Stephen O. Heard
YOU?
Author Swipe
View article: Rapid chronic kidney disease progression in younger, First Nations patients in the Northern Territory
Rapid chronic kidney disease progression in younger, First Nations patients in the Northern Territory Open
This 6‐year retrospective cohort study investigated the progression of chronic kidney disease (CKD) among Australian First Nations patients in remote Northern Territory. We found that younger patients (age less than 50 years) were at a hig…
View article: Cost-Effectiveness of Clinical Decision Support to Improve CKD Outcomes Among First Nations Australians
Cost-Effectiveness of Clinical Decision Support to Improve CKD Outcomes Among First Nations Australians Open
Territory Kidney Care is highly cost-effective when it supports early diagnosis of CKD and increases optimal management in diagnosed patients. These results support investing in CDS tools, implemented in strong partnerships, to improve out…
View article: Respiratory drive heterogeneity associated with systemic inflammation and vascular permeability in acute respiratory distress syndrome
Respiratory drive heterogeneity associated with systemic inflammation and vascular permeability in acute respiratory distress syndrome Open
View article: Response
Response Open
View article: Case Report on Morbidly Obese Patient with Cervical Spine Ankylosing Spondylitis Presenting with Acute Spinal Shock and Complex Airway Management
Case Report on Morbidly Obese Patient with Cervical Spine Ankylosing Spondylitis Presenting with Acute Spinal Shock and Complex Airway Management Open
A 67 year old morbidly obese male presented to the ER with weakness in both lower extremities after a fall at home. The patient sustained a T12/ L1 unstable vertebral fractures and cord compression at the thoracolumbar junction with acute …
View article: Effect of a Multidisciplinary Team Approach to Eradicate Central Line Associated Blood-Stream Infections (CLABSI)
Effect of a Multidisciplinary Team Approach to Eradicate Central Line Associated Blood-Stream Infections (CLABSI) Open
Introduction: CLABSI remains a significant problem in the intensive care unit. Hypothesis: A multimodal approach for the insertion and care of CVC will prevent CLABSI. Methods: A Critical Care Operations Committee was formed to transform c…
View article: Delayed Emergence from General Anesthesia
Delayed Emergence from General Anesthesia Open
The incidence of perioperative morbidity associated with varying degrees of untreated thyroid disease is unknown, however major complications have been reported including severe hypotension or cardiac arrest, extreme sensitivity to opioids…
View article: Post-Anesthesia Evaluation: Using a Systems Based Team Approach to Achieve Compliance with CMS Interpretive Guidelines
Post-Anesthesia Evaluation: Using a Systems Based Team Approach to Achieve Compliance with CMS Interpretive Guidelines Open
Introduction: In December of 2009 the Center for Medicare and Medicaid Services (CMS) issued Revised Anesthesia Services Interpretive Guidelines. The revised post-anesthesia evaluation rules require assessment and documentation within 48 h…
View article: Patient Flow in Peri-Operative Services: Analysis of Factors that Impact OR Turn Over Time
Patient Flow in Peri-Operative Services: Analysis of Factors that Impact OR Turn Over Time Open
Introduction: The University Campus of UMass Memorial Medical Center has 16 operating rooms. The average Turn Over Time (TOT), defined as patient out of OR to next patient in, is 43 minutes. This is a source of dissatisfaction for the surg…
View article: Management of a Patient with an Encapsulated Parapneumonic Empyema Complicated by the Intraoperative Development of an Acute Bronchopleural Fistula and ARDS
Management of a Patient with an Encapsulated Parapneumonic Empyema Complicated by the Intraoperative Development of an Acute Bronchopleural Fistula and ARDS Open
We report the use of independent lung ventilation (ILV) in a patient with severe underlying parenchymal disease who developed bronchopleural fistula (BPF) after thoracotomy and decortication of an empyema with subsequent development of acu…
View article: Testing a Novel Manual Communication System for Mechanically Ventilated ICU Patients
Testing a Novel Manual Communication System for Mechanically Ventilated ICU Patients Open
Introduction: Available communication methods for intubated patients in the ICU are insufficient to meet patient needs. Both ICU patients and their care providers report broadly unsuccessful communication attempts, resulting in less effect…
View article: Principles of Augmentative and Alternative Communication System Design in the ICU Setting
Principles of Augmentative and Alternative Communication System Design in the ICU Setting Open
