Anesthesia Research — Fairfield Division

Research Posters and Publications

IAA’s cutting-edge anesthesia research is changing the face of regional anesthesia and pain management. Our novel ideas and bold approaches help create a unique practice and learning opportunity for you. 

Making a Difference Through Scholarship

IAA, Fairfield County Division, is a leader in novel research and academic scholarship. Learn more about IAA’s ground-breaking studies and reports by viewing the posters below. Contact us to discuss your ideas or questions. We look forward to hearing from you. 

Publications

Click the images or links below to download our anesthesia research publications. 

Persistent Postpartum Pain – A Somatic and Psychologic Perfect Storm

Balazs Horvath, Department of Anesthesiology, St. Vincent’s Medical Center, Bridgeport, CT. Accepted for publication December 2023. This study reviews the incidence of persistent postpartum pain, analyzes the risk factors, and discusses obstetric, anesthetic, and psychological tools for prevention and management. Based on the current knowledge, early antenatal screening and management is described as the most likely measure to identify patients at risk for persistent postpartum pain. Such antenatal management should be based on the close collaboration between obstetricians, anesthesiologists, and psychologists to tailor peripartum pain management and psychological support-based individual needs.
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Environmentally Sustainable Anesthesia to Minimize Risks from Climate Change: a Societal Imperative or too Lofty a Goal?

Haleh Saadat, MD,  FAAP,  Department of Anesthesiology, St. Vincent’s Medical Center, Bridgeport, CT.  
Accepted for publication December 2023. Climate change is a global problem. Anesthesia contributes significantly to greenhouse emissions. Anesthesiologists must be educated on ways to mitigate this contribution and need tools that they can use to start reducing carbon emissions.  This review illustrates how anesthesia contributes to the carbon footprint. It gives practical reasons why anesthesiologists must understand and participate in sustainable anesthesia. 
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Perfectionism as a Predictor of Physician Burn
Martin, S. R., Fortier M. A., Heyming T. W., Ahn, K., Nichols, W., Golden, C., Saadat, H., Kain, Z. N.
Perfectionism as a Predictor of Physician Burnout. Research Square; 2022. DOI: 10.21203/rs.3.rs-1366911/v2. Oct 2022
This study investigated the relationship between perfectionism, personality traits, and burnout in practicing physicians, specifically pediatricians. The findings revealed that high self-critical perfectionism was associated with emotional exhaustion and depersonalization burnout, while low conscientiousness and low agreeableness also predicted burnout.
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Effect of Inadequate Sleep on Clinician Performance
Saadat H. Effect of inadequate sleep on clinician performance. Anesthesia & Analgesia. 2021 May1;132(5):1338-43
This article reviews the negative consequences of sleep deprivation and fatigue, which include decreased productivity, safety, and alertness. It specifically focuses on the impact of fatigue and disrupted sleep patterns on attending physicians and chronic sleep disturbances. Additionally, the article discusses the potential exacerbating effects of the COVID-19 pandemic on anxiety and sleep health, and well-being.
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Wellness Interventions for Anesthesiologists
Saadat H, Kain ZN. Wellness interventions for anesthesiologists. Current Opinion in Anesthesiology. 2018 Mar 19.
This article discusses the importance of identifying stressors and factors causing
individual stress reactivity for anesthesiologists. It suggests interventions at both the
organizational and individual levels to promote physician well-being, such as effective leadership, collaborative action plans, peer support, self-care and healthy lifestyles, self-compassion, and pursuit of excellence.
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The Effect of Operating Room Temperature on the Performance of Clinical and
Cognitive Tasks
Hakim M, Walia H, Dellinger HL, Balaban O, Saadat H, Kirschner RE, Tobias JD, Raman VT. The Effect of Operating Room Temperature on the Performance of Clinical and Cognitive Tasks. Pediatric Quality & Safety. 2018 Mar 1; 3(2): e069
This study evaluated the impact of different temperatures in the operating room on the performance of healthcare providers using psychomotor vigilance testing and self-report scales. The results showed that while reaction time was not affected, self-rated subjective performance was worse in excessive heat conditions. Providers reported greater physical demand and frustration under hot conditions.
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Complementary Medical Therapies for Pain Management
Hypnosis and Pediatric Pain Management
Saadat, MD. Complementary medical therapies for pain management. Hypnosis and Pediatric Pain Management in Children. Society of Pediatric Pain Medicine. Fall 2019. The article discusses the use of hypnosis as a non-pharmacological technique for pain management in both children and adults. Addressing myths and misconceptions about hypnosis is important to ensure a positive therapeutic alliance between patients, families, and clinicians.
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Posters

