EDUCATION

Undergraduate Degree

  • University of Puerto Rico , 1971 , San Juan , Puerto Rico

Medical School

  • University of Puerto Rico School of Medicine , 1975 , San Juan , Puerto Rico

Fellowship

Pediatric Cardiology; Clinical Intracardiac Electrophysiology
  • University of Miami School of Medicine , 1980 , Miami , FL

Residency

Anesthesia
  • The University of Texas Medical Branch , 1993 , Galveston , TX

Fellowship

Pediatric Anesthesia
  • Boston Children's Hospital , 1995 , Boston , MassachusettsMA

CERTIFICATIONS

  • American Board of Anesthesiology, Pediatric Anesthesiology
  • American Board of Pediatrics, Pediatric Cardiology

PUBLICATIONS

Publications powered by Harvard Catalyst Profiles

  1. Pulmonary hypertension manifesting as atrial arrhythmia in an anesthetized child; Diagnosis using focused cardiac ultrasound. Paediatr Anaesth. 2019 08; 29(8):884-885. View abstract
  2. Pausing With the Gauze: Inhibition of Temporary Pacemakers by Radiofrequency Scan During Cardiac Surgery. Anesth Analg. 2016 11; 123(5):1143-1148. View abstract
  3. Institutional Policy Changes to Prevent Cardiac Toxicity Associated With Bupivacaine Penile Blockade in Infants. A A Case Rep. 2016 Aug 01; 7(3):71-5. View abstract
  4. Anesthetic management of noncardiac surgery for patients with single ventricle physiology. J Anesth. 2011 Apr; 25(2):247-56. View abstract
  5. The needle and the damage done: pericardial effusion with tamponade after needle ingestion in an infant. J Laryngol Otol. 2009 Dec; 123(12):1396-8. View abstract
  6. Management of difficult airway in pediatric patients with right ventricular outflow tract obstruction. J Anesth. 2009; 23(2):281-3. View abstract
  7. Management of difficult airway in pediatric patients with right ventricular outflow tract obstruction. J Anesth. 2009; 23:281-283. View abstract
  8. The needle and the damage done: pericardial effusion with tamponade after needle ingestion in an infant. J Laryngol Otol. 2009; 123(12):1396-8. View abstract
  9. Anesthesia for Heart and Lung Transplantation. Essentials of Cardiac Anesthesia, Kaplan, Reich, Lake, Konstadt, eds. 2008; in press. View abstract
  10. The cone procedure for severe Ebstein's anomaly in an infant: periopertative management. Anesthesiology. 2008; 109:A169. View abstract
  11. Intraoperative alertness of a rise in serum potassium by double counting of the heart rate during blood transfusion in an infant. Pediatr Anesth. 2008; 18:798-9. View abstract
  12. Anesthesia for heart, lung, and heart-lung transplantation. Essentails of Cardiac Anesthesia, Joel A. Kaplan, Editor. 2008; 463-491. View abstract
  13. Migration of an ingested foreign body to the mediastinum complicated by a pericardial effusion. Anesthesiology. 2008; 109:A168. View abstract
  14. Cardiac arrest after neuromuscular blockade reversal in a heart transplant infant. Anesthesiology. 2007 Oct; 107(4):663-5. View abstract
  15. The frequency of anesthesia-related cardiac arrests in patients with congenital heart disease undergoing cardiac surgery. Anesth Analg. 2007 Aug; 105(2):335-43. View abstract
  16. Induction of supraventricular tachycardia during transesophageal echocardiography: an unusual complication. J Cardiothorac Vasc Anesth. 2008 Aug; 22(4):592-3. View abstract
  17. Perioperative myocardial ischemia in pediatric cardiac patients undergoing non-cardiac surgery. Anesthesiology. 2007; 107:A220. View abstract
  18. Management of right ventricular outflow tract reactivity following pulmonary valve dilatation under general anesthesia: experience of a medical mission. Paediatr Anaesth. 2006 Oct; 16(10):1087-9. View abstract
