Anesthesiology Perioperative Interventional Procedural Pain Program
The Department of Anesthesiology at Columbia is expanding its Perioperative Interventional Pain Program" reports Dr. Robert Maniker. Nerve blocks can be used for many procedures, with fewer side effects such as drug-induced nausea and vomiting.
Drs. Maniker and Brown have developed a Hip Fracture Protocol in which a femoral nerve catheter will be placed in patients presenting with femoral fractures. The catheter will be placed in the ED or on the floor under ultrasound guidance as soon as possible following admission, and will remain in place throughout the perioperative period. The objective is to improve perioperative pain management as well as patient satisfaction.
The performance of peripheral nerve blocks for non-orthopedic surgery is increasing, in part due to increased use of Transversus Abdominis Plane (TAP) blocks for postoperative analgesia following abdominal surgery for example hysterectomy. We are encouraging the use of these and other regional procedures to improve post-operative pain control.
Dr. George Gallos Wins Obstetric Award in New Orleans
George Gallos received the top translational science award at the annual meeting of the Society for Maternal-Fetal Medicine. The award entitled “Research Excellence in study of Prematurity and Maternal Physiology” was awarded at The Pregnancy Meeting hosted by the Society in New Orleans. Dr. Gallos’ research abstract presented a strategy for targeting the anoctamin family of chloride channels in uterine smooth muscle as a novel therapy for preterm labor.
Pain Medicine Opens Location At 1790 Broadway (at Columbus Circle)
Columbia Doctors Pain Medicine has opened a new purpose built, state of the art facility at 1790 Broadway. The new facility at Columbus Circle in the Upper West Side is ideally located in a landmark building with easy access to public transport. The new facility will consolidate interventional pain procedures, medical and psychology consultations in one setting.
According to Dr. Margaret Wood, MD the E.M. Papper Professor of Anesthesiology and Chairman of the Department, the totally new facility will allow the team of pain medicine experts practicing at the new facility to treat patients with not only state of the art equipment but also do so in a facility that is aesthetically outstanding. The pain medicine team includes Drs. Weinberger, Bandola, Mathew, Dizdarevic, Maniker and Sonty. All of the Columbia Doctors Pain Medicine specialists practicing in the new facility are board certified in Anesthesiology and Pain Medicine, with special expertise in interventional pain management.
Dr. Michael Weinberger, the chief of the Division of Interventional Pain Medicine commented on the pleasure of transitioning from the previous windowless offices to the new facility, which has stunning Central Park views and a custom designed layout to facilitate patient flow and enhance the patient experience. The Center will have a state-of-the-art procedural room with a dedicated recovery area for patient comfort.
Services include treatment for conditions such as spine related pain, post-surgical pain, abdominal and pelvic pain, cancer pain, headache, trigeminal neuralgia, post herpetic neuralgia. We offer a complete portfolio of interventional procedures, all of which can be performed at 1790 Broadway (see box).
- Fluoroscopically guided interventions
- Epidural steroid injections
- Selective nerve root injections
- Facet joint injections and medial branch blocks
- Radiofrequency ablation
- Sacroiliac joint injections
- Joint injections (shoulder, knee, hip)
- Ultrasound guided injections
- Celiac plexus and splanchnic nerve blocks
- Sympathetic plexus/nerve blocks (stellate ganglion, lumbar sympathetic, peripheral sympathetic nerve injections)
- Peripheral nerve blocks (intercostal, ilioinguinal, pudendal, genitofemoral, brachial plexus, transversus abdominis and rectus sheet blocks)
- Paravertebral nerve blocks
- Sphenopalatine and trigeminal ganglion blocks
- Kyphoplasty/vertebral augmentation procedures
- Spinal cord stimulation
- Intrathecal pumps
- Psychological approaches to pain management, meditation therapy
Same Day appointments can be made by calling before 11a.m. to (212) 305-7114
Congratulations to Emily Vail: Gold Humanism and Excellence in Teaching Award!
Emily Vail has been selected by the P&S Class of 2016 as one of the six outstanding residents, for her qualities as a teacher and role model, among all house officers who the class had encountered in all required 3rd year clinical clerkships at all hospitals where the clerkships are taught. The awards will be presented on Friday, January 3, 2014 at 1:00 pm, at the Steven Z. Miller Student Clinician’s Ceremony in the Alumni Auditorium. A reception will follow the ceremony in the Bard Hall Lounge.
