Maine Medical Center
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May, T.L., Gifford, A.H., Lahiri, T., Black, A., Trang, J., Cornell, A.G., Gonzalez, K., Morin, S., Napier, M., Duarte, C.W., Zuckerman, J.B. Complications of long and intermediate term venous catheters in cystic fibrosis patients: a multicenter, longitudinal cohort study. J Cyst Fibros. 2017 Jun 1. pii: S1569-1993(17)30150-9. doi: 10.1016/j.jcf.2017.04.014.  PMID 28579360


Mendelson JS, Felnder KJ, Kaufman BS.  Randomized Trial of Video Laryngoscopy for Endotgraceal Inbutation of Critically Ill Adults:  More Data, More Questions.  Crit Care Med 2017;45:e460-e461.  PMID 28291110


Riker RR, Gagnon DJ, Hatton C, et al. Valproate Protein Binding Is Highly Variable in ICU Patients and Not Predicted by Total Serum Concentrations: A Case Series and Literature Review. Pharmacotherapy 2017; 37:500-508  PMID 28173638


Schmidt G, Gerard TD, Kress JP, et al. An Official Executive Summary of an American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline. Liberation from Mechanical Ventilation in Critically Ill Adults. Am J Resp Crit Care 2017; 195:115-119  PMID 27762608


Gerard TD, Alhazzani W, Kress JP et al. An Official American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline. Liberation from Mechanical Ventilation in Critically Ill Adults. Rehabilitation Protocols, Ventilator Liberation Protocols and Cuff Leak Test. Am J Resp Crit Care 2017; 195:120-133  PMID 27762595


Schmidt GA, Gerard TD, Kress JP, Ouellette D, et al. Liberation from Mechanical Ventilation: Official Executive Summary of an American Thoracic Society / American College of Chest Physicians Clinical Practice Guideline. CHEST 2017; 151:160-165  PMID 27818329


Ouellette D, Patel S, Gerard TD, et al. Liberation from Mechanical Ventilation: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline. Inspiratory Pressure Augmentation during Spontaneous Breathing Trials, Protocols Minimizing Sedation, and Non-invasive Ventilation Immediately After Extubation CHEST 2017; 151:166-180 PMID 27818331


Gagnon DJ, Fontaine GV, Smith KE, Riker RR, Miller RR 3rd, Lerwick PA, et al. Valproate for Agitation in Critically Ill Patients: a Retrospective Study. J Crit Care 2016; 37:119-125 PMID 27693975


Williams MR, Ward DS, Carlson D, Cravero J, Dexter F, Lightdale JR, Mason KP, Miner J, Vargo JJ, Berkenbosch JW, Clark RM, Constant I, Dionne R, Dworkin RH, Gozal D, Grayzel D, Irwin MG, Lerman J, O'Connor RE, Pandharipande P, Rappaport BA, Riker RR, Tobin JR, Turk DC, Twersky RS, Sessler DI. Evaluating Patient-Centered Outcomes in Clinical Trials of Procedural Sedation, Part 1 Efficacy: Sedation Consortium on Endpoints and Procedures for Treatment, Education, and Research Recommendations. Anesth Analg 2017 Mar;124(3):821-830. PMID 27622720


Binks A, Desjardins S, Riker R. ICU clinicians under-estimate breathing discomfort in ventilated patients. Respiratory Care 2017;62(2):150-155.  PMID 27965421


Devlin JW, Smithburger P, Kane JM, Fraser GL, et al. Intended and Unintended Consequences of Constraining Clinician Prescribing: the Case of the Antipsychotics. Crit Care Med 2016; 44:1805-1807 PMID 27635480


Riker RR, Fraser GL. Sedation Quality in Intensive Care: What Interventions Work? Lancet Respiratory Medicine 2016 Octl 4(10):767-768 PMID 27473761


Seder DB, Lord C, Gagnon DJ.  The Evolving Paradigm of Individualized Post-Resuscitation Care after Cardiac Arrest.  Am J Crit Care 2016;25:556-64.  PMID27802958


