James A. Onigkeit

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BACKGROUND The development and validation of automated electronic medical record (EMR) search strategies are important in identifying emergent endotracheal intubations in the intensive care unit (ICU). OBJECTIVE To develop and validate an automated search algorithm (strategy) for emergent endotracheal intubation in the critically ill patient. METHODS(More)
BACKGROUND The development and validation of automated electronic medical record (EMR) search strategies are important for establishing the timing of mechanical ventilation initiation in the intensive care unit (ICU).Thus, we sought to develop and validate an automated EMR search algorithm (strategy) for time zero, the moment of mechanical ventilation(More)
BACKGROUND U.S. federal regulations require that certain ethical elements be followed to protect human research subjects. The location and clinical circumstances of a proposed research study can differ substantially and can have significant implications for these ethical considerations. Both the location and clinical circumstances are particularly relevant(More)
STUDY OBJECTIVE To review national data on anesthesiology critical care medicine (ACCM) fellowship program enrollment and to describe a program that successfully recruited ACCM fellows and faculty at a single academic medical center. DESIGN An incentive program known as the Mayo Clinic Scholar program, designed to recruit ACCM fellows and faculty, was(More)
To date, there have been no reports of paroxysmal sympathetic hyperactivity syndrome (PSHS) associated with cerebral fat embolization. We describe the case of a young male who developed acute brain injury and acute hypoxemic respiratory failure secondary to significant fat embolization following a traumatic femur injury. Our patient demonstrated episodes of(More)
Background Despite a demanding work environment, information on stress and burnout of critical care fellows is limited. Objectives To assess 1) levels of burnout, perceived stress, and quality of life in critical care fellows, and 2) the impact of a brief stress management training on these outcomes. Methods In a tertiary care academic medical center, 58(More)
A 61-YR-OLD man with untreated prehypertension (blood pressure of 120/80–139/89 mmHg) underwent an L2–S1 decompressive laminectomy and L4–L5 instrumented fusion during general anesthesia. The intraoperative and immediate postoperative courses were uneventful. Initially, he had no visual complaints. On postoperative day 1, the patient experienced confusion,(More)
BACKGROUND Traditional electronic medical record (EMR) interfaces mark laboratory tests as abnormal based on standard reference ranges derived from healthy, middle-aged adults. This yields many false positive alerts with subsequent alert-fatigue when applied to complex populations like hospitalized, critically ill patients. Novel EMR interfaces using(More)
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