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Thomas Jefferson University - Stephen E. McNulty
Stephen E. McNulty

Anesthesiology
Thomas Jefferson University
Jefferson Medical College
Department of Anesthesiology
Professor
Appointed: 1999

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Mailing Address
111 South 11th Street
Philadelphia, Pennsylvania 19107
United States
Contact Information
Phone: (215) 955-6161
Stephen.McNulty@jefferson.edu
Qualifications
Philadelphia College of Osteopathic Medicine, 1981

Biology, Saint Joseph's University:, 1976

Medical License, Pennsylvania,

National Board of Examiners, 1982

American Board of Anesthesiology, 1985

CDQ Certification, American Board of Anesthesiology, 2009

National Board of Echocardiography,

Perioperative Transesophageal Echocardiography, 1998

Other Expertise
HOSPITAL AFFILIATION

Thomas Jefferson University Hospital: 7/1/85 - Present

ADMINISTRATIVE EXPERIENCE
Residency Program Director 2007-10
Residency Program Co-Director 2004 - 2007
Vice Chair of Education 2004 - 2010
Director Cardiothoracic Anesthesia 1988 - 2005
Program Director Cardiac Anesthesiology Fellowship 1988 - 2010
Chairman's Advisory Committee 1989 - 2010
Deans Clinical Practice Advisory Committee, 1991 - 1995
Clinical Competence Committee, 1988 - 2010
Chair Clinical Competence Committee, 1998 - 2004
Impaired Physicians Committee, 1988 - 2010
Resident Education Committee, 1997 - 2010
Chair Education Committee, 2004 - 2010
Resident Selection Committee, 2001 - 2010

EDUCATIONAL ACHIEVEMENTS

Jefferson Medical College, Department of Anesthesiology, Resident Education Award 6/90
Jefferson Medical College, Department of Anesthesiology, Resident Education Award 6/95
Jefferson Medical College, Department of Anesthesiology, Resident Education Award 6/98
Honored in the Congressional Record: 7/7/98, Vol.144, No. 88
Jefferson Medical College, Department of Anesthesiology, Resident Education Award 6/99
Jefferson Medical College, Department of Anesthesiology, Resident Education Award 6/00
Jefferson Medical College, Department of Anesthesiology, Resident Education Award 6/06
Americas Top Physicians, 2003 Edition
Deans Citation for significant contributions to the advancement of education at Jefferson Medical College in 2006
Best Doctors in America, 2007-08
Outstanding Contribution Award: for significant contributions as a PCOM medical student preceptor, 2008-09


PRESENTATIONS AND LECTURES (2002-present)
National

Perioperative Hypertension. February 24, 2002; Jefferson Anesthesia Conference, Montana

Anesthetic Management of Thoracic Aortic Aneurysm. February 27, 2002; Jefferson Anesthesia Conference, Montana

Update in Cardiopulmonary Bypass. February 28, 2002; Jefferson Anesthesia Conference, Montana

Perioperative Care of the Hypertensive Patient. Bermuda Shorts for Clinical Anesthesiologists. April 1, 2003 Southampton, Bermuda

Anesthetic Challenges of Thoracic Aneurysm Repair. Bermuda Shorts for Clinical Anesthesiologists. April 3, 2003 Southampton, Bermuda

Current Issues with Cardiopulmonary Bypass. Bermuda Shorts for Clinical Anesthesiologists. April 4, 2003 Southampton, Bermuda

TEE in the Non-Cardiac Surgery Patient. February 19-25; Jefferson Anesthesia Conference, Montana, 2005

Anesthetic Management of Abdominal Aortic Aneurysms. February 19-25; Jefferson Anesthesia Conference, Montana, 2005

Perioperative Care of the Hypertensive Patient: Jefferson Anesthesia Conference, Big Sky, Montana. March 1, 2007

Complications of Invasive Monitoring: Jefferson Anesthesia Conference, Big Sky, Montana. February 28, 2007

Anesthetic Management of Aortic Aneurysm Repair: Jefferson Anesthesia Conference, Big Sky, Montana. February 26, 2007