Qureshi AI, Palesch YY, Barsan WG, Hanley DF, Hsu CY, Martin RL, Moy CS, Silbergleit R, Steiner T, Suarez JI, Toyoda K, Wang Y, Yamamoto H, Yoon BW; ATACH-2 Trial Investigators and the Neurological Emergency Treatment Trials Network. Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage. N Engl J Med. 2016 Sep 15;375(11):1033-43  PMID 27276234


Hatton C, Riker RR, Gagnon DJ, May T, Seder DB, Fraser GL.  Free serum valproate concentration more reliable than total concentration in critically ill patients.  Resuscitation 2016 Aug;105:3-15-6.  PMID 27266943

M.M. Chakinala, M. Duncan and J. Wirth.  Managing the Patient with Pulmonary Hypertension:  Specialty Care Centers, Coordinated Care, and Patient Support.  Cardiol Clin  2016 34:489–500. PMID 27443143


A. Sofer, M.J. Ryan, R.J. Tedford, J.A. Wirth, and W. Fares.  A Systematic Review of Transition Studies of Pulmonary Arterial Hypertension Specific Medications.  Pulmonary Circulation 2017; 7(2) 326-338.   PMID 28597769



Mendelson J, Feiner K, Kaufman B.  Letter to the Editor: Did Video Kill the Direct Laryngoscopy Star?  Not Yet!  Annals of the American Thoracic Society April 2017.  PMID 28362525


Riker RR, Seder DB.  Caution Needed Before Transfusion Recommended for Subarachnoid Hemorrhage.  Crit Care Med 2017.  Accepted for publication.


Torbey MT, Brophy GM, Varelas PN, Bösel J, Manno E, Bader MK, Suarez JI, Seder D, Freeman WD.  Guidelines for Family-Centered Care in Neuro-ICU Populations: Caveats for Routine Palliative Care.  Critical Care Medicine 2017;45(6):e620–e621


Zemrak WR, Smith KE, Gagnon DJ, Rolfe SS, Seder DB. Haematoma expansion and vitamin K antagonist reversal. Lancet Neurol. 2016 Oct;15(11):1116-1117.


Riker RR, Fraser GL. Sedation quality in intensive care: which interventions work?

Lancet Respir Med. 2016 Oct;4(10):767-768.

Pitcher, J.H., Zuckerman, J.B. Coccidioides immitis infection with involvement of the airway. Conn Med. 2016; 80: 539-541.


Hoffman, M., Gerding, J.P., Zuckerman, J.B. Stroke and myocardial infarction following bronchial artery embolization in a cystic fibrosis patient. J Cyst Fibros. 2017;16:161-162.


Fraser GL, Gagnon DL. Pain and Analgesia. American College of Clinical Pharmacy 2016

Gagnon DJ, Kovacic NL, Fraser GL. ICU Agitation in Erstad B, ed. Critical Care Pharmacotherapy. Pages 161-185, American College of Clinical Pharmacy 2016.

Seder DB and Bösel J.  Airway management and mechanical ventilation in acute brain injury. Handb Clin Neurol. 2017;140:15-32. doi: 10.1016/B978-0-444-63600-3.00002-7.  PMID: 28187797


Seder DB and Mayer SA.  Respiratory Support for Neurological Diseases.  In: Louis ED, Mayer SA, and Rowland LP (Eds), Merritt's Textbook of Neurology, 13th Edition, Lippincott Williams and Wilkins, New York, NY, 2016.  Pp 996-1001.

R El Yafawi, M. E. Knauft, K. Stokem, J.M. Palminteri, and J.A. Wirth.  Pulmonary Arterial Hypertension.  Elsevier Encyclopedia of Cardiovascular Research and Medicine, London, 2017

Gonzalez, K.D., Zuckerman, J.B., Sears, E., Prato, B.S., Craig, W., Guill, M.F., Parker, E., Lever, T., Milliard, C., Griffin, M., Cairns, A., Leclair, L.W. Exploring probiotic use in a regional cystic fibrosis consortium. Pediatr Pulmonol Suppl: 45 A622, 2016.


