2012 Annual Report

The OUTCOMES RESEARCH Group was formed in 1990 at the University of California in San Francisco and subsequently became an institute when the group's administrative center moved to the University of Louisville in March of 2000. In 2005, OUTCOMES RESEARCH became a department at the Cleveland Clinic. After 7 years, the Department of OUTCOMES RESEARCH now includes 52 members at the Clinic, among 126 academic investigators in fifteen countries including the Argentina, Austria, Belgium, Canada, China, Colombia, France, Germany, Hungary, Ireland, Israel, Italy, Japan, Romania, and the United States. The Consortium is non-profit; its only goal is thus participation in high-quality research.

The Consortium is currently involved in more than 100 clinical studies, including many large multi-center outcome trials. Much of the Consortium’s funding is from the National Institutes of Health, the Canadian Institutes of Health Research, and other peer-reviewed granting agencies. The Consortium facilitates scientific exchange and collaboration necessary for technically complex outcomes studies involving hundreds or thousands of patients. Additional information is available at www.OR.org.

Aspirations

OUTCOMES RESEARCH seeks to understand the end results of particular health care practices and interventions. End results include effects that people experience and care about, such as change in the ability to function. In particular, for individuals with chronic conditions—where cure is not always possible—end results include quality of life as well as mortality. By linking the care people get to the outcomes they experience, OUTCOMES RESEARCH has become the key to developing better ways to monitor and improve the quality of care.

The general goal of the OUTCOMES RESEARCH Consortium is to evaluate inexpensive, low-risk interventions that are easy to implement yet likely to markedly improve outcome. For example, we have shown that simply maintaining intraoperative normothermia markedly reduces the risk of complications — and does so at trivial cost. A consequence of our work is that active intraoperative warming has become routine, whereas it was rare a decade ago.

Mission

Be the world's leading anesthesia-related clinical research organization.

Behaviors

Publish more high-impact, peer-reviewed clinical research papers (quantified as number times impact) than any other anesthesia organization.

Recruit more extra-mural clinical research funding than any other anesthesia organization, with “clinical research” being defined as research conducted with human subjects.

Train clinical investigators at all levels.

Personnel

Administrative Structure

Director: Daniel I. Sessler, M.D. Cleveland USA
Associate Director: Andrea Kurz, M.D. Cleveland USA

Site Directors

Anupama Wadhwa, M.D. Louisville USA
Donal Buggy, M.D. Dublin Ireland
Marcel Chauvin, M.D. Paris France
Tibi Ezri, M.D. Tel Aviv Israel
Edith Fleischmann, M.D. Vienna Austria
Kate Leslie, M.D. Melbourne Australia
Makoto Ozaki, M.D. Tokyo Japan
Adrian O. Alvarez, M.D. Buenos Aires Argentina
Peter Szmuk, M.D. Dallas USA

