Anesthesiology
American University of Beirut Medical Center
Beirut
Lebanon
Residency
Anesthesiology
Tufts Medical Center
Boston
MA
Fellowship
Pediatric Anesthesiology
Children’s National Medical Center
Washington
DC
Fellowship
Pediatric Cardiac Anesthesiology
Boston Children's Hospital
Boston
MA
Publications
Comparison of continuous non-invasive blood pressure measurement using Vitalstream™ to invasive Intraarterial pressure in pediatric surgery. J Clin Anesth. 2025 Jan 23; 102:111763. View Abstract
Language and parental satisfaction during inpatient stay: A pilot survey study in a quaternary pediatric hospital. Paediatr Anaesth. 2025 Feb; 35(2):140-146. View Abstract
Perioperative considerations for non-cardiac procedures in patients with congenital heart disease: A practical overview. Semin Pediatr Surg. 2024 Oct; 33(5):151461. View Abstract
Correlation of Transthoracic Echocardiographic Estimates of Right Ventricular Pressure with Right Ventricular Pressure Measurements on Cardiac Catheterization in Children with Pulmonary Hypertension. J Cardiothorac Vasc Anesth. 2024 Dec; 38(12):3101-3108. View Abstract
Is Video Laryngoscopy Superior to Traditional Direct Laryngoscopy in Neonates? J Cardiothorac Vasc Anesth. 2024 Dec; 38(12):2885-2887. View Abstract
Five steps in performing machine learning for binary outcomes. J Thorac Cardiovasc Surg. 2024 Sep 05. View Abstract
How We Would Treat Our Own Congenital Cardiac Catheterization Laboratory Patient. J Cardiothorac Vasc Anesth. 2024 Dec; 38(12):2891-2899. View Abstract
Moving Beyond the Gray Zone: The American Association for Thoracic Surgery 2023 Expert Consensus Recommendations for the Care of Children with Trisomy 13 or Trisomy 8 and a Congenital Heart Defect. J Cardiothorac Vasc Anesth. 2024 Dec; 38(12):2888-2890. View Abstract
Description of the Current Use of Procoagulants in Pediatric Congenital Heart Surgery: An Analysis of the Pediatric Health Information Study Database. Anesth Analg. 2024 Oct 01; 139(4):881-883. View Abstract
Management of anesthesia for procedures in the cardiac electrophysiology laboratory. Heart Rhythm. 2025 Jan; 22(1):217-230. View Abstract
The Minimum Requirements for a Pediatric Cardiac Surgical Site: What is Needed? J Cardiothorac Vasc Anesth. 2024 Jun; 38(6):1302-1304. View Abstract
European Pediatric Cardiac Anesthesia Fellowship Program: A First Proof of Concept. J Cardiothorac Vasc Anesth. 2024 May; 38(5):1088-1091. View Abstract
Where have all the pediatric anesthesiology fellows gone in the USA? Anesthesiology fellowship trends. Paediatr Anaesth. 2024 08; 34(8):734-741. View Abstract
Inpatient Resource Utilization for Hypoplastic Left Heart Syndrome from Birth Through Fontan. Pediatr Cardiol. 2024 Mar; 45(3):623-631. View Abstract
Predictors and outcomes of perioperative cardiac arrest in children undergoing noncardiac surgery. BJA Open. 2023 Dec; 8:100244. View Abstract
Commentary on Anesthetic Management of an Infant with Dilated Cardiomyopathy and Congestive Heart Failure Undergoing Open Aortic Abdominal Aneurysm Repair: The Critical Role of a Dual-Trained Pediatric and Adult Cardiothoracic Anesthesiologist. J Cardiothorac Vasc Anesth. 2024 Jan; 38(1):304-306. View Abstract
Global training pathways in congenital cardiac anesthesiology. Paediatr Anaesth. 2023 12; 33(12):999-1000. View Abstract
Patterns in hospital admissions for adults with congenital heart disease for non-cardiac procedures. Open Heart. 2023 09; 10(2). View Abstract
