Shannon F.R. Small, FACS, MD
Cards
About
Titles
Assistant Professor of Surgery (General, Trauma & Surgical Critical Care)
Appointments
General Surgery, Trauma & Surgical Critical Care
Assistant ProfessorPrimary
Other Departments & Organizations
- General Surgery, Trauma & Surgical Critical Care
- Surgery
- Yale Medicine
- Yan House Affiliates
Education & Training
- Surgical Critical Care Fellow
- Wayne State University
- General Surgery Resident
- Virginia Commonwealth University Health System
- Surgical Fellow, Immunotherapy and Surgical Oncology
- National Institute of Health
- General Surgery Intern
- Virginia Commonwealth University Health System
- MD
- Wake Forest University School of Medicine
- BA
- Duke University, English/Poetry
Research
Publications
2024
Implementation of a Modified Pain, Inspiration, Cough Protocol in Patients With Traumatic Rib Fractures
Margiotta E, Wenger I, Henglein J, Kuo Y, Boland P, Martella N, Betancourt-Ramirez A, Small S. Implementation of a Modified Pain, Inspiration, Cough Protocol in Patients With Traumatic Rib Fractures. Journal Of Surgical Research 2024, 306: 1-9. PMID: 39740286, DOI: 10.1016/j.jss.2024.11.028.Peer-Reviewed Original ResearchConceptsTraumatic rib fracturesHospital length of stayInjury Severity ScoreLength of stayMultimodal pain regimenRib fracturesPain regimenEarly mobilizationRetrospective reviewIntubation ratePatient demographicsHospital lengthModerate injury severity scoresRetrospective review of patientsImplementation of early mobilizationAcute respiratory distress syndromeRates of in-hospital complicationsRate of atelectasisReview of patientsRespiratory distress syndromeSignificant decreaseRate of intubationChest wall injuriesIn-Hospital ComplicationsUse of hospital resourcesA Comparison of Scoring Systems to Identify Patients at Increased Risk From Traumatic Rib Fractures
Henglein J, Margiotta E, Wenger I, Kuo Y, Boland P, Martella N, Bank M, Beltran Del Rio M, Betancourt-Ramirez A, Small S. A Comparison of Scoring Systems to Identify Patients at Increased Risk From Traumatic Rib Fractures. Journal Of Surgical Research 2024, 304: 315-321. PMID: 39586173, DOI: 10.1016/j.jss.2024.10.030.Peer-Reviewed Original ResearchConceptsIntensive care unit admissionIntensive care unit length of stayIntensive care unitTraumatic rib fracturesRate of intubationLength of stayRib fracturesStatistically significant increaseRetrospective reviewRetrospective review of patientsSecondary outcomesSignificant increaseScoring systemReview of patientsComparison of scoring systemsCox regression analysisMedian overall LOSRisk of morbidityAssociated with higher ratesAssociated with significant increasesPulmonary complicationsControlled analgesiaRibScorePatient demographicsSevere complicationsNursing Use of Pain, Inspiration, and Cough Protocol Decreases Unplanned ICU Admissions in Patients With Traumatic Rib Fractures
Wenger I, Farrugia K, Margiotta E, Relja S, Gills K, Henglein J, Boland P, Martella N, Kuo Y, Betancourt-Ramirez A, Small S. Nursing Use of Pain, Inspiration, and Cough Protocol Decreases Unplanned ICU Admissions in Patients With Traumatic Rib Fractures. Journal Of Nursing Care Quality 2024, 39: 307-309. PMID: 39167922, DOI: 10.1097/ncq.0000000000000793.Peer-Reviewed Original Research
2023
1545: A STANDARDIZED APPROACH TO TRAUMATIC RIB FRACTURES LEADS TO DECREASED INTUBATION RATES AND ICU LOS
Margiotta E, Wenger I, Henglein J, Boland P, Martella N, Betancourt-Ramirez A, Small S. 1545: A STANDARDIZED APPROACH TO TRAUMATIC RIB FRACTURES LEADS TO DECREASED INTUBATION RATES AND ICU LOS. Critical Care Medicine 2023, 52: s743-s743. DOI: 10.1097/01.ccm.0001004336.65157.ac.Peer-Reviewed Original ResearchThree Cases of Local Anesthetic Systemic Toxicity following regional infiltration analgesia: The need for prompt recognition and treatment
