Stephen Edward Kowalski MD, FRCP(C)

CURRICULUM VITAE
___________________________________________________________________
_
Stephen Edward Kowalski MD, FRCP(C)
Professor
Department of Anesthesia & Perioperative Medicine
Department of Internal Medicine – Section of Critical Care
Faculty of Medicine, University of Manitoba
Associate Head, Research & Academic Affairs
Department of Anesthesia & Perioperative Medicine
WRHA Anesthesia Program, University of Manitoba
Stephen E. Kowalski
Curriculum Vitae
MEDICAL EDUCATION
1972 – 1974 Pre-Med - University of Toronto, Toronto Ontario
1974 –1978 MD - University of Toronto, Toronto Ontario
1978 - 1979 Straight Medical Internship - Toronto General Hospital, University of Toronto
1979 – 1982 Resident - Anesthesia - University of Toronto
1981 - 1982 Senior Resident - Toronto General Hospital and Hospital for Sick Children
1983 - 1985 Research Fellow - Research Investigation Unit, University of Manitoba
PROFESSIONAL DEGREES, QUALIFICATIONS and AWARDS
1972
Academic Scholarship (2yr) - University College, University of Toronto
1978
M.D - University of Toronto
1978
Award - General Proficiency in Medicine, University of Toronto
1978
Medical Council of Canada (L.M.C.C.)
1983
Fellow - Royal College of Physicians and Surgeons of Canada (Anesthesia)
2002
Certification - Perioperative Transesophageal Echocardiography
National Board of Echocardiography (US)
2005 Sep CMA Physician Manager Institute Course
PMI 1 – Leadership begins with self awareness
PMI 11 – Engaging others
2007 Apr CMA Physician Manager Institute Course
PMI 111 - Management Dynamics
2009 Apr CMA Physician Manager Course
PMI 1V - Negotiation and Conflict Management
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Stephen E. Kowalski
Curriculum Vitae
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POST GRADUATE APPOINTMENTS
1980
Locum - General Practice (4mo) Rainey River, Ontario
1983
Lecturer - Department of Anesthesia
Health Sciences Centre, University of Manitoba
1985
Assistant Professor - Department of Anesthesia
Health Sciences Centre, University of Manitoba
1985 - 2003
Medical Director - Post Anesthesia Care Unit
Health Sciences Centre, University of Manitoba
1985-present Cross-appointment - Department of Internal Medicine - Section of Critical Care
Attending Physician, Medical Intensive Care Unit, Health Sciences Centre
1987-present Attending Physician - Surgical and Medical Intensive Care Units
Health Sciences Centre, University of Manitoba
1988-present Cardiac Anesthesiologist - Health Sciences Centre, University of Manitoba
1990-present Associate Professor - Department of Anesthesia / Section of Critical Care
Health Sciences Centre, University of Manitoba
1990 – 1998
Medical Director - Acute Pain Service
Health Sciences Centre, University of Manitoba
1993-present Attending Physician - Surgical and Medical Intensive Care Unit
St. Boniface General Hospital, University of Manitoba
2000 – 2010
Medical Director - Intermediate Intensive Care Unit
Health Sciences Centre, University of Manitoba
2005 – 2006
Acting Head - Department of Anesthesia
University of Manitoba - WRHA Program
2006- 2014
Site Leader (Adult) - Department of Anesthesia
Health Sciences Centre, University of Manitoba
2006 – 2010
Vice Chair - Clinical Affairs – Department of Anesthesia
University of Manitoba - WRHA Program
2011-present Associate Head - Research and Academic Affairs - Department of Anesthesia
University of Manitoba - WRHA Program
Stephen E. Kowalski
Curriculum Vitae
