"Providing anesthesia for cardiac and thoracic surgery is a constant
clinical challenge as patients are presenting at an older age with greater
co-morbidities for ever-changing procedures. We are constantly being asked to
acquire new skills and assess new surgical procedures as innovative surgical
approaches to cardiac and thoracic disease are attempted. Further, we are
challenged to extend our care to the perioperative setting with attention to
significant patient outcomes as the result of undergoing surgery.
"My primary areas of research interest include investigation into the
perioperative care of the cardiothoracic patient and investigation into
predictors of CAD and outcomes after surgery in the cardiothoracic patient. My
current research interests include:
- Investigation into patterns of neurological and cognitive dysfunction
after non-cardiac major surgery,
- Investigation of long-term patterns of CAD as related to high and
low socioeconomic status and baseline CNS serotonin levels,
- Investigation into the pro and anti-inflammatory cytokine profiles
during and after cardiac and thoracic surgery, and
- Evaluation of patterns and outcomes related to analgesic care after
cardiac and thoracic surgery. Further, I am involved in a long-term
departmental effort to study the effects of anesthesia and surgery
in the geriatric patient, especially with respect to effects on pulmonary
function, cognition, benefits of regional anesthesia versus general
anesthesia, coagulation and quality of life."
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E-MAIL
kgrichnik@anesthesiaweb.com
ACADEMIC AFFILIATION
Duke University Medical Center
Duke University
Durham, NC
POSITION
Assistant Professor of Anesthesiology
Division of Cardiothoracic Anesthesia,
Duke University Medical Center
AREAS OF SPECIALTY / RESEARCH
Cardiothoracic anesthesia
DATE OF BIRTH
October 2, 1959
EDUCATION
Tufts University School of Medicine
Boston, MA (M.D. 1987)
LATEST PUBLICATIONS
Balance of proinflammatory and antiinflammatory cytokines at thoracic cancer operation.
Ann Thorac Surg 1998 Oct;66(4):1145-50
(Atwell DM, Grichnik KP, Newman MF, Reves JG, McBride WT)
Early extubation and neurologic examination following combined carotid endarterectomy and coronary artery bypass grafting using remifentanil
J Clin Anesth 1998 May;10(3):249-52
(Gerhardt MA, Grichnik KP)
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