November 20, 2017 Drs. Wilfredo Puentes and Catalina Casas Lopez see their work in print with the new CRC Press publication and comprehensive medical textbook, Basic Transesophageal and Critical Care Ultrasound.
October 09, 2017 Drs. Ray Satoru Fujii (Clinical Fellow, Cardiac Anesthesia), Daniel Bainbridge and colleagues, present an interesting case of fungal endocarditis along with 3D TEE images and the clinical course. Fungal endocarditis is more commonly observed in patients with predisposing conditions such as immunosuppression, intravenous drug use or previous heart valve replacement.
September 14, 2017 Project co-investigators, Drs. Janet Martin and Davy Cheng, receive a 5 million dollar operating grant from the Canadian Institutes of Health Research (CIHR) for their innovative project, Strategy for Patient-Oriented Research – Guidelines and Systematic Reviews (SPOR REACH Network).
September 04, 2017 In the Journal of Clinical Anesthesia, Drs. Matthew Chong (PGY4), Shalini Dhir and Bill Lin, delineate via systematic review with meta-analysis if there is any analgesic benefit to performing programmed intermittent bolus (PIB) versus continuous infusion for continuous peripheral nerve blockade (CPNB).
July 05, 2017 Assistant Professor, Dr. Herman Sehmbi, starts off his tenure with a new systematic review and meta-analysis: Perineural Dexmedetomidine Is More Effective Than Clonidine When Added to Local Anesthetic for Supraclavicular Brachial Plexus Block. Dr. Sehmbi is new to the Department as of July 1, 2017; an active researcher, Dr. Sehmbi's subspecialty is Regional Anesthesia.
June 22, 2017 We have lots of faculty, residents and fellows who are attending the CAS Annual Meeting in Niagara Falls, Ontario. Join us and support your colleagues who are teaching, moderating, and presenting, and don't forget about the Department Alumni Reception on Sunday!
June 07, 2017 Dr. Rudy Noppens and colleagues conduct a study to determine the minimum cuff pressure needed to perform standardized ventilation without leakage in the new, revised model of the laryngeal tube "LTS-D".
June 01, 2017 Dr. Qutaiba Tawfic and team win best paper for Chronic Pain, and Dr. Shalini Dhir and team win best paper in Regional Anesthesia and Acute Pain at the upcoming Annual Meeting for the Canadian Anesthesiologists' Society (CAS).
May 23, 2017 In this Doing More with Less article, Dr. Miguel Arango and colleagues describe their experiences with integrating ultra-high field template data into the clinical workflow to assist with target selection in deep brain stimulation (DBS) surgical planning.
May 08, 2017 Drs. Ahmed Hegazy, Danielle Lapierre (PGY4), Ron Butler, Janet Martin, and Eyad Althenayan, explore the first use of a novel esophageal cooling device as a sole modality for hypothermia induction, maintenance and rewarming in a series of four postcardiac arrest patients.
May 01, 2017 Drs. Ilana Sebbag, Fatemah Qasem (Obstertic Anesthesia Fellow) and Shalini Dhir, publish a new case series on bilateral quadratus lumborum blocks after c-section, with an evaluation on opioid consumption and patient satisfaction.
April 19, 2017 Drs. Ivan Iglesias and colleagues present a surprising case of a rare abnormality involving black pigmentation of cardiac tissue. Images and video supplementary material available through the Canadian Journal of Cardiology.
April 10, 2017 New review from Drs. Qutaiba Tawfic, Kamal Kumar, Zameer Pirani (PGY3), and Kevin Armstrong, seeks to provide context to the challenging problem of chronic post-surgical pain (CPSP). The possible role of both the surgeon and anesthesiologist in reducing the incidence of this problem will be explored.
March 14, 2017 Research initiatives include: Advanced Care Planning at LHSC; Measuring Frailty and Quality of Life for Patients with Aortic Stenosis who Undergo Trans Catheter Aortic Valve Implantation; and Current Perioperative Ultrasound Use and Future Plans
January 25, 2017 It is with great pleasure that we are announcing the successful pass of the final RCPSC credentialing exam for Pain Medicine by our two inaugural residents, Dr. Amjad Bader and Dr. Michael Pariser. Program Director, Dr. Geoff Bellingham, also wrote and passed the exam. It was his first opportunity to write the exam since this Pain Medicine exam was the first ever in Canada.
