Stephen Edward Kowalski MD, FRCP(C)umanitoba.ca/.../Stephen_Kowalski_Full_CV_-_Oct_2015.pdf · 2020-06-05 · Stephen E. Kowalski Page Curriculum Vitae 6 JOURNAL MANUSCRIPT REVIEWS

CURRICULUM VITAE

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Stephen Edward Kowalski MD, FRCP(C)

Professor

Department of Anesthesia & Perioperative Medicine

Department of Internal Medicine – Section of Critical Care

Faculty of Medicine, University of Manitoba

Associate Head, Research & Academic Affairs

Department of Anesthesia & Perioperative Medicine

WRHA Anesthesia Program, University of Manitoba

Stephen E. Kowalski

Curriculum Vitae Page 2

MEDICAL EDUCATION

1972 – 1974 Pre-Med - University of Toronto, Toronto Ontario

1974 –1978 MD - University of Toronto, Toronto Ontario

1978 - 1979 Straight Medical Internship - Toronto General Hospital, University of Toronto

1979 – 1982 Resident - Anesthesia - University of Toronto

1981 - 1982 Senior Resident - Toronto General Hospital and Hospital for Sick Children

1983 - 1985 Research Fellow - Research Investigation Unit, University of Manitoba

PROFESSIONAL DEGREES, QUALIFICATIONS and AWARDS

1972 Academic Scholarship (2yr) - University College, University of Toronto

1978 M.D - University of Toronto

1978 Award - General Proficiency in Medicine, University of Toronto

1978 Medical Council of Canada (L.M.C.C.)

1983 Fellow - Royal College of Physicians and Surgeons of Canada (Anesthesia)

2002 Certification - Perioperative Transesophageal Echocardiography

National Board of Echocardiography (US)

2005 Sep CMA Physician Manager Institute Course

PMI 1 – Leadership begins with self awareness

PMI 11 – Engaging others

2007 Apr CMA Physician Manager Institute Course

PMI 111 - Management Dynamics

2009 Apr CMA Physician Manager Course

PMI 1V - Negotiation and Conflict Management

Stephen E. Kowalski


POST GRADUATE APPOINTMENTS

1980 Locum - General Practice (4mo) Rainey River, Ontario

1983 Lecturer - Department of Anesthesia

Health Sciences Centre, University of Manitoba

1985 Assistant Professor - Department of Anesthesia


1985 - 2003 Medical Director - Post Anesthesia Care Unit


1985-present Cross-appointment - Department of Internal Medicine - Section of Critical Care

Attending Physician, Medical Intensive Care Unit, Health Sciences Centre

1987-present Attending Physician - Surgical and Medical Intensive Care Units


1988-present Cardiac Anesthesiologist - Health Sciences Centre, University of Manitoba

1990-present Associate Professor - Department of Anesthesia / Section of Critical Care


1990 – 1998 Medical Director - Acute Pain Service


1993-present Attending Physician - Surgical and Medical Intensive Care Unit

St. Boniface General Hospital, University of Manitoba

2000 – 2010 Medical Director - Intermediate Intensive Care Unit


2005 – 2006 Acting Head - Department of Anesthesia

University of Manitoba - WRHA Program

2006- 2014 Site Leader (Adult) - Department of Anesthesia


2006 – 2010 Vice Chair - Clinical Affairs – Department of Anesthesia


2011-present Associate Head - Research and Academic Affairs - Department of Anesthesia


