Staff Bibliographies
Laverne Gugino, MD, PhD, Supervising Physician, joined Sentient Medical Systems in 2003. He received his PhD and MD from the Medical College of Georgia. Since 1988, Dr. Gugino has been the Director of the Intraoperative Neurophysiological Monitoring Division which he founded within the Department of Anesthesia at the Brigham and Women's Hospital, Boston. Dr. Gugino is an Associate Professor of Anesthesia at Harvard Medical School and recently served on the Board of Directors for the American Society of Neurophysiological Monitoring.
ORIGINAL REPORTS :
- Razumovsky AY, Gugino LD, Owen JH. Advanced
neurological monitoring for cardiothoracic and vascular
surgery. Seminars Cerebrovasc Dis Stroke. 2006; 5:
141-54.
- Razumovsky AY, Gugino LD, Owen JH. Advanced neurologic
monitoring for cardiac surgery. Curr Cardiol Rep. 2006;
8(1): 17-22.
- Bhattacharyya N, Richardson ME, Gugino LD. An
objective assessment of the advantages of retrograde parotidectomy. Otolaryngol Head Neck Surg. 2004; 131(4):
392-6.
- Prichep LS, Gugino LD, John ER, Chabot RJ, Howard B, Merkin H, Tom ML, Wolter S, Rausch S, Kox WJ. The
patient state index as an indicator of the level of
hypnosis under general anesthesia. Br J Anaesth. 2004;
92(3): 393-9.
- Chabot RJ, Gugino LD. Patient state index: Titration
of delivery and recovery from propofol, alfentanil and
nitrous oxide anesthesia. Anesthesiology. 2002; 97(1):
82-9.
- Aglio LS, Kraus KH, Desai S, Romero R, Ramirez M,
Gugino LD. The use of transcranial magnetic stimulation
for monitoring descending spinal cord motor function.
Clinical Electroencephalography. 2002; 33(1): 30-41.
- Aglio LS, Kraus KH, Desai S, Romero R, Ramirez M, Levy
WJ, Gugino LD. Efficacious use of a cap shaped coil for transcranial magnetic stimulation of descending motor
paths. Clinical Electroencephalography. 2002; 33(1):
21-9.
- Gugino LD, Romero R, Aglio LS, Titone D, Ramirez M,
Pascual-Leone A, Grimson E, Weisenfeld N, Kikinis R,
Shenton ME. Transcranial magnetic stimulation
coregistered with MRI: A comparison of a guided versus
blind stimulation technique and its effect on evoked
compound muscle action potentials. Clin Neurophysiology.
2001; 112(10): 1781-92.
- John Er, Prichep LS, Valdes-Sosa P, Bosch J, Aubert E,
Kox W, Tom M, diMichele F, Gugino LD. Invariant
reversible QEEG effects of anesthetics. Consciousness
and Cognition. 2001; 10: 165-83.
- Gugino LD, Chabot RJ, Prichep L, John ER, Formanek V,
Aglio LS. Quantitative EEG changes associated with loss
and return of consciousness in healthy adult volunteers
anesthetized with propofol or sevoflurane. Br J
Anaesthesia. 2001; 87(3): 421-8.
- Gugino LD, Chabot RJ, Aglio LS, Aranki S, Dekkers R,
Maddi R. QEEG changes during cardiopulmonary bypass:
Relationship to postooperative neuropsychological
function. Clin Electroencephalogr. 1999; 30(2): 53-63.
- Potts GF, Gugino LD, Leventon ME, Grimson WEL, Kikinis
E, Cote W, Alexander E, Anderson JE, Ettinger GJ, Aglio
LS, Shenton ME. Visual hemifield mapping using
transcranial magnetic stimulation coregistered with
cortical surfaces derived from magnetic resonance
images. J Clin Neurophysiol. 1998; 15(4): 344-50.
- Danks RA, Rogers M, Aglio LS, Gugino LD, Black P.
Patient tolerance of craniotomy performed with the
patient under local anesthesia and monitored conscious
sedation. J Neurosurgery. 1998; 42(1): 28-36.
- Chabot RJ, Gugino LD, Aglio LS, Maddi R, Cote W. QEEG
and neuropsychological profiles of patients after
undergoing cardiopulmonary bypass surgical procedures.
Clin Electroencephalography. 1997; 28(2): 98-105.
- Gugino LD, Chabot RJ, Aglio LS, Maddi R, Gosnell J,
Aranki S. QEEG and neuropsychological profiles of
patients prior to undergoing cardiopulmonary bypass
surgical procedures. Clin Electroencephalography. 1997;
28(2): 87-97.
- Kraus K, Welch J, Levy J, Gugino LD, Wells M. Partial
regeneration of the sciatic nerve in rats enhances motor
excitability to magnetic stimulation. Experimental
Neurology. 1997; 143: 18-24.
- Savage EB, Gugino LD, Starr PA, Black PM, Cohn LH, Aranki SF. Pituitary apoplexy following cardiopulmonary
bypass: Considerations for a staged cardiac and
neurosurgical procedure (Case Report). European J
Cardiothorac Surg. 1994; 8: 333-6.
