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My Patient With Rectal Cancer Does Not Have Pain ...My

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    My Patient With Rectal Cancer Does Not Have Pain ...My My Patient With Rectal Cancer Does Not Have Pain ...My Document Transcript

    • CURRICULUM VITAE Oscar A. de Leon-Casasola Revision Date: 10-14-08 Department of Anesthesiology 5100 Rockledge Drive and Critical Care Medicine Clarence, NY 14031 Roswell Park Cancer Institute Buffalo, New York 14263 Telephone: +1-716-759-6197 Telephone: 716-845-8804 Telecopier: 716-845-8518 e-mail: oscar.deleon@roswellpark.org Education: 1982 M.D. Universidad de San Carlos de Guatemala, Guatemala City, Guatemala 1976 Bachiller Bachelor in Arts with specialty in Piano National Conservatory of Music Guatemala City, Guatemala Postdoctoral Training: Internship and Residencies: 1981-1982 Rotating Internship Military Hospital, Guatemala 1982-1983 Senior Resident, General Surgery Military Hospital, Guatemala 1984-1985 House Officer, General Surgery Cedars Medical Center, Miami 1985-1986 Intern in General Surgery State University of New York Downstate-Brooklyn, New York 1986-1987 Resident in General Surgery Critical Care Fellowship Track State University of New York Downstate-Brooklyn, New York 1987-1989 Resident in Anesthesiology State University of New York, Buffalo 1989-1990 Chief Resident, Anesthesiology State University of New York, Buffalo 1
    • Licensure: 1984-1991 Oklahoma License Registration 1988 Florida License Registration 1989 Pennsylvania License Registration 1990 New York License Registration Board Certification: 1991 American Board of Anesthesiology #19247 1993 Critical Care Medicine #562 1994 Pain Medicine #530 2003 Recertification in Pain Medicine #19247 Academic Appointments: 1987 - 1990 Clinical Assistant Instructor in Anesthesia, University at Buffalo 1990 - 1991 Instructor in Anesthesia, University at Buffalo 1991 - 1996 Assistant Professor in Anesthesia, University at Buffalo 1996 - 2001 Associate Professor in Anesthesia with Tenure, University at Buffalo 2001 Professor of Anesthesiology with Tenure, University at Buffalo 2006 Professor of Oncology, Roswell Park Cancer Institute Hospital Appointments: 1990 - Anesthesiologist, Roswell Park Cancer Institute, Buffalo, New York 1991 - 1993 Director of the Acute Pain Service, Roswell Park Cancer Institute, Buffalo, New York 1991 - 1993 Staff, Critical Care Unit Roswell Park Cancer Institute, Buffalo, New York 1993 - 1994 Director, Surgical Intensive Care Unit Roswell Park Cancer Institute, Buffalo, New York 1994 - 1998 Chief, Critical Care Medicine Roswell Park Cancer Institute, Buffalo, New York 1998 - Director, Anesthesia Research Roswell Park Cancer Institute 1999 - Chief, Pain Medicine and Symptom Management Roswell Park Cancer Institute University of Buffalo, Department of Anesthesia Appointments: 2001 - Vice-Chairman for Clinical Affairs 2
    • University at Buffalo, School of Medicine and Biomedical Sciences Responsabilities 1992 - 1994 Representative to the Faculty Council of the School of Medicine 1992 - 1993 Alternate Senator, University Faculty Senate. 1993 - 1994 Search Committee for Chairman of the Department of Anesthesiology of Millard Fillmore Hospital 1993 - 1994 Appointments, Promotions, Tenure and Privileges Committee 1999 - 2001 Representative to the Faculty Council of the School of Medicine University at Buffalo, Department of Anesthesiology Committee Responsabilities: 1990 - 1994 Education Committee 1993 - Research Committee 1993 - Critical Care Committee 1995 - Appointments, Promotions, Tenure and Privileges Committee 2000 - Academic Anesthesiology Advisory Council 2006 - Executive Committee University at Buffalo, Department of Anesthesiology Teaching Responsabilities: 1991 - Faculty lecturer in Resident Seminars, Department of Anesthesiology State University of New York at Buffalo School of Medicine, Buffalo, New York 1993 - Faculty lecturer in Graduate Students Seminars, Pathophysiology Course Roswell Park Cancer Institute 1998 - Faculty lecturer in Medical Students Selectives for Pain Management 1999 - Director, Pain Fellowship Program Hospital Service Responsibilities: 1991 - 2000 Critical Care Unit Team, Roswell Park Cancer Institute, Buffalo, New York 1991 - Pain Service Team, Roswell Park Cancer Institute, Buffalo, New York 3
    • Awards and Honors: 1989 - 1990 Chairman's Award, outstanding resident Department of Anesthesiology SUNY at Buffalo. 1989 - 1990 Administrative Chief Resident Department of Anesthesiology SUNY at Buffalo. 1991 Award of Excellence, abstract presented at the Second Annual Upstate Academic Anesthesia Conference. Rochester, NY. 1992 SUNY at Buffalo Anesthesia Residents' Teaching Award in Recognition to Excellence in the Art of Academic and Clinical Anesthesia. 1992 Best abstract presented, Symposium on Visceral Pain, Ibero-American Congress of Anesthesiology. Barcelona, Spain. 1992 First Place, abstract presented at the Third Annual Upstate Academic Anesthesia Conference. Rochester, NY. 1995 First Place, abstract presented at the Sixth Annual Upstate Academic Anesthesia Conference. Rochester, NY. 1996 Western New York Business First “40 Under Forty” award. 1999 Member Honoris Causa, Colombian Society of Anesthesiology 2000 Annual Outstanding Physician Partner Award, Postgraduate Institute for Medicine 2003 Top Doctor – Top Pain Clinic Good Housekeeping Magazine: Top Pain Clinics in the Country. May 2003 2004 Chair, Scientific Committee for the Fall Meeting – ASRA and Pain Management 2005 America’s Top Doctors. Castle Connolly’s Guide to Medical Specialists 2005 List, Empire Who’s Who Among Executives and Professionals in Medicine & Healthcare (“Honors Edition”) 2006 100 “Top Docs in Buffalo” Buffalo Spree Magazine, Jan-Feb 2006 (http://www.buffalospree.com/spree/archives/2006_0102/010206T opDocsList.html) 2006 M/Pfizer Visiting Professorship in Pain Medicine Award Recipient at Wayne State University, Detroit, MI 2006 Consumers’ Research Council of America, “Guide to America’s Top Physicians” 2006 America’s Top Doctors for Cancer. Castle Connolly’s Guide to Medical Specialists New York’s Top Doctor. Castle Connolly’s Guide to Medical Specialists 4
    • 2007 List, Leading Health Professionals of the World (International Biographical Centre, Cambridge, England) 2007 List, Who’s Who Among Executives and Professionals in Medicine & Healthcare (“Honors Edition”) 2007 Pfizer Award Visiting Professor at Wayne State University 2007 Best Doctors in America 2007-2008 database 2007 Castle Connolly Medical list of America’s Top Doctors for Cancer 2007 European Society of Regional Anesthesia (ESRA) Distinguished Service Award – Spain Meeting 2008 Key Note Speaker: Wayne State University Annual Symposium on Regional Anesthesia and Pain Medicine 2008 Key Note Speaker: 50th Anniversary Meeting of the Guatemalan Society of Anesthesiology 2008 Castle Connolly Medical list of America’s Top Doctors for Cancer Visiting Professor Appointments: 1992 Department of Anesthesiology, Universidad Catolica, Cuenca, Ecuador 1993 Department of Anesthesiology, Virginia Mason Medical Center Seattle, Washington 1994 Department of Anesthesiology, University of Wisconsin-Madison Madison, Wisconsin 1994 Department of Anesthesiology, SUNY, Health Science Center Syracuse, New York 1994 Department of Anesthesiology, Hospital for Special Surgery, Cornell University New York, New York 1994 Department of Anesthesiology Mayo Clinic, Jacksonville, Florida 1996 Department of Anesthesiology, St. Luke's - Roosevelt Hospital New York, New York 1996 Department of Anesthesiology, Loyola University Chicago Chicago, Illinois 1996 Department of General Surgery Naval Medical Center 5
    • Portsmouth, Virginia 1996 Department of Anesthesiology MD Anderson Cancer Center Houston, Texas 1996 Department of Anesthesiology University of West Virginia Morgantown, West Virginia 1997 Department of Anesthesiology Mayo Clinic Jacksonville, FL 1997 Department of Anesthesiology University of Wisconsin Madison, WI 1997 Department of Anesthesiology Henry Ford Medical Center Detroit, MI 1997 Department of Anesthesiology Virginia Mason Medical Center Seattle, WA 1997 Department of Anesthesiology and Critical Care Medicine Dartmouth-Hitchcock Medical Center Lebanon, NH 1998 Department of Anesthesiology and Critical Care Medicine Mayo Clinic Jacksonville, Fl 1998 Department of Anesthesiology and Critical Care Medicine University of New Mexico Albuquerque, NM 1998 Department of Anesthesiology and Critical Care Medicine Sunnybrook Health Science Centre Toronto, Ontario, Canada 1999 Department of Anesthesiology Baylor Medical College Houston, Texas 1999 Department of Anesthesiology and Critical Care Medicine MD Anderson Medical Center Houston, Texas 1999 Department of Anesthesiology and Pain Medicine University of Kentucky, Chandler Medical Center Lexington, Kentucky 1999 Department of Anesthesiology and Critical Care Medicine Rush University Chicago, Illinois 1999 Department of Anesthesiology and Critical Care Medicine University of Maryland 6
    • Baltimore, Maryland 2000 Department of Anesthesiology and Critical Care Medicine Duke University Medical Center Durham, North Carolina 2000 Department of Anesthesiology and Critical Care Medicine The University of Texas, Southwestern Medical Center at Dallas Dallas, Texas 2000 Department of Anesthesiology and Critical Care Medicine University of South Florida Tampa, FL 2000 Department of Anesthesiology University of West Virginia Morgantown, West Virginia 2000 Department of Anesthesiology University of Vermont Burlington, Vermont 2000 Department of Anesthesiology Thomas Jefferson University Philadelphia, PA 2000 Department of Anesthesiology MCP-Hahneman University Philadelphia, PA 2001 Department of Urology SUNY at Syracuse, Upstate Medical Center Syracuse, NY 2001 Department of Anesthesiology Mayo Clinic Jacksonville Jacksonville, FL 2001 Department of Anesthesiology University of Louisiana Shreveport, LA 2002 Department of Anesthesiology Loma Linda University Loma Linda, CA 2002 Department of Anesthesiology and Pain Medicine University of Kentucky, Chandler Medical Center Lexington, Kentucky 2002 Department of Anesthesiology Wayne State University Detroit, Michigan 2002 Department of Anesthesiology University of Louisiana Shreveport, LA 2002 Section of Pain Medicine Strong Memorial Hospital Rochester, NY 7
    • 2002 Department of Medicine William Beaumont Hospital Royal Oak, MI 2002 Department of Anesthesiology West Virginia University Morgantown, WV 2003 Department of Anesthesiology University of Southern California at Los Angeles Los Angeles, CA 2003 Department of Anesthesiology Wayne State University Detroit, MI 2003 Department of Anesthesiology UMDNJ University New Brunswick, NJ 2003 Department of Medical Oncology Alleghany Hospital Pittsburgh, PA 2003 Department of Pain and Palliative Care Sloan Kettering Memorial Hospital New York, NY 2003 Department of Pain Medicine Cleveland Clinic Foundation Cleveland, OH 2003 Department of Anesthesiology University of South Florida Tampa, FL 2003 Department of Internal Medicine Mt. Vernon Hospital Mt. Vernon, NY 2003 Department of Surgery Our Lady of Mercy Medical Center Bronx, NY 2004 Department of Anesthesiology Brigham and Women’s Hospital Boston, Massachusetts 2004 Department of Surgery University of Rochester, Strong Memorial Hospital Rochester, NY 2004 Department of Anesthesiology University of Miami, Jackson Memorial Hospital Miami, Fl 2004 Department of Anesthesiology Tufts University Boston, Massachusetts 2005 Department of Anesthesiology 8
    • Iowa University Iowa City, Iowa 2005 Department of Anesthesiology Henry Ford Hospital Detroit, MI 2005 Department of Anesthesiology Harpor Hospital, Wayne State University Detroit, MI 2005 Department of Anesthesiology Bowman Gray University Winston-Salem, NC 2005 Department of Anesthesiology MD Anderson Cancer Center Houston, TX 2006 Department of Anesthesiology Ohio State University Colombus, OH 2006 Division of Pain Medicine Cornell University New York, NY 2006 Department of Anesthesiology Beth Israel-Deaconess Medical Center Harvard Medical School Boston, Massachusetts 2006 Department of Anesthesiology Henry Ford Medical Center Detroit, MI 2006 Department of Rheumathology Albert Einstein Hospital, Yashida University New York NY 2006 Department of Anesthesiology Harpor Hospital, Wayne State University Detroit, MI 2007 Department of Anesthesiology and Pain Medicine Wayne State University Detroit, MI 2007 Department of Anesthesiology University of Kentucky at Louisville Louisville, KY 2007 Department of Anesthesiology Baylor Medical College Houston, TX 2008 Department of Anesthesiology Boston University Boston, MA 2008 Department of Rheumathology 9
