Kiley is a fifth-year medical student completing her MD with a concentration in medical education. Her major clinical interests lie in adult and pediatric anesthesia, and the use of virtual reality and other immersive technologies for perioperative anxiolysis and medical education. Her primary academic interests include medical education and mentorship, medical Spanish, improving cross-cultural communication in the hospital setting, and global health.
Honors & Awards
Borenstein Medical Scholarship Awardee, Alan & Ruth Borenstein Medical Scholarship Fund (2019)
Gold Humanism Honor Society Inductee, Arnold P. Gold Foundation (2018)
Mary Duke Biddle Clinical Scholar in Global Health, Mary Duke Biddle Foundation (2017)
Klingenstein Fellow in Child Psychiatry, Stanford University School of Medicine (2016-2017)
Anesthesia Interest Group, President, 2019-2020
WAM: Women and Medicine, President, 2016-2017
Education & Certifications
Bachelor of Arts, Scripps College, Biophysics (2014)
Regional anesthesia for cardiac surgery.
Current opinion in anaesthesiology
PURPOSE OF REVIEW: Anesthesia for cardiac surgery has traditionally utilized high-dose opioids to blunt the sympathetic response to surgery. However, recent data suggest that opioids prolong postoperative intubation, leading to increased morbidity. Given the increased risk of opioid dependency after in-hospital exposure to opioids, coupled with an increase in morbidity, regional techniques offer an adjunct for perioperative analgesia. The aim of this review is to describe conventional and emerging regional techniques for cardiac surgery.RECENT FINDINGS: Well-studied techniques such as thoracic epidurals and paravertebral blocks are relatively low risk despite lack of widespread adoption. Benefits include reduced opioid exposure after paravertebral blocks and reduced risk of perioperative myocardial infarction after epidurals. To further lower the risk of epidural hematoma and pneumothorax, new regional techniques have been studied, including parasternal, pectoral, and erector spinae plane blocks. Because these are superficial compared with paravertebral and epidural blocks, they may have even lower risks of hematoma formation, whereas patients are anticoagulated on cardiopulmonary bypass. Efficacy data have been promising, although large and generalizable studies are lacking.SUMMARY: New regional techniques for cardiac surgery may be potent perioperative analgesic adjuncts, but well-designed studies are needed to quantify the effectiveness and safety of these blocks.
View details for DOI 10.1097/ACO.0000000000000769
View details for PubMedID 31356362
Alterations in Spanish Language Interpretation During Pediatric Critical Care Family Meetings
CRITICAL CARE MEDICINE
2017; 45 (11): 1915–21
To characterize alterations in Spanish language medical interpretation during pediatric critical care family meetings.Descriptive, observational study using verbatim transcripts of nine PICU family meetings conducted with in-person, hospital-employed interpreters.A single, university-based, tertiary children's hospital.Medical staff, family members, ancillary staff, and interpreters.None.Interpreted speech was compared with original clinician or family speech using the qualitative research methods of directed content analysis and thematic analysis. Alterations occurred in 56% of interpreted utterances and included additions, omissions, substitutions, editorializations, answering for the patient/clinician, confessions, and patient advocacy. Longer utterances were associated with more alterations.To minimize interpreter alterations during family meetings, physicians should speak in short utterances (fewer than 20 words) and ask interpreters to interrupt in order to facilitate accurate interpretation. Because alterations occur, physicians may also regularly attempt to assess the family's understanding.
View details for PubMedID 28777199