Transcatheter Ductal Stents Versus Surgical Systemic-Pulmonary Artery Shunts in Neonates With Congenital Heart Disease With Ductal-Dependent Pulmonary Blood Flow: Trends and Associated Outcomes From the Pediatric Health Information System Database. J Am Heart Assoc. 2023 09 05; 12(17):e030528. View Abstract
Challenges to the Wider Implementation of Pediatric Cardiac Surgical Enhanced Recovery Programs: 'What's in a Name?' J Cardiothorac Vasc Anesth. 2023 11; 37(11):2191-2193. View Abstract
Evolution of Accredited Pediatric Cardiac Anesthesiology Fellowship Training in the United States: A Step in the Right Direction. Anesth Analg. 2023 08 01; 137(2):313-321. View Abstract
Predictors of anesthesia ready time: Analysis and benchmark data. JTCVS Open. 2023 Sep; 15:446-453. View Abstract
The Society of Thoracic Surgeons-Congenital Heart Surgery Database 2017 to 2021: What Is Known and Where Clinicians Can Still Improve. J Cardiothorac Vasc Anesth. 2023 10; 37(10):1859-1861. View Abstract
Validation of Automated Data Extraction From the Electronic Medical Record to Provide a Pediatric Risk Assessment Score. Anesth Analg. 2023 04 01; 136(4):738-744. View Abstract
How We Would Treat Our Own Hypoplastic Left Heart Syndrome Neonate for Stage 1 Surgery. J Cardiothorac Vasc Anesth. 2023 04; 37(4):504-512. View Abstract
Perioperative Considerations for Pediatric Patients With Congenital Heart Disease Presenting for Noncardiac Procedures: A Scientific Statement From the American Heart Association. Circ Cardiovasc Qual Outcomes. 2023 01; 16(1):e000113. View Abstract
Anaesthesia for non-cardiac surgery in children and young adults with Fontan physiology. Cardiol Young. 2023 Oct; 33(10):1896-1901. View Abstract
Perioperative Anesthetic Management of the Pregnant Patient With Congenital Heart Disease Undergoing Cardiac Intervention: A Systematic Review. J Cardiothorac Vasc Anesth. 2022 12; 36(12):4483-4495. View Abstract
Patients With Congenital Heart Disease Undergoing Noncardiac Procedures at Hospitals With and Without a Cardiac Surgical Program. J Am Heart Assoc. 2022 08 02; 11(15):e026267. View Abstract
Impact of Parental Primary Spoken Language on Postoperative Pain Management in Children, a Retrospective Cohort Study. Children (Basel). 2022 May 18; 9(5). View Abstract
Race and Outcomes in Patients with Congenital Cardiac Disease in an Enhanced Recovery Program. J Cardiothorac Vasc Anesth. 2022 09; 36(9):3603-3609. View Abstract
The Practice of Pediatric Cardiac Anesthesiology in the United States. Anesth Analg. 2022 03 01; 134(3):532-539. View Abstract
Mortality after Lung Transplantation for Children Bridged with Extracorporeal Membrane Oxygenation. Ann Am Thorac Soc. 2022 03; 19(3):415-423. View Abstract
Closing the Global Congenital Heart Disease Data Gap: One Study at a Time. J Cardiothorac Vasc Anesth. 2022 06; 36(6):1582-1583. View Abstract
The Association Between Race and Adverse Postoperative Outcomes in Children With Congenital Heart Disease Undergoing Noncardiac Surgery. Anesth Analg. 2022 02 01; 134(2):357-368. View Abstract
Ventricular Assist Devices: Improving the Lives of Children With Heart Failure. J Cardiothorac Vasc Anesth. 2022 06; 36(6):1509-1510. View Abstract
The Role of Chronic Conditions in Outcomes following Noncardiac Surgery in Children with Congenital Heart Disease. J Pediatr. 2022 05; 244:49-57.e8. View Abstract
Anesthesia in Children With Pulmonary Hypertension: Clinically Significant Serious Adverse Events Associated With Cardiac Catheterization and Noncardiac Procedures. J Cardiothorac Vasc Anesth. 2022 06; 36(6):1606-1616. View Abstract
