Legacy Emanuel Medical Center and Randall Children’s Hospital, Portland, OR
Providence East Pavilion Surgery Center, Portland, OR
Gateway Pediatric Surgery Center, Portland, OR
Duke University Hospital, Durham, NC
Texas Children's Hospital, Houston, TX
University of Washington Medical Center, Seattle, WA
Harborview Medical Center,
Seattle, WA
Seattle Children's Hospital,
Seattle, WA
Veteran Affairs Puget Sound Health Care System, Seattle, WA
Nathaniel Greene has been practicing clinical anesthesiology since the start of his residency in 2009.
He has always been interested in making the perioperative experience safer and less traumatic for all of his patients, especially children.
His practice and training has taken him to many different places across the country to learn from a large number of top experts from around the United States. He has been able to "pick and choose" from a plethora of styles and techniques offered to him to provide what he believes to be the safest and least traumatic methods of providing high quality care to children requiring anesthesia.
He has continued to refine his practice as an attending physician to be able to integrate the latest technological advances available to provide the highest quality care possible.
Peer-Reviewed Publications
Variation in Gastrostomy Tube Placement in Premature Infants in the United States.
Variation in Adult Traumatic Brain Injury Outcomes in the United States.
Bilateral Upper Lobe Bronchi Originating from the Trachea.
In Vitro Evaluation of the Fresenius Kabi CATSmart Autotransfusion System.
Airway Management in a Patient with Wolf-Hirschhorn Syndrome.
Validation of ICDPIC Software Injury Severity Scores Using a Large Regional Trauma Registry
Variation in Pediatric Traumatic Brain Injury Outcomes in the United States
Spinal anesthesia for Cesarean delivery in a woman with Neuromyelitis Optica
Modern Understanding of Cerebral Perfusion and Autoregulation
Vascular Access, Fluid Management, and Blood Transfusion in Pediatric Trauma
Measures of Executive Function and Depression Identify Patients at Risk for Postoperative Delirium
Executive Function and Depression as Independent Risk Factors for Postoperative Delirium
Book Chapters
The Pediatric Perioperative Cardiac Arrest (POCA) Registry
Pediatric Trauma and Burn Injury
Clinical Studies and Assessing Risk
Conference Proceedings
Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess
Airway management in a patient with Wolf-Hirschhorn Syndrome: A Case Report.
Cost-effectiveness of aprepitant for the prevention of postoperative nausea and vomiting
Estimation and Analysis of Unnecessarily Early Procedures in Infants Younger than Six Months of Age in the United States
Pediatric Sub-specialization and Inpatient Complication Rates for Pediatric Urology Procedures
Diffusion Tensor Imaging of Corpus Callosum Microstructure After Neonatal Cardiac Surgery is Strongly Associated with 12-Month Neurodevelopmental Outcome Scores
Effects of Surgical Palliation and Perioperative Brain Injury on Corpus Callosum Microstructural Changes in the First Year of Life in Infants with Congenital Herat Disease
Normalization of Fractional Anisotropy and Apparent Diffusion Coefficient Values Facilitate Appropriate Comparison of Corpus Callosum Microstructural Changes in the Developing Newborn.