Perioperative Care of the Hypertensive Patient: AOCA; Oct 3, 2007

Anesthetic Management of Aortic Aneurysm Repair: AOCA; Oct 2, 2007

Institutional

Introductory Resident Lectures: Monitoring during anesthesia, 1990 to Present

Resident lecture series: Core conference lectures, 1985 to Present: 6 conferences/year

Resident lectures: Mock Oral Examiner, 1990 to Present: 10/year

Medical student lecture series: Neuroanesthesia

Anesthesia Grand Rounds: Induced Hypotensive Techniques, Airway Management, Anesthetic Considerations for Thoracic Aortic
Anuerysm Repair, Anesthetic Considerations for Transurethral Prostatectomy, Somatosensory Evoked Potential Monitoring in the Operating Room, Update on Neuroanesthesia for Intracranial Surgery, Cerebral Protection, Thoracic and Thoracoabdominal AnuerysmsMinimally Invasive Cardiac Surgery, Introduction to Transesophageal Echocardiography

OTHER PROFESSIONAL ACTIVITIES (1997-present)
Guest reviewer for the Journal of Clinical Anesthesia, 1992
Guest reviewer for Anesthesia and Analgesia, 1995, 2000
Guest reviewer for The American Journal of Anesthesiology, 2000
Society of Cardiovascular Anesthesiologists: Reviewer, Abstract Submissions 1999, 2000
Class Agent for Anesthesiology: 2002 through 2010 Jefferson Medical College Alumni Annual Giving Campaign
Keywords
Anesthesiology
Publications
  • Manuscripts
  • Peer-Reviewed Publications
  • 1. McNulty SE, Barringer L, Browder J: Carbon dioxide retention associated with a humidifier defect. Can J Anaesth 1987;34:519-521.
  • 2. McNulty SE, Azad SS, Farole A: Induced hypotension with labetalol for orthognathic surgery. J Oral Maxillofac Surg 1987;45:309-311.
  • 3. McNulty SE, McQueen J: Temporary A-V sequential pacing using transluminal pacing electrodes. Can J Anaesth 1988;35:309-311.
  • 4. McNulty SE, Goldman S, Seltzer JL: The effect of coronary revascularization and vein graft blood flow on pacing function. J Cardiothorac Anesth 1988;2:596-601.
  • 5. Goldberg ME, McNulty S, Levette A, Goldman S: Intravenous labetalol for induced hypotension in an adult patient undergoing coarctation repair. J Cardiothorac Anesth. 1988;2:673-677.
  • 6. Mora CT, Seltzer JL, McNulty SE: Evaluation of a new design pulmonary artery catheter for intraoperative ventricular pacing. J Cardiothorac Anesth 1988;2:274-280.
  • 7. McNulty SE, Roy J, Torjman M, Seltzer JL: Relationship between arterial carbon dioxide and end-tidal carbon dioxide when a nasal sampling port is used. J Clin Monit 1990;6:93-98.
  • 8. Goldberg ME, McNulty SE, Azad SS, Cantillo J, Torjman M, Marr AT, Huffnagle S, Seltzer JL: A comparison of labetalol and nitroprusside for inducing hypotension during major surgery. Anesth Analg 1990;70:537-542.
  • 9. McNulty SE, Arkoosh VA, Goldberg ME: The relevance of somatosensory evoked potentials during thoracic aorta aneurysm repair: a report of three cases. J Cardiothorac Vasc Anesth 1991;5:262-265.
  • 10. Roy J, McNulty SE, Torjman M: An improved nasal prong apparatus for end-tidal carbon dioxide monitoring in the awake/sedated patient. J Clin Monit 1991;7:249-252.
  • 11. McNulty SE, Weiss J, Azad SS, Schaefer DM, Osterholm JL, Seltzer JL: The effect of prone position on venous pressure and blood loss during lumbar laminectomy. J Clin Anesth 1992;4:220-225.
  • 12. McNulty SE, Bartkowski R, Schmitz T: Should the gas outlet port on membrane oxygenators be routinely scavenged during cardiopulmonary bypass? J Cardiothorac Vasc Anesth 1992;6:697-699.
