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| known_for = ICU [[delirium]] and post-ICU [[dementia]] research
| known_for = ICU [[delirium]] and post-ICU [[dementia]] research
| website = {{URL|http://www.icudelirium.org}}
| website = {{URL|http://www.icudelirium.org}}
}}'''Eugene Wesley Ely Jr.''' is an American physician and professor of medicine, conducting research as a geriatric [[intensivist]] in the Division of [[Pulmonary medicine|Pulmonary]] and [[Critical care medicine|Critical Care Medicine]] and the Center for Health Services Research at [[Vanderbilt University School of Medicine]]. He is also the associate director of research at the Tennessee Valley Geriatric Research Education and Clinical Center (GRECC), part of the [[United States Department of Veterans Affairs|U.S. Department of Veterans Affairs]].<ref name=":7">{{Cite journal|date=2017-04-01|editor-last=Napolitano|editor-first=Lena M.|editor2-last=Kellum|editor2-first=John A.|title=Contributors|url=http://www.criticalcare.theclinics.com/article/S0749-0704(17)30006-4/fulltext|journal=Critical Care Clinics|language=English|volume=33|issue=2|pages=iii–v|doi=10.1016/S0749-0704(17)30006-4}}</ref><ref name=":8">{{Cite web|url=https://www.va.gov/GRECC/Tennessee_Valley_GRECC.asp|title=Tennessee Valley GRECC - Geriatric Research Education and Clinical Centers|last=Foley|first=Tim|date=2010-03-30|website=U.S. Department of Veterans Affair|language=en|access-date=2017-09-29}}</ref> His research is focused on [[Ageing|aging]], [[delirium]], post-ICU [[dementia]], and other disorders related to [[post-intensive care syndrome]], a set of conditions common especially in elderly patients that develops during acute care hospitalization and could be caused by the treatments used in [[intensive care medicine]].<ref name=":5">{{Cite news|url=https://www.theatlantic.com/health/archive/2015/06/the-overlooked-danger-of-delirium-in-hospitals/394829/|title=The Overlooked Danger of Delirium in Hospitals|last=Boodman|first=Sandra G.|work=The Atlantic|access-date=2017-09-21|language=en-US}}</ref><ref>{{Cite news|url=https://newoldage.blogs.nytimes.com/2011/11/02/another-hospital-hazard-for-the-elderly/|title=Another Hospital Hazard for the Elderly|last=Seliger|first=Susan|date=2011-11-02|work=The New York Times|access-date=2017-09-22|language=en}}</ref> The diagnosis and treatment protocols developed by Ely and his research group have been validated by independent studies, translated into several languages, and adopted by many hospitals around the world.<ref>{{Cite news|url=https://www.welt.de/print/wams/wissen/article155359447/Intensive-Verwirrung.html|title=Intensive Verwirrung|last=Nauber|first=Teresa|date=2016-05-15|work=Die Welt|access-date=2017-09-21}}</ref><ref name=":11">{{Cite journal|last=Gusmao-Flores|first=Dimitri|last2=Salluh|first2=Jorge Ibrain Figueira|last3=Chalhub|first3=Ricardo Ávila|last4=Quarantini|first4=Lucas C|date=2012|title=The confusion assessment method for the intensive care unit (CAM-ICU) and intensive care delirium screening checklist (ICDSC) for the diagnosis of delirium: a systematic review and meta-analysis of clinical studies|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3580690/|journal=Critical Care|volume=16|issue=4|pages=R115|doi=10.1186/cc11407|pmc=PMC3580690|pmid=22759376}}</ref>
}}'''Eugene Wesley Ely Jr.''' is an American physician and professor of medicine, conducting research as a geriatric [[intensivist]] in the Division of [[Pulmonary medicine|Pulmonary]] and [[Critical care medicine|Critical Care Medicine]] and the Center for Health Services Research at [[Vanderbilt University School of Medicine]]. He is also the associate director of research at the Tennessee Valley Geriatric Research Education and Clinical Center (GRECC), part of the [[United States Department of Veterans Affairs|U.S. Department of Veterans Affairs]].<ref name=":7">{{Cite journal|date=2017-04-01|editor-last=Napolitano|editor-first=Lena M.|editor2-last=Kellum|editor2-first=John A.|title=Contributors|url=http://www.criticalcare.theclinics.com/article/S0749-0704(17)30006-4/fulltext|journal=Critical Care Clinics|language=English|volume=33|issue=2|pages=iii–v|doi=10.1016/S0749-0704(17)30006-4}}</ref><ref name=":8">{{Cite web|url=https://www.va.gov/GRECC/Tennessee_Valley_GRECC.asp|title=Tennessee Valley GRECC - Geriatric Research Education and Clinical Centers|last=Foley|first=Tim|date=2010-03-30|website=U.S. Department of Veterans Affair|language=en|access-date=2017-09-29}}</ref> His research is focused on [[Ageing|aging]], [[delirium]], post-ICU [[dementia]], and other disorders related to [[post-intensive care syndrome]], a set of conditions common especially in elderly patients that develops during acute care hospitalization and could be caused by the treatments used in [[intensive care medicine]].<ref name=":5">{{Cite news|url=https://www.theatlantic.com/health/archive/2015/06/the-overlooked-danger-of-delirium-in-hospitals/394829/|title=The Overlooked Danger of Delirium in Hospitals|last=Boodman|first=Sandra G.|work=The Atlantic|access-date=2017-09-21|language=en-US}}</ref><ref>{{Cite news|url=https://newoldage.blogs.nytimes.com/2011/11/02/another-hospital-hazard-for-the-elderly/|title=Another Hospital Hazard for the Elderly|last=Seliger|first=Susan|date=2011-11-02|work=The New York Times|access-date=2017-09-22|language=en}}</ref> The diagnosis and treatment protocols developed by Ely and his research group have been validated by independent studies, translated into many languages, and adopted by hospitals around the world.<ref>{{Cite news|url=https://www.welt.de/print/wams/wissen/article155359447/Intensive-Verwirrung.html|title=Intensive Verwirrung|last=Nauber|first=Teresa|date=2016-05-15|work=Die Welt|access-date=2017-09-21}}</ref><ref name=":11">{{Cite journal|last=Gusmao-Flores|first=Dimitri|last2=Salluh|first2=Jorge Ibrain Figueira|last3=Chalhub|first3=Ricardo Ávila|last4=Quarantini|first4=Lucas C|date=2012|title=The confusion assessment method for the intensive care unit (CAM-ICU) and intensive care delirium screening checklist (ICDSC) for the diagnosis of delirium: a systematic review and meta-analysis of clinical studies|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3580690/|journal=Critical Care|volume=16|issue=4|pages=R115|doi=10.1186/cc11407|pmc=PMC3580690|pmid=22759376}}</ref>


