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CURICULUM VITAE BIOGRAPHICAL NAME: Paul Martin Kempen DATE: Sept.

19, 1954 SPOUSE: Agina Marie Kempen, CRNA HOME ADDRESS: Michigan HOME PHONE: 340 Countryside Dr. Broadview Heights, Ohio 41447 440 457 2132 CITIZENSHIP: USA BIRTH

BIRTH PLACE

Grand Rapids,

EMAIL: kempenp@ccf.org kmpnpm@yahoo.com

EDUCATION AND TRAINING UNDERGRADUATE: 1972-1976 GRADUATE: 1975-1981 1989 Albert-Ludwig-Universitaet Freiburg, W. Germany M.D. University of Michigan Ann Arbor, Michigan B.S. Biology

Albert-Ludwigs-Universitaet Ph. D. Freiburg, West Germany "Study of transorally placed gastric and esophageal defibrillation electrodes in a canine model." (in German) In West Germany:

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POSTGRADUATE: 1/82-2/82 Benedikt Kreutz REHA Zentrum Fuer Herz Und Kreislaufkranke Bad Kroezingen, W. Germany St. Elizabethen Krankenhaus Rodalben, W. Germany Kreiskrankenhaus Department of Cardiology Residency Department of Surgery Residency Department of Anesthesia/

4/82-10/82 10/82-5/84 CCM

Bad Saeckingen, W. Germany Residency In the USA: 6/84-6/85 S.W. Michigan Area Pediatrics and Internal Health Education Center Medicine Kalamazoo, Michigan Internship 7/85-6/87 Anesthesia University of Michigan Ann Arbor, Michigan Department of Residency

APPOINTMENTS AND POSITIONS ACADEMIC: 1987-1990 Professor University of Pittsburgh School of Medicine Pittsburgh, PA 15261 International Resuscitation Research Institute 5252 Forbes Ave. Pittsburgh, PA 15213 1994-1996 Louisiana State University Medical Center and School of Medicine, King's HWY Anesthesia Shreveport, LA 71106 University of Pittsburgh School of Medicine Pittsburgh, PA 15261 Research Associate Instructor/Assistant

Associate Professor Director of Obstetric

1998-June 2008

Associate Professor

NON-ACADEMIC: 1987-1990 Magee Womans Hospital Anesthesiologist Halket and Forbes Ave Pittsburgh, PA 1990-1992 Anesthesia Bixby Medical Center 818 Riverside Ave. Adrian, Michigan 49221 Staff

Chief of

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1992-1994

Riverside Hospital 1600 N. Superior Ave. Toledo, Ohio 43640

Chief of Anesthesia

1996-1998 Comanche County Memorial Hospital Anesthesiologist 3401 West Gore Ave Lawton, OK 73505 Aug 2008-present Cleveland Clinic Department of General Anesthesia

Staff

Staff Physician

CERTIFICATION AND LICENSURE SPECIALTY CERTIFICATION: American Board of Anesthesiology, Part I 1987 American Board of Anesthesiology, Part II 1989 ABA Maintenance of Certification in Anesthesiology recertification in CURRENT MEDICAL OR OTHER PROFESSIONAL LICENSURE: State of Ohio (medical) Fed. Drug Enforcement Agency #35-06-2707 1991 #BK4674568 1984

July 2005

MEMBERSHIPS IN PROFESSIONAL AND SCIENTIFIC SOCIETIES: American Society of Anesthesiology American Medical Association American Society of Regional Anesthesia International Anesthesia Research Society Society Obstetric Anesthesia and Perinatology American Society of Regional Anesthesia Society for Ambulatory Anesthesia Patents: US Patent #5,435,448, Intravenous workstation as a medical tool organizing device. July 25, 1995 US Patent #36,206,858 B1, Blunt tip cannula with access pin. March 27, 2001 European Patent # 1007114 Blunt tip cannula with access pin. May 2005 1985 1996 1996 1996 1989 1996 1995

PUBLICATIONS Kempen PK: Current Reviews in Anesthesiology Moya Series, Nov 2010: Anesthesia for Electroconvulsive therapy

