University of California San Francisco

Biography

Gregory P. Victorino, M.D. is Professor and Chief of the UCSF East Bay Surgery Program. He is also  Chair of the Department of Surgery for Alameda Health System.

Victorino, a highly regarded trauma surgeon, and professor of surgery.  Formerly, while the Director of Trauma Services at Highland Hospital, his leadership was crucial to the designation of Highland Hospital, the flagship of Alameda Health System, as a Level 1 Trauma Center serving the East Bay.

Victorino has deep roots in the community with a strong record of clinical outreach. In 2016, he was named Outstanding Physician of the Year by the Alameda Health System. He is also a dedicated teacher and mentor to UCSF-East Bay general surgery residents, and a respected thought leader. His body of professional work includes more than 80 peer-reviewed publications.

Victorino completed his undergraduate degree at UC Berkeley in 1986 and earned his MD at the University of Pittsburgh. He returned to the Bay Area in 1991, completing a general surgery residency at UC Davis-East Bay in 1998, followed by a trauma-critical care fellowship at UC Davis. Soon thereafter, he joined the UCSF Department of Surgery as a faculty member.

 

Videos

Education

Institution Degree Dept or School End Date
University of California Diversity, Equity, and Inclusion Champion Training 2018

Board Certifications

  • American Board of Surgery, Surgery
  • American Board of Surgery, Surgical Critical Care

Clinical Expertise

Ischemia-reperfusion

Microvascular permeability and physiology

Sepsis

Shock

Trauma

Grants and Funding

  • Post-Injury Dysregulation of Lipid Metabolism | NIH | 2007-08-15 - 2013-07-31 | Role: Principal Investigator

Research Interests

  • Microvascular permeability and physiology
  • Ischemia-reperfusion
  • Sepsis
  • Shock
  • Trauma

