Prof. dr. B. Preckel MA MD PhD

foto

Prof. dr. B. Preckel MA MD PhD

Position
Professor
Main activities
Patient care, Research
Specialisation
perioperative patient safety, simulation, procedural sedation, diabetes, cardiovascular protection
Focus of research

optimalisation of the pre-operative assessment clinic

perioperative patient safety, learning from excellence

development of cognitive aids for emergencies on the OR and on the ward

improvement of perioperative care of the diabetic patient

value of postoperative visit on incidence and severeness of complications

value of continuous monitoring on the ward on incidence and severeness of postoperative complications

cardiovascular risk patients, myocardial protection, preconditioning, postconditioning, remote protection, noble gas induced organ protection, mechanisms of anesthetic induced tissue protection

cerebral autoregulation and cardiovascular autonomic system in diabetic and non-diabetic patients

simulation based airway training

CRM in cardiac surgery

logistics and quality of sedation by sedation anesthesia nurses

 improvement of sedation quality by specific drug use and application of accupuncture

 

Key publications
  • Smit KF, Weber NC, Hollmann MW, Preckel B, Noble gases as cardioprotectants - translatability and mechanism. BRIT J PHARMACOL 2015;172 (8):2062-2073 [PubMed]
  • Polderman JAW, Farhang-Razi V, van Dieren S, Kranke P, DeVries JH, Hollmann MW, Preckel B, Hermanides J, Adverse side effects of dexamethasone in surgical patients. COCHRANE DB SYST REV 2018;2018 (11):CD011940 [PubMed]
  • Kirmeier E, Eriksson LI, Lewald H, Jonsson Fagerlund M, Hoeft A, Hollmann M, Meistelman C, Hunter JM, Ulm K, Blobner M [Contributors: Leva B, Harlet P, Feijten P, Damster S, Blobner M, Eriksson LI, Hollmann M, Hunter J, Jonsson Fagerlund M, Kirmeier E, Lewald H, Meistelman C, Ulm K, Dum E, Von Lutterotti T, Köstenberger M, Lercher H, Neuwersch S, Knotzer J, Kotzinger O, Gferer G, Pitterle M, Sparr H, Berger MM, Danninger T, Kopp K, Kunit C, Ausserer J, Hoelbling D, Khuenl-Brady K, Paal P, Pehboeck D, Potocnik M, Smitz C, Vercauteren M, Verheyen V, Cammu G, Gavranović Z, Maldini B, Goranović T, Klancir T, Kovačević M, Markić A, Mazul Sunko B, Nesek Adam V, Milić M, Sojčić N, Vitković B, Nováková A, Večeřa L, Harazim H, Kosinová M, Smékalová O, Štourač P, Dzurňáková P, Lišková K, Volfová I, Afshari A, Ekelund K, Elme A, Karjagin J, Sõrmus A, Toim H, Junke E, Allaouchiche B, Boselli E, Bouvet L, Danguy des Déserts M, Nguyen BV, Pardey Bracho GF, Saby S, Bois G, Leuvrey M, Mathis C, Moeglen A, Philippe S, Scalco L, Schmidt-Mutter C, Stoerckel M, Carise E, Debaene B, Frasca D, Ernst T, Gottschalk A, V Tiesenhausen A, Rueffert H, Baumüller E, Foerster U, Ripke F, Stäuble C, Lipski F, Luippold M, Roth W, Rupprecht K, Schmidt-Ehrenberg F, Zucker TP, Bergmann N, Bischoff P, Mittelstädt L, Wallner J, Buerkle H, Goebel U, Kaufmann K, Pohl H, Rotter MT, Spaeth J, Wirth S, Zachoval C, Schax C, Spielmann A, Standl T, Feggeler J, Bankewitz C, Baumgarten G, Ellerkmann R, Fellmann T, Fleischer A, Günther U, Guttenthaler V, Hack Y, Hoeft A, Kirchgäßner K, Männer