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Atilio Barbeito

Associate Professor of Anesthesiology
Anesthesiology, VA Anesthesiology Service
DUMC Box 3094, Durham, NC 27710
D5005 VAMC, Durham, NC 27710

Selected Publications


Transitional Pain Service: Optimizing Complex Surgical Patients.

Journal Article Curr Pain Headache Rep · March 2024 PURPOSE OF REVIEW: The care of patients with complex postsurgical pain can be challenging and burdensome for the healthcare system. Transitional pain service (TPS) is a relatively new concept and has not been widely adopted in the USA. This article explore ... Full text Link to item Cite

Abstract 17729: When Do Black and White Patients Die After Coronary Artery Bypass Surgery: Insights From the United States Veterans Health Administration

Conference Circulation · November 7, 2023 Introduction: Black patients continue to have disproportionately higher rates of death after Coronary Artery Bypass Graft (CABG) procedures. Data are needed to guide interventions to eliminate inequit ... Full text Cite

Barriers to Implementation of Telehealth Pre-anesthesia Evaluation Visits in the Department of Veterans Affairs.

Journal Article Federal practitioner : for the health care professionals of the VA, DoD, and PHS · July 2023 BackgroundEvaluations are conducted days or weeks before a scheduled surgical or invasive procedure involving anesthesia to assess patients' preprocedure condition and risk, optimize status, and prepare them for their procedure. The traditional pr ... Full text Cite

Preoperative Care Assessment of Need Scores Are Associated With Postoperative Mortality and Length of Stay in Veterans Undergoing Knee Replacement.

Journal Article Fed Pract · July 2021 BACKGROUND: Care Assessment of Need (CAN) scores predicting 90-day mortality and hospitalization are automatically computed each week for patients receiving care at Veterans Health Administration facilities. While currently used only by primary care teams ... Full text Link to item Cite

Geospatial Variations and Neighborhood Deprivation in Drug-Related Admissions and Overdoses.

Journal Article J Urban Health · December 2020 Drug overdoses are a national and global epidemic. However, while overdoses are inextricably linked to social, demographic, and geographical determinants, geospatial patterns of drug-related admissions and overdoses at the neighborhood level remain poorly ... Full text Link to item Cite

Preoperative Disability in US Veterans.

Journal Article Anesth Analg · November 2020 Using the 12-item World Health Organization Disability Assessment Schedule (WHODAS-12), we measured the prevalence of disability in all eligible patients during a 4-month period who were presenting for preoperative evaluation at a US Veterans Affairs hospi ... Full text Link to item Cite

Preoperative Disability in US Veterans.

Journal Article Anesth Analg · February 10, 2020 Using the 12-item World Health Organization Disability Assessment Schedule (WHODAS-12), we measured the prevalence of disability in all eligible patients during a 4-month period who were presenting for preoperative evaluation at a US Veterans Affairs hospi ... Full text Link to item Cite

Delaying Elective Surgery in Geriatric Patients: An Opportunity for Preoperative Optimization.

Journal Article Anesth Analg · January 2020 Deciding whether to pursue elective surgery is a complex process for older adults. Comprehensive geriatric assessment (CGA) can help refine estimates of benefits and risks, at times leading to a delay of surgery to optimize surgical readiness. We describe ... Full text Open Access Link to item Cite

Trends in Chronic Opioid Use Around Inpatient Surgery Within the Veterans Health Administration.

Journal Article JAMA Surg · December 1, 2019 This study assesses outcomes of veterans who have undergone inpatient surgery since the Veterans Health Administration’s opioid safety initiative was initiated. ... Full text Link to item Cite

POSH-DREAM: Mobile Point-of-Contact Delirium Risk Assessment & Identification

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2019 Link to item Cite

Development and usability testing of an audit and feedback tool for anesthesiologists.

Journal Article JAMIA Open · April 2019 BACKGROUND: We describe the creation and evaluation of a personal audit and feedback (A&F) tool for anesthesiologists. METHODS: A survey aimed at capturing barriers for personal improvement efforts and feedback preferences was administered to attending ane ... Full text Link to item Cite

Transitional Pain Service: Optimizing Complex Surgical Patients.

