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Randolph H. Steadman, MD, MS

Chair, Department of Anesthesiology & Critical Care
Houston Methodist


Biography

Randy Steadman, MD, MS, joined Houston Methodist as the Chair of Anesthesiology in March 2020. Prior to joining us, he served in the Department of Anesthesiology and Perioperative Medicine at UCLA Health since 1994, most recently as Professor and Vice Chair for Education. His clinical work is directed toward the perioperative care of patients undergoing liver and abdominal organ transplantation. He served as the UCLA chief of service for liver transplantation from 1999 to 2018, and nationally with several organizations including as counselor for the International Liver Transplant Society, as chair of the ASA Committee for Transplant Anesthesia, and as a member of the UNOS Membership and Professional Standards Committee. He is the founding director of the UCLA Simulation Center, which has served undergraduate and graduate medical trainees and the continuing professional development community since 1996. He is a diplomate of the American Board of Internal Medicine and the American Board of Anesthesiology.

Description of Research

Dr. Steadman's publications focus on simulation-based training and assessment, transplantation and liver disease. His most recent research activities address transplant anesthesia, simulation for practice improvement, and the development of screen-based games for medical training. 

Publications

Key performance gaps of practicing anesthesiologists: How they contribute to hazards in anesthesiology and proposals for addressing them
Banerjee, A, Burden, A, Slagle, JM, Gaba, DM, Boulet, JR, Torsher, L, Demaria, S, Levine, AI, Steadman, RH, Sinz, EH, Park, C, McIvor, WR, Shotwell, MS, Cooper, J, Weinger, MB & Rask, JP 2020, International Anesthesiology Clinics, vol. 58, no. 1, pp. 13-20. https://doi.org/10.1097/AIA.0000000000000262

Intraoperative hypertension and thrombocytopenia associated with intracranial hemorrhage after liver transplantation
Gao, W, Li, J, Nguyen-Buckley, C, Nguyen-Lee, J, Wray, C, Agopian, V, Busuttil, RW, Steadman, RH & Xia, VW 2020, Transplantation, pp. 535-541. https://doi.org/10.1097/TP.0000000000002899

Guidelines for the management of adult acute and acute-on-chronic liver failure in the ICU: Cardiovascular, endocrine, hematologic, pulmonary, and renal considerations
RNanchal, A, Subramanian, R, Karvellas, CJ, Hollenberg, SM, Peppard, WJ, Singbartl, K, Truwit, J, Al-Khafaji, AH, Killian, AJ, Alquraini, M, Alshammari, K, Alshamsi, F, Belley-Cote, E, Cartin-Ceba, R, Dionne, JC, Galusca, DM, Huang, DT, Hyzy, RC, Junek, M, Kandiah, P, Kumar, G, Morgan, RL, Morris, PE, Olson, JC, Sieracki, R, Steadman, R, Taylor, B & Alhazzani, W 2020, , Critical Care Medicine, vol. 48, no. 3, pp. E173-E191. https://doi.org/10.1097/CCM.0000000000004192

Guidelines for the management of adult acute and acute-on-chronic liver failure in the ICU: Cardiovascular, endocrine, hematologic, pulmonary and renal considerations: Executive summary
Nanchal, R, Subramanian, R, Karvellas, CJ, Hollenberg, SM, Peppard, WJ, Singbartl, K, Truwit, J, Al-Khafaji, AH, Killian, AJ, Alquraini, M, Alshammari, K, Alshamsi, F, Belley-Cote, E, Cartin-Ceba, R, Dionne, JC, Galusca, DM, Huang, DT, Hyzy, RC, Junek, M, Kandiah, P, Kumar, G, Morgan, RL, Morris, PE, Olson, JC, Sieracki, R, Steadman, R, Taylor, B & Alhazzani, W 2020, , Critical Care Medicine, pp. 415-419. https://doi.org/10.1097/CCM.0000000000004193

Extracorporeal liver support in patients with liver failure: a systematic review and meta-analysis of randomized trials
The GUIDE Group 2020, , Intensive Care Medicine, vol. 46, no. 1. https://doi.org/10.1007/s00134-019-05783-y

Preoperative beta blockade and severe intraoperative bradycardia in liver transplantation
Fu, H, Sun, K, Li, J, Gong, W, Agopian, V, Yan, M, Busuttil, RW, Steadman, RH & Xia, VW 2018, Clinical Transplantation, vol. 32, no. 12, e13422. https://doi.org/10.1111/ctr.13422

Improving the Prediction of Mortality in the High Model for End-Stage Liver Disease Score Liver Transplant Recipient: A Role for the Left Atrial Volume Index
Ershoff, BD, Gordin, JS, Vorobiof, G, Elashoff, D, Steadman, RH, Scovotti, JC & Wray, CL 2018, Transplantation Proceedings, vol. 50, no. 5, pp. 1407-1412. https://doi.org/10.1016/j.transproceed.2018.03.017