Publications

MOST RECENT PUBLICATIONS FROM A TOTAL OF 114
  1. Is Repeat Computed Tomography Angiography for Asymptomatic Grade 1 Blunt Cerebrovascular Injuries Cost-Effective?
    Susai CJ, Alcasid NJ, Banks KC, Mendoza AE, Jackson C, Aarabi S, Senekjian L, Victorino GP| | PubMed
  2. Cost-effectiveness analysis of routine computed tomography angiography (CTA) for lower extremity penetrating trauma.
    Alcasid NJ, Susai CJ, Banks KC, Senekjian L, Browder TD, Victorino GP| | PubMed
  3. Multiple Casualty Incidents at a Level I Trauma Center: A 15-year Analysis.
    Susai CJ, Alcasid NJ, Banks KC, Victorino GP| | PubMed
  4. Early Abnormal Vital Signs Predict Poor Outcomes in Normotensive Patients Following Penetrating Trauma.
    Alcasid NJ, Banks KC, Susai CJ, Victorino GP| | PubMed
  5. Surgical Cancer Care in Safety-Net Hospitals: a Systematic Review.
    Wong P, Victorino GP, Sadjadi J, Knopf K, Maker AV, Thornblade LW| | PubMed
  6. Impact of safety-net hospital burden on achievement of textbook oncologic outcomes following resection in for stage I-IV colorectal cancer.
    Wong P, Victorino GP, Miraflor E, Alseidi A, Maker AV, Thornblade LW| | PubMed
  7. Colon Injuries and Infectious Complications in Concurrent Gunshot-Related Fractures.
    Banks KC, Mooney CM, Alcasid NJ, Susai CJ, Mazzolini K, Browder TD, Victorino GP| | PubMed
  8. Shift in Prehospital Mode of Transportation for Trauma Patients During the COVID-19 Pandemic.
    Mooney CM, Banks K, Borthwell R, Victorino K, Coutu S, Browder TD, Victorino GP| | PubMed
  9. Comparison of outcomes between observation and tube thoracostomy for small traumatic pneumothoraces.
    Banks KC, Mooney CM, Mazzolini K, Browder TD, Victorino GP| | PubMed
  10. Racial Disparities Among Trauma Patients During the COVID-19 Pandemic.
    Banks KC, Mooney CM, Borthwell R, Victorino K, Coutu S, Mazzolini K, Dzubnar J, Browder TD, Victorino GP| | PubMed
  11. Single injection, ultrasound-guided planar nerve blocks: An essential skill for any clinician caring for patients with rib fractures.
    Schultz C, Yang E, Mantuani D, Miraflor E, Victorino G, Nagdev A| | PubMed
  12. Observational management of penetrating occult pneumothoraces: Outcomes and risk factors for interval tube thoracostomy placement.
    Beattie G, Cohan CM, Tang A, Chen JY, Victorino GP| | PubMed
  13. Predicting Acute Respiratory Distress Syndrome in Severe Blunt Trauma: The Utility of Interleukin-18.
    Beattie G, Cohan CM, Victorino GP| | PubMed
  14. Early Monocyte Chemoattractant Protein-1 Elevation Predicts Surgical Site Infections after Blunt Trauma.
    Cohan CM, Beattie G, Tang A, Mazzolini K, Victorino GP| | PubMed
  15. Differences in clinical characteristics and outcomes for blunt versus penetrating traumatic pulmonary pseudocysts.
    Beattie G, Cohan CM, Tang A, Yasumoto E, Victorino GP| | PubMed
  16. Liquid plasma: A solution to optimizing early and balanced plasma resuscitation in massive transfusion.
    Beattie G, Cohan CM, Ng VL, Victorino GP| | PubMed
  17. Repeat computed tomography head scan is not indicated in trauma patients taking novel anticoagulation: A multicenter study.
    Cohan CM, Beattie G, Bowman JA, Galante JM, Kwok AM, Dirks RC, Kornblith LZ, Plevin R, Browder TD, Victorino GP| | PubMed
  18. Is a chest radiograph after thoracostomy tube removal necessary? A cost-effective analysis.
    Beattie G, Cohan CM, Chomsky-Higgins K, Tang A, Senekjian L, Victorino GP| | PubMed
  19. Does Abdominal Seat Belt Sign Warrant Admission After a Negative CT Scan? A Cost-Utility Analysis.
    Cohan CM, Beattie G, Tang A, Mazzolini K, Farzaneh N, Senekjian L, Victorino GP| | PubMed
  20. Routine Repeat Head CT Does Not Change Management in Trauma Patients on Novel Anticoagulants.
