Antonio Gonzalez-Fiol, MD
Associate Professor of AnesthesiologyCards
About
Research
Publications
2025
Baseline values for Quantra® QPlus® in healthy pregnant women at term and comparison to standard laboratory coagulation values: a prospective observational study
Anakmeteeprugsa S, Gonzalez-Fiol A, Garay A, Lin H, He Z, Alian A. Baseline values for Quantra® QPlus® in healthy pregnant women at term and comparison to standard laboratory coagulation values: a prospective observational study. BMC Pregnancy And Childbirth 2025, 25: 826. PMID: 40781663, PMCID: PMC12333236, DOI: 10.1186/s12884-025-07927-z.Peer-Reviewed Original ResearchConceptsManagement of postpartum hemorrhageStandard laboratory coagulation testsPostpartum hemorrhageLaboratory coagulation testsCesarean deliveryPoint-of-care viscoelastic testingPregnant womenHealthy pregnant womenProspective observational studyCoagulation testsObservational studyMethodsHealthy pregnant womenSevere postpartum hemorrhageEarly recognitionElective cesarean deliveryPartial Pearson correlationsLabor groupFibrinogen levelsHealthy term pregnant womenTerm pregnant womenBaseline valuesAssociated with progressionAssessment of hemostasisPearson correlationInterquartile rangeShedding more light on the management of intraoperative pain during cesarean delivery: a review of the American Society of Anesthesiologists statements
Gonzalez-Fiol A, Fardelmann K, Landau R. Shedding more light on the management of intraoperative pain during cesarean delivery: a review of the American Society of Anesthesiologists statements. International Journal Of Obstetric Anesthesia 2025, 62: 104360. PMID: 40199022, DOI: 10.1016/j.ijoa.2025.104360.Commentaries, Editorials and LettersSpinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia.
Gonzalez Fiol A, Pawan F, Alian A. Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia. Journal Of Visualized Experiments 2025 PMID: 39960192, DOI: 10.3791/66901.Peer-Reviewed Original ResearchConceptsSpine anatomyNeuraxial anesthesiaEpidural spaceCases of difficult anatomyLumbar spine anatomyNeuraxial ultrasonographyPreprocedural ultrasonographyNeuraxial techniquesSpinal sonographyDifficult anatomyRegular practiceAbnormal anatomyPalpation techniqueTraumatic procedureRegional anesthesiaUltrasonographyNeedle puncturePatientsSuccess rateAnesthesiaUltrasound techniqueAnatomyPractical tipsPalpationSeries of videosChapter 20 Postoperative pain management for cesarean delivery
Fiol A, McGuire P, Fardelmann K, Alian A. Chapter 20 Postoperative pain management for cesarean delivery. 2025, 213-221. DOI: 10.1016/b978-0-443-21707-4.00020-3.Peer-Reviewed Original Research
2024
In response to: Accuracy of Spanish and English-generated ChatGPT responses to commonly asked patient questions about labor epidurals
Gonzalez Fiol A, Reale S. In response to: Accuracy of Spanish and English-generated ChatGPT responses to commonly asked patient questions about labor epidurals. International Journal Of Obstetric Anesthesia 2024, 61: 104315. PMID: 39966061, DOI: 10.1016/j.ijoa.2024.104315.Commentaries, Editorials and LettersAccuracy of Spanish and English-generated ChatGPT responses to commonly asked patient questions about labor epidurals: a survey-based study among bilingual obstetric anesthesia experts
Gonzalez Fiol A, Mootz A, He Z, Delgado C, Ortiz V, Reale S. Accuracy of Spanish and English-generated ChatGPT responses to commonly asked patient questions about labor epidurals: a survey-based study among bilingual obstetric anesthesia experts. International Journal Of Obstetric Anesthesia 2024, 61: 104290. PMID: 39579604, DOI: 10.1016/j.ijoa.2024.104290.Peer-Reviewed Original ResearchLabor epiduralsNon-English-speaking patientsMode of deliveryHealth inequalitiesLabor courseCesarean deliveryObstetric anesthesiologistPatient questionsSurvey-based studyMedian scoreMedical adviceAnesthesia expertsEpiduralsLikert scaleEnglishLanguage modelEnglish answersPerpetuate misinformationPatientsLanguageSpanishScoresAccuracy scoresDeliveryQuestionsOpioid and Substance Use Disorders
Gonzalez-Fiol A, Fardelmann K. Opioid and Substance Use Disorders. 2024, 323-333. DOI: 10.1007/978-3-031-62756-9_40.Peer-Reviewed Original ResearchSubstance use disordersUse disorderDSM-5 diagnostic criteriaTreating substance use disordersPregnant patientsDSM-5National Survey on Drug Use and HealthDrug Use and HealthPatterns of behaviorImpaired controlReferral to treatmentSedative hypnoticsBrief interventionDisordersFetal outcomesFetal morbidityDiagnostic criteriaIllicit drugsPregnant womenEvidence-based approachHealthcare providersPathological patternsTobacco productsSocial stigmaSocioeconomic demographicsAccidental Dural Puncture
Gonzalez-Fiol A, Dextras C. Accidental Dural Puncture. 2024, 269-275. DOI: 10.1007/978-3-031-62756-9_33.Peer-Reviewed Original Research
2023
A Prospective Cohort Study to Evaluate Needle Passes Using a Portable Ultrasound Device versus Traditional Landmark Approach for Epidural Anesthesia in a Busy Obstetric Tertiary Care Center
Fiol A, Rodriguez P, Zhao X, Gaiser R, Herrera A, Alian A. A Prospective Cohort Study to Evaluate Needle Passes Using a Portable Ultrasound Device versus Traditional Landmark Approach for Epidural Anesthesia in a Busy Obstetric Tertiary Care Center. POCUS Journal 2023, 8: 153-158. PMID: 38099155, PMCID: PMC10721287, DOI: 10.24908/pocus.v8i2.16298.Peer-Reviewed Original ResearchBaseline rotational thromboelastometry (ROTEM) values in a healthy, diverse obstetric population and parameter changes by pregnancy-induced comorbidities
Fiol A, Yoo J, Yanez D, Fardelmann K, Salimi N, Alian M, Mancini P, Alian A. Baseline rotational thromboelastometry (ROTEM) values in a healthy, diverse obstetric population and parameter changes by pregnancy-induced comorbidities. Baylor University Medical Center Proceedings 2023, 36: 562-571. PMID: 37614857, PMCID: PMC10443986, DOI: 10.1080/08998280.2023.2217534.Peer-Reviewed Original ResearchRotational thromboelastometryCoagulability statusObstetric populationROTEM valuesFIBTEM A10Elevated liver enzymesLow platelets (HELLP) syndromeMaximum clot firmnessClot formation timeBody mass indexPostpartum hemorrhage managementEXTEM A10Recent bleedingCesarean deliveryClot firmnessHypercoagulable profileGestational ageLiver diseasePostpartum hemorrhageRetrospective reviewMass indexBlack raceMaternal ageBlood productsHealthy criteria
Clinical Care
Overview
Antonio Gonzalez-Fiol, MD, is an anesthesiologist who specializes in obstetric and gynecological anesthesiology. He provides anesthesia care during childbirth and other gynecological procedures.
As an associate professor of anesthesiology at Yale School of Medicine, he also serves as the program director for obstetric and gynecological anesthesiology, guiding the next generation of specialists in this field.
He received his medical degree from the Ponce School of Medicine.
Board Certifications
Anesthesiology
- Certification Organization
- AB of Anesthesiology
- Original Certification Date
- 2013