Steven K Howard

Summary

Affiliation: Stanford University
Country: USA

Publications

  1. ncbi request reprint The risks and implications of excessive daytime sleepiness in resident physicians
    Steven K Howard
    Patient Safety Center of Inquiry, VA Palo Alto Health Care System, and the Department of Anesthesia, Stanford University School of Medicine, Stanford, California, USA
    Acad Med 77:1019-25. 2002
  2. ncbi request reprint Fatigue in anesthesia: implications and strategies for patient and provider safety
    Steven K Howard
    Patient Safety Center of Inquiry, Anesthesia Service, VA Palo Alto Health Care System, Department of Anesthesia, Stanford University School of Medicine, California 94304, USA
    Anesthesiology 97:1281-94. 2002
  3. ncbi request reprint Simulation study of rested versus sleep-deprived anesthesiologists
    Steven K Howard
    Patient Safety Center of Inquiry, VA Palo Alto Health Care System and Department of Anesthesia, Stanford University School of Medicine, California 94304, USA
    Anesthesiology 98:1345-55; discussion 5A. 2003
  4. doi request reprint A randomized comparison of proximal and distal ultrasound-guided adductor canal catheter insertion sites for knee arthroplasty
    Edward R Mariano
    Departments of Anesthesiology, Perioperative and Pain Medicine E R M, T E K, M J W, N F, T K H, T W, T G, S K H and Orthopedic Surgery N G, S W, VA Palo Alto Health Care System, Palo Alto, California USA and Stanford University School of Medicine, Stanford, California USA
    J Ultrasound Med 33:1653-62. 2014
  5. pmc Continuous adductor canal blocks are superior to continuous femoral nerve blocks in promoting early ambulation after TKA
    Seshadri C Mudumbai
    Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
    Clin Orthop Relat Res 472:1377-83. 2014
  6. pmc An ultrasound-guided fascia iliaca catheter technique does not impair ambulatory ability within a clinical pathway for total hip arthroplasty
    Seshadri C Mudumbai
    Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA
    Korean J Anesthesiol 69:368-75. 2016
  7. doi request reprint Evaluation of a Standardized Program for Training Practicing Anesthesiologists in Ultrasound-Guided Regional Anesthesia Skills
    Edward R Mariano
    Department of Anesthesiology, Perioperative and Pain Medicine E R M, T K H, J T K, D M G, T G, A K, S K H, VA Palo Alto Health Care System, Palo Alto, California USA and Stanford University School of Medicine, Stanford, California USA Department of Anesthesiology, Newport Harbor Anesthesia Consultants, Newport Beach, California USA J K and Department of Anesthesiology Duke University School of Medicine, Durham, North Carolina USA A D U
    J Ultrasound Med 34:1883-93. 2015
  8. doi request reprint Comparative effectiveness of infraclavicular and supraclavicular perineural catheters for ultrasound-guided through-the-catheter bolus anesthesia
    T Kyle Harrison
    Departments of Anesthesiology, Perioperative and Pain Medicine T K H, T E K, S K H, N F, M J W, T L W, T G, E R M and Surgery, Division of Plastic and Reconstructive Surgery C C, J C, VA Palo Alto Health Care System, Palo Alto, California USA and Stanford University School of Medicine, Stanford, California USA
    J Ultrasound Med 34:333-40. 2015
  9. ncbi request reprint Patient safety: fatigue among clinicians and the safety of patients
    David M Gaba
    Patient Safety Center of Inquiry, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA
    N Engl J Med 347:1249-55. 2002
  10. doi request reprint The Perioperative Surgical Home model facilitates change implementation in anesthetic technique within a clinical pathway for total knee arthroplasty
    Seshadri C Mudumbai
    Anesthesiology and Perioperative Care Service, VA Palo Alto Health Care System, Palo Alto, CA, USA Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
    Healthc (Amst) 4:334-339. 2016

Collaborators

Detail Information

Publications36

  1. ncbi request reprint The risks and implications of excessive daytime sleepiness in resident physicians
    Steven K Howard
    Patient Safety Center of Inquiry, VA Palo Alto Health Care System, and the Department of Anesthesia, Stanford University School of Medicine, Stanford, California, USA
    Acad Med 77:1019-25. 2002
    ..To assess the levels of physiologic and subjective sleepiness in residents in three conditions: (1) during a normal (baseline) work schedule, (2) after an in-hospital 24-hour on-call period, and (3) following a period of extended sleep...
