Blog RSS https://www.vumc.org/anesthesiology/blog-post-rss/730 en 2020 CRNA Week https://www.vumc.org/anesthesiology/blog-posts/2020-crna-week <span class="field--node--title">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="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__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--node--title">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="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__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--node--title">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="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__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--node--title">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="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__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--node--title">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="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__item">1</div> </div> Tue, 19 Nov 2019 14:57:12 +0000 grewelj 798 at https://www.vumc.org/anesthesiology 2019 American Society of Anesthesiologists Annual Meeting https://www.vumc.org/anesthesiology/blog-posts/2019-american-society-anesthesiologists-annual-meeting <span class="field--node--title">2019 American Society of Anesthesiologists Annual Meeting</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, 10/23/2019 - 15:15</span> <a href="/anesthesiology/blog-post-rss/818" class="feed-icon" title="Subscribe to 2019 American Society of Anesthesiologists Annual Meeting"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><img alt="ASA" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8299_0.JPG" /></p> <p><img alt="ASA" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8317_0.JPG" /></p> <p><img alt="ASA" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8338.JPG" /></p> <p><img alt="ASA" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8346.JPG" /></p> <p><img alt="ASA" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8403.JPG" /></p> <p><img alt="ASA" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8404.JPG" /></p> <p><img alt="ASA" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8405.JPG" /></p> <p><img alt="ASA" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8407_0.JPG" /></p> <p><img alt="ASA" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/IMG_8408_0.JPG" /></p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Wed, 23 Oct 2019 20:15:08 +0000 grewelj 818 at https://www.vumc.org/anesthesiology Lead KRNA in Kijabe Visits VUMC https://www.vumc.org/anesthesiology/blog-posts/lead-krna-kijabe-visits-vumc <span class="field--node--title">Lead KRNA in Kijabe Visits VUMC</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, 06/19/2019 - 07:37</span> <a href="/anesthesiology/blog-post-rss/57" class="feed-icon" title="Subscribe to Lead KRNA in Kijabe Visits VUMC"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Mary Mungai, head Kenyan Registered Nurse Anesthetist (KRNA) at AIC Kijabe Hospital, visited Vanderbilt University Medical Center from March 30 through April 13. While here she was the special guest speaker at the Vanderbilt International Anesthesia Fundraiser on Saturday, April 6, 2019.</p> <p>“It was truly inspiring to hear Mary Mungai's personal story,” said Claire Posey, Associate Program Manager of VIA. She grew up in a rural village in Kenya, became one of the first KRNAs under Mark Newton's, MD, tutelage at Kijabe, and is now serving as a leader helping to shape anesthesia education for her country. “Through her own powerful example, Mary showed us the importance of investing in education and what a huge difference it can make,” Posey said.</p> <p>Mungai said her time at VUMC was spent on learning as she observed and interacted with practitioners in the institution. “It was great and at the same time humbling for me to be involved in talking to cadres that are in my opinion more educated and experienced in their career than myself.”<br /><br /> She said the medical providers at VUMC probably learned about how medical providers in Kijabe manage difficult situations in low resource settings. She also learned from VUMC. “I learned and benefited the most from the interactions and observations and am in the process of putting into practice what I learned from them.” She spent time in the operating rooms following different services and said it was very helpful to observe.<br /><br /> “I had great time with the CRNA leaders and they talked me through how they do their work, management, continuous education and mentorship of the students who rotate through the institution. It was humbling how everyone I came across was supportive of enabling me to achieve my goals during the time,” she said.<br /><br /> Newton said many CRNAs attended Mungai’s talk and were humbled by her commitment to patient care in a very low resource setting. “They left these meetings inspired and encouraged to do more here at VUMC.”<br /><br /> Posey said it was really special to have Mungai at the fundraiser this year. “In inviting Mary, we wanted to both honor her achievements and also give the VUMC community an opportunity to learn from her and see the impact of VIA's efforts in Kenya first-hand. I'm so glad we were able to do that.”<br /><br /> She said she hopes that those who attended the fundraiser as well as those who spent time with Mary during her two-week visit to VUMC gained a better appreciation for what it's like to practice medicine in a low-resource setting and the enormous inequality that exists between healthcare providers and patients in high-income countries and those in low-income countries.<br /><br /> Mungai stated she had a great time with the families that hosted her and went they extra mile to make her comfortable. “I am forever grateful to all that facilitated my coming over, organized my schedule and it will be helpful to my department here in Kijabe.