclusions:  EACA clearance, expressed using allometry, is reduced in neonates compared with older children and adults.  Loading dose and infusion dose are approximately half those required in children and adults.  Anesthesiology 5 2015, Vol.122,1002-1009

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Dr. Papadakos Selected for International Council for Respiratory Care Steering Committee

June 8th, 2015

PJ Papadakos

Dr. Peter Papadakos has been asked to serve as a member of the Steering Committee to develop a course, Fundamental Respiratory Care Support Course (FRCSC), by the International Council for Respiratory Care  (ICRC). Ultimately the project is designed to produce a training course intended for implementation outside of the United States for health providers not experienced in Respiratory Care.  This project will greatly impact on the care of patients with respiratory diseases throughout the developing world. Dr. Papadakos has had a long career in the management of mechanical ventilation in the ICU and is an internationally known expert in the field  and has contributed greatly with both basic and clinical research and as an author of two texts in the field.  He is honored to join peers from all the corners of the globe to develop international standards in the care of these patients.

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Dr. Karan’s Article Accepted for Publication in Journal of Graduate Medical Education

May 23rd, 2015

Dr. Suzanne Karan's article, “Confessions of Doctors: What Systemic Reporting Does Not Uncover” has been accepted for publication in the Journal of Graduate Medical Education.

Dr. Glance Article with Accompanying Editorial Published in JAMA Surgery

May 23rd, 2015

Dr. Glance

Dr. Laurent Glance and colleagues have published an article that is being highlighted in the May issue of JAMA Surgery with an accompanying editorial.  Titled, “Survival Rates in Trauma Patients Following Health Care Reform in Massachusetts”, the objective was to examine the effect of Massachusetts health care reform on survival rates of injured patients.  Turner Osler, MD, MSC, Laurent G. Glance, MD, Wenjun Li, PhD, Jeffery S. Buzas, PhD, David W. Hosmer, PhD, JAMA Surg. Published online May 6, 2015. Doi:10.1001/jamasurg.2014.2464

Design, Setting and Participants:  Retrospective cohort study of 1,520,599 patients hospitalized following traumatic injury in Massachusetts or New York during the 10 years (2002-2011) surrounding Massachusetts health care reform (HCR) using data from the State Inpatient Databases.  The authors assessed the effect of HCR on mortality rates using a difference-in-difference approach to control for temporal trends in mortality.  Results:  During the 10-year study period, the rates of uninsured trauma patients in Massachusetts decreased steadily from 14.9% in 2002 to 5.0% in 2011.  In New York, the rates of uninsured trauma patients fell from 14.9% in 2002 to 10.5% in 2011.  The risk-adjusted difference-in-difference assessment revealed a transient increase of 604 excess deaths (95% CI, 419-790) in Massachusetts in the 3 years following implementation of HCR.  Conclusions and Relevance:  Health care reform did not affect health insurance coverage for patients hospitalized following injury but was associated with a transient increase in adjusted mortality rates.  Reducing mortality rates for acutely injured patients may require more comprehensive interventions than simply promoting health insurance coverage through legislation.

Dr. Glance and Colleagues Publish Paper in Journal of Trauma and Acute Care Surgery

May 6th, 2015

Dr. Glance

Dr. Laurent Glance has co-authored a paper with Drs. Osler, Li, Buzas, Wetzel and Hosmer, titled “Trauma care does not discriminate: The association of race and health insurance with mortality following traumatic injury”, in the May issue of the Journal of Trauma and Acute Care Surgery.  Previous studies have reported that black race and lack of health insurance coverage are associated with increased mortality following traumatic injury.  However, the association of race and insurance status with trauma outcomes has not been examined using contemporary, national, population-based data.  The authors used data from the National Inpatient Sample of 215,615 patients admitted to 1 of 836 hospitals following traumatic injury in 2010.  They examined the effects of race and insurance coverage on mortality using two logistic regression models, one for patients younger than 65 years and the other for older patients.  The conclusion reached is that black race is not associated with higher mortality following injury.  Health insurance coverage is associated with lower mortality, but this may be the result of hospitals’ inability to quickly obtain insurance coverage for uninsured patients who die early in their hospital stay.  Increasing insurance coverage may not improve survival for patients hospitalized following injury.  (J Trauma Acute Care Surg. 2015;78: 1026-1033)

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Dr. Papadakos Named to National Task Force

May 5th, 2015

PJ PapadakosDr. Peter Papadakos has been named to the Joint Taskforce on a White Paper regarding Safe Initiation and Management of Mechanical Ventilation of the University Hospital System Coalition UHC.  The objectives of the taskforce are:  to provide guidelines for the initiation and management of mechanical ventilation to improve patient care and safety, and for the minimal training and competencies needed to effectively manage patients of mechanical ventilation, to highlight the need for in-depth knowledge required to safely initiate and manage patients on mechanical ventilation including adjusting appropriate alarm settings with each adjustment, to emphasize the benefit that RT brings to the interdisciplinary team regarding ventilation and its effect on patient outcomes, to establish importance of interdisciplinary communication on patient outcomes, to set guidelines to ensure that there is timely and accurate documentation of initiation and subsequent adjustments and their effect on the patient, and to highlight the need for written or electronically signed physician orders for each adjustment unless covered under established protocol.   

Dr. Papadakos contributes nationally and internationally to mechanical ventilation and the education of health professionals, physicians, mid-levels, and RT’s in ventilator support of patients.

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Dr. McLean First Author in Anesthesiology Article

April 30th, 2015

Dr. McLeanDr. Duncan J. McLean is first author with Drs. Diaz-Gil, Farhan, Ladha, Kurth and Eikermann on a manuscript entitled: “Dose-dependent association between intermediate-acting neuromuscular-blocking agents and post-operative respiratory complications.” In this study, they reviewed a registry of 48,499 patients’ dosages of neuromuscular blocking agents, reversal agents, and other risk factors and determined that NMBs are associated with increased risk of postoperative respiratory complications. Further analysis demonstrated that use of neostigmine as guided by neuromuscular transmission monitoring mitigated that risk.

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Dr. Macpherson Co-Leader of SCA Workshop

April 27th, 2015

Dr. Jennifer Macpherson was co-leader of the workshop, “Lung Isolation Using Bronchial Blockers” at the 4th Annual Thoracic Anesthesia Symposium at the annual meeting of the Society of Cardiovascular Anesthesiologists held in Washington, DC April 11-15.  The SCA, an international organization of physicians, promotes excellence in patient care through education and research in perioperative care for patients undergoing cardiothoracic and vascular procedures.

