Blog RSS https://www.vumc.org/anesthesiology/ en 2022 Vanderbilt International Anesthesia Fund Raiser https://www.vumc.org/anesthesiology/blog-posts/2022-vanderbilt-international-anesthesia-fund-raiser <span class="field field--name-title field--type-string field--label-hidden">2022 Vanderbilt International Anesthesia Fund Raiser</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 05/12/2022 - 11:06</span> <a href="/anesthesiology/blog-post-rss/1216" class="feed-icon" title="Subscribe to 2022 Vanderbilt International Anesthesia Fund Raiser"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><img alt="four people standing together holding popcorn" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9992.JPG" /></p> <p><img alt="Two people holding popcorn" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9993_0.JPG" /></p> <p><img alt="two people holding cocktails and popcorn" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9994.JPG" /></p> <p><img alt="children watching a woman hold a snake" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_0006.JPG" /></p> <p><img alt="children watching a woman holding a blue macaw" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_0008.JPG" /></p> <p><img alt="man on a stage with a microphone" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_0027.JPG" /></p> <p><img alt="auctioneer on a stage with a microphone" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_0034.JPG" /></p> <p><img alt="man on a stage with a microphone" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_0039.JPG" /></p> <p><img alt="two people smiling" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9995.JPG" /></p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Thu, 12 May 2022 16:06:50 +0000 grewelj 1216 at https://www.vumc.org/anesthesiology 2022 Research Symposium Award Winners https://www.vumc.org/anesthesiology/blog-posts/2022-research-symposium-award-winners <span class="field field--name-title field--type-string field--label-hidden">2022 Research Symposium Award Winners</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 05/12/2022 - 09:15</span> <a href="/anesthesiology/blog-post-rss/1215" class="feed-icon" title="Subscribe to 2022 Research Symposium Award Winners"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> </p> <p><img alt="two people holding a plaque" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9972.JPG" /></p> <h1>Best Oral Presentation: Alexis Jameson</h1> <h1><img alt="two people holding a plaque" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9973.JPG" /></h1> <h1>Best Poster Presentation: Melissa Kimlinger</h1> <p><img alt="two " data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9974.JPG" /></p> <h1>Charles Bernard Pittinger Prize - Basic Science Research: Brad Grueter</h1> <p><img alt="two people holding a plaque" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9975.JPG" /></p> <h1>Charles Bernard Pittinger Prize - Health Services and Informatics Research: Jonathan Wanderer (Gen Li accepted on his behalf).</h1> <p><img alt="two people holding a plaque" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9976_0.JPG" /></p> <h1>Roger England Research Award for Excellence in Support of Basic and Clinical Science: Gen Li</h1> <p><img alt="two people holding a plaque" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9926.JPG" /></p> <h1>The Bradley Smith Mentorship Award: David Edwards</h1> <p> </p> <h1>(NOT PICTURED): Charles Bernard Pittinger Prize - Clinical Translational Research: Christopher Hughes</h1> <p> </p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Thu, 12 May 2022 14:15:45 +0000 grewelj 1215 at https://www.vumc.org/anesthesiology 2022 Dr. James Phythyon Memorial Lectureship in Pediatric Anesthesiology Reception and Grand Rounds https://www.vumc.org/anesthesiology/blog-posts/2022-dr-james-phythyon-memorial-lectureship-pediatric-anesthesiology-reception-and-grand <span class="field field--name-title field--type-string field--label-hidden">2022 Dr. James Phythyon Memorial Lectureship in Pediatric Anesthesiology Reception and Grand Rounds</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 05/12/2022 - 07:06</span> <a href="/anesthesiology/blog-post-rss/1214" class="feed-icon" title="Subscribe to 2022 Dr. James Phythyon Memorial Lectureship in Pediatric Anesthesiology Reception and Grand Rounds"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><img alt="People Standing In A Bar" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9824.JPG" /></p> <p><img alt="four people standign in a bar" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9826.JPG" /></p> <p><img alt="people standing together in a bar" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9828.JPG" /></p> <p><img alt="people sitting at table " data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9830.JPG" /></p> <p><img alt="residents sitting in an auditorium" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9835.JPG" /></p> <p><img alt="a man standing in front of a podium" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9842.JPG" /></p> <p><img alt="people sitting an auditorium" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9843.JPG" /></p> <p><img alt="woman standing in front of a podium" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9846.JPG" /></p> <p><img alt="woman standing in front of a podium" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9848.jpg" /></p> <p><img alt="people standing outside in front of a garden" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9852.JPG" /></p> <p><img alt="a plaque" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_9857.JPG" /></p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Thu, 12 May 2022 12:06:01 +0000 grewelj 1214 at https://www.vumc.org/anesthesiology Bansal and Clemmons Win ASRA Pain Medicine's Excellence in Education Award https://www.vumc.org/anesthesiology/blog-posts/bansal-and-clemmons-win-asra-pain-medicines-excellence-education-award <span class="field field--name-title field--type-string field--label-hidden">Bansal and Clemmons Win ASRA Pain Medicine&#039;s Excellence in Education Award</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 04/29/2022 - 13:07</span> <a href="/anesthesiology/blog-post-rss/1211" class="feed-icon" title="Subscribe to Bansal and Clemmons Win ASRA Pain Medicine&#039;s Excellence in Education Award"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">T&#039;Ebonie Tanner</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Vikram Bansal, MD, and Jeffrey Clemmons, MD, both won the American Society of Regional Anesthesia (ASRA) Pain Medicine's Excellence in Education Award. Both doctors say it is humbling to have received such a prestigious award. This is a national award that recognizes physician members at the instructor or assistant professor level who have demonstrated innovation and success in education and have been attending physicians for a minimum of five years. Recipients of this award have demonstrated innovation and dedication to the delivery of knowledge in the field of regional anesthesia and/or pain medicine.