Joseph A. Stirt, M.D.

434-242-4990

MEDICAL BOARDS

Expert Reviewer in Anesthesiology, Medical Board of California, 1995-present

Expert Witness Pool (Anesthesiology), Medical Society of Virginia, 1999-present

MEDICAL-LEGAL PUBLICATIONS

1) Stirt JA: Body oxygen stores: clinical and legal implications. Med Trial Technique Q 34: 39-44, 1987

2) Stirt JA: Anesthetic management: endotracheal tube misplacement. Med Trial Technique Q 35: 74-80, 1988

EDUCATION AND TRAINING

UCLA, Los Angeles, CA - 1966-1970

UCLA School of Medicine, Los Angeles, CA - 1970-1974 - M.D.

L.A. County - USC Medical Center, Los Angeles, CA - 1974-1975 - Rotating Internship

UCLA School of Medicine, Los Angeles, CA - 1977-1980 - Residency in Anesthesiology

FELLOWSHIP

UCLA School of Medicine, Los Angeles, CA - 1979 - Cardiopulmonary Research Fellowship in Anesthesiology

EXPERIENCE

Assistant Professor of Anesthesiology, UCLA School of Medicine, 1980-1983

Medical Director, Post-Surgical Recovery Room, UCLA Hospital, 1980-1983

Director, Outpatient Surgical Unit, UCLA Hospital, 1980-1983

Assistant Professor of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA - 1983-1988

Associate Professor of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA - 1988-1995

Associate Professor of Neurological Surgery, University of Virginia School of Medicine, Charlottesville, VA - 1990-1995

Clinical Associate Professor of Anesthesiology, University of Southern California School of Medicine, Los Angeles, CA – 1996-present

Staff Anesthesiologist, Richmond Community Hospital, Richmond, VA - 2002-present

TEACHING RECOGNITION

Nominated Candidate, Virginia State Council of Higher Education Outstanding School of Medicine Faculty Teaching Award, 1989

HONORS AND AWARDS

University Scholar, UCLA, 1966-1968

Phi Eta Sigma Honorary Society, UCLA, 1967

Regents Scholar, UCLA, 1968-1970

Samuel Goldwyn Scholarship Prize, UCLA School of Medicine, 1971-1974

Virginia Physician's Recognition Award, Medical Society of Virginia, 1997-2000

LICENSURE AND CERTIFICATION

Diplomate, American Board of Anesthesiology

Diplomate, National Board of Medical Examiners

California State License #G-29931

Virginia State License #35522

PROFESSIONAL SOCIETIES

Medical Society of Virginia

COMMITTEES

Chairman, University of Virginia Health Sciences Center, Department of Anesthesiology Continuous Quality Improvement Committee, 1988-1995

University of Virginia Health Sciences Center, Hospital Continuous Quality Improvement Committee, 1988-1995

University of Virginia Health Sciences Center, Accreditation Advisory Committee, 1993-1995

VISITING PROFESSORSHIPS

Harbor - UCLA Medical Center

Los Angeles, CA, 1984

INVITED REVIEWER

Anesthesiology

Anesthesia and Analgesia

Journal of Neurosurgical Anesthesiology

LECTURES BY INVITATION

“Aminophylline, Arrhythmias, and Anesthesia.” Part of Program “Anesthesia and Circulatory Disease.” Monterey, CA, 1981.

“Aminophylline.” Department of Anesthesiology, University of California, San Diego School of Medicine, San Diego, CA, 1982.

“Anesthesia and Asthma.” California Society of Anesthesiologists Annual Meeting. San Diego, CA, 1982.

“New Muscle Relaxants.” Part of Program “Recent Advances in Anesthesia.” Monterey, CA, 1982.

“Anesthesia for the Asthmatic Patient.” Department of Anesthesiology, University of North Carolina School of Medicine, Chapel Hill, NC, 1982.

“Effects of Atracurium on Intraocular and Intracranial Pressure in Man.” Second International Atracurium Symposium, Montreux, Switzerland, 1985.

