Paul A. Kearney, MD

Clinical interests

  • Acute Respiratory Failure
  • Gastrointestinal Endoscopy
  • General Surgery
  • Laparoscopic Surgery
  • Nutrition
  • Sepsis
  • Surgical Critical Care
  • Trauma Surgery

Paul A. Kearney, MD

Biography

My name is Paul Kearney; I received my medical degree from Jefferson Medical College of Thomas Jefferson University, Philadelphia. I completed a fellowship at the University of Michigan Health System, Ann Arbor.

I am board certified by the American Board of Surgery in Surgical Critical Care.

Faculty rank

Professor of Surgery

Education

Degree
Jefferson Medical College of Thomas Jefferson University, Philadelphia

Residency
Thomas Jefferson University Medical Center, Philadelphia
University of South Florida Medical Center, Tampa

Fellowship
University of Michigan Health System, Ann Arbor

Certifications or Special training
American Board of Surgery
American Board of Surgery, Surgical Critical Care

Acute Care Surgery, Trauma and Surgical Critical Care

Kentucky Clinic
First floor, Wing D, Room L119
740 S. Limestone
Lexington KY 40536-0284

Call 859-257-3253
Fax 859-323-1203

Amenities
Dining, Internet/Wi-Fi, Information desk, Pharmacy services, Wheelchairs

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UK Acute Care Surgery, Trauma and Surgical Critical Care
 
