Luiz M. Moreira Da Costa Lima Filho, MD
Assistant Professor
Department:
SOM-Anesthesiology
Email:
llimafilho@umc.edu
Work Phone:
(601) 984-5900
Biography
Dr. Luiz Costa Lima with over two decades of experience in the healthcare system, is a board-certified anesthesiologist in both Brazil (SBA) and the United States (D. ABA), with a diverse and accomplished background that began with his service as a Navy dentist. Inspired by a strong passion for medicine, he transitioned to medical school and completed anesthesiology training in Brazil (2013). Seeking continued professional growth, he retrained in the United States through a second residency program, combining his international expertise with advanced U.S. training. Dr. Costa Lima manages patients in critical condition with extensive experience in high-acuity settings.
After completing a fellowship in Acute Pain Medicine in New York, Dr. Luiz Costa Lima returned to the University of Mississippi Medical Center to enhance education in regional anesthesia for both residents and faculty. As an educator in acute pain medicine and regional anesthesia, he trains residents in advanced nerve block techniques and multimodal analgesia strategies aimed at improving patient outcomes, minimizing opioid use, and reducing dependence on volatile anesthetics—an approach that also supports environmental sustainability.
Education
| Montefiore Medical Center, MD, Acute Pain Medicine and Regional Anesthesia | 2023 |
| University of Mississippi Medical Center, MD, Anesthesiology | 2022 |
| University of Mississippi Medical Center, MD, Anesthesiology | 2018 |
| Hospital Federal Andarai, MD, Anesthesiology | 2014 |
| Universidade Federal Fluminense, MD, Medicine | 2010 |
| Universidade Federal do Rio de Janeiro, DDS, Dentistry | 2001 |
Specialty Certification Licensure
| Certification, Anesthesiology, Brazilian Board - Brazilian Society of Anesthesiology | 03/2014 - Present |
| Certification, Diplomate ABA, American Board of Anesthesiology |
Academic Appointments or Other Previous Appointments
| Assistant Professor, University of Mississippi Medical Center, School of Medicine, Department of Anesthesiology |
Publications
Abstracts | |
| Heitor Medeiros, Sara Amaral, Catarina Rodrigues, Silva and Luiz Costa Lima Impact of erector spinae plane block in open hepatectomy patients: a systematic review and meta-analysis Reg Anesth Pain Med 2023;48(Suppl 1):A1–A398 | 2023 |
Book Chapter | |
| Contributor and Translator, PediCrisis Critical Events Checklist - PDF e-book – Portuguese Edition (2022). Participated in the official translation of the SPA PediCrisis cards from English to Portuguese, with responsibility for the “Bronchospasm” section. This project supports anesthesia providers in Portuguese-speaking regions by offering standardized crisis management tools. Document available Pedi Crisis Checklists - Critical Events Checklists - Portuguese Version - the Quality and Safety Committee of the Society for Pediatric Anesthesia (SPA) | 2021 |
Presentations
| Poster Presentation, Continuous Stellate Ganglion Block (SGB) for Treating Cerebral Vasospasm Immediately Following Awake Craniectomy. American Society of Anesthesiology Annual Meeting. 2024. | 10/2024 |
| Poster Presentation, Urgent Anesthetic Management of Bleeding AV Fistula in a Severely Anemic Jehovah's Witness Patient Using Regional Anesthesia. American Society of Anesthesiology Annual Meeting. 2024. | 10/2024 |
| Poster Presentation, A case of successful multimodal pain control after complex scapulectomy surgery utilizing a combination of nerve blocks. 49th Annual Regional Anesthesiology & Acute Pain Medicine Meeting. 2024. | 03/2024 |
| Poster Presentation, Impact of Erector spinae Plane Block in Open Hepatectomy Patients: A Systematic Review and Meta-Analysis. 40th European Society of Regional Anesthesia Annual Congress. 2023. | 10/2023 |
| Poster Presentation, Neck Hematoma after Interscalene Catheter Removal. 48th Annual Regional Anesthesiology & Acute Pain Medicine Meeting. 2023., ASRA, Hollywood florida | 04/2023 |
| Poster Presentation, Quality improvement plan for postoperative pain management and decrease of narcotic use in high-distressed community index areas. Montefiore Medical Center. 48th Annual Regional Anesthesiology and Acute Pain Medicine Meeting. 2023. | 04/2023 |
