Zachary Lans, M.D., Curriculum Vitae

Pain Medicine Fellow — Beth Israel Deaconess Medical Center; Boston, MA

• Fellow physician in a comprehensive and multidisciplinary pain medicine fellowship program with high volume exposure to both fluoroscopy-guided and ultrasound-guided procedures, as well as minimally invasive surgical procedures including spinal cord stimulation, kyphoplasty, minimally invasive lumbar decompression, peripheral nerve stimulation, among others.

Anesthesiology Resident — Yale-New Haven Hospital; New Haven, CT

• Resident physician in a rigorous anesthesiology program with extensive exposure to regional anesthesia, interventional pain management procedures, major cardiac surgery, trauma, and difficult airway management.
  • Member of the Yale Young Physicians’ Leadership Curriculum – October 2021- March 2022: An exclusive program designed for residents and fellows who are interested in influencing practice and policy development at the regional and national levels. The course is designed for members to enhance leadership skills, improve networking and negotiation skills, and gain a thorough understanding of organizational behavior and healthcare finance.
  • Morbidity & Mortality Case – July, 2022: Presented a case for the West Haven VA Anesthesiology department in which a patient was inadvertently administered a toxic dose of local anesthetic during an intraoperative block.
  • Grand Rounds Journal Club Presentation – September, 2022: Presented a meta-analysis on functional hemodynamic testing in the OR and ICU settings for the Yale Department of Anesthesiology.

• USMLE Exams: Step 1, Step 2 CK, Step 2 CS, and Step 3
• ABA Basic Exam – June, 2022: Scored in the top 10% of examinees
• ABA Advanced Exam – July 2024

Residency Research Projects – Dept. Of Anesthesiology, Yale University School Of Medicine

• Retrospective cohort study: Blood pressure characteristics in arthroscopic shoulder rotator cuff repair under inhalational sevoflurane alone or in conjunction with brachial plexus block; investigating the hemodynamic effects of general anesthesia with interscalene blocks versus general anesthesia alone.
• Survey Study: The current usage of multimodal pain management in patients with IBD; Survey sent out to IBD departments at major academic institutions across the country to assess the use of multimodal pain management strategies including interventional techniques, ketamine, and anticonvulsants in this patient population. Also aiming to identify and eliminate the barriers to utilizing multimodal analgesia in hopes to lessen the usage of opioids in the treatment of IBD.
• Review Study: The effect of smoking on postoperative pain. Reviewing the current evidence of smoking as a predictor of postoperative pain, along with the neurobiological changes that occur with chronic tobacco exposure.
• Case Report: Masseter muscle botox for the treatment of chronic neck and upper back pain.

Medical School Research Projects – Rutgers-Robert Wood Johnson Medical School

• Department of Anesthesiology, Rutgers-Robert Wood Johnson Medical School
  • Phenylephrine and ephedrine in reducing hypotension from spinal block: Retrospective study investigating whether administering IV phenylephrine with IV ephedrine (versus ephedrine alone) reduced the incidence of hypotension in patients receiving intrathecal ropivacaine for cesarean section. Results showed that phenylephrine overall did not provide benefit, but was associated with increased adverse effects in this patient population.
• Department of Pediatric Surgery, Rutgers-Robert Wood Johnson Medical School
  • The utility of chest x-ray (CXR) in blunt trauma: Retrospective study evaluating whether chest x-ray is a necessary component of the initial evaluation of pediatric patients presenting with blunt chest trauma. Aiming to provide evidence against routine CXR for all pediatric blunt chest trauma patients, with the hypothesis that CXR often provides little diagnostic value and may delay necessary and time-sensitive interventions.

Harvard-Longwood Nih T35 Research Program – Boston Children’s Hospital

• Lipid emulsions in parenteral nutrition-associated liver disease (PNALD) – Mark Puder,
  M.D., Ph.D. laboratory
  • Investigated the effects of various formulations of lipid emulsions in a murine model to determine the formula with the lowest incidence of PNALD
  • Studied the mechanism of hepatoprotective effects of fish oil-based emulsions for parenteral nutrition-dependent patients by exploring the roles of vitamin E and phytosterols in hepatoprotection.
  • Isolated Kupffer cells from the livers of mice to determine whether the anti-inflammatory effects of the GPR120 receptor are essential for Omegaven-mediated protection from PNALD.

Graduate Research Thesis – Javitch Group, New York State Psychiatric Institute, Division of Molecular Therapeutics

• Investigated the relationship between odor processing and dopamine secretion in Drosophila melanogaster. The brains of Drosophila expressing fluorescent DAT and VMAT were dissected and isolated manually under a microscope, then subsequently exposed to odors. The release of dopamine was recorded and quantified in real time via detection of the activated fluorescent dopamine transporters.

• Lans Z.M., Chow R. Masseter Botox Injections for the Treatment of Chronic Neck and Back Pain. Presented at ASRA 21st Annual Pain Medicine Meeting; November, 2022; Orlando, Florida.
• Pravder H, Lans Z. Alternating Hemiplegia of Childhood: A Case Report Discussing Anesthetic Considerations in a Rare Genetic Disease. Presented (by Pravder H) at ASA 2022 Annual Meeting; October, 2022; New Orleans, LA.
• Lans Z.M., Cohen S., Mellender S., Levin D., Grant T., Kiss G. Adding Phenylephrine to Ephedrine does not Reduce Hypotension from Spinal Block. Presented at the PostGraduate Assembly in Anesthesiology; December 15, 2019; New York, New York.
• Baker, M. A., Cho, B. S., Anez-Bustillos, L., Dao, D. T., Pan, A., O’Loughlin, A. A., Lans, Z.M., Mitchell, P.D., Nosé, V., Gura, K.M. and Puder, M. (2019). Fish oil–based injectable lipid emulsions containing medium-chain triglycerides or added α-tocopherol offer anti-inflammatory benefits in a murine model of parenteral nutrition–induced liver injury. The American journal of clinical nutrition, 109(4), 1038-1050.

Rutgers-Robert Wood Johnson Medical School; Piscataway, NJ
Doctor of Medicine

• Organ Transplant Interest Group – Executive Board
• Completed Medical Spanish course

Columbia University – Institute Of Human Nutrition: New York, NY
Master of Science, Human Nutrition

• Thesis Project: The role of dopaminergic modulation and olfaction in Drosophila melanogaster

Boston University – College Of Arts And Sciences: Boston, MA
Bachelor of Arts, Chemistry; Magna Cum Laude

• Recipient of Hypercube Scholar Award: awarded to one Boston University graduate per year, recognizing excellence in research and academics in physical chemistry

The Healing Hands Foundation – Guatemala Mission Trips

• Integral member of anesthesia and surgical teams for surgical mission trips to Patzún, Guatemala.
• Evaluated patients in preoperative unit with anesthesiology team and assisted with IV access, OR turnover, and transport of patients to PACU.
• First assist for numerous cleft palate repair, scar revision, facial reconstruction, hernia repair, and tumor excision surgeries.