Robert H. Thiele

ORCID: 0000-0001-7262-0653
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About
Contact & Profiles
Research Areas
  • Hemodynamic Monitoring and Therapy
  • Cardiac, Anesthesia and Surgical Outcomes
  • Non-Invasive Vital Sign Monitoring
  • Enhanced Recovery After Surgery
  • Anesthesia and Pain Management
  • Blood Pressure and Hypertension Studies
  • Anesthesia and Neurotoxicity Research
  • Cardiac Arrest and Resuscitation
  • Traumatic Brain Injury and Neurovascular Disturbances
  • Heart Rate Variability and Autonomic Control
  • Ultrasound in Clinical Applications
  • Optical Imaging and Spectroscopy Techniques
  • Intensive Care Unit Cognitive Disorders
  • Cardiac Imaging and Diagnostics
  • Renal function and acid-base balance
  • Cardiovascular Health and Disease Prevention
  • Thermal Regulation in Medicine
  • Anesthesia and Sedative Agents
  • Mitochondrial Function and Pathology
  • Healthcare Technology and Patient Monitoring
  • Neurological Disorders and Treatments
  • Climate Change and Health Impacts
  • Respiratory Support and Mechanisms
  • Cardiac Valve Diseases and Treatments
  • Airway Management and Intubation Techniques

University of Virginia
2015-2024

University of Virginia Health System
2014-2023

Technical University of Munich
2020

University of California, Los Angeles
2020

University Medical Center Hamburg-Eppendorf
2020

Committee on Publication Ethics
2020

Outcomes Research Consortium
2020

Klinikum rechts der Isar
2020

Universität Hamburg
2020

Neurological Surgery
2012-2019

Enhanced recovery may be viewed as a comprehensive approach to improving meaningful outcomes in patients undergoing major surgery. Evidence support enhanced pathways (ERPs) is strong colorectal There some controversy about the adoption of specific elements "bundles" because relative importance different components ERPs hard discern (a consequence multiple simultaneous changes clinical practice when are initiated). evidence that approaches fluid management better than alternatives surgery;...

10.1186/s13741-016-0049-9 article EN cc-by Perioperative Medicine 2016-09-17

To examine implementing an enhanced recovery after surgery (ERAS) protocol for women undergoing major gynecologic at academic institution and compare surgical outcomes before implementation.Two ERAS protocols were developed: a full pathway using regional anesthesia open procedures light without vaginal minimally invasive procedures. Enhanced pathways included extensive preoperative counseling, carbohydrate loading oral fluids surgery, multimodal analgesia with avoidance of intravenous...

10.1097/aog.0000000000001555 article EN Obstetrics and Gynecology 2016-08-19

BACKGROUND: Hospital readmission rates are an increasingly important quality metric since enactment of the 2012 Readmissions Reduction Program. The proliferation enhanced recovery protocols and earlier discharge raises concerns for increased rates. OBJECTIVE: We evaluated effect on readmissions identified risk factors readmission. DESIGN: This study involved implementation a multidisciplinary protocol. SETTINGS: It was conducted at large academic medical center PATIENTS: All patients...

10.1097/dcr.0000000000000748 article EN Diseases of the Colon & Rectum 2017-01-06

Abstract During surgery, various haemodynamic variables are monitored and optimised to maintain organ perfusion pressure oxygen delivery – eventually improve outcomes. Important that provide an understanding of most pathophysiologic conditions during surgery include heart rate, arterial pressure, central venous pulse variation/stroke volume variation, stroke volume, cardiac output. A basic physiologic these the corresponding monitoring methods is essential. We therefore revisit rationale for...

10.1007/s10877-024-01161-2 article EN cc-by Journal of Clinical Monitoring and Computing 2024-04-30

Abstract Background The explosion of biomedical information has led to an ‘information paradox’—the volume available made it increasingly difficult find relevant when needed. It is thus critical for physicians acquire a working knowledge informatics. Aim To evaluate four search tools commonly used answer clinical questions, in terms accuracy, speed, and user confidence. Methods From December 2008 June 2009, medical students, resident physicians, attending at the authors' institution were...

10.1136/pgmj.2010.098053 article EN Postgraduate Medical Journal 2010-08-01

The effects of both hyperglycemia and hypoglycemia are deleterious to patients with neurologic injury.On January 1, 2002, the neurointensive care unit at University Virginia Health System initiated a strict glucose control protocol (goal < 120 mg/dl). authors conducted an impact study determine this on presenting aneurysmal subarachnoid hemorrhage.Among 834 admitted between 1995 2007, in-hospital mortality was 11.6%. median admission for survivors lower (135 vs. 176 mg/dl); however,...

10.1097/aln.0b013e318198006a article EN Anesthesiology 2009-02-20

Liver transplantation may be complicated by massive intraoperative bleeding, and red blood cell (RBC) transfusions required. The storage duration or age of transfused RBCs has been shown to affect the morbidity mortality critically ill, trauma, cardiac surgery patients. Here we investigate effect RBC on outcomes liver transplant Five hundred thirty-one patients underwent orthotopic between January 1, 2000 August 15, 2010. patient demographics, Model for End-Stage Disease-sodium (MELD-Na)...

10.1002/lt.23379 article EN Liver Transplantation 2012-01-12
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