Ajai K Malhotra

Summary

Affiliation: Virginia Commonwealth University
Country: USA

Publications

  1. ncbi request reprint Minimal aortic injury: a lesion associated with advancing diagnostic techniques
    A K Malhotra
    Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA
    J Trauma 51:1042-8. 2001
  2. ncbi request reprint Cerebral perfusion pressure elevation with oxygen-carrying pressor after traumatic brain injury and hypotension in Swine
    Ajai K Malhotra
    Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA
    J Trauma 56:1049-57. 2004
  3. ncbi request reprint Cerebral perfusion pressure directed therapy following traumatic brain injury and hypotension in swine
    Ajai K Malhotra
    Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, 1200 E Broad Street, West Hospital, 15th Floor East, PO Box 980454, Richmond, VA 23298, USA
    J Neurotrauma 20:827-39. 2003
  4. ncbi request reprint Multiplicity of solid organ injury: influence on management and outcomes after blunt abdominal trauma
    Ajai K Malhotra
    Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, 23298, USA
    J Trauma 54:925-9. 2003
  5. ncbi request reprint Resuscitation with a novel hemoglobin-based oxygen carrier in a Swine model of uncontrolled perioperative hemorrhage
    Ajai K Malhotra
    Department of Surgery, University of Tennessee Health Science Center, Memphis, USA
    J Trauma 54:915-24. 2003
  6. ncbi request reprint Blunt abdominal trauma: evaluation and indications for laparotomy
    A K Malhotra
    Department of Surgery, Medical College of Virginia, Richmond 23298 0454, USA
    Scand J Surg 91:52-7. 2002
  7. ncbi request reprint Blunt aortic injury with concomitant intra-abdominal solid organ injury: treatment priorities revisited
    John M Santaniello
    Department of Surgery, Loyola University Medical Center, Stritch School of Medicine, Maywook, Illinois 60153, USA
    J Trauma 53:442-5; discussion 445. 2002
  8. ncbi request reprint A central venous line protocol decreases bloodstream infections and length of stay in a trauma intensive care unit population
    Therese M Duane
    Virginia Commonwealth University, Richmond, Virginia, USA
    Am Surg 75:1166-70. 2009
  9. doi request reprint Predictive value of broncho-alveolar lavage fluid Gram's stain in the diagnosis of ventilator-associated pneumonia: a prospective study
    Aaron E Goldberg
    Department of Surgery, Division of Trauma Critical Care Emergency General Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia, USA
    J Trauma 65:871-6; discussion 876-8. 2008
  10. ncbi request reprint Bronchoalveolar lavage in the diagnosis of ventilator-associated pneumonia: to quantitate or not, that is the question
    Omer J Riaz
    Department of Surgery, Division of Trauma Critical Care Emergency General Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia, USA
    Am Surg 77:297-303. 2011

Collaborators

Detail Information

Publications47

  1. ncbi request reprint Minimal aortic injury: a lesion associated with advancing diagnostic techniques
    A K Malhotra
    Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA
    J Trauma 51:1042-8. 2001
    ..Recently, we have used nonoperative therapy as definitive treatment for patients with MAI. The current study examines our institutional experience with these patients from July 1994 to June 2000...
  2. ncbi request reprint Cerebral perfusion pressure elevation with oxygen-carrying pressor after traumatic brain injury and hypotension in Swine
    Ajai K Malhotra
    Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA
    J Trauma 56:1049-57. 2004
    ..The current study evaluates outcomes after resuscitation with diaspirin cross-linked hemoglobin (DCLHb)--a hemoglobin-based oxygen carrier with pressor activity--in the same swine model of traumatic brain injury and hemorrhagic shock...
  3. ncbi request reprint Cerebral perfusion pressure directed therapy following traumatic brain injury and hypotension in swine
    Ajai K Malhotra
    Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, 1200 E Broad Street, West Hospital, 15th Floor East, PO Box 980454, Richmond, VA 23298, USA
    J Neurotrauma 20:827-39. 2003
    ..Brain edema was lower, but lung edema was greater, suggesting a higher propensity for pulmonary complications...
  4. ncbi request reprint Multiplicity of solid organ injury: influence on management and outcomes after blunt abdominal trauma
    Ajai K Malhotra
    Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, 23298, USA
    J Trauma 54:925-9. 2003
    ..The current study was undertaken to examine how concomitant injury to liver and spleen after blunt abdominal trauma affects management and outcomes...