    • Albert Einstein Medical School Bronx, NY 2008 Department of Physical Medicine and Rehabilitation Montfort Medical Center Bronx, NY Editorial Appointments 1994 - 1996 Assistant Editor, American Society of Regional Anesthesia Newsletter 1994 - 2004 Board of Consulting Editors, Regional Anesthesia 1994 - 2000 Associate Editor, Revista Latinoamericana de Dolor (Latin American Journal of Pain) 1995 - Associate Editor, Revista Argentina de Anestesiologia (Argentinian Journal of Anesthesiology) 1995 - 1999 Assistant Section Editor, The Pain Journal Club Journal 1995 - 2000 Editorial Board, Techniques in Regional Anesthesia and Pain Management Journal 1997 - Editorial Board, International Journal of Acute Pain 1997 - Associate Editor, The Journal of the Spanish Society of Pain 1999 - 2001 Editor, Current Review of Pain 1999 - 2000 Member, Editorial Board, Clinical Journal of Pain 1999 - Member, Editorial Board, International Monitor on Regional Anaesthesia and Pain Therapy (Journal of the European Society of Regional Anesthesia and Pain Therapy) 2000 - Editor-in-Chief, Techniques in Regional Anesthesia and Pain Management 2000 - 2007 Associate Editor, The Clinical Journal of Pain 2003 - 2004 Member, Editorial Board, Seminars in Pain Medicine 2004 - International Board Editor, Revista Mexicana de Anestesiologia (Mexican Journal of Anesthesiology) 2004 - Editorial Board, Seminars in Pain Medicine Guest Reviewer: Journals: 1993 - 1994 Regional Anesthesia 1994 - Anesthesiology 1994 - Journal of Clinical Anesthesia 1995 - Anesthesia and Analgesia 10
    • Invited Lectures: NY State 1990 First Annual Tri-City Anesthesiology Conference, Rochester, New York; "A Comparison of 2-Chloroprocaine infusion with Intermittent Bolus Injections of Bupivacaine or 2-Chloroprocaine For Epidural Anesthesia in Cesarean Delivery 1990 Roswell Park Cancer Institute, Buffalo, New York; Annual Conference on Advanced Issues in Critical Care Nursing, "Pain Management in the critically ill patient" 1990 Annual Meeting of the New York Association of Nurse Anesthetists, Buffalo, New York; "Recent advances in Spinal and Epidural Anesthesia-Analgesia" 1991 Mercy Hospital, Buffalo, New York; Surgical Grand Rounds; "Improving outcome in high risk surgical patients with epidural anesthesia and analgesia" 1991 Brooks Memorial Hospital, Dunkirk, NY "Perioperative management of cancer patients with coronary artery disease" 1991 Critical Care Rounds, SUNY-Buffalo "Improving outcome in high risk surgical patients, postoperative management" 1991 Genesee Hospital, Rochester, NY Anesthesia Grand Rounds; "What is new in Neuromuscular Blocking and Reversal Agents" 1991 City Wide Anesthesia Conference, Binghamton General, Wilson and Lordes Hospitals, Binghamton, NY "Current Applications of Beta-Blockade Intraoperatively and in the Intensiv Care Unit" 1991 City Wide Anesthesia Conference, Arnot-Ogden and St. Joseph Hospitals Elmira, NY "Current Applications of Beta-Blockade in the Intra- and Postoperative Periods" 1991 Albany Medical College, Department of Anesthesiology Grand Rounds, Albany, NY "Inhibition of the Neuroendocrine response with Epidural Anesthesia and Analgesia” 1991 Albany Medical College, Department of Anesthesiology 11
    • Residents Teaching Day, Albany, NY "Perioperative Management of Patients with Coronary Artery Disease Undergoing Non-Cardiac Surgery" 1991 Surgical Grand Rounds, SUNY-Buffalo, NY "Perioperative Use of Beta-Blockers. Outcome Studies" 1991 Roswell Park Cancer Institute, Annual Conference in Advanced Issues in Critical Care Nursing. Buffalo, NY "Improving Outcome in High Risk Surgical Patients with Epidural Anesthesia and Analgesia" "Pharmacological Basis for Colloid and Crystalloid Fluid Therapy" 1991 Postgraduate Assembly in Anesthesiology, Miniworkshop. New York, NY "Anesthesia for Carotid Endarterectomy. Monitoring and Preserving Cerebral and Cardiac Function" 1992 Erie County Medical Center, Anesthesia Dept Weekly Conference. Buffalo, NY "Thoracic Epidural Anesthesia and Analgesia" 1992 South Buffalo Mercy Hospital, Anesthesia Dept Weekly Conference. Buffalo, NY "Intraoperative Use of Beta-Blockers" 1992 Sister's Hospital, Anesthesiology Dept. Weekly Conference. Buffalo, NY "Perioperative Indications of Beta Blockade" 1992 Rochester General Hospital, Anesthesiology Department. Weekly Conference. Rochester, New York "What is New in Reversal of Neuromuscular Blockade" 1992 Departments of Anesthesiology and Surgery Grand Rounds, SUNY-Buffalo, "Current Advances in the Care of Critically Ill Surgical Patients: Post Operative Myocardial Ischemia: Diagnosis Treatment and Influence in Outcome". Buffalo, New York 1992 Department of Surgery, Grand Rounds, Roswell Park Cancer Institute "Postoperative Myocardial Ischemia, Diagnosis, Treatment and Influence onOutcome". Buffalo, NY 1992 Roswell Park Cancer Institute, Oncology Seminar Series. Total Management of the Chronic Pain Patients. 12
    • "Management of Postoperative Pain in the Chronic Pain Patient". Buffalo, NY 1992 Children's Hospital of Buffalo, Pediatric Surgery and Anesthesia Grand Rounds. "Physiopathologic Basis for Acute Pain Control". Buffalo, NY 1992 Du Pont Pharmaceuticals Dinner Series "Postoperative Myocardial Ischemia: Diagnosis, Treatment and Influence on Outcome". Buffalo, NY 1992 Sisters' Hospital of Buffalo Anesthesia Grand Rounds. "Colloids vs Crystalloids". Buffalo, NY 1992 Erie County Medical Center, Anesthesia Weekly Conference. "Improving Postoperative Outcome with Epidural Anesthesia and Analgesia". Buffalo, NY 1992 WAC Hospital, Medical-Surgical Grand Rounds. "Postoperative Myocardial Ischemia: Diagnosis, Treatment and Influence on Outcome”. Jamestown, NY 1992 University of Buffalo Surgical Grand Rounds. "What is new in Improving Outcome of the High Risk Surgical Patient". Buffalo, NY 1993 Erie County Medical Center, Dept of Anesthesiology Weekly Conference "Colloids vs Crystalloids". Buffalo, NY 1993 Buffalo General Hospital, Dept of Cardio-Thoracic Surgery Grand Rounds "Colloids vs Crystalloids". Buffalo, NY 1993 Roswell Park Cancer Institute, Dept of Surgical Oncology Grand Rounds "Perioperative Fluid Management of the Critically Ill". Buffalo, NY 1993 Erie County Medical Center, Department of Pharmacy. "Perioperative Fluid Management" 1993 Utica and Rome Anesthesia Association "Perioperative Management of Patients with Heart Disease Undergoing Non-Cardiac Surgery". Utica, NY 1993 University of Rochester, Department of Critical Care Medicine Grand Rounds "Fluid Optimization of the Critically Ill Patient”. Rochester, NY 1993 Buffalo General Hospital Anesthesia Grand 13
    • "Does Regional Anesthesia and Analgesia Improve Clinical Outcome?". Buffalo,NY 1994 Roswell Park Cancer Institute, Department of Surgical Oncology Grand Rounds "Hemodynamic Monitoring in the Critically Ill". Buffalo, NY 1994 Veterans Administration Medical Center, Department of Surgery Grand Rounds "Fluid Management of the Critically Ill". Buffalo, NY 1994 Millard Fillmore Hospital, Symposium inPain Management "Improving Surgical Outcome of High Risk Surgical Patients with Epidural Anesthesia and Analgesia", Buffalo, NY 1994 Millard Fillmore Hospital Department of Surgery Rounds "Fluid Management of the Critically Ill". Buffalo, NY 1994 Buffalo General Hospital, Department of Surgery Rounds "Perioperative Fluid Management in the Critically Ill". Buffalo, NY 1994 Veterans Administration Hospital, Department of Anesthesiology Grand Rounds "Pharmacokinetics of Intravenous Fluids used for Resuscitation: Clinical Implications". Buffalo, NY 1994 Genesee Hospital, Department of Anesthesiology Grand Rounds "Colloids vs Crystalloids in the Perioperative Period", Rochester, NY 1994 ASTRA Regional Anesthesia Workshop Complications of Regional Anesthesia Uniondale, NY 1994 St Mary's Hospital, Combined Surgical and Anesthesiology Grand Rounds. "Preload Augmentation and Surgical Outcome. Differences Between Colloids and Crystalloids". Rochester, NY 1994 Rochester General Hospital. Department of Anesthesiology Grand Rounds. "Epidural Anesthesia and Analgesia: Is There More Beyond Pain Control?". Rochester, NY 1994 Buffalo Surgical Society. "Perioperative Fluid Management of High Risk Surgical Patients” Buffalo, NY 1994 Oncology Seminar Series. Roswell Park Pain Management Weekend 14
    • "Epidural vs PCA: Is Either One Better for Postoperative Analgesia?" 1994 48th Postgraduate Assembly, NYSSA "Pain Management in Critical Care Patients" MINIWORKSHOP "The PACU Use of Epidural Local Anesthetics and Opioids" PANEL: PAIN RELIEF IN THE PACU. Panel Chair: Joseph Seltzer, MD 1995 St. Joseph's Hospital. Department of Anesthesiology Grand Rounds. "How to Choose a Colloid for Perioperative Fluid Management" Syracuse, NY 1995 St. Joseph's Hospital. Department of Anesthesiology Grand Rounds. "The Use of Epidural Local Anesthetics and Opioids for Postoperative Analgesia" Syracuse, NY 1995 ASRA Regional Refresher Course. "Epidural Anesthesia and Analgesia for Thoracic and Abdominal Procedures" Workshop: "Cervical and Thoracic Epidural Techniques" Uniondale, New York 1995 New York Society of Anesthesiologist: 49th Post-Graduate Assembly. "Pain Management in the Intensive Care Units" New York, New York 1996 New York Society of Anesthesiologists: 50th Post-Graduate Assembly “Pain Managemtn in the Intensive Care Unit” New York, New York 1997 Roswell Park Cancer Institute Department of Surgical Oncology Grand Rounds “Weaning from Mechanical Ventilation: Is It That Controversial?” Buffalo, New York 1997 Genesee Hospital Department of Anesthesiology Grand Rounds “Neurolytic Blocks of the Sympathetic Axis for Cancer Pain Management” Rochester, New York 1997 Veterans Administration Hospital Department of Anesthesiology Grand Rounds “Thoracic Epidural Anesthesia and Analgesia for Patients with CAD Undergoing non-Cardiac Surgery” 1997 New York State Society of Anesthesiologists 51st Post-Graduate Assembly “Pain Management in the Intensive Care Unit” “Postoperative Myocardial Ischemia: Can Postoperative 15
    • Management Improve Cardiac Outcome?” New York, New York 1998 Department of Gynecology-Oncology “Pitfalls in Hemodynamic Monitoring” Roswell Park Cancer Institute Buffalo, NY 1998 Eastern Pain Society Meeting “Current Advances in Diagnostic and Therapeutic Spinal Injections” New York City, NY 1998 New York State Society of Anesthesiology, PGA Meeting “Preoperative Evaluation of Cardiac Patients for Thoracic Surgery” Workshop: “Thoracic Epidural Anesthesia” New York City, NY 1999 The World Foundation for Pain Relief and Research Meeting Current Concepts in Acute, Chronic and Cancer Pain Management “Role of Regional Anesthesia Techniques: Their Efficacy and Outcome” New York City, NY 1999 The New York State Society of Anesthesiologist PGA Meeting “Postoperative Epidural Analgesia: Cardiac and Respiratory Benefits” “Epidural Techniques for Thoracic Surgery” 2000 Erie County Medical Center Grand Rounds, AIDS service “Pain Management in Patients with AIDS” 2000 Erie County Medical Center Grand Rounds, Department of Medicine Pain Management for the Non-Pain Specialist 2000 Eastern Pain Society Meeting “Neurolysis of the Sympathetic Axis for Cancer Pain” New York, NY 2000 The New York State Society of Anesthesiologist PGA Meeting Chair: Panel on Thoracic Anesthesia “Thoracic Epidural Anesthesia: The nuts and bolts” Workshop: “Epidural Techniques for Thoracic Surgery” New York, NY 2000 Department of Surgical Oncology “Meet the Professor Rounds” Cancer Pain Management: What is New? Roswell Park Cancer Institute, Buffalo, NY 2001 “Postoperative Pain Management” Department of Gynecology and Obstetrics University at Buffalo, Buffalo, NY 2001 Eastern Pain Association Annual Meeting Moderator: Visceral Pain Panel 16
    • New York, NY 2001 “Cancer Pain Management for a Non-Pain Practitioner” Department of Medicine University at Buffalo, Buffalo, NY 2001 The New York State Society of Anesthesiologists PGA Meeting “Neurolytic Blocks for Cancer Pain” “What is New in Cancer Pain Management” PBLD: “Chronic Low Back Pain” Focus Session: Case Presentations in Thoracic Anesthesia Chair: Panel on 5th Vital Sign Thoracic Workshop: Thoracic Epidural Anesthesia and Analgesia New York, NY 2002 The Eastern Pain Association Annual Meeting “Optimizing Intraspinal Therapy in Cancer Patients” New York, NY 2002 The New York State Society of Anesthesiologists PGA Meeting “Is Epidural Anesthesia Better Than General to Improve Outcome” “Perioperative Management of Patients with Opiate Tolerance” “Evaluation and Treatment of Patients with Low Back Pain” “Thoracic Epidural Workshop” 2002 New York State Society of Regional Anesthesia “Multimodal Therapy to Improve Perioperative Outcome in Surgical Patients” 2003 The New York State Society of Anesthesiologists PGA Meeting PBLD: “Chronic Low Back Pain” Thoracic Workshop: Thoracic Epidural Anesthesia and Analgesia New York, NY 2004 The New York State Society of Anesthesiologists PGA Meeting PBLD: “Chronic Low Back Pain” Thoracic Workshop: Thoracic Epidural Anesthesia and Analgesia New York, NY 2005 The New York State Society of Anesthesiologists PGA Meeting Conventional and Unconventional Pain Techniques Panel: “Sophistry in Pain Medicine” PBLD: “Chronic Low Back Pain” Thoracic Workshop: Thoracic Epidural Anesthesia and Analgesia New York, NY National: 1991 St. Vincent Hospital, Erie, PA Anesthesia Grand Rounds; "Perioperative Cardiac Morbidity, pre-, intra- and postoperative management" 1991 Robert Packer Hospital-Guthrie Clinic 17
