2024
Is There More to POCUS Than the Heart and Lungs in the Parturient—Venous Excess Ultrasound Score?
Munoz-Acuna R, Charchaflieh J, Deshpande R. Is There More to POCUS Than the Heart and Lungs in the Parturient—Venous Excess Ultrasound Score? Anesthesia & Analgesia 2024, 139: e23-e25. PMID: 39151137, DOI: 10.1213/ane.0000000000007100.Peer-Reviewed Original Research
2022
Effects of Ketamine Infusion on Breathing and Encephalography in Spontaneously Breathing ICU Patients
Suleiman A, Santer P, Munoz-Acuna R, Hammer M, Schaefer MS, Wachtendorf LJ, Rumyantsev S, Berra L, Chamadia S, Johnson-Akeju O, Baedorf-Kassis EN, Eikermann M. Effects of Ketamine Infusion on Breathing and Encephalography in Spontaneously Breathing ICU Patients. Journal Of Intensive Care Medicine 2022, 38: 299-306. PMID: 35934953, DOI: 10.1177/08850666221119716.Peer-Reviewed Original ResearchConceptsSpontaneous breathing trialKetamine infusionMcg/Inspiratory flowInspiratory workKey secondary endpointProspective interventional studyEnd-expiratory pressurePre-specified time pointsKetamine 10Breathing trialSecondary endpointsPrimary outcomeICU patientsIll patientsMechanical ventilationEsophageal pressureInfusion regimenInterventional studyPropofol sedationRespiratory timingResistive workAirway flowPreclinical studiesElectroencephalographic patternsEchocardiography on Twitter—An #Echofirst Analysis
Munoz-Acuna R, Montealegre-Gallegos M, Mahmood F, Dalia A. Echocardiography on Twitter—An #Echofirst Analysis. Journal Of The American Society Of Echocardiography 2022, 35: 891-892. PMID: 35395391, DOI: 10.1016/j.echo.2022.03.021.Peer-Reviewed Original Research
2021
Analysis of top influencers in critical care medicine “twitterverse” in the COVID-19 era: a descriptive study
Munoz-Acuna R, Leibowitz A, Hayes M, Bose S. Analysis of top influencers in critical care medicine “twitterverse” in the COVID-19 era: a descriptive study. Critical Care 2021, 25: 254. PMID: 34284805, PMCID: PMC8290385, DOI: 10.1186/s13054-021-03691-6.Peer-Reviewed Original ResearchA Retrocardiac Echolucency
Montealegre-Gallegos M, Matyal R, Muñoz-Acuña R, Eichinger C, Walsh DP. A Retrocardiac Echolucency. Journal Of Cardiothoracic And Vascular Anesthesia 2021, 36: 915-917. PMID: 34362642, DOI: 10.1053/j.jvca.2021.06.037.Peer-Reviewed Original ResearchA Case Report on Papillary Muscle Rupture Following Mitral Valve Replacement in the Setting of Previously Undiagnosed Amyloidosis.
Choudhury N, Munoz Acuna R, Chaudhary O, Chu L, VanderLaan P, Mahmood F, Sharkey A. A Case Report on Papillary Muscle Rupture Following Mitral Valve Replacement in the Setting of Previously Undiagnosed Amyloidosis. A&A Practice 2021, 15: e01415. PMID: 33684090, DOI: 10.1213/xaa.0000000000001415.Peer-Reviewed Original ResearchConceptsCoronary artery diseaseAbsence of CADMitral valve replacement surgeryMitral valve replacementValve replacement surgeryLight chain subtypesCardiac involvementValve replacementArtery diseaseCardiopulmonary bypassAmyloid depositionCase reportReplacement surgeryCardiac amyloidosisSubvalvular apparatusPapillary musclesSubsequent pathologyAmyloidosisPatientsIschemiaSurgeryBypassTherapyMortalitySubtypes
2020
BOSTN Bundle Intervention for Perioperative Screening and Management of Patients With Suspected Obstructive Sleep Apnea: A Hospital Registry Study.
Raub D, Santer P, Nabel S, Platzbecker K, Munoz-Acuna R, Xu X, Friedrich S, Ramachandran SK, Eikermann M, Sundar E. BOSTN Bundle Intervention for Perioperative Screening and Management of Patients With Suspected Obstructive Sleep Apnea: A Hospital Registry Study. Anesthesia & Analgesia 2020, 130: 1415-1424. PMID: 31283617, DOI: 10.1213/ane.0000000000004294.Peer-Reviewed Original ResearchConceptsObstructive sleep apneaInvasive mechanical ventilationBeth Israel Deaconess Medical CenterHospital registry studyMechanical ventilationRegistry studyPostoperative desaturationSleep apneaPeripheral oxygen saturation measurementsMinutes of extubationNoncardiac surgical casesPostoperative invasive ventilationPreoperative screening toolPostoperative mechanical ventilationKey secondary outcomesDay of surgeryManagement of patientsBody mass indexMultivariable logistic regressionHigh-risk casesLow-risk casesPatient-specific factorsClinical management pathwayOxygen saturation measurementsInvasive ventilation
2019
Effects of laparoscopic vs open abdominal surgery on costs and hospital readmission rate and its effect modification by surgeons’ case volume
Shin TH, Friedrich S, Brat GA, Rudolph MI, Sein V, Munoz-Acuna R, Houle TT, Ferrone CR, Eikermann M. Effects of laparoscopic vs open abdominal surgery on costs and hospital readmission rate and its effect modification by surgeons’ case volume. Surgical Endoscopy 2019, 34: 1-12. PMID: 31659507, DOI: 10.1007/s00464-019-07222-x.Peer-Reviewed Original ResearchConceptsLaparoscopic case volumeOpen abdominal surgeryHospital readmission ratesAbdominal surgeryCase volumeReadmission ratesHospital readmissionAbdominal operationsEffect modificationWound complicationsLaparoscopic approachReadmission riskMethodsThis retrospective cohort studyEffects of laparoscopicIndex hospital admissionReduced hospital readmissionsRetrospective cohort studyHospital admission costsCause hospital readmissionOpen abdominal operationsSurgeon case volumeLaparoscopic abdominal operationsCohort studyHospital admissionAdmission costs