Stephen E. Kowalski


COMMITTEES

1985 - 2003 Member - Recovery Room Committee


1988 Chair - Intensive Care Committee

Seven Oaks General Hospital

1988 - present Member - Executive Committee

Department of Anesthesia, University of Manitoba

1989 - 1997 Member - Promotions Committee

Department of Anesthesia, University of Manitoba

1989 - 1997 Manitoba Representative

Canadian Critical Care Society

1991 - 1999 Chair - Anesthesia Standards Committee

Department of Anesthesia, Health Sciences Centre, University of Manitoba

1992 - 1996 Representative - Economic Advisory Council - Health Sciences Centre

Section of Anesthesia - Manitoba Medical Association

1994 Chair - Conscious Sedation Committee


1996 - 1998 Chair - Section of Anesthesia

Manitoba Medical Association

1996 - 2010 Chair - Adult Critical Care Coordinating Committee


1998 – 2000 Past Chair – Section of Anesthesia


1998 – 2000 Member – RVG Negotiating Committee


2003 – 2010 Member-at-Large - Anesthesia Executive Committee


2005 – 2007 Member - Department Heads’ Council - Faculty of Medicine

University of Manitoba

Stephen E. Kowalski


2005 – present Member - Committee on Academic Standing


2005 – present Member - Faculty Executive Council


2005 – Present Member – Association of Canadian Universities Departments of Anesthesia

Canadian Anesthesiologists’ Society (ACUDA)

2006 – 2011 Member - Executive Committee - Associated Anesthetists of Winnipeg

(AAoW) Medical Corporation

2007 – present Member - Academic Oversight Committee - Department of Anesthesia


2010 – present Member - Perioperative Clinical Trials Group

Canadian Anesthesiologists’ Society (PACT)

