Dr. Andrew Steel

Medical Director, Medical Surgical Neuroscience Intensive Care Unit
Interdepartmental Centre for Critical Care, Toronto Western Hospital

Contact
Email: andrew.steel@uhn.ca
Tel: 1 (416) 603 6477
Office: Toronto Western Hospital, McClellan Wing – Room 2MC411M, 399 Bathurst Street, Toronto, Ontario. M5T 2S8

Academic Appointment
Assistant Professor, Clinical Educator
Department of Anesthesiology and Interdepartmental Division of Critical Care, Faculty of Medicine, University of Toronto

Medical/Professional Qualifications
BSc, MBBS, MSc, MRCP, FRCA, FRCPC, FFICM, EDIC

Education and Training
University Degrees
2021    Master of Science (MSc.), Medical Leadership and Management, Department of Organisational Psychology, Birkbeck College, University of London, UK.
1996    Bachelor of Medicine and Bachelor of Surgery (MBBS), St. Bartholomew’s Hospital Medical College, University of London, UK.
1993    Bachelor of Science (BSc.), Anatomy and Cellular Pathology, Department of Anatomy, University College, University of London, UK.

Critical Care Medicine
2023    Fellowship (FRCPC), Critical Care Medicine, Royal College of Physicians and Surgeons of Canada, Ottawa, Canada.
2014    Fellowship (FFICM), Intensive Care Medicine, Faculty of Intensive Care Medicine, London, United Kingdom.
2007    European Diploma of Intensive Care Medicine (EDIC), Intensive Care Medicine, European Society of Intensive Care Medicine, Brussels, Belgium.

Anesthesiology
2011    Fellowship (FRCPC), Anesthesiology, Royal College of Physicians and Surgeons of Canada, Ottawa, Canada.
2008    Certificate of Completion of Specialist Training (CCT), Anesthesia and Intensive Care Medicine, Postgraduate Medical Education Training Board, London, United Kingdom.
2003 Fellowship (FRCA), Anaesthesia, Royal College of Anaesthetists, London, United Kingdom.

General Medicine
2013    Licentiate (LMCC), General Medicine, Medical Council of Canada, Ontario, Canada.
2001    Membership (MRCP), General Internal Medicine, Royal College of Physicians, London, United Kingdom.

Administrative Appointments
Medical Director Medical Surgical Intensive Care Unit, Toronto Western Hospital
Hospital Donation Physician, Toronto Western Hospital, Trillium Gift of Life, Ontario Health, Ontario, Canada
Co-Chair, Critical Care Response Teams Network, Critical Care Services Ontario, Ontario, Canada

Area of Academic Focus
Early Warning Systems
Critical Care Medicine Training
Organ and Tissue Donation

Honours and Awards
2023    Clinical Excellence Award, Department of Anaesthesia and Pain Medicine, Faculty of Medicine, University of Toronto.
2021    Distinction, Medical Leadership & Management MSc., Royal College of Physicians, London, & Department of Organisational Psychology, Birkbeck College, University of London, London, United Kingdom.
2020    Hospital Donation Champion Award, Trillium Gift of Life Network, Ontarion Health, Ontario, Canada.
2017    The John Granton Award “For outstanding contribution to Critical Care Education”, Critical Care Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
2017    Critical Care Medicine Teaching Award, Toronto General Hospital, Critical Care Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
2015    Critical Care Medicine Teaching Award, Toronto General Hospital, Critical Care Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
2011    Undergraduate Medicine Teaching Award, Wightman-Berris Academy, Faculty of Medicine, University of Toronto.
2010    Critical Care Medicine Teaching Award, Toronto General Hospital, Interdepartmental Division of Critical Care Medicine, University of Toronto.
2005    Research Methodology 1st prize, Imperial School of Anaesthesia, London, UK.
1996    Honours Colours, St. Bartholomew’s Hospital Medical College, London, UK.

