Randy W Loftus

Summary

Affiliation: Dartmouth-Hitchcock Medical Center
Country: USA

Publications

  1. doi Transmission of pathogenic bacterial organisms in the anesthesia work area
    Randy W Loftus
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, New Hampshire 03756, USA
    Anesthesiology 109:399-407. 2008
  2. doi Reduction in intraoperative bacterial contamination of peripheral intravenous tubing through the use of a novel device
    Matthew D Koff
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA
    Anesthesiology 110:978-85. 2009
  3. doi Multiple reservoirs contribute to intraoperative bacterial transmission
    Randy W Loftus
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
    Anesth Analg 114:1236-48. 2012
  4. doi Hand contamination of anesthesia providers is an important risk factor for intraoperative bacterial transmission
    Randy W Loftus
    Department of Anesthesiology and Critical Care Medicine, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA
    Anesth Analg 112:98-105. 2011
  5. doi Intraoperative ketamine reduces perioperative opiate consumption in opiate-dependent patients with chronic back pain undergoing back surgery
    Randy W Loftus
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA
    Anesthesiology 113:639-46. 2010
  6. doi Reduction in intraoperative bacterial contamination of peripheral intravenous tubing through the use of a passive catheter care system
    Randy W Loftus
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756, USA
    Anesth Analg 115:1315-23. 2012
  7. doi The dynamics of Enterococcus transmission from bacterial reservoirs commonly encountered by anesthesia providers
    Randy W Loftus
    From the Department of Anesthesiology, Dartmouth Hitchcock Medical Center The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire Department of Anesthesiology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa Department of Pathology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire and Department of Anesthesiology, UMass Memorial Medical Center, Worcester, Massachusetts
    Anesth Analg 120:827-36. 2015
  8. doi Transmission dynamics of gram-negative bacterial pathogens in the anesthesia work area
    Randy W Loftus
    From the Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire Department of Anesthesiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa and Department of Anesthesiology, UMass Memorial Medical Center, Worcester, Massachusetts
    Anesth Analg 120:819-26. 2015
  9. doi The epidemiology of Staphylococcus aureus transmission in the anesthesia work area
    Randy W Loftus
    From the Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire Department of Anesthesiology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa Department of Pathology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire and Departments of Anesthesiology and Surgery, University of Massachusetts Medical School and UMass Memorial Medical Center, Worcester, Massachusetts
    Anesth Analg 120:807-18. 2015
  10. doi Prevention of intravenous bacterial injection from health care provider hands: the importance of catheter design and handling
    Randy W Loftus
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr Lebanon, NH 03756, USA
    Anesth Analg 115:1109-19. 2012

