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  1. Article ; Online: Protection of anesthesia providers from silent carriers of COVID-19 while minimizing disposable PPE utilization.

    Ringenberg, Kyle R / Fremming, Bradley A / Lisco, Steven J / Schulte, Thomas E

    Journal of clinical anesthesia

    2020  Volume 66, Page(s) 109930

    MeSH term(s) Anesthesia/methods ; Anesthesiology/methods ; COVID-19 ; Coronavirus Infections/prevention & control ; Humans ; Pandemics/prevention & control ; Personal Protective Equipment ; Pneumonia, Viral/prevention & control
    Keywords covid19
    Language English
    Publishing date 2020-05-28
    Publishing country United States
    Document type Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2020.109930
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Thoracic Epidural Anesthesia After a Transversus Abdominis Plane Block With Liposomal Bupivacaine in a Patient With Chronic Opioid Use: A Case Report.

    Arsky Lombardi, Rafael / Ringenberg, Kyle / Amaral, Sara / Medeiros, Heitor / Heiser, Nicholas

    Cureus

    2023  Volume 15, Issue 11, Page(s) e48234

    Abstract: Liposomal bupivacaine is a long-acting local anesthetic drug that provides extended analgesia. A 45-year-old man with metastatic colon cancer and an intrathecal morphine pump for chronic pain underwent a transverse colectomy for a malignant transverse ... ...

    Abstract Liposomal bupivacaine is a long-acting local anesthetic drug that provides extended analgesia. A 45-year-old man with metastatic colon cancer and an intrathecal morphine pump for chronic pain underwent a transverse colectomy for a malignant transverse colon obstruction in this case report. The patient reported severe pain despite preoperative fascial plane blocks with liposomal bupivacaine and postoperative pain management strategies. As a result, an exploratory laparotomy was performed to rule out any underlying causes, but no new injuries were discovered. On postoperative day 1, a thoracic epidural catheter was inserted to provide better pain relief for the patient. The patient's pain was well-controlled by postoperative day 4, allowing the epidural catheter to be removed. On postoperative day 5, the patient was discharged home without complications. This case highlights the difficulties in managing post-laparotomy pain as well as the potential benefits of combining multiple analgesic modalities. It also emphasizes the pharmacokinetic properties of liposomal bupivacaine, emphasizing the need for caution due to its prolonged systemic presence and potential for systemic anesthetic toxicity.
    Language English
    Publishing date 2023-11-03
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.48234
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Protection of anesthesia providers from silent carriers of COVID-19 while minimizing disposable PPE utilization

    Ringenberg, Kyle R / Fremming, Bradley A / Lisco, Steven J / Schulte, Thomas E

    J Clin Anesth

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #401414
    Database COVID19

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  4. Article ; Online: Protection of anesthesia providers from silent carriers of COVID-19 while minimizing disposable PPE utilization

    Ringenberg, Kyle R. / Fremming, Bradley A. / Lisco, Steven J. / Schulte, Thomas E.

    Journal of Clinical Anesthesia

    2020  Volume 66, Page(s) 109930

    Keywords Anesthesiology and Pain Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2020.109930
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: 2018 Clinical Update in Liver Transplantation.

    Markin, Nicholas W / Ringenberg, Kyle J / Kassel, Cale A / Walcutt, Charles R / Chacon, M Megan

    Journal of cardiothoracic and vascular anesthesia

    2019  Volume 33, Issue 12, Page(s) 3239–3248

    Abstract: Liver transplantation (LT) continues to be the gold standard for treating end-stage liver disease, and challenges that are posed to the anesthesiologist during transplantation are well known. Successful liver transplantation requires knowledge, ... ...

    Abstract Liver transplantation (LT) continues to be the gold standard for treating end-stage liver disease, and challenges that are posed to the anesthesiologist during transplantation are well known. Successful liver transplantation requires knowledge, recognition, and treatment of hemodynamic and metabolic disturbances by the anesthesiologist. End-stage liver disease causes unique derangements to the clotting cascade, increasing risk both for hemorrhagic and thrombotic events. Cirrhotic cardiomyopathy may be masked for years because of low systemic vascular resistance in cirrhosis, and overt heart failure can be precipitated by LT. Surveys of high-volume transplant centers show an overall transesophageal echocardiography (TEE) use rate of 95%. Guidelines on the use of TEE in LT have mirrored safety findings in several studies and suggest TEE may be used for patients with esophageal varices if the benefit outweighs the risk. This review will cover organ system dysfunction in liver cirrhosis and the implications for liver cirrhosis patients and review recent advances in pathophysiology and treatments. In addition, the authors will highlight the concept of enhanced recovery after surgery and how it pertains to the LT patient population. Lastly, the authors review recent advances in organ preservation and optimization.
    MeSH term(s) End Stage Liver Disease/physiopathology ; End Stage Liver Disease/surgery ; Enhanced Recovery After Surgery/standards ; Hemodynamics/physiology ; Humans ; Liver Transplantation/methods ; Organ Preservation/trends
    Language English
    Publishing date 2019-02-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2019.02.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Influence of Multisite Metal-Ligand Cooperativity on the Redox Activity of Noninnocent N