  5. ncbi request reprint Resuscitation with a novel hemoglobin-based oxygen carrier in a Swine model of uncontrolled perioperative hemorrhage
    Ajai K Malhotra
    Department of Surgery, University of Tennessee Health Science Center, Memphis, USA
    J Trauma 54:915-24. 2003
    ..The current study evaluates the efficacy of this novel compound for resuscitation in a swine model of uncontrolled perioperative hemorrhage...
  6. ncbi request reprint Blunt abdominal trauma: evaluation and indications for laparotomy
    A K Malhotra
    Department of Surgery, Medical College of Virginia, Richmond 23298 0454, USA
    Scand J Surg 91:52-7. 2002
  7. ncbi request reprint Blunt aortic injury with concomitant intra-abdominal solid organ injury: treatment priorities revisited
    John M Santaniello
    Department of Surgery, Loyola University Medical Center, Stritch School of Medicine, Maywook, Illinois 60153, USA
    J Trauma 53:442-5; discussion 445. 2002
    ..We evaluated the safety of nonoperative management (NOM) of blunt L/S injuries in patients undergoing acute BAI repair with bypass...
  8. ncbi request reprint A central venous line protocol decreases bloodstream infections and length of stay in a trauma intensive care unit population
    Therese M Duane
    Virginia Commonwealth University, Richmond, Virginia, USA
    Am Surg 75:1166-70. 2009
    ..050) and a lack of CVL protocol (P = 0.01; OR, 0.31; CI, 0.13-0.76) to be independent predictors of BSI. CVL protocols decrease both BSI and LOS in trauma patients. Strict enforcement by a nurse preserves the integrity of the protocol...
  9. doi request reprint Predictive value of broncho-alveolar lavage fluid Gram's stain in the diagnosis of ventilator-associated pneumonia: a prospective study
    Aaron E Goldberg
    Department of Surgery, Division of Trauma Critical Care Emergency General Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia, USA
    J Trauma 65:871-6; discussion 876-8. 2008
    ..The current study prospectively evaluates the accuracy of broncho-alveolar lavage fluid Gram's stain (GS) in predicting both the presence of VAP and the class of causative microorganism in patients suspected of VAP...
  10. ncbi request reprint Bronchoalveolar lavage in the diagnosis of ventilator-associated pneumonia: to quantitate or not, that is the question
    Omer J Riaz
    Department of Surgery, Division of Trauma Critical Care Emergency General Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia, USA
    Am Surg 77:297-303. 2011
    ..It however has poor Sp and PPV and using this method will lead to unnecessary antimicrobial use with its attendant complications of toxicity, cost, and resistance...
  11. doi request reprint Canadian Cervical Spine rule compared with computed tomography: a prospective analysis
    Therese M Duane
    Division of Trauma, Critical Care, and Emergency General Surgery, Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    J Trauma 71:352-5; discussion 355-7. 2011
    ..Previously, it has been validated only through clinical follow-up or selective use of X-rays. The purpose of this study was to validate it using computed tomography (CT) as the gold standard to identify fractures...
  12. ncbi request reprint Alcohol's role on the reliability of clinical examination to rule out pelvic fractures
    Therese M Duane
    Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    Am Surg 75:257-9. 2009
    ..Clinical examination was not compromised by intoxication. Routine pelvic x-rays are not needed in the alert, intoxicated patient sustaining blunt trauma...
  13. ncbi request reprint Do flexion extension plain films facilitate treatment after trauma?
    Therese M Duane
    Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    Am Surg 76:1351-4. 2010
    ..00 to obtain. FEs are often incomplete and unreliable making it difficult to use them to base management decisions. They do not facilitate treatment and may lead to increased cost and prolonged cervical collars...
  14. ncbi request reprint Lactate in trauma: a poor predictor of mortality in the setting of alcohol ingestion
    Hadley K Herbert
    Department of General Surgery, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA, USA
    Am Surg 77:1576-9. 2011
    ..Additionally, because BD, and not lactate, was shown to be an independent predictor of mortality, lactate may not be a reliable marker of end point resuscitation in this patient population...
  15. ncbi request reprint Anticoagulation and the elderly head trauma patient
    Ramesh Grandhi
    Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    Am Surg 74:802-5. 2008
    ..The AC group experienced greater morbidity after trauma and had higher mortality rates than their NAC counterparts. Prevention of injury and more selective use of warfarin in this patient population are essential to decrease mortality...