Variation in Pediatric Traumatic Brain Injury Outcomes in the United States
The Perioperative Management of Carotid Endarterectomy Survey: Preliminary Findings
Spinal anesthesia for Cesarean delivery in a woman with Neuromyelitis optica
CT Scan Measurement Predicts Loss of Resistance Depth During Thoracic Epidural Placement
There are no consistent definitions of hemodynamic aberrations in the anesthesia literature
Measures of Executive Function and Depression Predict Postoperative Delirium
Structural Basis for the Activation of Cholera Toxin by Human ARF6-GTP
Structure Based Drug Design Targeting Cholera Toxin
Research Awards
Mary Gates Undergraduate Research Scholar, 2003-2004
Howard Hughes Medical Institute Undergraduate Research Scholar, 2004-2005
Duke Roadmap Scholarship (NIH Funded Research Training Grant) - Clinical and Translational Science Award Scholarship TL1RR024126 - 2007
First Place Poster Award - Medical Student Category at Duke University Department of Anesthesiology Academic Evening - 2008
Best Abstracts of the Meeting - Top 10 Editor's Pick at National American Society of Anesthesiologists Annual Meeting - 2008
Best Abstracts, Honorable Mention - University of Washington Department of Anesthesiology Academic Evening - 2011
Foundation for Anesthesia Education and Research (FAER) Scholar - 2011
Judy Y.L. Su Endowed Research Training Award in Anesthesiology - University of Washington Department of Anesthesiology Academic Evening - 2013
Best Abstract in Category - Pediatric Anesthesia at Western Anesthesia Residents Conference - 2013
First Place/Top Poster - Basic Science/Clinical Research Poster Presentation at Western Anesthesia Residents Conference - 2013
Best Poster Award - Congenital Cardiac Anesthesia Society Annual Meeting - 2014
American Academy of Pediatrics John J. Downes Resident Research Award - Society of Pediatric Anesthesia Annual Meeting - 2014
Grant Support
Past:
Role: Lead Investigator
PI: Allison Ross, MD
Title: A Phase IIA, Open-label, Safety and Pharmacokinetic Study of Zorvolex Capsules in Pediatric Subjects 6 to <17 Years of Age with Mild to Moderate Acute Postoperative Pain Following Elective Surgery
Sponsor: Iroko Pharmaceuticals (Philadelphia, PA)
Amount: $169,000
Duration: 2015-2016
Role: Lead Investigator
PI: Allison Ross, MD
Title: An Open-Label Single-Dose and Randomized, Double-Blind, Placebo-Controlled Multiple-Dose Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of Oxymorphone Hal for Acute Moderate to Severe Postoperative Pain in Pediatric Subjects"
Sponsor: Endo Pharmaceuticals (Dublin, Ireland)
Amount: $60,000
Duration: 2016-2019
Role: Principal Investigator
PI: Nathaniel Greene, MD, MHS, FAAP
Title: A Phase IIA, Open-label, Safety and Pharmacokinetic Study of Tivorbex capsules in Pediatric Subjects 6 to <17 Years of Age with Mild to Moderate Acute Pain Following Elective Surgery"
Sponsor: Iroko Pharmaceuticals (Philadelphia, PA)
Amount: $62,000
Salary Support: 5%
Duration: 2016-2019
Role: Lead Investigator
PI: Alex Kemper, Co-PI: Jennifer Li
Title: Surveillance of Congenital Heart Disease Across the Lifespan
Sponsor: Centers for Disease and Control (Atlanta, GA)
Amount: $1,800,000
Salary Support: 10%
Duration: 2016-2019
Role: Senior Investigator
PI: Warwick Ames
Title: A Study of Practice Behavior for Endotracheal Intubation Site for Children with Congenital Heart Disease Undergoing Surgery, Impact of Endotracheal Intubation Site on Perioperative Outcomes
Sponsor: Society of Thoracic Surgeons (Chicago, IL)
Amount: $25,000
Duration: 2016-2019
Oregon Health & Science University and Portland State University
Portland, OR, 2021-2023
Duke University Clinical Research Training Program, Durham, NC
2007-2008 and 2014-2015
University of Washington School of Public Health, Seattle, WA, 2012-2013
Duke University School of Medicine, Durham, NC, 2005-2009
University of Washington College of Arts and Sciences, Seattle, WA, 2002-2005
James A. Garfield High School, Seattle, WA, 1998-2002
Nathaniel started his education in the Seattle Public School District and attended Sacajawea and Madrona Elementary School, Washington Middle School and James A. Garfield High School. Highlights of these years include receiving the Seymour Kaplan Humanitarian Award in 1995; representing the United States playing on an international basketball tour team in England, Ireland, Wales, and the Isle of Man; being named captain on his high school cross-country and track and field teams; and representing his high school on student council multiple years.
He was then proud to enroll at the University of Washington, where he worked his way into the Honors Program, became a resident advisor, and became heavily involved as an undergraduate in a structural biology research laboratory. Having earned college credits while in high school, he was able to graduate in three years and successfully apply to the Duke University School of Medicine, where he subsequently started medical school.
At Duke, he distinguished himself by earning the Duke Roadmap Scholarship, which funded a year of research with Terri Monk investigating postoperative cognitive dysfunction after surgery in older adults which ended up being very academically productive. Accomplishments during this year made him a great fit for a research track position at the University of Washington Anesthesiology Residency Program.
While in the research track at the University of Washington, he completed the core courses for a Masters of Public Health in Epidemiology and completed a thesis as well, and would have needed additional elective credits to finish the degree formally.
After accepting a faculty position at Duke University, he completed his coursework in the Duke Clinical Research Training Program (as well as another thesis), for which the first year was completed during his research year in medical school.