  • 13. McNulty SE, Sharkey SJ, Asam B, Lee JH: Evaluation of STAT-CRIT® hematocrit determination in comparison to coulter and centrifuge: the effects of isotonic hemodilution and albumin administration. Anesth Analg 1993;76:830-834.
  • 14. McNulty SE, Cooper M, Staudt S: Transmitted radiofrequency current through a flow directed pulmonary artery catheter. Anesth Analg 1994;78:587-589.
  • 15. McNulty SE, Sharkey SJ, Schieren H: Bedside hemoglobin measurements: sensitivity to changes in serum protein and electrolytes. J Clin Monit 1994;10:377-381.
  • 16. McNulty SE, Gratch D: Comparative vascular effects of midazolam and lorazepam during cardiac surgery. Anesth Analg 1994;79:675-680.
  • 17. McNulty SE, Gratch D, Costello D, Heropoulos M, Kim JY: The effect of midazolam and lorazepam on postoperative recovery after cardiac surgery. Anesth Analg 1995;81:404-7.
  • 18. McNulty SE, Torjman M, Grodecki W, Marr A, Schieren H: A comparison of four bedside methods of hemoglobin assessment during cardiac surgery. Anesth Analg 1995;81:1197-202.
  • 19. McNulty SE, Gratch D, Malehorn R, Kim JY: EEG changes associated with benzodiazepine use during cardiopulmonary bypass. Am J Anesth 1996;23:57-61.
  • 20. McNulty SE, Sasso P, Vesci J, Schieren H: Platelet Concentrate Effects on Thromboelastography. J Cardiothorac Vasc Anesth 1997;11:828-830.
  • 21. Bauer TL, Arepally G, Konkle BA, Mestichelli B, Shapiro SS, Cines DB, Poncz M, McNulty S, Amiral J, Hauck WW, Edie RN, Mannion JD: Prevalence of heparin-associated antibodies without thrombosis in patients undergoing cardiopulmonary bypass surgery. Circulation. 1997;95:1242-6.
  • 22. McNulty SE, Mannion J, Brennan M, Schieren H: The clinical relevance of hemoglobin, platelet, and serotonin changes in sequestered and circulating blood during cardiopulmonary bypass. J Cardiothorac Vasc Anesth 1998;12:402-407.
  • 23. McNulty SE, Maguire DP, Thomas RE: Effect of heparin-bonded pulmonary artery catheters on the activated coagulation time. J Cardiothorac Vasc Anesth 1998;12:533-535.
  • 24. McNulty SE, Maguire DP, Arai L: An alternate method for calibrating the thromboelastograph. J Cardiothorac Vasc Anesth 1998;12:639-641.
  • 25. McNulty SE: Denatured platelets and the TEG.(Letter) J Cardiothorac Vasc Anesth 1998;12:720-721.
  • 26. McNulty SE: Ultrasound-assisted central venous cannulation: resident teaching tool or practice standard. Am J Anesth 2000;27:388-389.
  • 27. McNulty SE, Kline B, Welsh J, Bartkowski R: Radiofrequency transmission to monitoring devices in the operating room: a simulation study. Anesth Analg 2001;92:
  • 28. Schwann NM, Maguire DP, Roth JV, McNulty SE, Saouaf A. Evaluation of transesophageal atrial pacing in the prone and lateral positions. J Cardiothorac Vasc Anesth 2001;15:192-196.
  • 29. Konkle BA, Bauer TL, Arepally G, Cines DB, Poncz M, McNulty S, Edie RN, Mannion JD. Heparin-induced thrombocytopenia: bovine versus porcine heparin in cardiopulmonary bypass surgery. Annals of Thoracic Surgery. 2001;71(6):1920-4,
  • 30. Miele L, Eschelman DJ, McNulty S, Choudry R, Rodriguez E, Diehl J, Marelli D. Successful aortic fenestration to treat prolonged motor paralysis of the lower extremities after repair of type A aortic dissection. J. Thorac. Cardiovasc. Surg., 2005;130: 599 - 601.
  • Abstracts
  • 1. McNulty SE, Goldman S, Seltzer J. The effect of coronary revascularization and vein graft blood flow on pacing function. Soc Cardiovasc Anesth 9th Annual Meeting 1987.
