Oscar D Guillamondegui

Summary

Affiliation: Vanderbilt University
Country: USA

Publications

  1. doi request reprint Does hypoxia affect intensive care unit delirium or long-term cognitive impairment after multiple trauma without intracranial hemorrhage?
    Oscar D Guillamondegui
    Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee, USA
    J Trauma 70:910-5. 2011
  2. ncbi request reprint Acute adrenal insufficiency may affect outcome in the trauma patient
    Oscar D Guillamondegui
    Department of Surgery, Division of Trauma, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
    Am Surg 75:287-90. 2009
  3. doi request reprint Increased risk of adrenal insufficiency following etomidate exposure in critically injured patients
    Bryan A Cotton
    Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, 1211 21st Ave S, 404 Medical Arts Bldg, Nashville, TN 37212, USA
    Arch Surg 143:62-7; discussion 67. 2008
  4. pmc The association of reamed intramedullary nailing and long-term cognitive impairment
    Justin E Richards
    Division of Orthopaedic Trauma, Vanderbilt Orthopaedic Institute, Nashville, TN, USA
    J Orthop Trauma 25:707-13. 2011
  5. ncbi request reprint Tracheostomy risk factors and outcomes after severe traumatic brain injury
    Stephen S Humble
    a Departments of Surgery and Neurosurgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN, USA
    Brain Inj . 2016
  6. ncbi request reprint The open abdomen in trauma: do infectious complications affect primary abdominal closure?
    Todd R Vogel
    Section of Surgical Sciences, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN 37212, USA
    Surg Infect (Larchmt) 7:433-41. 2006
  7. doi request reprint Severe hypoglycemia while on intensive insulin therapy is not an independent predictor of death after trauma
    Nathan T Mowery
    Department of Surgery, Wake Forest Baptist Medical Center, Winston Salem, North Carolina, USA
    J Trauma 68:342-7. 2010
  8. doi request reprint Does scene physiology predict helicopter transport trauma admission?
    Andrew J Medvecz
    Vanderbilt University School of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee 37212 1750, USA
    J Surg Res 184:467-71. 2013
  9. ncbi request reprint Adrenal insufficiency, heart rate variability, and complex biologic systems: a study of 1,871 critically ill trauma patients
    John A Morris
    Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN 37212, USA
    J Am Coll Surg 204:885-92; discussion 892-3. 2007
  10. ncbi request reprint Are adrenal injuries predictive of adrenal insufficiency in patients sustaining blunt trauma?
    Eric T Castaldo
    Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
    Am Surg 74:262-6. 2008