  1. Carmichael SP, Davenport DL, Kearney PA, Bernard AC. On and off the horse: mechanisms and patterns of injury in mounted and unmounted equestrians. Injury. 2014 Sep;45(9):1479-83.
    View in: PubMed
  2. Long KL, Hamilton DA, Davenport DL, Bernard AC, Kearney PA, Chang PK. 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. Am Surg. 2014 Jun;80(6):567-71.
    View in: PubMed
  3. Cox JA, Bernard AC, Bottiggi AJ, Chang PK, Talley CL, Tucker B, Davenport DL, Kearney PA. Influence of in-house attending presence on trauma outcomes and hospital efficiency. J Am Coll Surg. 2014 Apr;218(4):734-8.
    View in: PubMed
  4. Procter L, Bernard AC, Korosec RL, Chipko PL, Kearney PA, Zwischenberger JB. An acute care surgery service generates a positive contribution margin in an appropriately staffed hospital. J Am Coll Surg. 2013 Feb; 216(2):298-301. PMID: 23195202.
    View in: PubMed
  5. Hasenboehler EA, Bernard AC, Bottiggi AJ, Moghadamian ES, Wright RD, Chang PK, Boulanger BR, Kearney PA. Treatment of traumatic flail chest with muscular sparing open reduction and internal fixation: description of a surgical technique. J Trauma. 2011 Aug; 71(2):494-501. PMID: 21825950.
    View in: PubMed
  6. Stanley MD, Davenport DL, Procter LD, Perry JE, Kearney PA, Bernard AC. An acute care surgery rotation contributes significant general surgical operative volume to residency training compared with other rotations. J Trauma. 2011 Mar; 70(3):590-4. PMID: 21610347.
    View in: PubMed
  7. Procter L, Bernard A, Ginn G, Kearney P, Pienkowski D. Plank fence penetration into automobiles-implications for prevention initiatives. J Forensic Sci. 2011 Jan; 56 Suppl 1:S105-8. PMID: 20950318.
    View in: PubMed
  8. Procter LD, Bernard A, Kearney P. Strangulated appendix after transabdominal preperitoneal (TAPP) inguinal hernia repair. Surg Laparosc Endosc Percutan Tech. 2010 Feb; 20(1):e42-3. PMID: 20173610.
    View in: PubMed
  9. Lee CY, Bernard AC, Fryman L, Coughenour J, Costich J, Boulanger B, Chang P, Kearney PA. Imaging may delay transfer of rural trauma victims: a survey of referring physicians. J Trauma. 2008 Dec; 65(6):1359-63. PMID: 19077627.
    View in: PubMed
  10. Bernard A, Kasten M, Meier C, Manning E, Freeman S, Adams W, Chang P, Boulanger B, Kearney P. Red blood cell arginase suppresses Jurkat (T cell) proliferation by depleting arginine. Surgery. 2008 Feb; 143(2):286-91. PMID: 18242346.
    View in: PubMed
  11. Bernard A, Meier C, Lopez N, May J, Chang P, Boulanger B, Kearney P. Packed red blood cell-associated arginine depletion is mediated by arginase. J Trauma. 2007 Nov; 63(5):1108-12; discussion 1112. PMID: 17993958.
    View in: PubMed
  12. Kearney PA, Rapp RP. Red blood cell transfusions and nosocomial pneumonia. Crit Care Med. 2007 Feb; 35(2):682. PMID: 17251747.
    View in: PubMed
  13. Bernard A, Whitaker M, Ray M, Rockich A, Barton-Baxter M, Barnes SL, Boulanger B, Tsuei B, Kearney P. Impact of language barrier on acute care medical professionals is dependent upon role. J Prof Nurs. 2006 Nov-Dec; 22(6):355-8. PMID: 17141719.
    View in: PubMed
  14. Bernard AC, 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. Am J Crit Care. 2005 Nov; 14(6):545-50. PMID: 16249591.
    View in: PubMed
  15. Barnes SL, Bernard AC, Kearney PA, Boulanger BR. A rare case of HITTS following prophylactic LMWH therapy in a blunt trauma victim. Injury. 2005 Feb; 36(2):347-51. PMID: 15664603.
    View in: PubMed
  16. Tsuei BJ, Bernard AC, Barksdale AR, Rockich AK, Meier CF, Kearney PA. Supplemental enteral arginine is metabolized to ornithine in injured patients. J Surg Res. 2005 Jan; 123(1):17-24. PMID: 15652946.
    View in: PubMed
  17. Bernard AC, Magnuson B, Tsuei BJ, Swintosky M, Barnes S, Kearney PA. Defining and assessing tolerance in enteral nutrition. Nutr Clin Pract. 2004 Oct; 19(5):481-6. PMID: 16215143.
    View in: PubMed
  18. Tsuei BJ, Skinner JC, Bernard AC, Kearney PA, Boulanger BR. The open peritoneal cavity: etiology correlates with the likelihood of fascial closure. Am Surg. 2004 Jul; 70(7):652-6. PMID: 15279193.
    View in: PubMed
  19. Barksdale AR, Bernard AC, Maley ME, Gellin GL, Kearney PA, Boulanger BR, Tsuei BJ, Ochoa JB. Regulation of arginase expression by T-helper II cytokines and isoproterenol. Surgery. 2004 May; 135(5):527-35. PMID: 15118590.
    View in: PubMed
  20. Tsuei BJ, Kearney PA. Hypothermia in the trauma patient. Injury. 2004 Jan; 35(1):7-15. PMID: 14728949.
    View in: PubMed