== Education ==
== Education ==
Ely attended [[Loyola College Prep|Jesuit High School]] in [[Shreveport, Louisiana]], where his mother Diana Lowe Ely was an English teacher and theater director of the high school.<ref>{{Cite news|url=http://www.cathmed.org/programs-resources/editorial-board/|title=Editorial Board|work=Catholic Medical Association|access-date=2017-09-29|language=en-US}}</ref><ref>{{Cite web|url=http://www.legacy.com/obituaries/shreveporttimes/obituary.aspx?n=ann-lowe&pid=157197289|title=Ann Lowe's Obituary on Shreveport Times|date=2010-04-24|website=Shreveport Times|access-date=2017-10-18}}</ref><ref>{{Cite web|url=http://www.legacy.com/obituaries/shreveporttimes/obituary.aspx?n=noel-ranney&pid=157197463|title=Noel Ranney's Obituary on Shreveport Times|website=Shreveport Times|access-date=2017-10-18}}</ref> His father Eugene Wesley Ely was a [[chemical engineer]] who worked for [[Ingersoll Rand Industrial Technologies|Ingersoll-Rand]].<ref name=":12">{{Cite web|url=http://www.legacy.com/obituaries/houstonchronicle/obituary.aspx?n=eugene-wesley-ely&pid=87159076|title=Eugene Wesley Ely's Obituary on Houston Chronicle|date=2007-04-10|website=Houston Chronicle|access-date=2017-10-14|via=[[Legacy.com]]}}</ref> After high school, Ely Jr. attended [[Tulane University]] in [[New Orleans|New Orleans, Louisiana]], where he graduated [[Latin honors|summa cum laude]] with a bachelor's degree in Biology in 1985. He went on to attend the university's [[Tulane University School of Public Health and Tropical Medicine|School of Public Health and Tropical Medicine]], graduating with a [[Professional degrees of public health|public health master's degree]] in 1989. Ely earned his medical degree from the [[Tulane University School of Medicine]] later the same year.<ref name=":0">{{Cite web|url=https://medicine.mc.vanderbilt.edu/allergy-pulmonary-faculty-e-ely|title=Allergy Pulmonary Faculty: Ely, E. Wesley, MD, MPH|date=2016|website=Vanderbilt University Medical Center|language=en|access-date=2017-09-11}}</ref><ref name=":9">{{Cite web|url=http://www.wcim2018.com/wp-content/uploads/2015/09/Dr-E.-Wesley-Ely.pdf|title=Curriculum Vitae|date=2016-03-28|website=World Congress of Internal Medicine|access-date=2017-09-10}}</ref>
Ely attended [[Loyola College Prep|Jesuit High School]] in [[Shreveport, Louisiana]], where his mother Diana Lowe Ely was an English teacher and theater director of the high school.<ref>{{Cite news|url=http://www.cathmed.org/programs-resources/editorial-board/|title=Editorial Board|work=Catholic Medical Association|access-date=2017-09-29|language=en-US}}</ref><ref>{{Cite web|url=http://www.legacy.com/obituaries/shreveporttimes/obituary.aspx?n=ann-lowe&pid=157197289|title=Ann Lowe's Obituary on Shreveport Times|date=2010-04-24|website=Shreveport Times|access-date=2017-10-18}}</ref><ref>{{Cite web|url=http://www.legacy.com/obituaries/shreveporttimes/obituary.aspx?n=noel-ranney&pid=157197463|title=Noel Ranney's Obituary on Shreveport Times|website=Shreveport Times|access-date=2017-10-18}}</ref> His father Eugene Wesley Ely was a [[Mechanical engineering|mechanical engineer]] who worked for [[Ingersoll Rand Industrial Technologies|Ingersoll-Rand]].<ref name=":12">{{Cite web|url=http://www.legacy.com/obituaries/houstonchronicle/obituary.aspx?n=eugene-wesley-ely&pid=87159076|title=Eugene Wesley Ely's Obituary on Houston Chronicle|date=2007-04-10|website=Houston Chronicle|access-date=2017-10-14|via=[[Legacy.com]]}}</ref> After high school, Ely Jr. attended [[Tulane University]] in [[New Orleans|New Orleans, Louisiana]], where he graduated [[Latin honors|summa cum laude]] with a bachelor's degree in Biology in 1985. He went on to attend the university's [[Tulane University School of Public Health and Tropical Medicine|School of Public Health and Tropical Medicine]], graduating with a [[Professional degrees of public health|public health master's degree]] in 1989. Ely earned his medical degree from the [[Tulane University School of Medicine]] later the same year.<ref name=":0">{{Cite web|url=https://medicine.mc.vanderbilt.edu/allergy-pulmonary-faculty-e-ely|title=Allergy Pulmonary Faculty: Ely, E. Wesley, MD, MPH|date=2016|website=Vanderbilt University Medical Center|language=en|access-date=2017-09-11}}</ref><ref name=":9">{{Cite web|url=http://www.wcim2018.com/wp-content/uploads/2015/09/Dr-E.-Wesley-Ely.pdf|title=Curriculum Vitae|date=2016-03-28|website=World Congress of Internal Medicine|access-date=2017-09-10}}</ref>


