Andrew D. Rosenberg, M.D.

Three partial-task simulators for teaching ultrasound-guided regional anesthesia
Rosenberg, Andrew D; Popovic, Jovan; Albert, David B; Altman, Robert A; Marshall, Mitchell H; Sommer, Richard M; Cuff, Germaine
2012 Jan;37(1):106-110, Regional anesthesia & pain medicine
ABSTRACT: Simulation-based training is becoming an accepted tool for educating physicians before direct patient care. As ultrasound-guided regional anesthesia (UGRA) becomes a popular method for performing regional blocks, there is a need for learning the technical skills associated with the technique. Although simulator models do exist for learning UGRA, they either contain food and are therefore perishable or are not anatomically based. We developed 3 sonoanatomically based partial-task simulators for learning UGRA: an upper body torso for learning UGRA interscalene and infraclavicular nerve blocks, a femoral manikin for learning UGRA femoral nerve blocks, and a leg model for learning UGRA sciatic nerve blocks in the subgluteal and popliteal areas
— id: 147708, year: 2012, vol: 37, page: 106, stat: Journal Article,

An unusual preinduction arrhythmia resulting from the presence of a Mahaim fiber
Zweifler, Iris A; Rosenberg, Andrew D; Chinitz, Larry
2011 Sep;23(6):489-491, Journal of clinical anesthesia
A potentially life-threatening arrhythmia appeared on the preinduction electrocardiogram of an asymptomatic young woman prior to spine surgery. The patient was evaluated by electrophysiology and had a rare accessory pathway, a Mahaim Fiber
— id: 137440, year: 2011, vol: 23, page: 489, stat: Journal Article,

Rapid acting analgesics
DeNatale C.E.; Rosenberg A.; Gharibo C.
2010 ;14(2):65-74, Techniques in Regional Anesthesia & Pain Management
A majority of patients with acute and chronic pain experience breakthrough pain above their baseline, despite a fixed regimen. The characteristics of current short-acting oral medications are not optimal because they often peak too late and last beyond the duration of pain. Oral absorption limits the onset time, whereas the development of newer routes can shorten onset times. A number of medications, both opioid and nonopioid, are being developed for intranasal delivery with promising results. In addition to the intranasal administration route being efficacious, it also provides better patient satisfaction by allowing the patient to titrate their own pain medication. There are legitimate concerns for abuse and addiction with these medications, which will need to be minimized with proper dispensing modifications. A number of nonopioid agents are also entering the market that will allow for multimechanistic analgesic plans. Although ketamine is not a common component of current pain treatment plans, the development of an intranasal formulation may potentially produce wider acceptance. Many traditional medications, including ibuprofen and acetaminophen, have been developed for parenteral administration. Intravenous ibuprofen or diclofenac can be administered for a longer duration and have a lower bleeding risk then ketorolac. Intravenous acetaminophen can provide balanced analgesia when nonsteroidal anti-inflammatory drugs are contraindicated, as is common in the postoperative period. The role of individual agents in each specialty is not currently clear, but the future treatment of pain, both acute and chronic, is brighter with the addition of these formulations. copyright 2010 Elsevier Inc. All rights reserved
— id: 110161, year: 2010, vol: 14, page: 65, stat: Journal Article,

