Research Overview

  1. Analysis of Outcomes from General Surgical Cases at Boston Children's Hospital. This project involves the creation of an integrated database that allows our research group to evaluate the relationship between patient personality types, anesthesia technique, and surgery VS. outcomes including short-term (PACU) outcomes as well as longer-term behavioral outcomes. This project has already yielded data comparing anesthesia/surgery techniques and parental satisfaction, patient personality and post-operative outcomes, and anesthesia technique and postoperative agitation.
  2. Our research group has created a national data-sharing group to evaluate the analgesia techniques and outcomes after chest wall surgery in children and adolescents. This group - the Society for Pediatric Anesthesia Improvement Network uses an internet-.based data collection technology to aggregate data from 8 major pediatric centers across the country. 3. The outcomes group is pursuing a project 'The Pediatric Sedation State Scale' - in which we are validating a new scale that will codify the state of a child during a procedural sedation experience This project uses video of actual sedation encounters and allows grading of these videos by multiple sedation providers to compare the state of children during procedures.

Education

Medical School

University of Virginia
Charlottesville VA

Residency

Anesthesiology Hartford Hospital
Hartford CT

Residency

Pediatrics Fitzsimons Army Medical Center
Denver CO

Media

Caregiver Profile

Meet Dr. Joseph Cravero

Publications

  1. Reviewing "Nil Per Os" Guidance for Clear Fluids in Children Before Anesthesia: Survey of the Pediatric Anesthesia Leadership Council. Anesth Analg. 2024 Nov 19. View Abstract
  2. Pediatric anesthesia in North America. Paediatr Anaesth. 2024 09; 34(9):906-918. View Abstract
  3. Continued challenges in pediatric anesthesia during COVID-19 in 2022: An international survey from the pediatric anesthesia COVID-19 collaborative. Paediatr Anaesth. 2023 12; 33(12):1020-1028. View Abstract
  4. Patient and Process Outcomes among Pediatric Patients Undergoing Appendectomy during the COVID-19 Pandemic: An International Retrospective Cohort Study. Anesthesiology. 2023 07 01; 139(1):35-48. View Abstract
  5. Clinical Outcomes Associated With Intranasal Dexmedetomidine Sedation in Children. Hosp Pediatr. 2023 03 01; 13(3):223-243. View Abstract
  6. Rapid debriefings following critical incidents in pediatric anesthesiology. Paediatr Anaesth. 2023 04; 33(4):319-320. View Abstract
  7. Pediatric Sedation/Anesthesia for MRI: Results From the Pediatric Sedation Research Consortium. J Magn Reson Imaging. 2023 04; 57(4):1106-1113. View Abstract
  8. Unique Issues Related to Regional Anesthesia in Pediatric Orthopedics. Anesthesiol Clin. 2022 Sep; 40(3):481-489. View Abstract
  9. Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation. Ann Emerg Med. 2022 12; 80(6):485-496. View Abstract
  10. A Single Center Case Series of Gender-Affirming Surgeries and the Evolution of a Specialty Anesthesia Team. J Clin Med. 2022 Mar 31; 11(7). View Abstract
  11. Standardizing Opioid Prescribing in a Pediatric Hospital: A Quality Improvement Effort. Hosp Pediatr. 2022 02 01; 12(2):164-173. View Abstract
  12. Performing Multiple Posterior Spinal Fusions in 1 Day: A Comparison of Perioperative Outcomes Between Morning and Afternoon Cases. J Pediatr Orthop. 2021 Oct 01; 41(9):e722-e726. View Abstract
  13. Assessing and conveying risks and benefits of imaging in neonates using ionizing radiation and sedation/anesthesia. Pediatr Radiol. 2022 Apr; 52(4):616-621. View Abstract
  14. Trends in Pediatric MRI sedation/anesthesia at a tertiary medical center over time. Paediatr Anaesth. 2021 Sep; 31(9):953-961. View Abstract
  15. A survey of the global impact of COVID-19 on the practice of pediatric anesthesia: A study from the pediatric anesthesia COVID-19 Collaborative Group. Paediatr Anaesth. 2021 06; 31(6):720-729. View Abstract
