Dr. Zach Deutch interviews the co-editors of April’s ASA Monitor, Dr. Shahla Siddiqui and Dr. Ashish Khanna, about evolving trends, practices, and procedures in critical care medicine. From new guidelines related to perioperative tube feeding to the use of mechanical circulation support devices to the ethics of end of life discussions in the perioperative period, this episode examines some of the novel, innovative, and important shifts in critical care. Recorded February 2024.
Shahla Siddiqui, MD, MSc, FCCM, is a critical care anesthesiologist, co-chair of the ethics advisory committee, course director of Harvard medical school ICU clerkships, member HMS center for bioethics, and assistant professor in the department of anesthesiology, critical care and pain medicine at Beth Israel Deaconess medical center, Boston. Dr. Siddiqui is co-chair of the committee on critical care medicine at ASA as well as a member of the committee on women and the ethics committee. She is a member of the board of directors of the Society of Critical Care Anesthesiology (SOCCA) and a founding co-chair of women in critical care at SOCCA. She is also an elected member of the society of critical care medicine's (SCCM) anesthesiology section steering committee. Dr. Siddiqui is deeply committed to the advancement of DEI and women in critical care leadership and has served as a mentor in her various roles. She is also the section editor of ethics at the Journal of critical care.
Ashish K. Khanna, MD, MS, FCCP, FCCM, FASA, is an associate professor of anesthesiology and vice-chair of research with the department of anesthesiology, section on critical care medicine at the Wake Forest University School of Medicine in Winston-Salem, NC. He is also a member of the Wake Center for Biomedical Informatics, a core faculty for the Center for Healthcare Innovation and the Wake Forest Hypertension and Vascular Research Cardiovascular Science Center. Dr. Khanna serves as the inaugural director for the Perioperative Outcomes and Informatics Collaborative (POIC), a large perioperative outcomes collaborative research program that is staffed with several research nurses, fellows, technicians, students, data scientists and administrative staff and is a center of excellence for clinical trials across specialties. His research interests include prediction of post-operative respiratory and cardiac events on the regular nursing floor using wearable monitoring, use of large datasets for perioperative outcomes research, effects of hypotension in critically ill patients, and use of novel vasopressors in shock states in the ICU.
Dr. Khanna is a previous FAER-MRTG awardee and a Wake Forest CTSA KL2 recipient for his work on wireless wearable monitoring. He has more than a 150 peer reviewed papers, two dozen book chapters, editorials, invited non-peer reviewed articles, and has been invited to talk about this work at prestigious national and international forums. From 2015-2017, Dr. Khanna led the Angiotensin II in High Output Shock (ATHOS3) trial and the publication of this work in the NEJM. This work translated to the US FDA approval of this novel vasopressor for management of broad indications of high output shock and is currently being used across the United States in critically ill patients.
Zachary Deutch, MD, FASA, is an associate professor of anesthesiology at the University of Florida College of Medicine-Jacksonville and is a guest editor for The Central Line Podcast. Dr. Deutch serves on the editorial board for the ASA Monitor, and is the author of the bimonthly column "Ask The Expert." Dr. Deutch is also the physician review editor of the ASA Monitor Today, is a member of several ASA Committees, and is an at-large member of the ASA House of Delegates from Florida.
Dr. Deutch is a graduate of Princeton University and The George Washington University School of Medicine. His residency training was done at Brigham and Women's Hospital in Boston, followed by a cardiothoracic anesthesia fellowship at Massachusetts General Hospital.
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Date of last update: March 18, 2024