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 demonstrated the use of TSE "Mask" (face tent) and the nasal TSE-PAP
mask/circuit assembly at Scientific and Educational Exhibits (3-day
demonstrations) at the 2006, 2007, 2008, 2009, 2012, 2013, 2014 and 2015
American Society of Anesthesiologists Annual Meetings, the New York State
Society of Anesthesiologists-62nd, 63rd, 64th, 65th, 67th and 69th
PostGraduate Assembly (2-day demonstration), the International Anesthesia
Research Society 2010, 2011 and 2012 Annual Meeting (3-day demonstrations).

We received 7 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, Acting Director of Research, Dept of
Anesthesiology, 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 Sch of Med (1987-1990)
Major research interests: Receptor-second messenger systems and myocardial oxygenation in ventricular
hypertrophy and cardiac failure, and improving patient oxygenation and safety during sedation, MAC and
TIVA.
Grants and Clinical Trials: Principal Investigator of a NIA grant,  
Co-Investigator of 3 NIH grants and
Participant in multicenter clinical trials (Organon and Wyeth).
Publications and Presentations: 60 peer-reviewed original articles, 256 abstract/medically challenging case
presentations and 19 Scientific/Educational Exhibits.
umg.umdnj.edu/public/directory/doctor2.asp?doctor=750090204

(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.
umg.umdnj.edu/public/dirctory/doctor2.asp?doctor-714506756  

(3)   Christine Hunter Fratzola, M.D., Associate Professor of Anesthesiology, Chairman of the Department of
Anesthesiology, Rutgers (formerly UMDNJ) RWJMS, assists review of abstracts and experimental designs.
(4)   Sylviana Barsoum, M.D., Associate Professor of Anesthesiology, Associate Clinical Director, Chairman of
Performance  Improvement, UMDNJ-RWJMS, retrospective reviews of the effectiveness of  TSE "Mask".

(5)   Tamir Ben-Menachem, M.D., 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., 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 Home page for detail)

(8)   Mordechai Bermann, M.D., Associate Professor of Anesthesiology, Director of Human Patient Simulation
Laboratory, Rutgers (formerly UMDNJ) RWJMS, President of NJSSA, has been working on a video
demonstration of the use TSE "Mask" using a simulator.

(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., has 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., 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., 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., Assistant 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, Associate 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 help preparing photographies and posters: Nancy Szkodny (Psychiatry), Janice
Gawales (Anesthesia), Sharon Waring (Surgery), Wendy Kuziemski (Anesthesia)
TSE "Mask"

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