ANESTHESIOLOGY AND PAIN MEDICINE

from Nationwide Children's 2020 Annual Report

ABIGAIL WEXNER RESEARCH INSTITUTE

Department Report

The Department of Anesthesiology and Pain Medicine at Nationwide Children’s Hospital consists of fellowship-trained, board-certified pediatric anesthesiologists. The department provides anesthesiology and pain-management services for pediatric patients of all ages, from neonates through adolescents, requiring all types of surgical procedures, procedural sedation outside the operating room, acute and chronic pain management, and palliative care.

FACULTY

Joseph D. Tobias, MD

Chief

Emmanuel Alalade, MD Graciela Argote-Romero, MD Rita Banoub, MD Ralph Beltran, MD Jason Bryant, MD Candice Burrier, MD Gregory Cambier, MD Richard Cartabuke, MD Kristin Chenault, MD Marco Corridore, MD Olamide Dairo, MD Ajay D’Mello, MD Sujana Dontukurthy, MD Nicole Elsey, MD Seth Hayes, MD Renee Heng, MD Grant Heydinger, MD Lisa Humphrey, MD Natalie Jacobowski, MD Sarah Khan, MD Senthil G. Krishna, MD David Martin, MD Gregory Maves, MD Christopher McKee, DO Renata Miketic, MD Alok Moharir, MD Olubukola Nafiu, MD Aymen Naguib, MD Vanessa Ng, MD Priyal Patel, DO Vidya Raman, MD Leila Reduque, MD Lance Relland, MD Devin Sanders, MD Brian Schloss, MD Erica Sivak, MD Ashley Smith, MD Steven Smith, MD Timothy Smith, MD Ahsan Syed, MD Arlyne Thung, MD Joshua Uffman, MD Giorgio Veneziano, MD Brittany Willer, MD Peter Winch, MD

The Department of Anesthesiology and Pain Medicine includes 43 pediatric anesthesiologists, four palliative care physicians and 50 certified registered nurse anesthetists who provide care at 43 sites per day. Last year, the department provided anesthetic care and sedation services for approximately 40,000 procedures. Members of the faculty are fellowshiptrained in pediatric anesthesiology and board certified

in anesthesiology and pediatric anesthesiology by the American Board of Anesthesiology. Additional board certification is held in pediatric critical care medicine (two faculty), pain medicine (eight faculty) and general pediatrics (four faculty). An attending pediatric anesthesiologist is present in the hospital at all times for emergency cases. There is a division of cardiac anesthesia that includes six physicians dedicated to the care of patients with acquired and congenital heart disease. We also have an active acute pain service that provides pain management services, including patient-controlled analgesia and regional anesthesia. The department also provides palliative care and hospice services with four full-time palliative care physicians.

The fellowship program provides subspecialty training in pediatric anesthesiology for fellows in both an ACGMEaccredited program and international fellows from all over the world. Advanced subspecialty training is offered in pediatric cardiac anesthesia, pediatric regional anesthesia, quality improvement and safety, acute pain management, chronic pain management and palliative care.

Departmental research initiatives are led by a Vice-Chair for Academic Affairs and supported by two postdoctoral research scientists, two full-time clinical research nurses, a data analyst and two research associates. The department participates in an active clinical research program with numerous ongoing prospective investigations in various areas of pediatric anesthesiology, including novel approaches to airway management, techniques of regional anesthesia, perioperative implications of comorbid conditions, including obstructive sleep apnea and COVID-19, the use of novel pharmacologic agents in the pediatric population, outcomes research and quality improvement initiatives. The department published more than 50 manuscripts in peer-reviewed journals and presented more than 50 abstracts at national meetings last year. In response to the COVID-19 crisis, the perioperative team has put into place measures to effectively allow the safe continuation of all operating room and pain management activities. We anticipate that our surgical cases will see continued growth into the fall and winter months. An additional operating room site will be opened in the spring of 2021 to allow for expansion of our surgical volumes to meet the demands of newly hired surgical colleagues. We anticipate increases in the solid organ transplantation program and the development of a fetal surgery program. There will be continued growth of chronic pain initiatives, including expansion of palliative care services, the inpatient rehabilitation program for patients with complex pain issues and the chronic pain clinic.

SELECTED PUBLICATIONS

Cartabuke RS, Anderson BJ, Elmaraghy C, Rice J, Tumin D, Tobias JD. Hemodynamic and pharmacokinetic analysis of oxymetazoline use during nasal surgery in children. The Laryngoscope. 2019 Dec;129(12):2775-2781.

Hodge AB, Thornton BA, Gajarski R, Hersey D, Cannon M, Naguib AN, Joy BF, McConnell PI. Quality improvement project in congenital cardiothoracic surgery patients: reducing surgical site infections. Pediatric Quality & Safety. 2019 Jul 22;4(4):e188.

Miller R, Tumin D, Hayes D Jr, Uffman JC, Raman VT, Tobias JD. Unmet need for care coordination among children with special health care needs. Population Health Management. 2019 Jun;22:255-261.

Nafiu OO, Mpody C, Kim SS, Uffman JC, Tobias JD. Race, postoperative complications and death in apparently healthy children. Pediatrics. 2020 Aug;146:e20194113. [Epub ahead of print]

Pfaff KE, Tumin D, Miller R, Beltran RJ, Tobias JD, Uffman JC. Perioperative aspiration events in children: A report from the Wake-Up Safe Collaborative. Pediatric Anesthesia. 2020 Apr 22. [Epub ahead of print]

2019 – 2020 NATIONWIDE CHILDREN’S FELLOWSHIP PROGRAM