Peter John Roffey, MD

Associate Professor of Clinical Anesthesiology

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Dr Roffey received a BA in chemistry from Occidental College, where he graduated Summa Cum Laude. He received his medical degree from the University of Southern California School of Medicine, where he also completed his residency in anesthesiology. Following his residency, Dr. Roffey stayed on in the department as an assistant professor of anesthesia.

His interests include anesthesia for high-risk oncology patients, cardiothoracic anesthesia, critical care medicine and palliative care, and pain management.

He is currently director of the Division of Thoracic-Foregut Anesthesia and associate director of the Intensive Care Unit at Kenneth Norris, Jr. Hospital.


  • Impact of a Perioperative Protocol on Length of ICU and Hospital Stay in Complex Spine Surgery J Neurosurg Anesthesiol. 2021 Jan; 33(1):65-72. . View in PubMed
  • The use of regional cerebral oximetry monitoring during controlled hypotension: a case series J Clin Monit Comput. 2014 Jun; 28(3):319-23. . View in PubMed
  • Total care (spirituality, positive psychology, and surgical home) to minimize demoralization syndrome in intensive care unit setting South Med J. 2014 Jan; 107(1):58. . View in PubMed
  • Demoralization syndrome: a condition often undiagnosed in terminally ill patients J Palliat Med. 2013 Jun; 16(6):601. . View in PubMed
  • Abdominal compartment syndrome following opioid-induced postoperative ileus J Clin Anesth. 2013 Mar; 25(2):146-9. . View in PubMed
  • Demoralization syndrome: an evil ignored in the ICU setting Psychosomatics. 2013 Jan-Feb; 54(1):98-9. . View in PubMed
  • Increased use of protocols in ICU settings Intensive Care Med. 2011 Aug; 37(8):1402. . View in PubMed
  • Intraoperative interaction between angiotensin-converting enzyme inhibitors and nitroglycerin in major surgical cases J Cardiothorac Vasc Anesth. 2011 Jun; 25(3):605. . View in PubMed
  • Delayed endotracheal extubation and PTSD in ICU patients Psychosomatics. 2011 Mar-Apr; 52(2):194. . View in PubMed
  • Ethical issues related to direct nursing care time, compared to time spent charting in intensive care units J Clin Ethics. 2011; 22(1):94. . View in PubMed
  • Cetacaine-induced complication during transesophageal echocardiography placement J Cardiothorac Vasc Anesth. 2010 Aug; 24(4):736. . View in PubMed
  • Usefulness of droperidol as an anti-emetic in terminally ill cancer patients J Palliat Med. 2010 Aug; 13(8):939. . View in PubMed
  • Caution with epidural opioid use in sleep apnea patients Pain Med. 2010 Aug; 11(8):1310. . View in PubMed
  • Posttraumatic stress disorder in cancer ICUs J Intensive Care Med. 2010 Jul; 25(4):244. . View in PubMed
  • Treatment of resistant depression in patients with cancer with low doses of ketamine and desipramine J Palliat Med. 2010 Mar; 13(3):235. . View in PubMed
  • Business interests versus informed consent J Clin Ethics. 2010; 21(3):271. . View in PubMed
  • Prevention of capillary leak in altered permeability states Resuscitation. 2009 Dec; 80(12):1444. . View in PubMed
  • Postoperative pain relief with ketamine in patients with central sleep apnea J Clin Sleep Med. 2009 Oct 15; 5(5):480. . View in PubMed
  • Doxapram revisited in patients with cancer J Palliat Med. 2009 Aug; 12(8):673. . View in PubMed
  • Fentanyl and ketamine used for postoperative pain control in high-risk patients with malignancy J Palliat Med. 2009 Aug; 12(8):675. . View in PubMed
  • Low incidence of dry mouth in patients with cancer with the use of ketamine J Palliat Med. 2007 Feb; 10(1):6. . View in PubMed
  • A critical analysis of perioperative mortality from radical cystectomy J Urol. 2006 Mar; 175(3 Pt 1):886-9; discussion 889-90. . View in PubMed
  • Median nerve injury following massive fluid resuscitation during prolonged surgery Can J Anaesth. 2005 Oct; 52(8):888-9. . View in PubMed
  • Anesthetic implications of recurrent laryngeal nerve palsy after esophagectomy J Cardiothorac Vasc Anesth. 2004 Dec; 18(6):822. . View in PubMed
  • Usefulness of desipramine in ICU cancer patients for acute depression J Palliat Care. 2004; 20(4):326. . View in PubMed
  • Hemodynamic compromise after bougie placement J Cardiothorac Vasc Anesth. 2003 Dec; 17(6):782. . View in PubMed
  • Implication of epinephrine-induced hypokalemia during cardiac arrest Resuscitation. 2003 Aug; 58(2):231. . View in PubMed
  • TRALI and massive transfusion Resuscitation. 2003 Jul; 58(1):121. . View in PubMed
  • Postoperative sore throat: due to intubation or reflux disease? Anesthesiology. 2003 Jun; 98(6):1523.. View in PubMed
  • Propofol in the treatment of presurgical headache and nausea Headache. 2002 Apr; 42(4):327. . View in PubMed
  • Thoracoabdominal retroperitoneal lymph node dissection (RPLND) and hemodynamic instability in the postoperative period Can J Anaesth. 2002 Jan; 49(1):108-9. . View in PubMed
  • Intraoperative evaluation of tissue perfusion in high-risk patients by invasive and noninvasive hemodynamic monitoring Crit Care Med. 1999 Oct; 27(10):2147-52. . View in PubMed
  • Multicenter study of noninvasive monitoring systems as alternatives to invasive monitoring of acutely ill emergency patients Chest. 1998 Dec; 114(6):1643-52. . View in PubMed
  • Intraoperative maintenance of tissue perfusion prevents ARDSAdult Respiratory Distress Syndrome. New Horiz. 1996 Nov; 4(4):466-74. . View in PubMed