David J Ciesla

Summary

Country: USA

Publications

  1. ncbi request reprint Decreased progression of postinjury lung dysfunction to the acute respiratory distress syndrome and multiple organ failure
    David J Ciesla
    Denver Health Medical Center, and the University of Colorado Health Sciences Center, Denver, Colo, USA
    Surgery 140:640-7; discussion 647-8. 2006
  2. ncbi request reprint Obesity increases risk of organ failure after severe trauma
    David J Ciesla
    Department of Surgery, Washington Hospital Center, 110 Irving Street NW, Washington, DC 20005, USA
    J Am Coll Surg 203:539-45. 2006
  3. pmc Has the trauma surgeon become house staff for the surgical subspecialist?
    David J Ciesla
    Department of Surgery, Washington Hospital Center, 110 Irving St NW, Suite 4B 39, Washington, DC 20005, USA
    Am J Surg 192:732-7. 2006
  4. ncbi request reprint Trauma systems and access to emergency medical care
    David J Ciesla
    Washington Hospital Center, Washington, DC, USA
    J Trauma 62:S51. 2007
  5. ncbi request reprint Trauma patients: you can get them in, but you can't get them out
    David J Ciesla
    Department of Surgery, Washington Hospital Center, Washington, DC, USA
    Am J Surg 195:78-83. 2008
  6. ncbi request reprint Secondary overtriage: a consequence of an immature trauma system
    David J Ciesla
    Department of Surgery, Washington Hospital Center, Washington, DC 20005, USA
    J Am Coll Surg 206:131-7. 2008
  7. ncbi request reprint Carotid artery stents for blunt cerebrovascular injury: risks exceed benefits
    C Clay Cothren
    Department of Surgery, Denver Health Medical Center and the University of Colorado Health Sciences Center, Denver, CO 80204, USA
    Arch Surg 140:480-5; discussion 485-6. 2005
  8. ncbi request reprint A 12-year prospective study of postinjury multiple organ failure: has anything changed?
    David J Ciesla
    Department of Surgery, Denver Health Medical Center, CO 80204, USA
    Arch Surg 140:432-8; discussion 438-40. 2005
  9. ncbi request reprint Intubation alone does not mandate trauma surgeon presence on patient arrival to the emergency department
    David J Ciesla
    Denver Health Medical Center and the University of Colorado Health Sciences Center, Denver, Colorado, USA
    J Trauma 56:937-41; discussion 941-2. 2004
  10. ncbi request reprint Screening for blunt cerebrovascular injuries is cost-effective
    C Clay Cothren
    Department of Surgery, Denver Health Medical Center and the University of Colorado Health Sciences Center, 777 Bannock St, Denver, CO 80204, USA
    Am J Surg 190:845-9. 2005