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Kempen PK: Current Reviews in Anesthesiology Moya Series, Nov 2011: Review of cardiac stents and anesthetic impliations REFERRED ARTICLES: Kempen PM, Sulkowski E, Sawyer RA:Glass ampules and associated Hazards. Crit Care Med 1989;17:812-813 Kempen PM: Full Body Forced Air Warming: Commercial Blanket VS Air Delivery Beneath Bed Sheets. Can J Anesthesia. 1996;43:1168-74. Kempen PM, Mocek CK:Bevel direction,dura geometry and hole size in membrane puncture. Regional Anesthesia 1997;22(3):267-72. Kempen PM:Assessing blunt cannulae as replacements for hypodermic needles during intravenous therapy:Safety and utility. Inf Control Hosp Epidemiology 1997;18:169-174 Kempen PM, Norton, P, Vu H: A risk index for pregnancy testing during anesthesia. J Clin Anesth 1997; 9:194-199 . Kempen PM:Preoperative Pregnancy testing: A survey of current practice. J Clin Anesthesia 1997; 9:546-550. Kempen, PM:Complete analgesia during Pleurodesis under Thoracic Epidural anesthesia. The American Surgeon, 1998;64:755-757 Kempen PM: Ambient hyperillumination masquerading as Laryngoscope Bulb failure and causing difficult intubation. Am J Anesthesiol. 1999;26:(4) 179-180 Kempen PM, Allgood R: Right ventricular rupture during closed chest cardiopulmonary resuscitation after pneumonectomy and pericardiotomy: A case report. Critical Care Medicine 1999;27:1378-1379. Kempen PM:Extubation in adult patients: Who, What, When, Where, How and Why? Journal of Clinical Anesthesia 1999;11:441-44. Kempen PM, John O'Donnell, Robert Lawler, Venkat Mantha: Acute respiratory insufficiency during interscalene plexus block-Case report. Anesthesia and Analgesia 2000;90:1415-6. Kempen PM, Hudson ME, Planinsic RM: The Rapid infusion system: User error in tubing connection mimicking severe hemorrhage. Anesthesiology 2000;93:278-9 Ee. P and Kempen PM:Elective surgery immediately after MI: Clinical & ethical. Case report. Journal of Clinical Anesthesia. Journal of Clinical Anesthesia Volume 18, Issue 5 , August 2006, Pages 363-366 Kempen PM: Lethal Injection, Anesthesia, Medicine and Organ Donation Ethical and Clinical Considerations Regarding the Pending Supreme Court Case: Baze vs Rees. The Open Anesthesiology Journal, 2008, 2, 7-12. http://www.bentham.org/open/toatj/openaccess2.htm

Kempen PM: Maintenance of Certification (MOC), and Now Maintenance of Licensure (MOL): Wrong Methodologies to Improve Medical Care. Journal of American Revised 4/17/2012 4

Physicians and Surgeons Volume 17 Number 1 Spring 2012 p12-14. http://www.jpands.org/vol17no1/kempen.pdf

Kempen PM: Why Do Patients Select and Stay with Their Doctor? Implications Regarding Board Certification and Maintenance of Certification and of Licensure (MOC/MOL). Journal of American Physicians and Surgeons Volume 17 Number 2 Summer 2012 P 53-56.
http://www.jpands.org/vol17no2/kempen.pdf

Kempen PM: Maintenance of Certification (MOC), Maintenance of Licensure (MOL), and Continuing Medical Education (CME): The Regulatory Capture of Medicine.
Journal of American Physicians and Surgeons Volume 17 Number 3 Fall 2012 P 72-75. http://www.jpands.org/vol17no3/kempen.pdf

Kempen PM: Successful Opposition to Maintenance of Licensure: the Ohio Experience as an Educational Template. Journal of American Physicians and Surgeons Volume 17 Number 4 Winter 2012 103-106. http://www.jpands.org/vol17no4/kempen.pdf PRESENTATIONS: Kempen PM:Midwest Resident's Anesthesiology Conference at the Mayo Clinic entitled:Danger: 20% Lidocaine overdose, March 23, 1986 Kempen PM: Anesthesia and Life Support Advisory Committee Meeting of the Food and Drug Administration on Dec 1, 1986, At the National Institute of Health, Bethesda, Maryland, concerning the dangers of 20% Lidocaine in syringes. Kempen PM:17th Obstetric Anesthesia Conference, Ohio State University, Waikiki, Hawaii. "Hemodilution and regional Blockade for Cesarean Section" February, 1989 Kempen PM:17th Obstetric Anesthesia Conference, Ohio State University, Waikiki, Hawaii. "Epidural Barbotage-a new sign for Extravascular Catheter Placement" February, 1989 Department of Anesthesiology, University of Pittsburgh, School of Medicine, Grand Rounds Lecture, Hygiene in the Operating Room, May 4, 1989 Kempen PM, Sawyer RA:Glass ampule contamination. Society for Obstetric anesthesia and Perinatology, Seattle, WA, May 24-27, 1989. Kempen PM:Hemodilution, regional block and cesarean section.Society for Obstetric anesthesia and Perinatology, Seattle, WA, May 24-27, 1989. Kempen PM, Learned DW:Hygenic practices in anesthesia. Society for Obstetric anesthesia and Perinatology, Seattle, WA, May 24-27, 1989. Kempen PM:Epidural Barbotage in obstetric patients. Society for Obstetric anesthesia and Perinatology, Seattle, WA, May 24-27, 1989.