This is a tremendous achievement, and the whole Department is very proud of Emily, and indeed all our residents.
The Department of Anesthesiology wishes everyone Happy Holidays, and a Healthy and Prosperous 2014
Columbia at the Annual Meeting of the ASA in San Francisco
As usual, Columbia was well represented at this years’ ASA meeting in San Francisco, and many faculty, residents and fellows attended.
Caleb Ing, MD for the nomination of his abstract for the ASA Best of Clinical Sciences Abstracts. Entitled “Multimodal Assessment of Cognitive Outcomes Associated With Exposure to Anesthesia in Early Childhood”
Charles W. Emala, MD for being selected to present this year¹s FAER Honorary Lecture. Entitled “Peripheral GABAA Receptors: Unrecognized Anesthetic Targets?”
Ryan MJ Ivie, MD for winning the Young Investigator Award at this year¹s SOCCA Meeting. Entitled “The Generalizability of Randomized Controlled Trials in Critical Care Medicine”
Click here to see our events at the ASA
San Francisco Run For The Warriors
Some fun running facts: we had 22 members on the Columbia Anesthesia Team and raised just under $1000 --- a great time was had by all runners and walkers!
THE DEPARTMENT HAS HAD SOME RECENT WELL DESERVED FUNDING AND RESEARCH SUCCESSES:
Dr. Charles Emala, Anesthesiology, received $1.3 million over five years in a competitive renewal from the National Institute of General Medical Sciences for “Anesthesiology Research Training” for our NIH T32 Mentored Research Fellow Training Grant. Due to our past success, we also were awarded 4 positions, not 3 positions as in the past.
SmartTots Research Grant Awarded to Dr. Lena Sun - Pediatric Anesthesia Neurodevelopment Assessment (PANDA) Study. Dr. Sun received $200,000 to fund her very important clinical study into neurocognitive defects following anesthesia in a pediatric population.
Dr. Ryan Ivie's abstract on inclusion and exclusion criteria in ICU trials was awarded the Young Investigator Award for this year's SOCCA meeting in October.
Congratulations to all!
APPLICATIONS FOR APGAR FELLOWSHIPS MOVES TO NRMP MATCH
Since we launched the Apgar Scholars Program for entering residents more than a decade ago the program has attracted a stellar group of individuals who are now progressing well in their academic careers. The program continues to be one of the most innovative and influential in defining the future of academic anesthesiology in the US. It has been widely emulated by other leading academic departments and has become an important part of the training environment at Columbia. This year in order to make it easier for applicants and reduce the burden of extra paperwork on our applicants we are going to move the Apgar Application process to the NRMP match. From this year we will offer our 24 regular categorical residency slots and in addition our 2 Apgar categorical slots through NRMP (See link to our website for full details here). What this means is that applicants to our program who want to apply to be considered as an Apgar Scholar should do the following:
- List the Apgar Scholar Categorical position in your rank order list
- Assuming you want to apply for a regular residency slot (in case you do not match to an Apgar slot) you should also list a regular Columbia Categorical Position on your rank order list
- Two separate ERAS applications will NOT be needed
- If you are applying for an Apgar Scholar’s position you should mention this in your personal statement
We are excited to continue this enormously successful program at Columbia and to help our applicants reduce the complexity of the application process
Dr. Jack Shanewise received the “Outstanding Achievement in Perioperative Echocardiography Award” from the American Society of Echocardiography! It was presented at the 4th Annual ASE Foundation Gala on Saturday, June 29, 2013.
Congratulations to Columbia Doctors Named to New York Magazine Best Doctors List (Castle Connolly)
Our very own Dr. Michael Weinberger received recognition in the specialty area of Pain Medicine.
Physicians are nominated not only because of their special training and clinical skills, but also because of the time, care and concern they give to their patients. Well done Mike!
Our Local Hero!!
We come to work every day hoping what we do will make a difference in a child's life and the life of his/her family. Sometimes we do a reasonable job; sometimes we can only say we have tried our best. But, our friend and colleague Rob Kazim does more than that even when he is on vacation! He SAVED a young child's life!
He was on vacation in Florida in June. Together with his sister, Deb Kazim, they
brought back a life that was almost lost at the bottom of a swimming pool. A five year
old was resuscitated and brought back to life because Rob happened to take the long way to leave the pool area. This young boy is going to have a full life because Rob noticed him, brought him to the surface, pulseless, blue and cold. Deb and Rob did chest compressions and mouth to mouth for many minutes. The child was revived and the family is whole.