== Career ==
== Career ==
After graduating from medical school, Ely began his residency at Bowman Gray School of Medicine (now know as [[Wake Forest School of Medicine]]). After three years as a resident, he continued at the hospital as a postdoctoral fellow until 1995. In 1996, while serving as chief resident at Bowman Gray,<ref name=":9" /> Ely and his colleagues published the findings of a study into the efficacy of a [[Medical ventilator|ventilator]] weaning protocol (called [[Spontaneous breathing trial|spontaneous breathing trials]]) in reducing the duration of an ICU patient's hospital stay. The study published in [[The New England Journal of Medicine|''The New England Journal of Medicine'']]<ref>{{Cite journal|last=Luce|first=John M.|date=1996-12-19|title=Reducing the Use of Mechanical Ventilation|url=http://dx.doi.org/10.1056/NEJM199612193352509|journal=New England Journal of Medicine|volume=335|issue=25|pages=1916–1917|doi=10.1056/NEJM199612193352509|pmid=8948568}}</ref> reported that "daily screening followed by spontaneous breathing trials in medical and coronary intensive care units reduced the duration of ventilation from a median of 6.0 to 4.5 [days]."<ref name=":10">{{Cite book|url=https://books.google.com/books?id=3EuzBgAAQBAJ|title=Controversies in Intensive Care Medicine|last=Dembinski|first=Rolf|last2=Kuhlen|first2=Ralf|date=2015-02-16|publisher=MWV|isbn=9783954661916|editor-last=Moreno|editor-first=Rui P.|pages=11– 13|language=en|chapter=Weaning: Protocols vs clinically driven|editor-last2=Rhodes|editor-first2=Andrew|editor-last3=Kuhlen|editor-first3=Ralf|editor-last4=Ranieri|editor-first4=Marco}}</ref>
After graduating from medical school, Ely began his residency at Bowman Gray School of Medicine (now know as [[Wake Forest School of Medicine]]). After three years as a resident, he continued at the hospital as a postdoctoral fellow until 1995. In 1996, while serving as chief resident at Bowman Gray,<ref name=":9" /> Ely and his colleagues published the findings of a study into the efficacy of a [[Medical ventilator|ventilator]] weaning protocol (called [[Spontaneous breathing trial|spontaneous breathing trials]]) in reducing the duration of an ICU patient's hospital stay. The study published in [[The New England Journal of Medicine|''The New England Journal of Medicine'']]<ref>{{Cite journal|last=Luce|first=John M.|date=1996-12-19|title=Reducing the Use of Mechanical Ventilation|url=http://dx.doi.org/10.1056/NEJM199612193352509|journal=New England Journal of Medicine|volume=335|issue=25|pages=1916–1917|doi=10.1056/NEJM199612193352509|pmid=8948568}}</ref> reported that "daily screening followed by spontaneous breathing trials in medical and coronary intensive care units reduced the duration of ventilation from a median of 6.0 to 4.5 [days]."<ref name=":10">{{Cite book|url=https://books.google.com/books?id=3EuzBgAAQBAJ|title=Controversies in Intensive Care Medicine|last=Dembinski|first=Rolf|last2=Kuhlen|first2=Ralf|date=2015-02-16|publisher=MWV|isbn=9783954661916|editor-last=Moreno|editor-first=Rui P.|pages=11– 13|language=en|chapter=Weaning: Protocols vs clinically driven|editor-last2=Rhodes|editor-first2=Andrew|editor-last3=Kuhlen|editor-first3=Ralf|editor-last4=Ranieri|editor-first4=Marco}}</ref>


