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Tamas A Szabo

Anesthesiology

VA Charleston health care

Assistant Chief, Department of Anesthesiology

Education:

Institution/Location            Years        Degree/Date         Field of Study

Semmelweis Univ Medical School    1989-1995    MD  9/1995        Medicine
Budapest, Hungary
Semmelweis Univ Doctoral School    1995-1998    PhD  3/2001         Cardiovasc. Research
Budapest, Hungary

Internship:

SUNY Upstate Medical University – general surgery internship            2001-2002

Residencies or Post Doctoral:

Department of Cardiovascular Surgery, Budapest – anesthesiology residency    1999-2001
SUNY Upstate Medical University      - anesthesiology residency            2002-2005
Duke University Medical Center     - cardiothoracic anesthesiology fellowship    2005-2006

Specialty/Board Certification: 
    
American Board of Anesthesiology                        Date:  2006-
Perioperative Transesophageal Echocardiography                Date:  2006-

VA Certifications:

Out of Operating Room Airway Management (OOORAM)            Date:  2013
Central Venous Line Placement (CVLP)                    Date:  2015

Licensure:  South Carolina                            Date:  2006-

Faculty Appointments:
 
Years        Rank                Institution            Department

2006-        Staff Anesthesiologist        Ralph H. Johnson VAMC    Anesthesiology
2007-2013     Assistant Professor        MUSC                Anesthesiology
2013-               Clinical Assistant Professor    MUSC                Anesthesiology
2018-        Clinical Associate Professor    MUSC                Anesthesiology

Administrative Appointments at the Ralph H. Johnson VAMC:  
                     
Member, Pharmacy and Therapeutics Committee            Date:    2006-2016
Director, Medical Simulation                        Date:     2014-
Member, ICU Activation Committee                    Date:      2016-2017
Member, Critical Care Committee                    Date:      2016-2017
Chair, Cardiopulmonary Resuscitation Committee            Date:      2017-2018
Acting Chief, Department of Anesthesiology                Date:      2017-2018
Assistant Chief, Department of Anesthesiology            Date:      2019-


Hospital Appointments/Privileges:

Years            Active/Inactive        Institution

2006-present        Active            Ralph H. Johnson VA Medical Center
2006-2013        Active            Medical University Hospital

Membership in professional/scientific societies:

National Societies
 American Society of Anesthesiologists
 Society of Cardiovascular Anesthesiologists
 International Anesthesia Research Society

Major Teaching Responsibilities (Current):

Clinical and didactic instruction of medical students, nurses, student nurse anesthetists, certified registered nurse anesthetists and anesthesiology residents. 
Development and presentation of perioperative transesophageal echocardiography lecture series for non-cardiac faculty and anesthesiology residents. 
Development and presentation of cardiac anesthesiology lecture series and perioperative transesophageal echocardiography lectures for anesthesiology residents. 
Delivery of mock oral boards to anesthesiology residents. 
Out of operating room airway management teaching for hospitalists, emergency department physicians and respiratory therapists.

Major Clinical Interests and Responsibilities:  

Cardiothoracic and vascular anesthesia, perioperative transesophageal echocardiography.

Invited lectures and presentations:

1.    Problem based learning discussion on “Neuroprotection during open heart surgery” Society of Cardiovascular Anesthesiologists 32nd Annual Meeting 2010 New Orleans, LA
2.    Invited speaker “Outpatients with significant cardiac history” South Carolina Society of Anesthesiologists Annual Meeting 2010 Columbia, SC
3.    Anesthesiology Grand Rounds on “Preoperative cardiac evaluation for noncardiac surgery” Maine Medical Center, 2019 Portland, ME. 
4.    Anesthesiology Resident Lecture on “Aortic valve: physiology, pathophysiology and anesthetic implications” Maine Medical Center, 2019 Portland, ME.
Bibliography

Full papers            18
Published abstracts        24    
Book chapters              3
    
Publications:
Letters to the Editor:

1.    Szabo TA, Warters RD: In reply: Is it unnecessary to confirm facemask ventilation before administration of a neuromuscular blocking agent? Anaesthesia 2011;66:520.

2.    Szabo TA, Warters RD: In reply: Checking the ability to mask ventilate before administering long-acting neuromuscular blocking drugs. In reply: What about patients whose lungs cannot be ventilated? Anaesthesia 2011;66:523-4.

    Peer Reviewed Journal Articles:

1.    Brown TA, Szabo TA, Bridges KH, Sabbagh MJ, Hand WR, Wolf BJ, Warters RD. Safety and effectiveness of a novel facemask for positive pressure ventilation. Anesth Analg 2018;127:151-6.

