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ACCM Achievements, May 2014

Grants Received

Roger Johns, MD, was awarded a grant for his application titled “Targeting PDZ to Unravel Early Anesthetic Exposure-Produced Cognitive Dysfunction.”
Jenny Lee, MD, was awarded a grant for her application titled “Neuronal Injury After Pediatric Cardiac Arrest, Hypothermia, and Rewarming.”
Bryan Maxwell, MD, MPH, received a 2014 Kaplan Leadership Grant from the Society of Cardiovascular Anesthesiologists for his project titled "Development of a Comprehensive Perioperative Registry of Noncardiac Surgery and Obstetric Care for Patients with Adult Congenital Heart Disease."
Jochen Steppan, MD, was awarded a Mentored Research Training grant from the Foundation for Anesthesia Education and Research (FAER) for his application titled “The Role of LOXL2 in Vascular Stiffness.” His mentors are Lakshmi Santhanam and Dan Berkowitz.
Siqi Tan, ChemBE Junior, received a Provost's Undergraduate Research Award. Her sponsor is Lakshmi Santhanam.
Nick Dalesio, Robert Greenberg, Sapna Kudchadkar, and David Tunkel (Pediatric Otolaryngology) were granted this year's Women’s Board Grant for “The Multidisciplinary Pediatric Airway Management Improvement Initiative” to buy airway equipment for pediatric airway management inside and outside of the operating room.

Articles Published
   1. Bhalala US. Cooling after pediatric cardiac arrest: A hot topic. J Pediatr Crit Care 2014; 1:75-84.
   2. Brown CH, Azman AS, Gottschalk A, Mears SC, Sieber FE. Sedation depth during spinal anesthesia and survival in elderly patients undergoing hip fracture repair. Anesth Analg 2014; 118:977-80.
   3. Hamrick JL, Hamrick JT, Lee JK, Lee BH, Koehler RC, Shaffner DH. Efficacy of chest compressions directed by end-tidal CO2 feedback in a pediatric resuscitation model of basic life support. J Am Heart Assoc 2014; 3:e000450.
   4. Hashmi ZG, Schneider EB, Castillo R, Haut ER, Zafar SN, Cornwell EE, III, Mackenzie EJ, Latif A, Haider AH. Benchmarking trauma centers on mortality alone does not reflect quality of care: Implications for pay-for-performance. J Trauma Acute Care Surg 2014; 76:1184-91.
   5. Jacob A, Chakravarthy K, Law M. Neuroradiology, anesthesia, bioengineering, and hardware programming in the clinical applications of deep brain stimulation. Cureus 2014; 6:e172.
   6. Lipsett PA. Training requirements for critical care medicine internal medicine-based programs: helpful, haphazard, or harmony? Crit Care Med 2014; 42:1321-3.
   7. Njoku DB. Drug-induced hepatotoxicity: metabolic, genetic and immunological basis. Int J Mol Sci 2014; 15:6990-7003.
   8. Pandian V, Bose S, Miller C, Schiavi A, Feller-Kopman D, Bhatti N, Mirski M. Exploring quality of life in critically ill tracheostomy patients: a pilot study. ORL Head Neck Nurs 2014; 32:6-8, 10-3.
   9. Paradis E, Leslie M, Puntillo K, Gropper M, Aboumatar HJ, Kitto S, Reeves S. Delivering interprofessional care in intensive care: a scoping review of ethnographic studies. Am J Crit Care 2014; 23:230-8.
10. Perez B, Knych SA, Weaver SJ, Liberman A, Abel EM, Oetjen D, Wan TT. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. J Patient Saf 2014; 10:45-51.
11. Schneider EB, Sur S, Raymont V, Duckworth J, Kowalski RG, Efron DT, Hui X, Selvarajah S, Hambridge HL, Stevens RD. Functional recovery after moderate/severe traumatic brain injury: A role for cognitive reserve? Neurology 2014; in press.
In a study of 769 patients with moderate or severe traumatic brain, the authors found that level of education, as measured by the number of years of formal schooling, was most predictive of full recovery. They concluded that educational attainment could be a marker of cognitive reserve and plasticity. Understanding the underpinnings of cognitive reserve in terms of brain biology could generate ideas for enhancing recovery from brain injury.
12. Stevens RD, Hannawi Y, Sair H. Small vessel disease and the resting functional architecture of the brain. J Cereb Blood Flow Metab 2014; in press.
13. Sue E, Pustavoitau A, Hirshberg EL, Nishisaki A, Conlon T, Kantor DB, Weber MD, Godshall AJ, Burzynski JH, Thompson AE. Establishing intensivist-driven ultrasound at the pediatric ICU bedside, it's about time. Pediatr Crit Care Med 2014; in press.
This is a perspectives piece about the growing interest in ultrasound in the pediatric ICU. For central venous catheters, it is rapidly becoming standard of care, though people do not know if it should replace traditional methods of insertion completely. Studying the use of cardiac ultrasound is difficult because the practice varies greatly between institutions. However, the topic deserves attention because of its increasing presence in clinical practice and mandated guidelines.
14. Sutton RM, Friess SH, Maltese MR, Naim MY, Bratinov G, Weiland TR, Garuccio M, Bhalala U, Nadkarni VM, Becker LB, Berg RA. Hemodynamic-directed cardiopulmonary resuscitation during in-hospital cardiac arrest. Resuscitation 2014; in press.
15. Talke PO, Sharma D, Heyer EJ, Bergese SD, Blackham KA, Stevens RD. Society for Neuroscience in Anesthesiology and Critical Care Expert consensus statement: anesthetic management of endovascular treatment for acute ischemic stroke*: endorsed by the Society of NeuroInterventional Surgery and the Neurocritical Care Society. J Neurosurg Anesthesiol 2014; 26:95-108.
16. Wang PF, Fang H, Chen J, Lin S, Liu Y, Xiong XY, Wang YC, Xiong RP, Lv FL, Wang J, Yang QW. Polyinosinic-polycytidylic acid has therapeutic effects against cerebral ischemia/reperfusion injury through the downregulation of TLR4 signaling via TLR3. J Immunol 2014; in press.
17. Yamaji-Kegan K, Takimoto E, Zhang A, Weiner NC, Meuchel LW, Berger AE, Cheadle C, Johns RA. Hypoxia-induced mitogenic factor (FIZZ1/RELMalpha) induces endothelial cell apoptosis and subsequent interleukin-4-dependent pulmonary hypertension. Am J Physiol Lung Cell Mol Physiol 2014; in press.

