Geoffrey Lighthall
Academic Appointments
- Associate Professor - Med Center Line, Anesthesia
Key Documents
Contact Information
-
Clinical Offices
Department of Anesthesia 300 Pasteur Dr H3580 MC 5640 Stanford, CA 94305 Tel Work (650) 723-6411 Fax (650) 725-8544Practices at Stanford Hospital and Clinics and Lucile Packard Children's Hospital
- Academic Offices
Personal Information EmailNot for medical emergencies or patient use
Professional Overview
Clinical Focus
- Anesthesia
- Critical Care Medicine
- Cardiac and Thoracic Anesthesia
Professional Education
| Residency: | Stanford University School of Medicine CA (1999) |
| Board Certification: | Anesthesia, American Board of Anesthesiology (2000) |
| Board Certification: | Critical Care Medicine, American Board of Anesthesiology (2001) |
| Internship: | Santa Clara Valley Medical Center, CA USA (1996) |
| Medical Education: | University of Maryland MD (1995) |
| MD: | University of Maryland, Medicine (1995) |
Graduate & Fellowship Program Affiliations
Community and International Work
Scientific Focus
Current Research Interests
1 Critical Care Education
One of my interests centers on the use of patient simulation as an educational and training tool in critical care. The Palo Alto VA is the Mecca of Patient Simulation; high performance simulation and a curriculum on anesthesia crisis management were invented by David Gaba and colleagues in the Department of Anesthesia. As part of the VA ICU rotation, we run monthly classes on Crisis Resource Management in Critical Care in a brand new facility that is a virtual copy of an adult ICU, complete with two computer - controlled patients. Human patient simulation offers an ever-changing laboratory for developing and testing educational methods as well as participating in our current strength - critical care team training. Research projects currently center on implementing a performance assessment tool to evaluate whether classroom instruction improves management of simulated patient emergencies, examination of team communication during simulated emergencies, and assessment of resuscitation quality following a new critical care skills course.
2 Medical Emergency Teams
Medical Emergency Teams (or METs for short) are groups that perform rapid assessment and stabilization of patients in response to signs of clinical deterioration. They have arisen in response to data demonstrating that many opportunities to reverse clinical decline are not acted upon in a time frame that would prevent further deterioration, or progression to cardiac arrest. I have implemented a MET at the VA Palo Alto and am looking at the clinical impact of this intervention; I have also developed programs for team training and technical skill development applicable to MET operation.
Publications
- An institution-wide approach to redesigning management of cardiopulmonary arrests The joint commission journal of patient safety. 2013; (4): 157-166
- Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anesth Analg. 2010; (3): 679-86
- Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010; (5): 209-16
- Abnormal vital signs are associated with an increased risk for critical events in US veteran inpatients. Resuscitation. 2009; (11): 1264-9
- Evaluating the management of septic shock using patient simulation. Crit Care Med. 2007; (3): 769-75
- Use of a fully simulated intensive care unit environment for critical event management training for internal medicine residents. Crit Care Med. 2003; (10): 2437-43