</p> <p>“My primary reason for working in academic medicine has always been my desire to work with residents, fellows, and medical students,” Clemmons said. “Medical education has always been something that I am passionate about and, as a result, put a lot of effort into making sure our trainees have a good experience in regional anesthesia.”</p> <p>Bansal said he wants residents, fellows, and medical students to feel invested in their patients and to take ownership of their care. “It is my job to foster technical, analytical, and leadership skills by serving as their guide.”</p> <p>When asked what they had done to win this award. Bansal and Clemmons gave credit to their trainees, saying this award would not have been possible without their dedication and enthusiasm.</p> <p>“My philosophy when it comes to teaching is to have tangible enthusiasm. One of the best compliments I get when working with trainees is when they tell me how much fun they had working together,” Clemmons explained. “Over the past year, I became the regional anesthesia rotation director for our residents, and I have primarily worked at a fast-paced outpatient orthopedic surgery center where trainees improve upon their regional anesthesia skills. When our trainees are there, we emphasize efficient, effective patient care in an enjoyable environment. We work hard and move fast, but we also joke, laugh, and have a good time.”</p> <p>Bansal said he is motivated by the patients and the ability to help them with their pain. “In this age of opioid abuse, anything we can do to reduce opioid consumption is a major win.  I am also motivated by my colleagues, residents and fellows who have a passion for regional anesthesia and want to learn more to advance the field,” Bansal expressed.</p> <p>Clemmons said regional anesthesia is fun. “It is easy to work hard at something you enjoy. In addition to that, at Vanderbilt Surgery Center Franklin, we are able to use various regional anesthesia techniques to improve patient satisfaction and increase patient throughput at the center,” Clemmons explained. “From an educational standpoint, to see our residents' confidence grow from the beginning of the regional rotation to the end is incredibly rewarding. I am fortunate in my practice that I get to combine two of my passions, regional anesthesia, and resident education, into one venue.”</p> <p>It is Clemmons's fifth year as an attending anesthesiologist. Bansal has been practicing medicine as an attending for over six years now, all at Vanderbilt.</p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 29 Apr 2022 18:07:08 +0000 grewelj 1211 at https://www.vumc.org/anesthesiology Physician Spotlight: Braden Hestermann https://www.vumc.org/anesthesiology/blog-posts/physician-spotlight-braden-hestermann <span class="field field--name-title field--type-string field--label-hidden">Physician Spotlight: Braden Hestermann</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 01/05/2022 - 07:49</span> <a href="/anesthesiology/blog-post-rss/1151" class="feed-icon" title="Subscribe to Physician Spotlight: Braden Hestermann"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Braden Hestermann, MD, joined the Department of Anesthesiology at Vanderbilt University Medical Center in September of 2021 as an Assistant Professor of Clinical Anesthesiology. He joined the department through the Military-Civilian Training Program and remains on Active Duty in the U.S. Army.</p> <p>“I truly believe that a majority of physicians in the military should be incorporated to hospitals around the country and be allowed to serve in a similar capacity to reservists while on active duty,” he said.</p> <p>He explained that most military treatment facilities don’t encounter the case complexity or patient acuity on a daily basis that an institution like VUMC encounters every day. He said he wanted to improve his ability to manage complex cases, large volume resuscitations, and be prepared to provide anesthesia services in a deployed environment if he is called upon in any future conflicts.</p> <p>Hestermann began his medical career in 2004 by serving in the 82D Airborne Division as a medical platoon leader. He was responsible for ensuring medics supporting infantry battalions were fully trained, along with ensuring each member of the battalion were medically ready to deploy.</p> <p>While deployed in Iraq from August 2006 to October 2007, his assigned physician was critically wounded. He said he called the medevac helicopter and was present in the trauma bay but could only watch from the back of the room.</p> <p>“I remember thinking to myself that ‘I could be doing something more right now.’ Ultimately, that experience along with the challenges of losing several close friends throughout the deployment led me to pursuing medical school and shaped me into the physician that I am today.</p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Wed, 05 Jan 2022 13:49:34 +0000 grewelj 1151 at https://www.vumc.org/anesthesiology Physician Spotlight: Michael Hof https://www.vumc.org/anesthesiology/blog-posts/physician-spotlight-michael-hof <span class="field field--name-title field--type-string field--label-hidden">Physician Spotlight: Michael Hof</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 07/15/2021 - 14:43</span> <a href="/anesthesiology/blog-post-rss/1072" class="feed-icon" title="Subscribe to Physician Spotlight: Michael Hof"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Michael Hof, MD, PhD, has joined Vanderbilt University Medical Center in October 2020 as an Associate Professor of Clinical Anesthesiology. He practices both Multispecialty Adult Anesthesiology and Neuroanesthesiology.</p> <p><br /> While he has a special interest in neuroanesthesia, Hof has managed to keep an interest in many areas of anesthesia. “I work in critical care as well as in emergency medicine, just as I love pediatric and obstetric anesthesia,” he said. “All types of clinical work are interesting to me.”</p> <p><br /> His greatest professional accomplishment is helping people worldwide. “As much as we have to work prudently and economically, healthcare is still primarily a social mission,” he said.</p> <p><br /> Chair of the Department of Anesthesiology Warren Sandberg, MD, PhD, said the department can really benefit from having someone with Hof’s experience. “His international experience – Continental Europe, England, along with the holistic approach to anesthesia and intensive care practiced in those regions is extremely valuable to the department.  He can teach us a lot about diverse perspectives on what it means to be an anesthesiologist, and how to optimally interdigitate with our adjacent colleagues.”  </p> <p><br /> Hof decided to become an anesthesiologist when he developed an interest in understanding human pathophysiology and understanding the workings of the body and mind. He said anesthesiology and critical care medicine deliver the greatest diversity and broadest knowledgebase in medicine.<br /> VUMC had a big impact on Hof’s life when he became a patient in January. He sustained serious injuries when he was struck by car on his way into work. “The care I received at VUMC was second to none and continues to be fantastic. I am so grateful to all the people here who helped pull me through this very difficult time.”</p> <p><br /> Hof is a member of Chamber of Physicians in Hesse, Germany, Chamber of Physicians in North Rhine Germany, American Society of Anesthesiologists, Tennessee Society of Anesthesiologists, General Medicine Council in the United Kingdom, Royal Medicine College of Anaesthetists in the United Kingdom, British Medical Association, and Ludwig Maximilians University Society in Munich, Germany.</p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Thu, 15 Jul 2021 19:43:36 +0000 grewelj 1072 at https://www.vumc.org/anesthesiology Physician Spotlight: Tiffany Brainerd https://www.vumc.org/anesthesiology/blog-posts/physician-spotlight-tiffany-brainerd <span class="field field--name-title field--type-string field--label-hidden">Physician Spotlight: Tiffany Brainerd</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 05/24/2021 - 07:47</span> <a href="/anesthesiology/blog-post-rss/1040" class="feed-icon" title="Subscribe to Physician Spotlight: Tiffany Brainerd"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Tiffany Brainerd, MD, a pediatric anesthesiologist, has joined Vanderbilt University Medical Center. She is a former Harvard faculty and now shares time between VUMC and Colorado, where she pursues mountain rescue.</p> <p><br /> Brainerd’s clinical interests include international education and ultrasound technology, including regional nerve blocks, point-of-care, and austere applications.</p> <p><br /> Chair of the Department of Anesthesiology Warren Sandberg, MD, PhD, said it is an honor to have someone of Brainerd’s diverse background at VUMC. “Her skill not only as an anesthesiologist but as someone who practices wilderness medicine, makes her an invaluable member to our department. Combining these two specialties adds to diversity of orientation and thought in our department, and contributes to our drive towards diversity on all axes.”</p> <p><br /> Brainerd said she hopes to bring more evidence-based practice to wilderness medicine by contributing to research while at VUMC. “Due to a number of understandable factors, many austere medicine practices are lacking in science. I aim to contribute to our body of knowledge in the field.”</p> <p><br />  Brainerd said her greatest challenges involve the implementation of various unique skill sets. Along with anatomy and physiology, developed through the practice of anesthesiology, she must link technical mountain travel and mountain medicine, including high altitude physiology, high angle rope rescue, avalanche rescue, and more. </p> <p><br /> “To put these skills into practice, I am expected to maintain proficiency in wilderness travel via backcountry skiing, rock climbing, ice climbing, and technical glacier travel,” she said.</p> <p><br /> Her skills are useful in difficult environments other than mountains. She said she is proud of the work she has done in eight countries, including Haiti following the 2010 earthquake and COVID-19 ICU work in a community with the fourth highest per-capita COVID-19 mortality in the world.</p> <p><br /> Brainerd is a member of the Wilderness Medical Society, including the Women in Wilderness Medicine Committee, the Society for Pediatric Anesthesia, including the SPA Global Committee, and the American Society of Anesthesiologists. She sits on the Hicks Honors College Dean’s Council for the University of North Florida, is a foster volunteer with the La Plata County Humane Society, and provides medical direction and other services for the UIAA Ice Climbing World Cup Series. She holds a Diploma in Mountain Medicine, is a fellow in the Academy of Wilderness Medicine, and was recently named Medical Director for La Plata County Search and Rescue.<br />  </p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Mon, 24 May 2021 12:47:45 +0000 grewelj 1040 at https://www.vumc.org/anesthesiology Department awarded NIH grants https://www.vumc.org/anesthesiology/blog-posts/department-awarded-nih-grants <span class="field field--name-title field--type-string field--label-hidden">Department awarded NIH grants</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 03/05/2021 - 09:47</span> <a href="/anesthesiology/blog-post-rss/1032" class="feed-icon" title="Subscribe to Department awarded NIH grants"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><strong>By Jenelle Grewell</strong></p> <p>Several studies in the Department of Anesthesiology have received NIH grants. These studies cover a wide-range of topics and showcase the variety and scope of research in our department.</p> <p>Jerod Denton, PhD, was awarded a four-year NIH grant for his study on whether inhibitory drugs that act specifically on Kir6.1/SUR2B are an effective therapy for patent ductus arteriosus (PDA) in newborns. This study is in collaboration with Elaine Shelton, PhD, in Pediatrics, who studies molecular mechanisms that underlie PDA in newborns.</p> <p>Denton explained that Shelton found genes encoding ATP-regulated potassium channel comprising Kir6.1 pore forming subunit and regulatory SUR2B subunit, which belong to the inward rectifier potassium (kir) channel family that Denton’s lab studies, are overexpressed and enriched in DA tissue. The study will be conducted by carrying a high throughput screen of 100,000 compounds from the Vanderbilt Institute of Chemical Biology Library for Kir6.1/SUR2B, optimizing lead compounds with chemistry through the collaboration with Craig Lindsley, PhD. Shelton will then use those optimized compounds to determine if they correct PDA in mouse models. By the time the study is over, Denton said he hopes to be in the position to move optimized compounds into advanced preclinical animal models of PDA and eventually clinical trials.</p> <p>Christopher Hughes, MD, was awarded a five-year NIH grant for his study on whether physical and cognitive training prior to, during, and after hospitalization will improve the long-term cognitive and disability outcomes in elderly surgical patients. Elderly surgical patients are at an extremely high-risk for cognitive and function decline after hospitalization. Individual interventions such as anesthesia and sedation strategies, mobilization, and rehabilitation have exhibited limited success in reducing this decline.