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Cardiothoracic Anesthesia Division

Patient Care Information

The Division of Cardiothoracic Anesthesiology is comprised of faculty members whose clinical practice focuses on patients undergoing cardiac and thoracic procedures in the operating room and catheterization laboratory. Our continued mission is to offer safe, uncompromising, elite-level care for patients undergoing these procedures, while providing the highest quality educational environment to our residents and medical students.

Division Members


Jeremy Poppers, MD, PhD, FASE
Chief of Cardiothoracic Anesthesia
           

  • Derek Atkinson, MD joined our team in 2018 after completing a Fellowship in Cardiothoracic Anesthesiology at Columbia University.
  • Elliott Bennett-Guerrero, MD is Vice Chair for Clinical Research in the department and Medical Director, Perioperative Quality & Patient Safety for Stony Brook Medicine. His research is supported, in part, by a grant from the National Heart, Lung and Blood Institute: "VO2 Max: In Vivo Model for Functional Red Cell Testing. Can RECESS be explained?"
  • Igor Izrailtyan, MD is the director of intraoperative TEE and is leading a quality improvement initiative for our TEE program.
  • Renata Kowal, MD is a graduate of Stony Brook University Medical School, did her Residency training in our department and did a Fellowship in Cardiothoracic Anesthesiology and Perioperative TEE at the Cleveland Clinic Foundation.
  • Slawomir Peter Oleszak, MD is Director of the Resident Airway rotation.
  • Jeremy Poppers, MD, PhD, FASE is Chief of the division. He has been recognized for his teaching in cardiac anesthesiology and TEE.
  • Bharathi Scott, MD has research interests in the transfusion of blood during cardiac surgery, morbidity and mortality in octogenarians undergoing bypass surgery and gender differences in resource utilization in cardiac surgery.
  • Eric Zabirowicz, MD has a particular interest in mechanical circulatory support for both acute and chronic heart failure.
Residency Training

During their cardiothoracic rotation, residents are exposed to a wide variety of cardiac and major aortic cases, including on- and off-pump coronary revascularization surgery, valve repair and replacement, aortic aneurysm and dissection repair. In addition, residents will gain experience in caring for patients with advanced heart failure who require placement of mechanical assist devices such as intra-aortic balloon pumps, ventricular assist devices (VADs) and extra corporeal membrane oxygenation (ECMO). Residents will also gain familiarity with patients undergoing trans-catheter aortic valve replacements (TAVRs) and a multitude of thoracic surgical cases, including pulmonary and esophageal resections.

Residents rotate through the cardiothoracic division for a month-long block starting in the middle of their CA1 year. Additional weeks on the service assigned during their CA-2 and CA-3 years.  During their rotation, residents will become proficient in the placement of arterial, central venous and pulmonary artery catheters, double lumen endotracheal tubes and bronchial blockers. Transesophageal echocardiography (TEE) experience will be acquired intraoperatively as well.

In addition to a diverse clinical experience, the cardiothoracic rotation offers a structured didactic program, comprised of a series of faculty lectures. Our faculty are genuinely excited to teach our residents, as well as serve as mentors for residents who wish to pursue academic projects, ranging from clinical research to challenging case reports, during the course of their rotation and residency; our residents have traditionally presented abstracts and complex cases at regional and national meetings.


