Adjoa Boateng is a physician, writer, purveyor of the arts and humanitarian. She completed her undergraduate degree and anesthesiology training at Yale, then undertaking a critical care fellowship at Stanford. Prior to her role as an anesthesiologist and critical care physician, Adjoa completed work in several facets of addiction medicine performing clinical research at the Mount Sinai Hospital in New York City, undertaking projects focusing on Hepatitis C in injection drug users, during her MPH degree she analyzed programs in Philadelphia which trained heroin users to inject Naloxone to mitigate overdose, and in medical school was selected among many to complete a prestigious training course at the renowned Betty Ford Center in Rancho Mirage, California, always seeking to assist the forgotten; those at the margins of society. Adjoa marries this to her current areas of interest, which include the intersection of medicine, the arts and the disadvantaged. She currently is investigating racial and ethnic disparities in critical care medicine.
Clinical Assistant Professor, Anesthesiology, Perioperative and Pain Medicine
Honors & Awards
Tae Hee Oh Award for Excellence in Anesthesiology, Yale New Haven Hospital (2019)
Young Alumna Award, Kent Place School (2019)
FAER Resident Scholar, ASA (American Society of Anesthesiology) Annual Meeting (2018)
Fellowship, Stanford University School of Medicine, Critical Care
Residency, Yale New- Haven Hospital, Anesthesiology
BA, Yale University, History of Science, History of Medicine
- Elisabeth Kubler-Ross as Astrophysicist: Emotional Intelligence and Resilience Unlock the Black Hole of Physician Burnout, Moral Distress, and Compassion Fatigue. The American journal of bioethics : AJOB 2019; 19 (12): 54–57
Post-operative Weaning of Opioids After Ambulatory Surgery: the Importance of Physician Stewardship
CURRENT PAIN AND HEADACHE REPORTS
2018; 22 (6): 40
We performed a systematic review to elucidate the current guidelines on weaning patients from opioids in the post-operative ambulatory surgery setting, and how pain management intraoperatively can impact this process.The review highlights the most up-to-date research from clinical trials, patient reports, and retrospective studies regarding both the current guidelines and weaning of opioid analgesia in ambulatory surgery setting.A striking paucity of convincing evidence exists on ambulatory postoperative pain management discontinuation or weaning of pain medications. However, retrospective and patient-reported studies suggest our approach should be similar to acute pain management strategies. The first steps include identifying high-risk patients and devising an appropriate pain plan. This may be accomplished by implementing multimodal analgesia, anticipating opioid needs, and the proper use of regional anesthesia. The increasing roles for Transitional Pain Service (TPS), Perioperative Surgical Home (PSH), and Enhanced Recovery After Surgery (ERAS) may also guide us in this process. Patients discharged from same-day surgery may lack the additional infrastructure of a hospital or medical establishment to monitor postoperative recovery. As such, weaning of pain medications in ambulatory surgery settings requires teams that are adept at treating varied patient populations through a tailored, novel means that invoke multimodal analgesia. Given the growth of surgeries moving toward the ambulatory sector, more data and practice guidelines are needed to direct postoperative pain regimen titration for the patients.
View details for DOI 10.1007/s11916-018-0694-4
View details for Web of Science ID 000432933700002
View details for PubMedID 29725865
Procedural sedation in the ICU and emergency department
CURRENT OPINION IN ANESTHESIOLOGY
2017; 30 (4): 507–12
Procedures are increasingly being performed in the acute care setting, outside of the operating rooms (OR). This article aims to review the current literature on out-of-OR procedural sedation with a focus on the ICU and emergency department, highlighting the following topics: multidisciplinary team approach, choice of pharmacologic agent, sedation scales, current safety guidelines, anticipating complications, appropriate monitoring and necessary resources.Subjective assessment of sedation using sedation scales is controversial. Addition of ketamine and dexmedetomidine to propofol for sedation improves patient and proceduralist satisfaction. The short-acting benzodiazepine remimazolam shows promise in initial phase 2 trials. Use of capnography for monitoring during sedation is being challenged by new literature from the emergency department setting. Hypoxia is the most common adverse event with procedural sedation, and the risk of pulmonary aspiration is low.Multimodal/synergistic sedation under a multidisciplinary team provides the best patient satisfaction. Collection and analysis of physiological data and outcomes of patients undergoing procedural sedation is necessary to maintain compliance with regulatory bodies. There is a paucity of comprehensive guidelines for conducting research in procedural sedation; therefore, it is being currently addressed by the Sedation Consortium.
View details for DOI 10.1097/ACO.0000000000000487
View details for Web of Science ID 000404959900010
View details for PubMedID 28562388