A Brief History

In  the summer of 2001,  James Tse, Ph.D, MD., developed this technically simple and effective
face tent as a survival technique while working at various anesthesia off-sites at Rutgers, The State
University of New Jersey (formerly University of Medicine and Dentistry of New Jersey), Robert
Wood Johnson Medical School, the Robert Wood Johnson University Hospital and RWJUH
Surgical Center. Charles Brandwein, MD,  the former President of the RWJUH Medical Staff  and
a recently retired gastroenterologist with a busy endoscopy service at the RWJ Surgical Center in
East Brunswick, and named it “Tse mask” in 2001.

We first described this Technically Simple and Effective face tent in a  correspondence
in the February 2005 issue of the Journal of Anesthesiology (
Anesthesiology 102:484,
2005).
Since 2005, we have carried out clinical studies and reported medically challenging
cases involving upper GI endoscopic procedures (EGD, EUS, ERCP, PEG),
Transesophageal Echocardiography (TEE), Cardioversion/AICD, colonoscopy,
retrobulbar block and other procedures under MAC/TIVA and induction of general
anesthesia and awake/sleep intubation.
Abstracts and medically challenging case reports were presented at Anesthesiology
meetings in Australia, Hong Kong, US, Denmark , Canada, Finland, Argentina,
Singapore, Spain, Sweden, Thailand, Germany and GI meeting (Digestive Disease Week
2008)
Please go to Publications for detail

We developed the nasal Tse-PAP mask using pediatric face masks for continuous nasal
ventilation/oxygenation during MAC, GA induction, intubation/extubation and
difficult intubation in January 2013.

Amid the COVID-19 pandemic, we combined the nasal mask and the face tent to
provide continuous oxygenation and additional provider protection during MAC and
GA in March 2020. Combining with suctioning under the face tent, it may reduce
aerosol/droplet spread.

Besides presenting >340 abstracts/medically challenging case reports at the national
and international anesthesiology meetings, we demonstrated the uses of TSE "Mask"
(face tent) and the nasal Tse-PAP mask/circuit assembly at multiple
scientific/educational exhibits at the American Society of Anesthesiologists Annual
Meetings, the New York State Society of Anesthesiologists-PostGraduate Assembly, the
International Anesthesia Research Society Annual Meeting.

We received 10 awards including the "Best Exhibit for Clinical Application" at the
NYSSA 62nd & 67th PGA, the 3rd Place ASA Award and APSF E.C. Pierce, Jr., MD,
Award for "Best Scientific Exhibit" for the 2014 ASA AM Scientific/Educational
Exhibit.  
Education & Reviews
Investigators and Contributors

(1)   

                                             
James Tse, Ph.D., M.D.
                                             
Professor of Anesthesiology
                                             
Dept. of Anesthesiology and Perioperative Medicine
                                             
Rutgers (formerly UMDNJ) Robert Wood Johnson Medical School (1990-present)    

Education: Ph.D. (Pharmacology): Emory Univ (1974-79)
Post-Doctoral Research Fellowship (Molecular Pharmacology): Univ. of  Nebraska College of Medicine (1979-
82)
M.D. and Internship: Univ. of Nebraska College of Medicine (1982-87)
Anesthesia Residency: State Univ of N Y at Stony Brook School of Medicine (1987-1990)
Major research interests: Receptor-second messenger systems and myocardial oxygenation in ventricular
hypertrophy and cardiac failure, and improving patient oxygenation and safety
& anesthesia provider
protection
during MAC and GA.
Grants and Clinical Trials: Principal Investigator of a NIA grant,  
Co-Investigator of 3 NIH grants and
Participant in multicenter clinical trials (Organon, Wyeth and Merck Sharp & Dohme Corp ).
Publications and Presentations: 61 peer-reviewed original articles, 420 abstract/medically challenging case
presentations
(please the partial list under Publications) and 26 Scientific/Educational Exhibits (please see the
partial lis under Education)
.

