Shihab Sugeir

Washington Hospital

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James A. Onigkeit

Mayo Clinic in Arizona

Sumedh S. Hoskote

Mayo Clinic

Philip D. Lumb

Drexel University

Jeffrey B. Jensen

Mayo Clinic in Arizona

Elizabeth C. Hassebroek

Mayo Clinic

Misty A. Radosevich

Mayo Clinic in Arizona

Alireza Ghoreifi

University of Southern California

J. Kyle Bohman

Mayo Clinic in Arizona

Jae Seung Jung

Korea University

Nader Moazami

NYU Langone Health

Cooperative Institutions

University of Southern California

Sağlık Bilimleri Üniversitesi

Kartal Koşuyolu High Specialization Training and Research Hospital

Mayo Clinic

Mayo Clinic in Arizona

University of Health Science

Keck Hospital of USC

USC Norris Comprehensive Cancer Center

Baylor College of Medicine

Southern California University for Professional Studies

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Impact of a Perioperative Protocol on Length of ICU and Hospital Stay in Complex Spine Surgery

Journal of Neurosurgical Anesthesiology (2019)

Eugenia Ayrian Shihab Sugeir Anush Arakelyan D Arnaudov Patrick C. Hsieh

Background: In an attempt to improve patient care, a perioperative complex spine surgery management protocol was developed through collaboration between spine surgeons and neuroanesthesiologists. The aim of this study was to investigate whether implementation of the protocol in 2015 decreased total hospital and intensive care unit (ICU) length of stay (LOS) and complication rates after elective complex spine surgery. Materials and Methods: A retrospective cohort study was conducted by review of the medical charts of patients who underwent elective complex spine surgery at an academic medical center between 2012 and 2017. Patients were divided into 2 groups based on the date of their spine surgery in relation to implementation of the spine surgery protocol; before-protocol (January 2012 to March 2015) and protocol (April 2015 to March 2017) groups. Outcomes in the 2 groups were compared, focusing on hospital and ICU LOS, and complication rates. Results: A total of 201 patients were included in the study; 107 and 94 in the before-protocol and protocol groups, respectively. Mean (SD) hospital LOS was 14.8±10.8 days in the before-protocol group compared with 10±10.7 days in the protocol group ( P <0.001). The spine surgery protocol was the primary factor decreasing hospital LOS; incidence rate ratio 0.78 ( P <0.001). Similarly, mean ICU LOS was lower in the protocol compared with before-protocol group (4.2±6.3 vs. 6.3±7.3 d, respectively; P =0.011). There were no significant differences in the rate of postoperative complications between the 2 groups ( P =0.231). Conclusion: Implementation of a spine protocol reduced ICU and total hospital LOS stay in high-risk spine surgery patients.

10.1097/ana.0000000000000635

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Critical Care and Personalized or Precision Medicine: Who needs whom?

Journal of Critical Care (2017)

Shihab Sugeir Stephen Naylor

Personalized Medicine

10.1016/j.jcrc.2017.11.026

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Utility of Point-of-Care Blood Testing During Cardiac Arrest: A Survey of Advanced Cardiac Life Support Team Leaders

Sumedh S. Hoskote Shihab Sugeir Elizabeth C. Hassebroek Keith M. Rose Jeffrey B. Jensen

Background: Point-of-care blood testing for multiple parameters (POCT) during cardiac arrests is routinely practiced at many hospitals, though it is not included in Advanced Cardiac Life Support (ACLS) guidelines. Objective: We aimed to study the perceived utility of POCT to ACLS team leaders. Methods: An electronic survey was administered to ACLS team leaders at two teaching hospitals – Mayo Clinic, Rochester, MN (MCR), where POCT is routinely used, and Mount Sinai St. Luke’s-Roosevelt, New York, NY (SLR), where POCT is not used. Questions included participants’ current role, experience as ACLS leaders and prior experience with POCT, as well as questions on perceived positive and negative aspects of POCT use during ACLS. For SLR providers, questions were framed as hypothetical situations if POCT results were provided two minutes after drawing blood. Results: Complete responses were received from 45 and 27 respondents at MCR and SLR, respectively. Mean number of ACLS events led were similar (48.2 vs 64.6, p=0.29), prior experience with POCT was higher at MCR (58% vs 19%, p=0.001). Out of all 11 POCT results, MCR providers perceived more parameters to be useful (6.2 vs 4.8, p=0.047). MCR providers felt POCT changed management more often and improved patient care overall (p<0.001 for both), and POCT would not cause distraction (p=0.001) or information overload (p<0.001). Conclusions: ACLS providers differed significantly in their perceived utility of POCT during cardiac arrests. The bias introduced by the practice setting and prevalent culture regarding POCT likely explains the differences between the two groups.

Point-of-Care Testing

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Point-of-care ultrasound (POCUS) assessment of central volume status in healthy fasted adults: no evidence for fluid deficit

Canadian Journal of Anesthesia/Journal canadien d anesthésie (2020)

Mandeep Singh Kevin Blaine Catherine M. Kuza Candice Tay Shihab Sugeir

10.1007/s12630-020-01631-6

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Damage Control Anesthesia

Springer eBooks (2018)

Shihab Sugeir Itamar Grunstein Joshua M. Tobin