The Evaluation of a Noninvasive Respiratory Volume Monitor in Mechanically Ventilated Neonates and Infants. Anesth Analg. 2022 01 01; 134(1):141-148. View Abstract
Trend and Outcomes for Surgical Versus Transcatheter Patent Ductus Arteriosus Closure in Neonates and Infants at US Children's Hospitals. J Am Heart Assoc. 2022 01 04; 11(1):e022776. View Abstract
Sequestration of Midazolam, Fentanyl, and Morphine by an Ex Vivo Cardiopulmonary Bypass Circuit. ASAIO J. 2021 12 01; 67(12):1342-1348. View Abstract
Difficult tracheal intubation and perioperative outcomes in patients with congenital heart disease: A retrospective study. J Clin Anesth. 2022 02; 76:110565. View Abstract
Expertise in Pediatric Cardiac Anesthesia Begins With Well-Designed Training Programs. J Cardiothorac Vasc Anesth. 2022 03; 36(3):654-656. View Abstract
Congenital Diaphragmatic Hernia: Fetal Therapies to Increase Survival Are Only the Beginning. J Cardiothorac Vasc Anesth. 2022 03; 36(3):639-641. View Abstract
Safety of Direct Oral Anticoagulants Compared to Warfarin for Atrial Fibrillation after Cardiac Surgery: A Systematic Review and Meta-Analysis. Semin Thorac Cardiovasc Surg. 2022; 34(3):947-957. View Abstract
When Highly Specialized Anesthesia Care is Needed: Comments on the 2020 ESC Guidelines for Management of Adult Congenital Heart Disease. J Cardiothorac Vasc Anesth. 2021 10; 35(10):2838-2840. View Abstract
Milrinone Administration and Pediatric Cardiac Surgery: Beloved but Sadly Misunderstood. J Cardiothorac Vasc Anesth. 2021 07; 35(7):2079-2081. View Abstract
Racial Disparities in Perioperative Outcomes in Children: Where Do We Go From Here? Anesth Analg. 2021 03 01; 132(3):676-678. View Abstract
Stratification of Bleeding Risk Using Thromboelastography in Children on Extracorporeal Membrane Oxygenation Support. Pediatr Crit Care Med. 2021 03 01; 22(3):241-250. View Abstract
Hyperlactataemia as a predictor of adverse outcomes post-cardiac surgery in neonates with congenital heart disease. Cardiol Young. 2021 Sep; 31(9):1401-1406. View Abstract
Elective Non-Urgent Balloon-Atrial Septostomy in Infants with d-Transposition of the Great Arteries Does Not Eliminate the Need for PGE1 Therapy at the Time of Arterial Switch Operation. Pediatr Cardiol. 2021 Mar; 42(3):597-605. View Abstract
Importance of Noninvasive Cardiac Output Measurement in Children: Feasibility or Applicability? J Cardiothorac Vasc Anesth. 2021 05; 35(5):1358-1359. View Abstract
Trends in mortality rate in patients with congenital heart disease undergoing noncardiac surgical procedures at children's hospitals. Sci Rep. 2021 01 15; 11(1):1543. View Abstract
On the Academic Value of 30 Years of the Extracorporeal Life Support Organization Registry. ASAIO J. 2021 01 01; 67(1):1-3. View Abstract
Comprehensive Risk Assessment of Morbidity in Pediatric Patients Undergoing Noncardiac Surgery: An Institutional Experience. Anesth Analg. 2020 11; 131(5):1607-1615. View Abstract
Integration of the Intrinsic Surgical Risk With Patient Comorbidities and Severity of Congenital Cardiac Disease Does Not Improve Risk Stratification in Children Undergoing Noncardiac Surgery. Anesth Analg. 2020 10; 131(4):1083-1089. View Abstract
Comprehensive Risk Assessment of Morbidity in Pediatric Patients Undergoing Noncardiac Surgery: An Institutional Experience. Anesth Analg. 2020 Sep 07. View Abstract
Thoracotomy Versus Sternotomy: Is it a Matter of Scar? J Cardiothorac Vasc Anesth. 2021 01; 35(1):128-129. View Abstract
