Research Topics
| Sean P KeenanSummaryAffiliation: University of British Columbia Country: Canada Publications
| Collaborators
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Detail Information
Publications
Weaning protocols: here to staySean P Keenan
Intensive Care Unit, Royal Columbian Hospital, BC V3L 5E7, New Westminster, Canada
Lancet 359:186-7. 2002- Noninvasive positive-pressure ventilation for postextubation respiratory distress: a randomized controlled trialSean P Keenan
Department of Medicine, Royal Columbian Hospital, New Westminster, British Columbia, Canada
JAMA 287:3238-44. 2002..It is also used for patients who develop acute respiratory distress after extubation, but there are no randomized controlled trials that address its effectiveness in this population... - Improving end-of-life care: targeting what we canSean P Keenan
Crit Care Med 32:1230-1. 2004 - Missed opportunities for noninvasive positive pressure ventilation: a utilization reviewDavid D Sweet
Center for Health Evaluation and Outcome Sciences, St Paul s Hospital and University of British Columbia, Vancouver, British Columbia, Canada V6Z 1Y6
J Crit Care 23:111-7. 2008.... - Wean Earlier and Automatically with New technology (the WEAN study): a protocol of a multicentre, pilot randomized controlled trialKaren E A Burns
Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada
Trials 10:81. 2009..Automated Weaning holds promise as a strategy to reduce the time spent on the ventilator, decrease ICU length of stay, and improve clinically important outcomes... - Noninvasive ventilation for patients presenting with acute respiratory failure: the randomized controlled trialsSean P Keenan
Department of Critical Care Medicine, Royal Columbian Hospital, New Westminster, British Columbia, Canada
Respir Care 54:116-26. 2009..For other groups, such as patients with asthma, pneumonia, or acute lung injury, RCT-level evidence is lacking or does not suggest benefit. Clearly, major gaps remain in our evidence base... - Which patients with acute exacerbation of chronic obstructive pulmonary disease benefit from noninvasive positive-pressure ventilation? A systematic review of the literatureSean P Keenan
Royal Columbian Hospital, New Westminster, British Columbia V3L 5E7, Canada
Ann Intern Med 138:861-70. 2003..Although several trials have been published on the relative effectiveness of this treatment, apparent inconsistencies in study results remain... - Interhospital variability in satisfaction with withdrawal of life support: room for improvement?Sean P Keenan
Department of Medicine, Royal Columbian Hospital, New Westminster, British Columbia, Canada
Crit Care Med 31:626-31. 2003.... - Health services research rounds: patient-centered outcomesSean P Keenan
University of British Columbia, Vancouver, British Columbia, Canada
J Crit Care 17:221-34. 2002 - Use of ultrasound to place central linesSean P Keenan
New Westminster, British Columbia, Canada
J Crit Care 17:126-37. 2002..The use of real-time ultrasound to guide line placement has been developed in hopes of avoiding this morbidity... - Noninvasive positive pressure ventilation for patients with acute hypoxemic respiratory failure?Sean P Keenan
Department of Critical Care Medicine, Royal Columbian Hospital, New Westminster, British Columbia, Canada
Expert Rev Respir Med 2:55-62. 2008.... - Noninvasive positive-pressure ventilation in patients with milder chronic obstructive pulmonary disease exacerbations: a randomized controlled trialSean P Keenan
Sean P Keenan MD, Suite 103, 250 Keary Street, New Westminster, British Columbia, V3L 5E7, Canada
Respir Care 50:610-6. 2005.... - Length of ICU stay for chronic obstructive pulmonary disease varies among large community hospitalsSean P Keenan
Centre for Health Evaluation and Outcome Sciences, St. Paul's Hospital 620B-1081 Burrard and University of British Columbia, V6Z 1Y6, Vancouver, British Columbia, Canada
Intensive Care Med 29:590-5. 2003..These small area variations may point to opportunities to improve efficiency of care. Further prospective, detailed data collection is required to validate these observations and to identify factors responsible for any differences found... - The role of transport intervals in outcomes for critically ill patients who are transferred to referral centersDean Belway
Program of Critical Care Medicine and Center for Health Evaluation and Outcome Sciences, Providence Health Care and University of BC, Vancouver, B C, Canada
J Crit Care 23:287-94. 2008.... - Structure, process, and outcome of all intensive care units within the province of British Columbia, CanadaPeter M Dodek
Program in Critical Care Medicine, St Paul s Hospital and University of BC, Vancouver, British Columbia, Canada
J Intensive Care Med 25:149-55. 2010..c... - Does noninvasive positive pressure ventilation improve outcome in acute hypoxemic respiratory failure? A systematic reviewSean P Keenan
Department of Medicine, Royal Columbian Hospital, New Westminster, British Columbia