O, Marchand B, Schurig M, Struck R, van Zyl R, Weber S, Wittmann M, Kranke P, Kranke E, Balandin A, Kraus S, Kraus C, Metterlein T, Schönberg C, Unterbuchner C, Werkmann M, Ziegleder R, Gkinas D, Oloktsidou E, Papapostolou K, Tsaousi G, Gkiokas G, Stamelos M, Theodoraki K, Stroumpoulis K, Valsamidis D, Mavrommati E, Tanou V, Tsiftsi A, Vassilakis G, Katsika E, Korfiotis D, Serchan P, Chatzimicali A, Papaioannou A, Syrogianni P, Batistaki C, Kyttari A, Matsota P, Buggy D, Prchalova M, Ní Eochagáin A, Keane H, Darwish I, Elghouty E, Toninelli A, Bucolo GE, Monea MC, Vicari Sottosanti LG, Barletti V, Bonicolini E, Gambino I, Meli A, Romagnoli S, Stera C, Campesato M, Copeta F, Di Giacinto I, Melotti RM, Sorella MC, Toni J, Vecchiatini T, Vissicchio D, Fullin G, Grassetto A, Serafini E, Zampieri S, Gambale G, Malewski G, Morri D, Tartaglione M, Ciardo S, Taddei S, Corso RM, Gioia A, Legrottaglie AM, Maitan S, Zampone S, Bifulco F, Cascella M, Cuomo A, Maciariello M, Pota V, Schiavone V, Aletti G, Amigoni M, Butturini F, Giovannoni C, Mokini Z, Pesenti A, Vitale G, Baiardo Redaelli M, Bellandi M, Belletti A, Beretta L, Bignami E, Casiraghi GM, Febres D, Guarnieri M, Landoni G, Manfredini L, Martino EA, Nardelli P, Pasin L, Saleh O, Spada A, Zambon M, Zangrillo A, Barbera F, Cricca V, Orlando A, Ragazzi R, Spadaro S, Verri M, Volta CA, Fusari M, Mescolini S, Negri M, Terenzoni M, Zani G, Carrieri C, Montillo G, Nardin G, Lorenzini L, Brazzi L, Floris L, Liperi C, Pistidda L, Sales G, Cinnella G, Lombardi FS, Menga MR, Mirabella L, Petta R, Di Mauro P, Fumagalli J, Marrazzo F, Tommasino C, Cortegiani A, Giarratano A, Montalto F, Raineri SM, Russotto V, Brazzoni M, de Flaviis A, Deana C, Della Rocca G, Pompei L, Toretti I, Vilardi A, Guadagnin GM, Gecaj-Gashi A, Hashimi M, Katanolli F, Baliuliene V, Bernotaite M, Bilskiene D, Bubliauskas A, Bukauskas T, Karbonskiene A, Keraitiene G, Macas A, Rimaitis K, Rimaitis M, Trepenaitis D, Zavackiene A, Dimitrovski A, Kuzmanovska B, Gievski V, Radoeshki A, Shosholcheva M, Beurskens C, Eberl S, Hemmes S, Hermanides J, Hermanns H, Koers L, Kooij F, Lirk P, Polderman J, Preckel B, Wensing C, Schultz M, Stevens M, Koopman-van Gemert AWMM, Bouwman A, Koolen E, van der Beek T, Buhre WF, Kudrashou A, Schreiber JU, van Zundert T, de Boer HD, Hettiarachchi RM, Umc R, Fernando A, Scheffer GJ, Inan T, van Dasselaar N, van Poorten F, Verdouw B, Numan S, van Klei WA, van Zaane B, Boer C, van Duivenvoorde Y, van Beek R, Zonneveldt H, Hestenes S, Melbybråthen G, Rial E, Aslam T, Bjønness T, Lindholm E, Ringvold EM, Andersen E, Kummen L, Rasmussen A, Rudjord A, Feyling A, Heier T, Siamansour TS, Kanski A, Starczewska M, Borecka-Kedzierska M, Gilowska K, Gornik-Wlaszczuk E, Kucharski R, Majewski J, Borys M, Czuczwar M, Piwowarczyk P, Potreć B, Rypulak E, Sysiak J, Garlak J, Żukowski M, Calhau R, Carreteiro J, Parente S, Costa G, Cunha M, Domingues S, Marinheiro L, Moura F, Tarroso M, Vasconcelos P, Castelo-Branco L, Neves M, Pinto R, Santos S, Azevedo P, Carmona C, Oliveira I, Branco T, Casal M, Correia de Barros F, Esteves S, Ferreira L, Machado H, Madeira I, Mascarenhas C, Moreira Z, Pereira