Clinical Focus

  • Pediatric Anesthesia

Academic Appointments

Professional Education

  • Board Certification: American Board of Anesthesiology, Anesthesia (2024)
  • Fellowship: Stanford University Pediatric Anesthesia Fellowship (2024) CA
  • Residency: Stanford University Anesthesiology Residency (2023) CA
  • Internship: Kaiser Permanente Oakland Internal Medicine Residency (2020) CA
  • Medical Education: University of California at San Francisco School of Medicine (2019) CA

Contact

  • Academic
    smithdw@stanford.edu
    University - Academic staff Department: Anesthesia - Anesthesia Group B Position: Clinical Instructor
  • Clinical (Primary)  Anesthesia 300 Pasteur Dr Rm H3580 MC 5640 Stanford, CA 94305 (650) 725-8544 (fax)

Additional Clinical Info

Additional Info

  • Mail Code: CLINICAL INSTRUCTOR

All Publications

  • Local Anesthetic Systemic Toxicity in Cardiac Surgery Patient with Erector Spinae Plane Catheter: A Case Report. A&A practice Smith, D., Tsui, B. C., Khoo, C. 2024; 18 (4): e01771

    Abstract

    Regional anesthesia nerve blocks are increasingly used for patients undergoing cardiac surgery as part of multimodal pain management. Though rare, local anesthetic systemic toxicity (LAST) is a severe complication that requires vigilant monitoring. We present a case of a postcardiac surgery patient who developed LAST multiple days after surgery from lidocaine via an erector spinae plane catheter. This episode was determined to be a result of impaired lidocaine metabolism from liver shock caused by worsening pulmonary hypertension. Even under continuous monitoring, patients with cardiac or liver dysfunction are at increased risk of complications from local anesthetics.

    View details for DOI 10.1213/XAA.0000000000001771

    View details for PubMedID 38578011