Samuel Metz, M.D.
Personal:
Born July 29, 1950, Washington DC
Married to Margaret Jennings
Daughter, Hannah Elaine Metz
Home:
3106 S.W. Gale Ave
Portland OR 97239-1448
Cell: 503.754.1329
Pager: 503.903.0162
E-mail: SamuelMetz@SamuelMetz.com
Office:
Oregon Anesthesiology Group
120 N.W. 14th Ave, suite 300
Portland, Oregon 97209-2601
503.299.9906
Hospital Appointments:
2010-present
Staff Anesthesiologist
Department of Anesthesiology and Perioperative Medicine
Oregon Health & Science University
Portland OR 97239-3098
2004-present
Staff Anesthesiologist
Oregon Anesthesiology Group
120 N.W. 14th Street, #300
Portland OR 97209-2601
1995-2004
Staff Anesthesiologist
MCP Hospital
3300 Henry Avenue
Philadelphia PA 19129
1992-2004
Staff Anesthesiologist
Hahnemann University Hospital
Broad and Vine Streets
Philadelphia PA 19102-1192
1986-1992
Staff Anesthesiologist
Texas Heart Institute
St. Luke’s Episcopal Hospital
Texas Children’s Hospital
Houston TX 77245-0345
1985-1986
Director of Cardiac Anesthesia
Department of Anesthesiology
Albert Einstein Medical Center
Philadelphia PA 19141
2
University Appointments:
2010-present
2002-2004
1992-2002
1986-1992
1985-1986
Adjunct Associate Professor of Anesthesiology
Oregon Health & Science University, Portland OR
Associate Professor of Anesthesiology
Drexel University College of Medicine, Philadelphia PA
Associate Professor of Anesthesiology
MCP Hahnemann School of Medicine, Philadelphia PA
Clinical Assistant Professor of Anesthesiology
University of Texas School of Medicine, Houston TX
Clinical Assistant Professor of Anesthesiology
Temple University School of Medicine, Philadelphia PA
Education and Training:
1972
1980
1980-1981
1981-1983
1983-1984
1984-1985
Claremont Men’s College, Claremont CA
University of Arizona, Tucson AZ
Waltham Hospital, Waltham MA
Brigham and Women’s Hospital, Boston MA
Stanford University, Palo Alto CA
Texas Heart Institute, Houston TX
B.A. (cum laude)
M.D.
Rotating Internship
Resident in Anesthesia
Fellow in Anesthesia
Fellow in Cardiovascular Anesthesia
Professional Societies:
American Society of Anesthesiologists
International Anesthesia Research Society
Society of Cardiovascular Anesthesiologists
Society for Airway Management
Medical Licensure and Board Certification:
California, November 1, 1982 G-49191 (inactive)
Arizona, October 18, 1985, 15676 (inactive)
Pennsylvania, June 7, 1985, MD-033609-E (inactive)
Texas, December 3, 1986, H 1150 (inactive)
Oregon, April 16, 1999, MD 21731
New Jersey, March 10, 2000, 70433 (inactive)
Diplomate of the National Board of Medical Examiners, May 1981, # 227184
Diplomate of the American Board of Anesthesiologists, September 21, 1984, # 11777,
recertified July 24, 2004
3
Committee and Administrative Activities:
Education Committee, Society for Airway Management, 2006-present
Patient Safety Committee, Oregon Anesthesiology Group, 2006-2011
Admissions Committee, Drexel University College of Medicine, 2003-2004
CME and Quality Improvement Officer, Anesthesia Service, MCP Hospital, 2000-2004
Pharmacy and Therapeutics Committee, MCP Hospital, 2001-2003
Credentials Committee, MCP Hospital, 2000-2004
Ethics Committee, MCP Hospital, 1998-2004
