Heart Care
Published Research
At the University of Maryland St. Joseph Medical Center, we believe that "Better Never Stops," and our team is committed to providing the most up-to-date, evidence-based care. This section is dedicated to research published by members of our team.
Below is a listing of our recent published work, poster presentations and invited presentations.
2024 Published Work
- Introducing the Virtual Training Center. UM St. Joseph Contributor: Amanda Rea, MSN, CRNP
- AATS 2023: ERAS® Cardiac Society Turnkey Order Set for Patient Blood Management: Proceedings from the AATS ERAS Conclave 2023 https://doi.org/10.1016/j.jtcvs.2023.10.034. UM St. Joseph Contributors: Rawn Salenger, MD, Amanda Rea, DNP, CRNP
2023 Published Work
- Maryland Cardiac Surgery Quality Initiative. Hospital variability in modifiable factors driving coronary artery bypass charges. J Thorac Cardiovasc Surg. 2023 Feb;165(2):764-772.e2. doi: 10.1016/j.jtcvs.2021.02.094. Epub 2021 Mar 9. PMID: 33846006. UM St. Joseph Contributor: Rawn Salenger, MD
- The Standard of Care: Standardized Care. Eur J Cardiothorac Surg. 2023 May 5:ezad188. doi: 10.1093/ejcts/ezad188. Epub ahead of print. PMID: 37144962. UM St. Joseph Contributor: Rawn Salenger, MD
- Maryland Cardiac Surgery Quality Initiative Collaborative. Statewide data on surgical ablation for atrial fibrillation: The data provide a path forward. J Thorac Cardiovasc Surg. 2023 May 7:S0022-5223(23)00344-6. doi: 10.1016/j.jtcvs.2023.04.020. Epub ahead of print. PMID: 37160217. UM St. Joseph Contributor: Rawn Salenger, MD
- Maryland Cardiac Surgery Quality Initiative. Institutional Variability in Red Blood Cell Transfusion with Coronary Bypass in a Statewide Database. Ann Thorac Surg. 2023 Sep 20:S0003-4975(23)00963-3. doi: 10.1016/j.athoracsur.2023.09.012. Epub ahead of print. PMID: 37739112. UM St. Joseph Contributor: Rawn Salenger, MD
- Maryland Cardiac Surgery Quality Initiative (MCSQI) Collaborative. Unexpected impact of preoperative anemia in low-risk isolated coronary artery bypass grafting or single-valve surgical patients: Do not overlook these patients in anemia management! J Thorac Cardiovasc Surg. 2023 Oct 13:S0022-5223(23)00969-8. doi: 10.1016/j.jtcvs.2023.10.013. Epub ahead of print. PMID: 37839659. UM St. Joseph Contributor: Rawn Salenger, MD
- Update on minimally invasive cardiac surgery and enhanced recovery after surgery. Curr Opin Anaesthesiol. 2023 Oct 12. doi: 10.1097/ACO.0000000000001322. Epub ahead of print. PMID: 37865831. UM St. Joseph Contributor: Rawn Salenger, MD
- Advanced Practice and ERAS a Perfect Fit. UM St. Joseph Contributor: Amanda Rea, MSN, CRNP
- Multiple Arterial Graft Use in Coronary Artery Bypass Surgery: Surgeon Perspective vs Practice. Ann Thorac Surg. 2023 Jan 4:S0003-4975(23)00002-4. doi: 10.1016/j.athoracsur.2022.11.041. Epub ahead of print. PMID: 36608752. UM St. Joseph Contributor: Rawn Salenger, MD
- Press "2" For Post Discharge Follow-up. Ann Thorac Surg. 2023, in press. UM St. Joseph Contributor: Rawn Salenger, MD
- State of the Art: Proceedings of the AATS Enhanced Recovery after Cardiac Surgery Summit, JTCVS Open (2023), doi: https://doi.org/10.1016/j.xjon.2023.04.004. UM St. Joseph Contributor: Rawn Salenger, MD
2022 Published Work
- Impact of Preoperative Hematocrit, Body Mass Index, and Red Cell Mass on Allogeneic Blood Product Usage in Adult Cardiac Surgical Patients: Report From a Statewide Quality Initiative. UM St. Joseph Contributor: Rawn Salenger, MD
