Steven A Robicsek

Steven A Robicsek, MD, PhD

Professor Of Anesthesiology, Neurosurgery & Neuroscience

Department: MD-ANESTHESIOLOGY-GENERAL
Business Phone: (352) 273-8960
Business Email: robicsek@ufl.edu

About Steven A Robicsek

My name is Steven Robicsek and I am a professor of anesthesiology, and joint professor of neurosurgery and neuroscience. I am also the Medical Director of Intraoperative Neuromonitoring (NIOM) at UF Health and the Director of the Neuroanesthesiology Fellowship program. I joined the UF Department of Anesthesiology as an assistant professor in 2001. I earned a master’s degree in medical sciences and PhD in pharmacology and therapeutics from the University of South Florida. After receiving a medical degree from George Washington University in Washington, D.C., I completed my anesthesiology residency and neuroanesthesiology fellowship here at the University of Florida.

In 2008, I became the principal investigator of a five-year RO1 NINDS grant to elucidate and characterize neuronal biomarkers (Svingos et al. 2022, Mondello et al. 2012, Brophy 2010, Papa et al. 2010, 2008) and pathophysiology (Tóth et al. 2015) in severe traumatic brain injury. Additional research and clinical interests include advanced cardiac (ACLS) and advanced trauma life support (ATLS), autoregulation (Small et al. 2022), neurophysiologic monitoring (Levy et al. 2023, Rabai et al., 2022, Robicsek et al. 2017), traumatic brain injury pathophysiology Tóth et al. 2015, neuroprotection strategies, embolic and hemorrhagic stroke (Hoh et al. 2023, Vlisides et al. 2020, Mashour et al. 2014), postoperative urinary dysfunction (Porsche et al. 2024, 2023, 2021), perioperative fluid management, postoperative visual loss (Lee et al. 2012), endovascular repair of thoracic and abdominal aortic aneurysms (Berg et al. 2021), venous air embolism (Hooper A et al. 2009), neuropharmacology (Mahanna et al. 2013, LeClaire et al. 2013, Robicsek et al. 1992, 2004, 2008), intracellular second messenger regulation of lymphocytes (Robicsek et al. 1991, 1990) and international medical outreach (www.heineman.org).

Additional Positions:
Medical Director of Intraoperative Electrophysiology
2015 – Current · University of Florida
Director, Neuroanesthesiology Fellowship
2012 – Current · University of Florida
Faculty, Movement Disorders & Neurorestoration, Fixel Center for Neurological Diseases
2011 – Current ·

Teaching Profile

Courses Taught
2009
MEL7946 Elect Top/Anesthesiol
2009
BCC7100 Life Support Skills

Board Certifications

  • Anesthesiology
    American Board of Anesthesiology

Clinical Profile

Specialties
  • Anesthesiology
Areas of Interest
  • Acute Ischemic Stroke
  • Adult Brain Tumors
  • Aortic aneurysm repair – endovascular
  • BAER – brainstem auditory evoked response
  • Brain Aneurysm Repair
  • Brain aneurysm
  • Carotid artery disease
  • Neurosciences
  • Orthopaedic Spinal Injuries
  • Stroke
  • Traumatic Brain Injury

