M T Keegan

Summary

Affiliation: Mayo Clinic
Country: USA

Publications

  1. pmc Physician perspectives and compliance with patient advance directives: the role external factors play on physician decision making
    Christopher M Burkle
    Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
    BMC Med Ethics 13:31. 2012
  2. pmc Patient and doctor attitudes and beliefs concerning perioperative do not resuscitate orders: anesthesiologists' growing compliance with patient autonomy and self determination guidelines
    Christopher M Burkle
    Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN, USA
    BMC Anesthesiol 13:2. 2013
  3. pmc Comparison of APACHE III, APACHE IV, SAPS 3, and MPM0III and influence of resuscitation status on model performance
    Mark T Keegan
    Division of Critical Care, Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA
    Chest 142:851-8. 2012
  4. pmc Predicting mortality in intensive care unit survivors using a subjective scoring system
    Bekele Afessa
    Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
    Crit Care 11:109. 2007
  5. pmc A prospective trial of elective extubation in brain injured patients meeting extubation criteria for ventilatory support: a feasibility study
    Edward M Manno
    Department of Neurology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA
    Crit Care 12:R138. 2008
  6. ncbi request reprint The acute physiology and chronic health evaluation III outcome prediction in patients admitted to the intensive care unit after pneumonectomy
    Mark T Keegan
    Department of Anesthesia, Division of Critical Care, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    J Cardiothorac Vasc Anesth 21:832-7. 2007
  7. doi request reprint Acute Physiology and Chronic Health Evaluation (APACHE) III outcome prediction after major vascular surgery
    Mark T Keegan
    Department of Anesthesiology, Division of Critical Care, Mayo Clinic, Rochester, MN 55905, USA
    J Cardiothorac Vasc Anesth 22:713-8. 2008
  8. doi request reprint Changes in intensive care unit performance measures associated with opening a dedicated thoracic surgical progressive care unit
    Mark T Keegan
    Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA
    J Cardiothorac Vasc Anesth 22:347-53. 2008
  9. ncbi request reprint Is there a role for inhaled nitric oxide as a rescue therapy in respiratory failure associated with hematologic malignancies?
    Mark T Keegan
    Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
    Am J Hematol 81:729-34. 2006
  10. pmc APACHE III outcome prediction in patients admitted to the intensive care unit after liver transplantation: a retrospective cohort study
    Mark T Keegan
    Division of Critical Care, Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA
    BMC Surg 9:11. 2009

