Research Topics
| David A SpainSummaryAffiliation: Stanford University Country: USA Publications
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Detail Information
Publications
Poor validity of residual volumes as a marker for risk of aspiration in critically ill patientsStephen A McClave
Department of Medicine, University of Louisville School of Medicine, Louisville, KY, USA
Crit Care Med 33:324-30. 2005..No appropriate designated RV level to identify aspiration could be derived as a result of poor sensitivity over a wide range of RV. Study results do not support the conventional use of RV as a marker for the risk of aspiration...- Early enteral nutrition after abdominal trauma: effects on septic morbidity and practicalityGary M Weissenfluh
Department of Surgery, Section of Trauma/Critical Care Surgery, Stanford University, California, USA
Nutr Clin Pract 21:479-84. 2006 - Requests for 692 transfers to an academic level I trauma center: implications of the emergency medical treatment and active labor actDavid A Spain
Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA
J Trauma 62:63-7; discussion 67-8. 2007..We hypothesized that EMTALA would burden a Level I TC by a selective referral of a poor payer mix of primarily nonoperative patients... - Education and training of the future trauma surgeon in acute care surgery: trauma, critical care, and emergency surgeryDavid A Spain
Department of Trauma Critical Care Surgery, Stanford University, 300 Pasteur Dr H3680, Stanford, CA 94305 5655, USA
Am J Surg 190:212-7. 2005..Many forces have converged to place serious challenges and obstacles to the training of future trauma surgeons. In order for the field to flourish, the training of future trauma surgeons must be modified to compensate for these changes... - When is the seriously ill patient ready to be fed?David A Spain
Department of Trauma, Stanford University Medical Center, California 94305 5655, USA
JPEN J Parenter Enteral Nutr 26:S62-5; discussion S65-8. 2002..The goal is to identify critically ill patients who are likely to tolerate enteral nutrition and attempt to minimize complications... 
Predictors of emergency department death for patients presenting with ruptured abdominal aortic aneurysmsMatthew W Mell
Division of Vascular Surgery, Stanford University, Stanford, Calif 94305 5642, USA
J Vasc Surg 56:651-5. 2012..The goals of this study were to determine the incidence and predictors of ED death for patients presenting to EDs with rAAAs...- Validation of a prehospital trauma triage tool: a 10-year perspectiveMary Anne Purtill
Department of Surgery, Stanford University, Stanford, California 94305, USA
J Trauma 65:1253-7. 2008..We hypothesized these criteria accurately identify major trauma victims (MTV) and further that communication could be simplified to expedite transport... - A county hospital surgical practice: a model for acute care surgeryAdella M Garland
Department of Surgery, Santa Clara Valley Medical Center, 751 S Bascom Ave, San Jose, CA 95125, USA
Am J Surg 194:758-63; discussion 763-4. 2007..The acute care surgery (ACS) model, which integrates trauma, critical care, and emergency surgery, has been proposed as a future model of trauma practice... - Massive transfusion protocols: the role of aggressive resuscitation versus product ratio in mortality reductionDaniel J Riskin
Department of Surgery, Stanford School of Medicine, Stanford, CA, USA
J Am Coll Surg 209:198-205. 2009..Our purpose was to evaluate mortality and blood product use in the context of a newly initiated massive transfusion protocol (MTP)... - Early outcomes of deliberate nonoperative management for blunt thoracic aortic injury in traumaAnthony D Caffarelli
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif 94305 5407, USA
J Thorac Cardiovasc Surg 140:598-605. 2010..This study reviews our experience with deliberate, nonoperative management for blunt thoracic aortic injury... 
