Robert Schonberger, MD
Research & Publications
Biography
News
Research Summary
Dr. Schonberger has a research interest in developing new anesthesia healthcare delivery models that aim to improve care coordination on the day of surgery with the aim to facilitate longitudinal cardiovascular risk-factor recognition and treatment in patients presenting for anesthesia.
He is also involved in several projects associated with perioperative care of the cardiothoracic surgery patient including the development of novel extracorporeal oxygenation techniques as well as other interventions to improve the safety and outcomes associated with surgeries involving patients with cardiac disease.
Extensive Research Description
Anesthetic Induction Dose Adjustment Among Elderly Surgical Patients
Integrating perioperative care into the treatment of hypertension.
Perioperative beta-blockade.
Novel therapies to reduce and treat gaseous microemboli.
Pharmacology and physiology of extra corporeal support.
Coauthors
Research Interests
Anesthesiology; Extracorporeal Circulation; Cardiac Surgical Procedures; Hypertension; Outcome and Process Assessment, Health Care; Geriatric Assessment
Public Health Interests
Cardiovascular Diseases; Epidemiology Methods; Health Care Management
Selected Publications
- Elimination of gaseous microemboli from cardiopulmonary bypass using hypobaric oxygenation.Gipson KE, Rosinski DJ, Schonberger RB, Kubera C, Mathew ES, Nichols F, Dyckman W, Courtin F, Sherburne B, Bordey AF, Gross JB. Elimination of gaseous microemboli from cardiopulmonary bypass using hypobaric oxygenation. The Annals Of Thoracic Surgery 2014, 97: 879-86. PMID: 24206970, PMCID: PMC4294693, DOI: 10.1016/j.athoracsur.2013.08.074.
- Variation in surgical quality measure adherence within hospital referral regions: do publicly reported surgical quality measures distinguish among hospitals that patients are likely to compare?Safavi KC, Dai F, Gilbertsen TA, Schonberger RB. Variation in surgical quality measure adherence within hospital referral regions: do publicly reported surgical quality measures distinguish among hospitals that patients are likely to compare? Health Services Research 2014, 49: 1108-20. PMID: 24611578, PMCID: PMC4111773, DOI: 10.1111/1475-6773.12164.
- The relationship between preoperative and primary care blood pressure among veterans presenting from home for surgery: is there evidence for anesthesiologist-initiated blood pressure referral?Schonberger RB, Burg MM, Holt N, Lukens CL, Dai F, Brandt C. The relationship between preoperative and primary care blood pressure among veterans presenting from home for surgery: is there evidence for anesthesiologist-initiated blood pressure referral? Anesthesia And Analgesia 2012, 114: 205-14. PMID: 22075017, PMCID: PMC3282161, DOI: 10.1213/ANE.0b013e318239c4c1.
- Atenolol is associated with lower day-of-surgery heart rate compared to long- and short-acting metoprolol.Schonberger RB, Brandt C, Feinleib J, Dai F, Burg MM. Atenolol is associated with lower day-of-surgery heart rate compared to long- and short-acting metoprolol. Journal Of Cardiothoracic And Vascular Anesthesia 2013, 27: 298-304. PMID: 22889605, PMCID: PMC3557658, DOI: 10.1053/j.jvca.2012.06.021.
- β-blocker withdrawal among patients presenting for surgery from home.Schonberger RB, Lukens CL, Turkoglu OD, Feinleib JL, Haspel KL, Burg MM. β-blocker withdrawal among patients presenting for surgery from home. Journal Of Cardiothoracic And Vascular Anesthesia 2012, 26: 1029-33. PMID: 22418043, PMCID: PMC3419315, DOI: 10.1053/j.jvca.2012.01.024.
- The anesthesia patient with acute coronary syndrome.Schonberger RB, Haddadin AS. The anesthesia patient with acute coronary syndrome. Anesthesiology Clinics 2010, 28: 55-66. PMID: 20400040, DOI: 10.1016/j.anclin.2010.01.001.
