Research Topics
| A P FurnarySummaryAffiliation: Providence St. Vincent Medical Center Country: USA Publications
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Detail Information
Publications
Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical proceduresA P Furnary
Albert Starr Academic Center, Providence St Vincent Medical Center, Portland, Oregon, USA
Ann Thorac Surg 67:352-60; discussion 360-2. 1999..Therefore, we hypothesized that aggressive intravenous pharmacologic control of postoperative blood glucose levels would reduce the incidence of deep sternal wound infection...- Eliminating the diabetic disadvantage: the Portland Diabetic ProjectAnthony P Furnary
Providence St Vincent Hospital, Starr Wood Cardiac Group, Portland, OR, USA
Semin Thorac Cardiovasc Surg 18:302-8. 2006..CII eliminate the increased risks of these complications previously seen in diabetic patients. CII protocols are the standard-of-care for glycometabolic control in cardiac surgery patients... - Achieving tight glycemic control in the operating room: lessons learned from 12 years in the trenches of a paradigm shift in anesthetic careAnthony P Furnary
Department of Anesthesiology, Providence St Vincent Medical Center, Portland, Oregon, USA
Semin Thorac Cardiovasc Surg 18:339-45. 2006..In this article we will describe each of these four generalized methodologies to give the practicing anesthesiologist a starting point from which they can develop and hone their own technique further... - Aprotinin does not increase the risk of renal failure in cardiac surgery patientsAnthony P Furnary
Providence Health System, Portland, Ore, USA Email
Circulation 116:I127-33. 2007..We sought to investigate that claim with an analysis that included all perioperative risk factors for renal failure, including PRBC transfusion data... - Continuous insulin infusion reduces mortality in patients with diabetes undergoing coronary artery bypass graftingAnthony P Furnary
Department of Cardiothoracic Surgery, Providence St Vincent Medical Center, Oregon Health and Science University, Portland, OR 97225, USA
J Thorac Cardiovasc Surg 125:1007-21. 2003..Its relative risk may be related to the level of perioperative hyperglycemia. We hypothesized that strict glucose control with a continuous insulin infusion in the perioperative period would reduce hospital mortality... - Clinical benefits of tight glycaemic control: focus on the perioperative settingAnthony P Furnary
Starr Wood Cardiac Group, Providence St Vincent Medical Center, 9155 SW Barnes Road 240, Portland, OR 97225, USA
Best Pract Res Clin Anaesthesiol 23:411-20. 2009.... - Initial clinical trial of substernal epicardial echocardiography: SEEing a new window to the postoperative heartA P Furnary
Providence St Vincent Medical Center, and Division of Cardiothoracic Surgery, Oregon Health Sciences University, Portland 97201, USA
Ann Thorac Surg 72:S1077-82. 2001..The TEE probe lies in a substernal epicardial position on the postoperative heart allowing one to perform substernal epicardial echocardiography (SEE)... - Effects of outcome on in-hospital transition from intravenous insulin infusion to subcutaneous therapyAnthony P Furnary
Providence St Vincent Hospital, Starr Wood Cardiac Group of Portland, Portland, Oregon, USA
Am J Cardiol 98:557-64. 2006..This report reviews recent clinical data on the benefits of IV insulin infusion in cardiac patients in critical care and provides recommendations on transitioning patients from IV insulin infusion to subcutaneous therapy... - Effect of hyperglycemia and continuous intravenous insulin infusions on outcomes of cardiac surgical procedures: the Portland Diabetic ProjectAnthony P Furnary
Providence St. Vincent Hospital and Oregon Health and Sciences, University, Portland, Oregon, USA
Endocr Pract 10:21-33. 2004..CII protocols should be the standard care for glycometabolic control in all patients undergoing cardiac surgical procedures... 
