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BluePrint is published once a year by Duke Anesthesiology. This issue was published on September 19, 2016. Your comments, ideas and letters are welcome. View this issue and past issues online: Please contact us at : Duke Anesthesiology BluePrint Magazine DUMC 3094 Durham, NC 27710 Tel: (919) 613-0469 E-mail: Editor in Chief Stacey Hilton Assistant Editor Leighanne Toole Lead Writer Stacey Hilton Contributing Writers Leighanne Toole Duke Anesthesiology Faculty & Staff Duke Health Marketing & Communications Duke University School of Medicine Art Director & Designer Leighanne Toole Contributing Photographers John “Jack” Newman Elizabeth Perez, RN, BSN Duke Anesthesiology Faculty & Staff Website Administrator Christopher Keith BluePrint Taskforce Members Solomon Aronson, MD, MBA, FACC, FCCP, FAHA, FASE Richard L. Boortz-Marx, MD Jennifer E. Dominguez, MD, MHS David B. MacLeod, MB, BS, FRCA Allison Kinder Ross, MD Kerri M. Wahl, MD, FRCP(C) Connect With Duke Anesthesiology: WEBSITE:








Duke Anesthesiology

(Right; Dean’s Suite) Noted for his research in improving perioperative outcomes, particularly neurocognitive dysfunction, alterations in brain connectivity and occurrence of atrial fibrillation after cardiac surgery, and for his leadership in perioperative echocardiography.




In this occasion of the launch of another BluePrint publication, I look to the days ahead of us with hope, determination and great excitement, for 2016 has been a year of significant expansion for Duke Anesthesiology. In January of this year, we launched the Center for Translational Pain Medicine with world-renowned pain researcher, Dr. Bill Maixner, at its helm. The Center further develops Duke’s existing clinical and research program in innovative pain therapies by bringing together, under one umbrella, leading basic scientists, clinicians and clinical researchers — a comprehensive team made up of about 40 faculty and researchers as well as five basic science labs. A novel component of the Center’s strategy is the multidisciplinary treatment of orofacial pain — the first such program at any anesthesiology department in the country. In June of this year, we formally launched the Morpheus Consortium, a joint effort between Duke University School of Medicine and University College London. The mixing of talent and leadership from two very innovative institutions will undoubtedly transform patient care, research and education. I am grateful to Professor Monty Mythen (Duke alumnus) and his colleagues for their partnership in this shared vision of “changing the face of anesthesiology.” The first formal venture under this brand is the new Duke Perioperative Medicine Fellowship, which begins July of 2017. In August, Dr. Padma Gulur joined Duke Anesthesiology as the Vice Chair for Performance and Operations and will be focused on developing and implementing a plan to integrate the delivery of pain management services across Duke Health. Finally, Dr. Paul Wischmeyer will be joining the Department in November. Dr. Wischmeyer is the nation’s leading investigator in nutrition for the critically ill and will be developing a clinical nutrition service in partnership with Duke Surgery. He will also serve as the Director of Perioperative Research at the Duke Clinical Research Institute. Ongoing efforts to improve the perioperative care of our patients have included the Preoperative Diabetes Management Program as part of the POET initiative and the transformation of the pre-admission testing clinic to a perioperative optimization center. In this edition of

BluePrint you will read more about the first hand transplant in North Carolina, performed at Duke with a significant contribution from our Regional anesthesiologists. Other highlights in the clinical arena include the expansion of critical care delivery in the SICU and Duke Regional Hospital; institution of the Responsible Drug Use and Cost Effective Strategy that has already produced more than $800,000 in savings; development of two new peripheral block techniques (RAPTIR, SIFI); enhanced service delivery for mechanical thrombectomy in stroke patients; demonstration of cost savings with the first population health-based outpatient pain program at Duke; development of a protocol for the “gentle cesarean;” participation in the national pediatric Wake Up Safe quality improvement initiative; and development of a Point of Care Ultrasound Curriculum. Finally, I am thrilled to welcome Adam Flowe as our new Chief CRNA. He has already proven to be a great leader and partner with us. From an educational perspective, Ashley Grantham joined us as medical education specialist with the goal of improving educational content and assisting in the redesign of curricula. New rotations this year include a MS4 rotation in the CTICU under the leadership of Dr. Quintin Quinones, and a Regional Anesthesiology fellowship exchange program in Belgium, under the leadership of Dr. Jeff Gadsden. Dr. Ankeet Udani was also awarded a grant to study the effectiveness of classroom-based experiential learning versus electronic-based self-directed learning. Once again, Dr. Nancy Knudsen was recognized for her teaching excellence as this year’s distinguished speaker at the Duke University School of Medicine graduation. There is no doubt that the landscape of healthcare is rapidly changing, but I note that Helen Keller once said, “Avoiding danger is no safer in the long run than outright exposure. Life is either a daring adventure, or nothing. To keep our faces toward change and behave like free spirits in the presence of fate is strength undefeatable.” While change is rampant, I am excited by the many accomplishments and new opportunities that have been created and led by the incredible faculty, staff, trainees, friends and alumni that comprise Duke Anesthesiology. We are successful because you have kept your faces toward change and have had an unceasing commitment to excellence. It is to you that I give thanks and raise my glass in celebration.


Joseph P. Mathew, MD, MHSc, MBA Jerry Reves, MD, Professor of Anesthesiology and Chairman, Department of Anesthesiology

Photo Courtesy of Duke University Photography

Message From the Chair

2016 BluePrint  
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