A5069116699- Cardiac, Anesthesia and Surgical Outcomes
- Trauma and Emergency Care Studies
- Hernia repair and management
- Appendicitis Diagnosis and Management
- Pelvic and Acetabular Injuries
- Abdominal Surgery and Complications
- Emergency and Acute Care Studies
- Diverticular Disease and Complications
- Intestinal and Peritoneal Adhesions
- Abdominal Trauma and Injuries
- Hospital Admissions and Outcomes
- Surgical Simulation and Training
- Injury Epidemiology and Prevention
- Blood transfusion and management
- Pediatric Pain Management Techniques
- COVID-19 and healthcare impacts
- Sepsis Diagnosis and Treatment
- Erythrocyte Function and Pathophysiology
- Atrial Fibrillation Management and Outcomes
- Immune Response and Inflammation
- Electrostatic Discharge in Electronics
- Healthcare Policy and Management
- Pain Management and Opioid Use
- Surgical Sutures and Adhesives
- Healthcare Operations and Scheduling Optimization
Virginia Commonwealth University
2018-2023
University Health System
2020
American College of Surgeons
2019
Children's Hospital of Richmond at VCU
2019
University of Kentucky HealthCare
2015-2018
University of Kentucky
2009-2016
University of Miami
2013-2014
American Association for the Surgery of Trauma
2011
Results of an initiative at academic medical center to reduce prescription opioid use in patients with acute traumatic injuries are reported.In 2014, the University Kentucky Hospital trauma service implemented a pain management strategy consisting patient and provider education emphasizing nonopioid analgesics minimize without compromising analgesia effectiveness. To assess impact initiative, retrospective analysis data on cohorts admitted before (n = 489) after 424) project implementation...
Background: Surgical resident rotations on trauma services are criticized for little operative experience and heavy workloads. This has resulted in diminished interest surgery among surgical residents. Acute care (ACS) combines emergency/elective general surgery, enhancing volume balancing nonoperative effort. We hypothesize that a mature ACS service provides significant experience. Methods: A retrospective review was performed of ACGME case logs 14 graduates from major, academic, Level I...
Transfusion-related immunomodulation consists of both proinflammatory and anti-inflammatory responses after transfusion blood products. Stored red cells (RBCs) suppress human T-cell proliferation in vitro, but the mechanism remains unknown. We hypothesized that cytokine synthesis by T may be inhibited when stored RBCs are present suppression between fresh would different.Purified were stimulated to proliferate with anti-CD3/anti-CD28 then exposed or RBCs. Cells placed culture for 5 days....
Damage control surgery (DCS) was developed to manage exsanguinating trauma patients, but is increasingly applied the management of peritoneal sepsis and abdominal catastrophes. Few manuscripts compare outcomes these surgeries on disparate patient populations. A multi-institutional three group propensity score matched case cohort study comparing penetrating (PT-DCS), blunt (BT-DCS), intraperitoneal (IPS-DCS) performed patients treated with DSC between 2008 2013. Propensity scoring using...
The impact of surgeons and anesthesiologists, both individually paired, on the length operative procedures was studied. Five general surgeons, six neurosurgeons, 21 anesthesiologists all completed two personality assessments. A retrospective review OR records procedure types performed by those in study (2,087 neurosurgical 2,107 surgery) conducted. Statistical analysis employed to estimate various effects times identify importance each factor. Surgeon effect time varies with type but greater...
Abstract Background Retained surgical sharps (RSS) is a “never event” that preventable but may still occur despite of correct count and negative X-ray. This study assesses the feasibility novel device (“Melzi Sharps Finder®” or MSF) in effective detection RSS. Methods The first consisted determination presence RSS identification an ex-vivo model (a container with hay laparoscopic trainer box). second determining in-vivo (laparoscopy live adult Yorkshire pigs) 3 groups: C-arm, C-arm MSF MSF....
Introduction Laparoscopic inguinal hernia repair can be performed totally extraperitoneal or transabdominal preperitoneal (TAPP). Both repairs are associated with mesh-related complications. This is the first report of a mesh-strangulated appendix, subsequent necrosis and perforation, after TAPP repair. Case A 48-year-old male, 10-years status post-bilateral presented acute right groin bulge, pain, nausea, emesis, fever. He was found to have large, tender, nonreducible mass. taken operating...
BACKGROUND Accurate medication reconciliation in trauma patients is essential but difficult. Currently, there no established clinical method of detecting direct oral anticoagulants (DOACs) patients. We hypothesized that a liquid chromatography–mass spectrometry (LCMS)–based assay can be used to accurately detect DOACs upon hospital arrival. METHODS Plasma samples were collected from 356 who provided informed consent including 10 healthy controls, 19 known positive or negative and 327 older...
Mediastinal abscess can be managed through a variety of both invasive and minimally methods, as determined by location spread infection. Thoracotomy remains the gold standard in treatment is often employed. In present case, 54-year-old female with chronic pancreatitis presented 1-week history severe epigastric pain, nausea vomiting. On CT scan, large was discovered anterior inferior mediastinum. She taken to operating room underwent laparoscopic drainage abscess. Laparoscopy represents novel...
Acute colonic pseudo-obstruction (ACPO) is a condition characterized by acute dilation of the large bowel without evidence mechanical obstruction that occurs in variety hospitalized patients with many predisposing factors. Management includes supportive care and limitation offending medications mainstays treatment neostigmine administration decompression. We report case critically ill patient ACPO who experienced bradycardia brief episode asystole when receiving concomitant dexmedetomidine...
ABSTRACT Background In 2000, the Florida helmet law was repealed despite unhelmeted riders being more likely to suffer serious and fatal injuries. Simultaneously, residents are riding. To reduce motorcycle crash (MCC) recidivism, we implemented a secondary prevention program by educating patients soon after crash. We predicted teachable moment that could be used educate hospitalized regarding risk reduction. Study design Beginning July 2011, MCC at Level 1 trauma center were prospectively...