About
Research
Publications
Featured Publications
Pro-Con Debate: Opioids and Perioperative Organ Injury-Friend or Foe?
Obal D, Notarianni A, Smith L, Gross E. Pro-Con Debate: Opioids and Perioperative Organ Injury-Friend or Foe? Anesthesia & Analgesia 2025 PMID: 40779428, DOI: 10.1213/ane.0000000000007707.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsPropofol vs etomidate for induction prior to invasive mechanical ventilation in patients with acute myocardial infarction
Thomas A, Banna S, Shahu A, Ali T, Schenck C, Patel B, Notarianni A, Phommalinh M, Kochar A, Heck C, van Diepen S, Miller P. Propofol vs etomidate for induction prior to invasive mechanical ventilation in patients with acute myocardial infarction. American Heart Journal 2024, 272: 116-125. PMID: 38554762, DOI: 10.1016/j.ahj.2024.03.013.Peer-Reviewed Original ResearchConceptsAssociated with lower mortalityAcute myocardial infarctionInvasive mechanical ventilationLower mortalityUS national databaseClinical data baseMyocardial infarctionIll patient populationLength of stayCritically ill patient populationIn-Hospital MortalityInverse probability treatmentOptimal induction agentInduction agentNational databaseClinical outcomesMechanical ventilationProbability treatmentPropensity weightingPatient populationRandomized trialsMortalityUtilization of propofolVentilator daysPropofol groupImpact of Obesity on Heart Transplantation Outcomes
Chouairi F, Milner A, Sen S, Guha A, Stewart J, Jastreboff AM, Mori M, Clark KA, Miller PE, Fuery MA, Rogers JG, Notarianni A, Jacoby D, Maulion C, Anwer M, Geirsson A, Desai NR, Ahmad T, Mullan CW. Impact of Obesity on Heart Transplantation Outcomes. Journal Of The American Heart Association 2021, 10: e021346. PMID: 34854316, PMCID: PMC9075353, DOI: 10.1161/jaha.121.021346.Peer-Reviewed Original ResearchConceptsBody mass indexHigher BMI categoriesImpact of obesityHeart transplantation outcomesBMI categoriesTransplantation outcomesHeart transplantationHigher Body Mass IndexAllocation system changeAdvanced heart failureOrgan Sharing databaseObese BMI categoriesVentricular assist deviceNew Organ ProcurementPosttransplant deathPosttransplantation deathPosttransplant mortalityBackground PatientsBMI 18.5Adult patientsCohort studyHeart failureHeart transplantSharing databaseWaitlist deathsMechanical circulatory support devices in geriatric patients: more than just age
Notarianni A, Patel B. Mechanical circulatory support devices in geriatric patients: more than just age. Current Opinion In Anaesthesiology 2021, 35: 105-108. PMID: 34845141, DOI: 10.1097/aco.0000000000001081.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsMechanical circulatory support devicesCirculatory support devicesElderly patientsSupport devicesVV-ECMO supportVentricular assist deviceNumber of LVADsVA-ECMOAcceptable mortalityECMO initiationECMO supportMultiple comorbiditiesComplication rateYounger patientsImproved survivalMembrane oxygenationClinical presentationGeriatric patientsFavorable outcomeHigh riskElderly populationMCS devicesPatientsAssist deviceClinical settingMechanical Cardiac Circulatory Support: an Overview of the Challenges for the Anesthetist
Notarianni A, Tickoo M, Bardia A. Mechanical Cardiac Circulatory Support: an Overview of the Challenges for the Anesthetist. Current Anesthesiology Reports 2021, 11: 421-428. PMID: 34611458, PMCID: PMC8484296, DOI: 10.1007/s40140-021-00486-x.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsExtracorporeal membrane oxygenationSalvage therapyEnd-stage heart failureMechanical circulatory support devicesAcute myocardial infarctionCirculatory support devicesVentricular assist deviceECMO utilizationPerioperative managementAnesthetic managementBalloon pumpHeart failureMembrane oxygenationCardiopulmonary supportDestination therapyMyocardial infarctionAnesthetic supportRecent FindingsUseMCS devicesAssist deviceHemodynamic principlesPatientsManagement guidelinesTherapySupport devices
2026
Delivering on Past Promise: The ASE/EACVI Clinical Applications of Strain Echocardiography Consensus Statement
Insler J, Shears M, Notarianni A. Delivering on Past Promise: The ASE/EACVI Clinical Applications of Strain Echocardiography Consensus Statement. Journal Of Cardiothoracic And Vascular Anesthesia 2026 DOI: 10.1053/j.jvca.2026.03.028.Commentaries, Editorials and LettersThis work investigates the updated ASE/EACVI strain echocardiography guidelines, demonstrating its improved accuracy in predicting heart function and outcomes, though clinical adoption remains limited.Asynchronous Learning in Mechanical Circulatory Support: Bridging to the Future or a Bridge to Nowhere?