  21. Tsuei BJ, Magnuson B, Swintosky M, Flynn J, Boulanger BR, Ochoa JB, Kearney PA. Enteral nutrition in patients with an open peritoneal cavity. Nutr Clin Pract. 2003 Jun; 18(3):253-8. PMID: 16215046.
    View in: PubMed
  22. Griffen M, Boulanger BR, Kearney PA, Tsuei B, Ochoa J. Injury during contact with horses: recent experience with 75 patients at a level I trauma center. South Med J. 2002 Apr; 95(4):441-5. PMID: 11958244.
    View in: PubMed
  23. Davis GA, Rapp RP, Kearney PA, Ensom MH. Pharmacokinetics of fluconazole in trauma patients with postpyloric feeding tubes. Ann Pharmacother. 2001 Nov; 35(11):1492-4. PMID: 11724107.
    View in: PubMed
  24. Schwarcz TH, Quick RC, Minion DJ, Kearney PA, Kwolek CJ, Endean ED. Enoxaparin treatment in high-risk trauma patients limits the utility of surveillance venous duplex scanning. J Vasc Surg. 2001 Sep; 34(3):447-52. PMID: 11533596.
    View in: PubMed
  25. Tsuei BJ, Bernard AC, Shane MD, Shirley LA, Maley ME, Boulanger BR, Kearney PA, Ochoa JB. Surgery induces human mononuclear cell arginase I expression. J Trauma. 2001 Sep; 51(3):497-502. PMID: 11535898.
    View in: PubMed
  26. Boulanger BR, Kearney PA, Tsuei B, Ochoa JB. The routine use of sonography in penetrating torso injury is beneficial. J Trauma. 2001 Aug; 51(2):320-5. PMID: 11493792.
    View in: PubMed
  27. Wohltmann CD, Franklin GA, Boaz PW, Luchette FA, Kearney PA, Richardson JD, Spain DA. A multicenter evaluation of whether gender dimorphism affects survival after trauma. Am J Surg. 2001 Apr; 181(4):297-300. PMID: 11438262.
    View in: PubMed
  28. Boulanger B, Kearney P, Ochoa J, Tsuei B, Sands F. Telemedicine: a solution to the followup of rural trauma patients? J Am Coll Surg. 2001 Apr; 192(4):447-52. PMID: 11294400.
    View in: PubMed
  29. Ochoa JB, Bernard AC, O'Brien WE, Griffen MM, Maley ME, Rockich AK, Tsuei BJ, Boulanger BR, Kearney PA, Morris Jr SM. Arginase I expression and activity in human mononuclear cells after injury. Ann Surg. 2001 Mar; 233(3):393-9. PMID: 11224628.
    View in: PubMed
  30. Bernard AC, Mistry SK, Morris SM, O'Brien WE, Tsuei BJ, Maley ME, Shirley LA, Kearney PA, Boulanger BR, Ochoa JB. Alterations in arginine metabolic enzymes in trauma. Shock. 2001 Mar; 15(3):215-9. PMID: 11236905.
    View in: PubMed
  31. Ochoa JB, Strange J, Kearney P, Gellin G, Endean E, Fitzpatrick E. Effects of L-arginine on the proliferation of T lymphocyte subpopulations. JPEN J Parenter Enteral Nutr. 2001 Jan-Feb; 25(1):23-9. PMID: 11190986.
    View in: PubMed
  32. Boulanger BR, Kearney PA, Brenneman FD, Tsuei B, Ochoa J. Utilization of FAST (Focused Assessment with Sonography for Trauma) in 1999: results of a survey of North American trauma centers. Am Surg. 2000 Nov; 66(11):1049-55. PMID: 11090017.
    View in: PubMed
  33. Kearney PA, Griffen MM, Ochoa JB, Boulanger BR, Tseui BJ, Mentzer RM. A single-center 8-year experience with percutaneous dilational tracheostomy. Ann Surg. 2000 May; 231(5):701-9. PMID: 10767791.
    View in: PubMed
  34. Bernard AC, Fitzpatrick EA, Maley ME, Gellin GL, Tsuei BJ, Arden WA, Boulanger BR, Kearney PA, Ochoa JB. Beta adrenoceptor regulation of macrophage arginase activity. Surgery. 2000 Apr; 127(4):412-8. PMID: 10776432.
    View in: PubMed
  35. Ochoa JB, Bernard AC, Mistry SK, Morris SM, Figert PL, Maley ME, Tsuei BJ, Boulanger BR, Kearney PA. Trauma increases extrahepatic arginase activity. Surgery. 2000 Apr; 127(4):419-26. PMID: 10776433.
    View in: PubMed
  36. Griffen MM, Kearney PA. Percutaneous dilational tracheostomy as the preferred method of airway management. J Oral Maxillofac Surg. 1999 Mar; 57(3):316-20. PMID: 10077203.
    View in: PubMed
  37. Loan T, Kearney P, Magnuson B, Williams S. Enteral feeding in the home environment. Home Healthc Nurse. 1997 Aug; 15(8):531-6; quiz 537-8. PMID: 9281935.
    View in: PubMed
  38. Fabian TC, Richardson JD, Croce MA, Smith JS, Rodman G, Kearney PA, Flynn W, Ney AL, Cone JB, Luchette FA, Wisner DH, Scholten DJ, Beaver BL, Conn AK, Coscia R, Hoyt DB, Morris JA, Harviel JD, Peitzman AB, Bynoe RP, Diamond DL, Wall M, Gates JD, Asensio JA, Enderson BL, et al. Prospective study of blunt aortic injury: Multicenter Trial of the American Association for the Surgery of Trauma. J Trauma. 1997 Mar; 42(3):374-80; discussion 380-3. PMID: 9095103.
    View in: PubMed
  39. Klyachkin ML, Rohmiller M, Charash WE, Sloan DA, Kearney PA. Penetrating injuries of the neck: selective management evolving. Am Surg. 1997 Feb; 63(2):189-94. PMID: 9012435.
    View in: PubMed