General Members

Member City Country
Alaa A. Abd-Elsayed, M.D. Cincinnati USA
Basem B. Abdelmalak, M.D. Cleveland USA
Awais Ahmed, M.D. Cleveland USA
Ozan Akça, M.D. Louisville USA
Zohaib Akhtar, M.D. Cleveland USA
Adrian O. Alvarez, M.D., Ph.D. Buenos Aires Argentina
Christian C. Apfel, M.D. San Francisco USA
Harendra Arora, M.D. Chapel Hill USA
Abdulkadir Atim, M.D. Ankara Turkey
Sabry Ayad, M.D. Cleveland USA
Allen Bashour, M.D. Cleveland USA
Maria Bauer, M.D. New York USA
Sergio D. Bergese, M.D. Columbus USA
Ethan Bernstein Bethesda USA
Catherine J. Binkley, D.D.S., Ph.D. Louisville USA
Mona Boaz, R.D., Ph.D. Holon Israel
Donal J. Buggy, M.D., FRCPI, FRCACSI, FRCA Dublin Ireland
Mohsin Buttar, M.D. Cleveland USA
Juan Cata, M.D. Houston USA
Nassib G. Chamoun, M.S. Brookline USA
Allen Collins Cleveland USA
Kenneth Cummings, III, M.D. Cleveland USA
Jacek B. Cywinski, M.D. Cleveland USA
Jarrod E. Dalton, M.A. Cleveland USA
Gildasio S. De Oliveira Jr., M.D. Chicago USA
Stacie G. Deiner, M.D. New York USA
Armin Deroee, M.D. Cleveland USA
Anthony G. Doufas, M.D., Ph.D. Stanford USA
Andra I. Duncan, M.D. Cleveland USA
Cameron Egan Cleveland USA
Hesham Elsharkawy, M.D. Cleveland USA
Stefan Engelen, M.D. Antwerp Belgium
Yashar Eshraghi, M.D. Cleveland USA
Shmuel Evron, M.D. Holon Israel
Tibi Ezri, M.D. Holon Israel
Ehab S.A. Farag, M.D., F.R.C.A. Cleveland USA
Mary Federico Cleveland USA
Marc A. Feldman, M.D., M.H.S. Cleveland USA
Edith Fleischmann, M.D. Vienna Austria
Alex Fu, B.S. Cleveland USA
Béla Fülesdi, M.D., Ph.D. Debrecen Hungary
Ignacia Gazmuri, M.D. Cleveland USA
Michael M.N. Ghobrial, M.D. Cleveland USA
Raktim Ghosh, M.D. Cleveland USA
Klesta K. Gjini, M.B.A. Cleveland USA
Martin V. Grady, M.D. Mayfield Hts. USA
J. Steve Hata, M.D., F.C.C.P., M.S.C. Cleveland USA
Brian Hesler, M.D. Cleveland USA
Christine E. Hillegas Cleveland USA
Hooman Honar, M.D. Cleveland USA
Ernst-Peter Horn, M.D. Hamburg Germany
Pedro F. Ibarra, M.D. Bogota Colombia
Brian M. Ilfeld, M.D., M.S. San Diego USA
Steven R. Insler, D.O. Cleveland USA
Daniela C. Ionescu, Ph.D., D.E.A.A. Cluj-Napoca Romania
Berta Johnson Cleveland USA
Barbara Kabon, M.D. Vienna Austria
Babak K. Kashy, M.D. Cleveland USA
Yusuke Kasuya, M.D. Tokyo Japan
Roop Kaw, M.D. Cleveland USA
Oliver Kimberger, M.D. Vienna Austria
Ryu Komatsu, M.D. Cleveland USA
Michael Kot, M.D. Cleveland USA
Priya A. Kumar, M.D. Chapel Hill USA
Andrea M. Kurz, M.D. Cleveland USA
Giovanni Landoni, M.D. Milan Italy
Wael Lasheen, M.D. Cleveland USA
Rainer Lenhardt, M.D. Louisville USA
Kate Leslie, M.D., F.A.N.Z.C.A. Parkville Australia
Jinbo Liu, M.D. Cleveland USA
Ngai Liu, M.D., Ph.D. Suresnes France
Ankit Maheshwari, M.D. Cleveland USA
Raihan Malik, M.D. Cleveland USA
Edward J. Mascha, Ph.D. Cleveland USA
Takashi Matsukawa, M.D. Chuo Japan
Rachel E. McKay, M.D. San Francisco USA
Gaby R. Mendoza, M.D. Buenos Aires Argentina
Maria Mendoza-Cuartas, M.D. Cleveland USA
Scott A. Miller, M.D. Winston Salem USA
Toshiki Mizobe, M.D., Ph.D. Kyoto Japan
Yasufumi Nakajima, M.D., Ph.D. Kyoto Japan
Edward M. Noguera, M.D. Cleveland USA
Detlef E.R. Obal, M.D., D.E.S.A. Louisville USA
Makoto Ozaki, M.D., Ph.D. Tokyo Japan
Krit Panjasawatwong, M.D. Cleveland USA
Marie-Odile Parat, Pharm.D., Ph.D. Woolloongabba Australia
Ivan Parra-Sanchez, M.D. Cleveland USA
Silvia E. Perez-Protto, M.D. Cleveland USA
Olga M. Plattner, M.D. Vienna Austria
Attila Podolyak, M.D. Cleveland USA
Radu B. Pop, M.S. Dallas USA
Stefan Rauch, M.D. Louisville USA
Luke Reynolds, M.Sc. Halifax Canada
David A. Rincón-Valenzuela, M.D., M.Sc. Bogotá Colombia
Reitze N. Rodseth, M.B.Ch.B., F.C.A. Durban South Africa
Kurt Ruetzler, M.D. Vienna Austria
Leif Saager, M.D. Cleveland USA
Vafi Salmasi, M.D. Cleveland USA
Sheryar Sarwar, M.D. Cleveland USA
Hiroaki Sato, M.D. Yamanashi Japan
Tamaki Sato, M.D. Yamanashi Japan
Thomas P. Schricker, M.D., Ph.D. Montreal Canada
Daniel I. Sessler, M.D. Cleveland USA
Aram Shahinyan, M.D. Cleveland USA
Ayako Shiba, M.D. Minato-ku Japan
Jeffrey H. Silverstein, M.D. New York USA
Tanya Smith, B.A. Cleveland USA
Thilak Sreenivasalu, M.D. Cleveland USA
Wolf Stapelfeldt, M.D. Cleveland USA
Jeff W. Steiner, D.O. Dallas USA
Zhuo Sun, M.D., Ph.D. Cleveland USA
Peter Szmuk, M.D. Dallas USA
Tanja A. Treschan, M.D. Düsseldorf Germany
Elena Trimbitas, B.B.A. Cleveland USA
Alparslan Turan, M.D. Cleveland USA
Belinda Udeh, Ph.D. Cleveland USA
Gretchen Upton, B.S. Cleveland USA
Tamás Végh, M.D. Debrecen Hungary
Anupama Wadhwa, M.D. Louisville USA
Jiang Wu, M.D. Cleveland USA
Dongsheng Yang, M.S. Cleveland USA
Jean-Pierre Yared, M.D. Cleveland USA
Jing You, M.S. Cleveland USA
Hani Yousef, M.D. Cleveland USA
Yosaf Zeyed, M.D. Cleveland USA
Yunxia Zuo, Ph.D., M.D. Chengdu China

Research Fellows

Name Origin Dates Subsequent Position
Awais Ahmed, M.D. Pakistan 2011-12 Internal Medicine Resident, Canton
Yashar Eshraghi, M.D. Iran 2011-12 Anesthesia Resident, Metro General
Michael M. N. Ghobrial, M.D. Egypt 2011-12 Internal Medicine, Fairview
Albatoul Bensitel, M.D. Morocco 2010-12 Master’s program in clinical research
Abdulkadir Atim, M.D. Turkey 2010-12 Faculty, Gulhane Military Medical
Sheryar Sarwar, M.D. The Netherlands 2010-12 Internal Medicine Resident, Case
Crissy Irani, M.D. India 2010-11
Hooman Honar, M.D. Canada 2010-
Ignatia Gazmuri Arrieta, M.D. Chile 2011-
Zohaib Aktar, M.D. Pakistan 2012-
Mohsin Buttar, M.D. Pakistan 2012-
Raktim Ghosh, M.D. India 2012-
Jinbo Liu, M.D. China 2012-
Raihan Malik, M.D. Pakistan 2012-
Zhuo Sun, M.D. China 2012-
Krit Panjasawatwong, M.D. Thailand 2012-
Brian Hesler, M.D. United States 2012-
Hani Yousef, M.D. Egypt 2012-
Yosef Zeyed, M.D. Libya 2012-
Aram Shahinyan, M.D. Albania 2012-
Wael Lasheen, M.D. Egypt 2012-
Attila Podolyak, M.D. Hungary 2012-

Graduate and Medical Students (full year)

Name Dates Institution
Cameron Egan, B.S. 2011-13 University of Rochester
Alex Fu, B.S. 2011-12 Case Western Reserve University

Medical Student and Resident Rotations

Name Dates Institution
Brian Hesler, M.D. 10/2011-07/2012 Cleveland Clinic Anesthesia Residency
Aparna Dalal, M.D. 03/2012 – 04/2012 Cleveland Clinic Anesthesia Residency
Ankit Maheshwari, M.D. 01/2012 – 12/2012 Cleveland Clinic Anesthesia Residency
Francis Wong, M.D. 08/2012 – 10/2012 Cleveland Clinic Anesthesia Residency
Silvia Perez Protto, M.D. 09/2012 – 03/2013 Cleveland Clinic Anesthesia Residency

Honors and Awards

Name Honor
Dongsheng Yang, M.S. 1st Place, CCF Caregiver Celebrations Excellence Award
Yashar Eshraghi, M.D. 3rd Place, MARC - DTT Study in Cardiovascular Studies
Brian Hesler, M.D. 1st Place, Resident Research Day Oral Presentation
Michael Ghobrial, M.D. $250 Travel Award 40th Annual SNACC Meeting
Alaa Abd-Elsayed, M.D. 1st, 2nd, and 3rd place Ohio State Society of Anesthesia
Basem Abdelmalak, M.D. Top 10 abstracts ASA Annual Meeting
Jinbo Liu, M.D. Merlin Bumpus Award
Jinbo Liu, M.D. 2nd Place Resident Research Day Oral Presentation

Consortium Research Awards

The Gladys Sessler Prize is an endowed award that is given yearly. All research fellows and junior faculty members of the OUTCOMES RESEARCH Consortium are eligible. This year’s award was given to Priya Kumar, M.D. and Harry Arora, M.D. for their outstanding contributions to the POISE-2 and SIRS trials.