Airway Abnormalities in Patients With Congenital Heart Disease: Incidence and Associated Factors. J Cardiothorac Vasc Anesth. 2021 Jan; 35(1):139-144. View Abstract
Considerations for Pediatric Heart Programs During COVID-19: Recommendations From the Congenital Cardiac Anesthesia Society. Anesth Analg. 2020 08; 131(2):403-409. View Abstract
Predictors of Increased Lactate in Neonatal Cardiac Surgery: The Impact of Cardiopulmonary Bypass. J Cardiothorac Vasc Anesth. 2021 Jan; 35(1):148-153. View Abstract
Integration of the Intrinsic Surgical Risk With Patient Comorbidities and Severity of Congenital Cardiac Disease Does Not Improve Risk Stratification in Children Undergoing Noncardiac Surgery. Anesth Analg. 2020 May 29. View Abstract
Con: Extubation in the Operating Room After Pediatric Cardiac Surgery. J Cardiothorac Vasc Anesth. 2020 09; 34(9):2542-2544. View Abstract
Patients with craniofacial and noncraniofacial abnormalities: Do they deserve a special attention? Paediatr Anaesth. 2020 03; 30(3):207-208. View Abstract
Outcomes of Infants Supported With Extracorporeal Membrane Oxygenation Using Centrifugal Versus Roller Pumps: An Analysis From the Extracorporeal Life Support Organization Registry. Pediatr Crit Care Med. 2019 12; 20(12):1177-1184. View Abstract
Is Methadone an Opioid Sparing Strategy? J Cardiothorac Vasc Anesth. 2020 02; 34(2):342-343. View Abstract
Prospective External Validation of the Pediatric Risk Assessment Score in Predicting Perioperative Mortality in Children Undergoing Noncardiac Surgery. Anesth Analg. 2019 10; 129(4):1014-1020. View Abstract
Highlights from the Extracorporeal Life Support Organization Registry: 2006-2017. ASAIO J. 2019 08; 65(6):537-544. View Abstract
Adverse Perioperative Events in Children with Complex Congenital Heart Disease Undergoing Operative Scoliosis Repair in the Contemporary Era. Pediatr Cardiol. 2019 Oct; 40(7):1468-1475. View Abstract
Intraluminal Pulmonary Vein Stenosis in Children: A "New" Lesion. Anesth Analg. 2019 07; 129(1):27-40. View Abstract
Anesthesia in Pediatric Patients With Congenital Heart Disease Undergoing Noncardiac Surgery: Defining the Risk. J Cardiothorac Vasc Anesth. 2020 Feb; 34(2):470-478. View Abstract
Pediatric Risk Stratification Is Improved by Integrating Both Patient Comorbidities and Intrinsic Surgical Risk. Anesthesiology. 2019 06; 130(6):971-980. View Abstract
Validation of a Second-Generation Near-Infrared Spectroscopy Monitor in Children With Congenital Heart Disease. Anesth Analg. 2019 04; 128(4):661-668. View Abstract
Sedative and Analgesic Drug Sequestration After a Single Bolus Injection in an Ex Vivo Extracorporeal Membrane Oxygenation Infant Circuit. ASAIO J. 2019 02; 65(2):187-191. View Abstract
Anesthesia for high-risk procedures in the catheterization laboratory. Paediatr Anaesth. 2019 05; 29(5):491-498. View Abstract
Elective Extracorporeal Membrane Oxygenation Support for High-Risk Pediatric Cardiac Catheterization. J Cardiothorac Vasc Anesth. 2019 Jul; 33(7):1932-1938. View Abstract
ECMO Primer for the Pediatric Anesthesiologist. Int Anesthesiol Clin. 2019; 57(4):72-83. View Abstract
Bivalirudin for Pediatric Procedural Anticoagulation: A Narrative Review. Anesth Analg. 2019 01; 128(1):43-55. View Abstract
Fellowship Training in Pediatric Cardiac Anesthesia: History, Maturation, and Current Status. J Cardiothorac Vasc Anesth. 2019 Jul; 33(7):1828-1834. View Abstract
Can We Replace Midazolam With Massage Therapy in the Pediatric Cardiac ICU? Pediatr Crit Care Med. 2018 08; 19(8):780-782. View Abstract