  40. Hill BB, Zweng TN, Maley RH, Charash WE, Toursarkissian B, Kearney PA. Percutaneous dilational tracheostomy: report of 356 cases. J Trauma. 1996 Aug; 41(2):238-43; discussion 243-4. PMID: 8760530.
    View in: PubMed
  41. Johnson SB, Kearney PA, Smith MD. Echocardiography in the evaluation of thoracic trauma. Surg Clin North Am. 1995 Apr; 75(2):193-205. PMID: 7899993.
    View in: PubMed
  42. Toursarkissian B, Kearney PA, Holley DT, Cheung R, Fried A, Strodel WE. Biliary sludging in critically ill trauma patients. South Med J. 1995 Apr; 88(4):420-4. PMID: 7536346.
    View in: PubMed
  43. Francis CM, Caruana L, Kearney P, Love M, Sutherland GR, Starkey IR, Shaw TR, McMurray JJ. Open access echocardiography in management of heart failure in the community. BMJ. 1995 Mar 11; 310(6980):634-6. PMID: 7503841.
    View in: PubMed
  44. Smith MD, Cassidy JM, Souther S, Morris EJ, Sapin PM, Johnson SB, Kearney PA. Transesophageal echocardiography in the diagnosis of traumatic rupture of the aorta. N Engl J Med. 1995 Feb 9; 332(6):356-62. PMID: 7823997.
    View in: PubMed
  45. Buckmaster MJ, Kearney PA, Johnson SB, Smith MD, Sapin PM. Further experience with transesophageal echocardiography in the evaluation of thoracic aortic injury. J Trauma. 1994 Dec; 37(6):989-95. PMID: 7996617.
    View in: PubMed
  46. Toursarkissian B, Fowler CL, Zweng TN, Kearney PA. Percutaneous dilational tracheostomy in children and teenagers. J Pediatr Surg. 1994 Nov; 29(11):1421-4. PMID: 7844712.
    View in: PubMed
  47. Greenberg RN, Cayavec P, Danko LS, Bowen K, Montazemi R, Kearney PA, Johnson SB, Strodel WE. Comparison of cefoperazone plus sulbactam with clindamycin plus gentamicin as treatment for intra-abdominal infections. J Antimicrob Chemother. 1994 Sep; 34(3):391-401. PMID: 7829413.
    View in: PubMed
  48. Toursarkissian B, Holley DT, Kearney PA, McGrath PC, Zweng TN. Mirizzi's syndrome. South Med J. 1994 Apr; 87(4):471-5. PMID: 8153773.
    View in: PubMed
  49. Toursarkissian B, Zweng TN, Kearney PA, Pofahl WE, Johnson SB, Barker DE. Percutaneous dilational tracheostomy: report of 141 cases. Ann Thorac Surg. 1994 Apr; 57(4):862-7. PMID: 8166532.
    View in: PubMed
  50. Johnson KL, Kearney PA, Johnson SB, Niblett JB, MacMillan NL, McClain RE. Closed versus open endotracheal suctioning: costs and physiologic consequences. Crit Care Med. 1994 Apr; 22(4):658-66. PMID: 8143475.
    View in: PubMed
  51. Mohr-Kahaly S, Erbel R, Kearney P, Puth M, Meyer J. Aortic intramural hemorrhage visualized by transesophageal echocardiography: findings and prognostic implications. J Am Coll Cardiol. 1994 Mar 1; 23(3):658-64. PMID: 8113549.
    View in: PubMed
  52. Gill IS, Toursarkissian B, Johnson SB, Kearney PA. Traumatic ventral abdominal hernia associated with small bowel gangrene: case report. J Trauma. 1993 Jul; 35(1):145-7. PMID: 8331706.
    View in: PubMed
  53. Kearney PA, Smith DW, Johnson SB, Barker DE, Smith MD, Sapin PM. Use of transesophageal echocardiography in the evaluation of traumatic aortic injury. J Trauma. 1993 May; 34(5):696-701; discussion 701-3. PMID: 8497004.
    View in: PubMed
  54. Johnson SB, Kearney PA, Barker DE. Early criteria predictive of prolonged mechanical ventilation. J Trauma. 1992 Jul; 33(1):95-100. PMID: 1635112.
    View in: PubMed
  55. Johnson SF, Johnson SB, Strodel WE, Barker DE, Kearney PA. Brachial plexus injury: association with subclavian and axillary vascular trauma. J Trauma. 1991 Nov; 31(11):1546-50. PMID: 1942180.
    View in: PubMed
  56. Kearney PA, Terry L, Burney RE. Outcome of patients with blunt trauma transferred after diagnostic or treatment procedures or four-hour delay. Ann Emerg Med. 1991 Aug; 20(8):882-6. PMID: 1854073.
    View in: PubMed
  57. Kearney PA, Stallones L, Swartz C, Barker DE, Johnson SB. Unintentional injury death rates in rural Appalachia. J Trauma. 1990 Dec; 30(12):1524-32. PMID: 2258967.
    View in: PubMed
  58. Walker JL, Kearney PA, Rosemurgy A. External fixation of the sternum after infected dehiscence due to a shotgun wound: case report. J Trauma. 1990 Feb; 30(2):226-8. PMID: 2304121.
    View in: PubMed
  59. Kearney PA. Blunt trauma to the abdomen. Ann Emerg Med. 1989 Dec; 18(12):1322-5. PMID: 2589700.
    View in: PubMed
  60. Kearney PA, Rouhana SW, Burney RE. Blunt rupture of the diaphragm: mechanism, diagnosis, and treatment. Ann Emerg Med. 1989 Dec; 18(12):1326-30. PMID: 2589701.
    View in: PubMed
  61. Kearney PA, Vahey T, Burney RE, Glazer G. Computed tomography and diagnostic peritoneal lavage in blunt abdominal trauma. Their combined role. Arch Surg. 1989 Mar; 124(3):344-7. PMID: 2919967.
    View in: PubMed