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Selected Works of Andrew Doben MD

Director, Surgical Intensive Care Unit

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About Andrew Doben MD

Present	Assistant Professor of Surgery, Tufts University School of Medicine
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Present	Director, Surgical Intensive Care Unit, Baystate Health
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Present	Program Director, Surgical Critical Care Fellowship, Baystate Health
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Medicine and Health Sciences

Baystate Education and Research

Division of Trauma Surgery
759 Chestnut Street
Springfield, MA 01199

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The Utilization of Surgical Rib Fixation: Age Restrictions (Andrew Doben and Caitlyn Ryan) All Scholarly Works (2014)

A multicenter, prospective, controlled clinical trial of surgical stabilization of rib fractures in patients with severe, nonflail fracture patterns (Chest Wall Injury Society NONFLAIL) (Andrew Doben) All Scholarly Works (2020)

BACKGROUND: The efficacy of surgical stabilization of rib fracture (SSRF) in patients without flail chest has not been studied specifically. We hypothesized that SSRF improves outcomes among patients with displaced rib fractures in the absence ...

Outcomes after pneumonectomy versus limited lung resection in adults with traumatic lung injury (Andrew Doben and Ronald Gross) All Scholarly Works (2020)

Pneumonectomy after traumatic lung injury (TLI) is associated with shock, increased pulmonary vascular resistance, and eventual right ventricular failure. Historically, trauma pneumonectomy (TP) mortality rates ranged between 53 and 100%. It is unclear if contemporary ...

Taxonomy of multiple rib fractures: Results of the chest wall injury society international consensus survey (Andrew Doben and Ronald Gross) All Scholarly Works (2020)

A Multicenter, Prospective, Controlled Clinical Trial of Surgical Stabilization of Rib Fractures in Patients with Severe, Non-flail Fracture Patterns (Andrew Doben) All Scholarly Works (2019)

BACKGROUND: The efficacy of surgical stabilization of rib fracture (SSRF) in patients without flail chest has not been studied specifically. We hypothesized that SSRF improves outcomes among patients with displaced rib fractures in the absence ...

Characteristics of Hardware Failure in Patients Undergoing Surgical Stabilization of Rib Fractures: A Chest Wall Injury Society Multicenter Study (Andrew Doben) All Scholarly Works (2019)

BACKGROUND: Surgical stabilization of rib fractures (SSRF) is increasingly used for severe rib fractures/flail chest. There are no reports discussing mechanisms of failure of implanted hardware, its clinical presentation or consequences. The purpose of this ...

Smoking is associated with an improved short-term outcome in patients with rib fractures (Andrew Doben) All Scholarly Works (2019)

BACKGROUND: Smokers with cardiovascular disease have been reported to have decreased mortality compared to non-smokers. Rib fractures are associated with significant underlying injuries such as lung contusions, lacerations, and/or pneumothoraces. We hypothesized that blunt trauma ...

Taxonomy of Multiple Rib Fractures: Results of the Chest Wall Injury Society International Consensus Survey (Andrew Doben and Ronald Gross) All Scholarly Works (2019)

BACKGROUND: There is a need to standardize rib fracture definitions to aid clinical communication and facilitate research. The Chest Wall Injury Society (CWIS) initiated efforts to reach consensus in several areas pertaining to rib fixation ...

Surgical Stabilization of Rib Fractures: A Single Institution Experience (Erica Kane, Elan Jeremitsky, Katharine Bittner, et al.) All Scholarly Works (2018)

BACKGROUND: Use of surgical stabilization of rib fractures (SSRF) has increased. Despite compelling small studies, many centers still struggle with determining criteria for intervention. We investigated the benefit of SSRF in our patients compared with ...

Indications for surgical stabilization of rib fractures in patients without flail chest: surveyed opinions of members of the Chest Wall Injury Society (Andrew Doben) All Scholarly Works (2018)

PURPOSE: There are currently no evidence-based indications for surgical stabilization of rib fractures (SSRF) in patients without flail chest. The purpose of this survey was to identify patients for whom there is relative equipoise (operative ...