2011 – present Core Member – Research Advisory Committee

Canadian Anesthesiologists’ Society

2012 – 2013 Chair – Executive Committee – Associated Anesthetists of Winnipeg

(AAoW) Medical Corporation

MEMBERSHIPS

Fellow - College of Physicians and Surgeons of Canada

Canadian Anesthesiologists’ Society

Canadian Critical Care Society

American Society of Anesthesiologists

International Anesthesia Research Society

Canadian Medical Association

Doctors Manitoba

Stephen E. Kowalski


JOURNAL MANUSCRIPT REVIEWS – EXTERNAL

Canadian Journal of Anesthesia 1990, 1992-1993, 1995, 1998-2012

Critical Care Medicine 2002, 2004

Journal of Neuro-anesthesia 2011

GRANT REVIEWS – EXTERNAL

2012 PSI Foundation – grant for Dr. Marco Garavaglia

2013 PSI Foundation – grant for Dr. Marco Garavaglia

2015 PSI Foundation – grant for Drs Mehta and Turgeon

SEARCH COMMITTEES

2000 Member – Search Committee – Head of Critical Care

WRHA and University of Manitoba

2006 Member – Search Committee – Head of Surgery

WRHA and University of Manitoba

CONFERENCE ORGANIZATION

2005, 2007 Manitoba Anesthesiologists’ Society

Annual Meeting and Review Course

2011, 2012 University of Manitoba, Department of Anesthesia

Annual Resident Research Day

RESIDENT RESEARCH SUPERVISION

1988 Dr. Gary Dobson

1992 Dr. Patricia McMillan

1993 Dr. Barry Bradley

1993 Dr. Cynthia Baron

1998 Dr. Donna Nicholson

2003 Dr. Paul Tenenbein

2007 Dr. Michael McMullen

2008 Dr. Brendan McCarthy

2013 Dr. Daniela Goldie (in progress)

2013 Dr. Andrea Petropolis (in progress)

Stephen E. Kowalski


2014 Dr. Marta Cenkowski (in progress)

2015 Jay Gorman, BSc Med project

Stephen E. Kowalski


GRANTS IN AID OF RESEARCH

PROJECT Epidural Fentanyl vs PCA for postoperative analgesia

INVESTIGATORS S. Kowalski. B. Ong, D. Bell

ROLE Principal Investigator

SPONSOR AGENCY Paul H. T. Thorlakson Foundation

YEAR OF AWARD 1990

SUM $25,000.00

PROJECT High Spinal Anesthesia in Cardiac Surgery

INVESTIGATORS S. Kowalski, T. Lee, D. Maguire


SPONSOR AGENCY Health Sciences Centre Foundation

YEAR OF AWARD 2004

SUM $25,000.00

PROJECT Thoracic delirium and intraoperative cerebral desaturation

INVESTIGATORS S. Kowalski, S. Srinathan, P. St. John, T. Mutter, D. Funk


SPONSOR AGENCY Anesthesia Oversight Committee

YEAR OF AWARD 2013

SUM $10,000.00

PROJECT Low dose spinal anesthesia for cesarean section

INVESTIGATORS S. Kowalski, D. Maguire, D. Funk

ROLE Co-Investigator


YEAR OF AWARD 2014

SUM $10,000.00

PROJECT Delirium and spinal anesthesia in cardiac surgery

INVESTIGATORS S. Kowalski, D. Maguire, H. Grocott

ROLE Co-Investigator

SPONSOR AGENCY Health Sciences Centre Foundation

YEAR OF AWARD 2014

SUM $10,000.00

Stephen E. Kowalski


PROJECT A review of speaking valve trials for weaning of long-term

Ventilated patients

INVESTIGATORS S. Kowalski, Z. Bshouty



YEAR OF AWARD 2014

SUM $5,000.00

PROJECT Assessment of cough strength in patients with tracheostomies

INVESTIGATORS S. Kowalski, Z. Bshouty



YEAR OF AWARD 2015

SUM $5,000.00

PROJECT A review of de-cortications in Manitoba 2007- 2015

INVESTIGATORS S. Kowalski, D. Funk, S. Srinathan, J. Embil



YEAR OF AWARD 2015

SUM $5,000.00

GUEST LECTURER

Nov. 1991 The 2nd J.D. Culligan Memorial Symposium, Winnipeg, Manitoba Anesthesia for Thoracic Surgery

Nov 1994 The 4th J.D. Culligan Memorial Symposium, Winnipeg, Manitoba The Management of Acute Pain May 2002 - Canadian Pain Society Meeting, Winnipeg, Manitoba Post operative Surgical Rehabilitation Feb 2003 - Rocky Mountain Critical Care Conference, Lake Louise, Alberta Alternative Ventilatory Strategies for ARDS June 2003 - Canadian Anesthesiologists’ Society Meeting, Ottawa, Ontario Constrictive Pericarditis Oct 2003 - Family Practice Anesthesia Update, University of Manitoba Physiological Consequences of Surgery May 2004 Health Sciences Centre, Surgical ICU Trauma Day Pain Management in Burn Patients 2004 Oct Abbott Laboratories, Ltd. Winnipeg, Manitoba

Cardioprotection by Halogenated Anesthesics: Fact or Fiction

Stephen E. Kowalski


Nov. 2006 Health Sciences Centre, Surgical ICU Trauma Day Hypovolemic Shock Mar. 2010 National Conference of Society of Anesthesiologists of Nepal. Katmandu Nepal

Update in Mechanical Ventilation Apr. 2010 University of Manitoba, Department of Anesthesia Grand Rounds Update in Mechanical Ventilation June 2010 Canadian Anesthesiologists Society National Meeting, Montreal PQ Update in Mechanical Ventilation Nov. 2010. Health Sciences Centre, Surgical ICU Trauma Day Pain and Sedation in the Burn Patient Mar. 2012 University of Manitoba, Department of Anesthesia Grand Rounds Non-invasive Ventilation for the Anesthesiologist June 2012 Canadian Anesthesiologists’ Society National Meeting, Quebec City, PQ Non-

Invasive Ventilation for the Anesthesiologist Dec. 2012 BITs 4th Annual International Congress of Cardiology, Guangzhou, China CHAIR: Cardiopulmonary Disease and Perioperative Care in Cardiac Surgery High Spinal Anesthesia in Cardiac Surgery Jan 2013 31st Mount Sinai School of Medicine Refresher Course in Anesthesia Willemsted, Curacao Regional Anesthesia in Cardiac Surgery May 2013 University of Manitoba, Department of Anesthesia Grand Rounds The Risks of Regional Anesthesia Oct. 2013 31

st ½ Mount Sinai School of Medicine Refresher Course in Anesthesia,

Las Vegas, Nevada, Regional Anesthesia in Cardiac Surgery

Jan. 2015 33rd

Mount Sinai School of Medicine Refresher Course in Anesthesia,

Basseterre, Saint Kitts, Acid Base Issues in the ICU

.