“Muscle Relaxants in Outpatient Anesthesia” and “Muscle Relaxants in Neuroanesthesia.” Akron General Medical Center and Children's Medical Center Regional Anesthesiology Symposium, Akron, Ohio, 1986.

“Clinical Use of Muscle Relaxants by Infusion.” Eleventh Annual Williamsburg Anesthesia Conference, Williamsburg, Virginia, 1987.

MEDIA PRESENTATIONS

1. CNBC Television Network, Equal Time with Mary Matalin and Jane Wallace, March 4, 1994. 30 minute interview/discussion, estimated international audience 600,000.

SCIENTIFIC ARTICLES

1. Stirt JA, Berger JM, Ricker SM, Sullivan SF: Aminophylline pharmacokinetics and cardiorespiratory effects during halothane anesthesia in experimental animals. Anesth Analg 59: 186-191, 1980

2. Stirt JA, Berger JM, Ricker Sm, Sullivan SF: Arrhythmogenic effects of aminophylline during halothane anesthesia in experimental animals. Anesth Analg 59: 410-416, 1980

3. Stirt JA, Reynolds RC, Korn EL: Sodium nitroprusside-induced hypotension in radical thoraco-abdominal dissection of retroperitoneal lymph nodes. Br J Anaesth 52: 1045-1048, 1980

4. Stirt JA, Berger JM, Roe SD, Ricker SM, Sullivan SF: Halothane-induced cardiac arrhythmias following administration of aminophylline in experimental animals. Anesth Analg 60: 517-520, 1981

5. Stirt JA, Berger JM, Roe SD, Ricker SM, Sullivan SF: Safety of enflurane following administration of aminophylline in experimental animals. Anesth Analg 60: 871-873, 1981.

6. Stirt JA, Berger JM, Roe SD, Ricker SM, Sullivan SF: Cardiovascular effects of ketamine following administration of aminophylline in dogs. Anesth Analg 61: 685-688, 1982

7. Katz RL, Stirt JA, Murray AL, Lee C: Neuromuscular effects of atracurium in man. Anesth Analg 61: 730-734, 1982

8. Berger JM, Stirt JA, Sullivan SF: Enfluane, halothane, and aminophylline: Uptake and pharmacokinetics. Anesth Analg 62: 733-737, 1983

9. Stirt JA, Murray AL, Katz RL, Schehl DL, Lee C: Atracurium during halothane anesthesia in humans. Anesth Analg 62: 207-210, 1983

10. Stirt JA, Berger JM, Sullivan SF: Lack of arrhythmogenicity of isoflurane following administration of aminophylline in dogs. Anesth Analg 62: 568-571, 1983

11. Stirt JA, Katz RL, Murray AL, Schehl DL, Lee C: Modification of atracurium blockade by halothane and by suxamethonium: A review of clinical experience. Br J Anaesth 55: 71S-75S, 1983

12. Stirt JA, Katz RL, Schehl DL, Lee C: Atracurium for intubation in man: A clinical and electromyographic study. Anesthesia 39: 1214-1221, 1984

13. Minton MD, Stirt JA, Bedford RF: Intracranial pressure following atacurium in neurosurgical patients. Anesth Analg 64: 1113-1116, 1985

14. Stead SW, Stirt JA: Assessment of digital blood flow and palmar collateral circulation. Int J Clin Mon 2: 29-34, 1985

15. Weinberg G, Stirt JA, Longnecker DE: Single versus divided doses of atracurium: Does 0.05+0.10 equal 0.15? Anesthesiology 64: 111-113, 1986

16. Finholt DA, Audenaert SM, Stirt JA, Marcella KL, Frierson HF, Suddarth LT, Raphaely RC: Endotracheal tube leak pressure and tracheal lumen size in swine. Anesth Analg 65: 667-671, 1986

17. Minton MD, Stirt JA, Bedford RF: Serum potassium following succinylcholine in patients with brain tumors. Can Anaesth Soc J 33: 328-331, 1986