Click the images or links below to download our anesthesia research .pdfs 

Maham Ahmed MD, Haleh Saadat MD FAAP, Gale Segarra Roberts MD FASA
Improving Medication Safety in Anesthesiology: A Quality Improvement Initiative Optimizing OR Pyxis Systems
Presented at the 2024 Fairfield Region Healthcare Quality Symposium.
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Diamond Clough MD, Haleh Saadat MD,FAAP, Vlad Frenk MD, FASA
First Case On Time Start (FCOTS) Quality Initiative
Presented at the 2024 Fairfield Region Healthcare Quality Symposium.
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Kyle Yano DO; Vlad Frenk MD, FASA; Haleh Saadat MD, FAAP
“Why Stop at 75%?” Improving Peripheral Nerve Blocks Service for Hip Fractures
Presented at the 2024 Fairfield Region Healthcare Quality Symposium.
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Dr. James Tautkus, MD; Dr. Gale Segarra Roberts, MD, FASA; Dr. Haleh Saadat, MD, FAAP
Removing Desflurane from St. Vincent’s Medical Center: A Quality Improvement Project for a Sustainable Future
Presented at the 2024 Fairfield Region Healthcare Quality Symposium.
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Grace Orben M.S.1, Haleh Saadat M.D. FAAP1,2, Balazs Horvath M.D. FASA1,2,3 – 1Frank H. Netter School of Medicine, Quinnipiac University, Hamden, CT, USA; 2Department of Anesthesiology, St. Vincent’s Medical Center, Bridgeport, CT, USA; 3Department of Anesthesiology, University of Minnesota, Minneapolis, MN, USA
Propofol-THC Interaction and Symptomatic Cannabis Hyperemesis Syndrome: A Case Report and Review
Presented at the 2023 PGA77 at the Marriot Marquis, NY, NY.
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Jordan Cieply, DO1, Vlad Frenk MD1 1Department of Anesthesiology, St. Vincent’s Medical Center, Bridgeport CT, USA.
I’ve been blocked!: Establishing a Regional Anesthesia Service Line for Hip Fracture Patients
Presented at the 2023 PGA77 at the Marriot Marquis, NY, NY.
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Grace Orben MSIII, 1 Haleh Saadat, MD 1,2,3 Nomita Bhawal MD1,2,3 Frank H. Netter MD School of Medicine at Quinnipiac University, CT,1, Hartford Healthcare 2 Department of Anesthesiology, St. Vincent’s Medical Center.
Unanticipated Pericardial Breach and Surgicel Migration in Morgagni Hernia
Presented at the 2023 PGA77 at the Marriot Marquis, NY, NY.
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Andrew Ferrante DO, Vlad Frenk MD, FASA Department of Anesthesiology, St. Vincent’s Medical Center, Bridgeport CT, USA, Frank H. Netter School of Medicine, Quinnipiac Medical School, North Haven CT, USA
Case Report: An Intermediate Femoral Cutaneous Nerve Block Rescue Block Following a Total Knee Arthroplasty
Presented at the 2023 PGA77 at the Marriot Marquis, NY, NY.