Until 1998, Ely served as professor of internal medicine at the same medical school and medical director of its Chronic Lung Failure Clinic. In 1998, Ely trained in [[lung transplantation]] at [[Barnes-Jewish Hospital]] of the [[Washington University School of Medicine]] in [[St. Louis]], [[Missouri]] before leaving Bowman Gray to serve as a professor of medicine at [[Vanderbilt University Medical Center]].<ref name=":92">{{Cite web|url=http://www.wcim2018.com/wp-content/uploads/2015/09/Dr-E.-Wesley-Ely.pdf|title=Curriculum Vitae|date=2016-03-28|website=World Congress of Internal Medicine|access-date=2017-09-10}}</ref> Since 1998, Ely has served as a [[Pulmonology|pulmonologist]], professor and researcher at Vanderbilt.<ref name=":02">{{Cite web|url=https://medicine.mc.vanderbilt.edu/allergy-pulmonary-faculty-e-ely|title=Allergy Pulmonary Faculty: Ely, E. Wesley, MD, MPH|date=2016|website=Vanderbilt University Medical Center|language=en|access-date=2017-09-11}}</ref><ref name="Profile">{{cite web|url=https://faculty.mc.vanderbilt.edu/Faculty/Details/29490|title=Eugene Wesley Ely|website=Faculty Profiles|publisher=Vanderbilt University|accessdate=25 May 2016}}</ref><ref name=":4">{{Cite news|url=https://www.statnews.com/2016/10/14/icu-delirium-hospitals/|title=Hospitals struggle to address terrifying 'ICU delirium'|last=McFarling|first=Usha Lee|date=2016-10-14|work=STAT|access-date=2017-09-22|language=en-US}}</ref> His research is focused on the diagnosis, causes, and management of [[delirium]] and other [[Cognition|cognitive]] disorders developed during a patient's hospital stay, especially in [[Geriatrics|geriatric]] patients.<ref>{{Cite news|title=Mind Matters|last=Petersen|first=Kaitlin|date=January 2010|work=North Shore Magazine}}</ref><ref>{{Cite journal|last=Arumugam|first=Suresh|last2=El-Menyar|first2=Ayman|last3=Al-Hassani|first3=Ammar|last4=Strandvik|first4=Gustav|last5=Asim|first5=Mohammad|last6=Mekkodithal|first6=Ahammed|last7=Mudali|first7=Insolvisagan|last8=Al-Thani|first8=Hassan|displayauthors=1|date=2017|title=Delirium in the Intensive Care Unit|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5316795/|journal=Journal of Emergencies, Trauma, and Shock|volume=10|issue=1|pages=37–46|doi=10.4103/0974-2700.199520|pmc=PMC5316795|pmid=28243012}}</ref> He founded and currently heads the ICU Delirium and Cognitive Impairment Study Group at Vanderbilt.<ref name=":52">{{Cite news|url=https://www.theatlantic.com/health/archive/2015/06/the-overlooked-danger-of-delirium-in-hospitals/394829/|title=The Overlooked Danger of Delirium in Hospitals|last=Boodman|first=Sandra G.|work=The Atlantic|access-date=2017-09-21|language=en-US}}</ref><ref>{{Cite web|url=https://nashvillepublicmedia.org/blog/2011/02/25/most-icu-patients-return-home-with-brain-injury/|title=Most ICU Patients Return Home With Brain Injury|last=Fellows|first=Jacqueline|date=2011-02-25|website=Nashville Public Radio|language=en-US|access-date=2017-09-22}}</ref> Ely's group has been studying the long term effects of [[Medical ventilator|medical ventilation]] and [[sedation]] on patients in [[Intensive care unit|intensive care units]] (ICU).<ref>{{Cite news|url=https://health.usnews.com/health-news/managing-your-healthcare/brain-and-behavior/articles/2010/04/30/how-to-recognize-signs-of-delirium-in-the-hospital|title=How to Recognize Signs of Delirium in the Hospital|last=Baldauf|first=Sarah|date=2007-07-15|work=U.S. News & World Report|access-date=2017-09-21}}</ref> The group also publishes a website in an attempt to educate potential patients, families, doctors and other healthcare professionals about the effects and causes of [[delirium]] and [[post-intensive care syndrome]] (PICS).<ref>{{Cite journal|last=Ritacca|first=Frank V.|date=2004-02-17|title=ICUDelirium.org|url=https://doi.org/10.1186/cc2826|journal=Critical Care|volume=8|pages=296|doi=10.1186/cc2826}}</ref><ref>{{Cite news|url=http://www.wsj.com/articles/SB119257785754661258|title=Hospitals Combat an Insidious Complication|last=Landro|first=Laura|date=2007-10-17|work=Wall Street Journal|access-date=2017-09-21|language=en-US}}</ref> Ely is one of several physicians that encourages a reduction in the use of sedatives (especially [[Benzodiazepine|benzodiazepines]]) to shorten patients’ time on medical ventilation during ICU treatment.<ref name=":4" /> With others at Vanderbilt, the team also developed an [[Outpatient clinic (hospital department)|outpatient]] post-ICU clinic for patients at Vanderbilt.<ref>{{Cite news|url=https://www.bostonglobe.com/lifestyle/health-wellness/2013/04/07/delirium-induced-flashbacks-plague-many-former-icu-patients/a7547VfsYc8rWDjG1NDkIJ/story.html|title=Delirium-induced flashbacks plague many former ICU patients|last=Lamas|first=Daniela J.|date=2013-04-08|work=The Boston Globe|access-date=2017-09-22}}</ref>
Until 1998, Ely served as professor of internal medicine at the same medical school and medical director of its Chronic Lung Failure Clinic. In 1998, Ely trained in [[lung transplantation]] at [[Barnes-Jewish Hospital]] of the [[Washington University School of Medicine]] in [[St. Louis]], [[Missouri]] before leaving Bowman Gray to serve as a professor of medicine at [[Vanderbilt University Medical Center]].<ref name=":9" /> Since 1998, Ely has served as a [[Pulmonology|pulmonologist]], professor and researcher at Vanderbilt.<ref name=":0" /><ref name="Profile">{{cite web|url=https://faculty.mc.vanderbilt.edu/Faculty/Details/29490|title=Eugene Wesley Ely|website=Faculty Profiles|publisher=Vanderbilt University|accessdate=25 May 2016}}</ref><ref name=":4">{{Cite news|url=https://www.statnews.com/2016/10/14/icu-delirium-hospitals/|title=Hospitals struggle to address terrifying 'ICU delirium'|last=McFarling|first=Usha Lee|date=2016-10-14|work=STAT|access-date=2017-09-22|language=en-US}}</ref> His research is focused on the diagnosis, causes, and management of [[delirium]] and other [[Cognition|cognitive]] disorders developed during a patient's hospital stay, especially in [[Geriatrics|geriatric]] patients.<ref>{{Cite news|title=Mind Matters|last=Petersen|first=Kaitlin|date=January 2010|work=North Shore Magazine}}</ref><ref>{{Cite journal|last=Arumugam|first=Suresh|last2=El-Menyar|first2=Ayman|last3=Al-Hassani|first3=Ammar|last4=Strandvik|first4=Gustav|last5=Asim|first5=Mohammad|last6=Mekkodithal|first6=Ahammed|last7=Mudali|first7=Insolvisagan|last8=Al-Thani|first8=Hassan|displayauthors=1|date=2017|title=Delirium in the Intensive Care Unit|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5316795/|journal=Journal of Emergencies, Trauma, and Shock|volume=10|issue=1|pages=37–46|doi=10.4103/0974-2700.199520|pmc=PMC5316795|pmid=28243012}}</ref> He founded and currently heads the ICU Delirium and Cognitive Impairment Study Group at Vanderbilt.<ref name=":5" /><ref>{{Cite web|url=https://nashvillepublicmedia.org/blog/2011/02/25/most-icu-patients-return-home-with-brain-injury/|title=Most ICU Patients Return Home With Brain Injury|last=Fellows|first=Jacqueline|date=2011-02-25|website=Nashville Public Radio|language=en-US|access-date=2017-09-22}}</ref> Ely's group has been studying the long term effects of [[Medical ventilator|medical ventilation]] and [[sedation]] on patients in [[Intensive care unit|intensive care units]] (ICU).<ref>{{Cite news|url=https://health.usnews.com/health-news/managing-your-healthcare/brain-and-behavior/articles/2010/04/30/how-to-recognize-signs-of-delirium-in-the-hospital|title=How to Recognize Signs of Delirium in the Hospital|last=Baldauf|first=Sarah|date=2007-07-15|work=U.S. News & World Report|access-date=2017-09-21}}</ref> The group also publishes a website in an attempt to educate potential patients, families, doctors and other healthcare professionals about the effects and causes of [[delirium]] and [[post-intensive care syndrome]] (PICS).<ref>{{Cite journal|last=Ritacca|first=Frank V.|date=2004-02-17|title=ICUDelirium.org|url=https://doi.org/10.1186/cc2826|journal=Critical Care|volume=8|pages=296|doi=10.1186/cc2826}}</ref><ref>{{Cite news|url=http://www.wsj.com/articles/SB119257785754661258|title=Hospitals Combat an Insidious Complication|last=Landro|first=Laura|date=2007-10-17|work=Wall Street Journal|access-date=2017-09-21|language=en-US}}</ref> Ely is one of several physicians that encourages a reduction in the use of sedatives (especially [[Benzodiazepine|benzodiazepines]]) to shorten patients’ time on medical ventilation during ICU treatment.<ref name=":4" /> With others at Vanderbilt, the team also developed an [[Outpatient clinic (hospital department)|outpatient]] post-ICU clinic for patients at Vanderbilt.<ref>{{Cite news|url=https://www.bostonglobe.com/lifestyle/health-wellness/2013/04/07/delirium-induced-flashbacks-plague-many-former-icu-patients/a7547VfsYc8rWDjG1NDkIJ/story.html|title=Delirium-induced flashbacks plague many former ICU patients|last=Lamas|first=Daniela J.|date=2013-04-08|work=The Boston Globe|access-date=2017-09-22}}</ref>