</p> <p>“We wanted a program to be pragmatic and scalable to a large number of patients,” Hughes explained. He said the cognitive training needs to target areas where deficits are seen after hospitalization, such as attention and executive function. As for physical training, Hughes said the training needs to be able to be performed safely at home, work the core and extremities, and feature some aerobic training. Also, the difficulty level must be easily increased or decreased depending on the patient’s fitness level.</p> <p>The assessment for cognition will use the Computerized Neurocognitive Assessment Vital Signs platform at baseline both 3 months and 12 months after surgery. As for physical function assessment, daily activities and instrumental activities will be examined, in addition to depression and pain questionnaires. ◆</p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 05 Mar 2021 15:47:54 +0000 grewelj 1032 at https://www.vumc.org/anesthesiology VUMC opens Belle Meade location https://www.vumc.org/anesthesiology/blog-posts/vumc-opens-belle-meade-location <span class="field field--name-title field--type-string field--label-hidden">VUMC opens Belle Meade location</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 03/05/2021 - 09:46</span> <a href="/anesthesiology/blog-post-rss/1031" class="feed-icon" title="Subscribe to VUMC opens Belle Meade location"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><em><strong>By Jenelle Grewell</strong></em></p> <p>Vanderbilt University Medical Center is expanding throughout the Middle Tennessee region, and one of the most recent locations to open is in Belle Meade. Vanderbilt Health Belle Meade opened on Monday, Jan. 18, 2021. This outpatient surgery center is combined with a surgical clinic and infusion center.</p> <p>The center will focus on orthopedic and urology surgeries, including joint replacement, hand, wrist, and upper arm operations, joint arthroscopic surgery, foot and ankle surgeries, prostate surgery, ureteral stents, and high-tech kidney stone management. The center is supported by a full-time pharmacy and lab.</p> <p>“We also have the facility for extended overnight recovery for those patients that need a little extra time to recover from their operation but don’t need to be transferred to the hospital,” said Rajnish Gupta, MD, medical director of Vanderbilt Health Belle Meade.</p> <p>The Anesthesiology Department will staff Vanderbilt Health Belle Meade with two anesthesiologists and seven to eight certified registered nurse anesthetists every day. According to Gupta, the department collaborated with Perioperative Services and the construction team to envision, design, and develop the location.</p> <p>“Our department has been critical in determining what operations would occur there, establishing the workflow needed to run an efficient service, identifying the anesthesia equipment necessary, and collaborating with all the relevant parties every step of the way,” Gupta said.</p> <p>Gupta said over the past few years, it has become apparent that VUMC is the fastest growing health system in the region and has been challenged to keep up with the demand for excellent care within Nashville and the surrounding areas. “This growth is evidenced by the rapid hiring of anesthesiologists and CRNAs within our department,” Gupta said.</p> <p>Warren Sandberg, MD, PhD, Anesthesiology Department Chair, said Vanderbilt Health Belle Meade is a testament to what VUMC provides for the region. “There is a demand for our services. The brand of VUMC comes with a promise of quality patient care.”</p> <p>The addition of Vanderbilt Health Belle Meade identifies and addresses a huge need for operations to move out of the main hospital and into the outpatient arena. According to Gupta, this has only been possible recently for some operations, such as total joint surgery, because of the careful collaboration needed between anesthesia and surgery.</p> <p>Total joint surgery previously required a three- to five-day hospital stay but can now be done safely with same-day discharge. Instead of requiring a minimum hospital stay of one to two days, urological surgeries such as complex kidney stones and prostate surgeries can now be done as ambulatory surgeries thanks to improved surgical technique, technological advancement, and careful perioperative management.</p> <p>“These advances in surgical and anesthetic care are allowing patients to have a premium surgical experience and still recover safely in the comfort of their own home,” Gupta said.<br />  <br /> There are several goals for the new Vanderbilt Health Belle Meade. According to Gupta, the first and foremost goal is to deliver cutting-edge and high-quality patient care. The new location should provide greater and more convenient access to surgical care to a large portion of the Nashville population. “We want to make sure these patients receive the premier Vanderbilt experience for their care,” he said.<br /> Gupta said he also wants to develop a strong sense of teamwork, where every person feels valued and important to the team. “It generates an atmosphere where people are excited to come to work.”</p> <p>Finally, Gupta said he wants to take this opportunity to advance both academic and operational excellence. “We have a chance in this new center to refine surgical efficiency, provide quality care, and advance the science of anesthesia and surgery. I want to embrace these goals as a collaborative effort with all of our surgeons, nurses, and anesthesia team members.”</p> <p>According to Sandberg, this collaborative effort of the different clinical teams is vital to providing exceptional patient care. He said every step of the perioperative process is important and ensures VUMC and the department remain at the forefront of knowledge in patient care.</p> <p>“Belle Meade Ambulatory Surgery Center will be the flagship outpatient surgery center for Vanderbilt, with a brand-new building, cutting-edge equipment, and world-class physicians,” Gupta said. ◆</p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 05 Mar 2021 15:46:58 +0000 grewelj 1031 at https://www.vumc.org/anesthesiology 2020 Holiday Drive-Thru Event https://www.vumc.org/anesthesiology/blog-posts/2020-holiday-drive-thru-event <span class="field field--name-title field--type-string field--label-hidden">2020 Holiday Drive-Thru Event</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Tue, 12/15/2020 - 11:33</span> <a href="/anesthesiology/blog-post-rss/1003" class="feed-icon" title="Subscribe to 2020 Holiday Drive-Thru Event"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>On Sunday, Dec. 13, the Sandbergs hosted a Holiday Drive-Thru event where participants donned their masks and enjoyed the holiday lights, decorations, and music of the Sandberg home from the safety of their vehicles. Adult participants received gifts such as candied apples and a catered cheese plate while children received age appropriate gifts such as books, stuffed animals, gingerbread houses, and candy.