Detail Information

Publications50

  1. pmc Physician perspectives and compliance with patient advance directives: the role external factors play on physician decision making
    Christopher M Burkle
    Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
    BMC Med Ethics 13:31. 2012
    ..In addition, physician views regarding legal risk, patients' ability to comprehend complexities involved with their care, and impact of medical costs related to end-of-life care decisions were explored...
  2. pmc Patient and doctor attitudes and beliefs concerning perioperative do not resuscitate orders: anesthesiologists' growing compliance with patient autonomy and self determination guidelines
    Christopher M Burkle
    Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN, USA
    BMC Anesthesiol 13:2. 2013
    ..abstract:..
  3. pmc Comparison of APACHE III, APACHE IV, SAPS 3, and MPM0III and influence of resuscitation status on model performance
    Mark T Keegan
    Division of Critical Care, Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA
    Chest 142:851-8. 2012
    ..Only MPM0III includes resuscitation status as a predictor...
  4. pmc Predicting mortality in intensive care unit survivors using a subjective scoring system
    Bekele Afessa
    Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
    Crit Care 11:109. 2007
    ..However, if it is to be generalizable and reproducible and to perform well without bias, then a good prediction model should be based on objectively defined variables...
  5. pmc A prospective trial of elective extubation in brain injured patients meeting extubation criteria for ventilatory support: a feasibility study
    Edward M Manno
    Department of Neurology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA
    Crit Care 12:R138. 2008
    ..The design is a single-blinded block randomised controlled trial. A single large academic medical centre is the setting...
  6. ncbi request reprint The acute physiology and chronic health evaluation III outcome prediction in patients admitted to the intensive care unit after pneumonectomy
    Mark T Keegan
    Department of Anesthesia, Division of Critical Care, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    J Cardiothorac Vasc Anesth 21:832-7. 2007
    ..The purpose of this study was to determine if the APACHE III predicts hospital mortality after pneumonectomy...
  7. doi request reprint Acute Physiology and Chronic Health Evaluation (APACHE) III outcome prediction after major vascular surgery
    Mark T Keegan
    Department of Anesthesiology, Division of Critical Care, Mayo Clinic, Rochester, MN 55905, USA
    J Cardiothorac Vasc Anesth 22:713-8. 2008
    ..To investigate the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) III scoring system in patients admitted to the intensive care unit (ICU) after major vascular surgery...
  8. doi request reprint Changes in intensive care unit performance measures associated with opening a dedicated thoracic surgical progressive care unit
    Mark T Keegan
    Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA
    J Cardiothorac Vasc Anesth 22:347-53. 2008
    ..To determine the effect of the introduction of a specialty-specific progressive care unit (PCU) on the intensive care unit (ICU) to which relatively low-acuity patients had previously been admitted...
  9. ncbi request reprint Is there a role for inhaled nitric oxide as a rescue therapy in respiratory failure associated with hematologic malignancies?
    Mark T Keegan
    Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
    Am J Hematol 81:729-34. 2006
    ..Therefore, despite initial improvement in oxygenation, we did not observe any survival benefit to INO in this setting...
  10. pmc APACHE III outcome prediction in patients admitted to the intensive care unit after liver transplantation: a retrospective cohort study
    Mark T Keegan
    Division of Critical Care, Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA
    BMC Surg 9:11. 2009
    ..The area under the receiver operating characteristic curve (AUC) and the Hosmer-Lemeshow C statistic were used to assess, respectively, discrimination and calibration of APACHE III...
  11. doi request reprint Sodium, potassium and glucose management in organ transplantation
    Mark T Keegan
    Division of Critical Care, Department of Anesthesiology, Mayo Clinic and Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
    Curr Opin Organ Transplant 15:383-9. 2010
    ..To present current knowledge about the metabolic management of patients undergoing solid organ transplantation, and potential organ donors...
  12. ncbi request reprint Osteogenesis imperfecta, perioperative bleeding, and desmopressin
    Mark T Keegan
    Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota 55905, USA
    Anesthesiology 97:1011-3. 2002
  13. doi request reprint Serum vasopressin concentrations during orthotopic liver transplantation
    M T Keegan
    Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
    Transplant Proc 42:2594-8. 2010
    ..We report measurements of the temporal response of serum vasopressin concentrations in the period after reperfusion of the liver graft during orthotopic liver transplantation (OLT)...
  14. doi request reprint Safety and effectiveness of intensive insulin protocol use in post-operative liver transplant recipients
    M T Keegan
    Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota 55905, USA
    Transplant Proc 42:2617-24. 2010
    ..We conclude that nurse-initiated and -directed glycemic control protocols can be safely and effectively used in the early period after OLT, though we did not identify a beneficial effect on graft function...
  15. ncbi request reprint Critical care issues following orthotopic liver transplantation
    M T Keegan
    Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA
    Minerva Gastroenterol Dietol 56:305-30. 2010
    ..The review concludes with a discussion of the additional challenges practitioners face when dealing with living donor liver transplantation and donation after cardiac death...
  16. ncbi request reprint Mortality rate and length of stay of patients admitted to the intensive care unit in July
    Javier D Finkielman
    Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Medical School, Mayo Clinic and Foundation, 200 First St SW, Rochester, MN 55905, USA
    Crit Care Med 32:1161-5. 2004
