- Diversity and Career in Medicine
- Cardiac Valve Diseases and Treatments
- Infective Endocarditis Diagnosis and Management
- Aortic Disease and Treatment Approaches
- Cardiac, Anesthesia and Surgical Outcomes
- Medical Education and Admissions
- Pulmonary Hypertension Research and Treatments
- Ultrasound in Clinical Applications
- Transplantation: Methods and Outcomes
- Innovations in Medical Education
- Dialysis and Renal Disease Management
- Central Venous Catheters and Hemodialysis
- Global Health Workforce Issues
- Anesthesia and Pain Management
- Cardiac and Coronary Surgery Techniques
- Dental Education, Practice, Research
- COVID-19 and healthcare impacts
- Pelvic and Acetabular Injuries
- Trauma Management and Diagnosis
- Pregnancy-related medical research
- Abdominal Trauma and Injuries
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Venous Thromboembolism Diagnosis and Management
- Vascular Anomalies and Treatments
- Neurological Complications and Syndromes
University of Utah
2021-2025
University of Utah Health Care
2022
University of Alabama at Birmingham
2006-2020
University of Alabama at Birmingham Hospital
2020
Hospital de Santa Cruz
2015-2017
Alberta Health Services
2010
Sunnybrook Health Science Centre
2009
Health Sciences Centre
2009
St. Mary's Medical Center
2009
Loyola University Chicago
2002
Gabapentin (GPN) is effective in reducing post-operative pain and opioid consumption, but its effects with regional anesthesia for total hip arthroplasty (THA) are not known. We designed this study to determine whether (1) gabapentin administration reduces use after THA using a multimodal analgesic regimen including spinal anesthesia; (2) pre-operative of more than administration.After REB approval informed consent, 126 patients were enrolled double-blinded, randomized-controlled study....
Moderate to severe pain after total knee arthroplasty often interferes with postoperative rehabilitation and delays discharge from hospital. The present study examined the effects of a four-day gabapentin (GBP) regimen versus placebo on opioid consumption, scores flexion, as well adverse effects, arthroplasty.After obtaining research ethics board approval informed consent, 40 patients were enrolled in randomized, single-blind, placebo-controlled, open-label study. Patients assigned one five...
Background: Lung cancer is the leading cause of cancer-related mortality in United States, which disproportionately affect racial and ethnic minorities. Disparities lung screening, diagnosis, treatment, survival outcomes are due to a complex interplay socioeconomic factors, structural racism, limited access high-quality care. This review aims examine underlying causes these disparities explore potential mitigation strategies improve care equity. Methods: A literature was conducted,...
Abuse, bullying, harassment, and discrimination are prominent workplace occurrences within cardiothoracic (CT) surgery that cause burnout threaten the well-being of surgeons. Under-represented marginalized groups experience higher incidences these negative events, CT is one least diverse specialties. The workforce institutional leadership must prioritize mentorship, sponsorship, allyship to promote a healthy specialty for surgeon recruitment, growth, job satisfaction.
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BackgroundD2 aortic stenosis (AS) is the highest risk AS subtype with worse operative and mortality outcomes. This study aimed to investigate quality of life (QoL) left ventricular ejection fraction (LVEF) in patients classic (D2 subtype) low-flow/low-gradient who underwent transcatheter valve replacement (TAVR).MethodsIn total, 634 severe TAVR at our institution from 2014 2020, whom 76 met criteria for D2 reduced LVEF. Echocardiographic clinical outcomes including mortality, stroke,...
Background/Aims . Peritoneal dialysis is a successful renal replacement therapy (RRT) for old and dependent patients. We evaluated the clinical outcomes of an assisted peritoneal (aPD) program developed in Portuguese center. Methods Retrospective study based on 200 adult incident patients admitted during ten years to PD program. included all 17 who were under aPD analysed various parameters, including complications with technique, hospitalizations, patient technique survival. Results The...
Ultrafiltration (UF) technique is a valuable alternative to pharmacological therapy in the treatment of patients with refractory congestive heart failure (HF). The aim this study was describe single-center experience HF peritoneal dialysis (PD).Retrospective 5 included single PD Unit, showing symptoms and signs severe optimal (NYHA class IV). Clinical laboratory parameters, survival, hospitalization, peritonitis rates were recorded.Patients followed for 9.36 (± 6.36) months; population mean...
74 year-old-man, former smoker, with chronic obstructive pulmonary disease GOLD grade 4, group D, emphysema component, treated in a rehabilitation program, on oxygen therapy and nocturnal bi-level positive airway pressure (BiPAP) ventilation. During the night he had traumatic rib fracture (5–11th right ribs) but still used BiPAP ventilation during sleep. In morning after presented diffuse massive face, thorax abdominal regions. On physical examination, patient swelling crepitus palpation. A...
In the era of advancing transcatheter aortic valve replacement (TAVR) technology, traditional open surgery remains a valuable intervention for patients who are not TAVR candidates. We sought to compare perioperative variables and postoperative outcomes minimally invasive full sternotomy surgical (SAVR) at single institution. A retrospective analysis 113 underwent isolated SAVR via or upper hemi-sternotomy between January 2015 December 2019 University Utah Hospital was performed. Preoperative...
A 77-yr-old women presented to an outside hospital complaining of shortness breath and transient diploplia. transthoracic echocardiogram revealed intracardiac mass and, due the high risk systemic embolization, she was transferred our institution for emergency surgical removal. In operating room, after induction general anesthesia, transesophageal echocardiography (TEE) performed, revealing a large serpentine in right atrium extending across aneurysmal interatrial septum into left through...