Publications

2024
Leveraging machine learning to develop a postoperative predictive model for postoperative urinary retention following lumbar spine surgery.
Frontiers in neurology. 15 [DOI] 10.3389/fneur.2024.1386802. [PMID] 38988605.
2024
Risk factors for postoperative urinary retention after deep brain stimulation surgery: the role of the subthalamic nucleus.
Journal of neurosurgery. 141(1):221-229 [DOI] 10.3171/2023.11.JNS231668. [PMID] 38306648.
2023
2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association.
Stroke. 54(7):e314-e370 [DOI] 10.1161/STR.0000000000000436. [PMID] 37212182.
2023
Bipolar Radiofrequency Ablation of a C2 Osteoblastoma Using Motor-Evoked Potentials for Intraprocedural Neuromonitoring.
Journal of vascular and interventional radiology : JVIR. 34(9):1619-1622 [DOI] 10.1016/j.jvir.2023.06.008. [PMID] 37315684.
2023
Chronic thoracic pain after cardiac surgery: role of inflammation and biomechanical sternal stability.
Frontiers in pain research (Lausanne, Switzerland). 4 [DOI] 10.3389/fpain.2023.1180969. [PMID] 37637509.
2023
Pre-operative prediction of post-operative urinary retention in lumbar surgery: a prospective validation of machine learning model.
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 32(11):3868-3874 [DOI] 10.1007/s00586-023-07954-4. [PMID] 37768336.
2022
Predicting Clinical Outcomes 7-10 Years after Severe Traumatic Brain Injury: Exploring the Prognostic Utility of the IMPACT Lab Model and Cerebrospinal Fluid UCH-L1 and MAP-2.
Neurocritical care. 37(1):172-183 [DOI] 10.1007/s12028-022-01461-y. [PMID] 35229233.
2022
Preoperative prediction of postoperative urinary retention in lumbar surgery: a comparison of regression to multilayer neural network.
Journal of neurosurgery. Spine. 36(1):32-41 [DOI] 10.3171/2021.3.SPINE21189. [PMID] 34507288.
2022
Utility of evoked potentials during anterior cerebral artery and anterior communicating artery aneurysm clipping.
Clinical neurophysiology practice. 7:228-238 [DOI] 10.1016/j.cnp.2022.07.001. [PMID] 35935596.
2022
What are we measuring? A refined look at the process of disrupted autoregulation and the limitations of cerebral perfusion pressure in preventing secondary injury after traumatic brain injury.
Clinical neurology and neurosurgery. 221 [DOI] 10.1016/j.clineuro.2022.107389. [PMID] 35961231.
2020
Blood-Related Toxicity after Traumatic Brain Injury: Potential Targets for Neuroprotection.
Molecular neurobiology. 57(1):159-178 [DOI] 10.1007/s12035-019-01766-8. [PMID] 31617072.
2020
Perioperative Care of Patients at High Risk for Stroke During or After Non-cardiac, Non-neurological Surgery: 2020 Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care.
Journal of neurosurgical anesthesiology. 32(3):210-226 [DOI] 10.1097/ANA.0000000000000686. [PMID] 32433102.
2018
Temporal Profile of Microtubule-Associated Protein 2: A Novel Indicator of Diffuse Brain Injury Severity and Early Mortality after Brain Trauma.
Journal of neurotrauma. 35(1):32-40 [DOI] 10.1089/neu.2017.4994. [PMID] 28895474.
2017
Role of Interleukin-10 in Acute Brain Injuries.
Frontiers in neurology. 8 [DOI] 10.3389/fneur.2017.00244. [PMID] 28659854.
2015
Biomarkers improve clinical outcome predictors of mortality following non-penetrating severe traumatic brain injury.
Neurocritical care. 22(1):52-64 [DOI] 10.1007/s12028-014-0028-2. [PMID] 25052159.
2015
Lateral Ventricle Volume Asymmetry Predicts Midline Shift in Severe Traumatic Brain Injury.
Journal of neurotrauma. 32(17):1307-11 [DOI] 10.1089/neu.2014.3696. [PMID] 25752227.
2014
Contralateral and Third Ventricular Compression Are Early Ct Signs Heralding Secondary Infarcts in Non-Penetrating Severe Traumatic Brain Injury
Journal of Neurotrauma. 31(5)
2014
Conventional Vs Quantitative Approach in Assessing Post-Traumatic Ventriculomegaly and Its Relation To 6-Month Outcomes in Severe Traumatic Brain Injury
Journal of Neurotrauma. 31(5):A66-A67
2014
Human traumatic brain injury induces autoantibody response against glial fibrillary acidic protein and its breakdown products.
PloS one. 9(3) [DOI] 10.1371/journal.pone.0092698. [PMID] 24667434.
2014
Lateral Ventricle Volume Asymmetry Predicts Midline Shift in Severe Traumatic Brain Injury
Journal of Neurotrauma. 31(12)
2014
