Joseph E. Tonna,
MD
Languages Spoken: English, Spanish
Dr. Joseph Tonna, MD, FACEP, FAAEM, is an Assistant Professor at the University of Utah with appointments in the Divsions of Cardiothoracic Surgery and Emergency Medicine. He is the Associate Director of Extracorporeal Membrane Oxygenation (ECMO) Services, and the Section Head of Cardiothoracic Critical Care within the Division of Cardiothoracic Surgery at the University. He works as an Attending Physician in the Cardiothoracic Intensive Care Units and in the Emergency Department. His clinical and research interests include improving the care of ICU patients, specifically, delirium prevention, enhancing sleep and mobility, process and quality improvement, ICU clinical outcomes research and extracorporeal membrane oxygenation (ECMO).
Clinical Locations
University Hospital
Emergency Medicine801-581-4314
Board Certification and Academic Information
| Academic Departments | Surgery
-
Assistant Professor (Clinical) |
| Academic Divisions | Cardiothoracic Surgery |
| Board Certification | American Board of Emergency Medicine (Emergency Medicine) American Board of Anesthesiology (Sub: Critical Care Medicine) |
Dr. Joseph Tonna, MD, FACEP, FAAEM, is an Assistant Professor at the University of Utah with appointments in the Divsions of Cardiothoracic Surgery and Emergency Medicine. He is the Associate Director of Extracorporeal Membrane Oxygenation (ECMO) Services, and the Section Head of Cardiothoracic Critical Care within the Division of Cardiothoracic Surgery at the University. He works as an Attending Physician in the Cardiothoracic Intensive Care Units and in the Emergency Department. His clinical and research interests include care and management of patients on extracorporeal membrane oxygenation (ECMO) / extracorporeal life support (ECLS), the use of extracorporeal cardiopulmonary resuscitation (eCPR) for cardiac arrest, ventilatory management during ECMO, circuit anticioagulation during ECMO, enhancing sleep in the ICU, delirium prevention, clinical alarm management, early physical mobility during critical illness, and other aspects of ICU clinical outcomes research.
Academic Locations
School of Medicine
801-587-9373
Research Interests
My research projects include:
--Selection and management of cardiac arrest patients treated with extracorporeal cardiopulmonary resuscitation (eCPR)
--Project Sleep (A clinical and research to improve the sleep of patients during critical illness)
--Ventilatory managment during extracorporeal membrane oxygenation for respiratory failure
--Agressive early mobility during critical illness
--ICU readmission reduction
--Optimization of patient and family communication
Board Certification and Academic Information
| Academic Departments | Surgery
-
Assistant Professor (Clinical) |
| Academic Divisions | Cardiothoracic Surgery |
| Board Certification | American Board of Emergency Medicine (Emergency Medicine) American Board of Anesthesiology (Sub: Critical Care Medicine) |
Research Interests
- Extracorporeal Membrane Oxygenation
- Extracorporeal support technologies and therapies
- Cardiac Mechanical Support
- Delirium in the ICU setting
- Sleep in ICU
- Alarm Systems for Patient Monitoring
- Quality Improvement
Education History
| Fellowship | University of Washington Critical Care Fellow |
| Residency | Stanford University Emergency Medicine Resident |
| Internship | Stanford University Emergency Medicine Intern |
| Professional Medical | University of California, San Francisco Medicine M.D. |
| Undergraduate | University of Chicago Biological Sciences with General Honors B.A. |
| Graduate Training | University of Utah Biostatistics/Clinical Research M.S.C.I |
Selected Publications - Journal Articles
Journal Article
- Nasr VG, Raman L, Barbaro RP, Guner Y, Tonna J, Ramanathan K, Federico P, Thiagarajan RR, Alexander PMA (2018). Highlights from the Extracorporeal Life Support Organization Registry: 2006-2017.LID - 10.1097/MAT.0000000000000863 [doi]. (Epub ahead of print) ASAIO J.
