Projects and Initiatives

Clinical Pathway for Adult Patients with Epidermolysis Bullosa undergoing General Anesthesia
Removing desflurane vaporizer and usage reduction of desflurane
Buying reusable laryngoscopes and pulse oximeters and reducing use of disposables
Perioperative Management of Hyperglycemia
COVID-19 Common Critical and Practical Questions
Online CME Module: Anesthesiology Workflows for COVID-19 Pandemic
Perioperative Mental Health Screening Program
InterCEPT (Interprofessional Communication Education Program for Teamwork; simulation-based in real settings with full clinical teams)
Does spiking of intravenous bags cause microbial contamination?
Implementation of a Stanford Anesthesiology Anemia Management Clinic to reduce RBC transfusion and hospital length of stay
Perioperative and ERAS initiatives with:
- • Bariatrics pathway
- • Colorectal pathway
- • Pancreatic resection pathway
- • Liver resection pathway
- • Spine pathway
- • Gynecology pathway
- • Orthopedic joints
- • Glycemic control pathway
- • Delirium pathway

Complete data submission for cases covered by each cardiac anesthesia faculty to the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database (ACSD), the world’s premier clinical outcomes registry for adult cardiac surgery.
Leading multidisciplinary efforts to improve lung transplant recipient analgesia and outcomes.
Broad division participation in Stanford Cardiovascular Institute (CVI) efforts to streamline ICU bed workflow and availability to reduce holds and delays in patient transfers.
Improving analgesia for BVATS/hybrid ablation patients by multimodal analgesia and fascial plane blocks.
Adult cardiothoracic anesthesia fellow annual participation ("ownership") of a quality project with faculty-led QI didactic sessions. Projects in 2019-20 were 500P CVOR setup, blood conservation in CVICU, intraoperative glucose management, COVID-19 airway protocols, hybrid ablation analgesia.

CSRP Selected Project (Geriatrics, Trauma and Anesthesia) – Rib Fracture Pathway.
ALS PEG Pathway – NCC/Neuromuscular/Anesthesia/Surgery.
Peripheral Vasopressor Policy Update.
Updating End of Life Care orders and policy.
CODE Banner Update.

Revision and streamlining of intrathecal pain pump patient flows in clinic and inpatient service
Development of patient center CHOIR report for clinic patient
Development of podcasts regarding business of pain medicine for Association of Pain Program Directors
Development of neurology resources for pain medicine fellows for Association of Pain Program Directors
Development of new pain education website

Mitigating Intraoperative Hypothermia.
Epidural pain management on wards - RN education on catheter management and troubleshooting, orderset and policy change.
Medication warning visual aids for anesthesiologists - specifically: interaction between glycopyrrolate and dexmedetomidine.
Intraoperative Codes - Simulations for staff, Crowd control process, Post-code debrief process for staff.
LPCH clinical pathway guidelines for perioperative stress dose steroids.
Formal debrief process between regional team and surgeons and anesthesiologist following block placement and prior to start of surgery.
Review of LPCH NPO times and hypoglycemia perioperatively.

Internal Resources