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COMMITTEES
1985 - 2003
Member - Recovery Room Committee
Health Sciences Centre, University of Manitoba
1988
Chair - Intensive Care Committee
Seven Oaks General Hospital
1988 - present
Member - Executive Committee
Department of Anesthesia, University of Manitoba
1989 - 1997
Member - Promotions Committee
Department of Anesthesia, University of Manitoba
1989 - 1997
Manitoba Representative
Canadian Critical Care Society
1991 - 1999
Chair - Anesthesia Standards Committee
Department of Anesthesia, Health Sciences Centre, University of Manitoba
1992 - 1996
Representative - Economic Advisory Council - Health Sciences Centre
Section of Anesthesia - Manitoba Medical Association
1994
Chair - Conscious Sedation Committee
Health Sciences Centre, University of Manitoba
1996 - 1998
Chair - Section of Anesthesia
Manitoba Medical Association
1996 - 2010
Chair - Adult Critical Care Coordinating Committee
Health Sciences Centre, University of Manitoba
1998 – 2000
Past Chair – Section of Anesthesia
Manitoba Medical Association
1998 – 2000
Member – RVG Negotiating Committee
Manitoba Medical Association
2003 – 2010
Member-at-Large - Anesthesia Executive Committee
Manitoba Medical Association
2005 – 2007
Member - Department Heads’ Council - Faculty of Medicine
University of Manitoba
Stephen E. Kowalski
Curriculum Vitae
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2005 – present
Member - Committee on Academic Standing
Faculty of Medicine, University of Manitoba
2005 – present
Member - Faculty Executive Council
Faculty of Medicine, University of Manitoba
2005 – Present
Member – Association of Canadian Universities Departments of Anesthesia
Canadian Anesthesiologists’ Society (ACUDA)
2006 – 2011
Member - Executive Committee - Associated Anesthetists of Winnipeg
(AAoW) Medical Corporation
2007 – present
Member - Academic Oversight Committee - Department of Anesthesia
University of Manitoba
2010 – present
Member - Perioperative Clinical Trials Group
Canadian Anesthesiologists’ Society (PACT)
2011 – present
Core Member – Research Advisory Committee
Canadian Anesthesiologists’ Society
2012 – 2013
Chair – Executive Committee – Associated Anesthetists of Winnipeg
(AAoW) Medical Corporation
MEMBERSHIPS
Fellow - College of Physicians and Surgeons of Canada
Canadian Anesthesiologists’ Society
Canadian Critical Care Society
American Society of Anesthesiologists
International Anesthesia Research Society
Canadian Medical Association
Doctors Manitoba
Stephen E. Kowalski
Curriculum Vitae
JOURNAL MANUSCRIPT REVIEWS – EXTERNAL
Canadian Journal of Anesthesia 1990, 1992-1993, 1995, 1998-2012
Critical Care Medicine 2002, 2004
Journal of Neuro-anesthesia 2011
GRANT REVIEWS – EXTERNAL
2012
PSI Foundation – grant for Dr. Marco Garavaglia
2013
PSI Foundation – grant for Dr. Marco Garavaglia
2015
PSI Foundation – grant for Drs Mehta and Turgeon
SEARCH COMMITTEES
2000
Member – Search Committee – Head of Critical Care
WRHA and University of Manitoba
2006
Member – Search Committee – Head of Surgery
WRHA and University of Manitoba
CONFERENCE ORGANIZATION
2005, 2007
Manitoba Anesthesiologists’ Society
Annual Meeting and Review Course
2011, 2012
University of Manitoba, Department of Anesthesia
Annual Resident Research Day
RESIDENT RESEARCH SUPERVISION
1988
1992
1993
1993
1998
2003
2007
2008
2013
2013
Dr. Gary Dobson
Dr. Patricia McMillan
Dr. Barry Bradley
Dr. Cynthia Baron
Dr. Donna Nicholson
Dr. Paul Tenenbein
Dr. Michael McMullen
Dr. Brendan McCarthy