  16. Free-breathing radial stack-of-stars three-dimensional Dixon gradient echo sequence in abdominal magnetic resonance imaging in sedated pediatric patients. Pediatr Radiol. 2021 Aug; 51(9):1645-1653. View Abstract
  17. Should I irradiate with computed tomography or sedate for magnetic resonance imaging? Pediatr Radiol. 2022 Feb; 52(2):340-344. View Abstract
  18. Food allergy history and reaction to propofol administration in a large pediatric population. Paediatr Anaesth. 2021 05; 31(5):570-577. View Abstract
  19. Aerosol barriers in pediatric anesthesiology: Clinical data supports FDA caution. Paediatr Anaesth. 2021 04; 31(4):461-464. View Abstract
  20. Risk of Hypoxemia by Induction Technique Among Infants and Neonates Undergoing Pyloromyotomy. Anesth Analg. 2021 02 01; 132(2):367-373. View Abstract
  21. Bilateral Erector Spinae Blocks Decrease Perioperative Opioid Use After Pediatric Cardiac Surgery. J Cardiothorac Vasc Anesth. 2021 Jul; 35(7):2082-2087. View Abstract
  22. Comparison of regional analgesia techniques for pleurodesis pain in pediatric patients. Paediatr Anaesth. 2020 10; 30(10):1102-1108. View Abstract
  23. A systematic review of outcomes reported inpediatric perioperative research: A report from the Pediatric Perioperative Outcomes Group. Paediatr Anaesth. 2020 Jul 30. View Abstract
  24. Role of outpatient pediatric natural airway sedation during the COVID-19 pandemic. Paediatr Anaesth. 2020 07; 30(7):841-842. View Abstract
  25. Postoperative pain and psychological outcomes following minimally invasive pectus excavatum repair: A report from the Society for Pediatric Anesthesia Improvement Network. Paediatr Anaesth. 2020 09; 30(9):1006-1012. View Abstract
  26. Trends in Outpatient Procedural Sedation: 2007-2018. Pediatrics. 2020 05; 145(5). View Abstract
  27. If the watch fits-Wear it. Paediatr Anaesth. 2020 05; 30(5):518-519. View Abstract
  28. Measuring behavioral and emotional changes in children following hospitalization: Limitations and future directions. Paediatr Anaesth. 2019 11; 29(11):1083-1085. View Abstract
  29. Reply to Austin, Thomas; Gilbertson, Laura; Lam, Humphrey, regarding their comment 'Redefining the primary dependent variable. Paediatr Anaesth. 2019 10; 29(10):1073-1074. View Abstract
  30. The effect of suprainguinal fascia iliaca block on the recovery of patients after arthroscopic hip surgery. Paediatr Anaesth. 2019 08; 29(8):829-834. View Abstract
  31. The effect of pediatric patient temperament on postoperative outcomes. Paediatr Anaesth. 2019 07; 29(7):721-729. View Abstract
  32. The Society for Pediatric Anesthesia recommendations for the use of opioids in children during the perioperative period. Paediatr Anaesth. 2019 06; 29(6):547-571. View Abstract
  33. Airway management in patients with mucopolysaccharidoses: The progression toward difficult intubation. Paediatr Anaesth. 2019 06; 29(6):620-627. View Abstract
  34. The association between high-volume intraoperative fluid administration and outcomes among pediatric patients undergoing large bowel resection. Paediatr Anaesth. 2019 04; 29(4):315-321. View Abstract
  35. Perioperative Management and In-Hospital Outcomes After Minimally Invasive Repair of Pectus Excavatum: A Multicenter Registry Report From the Society for Pediatric Anesthesia Improvement Network. Anesth Analg. 2019 02; 128(2):315-327. View Abstract
  36. Evaluating Patient-Centered Outcomes in Clinical Trials of Procedural Sedation, Part 2 Safety: Sedation Consortium on Endpoints and Procedures for Treatment, Education, and Research Recommendations. Anesth Analg. 2018 11; 127(5):1146-1154. View Abstract
  37. The Anesthesia Perioperative "Call for Help"-Experience at a Quaternary Pediatric Medical Center: Analysis of 67,564 Anesthesia Encounters. Anesth Analg. 2018 07; 127(1):126-133. View Abstract
  38. Correction to: Ionizing radiation from computed tomography versus anesthesia for magnetic resonance imaging in infants and children: patient safety considerations. Pediatr Radiol. 2018 03; 48(3):454. View Abstract