Perioperative and Anesthetic Considerations in Interrupted Aortic Arch. Semin Cardiothorac Vasc Anesth. 2018 Sep; 22(3):270-277. View Abstract
Comparison of two pediatric cases requiring the use of bivalirudin during cardiopulmonary bypass. Perfusion. 2018 10; 33(7):525-532. View Abstract
Inclusion of non-English-speaking patients in research: A single institution experience. Paediatr Anaesth. 2018 05; 28(5):415-420. View Abstract
Williams Syndrome and Anesthesia for Non-cardiac Surgery: High Risk Can Be Mitigated with Appropriate Planning. Pediatr Cardiol. 2018 Aug; 39(6):1123-1128. View Abstract
Consensus Statement by the Congenital Cardiac Anesthesia Society: Milestones for the Pediatric Cardiac Anesthesia Fellowship. Anesth Analg. 2018 01; 126(1):198-207. View Abstract
The Evaluation of a Noninvasive Respiratory Volume Monitor in Pediatric Patients Undergoing General Anesthesia. Anesth Analg. 2017 12; 125(6):1913-1919. View Abstract
Pediatric Extracorporeal Life Support Organization Registry International Report 2016. ASAIO J. 2017 Jul/Aug; 63(4):456-463. View Abstract
Outcomes and Costs of Cardiac Surgery in Adults with Congenital Heart Disease. Pediatr Cardiol. 2017 Oct; 38(7):1359-1364. View Abstract
Perioperative and Anesthetic Considerations in Atrioventricular Septal Defect. Semin Cardiothorac Vasc Anesth. 2017 Sep; 21(3):221-228. View Abstract
Development of a Pediatric Risk Assessment Score to Predict Perioperative Mortality in Children Undergoing Noncardiac Surgery. Anesth Analg. 2017 05; 124(5):1514-1519. View Abstract
Adverse Outcomes in Neonates and Children with Pulmonary Artery Hypertension Supported with ECMO. ASAIO J. 2016 Nov/Dec; 62(6):728-731. View Abstract
Development and Validation of a Risk Stratification Score for Children With Congenital Heart Disease Undergoing Noncardiac Surgery. Anesth Analg. 2016 10; 123(4):824-30. View Abstract
Sedation and Analgesia in Pediatric Cardiac Critical Care. Pediatr Crit Care Med. 2016 08; 17(8 Suppl 1):S225-31. View Abstract
Association of Hospital Structure and Complications With Mortality After Pediatric Extracorporeal Membrane Oxygenation. Pediatr Crit Care Med. 2016 07; 17(7):684-91. View Abstract
Pediatric Cardiac Intensive Care Society 2014 Consensus Statement: Pharmacotherapies in Cardiac Critical Care: Sedation, Analgesia and Muscle Relaxant. Pediatr Crit Care Med. 2016 Mar; 17(3 Suppl 1):S3-S15. View Abstract
Effects of remote ischemic preconditioning in high-risk patients undergoing cardiac surgery (Remote IMPACT): a randomized controlled trial. CMAJ. 2016 Mar 15; 188(5):329-336. View Abstract
Methylprednisolone Does Not Reduce Persistent Pain after Cardiac Surgery. Anesthesiology. 2015 Dec; 123(6):1404-10. View Abstract
Hospital Costs for Neonates and Children Supported with Extracorporeal Membrane Oxygenation. J Pediatr. 2016 Feb; 169:69-75.e1. View Abstract
Overall Hospital Cost Estimates in Children with Congenital Heart Disease: Analysis of the 2012 Kid's Inpatient Database. Pediatr Cardiol. 2016 Jan; 37(1):37-43. View Abstract
Anesthetic use in newborn infants: the urgent need for rigorous evaluation. Pediatr Res. 2015 Jul; 78(1):2-6. View Abstract
Advances in the Care of Adults With Congenital Heart Disease. Semin Cardiothorac Vasc Anesth. 2015 Sep; 19(3):175-86. View Abstract
An evaluation of a zero-heat-flux cutaneous thermometer in cardiac surgical patients. Anesth Analg. 2014 Sep; 119(3):543-549. View Abstract
An unusual and rare cause of acute airway obstruction in the elderly: Forestier's disease. J Emerg Med. 2014 May; 46(5):617-9. View Abstract
