Dr. David Alan Spain M.D.

Treatments

• Pain
• Hernia
• Umbilical Hernia
• Ventral Hernia
• Inguinal Hernia
• Lipoma

Publications

• jourl of trauma and acute care surgeryVariability in California triage from 2005 to 20092014
• Anls of emergency medicineCost-effectiveness of helicopter versus ground emergency medical services for trauma scene2013
• Obstetrics and gynecologyCost-effectiveness of preoperative imaging for appendicitis after indetermite ultrasonography in2013
• Jourl of the American College of SurgeonsTriage of elderly trauma patients: a population-based perspective.2013
• CURRENT OPINION IN ANESTHESIOLOGYLogistics of transfusion support for patients with massive hemorrhage2013
• JOURL OF VASCULAR SURGERYPredictors of emergency department death2012
• SURGERYPayer status is associated with the use of prophylactic inferior ve cava filter in high2012
• ANLS OF PLASTIC SURGERYOutcomes of Complex Abdomil Herniorrhaphy Experience With 106 Cases2012
• JOURL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERYAbdomil wall reconstruction with dual layer cross-linked porcine dermal xenograft2012
• JOURL OF TRAUMA AND ACUTE CARE SURGERYThe forgotten trauma patient2012
• ARCHIVES OF SURGERYStatins for Everyone Are We There Yet?2012
• ACADEMIC EMERGENCY MEDICINECharacteristics of Pediatric Trauma Transfers to a Level I Trauma Center2010
• JOURL OF THORACIC AND CARDIOVASCULAR SURGERYEarly outcomes of deliberate nonoperative magement for blunt thoracic aortic injury in trauma2010
• Hand (New York, N.Y.)Demographic and Fincial Alysis of EMTALA Hand Patient Transfers.2010
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREEmergency Innovation: Implications for the Trauma Surgeon2009
• JOURL OF THE AMERICAN COLLEGE OF SURGEONSMassive Transfusion Protocols2009
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARECommitment to COT Verification Improves Patient Outcomes and Fincial Performance2009
• BRAIN INJURYThe impact of hypopituitarism on function2009
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREValidation of a Prehospital Trauma Triage Tool: A 10-Year Perspective2008
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREInsulin increases the release of proinflammatory mediators2008
• AMERICAN SURGEONCT angiography effectively evaluates extremity vascular trauma2008
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREPediatric blunt abdomil injury: Age is irrelevant and delayed operation is not detrimental2007
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREVenous air embolism and pressure infusion devices2007
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARERecruitment strategies for a fall prevention program: If we build it, will they really come?2007
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARERequests for 692 transfers to an academic Level I trauma center2007
• Nutrition in clinical practiceEarly enteral nutrition after abdomil trauma: effects on septic morbidity and practicality.2006
• ARCHIVES OF SURGERYDramatic shift in the primary magement of traumatic thoracic aortic rupture2006
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREEndovascular magement of a gunshot wound to the thoracic aorta2006
• AMERICAN JOURL OF SURGERYAre temporary inferior ve cava filters really temporary?2005
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARESpontaneous splenic rupture: The masquerade of minor trauma2005
• AMERICAN JOURL OF SURGERYEducation and training of the future trauma surgeon in acute care surgery: trauma, critical care2005
• JOURL OF THE AMERICAN COLLEGE OF SURGEONSPotential targets to encourage a surgical career2005
• CRITICAL CARE MEDICINEPoor validity of residual volumes as a marker for risk of aspiration in critically ill patients2005
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREInterleukin-6 infusion blunts proinflarnmatory cytokine production without causing systematic2004
• JOURL OF CARDIOTHORACIC AND VASCULAR ANESTHESIAMagement of acute complete tracheal transection caused by nonpenetrating trauma2004
