A5005235072- Respiratory Support and Mechanisms
- Anesthesia and Pain Management
- Musculoskeletal pain and rehabilitation
- Hemodynamic Monitoring and Therapy
- Airway Management and Intubation Techniques
- Cardiac Arrest and Resuscitation
- Tracheal and airway disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Nausea and vomiting management
- Anesthesia and Sedative Agents
- Corneal surgery and disorders
- Renal function and acid-base balance
- Ophthalmology and Eye Disorders
- Island Studies and Pacific Affairs
- Head and Neck Surgical Oncology
- Healthcare professionals’ stress and burnout
- Adrenal Hormones and Disorders
- Trauma Management and Diagnosis
- Thyroid Disorders and Treatments
- Transplantation: Methods and Outcomes
- Epilepsy research and treatment
- Helicobacter pylori-related gastroenterology studies
- Abdominal Surgery and Complications
- Dental Anxiety and Anesthesia Techniques
- Pediatric Pain Management Techniques
Naval Medical Center San Diego
2006-2022
Marqués de Valdecilla University Hospital
2020
University of Puerto Rico at Carolina
2008
Duke University Hospital
2004
Duke Medical Center
2004
To determine the effect of steep Trendelenburg (sTBURG) surgical positioning on intraocular pressure (IOP) during robotic-assisted laparoscopy (RAL) in subjects without previously identified ocular disease.Prospective cohort study.Eighteen patients undergoing RAL with sTBURG and 21 controls open laparoscopic cases horizontal positioning.Research data derived from an approved Naval Medical Center, San Diego, CA, IRB protocol. A study group utilizing (group 1) was compared a control surgery...
In Brief BACKGROUND: Blockade of the saphenous nerve is often used for surgeries below knee. Depending on approach, success rates vary widely ranging from 33% to 88%. this prospective volunteer study, we compared 2 ultrasound-guided techniques, modified vastus medialis and perifemoral block with a knee field block. METHODS: Twenty adults, in single-blinded, crossover, trial underwent 3 different blocks. The primary end point was loss sensation distal two-thirds distribution nerve. Secondary...
Background: Severe pulmonary contusions are a common cause of acute respiratory distress syndrome (ARDS) and associated with significant morbidity. High frequency oscillatory ventilation (HFOV) is ventilatory mode that employs lung protective strategy consistent the ARDSNet low tidal volume may result in reduced The objective this report to examine impact HFOV on blunt trauma patients severe who failed or were at high risk failing conventional mechanical ventilation. Methods: We undertook...
PATIENTS in the intensive care unit (ICU) are at high risk of developing delirium. Delirium is an independent determinant hospital length stay and may be associated with increased morbidity mortality. Although estimates incidence delirium ICU vary considerably, it widely recognized as difficult to diagnose treat. Standard therapy for agitation intravenous haloperidol. However, haloperidol sometimes ineffective managing delirious patients large doses pose side effects. Newer "atypical"...
We tested whether positive end-expiratory pressure (PEEP) increases right internal jugular vein (RIJV) cross-sectional area (CSA) in 45 ASA physical status I and II adults. All patients received a standardized IV fluid bolus, induction of general anesthesia, tracheal intubation, mechanical ventilation. evaluated the CSA RIJV using ultrasound without PEEP (control) with (10 cm H(2)O) supine, level position. Addition increased 0.42 + or - 0.41 cm(2) (mean SD, median 0.34 cm(2), P < 0.001),...
This is a case of thyrotoxicosis, due to the Jöd-Basedow phenomenon following administration oral and IV iodinated contrast in patient with history gastrointestinal stromal tumor (GIST) small bowel obstruction. The developed atrial fibrillation had an extended stay intensive care unit. Given aging population possible subclinical hyperthyroidism, multinodular goiter, rise for routine diagnostic studies, this serves raise awareness risks "routine" tests administered our population.
Abstract Background Ongoing postoperative pain assessments are vital to optimizing management and attenuating the development of poor health outcomes after surgery. This study aimed characterize acute multidimensional trajectories impact on physical function, sleep, mood, stress examine clinical characteristics demographics associated with trajectory membership. Additionally, this compared levels intensity prescription opioid use at 2 weeks 1 month postoperatively across symptom...