  16. ncbi request reprint Is blood sugar the next lactate?
    Therese M Duane
    Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    Am Surg 72:613-7; discussion 617-8. 2006
    ..25, P = 0.0001). Hyperglycemic patients were more severely injured with higher mortality. BS correlated with lactate, and because it is easily obtainable, it may serve as a readily available predictor of injury severity and prognosis...
  17. doi request reprint Bladder pressure measurements and urinary tract infection in trauma patients
    Therese M Duane
    Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    Surg Infect (Larchmt) 13:85-7. 2012
    ....
  18. ncbi request reprint Elderly patients with pelvic fracture: interventions and outcomes
    Tracey A Dechert
    Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    Am Surg 75:291-5. 2009
    ..21.9% [seven of 32] 65 years or older; P < 0.05). Elderly patients with pelvic fracture have worse outcomes than their younger counterparts despite aggressive management at a Level I trauma center...
  19. doi request reprint Significance of motor vehicle crashes and pelvic injury on fetal mortality: a five-year institutional review
    Michel B Aboutanos
    Virginia Commonwealth University Medical Center, Richmond, Virginia 23298 0454, USA
    J Trauma 65:616-20. 2008
    ..Motor vehicle crashes (MVC) are the leading cause of maternal injury during pregnancy. It is estimated that 1,300 to 13,000 fetal deaths/yr result from maternal MVC...
  20. ncbi request reprint Clinical examination is superior to plain films to diagnose pelvic fractures compared to CT
    Therese M Duane
    Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    Am Surg 74:476-9; discussion 479-80. 2008
    ..CE is a reliable way to diagnose pelvic fractures and PXR is a poor screening tool for these injuries compared with CT. Because the majority of patients undergo CT after blunt trauma, routine screening radiographs should be eliminated...
  21. ncbi request reprint Predictors of fetal outcome in pregnant trauma patients: a five-year institutional review
    Sharline Z Aboutanos
    Virginia Commonwealth University Medical Center, Richmond, Virginia 23298 0454, USA
    Am Surg 73:824-7. 2007
    ..044, P = 0.0173, P = 0.0001, and P = 0.0001, respectively). Specific parameters (ISS, lactate, maternal age, and gestational age) may be helpful in predicting poor fetal outcome and directing patient management...
  22. ncbi request reprint Prospective evaluation of an extubation protocol in a trauma intensive care unit population
    Sharline Z Aboutanos
    Virginia Commonwealth University Health System, Medical College of Virginia Hospital and Physicians, Richmond, Virginia, USA
    Am Surg 72:393-6. 2006
    ..A rigorously enforced extubation protocol significantly decreased ventilator days in STICU patients. Continued education of health care providers is key to the success of the protocol...
  23. ncbi request reprint Obesity and outcomes after blunt trauma
    Therese M Duane
    Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    J Trauma 61:1218-21. 2006
    ..The purpose of this study was to determine whether the detrimental effect of obesity extend to morbidity as well as mortality in the intensive and nonintensive care blunt trauma patients...
  24. doi request reprint What are we missing: results of a 13-month active follow-up program at a level I trauma center
    Ajai K Malhotra
    Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    J Trauma 66:1696-702; discussion 1702-3. 2009
    ..Poor follow-up by patients with trauma results in a lack of knowledge of postdischarge health-related issues. This study reports on postdischarge health-related issues discovered by a program of active postdischarge contact or follow-up...
  25. ncbi request reprint Associated injuries in blunt solid organ trauma: implications for missed injury in nonoperative management
    Preston R Miller
    Department of Surgery, University of Tennessee Health Science Center, Memphis 38163, USA
    J Trauma 53:238-42; discussion 242-4. 2002
    ..To better understand the incidence and risk of missed injury, patterns of associated intra-abdominal injury were examined in all patients with blunt liver and spleen injuries, and missed injuries were reviewed in patients undergoing NOM...
  26. doi request reprint Subthreshold quantitative bronchoalveolar lavage: clinical and therapeutic implications
    Ajai K Malhotra
    Department of Surgery, Division of Trauma Critical Care Emergency General Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia 23298, USA
    J Trauma 65:580-8. 2008
    ..Quantitative bronchoalveolar lavage (qBAL) is used for accurate diagnosis of ventilator-associated pneumonia (VAP). The current study aims at defining the incidence, outcomes and therapeutic implications of false-negative (FN) qBAL...