Spinal anesthesia mediates improved early function and pain relief following surgical repair of ankle fractures
Jordan, Charles; Davidovitch, Roy I; Walsh, Michael; Tejwani, Nirmal; Rosenberg, Andrew; Egol, Kenneth A
2010 Feb;92(2):368-374, Journal of bone & joint surgery (American volume)
BACKGROUND: To our knowledge, no study to date has compared the use of spinal and general anesthesia in patients undergoing operative fixation of an unstable ankle fracture. The purpose of this study was to assess the effects of anesthesia type on postoperative pain and function in a large cohort of patients. METHODS: Between October 2000 and November 2006, 501 patients who underwent surgical fixation of an unstable ankle fracture were followed prospectively. Patients receiving spinal anesthesia were compared with a cohort who received general anesthesia. All patients were evaluated at three, six, and twelve months postoperatively with use of standardized, validated general and limb-specific outcome instruments. Standard and multivariable analyses comparing outcomes at these intervals were performed. RESULTS: Four hundred and sixty-six patients (93%) who had been followed for a minimum of one year met the inclusion criteria. Compared with the general anesthesia group, the spinal anesthesia group had a greater mean age (p = 0.005), higher classification on the American Society of Anesthesiologists system (p = 0.03), and a greater number of patients with diabetes (p = 0.02). There was no difference in sex distribution between the groups. At three months, patients who received spinal anesthesia had significantly better pain scores (p = 0.03) and total scores on the American Orthopaedic Foot and Ankle Society outcome instrument (p = 0.02). At six months, patients in the spinal anesthesia group continued to have better pain scores (p = 0.04), but there was no longer a difference in total scores (p = 0.06). At twelve months, no difference was detected between the groups in terms of functional or pain scores. There was no difference in complication rates between the groups. CONCLUSIONS: Patients who undergo fixation of an ankle fracture under spinal anesthesia seem to experience less pain and have better function in the early postoperative period. We recommend that, unless there is a specific contraindication, patients should be offered spinal anesthesia when undergoing operative fixation of an ankle fracture. LEVEL OF EVIDENCE: Therapeutic Level II. See Instructions to Authors for a complete description of levels of evidence
— id: 106512, year: 2010, vol: 92, page: 368, stat: Journal Article,

Cytotoxicity of local anesthetics in human neuronal cells
Perez-Castro, Rosalia; Patel, Sohin; Garavito-Aguilar, Zayra V; Rosenberg, Andrew; Recio-Pinto, Esperanza; Zhang, Jin; Blanck, Thomas J J; Xu, Fang
2009 Mar;108(3):997-1007, Anesthesia & analgesia
BACKGROUND: In addition to inhibiting the excitation conduction process in peripheral nerves, local anesthetics (LAs) cause toxic effects on the central nervous system, cardiovascular system, neuromuscular junction, and cell metabolism. Different postoperative neurological complications are ascribed to the cytotoxicity of LAs, but the underlying mechanisms remain unclear. Because the clinical concentrations of LAs far exceed their EC(50) for inhibiting ion channel activity, ion channel block alone might not be sufficient to explain LA-induced cell death. However, it may contribute to cell death in combination with other actions. In this study, we compared the cytotoxicity of six frequently used LAs and will discuss the possible mechanism(s) underlying their toxicity. METHODS: In human SH-SY5Y neuroblastoma cells, viability upon exposure to six LAs (bupivacaine, ropivacaine, mepivacaine, lidocaine, procaine, and chloroprocaine) was quantitatively determined by the MTT-(3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetra-odium bromide) colorimetry assay and qualitatively confirmed by fluorescence imaging, using the LIVE/DEAD assay reagents (calcein/AM and ethidium homodimer-1). In addition, apoptotic activity was assessed by measuring the activation of caspase-3/-7 by imaging using a fluorescent caspase inhibitor (FLICA). Furthermore, LA effects on depolarization- and carbachol-stimulated intracellular Ca(2+)-responses were also evaluated. RESULTS: 1) After a 10-min treatment, all six LAs decreased cell viability in a concentration-dependent fashion. Their killing potency was procaine < or = mepivacaine < lidocaine < chloroprocaine < ropivacaine < bupivacaine (based on LD(50), the concentration at which 50% of cells were dead). Among these six LAs, only bupivacaine and lidocaine killed all cells with increasing concentration. 2) Both bupivacaine and lidocaine activated caspase-3/-7. Caspase activation required higher levels of lidocaine than bupivacaine. Moreover, the caspase activation by bupivacaine was slower than by lidocaine. Lidocaine at high concentrations caused an immediate caspase activation, but did not cause significant caspase activation at concentrations lower than 10 mM. 3) Procaine and chloroprocaine concentration-dependently inhibited the cytosolic Ca(2+)-response evoked by depolarization or receptor-activation in a similar manner as a previous observation made with bupivacaine, ropivacaine, mepivacaine, and lidocaine. None of the LAs caused a significant increase in the basal and Ca(2+)-evoked cytosolic Ca(2+)-level. CONCLUSION: LAs can cause rapid cell death, which is primarily due to necrosis. Lidocaine and bupivacaine can trigger apoptosis with either increased time of exposure or increased concentration. These effects might be related to postoperative neurologic injury. Lidocaine, linked to the highest incidence of transient neurological symptoms, was not the most toxic LA, whereas bupivacaine, a drug causing a very low incidence of transient neurological symptoms, was the most toxic LA in our cell model. This suggests that cytotoxicity-induced nerve injury might have different mechanisms for different LAs and different target(s) other than neurons
— id: 94380, year: 2009, vol: 108, page: 997, stat: Journal Article,

