Research Topics
| A MacarioSummaryAffiliation: Stanford University Country: USA Publications
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Detail Information
Publications
Cost-effectiveness of a trial of labor after previous cesareanA 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...
Should I get a Master of Business Administration? The anesthesiologist with education training: training options and professional opportunitiesArjun 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...
Cost-effectiveness of external cephalic version for term breech presentationJonathan 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...- Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort studyChristian 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.... - 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... - Treatment of 94 outpatients with chronic discogenic low back pain with the DRX9000: a retrospective chart reviewAlex 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.)... - Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back painAlex 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... - Hospital profitability per hour of operating room time can vary among surgeonsA 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... - 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..g., neonates, a low ambient operating room temperature, burn patients, and general anesthesia with neuraxial anesthesia)... - Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technologyAlex 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... - Meta-analysis of trials comparing postoperative recovery after anesthesia with sevoflurane or desfluraneAlex 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.... - Cost-effectiveness of a trial of labor after previous cesarean delivery depends on the a priori chance of successAlex 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 - The pharmacy cost of delivering postoperative analgesia to patients undergoing joint replacement surgeryAlex 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... - Operative time and other outcomes of the electrothermal bipolar vessel sealing system (LigaSure) versus other methods for surgical hemostasis: a meta-analysisAlex 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... - A Markov computer simulation model of the economics of neuromuscular blockade in patients with acute respiratory distress syndromeAlex 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)?.. - Forecasting surgical groups' total hours of elective cases for allocation of block time: application of time series analysis to operating room managementF Dexter
Department of Anesthesia, University of Iowa, Iowa City 52242, USA
Anesthesiology 91:1501-8. 1999.... - Which algorithm for scheduling add-on elective cases maximizes operating room utilization? Use of bin packing algorithms and fuzzy constraints in operating room managementF Dexter
Department of Anesthesia, University of Iowa, Iowa City 52242, USA
Anesthesiology 91:1491-500. 1999.... - Decrease in case duration required to complete an additional case during regularly scheduled hours in an operating room suite: a computer simulation studyF Dexter
Department of Anesthesia, University of Iowa, Iowa City 52242, USA
Anesth Analg 88:72-6. 1999..Additional cases may best be added to the operating room suite schedule by optimizing case scheduling, not by decreasing the duration of all cases in the suite... - 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 timeF Dexter
Department of Anesthesia, University of Iowa, Iowa City 52242, USA
Anesth Analg 89:7-20. 1999.... - Optimal sequencing of urgent surgical cases. Scheduling cases using operating room information systemsF 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... - A strategy for deciding operating room assignments for second-shift anesthetistsF Dexter
Department of Anesthesia, University of Iowa, Iowa City 52242, USA
Anesth Analg 89:920-4. 1999..IMPLICATIONS: A relief strategy that relies only on analyzing historical case durations from an operating room information system to predict the time remaining in cases performs well at minimizing anesthetist staffing costs... - Variation in practice patterns of anesthesiologists in California for prophylaxis of postoperative nausea and vomitingA 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... - 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 centerF Dexter
Department of Anesthesia, University of Iowa, Iowa City 52242, USA
Anesth Analg 88:1053-63. 1999.... - Scheduling surgical cases into overflow block time- computer simulation of the effects of scheduling strategies on operating room labor costsF Dexter
Department of Anesthesia, University of Iowa, Iowa City, Iowa 52242, USA
Anesth Analg 90:980-8. 2000..Staffing costs were lowest when the operating room (OR) manager did not incorporate surgeon and patient preferences when scheduling cases into overflow block time... - The impact on revenue of increasing patient volume at surgical suites with relatively high operating room utilizationF Dexter
Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, IA 52242, USA
Anesth Analg 92:1215-21. 2001..g., 90%), computer simulations predict that increasing patient volume by the amount expected to "fill" the operating room can have the net effect of decreasing contribution margin (i.e., profitability)... - Obstetric postanesthesia care unit stays: reevaluation of discharge criteria after regional anesthesiaS 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... - 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... - Which clinical anesthesia outcomes are important to avoid? The perspective of patientsA Macario
Department of Anesthesia, Stanford University Medical Center, California 94305 5115, USA