(2)   Shaul Cohen, M.D., Professor of Anesthesiology, Chief of OB Anesthesia, Rutgers (formerly UMDNJ)
RWJMS, has performed the IRB approved upper GI endoscopy study and  is the major driving force  in
conducting other studies.

(3)   Christine Hunter Fratzola, M.D., Professor of Anesthesiology, General Anesthesia Chief, former Chairman
of the Department of Anesthesiology, Rutgers (formerly UMDNJ) RWJMS, assisted review of abstracts and
experimental designs.

(4)   Sylviana Barsoum, M.D., Professor of Anesthesiology, former Chairman of Performance  Improvement,
UMDNJ-RWJMS.

(5)   Tamir Ben-Menachem, M.D., former Associate Professor of Medicine, former Director of Gastrointestinal
Endoscopy and former Director of GI Oncology, UMDNJ-RWJMS

(6)   Daniel M. Shindler, M.D., F.A.C.C., Professor of Medicine and Anesthesiology, Director of
Echocardiography Laboratory, Rutgers (formerly UMDNJ) RWJMS

(7)   Stefanie Berman, M.D., former Associate Professor of Anesthesiology, Rutgers (formerly UMDNJ)
RWJMS, developed the simple and quick rescue technique using an ETT connector to connect an anesthesia
breathing circuit and a nasopharyngeal airway in patients with upper airway obstruction. This technique
dramatically improves the oxygenation in deeply-sedated patients in prone or jackknife position when chin-lift,
nasopharyngeal airway and/or TSE "Mask" fail to maintain patent airway and correct desaturation.
(Please go
to H
ome page for detail)

(8)   Mordechai Bermann, M.D., former Associate Professor of Anesthesiology, former Director of Human
Patient Simulation Laboratory, Rutgers (formerly UMDNJ) RWJMS, former President of NJSSA.

(9)   Mary Corless, RN, RWJUH Echocardiology Lab, has been using and teaching the use of  TSE “Mask”
during cardiologist-performed sedation and TEE procedures.

(10)  Jacqueline Gladdis, RN, RWJUH Endoscopy/Bronchoscopy Suite, first to show effectiveness of  TSE
“Mask” as a rescue device during the pulmonologist-performed sedation and bronchoscopy. She called it
“Totally Simple and Easy."

(11) Adhev Kuppusamy, M.D., former Pain Fellow, UMDNJ-RWJMS. His pre-Anesthesia Residency project
was  to obtain the IRB approval for the prospective upper endoscopy study.

(12) Shruti Shah, M.D., had participated in data analysis, abstract preparation and presentation.

(13) JoAnn Szark, R.N., former RWJUH Endo nurse, suggested to keep a 14 Fr suction catheter in the
oropharynx for frequent intermittent suction during upper endoscopy. We find a 14 Fr  orogastric tube with
multi-orifices to be effective in clearing oropharyngeal fluid during prolonged upper GI endoscopy. We called it
"
JoAnn's Catheter".  We use it in the patients with normal esophagus.  After the endoscope is inserted and
the manipulation of the probe is minimal, we gently place it in the orophaynx to avoid causing injury to the
esophagus.    

(14) Orlando Gopez, C.R.N.A., M.S., former CRNA Chief, Rutgers (formerly UMDNJ) RWJMS, first  to
demonstrate the effectiveness of  TSE “Mask” at the other UMDNJ hospital in Newark.

(15) Kashif Siddiqi, M.D., former Anesthesia Resident, suggested to tape the sharp edges of the fluid-shield
surgical mask to avoid corneal abrasion.

(16) Aram V. Manoukian, M.D., former Associate Professor of Medicine, UMDNJ-RWJMS, first to show the
effectiveness of  TSE "Mask" as a rescue device during endoscopist-performed sedation.