A multicenter evaluation of the optimal timing of surgical stabilization of rib fractures (Elan Jeremitsky and Andrew Doben) All Scholarly Works (2018)

BACKGROUND: The optimal timing of surgical stabilization of rib fractures (SSRF) remains debated. We hypothesized that (1) demographic, radiologic, and clinical variables are associated with time to surgery and (2) shorter time to SSRF improves ...

Quantifying and exploring the recent national increase in surgical stabilization of rib fractures (Erica Kane, Elan Jeremitsky and Andrew Doben) All Scholarly Works (2017)

BACKGROUND: Surgical stabilization of rib fractures (SSRF) has become pivotal in the management of severe chest injuries. Recent literature supports improved outcomes and mortality in severe fracture and flail chest patients who undergo SSRF compared ...

Blunt traumatic celiac artery avulsion managed with celiac artery ligation and open aorto-celiac bypass (Matthew Kronick, Andrew Doben, Marvin Morris, et al.) All Scholarly Works (2017)

Traumatic celiac artery injuries are rare and highly lethal with reported mortality rates of 38-62%. The vast majority are caused by penetrating trauma with only 11 reported cases due to blunt trauma (Graham et al., ...

Seasonal Variation of Trauma in Western Massachusetts: Fact or Folklore? (Jeffry Nahmias, Shiva Poola, Andrew Doben, et al.) All Scholarly Works (2017)

Background: Previous studies have demonstrated a significant relationship between weather or seasons and total trauma admissions. We hypothesized that specific mechanisms such as penetrating trauma, motor vehicle crashes, and motorcycle crashes (MCCs) occur more commonly ...

Reply to "Open reduction and internal fixation of rib fractures in polytrauma patients with flail chest" by DeFreest et al (Andrew Doben) All Scholarly Works (2017)

Consensus statement: Surgical stabilization of rib fractures rib fracture colloquium clinical practice guidelines (Andrew Doben) All Scholarly Works (2017)

Implementation of a quality improvement project on smoking cessation reduces smoking in a high risk trauma patient population (Jeffry Nahmias, Andrew Doben, Shiva Poola, et al.) All Scholarly Works (2016)

BACKGROUND: Cigarette smoking causes about one of every five deaths in the U.S. each year. In 2013 the prevalence of smoking in our institution's trauma population was 26.7 %, well above the national adult average ...

Airway Management: What Every Trauma Surgeon Should Know, from Intubation to Cricothyroidotomy (Andrew Doben and Ronald Gross) All Scholarly Works (2015)

Computed tomography pulmonary angiography: More than a screening tool for pulmonary embolus (Andrew Doben) All Scholarly Works (2015)

BACKGROUND: Traumatically injured patients have multiple causes for acute respiratory decompensation. We reviewed the use of computed tomography pulmonary angiography (CTPA) in critically injured patients to evaluate the results and impact on patient care. METHODS: ...

Surgical rib fixation for flail chest deformity improves liberation from mechanical ventilation (Andrew Doben) All Scholarly Works (2014)

PURPOSE: The goal of this study was to determine the impact of surgical rib fixation (SRF) in a treatment protocol for severe blunt chest trauma. MATERIALS AND METHODS: Patients with flail chest admitted between September ...

Cervical spine injuries and helmet laws: A population-based study (Ronald Gross and Andrew Doben) All Scholarly Works (2012)

BACKGROUND: To assess the incidence of cervical spine (C-spine) injuries in patients admitted after motorcycle crash in states with mandatory helmet laws (MHL) compared with states without helmet laws or selective helmet laws. METHODS: The ...

Safety and efficacy of heparin or enoxaparin prophylaxis in blunt trauma patients with a head abbreviated injury severity score >2 (Andrew Doben) All Scholarly Works (2011)

BACKGROUND: Timing and type of chemoprophylaxis (CP) that should be used in patients with traumatic brain injury (TBI) remains unclear. We reviewed our institutions experience with low-molecular-weight heparin (LMWH) and unfractionated heparin (UFH) in TBI. ...