- Not much novel under the sun.Schonberger RB, Rosenbaum SH. Not much novel under the sun. Science (New York, N.Y.) 2009, 326: 1480-1. PMID: 20007882, DOI: 10.1126/science.326.5959.1480-c.
- Ethical ConsiderationsSchonberger RB, Rosenbaum SH. Ethical Considerations. In: Ruskin KJ, Rosenbaum SH, eds. Anesthesia Emergencies. Oxford: Oxford University Press; 2011:77-84.
- Brain DeathSchonberger RB, Rosenbaum SH. Brain Death. In: Norman GAV, ed. Clinical Ethics in Anesthesiology: A Case-Based Textbook. Cambridge: Cambridge University Press; 2011:108-13.
- Elevated preoperative blood pressures in adult surgical patients are highly predictive of elevated home blood pressures.Schonberger RB, Nwozuzu A, Zafar J, Chen E, Kigwana S, Monteiro MM, Charchaflieh J, Sophanphattana S, Dai F, Burg MM. Elevated preoperative blood pressures in adult surgical patients are highly predictive of elevated home blood pressures. Journal Of The American Society Of Hypertension : JASH 2018, 12: 303-310. PMID: 29486981, PMCID: PMC5938112, DOI: 10.1016/j.jash.2018.01.012.
- Severe extrapyramidal symptoms in a 3-year-old boy after accidental ingestion of the new antipsychotic drug aripiprazole.Schonberger RB, Douglas L, Baum CR. Severe extrapyramidal symptoms in a 3-year-old boy after accidental ingestion of the new antipsychotic drug aripiprazole. Pediatrics 2004, 114: 1743. PMID: 15574656, DOI: 10.1542/peds.2004-1268.
- Topical non-iontophoretic application of acetylcholine and nitroglycerin via a translucent patch: a new means for assessing microvascular reactivity.Schonberger RB, Worden WS, Shahmohammadi K, Menn K, Silverman TJ, Stout RG, Shelley KH, Silverman DG. Topical non-iontophoretic application of acetylcholine and nitroglycerin via a translucent patch: a new means for assessing microvascular reactivity. The Yale Journal Of Biology And Medicine 2006, 79: 1-7. PMID: 17876370, PMCID: PMC1942174.
- Surgical demand time variance: a possible explanation for lunar effects and some other mysterious cycles.Schonberger RB. Surgical demand time variance: a possible explanation for lunar effects and some other mysterious cycles. Anesthesiology 2009, 111: 204; author reply 204. PMID: 19546697, DOI: 10.1097/ALN.0b013e3181a8601a.
- Etymologia: prion.Schonberger LB, Schonberger RB. Etymologia: prion. Emerging Infectious Diseases 2012, 18: 1030-1031. PMID: 22607731, PMCID: PMC3358176, DOI: 10.3201/eid1806.120271.
- Special article: impact versus impact factor: revisiting a classic article that was never cited. 1923.Schonberger RB, Barash PG. Special article: impact versus impact factor: revisiting a classic article that was never cited. 1923. Anesthesia And Analgesia 2012, 115: 1286-7. PMID: 22584555, PMCID: PMC3482412, DOI: 10.1213/ANE.0b013e318259ef6b.
- They did what ... ?Schonberger RB, Barash PG. They did what ... ? Anesthesia And Analgesia 2013, 117: 3-5. PMID: 23788736, PMCID: PMC3696483, DOI: 10.1213/ANE.0b013e318259ef55.
- New utility for an old tool: can a simple gait speed test predict ambulatory surgical discharge outcomes?Odonkor CA, Schonberger RB, Dai F, Shelley KH, Silverman DG, Barash PG. New utility for an old tool: can a simple gait speed test predict ambulatory surgical discharge outcomes? American Journal Of Physical Medicine & Rehabilitation / Association Of Academic Physiatrists 2013, 92: 849-63. PMID: 24051992, PMCID: PMC3850792, DOI: 10.1097/PHM.0b013e3182a51ac5.