  • 2. Seltzer JL, Mora CT, McNulty SE. Evaluation of ventricular pacing with a new design pulmonary artery catheter. Soc Cardiovasc Anesth Annual Meeting 1986.
  • 3. Mora CT, McNulty SE, Epstein R. Post operative ventricular pacing using a new design pacing pulmonary artery catheter. Soc Cardiovasc Anesth 9th Annual Meeting 1987.
  • 4. Ensalada LM, Clark SK, Goldberg ME, McNulty SE, Lessin J, Seltzer JL, Raymond RN, Wise NM, Rudd GD, Abou-Donia M. An evaluation of the hemodynamic effects of BWA938U during aortic valve replacement surgery for aortic stenosis in patients receiving oxygen fentanyl anesthesia. Anesthesiology 1988;69:A886.
  • 5. Ensalada LM, Clark SK, Goldberg ME, McNulty SE, Lessin J, Larijani GE, Seltzer JL, Raymond RN, Wise NM, Rudd GD, Abou-Donia M. A comparison of the hemodynamic effects of BWA938U and vecuronium during coronary artery bypass (CABG) surgery in patients receiving oxygen fentanyl anesthesia. Anesthesiology 1988;69:A885.
  • 6. Torjman M, Goldberg ME, McNulty SE, Azad SS, Cantillo J, Marr AT, Boerner TF, Huffnagle S, Seltzer JL. A double blind comparison of the effects of labetalol and nitroprusside on shunt fraction during deliberate hypotension. Anesth Analg 1988.
  • 7. Cantillo J, Goldberg ME, McNulty SE, Azad SS, Torjman M, Marr AT, Boerner TF, Huffnagle S, Seltzer JL. A double blind comparison of labetalol and nitroprusside for hypotensive anesthesia. Anesth Analg 1988.
  • 8. Arkoosh V, McNulty SE, Goldberg M. Relevance of somatosensory evoked potential monitoring during thoracoabdominal anuerysm repair using a simple clamp repair technique. Ninth Medical Monitoring Technology Conference 1989.
  • 9. Torjman M, McNulty SE, Roy J, Seltzer JL. Correlation between arterial carbon dioxide and end tidal carbon dioxide using a nasal sampling port. Ninth Medical Monitoring Technology Conference 1989.
  • 10. Weiss J, McNulty SE, Azad S, Shaefer D, Osterholm J, Seltzer JL. The relationship between iliac venous pressure, positioning and blood loss during laminectomy surgery. Society of Neurosurgical Anesthesia and Critical Care 1989.
  • 11. Roy J, McNulty SE, Torjman M. An improved nasal prong apparatus for end-tidal carbon dioxide monitoring in the awake/sedated patient. Canadian Society of Anesthesiology 1989.
  • 12. McNulty SE, Torjman M, Roy J, Seltzer JL. Correlation between arterial carbon dioxide and end tidal carbon dioxide using a nasal sampling port. Anesthesiology 1989;71:A355.
  • 13. Arkoosh V, McNulty S, Goldberg M. Relevance of somatosensory evoked potential monitoring during thoracic anuerysm repair using a simple clamp repair technique. Anesthesiology 1989;71:A395.
  • 14. Roy J, McNulty S, Torjman M. An improved nasal prong apparatus for end-tidal carbon dioxide monitoring in the awake sedated patient. Anesthesiology 1989;71:A356.
  • 15. Weiss J, McNulty SE, Azad S, Shaefer D, Osterholm J, Seltzer JL. The influence of positioning on iliac venous pressure and blood loss during laminectomy surgery. Anesthesiology 1989;71:A149.
  • 16. Witkowski TA, McNulty SE, Epstein RH. A comparison of three techniques for monitoring end tidal CO2 in awake sedated patients. Tenth Medical Monitoring Technology Conference 1990.
  • 17. Weiss J, McNulty S, Schmitz T. Thromboelastographic evaluation of the effect of cell saver blood on coagulation in the post cardiopulmonary bypass patient. Anesthesiology 1990;73:A83.