Accomplishments and Honors

  • David West, clinical technician in the Weinberg PACU, was chosen by the Johns Hopkins Department of Service Excellence as one of the new Service Stars for the month of May. He is one of seven chosen out of nominations from the entire hospital.
  • Marcus Howard, clinical technician in the Weinberg PACU, has been nominated by the US Navy for the “Pride in Professionalism” Award recognition. The decision about the final recipient for the award has not been made.
  • Michael C. Grant, MD, was awarded The Frank L. Coulson, Jr. Award for Clinical Excellence within the residency at Johns Hopkins Hospital. The award was presented by The Miller-Coulson Academy of Clinical Excellence and Center for Innovative Medicine at their symposium held on May 2, 2014.
  • Jian Wang, MD, PhD, was promoted to the rank of Associate Professor.
  • Lilly Engineer, MBBS/MD, DrPH, MHA, was selected as a Baldrige Performance Excellence Award examiner by the Maryland Performance Excellence Foundation and was awarded the JHU SOURCE Service Learning Faculty Fellowship award for her contribution to helping students learn to implement the service learning component with coursework in the field of patient safety and quality.
  • Krishnan Chakravarthy, MD, PhD, an ACCM resident, was accepted to the editorial board of Clinical Research Monitor, which publishes manuscripts pertaining to all aspects of clinical research and clinical trials, including but not limited to, design, conduct, analysis, regulation, and ethics.
  • Utpal Bhalala, MD, was appointed as Associate Editor for Frontiers in Pediatric Critical Care and to the International Advisory Board for the Journal of Pediatric Critical Care, official journal of the Indian Academy of Pediatrics Intensive Care Chapter.
  • As co-chair of the SCCM Certification Task Force, Aliaksei Pustavoitau, MD, published "Recommendations for achieving and maintaining competence and credentialing in critical care ultrasound with focused cardiac ultrasound and advanced critical care echocardiography." It lays out requirements for competency, credentialing, and certification in critical care ultrasound.
  • The article by Jochen Steppan et al., "Exercise, vascular stiffness, and tissue transglutaminase" (see February Congratulations), was featured in an editorial in the Journal of the American Heart Association.
  • Robert Stevens, MD, is organizing the Neuroscience in Intensive Care International Symposium, which will be held in Paris in June. He was also interviewed by Sheilah Kast for WYPR's Maryland Morning regarding his article on functional recovery after traumatic brain injury.
  • Robert Thomsen, MD, was elected for a 3-year term as Alternate District Director, a member of the ASA Board of Directors.

Conferences and Talks

  • Lakshmi Santhanam, PhD, gave an invited talk titled "Vascular Aging and Transglutaminase" at Experimental Biology in San Diego.
  • Robert Greenberg, MD, gave talks last month at the Gießener Kinderanästhesie-Symposium 2014 (in Gießen) and at a Grand Rounds in Heidelberg, Germany.
  • Lauren Berkow, MD, will give two visiting professorship lectures in May, one at Zurich University Hospital and one at Bern University Hospital.
  • Lauren Berkow, MD, gave a lecture at the SAMBA meeting on April 25 in Baltimore on the new 2013 ASA Difficult Airway Guidelines. She also gave several airway lectures and workshops at the Australian and New Zealand College of Anaesthetists and Royal Australasian College of Surgeons Airway-Sig meeting in Singapore, May 2-5.
  • Matthew Trojanowski, RRT, Manager of Adult Respiratory Care Services, will be delivering two lectures at the American Association for Respiratory Care 60th International Congress in Las Vegas, Nevada in December, 2014: Using Transparent Leadership to Create, Execute and Sustain a Strategic Plan, Parts I and II.
  • Nicole Spears, a post-baccalaureate student in Nikki Heller's lab, presented her work as a poster at the annual meeting of the American Association of Immunologists.
  • Sarah McCormick, postdoctoral fellow in Nikki Heller's lab, gave an oral presentation at the annual meeting of the American Association of Immunologists.
  • Kristi Warren, postdoctoral fellow in Nikki Heller's lab, gave an oral presentation at the annual meeting of the American Association of Immunologists.
  • Robert Stevens, MD, was a keynote speaker at the 2014 OhioHealth Neuroscience Symposium.
  • Marie Defrancesco-Loukas, CRNA, had a poster at the Heart Rhythm Society's annual meeting. The poster title was "Patient Awareness of High Frequency Jet Ventilation to Minimize Cardiac Motion During Interventional Procedures."

Anesthesiology Events

Discovery and Innovation Calendar

Anesthesiology Grand Rounds

ACCM Grand Rounds take place Thursdays at 7 AM in Hurd Hall. Windows Media Player is required to view webcasts.

10/6: Abraham Endowed Lecture – Shad Deering, COL, MD, FACOG

10/13: Richard Traystman, PhD

10/20: Patient Based Learning Discussion

10/27: Quality Assurance Committee Meeting

11/3: Glenn Woodworth, MD

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