(17) Rose Alloteh, M.D., Associate Professor of Anesthesiology, Rutgers (formerly UMDNJ) RWJMS, suggested
a study to compare nasal CPAP mask and TSE "Mask" for patients with OSA during EGD in Decembe 2012. Dr.
Tse assembled the makeshift nasal mask/circuit and successfully used it on patients in January 2013. Dr. John
Denny, former Professor of Anesthesiology, Rutgers (formerly UMDNJ) RWJMS, named it
"TSE-Alloteh
Nasal CPAP".
Please go to Home Page for detail

(18) Attending physicians who have participated in clinical studies, Scientific & Educational
Exhibits or teaching medical students, residents, fellows and other health care providers the
use a TSE "Mask":

(A) Anesthesiologists:
Past and Present Rutgers (formerly UMDNJ) RWJMS Attendings
: Shaul Cohen, M.D., Christine
Hunter Fratzola, M.D., Sylviana Barsoum, M.D.,
Mordechai Bermann, M.D.,  Dora Zuker, M.D., Maria Negron,
M.D., Dennis B. Hall, M.D., Vincent Cirella, M.D., Vincent DeAngelis, M.D., Howard Denenberg, M.D., John
Denny, M.D., Tracey Enlow, M.D., Kashif Siddiqi, M.D., Rose Alloteh, M.D., Stefanie Berman, M.D., Enrique
Pantin, M.D., Steven Ginsberg, M.D., William R. Grubb, D.D.S., M.D., Renu Chhokra, M.D., Valerie McRae, M.
D., Samuel Kiel, M.D.,  Ashraf Sakr, M.D., Kang Rah, M.D.,
Shruti Shah, M.D., Jorge Mendez, M.D., Scott
Mellender, M.D., Niloufar Pourmasiha, D.O., Christian McDonough, M.D., Tejal Mehta, M.D.,
Sal Zisa, M.D.,
Mohammed Yusuf Khan, M.D., Julie Mathew, M.D., Leigh Nelson-Lane, M.D., Laurie Spina, M.D., Ryan Sison,
M.D., Sameet Syed, M.D., Melissa Wu, M.D., Gina George, M.D., Antonio Chiricolo, M.D.

University Surgical Center, East Brunswick, NJ: Asher Yama, M.D., Nishat Zedie, M.D., Kalpana Nandiwada, M.
D.

State University of New York, Stony Brook, Health Sciences Center: Maria Lagade, M.D., Associate Professor
of Clinical Anesthesiology, Pediatrics and School of Health Technology and Management.

Virtua Health Marlton & Berlin Division: Primo Maestrado, M.D.

(B)
Cardiologists: Daniel M. Shindler, M.D., F.A.C.C., Dwayne W. Siu, D.O.

(C)
Gastroenterologists: Tamir Ben-Menachem, M.D., Aram V. Manoukian, M.D., Hazar Michael, M.D.,
Jesse Houghton, M.D., Ira Merkel, M.D., Chirag Trivedi, M.D., Aparna Repaka, M.D., Alexander F. Rapisarda,
M.D., Nancy Chen, M.D. (GI Fellow)

(D)
Pulmonologist: Sabiha Hussain, M.D.

(19)
Past and present Anesthesia residents, Pain fellows and CRNAs who have participated in
clinical studies, Scientific & Educational Exhibits and teaching medical students and other
health care providers:
Primo Maestrado, M.D., Kalpana Nandiwada, M.D., Paul Stricker, M.D., Jessica Cebula, D.O., Deena New, M.D.,
Jay Tuchman, M.D., Shruti Shah, M.D., Alexander Delaney, M.D., Davin Soehnen, M.D., Howard Chen, M.D.,
Scott Mellender, M.D., Radhika Radhakrishnan, M.D., Jeff Schneider, M.D., Sal Zisa, M.D., Adrianna Marrese,
M.D., Farys Chowdhury, D.O., Marie Reffler,M.D., Imran Safdar, M.D., Rahul Sood, D.O., Radhika Siriki, M.D.,
Frederick Balzer, M.D., Peter Chung, M.D., Heena Khan, D.O., Stephen Lemke, D.O., Jasleen Lyall, M.D.,
Christian McDonough, M.D., Tejal Patel, M.D., Niloufar Pourmasiha, D.O., Danny Chaung, D.O., Wendy Daley,
M.D., Kristoffer deLara, M.D., Julian Kertsman, M.D., Asad Khan, D.O., Khuram Khan, D.O., Arleen Lamba, M.
D., Sara LaSalle, D.O., Tejal Mehta, M.D., Batul Razvi, M.D., Sumita Bery, M.D.,