January 17, 2017 The clinical value of ischemic conditioning during percutaneous coronary intervention (PCI) and mode of administration is controversial. This large, randomized study, aims to assess the long-term effect of remote ischemic postconditioning among patients undergoing PCI.
January 05, 2017 Motor evoked potentials (MEPs) are commonly used to prevent neurological injury when operating in close proximity to the motor cortex or corticospinal pathway. We report a novel application of the NIM® nerve monitoring system (Medtronic@ NIM response 3.0) for intraoperative direct cortical (dc)-MEPs monitoring. A 69-year-old female patient presented with a 4month history of progressive left hemiparesis resulting from a large right sided posterior frontal meningioma that abutted and compressed the motor cortex. Motor cortical mapping and MEPs were indicated. The patient was anesthetized and maintained on total intravenous anesthetics.
December 12, 2016 Drs. Marc St-Amand, Ivan Iglesias, and colleagues, describe a technique of combined transcatheter aortic valve replacement (TAVR), off-pump single coronary artery bypass, and percutaneous coronary intervention (PCI) in a high-risk patient presenting with unstable angina and severe heart failure.
November 23, 2016 Admired and well-loved by his colleagues, former faculty member and Department Deputy Chairperson Dr. Gideon (Giep) Rossouw, passed away on November 19th. On behalf of the Department, we extend our condolences to Dr. Rossouw’s family and friends during this difficult time.
October 18, 2016 Dr. Andreas Antoniou and colleagues conduct simulation-based assessment of anesthesiology residents’ competence in preparation for the Royal College of Physician and Surgeons' implementation of Competency by Design.
October 13, 2016 Professor Emeritus of Anesthesiology and esteemed author, Dr. Paul Barash of the Yale School of Medicine, will be joining us for a special lecture, “The Game Changers: The Twenty Most Important
Anesthesia Articles Ever Published”.
October 07, 2016 Dr. Philip Jones and colleagues conduct a systematic review to examine the efficacy, tolerability, and acceptability of asenapine compared with other antipsychotics in the treatment of psychotic disorders.
October 03, 2016 The WCA serves as an ideal networking platform for anaesthesiologists from around the globe to meet, and acts as a key resource for education and best practice in anaesthesiology and its sub- specialities; it is the flagship congress of the World Federation of Societies of Anaesthesiologists (WFSA).
September 29, 2016 CMAJ. 2016 Mar 15;188(5):329-36. Epub 2015 Dec 14. "Remote ischemic preconditioning is a simple therapy that may reduce cardiac and kidney injury. We undertook a randomized controlled trial to evaluate the effect of this therapy on markers of heart and kidney injury after cardiac surgery".
September 23, 2016 Drs. Adrienne Carr (Clinical Fellow), Nelson Gonzalez (Clinical Fellow) and Ramiro Arellano, report a case of a patient with bronchobiliary fistula (BBF) undergoing liver retransplantation
September 21, 2016 The Randomized Isoflurane and Sevoflurane Comparison in Cardiac Surgery (RISCCS) is a pragmatic randomized non-inferiority comparative effectiveness clinical trial that began in November 2011. From its inception to conclusion in March 2014, the RISCCS study saw participation of 464 adults having coronary artery bypass graft and/or single valve surgery.
August 29, 2016 "Overt stroke after non-cardiac surgery has a substantial impact on the duration and quality of life. Covert stroke in the non-surgical setting is much more common than overt stroke and is associated with an increased risk of cognitive decline and dementia. Little is known about covert stroke after non-cardiac, non-carotid artery surgery." Br J Anaesth. 2016 Aug;117(2):191-7.
August 22, 2016 "Epidural analgesia is highly effective for labour pain relief, but can be challenging to perform in labouring patients. The ability to transduce a pulsatile pressure waveform from epidural needles in non-pregnant patients correlates with successful epidural blockade..."
August 11, 2016 On August 27th, Dept Administrative Assistant Cathy Pollard, will be joined by her team of "Sleep-Walkers" and fellow colleagues, for Toronto's 2016 Mudderella course! They will be running the obstacle course on behalf of the Canadian Breast Cancer Foundation. Cheer them on and support a great cause!