  19. Use of nitric oxide for treatment of pulmonary hypertensive crisis in a child after protamine administration. J Cardiothorac Vasc Anesth. 2006 Oct; 20(5):719-21. View abstract
  20. Use of dexmedetomidine in children after cardiac and thoracic surgery. Pediatr Crit Care Med. 2006 Mar; 7(2):126-31. View abstract
  21. Anesthesia for Heart, Lung and Heart-lung Transplantation. Kaplan's Cardiac Anesthesia. Kaplan, Reich, Lake, Konstadt, eds. 2006; 845-65. View abstract
  22. Problems in Pediatric Anesthesia. Anesth Analg. 2005; 100:1550. View abstract
  23. Use of nitric oxide for treatment of pulmonary hypertensive crisis in a child after protamine administration. Anesthesiology. 2004; A1461. View abstract
  24. Use of dexmedetomidine after congenital cardiac surgery. Cardiology in the Young 2004. 2004; 14 (Suppl 2):Abstract P 105. View abstract
  25. Closed correction of systemic semilunar valve insufficiency in the neonate. J Thorac Cardiovasc Surg. 2003 Nov; 126(5):1650-2. View abstract
  26. Stress response in infants undergoing cardiac surgery: a randomized study of fentanyl bolus, fentanyl infusion, and fentanyl-midazolam infusion. Anesth Analg. 2001 Apr; 92(4):882-90. View abstract
  27. Intraoperative recurrent laryngeal nerve monitoring during video-assisted throracoscopic surgery for patent ductus arteriosus. J Cardiothorac Vasc Anesth. 2000 Oct; 14(5):562-4. View abstract
  28. Parameters associated with perioperative baffle fenestration closure in the Fontan operation. J Cardiothorac Vasc Anesth. 2000 Oct; 14(5):553-6. View abstract
  29. Use of plastic-coated stylets for endotracheal intubation. J Pediatr. 2000 May; 136(5):705. View abstract
  30. Attempted placement of a thoracic epidural catheter via the caudal route in a newborn. Anesthesiology. 1999 Dec; 91(6):1965-6. View abstract
  31. Cardiovascular evaluation in thoracopagus twins. Circulation. 1999 Jul 06; 100(1):103. View abstract
  32. Electrocardiographic inscription of diaphragmatic contractions during anaesthesia. Paediatr Anaesth. 1999; 9(2):175-6. View abstract
  33. A randomized study of fentanyl bolus, fentanyl infusion and fentanyl-midazolam infusion for infant cardiac surgery- clinical outcome. Anesthesiology. 1999; 91(3A):A1285. View abstract
  34. Stress response in infants undergoing cardiac surgery: A randomized study of fentanyl bolus, fentanyl infusion and fentanyl-medazolam infusion. Anesthesiology. 1999; 91(3A):A1284. View abstract
  35. Rick for cerebral emboli and ECG changes following minimal access surgery for closure of atrial septal defect in children. Acta Anesth Scand. 1999; 43 (Suppl 114):105. View abstract
  36. Factors associated with baffle fenestration closure in Fontan operation. Circulation. 1998; 98 (Suppl I):339. View abstract
  37. Perioperative white matter degeneration and death in a patient with a defect in mitochondrial oxidative phosphorylation. Anesthesiology. 1997 Aug; 87(2):420-5. View abstract
  38. Acute intraoperative endotracheal tube obstruction associated with a heat and moisture exchanger in an infant. Anesth Analg. 1997 Apr; 84(4):939-40. View abstract
  39. Electrocardiographic demonstration of dual atrioventricular nodal pathways in children. P R Health Sci J. 1991 Dec; 10(3):143-4. View abstract
  40. Induction of wide QRS tachycardia during transthoracic echocardiography. J Am Soc Echocardiogr. 1991 Nov-Dec; 4(6):623-4. View abstract
  41. Mitral valve prolapse in juvenile thyrotoxicosis. P R Health Sci J. 1991 Aug; 10(2):71-3. View abstract
  42. Echocardiographic assessment of the right atrioventricular junction in Ebstein's malformation. P R Health Sci J. 1990 Dec; 9(3):231-3. View abstract