Microtubule-Associated Protein 2 (Map2) Csf Biokinetic Characteristics Are Associated With Poor Outcomes in Severe Tbi Patients
Journal of Neurotrauma. 31(12)
2014
Perioperative care of patients at high risk for stroke during or after non-cardiac, non-neurologic surgery: consensus statement from the Society for Neuroscience in Anesthesiology and Critical Care*.
Journal of neurosurgical anesthesiology. 26(4):273-85 [DOI] 10.1097/ANA.0000000000000087. [PMID] 24978064.
2014
Y Lateral Ventricle Volume Asymmetry Is Related To Spectrin Breakdown
Journal of Neurotrauma. 31(5):A67-A68
2012
Assessing a Necrosis and Apoptosis Index Using Csf Alpha Ii-Spectrin Breakdown Product Levels in Severe Tbi
Journal of Neurotrauma. 29:A93-A94
2012
Clinical utility of serum levels of ubiquitin C-terminal hydrolase as a biomarker for severe traumatic brain injury.
Neurosurgery. 70(3):666-75 [DOI] 10.1227/NEU.0b013e318236a809. [PMID] 21937927.
2012
Early Csf Levels of Uch-L1 Are Associated With Measures of Injury Severity in Patients With Severe Tbi
Journal of Neurotrauma. 29
2012
Early Csf Levels of Uch-L1 Are Associated With Measures of Injury Severity in Patients With Severe Tbi
Journal of Neurotrauma. 29
2012
Exposure Characteristics of Uch-L1 in Csf Are Associated With 6-Month Outcome in Severe Tbi
Journal of Neurotrauma. 29
2012
Marshall Classification Versus the Rotterdam Score in Predicting 6-Month Mortality in Severe Tbi
Journal of Neurotrauma. 29:A191-A192
2012
Predicting Mortality in Severe Tbi Using the Impact Score and Early Csf Map-2 Levels
Journal of Neurotrauma. 29
2012
Predicting Poor 6-Month Outcome in Severe Tbi Using the Impact Score and Early Csf Biomarkers
Journal of Neurotrauma. 29
2012
Risk factors associated with ischemic optic neuropathy after spinal fusion surgery.
Anesthesiology. 116(1):15-24 [DOI] 10.1097/ALN.0b013e31823d012a. [PMID] 22185873.
2012
Uch-L1 and Map-2 Biomarkers Improve 6-Month Functional Outcome Prediction in Severe Traumatic Brain Injury
Journal of Neurotrauma. 29:A42-A43
2011
Biokinetic analysis of ubiquitin C-terminal hydrolase-L1 (UCH-L1) in severe traumatic brain injury patient biofluids.
Journal of neurotrauma. 28(6):861-70 [DOI] 10.1089/neu.2010.1564. [PMID] 21309726.
2011
Early Csf Levels of Uch-L1 Are Associated With Injury Severity in Patients With Severe Tbi
Journal of Neurotrauma. 28
2011
Labor and delivery in a patient with hemophilia B.
International journal of obstetric anesthesia. 20(3):250-3 [DOI] 10.1016/j.ijoa.2011.04.003. [PMID] 21641201.
2011
Quantitative Cerebrospinal Fluid Biokinetic Parameters of Alpha Ii-Spectrin Breakdown Products in Severe Traumatic Brain Injury Patients
Journal of Neurotrauma. 28
2010
Brain Tissue Oxygenation and Putative Biomarkers in Severe Traumatic Brain Injury
Intensive Care Medicine. 36
2010
The Value of Anesthesiology in Undergraduate Medical Education as Assessed by Medical School Faculty.
The journal of education in perioperative medicine : JEPM. 12(2) [PMID] 27175388.
2010
Ubiquitin C-terminal hydrolase is a novel biomarker in humans for severe traumatic brain injury.
Critical care medicine. 38(1):138-44 [DOI] 10.1097/CCM.0b013e3181b788ab. [PMID] 19726976.
2010
αII-spectrin breakdown products (SBDPs): diagnosis and outcome in severe traumatic brain injury patients.
Journal of neurotrauma. 27(7):1203-13 [DOI] 10.1089/neu.2010.1278. [PMID] 20408766.
2009
alphaII-Spectrin breakdown product cerebrospinal fluid exposure metrics suggest differences in cellular injury mechanisms after severe traumatic brain injury.
Journal of neurotrauma. 26(4):471-9 [DOI] 10.1089/neu.2008.0657. [PMID] 19206997.
2009
Gas Chromatography-Mass Spectrometry (Gc-Ms) Is Sensitive To Detect Exhaled Propofol At Both Anesthetic (Or) and Sedative (Icu) Doses in Patients On Mechanical Ventilation
Critical Care Medicine. 37
2009
Mathematical Modeling of Secondary Dose of Injury: “Area Under the Curve (Auc)” Analysis
Critical Care Medicine. 37
2009
Necrotic and Apoptotic Cell Death Processes in Severe Traumatic Brain Injury Assessed By Sandwich Elisa-Based Analysis of Alpha Ii-Spectrin Breakdown Products in Cerebrospinal Fluid – Clinical Significance and Temporal Profile
Journal of Neurotrauma. 26
2009
