Juan C Duchesne

Summary

Affiliation: Tulane University
Country: USA

Publications

  1. ncbi request reprint Low-volume resuscitation for severe intraoperative hemorrhage: a step in the right direction
    Juan C Duchesne
    Tulane University Health Science Center, New Orleans, LA, USA
    Am Surg 78:936-41. 2012
  2. pmc Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome
    Andrew W Kirkpatrick
    The Departments of Surgery and Critical Care Medicine and Regional Trauma Services Foothills Medical Centre, Calgary, Alberta, T2N 2T9, Canada
    Intensive Care Med 39:1190-206. 2013
  3. doi request reprint Diluting the benefits of hemostatic resuscitation: a multi-institutional analysis
    Juan Carlos Duchesne
    Section of Trauma and Critical Care Surgery, Department of Surgery, Anesthesia, Emergency Medicine, Tulane University School of Medicine, New Orleans, Louisiana 70112 2699, USA
    J Trauma Acute Care Surg 75:76-82. 2013
  4. ncbi request reprint Damage control immunoregulation: is there a role for low-volume hypertonic saline resuscitation in patients managed with damage control surgery?
    Juan C Duchesne
    Trauma Critical Care, Tulane University School of Medicine, New Orleans, LA, USA
    Am Surg 78:962-8. 2012
  5. ncbi request reprint Linea alba fasciotomy: a novel alternative in trauma patients with secondary abdominal compartment syndrome
    Juan C Duchesne
    Surgical Intensive Care Unit, Section of Trauma and Critical Care Surgery, Tulane University School of Medicine, 1430 Tulane Avenue, SL 22, New Orleans, LA 70112 2699, USA
    Am Surg 76:312-6. 2010
  6. ncbi request reprint Damage control resuscitation: from emergency department to the operating room
    Juan C Duchesne
    Section of Trauma and Critical Care Surgery, Department of Surgery and Anesthesia, Tulane University School of Medicine, New Orleans, Louisiana 70112 2699, USA
    Am Surg 77:201-6. 2011
  7. ncbi request reprint Recurrent abdominal compartment syndrome: an inciting factor of the second hit phenomenon
    Juan C Duchesne
    Tulane University School of Medicine, New Orleans, Louisiana 70112 2699, USA
    Am Surg 75:1193-8. 2009
  8. doi request reprint Impact of obesity in damage control laparotomy patients
    Juan C Duchesne
    Section of Trauma and Critical Care Surgery, Department of Surgery and Anesthesia, Tulane University School of Medicine, New Orleans, Louisiana 70112 2699, USA
    J Trauma 67:108-12; discussion 112-4. 2009
  9. doi request reprint Hemostatic resuscitation during surgery improves survival in patients with traumatic-induced coagulopathy
    Juan C Duchesne
    Department of Surgery and Anesthesia, Tulane University School of Medicine, LA Trauma Critical Care, New Orleans, Louisiana 70112 2699, USA
    J Trauma 67:33-7; discussion 37-9. 2009
  10. ncbi request reprint Open-book pelvic fractures with perineal open wounds: a significant morbid combination
    Juan C Duchesne
    Department of Surgery and Anesthesia, Tulane University School of Medicine, New Orleans, LA 70112 2699, USA
    Am Surg 75:1227-33. 2009