  43. Late arrhythmias and outcome in patients after the Mustard operation for transportation of the great arteries: Update of 1981 pediatric electrophysiology group collaborative study . Circulation. 1990; 82 (Suppl III):223. View abstract
  44. Cor triatriatum sinister: echocardiographic assessment. P R Health Sci J. 1989 Aug; 8(2):263-4. View abstract
  45. Ventricular septal defect closure in infancy: results from a smaller tertiary referral center. Clinical Research. 1989; 37:43A. View abstract
  46. Effective use of urokinase for central venous catheter thrombosis in premature infants. Guided by Dopplar ultrasound. Clinical Research. 1989; 37:65A. View abstract
  47. Successful urokinase therapy for superior vena cava syndrome in a premature infant. Am J Dis Child. 1988 Dec; 142(12):1267-8. View abstract
  48. Echo Doppler detection of external compression of the vertical vein causing obstruction in total anomalous pulmonary venous connection. Am Heart J. 1988 Oct; 116(4):1045-7. View abstract
  49. Atrial septal aneurysm herniation across the mitral valve orifice in pulmonary atresia. Am Heart J. 1988 May; 115(5):1136-8. View abstract
  50. Ectopic automatic atrial tachycardia in children: clinical characteristics, management and follow-up. J Am Coll Cardiol. 1988 Feb; 11(2):379-85. View abstract
  51. Atrial septal aneurysms and tachycardia in fetuses and newborn infants. Clinical Research. 1988; 36:49A. View abstract
  52. Evaluating Pediatric Arrhythmias. Family Practice Recertification. 1988; 10:25-53. View abstract
  53. Hypoplasia of the left coronary artery complicated by reversible myocardial ischemia in a newborn. Am Heart J. 1987 Nov; 114(5):1238-41. View abstract
  54. The interpretation and medical management of complex arrhythmias in the newborn infant. P R Health Sci J. 1987 Aug; 6(2):73-9. View abstract
  55. Pulmonary atresia with intact ventricular septum. J Am Coll Cardiol. 1987 Aug; 10(2):477-8. View abstract
  56. Gift to a litigious society. Pediatrics. 1987 Jul; 80(1):127. View abstract
  57. Acquired pulmonary atresia following placement of modified Blalock-Taussig shunt in tetralogy of Fallot. Int J Cardiol. 1987 May; 15(2):244-7. View abstract
  58. Atrial septal aneurysms in infants and children. Am Heart J. 1987 May; 113(5):1149-53. View abstract
  59. False division of the left atrium by a redundant, mobile flap valve of the foramen ovale: echocardiographic and anatomic assessment in a neonate with critical pulmonic stenosis. Am Heart J. 1987 Apr; 113(4):1032-5. View abstract
  60. Hypoplasia of the left coronary artery complicated by reversible myocardial ischemia in a newborn: differentiation from other coronary artery anomalies. Clinical Research. 1987; 35:50A. View abstract
  61. Tuberous sclerosis and Wolff-Parkinson-White syndrome. J Pediatr. 1986 Aug; 109(2):399-400. View abstract
  62. Left ventricular bands (false tendons): echocardiographic and angiocardiographic delineation in children. Am Heart J. 1986 Feb; 111(2):321-4. View abstract
  63. Anomalous origin and malposition of the pulmonary arteries (crisscross pulmonary arteries) associated with complex congenital heart disease. Pediatr Cardiol. 1986; 6(5):287-91. View abstract
  64. Effects of right and left atrial stimulation on atrioventricular conduction in children. Pediatr Cardiol. 1986; 6(5):245-8. View abstract
  65. Cardiomyopathy associated with severe thermal burns in children and adolescents. Clinical Research. 1986; 34:234A. View abstract
  66. Fast-slow atrioventicular nodal tachycardia in children. Pediatric Research. 1986. View abstract