2.    Tobin CD, Szabo TA, Wolf BJ, Bridges KH, Brown TA, Woltz EM, Warters RD. Advantages of the new Tao mask for bag mask ventilation: a randomized crossover trial. JRATI 2018;25:103-9.

3.    Szabo TA, Warters RD, Kadry B, Stroud RE, Matthews RG, DeSantis SM, Spinale FG. The effect of general vs. spinal anesthesia on the inflammatory response in orthopedic surgery. JRATI 2012;19:13-20.

4.    Szabo TA, Toole JM, Payne KJ, Giblin EM, Jacks SP, Warters RD. Management of aortic valve bypass surgery. Semin Cardiothorac Vasc Anesth 2012;16:52-8.

5.    Warters RD, Szabo TA, Spinale FG, DeSantis SM. Reves JG. Neuromuscular blockade facilitates   mask ventilation. Anaesthesia 2011;66:163-7.

6.    Szabo T, Ali S, Camporesi E. Intraoperative recombinant activated factor VII for emergent epidural hematoma evacuation. Anesth Analg 2004;99:595-7

7.    Szabo T, Geller L, Merkely B, Selmeci L, Juhasz-Nagy A, Solti F. Investigating the dual nature of endothelin-1: ischemia or direct arrhythmogenic effect? Life Sci 2000;66:2527-41

8.    Szabo T, Horkay F, Fazekas L, Geller L, Gyongy T, Juhasz-Nagy A. Thermographic evaluation of myocardial protection. IEEE Eng Med Biol 2000;19:83-6

9.    Szabo T, Fazekas L, Geller L, Horkay F, Merkely B, Gyongy T, Juhasz-Nagy A. Cardiothermographic assessment of arterial and venous revascularization. IEEE Eng Med Biol 2000;19:77-82

10.    Merkely B, Szabo T, Geller L, Kiss O, Horkay F, Raschack M, Juhasz-Nagy A. The selective endothelin-A receptor antagonist LU 135.252 inhibits the direct arrhythmogenic action of endothelin-1. J Cardiovasc Pharmacol 2000;36 Suppl 1:S314-6

11.    Geller L, Szabo T, Kiss O, Solti F, Juhasz-Nagy A, Merkely B. Fundamental electrophysiological differences between low dose intracoronary endothelin-1 infusion and myocardial ischemia revealed by monophasic action potential recording. J Cardiovasc Pharmacol 2000;36 Suppl 1:S167-71

12.    Horkay F, Geller L, Kiss O, Szabo T, Vago H, Kekesi V, Juhasz-Nagy A, Merkely B. Bosentan, the mixed endothelin A/B receptor antagonist suppresses intrapericardial endothelin-1 induced ventricular arrhythmias. J Cardiovasc Pharmacol 2000;36 Suppl 1:S320-22

13.    Kiss O, Geller L, Merkely B, Szabo T, Raschack M, Seres L, Zima E, Juhasz-Nagy A, Horkay F. Endothelin-A receptor antagonist  LU 135.252 inhibits the formation of ventricular arrhythmias caused by intrapericardial infusion of endothelin-1. J Cardiovasc Pharmacol 2000;36 Suppl 1:S317-9

14.    Merkely B, Kiss O, Vago H, Zima E, Szabo T, Geller L. Arrhythmogenic action of endothelin-1. Cardiovasc Res 2000;48:357-8

15.    Fazekas L, Horkay F, Kekesi V, Huszar E, Barat E, Fazekas R, Szabo T, Juhasz-Nagy A, Naszlady A. Enhanced accumulation of pericardial fluid adenosine and inosine in patients with coronary artery disease. Life Sci 1999;65:1005-12

16.    Fazekas L, Szabo T, Barat E, Huszar E, Kekesi V, Juhasz-Nagy A. Compensation of endothelin-1 induced coronary vasoconstriction. J Cardiovasc Pharmacol 1998;31 Suppl 1:S106-8

17.    Geller L, Merkely B, Lang V, Szabo T, Fazekas L, Kekesi V, Kiss O, Horkay F, Schaldach M, Toth M, Juhasz-Nagy A. Increased monophasic action potential dispersion in endothelin-1 induced ventricular arrhythmias. J Cardiovasc Pharmacol 1998;31 Suppl 1:S434-6

18.    Geller L, Merkely B, Szokodi I, Szabo T, Vecsey T, Juhasz-Nagy A, Toth M, Horkay F. Electrophysiological effects of on intrapericardial infusion of endothelin-1. PACE 1998;21:151-6


Abstracts:

1.    Szabo T, Reves JG, Spinale FG, Ezri T, Warters RD. Neuromuscular blockade facilitates mask ventilation.  2008 ASA Annual Meeting Orlando FL. October 2008. A184.