Stephen E. Kowalski


PUBLICATIONS

1. Kowalski SE. Mitral valve prolapse. Canadian Anaesthetists' Society Journal,

1985;32(2):138-41.

2. Kowalski SE, Downs AR, Lye C, Oppenheimer L. Measurement of extravascular lung

water during abdominal aortic surgery. Canadian Journal of Anaesthesia, 1989;36(3):283-

8.

3. Tenenbein M, Kowalski SE, Sienko A, Bowden DH, Adamson IYR. Pulmonary toxic

effects of continuous desferrioxamine administration in acute iron poisoning. Lancet

1992;339: 99-701.

4. Kowalski SE, Bradley BD, Greengrass RA, Freedman J, Younes MK. Effects of

interpleural bupivacaine (0.5%) on canine diaphragmatic function. Anesth Analg

1992;75:400-4.

5. Baron CM, Kowalski SE, Greengrass R et al. Effects of epinephrine on the continuous

infusion of epidural fentanyl for postoperative analgesia following thoracotomy. Anesth

Analg 1996;82:760-5.

6. Lefevre GR, Kowalski SE, Girling LG, Thiessen DB, Mutch WAC. Improved arterial

oxygenation after oleic acid lung unjury in the pig using a computer controlled mechanical

ventilator. Am J Resp Crit Care Med 1996;154:1567-72.

7. Etches R, Writer WDR, Ansley D, Nydahl P-A, Ong BY, Lui A, Badner N, Kowalski SE,

Muir H, Shukla R, Beattie WS. Continuous epidural ropivacaine 0.2% for analgesia after

lower abdominal surgery. Anesth Analg 1997;84:784-90.

8. Mutch WAC, Eschun GM, Kowalski SE, Graham MR, Girling LG, Lefevre GR. The

effect of biologically variable ventilation on gas exchange during prolonged anesthesia.

British Journal of Anaesthesia 2000;84:197-303.

9. Mutch WAC, Harms S, Lefevre GR, Graham MR, Girling LG, Kowalski SE. Biologically

variable ventilation increases arterial oxygenation over that seen with PEEP alone in a

porcine model of ARDS. Critical Care Medicine 2000;28:2457-64.

10. Mutch WAC, Harms S, Graham MR, Kowalski SE, Girling LG, Lefevre GR. Biologically

variable or naturally noisy mechanical ventilation recruits atelectatic lung. Am J Respir Crit

Care Med 2000;162:319-23.

11. Nicholson DJ, Kowalski SE, Hamilton GA et al. Postoperative pulmonary function in

coronary artery bypass graft surgery patients undergoing early tracheal extubation. J

Cardiothoracic Vasc Anesth 2002;16:27-31.

Stephen E. Kowalski


12. Tenenbein PK, Debrouwere R, Maguire D, Duke PC, Muirhead B, Enns J, Meyers M,

Wolfe S, Kowalski SE. Thoracic epidural anesthesia improves pulmonary function in

patients undergoing cardiac surgery. Can J Anesth, 2008 Jun;55(6):344-50

13. Kowalski SE, McMullen M, Girling L, McCarthy B. Biologically Variable Ventilation in

Patients with Acute Lung Injury: a pilot study. Can J Anesth 2013 May 60(5)502-3.

14. Chowdury T, Cappellani R, Kowalski SE. Role of Midazolam in Parkinsonian Tremors. Can J Neurol Sci. 2013 Jul;40(4):616.

15. Chowdhury T, Kowalski SE, Arabi Y, Dash HH. Prehospital and Initial Management of

Head Injury Patients: An Update" Saudi J Anaesth. 2014 Jan;8(1):114-20.

16. Chowdhury T, Kowalski SE, Arabi Y, Dash HH. General Intensive Care For Patients

with Traumatic Brain Injury: An Update Saudi J Anaesth. 2014 Apr;8(2):256-63.

17. Chowdhury T, Kowalski SE, Arabi Y, Dash HH. Specific Intensive Care for Patients

with Traumatic Brain Injury: Present and Future Saudi J Anaesth. 2014 Apr;8(2):268-75

18. Kowalski S1, Bell D, Pilkey B. From the journal archives: Pulmonary marrow embolism:

lessons learned from a canine model simulating dual component cemented arthroplasty.

