Endoscopic & Advanced Endoscopic Anesthesiology

Montefiore Einstein Endoscopic & Advanced Endoscopic Anesthesiology specializes in providing state-of-the-art personalized perioperative and periprocedural care for patients undergoing a wide range of diagnostic and therapeutic gastrointestinal (GI) and advanced pulmonary endoscopic procedures and endoscopic bariatric surgeries. Our expert team of anesthesiologists and certified registered nurse anesthetists (CRNAs) collaborate closely with thoracic and general surgeons, interventional pulmonologists, gastroenterologists, hepatologists, oncologists and other specialists offering comprehensive care throughout the preoperative, intraoperative, and postoperative periods. Our anesthesia providers are specially trained in managing patients with complex conditions and comorbidities undergoing complex procedures, ensuring the highest levels of safety and comfort at every stage of the process. Using the latest technologies and anesthesia techniques, we are dedicated to delivering the highest quality care tailored to each patient’s unique needs. For patients with cancer, we work as a team with our Comprehensive Cancer Center, which is among the elite 1% of NCI-designated comprehensive cancer centers in the U.S. Montefiore Einstein is ranked in the top 1% of all hospitals in the nation for pulmonology, lung surgery and cancer care and among the highest performing hospitals in the nation for gastroenterology and GI surgery according to U.S. News & World Report.

We offer access to the most advanced anesthesiology techniques and technologies to help improve patient safety and provide the highest quality of care for our patients. Our team offers the full range of anesthetic services for endoscopic and bronchoscopic procedures, from minimal to deep sedation under monitored anesthesia care (MAC) to general anesthesia.

We provide the latest evidence-based and personalized care for patients to ensure safe, effective, and compassionate care for our patients undergoing a variety of procedures including the following:

• Endoscopic ultrasound-guided gastrointestinal biopsies
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Endoscopic gastrointestinal stenting
• Endoscopic bronchial biopsies
• Endobronchial ultrasound (EBUS) bronchoscopies
• Endobronchial stenting
• Endoscopic cryotherapy
• Screening and therapeutic gastrointestinal endoscopies

Our Digital Health Laboratory conducts extensive research on respiratory failure, with evidence-based practice critical to improving patient outcomes. As a result, our physician-scientists developed an automated prediction tool using machine learning to determine which patients undergoing a broad spectrum of procedures ranging from endoscopy under deep sedation to heart transplantation under general anesthesia are at the highest risk of postoperative respiratory failure, integrating both clinical and scientific insights.

Researchers in our Digital Health Lab have also conducted observational studies showing that having an anesthesia provider administer sedation for patients undergoing procedures in non-operating room settings improves patient outcomes. We completed the first retrospective cohort study analyzing the impact of anesthesiologist-led sedation on patients undergoing interventional radiology and endoscopic procedures. The study, which included data from more than 22,800 patients at Montefiore Einstein, found that those who received sedation performed by an anesthesiologist had a 44% lower risk of non-home discharge.

As part of an international group of expert anesthesiologists and gastroenterologists, we also recently helped establish consensus guidelines for the perioperative management of patients undergoing endoscopic retrograde cholangiopancreatography.