A5011904856- Abdominal Surgery and Complications
- Cardiac, Anesthesia and Surgical Outcomes
- Hernia repair and management
- Trauma Management and Diagnosis
- Pelvic and Acetabular Injuries
- Trauma and Emergency Care Studies
- Respiratory Support and Mechanisms
- Abdominal Trauma and Injuries
- Congenital Diaphragmatic Hernia Studies
- Mechanical Circulatory Support Devices
- Appendicitis Diagnosis and Management
- Spinal Cord Injury Research
- Pleural and Pulmonary Diseases
- Cardiac Arrest and Resuscitation
- Hip and Femur Fractures
- Traumatic Ocular and Foreign Body Injuries
- Intestinal Malrotation and Obstruction Disorders
- Vascular Procedures and Complications
- Liver Disease and Transplantation
- Urological Disorders and Treatments
- Surgical site infection prevention
- Neonatal Respiratory Health Research
- Surgical Sutures and Adhesives
- Thermal Regulation in Medicine
- Organ Transplantation Techniques and Outcomes
Jacksonville University
2017-2025
University of Florida Health
2025
Florida College
2018-2024
University of Florida
2017-2024
University of Florida Health Science Center
2023
Memorial Hospital
2020
Massachusetts General Hospital
2020
Johns Hopkins University
2020
University of Maryland, Baltimore
2020
Valley Hospital
2020
Traumatic injury to the pancreas is rare but associated with significant morbidity and mortality, including fistula, sepsis, death. There are currently no practice management guidelines for medical surgical of traumatic pancreatic injuries. The overall objective this article provide evidence-based recommendations physician who presented pancreas.The MEDLINE database using PubMed was searched identify English language articles published from January 1965 December 2014 regarding adult patients...
Traumatic diaphragm injuries (TDI) pose both diagnostic and therapeutic challenges in the acute chronic phases. There are no published practice management guidelines to date for TDI. We aim formulate a guideline TDI using Grading of Recommendations Assessment, Development Evaluation (GRADE) methodology.The working group formulated five Patient, Intervention, Comparator, Outcome questions regarding following topics: (1) approach (laparoscopy vs. computed tomography); (2) nonoperative...
BACKGROUND The optimal time to initiate chemical thromboprophylaxis (CTP) in patients who have undergone nonoperative management (NOM) of blunt solid organ injuries (SOI) remains controversial. aim our study was assess the impact early initiation CTP with abdominal SOIs. METHODS We performed a 2-year (2013–2014) retrospective analysis American College Surgeons Trauma Quality Improvement Program. included all adult trauma (age, ≥ 18 years) SOI underwent NOM. Patients were stratified into...
BACKGROUND The Emergency Surgery Score (ESS) was recently developed and retrospectively validated as an accurate mortality risk calculator for emergency general surgery. We sought to prospectively validate ESS, specifically in the high-risk nontrauma laparotomy (EL) patient. METHODS This is Eastern Association of Trauma multicenter prospective observational study. Between April 2018 June 2019, 19 centers enrolled all adults (aged >18 years) undergoing EL. Preoperative, intraoperative,...
BACKGROUND Cervical spinal cord injury (CSCI) is devastating with ventilator-associated pneumonia being a main driver of morbidity and mortality. Laparoscopic diaphragm pacing implantation (DPS) has been used for earlier liberation from mechanical ventilation. We hypothesized that DPS would improve respiratory mechanics facilitate liberation. METHODS performed retrospective review acute CSCI patients between January 2005 May 2017. Routine demographics were collected. Patients underwent...
Cervical spinal cord injury (CSCI) is devastating. Respiratory failure, ventilator-associated pneumonia (VAP), sepsis, and death frequently occur. Case reports of diaphragm pacing system (DPS) have suggested earlier liberation from mechanical ventilation in acute CSCI patients. We hypothesized DPS implantation would decrease VAP facilitate ventilation.We performed a retrospective review patients with managed at single Level 1 trauma center between January 2005 May 2017. Routine demographics...
Cervical spinal cord injury (CSCI) is devastating and costly. Previous research has demonstrated that diaphragm pacing (DPS) safe improves respiratory mechanics. This may decrease hospital stays, vent days, costs. We hypothesized DPS implantation would facilitate liberation from ventilation impact charges.We performed a retrospective review of patients with acute CSCI between January 2005 May 2017. Routine demographics were collected. Patients underwent propensity matching based on age,...
Study Design: Retrospective case series. Objective: Speech language pathology (SLP) is an underutilized but important component in rehabilitation after tracheostomy. The purpose of this study was to determine rates SLP utilization and streamline tracheostomy decannulation be more efficient safer through increased SLP. Methods: Adult patients who underwent from April 2016 December 2018 were evaluated. primary outcome completion any evaluation tracheostomy, secondary outcomes duration surgery...
The Emergency Surgery Score (ESS) was recently validated as an accurate mortality risk calculator for emergency general surgery. We sought to prospectively evaluate whether ESS can predict the need respiratory and/or renal support (RRS) at discharge after emergent laparotomies (EL).This is a post hoc analysis of 19-center prospective observational study. Between April 2018 and June 2019, all adult patients undergoing EL were enrolled. Preoperative, intraoperative, postoperative variables...
Patients who sustain blunt solid organ injury to the liver, spleen, or kidney and are treated nonoperatively frequently undergo serial monitoring of their hemoglobin (Hb). We hypothesized that among initially hemodynamically stable patients with splenic, hepatic, renal injuries without an operation, scheduled serum Hb values may be unnecessary as hemodynamic instability, not merely drop, would prompt intervention.We performed a retrospective review admitted our urban Level 1 trauma center...
Objective: To determine whether certain patients are vulnerable to errant triage decisions immediately after major surgery and there unique sociodemographic phenotypes within overtriaged undertriaged cohorts. Background: In a fair system, overtriage of low-acuity intensive care units (ICUs) undertriage high-acuity general wards would affect all subgroups equally. Methods: This multicenter, longitudinal cohort study hospital admissions compared mortality value (risk-adjusted mortality/total...