Vaughan K, Notarianni A. Asynchronous Learning in Mechanical Circulatory Support: Bridging to the Future or a Bridge to Nowhere? Journal Of Cardiac Failure - Intersections 2026, 2: 47-49. DOI: 10.1016/j.yjcafi.2025.12.003.Commentaries, Editorials and LettersThis work examines the effectiveness of asynchronous learning modules for mechanical circulatory support and ECMO, finding improved trainee satisfaction but limited knowledge retention compared to traditional methods.
2025
Venous Cannula Positioning in Extracorporeal Membrane Oxygenation
Ortoleva J, Notarianni A. Venous Cannula Positioning in Extracorporeal Membrane Oxygenation. Journal Of The American Society Of Echocardiography 2025, 39: 229. PMID: 40967282, DOI: 10.1016/j.echo.2025.08.027.Commentaries, Editorials and LettersProcedural sedation outside the operating room: Challenges, guidelines, and future directions
Bastos A, Munoz-Acuna R, Notarianni A. Procedural sedation outside the operating room: Challenges, guidelines, and future directions. Best Practice & Research Clinical Anaesthesiology 2025, 39: 215-225. DOI: 10.1016/j.bpa.2025.08.003.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsCare areasProcedural sedationModern clinical careUnique risk profileModern healthcare environmentClinical careSedation safetyHealthcare environmentMedical specialtiesCareOperating roomStandard of careRisk profileNon-operating room proceduresAnesthesiologyProfessional competenceSurgical centersEndoscopic proceduresAdditive valueBlimey, More Guidelines! A Practical Approach to the Echocardiographic Assessment of Aortic Regurgitation: The British Society of Echocardiography Guidelines
Montealegre-Gallegos M, Munoz-Acuna R, Notarianni A. Blimey, More Guidelines! A Practical Approach to the Echocardiographic Assessment of Aortic Regurgitation: The British Society of Echocardiography Guidelines. Journal Of Cardiothoracic And Vascular Anesthesia 2025, 39: 2239-2242. PMID: 40555633, DOI: 10.1053/j.jvca.2025.05.049.Commentaries, Editorials and Letters
Academic Achievements & Community Involvement
Clinical Care
Overview
Andrew Notarianni, MD, is an anesthesiologist who specializes in cardiac anesthesia. He focuses on managing anesthesia for patients undergoing heart-related surgeries and provides care in the cardiothoracic intensive care unit.
In addition to his clinical work, Dr. Notarianni serves as an assistant professor of anesthesiology at Yale School of Medicine. His research interests include improving outcomes in cardiac anesthesia and enhancing patient care through innovative practices. As the program director of the Adult Cardiothoracic Anesthesiology Fellowship, he is dedicated to educating future anesthesiologists.
Dr. Notarianni received his medical degree from Georgetown University School of Medicine. He completed his residency in anesthesiology and a fellowship in critical care medicine (anesthesiology) at Dartmouth-Hitchcock/Mary Hitchcock Memorial Hospital, and a fellowship in adult cardiothoracic anesthesiology at Yale New Haven Hospital.
Clinical Specialties
Cardiac Anesthesiology; Critical Care Anesthesiology; Anesthesiology
Board Certifications
Critical Care Medicine (Anesthesiology)
- Certification Organization
- AB of Anesthesiology
- Original Certification Date
- 2017
Anesthesiology
- Certification Organization
- AB of Anesthesiology
- Original Certification Date
- 2017
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Anesthesiology
333 Cedar Street, TMP 3, P.O. Box 208051
New Haven, CT 06520
United States