Keating, C., Zuckerman, J.B., Singh, P., McKevitt, M., Gurtovaya, O., Bresnik, M., Marshall, B., Saiman, L. Interim data (Year 3) from a prospective 5-year registry study to monitor aztreonam susceptibility of Pseudomonas aeruginosa isolates from patients with cystic fibrosis (CF) in the United States. Pediatr Pulmonol Suppl: 45 A348, 2016.


May, T., Black, A., Gonzalez, K., Trang, J., Lahiri, T., Duarte, C., Sender, L., Cornell, A., Gifford, A, Zuckerman, J.B. Regional variation in complication rates of central venous catheters in CF patients. Pediatr Pulmonol Suppl: 45 A566, 2016.


Mendelson J, Kumar, et al.  CT Pulmonary Angiography (CTPS) Frequently Identified an Alternative Diagnosis in a Post-Orthopedic Population:  A Retrospective Review of 372 Consecutive Orthopedic Patients Evaluated for Pulmonary Embolism (PE).  Chest 2016;150(4_S):1191A.


Postelnicu R, Mukherjee V, Mendelson J, Zakhary B, Dweck E.  The Impact of OSA on Length of Stay and Transitions of Care in Post-Surgical Orthopedic Patients.  Chest 2016;150(4_S):1273A.


Ober A, Smith K, Christie A, Seder DB, Management of Long-Standing Paroxysmal Autonomic Instability with Dystonia (PAID) Following TBI.  Accepted for presentation at the American Society of Anesthesiology, 2016.


Riker RR, Gagnon DJ, Fraser GL, May T, Seder DB. Valproate Total Serum Concentrations Misleading When Treating Seizures After Cardiac Arrest. Therapeutic Hypothermia and Temperature Management 2016; 6(3): 150-157.


Riker RR, Craig A, Eubank L, May T, McCrum B, Connolly L, Seder DB. Bedside Measurement of Suppression Ratio During Targeted Temperature Management After Cardiac Arrest: Agreement Between Medtronic Bispectral Index Monitor and Natus Full Montage EEG Using Persyst Magic Marker Software.  Neurocriti Care 2016;25:S253.


M.P. Gray, E.B. Rosenzweig, M. D. McGoon, M. M. Chakinala, O. Onyeador, and J. A. Wirth on behalf of the PHCC Review Committee.  A Cross-sectional Assessment of Adherence to Expert Consensus Diagnosis and Treatment Guidelines by Comprehensive Care Centers Accredited by the Pulmonary Hypertension Association Chest 2016, Los Angeles, CA

R. El Yafawi, D.A. Rancourt, D. Atherton, M.C. Cohen, and J.A. Wirth.  Right Ventricular Transient Exertional Dilation in Pulmonary Arterial Hypertension During Supine Exercise Stress Echocardiography: A Potential Diagnostic Test.  Am J Respir Crit Care Med 2017 195:A5108

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Woodbury Building on Southern Maine Health Care Campus Planned for Demolition

Elements from the building’s history will be preserved to honor the legacy of Dorothy ‘Dot’ Woodbury.

Stephens Memorial Hospital Welcomes Dr Kim Perreault as New Chief Medical Officer

Stephens Memorial Hospital is pleased to announce the appointment of Dr. Kim Perreault as the new Chief Medical Officer. Dr. Perreault takes over for Dr. Ryan Knapp who was recently promoted to the Vice President of Physician and Ambulatory Services for Stephens and MaineHealth Medical Group, Mountain Region.

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Local Artist Supports SMH Food Pantry

South Paris community member and folk artist, Linda Richardson, recently presented Stephens Memorial Hospital Food Pantry with a gift of $1,200 to benefit the MaineHealth Food Pantry at Stephens Memorial Hospital.