Franklin Dexter
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View article: The Assessment of Practical and Safety Aspects of Recommended Surface Disinfection and Ultraviolet-C Cleaning Procedures for the Anesthesia Workspace
The Assessment of Practical and Safety Aspects of Recommended Surface Disinfection and Ultraviolet-C Cleaning Procedures for the Anesthesia Workspace Open
Background Cleaning procedures for the anesthesia workspace can generate substantial reductions in Staphylococcus aureus (S. aureus) transmission and all-cause surgical site infections (SSIs), including for the anesthesia mac…
View article: Incidence Proportions From Random-Effects Meta-Analyses of Rare Events With Large Cluster Heterogeneity, Including Sensitivity to the Normal Distribution Assumption
Incidence Proportions From Random-Effects Meta-Analyses of Rare Events With Large Cluster Heterogeneity, Including Sensitivity to the Normal Distribution Assumption Open
Our narrative review examines statistical methods for estimating incidence proportions of rare events (≤5%) with large heterogeneity among clusters. One example dataset is a meta-analysis of incidences of neurological complications after r…
View article: Limited National Potential for Reducing Anesthesia Clinician Staffing for Cataract Surgery: A Historical Cohort Study Using a Large United States Anesthesia Registry
Limited National Potential for Reducing Anesthesia Clinician Staffing for Cataract Surgery: A Historical Cohort Study Using a Large United States Anesthesia Registry Open
Background Cataract surgery, the most frequently performed surgical procedure worldwide, is increasing, with many patients receiving intravenous sedation by anesthesia clinicians. Given anesthesia clinician shortages and ambulatory surgery…
View article: Evaluation of the information content of individual items' scores in the anesthesiologist supervision instrument using Cochran's Q tests and McNemar's tests to provide specific feedback to ratees in addition to reliable evaluation of clinical performance
Evaluation of the information content of individual items' scores in the anesthesiologist supervision instrument using Cochran's Q tests and McNemar's tests to provide specific feedback to ratees in addition to reliable evaluation of clinical performance Open
Earlier it was known that anesthesiologists' annual professional practice evaluations can be provided along with education regarding good teaching attributes associated with high quality intraoperative supervision and greater supervision s…
View article: Failure of preoperative data to accurately predict which patients undergoing major hepatic surgery will develop postoperative coagulation disturbances: a single-hospital retrospective cohort study
Failure of preoperative data to accurately predict which patients undergoing major hepatic surgery will develop postoperative coagulation disturbances: a single-hospital retrospective cohort study Open
Coagulation disturbances occur commonly in the context of hepatic surgery. Preoperative data commonly used to qualify a patient to receive epidural analgesia are insufficient to predict which patients are likely to develop postoperative co…
View article: Changes in Endotracheal Cuff Pressure During Positioning From Supine to Beach Chair in Shoulder Surgery: A Prospective Case Series
Changes in Endotracheal Cuff Pressure During Positioning From Supine to Beach Chair in Shoulder Surgery: A Prospective Case Series Open
Introduction Changes in a patient's position from supine to upright may alter the forces exerted by the endotracheal tube (ETT) on the larynx and potentially increase intracuff pressure. This study aimed to investigate whether positional c…
View article: Adjusting for Resident Rater Leniency or Severity Improves the Reliability of Routine Resident Evaluations of Faculty Anesthesiologists
Adjusting for Resident Rater Leniency or Severity Improves the Reliability of Routine Resident Evaluations of Faculty Anesthesiologists Open
View article: A scoping review of feedback features during clinical education for anaesthesia trainees
A scoping review of feedback features during clinical education for anaesthesia trainees Open
Our scoping review aimed to provide an overview of the evidence on feedback for clinical education in anaesthesia and to identify opportunities for systematic review. The authors searched PubMed, Scopus and Web of Science databases from 20…
View article: The Importance of the Detection of Staphylococcus aureus Strain Characteristics Associated With Perioperative Transmission of Antibiotic Resistance
The Importance of the Detection of Staphylococcus aureus Strain Characteristics Associated With Perioperative Transmission of Antibiotic Resistance Open
View article: Statistical Power Analyses for Quantifying the Similarity of Categories of Surgical Procedures Among Pairs of Hospitals and Ambulatory Facilities
Statistical Power Analyses for Quantifying the Similarity of Categories of Surgical Procedures Among Pairs of Hospitals and Ambulatory Facilities Open