Dr. Daniela Goldie (in progress)
Dr. Andrea Petropolis (in progress)
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Stephen E. Kowalski
Curriculum Vitae
2014 Dr. Marta Cenkowski (in progress)
2015 Jay Gorman, BSc Med project
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Stephen E. Kowalski
Curriculum Vitae
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GRANTS IN AID OF RESEARCH
PROJECT
INVESTIGATORS
ROLE
SPONSOR AGENCY
YEAR OF AWARD
SUM
Epidural Fentanyl vs PCA for postoperative analgesia
S. Kowalski. B. Ong, D. Bell
Principal Investigator
Paul H. T. Thorlakson Foundation
1990
$25,000.00
PROJECT
INVESTIGATORS
ROLE
SPONSOR AGENCY
YEAR OF AWARD
SUM
High Spinal Anesthesia in Cardiac Surgery
S. Kowalski, T. Lee, D. Maguire
Principal Investigator
Health Sciences Centre Foundation
2004
$25,000.00
PROJECT
INVESTIGATORS
ROLE
SPONSOR AGENCY
YEAR OF AWARD
SUM
Thoracic delirium and intraoperative cerebral desaturation
S. Kowalski, S. Srinathan, P. St. John, T. Mutter, D. Funk
Principal Investigator
Anesthesia Oversight Committee
2013
$10,000.00
PROJECT
INVESTIGATORS
ROLE
SPONSOR AGENCY
YEAR OF AWARD
SUM
Low dose spinal anesthesia for cesarean section
S. Kowalski, D. Maguire, D. Funk
Co-Investigator
Anesthesia Oversight Committee
2014
$10,000.00
PROJECT
INVESTIGATORS
ROLE
SPONSOR AGENCY
YEAR OF AWARD
SUM
Delirium and spinal anesthesia in cardiac surgery
S. Kowalski, D. Maguire, H. Grocott
Co-Investigator
Health Sciences Centre Foundation
2014
$10,000.00
Stephen E. Kowalski
Curriculum Vitae
PROJECT
Page 9
INVESTIGATORS
ROLE
SPONSOR AGENCY
YEAR OF AWARD
SUM
A review of speaking valve trials for weaning of long-term
Ventilated patients
S. Kowalski, Z. Bshouty
Principal Investigator
Anesthesia Oversight Committee
2014
$5,000.00
PROJECT
INVESTIGATORS
ROLE
SPONSOR AGENCY
YEAR OF AWARD
SUM
Assessment of cough strength in patients with tracheostomies
S. Kowalski, Z. Bshouty
Principal Investigator
Anesthesia Oversight Committee
2015
$5,000.00
PROJECT
INVESTIGATORS
ROLE
SPONSOR AGENCY
YEAR OF AWARD
SUM
A review of de-cortications in Manitoba 2007- 2015
S. Kowalski, D. Funk, S. Srinathan, J. Embil
Principal Investigator
Anesthesia Oversight Committee
2015
$5,000.00
GUEST LECTURER
Nov. 1991
The 2nd J.D. Culligan Memorial Symposium, Winnipeg, Manitoba Anesthesia for
Thoracic Surgery
Nov 1994
The 4th J.D. Culligan Memorial Symposium, Winnipeg, Manitoba
The Management of Acute Pain
May 2002 - Canadian Pain Society Meeting, Winnipeg, Manitoba
Post operative Surgical Rehabilitation
Feb 2003 - Rocky Mountain Critical Care Conference, Lake Louise, Alberta
Alternative Ventilatory Strategies for ARDS
June 2003 - Canadian Anesthesiologists’ Society Meeting, Ottawa, Ontario
Constrictive Pericarditis
Oct 2003 -
Family Practice Anesthesia Update, University of Manitoba
Physiological Consequences of Surgery
May 2004
Health Sciences Centre, Surgical ICU Trauma Day
Pain Management in Burn Patients
2004 Oct
Abbott Laboratories, Ltd. Winnipeg, Manitoba
Cardioprotection by Halogenated Anesthesics: Fact or Fiction
Stephen E. Kowalski
Curriculum Vitae
Page 10
Nov. 2006
Health Sciences Centre, Surgical ICU Trauma Day
Hypovolemic Shock
Mar. 2010
National Conference of Society of Anesthesiologists of Nepal. Katmandu Nepal
Update in Mechanical Ventilation
Apr. 2010
University of Manitoba, Department of Anesthesia Grand Rounds
Update in Mechanical Ventilation
June 2010
Canadian Anesthesiologists Society National Meeting, Montreal PQ
Update in Mechanical Ventilation
Nov. 2010.