The Best Fellow Award is given to the Department of OUTCOMES RESEARCH fellow who is voted by the faculty to have performed at the very highest level. This year’s award was given to Yashar Eshraghi, M.D. for his remarkable contributions to several studies, including an evaluation of a novel non-invasive deep-temperature thermometer.

Active Grants

Funded Research - Peer Reviewed Sources

Peer-Reviewed Sources Agency Principal Investigator Direct cost ($) Dates
The GAS study. Randomized controlled trial comparing regional and general anesthesia on neurodevelopmental outcome in infants NIH Szmuk 117,493 2010-15
Lung cancer biomarker evaluation Joseph Drown Foundation Sessler 10,000 2012-13
Development of a novel catheter CCF Innovations Elsharkawy 5,000 2012
Evaluation of A Novel Portable Simulator FAER Bustamante 99,586 2013-14
Anesthesia summer research fellowship FAER Hsieh 4,200 2012
Expanding the emerging collaboration perioperative medicine Hamilton Health Sciences Research Strategic Initiative Devereaux 300,000 2012-14
The Effect of Opioids on Chronic non-Cancer Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Canadian Institutes of Health Research Busse 100,000 2012-13
Informing Fresh versus Old Red cell Management (INFORM) Canadian Institutes of Health Research Eikelboom 1,600,000 2012-16
Peri-Operative ISchemic Evaluation-2 (POISE‑2) Canadian Institutes of Health Research Devereaux 3,685,000 2012-16
Remote IMPACT Canadian Institutes of Health Research Duncan 33,700 2011- 16
Evaluation of Multisource feedback in professionalism for anesthesia residents FAER Riveros-Perez 100,000 2011-12
Anesthesia summer research fellowship FAER medical student fellowship Schnetz 4,200 2011
HIP ATTACK: Hip fracture accelerated surgical treatment and care track Hamilton Academic Health Sciences Bhandari 130,000 2011-12
NeuroVISION: Neurological impact of vascular events in noncardiac surgery patients cohort evaluation Canadian Institutes of Health Research Mrkobrada 85,000 2011-12
Danyal Shaikh- NIHLB NIHLB (R25HL103152) Shaikh 1,000 2011- 12
Steroids in Cardiac Surgery Population Health Research Institute Yared 78,200 2010-15
Hyperinsulinemic glucose control and myocardial function during cardiac surgery National Institutes of Health (K23HL093056) Duncan 493,000 2010-15
Peri-Operative ISchemic Evaluation-2 Population Health Research Institute Kurz 512,000 2010-14
Perioperative cognitive protection — dexmedetomidine and cognitive reserve National Institutes of Health (AG 029656) Silverstein 2,090,000 2007-12
VISION McMaster University Kurz 225,346 2011-13
A Comparison of Epidural Analgesia and Traditional Pain Management Effects on Outcomes after Gastric Cancer Resection CTSC Cummings 10,000 2012
A Comparison of Epidural Analgesia and Traditional pain management Case Western Reserve University Cummings 4,300 2010- 12
Non-Contact ECG Monitoring ad Diagnosis Cleveland State University Ovreiu 17,300 2010- 12

List includes grants on which an OUTCOMES RESEARCH Consortium member is a co-investigator; many are large multi-center projects in which the member investigator has a limited role. Amounts shown are totals for multi-year projects; funding for the current year is considerably less.

Corporate Sources

For collaborative projects, only funds controlled by OUTCOMES RESEARCH are included

Corporate Sources Agency Principal Investigator Direct cost ($) Dates
Dexmedetomidine: Phase IV, Open-Label, Safety Study Evaluating the Use of Dexmedetomidine in Pediatric Subjects Undergoing Procedure-Type Sedation Hospira Inc Szmuk 103,680 2012
A Multicenter, Open-Label, Safety and Pharmacokinetic Study of Oral Codeine Sulfate Administration in Pediatric Subjects 2 years old through 17 years old with Post-procedural Pain Roxane Laboratories Inc/Quintiles Szmuk 114,425 2012
A Randomized, Placebo Controlled, Multi-Center Study of the Efficacy, Pharmacokinetics (PK) and Pharmacodynamics (PD) of Intravenous (IV) Acetaminophen for the treatment of Acute Pain in Pediatric Patients Cadence Pharmaceuticals Szmuk 114,30 2012
R.E.C.I.T.E. Merck Saager 36,500 2012-13
Outcomes Research Consortium Annual Meeting Hospira Sessler 11,000 2012
Safety of the Sufentanil NanoTab PCA System AcelRX Turan 147,440 2012-13
Protocol OTR3001. An Open-label, Multicenter Study of the Safety of Twice Daily Oxycodone Purdue Pharma Szmuk 72,950 2011-12
Protocol OTR3002. An Open-label, Extension Study to Assess the Long-Term Safety of Twice Daily Oxycodone Hydrochloride Purdue Pharma Szmuk 58,648
EN3319-302 Non-randomized, Multicenter, Ascending Dose by Age, Single- and Multiple-Dose Evaluation of the Effectiveness, Safety, and Tolerability of Oral Liquid Oxymorphone Endo Pharma Szmuk 269,990 2011-12
Use of Rainbow Acoustic Monitor in Pediatric Patients Masimo Szmuk 17,598 2011-12
Incidence of Perioperative Anaphylactic Reactions Merck Saager 234,000 2011-12
Effect of Goal-directed Crystalloid versus Colloid Administration Hospira Kurz 124,900 2011- 12
A Multi Center Randomized open-label Surgical Surveillance Cumberland Pharmaceutical Turan 58,400 2011- 12
The effects of dexmedetomidine and propofol on cerebral blood flow Hospira Farag 108,900 2010-12
Remifentanil versus dexmedetomidine Hospira Rajan 19,700 2010- 12
A Multi-center, Randomized, Open-label, Surveillance Trial to Evaluate the Safety and Efficacy of a Shortened Infusion Time if Intravenous Ibuprofen Cumberland
Pharma Ayad 38,068 2012
A Randomized Comparison of Pre-Warming with the Mistral-Air Convective Warming System TSCI Saager 154,000 2012-15
Real-time Ultrasound-guided Paramedian Epidural Access: Evaluation of a Novel in-plane Transverse View Technique Pajunk Medical System Zaky 5,000 2012-15
BIS and long-term outcomes Aspect Medical Sessler 1,730,000 2009-13
ASPECT Medical Data Collaborating Agreement Aspect Medical Sessler 146,155 2008-13
Breast Cancer Recurrence Aspect Medical 91,200 2008-13
Postoperative outcomes in patients who receive dexmedetomidine Hospira Turan 18,500 2010- 12
Dexlirium POCD BIS Sub-study Aspect Medical Sessler 53,800 2009-14

