Richard G. Barton

Richard G. Barton, MD

Languages spoken: English, Spanish

Academic Information

Departments Primary - Surgery

Divisions: General Surgery

Board Certification

  • National Board of Medical Examiners

Richard G. Barton, MD is a Professor of Surgery and the Director of Surgical Critical Care. Dr. Barton has been the medical director of the Surgical Intensive Care Unit at the University Hospital since 1990 and was instrumental in the expansion from a 12-bed unit to a 20-bed unit with an additional 12-bed intermediate care unit. During his tenure Dr. Barton has participated in the education of hundreds of residents and medical students, established a Surgical Critical Care Fellowship program and leads a Surgical Critical Care Faculty of 9 members that provides 24-hour per day in-house coverage of the Surgical Intensive Care Unit. The Surgical Intensive Care Unit admits 1,500 patients per year representing all surgical specialties and serves not only as an institutional resource but as a regional referral center for critically ill surgical patients.

D. Barton has particular interest and expertise in the management of patients with sepsis, shock, multiple organ dysfunction and severe acute respiratory failure requiring complex ventilator management. Dr. Barton is recognized as an expert in nutrition support of critically ill and injured patients and has lectured yearly at the Society of Critical Care Medicine's Annual Critical Care Board Review Course. He has authored several book chapters on nutrition support in highly respected volumes such as Trauma and Critical Care Medicine, Principles of Diagnosis and Management in the Adult.

Dr. Barton has also been a major contributor to trauma and emergency care in the State of Utah. He was instrumental in the development of a state-wide trauma system, initially serving on the State Trauma Task Force responsible for developing a state trauma system plan and ultimately, along with members of the Bureau of Emergency Medical Services, leading the lobbying effort that was ultimately successful in establishing, and securing funding for, a state-wide trauma system. He then served the maximum two terms as the initial chairman of the State Trauma Advisory Board. As such, he was also involved in initial efforts toward state-wide disaster planning.

Education History

Undergraduate Ricks College
 Associates
Undergraduate University of Utah
 BS
Undergraduate University of Utah
Professional Medical University of Utah
 MD
Residency University of Utah
 Resident
Chief Resident University of Utah School of Medicine
 Chief Resident
Fellowship University of Minnesota
 Fellow
Research Fellow University of Minnesota
 Research Fellow