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Drs. Gewandter, Dworkin, et al. Publish Article in PAIN

April 20th, 2015

Dr. GewandterDr. DworkinDrs. Jennifer Gewandter, Robert Dworkin, and co-authors have published an article in PAIN that describes research design considerations for clinical trials of chronic pain prevention.  The article has been chosen for publication as an editor’s choice.  This article communicates recommendations from an IMMPACT (Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials) meeting of pain research experts from around the world.  The article covers general design considerations for prevention trials in populations that are at relatively high risk for developing chronic pain.  Specific design considerations include subject identification, timing and duration of treatment, outcomes, timing of assessment, and adjusting for risk factors in the analyses.  Detailed examinations of 4 models of chronic pain prevention (i.e. chronic post-surgical pain, postherpetic neuralgia, chronic low back pain, and painful chemotherapy-induced peripheral neuropathy) are provided and these discussions, in many cases, can be extrapolated to other chronic pain conditions.

Gewandter JS, Dworkin RH, Turk DC, Farar JT, Fillingim RB, Gilron I, Markman JD, Oaklander AL, Polydefkis MJ, Raja SN, Robinson JP, Woolf CJ, Ziegler D, Ashburn MA, Burke LB, Cowan P, George SZ, Goli V, Graff OX, Iyengar S, Jay GW, Katz J, Kehlet H, Kitt RA, Kopecky EA, Malamut R, McDermott MP, Palmer P, Rappaport BA, Rauschkolb C, Steigerwald I, Tobias J, Walco GA.  Research design considerations for chronic pain prevention clinical trials: IMMPACT recommendations.  PAIN.  In press.

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Drs. Keith Nehrke & Paul Brookes Awarded $2.5 Million Grant for Research on Preventing Damage from Heart Attack

April 15th, 2015

Paul Brookes

Drs. Keith Nehrke (Nephrology, not shown) and Paul Brookes (Anesthesiology) have been awarded a $2.5 million grant from the National Heart, Lung, and Blood Institute (NHLBI) to study a new way to prevent the damage caused by a heart attack.  The four-year grant collaboration focuses on the harm that results from a lack of blood flow to our body’s most vital organ.  Without blood to deliver oxygen, heart cells die or don’t function as well as they should. 

Coronary heart disease, which includes chest pain and heart attack, is the number one cause of death for both men and women in the U.S., according to the NHLBI.  Currently, other than “plumbing” solutions such as clot-busting drugs, there are no FDA approved drug therapies that physicians can administer before, during or after a heart attack to reduce injury.  The team says that the work is a long way from being applied in patients and acknowledges the challenge of delivering a therapy before a heart attack, since you can’t predict when one will strike.  But, they say this early research is essential to identifying new treatment strategies and drug targets for major killers like heart disease.  “You have to understand the underlying mechanisms of the entire disease process before identifying a drug that can modify the process,” noted Nehrke.  “Basic research is like learning to build a car, and clinical research is like taking the car to the track to see how fast it is.  Without basic research, you have nothing to test.”  This is Nehrke and Brookes’ second collaborative, multiple-principal-investigator NIH grant.

See the full story in the URMC Newsroom, April 6, 2015.  /news/story/index.cfm?id=4293

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Drs. Williams, Smith and Dworkin Abstract Receives Best of Category for Patient Safety

March 27th, 2015

Mark WilliamsShannon SmithRobert DworkinDrs. Mark Williams, Shannon Smith and Robert Dworkin's abstract, Examining Adverse Event Reporting in Clinical Trials of Interventional Pain Treatments: An ACTTION Systematic Review, has been selected for the distinction of Best of Category for the Patient Safety category from over 750 abstract submissions to the International Anesthesia Research Society (IARS) 2015 Annual Meeting and international Science Symposium, March 21-24, 2015 in Honolulu, HI.  At the Annual Meeting, their poster board will receive a Best of Category award ribbon to indicate its prestige as the best abstract submission in the category.

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Dr. Papadakos Speaker at America College of Cardiology Meeting

March 26th, 2015

American College of CardiologyDr. Peter Papadakos gave a talk at the annual meeting of the American College of Cardiology in San Diego Ca March 14-15th, titled: "Every Cardiologist Should Not be Active on Social Media" and also participated on a panel "Use of Social  Media in CV Diseases: Future of Cardiovascular Medicine. The American College of Cardiology meeting is the largest gathering of cardiologists in the world with a membership of over 49,000.

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Dr. Papadakos Presents Plenary Session at AORN

March 18th, 2015

Dr. PJ PapadakosDr. Peter Papadakos and Donna Ford, RN from the Mayo Clinic presented a plenary session entitled, "Driven to Distraction: Managing the Explosion of Personal Devices" at the AORN international meeting in Denver, Colorado on March 8th.  The talk centered on patient safety in the OR and professionalism of physicians and nurses.  The lecture was also recorded and broadcast several times over the course of meeting.  The AORN is the largest professional organizations for nurses working in the OR.  Dr. PJ has worked closely with them to develop national guidelines to promote patient safety and professional behavior in the OR.

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Dr. Papadakos and Dr. Karcz Go Global!

March 17th, 2015

Dr. PJ PapadakosKarcz, Marcin

 Dr. Peter Papadakos and Dr. Marcin Karcz article, “Noninvasive mechanical ventilation in pre and intraoperative and difficult airway”, was published in the Spanish Journal of Anesthesiology and Resuscitation.  Dr. Papadakos also published a commentary on social media and electronic distraction in the Chinese journal, “Translational Perioperative and Pain Medicine”.

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Dr. Papadakos Visiting Professor at the University of Colorado

March 13th, 2015

PJ At ColoradoDr. Peter Papadakos was Visiting Professor of Anesthesiology  at the University of Colorado at Denver Anschutz Medical Campus on March 9th.  He presented Anesthesiology Grand Rounds entitled “Distracted Doctoring: Major Health Care Concern” and a research seminar, “Ventilation Induced Surfactant Dysfunction Role of Ventilation”.  He also toured the department and interacted with residents in the OR and ICU.

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Dr. John Schroeder Named ABA Part 2 Examiner

March 12th, 2015

Dr. John Shroeder

Dr. John Schroeder has been named an American Board of Anesthesiology Part 2 (oral boards) Examiner.  Typically, 5-10% of nominated diplomates are invited to serve as a Part 2 examiner.

Congratulations, Dr. Schroeder!