- Glotzbach JP, Sharma V, Tonna JE, Pettit JC, McKellar SH, Eckhauser AW, Varghese TK Jr, Selzman CH (2018). Value-driven cardiac surgery: Achieving "perfect care" after coronary artery bypass grafting.LID - S0022-5223(18)31470-3 [pii]LID - 10.1016/j.jtcvs.2018.03.177 [doi]. (Epub ahead of print) J Thorac Cardiovasc Surg.
- Reese T, Segall N, Nesbitt P, Del Fiol G, Waller R, Macpherson BC, Tonna JE, Wright MC (2018). Patient information organization in the intensive care setting: expert knowledge elicitation with card sorting methods. J Am Med Inform Assoc, 25(8), 1026-1035.
- Kang TS, Ko BS, Drakos SG, Stehlik J, Bott SI, Koliopoulou A, Tonna JE, Bowen ME, Stoddard K, Selzman CH, McKellar SH (2018). Safety of long-distance transfers of patients on acute mechanical circulatory support. J Surg Res, 224, 18-22.
- Wall V, Fleming KI, Tonna JE, Nunez J, Lonardo N, Shipley RW, Nirula R, Pannucci CJ (2018). Anti-Factor Xa measurements in acute care surgery patients to examine enoxaparin dose. Am J Surg, 216(2), 222-229.
- Tonna JE, Kawamoto K, Presson AP, Zhang C, Mone MC, Glasgow RE, Barton RG, Hoidal JR, Anzai Y (2018). Single intervention for a reduction in portable chest radiography (pCXR) in cardiovascular and surgical/trauma ICUs and associated outcomes. J Crit Care, 44, 18-23.
- Griffee MJ, Tonna JE, McKellar SH, Zimmerman JM (2018). Echocardiographic Guidance and Troubleshooting for Venovenous Extracorporeal Membrane Oxygenation Using the Dual-Lumen Bicaval Cannula. J Cardiothorac Vasc Anesth, 32(1), 370-378.
- Tonna JE, DeBlieux PM (2017). Awake Laryngoscopy in the Emergency Department. J Emerg Med, 52(3), 324-331.
- Tonna JE, Selzman CH, Mallin MP, Smith BR, Youngquist ST, Koliopoulou A, Welt F, Stoddard KD, Nirula R, Barton R, Fair JF 3rd, Fang JC, McKellar S (2017). Development and Implementation of a Comprehensive, Multidisciplinary Emergency Department Extracorporeal Membrane Oxygenation Program. Ann Emerg Med, 70(1), 32-40.
- Slack S, Stocklein H, Tonna JE, Younquist ST (12/2/2017). ECMO & ECPR: The new load & go destination for cardiac arrest? JEMS.
- Reese TJ, Kawamoto K, Del Fiol G, Weir C, Tonna J, Segall N, Nesbitt P, Waller R, Borbolla D, Moretti E and Wright MC (06/21/17). Approaching the Design of an Information Display to Support Critical Care. IEEE Int Conf Healthc Inform.
- Fair J, Tonna J, Ockerse P, Galovic B, Youngquist S, McKellar SH, Mallin M (2016). Emergency physician-performed transesophageal echocardiography for extracorporeal life support vascular cannula placement. Am J Emerg Med, 34(8), 1637-9.
- Tonna JE, Johnson NJ, Greenwood J, Gaieski DF, Shinar Z, Bellezo JM, Becker L, Shah AP, Youngquist ST, Mallin MP, Fair JF 3rd, Gunnerson KJ, Weng C, McKellar S (2016). Practice characteristics of Emergency Department extracorporeal cardiopulmonary resuscitation (eCPR) programs in the United States: The current state of the art of Emergency Department extracorporeal membrane oxygenation (ED ECMO). Resuscitation, 107, 38-46.
- Tonna J, Palefsky JM, Rabban J, Campos GM, Theodore P, Ladabaum U (2010). Esophageal verrucous carcinoma arising from hyperkeratotic plaques associated with human papilloma virus type 51. Dis Esophagus, 23(5), E17-20.
- Tonna JE, Lewin MR, Mensh B (2010). A case and review of noma. PLoS Negl Trop Dis, 4(12), e869.