List includes grants on which an OUTCOMES RESEARCH Consortium member is a co-investigator. Amounts shown are totals for multi-year projects; funding for the current year is considerably less.

Publications

Contribution to the world’s literature

A recent article by Pagel and Hudetz (BMC Anesthesiology 12:5, 2012) evaluates anesthesia publication trends. Their analysis was restricted to 14 English-language journals with an impact factor >1 which are the ones most likely to influence clinical practice. In 2010, the last year they report, there were 280 clinical research articles published. Last year, the Consortium published 28 papers in the 14 journals they considered. The Outcomes Research Consortium thus published a full 10% of the clinical research in high-profile general anesthesia journals. Of note, the Consortium also published an equal number of papers in specialty journals ranging from pain to critical care to neuroscience, and in major multi-specialty journals.

This year’s featured paper

Farag E, Sessler DI, Kovaci B, Wang L, Mascha EJ, Bell G, Kalfas I, Rockwood E, Kurz A: Effects of Crystalloid versus Colloid and the alpha-2 Agonist Brimonidine versus Placebo on Intraocular Pressure during Prone Spine Surgery: A Factorial Randomized Trial. Anesthesiology 2012; 116: 807-15

Background: Volume replacement with colloid solution and topical alpha-2 agonists may each moderate the progressive increase in intraocular pressure (IOP) during prone surgery. The authors tested the hypotheses that during prolonged prone surgery, IOP increases less with goal-directed intravenous administration of 5% albumin than with goal-directed administration of lactated Ringer's solution, and with topical alpha-2 agonist brimonidine than with placebo eye drops.

Methods: Patients having complex prone spine surgery were factorially randomized to albumin and topical placebo (n = 15); albumin and topical brimonidine (n = 16); lactated Ringer's solution and topical placebo (n = 13); and lactated Ringer's solution and topical brimonidine (n = 16). IOP was measured with a pneumotonometer. The primary outcome was time-weighted average intraoperative IOP.

Results: Prone positioning increased IOP a mean +/- SD of 12 +/- 6 mmHg. IOP increased to 38 +/- 10 mmHg at the end of anesthesia (approximately 5.5 h). Time- weighted average intraoperative IOP in the brimonidine group was 4 (95% CI: 1, 8) mmHg lower than in the placebo group (P = 0.023), but no different in the crystalloid and albumin groups (mean difference (95% CI) of -2 (-5, 2) mmHg (P = 0.34). There was no interaction between the two randomized factors.

Conclusions: Brimonidine slightly reduced the primary outcome of intraoperative time-weighted average IOP, whereas there was no significant difference between goal-directed albumin or crystalloid administration. Brimonidine thus helps reduce IOP during spine surgery, but maintaining adequate blood pressure might play a more important role.

Published Full Papers

1. Abd-Elsayed AA, Sessler DI, Mendoza-Cuartas M, Dalton JF, Said T, Meinert J, Upton G, Franklin C, Kurz A: A randomized controlled study to assess patients' understanding of and consenting for clinical trials using two different consent form presentations. Minerva anestesiologica 2012; 78: 564-73

2. Abdelmalak B, Ibrahim M, Yared JP, Modic MB, Nasr C: Perioperative Glycemic Management in Insulin Pump Patients Undergoing Noncardiac Surgery. Curr Pharm Des 2012

3. Abdelmalak B, Khanna A, Tetzlaff J: Fospropofol, A New Sedative Anesthetic, and its Utility in the Perioperative Period. Curr Pharm Des 2012

4. Abdelmalak BB, Gildea TR, Doyle DJ: Anesthesia for Bronchoscopy. Curr Pharm Des 2012

5. Adam F, Bordenave L, Sessler DI, Chauvin M: Effects of a single 1200-mg preoperative dose of gabapentin on anxiety and memory. Ann Fr Anesth Reanim 2012; 31: e223-e7

6. Adam F, Pelle-Lancien E, Bauer T, Solignac N, Sessler DI, Chauvin M: Anesthesia and postoperative analgesia after percutaneous hallux valgus repair in ambulatory patients. Ann Fr Anesth Reanim 2012; 31: e265-e8

7. Ahmad BU, Barakat MR, Feldman M, Singh RP: Bilateral subcutaneous emphysema from pressurized infusion during pars plana vitrectomy: A case report. Retin Cases Brief Rep 2012; 6: 22-4

8. Albeldawi M, Aggarwal A, Madhwal S, Cywinski J, Lopez R, Eghtesad B, Zein NN: Cumulative risk of cardiovascular events after orthotopic liver transplantation. Liver Transpl 2012; 18: 370-5

9. Apfel CC, Philip BK, Cakmakkaya OS, Shilling A, Shi YY, Leslie JB, Allard M, Turan A, Windle P, Odom-Forren J, Hooper VD, Radke OC, Ruiz J, Kovac A: Who is at risk for postdischarge nausea and vomiting after ambulatory surgery? Anesthesiology 2012; 117: 475-86

10. Argalious MY, Dalton JE, Cywinski JB, Seif J, Abdelmalak M, Sessler DI: Association between preoperative statin therapy and postoperative change in glomerular filtration rate in endovascular aortic surgery. Br J Anaesth 2012; 109: 161-7

11. Bauer M, George JE, Seif J, Farag E: Recent advances in epidural analgesia. Anesthesiology research and practice 2012; 2012: 1-14