Recent Division Activity


Dr. Izrailtyan presenting at our Academic Research Evening 2018

Dr. Poppers and Resident Dr. Hua presenting their poster at the 2017 SCA meeting

Recent Publications
Resident authors denoted by bold type

from Raghunathan et al 2018
  • Scott B, Tam CW, Moon RS. Transfemoral Transcatheter Aortic Valve Replacement in a Patient With Heparin-Induced Thrombocytopenia: Intraoperative Anticoagulation Management With Bivalirudin (Angiomax). J Cardiothorac Vasc Anesth. 2015 Jan 17.
  • Noll E, Romeiser J, Sho1dhan S, Madariaga MC, Guo X, Rizwan S, Al-Bizri E, Bennett-Guerrero E. Feedback Simulation for Acupressure Training and Skill Assessment. Simul Healthc. 2017 Aug;12(4):220-225.
  • Noll E, Shodhan S, Madariaga MC, Page CR, Santangelo D, Guo X, Al Bizri E, Pryor AD, Romeiser J, Bennett-Guerrero E. Randomized trial of acupressure to improve patient satisfaction and quality of recovery in hospitalized patients: study protocol for a randomized controlled trial. Trials. 2017 Mar 7;18(1):110.
  • Stowell C, Bennett-Guerrero E. The Decision to Transfuse: One Size Might Not Fit All. Crit Care Med. 2017 May;45(5):908-910
  • Bampoe S, Odor PM, Dushianthan A, Bennett-Guerrero E, Cro S, Gan TJ, Grocott MP, James MF, Mythen MG, O'Malley CM, Roche AM, Rowan K, Burdett E. Perioperative administration of buffered versus non-buffered crystalloid intravenous fluid to improve outcomes following adult surgical procedures. Cochrane Database Syst Rev. 2017 Sep 21;9.
  • DeMaria S Jr., Bennett-Guerrero E. Examining the Methodology of the Transfusion Requirements in Cardiac Surgery-III (TRICS-III) Trial: Third Time's a Charm? J Cardiothorac Vasc Anesth. 2018 Feb;32(1):130-131.
  • Izrailtyan I, Qiu J, Overdyk FJ, Erslon M, Gan TJ. Risk factors for cardiopulmonary and respiratory arrest in medical and surgical hospital patients on opioid analgesics and sedatives. PLoS One. 2018 Mar 22;13(3).
  • Raghunathan K, Singh M, Nathanson BH, Bennett-Guerrero E, Lindenauer PK. Early Blood Transfusions in Sepsis: Unchanged Survival and Increased Costs. Am J Crit Care. 2018 May;27(3):205-211.
  • Noll E, Shodhan S, Varshney A, Gallagher C, Diemunsch P, Florence FB, Romeiser J, Bennett-Guerrero E. Trainability of Cricoid Pressure Force Application: A Simulation-Based Study. Anesth Analg. 2018 May 9.
Recent Presentations
  • Hua B, Poppers J. Utility of Intraoperative 3D TEE for Diagnosing Mitral Valve (MV) Prosthetic Failure Immediately Post-Replacement. Society of Cardiovascular Anesthesiologists 39th Annual Meeting & Workshops. Orlando, FL. 2017
  • Thalappillil R, Scott BH, Seifert FC. Resource utilization, Postoperative mortality and morbidity in octogenarians, our experience 10 years later. ASA 2017
  • Thalappillil R, Izrailtyan I, McLarty HJ. Role of intraoperative TEE in identifying previously unrecognized RA thrombus prior to LVAD placement in patient with decompensated idiopathic dilated cardiomyopathy. ASA 2017
  • Escobar D, Scott B. Unilateral Tympanic Membrane Rupture During Robotic-Assisted Laparoscopic Prostatectomy. ASA 2017
  • Zia H, Oleszak SP, Andraous W. Complex Airway Management for Vocal Cord Lesion, Partial Glossectomy, Partial Palatectomy, Tonsillectomy, Pharyngectomy and Radical Neck Dissection combined. ASA 2017
  • Izrailtyan I, Bates A, Escobar D. Non-opioid Perioperative Management of the Patient. PGA 2017
  • NaJaveed S, McLarty A, Izrailtyan I. Use of Prothrombin Complex Concentrate for Hemostasis during Emergent Aortic Surgery in Patient with Refractory Bleeding on Rivaroxaban. PGA 2017
  • Smestad A, Tannous H, Izrailtyan I, Parikh P. Anesthetic Sedation for Valve-in-Valve TAVR in a Patient with Pulmonary Carcinoid Tumor. PGA 2017
  • Izrailtyan I, Poppers JS, Kowal RA, Zabirowicz E, Nie L, Romeiser JL, Gan TJ, Bennett-Guerrero E. Perioperative TEE Continuous Quality Improvement Program. ASA 2018
  • Al-Bizri E, Lekhraj JS, Oleszak SP. Complex Airway Management and Lung Isolation In A Patient With Unilateral Vocal Cord Paralysis And Bilateral Neck Dissection. ASA 2018
  • Mouch CM, Oleszak SP. Post Traumatic Stress Disorder After Anesthesia And The Approach To A Patient With A Difficult Airway Refusing Awake Intubation. ASA 2018
  • Yau G, Oleszak SP. Airway Management Of Patient With Goiter & Anterior Mediastinal Mass Undergoing Lower Extremity Surgery. ASA 2018