Liver transplantation for the patient with high MELD
Wang, C & Steadman, RH 2018, . in Liver Anesthesiology and Critical Care Medicine: Second Edition. Springer International Publishing, pp. 247-256. https://doi.org/10.1007/978-3-319-64298-7_20

Potentially inappropriate liver transplantation in the era of the “sickest first” policy – A search for the upper limits
Linecker, M, Krones, T, Berg, T, Niemann, CU, Steadman, RH, Dutkowski, P, Clavien, PA, Busuttil, RW, Truog, RD & Petrowsky, H 2018, , Journal of Hepatology, vol. 68, no. 4, pp. 798-813. https://doi.org/10.1016/j.jhep.2017.11.008

Anesthetic and perioperative considerations in liver disease (Non-transplant)
Steadman, RH & Sullivan, C 2018, . in Hepatic Critical Care. Springer International Publishing, pp. 255-267. https://doi.org/10.1007/978-3-319-66432-3_19

Perioperative Considerations in Liver Transplantation
Barjaktarevic, I, Cortes Lopez, R, Steadman, RH, Wray, C, Qadir, N, Chang, SY & Wang, T 2018, , Seminars in Respiratory and Critical Care Medicine, vol. 39, no. 5, pp. 609-624. https://doi.org/10.1055/s-0038-1675333

Liver and gastrointestinal physiology
Steadman, RH, Braunfeld, M & Park, H 2018, . in Pharmacology and Physiology for Anesthesia: Foundations and Clinical Application. Elsevier, pp. 630-644. https://doi.org/10.1016/B978-0-323-48110-6.00031-4

Venovenous Bypass Is Associated with a Lower Incidence of Acute Kidney Injury after Liver Transplantation in Patients with Compromised Pretransplant Renal Function
Sun, K, Hong, F, Wang, Y, Agopian, VG, Yan, M, Busuttil, RW, Steadman, RH & Xia, VW 2017, Anesthesia and Analgesia, vol. 125, no. 5, pp. 1463-1470. https://doi.org/10.1213/ANE.0000000000002311

Liver Transplantation in a Patient With Antiphospholipid Syndrome: A Case Report
Steckelberg, RC, Antongiorgi, ZD & Steadman, RH 2017, A & A case reports, vol. 9, no. 5, pp. 148-150. https://doi.org/10.1213/XAA.0000000000000551

Simulation-based Assessment of the Management of Critical Events by Board-certified Anesthesiologists
Weinger, MB, Banerjee, A, Burden, AR, Mcivor, WR, Boulet, J, Cooper, JB, Steadman, R, Shotwell, MS, Slagle, JM, DeMaria, S, Torsher, L, Sinz, E, Levine, AI, Rask, J, Davis, F, Park, C & Gaba, DM 2017, , Anesthesiology, vol. 127, no. 3, pp. 475-489. https://doi.org/10.1097/ALN.0000000000001739

Frequency and type of situational awareness errors contributing to death and brain damage: A closed claims analysis
Schulz, CM, Burden, A, Posner, KL, Mincer, SL, Steadman, R, Wagner, KJ & Domino, KB 2017, , Anesthesiology, vol. 127, no. 2, pp. 326-337. https://doi.org/10.1097/ALN.0000000000001661

Anesthesia for surgical procedures in cirrhotic patients other than liver transplantation: Management, concerns, and pitfalls
Steadman, RH & Nguyen-Lee, JW 2017, . in Surgical Procedures on the Cirrhotic Patient. Springer International Publishing, pp. 57-69. https://doi.org/10.1007/978-3-319-52396-5_5

A Taxonomy of Delivery and Documentation Deviations during Delivery of High-Fidelity Simulations
McIvor, WR, Banerjee, A, Boulet, JR, Bekhuis, T, Tseytlin, E, Torsher, L, Demaria, S, Rask, JP, Shotwell, MS, Burden, A, Cooper, JB, Gaba, DM, Levine, A, Park, C, Sinz, E, Steadman, RH & Weinger, MB 2017, Simulation in Healthcare, vol. 12, no. 1, pp. 1-8. https://doi.org/10.1097/SIH.0000000000000184

Cardiovascular Assessment of the Liver Transplantation Candidate
Steadman, RH & Wray, CL 2017, International Anesthesiology Clinics, vol. 55, no. 2, pp. 42-66. https://doi.org/10.1097/AIA.0000000000000143

A summary of the 6th international conference on coagulation in liver disease: Discussion, debate, deliberations
The Coagulation in Liver Disease 2015 Group 2017, , Annals of Hepatology, vol. 16, no. 1, pp. 12-15. https://doi.org/10.5604/16652681.1226811