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Vicente Gracias, M.D., FACS, FCCP


Vicente Gracias, M.D.

Interim Dean

CEO, Robert Wood Johnson Medical Group

Professor and Chief, Department of Surgery

Rutgers, Robert Wood Johnson Medical School

Director, Level 1 Trauma Center

Robert Wood Johnson University Hospital


                                        

Dr. Gracias is currently the interim dean, professor of surgery and chief of acute care surgery at RJWMS. He is fellowship trained and board certified in general surgery, trauma surgery, and surgical critical care. He also serves as the director of both the adult and pediatric trauma centers at Robert Wood Johnson University Hospital (RWJUH).

Dr. Gracias received his undergraduate degree from the University of Notre Dame and his MD from the University of Utah School of Medicine. He completed residency training in general surgery at the University of Illinois in Chicago, Metro Group Hospitals, and a fellowship in trauma/surgical critical care at the University of Pennsylvania (Penn) Medical Center. Dr. Gracias continued his career at Penn, rising quickly to associate professor of surgery and chief and medical director of surgical critical care services.

In 2009 Dr. Gracias was recruited to Rutgers RWJMS to lead the creation of a new surgical specialty: acute care surgery. Five years later, access to trauma at RWJMS/RWJUH has improved dramatically. Critical care service lines have grown from one to three and multi-disciplinary faculty members from internal medicine, anesthesia, and surgery have created a successful coordinated approach to enhanced quality-driven patient care. Outpatient service lines have also been conceived, designed, and deployed for wound care, hyperbaric medicine, and traumatic brain injury. Two fellowships in surgical specialties were formed and verified and the first pediatric trauma center in the history of New Jersey was established.

Dr. Gracias’ research focuses on specialty areas of acute care such as penetrating cervical trauma and hemodynamic monitoring, in which he has published extensively and lectured internationally. Currently, he is the principal investigator of an FDA-approved neutraceutical intervention trial for shock and sepsis in surgical patients. His textbook in acute care surgery has achieved international success and has been published in Russian.

Dr. Gracias has also held a number of significant national leadership positions and has had unique opportunities to help shape policy within multiple institutions across the country. He has served as the chair of the Surgery Section for the Society of Critical Care Medicine and board member of the Eastern Association for the Surgery of Trauma. He currently is treasurer for the EAST Foundation, sits on the advocacy committee for the American College of Surgery, and is an invited thought leader for White House expert panels. Dr. Gracias is dedicated to global health as well and has served as Vice President of the Pan American Trauma Society.


Selected Publications:

Spiotta, A. M., M. F. Stiefel, et al. (2010). "Brain tissue oxygen-directed management and outcome in patients with severe traumatic brain injury." J Neurosurg 113(3): 571-580.

Mark, D. G., G. E. Hayden, et al. (2009). "Hand-carried echocardiography for assessment of left ventricular filling and ejection fraction in the surgical intensive care unit." J Crit Care 24(3): 470 e471-477.

Nagpal, S., C. H. Halpern, et al. (2009). "Decompressive laparotomy to treat intractable cerebral hypoxia." J Trauma 67(5): E152-155.

Stawicki, S. P., B. M. Braslow, et al. (2009). "Intensivist use of hand-carried ultrasonography to measure IVC collapsibility in estimating intravascular volume status: correlations with CVP." J Am Coll Surg 209(1): 55-61.

Tinti, M. S., E. R. Haut, et al. (2009). "Transition to a semiclosed surgical intensive care unit (SICU) leads to improved resident job satisfaction: a prospective, longitudinal analysis." J Surg Educ 66(1): 25-30.

Gracias, V. H., C. P. Sicoutris, et al. (2008). "Critical care nurse practitioners improve compliance with clinical practice guidelines in "semiclosed" surgical intensive care unit." J Nurs Care Qual 23(4): 338-344.

Pascual, J. L., E. Maloney-Wilensky, et al. (2008). "Resuscitation of hypotensive head-injured patients: is hypertonic saline the answer?" Am Surg 74(3): 253-259.

Sarani, B., W. J. Dunkman, et al. (2008). "Transfusion of fresh frozen plasma in critically ill surgical patients is associated with an increased risk of infection." Crit Care Med 36(4): 1114-1118.

Shah, C. V., A. R. Localio, et al. (2008). "The impact of development of acute lung injury on hospital mortality in critically ill trauma patients." Crit Care Med 36(8): 2309-2315.

Stawicki, S. P., A. Brooks, et al. (2008). "The concept of damage control: extending the paradigm to emergency general surgery." Injury 39(1): 93-101.

Stawicki, S. P., V. H. Gracias, et al. (2008). "The dead continue to teach the living: examining the role of computed tomography and magnetic resonance imaging in the setting of postmortem examinations." J Surg Educ 65(3): 200-205.

Stawicki, S. P., M. J. Seamon, et al. (2008). "Transthoracic echocardiography for pulmonary embolism in the ICU: finding the "right" findings." J Am Coll Surg 206(1): 42-47.

Stawicki, S. P., M. J. Seamon, et al. (2008). "Transthoracic echocardiography for suspected pulmonary embolism in the intensive care unit: unjustly underused or rightfully ignored?" J Clin Ultrasound 36(5): 291-302.

Stawicki, S. P., C. Sims, et al. (2008). "Methylene blue and vasoplegia: who, when, and how?" Mini Rev Med Chem 8(5): 472-490.

Carr, B. G., A. J. Dean, et al. (2007). "Intensivist bedside ultrasound (INBU) for volume assessment in the intensive care unit: a pilot study." J Trauma 63(3): 495-500; discussion 500-492.

Carr, B. G., A. J. Kaye, et al. (2007). "Emergency department length of stay: a major risk factor for pneumonia in intubated blunt trauma patients." J Trauma 63(1): 9-12.

Gale, S. C., C. Sicoutris, et al. (2007). "Poor glycemic control is associated with increased mortality in critically ill trauma patients." Am Surg 73(5): 454-460.

Gracias, V. H., A. D. Horan, et al. (2007). "Digital output volumetric pulmonary artery catheters eliminate interoperator interpretation variability and improve consistency of treatment decisions." J Am Coll Surg 204(2): 209-215.

Mark, D. G., B. S. Ku, et al. (2007). "Directed bedside transthoracic echocardiography: preferred cardiac window for left ventricular ejection fraction estimation in critically ill patients." Am J Emerg Med 25(8): 894-900.

Stawicki, P. S., B. Braslow, et al. (2007). "Exploring measurement biases associated with esophageal Doppler monitoring in critically ill patients in intensive care unit." Ann Thorac Med 2(4): 148-153.

Stawicki, S. P., V. H. Gracias, et al. (2007). "Surgical critical care: from old boundaries to new frontiers." Scand J Surg 96(1): 17-25.

Stawicki, S. P., J. P. Pryor, et al. (2007). "The surgeon and the intensivist: reaching consensus in intensive care triage." J Surg Educ 64(5): 289-293.

Stiefel, M. F., K. A. Zaghloul, et al. (2007). "Improved cerebral oxygenation after high-dose inhaled aerosolized prostacyclin therapy for acute lung injury: a case report." J Trauma 63(5): 1155-1158.