  27. doi request reprint Does HIV infection influence outcomes after trauma?
    Therese M Duane
    Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    J Trauma 65:63-5. 2008
    ..Our goal was to analyze whether the presence of human immunodeficiency virus (HIV) infection effects outcome after trauma...
  28. doi request reprint Bladder pressure measurements are an independent predictor of urinary tract infection in trauma patients
    Therese M Duane
    Department of Surgery, Virginia Commonwealth University Medical Center, 1200 E Broad Street, Richmond, VA 23298, USA
    Surg Infect (Larchmt) 12:39-42. 2011
    ..To determine the risk factors for urinary tract infections (UTIs) specific to trauma patients in order to assist in the development of infection control protocols...
  29. doi request reprint Preservation of splenic immunocompetence after splenic artery angioembolization for blunt splenic injury
    Ajai K Malhotra
    Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, USA
    J Trauma 69:1126-30; discussion 1130-1. 2010
    ..However, little is known about splenic immunocompetence after SAE. This study aims at assessing splenic immunocompetence after SAE for BSI...
  30. doi request reprint Is the lateral cervical spine plain film obsolete?
    Therese M Duane
    Division of Trauma, Critical Care, and Emergency General Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298, USA
    J Surg Res 147:267-9. 2008
    ..The objective of this study was to determine the utility of a lateral cervical spine plain film in the evaluation of blunt trauma patients...
  31. ncbi request reprint Flexion-extension cervical spine plain films compared with MRI in the diagnosis of ligamentous injury
    Therese M Duane
    Virginia Commonwealth University, Richmond, Virginia, USA
    Am Surg 76:595-8. 2010
    ..FE should no longer be used to diagnose LI. Given the rare incidence of these injuries, MRI should be used when there is high clinical suspicion of injury...
  32. doi request reprint National Emergency X-Radiography Utilization Study criteria is inadequate to rule out fracture after significant blunt trauma compared with computed tomography
    Therese M Duane
    Division of Trauma, Critical Care, and Emergency General Surgery, Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    J Trauma 70:829-31. 2011
    ..NC are based on patients with both minor and severe (trauma team activation [TTA]) trauma. The purpose of this study was to evaluate the NC using CT as the gold standard in TTA patients...
  33. ncbi request reprint Computed tomographic angiography for the diagnosis of blunt carotid/vertebral artery injury: a note of caution
    Ajai K Malhotra
    Department of Surgery, Division of Trauma, Critical Care and Emergency General Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA 23298, USA
    Ann Surg 246:632-42; discussion 642-3. 2007
    ..The current prospective parallel comparative study aims at validating this high accuracy and examining the rates of evaluability of CTA performed with a 16-detector scanner with image reconstruction by modern imaging software...
  34. ncbi request reprint Trauma education and care in the jungle of Ecuador, where there is no advanced trauma life support
    Michel B Aboutanos
    Department of Surgery, Division of Trauma and Critical Care, International Trauma System Development Program, Virginia Commonwealth University Medical Center, VA 23298, USA
    J Trauma 62:714-9. 2007
    ..The advanced trauma life support course is not available or affordable to rural areas in low-income countries. A trauma continuing education course was created to educate physicians of rural hospitals in the jungles of Ecuador...
  35. ncbi request reprint Thin chest wall is an independent risk factor for the development of pneumothorax after chest tube removal
    Rahul J Anand
    Virginia Commonwealth University, Department of Surgery, Division of Trauma, Critical Care, and Emergency Surgery, Richmond, Virginia, USA
    Am Surg 78:478-80. 2012
    ..Chest Abbreviated Injury Scale score was similar in both groups. Logistic regression showed only chest wall thickness to be an independent risk factor for development of PPP...
  36. ncbi request reprint Does gender difference influence outcome?
    Martin A Croce
    Department of Surgery, University of Tennessee Health Science Center, Memphis 38163, USA
    J Trauma 53:889-94. 2002
    ..We evaluated the effect of gender on various outcomes in trauma patients...
  37. doi request reprint Patient safety in trauma: maximal impact management errors at a level I trauma center
    Rao R Ivatury
    Division of Trauma, Critical Care and Emergency Surgery, Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, USA
    J Trauma 64:265-70; discussion 270-2. 2008
    ..We undertook a review of trauma management errors at our institution with maximal impact (death). The analysis was based on the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) taxonomy...
