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David Smith, MD

I am a physician on the faculty of the School of Medicine of the University of Pennsylvania, Philadelphia, PA, My spcialty interest is Anesthesiology with a subspeciality interest in anesthesia for brain and spinal cord surgery (neuroanesthesia). I am also very much involved with issues related... Full Bio
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Turning Mission-Based Academic-Department Leaders into a Leadership Team: A Case Study in Creating... by David Smith, MD Posted in: Blog Posts in General Medicine Lee A. Fleisher, M.D., and Beulah Trey, Ph.D.  The current economic and legislative reality creates an imperative for ... Read on »
The complexities of race and racism in healthcare by Meghan Lane-Fall, M.D., M.S.H.P by David Smith, MD Posted in: Blog Posts in General Medicine His tattoo read "White Power" in 3-inch calligraphic letters. Emblazoned across his chest for all to see, the ink wasn't something I ... Read on »
Me and My Epidural By Anna Quindlen by David Smith, MD Posted in: Blog Posts in General Medicine In a recent speech to the AAMC meeting in Philadelphia, Pulitzer Prize winning author and columnist, Anna Quindlen, gave the following Gol ... Read on »
Jesse Raiten, M.D. Blog on Rwanda Experience by David Smith, MD Posted in: Blog Posts in General Medicine Tick, tock               I walked into the ICU yesterday morning to find a crowd of people around a bedside, the “crash cart” clos ... Read on »
Jesse Raiten, M.D. Blog on Rwanda Experience by David Smith, MD Posted in: Blog Posts in General Medicine Jesse Raiten MD Kigali, Rwanda Human Resources for Health October 15, 2013     I arrived in Kigali, Rwanda on Sept ... Read on »
Jesse Raiten, M.D. Blog on Rwanda Experience #3 by David Smith, MD Posted in: Blog Posts in General Medicine On Wednesday we accepted a transfer from a district hospital outside of Kigali.  The patient was a 5 year old girl who had been hit by a c ... Read on »
Preventing Wrong Site Surgery – A Quarterly Update From The Pennsylvania Patient Safety... by David Smith, MD Posted in: Blog Posts in General Medicine Of particular interest is that the number of reports for wrong site surgery in Pennsylvania appear to be declining.  However, wrong site placement of local anes ... Read on »
Separating analgesic from respiratory effects of narcotics by David Smith, MD Posted in: Blog Posts in General Medicine In a rodent study published in the June 2009 issue of Anesthesiology, Ren et al begins to separate the analgesic from the respiratory effects of narcotics.  The ... Read on »
Protecting patients from unknown hazards by David Smith, MD Posted in: Blog Posts in General Medicine Peter Pronovost’s very productive group examines a process by which previously unknown hazards that may be associated with the introduction of new health care s ... Read on »
Retained objects -- anesthesia related by David Smith, MD Posted in: Blog Posts in General Medicine The Agency for Healthcare Research and Quality has a section called case and commentary some of which are of interest to anesthesiologists.  In October 2009 the ... Read on »
Wrong site surgery – the five year national experience by David Smith, MD Posted in: Blog Posts in General Medicine   From the August 2009 Newsletter of the Premier Safety Institute   With 2,700 cases of wrong-site surgery continuing to occur annually, experts recomm ... Read on »
A patient unexpectedly does not “wake up” at the end of an anesthetic and is taken to... by David Smith, MD Posted in: Blog Posts in General Medicine Dr. Falk discusses what needs to be done when a patient unexpectedly does not “wake up” at the end of a general anesthetic: An unresponsive patient in the recov ... Read on »
“Can’t ventilate/can’t intubate”, needle cricothyrotomy and jet ventilation by David Smith, MD Posted in: Blog Posts in General Medicine Dr. Wei expands on his conference comments concerning needle cricothyrotomy and jet ventilation after needle cricothyrotomy -- The cannot ventilate/intubate eme ... Read on »
Pre operative briefings reduce unexpected delays and decrease the frequency of communication... by David Smith, MD Posted in: Blog Posts in General Medicine Nundy et al examined the impact of a pre operative briefing on operating room delays and found that a pre operative briefing reduced unexpected delays by 31%.  ... Read on »
Pre operative angiotensin converting enzyme inhibitor therapy increases mortality after coronary... by David Smith, MD Posted in: Blog Posts in General Medicine Dr. Savino calls our attention to this article by Miceli et al: This study evaluates the effect of pre-operative angiotensin-converting enzyme inhibitor (ACEI) ... Read on »
Michael Duggan, M.D. discusses diabetic ketoacidosis by David Smith, MD Posted in: Blog Posts in General Medicine Use the following hypothetical case as a starting point.  A morbidly obese (BMI 48.8) woman in her early 20’s with no significant past medical history present ... Read on »
Pre operative checklists and team briefing among surgeons, nurses and anesthesiologists reduces... by David Smith, MD Posted in: Blog Posts in General Medicine Lingard et al reports the results of a 13 month prospective study on the occurrence of “communication failures” in which data collected prior to an intervention ... Read on »
PENN MEDICINE In Haiti -- Dispatch 25 by David Smith, MD Posted in: Blog Posts in General Medicine February 05, 2010 08:43   Subject: Last words   We have completed our last patient rounds, which included 16 dressing changes and 2 "mini- cod ... Read on »
PENN MEDICINE In Haiti -- Dispatch 23 by David Smith, MD Posted in: Blog Posts in General Medicine February 04, 2010 15:02 Subject: Communications One issue that can be a problem within any healthcare system is patient handoff and commun ... Read on »
PENN MEDICINE In Haiti -- Dispatch 24 by David Smith, MD Posted in: Blog Posts in General Medicine February 04, 2010 15:13:50 Subject: Thinning out   Today we can see that there is more room in the church, the location in which many of the traum ... Read on »