    Spielvogel, Kyle D / Luna, Javier A / Loria, Sydney M / Weisburn, Leah P / Stumme, Nathan C / Ringenberg, Mark R / Durgaprasad, Gummadi / Keith, Jason M / Shaw, Scott K / Daly, Scott R

    Inorganic chemistry

    2020  Volume 59, Issue 15, Page(s) 10845–10853

    Abstract: Metal-ligand cooperativity (MLC) relies on chemically reactive ligands to assist metals with small-molecule binding and activation, and it has facilitated unprecedented examples of catalysis with metal complexes. Despite growing interest in combining ... ...

    Abstract Metal-ligand cooperativity (MLC) relies on chemically reactive ligands to assist metals with small-molecule binding and activation, and it has facilitated unprecedented examples of catalysis with metal complexes. Despite growing interest in combining ligand-centered chemical and redox reactions for chemical transformations, there are few studies demonstrating how chemically engaging redox active ligands in MLC affects their electrochemical properties when bound to metals. Here we report stepwise changes in the redox activity of model Ru complexes as zero, one, and two BH
    Language English
    Publishing date 2020-07-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1484438-2
    ISSN 1520-510X ; 0020-1669
    ISSN (online) 1520-510X
    ISSN 0020-1669
    DOI 10.1021/acs.inorgchem.0c01353
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Liver Transplantation: Intraoperative Transesophageal Echocardiography Findings and Relationship to Major Postoperative Adverse Cardiac Events.

    Shillcutt, Sasha K / Ringenberg, Kyle J / Chacon, M Megan / Brakke, Tara R / Montzingo, Candice R / Lyden, Elizabeth R / Schulte, Thomas E / Porter, Thomas R / Lisco, Steven J

    Journal of cardiothoracic and vascular anesthesia

    2016  Volume 30, Issue 1, Page(s) 107–114

    Abstract: Objective: The primary aim of the study was to describe the most common intraoperative transesophageal echocardiography (TEE) findings during the 3 separate phases of orthotopic liver transplantation (OLT). The secondary aim of the study was to ... ...

    Abstract Objective: The primary aim of the study was to describe the most common intraoperative transesophageal echocardiography (TEE) findings during the 3 separate phases of orthotopic liver transplantation (OLT). The secondary aim of the study was to determine if the abnormal TEE findings were associated with major postoperative adverse cardiac events (MACE) and thus may be amenable to future management strategies.
    Design: Data were collected retrospectively from the electronic medical record and institutional echocardiography database.
    Setting: Single university hospital.
    Participants: A total of 100 patients undergoing OLT via total cavaplasty technique.
    Interventions: Intraoperative TEE was performed in all 3 phases of OLT.
    Measurement and main results: TEE findings of 100 patients who had TEE during OLT during the dissection, anhepatic, and reperfusion phases of transplantation were recorded after blind review. Findings then were analyzed to see if those findings were predictive of postoperative MACE. Intraoperative TEE findings varied among the different phases of OLT. Common TEE findings at reperfusion were microemboli (n = 40, 40%), isolated right ventricular dysfunction (n = 22, 22%), and intracardiac thromboemboli (n = 20, 20%).
    Conclusions: Intraoperative echocardiography findings during liver transplantation varied during each phase of transplantation. The presence of intracardiac thromboemboli or biventricular dysfunction on intraoperative echocardiography was predictive of short- and long-term major postoperative adverse cardiac events.
    MeSH term(s) Adolescent ; Adult ; Cardiovascular Diseases/diagnostic imaging ; Cardiovascular Diseases/etiology ; Cohort Studies ; Echocardiography, Transesophageal/methods ; Female ; Humans ; Liver Transplantation/adverse effects ; Male ; Middle Aged ; Monitoring, Intraoperative/methods ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/etiology ; Retrospective Studies ; Young Adult
    Language English
    Publishing date 2016-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2015.09.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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