Detail Information

Publications39

  1. doi request reprint Does hypoxia affect intensive care unit delirium or long-term cognitive impairment after multiple trauma without intracranial hemorrhage?
    Oscar D Guillamondegui
    Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee, USA
    J Trauma 70:910-5. 2011
    ..We hypothesize that intensive care unit (ICU) delirium and long-term cognitive impairment (LTCI) are more likely in patients who have a hypoxic event within the first 48 hours of ICU admission...
  2. ncbi request reprint Acute adrenal insufficiency may affect outcome in the trauma patient
    Oscar D Guillamondegui
    Department of Surgery, Division of Trauma, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
    Am Surg 75:287-90. 2009
    ....
  3. doi request reprint Increased risk of adrenal insufficiency following etomidate exposure in critically injured patients
    Bryan A Cotton
    Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, 1211 21st Ave S, 404 Medical Arts Bldg, Nashville, TN 37212, USA
    Arch Surg 143:62-7; discussion 67. 2008
    ..Timely diagnosis and treatment of adrenal insufficiency (AI) dramatically reduces mortality in trauma patients. We sought to identify risk factors and populations with a high risk of developing AI...
  4. pmc The association of reamed intramedullary nailing and long-term cognitive impairment
    Justin E Richards
    Division of Orthopaedic Trauma, Vanderbilt Orthopaedic Institute, Nashville, TN, USA
    J Orthop Trauma 25:707-13. 2011
    ..To examine the association of reamed intramedullary nailing (IMN) and long-term cognitive impairment in trauma intensive care unit survivors...
  5. ncbi request reprint Tracheostomy risk factors and outcomes after severe traumatic brain injury
    Stephen S Humble
    a Departments of Surgery and Neurosurgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN, USA
    Brain Inj . 2016
    ..To determine risk factors associated with tracheostomy placement after severe traumatic brain injury (TBI) and subsequent outcomes among those who did and did not receive a tracheostomy...
  6. ncbi request reprint The open abdomen in trauma: do infectious complications affect primary abdominal closure?
    Todd R Vogel
    Section of Surgical Sciences, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN 37212, USA
    Surg Infect (Larchmt) 7:433-41. 2006
    ....
  7. doi request reprint Severe hypoglycemia while on intensive insulin therapy is not an independent predictor of death after trauma
    Nathan T Mowery
    Department of Surgery, Wake Forest Baptist Medical Center, Winston Salem, North Carolina, USA
    J Trauma 68:342-7. 2010
    ..We hypothesized that severe hypoglycemia (SH; <or=40 mg/dL) was not an independent predictor of mortality in the trauma population...
  8. doi request reprint Does scene physiology predict helicopter transport trauma admission?
    Andrew J Medvecz
    Vanderbilt University School of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee 37212 1750, USA
    J Surg Res 184:467-71. 2013
    ..Our objective was to determine whether on-scene physiologic criteria predict appropriate triage in HT trauma patients...
  9. ncbi request reprint Adrenal insufficiency, heart rate variability, and complex biologic systems: a study of 1,871 critically ill trauma patients
    John A Morris
    Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN 37212, USA
    J Am Coll Surg 204:885-92; discussion 892-3. 2007
    ..We hypothesize decreased HRVi is associated with AI, and HRVi improves after treatment of AI, suggesting "recomplexification" (resumption of normal stress response to injury)...
  10. ncbi request reprint Are adrenal injuries predictive of adrenal insufficiency in patients sustaining blunt trauma?
    Eric T Castaldo
    Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA
    Am Surg 74:262-6. 2008
    ..Adrenal insufficiency should be considered with increasing injury severity and age in the intensive care setting after blunt trauma...
  11. doi request reprint Outcome of necrotizing skin and soft tissue infections
    Oliver L Gunter
    Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
    Surg Infect (Larchmt) 9:443-50. 2008
    ..Management of necrotizing skin and soft tissue infections (nSSTI) remains difficult, and the mortality rate has been high. We hypothesized that management of nSSTI by an emergency general surgery (EGS) service would improve outcomes...
  12. ncbi request reprint Influence of broad-spectrum antibiotic prophylaxis on intracranial pressure monitor infections and subsequent infectious complications in head-injured patients
    Addison K May
    Division of Trauma and Surgical Critical Care, Section of Surgical Sciences, Vanderbilt University Medical Center, Nashville, TN 37212, USA
    Surg Infect (Larchmt) 7:409-17. 2006
    ..In April 2002, a protocol change was instituted that substituted cefazolin for ceftriaxone as single-agent prophylaxis for ICP monitors...
  13. ncbi request reprint Cerebral cortical oxygenation: a pilot study
    Vicente H Gracias
    Department of Surgery, Division of Traumatology and Surgical Critical Care, University of Pennsylvania School of Medicine, 3440 Market Street, First Floor, Philadelphia, PA 19104, USA
    J Trauma 56:469-72; discussion 472-4. 2004
    ..We present our preliminary results observing Pbro2 in patients with traumatic brain injury (TBI)...
  14. pmc Telephone-based goal management training for adults with mild traumatic brain injury: study protocol for a randomized controlled trial
    Kristin R Archer
    Department of Orthopaedic Surgery, Vanderbilt University School of Medicine, 1215 21st Avenue South, Medical Center East, South Tower, Nashville, TN, 37232, USA
    Trials 16:244. 2015