We want to share with you this touching story. We are privileged to be able to say that we personally know a hero. And, this hero is our friend Rob!
Dr. Caleb Ing featured on the Website for SmartTots
View the video, and see Caleb Ing speaking in our very own library!
The IARS SmartTots asked three doctors specializing in pediatric anesthesia, Dr. Dean Andropoulos, Dr. Peter Davis, and Dr. Caleb Ing to address this and other questions in the newly released video, Perspectives from the Front Lines. This brief video covers 5 key topics:
Anesthesia and the Developing Brain
Complicated Anesthetic & Sedative Drugs
Impact on Children
Types of Studies Still Needed
Research Funding Needed
As discussed by Dr. Ing in this video, an association has been found between exposure to anesthesia and long-term cognitive effects. He goes on to explain that “We still don’t know if this is due to the anesthesia itself, surgery or another factor such as the child’s medical condition.” We need to find the answer to this question to ensure the safety of children as they undergo anesthesia or sedation.
Watch the video at: www.SmartTots.org or click here: http://www.youtube.com/watch?feature=player_embedded&v=_7dMpmwRxzs
Neil Masters, MD a Columbia anesthesia resident has been awarded the 2013 SEA-HOV Traveling Fellowship. Congratulations!
The fellowship recipient will serve a one month assignment at a Health Volunteers Overseas (HVO) anesthesia training site in Ethiopia, Malawi, or Vietnam.
The SEA-HVO Fellowship allows senior anesthesia residents the opportunity to improve anesthesia care in developing countries by teaching and mentoring their counterparts. The SEA-HVO Fellows will be exposed to a wide range of surgical pathologies and anesthetic techniques not commonly seen in the United States. They will learn to communicate more effectively with people from different cultures and will be exposed to the realities and constraints of delivering health care in a resource scarce environment. Most importantly, SEA-HVO Fellows will serve as teachers of anesthesia and role models for the anesthesia students at the HVO program site where they serve, contributing to the future safety of patients receiving anesthesia in developing nations.
Residents Win Anesthesia Jeopardy!
Ryan Ivie holds the trophy aloft, after having led the residents to victory over the attendings in the game show Anesthesia Jeopardy.
Welcome to the New Residents – The Class of 2017
During the last week of June the new residents spent time undergoing orientation, and meeting staff and faculty – and also having a good time socially getting to know each other.
- Alisa Chen - UMDNJ-Robert Wood Johnson Medical School-Piscataway
- Jerri Chen - Albert Einstein College of Medicine of Yeshiva University
- Sarah Dillon - State University of New York Upstate Medical University
- Anthony Fernandes - UMDNJ-Robert Wood Johnson Medical School-Piscataway
- Peter Fu - Boston University School of Medicine
- David Gottlieb - Albert Einstein College of Medicine of Yeshiva University
- Keren Griffiths - University of Connecticut School of Medicine
- Caroline Gross - University of Maryland School of Medicine
- Holden Groves -University of California, San Diego, School of Medicine
- Kurt Hoffmeister - Washington University in St Louis School of Medicine
- Rhea Ittoop - UMDNJ-Robert Wood Johnson Medical School-Camden
- Matthew Kron - Columbia University College of Physicians and Surgeons
- Jessie Lo - UMDNJ-New Jersey Medical School
- Yang Long - New York University School of Medicine
- Elvedin Lukovic - State University of New York Downstate Medical Center College of Medicine
- Fatemah Mamdani - UMDNJ-New Jersey Medical School
- Julia Pavelic - Pennsylvania State University College of Medicine
- Martin Pavelic - Pennsylvania State University College of Medicine
- Lauren Rosenberg - Columbia University College of Physicians and Surgeons
- Safa Shaikh - UMDNJ-Robert Wood Johnson Medical School-Piscataway
- Dorothy Van Oppen - Washington University in St Louis School of Medicine
- Yefim Vilnits - State University of New York Downstate Medical Center College of Medicine
- Jeremy Walco - University of Louisville School of Medicine
- Joshua Wong - Albert Einstein College of Medicine of Yeshiva University
- Matthew Yoder - Indiana University School of Medicine
Welcome to Class Day at Columbia University, College of Physicians & Surgeons
Tuesday, May 21st, 2013
Dr. Wood was honored to present the Virginia Apgar Award for Excellence in Anesthesiology to Sucie Chang. Sucie has carried out outstanding research in the laboratory of Dr. C. Emala, her mentor, and we are pleased that she has chosen to match for an Anesthesiology Residency. Dr. Wood was especially delighted to have the opportunity to present the award to not only her, but also her beautiful baby!
