Dr. Steudel is a cardiothoracic anesthesiologist with a background in lung research, trained at Massachusetts General Hospital/ Harvard Medical School. As a general and cardiothoracic anesthesiologist, Dr. Steudel is qualified and available to provide expert opinion on most techniques and topics in anesthesia for obstetrics and most surgical and non-surgical specialties. He also provides opinion and consultation on electronic medical record (EMR) matters. Dr. Steudel is clinically active, resides in Massachusetts and is available for Consulting, Medical Insurance Reviews and as Expert Witness in the entire United States. Dr. Steudel is Editorial Board member of "Critical Care Medicine" and member of the American Society of Anesthesiologists, the Massachusetts Society of Anesthesiologists and the Massachusetts Bar Association.
One of his main areas of interest is "airway management", side-effects and overdoses of anesthesia drugs. Abuse of prescription narcotics, at times in combination with benzodiazepines or heroine, has become an increasing health problem in recent years throughout the US. Patients suffer a respiratory arrest after narcotic overdose, and if help does not arrive in time with reversal drugs (naloxone) and breathing support, lack of oxygen results in hypoxic brain damage, and very quickly, death.
In the clinical setting, before surgery, after administration of strong general anesthesia and relaxing agents, spontaneous breathing is suppressed or abolished. The provider, a physician or nurse, has to " secure an airway", e.g. he or she has to support or take over breathing with a mask, a modified mask in the mouth (laryngeal mask) or a breathing tube (endotracheal tube). If this fails – and there are many reasons why it may be difficult (i.e. obesity) - the patient can quickly suffer from life-threatening low levels of oxygen in the blood. Too low oxygen levels can lead to heart attack, stroke, permanent brain damage, cardiac arrest, or even worse, death.
The placement of the endotracheal tube (intubation), and the safe removal (extubation) are two key critical periods in anesthesia and critical care medicine. Every anesthesia provider has been trained in advanced airway management. Emergency Room and Intensive Care Unit personnel also should have been trained in basic airway management, according to Advanced Cardiac Life Support (ACLS) guidelines. Despite the fact that modern technology is available to facilitate airway management, there are still many cases of "failed intubations", and unfortunately some lead to a disastrous outcome or death. Related to this topic, Dr. Steudel's expertise includes undesired drug effects, e.g. effects of strong pain medications (narcotics) administered during the operation or in other circumstances which outlast a closely supervised environment, such as a recovery room. These effects include impairment of clear thinking, possibly life-threathening impairment of breathing, and worse, unconsciousness, with the need of intubation.
Areas of Expertise
- Emergency Medicine
- Medical Insurance
- Medical Malpractice
- Wrongful Death
- Q: Please list your professional accreditations, degrees, licenses, and certificates granted:
- A: - MD, Free University of Berlin, Germany
- Research Fellowships, Giessen, Germany and Massachusetts General Hospital, Harvard Medical School, Boston
- Anesthesia Residency, Massachusetts General Hospital, Havard Medical School,
- Cardiothoracic Anesthesia Fellowship, Massachusetts General Hospital, Havard Medical School, Boston
- Assistant Professor, University of Colorado, Denver
- Assistant Professor, Massachusetts General Hospital, Havard Medical School, Boston
- Peer Reviewer for Critical Care Medicine and other Key Medical Journals
- Member of Hospital Quality and Peer Review Committee
- licensed in MA, NY, CA
- Certified by the American Board of Anesthesiology
- Certified in Intraoperative Transesophageal Echocardiography
- Q: Please list your affiliations or memberships in any professional and/or industry organizations:
- A: American Society of Anesthesiologists (Member)
Society of Critical Care Medicine (Member of the Editorial Board)
- Q: Have any of your accreditations ever been investigated, suspended or removed? (if yes, explain)
- A: No
- Q: What services do you offer? (E.g.: consulting, testing, reports, site inspections etc.)
- A: Consulting, Medical Chart Reviews, Malpractice Case Reviews, Deposition, Court Appearance
- Q: What is your hourly rate to consult with an attorney?
- A: $500
- Q: What is your hourly rate to review documents?
- A: $500
- Q: What is your hourly rate to provide deposition testimony?
- A: $500
- Q: What is your hourly rate to provide testimony at trial?
- A: $500
- Q: Please list any fees other than those stated above (E.g.: travel expenses, copy fees, etc.)
- A: To travel outside Middlesex county and stay overnight, a daily rate of $6,400
References upon request.