• JOURL OF THE AMERICAN COLLEGE OF SURGEONSPerioperative risk assessment in elderly and high-risk patients2004
• SHOCKImpairment of endothelium2004
• American jourl of surgeryThe continuing challenge of intra-abdomil infection.2003
• SURGERYSociety of University Surgeons position statement on the volume2003
• ANLS OF SURGERYIntraperitoneal resuscitation improves intestil blood flow following hemorrhagic shock2003
• JOURL OF SURGICAL RESEARCHImmune-enhancing enteral diet increases blood flow and proinflammatory cytokines in the rat ileum2003
• JOURL OF PARENTERAL AND ENTERAL NUTRITIONAchievement of steady state optimizes results when performing indirect calorimetry2003
• SHOCKResuscitation regimens for hemorrhagic shock must contain blood2002
• JPEN. Jourl of parenteral and enteral nutritionWhen is the seriously ill patient ready to be fed?2002
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARERisk factors for delirium tremens in trauma patients2002
• SURGERYExamition of the role of abdomil computed tomography2002
• PERITONEAL DIALYSIS INTERTIOLGeneralized dilation of the visceral microvasculature by peritoneal dialysis solutions2002
• JOURL OF SURGICAL RESEARCHImmune-enhancing enteral diet selectively augments ileal blood flow in the rat2002
• ARCHIVES OF SURGERYAbdomil seat belt marks in the era of focused abdomil Sonography for trauma2002
• AMERICAN SURGEONDo facial fractures protect the brain or are they a marker for severe head injury?2002
• CHESTVentilator-associated pneumonia and surgical patients2002
• JOURL OF STUDIES ON ALCOHOLA comparison of alcohol-positive and alcohol-negative trauma patients2002
• SURGICAL CLINICS OF NORTH AMERICAFemoral vessel injuries2002
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREHandsewn versus stapled astomosis in penetrating colon injuries requiring resection2002
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREDevelopment and implementation of a clinical pathway for severe traumatic brain injury2001
• AMERICAN SURGEONThermal injury in the elderly: When is comfort care the right choice?2001
• Zhao, H. L., Spain, D. A., Matheson, P. J., Harris, P. D., Garrison, RProgressive decrease in constrictor reactivity of the non-absorbing intestine during chronic sepsis2001
• Vitaz, T. W., McIlvoy, L., Raque, G. H., Spain, D. A., Shields, C. B.Development and implementation of a clinical pathway for spil cord injuries2001
• Lukan, J. K., Carrillo, E. H., Franklin, G. A., Spain, D. A., Miller, Impact of recent trends of noninvasive trauma evaluation2001
• Demetriades, D., Murray, J. A., Chan, L., Ordonez, C., Bowley, D., gy,Penetrating colon injuries requiring resection2001
• jourl of neuroscience nursingSuccessful incorporation of the Severe Head Injury Guidelines into a phased2001
• AMERICAN JOURL OF SURGERYA multicenter evaluation of whether gender dimorphism affects survival after trauma2001
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREIncidental pericardial effusion during surgeon2001
• SURGICAL ENDOSCOPY AND OTHER INTERVENTIOL TECHNIQUESDelayed laparoscopy facilitates the magement of biliary peritonitis2001
• Beach, P. K., Spain, D. A., Kawabe, T., Harris, P. D., Garrison, R. N.Sepsis increases NOS-2 activity2001
• AMERICAN SURGEONDoes cell-saver blood administration and free hemoglobin load cause rel dysfunction?2001
• Zhao, H. L., Spain, D. A., Matheson, P. J., Vaughn, C., Harris, P. D.,Sustained infection induces 2 distinct microvascular mechanisms in the splanchnic circulation2000
• Krysztopik, R. J., Matheson, P. J., Spain, D. A., Garrison, R. N., WilLazaroid and pentoxifylline suppress sepsis2000
• Richardson, J. D., Franklin, G. A., Lukan, J. K., Carrillo, E. H., SpaEvolution in the magement of hepatic trauma: A 25-year perspective2000
• Franklin, G. A., Boaz, P. W., Spain, D. A., Lukan, J. K., Carrillo, E.Prehospital hypotension as a valid indicator of trauma team activation2000
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREBlunt hemopericardium detected by surgeon-performed sonography2000