- Tonna JE, Balanoff AM, Lewin MR, Saandari N, Wintermark M (2010). Potentially low cost solution to extend use of early generation computed tomography. West J Emerg Med, 11(5), 463-9.
- Tonna JE, Lewin MR, Hahn IH, Platts-Mills TF, Norell MA (2009). A prospective, multi-year analysis of illness and injury during summer travel to arid environments. Wilderness Environ Med, 20(2), 107-12.
Book Chapter
- Tonna JE (2013). TTP, HUS and DIC. In Shah K, Lee J, Medlej K and Weingart SD (Eds.), Practical Emergency Resuscitation and Critical Care. Cambridge University Press.
- Tonna JE, Bohn HH, Lewin MR (2012). Methylene Blue Joint Injection. In Reichman EF (Ed.), Emergency Medicine Procedures (2nd Ed., pp. 517-22). New York, NY.
Abstract
- Bartz RR, et al including Tonna JE, for the SAGE Investigators (06/01/2018). Differences Between ARDS Patients Transferred to Tertiary Care Centers Compared to Direct Admissions: Results from the Severe ARDS Generating Evidence (SAGE) Study [Abstract]. Am J Respir Crit Care Med, 197, A1119.
- Qadir N, Park PK, Bartz RR, et al including Tonna JE, for the SAGE Investigators (06/01/2018). Use of Adjunctive Therapy in ARDS: Results from the Severe ARDS Generating Evidence (SAGE) Study [Abstract]. Am J Respir Crit Care Med, 197, A5071.
- Qadir N, et al including Tonna JE, for the SAGE Investigators (06/01/2018). Management of US Patients with ARDS Requiring ECMO: Results of the Severe ARDS Generating Evidence (SAGE) Study. ; 2018;197:A5116 [Abstract]. Am J Respir Crit Care Med, 197, A5116.
- Taleb I, Koliopoulou A, Tandar A, McKellar S, Nativi-Nicolau J, Wever-Pinzon O, Gilbert E, Fang J, Stehlik J, Tonna JE, Morshedzadeh J, Ko B, Owan T, Ibrahim H, Selzman C, Welt F, Drakos S (3/30/2018).
Feasibility and Effectiveness of a Shock Team Approach in Refractory Cardiogenic Shock: Preliminary Results
[Abstract]. The Journal of Heart and Lung Transplantation, 37(4S), S316. - Fair J, Adler A, Mallin M, Ockerse P, Tonna J, Youngquist ST (11/14/2017). The Association Between Transthoracic Echocardiography, Transesophageal Echocardiography, and No Ultrasound Use on the Duration of Pulse Checks During Cardiopulmonary Resuscitation [Abstract]. Circulation, 136(Suppl 1), A21244-A21244.
- Lohse B, Johnson J, Yolken H, Noren C, Marcus R, Tonna JE (2017). Early Mobility for Critically Ill Patients in the Cardiovascular Intensive Care Unit Decreases Acute Length of Staydoi: 10.1097/CPT.0000000000000052 [Abstract]. Cardiopulonary Physical Therapy Journal, 28(1), 22-32.
- Ito, Noritoshi, Gaieski, David F, Hirose, Hitoshi, Tonna, Joseph, Nishiyama, Kei, Kitamura, Nobuya, Sakamoto, Tetsuya, Nonogi, Hiroshi, Nagao, Ken (2016). Abstract 19037: Current Status of Extracorporeal Cardiopulmonary Resuscitation for Cardiac Arrest Patients in Japan - The Results of Nationwide Questionaire [Abstract]. Circulation, 134(S1).
- Tonna J, Johnson J, Noren C, Cannon M, Marcus R, Presson A, Nirula R (2016). Ceiling Effect From Aggressive Early Mobility In Critically Ill Surgical PatientsDOI: 10.1097/01.ccm.0000509861.15936.e4 [Abstract]. Critical Care Medicine, 44(12), 372.
- Terry K, Tonna J (2016).
