Kamrouz Ghadimi
Assistant Professor of Anesthesiology
Specialty Certifications & Education: Kamrouz (Kam) Ghadimi, M.D. is a Cardiothoracic Intensive Care Physician and Cardiovascular Anesthesiologist at Duke University Medical Center with board specialty certifications in Anesthesiology, Critical Care Medicine, and Advanced Perioperative Echocardiography. He is a medical school graduate of Boston University School of Medicine in Boston, Massachusetts, completed his surgical internship at the University of California Irvine Medical Center, and completed residency training at the Allegheny Health Network in Pittsburgh, Pennsylvania. Before coming to Duke University, Dr.Ghadimi completed a two-year advanced fellowship in Critical Care Medicine and Cardiovascular Anesthesiology at the Hospital of the University of Pennsylvania (Philadelphia, Pennsylvania).
Clinical Practice: Expertise spans across the cardiovascular operating rooms and cardiovascular/thoracic surgical ICU settings. This includes care of the bleeding patient, organ transplantation, and mechanical circulatory support with extracorporeal membrane oxygenation (ECMO) or ventricular assist devices (VAD).
Research Interests: Patient-oriented research related to (1) the use of precision therapy to guide treatment of right-sided heart failure after advanced heart replacement therapies, and (2) acquired disorders of bleeding related to cardiovascular surgery.
Current Appointments & Affiliations
- Assistant Professor of Anesthesiology, Anesthesiology, Cardiothoracic, Anesthesiology 2014
Contact Information
- Background
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Education, Training, & Certifications
- Clinical and Research Fellowship in Adult Cardiothoracic Anesthesiology, Anesthesiology, University of Pennsylvania School of Medicine 2013 - 2014
- Clinical and Research Fellowship in Critical Care Medicine, Anesthesiology, University of Pennsylvania School of Medicine 2012 - 2013
- Residency, Anesthesiology, Western Pennsylvania Hospital 2009 - 2011
- Residency, Urologic Surgery, University of California at Irvine 2007 - 2008
- Internship, Surgery, University of California at Irvine 2006 - 2007
- M.D., Boston University 2006
- Research
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Selected Grants
- LEX-209 Octapharma 2017 - 2018
- Publications & Artistic Works
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Selected Publications
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Academic Articles
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Alexis-Ruiz, A., Ghadimi, K., Raiten, J., Mackay, E., Laudanski, K., Cannon, J., … Gutsche, J. (2019). Hypoxia and Complications of Oxygenation in Extracorporeal Membrane Oxygenation.. J Cardiothorac Vasc Anesth, 33(5), 1375–1381. https://doi.org/10.1053/j.jvca.2018.05.028Full Text Link to Item
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Bottiger, B. A., Nicoara, A., Snyder, L. D., Wischmeyer, P. E., Schroder, J. N., Patel, C. B., … Ghadimi, K. (2019). Frailty in the End-Stage Lung Disease or Heart Failure Patient: Implications for the Perioperative Transplant Clinician.. J Cardiothorac Vasc Anesth, 33(5), 1382–1392. https://doi.org/10.1053/j.jvca.2018.08.002Full Text Link to Item
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Hashmi, N. K., Ghadimi, K., Srinivasan, A. J., Li, Y.-J., Raiff, R. D., Gaca, J. G., … Welsby, I. J. (2019). Three-factor prothrombin complex concentrates for refractory bleeding after cardiovascular surgery within an algorithmic approach to haemostasis.. Vox Sang, 114(4), 374–385. https://doi.org/10.1111/vox.12774Full Text Link to Item
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Ghadimi, K., & Rajagopal, S. (2019). Nasally Inhaled Nitric Oxide for Sudden Right-Sided Heart Failure in the Intensive Care Unit: NO Time Like the Present.. J Cardiothorac Vasc Anesth, 33(3), 648–650. https://doi.org/10.1053/j.jvca.2018.10.008Full Text Link to Item
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Fierro, M. A., Ehieli, E. I., Cooter, M., Traylor, A., Stafford-Smith, M., Swaminathan, M., & Duke Critical Care Outcomes Research Endeavors (C-CORE) Group. (2019). Renal Angina Is a Sensitive, but Nonspecific Identifier of Postcardiac Surgery Acute Kidney Injury.. J Cardiothorac Vasc Anesth, 33(2), 357–364. https://doi.org/10.1053/j.jvca.2018.07.017Full Text Link to Item
