Primary Office

Nicklaus Children's Pediatric Specialists - Anesthesiology
3100 SW 62 Avenue- Anesthesiology
Miami, FL 33155
Phone Number: 786-624-3415


Fellowship - University of Miami/Jackson
Residency - SUNY at Stony Brook (VA Med.Center)
Medical School - New York University

Board Certifications

American Board of Anesthesiology - Certified
American Board of Anesthesiology (Pediatric Anesthesiology) - Certified

Pediatric Cardiac Anesthesiologist

Dr. Tirotta has been an active member of Nicklaus Children’s Hospital, formerly Nicklaus Children's Hospital, medical staff since 1991, practicing with the Department of Anesthesiology; he has served as the Director of Cardiac Anesthesia since 2002.  He also has a clinical appointment with the Department of Anesthesiology at The University of Miami School of Medicine.

Dr. Tirotta received his BA from Cornell University in 1982 and his MD from New York University School of Medicine in 1986.  He also received an MBA degree from Columbia University in 1999. Dr. Tirotta completed his internship in Internal Medicine at SUNY at Stony Brook in 1987.  He completed his residency training in anesthesiology at the University of Miami/Jackson Memorial Hospital in 1990; he sub-specialized in pediatric and cardiovascular anesthesia, including heart transplantation.

In 1994, Dr. Tirotta created and produced the widely acclaimed pre-operative educational video titled, “A Hospital Trip with Dr. Bip”.  This program, narrated by the endearing animated character Dr. Bip, explains to young children what to expect when they go to the hospital for surgery.  It also includes coloring books and stickers.  This program was exhibited at numerous national medical conventions and has sold thousands of copies all over the English-speaking world.

Dr. Tirotta is a member of numerous professional societies and has served on a number of hospital committees, including the Heart Institute Executive Committee.  He previously served as the Co-Chair of the Nicklaus Children’s Hospital Physician Hospital Organization.  He is also responsible for giving numerous medical lectures and is actively engaged in clinical research.  He has been the Principal Investigator on a number of clinical drug/device trials, including on the ON-Q Pain Buster, the muscle relaxant Zemuron, the procoagulant RiaSTAP, and the AirPurge.

Dr. Tirotta was inducted into Phi Beta Kappa in 1982, was inducted into Beta Gamma Sigma in 1999, graduated Cum Laude from Cornell University and was the recipient of the Robert D. Dripps Memorial Award for the outstanding graduate resident in anesthesiology in 1990.  He is a Diplomat of the American Board of Anesthesiology, is sub-specialty certified in Pediatric Anesthesia and a Diplomat of the National Board of Medical Examiners. He is licensed to practice medicine in the states of Florida and New York.


Tirotta, C.F. (2022). Response to Editorial on Benefits and Risks to Incisional Analgesia. Journal of cardiothoracic and vascular anesthesia, 36(1), 351-352. View in Pubmed

Tirotta, C.F. Lagueruela, R.G., Salyakina, d., et al (2021). Liposomal Bupivacaine Infiltration After Median Sternotomy in Pediatric Cardiac Surgery. Journal of cardiothoracic and vascular anesthesia, 35(6), 1715-1721. View in Pubmed

Tirotta, C.F. Lin, J.H., Tran, M.H. (2021). Effectiveness of Liposomal Bupivacaine Compared With Standard-of-Care Measures in Pediatric Cardiothoracic Surgery: A Retrospective Cohort Study. Journal of cardiothoracic and vascular anesthesia, 35(12), 3681-3687. View in Pubmed

Tirotta, C.F., Armendi, A.J., Horn, N.D., et al (2021). A multicenter study to evaluate the pharmacokinetics and safety of liposomal bupivacaine for postsurgical analgesia in pediatric patients aged 6 to less than 17 years (PLAY). Journal of clinical anesthesia, 75(), 110503. View in Pubmed

Tirotta, C.F., Lagueruela, R.G. , et al (2020). Three-year Experience With Immediate Extubation in Pediatric Patients After Congenital Cardiac Surgery . Journal of cardiothoracic surgery, 15(1), 1. View in Pubmed