2.    Szabo T, Kadry B, Stroud RE, Matthews RG, Warters RD. The effect of general vs. spinal anesthesia on the inflammatory response in orthopedic surgery. 2008 ASA Annual Meeting. Orlando FL. October 2008. A1240.

3.    Szabo T, DeSimone NA, Moaref K, Phillips-Bute BG, Lawson S, Simsir S, Stafford-Smith M. The association between mannitol dose and postoperative acute renal injury in aortocoronary bypass surgical patients. Anesth Analg 2006;102:SCA59

4.    Szabo T, Mathew JP, White WD, Morris R, Newman MF, Grocott HP. The influence of mini-thoracotomy vs. median sternotomy on the inflammatory response to valve surgery. Anesth Analg 2006;102:SCA14

5.    Geller L, Merkely B, Szabo T, Kiss O, Vago H, Raschack M, Juhasz-Nagy A, Horkay F. Effects of endothelin receptor antagonists on intrapericardial endothelin-1 induced ventricular arrhythmias and myocardial ischemia. Eur Heart J 2000;21:549

6.    Szabo T, Geller L, Raschack M, Fazekas L, Kiss O, Juhasz-Nagy A, Merkely B. Endothelin-1 induced ventricular arrhythmias are effectively suppressed by LU 135.252, the selective endothelin-A receptor antagonist. Eur Heart J 1999;20:263

7.    Szabo T, Geller L, Merkely B, Selmeci L, Solti F, Juhasz-Nagy A. Endothelin-1 induced arrhythmias occur without ischemic lactate, thermohraphic and hemodynamic changes. 6th International Conference of Endothelins 1999;O93

8.    Geller L, Szabo T, Kiss O, Merkely B. Multiple monophasic action potential recording during ischemia and intracoronary endothelin-1 infusion – similarities and differences. PACE 1999;22:29

9.    Szabo T, Geller L, Merkely B, Selmeci L, Juhasz-Nagy A, Solti F. Investigating the double nature of endothelin. Electrophysiology, lactate release and thermography. Eur Heart J 1998;19:487

10.    Szabo T, Fazekas L, Geller L, Horkay F, Gyongy T, Juhasz-Nagy A. Cardiothermographic assessment of arterial bypass graft patency and myocardial protection. Proc 1998 International Congress on Thermology 1998;51

11.    Geller L, Szabo T, Selmeci L, Merkely B, Juhasz-Nagy A, Solti F. Investigating the double nature of endothelin: a thermographic and electrophysiological study. Proc 1998 International Congress on Thermology 1998;85

12.    Geller L, Merkely B, Lang V, Kiss O, Szabo T, Schaldach M. Intracoronary endothelin-1 infusion increases monophasic action potential dispersion. JACC 1998;31 (Suppl 5):319C

13.    Szabo T, Fazekas L, Horkay F, Geller L, Juhasz-Nagy A. Cardiothermographic evaluation of coronary blood flow during open heart surgery. Thermol Osterr 1997;7:77

14.    Szabo T, Fazekas L, Horkay F, Geller L, Juhasz-Nagy A. Cardiothermographic assessment of bypass graft patency during myocardial revascularization. Cardiovasc Surg 1997 (23rd ISCVS Suppl):83

15.    Szabo T, Fazekas L, Horkay F. Thermography during human heart operations. 10th International Conference on Thermal Engineering and Thermogrammetry 1997;174-176

16.    Szabo T, Fazekas L. Application of a thermographic camera in the cardiovascular research. Proc Combio ’96 Workshop 1996;3:15-21

17.    Szabo T, Fazekas L, Kekesi V, Barat E, Huszar E, Juhasz-Nagy A. Coronary hemodynamics, adenosine release and cardiothermography of the dog heart during dipyridamole administration. Internat Angiol 1996;15 (Suppl I):74
       
Chapters in Scholarly Books and Monographs:

1.     Szabo T, Warters D. Anesthetic Implications of Chronic Medications. In: Silverstein JH, Rooke GA, Reves JG, McLeskey CH, eds. Geriatric Anesthesiology. 2nd ed. Springer, 2008:197-208

2.     Field L, Lappas G, Christie A, Green A, Morozowich S, Szabo T, Zhang Q, Murphy S, Bissessar R, Aronson S. Intraoperative Transesophageal Echocardiography: A Systematic Approach. In: Longnecker DE, Brown DL, Newman MF, Zapol WM, eds. Anesthesiology. McGraw-Hill, 2008:552-78

3.    Warters D, Szabo T. Anesthetic Implications of Chronic Medication Use. In: Barnett SR, McSwain JR, Reves JG, Rooke GA, eds. Geriatric Anesthesiology. 3nd ed. Springer, 2017:333-350