Full Text Journal Articles by
Author Lynn G Stansbury

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Blood component use and injury characteristics of acute trauma patients arriving from the scene of injury or as transfers to a large, mature US Level 1 trauma center serving a large, geographically diverse region.

Zhinan Liu, Rajiv C Ayyagari, Edison Y Martinez Monegro, Lynn G Stansbury, Saman Arbabi, Eileen M Bulger, Monica S Vavilala, John R Hess,

<h4>Background</h4>Advanced trauma care demands the timely availability of hemostatic blood products, posing special challenges for regional systems in geographically diverse areas. We describe acute trauma blood use by transfer status and injury characteristics at a large regional Level 1 trauma center.<h4>Study design and methods</h4>We reviewed Harborview Medical Center (HMC) Trauma ... Read more >>

Transfusion (Transfusion)
[2021, 61(11):3139-3149]

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Cold-stored whole blood and platelet counts in severe acute injury: A comparison of four retrospective cohorts.

Maryam Asif, Rida A Hasan, Zhinan Liu, Lynn G Stansbury, John R Hess,

<h4>Background</h4>Low-titer group O whole blood (LTOWB) is attractive for acute trauma care as it delivers concentrated and balanced hemostatic resuscitation in single large bags. Whether cold-stored LTOWB can sustain platelet counts is unclear.<h4>Study design and methods</h4>Four cohorts of trauma patients-three historic, one retrospective-were identified by their urgency of blood use. ... Read more >>

Transfusion (Transfusion)
[2021, 61(12):3321-3327]

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Difficult removal of exposed peripheral nerve stimulator leads: a report of 2 cases.

Pushpinder Uppal, Thelma B Wright, Layth Dahbour, Blake Watterworth, Seung J Lee, Kanchana Gattu, Lynn G Stansbury, Justin Benoit,

<h4>Introduction</h4>Peripheral nerve stimulators have emerged as a new generation of advanced modalities to treat chronic pain and avoid opioids. They transmit electrical stimulation through implanted leads and wireless, wearable, external generators. Common complications include infection, nerve damage, and migration of stimulating leads. This article describes 2 cases of complications from ... Read more >>

Pain Rep (Pain reports)
[2021, 6(3):e946]

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Association Between Ionized Calcium Concentrations During Hemostatic Transfusion and Calcium Treatment With Mortality in Major Trauma.

Phuriphong Chanthima, Kornkamon Yuwapattanawong, Thanyalak Thamjamrassri, Rajen Nathwani, Lynn G Stansbury, Monica S Vavilala, Saman Arbabi, John R Hess,

<h4>Background</h4>Transfusion of citrated blood products may worsen resuscitation-induced hypocalcemia and trauma outcomes, suggesting the need for protocolized early calcium replacement in major trauma. However, the dynamics of ionized calcium during hemostatic resuscitation of severe injury are not well studied. We determined the frequency of hypocalcemia and quantified the association between ... Read more >>

Anesth Analg (Anesthesia and analgesia)
[2021, 132(6):1684-1691]

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Hemostatic Resuscitation of Pediatric Trauma Patients During Air Medical Transport: A Retrospective Matched Cohort Study.

Cedric P Van Dijck, Lynn G Stansbury, Andrew J Latimer, Elissa K Butler, Rajen Nathwani, Jessica Wall, Richard B Utarnachitt, Monica S Vavilala, John R Hess,

<h4>Objective</h4>The objective of this study was to examine an academic air ambulance service's experience with prehospital transfusion of plasma and red blood cells in pediatric trauma for evidence of efficacy on the treatment of shock and coagulopathy.<h4>Methods</h4>All trauma patients < 18 years old transfused during transport by the University of ... Read more >>

Air Med J (Air medical journal)
[2021, 40(5):344-349]

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Rates of delayed hemolytic transfusion reactions observed in a trauma center.

Rida Abid Hasan, Maryam Asif, Erin E Tuott, Lynn G Stansbury, John R Hess,

<h4>Background</h4>Delayed hemolytic transfusion reactions (DHTRs) are reported to be rare occurrences but may be more frequently observed in the trauma setting where patients are heavily transfused, followed over long inpatient admissions, and have frequent subsequent blood counts as they undergo multiple surgical interventions.<h4>Study design and methods</h4>We examined the rates of ... Read more >>

Transfusion (Transfusion)
[2021, 61(7):2035-2040]

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Enhanced Training Benefits of Video Recording Surgery With Automated Hand Motion Analysis.

Colin F Mackenzie, Shiming Yang, Evan Garofalo, Peter Fu-Ming Hu, Darcy Watts, Rajan Patel, Adam Puche, George Hagegeorge, Valerie Shalin, Kristy Pugh, Guinevere Granite, Lynn G Stansbury, Stacy Shackelford, Samuel Tisherman,

<h4>Background</h4>Hand motion analysis by video recording during surgery has potential for evaluation of surgical performance. The aim was to identify how technical skill during open surgery can be measured unobtrusively by video recording during a surgical procedure. We hypothesized that procedural-step timing, hand movements, instrument use and Shannon entropy differ ... Read more >>

World J Surg (World journal of surgery)
[2021, 45(4):981-987]

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Race/Ethnicity and Informal Caregiver Burden After Traumatic Brain Injury: A Scoping Study.