Journal Article Curr Pain Headache Rep · March 2024 PURPOSE OF REVIEW: The care of patients with complex postsurgical pain can be challenging and burdensome for the healthcare system. Transitional pain service (TPS) is a relatively new concept and has not been widely adopted in the USA. This article explore ... Full text Link to item Cite

Abstract 17729: When Do Black and White Patients Die After Coronary Artery Bypass Surgery: Insights From the United States Veterans Health Administration

Conference Circulation · November 7, 2023 Introduction: Black patients continue to have disproportionately higher rates of death after Coronary Artery Bypass Graft (CABG) procedures. Data are needed to guide interventions to eliminate inequit ... Full text Cite

Barriers to Implementation of Telehealth Pre-anesthesia Evaluation Visits in the Department of Veterans Affairs.

Journal Article Federal practitioner : for the health care professionals of the VA, DoD, and PHS · July 2023 BackgroundEvaluations are conducted days or weeks before a scheduled surgical or invasive procedure involving anesthesia to assess patients' preprocedure condition and risk, optimize status, and prepare them for their procedure. The traditional pr ... Full text Cite

Preoperative Care Assessment of Need Scores Are Associated With Postoperative Mortality and Length of Stay in Veterans Undergoing Knee Replacement.

Journal Article Fed Pract · July 2021 BACKGROUND: Care Assessment of Need (CAN) scores predicting 90-day mortality and hospitalization are automatically computed each week for patients receiving care at Veterans Health Administration facilities. While currently used only by primary care teams ... Full text Link to item Cite

Geospatial Variations and Neighborhood Deprivation in Drug-Related Admissions and Overdoses.

Journal Article J Urban Health · December 2020 Drug overdoses are a national and global epidemic. However, while overdoses are inextricably linked to social, demographic, and geographical determinants, geospatial patterns of drug-related admissions and overdoses at the neighborhood level remain poorly ... Full text Link to item Cite

Preoperative Disability in US Veterans.

Journal Article Anesth Analg · November 2020 Using the 12-item World Health Organization Disability Assessment Schedule (WHODAS-12), we measured the prevalence of disability in all eligible patients during a 4-month period who were presenting for preoperative evaluation at a US Veterans Affairs hospi ... Full text Link to item Cite

Preoperative Disability in US Veterans.

Journal Article Anesth Analg · February 10, 2020 Using the 12-item World Health Organization Disability Assessment Schedule (WHODAS-12), we measured the prevalence of disability in all eligible patients during a 4-month period who were presenting for preoperative evaluation at a US Veterans Affairs hospi ... Full text Link to item Cite

Delaying Elective Surgery in Geriatric Patients: An Opportunity for Preoperative Optimization.

Journal Article Anesth Analg · January 2020 Deciding whether to pursue elective surgery is a complex process for older adults. Comprehensive geriatric assessment (CGA) can help refine estimates of benefits and risks, at times leading to a delay of surgery to optimize surgical readiness. We describe ... Full text Open Access Link to item Cite

Trends in Chronic Opioid Use Around Inpatient Surgery Within the Veterans Health Administration.

Journal Article JAMA Surg · December 1, 2019 This study assesses outcomes of veterans who have undergone inpatient surgery since the Veterans Health Administration’s opioid safety initiative was initiated. ... Full text Link to item Cite

POSH-DREAM: Mobile Point-of-Contact Delirium Risk Assessment & Identification

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2019 Link to item Cite

Development and usability testing of an audit and feedback tool for anesthesiologists.

Journal Article JAMIA Open · April 2019 BACKGROUND: We describe the creation and evaluation of a personal audit and feedback (A&F) tool for anesthesiologists. METHODS: A survey aimed at capturing barriers for personal improvement efforts and feedback preferences was administered to attending ane ... Full text Link to item Cite

Differentiating between cold agglutinins and rouleaux: a case series of seven patients.

Journal Article Perfusion · March 2018 We present a case series of seven patients with suspected cold agglutinin antibodies, discovered after initiation of bypass. Laboratory analysis of blood samples intraoperatively determined the cause of the aggregation to be rouleaux formation in three of ... Full text Link to item Cite

Handovers in Perioperative Care.

Journal Article Anesthesiol Clin · March 2018 Handovers around the time of surgery are common, yet complex and error prone. Interventions aimed at improving handovers have shown increased provider satisfaction and teamwork, improved efficiency, and improved communication and have been shown to reduce ... Full text Link to item Cite

Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach.

