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24
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Introduction
Skills and Expertise
Additional affiliations
August 2011 - June 2016
January 2010 - January 2011
Publications
Publications (24)
Background:
Correct tip location of a peripherally inserted central catheter (PICC) is crucial to ensure optimal drug delivery and avoid creating potential complications. P-wave amplitude changes in the intravascular electrogram (ivECG) can guide the PICC tip to the optimal location during the catheter placement procedure, but its accuracy is limi...
The emergence of the coronavirus disease 2019 (COVID-19) virus has increased in patients with acute respiratory distress syndrome (ARDS). The use of prone positioning during COVID-19-associated ARDS has led to improved oxygenation and decreased mortality. Extended hours of proning may delay or prevent traditional approaches to central vascular acce...
Introduction:
Isolated injuries to the lateral cutaneous nerve (LCNC) branch of the common peroneal nerve can cause obscure chronic posterolateral knee and upper calf pain and sensory symptoms. Routine examination and electrodiagnostic testing do not detect them because the LCNC has no motor distribution and it is not interrogated by typical peron...
Personalized medicine is a new paradigm in medicine; both in science and practice. The role of novel aspects of cellular and molecular medicine in the thrive of personalized medicine is undeniable; with the exceptional roles of genomics, epigenomics, transcriptomics, proteomics, metabolomics, interactomics and other OMICS. Anesthesiology and periop...
Visceral pain is extremely prevalent, can be due to significant underlying pathology, and is associated with significant functional pain syndromes. Understanding the anatomy and mechanism of visceral pain nociception is the first and essential step to diagnosing and treating visceral pain. Many features of visceral pain are still unclear. More effe...
We hypothesized that an intraoperative rectus sheath (RS) block performed by the surgery team would provide comparable postoperative analgesia, measured by the amount of postoperative opioid usage, to a transversus abdominis plane (TAP) block for patients undergoing open retropubic prostatectomy (ORP). We retrospectively reviewed patients’ charts w...
Background: the goal of Faculty Development Programs (FDPs) is to continue to provide the necessary resources to build successful, enjoyable and highly productive career. However, the outcome of implantation of new FDP on the faculties' educational improvement has not been adequately assessed. In this study, we assessed the attitudes of junior facu...
Regional anesthesia has evolved considerably since its origins in the late nineteenth century. Sophistication of techniques, improved understanding of peripheral nerve microanatomy and pain transmission, incorporation of real-time imaging, and the discovery of novel local anesthetics and adjunct agents afford anesthesiologists to tailor individual...
Background:
Accreditation Council for Graduate Medical Education (ACGME) has been used to evaluate the residents' competency; however, the thriving of residents needs especial training methods and techniques. Small group learning has been used for this propose.
Objectives:
This study assessed the attitudes of CA-1 to CA-3 anesthesiology resident...
Background:
National Board of Anesthesiology (NBA) pass rate is an important and critical step in clinical residency programs.
Objectives:
This study was designed to assess the relationship between an integrative educational intervention (IEI) and the relative annual pass rate (RAPR). RAPR is defined as ratio of NBA pass rate of Shahid Beheshti...
Background: National Board of Anesthesiology (NBA) pass rate is an important and critical step in clinical residency programs. Objectives: This study was designed to assess the relationship between an integrative educational intervention (IEI) and the relative annual pass rate (RAPR). RAPR is defined as ratio of NBA pass rate of Shahid Beheshti Uni...
We introduce a regional technique that involves the intraoperative placement of bilateral paravertebral catheters under direct visualization. The patient had stage IV lung cancer and was on chronic oxycodone therapy. He presented with a T10 metastatic lesion, and underwent spinal decompression with T7-L1 fusion and T10 corpectomy. Before fascial cl...
Background:
Maintaining a balance between nociception and analgesia perioperatively reduces morbidity and improves outcomes. Current intraoperative analgesic strategies are based on subjective and nonspecific parameters. The high-frequency heart rate (HR) variability index is purported to assess the balance between nociception and analgesia in pat...
Background and objectives:
The retrolaminar block (RB) is used for truncal analgesia, but its mechanism of neural blockade remains obscure. We sought to learn the pattern of local anesthetic spread after thoracic RB using cadaveric models.
Methods:
In 8 fresh cadavers, an ultrasound-guided T4 RB was performed with 20 mL of methylene blue 1% and...
Background:
Sedation regimes during oral procedures frequently associated with airway obstruction. The aim of this study was to define the association of bispectral index (BIS) to the depth of sedation and airway obstruction events.
Methods:
47 patients between 1421 years old who were candidates for 3rd molar teeth extraction were enrolled in th...
Study objective:
The risk of airway collapse in patients undergoing deep sedation is a major concern. In this study, we compared the airway patency of deep sedation provided by propofol with the airway patency of deep sedation provided by dexmedetomidine in magnetic resonance imaging (MRI) procedures. This comparison was done using MRI static and...
This study aimed to investigate whether reversal of rocuronium-induced neuromuscular blockade with sugammadex reduced the incidence of residual blockade and facilitated operating room discharge readiness.
Adult patients undergoing abdominal surgery received rocuronium, followed by randomized allocation to sugammadex (2 or 4 mg kg(-1)) or usual care...
Objectives:
Pediatric dentists perform moderate sedation frequently to facilitate dental treatment in uncooperative children. Assessing the depth and quality of sedation is an important factor in the clinical utilization of moderate sedation. We aimed to determine if the level of noise, created by the children who are undergoing moderate sedation...
Anesthetic Management Utilizing Inhaled Nitric Oxide of a Morbidly Obese, Opioid Tolerant Patient With Severe Pulmonary Hypertension Undergoing Bariatric Surgery.
Purpose
We investigated the effects of tidal volume (VT), fresh gas flow (FGF), and a charcoal filter in the inspiratory limb on the washout of sevoflurane from the following Datex Ohmeda® (GE) Anesthesia Workstations (AWSs): Aisys®, Aestiva®/5, and Excel 210SE.
Methods
After equilibrating the AWSs with 2% sevoflurane, the anesthetic was discont...
Upper airway obstruction (UAO) is a major problem in unconscious subjects making full face mask ventilation difficult. The mechanism of UAO in unconscious subjects shares many similarities with that of obstructive sleep apnea (OSA), especially the hypotonic upper airway seen during rapid eye movement sleep. Continuous positive airway pressure (CPAP...