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Dr. Glance First Author on Anesthesia & Analgesia Article

March 4th, 2015

Dr. Glance

Drs. Laurent Glance, Michael Eaton, Stewart Lustik and colleagues have published the article “The Impact of Anesthesiologists on Coronary Artery Bypass Graft Surgery Outcomes” in the March 2015 issue of Anesthesia & Analgesia.  The article also had 5 accompanying editorials.  Background:  One of every 150 hospitalized patients experiences a lethal adverse event; nearly half of these events involves surgical patients.  Although variations in surgeon performance and quality have been reported in the literature, less is known about the influence of anesthesiologists on outcomes after major surgery.  The goal of this study was to determine whether there is significant variation in outcomes between anesthesiologists after controlling for patient case mix and hospital quality.  Methods: Using clinical data from the NYS Cardiac Surgery Reporting System, the authors conducted a retrospective observational study of 7920 patients undergoing isolated coronary artery bypass graft surgery.  Multivariable logistic regression modeling was used to examine the variation in death or major complications (Q-wave myocardial infarction, renal failure, stroke) across anesthesiologists, controlling for patient demographics, severity of disease, comorbidities, and hospital quality.  Results:  Anesthesiologist performance was quantified using fixed-effects modeling.  The variability across anesthesiologists was highly significant (P<0.001).  Patients managed by low-performance anesthesiologists (corresponding to the 25th percentile of the distribution of anesthesiologist risk-adjusted outcomes) experienced nearly twice the rate of death or serious complications (adjusted rate 3.33%; 95% confidence interval [CI], 3.09%-3.58%) as patients managed by high-performance anesthesiologists (corresponding to the 75th percentile) (adjusted rate 1.82%; 95% CI, 1.58%-2.10%).  This performance gap was observed across all patient risk groups.  Conclusions: The rate of death or major complications among patients undergoing coronary artery bypass graft surgery varies markedly across anesthesiologists.  These findings suggest that there may be opportunities to improve perioperative management to improve outcomes among high-risk surgical patients. AnesAnalg.2015;3(120);526-533.

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Drs. Karcz and Papadakos Publish in World Journal of Critical Care Medicine

February 16th, 2015

Karcz, MarcinDr. PJ Papadakos

Dr. Marcin Karcz and Dr. Peter Papadakos have published the article, “Noninvasive ventilation in trauma” in the Feb. 4th issue of the World Journal of Critical Care Medicine.  Trauma patients are a diverse population with heterogeneous needs for ventilator support.  This requirement depends mainly on the severity of their ventilator dysfunction, degree of deterioration in gaseous exchange, any associated injuries, and the individual feasibility of potentially using a noninvasive ventilation approach.  Noninvasive ventilation may reduce the need to intubate patients with trauma-related hypoxemia.  It is well-known that these patients are at increased risk to develop hypoxemic respiratory failure which may or may not be associated with hypercapnia.  Hypoxemia in these patients is due to ventilation perfusion mismatching and right to left shunt because of lung contusion, atelectasis, an inability to clear secretions as well as pneumothorax and/or hemothorax, all of which are common in trauma patients.  Noninvasive ventilation has been tried in these patients in order to avoid the complications related to endotracheal intubation, mainly ventilator-associated pneumonia.  The potential usefulness of noninvasive ventilation in the ventilator management of trauma patients, though reported in various studies, has not been sufficiently investigated on a large scale.  According to the British Thoracic Society guidelines, the indications and efficacy of noninvasive ventilation treatment in respiratory distress induced by trauma have thus far been inconsistent and merely received a low grade recommendation.  In this review paper, the authors analyze and compare the results of various studies in which noninvasive ventilation was applied and discuss the role and efficacy of this ventilator modality in trauma.

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Dr. Papadakos Editorial and Quotes on Electronic Distraction

February 11th, 2015

PJ PapadakosDr. Peter Papadakos was quoted in “The Bulletin” and “NewScientist” on electronic distraction in the OR.   In the Feb. 2nd issue of The Bulletin, an article titled, “Cellphones in operating room pose patient safety risks”, discusses distractions from cellphones during surgery and other high-risk medical procedures.  The NewScientist article (Feb. 4) is titled “Doc-watcher spots when physicians stop listening”.  He also authored an Editorial in “Translational Perioperative and Pain Medicine” on the “Proper Use of Social Networks to benefit Patient Care”.

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Dr. Marcin Karcz Wins Second Prize for Podium Presentation at Mount Sinai Annual Symposium

February 10th, 2015

Karcz, Marcin

Dr. Marcin Karcz won 2nd prize for his podium presentation at the Mount Sinai 33rd Annual International Symposium: Clinical Update in Anesthesiology, Surgery and Perioperative Medicine, titled “Multidisciplinary Approach to an Awake Craniotomy in a Pregnant Patient with a Large Intracranial Mass.”  He was mentored and coached by Dr. Peter Papadakos  and Dr. Zana Borovcanin.  Over 190 people from 16 countries participated in the symposium.

Congratulations, Dr. Karcz!

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Dr. Papadakos Quoted in OR Manager

January 23rd, 2015

In the February 2015 issue of OR Manager, Dr. Peter Papadakos  is quoted in the Human resources article, “Wise use of social media can enhance your professional career”.  The quotes came from an article Dr. Papadakos published in the Journal of Anesthesiology Clinical Research.

Dr. Papadakos In Periop Insider and to Speak at AORN

January 22nd, 2015

Dr. Peter Papadakos was quoted extensively in an article in the Periop Insider, the weekly newsletter of the Association of periOperative Registered Nurses, titled “Mobile Tech in the OR: Are Your Policies Strong Enough?”.  Dr. PJ will also be speaking this March at AORN’s Surgical Conference & Expo (March 7-11 in Denver) to share strategies for preventing mobile device distraction in the perioperative setting.

Dr. Glance Visiting Professor at Vanderbilt

January 21st, 2015

Dr. Laurent Glance will be the visiting professor at Vanderbilt University on Thursday and Friday, Jan. 22-23, 2015.  He will be giving two talks:  Health care reform and the Anesthesiologist and Blood Transfusion: Evidence-based or Faith-based.

Dr. Glance to Deliver FAER-Helrich Research Lecture at ASA

January 21st, 2015

Dr. Laurent Glance will deliver the FAER-Helrich Research Lecture at the 2015 annual meeting of the ASA in San Diego on Monday, Oct. 26, 2015, one of the keynote lectures for the meeting.  The FAER-Helrich Research Lecture recognizes outstanding scholarship by a scientist in an effort to encourage young anesthesiologists to consider careers in research and teaching, which are crucial if Anesthesiology is to maintain its reputation as a medical specialty continuously striving for excellence in patient care.