Kempen PM, Learned DW. Anesthesia practice - a vector of infection? Anesthesiology 1989; 71(Suppl): A948.
Kempen PM:American Society of Critical Care Anesthesiologists, "Defibrillation with Gastric and Esophageal electrodes" Annual Meeting, Oct 13, 1989, New Orleans, LA

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Kempen PM:American Society of Critical Care Anesthesiologists, "Glass Ampule Contamination" Annual Meeting, Oct 13, 1989, New Orleans, LA Kempen PM, Treiber H:Neuraxial morphine plus intravenous PCA-an new method in postcesarean analgesia. International Anesthesia Research Society 64th Congress, Honolulu, Hawaii, march 9-13, 1990, Kempen PM, Treiber H: Contamination of drugs in ampules-container as culprit. International Anesthesia Research Society 64th Congress, Honolulu, Hawaii, march 9-13, 1990 Kempen PM:Teaching hygenic practices or practicing hygiene as teaching? International Anesthesia Research Society 64th Congress, Honolulu, Hawaii, march 9-13, 1990 Kempen PM:Hemodilution, regional block and cesarean section. International Anesthesia Research Society 64th Congress, Honolulu, Hawaii, march 9-13, 1990 Kempen PM, Hritz J, Treiber H:Epidural barbotage in parturients- a clinical sign of extravascular placement. American Society of Regional Anesthesia, Orlando FL, 1990. Kempen PM:Needleless vs Needlesafe IV injections. SAMBA, Chicago, 1994; Midwest Anesthesia Conference, Chicago, Ill May, 1995 Rohira SK, Kempen PM:Does heating efficacy of forced air blankets increase when covered with cotton blankets? Midwest Anesthesia Conference May, 1995 in Chicago. Vu H, Kempen PM:Safe and effective forced air warming using bedsheets.Midwest Anesthesia Conference May, 1995 in Chicago. Kempen PM:Full body forced air warming using bedsheets. Presented @ Midwest Anesthesia Conference May, 1995 in Chicago and @ the ASA 1995 in Atlanta GA. Mocek CK, Kempen PM: Bevel Direction, Dura Geometry and Hole Size in Membrane Puncture. Presented @ ASRA in San Diego, 1996. Kempen, PM:Complete Analgesia during Pleurodesis under Thoracic Epidural Anesthesia. Midwest Surgical Association Meeting, Huron, Ohio, August 10-13, 1997 Kempen, PM: Renal transplant patient and alzemtumab. ASA PBLD Oct 2003, San Francisco. Kempen, PM:Ichemic changes on preoperative EKG: Cadaveric renal transplant and perioperative beta blockade. The anesthesiologist as patient advocate: Ethical and contemporary clinical decisions and dilemmas. ASA PBLD, Oct 2004, Las Vegas Ee, P, Kempen PM: Peri-anesthetic myocardial infarction (MI), cardiac evaluation, and elective lumbar spine surgery under perioperative beta-blockade on the 4th day post-MI: A Case Report and Discussion. 8th America-Japan Anesthesia Congress. March 10-11, 2005 at the Hilton Hawaiian Village in Honolulu, Hawaii Ee, P, Kempen PM: Peri-anesthetic myocardial infarction (MI), cardiac evaluation, and elective lumbar spine surgery under perioperative beta-blockade on the 4th day post-MI: A Case Report and Discussion. IARS 79th Clinical and Scientific Congress March 11-15, 2005 at the Hilton Hawaiian Village in Honolulu, Hawaii.