| Poster Presentation, Regional anesthesia for surgical and post operative analgesia for open repair of pectoralis Major muscle, Montefiore Academic Night Annual Meeting, NY | 02/2023 |
| Poster Presentation, Graded Epidural Anesthesia for Hip ORIF in a Patient with Recent NSTEMI and Pulmonary Hypertension, Academic Night Montefiore Meeting, NY | 02/2023 |
| Poster Presentation, Difficult Airway in A Young Patient with Tracheal Compression due to Megaesophagus. American Society of Anesthesiology Annual Meeting. 2020. | 10/2020 |
| Poster Presentation, Gastric Content Ultrasound assessment as a decision maker in a Polytrauma Patient Prior to MRI. American Society of Anesthesiology Annual Meeting. 2020. | 10/2020 |
| Poster Presentation, Severe Laryngospasm during Induction Due to Coronavirus NL63 in a Pediatric Patient. American Society of Anesthesiology Annual Meeting. 2020. | 10/2020 |
| Poster Presentation, Pseudoaneurysm Of the Ascending Aorta After Tricuspid Valve and Aorto-Right Fistula Repair. American society of Anesthesiology Annual Meeting. 2020 | 10/2020 |
| Poster Presentation, Massive Blood Loss During Cesarean Section in an Unknown Placenta Accreta After Fetal Delivery in a Patient with Chorioamnionitis. American Society of Anesthesiology Annual Meeting. 2020. | 10/2020 |
| Poster Presentation, A Successful “Three Birds with One Stone” Application of Dexmedetomidine in the ICU”. 49th Critical Care Congress. 2020., Orange County Convention center | 02/2020 |
| Poster Presentation, Anesthetic Management for A C Section in A Patient with A Gigantic Intracranial Tumor. American society of Anesthesiology Annual Meeting. 2019. | 10/2019 |
| Poster Presentation, Acute Coronary Syndrome at the Bronchoscopy Suite. American Society of Anesthesiology Annual Meeting. 2019. | 10/2019 |
Honors, Awards, and Recognition
| Resident/Fellow Process Improvement Award, Montefiore Medical Center - Albert Einstein College of Medicine | 2023 |
| Resident Research Award. Anesthesiology Department., UMMC | 2022 |
| Regional/Unzipper King. Awarded for the best resident in regional anesthesia. 2021-2022., UMMC | 2022 |
| Certificate of Excellence - Anesthesiology resident achieving the highest In-Training Exam percentile for the PGY-3 Anesthesia Training Year. 2020 - 2021., UMMC | 2021 |
| Certificate of Excellence. Awarded to the Anesthesiology resident achieving the highest In-Training Exam percentile for the PGY-2 Anesthesia Training Year. 2019 - 2020., UMMC | 2020 |
| Certificate of Excellence. Awarded to the Anesthesiology resident achieving the highest In-Training Exam percentile for the PGY-1 Anesthesia Training Year. 2018 - 2019., UMMC | 2019 |
| "Award to the First Lieutenant Costa Lima, Dental Surgeon, for dedication and excellence in the services rendered to this military organization", Brazilian Navy | 2005 |
Professional Membership and Service
| European Society of Regional Anesthesia, Member | 2023 - Present |
| American Society of Regional Anesthesia, Member | 2022 - Present |
| Mississippi Society of Anesthesiologists, Member | 2019 - Present |
| American Society of Anesthesiology, Member | 2017 - Present |
| Brazilian Society of Anesthesiology, Member | 2011 - 2018 |
Committee Service
| Canvas for Education in Anesthesiology, Co-Chair | 2024 - Present |
| Opioid Stewardship Program Committee Member, Member | 2024 - Present |
Community Service
| Mississippi Food Network, volunteer - I assisted in packing food for distribution to underserved communities | 03/2025 - 03/2025 |
| Habitat for Humanity - Mississippi, Volunteer - In this volunteer work, I helped paint the walls of a house for a family who purchased the property at a low price but in poor condition. This was done through the "Habitat for Humanity" program, which supports families in need by improving their living conditions. | 10/2024 - 10/2024 |
| UMMC Insight Summer Enrichment Program for high school students, Faculty - In this volunteer activity, I provided a high school student with an introduction to the basics of anesthesiology, answering their questions and offering guidance about the profession. I aimed to inspire and motivate the student to pursue higher education and strive for success in the medical field, sharing my own experiences to encourage their academic and professional aspirations. | 06/2024 - 06/2024 |
| Mississippi Food Network "Spring Into Service", Volunteer - I assisted in packing food for distribution to underserved communities | 04/2024 - 04/2024 |
