Department of Anesthesiology and Critical Care

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Caroline A. Pasquariello, MD, FAAP, FCPP

Associate Professor of Clinical Anesthesiology and Critical Care
Attending Anesthesiologist, Department of Anesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia
Associate Clinical Director of Perioperative Services, Children's Hospital of Philadelphia
Department: Anesthesiology and Critical Care

Contact information
Children's Hospital of Philadelphia
Department of Anesthesiology and Critical Care Medicine
3401 Civic Center Boulevard
Philadelphia, PA 19104
Office: 2155901016
Fax: 2155901415
Education:
BA (Psychology)
University of Pennsylvania, 1978.
MD (Medicine)
University of Pennsylvania Perelman School of Medicine, 1982.
Post-Graduate Training
Intern, Pediatrics, Children's Hospital of Philadelphia, 1982-1983.
Resident, Pediatrics, Children's Hospital of Philadelphia, 1983-1985.
Resident, Anesthesiology, Hospital of the University of Pennsylvania, 1985-1987.
Fellow, Pediatric Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, 1987-1988.
Certifications
American Board of Pediatrics, 1987.
American Board of Anesthesiology, 1988.
Special Competence in Critical Care-American Board of Anesthesiology, 1989.
Pediatric Critical Care Medicine-American Board of Pediatrics, 1990.
Patient Safety Executive Development Program, 2011.
Green Belt Six Sigma Program, Villanova University, 2012.
Pediatric Anesthesiology-American Board of Anesthesiology , 2014.
Children's Hospital of Philadelphia, Improvement Framework Bootcamp, Lean Process Certification, 2015.
Children's Hospital of Philadelphia Physician Leadership Program, 2017.
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Description of Research Expertise

OR Management
Perioperative Efficiency
Six Sigma (green belt course)
Capacity Flow Management
Physician Wellbeing and Burnout prevention

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. Working specifically with residents, fellows and cRNAs, and well as Advance Practice Nurses.

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 am leader in a hospital wide Perioperative Patient Flow Process Improvement A natural extension of this project is a series of surgical patient flow and process improvement projects, including developing a Clinical Pathway to instruct front line clinicians and bedside nurses how to prepare inpatients for anesthesia and sedation. From this work, several projects were developed: I was part of creating an online module to educate practitioners on how to navigate the Periopertive Pathway. I assisted in the development of a Preoperative Order Set, which is accessed through EPIC, and initiated two separate work flows: Perioperative Flow and Communication and Internal Transport. 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 enjoyed major improvement in our on-time starts in the Operating Room and Turn around time in the Operating Room. We have also significantly improved patient flow and patient readiness in the preoperative anesthesia care unit.

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.

I am a member, and divisional leader for the Hospital's Physician Wellbeing Program, an initiative started on the Hospital level to help prevent physician burnout. I am also a senior member of our Divisional Wellness Team, helping to make strides in work/life balance and decrease physician burnout, and increase physician and staff engagement.

Selected Publications

Rajchert DM, Pasquariello CA, Watcha MF, Schreiner MS: Rapacuronium and the risk of bronchospasm in pediatric patients. Anesth Analg 94(3): 488-493, 2002.

Choudry DK, Stayer SA, Schwartz RE, Pasquariello CA: Early intravenous cannulation in children during inhalational induction of anesthesia. Paediatric Anaesthesia 8(2): 123-126, 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(5-6): 317-321, 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): 307-310, 1995.

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Last updated: 08/06/2021
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