Jean Gabriel Charchaflieh, MD, MPH, DrPH
Associate Professor of AnesthesiologyCards
About
Research
Publications
2025
Physicians-in-training and advanced practice providers perceptions in managing perioperative obstructive sleep apnea: a multi-institutional survey.
Lyons M, Auckley D, Mokhlesi B, Charchaflieh J, Myers J, Yilmaz M, Williams L, Khan M, Card E, Gelfand B, Pilla M, Loftsgard T, Sawyer A, Matura L, Carlucci M, Sahni A, Glaser K, Al Ghussain D, Brock G, Bhatt N, Magalang U, Rosen I, Gali B. Physicians-in-training and advanced practice providers perceptions in managing perioperative obstructive sleep apnea: a multi-institutional survey. Journal Of Clinical Sleep Medicine 2025, 21: 765-773. PMID: 39745490, PMCID: PMC12048335, DOI: 10.5664/jcsm.11528.Peer-Reviewed Original ResearchObstructive sleep apneaAdvanced practice providersPhysicians-in-trainingSleep apneaClinical roleImproved provider educationPerioperative risk assessmentBreslow-Day testPerioperative complicationsCategories of carePerioperative periodElectronic-mail surveyOdds ratioRisk factorsMulti-institutional surveySleep disordersPatientsPerioperative patientsBreslow-DaySignificant differenceSurgical servicesApneaPractice providersProviders' perceptionsMultiple comparisonsPreoperative submaximal cardiopulmonary exercise testing and its association with early postoperative complications
Carr Z, Charchaflieh J, Brenes-Bastos A, He H, Lin H, Jankelovits A, Gu E, Zafar J, Ghali F, Tan W, Heerdt P. Preoperative submaximal cardiopulmonary exercise testing and its association with early postoperative complications. BJA Open 2025, 14: 100407. PMID: 40421445, PMCID: PMC12105740, DOI: 10.1016/j.bjao.2025.100407.Peer-Reviewed Original ResearchLength of staySubmaximal cardiopulmonary exercise testingInstitutional review board approvalPostoperative complication riskReview board approvalDuke Activity Status IndexCardiopulmonary exercise testingIncreased length of stayAdjusted multivariable regression modelsPostoperative complications predictionPulmonary capacitanceOpen-labelPeak oxygen uptakePerioperative surveillancePrimary endpointNoncardiac surgeryPostoperative complicationsSecondary endpointsSingle-centreComplication riskMET assessmentPeak VOBoard approvalMultivariate regression modelMetabolic equivalentsAirway Safety During Mechanical Ventilation: Survey of ICU Clinicians Practices and Perceptions
Tanios M, Stocking J, Charchaflieh J, Miller A, Patel J, Vilella A, Nguyen H, Epstein S, Beltran A, Devlin J. Airway Safety During Mechanical Ventilation: Survey of ICU Clinicians Practices and Perceptions. Critical Care Explorations 2025, 7: e1234. PMID: 40126919, PMCID: PMC11936560, DOI: 10.1097/cce.0000000000001234.Peer-Reviewed Original ResearchConceptsUnplanned extubationAdult ICUsSociety of Critical Care MedicineEvidence-based guidelinesCritical care medicineAirway management practicesPressure injuriesSurvey of membersClinician practiceManagement beliefsSafety practicesCare medicineICU settingRisk factorsManagement practicesPediatric ICUResponsibility assignmentICUSurveyRespondentsPracticeIs There More to POCUS Than the Heart and Lungs in the Parturient-Venous Excess Ultrasound Score?
Munoz-Acuna R, Charchaflieh J, Deshpande R. Is There More to POCUS Than the Heart and Lungs in the Parturient-Venous Excess Ultrasound Score? Obstetric Anesthesia Digest 2025, 45: 19-20. DOI: 10.1097/01.aoa.0001097560.30255.cc.Peer-Reviewed Original ResearchUltrasound scoreVenous excess ultrasound scoreVenous hemodynamic dysfunctionVolume overloadPulmonary edemaCardiac functionHemodynamic dysfunctionEndothelial dysfunctionVenous disordersTailored treatmentCapillary permeabilityMultisystem conditionPreeclampsiaDysfunctionScoresEdemaVExUSPathophysiologyMultisystemImplementation of Brief Submaximal Cardiopulmonary Testing in a High-Volume Presurgical Evaluation Clinic: Feasibility Cohort Study
Carr Z, Agarkov D, Li J, Charchaflieh J, Brenes-Bastos A, Freund J, Zafar J, Schonberger R, Heerdt P. Implementation of Brief Submaximal Cardiopulmonary Testing in a High-Volume Presurgical Evaluation Clinic: Feasibility Cohort Study. JMIR Perioperative Medicine 2025, 8: e65805. PMID: 39773953, PMCID: PMC11888076, DOI: 10.2196/65805.Peer-Reviewed Original ResearchConceptsDuke Activity Status IndexPeak oxygen uptakePeak METsEvaluation clinicParticipant satisfactionOxygen uptakeSubmaximal cardiopulmonary exercise testingFunctional capacity assessmentLow functional capacityCardiopulmonary exercise testingPerceived exertionMET assessmentStructured surveyCapacity surveyMedian patient satisfactionProvider-drivenExercise testMean session timePearson correlation coefficientSurvey scoresCardiopulmonary testFunctional capacityPatient satisfactionCohort studyInclusion criteria
2024
Is There More to POCUS Than the Heart and Lungs in the Parturient—Venous Excess Ultrasound Score?