Health Sciences Centre, Surgical ICU Trauma Day
Pain and Sedation in the Burn Patient
Mar. 2012
University of Manitoba, Department of Anesthesia Grand Rounds
Non-invasive Ventilation for the Anesthesiologist
June 2012
Canadian Anesthesiologists’ Society National Meeting, Quebec City, PQ NonInvasive Ventilation for the Anesthesiologist
Dec. 2012
BITs 4th Annual International Congress of Cardiology, Guangzhou, China
CHAIR: Cardiopulmonary Disease and Perioperative Care in Cardiac Surgery
High Spinal Anesthesia in Cardiac Surgery
Jan 2013
31st Mount Sinai School of Medicine Refresher Course in Anesthesia
Willemsted, Curacao Regional Anesthesia in Cardiac Surgery
May 2013
University of Manitoba, Department of Anesthesia Grand Rounds
The Risks of Regional Anesthesia
Oct. 2013
31st ½ Mount Sinai School of Medicine Refresher Course in Anesthesia,
Las Vegas, Nevada, Regional Anesthesia in Cardiac Surgery
Jan. 2015
33rd Mount Sinai School of Medicine Refresher Course in Anesthesia,
Basseterre, Saint Kitts, Acid Base Issues in the ICU
.
Stephen E. Kowalski
Curriculum Vitae
Page 11
PUBLICATIONS
1.
Kowalski SE. Mitral valve prolapse. Canadian Anaesthetists' Society Journal,
1985;32(2):138-41.
2.
Kowalski SE, Downs AR, Lye C, Oppenheimer L. Measurement of extravascular lung
water during abdominal aortic surgery. Canadian Journal of Anaesthesia, 1989;36(3):2838.
3.
Tenenbein M, Kowalski SE, Sienko A, Bowden DH, Adamson IYR. Pulmonary toxic
effects of continuous desferrioxamine administration in acute iron poisoning. Lancet
1992;339: 99-701.
4.
Kowalski SE, Bradley BD, Greengrass RA, Freedman J, Younes MK. Effects of
interpleural bupivacaine (0.5%) on canine diaphragmatic function. Anesth Analg
1992;75:400-4.
5.
Baron CM, Kowalski SE, Greengrass R et al. Effects of epinephrine on the continuous
infusion of epidural fentanyl for postoperative analgesia following thoracotomy. Anesth
Analg 1996;82:760-5.
6.
Lefevre GR, Kowalski SE, Girling LG, Thiessen DB, Mutch WAC. Improved arterial
oxygenation after oleic acid lung unjury in the pig using a computer controlled mechanical
ventilator. Am J Resp Crit Care Med 1996;154:1567-72.
7.
Etches R, Writer WDR, Ansley D, Nydahl P-A, Ong BY, Lui A, Badner N, Kowalski SE,
Muir H, Shukla R, Beattie WS. Continuous epidural ropivacaine 0.2% for analgesia after
lower abdominal surgery. Anesth Analg 1997;84:784-90.
8.
Mutch WAC, Eschun GM, Kowalski SE, Graham MR, Girling LG, Lefevre GR. The
effect of biologically variable ventilation on gas exchange during prolonged anesthesia.
British Journal of Anaesthesia 2000;84:197-303.
9.
Mutch WAC, Harms S, Lefevre GR, Graham MR, Girling LG, Kowalski SE. Biologically
variable ventilation increases arterial oxygenation over that seen with PEEP alone in a
porcine model of ARDS. Critical Care Medicine 2000;28:2457-64.
10.
Mutch WAC, Harms S, Graham MR, Kowalski SE, Girling LG, Lefevre GR. Biologically
variable or naturally noisy mechanical ventilation recruits atelectatic lung. Am J Respir Crit
Care Med 2000;162:319-23.
11.
Nicholson DJ, Kowalski SE, Hamilton GA et al. Postoperative pulmonary function in
coronary artery bypass graft surgery patients undergoing early tracheal extubation. J
Cardiothoracic Vasc Anesth 2002;16:27-31.
Stephen E. Kowalski
Curriculum Vitae
Page 12
12.
Tenenbein PK, Debrouwere R, Maguire D, Duke PC, Muirhead B, Enns J, Meyers M,
Wolfe S, Kowalski SE. Thoracic epidural anesthesia improves pulmonary function in
patients undergoing cardiac surgery. Can J Anesth, 2008 Jun;55(6):344-50
13.
Kowalski SE, McMullen M, Girling L, McCarthy B. Biologically Variable Ventilation in
Patients with Acute Lung Injury: a pilot study. Can J Anesth 2013 May 60(5)502-3.
14.
Chowdury T, Cappellani R, Kowalski SE. Role of Midazolam in Parkinsonian Tremors.
Can J Neurol Sci. 2013 Jul;40(4):616.
15.