<br /><br /><img alt="mungai" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/vumc.org.anesthesiology/files/IMG_6812.jpg" /></p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Wed, 19 Jun 2019 12:37:47 +0000 grewelj 57 at https://www.vumc.org/anesthesiology Rothman, Wanderer Presents at XGM https://www.vumc.org/anesthesiology/blog-posts/rothman-wanderer-presents-xgm <span class="field--node--title">Rothman, Wanderer Presents at XGM</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, 05/01/2019 - 09:27</span> <a href="/anesthesiology/blog-post-rss/54" class="feed-icon" title="Subscribe to Rothman, Wanderer Presents at XGM"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Brain Rothman, MD, and Jonathan Wanderer, MD, MPhil, will present during the Expert Group Meetings (XGM) Epic from Monday, April 29 to Friday, May 10.</p> <p><strong>Rothman’s Presentation</strong></p> <p>Rothman’s presentation is titled “Periop Flightboards in Every OR.” The presentation demonstrates Vanderbilt’s successful OR Flightboard implementation using Epic Monitor across more than 90 OR locations. “This was a ‘big bang’ implementation. At that time, I don’t believe the Epic flight board had been implemented simultaneously in that many locations,” said Rothman. “Our implementation wasn’t perfect at first, but we got it to work seamlessly in a reasonable amount of time.”</p> <p>“Our teams prepared extremely well for the implementation,” Rothman explained, “and there is only so much that can be done before you just have to turn the system on. It is the team’s response after the system is turned on that matters. Our build team went above and beyond.”</p> <p>OR Flightboards positively impact patient care and contribute to patient safety throughout the intraoperative period. The presentation will discuss how this tool improves care team work flows, patient safety, and the necessary build for a successful implementation. The presentation focuses on the real-time electronic timeout feature, in particular, that electronically supports required pre-incision timeouts to improve patient safety and decrease the likelihood of wrong surgeries.</p> <p>Rothman explained that VUMC worked with Epic to get an electronic timeout with a design element that helped implement it. Electronic timeout is the right thing to do in a perioperative space, and Epic provides a tool to do that. The World Health Organization (WHO) has said that timeouts before surgery are important.</p> <p>“We partner with Epic,” he said. “They do site visits where they come to our office.” VUMC and Epic collaborated to have Saga, VUMC’s website, work together with Haiku, a mobile application. Another thing they have worked on with Epic has been document mass transfer protocols. <br />  <br /><strong>Wanderer’s Presentation</strong></p> <p>Wanderer’s presentation at XGM, titled “Procedure Path and Enhanced Recovery After Surgery: A Path to Opioid-Free Anesthesia,” describes the tooling  that VUMC has put together to support our enhanced recovery after surgery protocols. “This is helping with reduction in length of stay, reduction of intraoperative opioids, and reduction of opioids prescribed at discharge,”Wanderer said. He explained that the most engaging presentations demonstrate novel use of Epic’s functionality as well as share the results that have been obtained with the help of those tools.</p> <p>In keeping with that approach, he will also discuss VUMC’s enhanced recovery after surgery implementation and results. The Department of Anesthesiology’s Perioperative Consult Service team provides regional anesthesia and/or multimodal analgesia for patients prior to certain procedures and input on medical management, from decision to operate through discharge. “We developed robust informatics support for that service in our legacy system, and then I invested time before Epic Go Live rebuilding that function in our eStar system,” he said.</p> <p>“I became certified as a physician builder and learned system architecture to create tools within eStar that provide services to the perioperative consult service team and regional anesthesia team.”</p> <p>A lot of complex configuration is possible within Epic, and Wanderer will be showing off tools within Epic that made the perioperative configuration possible. Epic’s tools can be used in different ways at different institutions. “We are able to learn from other institutions and share what we’ve learned at XGM so we can make our respective electronic health records function better.” Wanderer also leads VUMC’s Physician Builder Program and serves on Epic’s Anesthesia Specialty Steering Board, where he provides feedback on new features under development, highlighting areas for improvement.</p> <p><strong>Summary</strong></p> <p>Rothman said that working with Epic on special projects reflects the innovative culture of VUMC.</p> <p>According to Wanderer, “VUMC is unique because the institution has really committed to involving clinicians with system design and optimization. “We have support from Dr. Balser for growing our physician builder program which, in the long run, will help us optimize our eStar system across all of our clinical programs.”</p> <p>Anesthesiology Department Chair Warren Sandberg, MD, PhD, said it is truly amazing to see how much the Epic implementation at VUMC has changed and improved over the past year, due to the hard work of numerous people like Rothman and Wanderer. “Epic is so important to the quality of care here at VUMC, and they continue to lead developments that lock in the quality of care we expect.”