Clark Fisher, MD, PhD
Assistant ProfessorCards
About
Research
Publications
Featured Publications
Pressure-Regulated Ventilator Splitting for Disaster Relief: Design, Testing, and Clinical Experience
Raredon MSB, Fisher C, Heerdt PM, Schonberger RB, Nargi A, Nivison S, Fajardo E, Deshpande R, Akhtar S, Greaney AM, Belter J, Raredon T, Zinter J, McKee A, Michalski M, Baevova P, Niklason LE. Pressure-Regulated Ventilator Splitting for Disaster Relief: Design, Testing, and Clinical Experience. Anesthesia & Analgesia 2021, 134: 1094-1105. PMID: 34928890, DOI: 10.1213/ane.0000000000005825.Peer-Reviewed Original ResearchConceptsPositive end-expiratory pressureClinical experienceIndividualized positive end-expiratory pressureIntensive care unitEnd-expiratory pressureCoronavirus disease 2019 (COVID-19) pandemicHealth care teamDisease 2019 pandemicVentilatory supportIll patientsCare unitCare teamVentilator sharingFuture clinical applicationsPatientsIndependent careVentilator capacityClinical applicationCOVID-19 pandemicVentilatorClinical environmentOutline recommendationsMass traumaPandemicHospitalOpioid Dose Variation in Cardiac Surgery: A Multicenter Study of Practice.
Fisher C, Janda A, Zhao X, Deng Y, Bardia A, Yanez N, Burns M, Aziz M, Treggiari M, Mathis M, Lin H, Schonberger R. Opioid Dose Variation in Cardiac Surgery: A Multicenter Study of Practice. Anesthesia & Analgesia 2024 PMID: 39167548, DOI: 10.1213/ane.0000000000007128.Peer-Reviewed Original ResearchCardiac surgeryOpioid doseDose variationIntraoperative opioid administrationIntraoperative opioid doseHigh-dose opioidsAdult cardiac surgerySurgical differencesOpioid-freeOpioid administrationOpioid useMultimodal analgesiaAnalgesic techniquesCardiopulmonary bypassMulticenter studyFentanyl equivalentsSufentanil infusionSurgical patientsOpioidSurgeryAnesthetic techniqueCardiac casesAttending anesthesiologistPatientsDose
2024
Individual and System Level Factors Contributing to Guideline Non-Adherent Surgical Antibiotic Prophylaxis at a Tertiary Health Care System: A Qualitative Analysis.
Bardia A, Melnick E, McCall T, Zhao X, Lin H, Fisher C, Burg M, Schonberger R. Individual and System Level Factors Contributing to Guideline Non-Adherent Surgical Antibiotic Prophylaxis at a Tertiary Health Care System: A Qualitative Analysis. Anesthesiology 2024 PMID: 39556527, DOI: 10.1097/aln.0000000000005302.Peer-Reviewed Original ResearchClinical decision supportCertified Registered Nurse AnesthetistsGuideline adherenceInfectious Diseases Society of AmericaQualitative studyTertiary health care systemClinical decision support toolSemi-structured interview formatSystem-level factorsHealth care systemRegistered Nurse AnesthetistsConstant comparison methodInfectious Diseases SocietyDecision supportAntibiotic guidelinesCare systemProvider needsNurse anesthetistsPerioperative pharmacistLimited familiarityPerceived benefitsNon-adherenceInterview formatLevel factorsResident traineesAssociation of Medicare eligibility with access to cardiac surgical care by patients identifying as other than non-Hispanic White: a regression discontinuity analysis
Arndt M, Lin H, Strand E, Fisher C, Schonberger R. Association of Medicare eligibility with access to cardiac surgical care by patients identifying as other than non-Hispanic White: a regression discontinuity analysis. British Journal Of Anaesthesia 2024, 133: 1341-1343. PMID: 39277456, DOI: 10.1016/j.bja.2024.07.031.Peer-Reviewed Original ResearchVariation in Intraoperative Opioid Administration by Patient, Clinician, and Hospital Contribution
Burns M, Hilliard P, Vandervest J, Mentz G, Josifoski A, Varghese J, Fisher C, Kheterpal S, Shah N, Bicket M. Variation in Intraoperative Opioid Administration by Patient, Clinician, and Hospital Contribution. JAMA Network Open 2024, 7: e2351689. PMID: 38227311, PMCID: PMC10792468, DOI: 10.1001/jamanetworkopen.2023.51689.Peer-Reviewed Original ResearchConceptsIntraoperative opioid administrationOral morphine equivalentsOpioid administrationSurgical proceduresHospital levelElectronic health record dataIntraclass correlationCohort studyAnalgesic categoriesSurgical categoriesHealth record dataQuality-improvement programHospital-level factorsPatient-level factorsNeuraxial analgesic techniquesCardiac surgical proceduresKnee surgical proceduresOpioid-reducing strategiesElective surgical proceduresMain OutcomesHospital contributionMorphine equivalentsOpioid exposureSurgical characteristicsOpioid prescriptions
