Schulich school of Medicine and Dentistry logo Anesthesia and Perioperative Medicine Schulich School of Medicine & Dentistry

Cardiac Anesthesia

Eighteen anesthesiologists participated in the program during the year. The transcatheter aortic valve program was firmly established along with a ventricular assist program, which resulted in the implantation of two LVAD devices. Finally, a mitral clip program was started at the end of the year with the aim of having one day per month for mitral clip insertions.

The fellowship program has again expanded and currently there are 4 fellows participating.

The perioperative echocardiography program continues to expand. On the training front, another simulator was purchased to enhance training of both fellows and residents. The goal is to expand the program to include perioperative TTE examinations for non-cardiac patients. On the clinical front, the integration of ultrasound storage into the hospital Excelera platform is now finished, marking a complete integration of perioperative ultrasound within the hospital frame work.

Cardiac Fellowship

During this Fellowship, the Fellow will be exposed to a broad variety of cardiac surgical procedures. It is expected that an in-depth understanding of the pathophysiology, and treatment of a wide variety of clinical problems acquired in this population will be encountered by the Fellow. In addition to refining clinical skills, increased familiarity with a variety of monitoring devices and various pharmacological interventions will be acquired. The Fellow will be expected to become conversant with the major areas of controversy surrounding clinical management in this population, and will come away with a balanced viewpoint of the various issues in this area. In addition, it is expected that the Fellow will complete at least one original research project, which should be of sufficient quality to be published in a major peer reviewed journal. This will be predicated upon a familiarization and understanding of research methodology and good study design.

Evaluation Procedure

The Fellow will be evaluated on an ongoing basis based on their clinical management skills. Reports will be solicited from all staff members actively working with the Fellow. In addition, a formal written evaluation will be undertaken after each six-month period in the Fellowship. The results of this evaluation will be discussed in person with the Fellow and appropriate actions taken to ensure educational objectives are met.

Recent Publications and Research

Kwok CS, Bagur R, Rashid M, Lavi R, Cibelli M, de Belder MA, et al. Aortic stenosis and non-cardiac surgery: A systematic review and meta-analysis. Int J Cardiol. 2017 Aug 1;240:145-153.

Lavi S, Abu-Romeh N, Wall S, Alemayehu M, Lavi R. Long-term outcome following remote ischemic postconditioning during percutaneous coronary interventions-the RIP-PCI trial long-term follow-up. Clin Cardiol. 2017 Jan 11. [Epub ahead of print].

Bagur R, Kiaii B, Teefy PJ, Diamantouros P, Lavi R, Harle C, Cassesse M, Chu MW. First North American experience with the Engager self-expanding transcatheter aortic valve: Insights from the London Health Sciences Centre Heart Team. Ann Thorac Surg. 2016 Aug;102(2):e167-71.

Jones PM, Bainbridge D, Chu MW, Fernandes PS, Fox SA, Iglesias I, Kiaii B, Lavi R, Murkin JM. Comparison of isoflurane and sevoflurane in cardiac surgery: A randomized non-inferiority comparative effectiveness trial. Can J Anesth. 2016 Jul 27. [Epub ahead of print]

Walsh M, Whitlock R, Garg AX, Légaré JF, Duncan AE, Zimmerman R, Miller S, Fremes S, Kieser T, Karthikeyan G, Chan M, Ho A, Nasr V, Vincent J, Ali I, Lavi R, Sessler DI, Kramer R, Gardner J, Syed S, VanHelder T, Guyatt G, Rao-Melacini P, Thabane L, Devereaux PJ; Remote IMPACT Investigators. Effects of remote ischemic preconditioning in high-risk patients undergoing cardiac surgery (Remote IMPACT): a randomized controlled trial. CMAJ. 2016 Mar 15;188(5):329-36.