Characteristics of pediatric trauma transfers to a level i trauma center: implications for developing a regionalized pediatric trauma system in californiaColleen D Acosta
Division of Emergency Medicine, Stanford University School of Medicine, Stanford, CA, USA
Acad Emerg Med 17:1364-73. 2010..This may result in delays in obtaining optimal care for injured children...- Commitment to COT verification improves patient outcomes and financial performancePaul M Maggio
Department of Surgery, Stanford University School of Medicine, Stanford, California 94305, USA
J Trauma 67:190-4; discussion 194-5. 2009..Subsequently, our trauma center had two successful verifications. We examined the longitudinal effects of these efforts on volume, patient outcomes and finances... - Payer status is associated with the use of prophylactic inferior vena cava filter in high-risk trauma patientsDanielle M Pickham
Department of Surgery, Stanford University Hospital, Stanford, CA, USA
Surgery 152:232-7. 2012..This lack of clarity creates the potential for variability and disparities in care. We hypothesized there would be differential use of prophylactic IVC filters for patients at high risk for PE on the basis of insurance status... - CT angiography effectively evaluates extremity vascular traumaPeter D Peng
Division of Trauma and Surgical Critical Care, Department of Surgery, Stanford University Medical Center, Stanford, California 94305, USA
Am Surg 74:103-7. 2008..This study supports CTA as an effective alternative to conventional arteriography in assessing extremity vascular trauma... - Responsible development and application of surgical innovations: a position statement of the Society of University SurgeonsWalter L Biffl
Department of Surgery, Denver Health Medical Center/University of Colorado-Denver, Denver, CO, USA
J Am Coll Surg 206:1204-9. 2008 - Insulin increases the release of proinflammatory mediatorsSusan I Brundage
Division of Trauma, Emergency and Critical Care Surgery, Department of Surgery, Stanford University Medical Center, Stanford, California 94305, USA
J Trauma 65:367-72. 2008..Our hypothesis was that insulin would directly abrogate the inflammatory cascade... - Dramatic shift in the primary management of traumatic thoracic aortic ruptureDarren R Lebl
Division of Trauma, Emergency Surgery and Surgical Critical Care, Department of Surgery, Stanford University Medical Center, Stanford, Calif 94305-5655, USA
Arch Surg 141:177-80. 2006..Our data suggest stent placement is quickly evolving into the primary therapy for TAI across all Injury Severity Score profiles... - Risk factors for delirium tremens in trauma patientsJames K Lukan
Department of Surgery, University of Louisville Hospital, Kentucky 40292, USA
J Trauma 53:901-6. 2002..The development of delirium tremens (DT) is associated with significant morbidity and mortality. This study identifies characteristics in trauma patients that are predictive of DT... - Society of University Surgeons position statement on the volume-outcome relationship for surgical proceduresDavid H Berger
Department of Surgery, Houston, VA Medical Center and the Michael E DeBakey, Baylor College of Medicine, Houston, Texax 77030, USA
Surgery 134:34-40. 2003 - Emergency innovation: implications for the trauma surgeonJennifer L Pretz
Stanford Center for Biomedical Ethics, Department of Surgery, Stanford University School of Medicine, Stanford, California, USA
J Trauma 67:1443-7. 2009..We explore the intersection between two areas of independent bioethics, surgical innovation and emergency research; the point we refer to as emergency innovation... - Pediatric blunt abdominal injury: age is irrelevant and delayed operation is not detrimentalMonika Tataria
Lucille Packard Children s Hospital, Stanford University, Palo Alto, California, USA
J Trauma 63:608-14. 2007..Additionally, we asked whether attempted nonoperative management, when failed, put children at higher risk for mortality or morbidities such as increased blood product transfusions or lengths of stays... - Abdominal seat belt marks in the era of focused abdominal sonography for traumaNicole A Stassen
Department of Surgery, University of Louisville and University of Louisville Hospitals, Louisville, KY 40292, USA