Mark D Sodders, Elizabeth Y Killien, Lynn G Stansbury, Monica S Vavilala, Megan Moore,

<b>Background:</b> Informal caregivers for persons with traumatic brain injury (TBI) face a range of unique issues, and racial/ethnic group differences in caregiver challenges are poorly understood. We undertook a scoping study of peer-reviewed literature to assess the quantity and quality of available research describing differences by race/ethnicity in informal caregiving ... Read more >>

Health Equity (Health equity)
[2020, 4(1):304-315]

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The first transfusions in China.

Ling Li, Lynn G Stansbury, John R Hess, Zhong Liu,

Transfusion (Transfusion)
[2020, 60(5):895-896]

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Pediatric trauma triage protocols: local context matters.

Monica S Vavilala, Lynn G Stansbury,

Lancet Child Adolesc Health (The Lancet. Child & adolescent health)
[2020, 4(4):255-256]

Cited: 0 times

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The authors reply.

Shiming Yang, Lynn G Stansbury, Peter Rock, Thomas Scalea, Peter F Hu,

Crit Care Med (Critical care medicine)
[2019, 47(12):e1034]

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Linking Big Data and Prediction Strategies: Tools, Pitfalls, and Lessons Learned.

Shiming Yang, Lynn G Stansbury, Peter Rock, Thomas Scalea, Peter F Hu,

OBJECTIVES:Modern critical care amasses unprecedented amounts of clinical data-so called "big data"-on a minute-by-minute basis. Innovative processing of these data has the potential to revolutionize clinical prognostics and decision support in the care of the critically ill but also forces clinicians to depend on new and complex tools of which ... Read more >>

Crit Care Med (Critical care medicine)
[2019, 47(6):840-848]

Cited: 1 time

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Can we answer transfusion questions with retrospective data?

Lynn G Stansbury, Aaron S Hess,

Transfusion (Transfusion)
[2019, 59(6):1891-1893]

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Red Blood Cell Transfusions and Anemia on Admission Are Associated with Poor Outcomes in Necrotizing Soft Tissue Infections.

Joshua A Lieberman, Lynn G Stansbury, Joseph A Kufera, William C Chiu, Laurie J Punch, John R Hess, Thomas M Scalea, Sharon M Henry,

<h4>Background</h4>Necrotizing soft tissue infections (NSTIs) are highly morbid infections often requiring critical care and transfusion support. We explored a large 2-year experience from a regional trauma center with a dedicated soft tissue service (STS) in an attempt to identify factors in current care with potential for improving outcomes for these ... Read more >>

J Appl Lab Med (The journal of applied laboratory medicine)
[2018, 3(2):250-260]

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The 100th anniversary of the first blood bank.

Lynn G Stansbury, John R Hess,

Transfusion (Transfusion)
[2017, 57(11):2562-2563]

Cited: 2 times

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Reliable Collection of Real-Time Patient Physiologic Data from less Reliable Networks: a "Monitor of Monitors" System (MoMs).

Peter F Hu, Shiming Yang, Hsiao-Chi Li, Lynn G Stansbury, Fan Yang, George Hagegeorge, Catriona Miller, Peter Rock, Deborah M Stein, Colin F Mackenzie,

Research and practice based on automated electronic patient monitoring and data collection systems is significantly limited by system down time. We asked whether a triple-redundant Monitor of Monitors System (MoMs) to collect and summarize key information from system-wide data sources could achieve high fault tolerance, early diagnosis of system failure, ... Read more >>

J Med Syst (Journal of medical systems)
[2017, 41(1):3]

Cited: 5 times

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Computer Modelling Using Prehospital Vitals Predicts Transfusion and Mortality.

Zachary D W Dezman, Eric Hu, Peter F Hu, Shiming Yang, Lynn G Stansbury, Rhonda Cooke, Raymond Fang, Catriona Miller, Colin F Mackenzie,

<h4>Objective</h4>Test computer-assisted modeling techniques using prehospital vital signs of injured patients to predict emergency transfusion requirements, number of intensive care days, and mortality, compared to vital signs alone.<h4>Methods</h4>This single-center retrospective analysis of 17,988 trauma patients used vital signs data collected between 2006 and 2012 to predict which patients would receive ... Read more >>

Prehosp Emerg Care (Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors)
[2016, 20(5):609-614]

Cited: 0 times

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Predicting secondary insults after severe traumatic brain injury.

