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Caroline A. Pasquariello, MD, FAAP

Caroline A. Pasquariello, MD, FAAP

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Associate Professor of Clinical Anesthesiology and Critical Care
Department: Anesthesiology and Critical Care

Contact information
The Children's Hospital of Philadelphia
Department of Anesthesiology and Critical Care Medicine
34th and Civic Center Blvd
Philadelphia, PA 19104
Office: 2155904755
Fax: 2155901415
Education:
BA (Psychology)
The University of Pennsylvania, 1978.
MD (Medicine)
University of Pennsylvania School of Medicine, 1982.
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Description of Research Expertise

OR Management
Perioperative Efficiency
Six Sigma (green belt course)
Capacity Flow Management

Description of Clinical Expertise

My main professional interests include: Pediatric Anesthesia, specifically Liver Transplant, Orthopedic and Neonatal Anesthesia, and pediatric Ambulatory Anesthesia. In addition, I have a special interest in Non-Operating Room Anesthesia.

My specific teaching interest is in the thorough preoperative evaluation of the pediatric patient. I work with the residents and fellows on a daily basis,specifically morning sign out with the on call residents. We choose one or two cases that represent either a classic pediatric disease or surgical procedure, or a complicated medical history. We develop problem lists ("anesthetic issues") and attempt to reduce a very complex medical situations into several bullet item problems from which we can deduce an anesthetic plan. We discuss how this technique can be used for the preparation for the Oral Boards, and as well as for preparation for clinical cases. We develop a list of "Pasquariello Pearls" that become part of their clinical armamentarium as they go off into their future practice of anesthesiology.

In addition to teaching resident and fellow physicians, I enjoy teaching the OR and PACU nurses and techs about pediatric anesthesia, pediatrics in general, and the care of the anesthetized child. My feeling is that the team approach to and care of the anesthetized child is of paramount importance.

Description of Other Expertise

I a leader in a hospital wide Perioperative Patient Flow Process Improvement, and a member of both the Steering Team and Team Lead of this Surgical Patient Flow Project. A natural extension of this project is a series of surgical patient flow and process improvement projects. I have been trained in the Kaizen process for Rapid Improvement, as well as having a green belt for Six Sigma.

As a direct result of my involvement, we have improved our "on time starts" in the OR from 13% to greater than 80%. We are currently working to decrease our average "turn around time" between cases to 30 minutes.

We continually strive to decrease preventable patient safety events, improve communication and team building within the OR, and improve patient flow and staff and family satisfaction.

As on off shoot of this experience, I have been asked to be a work-stream leader for the Surgical Demand Capacity Management Initiative, a subset of the hospital wide Capacity Management Initiative, a key project in the CHOP strategic plan under the pillar of ÔÇťoperational excellence".

Selected Publications

Tyler DC, Pasquariello CA, Chen CH: Operating Room utilization: Determination of Optimum Utilization. Anesth Analg 96(4): 1114, April 2003.

Rajchert DM, Pasquariello CA, Watcha MF, Schreiner MS: Rapacuronium and the risk of bronchospasm in pediatric patients. Anesth Analg 94(3): 488, 2002.

Choudry DK, Stayer SA, Schwartz RE, Pasquariello CA: Early intravenous cannulation in children during inhalational induction of anesthesia. Paediatric Anaesthesia 8(2): 123, 1998.

Pasquariello CA: Book Review. Pain Handbook. The American Journal of Anesthesia March-April 1997.

Stayer SA, Schwartz RE, Pasquariello CA, Dunn SP: Pediatric orthotopic liver transplantation: potential predictors of intraoperative blood loss and coagulation status monitoring. Pediatric Surgery International 10: 317, 1995.

Stayer SA, Pasquariello CA, Schwartz RE, Balsara RK, Lear BR: The safety of continuous pleural lignocaine after thoracotomy in children and adolescents. Pediatric Anaesthesia 5(5): 307, 1995.

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Last updated: 09/26/2016
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