Detail Information

Publications29

  1. ncbi request reprint Decreased progression of postinjury lung dysfunction to the acute respiratory distress syndrome and multiple organ failure
    David J Ciesla
    Denver Health Medical Center, and the University of Colorado Health Sciences Center, Denver, Colo, USA
    Surgery 140:640-7; discussion 647-8. 2006
    ..We hypothesized that the collective effects of recently implemented therapeutic strategies have resulted in decreased activation of the systemic inflammatory response relative to priming in recent years...
  2. ncbi request reprint Obesity increases risk of organ failure after severe trauma
    David J Ciesla
    Department of Surgery, Washington Hospital Center, 110 Irving Street NW, Washington, DC 20005, USA
    J Am Coll Surg 203:539-45. 2006
    ..The purpose of this study was to determine the relationship between obesity and postinjury multiple organ failure (MOF)...
  3. pmc Has the trauma surgeon become house staff for the surgical subspecialist?
    David J Ciesla
    Department of Surgery, Washington Hospital Center, 110 Irving St NW, Suite 4B 39, Washington, DC 20005, USA
    Am J Surg 192:732-7. 2006
    ..The role of the trauma surgeon is perceived to be mostly supportive of other procedure-oriented specialties. We designed this study to characterize the surgical and nonsurgical responsibilities of the contemporary trauma surgeon...
  4. ncbi request reprint Trauma systems and access to emergency medical care
    David J Ciesla
    Washington Hospital Center, Washington, DC, USA
    J Trauma 62:S51. 2007
  5. ncbi request reprint Trauma patients: you can get them in, but you can't get them out
    David J Ciesla
    Department of Surgery, Washington Hospital Center, Washington, DC, USA
    Am J Surg 195:78-83. 2008
    ..The majority of inpatient trauma care resources are consumed by a small proportion of severely injured patients...
  6. ncbi request reprint Secondary overtriage: a consequence of an immature trauma system
    David J Ciesla
    Department of Surgery, Washington Hospital Center, Washington, DC 20005, USA
    J Am Coll Surg 206:131-7. 2008
    ..The purpose of this study was to determine the incidence of secondary overtriage in a region without a formal trauma system...
  7. ncbi request reprint Carotid artery stents for blunt cerebrovascular injury: risks exceed benefits
    C Clay Cothren
    Department of Surgery, Denver Health Medical Center and the University of Colorado Health Sciences Center, Denver, CO 80204, USA
    Arch Surg 140:480-5; discussion 485-6. 2005
    ....
  8. ncbi request reprint A 12-year prospective study of postinjury multiple organ failure: has anything changed?
    David J Ciesla
    Department of Surgery, Denver Health Medical Center, CO 80204, USA
    Arch Surg 140:432-8; discussion 438-40. 2005
    ..The incidence and severity of postinjury multiple organ failure (MOF) has decreased over the last decade...
  9. ncbi request reprint Intubation alone does not mandate trauma surgeon presence on patient arrival to the emergency department
    David J Ciesla
    Denver Health Medical Center and the University of Colorado Health Sciences Center, Denver, Colorado, USA
    J Trauma 56:937-41; discussion 941-2. 2004
    ..We hypothesized that field or ED intubation in the absence of other major criteria does not require trauma surgeon presence on patient arrival...
  10. ncbi request reprint Screening for blunt cerebrovascular injuries is cost-effective
    C Clay Cothren
    Department of Surgery, Denver Health Medical Center and the University of Colorado Health Sciences Center, 777 Bannock St, Denver, CO 80204, USA
    Am J Surg 190:845-9. 2005
    ..Our hypothesis is that aggressive angiographic screening for BCVI based on a patient's injury pattern and symptoms allows for early diagnosis and treatment and is cost-effective because it prevents ischemic neurological events (INEs)...
  11. ncbi request reprint The academic trauma center is a model for the future trauma and acute care surgeon
    David J Ciesla
    Denver Health Medical Center and the University of Colorado Health Sciences Center, Denver, Colorado, USA
    J Trauma 58:657-61; discussion 661-2. 2005
    ..Recent discussions on the future of trauma surgery stimulated us to review our experience as a possible model for the future trauma and acute care surgeon...
  12. ncbi request reprint Anticoagulation is the gold standard therapy for blunt carotid injuries to reduce stroke rate
    C Clay Cothren
    Department of Surgery, Denver Health Medical Center and the University of Colorado Health Sciences Center, 80204, USA
    Arch Surg 139:540-5; discussion 545-6. 2004
    ..Aggressive screening, early angiographic diagnosis, and prompt anticoagulation for blunt carotid artery injuries (CAIs) improves neurologic outcome...
  13. ncbi request reprint Cervical spine fracture patterns predictive of blunt vertebral artery injury
    C Clay Cothren
    Department of Surgery, Denver Health Medical Center and University of Colorado Health Sciences Center, 777 Bannock Street, Denver, CO 80204, USA
    J Trauma 55:811-3. 2003
    ..Because of the proximity of the cervical spine and vertebral arteries, we queried whether all patients with cervical spine fractures required arteriography to rule out VAI...
  14. ncbi request reprint Geographic distribution of severely injured patients: implications for trauma system development
    David J Ciesla
    Department of Surgery, University of South Florida College of Medicine, Tampa, FL 33606, USA
    J Trauma Acute Care Surg 73:618-24. 2012
    ..The purpose of this study was to define the regions served by Florida's designated trauma centers and define the geographic distribution of severely injured patients who do not access the state's trauma system...
  15. ncbi request reprint Emergency department resuscitative thoracotomy for nontorso injuries
    Forest R Sheppard
    Department of Surgery, Denver Health Medical Center, Denver, CO 80204, USA
    Surgery 139:574-6. 2006