    Cohan CM, Beattie G, Dominguez DA, Glass M, Palmer B, Victorino GP| | PubMed
  21. Autotaxin inhibition attenuates endothelial permeability after ischemia-reperfusion injury.
    Strumwasser A, Cohan CM, Beattie G, Chong V, Victorino GP| | PubMed
  22. Endothelial cell dysfunction during anoxia-reoxygenation is associated with a decrease in adenosine triphosphate levels, rearrangement in lipid bilayer phosphatidylserine asymmetry, and an increase in endothelial cell permeability.
    Sadjadi J, Strumwasser AM, Victorino GP| | PubMed
  23. Automatic acoustic gunshot sensor technology's impact on trauma care.
    Beattie G, Cohan C, Brooke M, Kaplanes S, Victorino GP| | PubMed
  24. Rigid Sigmoidoscopy Is Superior to CT for Diagnosing Penetrating Rectal Injury.
    Chaudhary MJ, Smith RN, Victorino GP| | PubMed
  25. Protective Effect of Phosphatidylserine Blockade in Hemorrhagic Shock.
    Cohan C, Beattie G, Brigode W, Yeung L, Miraflor E, Victorino GP| | PubMed
  26. Alcohol in Traumatic Brain Injury: Toxic or Therapeutic?
    Brigode W, Cohan C, Beattie G, Victorino G| | PubMed
  27. Protective effect of phosphatidylserine blockade in sepsis induced organ dysfunction.
    Beattie G, Cohan C, Miraflor E, Brigode W, Victorino GP| | PubMed
  28. Preoperative epigenetic preparation of patients is a current reality.
    Chaudhary M, Goel VK, Victorino GP, Harken AH| | PubMed
  29. Attenuation of endothelial phosphatidylserine exposure decreases ischemia-reperfusion induced changes in microvascular permeability.
    Strumwasser A, Bhargava A, Victorino GP| | PubMed
  30. Shedding new light on rapidly resolving traumatic acute subdural hematomas.
    Brooke M, Patel A, Castro-Moure F, Victorino GP| | PubMed
  31. Repeat computed tomography is highly sensitive in determining need for delayed exploration in blunt abdominal trauma.
    Brooke M, Victorino GP| | PubMed
  32. Thoracic computed tomography is an effective screening modality in patients with penetrating injuries to the chest.
    Strumwasser A, Chong V, Chu E, Victorino GP| | PubMed
  33. Lactate predicts massive transfusion in hemodynamically normal patients.
    Brooke M, Yeung L, Miraflor E, Garcia A, Victorino GP| | PubMed
  34. Computed Tomographic Findings and Mortality in Patients With Pneumomediastinum From Blunt Trauma.
    Lee WS, Chong VE, Victorino GP| | PubMed
  35. Fall Injuries in Nepal: A Countrywide Population-based Survey.
    Gupta S, Gupta SK, Devkota S, Ranjit A, Swaroop M, Kushner AL, Nwomeh BC, Victorino GP| | PubMed
  36. Neighborhood socioeconomic status is associated with violent reinjury.
    Chong VE, Lee WS, Victorino GP| | PubMed
  37. Hospital-centered violence intervention programs: a cost-effectiveness analysis.
    Chong VE, Smith R, Garcia A, Lee WS, Ashley L, Marks A, Liu TH, Victorino GP| | PubMed
  38. Pan computed tomography versus selective computed tomography in stable, young adults after blunt trauma with moderate mechanism: a cost-utility analysis.
    Lee WS, Parks NA, Garcia A, Palmer BJ, Liu TH, Victorino GP| | PubMed
  39. Potential disparities in trauma: the undocumented Latino immigrant.
    Chong VE, Lee WS, Victorino GP| | PubMed
  40. Applying peripheral vascular injury guidelines to penetrating trauma.
    Chong VE, Lee WS, Miraflor E, Victorino GP| | PubMed
  41. Cost-utility analysis of prehospital spine immobilization recommendations for penetrating trauma.
    Garcia A, Liu TH, Victorino GP| | PubMed
  42. Should uncooperative trauma patients with suspected head injury be intubated?
    Garcia A, Yeung LY, Miraflor EJ, Victorino GP| | PubMed
  43. Death or dialysis? The risk of dialysis-dependent chronic renal failure after trauma nephrectomy.
    Dozier KC, Yeung LY, Miranda MA, Miraflor EJ, Strumwasser AM, Victorino GP| | PubMed
