Bio

Clinical Focus


  • Anesthesia

Academic Appointments


Professional Education


  • Internship:Kaiser Permanente/Santa Clara (1996) CA
  • Residency:Stanford University School of Medicine (1999) CA
  • Board Certification: Anesthesia, American Board of Anesthesiology (2000)
  • Medical Education:Dartmouth Medical School (1995) NH
  • BS, UC Irvine, Biology (1991)
  • BA, UC Irvine, Psychology (1991)
  • MD, Dartmouth, Medicine (1995)

Community and International Work


  • Medical Missions for Children, October 2007, Cuzco, Peru

    Topic

    Reconstructive surgery

    Partnering Organization(s)

    MMFC

    Populations Served

    Indigent children in Peru

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

  • Interplast, June 2001, Campo Grande, Brazil

    Topic

    Reconstructive surgery

    Partnering Organization(s)

    Interplast

    Populations Served

    Indigent children in Brazil

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

  • Rotaplast, February 2000, Cochabamba, Bolivia

    Topic

    Reconstructive surgery

    Partnering Organization(s)

    Interplast

    Populations Served

    Indigent children in Bolivia

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

  • Interplast, January 2000, Vientiane, Laos

    Topic

    Reconstructive surgery

    Partnering Organization(s)

    Interplast

    Populations Served

    Indigent children in Laos

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

  • Interplast, September 1999, Piura Peru

    Topic

    Reconstructive surgery

    Partnering Organization(s)

    Interplast

    Populations Served

    Indigent children in Peru

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

  • Interplast, July 1999, Haiphong Vietnam

    Topic

    Reconstructive surgery

    Partnering Organization(s)

    Interplast

    Populations Served

    Indigent children in Vietnam

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

  • Interplast, March 1999, Ho Chi Minh City, Vietnam

    Topic

    Surgical and anesthesia care

    Partnering Organization(s)

    Interplast,

    Populations Served

    Indigent children in Vietnam

    Location

    International

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    No

Teaching

2013-14 Courses


Graduate and Fellowship Programs


Publications

Journal Articles


  • The haemodilution enhanced onset of coagulation as measured by the thrombelastogram is transient EUROPEAN JOURNAL OF ANAESTHESIOLOGY Ruttmann, T. G., Lemmens, H. J., Malott, K. A., Brock-Utne, J. G. 2006; 23 (7): 574-579

    Abstract

    Crystalloid haemodilution has been widely found to enhance coagulation onset, but the duration of this effect has never been documented.Twelve healthy, consenting volunteers had a rapid infusion of 14 mL kg-1 of normal (0.9%) saline. Blood samples were taken, prior to (control), and immediately after (30 min) the rapid saline infusion was completed (30 min). They were then repeated at regular intervals up to 120 min. Haematocrit/platelet counts were taken to determine the degree of dilution and thrombelastograms, with and without platelet antagonists (ReoPro, Abciximab), were measured in all samples. Antithrombin levels were selectively measured.The haematocrit and platelet count showed a rapid dilutional decrease at 30 min (mean of -12.2% and -14.4%, respectively), with values returning towards baseline within 15 min after finishing the infusion. There was a significantly faster onset of coagulation (decrease in r-time) in the post-infusion sample (30 min) compared to control (P<0.05), again returning towards normal as the dilution effect was reversed. Similar thrombelastograms findings were evident in the plasma factor only group (platelets inhibited by ReoPro). Antithrombin levels changed in keeping with the haemodilution effect (P<0.0001). There was a linear relationship between antithrombin and thrombelastograms r-time (P=0.012).The faster onset of coagulation brought on by haemodilution return towards normal as the dilutional effect is reversed. This effect is mediated through plasma clotting factors. Of interest is the significant inverse correlation of the onset of coagulation increasing as the antithrombin levels decreased with dilution.

    View details for DOI 10.1017/S0265021506000238

    View details for Web of Science ID 000238752100006

    View details for PubMedID 16507197

  • The Relationship between Tracheal Width and Left Bronchial Width: Implications for Left-sided Double-Lumen Tube Selection Journal of Cardiothoracic and Vascular Anesthesia Jay B. Brodsky, Kevin Malott, Martin Angst, Brett G. Fitzmaurice, Stephen P. Kee, Laurie Logan 2001; 15 (2): 216-217

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