M, Pina P, Sá J, Sá Couto P, Antunes P, Assunção JP, Barros A, Ferreira P, Pereira C, Pinho-Oliveira V, Rato A, Ribeiro S, Rodrigues P, Vico M, Cernea D, Dragoescu A, Stanculescu A, Grintescu I, Mirea L, Ologoiu D, Tiganiuc L, Badarau V, Cîndea I, Cocu S, Dîrzu DS, Hagău N, Balan C, Daniliuc A, Ionităv V, Filipescu D, Paunescu A, Droc G, Stefan OM, Vaida S, Voicu A, Marcu A, Popescu M, Tomescu D, Tudor A, Badescu R, Godoroja D, Balescu-Arion C, Moise A, Dascalu C, Grigoras I, Parfeni A, Ristescu I, Cantor A, Cimpeanu L, Horhota L, Bandrabur D, Almasy E, Barsan V, Copotoiu S, Szederjesi J, Fedorov S, Galushka S, Gavrilov R, Lazarev K, Chervjakov I, Gritsan A, Gritsan G, Korolkov O, Anipchenko N, Lugovoy A, Ovezov A, Jovic M, Milojevic M, Sagic J, Unic-Stojanovic D, Dinic V, Jankovic R, Savić N, Bozić T, Popovic R, Stanisavljević S, Vukcevic D, Stošić B, Neskovic V, Rondovic G, Vukovic R, Humplíková S, Michalov M, Mráz P, Polakovičová L, Stanek O, Tarabová K, Bilic A, Kasnik D, Kompan J, Uranjek J, Wegiel Leskiewicz A, Borstnar K, Gerjevic B, Ursic T, Dolinar J, Hribar R, Zupančič D, Grynyuk A, Janez B, Jenko M, Markovič Bozič J, Marusič-Gaser K, Novak-Jankovič V, Spindler-Vesel A, Voje M, Vrecič-Slabe S, López Alvarez A, Padin Barreiro L, Sanchez Sanchez YE, Casanova I, Errando CL, Granell M, Diaz Gomez TV, Lisi A, Perez Tejero G, Vargas Munoz AM, Fernández Castineira A, Pérez Soto A, Ferrando C, Garcia-Perez ML, Miñana A, Moreno T, Pastor E, Romero E, Soro M, Cabrera Díaz I, Pérez García A, Valldeperas Ferrer S, Vidal Mitjans P, Agudelo Montoya ME, Becerra Cayetano IA, Delgado Garcia I, Moro Velasco C, Navarro Perez R, Tardaguila Sancho P, India I, Pinol S, Unzueta C, Belmonte Cuenca J, Castro Arranz C, Soler Pedrola M, Valldeperas Hernandez MI, Ayas Montero B, Lluch Oltra A, Perez Caballero P, Calderon A, Callejo A, Casero LM, Gonzalez M, Guerrero Diez M, Jimenez R, Kadaoui SD, Levstek M, Lopez Lopez E, Martin Ayuso M, Novillo M, Perez-Cerda F, Real Navacerrada MI, Vullo PA, Abad Gurumeta A, Baltasar Isabel J, Brogly N, Gilsanz Rodriguez F, Herrera Hueso B, Iannuccelli F, Suarez de la Rica A, Bermudez Lopez M, Jimenez Gomez B, Lopez Rodríguez M, Naveiro Pan A, Pico Veloso J, Ayuso M, Moreno R, de Salut Mar P, Benitez-Cano A, Fernández-Candil J, López E, Moltó L, Santiveri FX, Cervantes O, Martinez E, Moret E, Ródenas F, Ekengren P, Sem V, Smole D, Wikström E, Gillberg L, Granstrom A, Khudhur A, Oldner A, Schening A, Åslin B, Wallden J, Westberg H, Wallberg H, Andersson P, Rundgren M, Walther Sturesson L, Broms J, Divander MB, Ewaldsson C, Joelsson-Alm E, Svensén C, Byttner A, Bergmark K, Gottfridsson P, Molin A, Blokhin I, Jonikaite L, Semenas E, Alkış N, Can ÖS, Güçlü Ç, Meço BC, Turhan SÇ, Karadağ S, Baytaş V, Gunenc F, Hancı V, Kucukguclu S, Kuvaki B, Ozbilgin S, Akgün FN, Şanli Karip C, Turan G, Kabakov B, Bowen L, Frost V, Mac Gregor MG, Smee E, Blethyn K, Harris B, Rogers E, Varsani N, Wade A, Clark S, Knowlden P, Lowicka M, Ryszka M, Hua A, Loganathan V, Mrozek K, Norrie K, Vizcaychipi MP, Haldar J, Jain V, Klucniks A, Allan A, Cope S, Furneval J, Koneti KK, Palugniok R, Chinery E, Morgan M, Zsisku