In 2001, Ely and Gordon Bernard were investigators on a study of the [[Recombinant DNA|recombinant]]-form [[Protein C|Activated Protein C]] (known as [[Drotrecogin alfa]]) and its possible efficacy in the treatment of [[sepsis]].<ref>{{Cite web|url=http://www.nejm.org/doi/full/10.1056/NEJM200103083441009|title=Severe Sepsis — A New Treatment with Both Anticoagulant and Antiinflammatory Properties|last=Matthay|first=Michael A.|date=2009-08-20|website=The New England Journal of Medicine|language=EN|doi=10.1056/nejm200103083441009|access-date=2017-10-10}}</ref><ref>{{Cite journal|last=Ranieri|first=V. Marco|last2=Thompson|first2=B. Taylor|last3=Barie|first3=Philip S.|last4=Dhainaut|first4=Jean-François|last5=Douglas|first5=Ivor S.|last6=Finfer|first6=Simon|last7=Gårdlund|first7=Bengt|last8=Marshall|first8=John C.|last9=Rhodes|first9=Andrew|date=2012-05-31|title=Drotrecogin alfa (activated) in adults with septic shock|url=https://www.ncbi.nlm.nih.gov/pubmed/22616830|journal=The New England Journal of Medicine|volume=366|issue=22|pages=2055–2064|doi=10.1056/NEJMoa1202290|issn=1533-4406|pmid=22616830}}</ref> The same year, Ely and his ICU Delirium Study Group developed CAM-ICU based on an earlier Confusion Assessment Method (CAM) developed by Sharon Inouye.<ref name=":5" /><ref name=":1">{{Cite journal|last=Girard|first=Timothy D.|last2=Pandharipande|first2=Pratik P.|last3=Ely|first3=E. Wesley|displayauthors=1|date=2008-05-14|title=Delirium in the intensive care unit|url=https://doi.org/10.1186/cc6149|journal=Critical Care|volume=12|issue=3|pages=S3|doi=10.1186/cc6149}}</ref><ref name=":2">{{Cite journal|last=Lin|first=Shu-Min|last2=Liu|first2=Chien-Ying|last3=Wang|first3=Chun-Hua|last4=Lin|first4=Horng-Chyuan|last5=Huang|first5=Chien-Da|last6=Huang|first6=Pei-Yao|last7=Fang|first7=Yueh-Fu|last8=Shieh|first8=Meng-Heng|last9=Kuo|first9=Han-Pin|displayauthors=1|date=December 2004|title=The impact of delirium on the survival of mechanically ventilated patients*|url=https://www.researchgate.net/publication/8089991_The_impact_of_delirium_on_the_survival_of_mechanically_ventilated_patients|journal=Critical Care Medicine|volume=32|issue=11|pages=2254–2259|doi=10.1097/01.ccm.0000145587.16421.bb}}</ref> CAM-ICU is one of two commonly used methods to diagnose delirium in ICU patients.<ref name=":11" /><ref name=":13">{{Cite journal|last=Arumugam|first=Suresh|last2=El-Menyar|first2=Ayman|last3=Al-Hassani|first3=Ammar|last4=Strandvik|first4=Gustav|last5=Asim|first5=Mohammad|last6=Mekkodithal|first6=Ahammed|last7=Mudali|first7=Insolvisagan|last8=Al-Thani|first8=Hassan|date=2017|title=Delirium in the Intensive Care Unit|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5316795/|journal=Journal of Emergencies, Trauma, and Shock|volume=10|issue=1|pages=37–46|doi=10.4103/0974-2700.199520|pmc=PMC5316795|pmid=28243012}}</ref> It has been validated in later independent studies,<ref name=":3">{{Cite book|url=https://books.google.com/books?id=RDArRyDcPTwC|title=Safety, An Issue of Critical Care Nursing Clinics|last=Bruno|first=Jeffrey J.|last2=Warren|first2=Mary Lou|date=2010-06-29|publisher=Elsevier Health Sciences|isbn=1455700223|editor-last=Simmons|editor-first=Debora|pages=25–44|language=en|chapter=Intensive Care Unit Delirium}}</ref> with a [[meta-analysis]] review of these studies showing high "pooled values for [[sensitivity and specificity]] of 80% and 95.9%, respectively."<ref name=":11" /> Also in 2001, Ely was awarded [[American Federation for Aging Research|The American Federation for Aging Research]]'s Paul B. Beeson Career Development Award.<ref>{{Cite web|url=https://www.afar.org/docs/migrated/2011BeesonReport.pdf|title=Beeson Annual Report|last=|first=|date=2011|website=American Federation for Aging Research|archive-url=|archive-date=|dead-url=|access-date=2017-09-21}}</ref> In 2002,<ref name=":9" /> Ely was appointed Associate Director of Research at the Tennessee Valley Geriatric Research Education and Clinical Center (GRECC), part of the [[United States Department of Veterans Affairs|U.S. Department of Veterans Affairs]].<ref name=":7" /><ref name=":8" />


