Andrew C Bernard, MD

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About
Education
Publications

andrew.bernard@uky.edu
859-323-6346

Position(s):

Professor of Surgery

Paul A. Kearney MD Endowed Chair in Trauma Surgery

Section Head, Acute Care Surgery, Trauma and Surgical Critical Care

Affiliation(s):

Surgery

Other Affiliation(s):

Surgery/General

ACSTSCC

Interests / Specialties:

Arginine metabolism

Transfusion-associated immune suppression

Language barriers in acute care

ATV trauma

Bio / Education:

Medical School
University of Kentucky

Residency
University of Kentucky

Fellowship
University of Kentucky, Surgical Critical Care and Trauma

Board Certification
General Surgery
Surgery Critical Care

Surgical Interests

Minimally invasive surgery
Trauma
Upper and lower endoscopy
Surgical critical care

PubMed Publications:

Real, K.;Fields-Elswick, K.;Bernard, A.C. "Understanding Resident Performance, Mindfulness, and Communication in Critical Care Rotations." Journal of surgical education 74, 3 (2017): 503-512. [PubMed Link] | [ Full text ]
Smith, J.W.;Nash, N.;Procter, L.;Benns, M.;Franklin, G.A.;Miller, K.;Harbrecht, B.G.;Bernard, A.C. "Not All Abdomens Are the Same: A Comparison of Damage Control Surgery for Intra-abdominal Sepsis versus Trauma." The American surgeon 82, 5 (2016): 427-32. [PubMed Link] | [ Full text ]
Oyler, D.R.;Parli, S.E.;Bernard, A.C.;Chang, P.K.;Procter, L.D.;Harned, M.E. "Nonopioid management of acute pain associated with trauma: Focus on pharmacologic options." The journal of trauma and acute care surgery 79, 3 (2015): 475-83. [PubMed Link] | [ Full text ]
Bottiggi, A.J.;White, K.D.;Bernard, A.C.;Davenport, D.L. "Impact of Device-Associated Infection on Trauma Patient Outcomes at a Major Trauma Center." Surgical infections 16, 3 (2015): 276-80. [PubMed Link] | [ Full text ]
Carmichael SP, 2nd;Davenport, D.L.;Kearney, P.A.;Bernard, A.C. "On and off the horse: mechanisms and patterns of injury in mounted and unmounted equestrians." Injury 45, 9 (2014): 1479-83. [PubMed Link] | [ Full text ]
Long, K.L.;Hamilton, D.A.;Davenport, D.L.;Bernard, A.C.;Kearney, P.A.;Chang, P.K. "A prospective, controlled evaluation of the abdominal reapproximation anchor abdominal wall closure system in combination with VAC therapy compared with VAC alone in the management of an open abdomen." The American surgeon 80, 6 (2014): 567-71. [PubMed Link] | [ Full text ]
Carmichael SP, 2nd;Zwischenberger, B.A.;Bernard, A.C. "Late reoperation for retained gallstone after laparoscopic cholecystectomy." Surgical laparoscopy, endoscopy & percutaneous techniques 24, 1 (2014): e27-8. [PubMed Link] | [ Full text ]
Bunn, T.L.;Slavova, S.;Bernard, A.C. "Work-related injuries in a state trauma registry: relationship between industry and drug screening." The journal of trauma and acute care surgery 77, 2 (2014): 280-5. [PubMed Link] | [ Full text ]
Cox, J.A.;Bernard, A.C.;Bottiggi, A.J.;Chang, P.K.;Talley, C.L.;Tucker, B.;Davenport, D.L.;Kearney, P.A. "Influence of in-house attending presence on trauma outcomes and hospital efficiency." Journal of the American College of Surgeons 218, 4 (2014): 734-8. [PubMed Link] | [ Full text ]