L, Cowton A, Limb J, Rafi A, Ramasamy R, Abigail P, Gallacher S, Hyams B, Minto G, Avvai M, Desai T, Kumar V, Thornley H, Linton F, Moreton S, Pulletz M, Richardson L, Pugh R, Shobha R, Wright S, Achaibar K, Bidd H, Blunt N, Booth J, Chondhury P, Christodoudiles G, Cronin J, Dumitrescu A, Hafisayena A, Leong M, Meier S, Rajput Z, Ramessur S, Taylor E, Trethowan B, Collyer T, Featherstone J, Moull A, Abernethy C, Balaji P, Greenwood A, Henderson K, Husnain A, Hussein A, Martinson V, Pickering D, Ramachandran R, Smith N, Sultanpori A, Debreceni G, Hales D, Hanna-Jumma S, Lau G, Rich N, Bowrey S, Girotra V, Mushambi M, Patil A, Baluch SN, Heaton J, Leonardi S, Rose BO, Christie E, Kelly M, Goel V, Saul D, Sinha A, Chishti A, Scott C, Saunders D, Sinclair R, Allan K, Baker T, Barber K, Dhillon P, Fox B, King S, Oduro-Dominah L, Reavley C, Soto C, Brohi F, Paranthaman P, Siddiqi K, Hunt J, Rousseau G, Skinner A, Stancombe L, Garg S, Barcraft-Barnes H, Camsooksai J, Colvin C, Jenkins S, Patch S, Reschreiter H, Tbaily L, Ritchie K, Nightingale J, Sinha A, Giles J, Harvey O, Nicholas C, Weller D, Hormis A, Boxall L, Curley K, Helliwell L, Ilett K, Kidd L, Nadolski M, Potter A, Telford R, Martin J, Townley S, Doolan J, Michlig S, Murthy BVS, Rushton A, Scanlon D, Gosavi S, Zuleika M, Armstrong E, Holland J, McCourt K, Montgomery C, O'Reilly R, Reid J, Shields M, Delroy-Buelles I, Gaynor J, Schopflin C, Watson D, Chandler B, Harper D, Ellis H, Sanghera S, Frey C, Adam E, Bartlett P, Beauchamp N, Blincoe T, Charnock R, Cox N, Edwards M, Hawkins L, Leggett S, McGill N, Wilson R, Mckee R, Mukhtar K, Bishop L, Gupta P, Ilyas C, Lumb A, Plotnikova O, Rao R, Singh R, Tan HE, Amey I, Baird Y, Carter A, Highgate J, Margalef J, Margarson M, Moore S, Murray H, Standley T, Allcock C, Baron K, Merotra S, Farid N, Sonksen J, Bell S, Blaylock H, Kushakovsky V, Cirstea E, Franke U, Swan L, Davies K, Edwards J, John J, Steen J, Craig J, Willett E, Wood L, Brear T, Downes C, Humphries R, Melbourne S, Rogerson D, Sarno S, Moore F, Muniyappa S, Siddaiah N, Barnett G, Bradley T, de Selincourt G, Melia A, Mercer P, Montgomery J, Awad N, Dedhia J, Joachim S, Razaque U, Hayes C, Passey S, Pramod N, Rajamanickam T, Sebestian S, Singh P, Sundara Rajan R, Williams B, Duncan L, Kent M, Sehgal S, Somanath S, Clayton M, Dabrowska D, Georghiou M, Humphreys S, Kubitzek C, Baird C, Hodgson K, Irwin F, Midgley S, Steel E, Suying O, Davies S, Gibson A, Smith T]] , Post-anaesthesia pulmonary complications after use of muscle relaxants (POPULAR): a multicentre, prospective observational study. LANCET RESP MED 2018;ahead of print [PubMed]
  • Sperna Weiland NH , Hermanides J, van der Ster BJP, Hollmann MW, Preckel B, Stok WJ, van Lieshout JJ, Immink RV, Sevoflurane based anaesthesia does not affect already impaired cerebral autoregulation in patients with type 2 diabetes mellitus. BRIT J ANAESTH 2018;121 (6):1298-1307 [PubMed]
  • Hulst AH, Plummer MP, Hollmann MW, DeVries JH, Preckel B, Deane AM, Hermanides J, Systematic review of incretin therapy during peri-operative and intensive care. CRIT CARE 2018;22 (1):299 [PubMed]
All Publications
Curriculum Vitae