Selected Publications

Journal Article

  1. Oleynikov D, Cook C, Sellers B, Mone MC, Barton (1998). Decreased mortality from necrotizing pancreatitis. American journal of surgery, 176(6), 648-53. (Read full article)
  2. Bailey SH, Shapiro SB, Mone MC, Saffle JR, Morris SE, Barton R (2000). Is immediate chest radiograph necessary after central venous catheter placement in a surgical intensive care unit?. American journal of surgery, 180(6), 517-21; discussion 521-2. (Read full article)
  3. Cochran A, Mann NC, Dean JM, Cook LJ, Barton R (2004). Resource utilization and its management in splenic trauma. American journal of surgery, 187(6), 713-9. (Read full article)
  4. Byrge N, Barton RG, Enniss TM, Nirula (2013). Laparoscopic versus open repair of perforated gastroduodenal ulcer: a National Surgical Quality Improvement Program analysis. American journal of surgery, 206(6), 957-62; discussion 962-3. (Read full article)
  5. Hauschild TB, Fu KY, Hipwell RC, Baraghoshi G, Mone MC, Nirula R, Kimball EJ, Barton R (2012). Safe, timely, convenient, and cost-effective: a single-center experience with bedside placement of enteral feeding tubes by midlevel providers using fluoroscopic guidance. American journal of surgery, 204(6), 958-62; discussion 962. (Read full article)
  6. Shapiro SB, Morris SE, Bull DA, Barton R (2000). Hypoxemia from an atrial septal defect 7 days after blunt thoracic trauma. Journal of cardiothoracic and vascular anesthesia, 14(1), 56-8. (Read full article)
  7. Ludwig KP, Simons HJ, Mone M, Barton RG, Kimball E (2011). Implementation of an enoxaparin protocol for venous thromboembolism prophylaxis in obese surgical intensive care unit patients. The Annals of pharmacotherapy, 45(11), 1356-62. (Read full article)
  8. Crosby EC, Leniszeswki SK, Woodland KK, Warner SE, Dolan RL, Benson JE, Luetkemeier MJ, Barton RG, Askew E (2004). Effect of Diuretic and Exercise Induced Dehydration on Resting Metabolic Rate in Non-Obese Females. International journal of sport nutrition,
  9. Tonna JE, Kawamoto K, Presson AP, Zhang C, Mone MC, Glasgow RE, Barton RG, Hoidal JR, Anzai (2018). Single intervention for a reduction in portable chest radiography (pCXR) in cardiovascular and surgical/trauma ICUs and associated outcomes. Journal of critical care, 44, 18-23. (Read full article)
  10. Kimball EJ, Rollins MD, Mone MC, Hansen HJ, Baraghoshi GK, Johnston C, Day ES, Jackson PR, Payne M, Barton R (2006). Survey of intensive care physicians on the recognition and management of intra-abdominal hypertension and abdominal compartment syndrome. Critical care medicine, 34(9), 2340-8. (Read full article)
  11. Bourne AC, Kraiss LW, Holden JA, Mone MC, Barton R (2002). Radical resection of a malignant mesenchymoma with hypogastric artery transposition. Journal of surgical oncology, 80(4), 214-7. (Read full article)
  12. Hickman AW, Lonardo NW, Mone MC, Presson AP, Zhang C, Barton RG, Selzman CH, Drakos SG, Koliopoulou A, McKellar S (2019). Acid Suppression to Prevent Gastrointestinal Bleeding in Patients With Ventricular Assist Devices. The Journal of surgical research, 234, 96-102. (Read full article)
  13. Oleynikov D, Kladar P, Stringham J, Barton R (1998). Case report of pneumatic staple gun injury to the aorta. The Journal of trauma, 45(5), 892-3. (Read full article)
  14. Koehler R, Mone M, Kimball E, Vargo D, Lonardo N, Barton (2003). Clostridium difficile pericarditis complicating pseudomembranous colitis in a trauma patient. The Journal of trauma, 55(4), 771-3. (Read full article)
  15. Martin LA, Kilpatrick JA, Al-Dulaimi R, Mone MC, Tonna JE, Barton RG, Brooke B (2019). Predicting ICU readmission among surgical ICU patients: Development and validation of a clinical nomogram. Surgery, 165(2), 373-380. (Read full article)
  16. Michael JR, Barton RG, Saffle JR, Mone M, Markewitz BA, Hillier K, Elstad MR, Campbell EJ, Troyer BE, Whatley RE, Liou TG, Samuelson WM, Carveth HJ, Hinson DM, Morris SE, Davis BL, Day R (1998). Inhaled nitric oxide versus conventional therapy: effect on oxygenation in ARDS. American journal of respiratory and critical care medicine, 157(5 Pt 1), 1372-80. (Read full article)
  17. Lonardo NW, Mone MC, Nirula R, Kimball EJ, Ludwig K, Zhou X, Sauer BC, Nechodom K, Teng C, Barton R (2014). Propofol is associated with favorable outcomes compared with benzodiazepines in ventilated intensive care unit patients. American journal of respiratory and critical care medicine, 189(11), 1383-94. (Read full article)
  18. Al-Temimi MH, Griffee M, Enniss TM, Preston R, Vargo D, Overton S, Kimball E, Barton R, Nirula (2012). When is death inevitable after emergency laparotomy? Analysis of the American College of Surgeons National Surgical Quality Improvement Program database. Journal of the American College of Surgeons, 215(4), 503-11. (Read full article)
  19. Wolfe TR, Kimball EJ, Ogden LL, Schafer P, Hartsell SC, Richardson S, Moog MR, Barton (2002). Evaluation of an electronic esophageal detector device in patients with morbid obesity and pulmonary failure. Prehospital emergency care, 6(1), 59-64. (Read full article)
  20. Johnson SM, Johnson AC, Barton R (2001). Avalanche trauma and closed head injury: adding insult to injury. Wilderness & environmental medicine, 12(4), 244-7. (Read full article)
  21. Moser R Jr, Connelly C, Baker L, Barton R, Buttrey J, Morris S, Saffle J, Whitney J (2005). Development of a state medical surge plan, part I: the procedures, process, and lessons learned or confirmed. Disaster management & response, 3(4), 112-7. (Read full article)
  22. Louie JM, Lonardo NW, Mone MC, Stevens VW, Deka R, Shipley W, Barton R (2018). Outcomes When Using Adjunct Dexmedetomidine with Propofol Sedation in Mechanically Ventilated Surgical Intensive Care Patients. Pharmacy (Basel, Switzerland), 6(3), (Read full article)
  23. Tonna JE, Johnson J, Presson A, Zhang C, Noren C, Lohse B, Bento H, Barton RG, Nirula R, Mone M, Marcus (2019). Short-Term Clinical and Quality Outcomes Have Inconsistent Changes From a Quality Improvement Initiative to Increase Access to Physical Therapy in the Cardiovascular and Surgical ICU. Critical care explorations, 1(10), e0055. (Read full article)
  24. Stoppe C, Goetzenich A, Whitman G, Ohkuma R, Brown T, Hatzakorzian R, Kristof A, Meybohm P, Mechanick J, Evans A, Yeh D, McDonald B, Chourdakis M, Jones P, Barton R, Tripathi R, Elke G, Liakopoulos O, Agarwala R, Lomivorotov V, Nesterova E, Marx G, Benstoem C, Lemieux M, Heyland D (2017). Role of nutrition support in adult cardiac surgery: a consensus statement from an International Multidisciplinary Expert Group on Nutrition in Cardiac Surgery. Critical care (London, England), 21(1), 131. (Read full article)
  25. Tonna JE, Selzman CH, Mallin MP, Smith BR, Youngquist ST, Koliopoulou A, Welt F, Stoddard KD, Nirula R, Barton R, Fair JF 3rd, Fang JC, McKellar (2017). Development and Implementation of a Comprehensive, Multidisciplinary Emergency Department Extracorporeal Membrane Oxygenation Program. Annals of emergency medicine, 70(1), 32-40. (Read full article)
  26. Madsen S, Baczuk J, Thorup K, Barton R, Patwari N, Langell J (2016). A noncontact RF-based respiratory sensor: results of a clinical trial. The Journal of surgical research, 203(1), 1-5. (Read full article)
  27. Acute Respiratory Distress Syndrome Network., Brower RG, Matthay MA, Morris A, Schoenfeld D, Thompson BT, Wheeler (2000). Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The New England journal of medicine, 342(18), 1301-8. (Read full article)