</p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Wed, 01 May 2019 14:27:24 +0000 grewelj 54 at https://www.vumc.org/anesthesiology 2019 Research Symposium https://www.vumc.org/anesthesiology/blog-posts/2019-research-symposium <span class="field--node--title">2019 Research Symposium</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, 05/01/2019 - 09:15</span> <a href="/anesthesiology/blog-post-rss/53" class="feed-icon" title="Subscribe to 2019 Research Symposium"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><strong>The winners of the 2019 Research Symposium</strong></p> <p><strong>Charles Bernard Pittinger Prize - Basic Science Research: </strong>Brandon Turner<br /><strong>Charles Bernard Pittinger Prize - Clinical Translational Research: </strong>Christopher Hughes, MD<br /><strong>Charles Bernard Pittinger Prize - Health Services and Informatics Research:</strong> Jason Slagle<br /><strong>Best Oral Presentation: </strong>Marcos Lopez, MD<br /><strong>Best Poster Presentation: </strong>Eric Figueroa<br /><strong>Roger England Resedarch Award for Excellence in Support of Basic and Clinical Science: </strong>Karen McCarthy, MCP<br /><strong>The Bradley Smith Mentorship Award:</strong> Jonathan Wanderer, MD, MPhil</p> <p data-entity-type="" data-entity-uuid="" style="text-align: center;"><span><img alt="research sym 2019 1" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/vumc.org.anesthesiology/files/IMG_7015.JPG" /></span></p> <p data-entity-type="" data-entity-uuid="" style="text-align: center;"><span><span title="Click and drag to resize">​</span></span></p> </div> <div class="field field--name-field-barista-posts-full-caption field--type-string-long field--label-hidden field__item">Featured speaker Y.S. Prakash, MD, PhD, presents Grand Rounds on Friday, May 3, 2019, as a part of the Research Symposium. </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Wed, 01 May 2019 14:15:01 +0000 grewelj 53 at https://www.vumc.org/anesthesiology 2019 Phythyon Reception https://www.vumc.org/anesthesiology/blog-posts/2019-phythyon-reception <span class="field--node--title">2019 Phythyon Reception</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">Sat, 04/27/2019 - 12:34</span> <a href="/anesthesiology/blog-post-rss/749" class="feed-icon" title="Subscribe to 2019 Phythyon Reception"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-xs-12" id="hero_image"> <div class="col-sm-9 20 add_middle_col_padding_right"> <div class="big-module sectioncontent clearfix" id="section-1"> <div class="innermodule clearfix"><a name="section-1" id="section-1"></a> <div class="test2"> </div> <p><img alt="flowers" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6609.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="niconchuk" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6623.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="sobey" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6624.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="sanders" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6626.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="faculty" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6628.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="edwards" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6630.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="baby" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/rotated.jpg" style="width: 533px; height: 800px;" /></p> <p><img alt="newton" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6643.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="family" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6644.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="randall" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6660.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="mary" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6662.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="canlas" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6663.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="sisters" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6665.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="buzz" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6666.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="brooke" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6668.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="CRNA" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6674.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="buzz2" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6682.JPG" style="width: 1170px; height: 780px;" /></p> <p> </p> </div> </div> </div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Sat, 27 Apr 2019 17:34:06 +0000 grewelj 749 at https://www.vumc.org/anesthesiology 2019 Phythyon Grand Rounds https://www.vumc.org/anesthesiology/blog-posts/2019-phythyon-grand-rounds <span class="field--node--title">2019 Phythyon 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">Sat, 04/27/2019 - 12:32</span> <a href="/anesthesiology/blog-post-rss/748" class="feed-icon" title="Subscribe to 2019 Phythyon Grand Rounds"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-xs-12" id="hero_image"> <div class="col-sm-9 20 add_middle_col_padding_right"> <div class="big-module sectioncontent clearfix" id="section-1"> <div class="innermodule clearfix"><a name="section-1" id="section-1"></a> <div class="test2"> </div> <p><img alt="sileshi" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6714.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="sisters" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6716.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="crowd" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6717.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="kilkelly" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6730.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="flick" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6734.