Procter, L.D.;Meier, C.F.;Hamilton, C.;Gerughty, A.R.;Overall, P.;Santapuram, P.;Davenport, D.L.;McNamara, P.;Woodward, J.;Bernard, A.C. "y+ cationic amino acid transport of arginine in packed red blood cells." The Journal of surgical research 179, 1 (2013): e183-7. [PubMed Link] | [ Full text ]
Procter, L.;Bernard, A.C.;Korosec, R.L.;Chipko, P.L.;Kearney PA, J.;Zwischenberger, J.B. "An acute care surgery service generates a positive contribution margin in an appropriately staffed hospital." Journal of the American College of Surgeons 216, 2 (2013): 298-301. [PubMed Link] | [ Full text ]
Hamilton, C.;Carmichael, S.;Bernard, A. "Laparoscopic cholecystectomy for traumatic gallbladder perforation." Journal of surgical case reports 2012, 6 (2012): 13. [PubMed Link] | [ Full text ]
Miller, C.P.;Cook, A.M.;Case, C.D.;Bernard, A.C. "As-needed antihypertensive therapy in surgical patients, why and how: challenging a paradigm." The American surgeon 78, 2 (2012): 250-3. [PubMed Link] | [ Full text ]
Ferraris, V.A.;Bernard, A.C.;Hyde, B. "The impact of antiplatelet drugs on trauma outcomes." The journal of trauma and acute care surgery 73, 2 (2012): 492-7. [PubMed Link] | [ Full text ]
Carmichael, S.;Procter, L.;Bernard, A. "A novel treatment for inferior mediastinal abscess via abdominal laparoscopy." Journal of surgical case reports 2012, 4 (2012): 7. [PubMed Link] | [ Full text ]
Bernard, A.C.;Moore, E.E.;Moore, F.A.;Hides, G.A.;Guthrie, B.J.;Omert, L.A.;Gould, S.A.;Rodman GH, J.;PolyHeme Study, G. "Postinjury resuscitation with human polymerized hemoglobin prolongs early survival: a post hoc analysis." The Journal of trauma 70, 5 Suppl (2011): S34-7. [PubMed Link] | [ Full text ]
Stanley, M.D.;Davenport, D.L.;Procter, L.D.;Perry, J.E.;Kearney, P.A.;Bernard, A.C. "An acute care surgery rotation contributes significant general surgical operative volume to residency training compared with other rotations." The Journal of trauma 70, 3 (2011): 590-4. [PubMed Link] | [ Full text ]
Hasenboehler, E.A.;Bernard, A.C.;Bottiggi, A.J.;Moghadamian, E.S.;Wright, R.D.;Chang, P.K.;Boulanger, B.R.;Kearney, P.A. "Treatment of traumatic flail chest with muscular sparing open reduction and internal fixation: description of a surgical technique." The Journal of trauma 71, 2 (2011): 494-501. [PubMed Link] | [ Full text ]
Kluemper, C.;Rogers, A.;Fallat, M.;Bernard, A.C. "Genitourinary injuries in pediatric all-terrain vehicle trauma--a mechanistic relationship?" Urology 75, 5 (2010): 1162-4. [PubMed Link] | [ Full text ]
Bernard, A.C.;Mullineaux, D.R.;Auxier, J.T.;Forman, J.L.;Shapiro, R.;Pienkowski, D. "Pediatric anthropometrics are inconsistent with current guidelines for assessing rider fit on all-terrain vehicles." Accident; analysis and prevention 42, 4 (2010): 1220-5. [PubMed Link] | [ Full text ]
Procter, L.D.;Davenport, D.L.;Bernard, A.C.;Zwischenberger, J.B. "General surgical operative duration is associated with increased risk-adjusted infectious complication rates and length of hospital stay." Journal of the American College of Surgeons 210, 1 (2010): 60-5.e1-2. [PubMed Link] | [ Full text ]
