Andrew Steel

Andrew graduated from the Medical College of St. Bartholomew’s Hospital, University of London, UK, and completed residency training in both General Internal Medicine and Anesthesiology in London, UK. In 2007, after finishing his Intensive Care training, he moved to Canada for a Clinical Fellowship in Critical Care Medicine at the University Health Network (UHN) and Mount Sinai Hospitals, Toronto. He then completed fellowship training in Cardiothoracic Anesthesia and was appointed to the Department of Anesthesia and Interdepartmental Division of Critical Care as an Attending Staff in June 2009.

Andrew was an attending physician at Toronto General Hospital in the Medical-Surgical ICU and Cardiovascular ICU from 2009 until 2022. During this period, he developed expertise in the intraoperative and postoperative management of lung and liver transplant patients. In addition, he became expert in the use of ECMO for the management of severe respiratory and heart failure. Whilst at Toronto General, Andrew was Medical Director of the Critical Care Response Team, and Fellowship Director and Education Lead for Critical Care at the University Health Network.

In 2022, Andrew transferred to Toronto Western Hospital to take up the position of Medical Director of the Medical Surgical Neuro Intensive Care Unit.

Appointments

Medical Director Medical Surgical Intensive Care Unit, Toronto Western Hospital, 2022 – Present

Hospital Donation Physician, Toronto Western Hospital, Trillium Gift of Life, Ontario Health, Ontario, Canada. 2022 – Present

Co-Chair, Critical Care Response Teams Network, Critical Care Services Ontario, Ontario, Canada. 2019 – Present

Past Appointments

Remediation Coordinator, Department of Anesthesia, Faculty of Medicine, University of Toronto. 2018 – 2020.

Faculty Mentor, Department of Anesthesia, Faculty of Medicine, University of Toronto. 2015 – 2020.

Program Director, Adult Critical Care Medicine Residency and Clinical Fellowships, Interdepartmental Division of Critical Care Medicine, University of Toronto, 2014 – 2016

Program Director, Critical Care Medicine Fellowship, University Health Network and Mount Sinai Hospital. 2009 – 2016.

Medical Director, Critical Care Response Team, Toronto General Hospital, 2009 – 2018.

Staff Intensivist, Medical-Surgical ICU and Cardiovascular ICU, Toronto General Hospital and Mount Sinai Hospital, 2009 – 2022.

Staff Intensivist, Medical-Surgical ICU, Mount Sinai Hospital, 2009 – 2022

Staff Anesthesiologist, Toronto General Hospital, 2009 – 2022

Honours and Awards

2023    Clinical Excellence Award, Department of Anaesthesia and Pain Medicine, Temerty Faculty of Medicine, University of Toronto.

2021    Distinction, Medical Leadership & Management MSc., Royal College of Physicians, London, & Department of Organisational Psychology, Birkbeck College, University of London, London, United Kingdom.

2020    Hospital Donation Champion Award, Trillium Gift of Life Network, Ontario Health, Ontario, Canada.

2017    The John Granton Award “For outstanding contribution to Critical Care Education”, Critical Care Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

2017    Critical Care Medicine Teaching Award, Toronto General Hospital, Critical Care Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

2015    Critical Care Medicine Teaching Award, Toronto General Hospital, Critical Care Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

2011    Undergraduate Medicine Teaching Award, Wightman-Berris Academy, Temerty Faculty of Medicine, University of Toronto

2010    Critical Care Medicine Teaching Award, Toronto General Hospital, Interdepartmental Division of Critical Care Medicine, University of Toronto.

2005    Research Methodology 1st prize, Imperial School of Anaesthesia, London, UK

1996    Honours Colours, St. Bartholomew’s Hospital Medical College, London, UK

Courses

Chair, Program Committee, Annual Conference, Society of Critical Care Anesthesiologists, Washington DC. 2017.

Deputy Chair, Program Committee, Annual Conference, Society of Critical Care Anesthesiologists, San Francisco. 2016.

Program Chair, Greater Toronto Area Rapid Response Systems Symposium, Toronto 2015.

Director, Rapid Response Teams – Leadership Masterclass, Critical Care Canada Forum, Toronto 2014.

Program Chair, 2nd University Health Network and Mount Sinai Rapid Response Systems Symposium. Toronto 2014

Co-Director, Management skills in intensive care – Advanced Training Course in Intensive Care (ATCIC), ESICM, Berlin 2011.

Program Chair, 1st University Health Network Rapid Response Systems Symposium, Toronto 2010.