Book Chapter

  1. Wells CL, Barton RG, Erlandsen SL, Cerra FB, Jechorek RP, Dunn D (1990). Parenteral Endotoxin and Intestinal Function.
  2. Barton RG, Cerra F (1991). Metabolic and Nutritional Support.
  3. Barton R (1992). Initial Approach to the Injured Patient.
  4. Barton R (1993). Initial Approach to the Injured Patient.
  5. Barton R (2003). Initial Approach to the Injured Patient.
  6. Barton RG, Cerra F (1993). Shock.
  7. Barton R (2008). Nutritional Support. 1709-1727.
  8. Barton R, Hauschild T, Fu K, Mone MC, Kimball E, Nirula R (2015). Nurses placement of feeding tubes using fluoroscopy in critical care.
  9. Barton R (2014). Nutrition Support. 1421-1435.

Case Report

  1. Barton, Richard G, Lonardo, Lynn F, Lonardo, Nick W, Mone, Mary C, Simons, Heidi (2016). Should the Dose of Recombinant Activated Factor VII Be Adjusted for Morbidly Obese Patients? Balancing Risk of Bleeding With Thrombosis. Journal of hematology, 5(1), 60-66.

Abstract

  1. Barton RG, Hickman AW, Lonardo NW, Mone MC, Presson AW, Zhang C, McKellar SH, Selzman C (2018). Acid Suppression to Preven Gastrointestinal Bleeding in Patients with Ventricular Assist Devices.