View article: Has the pendulum swung too far? Discretionary single‐unit red blood cell transfusion in trauma is associated with infection, thromboembolic events, and mortality
Has the pendulum swung too far? Discretionary single‐unit red blood cell transfusion in trauma is associated with infection, thromboembolic events, and mortality Open
Objectives Studies in elective surgery report adverse outcomes with transfusion of a solitary unit of red blood cells (RBC). We quantified the effect of discretionary transfusion of one unit of blood in trauma patients with borderline tran…
View article: Impact of Shipping Transit Time on Central Laboratory Processing of Total Colony Forming Units (CFU) and Staphylococcus aureus Detection
Impact of Shipping Transit Time on Central Laboratory Processing of Total Colony Forming Units (CFU) and Staphylococcus aureus Detection Open
View article: Economic impact of prolonged tracheal extubation times on operating room time overall and for subgroups of surgeons: a historical cohort study
Economic impact of prolonged tracheal extubation times on operating room time overall and for subgroups of surgeons: a historical cohort study Open
View article: Taylor Series Approximation for Accurate Generalized Confidence Intervals of Ratios of Log‐Normal Standard Deviations for Meta‐Analysis Using Means and Standard Deviations in Time Scale
Taylor Series Approximation for Accurate Generalized Confidence Intervals of Ratios of Log‐Normal Standard Deviations for Meta‐Analysis Using Means and Standard Deviations in Time Scale Open
With contemporary anesthetic drugs, the efficacy of general anesthesia is assured. Health‐economic and clinical objectives are related to reductions in the variability in dosing, variability in recovery, etc. Consequently, meta‐analyses fo…
View article: The Value of Auditing the Frequency of Inhalational Anesthetics With a Combination of Very Low Bispectral Index and High Fraction of the Age-Adjusted Minimum Alveolar Concentration
The Value of Auditing the Frequency of Inhalational Anesthetics With a Combination of Very Low Bispectral Index and High Fraction of the Age-Adjusted Minimum Alveolar Concentration Open
View article: Importance of Ultraviolet-C (UV-C) Emitter Configuration for the Attenuation of Staphylococcus aureus and Candida auris Pathogens
Importance of Ultraviolet-C (UV-C) Emitter Configuration for the Attenuation of Staphylococcus aureus and Candida auris Pathogens Open
The choice of UV-C emitter configuration can impact S. aureus and C. auris attenuation when there is indirect exposure to the pathogen. Emitter configuration should be considered as an important parameter for future UV-C tech…
View article: Importance of Ultraviolet-C (UV-C) Emitter Configuration for Clostridioides difficile Attenuation
Importance of Ultraviolet-C (UV-C) Emitter Configuration for Clostridioides difficile Attenuation Open
UV-C emitter configuration impacts efficacy in attenuating C. difficile.
View article: Frequencies of patient-reported sore throat, hoarseness, dysphagia, and high airway cuff pressures when manometers are used
Frequencies of patient-reported sore throat, hoarseness, dysphagia, and high airway cuff pressures when manometers are used Open
View article: Positive predictive value of administrative diagnosis codes, for all patient encounters in the electronic health record, to detect postoperative infections: Retrospective cohort study after cesarean delivery
Positive predictive value of administrative diagnosis codes, for all patient encounters in the electronic health record, to detect postoperative infections: Retrospective cohort study after cesarean delivery Open
View article: Frequently Touched Sites in the Intensive Care Unit Environment Returning 100 Colony-Forming Units per Surface Area Sampled Are Associated With Increased Risk of Major Bacterial Pathogen Detection
Frequently Touched Sites in the Intensive Care Unit Environment Returning 100 Colony-Forming Units per Surface Area Sampled Are Associated With Increased Risk of Major Bacterial Pathogen Detection Open
Frequently touched ICU environmental sites returning ≥ 100 CFU are associated with major bacterial pathogen detection. This threshold for surface hygiene can be used to ensure compliance with ICU environmental cleaning protocols and to gui…
View article: Quantifying Cooperation among Investigators with Substantial Production in Operating Room Management [Letter]
Quantifying Cooperation among Investigators with Substantial Production in Operating Room Management [Letter] Open
Wang et al used the Web of Science to perform a bibliometric study of operating room management articles. 1We recently performed a similar study using Scopus. 2 The databases include many publications that overlap but some that differ, mak…
View article: Surface Cleaning with a Microfiber Cloth and Water followed by Ultraviolet-C Light Exposure Achieves Non-Inferior Disinfection of a Pathogenic Staphylococcus aureus Strain versus Use of Germicidal Wipes.