Collaborators

Detail Information

Publications16

  1. doi Transmission of pathogenic bacterial organisms in the anesthesia work area
    Randy W Loftus
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, New Hampshire 03756, USA
    Anesthesiology 109:399-407. 2008
    ..A heightened awareness of intraoperative transmission of potentially pathogenic bacterial organisms may lead to implementation of effective preventative measures...
  2. doi Reduction in intraoperative bacterial contamination of peripheral intravenous tubing through the use of a novel device
    Matthew D Koff
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA
    Anesthesiology 110:978-85. 2009
    ..The authors hypothesized that improvements in intraoperative hand hygiene compliance would reduce transmission of bacteria to surgical patients and reduce the incidence of postsurgical healthcare-associated infections...
  3. doi Multiple reservoirs contribute to intraoperative bacterial transmission
    Randy W Loftus
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
    Anesth Analg 114:1236-48. 2012
    ..Pulsed-field gel electrophoresis was used to assess the contribution of reservoir bacterial pathogens to 30-day postoperative infections...
  4. doi Hand contamination of anesthesia providers is an important risk factor for intraoperative bacterial transmission
    Randy W Loftus
    Department of Anesthesiology and Critical Care Medicine, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA
    Anesth Analg 112:98-105. 2011
    ..In this study, we hypothesized that bacterial contamination of anesthesia provider hands before patient contact is a risk factor for direct intraoperative bacterial transmission...
  5. doi Intraoperative ketamine reduces perioperative opiate consumption in opiate-dependent patients with chronic back pain undergoing back surgery
    Randy W Loftus
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA
    Anesthesiology 113:639-46. 2010
    ..Little is known regarding its efficacy in opiate-dependent patients with a history of chronic pain. We hypothesized that ketamine would reduce postoperative opiate consumption in this patient population...
  6. doi Reduction in intraoperative bacterial contamination of peripheral intravenous tubing through the use of a passive catheter care system
    Randy W Loftus
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756, USA
    Anesth Analg 115:1315-23. 2012
    ..The secondary aim was to evaluate the impact of this novel intervention on the combined incidence of 30-day postoperative infections and IV catheter-associated phlebitis...
  7. doi The dynamics of Enterococcus transmission from bacterial reservoirs commonly encountered by anesthesia providers
    Randy W Loftus
    From the Department of Anesthesiology, Dartmouth Hitchcock Medical Center The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire Department of Anesthesiology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa Department of Pathology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire and Department of Anesthesiology, UMass Memorial Medical Center, Worcester, Massachusetts
    Anesth Analg 120:827-36. 2015
    ..In this study, we characterized Enterococcus transmission dynamics for bacterial reservoirs commonly encountered by anesthesia providers during the routine administration of general anesthesia...
  8. doi Transmission dynamics of gram-negative bacterial pathogens in the anesthesia work area
    Randy W Loftus
    From the Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire Department of Anesthesiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa and Department of Anesthesiology, UMass Memorial Medical Center, Worcester, Massachusetts
    Anesth Analg 120:819-26. 2015
    ..Our secondary aim was to examine links between these transmission events and 30-day postoperative health care-associated infections (HCAIs)...
  9. doi The epidemiology of Staphylococcus aureus transmission in the anesthesia work area
    Randy W Loftus
    From the Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire Department of Anesthesiology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa Department of Pathology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire and Departments of Anesthesiology and Surgery, University of Massachusetts Medical School and UMass Memorial Medical Center, Worcester, Massachusetts
    Anesth Analg 120:807-18. 2015
    ..Our secondary aims were to examine phenotypic associations with 30-day postoperative patient cultures, phenotypic growth rates, and risk factors for phenotypic isolation...
  10. doi Prevention of intravenous bacterial injection from health care provider hands: the importance of catheter design and handling
    Randy W Loftus
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr Lebanon, NH 03756, USA
    Anesth Analg 115:1109-19. 2012
    ..The secondary aims were to identify risk factors for bacterial injection and to estimate the quantity of bacterial organisms injected during catheter handling...
  11. doi Hand hygiene knowledge and perceptions among anesthesia providers
    Patrick G Fernandez
    From the Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire Department of Anesthesiology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa Department of Anesthesiology and Critical Care Medicine, UMass Memorial Medical Center, Worcester, Massachusetts and The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
    Anesth Analg 120:837-43. 2015
    ..In this study, our primary aims were to characterize and identify predictors for hand hygiene knowledge deficits among anesthesia providers...
  12. doi Reduction in ventilator associated pneumonia in a mixed intensive care unit after initiation of a novel hand hygiene program
    Matthew D Koff
    Department of Anesthesiology, Section of Critical Care Medicine, Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756
    J Crit Care 26:489-95. 2011
    ..Infect Control Hosp Epidemiol 19:858-860, 1998). Contamination of provider hands may be a modifiable risk factor. We instituted a novel multimodal system designed to improve hand hygiene by ICU providers...
  13. doi Video observation to map hand contact and bacterial transmission in operating rooms
    John Rowlands
    Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, NH
    Am J Infect Control 42:698-701. 2014
    ..Despite efforts to decrease the incidence of health care-associated infections by improving HH, HH compliance rates vary widely depending on the hospital environment...
  14. ncbi Fluoroscopic Guidance Increases the Incidence of Thoracic Epidural Catheter Placement Within the Epidural Space: A Randomized Trial
    Michelle C Parra
    From the Department of Anesthesiology, University of Iowa Hospitals and Clinics, Iowa City, IA Department of Anesthesiology, Providence Anesthesiology Associates, P A, Charlotte, NC The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, NH and Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, NH
    Reg Anesth Pain Med . 2016
    ..Our secondary aim was to assess the potential impact of correct epidural catheter positioning on length of stay in the postanesthesia care unit and total hospital length of stay...
  15. doi Ketamine/propofol admixture (ketofol) is associated with improved hemodynamics as an induction agent: a randomized, controlled trial
    Nathan J Smischney
    Dartmouth Hitchcock Medical Center, Lebanon, NH, USA
    J Trauma Acute Care Surg 73:94-101. 2012
    ..The primary aim of this study was to assess the hemodynamic effects of "ketofol" in a fixed-dose combination during induction of general anesthesia in a controlled environment...
  16. doi The dynamics and implications of bacterial transmission events arising from the anesthesia work area
    Randy W Loftus
    From the Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire and Department of Anesthesiology, Obstetrics and Gynecology and Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida
    Anesth Analg 120:853-60. 2015
    ..A better understanding of anesthesia-related bacterial transmission dynamics may help to generate improvements in intraoperative infection control and improve patient safety. ..