Using the National Death Index to validate the noninformative censoring assumption of survival estimationYingxing Wu
Medical Data Research Center, Providence Health System, Portland, Oregon, USA
Ann Thorac Surg 85:1256-60. 2008..The analysis makes the assumption that the censoring is noninformative; that is, that a censored patient has the same risk of death as those who have complete follow-up. We tested this assumption in a large, long-term follow-up study...- Clinical effects of hyperglycemia in the cardiac surgery population: the Portland Diabetic ProjectAnthony P Furnary
Providence St. Vincent Medical Center, Portland, Oregon, USA
Endocr Pract 12:22-6. 2006..Three days of CII eliminates the incrementally increased risks of these complications previously seen in diabetic patients... - Using Society of Thoracic Surgeons risk models for risk-adjusting cardiac surgery resultsRuyun Jin
Medical Data Research Center, Providence Health and Services, Portland, Oregon, USA
Ann Thorac Surg 89:677-82. 2010..6) STS uses an observed/expected ratio method to calibrate the risk scores; for technical reasons, it is preferable to use an odds ratio method... - Application of robotic-assisted techniques to the surgical evaluation and treatment of the anterior mediastinumMichael A Savitt
Providence St Vincent Heart and Vascular Institute, Portland, Oregon 97225, USA
Ann Thorac Surg 79:450-5; discussion 455. 2005..We report our initial experience with the application of robotic-assisted technologies to the treatment of diseases of the anterior mediastinum... - Is obesity a risk factor for mortality in coronary artery bypass surgery?Ruyun Jin
Providence Health System, Portland, Ore, USA
Circulation 111:3359-65. 2005..The published articles examining obesity and CABG surgery contain conflicting results about the role of body mass index (BMI) as a risk factor for in-hospital mortality... - Long-term survival of patients after coronary artery bypass graft surgery: comparison of the pre-stent and post-stent erasGuangqiang Gao
Providence Health System, Portland, Oregon, USA
Ann Thorac Surg 82:806-10. 2006..This study establishes a baseline of long-term CABG survival that could be used for comparison with other methods of surgical, or nonsurgical coronary revascularization... - What is the value of a p value?Gary L Grunkemeier
Medical Data Research Center, Providence Health and Services, Portland, Oregon, USA
Ann Thorac Surg 87:1337-43. 2009..Then, as a practical example, we compare the p-value result of a study of aprotinin-associated operative mortality with the more illuminative interpretation of the same study data using a Bayesian approach... - Clinical evaluation of the carbomedics prosthesis: experience at providence health system in PortlandKenji Minakata
Providence Health System, Portland, Oregon 97225, USA
J Heart Valve Dis 11:844-50. 2002..CONCLUSION: Early and intermediate-term follow up of the CarboMedics prosthesis indicates that the clinical performance of this valve is satisfactory, and results are comparable with those obtained for other mechanical valves... - Cumulative sum techniques for assessing surgical resultsGary L Grunkemeier
Providence Health System, Portland, Oregon, USA
Ann Thorac Surg 76:663-7. 2003 - Insulin infusions for cardiac surgery patients with diabetes: a call to reasonAnthony P Furnary
Endocr Pract 8:71-2. 2002 - Long-term survival after cardiac surgery is predicted by estimated glomerular filtration rateJeremiah R Brown
Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH 03756, USA
Ann Thorac Surg 86:4-11. 2008..Postoperative eGFR and its association with long-term survival have not been well studied... - Implementing an intravenous insulin protocol in your practice: practical advice to overcome clinical, administrative, and financial barriersJanet L Kelly
University of Washington Medical Center, School of Pharmacy, Division of Metabolism, Endocrinology, and Nutrition, University of Washington, Seattle, WA, USA
Semin Thorac Cardiovasc Surg 18:346-58. 2006.... - American College of Endocrinology position statement on inpatient diabetes and metabolic controlAlan J Garber
Endocr Pract 10:77-82. 2004 - American College of Endocrinology position statement on inpatient diabetes and metabolic controlAlan J Garber
Endocr Pract 10:4-9. 2004 - The diabetic disadvantage: historical outcomes measures in diabetic patients undergoing cardiac surgery -- the pre-intravenous insulin eraJeremiah R Brown
Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Lebanon, NH, USA
Semin Thorac Cardiovasc Surg 18:281-8. 2006..001). In summary, The Diabetic Disadvantage in the pre-intravenous insulin era is characterized by worse short- and long-term outcomes for diabetic patients undergoing cardiac surgery in the United States and Canada... - Diabetes, hyperglycemia, and the cardiac surgery patient: introductionAnthony P Furnary
Semin Thorac Cardiovasc Surg 18:278-80. 2006 - Left ventricular aneurysm in patients with previous cardiac surgeryAhmed A Alsaddique
King Fahad Cardiac Center, College of Medicine and King Khalid University Hospital, PO Box 7805, Riyadh 11472, Saudi Arabia
Asian Cardiovasc Thorac Ann 15:310-2. 2007..We concluded that surgical treatment of left ventricular aneurysm in patients who had previous open heart surgery can be performed with acceptable risks and leads to functional improvement... - Endoscopic saphenous vein harvesting: the good, the bad, and the uglyAnthony P Furnary
J Thorac Cardiovasc Surg 129:488-90. 2005 - Gender-specific practice guidelines for coronary artery bypass surgery: perioperative managementFred H Edwards
Division of Cardiothoracic Surgery, University of Florida, Jacksonville, Florida 32209, USA
Ann Thorac Surg 79:2189-94. 2005..As with all practice guidelines, our goal is to gather the most important information, analyze the information in a logical and unbiased fashion, and make recommendations based solely on the available evidence...