Allied Health Professions Subcommittee, MCP Hospital, 1996-2004 (Chair 1998-2000)
Admissions Committee, MCP Hahnemann School of Medicine, 1993-1999 (Chair 1995-1997)
Airway Committee, Department of Anesthesiology, MCP Hahnemann, 1993-1995 (Chair 1993-1995)
Co-Director, Refresher Course on the Difficult Airway, Department of Anesthesiology, MCP Hahnemann
1995
Peer Reviewed Publications:
1. Metz S, Horrow JC, Balcar I: A controlled comparison of techniques for internal jugular vein
location using ultrasonography. Anesth Analg 1984; 63:673-9
2. Metz S, Maze M: Halothane concentration does not alter the threshold for epinephrine-induced
arrhythmias in dogs. Anesthesiology 1985; 62:470-5
3. Gaba DM, Metz S, Maze M: Post counter-shock myocardial damage after pretreatment with
adrenergic and calcium antagonists: lack of protective effect of adrenergic or calcium channel
antagonists. Anesthesiology 1985; 62:610-4
4. Metz S, Keats AS: Ventilation during transport of post-operative patients: comparison of
methods. Texas Heart Institute J 1985; 12:157-62
5. Metz S, Hacker: Effect of dextrose-crystalloid priming solution on fluid requirements and
urine output during cardiopulmonary bypass. Texas Heart Institute J 1986; 13:341-4
6. Horrow JC, Metz S, Thickman D, Frederic MW: Prior carotid surgery does not affect the
reliability of landmarks for location of the internal jugular vein. Anesth Analg 1987; 66:452-6
7. Metz S: Con: Tight controlled anticoagulation versus empiric management improves outcome
from cardiopulmonary bypass. J Cardiothorac Anesth 1989; 3:131-3
8. Metz S, Keats AS: Low activated coagulation time during cardiopulmonary bypass does not
increase postoperative bleeding. Ann Thorac Surg 1990; 49:440-4
9. Metz S, Slogoff S: Thiopental by single bolus compared to infusion for cerebral protection
during cardiopulmonary bypass. J Clin Anesth 1990; 2:226-231
10. Metz S, Keats AS: Benefits of a glucose-containing solution for cardiopulmonary bypass.
Anesth Analg 199; 72:428-34
11. Metz S. ECG artifacts during CPB - an alternative method. Anesth Analg 1991; 72:715-6
4
12. Metz S: Administration of protamine rather than heparin in a patient undergoing
normothermic cardiopulmonary bypass. Anesthesiology 1994; 80:891-4
13. Metz S: Pro: Glucose-containing solutions should be used for cardiopulmonary bypass. J
Cardiothorac Vasc Anesth 1995; 9:603-4
14. Metz S, Parmet JL, Levitt J: Failed emergency transtracheal ventilation through a 14 gauge
intravenous catheter. J Clin Anesth 1996; 8:58-62
15. Metz S, Horrow JC, Bellwoar C, Goel IR, Kuretu MR: Failure of methylene blue to
neutralize heparin after cardiopulmonary bypass. J Cardiothorac Vasc Anesth 1996; 10:1-3
16. Parmet JL, Metz S: Retrograde endotracheal intubation: an underutilized tool for
management of the difficult airway. Contemporary Surgery 1996; 49:300-6
17. Metz S, Beattie C: Spontaneous ventilation and fiberoptic intubation: facilitation with the
modified nasal trumpet. Brit J Anaesth 2003; 90:388-90
18. Donohue CM, Goss LR, Metz S, Weingarten MS, Dyal LB. Combined popliteal and
saphenous nerve blocks at the knee: An underutilized alternative to general or spinal
anesthesia for foot and ankle surgery. J Am Podiatr Med Assoc 2004;94:368-674.