    ..The primary objective of this study is to examine the efficacy of telephone-based GMT for improving executive functioning, functional status, and psychological health in trauma survivors with mild TBI...
  15. doi request reprint Do models incorporating comorbidities outperform those incorporating vital signs and injury pattern for predicting mortality in geriatric trauma?
    Steven E Brooks
    Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN
    J Am Coll Surg 219:1020-7. 2014
    ..The ICD-9-based prediction models incorporating injuries and comorbidities, such as the University Health System Consortium Expected Mortality (UHC-EM), may be more accurate for the elderly...
  16. pmc Decreasing adrenergic or sympathetic hyperactivity after severe traumatic brain injury using propranolol and clonidine (DASH After TBI Study): study protocol for a randomized controlled trial
    Mayur B Patel
    Veterans Affairs VA, Tennessee Valley Healthcare System, Nashville VA Medical Center, 1310 24th Avenue South, Nashville, TN 37212, USA
    Trials 13:177. 2012
    ..However, there is no prospective randomized evidence available demonstrating the feasibility, outcome benefits, and safety for adrenergic blockade after TBI...
  17. doi request reprint Twenty-year analysis of surgical resident operative trauma experiences
    Mayur B Patel
    Veterans Affairs VA Tennessee Valley Healthcare System, Nashville VA Medical Center, Surgical Service, Nashville, Tennessee, USA
    J Surg Res 180:191-5. 2013
    ..S. residency programs beginning on July 1, 2003. The ACGME-mandated work-hour reform may have affected operative trauma case volumes of general surgery residents...
  18. ncbi request reprint Successful management of concommitant blunt injury to the trachea, esophagus, and cervical spine in a 6-year-old girl
    Oscar D Guillamondegui
    Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    J Pediatr Surg 39:1130-2. 2004
    ..A cervical spinal injury was fixated with halo traction and a femur fracture with internal fixation...
  19. ncbi request reprint The utility of the pelvic radiograph in the assessment of pediatric pelvic fractures
    Oscar D Guillamondegui
    Division of Trauma and Surgical Critical Care, Hospital of the University of Pennsylvania, Philadelphia, USA
    J Trauma 55:236-9; discussion 239-40. 2003
    ..The objective of this study was to compare pelvic radiographs and abdominal pelvic CT scans of all pediatric trauma patients with pelvic injury to determine the role of pelvic imaging in the immediate trauma resuscitation...
  20. doi request reprint Survey of trauma surgeon practice of emergency department thoracotomy
    Bradley M Dennis
    Division of Trauma and Acute Care Surgery, Vanderbilt University Medical Center, Vanderbilt University School of Medicine, 1211 21st Avenue S, 404 Medical Arts Building, Nashville, TN, 37212, USA Electronic address
    Am J Surg 212:440-5. 2016
    ..Numerous studies have focused on the duration of arrest in EDT, whereas few have examined other factors that influence surgeon decision-making. We hypothesize that there is continued variability among surgeons in the use of EDT...
  21. pmc Thalamic Functional Connectivity in Mild Traumatic Brain Injury: Longitudinal Associations With Patient-Reported Outcomes and Neuropsychological Tests
    Sarah D Banks
    Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN
    Arch Phys Med Rehabil 97:1254-61. 2016
    ....
  22. doi request reprint The Clinical Role of Intraoperative Core Temperature in Free Tissue Transfer
    J Bradford Hill
    From the Institute of Reconstructive Plastic Surgery, New York University Langone Medical Center, New York, NY Departments of Plastic Surgery, and General Surgery, Vanderbilt University Medical Center, Nashville, TN Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA Department of Plastic Surgery, Albany Medical Center, Albany, NY and Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN
    Ann Plast Surg 75:620-4. 2015
    ..Although hypothermia may contribute to complications, warming measures are challenged by conflicting reports of intraoperative hypothermia improving anastomotic patency...
  23. doi request reprint Using the National Surgical Quality Improvement Program and the Tennessee Surgical Quality Collaborative to improve surgical outcomes
    Oscar D Guillamondegui
    Department of Surgery, Vanderbilt University Medical Center, Nashville, TN, USA
    J Am Coll Surg 214:709-14; discussion 714-6. 2012
    ....
  24. ncbi request reprint Creating an emergency general surgery service enhances the productivity of trauma surgeons, general surgeons and the hospital
    Mary T Austin
    Department of Surgery, the Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN, USA
    J Trauma 58:906-10. 2005
    ..The objective of this report was to evaluate the impact of this new service on CCTS, general surgeons (GS) and the hospital...
  25. doi request reprint Intraoperative Care Transitions Are Not Associated with Postoperative Adverse Outcomes
    Maxim A Terekhov
    From the Vanderbilt Departments of Anesthesiology M A T, J M E, J P W, Biomedical Informatics J M E, J P W, Surgery J M E, O D G, and Health Policy J M E, Nashville, Tennessee Anesthesia Quality Institute, Schaumburg, Illinois R P D and Quality, Safety and Risk Prevention, Vanderbilt University Medical Center, Nashville, Tennessee B J M
    Anesthesiology 125:690-9. 2016
    ..Whether anesthesia care transitions and provision of short breaks affect patient outcomes remains unclear...
  26. doi request reprint Rural Trauma Team Development Course decreases time to transfer for trauma patients
    Bradley M Dennis
    From the Vanderbilt University Medical Center, Nashville, Tennessee
    J Trauma Acute Care Surg 81:632-7. 2016
