Associate Professor, Surgery, University of Pittsburgh School of Medicine
General Surgery
Dr. Juan C. Puyana, MD
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Juan C. Puyana works in the field of General Surgery. He over the years received 1 awards: "Fellow (FACS)". Juan C. Puyana is a published physician. He has 73 publications published. The most current publication "Continuous measurement of gut pH with near-infrared spectroscopy during hemorrhagic shock." He accepts all Medicare patients.
Publications
- Global neurotrauma research challenges and opportunities.
- Improving Trauma Care in Low- and Middle-Income Countries by Implementing a Standardized Trauma Protocol.
- The swinging pendulum: A national perspective of nonoperative management in severe blunt liver injury.
- Model-based prediction of autoregulatory exhaustion in response to lower-body negative pressure-induced shock.
- Identifying occult arterial bleeding by a relaxing (loosening) pelvic stabilization device in severe pelvic fracture.
- Physiologic responses to severe hemorrhagic shock and the genesis of cardiovascular collapse: Can irreversibility be anticipated?
- Safety of performing a delayed anastomosis during damage control laparotomy in patients with destructive colon injuries.
- Effect of the modified glasgow coma scale score criteria for mild traumatic brain injury on mortality prediction: comparing classic and modified glasgow coma scale sco...
- Policies for alcohol restriction and their association with interpersonal violence: a time-series analysis of homicides in Cali, Colombia.
- Trends in Survival and Early Functional Outcomes From Hospitalized Severe Adult Traumatic Brain Injuries, Pennsylvania, 1998 to 2007.
- A dynamic view of trauma/hemorrhage-induced inflammation in mice: principal drivers and networks.
- Nonoperative management of blunt abdominal trauma: have we gone too far?
- Mathematical modeling of posthemorrhage inflammation in mice: studies using a novel, computer-controlled, closed-loop hemorrhage apparatus.
- Early hypothermia in severely injured trauma patients is a significant risk factor for multiple organ dysfunction syndrome but not mortality.
- An adequately robust early TNF-alpha response is a hallmark of survival following trauma/hemorrhage.
- Hepatic resection in the management of complex injury to the liver.
- Use of non-invasive NIRS during a vascular occlusion test to assess dynamic tissue O(2) saturation response.
- Thresholded area over the curve of spectrometric tissue oxygen saturation as an indicator of volume resuscitability in porcine hemorrhagic shock.
- Evaluation of a 15-year experience with splenic injuries in a state trauma system.
- Management of peritonitis in the critically ill patient.
- Is outcome after blunt splenic injury in adults better in high-volume trauma centers?
- Monitoring skeletal muscle and subcutaneous tissue acid-base status and oxygenation during hemorrhagic shock and resuscitation.
- Bladder mucosa pH and Pco2 as a minimally invasive monitor of hemorrhagic shock and resuscitation.
- Management of adult blunt splenic injuries: comparison between level I and level II trauma centers.
- Investigation of muscle pH as an indicator of liver pH and injury from hemorrhagic shock.
- An assessment of the potential for reducing future combat deaths through medical technologies and training.
- Glutamine-enriched enteral nutrition increases HLA-DR expression on monocytes of trauma patients.
- Tissue oxygen saturation predicts the development of organ dysfunction during traumatic shock resuscitation.
- Searching for non-invasive markers of tissue hypoxia.
- Massive transfusion in trauma patients: tissue hemoglobin oxygen saturation predicts poor outcome.
- Very low frequency variability in the peripheral circulation: the possibility of plethysmographic quantification.
- WSES SM (World Society of Emergency Surgery Summer Meeting) highlights: emergency surgery around the world (Brazil, Finland, USA).
- Early decompressive craniectomy for neurotrauma: an institutional experience.
- The effects of trauma center care, admission volume, and surgical volume on paralysis after traumatic spinal cord injury.
- Is there a role for aggressive use of fresh frozen plasma in massive transfusion of civilian trauma patients?