  38. doi request reprint The effect of anemia and blood transfusions on mortality in closed head injury patients
    Therese M Duane
    Division of Trauma, Critical Care, and Emergency General Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298, USA
    J Surg Res 147:163-7. 2008
    ..The purpose of this study was to determine if anemia in isolated head trauma patients results in a higher mortality rate that would justify a more liberal use of blood transfusions...
  39. doi request reprint Frequency and importance of small amount of isolated pelvic free fluid detected with multidetector CT in male patients with blunt trauma
    Jinxing Yu
    Department of Radiology, Virginia Commonwealth University Health System, Richmond, VA 23298 0615, USA
    Radiology 256:799-805. 2010
    ..To retrospectively determine the frequency and importance of a small amount of isolated pelvic free fluid seen at multidetector computed tomography (CT) in male patients who have blunt trauma without an identifiable cause...
  40. doi request reprint Defining the limits of resuscitative emergency department thoracotomy: a contemporary Western Trauma Association perspective
    Ernest E Moore
    Department of Surgery, Denver Health, Denver, Colorado 80204, USA
    J Trauma 70:334-9. 2011
    ..The purpose of this prospective multicenter study was to identify injury patterns and physiologic profiles at ED arrival that are compatible with survival...
  41. ncbi request reprint Management of a pregnant patient with an open abdomen
    Sharline Z Aboutanos
    Division of Trauma and Critical Care, Virginia Commonwealth University Medical Center, Richmond, Virgina 23298, USA
    J Trauma 59:1052-6. 2005
  42. doi request reprint Blood glucose levels at 24 hours after trauma fails to predict outcomes
    Therese M Duane
    Division of Trauma Critical Care and Emergency General Surgery, Virginia Commonwealth University Medical Center, Virginia, USA
    J Trauma 64:1184-7. 2008
    ..Blood glucose (BG) at admission correlates with lactate and outcomes. The purpose of this study was to determine whether this correlation continues at 24 hours...
  43. ncbi request reprint Clinical examination and its reliability in identifying cervical spine fractures
    Therese M Duane
    Virginia Commonwealth University Medical Center, VA, USA
    J Trauma 62:1405-8; discussion 1408-10. 2007
    ..The purpose of this study was to compare the reliability of the clinical examination (CE) with that of computed tomography in identifying the presence of c-spine fractures...
  44. pmc L-arginine infusion during resuscitation for hemorrhagic shock: impact and mechanism
    Tania K Arora
    Department of Surgery, Virginia Commonwealth University, Medical College of Virginia Campus, 1200 E Broad St, Richmond, VA 23298 0454, USA
    J Trauma Acute Care Surg 72:397-402. 2012
    ..This study was designed to evaluating whether the benefit is sustained when L-Arg is given during resuscitation and whether the mechanism is mediated by enzymatic activation of nitric oxide (NO) synthesis...
  45. ncbi request reprint Hyperacute abdominal compartment syndrome: an unrecognized complication of massive intraoperative resuscitation for extra-abdominal injuries
    Edgar B Rodas
    Virginia Commonwealth University Medical Center, Division of Trauma Critical Care, Department of Surgery, Richmond, VA 23298, USA
    Am Surg 71:977-81. 2005
    ..Prompt AD is life saving. Early abdominal closure is usually possible. Vigilance for compartment syndromes elsewhere in the body is warranted in any patient with HACS.)..
  46. pmc Are trauma patients better off in a trauma ICU?
    Therese M Duane
    Department of Surgery, Division of Trauma, Critical Care and Emergency General Surgery, Virginia Commonwealth University Medical Center, VA 23298
    J Emerg Trauma Shock 1:74-7. 2008
    ..All patients, regardless of location, do well when their management is guided by a surgical critical care team...
  47. ncbi request reprint Diagnosis of blunt bladder injury: A prospective comparative study of computed tomography cystography and conventional retrograde cystography
    Peter V Quagliano
    Department of Radiology, McGuire Veterans Medical Center, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia 23249, USA
    J Trauma 61:410-21; discussion 421-2. 2006
    ..The study also aimed to validate our proposed method of performing CT cystography, which was designed to minimize the time and effort required to image the bladder...