Anesthesia for spinal surgery and management of blood loss
Spessot GJ; Rosenberg AD
Surgical management of spinal deformities Philadelphia PA : Saunders/Elsevier, 2009,
— id: 5127, year: 2009, vol: , page: ?, stat: Chapter,

Endpoint for successful, ultrasound-guided infraclavicular brachial plexus block - Reply
Morimoto, M; Popovic, J; Kim, JT; Kiamzon, H; Rosenberg, AD
2008 MAY ;55(5):308-309, Canadian journal of anaesthesia
— id: 79107, year: 2008, vol: 55, page: 308, stat: Journal Article,

Ensuring appropriate timing of antimicrobial prophylaxis
Rosenberg, Andrew D; Wambold, Daniel; Kraemer, Linede; Begley-Keyes, Maureen; Zuckerman, Scott L; Singh, Neeraj; Cohen, Max M; Bennett, Michele V
2008 Feb;90(2):226-232, Journal of bone & joint surgery (American volume)
BACKGROUND: Delivery of intravenous antibiotic prophylaxis within one hour prior to surgical incision is considered important in helping to decrease the incidence of surgical site infections, but methods to ensure compliance have not been established. METHODS: All patients at our institution are subjected to a surgical 'time-out' protocol to prevent wrong-site surgery. During a seven-week period, all patients undergoing spine surgery, total hip arthroplasty, or total knee arthroplasty had another safety initiative, that of ensuring that prophylactic intravenous antibiotics were administered at least one hour prior to incision, 'piggybacked' onto our existing time-out verification checklist. In addition, we compared compliance during the study period with compliance during a three-month period prior to institution of this protocol and compliance for eighteen months after institution of this protocol. RESULTS: The average time (and standard deviation) between the antibiotic administration and the incision was 26 +/- 12 minutes for all patients. The protocol was effective in ensuring antibiotic administration at the optimal time to 316 (99.1%) of the 319 patients. Analysis of a group of forty patients who had undergone total hip or knee replacement during the three months prior to the beginning of the study demonstrated a compliance rate of 65%. The difference between this baseline compliance rate and the rate during the study period was significant (p < 0.0001). The compliance rate was 97% for 160 patients who underwent similar procedures during the eighteen months after completion of the study. Independent audits demonstrated continuation of the significantly better compliance with timing of antibiotic prophylaxis for patients undergoing total hip and knee arthroplasty since the implementation of the protocol in our institution. CONCLUSIONS: Piggybacking of verification of prophylactic antibiotic administration onto the wrong-site-surgery time-out protocol is an effective, cost-free, and easy-to-adopt method to ensure compliance with appropriate timing of prophylactic antibiotics
— id: 75859, year: 2008, vol: 90, page: 226, stat: Journal Article,

Case series: Septa can influence local anesthetic spread during infraclavicular brachial plexus blocks
Morimoto, Maki; Popovic, Jovan; Kim, Jung T; Kiamzon, Harald; Rosenberg, Andrew D
2007 Dec;54(12):1006-1010, Canadian journal of anaesthesia
PURPOSE: To ultrasonically identify the presence of septae within the neurovascular sheath and to assess their effect on local anesthetic spread when performing infraclavicular brachial plexus blocks. CLINICAL FEATURES: Thirty ASA status I and II patients scheduled for minor hand surgeries were enrolled in the study. Ultrasound guided infraclavicular brachial plexus blocks were performed on 28 patients. The images of the local anesthetic spread and the effect of the septum within the neurovascular sheath were analyzed. Septae were present in four of six patients where unilateral local anesthetic spread was seen. Septae were not visualized in the 22 patients with unrestricted local anesthetic spread after the initial injection. All 28 patients underwent their planned operations successfully with adequate anesthesia. CONCLUSIONS: Our study shows that the presence of septae within the neurovascular sheath may influence the pattern of local anesthetic spread associated with the infraclavicular approach to brachial plexus blocks
— id: 76335, year: 2007, vol: 54, page: 1006, stat: Journal Article,