Dr. Papadakos Visiting Professor at Mount Sinai

January 15th, 2015

PJ at Mount Sinai

Dr. PJ Papadakos served as the Thomas Iberti Memorial Visiting Professor of Surgery at the Mount Sinai School of Medicine January 14-15.  Dr. Papadakos presented Grand Rounds in Surgery entitled, "Surfactant Dysfunction in Mechanical Ventilation", and  also participated in teaching rounds in the surgical ICU and interacted with medical students, residents in surgery and anesthesiology, fellows and faculty.  The annual lectureship honors Dr. Thomas Iberti the Director of Critical Care medicine at Mount Sinai from 1983-1993 who was one of the pioneers of the field of Critical Care.  Previous honorees have been internationally known experts in Critical Care, and Dr. PJ was humbled to join their ranks.

Dr. Papadakos Commentary in Jan. 2015 Issue of Anesthesiology News

January 12th, 2015

Dr. Peter Papadakos, has a commentary featured in the January 2015 issue of Anesthesiology News, titled “EMRs and Smart Technology:  Vectors of Infection in a Modern World”, which discusses the spread of infections via the touch screens on personal electronic devices.

Dr. Papadakos Publishes in the Journal American Academy of Physician Assistants

January 5th, 2015

Dr. Peter Papadakos, along with his physician assistant colleagues, Mr. LaRiccia and Ms. Carpenter, published a paper in the January issue of Journal American Academy of Physician Assistants (JAAPA) dealing with malignant hyperthermia.  JAAPA is the major journal of that profession.

Carpenter V, LaRiccia B, Papadakos PJ. Malignant Hyperthermia in a Trauma Patient.  JAAPA 2015; 28(1):45-47, PMID 25522026

Dr. Jacek Wojtczak Publishes 2 Articles in Journal of Ultrasonography

December 29th, 2014

Dr. Jacek Wojtczak has published two articles in the Journal of Ultrasonography, both in Issue 14, pp 362-366 and 367-370, respectively.  The first is titled “Laryngo-tracheal ultrasonography to confirm correct endotracheal tube and laryngeal mask  airway placement”.  Waveform capnography was recommended as the most reliable method to confirm correct endotracheal tube or laryngeal mask airway placements.  However, capnography may be unreliable during cardiopulmonary resuscitation and during low flow states.  It may lead to an unnecessary removal of a well-placed endotracheal tube, re-intubation and interruption of chest compressions.  Real-time upper airway (laryngo-tracheal) ultrasonography to confirm correct endotracheal tube placement was shown to be very useful in cadaveric models and during emergency intubation.  Tracheal ultrasonography does not interrupt chest compressions and is not affected by low pulmonary flow or airway obstruction, but is limited by ultrasonography scattering and acoustic artifacts generated in air – mucosa interfaces.  Sonographic upper airway assessment emerges as a rapid and easily available method to predict difficult intubation, to assess the laryngeal and hypopharyngeal size and visualize the position of the laryngeal mask airway in situ.  This study demonstrates that the replacement of air with saline in endotracheal tube or laryngeal mask airway cuffs and the use of the contrast agents enables detection of cuffs in the airway.  It also allows visualization of the surrounding structures or tissues as the ultrasound beam can be transmitted through the fluid-filled cuffs without being reflected from air–mucosal interfaces.

The second article is titled, “Models to teach lung sonopathology and ultrasound-guided thoracentesis”.  Lung sonography allows rapid diagnosis of lung emergencies such as pulmonary edema, hemothorax or pneumothorax.  The ability to timely diagnose an intraoperative pneumothorax is an important skill for the anesthesiologist.  However, lung ultrasound exams require an interpretation of not only real images but also complex acoustic artifacts such as A-lines and B-lines.  Therefore, appropriate training to gain proficiency is important.  Simulated environment using ultrasound phantom models allows controlled, supervised learning, have developed hybrid models that combine dry or wet polyurethane foams, porcine rib cages and human hand simulating a rib cage.  These models simulate fairly accurately pulmonary sonopathology and allow supervised teaching of lung sonography with the immediate feedback.  In-vitro models can also facilitate learning of procedural skills, improving transducer and needle positioning and movement, rapid recognition of thoracic anatomy and hard-eye coordination skills.  We described a new model to teach an ultrasound guided thoracentesis.  This model consists of the experimenter’s hand placed on top of the water-filled container with wet foam.  Metacarpal bones of the human hand simulate a rib cage and a wet foam simulates a diseased lung immersed in the pleural fluid.  Positive fluid flow offers users feedback when a simulated pleural effusion is accurately assessed.

Drs. Sisk and Shapiro Win First Prize at the Scientific Panel 16th Annual Bragging Contest

December 17th, 2014

Sisk, TracyCongratulations to Cardiothoracic Anesthesia Fellow Dr. Tracy Sisk (left) and Dr. Janine Shapiro (right) for winning first prize at the Scientific Panel 16th Annual Bragging Contest: Any Case You have Done, I have Done a Better One, Representing University of Rochester School of Medicine and Dentistry at the 68th Annual PostGraduate Assembly in Anesthesiology.

Dr. Papadakos Honored at American Assoc. of Respiratory Care Annual Mtg.

December 17th, 2014

Dr. Peter Papadakos participated at the 60th International Respiratory Convention, the annual meeting of the American Association of Respiratory Care, December 9-12, where he was honored as the outgoing Chair of the Board of Medical Advisors and for his contributions to the profession.  He also served on the Board of Directors of the Society for 2013-14.  Beginning next year, the annual award for the best student paper at the annual meeting will be named the Papadakos Award.  Dr. PJ is honored to aid in the development of future academic leaders of the profession.  The American Association of Respiratory Care has approximately 50,000 members worldwide.

Dr. Jennifer Macpherson to Speak at PGA Inaugural Conference

December 3rd, 2014

Dr. Jennifer Macpherson will be one of the speakers at the inaugural PGA Thoracic Anesthesia Symposium to be held Dec. 11-12, 2014.  The one and-a-half day program will feature leading national and international experts in thoracic anesthesia, and will feature topics such as Prevention of Lung Injury During Thoracic Surgery, Lung Separation and the Difficult Airway, Surgical and Anesthetic Management of Esophagectomy, Discussions of Challenging Cases, PBLDs, Pro/Con Debate, and Thoracic Anesthesia Hands-on Workshop.

Drs. Gewandter, Smith, Williams & Dworkin Publish in Pain

November 19th, 2014

Drs. Jennifer Gewandter, Shannon Smith, Mark Williams, and Robert Dworkin (Respectively) have published an article describing “spin” or misrepresentation of statistically non-significant results in analgesic clinical trials in the Journal of Pain.

Jennifer S. Gewandter, Michael P. McDermott, Andrew McKeown, Shannon M. Smith, Robert A. Gross, Matthew Hunsinger, Allison H. Lin, Bob A. Rappaport, Andrew S.C. Rice, Michael C. Rowbotham, Mark R. Williams, Dennis C. Turk, Robert H. Dworkin. Data interpretation in analgesic clinical trials with statistically non-significant primary analyses:  An ACTTION systematic review.  Journal of Pain.  In press.