July 31, 2016 Intraoperative cerebral autoregulation assessment using ultrasound-tagged near-infrared-based cerebral blood flow in comparison to transcranial doppler cerebral flow velocity: A pilot study. J Cardiothorac Vasc Anesth. 2015 Oct;29(5):1187-93.
July 14, 2016 Kaiser Health Network (KHN) Health News reports on the new scientific statement from the American Heart Association, Drugs That May Cause or Exacerbate Heart Failure, coauthored by Dr. Davy Cheng
July 11, 2016 This new open-access publication, "An evidence-based guide to monitoring, prevention and management", was recently launched at the Royal College of Obstetricians and Gynecologists World Congress in Birmingham, United Kingdom.
July 04, 2016 Dr. Shalini Dhir, Dr. Kevin Armstrong, Dr. Pod Armstrong, and Dr. Su Ganapathy (Professor Emeritus) conducted this study to determine if placement of infraclavicular catheters guided by ultrasound is quicker than placement guided by nerve stimulation.
June 29, 2016 The IARS is a nonpolitical, not-for-profit medical society founded in 1922 with its mission focused solely on the advancement and support of education and scientific research related to anesthesiology.
June 27, 2016 Leave for Change is a volunteerism program that brings the world to your workplace. The employee gains experience, exposure to social/development issues and takes a key role in showing how we are making a difference internationally.
The program enables two staff this year to transform their vacation into a three to four-week volunteer assignment in one of 10 developing countries in Africa, Asia and Latin America. Volunteers contribute skills and advice to local partner organizations with the support of a team of professionals in the host country. Employees contribute by using their vacation time to serve on assignment in a developing country; the university invests in the employee by matching costs shared with external partners.
June 06, 2016 The Internal Research Fund (IRF) competition is a research grant competition funded by the Department of Anesthesia and Perioperative Medicine. Grants are awarded to exceptional investigators within the department pursuing projects in clinical medicine, basic science, or education.
May 09, 2016 This month in the Journal, Mottiar et al. explore the implications of legalizing [physician-assisted death] in Canada and focus on issues particularly relevant to anesthesiologists...Can J Anesth. (2016) 63:241-245.
April 10, 2016 London Health Sciences Centre (LHSC) is pleased to congratulate Dr. Michael Sharpe, a intensivist at LHSC’s University Hospital, on receiving the Lifetime Achievement Award from Trillium Gift of Life Network (TGLN).
March 28, 2016 Antibiotics vs Appendectomy for Uncomplicated Appendicitis: A Global Health Perspective by Dr. Janet Martin (MEDICI) and her student, Rohin Krishnan, has been selected as one of the "Top Written Abstracts by Category". Register now to learn more about groundbreaking research being conducted across London, Ontario!
March 23, 2016 Randomized double-blind safety comparison of intravenous iron dextran versus iron sucrose in an adult non-hemodialysis outpatient population: A feasibility study. BMC Hematol. 2016 Mar 11;16:7.
February 23, 2016 Ascorbate inhibits platelet-endothelial adhesion in an in-vitro model of sepsis via reduced endothelial surface P-selectin expression. Blood Coagul Fibrinolysis. 2016 Jan 29. [Epub ahead of print]
February 19, 2016 Ketamine added to morphine or hydromorphone patient-controlled analgesia for acute postoperative pain in adults: a systematic review and meta-analysis of randomized trials. Can J Anesth. 2015 Dec. [Epub ahead of print]
February 09, 2016 Does preoperative rehabilitation for patients planning to undergo joint replacement surgery improve outcomes? A systematic review and meta-analysis of randomised controlled trials. BMJ Open. 2016 Feb 2;6(2): e009857.
January 31, 2016 A systematic review of transthoracic and transesophageal echocardiography in non-cardiac surgery: implications for point-of-care ultrasound education in the operating room. Can J Anaesth. 2015 Oct 30. [Epub ahead of print]
January 04, 2016 The MEDICI Centre and the Department of Anesthesia & Perioperative Medicine were invited by WHO EESC to participate in the service organization and clinical interventions in strengthening emergency and essential surgical care and anesthesia as a component of universal health coverage, and to address the WHO Ebola guideline in surgery.