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Ivascu, N. S., Fitzgerald, M., Ghadimi, K., Patel, P., Evans, A. S., Goeddel, L. A., … Gutsche, J. (2019). Heparin-Induced Thrombocytopenia: A Review for Cardiac Anesthesiologists and Intensivists.. J Cardiothorac Vasc Anesth, 33(2), 511–520. https://doi.org/10.1053/j.jvca.2018.10.035Full Text Link to Item
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Barac, Y. D., Harpole, D. H., Ghadimi, K., & Milano, C. A. (2019). A One-Step Autotransplantation Can Facilitate the Excision of Cardiac Tumors Invading the Lung.. Semin Thorac Cardiovasc Surg. https://doi.org/10.1053/j.semtcvs.2019.01.012Full Text Link to Item
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Ghadimi, K., & Cappiello, J. L. (2018). Intrapulmonary Milrinone for Cardiac Surgery Provides Insight Into Precision Delivery of Aerosolized Vasodilators.. J Cardiothorac Vasc Anesth, 32(5), 2139–2141. https://doi.org/10.1053/j.jvca.2018.03.009Full Text Link to Item
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Gutsche, J. T., Ghadimi, K., Augoustides, J. G. T., Laudanski, K., Evans, A., Weiner, M., … Ramakrishna, H. (2018). The Year in Cardiothoracic Critical Care: Selected Highlights From 2017.. J Cardiothorac Vasc Anesth, 32(5), 2037–2042. https://doi.org/10.1053/j.jvca.2018.04.023Full Text Link to Item
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Rao, V., Ghadimi, K., Keeyapaj, W., Parsons, C. A., & Cheung, A. T. (2018). Inhaled Nitric Oxide (iNO) and Inhaled Epoprostenol (iPGI2) Use in Cardiothoracic Surgical Patients: Is there Sufficient Evidence for Evidence-Based Recommendations?. J Cardiothorac Vasc Anesth, 32(3), 1452–1457. https://doi.org/10.1053/j.jvca.2017.12.014Full Text Link to Item
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Evans, A. S., Weiner, M., Patel, P. A., Baron, E. L., Gutsche, J. T., Jayaraman, A., … Ramakrishna, H. (2018). The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights From 2017.. J Cardiothorac Vasc Anesth, 32(1), 1–13. https://doi.org/10.1053/j.jvca.2017.10.016Full Text Link to Item
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Ghadimi, K., & Welsby, I. J. (2018). Pro: Factor Concentrates are Essential for Hemostasis in Complex Cardiac Surgery.. J Cardiothorac Vasc Anesth, 32(1), 558–564. https://doi.org/10.1053/j.jvca.2017.05.042Full Text Link to Item
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McCartney, S. L., Duce, L., & Ghadimi, K. (2018). Intraoperative vasoplegia: methylene blue to the rescue!. Curr Opin Anaesthesiol, 31(1), 43–49. https://doi.org/10.1097/ACO.0000000000000548Full Text Open Access Copy Link to Item
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Patel, P. A., Bavaria, J. E., Ghadimi, K., Gutsche, J. T., Vallabhajosyula, P., Ko, H. A., … Augoustides, J. G. T. (2018). Aortic Regurgitation in Acute Type-A Aortic Dissection: A Clinical Classification for the Perioperative Echocardiographer in the Era of the Functional Aortic Annulus.. J Cardiothorac Vasc Anesth, 32(1), 586–597. https://doi.org/10.1053/j.jvca.2017.06.014Full Text Link to Item
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Karhausen, J. A., Smeltz, A. M., Akushevich, I., Cooter, M., Podgoreanu, M. V., Stafford-Smith, M., … Kertai, M. D. (2017). Platelet Counts and Postoperative Stroke After Coronary Artery Bypass Grafting Surgery.. Anesth Analg, 125(4), 1129–1139. https://doi.org/10.1213/ANE.0000000000002187Full Text Open Access Copy Link to Item
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Levy, J. H., Ghadimi, K., Quinones, Q. J., Bartz, R. R., & Welsby, I. (2017). Adjuncts to Blood Component Therapies for the Treatment of Bleeding in the Intensive Care Unit.. Transfus Med Rev, 31(4), 258–263. https://doi.org/10.1016/j.tmrv.2017.04.001Full Text Link to Item
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Ghadimi, K., Quinones, Q. J., & Karhausen, J. A. (2017). Identifying Predictors of Gastrointestinal Complications After Cardiovascular Surgery: How Do We Digest the Data?. Journal of Cardiothoracic and Vascular Anesthesia, 31(4), 1275–1277. https://doi.org/10.1053/j.jvca.20I7.06.025Full Text Link to Item