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="award" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6750.JPG" style="width: 1170px; height: 780px;" /></p> <p> </p> </div> </div> </div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Sat, 27 Apr 2019 17:32:21 +0000 grewelj 748 at https://www.vumc.org/anesthesiology 2019 Vanderbilt International Anesthesia Fundraiser https://www.vumc.org/anesthesiology/blog-posts/2019-vanderbilt-international-anesthesia-fundraiser <span class="field--node--title">2019 Vanderbilt International Anesthesia Fundraiser</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">Sat, 04/27/2019 - 10:29</span> <a href="/anesthesiology/blog-post-rss/729" class="feed-icon" title="Subscribe to 2019 Vanderbilt International Anesthesia Fundraiser"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-xs-12" id="hero_image">  <div class="col-sm-9 20 add_middle_col_padding_right"> <div class="big-module sectioncontent clearfix" id="section-1"> <div class="innermodule clearfix"> <p><img alt="1" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6754.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="2" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6762.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="3" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6764.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="a" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_2211.jpg" style="width: 1067px; height: 800px;" /></p> <p><img alt="c" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_2223.jpg" style="width: 1067px; height: 800px;" /></p> <p><img alt="d" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_2215(1).jpg" style="width: 1067px; height: 800px;" /></p> <p><img alt="e" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_2209.jpg" style="width: 1067px; height: 800px;" /></p> <p><img alt="4" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6766.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="5" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6775.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="6" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6784.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="7" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6780.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="8" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6807.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="f" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_2227.jpg" style="width: 1067px; height: 800px;" /></p> <p><img alt="g" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_2238.jpg" style="width: 1067px; height: 800px;" /></p> <p><img alt="9" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6835.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="10" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6847.JPG" style="width: 1170px; height: 780px;" /></p> <p> </p> </div> </div> </div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Sat, 27 Apr 2019 15:29:20 +0000 grewelj 729 at https://www.vumc.org/anesthesiology 2019 CRNA Week https://www.vumc.org/anesthesiology/blog-posts/2019-crna-week <span class="field--node--title">2019 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">Fri, 03/15/2019 - 12:53</span> <a href="/anesthesiology/blog-post-rss/751" class="feed-icon" title="Subscribe to 2019 CRNA Week"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-xs-12" id="hero_image"> <div class="col-sm-9 20 add_middle_col_padding_right"> <div class="big-module sectioncontent clearfix" id="section-1"> <div class="innermodule clearfix"><a name="section-1" id="section-1"></a> <div class="test2"> </div> <p><img alt="1" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6494.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="3" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/a1.JPG" style="width: 832px; height: 800px;" /></p> <p><img alt="4" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6499A.JPG" style="width: 1170px; height: 532px;" /></p> <p><img alt="5" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6500.JPG" style="width: 1055px; height: 800px;" /></p> <p><img alt="6" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6504.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="6" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6510.JPG" style="width: 934px; height: 800px;" /></p> </div> </div> </div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Fri, 15 Mar 2019 17:53:07 +0000 grewelj 751 at https://www.vumc.org/anesthesiology Ehrenfeld Recieves NIH Award https://www.vumc.org/anesthesiology/blog-posts/ehrenfeld-recieves-nih-award <span class="field--node--title">Ehrenfeld Recieves NIH 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, 03/01/2019 - 12:51</span> <a href="/anesthesiology/blog-post-rss/750" class="feed-icon" title="Subscribe to Ehrenfeld Recieves NIH Award"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-xs-12" id="hero_image"> <div class="col-sm-9 20 add_middle_col_padding_right"> <div class="big-module sectioncontent clearfix" id="section-1"> <div class="innermodule clearfix"> <p>The National Institutes of Health (NIH) awarded the inaugural Sexual and Gender Minority Research Investigator Award to Jesse M. Ehrenfeld, MD, MPH, on Tuesday, Sept. 18, 2018.<br /><br /> The award recognizes early stage investigators who have made substantial contributions related to sexual and gender minority, also known as LGBTQ, health. “At VUMC, we have undertaken a variety of foundational research efforts to advance our understanding of sexual and gender minority health,” Ehrenfeld said. “This has included a portfolio of community engaged LGBTQ research, the development and application of informatics tools, and a series of studies evaluating the impact of state and federal health policy on LGBTQ health.”</p> <p>Ehrenfeld said much of the work he has led has been to understand how to implement strategies to reduce and eliminate LGBTQ health disparities. He said he believes it is time to move beyond simply measuring the gaps in the health – but rather to begin to understand how to optimize health in the LGBTQ community.<br /><br /> “Much of our team’s work has been to use a community engaged approach to design and test interventions,” Ehrenfeld explained. “A community based approach really leverages the knowledge and insights drawn from community members to develop and disseminate interventions.”