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Division of Pulmonary and Critical Care

and Allergy/Immunology

 

Steven Chang, MD

 

Steven Y Chang MD PhD

Assistant Professor of Medicine

MICU Director


 

Dr, Chang is the Director of the Medical Intensive Care Unit. His clinical interests include: Sepsis, Acute Lung Injury and the Acute Respiratory Distress Syndrome, and Ventilator Management. His academic interests include ICU organization especially as related to patient safety and care, severe sepsis & septic shock, and ALI/ARDS. 

He has serves as the site primary investigator for several international, multicenter sepsis trials including: Prowess-SHOCK, CAPTIVATE, ART-123, in addition to a lung injury prevention study, an international mechanical ventilation study, and an investigation into the role of protocols in the management of critically ill patients.  He is the site representative for the U.S. Critical Illness and Injury Trial (USCIIT) Group, a clinical research network sponsored by the NIH.  Dr. Chang also sponsors a fellow-initiated research project looking at sepsis outcomes of AIDS patients in the era of HAART.

 


Recent Publications:

 

a. Gajic, O., O. Dabbagh, P.K. Park, A. Adesanya, S.Y. Chang, P. Hou, H.              Anderson III, J.J. Hoth, M. Mikkelsen, N.T. Gentile, M.N. Gong, E. Bajwa, D. Talmor, on behalf of U.S. Critical Illness and Injury Trials Group:  Lung Injury Prevention Study Investigators (USCIITG-LIPS). (2011) Early identification of patients at risk of acute lung injury:  Evaluation of Lung Injury Prediction Score in a Multicenter Cohort Study. American Journal of Respiratory and Critical Care Medicine; 183: 462-470.

b. Chang, S.Y., J. Sevransky, G.S. Martin.  Protocols in the management of critical illness.  Accepted for publication in Critical Care.        

c. Chang, S.Y., S.L. Merwin, J.F. Fein, A.M. Fein. (2010). Regional ICU Care:  The Future is Now.  Journal of Intensive Care Medicine; 25: 179-181.

d. Defining and measuring patient safety in the critical care unit.  In R.S.S. Irwin & J.M. Rippe (Eds.) Irwin and Rippe’s Intensive Care Medicine, Lippincott Williams & Williams, 2006, 6th edition and 2011, 7th edition.

e. Chang, S.Y., J. Edelson, and A.M. Fein.  The Systemic Inflammatory Response Syndrome and Septic Shock.  In S. Raoof (Ed.) Manual ofCritical Care, McGraw-Hill, 2008.

f.  Chang, S.Y.  Echocardiography in the critically ill patient.  In J.B. Hall &        G.A. Schmidt (Eds.) Just the Facts:  Critical Care;  New York:  McGraw-Hill, 2007.

g.  Checkly, W., G.S. Martin, S. Brown, S.Y. Chang, O. Dabbagh, et al. (2011). Organizational structure of 27 intensive care units in the United States:Critical Illness Outcomes Study (CIOS).  American Journal of Respiratory and Critical Care Medicine; 183: A1020.

h.  Park, P., N.O. Birkmeyer, N. Gentile, S.Y. Chang, O. Dabbagh., O. Gajic.(2011). Early cumulative fluid balance and development of acute lung injury.  American Journal of Respiratory and Critical Care Medicine; 183: A5592.

i.  Watkins, T., L.B. Lemos-Filho, O. Dabbagh, S.Y. Chang, P.K. Park, M.N. Gong (2011).  Use of angiotensin converting enzyme inhibitors or angiotensin receptor blockers and clinical outcomes among patients at risk for Acute Lung Injury. American Journal of Respiratory and Critical Care Medicine; 183: A5598.

j.  Gajic, O., O. Dabbagh, P.K. Park, A. Adesanya, S.Y. Chang, P. Hou, H. Anderson III, J.J. Hoth, M. Mikkelsen, N.T. Gentile, M.N. Gong, E. Bajwa, D. Talmor, on behalf of U.S. Critical Illness and Injury Trials Group:  Lung Injury Prevention Study Investigators (USCIITG-LIPS)(2010).  Frequency and outcome of acute lung injury in hospitalized patients at risk:  a multicenter cohort study.  American Journal of Respiratory and Critical Care Medicine; 181: A2590.

k. Gajic, O., O. Dabbagh, P.K. Park, A. Adesanya, S.Y. Chang, P. Hou, H. Anderson III, J.J. Hoth, M. Mikkelsen, N.T. Gentile, M.N. Gong, E., Bajwa, D. Talmor, on behalf of U.S. Critical Illness and Injury Trials Group:  Lung Injury Prevention Study Investigators (USCIITG-LIPS)(2010). Towards prevention of acute lung injury:  identification of patients at risk           at the time of hospital admission.  American Journal of Respiratory and Critical Care Medicine; 181: A4087.

l.  Park, P., S. Chang, O. Gajic, O. Dabbagh, A Adesanya, J. Hoth, H. Anderson, on behalf of the U.S. Critical Illness and Injury Trials Group:  Lung Injury Prevention Study Investigators (USCIITG-LIPS).  ALI/ARDS in Emergency Surgery:  The U.S. Critical Illness and Injury Trials Group (USCIITG) Lung Injury Prevention Study Cohort.  2010 American Association for the Surgery of Trauma conference.

m.  Quinones, A., R. Ali-Permell, R. Russo, S. Chang,  E. Hussain, M. Nelson, A.        Fein.  (2003).  Etiology of prolonged mechanical ventilation in tertiary      setting.  Chest; 124(4): 205S.

 

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