Bio

Clinical Focus


  • Anesthesiology
  • Perioperative medicine

Academic Appointments


Administrative Appointments


  • Chair, Clinical Effectiveness Resource Management Committee, Stanford Health Care (2020 - Present)
  • Physician Advisor, Utilization Management, Stanford Health Care (2019 - Present)
  • Vice Chair, Quality, Safety and Performance Improvement, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford School of Medicine (2019 - Present)
  • Associate Chief Quality Officer, Stanford Health Care (2018 - Present)
  • Medical Director, High Value Care and Clinical Effectiveness, Stanford Health Care (2017 - Present)
  • Physician Improvement Lead, Improvement Capability Development Program, Stanford School of Medicine (2017 - Present)

Professional Education


  • Residency: Massachusetts General Hospital (2007) MA
  • Internship: Beth Israel Deaconess Medical Center (2004) MA
  • MD, University of California, San Francisco (2003)
  • MPH, Harvard School of Public Health (2001)

Publications

All Publications


  • Perioperative Care and Airway Management for a Patient With Sagliker Syndrome CUREUS Chen, Q., Lorenzo, J., Lu, A. 2020; 12 (9)
  • Elective Surgery and COVID-19: A Framework for the Untested Patient. Annals of surgery Lu, A. C., Burgart, A. M. 2020

    View details for DOI 10.1097/SLA.0000000000004474

    View details for PubMedID 32889879

  • The Tipping Point of Medical Technology: Implications for the Postpandemic Era. Anesthesia and analgesia Lu, A. C., Cannesson, M., Kamdar, N. 2020; 131 (2): 335–39

    View details for DOI 10.1213/ANE.0000000000005040

    View details for PubMedID 32511105

  • COVID-19 Preoperative Assessment and Testing: From Surge to Recovery. Annals of surgery Lu, A. C., Schmiesing, C. A., Mahoney, M., Cianfichi, L., Semple, A. K., Watt, D., Fischer, S., Wald, S. H. 2020

    View details for DOI 10.1097/SLA.0000000000004124

    View details for PubMedID 32541233

  • COVID-19: Common Critical and Practical Questions. Anesthesia and analgesia Lu, A. C., Sastry, S. G., Wong, B. J., Deng, A., Wald, S. H., Pearl, R. G., Tsui, B. C. 2020

    View details for DOI 10.1213/ANE.0000000000004938

    View details for PubMedID 32366770

  • N95 Respirator Alternatives And Conservation Strategies. Anesthesia and analgesia Wong, B. J., Lu, A. C., Tarlow, B. D., Tompkins, L. S., Chawla, A., Pearl, R. G., Wald, S. H. 2020

    View details for DOI 10.1213/ANE.0000000000005134

    View details for PubMedID 32701549

  • Determination of Length of Time for "Post-Aerosol Pause" for Patients Under Investigation or Positive for COVID-19. Anesthesia and analgesia Wald, S. H., Arthofer, R., Semple, A. K., Bhorik, A., Lu, A. C. 2020

    View details for DOI 10.1213/ANE.0000000000004921

    View details for PubMedID 32345854

    View details for PubMedCentralID PMC7202114

  • Perioperative Care and Airway Management for a Patient With Sagliker Syndrome. Cureus Chen, Q., Lorenzo, J., Lu, A. 2020; 12 (9): e10691

    Abstract

    In this report, we present a case of a patient with a history of complex airway anatomy secondary to Sagliker syndrome (SS) who presented with acute exacerbation of chronic respiratory failure. The patient's difficult airway, complicated medical comorbidities, and poor psychosocial status posed a unique challenge for providing safe care during an emergency. The perioperative anesthesia service (PAS), led by critical care anesthesiologists, coordinated a multidisciplinary airway management plan. The PAS team also assisted this medically complex patient with her decision-making process. A 37-year-old female with SS, which is characterized by irreversible disfiguring of head and neck anatomy secondary to end-stage renal disease (ESRD) and poorly controlled hyperparathyroidism, presented with acute exacerbation of chronic respiratory failure due to hypervolemia. The patient's respiratory status rapidly deteriorated despite aggressive hemodialysis, requiring transfer to the ICU. Given the challenging anatomy and poor respiratory reserve in this patient, the PAS team helped coordinate a comprehensive airway plan that involved transnasal fiberoptic intubation, and in case of emergency, extracorporeal membrane oxygenation (ECMO) as a bridge to a surgical airway. During the decision-making process, the patient was found to be in psychological distress and had limited insights into her condition. The PAS team helped facilitated multidisciplinary goals-of-care discussions for the patient and her family. Fortunately, the patient's oxygenation improved with noninvasive oxygen support and aggressive hemodialysis without the need for intubation. She was discharged with outpatient follow-up appointments arranged to discuss long-term management. This is the first reported case of SS in the United States. The early involvement by the PAS team helped coordinate a multidisciplinary care plan for this patient with a difficult airway and complex comorbidities. This report highlights an innovative airway algorithm for a potentially "cannot-intubate, cannot ventilate" complex airway, and the PAS team's role in providing support for the patient's physical and psychological needs, suggesting that a comprehensive perioperative service can improve the quality and safety of care, not only for surgical patients but also for medically complex patients as well.

    View details for DOI 10.7759/cureus.10691

    View details for PubMedID 33133856

    View details for PubMedCentralID PMC7593211

  • Resuscitation on collapsed healthcare worker while taking care of suspected or confirmed COVID patient: Questions and Answers. Anesthesia and analgesia Lu, A. C., Wong, B. J., Sastry, S. G., Wald, S. H., Pearl, R. G., Tsui, B. C. 2020

    View details for DOI 10.1213/ANE.0000000000005136

    View details for PubMedID 32701548

  • Burnout, Wellness, and Resilience in Anesthesiology INTERNATIONAL ANESTHESIOLOGY CLINICS Answine, J. F., Lu, A. C., Levy, T. M. 2019; 57 (3): 138–45
  • Preserving Perioperative Brain Health Through a Patient Safety Lens INTERNATIONAL ANESTHESIOLOGY CLINICS Riccio, C. A., Lu, A. C., Lin, D. M. 2019; 57 (3): 96–110
  • Burnout, Wellness, and Resilience in Anesthesiology. International anesthesiology clinics Answine, J. F., Lu, A. C., Levy, T. S. 2019; 57 (3): 138–45

    View details for DOI 10.1097/AIA.0000000000000235

    View details for PubMedID 31577244

  • Preserving Perioperative Brain Health Through a Patient Safety Lens. International anesthesiology clinics Riccio, C. A., Lu, A. C., Lin, D. M. 2019; 57 (3): 96–110

    View details for DOI 10.1097/AIA.0000000000000238

    View details for PubMedID 31577241

  • Into the Wilderness?: The Growing Importance of Nonoperating Room Anesthesia Care in the United States. Anesthesia and analgesia Lu, A. C., Wald, S. H., Sun, E. C. 2017; 124 (4): 1044–46

    View details for PubMedID 28319544

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