Critical Care Anesthesiology Fellowship
Massachusetts General Hospital
Boston, MA
Internal Medicine Residency
The Cleveland Clinic Foundation
Cleveland, OH
Anesthesiology Residency
Massachusetts General Hospital
Boston, MA
Areas of Interest
ICU Severity-of-Illness Scoring (APACHE, MPM, SAPS, Cardiac Scores)
Sepsis, Septic Shock, and Pharmacotherapy of Shock States
ARDS and Mechanical Ventilation including High Frequency Oscillation
Sedation and Neuromuscular Blockade
Ethics and End-of-Life Decision-Making
Simulation in Critical Care Education
Professional Service
Critical Care Practice Committee (co-chair)
Medical Staff Health Committee
Intellectual Property Committee
Adult Ethics Subcommittee
Board of Directors, Baystate Medical Educational and Research Foundation
Society of Critical Care Billing and Coding Oversight Committee
Project IMPACT Research Committee
Publications
SELECTED
Rapoport J, Teres D, Steingrub JS, Higgins TL, McGee WT, Lemeshow S: Patient characteristics and ICU organizational factors that influence frequency of pulmonary artery catheterization. JAMA 2000;283:2559-2567.
Teres D, Higgins TL: What if your hospital informatics department could provide a severity adjuster? Crit Care Med 2000;28:3570-3571.
Higgins TL, Murray M, Kett DH, Fulda G, Kramer KM, Gelmont D, Dedhia HV, Levy H, Teres D, Zaloga GP, Ko H, Thompson KA: Trace element homeostasis during continuous sedation with propofol containing EDTA versus other sedatives in critically ill patients. Intensive Care Med 2000;26:S413-S421.
Higgins TL: Daily versus admission mortality estimates: Is admission severity yesterday’s news?” Crit Care Med 2001;29:208-210.
Higgins, TL: Nosocomial pneumonia. Clin Inten Care 2001;12(3):115-126.
Higgins TL, Steingrub JS: Advances in the therapy of sepsis. Today’s Therapeutic Trends. 2002; 20(2): 113-133.
Higgins TL, McGee, WT, Steingrub JS, Rapoport J, Teres D, Lemeshow S: Early Indicators of Prolonged ICU Stay: Impact of illness severity, physician staffing, and pre-intensive care unit length of stay. Crit Care Med 2003;31:45-51.
Nathanson BH, Higgins TL, Giglio RJ, Munshi IA, Steingrub, JS: An exploratory study using data envelopment analysis to assess neurotrauma patients in the intensive care unit. Health Care Management Science 2003;6:43-55.
Steingrub JS, Tidswell MA, Higgins, TL: Hemodynamic consequences of heart-lung interactions. J Inten Care Med 2003;18(2):92-99.
Abraham E, Reinhart K, Opal S et al for the OPTIMIST Trial Study Group (Higgins TL): Efficacy and safety of Tifacogin (recombinant tissue factor pathway inhibitor) in severe sepsis. A randomized controlled trial. JAMA 2003;290:238-247.
Higgins TL, Jodka PG, Farid A: Pharmacologic approaches to sedation, pain relief and neuromuscular blockade in the intensive care unit. Part I. Sedation. Clin Inten Care 2003;14:1-12.
Mailloux P and Higgins TL: Right atrial thrombus leading to altered mental status. J Cardiothor Vasc Anes. J Thor CV Anesth 2003;17(4):509-511.
Higgins TL, Jodka PG, Farid A: Pharmacologic approaches to sedation, pain relief and neuromuscular blockade in the intensive care unit. Part II. Pain Relief. Clin Inten Care 2003;14:91-98.
Higgins TL, Jodka PG, Farid A: Pharmacologic approaches to sedation, pain relief and neuromuscular blockade in the intensive care unit. Part III. Neuromuscular blockade. Clin Inten Care 2004;15(1):1-5.
Corwin HL, Gettinger A, Pearl RG, CRIT Study (Higgins TL) et al: The CRIT Study: Anemia and blood transfusion in the critically ill—Current clinical practice in the United States. Crit Care Med 2004;32(1):39-52.
Giuliano KK and Higgins TL: New-Generation Pulse Oximetry in the Care of Critically Ill Patients. Am J Crit Care 2005;14:1-13.
Higgins TL, Steingrub JS, Tidswell MA, Tereso G, McGee WT: Drotrecogin alfa (activated) in sepsis: Initial experience with patient selection, cost and clinical outcomes. J Inten Care Med 2005;20:339-345.
Moreno RP, Metnitz PGH, Almeida E, et al [SAPS 3 Investigators – Higgins TL]: SAPS 3—From evaluation of the patient to evaluation of the intensive care unit. Part 2: Development of a prognostic model of hospital mortality at ICU admission. Intensive Care Med 2005;31:1345-1355.
Higgins TL, Teres D, Copes WS, Nathanson B, Stark M, Kramer A: Assessing contemporary intensive care unit outcome: An updated Mortality Probability Admission Model (MPM0-III). Crit Care Med 2007;35:827-835.
Nathanson B, Higgins TL, Teres D, Copes W, Kramer A, Stark M: A revised method to assess ICU clinical performance and resource utilization. Crit Care Med, 2007.
Higgins TL: Quantifying risk and benchmarking performance in the adult intensive care unit. Journal of Intensive Care Medicine, 2007.