- Ideal blood pressure management and our specialty.Schonberger RB. Ideal blood pressure management and our specialty. Journal Of Neurosurgical Anesthesiology 2014, 26: 270-1. PMID: 24905036, PMCID: PMC4101913, DOI: 10.1097/ANA.0000000000000012.
- Preoperative depression symptom severity and its impact on adherence to preoperative beta-blocker therapy.Schonberger RB, Feinleib J, Holt N, Dai F, Brandt C, Burg MM. Preoperative depression symptom severity and its impact on adherence to preoperative beta-blocker therapy. Journal Of Cardiothoracic And Vascular Anesthesia 2014, 28: 1467-73. PMID: 25263776, PMCID: PMC4258545, DOI: 10.1053/j.jvca.2014.05.006.
- The problem of controlling for imperfectly measured confounders on dissimilar populations: a database simulation study.Schonberger RB, Gilbertsen T, Dai F. The problem of controlling for imperfectly measured confounders on dissimilar populations: a database simulation study. Journal Of Cardiothoracic And Vascular Anesthesia 2014, 28: 247-54. PMID: 23962461, PMCID: PMC3926910, DOI: 10.1053/j.jvca.2013.03.014.
- Handheld Doppler to improve pulse checks during resuscitation of putative pulseless electrical activity arrest.Schonberger RB, Lampert RJ, Mandel EI, Feinleib J, Gong Z, Honiden S. Handheld Doppler to improve pulse checks during resuscitation of putative pulseless electrical activity arrest. Anesthesiology 2014, 120: 1042-5. PMID: 24335750, PMCID: PMC3975650, DOI: 10.1097/ALN.0000000000000106.
- Random errors and misclassification bias.Schonberger RB. Random errors and misclassification bias. Anesthesia And Analgesia 2014, 119: 497-498. PMID: 25046792, PMCID: PMC4107355, DOI: 10.1213/ANE.0000000000000251.
- The Surgical Care Improvement Project Antibiotic Guidelines: Should We Expect More Than Good Intentions?Schonberger RB, Barash PG, Lagasse RS. The Surgical Care Improvement Project Antibiotic Guidelines: Should We Expect More Than Good Intentions? Anesthesia And Analgesia 2015, 121: 397-403. PMID: 26197373, PMCID: PMC4510848, DOI: 10.1213/ANE.0000000000000735.
- The outlook of physician histories: J. Marion Sims and 'The Discovery of Anaesthesia'.Rosenbloom JM, Schonberger RB. The outlook of physician histories: J. Marion Sims and 'The Discovery of Anaesthesia'. Medical Humanities 2015, 41: 102-6. PMID: 26048369, DOI: 10.1136/medhum-2015-010680.
- Toward an understanding of the equality of pain: crawford long and the development of anesthesia in antebellum georgia.Rosenbloom JM, Schonberger RB. Toward an understanding of the equality of pain: crawford long and the development of anesthesia in antebellum georgia. Journal Of Anesthesia History 2015, 1: 14-7. PMID: 25748368, DOI: 10.1016/j.janh.2014.11.003.
- Balancing Model Performance and Simplicity to Predict Postoperative Primary Care Blood Pressure Elevation.Schonberger RB, Dai F, Brandt CA, Burg MM. Balancing Model Performance and Simplicity to Predict Postoperative Primary Care Blood Pressure Elevation. Anesthesia And Analgesia 2015, 121: 632-641. PMID: 26214552, PMCID: PMC4545382, DOI: 10.1213/ANE.0000000000000860.
- Rebranding the Perioperative Surgical Home: Lessons From the Duke Experience.Schonberger RB. Rebranding the Perioperative Surgical Home: Lessons From the Duke Experience. Journal Of Cardiothoracic And Vascular Anesthesia 2016, 30: 1064-6. PMID: 27313120, DOI: 10.1053/j.jvca.2016.03.143.