  44. Effect of surgery resident change of shift on trauma resuscitations and outcomes.
    Yeung L, Miraflor E, Garcia A, Victorino GP| | PubMed
  45. Bedside thoracic ultrasonography of the fourth intercostal space reliably determines safe removal of tube thoracostomy after traumatic injury.
    Kwan RO, Miraflor E, Yeung L, Strumwasser A, Victorino GP| | PubMed
  46. Pediatric penetrating trauma: the epidemic continues.
    Schecter SC, Betts J, Schecter WP, Victorino GP| | PubMed
  47. Does gastric volume in trauma patients identify a population at risk for developing pneumonia and poor outcomes?
    Yeung L, Miraflor E, Strumwasser A, Sadeghi P, Victorino GP| | PubMed
  48. The heart of the matter: utility of ultrasound of cardiac activity during traumatic arrest.
    Cureton EL, Yeung LY, Kwan RO, Miraflor EJ, Sadjadi J, Price DD, Victorino GP| | PubMed
  49. Emergency uncrossmatched transfusion effect on blood type alloantibodies.
    Miraflor E, Yeung L, Strumwasser A, Liu TH, Victorino GP| | PubMed
  50. Correlation between IVC dimensions and volume status on CT scan.
    Miraflor E, Yeung L, Strumwasser A, Sadjadi J, Victorino GP| | PubMed
  51. Timing is everything: delayed intubation is associated with increased mortality in initially stable trauma patients.
    Miraflor E, Chuang K, Miranda MA, Dryden W, Yeung L, Strumwasser A, Victorino GP| | PubMed
  52. A novel CT volume index score correlates with outcomes in polytrauma patients with pulmonary contusion.
    Strumwasser A, Chu E, Yeung L, Miraflor E, Sadjadi J, Victorino GP| | PubMed
  53. Sonographic optic nerve sheath diameter as an estimate of intracranial pressure in adult trauma.
    Strumwasser A, Kwan RO, Yeung L, Miraflor E, Ereso A, Castro-Moure F, Patel A, Sadjadi J, Victorino GP| | PubMed
  54. Endothelin-1 attenuates increases in hydraulic conductivity due to platelet-activating factor via prostacyclin release.
    Cureton EL, Strumwasser A, Kwan RO, Dozier KC, Curran B, Sadjadi J, Victorino GP| | PubMed
  55. Live transference of surgical subspecialty skills using telerobotic proctoring to remote general surgeons.
    Ereso AQ, Garcia P, Tseng E, Gauger G, Kim H, Dua MM, Victorino GP, Guy TS| | PubMed
  56. Gender differences among recidivist trauma patients.
    Kwan RO, Cureton EL, Dozier KC, Victorino GP| | PubMed
  57. Endothelin 1 and prostacyclin attenuate increases in hydraulic permeability caused by platelet-activating factor in rats.
    Cureton EL, Chong TJ, Kwan RO, Dozier KC, Sadjadi J, Curran B, Victorino GP| | PubMed
  58. Ghrelin decreases microvascular leak during inflammation.
    Kwan RO, Cureton E, Dozier K, Curran B, Sadjadi J, Victorino GP| | PubMed
  59. Chylomicrons combined with endotoxin moderate microvascular permeability.
    Spitzer AL, Chuang KI, Victorino GP, Kasravi B, Curran B, Lee D, Harris HW| | PubMed
  60. Insurance coverage is associated with mortality after gunshot trauma.
    Dozier KC, Miranda MA, Kwan RO, Cureton EL, Sadjadi J, Victorino GP| | PubMed
  61. Expedited treatment of lower extremity gunshot wounds.
    Sadjadi J, Cureton EL, Dozier KC, Kwan RO, Victorino GP| | PubMed
  62. Local secretion of urocortin 1 promotes microvascular permeability during lipopolysaccharide-induced inflammation.
    Cureton EL, Ereso AQ, Victorino GP, Curran B, Poole DP, Liao M, Harken AH, Bhargava A| | PubMed
  63. Single-contrast computed tomography for the triage of patients with penetrating torso trauma.
    Ramirez RM, Cureton EL, Ereso AQ, Kwan RO, Dozier KC, Sadjadi J, Bullard MK, Liu TH, Victorino GP| | PubMed
  64. Glucagon-like peptide-1 protects mesenteric endothelium from injury during inflammation.
    Dozier KC, Cureton EL, Kwan RO, Curran B, Sadjadi J, Victorino GP| | PubMed
  65. Usability of robotic platforms for remote surgical teleproctoring.
