Biography:

In the past Richard Teplick has collaborated on articles with Richard P. Cambria. One of their most recent publications is Original Articles from the Society for Vascular SurgeryTransperitoneal versus retroperitoneal approach for aortic reconstruction: A randomized prospective study*. Which was published in journal Journal of Vascular Surgery.

More information about Richard Teplick research including statistics on their citations can be found on their Copernicus Academic profile page.

Richard Teplick's Articles: (5)

Original Articles from the Society for Vascular SurgeryTransperitoneal versus retroperitoneal approach for aortic reconstruction: A randomized prospective study*

AbstractA prospective, randomized study was conducted to compare the retroperitoneal versus transperitoneal approach for elective aortic reconstruction. One hundred thirteen patients (transperitoneal = 59, retroperitoneal = 54) were randomized between March 1987 and October 1988. In addition, to assess the changing course of patients undergoing aortic reconstruction similar data were gathered retrospectively on a group of 56 patients undergoing aortic reconstruction by the same surgeons performed via a transperitoneal approach in 1984 to 1985. Randomized patients were identical in age, male to female ratio, smoking history, incidence and severity of cardiopulmonary disease, indication for operation, and use of epidural anesthetics. Details of operation including operative and aortic cross-clamp times, crystalloid and transfusion requirements, degree of hypothermia on arrival at the intensive care unit, and perioperative fluid and blood requirements did not differ significantly for patients undergoing transperitoneal versus retroperitoneal reconstruction. Respiratory morbidity, as assessed by percent of patients requiring postoperative ventilation, deterioration in pulmonary function tests, and the incidence of respiratory complications, was identical in randomized patients. Other aspects of postoperative recovery including recovery of gastrointestinal function, the requirement for narcotics, metabolic parameters of operative stress, the incidence of major and minor complications, and the duration of hospital stay were similar for randomized patients undergoing transperitoneal and retroperitoneal reconstruction. When compared to retrospectively reviewed patients having aortic reconstruction, randomized patients undergoing transperitoneal and retroperitoneal operations had highly significant (p < 0.001) reductions in postoperative ventilation, transfusion requirements, and length of hospital stay. Such trends were all independent of transperitoneal versus retroperitoneal approach. We could demonstrate no important advantage for the retroperitoneal approach, and thus no support for its adoption as the preferred technique for routine aortic reconstruction. (J VASC SURG 1990;11:314-25.)

Regular ArticleBasic principles and limitations of electrocardiographic and haemodynamic bedside monitoring

AbstractPatient management decisions in the perioperative period are often based upon pressures and electrocardiograms (ECG) obtained from bedside monitors. To interpret such data, one must be cognizant of its limitations. The requisite accuracy and precision of such data requires both knowledge of the way these data are acquired and displayed, and the reasons for making the measurements. For example, for the ECG, the differences between monitor and diagnostic modes and the effects of calibration must be understood. For invasively measured pressures, the static and dynamic properties of electronic transducing systems and displays should be known, as well as the reasons for measuring systolic, diastolic and mean pressures. This chapter provides the background to understanding how such devices obtain and process data, as well as some basic principles of data interpretation.

Regular ArticleComplications during vascular surgery: basic principles and management of arrhythmias

AbstractThis chapter focuses on the anatomy and physiology of arrhythmias and specifically only on supraventricular arrhythmias, as these are the most common requiring treatment in the perioperative period. Rational treatment of arrhythmias requires an understanding of the anatomy of the conduction system, the pathophysiological and electrophysiological basis of arrhythmias, and the basic mechanisms of anti-arrhythmic drug action. This chapter reviews the basic anatomy of the conduction system and then focuses on both abnormal impulse generation and conduction. The conventional classification of anti-arrhythmic drugs is then discussed, followed by some newer approaches to classification based on a more detailed understanding of the mechanisms of action. Finally, management of common supraventricular arrhythmias is presented.

Regular ArticleComplications during vascular surgery: basic principles and management of cardiac ischaemia

AbstractSystematic management of cardiac ischaemia requires an understanding of both the determinants of myocardial oxygen consumption, MVO2and coronary perfusion. This chapter discusses the mechanical and pharmacological determinants of MVO2using primarily end-systolic pressure–volume relation, ESPVR, and the relation of the pressure–volume area, which is based upon the ESPVR to MVO2. First, the mechanical determinants of cardiac performance are discussed, followed by their interaction with MVO2. Emphasis is placed upon the effects of heart rate, changes in cardiac loading, and in contractility on MVO2using the PVA as a basis for analysis. It will be shown that the effects of blood pressure on MVO2depend mostly on the contractile state of the heart, whereas when considered per beat heart rate probably does not affect MVO2. The concept of increasing contractility causing oxygen wasting and the controversy surrounding this concept is also discussed.

The Evolution of the Anesthesiologist: Novel Perioperative Roles and Beyond

Delivery of the spectrum of anesthesia from sedation to general anesthesia for patients undergoing procedures outside of the operating room (OR) poses several problems not encountered in the OR. These include limited time to assess the patient and often no time to obtain consultations for medical conditions that may be outside of the usual purview of an anesthesiologist, such as initial management of infections, diabetic ketoacidosis or hyperosmotic hyperglycemic state, inadequately managed cardiovascular disease, and toxic ingestions. Anesthesiologists trained in critical care usually have more experience with the initial assessment and management of patients with such conditions. It can be argued that because procedures performed outside of the OR are becoming more common, the curriculum for anesthesia residencies should be modified to provide more training in conditions typically assessed and managed by internists or medical subspecialists.

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