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Ghadimi, K., Quiñones, Q. J., & Karhausen, J. A. (2017). Identifying Predictors of Gastrointestinal Complications After Cardiovascular Surgery: How Do We Digest the Data?. J Cardiothorac Vasc Anesth, 31(4), 1275–1277. https://doi.org/10.1053/j.jvca.2017.06.025Full Text Link to Item
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Teeter, E. G., Dakik, C., Cooter, M., Samad, Z., Ghadimi, K., Harrison, J. K., … Bottiger, B. A. (2017). Assessment of Paravalvular Leak After Transcatheter Aortic Valve Replacement: Transesophageal Echocardiography Compared With Transthoracic Echocardiography.. J Cardiothorac Vasc Anesth, 31(4), 1278–1284. https://doi.org/10.1053/j.jvca.2017.03.010Full Text Link to Item
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Patel, P. A., Ghadimi, K., Coetzee, E., Myburgh, A., Swanevelder, J., Gutsche, J. T., & Augoustides, J. G. T. (2017). Incidental Cold Agglutinins in Cardiac Surgery: Intraoperative Surprises and Team-Based Problem-Solving Strategies During Cardiopulmonary Bypass.. J Cardiothorac Vasc Anesth, 31(3), 1109–1118. https://doi.org/10.1053/j.jvca.2016.06.024Full Text Link to Item
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Gutsche, J. T., Ghadimi, K., Augoustides, J. G. T., Evans, A., Ko, H., Weiner, M., … Ramakrishna, H. (2017). The Year in Cardiothoracic Critical Care: Selected Highlights From 2016.. J Cardiothorac Vasc Anesth, 31(2), 399–406. https://doi.org/10.1053/j.jvca.2017.01.002Full Text Link to Item
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Ramakrishna, H., Gutsche, J. T., Patel, P. A., Evans, A. S., Weiner, M., Morozowich, S. T., … Augoustides, J. G. T. (2017). The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights From 2016.. J Cardiothorac Vasc Anesth, 31(1), 1–13. https://doi.org/10.1053/j.jvca.2016.10.009Full Text Link to Item
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Ghadimi, K., Levy, J. H., & Welsby, I. J. (2016). Perioperative management of the bleeding patient.. Br J Anaesth, 117(suppl 3), iii18–iii30. https://doi.org/10.1093/bja/aew358Full Text Link to Item
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MacKnight, B. M., Maldonado, Y., Augoustides, J. G., Cardenas, R. A., Patel, P. A., Ghadimi, K., … Ramakrishna, H. (2016). Advances in Imaging for the Management of Acute Aortic Syndromes: Focus on Transesophageal Echocardiography and Type-A Aortic Dissection for the Perioperative Echocardiographer.. J Cardiothorac Vasc Anesth, 30(4), 1129–1141. https://doi.org/10.1053/j.jvca.2016.01.020Full Text Link to Item
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Ghadimi, K., Gutsche, J. T., Ramakrishna, H., Setegne, S. L., Jackson, K. R., Augoustides, J. G., … Cheung, A. T. (2016). Sodium bicarbonate use and the risk of hypernatremia in thoracic aortic surgical patients with metabolic acidosis following deep hypothermic circulatory arrest.. Ann Card Anaesth, 19(3), 454–462. https://doi.org/10.4103/0971-9784.185527Full Text Link to Item
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Ghadimi, K., & Welsby, I. J. (2016). New reversal agent for factor Xa inhibitors shows promise.. Evid Based Med, 21(3). https://doi.org/10.1136/ebmed-2016-110390Full Text Link to Item
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Lohrmann, G. M., Atwal, D., Augoustides, J. G., Askar, W., Patel, P. A., Ghadimi, K., … Ramakrishna, H. (2016). Reversal Agents for the New Generation of Oral Anticoagulants: Implications for the Perioperative Physician.. J Cardiothorac Vasc Anesth, 30(3), 823–830. https://doi.org/10.1053/j.jvca.2016.01.005Full Text Link to Item
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Kertai, M. D., Ji, Y., Li, Y.-J., Mathew, J. P., Daubert, J. P., Podgoreanu, M. V., & PEGASUS Investigative Team. (2016). Interleukin-1β gene variants are associated with QTc interval prolongation following cardiac surgery: a prospective observational study.. Can J Anaesth, 63(4), 397–410. https://doi.org/10.1007/s12630-015-0576-8Full Text Link to Item
