A5017717954- Cardiac, Anesthesia and Surgical Outcomes
- Diversity and Career in Medicine
- Anesthesia and Pain Management
- Hospital Admissions and Outcomes
- Hemodynamic Monitoring and Therapy
- Liver Disease and Transplantation
- Healthcare professionals’ stress and burnout
- Medical Education and Admissions
- Organ Transplantation Techniques and Outcomes
- Innovations in Medical Education
- Enhanced Recovery After Surgery
- Pain Management and Opioid Use
- Sleep and Work-Related Fatigue
- Patient Safety and Medication Errors
- Liver Disease Diagnosis and Treatment
- Anesthesia and Sedative Agents
- Cardiac Arrest and Resuscitation
- Surgical Simulation and Training
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Respiratory Support and Mechanisms
- Pituitary Gland Disorders and Treatments
- Non-Invasive Vital Sign Monitoring
- Empathy and Medical Education
- Healthcare Technology and Patient Monitoring
- Simulation-Based Education in Healthcare
University of Virginia
2012-2024
Chongqing Electromechanical Holdings (China)
2024
University of Virginia Health System
2016-2024
Johns Hopkins Medicine
2023
Johns Hopkins University
2023
West Virginia University
2023
Committee on Publication Ethics
2020
Washington State University Spokane
2019
Considered by many to be the definitive resource for anesthesiologists decades, Miller's Anesthesia now comes us in its 8th edition. This book continues gain not only national but also international recognition as primary textbook field of anesthesiology. newest edition is no exception outstanding wealth information authors and editors have provided past. Now with 112 chapters more than 3,500 pages, it hard imagine whether any topics exist that are adequately covered this edition!With...
Blood loss and transfusion of blood products are key concerns during liver transplantation. Whole-blood viscoelastic testing devices have been used to monitor hemostatic function guide the in this patient population. The Quantra System with QStat Cartridge is a new point-of-care, closed-system device that measures changes clot stiffness coagulation fibrinolysis using ultrasound detection resonance. aim multicenter prospective observational study was evaluate against ROTEM delta monitoring...
Abstract Editor’s Perspective What We Already Know about This Topic Article Tells Us That Is New Background Residency programs utilize night float systems to adhere duty hour restrictions; however, the influence of on resident sleep has not been described. The study aim was determine patterns and quality sleep. hypothesized that total time decreases during float, increases as residents acclimate shift work, returns baseline recovery. Methods a single-center observational 30 anesthesia...
Patient requests to avoid blood products from donors vaccinated against COVID-19 are on the rise. This primer provides educational resources and tools for clinicians discussing these concerns with their patients, particularly in perioperative period.
Transesophageal echocardiography (TEE) is a valuable monitor for patients undergoing cardiac and noncardiac surgery as it allows evaluation of cardiovascular compromise in the perioperative period. It challenging anesthesiology residents medical students to learn use interpret TEE clinical environment. A critical component learning strong grasp normal ultrasound anatomy.Fifteen fourth-year 15 post-graduate year (PGY) 1 2 without prior training anesthesia or viewed anatomy video clips;...
Abstract Editor’s Perspective What We Know about This Topic Article Tells Us That Is New Background Patient perception of physician competence is important. The role body language and sex on patient perceptions has not been investigated. authors hypothesized that patients perceive anesthesiologists displaying confident as more competent would prefer male anesthesiologists. Methods Two hundred adult presenting to the Preanesthesia Evaluation Testing Center at University Virginia Health System...
Diverse representation in the field of patient blood management (PBM) may help bring varying perspectives to improve care. We assessed trends gender first and last authorship recent PBM publications evaluate diversity within field.
The Tensys T-line uses tonometry to reproduce the arterial blood pressure tracing non-invasively. purpose of this study was assess agreement between estimates and an intra-arterial catheter (for both mean [MAP] pulse variation [PPV]) in setting spine surgery. Continuous data were collected for 7507 minutes from 25 patients. Five increasingly aggressive filters applied. bias mean, diastolic systolic ranged 3.4–6.4, 3.1–7.1 0.1–0.8 mmHg 6.5–11.8% PPV. Ninety-five per cent confidence intervals...
Background Uncovering patients’ biases toward characteristics of anesthesiologists may inform ways to improve the patient–anesthesiologist relationship. The authors previously demonstrated that patients prefer displaying confident body language, but did not detect a sex bias. effect anesthesiologists’ age on patient perceptions has been studied. In this follow-up study, it was hypothesized would older-appearing over younger-appearing and male female anesthesiologists. Methods Three hundred...
With increasing medical knowledge, procedural, and diagnostic skills to learn, it is vital for educators make the limited amount of teaching time available students effective efficient. Generative retrieval an efficient learning tool, improving long-term retention through practice from memory. Forty were randomized learn normal cardiovascular anatomy using transthoracic echocardiography video clips in a generative (GR) or standard (SP) group. GR participants required verbally identify each...
Respiratory variation in the arterial blood pressure and photoplethysmographic (PPG) waveforms have both been shown to predict haemodynamic response volume administration. Whether or not two can be considered interchangeable is controversial. Twenty-three patients undergoing spine surgery received a 20 gauge intra-arterial catheter Masimo adult adhesive SpHb sensor connected Radical-7 monitor. Pulse (PPV) was calculated off-line at 1-min intervals. Pleth Variability Index (PVI) Perfusion...
Perioperative lung-protective ventilation (LPV) can reduce perioperative pulmonary morbidity. We hypothesized that modifying default anesthesia machine ventilator settings would increase the use of intraoperative LPV. Default tidal volume on our machines were decreased from 600 to 400 mL, and positive end-expiratory pressure was increased 0 5 cm H2O. This modification mean 3.1 5.0 H2O 8.2 6.7 mL/kg predicted body weight. Notably, adherence LPV 1.6% 23.0% occurred quickly with rate more than...
Reversal of neuromuscular blockade is an important anesthesia quality measure, and anesthesiologists should strive to improve both documentation practice this measure. We hypothesized that the use electronic database give individualized resident anesthesiologist feedback would increase percentage cases residents successfully documented quantitative depth before extubation. The mean baseline success rate among anesthesiology was 80% (95% confidence interval [CI], 78-81) increased by 14% CI,...
Ultrasound-guided regional anesthesia is increasingly used in the perioperative period but performance requires a mastery of ultrasound anatomy. We aimed to study whether use generative retrieval learn anatomy would improve long-term recall.Fourth-year medical students without prior training techniques were randomized into standard practice (SP) and (GR) groups. An initial pre-test consisted 74 images testing common anatomic structures. During study/learning session, GR participants required...
Abstract Purpose of Review This article provides an update on coagulation monitoring for patients undergoing liver transplantation and focuses emerging data from the newest generation viscoelastic testing devices. Recent Findings New generation, cartridge-based (VET) devices (TEG 6s, ROTEM sigma, Quantra with QStat cartridge) offer less inter-operator variability greater ease use application at point care. Data these VET in is limited. Summary The coagulopathy disease affects both...
Over the past several years, liver transplant community has embraced concept of fast-tracking patients to facilitate earlier postoperative recovery. Derive and validate a novel "fast-track" risk score that captures demographic clinical characteristics DDLT predict likelihood early extubation after surgery. Adult who underwent non-fulminant between January 2014 July 2019 were included. The cohort was divided in 2 groups: extubated within 4 hours surgery vs h. Logistic regression performed...