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Nadezhda Bulekova 1, Haleh Saadat MD FAAP 1,2,3 Frank H. Netter MD School of Medicine at Quinnipiac University, CT,1, Hartford Healthcare 2 Department of Anesthesiology, St. Vincent’s Medical Center 3
A Tale of Two Drugs: Adverse Anesthetic Reaction in Cystinuria Laparoscopic Morgagni Hernia Repair
Presented at the 2023 PGA77 at Marriot Marquis in NY, NY
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Nomita Bhawal MD, Grace Orban MS, Haleh Saadat MD, David Maduram, MD PhD
Surgicel Emboli Presenting as Right Atrial Mass Caused by Laparoscopic Morgagni Hernia Repair
Presented at the 2023 SCA (Society of Cardiac Anesthesia)at the Convention Center in Portland Oregon [Oregon Convention Center, 777 NE Martin Luther King Jr. Blvd., Portland, OR 97237].
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Joshua Falescky MD, David Maduram, MD, Phd, Theresa Bowling, MD  (2023)
Surgical Site Infection Prophylaxis for Lumbar Spine Opioid-Sparing Pain Management For Robotic Thymectomy In Myasthenic Patient
Presented at the 2023 ASRA [American Society of Regional Anesthesia] meeting at the Diplomat Beach Resort in Hollywood Florida [Hollywood USA 3555 South Ocean Drive].
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Alena Tokarev MSIV, Vlad Frenk MD, Tori Piacquadio CRNA, David Maduram MD PhD (2022)
Opioid-Sparing Pain Management For Robotic Thymectomy In Myasthenic Patient
Presented at the Post Graduate Assembly (PGA76), December 11, 2022 in New York City, NY
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Robert J Suriani MD,Christopher T. Eixenberger MSIV, Adam Fernandez MD, David Maduram MD PhD (2022)
Split Dose Erector Spinae Plane Blocks with Multimodal Opioid Sparing Anesthesia for Excision and Complex Closure of Large Congenital Nevi
Presented at the Post Graduate Assembly (PGA76), December 11, 2022 in New York City, NY
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Robert J Suriani MD, Joshua Falescky, MD, David Maduram MD PhD (2022)
Regional Anesthesia For Open Abdomen Aortic Aneurysm Repair
Presented at the Post Graduate Assembly (PGA76), December 11, 2022 in New York City, NY
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Robert J Suriani MD, Wolf Vogel MD, Nomita Bhawal MD, Vlad Frenk MD, Michael Rubin MD, David Maduram MD PhD (2022)
Opioid-Sparing Multimodal Analgesia with Superficial Cervical Plexus and 
Ilioinguinal / Iliohypogastric Blocks in Thoracic Endovascular Aortic Repair with
Carotid-Subclavian Arterial Bypass: A Case Report
Presented at the American Society of Anesthesiologists (ASA) Annual Meeting, October 21-25 2022 in New Orleans, LA.
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Vlad Frenk, MD, Allison Gorlo CRNA, David Maduram MD PhD (2022)
Paravertebral Block with Liposomal Bupivacaine for Enhanced
Recovery in Open Thoracotomy: A Case Report