We wish both her and her family good fortune in the coming years.
Coming Soon! The Department of Anesthesiology Pain Medicine Clinic is moving to 1790 Broadway, Columbus Circle in the late fall of 2013.
The Department is working with Architects and Interior Designers to create a wonderful new state-of-the-art facility which will function as an ambulatory clinic with a procedure room and recovery area, incorporating the latest technology.
Congratulations to Hannah Wunsch who has been elected to Membership in the Association of University Anesthesiologists (AUA).
The AUA’s Mission is the advancement of the Art and Science of anesthesiology by: (1) the encouragement of its members to pursue original investigations in the clinic and in the laboratory; (2) the development of methods of teaching (anesthesia); and (3) the free and informal interchange of ideas. Membership is honorific, by election.
"Staff Profile Corner"
Elsa Wuhrman, DNP, FNP, BC, DCC is our nurse practitioner for Acute Pain Services. She has been an asset to the department, since joining us in early 2005. Her love and talent for the field of pain management is obvious as underscored by her many patient accolades. Dr. Wuhrman derives great satisfaction, especially from successfully treating some of our more challenging patients with complex pain issues. She is particularly enthusiastic about applying new theories and therapies described in the literature in attainment of that goal. She finds the physiology of pain and its evolving treatments fascinating, and has taken a great interest in the field of pharmacogenetics, especially as it relates to opioid and other analgesic medications and has lectured on this topic at various forums.
Her collaborative approach to patient care helps to ensure that patients receive optimal pain management during their stay, as well as in the outpatient setting after discharge. As an extension of that collaboration Dr. Wuhrman also serves as a resource to residents, fellows, nurses, physician assistants and other health care colleagues. Whether during patient rounds or formal inservices she is always ready to share her expertise with others. She is an assistant professor in the School of Nursing and regularly precepts NP and DNP students.
Dr. Wuhrman graduated from Hunter College with a BS in nursing, obtained her Master’s Degree from SUNY Stony Brook, and completed her doctoral studies at Columbia University in May 2012. She became a nurse practitioner in 1987 and has been active in the promotion of the role in New York State and in educating future nurse practitioners.
In addition to providing direct patient care Dr. Wuhrman works closely with Dr. Anthony R. Brown, Director of Acute Pain Services, developing and maintaining departmental policies related to pain management. She also collaborates with nursing and other disciplines to provide the same development and maintenance of nursing and hospital policies. It is her fervent hope that this collaboration will bring about real change in the way other disciplines approach the patient with pain, thereby improving pain management even for those patients not directly managed by the Pain Service.
In furtherance of this goal and in representing the Department of Anesthesiology, she has been instrumental in putting forth a number of NYP/CUMC’s major initiatives including the development and implementation of the Pain Resource Nurse (PRN) education program; expansion of the ability to prescribe intravenous Patient Controlled Analgesia to non pain management/anesthesiology providers; and, in close collaboration with our Pediatric Pain Management division, the transfer of PCA, PCEA, and PCRA paper orders to an electronic ordering system and the development of the Ketamine for Analgesia policy. She represents the department in several key committees including the Sedation and Analgesia Committee; HCAHPS pain management steering committee and the Sickle Cell Pathway Task Force. Currently, Dr. Wuhrman is spearheading the effort to pilot and evaluate the potential of subcutaneous infusions and/or PCA for pain control in our patients with poor IV access, a project of the Sedation and Analgesia Committee, co-chaired by Dr. Brown.
She is active in the American Society for Pain Management Nursing and has served on key committees, chairing the Education Committee for several years. Dr. Wuhrman has co-authored important articles related to managing pain and she has extensive experience speaking on related topics. She is also a member of the Sigma Theta Tau Honor Society.
When not working, she loves to spend time with her family, especially her 12 year old daughter, Rachel and husband John, as well as the cat, dog, bird, and fish. They enjoy going to the beach in the summer and sledding in the snow in the winter. Right now, the family is eagerly preparing for Rachel’s Bat Mitzvah this coming June.