A5034882666- Traumatic Brain Injury and Neurovascular Disturbances
- Mechanical Circulatory Support Devices
- Cardiac Arrest and Resuscitation
- Respiratory Support and Mechanisms
- Asthma and respiratory diseases
- Optical Imaging and Spectroscopy Techniques
- Intensive Care Unit Cognitive Disorders
- Pneumothorax, Barotrauma, Emphysema
- Allergic Rhinitis and Sensitization
- Palliative Care and End-of-Life Issues
- Olfactory and Sensory Function Studies
- Cerebrospinal fluid and hydrocephalus
- Sepsis Diagnosis and Treatment
- Heart Rate Variability and Autonomic Control
- Cardiovascular Syncope and Autonomic Disorders
- Cardiovascular Issues in Pregnancy
- Central Venous Catheters and Hemodialysis
- Amyotrophic Lateral Sclerosis Research
- Neurogenetic and Muscular Disorders Research
- Venous Thromboembolism Diagnosis and Management
- Neonatal and fetal brain pathology
- Cardiac Structural Anomalies and Repair
- Hemodynamic Monitoring and Therapy
- Bacterial Infections and Vaccines
- Nicotinic Acetylcholine Receptors Study
The University of Texas Southwestern Medical Center
2019-2024
Southwestern Medical Center
2022-2024
Parkland Memorial Hospital
2022
Boston University
2014-2016
University School
2016
ABSTRACT BACKGROUND Automated pupillometry is becoming widely accepted as an objective measure of pupillary function, especially in neurocritical care units. Normative reference values and thresholds to denote a significant change are necessary for integrating automated into practice. OBJECTIVE Providing point estimates normal ranges data will help clinicians intuit meaning from these that drive clinical interventions. METHODS This study used planned descriptive analysis using multicenter...
Background Asymmetric pupil reactivity or size can be early clinical indicators of midbrain compression due to supratentorial ischemic stroke primary intraparenchymal hemorrhage (IPH). Radiographic midline shift is associated with worse functional outcomes and life-saving interventions. Better understanding quantitative characteristics would a non–invasive, safe, cost-effective way improve identification life-threatening mass effect resource utilization emergent radiographic imaging. We...
Describe the clinical characteristics and outcomes of 32 critically ill patients who underwent central venous cannulation internal jugular vein while in prone position.Retrospective cohort analysis.Single tertiary-care urban academic safety-net hospital.Patients requiring mechanical ventilation positioning for severe acute respiratory distress syndrome from March 1, 2020, through 31, 2021.Internal position.The technique used access, procedural complications, patient demographics, are...
Abstract In this seminar we describe the critical care management of patients with chronic neuromuscular diseases (cNMD). Determination acuity illness and trajectory in setting cNMD is necessary to guide decision making. Systemic complications illness, cardiac support needs, peri-intubation considerations may be affected by underlying diagnosis. Mechanical ventilatory support, whether noninvasive or invasive, requires redefinition goals ventilation on a patient-by-patient basis. Mode...
Background: Approximately half of all patients with cardiogenic shock (CS) require invasive mechanical ventilation (IMV). While there have been significant advances in the management requiring IMV based on data primarily derived from medical intensive care respiratory failure, little is known regarding and outcomes CS. Methods: We conducted an analysis treated for CS who required at academic safety net hospital 2017-2023. Indications IMV, ventilator settings, medications were obtained...
Clinical assessments of depth sedation are insufficient for patients undergoing neuromuscular blockade during treatment acute respiratory distress syndrome (ARDS). This quality initiative was aimed to augment objective assessment and improve therapeutic paralysis using the bispectral index (BIS).This improvement intervention provided education subsequent implementation a BIS monitoring sedation/analgesia bundle in large, urban, safety-net intensive care unit. After intervention,...
Background: Timely recognition and intervention for venous outflow obstruction due to intrathoracic pathology are critical controlling elevated intracranial pressure.Case Report: A 26-year-old man with pectus excavatum a posterior fossa tumor requiring biopsy, decompression, cerebrospinal fluid diversion developed pneumomediastinum following intubation tension physiology progressive elevation of pressure. Emergent tracheostomy was performed decompress pressure, augment return, ultimately...
Introduction: There is a wide range in the reported incidence of pneumothorax (PTX) and pneumomediastinum (PMN) patients with coronavirus disease 2019 (COVID-19). PTX alone PTX/PMN combined has also been associated higher mortality COVID-19 related acute respiratory distress syndrome (ARDS), however, current data regarding outcomes or predictors PMN ARDS limited. The purpose this study was to determine if large cohort failure mortality. Further, we looked which clinical factors ventilator...