Geoffrey Lighthall
Academic Appointments
- Associate Professor - Med Center Line, Anesthesia
Contact Information
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Clinical Offices
Department of Anesthesia 300 Pasteur Dr H3580 MC 5640 Stanford, CA 94305 Tel Work (650) 723-6411 Fax (650) 725-8544Practices at Stanford Hospital and Clinics and Lucile Packard Children's Hospital
Professional Snapshot
Clinical Focus
- Anesthesia
- Critical Care Medicine
- Cardiac and Thoracic Anesthesia
Professional Education
| Board Certification: | Anesthesia, American Board of Anesthesiology (2000) |
| Board Certification: | Critical Care Medicine, American Board of Anesthesiology (2001) |
| Fellowship: | SUMC - Graduate Medical Education, CA (2000) |
| Residency: | SUMC - Graduate Medical Education, CA (1999) |
| Internship: | Santa Clara Valley Medical Center, CA USA (1996) |
Graduate & Fellowship Program Affiliations
Community & International Work
Scientific Focus
Research Interests
1 Critical Care Education
One of my interests centers on the use of patient simulation as an educational and training tool in critical care. The Palo Alto VA is the Mecca of Patient Simulation; high performance simulation and a curriculum on anesthesia crisis management were invented by David Gaba and colleagues in the Department of Anesthesia. As part of the VA ICU rotation, we run monthly classes on Crisis Resource Management in Critical Care in a brand new facility that is a virtual copy of an adult ICU, complete with two computer - controlled patients. Human patient simulation offers an ever-changing laboratory for developing and testing educational methods as well as participating in our current strength - critical care team training. Research projects currently center on implementing a performance assessment tool to evaluate whether classroom instruction improves management of simulated patient emergencies, examination of team communication during simulated emergencies, and assessment of resuscitation quality following a new critical care skills course.
2 Medical Emergency Teams
Medical Emergency Teams (or METs for short) are groups that perform rapid assessment and stabilization of patients in response to signs of clinical deterioration. They have arisen in response to data demonstrating that many opportunities to reverse clinical decline are not acted upon in a time frame that would prevent further deterioration, or progression to cardiac arrest. I have implemented a MET at the VA Palo Alto and am looking at the clinical impact of this intervention; I have also developed programs for team training and technical skill development applicable to MET operation.
Publications
- The use of clinical simulation systems to train critical care physicians. J Intensive Care Med. 2007 Sep-Oct; (5): 257-69
- Evaluating the management of septic shock using patient simulation. Crit Care Med. 2007; (3): 769-75
- Fluid management in hospitalized patients. Compr Ther. 2005; (3): 209-23
- Use of a fully simulated intensive care unit environment for critical event management training for internal medicine residents. Crit Care Med. 2003; (10): 2437-43
- Abnormal vital signs are associated with an increased risk for critical events in US veteran inpatients. Resuscitation. 2009; (11): 1264-9
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