Therese M Duane

Summary

Affiliation: Virginia Commonwealth University
Country: USA

Publications

  1. 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
  2. doi request reprint CT for all or selective approach? Who really needs a cervical spine CT after blunt trauma
    Therese M Duane
    Virginia Commonwealth University Medical Center, Richmond, VA, USA
    J Trauma Acute Care Surg 74:1098-101. 2013
  3. 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
  4. doi request reprint Linezolid and vancomycin in treatment of lower-extremity complicated skin and skin structure infections caused by methicillin-resistant Staphylococcus aureus in patients with and without vascular disease
    Therese M Duane
    Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, USA
    Surg Infect (Larchmt) 13:147-53. 2012
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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

Collaborators

Detail Information

Publications65

  1. 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...
  2. doi request reprint CT for all or selective approach? Who really needs a cervical spine CT after blunt trauma
    Therese M Duane
    Virginia Commonwealth University Medical Center, Richmond, VA, USA
    J Trauma Acute Care Surg 74:1098-101. 2013
    ..The purpose of this study was to identify predictors of positive CT in an effort to decrease future CT use without compromising patient care...
  3. 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
    ....
  4. doi request reprint Linezolid and vancomycin in treatment of lower-extremity complicated skin and skin structure infections caused by methicillin-resistant Staphylococcus aureus in patients with and without vascular disease
    Therese M Duane
    Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, USA
    Surg Infect (Larchmt) 13:147-53. 2012
    ....
  5. 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...
  6. 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...
  7. 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...
  8. 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...
  9. 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...
  10. 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...
  11. 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...
  12. 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...
  13. 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...
  14. 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...
  15. ncbi request reprint Reevaluating the management and outcomes of severe blunt liver injury
    Therese M Duane
    Department of Surgery, Division of Trauma Critical Care, West Hospital, Medical College of Virginia Virginia Commonwealth University, Richmond, Virginia, USA
    J Trauma 57:494-500. 2004
    ..We also sought to determine the impact of interventional angiography (Ang) in the treatment and outcomes of these patients...
  16. 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...
  17. 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...
  18. ncbi request reprint Thoracic outlet syndrome resulting from first rib fracture
    Therese M Duane
    Medical College of Virginia, Richmond, Virginia 23298, USA
    J Trauma 62:231-3. 2007
  19. ncbi request reprint Geriatric education for surgical residents: identifying a major need
    Therese M Duane
    Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, USA
    Am Surg 77:826-31. 2011
    ..35, P = 0.036). Performance was poor and did not correlate with better patient care by simulation. Other options for geriatric education need to be considered and evaluated...
  20. 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...
  21. 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...
  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 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...
  24. ncbi request reprint Evaluation of cervical spine fracture in the elderly: can we trust our physical examination?
    Terral Goode
    Virginia Commonwealth University, Richmond, Virginia, USA
    Am Surg 80:182-4. 2014
    ..CT should be used in all blunt trauma patients regardless of whether they meet NEXUS criteria. ..
  25. 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...
  26. 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...
  27. 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...
  28. 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...
  29. 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...
  30. 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...
  31. 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...
  32. doi request reprint Practice management guidelines for selective nonoperative management of penetrating abdominal trauma
    John J Como
    Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA
    J Trauma 68:721-33. 2010
    ..A secondary goal of this committee was to find which diagnostic adjuncts are useful in the determination of the need for surgical exploration...
  33. 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...
  34. 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...
  35. 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...
  36. 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...
  37. 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...
  38. pmc DVT surveillance program in the ICU: analysis of cost-effectiveness
    Ajai K Malhotra
    Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, United States of America
    PLoS ONE 9:e106793. 2014
    ..The current study evaluates the effectiveness of DVT surveillance in reducing PE, and performs a cost-effectiveness analysis...