  2. ncbi request reprint Fatigue in anesthesia: implications and strategies for patient and provider safety
    Steven K Howard
    Patient Safety Center of Inquiry, Anesthesia Service, VA Palo Alto Health Care System, Department of Anesthesia, Stanford University School of Medicine, California 94304, USA
    Anesthesiology 97:1281-94. 2002
  3. ncbi request reprint Simulation study of rested versus sleep-deprived anesthesiologists
    Steven K Howard
    Patient Safety Center of Inquiry, VA Palo Alto Health Care System and Department of Anesthesia, Stanford University School of Medicine, California 94304, USA
    Anesthesiology 98:1345-55; discussion 5A. 2003
    ..The authors used a realistic simulation environment to study the effects of sleep deprivation on psychomotor and clinical performance, subjective and objective sleepiness, and mood...
  4. doi request reprint A randomized comparison of proximal and distal ultrasound-guided adductor canal catheter insertion sites for knee arthroplasty
    Edward R Mariano
    Departments of Anesthesiology, Perioperative and Pain Medicine E R M, T E K, M J W, N F, T K H, T W, T G, S K H and Orthopedic Surgery N G, S W, VA Palo Alto Health Care System, Palo Alto, California USA and Stanford University School of Medicine, Stanford, California USA
    J Ultrasound Med 33:1653-62. 2014
    ..We hypothesized that proximal placement will result in faster onset of saphenous nerve anesthesia, without additional motor block, compared to a distal technique...
  5. pmc Continuous adductor canal blocks are superior to continuous femoral nerve blocks in promoting early ambulation after TKA
    Seshadri C Mudumbai
    Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
    Clin Orthop Relat Res 472:1377-83. 2014
    ..A promising alternative is adductor canal CPNB that delivers a primarily sensory blockade; however, the differential effects of these two techniques on functional outcomes after TKA are not well established...
  6. pmc An ultrasound-guided fascia iliaca catheter technique does not impair ambulatory ability within a clinical pathway for total hip arthroplasty
    Seshadri C Mudumbai
    Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA
    Korean J Anesthesiol 69:368-75. 2016
    ..We designed this study to compare postoperative ambulation outcome in THA patients who were treated with a new ultrasound-guided fascia iliaca catheter (FIC) technique or intrathecal morphine (ITM)...
  7. doi request reprint Evaluation of a Standardized Program for Training Practicing Anesthesiologists in Ultrasound-Guided Regional Anesthesia Skills
    Edward R Mariano
    Department of Anesthesiology, Perioperative and Pain Medicine E R M, T K H, J T K, D M G, T G, A K, S K H, VA Palo Alto Health Care System, Palo Alto, California USA and Stanford University School of Medicine, Stanford, California USA Department of Anesthesiology, Newport Harbor Anesthesia Consultants, Newport Beach, California USA J K and Department of Anesthesiology Duke University School of Medicine, Durham, North Carolina USA A D U
    J Ultrasound Med 34:1883-93. 2015
    ..Practicing anesthesiologists have generally not received formal training in ultrasound-guided perineural catheter insertion. We designed this study to determine the efficacy of a standardized teaching program in this population...
  8. doi request reprint Comparative effectiveness of infraclavicular and supraclavicular perineural catheters for ultrasound-guided through-the-catheter bolus anesthesia
    T Kyle Harrison
    Departments of Anesthesiology, Perioperative and Pain Medicine T K H, T E K, S K H, N F, M J W, T L W, T G, E R M and Surgery, Division of Plastic and Reconstructive Surgery C C, J C, VA Palo Alto Health Care System, Palo Alto, California USA and Stanford University School of Medicine, Stanford, California USA
    J Ultrasound Med 34:333-40. 2015
    ..This study investigated the through-the-catheter bolus technique for supraclavicular catheters and tested the hypothesis that infraclavicular catheters provide faster onset of brachial plexus anesthesia...