<br /><br /> Another part of Ehrenfeld’s work is to study the most effective way to deliver health care services to LGBTQ individuals. “Unfortunately, many sexual and gender minority patients, even those that have access to health insurance and the ability to come into the health care system for care simply choose not too because they are concerned about discrimination or have had negative experiences in the past,” he said. One key effort has been around studying how to improve institutional environments and health care teams’ abilities to provide care for sexual and gender minority patients. Recently Ehrenfeld assisted in the opening of the new VUMC Clinic for Transgender Health. Embedded into the clinic is a research registry, where transgender patients can participate as another way to understand and improve care.</p> <p>“I was completely shocked when I found out I was the inaugural NIH awardee, because there are many outstanding investigators around the country doing this type of work. It’s humbling to receive this historic recognition by Dr. Francis Collins and the National Institutes of Health,” Ehrenfeld said. He explained that he has a personal passion for research among LGBTQ patients.</p> <p>“One of the most wonderful things about being at VUMC is support of my mentors, my department, and the institution overall to apply our research expertise to the emerging field of sexual and gender minority health,” he said.  “I am grateful, not just for the award, but also for all opportunities I have had working at VUMC. It is clear that Vanderbilt has a priority on improving health equity and advancing LGBTQ health.”<br /><br /> Warren Sandberg, MD, PhD, Chair of the Department of Anesthesiology, said he is pleased with Ehrenfeld’s award. “Pursuit of diverse academic passions is a guiding principle in the department’s faculty development program.  We try to celebrate the full panorama of scholarly expression – a unique strength of Vanderbilt.  It is rewarding to have that approach validated when our faculty are recognized for their hard work as pathfinders and pioneers.”</p> </div> </div> </div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Fri, 01 Mar 2019 18:51:15 +0000 grewelj 750 at https://www.vumc.org/anesthesiology 2019 Dr. Bradley E. Smith Endowed Lectureship on Medical Professionalism https://www.vumc.org/anesthesiology/blog-posts/2019-dr-bradley-e-smith-endowed-lectureship-medical-professionalism <span class="field--node--title">2019 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">Fri, 02/08/2019 - 12:54</span> <a href="/anesthesiology/blog-post-rss/752" class="feed-icon" title="Subscribe to 2019 Dr. Bradley E. Smith Endowed Lectureship on Medical Professionalism"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>David O. Warner, MD, was the guest speaker at the Dr. Bradley E. Smith Endowed Lectureship on Medical Professionalism on Friday, Feb. 8, 2019. His topic was "Professionalism Writ Large: Amplifying Your Influence."</p> <p><img alt="1" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6515.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="2" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6517.JPG" style="width: 1170px; height: 780px;" /></p> <p><img alt="4" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6535(1).JPG" style="width: 533px; height: 800px;" /></p> <p><img alt="5" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6541.JPG" style="width: 533px; height: 800px;" /></p> <p><img alt="6" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/IMG_6545.JPG" style="width: 1170px; height: 780px;" /></p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Fri, 08 Feb 2019 18:54:59 +0000 grewelj 752 at https://www.vumc.org/anesthesiology Chin Appointed Chair of Institutional Sedation Committee https://www.vumc.org/anesthesiology/blog-posts/chin-appointed-chair-institutional-sedation-committee <span class="field--node--title">Chin Appointed Chair of Institutional Sedation Committee</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, 09/25/2018 - 12:25</span> <a href="/anesthesiology/blog-post-rss/747" class="feed-icon" title="Subscribe to Chin Appointed Chair of Institutional Sedation Committee"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-xs-12" id="hero_image"> <div class="col-sm-9 20 add_middle_col_padding_right"> <div class="big-module sectioncontent clearfix" id="section-1"> <div class="innermodule clearfix"> <p>It was announced on June 2018 that Peter Chin, MBBS, a Pediatric Anesthesiologist, was appointed Chair of the Institutional Sedation Committee.</p> <p>Chin’s main goal is to ensure continuity of the committee’s work. However, there have been some challenges with the switch from the previous Election Medical Record (EMR) to the current one. He also wants to look for ways to improve current Sedation documentation and practices. </p> <p>He would like to get to know some of the Sedation sites better, especially in the Adult Hospital. “One of my early goals will be to go on a mini tour of the different areas. Get to know their work and put faces to names, and see how I can help,” he explains. </p> <p>According to Chin, he is qualified for this position because he has a long standing involvement with Sedation at Vanderbilt and at other institutions as well as national organizations dedicated to Pediatric Sedation. “I understand the policies that govern Sedation both internally and externally,” Chin said.. <br /> A Master of Management in Health Care degree from Vanderbilt also adds to his list of qualifications. This one-year business degree gave him a financial background and global perspective on how medical systems run. “The experience really helped with being able to communicate within the system and with other healthcare professionals.” He explained how the degree will help him on the administrative side with policy making and enforcement since the role is about systems construction and