12. Bauer M, Wang L, Onibonoje OK, Parrett C, Sessler DI, Mounir-Soliman L, Zaky S, Krebs V, Buller LT, Donohue MC, Stevens-Lapsley JE, Ilfeld BM: Continuous femoral nerve blocks: Decreasing local anesthetic concentration to minimize quadriceps femoris weakness. Anesthesiology 2012; 116: 665-72

13. Bienert A, Wiczling P, Grzeskowiak E, Cywinski JB, Kusza K: Potential pitfalls of propofol target controlled infusion delivery related to its pharmacokinetics and pharmacodynamics. Pharmacol Rep 2012; 64: 782-95

14. Chahar P, Cummings KC, 3rd: Liposomal bupivacaine: a review of a new bupivacaine formulation. J Pain Res 2012; 5: 257-64

15. Colvin LA, Fallon MT, Buggy DJ: Cancer biology, analgesics, and anaesthetics: is there a link? Br J Anaesth 2012; 109: 140-3

16. Conrick-Martin I, Kell MR, Buggy DJ: Meta-analysis of the effect of central neuraxial regional anesthesia compared with general anesthesia on postoperative natural killer T lymphocyte function. J Clin Anesth 2012; 24: 3-7

17. Cummings KC, 3rd, Xu F, Cummings LC, Cooper GS: A comparison of epidural analgesia and traditional pain management effects on survival and cancer recurrence after colectomy: A population-based study. Anesthesiology 2012; 116: 797-806

18. Demirjian S, Schold JD, Navia J, Mastracci TM, Paganini EP, Yared JP, Bashour CA: Predictive models for acute kidney injury following cardiac surgery. Am J Kidney Dis 2012; 59: 382-9

19. Devarajan J, Vydyanathan A, Xu M, Murthy SM, McCurry KR, Sessler DI, Sabik J, Bashour CA: Early tracheostomy is associated with improved outcomes in patients who require prolonged mechanical ventilation after cardiac surgery. J Am Coll Surg 2012; 214: 1008-16

20. Devereaux PJ, Chan MT, Alonso-Coello P, Walsh M, Berwanger O, Villar JC, Wang CY, Garutti RI, Jacka MJ, Sigamani A, Srinathan S, Biccard BM, Chow CK, Abraham V, Tiboni M, Pettit S, Szczeklik W, Lurati Buse G, Botto F, Guyatt G, Heels-Ansdell D, Sessler DI, Thorlund K, Garg AX, Mrkobrada M, Thomas S, Rodseth RN, Pearse RM, Thabane L, McQueen MJ, VanHelder T, Bhandari M, Bosch J, Kurz A, Polanczyk C, Malaga G, Nagele P, Le Manach Y, Leuwer M, Yusuf S: Association between postoperative troponin levels and 30-day mortality among patients undergoing noncardiac surgery. JAMA 2012; 307: 2295-304

21. Doherty M, Buggy DJ: Intraoperative fluids: how much is too much? Br J Anaesth 2012; 109: 69-79

22. Doufas AG, Panagiotou OA, Ioannidis JP: Concordance of sleep and pain outcomes of diverse interventions: an umbrella review. PLoS One 2012; 7: e40891

23. Edrich T, Cywinski JB, Colomina MJ, Jimenez Lopez I, Xiong L, Sedaghati A, Pomahac B, Gilton A: Perioperative management of face transplantation: a survey. Anesth Analg 2012; 115: 668-70

24. Elsharkawy HA, Galway U: Anesthetic management of direct laryngoscopy and dilatation of subglottic stenosis in a patient with severe myasthenia gravis. Case Reports in Anesthesiology 2012; 2012: 1-3

25. Farag E, Abd-Elsayed A, Anderson M, Abdelmalak J, Schubert A: Anesthetic management for Wingspan stent. Ochsner J 2012; 12: 30-4

26. Farag E, Abd-Elsayed A, Manno EM: Sensory evoked potentials and the search for the Holy Grail method to predict the outcome after hypoxic-ischemic coma. Minerva Anestesiol 2012; 78: 741-2

27. Farag E, Sessler DI, Kovaci B, Wang L, Mascha EJ, Bell G, Kalfas I, Rockwood E, Kurz A: Effects of crystalloid versus colloid and the alpha-2 agonist brimonidine versus placebo on intraocular pressure during prone spine surgery: A factorial randomized trial. Anesthesiology 2012; 116: 807-15

28. Grady MV, Mascha E, Sessler DI, Kurz A: The effect of perioperative intravenous lidocaine and ketamine on recovery after abdominal hysterectomy. Anesth Analg 2012; 115: 1078-84

29. Hata JS, Simmons JS, Kumar AB, Rickelman JH, Nickel EJ, Simmons ST, Torner J: The acute effectiveness and safety of the constant-flow, pressure-volume curve to improve hypoxemia in acute lung injury. J Intensive Care Med 2012; 27: 119-27

30. Haviv Y, Ezri T, Boaz M, Ivry S, Gurkan Y, Izakson A: Airway management practices in adult intensive care units in Israel: a national survey. J Clin Monit Comput 2012; 26: 415-21

31. Izakson A, T E, Weiner D, Litmanovich D, Khankin E: New developments in understanding of pathophysiology, diagnosis and treatment of severe acute pancreatitis. Jurnalul Român de Anestezie Terapie Intensivã 2012; 19: 39-50

32. Kavanagh T, Buggy DJ: Can anaesthetic technique effect postoperative outcome? Current Opinion in Anaesthesiology 2012; 25: 185-98

33. Kaw R, Pasupuleti V, Walker E, Ramaswamy A, Foldvary-Schafer N: Postoperative complications in patients with obstructive sleep apnea. Chest 2012; 141: 436-41

34. Koch CG, Li L, Hixson E, Tang A, Phillips S, Henderson JM: What are the real rates of postoperative complications: elucidating inconsistencies between administrative and clinical data sources. J Am Coll Surg 2012; 214: 798-805

35. Koch CG, Nowicki ER, Rajeswaran J, Gordon SM, Sabik JF, 3rd, Blackstone EH: When the timing is right: Antibiotic timing and infection after cardiac surgery. J Thorac Cardiovasc Surg 2012; 144: 931-7 e4

