Publications by authors named "Z Turnbull"
Background: Anesthesiologists' contribution to perioperative healthcare disparities remains unclear because patient and surgeon preferences can influence care choices. Postoperative nausea and vomiting is a patient- centered outcome measure and a main driver of unplanned admissions. Antiemetic administration is under the sole domain of anesthesiologists.
View Article and Find Full Text PDFBackground: Anesthesiologists are increasingly encountering sicker patients that require potentially life-saving surgical interventions, and assess risk using the American Society of Anesthesiology Physical Status (ASA PS) classification system. Here, we examined long-term mortality along with hospital length of stay (LoS) and discharge disposition for survivors in ASA PS 5 and 5E patients.
Methods: Adult surgeries were extracted from New York-Presbyterian Hospital/Weill Cornell Medical Center's Electronic Medical Record (EMR) for cases between January 1, 2013 and December 31, 2017; outcomes were collected from EMRs and the Social Security Death Index Master File.
Article Synopsis
- The COVID-19 pandemic exposed a lack of ICU capacity, leading NewYork-Presbyterian/Weill Cornell Medical Center to convert operating rooms into Expansion ICUs to handle a surge in critically ill patients.
- A study compared patient outcomes in these non-standard Expansion ICUs with standard ICUs, analyzing data from 66 patients in Expansion ICUs and 343 in standard ICUs.
- Despite differences in ICU and ventilatory length of stay, the Expansion ICU group showed comparable discharge rates to home and lower mortality rates, indicating that such modifications effectively provided safe patient care during the crisis.
Background: Risk prediction models for postoperative mortality after intra-abdominal surgery have typically been developed using preoperative variables. It is unclear if intraoperative data add significant value to these risk prediction models.
Methods: With IRB approval, an institutional retrospective cohort of intra-abdominal surgery patients in the 2005 to 2015 American College of Surgeons National Surgical Quality Improvement Program was identified.
To describe the adoption patterns of intubating devices used at a major teaching and research facility. Retrospective analysis of 2012-2019 data on frequency and trends in airway management devices collected from our anesthesia information management system. Use of direct laryngoscopy was more frequent, but there was a downward trend in use over time (p < 0.
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