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Introduction: The USNS Mercy has been integral in providing humanitarian and civic assistance as part of the Department Defense's ongoing Combatant Commander Theater Security Cooperation Plans. purpose this study was to critically assess patient demographics procedures performed provide guidance for future missions. Methods: A retrospective review on a cohort 825 surgical patients who underwent surgery during 4-month period Pacific Partnership 2010. Patient demographics, anesthesia exam...
Pheochromocytoma is a rare catecholamine-producing tumor that can cause severe hypertension and other systemic disturbances. A clinical challenge arises when patient with previously undiagnosed untreated pheochromocytoma presents surgical emergency. We describe presenting acute appendicitis in whom surgery was cancelled because of suspected pheochromocytoma. The possibility mortality associated an outweighed the risk nonoperative management for appendicitis. This case resulted resolution...
BACKGROUND: Pain trajectories have been described in numerous surgical settings where preoperative characteristics used to predict trajectory membership. Suboptimal pain intensity linked poor longitudinal outcomes. However, biopsychosocial modulators of postoperative may also distinct that inform additional targets improve recovery. METHODS: Patients undergoing total joint arthroplasty, thoracic surgery, spine major abdominal or mastectomy completed Patient Reported Outcome Measurement...
This study identified 100 ambulatory surgery patients receiving general anesthesia who were at increased risk for postoperative nausea and vomiting (PONV) randomly assigned them to receive single-agent prophylaxis (12.5 mg of dolasetron or 4 ondansetron) 15 30 minutes before the end surgery. Data collected in postanesthesia care unit, completed a questionnaire 24 hours after No statistically significant difference existed between groups demographic features, history PONV, motion sickness,...
In Brief BACKGROUND: Esophageal detector devices (EDDs) impose negative pressure on the trachea or esophagus to verify endotracheal tube (ETT) position. cardiac arrest, smooth muscle of lower esophageal sphincter relaxes in a time-dependent and irreversible manner. If relaxation also occurs muscular posterior tracheal wall, it could predispose invagination collapse with pressure, potentially yielding false-negative (tracheal ETT, EDD indicates esophagus) results. We compared 3 different EDDs...
The difficult intubation is one of the most trying situations encountered in airway management. Transtracheal jet ventilation via needle cricothyroidotomy can provide temporary oxygenation this critical situation a minimally invasive fashion. esophageal detector device (EDD) has been previously shown to be effective determining tracheal placement endotracheal tubes. In experiment, three commonly available EDDs are utilized accurately identify 15 intratracheal placements 16-gauge IV catheter...
The following case describes the favorable application of airway pressure release ventilation (APRV) in a patient with pulmonary hypertension who developed respiratory failure and abdominal compartment syndrome after closure from an incarcerated umbilical hernia. A 66-year-old male past medical history restrictive lung disease, obstructive sleep apnea hypertension, presented to operating room for inguinal After closure, he gradually decreased oxygen saturation hypotension. APRV was initiated...
You have accessJournal of UrologyTechnology & Instruments: Robotics/Laparoscopy/Ureteroscopy I1 Apr 2010728 INTRAOCULAR PRESSURES DURING ROBOTIC ASSISTED LAPAROSCOPIC PROCEDURES UTILIZING STEEP TRENDELENBURG POSITIONING Matthew Christman, Todd Mondzelewski, Jason Durbin, Eugenio Lujan, James L'Esperance, Kimberly Davis, and Brian Auge ChristmanMatthew Christman More articles by this author , MondzelewskiTodd Mondzelewski DurbinJason Durbin LujanEugenio Lujan L'EsperanceJames L'Esperance...
Abstract Introduction Primary graft failure (PGF) is the leading cause of early mortality after heart transplantation (HT). Its increasing incidence during last decade may be triggered by disbalance between receptors and donors that forces acceptance suboptimal organs. Purpose The aim our work was to analyse mechanical circulatory support (MCS) with VA-ECMO in refractory inotropes PGF determinate its impact terms function recovery survival. Methods A retrospective study, analyzing database...