- A Retrospective Observational Study of Anesthetic Induction Dosing Practices in Female Elderly Surgical Patients: Are We Overdosing Older Patients?Akhtar S, Heng J, Dai F, Schonberger RB, Burg MM. A Retrospective Observational Study of Anesthetic Induction Dosing Practices in Female Elderly Surgical Patients: Are We Overdosing Older Patients? Drugs & Aging 2016, 33: 737-746. PMID: 27581549, DOI: 10.1007/s40266-016-0394-x.
- The Importance of Cost as an Outcome in Anesthesiology Research.Schonberger RB. The Importance of Cost as an Outcome in Anesthesiology Research. Journal Of Cardiothoracic And Vascular Anesthesia 2016, 30: 10-1. PMID: 26711445, DOI: 10.1053/j.jvca.2015.10.016.
- Medically Complex Patients.Schonberger RB, Rosenbaum SH. Medically Complex Patients. Anesthesiology Clinics 2016, 34: xv-xvi. PMID: 27816137, DOI: 10.1016/j.anclin.2016.09.001.
- Does intravenous induction dosing among patients undergoing gastrointestinal surgical procedures follow current recommendations: a study of contemporary practice.Akhtar S, Liu J, Heng J, Dai F, Schonberger RB, Burg MM. Does intravenous induction dosing among patients undergoing gastrointestinal surgical procedures follow current recommendations: a study of contemporary practice. Journal Of Clinical Anesthesia 2016, 33: 208-15. PMID: 27555166, DOI: 10.1016/j.jclinane.2016.02.001.
- Ambulatory Medical Follow-Up in the Year After Surgery and Subsequent Survival in a National Cohort of Veterans Health Administration Surgical Patients.Schonberger RB, Dai F, Brandt C, Burg MM. Ambulatory Medical Follow-Up in the Year After Surgery and Subsequent Survival in a National Cohort of Veterans Health Administration Surgical Patients. Journal Of Cardiothoracic And Vascular Anesthesia 2016, 30: 671-9. PMID: 27021176, PMCID: PMC5499041, DOI: 10.1053/j.jvca.2015.12.019.
- Is There Evidence for Systematic Upcoding of ASA Physical Status Coincident with Payer Incentives? A Regression Discontinuity Analysis of the National Anesthesia Clinical Outcomes Registry.Schonberger RB, Dutton RP, Dai F. Is There Evidence for Systematic Upcoding of ASA Physical Status Coincident with Payer Incentives? A Regression Discontinuity Analysis of the National Anesthesia Clinical Outcomes Registry. Anesthesia And Analgesia 2016, 122: 243-50. PMID: 26360960, PMCID: PMC4684754, DOI: 10.1213/ANE.0000000000000917.
- Mobile Extracorporeal Membrane Oxygenation Teams: The North American Versus the European Experience.Nwozuzu A, Fontes ML, Schonberger RB. Mobile Extracorporeal Membrane Oxygenation Teams: The North American Versus the European Experience. Journal Of Cardiothoracic And Vascular Anesthesia 2016, 30: 1441-1448. PMID: 27686513, PMCID: PMC5130610, DOI: 10.1053/j.jvca.2016.06.005.
- The effect of race on postsurgical ambulatory medical follow-up among United States Veterans.Schonberger RB, Dai F, Brandt C, Burg MM. The effect of race on postsurgical ambulatory medical follow-up among United States Veterans. Journal Of Clinical Anesthesia 2017, 40: 55-61. PMID: 28625448, PMCID: PMC5490668, DOI: 10.1016/j.jclinane.2016.11.002.
- Orthogonal Views of Coronary Vessels: A Method for Imaging the Delivery of Blood Cardioplegia Using Transesophageal Echocardiography.Maracaja Neto LF, Modak R, Schonberger RB. Orthogonal Views of Coronary Vessels: A Method for Imaging the Delivery of Blood Cardioplegia Using Transesophageal Echocardiography. Anesthesia And Analgesia 2017, 124: 1087-1090. PMID: 28099289, DOI: 10.1213/ANE.0000000000001872.
