A Macario

Summary

Affiliation: Stanford University
Country: USA

Publications

  1. ncbi request reprint Cost-effectiveness of a trial of labor after previous cesarean
    A Chung
    Department of Anesthesia and Gynecology and Obstetrics, Stanford University School of Medicine, Stanford, California 94305-5640, USA
    Obstet Gynecol 97:932-41. 2001
  2. ncbi request reprint Hospital profitability per hour of operating room time can vary among surgeons
    A Macario
    Department of Anesthesia, Stanford University School of Medicine, Stanford, California 94305 5640, USA
    Anesth Analg 93:669-75. 2001
  3. doi request reprint Should I get a Master of Business Administration? The anesthesiologist with education training: training options and professional opportunities
    Arjun M Desai
    Department of Anesthesia, Stanford University School of Medicine, Stanford, California 94305 5640, USA
    Curr Opin Anaesthesiol 22:191-8. 2009
  4. pmc Cost-effectiveness of external cephalic version for term breech presentation
    Jonathan M Tan
    Department of Anesthesiology, Stony Brook University Medical Center, Stony Brook, New York 11794 8480, USA
    BMC Pregnancy Childbirth 10:3. 2010
  5. pmc Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study
    Christian C Apfel
    Perioperative Clinical Research Core, Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California, USA
    BMC Musculoskelet Disord 11:155. 2010
  6. doi request reprint Treatment of 94 outpatients with chronic discogenic low back pain with the DRX9000: a retrospective chart review
    Alex Macario
    Department of Anesthesia and Health Research and Policy, Stanford University School of Medicine, Stanford, California 94305 5640, USA
    Pain Pract 8:11-7. 2008
  7. ncbi request reprint Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain
    Alex Macario
    Department of Anesthesia, Stanford University School of Medcine, Stanford, California 94305 5640, USA
    Pain Pract 6:171-8. 2006
  8. ncbi request reprint What are the most important risk factors for a patient's developing intraoperative hypothermia?
    Alex Macario
    Department of Anesthesia, Stanford University, Stanford, California 94305 5640, USA
    Anesth Analg 94:215-20, table of contents. 2002
  9. ncbi request reprint Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology
    Alex Macario
    Department of Anesthesia and Health Research and Policy, Stanford University School of Medicine, Stanford, CA 94305 5640, USA
    Arch Surg 141:659-62. 2006
  10. pmc What questions do patients undergoing lower extremity joint replacement surgery have?
    Alex Macario
    Department of Anesthesia, Stanford University School of Medicine, Stanford, California, USA
    BMC Health Serv Res 3:11. 2003

Collaborators

Detail Information

Publications57

  1. ncbi request reprint Cost-effectiveness of a trial of labor after previous cesarean
    A Chung
    Department of Anesthesia and Gynecology and Obstetrics, Stanford University School of Medicine, Stanford, California 94305-5640, USA
    Obstet Gynecol 97:932-41. 2001
    ..74. Improved algorithms are needed to more precisely estimate the likelihood that a patient with a previous cesarean will have a successful vaginal delivery...
  2. ncbi request reprint Hospital profitability per hour of operating room time can vary among surgeons
    A Macario
    Department of Anesthesia, Stanford University School of Medicine, Stanford, California 94305 5640, USA
    Anesth Analg 93:669-75. 2001
    ..Whether the variability in contribution margin among surgeons should be used to more optimally (profitably) allocate OR time depends on the scheduling objectives of the surgical suite...
  3. doi request reprint Should I get a Master of Business Administration? The anesthesiologist with education training: training options and professional opportunities
    Arjun M Desai
    Department of Anesthesia, Stanford University School of Medicine, Stanford, California 94305 5640, USA
    Curr Opin Anaesthesiol 22:191-8. 2009
    ..Many physicians want to know whether they should get a Master of Business Administration (MBA), what type of program is best, and what career paths exist...
  4. pmc Cost-effectiveness of external cephalic version for term breech presentation
    Jonathan M Tan
    Department of Anesthesiology, Stony Brook University Medical Center, Stony Brook, New York 11794 8480, USA
    BMC Pregnancy Childbirth 10:3. 2010
    ..The goal of this study was to determine the incremental cost-effectiveness ratio, from society's perspective, of ECV compared to scheduled cesarean for term breech presentation...
  5. pmc Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study
    Christian C Apfel
    Perioperative Clinical Research Core, Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California, USA
    BMC Musculoskelet Disord 11:155. 2010
    ....