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Kempen PM: PBLD-Patient with cardiac compromise, advanced lung cancer and Left parietal lobe brain mass presenting for neurosurgical resection: The Anesthesiologist as ethical consultant and patient advocate. American Society of Anesthesiologists annual meeting in Atlanta, October, 2005 Kempen PM: PBLD-49 year old woman with a history of depression, HTN, NIDDM and airway limitations, and pheochromocytoma presenting for laparoscopic resection, possible open procedure, of a right suprarenal mass measuring 7 cm in diameter. . American Society of Anesthesiologists annual meeting in Atlanta, October, 2005 Kempen PM: PBLD-70 Y/O with SAH and L carotid artery aneurysm, for endovascular coiling with balloon occlusion testing in interventional radiology, Xenon CT scan and subsequent MRI- Anesthesia. American Society of Anesthesiologists annual meeting in Atlanta, October, 2005 Kempen PM: Medically challenging Cases-Poster presentation: Patient for AV fistula placement, with crescendo angina, known severe Aortic stenosis and severe coronary artery disease, not requiring dialysis. Clinical Ethical Dilemmas. American Society of Anesthesiologists annual meeting in Atlanta, October, 2005 Ee, P, Kempen PM: Medically challenging Cases-Poster presentation: Perianesthetic myocardial infarction (MI), cardiac evaluation, and elective lumbar spine surgery under perioperative beta-blockade on the 4th day post-MI: A Case Report and Discussion. American Society of Anesthesiologists annual meeting in Atlanta, October, 2005 http://www.anes.upmc.edu/Archive/News/2005/03/media/Ee.pdf Polce D, Kempen PM: Medically challenging Cases-Poster presentation: Laparoscopic resection of a Suprarenal Pheochromocytoma complicated by difficult intubation and Anti-depressant Therapy : Case report and Anesthetic Considerations. American Society of Anesthesiologists annual meeting in Atlanta, October, 2005 Del Rio J, Beaman S and Kempen PM: Poster MC 126;Immediately preoperative Amaurosis Fugax with residual vision loss in a patient presenting for AV graft thrombectomy: History of HIT, atrial fibrillation and known left atrial mass. American Society of Anesthesiologists annual 2006 meeting in Chicago. Del Rio J, Stemland C, Kempen PM: Poster MC 207: 49 Y/O Patient with UHLs anomaly and multiple medical problems for laparoscopic vs open cholecystectomy in preparation for cardiac transplantation and reallocation to prospective Heart/liver recipient. American Society of Anesthesiologists annual 2006 meeting in Chicago. Montoya M, Fallin H, Abdulwahab M, Kempen PM: Poster MC 214: Asymptomatic patient for elective parthyriodectomy, 5 weeks post drug eluting Stent placement: Review of 2006 ACC/AHA/SCAI-Stent and beta-blocker guidelines and impact on management to prevent restenosis and thrombosis with individual stent types. American Society of Anesthesiologists annual 2006 meeting in Chicago. Wood R, Henker R, Kempen PM: Poster MC 197: 85 Y/O with multiple medical problems scheduled for laparoscopic repair of giant paraesophageal hernia: medical and ethical dilemma. American Society of Anesthesiologists annual 2006 meeting in Chicago. Beaman S, Davis D, Yazigi N, Kempen PM: Poster MC 88:Medically challenging Deaf Parturient.

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Kempen PM: PBLD:Patient for non-cardiac Surgery (I+D of LVAD Trans cutaneous port infection and possible omentum flap graft), with implanted AICD and Pacemaker. American Society of Anesthesiologists annual 2006 meeting in Chicago. Kempen PM: PBLD: 47 Y/O female with positive SPECT scan, dynamic LV outflow obstruction (SAM), Juvinile onset IDDM, POVD,ESRD, severe hyponatremia, anemia and hypokalemia for AKA-what now? American Society of Anesthesiologists annual 2006 meeting in Chicago. Erik Cooper, Kempen PM: Stenting and Surgery. Poster MCC#31, American Society of Anesthesiologists annual 2007 meeting in San Francisco. Meng L, Sullivan E, Esper S, Kempen PM: Intraoperative Acute Pulmonary Edema in a 22 Y/O Female with a large esophageal Liomatoma. Poster MCC#47, American Society of Anesthesiologists annual 2007 meeting in San Francisco. McAffee R, Brandom B, Kempen PM: Making the acute diagnosis of malignant hyperthermia in a pediatric patient and the definitive diagnosis of MH in both patient and family: Clinical dilemmas in the real world. . Poster MCC#170, American Society of Anesthesiologists annual 2007 meeting in San Francisco. Grami V, Woelfel S, Kempen PM, Sakai T: Preterm polyhydramniotic developing progressive abdominal distention, hypotension, metabolic acidosis, respiratory distress, presenting for fluid resuscitation and laparotomy. Poster MCC#298, American Society of Anesthesiologists annual 2007 meeting in San Francisco. Kempen PM: Twenty-four Y/O cadaveric donor for multi-organ transplant recovery: Prolonged intra-donation resuscitation requirements due to in-situ split-liver resection/bleeding-significant anesthetic/ donor-protocol implications and management. Poster MCC#333, American Society of Anesthesiologists annual 2007 meeting in San Francisco. Kempen PM, Esper S: Acute pain management in a 20 year-old patient with sickle cell crisis and pregnancy complicated by ARDS/Acute chest syndrome, HELLP, myocardial infarction, stroke and renal failure. Poster MCC#333, American Society of Anesthesiologists annual 2007 meeting in San Francisco. Devin P. McCullough, D.O., Paul Kempen, M.D., Ph.D: Unusual Cause of Unanticipated Difficult Airway: Formed Clots on Dual Catheters in the Pharynx. Poster MCC#472, American Society of Anesthesiologists annual 2009 meeting in New Orleans Amanda M. Russell, M.D., Paul Kempen, M.D.: Off Site Anesthetic in a Patient With Respiratory Compromise from near Exsanguinating Pulmonary Hemorrhage from Cavitary Lesions Causing Recent Acute MI and Pulmonary Hemosiderosis, Requiring RSI and Lung Separation in the Setting of Anemia and Possible TB. Poster MCC# 480, American Society of Anesthesiologists annual 2009 meeting in New Orleans Paul Kempen, M.D., Ph.D., Tamer R. Ghaly, M.D.: Anesthetic Management of a Patient With Hallermann-Streiff Syndrome Undergoing a Recto-Vaginal Fistula Repair. Poster MCC# 197, American Society of Anesthesiologists annual 2009 meeting in New Orleans Abdul Kanul, Paul Kempen, M.D., Ph.D: The Anesthetic Management of an 89 Female Presenting for Elective Fem-Pop Revascularization. . Poster MCC# 443 American Society of Anesthesiologists annual 2010 meeting in San Diego