ensuring that systems work as intended. </p> <p>Through this role, Chin hopes to contribute to VUMC as a whole by focusing on safety, compliance and ensuring that systems can support the services that utilize Sedation. There is a wide breadth of sites that use Sedation within the hospital. </p> </div> </div> </div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Tue, 25 Sep 2018 17:25:51 +0000 grewelj 747 at https://www.vumc.org/anesthesiology Wanderer Leads Physician Builder Program https://www.vumc.org/anesthesiology/blog-posts/wanderer-leads-physician-builder-program <span class="field--node--title">Wanderer Leads Physician Builder Program</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, 09/13/2018 - 12:25</span> <a href="/anesthesiology/blog-post-rss/746" class="feed-icon" title="Subscribe to Wanderer Leads Physician Builder Program"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-xs-12" id="hero_image"> <div class="col-sm-9 20 add_middle_col_padding_right"> <div class="big-module sectioncontent clearfix" id="section-1"> <div class="innermodule clearfix"> <p>In November 2018, VUMC launched eStar, a new enterprise electronic health record (EHR) , through the EpicLeap program. To help health care providers guide the optimization and development of eStar,  the VUMC Physician Builder Program was launched and the Department’s faculty members play a role in that program.<br /><br /> Jonathan Wanderer, MD, MPhil, leads this new initiative and explained that the Physician Builder program gives clinicians the opportunity to understand Epic with the same level of detail that Epic analysts have. “Additionally, it encourages health care providers to get involved with designing and improving the electronic health record (EHR) that they use day in and day out.”<br /><br /> Wanderer said he obtained Physician Builder certification early in the program to help build the test the anesthesia content before eStar went live.  He said he stayed on to help give other health care providers the same opportunity. “There’s a lot of good work to be done in both helping our HealthIT colleagues with system build as well as help our clinical colleagues understand how to best use our system.” The anesthesia department is also supported by other certified Physician Builders, including Ron Bell, CRNA, Randy Brenn, MD, David Edwards, MD, and Rob Freundlich, MD.<br /><br /> To establish the VUMC Physician Builder Program, Wanderer said his experience as associate medical director for perioperative informatics was very helpful in understand how problems in perioperative had been approached with informatics solutions. He also said working as medical director of VPEC gave him the clinical context to best define perioperative evaluation notes and to understand how those workflows can be supported with the new system. Also serving as medical director of VAPIR gave Wanderer the perspective of what research and QI questions commonly arise and how systems can be structures to prepare for future success in retrieving data to answer those questions. <br /> “VAPIR was instrumental in the early stages in helping to export data from our VPIMS program and bring that into our eStar system, which let us go-live with a lot of critical data available for patients who we had previously taken care of,” Wanderer said. “This was instrumental in getting our clinical decision support systems working from day 1.”<br /><br /> Not only do his roles within anesthesiology help him in his role with Physician Builder but the program has also helped him as an anesthesiologist. “It’s given me an appreciation for how our systems-based approach to providing anesthetic care applies well when taking care of our health care system.”<br /><br /> Wanderer said he would like everyone to consider how they can improve the system that we all work on. “While becoming a physician builder is one approach, there are lots of opportunities for folks to get involved as clinical champions to help spread knowledge through additional end user training and help identify the most pressing end user problems to focus on next.”<br /><br /> Wanderer explained the mission of Physician Builder is to give clinicians the skills to be active participants in improving the system in which they work. “It also supports the educational mission, as we work with our clinical informatics fellows to achieve their goals through the same training.” </p> </div> </div> </div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Thu, 13 Sep 2018 17:25:06 +0000 grewelj 746 at https://www.vumc.org/anesthesiology Anesthesiology Department participates in Surgeon General Visit https://www.vumc.org/anesthesiology/blog-posts/anesthesiology-department-participates-surgeon-general-visit <span class="field--node--title">Anesthesiology Department participates in Surgeon General Visit </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, 07/26/2018 - 12:23</span> <a href="/anesthesiology/blog-post-rss/745" class="feed-icon" title="Subscribe to Anesthesiology Department participates in Surgeon General Visit "> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><img alt="surgeon general" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/Download_2018-07-26_14-04-53.JPG" /></p> <p>Several members of the Department of Anesthesiology participated in the visit United States Surgeon General Jerome Adams, MD, MPH paid to VUMC on Friday, May 18, 2018. His visit consisted of a Health Policy Grand Rounds titled “Combatting America’s Opioid Crisis” as well as several meetings to discuss key programs at VUMC and the School of Medicine. <br /><br /> Jesse Ehrenfeld, MD, MPH, served as Special Advisor to the Surgeon General as well as the site lead for the visit. To prepare, Ehrenfeld said he worked with his team to arrange opportunities for Adams to learn about VUMC and “included our strategies around population health, advancing health equity, and responding to the nation’s opioid crisis. I also worked closely with the Department of Health Policy to coordinate his public talk on combatting the opioid crisis.” <br /><br /> David Edwards, MD, PhD, and Leslie Fowler, MEd, attended a meeting titled “Opioid Abuse Research, Public Policy, and Provider Education,” which discussed the ongoing efforts, projects, and initiatives VUMC is working on surrounding the opioid crisis in Middle Tennessee and the United States. Edwards said he shared some of VUMC’s strategies for treating perioperative pain and addictions and how patients are screened for risk of poor outcomes related to opioid addiction. <br /><br /> Fowler discussed a project called “Function First, Opioids Last” using the QuizTime application. This program delivers Continuing Medical Education credit to physicians for interacting with questions and content surrounding important clinical topics like opioid prescribing.  