• Publications
  • Influence
Benefit from combining blood conservation measures in cardiac operations.
TLDR
Combining complementary conservation measures is effective in reducing homologous blood transfusions, and the need for transfusion can be safely reduced by allowing profound hemodilution during bypass. Expand
Spinal oxygenation, blood supply localization, cooling, and function with aortic clamping.
TLDR
It is concluded that spinal cord ischemia occurs with aortic cross-clamping in both animals and humans. Expand
Risk management observations from litigation involving laparoscopic cholecystectomy.
  • T. Mclean
  • Medicine
  • Archives of surgery
  • 1 July 2006
TLDR
Despite residency training, injuries triggering litigation after LC remain largely unchanged, and routine intraoperative cholangiography is unlikely to make LC safer, it is recommended that the threshold for conversion to open procedures be lowered. Expand
The 80-Hour Work Week
  • T. Mclean
  • Medicine
  • The Journal of legal medicine
  • 1 September 2005
What's good for the goose, is good for the gander.
Why do physicians who treat lung cancer get sued?
TLDR
Recommendation strategies to avoid litigation depend on physician subspecialties, and primary care physicians and radiologists would benefit most from initiating a continuous quality improvement system to substantially decrease the misinterpretation rate of chest radiographs. Expand
CYBERSURGERY--AN ARGUMENT FOR ENTERPRISE LIABILITY
  • T. Mclean
  • Business, Medicine
  • The Journal of legal medicine
  • 1 June 2002
The Institute of Medicine’s Crossing the Quality Chasm: A New Health Care System for the 21st Century begins with a clear manifesto: the “American health care delivery system is in need of aExpand
Crossing the quality chasm: autonomous physician extenders will necessitate a shift to enterprise liability coverage for health care delivery.
  • T. Mclean
  • Medicine, Business
  • Health matrix
  • 24 January 2003
TLDR
To ensure that the quality of medical care is not diminished by moving toward a greater reliance on physician extenders, it will necessary for the country to shift from an indemnity-based to an enterprise-based professional liability coverage. Expand
Selective Topical Cooling for Myocardial Protection
TLDR
In patients with adequate myocardia cooling using cardioplegia alone, the omission of topical myocardial cooling did not increase operative risk, spared the patient from potential hypothermia-induced injury, and may have helped to reduce the need for homologous blood transfusion. Expand
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