  67. Propranolol serum pharmacokinetics in infants under one year of age: inadequate assessment without tracer isotope methodology or prolonged terminal elimination phase sampling. Pediatric Research. 1986. View abstract
  68. Pericarditis due to drug allergy. Clinical Research. 1986; 34:234A. View abstract
  69. Atrial septal aneurysms in infants. Clinical Research. 1986; 34:234A. View abstract
  70. Vagatonia as a cause of syncope. J Pediatr. 1986; 109:399-400. View abstract
  71. Pulmonary and subclavian steal following Blalock-Taussig shunt. Am Heart J. 1985 Dec; 110(6):1313-4. View abstract
  72. Successful management of atrial flutter in a newborn with verapamil. Clin Cardiol. 1985 Nov; 8(11):597-8. View abstract
  73. Aneurysm of the interatrial septum. J Am Coll Cardiol. 1985 Oct; 6(4):956. View abstract
  74. Nonsustained atrial flutter in a child without congenital heart disease. Clin Cardiol. 1985 Oct; 8(10):545-6. View abstract
  75. Is there a thyrotoxic cardiomyopathy in children? J Pediatr. 1985 Oct; 107(4):531-6. View abstract
  76. Vagotonia in infants, children, adolescents and young adults. Int J Cardiol. 1985 Oct; 9(2):211-24. View abstract
  77. Aberrant systemic artery-pulmonary vein fistula: detection of an occult lesion by contrast echocardiography. Am Heart J. 1985 Aug; 110(2):480-2. View abstract
  78. Absent right atrioventricular connexion with the left atrium connected to the morphologically right ventricle, a right-sided rudimentary left ventricle, and right juxtaposition of the atrial appendages: documentation by angiography and cross-sectional echocardiography. Int J Cardiol. 1985 Jan; 7(1):21-8. View abstract
  79. Left ventricular false tendons (bands): echocardiographic and angiocardiographic delineation. Pediatric Research. 1985; 19:125A. View abstract
  80. Functional thyrotoxic cardiomyopathy in children. Pediatric Research. 1985; 19:125A. View abstract
  81. Hemoptysis following Mustard repair: a late complication. Clin Cardiol. 1984 Dec; 7(12):673-7. View abstract
  82. Calcification of the ascending aorta and aortic and mitral valves in Gaucher's disease. Am J Cardiol. 1984 Dec 01; 54(10):1390-1. View abstract
  83. Diastolic atrial compression in a premature infant. J Am Coll Cardiol. 1984 Nov; 4(5):1069-71. View abstract
  84. Cardiac rhythm after the Mustard operation for complete transposition of the great arteries. N Engl J Med. 1984 Jun 21; 310(25):1635-8. View abstract
  85. Cardiac complications in juvenile hyperthyroidism. Am J Dis Child. 1984 May; 138(5):479-82. View abstract
  86. Induction of nonsustained atrial flutter by programmed atrial stimulation in children: incidence, mechanisms, and clinical implications. Am Heart J. 1984 Mar; 107(3):444-8. View abstract
  87. Electrophysiological evaluation in patients with coarctation of the aorta. Pediatric Research. 1984; 4:120A. View abstract
  88. His-Purkinje electrophysiological characteristics in children with heart defects. Pediatric Research. 1984; 18(4):120A. View abstract
  89. Bilateral ocular compression during EKG monitoring: A prospective study to evaluate vagal tone in children. Pediatric Research. 1984; 18(4):120A. View abstract
  90. Echocardiographic and angiocardiographic demonstration of redundant mitral valve tissue in Teschler/Nicola-Kilian syndrome. Clinical Research. 1984; 32:885A. View abstract
  91. Hemodynamic and cardiovascular effect of halothane and isoflurane anesthesia in children. Pediatr Cardiol. 1984; 5:263. View abstract
  92. Responses of hyperthyroid children to exercise. Pediatric Research. 1984; 4:120A. View abstract