International activities/boards/reviewer
past-editor in Chief, Dutch Journal of Anesthesiology
Reviewer: Anesthesiology, Anesthesia Analgesia, British Journal of Anesthesiology, European Journal of Anesthesiology, Perfusion, British Journal of Pharmacology, Journal of Cardiothoracic Anesthesiology, Dutch Journal of Anesthesiology,
Professional Memberships,
Member IARS (International Anesthesia Reasearch Society)
Member DGAI (German Society of Anesthesia and Intensive Care)
Member ESA (European Society of Anaesthesiology)
Member ASA (American Society of Anesthesiology)
Member NVA (Dutch Society of Anesthesiologists)

 

International Collaborations:
Department of Anesthesiology, University of Kiel, Germany
Department of Anesthesiology, University of San Diego, CA, USA
Department of Anesthesiology, University of Düsseldorf, Germany
Department of Anesthesiology, University of Gent, Belgium
Department of Anesthesiology, University of Brussels, Belgium
Department of Anesthesiology, University of Tampere, Finland

 

Funding
The work is funded by ZonMW, Society of Cardiovascular Anesthesia (SCA), European Society of Anesthesiologists (ESA), European Association of Cardiothoracic Anesthesiologists (EACTA), European Foundation for Study of Diabetes (EFSD), Dutch Society of Anesthesiologists (NVA), Orde of Medical Specialists from The Netherlands (SKMS), Medical Faculty of the Academic Medical Center (AMC), Amsterdam, The Netherlands and Institutional grants.

 

Research programmes

Patient safety, procedural sedation, cardiovascular protection, optimizing perioperative metabolism, cerebral perfusion, Wireless Monitoring

1. Cardioprotection

This is one of the key aspects of research activities at L.E.I.C.A. Cardioprotective actions of anesthetics (e.g. volatile anesthetics, opiates, noble gases) are evaluated under various experimental conditions for their effectiveness and mechanisms of action.