    ..This inexperience can lead to poor patient outcome, especially in patients admitted to the intensive care unit (ICU). The objective of this study was to determine the impact of July ICU admission on patient outcome...
  17. pmc Perioperative and critical illness dysglycemia--controlling the iceberg
    Mark T Keegan
    Mayo Clinic, Rochester, Minnesota, USA
    J Diabetes Sci Technol 3:1288-91. 2009
    ....
  18. doi request reprint The association between nighttime transfer from the intensive care unit and patient outcome
    Tarik Hanane
    Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA
    Crit Care Med 36:2232-7. 2008
    ..To determine the impact of nighttime transfer of patients from the intensive care unit (ICU) on clinical outcome...
  19. ncbi request reprint Fast track anesthesia for liver transplantation reduces postoperative ventilation time but not intensive care unit stay
    James Y Findlay
    Department of Anesthesiology and Critical Care, Mayo Clinic, Rochester, MN 55905, USA
    Liver Transpl 8:670-5. 2002
    ..We conclude that a fast track approach to anesthetic care reduces the requirement for postoperative mechanical ventilation, but does not reduce intensive care unit stay after liver transplantation...
  20. ncbi request reprint Preoperative dobutamine stress echocardiography, intraoperative events, and intraoperative myocardial injury in liver transplantation
    J Y Findlay
    Department of Anesthesiology, Division of Cardiovascular Diseases, Mayo Clinic College of Medicine, 200 Second Street SW, Rochester, MN 55905, USA
    Transplant Proc 37:2209-13. 2005
    ..The appropriate method of screening for coronary artery disease in patients who present for liver transplantation is currently uncertain...
  21. ncbi request reprint Liver transplantation for massive hepatic haemangiomatosis causing restrictive lung disease
    M T Keegan
    Department of Anesthesiology and Critical Care, Mayo Clinic, Rochester, MN 55905, USA
    Br J Anaesth 86:431-4. 2001
    ..Weaning from mechanical ventilation was impaired by acute and chronic metabolic alkalosis, and diaphragmatic laxity...
  22. pmc Association between ICU admission during morning rounds and mortality
    Bekele Afessa
    Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN 55905, USA
    Chest 136:1489-95. 2009
    ..No previous study has evaluated the association between admission to ICUs during round time and patient outcome. The objective of this study was to determine the association between round-time ICU admission and patient outcome...
  23. doi request reprint Resource utilization of total knee arthroplasty patients cared for on specialty orthopedic surgery units
    John A Batsis
    Division of Primary Care Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
    J Hosp Med 3:218-27. 2008
    ..The number and costs of arthoplasty surgeries continue to increase, requiring institutions to reexamine their existing practices for financial sustainability...
  24. doi request reprint Perioperative statin therapy and renal outcomes after major vascular surgery: a propensity-based analysis
    Daryl J Kor
    Department of Anesthesiology, Division of Critical Care, Mayo Clinic College of Medicine, Rochester, MN, USA
    J Cardiothorac Vasc Anesth 22:210-6. 2008
    ..To evaluate how the presence and timing of statin therapy affect perioperative renal outcomes after major vascular surgery...
  25. pmc Critical care support of patients with nicotine addiction
    Bekele Afessa
    Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    Crit Care 14:155. 2010
    ..Despite the abundance of active smokers, there is a paucity of data describing nicotine withdrawal, and its prevention and treatment options in the critically ill. Future studies are warranted to address these issues...
  26. ncbi request reprint Comparison of community and referral intensive care unit patients in a tertiary medical center: evidence for referral bias in the critically ill
    Edward G Seferian
    Division of Pediatric Critical Care Medicine, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA
    Crit Care Med 36:2779-86. 2008
    ....
  27. ncbi request reprint Severity of illness and organ failure assessment in adult intensive care units
    Bekele Afessa
    Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, 200 First Street, SW, Rochester, MN 55905, USA
    Crit Care Clin 23:639-58. 2007
    ..Their roles as clinical decision support tools at the bedside await future studies because of their unknown or poor performance at the individual patient level...
  28. ncbi request reprint Vasotrac arterial blood pressure and direct arterial blood pressure monitoring during liver transplantation
    James Y Findlay
    Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester Minnesota 55905, USA
    Anesth Analg 102:690-3. 2006
    ..Correlation was 0.82. Vasotrac bias was +3.3 mm Hg and limits of agreement +/-15 mm Hg. We conclude that the Vasotrac is not adequately accurate to substitute for direct arterial blood pressure monitoring in liver transplantation...
  29. ncbi request reprint Bronchoscopy in ventilator-associated pneumonia: agreement of calibrated loop and serial dilution
    Bekele Afessa
    Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    Am J Respir Crit Care Med 173:1229-32. 2006
    ....
  30. ncbi request reprint Evaluating the performance of an institution using an intensive care unit benchmark
    Bekele Afessa
    Department of Internal Medicine and Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA
    Mayo Clin Proc 80:174-80. 2005
    ..To describe the performances of selected intensive care units (ICUs) in a single institution using the Acute Physiology and Chronic Health Evaluation (APACHE) III benchmark and to propose interventions that may improve performance...
  31. ncbi request reprint Postoperative confusion and basilar artery stroke
    David P Martin
    Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    Neurocrit Care 4:147-50. 2006
    ..Non-focal postoperative mental status changes can be challenging...
  32. ncbi request reprint Identifying potentially ineffective care in the sickest critically ill patients on the third ICU day
    Bekele Afessa
    Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA
    Chest 126:1905-9. 2004
    ..To determine if an increase in the third-ICU-day acute physiology score (APS) of the APACHE (acute physiology and chronic health evaluation) III prognostic system can identify potentially ineffective care...