Anticoagulation Levels and Bleeding After Emergency Extracorporeal Cardiopulmonary Resuscitation
DOI: 10.1097/01.ccm.0000508931.37235.df [Abstract]. Critical Care Medicine, 44(12), 140. - Kang T, Ko B, Drakos SG, Stehlik J, Gilbert EM, Nativi-Nicolau J, Wever-Pinzon O, Fang JC, Koliopoulou A, Bott SI, Tonna JE, Selzman CH, McKellar SH (2016). Clinical Experience with Long-Distance Transportation of Patients on Acute Mechanical Circulatory Support Devices [Abstract]. The Journal of Heart and Lung Transplantation, 35(4), S392-S393.
- Katherine Reigstad, Ragheed Al-Dulaimi, Mary Mone, Joseph Tonna, Richard Barton, Larry S Kraiss, Benjamin S Brooke (2016). Predicting ICU Readmission Among Vascular Surgery Patients: Development of A Predictive Nomogram [Abstract]. Annals of Vascular Surgery, 34, 29-30.
- Tonna JE, Kawamoto K, Presson A, Zhang C, Mone M, Glasgow R, Barton RG, Hoidal J, Anzai Y (2016). Pragmatic Single Intervention for A Sustained Reduction in Portable Chest Radiography (pCXR) in Cardiovascular and Surgical/Trauma Intensive Care Units and Associated Outcomes [Abstract]. CHEST Journal, 150(4_S).
- Martin LA, Tonna JE, Brooke BS (2016). Predicting ICU Readmission Among Surgical Patients: Development and Validation of a Predictive Nomogram [Abstract]. American College of Surgeons Clinical Congress 2016, 223(4), S43.
- Tonna JE, Clark CR, Fogg BR, Youngquist S (2015). End-tidal Carbon Dioxide During Resuscitation is Associated With CPR Depth and Ventilatory Rate [Abstract]. American Heart Association Circulation, 132(2015), A17380.
Other
- Reigstad K, Al-Dulaimi R, Mone M, Tonna JE, Barton RG, Kraiss LS, Brooke BS (02/07/2016). Predicting ICU Readmission Among Vascular Surgery Patient: Development of A Predictive Nomogram. (2016). Park City: Vascular Endovascular Surgical Society Winter Meeting.
- Tonna JE, Rapoport L, Swaminathan A (2014). Intubating the Hemodynamically Unstable Patient. EM Resident Magazine.
Video/Film/CD/Web/Podcast
- Emergency Medical Abstracts (05/01/2017).
Interview: Practice Characteristics Of Emergency Department Extracorporeal Cardiopulmonary Resuscitation (Ecpr) Programs In The United States: The Current Sate Of The Art Of Emergency Department Extracorporeal Membrane Oxygenation (ED Ecmo)
Interview with Joseph E. Tonna, MD [Podcast]. EM:RAP. Available: www.emrap.org. - Tonna J, Youngquist S, McKellar S, Shinar Z (06/09/2016). The University of Utah EDECMO Experience and the ERECT Collaborative [Podcast]. ED ECMO Podcast. Available: http://edecmo.org/edecmo-28-utah/.
- Tonna, JE (09/12/2016). Extracorporeal Cardiopulmonary Resuscitation in the Emergency Department [Web]. American College of Emergency Physicians, Critical Care Section Newsletter. Available: https://www.acep.org/_Critical-Care-Section-MicroSite/Extracorporeal-Cardiopulmonary-Resuscitation-in-the-Emergency-Department/.
Global Impact
Selected Provider Publications
Abstract
Ito, Noritoshi, Gaieski, David F, Hirose, Hitoshi, Tonna, Joseph, Nishiyama, Kei, Kitamura, Nobuya, Sakamoto, Tetsuya, Nonogi, Hiroshi, Nagao, Ken (2016). Abstract 19037: Current Status of Extracorporeal Cardiopulmonary Resuscitation for Cardiac Arrest Patients in Japan - The Results of Nationwide Questionaire [Abstract]. Circulation, 134(S1).
Global Impact: Japan.
Service
| 10/17/2017 | Committee Member | Registry Scholarly Oversight Committee (SOC) | Global |