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.
September 11, 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.
September 11, 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.
September 11, 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.
September 11, 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.
September 11, 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.
September 11, 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.
September 11, 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.
September 11, 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.
September 11, 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.
September 11, 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).
September 11, 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.
September 11, 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.
September 11, 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.
September 11, 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.
September 11, 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.
September 11, 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.”
September 11, 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.
September 11, 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.
September 11, 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.
September 11, 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.
September 11, 2018 We report the case of a patient with progressive dyspnoea, arterial hypotension and facial flushing, diagnosed with liver and cardiac involvement from carcinoid syndrome. The patient was taken to surgery in two different occasions, first for metastatic liver resection, and then to subsequent cardiac surgery for tricuspid valve replacement.