Surface stimulation to determine needle direction and angle when performing an infraclavicular brachial plexus block
Albert, David B; Dudarevitch, Daria; Bloom, Karen; Rosenberg, Andrew D
2006 Jun;6(2):104-106, Pain practice
The infraclavicular approach to the brachial plexus is a safe and reliable technique for surgery of the upper extremity. When performing the block, the anesthesiologist must appreciate three variables: needle direction, needle angle to the chest wall, and needle depth. Surface stimulation is an easy technique that can reliably predict both needle direction and needle angle
— id: 71210, year: 2006, vol: 6, page: 104, stat: Journal Article,

Safety and efficacy of the infraclavicular nerve block performed at low current
Keschner, Mitchell T; Michelsen, Heidi; Rosenberg, Andrew D; Wambold, Daniel; Albert, David B; Altman, Robert; Green, Steven; Posner, Martin
2006 Jun;6(2):107-111, Pain practice
It has recently been suggested that peripheral nerve or plexus blocks performed with the use of a nerve stimulator at low currents (<0.5 mA) may result in neurologic damage. We studied the infraclavicular nerve block, performed with the use of a nerve stimulator and an insulated needle, in a prospective evaluation of efficacy and safety. During a one-year period, 248 patients undergoing infraclavicular nerve block were evaluated for block success rate and incidence of neurologic complication. All blocks were performed with the use of a nerve stimulator and an insulated needle at < or =0.3 mA. Success rate was 94%, which increased to 96% with surgical infiltration of local anesthetic. There were no intraoperative or immediate postoperative complications noted. After one week, only one patient had a neurologic complaint, and this was surgically related, referable to surgery performed on the radial nerve. We conclude that infraclavicular nerve blocks performed at low currents (< or =0.3 mA) are safe and effective
— id: 71211, year: 2006, vol: 6, page: 107, stat: Journal Article,

Advances in ultrasound guided regional anesthesia
Popovic J; Morimoto M; Blanck TJJ; Rosenberg AD
2006 ;58(2):40-46, NYSSA Sphere
— id: 67941, year: 2006, vol: 58, page: 40, stat: Journal Article,

Current practice of ultrasound-assisted regional anesthesia
Popovic, Jovan; Morimoto, Maki; Wambold, Daniel; Blanck, Thomas J J; Rosenberg, Andrew D
2006 Jun;6(2):127-134, Pain practice
— id: 71213, year: 2006, vol: 6, page: 127, stat: Journal Article,

Smallpox in the 21st century
Lupatkin, Helene; Lupatkin, Joel F; Rosenberg, Andrew D
2004 Oct;22(3):541-61, viii, Anesthesiology clinics of North America
The viral disease, smallpox, was well known through the end of the 20th Century. Because it has been eradicated from natural populations, the present clinical experience with managing the disease is limited. Similarly, research in the pathophysiology, treatment, and prevention of the disease has recently become a priority. Concerns regarding smallpox as a weapon of bioterrorism have led to the implementation of a new prophylactic vaccine program, a renewal in variola vaccine research, and treatment regimens against variola infection
— id: 46090, year: 2004, vol: 22, page: 541, stat: Journal Article,

Blood transfusions
Rosenberg AD
2001 ;20(1):44-46, Seminars in anesthesia
— id: 26882, year: 2001, vol: 20, page: 44, stat: Journal Article,

The educational value of peripheral nerve block workshops
Rosenberg AD; Connell F; Spessot G; Marshall M; Albert D
2001 ;95:A1155-A1155, Anesthesiology
— id: 47339, year: 2001, vol: 95, page: A1155, stat: Journal Article,

Massive transfusion and control of hemorrhage in the trauma patient
Smith CE; Rosenberg AD; Grande CM
Philadelphia : Saunders, 2001,
— id: 819, year: 2001, vol: , page: , stat: ,

Trauma patient with orthopedic injuries
Bernstein RL; Rosenberg AD; Albert DB
Pain mangement and regional anethesia in trauma London : Saunders, 2000,
— id: 3375, year: 2000, vol: , page: 351, stat: Chapter,

Pain management and regional anesthesia in trauma
Bernstein, Ralph L; Grande, Christopher M; Rosenberg, Andrew D
London ; New York : W.B. Saunders, 2000,
— id: 706, year: 2000, vol: , page: , stat: ,