- Author's Reply: Expert Consensus of Data Elements for Collection for Enhanced Recovery After Cardiac Surgery. World J Surg. 2022 Nov;46(11):2836-2837. doi: 10.1007/s00268-022-06702-x. Epub 2022 Aug 26. PMID: 36018396. UM St. Joseph Contributor: Rawn Salenger, MD
- Perioperative Anemia and Transfusions and Late Mortality in Coronary Artery Bypass Patients. Ann Thorac Surg. 2022 Nov 26:S0003-4975(22)01491-6. doi: 10.1016/j.athoracsur.2022.11.012. Epub ahead of print. PMID: 36574523. UM St. Joseph Contributor: Rawn Salenger, MD
- Number and Type of Blood Products are Negatively Associated with Outcomes Following Cardiac Surgery. UM St. Joseph Contributor: Rawn Salenger, MD
- Coach's Corner-Preoperative Anemia. UM St. Joseph Contributor: Amanda Rea, CRNP
- Cardiac Enhanced Recovery After Surgery: Early Outcomes in a Community Setting. UM St. Joseph Contributors: Rawn Salenger, MD, Amanda Rea, CRNP, Jennifer Yeh, PharmD, BCCCP, Kate Knott, CRNP, Rachel Born, DPT, Michael Boss, MD and Linda Barr, MD
- Post Intensive Care Syndrome. UM St. Joseph Contributors: Amanda Rea, CRNP, and Sarah Holler
- Cardiac ERAS in the Community: Real World Results for Real Patients. UM St. Joseph Contributors: Rawn Salenger, MD, Amanda Rea, CRNP and Linda Barr, MD
2021 Published Work
- Cardiac surgery in North America and coronavirus disease 2019 (COVID-19): Regional variability in burden and impact. UM St. Joseph Contributor: Rawn Salenger, MD
- Expert Consensus of Data Elements for Collection for Enhanced Recovery After Cardiac Surgery. UM St. Joseph Contributor: Rawn Salenger, MD
- Hospital Variability in Modifiable Factors Driving Coronary Artery Bypass charges. UM St. Joseph Contributor: Rawn Salenger, MD
- Selecting Elements for a Cardiac Enhanced Recovery Protocol. UM St. Joseph Contributor: Rawn Salenger, MD
- Cardiac Surgery in North America and Coronavirus Disease (COVID-19): Regional Variability in Burden and Impact. UM St. Joseph Contributor: Rawn Salenger, MD
- Cardiac Surgeons' Concerns, Perceptions, and Responses During the COVID-19 Pandemic. UM St. Joseph Contributor: Rawn Salenger, MD
- Impact of the Coronavirus Disease 2019 Pandemic on Cardiac Surgical Education in North America. UM St. Joseph Contributor: Rawn Salenger, MD
- Number and Type of Blood Products are Negatively Associated with Outcomes Following Cardiac Surgery. UM St. Joseph Contributor: Rawn Salenger, MD
- Rate Versus Rhythm Control in Heart Failure Patients with Post-Operative Atrial Fibrillation After Cardiac Surgery. UM St. Joseph Contributor: Rawn Salenger, MD
- The 10 Commandments of ERAS for Cardiac Surgery. UM St. Joseph Contributor: Rawn Salenger, MD
- The 7 Pillars of Blood Conservation in Cardiac Surgery. UM St. Joseph Contributor: Rawn Salenger, MD
- Physician Leadership in the Employed Universe. UM St. Joseph Contributor: Rawn Salenger, MD
Poster Presentations
- ADL Recovery Following Cardiac Surgery: A Performance/Quality Improvement Project, Allison Sagner OTR, Rachel Born PT,DPT, John Sagner, COTA, Kaylin Edwards, OTR, Amanda Roberts, OTR, Amanda Rea DNP, CRNP, Rawn Salenger MD ASER Meeting, Nashville, TN September, 2023
- Implementation of Goal Directed Therapy Utilizing Hypotension Prediction Index in Postoperative ERAS Cardiac Surgery Patients; Amanda Rea DNP, CRNP, Alexandra Deasel, MS, RN, Clifford Edwin Fonner, Rawn Salenger, MD.
