Brian Harte

Publications of Brian Harte

• Rounding up the usual suspects.

  Authors: Vicente Velez, Moises Auron, Brian Harte, Maria Giselle Velez, Jim Pile

  Journal of hospital medicine : an official publication of the Society of Hospital Medicine. 03/2012;

• Roth spots--more than meets the eye.

  Authors: Anuradha Ramaswamy, Ahmad Tarabishy, David Gugliotti, Brian Harte

  Journal of hospital medicine : an official publication of the Society of Hospital Medicine. 07/2011; 6(6):369.

• Renin-angiotensin system antagonists in the perioperative setting: clinical consequences and recommendations for practice.

  Authors: Moises Auron, Brian Harte, Ajay Kumar, Franklin Michota

  Postgraduate medical journal. 03/2011; 87(1029):472-81.

  There are no existing guidelines supporting the withdrawal or continuation of renin-angiotensin-aldosterone system (RAAS) antagonists in the preoperative setting. RAAS antagonists include ACEThere are no existing guidelines supporting the withdrawal or continuation of renin-angiotensin-aldosterone system (RAAS) antagonists in the preoperative setting. RAAS antagonists include ACE inhibitors, angiotensin II receptor subtype 1 blockers and direct renin inhibitors (eg, aliskiren), as well as the aldosterone antagonists. The use of these agents before surgery has been associated with a variable incidence of hypotension during the initial 30 min after induction of anaesthesia; however, these hypotensive episodes have not been conclusively linked to any significant postoperative complications, although recent data suggest an increase in postoperative morbidity and mortality in patients undergoing coronary artery bypass grafting. Further studies are required to be able to demonstrate if the organ-protective benefits of RAAS antagonists justify their continuation in the perioperative setting. Temporary withdrawal of RAAS antagonists in these patients may prevent or attenuate intraoperative hypotension and hypovolaemia. Alternatively, the increase in RAAS activity and blood pressure expected with cessation of RAAS antagonist therapy may impair regional circulation secondary to an increase in systemic vascular resistance. Full discussion of the potential implications of perioperative RAAS antagonist therapy with the surgical team is important, and strategies to ensure careful monitoring and maintenance of adequate intravenous volume before induction of anaesthesia are essential.

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• Continuing medical education program in the journal of hospital medicine.

  Authors: Thomas E Baudendistel, Preethi Patel, Gurpreet Dhaliwal, Anitha Rajamanickam, Surafel Gebresalassie, Brian Harte

  Journal of hospital medicine : an official publication of the Society of Hospital Medicine. 07/2010; 5(6):365.

• A life threatening complication of anticoagulation prophylaxis-bilateral adrenal hemorrhage.

  Authors: Anitha Rajamanickam, Preethi Patel, Prabhakaran Anbazhagan, Brian Harte

  Journal of hospital medicine (Online). 12/2009; 4(9):E25-E27.

• There's air in there: An image of extensive pneumopericardium and pneumomediastinum.

  Authors: Aparajita Singh, Brian Harte

  Journal of hospital medicine (Online). 09/2009; 4(6):E17-E18.

• Perioperative beta-blockers in noncardiac surgery: evolution of the evidence.

  Authors: Brian Harte, Amir K Jaffer

  Cleveland Clinic journal of medicine. 07/2008; 75(7):513-9.

  After studies in the 1990s suggested that beta-blockers offer substantial benefits when given before surgery, several national organizations endorsed the perioperative use of these drugs as a bestAfter studies in the 1990s suggested that beta-blockers offer substantial benefits when given before surgery, several national organizations endorsed the perioperative use of these drugs as a best practice in certain patients, However, subsequent research has cast doubt on whether it is appropriate to use these drugs as widely as suggested by those early studies.

• Do preoperative nutritional interventions improve outcomes in malnourished patients undergoing elective surgery?

  Authors: Ramnath Hebbar, Brian Harte

  Cleveland Clinic journal of medicine. 10/2007; 74 Suppl 1:S8-10.

• What is the appropriate means of perioperative risk assessment for patients with cirrhosis? IMPACT consults. Proceedings of the 2nd Annual Cleveland Clinic Perioperative Medicine Summit.

  Authors: Brian Harte

  Cleveland Clinic journal of medicine. 10/2006; 73 Electronic Suppl 1:S10-1.

• Stevens-Johnson and mycoplasma pneumoniae: a scary duo.

  Authors: Moises Auron, Brian Harte

  Journal of hospital medicine : an official publication of the Society of Hospital Medicine. 5(9):567-8.

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• Unscripted.

  Authors: Preethi Patel, Gurpreet Dhaliwal, Anitha Rajamanickam, Surafel Gebresalassie, Brian Harte

  Journal of hospital medicine : an official publication of the Society of Hospital Medicine. 5(6):366-70.