    Ereso AQ, Garcia P, Tseng E, Dua MM, Victorino GP, Guy LT| | PubMed
  66. A different view of lactate in trauma patients: protecting the injured brain.
    Cureton EL, Kwan RO, Dozier KC, Sadjadi J, Pal JD, Victorino GP| | PubMed
  67. Despite the increasing use of nonoperative management of firearm trauma, shotgun injuries still require aggressive operative management.
    Dozier KC, Miranda MA, Kwan RO, Cureton EL, Sadjadi J, Victorino GP| | PubMed
  68. Transfusion, not just injury severity, leads to posttrauma infection: a matched cohort study.
    Sadjadi J, Cureton EL, Twomey P, Victorino GP| | PubMed
  69. Lipoxin a(4) attenuates microvascular fluid leak during inflammation.
    Ereso AQ, Cureton EL, Cripps MW, Sadjadi J, Dua MM, Curran B, Victorino GP| | PubMed
  70. The effect of hypoxia, reoxygenation, ischemia, and reperfusion on hydraulic permeability in rat mesenteric venules.
    Victorino GP, Chong TJ, Cripps MW, Ereso AQ, Cureton E, Curran B, Sadjadi J| | PubMed
  71. The number of gunshot wounds does not predict injury severity and mortality.
    Cripps MW, Ereso AQ, Sadjadi J, Harken AH, Victorino GP| | PubMed
  72. The necessity to assess anticoagulation status in elderly injured patients.
    Williams TM, Sadjadi J, Harken AH, Victorino GP| | PubMed
  73. Ischemia-reperfusion injury in rats affects hydraulic conductivity in two phases that are temporally and mechanistically separate.
    Victorino GP, Ramirez RM, Chong TJ, Curran B, Sadjadi J| | PubMed
  74. Interhospital transfer occurs more slowly for elderly acute trauma patients.
    Utter GH, Victorino GP, Wisner DH| | PubMed
  75. Angiotensin II type 2 receptor provides an endogenous brake during inflammation-induced microvascular fluid leak.
    Ereso AQ, Ramirez RM, Sadjadi J, Cripps MW, Cureton EL, Curran B, Victorino GP| | PubMed
  76. Benefits of a hospital-based peer intervention program for violently injured youth.
    Shibru D, Zahnd E, Becker M, Bekaert N, Calhoun D, Victorino GP| | PubMed
  77. Endothelin-1 reduces mesenteric microvascular hydraulic permeability via cyclic AMP and protein kinase A signal transduction.
    Chong TJ, Sadjadi J, Curran B, Victorino GP| | PubMed
  78. Angiotensin II type 2 receptor decreases ischemia reperfusion induced fluid leak.
    Ramirez R, Chong T, Curran B, Sadjadi J, Victorino GP| | PubMed
  79. Angiotensin II effect on hydraulic permeability: interaction with endothelin-1, nitric oxide, and platelet activating factor.
    Ramirez R, Chong T, Victorino GP| | PubMed
  80. Admission serum lactate levels do not predict mortality in the acutely injured patient.
    Pal JD, Victorino GP, Twomey P, Liu TH, Bullard MK, Harken AH| | PubMed
  81. Role of endothelin-1 and cyclic nucleotides in ischemia/reperfusion-mediated microvascular leak.
    Ramirez R, Chong T, Curran B, Victorino GP| | PubMed
  82. Repair of iatrogenic subclavian artery pseudoaneurysm with covered stent placement after vertebral artery transposition.
    Aalami OO, Lisagor P, Victorino GP, McDaniel H, Nikolic B| | PubMed
  83. Hydrolysis of phosphatidylserine-exposing red blood cells by secretory phospholipase A2 generates lysophosphatidic acid and results in vascular dysfunction.
    Neidlinger NA, Larkin SK, Bhagat A, Victorino GP, Kuypers FA| | PubMed
  84. Angiotensin II subtype AT1 and AT2 receptors regulate microvascular hydraulic permeability via cAMP and cGMP.
    Chong TJ, Victorino GP| | PubMed
  85. Quantification of surgical resident stress "on call".
    Tendulkar AP, Victorino GP, Chong TJ, Bullard MK, Liu TH, Harken AH| | PubMed
  86. Head computed tomography scans in trauma patients with seizure disorder: justifying routine use.
    Neidlinger NA, Pal JD, Victorino GP| | PubMed
