Critical Care Anesthesiology
Division members will provide world-class care for critically ill patients in multiple intensive care units across the institution. The Division’s intensivists will plan and execute clinical research studies, including multicenter studies and prospective clinical and translational studies. All members will maintain an active leadership role as educators for medical students, residents, and fellows. Curricula and educational products will be developed and disseminated both locally and nationally. Members will play a direct role in various patient safety and quality improvement initiatives. Members from the Division will actively participate in all critical care-related committees in the institution, representing the interests of the Department of Anesthesiology, and chairing committees when appropriate. The Division Chief will coordinate and lead these efforts, providing mentoring and guidance.
The missions of the Division of Critical Care are:
- Provide exemplary care for critically ill patients
- Conduct cutting edge clinical and basic research
- Educate the next generation of anesthesiologist-intensivists
- Teach the concepts of airway management, resuscitation and pulmonary care to medical students and other health professionals
- Harness initiative and innovation in all of these areas
Faculty members in the Division of Critical Care Medicine provide care for critically ill patients in the surgical intensive care unit (SICU), neurosciences intensive care unit, cardiac surgical intensive care unit (CSICU), and trauma/neurotrauma intensive care units. All members are board certified in anesthesiology, with an additional subspeciality certification in critical care medicine or neurocritical care (UCNS).
Education: Medical students and residents who rotate through the Surgical ICU gain valuable experience in the management of critically ill patients and attend lectures during their rotations. All residents are required to pass the Society of Critical Care Medicine’s Fundamentals of Critical Care Support course during their initial rotation.
The Division offers a Critical Care Anesthesiology Fellowship, accredited by the ACGME. In addition to learning all aspects of care for seriously ill patients, fellows participate in lectures and journal clubs on a weekly basis.
- Michael Mazzeffi, MD, MPH, Associate Professor and Division Chief
- Megan Graybill Anders, MD, Assistant Professor and Chief Safety Officer
- Samuel Galvagno, DO, PhD, MS, FCCM, Associate Professor
- Sarah U. Kumar, MD, Instructor
- Caron M. Hong, MD, MSc, Associate Professor
- Shaun C. Moeller, MD, Instructor
- Mary Njoku, MD, Associate Professor
- Justin Richards, MD, Assistant Professor
- Peter Rock, MD, MBA, FCCM, Professor and Department Chair
- Vadivelu Sivaraman, MBBS, Assistant Professor
- Elizabeth Cox Williams, MD, Assistant Professor and Fellowship Program Director
- Departmental intranet: (links to landmark critical care articles) http://anesweb.umm.edu
- Maryland Critical Care Project: http://marylandccproject.org/
- ATS Reading List: https://www.thoracic.org/professionals/career-development/residents-medical-students/ats-reading-list/
- SCCM: https://www.sccm.org/Home
- SCCM Critical eConnections (featuring monthly concise critical appraisals of key articles): https://www.sccm.org/Communications/SCCM-Connect
- SCCM iCritical Care Podcasts: https://www.sccm.org/Communications/iCritical-Care
- EmCrit: http://emcrit.org/
- Critical Care Reviews: http://www.criticalcarereviews.com/
- MDCalc (critical care calculators): https://www.mdcalc.com/
Busse LW, Chow JH, McCurdy MT, Khanna AK. COVID-19 and the RAAS-a potential role for angiotensin II?. Crit Care. 2020;24(1):136. Published 2020 Apr 7. doi:10.1186/s13054-020-02862-1. PMID: 32264922.
Chow JH, Abuelkasem E, Sankova S, Henderson RA, Mazzeffi MA, Tanaka KA. Reversal of Vasodilatory Shock: Current Perspectives on Conventional, Rescue, and Emerging Vasoactive Agents for the Treatment of Shock. Anesth Analg. 2020;130(1):15-30. doi:10.1213/ANE.0000000000004343. PMID: 31348056.
Tabatabai A, Rabin J, Menaker J, Manathil R, Galvagno S, Menne A, Chow JH, Grazioli A, Herr D, Tanaka K, Scalea T, Mazzeffi M. Factor VIII and Functional Protein C Activity in Critically Ill Patients With Coronavirus Disease 2019: A Case Series. A A Pract. 2020;14(7):e01236. doi:10.1213/XAA.0000000000001236. PMID: 32539272.
Chow JH, Fedeles B, Richards JE, Tanaka Ka, Morrison JJ, Rock P, Scalea TM, Masseffi MA. Thromboelastography Reaction-Time Thresholds for Optimal Prediction of Coagulation Factor Deficiency in Trauma. J Am Coll Surg. 2020;230(5):798-808 doi:10.1016/j.jamcollsurg.2020.01.033. PMID: 32142926.
Verdiner RE, Choukalas CG, Siddiqui S, Stahl DL, Galvagno Jr SM, et. al. COVID-Activated Emergency Scaling of Anesthesiology Responsibilities Intensive Care Unit. Anesth Analg. 2020;131(2):365-377. doi:10.1213/ANE.0000000000004957. PMID: 32398432.
Mazzeffi M, Bathula A, Tabatabai A, Menaker J, Kaczorowski D, Madathil R, Galvagno S, Pasrija C, Rector R, Tanaka K, Herr D. Von Willebrand Factor Concentrate Administration for Acquired Von Willebrand Syndrome- Related Bleeding During Adult Extracorporeal Membrane Oxygenation [published online ahead of print, 2020 Jul 3]. J Cardiothorac Vasc Anesth. 2020;S1053-0770(20)30627-3. doi:10.1053/j.jvca.2020.06.083. PMID: 32758410.
Mazzeffi MA, Gammie JS, Tanaka K, Holmes JD, Salenger R, Alejo D, Galvagno S, Rock P, Taylor B. Maryland's Global Budget Revenue Program and Coronary Artery Bypass Surgery. Ann Thorac Surg. 2020;110(2):592-597. doi:10.1016/j.athoracsur.2019.10.084. PMID: 31877294.
Galvagno SM Jr, Sikorski RA, Floccare DJ, Rock P, Mazzeffi MA, DuBose JJ, Scalea TM, Miller C, Richards JE, O’Connor JV, Mackenzie CF, Hu P. Prehospital Point of Care Testing for the Early Detection of Shock and Prediction of Lifesaving Interventions [published online ahead of print, 2020 May 21]. Shock. 2020;10.1097/SHK.0000000000001567. doi:10.1097/SHK.0000000000001567.PMID: 32453248.
Engdahl AJ, Parrino CR, Wasicek PJ, Galvagnno Jr SM, Brenner M, Anders MG, Conti B, Rock P, McCunn M.. Anesthetic Management of Patients After Traumatic Injury With Resuscitative Endovascular Balloon Occlusion of the Aorta. Anesth Analg. 2019;129(5):e146-e149. doi:10.1213/ANE.0000000000004130. PMID: 31634204.