  39. doi request reprint Validity of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) screening for sepsis in surgical mortalities
    Rajesh Ramanathan
    1 Department of Surgery, VCU Medical Center, Richmond, Virginia
    Surg Infect (Larchmt) 15:513-6. 2014
    ....
  40. doi request reprint The impact of linezolid versus vancomycin on surgical interventions for complicated skin and skin structure infections caused by methicillin-resistant Staphylococcus aureus
    Therese M Duane
    Virginia Commonwealth University, Richmond, Virginia, USA
    Surg Infect (Larchmt) 14:401-7. 2013
    ....
  41. ncbi request reprint Surgeons do not listen: evaluation of compliance with antimicrobial stewardship program recommendations
    Therese M Duane
    Virginia Commonwealth University Health System, Richmond, Virginia, USA
    Am Surg 79:1269-72. 2013
    ..By identifying services that are less compliant, programs can target their educational efforts to improve outcomes. ..
  42. doi request reprint Trauma after transplant: hold the antibiotics please
    JEFFREY M TESSIER
    Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298, USA
    Surg Infect (Larchmt) 14:177-80. 2013
    ..We conducted a study to determine whether transplant patients (TP) have worse outcomes, particularly of infections, than do their non-transplant (NTP) counterparts after trauma...
  43. doi request reprint Prophylactic antibiotic use in penetrating abdominal trauma: an Eastern Association for the Surgery of Trauma practice management guideline
    Stephanie R Goldberg
    Division of Trauma, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298, USA
    J Trauma Acute Care Surg 73:S321-5. 2012
    ..Thus, the EAST Practice Management Guidelines Committee set out to update the original PMG...
  44. 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...
  45. doi request reprint Timing and type of surgical treatment of Clostridium difficile-associated disease: a practice management guideline from the Eastern Association for the Surgery of Trauma
    Paula Ferrada
    From the Department of Surgery P F, E J, T M D, Virginia Commonwealth University Medical Center, Medical College of Virginia, Richmond, Virginia Department of Surgery and Center for Surgical Trials and Outcomes Research CSTOR C G V, E R H, The Johns Hopkins School of Medicine, Baltimore, Maryland Malcom Randall VAMC, Division of Gastroenterology, Hepatology, and Nutrition S S, University of Florida College of Medicine, Gainesville, Florida Department of Surgery A P E, Maine General Health, Oakland, Maine Department of Surgery T E, University of Utah School of Medicine, Salt Lake City, Utah Department of Surgery H D, Northeast Ohio Medical University, Rootstown, Ohio Department of Surgery N D M, University of Pennsylvania, Philadelphia Department of Surgery A R, York Hospital, York, Pennsylvania and Department of Surgery P B, University of Alabama Birmingham, Birmingham, Alabama
    J Trauma Acute Care Surg 76:1484-93. 2014
    ..with late surgery, as defined by the need for vasopressors, decrease mortality?PICO Question 2: In adult patients with CDAD, does total abdominal colectomy (TAC) compared with other types of surgical intervention decrease mortality?..
  46. doi request reprint Emergency tracheal intubation immediately following traumatic injury: an Eastern Association for the Surgery of Trauma practice management guideline
    Julie Mayglothling
    Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    J Trauma Acute Care Surg 73:S333-40. 2012
    ..The goals of the work group were to develop evidence-based guidelines to (1) characterize patients in need of ETI and (2) delineate the most appropriate procedure for patients undergoing ETI...
  47. ncbi request reprint Endovascular carotid stenting after trauma
    Therese M Duane
    Department of Surgery, Eastern Virginia Medical School, Norfolk, Virginia 23507, USA
    J Trauma 52:149-53. 2002
  48. ncbi request reprint Initial suction evacuation of traumatic hemothoraces: a novel approach to decreasing chest tube duration and complications
    Rajesh Ramanathan
    Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    Am Surg 78:883-7. 2012
    ....
  49. 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.)..
  50. 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
  51. doi request reprint Human polymerized hemoglobin for the treatment of hemorrhagic shock when blood is unavailable: the USA multicenter trial
    Ernest E Moore
    Department of Surgery, Denver Health Medical Center, University of Colorado, Denver, CO, USA
    J Am Coll Surg 208:1-13. 2009
    ..This multicenter phase III trial was the first US study to assess survival of patients resuscitated with a hemoglobin-based oxygen carrier starting at the scene of injury...
  52. doi request reprint Trial of universal gloving with emollient-impregnated gloves to promote skin health and prevent the transmission of multidrug-resistant organisms in a surgical intensive care unit
    Gonzalo Bearman
    Division of Infectious Diseases, Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia 23298 0019, USA
    Infect Control Hosp Epidemiol 31:491-7. 2010
    ....
  53. doi request reprint Correlation of venous thromboembolism prophylaxis and electronic medical record alerts with incidence among surgical patients
    Rajesh Ramanathan
    Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, VA
    Surgery 160:1202-1210. 2016
    ..We investigated the effect of interruptions and delays in pharmacologic prophylaxis on venous thromboembolism incidence. Additionally, we evaluated the utility of electronic medical record alerts for venous thromboembolism prophylaxis...