Surface Cleaning with a Microfiber Cloth and Water followed by Ultraviolet-C Light Exposure Achieves Non-Inferior Disinfection of a Pathogenic Staphylococcus aureus Strain versus Use of Germicidal Wipes. Open
Removing bioburden with chemical-free microfiber cloths followed by triangular UV-C delivery is a noninferior strategy to targeted surface disinfection with chemical disinfecting wipes for the pathogenic S. aureus ST5 strain in the …
View article: Inhalational Agent Dosing Behaviors of Anesthesia Practitioners Cause Variability in End-Tidal Concentrations at the End of Surgery and Prolonged Times to Tracheal Extubation
Inhalational Agent Dosing Behaviors of Anesthesia Practitioners Cause Variability in End-Tidal Concentrations at the End of Surgery and Prolonged Times to Tracheal Extubation Open
View article: Anesthesia Practitioners’ Goals for Sevoflurane Minimum Alveolar Concentration at the End of Surgery and the Incidence of Prolonged Extubations: A Prospective and Observational Study
Anesthesia Practitioners’ Goals for Sevoflurane Minimum Alveolar Concentration at the End of Surgery and the Incidence of Prolonged Extubations: A Prospective and Observational Study Open
The standard deviation of the MAC goal among practitioners was sufficiently large to contribute significantly to the variability in the MAC achieved at the end of surgery. We confirmed prospectively that the age-adjusted end-tidal MAC at t…
View article: Incremental Societal Costs of Perioperative Complications Following Adult Elective Inpatient Major Therapeutic Surgery in the State of Florida: A Seven-Year Retrospective Epidemiological Analysis
Incremental Societal Costs of Perioperative Complications Following Adult Elective Inpatient Major Therapeutic Surgery in the State of Florida: A Seven-Year Retrospective Epidemiological Analysis Open
View article: Lateness of Acetaminophen and Non-steroidal Anti-inflammatory Drug Administrations in a Retrospective Cohort of Medication Administration Records Among Patients After Cesarean Delivery
Lateness of Acetaminophen and Non-steroidal Anti-inflammatory Drug Administrations in a Retrospective Cohort of Medication Administration Records Among Patients After Cesarean Delivery Open
Other hospitals should check the lateness of medication administration when that would change their ability to perform or apply the results of analgesic clinical trials (e.g., simultaneous versus alternating administration).
View article: Dignity-related distress and recall among alert, non-delirious critically ill patients
Dignity-related distress and recall among alert, non-delirious critically ill patients Open
Objectives Critical illness is associated with multiple undesired impacts, including residual psychological distress, frequently associated with recollections of critical illness. Dignity-related distress is highly prevalent among the one-…
View article: Effect of a non-reactive absorbent with or without environmentally oriented electronic feedback on anesthesia provider's fresh gas flow rates: A greening initiative
Effect of a non-reactive absorbent with or without environmentally oriented electronic feedback on anesthesia provider's fresh gas flow rates: A greening initiative Open
This study showed that introducing a non-reactive absorbent did not significantly alter FGF. Using environmentally oriented electronic feedback relying on data analytics did not result in significantly reduced provider-specific FGF.
View article: Preventing Prolonged Times to Awakening While Mitigating the Risk of Patient Awareness: Gas Man Computer Simulations of Sevoflurane Consumption From Brief, High Fresh Gas Flow Before the End of Surgery
Preventing Prolonged Times to Awakening While Mitigating the Risk of Patient Awareness: Gas Man Computer Simulations of Sevoflurane Consumption From Brief, High Fresh Gas Flow Before the End of Surgery Open
View article: Patient and Operational Factors Do Not Substantively Affect the Annual Departmental Quality of Anesthesiologists’ Clinical Supervision and Nurse Anesthetists’ Work Habits
Patient and Operational Factors Do Not Substantively Affect the Annual Departmental Quality of Anesthesiologists’ Clinical Supervision and Nurse Anesthetists’ Work Habits Open
When evaluating the effect of assigning anesthesiologists and nurse anesthetists with different clinical performance quality on clinical outcomes, supervision quality and work habits scores may be included as independent variables without …