Collaborators

Detail Information

Publications27

  1. ncbi request reprint Low-volume resuscitation for severe intraoperative hemorrhage: a step in the right direction
    Juan C Duchesne
    Tulane University Health Science Center, New Orleans, LA, USA
    Am Surg 78:936-41. 2012
    ..LVR can be an effective alternative to CRE when used in combination with HCRR in patients with IOH...
  2. pmc Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome
    Andrew W Kirkpatrick
    The Departments of Surgery and Critical Care Medicine and Regional Trauma Services Foothills Medical Centre, Calgary, Alberta, T2N 2T9, Canada
    Intensive Care Med 39:1190-206. 2013
    ..To update the World Society of the Abdominal Compartment Syndrome (WSACS) consensus definitions and management statements relating to intra-abdominal hypertension (IAH) and the abdominal compartment syndrome (ACS)...
  3. doi request reprint Diluting the benefits of hemostatic resuscitation: a multi-institutional analysis
    Juan Carlos Duchesne
    Section of Trauma and Critical Care Surgery, Department of Surgery, Anesthesia, Emergency Medicine, Tulane University School of Medicine, New Orleans, Louisiana 70112 2699, USA
    J Trauma Acute Care Surg 75:76-82. 2013
    ..We hypothesize that HRR patients will have worse outcomes from crystalloid use...
  4. ncbi request reprint Damage control immunoregulation: is there a role for low-volume hypertonic saline resuscitation in patients managed with damage control surgery?
    Juan C Duchesne
    Trauma Critical Care, Tulane University School of Medicine, New Orleans, LA, USA
    Am Surg 78:962-8. 2012
    ..We believe that this study demonstrates a role for low-volume resuscitation with HTS to improve outcomes in patients undergoing DCS...
  5. ncbi request reprint Linea alba fasciotomy: a novel alternative in trauma patients with secondary abdominal compartment syndrome
    Juan C Duchesne
    Surgical Intensive Care Unit, Section of Trauma and Critical Care Surgery, Tulane University School of Medicine, 1430 Tulane Avenue, SL 22, New Orleans, LA 70112 2699, USA
    Am Surg 76:312-6. 2010
    ..Consideration for LAF as a bridge before full abdominal decompression needs further evaluation in patients with polytrauma SACS...
  6. ncbi request reprint Damage control resuscitation: from emergency department to the operating room
    Juan C Duchesne
    Section of Trauma and Critical Care Surgery, Department of Surgery and Anesthesia, Tulane University School of Medicine, New Orleans, Louisiana 70112 2699, USA
    Am Surg 77:201-6. 2011
    ..Damage control resuscitation, beginning in the ED, used more packed red blood cells and FFP minimizing crystalloids. DCR was associated with a survival advantage and shorter length of stay in patients with severe hemorrhage...
  7. ncbi request reprint Recurrent abdominal compartment syndrome: an inciting factor of the second hit phenomenon
    Juan C Duchesne
    Tulane University School of Medicine, New Orleans, Louisiana 70112 2699, USA
    Am Surg 75:1193-8. 2009
    ..Institution of a management algorithm with intra-abdominal pressure/abdominal perfusion pressure surveillance at the time of abdominal wall closure can potentially ameliorate complications...
  8. doi request reprint Impact of obesity in damage control laparotomy patients
    Juan C Duchesne
    Section of Trauma and Critical Care Surgery, Department of Surgery and Anesthesia, Tulane University School of Medicine, New Orleans, Louisiana 70112 2699, USA
    J Trauma 67:108-12; discussion 112-4. 2009
    ..We hypothesized that obese patients in need of damage control laparotomy (DCL) will encounter an increase incidence of postsurgical complications with a concomitant increase mortality when compared with a cohort of nonobese patients...
  9. doi request reprint Hemostatic resuscitation during surgery improves survival in patients with traumatic-induced coagulopathy
    Juan C Duchesne
    Department of Surgery and Anesthesia, Tulane University School of Medicine, LA Trauma Critical Care, New Orleans, Louisiana 70112 2699, USA
    J Trauma 67:33-7; discussion 37-9. 2009
    ..We hypothesized that a survival benefit would occur when early hemostatic resuscitation was used intraoperatively after injury in patients with TIC...
  10. ncbi request reprint Open-book pelvic fractures with perineal open wounds: a significant morbid combination
    Juan C Duchesne
    Department of Surgery and Anesthesia, Tulane University School of Medicine, New Orleans, LA 70112 2699, USA
    Am Surg 75:1227-33. 2009
    ..001). Perineal open wounds complicate open-book pelvic fractures with significant increase in hospital resource utilization. Aggressive multidisciplinary evaluation and management is appropriate to detect and prevent complications...
  11. ncbi request reprint Current evidence based guidelines for factor VIIa use in trauma: the good, the bad, and the ugly
    Juan C Duchesne
    Department of Surgery, Tulane School of Medicine, New Orleans, Louisiana 70112 2699, USA
    Am Surg 74:1159-65. 2008
    ..There is no Class I evidence supporting decreased mortality or differences in thromboembolic events. Minimal effective dosing regimens and cost/benefit analyses have not yet been examined...
  12. doi request reprint Proximal splenic angioembolization does not improve outcomes in treating blunt splenic injuries compared with splenectomy: a cohort analysis
    Juan C Duchesne
    Division of Trauma and Critical Care Surgery, Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana 70112 2699, USA
    J Trauma 65:1346-51; discussion 1351-3. 2008
    ..This study examined the outcomes of proximal SAE as part of a management algorithm for adult traumatic splenic injury compared with splenectomy...
  13. doi request reprint Review of current blood transfusions strategies in a mature level I trauma center: were we wrong for the last 60 years?
    Juan C Duchesne
    Division of Trauma Critical Care Surgery, Department of Surgery, Tulane University School of Medicine New Orleans, Louisiana 70112 2699, USA
    J Trauma 65:272-6; discussion 276-8. 2008
    ..We hypothesize a similar improvement in mortality in civilian trauma patients that require massive transfusion and are treated with a FFP to PRBC ratio closer to 1:1...