Journal Articles

1. Teijeiro-Paradis R, Grenier J, Urner M, Douflé G, Steel A, Cypel M, Keshavjee S, Herridge M, Goligher E, Granton J, Ferguson N, Fan E, Del Sorbo L. Outcomes of patients with respiratory failure declined for extracorporeal membrane oxygenation: a prospective observational study. Can J Anaesth. 2023 Jul;70(7):1226-1233. 
2. Tejerina EE, Pelosi P, Robba C, et al; VENTILA Group. Evolution Over Time of Ventilatory Management and Outcome of Patients with Neurologic Disease. Crit Care Med. 2021; 49(7): 1095-1106. 
3. Russotto V, Myatra SN, Laffey JG, et al; INTUBE Study Investigators. Intubation Practices and Adverse Peri-intubation Events in Critically Ill Patients From 29 Countries. JAMA. 2021; 325(12): 1164–1172. 
4. Taran S, Steel AC, Healey A, Fan E, Singh J. Organ Donation in Patients on Extracorporeal Membrane Oxygenation: Considerations for Determination of Death and Withdrawal of Life Support. Can J Anesth 2020; 67: 1035–1043. 
5. Landman ST, Dhaliwal I, Mackenzie CA, Martinu T, Steel A, Bosma KJ. Life-threatening bronchiolitis related to electronic cigarette use in a Canadian youth. CMAJ 2019; 191: E1321-31. 
6. Jerath A, Panckhurst J, Parotto M, Lightfoot N, Wasowicz M, Ferguson ND, Steel A, Beattie WS. Safety and Efficacy of Volatile Anesthetic Agents Compared With Standard Intravenous Midazolam/Propofol Sedation in Ventilated Critical Care Patients: A Meta-analysis and Systematic Review of Prospective Trials. Anesth Analg. 2017; 124(4): 1190-1199. 
7. Downar J, Barua R, Rodin D, Lejnieks B, Gudimella R, McCredie V, Hayes C, Steel A. Changes in End-of-Life Care 5 years after the Introduction of a Rapid Response Team: A multicentre retrospective study. Resuscitation. 2013; 84(10): 1339-1344. 
8. Downar J, Rodin D, Barua R, Lejnieks B, Gudimella R, McCredie V, Hayes C, Steel A. Rapid Response Teams, Do Not Resuscitate Orders, and Missed Opportunities to Improve End-of-Life Care: A Multicentre Retrospective Study. Journal of Critical Care. 2013; 28(4): 498-503. 
9. Galvin IM, Steel A, Pinto R, Ferguson ND, Davies MW. Partial liquid ventilation for preventing death and morbidity in adults with acute lung injury and acute respiratory distress syndrome. Cochrane Database Systematic Reviews. 2013; 7: CD003707. 
10. Adeniji K, Steel AC. Pathophysiology of Acute Lung Injury. Anesthesiology Clinics. 2012; 30(4): 573-590. 
11. Beattie WS, Karkouti K, Tait G, Steel A, Yip P, McCluskey S, Farkouh M, Wijeysundera DN. Use of clinically based troponin underestimates the cardiac injury in non-cardiac surgery: a single-centre cohort study in 51,701 consecutive patients. Canadian Journal of Anesthesia. 2012; 59(11): 1013–1022. 
12. Russell T. Riazi S, Kraeva N, Steel AC, Hawryluck LA. Ecstacy-induced delayed rhabdomyolysis and neuroleptic malignant syndrome in a patient with a novel variant in the ryanodine receptor type 1 gene. Anaesthesia. 2012; 67(9): 1021-1024. 
13. Haas B, Gomez D, Steel AC, Nathens A. Ratio of units of red blood cells to fresh frozen plasma for severely injured patients undergoing massive transfusion (Protocol). Cochrane Database of Systematic Reviews. 2011; 3. CD009033. 
14. Carli F, Kehlet H, Baldini G, Steel A, McRae K, Slinger P. Evidence basis for regional anesthesia in multidisciplinary fast-track surgical care pathways. Regional Anesthesia and Pain Medicine. 2011; 36(1): 63-72.
15. Steel AC, Reynolds SF. The growth of rapid response systems. Joint Commission Journal of Quality and Patient Safety. 2008; 34(8): 489-495.

Book Chapters

1. White, A. and Steel AC. Chapter 18 - Pathophysiology of Perioperative Lung Injury. In: Cohen's Comprehensive Thoracic Anesthesia. E. Cohen editor. Philadelphia, Elsevier: (2022) 249-259. 
2. Abrahamson S, Parotto M, Steel AC, Cardinale P. Airway management. In: ACES Guide to Crisis Resource Management e-Book. Royal College of Physicians and Surgeons of Canada 2017 
3. Doherty M, Steel AC, Ferguson N. Chapter 16: Mechanical Ventilation for Acute Respiratory Distress Syndrome. In: Clifford S. Deutschman and Patrick Neligan., editor(s). Evidence Based Practice of Critical Care Medicine. 2nd. Philadelphia (United States): Saunders; 2015. 
4. Steel AC. Chapter 34: Intensive Care Management of the Heart, Heart-Lung, and Lung Transplant Patient. In: Biancofiore E, Dewolf A, Klinck JR, Niemann C, Pretto E, Watts A., editor(s). Oxford Textbook of Transplant Anaesthesia and Critical Care Medicine. 2015. 
5. Steel AC, Harrop-Griffiths W. Chapter 25: Brachial Plexus Blocks at the Axilla. Anaesthesia and Orthopaedic Surgery. Boezaart A. (Ed.). McGraw-Hill 2006. 321-330. Principal Author.