Patient-controlled analgesia
Rosenberg AD; Porter BR; Lupatkin JF
Pain mangement and regional anethesia in trauma London : Saunders, 2000,
— id: 3377, year: 2000, vol: , page: 163, stat: Chapter,

Hip fracture in the elderly: the effect of anesthetic technique
Koval KJ; Aharonoff GB; Rosenberg AD; Schmigelski C; Bernstein RL; Zuckerman JD
1999 Jan;22(1):31-34, Orthopedics (Thorofare NJ)
Seven hundred forty-nine community-dwelling, previously ambulatory, elderly patients who sustained a femoral neck or intertrochanteric fracture underwent prospective follow-up to determine whether anesthetic technique (spinal or general) had an effect on inpatient morbidity and mortality, or 1-year mortality. One hundred seven patients were excluded from the study as the anesthetic technique was 'predetermined' based on a underlying medical condition. Of the remaining 642 patients, 362 (56.4%) received general and 280 (43.6%) received spinal anesthesia. Twenty (3.1%) patients died during hospitalization; 73 (11.4%) patients developed one or more postoperative medical complications. The 1-year mortality rate was 12.1%. There was no difference in inpatient morbidity and mortality, or 1-year mortality rates between patients receiving general or spinal anesthesia
— id: 6047, year: 1999, vol: 22, page: 31, stat: Journal Article,

Infection control practice habits among anesthesiologists practicing in Puerto Rico
Rosenberg, AD; Colon-Morales, M; Hertz, AS; Rosenberg, GD; Bernstein, RL
1999 SEP ;91(3A):U469-U469, Anesthesiology
— id: 53867, year: 1999, vol: 91, page: U469, stat: Journal Article,

The real cost of avoiding blood transfusions during total hip replacement
Rosenberg, AD; Mirzabeigi, E; Koval, KJ; Della Valle, C; Wheeler, MC; Zuckerman, JD
1999 OCT ;39(10):26S-26S, Transfusion
— id: 53808, year: 1999, vol: 39, page: 26S, stat: Journal Article,

The most cost efficient method of avoiding allogeneic transfusions in patients undergoing total knee replacement (TKR)
Rosenberg, AD; Mirzabeigi, E; Koval, KJ; Rosenberg, GD; Wheeler, MC; Zuckerman, JD
1999 OCT ;39(10):26S-26S, Transfusion
— id: 53809, year: 1999, vol: 39, page: 26S, stat: Journal Article,

Functional outcome after hip fracture. Effect of general versus regional anesthesia
Koval KJ; Aharonoff GB; Rosenberg AD; Bernstein RL; Zuckerman JD
1998 Mar;(348):37-41, Clinical orthopaedics & related research
The effect of anesthetic technique on ambulation and functional recovery after hip fracture was studied in a series of 631 community dwelling, elderly patients. Functional recovery at followup was determined by an 11-item functional rating scale. In univariate analysis, recovery of ambulatory ability and percent functional recovery were significantly higher at 6 months for patients who had general anesthesia. When controlling for potential confounding variables, however, no differences were observed in recovery of ambulatory ability or percent functional recovery between the two groups at 3, 6, or 12 months after hip fracture
— id: 47452, year: 1998, vol: , page: 37, stat: Journal Article,

Ensuring early discharge following major surgery: orthopedic surgery
Rosenberg AD
1998 Dec;12(6 Suppl 2):7-10, Journal of cardiothoracic & vascular anesthesia
Managed care, critical pathways, and length of stay issues have a major impact on current hospital policy and patient care. In orthopedic surgery, significant strides have been made in improving efficiency, decreasing costs, and reducing length of stay. Use of vertical pathways, especially the first day of admission, the day of surgery, is important for efficient patient care. As anesthesiologists involved in the process, we must be certain that patient care is not compromised in an attempt to save money or achieve early discharge. In many studies, pain management, type of anesthesia, and amount of blood loss are not significant factors in length of hospital stay. These factors must be approached as quality-of-life issues and appropriate decisions made
— id: 6046, year: 1998, vol: 12, page: 7, stat: Journal Article,