  • 18. McNulty S, Schmitz T, Bartkowski R. Should the gas outlet port on membrane oxygenators be routinely scavenged during cardiopulmonary bypass? Society of Cardiovascular Anesthesiologists 13th Annual Meeting p. 206, 1991.
  • 19. Sharkey SJ, McNulty SE, Asam B, Lee JH. Comparison of Stat-Crit with conventional hematocrit determinations during cardiopulmonary bypass. Anesth Analg 1992;74:S283.
  • 20. McNulty SE, Sharkey SJ, Asam B, Lee JH. The effect of albumin on the accuracy of Stat-Crit hematocrit determinations. Anesthesiology 1992;77:A543.
  • 21. Sharkey SJ, McNulty SE, Wales BD: Evaluation of the Hemocue® photometer: a comparision to the coulter and Stat-Crit® methods of hemoglobin determination during isovolemic hemodilution. Anesthesiology 1992;77:A583.
  • 22. McNulty S, Gratch D, Marr A. A comparison of the hemodynamic and post-operative recovery effects of lorazepam and midazolam. Anesth Analg 1993;76:S257.
  • 23. McNulty S, Odorisio L, Bernstein C, Thomas B, Finke J, Schieren H. Serotonin variability during CPB: the effect of sampling site and time. Anesth Analg 1993;76:S258.
  • 24. McNulty SE, Gratch D, Kim JY. Lorazepam may prolong awakening after cardiac surgery. SCVA 1993.
  • 25. Gratch DM, McNulty SE, Costello D, Heropoulos M, Kim JY. Factors affecting postoperative time to recovery following the use of benzodiazepines during cardiac surgery. Anesthesiology 1993;79:A364.
  • 26. McNulty SE, Sharkey SJ, Schieren H. Improvement of conductivity hematocrit accuracy using preoperative lab values. Anesthesiology 1993;79:A519.
  • 27. McNulty SE, Gratch DM, Kim JY. EEG changes associated with midazolam and lorazepam during cardiopulmonary bypass. Anesth Analg 1994:78:S281.
  • 28. McNulty SE, Maguire DP. Heparin bonded pulmonary artery catheters increase the activated coagulation time of central venous blood SCA 1994.
  • 29. McNulty SE, Gratch D, Kim JY. Comparative vascular effects of midazolam and lorazepam during cardiac surgery. SCA 1994.
  • 30. Arai LD, McNulty SE, Maguire DP. An alternate method for calibrating the thromboelastograph. SCA 1994.
  • 31. McNulty SE, Brennan M, Vesci J, Schieren H. Comparison of systemic and pulmonary hematologic changes during cardiopulmonary bypass. Anesthesiology 1994;81:A176.
  • 32. Sasso P, McNulty SE, Schieren H. Can the thromboelastograph distinguish between functional and dysfunctional platelets? Anesthesiology 1994;81:A610.
  • 33. Glowacki S, McNulty SE. Can electrocautery transmission induce current in a pulmonary artery catheter? Anesthesiology 1994;81:A1220.
  • 34. Grodecki W, McNulty SE, Torjman M, Marr A, Schieren H. How accurate is the post-cardiopulmonary bypass hemoglobin measurement? Anesthesiology 1994;81:A569.
  • 35. Arai LD, McNulty SE, Maguire DP. An alternate method for calibrating the thromboelastograph. Anesthesiology 1994;81:A609.
  • 36. Maguire DP, McNulty SE. Heparin-bonded pulmonary artery catheters may affect the thromboelastogram and activated coagulation time. Anesthesiology 1994;81:A611.
  • 37. McNulty SE, Grodecki W, Torjman M, Marr A, Schieren H. An evaluation of four methods of hemoglobin determination or estimation during hemodilution, transfusion, and post-transfusion. Anesth Analg 1995;80:S315.
  • 38. McNulty SE, Brennan M, Vesci J, Schieren H. Decreased whole blood serotonin is associated with decreased cardiac output after cardiopulmonary bypass. Anesth Analg 1995;80:SCA112.