18. Finholt DA, Stirt JA, DiFazio CA, Moscicki JC: Lidocaine pharmacokinetics in children during general anesthesia. Anesth Analg 65: 279-282, 1986

19. Minton MD, Grosslight K, Stirt JA, Bedford RF: Increases in intracranial pressure from succinylcholine: Prevention by prior nondepolarizing blockade. Anesthesiology 65: 165-169, 1986

20. Schneider MJ, Stirt JA, Finholt DA: Atracurium, vecuronium, and intraocular pressure in man. Anesth Analg 65: 877-892, 1986

21. Stirt JA, Grosslight KR, Bedford RF, Vollmer D: “Defasciculation” with metocurine prevents succinylcholine-induced increases in intracranial pressure. Anesthesiology 67: 50-53, 1987

22. Stirt JA, Maggio W, Haworth C, Minton MD, Bedford RF: Vecuronium: Effect on intracranial pressure and hemodynamics in neurosurgical patients. Anesthesiology 67: 570-573, 1987

23. Stirt JA, Sperry RJ, DiFazio CA: Cimetidine and succinylcholine: Potential interaction and effect on neuromuscualr blockade in man. Anesthesiology 69: 607-608, 1988

24. Stirt JA: Accelerated recovery from combined atracurium/vecuronium neuromuscular blockade. Br J Anaesth 62: 697-699, 1989

25. Stirt JA, Chiu GJ: Intraocular pressure in humans during rapid sequence induction. Use of low-dose sufentanil or fentanyl and vecuronium or atracurium. Anaesth Intensive Care 18: 390-394, 1990

CASE REPORTS

1. Stirt JA, Marco A, Conklin KA: Obstetric anesthesia for a quadriplegic patient with autonomic hyperreflexia. Anesthesiology 51: 560-562, 1979

2. Stirt JA, Lewenstein LN: Circle system failure induced by gastric suction. Anaesth Intensive Care 9: 161-162, 1981

3. Stirt JA: Anesthetic problems in Rubinstein-Taybi syndrome. Anesth Analg 60: 534-536, 1981

4. Stirt JA: Aminophylline is a diazepam antagonist. Anesth Analg 60: 767-768, 1981

5. Stirt JA: Succinycholine use in congenital pyruvate kinase deficiency. Anesth Analg 61: 620-621, 1982

6. Stirt JA: Endotracheal tube misplacement. Anaesth Intensive Care 10: 274-276, 1982

7. Stirt JA, Frantz RA, Gunz EF, Conolly ME: Anesthesia, catecholamines, and hemodynamics in autonomic dysfunction. Anesth Analg 61: 701-704, 1982

8. Stirt JA: “Liquid stylet” for percutaneous radial artery cannulation. Can Anaesth Soc J 29: 492-493, 1982

9. Stirt JA: Aminophylline may act as a morphine antagonist. Anesthesia 38: 275-278, 1983

10. Stone DJ, Stirt JA, Kaplan MJ, McLean WC: A complication of lightwand-guided nasotracheal intubation. Anesthesiology 61: 780-781, 1984

11. Berger JM, Stirt JA: Resolution of bronchospasm by atropine: Report of a case. Acta Anesthesiol Scand 29: 856-858, 1985

12. Stirt JA, Brown RE Jr, Ross WT Jr, Althaus JS: Atracurium in a patient with pheochromocytoma. Anesth Analg 64: 547-550, 1985

13. Kugler J, Stirt JA, Finholt D, Sussman MD: The one that got away: Misplaced esophageal stethoscope. Anesthesiology 62: 643-645, 1985

14. Stirt JA, Stone DJ, Weinberg G, Willson DF, Sternick CS, Sussman MD: Atracurium in a child with myotonic dystrophy. Anesth Analg 64: 369-370, 1985

15. Stirt JA, Shuptrine JR, Sternick CS, Korbon GA: Anisocoria after anesthesia. Can Anaesth Soc J 32: 422-424, 1985

16. Garner L, Stirt JA, Finholt DA: Heart block after intravenous lidocaine in an infant. Can Anaesth Soc J 32: 425-428, 1985