    • Anesthesia Grand Rounds, Sayre, PA "Clinical Applications of Beta-Blockers in the Intra- and Postoperative Periods" 1991 Robert Packer-Guthrie Clinic, Surgical Intensive Care Grand Rounds, Sayre, PA "Improving Outcome in Critically Ill Surgical Patients" 1991 Robert Packer-Guthrie Clinic, Anesthesia Grand Rounds, Sayre, PA "Perioperative Fluid Therapy, Colloids vs Crystalloids" 1991 St. Vincent Medical Center, Pharmacy Grand Rounds, Erie, PA "Pharmacological Basis for Colloid and Crystalloid Fluid Therapy" 1992 Hamot Medical Center, Anesthesia Dept. Grand Rounds, Erie, PA "Perioperative Cardiac Morbidity. Pre- Intra- and Postoperative Management" 1992 Robert Packer-Guthrie Clinic, Surgical Grand Rounds. Sayre, PA "Postoperative Myocardial Ischemia. Diagnosis, Therapy and Outcome Results" 1992 Robert Packer-Guthrie Clinic "Preoperative Evaluation of Patients Undergoing Non-Coronary Vascular Surgery". Sayre, PA 1992 Department of Anesthesiology Grand Rounds, UMDNJ "Indications for Beta-Blockade in the Perioperative Period". Newark, NJ 1992 Department of Anesthesiology Grand Rounds, Roger Williams Hospital "Indication for Beta-Blockade in the Perioperative Period". Providence, RI 1992 Departments of Surgery, Anesthesiology and Cardiology Grand Rounds, Hamot Medical Center "Postoperative Myocardial Ischemia, Diagnosis, Treatment and Influence onOutcome". Erie, PA 1992 Walter Reed Medical Center, Critical Care Grand Rounds "Postoperative Myocardial Ischemia: Diagnosis, Treatment and Influence on Outcome” Washington DC 1992 ASRA Workshop: Physiologic Consequences of Epidural Anesthesia. "Metabolic Consequences of Epidural Blockade". Burlington, VT 1992 ASRA Workshop: Physiologic Consequences of Epidural Anesthesia. Burlington, VT 18
    • "Regional Anesthesia for Head and Neck Procedures and the Airway". Burlington, VT 1992 ASRA Workshop: Physiologic Consequences of Epidural Anesthesia. "Does Regional Anesthesia Improve Clinical Outcome?” Burlington, VT 1992 St. Vincent's Hospital, Anesthesia Grand Rounds. "Perioperative Management of Patients with Coronary Artery Disease". Erie, PA 1993 Hackensack Medical Center, Department of Anesthesiology Grand Rounds "Colloids vs Crystalloids". 1993 ASTRA Regional Anesthesia Workshop "Ambulatory Anesthesia and Regional Techniques". Arlington, VA 1993 American Society of Regional Anesthesia 18th Annual Meeting "Workshop on Epidural and Interpleural Techniques”. Seattle, Wa 1993 ASTRA Regional Anesthesia Workshop "Ambulatory Anesthesia and Regional Techniques”. New Orleans, LA 1993 Yale University, Department of Surgery Grand Rounds. "Perioperative Fluid Management of the Critically Ill”. New Haven, Conn 1993 ASTRA Regional Anesthesia Workshop "Postoperative Pain Management of the Surgical Patient”. Walnut Creek, CA 1993 ASTRA Regional Anesthesia Workshop "Regional Anesthesia for Ambulatory Surgical Patients”. Pittsburgh, PA 1993 Third Symposium of Home Care "Ambulatory Pain Management of Patients with Chronic Pain and Opioid Dependency" Denver, Colorado 1993 UMDNJ, Department of Surgery Grand Rounds "Perioperative Fluid Utilization in the Trauma Patient”. Newark, NJ 1993 Morristown Hospital, Critical Care Grand Rounds. "Optimizing preload in critically ill patients”. Morristown, NJ 1993 Regional Anesthesia Workshop "Does Regional Anesthesia and Analgesia Improve Clinical Outcome?" "Ambulatory Anesthesia and Regional Techniques". 19
    • Scottsdale, AZ 1993 Engelwood General Hospital, Anesthesia Grand Rounds "Perioperative Management of Patients with Coronary Artery Disease". Engelwood, NJ 1994 East Orange VA Hospital, Internal Medicine Grand Rounds "Pharmacological Basis of Fluid Administration". East Orange, NJ 1994 Darmouth-Hitchcock Medical Center, Anesthesiology Department Conference "Perioperative Fluid Management in High Risk Surgical Patients". Hanover, NH 1994 American Society of Regional Anesthesia, Annual Meeting 1. Celiac and Superior Hypogastric Plexus Blocks for Cancer Pain Management. Workshop 2. Pre-emptive Analgesia. Does it Exist? Does it Matter? 3. Epidural Analgesia for Patients Undergoing Non-Cardiac Surgery: Cardiac Outcome. Chicago, Il 1994 McKean County Medical Society Pharmacological Management of Cancer Pain. Bradford, PA 1994 ASTRA Regional Anesthesia Workshop "Surgical Outcome: General Anesthesia versus Epidural Anesthesia and Analgesia". Newark, NJ 1994 New Jersey Society of Anesthesiologist Meeting "Surgical Outcome: General Anesthesia versus Epidural Anesthesia and Analgesia". Clark, NJ 1995 American Society of Regional Anesthesia, Annual Meeting Thoracic Epidural Anesthesia. Workshops 1995 Medical College of Ohio, Anesthesiology Grand Rounds "Continuous Infusions of Local Anesthetics, Opioids or Combinations for Postoperative Analgesia" Toledo, Ohio 1995 Toledo Medical Oncology Society "Pharmacological Management of Cancer Pain" Toledo, Ohio 1995 American Society of Anesthesiology Meeting: Panel on Care of the Critically Ill Patient: "Perioperative Myocardial Ischemia" 20
    • Atlanta, Georgia 1996 Review and Update in Pain Medicine "Pharmacological Management of Cancer-Related Pain" "Neurolytic Techniques for Cancer Pain Management” 1996 ASRA Regional Refresher Course. "Epidural Anesthesia and Analgesia for Thoracic and Abdominal Procedures" "Does Regional Anesthesia and Analgesia Improve Outcome?" Epidural Anesthesia and Analgesia for Patients With CAD Undergoing Non-Cardiac Surgery" Workshop: "Cervical and Thoracic Epidural Techniques" Atlanta, Georgia 1996 South County Hospital Staff Grand Rounds "Preoperative Anesthesia Assessment in Patients with CAD" Wakefield, Rhode Island 1996 Pain Management in the 90's Holmes Regional Medical Center "Cancer and Acute Pain Management" "Managing Cancer Pain: Pharmacological and Invasive Approaches" Melbourne, Florida 1996 American Society of Regional Anesthesia Annual Meeting "Open Forum: A Comparison of Isoflurane Anesthesia Versus Spinal Lidocaine Anesthesia on Cellular Immunity Function Using Immunophenotypic Multiparameter Analysis and Natural Killer Cell Cytotoxicity" "Workshop: Celiac, Hypogastric, Ganglion Impar Blocks" "Cancer Pain Treatment: Invasive Strategies" San Diego, California 1996 American Society of Cardiovascular Anesthesiologist's Annual Meeting "Thoracic Epidural Anesthesia in Pain Management" Workshop: "Thoracic Epidural Anesthesia" Salt Lake City, Utah 1996 Metrohealth Medical Center Department of Anesthesia Grand Rounds "Choosing a Drug or Combination of Drugs for Your Acute Pain Service: What Does the New Literature Support?" Cleveland, Ohio 1996 Meridia Hospital Department of Anesthesia Grand Rounds "Choosing a Drug or Combination of Drugs for Your Acute Pain Service: What Does the New Literature Support?" Cleveland, Ohio 1996 Fairview General Hospital 21
    • Department of Anesthesia Grand Rounds "Choosing a Drug or Combination of Drugs for Your Acute Pain Service: What Does the New Literature Support?" Cleveland, Ohio 1996 Case Western Reserve University Hospital Department of Anesthesia Grand Rounds "Choosing a Drug or Combination of Drugs for Your Acute Pain Service: What Does the New Literature Support?" Cleveland, Ohio 1996 The Cleveland Clinic Foundation Department of Anesthesia Grand Rounds "Choosing a Drug or Combination of Drugs for Your Acute Pain Service: What Does the New Literature Support?" Cleveland, Ohio 1996 American Society of Regional Anesthesia. Symposium on “Future Directions of Acute Pain Management” “Benefits of Regional Anesthesia/Analgesia: Immuno Modulation” “Special Situations in Regional Anesthesia/Analgesia: Opiate Tolerant Patient” “Special Situations in Regional Anesthesia/Analgesia: Vertification of the Block” “Future Directions for Outcome Research in Acute Pain Management High Risk Patients” Orlando, Florida 1996 American Society of Regional Anesthesia, Regional Meeting “Does Regional Anesthesia Influence Outcome” Workshop:” Thoracic Epidural Anesthesia” New York, New York 1996 Hamot Medical Center “What is New in Acute Pain Management” Erie, PA 1996 Department of Medicine, Division of Medical Oncology University of Kansas “Pharmacological Management of Cancer Pain” Kansas City, MO 1996 Department of Anesthesiology Grand Rounds, St. Luke’s Hospital “Thoracic Epidural Techniques for the Perioperative Period” Houston, Texas 1996 Department of Neuro-Oncology Grand Rounds, MD Anderson Medical Center “Opioid Tolerance: From the Laboratory to the Clinic” Houston, Texas 1997 Multidisciplinary Review and Update in Pain Medicine Allegheny University of Health Sciences 22
    • “Pharmacological and Invasive Management of Cancer Pain” Somerset, Pennsylvania 1997 American Society of Regional Anesthesia (ASRA) Annual Meeting Workshop: “Neurolytic Techniques for the Celiac Plexus and The Superior Hypogastric Plexus” Atlanta, GA 1997 American Society of Cardiovascular Anesthesia (SCVA) “Physiologic Effects of Thoraic Epidural Anesthesia and Analgesia” Workshop:”Thoracic Epidural Anesthesia Techniques” Baltimore, MD 1997 Hands-on Workshop for Interventional Pain Management “Thoracic Epidural: Clinical Applications in Chronic Pain Management” “Interpleural Analgesia: Clinical Applications in Chronic Pain Management” Workshop: “Thoracic Epidural Techniques” “Interpleural Techniques” “Celiac Plexus Techniques” “Superior Hypogastric Plexus Techniques” “Ganglion Impar Block Techniques” Houston, TX 1997 Virginia Mason “Sleepless in Seattle Conference” “Regional Anesthesia for Cancer Patients” Workshop: “Brachial Plexus Blocks: Axillary Approach” 1997 American Society of Regional Anesthesia “Regional Anesthesia: Does “Preempting Pain Improve Outcome” “Thoracic Epidural Anesthesia Workshop” Chicago, IL 1997 American College of Surgeons Annual Meeting Panel Discussion on Acute Pain Management Chicago, IL 1997 American Society of Anesthesiologists (ASA) Annual Meeting Moderator: “Novel Approaches on the Management of Acute Pain” “Acute Pain Management in Opioid Tolerant Patients: From the Bench to the Clinic” San Diego, CA 1998 Multidisciplinary Review and Update in Pain Medicine Alleghency University of Health Sciences “Pharmacological Management of Cancer Pain” “Invasive Management of Cancer Pain” Keystone, Colorado 1998 Department of Anesthesiology Grand Rounds Erie Hospital 23
    • “Perioperative Myocardial Ischemia” Erie, PA 1998 American Society of Regional Anesthesia Regional Workshop “How to Make your Acute Pain Service Effective” “Thoracic Epidural Anesthesia Techniques” Louisville, KY 1998 MD Anderson Cancer Center 2nd Hands-on Interventional Pain Workshop “Chemical Sympathectomy for Cancer Pain” “Thoracic and Cervical Epidural Catheter Placement” Houston, TX 1998 Department of Internal Medicine Grand Rounds East Tennessee State University James H. Quillen College of Medicine “Perioperative Management of the High Risk Cardiac Patient” Johnson City, TN 1998 American Society of Anesthesiology Annual Meeting Workshop: “Celiac Plexus and Superior Hypogastric Blocks” “Morphine is the Ideal Agent for Postoperative Epidural Analgesia: PRO” Moderator Panel on: “Regional Techniques for Cancer Pain Management” “New Invasive Strategies for the Treatment of Cancer Pain” “How to Rescue a Patchy Postoperative Epidural: What Works and What Doesn’t” Seattle, WA 1998 Southern New England Anesthesia Conference “Invasive Strategies for Out-Patient Pain Management” Newport, RI 1998 American Society of Anesthesiology Regional Meeting “Making your Acute Pain Service Work” “Thoracic Epidural Workshop” Chicago, IL 1999 III Hands-On Interventional Workshop MD Anderson Cancer Center “Neurolysis of the Sympathetic Axis for Cancer Pain Management” Workshop: “Celiac Plexus Blocks” “Superior Hypogastric Plexus Block” “Ganglion Impar Block” Houston, Texas 1999 American Society of Regional Anesthesia Annual Meeting “Combined Regional/General Anesthetics for Aortic Surgery: Should We Be Using Local Anesthetics”: PRO Workshops: “Celiac and Hypogastric Plexus Blocks” Philadelphia, PA 24
    • 1999 Virgina Mason Medical Center Biannual Meeting “Invasive Techniques in the Future for Pain Management” “Neurolytic Blocks for Cancer Pain Management” Seattle, WA 1999 Chicago Society of Anesthesiologist “Neurolytic Blocks of the Sympathetic Axis for Cancer Pain Management” “Epidural Anesthesia and Analgesia for High Risk Surgical Patients” “Invasive Techniques in the Future for Pain Management” Chicago, IL 1999 American Society of Anesthesiology Meeting “Improving Outcome in High Risk Surgical Patients with Epidural Techniques” Dallas, TX 2000 American Society of Regional Anesthesia and Pain Management Meeting Workshop: “Hands on Cadaveric workshop on Celiac Plexus Block” Workshop: “Celiac Plexus and Superior Hypogastric Plexus Blocks” Panel Moderator: Pain Medicine “Spinal Infusion Systems for Cancer Pain” “Organization and Management of the Cancer Pain Service” Orlando, Fl 2000 Illinois Neurologic Society “Update on Cancer Pain Management: Current and Future Trends” Bloomington, Ill 2000 Philadelphia Anesthesia Society “Improving Outcome with Epidural Anesthesia and Analgesia Techniques” Philadelphia, PA 2000 American Society of Anesthesiology Meeting “Thoracic Epidural Anesthesia” San Francisco, CA 2001 MD Anderson Hands-On Workshop “Neurolytic Blocks of the Sympathetic Axis for Cancer Pain” Houston, Texas 2001 American Society of Anesthesiology Meeting “Thoracic Epidural Anesthesia for Thoracic Surgery” “What is New in Epidural Techniques and Cardiac and ICU Outcome” New Orleans, LA 2002 MD Anderson Hands-On Workshop “Neurolytic Blocks of the Sympathetic Axis for Cancer Pain” Houston, Texas 25
