Kripa Shrestha

ORCID: 0000-0002-4927-2395
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About
Contact & Profiles
Research Areas
  • Trauma and Emergency Care Studies
  • Pelvic and Acetabular Injuries
  • Surgical site infection prevention
  • Blood transfusion and management
  • Hip and Femur Fractures
  • Hernia repair and management
  • Colorectal Cancer Surgical Treatments
  • Pediatric Hepatobiliary Diseases and Treatments
  • Abdominal Trauma and Injuries
  • Cardiac Arrest and Resuscitation
  • Palliative Care and End-of-Life Issues
  • Gallbladder and Bile Duct Disorders
  • Surgical Sutures and Adhesives
  • Trauma Management and Diagnosis
  • Primary Care and Health Outcomes
  • Body Contouring and Surgery
  • Stoma care and complications
  • Trauma, Hemostasis, Coagulopathy, Resuscitation
  • COVID-19 and Mental Health
  • Restraint-Related Deaths
  • Olfactory and Sensory Function Studies
  • Traumatic Brain Injury and Neurovascular Disturbances
  • Nerve injury and regeneration
  • Clostridium difficile and Clostridium perfringens research
  • Organ Donation and Transplantation

Texas Tech University
2021-2024

Texas Tech University Health Sciences Center
2021-2024

Lubbock Christian University
2023

Covenant Medical Center
2022

The University of Texas Health Science Center at San Antonio
2018

Background Completion cholecystectomy (CC) is performed for recurrent or persistent biliary symptoms following subtotal (STC) incomplete (IC). Due to its complexity, cases are often referred hepato-pancreato-biliary (HBP) surgeons. There little published literature on indications outcomes of CC. Methods between 2016 and 2021 by the sole HPB surgeon covering a rural referral base >250-mile radius in West Texas were included. Primary variables interest include Results Of eleven patients...

10.1177/00031348221124331 article EN The American Surgeon 2022-08-27

While reperfusion of autologous blood using the Cellsaver (CS) device is routine in cardiothoracic surgery, there a paucity evidence-based literature regarding its use trauma. Utility CS was compared these two distinct populations at Level 1 trauma center from 2017 to 2022. successfully used 97% and 74% cardiac cases, respectively. The proportion requirements provided by CS, allogenic transfusion, also significantly higher surgery. However, still net benefit for with median salvaged...

10.1177/00031348231161699 article EN The American Surgeon 2023-03-08

This study aimed to determine whether lower extremity fracture fixation technique and timing (≤24 vs. >24 hours) impact neurologic outcomes in TBI patients.A prospective observational was conducted across 30 trauma centers. Inclusion criteria were age 18 years older, head Abbreviated Injury Scale (AIS) score of >2, a diaphyseal femur or tibia requiring external (Ex-Fix), intramedullary nailing (IMN), open reduction internal (ORIF). The analysis using variamce, Kruskal-Wallis, multivariable...

10.1097/ta.0000000000004095 article EN Journal of Trauma and Acute Care Surgery 2023-06-19

One third of organ donors suffer catastrophic brain injury (CBI). There are no standard guidelines for the management traumatic CBI prior to death, and not all trauma centers have institutional guidelines. In addition, there is high variability in between institutions with Catastrophic vary may include various combinations hormone therapy, vasopressors, fluid resuscitation, other practices. We hypothesized that higher donation rates than those without. This prospective, observational...

10.1097/ta.0000000000004386 article EN Journal of Trauma and Acute Care Surgery 2024-09-27

Abstract Introduction Self-Immolation injuries, although rare, incur a high mortality rate due to the injury burden. These patients often require long hospital stay including extended periods of time in ICU systemic burden their burns. They present with active suicidal ideation leaving medical decisions be made by next kin who want see everything done preserve life loved ones. Over past several years our burn center has taken more holistic approach care these involving both psychiatry team...

10.1093/jbcr/irad045.241 article EN cc-by Journal of Burn Care & Research 2023-05-01

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic commonly called COVID-19 brought new changes to healthcare delivery in the US. purpose of this study is identify impact on surgical care for patients at a Level 1 trauma center during lockdown period from March 13-May 2020.All admission University Medical Center Trauma 13 May 13, 2020, were retrospectively abstracted and compared same 2019. Analysis focused 1, dates Abstracted data included demographics, timeframes,...

10.1016/j.sipas.2023.100189 article EN cc-by-nc-nd Surgery in Practice and Science 2023-06-07

The risk factors for anastomotic leak (AL) after resection and primary anastomosis traumatic bucket handle injury (BHI) have not been previously defined. This multicenter study was conducted to address this knowledge gap.This is a retrospective on small intestine colonic BHIs from blunt trauma between 2010 2021. Baseline patient characteristics, factors, presence of shock transfusion, operative details, clinical outcomes were compared using R.Data 395 subjects submitted by 12 centers, whom...

10.1136/tsaco-2023-001178 article EN cc-by-nc Trauma Surgery & Acute Care Open 2023-11-01

Background: Clostridium difficile infection (CDI) is one of the most common healthcare-associated (HA) infections. Advanced age, use proton pump inhibitors, concomitant antibiotics, steroids, prolonged hospital stay, and gastrointestinal surgeries are associated with increased incidence disease. CDI transmissible via fecal-oral route by ingestion spores readily transmitted in between patients caregivers. Strict contact precautions handwashing implemented health care settings to prevent its...

10.59311/wtjm.v1i3.24 article EN West Texas Journal of Medicine 2023-12-21

Background:
 Surgical site infection (SSI) is one of the most common healthcare-associated infections. The use negative pressure wound therapy (NPWT) has shown to decrease overall rate SSI, dehiscence, and length hospital stay in surgical conditions. This study aims determine impact NPWT applied on closed incisions patients with coexisting ostomy undergoing exploratory laparotomy.
 
 Methods:
 A retrospective who underwent laparotomies from 2017 2019 was conducted....

10.12746/swrccc.v10i44.1061 article EN cc-by-sa The Southwest Respiratory and Critical Care Chronicles 2022-07-22

Santos, Ariel; Endsley, Avery; Shrestha, Kripa; Cruz, Alexis; Gilman, Anastazia; Huynh, Jonathan; Vaughan, Justin Author Information

10.1097/01.ccm.0000809080.86245.65 article EN Critical Care Medicine 2021-12-16

Hudson, Neely; Santos, Ariel; Whitworth, Maegan; Shrestha, Kripa; Richmond, Robyn; Tucker, Amber; Chambers, Kara; Seifert, Charles Author Information

10.1097/01.ccm.0000812580.60899.ee article EN Critical Care Medicine 2021-12-16
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