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Devin McCullough, Paul Kempen, M.D., Ph.D: The Simple Case for Colono/Cystoscopy To Evaluate Colovesical Fistula with Triple Low on Induction. Poster MCC# 742 American Society of Anesthesiologists annual 2010 meeting in San Diego Sonia Saini,MD, Paul Kempen, M.D., Ph.D: Robotic Assisted Laparoscopic Radical Prostatectomy with Intraoperative STEMI-Anesthetic Challenges and Considerations. Poster MCC# 1029 American Society of Anesthesiologists annual 2010 meeting in San Diego Faruque T, Kempen PM:The medical and ethical dilemmas in treating a deeply obtunded, hypokalemic hospice/ICU patient post bilateral radical neck dissection and radiation, with neck fixed in flexion and full code status in need of an emergent airway. MCC02 #95 American Society of Anesthesiologists annual 2011 meeting in Chicago Tankha P, Kempen PM: Outpatient anesthesia for full dental extraction by Dentist in LVAD/AICD/PACER for definitive therapy African American male with no palpable pulses. MCC02 #746 American Society of Anesthesiologists annual 2011 meeting in Chicago Kempen PM: What to do about MOC and MOL. Association of American Physicians and Surgeons Spring Meeting, Trenton, NJ, 2012. http://www.youtube.com/watch? v=WRS15Dmsk7E Michael T. Tran, D.O., Paul Kempen, M.D., Intra-Cardiac Mass Presenting as ST Elevation MI. MC284 American Society of Anesthesiologists annual 2012 meeting in Washington DC. Tania Faruque, M.D., M.S., Paul Kempen, M.D., Anesthesia Consultation for Non-Heart Beating Organ Donation: Timing, Documentation, and Anesthetic Pitfalls MC54 American Society of Anesthesiologists annual 2012 meeting in Washington DC Dost M. Khan, M.D., Paul Kempen, M.D., Use of Bronchial Blocker in the Prone Position During CT Guided Abscess Drainage. MC539 American Society of Anesthesiologists annual 2012 meeting in Washington DC Bahram Namdari, David Jury, M.D., Paul Kempen, M.D., 70 YearOld Female With Prior Nasopharyngeal Carcinoma Now for Urgent/Elective Total Glossectomy and Left Muscle Flap. AM EKG Documented Acute Ant MI New Since EKG 2 Days Prior to Surgery: When to Proceed? MC711 American Society of Anesthesiologists annual 2012 meeting in Washington DC

Jijun Xu, M.D., Ph.D., Paul Kempen, M.D: Anesthetic Management of a Patient With Complete Lockjaw in an Ambulatory Surgical Center MC834 American Society of Anesthesiologists annual 2012 meeting in Washington DC BOOK REVIEWS: R.D. Miller's Anesthesiology. Anesthesia and Analgesia 65: 994, 1986

Ryan, Todres, Cote' and Goudsouzian. A Practice of Anesthesia for Infants and Children. Anesthesia and Analgesia 66: 288, 1987 R.D. Miller's Anesthesiology. (in German) Der Anesthesist. 1987 PUBLISHED ABSTRACTS: Kempen PM:Anesthesia Practice-a vector of Infection? Anesthesiology 71: A948, 1989

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Kempen PM, Treiber H:Neuraxial morphine plus intravenous PCA-an new method in postcesarean analgesia, Anest Analg 1990;70, S198 Kempen PM, Treiber H: Contamination of drugs in ampules-container as culprit. Anesth Analg 1990;70, S197 Kempen PM:Teaching hygenic practices or practicing hygiene as teaching? Anest Analg 1990;70, S199 Kempen PM:Hemodilution, regional block and cesarean section. , Anest Analg 1990;70, S196 Kempen PM, Hritz J, Treiber H:Epidural barbotage in parturients- a clinical sign of extravascular placement. Regional Anesthesia Abstracts 1990. Kempen PM:Full body forced air warming using bedsheets. Anesthesiology 83: A396, 1995. Mocek CK, Kempen PM: Bevel Direction, Dura Geometry and Hole Size in Membrane Puncture. Regional Anesth 1996;21(2S):80 Other publications: Kempen PM:Cricoid pressure, awake intubation or both. Anesthesiology 64:831-2, 1986 Kempen PM: Static and dynamic considerations in gastric barotrauma. Anesth Analg 65:540-1, 1986. Kempen PM: Lethal/toxic injection of 20% lidocaine:A well known complication of an unnecessary preparation? Anesthesiology 65:564-5, 1986. also REPLY to Dr. Moore 68:477, 1988 Kempen PM: Equipment Modifications to reduce needle sticks. N. Eng J. Med. 319:308, 1988 Kempen PM:Lid or lash reflex? Anesth Analg. 1988 Oct; 67(10): 1015. Kempen PM: Autologous blood donation. JAMA 259 2404-5, 1988 Kempen PM: Succinylcholine in children. Anesth Analg 67: 800-1. 1988. Kempen PM:AIDS and suctioning newborn infants. Pediatrics 82 (3) 1988. Kempen PM:Clinical use of peripheral nerve stimulators. Can J Anesth 35 (5) 541, 1988. Kempen PM: Contamination of syringes. Can J Anaesth. 1989 Nov; 36(6): 730-731. Kempen PM:Repeated blood donations and erythropoetin levels. JAMA 261:2443, 1989. Kempen PM: Eliminating needlestick injuries Can J Anaesth 36(2): 361-362, 1989 Kempen PM:Minimizing deadspace, air embolism and needlestick risk. Anesthesiology 70:1034-5, 1989 Kempen PM :Avoiding nosocomial infection in anaesthesia. Can J Anaesth. 1989 Mar; 36(2): 254-255.