Presented at the American Society of Anesthesiologists (ASA) Annual Meeting, October 21-25 2022 in New Orleans, LA.
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Julie Sim SRNA, Allison Gorlo CRNA, Robert Pluscec MD, David Maduram, MD PhD (2022)
Ultrasound-guided Quadratus Lumborum Block as a Postoperative Analgesic Technique for Adrenalectomy Using Liposomal Bupivacaine: A Case Report 
Presented at the American Society of Anesthesiologists (ASA) Annual Meeting, October 21-25 2022 in New Orleans, LA. Download the .pdf

Robert J Suriani MD, Michael Rubin MD, Wolf Vogel MD, Nomita Bhawal MD, Vlad Frenk MD, David Maduram MD PhD (2022)
A Joint Effort: Surgeon and Anesthesia Administered Transversus Thoracic Muscle Plane Block for Intra and Postoperative Pain for CABG: A Case Series
Presented at the Society of Cardiac Anesthesia Annual Meeting (SCA) in Palm Springs, CA
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Robert J Suriani MD, Wolf Vogel MD, Nomita Bhawal MD, Vlad Frenk MD, Michael Rubin MD, David Maduram MD PhD (2022)
Split-dose Erector Spinae Plane Block with Pectoralis Block to Facilitate  Enhanced Recovery in Robotic Thoracotomy: A Case Series
Presented at the Society of Cardiac Anesthesia Annual Meeting (SCA) in Palm Springs, CA
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William Perillo MD, Wolf Vogel MD, Robert Suriani, MD, Victoria Piacquadio CRNA, David Maduram, MD, PhD (2022)
Ultrasound Guided TTP / Superficial Cervical Plexus Block for Postoperative Analgesia  for Transcatheter Aortic Valve Replacement: A Case Report
Presented at the Annual Regional Anesthesiology and Acute Pain Medicine Meeting, (ASRA) March 31-April 2, 2022, Las Vegas, Nevada
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Robert J. Suriani, MD, FASA, FASE, Wolf Vogel,MD, Nomita Bhawal, MD, FASA, FASE, Vlad Frenk, MD, Michael Rubin, MD, David Maduram, MD, PhD (2022)
Effectiveness of Ultrasound-Guided PEC I/II Block In Early Discharge After Pacemaker Placement During the COVID-19 Pandemic: A Case Series
Presented at the Annual Regional Anesthesiology and Acute Pain Medicine Meeting, (ASRA) March 31-April 2, 2022, Las Vegas, Nevada
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Robert J. Suriani, MD, FASA, FASE, Wolf Vogel, MD, Nomita Bhawal, MD, FASA, FASE, Vlad Frenk, MD, Michael Rubin, MD, David Maduram, MD, PhD (2022)
Efficacy of Suprascapular/Infraclavicular vs Interscalene/PEC II nerve blocks for total shoulder arthroplasty: A Case Report
Presented at the Annual Regional Anesthesiology and Acute Pain Medicine Meeting, (ASRA) March 31-April 2, 2022, Las Vegas, Nevada
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Robert J. Suriani, MD, FASA, Kevin Jon, BS, Victoria Pacquadio,CRNA, Theresa Bowling, MD, David Maduram, MD, PhD. (2022)
Multimodal Opioid-Sparing Analgesia for EVAR Procedures Using Ilioinguinal Blocks: A Case Series
Presented at the International Anesthesia Research Society (IARS) Annual Meeting, Virtual, March 17-20, 2022
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Theresa Bowling, MD, Sheila Lalibertie, CRNA, Denisa Lujic, MD, David Maduram, MD, PhD. (2022
Efficacy and Safety of Erector Spinae Blocks for Lumbar Spine Surgery: A Cohort Retrospective Multi-Institutional Study
Presented at the International Anesthesia Research Society (IARS) Annual Meeting, Virtual, March 17-20, 2022
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Robert J. Suriani, MD, FASA, FASE, Wolf Vogel,MD, Nomita Bhawal, MD, FASA, FASE, Vlad Frenk, MD, Michael Rubin, MD, David Maduram, MD, PhD (2022)
Transversus Thoracic Muscle Plane Block for Acute Pain Management after Sternal Wire Removal: A Case Series
Presented at the International Anesthesia Research Society (IARS) Annual Meeting, Virtual, March 17-20, 2022
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Robert J. Suriani, MD, FASA, FASE, Wolf Vogel,MD, Nomita Bhawal, MD, FASA, FASE, Vlad Frenk, MD, Michael Rubin, MD, David Maduram, MD, PhD (2022)
Analgesic Efficacy of Ultrasound-Guided Bilateral ESPB and II/IH Blocks for Ablation of Atrial Fibrillation via the Convergent Procedure: A Case Series
Presented at the International Anesthesia Research Society (IARS) Annual Meeting, Virtual, March 17-20, 2022
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Robert J. Suriani, MD, FASA, FASE, Wolf Vogel,MD, Nomita Bhawal, MD, FASA, FASE, Vlad Frenk, MD, Michael Rubin, MD, David Maduram, MD, PhD (2022)
Analgesic Efficacy of Ultrasound-Guided Bilateral ESPB and II/IH Blocks for Ablation of Atrial Fibrillation via the Convergent Procedure: A Case Series