19. Metz S: Perioperative use of the modified nasal trumpet in 346 patients. Brit J Anaesth 2004;
92:694-696
20. Metz S, Schwann N, Hassanein W, Yuskevich B, Nixon T. Intrathecal morphine for off-pump
coronary artery bypass grafting: A retrospective chart review. J Cardiothorac Vasc Anesth
2004; 18:451-3
21. Aziz M, Metz S. Clinical evaluation of the Levitan Optical Stylet. Anaesthesia 2011 (in press)
5
Abstracts:
Metz, S, Horrow JC, Balcar I: A controlled comparison of techniques for internal jugular vein
location using ultrasonography. Society of Cardiovascular Anesthesiologists Annual Meeting,
April 1984, p. 79 (Second Prize, Residents Research Essay)
Metz S, Maze M: Etomidate does not alter the threshold for epinephrine-induced arrhythmias in
dogs. Western Anesthesiology Residents Conference, May 1984
Metz S, Maze M: Halothane concentration does not alter the threshold for epinephrine-induced
arrhythmias in dogs. Anesthesiology 19854; 61:A34
Gaba DM, Metz S, Maze M, Smith CM, Henderson V, Miller DC: Adrenergic function during
cardiopulmonary bypass. Anesth Analg 1985; 64:A216
Gaba DM, Metz S, Maze M: Adrenergic or calcium channel blockade does prevent post countershock damage in halothane-anesthetized dogs. Anesth Analg 1985; 64:A215
Hayward E, Metz S, Gaba DM, Smith CM, Spiess CK, Maze M: Alpha-1 blockade by droperidol
raises the threshold for halothane-epinephrine arrhythmias in dogs. Anesth Analg 1985; 64:A227
Metz S, Keats AS: ACT values during cardiopulmonary bypass and patient outcome. Society of
Cardiovascular Anesthesiologists Annual Meeting, April 1986, p. 146
Metz S: Used bookstores in Houston and the Cosmos: A gentle guide to the former. West
university magazine, April 1988
Metz S, Slogoff S: Thiopental by single bolus compared to infusion for cerebral protection during
cardiopulmonary bypass. Society of Cardiovascular Anesthesiologists Annual Meeting, April
1989
Metz S, Keats AS: Risk/benefit of addition of dextrose to the priming solution for
cardiopulmonary bypass. Society of Cardiovascular Anesthesiologists Annual Meeting, May
1989, p. 162
Metz S, Keats AS: Tranexamic acid and desmopressin are ineffective for treatment of bleeding
after cardiopulmonary bypass. Society of Cardiovascular Anesthesiologists Annual Meeting,
April 1991, p. 186
Metz S, Horrow JC, Bellwoar C, Goel IR, Kuretu MR: Methylene blue does not neutralize
heparin after cardiopulmonary bypass. Anesthesiology 1994; 81:A191
Parmet JL, Metz S, Miller F, Pharo, Rosenberg HR: Airway Awareness Week: A method of
teaching alternative airway techniques. Anesthesiology 1995; 83:A1123
Parmet JL, Colonna-Romano P, Miller F, Metz S, Gonzales JM, Pharo G, Essig K, Martin S,
Rosenberg HR: The utility of retrograde intubation and transtracheal jet ventilation in the
unexpected difficult intubation and difficult ventilation in an academic institution.
Anesthesiology 1996; 85:A979
6
Abstracts (continued):
Metz S, Beattie C: The modified nasal trumpet: elective and semi-elective use in the operating
room. Society for Technology in Anesthesia Annual Meeting, January 2002
Metz S, Beattie C: Spontaneous ventilation & fiberoptic intubation: facilitation with the modified
nasal trumpet. Society for Airway Management Annual Meeting, September 2002
Metz S, Dickinson DW: The modified nasal trumpet in 384 spontaneously breathing patients.
Society for Airway Management Annual Meeting, September 2003
Metz S, Schwann N, Hassanein W, Yuskevich B, Nixon T: High Dose Intrathecal Morphine in
off-pump coronary artery bypass (OPCAB): A Novel Technique for Intraoperative Extubation.
Society of Cardiovascular Anesthesiologists Annual Meeting, March, 2004
Metz S. Use of the Levitan Optical Stylet in the operating room without direct laryngoscopy.
Journal of Clinical Anesthesia 2008; 20:78-9 (abstract)
Review Articles and Book Chapters:
Metz S, Horrow JC: Cardiopulmonary bypass and alteration in hemostasis: Strategies for
management. Semin Anesth 1994; 13:50-6
Metz S, Horrow JC: Protamine and newer heparin antagonists. In Pharmacology & Physiology in
Anesthetic Practice Updates. Edited by R Stoelting, Jan/Mar 1994; vol. 1, no. 3
Metz S, Horrow JC. Pharmacologic manipulation of coagulation: Protamine and other heparin
antagonists. In Blood: Hemostasis, Transfusion and Alternatives in the Preoperative Period.
Edited by CL Lake and RA Moore. Raven Press, 1995
Metz S. Bleeding less: haemostatic pharmaceuticals. Anaesthetic Pharmacology Review 1995;
3:126-37
Metz S, Horrow JC. Update on aprotinin and other drugs to promote coagulation. In Advances in
Anesthesia. Edited by CL Lake, LJ Rice, RJ Sperry, 1996, vol. 13, p. 335-83
Letters in peer-reviewed journals:
Metz S, Maze. Anti-arrhythmic effect of verapamil may be independent of calcium channel
blockade. Anesthesiology 1985; 3:233
Metz S. Use of glucose-containing solutions during surgery. Anesthesiology 1988; 64:651
Metz S. Little risk of hyperosmolar coma following hyperglycemia during cardiopulmonary
bypass. Anesthesiology 1991; 72:912
Metz S, Keats AS. ECG artifacts during cardiopulmonary bypass: an alternative placement.
