Browsing by Subject "Length of Stay"

A prospective comparison of a noninvasive cardiac output monitor versus esophageal Doppler monitor for goal-directed fluid therapy in colorectal surgery patients.

Elgasim, Magdi; Gan, Tong Joo; Manchester, Amy Kantipong; Miller, Timothy Ellis; Moon, Richard Edward; Nardiello, John; Thacker, Julie K Marosky; ... (9 authors) (Anesth Analg, 2014-05)

BACKGROUND: Goal-directed fluid therapy (GDFT) is associated with improved outcomes after surgery. The esophageal Doppler monitor (EDM) is widely used, but has several limitations. The NICOM, a completely noninvasive cardiac ...

Association between Initial Fluid Choice and Subsequent In-hospital Mortality during the Resuscitation of Adults with Septic Shock.

Beadles, Christopher A; Bonavia, A; Brookhart, MA; Lindenauer, PK; Miller, Timothy Ellis; Nathanson, BH; Raghunathan, Karthik; ... (8 authors) (Anesthesiology, 2015-12)

BACKGROUND: Currently, guidelines recommend initial resuscitation with intravenous (IV) crystalloids during severe sepsis/septic shock. Albumin is suggested as an alternative. However, fluid mixtures are often used in practice, ...

Autonomic cardiovascular dysregulation as a potential mechanism underlying depression and coronary artery bypass grafting surgery outcomes.

Bakaeen, F; Chu, D; Dao, TK; Gopaldas, RR; Menefee, D; Wear, E; Youssef, Nagy (J Cardiothorac Surg, 2010-05-13)

BACKGROUND: Coronary artery bypass grafting (CABG) is often used to treat patients with significant coronary heart disease (CHD). To date, multiple longitudinal and cross-sectional studies have examined the association between ...

Contemporary trends and predictors of postacute service use and routine discharge home after stroke.

Prvu Bettger, Janet; McCoy, L; Smith, EE; Fonarow, GC; Schwamm, LH; Peterson, Eric David (J Am Heart Assoc, 2015-02-23)

BACKGROUND: Returning home after the hospital is a primary aim for healthcare; however, additional postacute care (PAC) services are sometimes necessary for returning stroke patients to their pre-event status. Recent trends ...

Does improved access to diagnostic imaging results reduce hospital length of stay? A retrospective study.

Borthne, AS; Gulbrandsen, P; Hurlen, P; Østbye, Truls (BMC Health Serv Res, 2010-09-06)

BACKGROUND: One year after the introduction of Information and Communication Technology (ICT) to support diagnostic imaging at our hospital, clinicians had faster and better access to radiology reports and images; direct ...

Effective Implementation of Enhanced Recovery Pathway Programs: The Key to Disseminating Evidence into Practice.

Hopkins, Thomas Joseph; Miller, Timothy Ellis (Jt Comm J Qual Patient Saf, 2015-10)

Fluid management and goal-directed therapy as an adjunct to Enhanced Recovery After Surgery (ERAS).

Miller, Timothy Ellis; Roche, Anthony Michael; Mythen, Michael Gerard (Can J Anaesth, 2015-02)

Optimal perioperative fluid management is an important component of Enhanced Recovery After Surgery (ERAS) pathways. Fluid management within ERAS should be viewed as a continuum through the preoperative, intraoperative, ...

Is there a role for simultaneous hepatic and colorectal resections? A contemporary view from NSQIP.

Worni, Mathias; Mantyh, Christopher Ritchie; Akushevich, Igor; Pietrobon, Ricardo Santos; Clary, Bryan Marshall (J Gastrointest Surg, 2012-11)

INTRODUCTION: The optimal timing of primary and metastatic tumor management in patients with synchronous hepatic colorectal metastases remains controversial. We aimed to compare perioperative outcomes of simultaneous ...

Jehovah's Witnesses and cardiac surgery: a single institution's experience.

Broomer, B; Guinn, Nicole R; Hill, S; McCartney, Sharon Lorraine; Roberson, R; White, W (Transfusion, 2014-10)

BACKGROUND: Based on biblical doctrines, patients of the Jehovah's Witness faith refuse allogeneic blood transfusion. Cardiac surgery carries a high risk of blood transfusion, but has been performed in Jehovah's Witnesses ...

Paravertebral Block for Inguinal Herniorrhaphy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Law, LS-C; Tan, M; Bai, Y; Miller, Timothy Ellis; Li, Y-J; Gan, Tong Joo (Anesth Analg, 2015-08)

BACKGROUND: Paravertebral block (PVB) is a safe and effective anesthetic technique for thoracotomy and mastectomy. However, no systematic review or meta-analysis has focused on PVB for inguinal herniorrhaphy. Our study compares ...

Patient expectation is the most important predictor of discharge destination after primary total joint arthroplasty.

Attarian, David Edward; Bolognesi, Michael Paul; Green, CL; Halawi, MJ; Vovos, TJ; Wellman, Samuel S (J Arthroplasty, 2015-04)

The purpose of this study was to identify preoperative predictors of discharge destination after total joint arthroplasty. A retrospective study of three hundred and seventy-two consecutive patients who underwent primary ...

Predictive Modeling of Length of Hospital Stay Following Adult Spinal Deformity Correction: Analysis of 653 Patients with an Accuracy of 75% within 2 Days.

Shaffrey, Christopher; Safaee, Michael M; Scheer, Justin K; Ailon, Tamir; Smith, Justin S; Hart, Robert A; Burton, Douglas C; ... (15 authors) (World neurosurgery, 2018-07)

Length of stay (LOS) after surgery for adult spinal deformity (ASD) is a critical period that allows for optimal recovery. Predictive models that estimate LOS allow for stratification of high-risk patients.A prospectively ...