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Ramakrishna, H., Gutsche, J. T., Evans, A. S., Patel, P. A., Weiner, M., Morozowich, S. T., … Augoustides, J. G. T. (2016). The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights From 2015.. J Cardiothorac Vasc Anesth, 30(1), 1–9. https://doi.org/10.1053/j.jvca.2015.09.012Full Text Link to Item
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Ghadimi, K., Gutsche, J. T., Setegne, S. L., Jackson, K. R., Augoustides, J. G. T., Ochroch, E. A., … Cheung, A. T. (2015). Severity and Duration of Metabolic Acidosis After Deep Hypothermic Circulatory Arrest for Thoracic Aortic Surgery.. J Cardiothorac Vasc Anesth, 29(6), 1432–1440. https://doi.org/10.1053/j.jvca.2015.07.025Full Text Link to Item
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Ghadimi, K., & Thompson, A. (2015). Update on perioperative care of the cardiac patient for noncardiac surgery.. Curr Opin Anaesthesiol, 28(3), 342–348. https://doi.org/10.1097/ACO.0000000000000193Full Text Link to Item
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Gutsche, J. T., Patel, P. A., Cobey, F. C., Ramakrishna, H., Gordon, E. K., Riha, H., … Augoustides, J. G. T. (2015). The year in Cardiothoracic and Vascular Anesthesia: selected highlights from 2014.. Journal of Cardiothoracic and Vascular Anesthesia, 29(1), 1–7. https://doi.org/10.1053/j.jvca.2014.10.002Full Text
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Patel, P. A., Gutsche, J. T., Vernick, W. J., Giri, J. S., Ghadimi, K., Weiss, S. J., … Augoustides, J. G. T. (2015). The functional aortic annulus in the 3D era: focus on transcatheter aortic valve replacement for the perioperative echocardiographer.. J Cardiothorac Vasc Anesth, 29(1), 240–245. https://doi.org/10.1053/j.jvca.2014.05.027Full Text Link to Item
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Raiten, J. M., Ghadimi, K., Augoustides, J. G. T., Ramakrishna, H., Patel, P. A., Weiss, S. J., & Gutsche, J. T. (2015). Atrial fibrillation after cardiac surgery: clinical update on mechanisms and prophylactic strategies.. J Cardiothorac Vasc Anesth, 29(3), 806–816. https://doi.org/10.1053/j.jvca.2015.01.001Full Text Link to Item
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Gutsche, J. T., Erickson, L., Ghadimi, K., Augoustides, J. G., Dimartino, J., Szeto, W. Y., & Ochroch, E. A. (2014). Advancing extubation time for cardiac surgery patients using lean work design.. J Cardiothorac Vasc Anesth, 28(6), 1490–1496. https://doi.org/10.1053/j.jvca.2014.05.024Full Text Link to Item
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Ghadimi, K., Vernick, W. J., Horak, J., Gutsche, J. T., Hanif, H., Tagarakis, G. I., … Augoustides, J. G. (2014). CASE 12--2014. Inferior vena cava compression by retroperitoneal hematoma during cardiopulmonary bypass.. J Cardiothorac Vasc Anesth, 28(5), 1403–1409. https://doi.org/10.1053/j.jvca.2013.10.020Full Text Link to Item
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Gutsche, J. T., Ghadimi, K., Patel, P. A., Robinson, A. R., Lane, B. J., Szeto, W. Y., & Augoustides, J. G. T. (2014). New frontiers in aortic therapy: focus on deep hypothermic circulatory arrest.. J Cardiothorac Vasc Anesth, 28(4), 1159–1163. https://doi.org/10.1053/j.jvca.2014.03.018Full Text Link to Item
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Ramakrishna, H., Ghadimi, K., & Augoustides, J. G. T. (2014). Incidental moderate mitral regurgitation in patients undergoing coronary artery bypass grafting: update on guidelines and key randomized trials.. J Cardiothorac Vasc Anesth, 28(1), 189–193. https://doi.org/10.1053/j.jvca.2013.10.002Full Text Link to Item
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Ramakrishna, H., Kohl, B. A., Gutsche, J. T., Fassl, J., Patel, P. A., Riha, H., … Augoustides, J. G. T. (2014). The year in cardiothoracic and vascular anesthesia: selected highlights from 2013.. J Cardiothorac Vasc Anesth, 28(1), 1–7. https://doi.org/10.1053/j.jvca.2013.10.018Full Text Link to Item
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Gutsche, J. T., Feinman, J., Silvay, G., Patel, P. P., Ghadimi, K., Landoni, G., … Augoustides, J. G. T. (2014). Practice variations in the conduct of hypothermic circulatory arrest for adult aortic arch repair: focus on an emerging European paradigm.. Heart Lung Vessel, 6(1), 43–51.Link to Item