| Mississippi Food Network "Fall in Line", Volunteer - I assisted in packing food for distribution to underserved communities | 09/2023 - 09/2023 |
| Undergrad Anesthesiology Shadowing Program, Faculty preceptor - For this undergraduate shadowing program, I host one student every other month for a 3-5 day experience, where they have the opportunity to shadow me in my daily routine as an anesthesiologist. Throughout their time with me, the student witnesses firsthand the responsibilities and tasks of an anesthesiologist, helping them decide if they want to pursue a career in medicine. Many of the students find the experience highly rewarding, and it inspires them to aim higher in their academic and professional aspirations. | 07/2023 - Present |
| Poison Control Center. Universidade Federal Fluminense, Brazil. 2007., Information service assistant - As a medical student, I joined a program through an exam and, under supervision, provided guidance to healthcare professionals and the general population through phone calls. I instructed them on how to respond in cases of poisoning or contact with wild animals, including what immediate actions to take if bitten or exposed to harmful substances. | 02/2007 - 09/2007 |
| PET Odontologia "dentistry" - UFRJ, MEMBER - During my time in dental school, I was an active member of the Tutorial Education Program (PET), a nationally recognized academic initiative in Brazil. Admission to PET was through a competitive selection process, and members worked under faculty supervision to organize and implement educational activities rooted in the integration of teaching, research, and community outreach. As part of this group, I helped coordinate academic meetings and developed skills in presenting and educating others on topics related to dentistry. The program’s core mission is to enhance undergraduate education, promote professional excellence, and cultivate ethical and civic-minded professionals. Learn more: https://www.gov.br/mec/pt-br/acesso-a-informacao/institucional/programas-e-acoes/programa-de-educacao-tutorial-pet My participation in PET significantly contributed to my early development as an educator and team collaborator. | 03/1999 - 12/2000 |
Other Service
| ERAS ambulatory single port Prostatectomy - Dr. Huckabay, Co-Author - I contributed to the ERA protocol at the invitation of Dr. Hukabay from the Urology Service, reviewing and recommending optimal strategies for perioperative pain management in robotic surgery, with an emphasis on minimizing opioid use to improve the patient experience. | 10/2024 - 11/2024 |
| Medical challenge cases of the ASA meeting - Pittsburgh 2024 - Facilitator, ASA Faculty Facilitator - During the ASA meeting, I participated in the poster sessions where residents presented their most challenging cases. At the end of each session, I facilitated discussions among attendees to explore alternative management approaches, fostering deeper learning and collaborative insight | 10/2024 - 10/2024 |
| Logistical organization of a new eletroconvulsive therapy room, Author - In this role, I sought approval from the leadership of the Psychiatry Department, Anesthesia, and Nursing to relocate our patient care area. Working collaboratively with these departments, as well as with the assistance of an anesthesia technician, I facilitated the move to a new space that offered several benefits for the patients. The new location provides improved privacy for their therapies, ensuring a more comfortable and confidential environment for their care. | 09/2024 - 11/2024 |
| ERAC (Enhanced Recovery after C- Section) protocol, Co-author - I conducted a detailed review of the current ERAC protocol from the Obstetric leadership, updating and incorporating new practices to optimize pain control while reducing opioid use. | 09/2024 - 10/2024 |
| Quality improvement Protocol for Perioperative Pain Management of Patients on Buprenorphine Undergoing Non-Emergent Surgery, Author - protocol to assist anesthesiologists and preop team to manage dose of buprenorphrine in the perioperative period. | 08/2024 - Present |