==Selected bibliography==
==Selected bibliography==

Revision as of 18:21, 24 October 2017

E. Wesley Ely
M.D., M.P.H.
EducationTulane University
School of Public Health
Tulane University Medicine
EmployerVanderbilt University Medical Center
Known forICU delirium and post-ICU dementia research
Websitewww.icudelirium.org

Eugene Wesley Ely Jr. is an American physician and professor of medicine, conducting research as a geriatric intensivist in the Division of Pulmonary and Critical Care Medicine and the Center for Health Services Research at Vanderbilt University School of Medicine. He is also the associate director of research at the Tennessee Valley Geriatric Research Education and Clinical Center (GRECC), part of the U.S. Department of Veterans Affairs.[1][2] His research is focused on aging, delirium, post-ICU dementia, and other disorders related to post-intensive care syndrome, a set of conditions common especially in elderly patients that develops during acute care hospitalization and could be caused by the treatments used in intensive care medicine.[3][4] The diagnosis and treatment protocols developed by Ely and his research group have been validated by independent studies, translated into many languages, and adopted by hospitals around the world.[5][6]

Education

Ely attended Jesuit High School in Shreveport, Louisiana, where his mother Diana Lowe Ely was an English teacher and theater director of the high school.[7][8][9] His father Eugene Wesley Ely was a mechanical engineer who worked for Ingersoll-Rand.[10] After high school, Ely Jr. attended Tulane University in New Orleans, Louisiana, where he graduated summa cum laude with a bachelor's degree in Biology in 1985. He went on to attend the university's School of Public Health and Tropical Medicine, graduating with a public health master's degree in 1989. Ely earned his medical degree from the Tulane University School of Medicine later the same year.[11][12]