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Gutsche, J. T., Riha, H., Patel, P., Sahota, G. S., Valentine, E., Ghadimi, K., … Augoustides, J. G. T. (2014). Major themes for 2013 in cardiothoracic and vascular anaesthesia and intensive care.. Heart Lung Vessel, 6(2), 79–87.Link to Item
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Ghadimi, K., Patel, P. A., Gutsche, J. T., Sophocles, A., Anwaruddin, S., Szeto, W. Y., & Augoustides, J. G. T. (2013). Perioperative conduction disturbances after transcatheter aortic valve replacement.. J Cardiothorac Vasc Anesth, 27(6), 1414–1420. https://doi.org/10.1053/j.jvca.2013.08.001Full Text Link to Item
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Ramakrishna, H., Reidy, C., Riha, H., Sophocles, A., Lane, B. J., Patel, P. A., … Augoustides, J. G. T. (2013). The year in cardiothoracic and vascular anesthesia: selected highlights from 2012.. J Cardiothorac Vasc Anesth, 27(1), 86–91. https://doi.org/10.1053/j.jvca.2012.10.010Full Text Link to Item
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Reidy, C., Sophocles, A., Ramakrishna, H., Ghadimi, K., Patel, P. A., & Augoustides, J. G. T. (2013). Challenges after the first decade of transcatheter aortic valve replacement: focus on vascular complications, stroke, and paravalvular leak.. J Cardiothorac Vasc Anesth, 27(1), 184–189. https://doi.org/10.1053/j.jvca.2012.09.002Full Text Link to Item
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Augoustides, J. G. T., Patel, P., Ghadimi, K., Choi, J., Yue, Y., & Silvay, G. (2013). Current conduct of deep hypothermic circulatory arrest in China.. Hsr Proc Intensive Care Cardiovasc Anesth, 5(1), 25–32.Link to Item
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Ghadimi, K., Gosalia, A. R., & Troianos, C. A. (2011). Echo rounds: Intraoperative delineation of mitral annuloplasty dehiscence using three-dimensional transesophageal echocardiography.. Anesth Analg, 113(5), 1013–1015. https://doi.org/10.1213/ANE.0b013e31822b8a62Full Text Link to Item
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Book Sections
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Levy, J. H., Ghadimi, K., Bailey, J. M., & Ramsay, J. G. (2017). Postoperative Cardiovascular Management. In Kaplan’s Essentials of Cardiac Anesthesia for Cardiac Surgery (pp. 758–785). https://doi.org/10.1016/B978-0-323-49798-5.00030-9Full Text
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Other Articles
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Ghadimi, K., Levy, J. H., & Welsby, I. J. (2016). Prothrombin Complex Concentrates for Bleeding in the Perioperative Setting.. Anesth Analg. United States. https://doi.org/10.1213/ANE.0000000000001188Full Text Open Access Copy Link to Item
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Ghadimi, K., Dombrowski, K. E., Levy, J. H., & Welsby, I. J. (2016). Andexanet alfa for the reversal of Factor Xa inhibitor related anticoagulation.. Expert Rev Hematol. England. https://doi.org/10.1586/17474086.2016.1135046Full Text Link to Item
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Conference Papers
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Manning, M., Li, Y.-J., Linder, D., Haney, J., Wu, Y.-H., Podgoreanu, M., … Ghadimi, K. (2017). Ultrafiltration on CPB Predicts AKI and Transfusion. In Circulation (Vol. 136). Anaheim, CA: LIPPINCOTT WILLIAMS & WILKINS.Link to Item
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Hashmi, N. K., Ghadimi, K., Schroder, J., Levy, J., & Welsby, I. J. (2016). Three Factor Prothrombin Complex Concentrates in Cardiac Surgery: A Novel Algorithmic Approach to Perioperative Bleeding. In Blood (Vol. 128). San Diego, CA: AMER SOC HEMATOLOGY.Link to Item
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Ridley, C., Ghadimi, K., Kohl, B., & Horak, J. (2013). 293. In Critical Care Medicine (Vol. 41, pp. A68–A68). Ovid Technologies (Wolters Kluwer Health). https://doi.org/10.1097/01.ccm.0000439438.63825.9bFull Text
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Finley, D. S., Ghadimi, K., Melamud, O., & Clayman, R. V. (2007). The case of the disappearing stent and the stent density-time continuum. In Journal of Endourology (Vol. 21, pp. A254–A254). MARY ANN LIEBERT INC.Link to Item
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