Can J Anaesth. 2014 Sep;61(9):876-80.

http://www-ncbi-nlm-nih-gov.uml.idm.oclc.org/pubmed/?term=Kowalski%20S%255BAuthor%255D&cauthor=true&cauthor_uid=24664413

http://www-ncbi-nlm-nih-gov.uml.idm.oclc.org/pubmed/?term=Bell%20D%255BAuthor%255D&cauthor=true&cauthor_uid=24664413

http://www-ncbi-nlm-nih-gov.uml.idm.oclc.org/pubmed/?term=Pilkey%20B%255BAuthor%255D&cauthor=true&cauthor_uid=24664413

Stephen E. Kowalski


ABSTRACTS

1. Kowalski SE, Skoog C, Oppenheimer L. Effects of airway pressure - volume relationship

on pulmonary interstitial mechanics. Presented: FASEB Meeting, 1984.

2. Kowalski SE, Mayers I, Oppenheimer L. Interstitial fluid trapping increases with lung

recoil. Fed Proc 1985;44(6):1904.

3. Kowalski SE, Downs A, Lye C, Oppenheimer L. Extravascular lung water during aortic

cross clamping. Presented: Canadian Anaesthetists' Society Meeting, 1985.

4. Kowalski SE, Dobson G, Hoppensack M, Oppenheimer L. The distribution of pulmonary

vascular resistance: Effects of hypoxia and halothane. Presented: American Society of

Anesthesiologists' Meeting - San Francisco, 1988.

5. Dobson G, Kowalski SE, Hoppensack M, Oppenheimer L. Pulmonary artery breakpoint

pressure accurately approximates pulmonary double occlusion pressure. Fed. Proc

1989;3(4):S436.

6. Kowalski SE, Bradley B, Greengrass R, Freedman J, Younes M. The effects of interpleural

bupivacaine (0.5%) on canine diaphragmatic function. Presented: A.S.A. Meeting, Las

Vegas, 1990.

7. Tennebein M, Kowalski SE, Roberts D. Pulmonary toxicity in iron poisoning:

Desferoxamine induced? Vet Human Toxicol 1990;32:349.

8. Kowalski SE, Ong B, Bell D et al. Postoperative pain control and pulmonary function

following upper abdominal surgery: Epidural fentanyl versus PCA morphine. Can J

Anaesth 1992;39(5):A58. Presented: Toronto, Ontario June 1992

9. McMillan P, Kowalski SE, Oppenheimer L, Roberts D. Patients undergoing major

vascular surgery do not require automatic ICU admission. Presented: Royal College of

Physicians and Surgeons Meeting, Vancouver, B.C., September 1993.

10. Baron CM, Kowalski SE, Greengrass R et al. Effects of epinephrine on the continuous

infusion of epidural fentanyl for postoperative analgesia following thoracotomy. Presented:

Postgraduate Assembly of Anesthesiologists in New York, N.Y., December 1993.


oxygenation after oleic acid lung injury in the pig using a computer controlled mechanical

ventilator. Presented: American Thoracic Society Meeting - New Orleans, May 1996


oxygenation after oleic acid lung injury in the pig using a computer controlled mechanical

ventilator. Presented: Royal College of Physicians and Surgeons Meeting - Halifax,

September 1996

Stephen E. Kowalski


13. Kowalski SE, Duke PC, Maguire D, Muirhead B, Sawchuk C, Hamilton A. Anesthesia for

facilitated recovery following coronary artery bypass surgery. Presented: Canadian

Cardiovascular Society Meeting - Montreal, October 1996.

14. Nicholson DJ, Kowalski SE, Hamilton GA, Meyers MP, Serrette C, Duke PC. Post-

operative pulmonary function in CABG patients undergoing early tracheal extubation:

A comparison between short term mechanical ventilation and immediate extubation.

Presented: Canadian Anaesthetists' Society 55th Annual Meeting - Toronto, June 1998.