  39. Efficacy Outcome Measures for Pediatric Procedural Sedation Clinical Trials: An ACTTION Systematic Review. Anesth Analg. 2018 03; 126(3):956-967. View Abstract
  40. Erector spinae plane block for inguinal hernia repair in preterm infants. Paediatr Anaesth. 2018 03; 28(3):298-299. View Abstract
  41. The Evaluation of a Noninvasive Respiratory Volume Monitor in Pediatric Patients Undergoing General Anesthesia. Anesth Analg. 2017 12; 125(6):1913-1919. View Abstract
  42. Ionizing radiation from computed tomography versus anesthesia for magnetic resonance imaging in infants and children: patient safety considerations. Pediatr Radiol. 2018 01; 48(1):21-30. View Abstract
  43. Population analysis of predictors of difficult intubation with direct laryngoscopy in pediatric patients with and without thyroid disease. J Anesth. 2018 02; 32(1):54-61. View Abstract
  44. The radiological home: Pediatric anesthesiologist's role in risk assessment for imaging procedures. Paediatr Anaesth. 2017 09; 27(9):878-879. View Abstract
  45. Pediatric Procedural Sedation Using the Combination of Ketamine and Propofol Outside of the Emergency Department: A Report From the Pediatric Sedation Research Consortium. Pediatr Crit Care Med. 2017 Aug; 18(8):e356-e363. View Abstract
  46. Upper Respiratory Infections and Airway Adverse Events in Pediatric Procedural Sedation. Pediatrics. 2017 Jul; 140(1). View Abstract
  47. Comment on Growth in an Anesthesiologist and Nurse Anesthetist-Supervised Sedation Nurse Program Using Propofol and Dexmedetomidine. A A Case Rep. 2017 06 15; 8(12):337. View Abstract
  48. Validation of the Pediatric Sedation State Scale. Pediatrics. 2017 May; 139(5). View Abstract
  49. Evaluating Patient-Centered Outcomes in Clinical Trials of Procedural Sedation, Part 1 Efficacy: Sedation Consortium on Endpoints and Procedures for Treatment, Education, and Research Recommendations. Anesth Analg. 2017 03; 124(3):821-830. View Abstract
  50. Safety and cost-effectiveness of port removal outside of the operating room among pediatric patients. J Pediatr Surg. 2016 Nov; 51(11):1891-1895. View Abstract
  51. Pediatric Procedural Sedation Using Dexmedetomidine: A Report From the Pediatric Sedation Research Consortium. Hosp Pediatr. 2016 09; 6(9):536-44. View Abstract
  52. In Reply. Anesthesiology. 2016 08; 125(2):425-6. View Abstract
  53. Outcomes following implementation of a pediatric procedural sedation guide for referral to general anesthesia for magnetic resonance imaging studies. Paediatr Anaesth. 2016 Jun; 26(6):628-36. View Abstract
  54. Creation of an integrated outcome database for pediatric anesthesia. Paediatr Anaesth. 2016 Apr; 26(4):345-55. View Abstract
  55. The pretracheal stethoscope useful, but not a necessity. Paediatr Anaesth. 2016 Mar; 26(3):256-8. View Abstract
  56. Preterm Versus Term Children: Analysis of Sedation/Anesthesia Adverse Events and Longitudinal Risk. Pediatrics. 2016 Mar; 137(3):e20150463. View Abstract
  57. Major Adverse Events and Relationship to Nil per Os Status in Pediatric Sedation/Anesthesia Outside the Operating Room: A Report of the Pediatric Sedation Research Consortium. Anesthesiology. 2016 Jan; 124(1):80-8. View Abstract
  58. Pediatric emergence delirium: Canadian Pediatric Anesthesiologists' experience. Paediatr Anaesth. 2016 Feb; 26(2):207-12. View Abstract
  59. Practice Patterns and Adverse Events of Nitrous Oxide Sedation and Analgesia: A Report from the Pediatric Sedation Research Consortium. J Pediatr. 2016 Feb; 169:260-5.e2. View Abstract
  60. A Phase 1, Dose-escalation, Double-blind, Block-randomized, Controlled Trial of Safety and Efficacy of Neosaxitoxin Alone and in Combination with 0.2% Bupivacaine, with and without Epinephrine, for Cutaneous Anesthesia. Anesthesiology. 2015 Oct; 123(4):873-85. View Abstract
  61. Prevalence and Predictors of Adverse Events during Procedural Sedation Anesthesia-Outside the Operating Room for Esophagogastroduodenoscopy and Colonoscopy in Children: Age Is an Independent Predictor of Outcomes. Pediatr Crit Care Med. 2015 Oct; 16(8):e251-9. View Abstract