    ..We hypothesized that RTTDC training would decrease referring hospital emergency department (ED) length of stay (LOS), time to call for transfer, pretransfer computed tomography (CT) imaging rate, and mortality rate...
  27. doi request reprint The Role of Elevated Lactate as a Risk Factor for Pulmonary Morbidity After Early Fixation of Femoral Shaft Fractures
    Justin E Richards
    Division of Trauma Anesthesiology, R Adams Cowley Shock Trauma Center, Baltimore, MD Department of Orthopaedics, R Adams Cowley Shock Trauma Center, Baltimore, MD Department of Orthopaedics, Carolinas Medical Center, Charlotte, NC Vanderbilt Orthopaedic Institute, Vanderbilt University School of Medicine, Nashville, TN Division of Trauma, Emergency Surgery, and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN and Division of Orthopaedic Trauma, Vanderbilt Orthopaedic Institute, Nashville, TN
    J Orthop Trauma 30:312-8. 2016
    ..To evaluate lactate levels before reamed intramedullary nailing (IMN) of femur fractures treated with early fixation...
  28. ncbi request reprint Transfers for Hand Surgery Correlate with Increased Reoperations for Complications
    Hunter J Rooks
    College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA
    Am Surg 81:1177-81. 2015
    ..Specifically for patients with complex injuries or conditions that will be referred to centralized flagship hospitals, increases in patient travel may limit positive outcomes. ..
  29. doi request reprint Disparities in trauma: the impact of socioeconomic factors on outcomes following traumatic hollow viscus injury
    Melissa Hazlitt
    Division of Trauma, Department of Surgery, Meharry Medical College, Nashville, Tennessee
    J Surg Res 191:6-11. 2014
    ..HVI has well-defined injury patterns with complex postoperative convalescence and morbidity, representing an ideal focus for identifying potential disparities among a homogeneous injury population...
  30. ncbi request reprint The effect of body mass index on posttraumatic transfusion after pelvic trauma
    Justin E Richards
    Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
    Am Surg 81:239-44. 2015
    ..5; 95% CI, 1.5 to 12.9). Morbid obesity represented a significant risk factor for posttraumatic transfusion in isolated pelvic trauma, even for fracture patterns "less likely to receive transfusion." ..
  31. pmc Comparison of SNOMED CT versus Medcin terminology concept coverage for mild Traumatic Brain Injury
    Diane Montella
    Department of Veterans Affairs, Nashville, TN, USA
    AMIA Annu Symp Proc 2011:969-78. 2011
    ..Currently the U.S. Department of Veterans Affairs (VA) uses the terminology SNOMED CT and the Department of Defense (DOD) uses Medcin...
  32. pmc O' surgery case log data, where art thou?
    Mayur B Patel
    Surgical Service, Veterans Affairs VA Tennessee Valley Healthcare System, Nashville, TN, USA
    J Am Coll Surg 215:427-31. 2012
    ..Using the ACS Case Log, we have developed a method of data capture, categorization, and reporting of acute care surgery fellows' experiences...
  33. doi request reprint Patient Complaints and Adverse Surgical Outcomes
    Thomas F Catron
    Vanderbilt University Medical Center, Nashville, TN
    Am J Med Qual 31:415-22. 2016
    ..25, P < .05), whereas there was no statistically significant relationship between patient complaints and surgical occurrences for surgeons with lower aggregate perioperative risk (β = -.20, P = .77). ..
  34. pmc Neurologic Functional and Quality of Life Outcomes after TBI: Clinic Attendees versus Non-Attendees
    Mayur B Patel
    1 Veterans Affairs VA Tennessee Valley Healthcare System, Nashville VA, Nashville, Tennessee
    J Neurotrauma 32:984-9. 2015
    ....
  35. doi request reprint Musculoskeletal occupational injury among surgeons: effects for patients, providers, and institutions
    William T Davis
    Vanderbilt Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee
    J Surg Res 189:207-212.e6. 2014
    ..We hypothesized that surgeons have occupational injuries, which affect work performance...
  36. doi request reprint Re-evaluating the paradigm of early free flap coverage in lower extremity trauma
    J Bradford Hill
    School of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
    Microsurgery 33:9-13. 2013
    ..053). These findings support that delays may be safely utilized to allow patient and wound optimization without negatively impacting outcomes in free tissue transfer...
  37. doi request reprint Presumptive antibiotic use in tube thoracostomy for traumatic hemopneumothorax: an Eastern Association for the Surgery of Trauma practice management guideline
    Forrest O Moore
    Division of Trauma and Surgical Critical Care, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71130, USA
    J Trauma Acute Care Surg 73:S341-4. 2012
    ..The Practice Management Guidelines Committee of EAST has updated the 1998 guidelines to reflect current literature and practice...
  38. doi request reprint Selective nonoperative management of blunt splenic injury: an Eastern Association for the Surgery of Trauma practice management guideline
    Nicole A Stassen
    Practice Management Guideline Committee, Eastern Association for the Surgery of Trauma, Department of Surgery, Northwestern University, Chicago, Illinois, USA
    J Trauma Acute Care Surg 73:S294-300. 2012
    ..Since that time, a large volume of literature on these topics has been published requiring a reevaluation of the current EAST guideline...
  39. ncbi request reprint Pelvic radiography in blunt trauma resuscitation: a diminishing role
    Oscar D Guillamondegui
    Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, USA
    J Trauma 53:1043-7. 2002
    ..The objective of this study was to determine the necessity of obtaining an early PXR in stable trauma patients who will undergo CT scanning during the initial resuscitation...