  6. doi request reprint Treatment of 94 outpatients with chronic discogenic low back pain with the DRX9000: a retrospective chart review
    Alex Macario
    Department of Anesthesia and Health Research and Policy, Stanford University School of Medicine, Stanford, California 94305 5640, USA
    Pain Pract 8:11-7. 2008
    ..s.a.)...
  7. ncbi request reprint Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain
    Alex Macario
    Department of Anesthesia, Stanford University School of Medcine, Stanford, California 94305 5640, USA
    Pain Pract 6:171-8. 2006
    ..The objective of this study was to systematically review the literature to assess the efficacy of nonsurgical spinal decompression achieved with motorized traction for chronic discogenic lumbosacral back pain...
  8. ncbi request reprint What are the most important risk factors for a patient's developing intraoperative hypothermia?
    Alex Macario
    Department of Anesthesia, Stanford University, Stanford, California 94305 5640, USA
    Anesth Analg 94:215-20, table of contents. 2002
    ..The risk factors identified to be most important can now be further evaluated in clinical trials to develop a multivariate predictive tool for calculating a patient's a priori risk for developing hypothermia...
  9. ncbi request reprint Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology
    Alex Macario
    Department of Anesthesia and Health Research and Policy, Stanford University School of Medicine, Stanford, CA 94305 5640, USA
    Arch Surg 141:659-62. 2006
    ..We tested the hypothesis that this wand device has a successful detection rate of 100%, with 100% specificity and 100% sensitivity...
  10. pmc What questions do patients undergoing lower extremity joint replacement surgery have?
    Alex Macario
    Department of Anesthesia, Stanford University School of Medicine, Stanford, California, USA
    BMC Health Serv Res 3:11. 2003
    ..This study's goal was to have patients consulting an orthopedic surgeon about undergoing either a total hip arthroplasty (THA) or a total knee arthroplasty (TKA) rate the importance of different questions concerning their care...
  11. ncbi request reprint Meta-analysis of trials comparing postoperative recovery after anesthesia with sevoflurane or desflurane
    Alex Macario
    Departments of Anesthesia and Health Research and Policy, Stanford University School of Medicine, Stanford, CA 94305 5640, USA
    Am J Health Syst Pharm 62:63-8. 2005
    ....
  12. ncbi request reprint Cost-effectiveness of a trial of labor after previous cesarean delivery depends on the a priori chance of success
    Alex Macario
    Departments of Anesthesia and Health Research and Policy, Stanford University School of Medicine, California 94305 5640, USA
    Clin Obstet Gynecol 47:378-85. 2004
  13. ncbi request reprint The pharmacy cost of delivering postoperative analgesia to patients undergoing joint replacement surgery
    Alex Macario
    Department of Anesthesia, Stanford University School of Medicine, Stanford, CA 94305, USA
    J Pain 4:22-8. 2003
    ..The pharmacy cost of delivering postoperative analgesia to patients undergoing joint replacement surgery represents 1% of the total costs of surgery. Almost two thirds of the analgesic costs were for opioids...
  14. doi request reprint Operative time and other outcomes of the electrothermal bipolar vessel sealing system (LigaSure) versus other methods for surgical hemostasis: a meta-analysis
    Alex Macario
    Department of Anesthesia, Stanford University School of Medicine, California 94305 5640, USA
    Surg Innov 15:284-91. 2008
    ..66, 95% CI 0.47-0.92, P = .02), and mean reduction in postoperative pain of 2.8 units (95% CI 1.5-4.1, P < .0001). Five studies used ultrasonic energy as the comparator, but none reported standard deviation so data could not be pooled...
  15. pmc A Markov computer simulation model of the economics of neuromuscular blockade in patients with acute respiratory distress syndrome
    Alex Macario
    Department of Anesthesia, Stanford University School of Medicine, Stanford, CA 94305, USA
    BMC Med Inform Decis Mak 6:15. 2006
    ..and/or a reduction in the incidence of AQMS from 25% to 21%, provide enough benefit to justify a drug with an additional expenditure of $267 (the difference in acquisition cost between a generic and brand name neuromuscular blocker)?..
  16. ncbi request reprint Forecasting surgical groups' total hours of elective cases for allocation of block time: application of time series analysis to operating room management
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesthesiology 91:1501-8. 1999
    ....
  17. ncbi request reprint Which algorithm for scheduling add-on elective cases maximizes operating room utilization? Use of bin packing algorithms and fuzzy constraints in operating room management
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesthesiology 91:1491-500. 1999
    ....