  • 39. Thomas RE, Maguire DP, McNulty SE. Effect of heparin bonded pulmonary artery catheters on the ACT: comparison of arterial and central venous measurements. Anesth Analg 1995;80:SCA86.
  • 40. McNulty SE, Brennan M, Vesci J, Schieren H. Serotonin may contribute to decreased cardiac output after cardiopulmonary bypass. Anesthesiology 1995;83:A107
  • 41. McNulty SE, Glowacki SJ, Benson DM. Importance of attaching the reference electrode when using a right ventricular ejection fraction pulmonary artery catheter. Anesthesiology 1995;83:A1055.
  • 42. Maguire DP, McNulty SE, Thomas RE. Heparin-bonded pulmonary artery catheters and activated coagulation time. Anesthesiology 1995;83:A429.
  • 43. McNulty SE, Grodecki W. Comparison of postoperative hemoglobin after processed and unprocessed autologous blood transfusion. Anesth Analg 1996;82:S310.
  • 44. McNulty SE. Determinants of microshock hazard associated with electrocautery and a volumetric PA catheter. Anesth Analg 1996;82:SCA65.
  • 45. Eisen NS, Lessen RJ, McNulty SE, Torjman M. Efficacy of milrinone during CPB: a comparison of two routes of administration Anesth Analg1997;84:S72.
  • 46. Saouaf A, Maguire D, McNulty S, Roth J. Evaluation of transesophageal atrial pacing in patients in the prone position. Anesthesiology 1996;85:A403.
  • 47. Schwann NM, Maguire D, McNulty S, Roth J. Evaluation of transeosphageal atrial pacing in patients in the lateral position. Anesth Analg 1997;84:SCA99.
  • 48. Schwann NM, Napoli D, McNulty S, Torjman M, Audu P. Intraoperative comparison of a new thoracic bioimpedence device to thermodilution and echo for the determination of cardiac output. Anesth Analg 1997;84:SCA52.
  • 49. Welsh J, McNulty S, Kline B, Bartkowski R. Radiofrequency transmission to medical devices in the operating room. Anesthesiology 1998;89:A1208.
  • 50. Kline B, McNulty S, Welsh J, Bartkowski R. Radiofrequency transmission to a pulmonary artery catheter: comparison of peak voltage through retrograde circuits. Anesthesiology 1998;89:A1209.
  • 51.An alternate method for optically calibrating an oximetric pulmonary artery catheter. Anesth Analg 2000;90:
  • 52.Schwann NM, Maguire DP, McNulty SE, Roth JV. Evaluation of transesophageal atrial pacing in the prone and lateral position. Critical Care 2000;
  • 53. Cooper H, McNulty S, Maguire D. ASD repair: a comparison of right thoracotomy/endoaortic clamp (Heartport") approach with median sternotomy technique. Anesth Analg 2001;92:SCA 58
  • 54. Flood JJ, Joseph JI, Kim L, McNulty S, Chervoneva I. Glucose levels in blood simultaneously sampled from the radial artery, vena cava, and fingertip. Anesthesiology 2007
  • 55. Simpao A, McNulty SE, Grunwald Z, Epstein RH.Design of an Automated ACGME Case Log System Using Anesthesia Information Management System Data, PARRC 2009
  • Book Chapters
  • 1. McNulty SE. Induced hypotension during head and neck surgery. Anesthesiology Clinics of North America 1993;11:593-614.
  • 2. McNulty SE, Schaefer D. Central venous pressure as it relates to blood loss. in Surgery for spinal cord injuries. Principles and techniques in spine surgery. Raven Press, Ltd., New York 1993 pp 71-76.
  • 3. McNulty SE. Preoperative evaluation of hypertension: Anesthetic considerations. Anesthesiology Clinics of North America 1999,17:549-565.

Individual Expertise profile of Stephen E. McNulty, Copyright © Stephen E. McNulty.
Last Updated by Stephen McNulty : Monday, April 12, 2010 10:18:30 AM



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