Bio

Bio


Dr. Alyssa Burgart is a board certified pediatric anesthesiologist and bioethicist.

Dr. Burgart specializes in pediatric anesthesia and pediatric abdominal transplant anesthesia. She has special interest in transplantation, PANS/PANDAS, spinal muscular atrophy, and trauma. Dr. Burgart is committed to finding the most successful way for each child to interact with the anesthesia team, in order to create an overall positive experience. She champions a program specifically supporting children with unique needs, such as those with sensory integration differences.

Dr. Burgart has a joint appointment in the Stanford Center for Biomedical Ethics, serves as the Co-Chair of the LPCH Ethics Committee and as a member of the SHC Ethics Committee. She provides ethics consultation services for people of all ages. Her ethics interests include pediatric ethics, organ transplantation, communication skills, disability rights, women's healthcare access, adolescent decision-making, ethics education, and excellence in ethics consultation.

Dr. Burgart is active on Twitter, where she comments on Anesthesiology and Bioethics issues. @BurgartBioethix

Clinical Focus


  • Anesthesia
  • Bioethics
  • Pediatric Anesthesia
  • Anesthesia for Liver Transplant

Academic Appointments


Administrative Appointments


  • Co-Chair, Lucile Packard Children's Hospital Ethics Committee (2016 - Present)
  • Member, Lucile Packard Children's Hospital Ethics Committee (2015 - Present)
  • Member, Stanford Hospital and Clinics Ethics Committee (2015 - Present)

Professional Education


  • Board Certification: Pediatric Anesthesia, American Board of Anesthesiology (2016)
  • Board Certification, Pediatric Anesthesia, American Board of Anesthesiology (2016)
  • Board Certification: Anesthesia, American Board of Anesthesiology (2015)
  • Fellowship: Lucile Packard Children's Hospital (2015) CA
  • Residency: Loyola University Medical Center (2014) IL
  • Internship: Loyola University Medical Center (2011) IL
  • MA, Loyola University Chicago, Bioethics and Health Policy (2010)
  • Medical Education: Loyola University Stritch School of Medicine (2010) IL
  • BA, University of Judaism, Bioethics (2003)

Publications

All Publications


  • Parents Demand and Teenager Refuses Epidural Anesthesia. Pediatrics Berkowitz, I., Burgart, A., Truog, R. D., Mancuso, T. J., Char, D., Lantos, J. D. 2020

    Abstract

    A 15-year-old girl is scheduled to undergo an upper lobectomy to debulk metastatic Ewing sarcoma. The anesthesiologist recommended placement of a thoracic epidural catheter to provide postoperative analgesia. The patient did not want a needle to be placed near her spine. She was terrified that the procedure would be painful and that it might paralyze her. Although the anesthesiologist reassured her that sedation and local anesthesia would make the procedure comfortable, she remained vehemently opposed to the epidural procedure. The parents spoke privately to the anesthesiologist and asked for placement of the epidural after she was asleep. They firmly believed that this would provide optimal postoperative analgesia and thus would be in her best interest. Experts discuss the pros and cons of siding with the patient or parents.

    View details for DOI 10.1542/peds.2019-3295

    View details for PubMedID 32398328

  • Donor heart selection during the COVID-19 pandemic: A case study JOURNAL OF HEART AND LUNG TRANSPLANTATION Chen, C., Chen, S. F., Hollander, S. A., Rosenthal, D., Maeda, K., Burgart, A., Almond, C. S., Chen, S. 2020; 39 (5): 497?98
  • Machine Learning Implementation in Clinical Anesthesia: Opportunities and Challenges. Anesthesia and analgesia Char, D. S., Burgart, A. 2020

    View details for DOI 10.1213/ANE.0000000000004656

    View details for PubMedID 31922996

  • The opioid crisis should lead pediatric anesthesiologists to a broader vision of opioid stewardship. Paediatric anaesthesia Burgart, A. M., Char, D. 2019; 29 (11): 1078?80

    View details for DOI 10.1111/pan.13730

    View details for PubMedID 31677337

  • Scarlet A (Book Review) AMERICAN JOURNAL OF BIOETHICS Book Review Authored by: Burgart, A. M. 2019; 19 (10): W3?W4
  • Compassionate deactivation of ventricular assist devices in children: A survey of pediatric ventricular assist device clinicians' perspectives and practices PEDIATRIC TRANSPLANTATION Kaufman, B. D., Hollander, S. A., Zhang, Y., Chen, S., Bernstein, D., Rosenthal, D. N., Almond, C. S., Murray, J. M., Burgart, A. M., Cohen, H. J., Kirkpatrick, J. N., Blume, E. D. 2019; 23 (3)

