2009-2010 - Women's College Hospital

Annual Report
Women’s College Hospital
Department of Anesthesia
For the period July 1, 2009 to June 30, 2010
1. General Information:
Dr. P. Angle:
• Associate Professor, Anesthesiology
• BSc, MD, FRCPC, Diplomat ABA, MSc (clin epi)
• Assistant Professor, Department of Epidemiology, Health Policy Management and
Evaluation Program, Faculty of Medicine, School of Graduate Studies
• Active Staff Women’s College Hospital and Sunnybrook Health Sciences Centre
• Associate Scientist, Sunnybrook Research Institute
• Director, Obstetrical Anesthesia Research Unit (OARU), Sunnybrook Research Institute,
2008 to present
• Chair of the Obstetrical Anesthesia Section of the Canadian Anesthesiologist Society
Dr. V. Chinnappa:
• Assistant Professor, Anesthesiology
• MBBS, MD, FCARCSI.
• Active Staff Women’s College Hospital and Sunnybrook Health Sciences Centre
Dr. D. Djordjevic:
• Assistant Professor, University of Toronto
• MD, FRCPC
• Active Staff, Women’s College Hospital and Sunnybrook Health Sciences Centre
Dr. M. Davallou:
• Assistant Professor, University of Toronto
• MD, FRCPC
• Active Staff, Women’s College Hospital and Sunnybrook Health Sciences Centre
Dr. S. Halpern:
• Professor of Anaesthesia
• MD M Sc, FRCPC
• Associate Professor, Obstetrics and Gynaecology
• Division Head, Obstetrical Anesthesia, Sunnybrook Health Sciences Centre
• Active Staff Women's College Hospital and Sunnybrook Health Sciences Centre
Dr. K. Hussain:
• Assistant Professor, University of Toronto
• MB BS FFARCSI, FRCPC
• Active Staff, Women’s College Hospital and Sunnybrook Health Sciences Centre
Dr. J. Kronberg:
• Associate Professor, Anaesthesia, University of Toronto
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• PhD, MD, CCFP, FRCP(C), DABA
• Chief, Department of Anaesthesia, Women’s College Hospital
• Active Staff Sunnybrook Health Sciences Centre
Dr. A. McNaught:
• Assistant Professor, University of Toronto
• MBBS FRCA
• Active Staff, Women’s College Hospital and Sunnybrook Health Sciences Centre
Dr. A Morgan:
• Assistant Professor, University of Toronto
• MB, ChB FRCPC
• Staff Anesthesiologist Women’s College Hospital and Sunnybrook Health Sciences Centre
• Director, Pain Management Services, Chronic Pain Clinic
Dr. P. Morgan:
• Professor, Anaesthesia, University of Toronto
• MD, CCFP, FRCPC
• Active Staff, Women’s College Hospital and Sunnybrook Health Sciences Centre
• Director, Simulation Research, Canadian Simulation Centre for Human Performance and
Crisis Management Training, Sunnybrook Health Sciences Centre
• Consultant Anesthesiologist, Women’s College Hospital, Sunnybrook Health Sciences
Centre
Dr. M. Srebrnjak:
• Assistant Professor, Anaesthesia, University of Toronto
• MD, FRCPC
• Active Staff, Women’s College Hospital and Sunnybrook Health Sciences Centre
2. Chairs, Honors and Awards
Dr. Pamela Angle:
1. Merit Award (funded research time, $40,000CN/year), Department of Anesthesia, University
of Toronto (2009-2011)
2. Recipient: Leadership Initiative Scholarship, Ontario’s Anesthesiologists / Fresenius Kabi,
(May, 2009-2010)
3. Member, Maternal Newborn Advisory Council, Provincial Council for Child Health, Senior
Advisory Body to the Ontario Ministry of Health and Long Term Care, Discipline:
Obstetrical Anesthesia ( 2008 to present)
4. Chair, Obstetrical Anesthesia Section, Canadian Anesthesiologists’ Society, 2008 to
present.