</p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8904_0.JPG" /></p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8906.JPG" /></p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8907.JPG" /></p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8909.JPG" /></p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8912%20EDITED.jpg" /></p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8921%20EDITED.jpg" /></p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8924%20EDITED.jpg" /></p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8926%20EDITED.jpg" /></p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8930%20EDITED.jpg" /></p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8943%20EDITED.jpg" /></p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8944%20EDITED.jpg" /></p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8957.JPG" /></p> <p><img alt="open house" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8959%20EDITED.jpg" /></p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Tue, 15 Dec 2020 17:33:34 +0000 grewelj 1003 at https://www.vumc.org/anesthesiology Weinger's Patient Safety Achievements Recognized https://www.vumc.org/anesthesiology/blog-posts/weingers-patient-safety-achievements-recognized <span class="field field--name-title field--type-string field--label-hidden">Weinger&#039;s Patient Safety Achievements Recognized </span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Tue, 10/20/2020 - 09:28</span> <a href="/anesthesiology/blog-post-rss/992" class="feed-icon" title="Subscribe to Weinger&#039;s Patient Safety Achievements Recognized "> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Matthew B. Weinger, MD, was recently named the recipient of the 2020 A. R. Lauer Safety Award by the Human Factors and Ergonomics Society (HFES). This award recognizes a person for outstanding contributions to human factors aspects in the broad area of safety.<br /> “I am truly honored to be recognized by the Human Factors and Ergonomics Society for this award,” Weinger said.</p> <p><br /> Weinger earned this award through a 30-year effort to improve clinical practices to reduce medical errors by applying HFE theory and methods to healthcare. His work includes methods and practices to enhance patient monitoring and medication delivery, to understand clinician performance and the factors that can affect it like fatigue and burnout, to improve clinician training through medical simulation training and assessment, and to apply human-centered design to develop better work processes, alarms, and clinical decision support systems.</p> <p><br /> “Dr. Weinger was selected from a very competitive group of applicants who are all doing incredible work in many industries to make the world safer,” stated Valerie Gawron, PhD of the MITRE Corporation who served as Chair of the award committee.</p> <p><br /> Weinger will take his expertise on patient safety to the American Society of Anesthesiologist’s Annual Meeting presented the 2020 Ellison C. Pierce, Jr. Memorial Safety Lecture on Saturday, Oct. 3. His lecture was entitled “Is Safety Becoming the Poor Stepchild of Quality?”</p> <p><br /> In his lecture, he explained the importance of safety and quality with a key aspect being understanding how excessive zeal to achieve quality goals can negatively affect clinician patient safety. The lecture concluded with a discussion about how anesthesiologists can play a role in the future of safety and quality. “We were the first specialty to embrace patient safety, he said during his lecture. “We are still leaders in patient safety.”</p> <p><br /> Department of Anesthesiology Char Warren Sandberg, MD, PhD, said Weinger and his team of experts have developed over the course of a couple decades into one of a few “go to” resources in the country for patient safety designs, especially in the high-risk, high-acuity procedural environment. “Matt appreciates that engineered and humanistic systems to enhance patient safety work best together. Moreover, as a scientist, Matt is unafraid to follow the empiric conclusions driven by his data, and then challenge intuitions and dogma that turn out to be appealing but wrong. For all these reasons, the anesthesia patient safety community is rightly proud to see Matt receive this award!” he said.</p> <p> </p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Tue, 20 Oct 2020 14:28:39 +0000 grewelj 992 at https://www.vumc.org/anesthesiology Solving Operational Problems with eStar Solutions https://www.vumc.org/anesthesiology/blog-posts/solving-operational-problems-estar-solutions <span class="field field--name-title field--type-string field--label-hidden">Solving Operational Problems with eStar Solutions</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Tue, 10/20/2020 - 09:25</span> <a href="/anesthesiology/blog-post-rss/991" class="feed-icon" title="Subscribe to Solving Operational Problems with eStar Solutions"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Before June, VUMC had a big problem with big beds: they don’t fit in all of the hospital’s operating rooms. Scheduling mishaps were discovered the hard way, right at the operating room door, causing delays and headaches for patients and clinicians. However, as of June 24, VUMC solved that problem through a collaboration between the eStar OpTime/Anesthesia team and our perioperative services leadership. They developed a system that alerts schedulers to the bed and operating room mismatch, and does not allow patients in a bariatric bed or above a weight threshold to be scheduled in an incompatible operating room.</p> <p><br /> On Wednesday, May 13, the eStar OpTime/Anesthesia team received a request from Dora Haney-Snider BSN, RN, CNOR, Interim Manager of Perioperative Services, after an incident that resulted in a procedure starting late. A critically ill, morbidly obese patient was scheduled for urgent surgery. When the anesthesia team arrived, they discovered that the patient was on a bariatric bed which couldn’t physically be brought into the scheduled OR. The case had to be moved to a different OR, resulting in a delayed start.</p> <p><br /> “Historically,” Haney-Snider said, “the communication related to the use of bariatric beds has been lacking. This is an issue due to the fact that many of our operating suites within the VOR have a single panel door that is not wide enough to accommodate the width of the bariatric beds. This issue requires the patient to be transferred to a stretcher that may not accommodate the patient’s weight, causing a patient safety issue, in order to transport the patient into the room.”</p> <p><br /> Jonathan Wanderer, MD, MPhil, Medical Director of Perioperative Informatics, said the eStar OpTime/Anesthesia team worked to create a workflow-friendly solution for the end user. “The initial request was to add an icon to the eORBoard,” he said. “The solution would have required the scheduler to look at the eORBoard, see the icon, and realize that they were putting the case into a room that wouldn’t support it.”