January 04, 2016 The Canadian Anesthesiologists' Society (CAS) 16th Annual Medical Student Prize: This competition is being held to increase Undergraduate Medical Students’ awareness of the specialty of Anesthesiology and the role of Anesthesiologists’ in modern health care.
December 14, 2015 Authors Dr. Brookes, Dr. Sondekoppam, Dr. K Armstrong, Dr. Uppal (fellow), Dr. Dhir, Dr. Terlecki (PGY3), and Dr. Ganapathy publish on the visibility and block characteristics of a stimulating need and catheter vs. echogenic needle and catheter for sciatic nerve block with low frequency ultrasound probe.
December 09, 2015 Dr. S Dhir, Dr. A Armstrong, Dr. P Armstrong, Dr. Ganapathy and colleagues share findings from a randomized comparison study on ultrasound vs. nerve stimulation for infraclavicular catheter placement.
December 01, 2015 ISMICS (International Society of Minimally Invasive Cardiovascular Society) Consensus Conference and Statements of Randomized Controlled Trials of Off-Pump versus Conventional Coronary Artery Bypass Surgery
November 03, 2015 Comparison of efficacy and safety of lateral-to-medial continuous transversus abdominis plane block with thoracic epidural analgesia in patients undergoing abdominal surgery: A randomised, open-label feasibility study.
October 13, 2015 Drs. Hegazy and Granton and colleagues, publish study that aims to develop a focused TEE examination tailored for the Emergency Dept and to evaluate TEE skill acquisition and retention by TEE-naïve Emergency Physicians following a focused 4-h curriculum.
October 02, 2015 Mark your calendars to attend this very special Grand Rounds on the future of Cardiac Anesthesia and Cardiac Surgery. Remote viewing will be available at St. Joseph's and Victoria Hospital.
September 21, 2015 Chapter 56: Pudendal Nerve Blockade. In: Jankovic D., Peng P. Regional Nerve Blocks in Anesthesia and Pain Therapy: Tranditional and Ultrasound-Guided Techniques, 4th Ed. 2015 Oct. Springer.
September 01, 2015 Ultrasound in Obstetric Anesthesia [Chapter 7]:
"...In obstetric anesthesia, central neuraxial blockade analgesia is the most common anesthetic technique. The availability of ultrasound has naturally extended interest in this modality from peripheral nerve blocks to facilitating spinal/epidural techniques in obstetrics."
August 17, 2015 In this Longwoods article, Dr. Janet Martin and colleagues propose to advance the new Canadian HTA Database search interface as one-stop shop for structured decision-relevant summaries, to aid in timely policy making by decision-makers.
August 11, 2015 Fundamentals of Pain Medicine: How to Diagnose and Treat Your Patients / Comprehensive Atlas of 3D Echocardiography / Master Techniques in Upper and Lower Airway Management / Managing Pain in Children: A Clinical Guide for Nurses and Healthcare Professionals
May 26, 2015 Portfolio is an opportunity in Year 1 and 3 for students to undertake a deeper view of the patient experience and their personal growth as a medical learner...Faculty will work with 5-8 students over the entire academic year [Read more - login required]
May 08, 2015 The provincial AFP Innovation Fund is awarded to physicians "to support the development of new and innovative practices in health care delivery, and to support leadership and the disseminations of knowledge across the healthcare system"
May 07, 2015 On May 1, 2015, high school students from high school students and teachers from London and surrounding areas paid a visit to SimMan and friends with the Department of Anesthesia and Perioperative Medicine at University Hospital’s CSTAR Simulation facility.
May 01, 2015 Dr. Lynn Coveney retired in the fall of 2014 and Dr. Ron Wexler will be retiring from the Department of Anesthesia and Perioperative Medicine at the end of May. The Department members are hosting an Open House in their honour from 1700-2000 hrs on Tuesday May 19, 2015 in the Grand Hall at Windermere Manor.
April 29, 2015 On behalf of the Dept, good luck and safe travels to all of our Residents presenting at MARC this weekend in Cleveland, Ohio. This year's theme is, "Education = Metro Health, Case Medical Center, Cleveland Clinic"
April 01, 2015 The Gold Medal is the highest award of the Canadian Anesthesiologists’ Society (CAS). This honour is bestowed annually to a clinician by his/her peers in recognition of their excellence and leadership in anesthesia.