Brandon W Bonds, Shiming Yang, Peter F Hu, Konstantinos Kalpakis, Lynn G Stansbury, Thomas M Scalea, Deborah M Stein,

<h4>Background</h4>Secondary insults such as hypotension, hypoxia, cerebral hypoperfusion, and intracranial hypertension are associated with poor outcome following severe traumatic brain injury (TBI). Preventing and minimizing the effect of secondary insults are essential in the management of severe TBI. At present, clinicians have no way to predict the development of these ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2015, 79(1):85-90; discussion 90]

Cited: 4 times

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Focused comprehensive, quantitative, functionally based echocardiographic evaluation in the critical care unit is feasible and impacts care.

Sarah B Murthi, Manjunath Markandaya, Raymond Fang, Caron M Hong, Samuel M Galvagno, Mattew Lissuaer, Lynn G Stansbury, Thomas M Scalea,

<h4>Objectives</h4>To determine whether comprehensive quantitative echocardiogram could be used as a resuscitation tool in critically ill surgical patients and to assess its effect on patient care.<h4>Design</h4>Prospective observational.<h4>Setting</h4>The Trauma and Surgical Intensive Care Units of the University of Maryland Medical Center.<h4>Patients</h4>Critically ill trauma and surgical patients.<h4>Interventions</h4>The Focused Rapid Echocardiographic Evaluation (FREE), ... Read more >>

Mil Med (Military medicine)
[2015, 180(3 Suppl):74-79]

Cited: 3 times

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Permutation entropy analysis of vital signs data for outcome prediction of patients with severe traumatic brain injury.

Konstantinos Kalpakis, Shiming Yang, Peter F Hu, Colin F Mackenzie, Lynn G Stansbury, Deborah M Stein, Thomas M Scalea,

Permutation entropy is computationally efficient, robust to outliers, and effective to measure complexity of time series. We used this technique to quantify the complexity of continuous vital signs recorded from patients with traumatic brain injury (TBI). Using permutation entropy calculated from early vital signs (initial 10-20% of patient hospital stay ... Read more >>

Comput Biol Med (Computers in biology and medicine)
[2015, 56:167-174]

Cited: 2 times

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Early identification of uncontrolled hemorrhage after trauma: current status and future direction.

Stacy A Shackelford, Katharine Colton, Lynn G Stansbury, Samuel M Galvagno, Amechi N Anazodo, Joseph J DuBose, John R Hess, Colin F Mackenzie,

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2014, 77(3 Suppl 2):S222-7]

Cited: 10 times

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Automated prediction of early blood transfusion and mortality in trauma patients.

Colin F Mackenzie, Yulei Wang, Peter F Hu, Shih-Yu Chen, Hegang H Chen, George Hagegeorge, Lynn G Stansbury, Stacy Shackelford, ,

<h4>Background</h4>Prediction of blood transfusion needs and mortality for trauma patients in near real time is an unrealized goal. We hypothesized that analysis of pulse oximeter signals could predict blood transfusion and mortality as accurately as conventional vital signs (VSs).<h4>Methods</h4>Continuous VS data were recorded for direct admission trauma patients with abnormal ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2014, 76(6):1379-1385]

Cited: 19 times

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Full of sound and fury, signifying nothing: burden of transient noncritical monitor alarms in a trauma resuscitation unit.

Katharine Colton, Theresa Dinardo, Peter F Hu, Wei Xiong, Eric Z Hu, George Reed, Joseph J DuBose, Lynn G Stansbury, Colin F Mackenzie, William C Chiu, Catriona Miller, Raymond Fang, Deborah M Stein, Thomas M Scalea, ,

We examined the types of patient monitor alarms encountered in the trauma resuscitation unit of a major level 1 trauma center. Over a 1-year period, 316688 alarms were recorded for 6701 trauma patients (47 alarms/patient). Alarms were more frequent among patients with a Glasgow Coma Scale of 8 or less. ... Read more >>

J Trauma Nurs (Journal of trauma nursing : the official journal of the Society of Trauma Nurses)
[2013, 20(4):184-188]

Cited: 1 time

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Timing of intracranial hypertension following severe traumatic brain injury.

Deborah M Stein, Megan Brenner, Peter F Hu, Shiming Yang, Erin C Hall, Lynn G Stansbury, Jay Menaker, Thomas M Scalea,

<h4>Background</h4>We asked whether continuous intracranial pressure (ICP) monitoring data could provide objective measures of the degree and timing of intracranial hypertension (ICH) in the first week of neurotrauma critical care and whether such data could be linked to outcome.<h4>Methods</h4>We enrolled adult (>17 years old) patients admitted to our Level I ... Read more >>

Neurocrit Care (Neurocritical care)
[2013, 18(3):332-340]

Cited: 12 times

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Pulmonary hypertension in patients undergoing cardiac surgery: pathophysiology, perioperative management, and outcomes.

Christopher A Thunberg, Brantley Dollar Gaitan, Ashanpreet Grewal, Harish Ramakrishna, Lynn G Stansbury, Alina M Grigore,

J Cardiothorac Vasc Anesth (Journal of cardiothoracic and vascular anesthesia)
[2013, 27(3):551-572]

Cited: 10 times

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