36. Kurz A, Sessler DI: HSR Proc Int Care & Cardiovasc Anesth. 2012; 1: 5-9

37. Liu N, Le Guen M, Benabbes-Lambert F, Chazot T, Trillat B, Sessler DI, Fischler M: Feasibility of Closed-loop Titration of Propofol and Remifentanil Guided by the Spectral M-Entropy Monitor. Anesthesiology 2012; 116: 286-95

38. Loor G, Li L, Sabik JF, 3rd, Rajeswaran J, Blackstone EH, Koch CG: Nadir hematocrit during cardiopulmonary bypass: end-organ dysfunction and mortality. J Thorac Cardiovasc Surg 2012; 144: 654-62 e4

39. Marcanthony N, Farag E: Intraoperative pontine infarction: a hidden challenge. Case Rep Anesthesiol 2012; 2012: 807398

40. Mascha EJ, Turan A: Joint hypothesis testing and gatekeeping procedures for studies with multiple endpoints. Anesthesia and analgesia 2012; 114: 1304-17

41. Ogurlu M, Orhan ME, Çinar S, Piri E, Kurt E, Sut N, Turan A: Effect of headphones on sevoflurane requirement for MRI. Pediatric Radiology 2012; 42: 1432-6

42. Ortner CM, Ruetzler K, Schaumann N, Lorenz V, Schellongowski P, Schuster E, Salem RM, Frass M: Evaluation of performance of two different chest tubes with either a sharp or a blunt tip for thoracostomy in 100 human cadavers. Scand J Trauma Resusc Emerg Med 2012; 20: 10

43. Parra-Sanchez I, Abdallah R, You J, Fu AZ, Grady M, Cummings K, 3rd, Apfel C, Sessler DI: A time-motion economic analysis of postoperative nausea and vomiting in ambulatory surgery. Can J anaesth 2012

44. Pattakos G, Koch CG, Brizzio ME, Batizy LH, Sabik JF, 3rd, Blackstone EH, Lauer MS: Outcome of patients who refuse transfusion after cardiac surgery: a natural experiment with severe blood conservation. Arch Intern Med 2012; 172: 1154-60

45. Podranski T, Bouillon TW, Riva T, Kurz AM, Oehmke MJ: Compartmental pharmacokinetics of nefopam during mild hypothermia. Br J Anaesth 2012; 108: 784-91

46. Rincón Valenzuela D, Caro A: Use of intra-operative supplemental oxygen to reduce morbidity and mortality in general anesthesia: systematic review and meta-analysis of randomized controlled trials. Colombian J Anesth 2012; 40: 34-51

47. Rincon-Valenzuela D: “We have never resigned ourselves to be mere craftsmen of anesthesia”: past, present and future of the Colombian Journal of Anesthesia. Colombian J Anesth 2012; 40: 6-7

48. Rizk MK, Tolba R, Kapural L, Mitchell J, Lopez R, Mahboobi R, Vrooman B, Mekhail N: Differential epidural block predicts the success of visceral block in patients with chronic visceral abdominal pain. Pain Pract 2012; 12: 595-601

49. Ruetzler K, Sima B, Mayer L, Golescu A, Dunkler D, Jaeger W, Hoeferl M, You J, Sessler DI, Grubhofer G, Hutschala D: Lidocaine/tetracaine patch (Rapydan) for topical anaesthesia before arterial access: a double-blind, randomized trial. Br J Anaesth 2012; 109: 790-6

50. Sessler DI, Kurz A: Departmental and institutional strategies for reducing fraud in clinical research. Anesth Analg 2012; 115: 474-6

51. Sessler DI, Sigl JC, Kelley SD, Chamoun NG, Manberg PJ, Saager L, Kurz A, Greenwald S: Hospital stay and mortality are increased in patients having a "Triple Low" of low blood pressure, low bispectral index, and low minimum alveolar concentration of volatile anesthesia. Anesthesiology 2012; 116: 1195-203

52. Shibasaki M, Nakajima Y, Shime N, Sawa T, Sessler DI: Prediction of optimal endotracheal tube cuff volume from tracheal diameter and from patient height and age: a prospective cohort trial. J Anesth 2012; 26: 536-40

53. Shimonov M, Protianov M, Blecher M, Schachter P, Landau O, Ezri T: Hemodynamic effects of laparoscopic radiofrequency ablation of liver tumors versus laparoscopic hepatic ultrasound examination. J Clin Anesth 2012; 24: 96-100

54. Steiner JW, Pop RB, You J, Hoang SQ, Whitten CW, Barden C, Szmuk P: Anesthesiology residents' medical school debt influence on moonlighting activities, work environment choice, and debt repayment programs: a nationwide survey. Anesth Analg 2012; 115: 170-5

55. Sulecki L, Dexter F, Zura A, Saager L, Epstein RH: Lack of value of scheduling processes to move cases from a heavily used main campus to other facilities within a health care system. Anesth Analg 2012; 115: 395-401

56. Treschan TA, Kaisers W, Schaefer MS, Bastin B, Schmalz U, Wania V, Eisenberger CF, Saleh A, Weiss M, Schmitz A, Kienbaum P, Sessler DI, Pannen B, Beiderlinden M: Ventilation with low tidal volumes during upper abdominal surgery does not improve postoperative lung function. Br J Anaesth 2012; 109: 263-71

57. Turan A, Dalton JE, Kasuya Y, Akca O, Sessler DI, Rauch S: Correlation between Bispectral Index, Observational Sedation Scale, and lower esophageal sphincter pressure in volunteers using dexmedetomidine or propofol. Med Sci Monit 2012; 18: CR593-6

58. Turan A, Shao D, Salmasi V, Honar H, Atim A, Dalton JE, Saager L, Sessler DI: Chemotherapy within 30 days before surgery does not augment postoperative mortality and morbidity. Can J Anaesth 2012; 59: 758-65

59. Turan A, You J, Shiba A, Kurz A, Saager L, Sessler DI: Angiotensin converting enzyme inhibitors are not associated with respiratory complications or mortality after noncardiac surgery. Anesth Analg 2012; 114: 552-60

60. Udeh CI, Udeh BL: The apples and oranges of cost-effectiveness: A rejoinder. Cleveland Clinic J Med 2012; 79: 608-10

61. Vegh T, Juhasz M, Enyedi A, Takacs I, Kollar J, Fulesdi B: Clinical experience with a new endobrochial blocker: the EZ-blocker. Journal of Anesthesia 2012; 26: 375-80

