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Section on Critical Care

The Critical Care Section is part of the General Anesthesia Division of the department. We focus mainly on the cardiovascular ICU. The CVICU takes care of a wide variety of post-operative cardiac, thoracic, and vascular surgical patients, including LVAD and ECMO patients, for which Stony Brook is the major center in Suffolk County, serving a population of 1.5 million. All of the intensivists who work in the CVICU are members of the Department of Anesthesiology. Intensivists supervise dedicated critical care physician assistants, PGY2/3 surgery residents, and PGY2/3 anesthesiology residents.

Section Members


  • David Kiamanesh, MD is Chief of the Section on Critical Care. He also serves as Faculty Education Leader for the CVICU. He has a particular interest in mechanical circulatory support.
  • Elliott Bennett-Guerrero, MD is Vice Chair for Clinical Research in the Department of Anesthesiology and also serves the hospital as Medical Director of Perioperative Quality & Patient Safety. He is an internationally recognized clinical researcher with numerous high impact publications and significant extramural funding.
  • Martin Griffel, MD is Interim Chief Medical Officer for the hospital.
  • Shaji Poovathoor, MD is Associate Professor of Clinical Anesthesiology. He has a particular interest in resident education and has won numerous teaching awards.

Residency Training
Anesthesia residents rotate through the CVICU for a total of two 4-week blocks, starting at the end of the CA-1 year and through CA-2 year. During their time in the CVICU they learn about the post-operative management of post cardiac, thoracic and vascular surgery patients. They also gain experience and better understanding of mechanical circulatory support, including intra-aortic balloon pumps, ECMO and LVADs. While working alongside the intensivists and a group of skilled dedicated critical care PA’s, residents also get experience placing a variety of arterial and venous lines, as well as point of care critical care ultrasound, including TTE and lung ultrasonography. In addition, there are a number of didactic lectures provided during the resident’s time in the ICU by the intensivists, who also act as mentors for residents who are interested in pursuing academic projects.

Recent Section Activity


Dr. Bennett-Guererro with FAER medical student Arnavi Varshney at the 2016 ASA meeting

Dr. David Kiamanesh at the 2017 PGA meeting

Recent Publications
Resident authors denoted by bold type
  • Noll E, Romeiser J, Shodhan 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.
  • 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
  • Abola RE, Romeiser J, Rizwa S, Gupta R, Bennett-Guerrero E. Randomized Controlled Trial of Sugammadex versus Neostigmine for Reversal of Neuromuscular Blockade: Impact on Measures of Early Postoperative Strength. ASA 2018
  • Abola RE, Lian X, Zhang J, Adsumelli RS, Romeiser J, Blaber J, Griffin T, Gan TJ, Bennett-Guerrero E. Evaluation of an Enhanced Recovery After Surgery (ERAS) Program for Minimally Invasive Gynecological Surgery. ASA 2018
  • 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
  • Smith J, Probst S, Calandra C, Davis R, Sugimoto K, Nie L, Gan TJ, Bennett-Guerrero E. Enhanced Recovery After Surgery Program in Patients Undergoing Lumbar Fusion. ASA 2018