  87. Cyclic nucleotide second messengers (cAMP and cGMP) play a central role in signal transduction and regulation of mesenteric postcapillary fluid leak.
    Chong TJ, Victorino GP| | PubMed
  88. Angiotensin II type 1 receptor activation increases microvascular permeability via a calcium dependent process.
    Newton CR, Curran B, Victorino GP| | PubMed
  89. Albumin impacts the effects of tonicity on microvascular hydraulic permeability.
    Victorino GP, Chong TJ, Curran B| | PubMed
  90. Angiotensin II type 1 receptor activation increases microvascular hydraulic permeability.
    Newton CR, Curran B, Victorino GP| | PubMed
  91. Endothelin-1 decreases postcapillary fluid efflux via prostacyclin release.
    Victorino GP, Chong TJ, Curran B| | PubMed
  92. Angiotensin II type 2 receptor effect on microvascular hydraulic permeability.
    Newton CR, Curran B, Victorino GP| | PubMed
  93. CT diagnosis of postoperative intussusception after penetrating abdominal trauma.
    Chong TJ, Victorino GP| | PubMed
  94. Endothelin-1 decreases microvessel permeability after endothelial activation.
    Victorino GP, Newton CR, Curran B| | PubMed
  95. Modulation of microvascular hydraulic permeability by platelet-activating factor.
    Victorino GP, Newton CR, Curran B| | PubMed
  96. Cardiac thromboemboli complicating a stab wound to the heart.
    Neidlinger NA, Puzziferri N, Victorino GP, Ursic CM| | PubMed
  97. Trauma in the elderly patient.
    Victorino GP, Chong TJ, Pal JD| | PubMed
  98. Dose-dependent actions and temporal effects of angiotensin II on microvascular permeability.
    Victorino GP, Newton CR, Curran B| | PubMed
  99. Physician assistant influence on surgery residents.
    Victorino GP, Organ CH| | PubMed
  100. The impact of albumin on hydraulic permeability: comparison of isotonic and hypertonic solutions.
    Victorino GP, Newton CR, Curran B| | PubMed
  101. Effect of hypertonic saline on microvascular permeability in the activated endothelium.
    Victorino GP, Newton CR, Curran B| | PubMed
  102. Does tachycardia correlate with hypotension after trauma?
    Victorino GP, Battistella FD, Wisner DH| | PubMed
  103. Image of the month. Thoracic neurilemoma.
    Newton CR, Victorino GP| | PubMed
  104. Dextran modulates microvascular permeability: effect in isotonic and hypertonic solutions.
    Victorino GP, Newton CR, Curran B| | PubMed
  105. Defining the role of computed tomography in blunt abdominal trauma: use in the hemodynamically stable patient with a depressed level of consciousness.
    Pal JD, Victorino GP| | PubMed
  106. Effect of angiotensin II on microvascular permeability.
    Victorino GP, Newton CR, Curran B| | PubMed
  107. The effect of tonicity and hypertonic solutions on microvascular permeability.
    Victorino GP, Newton CR, Curran B| | PubMed
  108. Basal release of nitric oxide and its interaction with endothelin-1 on single vessel hydraulic permeability.
    Victorino GP, Wisner DH, Tucker VL| | PubMed
  109. Use of a gastric pull-up for delayed esophageal reconstruction in a patient with combined traumatic injuries of the trachea and esophagus.
    Victorino GP, Porter JM, Henderson VJ| | PubMed
  110. Basal release of endothelin-1 and the influence of the ETB receptor on single vessel hydraulic permeability.
    Victorino GP, Wisner DH, Tucker VL| | PubMed
  111. Direct actions of endothelin-1 on single vessel hydraulic permeability.
    Victorino GP, Wisner DH, Tucker VL| | PubMed
  112. Methods for studying microvascular barrier function in ischemia-reperfusion injury.
    Tucker VL, Victorino GP| | PubMed
  113. Jehovah's Witnesses: unique problems in a unique trauma population.
    Victorino G, Wisner DH| | PubMed
  114. Left thoracotomy for emergent repair of ventricular rupture during mitral valve replacement.
    Victorino G, Young JN, DeCampli WM, Ennix CL| | PubMed