15. Nicholson DJ, Kowalski SE, Hamilton GA, Meyers MP, Serrette C, Duke PC. Post-

operative pulmonary function in CABG patients undergoing early tracheal extubation:

A comparison between short term mechanical ventilation and immediate extubation.

Presented: Society for Cardiovascular Anesthesiologists Meeting – Chicago, April 1999.

16. Jacobsohn E, DeBrouwere R, Kenny S, Duke P, Maguire D, Muirhead B, Kowalski SE,

Enns J, Hamilton A, Goodman R. Routine admission to ICU is not required after cardiac

surgery. Presented: International Anesthesia Research Society Meeting – Los Angeles,

1999.

17. Jacobsohn E, DeBrouwere R, Kenny S, Duke P, Maguire D, Muirhead B, Kowalski SE,

Enns J, Hamilton A, Goodman R. A facilitated Recovery Program for Cardiac Surgery:

Extubation in the first hour and bypassing ICU. Presented: Society of Cardiovascular

Anesthesiologists Meeting – Chicago, IL. 1999.

18. Mutch WAC, Eschun GM, Kowalski SE, Graham MR, Girling LR, Lefevre GR.

Biologically variable ventilation prevents deterioration of gas exchange during prolonged

anesthesia. Presented: American Society of Anesthesiologists Meeting – Dallas, Texas,

October 1999.

19. Tenenbein P, Maguire D, DeBrouwere R, Duke PC, Kowalski SE. High spinal anesthesia

for patients with critical aortic stenosis. Presented: Canadian Anesthesiologists Society

Meeting – Quebec City, Quebec, June 2004.

20. Tenenbein P, Duke PC, DeBrouwere R, Maguire D, Wolfe, K, Meyers M, Kowalski SE.

Effects of thoracic epidural analgesia on postoperative lung function in patients undergoing

CABG surgery. Presented: American Society of Anesthesiologists Meeting – Las Vegas,

Nevada, October 2004.

21. Tenenbein P, Maguire D, DeBrouwere R, Duke PC, Kowalski SE. High spinal anesthesia

for patients with critical aortic stenosis. Presented: Society of Cardiovascular

Anesthesiologits’ Meeting – Baltimore, MD, May 2005.

22. Tenenbein P, Duke PC, DeBrouwere R, Maguire D, Wolfe, K, Meyers M, Kowalski SE.

Effects of thoracic epidural analgesia on postoperative lung function in patients undergoing

CABG surgery. Presented: Canadian Anesthesiologists’ Society Meeting - Vancouver, BC,

June 2005.

Stephen E. Kowalski


23. McCarthy BG, McMullen MD, Docking L, Bshouty Z, Girling LG, Kowalski SE. A pilot

study of biologically variable ventilation in ALI/ARDS: Trends toward an improved

ventilatory strategy. Am J Resp Crit Care Med 179;2009: A3065. Presented: ATS San

Diego, May 2009

24. Kowalski SE, Lee TWR, Maguire D, Hayglass K. Spinal Anesthesia, Inflammation in

CABG and AVR. Presented: Canadian Anesthesiologists’ Society Meeting – Quebec City

PQ, June 2012

25. Goldie D, Maguire D, Lee TWR, Kowalski S. A Retrospective Review of High Spinal

Anesthesia in Cardiac Surgery. Presented at Canadian Anesthesiologists’ Society Meeting,

St. John’s NFLD, June 2014

26. Petropolis A, Maguire D, Arora R, Lee TWR, Grocott H, Kowalski S. High Spinal

Anesthesia and Delirium Incidence After Cardiac Surgery Presented: Society Of

Cardiovascular Anesthesiologists’ Meeting, Washington DC, April 2015


Anesthesia and Delirium Incidence After Cardiac Surgery Presented: American Delirium