    • 2002 American Society of Regional Anesthesia Meeting “Multimodal Perioperative Therapy for Patients Undergoing Abdominal Surgery” Panel Moderator Chicago, IL 2002 American Society of Anesthesiology Annual Meeting Thoracic Epidural Anesthesia and Analgesia Workshop Orlando, FL 2002 American Society of Regional Anesthesia and Pain “Invasive Therapies for Advanced Disease States: Intrathecal Therapy in Cancer Patients” “PBLD: Cancer Pain Management” “Lunch with the Experts: Pancreatic Cancer Pain Management” Scottsdale, AZ 2003 American Pain Society “Emerging Knowledge of Side Effects and Complications of Analgesic Therapy” Panel Moderator Chicago, IL 2003 American Society of Regional Anesthesia Spring Meeting “Local Anesthetic Toxicity” “Multimodal Therapy for Surgical Patients” San Diego, CA 2003 American College of Physicians’ Annual Meeting “Advances in Analgesic Therapy: CINODs” San Diego, CA 2003 American Society of Family Physicians’Annual Meeting “Advances in Analgesic Therapy” New Orleans, LA 2003 American Society of Anesthesiology Annual Meeting Workshop: “Thoracic Epidural Anesthesia” San Francisco, CA 2003 American Society of Regional Anesthesia and Pain Annual Meeting “Pharmacological Treatment of Cancer Related Pain” Master Class: “Neurolytic Blocks” San Diego, CA 2003 New York State Society of Anesthesiology Annual Meeting PBLD: “Diagnosis and Treatment of Low Back Pain” Thoracic Anesthesia Workshop: “Thoracic Epidural Anesthesia and Analgesia 2004 American Academy of Pain Medicine Annual Meeting Refresher Sessions: “Pain Perception, Translation, and Modulation” Refresher Sessions: “Does Treatment of Acute Pain Prevent Chronic Pain” 2004 American Society of Regional Anesthesia and Pain Annual Meeting 26
    • Moderator Session: “Pain and Obstetrics for the ‘Occasional’ Anesthesiologist Workshop: “Thoracic Epidural Anesthesia” “Acute Pain in the Opioid Tolerant Patient” Orlando, FL 2004 American Society of Anesthesiology Annual Meeting Workshop: “Thoracic Epidural Anesthesia” Las Vegas, NV 2005 American Society of Anesthesiology Annual Meeting Workshop: “Thoracic Epidural Anesthesia” Workshop: “Neurolytic Sympathetic Blocks” Atlanta, GA 2005 American Society of Regional Anesthesia and Pain Annual Fall Meeting “Cancer Pain” Workshop: “Intrathecal Pump Implantation” PBLD: “Pain Management in the End of Life” 2006 American Society of Regional Anesthesia and Pain Annual Spring Workshop: The Patient with Neuro-deficit After a Peripheral Block 2006 American Society of Anesthesiology Annual Meeting Refresher Course Lectures: “Treatment of Cancer Pain” Workshop: “Visceral and Sympathetic Blocks” Panel: “Differences Between Opioid-Induced Tolerance and Hyperalgesia: Optimizing Treatment With Opioids and Adjuvant Therapy” Workshop: “Thoracic Anesthesia” Chicago, ILL 2006 American Society of Regional Anesthesia and Pain Annual Fall Meeting “Neuronal Plasticity and Pain: Basic and Clinical Science” Chair: Panel in “Cancer Pain Beyond WHO “Intrathecal Therapy for Cancer Related Pain: The Nuts and Bolts” PBLD: Cancer Pain What Would You Do? Controversial Cases Discussion San Francisco, CA 2006 New York State Society of Anesthesiology Annual Meeting PBLD: “Diagnosis and Treatment of Low Back Pain” Thoracic Anesthesia Workshop: “Thoracic Epidural Anesthesia and Analgesia 2007 AAPM Annual Meeting Chair: Panel in Cancer Pain “Implementing Intratheal Therapy: The Nuts and Bolts” New Orleans, LA 2007 Cleveland Clinic Foundation Annual Meeting “Intrathecal Polyanalgesia: Pros and Cons” 27
    • “Sphenopalatine Ganglion Neurolysis” “Conventional versus Pulsed Radiofrequency: PRO” Orlando, FL 2007 The 44th Annual New York Anesthesiology Review “Neurobiology of Pain” “Update on Acute Pain Management” “What is New in Chronic Pain Management” Orlando, Fl 2007 American Society of Regional Anesthesia and Pain Annual Spring Workshop: Thoracic Epidural Anesthesia PBLD: The Patient with Opioid Tolerance Vancouver, Canada 2007 American Society of Anesthesiologists Annual Meeting Poster Facilitator: Chronic and Cancer Pain - Clinical and Basic Workshop on Thoracic Anesthesia Treatment of Cancer Pain: Refresher Course ASA Neuromodulation for Visceral Pain Panel San Francisco, CA 2007 American Society of Regional Anesthesia and Pain Annual Fall Meeting PBLD: Pancreatic Cancer Pain Management Worshop 4: Visceral/ Sympathetic Blocks PBLD Luncheon 22: Cancer Pain Management Parallel Session 5: Celiac/Visceral Neurolysis Moderator: Cancer Pain Parallel Session Implementing Intrathecal Therapy in Cancer Pain Boca Raton, FL 2008 AAPM Meeting Chair Panel: Comprehensive Management of Neuropathic Pain in the Elderly “Invasive Techniques for the Treatment of Neuropathic Pain in the Elderly” Orlando, Fl 2008 American Society of Regional Anesthesia and Pain Annual Spring Meeting Worshop: Thoracic Epidural Anesthesia and Analgesia 2009 APS Meeting Chair Panel: Treatment Strategies for Patients Not Responding to Incrased Doses of Opioids: An Analgesic Roadmap for Clinicians Tampa, FL International: 1992 International Courses for Medical Update 28
    • Santa Ines Medical Center "The Importance of Acute Pain Management in the High Risk Surgical Patients" Cuenca, Ecuador 1992 Department of Anesthesiology and Surgery Grand Rounds, Universidad del Ecuador, Quito. "The Importance of Acute Pain Management in the High Risk Surgical Patients", Quito, Ecuador 1992 Ibero-American Congress of Anesthesiology Symposium on Visceral Pain, Barcelona, Spain Moderator 1992 Ibero-American Congress of Anesthesiology Chronic Pain Abstract Presentation, Barcelona, Spain. Chairman, Roundtable Discussion 1993 Clinica Las Condes' I Symposium on Regional Anesthesia: - "Indications, Advantages and Contra-indications to Regional Anesthesia" - "Workshop on Head and Neck Blocks" - "Does Postoperative Epidural Analgesia Improve Clinical Outcome?" - "Complications of Regional Anesthesia" - "Neurolytic Superior Hypogastric Plexus Block”. Santiago, Chile 1993 Eleventh Annual Can-Am Clinical Anaesthesia Conference "Problems Associated with the Choice of Postoperative Pain Control Technique" Niagara on the Lake, Ontario. Canada 1993 Nuevo Leon Society of Anesthesiology Meeting "The Use of Beta-Blockers in the Perioperative Period". Monterrey, NL Mexico 1993 Jalisco Society of Anesthesiolog Meeting "The Use of Beta-Blockers in the Perioperative Period” Guadalajara, Jalisco. Mexico 1993 District One (Brooklyn-Queens Chapter) New York State Society of Anesthesiologists and SUNY at Brooklyn Panel Workshop on Pain Management "The Acute Postoperative Pain Service". Elbow Beach, Bermuda 1993 Ninth Annual Anesthesiology Course Mexican Society of Anesthesiology "Clinical Utilization of Beta-Blockers" "Postoperative Myocardial Ischemia: Diagnosis, Clinical Implications and Management" Mexico City, Mexico 1993 Mexican Society of Anesthesia Annual Meeting. "What is New in Perioperative Fluid Management" 29
    • "Perioperative Management of High Risk Cardiac Patients Undergoing Non-Cardiac Surgery". Puerto Vallarta, Mexico 1993 Argentinian Society of Pain. Annual Meeting "Epidural Anesthesia and Analgesia for High Risk Patients: Is there More Beyond Pain Control" "Peripheral Opioid Receptors" "Neurolytic Superior Hypogastric Plexus Block for Pelvic Pain Associated with Cancer" "Epidural Opioid Therapy for Cancer Patients with Opioid Tolerance". Buenos Aires, Argentina 1993 Mexican Society for the Study and Treatment of Pain Annual Meeting "Alternatives to the Use of Morphine for Epidural Analgesia in Patients with Opioid Tolerance" "Postoperative Pain Management" "Interpleural Analgesia for Cancer Pain" "Oral Pharmacological Management of Patients with Cancer Pain". Mazatlan, Mexico 1994 National Institute of Health of Mexico: "The Tenth Medical Update Symposium" "Clinical Utilization of Short-Acting Beta-Blockers" "Clinical Utilization of Colloids and Crystalloids for Fluid Replacement" Mexico City, Mexico 1994 Mexico City General Hospital "The Eleventh International Meeting" "Colloid-Osmotic Pressure and Fluid Replacement" "Anesthetic Techniques for Patients with Coronary Artery Disease" "Regional or General Anesthesia for the High Risk Surgical Patient” "Peripheral Opioid Receptors" "Preemptive Analgesia: Physiologic Bases and Clinical Implications" Veracruz, Mexico 1994 II Symposium in Regional Anesthesia "Workshop on Superior Hypogastric Plexus Block" “Workshop on Fiberoptic Tracheal Intubation" "Pharmacological Management of Patients with Cancer Pain” "Sympathetic Neurolytic Blocks for Cancer Pain" "Complications and Side Effects of Epidural Analgesia" "Epidural Analgesia for High Risk Patients: Outcome Results" Santiago, Chile 1994 IV International Symposium in Critical Care and Emergency Medicine 30
    • "Short-Acting Beta-Blocking Adrenergic Agents in the Critical Care and Emergency Setting" Mexico City, Mexico 1994 VI International Congress in Pain Colombian Society of Anesthesiology "Epidural Anesthesia and Analgesia in High Risk Patients: Outcome Results" "Advantages and Disadvantages of Regional Anesthesia" "Neurolytic Blocks for Cancer Pain" Bogota, Colombia 1994 XIX Annual Caribbean Symposium in Anesthesiology and Related Fields "Epidural Anesthesia and Analgesia in High Risk Surgical Patients" "Neurolytic Blocks for Cancer Pain Management" San Juan, Puerto Rico 1995 XVIII Symposium in Anesthesiology. Mexican Institute of Social Services "Epidural Anesthesia and Analgesia in High Risk Patients: Outcome Results" “Pros and Cons of Isovolemic Hemodilution" Chairman of Roundtable Discussion "Thoracic Epidural Anesthesia and Analgesia in Cardiac Patients Undergoing Non-Cardiac Surgery" "Regional Anesthesia for Ambulatory Surgery" Mexico City, Mexico 1995 I International Symposium on Acute Pain Management. Salvador Zubiran National Institute. "Epidural Techniques for Postoperative Pain Control" "Epidural Anesthesia and Analgesia in Cardiac Patients Undergoing Non-Cardiac Surgery" "Epidural Anesthesia and Analgesia in High Risk Patients: Outcome Results" "Epidural Analgesia Complications" Mexico City, Mexico 1995 I International Partership Program. Du Pont Pharmaceuticals. "The Role of Pentaspan in Perioperative Fluid Management" Lisbon, Portugal 1995 II Symposium in Pain. The American British Cowdray Hospital. "The Care of a Patient Who is Dying" Mexico City, Mexico 1995 IV Regional Symposium on Pain Management Antioquian Society of Anesthesiology "Epidural Anesthesia and Analgesia in Cardiac Patients Undergoing Non-Cardiac Surgery" "Epidural Anesthesia and Analgesia in High Risk Patients: 31
    • Outcome Results" "Neurolytic Blocks for Cancer Pain" "Pharmacological Management of Cancer Pain" Medellin, Colombia 1995 II International Course on Pain Management. Argentinian Society of Anesthesiology. "Epidural Opioids and Combinations of Local Anesthetics and Opioids for Postoperative Analgesia" "Complications and Side Effects Associated with Epidural Analgesia" "Neurolytic Blocks for Cancer Pain Management I" "Neurolytic Blocks for Cancer Pain Management II" Buenos Aires, Argentina 1995 XXIX Mexican Society of Anesthesia Meeting "Chairman Round Table Discussion on Cancer Pain Management" "Pros and Cons of Epidural Analgesia" "Premptive Analgesia" "Epidural Fentanil: Pros and Cons" "Perioperative Blood Transfusion: Pros and Cons" "Oxygen Delivery" "Critical Oxygen Delivery" Tijuana, Mexico 1995 VI International Meeting on Medical and Surgical Critical Care. Mexico City General Hospital Fluid Replacement in the Emergency Room" Mexico City, Mexico 1995 XX Mexican Society of Oncology Meeting "The use of Controlled Release Morphine in the Treatment of Cancer Pain" Monterrey, Mexico 1995 II Pan American Symposium on Regional Anesthesia "Regional Anesthetic Techniques for General Surgery" "Workshop on Thoracic and Cervical Epidural Techniques" "Opioid Spinal Analgesic Agents" Epidural Analgesia for Cardiac Patients Undergoing non-Cardiac Surgery" Member of Panel Discussion on: "The Rational Management of Pain: The Anesthesiologists' Role" Member of Panel Discussion on: "Postoperarative Analges” Vina del Mar, Chile 1995 XV International Congress of the Mexican Society for the Study and Treatment of Pain "Choice of Opioids for Postoperative Pain Management: Benefits and Risks" "Pain Management in the Critically Ill" 32
    • Puerto Vallarta, Mexico 1996 I International Symposium on Critical Care "Neuromuscular Blocking Agents in the Intensive Care Unit" Mexico City, Mexico 1996 XIX Congress in Anesthesiology Federation of Societies of Anesthesiology of Mexico "Neuromuscular Blocking Agents in the Intensive Care Unit" "What is new in Neuromuscular Reversal" "Indications, Advantages and Contraindications of Regional Anesthesia" Mexico City, Mexico 1996 European Society of Regional Anesthesia “Invasive Strategies in Cancer Treatment” “Regional Anesthesia Improves Postoperative Outcome: Pro” “Epidural Opioid Therapy for the Opioid Tolerant Patient” Nice, France 1996 Latin American Society of Regional Anesthesia III Regional Meeting “Immunomodulation and Anesthesia” “Perioperative Management of the Patient with a Thoracic Epidural” “Choosing a Drug for Postoperative Pain Management “Complications Associated with Postoperative Analgesia” Workshop: “Thoracic and Cervical Epidural Techniques” Santiago, Chile 1996 Mexican Society of Anesthesiology XXX Annual Meeting “Coronary Blood Flow in Patients with Coronary Artery Disease and Normovolemic Hemodilution” “Alternatives for Blood: Where are we?” “Hemodynamic Monitoring of the Patient with Severe Preeclampsia” Workshop-Luch “Acute Postoperative Pain Management” Monterrey, Mexico 1996 Venezuelan Pain Society II Annual Meeting “Pharmacological Management of Cancer Pain” “What is New in Neurolytic Blocks of Sympathetic Axis for Cancer Pain” Caracas, Venezuela 1997 Hospital Espanol Medical Staff Grand Rounds “Pentaspan: A New Colloid for Fluid Replacement” Mexico City, Mexico 1997 Leon College of Anesthesiologist 33