Dr. Kamal Hussain:
1. Chairman of CME accredited Rounds Committee (2009-2010)
Dr. Pamela Morgan:
1. Chair, Patient Safety Committee, Canadian Anesthesiologists’ Society 2006-present
Co-Chair, Promotions Committee, Department of Anesthesia, University of Toronto,
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2010-present
Pamela Morgan continued:
2. Inaugural Interprofessional Teaching Award. University of Toronto, Department of
Anesthesia, August 2009
3. Dave Davis Continuing Education and Professional Development Research Award.
University of Toronto, December 2009. Presented at a ceremony at the 8 th Annual
Educational Achievement Day, May 13, 2010
4. Byrick Award presented to Dr. S. Nadiminti for research presentation of our study: Effect of
Team Training on Management of Obstetrical Emergencies. Award for the best research
paper presented by a fellow at the University Department of Anesthesia Annual Shield’s
Research Day. May 2010.
3. Invited Lectures
Dr. Pamela Angle:
1. Regional Anesthesia and the Tattooed Mama. 4 th Annual Obstetric Anesthesia Day,
Toronto Anesthetic Practice Meeting, Women’s College Hospital, University of Toronto,
Toronto, Ontario, Canada November 27, 2009
2. Myths and Truths about Epidural Analgesia. College of Family Physician’s Meeting, Toronto
Ontario Canada November 28, 2009
3. Symposium: Where's the Evidence Fresh Perspectives on Evidence-Based Practice in
Obstetrical Anesthesia. Lecture: Through the Looking Glass – Examining Evidence in
Obstetrical Anesthesia Canadian Anesthesiologist Society (CAS) Annual Conference June
25-292010, Montreal, Quebec, June 27 2010.
Dr. Mojgan Davallou:
1. Management of airway disasters for emergency C-section. 4 th Annual Obstetric Anesthesia
Day, Toronto Anesthetic Practice Meeting, Women’s College Hospital, University of
Toronto, Toronto, Ontario, Canada November 27, 2009
Dr. Stephen Halpern:
1. The “less than perfect” epidural. Euroanaesthesia 2010 June 15 Helsinki Finland.
2. Epidural analgesia to epidural anesthesia for cesarean section: Practical
Considerations. 4 th Annual Obstetric Anesthesia Day. Women’s College Hospital, Nov
27, Toronto.
3. The use of ultrasound for Neuraxial blocks in obstetrics. Grand Rounds, Department of
obstetrics and Gynecology, Sunnybrook Health Sciences Centre. Oct 16. Toronto,
Canada.
Dr. Kamal Hussain:
1. Pospartum nerve injuries- what would you do 4 th Annual Obstetric Anesthesia Day,
Toronto Anesthetic Practice Meeting, Women’s College Hospital, University of Toronto,
Toronto, Ontario, Canada November 27, 2009
2. ‘Postpartum nerve injuries’. Canadian Anesthesiologists’ Society Annual Meeting.
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Montreal, Quebec, June 2010 National Audience
Dr. Pamela Morgan:
1. Morgan PJ. The Case of the Missing Epidural Catheter Tip, Now What Obstetric
Anesthesia Conference, Anesthetic Practice. Toronto, ON November 2009. Keynote
lecture, Provincial audience.
2. Morgan PJ. The Surgical Safety Checklist: Implications and Implementation. Operating
Room Nurses, Women’s College Hospital. November 6, 2009. Small Group Format
3. Morgan PJ. The Surgical Safety Checklist. Grand Rounds for Surgery, Anesthesia and
Nursing, Women’s College Hospital, January 8, 2010. Large Group Format.
4. Morgan PJ. The Surgical Safety Checklist. Medical Advisory Committee, Women’s College
Hospital, January 2010. Small Group Format.
5. Morgan PJ. The Surgical Safety Checklist. Board of Directors, Women’s College Hospital,
March 2010. Small Group Format.
6. Morgan PJ. From Flight Deck to Delivery Room. CME lecture to North York General
Hospital Multidisciplinary Rounds. March 31, 2010. Keynote lecture, local audience.
7. Morgan PJ. Moderator, Patient Safety Symposium, Patient Safety Symposium: We Know
What We Want, But How Do We Get It Navigating the Difficult Seas. Canadian
Anesthesiologists’ Society Annual Meeting. Montreal, Quebec, June 2010 National
Audience.
Dr. Margaret Srebrnjak:
1. Managing a Woman with a Platelet Count of 80. 4 th Annual Obstetric Anesthesia Day,
Toronto Anesthetic Practice Meeting, Women’s College Hospital, University of Toronto,
Toronto, Ontario, Canada November 27, 2009
4. Publications
a. Peer-Reviewed Publications
Dr. Pamela Angle:
1. Angle P, Landy CK, Charles C, Yee J, Watson J, Kung R, Kronberg J, Halpern S, Lam D,
Lie LM, Streiner D. Phase 1 development of an index to measure the quality of neuraxial
labour analgesia: exploring the perspectives of childbearing women.