Bernard, A.C.;Lee, C.;Hoskins, J.;Lee, J.;Patel, S.;Ginn, G.;Maley, B. "Sciatic hernia: laparoscopic transabdominal extraperitoneal repair with plug and patch." Hernia : the journal of hernias and abdominal wall surgery 14, 1 (2010): 97-100. [PubMed Link] | [ Full text ]
Bernard, A.C.;Davenport, D.L.;Chang, P.K.;Vaughan, T.B.;Zwischenberger, J.B. "Intraoperative transfusion of 1 U to 2 U packed red blood cells is associated with increased 30-day mortality, surgical-site infection, pneumonia, and sepsis in general surgery patients." Journal of the American College of Surgeons 208, 5 (2009): 931-7, 937.e1-2; discussion 938-9. [PubMed Link] | [ Full text ]
Lee, C.Y.;Bernard, A.C.;Fryman, L.;Coughenour, J.;Costich, J.;Boulanger, B.;Chang, P.;Kearney, P.A. "Imaging may delay transfer of rural trauma victims: a survey of referring physicians." The Journal of trauma 65, 6 (2008): 1359-63. [PubMed Link] | [ Full text ]
Barnes, S.L.;Badrudduja, M.;Bernard, A.C.;Boulanger, B.R. "Pneumobilia after blunt trauma: a self-limited condition?" The Journal of trauma 60, 3 (2006): 637-9. [PubMed Link] | [ Full text ]
Inayat, M.S.;Bernard, A.C.;Gallicchio, V.S.;Garvy, B.A.;Elford, H.L.;Oakley, O.R. "Oxygen carriers: a selected review." Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis 34, 1 (2006): 25-32. [PubMed Link] | [ Full text ]
Bernard, A.C.;Summers, A.;Thomas, J.;Ray, M.;Rockich, A.;Barnes, S.;Boulanger, B.;Kearney, P. "Novel spanish translators for acute care nurses and physicians: usefulness and effect on practitioners' stress." American journal of critical care : an official publication, American Association of Critical-Care Nurses 14, 6 (2005): 545-50. [PubMed Link] | [ Full text ]
Bernard, A.C.;Winstead, P.S.;Mentzer, R.M. "Changing the paradigm for transfusing the anemic patient in an acute care environment." The Journal of the Kentucky Medical Association 103, 3 (2005): 86-91. [PubMed Link] |
Tsuei, B.J.;Bernard, A.C.;Barksdale, A.R.;Rockich, A.K.;Meier, C.F.;Kearney, P.A. "Supplemental enteral arginine is metabolized to ornithine in injured patients." The Journal of surgical research 123, 1 (2005): 17-24. [PubMed Link] | [ Full text ]
Barnes, S.L.;Bernard, A.C.;Kearney, P.A.;Boulanger, B.R. "A rare case of HITTS following prophylactic LMWH therapy in a blunt trauma victim." Injury 36, 2 (2005): 347-51. [PubMed Link] | [ Full text ]
Magnuson, B.L.;Clifford, T.M.;Hoskins, L.A.;Bernard, A.C. "Enteral nutrition and drug administration, interactions, and complications." Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition 20, 6 (2005): 618-24. [PubMed Link] | [ Full text ]
Bernard, A.C.;Magnuson, B.;Tsuei, B.J.;Swintosky, M.;Barnes, S.;Kearney, P.A. "Defining and assessing tolerance in enteral nutrition." Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition 19, 5 (2004): 481-6. [PubMed Link] | [ Full text ]
Bernard, A.C.;Barnes, S.L.;Boulanger, B.R. "Multilevel blunt duodenal injury." The Journal of trauma 57, 5 (2004): 1108-10. [PubMed Link] | [ Full text ]