Career

After graduating from medical school, Ely began his residency at Bowman Gray School of Medicine (now know as Wake Forest School of Medicine). After three years as a resident, he continued at the hospital as a postdoctoral fellow until 1995. In 1996, while serving as chief resident at Bowman Gray,[12] Ely and his colleagues published the findings of a study into the efficacy of a ventilator weaning protocol (called spontaneous breathing trials) in reducing the duration of an ICU patient's hospital stay. The study published in The New England Journal of Medicine[13] reported that "daily screening followed by spontaneous breathing trials in medical and coronary intensive care units reduced the duration of ventilation from a median of 6.0 to 4.5 [days]."[14]

Until 1998, Ely served as professor of internal medicine at the same medical school and medical director of its Chronic Lung Failure Clinic. In 1998, Ely trained in lung transplantation at Barnes-Jewish Hospital of the Washington University School of Medicine in St. Louis, Missouri before leaving Bowman Gray to serve as a professor of medicine at Vanderbilt University Medical Center.[12] Since 1998, Ely has served as a pulmonologist, professor and researcher at Vanderbilt.[11][15][16] His research is focused on the diagnosis, causes, and management of delirium and other cognitive disorders developed during a patient's hospital stay, especially in geriatric patients.[17][18] He founded and currently heads the ICU Delirium and Cognitive Impairment Study Group at Vanderbilt.[3][19] Ely's group has been studying the long term effects of medical ventilation and sedation on patients in intensive care units (ICU).[20] The group also publishes a website in an attempt to educate potential patients, families, doctors and other healthcare professionals about the effects and causes of delirium and post-intensive care syndrome (PICS).[21][22] Ely is one of several physicians that encourages a reduction in the use of sedatives (especially benzodiazepines) to shorten patients’ time on medical ventilation during ICU treatment.[16] With others at Vanderbilt, the team also developed an outpatient post-ICU clinic for patients at Vanderbilt.[23]

In 2001, Ely and Gordon Bernard were investigators on a study of the recombinant-form Activated Protein C (known as Drotrecogin alfa) and its possible efficacy in the treatment of sepsis.[24][25] The same year, Ely and his ICU Delirium Study Group developed CAM-ICU based on an earlier Confusion Assessment Method (CAM) developed by Sharon Inouye.[3][26][27] CAM-ICU is one of two commonly used methods to diagnose delirium in ICU patients.[6][28] It has been validated in later independent studies,[29] with a meta-analysis review of these studies showing high "pooled values for sensitivity and specificity of 80% and 95.9%, respectively."[6] Also in 2001, Ely was awarded The American Federation for Aging Research's Paul B. Beeson Career Development Award.[30] In 2002,[12] Ely was appointed Associate Director of Research at the Tennessee Valley Geriatric Research Education and Clinical Center (GRECC), part of the U.S. Department of Veterans Affairs.[1][2]

