Department of Surgery, University Medical Center, 355 Bard Ave, Staten Island, USA
Dr. Akella Chendrasekhar is a general surgeon in Staten Island, New York and is affiliated with Richmond University Medical Center. He received his medical degree from University of Miami Miller School of Medicine and has been in practice for more than 20 years.
Research Article
The Effect of Targeted Beta Blocker Use in Trauma Patients Admitted to the Intensive Care Unit
Author(s): Akella Chendrasekhar*, Shanelle Hodge, Jakey Patwari, Vladimir Rubinshteyn and Loren Harris Richmond
Beta-blockers are used to reduce heart rate (HR) and thereby reduce myocardial oxygen demand. Current guidelines include a recommendation for the use of beta-blockers titrated to a target HR of 60 to 70 beats per minute (bpm) in certain populations; however, the value of this intervention has not yet been studied in the trauma population. Our objective was to determine whether beta-blockers used to titrate heart rate to 60-70 bpm within the first 24 hours of intensive care unit (ICU) admission affect outcome in trauma patients.
We retrospectively examined the trauma registry to identify patients admitted to the ICU of an urban level-I trauma center over the course of January to December 2013; medical records were further reviewed to identify those who received treatment with beta-blockers. Data was collected on patient demographics, maximum/minimum HR within 24 hours of admiss.. View more»