Anesthesiology
Rosenberg AD; Bernstein RL
Fractures in the elderly Philadelphia : Lippincott-Raven, 1998,
— id: 3380, year: 1998, vol: , page: 41, stat: Chapter,

Tongue rings: just say no
Rosenberg AD; Young M; Bernstein RL; Albert DB
1998 Nov;89(5):1279-1280, Anesthesiology
— id: 45565, year: 1998, vol: 89, page: 1279, stat: Journal Article,

The safety of reinfusing unwashed wound drainage in the PACU
Rosenberg, AD; Youm, T; Koval, K; Orbeta, R; Soberano, T; Van Hoek, E
1998 FEB ;86(2S):U119-U119, Anesthesia & analgesia
— id: 53560, year: 1998, vol: 86, page: U119, stat: Journal Article,

Intraoperative hypoxia from nitrogen tanks with oxygen fittings
Bernstein, DB; Rosenberg, AD
1997 JAN ;84(1):225-227, Anesthesia & analgesia
— id: 53367, year: 1997, vol: 84, page: 225, stat: Journal Article,

Does blood transfusion increase the risk of infection after hip fracture?
Koval KJ; Rosenberg AD; Zuckerman JD; Aharonoff GB; Skovron ML; Bernstein RL; Su E; Chakka M
1997 May;11(4):260-265, Journal of orthopaedic trauma
OBJECTIVE: To determine whether allogeneic red blood cell transfusion is a predictor for developing an in-hospital postoperative urinary tract, respiratory, or wound infection. STUDY DESIGN: Prospective, consecutive. METHODS: Six hundred eighty-seven community-dwelling, ambulatory, geriatric hip fracture patients were prospectively followed; all patients had operative fracture treatment and received perioperative antibiotics. RESULTS: Sixty-eight patients had a culture-positive infection before operative treatment. One hundred thirty-four of the remaining 619 patients (21.6%) developed a postoperative infection, primarily a urinary tract infection. The infection rate was 26.8% in transfused patients compared with 14.9% in nontransfused patients (p = 0.001). When stratifying by the type of infection, only the risk of urinary tract infection was statistically significant (p = 0.001). After controlling for the effect of patient age, sex, number of preinjury medical comorbidities, American Society of Anesthesiologists (ASA) rating of operative risk, fracture type, surgical delay, type of surgery, type of anesthesia, operative time, and blood loss, the relationship between allogeneic red blood cell transfusion and postoperative urinal tract infection remained statistically significant. CONCLUSIONS: Geriatric hip fracture patients who receive allogeneic red blood cell transfusions are at higher risk for developing a postoperative urinary tract infection than are those patients who are not transfused
— id: 7185, year: 1997, vol: 11, page: 260, stat: Journal Article,

Cervical disc disease (cervical spine disease)
Rosenberg AD
Essence of anesthesia practice Philadelphia : W.B. Saunders, 1997,
— id: 3388, year: 1997, vol: , page: 74, stat: Chapter,

Sarcoidosis
Rosenberg AD
Essence of anesthesia practice Philadelphia : W.B. Saunders, 1997,
— id: 3389, year: 1997, vol: , page: 280, stat: Chapter,

Anterior approach to the sciatic nerve a radiographic correlation
Rosenberg AD; Bernstein R; Marshall MH; Albert DB
1997 ;24:166-167, American journal of anesthesiology
— id: 45601, year: 1997, vol: 24, page: 166, stat: Journal Article,

Are peripheral nerve block workshops a valuable educational tool?
Rosenberg, AD; Bernstein, RL; Albert, DB; Marshall, MH; Altman, RA; Thomas, SJ
1997 FEB ;84(2):S206-S206, Anesthesia & analgesia
— id: 53301, year: 1997, vol: 84, page: S206, stat: Journal Article,

Drug interaction awareness for the perioperative physician
Rosenberg, AD; Rosenberg, GD; Bernstein, DB
1997 FEB ;84(2):S207-S207, Anesthesia & analgesia
— id: 53302, year: 1997, vol: 84, page: S207, stat: Journal Article,

Regional anesthesia and trauma
Rosenberg AD; Bernstein RL
1996 ;14(1):101-123, Anesthesiology clinics of North America
— id: 45954, year: 1996, vol: 14, page: 101, stat: Journal Article,

