Overview

My primary research interest is safety in anesthesia delivery. This has a very wide scope but my most recent projects focus this interest. A growing area of anesthesia practise is care of children during diagnostic procedures. These procedures may be painful or only require the child to be still. Investigating the safe administration of propofol, a primary anesthetic agent, will provide guidelines for other acute care physicians to use it in their practise.

My other project is the first examination of how well we prepare our families to care for children at home after surgery. We are starting by designing a questionnaire for evaluation. This will hopefully follow with appropriate interventions to increase safe transition of care.

Publications

Unifying Children's Surgery and Anesthesia Stakeholders Across Institutions and Clinical Disciplines: Challenges and Solutions from Uganda.
World journal of surgery
Kisa P and Grabski DF and Ozgediz D and Ajiko M and Aspide R and Baird R and Barker G and Birabwa-Male D and Blair G and Cameron B and Cheung M and Cigliano B and Cunningham D and Villalona G
DOI: 10.1007/s00268-018-04905-9
PubMed: 30617561
06/2019

Dexmedetomidine for co-analgesia in chemotherapy-induced severe enterocolitis
Pediatric Anesthesia
Pamela Winton and Emma Whyte and Eleanor J. Reimer and Jeff Davis and Simon Whyte
DOI: 10.1111/j.1460-9592.2011.03575.x
07/2011

The effectiveness of standard pediatric daycare surgery discharge communication: A quality improvement gap analysis
Journal of Communication in Healthcare
Jeremy P Daniels and Eleanor J Reimer and Beth Elston and Ellen Balka and Joanne Lim and Elaine S Chow and J Mark Ansermino
DOI: 10.1179/1753807611y.0000000009
2011

Slower administration of propofol preserves adequate respiration in children
Pediatric Anesthesia
MARYAM DOSANI and JON McCORMACK and ELEANOR REIMER and ROLLIN BRANT and GUY DUMONT and JOANNE LIM and J. MARK ANSERMINO
DOI: 10.1111/j.1460-9592.2010.03398.x
09/2010

Supervising fellows and residents in pediatric anesthesia
Canadian Journal of Anesthesia/Journal canadien d'anesthésie
Christine A. Vandebeek and Robert F. Seal and Ramona Kearney and Eleanor Reimer and Dilsheesh Purewal and J. Mark Ansermino
DOI: 10.1007/bf03016540
05/2005

Book reviews
Canadian Journal of Anesthesia/Journal canadien d'anesthésie
Eleanor Reimer and Ramona A. Kearney
DOI: 10.1007/bf03018988
05/2000

Decreased Mivacurium Requirements and Delayed Neuromuscular Recovery During Sevoflurane Anesthesia in Children and Adults
Anesthesia & Analgesia
Joan C. Bevan and Eleanor J. Reimer and Michael F. Smith and Louis deV. Scheepers and Hilary S. Bridge and Glen R. Martin and David R. Bevan
DOI: 10.1213/00000539-199810000-00006
10/1998

REDUCTION OF MIVACURIUM REQUIREMENTS BY SEVOFLURANE IN ADULTS AND CHILDREN
Anesthesia & Analgesia
JC Bevan and &NA; Bevan and EJ Reimer and MF Smith and LdeV Scheepers and HS Bridge and GR Martin
DOI: 10.1097/00000539-199802001-00427
02/1998

The effectiveness of clonidine as an analgesic in paediatric adenotonsillectomy
Canadian Journal of Anaesthesia
Eleanor J. Reimer and Gillian S. Dunn and Carolyne J. Montgomery and Peter M. Sanderson and Louis D. Scheepers and Pamela M. Merrick
DOI: 10.1007/bf03012457
1998

Dose Responses for Neostigmine and Edrophonium as Antagonists of Mivacurium in Adults and Children
Anesthesiology
Joan C. Bevan and Claude Tousignant and Catherine Stephenson and Lee Blackman and Eleanor Reimer and Michael F. Smith and David R. Bevan
DOI: 10.1097/00000542-199602000-00013
02/1996

Residual Block after Mivacurium with or without Edrophonium Reversal in Adults and Children
Anesthesiology
David R. Bevan and Raymond Kahwaji and John M. Ansermino and Eleanor Reimer and Michael F. Smith and Gerard A. R. O'Connor and Joan C. Bevan
DOI: 10.1097/00000542-199602000-00014
02/1996

Recovery and Reversal of Mivacurium Neuromuscular Blockade with Neostigmine and Edrophonium in Paediatric Patients
Muscle Relaxants
Joan C. Bevan and Catherine Stephenson and Michael F. Smith and Eleanor J. Reimer and Lee Blackman and David R. Bevan
DOI: 10.1007/978-4-431-66896-1_59
1995

Reversal of doxacurium and pancuronium neuromuscular blockade with neostigmine in children
Canadian Journal of Anaesthesia
Joan C. Bevan and Jonathan P. Purday and Eleanor J. Reimer and David R. Bevan
DOI: 10.1007/bf03015657
11/1994

Propofol anaesthesia reduces early post-operative emesis after paediatric strabismus surgery
Canadian Journal of Anaesthesia
Eleanor J. Reimer and Carolyne J. Montgomery and Joan C. Bevan and Pamela M. Merrick and Derek Blackstock and Vladan Popovic
DOI: 10.1007/bf03010094
10/1993

Low-Dose Bupivacaine Does Not Improve Postoperative Epidural Fentanyl Analgesia in Orthopedic Patients
Anesthesia & Analgesia
Neal H. Badner and Eleanor J. Reimer and Wendy E. Komar and Carol A. Moote
DOI: 10.1213/00000539-199103000-00010
03/1991

Research

Propofol Sedation
Children are increasingly given sedation to facilitate non-painful or minimally invasive diagnostic and therapeutic procedures. Oral sedation results in high failure and complication rates. The intravenous anesthetic agent propofol, which has rapidly titratable and predictable sedative characteristics, has gained popularity for sedation procedures in a number of settings. Over 80% of these sedations are performed by non-anesthesiologists. The risks of complications during sedation exceed those experienced during general anesthesia, with a twelvefold increased risk of mortality when sedation is administered outside the operating room.

While propofol has many advantages, rapid administration of a loading dose causes significant respiratory depression by impairment of the chemoreceptor response to carbon dioxide (CO2). Respiratory depression may lead to hypoxemia and the need to provide manual positive pressure ventilation. However, if propofol is administered less rapidly, spontaneous ventilation is maintained as the accumulation of CO2 in the blood from ongoing metabolic processes continues to stimulate the chemoreceptors despite their impaired sensitivity.

We aim to identify a clinical dosing schedule for the administration of propofol in children that will ensure rapid onset of sedation while maintaining spontaneous ventilation.

Information Transfer between Parent and Healthcare Providers
The period following discharge from hospital is a vulnerable time for patients. Discharge is a period of transition from hospital to home that involves the transfer in responsibility from inpatient provider to the patient, parent and primary care physician. Self-care or parental-care responsibilities also increase in number and importance, presenting new challenges for patients and their families.

Under these circumstances, ineffective planning and coordination of care can facilitate adverse events. Deficits in information transfer between parents and health care providers are common and potentially dangerous. Poor communication and inadequate transfer of clinical information can lead to adverse events in the period immediately following discharge from hospital.

With this research study we aim to determine if the current practices of information transfer between parents and health care providers is adequate or if parents lack the knowledge to avoid potential adverse events once their child is discharged from hospital.