Selected bibliography

References

  1. ^ a b Napolitano, Lena M.; Kellum, John A., eds. (2017-04-01). "Contributors". Critical Care Clinics. 33 (2): iii–v. doi:10.1016/S0749-0704(17)30006-4.
  2. ^ a b Foley, Tim (2010-03-30). "Tennessee Valley GRECC - Geriatric Research Education and Clinical Centers". U.S. Department of Veterans Affair. Retrieved 2017-09-29.
  3. ^ a b c Boodman, Sandra G. "The Overlooked Danger of Delirium in Hospitals". The Atlantic. Retrieved 2017-09-21.
  4. ^ Seliger, Susan (2011-11-02). "Another Hospital Hazard for the Elderly". The New York Times. Retrieved 2017-09-22.
  5. ^ Nauber, Teresa (2016-05-15). "Intensive Verwirrung". Die Welt. Retrieved 2017-09-21.
  6. ^ a b c Gusmao-Flores, Dimitri; Salluh, Jorge Ibrain Figueira; Chalhub, Ricardo Ávila; Quarantini, Lucas C (2012). "The confusion assessment method for the intensive care unit (CAM-ICU) and intensive care delirium screening checklist (ICDSC) for the diagnosis of delirium: a systematic review and meta-analysis of clinical studies". Critical Care. 16 (4): R115. doi:10.1186/cc11407. PMC 3580690. PMID 22759376.{{cite journal}}: CS1 maint: PMC format (link) CS1 maint: unflagged free DOI (link)
  7. ^ "Editorial Board". Catholic Medical Association. Retrieved 2017-09-29.
  8. ^ "Ann Lowe's Obituary on Shreveport Times". Shreveport Times. 2010-04-24. Retrieved 2017-10-18.
  9. ^ "Noel Ranney's Obituary on Shreveport Times". Shreveport Times. Retrieved 2017-10-18.
  10. ^ "Eugene Wesley Ely's Obituary on Houston Chronicle". Houston Chronicle. 2007-04-10. Retrieved 2017-10-14 – via Legacy.com.
  11. ^ a b "Allergy Pulmonary Faculty: Ely, E. Wesley, MD, MPH". Vanderbilt University Medical Center. 2016. Retrieved 2017-09-11.
  12. ^ a b c d "Curriculum Vitae" (PDF). World Congress of Internal Medicine. 2016-03-28. Retrieved 2017-09-10.
  13. ^ Luce, John M. (1996-12-19). "Reducing the Use of Mechanical Ventilation". New England Journal of Medicine. 335 (25): 1916–1917. doi:10.1056/NEJM199612193352509. PMID 8948568.
  14. ^ Dembinski, Rolf; Kuhlen, Ralf (2015-02-16). "Weaning: Protocols vs clinically driven". In Moreno, Rui P.; Rhodes, Andrew; Kuhlen, Ralf; Ranieri, Marco (eds.). Controversies in Intensive Care Medicine. MWV. pp. 11–13. ISBN 9783954661916.
  15. ^ "Eugene Wesley Ely". Faculty Profiles. Vanderbilt University. Retrieved 25 May 2016.
  16. ^ a b McFarling, Usha Lee (2016-10-14). "Hospitals struggle to address terrifying 'ICU delirium'". STAT. Retrieved 2017-09-22.
  17. ^ Petersen, Kaitlin (January 2010). "Mind Matters". North Shore Magazine.
  18. ^ Arumugam, Suresh; El-Menyar, Ayman; Al-Hassani, Ammar; Strandvik, Gustav; Asim, Mohammad; Mekkodithal, Ahammed; Mudali, Insolvisagan; Al-Thani, Hassan (2017). "Delirium in the Intensive Care Unit". Journal of Emergencies, Trauma, and Shock. 10 (1): 37–46. doi:10.4103/0974-2700.199520. PMC 5316795. PMID 28243012. {{cite journal}}: Unknown parameter |displayauthors= ignored (|display-authors= suggested) (help)CS1 maint: PMC format (link) CS1 maint: unflagged free DOI (link)
  19. ^ Fellows, Jacqueline (2011-02-25). "Most ICU Patients Return Home With Brain Injury". Nashville Public Radio. Retrieved 2017-09-22.
  20. ^ Baldauf, Sarah (2007-07-15). "How to Recognize Signs of Delirium in the Hospital". U.S. News & World Report. Retrieved 2017-09-21.
  21. ^ Ritacca, Frank V. (2004-02-17). "ICUDelirium.org". Critical Care. 8: 296. doi:10.1186/cc2826.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  22. ^ Landro, Laura (2007-10-17). "Hospitals Combat an Insidious Complication". Wall Street Journal. Retrieved 2017-09-21.
  23. ^ Lamas, Daniela J. (2013-04-08). "Delirium-induced flashbacks plague many former ICU patients". The Boston Globe. Retrieved 2017-09-22.
  24. ^ Matthay, Michael A. (2009-08-20). "Severe Sepsis — A New Treatment with Both Anticoagulant and Antiinflammatory Properties". The New England Journal of Medicine. doi:10.1056/nejm200103083441009. Retrieved 2017-10-10.
  25. ^ Ranieri, V. Marco; Thompson, B. Taylor; Barie, Philip S.; Dhainaut, Jean-François; Douglas, Ivor S.; Finfer, Simon; Gårdlund, Bengt; Marshall, John C.; Rhodes, Andrew (2012-05-31). "Drotrecogin alfa (activated) in adults with septic shock". The New England Journal of Medicine. 366 (22): 2055–2064. doi:10.1056/NEJMoa1202290. ISSN 1533-4406. PMID 22616830.
  26. ^ Girard, Timothy D.; Pandharipande, Pratik P.; Ely, E. Wesley (2008-05-14). "Delirium in the intensive care unit". Critical Care. 12 (3): S3. doi:10.1186/cc6149. {{cite journal}}: Unknown parameter |displayauthors= ignored (|display-authors= suggested) (help)CS1 maint: unflagged free DOI (link)
  27. ^ Lin, Shu-Min; Liu, Chien-Ying; Wang, Chun-Hua; Lin, Horng-Chyuan; Huang, Chien-Da; Huang, Pei-Yao; Fang, Yueh-Fu; Shieh, Meng-Heng; Kuo, Han-Pin (December 2004). "The impact of delirium on the survival of mechanically ventilated patients*". Critical Care Medicine. 32 (11): 2254–2259. doi:10.1097/01.ccm.0000145587.16421.bb. {{cite journal}}: Unknown parameter |displayauthors= ignored (|display-authors= suggested) (help)
  28. ^ Arumugam, Suresh; El-Menyar, Ayman; Al-Hassani, Ammar; Strandvik, Gustav; Asim, Mohammad; Mekkodithal, Ahammed; Mudali, Insolvisagan; Al-Thani, Hassan (2017). "Delirium in the Intensive Care Unit". Journal of Emergencies, Trauma, and Shock. 10 (1): 37–46. doi:10.4103/0974-2700.199520. PMC 5316795. PMID 28243012.{{cite journal}}: CS1 maint: PMC format (link) CS1 maint: unflagged free DOI (link)
  29. ^ Bruno, Jeffrey J.; Warren, Mary Lou (2010-06-29). "Intensive Care Unit Delirium". In Simmons, Debora (ed.). Safety, An Issue of Critical Care Nursing Clinics. Elsevier Health Sciences. pp. 25–44. ISBN 1455700223.
  30. ^ "Beeson Annual Report" (PDF). American Federation for Aging Research. 2011. Retrieved 2017-09-21. {{cite web}}: Cite has empty unknown parameter: |dead-url= (help)
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