  62. Whither dexmedetomidine? Paediatr Anaesth. 2015 Sep; 25(9):868-70. View Abstract
  63. The impact of obesity on pediatric procedural sedation-related outcomes: results from the Pediatric Sedation Research Consortium. Paediatr Anaesth. 2015 Jul; 25(7):689-97. View Abstract
  64. Great expectations-defining quality in pediatric sedation: outcomes of a multidisciplinary consensus conference. J Healthc Qual. 2015 Mar-Apr; 37(2):139-54. View Abstract
  65. Raising the bar for pediatric sedation studies and trials. Paediatr Anaesth. 2015 Jan; 25(1):2-4. View Abstract
  66. Pediatric critical care physician-administered procedural sedation using propofol: a report from the Pediatric Sedation Research Consortium Database. Pediatr Crit Care Med. 2015 Jan; 16(1):11-20. View Abstract
  67. Pain management following the Nuss procedure: a survey of practice and review. Acta Anaesthesiol Scand. 2014 Oct; 58(9):1134-9. View Abstract
  68. Paravertebral block for analgesia after pediatric thoracic surgery. Reg Anesth Pain Med. 2014 May-Jun; 39(3):179-80. View Abstract
  69. Research on emergence agitation in children. Can J Anaesth. 2013 Aug; 60(8):822-3. View Abstract
  70. Analysis of procedural sedation provided by pediatricians. Pediatr Int. 2013 Feb; 55(1):17-23. View Abstract
  71. Development, implementation, and initial participant feedback of a pediatric sedation provider course. Teach Learn Med. 2013; 25(3):249-57. View Abstract
  72. Physiologic monitoring practices during pediatric procedural sedation: a report from the Pediatric Sedation Research Consortium. Arch Pediatr Adolesc Med. 2012 Nov; 166(11):990-8. View Abstract
  73. Relief of pain and anxiety in pediatric patients in emergency medical systems. Pediatrics. 2012 Nov; 130(5):e1391-405. View Abstract
  74. The validity of the Computer Face Scale for measuring pediatric pain and mood. Paediatr Anaesth. 2013 Feb; 23(2):156-61. View Abstract
  75. The current status of procedural sedation for pediatric patients in out-of-operating room locations. Curr Opin Anaesthesiol. 2012 Aug; 25(4):453-60. View Abstract
  76. Pediatric sedation with propofol-continuing evolution of procedural sedation practice. J Pediatr. 2012 May; 160(5):714-6. View Abstract
  77. Case presentation: abdominal compartment syndrome complicating posterior spinal fusion. Paediatr Anaesth. 2012 Mar; 22(3):278-80. View Abstract
  78. Brave new world: do we need it, do we want it, can we afford it? Paediatr Anaesth. 2011 Sep; 21(9):919-23. View Abstract
  79. Pediatric sedation--evolution and revolution. Paediatr Anaesth. 2011 Jul; 21(7):800-9. View Abstract
  80. Emergency physician-administered propofol sedation: a report on 25,433 sedations from the pediatric sedation research consortium. Ann Emerg Med. 2011 May; 57(5):462-8.e1. View Abstract
  81. Impact of provider specialty on pediatric procedural sedation complication rates. Pediatrics. 2011 May; 127(5):e1154-60. View Abstract
  82. Comparison of differing sedation practice for upper endoscopic ultrasound using expert observational analysis of the procedural sedation. J Patient Saf. 2009 Sep; 5(3):153-9. View Abstract
  83. Risk and safety of pediatric sedation/anesthesia for procedures outside the operating room. Curr Opin Anaesthesiol. 2009 Aug; 22(4):509-13. View Abstract
  84. The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. Anesth Analg. 2009 Mar; 108(3):795-804. View Abstract
  85. Use of regional blockade to facilitate inpatient rehabilitation of recalcitrant complex regional pain syndrome. PM R. 2009 Feb; 1(2):194-8. View Abstract
  86. Computer Face Scale for measuring pediatric pain and mood. J Pain. 2009 Feb; 10(2):173-9. View Abstract
  87. Society for Pediatric Sedation reply to Dr Cote's editorial. Paediatr Anaesth. 2008 Jun; 18(6):559-60; author reply 560-1. View Abstract
  88. Development of a new computer method to assess children's pain. Pain Med. 2007 Oct; 8 Suppl 3:S121-8. View Abstract
  89. Etomidate versus pentobarbital for computed tomography sedations: report from the Pediatric Sedation Research Consortium. Pediatr Emerg Care. 2007 Oct; 23(10):690-5. View Abstract
