MetroHealthAnesthesiaOUR HEROES and RECORDS
A Place to Praise our Best

Our Heroes:
Dr. Brendan Astley, on the afternoon of September 9, 2009, courageously volunteered to provide anesthesia to a warehouse victim in Akron. The mission involved flying on Metrohealth's Lifeflight Helicopter to Akron, securing the airway, amputating the victims arm, fluid resuscitation, and vigilant monitoring on the transport back to Metro OR. At the scene of the meat factory, the patient had been face down and conscious with his hand/forearm trapped for 2 hours while the hardworking firefighters freed a portion of the cumbersome meat grinder from its main frame machinery. The victim was laid down with support given to his trapped arm and intubated with ketamine and succinylcholine by the skilled Dr. Astley. The Orthopedic team then proceeded with below the elbow amputation and control of blood loss. The patient then was loaded into Lifeflight and transported successfully back to the main OR. Good job Dr. Astley! We are proud of you for your hard work, dedication, and representing MetroHealth Anesthesia.

Our Pain Management Team, May 2009
The increased in volume is because of increased pain cases. We have almost 60% growth in the program. I'd like to thank all of the staff and the residents for their support. I'd like also to specially thank Tajbir for his leadership and continuous and resilient support for the program. We together "as a team" worked for years before my hiatus in Arizona and after my resurrection. When I came back I found in Sid a great determination to really build this program. He directed Brian Palmer to support all our efforts and place a business plan to make it happen. We got the support we needed but we -The pain team-fulfilled our promises (Walk the talk). The Park East expansion and success is only the beginning and we're looking forward to expand in multi dimensional successful and multi-disciplinary program. I have to tell you my friends that Tajbir's successful style in management and leadership and the help of Brian Palmer has helped us achieve a lot; but we are only in the beginning and there is a lot of work ahead of us. Finally and again I want to thank each one of my colleges for their support and my residents for the good work and above all my partner and great friend David for bringing great skills and leadership to this venture (I'm so lucky to have him as a partner and a confidant). I like you also to know that because of the great staff that I have; this program is going ahead without hesitation, Noreen Griffin, Donna Archer, Jim Sinarski and Doris ward. They are great people with great work ethics and made my life easy and created one of the most organized and efficient clinics at MHMC... Hurray to the Pain Team
-- Kutaiba Tabbaa MD

Kudos to Dr. Tony Chang, and Dale Cuthbertson for putting our Anesthesia Department on the local news map (WKYC TV) by inspiring us to "climb to better health" one step at a time right here on the MetroHealth stairs.

Dr. Donn Marciniak performed a skillful nasal fiberoptic intubation on a trauma patient after being summoned to the trauma bay emergently. An emergent call from the trauma bay from the Trauma Surgical and Emergency Department staff was received on June 28, 2006. A 16 y/o male had been shot through and through the angle and body of his mandible with a medium caliber handgun. The patient was bleeding, and had an extremely swollen tongue, floor of the mouth, and neck that completely occluded his oral cavity to the point that his teeth nor palate were visable. The patient was struggling to breath sitting up, combative and moments away from loss of his airway. The ED resident was voicing his opinion that he was skeptical about the patient being able to be intubated and that an emergent cricithyroidotomy was to be performed. Surgeons were on standby to perform the procedure but expressed apprehension about it. The trauma attending asked us to intubate the patient. Dr. Marciniak skillfully placed a right nasal #7 ett via fiberoptic bronchoscopy and the patients life was saved. Great work Dr. Marciniak! (Reported by Dr. Sam DeJoy)

Kudos to Dr. Luis Lahud who, on 1 Aug 05, responded to a call for help in our trauma bay and arrived to find that our ED department had been unable to establish an airway on its patient who was prepared and ready for a tracheostomy. Dr. Lahud skillfully performed direct larngoscopy, deftly inserted a gum elastic bougie and slid an endotracheal tube over the bougie into the trachea. Consistent expiratory CO2 confirmed that Dr. Lahud had saved this patient from the knife and the M & M associated with a surgical airway!

Congratulations to Dr. Kasia Petelenz whose poster presentation of her BIS data was awared BEST in her group at the 2005 Midwest Anesthesia Resident Conference!

Congratulations to Dr. David Ryan, winner of an Arabica Gift Certificate, for his stellar answer/diagnosis of "Anterior Mediastinal Mass"! This shows the importance of reading in detail anesthesia texts, and how important it is to apply that knowledge in the clinical setting!
Keep up the good work Dave!
March, 2005

"Last Friday, December 3, 2004 I was on call with Dr. Avi Schiowitz. He did back to back bowel obstruction cases totaling over 10 continuous hours (with breaks) but he sustained numerous verbal (surgical colleague's name withheld - ed.) and physical assaults (literally all types of bodily fluids). He withstood all of these and managed to maintain his composure and did so without any complaint whatsoever, he even had a sense of humor about it. I give Dr. Schiowitz at least some kind of purple heart for his efforts that night which was an all nighter for all of us but he was exemplary for a CA-1.
P.S. Karl Wagner and Amy Woodard were also on with us that night and also did an excellent job but they are known for this. Norm Bolden was in OB and was equally as busy with Dr. Luis Lahud. It was like an episode out of the TV show ER."
-- Tony Chang, M.D.

Our Hero, Charanjit Bahniwal, MD, on Sunday, 9 August 1998, set the RECORD for number of consecutive hours of anesthesia care voluntarily delivered by a resident simultaneously serving on a rotation outside the anesthesia department.
During a quiet moment on rotation in the Pediatric Intensive Care Unit, Dr. Bahniwal, chancing to visit a busy operating room, volunteered to assist and subsequently provided anesthesia care for 8 (eight) consecutive hours above and beyond the call of duty.
Reporting, verifying attending: Dr. Kutaiba Tabbaa.




Send Comments to Greg Gordon MD, gjg@po.cwru.edu
Department of Anesthesiology
The MetroHealth System
2500 MetroHealth Drive
Cleveland, Ohio 44109-1998
Phone: (216) 778-4801
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