One important outcome is that retention of the content may result in clinician’s behavior changes and better prescribing practices. <br /><br /> Fowler explained the project targeted opioid prescribing practices specifically Obstetric/Gynecologists and Hospitalists. “If we have enough interest and resources, it could be scaled to larger physician groups in Middle Tennessee. One result of our pilot showed an increase in the prescribing of non-opioids for our learner group from 17 percent pre intervention to 34 percent post intervention,” she said. <br /><br /> Ehrenfeld said working with a highly visible senior official is both an incredible privilege and learning experience. He said he received tremendous feedback on how positive the visit with Adams and his team went. “It was a terrific opportunity to showcase some of the extraordinary work happening on campus, and continue to develop partnerships with the federal government to advance the health of the nation.”<br /><br /> One of the things Fowler learned during the visit is that Adams is committed to battling the opioid crisis and has advised the public to be trained and have access to naloxone, an opioid overdose reversal drug. “Not only is he extremely knowledgeable about the facts and statistics concerning opioid abuse, misuse and addiction, he genuinely seems to care about the effects this epidemic has had on the people in the United States,” she elaborated. <br /><br /> The passion Adams has for turning off the tap of excess opioids while at the same time expanding treatment options was something Edwards said he learned about Adams during the visit. “He would like to enable primary care doctors to more easily treat addiction by expanding the number of providers getting their DEAx license. I feel that is a great idea,” he said. <br /><br /> Edwards said the Surgeon General’s visit was helpful. “It informed us of the vision and strategy that is occurring at the national level and this will help us locally align and support this strategy,” Edwards said. “VUMC will benefit from a cohesive treatment strategy for addiction.” <br /><br /> Chair of the department Warren Sandberg, MD, PhD, said the opportunity for members of the department to present to Adams was a great opportunity to highlight what not only the department is going to contribute to the opioid crisis strategy but VUMC as a whole. “It is not every day your institution and department get the chance to have a discussion with the United States Surgeon General.” </p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Thu, 26 Jul 2018 17:23:52 +0000 grewelj 745 at https://www.vumc.org/anesthesiology Stuart McGrane awarded the Mildred T. Stahlman Award in Clinical Innovation https://www.vumc.org/anesthesiology/blog-posts/stuart-mcgrane-awarded-mildred-t-stahlman-award-clinical-innovation <span class="field--node--title">Stuart McGrane awarded the Mildred T. Stahlman Award in Clinical Innovation</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, 05/23/2018 - 12:22</span> <a href="/anesthesiology/blog-post-rss/744" class="feed-icon" title="Subscribe to Stuart McGrane awarded the Mildred T. Stahlman Award in Clinical Innovation"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><img alt="mcgrane" data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/anesthesiology/sites/default/files/DeYHOYXV0AA2kxW.jpg" /></p> <p>Stuart McGrane, MBChB, was awarded the Mildred T. Stahlman Award in Clinical Innovation on Wednesday, May 23, 2018 during the Spring Faculty Meeting for his efforts and innovation in developing and leading an interdisciplinary adult extracorporeal membrane oxygenation (ECMO) team.  <br /><br /> ECMO provides temporary mechanical heart and lung support for critically ill patients and is generally offered as a lifesaving intervention for patients with significant lung or cardiac failure when conventional modes of therapy have been exhausted. <br /><br /> This award specifically was for his work on the Vanderbilt ECMO Transfer/Referral Program which provides  consultative services 24/7 to patients in facilities within 500 miles of Nashville. If ECMO is needed, a team of VUMC specialists is deployed within hours to initiate ECMO and, if necessary, transport the patient safely to VUMC. “This is a good feeling for the entire ECMO team. The transport team have all made significant personal sacrifice to enable this to be successful and this is acknowledgement for their efforts,” McGrane said. <br /> The nominations for the Adult ECMO Team to receive this award came from Pratik Pandharipande, MD, and Clifford Lee Parmley, MD, JD, MMHC, plus testimonials from referring physicians and even a patient’s family member. <br /><br /> Pandharipande said the team is “highly skilled at caring for patients with the most severe life threatening illnesses, yet has been frequently cited by referring physicians and families for their amazing professionalism, interpersonal skills and humane and compassionate care.” <br /><br /> Parmley mentioned the evolution of the ECMO team as increasing demand for sophisticated therapies for patients in critical condition. “The innovation necessary to approach and achieve this current state is not only noteworthy but also of sufficient character to merit the Mildred T. Stahlman, MD, award.”