Full Text Journal Articles by
Author T Kyle Harrison

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A tale of two surges: messaging app and public COVID-19 data summarize one anesthesiology practice's pandemic year in review.

Jody C Leng, Adithi A Tirumalai, Alex Kou, Carlos Brun, Clarity Coffman, T Kyle Harrison, Steven K Howard, Cynthia Shum, Ana Hammons, Edward R Mariano,

Can J Anaesth (Canadian journal of anaesthesia = Journal canadien d'anesthesie)
[2021, 68(12):1828-1830]

Cited: 1 time

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Making a business plan for starting a transitional pain service within the US healthcare system.

Eric C Sun, Edward R Mariano, Samer Narouze, Rodney A Gabriel, Hesham Elsharkawy, Padma Gulur, Sharon K Merrick, T Kyle Harrison, J David Clark,

Chronic pain imposes a tremendous economic burden of up to US$635 billion per year in terms of direct costs (such as the costs of treatment) and indirect costs (such as lost productivity and time away from work). In addition, the initiation of opioids for pain is associated with a more than ... Read more >>

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2021, 46(8):727-731]

Cited: 0 times

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Pilot study to correlate objective eye-tracking data with timed subjective task completion using five local anesthetic systemic toxicity cognitive aids.

Sarah S Joo, Edward R Mariano, Joseph M Neal, Guy L Weinberg, Alex Kou, Oluwatobi O Hunter, T Kyle Harrison, Ankeet D Udani, Steven K Howard,

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2021, 46(11):1000-1001]

Cited: 0 times

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A Multidisciplinary Patient-Specific Opioid Prescribing and Tapering Protocol Is Associated with a Decrease in Total Opioid Dose Prescribed for Six Weeks After Total Hip Arthroplasty.

Mallika Tamboli, Edward R Mariano, Kerianne E Gustafson, Beverly L Briones, Oluwatobi O Hunter, Rachel R Wang, T Kyle Harrison, Alex Kou, Seshadri C Mudumbai, T Edward Kim, Pier F Indelli, Nicholas J Giori,

<h4>Objective</h4>This retrospective cohort study tested the hypothesis that implementing a multidisciplinary patient-specific discharge protocol for prescribing and tapering opioids after total hip arthroplasty (THA) will decrease the morphine milligram equivalent (MME) dose of opioids prescribed.<h4>Methods</h4>With institutional review board approval, we analyzed a Perioperative Surgical Home database and prescription data for ... Read more >>

Pain Med (Pain medicine (Malden, Mass.))
[2020, 21(7):1474-1481]

Cited: 2 times

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Replacement of Fascia Iliaca Catheters with Continuous Erector Spinae Plane Blocks Within a Clinical Pathway Facilitates Early Ambulation After Total Hip Arthroplasty.

Lei Xu, Jody C Leng, Hesham Elsharkawy, Oluwatobi O Hunter, T Kyle Harrison, Lindsey Vokach-Brodsky, Gunjan Kumar, Natasha Funck, Jonay N Hill, Nicholas J Giori, Pier F Indelli, Alex Kou, Edward R Mariano,

<h4>Objective</h4>The optimal continuous peripheral nerve block (CPNB) technique for total hip arthroplasty (THA) that maximizes both analgesia and mobility is unknown. Continuous erector spinae plane (ESP) blocks were implemented at our institution as a replacement for fascia iliaca (FI) catheters to improve our THA clinical pathway. We designed this study ... Read more >>

Pain Med (Pain medicine (Malden, Mass.))
[2020, 21(10):2423-2429]

Cited: 2 times

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Leveraging video telehealth for the transitional pain service in response to COVID-19.

Oluwatobi O Hunter, Edward R Mariano, T Kyle Harrison,

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2021, 46(5):460-461]

Cited: 1 time

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Implementation of a patient-specific tapering protocol at discharge decreases total opioid dose prescribed for 6 weeks after elective primary spine surgery.