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Kempen PM: Die totale Spinalanaesthesie. Anaesthesist 41:285-287, 1992 Kempen PM: The Human Wedge. Anaesthesia: 47; 1102, 1992 Kempen PM:Needlesafe vs Needleless IV injections. Anesth Analg 1994;79:12 Kempen PM: Perioperative ulnar neuropathy? Anesthesiology 82:1538-9, 1995 Kempen PM:How far should a catheter be inserted into the epidural space? Anesth Analg 1996;82:885-96 Kempen PM:Local anesthetic test dose to predict effective epidural opioid analgesia:II. Anesthesiology 1996;84:487 Kempen PM:Industry has not eliminated needlestick injury:Is it time for personal or federal intervention, or both? Infection Control Hosp Epidemiol 1996;17:209-11 Vu H, Kempen PM:Administering metered dose bronchodilators during general anesthesia. Anesthesiology 1996;85:691. Kempen PM:Perioperative Normothermia and Surgical Wound Infection N Eng J Med 1966;335(10):747-8. Kempen PM:A device to allow connection of a high-volume intravenous infusion to an in situ intravenous infusion. Anesthesiology 1996 Dec;85(6):1492 . Kempen PM: Anesthesia Preoperative Evaluation Clinic:I, Anesthesiology 1997 Jan;86(1):259, 261-3 Kempen PM:Laryngotracheal Lidocaine administration. Anesthesiology 1997;87:185-6 Kempen PM:Hybrid Intravenous infusion connections and potential flow reduction. Anesthesiology 1997;87:186-7 Kempen, PM: Regarding Dr. Bromage's Manuscript titled "Masked Mischief". Regional Anesthesia 1997; 22:585-586. Kempen PM:Perioperative maintenance of normal temperature. JAMA 1997; 278:545-6 Kempen PM: Sexual abuse and adolescent pregnancy. JAMA 1999;281:511-13 Kempen PM: Managing Pain in Elderly Patients. JAMA 1999;281:605 Kempen PM:Cost-efficient carbon dioxide monitoring via nasal cannula. Anesthesiology. 1999 Feb;90(2):633-4. Kempen PM: Cost efficient End-tidal carbon dioxide monitoring via Hudson-style mask. Anesthesiology 1999;91:1176-1177 Kempen PM:Arytenoid subluxation due to laryngoscopy and intubation. Anesthesiology 2000;92:1506-7. Kempen PM: Lidocaine administration, seizures and causality. Anesthesiology 2003 98(5):1302-