A. S. Carroll K, Henglein J, Boland P, Gallagher P, Mehta K, A. Leffe S, Shuminov O, Betancourt-Ramirez A, F. R. Small S. Three Cases of Local Anesthetic Systemic Toxicity following regional infiltration analgesia: The need for prompt recognition and treatment. Journal Of Anesthesiology And Pain Therapy 2023, 4: 20-24. DOI: 10.29245/2768-5365/2023/2.1144.Peer-Reviewed Original ResearchL4-L5 laminectomyPrompt recognitionSystemic toxicityInfiltration analgesiaCases of local anesthetic systemic toxicityCardiac arrestLocal anesthetic systemic toxicityTreated with IntralipidMultiple rib fracturesYear old womanYear old femaleL5-S1 fusionTonic-clonic seizuresLife-threatening conditionCardiovascular toxicityRib blocksLife-threatening natureRib fracturesLocal anestheticsEarly recognitionL5-S1Risk factorsRare occurrencePatientsTrauma center
2017
Laparoscopic gastroesophageal dissociation in neurologically impaired children with gastroesophageal reflux disease
DeAntonio J, Parrish D, Rosati S, Oiticica C, Lanning D. Laparoscopic gastroesophageal dissociation in neurologically impaired children with gastroesophageal reflux disease. Journal Of Pediatric Surgery 2017, 53: 30-35. PMID: 29103790, DOI: 10.1016/j.jpedsurg.2017.10.010.Peer-Reviewed Original ResearchSevere gastroesophageal reflux diseaseGastroesophageal reflux diseaseNeurologically impaired childrenQuality of lifeImprove quality of lifeReflux diseaseHealthcare visitsRetrospective case series reviewNeurologically impaired patientsEstimated blood lossCase series reviewCohort of patientsGram negative sepsisGroup of patientsDuration of operationLevel IV evidenceLength of stayImpaired patientsBlood lossRetrospective reviewNegative sepsisImpaired childrenPediatric patientsPostoperative dayCase series
2016
Thoracoscopic Repair of a Congenital Diaphragmatic Hernia in a 4 Kg Infant
Rosati S, Maarouf R, Lanning D, Oiticica C. Thoracoscopic Repair of a Congenital Diaphragmatic Hernia in a 4 Kg Infant. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2016, 26 DOI: 10.1089/vor.2015.0289.Peer-Reviewed Original ResearchCongenital diaphragmatic herniaMediastinal shiftDiaphragmatic herniaAxillary lineLeft-sided congenital diaphragmatic herniaNo competing financial interestsNeonatal intensive care unitRight lateral decubitus positionIntercostal spaceThoracoscopic CDH repairWeeks gestational ageMinimal blood lossEarly surgical interventionSignificant respiratory distressHours of lifeShorter postoperative courseAnterior diaphragmatic defectHemodynamically stable infantsLateral decubitus positionEvening of surgeryPosterior axillary lineChest X-rayIntensive care unitCDH repairGestational age
2015
Thoracoscopic Resection of a Bronchogenic Cyst in a Premature Infant
Rosati S, Maarouf R, Nishitani M, Oiticica C, Lanning D. Thoracoscopic Resection of a Bronchogenic Cyst in a Premature Infant. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2015, 25 DOI: 10.1089/vor.2015.0282.Peer-Reviewed Original ResearchBronchogenic cystPremature infantsThoracoscopic approachMediastinal cystsNeonatal ICUCongenital pulmonary airway malformationPostoperative chest X-rayNo competing financial interestsIntercostal spaceBenign congenital anomalyCongenital mediastinal cystsGentle blunt dissectionPosterior mediastinal cystMinimal blood lossEarly surgical interventionPostoperative day 2Shorter postoperative courseChest CT scanForegut duplication cystCompression of local structuresLeft main stem bronchusPosterior axillary lineSignificant air trappingChest X-rayMain stem bronchusCombined Laparoscopic and Robot-Assisted Gastroesophageal Dissociation for Recurrent Gastroesophageal Reflux Disease