- Post-Operative Cardiac Surgery Opioid Stewardship Program, Amanda Rea, MSN, CRNP, AGACNP-BC, CCRN, CMC, CSC; Kathryn Deere, PharmD, BCPS; Zach Adams, ScM; Linda Barr, MD; Rawn Salenger, MD.
- Incidence of Post Intensive Care Syndrome (PICS) in Cardiac Surgery, Amanda Rea, CRNP, Sarah Holler, RN, Rebecca Hottle, Clifford Edwin Fonner, Rawn Salenger, MD, ERAS Society World Congress, Lisbon Portugal, 2023
- Patient Blood Management in Cardiac Surgery – Fewer Transfusions, Improved Outcomes, Rawn Salenger, MD, Amanda Rea, CRNP, Stewart Finney, MD, Charles Evans, MD, et al, STS Annual Meeting San Diego, CA, 2023
- Maryland Capitated Payment Reform: Cost Savings or Cost Shifting? Rawn Salenger, MD, et al, STS Annual Meeting San Diego, CA, 2023
- The Impact of Institutional Clinical Practice and Culture on Red Blood Cell Transfusion in Patients Undergoing CABG: A Statewide Analysis, Waterford S, Ad N, Holmes S, Fonner C, Alejo D, Salenger, R. et al, STS Annual Meeting San Diego, CA, 2023
Invited Presentations
- Amanda Rea DNP, CRNP
Rising Together: Improve patient outcomes with cardiac surgery ERAS protocols
AACN National Teaching Institute, Denver, CO May 2024 - Amanda Rea DNP, CRNP
Hematocrit of 20…You're NOT going to Transfuse?
STS Annual Meeting, San Antonio, TX, Jan 2024 - Rawn Salenger, MD, Amanda Rea, DNP, CRNP, Charlie Evans MD
Prospective Trial of Oxygen Delivery on Cardiopulmonary Bypass and Major Clinical Outcomes
STS Annual Meeting, San Antonio, TX, Jan 2024 - Amanda Rea DNP, CRNP
Advance Practice Lead Cardiac Surgery ICU
ERAS Cardiac Expert Retreat, Austin, TX, November 2023 - Rawn Salenger, MD
"Changing the Pain Dynamic in Cardiac Surgery with Cryo Nerve Block" (Moderator)
November, 2023 - Rawn Salenger, MD
"Enhancing Recovery in Minimally Invasive Surgery" (Moderator)
ERAS Cardiac Society and CTSNet Webinar, October, 2023 - Rawn Salenger, MD
"Patient Blood Management Turn-Key Order Set"
European Association for Cardiothoracic Surgery Annual Meeting, Vienna, Austria, 2023. - Amanda Rea, MSN, CRNP
Late Breaking ERAS
ERAS Training Course, Raleigh, NC, June 2023 - Amanda Rea, MSN, CRNP
The ERAS Team, Defining Success
ERAS Training Course, Raleigh, NC, June 2023 - Amanda Rea, MSN, CRNP
Goal-Directed Hemodynamic Management: Concepts, Application, & Case Studies
ERAS Training Course, Raleigh, NC, June 2023 - Rawn Salenger, MD
"ERAS/POQI Consensus Statement" (Moderator)
Enhanced Recovery After Surgery Society World Congress, Lisbon Portugal, 2023 - Rawn Salenger, MD
Bloodless Cardiac Surgery
STS Annual Meeting, San Diego, CA, 2023 - Amanda Rea, MSN, CRNP
Patient Blood Management in the Postoperative Patient
Providence Anesthesiology Associates Fall Conference Charlotte, NC, 2022 - Rawn Salenger, MD
Enhanced Recovery in Cardiac Surgery, panelist.