Barksdale, A.R.;Bernard, A.C.;Maley, M.E.;Gellin, G.L.;Kearney, P.A.;Boulanger, B.R.;Tsuei, B.J.;Ochoa, J.B. "Regulation of arginase expression by T-helper II cytokines and isoproterenol." Surgery 135, 5 (2004): 527-35. [PubMed Link] | [ Full text ]
Tsuei, B.J.;Skinner, J.C.;Bernard, A.C.;Kearney, P.A.;Boulanger, B.R. "The open peritoneal cavity: etiology correlates with the likelihood of fascial closure." The American surgeon 70, 7 (2004): 652-6. [PubMed Link] |
Barnes, S.L.;Shane, M.D.;Schoemann, M.B.;Bernard, A.C.;Boulanger, B.R. "Laparoscopic appendectomy after 30 weeks pregnancy: report of two cases and description of technique." The American surgeon 70, 8 (2004): 733-6. [PubMed Link] |
Bernard, A.C.;Mullett, T.W. "Mediastinal granuloma complicating histoplasmosis." The Journal of the Kentucky Medical Association 101, 1 (2003): 12-4. [PubMed Link] |
Boulanger, B.R.;Barnes, S.;Bernard, A.C. "Epiploic appendagitis: an emerging diagnosis for general surgeons." The American surgeon 68, 11 (2002): 1022-5. [PubMed Link] |
Tsuei, B.J.;Bernard, A.C.;Shane, M.D.;Shirley, L.A.;Maley, M.E.;Boulanger, B.R.;Kearney, P.A.;Ochoa, J.B. "Surgery induces human mononuclear cell arginase I expression." The Journal of trauma 51, 3 (2001): 497-502. [PubMed Link] | [ Full text ]
Bernard, A.C.;Mistry, S.K.;Morris SM, J.;O'Brien, W.E.;Tsuei, B.J.;Maley, M.E.;Shirley, L.A.;Kearney, P.A.;Boulanger, B.R.;Ochoa, J.B. "Alterations in arginine metabolic enzymes in trauma." Shock (Augusta, Ga.) 15, 3 (2001): 215-9. [PubMed Link] |
Ochoa, J.B.;Bernard, A.C.;O'Brien, W.E.;Griffen, M.M.;Maley, M.E.;Rockich, A.K.;Tsuei, B.J.;Boulanger, B.R.;Kearney, P.A.;Morris Jr SM, J. "Arginase I expression and activity in human mononuclear cells after injury." Annals of surgery 233, 3 (2001): 393-9. [PubMed Link] | [ Full text ]
Bernard, A.C.;Hagihara, P.F.;Burke, V.J.;Kugelmas, M. "Endoscopic localization and management of colonic bleeding in patients with portal hypertension." Surgical laparoscopy, endoscopy & percutaneous techniques 11, 3 (2001): 195-8. [PubMed Link] |
Bernard, A.C.;Mastrangelo, M.J.;Schwartz, R.W. "Laparoscopic localization and management of lower gastrointestinal vascular lesions." Current surgery 57, 4 (2000): 318-320. [PubMed Link] | [ Full text ]
Bernard, A.C.;Schwartz, R.W. "Lower gastrointestinal vascular lesions: current concepts in diagnosis and treatment." Current surgery 57, 4 (2000): 313-317. [PubMed Link] | [ Full text ]
Ochoa, J.B.;Bernard, A.C.;Mistry, S.K.;Morris SM, J.;Figert, P.L.;Maley, M.E.;Tsuei, B.J.;Boulanger, B.R.;Kearney, P.A. "Trauma increases extrahepatic arginase activity." Surgery 127, 4 (2000): 419-26. [PubMed Link] | [ Full text ]
Bernard, A.C.;Fitzpatrick, E.A.;Maley, M.E.;Gellin, G.L.;Tsuei, B.J.;Arden, W.A.;Boulanger, B.R.;Kearney, P.A.;Ochoa, J.B. "Beta adrenoceptor regulation of macrophage arginase activity." Surgery 127, 4 (2000): 412-8. [PubMed Link] | [ Full text ]
Bernard, A.C.;Kenady, D.E. "Conventional surgical tracheostomy as the preferred method of airway management." Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons 57, 3 (1999): 310-5. [PubMed Link] | [ Full text ]