Chowdhury T, Kowalski SE, Arabi Y, Dash HH. Prehospital and Initial Management of
Head Injury Patients: An Update" Saudi J Anaesth. 2014 Jan;8(1):114-20.
16.
Chowdhury T, Kowalski SE, Arabi Y, Dash HH. General Intensive Care For Patients
with Traumatic Brain Injury: An Update Saudi J Anaesth. 2014 Apr;8(2):256-63.
17.
Chowdhury T, Kowalski SE, Arabi Y, Dash HH. Specific Intensive Care for Patients
with Traumatic Brain Injury: Present and Future Saudi J Anaesth. 2014 Apr;8(2):268-75
18.
Kowalski S1, Bell D, Pilkey B. From the journal archives: Pulmonary marrow embolism:
lessons learned from a canine model simulating dual component cemented arthroplasty.
Can J Anaesth. 2014 Sep;61(9):876-80.
Stephen E. Kowalski
Curriculum Vitae
Page 13
ABSTRACTS
1. Kowalski SE, Skoog C, Oppenheimer L. Effects of airway pressure - volume relationship
on pulmonary interstitial mechanics. Presented: FASEB Meeting, 1984.
2. Kowalski SE, Mayers I, Oppenheimer L. Interstitial fluid trapping increases with lung
recoil. Fed Proc 1985;44(6):1904.
3. Kowalski SE, Downs A, Lye C, Oppenheimer L. Extravascular lung water during aortic
cross clamping. Presented: Canadian Anaesthetists' Society Meeting, 1985.
4. Kowalski SE, Dobson G, Hoppensack M, Oppenheimer L. The distribution of pulmonary
vascular resistance: Effects of hypoxia and halothane. Presented: American Society of
Anesthesiologists' Meeting - San Francisco, 1988.
5. Dobson G, Kowalski SE, Hoppensack M, Oppenheimer L. Pulmonary artery breakpoint
pressure accurately approximates pulmonary double occlusion pressure. Fed. Proc
1989;3(4):S436.
6. Kowalski SE, Bradley B, Greengrass R, Freedman J, Younes M. The effects of interpleural
bupivacaine (0.5%) on canine diaphragmatic function. Presented: A.S.A. Meeting, Las
Vegas, 1990.
7. Tennebein M, Kowalski SE, Roberts D. Pulmonary toxicity in iron poisoning:
Desferoxamine induced? Vet Human Toxicol 1990;32:349.
8. Kowalski SE, Ong B, Bell D et al. Postoperative pain control and pulmonary function
following upper abdominal surgery: Epidural fentanyl versus PCA morphine. Can J
Anaesth 1992;39(5):A58. Presented: Toronto, Ontario June 1992
9. McMillan P, Kowalski SE, Oppenheimer L, Roberts D. Patients undergoing major
vascular surgery do not require automatic ICU admission. Presented: Royal College of
Physicians and Surgeons Meeting, Vancouver, B.C., September 1993.
10. Baron CM, Kowalski SE, Greengrass R et al. Effects of epinephrine on the continuous
infusion of epidural fentanyl for postoperative analgesia following thoracotomy. Presented:
Postgraduate Assembly of Anesthesiologists in New York, N.Y., December 1993.
11. Lefevre GR, Kowalski SE, Girling LG, Thiessen DB, Mutch WAC. Improved arterial
oxygenation after oleic acid lung injury in the pig using a computer controlled mechanical
ventilator. Presented: American Thoracic Society Meeting - New Orleans, May 1996
12. Lefevre GR, Kowalski SE, Girling LG, Thiessen DB, Mutch WAC. Improved arterial
oxygenation after oleic acid lung injury in the pig using a computer controlled mechanical
ventilator. Presented: Royal College of Physicians and Surgeons Meeting - Halifax,
September 1996
Stephen E. Kowalski
Curriculum Vitae
Page 14
13. Kowalski SE, Duke PC, Maguire D, Muirhead B, Sawchuk C, Hamilton A. Anesthesia for
facilitated recovery following coronary artery bypass surgery. Presented: Canadian
Cardiovascular Society Meeting - Montreal, October 1996.
14. Nicholson DJ, Kowalski SE, Hamilton GA, Meyers MP, Serrette C, Duke PC. Postoperative pulmonary function in CABG patients undergoing early tracheal extubation:
A comparison between short term mechanical ventilation and immediate extubation.