- Kraus KH, Gugino LD, Levy WJ, Cadwell J, Roth BJ. The
use of a cap shaped coil for transcranial magnetic
stimulation of the motor cortex. J Clin Neurophysiology.
1993; 10(3): 353-62.
- Hickey C, Gugino LD, Aglio LS, Mark JB, Maddi R, Lee
Son S. Intraoperative somatosensory evoked potentials
predict peripheral nervous system injury during cardiac
surgery. Anesthesiology. 1993; 78(1): 29-35.
- Schwartz RB, LeClercq GT, Jones KM, Sunghee A, Chabot
R, Whittemore A, Gugino LD. Predicting cerebral ischemia
during carotid endarterectomy using cerebral
angiography. Amer J Radiol. 1992; 159: 1057-61.
- Gugino LD, Kraus KH, Heino R, Aglio LS, Maddi R.
Peripheral ischemia as a comoplicating factor in
somatosensory and motor evoked potential monitoring of
aortic surgery. (Case Report). J Cardiothorac Vasc
Anesth. 1992; 6(6): 715-9.
- Gugino LD, Stoney SD, Rowinski M. Raccoon motorsensory
cortex organization: III. Motor outflow. Brain Res Bull.
1990; 24: 833-7.
- Gugino LD, Stoney SD, Rowinski M. Raccoon motorsensory
cortex organization: II. Somatosensory. Brain Res Bull.
1990; 24: 827-32.
- Gugino LD, Rowinski M, Stoney SD. Raccoon motorsensory
cortex organization: I. Somatosensory inputs to
different cytoachitectonic areas. Brain Res Bull. 1990;
24: 819-25.
- Raymond S, Steffenson S, Gugino LD, Strichartz G. The
role of length of nerve exposed to local anesthetics in
impulse blocking action. Anesth Analg. 1989; 68: 563-70.
- Gissen AG, Gugino LD, Datta S, Miller J, Covino BG.
Effect of fentanyl and sufentanil on peripheral
mammalian nerve. Anesth Analg. 1987; 66: 1272-6.
- Mark JB, Steinbrook RA, Gugino LD, Maddi R, Hartwell
BL, Shemin R, DiSesa V, Rida W. Continuous noninvasive
cardiac output monitoring via esophageal doppler
ultrasound via esophageal doppler ultrasound cardiac
surgery. Anesth Analg. 1986; 65: 1013-20.
- Liu PL, Gatt SP, Gugino LD, Covino BG. Esmolol for
control of increases in heart rate and blood pressure
during tracheal intubation after thiopental and
succinylcholine. Canad Anaesth soc J. 1986; 33: 556-62.
- Mallampati SR, Gatt SP, Gugino LD, Desai S, Waraksa B, Freiberger D, Liu PL. A clinical sign to predict difficult tracheal intubation: A prospective study. Canad Anaesth Soc J. 1985; 32(4): 429-34.
REVIEWS, CHAPTERS, and MONOGRAPHS:
- Gugino LD, Aglio LS, Edmonds HL. Monitoring motor
system function with transcranial magnetic stimulation.
In: Nuwer MR, ed. Handbook of Clinical Neurophysiology.
London: Oxford University Press, 2008. (In press).
- Gugino LD, Romero R, Ramirez M, Aglio LS, Richardson
ME. Transcranial magnetic stimulation in the
perioperative period. In: Wasserman E, Epstein C,
Ziemann U, Walsh V, Paus T, Lisanby S, eds. Oxford
Handbook of Transcranial Stimulation. London: Oxford
University Press. 2008; 20: 285-327.
- Gugino LD, Aglio LS, Yli-Hankala A. Monitoring the
electroencephalogram during bypass surgery. In: Edmonds
HL, ed. Seminars in Cardiothoracic and Vascular
Anesthesia. New York: Westminster Publications. 2004;
8(2): 61-83.
- Gugino LD, Aglio LS, Gonzalez AA. Intraoperative
spinal cord path monitoring. In: Pascual-Leone A, Davey
N, Wassermann EM, Rothwell J, eds. Handbook of Magnetic
Transcranial Stimulation London: Arnold Press. 2001; 18:
197-210.
- Gugino LD, Aglio LS, Raymond SA, Cote W, Gonzalez AA,
Black PM. Intraoperative cortical function localization
techniques. In: Loftus CM, Batjer HH, eds. Techniques in
Neurosurgery. Philadelphia: Lippincott-Raven Publishers.
2001; 7(1): 19-32.
- Gugino LD, Aglio LS, Potts G, Grimson WEL, Shenton ME,
Kikinis R, Alexander E, Ettinger GJ, Cote WA, Leventon
ME, Kraus KH, Sprung LJ, Gonzalez AA, Romero R, Black
PM. Perioperative use of transcranial magnetic
stimulation. In: Loftus CM, Batjer HH, eds. Techniques
in Neurosurgery. Philadelphia: Lippincott-Raven
Publishers. 2001; 7(1): 33-51.
