A5081440962- Anesthesia and Sedative Agents
- Anesthesia and Neurotoxicity Research
- Intensive Care Unit Cognitive Disorders
- Airway Management and Intubation Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Innovations in Medical Education
- Nursing education and management
- Neurogenesis and neuroplasticity mechanisms
- Simulation-Based Education in Healthcare
- Genetics and Neurodevelopmental Disorders
- RNA regulation and disease
Texas Children's Hospital
2015-2023
Baylor College of Medicine
2015-2023
Rogers (United States)
2021
Dexmedetomidine is increasingly used by various routes for pediatric sedation. However, there are few randomized controlled trials comparing the efficacy of dexmedetomidine to other commonly sedatives.To compare sedation with intranasal oral chloral hydrate auditory brainstem response (ABR) testing.In this double-blind, double-dummy study, children undergoing ABR testing were receive 3 mcg · kg(-1) plus placebo (Group IN DEX) or 50 mg saline CH). We recorded demographic data, times from...
OBJECTIVE: Satisfactory conditions for auditory brainstem responses (ABR) screening tests pediatric hearing loss are usually achieved with oral chloral hydrate (CH) sedation. When the US manufacture of this drug was discontinued business reasons, we developed an alternative sedation regimen using intranasal dexmedetomidine (IN DEX) 4 μg/kg. This institutional review board–approved retrospective study compared efficacy and adverse effect profiles these 2 sedative regimens. METHODS: Medical...
Nurse educators play an important role in implementing changes within hospital orientation, supporting a learner-focused orientation. Utilizing different learning styles and delivery methods, orientation can promote environment where registered nurses are active participants guide the learning. This article discusses process of incorporating multiple modalities into experienced nurse program, creating learner-centered promoting engagement, increased satisfaction, retention staff.
OBJECTIVES We aimed to describe the quality of sedation and additional clinically-meaningful outcomes associated with different intranasal dexmedetomidine-based regimens in children undergoing nonpainful procedures. METHODS A multicenter prospective observational study aged 2 months 17 years dexmedetomidine for MRI, auditory brainstem response testing, echocardiogram, EEG, or computed tomography scan. Regimens varied by dose use adjunct sedatives. Quality was assessed using Pediatric...
On April 12, 1945, Dr Gold1 from Weill Cornell Medicine (formerly University Medical College) presented a review titled “Sedatives and Stimulants in Pediatric Practice” to the section of pediatrics. He stated that he was “disappointed indeed learn how scant were revelations pediatric views on these matters” then reviewed primary sedatives time for children (barbiturates chloral hydrate). Over next 50 years, vast majority “conscious” sedation pediatrics still being provided with barbiturates...
Brief Overview: The use of chloral hydrate as the primary sedation agent has declined across nation after commercial production liquid formulation ceased. Although alternative sedatives have gained popularity, some pharmacies continued to provide oral by compounding it from raw ingredients. Thus, in children despite availability effective agents. Objective: purpose this investigation was evaluate institutional utilization for procedural sedation. Design/Methods: We conducted a retrospective...
Background and Aims: Non-anesthesiologist-administered propofol (NAAP) has been found to have an acceptable safety profile in adult endoscopy, but its use remains controversial pediatric data is limited. Our aim was examine the efficacy of NAAP provided by hospitalists endoscopy. Methods: We retrospectively reviewed 929 esophagogastroduodenoscopy (EGD), colonoscopy, combined EGD/colonoscopy cases children aged 5–20 years between April 2015 December 2016 at a large children's hospital....
Introduction: Chloral hydrate (CH) has long been utilized as a pediatric procedural sedation agent. However, very little is published describing CH use in intensive care unit (PICU) setting. The aim of this retrospective observational cohort study was to investigate and describe the mechanically-ventilated, critically ill children at large tertiary referral hospital. Methods: Data were extracted from hospital electronic medical record locally maintained registry all admitted PICU between...