March 19, 2015 The aim of the study is to determine the accuracy, precision and trending abilities of the FloTrac and the continuous pulmonary artery catheter thermodilution technique determining CO in septic shock patients.
March 12, 2015 Last month, our faculty members, Dr. Achal Dhir, Dr. Janet Martin, and Dr. Davy Cheng, presented at the 18th annual Indian Association of Cardiovascular Anaesthesiologists (IACTA) meeting.
February 27, 2015 Our fellowship offers the opportunity to develop skills in acute pain management with integrated multimodal analgesia. The fellow will develop the knowledge and skills to manage, acute post operative pain, acute exacerbation of chronic pain in admitted patients, acute pain in opioid tolerant patients and acute pain in challenging complex medical conditions, and to recognize and initially manage the development of persistent post operative pain
February 20, 2015 In this study, Dr. Jones, Dr. Morley-Forster and colleagues sought to determine the rates of long-term smoking cessation after a perioperative smoking cessation intervention and predictors of successful cessation at 1 year.
February 12, 2015 The American Society of Anesthesiologists' (ASA) January 2015 newsletter contains a CME module that features a local study by Drs. Singh, Marmai, and Jones, as evidence for lower doses of epidural morphine post c-section
January 20, 2015 The Department is pleased to announce that our esteemed faculty member, Dr. Philip Jones, has been confirmed as by the Board of the Canadian Anesthesiologists' Society, as the new Associate Editor for the Canadian Journal of Anesthesia
January 02, 2018 When publishing scientific information, data must be presented accurately, consistently, and transparently for maximally effective communication. At the Canadian Journal of Anesthesia (CJA), Associate Editor, Dr. Philip Jones, and his fellow editors commonly see problems in the reporting of results in the text and tables of manuscripts submitted for publication. To address these issues, Dr. Jones and colleagues have provided some general guidance for statistical reporting in manuscripts submitted to the CJA.
January 02, 2018 Obstructive sleep apnea (OSA) is a common comorbidity in patients undergoing cardiac surgery and may predispose patients to postoperative complications. Drs. Mahesh Nagappa, Davy Cheng and colleagues, conduct a systematic review and meta-analysis to determine the evidence of postoperative complications associated with OSA patients undergoing cardiac surgery.
January 02, 2018 To commemorate the 100th edition of The International Journal of Obstetric Anesthesia, Obstetric Clinical Fellow, Dr. Aya Elsaharty, and Dr. Ian McConachie, examine the evolution of surgical birth terminology (Cesarean Section versus Cesarean Delivery) over the past 100 years.
January 02, 2018 Dr. Ushma Shah coauthors a new study that aims to characterize and critically appraise the content and functionality of commercially available postoperative pain self-management smartphone apps.
January 02, 2018 “Adductor canal block is widely used for knee surgeries,” said Herman Sehmbi, MD, assistant professor of anesthesia and perioperative medicine at Western University’s Schulich School of Medicine & Dentistry, in London, Ontario. “It is particularly attractive because of its motor-sparing properties. Although there’s quite a bit of evidence of its effectiveness in knee arthroplasty, this is not the case for arthroscopic knee surgery. So we decided to conduct a systematic review and meta-analysis in this area.”
January 02, 2018 New study by Drs. Ramesh Vedagiri Sai, Indu Singh, Fatemah Qasem, Don Nguyen, Shalini Dhir, Kristine Marmai,
and Philip Jones, investiagtes the effects of different doses of epidural fentanyl on the time to onset of epidural analgesia in women in early labour.
January 02, 2018 In the September issue of JAMA Cardiology, Dr. Ronit Lavi and colleagues report that short-term use of ticagrelor is associated with improved microvascular endothelial function but has no effect on arterial stiffness.
January 02, 2018 Dr. Rudy Noppens and colleagues publish their new study in BMJ, that compares the first-pass intubation success rate using the (McGrath) video laryngoscope with conventional direct laryngoscopy in surgical patients.
January 02, 2018 In a new study in Current Opinions in Anaesthesiology, Dr. Collin Clarke discusses the utilization of neuraxial drug delivery (NDD) for the management of cancer pain, based on recent trials, reviews, and guidelines with a focus on cost analysis.