Anesthesia for spinal surgery in degenerative arthritis, osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis
Bernstein RL; Rosenberg AD
Anesthesia for surgery of the spine New York : McGraw-Hill, 1995,
— id: 3457, year: 1995, vol: , page: ?, stat: Chapter,

Accidental needlesticks: do anesthesiologists practice proper infection control precautions?
Rosenberg AD; Bernstein DB; Bernstein RL; Skovron ML; Ramanathan S; Turndorf H
1995 May-Jun;22(3):125-132, American journal of anesthesiology
Anesthesiologists as well as patients are at risk for acquiring blood-borne infections such as hepatitis and AIDS. We surveyed 2,530 anesthesiologists, a 10% random sample of the members of the American Society of Anesthesiologists, with a response rate of 57.1%, to determine the incidence of accidental needlestick exposure among anesthesia personnel and whether anesthesiologists are adhering to infection control guidelines to protect themselves and their patients from exposure to infectious diseases. Eighty-eight percent of respondents reported at least 1 accidental needlestick in the past 10 years; 21% received a needlestick from a high-risk patient and 4.5% a needlestick from a known HIV-positive patients. Residents reported significantly more accidental needlesticks from known HIV-positive patients (8.5%). Mucous membrane, open cut, eye, or other significant exposure to HIV-contaminated blood or body fluids was sustained by 8.34% of respondents in the past 10 years. Sixty percent of respondents reported they almost never reuse common syringes now compared with a 40.8% non-reuse rate (P < 0.001) in a similar survey on infection control practices conducted in 1990. Sixty-three percent reported they almost never reuse a vasopressor syringe compared with the 1990 non-reuse rate of 52.5% (P < 0.001). In the current survey, 39% of anesthesiologists reported reusing syringes from one patient to another and 36% reported reusing the same vasopressor syringes for different patients.(ABSTRACT TRUNCATED AT 250 WORDS)
— id: 12785, year: 1995, vol: 22, page: 125, stat: Journal Article,

Intraoperative rhabdomyolysis in a patient receiving pravastatin, a 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase inhibitor
Rosenberg AD; Neuwirth MG; Kagen LJ; Singh K; Fischer HD; Bernstein RL
1995 Nov;81(5):1089-1091, Anesthesia & analgesia
— id: 56841, year: 1995, vol: 81, page: 1089, stat: Journal Article,

DOES BLOOD-TRANSFUSION INCREASE THE RISK OF INFECTION AFTER HIP FRACTURE SURGERY
ROSENBERG, AD; AHARONOFF, GB; KOVAL, K; ZUCKERMAN, JD; BERNSTEIN, RL
1995 SEP ;83(3A):A1000-A1000, Anesthesiology
— id: 86723, year: 1995, vol: 83, page: A1000, stat: Journal Article,

Success of infraciavicular nerve block based on the stie of twitch
Albert AB; Bernstein RL; Rosenberg AD; Kane S
1994 ;78:S4-S4, Anesthesia & analgesia
— id: 47223, year: 1994, vol: 78, page: S4, stat: Journal Article,

SUCCESS OF INFRACLAVICULAR NERVE BLOCK BASED ON SITE OF TWITCH
ALBERT, DB; BERNSTEIN, RL; ROSENBERG, AD; KANE, S
1994 FEB ;78(2):U15-U15, Anesthesia & analgesia
— id: 52510, year: 1994, vol: 78, page: U15, stat: Journal Article,

Special problems in orthopedic trauma
Altman R; Rosenberg AD; Bernstein RL
1994 ;8(3):458-472, Problems in anesthesiology
— id: 47046, year: 1994, vol: 8, page: 458, stat: Journal Article,

INTRAOPERATIVE CELL SALVAGE IN ORTHOPEDIC-SURGERY
BERNSTEIN, D; ROSENBERG, AD; BLACKSHEAR, C
1994 FEB ;78(2):U32-U32, Anesthesia & analgesia
— id: 52511, year: 1994, vol: 78, page: U32, stat: Journal Article,

Regional anesthesia for orthopedic trauma
Rosenberg AD; Albert DB; Bernstein RL
1994 ;8(3):426-444, Problems in anesthesiology
— id: 45962, year: 1994, vol: 8, page: 426, stat: Journal Article,