- A Pilot Analysis of the Association Between Types of Monitored Anesthesia Care Drugs and Outcomes in Transfemoral Aortic Valve Replacement Performed Without General Anesthesia.Chen EY, Sukumar N, Dai F, Akhtar S, Schonberger RB. A Pilot Analysis of the Association Between Types of Monitored Anesthesia Care Drugs and Outcomes in Transfemoral Aortic Valve Replacement Performed Without General Anesthesia. Journal Of Cardiothoracic And Vascular Anesthesia 2018, 32: 666-671. PMID: 29277298, PMCID: PMC5766429, DOI: 10.1053/j.jvca.2017.07.009.
- Quantification of Postmembrane Gaseous Microembolization During Venoarterial Extracorporeal Membrane Oxygenation.Jiao Y, Gipson KE, Bonde P, Mangi A, Hagberg R, Rosinski DJ, Gross JB, Schonberger RB. Quantification of Postmembrane Gaseous Microembolization During Venoarterial Extracorporeal Membrane Oxygenation. ASAIO Journal (American Society For Artificial Internal Organs : 1992) 2018, 64: 31-37. PMID: 28557862, DOI: 10.1097/MAT.0000000000000598.
- Postcardiotomy Venoarterial Extracorporeal Membrane Oxygenation (VA ECMO) in Adult Patients - Many Questions, Few Answers, and Hard Choices.Bardia A, Schonberger RB. Postcardiotomy Venoarterial Extracorporeal Membrane Oxygenation (VA ECMO) in Adult Patients - Many Questions, Few Answers, and Hard Choices. Journal Of Cardiothoracic And Vascular Anesthesia 2018, 32: 1183-1184. PMID: 29276089, DOI: 10.1053/j.jvca.2017.10.037.
- Preoperative chlorhexidine mouthwash to reduce pneumonia after cardiac surgery: A systematic review and meta-analysis.Bardia A, Blitz D, Dai F, Hersey D, Jinadasa S, Tickoo M, Schonberger RB. Preoperative chlorhexidine mouthwash to reduce pneumonia after cardiac surgery: A systematic review and meta-analysis. The Journal Of Thoracic And Cardiovascular Surgery 2019, 158: 1094-1100. PMID: 30826096, DOI: 10.1016/j.jtcvs.2019.01.014.
- Succinylcholine Use and Dantrolene Availability for Malignant Hyperthermia Treatment: Database Analyses and Systematic Review.Larach MG, Klumpner TT, Brandom BW, Vaughn MT, Belani KG, Herlich A, Kim TW, Limoncelli J, Riazi S, Sivak EL, Capacchione J, Mashman D, Kheterpal S, Kooij F, Wilczak J, Soto R, Berris J, Price Z, Lins S, Coles P, Harris JM, Cummings KC, Berman MF, Nanamori M, Adelman BT, Wedeven C, LaGorio J, McCormick PJ, Tom S, Aziz MF, Coffman T, Ellis TA, Molina S, Peterson W, Mackey SC, van Klei WA, Ginde AA, Biggs DA, Neuman MD, Craft RM, Pace NL, Paganelli WC, Durieux ME, Nair BJ, Wanderer JP, Miller SA, Helsten DL, Turnbull ZA, Schonberger RB. Succinylcholine Use and Dantrolene Availability for Malignant Hyperthermia Treatment: Database Analyses and Systematic Review. Anesthesiology 2019, 130: 41-54. PMID: 30550426, DOI: 10.1097/ALN.0000000000002490.
- Chasing Ghosts: Unexplained Artifactual Echogenicity on the Aortic Valve Leading to Unwarranted Surgery.Blitz D, Mahmood F, Tickoo M, Schonberger R, Bardia A. Chasing Ghosts: Unexplained Artifactual Echogenicity on the Aortic Valve Leading to Unwarranted Surgery. CASE (Philadelphia, Pa.) 2019, 3: 107-109. PMID: 31286089, PMCID: PMC6588731, DOI: 10.1016/j.case.2019.01.002.