Uch-L1 Levels in Csf and Serum: Diagnosis and Outcome in Severe Traumatic Brain Injury Patients
Critical Care Medicine. 37
2009
Venous air embolism in deep brain stimulation.
Stereotactic and functional neurosurgery. 87(1):25-30 [DOI] 10.1159/000177625. [PMID] 19039260.
2008
Increased Csf Levels of Microtubule Associated Protein-2 (Map-2) Human Subjects With Severe Traumatic Brain Injury (Tbi)
Journal of Neurotrauma. 25
2008
Levels of Uch-L1 in Human Csf and Outcome Following Severe Traumatic Brain Injury
Journal of Neurotrauma. 25
2008
Quantitative Assays of Proteolytic Degradation of Alpha-Spectrin in Human Csf Following Severe Traumatic Brain Injury (Tbi)
Journal of Neurotrauma. 25
2008
Traumatic Brain Injury Biomarkers: a Neuroproteomic-Based Discovery, Systems Biology-Based Selection and Validation in Animal Studies
Journal of Neurotrauma. 25
2008
Use of biomarkers for diagnosis and management of traumatic brain injury patients.
Expert opinion on medical diagnostics. 2(8):937-45 [DOI] 10.1517/17530059.2.8.937. [PMID] 23495867.
2006
An audible indication of exhalation increases delivered tidal volume during bag valve mask ventilation of a patient simulator.
Anesthesia and analgesia. 102(1):168-71 [PMID] 16368824.
2004
János Balassa and the first CPR.
The American journal of emergency medicine. 22(7):622-3 [PMID] 15666277.
2003
Peri-operative intraaortic balloon assist, decreasing complications to the minimum.
The Thoracic and cardiovascular surgeon. 51(3):115-25 [PMID] 12833199.
2000
Repair of pectus excavatum. Anesthetic considerations.
Chest surgery clinics of North America. 10(2):253-9 [PMID] 10803332.
1995
Substance P stimulates murine epidermal keratinocyte proliferation and dermal mast cell degranulation in situ.
Archives of dermatological research. 287(5):500-2 [PMID] 7542862.
1992
Comparison of knitted and woven aortoiliac and aortofemoral Dacron prostheses in the same patient: a 10-year prospective study.
Journal of long-term effects of medical implants. 2(2-3):127-36 [PMID] 10148320.
1991
Multiple high-affinity cAMP-phosphodiesterases in human T-lymphocytes.
Biochemical pharmacology. 42(4):869-77 [PMID] 1651080.
1991
Prevention of retrovirus infection after injury with contaminated instruments: an experimental study.
The Annals of thoracic surgery. 52(1):74-7 [PMID] 1648894.
1990
Biological thresholds of cold-induced phrenic nerve injury.
The Journal of thoracic and cardiovascular surgery. 99(1):167-70 [PMID] 2294351.
1990
Can AIDS be prevented after injury with contaminated instruments?
The Annals of thoracic surgery. 49(6):984-6 [PMID] 2369201.
1989
Experiments with a bowl of saline: the hidden risk of hypothermic-osmotic damage during topical cardiac cooling.
The Journal of thoracic and cardiovascular surgery. 97(3):461-6 [PMID] 2918741.
1989
High pressure liquid chromatography of cyclic nucleotide phosphodiesterase from purified human T-lymphocytes.
Biochemical and biophysical research communications. 163(1):554-60 [PMID] 2549997.
1982
A new self-anchoring endocardial electrode.
Collected works on cardio-pulmonary disease. 23:77-82 [PMID] 7094566.
1981
Self-anchoring endocardial pacemaker leads: current spectrum of types, advances in design, and clinical results.
American heart journal. 102(4):775-82 [PMID] 7282524.
1980
A new temporary pacing electrode.
The Annals of thoracic surgery. 30(5):493-4 [PMID] 7436621.

Grants

Sep 2024 ACTIVE
Enhancing Anesthesia Care in Guatemala: Regional Anesthesia and Point of Care Ultrasound training
Role: Co-Project Director/Principal Investigator
Funding: HEERMANN ANESTHESIA FOU, I
Aug 2016 – Aug 2021
MISCELLANEOUS DONORS
Role: Principal Investigator
Funding: MISCELLANEOUS DONORS

Education

Fellowship – Neuroanesthesiology
2001 · University of Florida
Residency – Anesthesiology
1999 · University of Florida
Internship
1996 · Roanoke Memorial Hospital
Medical Degree
1995 · George Washington University
Ph.D. in Medicine
1990 · University of South Florida
Masters of Science
1989 · University of South Florida

Contact Details

Phones:
Business:
(352) 273-8960
Emails:
Business:
robicsek@ufl.edu
Addresses:
Business Mailing:
UNIVERISTY OF FLORIDA
PO BOX 100254
DEPT. OF ANESTHESIOLOGY
GAINESVILLE FL 326100254
Business Street:
1345 SW Center Drive, PO Box 100254
GAINESVILLE FL 32610