Bio

Clinical Focus


  • Interventional Ultrasound
  • Acute Pain Service
  • Pain Management
  • Anesthesia
  • Nerve Pain

Academic Appointments


Administrative Appointments


  • Member, Resident Education Committee (2010 - Present)
  • Member, Interdisciplinary Practice Committee (2011 - Present)
  • Director, Acute Pain Service, Stanford University Hospital (2009 - Present)

Professional Education


  • Residency:Stanford University - CAPS (2007) CA
  • Board Certification: Pain Medicine, American Board of Anesthesiology (2010)
  • Board Certification, ABA, Pain Management (2010)
  • Board Certification: Anesthesia, American Board of Anesthesiology (2009)
  • Fellowship:Stanford Hospital and Clinics - Pain Mgmt (2008) CA
  • Internship:The University of Texas Health Center @ Tyler (2003) TX
  • Medical Education:Baylor College of Medicine (2002) TX

Research & Scholarship

Current Research and Scholarly Interests


I have a strong interest in ultrasound for chronic pain management for diagnostics as well as therapeutics. I also have strong interest in acute pain in the hospital setting, including post-operative as well as cancer pain.

Publications

Journal Articles


  • Perioperative Interventions to Reduce Chronic Postsurgical Pain JOURNAL OF RECONSTRUCTIVE MICROSURGERY Carroll, I., Hah, J., Mackey, S., Ottestad, E., Kong, J. T., Lahidji, S., Tawfik, V., Younger, J., Curtin, C. 2013; 29 (4): 213-222

    Abstract

    Approximately 10% of patients following a variety of surgeries develop chronic postsurgical pain. Reducing chronic postoperative pain is especially important to reconstructive surgeons because common operations such as breast and limb reconstruction have even higher risk for developing chronic postsurgical pain. Animal studies of posttraumatic nerve injury pain demonstrate that there is a critical time frame before and immediately after nerve injury in which specific interventions can reduce the incidence and intensity of chronic neuropathic pain behaviors-so called "preventative analgesia." In animal models, perineural local anesthetic, systemic intravenous local anesthetic, perineural clonidine, systemic gabapentin, systemic tricyclic antidepressants, and minocycline have each been shown to reduce pain behaviors days to weeks after treatment. The translation of this work to humans also suggests that brief perioperative interventions may protect patients from developing new chronic postsurgical pain. Recent clinical trial data show that there is an opportunity during the perioperative period to dramatically reduce the incidence and severity of chronic postsurgical pain. The surgeon, working with the anesthesiologist, has the ability to modify both early and chronic postoperative pain by implementing an evidence-based preventative analgesia plan.

    View details for DOI 10.1055/s-0032-1329921

    View details for Web of Science ID 000317597000001

    View details for PubMedID 23463498

  • Ultrasound-guided injections of the knee and hip joints Tech Reg Anesth Pain Manag Cheng P, Kim H, Ottestad E, Narouze S 2009; 13 (3): 191-197
  • Evaluating the management of septic shock using patient simulation CRITICAL CARE MEDICINE Ottestad, E., Boulet, J. R., Lighthall, G. K. 2007; 35 (3): 769-775

    Abstract

    Develop a scoring system that can assess the management of septic shock by individuals and teams.Retrospective review of videotapes of critical care house staff managing a standardized simulation of septic shock.Academic medical center; videotapes were made in a recreated intensive care unit environment using a high-fidelity patient simulator.Residents in medicine, surgery, and anesthesiology who had participated in the intensive care unit rotation.The septic patient was managed by the intensive care unit team in a graded manner with interns present for the first 10 mins and more senior-level help arriving after 10 mins. The intern was graded separately for the first 10 mins, and the team was graded for the entire 35-min performance.Both technical and nontechnical scoring systems were developed to rate the management of septic shock. Technical scores are based on guidelines and principles of managing septic shock. Team leadership, communication, contingency planning, and resource utilization were addressed by the nontechnical rating. Technical scores were calculated for both interns and teams; nontechnical scores applied only to the team. Of 16 technical checklist items, interns completed a mean of 7 with a range of 1.5-11. Team technical ratings had a mean of 9.3 with a range of 3.3-13. Nontechnical scores showed similar intergroup variability with a mean of 26 and a range of 10-35. Technical and nontechnical scores showed a modest correlation (r = .40, p = .05). Interrater reliabilities for intern and team technical scores were both r = .96 and for nontechnical scores r = .88.Objective measures of both knowledge-based and behavioral skills pertinent to the management of septic shock were made. Scores identified both adequate and poor levels of performance. Such assessments can be used to benchmark clinical skills of individuals and groups over time and may allow the identification of interventions that improve clinical effectiveness in sepsis management.

    View details for DOI 10.1097/01.CCM.0000256849.75799.20

    View details for Web of Science ID 000244470800011

    View details for PubMedID 17235260

  • Securing the airway of a 'super sized' patient: another use for the Aintree Catheter (R) EUROPEAN JOURNAL OF ANAESTHESIOLOGY Schmiesing, C., Collins, J., Ottestad, E., Kulkarni, V., Brock-Utne, J. 2006; 23 (12): 1064-1066

    View details for Web of Science ID 000242303600016

    View details for PubMedID 17042968

  • Central venous access in obese patients: A potential complication ANESTHESIA AND ANALGESIA Ottestad, E., Schmiessing, C., Brock-Utne, J. G., Kulkarni, V., Parris, D., Brodsky, J. B. 2006; 102 (4): 1293-1294

    View details for Web of Science ID 000236371100072

    View details for PubMedID 16551951

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