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREPractice magement guidelines tor prophylactic antibiotic use2000
• Spain, D. A., Richardson, J. D., Carrillo, E. H., Miller, F. B., WilsoShould trauma surgeons do general surgery?2000
• Klodell, C. T., Carroll, M., Carrillo, E. H., Spain, D. A.Routine intragastric feeding following traumatic brain injury is safe and well tolerated2000
• AMERICAN SURGEONEmpyema and restrictive pleural processes after blunt trauma2000
• American jourl of surgeryDiscussion2000
• Olsofka, J. N., Carrillo, E. H., Spain, D. A., Polk, H. C.The continuing challenge of Fournier's gangrene in the 1990s1999
• Spain, D. A., McClave, S. A., Sexton, L. K., Adams, J. L., Blanford, BInfusion protocol improves delivery of enteral tube feeding in the critical care unit1999
• CRITICAL CARE MEDICINEEnteral tube feeding in the intensive care unit: Factors impeding adequate delivery1999
• Spain, D. A., Kawabe, T., Keelan, P. C., Wilson, M. A., Harris, P. D.,Decreased alpha-adrenergic response in the intestil microcirculation after two1999
• Carrillo, E. H., Osborne, D. L., Spain, D. A., Miller, F. B., Senler, Blunt carotid artery injuries: Difficulties with the diagnosis prior to neurologic event1999
• JOURL OF SURGICAL RESEARCHGlucose and glutamine gavage increase portal vein nitric oxide metabolite levels via adenosine A2b1999
• Carrillo, E. H., Wohltmann, C. D., Spain, D. A., Schmieg, R. E., MilleCommon and exterl iliac artery injuries associated with pelvic fractures1999
• Price, S. A., Spain, D. A., Wilson, M. A., Harris, P. D., Garrison, R.Subacute sepsis impairs vascular smooth muscle contractile machinery and alters vasoconstrictor1999
• CHESTPreoperative issues in clinical nutrition1999
• Carrillo, E. H., Spain, D. A., Wohltmann, C. D., Schmieg, R. E., Boaz,Interventiol techniques are useful adjuncts in nonoperative magement of hepatic injuries1999
• Spain, D. A., Fruchterman, T. M., Matheson, P. J., Wilson, M. A., MartComplement activation mediates intestil injury after resuscitation from hemorrhagic shock1999
• JOURL OF SURGICAL RESEARCHAltered vasoconstrictor and dilator responses after a two1999
• SHOCKSelective microvascular endothelial cell dysfunction1998
• JOURL OF SURGICAL RESEARCHSmall intestil production of nitric oxide is decreased following resuscitated hemorrhage1998
• SURGERYComplement inhibition prevents gut ischemia and endothelial cell dysfunction after hemorrhage1998
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREEffect of a clinical pathway for severe traumatic brain injury on resource utilization1998
• GASTROENTEROLOGY CLINICS OF NORTH AMERICANutritiol magement in acute and chronic pancreatitis1998
• ANLS OF SURGERYMicrovascular changes explain the two-hit theory of multiple organ failure1998
• AMERICAN SURGEONComparison of sequential compression devices1998
• JOURL OF THE AMERICAN COLLEGE OF SURGEONSThoracoscopy in the magement of posttraumatic persistent pneumothorax1998
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREAltertives in the magement of penetrating injuries to the iliac vessels1998
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREImpact of trauma attending surgeon case volume on outcome: Is more better?1998
• Spain, D. A., Miller, F. B., Bergamini, T. M., Montgomery, R. C., RichQuality assessment of intraoperative blood salvage and autotransfusion1997
• BRITISH JOURL OF SURGERYLazaroid improves intestil blood flow in the rat during hyperdymic bacteraemia1997
• Spain, D. A., Martin, R. C., Carrillo, E. H., Polk, H. C.Twelfth rib resection - Preferred therapy for subphrenic abscess in selected surgical patients1997
• Carrillo, E. H., Spain, D. A., Bumpous, J. M., Schmieg, R. E., Miller,Percutaneous dilatiol tracheostomy for airway control1997
• Carrillo, E. H., Heniford, B. T., Osborne, D. L., Spain, D. A., MillerBedside percutaneous endoscopic gastrostomy1997
• Matheson, P. J., Wilson, M. A., Spain, D. A., Harris, P. D., Anderson,Glucose-induced intestil hyperemia is mediated by nitric oxide1997