European Association for Cardiothoracic Surgery Annual Meeting, Milan, Italy, 2022 - Rawn Salenger, MD
Quality Check: What to Track
8th ERAS World Congress, Madrid, Spain, 2022 - Amanda Rea, MSN, CRNP
Incidence of Cardiac Surgery and PICS
Cardiac ERAS Executive Retreat, Phoenix, AZ, 2022 - Amanda Rea, MSN, CRNP
Patient Blood Management in Cardiac Surgery
Presented at ASER, Virtual, 2022 - Amanda Rea, MSN, CRNP
Enhanced Recovery in Cardiac Surgery, panelist
ERAS training course Denver, CO, 2022 - Charlie Evans, MD
Left Atrial Appendage Closure
MCSQI Fall Meeting, 2022 - Rawn Salenger, MD
Mitral Valve Repair for Infective Endocarditis
UM Saint Joseph Cardiology Grand Rounds, Towson, MD, 2022 - Rawn Salenger, MD
Controversies in Enhanced Recovery After Cardiac Surgery: Preoperative Epogen: Hero or Hype?
ERAS Cardiac Society Spring Webinar, 2022 - Rawn Salenger, MD
Surgical Site Infection 101: The Bundle
AATS ERAS Cardiac Summit, Boston, MA, 2022 - Rawn Salenger, MD
Multimodal Analgesia 101: What and Why?
AATS ERAS Cardiac Summit, Boston, MA, 2022 - Amanda Rea, MSN, CRNP
Cardiac ERAS Covid and Beyond
Top Med Talk Podcast, 2022 - Amanda Rea, MSN, CRNP
Enhanced Recovery in Cardiac Surgery, panelist
ERAS training course Raleigh, NC, 2022 - Amanda Rea, MSN, CRNP
Goal Directed Therapy
University of Maryland St Joseph Medical Center, 2022 - Amanda Rea, MSN, CRNP
Cardiac ERAS Panelist
EBPOM World Congress, Dingle, Ireland, 2021 - Rawn Salenger, MD
Preoperative Anemia: Is it worth fixing?
Society of Thoracic Surgeons Annual Meeting, 2021 -
Rawn Salenger, MD
A <10% Transfusion Rate is Achievable, Reproducible and Best Practice, Moderator,
ERAS Cardiac Annual Meeting Houston, TX, 2021 - Rawn Salenger, MD
How to Get your Patients Engaged, Moderator
ERAS Cardiac Annual Meeting Houston, TX, 2021 - Rawn Salenger, MD
Goal Directed Therapy, Beyond Fluid, Moderator
ERAS Cardiac Annual Meeting Houston, TX, 2021 - Rawn Salenger, MD
How Low Should You Go? Intraoperative and Postoperative Transfusion Thresholds, Moderator
ERAS Cardiac Annual Meeting Houston, TX, 2021 - Rawn Salenger, MD
Mitral Valve Repair: Lessons Learned on the Journey
UM Saint Joseph Cardiology Grand Rounds, Towson, MD, 2021 - Rawn Salenger, MD
Creating an ERAS Newsletter
ERAS Cardiac Invitational meeting Boston 2021 - Rawn Salenger, MD
ERAS Cardiac, The Next Frontier
ERAS Cardiac Advanced Course Miami, 2021 - Rawn Salenger, MD
What's New in Cardiac ERAS?
Society of Thoracic Surgeons 17th Annual Critical Care Meeting, Virtual, 2021