Zyad James Carr, MD
Associate Professor of AnesthesiologyCards
Appointments
Additional Titles
Medical Director, Pre-Surgical Evaluation Clinic, Yale New Haven Hospital, Anesthesiology
Contact Info
Anesthesiology
333 Cedar Street, TMP-3
New Haven, Connecticut 05610
United States
Appointments
Additional Titles
Medical Director, Pre-Surgical Evaluation Clinic, Yale New Haven Hospital, Anesthesiology
Contact Info
Anesthesiology
333 Cedar Street, TMP-3
New Haven, Connecticut 05610
United States
Appointments
Additional Titles
Medical Director, Pre-Surgical Evaluation Clinic, Yale New Haven Hospital, Anesthesiology
Contact Info
Anesthesiology
333 Cedar Street, TMP-3
New Haven, Connecticut 05610
United States
About
Titles
Associate Professor of Anesthesiology
Medical Director, Pre-Surgical Evaluation Clinic, Yale New Haven Hospital, Anesthesiology
Biography
Dr. Carr received his anesthesiology training at the University of Medicine and Dentistry, Cooper University Hospital in the physician-scientist track. He proceeded to complete a critical care medicine fellowship at Dartmouth Hitchcock Medical Center and subsequently board certified in anesthesiology, critical care medicine and advanced perioperative transesophageal echocardiography. He joined the Yale University School of Medicine, Department of Anesthesiology in May of 2020.
Appointments
Anesthesiology
Associate Professor on TermPrimary
Other Departments & Organizations
Education & Training
- Critical Care Fellow
- Dartmouth Hitchcock Medical Center (2014)
- Resident Physician
- University of Medicine & Dentistry of NJ, Cooper University Hospital (2010)
- MD
- University College Cork, National Univ. of Ireland, Medicine (2005)
- BSc (Hon)
- Rutgers University, Psychology (1999)
Research
Overview
My current research interest is identification, quantification, and mitigation of perioperative complications. Shifting the paradigm of preoperative risk assessment to a precise, individualized and patient centered approach is one of my areas of research interest. In addition, I am interested in estimation and characterization of perioperative pulmonary complications, particularly in the care of previously neglected medical populations.
Medical Subject Headings (MeSH)
Research at a Glance
Yale Co-Authors
Publications Timeline
Research Interests
Adriana Dana Oprea, MD
Jill Zafar, MD, MBA, FASA
Andrew Duffy, MD, FACS, FASMBS
Claudia Fernandez Robles, MD
Fangyong Li, MS, MPH
Jean Gabriel Charchaflieh, MD, MPH, DrPH
Critical Care
Perioperative Care
Publications
2024
Identifying, Understanding, and Minimizing Unconscious Cognitive Biases in Perioperative Crisis Management: A Narrative Review
Yan L, Karamchandani K, Gaiser R, Carr Z. Identifying, Understanding, and Minimizing Unconscious Cognitive Biases in Perioperative Crisis Management: A Narrative Review. Anesthesia & Analgesia 2024, 139: 68-77. PMID: 37874227, DOI: 10.1213/ane.0000000000006666.Peer-Reviewed Original ResearchAltmetricPulmonary Hypertension and the Risk of 30-Day Postoperative Pulmonary Complications after Gastrointestinal Surgical or Endoscopic Procedures: A Retrospective Propensity Score-Weighted Cohort Analysis
Tatsuoka Y, Carr Z, Jayakumar S, Lin H, He Z, Farroukh A, Heerdt P. Pulmonary Hypertension and the Risk of 30-Day Postoperative Pulmonary Complications after Gastrointestinal Surgical or Endoscopic Procedures: A Retrospective Propensity Score-Weighted Cohort Analysis. Journal Of Clinical Medicine 2024, 13: 1996. PMID: 38610760, PMCID: PMC11012853, DOI: 10.3390/jcm13071996.Peer-Reviewed Original ResearchAltmetricConceptsPostoperative pulmonary complicationsLength of stayPulmonary hypertensionPulmonary complicationsPulmonary embolismRespiratory failureEndoscopic proceduresRisk of postoperative complicationsPulmonary artery pressurePreoperative risk assessmentProlonged length of stayRetrospective cohort studySub-cohort analysisIncreased LOSPropensity score overlap weightingOverlap weightingAssociation of PHPH cohortPH patientsPostoperative complicationsAbdominal surgeryRate of RFCohort studyControl cohortArterial pressureFurther innovation is required to enhance risk prediction of postoperative pulmonary complications
Carr, Z.J. Further innovation is required to enhance risk prediction of postoperative pulmonary complications—comment on Anesthesiol Perioper Sci. 2023;1(4):34. APS 2, 14 (2024). https://doi.org/10.1007/s44254-024-00053-7Commentaries, Editorials and LettersFurther innovation is required to enhance risk prediction of postoperative pulmonary complications—comment on Anesthesiol Perioper Sci. 2023;1(4):34
Carr Z. Further innovation is required to enhance risk prediction of postoperative pulmonary complications—comment on Anesthesiol Perioper Sci. 2023;1(4):34. Anesthesiology And Perioperative Science 2024, 2: 14. DOI: 10.1007/s44254-024-00053-7.Peer-Reviewed Original ResearchAltmetricEstimates of 30-day postoperative pulmonary complications after gastrointestinal endoscopic procedures: A retrospective cohort analysis of a health system population