Akwasi Amponsah, M.D., Jana Janco, M.D., Margit Kaufman, M.D., Mohammed Yusuf Khan, M.D., Julie
Mathew, M.D., Leigh Nelson-Lane, M.D., Purvi Patel, M.D., Sana Shaikh, M.D., Michael J. Wong, M.D., May
Fernadez, M.D., Kristen Dauphinee, M.D., A. Sahani Panjwani, M.D., Darrick Chyu, M.D.,  Gina George, D.O.,
Branson Collins, M.D., Oliver Choo, M.D., Melissa S. Wu (Tu), M.D., Sloane Yeh, M.D., Harris Shaikh, M.D.,
Candy Anim, M.D., Jane Kim, M.D., Tatyana Shkolnikova, M.D., Heather Skiff, D.O., Andrew Burr, D.O., Aliraza
D. Dinani, M.D., Sabrina Haque, M.D., Sana M. Shaikh, M.D., Ankit Kapadia, M.D., Mohammad Chaudhry, M.D.,
Aysha Hasan, M.D., Neethu Kumar, M.D.,  David Delatte, M.D., Brian Raffel, D.O., Ibraheem Khan, M.D.,
Amanda Douette, M.D., Matthew Johnson, M.D., Alexander Kahan, M.D.

Paula Murcia, M.D. (Visiting Anesthesia Resident, Hospital Universitario San Ignacio, Pontificia Universidad
Javeriana, Bogota, Colombia)

Gabriela Agamez Medina, M.D. (Visiting Anesthesia Resident, Hospital Universitario Fundacion Alcorcon,
Madrid, Spain)

Hugo Razo, M.D. (Emergency Medicine Resident,  (formerly UMDNJ) New Jersey Medical School)

Orlando Gopez, C.R.N.A., M.S., Amy Crisp, Senior  C.R.N.A., Yvelse Bargman, C.R.N.A., Sharon Morgan, C.R.N.
A., Anthony Smith, C.R.N.A., Andrew Prusan, C.R.N.A., Kristen Kelly, C.R.N.A., Stanley Sowa, C.R.N.A., Kate
Novak, C.R.N.A., Ashley Glor, C.R.N.A., Bruno Beja-Umukoro, M.S.N., C.R.N.A., A.P.N., Tom Zimmerman, C.R.
N.A., A.P.N., M.S.N., P.A.-C, R.N., Daphne Anudon, C.R.N.A., A.P.N.,  Hansatu Nanguang, C.R.N.A., A.P.N.,
Elzbieta Samojluk, C.R.N.A., A.P.N., Tanya Milask, C.R. N.A., A.P.N., Lisa Barszczewski, C.R.N.A., A.P.N.,
Mariah Reilly, S.R.N.A., Temi Ajibade, C.R.N.A., A.P.N., Kenneth Truesdale, C.R.N.A., A.P.N.

(20) RWJUH  nurses and technicians are
always ready to use or offer a TSE "Mask" to any anesthesia
providers, GI endoscopists, cardiologists or pulmonologists:

Echocardiology Lab:
Mary Corless, R.N., Emma Lapena, R.N.

