Perelman School of Medicine at the University of Pennsylvania

Penn Institute for Immunology

Krzysztof Laudanski

faculty photo
Assistant Professor of Anesthesiology and Critical Care at the Hospital of the University of Pennsylvania
Department: Anesthesiology and Critical Care

Contact information
JMB 127
3650 Hamilton Walk
Philadelphia, PA 19104
Office: +1 (352) 222-5202
Lab: +1 (215) 746-1398
Education:
M.D. (Medicine)
Warsaw Medical University, 1998.
B.Sc (Psychology)
Warsaw University, 2000.
M.A (Psychology)
Warsaw University, 2001.
Ph.D. (Anesthesiology & Immunology)
Military Institute of Medicine, 2012.
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Description of Clinical Expertise

Krzysztof “Kris” Laudanski, MD is an Assistant Professor of the Department of Anesthesiology and Critical Care at the University of Pennsylvania. He is board certified in both anesthesiology and critical care physician. He is the Fellow of Critical Care, an award given by the Society of Critical Care Medicine. He splits his practice between Heart & Vascular and Trauma Intensive Care Unit. His clinical experience focuses on managing ECMO, VAD, post-operative recovery, sepsis, and post-operative cognitive decline. He holds the Regional Anesthesia Certificate by the American Association of Anesthesiologists.

Description of Other Expertise

Being a mentor is creative and fulfilling work that begins with creating a tailored plan that fits both the mentee’s and mentor’s interests, goals and passion. My mentoring focus on providing a mentee an opportunity to focus her research in the clinical setting analyzing data from charts or in the lab, conducting bench-side work in molecular biology. At the same time mentorship is more than just science. It is very important to provide an optimal condition to grow, to mature, and to become independent. I treat this task with utmost diligence and responsibility. Frequently, I have seen the struggle of junior faculty or students. This led to my efforts of establishing In-Traning Section of the SCCM. Many initiatives started there during my tenure as a Chair continues until today. I continue to stay involved by being a mentor, participating in various initiatives championed by the University of Pennsylvania (CURF, Global Health), Society of Critical Care, or Cardinal Wyszynski University in Poland. At the latter one, I mentor several posts- and undergraduates students.

Description of Research Expertise

My research focuses on the three distinctive area: regulation of DNA expression in survivors after critical care illnesses, health care operation and medical decision-making processes and medical volunteerism. On the first subject, I am PI on the NIH funded project focusing on the long-term regulation of several genes expression after critical care event and their impact on the recovery of the patient after critical care illness and anesthesia/surgery. I am very interested in the medical decision-making process and health care operation as the primary determinant of patient recovery. I study the cognitive process, biases and the effect of emotional imprints on the decisions made by medical professionals. My prior work showed that numerous number of time the delivery of health services is superfluous and exposed the patient to unnecessary risk. Hospital system suffers negative economic consequences because of the suboptimal decision-making processes. Understanding and education about these processes are pivotal in the next healthcare system. Optimizing healthcare in the ICU is another area of interest. ICU environment is demanding with significant swings in demand. Developing improvements in the existing healthcare models, or envisioning the new healthcare models may have a potentially significant impact on individual and population health. Tele-ICU is my particular interest especially I the area of integration with wearables device and alternative models of healthcare delivery. Simulation is frequently utilized by me due to its versatility in discovering operating problems and providing the staff with unique experience. Adjusting the healthcare operation based on the availability, cultural specificity, and local demands is my passion I frequently pursue in the austere and remote settings.

Selected Publications

Laudanski K (corresponding and first), Zawadka M, Polosak J, Modi J, DiMeglio M, Gutsche J, Szeto WY, Puzianowska-Kuzmicka M : Acquired immunological imbalance after surgery with cardiopulmonary bypass due ot epigenetic over-activation of PU.1/M-CSF” J Trans Medicine 143(16): 1-13, 2018.

Laudanski K, Lapko N, Zawadka M, Danet-Desnoyer G, Worthen GS: The clinical and immunological performance of 28 days survival model of cecal ligation and puncture in humanized mice. PLoS One 12(7): e0180377, 2017.

Lapko N, Zawadka M, Polosak J, Worthen GS, Danet-Desnoyers G, Puzianowska-Kuzmicka M, Laudanski K : Long-term monocyte dysfunction after sepsis in humanized mice is related to persisted activation of M-CSF and demethylation of PU.1 and it can be reversed by blocking M-CSF in vitro or by transplanting naïve autologous stem cells in vivo.” Frontiers in Immunology 8: 401-412, 2017.

Zawadka M, Wahome J, Oszkiel H, Szeto WY, Cobb B, Laudanski K.: Long-term alterations in monocyte function after elective cardiac surgery. Anesthesia 2017.

Laudanski K, Miller-Graziano C, Xiao W, Mindrinos MN, Richards DR, De A, Moldawer LL, Maier RV, Bankey P, Baker HV, Brownstein BH, Cobb JP, Calvano SE, Davis RW, Tompkins RG: Cell-specific expression and pathway analyses reveal alterations in trauma-related human T cell and monocyte pathways. Proc Natl Acad Sci U S A 103(42): 15564-15569, 2006.

5. Laudanski K, R.Eckenhoff : Anesthesia-induced neuroinflammation. JPAM 1(2): 120-124, 2014.

Laudanski K, Meng Q, Zawadka M, Oszkiel H, Lapko N, Nowak Z, Worthen SG: Ketamine affects the differentiation of monocytes into immature dendritic cells via Transforming Growth Factor Anesthesiology 123(3): 628-641, 2015.

Joseph T, DiMeglio M, Huffenberger, Laudanski K: Behavioral Patterns of Electrolyte Repletion in Intensive Care Units: Lessons from a Large Electronic Dataset Anesthesia & Analgesia 124(4), 2018.

Laudanski K, Valagapudi V: ICU Capacity Strain: The Need for Standardization of Definitions. Critical Care Connection Page: 14, June/July 2018.

Pieczynski LM, Laudanski K, Speck RM, McCunn M: Analysis of field reports from anaesthesia volunteers in low- to middle-income countries. Medical Education 47(10): 1029-36, Oct 2013.

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Last updated: 09/18/2018
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