Sarah S Joo, Oluwatobi O Hunter, Mallika Tamboli, Jody C Leng, T Kyle Harrison, Kate Kassab, Jody D Keeton, Stephen Skirboll, Suzanne Tharin, Emam Saleh, Seshadri C Mudumbai, Rachel R Wang, Alex Kou, Edward R Mariano,

<h4>Background and objectives</h4>At our institution, we developed an individualized discharge opioid prescribing and tapering protocol for joint replacement patients and implemented the same protocol for neurosurgical spine patients. We then tested the hypothesis that this protocol will decrease the oral morphine milligram equivalent (MME) dose of opioid prescribed postdischarge after ... Read more >>

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2020, 45(6):474-478]

Cited: 0 times

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Quality of Patient Education Materials on Safe Opioid Management in the Acute Perioperative Period: What Do Patients Find Online?

Gunjan Kumar, Kellie M Jaremko, Alex Kou, Steven K Howard, T Kyle Harrison, Edward R Mariano,

<h4>Objective</h4>Guidelines on postoperative pain management recommend inclusion of patient and caregiver education on opioid safety. Patient education materials (PEMs) should be written at or below a sixth grade reading level. We designed this study to compare the readability of online PEMs related to postoperative opioid management produced by institutions with ... Read more >>

Pain Med (Pain medicine (Malden, Mass.))
[2020, 21(1):171-175]

Cited: 2 times

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Preoperative Ultrasound-Guided Botulinum Toxin A Injection Facilitates Closure of a Complex Abdominal Wall Hernia: A Case Report.

Mallika Tamboli, Riley Kitamura, Wendy Ma, Gunjan Kumar, T Kyle Harrison, Rachel R Wang, Edward R Mariano, Jody C Leng,

Complex abdominal wall hernia repairs can have high failure rates. Many surgical techniques have been proposed with variable success. We report our experience with a new collaborative protocol between general surgery and regional anesthesiology and acute pain medicine services to provide preoperative botulinum toxin A injections to a patient with ... Read more >>

A A Pract (A&A practice)
[2019, 13(5):193-196]

Cited: 1 time

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A Pilot Project Using Eye-Tracking Technology to Design a Standardised Anaesthesia Workspace.

Jaber Hanhan, Roderick King, T Kyle Harrison, Alex Kou, Steven K Howard, Lindsay K Borg, Cynthia Shum, Ankeet D Udani, Edward R Mariano,

<h4>Objective</h4>Maximising safe handoff procedures ensures patient safety. Anaesthesiology practices have primarily focused on developing better communication tools. However, these tools tend to ignore the physical layout of the anaesthesia workspace itself. Standardising the anaesthesia workspace has the potential to improve patient safety. The design process should incorporate end user feedback ... Read more >>

Turk J Anaesthesiol Reanim (Turkish journal of anaesthesiology and reanimation)
[2018, 46(6):411-415]

Cited: 0 times

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Peripheral Nerve Blocks for Hand Procedures.

Janak Chandrasoma, T Kyle Harrison, Howard Ching, Lindsey Vokach-Brodsky, Larry F Chu,

N Engl J Med (The New England journal of medicine)
[2018, 379(10):e15]

Cited: 1 time

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Patient education and engagement in postoperative pain management decreases opioid use following knee replacement surgery.

Meghana Yajnik, Jonay N Hill, Oluwatobi O Hunter, Steven K Howard, T Edward Kim, T Kyle Harrison, Edward R Mariano,

<h4>Objective</h4>Effects of patient education on perioperative analgesic utilization are not well defined. We designed a simple pain management educational card for total knee arthroplasty (TKA) patients and retrospectively reviewed clinical data before and after implementation to test the hypothesis that more informed patients will use less opioid.<h4>Methods</h4>With IRB approval, we ... Read more >>

Patient Educ Couns (Patient education and counseling)
[2019, 102(2):383-387]

Cited: 13 times

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Peripheral Nerve Blocks for Hand Procedures.

Janak Chandrasoma, T Kyle Harrison, Larry F Chu,

N Engl J Med (The New England journal of medicine)
[2018, 379(22):2182]

Cited: 0 times

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Care of the Patient With a Peripheral Nerve Block.

Oluwatobi O Hunter, T Edward Kim, Edward R Mariano, T Kyle Harrison,

Long-acting peripheral nerve blocks provide effective postoperative pain management, but there are risks associated with rendering an extremity insensate. Perianesthesia nurses play a major role in anticipating and mitigating risks and carefully monitoring patients for potential complications. This article presents uncommon but important considerations related to the care of patients ... Read more >>

J Perianesth Nurs (Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses)
[2019, 34(1):16-26]

Cited: 1 time

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Using eye tracking technology to compare the effectiveness of malignant hyperthermia cognitive aid design.