  18. ncbi request reprint Decrease in case duration required to complete an additional case during regularly scheduled hours in an operating room suite: a computer simulation study
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesth Analg 88:72-6. 1999
    ....
  19. ncbi request reprint An operating room scheduling strategy to maximize the use of operating room block time: computer simulation of patient scheduling and survey of patients' preferences for surgical waiting time
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesth Analg 89:7-20. 1999
    ..OR utilization depends greatly on, and increases as, the average length of time patients wait for surgery increases...
  20. ncbi request reprint Optimal sequencing of urgent surgical cases. Scheduling cases using operating room information systems
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    J Clin Monit Comput 15:153-62. 1999
    ..We use an example to illustrate that the optimal sequence varies depending on the scheduling objective chosen...
  21. ncbi request reprint A strategy for deciding operating room assignments for second-shift anesthetists
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesth Analg 89:920-4. 1999
    ..Few additional staff hours would have been saved by supplementing our relief strategy with other methods to monitor case durations (e.g., real-time patient tracking systems or closed circuit cameras in operating rooms)...
  22. ncbi request reprint Computer simulation to determine how rapid anesthetic recovery protocols to decrease the time for emergence or increase the phase I postanesthesia care unit bypass rate affect staffing of an ambulatory surgery center
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesth Analg 88:1053-63. 1999
    ..39 per case) from technologies (e.g., new anesthetics or Bispectral Index [Aspect Medical Systems, Natick, MA] monitoring) to decrease emergence times or increase the phase I bypass rates...
  23. ncbi request reprint Variation in practice patterns of anesthesiologists in California for prophylaxis of postoperative nausea and vomiting
    A Macario
    Department of Anesthesia, Stanford University School of Medicine, 94305 5640, USA
    J Clin Anesth 13:353-60. 2001
    ..These practice patterns data may be useful for understanding how to optimize the decision to provide PONV prophylaxis...
  24. ncbi request reprint Scheduling surgical cases into overflow block time- computer simulation of the effects of scheduling strategies on operating room labor costs
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City, Iowa 52242, USA
    Anesth Analg 90:980-8. 2000
    ..The strategy we developed provides surgeons and patients with some flexibility in scheduling, while only increasing OR staffing costs slightly over the minimum achieved when the OR manager controls scheduling...
  25. ncbi request reprint Obstetric postanesthesia care unit stays: reevaluation of discharge criteria after regional anesthesia
    S E Cohen
    Department of Anesthesia, Stanford University School of Medicine, California 94305 5640, USA
    Anesthesiology 89:1559-65. 1998
    ..This study evaluated whether modified discharge criteria might allow for earlier discharge without compromising patient safety...
  26. ncbi request reprint The impact on revenue of increasing patient volume at surgical suites with relatively high operating room utilization
    F Dexter
    Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, IA 52242, USA
    Anesth Analg 92:1215-21. 2001
    ..e., profitability)...
  27. ncbi request reprint Optimal number of beds and occupancy to minimize staffing costs in an obstetrical unit?
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Can J Anaesth 48:295-301. 2001
    ..We describe how the science of analyzing patient arrival and discharge data can be used to determine the optimal number of staffed OB beds to minimize labour costs...
  28. ncbi request reprint Which clinical anesthesia outcomes are important to avoid? The perspective of patients
    A Macario
    Department of Anesthesia, Stanford University Medical Center, California 94305 5115, USA
    Anesth Analg 89:652-8. 1999
    ..69). Patients rated from most undesirable to least undesirable (in order): vomiting, gagging on the tracheal tube, incisional pain, nausea, recall without pain, residual weakness, shivering, sore throat, and somnolence (F-test < 0.01)...
  29. ncbi request reprint Estimating the duration of a case when the surgeon has not recently scheduled the procedure at the surgical suite
    A Macario
    Department of Anesthesia, Stanford University, California, USA
    Anesth Analg 89:1241-5. 1999
    ..1 h with average case duration of 3.1 h)...
  30. ncbi request reprint Hospital costs and severity of illness in three types of elective surgery
    A Macario
    Department of Anesthesia and Health Research and Policy, Stanford University Medical Center, California 94305 5115, USA macario_
    Anesthesiology 86:92-100. 1997
    ....
  31. doi request reprint Adoption of anesthesia information management systems by academic departments in the United States
    Christoph B Egger Halbeis
    Department of Anesthesiology, Stanford UniversitySchool of Medicine, Stanford, California, 300 Pasteur Drive, Stanford, CA 94305, USA
    Anesth Analg 107:1323-9. 2008
    ..In this study, we assessed the adoption of AIMS at academic anesthesia departments and explored the motivations for and resistance to AIMS adoption...
