Brian Selai joined the Twin Oaks team in 2014. His passion for regional anesthesia has been inspired by seeking better ways to care for those who must undergo surgery for breast cancer. He is married to a two-time breast cancer survivor and understands the perils that complicate the road to a cancer-free life afterwards.
His reliance on ultrasound continues to grow since its use is paramount as a tool in his opioid free anesthesia. The last time he used an opioid was October of 2015.
Prior to becoming a CRNA, Brian spent eleven years caring for our veterans in Pittsburgh as an SICU nurse. There is where he learned the importance of ultrasound in the critical care environment. He also was utilized as a venous access resource with ultrasound for that time period. As a former military police officer in the US Army, he will always share a passion for his fellow soldier.
One may be surprised to learn that his ultimate comfort with ultrasound comes from his previous career as a professional fisherman and charter boat captain where proper utilization of sonar and radar made the difference between a great day and a disaster.
Ohio: RN330426 / COA13140-NA
West Virginia: 68897
National Board Certifications
- Certified Registered Nurse Anesthetist
- American Association of Nurse Anesthetists
- Certification Number: 089361
Master of Science in Nursing
University of Pittsburgh, Pittsburgh, PA
Certified Registered Nurse Anesthetist
Graduation: December 2011
Bachelor of Science in Nursing
Chamberlain College of Nursing, St. Louis, MO
Graduation: March 2009
Associate in Science in Nursing
Community College of Allegheny County, Pittsburgh, PA
Graduation: December 1991
Anesthesia Considerations for Patients with Substance Use Disorder
Saturday, September 9, 2017; 9:15 – 10:15 am
AANA Annual Congress
Adjunct Faculty / Lecturer
Twin Oaks Anesthesia Continuing Education
OSANA task force concerning opioid epidemic
Twin Oaks Anesthesia Education
- April 2015 to Present
- Adjunct Faculty and Lecturer
- Educating Anesthesia providers in the use of ultrasound for placement of peripheral nerve blocks, central and peripheral vessel cannulation, and diagnostic evaluation of acute disease processes.
- April 2012 to Present
- Independent provider – B&B, OB including epidurals / spinals, peds, neuro spines, vascular, thoracic and trauma. Ortho including full regional blocks with the use of ultrasound. Blocks include: TAPs (conventional and sub costal), Ilio-inguinal / hypogastric, rectus sheath, PECs I and II, Femoral, Adductor Canal, Ankle, Pop-Fossa, Fascia Illiacia, Ulnar, Median, Supra and Infra clavicular, IPACK and ISC.
- December 2011 – April 2012
- Worked a general CRNA in all points of service at UPMC. This included Trauma, General Surgery, CV, thoracic, neuro and ortho spine, liver kidney and small bowel transplant, interventional radiology including neuroradiology, invasive cardiology, ECTs, and ENT.
U.S. Government, Department of Veteran Affairs
- December 1999 – December 2011
- RN, SICU
- Working as bedside RN in the SICU, caring for the most critically complicated patients hospitalized in the VA at Oakland. Collaborative practice with multiple specialties including Anesthesia, Transplant, Cardiovascular, Neurosurgery, General Surgery, and Critical Care Medicine. Participating in acute care while monitoring and documenting ongoing research. Regular use of invasive and non-invasive monitoring devices such as: Swan Ganz, SVO2, A-lines, Ventricular drains, AIBPs, Neuromuscular blockade, and bispectral index monitoring.
- Charge Nurse – While predominantly working the night tours, the role of the charge nurse is responsible for recognizing current and potential staffing issues, administration of assignments, insuring that all daily safety protocols are completed and being aware of the conditions of all patients in the unit. This role requires leadership over managerial skills, since the charge nurse’s leadership and constitution can calm a stressful critical care environment.
- PRISMA resource representative – Due to a strong renal background, I volunteered to be resource person on the off tours for all of the critical care service line when a problem occurs with patients receiving CVHDF. Advice over the phone, but usually at the bedside to teach and assist fellow critical care RNs when technical or idiopathic problems occur.
- January 1996- October 2005
- Chief Field Advisor and Executive Assistant
- Steffey’s Lures was a successful small business that was started in the 1970’ s but began to fall behind in its success as technology evolved into the 90’s with the increasingly technological savvy customer base. Was invited to take on this position to assist the owner expand his corporation. Developed a website and catalog, improved productivity and sales. Hired and coordinated 8 regional representatives which resulted in significant improvement of sales including chain stores such as Dick’s, Gander Mountain, and Cabelas. Sales stretched coast-to-coast and included 7 countries. Unfortunately, the company deteriorated after the passing of the owner.
The Prowler Charters
- Vermilion, OH
- July 1994 – September 2009
- United States Coast Guard Merchant Marine Officer
- Captain / owner of the Prowler Charters (www.theprowlercharters.com / 1-888-ON PROWL) – Providing professional sportfishing on Lakes Erie, Ontario and at one time the Niagara River. Responsibilities included the financial, regulatory, and logistics of operating one to three vessels scattered across the north shores of Ohio, Pennsylvania, and New York. This was a hobby turned business, but it provided an opportunity to meet people from around the country and from several other countries.