Canadian Journal of Anesthesiology, 2010 May; 57(5):468-78. Epub 2010 Mar 13.
(Accompanied by an editorial)
2. Angle P, Kurtz Landy C, Murthy Y, Cino P Key issues and barriers to obstetrical anesthesia
care in Ontario community hospitals with fewer than 2,000 deliveries annually. Canadiam
Journal of Anesthesiology, 2009 Sep; 56(9):667-77. Epub 2009 Jun 17. (Accompanied by
an editorial)
3. Banerjee A, Stocche RM, Angle P, Halpern SH.
Preload or coload for spinal anesthesia for elective Cesarean delivery: a meta-analysis.
Canadian Journal of Anesthesiology, 2010 Jan; 57(1):24-31. Epub 2009 Oct 27.
Dr. Stephen Halpern:
1. Angle P, Kurtz Landy C, Charles C, Yee J, Watson J, Kung R, Kronberg J, Halpern S, et al.
Phase 1 development of an index to measure the quality of neuraxial analgesia: exploring
the perspectives if childbearing women. Can J Anesth 2010;57:468-78. (Accompanied by
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an editorial).
2. Ioscovich A, Barth D, Samueloff A, Grisaru-Granovsky S, Halpern S. Anesthetic
management of a patient with cleidocranial dysplasia undergoing various obstetric
procedures. Int J Obstet Anesth 2010;19:106-8.
3. Banerjee A, Stocchee R, Angle P, Halpern SH. Preload or coload for spinal anesthesia for
elective cesarean section: A meta-analysis. Can J Anesth 2010:57;24-31. (Faculty of
Medicine 1000 rated 6.0)
4. Ioscovich A, Mirochnitchenko E, Halpern S. Samueloff A, Grisaru-Granovsky S, Gozal Y,
Einav S. Perioperative anaesthetic management of high-order repeat caesaren section:
audit of practice in a university-affiliated medical centre. IJOA 2009;18:314-9.
5. Ioscovich A, Goldsmidt E, Fadeev A, Halpern SH. Peripartum anesthetic management of
patients with aortic stenosis: a cohort study. IJOA 2009; 18:379-86
6. Stremler R, Halpern S, Weston J, Yee J, Hodnett E. Hands-and-Knees Positioning During
Labor With Epidural Analgesia JOGNN 2009;38:391-398.
Dr. Pamela Morgan:
1. Tregunno D, Pittini R, Haley MF, Morgan PJ. The development and usability of a
behavioral marking system for performance assessment of obstetrical teams. Qual Saf
Health Care 2009; 18(5): 393-6 Senior Responsible Author
2. Morgan PJ, Tarshis J, LeBlanc V, Cleave-Hogg D, DeSousa S, Haley MF, Herold-McIlroy
J, Law JA. The efficacy of high-fidelity simulation debriefing on the performance of
practicing anaesthetists in simulated scenarios. Br J Anaesth 2009; 103: 531-7 First
Published August 24, 2009, doi: 10.1093/bja/aep222 Senior Responsible Author
3. Merchant R, Bosenberg C, Brown K, Chartrand D, Dain S, Dobson J, Kurrek M, LeDez M,
Morgan P, Penner M, Shukla R. Guidelines to the Practice of Anesthesia Revised Edition.
Can J Anesth 2010; 57(1): 58-87 doi: 10.1007/s12630-009-9209-4 Co-Author
b. Non peer-reviewed publications
Dr. Stephen Halpern:
Letter to the editor:
1. Halpern S. SOGC Joint statement on normal childbirth. SOGC July 2009 pg 602.
2. Halpern SH, Abdallah F. : Effect of Labor Analgesia on Labor Outcome. Current Opinion
in Anesthesiology 2010;23:317-22
Dr. Andrew McNaught:
1. McNaught A and McCartney C. Let’s not forget peripheral nerve blocks (Letter). British
Journal of Anaesthesia 2009 Jul;103(1):133
c. Books and Chapters in Books
Dr. Pamela Angle:
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1. Angle P PA, Chinnappa V, Banerjee A. Central Neuraxial Blockade. University of Toronto
Medical Student Textbook currently in production. Editor: I. Devito. 2009
d. Peer and non-peer reviewed Grants
Stephen Halpern:
Project Title: Labour Position trial 2
Principal Investigators: Hodnett ED, Stremler RL
Co-Investigators: Halpern SH, Willan AR, Windrim R.