    View details for DOI 10.1111/petr.13359

    View details for Web of Science ID 000476931300005

  • Physician Sexual Assault: The Moral Imperative for Gender Equity in Medicine AMERICAN JOURNAL OF BIOETHICS Burgart, A. M. 2019; 19 (1): 4?6
  • Managing Expectations: Delivering the Worst News in the Best Way? The American journal of bioethics : AJOB Burgart, A. M., Magnus, D. 2018; 18 (1): 1?2

    View details for PubMedID 29313792

  • Ethical Challenges Confronted When Providing Nusinersen Treatment for Spinal Muscular Atrophy. JAMA pediatrics Burgart, A. M., Magnus, D., Tabor, H. K., Paquette, E. D., Frader, J., Glover, J. J., Jackson, B. M., Harrison, C. H., Urion, D. K., Graham, R. J., Brandsema, J. F., Feudtner, C. 2018; 172 (2): 188?92

    Abstract

    The US Food and Drug Administration's December 2016 approval of nusinersen for the treatment of patients with all subtypes of spinal muscular atrophy ushered in a new era for patients with spinal muscular atrophy, their families, and all those involved in their care. The extreme cost of the medication and the complicated logistical requirements for administering nusinersen via lumbar puncture have created practical challenges that raise important ethical considerations. We discuss 6 challenges faced at the institutional level in the United States: cost, limited evidence, informed consent, treatment allocation, fair distribution of responsibilities, and transparency with stakeholders. These challenges must be understood to ensure that patients with spinal muscular atrophy benefit from treatment, are protected from harm, and are treated fairly.

    View details for PubMedID 29228163

  • Ethical Controversy About Hysterectomy for a Minor. Pediatrics Burgart, A. M., Strickland, J., Davis, D., Baratz, A. B., Karkazis, K., Lantos, J. D. 2017

    Abstract

    One of the most complicated ethical issues that arises in children's hospitals today is the issue of whether it is ever permissible to perform a procedure for a minor that will result in permanent sterilization. In most cases, the answer is no. The availability of good, safe, long-acting contraception allows surgical options to be postponed when the primary goal of such surgical options is to prevent pregnancy. But what if a minor has congenital urogenital anomalies or other medical conditions for which the best treatment is a hysterectomy? In those cases, the primary goal of therapy is not to prevent pregnancy. Instead, sterility is an unfortunate side effect of a medically indicated treatment. Should that side effect preclude the provision of a therapy that is otherwise medically appropriate? We present a case that raises these issues, and asked experts in law, bioethics, community advocacy, and gynecology to respond. They discuss whether the best option is to proceed with the surgery or to cautiously delay making a decision to give the teenager more time to carefully consider all of the options.

    View details for DOI 10.1542/peds.2016-3992

    View details for PubMedID 28562274

  • Fairness and Transparency in an Expanded Access Program: Allocation of the Only Treatment for SMA1. The American journal of bioethics : AJOB Burgart, A. M., Collier, J., Cho, M. K. 2017; 17 (10): 71?73

    View details for PubMedID 29020542

  • Moral Distress in Clinical Ethics: Expanding the Concept AMERICAN JOURNAL OF BIOETHICS Burgart, A. M., Kruse, K. E. 2016; 16 (12): 1-1
  • Randomized n-of-1 Trials: Quality Improvement, Research, or Both? Pediatrics Samuel, J. P., Burgart, A., Wootton, S. H., Magnus, D., Lantos, J. D., Tyson, J. E. 2016; 138 (2)

    Abstract

    The regulatory demarcations between clinical research and quality improvement (QI) are ambiguous and controversial. Some projects that were undertaken as a form of QI were deemed by regulatory agencies to be research and thus to require institutional review board approval. In the era of personalized medicine, some physicians may ask some patients to participate in n-of-1 trials in an effort to personalize and optimize each patient's medical treatment. Should such activities be considered research, QI, or just excellent personalized medicine? Experts in research, research regulation, and bioethics analyze these issues.

    View details for DOI 10.1542/peds.2016-1103

    View details for PubMedID 27385811

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