Marcus J Dortch
Affiliation: Vanderbilt University
- A computerized insulin infusion titration protocol improves glucose control with less hypoglycemia compared to a manual titration protocol in a trauma intensive care unitMarcus J Dortch
Department of Pharmaceutical Services, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA
JPEN J Parenter Enteral Nutr 32:18-27. 2008..Unfortunately, implementation of such protocols has proved challenging. This study evaluated the degree of glucose control using manual paper-based vs computer-based insulin protocols in a trauma intensive care unit...
- Infection reduction strategies including antibiotic stewardship protocols in surgical and trauma intensive care units are associated with reduced resistant gram-negative healthcare-associated infectionsMarcus J Dortch
Department of Pharmaceutical Services, Vanderbilt University Medical Center, 1211 Medical Center Drive, Nashville, TN 37232, USA
Surg Infect (Larchmt) 12:15-25. 2011..We describe the implementation of infection reduction protocols, including antibiotic stewardship, and assess their impact on multi-drug-resistant (MDR) healthcare-acquired gram-negative infections...
- Intensive insulin therapy in practice: can we do it?Lesly A Dossett
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, TN 37212, USA
JPEN J Parenter Enteral Nutr 33:14-20. 2009..The authors' objective was to quantify adherence to an IIT protocol in a practice setting, and to describe how adherence impacts overall blood glucose (BG) control...
- Insulin resistance heralds positive cultures after severe injuryNathan T Mowery
Department of Surgery, Vanderbilt University, Nashville, Tennessee, USA
Surg Infect (Larchmt) 10:503-9. 2009..We hypothesized that measures of IR during tight glycemic control protocols are associated with infection and may be more predictive than the serum glucose concentration...
- Blood glucose variability is associated with mortality in the surgical intensive care unitLesly A Dossett
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
Am Surg 74:679-85; discussion 685. 2008..Further studies should focus on the demographic, clinical, and genetic factors responsible for this observation and identify strategies to minimize BG variability...
- Insulin resistance despite tight glucose control is associated with mortality in critically ill surgical patientsNathan T Mowery
Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
J Intensive Care Med 24:242-51. 2009..The hyperglycemic state following trauma and surgery is related partially to insulin resistance (IR). The objective is to determine if critically ill surgical patients vary in their extent of IR and is IR associated with mortality...
- Risk factors for treatment failure in patients receiving vancomycin for hospital-acquired methicillin-resistant Staphylococcus aureus pneumoniaJonathan L Aston
Department of Pharmaceutical Services, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville, TN 37232 7610, USA
Surg Infect (Larchmt) 11:21-8. 2010..We sought to identify contributors to vancomycin failure in patients with MRSA HAP...
- Use of a furosemide drip does not improve earlier primary fascial closure in the open abdomenLeland H Webb
Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN, USA
J Emerg Trauma Shock 5:126-30. 2012..The purpose of this study is to evaluate the FD and the associated rate of primary fascial closure following trauma damage control laparotomy (DCL)...