62. Wu J, You J, Yerian L, Shiba A, Schauer PR, Sessler DI: Prevalence of liver steatosis and fibrosis and the diagnostic accuracy of ultrasound in bariatric surgery patients. Obesity surgery 2012; 22: 240-7

63. Farag E, Abd-Elsayed A, Mascha EJ, O'Hara JF: Assessment of an anesthesiology academic department mentorship program. Ochsner J 2012; 12: 373-8

64. Kalkan, Y., et al.: The effect of rocuronium, sugammadex, and their combination on cardiac muscle and diaphragmatic skeletal muscle cells. J Anesth 2012; 26:870-877

65. Bignami, E., et al.Sevoflurane vs. propofol in patients with coronary disease undergoing mitral surgery: a randomised study. Acta Anaesthesiol Scand 2012; 56: 482-490

66. Kaw R, Chung F, Pasupuleti V, Mehta J, Gay PC, Hernandez AV: Meta-analysis of the association between obstructive sleep apnoea and postoperative outcome. Br J Anaesth 2012; 109: 897-906

Full Papers in press

1. Turan A, Mascha E, You J, Kurz A, Shiba A, Saager L, Sessler DI: Association between nitrous oxide and postoperative mortality and morbidity after non-cardiac surgery. Anesth Analg

2. Saager L, Turan A, Dalton JE, Figueroa P, Sessler DI, Kurz A: Red blood cell storage duration does not affect mortality in non-cardiac surgical patients: a retrospective analysis of 6,994 patients. Anesthesiology

3. Cata JP, Gottumukkala V, Sessler DI: How regional analgesia might reduce postoperative cancer recurrence. Eur J Pain

4. Rauch S, Krueger K, Turan A, You J, Roewer N, Sessler DI: Use of wireless motility capsule to determine gastric emptying and small intestinal transit times in critically ill patients. J Crit Care

5. Lindsay AJ, Xu M, Sessler DI, Blackstone EH, Bashour CA: Lactate clearance time and concentration linked to morbidity and mortality in cardiac surgery patients. Ann Thorac Surg

6. Goliasch G, Priemayr A, Fischer H, Frass M, Sessler DI, Ruetzler K: Evaluation of advanced airway manageement in absolutely inexperienced hands: a randomized manikin trial. Eur J Emerg Med

7. Abdelmalak B, Cata J, Bonilla A, You J, Kopyeva T, Vogel J, Campbell S, Sessler DI: Intraoperative tissue oxygenation and postoperative outcomes after major non-cardiac surgery: an observational study. Br J Anaesth

8. Komatsu R, You J, Mascha EJ, Sessler DI, Kasuya Y, Turan A: Anesthetic induction with etomidate, rather than propofol, is associated with increased 30-day mortality and cardiovascular morbidity after non-cardiac surgery. Anesth Analg

9. Sessler DI, Devereaux PJ: Emerging trends in clinical trial design. Anesth Analg

10. O’Hara JF, Mahboobi R, Novak SM, Bonilla AM, Mascha EJ, Fergany AF, Campbell SC, Kaouk JH, Kaple KM, Gill IS, Ziegman SA, Sessler DI: Fenoldopam and renal function following partial nephrectomy in a solitary kidney: A randomized, blinded trial. Urology

11. Turan A, Atim A, Dalton JE, Keeyapaj W, Chu W, Bernstein E, Fu A, Ho LJ, Saager L, Sessler DI: Preoperative angiotensin converting enzyme inhibitor use is not associated with increased postoperative pain or opioid use. Clin J Pain

12. Doufas AG, Orhan-Sungur M, Komatsu R, Lauber R, Akça O, Shafer SL, Sessler DI: Bispectral index dynamics during propofol hyponosis is similar in red-haired and dark-haired subjects. Anesth Analg

13. Ruetzler K, Fleck M, Nabecker S, Pinter K, Landskron G, Lessnigg A, You J, Sessler DI: Randomized, double-blind comparison of liquorice versus sugar-water gargle for prevention of postoperative sore throat and post-extubation coughing. Br J Anaesth

14. Sessler DI: The thermoregulation story. Anesthesiology in press

15. Abdelmalak B, Bonilla A, Mascha E, Maheshwari A, Tang WHW, You J, Ramachandran M, Kirkova Y, Clair D, Walsh M, Kurz A, Sessler DI: The Dexamethasone, Light Anaesthesia, and Tight Glucose Control (DeLiT) randomized controlled trial. Br J Anaesth

16. Végh T, Juhász M, Szatmári S, Enyedi A, Sessler DI, Szegedi LL, Fülesdi B: Effects of different tidal volumes for one-lung ventilation on oxygenation with open chest conditions and surgical manipulation: a randomized cross-over trial. Minerva Anesthesiologica

17. Le Guen M, Liu N, Bourgeois E, Chazot T, Sessler DI, Rouby JJ, Fischler M: Automated sedation outperforms manual administration of propofol and remifentanil in critically ill patients: a prospective randomized phase II trial. Anesthesiology

18. Ruetzler K Fleck M, Nabecker S, Pinter K, Landskron G, Lassnigg, A, You J, Sessler DI: Randomized, double-blind comparison of liquorice versus sugar-water gargle for prevention of postoperative sore throat and post-extubation coughing. Anesth Analg

19. Argalious MY, Dalton JE, Sreenivasalu T, O’Hara J, Sessler DI: Association of preoperative statin use and acute kidney injury after non-cardiac surgery. Anesth Analg

20. Akça O, Kurz A, Fleischmann E, Buggy D, Herbst F, Stocchi L, Galandiuk S, Iscoe S, Fisher J, Apfel CC, Sessler DI, and the Hypercapnia Trial Investigators: Hypercapnia and surgical site infection: A randomized trial. Br J Anaesth

21. Abdelmalak BB, Bonilla AM, Yang D, Chowdary HT, Gottlieb A, Lyden SP, Sessler DI: The hyperglycemic response to major non-cardiac surgery and the added effect of steroid administration in patients with and without diabetes. Anesth Analg

22. Farag E, Argalious M, Abd-Elsayed A, Ebrahim Z, Doyle DJ: The Use of Dexmedetomidine in Anesthesia and Intensive Care: A Review. Curr Pharm Des

23. Riveros R, Sung W, Sessler DI, Sanchez IP, Mascha EJ, Niezgoda J: Comparison of Truview PCD and GlideScopte to direct laryngoscopy in pediatric patients: a randomized trial. Can J Anaesth