Roderick King, Jaber Hanhan, T Kyle Harrison, Alex Kou, Steven K Howard, Lindsay K Borg, Cynthia Shum, Ankeet D Udani, Edward R Mariano,

<h4>Background</h4>Malignant hyperthermia is a rare but potentially fatal complication of anesthesia, and several different cognitive aids designed to facilitate a timely and accurate response to this crisis currently exist. Eye tracking technology can measure voluntary and involuntary eye movements, gaze fixation within an area of interest, and speed of visual ... Read more >>

Korean J Anesthesiol (Korean journal of anesthesiology)
[2018, 71(4):317-322]

Cited: 2 times

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The American Society of Regional Anesthesia and Pain Medicine Checklist for Managing Local Anesthetic Systemic Toxicity: 2017 Version.

Joseph M Neal, Crystal M Woodward, T Kyle Harrison,

The American Society of Regional Anesthesia and Pain Medicine (ASRA) periodically revises and updates its checklist for the management of local anesthetic systemic toxicity. The 2017 update replaces the 2012 version and reflects new information contained in the third ASRA Practice Advisory on Local Anesthetic Systemic Toxicity. Electronic copies of ... Read more >>

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2018, 43(2):150-153]

Cited: 17 times

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Preliminary Experience Using Eye-Tracking Technology to Differentiate Novice and Expert Image Interpretation for Ultrasound-Guided Regional Anesthesia.

Lindsay K Borg, T Kyle Harrison, Alex Kou, Edward R Mariano, Ankeet D Udani, T Edward Kim, Cynthia Shum, Steven K Howard, ,

<h4>Objectives</h4>Objective measures are needed to guide the novice's pathway to expertise. Within and outside medicine, eye tracking has been used for both training and assessment. We designed this study to test the hypothesis that eye tracking may differentiate novices from experts in static image interpretation for ultrasound (US)-guided regional anesthesia.<h4>Methods</h4>We ... Read more >>

J Ultrasound Med (Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine)
[2018, 37(2):329-336]

Cited: 7 times

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Comparative Echogenicity of an Epidural Catheter and 2 New Catheters Designed for Ultrasound-Guided Continuous Peripheral Nerve Blocks.

Daniel M Moy, T Edward Kim, T Kyle Harrison, Jody C Leng, Brendan Carvalho, Steven K Howard, Cynthia Shum, Alex Kou, Edward R Mariano, ,

Visualization of the catheter during ultrasound-guided continuous nerve block performance may be difficult but is an essential skill for regional anesthesiologists. The objective of this in vitro study was to evaluate 2 newer catheters designed for enhanced echogenicity and compare them to a widely used catheter not purposely designed for ... Read more >>

J Ultrasound Med (Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine)
[2017, 36(12):2571-2576]

Cited: 1 time

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Implementation of clinical practice changes by experienced anesthesiologists after simulation-based ultrasound-guided regional anesthesia training.

T Edward Kim, Toni Ganaway, T Kyle Harrison, Steven K Howard, Cynthia Shum, Alex Kuo, Edward R Mariano,

<h4>Background</h4>Anesthesiologists who have finished formal training and want to learn ultrasound-guided regional anesthesia (UGRA) commonly attend 1 day workshops. However, it is unclear whether participation actually changes clinical practice. We assessed change implementation after completion of a 1 day simulation-based UGRA workshop.<h4>Methods</h4>Practicing anesthesiologists who participated in a 1 day UGRA ... Read more >>

Korean J Anesthesiol (Korean journal of anesthesiology)
[2017, 70(3):318-326]

Cited: 2 times

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Comparative-Effectiveness of Simulation-Based Deliberate Practice Versus Self-Guided Practice on Resident Anesthesiologists' Acquisition of Ultrasound-Guided Regional Anesthesia Skills.