Journal Article Jt Comm J Qual Patient Saf · September 2016 BACKGROUND: Patient handovers (handoffs) following surgery have often been characterized by poor teamwork, unclear procedures, unstructured processes, and distractions. A study was conducted to apply a human-centered approach to the redesign of operating r ... Full text Link to item Cite

Primus Inter Pares.

Journal Article Anesth Analg · May 2016 Full text Link to item Cite

Associations between ASA Physical Status and postoperative mortality at 48 h: a contemporary dataset analysis compared to a historical cohort.

Journal Article Perioper Med (Lond) · 2016 BACKGROUND: In this study, we examined the association between American Society of Anesthesiologists Physical Status (ASA PS) designation and 48-h mortality for both elective and emergent procedures in a large contemporary dataset (patient encounters betwe ... Full text Link to item Cite

In situ simulated cardiac arrest exercises to detect system vulnerabilities.

Journal Article Simul Healthc · June 2015 INTRODUCTION: Sudden cardiac arrest is the leading cause of death in the United States. Despite new therapies, progress in this area has been slow, and outcomes remain poor even in the hospital setting, where providers, drugs, and devices are readily avail ... Full text Link to item Cite

Chapter 45: Cardiovascular Monitoring

Chapter · October 20, 2014 For more than 30 years Miller's Anesthesia has been recognized as the most complete and thorough resource on the global scope and practice of contemporary anesthesiology. It is used worldwide and has been translated into several ... ... Cite

FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room.

Journal Article Anesth Analg · October 2014 The Society of Cardiovascular Anesthesiologists (SCA) introduced the FOCUS initiative (Flawless Operative Cardiovascular Unified Systems) in 2005 in response to the need for a rigorous scientific approach to improve quality and safety in the cardiovascular ... Full text Link to item Cite

Handovers from the OR to the ICU.

Journal Article Int Anesthesiol Clin · 2013 Full text Link to item Cite

Can we make postoperative patient handovers safer? A systematic review of the literature.

Journal Article Anesth Analg · July 2012 Postoperative patient handovers are fraught with technical and communication errors and may negatively impact patient safety. We systematically reviewed the literature on handover of care from the operating room to postanesthesia or intensive care units an ... Full text Link to item Cite

Thoracic Anesthesia

Book · June 14, 2012 This introductory book walks the reader through what to expect on thoracic cases and how to handle many common scenarios"--Provided by publisher. ... Cite

A Program to Teach Moderate Sedation in the Gastrointestinal Endoscopy Suite

Conference BRITISH JOURNAL OF ANAESTHESIA · March 1, 2012 Link to item Cite

Right-Sided Valvular Disease

Chapter · December 7, 2011 Full text Cite

The anesthesia team of the future.

Journal Article Curr Opin Anaesthesiol · December 2011 PURPOSE OF REVIEW: This review is aimed at highlighting the recent developments and opportunities that are likely to impact the anesthesia team of the future. RECENT FINDINGS: The anesthesia team of the future aims to provide well tolerated, efficient, and ... Full text Link to item Cite

Unusual cause of superior vena cava syndrome diagnosed with transesophageal echocardiography.

Journal Article Can J Anaesth · November 2008 PURPOSE: An unusual case of superior vena cava (SVC) syndrome caused by an infected right atrial-SVC junction thrombus may be diagnosed using transesophageal echocardiography. CLINICAL FEATURES: A 59-yr-old male with end-stage renal disease requiring hemod ... Full text Link to item Cite

Arterial and central venous pressure monitoring.

Journal Article Anesthesiol Clin · December 2006 Pressure monitoring systems influence the contour of the displayed wave-forms and, on occasion, can introduce significant artifact in the pressure traces. It is important to understand the technical details of invasive pressure monitoring to interpret bett ... Full text Link to item Cite

Use of a modifier reduces inconsistency in the American Society of Anesthesiologists Physical Status Classification in parturients.

Journal Article Anesth Analg · April 2006 In this study, we sought to determine whether there is a significant discrepancy among a group of practitioners when rating pregnant patients using the ASA Physical Status Classification and whether this discrepancy could be resolved with the addition of a ... Full text Link to item Cite

ASA physical, status classification - A pregnant pause

Journal Article ANESTHESIOLOGY · April 1, 2002 Link to item Cite