Anesth Analg 89:652-8. 1999..Whether clinicians can improve the quality of anesthesia by designing anesthesia regimens that most closely meet each individual patient's preferences for clinical outcomes deserves further study... - Estimating the duration of a case when the surgeon has not recently scheduled the procedure at the surgical suiteA Macario
Department of Anesthesia, Stanford University, California, USA
Anesth Analg 89:1241-5. 1999..More research is needed to improve the precision of estimates of case durations... - Hospital costs and severity of illness in three types of elective surgeryA Macario
Department of Anesthesia and Health Research and Policy, Stanford University Medical Center, California 94305 5115, USA macario_
Anesthesiology 86:92-100. 1997.... - Factors affecting supply and demand of anesthesiologists in Western EuropeChristoph 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... - Learning management systems and lecture capture in the medical academic environmentLarry 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... - Adoption of anesthesia information management systems by academic departments in the United StatesChristoph 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... - Anesthesia 2.0: internet-based information resources and Web 2.0 applications in anesthesia educationLarry 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... - Patient preferences for anesthesia outcomes associated with cesarean deliveryBrendan Carvalho
Department of Anesthesia, H3580, Stanford University School of Medicine, Stanford, California 94305, USA
Anesth Analg 101:1182-7, table of contents. 2005..Unlike general surgical patients who rate nausea and vomiting highest, parturients considered pain during and after cesarean delivery the most important concern... - Self-reported information needs of anesthesia residency applicants and analysis of applicant-related web sites resources at 131 United States training programsLarry 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)... - Improving safety in the operating room: a systematic literature review of retained surgical spongesWenshuai 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... - Analgesia for labor pain: a cost modelA 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... - 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 managementF 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... - Which clinical anesthesia outcomes are both common and important to avoid? The perspective of a panel of expert anesthesiologistsA Macario
Department of Anesthesia, Stanford University Medical Center, California 94305 5640, USA
Anesth Analg 88:1085-91. 1999..The outcomes identified may be reasonable choices to be monitored as part of ambulatory anesthesia clinical quality improvement efforts... - The effect of a perioperative clinical pathway for knee replacement surgery on hospital costsA Macario
Department of Anesthesia, Stanford University Medical Center, California 94305 5115, USA
Anesth Analg 86:978-84. 1998..quot; We found that implementing a clinical pathway for patients undergoing knee replacement surgery reduced the hospitalization costs of this surgery... - Prevalence of anaesthesia information management systems in university-affiliated hospitals in EuropeJaume 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... - 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... - Vaginal twin delivery: a survey and review of location, anesthesia coverage and interventionsB 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... - A retrospective examination of regional plus general anesthesia in children undergoing open heart surgeryG 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... - Operating room utilization alone is not an accurate metric for the allocation of operating room block time to individual surgeons with low caseloadsFranklin Dexter
Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, Iowa 52242, USA
Anesthesiology 98:1243-9. 2003..The authors recommend that at surgical suites trying to allocate OR time to individual low-volume surgeons, OR allocations be based on criteria other than only OR utilization (e.g., based on OR efficiency)... - Development of an appropriate list of surgical procedures of a specified maximum anesthetic complexity to be performed at a new ambulatory surgery facilityFranklin 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..IMPLICATIONS: We describe a novel method to develop a comprehensive list of procedures that have a prespecified maximum level of anesthetic complexity to be performed at a new ambulatory surgery facility... - 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 - Staffing and case scheduling for anesthesia in geographically dispersed locations outside of operating roomsFranklin 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... - Quantifying effect of a hospital's caseload for a surgical specialty on that of another hospital using multi-attribute market segmentsFranklin 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... - Technology and computing in the surgical suite: key features of an or management information system and opportunities for the futureAlex Macario
Anesth Analg 95:1120-1. 2002 - Economic considerations related to providing adequate pain relief for women in labour: comparison of epidural and intravenous analgesiaCecil 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... - Is there value in obtaining a patient's willingness to pay for a particular anesthetic intervention?Alex Macario
Anesthesiology 104:906-9. 2006 - Are your hospital operating rooms "efficient"? A scoring system with eight performance indicatorsAlex Macario
Anesthesiology 105:237-40. 2006 - Training attendings to be expert teachers: the Stanford Anesthesia Teaching Scholars programAlex Macario
J Clin Anesth 20:241-2. 2008 - The reuse of anesthesia breathing systems: another difference of opinion and practice between the United States and EuropeChristoph B Egger Halbeis
J Clin Anesth 20:81-3. 2008