Arch Surg 137:718-22; discussion 722-3. 2002..Focused abdominal sonography for trauma (FAST) is an unreliable method for assessing intra-abdominal injury in patients with seat belt marks... - Reevaluation of diagnostic procedures for transmediastinal gunshot woundsNicole A Stassen
Department of Surgery, University of Louisville School of Medicine, and the University of Louisville Hospital, Kentucky 40292, USA
J Trauma 53:635-8; discussion 638. 2002.... - Do facial fractures protect the brain or are they a marker for severe head injury?Robert C G Martin
Department of Surgery, University of Louisville, Kentucky, USA
Am Surg 68:477-81. 2002..Thus patients with facial fractures should be treated with the same caution as patients with significant blunt head trauma... - Immune-enhancing enteral diet selectively augments ileal blood flow in the ratDiane Rhoden
Department of Surgery, University of Louisville, Louisville, KY 40292, USA
J Surg Res 106:25-30. 2002..Since the terminal jejunum and ileum contain much of the GALT, our data suggest that a mechanism for enterally stimulated mucosal immunity involves selective perfusion of the terminal ileum during IED nutrient absorption... - A novel approach to the problem of intestinal fistulization arising in patients managed with open peritoneal cavitiesStephen Girard
Department of Surgery, University of Louisville School of Medicine, KY 40292, USA
Am J Surg 184:166-7. 2002..Furthermore, we believe this technique may be a useful option for treating intestinal fistulae arising in patients managed with open abdominal wounds... - Femoral vessel injuriesEddy H Carrillo
Department of Surgery, University of Louisville, Kentucky 40292, USA
Surg Clin North Am 82:49-65. 2002..Clearly, the most crucial components for a successful outcome are a thorough evaluation, early operation, and a flawless vascular repair... - Intraperitoneal resuscitation improves intestinal blood flow following hemorrhagic shockEl Rasheid Zakaria
Department of Surgery, University of Louisville, Louisville, KY 40292, USA
Ann Surg 237:704-11; discussion 711-3. 2003..This is thought to be a direct effect of hyperosmolar solutions on the visceral microvessels. The addition of PR to a CR protocol prevents the splanchnic ischemia that initiates systemic inflammation... - Venous air embolism and pressure infusion devicesMatthew L Mendenhall
Trauma and Surgical Critical Care, Stanford University School of Medicine, Stanford, California, USA
J Trauma 63:246. 2007 - Recruitment strategies for a fall prevention program: if we build it, will they really come?Jamie R Shandro
Stanford University Medical Center, CA, USA
J Trauma 63:142-6. 2007..The purpose of this observational study was to evaluate recruitment strategies for a fall prevention program... - Endovascular management of a gunshot wound to the thoracic aortaTony D Fang
Division of Trauma and Surgical Critical Care, Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, USA
J Trauma 60:204-8. 2006 - Perioperative risk assessment in elderly and high-risk patientsJ David Richardson
Department of Surgery, University of Louisville School of Medicine, Louisville, KY 40292, USA
J Am Coll Surg 199:133-46. 2004 - A comparison of alcohol-positive and alcohol-negative trauma patientsRichard D Blondell
Department of Family and Community Medicine, University of Louisville School of Medicine, Kentucky 40202, USA
J Stud Alcohol 63:380-3. 2002..This information is useful for planning interventions and referrals for treatment... - North American Summit on Aspiration in the Critically Ill Patient: consensus statementStephen A McClave
Department of Medicine, University of Louisville School of Medicine, Kentucky 40202, USA
JPEN J Parenter Enteral Nutr 26:S80-5. 2002..Management strategies for treating aspiration pneumonia are based on degree of diagnostic certainty, time of onset, and host factors... - Ventilator-associated pneumonia and surgical patientsDavid A Spain
Chest 121:1390-1. 2002 - Immune-enhancing enteral diet increases blood flow and proinflammatory cytokines in the rat ileumPaul J Matheson
Department of Physiology and Biophysics, University of Louisville, 800 Zorn Avenue, Research Building 19, Louisville, KY 40292, USA
J Surg Res 110:360-70. 2003..We hypothesize that a mechanism for the gut protective effect of IED is augmentation of blood flow to the gut-associated lymphoid tissue (GALT) in the terminal ileum...