Michael Bergman
Beth Israel Medical Center
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Publication
Featured researches published by Michael Bergman.
Respiration | 2010
Peter R. Smith; Muhammad Ahsan Baig; Veronica Brito; Fayez Bader; Michael Bergman; Antonio Alfonso
Background: The frequency of, and risks for, postoperative pulmonary complications (PPCs) after laparotomy are incompletely understood. The wide-ranging incidence of PPCs in the literature reflects methodological issues including variable definitions of PPCs and varied patient populations. Objectives: We sought to elucidate the incidence of PPCs after laparotomy and clarify risks for their development. Methods: We conducted a retrospective study of all laparotomies in adult patients on the general surgery service at our university-affiliated hospital in 2004. The definition of PPCs was rigorous and relevant in terms of key outcomes (morbidity, mortality, length of stay). We used a template for the review of medical records to identify PPCs and their consequences. Results: Twenty-five PPCs (7.0%) occurred in 359 laparotomies. Logistic regression modeling identified the following independent predictors of risk: upper abdominal incisions (OR 15.3; p = 0.025), reoperation (OR 7.1; p = 0.013), emergency surgery (OR 6.3; p = 0.001) and nasogastric tubes (OR 5.4; p = 0.008). PPCs were associated with increased mortality (OR 6.17; p = 0.01), intensive care unit care (OR 13.0; p = 0.001), increased mean hospital length of stay (17.7 days longer; p = 0.001) and longer mean postoperative length of stay (15.2 days longer; p = 0.001). Conclusions: The incidence of PPCs after laparotomy in this study is lower than in many prior reports and reflects the relevant definition of PPCs used. Upper abdominal surgery carried the greatest risk. Reoperation was a risk not identified previously. Emergency procedures and the use of nasogastric tubes were confirmed as key risks. Morbidity, mortality and lengths of stay were significantly increased after PPCs.
Journal of Vascular Medicine & Surgery | 2017
Young Im Lee; Lina Miyakawa; Michael Bergman; Robert L. Smith
This is a rare case of a peripherally inserted central catheter (PICC) that was found to be in the pericardiacophrenic vein on a post-procedure chest X-ray. An 82-year-old man was admitted to the medical ICU for severe sepsis with shock and a PICC was placed for vasopressor support. Malpositioning of a central venous catheter can lead to catastrophic results including, perforation, pericardial effusion and tamponade.
Nephrology Dialysis Transplantation | 2007
Zachary Z. Brener; Igor Zhuravenko; Codrin E. Jacob; Michael Bergman
Chest | 2005
Fayez Bader; Peter R. Smith; Muhammed Baig; Jason Akulian; Veronica Brito; Siddarth Shah; Michael Bergman; Antonio Alfonso
Chest | 2016
Michael Bergman; Lina Miyakawa; Samuel Acquah
Chest | 2016
Lina Miyakawa; Michael Bergman; Alfred Astua
Chest | 2016
Becky Lou; Benjamin Verplanke; Angela Love; Michael Bergman; Samuel Acquah
Chest | 2015
Jason Filopei; Daniel Fein; Navitha Ramesh; Michael Bergman; Sarun Thomas; Samuel Acquah
Chest | 2015
Michael Bergman; Navitha Ramesh; Sarun Thomas; Jason Filopei; Alfred Astua
Chest | 2015
Navitha Ramesh; David Nesheim; Jason Filopei; Michael Bergman; Sarun Thomas; Samuel Acquah