    • XI Symposium in Anesthesiology “Pentaspan: A New Colloid for Fluid Replacement” “Normovolemic Hemodilution in Patients with CAD” “New Alternatives for Fluid Replacement” “Update on Acute Pain Management” Leon, Guanajuato, Mexico 1997 Review on Acute Pain Management Society of Anesthesiologists of Mexico City “Thoracic Epidural Anesthesia and Analgesia for High Risk Surgical Patients: Cardiac and Pulmonary Physiologic Effects” “Thoracic Epidural Anesthesia and Analgesia for Cardiac Patients Undergoing Non-Cardiac Surgery” Mexico City, Mexico 1997 European Society of Anesthesiologist (ESA) Annual Meeting “Epidural Anesthesia and Analgesia Improves Outcome in High Risk Surgical Patients Undergoing Abdominal Surgery” Luassane, Switzerland 1997 European Society of Medical Oncology: Focus on Pain and Cancer Pain Management “Cancer Pain: Clinical Research and Future Treatments” “US and European Experience with Transdermal Opioids” “Treatment of Cancer Pain with Alternatives to the Oral Route: Transdermal Therapeutic Systems” “Clinical Pathways and Treatment Alternatives for Cancer Pain Management” Limassol, Cyprus 1997 Colombian Society of Anesthesiology Meeting “Physiologic Effects of Thoracic Epidural Anesthesia and Analgesia on Pulmonary and Cardiac Function” “Choosing an Opioid for Epidural Analgesia” “Thoracic Epidural Anesthesia and Analgesia for Patients with Cardiac Disease Undergoing Non-Cardiac Surgery” “Preoperative Evaluation of the High Risk Patient” 1997 Hospital for Cardiovascular Disease of Bucaramanga “Postopeative Myocardial Ischemia: Diagnosis, Prophylaxis and Treatment” 1997 Argentinian Society of Anesthesiology Meeting “Epidural Anesthesia and Analgesia for the High Risk Patient” “Regional Anesthesia for Ambulatory Surgery Patients” “Perioperative Management of Thoracic Epidural Techniques for Patients Undergoing Surgery Upon the Thorax and Abdomen” Cordoba, Argentina 1997 Society of Anesthesiologist of Antioquia “What is in the Future of Invasive Techniques for Cancer Pain Management” 34
    • “Neurolytic Blocks for Cancer Pain Management: Interpreting the Literature for Better Outcomes” “Neuropathic Pain: A Physiological View and Its Applications to Clinical Practice” Medellin, Colombia 1997 Mexico City Pain Society “Infusion Systems for Pain Management” Mexico City, Mexico 1997 Brazilian Society of Anesthesiologist Annual Meeting “Esmolol: Clinical Uses” Belo Horizonte, Brazil 1997 Latin American Society of Regional Anesthesia (LASRA) Chair: Panel on “Does Regional Anesthesia and Analgesia Improve Outcome?” “Thoracic Epidural Anesthesia and Analgesia: Nuts and Bolts” “Choosing an Opioid for Epidural Analgesia: Decisions Based on Physico-Chemical Characteristics” Cancun, Mexico 1998 Key Note Speaker at the Sunnybrook Health Science Centre “Sixth Annual Weber Lecture” Toronto, Canada 1998 Spanish Society of Pain Symposium in Cancer Pain “Invasive Therapeutic Alternatives for Cancer Pain Management” Barcelona, Spain 1998 National Institute of Cancer of Mexico Symposium on Anesthetic Perspectives for the 21st Century “Future Invasive Techniques for Cancer Pain Management” “Perioperative Myocardial Ischemia in the 21st Century” Mexico City, Mexico 1998 Colombian Society of Anesthesiology and the Colombian Society for the Study of Pain Annual Meeting “Visceral Pain: The Forgotten Area in Chronic Pain Management” “What is New in the Treatment of Neuropathic Pain” “Future Invasive Strategies for the Treatment of Cancer Pain” 1998 XIX Mexico City Society of Anesthesiology Meeting “Perioperative Myocardial Ischemia” “Cisatracurium: Clinical Utilization” Mexico City, Mexico 1998 XXVII Argentinian Society of Anesthesiology Meeting and V South American Society of Anesthesiology Meeting “Thoracic Epidural Anesthesia: The Nuts and Bolts” “Neurolytic Blocks of the SympatheticAxis” “Drug Utilization in Anesthesiology” Iguazu Falls, Argentina 35
    • 1998 IV Chilean Society of Regional Anesthesia Meeting “Future Invasive Techniques for Cancer Pain Management” “Neuropathic Pain: What is new in the Physiopathology and Treatment” “Visceral Pain: The Forgotten Area in Chronic Pain Management” “Neurolytic Blocks of the Sympathetic Axis” Workshop: “Fiberoptic Tracheal Intubation” Santiago, Chile 1998 University of Toronto Fifth Annual Regional Anesthesia and Analgesia Meeting “Neurolytic Blocks for Cancer Pain” Workshop: “Neurolytic Blocks for Cancer Pain Management” Toronto, Canada 1998 Guatemalan Society of Anesthesiology Meeting “Perioperative Diagnostic and Treatment of Myocardial Ischemia” “The Use of PCA for Pain Control” “Future Invasive Techniques for Cancer Pain Management” Guatemala City, Guatemala 1998 Spanish Society of Pain II Annual Meeting “Oncologic Pain: Diagnosis and Treatmen, an updatet” “Pelvic Pain: Diagnosis and Treatment, an update” Palma de Mallorca, Spain 1998 XLIII Meeting of the Spanish Society of Anesthesiology “Thoracic Epidural Anesthesia and Analgesia in Thoracic Surgery” Moderator: Panel on Thoracic Surgery Granada, Spain 1998 XXXII Mexican Federation of Anesthesiology Meeting “Perioperative Use of ECG for Diagnosis of Ischemia” “Remifentanil in Ambulatory Surgery” “Sepsis and the Anesthesiologist” Queretaro, Mexico 1998 Latin American Society of Anesthesiology Meeting “Invasive Techniques in Future for Chronic Pain Management” “Choosing an Opioid for Epidural Anesthesia: A Rational Approach” “Cardiopulmonary Effects of Thoracic Epidural Blockade” Workshop: “Thoracic and Cervical Epidural Techniques” Punta del Este, Uruguay 1999 PuertoRican Society of Anesthesiology Meeting “Visceral Pain: The Forgotten Area in Chronic Pain Management” “Pharmacological Therapy for Cancer Pain” San Juan, Puerto Rico 1999 Argentinian Society of Pain Meeting “Improving Outcomes with Thoracic Epidural Anesthesia and Analgesia: What is New in the Area” 36
    • “Diagnosis and Treatment of Side Effects and Complications Associated with Postoperative Epidural Analgesia” “Diagnosis and Treatment of Side Effects and Complications Associated with Thoracic Epidural Anesthesia” Workshop: “Thoracic Epidural Techniques for Pain Management” Mendoza, Argentina 1999 Brazilian Society of Pain Biannual Meeting “What is New in Neuropathic Pain” “Thoracic Epidural Anesthesia and Analgesia: Nuts and Bolts” “Future Invasive Techniques for Cancer Pain Management” Sao Paulo, Brazil 1999 Argentinian Society of Anesthesiology Meeting “Pain Management in the Critical Care Units” “New Development in Pain Management” “Epidural Techniques: Improving Outcome in High Risk Patients” “Ropivacaine for Colon Surgery” Buenos Aires, Argentina 1999 Colombian Society of Anesthesiology Meeting “What is New in Spinal Anesthesia?” “Complications of Regional Anesthesia” “Thoracic Epidural Anesthesia and Analgesia: The Nuts and Bolts” Medellin, Colombia 1999 Brazilian Society of Anesthesiology Meeting “The Indications for Beta-Adrenergic Receptor Blockade in the Perioperative Period” Porto Alegre, Brazil 2000 Curitiba Society of Anesthesiology Meeting “The Indications for Beta-Adrenergic Receptor Blockade in the Perioperative Period” Curitiba, Brazil 2000 Bahia Society of Anesthesiology Meeting “The Indications for Beta-Adrenergic Receptor Blockade in the Perioperative Period” Salvador, Brazil 2000 International Society of Regional Anesthesia (ISRA “How to choose an opioid for epidural administration in pain management” Moderator: “Setting up an Acute Pain Service” “What is the Future of the Multidisciplinary Pain Clinic” Quebec City, Canada 2000 World Congress in Anesthesiology Workshop: “Thoracic Epidural Anesthesia and Analgesia” Montreal, Canada 2000 Latin American Society of Regional Anesthesia (LASRA) “Thoracic Epidural Anesthesia: With or Without Tracheal 37
    • Intubation” “Managing a Thoracic Epidural Analgesia Service” Workshop: “Thoracic Epidural Anesthesia” Sao Paulo, Brazil 2000 Key Note Speaker: University of Toronto Seventh Annual “Regional Anesthesia and Pain Medicine 2000” Meeting “Invasive Techniques for Cancer Pain Management” Workshop: “Neurolysis of the Sympathetic Axis” Toronto, Canada 2001 Spanish Society of Pain Management Annual Meeting “Multi-modal Therapy to Speed-Up Recovery of Patients Undergoing Abdominal Surgery” “Neurolytic Bloks of the Sympathetic Axis for Cancer Pain” Barcelona, Spain 2001 CAN-AM Anesthesia Conference “The New Local Anesthetics: Are They Worthy of Your Clinical Practice” Niagara on the Lake, Canada 2001 Argentinian Society of Anesthesiology Meeting “What is New in Thoracic Epidural Anesthesia” “New Developments in Epidural Analgesia” Round Table Discussion: “Combined Epidural-General Anesthesia” Bariloche, Argentina 2001 Spanish Society of Regional Anesthesia “Epidural Techniques for Cardiac Surgery, Is it Possible?” Moderator Panel: “What is new in epidural anesthesia and analgesia” “Optimizing Intrathecal Solutions for Cancer Pain Management” “Data Management in the Pain Service” Cadiz, Spain 2001 Brazilian Pain Society Annual Meeting “Cancer Pain Management: State of the Art” “Sympathetic Blocks for Cancer Pain Management” Rio de Janeiro, Brazil 2001 Brazilian Society of Anesthesiology Meeting “Thoracic Epidural Anesthesia: Physiological Effects on the Heart, the Lungs and the Splanchnic Circulation” “Thoracic Epidural Anesthesia: Treating Side Effects” “Perioperative Treatment of Hypertension and Myocardial Ischemia” 2002 Spanish Society of Pain “Improving Patient’s Recovery With Epidural Techniques” 2002 Pain Society of Panama “Myofascial Pain Syndrome” 38
    • “Acute Pain Therapy: State of the Art” “Pharmacological Therapy for Cancer Pain” “Invasive Therapies for Cancer Pain” Colon, Panama 2002 Mexican Society of Anesthesiology Meeting “What is New in Spinal Anesthesia” “COX-2 Inhibitors for Acute Pain Management Veracruz, Mexico 2003 Argentinian Society of Anesthesiology “Pharmacological Treatment of Cancer Pain” “Invasive Techniques for Cancer Pain” Workshop: “Thoracic Epidural” Mendoza, Argentina 2004 Colombian Cancer Institute 70th Anniversary Meeting “Strategies to Optimize Intrathecal Therapy in Patients with Cancer Related Pain” “Spinal Cord Stimulation for the Treatment of Cancer Related Pain” Bogota, Colombia 2004 Argentinian Medical Society Meeting “Diagnosis and Treatment of Low Back Pain” “COX-2 Inhibitors: Pitfalls in their use” Buenos Aires, Argentina 2005 European Congress of Orthopedic Anesthesia “The Management of Breakthrough Pain” CHAIR: Postoperative Pain Management Session CHAIR: Computers in Anesthesia Session “Postoperative Pain: An Update” Barcelona, Spain 2005 World Congress of Pain Member of Panel “Safety Aspects of Postoperative Pain Management” Sydney, Australia 2006 Annual Meeting of the Spanish Society of Pain “Opioids in Cancer Related Pain” Gran Canarias, Spain 2005 AOSRA Bi-Annual Meeting “Neuromodulation for Cancer Related Pain” Chiba, Japan 2006 World Congress of Regional Anesthesia and Pain “Neurolysis of the Sympathetic Axis for Cancer Pain” “Opioids for Chronic Non-Cancer Pain” “The Role of Acute Pain Services” Rio de Janeiro, Brazil 2006 Pain Society of Argentina Annual Meeting 39
    • “What is New In Epidural Opioid Therapy” “Spinal Cord Stimulation for Cancer Pain” “Optimizing Results with Intrathecal Therapy” “Neurolytic Blocks of the Sympathetic Axis: Are They Still Indicated?” Buenos Aires, Argentina 2006 Spanish Rheumatology Association, Annual Meeting “Neurobiology of Neuropathic Pain” Valencia, Spain 2006 12th International Pain Clinic Congress “Invasive Techniques for Cancer Related Pain” “Improving Quality of Life in Cancer Patients” “Current Status of Pain Medicine in the US” “Spinal Cord Stimulation for Cancer Related Pain” Chair: “Unusual Pain Syndromes” Panel. Turin, Italy 2006 Regional ESRA Meeting “What is New in Spinal Anesthesia” “Thoracic Epidural Anesthesia: The Nuts and Bolts” Buenos Aires, Argentina 2006 35 Argentinean Congress in Anesthesiology “Fast Track Anesthesia for Colonic Surgery” “Epidural/General Anesthesia: Why” “Pain in Cancer” “Perioperative Management of the Cancer Patient” Mar de Plata, Argentina 2007 II International Congress of Pain Medicine Madrid Pain Society “Epidural Steroids: In Whom, When and How” “Iontophoretic Analgesics” “Intraspinal Adjuvant Agents” 2007 XXXIII Mexican College of Anesthesiology Meeting “Neuropathic Pain” “Epidural Steroid Injections: The Nuts and Bolts” Mexico City, Mexico 2007 3rd International Forum on Pain Medicine “Spinal and Supraspinal Gating of Pain Signals” “Outcome Results on Epidural Steroid Injections” Chair: Meet the Expert Session June 29th from 14:30 to 17:30 Montreal, Canada 2007 European Society of Regional Anesthesia - Spain “Sophistry in Regional Anesthesia and Pain Management” “Extended Release Epidural Morphine: Nuts and Bolts” “Topical Analgesia: Analgesia Without Side Effects” 2007 Ibero-American Meeting of Anesthesiology Sofismo en Anestesia Regional y Dolor Agudo 40
    • COMO SE ASOCIAN LA SENSIBILIDAD DEL SISTEMA NERVIOSO Y LA INFLAMACION? COMO PUEDE EL ANESTESIOLOGO INHIBIR LA SENSIBILIDAD CENTRAL? Cancun, Mexico 2008 World Congress of Anesthesia “Pharmacological Therapy for Cancer Pain” “Invasive Techniques for Cancer Pain Management” Cape Town, SA 2008 Colombian Society for the Study of Pain “Pros and Cons of Spinal Cord Stimulation” “Epidural Steroid Injections: From A to Z” “Controversies in Neuropathic Pain” Bogota, Colombia 2008 IberoAmerican Symposium on Pain “Neurobiology of Pain” “Epidural Steroids: From A to Z” “Cancer Pain Management” “What is new in Sodium Channel Biology and Clinical Applications” Isla Margarita, Venezuela 2008 Guatemalan Society of Anesthesiology Annual Meeting “Sophistry in Regional Anesthesia and Pain” “Epidural Steroids: The Nuts and Bolts” “Opioids for Non-Cancer Pain” “Comprehensive Cancer Pain Management” Guatemala City, Guatemala Research Activities: Physiology and Pharmacology of Epidural Opioids Physiology of Epidural Anesthesia Perioperative Surgical Outcome Thoracic and Cardiac Anesthesia Perioperative Cardiac Morbidity Beta Adrenergic Blockade in Anesthesiology Peripheral Opioid Receptors Acute Pain Control Chronic Cancer Pain Thesis Advisor for Postgraduate Trainees: Medical Doctors 41