Mary Therese Biltucci Publishes in Clinical Implant Dentistry and Related Research

November 19th, 2014

Mary Therese Biltucci, MA and co-authors have published the article, “Bacterial Composition at the Implant-Abutment Connection under Loading in vivo”, in the journal, Clinical Implant Dentistry and Related Research.

Purpose:  Platform-switched implants have been demonstrated to prevent bone loss after loading.  The present study evaluated bacterial composition of sites from implant-abutment connections of immediately loaded implants, which were placed in the anterior mandible.  Ten patients participated in this study.

Conclusions:  Chlorhexidine irrigation does not seem to have any effect on decontamination of connections.  As shown previously, there is significantly more bone loss around B implants compared with A implants.  Although there was no statistical difference in the microbial profiles, thee was indeed a trend for the presence of typical periodontal pathogens associated with the internal polygonal butt-joint connection.  A possible scenario is that this connection tends to harbor the pathogens that may be involved in subsequent bone loss.

Georgios E. Romanos, DDS, PhD, Prof. Dr. med. Dent.; Mary Therese Biltucci, MA; Alexis Kokaras, PhD; Bruce J. Paster, PhD.  Bacterial Composition at the Implant-Abutment Connection under Loading in vivo.  Clin Implant Dentistry and Related Res, 2014.

PACE – Dec 4th, 2014

November 7th, 2014

Please join us for this informative session on Physicians & Attorneys Cooperative Education on December 4th, 2014
Dept. of Anesthesiology
University of Rochester Medical Ctr.
For more information please go to the PACE Event Page.

Dr. Jacek Wojtczak Publishes in Journal of Anesthesiology & Clinical Science

October 30th, 2014

Dr. Jacek Wojtczak, together with Dr. Davide Cattano and his group, have published the article, “External neck landmark identification and measurement correlation in a normal weight cohort” in Volume 3, Article 7 of the Journal of Anesthesiology & Clinical Science


Background:  Airway management, including proper airway devices sizing, is dependent on airway features, which ultimately should correlate with body features: unfortunately such correlation has been inconsistent.  The aim of this study was to determine the correlation of normal values of several external neck landmark (airway features) measurements with age, gender, height and weight (body features) for normal weight adult subjects to establish a consistent correlation.

Methods:  After IRB approval, 200 subjects (100 male and 100 female) were enrolled.  External neck landmarks were measured using a measuring tape.  Measurements were also assessed by digital caliper to compare marginal errors.  Only non-obese (BMI <30 kg/m2) adults presenting for preoperative anesthesia assessment were screened.

Results:  A total of 200 subjects completed the study.  The difference between female and male hyocricoid distance (6.0+1.3 cm and 6.5+1.4 cm; P<0.01) and thyroid width (4.9+0.8 cm and 5.3+ 0.7 cm; P<0.001) was statistically significant.  Univariate regression analysis demonstrated ENLs measurements were correlated with different physical characteristics except the occipital distance which did not provide any correlation with the airway anatomical variables.

Conclusion:  There was a significant correlation between: thyromental, hyoidcricoid and thyroid width distances with height and weight (P<0.0001); thyroid height and throcricoid distances with height (P=0.027 and P=0.008, respectively); hyoidmental with age (P=0.037), and sternomental distance with height and age (P<0.0001).  Results from multivariate regression provided interesting insight into the association between each ENL, airway features and physical characteristics.  These findings may be useful to determine prediction models of important neck landmarks measurements when actual measurements are not feasible.

Dr. Zana Borovcanin Recipient of 2014 MCIC “Risk Reduction Awards Program” Grant

October 23rd, 2014

Dr. Zana Borovcanin has been awarded a $50,000 grant from the MCIC Risk Reduction Awards Program.  MCIC Vermont, Inc. is the medical malpractice carrier for the University of Rochester Medical Center.  Part of the MCIC mission is to prevent harm that leads to litigation.  As a part of the MCIC 2014 strategic plan, funding is available for projects that propose innovative ways in reducing risk.  Dr. Borovcanin’s project, “Implementation and Evaluation of URMC Difficult Airway Response Team (DART)”, will help establish a DART team at URMC, which will be capable of delivering the highest-quality and safest care during difficult airway management at our institution. 

Congratulations to Dr. Borovcanin and co-investigators:  Janine Shapiro, MD, Sarah Peyre, EdD, Oren Harary, MBA, MPH, and Changyong Feng, PhD

Residency Program 1st Place in Lifebox Challenge!

October 16th, 2014

Announced in October, 2013, the first Annual Resident Lifebox Challenge is an initiative of the ASA Resident Component to engage U.S. anesthesiology residents in support of the global safe surgery program of the Lifebox Foundation.  ASA's Charitable Foundation serves as the platform for the resident fundraising activities. 

At the 2014 ASA annual meeting in New Orleans, it was announced that the University of Rochester Residency Program swept the competition (11 other academic programs participated) in both total contributions and per resident giving!  In addition, by raising the largest absolute dollar contribution, our program is eligible for a matching gift to increase our gift to Lifebox.  

Congratulations and thanks to all who donated!

Drs. Gewandter, Smith, Pawlowski, Poli, Rothstein, Williams & Dworkin Publish Article in Pain

October 2nd, 2014

Dr. Jennifer Gewandter (right), and co-authors, including Anesthesiology residents, Drs. Joseph Pawlowski, Daniel Rothstein, and Mark Williams, former resident, Dr. Joseph Poli, Dr. Shannon Smith, and Dr. Robert Dworkin published an article describing the reporting of intention-to-treat analyses in analgesic clinical trials.  The study found that the phrase “intention-to-treat” is frequently used to describe analyses that exclude randomized participants.  Recommendations to use the term “intention-to-treat” consistently to facilitate interpretation of RCTs are provided.

Jennifer S. Gewandter, Michael P. McDermott, Andrew McKeown, Shannon M. Smith, Joseph R. Pawlowski, Joseph J. Poli, Daniel Rothstein, Mark R. Williams, Shay Bujanover, John T. Farrar, Ian Gilron, Nathaniel P. Katz, Michael C. Rowbotham, Dennis C. Turk, Robert H. Dworkin.  Reporting of intention-to-treat analyses in recent analgesic clinical trials: ACTTION systematic review and recommendations.  Pain. In press.

