Vital Signs
Annemarie Thompson, MD

Dr. Annemarie Thompson
Residency Program Director

March 7, 2018

Hi everyone!

Many exciting announcements in this newsletter, so read on…

First, thank you to the residents and selected faculty for completing the ACGME survey before the deadline! As promised, if you completed the survey in the first week, your name was entered twice in the drawing for Duke Anesthesiology swag and once if you completed it in the second week. Our lucky winners are Fatu Bangura and Eddie Jooste! Stop by the Education Office to pick up your prizes.

February and early March have been busy months so far.  Match Week is next week, when we will welcome some new faces to the Duke Anesthesiology family.  I know many of you (especially the interns) are excited to learn who will join our team.

Our February 24th Annual Bowling Event was a huge success! Thank you to the faculty who very generously donated terrific prizes, and a special thank you to Bridger Bach and Del Lamb for organizing the evening.

24th Annual Bowling Event

And lastly, “Hail to the Chiefs!”

Please join me in congratulating the 2018-2019 Resident Leadership:

Chief Residents

Sarah Cotter, MDSarah Cotter, MD

Sarah was born and raised in North Carolina, received her bachelor’s degree in 2010 in English at Duke University before matriculating to the lighter blue side (also known as the University of North Carolina at Chapel Hill) for medical school. Since returning to Duke, Sarah has served on the GME Resident Council and was selected to represent our department at the annual NCSA meeting this past September where she won first place for her poster presentation on Blood-Brain Barrier Permeability and Cognitive Dysfunction After Cardiac and Non-Cardiac Surgery. She will pursue a cardiothoracic anesthesiology fellowship in July 2019.

William Fox, MDWilliam Fox, MD

Born in Yokohama, Japan, Will received his bachelor’s degree in 2006 in international business and economics before matriculating to Juntendo University for medical school. He completed two years of training at Yokohama City Minato Red Cross Hospital prior to joining our program in 2015. Will is the resident representative (president, in fact) on the Committee for Extreme (and extremely dangerous) Sports – he is a Master of Dojo and holds a sixth degree black belt in Japanese swordsmanship. In his downtime, he enjoys professional auto racing (no, I’m not making this up) and is forming a community of residents interested in flying (this is why program directors take omeprazole). Once his chief year is complete, Will plans to pursue a critical care medicine fellowship followed by a career in the Air Force.

Education Chief Residents

Annie Castro, MDAnne Castro, MD

Annie was born in Milwaukee, Wisconsin and matriculated to the University of Notre Dame in 2003. She received her bachelor’s degree in English literature with a minor in French and francophone studies and international peace studies. Annie volunteered as a social worker for two years in Trujillo, Honduras with the Farm of the Child program, where she provided individualized social work services to Honduran children and adolescents, which included the recruitment, training and ongoing support to foster parents. She decided to pursue a career in medicine at the University of Chicago Pritzker School of Medicine.  She has served as one of the program’s GME representatives on the hospital’s Committee for Patient Safety and Quality since her CA-1 year and has become an exceptional resident physician. Once her education chief year is complete, Annie will pursue a regional anesthesiology fellowship.

Julien Cobert, MDJulien Cobert, MD

Julien was born in Summit, New Jersey and received his bachelor’s degree in mathematics from Duke University in 2009 before matriculating into Duke’s School of Medicine. In 2013, he matched into the University of Pennsylvania Internal Medicine Residency Program. After completing (yes, completing) his internal medicine residency, he chose to do another residency in anesthesiology back at Duke. Since matching into our program as a CA-1 in 2016, he has served on our department’s wellness committee and continued to embody the outstanding qualities of a physician. After his year as education chief is complete, Julien will pursue a critical care medicine fellowship.

ACES Chief Residents

Michael Devinney, MD, PhDMichael Devinney, MD, PhD

Mike was born in Pittsburgh, Pennsylvania and received his bachelor’s degree in neuroscience and biology from the University of Pittsburgh before matriculating to the University of Wisconsin’s Medical Scientist Training Program in 2006. He completed the MD/PhD program in 2015 with his doctoral thesis completed in the lab of Dr. Gordon Mitchell. Since matching into our ACES track within the residency program, Mike has worked with Dr. Miles Berger and others regarding postoperative delirium. After this year as ACES chief, Mike will pursue a critical care medicine fellowship.

Stephen Ellison, MD, PhDStephen Ellison, MD, PhD

Stephen was born and raised in North Carolina, staying locally to receive his bachelor’s degree in chemistry from the University of North Carolina at Chapel Hill in 2005. Following his research mentor, he moved to Temple University to complete his PhD and decided to enter medical school. His PhD dissertation is titled, “The Effects of Interleukin-19 on Attenuation of the Vascular Response to Injury” under the direction of Dr. Michael Autieri. Stephen came back to North Carolina when he matched into our ACES program and is currently working with Dr. Svati Shah of Duke’s Molecular Physiology Institute. After this year as ACES chief, Stephen will pursue a cardiothoracic anesthesiology fellowship.

Have a great week! ~ AMT

Anna Rylova, MD

Published in the Journal of Neurosurgical Anesthesiology. 2018 Feb 21 (epub ahead of print). PMID: 29470316

“Protecting the Brain With Xenon Anesthesia for Neurosurgical Procedures”

Rylova A, Maze M.