17. Johns RA, Finholt DA, Stirt JA: Anesthetic management of a child with dermatomyositis. Can Anaesth Soc J 33: 71-74, 1986

REVIEW ARTICLES

1. Stirt JA, Sullivan SF: Aminophylline. Anesth Analg 60: 587-602, 1981

2. Stirt JA: Aminophylline, arrhythmias and anesthesia. West J Med 135: 394-395, 1981

3. Johns RA, Stirt JA: Fat embolism syndrome. Semin Anesth 6: 176-179, 1987

4. Stirt JA: Medical malpractice: An anesthesiologist's point of view. Today's Surgicenter 2:48-50, 2003

EDITORIALS

Stirt JA: Muscle relaxants in neurosurgical anesthesia: what should we do when the pressure's on? J Neurosurg Anesth 2: 1-3, 1990

BOOKS

Sperry RJ, Stirt JA, Stone DJ: Manual of Neuroanesthesia. Philadelphia, B.C. Decker, 1989

Stirt JA: Baby. Far Hills, N.J., New Horizon Press, 1992

BOOK CHAPTERS

1. Stirt JA, Sullivan SF: Oxygen stores. In: Clinical Aspects of Oxygen (International Anesthesiology Clinics). Edited by Brodsky JB. Boston, Little, Brown and Co., 1981, pp 71-83

2. Stirt JA, Cooper CM: Providing muscle relaxation n the patient with increased intracranial pressure. In: Neuromuscular Relaxants (Problems in Anesthesia). Edited by Rupp SM. Philadelphia, J.B. Lippincott, 1989, pp 447-454

3. Boos DL, Stirt JA: Pharmacology. In: Manual of Neuroanesthesia. Sperry RJ, Strit JA, Stone DJ. Philadelphia, B.C. Decker, 1989, pp 37-66

4. Cooper CM, Stirt JA: Monitoring. In: Manual of Neuroanesthesia. Sperry RJ, Stirt JA, Stone DJ. Philadelphia, B.C. Decker, 1989, pp 67-90

5. Hobbs AJ, Stirt JA: Pediatric neuroanesthesia. In: Manual of Neuroanesthesia. Sperry RJ, Stirt JA, Stone DJ. Philadelphia, B.C. Decker, 1989, pp 183-204

6. Sternick CS, Stirt JA: Anesthesia for the patient with neurologic disease. In: Manual of Neuroanesthesia. Sperry RJ, Stirt JA, Stone DJ. Philadelphia, B.C. Decker, 1989, pp 221-228

LETTERS

1. Stirt JA, Kaufman RD: Hazard associated with armored endotracheal tube. Anesth Analg 57: 381, 1978

2. Stirt JA: Test doses in extradural analgesia. Br J Anaesth 50: 1267, 1978

3. Stirt JA: Test doses in extradural analgesia. Br J Anaesth 51: 808-809, 1979

4. Stirt JA: Test doses in extradural analgesia. Br J Anaesth 51: 910, 1979

5. Stirt JA: “Explosion” during spinal anesthesia. Br J Anaesth 51: 1094, 1979

6. Stirt JA, Sullivan SF: Aminophylline. Anesth Analg 61: 307-308, 1982

7. Stirt JA, Sternick CS: Aminophylline and anesthesia. Anesthesiology 57: 252-253, 1982

8. Stirt JA: Succinylcholine in Rubinstein-Taybi syndrome. Anesthesiology 57: 429, 1982

9. Berger JM, Stirt JA: Aid to nasotracheal intubation. Anesthesiology 58: 105, 1983

10. Stirt JA, Walts LF: Jogging your way through CPR. JAMA 249: 1827, 1983

11. Sternick CS, Stirt JA: Avoiding sticky situation. Anesthesiology 61: 113, 1984

12. Sternick CS, Stirt JA: Blood is thicker than water (or CSF). Anesthesiology 61: 348-349, 1984

13. Berger JM, Stirt JA, Sullivan SF: Anesthetics and theophylline metabolism. Anesth Analg 64: 461-462, 1985

14. Stirt JA, Grosslight KR, Bedford RF, Vollmer D: Is metrocurine better? Anesthesiology 68: 168-169, 1988

15. Stirt JA: Accelerated recovery from combined atracurium-vecuronium neuromuscular block. Br J Anaesth 62: 697-699, 1989

