Papers by Christopher Whinney
Cleveland Clinic Journal of Medicine
Journal of Hospital Medicine
M ore than 200 million patients worldwide undergo major noncardiac surgery each year. Of these, m... more M ore than 200 million patients worldwide undergo major noncardiac surgery each year. Of these, more than 10 million patients suffer a major adverse cardiovascular event (MACE) within 30 days of surgery. 1 Elevated troponins after noncardiac surgery have been associated with increased mortality, but the management of these patients and the indications for screening remain unclear. The nomenclature around myocardial injury also remains confusing. In this Progress Note, we aim to define myocardial injury after noncardiac surgery (MINS) and discuss the key questions on MINS and postoperative troponin elevation. A PubMed search for medical subject headings and the terms "myocardial injury after noncardiac surgery," "perioperative troponin," and "postoperative troponin" restricted to humans, English language, and published in the past 5 years resulted in 144 articles. Articles most relevant to this progress note were included. Guidelines from major societies on perioperative cardiovascular assessment and management were also reviewed.
Journal of hospital medicine, Apr 1, 2017
Hospitalists have long been involved in optimizing perioperative care for medically complex patie... more Hospitalists have long been involved in optimizing perioperative care for medically complex patients. In 2015, the Society of Hospital Medicine organized the Perioperative Care Work Group to summarize this experience and to develop a framework for providing optimal perioperative care. The work group, which consisted of perioperative care experts from institutions throughout the United States, reviewed current hospitalist-based perioperative care programs, compiled key issues in each perioperative phase, and developed a framework to highlight essential elements to be considered. The framework was reviewed and approved by the board of the Society of Hospital Medicine. The Perioperative Care Matrix for Inpatient Surgeries was developed. This matrix characterizes perioperative phases, coordination, and metrics of success. Additionally, concerns and potential risks were tabulated. Key questions regarding program effectiveness were drafted, and examples of models of care were provided. Th...
Journal of Clinical Psychopharmacology, Jun 1, 2006
Cleveland Clinic Journal of Medicine, 2005
Perioperative Management of Patients with Rheumatic Disease, 2012
Perioperative Management of Patients with Rheumatic Disease, 2012
Medical Consultation and Co-Management, 2012
Current Clinical Medicine, 2010
American journal of medical quality : the official journal of the American College of Medical Quality, Jan 22, 2014
Intensive care unit (ICU) resources are scarce, yet demand is increasing at a rapid rate. Optimiz... more Intensive care unit (ICU) resources are scarce, yet demand is increasing at a rapid rate. Optimizing throughput efficiency while balancing patient safety and quality of care is of utmost importance during times of high ICU utilization. Continuous improvement methodology was used to develop a multidisciplinary workflow to improve throughput in the ICU while maintaining a high quality of care and minimizing adverse outcomes. The research team was able to decrease ICU occupancy and therefore ICU length of stay by implementing this process without increasing mortality or readmissions to the ICU. By improving throughput efficiency, more patients were able to be provided with care in the ICU.
Journal of Hospital Medicine, 2008
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Papers by Christopher Whinney