    • Dora Karabela 1992 Gustavo Navarro 1997 Heikel Ashraff 1998 Research Electives for Medical Students: Brian Parker 7-91 - 10-91 Elizabeth McClintick 6-92 - 9-92 Phillip Ehrlich 6-96 - 9-96 Training of Pain Fellows: 2000 – 2001: Etienne DeMedicis, MD and Say Gundavarpu, MD 2001 – 2002: Mark Mathews, MD and Kondeker Rahman, MD 2002 – 2003: Alfredo Quevedo Vela, MD 2003 – 2004: Salah Eldohiri, MD and Fayez Kotob, MD 2004 – 2005: Julio Paez, MD and Juan Diego Harris, MD 2005 – 2006: Chad Wilde, MD and Atiq Rehman, MD 2006 – 2007: Joseph Ghahhari, DO and Nora Rajaee, MD 2007 – 2008: Bradley Urie, MD and Rebecca Chang, MD 2008 – 2009: Bernard Hsu, MD and Todd Schultz, MD Membership in Professional Societies: 1987-1990 American Medical Association 1989-1991 American College of International Physicians 1989- American Society of Regional Anesthesia 1989-1993 American Society of Cardio-Thoracic Anesthesia 1990- American Society of Anesthesiologists 1990- New York State Society of Anesthesiologists 1991 - American Pain Society 1993– 1999 Society of Critical Care Medicine 2000 - 2006 Eastern Pain Association Appointments at National Societies: 2002 - 2004 Treasurer. Eastern Pain Association 2003 - Member, Pain Management Committee, NYSSA 2005 - Member, Board of Directors of ASRA 2005 - Ad Hoc Scientific Content Subcommittee on Pain Medicine of the American Society of Anesthesiologist (ASA) 2006 ASA Task Force to Update Practice Guidelines for Chronic Pain for the year 2006 2007 ASA Task Force to Update Practice Guidelines for Chronic Pain for the year 2007 2007 ASA Committee on Regional Anesthesia 42
    • Committee Service: National: 1992 - 1994 Advisory Committee Du Pont Pharmaceuticals 1994 American Society of Regional Anesthesia. Nineteenth Annual Meeting, Chicago, IL 1994 Scientific Program Committee, ASRA Annual Meeting 1997 American Society of Regional Anesthesia 1997 Advisory Committee, Pain Section Abbott Laboratories 1997 Consultant to the Anesthesia and Respiratory Therapy Devices Panel of the Medical Devices Advisory Committee, Center for Devices and Radiological Health, FDA. 1998 Advisory Committee, Regional Anesthesia, Abbott Laboratories 2003 - American Society of Regional Anesthesia Education Committee 2004 - NCCN Pain Management Guidelines Committee 2006 - NYSSA Pain Management Committee Scientific Committees 1994 - 1995 American Society of Anesthesiologist (ASA) Subcommittee on Local Anesthesia and Pain 1994 American Society of Regional Anesthesia (ASRA) Research Committee 1995 - 1996 American Society of Anesthesiologists (ASA) Local Anesthetics and Pain subcommittee 1995 - 1997 1996 PGA Sub-Committee on Scientific Programs 1996 - 1997 American Society of Anesthesiologists (ASA) Drug Deposition and Anesthetic Action Subcommittee 1998 American Society of Regional Anesthesia (ASRA) Scientific Program Committee 2000 Eastern Pain Association (EPA) Scientific Program Committee 2001 Eastern Pain Association (EPA) Chairman, Scientific Committee 2002 Eastern Pain Association (EPA) Scientific Program Committee 2003 American Society of Regional Anesthesia (ASRA) Scientific Program Committee 2003 – 2004 American Society of Regional Anesthesia and Pain (ASRAPM) Chairman, Scientific Program Committee, 2004 Fall Meeting 2005 American Society of Regional Anesthesia and Pain (ASRAPM) Member, Scientific Program Committee, 2005 Fall Meeting 43
    • 2005 – 2006 American Society of Anesthesiologist (ASA) Member, Ad Hoc Scientific Content Subcommittee on Pain Medicine State of New York: 1992 - 1993 Alternate Delegate, District #7 NYSSA 1995 - 1998 Alternate Delegate, District #7 NYSSA Roswell Park Cancer Institute: 1991 - 1996 Scientific Review Committee of the IRB 1990 - 1991 Pharmacy-Pharmacology Committee 1991 - 1995 Pharmacy Drug Use Evaluation Subcommittee 1990 - 1991 Drug Delivery systems subcommittee 1991 - 1993 Critical Care Committee 1992 - 1995 Pharmacy-Pharmacology Committee (Chairman) 1992 - 1995 Executive Committee 1993 - 1998 Critical Care Committee (Chairman) 1993 - 1998 Critical Care QA Subcommittee (Chairman) 1993 - 1998 Nutritional Advisory Committee 1994 - 1998 Critical Care Utilization Subcommittee (Chairman) 1998 - 1999 Critical Care Committee (member) 2000 - 2001 Institutional Review Board (IRB) 44
    • GRANT SUPPORT: Principal Investigator 1992 - 1993 Grant Name: Bard Infusion Systems Young Investigator Award in Pain Management. (Single Center) Co-Investigator: Mark J. Lema, PhD, MD Work Title: Postoperative Epidural Bupivacaine-Morphine Therapy: Experience with 4227 Surgical Cancer Patients Amount: $10,000. Time contributed to the project: 80% 1992 - 1993 Grant Name: Du Pont Pharma Educational Grant. (Single Center) Co-Investigator: Mark J. Lema, MD, PhD Work Title: Postoperative Epidural Bupivacaine-Morphine Therapy: Experience with 4227 Surgical Cancer Patients Amount: $15,000. Time contributed to the project: 80% 1994 Grant Name: Cobe Laboratories Educational Grant. (Single Center) Co-Investigator: Basab K. Mookerjee, MD Work Title: Epidural Analgesia versus Intravenous PCA: Differences in the Postoperative Course of Cancer Patients Amount: $5000. Time contributed to the project: 80% 1994 Grant Name: Amicon, Inc Educational Grant. (Single Center) Co-Investigator: Basab K. Mookerjee, MD Work Title: Epidural Analgesia versus Intravenous PCA: Differences in the Postoperative Course of Cancer Patients Amount: $5000. Time contributed to the project: 80% 45
    • 1994 Grant Name: Quinton Co. Educational Grant. (Single Center) Co-Investigators: none Work Title: Epidural Analgesia versus Intravenous PCA: Differences in the Postoperative Course of Cancer Patients Amount: $3000. Time contributed to the project: 80% 1995 - 1999 Grant Name: Carl Koller Memorial Research Grant. (Single Center) Co-Investigators: Miguel A. Reina, MD, Andres Lopez, MD. Jose A. de Andres, MD. Work Title: An in Vitro Study of Dural Lesions Produced by 25- gauge Quincke and Whitacre Needles Evaluated by Scanning Electron Microscopy Amount: $10,000. Time contributed to the project 40% 1995 - 1996 Grant Name: Abbott Infusion Systems Research Educational Grant. (Single Center) Co-Investigator: Mark J. Lema, MD, PhD Work Title: Randomised, Double-Blind Comparison of Epidural and Intravenous Fentanyl Therapy for Postoperative Pain Amount: $20,000. Time contributed to the project: 70% 1996 -1997 Grant Name: Knoll Pharmaceuticals Educational Grant. (Single Center) Co-Investigators: Robert P. Sands, MD, Anthony Yarussi, MD, Mark J. Lema, MD, PhD Work Title: Peripheral Morphine Analgesia for Postoperative Pain Following Axillary Node Dissection for Breast Cancer: A Controlled, Randomized, Double-Blind Study Amount: $30,000. Time contributed to the project: 80% 1997 - 1998 Grant Name: Baxter Technologies Educational Grant. (multi- center) Co-Investigators: Ricardo Plancarte, MD, Mai El Helely, MD Work Title: Neurolytic Superior Hypogastric Plexus Block for Chronic Pelvic Pain Associated with Cancer Amount: $5000. Time contributed to the project: 60% 1998 - 2000 Grant Name: ASTRA Pharmaceuticals Educational Grant (multi-center) Co-investigators: Myriam Hincapie, MD, Omar Gomezese, MD, 46
    • Jaime Martina, MD, Jorge Castro, MD Work Title: Perioperative Myocardial Ischemia in Patients Undergoing Abdominal Aortic Surgery: The Cardioprotective Effects of Perioperative Epidural Anesthesia and Analgesia Amount: $30,000. Time contributed to the project: 40% 2001 - Grant Name: Astra-Zeneca Research Grant. (Single Center) (DS-01-06) Co-investigators: Anthony Yarussi, MD, Lorraine Howard, RN, Satish Velagapudi, MD Protocol Title: A Multi-Modal Rehabilitation Program for Patients Undergoing Radical Prostatectomies” Amount: $40,000. Time spent on project: on-going 2001 - Grant Name: Roxane Laboratories Research Grant. (Single Center) (DS-01-06) Co-investigators: Anthony Yarussi, MD, Lorraine Howard, RN, Satish Velagapudi, MD Protocol Title: A Multi-Modal Rehabilitation Program for Patients Undergoing Radical Prostatectomies” Amount: $2,000. Time spent on project: on-going 2002 - Grant Name: Janssen Laboratories Research Grant (Single Center) Co-investigators: none Protocol Title: Cancer Pain Education in the Community Amount: $7000 Time spent on the project: on-going Co-Investigator 1993 - 1994 Grant Sponsor: Glaxo Postoperative Emesis Study Group (Multi-center) Co-Investigators: 91 across the country Work Title: Ondansetron for postoperative emesis prophylaxis Amount: $4500 Time contributed to the project: 1.09% 1998 – 2001 Grant Sponsor: Fund of Investigation of the Ministry of Health of Spain, project # 98/0628 Principal Investigator: Miguel A. Reina, MD Co-Investigators: Oscar A. de Leon-Casasola, MD, Andres Lopez, MD, Jose A. de Andres, MD, Miguel Mora, MD, 47
    • Agustin Fernandez, MD Project Title: Ultrastructure Definition of the of the Spinal Membranes by Transmission and Scanning Electron Microscopy Amount: $85,345 Time contributed to the project: 20% 2000 - 2001 Grant Sponsor: Scirex Corporation. (multi-center) (DS-99-22) Co-investigators at RPCI: Mark J. Lema, MD, PhD, Pauline Cole, NP, Lorraine Howard, RN Protocol Title: A Phase III Study of Oral Numorphan in Cancer Patients. Budget: $21,890. Time contributed to project: 20% 2000 - 2001 Grant Sponsor: Scirex Corporation. (multi- center) (DS-99-24) Co-investigators at RPCI: Mark J. Lema, MD, PhD, Pauline Cole, NP, Lorraine Howard, RN Protocol Title: A Cross-over Study of Oral Numorphan versus Oral MS-Contin and Oxy-Contin in Cancer Patients. Budget: $47,844. Time contributed to project: 10% 2000 - 2001 Grant Sponsor: Quintiles/Searle (multi- center) (DS-00-09) Co-investigators at RPCI: Mark J. Lema, MD, PhD, Pauline Cole, NP, Lorraine Howard, RN Protocol Title: A Phase III Study of Valdecoxib in Cancer Patients Receiving Oral Opioid Therapy. Budget: $72,060 Time contributed to project: 20% 2004 - Grant Sponsor: Elan (multi-center) Co-investigators at RPCI: Mirjana Lovrincevic, MD Protocol Title: A Phase III Study of Ziconotide in Cancer Patients Budget: $25,000 Time contributed to project: 1% BOOKS PUBLISHED 1. Cancer Pain – Pharmacological, Interventional, and Palliative Care Approaches. De Leon-Casasola OA, ed. Philadelphia, Saunders Elsevier, 2006. 48
    • PUBLICATIONS: Original Articles: Refereed Journals 1. de Leon-Casasola OA, Lema MJ, Emrich L, Syed N: Continuous 2-Chloroprocaine Infusion Versus Intermittent Bolus Injections of Bupivacaine or 2-Chloroprocaine for Epidural Anesthesia in Cesarean Delivery. Regional Anesthesia 1991; 16:154-160 2. de Leon-Casasola OA, Lema MJ: Anesthesia for Patient With Sturge-Weber and Klippel-Trenaunay Syndrome . J of Clin Anesth 1991; 3:409-413 3. de Leon-Casasola OA, Lema MJ: Atrioventricular Dissociation Resulting From Combined Thoracic Epidural and General Anesthesia. Acta Anaesthesiol Scand 1992 36:165-169 4. de Leon-Casasola OA, Lema MJ: Epidural Sufentanil for Acute Pain Control in a Patient with Extreme Opioid Dependency. Anesthesiology 1992; 76:853-856 5. Lema MJ, Myers DP, de Leon-Casasola OA. Interpleural Phenol Therapy for the Treatment of Chronic Esophageal Cancer Pain. Regional Anesthesia 1992;17:166-170 6. de Leon-Casasola OA, Weiss A, Lema MJ: Anaphylactic Shock Due to Propofol. Anesthesiology 1992 77:384-386 7. de Leon-Casasola OA, Myers DP, Lema MJ, et al. A Comparison of Postoperative Epidural Analgesia between Patients with Chronic Cancer Taking High Doses of Oral Opioids versus Opioid-naive Patients. Anesth and Analg 1993;76:302-307 8. de Leon-Casasola OA, Kent E, Lema MJ: Neurolytic Superior Hypogastric Plexus Block for Chronic Pelvic Pain Associated with Cancer. Pain 1993;54:145-151 9. Myers DP, Lema MJ, de Leon-Casasola OA, Bacon DR: 49
    • Interpleural Analgesia for the Treatment of Cancer Pain in Terminal Patients. J of Pain and Symptom Management 1993;8:505-510 10. de Leon-Casasola OA, Lema MJ: Postoperative Pain Management in Patients with Opioid Dependency. Pain Digest 1993; 3:110-111 11. de Leon-Casasola OA, Lema MJ: Epidural Bupivacaine/Sufentanil Therapy for Postoperative Pain Control in Patients Tolerant to Opioid and Unresponsive to Epidural Bupivacaine/Morphine. Anesthesiology 1993; 80:303-309 12. de Leon-Casasola OA: Postoperative Pain Management for Surgical Cancer Patients: Give Me The Top Shelf Stuff Doctor. Seminars in Anesthesiology 1993;12:103-108 13. de Leon-Casasola OA: Postoperative Pain Management in Cancer Patients. Is There More Beyond Pain Control? Problems in Anesthesia. 1993;7:474-485 14. Myers DP, de Leon-Casasola OA, Bacon DP, et al: Bilateral Pneumothoraces from a Malfunctioning Resuscitation Valve. J of Clin Anesth 1993;5:433-435 15. de Leon-Casasola OA, Parker B, Lema MJ, et al: Epidural Analgesia versus Intravenous PCA: Differences in the Postoperative Course of Cancer Patients. Regional Anesthesia 1994;19:307-315 16. de Leon-Casasola OA, Parker B, Lema MJ, et al: Postoperative Epidural Bupivacaine-Morphine Therapy: Experience with 4227 Surgical Cancer Patients. Anesthesiology 1994;81:368-375 17. de Leon-Casasola OA, Piver MS: Epidural Anesthesia and Analgesia for Postoperative Pain Control in Patients with Gynecologic Cancer. The Female Patient 1995;20:35-45 18. de Leon-Casasola OA, Lema MJ, Karabella D, et al: Postoperative Myocardial Ischemia: Epidural versus Intravenous PCA Analgesia: Pilot Study. Regional Anesthesia 1995; 20:105-112 19. Nader-Djalal N, de Leon-Casasola OA, Peer GL, et al: The Influence of Preoperative Concentrations of B-Endorphin and Met-Enkephalin on the Duration of Analgesia after Transurethral Resection of Prostate Anesthesia and Analgesia 1995;81:591-595 20. de Leon-Casasola OA, Karabella D, Lema MJ: 50