Munoz-Acuna R, Charchaflieh J, Deshpande R. Is There More to POCUS Than the Heart and Lungs in the Parturient—Venous Excess Ultrasound Score? Anesthesia & Analgesia 2024, 139: e23-e25. PMID: 39151137, DOI: 10.1213/ane.0000000000007100.Peer-Reviewed Original Research
2023
On the Importance of Transparency About the Internal Operation of Medical Devices
Ozcan M, Charchaflieh J. On the Importance of Transparency About the Internal Operation of Medical Devices. Anesthesia & Analgesia 2023, 136: e35-e35. PMID: 37205818, DOI: 10.1213/ane.0000000000006433.Peer-Reviewed Original ResearchSociety of Anesthesia and Sleep Medicine Position Paper on Patient Sleep During Hospitalization
Hillman D, Carlucci M, Charchaflieh J, Cloward T, Gali B, Gay P, Lyons M, McNeill M, Singh M, Yilmaz M, Auckley D. Society of Anesthesia and Sleep Medicine Position Paper on Patient Sleep During Hospitalization. Anesthesia & Analgesia 2023, 136: 814-824. PMID: 36745563, DOI: 10.1213/ane.0000000000006395.Peer-Reviewed Original ResearchConceptsSociety of AnesthesiaPatients' sleepSleep needSleep medicineCare-related factorsImpact of hospitalizationPatient care guidelinesHealth care providersAssessment of interventionsUrinary dysfunctionMedication withdrawalImmune dysfunctionCardiovascular dysfunctionCare guidelinesVentilatory functionProinflammatory effectsPain perceptionMetabolic dysfunctionPoor sleepPsychomotor disturbanceSleep disordersCare providersSleep durationStaff educationHospitalizationInformation Technology-Enhanced Telehealth Consultations Reduce Preoperative Evaluation Center Visits in a Bariatric Surgery Population
Zafar J, Chan K, Ryder L, Duffy A, Dai F, Carr Z, Charchaflieh J. Information Technology-Enhanced Telehealth Consultations Reduce Preoperative Evaluation Center Visits in a Bariatric Surgery Population. Healthcare 2023, 11: 309. PMID: 36766884, PMCID: PMC9914614, DOI: 10.3390/healthcare11030309.Peer-Reviewed Original ResearchPreoperative evaluation centerPreoperative evaluation processDay of surgeryQuality of careBariatric surgery patientsPerson patient visitsSecondary outcomesSurgery patientsPrimary outcomePatient visitsBariatric surgery populationRetrospective cohort analysisAppropriate patient selectionPreoperative patient evaluationAcademic health systemAdditional testingSurgery populationPreoperative evaluationPatient selectionPatient evaluationCohort analysisPreoperative processCenter visitsTelehealth consultationsPatient care
2022
0363 Perceptions of the Need for Perioperative OSA Education: An Interdisciplinary and Multi-Institutional Survey
Lyons M, Gali B, Auckley D, Mokhlesi B, Myers J, Charchaflieh J, Yilmaz M, Williams L, Khan M, Card E, Gelfand B, Pilla M, Loftsgard T, Sawyer A, Matura L, Carlucci M, Sahni A, Glaser K, Al Ghussain D, Brock G, Magalang U, Pack A, Rosen I. 0363 Perceptions of the Need for Perioperative OSA Education: An Interdisciplinary and Multi-Institutional Survey. Sleep 2022, 45: a163-a164. DOI: 10.1093/sleep/zsac079.360.Peer-Reviewed Original ResearchObstructive sleep apneaPerioperative patientsClinical roleExact testProvider rolesPostoperative morbidity/mortalityInternal medicineSignificant differencesMorbidity/mortalityAdvanced practice providersFisher's exact testFront-line providersFalse discovery rate adjustmentOSA riskPerioperative complicationsSleep apneaGynecologic oncologyMulti-institutional surveyRisk factorsPractice providersProviders' perceptionsPatient careProviders' understandingAmerican AcademyCochran-Mantel
Academic Achievements & Community Involvement
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333 Cedar Street, P.O. Box 208051
New Haven, CT 06520-8051
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