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Kempen, PM: Renal transplant patient and alzemtumab. ASA PBLD Oct 2003, San Francisco. Kempen PM: Obligate acceleromyography and pharmacologic reversal of all neuromuscular blocking agents: Really, and where is the clinical outcome? Anesthesiology 2004; 100:453 Kempen PM: Why should primary care physicians even wait for surgery in high risk patients? Anesthesiology:101:801-2, 2004 Kempen, PM:Ichemic changes on preoperative EKG: Cadaveric renal transplant and perioperative beta blockade. The anesthesiologist as patient advocate: Ethical and contemporary clinical decisions and dilemmas. ASA PBLD, Oct 2004, Las Vegas Kempen PM:Rethinking Anesthesia Care During MRI, American Society of Anesthesiologists Newsletter May 2005 Kempen PM: Stand near by in the MRI. APSF newsletter, Volume 20, NO 2, 2005, P 32 http://www.apsf.org/resource_center/newsletter/2005/summer/05mri.htm Kempen PM: Patient with cardiac compromise, advanced lung cancer and Left parietal lobe brain mass presenting for neurosurgical resection: The Anesthesiologist as ethical consultant and patient advocate. PBLD-American Society of Anesthesiologists annual meeting in Atlanta, October, 2005 Kempen PM: 49 year old woman with a history of depression, HTN, NIDDM and airway limitations, and pheochromocytoma presenting for laparoscopic resection, possible open procedure, of a right suprarenal mass measuring 7 cm in diameter. . PBLD-American Society of Anesthesiologists annual meeting in Atlanta, October, 2005 Kempen PM: 70 Y/O with SAH and L carotid artery aneurysm, for endovascular coiling with balloon occlusion testing in interventional radiology, Xenon CT scan and subsequent MRI-Anesthesia. PBLD- American Society of Anesthesiologists annual meeting in Atlanta, October, 2005 Kempen PM, Meng L: Tissue Injury Due to Prolonged Placement and Nonutilization of a Non-invasive Blood Pressure Cuff. Canadian Journal of Anesthesia, Jan 2006 Kempen PM: Narcotrend monitoring vs Propofol amnesia-what does Russels study document? http://online6.hsls.pitt.edu:2637/cgi/eletters/96/3/346, 28 March 2006 Kempen PM: ICU patients need careful Monitoring in the MRI. APSF newsletter, Volume 21, NO 1, 2006, P 37. http://www.apsf.org/resource_center/newsletter/2006/summer/4letter.htm Biener I, Kempen PM:Grenzen des Bispectral-Indexes waehrend der Narkoseeinlietung. (in German). Der Anesthetist 2006;55:1214-5 Kempen , P: Takotsubo vs myocardial infarctiona new anesthetic dilemma? Journal of Clinical Anesthesia Volume 18 Number 8 December 2006 Kempen , P: Elective surgery days after myocardial infarction: clinical and ethical considerations reply. J Clin Anesth. 2007 Feb;19(1):80-1 Kempen , P: Let Us Make MRI Anesthesia Safe! Anes Analg 2007;104(6): 1602

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Kempen PM: The only constant is change. Journal of Clinical Anesthesia. 2007; 19(1February): 80-1 Kempen , P: Weakness following an overdose of lidocaine during general anesthesia. Anesth Analg. 2007 Jun;104(6):1613 Kempen , P: Percutaneous Coronary Interventions (PCI): Perioperative Antithrombotic Therapy and the Anesthesia Provider in 2007. Anesthesia patient Safety Foundation Newsletter 2007;22 (1): http://www.apsf.org/newsletters/html/2007/spring/18_letter.htm Kempen, Paul M. M.D., Ph.D. Electroconvulsive Therapy: Compassion in Care and Risk-Benefits of Discomfort. Anesthesiology. 107(5):857, November 2007. Kempen PM: Reader is Poised to Rethink Ischemic Optic Neuropathy in Light of POISE Study. APSF NEWSLETTER Winter 2008-2009 P 70-71 Kempen PM.Time to change the paradigm? Which paradigm? Acta Anaesthesiol Scand. 2009 Sep;53(8):1099-100.

Kempen PM Airway collapse or closure via the soft palate as mechanism of obstruction in sedated patients? Anesthesiology. 2010 Feb;112(2):496;
.

Kempen PM. High-dose phenylephrine and ephedrine in obstetrics: proving the Holy Grail requires more data. Anesthesiology. 2010 May;112(5):1285-7. Kempen PM. Temporal trends in rates of patient harm from medical care. N Engl J Med. 2011 Feb 17;364(7):684

Kempen PM. Presenting data versus predictions as basic scientific information: target-controlled infusions versus microgram per kilogram per minutes. Anesthesiology. 2011 Mar;114(3):721

Kempen PM. Science vs supposition: the case of target-controlled propofol infusion.Br J Anaesth. 2011 Apr;106(4):603

Kempen PM. MOC leading to MOL and the absolute COST of these unproven measures. Electronic letters published @ http://www.annfammed.org/cgi/eletters/9/3/203#22161 Kempen PM: Retrospective data review and propensity scoring: religion (believing) or science (proving) and the appropriate application of statistics. Anesthesiology. 2011 Sep;115(3):656-7.

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Kempen PM. Observations on the study of second gas effects. Anesthesiology. 2011 Oct;115(4):900-1. Kempen PM: Laryngotracheal Lidocaine and Extubation Guideline. Letter to: Heidegger T. Extubation of the difficult airway - an important but neglected topic. Anaesthesia 2012 ; 67: 213-5. in Anaesthesia @ http://www.respond2articles.com/ANA/forums/1070/ShowThread.aspx#1070 Kempen PM: Perioperative Ischemic Optic Neuropathy and Spine Surgery: Are We Asking the Right Questions? Anesthesiology 2012; 117:431 32

Kempen PM: Maintenance of Licensure (MOL): a Lifelong Commitment to learning or a Simply a Strategy to Support the Income of Some Organizations. Comment @ http://0-annals.org.library.ccf.org/article.aspx?articleid=1351379#tab9