- Maintaining proper licensure with the U.S. Coast Guard and affiliated states requirements.
- Oversight of all vessels to insure up to date safety and regulatory requirements were met or exceeded
- Managed up to three vessels with two hired captains and three first mates operating in three separate states
Shadyside Hospital / UPMC Shadyside
- Pittsburgh, PA
- December 1988- December 1999
- Bedside RN, CTICU
- Cared for acute, post op CV patients in the 16 bed CTICUA/B
- Interacted and collaborated with Anesthesia, CT surgery, and all medical consultants.
- Bedside RN, M/S ICU
- Cared for medical and surgical patients requiring critical care.
- Collaborated plans of care with medical staff, residents, pharmacy, and other support personnel.
- Served as night charge nurse when the duty was requested. Additional responsibilities included CPR instructor, Glucose monitoring super user and instructor of the annual critical care skills lab.
- Nurse Manager, Acute renal department
- Responsible for staffing and call schedules, collaborated with medical director on issues such as new hires, reverse osmosis water quality, and testing, using, and purchasing new products such as the first CVVHD machine at Shadyside Hospital.
- Evaluating new potential patients in house and providing teaching about the option of renal replacement therapy, and insuring proper education before the start of dialysis.
- Coordinating the teaching process of all critical care RNs in the proper use of the Cobe CVVHD Prisma continuous renal replacement therapy.
- Teaching the renal failure section of the critical care class to new hires in the critical care division.
- Coordinating outpatient care with one of the outpatient hemodialysis clinics when new patients were ready to be discharged.
- Being the first one there in the morning to turn on the hemodialysis machines and conduct the necessary safety tests prior to patient use. Carrying the second call pager at all times
- Bedside RN, Acute renal team
- Performed hemodialysis treatments and prepared and troubleshot peritoneal and CAVH with unit-based RNs on patients admitted requiring some sort of renal replacement therapy.
- Performed bedside hemodialysis and ultrafiltration on critically ill patients in all ICUs with the clinical ability to titrate IV pressors as needed. Served as the Critline© superuser.
- Performed bedside teaching to new renal failure patients, was available on call twice a week 24/7, and travelled in house to use dialysis accesses for our patients when they needed labs on the floors or in the Emergency Department.
- Daylight Charge Nurse, CCU
- Performed as the fulltime, daylight charge nurse in the 22 bed CCU when the outlying facilities did not have the ability to perform invasive cardiac cath lab procedures nor did their ORs provide cardiac bypass surgery. Received acute cardiac patients from the tri-state region on the newly built heli-stop platform. This is when every cardiogenic shock and evolving MI was flown into the city. Bedside line placement such as Swan Ganz, Transvenous pacing, AIBPs, and A-lines with and without bedside Flouro was a daily occurrence.
- Disbursed assignments, regulated and usually performed admissions and transfers to and from the cath lab, coordinated all patient movement in the unit, responded to all codes under the responsibility of the CCU while present.
- Performed assigned tasks set by the Unit Director when she was absent or on vacation. Tasks included approving overtime, adjusting the schedule, attending any required meetings.
- Bedside RN, CCU
- Provided bedside care to the above mentioned patient population. Since this facility received a significant amount of patients that required being flown to our unit for their coronary care, I was able to care for very complex and critically ill patients that were in need of temporary pacers, swan ganz catheters, arterial lines, multiple pressors, coronary dilators, and various inotropes.
- Acted as off-tour charge nurse when asked to do so. I served as a CPR instructor and Basic unit compentcy evaluator for annual mandatory training.
- This was my first assignment as a RN, I moved up what was called the clinical ladder from Nurse I to nurse III in just under two years.
- Nursing Assistant then Nurse Intern, CCU
- Worked full time as I went to nursing school in full time attendance. Used this position as an opportunity to learn about critical care nursing. Performed routine tasks such as pt care and assisting RNs with their tasks, but also assisted MDs with line insertions and bedside emergencies.
- Took full use of any method of learning. Was able to witness over 20 autopsies and befriended some of the veteran cardiovascular surgeons that they permitted me to scrub in and observe open heart surgeries performed on off tours.
U.S. Army, 352nd MP Co.
- Oakdale, PA
- November 1985-November 1991
- United States Army, Combat Military Police
- Served as a Military Policeman. Entered the Army reserves under the split entry program where Basic training was one summer and Military Police school was the following summer. Completed basic training in the summer of 1986 being awarded the Commander’s Excellence Award. It was an Award given to one soldier in the company a tour that demonstrated leadership qualities recognized above and beyond of what is required.
- Volunteered and was sent on many military actions. Included were Operation Reforger in Germany, Operations Blazing Trail and then Solid Shield in Honduras, Urban Assault training, and numerous police duties at Fort Belvoir, Fort McClelland, and West Point.
- Moved up the enlisted ranks from private E-1 to Sergeant E-5 (squad leader) by the end of enlistment. Attended BNCOC for non-commissioned officer training.