 

1. A. Role for Caveolin- Cytoskeleton and Exosomes in Helium induced Organ Protection?

Helium induces profound protection against ischemia-reperfusion in animals and humans. However, only sparse data are available regarding a possible molecular mechanism of this protection. 
Caveolins, structural scaffolding proteins, allow for organization of signalling molecules in caveolae, membrane invaginations enriched in lipids. Caveolin-3 (Cav-3) is a heart specific isoform that is modulated by volatile anesthetics and is required for cardiac protection. As Caveolins are closely related to the cytoskeleton we aim to investigate the role of these proteins, there binding partners and the cytoskeleton in Helium induced organ protection. (Project led by Dr. N.C. Hauck-Weber)

1. B. Organ protection by helium in human tissue
The capacity to induce preconditioning with helium could be useful for patients subjected to inevitable organ ischemia; e.g. during vascular surgery, organ transplantation, cardiac surgery. Helium organ protection is investigated in clinical settings as well as in studies several studies in volunteers, to translate the findings from the laboratory to the clinical setting.
HUVEC (Human Umbilical Vein Endothelial Cells) are frequently used as an in vitro model for investigations on endothelial cell damage. Vascular endothelial cells form the inner lining of all blood vessels. Programmed cell death of these cells, called apoptosis, plays a major role in the development and progression of common cardiovascular diseases like atherosclerosis and is also involved in tissue damage after myocardial ischemia. We investigate whether preconditioning with helium reduces apoptosis in HUVEC by measuring expression of adhesion molecules and different apoptotic markers in both adherent cells and in microparticles in collaboration with the laboratory of experimental clinical chemistry (LEKC) of the AMC.
Gas embolism, defined as the entry of gas into vascular structures, can occur in many clinical environments as an iatrogenic complication and in diving medicine. In most cases gas embolism is in fact an air embolism, although the medical use of other gases (such as carbon dioxide) can also result in this condition. Air bubbles may reach any organ, but their effect on the cerebral and cardiac circulation is particularly deleterious because these organs are highly vulnerable for hypoxia. Hyperbaric oxygen therapy has been advocated as a therapy for gas embolism, whereby the patient breathes 100% oxygen at a pressure above that of the atmosphere at sea level. Helium might be an alternative to treat or even prevent development of gas embolism. In close cooperation with the Diving Medical Center, Royal Netherlands Navy, we investigate the effects of helium in animal models of cerebral air embolism.

1. C. Remote Ischaemic Pre-Conditioning

Remote ischaemic preconditioning (RIPC) by repeated short periods of limb ischaemia using a tourniquet protects against ischaemia/reperfusion damage after surgery. The serum taken from volunteers and also animals therefore might contain several potentially protective factors, which are investigated in an in vitro model of HUVEC and other cells. Here we also are interested in a possible role for Caveolin. (Co-operation with the University of Kiel, Priv.-Doz. Dr. Martin Albrecht, Professor Dr. Berthold Bein, Project led by Dr. N.C. Hauck-Weber). In clinical studies, we investigate the outcome and molecular basis for Remote Conditioning in humans

 

Patient safety and improvement of quality of perioperative care, including anesthetic care for the diabetic patient, connects to the AMC Amsterdam Public Health Research Institute research objectives. Within this area, simulation research, decision support and safety of sedation practices, as well as postoperative detection of possible complications and remote wireless monitoring are parts of the activities to improve patient care on the OR but also on the ward.

 

2. Optimizing perioperative metabolism as a cardiovascular risk factor
The incidence of diabetes mellitus in the general population is increasing into epidemic proportions and this is reflected in the surgical population. Patients with diabetes mellitus are at risk of postoperative complications; however the evidence for treatment of perioperative diabetes is surprisingly scarce. In this clinical research line we aim to identify risk factors for postoperative complications in patients with diabetes, improve detection of hyperglycaemia with novel monitoring techniques and study perioperative treatment in randomized clinical trials. Another focus is perioperative hyperglycaemia without a pre-existing diagnosis of diabetes mellitus and the diagnosis and impact of diabetes mellitus on perioperative cerebral and cardiac autonomic failure. Investigating the effects of novel anti-diabetics in the perioperative period – like effects of GLP1 inhibitors – will help to understand whether insulin injections (with high risk for subsequent detrimental hypoglycemia) can be minimized in the perioperative period. 
Another important aspect of our research is the protection of the diseased animal by conditioning, e.g. in experimental models of diabetes and hypertension we have investigated the effectiveness of helium induced cardioprotection.