  32. doi request reprint Self-reported information needs of anesthesia residency applicants and analysis of applicant-related web sites resources at 131 United States training programs
    Larry F Chu
    Department of Anesthesia, Anesthesia Informatics and Media Lab, Stanford University School of Medicine, 300 Pasteur Dr, Room H3580, MC5640, Stanford, CA 94305 2296, USA
    Anesth Analg 112:430-9. 2011
    ..Evidence is needed to guide anesthesia informatics research in developing high-quality anesthesia residency program Web sites (ARPWs)...
  33. doi request reprint Improving safety in the operating room: a systematic literature review of retained surgical sponges
    Wenshuai Wan
    Stanford University School of Medicine, Stanford, California 94305 5640, USA
    Curr Opin Anaesthesiol 22:207-14. 2009
    ..This study's goal was to systematically review the literature on retained sponges to identify body location, time to discovery, methods for detection, and risk factors...
  34. ncbi request reprint Factors affecting supply and demand of anesthesiologists in Western Europe
    Christoph B Egger Halbeis
    Department of Anesthesia, Stanford University School of Medicine, Stanford, California 94305 5640, USA
    Curr Opin Anaesthesiol 19:207-12. 2006
    ..Current demographic and macroeconomic trends indicate that, in Western Europe, the demand for anesthesia services will continue to increase. It is, however, questionable whether there will be sufficient supply...
  35. ncbi request reprint Patient preferences for anesthesia outcomes associated with cesarean delivery
    Brendan Carvalho
    Department of Anesthesia, H3580, Stanford University School of Medicine, Stanford, California 94305, USA
    Anesth Analg 101:1182-7, table of contents. 2005
    ..Common side effects such as pruritus and shivering caused only moderate concern. This information should be used to guide anesthetic choices, e.g., inclusion of spinal opioids given in adequate doses...
  36. doi request reprint Anesthesia 2.0: internet-based information resources and Web 2.0 applications in anesthesia education
    Larry F Chu
    Department of Anesthesia, Stanford University School of Medicine, Stanford, California, USA
    Curr Opin Anaesthesiol 23:218-27. 2010
    ..The goal of this review is to illustrate how Web 2.0 information technologies could be used to improve anesthesia education...
  37. doi request reprint Learning management systems and lecture capture in the medical academic environment
    Larry F Chu
    Department of Anesthesia, Stanford University School of Medicine, Palo Alto, California, USA
    Int Anesthesiol Clin 48:27-51. 2010
    ..More studies are needed to show under what conditions an LMS/LC program actually enhances learning, and which elements are most useful to the new generation of learners comfortable with Web 2.0 technologies...
  38. ncbi request reprint Which clinical anesthesia outcomes are both common and important to avoid? The perspective of a panel of expert anesthesiologists
    A Macario
    Department of Anesthesia, Stanford University Medical Center, California 94305 5640, USA
    Anesth Analg 88:1085-91. 1999
    ..To increase quality of care, reducing the incidence and severity of these outcomes should be prioritized...
  39. ncbi request reprint The effect of a perioperative clinical pathway for knee replacement surgery on hospital costs
    A Macario
    Department of Anesthesia, Stanford University Medical Center, California 94305 5115, USA
    Anesth Analg 86:978-84. 1998
    ..We found that implementing a clinical pathway for patients undergoing knee replacement surgery reduced the hospitalization costs of this surgery...
  40. ncbi request reprint Analgesia for labor pain: a cost model
    A Macario
    Department of Anesthesia, Stanford University, California 94305 5640, USA
    Anesthesiology 92:841-50. 2000
    ..Because there is no valid method to assign a dollar value to differing levels of analgesia, the cost of each technique can be compared with the analgesic benefit (patient pain scores) of each technique...
  41. ncbi request reprint Statistical method to evaluate management strategies to decrease variability in operating room utilization: application of linear statistical modeling and Monte Carlo simulation to operating room management
    F Dexter
    Department of Anesthesia, The University of Iowa, Iowa City, 52242, USA
    Anesthesiology 91:262-74. 1999
    ..The authors developed a method to analyze data from surgical services information systems to evaluate which management interventions can most effectively decrease variability in underutilized time...