2023
Association of adherence to individual components of Society of Thoracic Surgeons cardiac surgery antibiotic guidelines and postoperative infections
Bardia A, Michel G, Farela A, Fisher C, Mori M, Huttler J, Lang A, Geirsson A, Schonberger R. Association of adherence to individual components of Society of Thoracic Surgeons cardiac surgery antibiotic guidelines and postoperative infections. Journal Of Thoracic And Cardiovascular Surgery 2023, 167: 2170-2176.e5. PMID: 37075942, PMCID: PMC10579454, DOI: 10.1016/j.jtcvs.2023.03.031.Peer-Reviewed Original ResearchWeight-adjusted dosingPostoperative infectionAntibiotic guidelinesIncidence of nonadherenceCoronary artery bypassTertiary care hospitalAssociation of adherenceCohort of patientsRetrospective observational studyPost-operative infectionIntraoperative redosingValvular surgeryAntibiotic timingArtery bypassCoronary revascularizationPostoperative complicationsPostoperative sepsisAdult patientsFirst doseAntibiotic choiceCardiac surgeryCardiopulmonary bypassCare hospitalDose adjustmentPrimary outcome
2018
Brain Iron Distribution after Multiple Doses of Ultra-small Superparamagnetic Iron Oxide Particles in Rats.
Gorman A, Deh K, Schwiedrzik C, White J, Groman E, Fisher C, Gillen K, Spincemaille P, Rasmussen S, Prince M, Voss H, Freiwald W, Wang Y. Brain Iron Distribution after Multiple Doses of Ultra-small Superparamagnetic Iron Oxide Particles in Rats. Comparative Medicine 2018, 68: 139-147. PMID: 29663939, PMCID: PMC5897970.Peer-Reviewed Original ResearchConceptsSerum iron levelsHigh cumulative dosesWashout periodCumulative dosesIron levelsBrain ventriclesIron depositionMale Sprague-Dawley ratsUltra-small superparamagnetic iron oxide particlesQuantitative susceptibility mapsEnd of dosingSerum iron concentrationSprague-Dawley ratsBrain iron distributionGradient-echo MRIMultiple dosesBrain parenchymaSuperparamagnetic iron oxide particlesIron biodistributionFrequent administrationHistologic analysisParamagnetic iron oxideIron accumulationTime pointsDoses
2015
Whole-agent selectivity within the macaque face-processing system
Fisher C, Freiwald W. Whole-agent selectivity within the macaque face-processing system. Proceedings Of The National Academy Of Sciences Of The United States Of America 2015, 112: 14717-14722. PMID: 26464511, PMCID: PMC4664356, DOI: 10.1073/pnas.1512378112.Peer-Reviewed Original ResearchContrasting Specializations for Facial Motion within the Macaque Face-Processing System
Fisher C, Freiwald W. Contrasting Specializations for Facial Motion within the Macaque Face-Processing System. Current Biology 2015, 25: 261-266. PMID: 25578903, PMCID: PMC4302012, DOI: 10.1016/j.cub.2014.11.038.Peer-Reviewed Original ResearchConceptsMacaque face-processing systemFace processing systemFace patchesFacial motionFace patch systemHigh-level motionNeural machineryForm stimuliBrain activityFace motionNew organizational principlesMotion areaObject motionFunctional divideMacaque brainMacaque monkeysOrganizational principlesFacial formFaceFMRIStimuliBrain
2013
Alert Response to Motion Onset in the Retina
Chen EY, Marre O, Fisher C, Schwartz G, Levy J, da Silveira RA, Berry MJ. Alert Response to Motion Onset in the Retina. Journal Of Neuroscience 2013, 33: 120-132. PMID: 23283327, PMCID: PMC3711149, DOI: 10.1523/jneurosci.3749-12.2013.Peer-Reviewed Original Research
Academic Achievements & Community Involvement
Clinical Care
Overview
Clinical Specialties
Anesthesiology; Cardiac Anesthesiology
Board Certifications
Advanced Perioperative Transesophageal Echocardiography
- Certification Organization
- National Board of Echocardiography
- Original Certification Date
- 2023
Anesthesiology
- Certification Organization
- AB of Anesthesiology
- Original Certification Date
- 2022
News
News
- September 29, 2020
Yale Department of Anesthesiology 5th Annual Celebration of Research 2020
- April 16, 2020
Sharing a Ventilator, Sparing a Life: Two Yale Groups Create Different Ways To Maximize Ventilator Capacity in a Crisis
- April 09, 2020Source: Yale School of Engineering and Applied Sciences
With an Urgent Need, Researchers Develop Multi-Patient Ventilators