- Gugino LD, Aglio LS, Edmonds H. Neurophysiological
monitoring in vascular surgery. In: Gelman S, Thomson
DA, eds. Major Vascular Surgery. Baliere's Clinical
Anaesthesiology. London: Harcourt Publishers, Ltd. 2000;
14(1): 17-62.
- Gugino LD, Aglio LS, Black PM. Cortical stimulation
techniques. In: Black PM, Kay A, eds. Operative
Neurosurgery. London: Churchill-Livingstone. 2000; 1(7):
85-97.
- Gugino LD, Potts G, Aglio LS, Alexander E, Grimson
WEL, Kikinis R, Shenton M, Black PM, Ettinger GJ, Cote
WA, Leventon M, Sprung LJ. Localization of eloquent
cortex using transcranial magnetic stimulation. In:
Alexander E, Maciunas RJ, eds. Advanced Neurosurgical
Navigation. New York: Thieme Publishers, 1998.
- Aglio LS, Gugino LD. Conscious sedation for intraoperative neurosurgical procedures. In: Loftus CM,
Batjer HH, eds. Techniques in neurosurgery.
Philadelphia: Lippincott-Raven Publishers, 2000.
- Gugino LD, Aglio LS, Segal ME, Gonzalez AA, Kraus KH.
Use of transcranial magnetic stimulation for monitoring
spinal cord paths. Seminars in Spine Surgery. 1997;
9(4): 315-336.
- Levy WJ, Kraus K, Gugino LD, Ghaly R, Draughen L,
O'Mahoney T. Electrophysiological monitoring: Spinal
surgery. In: Andrews RJ ed. Intraoperative
Neuroprotection. Baltimore: Williams and Wilkins. 1996;
20: 341-73.
- Gugino LD, Chabot RJ. Somatosensory evoked potentials.
International Anesthesiology Clinics. 1990; 28(3):
154-64.
- Gugino LD. Cadwell- Review of brain mapping- Cadwell
Spectrum 32. J Clin Neurophysiol. 1990; 7(4): 556-7.
(Review)
- Garfield J, Gugino LD. Central effects of local
anesthetic agents. In: Strichartz G, ed. Handbook of
experimental pharmacology. New York: Verlag Publishers.
1987; 81: 253-84.
LETTERS to the EDITOR:
- Gugino LD, John ER, Aglio LS. Electroencephalogram as an indicator of cerebral ischemia. Anesth Analg. 1996; 82: 890-1.
- Chabot RJ, Gugino LD. Quantitative electroencephalographic monitoring during cardiopulmonary bypass. Anesthesiology. 1993; 78(1): 209-10.
THESIS:
- Gugino LD. Somatosensory input to motor cortex and corticofugal motor outflow to cervical motoneurons in the raccoon. Augusta: Medical College of Georgia, 1974. (Dissertation)
NON-PRINT MATERIAL:
- Gugino LD, Aglio LS, Romero R. A
review of intraoperative EEG and evoked potential
monitoring techniques. In: Bailin M, et al. HEAL:
Harvard Electronic Anesthesia Library. Lippincott
Williams and Wilkins, 2001.
- Aglio LS, Cote W, Gugino LD. Demonstration of the transcranial magnetic brain mapping system. Developed at Brigham and Women's Hospital, Boston, MA. British Broadcast Company, 1996.
- Gugino LD, Aglio LS, Cote W. Demonstration of the transcranial magnetic brain mapping system. Developed at Brigham and Women's Hospital, Boston, MA. Scientific america: New Frontiers in Medicine in the 21st Century. Public Television Broadcasting, 1996.
ABSTRACTS:
- Razumovsky AY, Gugino L, Owen JH. Advanced neuromonitoring for cardiothoracic and vascular surgery.
Seminars in Stroke, 2006 (accepted)
- Razumovsky A,Y, Gugino L, Owen JH. Advanced neuromonitoring for cardiac surgery. Current Cardiology
Reports, 2006 (accepted)
- John ER, Gugino LD, Kox WJ, Prichep LS. Changes in
gamma (35-50) coherence at loss and return of
consciousness during anesthesia with various agents.
Poster Presentation at the American Society of
Anesthesiologists, New Orleans, LA. Anesthesiology
95(3A):A281, 2001.
- Gugino LD, Chabot RJ, Aglio LS, Prichep LS, Formanek
V. Patient state index assesses arousal level. Poster
Presentation at the American Society of
Anesthesiologists, New Orleans, L. Anesthesiology
95(3A):A282, 2001.
- Gugino LD, Chabot RJ, Aglio LS, Block-Salisbury E,
Prichep LS, John E.R. QEEG changes correlate with
quality of emergence from general anesthesia. Poster
Presentation at the American Society of
Anesthesiologists, New Orleans, LA. Anesthesiology
95(3A):A288, 2001.
- Romero R, Gugino LD, Aglio L, Titone D, Ramirez M, Pascual-Leone A, Grimson E, Weisenfeld N, Kikins R, Shenton ME. Benefit of a stereotactic system for spatial specificity of transcranial magnetic stimulation. Presented at the 15th International Congress of Clinical Neurophysiology, Buenos Aires, Argentina, May 16-20, 2001.