Presented: Canadian Anaesthetists' Society 55th Annual Meeting - Toronto, June 1998.
15. Nicholson DJ, Kowalski SE, Hamilton GA, Meyers MP, Serrette C, Duke PC. Postoperative pulmonary function in CABG patients undergoing early tracheal extubation:
A comparison between short term mechanical ventilation and immediate extubation.
Presented: Society for Cardiovascular Anesthesiologists Meeting – Chicago, April 1999.
16. Jacobsohn E, DeBrouwere R, Kenny S, Duke P, Maguire D, Muirhead B, Kowalski SE,
Enns J, Hamilton A, Goodman R. Routine admission to ICU is not required after cardiac
surgery. Presented: International Anesthesia Research Society Meeting – Los Angeles,
1999.
17. Jacobsohn E, DeBrouwere R, Kenny S, Duke P, Maguire D, Muirhead B, Kowalski SE,
Enns J, Hamilton A, Goodman R. A facilitated Recovery Program for Cardiac Surgery:
Extubation in the first hour and bypassing ICU. Presented: Society of Cardiovascular
Anesthesiologists Meeting – Chicago, IL. 1999.
18. Mutch WAC, Eschun GM, Kowalski SE, Graham MR, Girling LR, Lefevre GR.
Biologically variable ventilation prevents deterioration of gas exchange during prolonged
anesthesia. Presented: American Society of Anesthesiologists Meeting – Dallas, Texas,
October 1999.
19. Tenenbein P, Maguire D, DeBrouwere R, Duke PC, Kowalski SE. High spinal anesthesia
for patients with critical aortic stenosis. Presented: Canadian Anesthesiologists Society
Meeting – Quebec City, Quebec, June 2004.
20. Tenenbein P, Duke PC, DeBrouwere R, Maguire D, Wolfe, K, Meyers M, Kowalski SE.
Effects of thoracic epidural analgesia on postoperative lung function in patients undergoing
CABG surgery. Presented: American Society of Anesthesiologists Meeting – Las Vegas,
Nevada, October 2004.
21. Tenenbein P, Maguire D, DeBrouwere R, Duke PC, Kowalski SE. High spinal anesthesia
for patients with critical aortic stenosis. Presented: Society of Cardiovascular
Anesthesiologits’ Meeting – Baltimore, MD, May 2005.
22. Tenenbein P, Duke PC, DeBrouwere R, Maguire D, Wolfe, K, Meyers M, Kowalski SE.
Effects of thoracic epidural analgesia on postoperative lung function in patients undergoing
CABG surgery. Presented: Canadian Anesthesiologists’ Society Meeting - Vancouver, BC,
June 2005.
Stephen E. Kowalski
Curriculum Vitae
Page 15
23. McCarthy BG, McMullen MD, Docking L, Bshouty Z, Girling LG, Kowalski SE. A pilot
study of biologically variable ventilation in ALI/ARDS: Trends toward an improved
ventilatory strategy. Am J Resp Crit Care Med 179;2009: A3065. Presented: ATS San
Diego, May 2009
24. Kowalski SE, Lee TWR, Maguire D, Hayglass K. Spinal Anesthesia, Inflammation in
CABG and AVR. Presented: Canadian Anesthesiologists’ Society Meeting – Quebec City
PQ, June 2012
25. Goldie D, Maguire D, Lee TWR, Kowalski S. A Retrospective Review of High Spinal
Anesthesia in Cardiac Surgery. Presented at Canadian Anesthesiologists’ Society Meeting,
St. John’s NFLD, June 2014
26. Petropolis A, Maguire D, Arora R, Lee TWR, Grocott H, Kowalski S. High Spinal
Anesthesia and Delirium Incidence After Cardiac Surgery Presented: Society Of
Cardiovascular Anesthesiologists’ Meeting, Washington DC, April 2015
27. Petropolis A, Maguire D, Arora R, Lee TWR, Grocott H, Kowalski S. High Spinal
Anesthesia and Delirium Incidence After Cardiac Surgery Presented: American Delirium
Society Meeting, Baltimore MD, June 2015
28. Cenkowski M, Maguire D, Funk D, Al-Gurshi F, Bokhari A, Kowalski S. Hemodynamic
effects of Low Dose Spinal Anesthesia in Cesarean Section Presented: Canadian
Anesthesiologists’ Society Meeting, Ottawa Ont., June 2015
29. Petropolis A, Maguire D, Arora R, Lee TWR, Grocott H, Kowalski S. High Spinal
Anesthesia and Delirium Incidence After Cardiac Surgery Presented: Canadian
Anesthesiologists’ Society Meeting, Ottawa Ont., June 2015
30. Kowalski S, Robertson A, Macaulay K, Thorkelsson R, Bshouty Z Weaning from
Prolonged Mechanical Ventilation: Use of Speaking Valve Trials Accepted: Critical Care
Canada Forum 2015 Conference, Toronto, Ontario. October 2015
Stephen E. Kowalski
Curriculum Vitae
Page 16
CURRENT RESEARCH ACTIVITIES – S. KOWALSKI
Project
The impact of high spinal anesthesia on outcomes following
cardiac surgery.
