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169 results on '"Tiouririne, Mohamed"'

4. Expert Consensus Regarding Core Outcomes for Enhanced Recovery after Cesarean Delivery Studies: A Delphi Study

Author

Sultan, Pervez, George, Ron, Weiniger, Carolyn F., El-Boghdadly, K., Pandal, Perman, Carvalho, Brendan, Ansari, Jessica R., Benhamou, Dan, Baluku, Moris, Bernstein, Peter S., Bollag, Laurent A., Bowden, Sarah J., Fay, Emily, Habib, Ashraf S., Halder, Sunil, Landau, Ruth, Lim, Grace, Liu, Vincent, Moreno, Colleen, Nelson, Gregg S., Powell, Mark F., Pujic, Borislava, Sharawi, Nadir, Singh, Natasha, Smith, Roger, Stockert, Emily, Sultan, Ellile, Tiouririne, Mohamed, Wilson, R. Douglas, Wrench, Ian J., Yun, Romy, and Zakowski, Mark

Published
2022
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5. The Effect of Laser-Resistant Endotracheal Tube Design on Airflow Dynamics: A Benchtop and Clinical Study.

Author

Pagel, Jessica M. L., Reddy, Adithya, Fitzgerald, Lucy, Tiouririne, Mohamed, McGarey Jr., Patrick O., Quinn, Daniel B., and Daniero, James J.

Subjects
COMPUTER simulation, RESEARCH funding, LASERS, PRODUCT design, AERODYNAMICS, QUESTIONNAIRES, ENDOTRACHEAL tubes, RETROSPECTIVE studies, LASER therapy, TRACHEA intubation, RESPIRATORY measurements, MEDICAL records, ACQUISITION of data, AIRWAY (Anatomy), COMPARATIVE studies
Abstract

Objective: Compare ventilation pressures of 2 endotracheal tube designs used in laser airway surgery in clinical practice and with a benchtop model to elucidate differences and understand the design elements that impact airflow dynamics. Methods: Ventilatory and aerodynamic characteristics of the laser resistant stainless-steel endotracheal tube (LRSS-ET) design and the laser resistant aluminum-wrapped silicone endotracheal tube (LRAS-ET) design were compared. Ventilatory parameters were collected for 32 patients undergoing laser-assisted airway surgery through retrospective chart review. An in vitro benchtop simulation measured average resistance and centerline turbulence intensity of both designs at various diameters and physiological frequencies. Results: Baseline patient characteristics did not differ between the 2 groups. Clinically, the median LRAS-ET peak inspiratory pressure (PIP; 21.00 cm H2O) was significantly decreased compared to LRSS-ET PIP (34.67 cm H2O). In benchtop simulation, the average PIP of the LRAS-ET was significantly lower at all sizes and frequencies. The LRSS-ET consistently demonstrated an increased resistance, although no patterns were observed in turbulence intensity data between both designs. Conclusion: The benchtop model demonstrated increased resistance in the LRSS-ET compared to the LRAS-ET at all comparable sizes. This finding is supported by retrospective ventilatory pressures during laser airway surgery, which show significantly increased PIPs when comparing identically sized inner diameters. Given the equivocal turbulence intensity data, these differences in resistance and pressures are likely caused by wall roughness and intraluminal presence of tubing, not inlet or outlet geometries. The decreased PIPs of the LRAS-ET should assist in following lung protective ventilator management strategies and reduce risk of pulmonary injury and hemodynamic instability to the patient. [ABSTRACT FROM AUTHOR]

Published
2024
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10. Effects of hydroxyethyl starch 6 % (130/0.4) on blood loss during cesarean delivery: a propensity-matched analysis

Author

Terkawi, Abdullah S., Larkin, Sarah K., Tsang, Siny, Sheeran, Jessica S., and Tiouririne, Mohamed

Subjects
Obstetrical anesthesia -- Physiological aspects -- Patient outcomes, Cesarean section -- Physiological aspects -- Patient outcomes -- Research, Health
Abstract

Background Hydroxyethyl starch is commonly used in the obstetric patient population to prevent hypotension during cesarean delivery. Evidence suggests hetastarch is associated with a dysfunction in coagulation cascade. We hypothesized that hetastarch use to prevent spinal hypotension during cesarean delivery would be associated with an increase in blood loss when compared to crystalloid use. Methods We performed a retrospective review of patients who underwent elective cesarean delivery under spinal anesthesia at the University of Virginia between 2011 and 2014. Data from 819 patients was used. Blood loss was the primary outcome. Propensity score-matching was used to match patients who received hetastarch (treatment group) with those who did not receive hetastarch (control group). Results Genetic matching resulted in 196 patients in the hetastarch group and 182 patients in the control group. There was no difference in estimated blood loss (p = 0.068), calculated blood loss (p = 0.720), total intraoperative fluid intake (p = 0.289), urine output (p = 0.421), Apgar 1 min (p = 0.830), Apgar 5 min (p = 0.138), phenylephrine consumption (p = 0.742), postoperative day 1 (POD1) hematocrit (p = 0.070) and POD1 platelets (p = 0.233). However, there was a statistically significant difference (but clinically irrelevant) in hematocrit difference between the day of admission and POD1 (mean difference 0.47, p = 0.024), and ephedrine consumption (mean difference 2 mg, p = 0.017) in favor of the control group. Conclusions Our study did not find an association between increased perioperative blood loss and hetastarch use in patients presenting for elective cesarean delivery., Author(s): Abdullah S. Terkawi[sup.1] [sup.2] [sup.3] , Sarah K. Larkin[sup.4] , Siny Tsang[sup.5] , Jessica S. Sheeran[sup.1] , Mohamed Tiouririne[sup.1] Author Affiliations: (1) Department of Anesthesiology, University of Virginia, P.O. [...]