Dr. Daryl Smith Publishes in Case Reports in Emergency Medicine

September 29th, 2014

Dr. Daryl Smith has published an article in Vol. 2014 of Case Reports in Emergency Medicine, titled “Treatment of Acute Flares of Chronic Pancreatitis Pain with Ultrasound Guided Transversus Abdominis Plane Block: A Novel Application of a Pain Management Technique in the Acute Care Setting”.  Doi:10.1155/2014/759508

Drs. Daryl Smith, Sarah Kralovic, and Garret Morris Article Accepted to ASAIO Journal

September 19th, 2014

Drs. Daryl Smith, Sarah Kralovic, Garret Morris (left) and colleagues have had their paper accepted for publication in the ASAIO Journal.  Their article is titled, “Trial Ultrasound Guided Continuous Left Stellate Ganglion Blockade Prior to Surgical Gangliolysis in a Patient with a Left Ventricular Assist Device and Intractable Ventricular Tachycardia:  A Pain Control Application to a Complex Hemodynamic Condition”.

Drs. Glance and Wissler's Article Featured in Several News Outlets, Including an Interview with NPR

September 11, 2014

Drs. Laurent Glance and Richard Wissler's article in Health Affairs on obstetrical outcomes has been featured in several media outlets. 

Titled, “Study: Wide hospital quality gap on maternity care”, it was featured with the Associated Press, ABC News, FoxNews, HealthDay, Intelihealth, KWTX, Medbroadcast, Medscape, North Dallas Gazette, San Francisco Chronicle, US News & World Report, Washington Post, Health Affairs blog, WBUR Boston, and Fosters Daily Democrat.

Dr. Glance was also interviewed by NPR.

Link to the interview

Residents, Drs. Pereira and Williams Publish in Pain

September 2, 14

Dr. Anthony Pereira first-authored a literature review on the implications for chronic pain treatment of antidepressant-associated suicidal ideation and behavior that has just been accepted for publication by Pain. Dr. Mark Williams served as co-author of a literature review on acute and chronic pain associated with Lyme borreliosis that was just published in Pain. References to both of these articles appear below:

Zimering JH, Williams MR, Eiras ME, Fallon BA, Logigian EL, Dworkin RH. Acute and chronic pain associated with Lyme borreliosis: clinical characteristics and pathophysiologic mechanisms. Pain, 2014;155:1435-1438.

Pereira A, Conwell Y, Gitlin MJ, Dworkin RH. Suicidal ideation and behavior associated with antidepressant medications: implications for the treatment of chronic pain. Pain, in press.

Dr. Papadakos Grand Rounds Speaker at Drexel School of Medicine

August 14, 2014

Dr. Peter Papadakos was the Visiting Professor at the Drexel School of Medicine’s Hahnemann University Hospital in Philadelphia on July 29th.  His Perioperative Medicine Grand Rounds presentation for the Departments of Anesthesiology, Surgery and Nursing was titled, “Distracted Doctoring a Major Health Care Safety Concern”.

Dr. Papadakos Letter to Editor in Chest

August 11, 2014

Dr. Peter Papadakos published a commentary in the August issue of Chest, the journal of the American College of Chest Physicians.  In his role as Chairman of the Board of Medical Advisors which provides oversight to the American Association of Respiratory Therapists, Dr. Papadakos’ letter is in support of legislation HR 2619 before Congress to allow respiratory therapists to practice independently under the supervision of a physician to aid in the care of patients with complex respiratory diseases.  This collaboration would greatly aid in the predicted shortage of pulmonary physicians and hopefully impact on the rate of readmissions to hospitals and thus impact on health care costs.

Papadakos PJ. Board of Medical Advisors Supports HR 2619. Chest. 2014;146(2):e61-e62.

Link to Article

Drs. Glance, Wissler, and Marroquin Publish Paper in Health Affairs

August 7, 2014

Drs. Laurent Glance, Richard Wissler, Bridget Marroquin, and colleagues Drs. Dick, Glantz, Qian, Mukamel and Kellermann have published the paper, “Rates of Major Obstetrical Complications Vary Almost Fivefold Among US Hospitals”, in Health Affairs (Health Aff [Millwood]. 2014 Aug 1;33(8):1330-6. doi: 10.1377/hlthaff.2013.1359.)

Author information

  • Laurent G. Glance is vice chair for research and a professor of anesthesiology and public health sciences at the School of Medicine and Dentistry, University of Rochester, in New York.
  • Andrew W. Dick is a senior economist at the RAND Corporation in Boston, Massachusetts.
  • J. Christopher Glantz is a professor of obstetrics and gynecology at the School of Medicine and Dentistry, University of Rochester.
  • Richard N. Wissler is a professor of anesthesiology at the School of Medicine and Dentistry, University of Rochester.
  • Feng Qian is an assistant professor of health policy and management, School of Public Health, University at Albany, in New York.
  • Bridget M. Marroquin is an assistant professor of anesthesiology at the School of Medicine and Dentistry, University of Rochester.
  • Dana B. Mukamel is a professor in the Department of Medicine, University of California, Irvine.
  • Arthur L. Kellermann is a professor in and dean of the F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, in Bethesda, Maryland.


Of the approximately four million women who give birth each year in the United States, nearly 13 percent experience one or more major complications. But the extent to which the rates of major obstetrical complications vary across hospitals in the United States is unknown. We used multivariable logistic regression models to examine the variation in obstetrical complication outcomes across US hospitals among a large, nationally representative sample of more than 750,000 obstetrical deliveries in 2010. We found that 22.55 percent of patients delivering vaginally at low-performing hospitals experienced major complications, compared to 10.42 percent of similar patients delivering vaginally at high-performing hospitals. Hospitals were classified as having low, average, or high performance based on a calculation of the relative risk that a patient would experience a major complication. Patients undergoing a cesarean delivery at low-performing hospitals had nearly five times the rate of major complications that patients undergoing a cesarean delivery at high-performing hospitals had (20.93 percent compared to 4.37 percent). Our finding that the rate of major obstetrical complications varies markedly across US hospitals should prompt clinicians and policy makers to develop comprehensive quality metrics for obstetrical care and focus on improving obstetrical outcomes.

Project HOPE—The People-to-People Health Foundation, Inc.

URMC Newsroom Article

Dr. Papadakos Publishes in Respiratory Care

July 30, 2014

Dr. Peter Papadakos’ article titled, “Electronic Distractions of the Respiratory Therapist and Their Impact on Patient Safety”, was published in the August 2014 issue of Respiratory Care.  [Respir Care 2014;59(8):1306-1309]

Dr. Papadakos’ Article on URMC Select Major News Coverage

July 10, 2014

Dr. Peter Papadakos, who was quoted in the NY Times article Google Glass Enters the Operating Room, has also been featured in URMC Select Major News Coverage.

