Publications by authors named "M J Trump"

Article Synopsis
  • Transesophageal echocardiograms (TEEs) during transcatheter structural cardiac interventions may pose higher risks than TEE procedures done outside of surgery, with limited data on complications from these interventions noted in the study.
  • A retrospective study using health records from January 2012 to January 2022 identified major complications among 12,043 patients undergoing TEE during various cardiac interventions, focusing on complications like bleeding and esophageal injuries within 72 hours post-procedure.
  • The study found that 3.6% of patients experienced major complications, with a notable increase in complication rates among those on anticoagulant or antiplatelet therapies, particularly in older patients aged 65 and above.
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Background: High flow nasal cannula (HFNC) use reduces work of breathing and improves oxygenation for patients with hypoxemic respiratory failure. Limited prior work has explored protocolized use of HFNC for trauma patients outside the Intensive Care Unit (ICU). The purpose of this study is to describe and evaluate use of HFNC for patients with rib fractures when therapy was standard of care on all floors of the hospital.

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Nasal high flow therapy has been previously studied for the management of acute hypoxic respiratory failure in patients with chronic obstructive pulmonary disease but the data regarding its use outside of the intensive care unit are sparse. We aimed to evaluate safety and efficacy of nasal high flow therapy outside of the intensive care unit in patients with acute hypoxic respiratory failure and known chronic obstructive pulmonary disease. We conducted a retrospective matched historic cohort study of adult patients with diagnosed chronic obstructive pulmonary disease presenting with acute hypoxic respiratory failure between December 2017 to June 2019, after the initiation of a new protocol, which allowed patients to be managed with nasal high flow therapy on the medical/surgical wards instead of transferring them to the ICU per prior standard of care.

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Background: Awake prone positioning (APP) is widely used in the management of patients with coronavirus disease (COVID-19). The primary objective of this study was to compare the outcome of COVID-19 patients who received early versus late APP.

Methods: Post hoc analysis of data collected for a randomized controlled trial (ClinicalTrials.

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