• Spain, D. A., Boaz, P. W., Davidson, D. J., Miller, F. B., Carrillo, ERisk-taking behaviors among adolescent trauma patients1997
• JOURL OF SURGICAL RESEARCHHeme oxygese-dependent carbon monoxide production is a hepatic adaptive response to sepsis1997
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREIntrahepatic vascular clamping in complex hepatic vein injuries1997
• Krysztopik, R. J., Bentley, F. R., Spain, D. A., Wilson, M. A., GarrisLazaroids prevent acute cyclosporine-induced rel vasoconstriction1997
• Heniford, B. T., Carrillo, E. H., Spain, D. A., Sosa, J. L., Fulton, RThe role of thoracoscopy in the magement of retained thoracic collections after trauma1997
• Harrell, D. J., Spain, D. A., Bergamini, T. M., Miller, F. B., RichardBlunt popliteal artery trauma: A challenging injury1997
• Spain, D. A., Richardson, J. D., Polk, H. C., Bergamini, T. M., WilsonVenous thromboembolism in the high-risk trauma patient1997
• Spain, D. A., Wilson, M. A., Krysztopik, R. J., Matheson, P. J., GarriDifferential intestil microvascular dysfunction occurs during bacteremia1997
• Watkins, J. M., Spain, D. A., Krysztopik, R. J., Dowrd, P. J., Wilson,Heparan preserves intestil perfusion after hemorrhage and resuscitation1996
• Richardson, J. D., Bergamini, T. M., Spain, D. A., Wilson, M. A., CarrOperative strategies for magement of abdomil aortic gunshot wounds1996
• Krysztopik, R. J., Bentley, F. R., Spain, D. A., Wilson, M. A., GarrisFree radical scavenging by lazaroids improves rel blood flow during sepsis1996
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CAREFluid resuscitation attenuates early cytokine mR expression after peritonitis1996
• SURGICAL CLINICS OF NORTH AMERICAComplex thoracic injuries1996
• jourl of surgical researchVasomotor response to pentoxifylline mediates improved rel blood flow to bacteremia.1996
• Garrison, J. R., Richardson, J. D., HILAKOS, A. S., Spain, D. A., MillPredicting the need to pack early for severe intra-abdomil hemorrhage1996
• Garrison, R. N., Wilson, M. A., Matheson, P. J., Spain, D. A.Preoperative saline loading improves outcome after elective, noncardiac surgical procedures1996
• SHOCKENDOTHELIN-1 EXPRESSION IN THE SMALL-INTESTINE DURING CHRONIC PERITONITIS1995
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARETranspyloric passage of feeding tubes1995
• Spain, D. A., Wilson, M. A., Boaz, P. W., Bartan, M. F., Garrison, R. HAEMOPHILUS PNEUMONIA IS A COMMON-CAUSE OF EARLY PULMORY DYSFUNCTION FOLLOWING TRAUMA1995
• REYNOLDS, M. A., Richardson, J. D., Spain, D. A., Seligson, D., WilsonIS THE TIMING OF FRACTURE FIXATION IMPORTANT FOR THE PATIENT WITH MULTIPLE TRAUMA1995
• JOURL OF SURGICAL RESEARCHALPHA-ADRENERGIC RECEPTOR ANTAGONISM PREVENTS INTESTIL VASOCONSTRICTION BUT NOT HYPOPERFUSION1995
• Garrison, R. N., Wilson, M. A., Matheson, P. J., Spain, D. A.NITRIC-OXIDE MEDIATES REDISTRIBUTION OF INTRAREL BLOOD-FLOW DURING BACTEREMIA1995
• BRITISH JOURL OF SURGERYAN EXPERIMENTAL-STUDY OF ALTERED NITRIC1995
• Bartan, M. F., Wilson, M. A., Spain, D. A., Garrison, R. N.PLATELET-ACTIVATING-FACTOR AND SEPSIS-INDUCED SMALL-INTESTIL MICROVASCULAR HYPOPERFUSION1995
• jourl of the Kentucky Medical AssociationThe delirious ICU patient: often misdiagnosed and undertreated.1995
• SHOCKDIFFERENTIAL MICROVASCULAR RESPONSE TO CYCLOOXYGESE BLOCKADE IN THE RAT SMALL1994
• AMERICAN JOURL OF SURGERYANTIBIOTIC OVERKILL OF TRAUMA VICTIMS1994
• Spain, D. A., Wilson, M. A., Garrison, R. N.NITRIC-OXIDE SYNTHASE INHIBITION EXACERBATES SEPSIS-INDUCED REL HYPOPERFUSION1994
• SHOCKROLE OF NITRIC-OXIDE IN THE SMALL-INTESTIL MICROCIRCULATION DURING BACTEREMIA1994
• Spain, D. A., Wilson, M. A., BLOOM, I. T., Garrison, R. N.REL MICROVASCULAR RESPONSES TO SEPSIS ARE DEPENDENT ON NITRIC-OXIDE1994
• JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARENITRIC-OXIDE SYNTHASE INHIBITION AGGRAVATES INTESTIL MICROVASCULAR VASOCONSTRICTION AND1994
• DAMELIO, L. F., Hammond, JTRACHEOSTOMY AND PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN THE MAGEMENT OF THE HEAD0

Dr. David Alan Spain M.D.'s Practice location