Type of study
Investigators
Retrospective chart review
Dr. S. Kowalski, Dr. H. Grocott, Dr. T. Lee, Dr.D. Maguire,
Dr. D. Goldie (Anesthesia resident).
Outline
A ten year review assessing clinical outcomes (mortality, blood loss,
ICU and hospital length of stay etc) in all patients who had high spinal
anesthesia with local anesthetics for their cardiac surgical procedure,
and comparing them to a controlled, matched cohort of patients who
did not have high spinal anesthesia
1.
Project
Type of study
Investigators
Outline
The impact of high spinal anesthesia on delirium following cardiac
surgery
Retrospective chart review
Dr. S. Kowalski, Dr.R. Arora (Cardiac Surgery),
Dr. H. Grocott, Dr.D. Maguire,
Dr. A. Petropolis (Anesthesia resident).
A review focusing on patients who have had cardiac surgery since
2010 to the present. Since 2010, postoperative cardiac surgical patients
have been formally assessed for the presence or absence of delirium by
ICU nurses using the Confusion Assessment Methodology (CAM)
protocol. We will compare the incidence of delirium in patients who
have had high spinal anesthesia for their cardiac surgical procedure
with a matched cohort of patients who did not have high spinal
anesthesia.
Stephen E. Kowalski
Curriculum Vitae
2.
Project
Type of study
Investigators
Outline
3.
Project
Type of study
Investigators
Outline
Page 17
Low dose spinal bupivacaine for cesarean section: effects on
hemodynamics
Prospective
Dr. S. Kowalski, Dr. Al-Gurashi, Dr. D. Funk, Dr. D. Maguire,
Dr. Cenkowski (anesthesia resident)
Patients will be randomized to receive either low dose bupivacaine (4.5
mg) or conventional dose bupivacaine (9 mg) for their spinal
anesthetic. Patients will have an arterial line for the procedure and have
their cardiac outputs measured using arterial waveform analysis (Flo
Trac). Hemodynamics will be compared between the two groups as
well as secondary outcomes such as pain scores, patient satisfaction
scores and recovery room length of stay.
Traumatic Brain Injury Study
National, multi-center observational
Dr. Alexis Turgeon (principle)
Dr. S. Kowalski (site coordinator)
Patients with traumatic brain injury and a Glasgow Coma Score of 8 or
less will be assessed using repeat clinical examinations, serum
biomarkers for brain injury, CT scans, MRI scans, EEG and sensory
evoked potentials for ten days post injury. Repeated follow up will be
done at six months and twelve months post injury for functional
neurological recovery using the Glasgow Outcome Score. Correlations
of prognostic tests, examinations, clinical data and their evolution over
time will be made with long term outcomes in an attempt to develop a
reliable, valid and clinically useful prognostic model for patients with
traumatic brain injury.
Stephen E. Kowalski
Curriculum Vitae
4.
Project
Type of study
Investigators
Outline
5.
Project
Type of study
Investigators
Outline
6.
Project
Type of study
Investigators
Outline
Page 18
Complications of regional anesthesia
Retrospective
Dr. S. Kowalski, Dr. A. Mathieson, Dr. P. Mykytiuk
A ten year review of major complications of regional anesthesia
(specifically epidural hematoma and epidural abcess) and associated
risk factors that have occurred at the Health Sciences Centre.