"The display can also be used to see email and surf the web, potentially allowing doctors to take multitasking to dangerous new levels, said  Peter J. Papadakos at the University of Rochester Medical Center, who has published articles on electronic distractions in medicine."

URMC Select Major News Coverage

Dr. Lerman honored at "Sixth Salute to UB Authors"

July 2, 2014Dr. Lerman

Jerrold Lerman, MD, Chief of Clinical Research & Professor of Anesthesiology, University at Buffalo and Women & Children’s Hospital of Buffalo, was recognized by the University at Buffalo on May 5, 2014 at “An Anthology of Recognition: The Sixth Salute to UB Authors.”

The event, which honors UB authors who have published full-length scholarly books over the course of the past two years — from January 2012 through December 2013, paid tribute to more than 105 authors, contributing authors and editors.

Dr. Lerman was honored for the 5th Edition of his new textbook, “A Practice of Anesthesia for Infants and Children,” which provides complete coverage of the safe, effective administration of general and regional anesthesia to infants and children - covering standard techniques as well as the very latest advances.

Dr. Lerman has authored three textbooks with the third coming out later this year.

Congratulations, Dr. Lerman!

Click to read this article on kaleidahealth.

Dr. David Stern Mentioned in The Wall Street Journal

July 2, 2014

Excerpt: 'He points to David Stern, who is 63. Dr. Stern, an associate professor of anesthesiology at the University of Rochester Medical Center, took up the violin at age 55 when he began playing with the Rochester New Horizons orchestra. When he started, Dr. Stern recalls, he produced a sound "that the cat hated worse than the vacuum cleaner." But the same nimble fingers that allowed him to insert catheters into patients served him well on the violin.'  Read the full article from The Wall Street Journal

Dr. Jennifer Gewandter First Author on Article Published in PAIN

June 25, 2014

Dr. Jennifer Gewandter and co-authors published a systematic review that identified deficiencies in reporting of missing data and methods to accommodate them in analgesic clinical trials. The article provides a review of methods to accommodate missing data that are recommended by statisticians and regulators, and provides recommendations for authors, reviewers, and editors pertaining to reporting of these important statistical details.

Jennifer S. Gewandter, Michael P. McDermott, Andrew McKeown, Shannon M. Smith, Mark R. Williams, Matthew Hunsinger, John T. Farrar, Dennis C. Turk, Robert H. Dworkin

Dr. Peter Papadakos Quoted in New York Times Article and Featured on Reporte Indigo

June 4, 2014

Dr. Peter Papadakos was quoted in the Sunday, June 1st, edition of the NY Times. In an article titled, "Google Glass Enters the Operating Room", Dr. Papadakos comments, "Being able to see your laparoscopic images when you're operating face to face instead of looking across the room at a projection screen is just mind-bogglingly fantastic," he said. "But the downside is you don't want that same surgeon interacting with social media while he's operating." To read the entire article, visit the New York Times.

Dr. Papadakos was also featured on Reporte Indigo titled "Tweezers, scalpel, Smartphone?" discussing electronic distration in the operating room: 
(Translated from Spanish)

A survey of perfusionists revealed 55 percent used their cell phone during cardiac surgery.

Currently, some of the medical negligence is due to “distracted doctoring”, a phenomenon in which doctors do not release their mobile devices, even in the operating room.  Campaigns exist that talk about the risks of driving and texting at the same time . There is also talk of distraction between parents and children who are absorbed in the screens of their mobile devices.  But not enough attention is paid to another scenario where the use of mobile devices can compromise the health and endanger the lives of others:  the operating room.

To read the entire article, visit Reporte Indigo.

Dr. Jennifer Gewandter Publishes Article in PAIN

May 27,2014

Dr. Jennifer Gewandter and co-authors published an article describing research design considerations for proof-of-concept (POC) chronic pain clinical trials, addressing both exploratory and preliminary efficacy objectives. General considerations regarding POC trials, as well as major POC trial designs and their advantages and limitations are discussed. Designs that maximize statistical power by decreasing variability in outcomes, maximizing effect size, or minimizing participant withdrawal are reviewed. This article communicates consensus recommendations from an IMMPACT (Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials) meeting of pain research experts from around the world. 

Jennifer S. Gewandter, Robert H. Dworkin, Dennis C. Turk, Michael P. McDermott, Ralf Baron, Marc R. Gastonguay, Ian Gilron, Nathaniel P. Katz, Cyrus Mehta, Srinivasa N. Raja, Stephen Senn, Charles Taylor, Penney Cowan, Paul Desjardins, Rozalina Dimitrova, Raymond Dionne, John T. Farrar, David J. Hewitt, Smriti Iyengar, Gary W. Jayr, Eija Kalso, Robert D. Kerns, Richard Leff, Michael Leong, Karin L. Petersen, Bernard M. Ravina, Christine Rauschkolb, Andrew S. C. Rice, Michael C. Rowbotham, Cristina Sampaio, Søren H. Sindrup, Joseph W. Stauffer, Ilona Steigerwald, Jonathan Stewart, Jeffrey Tobias, Rolf-Detlef Treede, Mark Wallace, Richard E. White. Research designs for proof-of-concept chronic pain clinical trials: IMMPACT recommendations. Pain, In press.

Third Annual Lawrence Educational Symposium: Focus on Sedation

May 12, 2014

Lawrence Day GroupThe third annual Lawrence Educational Symposium took place on May 8th with over 60 participants! This year’s theme was “Focus on Sedation” and 13 abstracts representing sedation cases and challenges were presented. The panel featured Drs. Michael Nead (Medicine), Joel Pasternack (Emergency Medicine), Rajbala Thakur (Anesthesiology) and Elise Van der Jagt (Pediatrics). The discussion was moderated by Dr. Suzanne Karan. Awards were presented at the end of the evening for:

  • Most novel poster presentation:  Drs. Bryce Yerman and Henry Tran for “Sedation in a minivan”
  • Poster with most academic value:  Drs. Williams, Kothari and Karan for “Challenging sedation in a patient with sickle cell disease on chronic opioid therapy

Thank you to Dr. Ruth Lawrence and her family for endowing the funds that allow our department to host this annual event in the memory of her late husband, Dr. Robert Lawrence, who was our department’s first anesthesiology resident.