Publications
Link to Pubmed

Significant Publications
Journal Articles

1. Teijeiro-Paradis R, Grenier J, Urner M, Douflé G, Steel A, Cypel M, Keshavjee S, Herridge M, Goligher E, Granton J, Ferguson N, Fan E, Del Sorbo L. Outcomes of patients with respiratory failure declined for extracorporeal membrane oxygenation: a prospective observational study. Can J Anaesth. 2023 Jul;70(7):1226-1233. Coauthor or Collaborator
2. Tejerina EE, Pelosi P, Robba C, et al; VENTILA Group. Evolution Over Time of Ventilatory Management and Outcome of Patients with Neurologic Disease. Crit Care Med. 2021; 49(7): 1095-1106. Collaborator
3. Russotto V, Myatra SN, Laffey JG, et al; INTUBE Study Investigators. Intubation Practices and Adverse Peri-intubation Events in Critically Ill Patients From 29 Countries. JAMA. 2021; 325(12): 1164–1172. Collaborator
4. Taran S, Steel AC, Healey A, Fan E, Singh J. Organ Donation in Patients on Extracorporeal Membrane Oxygenation: Considerations for Determination of Death and Withdrawal of Life Support. Can J Anesth 2020; 67: 1035–1043. Coauthor or Collaborator.
5. Landman ST, Dhaliwal I, Mackenzie CA, Martinu T, Steel A, Bosma KJ. Life-threatening bronchiolitis related to electronic cigarette use in a Canadian youth. CMAJ 2019; 191: E1321-31. Coauthor or Collaborator
6. Jerath A, Panckhurst J, Parotto M, Lightfoot N, Wasowicz M, Ferguson ND, Steel A, Beattie WS. Safety and Efficacy of Volatile Anesthetic Agents Compared With Standard Intravenous Midazolam/Propofol Sedation in Ventilated Critical Care Patients: A Meta-analysis and Systematic Review of Prospective Trials. Anesth Analg. 2017; 124(4): 1190-1199. Coauthor or Collaborator
7. Downar J, Barua R, Rodin D, Lejnieks B, Gudimella R, McCredie V, Hayes C, Steel A. Changes in End of Life Care 5 years after the Introduction of a Rapid Response Team: A multicentre retrospective study. Resuscitation. 2013; 84(10): 1339-1344. Senior Responsible Author.
8. Downar J, Rodin D, Barua R, Lejnieks B, Gudimella R, McCredie V, Hayes C, Steel A. Rapid Response Teams, Do Not Resuscitate Orders, and Missed Opportunities to Improve End-of-Life Care: A Multicentre Retrospective Study. Journal of Critical Care. 2013; 28(4): 498-503. Senior Responsible Author.
9. Galvin IM, Steel A, Pinto R, Ferguson ND, Davies MW. Partial liquid ventilation for preventing death and morbidity in adults with acute lung injury and acute respiratory distress syndrome. Cochrane Database Systematic Reviews. 2013; 7: CD003707. Coauthor or Collaborator.
10. Adeniji K, Steel AC. Pathophysiology of Acute Lung Injury. Anesthesiology Clinics. 2012; 30(4): 573-590. Co-Principal Author.
11. Beattie WS, Karkouti K, Tait G, Steel A, Yip P, McCluskey S, Farkouh M, Wijeysundera DN. Use of clinically based troponin underestimates the cardiac injury in non-cardiac surgery: a single-centre cohort study in 51,701 consecutive patients. Canadian Journal of Anesthesia. 2012; 59(11): 1013–1022. Coauthor or Collaborator.
12. Russell T. Riazi S, Kraeva N, Steel AC, Hawryluck LA. Ecstacy-induced delayed rhabdomyolysis and neuroleptic malignant syndrome in a patient with a novel variant in the ryanodine receptor type 1 gene. Anaesthesia. 2012; 67(9): 1021-1024. Coauthor or Collaborator.
13. Haas B, Gomez D, Steel AC, Nathens A. Ratio of units of red blood cells to fresh frozen plasma for severely injured patients undergoing massive transfusion (Protocol). Cochrane Database of Systematic Reviews. 2011; 3. CD009033. Co-Principal Author.
14. Carli F, Kehlet H, Baldini G, Steel A, McRae K, Slinger P. Evidence basis for regional anesthesia in multidisciplinary fast-track surgical care pathways. Regional Anesthesia and Pain Medicine. 2011; 36(1): 63-72. Co-Principal Author.
15. Steel AC, Reynolds SF. The growth of rapid response systems. Joint Commission Journal of Quality and Patient Safety. 2008; 34(8): 489-495. Principal Author.

Book Chapters

1. White, A. and Steel AC. Chapter 18 – Pathophysiology of Perioperative Lung Injury. In: Cohen’s Comprehensive Thoracic Anesthesia. E. Cohen editor. Philadelphia, Elsevier: (2022) 249-259. Co-Principal Author
2. Abrahamson S, Parotto M, Steel AC, Cardinale P. Airway management. In: ACES Guide to Crisis Resource Management e-Book. Royal College of Physicians and Surgeons of Canada 2017 Expert Reviewer
3. Doherty M, Steel AC, Ferguson N. Chapter: Mechanical Ventilation for Acute Respiratory Distress Syndrome. In: Clifford S. Deutschman and Patrick Neligan., editor(s). Evidence Based Practice of Critical Care Medicine. 2nd. Philadelphia (United States): Saunders; 2015. Co-Principal Author
4. Steel AC. Intensive Care Management of the Heart, Heart-Lung, and Lung Transplant Patient. In: Biancofiore E, Dewolf A, Klinck JR, Niemann C, Pretto E, Watts A., editor(s). Oxford Textbook of Transplant Anaesthesia and Critical Care Medicine. 2012. In Press. Principal Author.
5. Steel AC, Harrop-Griffiths W. Chapter 25: Brachial Plexus Blocks at the Axilla. Anaesthesia and Orthopaedic Surgery. Boezaart A. (Ed.). McGraw-Hill 2006. 321-330. Principal Author.