PROFESSIONAL ACTIVITIES Inducted as Charter member of Phillips/Invivo MR Monitoring Medical Advisory Board November 2007 Reviewer: Journal of Clinical Anesthesia, Oct 2007 Jan 10, 2008, Member of the Editorial Board of The Open Anesthesiology Journal (ISSN 1874-3218) TEACHING: Participated with the US Navy via Project HOPE in Ecuador, Columbia and HAITI for 3 weeks in summer of 2007 Lectured: West Virginia Association Nurse Anesthetist Annual Meeting at the Homestead Hotel, Hot Springs Virginia, March 26th-28th,2010 and in 2009 at The Greenbriar, WV Participated with the US Navy via Project HOPE in the HAITI relief for Earthquake victims in February 2010 Teacher of the Year 2010 Cleveland Clinic Lectured at the OSA 2010 Annual meeting on participation in Haiti in Columbus Lectured at the OSA 2011 Annual meeting on Electrical support of cardiovascular system in Cincinnati Active lecturer for NWAS Seminars and Frank MOYA reviews Lecturer/visiting professor at the Bethesda Navy Hospital 2011 At CCF: Lecture: CA3 Stents and Anesthesia MGMNT 3/16/09 CA-2 EKG reading and recognition 4/14/09 Student preceptor Resident: PBLDs, EKG of the Week At University of Pittsburgh: Lecture: Resident Medical students CRNP School CRNA Nursing School

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Reading EKGs in Clinical Practice Departmental Grand round and PUH conference schedules June 2003-2008: at PUH. June 2002-2008: Site coordinator for Medical Student Rotations in Surgical clinical clerkship

Active participant in the Simulation Center as instructor in the anesthesia medical student rotation. June 2003: Developed Clinical EKG course for M3 students in SIMS center. June 2003-present: Examiner for departments Mock oral Board exam August 2002-present; Student advisor program. July 1998-2008: Member of Resident Education and resident Clinical Competency Committees July 1998-present Active participant in clinical resident education including lecture series and direct resident and medical student teaching, including preceptor for residents in the journal club July 1999-2008: Primary individual in organization, development and administration of hands on Airway management in ECT medical student rotation at WPIC. 1997-present: Active contributor to Gasnet (anesthesiology dedicated internet discussion group). 1999-present: Resident Advisor At Louisiana State University 1994-1996: 4 lectures presented at the weekly Anesthesia Grand Rounds while at Louisiana State University: 1) Hygienic practice of anesthesia-patient/personnel safety 2) Practice of Obstetric anesthesia 3) Regional anesthesia-Techniques for clinical practice 4) The Difficult airway-approaches and anesthetic preparation/the use of the fiberoptic scope Acted as The educational coordinator for the Problem Based Learning Discussion group, insuring active participation in and selection/organization of topics and reference material, as well as insuring adequate personal Staff participation in the discussion of each weekly meeting with resident staff. Director of Obstetric anesthesia, direct personal supervision and organization of each resident rotating through and participating in the delivery of anesthesia for parturients and pregnant patients Developed an active regional anesthesia program for the residents, where previously regional techniques were utilized in a limited fashion: I personally developed regional anesthesia carts and actively supervised residents and encouraged the active use of regional techniques in the operating rooms. Difficult intubation: I personally developed difficult intubation carts and presented Grand Rounds Lecture on the use and indications for the fiberoptic scope as well as the multiple ancillary adjunct devices and techniques. OTHER RESEARCH RELATED ACTIVITIES: Invited peer reviewer by the Journal of Clinical Anesthesia Invited Peer reviewer for Point of Care project, BMJ Publishing Group LIST OF CURRENT RESEARCH INTERESTS: SERVICE:

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Project HOPE: Three country Mission, Sept 15-August 8, 2007 in Ecuador, Colomgia and Haiti UNIVERSITY AND MEDICAL SCHOOL: Current: Reviewer of charts for Quality assurance program, Department of Anesthesiology Member Residency Competency Committee 1986-1987 Clinical Hygiene and CPR Committee representative 1995-1996 Department 1995-1996 Pharmacy Committee member House officer @ U of Mich Hospitals Representative of Anesthesiology, LSU Infection Control member Representative Department of Anesthesiology, LSU

COMMUNITY ACTIVITIES: Prior Clinical Coordinator at Comanche Co. Memorial Hospital for the Clinical rotations involving exposure/experience in Intubation and CPR and Guest Lecturer for Emergency Medical technician students of the Vo-tech School in Lawton, Oklahoma Served With Project Hope in 2007 for 3 Weeks as anesthesiologist aboard the USNS Comfort in the S. American/Caribbean humanitarian mission to underprivileged nations. Served With Project Hope in 2010 after the January earthquake with the US ship USNS Comfort in Port au Prince in February project rapid response. See: http://www.anesthesiologynews.com/ViewArticle.aspx?d_id=3&a_id=14930 Kempen PM. Devastation and Comorbidity. Anesthesiology News ISSUE: APRIL 2010 | VOLUME: 36:4

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