Crit Care Med 32:2516-23. 2004..The results of studies on noninvasive positive pressure ventilation (NPPV) for acute hypoxemic respiratory failure unrelated to cardiogenic pulmonary edema have been inconsistent... - Intensive care unit survivors have fewer hospital readmissions and readmission days than other hospitalized patients in British ColumbiaSean P Keenan
Centre for Health Evaluation and Outcome Sciences, St. Paul's Hospital and University of British Columbia, Vancouver, B.C, Canada
Crit Care Med 32:391-8. 2004..CONCLUSIONS: Survivors of a hospital stay that includes admission to an ICU have fewer hospital readmissions and readmission days after their discharge than do survivors of a hospital stay without intensive care... - Variation in length of intensive care unit stay after cardiac arrest: where you are is as important as who you areSean P Keenan
Centre for Health Evaluation and Outcome Sciences, St Paul s Hospital and University of British Columbia, Vancouver, BC, Canada
Crit Care Med 35:836-41. 2007..To determine whether hospital site is independently associated with length of intensive care unit (ICU) stay in those patients who die in hospital after experiencing a cardiac arrest... - Noninvasive ventilation for acute respiratory failure near the end of lifeTasnim Sinuff
Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
Crit Care Med 36:789-94. 2008.... - In-hospital death of critically ill patients who have congestive heart failure: does size of hospital matter?Janet Dubord
St Paul s Hospital, University of British Columbia, Vancouver, BC, Canada
Am J Med Qual 25:95-101. 2010..08 (95% CI = 0.96-1.20; P = .21). The conclusion is that the adjusted rate of in-hospital deaths for this patient group does not differ significantly based solely on the number of acute hospital beds... - Clinical practice guideline for the use of noninvasive positive pressure ventilation in COPD patients with acute respiratory failureTasnim Sinuff
Department of Medicine, McMaster University, Hamilton, Ont, Canada
J Crit Care 19:82-91. 2004..This paper presents a guideline for the use of noninvasive positive pressure ventilation in the setting of acute ventilatory failure in patients with acute exacerbations of chronic obstructive pulmonary disease... - Intensive care unit admissions for community-acquired pneumonia are seasonal but are not associated with weather or reports of influenza-like illness in the communityPeter M Dodek
Center for Health Evaluation and Outcome Sciences, St Paul s Hospital and University of British Columbia, Vancouver, B C, Canada V6Z1Y6
J Crit Care 26:228-33. 2011.... - Attitudes regarding organ donation from non-heart-beating donorsSean P Keenan
Department of Medicine, Royal Columbian Hospital, New Westminster, British Columbia
J Crit Care 17:29-36; discussion 37-8. 2002..However, both groups raised concerns regarding how the decision to withdraw life support is made... - Intensive care unit admission has minimal impact on long-term mortalitySean P Keenan
Centre for Health Evaluation and Outcome Sciences, St. Paul's Hospital and University of British Columbia, Vancouver, Canada
Crit Care Med 30:501-7. 2002..17-1.27) and was completely overshadowed by the effect of age, gender, and diagnosis. CONCLUSIONS: After controlling for the effect of hospital admission, admission to ICU has minimal independent effect on mortality after discharge... - Do specialist transport personnel improve hospital outcome in critically ill patients transferred to higher centers? A systematic reviewDean Belway
Centre for Health Evaluation and Outcome Sciences, St Paul s Hospital, Vancouver, British Columbia, Canada V6Z 1Y6
J Crit Care 21:8-17; discussion 17-8. 2006..The aim of the study was to determine whether the use of specialist transport personnel improves patient outcome at the receiving hospital for critically ill patients transferred to higher centers... - Noninvasive positive pressure ventilation in critical and palliative care settings: understanding the goals of therapyJ Randall Curtis
Department of Medicine, University of Washington, Seattle, WA, USA
Crit Care Med 35:932-9. 2007..Therefore, the Society of Critical Care Medicine charged this Task Force with developing an approach for considering use of NPPV for patients who choose to forego endotracheal intubation... - Noninvasive ventilation: trying to minimize harm?Sean P Keenan
Crit Care Med 36:2937-9. 2008 - Adjustment of intensive care unit outcomes for severity of illness and comorbidity scoresMonica Norena
Center for Health Evaluation and Outcome Sciences, St Paul's Hospital and University of British Columbia, Vancouver, B.C, Canada V6Z 1Y6
J Crit Care 21:142-50. 2006..CONCLUSION: The value of APACHE II and comorbidity scores as adjustment variables depends on the outcome and population of interest... - Moving beyond numbers ... the next step forward in improving patient careSean P Keenan
Crit Care Med 35:960-1. 2007