    ..However, adjunctive use of aortic cross-clamping during EDT for hemorrhagic shock also may be useful in the acute resuscitation of patient with nontorso injuries (NTI). We questioned the utility of EDT in patients with nontorso trauma...
  16. ncbi request reprint Can we afford to do laparoscopic appendectomy in an academic hospital?
    C Clay Cothren
    The Department of Surgery, Denver Health Medical Center and the University of Colorado Health Sciences Center, 777 Bannock Street, MC 0206, Denver, CO 80204, USA
    Am J Surg 190:950-4. 2005
    ..The purpose of this study was to determine if laparoscopic appendectomy is more expensive than open appendectomy...
  17. ncbi request reprint Postinjury abdominal compartment syndrome does not preclude early enteral feeding after definitive closure
    C Clay Cothren
    Department of Surgery, Denver Health Medical Center, and the University of Colorado Health Sciences Center, 777 Bannock St, MC 0206, Denver, CO 80204, USA
    Am J Surg 188:653-8. 2004
    ..The purpose of this study was to determine if enteral nutrition was precluded by the intra-abdominal hypertension and bowel edema of the ACS...
  18. ncbi request reprint Is emergency department resuscitative thoracotomy futile care for the critically injured patient requiring prehospital cardiopulmonary resuscitation?
    Danny W Powell
    Department of Surgery, Denver Health Medical Center, and the University of Colorado Health Sciences Center, Denver, CO 80204 4507, USA
    J Am Coll Surg 199:211-5. 2004
    ..Consequently, we questioned whether resuscitative thoracotomy is warranted in the critically injured patient who fails to respond to prehospital CPR...
  19. doi request reprint Validation of postinjury multiple organ failure scores
    Angela Sauaia
    Department of Medicine, Division of Health Care Policy and Research, University of Colorado, Denver, Colorado, USA
    Shock 31:438-47. 2009
    ..Basic concepts of each score can probably be combined to produce an improved MOF score...
  20. ncbi request reprint Radiographic characteristics of postinjury splenic autotransplantation: avoiding a diagnostic dilemma
    C Clay Cothren
    Department of Surgery, Denver Health Medical Center and the University of Colorado Health Sciences Center, Denver, Colorado, USA
    J Trauma 57:537-41. 2004
    ..The purpose of this study was to determine whether there is a characteristic radiographic appearance of splenic implants, whether this appearance changes with time, and whether implants can be differentiated from abdominal abscesses...
  21. doi request reprint Fifteen-year trauma system performance analysis demonstrates optimal coverage for most severely injured patients and identifies a vulnerable population
    David J Ciesla
    Department of Surgery, University of South Florida College of Medicine, Tampa, FL 33606, USA
    J Am Coll Surg 216:687-95; discussion 695-8. 2013
    ..Prehospital triage regulations and interfacility transfer guidelines are the primary determinants of system efficacy. We analyzed the effectiveness of the Florida trauma system in delivering trauma patients to trauma centers over time...
  22. ncbi request reprint The role of the lung in postinjury multiple organ failure
    David J Ciesla
    Department of Surgery, Denver Health Medical Center, Denver, Colorado 80204, USA
    Surgery 138:749-57; discussion 757-8. 2005
    ..We hypothesized that respiratory dysfunction is an early obligate event in the progression of postinjury MOF...
  23. ncbi request reprint Clinically relevant hypertonicity prevents stored blood- and lipid-mediated delayed neutrophil apoptosis independent of p38 MAPK or caspase-3 activation
    Walter L Biffl
    Department of Surgery, Rhode Island Hospital Brown Medical School, Providence, RI, USA
    Surgery 134:86-91. 2003
    ..We hypothesized that clinically relevant HTS would provoke PMN apoptosis, as well as prevent stored blood- and lipid-mediated delayed PMN apoptosis through activation of p38 mitogen-activated protein kinase (MAPK) and caspase-3...
  24. doi request reprint Implementation of an acute care surgery service at an academic trauma center
    David J Ciesla
    Department of Surgery, University of South Florida College of Medicine and Tampa General Hospital, Tampa, FL, USA
    Am J Surg 202:779-85; discussion 785-6. 2011
    ..The establishment of acute care surgery is rapidly becoming a solution to meet emergency surgical needs. Challenges include competition for emergency surgery opportunities and the ability to economically sustain a practice...
  25. ncbi request reprint Image of the month: Schwannoma
    C Clay Cothren
    Department of Surgery, Denver Health Medical Center, Denver, CO 80204, USA
    Arch Surg 141:941-2. 2006
  26. ncbi request reprint Post-hemorrhagic shock mesenteric lymph activates human pulmonary microvascular endothelium for in vitro neutrophil-mediated injury: the role of intercellular adhesion molecule-1
    Ricardo J Gonzalez
    Department of Surgery, Denver Health Medical Center and University of Colorado, 80204, USA
    J Trauma 54:219-23. 2003
    ..We hypothesize that postshock lymph induces neutrophil (PMN)-mediated endothelial cell damage in an intercellular adhesion molecule-1 (ICAM-1)-dependent fashion, and devised a two-insult model to test this hypothesis...
  27. ncbi request reprint Transverse sternal approach for thymectomy
    David J Ciesla
    Department of Surgery, Denver Health Medical Center, University of Colorado Health Sciences Center, 777 Bannock Street, Denver, CO 80204, USA
    Surgery 133:226-7. 2003
  28. ncbi request reprint The acute care surgeon and emergency specialty procedures
    David J Ciesla
    J Am Coll Surg 205:187-9. 2007
  29. ncbi request reprint Multiple organ dysfunction during resuscitation is not postinjury multiple organ failure
    David J Ciesla
    Denver Health Medical Center and the University of Colorado Health Sciences Center, USA
    Arch Surg 139:590-4; discussion 594-5. 2004
    ..Multiple organ dysfunction (MOD) within 48 hours of injury is a reversible physiologic response to tissue injury and resuscitation...