Tirotta, C.F., Lagueruela, R.G. , Salyakina, D., et al (2019). Interval Changes in ROTEM Values During Cardiopulmonary Bypass in Pediatric Cardiac Surgery Patients. Journal of cardiothoracic surgery, 14(1), 139. View in Pubmed

Tirotta, C.F., Lagueruela, R.G., Madril, D., ..., Burke, R. (2019). Correlation Between ROTEM FIBTEM Maximum Clot Firmness and Fibrinogen Levels in Pediatric Cardiac Surgery Patients. Clinical and applied thrombosis/hemostasis , [Epub ahead of print](), . View in Pubmed

Sasaki, J., Tirotta, C., Lim, H., Kubes, K., Salvaggio, J., Hannan, R., Burke, R., et al (2018). Comparison of stored red blood cell washing techniques for priming extracorporeal circuits. Perfusion, 33(2), 130-135. View in Pubmed

Tirotta, C.F., Nguyen, T., Fishberger, S., Velis, E., Olen, M., Lam, L., et al (2017). Dexmedetomidine use in patients undergoing electrophysiological study for supraventricular tachyarrhythmias. Paediatric Anaesthesia, 27(1), 45-51. View in Pubmed

Tirotta, C.F., Lagueruela, R.G., Madril, D., Velis, E., Ojito, J., Monroe, D., Aguero, D., Irizarry, M., et al (2017). Non-invasive cardiac output monitor validation study in pediatric cardiac surgery patients. Journal of Clinical Anesthesia, 38(), 129-132. View in Pubmed

Tirotta, C.F., Lagueruela, R.G., Madril, D.R., Ojito, J., Balli, C., Velis, E., et al (2015). Use of human fibrinogen concentrate in pediatric cardiac surgery patients. International Journal of Anesthetic and Anesthesiology, 2(), 037.

Tirotta, C.F., Aregullin, E.O. (2014). Unusual, rare case of ascending aortic atresia and right ventricle dependent coronary circulation in a newborn. International Journal of Anesthesiology Research, 2(), 1-5.

Tirotta, C.F., Brandom, B., Siddiqui, M.S., Ehlers, M., Betzel, J., Chen, J., De Bie, J., Blobner, M. (2012). Time Course of Rocuronium-Induced Neuromuscular Blockade in Pediatric Patients: A Phase III, Randomized, Dose-Response Study. Journal of Anesthesia & Clinical Research, 3(2), 1-7.

Ojito, J.W., Hannan, R.L., Moore-Burgos, M., Lim, H., Huynh, M., Velis, E., Arocha, M., Tirotta, C.F., Burke, R.P. (2012). Comparison of point-of-care activated clotting time systems utilized in a single pediatric institution. Journal of Extra-Corporeal Technology, 44(1), 15-20. View in Pubmed

Ojito, J.W., Hannan, R.L., Moore-Burgos, M., Lim, H., Huynh, M., Velis, E., Arocha, M., Tirotta, C.F., Burke, R.P. (2009). Continuous incisional infusion of local anesthetic in pediatric patients following open heart surgery. Paediatric Anaesthesia, 19(6), 571-576. View in Pubmed

Burke, R.P., Hannan, R.L., Zabinsky, J.A., Tirotta, C.F., Zahn, E.M. (2009). Hybrid ventricular decompression in pulmonary atresia with intact septum. Annals of Thoracic Surgery, 88(2), 688-689. View in Pubmed

Vener, D.F., Tirotta, C.F., Andropoulos, D, Barach, P. (2008). Anaesthetic complications associated with the treatment of patients with congenital cardiac disease: consensus definitions from the Multi-Societal Database Committee for Pediatric and Congenital Heart Disease. Cardiology in the Young, 18(Suppl 2), 271-281. View in Pubmed

A physician identified with a Nicklaus Children’s Pediatric Specialists logo is an employee of Nicklaus Children's Health System. All other physicians listed on the website are in private medical practices.