3. Perioperative patient safety
A Patient-Safety Board of Anesthesiology has been instituted to implement tools for improving safety issues during the perioperative process, e.g. effects of Emergency Cards and Cognitive Aids in the OR as well as on the ward, the possibility of nation wide constant drug labeling in anesthesia departments, adequacy of analgesia during surgery, and quality and use of standard operating procedures. 
Fluid management and goal directed therapy in patients subjected to major non-cardiac surgery as well as microcirculation during transthoracic oesophageal cardia resections is studied using sophisticated non-invasive hemodynamic monitoring. In cardiac surgery, accuracy of advanced non-invasive hemodynamic monitoring is determined.

4. Cerebral Perfusion
The main aim of this research line is to unravel the effect of oxygen on brain blood flow regulation. The results have important implications for amongst others the understanding and treatment of acute mountain sickness. For the treatment of patients with compromised cerebral autoregulation (CA) and oxygenation of the brain our studies evaluate (d) the importance of arterial hypertension and/or oxygen administration. Employing Near Infra-Red Spectroscopy (NIRS) to monitor cerebral tissue oxygenation, the role of oxygen in CA during changes in blood pressure or different levels of arterial blood oxygenation will be determined. Using new self-developed analysing techniques, we are able to quantify the ability of the cerebral vasculature to counter-regulate sudden changes in blood pressure, which occur frequently in the perioperative setting. Vasoactive medication, intravenous and volatile anesthetics influence autonomic nervous system activity and thereby result in considerable changes in blood pressure and alteration of the systemic cardiovascular regulation. Sympathetic nerves richly innervate cerebral vessels, but there is controversy about the role of sympathetic nerves in regulation of cerebral blood flow (CBF). Leaving all other regulatory mechanisms of CA unaffected we will create a cerebral sympathetic activity “knock out” model by blocking the superior stellate ganglion (SGB) unilaterally to quantify sympathetic contribution to the regulation of cerebral blood flow (CBF). If the regulation of the cerebral blood flow deteriorates during sympathetic blockade, the brain could be extra vulnerable to a decrease in blood pressure during the use of anesthetics. In addition, we will investigate the influence of changes in cerebral perfusion pressure and cerebral blood flow on CA in patients undergoing cardiac surgery with extracorporeal bypass, with and without pre-existing diseases (such as diabetes, stroke etc.).

5. Decision Support
Clinical guidelines are a commonly used means to translate scientific evidence to good clinical care. They serve many purposes, but are generally agreed on to get the right (state of art) treatment for the right patient, reduce uncontrolled variation and improve clinical care. However, in practice, the implementation of guidelines may be limited by poor adherence. The aim of this project is to investigate which factors that influence non-adherence to guidelines can be addressed by using decision support as an integrated system within the Patient Data Management System.  This system constantly monitors the data in the patient record and provides assistance in recognizing or even predicting potential complications and impending non-adherence and provide decision assistance with as little disruption of clinical care as possible. We proved that these systems can improve guideline adherence and can improve quality of care for a specific guideline and now aim to expand the system and optimize it to be more robust and applicable to other guidelines and situations. Moreover, we will look in to unintended consequences of decision support and reasons for residual non-adherence.

6. Sedation - safety and effectivity
In cooperation of the Departments of Anesthesiology and the Departments of Gastroenterology & Hepatology of the Academic Medical Center, Amsterdam and the University Medical Center Utrecht, this research line focuses on the differences in patient safety and satisfaction, effectivity and experiences by the gastroenterologists when sedation is given by a sedation anesthesia nurse (SAN), experienced in airway management, or a gastroenterologist, who is doing the gastroenterological procedure at the same time. A nationwide safety project evaluated the possible complications in more than 12000 sedated patients.