</p> <p><br /> Jo Ann Howell, Principal Application Analyst for the eStar OpTime/Anesthesia team, collaborated with our clinical leadership to develop this system. Staff were in communication during the analyzing phase, planning phase, testing phase, demo phase, and approval phase. Even after the system went live, the communication doesn’t stop there. Howell said the eStar team will provide support as needed and follow-up to ensure everything is working as desired.<br /> “This hard stop alert has essentially fixed this issue,” Wanderer said, “and is a nice example of our operational team working with HealthIT in designing practical solutions that allow our clinician teams to reliably execute on efficient clinical care.”</p> <p> </p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Tue, 20 Oct 2020 14:25:31 +0000 grewelj 991 at https://www.vumc.org/anesthesiology The Obstetric Anesthesiology Division was designated as a COE by SOAP https://www.vumc.org/anesthesiology/blog-posts/obstetric-anesthesiology-division-was-designated-coe-soap <span class="field field--name-title field--type-string field--label-hidden">The Obstetric Anesthesiology Division was designated as a COE by SOAP</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 05/06/2020 - 10:50</span> <a href="/anesthesiology/blog-post-rss/889" class="feed-icon" title="Subscribe to The Obstetric Anesthesiology Division was designated as a COE by SOAP"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>The Obstetric Anesthesiology Division was designated as a Center of Excellence (COE) by the Society for Obstetric Anesthesia and Perinatology (SOAP). A Center of Excellence designation is for institutions and programs that demonstrate excellence in obstetric anesthesia care and to set a benchmark of superior care that adheres to evidence-based practices and national and international guidelines for maternal care.</p> <p>According to “Center of Excellence for Anesthesia Care of Obstetric Patients” published in Anesthesia and Analgesia, maternal mortality is the sixth most common cause of death among women aged 20-34 years old in the United States. SOAP determined provision of optimal hospital care during labor and delivery is essential to reduce maternal morbidity and mortality which eventually led to the creation of the designation.</p> <p>On SOAP’s COE application, the criteria for the designation covers personnel and staffing; equipment, protocols, and policies; cesarean delivery management; labor analgesia, recommendations and guidelines implementation; and quality assurance and patient follow-up.</p> <p>This designation shows the department’s dedication to quality patient care and is also indicative of the Obstetrical Division’s commitment to interdisciplinary practice excellence,” said Anesthesiology Department Chair Warren Sandberg, MD, PhD. He is also confident the Obstetric Division can keep up with, and in many cases, lead the continually advancing quality and safety criteria set by SOAP.<br />  “This designation shows the department’s dedication to quality patient care,” said Anesthesiology Department Chair Warren Sandberg, MD, PhD. He said it is important for the Obstetric Division to keep up with the criteria set by SOAP.</p> <p>Obstetric Anesthesiology Division Chief Jeanette Bauchat, MD, MS, said being designated a COE was a team effort between the obstetric anesthesiologists and included their multidisciplinary partners on labor and delivery. She said the division looked at where they were meeting criteria and where they could improve. “Faculty and CRNA’s took on a multitude of systems improvement and quality initiatives to ensure a solid application for COE,” she said.</p> <p>She said the designation reflects the Obstetric Anesthesiology Division’s commitment to staying current on knowledge, skills and best practices and bringing them to Vanderbilt University. “Best practices sometimes get reported then lost in the literature. This designation is a good way to bridge that gap. It pushes institutions to implement best practices.”</p> <p>Bauchat said being designated a COE is important because it shows patients that an institution is providing the highest quality of obstetric care. This quality care includes expertise of the anesthesia faculty, implementations of evidence-based practices within the obstetric anesthesiology division and working within the multidisciplinary team on labor and delivery to design safe practices and quality initiatives.</p> <p>This designation needs to be renewed every four years. “There are ongoing, continued, and ever-changing practices and national guidelines and we intend to be at the leading edge of those on Vanderbilt’s labor and delivery unit,” Bauchat said.</p> <p> </p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Wed, 06 May 2020 15:50:40 +0000 grewelj 889 at https://www.vumc.org/anesthesiology Crawford Presented With Candle Award https://www.vumc.org/anesthesiology/blog-posts/crawford-presented-candle-award <span class="field field--name-title field--type-string field--label-hidden">Crawford Presented With Candle Award</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 02/27/2020 - 10:22</span> <a href="/anesthesiology/blog-post-rss/861" class="feed-icon" title="Subscribe to Crawford Presented With Candle Award"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt;"><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Lane Crawford, MD, from Robinson College was presented with the Candle Award during Anesthesia Grand Rounds on Friday, Jan. 24, 2020</span><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">. The Candle Award is presented to the Faculty Affiliate Advisor who strongly demonstrates leadership, mentorship, and accessibility in their interactions with students. </span><br /><br /><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Students have described Crawford as being a pillar in the Robinson community and a dedicated participant in a variety of Robinson College events. Crawford said Vanderbilt’s medical students are an amazing group of physicians in training. “It’s a privilege to get to spend time with them as an FAA and I feel very honored to receive an award from a group that I admire so much,” she said. </span><br /><br /><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">The Vanderbilt advisory college system provides the opportunity for students and faculty to interact in an informal setting. Crawford explained that this means faculty and students really get to know each other as people. “I think the important thing as an FAA is to show up and not take yourself too seriously.” </span><br /><br /><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Crawford explained that she was a medical student at