  33. ncbi request reprint Intraoperative tidal volume as a risk factor for respiratory failure after pneumonectomy
    Evans R Fernandez-Perez
    Division of Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    Anesthesiology 105:14-8. 2006
    ..The authors hypothesized that intraoperative mechanical ventilation with large tidal volumes (VTs) would be associated with increased risk of postpneumonectomy respiratory failure...
  34. ncbi request reprint The hospital mortality of patients admitted to the ICU on weekends
    S Allen Ensminger
    Division of Pulmonary and Critical Care Medicine, Mayo Clinic and Foundation, 200 First Street SW, Rochester, MN 55905, USA
    Chest 126:1292-8. 2004
    ..This study was conducted to determine whether weekend admission to the ICU increases the risk of dying in the hospital...
  35. ncbi request reprint The influence of missing components of the Acute Physiology Score of APACHE III on the measurement of ICU performance
    Bekele Afessa
    Division of Pulmonary and Critical Care, Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
    Intensive Care Med 31:1537-43. 2005
    ..To determine the impact of missing Acute Physiology Score (APS) values on risk-adjusted mortality...
  36. ncbi request reprint Neuropathy following axillary brachial plexus block: is it the tourniquet?
    Christopher J Jankowski
    Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota 55905, USA
    Anesthesiology 99:1230-2. 2003
  37. ncbi request reprint Toward the prevention of acute lung injury: protocol-guided limitation of large tidal volume ventilation and inappropriate transfusion
    Murat Yilmaz
    Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    Crit Care Med 35:1660-6; quiz 1667. 2007
    ..We evaluated the effect of two quality improvement interventions (low tidal volume ventilation and restrictive transfusion) on the development of acute lung injury in mechanically ventilated patients...
  38. doi request reprint Progression of organ failure in patients approaching brain stem death
    F T Lytle
    Division of Critical Care, Department of Anesthesiology, Mayo Clinic College of Medicine Rochester, MN, USA
    Am J Transplant 9:1446-50. 2009
    ..8 h (9.5-17.6). The fact that mean SOFA scores did not change significantly over time, even after BSD occurred, has implications for the timing of retrieval of organs for transplantation...
  39. ncbi request reprint Tracheostomy after major vascular surgery
    Daniel A Diedrich
    Department of Anesthesiology, Division of Critical Care, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    J Cardiothorac Vasc Anesth 20:14-9. 2006
    ..The authors hypothesized that tracheostomy after aortic reconstruction for aneurysmal disease was associated with poor outcomes...
  40. pmc A more aggressive approach to emergency embolectomy for acute pulmonary embolism
    Basar Sareyyupoglu
    Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA
    Mayo Clin Proc 85:785-90. 2010
    ..To examine operative outcomes after acute pulmonary embolectomy (APE), a recently adopted, more aggressive surgical approach...
  41. doi request reprint Management of the difficult and failed airway in obstetric anesthesia
    Gurinder M Vasdev
    Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA
    J Anesth 22:38-48. 2008
    ..Worldwide maternal mortality reflects the health of a nation. However, one could also claim that, particularly in Western countries, maternal mortality may reflect the health of the specialty of anesthesia...
  42. ncbi request reprint Inhaled nitric oxide for acute right-ventricular dysfunction after extrapleural pneumonectomy
    Evans R Fernandez-Perez
    Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55095, USA
    Respir Care 51:1172-6. 2006
    ..We report the use of inhaled nitric oxide in a patient with acute right-ventricular dysfunction after extrapleural pneumonectomy...
  43. ncbi request reprint The use of the intubating laryngeal mask endotracheal tube with intubating devices
    Kirstin M Erickson
    Department of Anesthesiology, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA
    Anesth Analg 95:249-50, table of contents. 2002
    ..The endotracheal tube designed for use with the intubating laryngeal mask airway may facilitate intubation in these circumstances...
  44. ncbi request reprint Critical care issues in liver transplantation
    Mark T Keegan
    Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    Int Anesthesiol Clin 44:1-16. 2006
  45. ncbi request reprint The transplant recipient for nontransplant surgery
    Mark T Keegan
    Division of Critical Care, Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    Anesthesiol Clin North America 22:827-61. 2004
    ..This article reviews the anesthetic concerns for patients who have undergone a variety of organ transplants...
  46. ncbi request reprint Prolonged coma from refractory status epilepticus
    Saqib I Dara
    Critical Care Service, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    Neurocrit Care 4:140-2. 2006
    ..RSE is associated with a high mortality and significant medical complications in survivors with prolonged hospitalizations...
  47. ncbi request reprint Perioperative antibiotics and practice: little things that make a big difference
    Mark T Keegan
    Division of Critical Care Medicine, Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
    Anesthesiol Clin North America 22:473-91. 2004
    ..Many aspects of perioperative care ranging from thermoregulation to glycemic control may have profound longterm affects on infection rate and thereby patient outcome...
  48. ncbi request reprint Six-month survival of patients with acute lung injury: prospective cohort study
    Murat Yilmaz
    Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
    Crit Care Med 35:2303-7. 2007
    ..We sought to determine the outcome of consecutive acute lung injury patients after the implementation of these interventions...
  49. ncbi request reprint Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry
    Rimki Rana
    Family Medicine Residency, Mercy Medical Center North Iowa, Mason City, IA, USA
    Crit Care Med 34:1892-7. 2006
    ..In this quality improvement intervention we assessed the effect of an institutional protocol and computerized decision support for red cell transfusion in the critically ill...
  50. ncbi request reprint Postoperative coma in a patient with complete basilar syndrome after anterior cervical discectomy
    David P Martin
    Can J Anaesth 53:738. 2006