Society Meeting, Baltimore MD, June 2015

28. Cenkowski M, Maguire D, Funk D, Al-Gurshi F, Bokhari A, Kowalski S. Hemodynamic

effects of Low Dose Spinal Anesthesia in Cesarean Section Presented: Canadian

Anesthesiologists’ Society Meeting, Ottawa Ont., June 2015


Anesthesia and Delirium Incidence After Cardiac Surgery Presented: Canadian

Anesthesiologists’ Society Meeting, Ottawa Ont., June 2015

30. Kowalski S, Robertson A, Macaulay K, Thorkelsson R, Bshouty Z Weaning from

Prolonged Mechanical Ventilation: Use of Speaking Valve Trials Accepted: Critical Care

Canada Forum 2015 Conference, Toronto, Ontario. October 2015

Stephen E. Kowalski


CURRENT RESEARCH ACTIVITIES – S. KOWALSKI

Project The impact of high spinal anesthesia on outcomes following

cardiac surgery.

Type of study Retrospective chart review

Investigators Dr. S. Kowalski, Dr. H. Grocott, Dr. T. Lee, Dr.D. Maguire,

Dr. D. Goldie (Anesthesia resident).

Outline A ten year review assessing clinical outcomes (mortality, blood loss,

ICU and hospital length of stay etc) in all patients who had high spinal

anesthesia with local anesthetics for their cardiac surgical procedure,

and comparing them to a controlled, matched cohort of patients who

did not have high spinal anesthesia

1.

Project The impact of high spinal anesthesia on delirium following cardiac

surgery

Type of study Retrospective chart review

Investigators Dr. S. Kowalski, Dr.R. Arora (Cardiac Surgery),

Dr. H. Grocott, Dr.D. Maguire,

Dr. A. Petropolis (Anesthesia resident).

Outline A review focusing on patients who have had cardiac surgery since

2010 to the present. Since 2010, postoperative cardiac surgical patients

have been formally assessed for the presence or absence of delirium by

ICU nurses using the Confusion Assessment Methodology (CAM)

protocol. We will compare the incidence of delirium in patients who

have had high spinal anesthesia for their cardiac surgical procedure

with a matched cohort of patients who did not have high spinal

anesthesia.

Stephen E. Kowalski


2.

Project Low dose spinal bupivacaine for cesarean section: effects on

hemodynamics

Type of study Prospective

Investigators Dr. S. Kowalski, Dr. Al-Gurashi, Dr. D. Funk, Dr. D. Maguire,

Dr. Cenkowski (anesthesia resident)

Outline Patients will be randomized to receive either low dose bupivacaine (4.5

mg) or conventional dose bupivacaine (9 mg) for their spinal

anesthetic. Patients will have an arterial line for the procedure and have

their cardiac outputs measured using arterial waveform analysis (Flo

Trac). Hemodynamics will be compared between the two groups as

well as secondary outcomes such as pain scores, patient satisfaction

scores and recovery room length of stay.

3.

Project Traumatic Brain Injury Study

Type of study National, multi-center observational

Investigators Dr. Alexis Turgeon (principle)

Dr. S. Kowalski (site coordinator)

Outline Patients with traumatic brain injury and a Glasgow Coma Score of 8 or

less will be assessed using repeat clinical examinations, serum

biomarkers for brain injury, CT scans, MRI scans, EEG and sensory

evoked potentials for ten days post injury. Repeated follow up will be

done at six months and twelve months post injury for functional

neurological recovery using the Glasgow Outcome Score. Correlations

of prognostic tests, examinations, clinical data and their evolution over

time will be made with long term outcomes in an attempt to develop a

reliable, valid and clinically useful prognostic model for patients with

traumatic brain injury.

Stephen E. Kowalski


4.

Project Complications of regional anesthesia

Type of study Retrospective

Investigators Dr. S. Kowalski, Dr. A. Mathieson, Dr. P. Mykytiuk

Outline A ten year review of major complications of regional anesthesia

(specifically epidural hematoma and epidural abcess) and associated

risk factors that have occurred at the Health Sciences Centre.

5.

Project The effect of intraoperative cerebral oxygen desaturation on post-

operative delirium in thoracic surgical patients

Type of study Prospective, observational

Investigators Dr. S. Kowalski, Dr. S. Srinathen (thoracic surgery), Dr. P. St. John

(internal medicine), Dr. H. Grocott, Dr. W. A. C. Mutch, Dr. R.

