Robert S Kramer
Affiliation: Maine Medical Center
- Glycemic control and reduction of deep sternal wound infection rates: a multidisciplinary approachRobert Kramer
Division of Cardiothoracic Surgery, Maine Medical Center, 22 Bramhall St, Portland, ME 04102, USA
Arch Surg 143:451-6. 2008....
- Heparin-induced thrombocytopenia with thrombosis syndrome managed with plasmapheresisRobert Kramer
Division of Cardiothoracic Surgery, Maine Medical Center, Portland, ME 04102, USA
Interact Cardiovasc Thorac Surg 8:439-41. 2009..We believe that the use of plasmapheresis as a bail-out procedure in these often desperately ill post-operative cardiac surgical patients who have heparin-induced thrombocytopenia with thrombosis syndrome could be lifesaving...
- Same admission cardiac catheterization and cardiac surgery: is there an increased incidence of acute kidney injury?Robert S Kramer
Division of Cardiothoracic Surgery, Maine Medical Center R8, 22 Bramhall St, Portland, ME 04102, USA
Ann Thorac Surg 90:1418-23; discussion 1423-4. 2010..We hypothesized that patients undergoing cardiac catheterization and cardiac surgery during the same admission are more likely to develop AKI after cardiac surgery than patients for whom surgery is performed on a later admission...
- Microemboli from cardiopulmonary bypass are associated with a serum marker of brain injuryRobert C Groom
Cardiac Surgery, Maine Medical Center, Portland, Maine, USA
J Extra Corpor Technol 42:40-4. 2010..03). Microemboli leaving the CPB circuit were associated with increases in postoperative S100beta levels. Efforts aimed at reducing microembolic load leaving the CPB circuit should be adopted to reduce brain injury...
- Detection and elimination of microemboli related to cardiopulmonary bypassRobert C Groom
Cardiac Surgery and the Department of Anesthesia, Maine Medical Center, Portland, ME 04102, USA
Circ Cardiovasc Qual Outcomes 2:191-8. 2009..The aim of this work was to study the occurrence of cerebral embolism during CPB and to evaluate the effectiveness of evidence-based CPB circuit component and process changes on the exposure of the patient to emboli...
- Increases in serum estrogen levels during major illness are caused by increased peripheral aromatizationDaniel I Spratt
Division of Reproductive Endocrinology, Dept of Ob Gyn, Maine Medical Center, Portland, ME 04102, USA
Am J Physiol Endocrinol Metab 291:E631-8. 2006..Animal studies suggest that these opposing changes in circulating estrogen and androgen levels may be important to reduce morbidity and mortality in critical illness...
- Characterization of a prospective human model for study of the reproductive hormone responses to major illnessDaniel I Spratt
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Maine Medical Center, 22 Bramhall St, Portland, ME 04102, USA
Am J Physiol Endocrinol Metab 295:E63-9. 2008..We conclude that patients undergoing CABG surgery provide a useful human model for the prospective evaluation of the reproductive axis responses to acute illness. Other major surgeries are likely to also be suitable for these studies...
- Ischemic preconditioning at a remote site prevents acute kidney injury in patients following cardiac surgeryRobert F Zimmerman
Division of Nephrology, Maine Medical Center, Portland, Maine 04102 3175, USA
Kidney Int 80:861-7. 2011..27 and a significantly reduced relative risk due to preconditioning of 0.43. Hence, remote ischemic preconditioning prevents acute kidney injury in patients undergoing cardiopulmonary bypass-assisted cardiac surgery...