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17 results on '"McCann, Edward T."'

3. Beyond Trauma: High-Volume Critical Care Medicine in a Military Medical Center–Based Military–Civilian Partnership

Author

Kilburn, Jeremy P, primary, Streit, Stephanie M, additional, Luan, W Patrick, additional, Lindly, Jamie, additional, Honsberg, Angelica, additional, Dawn, Buddhadeb, additional, Mihata, Ryan G K, additional, Carmichael, Jonas J, additional, Matos, Renee I, additional, Lonergan, Terence P, additional, Walter, Robert J, additional, Szalwinksi, Bryan D, additional, Dooley, Sean N, additional, McCann, Edward T, additional, Sampson, James B, additional, Praske, Steven P, additional, Gurney, Jennifer M, additional, and Mount, Cristin A, additional

Published
2023
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4. Beyond Trauma: High-Volume Critical Care Medicine in a Military Medical Center–Based Military–Civilian Partnership

Author

Kilburn, Jeremy P, Streit, Stephanie M, Luan, W Patrick, Lindly, Jamie, Honsberg, Angelica, Dawn, Buddhadeb, Mihata, Ryan G K, Carmichael, Jonas J, Matos, Renee I, Lonergan, Terence P, Walter, Robert J, Szalwinksi, Bryan D, Dooley, Sean N, McCann, Edward T, Sampson, James B, Praske, Steven P, Gurney, Jennifer M, and Mount, Cristin A

Published
2024
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16. Effects of Electrolyte Replacement Protocol Implementation in a Medical Intensive Care Unit.

Author

Pearson, Daniel J., Sharma, Anit, Lospinoso, Joshua A., Morris, Michael J., and McCann, Edward T.

Subjects
ELECTROLYTES, INTENSIVE care units, MEDICAL protocols, MILITARY hospitals, NURSES' attitudes, QUALITY assurance, TIME, PRE-tests & post-tests, RETROSPECTIVE studies, DESCRIPTIVE statistics
Abstract

Purpose: To evaluate the effects of electrolyte replacement protocol (ERP) implementation in the medical intensive care unit (MICU) setting. We hypothesized that a protocol would reduce the time of replacement dose administration and increase provider satisfaction with the process of electrolyte replacement. Methods: This was a retrospective review of electronic medical record data before and after implementation of a standardized ERP in an 18-bed military tertiary care MICU. Results: Median time from abnormal laboratory result to time of documented dose administration for potassium decreased from 180 to 98 minutes (P < .01), phosphorus decreased from 190 to 135 minutes (P < .01), calcium decreased from 95 to 61 minutes (P < .01), and magnesium decreased from 155 to 149 minutes (P < .01). Overall, there was a significant reduction in time to electrolyte repletion from 146 to 98 minutes (P < .01) for all electrolytes. Nursing satisfaction for autonomy, timeliness, effectiveness, and the need to seek orders was all improved (P < .01), and physicians saved 4.4 minutes/patient/day (P = .04). Conclusions: Electrolyte replacement protocols can be safely implemented in the MICU and reduce the time from abnormal laboratory result to electrolyte replacement dose administration. They can improve provider satisfaction and reduce physician time with the process of electrolyte replacement. [ABSTRACT FROM AUTHOR]

Published
2018
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17. Transudative chylothorax from cirrhosis complicated by lung entrapment.

Author

Owen SC, Bersabe DR, Skabelund AJ, McCann ET, and Morris MJ

Abstract

A patient with long-standing cirrhosis due to hepatitis C and hepatic hydrothorax was evaluated for increasing symptoms and presence of a large right pleural effusion. Thoracentesis revealed evidence of a chylothorax with rapid reaccumulation of pleural fluid. Repeat thoracentesis with manometry identified presence of entrapped lung which complicated treatment options. This is the first case report of a hepatic chylothorax with features of entrapped lung.

Published
2016
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