After transitioning to private practice with the Oregon Anesthesiology Group in 2019, he completed a Healthcare MBA program offered jointly by Oregon Health & Science University and Portland State University.
Wait. You did what? Adventures with a Two Year Old and a New Abdominal Mass
Intraoperative Emergencies
ERAS Protocols in Pediatric Anesthesia and Beyond
Multi-Institutional Database Research: Finding Oranges Disguised as Apples
Enhanced Recovery After Surgery (ERAS) in Kids - What’s Going On Out There?
Outcomes of Children with Congenital Heart Disease Undergoing Bypass Surgery by Route of Tracheal Intubation in the United States: An Analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database
Society for Pediatric Anesthesia 2017 Annual Meeting Summary
Clinical Studies and Risk Estimates
Twitter Journal Club - Does Midazolam Prevent Postoperative Nausea and Vomiting?
Pediatric Database Research: Opportunities to Lead, Limitations to Understand, and Powerful Answers to Disseminate
Obstructive Sleep Apnea in Pediatric Anesthesia - What's New in 2015
Ketorolac in Pediatric Surgical Patients - What's the Big Deal?
Diffusion Tensor Imaging: A Unique Way to Image Microstructural Development in Neonates
Intraoperative Emergencies
Journal Club - How to Appropriately Analyze Randomized Controlled Trials - A Case Study
Normalization of Fractional Anisotropy and Apparent Diffusion Coefficient Values Facilitate Appropriate Comparison of Corpus Callosum Microstructural Changes in the Developing Newborn
Effects of Surgical Palliation and Perioperative Brain Injury on Corpus Callosum Microstructural Changes in the First Year of Life of Infants with Congenital Heart Disease
Pediatric Trauma and Burn Injury - Board Review
Journal Club - Assessing Perioperative Risk in Pediatric Patients with Heart Disease
Resident Research Track - Variation in Pediatric Traumatic Brain Injury Outcomes in the United States
Measures of Executive Function and Depression Identify Patients at Risk for Postoperative Delirium
Clinical Research Methodology, General Pediatric Anesthesia, Neurodevelopmental Effects of Anesthesia, Pediatric Trauma, Burns, and Resuscitation, Postoperative Pain Control in Pediatric Anesthesia, Epidemiology in Anesthesiology, National Variations in Clinical Outcomes
Oh No! - My next case is a 15 year old who needs this operation, but he's DNR.
I don't have the faintest idea of what to do. A 9 year old with recurrent syncope presents with acute appendicitis.
ENT can't intubate and you want to do a laparotomy in this preemie?
Single ventricle, scoliosis surgery, sans transfusion: Management of major surgery in a complex Jehovah's Witness teenager.
American Medical Association - 2005 to present
American Society of Anesthesiologists - 2008 to present
International Anesthesiology Research Society - 2010 to present
Society for Pediatric Anesthesia - 2013 to present
Congenital Cardiac Anesthesia Society - 2013 to present
Society of Pediatric Pain Medicine - 2014 to present
American Academy of Pediatrics, Specialty Fellow - 2015 to present
Society of Thoracic Surgeons, Associate Member - 2015 to present
Assistant Editor, Anesthesia & Analgesia, Healthcare Economics, Policy and Organization, 2018 - Present
Committee Member, Biomedical Informatics, Society for Pediatric Anesthesia
Committee Member, Research, Society for Pediatric Anesthesia
Committee Member, STS-CCAS Database, Society for Pediatric Anesthesia
PBLD Co-Chair, 2017 Annual Meeting Planning Committee, Society for Pediatric Anesthesia
Pediatric Anesthesia Fellowship Clinical Competency Committee, Member, 2014 - 2019
Duke University Anesthesiology Residency Selection Committee, Interviewer, 2014 - 2019
Duke University Pediatric Anesthesia Fellowship Core Faculty, Member, 2014 - 2019
Duke University Anesthesiology DataMart Committee Member, Division Representative, 2014 - 2019
Private Diagnostic Clinic Outcomes Research Team, Departmental Representative, 2015 - 2019
Duke University Anesthesiology Simulation/Crisis Resource Management Instructor, 2015 - 2019
Director, Anesthesia for Pediatric Scoliosis Surgery, 2015 - 2019
Director, Research in Pediatric Anesthesia, 2015 - 2019
Lead Consultant, Duke Perioperative Codonics Safe Label System Installation, 2016 - 2019