  14. doi request reprint Selective nonoperative management of low-grade blunt pancreatic injury: are we there yet?
    Juan C Duchesne
    Section of Trauma and Critical Care Surgery and Preventive Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA
    J Trauma 65:49-53. 2008
    ..We report our experience of patients with LGBPI at a single Level I Trauma Center...
  15. doi request reprint Impact of telemedicine upon rural trauma care
    Juan C Duchesne
    Section of Trauma and Critical Care Surgery and Preventive Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA
    J Trauma 64:92-7; discussion 97-8. 2008
    ..This study will analyze outcomes before (pre-TM) and after (post-TM) implementation of telemedicine in the management of rural trauma patients initially treated at local community hospitals (LCH) before trauma center (TC) transfer...
  16. doi request reprint Damage control resuscitation in combination with damage control laparotomy: a survival advantage
    Juan C Duchesne
    Section of Trauma and Critical Care Surgery, Department of Surgery, Emergency Medicine and Anesthesia, Tulane University Health Science Center, New Orleans, Louisiana 70112 2699, USA
    J Trauma 69:46-52. 2010
    ..We hypothesize a survival advantage in DCL patients managed with DCR when compared with DCL patients managed with conventional resuscitation efforts (CRE)...
  17. ncbi request reprint Mechanism of injury is not a predictor of trauma center admission
    Lance E Stuke
    Department of Surgery, Louisiana State University School of Medicine, New Orleans, Louisiana, USA
    Am Surg 79:1149-53. 2013
    ..Patients meeting MOI criteria were transported to community hospitals and transferred to the trauma center if major injuries were identified. Trauma center transport for MOI results in significant overtriage and may not be justified. ..
  18. ncbi request reprint Not all mechanisms are created equal: a single-center experience with the national guidelines for field triage of injured patients
    Lance E Stuke
    Department of Surgery, Louisiana State University School of Medicine, New Orleans, Louisiana 70112, USA
    J Trauma Acute Care Surg 75:140-5. 2013
    ..Controversy exists as to which MOI criteria truly predict TCN. We review our single-center experience with past and present National Trauma Triage Criteria to determine which MOI predict TCN...
  19. doi request reprint Initial assessment on the impact of crystalloids versus colloids during damage control resuscitation
    Chrissy Guidry
    Department of General Surgery, Tulane University School of Medicine, New Orleans, Louisiana Department of General Surgery, Akron General Medical Center, Akron, Ohio
    J Surg Res 185:294-9. 2013
    ..We hypothesize a difference in outcomes based on the type and quantity of resuscitative fluid used in patients that received high ratio DCR...
  20. doi request reprint Impact of inverse ratios on patients with exsanguinating vascular injuries: should more be the new paradigm?
    Chrissy Guidry
    Department of Surgery, Section of Trauma and Critical Care Surgery, Tulane New Orleans, Louisiana 70112 2699, USA
    J Trauma Acute Care Surg 74:403-9; discussion 409-10. 2013
    ..We hypothesize improved outcomes in patients with exsanguinating vascular injuries when an aggressive hemostatic resuscitation is used with an inverse ratio of fresh frozen plasma (FFP) to packed red blood cell (PRBC)...
  21. ncbi request reprint When enough is enough: impact of packed red blood cells in massive transfusion outcomes
    Kira Long
    Department of Surgery, Tulane University, New Orleans, Louisiana 70112, USA
    Am Surg 79:810-4. 2013
    ..This study highlights the need for judicious PRBC administration during MTP and its potential impact on survival in patients with postoperative supraphysiologic hematocrits. ..
  22. doi request reprint Analysis of disaster response plans and the aftermath of Hurricane Katrina: lessons learned from a level I trauma center
    Sidney B Brevard
    Departments of Surgery, and Emergency Medicine, Louisiana State University Health Science Center, New Orleans, Louisiana, USA
    J Trauma 65:1126-32. 2008
    ..The hospital also served as the regional hospital for the Louisiana Health Resources and Service Administration Bioterrorism Hospital Preparedness Program...
  23. ncbi request reprint The changing face of trauma: New Orleans before and after Hurricane Katrina
    Georgia M Wahl
    Tulane School of Medicine, New Orleans, Louisiana, USA
    Am Surg 75:284-6. 2009
    ..Future resource planning in the recovery phases of large-scale natural disasters should take into account these observations...
  24. doi request reprint Chasing 100%: the use of hypertonic saline to improve early, primary fascial closure after damage control laparotomy
    John A Harvin
    Department of Surgery, University of Texas Medical School at Houston, Houston, Texas, USA
    J Trauma Acute Care Surg 74:426-30; discussion 431-2. 2013
    ..We hypothesized that hypertonic saline (HTS), which attenuates resuscitation-induced intestinal edema in animals, would improve early primary fascial closure (EPFC) rates...
  25. doi request reprint Brachial artery injuries in a rural catchment trauma center: are the upper and lower extremity the same?
    Jon D Simmons
    Department of General Surgery, University of Mississippi Medical Center, Jackson, Mississippi 39216, USA
    J Trauma 65:327-30. 2008
    ..We hypothesize that the predictors of amputation in the lower extremity are much different when compared with the upper extremity...
  26. ncbi request reprint Stoma complications: a multivariate analysis
    Juan C Duchesne
    Department of Surgery, Louisiana State University Health Science Center, New Orleans, Louisiana 70112, USA
    Am Surg 68:961-6; discussion 966. 2002
    ..Obesity and inflammatory bowel disease predispose to complications. Enterostomal nursing may be instrumental in preventing complications...
  27. ncbi request reprint Damage control resuscitation: addressing trauma-induced coagulopathy
    Juan C Duchesne
    Tulane School of Medicine Health Science Center, New Orleans, Louisiana 70112 2699, USA
    Br J Hosp Med (Lond) 70:22-5. 2009
    ..This article reviews the basis of damage control resuscitation and looks at implications for optimizing prognosis after trauma...