  9. ncbi request reprint Patient safety: fatigue among clinicians and the safety of patients
    David M Gaba
    Patient Safety Center of Inquiry, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA
    N Engl J Med 347:1249-55. 2002
  10. doi request reprint The Perioperative Surgical Home model facilitates change implementation in anesthetic technique within a clinical pathway for total knee arthroplasty
    Seshadri C Mudumbai
    Anesthesiology and Perioperative Care Service, VA Palo Alto Health Care System, Palo Alto, CA, USA Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
    Healthc (Amst) 4:334-339. 2016
    ..The rate of adoption of this practice, however, is slow at the current time. We hypothesized that a Perioperative Surgical Home (PSH) model facilitates rapid change implementation in anesthesia...
  11. pmc Can bedside patient-reported numbness predict postoperative ambulation ability for total knee arthroplasty patients with nerve block catheters?
    Seshadri C Mudumbai
    Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, CA, USA Anesthesiology and Perioperative Care Service, Veterans Affairs Palo Alto Health Care System, CA, USA
    Korean J Anesthesiol 69:32-6. 2016
    ..The present study evaluates the validity of a relatively new patient-reported outcome, i.e., a numbness score obtained using a numeric rating scale, and assesses its predictive value on postoperative ambulation...
  12. doi request reprint A randomized comparison of long-axis and short-axis imaging for in-plane ultrasound-guided popliteal-sciatic perineural catheter insertion
    T Edward Kim
    Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
    J Anesth 28:854-60. 2014
    ..For the popliteal-sciatic nerve, we hypothesized that a long-axis in-plane technique, placing the catheter parallel and posterior to the nerve, results in faster onset of sensory anesthesia compared to a short-axis in-plane technique...
  13. doi request reprint External validation of simulation-based assessments with other performance measures of third-year anesthesiology residents
    Seshadri C Mudumbai
    Anesthesia Service, VA Palo Alto Health Care System, Palo Alto, CA 94304, USA
    Simul Healthc 7:73-80. 2012
    ..We hypothesized that technical and nontechnical performance in the simulated environment is related to other various criterion measures, providing evidence to support the validity of the scores from the performance-based assessment...
  14. doi request reprint Feasibility of eye-tracking technology to quantify expertise in ultrasound-guided regional anesthesia
    T Kyle Harrison
    Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
    J Anesth 30:530-3. 2016
    ..Area of interest fixations were recorded and heat maps of gaze fixations were created. Results suggest a potential application of eye-tracking technology in the assessment of UGRA learning and performance. ..
  15. doi request reprint Design and Implementation of a Perioperative Surgical Home at a Veterans Affairs Hospital
    Tessa L Walters
    VA Palo Alto Health Care System, Palo Alto, CA, USA Stanford University School of Medicine, Palo Alto, CA, USA
    Semin Cardiothorac Vasc Anesth 20:133-40. 2016
    ..Today, our Perioperative Surgical Home facilitates communication between various services involved in the care of surgical patients, monitoring of patient outcomes, and continuous process improvement. ..
  16. doi request reprint Comparison of catheter tip migration using flexible and stimulating catheters inserted into the adductor canal in a cadaver model
    Christopher A J Webb
    Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
    J Anesth 29:471-4. 2015
    ..547) and catheter length within the adductor canal (p = 0.498) were not different between groups. Therefore, catheter type may not affect the risk of catheter tip migration when placed prior to knee arthroplasty. ..
  17. doi request reprint Comparative Effectiveness of Two Ultrasound-Guided Regional Block Techniques for Surgical Anesthesia in Open Unilateral Inguinal Hernia Repair
    Lauren Steffel
    Department of Anesthesiology, Perioperative and Pain Medicine L S, T E K, S K H, A K, E R M and Division of General Surgery D P L, Stanford University School of Medicine, Stanford, California USA and Anesthesiology and Perioperative Care Service T E K, S K H, R K, E R M and Surgical Service D P L, VA Palo Alto Health Care System, Palo Alto, California USA
    J Ultrasound Med 35:177-82. 2016
    ..Based on this study, double TAP may be preferred for patients undergoing open inguinal hernia repair who wish to avoid general anesthesia. ..