  90. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Pediatrics. 2006 Sep; 118(3):1087-96. View Abstract
  91. Pediatric anesthesia in the nonoperating room setting. Curr Opin Anaesthesiol. 2006 Aug; 19(4):443-9. View Abstract
  92. Voiding ability using propofol sedation in children undergoing voiding cystourethrograms: a retrospective analysis. J Urol. 2006 Jul; 176(1):299-302. View Abstract
  93. Emergence agitation: time for heavy lifting. J Clin Anesth. 2005 Nov; 17(7):491-3. View Abstract
  94. Sedation in the emergency department. Pediatr Ann. 2005 Aug; 34(8):617-22. View Abstract
  95. A method for measuring system safety and latent errors associated with pediatric procedural sedation. Anesth Analg. 2005 Jul; 101(1):48-58, table of contents. View Abstract
  96. Development and validation of the Dartmouth Operative Conditions Scale. Anesth Analg. 2005 Jun; 100(6):1614-1621. View Abstract
  97. Replacing the outmoded term "nonanesthesiologist". Anesth Analg. 2005 Jun; 100(6):1862. View Abstract
  98. General anesthesia in infants and children for pediatric dermatologic procedures: is it worth it? Arch Dermatol. 2005 May; 141(5):629-30. View Abstract
  99. Review of pediatric sedation. Anesth Analg. 2004 Nov; 99(5):1355-1364. View Abstract
  100. Relief of pain and anxiety in pediatric patients in emergency medical systems. Pediatrics. 2004 Nov; 114(5):1348-56. View Abstract
  101. The learning curve associated with a simulated ultrasound-guided interventional task by inexperienced anesthesia residents. Reg Anesth Pain Med. 2004 Nov-Dec; 29(6):544-8. View Abstract
  102. Clinical policy: evidence-based approach to pharmacologic agents used in pediatric sedation and analgesia in the emergency department. J Emerg Nurs. 2004 Oct; 30(5):447-61. View Abstract
  103. Clinical policy: evidence-based approach to pharmacologic agents used in pediatric sedation and analgesia in the emergency department. Ann Emerg Med. 2004 Oct; 44(4):342-77. View Abstract
  104. Clinical policy: evidence-based approach to pharmacologic agents used in pediatric sedation and analgesia in the emergency department. J Pediatr Surg. 2004 Oct; 39(10):1472-84. View Abstract
  105. The continuing conundrum of sedation for painful and nonpainful procedures. J Pediatr. 2004 Jul; 145(1):10-2. View Abstract
  106. Mucositis and airway obstruction in a pediatric patient. Anesth Analg. 2004 Jul; 99(1):59-61. View Abstract
  107. Pediatric sedation. Curr Opin Anaesthesiol. 2004 Jun; 17(3):247-51. View Abstract
  108. The effect of small dose fentanyl on the emergence characteristics of pediatric patients after sevoflurane anesthesia without surgery. Anesth Analg. 2003 Aug; 97(2):364-367. View Abstract
  109. Microsystems in health care: Part 6. Designing patient safety into the microsystem. Jt Comm J Qual Saf. 2003 Aug; 29(8):401-8. View Abstract
  110. Adverse effects of sedatives in children. Expert Opin Drug Saf. 2003 Mar; 2(2):167-94. View Abstract
  111. Single-dose caudal anaesthesia for two infants undergoing diagnostic brain magnetic resonance imaging: high risk and nonhigh risk. Paediatr Anaesth. 2003 Feb; 13(2):171-4. View Abstract
  112. Sedation, risk, and safety: do we really have data at last? Pediatrics. 2001 Oct; 108(4):1006-8. View Abstract
  113. Same patients, same critical events--different systems of care, different outcomes: description of a human factors approach aimed at improving the efficacy and safety of sedation/analgesia care. Qual Manag Health Care. 2001; 10(1):17-36. View Abstract
  114. Emergence characteristics of sevoflurane compared to halothane in pediatric patients undergoing bilateral pressure equalization tube insertion. J Clin Anesth. 2000 Aug; 12(5):397-401. View Abstract
  115. Emergence agitation in paediatric patients after sevoflurane anaesthesia and no surgery: a comparison with halothane. Paediatr Anaesth. 2000; 10(4):419-24. View Abstract

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