  54. doi request reprint Duodenal Injuries: A Review
    Rao R Ivatury
    1200 East Broad Street, W15E Rihmond, VA, 23298, USA
    Eur J Trauma Emerg Surg 33:231-7. 2007
    ..A high index of suspicion and a judicious treatment plan based on a careful consideration of all the available options are crucial for optimal outcome. ..
  55. doi request reprint Impact of Sepsis on Surgical Outcomes
    Rajesh Ramanathan
    1 Department of Surgery, VCU Medical Center, Richmond, Virginia
    Surg Infect (Larchmt) 16:405-9. 2015
    ..Additionally, the infectious sources and associated primary procedures were reported for sepsis-related deaths...
  56. ncbi request reprint Concurrent surgical patient safety indicator evaluation results in more accurate reporting and reimbursement
    Therese M Duane
    Division of Trauma, Critical Care and Emergency Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    Am Surg 80:776-7. 2014
    ..8 preC versus 54.0 postC days (P = 0.06). Concurrent review allows for more accurate reporting because recodes are completed before discharge. Billing delays prolong time to reimbursement and results in loss of revenue. ..
  57. ncbi request reprint Agency for Healthcare Research and Quality patient safety indicators and mortality in surgical patients
    Rajesh Ramanathan
    Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA
    Am Surg 80:801-4. 2014
    ..7%), postoperative sepsis (38.5%), and pressure ulcers (33.3%). PSIs occur at a higher frequency in surgical patients who die and are associated with increased ICU requirements. ..
  58. doi request reprint Practice management guidelines for identification of cervical spine injuries following trauma: update from the eastern association for the surgery of trauma practice management guidelines committee
    John J Como
    Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA
    J Trauma 67:651-9. 2009
    ..Since that time a large volume of literature has been published. As a result, the Practice Management Guidelines Committee set out to develop updated guidelines for the identification of CS injury...
  59. doi request reprint Using a Root Cause Analysis Curriculum for Practice-Based Learning and Improvement in General Surgery Residency
    Rajesh Ramanathan
    Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia
    J Surg Educ 72:e286-93. 2015
    ..To describe and evaluate a root cause analysis (RCA)-based educational curriculum for quality improvement (QI) practice-based learning and implementation in general surgery residency...
  60. doi request reprint Update on the status and future of acute care surgery: 10 years later
    Matthew E Lissauer
    From the Division of Acute Care Surgery M L, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey Section of Acute Care and Trauma Surgery R S, Boston University School of Medicine, Boston, Massachusetts Division of Trauma and Surgical Critical Care A M, Vanderbilt University Medical Center, Nashville, Tennessee Division of trauma, Critical Care and Burns T E, Loyola University Medical Center, Maywood, Illinois Division of Trauma, Critical Care, Emergency Surgery T D, The Medical College of Virginia Virginia Commonwealth University School of Medicine, Richmond, Virginia
    J Trauma Acute Care Surg 76:1462-6. 2014
    ..Since then, the Eastern Association for the Surgery of Trauma (EAST) created a position paper, and acute care surgery (ACS) has matured. A repeat survey of EAST members is indicated to evaluate the progress of ACS...
  61. ncbi request reprint Protocol-driven ventilator management in a trauma intensive care unit population
    Therese M Duane
    Department of Surgery, Eastern Virginia Medical School, Norfolk, VA 23507, USA
    Arch Surg 137:1223-7. 2002
    ..The use of weaning and sedation protocols affects the intensive care unit (ICU) course of a trauma population...
  62. ncbi request reprint Assessing Incidence and Risk Factors of Cervical Spine Injury in Blunt Trauma Patients Using the National Trauma Data Bank
    Andrew J Young
    Virginia Commonwealth University Health System, Richmond, Virginia, USA
    Am Surg 81:879-83. 2015
    ..Higher Injury Severity Score and MVC were consistent risk factors in both groups. This information will assist in devising an algorithm for clearance that can be used nationally allowing for more consistency among trauma providers. ..
  63. ncbi request reprint Association between Interruptions in Chemical Prophylaxis and VTE Formation
    Rajesh Ramanathan
    Department of Surgery, VCU Medical Center, Richmond, Virginia, USA
    Am Surg 81:732-7. 2015
    ..Surgical patients are at higher risk for VTE and interruptions in VTE prophylaxis significantly increase the risk of VTE. ..
  64. doi request reprint Urinary tract infections in surgical patients
    Rajesh Ramanathan
    Virginia Commonwealth University Medical Center, 1200 East Broad Street, PO Box 980454, Richmond, VA 23298, USA
    Surg Clin North Am 94:1351-68. 2014
    ..Prevention strategies include accurate identification and tracking of CAUTIs, and the development of institutional guidelines for the appropriate use, duration, alternatives, and removal of indwelling urinary catheters. ..
  65. ncbi request reprint Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center
    Rajesh Ramanathan
    Department of Surgery, VCU Medical Center, Richmond, Virginia, USA
    Am Surg 79:578-82. 2013
    ..We conclude that the validity of PSIs is low and could be improved by increased education for clinicians and coders. In their current form, PSIs remain suboptimal for widespread use in public reporting and pay-for-performance evaluation...