- Mechanical Circulatory Support Devices
- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Respiratory Support and Mechanisms
- Disaster Response and Management
- Emergency and Acute Care Studies
- COVID-19 Clinical Research Studies
- Hemodynamic Monitoring and Therapy
- Long-Term Effects of COVID-19
- Intracerebral and Subarachnoid Hemorrhage Research
- Cerebrospinal fluid and hydrocephalus
- Transplantation: Methods and Outcomes
- Neonatal and fetal brain pathology
- Neurosurgical Procedures and Complications
- Cardiac, Anesthesia and Surgical Outcomes
- Blood Pressure and Hypertension Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Fetal and Pediatric Neurological Disorders
- Sepsis Diagnosis and Treatment
International Trauma Anesthesia and Critical Care Society
2022-2024
University of Maryland, Baltimore
2020-2024
University of Maryland Medical Center
2020-2022
Traumatic injury is associated with several pulmonary complications, including contusion, transfusion-related acute lung (TRALI), and the development of respiratory distress syndrome (ARDS). There a lack literature on these patients supported veno-venous extracorporeal oxygenation (VV ECMO). Understanding safety using VV ECMO to support trauma ability hold anticoagulation important broaden utilization. This single-center retrospective cohort study adult cannulated for during their initial...
Acute Kidney Injury (AKI) is common in critically ill trauma patients and associated with increased morbidity mortality. A subset of these requires Continuous Renal Replacement Therapy (CRRT) for severe AKI. This study investigates the incidence AKI CRRT identifies predictors progression patients. We conducted a 10-year retrospective review ICU at Level I center from 2014 to 2023. Patients were classified into three groups: no AKI, without CRRT, requiring CRRT. Statistical analyses,...
The 6-bed critical care resuscitation unit (CCRU) is a unique and specialized intensive (ICU) that streamlines the interhospital transfer (IHT-transfer between different hospitals) process for wide range of patients with illness or time-sensitive disease. Previous studies showed successfully increased number ICU admissions while reducing time in first year its establishment. However, sustainability unknown.This was descriptive retrospective analysis adult, non-trauma who were transferred to...
Background: VV ECMO is increasingly used as a rescue strategy for hypercarbic and hypoxic respiratory failure refractory to conventional management, more than 14,000 patients with COVID-19 related have been supported date. One of the known complications support development cannula-associated deep vein thromboses (CaDVT). The purpose this study was identify incidence CaDVT in compared non-COVID-19 patients. We hypothesized that due hypercoagulable state longer duration required COVID-19,...
ABSTRACT Dandy-Walker malformation is a rare congenital anomaly affecting the posterior fossa, occurring in one 30,000 births. Its hallmark characteristics include hypoplasia of vermis, dilation fourth ventricle, and an enlarged fossa. This case study describes finding during workup encephalopathy patient on veno-venous extracorporeal membrane oxygenation for acute respiratory distress syndrome.
Abstract Background As the pandemic progressed, use of extracorporeal membrane oxygenation (ECMO) for COVID‐19‐related acute respiratory distress syndrome increased, and patient triage transfer to ECMO centers became important optimize outcomes. Our objectives are identify predictors veno‐venous (V‐V ECMO) evaluation as well describe outcomes accepted patients. Methods This is a single‐center, retrospective analysis V‐V requests adult patients with known or suspected COVID‐19 failure from...
Background: Patients with severe COVID-19 related respiratory failure may require veno-venous extracorporeal membrane oxygenation (VV ECMO). After decannulation, patients on VV ECMO have historically had high percentages of cannula-associated deep vein thrombosis (CaDVT). Due to their hypercoagulable state and prolonged course ECMO, we hypothesized that would experience a higher rate CaDVT when compared non-COVID-19 counterparts. We also described the association between location size...
Introduction: The Critical Care Resuscitation Unit (CCRU) at the University of Maryland Medical Center (UMMC) expeditiously transfer approximately 1500 patients with time-sensitive critical illness or surgical disease from other hospitals. Occasionally, are transferred to CCRU an unconfirmed diagnosis intention performing intervention that is subsequently deemed unnecessary. Rarely, these get discharged directly CCRU, but their outcomes were not known. Our study investigated patients'...
Introduction: Patients with spontaneous intraparenchymal hemorrhage (sIPH) often have high morbidity and mortality. Previous studies found that the first 24-hour systolic blood pressure variability (SBPV) was associated worse functional outcome in patients. However, whether SBPV hyperacute phase patients sIPH is not known. We hypothesized sBPV during patients' resuscitation at Critical Care Resuscitation (CCRU) University of Maryland Medical Center would correlate increased hematoma...
Niles, Erin; Haase, Daniel; Tran, Quincy; Powell, Elizabeth; Gerding, James; Esposito, Emily; Tabatabai, Ali; Galvagno, Samuel; Wahab, Maie Abdel; Pirzada, Saad; Singh, Aditi Author Information
Palmer, Jamie; Fairchild, Matthew; Alam, Zain; Gelmann, Dominique; Engelbrecht-Wiggans, Emily; Andersen, Brooke; Gasparotti, Zoe; Gerding, James; Hart, Jones, Katherine; Niles, Erin; Matta, Ann; Ali, Afrah; Boswell, Kim; Esposito, Menne, Ashley; Haase, Daniel; Powell, Elizabeth; Rea, Jeffrey; Tran, Quincy Author Information