The effect of intraoperative cerebral oxygen desaturation on postoperative delirium in thoracic surgical patients
Prospective, observational
Dr. S. Kowalski, Dr. S. Srinathen (thoracic surgery), Dr. P. St. John
(internal medicine), Dr. H. Grocott, Dr. W. A. C. Mutch, Dr. R.
Amadeo, Dr. T. Mutter, Ms. L. Girling (BSc Hons.)
To determine the current incidence and risk factors for post-operative
delirium in thoracic surgical patients. All patients will be monitored
intraoperatively using near infrared spectroscopy (NIRS) for cerebral
desaturation to determine whether cerebral desaturation is associated
with post-operative delirium.
Weaning from Prolonged Mechanical Ventilation: Use of Speaking
Valve Trials
Retrospective, observational
Dr. S. Kowalski, Dr. Z. Bshouty, Dr. A. Robertson, Ms. K. Macaulay
RRT, Ms R. Thorkelsson RN BN, Ms. L. Girling (BSc Hons.)
A review of the use of speaking valve trials in weaning patients who
have required prolonged mechanical ventilation. The factors associated
with the successful use of speaking valve trials will be described.
Stephen E. Kowalski
Curriculum Vitae
7.
Project
Type of study
Investigators
Outline
8.
Project
Type of study
Investigators
Outline
Page 19
Assessment of cough strength in patients with tracheostomies
Prospective, observational
Dr. S. Kowalski, Dr. Z. Bshouty, Ms. K. Macaulay RRT, Ms R.
Thorkelsson RN BN, Ms. L. Girling (BSc Hons.)
Patients who are having speaking valve trials as part of their weaning
program will be studied. Cough strength will be assessed using a peak
expiratory flow meter under two conditions Patients will be asked to
cough through the tracheostomy tube, with the cuff inflated and then
around the tracheostomy tube with the cuff deflated and a one-way
valve attached to the tracheostomy tube.
A Review of Decortications in Manitoba from 2007 - 2014
Retrospective, observational
Dr. S. Kowalski, Dr. S. Srinathen (thoracic surgery), Dr. J. Embil
(Infectious Diseases), Dr. Duane Funk (Anesthesia), Mr. Jay Gorman
BSc, Ms. L. Girling (BSc Hons.)
There has been a greater than fivefold increase in the number of
decortications in Manitoba since 2007. The review will describe the
characteristics and the anesthetic, surgical and anti-microbial
management of these patients. It may also provide some insight as to
the increasing frequency of this procedure.
Stephen E. Kowalski
Curriculum Vitae
REFERENCES
Dr. Dan Roberts
Professor and Head,
Department of Internal Medicine
University of Manitoba
Room GC430, General Centre
Health Sciences Centre
820 Sherbrook Street
Winnipeg, Manitoba
R3A 1R9
Telephone #: (204) 787-7772
Fax #: (204) 787-4826
E-Mail: [email protected]
Dr. Perry Gray
Vice President and Chief Medical Officer
Health Sciences Centre
Associate Professor, Department of Surgery
University of Manitoba
Room 790A, John Buhler Research Centre
715 McDermot Avenue
Winnipeg, Manitoba
R3E 3P4
Telephone #: 787-7079
Fax #: 787-3912
E-Mail: [email protected]
Dr. Eric Jacobsohn
Professor, and Chair Department of Anesthesia
University of Manitoba
Room AE201, Harry Medovy House
Health Sciences Centre
671 William Avenue
Winnipeg, Manitoba
R3E 0Z2
Telephone #: (204) 787-1224
Fax #: (204) 787-4291
E-Mail:
Page 20
Stephen E. Kowalski
Curriculum Vitae
Dr. Luis Oppenheimer
Professor and Head,
Department of Surgery
University of Manitoba
Room GF547, General Centre
Health Sciences Centre
820 Sherbrook Street
Winnipeg, Manitoba
R3A 1R9
Telephone #: (204) 787-7826
Fax #: (204) 787-3417
E-Mail: [email protected]
Dr. Barry Bradley
Associate Professor, Department of Anesthesia
University of Manitoba
Head, Section of Obstetrical Anesthesia
St. Boniface General Hospital
Room L2035
409 Tache Avenue
Winnipeg, Manitoba
R2H 2A6
Telephone #: (204) 237-2580
Fax #: (204) 231-0425
E-Mail: [email protected]
Revised: October 20, 2015
Page 21