<br /><br /> McGrane said the unique challenges he faced in developing the program were things like equipment, bedside staffing models and transport equipment. He clarified he was lucky to have inherited a program that had been through many growing pains and many of the pieces were in place. “I also benefited from the support of my Division Chief Pandharipande and from Ashish Shah, MD, Chair of Cardiac Surgery. Their support and mentorship encouraged me to push forward,” he said.  <br /><br /> By the end of 2017, the program had provided ECMO support to 59 patients in VUMC and have transported 19 patients thus far in 2018. In fact, VUMC ECMO is the busiest ECMO referral center in Tennessee. “Every time we arrive and collect a patient, we experience the gratitude from the local physicians, nurses and patient families. It is gratifying for all involved that these patients are being given an opportunity. It is a privilege to be able to provide this service,” he said. <br /><br /> The future development of ECMO according to McGrane will be spreading the word that this service is available within Tennessee and the surrounding and to expand what ECLS services VUMC offers especially eCPR. <br /><br /> “I want to emphasize that this is a truly multidepartment, interdisciplinary team effort.  So many people are involved to make this successful that to try to name them all would do a disservice to anyone I miss out,” he said. <br /><br /> Chair of the Department of Anesthesiology Warren Sandberg, MD, PhD, said that is a pleasure to see the ECMO team get the recognition they deserve as they provide great health care for patients with life-threatening illnesses and make it possible for them to get treatment. “I look forward to seeing what new innovations the ECMO team will come up with next.”</p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Wed, 23 May 2018 17:22:36 +0000 grewelj 744 at https://www.vumc.org/anesthesiology 2018 Vanderbilt International Anesthesia Fundraiser https://www.vumc.org/anesthesiology/blog-posts/2018-vanderbilt-international-anesthesia-fundraiser <span class="field--node--title">2018 Vanderbilt International Anesthesia Fundraiser</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">Sat, 04/21/2018 - 12:21</span> <a href="/anesthesiology/blog-post-rss/743" class="feed-icon" title="Subscribe to 2018 Vanderbilt International Anesthesia Fundraiser"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-xs-12" id="hero_image"> <div class="col-sm-9 20 add_middle_col_padding_right"> <div class="big-module sectioncontent clearfix" id="section-1"> <div class="innermodule clearfix"> <h3> </h3> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/auctionitem1.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/auctionitem2.jpg" style="width: 533px; height: 800px;" /></p> <p><img alt="VIA" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/auctionitem3.jpg" style="width: 1170px; height: 572px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/food1.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/food2.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/food3.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/food4.jpg" style="width: 533px; height: 800px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/food5.jpg" style="width: 533px; height: 800px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/food6.jpg" style="width: 588px; height: 800px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/table%20setting.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/kids1.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/kids2.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/kid.jpg" style="width: 1170px; height: 794px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/kid2.jpg" style="width: 533px; height: 800px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/kid3.jpg" style="width: 533px; height: 800px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/baby1.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/guitar.jpg" style="width: 533px; height: 800px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group1.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group2.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group3.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group4.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group5.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group6.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group7.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group8.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group9.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group10.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group11.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group12.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group13.jpg" style="width: 1170px; height: 780px;" /><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group15.jpg" style="width: 1170px; height: 780px;" /><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/group16.jpg" style="width: 1170px; height: 780px;" /><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/panel1.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/panel2.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/panel3.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/panel4.jpg" style="width: 1170px; height: 780px;" /></p> <p><img alt="via" data-entity-type="" data-entity-uuid="" src="https://prd-medweb-cdn.s3.amazonaws.com/documents/1anesthesiology/images/magic1.jpg" style="width: 629px; 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height: 780px;" /></p> </div> </div> </div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__item">1</div> </div> Sat, 21 Apr 2018 17:21:08 +0000 grewelj 743 at https://www.vumc.org/anesthesiology