24. Udeh CI, Diaz-Gómez JL, Anthony D, Satyapriya A, Perez-Protto S, Hata JS: Recent Advances in Perioperative Anesthetic Management Update on the Role of Vasopressin and its Effects on Outcomes. Curr Pharm Des

25. Douglas A, Convery E, Pickett P, Pickett P, Hata JS: Recent Advances in Perioperative Anesthetic Management Update in the Perioperative Support of Patients with Septic Shock and the Effect on Outcomes. Curr Pharm Des

26. Abdelmalak B; Lansang C: Revisiting tight glycemic control in perioperative and critically ill patients, when one size might not fit all, J Clin Anesth

27. Ulualp SO, Szmuk P. Drug-induced sleep endoscopy for upper airway evaluation in children with obstructive sleep apnea. Laryngoscope

28. Zangrillo A, Biondi Zoccai G, Landoni G, Frati G, Patroniti N, Pesenti A, Pappalardo F. et al: Extracorporeal membrane oxygenation (ECMO) in patients with H1N1 influenza infection: a systematic review and meta-analysis including 8 studies and 266 patients receiving ECMO. Crit care

29. Minai O, Yared, JP, Kaw R, Kathirvel S, Hill N. Perioperative risk and management in patients with pulmonary hypertension. Chest

30. Jaimchariyatam N, Dweik R, Kaw R, Aboussouan L. Polysomnographic Determinants of nocturnal hypercapnia in patients with sleep apnea. J Clin Sleep Med

Editorials

1. Devereaux PJ, Chan MT, Eisenach J, Schricker T, Sessler DI: The need for large clinical studies in perioperative medicine. Anesthesiology 2012; 116: 1169-75

2. Devereaux PJ, Sessler DI: The potential role of alpha-2 agonists for noncardiac surgery. Anesthesiology 2012; 116: 1192-4

3. Domino KB, Sessler DI: Internet use during Anesthesia: Does it matter? Anesthesiology 2012; 117: 1156-8

4. Larson MD, Sessler DI: Pupillometry to guide postoperative analgesia. Anesthesiology 2012; 116: 980-2

5. Saager L, Sessler DI: Targeted prophylaxis of postoperative delirium. Anesthesiology 2012; 116: 975-6

6. Kaw R. Postoperative complications in patients with obstructive sleep apnea. Clinics of Sleep Medicine, in press

7. Kaw R, Mokhlesi B. Acute aspects of sleep medicine. Sleep And Breathing, in press

Books

1. Farag E. Anesthesia for Spine Surgery. Cambridge: Cambridge University Press; 2012. 457 pgs.

2. Parat MO (ed) 2013, Morphine and metastasis, Springer, Dordrecht

3. Abdelmalak B, and Doyle J. Anesthesia for Otolaryngologic Surgery, Cambridge University press, London 2012, 353 pgs

Book Chapters

1. Could opioids affect cancer recurrence or metastases? Current experimental and translational evidence. Shanahan H., M.O. Parat, D. Buggy. In: Parat M.O., Ed. Morphine and metastasis, pp 79-94, 2013.

2. Morphine and metastasis: from bench to bedside. Parat M.O. In: Parat M.O., Ed. Morphine and metastasis, pp 1-13, 2013.

3. Abd-Elsayed AA, Farag E. Anesthesia for cervical spine surgery. In: Farag E, ed. Anesthesia for Spine Surgery. Cambridge: Cambridge University Press; 2012. Chapter 9. pp 178-187.

4. Abdelmalak B, Doyle DJ. Airway management in spine surgery. In: Farag E, ed. Anesthesia for Spine Surgery. Cambridge: Cambridge University Press; 2012. Chapter 4. pp 50-60.

5. Abdelmalak B, Riad I. Monitored anesthesia care and anesthesia outside the operating room. In: Longnecker DE, Brown DL, Newman MF, Zapol WM, eds. Anesthesiology. 2nd ed. New York , NY: McGraw-Hill Medical; 2012. Chapter 69. pp 1260-1274.

6. Avitsian R, Farag E. Neuroanesthesia. In: Longnecker DE, Brown DL, Newman MF, Zapol WM, eds. Anesthesiology. 2nd ed. New York, NY: McGraw-Hill Medical; 2012. Chapter 51. pp 869-898.

7. Bauer M, Kurz A, Farag E. Fluid management. In: Farag E, ed. Anesthesia for Spine Surgery. Cambridge: Cambridge University Press; 2012. Chapter 2. pp 25-42.

8. Cata JP, Zaky S. Postoperative acute pain. In: Farag E, ed. Anesthesia for Spine Surgery. Cambridge: Cambridge University Press; 2012. Chapter 18. pp 302-320.

9. Hata, TM and Hata, JS. Pre-anesthetic Evaluation and Preparation. In: Clinical Anesthesia. Editors: Barash, PG, Cullen, BF, and Stoelting, RK. Edition: Sixth. Publisher: Lippincott. 2013.

10. Noguera E, Burkey B, Abdelmalak B . Anesthesia for Flap Reconstruction, In : Abdelmalak B and Doyle DJ eds. Anesthesia for Otolaryngologic Surgery. London, UK , Cambridge University Press. Chapter 16. pp 151-162.

11. Khanna A, Wood B, Abdelmalak B . Anesthesia for Zenker’s diverticulum Surgery, In : Abdelmalak B and Doyle DJ eds. Anesthesia for Otolaryngologic Surgery. London, UK , Cambridge University Press. Chpater 20. pp 195-202

12. Abdelmalak B, Sarkiss M . Anesthesia for Advanced Diagnostic Bronchoscopic Procedures, In : Abdelmalak B and Doyle DJ eds. Anesthesia for Otolaryngologic Surgery. London, UK , Cambridge University Press. Chapter 30. pp 297-308

13. Abdelmalak B, Sarkiss M . Anesthesia for Therapeutic Bronchoscopic Procedures, In : Abdelmalak B and Doyle DJ eds. Anesthesia for Otolaryngologic Surgery. London, UK , Cambridge University Press. Chapter 31. pp 309-320

14. Sakhai H, Vidaurri L, Grover L, Kravitz B, Szmuk P. Use of inhalational anesthetics and neuromuscular blocking agents in the ICU. Stockwell JA and Pressing CM Editors. In: Society of Critical Care Medicine. Comprehensive Critical Care: Pediatric. Mt. Prospect, IL: Society of Critical Care Medicine; 2012. Chapter 91. pp 579-88