  93. Electrophysiological studies before and after cardia angiography in children: A comparative evaluation. Clinical Research. 1984; 32:378. View abstract
  94. Vasovagal syncope in children requiring pacemaker implantation. Am Heart J. 1983 Dec; 106(6):1406-11. View abstract
  95. Multiple atrioventricular nodal pathways--a new electrophysiological phenomenon in children. J Electrocardiol. 1983 Oct; 16(4):331-7. View abstract
  96. Prolongation of Q-T interval and increased amplitude of the T wave after termination of ventricular tachycardia. Am J Cardiol. 1983 May 01; 51(8):1467. View abstract
  97. Subclavian-artery-to-innominate-vein fistula presenting with congestive failure in a newborn infant. Pediatr Cardiol. 1983 Apr-Jun; 4(2):155-7. View abstract
  98. True congenital aneurysm of the septum primum not associated with obstructive right- or left-sided lesions: identified by two-dimensional echocardiography and angiography in a newborn. Pediatr Cardiol. 1983 Apr-Jun; 4(2):159-62. View abstract
  99. Delineation of tunnel-like-ventricular septal defects in young children by axial cineangiography. Eur J Pediatr. 1983 Mar; 140(1):13-6. View abstract
  100. Hemodynamics and intracardiac conduction after operative repair of tetralogy of Fallot. Am J Cardiol. 1983 Feb; 51(3):552-6. View abstract
  101. Massive dilatation of the atria and coronary sinus in a child with restrictive cardiomyopathy and persistence of the left superior vena cava. Cathet Cardiovasc Diagn. 1983; 9(1):47-53. View abstract
  102. Determination of His-Purkinje electrophysiological characteristics in children with heart defects. Clinical Research. 1983; 31(5):890A. View abstract
  103. Captropril for management of paradoxical hypertension after coarctation repair. Pediatric Research. 1983; 17(4):110A. View abstract
  104. Right ventricular apical activation time in children, reference standard for clinical use. Cardiology Digest. 1983; 6:13. View abstract
  105. Natural history of supraventricular rhythms in 192 children following the Mustard operation: a collaborative multi-center study. J Am Coll Cardiol. 1983; 1(62):613. View abstract
  106. Cardiac complications of juvenile hyperthyroidism relationship with duration and treatment. Pediatric Research. 1983; 17(4):159A. View abstract
  107. Atrial flutter in the young: a collaborative study of 380 cases. Pediatric Cardiol. 1983; 4:305-17. View abstract
  108. Left ventricular function and reserve in childhood Grave's disease. Clinical Research. 1983; 31(5):893A. View abstract
  109. Assessment of vagal tone in children by bilateral ocular compression during EKG monitoring: A prospective evaluation. Clinical Research. 1983; 31(5):890A. View abstract
  110. Enhanced detection of cardiac disease in mucopolysaccharidosis by combined M-mode and two-dimensional echocardiographic examination. Clinical Research. 1983; 31(5):891A. View abstract
  111. Supraventricular Tachycardia in Children. Roberts N. Gelband H, eds. <i>Cardiac Arrhythmias in the Neonate, Infant and Child.</i>. New York: Appleton-Century-Crofts. 1983; 105-46. View abstract
  112. Procainamide elimination kinetics in pediatric patients. Clin Pharmacol Ther. 1982 Nov; 32(5):607-11. View abstract
  113. Effective use of captopril in postoperative paradoxical hypertension of coarctation of the aorta. Clin Cardiol. 1982 Oct; 5(10):551-3. View abstract
  114. Capsular stroke in congenital complete heart block. Eur J Pediatr. 1982 Sep; 139(1):71-2. View abstract
  115. Echocardiography and congenital arteriovenous malformations. Am J Cardiol. 1982 Apr 01; 49(5):1375. View abstract