Difficult Airway Workshop conducted on March 6th and May 3rd

May 8, 2014

Difficult Airway Workshop

The Difficult Airway Workshop, which is organized by Dr. Zana Borovcanin, is designed to provide residents with state-of-the-art information and hands-on experience with a wide range of established and novel airway techniques. This all-day educational activity is divided in two parts: didactic sessions in the morning followed up with hands-on workshop with eight stations in the afternoon. The last two difficult airway workshops covered multiple skill stations which included adult flexible fiberoptic intubation, airway anesthesia for awake intubation, airway exchange catheters, fiberoptic intubation via supraglottic airway using Aintree catheter, video laryngoscopes and fiberoptic stylets. There was a special station for pediatric difficult airway management covering pediatric flexible fiberoptic intubation and video laryngoscopy. Retrograde wire intubation and surgical airway - cricothyrotomy were performed in simulated airway scenarios. A percutaneous cricothyrotomy was practiced in a pig trachea lab, and conducted by Dr. Lyons. The Workshop also focused on use of endobronchial blockers and fiberoptic lung separation in the difficult airway management.

Many aspects of difficult airway management in a variety of clinical settings were highlighted during the Workshop. The goal of the Difficult Airway Workshop is also to learn to appropriately apply the ASA Difficult Airway Algorithm and to develop an understanding of the critical decision points in the course of the difficult airway management.

A special thanks to Drs. Dooley, Gloff, Kaminski, Karan, Kolano, Lyons, Tran, Tzimas, Subrahmanian and Sekhar for their participation and teaching in the last two Difficult Airway Workshops. We are grateful to Cook Medical, Karl Storz Endoscopy and Verathon Medical that provided us with their products and demonstrations.

For the full slide show of the Difficult Airway Workshop photos (March 6th and May 3rd) go to the URMC Department of Anesthesiology Facebook page.

Dr. Gail Johnson Awarded $250,000 Grant

May 8, 2014

Dr. Gail Johnson has been awarded a $250K grant from the BrightFocus Foundation for her research titled, “Nrf2 regulates tau clearance: an AD treatment strategy”. It was also featured on the Research@URMC Blog, titled: “Could Cabbage and Broccoli Help in the Fight Against Alzheimer’s?

Dr. Papadakos Featured in ASA Article

May 8, 2014

In a May 2014 article on the American Society of Anesthesiologists’ web site titled, “Situational Awareness, Multitasking, and Distraction in the O.R.”, Dr. Peter Papadakos was featured.  The authors state, “Recently, it was suggested by Dr. Papadakos in Anesthesia and Clinical Research that a modified CAGE questionnaire (traditionally used to assess risk factors for alcohol abuse, Table 1) could be used to identify those with a significant addiction to their personal electronic devices (PED). In effect, it would help identify those at risk of being distracted by their own actions before they entered the O.R.”

Dr. Marcin Karcz Approved for FAER Grant

April 30, 2014

Marcin KarczDr. Marcin Karcz has been approved for a Foundation for Anesthesia Education Research (FAER) Research Fellowship Grant.  His application was titled, “The role of antihistamines and nicotine metabolites in cardioprotection.”
Congratulations, Marcin!  

Dr. Jacek Wojtczak To Present At Transthoracic Ultrasound Workshop

April 21, 2014

Dr. Jacek Wojtczak will be presenting at transthoracic ultrasound workshops during the Harvard Ultrasound Course for Intensivists and Emergency Medicine Clinicians, being held April 25-27, 2014 at the Carl J. Shapiro Clinical Center at Beth Israel Decsoness Medical Center.

Specifically designed for Critical Care and Emergency Medicine Physicians, the course covers all current application of critical care ultrasound.  The course covers basic use of Transthoracic Echocardiography (TTE) in the setting of cardiac arrest/peri-resuscitation, and in the management of the patient in shock.  In addition, the course will cover emerging topics in critical care ultrasound, such as lung ultrasound for the diagnosis of pneuomothorax, pulmonary edema and pneumonia, it will review in detail the FAST Protocol, the international standard ultrasound protocol for the management of the patient with trauma.

For additional information, visit

Dr. Papadakos Assists with AORN Policy and Cited in Pacific Standard Magazine

April 21, 2014

Dr. Peter Papadakos, a leader in electronic distraction prevention, helped develop the AORN policy, "AORN Position Statement on Managing Distractions and Noise During Perioperative Patient Care", to deal with electronic distraction in the perioperative environment.  The policy was released 4/15/14 and can be found on the AORN webpage.

Dr. Papadakos was also featured in the Pacific Standard: The Science of Society in an article titled, "The Dangerous Rise of Social Media in the Operating Room."

Dr. Glance Publishes Editorial in the New England Journal of Medicine

April 10, 2014

Dr. Laurent Glance has co-authored an editorial titled, "Redesigning Surgical Decision Making for High-Risk Patients", which was published in the April 10th issue of The New England Journal of Medicine.

Glance LG, Osler TM, Neuman MD. Redesigning Surgical Decision Making for High-Risk Patients. N Engl J Med 370:15;1379-1381

Alastair J. Gillies, MD 1924-2014

April 7, 2014

Alastair Gillies

Dr. Alastair J. Gillies, the first Chair of the Department of Anesthesiology, passed away recently at the age of 89.

Dr. Gillies was educated at the University of Edinburgh and trained at the Royal Infirmary in Edinburgh.  He served on the medical staff in the RAF during the war.  As a physician, he followed in the footsteps of his father, an anesthesiologist for the Royal Family in the UK around WWII.  He joined the faculty at the University of Rochester in 1959.

During his tenure as Chair from 1969 – 1983 he helped to develop and nurture a robust department, focusing on recruitment, education, curriculum development, and research.  The Gillies Library is named for him. 

Members Of Anesthesiology Department Attend Society Of Cardiovascular Anesthesiologists Annual Meeting

April 2, 2014

This past week (March 28-April 2), Drs. Ari Balofsky, Paul Nandra, Yaser Rad, and Tarun Subrahmanian represented our department at the Society of Cardiovascular Anesthesiologists annual meeting in New Orleans, LA, and presented cases at the Complex Case Discussion session.

Dr. Rad, Dr. Subrahmanian, Dr. Carol Ann Diachun, and Dr. Andy Sifain presented the Anesthetic Management of Pre-Term Delivery in a Patient with Decompensated, Non-Ischemic Cardiomyopathy, Biventricular ICD and Bioprosthetic Tricuspid Valve.

Dr. Nandra, Dr. Subrahmanian, and Dr. Sifain presented a case of Iatrogenic Tricuspid Valve Stenosis Following a Bentall Procedure.

Dr. Balofsky, Dr. Subrahmanian, Dr. Janine Shapiro, Dr. Michael Schwartz, Dr. Todd Massey, and Dr. Sifain presented a case of Syncardia Total Artificial Heart following a Total Cardiectomy in an Orthotopic Heart Transplantation with Cardiogenic Shock.

Drs. Konstantine Tzimas, Laurent Glance, David Stern, and Michael Eaton were also in attendance.