Issues in perioperative anesthetic management of pelvic, acetabular, and long bone fractures
Rosenberg AD; Bernstein RL
1994 ;8(3):401-411, Problems in anesthesiology
— id: 45963, year: 1994, vol: 8, page: 401, stat: Journal Article,

Trauma anesthesia and critical care for orthopedic injuries
Rosenberg AD; Bernstein RL; Grande CM
Philadelphia : Lippincott, 1994,
— id: 801, year: 1994, vol: , page: , stat: ,

Manual of orthopedic anesthesia and related pain syndromes
Bernstein, Ralph L.; Rosenberg, Andrew D
New York : Churchill Livingstone, 1993,
— id: 482, year: 1993, vol: , page: , stat: ,

Perioperative anesthetic management of orthopedic trauma
Rosenberg AD; Bernstein RL
Textbook of trauma anesthesia and critical care St. Louis : Mosby, 1993,
— id: 3393, year: 1993, vol: , page: 551, stat: Chapter,

Changing practice habits of anesthesiologists: accidental needlesticks
Rosenberg AD; Bernstein D; Skovron ML; Ramanathan S; Turndorf H
1992 ;77:A1084-A1084, Anesthesiology
— id: 47351, year: 1992, vol: 77, page: A1084, stat: Journal Article,

Anesthesia for surgery of the foot and ankle
Bernstein RL; Rosenberg AD
Disorders of the foot and ankle : medical and surgical management Philadelphia : Saunders, 1991,
— id: 3449, year: 1991, vol: , page: 322, stat: Chapter,

Are anesthesiologists practicing proper infection control precautions?
Rosenberg AD; Bernstein D; Skovron ML; Ramanathan S; Turndorf H
1991 ;72:S228-S228, Anesthesia & analgesia
— id: 47231, year: 1991, vol: 72, page: S228, stat: Journal Article,

General principles of anesthesia for major acute trauma
Capan LM; Gottlieb G; Rosenberg A
Trauma : anesthesia and intensive care Philadelphia : Lippincott, 1990,
— id: 3404, year: 1990, vol: , page: 259, stat: Chapter,

Have anesthesiologists implemented infection control precautions?
Rosenberg AD; Bernstein D; Ramanathan S
1990 ;73:A1015-A1015, Anesthesiology
— id: 47371, year: 1990, vol: 73, page: A1015, stat: Journal Article,

What is the best method to avoid homologous transfusion?
Rosenberg AD; Bernstein D; Ramanathan S
1990 ;73:A1016-A1016, Anesthesiology
— id: 47372, year: 1990, vol: 73, page: A1016, stat: Journal Article,

Anesthesia
Rosenberg AD; Bernstein RL
Comprehensive care of orthopaedic injuries in the elderly Baltimore : Urban & Schwarzenberg, 1990,
— id: 3464, year: 1990, vol: , page: 583, stat: Chapter,

Do anesthesiologists practice proper infection control precautions?
Rosenberg AD; Bernstein RL; Ramanathan S; Albert DB; Marshall MH
1989 ;71:A949-A949, Anesthesiology
— id: 47381, year: 1989, vol: 71, page: A949, stat: Journal Article,

A severe reaction to dextran despite hapten inhibition
Bernstein RL; Rosenberg AD; Pada EY; Jaffe FF
1987 Oct;67(4):567-569, Anesthesiology
— id: 45566, year: 1987, vol: 67, page: 567, stat: Journal Article,

Oxygen desaturation during cemented hip replacement - who desaturate and when
Rosenberg AD; Bernstein RL; Bernstein DB; Ramanathan S
1987 ;67:A551-A551, Anesthesiology
— id: 47409, year: 1987, vol: 67, page: A551, stat: Journal Article,

Effect of cimetidine-metoclopromide combination of gastric fluid volume and acidity
Capan LM; Rosenberg AD; Carni A; Patel KP; Sheth R; Kitain E; Turndorf H
1983 ;59:A402-A402, Anesthesiology
— id: 47414, year: 1983, vol: 59, page: A402, stat: Journal Article,

Efficacy of gastroesophageal balloon in preventing passive reguritation in dogs
Rosenberg AD; Sommer RM; Capan LM; Arismendy J; Ramanathan S; Turndorf H
1983 ;59:A155-A155, Anesthesiology
— id: 47417, year: 1983, vol: 59, page: A155, stat: Journal Article,