16. Keifer RB, Stirt JA: Preoxygenation. Anesthesiology 83: 429, 1995

17. Stirt JA: A Mouthful about dentistry. Washington Post F:2, August 26, 2003

18.Stirt JA: Anesthesia and its effects. New York Times D:4, October 14, 2003

BOOK REVIEWS

1. Stirt JA: Muscle Relaxants. Edited by Katz RL. In: J Clin Monitoring 3: 337, 1987

ABSTRACTS

1. Stirt JA, Berger JM, Sullivan SF: Cardiorespiratory effects of aminophylline during halothane anesthesia. Fed Proc 39: 1018, 1980

2. Walts LF, Stirt JA, Katz RL: A comparison of neuromuscular blocking effects of norcuron and pancuronium. Anesthesiology 55: A210, 1981

3. Stirt JA, Katz RL, Murray AL, Schehl DL, Lee C: Intubation with atracurium in man. Anesth Analg 64: 257, 1985

4. Finholt DA, Stirt JA, DiFazio CA: Epidural morphine for postoperative analgesia in pediatric patients. Anesth Analg 64: 211, 1985

5. Minton, MD, Stirt JA, Bedford RF: Atracurium and intracranial pressure in man. Anesth Analg 64: 257, 1985

6. Weinberg G, Strit JA, Longnecker DL: Single versus divided doses of atracurium: Doses 0.05 + 0.10 equal 0.15? Anesth Analg 64: 298, 1985

7. Finholt DA, Stirt JA, DiFazio CA, Moscicki JC: Lidocaine pharmacokinetics in children. Anesthesiology, 63: A467, 1985

8. Schneider MJ, Stirt JA, Finholt DA: Atracurium, vecuronium, and intraocular pressure in man. Anesthesiology 63: A334, 1985

9. Minton, MD, Stirt JA, Bedford RF: Increased intracranial pressure from succinylcholine: Modification by prior nondepolarizing blockade. Anesthesiology 63: A391, 1985

10. Minton MD, Stirt JA, Bedford RF: Effect of succinylcholine on serum potassium in patients with brain tumors. Anesth Analg 65: S100, 1986

11. Minton MD, Stirt JA, Bedford RF: Vecuronium and intracranial pressure in man. Anesth Analg 65: S101, 1986

12. Stirt JA, Minton MD, Schneider MJ, Bedford RF, Finholt DA: Intracranial pressure in patients treated with atracurium. Br J Anaesth 58: 111S, 1986

13. Stirt JA, Minton MD, Schneider MJ, Bedford RF, Finholt DA: Introcular pressure in patients treated with atracurium. Br J Anaesth 58: 111S, 1986

14. Stirt JA, Grosslight KR, Bedford RF, Vollmer D: Pretreatment with a defasciculating dose of metrocurine prevents succinylcholine-induced increases in intracranial pressure. Anesthesiology 65: A302, 1986

15. Chiu GJ, Stirt JA: Introcular pressure after “crash” induction with vecuronium or atracurium plus low-dose narcotics. Anesth Analg 66: S28, 1987

16. Stirt JA: Accelerated recovery from combined atracurium-vecuronium neuromuscular blockade in man. Anesth Analg 66: S167, 1987

17. Harris MM, Stirt JA, Broaddus WF, Cook DR: Cerebrospinal fluid laudanosine kinetics in children. Anesthesiology 67: A506, 1987

18. Stirt JA, Sperry RJ, DiFazio CA: Cimetidine and succinylcholine: Potential interaction and effect on neuromuscular blockade in man. Anesth Analg 67: S221, 1988