Gaston Cudemus, MD

Cardiothoracic Anesthesiology​

Chief of Cardiac Anesthesia

Section Head, Cardiovascular
Critical Care

Medical Director, ECMO Program​


Cardiothoracic anesthesiology and cardiovascular critical care

About Dr. Cudemus

Gaston Cudemus, MD is a Harvard-trained cardiothoracic anesthesiologist who is triple board-certified in anesthesiology, critical care medicine and echocardiography.

Dr. Cudemus joins the Rooney Heart Institute at NCH team as the first dedicated cardiothoracic anesthesiologist and cardiovascular critical care physician in Collier County. He leads a team with the primary goal of providing the best and safest clinical care for patients undergoing complex cardiothoracic procedures and provides excellence in perioperative sedation, anesthesia, monitoring and resuscitation.

He is the medical director of the ECMO program at NCH, and his primary focus is elevating the patient care experience. He also leads the mechanical circulatory support program which addresses the needs of the most critically ill patients. For ten years, Dr. Cudemus served in various leadership positions at Massachusetts General Hospital, including serving as the Heart Center ECMO Director. He is an assistant professor at Harvard Medical School and recently served as the director of the mechanical circulatory support program at Cleveland Clinic.

Dr. Cudemus brings a wealth of knowledge to providing patients with unmatched cardiovascular perioperative and postoperative experience. In his spare time, he enjoys exploring the country and riding his Harley.


Rooney Heart Institute at NCH
399 9th Street North
Suite 300
Naples, FL 34102



• Luis Razetti Medical School


• Massachusetts General Hospital
• University of Southern California
• University of Miami – JMH


• Anesthesiology
• Critical Care Medicine
• Echocardiography


(In chronological order)

1. Rescue Echocardiography/Ultrasonography in the Management of Combined Cardiac Surgical and Medical Patients in a Cardiac Intensive Care Lu SY, Dalia AA, Cudemus G, Shelton KT.Lu SY, et al. J Cardiothoracic Vasc Anesth. 2020 Oct;34(10):2682-2688. doi: 10.1053/j.jvca.2020.03.053. Epub 2020 Apr 20.J Cardiothorac Vasc Anesth. 2020. PMID: 32417007

2. Outcomes of Adult Patients With Septic Shock Undergoing Extracorporeal Membrane Oxygenation Therapy. Myers LC, Lee C, Thompson BT, Cudemus G, Raz Y, Roy Myers LC, et al. Ann Thorac Surg. 2020 Sep;110(3):871-877. doi: 10.1016/j.athoracsur.2019.12.075. Epub 2020 Feb 16.Ann Thorac Surg. 2020. PMID: 32074505

3. Predictors of Neurologic Recovery in Patients Who Undergo Extracorporeal Membrane Oxygenation for Refractory Cardiac Arrest. Axtell AL, Funamoto M, Legassey AG, Moonsamy P, Shelton K, D’Alessandro DA, Villavicencio MA, Sundt TM, Cudemus GA. Axtell AL, et J Cardiothorac Vasc Anesth. 2020 Feb;34(2):356-362. doi: 10.1053/j.jvca.2019.08.003. Epub 2019 Aug 9.J Cardiothorac Vasc Anesth. 2020. PMID: 31932021

4. Extracorporeal Cardiopulmonary Resuscitation: Outcomes and Complications at a Quaternary Referral Dalia AA, Lu SY, Villavicencio M, D’Alessandro D, Shelton K, Cudemus G, Essandoh M, Ortoleva J.Dalia AA, et al. J Cardiothorac Vasc Anesth. 2020 May;34(5):1191-1194. doi: 10.1053/j.jvca.2019.12.016. Epub 2019 Dec 14.J Cardiothorac Vasc Anesth. 2020. PMID: 3192680

5. Outcomes of Venoarterial Extracorporeal Membrane Oxygenation Patients Requiring Multiple Episodes of Support. Lai Y, Ortoleva J, Villavicencio M, D’Alessandro D, Shelton K, Cudemus GD, Dalia AA.Lai Y, et al. J Cardiothorac Vasc Anesth. 2020 Sep; 34(9):2357-2361. doi: 1053/j.jvca.2019.12.007. Epub 2019 Dec 11.J Cardiothorac Vasc Anesth. 2020. PMID: 31901464

6. Sepsis induced cardiomyopathy: Pathophysiology and use of mechanical circulatory support for refractory Nabzdyk CS, Couture EJ, Shelton K, Cudemus G, Bittner EA.Nabzdyk CS, et al. J Crit Care. 2019 Dec;54:228-234. doi: 10.1016/j.jcrc.2019.09.001. Epub 2019 Sep 12.J Crit Care. 2019. PMID: 31630071 Review.