7. Big data and Patient Monitoring using Novel techniques
The future of science lies in the collaboration between research groups and departments. The Department of Anesthesiology at the AMC is one non-US divisions to join the Multicentre Perioperative Outcomes Group (MPOG) project (Dr. P. Lirk, Drs. F. Kooij), and we have uploaded our first data the „Anesthesia Quality Institute (AQI)“ of the American Society of Anesthesiology (ASA). We are actively contributing towards MPOG research projects, and have submitted our first Research Proposal to the MPOG Research Committee.
In addition, we are exploring the potential clinical benefits of wireless monitoring of surgical (high-risk) patients using a new RFID technology (Sensium®), and have recently been awarded an Innovative Patient Care project grant to investigate how this monitoring might influence the “failure to detect” of the surgical patient, and thereby improve patient outcome.

 

 

Faculty
Prof. dr. B. Preckel MA MD PhD
Prof. dr. C. Boer PhD (VU mc)
S. Eberl MD
Dr. J. Frässdorf MD PhD
Dr. B.F. Geerts PhD
Dr. N.C. Hauck-Weber PhD
Dr. J. Hermanides MD PhD
Dr. H. Hermanns MD
Prof. dr. S.G. de Hert MD
Dr. J. Horn MD PhD
Prof. dr. R.A. van Hulst MD PhD (Royal Netherlands Navy)
Dr. R.V. Immink MD PhD
Dr. P.B. Lirk MSc
Drs. G. van Samkar MD
Prof. W.S. Schlack MD PhD
Dr. M.F. Stevens MD PhD
Dr. D.P. Veelo MD PhD
Prof. dr. J.H. de Vries
Dr. ir. C.J. Zuurbier PhD

Postdocs
Dr. G.T.M.L. Oei BSc MD PhD

PhD Students
Drs. D. Brevoord MD
Drs. G.J. Glas
M. van Haperen
Dr. H. Hermanns MD
Drs. A.H. Hulst MD
Drs. L. Koers
Dr. S. Picardi MD
Drs. L.M. Posthuma MD
Drs. J.L. van Schuppen
M.J. Visscher
M.L. van Zuylen

Others
Prof. B. Bein PhD
Drs. T. van den Berg (Parodontologisch centrum Haarlem)
Prof. F. Bilotta PhD (University Hospital Rome, Italy)
Dr. R.A. Bouwman (Katharina Ziekenhuis Eindhoven)
Dr. M. Gotfried (OLVG Anesthesiologie)
Prof. M. Grünewald PhD (University Hospital Schleswig-Holstein Campus Kiel)
Prof. A.Y. Hankala PhD (University Hospital Tampere, Finland)
Prof. dr. C.J. Kalkman MD (UMCU)
Prof. Z. Molnar PhD (University Hospital Szeged, Hungary)

Dr. ir. C.J. Zuurbier PhD (Cell survival mechanisms in acute and chronic cardiovascular pathology)

Prof. M.J. Schultz MD PhD (Prevention and treatment of organ failure in intensive care medicine)

Dr. J. Horn MD PhD (Neurology on the Intensive Care Unit)

Prof. dr. M.W. Hollmann MD PhD (Organprotection)

Prof. N.P. Juffermans MD PhD (Pathogenesis and treatment of organ failure in the critically ill)

Other research related activities
  • Membership of medical or scientific committee, European Society of Anesthesiologists, Member of Patient Safety and Quality Committee (European Society of Anesthesiologists ESA)
  • Membership of medical or scientific committee, European Society of Anesthesiologists, Council Member for The Netherlands of ESA-Council
  • Membership of editorial board / Editorship, NEDERLANDS TIJDSCHRIFT VOOR ANESTHESIOLOGIE
  • Membership of medical or scientific committee, NVA, National Committee on Procedural Sedation
  • Contribution to training of professionals, University of Amsterdam
  • Contribution to training of professionals, VU University Medical Center
  • Speakers bureau / Lectures, Sensium Healthcare
  • Advisory board, Sensium Healthcare UK
  • Other, LAboratoire Agguettant France
Current research funding
  • ESA-ACS SPRL
  • Novo Nordisk B.V.