  42. ncbi request reprint Physicians' perceptions of minimum time that should be saved to move a surgical case from one operating room to another: internet-based survey of the membership of the Association of Anesthesia Clinical Directors (AACD)
    Franklin Dexter
    Department of Anesthesia, University of Iowa, Iowa City, IA 52242, USA
    J Clin Anesth 15:206-10. 2003
    ..However, there is a penalty cost for moving a case. The goal of the study was to measure perceptions of the minimum time that needs to be saved for it to be worthwhile to move a case from a late-running OR to another OR...
  43. doi request reprint Prevalence of anaesthesia information management systems in university-affiliated hospitals in Europe
    Jaume Balust
    Department of Anaesthesiology, Stanford University School of Medicine, Stanford, California, USA
    Eur J Anaesthesiol 27:202-8. 2010
    ..The purpose of this web survey study was to assess the prevalence of AIMS in European university-affiliated anaesthesia departments and to identify the motivations for and barriers to AIMS adoption...
  44. ncbi request reprint Vaginal twin delivery: a survey and review of location, anesthesia coverage and interventions
    B Carvalho
    Department of Anesthesiology, Stanford University School of Medicine, Stanford, California, USA
    Int J Obstet Anesth 17:212-6. 2008
    ..We surveyed members of the California Society of Anesthesiologists (CSA) to review management of vaginal twin delivery, and examined anesthetic intervention retrospectively at our institution...
  45. ncbi request reprint A retrospective examination of regional plus general anesthesia in children undergoing open heart surgery
    G B Hammer
    Department of Anesthesia, Stanford University Medical Center, Stanford, CA 94305 5115, USA
    Anesth Analg 90:1020-4. 2000
    ..Patients in the SAB group received significantly more sedative/analgesic interventions than those in the EPID group...
  46. ncbi request reprint Operating room utilization alone is not an accurate metric for the allocation of operating room block time to individual surgeons with low caseloads
    Franklin Dexter
    Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, Iowa 52242, USA
    Anesthesiology 98:1243-9. 2003
    ..The authors studied potential limitations affecting whether a facility can accurately estimate the average block time utilizations of individual surgeons performing low volumes of cases...
  47. ncbi request reprint Development of an appropriate list of surgical procedures of a specified maximum anesthetic complexity to be performed at a new ambulatory surgery facility
    Franklin Dexter
    Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, IA 52242, USA
    Anesth Analg 95:78-82, table of contents. 2002
    ....
  48. ncbi request reprint Quantifying effect of a hospital's caseload for a surgical specialty on that of another hospital using multi-attribute market segments
    Franklin Dexter
    Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, Iowa, USA
    Health Care Manag Sci 8:121-31. 2005
    ..When actual market segments with homogeneous groups of patients are used, competitive effects of hospitals in the same market area are far less than expected...
  49. ncbi request reprint Staffing and case scheduling for anesthesia in geographically dispersed locations outside of operating rooms
    Franklin Dexter
    Department of Anesthesia, University of Iowa, Iowa City, Iowa 52242, USA
    Curr Opin Anaesthesiol 19:453-8. 2006
    ..Whereas methods to predict how long such cases take were published recently, this article reviews staffing and case scheduling...
  50. ncbi request reprint What is quality improvement in the preoperative period?
    Tom Archer
    Department of Anesthesia, Stanford University School of Medicine, CA 94305, USA
    Int Anesthesiol Clin 40:1-16. 2002
  51. ncbi request reprint Is there value in obtaining a patient's willingness to pay for a particular anesthetic intervention?
    Alex Macario
    Anesthesiology 104:906-9. 2006
  52. ncbi request reprint Are your hospital operating rooms "efficient"? A scoring system with eight performance indicators
    Alex Macario
    Anesthesiology 105:237-40. 2006
  53. doi request reprint Training attendings to be expert teachers: the Stanford Anesthesia Teaching Scholars program
    Alex Macario
    J Clin Anesth 20:241-2. 2008
  54. ncbi request reprint Technology and computing in the surgical suite: key features of an or management information system and opportunities for the future
    Alex Macario
    Anesth Analg 95:1120-1. 2002
  55. doi request reprint The reuse of anesthesia breathing systems: another difference of opinion and practice between the United States and Europe
    Christoph B Egger Halbeis
    J Clin Anesth 20:81-3. 2008
  56. ncbi request reprint Economic considerations related to providing adequate pain relief for women in labour: comparison of epidural and intravenous analgesia
    Cecil Huang
    Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women s Hospital, Harvard University, Boston, Massachusetts, USA
    Pharmacoeconomics 20:305-18. 2002
    ..A rational social policy for providing labour analgesia must weigh the value of improved pain relief from epidural analgesia against the increased cost of epidural analgesia...