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Injury and Critical Illness

Research, led by Dr. Stanislaw Stawicki, includes:

  • Damage control surgery and open abdomens
  • Comorbid conditions and polypharmacy in trauma patients
  • Patient safety topics including retained surgical items
  • Respiratory failure and mechanical ventilatory support
  • Clinician-performed bedside ultrasonography
  • Surgical complications and related topics
  • The introduction of the Comorbidity-Polypharmacy Score

In the area of ultrasonography and hemodynamic monitoring, a prospective study of novel approaches that have the potential to make intravascular volume status assessment using bedside ultrasound significantly easier than currently available techniques.

Surgical damage control and open abdomens represents the most promising area for the development of translational research models. In conjunction with Dr Bergese (Department of Anesthesiology) Dr Stawicki is currently developing a collaborative basic science model that will examine neuro-endocrine changes occurring with repeated episodes of general anesthesia in critically ill surgical patients.

The comorbidity-polypharmacy score (CPS) is a novel yet simple clinical tool. Over the last 3 years, the CPS was found to be a good predictor of mortality, morbidity, and survival in trauma patients. It was also identified as a potential trauma triage tool. Currently, researchers are applying the CPS to non-trauma populations in order to define its utility as a marker of morbidity, mortality, and other important measures such as hospital readmissions.