Parrish D, Rosati S, Oiticica C, Lange P, Lanning D. Combined Laparoscopic and Robot-Assisted Gastroesophageal Dissociation for Recurrent Gastroesophageal Reflux Disease. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2015, 25 DOI: 10.1089/vor.2014.0210.Peer-Reviewed Original ResearchGastroesophageal reflux diseaseRecurrent gastroesophageal reflux diseaseRecurrent reflux symptomsEndo-GIA staplerPlacement of suturesEndo-GIARobotic trocarsReflux symptomsNissen fundoplicationReflux diseaseNo competing financial interestsVagus nerveSevere gastroesophageal reflux diseasePostoperative day 6Pediatric intensive care unitPostoperative day 2End-to-side mannerLaparoscopic Nissen fundoplicationRoux limbLong-term resultsGastrostomy tube sitePosterior vagus nerveIntensive care unitDa Vinci robotLigament of TreitzRobot-Assisted Resection of a Large Posterior Mediastinal Mass
Parrish D, Rosati S, Oiticica C, Lange P, Lanning D. Robot-Assisted Resection of a Large Posterior Mediastinal Mass. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2015, 25 DOI: 10.1089/vor.2014.0245.Peer-Reviewed Original ResearchRobot-assisted resectionRobotic trocarsChest tubeHorner's syndromeAxillary lineLeft chestArticulating instrumentsNo competing financial interestsRobot-assisted thoracic surgeryLeft anterior axillary lineNeural crest cell originLeft arm numbnessLeft chest massPostoperative day 1Postoperative day 2Chest CT scanPosterior axillary lineAnterior axillary lineSymptoms of Horner's syndromeChest X-rayShortness of breathLeft upper chestFinal pathologyEndocatch bagChest pain
Clinical Care
Overview
Shannon F.R. Small, MD, is a surgeon who specializes in trauma, emergency surgery, and critical care.
Dr. Small treats a wide range of cases, from gunshot wounds and car crash injuries to small bowel obstructions and appendicitis. She also manages critical care patients in the intensive care unit (ICU) and performs elective surgeries, including hernia repairs.
She says she was drawn to her specialty because of its variety. “It’s unpredictable in that I could be handling a trauma case or conducting an elective surgery,” she says. “It’s also constantly evolving, which is exciting. I’ve recently incorporated robotic surgery into my practice, which has reinvigorated my work. I primarily use it for gallbladder surgeries, bowel perforations, and hernia repairs. The robot offers increased dexterity, allowing for minimally invasive procedures that reduce patients’ pain and the length of their hospital stay.”
One of the most rewarding aspects of her job, Dr. Small says, is offering support to patients and families during difficult times. “I follow the golden rule: treat others how you would want to be treated. This principle guides my practice and ensures I provide compassionate and equitable care,” she says. “I strive to ensure that all patients receive care that I would want for my own family. This mindset informs my practice and drives my commitment to patient care. Plus, my roles as a wife and mother of two young children are critically important to me and I feel make me a better clinician.”
Additionally, Dr. Small says she enjoys serving as a mentor to future generations of surgeons. She is a strong proponent of inclusive excellence and ensuring that all people have access to the health care they need.
Dr. Small’s research is focused on patient outcomes (such as improving pain management for rib fractures) and access to care.
Clinical Specialties
Board Certifications
Surgery General
- Certification Organization
- AB of Surgery
- Original Certification Date
- 2017
Surgical Critical Care Surgery
- Certification Organization
- AB of Surgery
- Original Certification Date
- 2017
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Contacts
Locations
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