- Deferred primary anastomosis versus diversion in patients with severe secondary peritonitis managed with staged laparotomies.
- Characterization of tissue oxygen saturation and the vascular occlusion test: influence of measurement sites, probe sizes and deflation thresholds.
- Trauma care training for National Police nurses in Colombia.
- Improving mortality predictions in trauma patients undergoing damage control strategies.
- Prehospital serum lactate as a predictor of outcomes in trauma patients: a retrospective observational study.
- Minimally invasive real time monitoring of mitochondrial NADH and tissue blood flow in the urethral wall during hemorrhage and resuscitation.
- Survival in a rat model of lethal hemorrhagic shock is prolonged following resuscitation with a small volume of a solution containing a drag-reducing polymer derived f...
- Glutamine-enriched enteral nutrition increases in vitro interferon-gamma production but does not influence the in vivo specific antibody response to KLH after severe t...
- Contact allergic dermatitis caused by freon 12 in deodorants.
- Farm animal feeders: another group affected by cereal flour asthma.
- Stinging insect allergy: sensitization to vespids in Madrid and surroundings. Cross-reactivity study.
- Contact urticaria caused by Obeche wood (Triplochiton scleroxylon). Report of eight patients.
- Drug-induced fever: a clinical report and challenge test with calcium dobesilate.
- Effect of nifedipine on skin prick tests.
- Housewives with raw potato-induced bronchial asthma.
- Serum sickness-like syndrome associated with minocycline therapy.
- Bronchial hyperreactivity and cough induced by angiotensin-converting enzyme-inhibitor therapy.
- Intraductal papillary mucinous neoplasm of the pancreas presenting as acute pancreatitis.
- Skeletal muscle acidosis correlates with the severity of blood volume loss during shock and resuscitation.
- Application of fiberoptic sensors for the study of hepatic dysoxia in swine hemorrhagic shock.
- Simultaneous measurement of hepatic tissue pH, venous oxygen saturation and hemoglobin by near infrared spectroscopy.
- Bedside percutaneous tracheostomy in the critically ill patient.
- The feasibility and accuracy of diagnostic laparoscopy in the septic ICU patient.
- Directly measured tissue pH is an earlier indicator of splanchnic acidosis than tonometric parameters during hemorrhagic shock in swine.
- The anti-inflammatory effects of perfluorocarbons: let's get physical.
- Relationships between T lymphocyte apoptosis and anergy following trauma.
- The influence of liposome-encapsulated prostaglandin E1 on hydrogen peroxide concentrations in the exhaled breath of patients with the acute respiratory distress syndr...
- Continuous measurement of gut pH with near-infrared spectroscopy during hemorrhagic shock.
- Both T-helper-1- and T-helper-2-type lymphokines are depressed in posttrauma anergy.
- Influence of triple-lumen central venous catheters coated with chlorhexidine and silver sulfadiazine on the incidence of catheter-related bacteremia.
- Only a subset of trauma patients with depressed mitogen responses have true T cell dysfunctions.
- A membrane TNF-alpha/TNFR ratio correlates to MODS score and mortality.
- Elevated IL-8 production by trauma patients' monocytes is associated with elevated secretion of TNF alpha.
- Methylene blue reverses endotoxin-induced hypotension.
- Induction of an immune response to keyhole-limpet hemocyanin in surgical patients with anergy.
- Lack of cytokine-induced skin reaction correlates with acute physiology score and mortality in patients receiving intensive care.
- Role of cytokines in the restoration of the delayed-type hypersensitivity reaction of anergic patients.
Doctors Specialties
- Critical Care Surgery
- General Surgery
Accepted Insurances
Awards
- Fellow (FACS)
Education
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SUNY Stony Brook University Hospital & Medical Center -
Pontifical Xavierian University
Hospital
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UPMC Presbyterian Shadyside
Helpful Reviews
Medicare Facts
| National Provider Identifier [NPI] | 1437124997 |
| Last Name Of The Provider | PUYANA |
| First Name Of The Provider | JUAN |
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