  116. Bacterial endocarditis and renal failure in a 10-year-old boy. Pediatr Cardiol. 1982; 2(3):259-62. View abstract
  117. Decorticate posture following 'cardiac cocktail': a transient complication of sedation for catheterization. Pediatr Cardiol. 1982; 2(3):251-3. View abstract
  118. Sinus and atrioventricular nodal function: Preoperative and early postoperative assessment in children. J Thorac Cardiovasc Surg. 1982 Jan; 83(1):141-8. View abstract
  119. Right ventricular apical activation time in children. Reference standards for clinical use. Pediatr Cardiol. 1982; 2(1):47-9. View abstract
  120. Atrial flutter inducec by programmed stimulation in dysrhythmia- free children: incidence, mechanism and significance. Circulation. 1982; 66:170. View abstract
  121. Effects of right and left atrial stimulation on atrial refractory periods and atrioventricular node conduction. Pediatr Cardiol. 1982; 3(4):352-3. View abstract
  122. Effects of right and left atrial stimulation on atrial refractory periods and A-V nodal conduction. Pediatric Research. 1982; 16(4):97A. View abstract
  123. Verapamil for PSVT in patients with WPW. J Pediatr. 1981 Sep; 99(3):502-3. View abstract
  124. Determinants of ventricular refractory periods in children with congenital heart disease: effects of cycle length and age. Am Heart J. 1981 Jul; 102(1):75-9. View abstract
  125. His-Purkinje responses and refractory periods during atrial extrastimulation in children with heart defects. Circulation. 1981 Jun; 63(6):1383-90. View abstract
  126. Echocardiographic assessment of right bundle branch injury after repair of tetralogy of Fallot. Circulation. 1981 Jan; 63(1):174-80. View abstract
  127. Comparison of right and left atrial refractory periods in dysrhythmia-free children. Clinical Research. 1981; 29(5):875A. View abstract
  128. Multiple atrioventicular nodal pathways: a new electrophysiological phenomenon in children. Am J Cardiol. 1981; 47:440. View abstract
  129. Dual atrioventricular nodal pathways: a benign finding in arrhythmia-free children with heart disease. Am J Cardiol. 1980 Dec 01; 46(6):1013-8. View abstract
  130. Prostaglandin E1 in the neonate with heart disease. Adv Prostaglandin Thromboxane Res. 1980; 7:879-81. View abstract
  131. Changes in cycle length, conduction times and refractory periods induced by sedation with meperidine, promethazine and chlorpromazine. Dev Pharmacol Ther. 1980; 1:339-51. View abstract
  132. Intracardiac conduction and hemodynamis studies in children with arrhythmias after surgery for tetralogy of Fallot. Clinical Research. 1980; 28(5):850A. View abstract
  133. Ventricular refractory periods in pre and postoperative cardiac patients. Pediatric Research. 1980; 14(4):137. View abstract
  134. Dual atrioventicular nodal pathway conduction- a common electrophysiological phenomenon in children without arrhythmias. Am J Cardiol. 1980; 45:430. View abstract
  135. Changes in the atrial component of atrioventricular conduction induced by sedation with meperidine, promethazine, and chlorpromazine. Clinical Research. 1980; 28(5):850A. View abstract
  136. Dilatation of the descending aorta: a radiologic and echocardiographic diagnostic sign in arteriovenous malformations in neonates and young infants. Am J Cardiol. 1979 Sep; 44(3):493-7. View abstract
  137. Changes in cycle length, conduction times, and refractor periods induced by sedation with meperidine, promethazine and chlorpromazine. Am J Cardiol. 1979; 43:425. View abstract
  138. Dual atrioventicular nodal pathways in children without arrhythmias. Clinical Research. 1979; 27(5):769. View abstract