Published
2016
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24. Development and Impact of an Institutional Enhanced Recovery Program on Opioid Use, Length of Stay, and Hospital Costs Within an Academic Medical Center: A Cohort Analysis of 7774 Patients

Author

Thiele, Robert H., primary, Sarosiek, Bethany M., additional, Modesitt, Susan C., additional, McMurry, Timothy L., additional, Tiouririne, Mohamed, additional, Martin, Linda W., additional, Blank, Randal S., additional, Shilling, Ashley, additional, Browne, James A., additional, Bogdonoff, David L., additional, Bauer, Todd W., additional, and Hedrick, Traci L., additional

Published
2020
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28. CONTRIBUTORS

Author

Allen, Stacey, primary, Anderson, D.M., additional, Anderson, Franklin L., additional, Andrews, J. Jeff, additional, Arnold, William P., additional, Bakke, Patrick, additional, Baust, Joanne, additional, Benumof, Jonathan L., additional, Berkow, Lauren, additional, Berry, Arnold J., additional, Bitner, Daniel Martin, additional, Blanchette, Mary, additional, Boatman, Erik A., additional, Boyd, Gwendolyn L., additional, Bracken, Christopher A., additional, Bradford, Carol R., additional, Brady, Kevin M., additional, Brambrink, Ansgar M., additional, Brandt, Darin, additional, Bready, Lois L., additional, Brockwell, Russell C., additional, Broussard, David M., additional, Brown, Allan C.D., additional, Campbell, Carol E., additional, Carlisle, A. Sue, additional, Carter, Bonny, additional, Cassorla, Lydia, additional, Cline, Harold D., additional, Collins, Corey, additional, Combest, Sally, additional, Curry, Saundra E., additional, Diaz-Ramirez, Myrdalis, additional, Dilger, John A., additional, Dillman, Dawn, additional, Donahue, Stephen, additional, Doran, Nivine H., additional, Douglas, M. Joanne, additional, Dumitrascu, George A., additional, Fenton, Lynn A., additional, Fleisch, Juergen, additional, Freeman, Judith A., additional, Frietsch, Thomas, additional, Furman, William R., additional, Garwood, Susan, additional, Gaumond, Ethan, additional, Gerold, Kevin B., additional, Griffin, James D., additional, Gurkowski, Mary Ann, additional, Hantler, Charles B., additional, Hartman, Jinny Kim, additional, Hawkins, Joy L., additional, Heitmiller, Eugenie, additional, Hernandez, Antonio, additional, Hickey, Rosemary, additional, Holahan, Joseph R., additional, Holmgreen, W. Corbett, additional, Hou, Vivian, additional, Hutchens, Michael P., additional, Jarnberg, Per-Olof, additional, Kang, Wendy B., additional, Karan, Suzanne B., additional, Kaye, Celia I., additional, Kendrick, Angela, additional, Kirsch, Jeffrey R., additional, Klein, Kevin K., additional, Koerner, Ines P., additional, LaCassie, Hector, additional, Lalwani, Kirk, additional, Larach, Marilyn Green, additional, Lineberger, Catherine K., additional, Liszka-Hackzell, John J., additional, Loeb, Robert, additional, Luhn, Gaelan B., additional, Mackenzie, Colin F., additional, Malan, T. Philip, additional, Malhotra, Vinod, additional, Mayer, David C., additional, McGoldrick, Kathryn E., additional, McGuire, Katherine R., additional, Merritt, William T., additional, Metcalf, Sara M., additional, Milhoan, Kimberly D., additional, Moeller-Bertram, Tobias, additional, Naples, Joseph J., additional, Nelson, David V., additional, Newell, Christopher D., additional, Ng, Victor, additional, Njoku, Dolores B., additional, Noorily, Susan H., additional, Norton, J. Russell, additional, Onstad, Steven C., additional, Opton, James C., additional, Orr, Malcolm D., additional, Overbaugh, Robert H., additional, Panico, Fred G., additional, Peterson-Layne, Cathleen L., additional, Phillips, Michael G., additional, Pineda, Jorge, additional, Poon, Anthony S., additional, Quezado, Marcelo, additional, Ramamurthy, Rajam S., additional, Ramamurthy, Somayaji, additional, Rasch, Deborah K., additional, Richman, Jeffrey M., additional, Robertson, Kerri M., additional, Robin, Marco S., additional, Robinson, Stephen T., additional, Rogers, James N., additional, Rosen, Mark A., additional, Rusa, Renata, additional, Rushton, Andrew S., additional, Ryan, Susan M., additional, Salgado, Lauren L., additional, Schwartz, Jamie McElrath, additional, Shah, Jaydeep S., additional, Shapiro, David I., additional, Sharma, Aarti, additional, Simmons, Nicholas R., additional, Skrivanek, Gary D., additional, Sloan, Tod B., additional, Spielman, Fred J., additional, Stool, Louis A., additional, Sudheendra, Vijayendra, additional, Swafford, Melba W.G., additional, Swanson, Veronica C., additional, Terrell, Jeffrey E., additional, Tetzlaff, John E., additional, Tiouririne, Mohamed, additional, Vaitkeviciute, Irena, additional, Verber, Michael, additional, Vookles, Jennifer F., additional, Waisel, David B., additional, Walters, Tessa L., additional, Ward, Denham S., additional, Welborn, Leila G., additional, Welch, Gary, additional, Wells, Lynda T., additional, Zaidan, James R., additional, Zimmerman, Angela, additional, and Zuazu, Marcos A., additional

Published
2007
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45. CASE 5—2013

Author

Tiouririne, Mohamed, primary, Baum, Victor C., additional, Battle, Robert W., additional, Arendt, Katherine W., additional, and Bhatt, Ami B., additional

Published
2013
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