7. A 266 Patient Experience of a Quaternary Care Referral Center for Extracorporeal Membrane Oxygenation with Assessment of Outcomes for Transferred Versus In-House Patients. Dalia AA, Axtel A, Villavicencio M, D’Allesandro D, Shelton K, Cudemus G, Ortoleva J.Dalia AA, et al. J Cardiothorac Vasc Anesth. 2019 Nov;33(11):3048-3053. doi: 10.1053/j.jvca.2019.05.017. Epub 2019 May 19.J Cardiothorac Vasc Anesth. 2019. PMID: 31230966

8. Echocardiographic Assessment of Biventricular Function in 249 Patients During the Peri- Extracorporeal Membrane Oxygenation Ortoleva JP, Dalia AA, Fiedler AG, D’Alessandro D, Shelton K, Villavicencio M, Cudemus GA. Ortoleva JP, et al. J Cardiothorac Vasc Anesth. 2019 May;33(5):1325-1330. doi: 10.1053/j.jvca.2018.09.037. Epub 2018 Sep 27.J Cardiothorac Vasc Anesth. 2019. PMID: 30482702

9. Pain management and safety profiles after preoperative vs postoperative thoracic epidural insertionfor bilateral lung transplantation. Axtell AL, Heng EE, Fiedler AG, Melnitchouk S, D’Alessandro DA, Tolis G, Astor T, Dalia AA, Cudemus G, Villavicencio MA.Axtell AL, et al. Clin Transplant. 2018 Dec;32(12):e13445. doi: 10.1111/ctr.13445. Epub 2018 Dec 6.Clin Transplant. 2018. PMID: 30412311

10. Extracorporeal Membrane Oxygenation Is a Team Sport: Institutional Survival Benefits of a Formalized ECMO Dalia AA, Ortoleva J, Fiedler A, Villavicencio M, Shelton K, Cudemus GD.Dalia AA, et al. J Cardiothorac Vasc Anesth. 2019 Apr;33(4):902-907. doi: 10.1053/j.jvca.2018.06.003. Epub 2018 Jun J Cardiothorac Vasc Anesth. 2019. PMID: 30072265

11. Impella Placement Guided by Echocardiography Can Be Used as a Strategy to Unload the Left Ventricle During Peripheral Venoarterial Extracorporeal Membrane Fiedler AG, Dalia A, Axtell AL, Ortoleva J, Thomas SM, Roy N, Villavicencio MA, D’Alessandro DA, Cudemus G. Fiedler AG, et al. J Cardiothorac Vasc Anesth. 2018 Dec;32(6):2585-2591. doi: 10.1053/j.jvca.2018.05.019. Epub 2018 Jul 13.J Cardiothorac Vasc Anesth. 2018. PMID: 30007550

12. Minimizing ICU Neurological Dysfunction with Dexmedetomidine-induced Sleep (MINDDS): protocol for a randomized, double-blind, parallel-arm, placebo-controlled Shelton KT, Qu J, Bilotta F, Brown EN, Cudemus G, D’Alessandro DA, Deng H, DiBiasio A, Gitlin JA, Hahm EY, Hobbs LE, Houle TT, Ibala R, Loggia ML, Pavone KJ, Shaefi S, Tolis G, Westover MB, Akeju O.Shelton KT, et al. BMJ Open. 2018 Apr 20;8(4):e020316. doi: 10.1136/bmjopen-2017-020316.BMJ Open. 2018. PMID: 29678977 Free PMC article. Clinical Trial.

13. Fenoldopam in critically ill patients with early renal dysfunction. A crossover study. Cobas M, Paparcuri G, De La Pena M, Cudemus G, Barquist E, Varon A.Cobas M, et Cardiovasc Ther. 2011 Aug;29(4):280-4. doi: 10.1111/j.1755-5922.2010.00217.x. Epub 2010 Oct 18.Cardiovasc Ther. 2011. PMID: 20955210 Clinical Trial.


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