Amadeo, Dr. T. Mutter, Ms. L. Girling (BSc Hons.)

Outline To determine the current incidence and risk factors for post-operative

delirium in thoracic surgical patients. All patients will be monitored

intraoperatively using near infrared spectroscopy (NIRS) for cerebral

desaturation to determine whether cerebral desaturation is associated

with post-operative delirium.

6.

Project Weaning from Prolonged Mechanical Ventilation: Use of Speaking

Valve Trials

Type of study Retrospective, observational

Investigators Dr. S. Kowalski, Dr. Z. Bshouty, Dr. A. Robertson, Ms. K. Macaulay

RRT, Ms R. Thorkelsson RN BN, Ms. L. Girling (BSc Hons.)

Outline A review of the use of speaking valve trials in weaning patients who

have required prolonged mechanical ventilation. The factors associated

with the successful use of speaking valve trials will be described.

Stephen E. Kowalski


7.

Project Assessment of cough strength in patients with tracheostomies

Type of study Prospective, observational

Investigators Dr. S. Kowalski, Dr. Z. Bshouty, Ms. K. Macaulay RRT, Ms R.

Thorkelsson RN BN, Ms. L. Girling (BSc Hons.)

Outline Patients who are having speaking valve trials as part of their weaning

program will be studied. Cough strength will be assessed using a peak

expiratory flow meter under two conditions Patients will be asked to

cough through the tracheostomy tube, with the cuff inflated and then

around the tracheostomy tube with the cuff deflated and a one-way

valve attached to the tracheostomy tube.

8.

Project A Review of Decortications in Manitoba from 2007 - 2014

Type of study Retrospective, observational

Investigators Dr. S. Kowalski, Dr. S. Srinathen (thoracic surgery), Dr. J. Embil

(Infectious Diseases), Dr. Duane Funk (Anesthesia), Mr. Jay Gorman

BSc, Ms. L. Girling (BSc Hons.)

Outline There has been a greater than fivefold increase in the number of

decortications in Manitoba since 2007. The review will describe the

characteristics and the anesthetic, surgical and anti-microbial

management of these patients. It may also provide some insight as to

the increasing frequency of this procedure.

Stephen E. Kowalski


REFERENCES

Dr. Dan Roberts

Professor and Head,

Department of Internal Medicine


Room GC430, General Centre

Health Sciences Centre

820 Sherbrook Street

Winnipeg, Manitoba

R3A 1R9

Telephone #: (204) 787-7772

Fax #: (204) 787-4826

E-Mail: [email protected]

Dr. Perry Gray

Vice President and Chief Medical Officer


Associate Professor, Department of Surgery


Room 790A, John Buhler Research Centre

715 McDermot Avenue

Winnipeg, Manitoba

R3E 3P4

Telephone #: 787-7079

Fax #: 787-3912


Dr. Eric Jacobsohn

Professor, and Chair -

Department of Anesthesia


Room AE201, Harry Medovy House


671 William Avenue

Winnipeg, Manitoba

R3E 0Z2

Telephone #: (204) 787-1224

Fax #: (204) 787-4291

E-Mail:

mailto:[email protected]


Stephen E. Kowalski


Dr. Luis Oppenheimer

Professor and Head,

Department of Surgery


Room GF547, General Centre


820 Sherbrook Street

Winnipeg, Manitoba

R3A 1R9

Telephone #: (204) 787-7826

Fax #: (204) 787-3417


Dr. Barry Bradley

Associate Professor, Department of Anesthesia


Head, Section of Obstetrical Anesthesia

St. Boniface General Hospital

Room L2035

409 Tache Avenue

Winnipeg, Manitoba

R2H 2A6

Telephone #: (204) 237-2580

Fax #: (204) 231-0425


Revised: October 20, 2015



Documents

Stephen Edward Kowalski MD, FRCP(C)umanitoba.ca/.../Stephen_Kowalski_Full_CV_-_Oct_2015.pdf · 2020-06-05 · Stephen E. Kowalski Page Curriculum Vitae 6 JOURNAL MANUSCRIPT REVIEWS