    • Bowel Function Recovery after Radical Hysterectomies: Thoracic Epidural Bupivacaine/Morphine versus Intravenous PCA Morphine: A Pilot Study. J of Clinical Anesthesia 1996;8:87-92 21. de Leon-Casasola OA, Lema MJ: Postoperative Epidural Opioid Analgesia: What are the Choices? Anesthesia and Analgesia 1996;83:867-875 22. de Leon-Casasola OA Immunomodulation and Epidural Anesthesia and Analgesia Regional Anesthesia 1996;21(6S):24-25 23. de Leon-Casasola OA Postoperative Pain Management in Opioid-Tolerant Patients Regional Anesthesia 1996;21(6S):114-116 24. de Leon-Casasola OA Verification of Sensory Block During Regional Anesthesia Regional Anesthesia 1996;21(6S):126-128 25 de Leon-Casasola OA New concepts in postoperative pain management: is there more beyond pain control? Journal of the Florida Medical Association 1996;83:695-700 26. de Leon-Casasola OA Superior Hypogastric Plexus Block and Ganglion Impar Neurolysis for Pain Associated with Cancer. Techniques in Regional Anesthesia and Pain Management 1997;1:27-31 27. Sands R, de Leon-Casasola OA, Harrison P, et al: Randomised, Double-Blind Comparison of Epidural and Intravenous Fentanyl Therapy for Postoperative Pain. Acute Pain 1997;1:7-14 28. Plancarte R, de Leon-Casasola OA, El-Helaly M, et al.: Neurolytic Superior Hypogastric Plexus Block for Chronic Pelvic Pain Associated with Cancer. Regional Anesthesia 1997;22:562-569 29. Sands R, Yarussi T, de Leon-Casasola OA: Complications and Side Effects Associated with Epidural Bupivacaine/Morphine Analgesia Acute Pain 1998;1:43-50 30. de Leon-Casasola OA 51
    • Thoracic Epidural Anesthesia and Analgesia for Thoracic Surgery in High Risk Surgical Patients: A Physiological Appraisal of Pulmonary and Cardiac Function and Its Influence on Patient Outcome. Techniques in Regional Anesthesia and Pain Management 1998;2:35-40 31. de Leon-Casasola, OA Postoperative Pain Management in Patient Who Are Opioid Tolerant Problems in Anesthesia 1998;10:103-106 32. de Leon-Casasola OA The Use of Low Molecular Weight Heparin and Other Deep Venous Thrombosis Prophylaxis With Regional Anesthesia. Revista Argentina de Anestesiologia (Argentinian Society of Anesthesiology Journal) 1998;56:317-322 33. Yarussi A, Sands R, Edge S, Lema MJ, de Leon-Casasola OA Peripheral Morphine Analgesia for Postoperative Pain Following Axillary Node Dissection for Breast Cancer: A Controlled, Randomized, Double-Blind Study. Regional Anesthesia 1999;24:142-145 34. Stevens R, de Leon-Casasola OA. Combined Thoracic Epidural and General Anesthesia: When is it Indicated? Acute Pain Journal 1999;2:89-96 35. de Leon-Casasola, OA Neurolytic Blocks of the Sympathetic Axis for the Treatment of Visceral Pain in Cancer. Current Review of Pain 1999;3:173-177 36. de Leon-Casasola, OA Critical Evaluation of Chemical Neurolysis of the Sympathetic Axis for Cancer Pain. Cancer Control 2000;7:142-148 37. de Leon-Casasola OA, Stevens Rom Thoracic Epidural Anesthesia and Analgesia for Cancer Surgery: The Importance of the Anesthetic Technique Techniques in Regional Anesthesia and Pain Management 2000;4:69-76 38. de Leon-Casasola, OA Thoracic Epidural Anesthesia and Analgesia for Colon Cancer Surgery: A Multimodal Approach to Favor Early Hospital Discharge. Argentinian Society of Anesthesiology Journal 2000;58:25-29 39. de Leon-Casasola, OA How To Make Thoracic Epidural Anesthesia and Analgesia a Safe Technique: Issues in Patient Management. Anesthesiology News (Special Report), January 2000 52
    • 40. de Leon-Casasola OA, Yarussi A Pathophysiology of Opioid Tolerance and Clinical Approach to the Opioid-Tolerant Patient. Current Review in Pain 2000;4:203-205 41. Reina MA, de Leon-Casasola OA, Lopez A, De Andres J, Martin S, Mora M. An in Vitro Study of Dural Lesions Produced by 25-gauge Quincke and Whitacre Needles Evaluated by Scanning Electron Microscopy. Reg Anesth Pain Med 2000;25:393-402 42. Magimbi AS, de Leon-Casasola OA Spinal Cord Stimulation. Techniques in Regional Anesthesia and Pain Management 2000;4:132-136 43. De Medicis E, de Leon-Casasola OA Reversible Paraplegia Associated with Lumbar Epidural Analgesia and Thoracic Vertebral Metastasis Anesthesia Analgesia 2001;92:1316-1318 44. de Leon-Casasola OA, de Medicis E. My Patient With Rectal Cancer Does Not Have Pain Control Despite High Doses of Opioids and Optimal Doses of Gabapentin and Desipramine. Now What? Advanced Strategies for Cancer Pain Management Techniques in Regional Anesthesia and Pain Management 2000; 4:167-173 46. de Leon-Casasola OA, Zevon M Success with JCAHO Pain Management Standards Anesthesiology News (Special Report), October 2000 47. De Medicis E, de Leon-Casasola OA Critical Evaluation of the Ganglion Impar Block Techniques in Regional Anesthesia and Pain Management 2001;5:120-122 48. Reina MA, de Leon-Casasola OA The Origin of the Spinal Subdural Space: Ultrastructure Findings Anesthesia and Analgesia 2002;94:991-995 49. de Leon-Casasola OA How should I treat refractory metastatic cancer pain? International Monitor on Regional Anesthesia and Pain Therapy 2002;13:4:3-6 50. de Leon-Casasola OA, Rahman KM Advanced Strategies for Cancer Pain Management With Intraspinal Therapy. Seminars in Pain Medicine. In press 51. de Leon-Casasola OA 53
    • Cellular Mechanisms of Opioid Tolerance and The Clinical Approach To The Opioid Tolerant Patient in the Postoperative Period Best Practice and Research in Clinical Anaesthesiology 2002;16:521-525 52. Reina MA, Lopez A, Maches F, de Leon-Casasola OA, de Andres JA. Electron Microscopy and the Expansion of Regional Anesthesia Knowledge Techniques in Regional Anesthesia and Pain Management 2002;6:165-171 53. Lopez A, Reina MA, Maches F, de Leon-Casasola OA, de Andres JA, Garcia J Electron Microscopy in Quality Control of Equipment Used in Regional Anesthesia Techniques in Regional Anesthesia and Pain Management 2002;6:172-179 54. Chaparro LE, Santos X, de Leon-Casasola OA. The Effects of Perioperative Epidural Techniques on the Incidence of Postoperative Complications: Analysis of conflicting Results. Revista Argentina de Anestesiologia 2002;60:299-308 55. de Leon-Casasola OA, Rahman K. Invasive Strategies for Cancer Pain Management Seminars in Pain Medicine 2003;1:1-6 56. de Leon-Casasola OA. Using a Multi-Modal Rehabilitation Program for Patients Undergoing Open Sigmoidectomy. Surgical Technology International 2003;49-52 57. de Leon-Casasola OA, Quevedo-Vela A Intraspinal Drug Delivery for Chronic Pain. Cancer Patients: Special Considerations Seminars in Pain Medicine 2004;2:27-35 58. Reina MA, deLeon-Casasola OA, Villanueva MC, et al. Ultrastructural Findings in Human Spinal Pia Mater in Relation to Subarachnoid Anesthesia Anesthesia and Analgesia 2004;98:1479-1485 59. Vallejo R, de Leon-Casasola OA, Ramsim Benyamin Opioid Therapy and Immunosuppresion: A review American Journal of Therapeutics 2004;11:1-12 60. Vanderah TW, de Leon-Casasola OA, Viscusi ER Anesthesiology News (Special Report) July, 2004 61. de Leon-Casasola OA Interventional Procedures for Cancer Pain Management: When are they indicated? Cancer Investigation 2004;22:630-642 54
    • 62. De Andres J, Valıa JC, Cerda-Olmedo G, Quiroz C, Villanueva V, Martinez-Sanjuan V, de Leon-Casasola OA Magnetic Resonance Imaging in Patients with Spinal Neurostimulation Systems Anesthesiology 2007; 106:779–86 63. de Leon-Casasola OA. Multimodal approaches to the management of neuropathic pain: the role of topical analgesia. Journal of Pain & Symptom Management 2007;33:356-64 64. de Leon-Casasola OA Special Article – Bonica Lecturer Reg Anesth Pain Med 2008;32:240-241 65. de Leon-Casasola OA Current Developments in Opioid Therapy for the Management of Cancer Pain Clin J Pain 2008;24:S3-7 66. de Leon-Casasola OA Implementing Therapy with Opioids in Patients with Cancer. Oncology Nursing Forum 2008;35(6): S1-6 Guest Editor: 1998 Guest Editor of Techniques in Regional Anesthesia and Pain Management. Issue on “Regional Anesthesia for Thoracic Surgery”, January, Vol. 2, Number 1. 1999 Guest Editor of Current Review of Pain issue on “Cancer Pain”, Volume 4, Number 3. 2000 Guest Editor of Techniques in Regional Anesthesia and Pain Management. Issue on “Problems Encountered During Regional Anesthesia and Pain Management” October, Vol 4, Number 4. 2001 Guest Editor of Techniques in Regional Anesthesia and Pain Management. Issue on “Ropivacaine for Clinical Practie” April, Vol 5, Number 2. 2002 Guest Editor of Techniques in Regional Anesthesia and Pain Management. Issue on “Technology in Regional Anesthesia” 55
    • October, Vol 6, Number 4. Editorials: 1. de Leon-Casasola OA, Analgesia Subaracnoidea Postoperatoria con Opioides: Balanceando riesgos y beneficios (Postoperative Analgesia with Opioids: A Balance of Risks and Benefits) Revista Espanola de Dolor (Journal of the Spanish Society of Pain) 1997;4:91-93 2. de Leon-Casasola OA, When it comes to outcome, we need to define what constitutes an epidural anesthesia and analgesia technique. Anesthesia and Analgesia 2003;96:315-318 3. Gebhardt R, de Leon-Casasola OA. Should we use air for the loss of resistance technique when finding the epidural space? Revista Espanola de Anestesiologia 2005; Commentaries: 1. de Leon-Casasola, OA Comparison of three solutions of ropivacaine/fentanyl for postoperative patient controlled epidural analgesia The International Monitor of Regional Anesthesia and Pain Therapy 1999;11:4:17 2. de Leon-Casasola, OA Statistical differences do not always equal clinical differences. The International Monitor of Regional Anesthesia and Pain Therapy 2000;12:2:30 3. de Leon-Casasola, OA Is it fair to compare two different drugs administered via different techniques? The International Monitor of Regional Anesthesia and Pain Therapy 2000;12:4:19 4. de Leon-Casasola, OA Good sample size plus good study design equals good data The International Monitor of Regional Anesthesia and Pain Therapy 2001;13:1:7-8 5. de Leon-Casasola, OA In the search of new drugs for intraspinal analgesia……and the treatment of their side effects. The International Monitor of Regional Anesthesia and Pain Therapy 2001;13(2)27 6. de Leon-Casasola OA Respiratory Monitoring in the perioperative period in patients with chronic obstructive 56
    • pulmonary disease. The International Monitor of Regional Anesthesia and Pain Therapy 2001;13(4)19-20 7. de Leon-Casasola, OA More on the efficacy and safety issue of local anaesthetics: is the epidural route a good study model to answer these questions. The International Monitor of Regional Anesthesia and Pain Therapy 2002;14(3) 19 8. de Leon-Casasola, OA Gabapentin: Everything you need to know about this drug The International Monitor of Regional Anesthesia and Pain Therapy 2002;14:4 9. de Leon-Casasola, OA A Recipe to Obtain Results Beyond Adequate Pain Control: Thoracic Epidural Perioperatively Plus a Local Anaesthetic, Early Ambulation and Forced Enteral Nutrition. The International Monitor of Regional Anesthesia and Pain Therapy 2003;15(1):7 10. de Leon-Casasola, OA Effects of Epidural Anesthesia on Intestinal Oxygenation: The last piece of the puzzle. The International Monitor of Regional Anesthesia and Pain Therapy 2003;15(2):28 11. de Leon-Casasola, OA Cost and Analgesic Effectiveness: good outcome parameters in analgesic trials, provided that equianalgesic doses are used. The International Monitor of Regional Anesthesia and Pain Therapy 2003;15(3):18 12. de Leon-Casasola, OA To Block or not to Block: That is the question The International Monitor of Regional Anesthesia and Pain Therapy 2004;16(3):20-21 Original Articles: Non-refereed Journals 1. de Leon-Casasola OA, Lema MJ: Pain in the Cancer Patient: Acute Postoperative Pain Services for Cancer Patients. The Solution. Option Care Inc. May-June 1991 2. de Leon-Casasola OA, Lema MJ: Establishing an Acute Postoperative Pain Service. Roswell Park Journal 1992; 3:6-7 3. de Leon-Casasola OA, Lema MJ: Postoperative Pain Management in Patients with Opioid Dependency. Solution. Option Care Inc. December 1992 Letters to Editors: 57