Phenylephrine as a simulated intravascular epidural test dose in pediatrics: a pilot study. Paediatr Anaesth. 2013 Jun; 23(6):502-9. View Abstract
A comparison between dexamethasone and methylprednisolone for vomiting prophylaxis after tonsillectomy in inpatient children: a randomized trial. Anesth Analg. 2012 Oct; 115(4):913-20. View Abstract
Performance validation of a modified magnetic resonance imaging-compatible temperature probe in children. Anesth Analg. 2012 Jun; 114(6):1230-4. View Abstract
Emergence agitation in children--a view. Middle East J Anaesthesiol. 2011 Jun; 21(2):175-82. View Abstract
Carbon monoxide re-breathing during low-flow anaesthesia in infants and children. Br J Anaesth. 2010 Dec; 105(6):836-41. View Abstract
Detection of carbon monoxide during routine anesthetics in infants and children. Anesth Analg. 2010 Mar 01; 110(3):747-53. View Abstract
Dexamethasone with either granisetron or ondansetron for postoperative nausea and vomiting in laparoscopic surgery. Middle East J Anaesthesiol. 2010 Feb; 20(4):565-70. View Abstract
Prophylactic amiodarone versus lidocaine for prevention of reperfusion ventricular fibrillation after release of aortic cross-clamp. Eur J Anaesthesiol. 2009 Dec; 26(12):1056-60. View Abstract
Distinctive presentation of a diaphragmatic hernia 15 years after a traumatic insult. Ann Thorac Surg. 2009 Aug; 88(2):651-3. View Abstract
A randomized trial comparing colloid preload to coload during spinal anesthesia for elective cesarean delivery. Anesth Analg. 2009 Oct; 109(4):1219-24. View Abstract
The effect of low-dose remifentanil on responses to the endotracheal tube during emergence from general anesthesia. Anesth Analg. 2009 Apr; 108(4):1157-60. View Abstract
Iatrogenic severe hyperglycemia in a child undergoing adenoidectomy and tonsillectomy. Paediatr Anaesth. 2008 Oct; 18(10):1002-3. View Abstract
A comparison of a silicone wire-reinforced tube with the Parker and polyvinyl chloride tubes for tracheal intubation through an intubating laryngeal mask airway in patients with normal airways undergoing general anesthesia. Anesth Analg. 2008 Sep; 107(3):994-7. View Abstract
Postoperative severe uvular edema following tonsillectomy in a child with a history of obstructive sleep apnea. Paediatr Anaesth. 2008 Jul; 18(7):673-5. View Abstract
Alcohol spray vs. intradermal lidocaine before intravenous cannulation. Eur J Anaesthesiol. 2008 Jul; 25(7):604-6. View Abstract
A single dose of propofol at the end of surgery for the prevention of emergence agitation in children undergoing strabismus surgery during sevoflurane anesthesia. Anesthesiology. 2007 Nov; 107(5):733-8. View Abstract
Lidocaine lollipop as single-agent anesthesia in upper GI endoscopy. Gastrointest Endosc. 2007 Oct; 66(4):786-93. View Abstract
Does ondansetron or granisetron prevent subarachnoid morphine-induced pruritus after cesarean delivery? Anesth Analg. 2007 Feb; 104(2):421-4. View Abstract
Haloperidol vs. ondansetron for the prevention of postoperative nausea and vomiting following gynaecological surgery. Eur J Anaesthesiol. 2007 Feb; 24(2):171-8. View Abstract
Emergence agitation in children: an update. Curr Opin Anaesthesiol. 2005 Dec; 18(6):614-9. View Abstract
Does pancuronium or cisatracurium delay the rate of arousal following remifentanil-based anesthesia? Middle East J Anaesthesiol. 2005 Oct; 18(3):477-84. View Abstract
Muallem endo-tracheal tube introducer: (METTI)--an aid for the difficult airway. Middle East J Anaesthesiol. 2005 Jun; 18(2):385-9. View Abstract