Abstract: Xenon possesses some, but not all, of the clinical features of an ideal anesthetic agent. Besides well-known advantages of rapid awakening, stable hemodynamics and lack of biotransformation, preclinical data lead to the expectation of xenon’s advantageous use for settings of acute ongoing brain injury; a single randomized clinical trial using an imaging biomarker for assessing brain injury corroborated xenon’s preclinical efficacy in protecting the brain from further injury. In this review, we discuss the mechanisms and hence the putative applications of xenon for brain protection in neurosurgery. Although the expense of this rare monoatomic gas will likely prevent its widespread penetration into routine clinical neurosurgical practice, we draw attention to the theoretical benefits of xenon anesthesia over other anesthetic regimens for awake craniotomy and for neurosurgery in older, high-risk, and sicker patients.

Drs. Jack Gamble and Angela Pollak

CENTRAL LINE :: 3/10/2018 – 3/16/2018

Weekend Days
This weekend (3/10 – 3/11): McCauley, Horres
Next weekend (3/17 – 3/11): Li (Pollak!), J. Anderson

Night Float
This week (3/3 – 3/8): Crowgey, Bach
Next week (3/10): Jones, Lane
Next week (3/11 – 3/15): Horazeck, Lane

Friday Night
This Friday (3/9): Wang, J. Anderson
Next Friday (3/16): Crowgey, Wong

Liver Call Weekend (pager: 970-7320)
This weekend (3/10 – 3/11): Mangubat
Next weekend (3/17 – 3/18): Castro

Liver Call Weekday (pager: 970-7320)
Liver day (Mon 3/5 – Fri 3/9): Ellison
Liver night (Mon 3/5 PM – Fri 3/9): Van Hoomissen

OB Weekend
Saturday 3/10 AM: Van Hoomissen
Saturday 3/10 PM: Donald
Sunday 3/11 AM: Brockbank

Saturday 3/17 AM: La Colla
Saturday 3/17 PM: Donald
Sunday 3/18 AM: Brockbank

ASC Fridays
This Friday (3/9): Yan
Next Friday (3/16): Wong

Simulator (4-6pm—page charge CRNA *7853 to ask for relief at 3:45pm)
*These are mandatory sessions* Please remind each other.
3/12: McCauley, Jones, Gamble
3/19: Garrett, Li, Mintz-Cole
3/26: Brown, Horres, Roberts, Yan

4/2: J. Anderson, Bach, Lane
4/9: McManigle, Sharma, Schiller
4/16: Frangakis, La Colla, Lamb, Wong

Functional Pagers
CA3 on call pager (970-9313) is covered by CA3 on general OR call.
Liver call pager (970-7320) is always covered.
PACU CA3 pager (970-5325)

Please let me know if any errors/omissions!

Please stop by during the office hours listed below. Or, please feel free to contact any of our leadership to schedule a meeting outside of standard office hours.

Dr. Annemarie Thompson (Program Director): March 15th 11 a.m. in HAFS office

Dr. Brian Colin and Dr. Ankeet Udani (Assistant Program Directors): Per request.

Jessica Burkhart (Senior Program Coordinator): Monday – Friday, 8 – 4 p.m. in HAFS office

Shelby Schultz (Junior Program Coordinator): Monday – Friday, 8 – 4 p.m. in HAFS office

Duke Health wants to showcase our residents online! Please contact Jennifer Schwabel and Jessica Burkhart if you’re interested in creating a video for your physician profile page! Check out Dr. Thomas Buchheit’s profile video for a great example.

Wellness Opportunities
Want to talk with someone?

Personal Assistance Service (PAS) is the faculty/employee assistance program of Duke University that is FREE. The staff of licensed professionals offers assessment, short-term counseling, and referrals to help resolve a range of personal, work, and family problems. PAS services are available at no charge to Duke faculty and staff, and their immediate family members. An appointment to meet with a PAS counselor may be arranged by calling the PAS office at 919-416-1PAS (919-416-1727), Monday through Friday between 8:00 A.M. and 5:00 P.M. Four premium time appointment slots are being offered each week for GME trainees only. Two appointments are at 7 am (Tuesdays and Fridays), and two appointments are at 5 pm (Mondays and Wednesdays), each week.

24 x 7 behavioral health support for GME trainees, including urgent support for those experiencing behavioral health crises during nights and weekends: During normal business hours, and for non‐urgent behavioral health care needs, PAS (919‐416‐1727), Duke Psychiatry (919‐684‐0100) or Employee Health (919‐684‐3136) are resources to access timely behavioral health care.

This Week in Lectures

Intern (March 8): EKG Interpretation with Richard Moon, MD, CM, MSc, FRCP(C), FACP, FCCP

CA 1 (March 6): Cardiac Physiology: Preload, Afterload, and Frank Starling Law with J. Mauricio Del Rio, MD

CA 2/3 (March 7): Spinal, epidural, and multimodal anesthesia with Srinivas Pyati, MD, MBBS

Thursday (March 8): Aortic Valve Evaluation with Sharon McCartney, MDE

Next Week in Lectures

CA 1 (March 13): Diuretics with Mike Fierro, MD

CA 2/3 (March 14): Acute Pain and Peripheral Nerve Catheters with Arun Ganesh, MD

Thursday (March 15): Principles of Doppler Ultrasound and Image Optimization with Yasmin Maisonave, MD

To view the complete list of job postings, visit the Box Account. Email Shelby or Jessica to get added!

Duke Anesthesiology Residency Program

Department of Anesthesiology

GME Mistreatment Reporting Site

Confidential Comment Line: all submissions are strictly confidential unless you chose to complete the optional section requesting a response

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