    • 1. Curletta JD, de Leon-Casasola OA: Epidural anesthesia in patients with coronary artery disease. Anesthesiology 1990; 72:214 2. de Leon-Casasola OA, Bacon D: Alternative approaches for insertion of Swan-Ganz catheters. J of Cardiovasc Anesth 1990; 4:780-781 3. de Leon-Casasola OA, Lema MJ: Epidural opioid requirements. Anesthesiology 1991; 74:1158-1159 4. de Leon-Casasola OA, Lema MJ: Epidural anesthesia in patients with Klippel-Trenaunay syndrome. Anesthesia Analgesia 1992; 74:470-471 5. de Leon-Casasola OA, Lema MJ: Intensive Analgesia Reduces Postoperative Myocardial Ischemia? Anesthesiology 1992; 77:404-405 6. de Leon-Casasola OA, Plancarte R, Patt R, et al. Superior Hypogastric Plexus Block Using a Single Needle and CT Guidance. Regional Anesthesia 1993; 18:63 7. de Leon-Casasola OA, Lema MJ: Postoperative Pulmonary Complications: II. Anesthesiology 1993;79:1149 8. de Leon-Casasola OA, Lema MJ: Reply to G. Orlandini's Letter to the Editor. Pain 1994; 56:122 9. de Leon-Casasola OA, Lema MJ: Reply to M. Visentin's Letter to the Editor. 1994; 57:132-133 10. de Leon-Casasola OA, Lema MJ: Regional versus General Anesthesia for Peripheral Vascular Surgery. Anesthesiology, 1996;85:224-225 11. de Leon-Casasola OA, Lema MJ: Postoperative Epidural Analgesia: What are the Choices? Reply to do Santos’ Letter to the Editor. Anesthesia and Analgesia 1997;85:463 12. de Leon-Casasola OA, Lema MJ: Thoracic Epidural Anesthesia and Analgesia and Postoperative Myocardial Ischemia Anesthesia and Analgesia 1998;87:745-746 12. de Medicis E. de Leon-Casasola OA. MRI Diagnosis of Intracranial Hypotension.Canadian Journal of Anaesthesia. 2001;48:830 58
    • 13. Harris JD, de Leon-Casasola OA. Oral erythromycin and the risk of sudden death. N. Eng J Med 2005;352:301-304 14. Kotob F, de Leon-Casasola OA, Lema MJ. NSAIDs and cardiovascular risk. Cell Metab. 2005;2:339 15. Kotob F, Harris JD, de Leon-Casasola OA. Methadone in the Management of Intractable Non-malignant Pain. Can J Neurol Sci. 2006; 33:116 16. de Leon-Casasola OA Tansforaminal Epidural Steroid Injections. Regional Anesthesia and Pain Medicine 2008;33:190-191 Book Chapters: 1. de Leon-Casasola OA, Lema MJ. Spinal Opioid Analgesia: Influence on Clinical Outcome. In: Sinatra RS, Hord AH, Ginsberg B, Preble LM, eds. Acute Pain: Mechanisms and Management. St. Louis, Mosby Year Book, 1992:293-303 2. de Leon-Casasola OA. Critical Care in Gynecology Oncology. In: Piver S, ed. Handbook of Gynecology Oncology. Boston, Little, Brown and Co. 1996;323-344 3. de Leon-Casasola OA. Improved Surgical Outcome After Epidural Anesthesia and Analgesia. In: Brown D, ed. Textbook of Regional Anesthesia and Analgesia. Philadelphia, W.B. Saunders Company, 1996;658-670 4. Ditonto E, de Leon-Casasola OA, Plancarte R. Neurolytic Blockade for the Management of Pain. In: Ashburn MA and Rice LJ, ed. The Management of Pain. New York, Churchill Livingstone, Inc. 1998;489-518 5. de Leon-Casasola OA, Ditonto E. Visceral Pain. In: Abrams S, ed. Atlas of Anesthesia, Volume IV, Pain Management. Philadelphia, Churchill Livingstone, Inc. 1998;7.1-7.11 6. de Leon-Casasola OA Superior Hypogastric Plexus Block Neurolysis for Cancer Pain In: Benzon H, Raja SN, Molloy R, Borsook D, Strichartz G, eds. Essentials of Pain Medicine and Regional Anesthesia. New York, Churchill Livingstone, 1999 pp 325-328 59
    • 7. Xue B, Lema MJ, de Leon-Casasola OA Ganglion Impar Block In: Benzon H, Raja SN, Molloy R, Borsook D, Strichartz G, eds. Essentials of Pain Medicine and Regional Anesthesia. New York, Churchill Livingstone, 1999 pp 329-331 8. de Leon-Casasola OA, Complicaciones y Efectos Secundarios de la Analgesia Epidural en el Tratamiento del Dolor Postoperatorio (Complications and Side Effects Associated with Postoperative Epidural Analgesia) In: Aliaga L, ed. Regional Anestesia Hoy (Regional Anesthesia Today). Barcelona, Permanye, 1999;467-473. 9. Joseph PN, de Leon-Casasola OA The use of Neurolytic Blocks and Other Neuroablative Techniques in Cancer Pain Management. In: Abram S, Haddox D, eds. The Pain Clinic Manual, 2nd edition Philadelphia, Lippincott Williams and Wilkins 1999;375-392 10. de Leon-Casasola OA, Ditonto E Drugs Commonly Used for Nerve Blocking: Neurolytic Agents. In: Raj PP, eds. Practical Management of Pain, 3rd edition Philadelphia, Mosby 2000;575-578 11. de Leon-Casasola, OA Sympathetic Nerve Blocks: Pelvic. In Raj PP, eds. Practical Management of Pain, 3rd edition Philadelphia, Mosby 2000;683-688 12. De Medicis E, de Leon-Casasola OA Recent Advances in Regional Anesthesia Regional Anesthesia for Cardiothoracic Surgery. ed Chaney MA. Lippincott, Williams and Wilkins, 2002, pp 1-20 13. De Medicis E, de Leon-Casasola OA Neurolytic Blocks Clinical Pain Management – Practical Applications and Procedures. Ed Breivik H, Campbell W, and Eccleston C. Arnold, 2003, pp 247-254 14. Rauck R, de Leon-Casasola OA Sympathetic Nerve Block Pain Medicine – A Comprehensive Review. Ed. Raj P. Mosby 2003, pp 250-271 15. de Leon-Casasola OA, Lema MJ Cancer Pain. In, Healy TEJ and Knight PR eds, Wylie and Churchill-Davidson’s A Practice of Anaesthesia, 7th Edition London, Arnold. 2003. pp 1255-1265 60
    • 16. de Leon-Casasola OA, Molloy RE, Lema MJ Neurolytic Visceral Sympathetic Blocks. Celiac Plexus Block, Superior Hypogastric Block, Ganglion Impar Block. In: Benzon H, Raja SN, Molloy R, Borsook D, Strichartz G, eds. Essentials of Pain Medicine and Regional Anesthesia. 2nd Edition New York, Elsevier, 2004 pp 542-549 17. De Medicis E, de Leon-Casasola OA Local Anesthetic Toxicity in the Ambulatory Setting. In: Steele SM, Nielsen KC, Klein SM, eds. Ambulatory Anesthesia – Perioperative Analgesia. 1st Edition New York, McGraw Hill Medical, 2005 pp 207-213 18. de Leon-Casasola OA Cancer Pain Management in the Opioid Tolerant Patient. In de Leon-Casasola OA, ed. Cancer Pain: Pharmacological, Interventional and Palliative Care Approaches. 1st Edition Philadelphia. Saunders/Elsevier, 2006 pp 231-234 18. Deschner C, Allen M, de Leon-Casasola OA Epidural Blockade. In: Hadzic A, ed. Textbook of Regional Anesthesia and Acute Pain Management. 1st Edition New York, McGraw Hill Medical, 2007 pp 229-267 19. de Leon-Casasola OA Complications Associated with Superior Hypogastric and Ganglion Impar Blocks. In Neal JM, Rathmell JP, eds Complications in Regional Anesthesia & Pain Medicine. 1st Edition Philadelphia. Saunders/Elsevier, 2007 pp221-226 20. Harris JD, Leon-Casasola OA, Chejne GF. Manejo del Dolor cronico agudizado y postoperatorio en el paciente con cancer dependiente de opioides. In: Plancarte SR, Clinicas Oncologicas de Iberoamerica, Manejo del dolor y cuidados Paliativos en el paciente con Cancer. Mexico. Intersistemas, S.A: de C.V. 2006, 189:204 ISBN 9706559116 AUDIO-VISUAL PRESENTATIONS: 1992 Audio-Visual Program. Seventeenth Annual Meeting of the American Society of Regional Anesthesia March 1992. Tunneled Thoracic Epidural Catheter Placement. 1992 Basic Lecture/Video. ASRA Workshop, Physiologic Consequences of Epidural Anesthesia. "Regional Anesthesia for Head and Neck Procedures and the Airway". 1998 Audio-Digest “The Opioid Tolerant Patient: No Longer a Problem in Postoperative Pain Management” 61
    • ABSTRACT PRESENTATIONS: 1. de Leon-Casasola OA, Lema MJ, Emrich L, Syed N: Comparison of continuous 2-chloroprocaine infusion with procaine for epidural anesthesia in cesarean delivery and the influence on postoperative pain management. Presented at The Meeting of the Society of Obstetric Anesthesia and Perinatology. Madison, WI 1990 2. de Leon-Casasola OA, Myers DP, Doniparthi S, Bacon DR, Peppriell J, Rempel J, Lema MJ. Postoperative epidural analgesia for chronic cancer patients taking oral narcotics. Anesthesiology 1991; 75:A665 3. de Leon-Casasola OA, Myers DP, Rempel J, Bacon DR, Peppriell J, Lema MJ. A prospective analysis of epidural catheter migration in 1598 surgical cancer patients. Anesthesiology 1991; 75:A730 4. de Leon-Casasola OA, Myers DP, Doniparthi S, Bacon DR, Peppriell J, Rempel J, Lema MJ. A Comparison of Post-operative Epidural Analgesia Between Chronic Cancer Patients Taking High Doses of Oral Narcotics and Narcotic Naive Patients. Award of Excellence at the Second Annual Upstate Academic Anesthesia Conference. Rochester, NY., 1991 and at the Postgraduate Assembly in Anesthesiology. New York, NY 5. Kent E, de Leon-Casasola OA, Lema MJ. Neurolytic Superior Hypogastric Plexus Block for Cancer Related Pelvic Pain. Regional Anesthesia 1992; 17:S19 6. de Leon-Casasola OA, Kirch D, Karas P, Syed N, Blumenson L, Lema MJ. A Comparison of Epidural Bupivacaine-Fentanyl and Bupivacaine Sufentanil infusions for Relieving Labor Pain. Regional Anesthesia 1992; 17:S39 7. de Leon-Casasola OA, Myers DP, Rempel J, et al. Analisis Prospectivo de Migracion de Cateteres Epidurales en 2220 Pacientes Quirurgicos con Cancer. Rev Esp Anest y Reanim 1992; 32:S41-42 8. de Leon-Casasola OA, Kent E, Lema MJ. Bloque Neurolitico del Plexo Hipogastrico Superior para Dolor Pelvico Cronico Asociado con Cancer Rev Esp Anest y Reanim 1992; 32:S57 9. de Leon-Casasola OA, Myers DP, Donaparthi S, et al. 62
    • Estudio Comparativo de Analgesia Epidural Postoperatoria entre Pacientes con Cancer en Tratamiento Cronico deOpioides y Pacientes sin Uso Preoperatorio de Opioides. Rev Esp Anest y Reanim 1992; 32S42 10. de Leon-Casasola OA, Lema MJ. Epidural Sufentanil Provides Superior Analgesia for Opioid Tolerant Patients Unresponsive to Epidural Morphine. Anesthesiology 1992; 77:A855 11. de Leon-Casasola OA, Parker B, Schwartz C, et al. Postoperative Epidural Analgesia Decreases Length of Hospitalization and ICU Stays in High Risk Surgical Cancer Patients. Anesthesiology 1992; 77:A899 12. de Leon-Casasola OA, Parker B, Myers DP, et al. Experience Using Epidural Bupivacaine-Morphine Infusions for Postoperative Analgesia in 2843 Cancer Surgical Patients. Anesthesiology 1992; 77:A856. First Place at the Third Annual Upstate Academic Anesthesia Conference, 1992. Rochester, NY 13. de Leon-Casasola OA, Kirch D, Karas P, et al. The Influence of Birthweight and Oxytocin in the Quality of Epidural Analgesia During Labor. Anesth Analg 1993;76:S73 14. de Leon-Casasola OA, Karabela T, Lema MJ: The Effect of Epidural Bupivacaine-Morphine and Intravenous PCA Morphine on Bowel Function and Pain After Radical Hysterectomies. Anesth Analg 1993;76:S74 15. de Leon-Casasola OA, McClintick E, Harrison P, et al. The Addition of Intramuscular Ketorolac to Epidural Morphine-Bupivacaine for Post-Thoracotomy Analgesia. Regional Anesthesia 1993; 18:2S-74 16. de Leon-Casasola OA, Karabela T, Harrison P, et al. A Decrease in Postoperative Myocardial Ischemia and Infarction by Epidural Bupivacaine-Morphine in Upper Abdominal Surgery. Regional Anesthesia 1993; 18:2S-66 17. Bacon DR, de Leon-Casasola OA, Myers DP, et al. Minutes of the American Society of Regional Anesthesia: 1924-1939. Anesthesiology 1993; 79:A1028 18. Bacon DR, de Leon-Casasola OA, Lema MJ. Society Seals: Symbols of Organized Anesthesia. 63
    • Anesthesiology 1993; 79:A1029 19. Nader-Djalal N, Peer G, de Leon-Casasola OA, et al: Preoperative Levels of B-Endorphin and Met-Enkephalin and the Duration of Analgesia After TURP Under Spinal Anesthesia. Anesthesiology 1994; 81:A1056 20. Sands R, de Leon-Casasola OA, Harrison P, et al: Epidural Fentanyl Action, Like Intravenous Fentanyl, Occurs Primarily at the Supraspinal Level. Regional Anesthesia 1995; 20:2S-40 21. O'Leary K, de Leon-Casasola OA, Lema MJ: Thoracic Epidural Anesthesia for the Repair of Bronchopleural Fistulas. Regional Anesthesia 1995; 20:2S-100 22. Plancarte R, de Leon-Casasola OA, Lema MJ: Alternative Approaches for Superior Hypogastric Plexus Block. Regional Anesthesia 1995; 20:2S-90 23. Sands R, de Leon-Casasola OA, Harrison P, et al: A Randomized, Double-Blind Compariso of Epidural and Intravenous Fentanyl Therapy for Postoperative Pain: Epidural Administration Induces Acute Tolerance. Anesthesiology 83:A:844, 1995 24. Plancarte R, de Leon-Casasola OA, Allende S, et al: Neurolytic Superior Hypogastric Plexus Block for Pelvic Pain Associated with Cancer: A Multicenter Experience with 159 patients. Anesthesiology 83:A843, 1995 25. Reina MA, Lopez A, de Andrers JA, de Leon-Casasola OA: Anatomic Correlation of the Subarachnoid Space and Its Membranes with the Cauda Equina Syndrome Via Scanning Electron Microscopy. Anesthesiology 1997;87:A740 26. Reina MA, Lopez A, de Andres JA, de Leon-Casasola OA: Electron Microscope Evaluation of the Dural Lesions Produced by Two Types of Spinal Needles. Anesthesiology 1997;87:A783 27. Bashaw H, Barrick C, de Leon-Casasola OA, Zevon MA. Gender and Response to Cancer Related versus Non-cancer Pain American Association of Behavioral Therapy. 2006 Meeting 28. Kotob F, de Leon-Casasola OA, Lema MJ Intrathecal Infusion Rates of 1 mL/day Improve Narrow Analgesia With Infusion Rates of 0.5 mL/day. Anesthesiology 2006; 105: A347 29. Demmy T, de Leon-Casasola OA 64
    • Interpleural Bupivacaine Delivered by Chest Tube Improves Pain Control and Decreases 24 h Opioid Use After VATS. Southern Thoracic Surgical Association 2008; Abstract ID 34610 NEWS INTERVIEWS: 1992 "Migration of Epidural Catheters into Subdural or Subarachnoid Space Called a Rare Event". Anesthesiology News 1992; 18(1):31 1993 "Bupivacaine Morphine Mixture Proves Efficacious for Pain Relief and Recovery from Hysterectomy" Anesthesiology News 1993; 19(6):20 1993 "Epidurals Found to Decrease Postoperative Ischemia and Tachycardia in High-Risk Abdominal Surgeries” Anesthesiology News 1993; 19(9):17-18 1994 "New Anesthesia Procedure Proves Heart-Saving" Internal Medicine World Report 1994, February 1-14, page 44 1994 "New Anesthesia Regime Reduces High-Risk Cardiac Complications” Buffalo Physician, Summer 1994, page 2 1994 "Clinicians Remain Hopeful About Preemptive Analgesia Despite Lack of Definitive Data on Improved Outcomes" Anesthesiology News 1994; 20(7):1 and 16-17 1995 "Higher Levels of Endogenous Peptides in CSF Found to Correlate with Less Patient Pain" Anesthesiology News 1995; 21(2):29 1996 "Neurolytic Superior Hypogastric Plexus Blocks Shown Effective in Treating Pelvic Cancer Pain" Anesthesiology News 1996; 22(2):20 2000 “New Pain Guidelines” WBEN News Radio Buffalo, NY 65