Ankeet Deepak Udani, T Kyle Harrison, Edward R Mariano, Ryan Derby, Jack Kan, Toni Ganaway, Cynthia Shum, David M Gaba, Pedro Tanaka, Alex Kou, Steven K Howard, ,

<h4>Background and objectives</h4>Simulation-based education strategies to teach regional anesthesia have been described, but their efficacy largely has been assumed. We designed this study to determine whether residents trained using the simulation-based strategy of deliberate practice show greater improvement of ultrasound-guided regional anesthesia (UGRA) skills than residents trained using self-guided practice ... Read more >>

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2016, 41(2):151-157]

Cited: 13 times

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Feasibility of eye-tracking technology to quantify expertise in ultrasound-guided regional anesthesia.

T Kyle Harrison, T Edward Kim, Alex Kou, Cynthia Shum, Edward R Mariano, Steven K Howard, ,

Ultrasound-guided regional anesthesia (UGRA) requires an advanced procedural skill set that incorporates both sonographic knowledge of relevant anatomy as well as technical proficiency in needle manipulation in order to achieve a successful outcome. Understanding how to differentiate a novice from an expert in UGRA using a quantifiable tool may be ... Read more >>

J Anesth (Journal of anesthesia)
[2016, 30(3):530-533]

Cited: 11 times

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Design and Implementation of a Perioperative Surgical Home at a Veterans Affairs Hospital.

Tessa L Walters, Steven K Howard, Alex Kou, Edward J Bertaccini, T Kyle Harrison, T Edward Kim, Audrey Shafer, Carlos Brun, Natasha Funck, Lawrence C Siegel, Erica Stary, Edward R Mariano,

The innovative Perioperative Surgical Home model aims to optimize the outcomes of surgical patients by leveraging the expertise and leadership of physician anesthesiologists, but there is a paucity of practical examples to follow. Veterans Affairs health care, the largest integrated system in the United States, may be the ideal environment ... Read more >>

Semin Cardiothorac Vasc Anesth (Seminars in cardiothoracic and vascular anesthesia)
[2016, 20(2):133-140]

Cited: 8 times

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Evaluation of a Standardized Program for Training Practicing Anesthesiologists in Ultrasound-Guided Regional Anesthesia Skills.

Edward R Mariano, T Kyle Harrison, T Edward Kim, Jack Kan, Cynthia Shum, David M Gaba, Toni Ganaway, Alex Kou, Ankeet D Udani, Steven K Howard, ,

<h4>Objectives</h4>Practicing anesthesiologists have generally not received formal training in ultrasound-guided perineural catheter insertion. We designed this study to determine the efficacy of a standardized teaching program in this population.<h4>Methods</h4>Anesthesiologists in practice for 10 years or more were recruited and enrolled to participate in a 1-day program: lectures and live-model ultrasound ... Read more >>

J Ultrasound Med (Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine)
[2015, 34(10):1883-1893]

Cited: 6 times

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Comparative effectiveness of infraclavicular and supraclavicular perineural catheters for ultrasound-guided through-the-catheter bolus anesthesia.

T Kyle Harrison, T Edward Kim, Steven K Howard, Natasha Funck, Michael J Wagner, Tessa L Walters, Catherine Curtin, James Chang, Toni Ganaway, Edward R Mariano,

<h4>Objectives</h4>Using a through-the-needle local anesthetic bolus technique, ultrasound-guided infraclavicular perineural catheters have been shown to provide greater analgesia compared to supraclavicular catheters. A through-the-catheter bolus technique, which arguably "tests" the anesthetic efficacy of the catheter before initiating an infusion, has been validated for infraclavicular catheters but not supraclavicular catheters. This ... Read more >>

J Ultrasound Med (Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine)
[2015, 34(2):333-340]

Cited: 2 times

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A pilot study to assess adductor canal catheter tip migration in a cadaver model.

Jody C Leng, T Kyle Harrison, Brett Miller, Steven K Howard, Myles Conroy, Ankeet Udani, Cynthia Shum, Edward R Mariano,

An adductor canal catheter may facilitate early ambulation after total knee arthroplasty, but there is concern over preoperative placement since intraoperative migration of catheters may occur from surgical manipulation and result in ineffective analgesia. We hypothesized that catheter type and subcutaneous tunneling may influence tip migration for preoperatively inserted adductor ... Read more >>

J Anesth (Journal of anesthesia)
[2015, 29(2):308-312]

Cited: 4 times

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