Carr Z, Li J, Agarkov D, Gazura M, Karamchandani K. Estimates of 30-day postoperative pulmonary complications after gastrointestinal endoscopic procedures: A retrospective cohort analysis of a health system population. PLOS ONE 2024, 19: e0299137. PMID: 38394250, PMCID: PMC10889900, DOI: 10.1371/journal.pone.0299137.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsPostoperative pulmonary complicationsGastrointestinal endoscopic proceduresCongestive heart failurePropensity score matchingEndoscopic proceduresPulmonary complicationsSecondary outcomesPropensity score matching adjustmentRetrospective cohort studyRetrospective cohort analysisPulmonary circulatory disordersMultivariate logistic regressionAlcohol abuse disordersUpper endoscopic proceduresHealth system populationPulmonary emboliUpper endoscopyRespiratory failureLower endoscopyElectrolyte disordersHeart failureCohort studyConscious sedationPrimary outcomeCohort analysis
2023
Predictors of Failure to Rescue After Postoperative Respiratory Failure: A Retrospective Cohort Analysis of 13,047 Patients Using the ACS-NSQIP Dataset
Karamchandani K, Khorsand S, Ebeling C, Yan L, Nakonezny P, Carr Z. Predictors of Failure to Rescue After Postoperative Respiratory Failure: A Retrospective Cohort Analysis of 13,047 Patients Using the ACS-NSQIP Dataset. Journal Of Surgical Research 2023, 293: 482-489. PMID: 37827025, DOI: 10.1016/j.jss.2023.09.030.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPostoperative respiratory failurePredictors of failureDay of surgeryRespiratory failureNoncardiac surgeryNational Surgical Quality Improvement Project databaseSurgeons National Surgical Quality Improvement Project databaseMultiple logistic regression modelACS-NSQIP datasetsPreoperative prealbumin levelRetrospective cohort studyAnesthesiologists physical statusRetrospective cohort analysisLogistic regression modelsPreoperative ascitesPreoperative creatininePostoperative complicationsPrealbumin levelsCohort studyStudy cohortDisseminated cancerCohort analysisAmerican CollegePatientsPhysical statusAnesthesia for adult patients with asthma
Carr ZJ. Anesthesia for adult patients with asthma. UpToDate Aug 2023ChaptersPerioperative Pulmonary Complications in the Elderly The Forgotten System
Carr Z, Siller S, McDowell B. Perioperative Pulmonary Complications in the Elderly The Forgotten System. Anesthesiology Clinics 2023, 41: 531-548. PMID: 37516493, DOI: 10.1016/j.anclin.2023.02.005.Peer-Reviewed Original ResearchAltmetricEmergency use of sugammadex after failure of standard reversal drugs and postoperative pulmonary complications: A retrospective cohort study
Bruceta M, Singh P, Bonavia A, Carr Z, Karamchandani K. Emergency use of sugammadex after failure of standard reversal drugs and postoperative pulmonary complications: A retrospective cohort study. Journal Of Anaesthesiology Clinical Pharmacology 2023, 39: 232-238. PMID: 37564851, PMCID: PMC10410049, DOI: 10.4103/joacp.joacp_289_21.Peer-Reviewed Original ResearchAltmetricConceptsPostoperative pulmonary complicationsRetrospective cohort studyPulmonary complicationsNeuromuscular blockadeCohort studyReversal drugsMajor postoperative pulmonary complicationsTertiary care academic hospitalAdministration of neostigmineInpatient noncardiac surgeryNeostigmine/glycopyrrolateComposite primary outcomeUse of sugammadexComposite outcome measureNoncardiac surgeryAdult patientsPrimary outcomeGeneral anesthesiaProspective studyMedical recordsAcademic hospitalOutcome measuresSugammadexHigh incidenceComplicationsRecommendations for Intraoperative Adverse Events Data Collection in Clinical Studies and Study Protocols. An ICARUS Global Surgical Collaboration Study.
Cacciamani GE, Eppler M, Sayegh AS, Sholklapper T, Mohideen M, Miranda G, Goldenberg M, Sotelo RJ, Desai MM, Gill IS. Recommendations for Intraoperative Adverse Events Data Collection in Clinical Studies and Study Protocols. An ICARUS Global Surgical Collaboration Study. Int J Surg Protoc 2023, 27: 23-83. PMID: 36818424, DOI: 10.29337/ijsp.183.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus Statements
Academic Achievements and Community Involvement
activity Society of Critical Care Anesthesiologists, Scientific Abstract Committee
Professional OrganizationsAbstract GraderDetails2018 - Presentactivity Journal of Intensive Care Medicine
Journal ServiceReviewerDetails2020 - Presentactivity Drugs
Journal ServiceReviewerDetails2019 - Presentactivity Bioscience Reports
Journal ServiceReviewerDetails2019 - Presentactivity Clinical Interventions in Aging
Journal ServiceReviewerDetails2018 - Present
Clinical Care
Overview
Clinical Specialties
Board Certifications
Advanced Perioperative Transesophageal Echocardiography
- Certification Organization
- National Board of Echocardiography
- Original Certification Date
- 2015
Critical Care Medicine (Anesthesiology)
- Certification Organization
- AB of Anesthesiology
- Original Certification Date
- 2014
Anesthesiology
- Certification Organization
- AB of Anesthesiology
- Original Certification Date
- 2011
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Media
- Rapid determination of the cause of postoperative hypoxia in ILD patients is critical to successful rescue.
Get In Touch
Contacts
Anesthesiology
333 Cedar Street, TMP-3
New Haven, Connecticut 05610
United States