| Quality Improvement Initiative – Follow-Up in Regional Anesthesia Patients, Leader -i am leading a quality improvement project using the Plan-Do-Study-Act (PDSA) approach to enhance follow-up care for patients receiving peripheral nerve blocks (PNBs). The team developed an automated system where all patients receive a standardized text message post-procedure to assess pain control and identify any red flag symptoms. If concerns are reported or there's no response, the patient is contacted by phone for further evaluation, ensuring timely intervention while reducing unnecessary use of human resources. At the conclusion of the project, residents will present the results at the American Society of Anesthesiologists (ASA) meeting to share this methodology and its impact. The goal is to promote a more efficient, patient-centered follow-up model and encourage its adoption across other institutions to improve perioperative care nationwide. | 08/2024 - Present |
| Quality improvement initiative: Improving regional anesthesia - preop nerve blocks / neuraxial - Workflow chart for Joint Surgery - Dr. Montgomery and Dr. Ibe, reviewer of the Eras for total arthoplasties - I reviewed our current Enhanced Recovery After Surgery (ERAS) protocol and proposed targeted improvements after discussions with key joint surgeons, Dr. Ibe and Dr. Montgomery. Drawing from best practices I observed during my fellowship at a high-volume center specializing in knee and hip arthroplasty, I aimed to align our approach with evidence-based strategies for optimizing patient outcomes. To address challenges with late-day cases and limited staffing for postoperative nerve blocks, I coordinated meetings between the surgeons and our regional anesthesia team to shift nerve block placement to the preoperative period. This change ensures more consistent block delivery and improves postoperative comfort, especially for patients undergoing general anesthesia. Additionally, I advocated for spinal anesthesia as the standard approach and collaborated with room-assigned anesthesiologists to support the acute pain service in performing spinals efficiently. I keep monitoring efficiency and communicatoning with the joint team to mantain efficiency. | 05/2024 - Present |
| Adult Regional Block "Time Out" Standardization, Author - I developed a standardized "time out" checklist to improve the safety of adult regional anesthesia procedures. This structured checklist guides residents and anesthesia providers through a systematic verification process before performing nerve blocks. Key elements include: confirming correct patient, procedure, and side to prevent wrong-site blocks; reviewing allergies to avoid administration of local anesthetics or adjuvants in allergic patients; verifying anticoagulation status immediately prior to neuraxial anesthesia to reduce the risk of epidural hematoma; and ensuring blood pressure monitoring is set to every 5 minutes to allow early detection of local anesthetic systemic toxicity (LAST). | 01/2024 - 07/2024 |
| Logistical Reorganization of the Regional Pain Service Area, Author. As a resident in Anesthesiology, I initiated the organization of the Regional Pain Service area by setting up regional anesthesia cars, labeling the regional anesthesia carts to standardize and streamline supply stocking instead of obtaining supplies from the workroom mostly on every block. As an attending, I continued this effort by securing a dedicated cabinet for regional anesthesia supplies, requesting an additional computer to support documentation, and implementing labeling for anesthesia techs to guide weekly restocking. I continue to monitor the regional anesthesia carts monthly to ensure they remain properly stocked and organized, and I use this as an opportunity to teach residents about the importance of good organization in maintaining efficiency and patient safety. | 01/2021 - Present |
| Founder/President of the Trauma interest Group (LITRE). Universidade Federal do Rio de Janeiro. 2008-2009., Leadership - As the leader of LITRE UFF (Liga de Trauma da Universidade Federal Fluminense), a group founded in 2008 and still active today, I played a key role in organizing various initiatives to enhance the educational experience of medical students and promote community engagement in trauma care. I coordinated regular meetings, developed policies for the group's operation, and invited distinguished professors from the School of Medicine to give lectures on trauma and emergency management, providing valuable insights for students and members. In addition to academic initiatives, I organized hands-on workshops, such as Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and airway management training. These workshops equipped students with essential skills to apply in real-life emergency scenarios. I also emphasized community education, teaching the public how to alert emergency services, perform CPR, and respond in critical situations. Moreover, I led donation campaigns where medical students volunteered to support various community health initiatives. Finally, I facilitated shadowing opportunities with paramedics, allowing students to gain practical experience in pre-hospital trauma care. LITRE UFF remains committed to advancing medical education and supporting community health. For more information, you can visit our website: [LITRE UFF]https://www.instagram.com/litreuff/reels/ . | 05/2008 - 12/2009 |
Teaching Experience
| Medicine, Small Group, Lecturer, Regional Anesthesia Workshop for Hip Fracture in the Elderly for UMMC EM Faculty - group/day 1 | Winter 2025 - 2025 |
| Medicine, Course, Course Director, Probe Needle Alignment course for ED physicians in regional anesthesia for Hip Fractures in the Elderly | Winter 2025 |
| Medicine, Course, Course Director, Annual workshop in Regional anesthesia for residents | Spring 2025 |
| Medicine, Small Group, Facilitator, Simulation medicine case scenario: CAPSEL core curriculum | Spring 2025 |
| Lecture, Lecturer, CA2 &3 Gastric ultrasound lecture and live scanning | Spring 2025 |
| Medicine, Lecture, Lecturer, Regional anesthesia for HIP fracture in the Elderly - group 2 | Winter 2025 - 2025 |
| Medicine, Lecture, Lecturer, Regional anesthesia for HIP fracture in the Elderly - group 3 | Winter 2025 - 2025 |
| Medicine, Lab, Lab Director, Regional anesthesia for Hip fracture - cadaveric workshop | Winter 2025 - 2025 |
| Anesthesia department Library, Lecture, Lecturer, Gastric and Lung POCUS for residents | Winter 2025 |
| Medicine, Lecture, Facilitator, PBDL to the anesthesia residents - Regional anesthesia - Problem based learning discussion | Winter 2025 |
| Medicine, Lecture, Lecturer, CA 2 & CA3 Lecture ITE regional review | Winter 2024 |
| Medicine, Small Group, Course Director, Workshop in Regional anesthesia and cardiac pocus exam for the ABA OSCE | Spring 2024 - 2024 |
| Medicine, Lecture, Lecturer, Local Anesthetic CA-1 Basics of Anesthesia | Fall 2024 - 2024 |
| Medicine, Lecture, Lecturer, Ground Round: Regional anesthesia and multimodal pain management in the opioid epidemic | Fall 2024 - 2024 |
| Medicine, Attending, Mock orals for ABA oral exam | Fall 2024 - 2024 |
| Medicine, Small Group, Attending, Q words discussion in anesthesia for residents | Fall 2024 - 2024 |
| Medicine, Small Group, Lecturer, Pocus Workshop for Anesthesia interest group | Winter 2024 - 2024 |
| Anesthesia Residency Program, Lecture, Lecturer, Regional anesthesia in ERAS protocols | Summer 2024 |
| Medicine, Lecture, Lecturer, American Board of Anesthesiology (ABA) keyword for in training exam in Acute Pain and Regional Anesthesia. | Spring 2024 |
| Medicine, Small Group, Lecturer, AIG workshop in regional anesthesia for medical students - Anesthesia interest Group | Winter 2023 - 2023 |
| Medicine, Lecture, Lecturer, Enhanced recovery after surgery protocols | Spring 2023 |
| Medicine, Lecture, Lecturer, Truncal blocks | Summer 2023 |
| Medicine, Lecture, Lecturer, Ground round lecture: Allergy to Decadron, Time out and labeling system in Regional Anesthesia. | Fall 2021 |
| Medicine, Lecture, Ground round: Massive Blood Loss and Cardiac Arrest During Intrapericardial Pneumectomy. | Fall 2020 |
Directed Student Learning
| Supervised Teaching Activity | 2023 - Present |
| Faculty preceptor, Advised: | 2023 - Present |
Fellows supervised
| Regional anesthesia, Attending Physician, 7 fellows supervised, Regional anesthesia and inpatient pain service | 07/2023 - Present |
Residency Training
| Mentorship Program for Anesthesiology Residents, Advisor | 2024 - Present |
| Graduation research project for residents in anesthesiology, Research Advisor | 2023 - Present |
| UMMC - Impatient pain service, Attending Physician | 2023 - Present |
| UMMC- Regional Anesthesia Service, Attending Physician | 2023 - Present |
| Albert Einstein school of Medicine - Montefiore Medical Center, Training Faculty | 2022 - 06/2023 |
| Hospital Federal de Ipanema - Rio de janeiro - Brazil, Attending Physician | 2014 - 07/2016 |
| Quality Improvement Project, Advisor |