Introduction: The ICU as a technology design setting requires specific and thoughtful awareness of patient-, caregiver-, and environment-related constraints. Designing an ICU-specific communication system involves an even deeper understand…
View article: Response
Response Open
View article: Physician Referral Rather than Proxy Referral to an Organ Procurement Organization Following Asystolic Death Results in Higher Tissue Donation Rates
Physician Referral Rather than Proxy Referral to an Organ Procurement Organization Following Asystolic Death Results in Higher Tissue Donation Rates Open
Timely referral of patients following asystolic death to an organ procurement organization (OPO) may increase tissue donation rates. Notification of the OPO following asystolic death was formerly the responsibility of the admitting office.…
View article: Table of Contents
Table of Contents Open
View article: Issue Information ‐ TOC
Issue Information ‐ TOC Open
The Americas, excluding Canada & Mexico), US$1,667 (Canada/Mexico), US$2,801 (Rest of World), €1,817 (Europe), £1,431 (UK
View article: Airway Management in Critical Illness
Airway Management in Critical Illness Open
Expertise in airway management is a vital skill for any provider caring for critically ill patients. A growing body of literature has identified the stark difference in periprocedural outcomes of elective intubation in the operating room w…
View article: RE: Preventability of hospital onset bacterermia and fungemia: A pilot study of potential healthcare-associated infection outcome measure, by Dantes et al (2019)
RE: Preventability of hospital onset bacterermia and fungemia: A pilot study of potential healthcare-associated infection outcome measure, by Dantes et al (2019) Open
We read with great interest the article by Dantes et al on the preventability of hospital-onset bacteremias (HOBs) and the use of this metric as a quality outcome measure. In 2017, we also reported a retrospective analysis of the impact of…
View article: Efficacy and Tolerability of Adjunctive Intravenous Sodium Nitroprusside Treatment for Outpatients With Schizophrenia
Efficacy and Tolerability of Adjunctive Intravenous Sodium Nitroprusside Treatment for Outpatients With Schizophrenia Open
ClinicalTrials.gov identifier: NCT02164981.
View article: Should the Ramped Position Be “Sniffed at” in the ICU?
Should the Ramped Position Be “Sniffed at” in the ICU? Open
View article: Self‐Reported Function More Informative than Frailty Phenotype in Predicting Adverse Postoperative Course in Older Adults
Self‐Reported Function More Informative than Frailty Phenotype in Predicting Adverse Postoperative Course in Older Adults Open
Background/Objective Current preoperative assessment tools such as the American College of Surgeons Surgical Risk Calculator ( ACS Calculator) are suboptimal for evaluating older adults. The objective was to evaluate and compare the perfor…
View article: Table of Contents
Table of Contents Open
View article: Microvascular response to transfusion in elective spine surgery
Microvascular response to transfusion in elective spine surgery Open
Intra-operative measurement of SmO2 during large volume, yet controlled hemorrhage, does not show a statistically significant correlation with either invasive hemodynamic, or laboratory parameters in patients undergoing elective…
View article: ICE volume 37 issue 8 Cover and Front matter
ICE volume 37 issue 8 Cover and Front matter Open
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
View article: The Modified Apnea Test During Brain Death Determination
The Modified Apnea Test During Brain Death Determination Open
Introduction: Conventional apnea testing in patients with severe hypoxemia or hemodynamic instability with removal from the ventilator support is unsafe. We describe an alternative approach to apnea testing, which may be used in patients w…
View article: Life after acute fibrinous and organizing pneumonia: a case report of a patient 30 months after diagnosis and review of the literature
Life after acute fibrinous and organizing pneumonia: a case report of a patient 30 months after diagnosis and review of the literature Open
View article: Reply to Bauer and Goff
Reply to Bauer and Goff Open
View article: Blood Transfusions May Have Limited Effect on Muscle Oxygenation after Total Knee Arthroplasty
Blood Transfusions May Have Limited Effect on Muscle Oxygenation after Total Knee Arthroplasty Open
Background Traditionally, blood transfusions in the perioperative setting are used to maintain adequate delivery of nutrients and oxygen to organs. However, the effect of blood administration on tissue oxygenation in the perioperative sett…
View article: T2 Magnetic Resonance Assay for the Rapid Diagnosis of Candidemia in Whole Blood: A Clinical Trial
T2 Magnetic Resonance Assay for the Rapid Diagnosis of Candidemia in Whole Blood: A Clinical Trial Open
NCT01752166.