January 02, 2018 After encouraging preliminary results from collected data, Dr. Philip Jones and the ERASE (Early Rescue from Acute SEvere Clostridium difficile) Trials Group are proposing to treat patients with bedside intestinal lavage with PEG and vancomycin instillation via nasojejunal tube, in addition to usual antibiotic management, as an alternative to operative approaches in this 1-year, single-centre, pilot randomised controlled trial.
January 02, 2018 Dr. Herman Sehmbi and colleagues conduct a systematic review of the evidence regarding investigations, management strategies and considerations around performing neuraxial blocks for pregnant women with lower back pain (LBP).
January 02, 2018 In the Journal of Obstetric Anaesthesia and Critical Care, Dr. Aya Elsaharty (Obstetric Clinical Fellow) and Dr. Ian McConachie, examine skin-to-skin contact (SSC) immediately following cesarean delivery. SSC has been shown to provide benefits to the neonate in the form of maintained temperature homeostasis, cardiovascular and metabolic stability and less irritability.
January 02, 2018 Drs. Philip Jones, Miguel Arango, Tim Turkstra and colleagues, examine whether randomized controlled trials (RCTs) published in the top 6 general anesthesiology journals were adequately registered and whether the reported primary and secondary outcomes corresponded to the original registered outcomes.
January 02, 2018 Dr. Ronit Lavi and colleagues publish a new systematic review and meta-analysis in the International Journal of Cardiology. As aortic stenosis (AS) poses a perioperative management dilemma to physicians looking after patients who require non-cardiac surgery, the objective of this review is to investigate mortality and adverse cardiovascular events in patients with and without AS who underwent non-cardiac surgery.
January 02, 2018 This year, 10 physicians have earned the Canadian Certified Physician Executive (CCPE) credential. These physicians from across Canada have fulfilled the eligibility criteria and demonstrated through a peer review and assessment process that they have the knowledge, skills and leadership accomplishments not only worthy of national recognition but also needed to influence and bring about change in today's complex health care environment.
January 02, 2018 Dr. Farah Manji and colleagues publish a new quality improvement study for preprocedural assessments. We are excited to see this new study from Dr. Manji who finished her residency with our Department in 2016, and received numerous awards for her research.
January 02, 2018 Now in his third year of Residency, Dr. Matthew Chong starts of 2017 with prestigious authorships on The Canadian Anesthesiologists' Society (CAS) Guidelines to the Practice of Anesthesia (2017 edition), as well as a new systematic review and meta-analysis for Perineural Versus Intravenous Dexamethasone as an Adjuvant for Peripheral Nerve Blocks.
January 02, 2018 Drs. Jason Chui, John Murkin, Timothy Turkstra and colleagues assess the feasibility of using a novel, automated SSEP device (EPAD; SafeOp Surgical, Hunt Valley, MD) for detection of intraoperative PNI during cardiac surgery.
January 02, 2018 This randomized controlled trial was designed to evaluate the efficacy of additional information from preprocedure ultrasound examination to aid anesthesiology trainees performing spinal anesthesia for obstetric patients.
January 02, 2018 Drs. Ivan Iglesias, Mauricio Giraldo, Marta Berrio, Luz Maria Lopera, Hilda Alfaro, Isabel Arias and Nelson Gonzalez were on hand to teach Perioperative TTE and TEE in the first workshop of it's kind to be offered in Medellin, Colombia.
January 02, 2018 In a new Review in Current Trends in Anaesthesia and Critical Care, Dr. Rudy Noppens examines current data about topicalisation of the airway, including nebulisation, spray-as-you-go techniques and airway nerve blocks.
January 02, 2018 Lois Hayter is the Manager of Administration and Finance for the Department of Anesthesia & Perioperative Medicine. Her interpersonal skills and expertise have supported the significant cultural change in the Department during the past 13 years. She is described as the ‘go to’ person in the Department for a myriad of matters that arise, assisting the 82 faculty/consultants, clinical fellows and hospital and university staff. Please join us on May 19th at the awards ceremony!
January 02, 2018 The ASRA Annual Meeting was in Miami, Florida this year, and Regional Fellow Dr. Maria Lopera Velasquez was there to present on interventions to reduce chronic post-surgical pain after mastectomy