  18. ncbi request reprint An in vitro study to evaluate the utility of the "air test" to infer perineural catheter tip location
    Jack M Kan
    Department of Anesthesia, VA Palo Alto Health Care System, Palo Alto, CA 94304 USA
    J Ultrasound Med 32:529-33. 2013
    ..The air test improved the expert clinician's assessment of catheter tip position compared to chance, but there was no difference when compared to direct visualization of the catheter without air injection...
  19. pmc A comparison of strength for two continuous peripheral nerve block catheter dressings
    Lindsay Borg
    Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
    Korean J Anesthesiol 69:506-509. 2016
    ..However, catheter dressing techniques to prevent such dislodgment have not been studied rigorously. We designed this simulation study to test the strength of two commercially available catheter dressings...
  20. doi request reprint A retrospective comparative provider workload analysis for femoral nerve and adductor canal catheters following knee arthroplasty
    Michael Rasmussen
    Regional Anesthesiology and Acute Pain Medicine Fellow, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
    J Anesth 29:303-7. 2015
    ..003]. Postoperative opioid consumption and length of stay were similar between groups. We conclude that adductor canal catheters offer both patient and provider benefits when compared to femoral nerve catheters. ..
  21. doi request reprint A pilot in vitro evaluation of the "air test" for perineural catheter tip localization by a novice regional anesthesiologist
    Jason Johns
    Department of Anesthesiology, Perioperative and Pain Medicine, VA Palo Alto Health Care System, Palo Alto, California USA and Stanford University School of Medicine, Stanford, California USA
    J Ultrasound Med 33:2197-200. 2014
    ..In contrast to the results of the expert study, the air test did not improve the novice's assessment of perineural catheter tip location over chance. ..
  22. ncbi request reprint A randomized comparison of long-and short-axis imaging for in-plane ultrasound-guided femoral perineural catheter insertion
    Edward R Mariano
    Department of Anesthesia, VA Palo Alto Health Care System, Palo Alto, California 94304, USA
    J Ultrasound Med 32:149-56. 2013
    ..We hypothesized that a long-axis in-plane technique for femoral perineural catheter insertion results in faster onset of sensory anesthesia compared to a short-axis in-plane technique...
  23. pmc Trainee fatigue: are new limits on work hours enough?
    Steven K Howard
    Patient Safety Center of Inquiry, VA Palo Alto Health Care System and Stanford University School of Medicine, Palo Alto, Calif 94304, USA
    CMAJ 170:975-6. 2004
  24. ncbi request reprint Clinicians' recognition of the Ohmeda Modulus II plus and Ohmeda Excel 210 SE anesthesia machine system mode and function
    Yasser A Sowb
    Patient Simulation Center of Innovation PSCI and Anesthesiology Service, Veterans Affairs Palo Alto Health Care System, Stanford University School of Medicine, Stanford, California, USA
    Simul Healthc 1:26-31. 2006
    ..In this paper, we examined anesthesiologists' responses to the anesthesia machine (AM) in the "off" position during a simulated emergent cesarean section scenario...
  25. doi request reprint Use of medical simulation to explore equipment failures and human-machine interactions in anesthesia machine pipeline supply crossover
    Seshadri C Mudumbai
    Anesthesia Service, Palo Alto, CA 94304, USA
    Anesth Analg 110:1292-6. 2010
    ..We present the use of an equipment malfunction simulation scenario, oxygen (O(2))/nitrous oxide (N(2)O) pipeline crossover, to probe residents' knowledge and their use of anesthetic equipment in a rapidly escalating crisis...
