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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 2026, 142: 832-842. 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
Associations Between Admission C-Reactive Protein and In-Hospital Mortality Amongst Patients with Cardiogenic Shock
Mendelsohn S, Ambrosini A, Safiriyu I, Schwann A, Charif O, Mirabile J, Jacobs M, Ali T, Notarianni A, Senman B, Katz J, Elliott A, Gage A, Miller P. Associations Between Admission C-Reactive Protein and In-Hospital Mortality Amongst Patients with Cardiogenic Shock. European Heart Journal Acute Cardiovascular Care 2026, zuag083. PMID: 42290192, DOI: 10.1093/ehjacc/zuag083.Peer-Reviewed Original ResearchInverse probability weightingIn-Hospital MortalityC-reactive proteinAdmission C-reactive proteinDischarge diagnosisCardiogenic shockPrimary diagnosis of heart failurePrimary diagnosisAbsolute mortality riskAssociated with higher in-hospital mortalityHospital lengthAssociated with in-hospital mortalityHigher In-Hospital MortalityHospital length of stayDays of hospital admissionElevated C-reactive proteinDiagnosis of cardiogenic shockLength of stayDiagnosis of heart failureC-reactive protein measurementMortality riskHospital admissionSecondary outcomesTertile 2TertileVeno-Arterial Extracorporeal Membrane Oxygenation in High-Risk Ventricular Tachycardia Ablation: Current Evidence, Patient Selection, and Perioperative Management
Munoz-Acuna R, Rady A, Notarianni A, Montealegre-Gallegos M. Veno-Arterial Extracorporeal Membrane Oxygenation in High-Risk Ventricular Tachycardia Ablation: Current Evidence, Patient Selection, and Perioperative Management. Journal Of Cardiothoracic And Vascular Anesthesia 2026 PMID: 42366132, DOI: 10.1053/j.jvca.2026.06.007.Peer-Reviewed Original ResearchExtracorporeal membrane oxygenationVA-ECMOMembrane oxygenationSustained VTPatient selectionVentricular tachycardiaIsolated left ventricular dysfunctionVeno-arterial extracorporeal membrane oxygenationVenoarterial extracorporeal membrane oxygenationSevere gas exchange abnormalitiesIntra-aortic balloon pumpAdvanced structural heart diseaseSevere biventricular dysfunctionDevice-related morbidityRight ventricular reserveRecurrent ventricular tachycardiaStructural heart diseaseHigh-risk casesVentricular tachycardia ablationAcute hemodynamic decompensationRefractory electrical stormGas exchange abnormalitiesTemporary mechanical circulatory supportMechanical circulatory supportBiventricular dysfunctionUse of a high multiplanar ultrasound (omniplane) angle to improve a 4-chamber transesophageal echocardiographic view in dogs
Martin-Flores M, Notarianni A. Use of a high multiplanar ultrasound (omniplane) angle to improve a 4-chamber transesophageal echocardiographic view in dogs. Veterinary Anaesthesia And Analgesia 2026, 53: 101256. PMID: 42224856, DOI: 10.1016/j.vaa.2026.101256.Peer-Reviewed Original ResearchReading Between the Guidelines: Perioperative Implications of the 2025 AHA/ACC Hypertension Update
Insler J, Ortoleva J, Notarianni A. Reading Between the Guidelines: Perioperative Implications of the 2025 AHA/ACC Hypertension Update. Journal Of Cardiothoracic And Vascular Anesthesia 2026 PMID: 42250991, DOI: 10.1053/j.jvca.2026.05.008.Peer-Reviewed Original ResearchAmerican Heart Association/American CollegeAmerican Heart Association/American College of Cardiology guidelinesBlood pressure targetsBlood pressure optimizationPredicted riskTreatment of hypertensionLow-certainty evidenceHigh blood pressurePerioperative dataNoncardiac surgeryCardiology guidelinesManagement of high blood pressureSurgical patientsPerioperative implicationsHypertension guidelinesBlood pressurePressure targetsPerioperative careEvidence-based carePerioperative settingNarrative reviewRisk calculatorHypertensionPostoperative Dysphagia After Aortic Surgery and Performance of Bedside Swallow Screening: A Retrospective Cohort Study
Farela A, Johnson A, Pigott S, Saleh A, Notarianni A, Tantawy H, Munoz-Acuna R. Postoperative Dysphagia After Aortic Surgery and Performance of Bedside Swallow Screening: A Retrospective Cohort Study. Journal Of Cardiothoracic And Vascular Anesthesia 2026 PMID: 42168020, DOI: 10.1053/j.jvca.2026.04.045.Peer-Reviewed Original Research
Academic Achievements & Community Involvement
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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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333 Cedar Street, TMP 3, P.O. Box 208051
New Haven, CT 06520
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