Presented at the International Anesthesia Research Society (IARS) Annual Meeting, Virtual, March 17-20, 2022
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Emily Harmon MD, Theresa Bowling, MD, Vlad Frenk MD, David Maduram MD PhD (2021)
Multimodal Opioid-sparing Analgesia For DIEP Flap Breast Reconstruction Using PEC / Quadratus Lumborum Blocks: A Case Series
Presented at the Post-Graduate Assembly Annual Meeting, (PGA), NYC, NY, December 9-13, 2021
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Robert Suriani Jr. MD, David Maduram MD PhD (2021)
Erector Spinae Plane Block and Opioid Sparing Anesthesia for Robotic Nephrectomy: A Case Report
Presented at the Post-Graduate Assembly Annual Meeting, (PGA) NYC, NY, December 9-13, 2021
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Salvatore Falisi MSIV, Vlad Frenk MD, Victoria Piacquadio CRNA, David Maduram MD PhD (2021)
Multimodal opioid-sparing analgesia for laminectomy using spinal anesthesia and ESP blocks: A Case Report
Post-Graduate Assembly Annual Meeting, NYC, NY, December 9-13, 2021
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Robert Suriani Jr. MD, David Maduram MD PhD (2021)
Ilio-Inguinal Blocks and Opioid Sparing Anesthesia for EVAR before CABG: A Case Report
Presented at the Post-Graduate Assembly Annual Meeting, (PGA), NYC, NY, December 9-13, 2021
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Theresa Bowling MD, Swaroopa Vaidya MS, Vlad Frenk MD, Robert Suriani MD, Juliet Jackson MD, David Maduram MD PhD (2021)
An Analysis Of The Efficacy Of PENG and PENG-LFCN Blocks For Total Hip Arthroplasty
Presented at the Post-Graduate Assembly Annual Meeting, (PGA), NYC, NY, December 9-13, 2021
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Frenk, V., Gorlo, A., Maduram, D. (2021)
Multimodal opioid-sparing analgesia for open thoracotomy using combined paravertebral / PEC blocks: A Case Report.
Presented at the American Society of Anesthesiology Annual Meeting, (ASA), San Diego CA October 8-12, 2021
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Suriani, R., Frenk, V., Vogel, W., Bhawal, N., Maduram, D. (2021)
TTP Blocks Combined With Rectus Sheath Blocks As Part Of Enhanced Recovery After Cardiac Surgery For The Bentall Procedure: A Case Report.
Presented at the American Society of Anesthesiology Annual Meeting, (ASA), San Diego CA, October 8-12, 2021
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Bowling, T., Frenk, V., Suriani, R., Vaidya, S., Maduram, D. (2021)
Effect Of Ultrasound-guided ESP Block In Patients Undergoing Lumbar Open Fusion Surgery: A Retrospective Case-control Study.
Presented at the American Society of Anesthesiology Annual Meeting, (ASA), San Diego CA, October 8-12, 2021
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Bowling, T., Maduram, D. (2021)
The Effect of iPACK Block on Pain after Primary Total Knee Arthroplasty: A Systematic Review and Meta-Analysis
Presented at the 46th Annual Regional Anesthesiology and Acute Pain Meeting, Lake Buena Vista, Florida May 13- 15 2021
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Bowling, T., Frenk, V., Suriani, R., Maduram, D. (2021)
Multimodal opioid-sparing analgesia for posterior cervical spine fusion using erector spinae plane blocks: A Case Series
Presented at the International Anesthesia Research Society Annual Meeting, Toronto, Canada May 14 – 17, 2021
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Suriani, R., Jackson, J., Maduram, D. (2021)
Combined ilio-inguinal block and fascia illiaca block for balloon aortic valvuloplasty: A Case Report
Presented at the International Anesthesia Research Society Annual Meeting, Toronto, Canada May 14 – 17, 2021
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Suriani, R., Pacquadio, T., Maduram, D. (2021)
Multimodal opioid-free analgesia for VATS thoracoscopy using split-dose erector spinae plane blocks: A case report
Presented at the 46th Annual Regional Anesthesiology and Acute Pain Meeting, Lake Buena Vista, Florida May 13- 15, 2021
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Haleh Saadat, MD, FAAP

Contact us for more information

Interested medical students and trainees are encouraged to email Dr. Saadat to discuss anesthesiology research opportunities with IAA.  We hope you’ll consider joining our team. 

Haleh Saadat, MD, FAAP
Director of Research, Fairfield Division
IAA Research & Development Department, Fairfield Division
haleh.saadat@iaapartners.com

Haleh Saadat, MD, FAAP

Haleh Saadat, MD FAAP
Director of Clinical Research,
Fairfield Division

Tel: (203) 929-7353
Fax: (203) 929-0756
Email Dr. Saadat