Vanderbilt when the advisory college system was getting started so she got to experience firsthand the positive effects on student wellness, camaraderie, and mentoring. She said when she returned to VUMC as faculty, she knew she wanted to be involved with the advisory colleges to help create those same experiences for students. She said that being an FAA helps her as a clinical anesthesiologist because spending time with students is energizing. </span><br /><br /><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">“Medical school is a transformative experience, and also incredibly stressful at times,” she said. “I hope to do anything I can to contribute to a positive, supportive environment that the advisory colleges create for students as they navigate that journey.” </span></p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Thu, 27 Feb 2020 16:22:32 +0000 grewelj 861 at https://www.vumc.org/anesthesiology 2020 Dr. Bradley E. Smith Endowed Lectureship on Medical Professionalism https://www.vumc.org/anesthesiology/blog-posts/2020-dr-bradley-e-smith-endowed-lectureship-medical-professionalism <span class="field field--name-title field--type-string field--label-hidden">2020 Dr. Bradley E. Smith Endowed Lectureship on Medical Professionalism</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 02/24/2020 - 10:48</span> <a href="/anesthesiology/blog-post-rss/858" class="feed-icon" title="Subscribe to 2020 Dr. Bradley E. Smith Endowed Lectureship on Medical Professionalism"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><img alt="smith 2020" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8667_0.JPG" /></p> <p><img alt="smith 2020" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8681_0.JPG" /></p> <p><img alt="smith 2020" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8682.JPG" /></p> <p><img alt="smith 2020" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8684.JPG" /></p> <p><img alt="smith 2020" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8690.JPG" /></p> <p> </p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Mon, 24 Feb 2020 16:48:39 +0000 grewelj 858 at https://www.vumc.org/anesthesiology 2020 CRNA Week https://www.vumc.org/anesthesiology/blog-posts/2020-crna-week <span class="field field--name-title field--type-string field--label-hidden">2020 CRNA Week</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 01/27/2020 - 14:46</span> <a href="/anesthesiology/blog-post-rss/844" class="feed-icon" title="Subscribe to 2020 CRNA Week"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><img alt="crna week 2020" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8613.JPG" /></p> <p><img alt="crna week 2020" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8615.JPG" /></p> <p><img alt="crna week 2020" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8618.JPG" /></p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Mon, 27 Jan 2020 20:46:39 +0000 grewelj 844 at https://www.vumc.org/anesthesiology 2019 Holiday Luncheon https://www.vumc.org/anesthesiology/blog-posts/2019-holiday-luncheon <span class="field field--name-title field--type-string field--label-hidden">2019 Holiday Luncheon</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 12/20/2019 - 09:41</span> <a href="/anesthesiology/blog-post-rss/820" class="feed-icon" title="Subscribe to 2019 Holiday Luncheon"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8543.JPG" /></p> <p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8544.JPG" /></p> <p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8547.JPG" /></p> <p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8549.JPG" /></p> <p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8550.JPG" /></p> <p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8551.JPG" /></p> <p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8552.JPG" /><br /><img alt="holiday luncheon\" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8553.JPG" /></p> <p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8554_0.JPG" /></p> <p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8555.JPG" /></p> <p> </p> <p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8556_0.JPG" /></p> <p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8557.JPG" /></p> <p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8559.JPG" /></p> <p><img alt="holiday luncheon" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8558.JPG" /></p> <p> </p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 20 Dec 2019 15:41:48 +0000 grewelj 820 at https://www.vumc.org/anesthesiology 2019 Dr. Charles Beattie Endowed Lectureship https://www.vumc.org/anesthesiology/blog-posts/2019-dr-charles-beattie-endowed-lectureship <span class="field field--name-title field--type-string field--label-hidden">2019 Dr. Charles Beattie Endowed Lectureship</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 12/13/2019 - 13:38</span> <a href="/anesthesiology/blog-post-rss/830" class="feed-icon" title="Subscribe to 2019 Dr. Charles Beattie Endowed Lectureship"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8454.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8456.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8463.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8464.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8465.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8466.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8469.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8470.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8477.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8478.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8479.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8481.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8483_0.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8484.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8500.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8502.JPG" /></p> <p><img alt="beattie" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8505.JPG" /></p> <p> </p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 13 Dec 2019 19:38:35 +0000 grewelj 830 at https://www.vumc.org/anesthesiology Alvis Awarded R01 Grant for Study Regarding Non-invasive Ways to Capture Venous Waveforms https://www.vumc.org/anesthesiology/blog-posts/alvis-awarded-r01-grant-study-regarding-non-invasive-ways-capture-venous-waveforms <span class="field field--name-title field--type-string field--label-hidden">Alvis Awarded R01 Grant for Study Regarding Non-invasive Ways to Capture Venous Waveforms</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 11/25/2019 - 07:22</span> <a href="/anesthesiology/blog-post-rss/801" class="feed-icon" title="Subscribe to Alvis Awarded R01 Grant for Study Regarding Non-invasive Ways to Capture Venous Waveforms"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>A team of researchers at VUMC who are developing a non-invasive way to capture venous waveforms to assess and monitor volume status was awarded a five-year R01 grant. Bret Alvis, MD, the principle investigator, leads a team of physicians from both the Departments of Anesthesiology and Surgery and engineers from the Department of Engineering. “This is the first grant I am the principal investigator on. It’s extremely exciting and a testament to the great team I am lucky enough to be a part of,” he said.