Endoscopy/Bronchoscopy Suite/OR: Jacqueline Gladdis, R.N., JoAnn Szark, R.N., Mary Corless, R.N.,
Maureen Chironno, R.N., Angie Levinson, R.N., Marylou Sieteski, R.N., Molly John, R.N., Therasa Singley, R.N.,
Barbara Affrunti, R.N., Lenora Patten, R.N., C.G.R.N., Director of Nursing (Endo. Suite), Nancy Urban, R.N.,
Endo. Head Nurse, Carol Edsell, R.N., Maricris Elon, R.N., Lisa Falk, R.N., Margalie Johnson, R.N., Joy Santa
Maria, R.N., Rosann Sewitch, R.N., Natalie Uzoaru, R.N., Cicily Vincent, R.N., Kimberly Daloia, R.N., John Jason
Buliyat, B.S.N., R.N.F.A., C.N.O.R., Cristina Demone, R.N., Chelsea Niper, R.N.

Sonya Showell, Endo. Lead Tech.,  Mike Alvarez, Endo. Tech., Josephine Cunningham, Endo. Tech., Juan C.
DeJesus, Endo. Tech.,  Jonna Jackson, Endo. Tech., Sadia Orellana, Endo. Tech., Kristina Torres, Endo. Tech.,
Champa Weerasinghe, Endo. Tech., Shaun Williams, Endo. Tech., Maryanne Sirmans, Endo. staff.

Cardiac Cath Lab: Ian Chung, R.N., Andy Kim, R.N., Huckman Kwok, R.N., Chui-Shan Leung, R.N., Joe
Lombardo, R.N., Paul Hotz, R.N., Timothy Fagan, B.B.A., R.N., Deon Taylor, Anesth. Tech., Bhavna Garachh, R.
N., Elio Diaz, B.S., R.R.T.

OR/Off-Site Anesthesia: Habeeb O. Saliu, Assistant Manager Anesth. Tech., Quiana Williams, Chief Anesth.
Tech., William Heade, Anesth. Tech (Southern Ocean Medical Center), Andrea Sroczynski, Anesth. Tech.,
Linda Ortutay, Anesth. Tech, Ebonee Clark, Anesth Tech, Jorge E. Mancera, Anesth Tech

PACU: Peter Sifnakis, R.N., Jennifer Tulod, R.N.
SICU CORE: Christine Conklin, R.N.  
MRI: Senayit Kassahun, MRI Tech.
MICU: Kathleen Wagner, R.N., Kristine Vasilakis, R.N., Lindsay Eady, R.N.
Respiratory Care Services: Servillano Derikito, M.S., R.R.T.-N.P.S., Director

(21) Medical students, college students, nursing students and volunteers who have participated in clinical
studies and/or teaching the use of  TSE "Mask": Joe Nezgoda, Melissa Tu, Deeksha Chopra, Chun Ho, Cecile
Yama, Mehul Shah, Ramya Krishnan, Angela Grab, Kristen Bridges, Shirin Poustchi, Melissa A. Woo, Brian
(MengMeng) Shen, David Ende, David J. Sinopoli, B.S., M.B.A., M.P.H., Caroline Zawilski, Rajivan Maniam,
Gianna Casini, B.A., Alexander Kahan, B.A., Mohammed Adil Mohiuddin, M.B.B.S. (Diploma Anesthesia), Arpan
Patel, B.S., Erica Patel, B.S., Christine Jung, Jaimie John, Anna Pashkova, B.A., Christine Park No, B.A., M.S.,
Noah Rolleri, B.S., Sahebjit Bhasin, Anthony Fernandes, B.A., Andrea Poon, B.S., Myroslav Figura, B.S.
Alexandra Nicholas, B.S., Brittany M. Reardon, B.S., Annmarie Toma, B.S.

(22) Supporting staffs who helped preparing photographies and posters: Nancy Szkodny (Psychiatry), Janice
Gawales (Anesthesia), Sharon Waring (Surgery), Wendy Kuziemski (Anesthesia)
TSE "Mask"

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