  26. ncbi request reprint Improving alertness and performance in emergency department physicians and nurses: the use of planned naps
    Rebecca Smith-Coggins
    Department of Surgery Emergency Medicine, Stanford University, 701 Welch Rd, Suite C, Palo Alto, CA 94304 1713, USA
    Ann Emerg Med 48:596-604, 604.e1-3. 2006
    ..We examine whether a 40-minute nap opportunity at 3 AM can improve cognitive and psychomotor performance in physicians and nurses working 12-hour night shifts...
  27. ncbi request reprint Availability and Readability of Online Patient Education Materials Regarding Regional Anesthesia Techniques for Perioperative Pain Management
    Gunjan Kumar
    VA Palo Alto Health Care System, Stanford University School of Medicine, Anesthesiology and Perioperative Care Service, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford, California Stanford University School of Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford, California, USA
    Pain Med . 2016
    ..Further, fellowship-based PEM posted are at a higher reading level than PEM posted by nonfellowship institutions and are more likely to omit certain risk descriptions...
  28. doi request reprint Implementing emergency manuals: can cognitive aids help translate best practices for patient care during acute events?
    Sara N Goldhaber-Fiebert
    From the Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, and VA Palo Alto Health Care System, Palo Alto, California
    Anesth Analg 117:1149-61. 2013
    ..Finally, we discuss cultural readiness for change, present a system example of successful integration, and highlight the importance of further research on the implementation of emergency manuals. ..
  29. ncbi request reprint Preliminary study of ergonomic behavior during simulated ultrasound-guided regional anesthesia using a head-mounted display
    Ankeet D Udani
    Department of Anesthesia, VA Palo Alto Health Care System, Palo Alto, California 94304, USA
    J Ultrasound Med 31:1277-80. 2012
    ..Head-mounted display technology may offer potential advantages during ultrasound-guided regional anesthesia...
  30. ncbi request reprint Use of cognitive aids in a simulated anesthetic crisis
    T Kyle Harrison
    Patient Simulation Center of Innovation at VA Palo Alto Health Care System and the Department of Anesthesia, Stanford University School of Medicine, Stanford, California 94304, USA
    Anesth Analg 103:551-6. 2006
    ..We were able to show a strong correlation between the use of a cognitive aid and the correct treatment of MH...
  31. doi request reprint A pilot study to assess adductor canal catheter tip migration in a cadaver model
    Jody C Leng
    Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
    J Anesth 29:308-12. 2015
    ..However, future studies involving a larger sample size, actual patients, and other catheter types are warranted. ..
  32. doi request reprint Emergency Manual Uses During Actual Critical Events and Changes in Safety Culture From the Perspective of Anesthesia Residents: A Pilot Study
    Sara N Goldhaber-Fiebert
    From the Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California Anesthesiology and Perioperative Care Service, VA Palo Alto Health Care System, Palo Alto, California and Department of Medicine, Stanford University School of Medicine, Stanford, California
    Anesth Analg 123:641-9. 2016
    ....
  33. ncbi request reprint Using the rapid response system to provide better oversight of patient care processes
    Michelle S Moore
    Department of Critical Care Medicine, Stanford University School of Medicine, CA, USA
    Jt Comm J Qual Patient Saf 33:695-8, 645. 2007
    ..The cross-disciplinary nature of patient care and medical emergency teams allows for identification of systemwide problems that might otherwise be perceived as isolated events...
  34. ncbi request reprint Use of a fully simulated intensive care unit environment for critical event management training for internal medicine residents
    Geoffrey K Lighthall
    Department of Anesthesia, Stanford University Medical Center, and VA Palo Alto Health Care System, CA, USA
    Crit Care Med 31:2437-43. 2003
  35. doi request reprint Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns using a new observation system
    T Manser
    Center for Organizational and Occupational Sciences, ETH Zurich, Switzerland
    Ergonomics 51:1153-78. 2008
    ..Using a new observation system, it describes patterns employed by health care professionals in response to changing task demands in an acute patient care setting...
  36. ncbi request reprint Re: The impact of sleep deprivation on product quality and procedure effectiveness in a laparoscopic physical simulator
    Michael D Nevarez
    Am J Surg 192:139. 2006