</p> <p><br /> Alvis explained that it wasn’t until recently that technology was good enough to amplify the peripheral signals to non-invasively capture venous waveforms. “We have been trying to make sense of these waveforms in various clinical volumes states,” he said.</p> <p><br /> The grant will provide funding for them to study and better understand how the venous waveforms change specifically in patients with volume overload. “We are trying to better understand fluid status both in the vasculature and outside of it as well. We hypothesize we can use the amplitudes of these venous waveforms to quantify the volume status in and outside blood vessels,” he said.</p> <p><br /> He explained that there isn’t currently a great way to monitor how much blood is in the blood stream. “We use a lot of data points like blood pressure, heart rate and central venous pressures to make our best clinical ‘guess.’ But research has shown these are quite poor in detecting someone’s volume status, despite the fact that knowing how much volume a patient requires is very important in a multitude of clinical scenarios. Whether it is determining if a patient is hemorrhaging, requiring volume resuscitation, or is in a volume overloaded state, knowing if they need more or less fluid is extremely important because all of it can affect organ function.”</p> <p><br /> Alvis said his experience as an anesthesiologist helps him with this research because he interacts with patients with a multitude of disease processes and gets to collaborate with a multitude of people in his clinical work. “It was an easy transition to collaborate in my research work. I have a base line understanding that is helpful in studying venous waveforms. At the heart of all of this, we are trying to better understand volume status, which is the focus of any anesthesiologist or critical care doctor. Every anesthesiologist wants to know a patient’s volume state and we can’t do that very well right now,” he said.</p> <p>He explained that this is a new, novel concept, developed here at VUMC, that requires a team and the collaborative nature of VUMC. “It is a lot of work and a lot of fun because we get to discover together and teach each other.”</p> <p> </p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Mon, 25 Nov 2019 13:22:19 +0000 grewelj 801 at https://www.vumc.org/anesthesiology GME Curriculum Course Focuses on Postpartum Hemorrhage https://www.vumc.org/anesthesiology/blog-posts/gme-curriculum-course-focuses-postpartum-hemorrhage <span class="field field--name-title field--type-string field--label-hidden">GME Curriculum Course Focuses on Postpartum Hemorrhage</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/anesthesiology/users/grewelj" typeof="schema:Person" property="schema:name" datatype="">grewelj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Tue, 11/19/2019 - 08:57</span> <a href="/anesthesiology/blog-post-rss/798" class="feed-icon" title="Subscribe to GME Curriculum Course Focuses on Postpartum Hemorrhage"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Severe postpartum hemorrhage is a leading cause of morbidity and mortality for women in the United States.  Expert management requires a coordinated effort from obstetrics, obstetric anesthesia, and nursing staff.</p> <p>A Graduate Medical Education curriculum course for postpartum hemorrhage has been designed to teach residents  from multiple disciplines how to communicate effectively and work as a cohesive team. This initiative is designed to reinforce best practice management protocols and is part of a national strategy championed by obstetric anesthesia, obstetrics, and mother-baby nursing staff.</p> <p>Laurie DeSantis, CNM, Quality and Safety Advisor for Women’s Health, said The Joint Commission, the Institute for Healthcare Improvement and the Agency for Healthcare Research and Quality have all endorsed simulation training, especially in critical care areas such as obstetrics, ICUs and Emergency Departments.</p> <p>Jeanette Bauchat, MD, Chief of the Division of Obstetric Anesthesiology, said that there is evidence that maternal and fetal morbidity and mortality is reduced when multidisciplinary teams on labor and delivery work together and simulate and practice obstetric emergency drills. “In simulation, crisis management techniques can be practices where the stakes are much lower than an actual maternal emergency,” she said.</p> <p>This training will help prepare clinicians for real-life emergencies in obstetrics, explained Garrison Etoi, Director of Obstetric Simulation and Education, who helped to develop and implement the curriculum. She said even though the training is for residents, it gives every member of the team from attendings to nurses an opportunity for practice-based learning in a safe environment.  Garrison emphasized the importance of recognizing everyone who contributed to the success of making these training sessions happen. She explained it is important to note this was a truly a multidisciplinary effort.</p> <p>This training will help the whole team to improve teamwork and communication. According to Bauchat, studies have shown that not only does team training improve people’s performance in an actual emergency, it improves safety culture. She explained that when teams have worked together before in a simulation situation, it improves their communication in the future because they are more comfortable communicating.</p> <p>DeSantis explained that during simulation training, they have started to identify issues that cause delays in patient care and have already begun to make changes to the process. “I’m excited that our simulation training has led us to making improvements that will directly impact patient care on the obstetric units,” she said.</p> <p>Bauchat said this training will allow obstetric emergency response team to respond faster, more efficiently and more effectively. “The hope is that you are catching hemorrhage earlier and treating it faster so women don’t need as many transfusions, so they don’t lose too much blood or need a hysterectomy,” she said.</p> <p>Garrison emphasized the importance of recognizing everyone who contributed to the success of making these training sessions happen. She explained it is important to note this was a truly a multidisciplinary effort.</p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Tue, 19 Nov 2019 14:57:12 +0000 grewelj 798 at https://www.vumc.org/anesthesiology