Granting Agency: CIHR
Amount: $100,000
Dates: April 1 2010-March 31, 2011.
Pamela Morgan:
i. Peer-reviewed grants
1. Leslie K ξ , Reeves S ψ , LeBlanc V ψ , Lingard L ψ , Morgan P ψ , Naik V ψ , Ballon B ψ ,
Satterthwaite L ψ , Robb A ψ , Silver I ψ , Pittini R ψ , Cop S ψ , Bandali K ψ , Dubrowksi A ψ .
Network of Excellence in Simulation for Clinical Teaching and Learning, $83,990. July
2008-July 2010
Project Title: Faculty Development for Simulation for Clinical Teaching and Learning
Co-Investigator
2. Morgan PJ ξ , Kronberg J ψ , Semple J ψ .
Alternate Funding Plan Innovation Fund, $30,000.00
May 2009-April 2010
Project Title: Patient Safety: Introduction of the Surgical Safety Checklist and Patient
Outcome Assessment in an Academic Ambulatory Hospital.
Principal Investigator
3. Morgan PJ ξ .
University of Toronto, Department of Anesthesia Merit Award. $80,000.00
July 2009-June 2011
Project Title: Multidisciplinary Obstetric Team Training
Principal Investigator
Project Title: Patient Safety: Introduction of the Surgical Safety Checklist and Patient
Outcome Assessment in an Academic Ambulatory Hospital.
Principal Investigator
4. Morgan PJ ξ , Kronberg J ψ , Semple J ψ .
Alternate Funding Plan Innovation Fund, $30,000.00
May 2010-April 2011
Project Title: Patient Safety: Introduction of the Surgical Safety Checklist and Patient
Outcome Assessment in an Academic Ambulatory Hospital.
Principal Investigator
5. Graduate Students Supervised/Committee membership (Masters/PhD)
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Dr. Pamela Angle:
1. CME committee member, UofT, Department of Anesthesia
2. Coordinator and/or Co-Coordinator, Toronto Anesthetic Practice Meeting, Continuing
Education Committee, UofT
3. Founder and Coordinator: Annual Obstetric Anesthesia Meeting/Workshop Day, Toronto
Anesthetic Practice Meeting, Continuing Medical Education Committee, Department of
Anesthesia, UofT, 2006 to present
4. Library Committee member. Women’s College Hospital
5. Instructor: Department of Clinical Epidemiology. Health Policy Management & Evaluation
program, Faculty of Medicine, School of Graduate studies, UofT
Supervisor of:
1. Sherry Goril
B.Sc. Biochemistry (Work Study) November 2008 to September 2009
Project Title: Multi-centered Randomized Controlled Trial Examining the Effect of Small vs
Large Tuohy-type Epidural Needles on the Incidence and Severity of Post dural Puncture
Headache.
2. Jasmine Djordjevic
B.Sc. Human Biology & Biochemistry (Research Student) May 2008 to Present
Project Title: Multi-centered Randomized Controlled Trial Examining the Effect of Small vs
Large Tuohy-type Epidural Needles on the Incidence and Severity of Post dural Puncture
Headache.
3. Sumeet Badh
B.Sc. Honours in Human Biology (Work Study) November-March 2010
Project Title: Multi-centered Randomized Controlled Trial Examining the Effect of Small vs
Large Tuohy-type Epidural Needles on the Incidence and Severity of Post dural Puncture
Headache.
4. Maathula Ganeshalingam
B.Sc. Human Biology (Work Study) November-March 2010
Project Title: Multi-centered Randomized Controlled Trial Examining the Effect of Small vs
Large Tuohy-type Epidural Needles on the Incidence and Severity of Post dural Puncture
Headache.
Dr. J Kronberg:
1. Department Council, UofT, Department of Anesthesia
Dr. Pamela Morgan:
1. Co-Supervisor of anesthesia resident Dr. Saroo Sharma, doing her MEd, Wilson Centre,
Thesis Title: Perceptions and Misperceptions of the anesthetist’s role in labour and
delivery: implications for quality and safety.
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