Anesthesiology 1991; 72:715
7
Metz S. Prior vasectomy and anaphylaxis following protamine: no cause and effect.
Anesthesiology 1993; 79:618
Metz S. Avoid rubber fingers. Anesth Analg 1996; 82:217
Metz S. Capnography via the LTA: Friend or foe? Anesth Analg 1999; 89:55
Metz S. Omission of muscle relaxant is another clinically alternative in fast track cardiac
anesthesia.
Anesth Analg 2003; 97:1545
Metz S. Is the activated clotting time dangerous? Anesthesiology 2005; 103:
Metz S. The elephant in the operating room. Anesthesiology 2006; 104:1340
Metz S. Do patients need oxygen in their lungs or a cuff in their trachea? Anesth Analg
2007;105:1169
Invited Professional Meeting Activities:
April 1988, Society of Cardiovascular Anesthesiologists, New Orleans: Anticoagulation
workshop
April 1989, Society of Cardiovascular Anesthesiologists, Seattle: Cerebral protection workshop
April 1994, Society of Cardiovascular Anesthesiologists, Montreal: Glucose priming solutions,
plenary session
May 1995, Society of Cardiovascular Anesthesiologists, Philadelphia: Protamine substitutes,
plenary session
February 1996, Controversies in Cardiovascular Care, Hidden Valley PA: Early extubation,
plenary session
May 1996, Society of Cardiovascular Anesthesiologists, Salt Lake City: Reinfusion of shed blood
workshop
1996-2000, 2005, 2008 Society for Airway Management, annual meetings: Airway workshops
September 2004, Society for Airway Management, annual meeting: Transtracheal jet ventilation
& workshop
September 2006, Society for Airway Management, annual meeting: Lunch with experts –
learning airway techniques in private practice
September 2009, Society for Airway Management, annual meeting: Optical stylets
8
Visiting Professorships:
“Halothane-epinephrine arrhythmias,” Department of Anesthesiology, Hahnemann University,
Philadelphia PA, January 1985
“Thiopental protection of the brain for cardiac operations” and “Glucose priming solutions for
cardiopulmonary bypass,” Department of Anesthesiology, Loyola School of Medicine, Maywood
IL, January 1990
“Glucose priming solutions for cardiac operations,” Department of Anesthesiology, Albert
Einstein Medical Center, Philadelphia PA, April 1990
“Brain protection for cardiac operations,” Department of Anesthesiology, University of
Washington, Seattle WA, March 1992
“Hyperglycemia during cardiopulmonary bypass, Department of Anesthesiology, West Penn
Hospital, Pittsburgh PA, April 1992
“Thiopental brain protection during valvular operations,” Department of Anesthesiology, Albert
Einstein Medical Center, Philadelphia PA, April 1993
“Factors influencing airway management judgment,” Department of Anesthesiology, Hadassah
Hospital of Hebrew University, Jerusalem, Israel, May 1998
“Protamine for cardiac operations” and “Factors influencing airway management judgment,”
Department of Anesthesiology, University of California Irvine, November 1998
“Off-pump coronary artery bypass grafting,” Department of Anesthesiology, University of
Maryland, Baltimore MD, June 1999
“Non-medical factors influencing airway management,” Department of Anesthesiology, Albert
Einstein Medical Center, Philadelphia PA, August 2001
Other Invited Lectures (abbreviated):
“Inotropes for weaning from cardiopulmonary bypass,” Ren Ji Hospital, Shanghai, People’s Republic of
China, January 1985
“Diabetes and cardiopulmonary bypass,” Cardiovascular Anesthesiology Department, Texas Heart
Institute, Houston TX, annually 1987-1992
“Anesthesia for cardiac operations,” Hahnemann Anesthesia Refresher Course, Philadelphia PA, March
1993
“Intraoperative management of the insulin-dependent diabetic,” Department of Anesthesiology, Reading
Hospital, Reading PA, September 1995
“Approaches to the difficult airway,” MCP Hahnemann Refresher Course on the Difficult Airway,
December 1995
“Airway management techniques,” Emergency Medicine Technician Course, MCP Hospital, Philadelphia
PA, September 2001