A5010779761- Cardiac, Anesthesia and Surgical Outcomes
- Hemodynamic Monitoring and Therapy
- Anesthesia and Sedative Agents
- Intensive Care Unit Cognitive Disorders
- Airway Management and Intubation Techniques
- Patient Safety and Medication Errors
- Anesthesia and Pain Management
- Pain Management and Opioid Use
- Cardiac Arrest and Resuscitation
- Anesthesia and Neurotoxicity Research
- Surgical Simulation and Training
- Hospital Admissions and Outcomes
- Hip and Femur Fractures
- Frailty in Older Adults
- Respiratory Support and Mechanisms
- Tracheal and airway disorders
- Delphi Technique in Research
- Pediatric Pain Management Techniques
- Neuroscience of respiration and sleep
- Cardiovascular and Diving-Related Complications
- Nausea and vomiting management
- Advanced Statistical Process Monitoring
- Balance, Gait, and Falls Prevention
- Forecasting Techniques and Applications
- Stroke Rehabilitation and Recovery
Washington University in St. Louis
2014-2025
University of Nebraska Medical Center
2023
University of Mississippi Medical Center
2020
Quality Research
2018
Barnes-Jewish Hospital
2013-2018
Wright State University
2016
University of Michigan
2013-2015
Jewish Hospital
2015
Foundation for Anesthesia Education and Research
2013
American Society of Anesthesiologists
2013
Postoperative delirium in the intensive care unit (ICU) is a frequent complication after cardiac or thoracic surgery and associated with increased morbidity mortality.In this single-center substudy of BAG-RECALL trial (NCT00682825), we screened patients ICU twice daily for using Confusion Assessment Method ICU. The primary outcome was incidence who had been randomized to intraoperative Bispectral Index (BIS)-guided end-tidal anesthetic concentration-guided depth anesthesia protocols. As...
Patients with a history of intraoperative awareness explicit recall (AWR) are hypothesized to be at higher risk for AWR than the general surgical population. In this study, authors assessed whether patients (1) actually AWR; (2) receive different anesthetic management; and (3) relatively resistant hypnotic actions volatile anesthetics.Patients matched controls from three randomized clinical trials investigating prevention were compared relative AWR. Anesthetic management was use Hotelling's...
<h3>Introduction</h3> Mortality and morbidity following surgery are pressing public health concerns in the USA. Traditional prediction models for postoperative adverse outcomes demonstrate good discrimination at population level, but ability to forecast an individual patient’s trajectory real time remains poor. We propose apply machine learning techniques perioperative time-series data develop algorithms predicting outcomes. <h3>Methods analysis</h3> This study will include all adult...
Telemedicine may help improve care quality and patient outcomes. for intraoperative decision support has not been rigorously studied.
Abstract Background The impact of surgery on health is only appreciated long after hospital discharge. Furthermore, patients’ perceptions postoperative are not routinely ascertained. authors instituted the Systematic Assessment and Targeted Improvement Services Following Yearlong Surgical Outcomes Surveys (SATISFY-SOS) registry to evaluate based patient-reported outcomes (PROs). Methods This article describes methods establishing SATISFY-SOS from an unselected surgical population, combining...
Despite growing evidence supporting the potential benefits of higher end-tidal carbon dioxide (ETCO2) levels in surgical patients, there is still insufficient data to formulate guidelines for ideal intraoperative ETCO2 targets. As it unclear which are currently used and whether these have changed over time, we investigated practice pattern using Multicenter Perioperative Outcomes Group database.This retrospective, observational, multicentre study included 317,445 adult patients who received...
Falls are common and linked to morbidity. Our objectives were characterize postoperative falls, determine whether preoperative falls independently predicted (primary outcome), functional dependence, quality of life, complications, readmission.This prospective cohort study included 7982 unselected patients undergoing elective surgery. Data collected from the medical record, a baseline survey, follow-up surveys approximately 30days one year after surgery.Fall rates (per 100 person-years)...
Frailty is an important concept in the care of older adults although controversy remains regarding its defining features and clinical utility. Both Fried phenotype Rockwood deficit accumulation approaches cast frailty as a "burden" without exploring relative salience cardinal markers their relevance to patient. New multifactorial perspectives require reliable assessment that can validly predict postoperative health outcomes.In retrospective study 2828 unselected surgical patients, we used...
Delayed cerebral ischemia (DCI) after aneurysmal subarachnoid hemorrhage (SAH) has been identified as an independent predictor of poor outcome in numerous studies.To investigate the potential protective role inhalational anesthetics against angiographic vasospasm, DCI, and neurologic SAH patients.After Institutional Review Board approval, data were collected retrospectively for patients who received general anesthesia aneurysm repair between January 1st, 2010 May 31st, 2018. Primary outcomes...
BACKGROUND Prolonged time to extubation after general anaesthesia has been defined as a from the end of surgery airway at least 15 min. This occurrence can result in ineffective utilisation operating rooms and delays patient care. It is unknown if unanticipated delayed associated with escalation OBJECTIVES To assess frequency ‘prolonged extubation’ its association ‘escalation care before discharge postanaesthesia unit’, administration reversal agents for opioids benzodiazepines,...
Importance Telemedicine for clinical decision support has been adopted in many health care settings, but its utility improving intraoperative not assessed. Objective To pilot the implementation of a real-time telemedicine program and evaluate whether it reduces postoperative hypothermia hyperglycemia as well other quality measures. Design, Setting, Participants This single-center randomized trial (Anesthesiology Control Tower–Feedback Alerts to Supplement Treatments [ACTFAST-3]) was...
Washington University School of Medicine at St Louis, Missouri The Texas, Anesthesiology & PeriOperative Medicine, Houston, Texas authors have no conflicts interest to disclose. Reprints: Jens A. Tan, MD, MEd, FRCPC, MD Anderson Cancer Center, 1400 Holcombe Blvd., Unit 0409, TX 77030. E-mail: [email protected]
Extraglottic airway device (EGA) failure can be associated with severe complications and adverse patient outcomes. Prior research has identified patient- procedure-related predictors of EGA failure. In this retrospective study, we assessed the incidence perioperative at our institution modifiable factors complication that may target preventative or mitigating interventions.We performed a 5-year analysis adult general anesthesia cases managed EGAs in single academic center. Univariable...
Prolongation of the QTc interval indicates abnormal cardiac repolarization. A recent study has shown that postoperative prolongation is common. However, it unknown whether an isolated phenomenon or occurs regularly during surgery, type anesthesia influences its incidence.To answer this question, we conducted a prospective cohort (n = 300), where duration was continuously recorded by 12-lead Holter electrocardiogram from 30 minutes preoperatively to up 60 postoperatively. compared between...
Abstract Background Anesthesiologists need tools to accurately track postoperative outcomes. The accuracy of patient report in identifying a wide variety complications after diverse surgical procedures has not previously been investigated. Methods In this cohort study, 1,578 adult patients completed survey at least 30 days their procedure asking if they had experienced any 18 while the hospital surgery. Patient responses were compared results an automated electronic chart review and (for...
Background: Each year, over 300 million people undergo surgical procedures worldwide. Despite efforts to improve outcomes, postoperative morbidity and mortality are common. Many patients experience complications as a result of either medical error or failure adhere established clinical practice guidelines. This protocol describes trial comparing telemedicine-based decision support system, the Anesthesiology Control Tower (ACT), with enhanced standard intraoperative care. Methods: study is...
Whitlock, Elizabeth L.*; Torres, Brian A.*; Lin, Nan†; Helsten, Daniel Nadelson, Molly R.*; Mashour, George A.‡; Avidan, Michael S.* Author Information