A5091501314- Neonatal Respiratory Health Research
- Mechanical Circulatory Support Devices
- Respiratory Support and Mechanisms
- Cardiac Arrest and Resuscitation
- Congenital Diaphragmatic Hernia Studies
- Neurosurgical Procedures and Complications
- Cardiac Structural Anomalies and Repair
- Groundwater and Watershed Analysis
- Transplantation: Methods and Outcomes
- Congenital Heart Disease Studies
- Takotsubo Cardiomyopathy and Associated Phenomena
- Heart Failure Treatment and Management
- Neonatal and fetal brain pathology
- Karst Systems and Hydrogeology
- Connective tissue disorders research
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac, Anesthesia and Surgical Outcomes
- Medical History and Innovations
- Infant Development and Preterm Care
- Viral gastroenteritis research and epidemiology
- Geological Modeling and Analysis
- Geographic Information Systems Studies
- Thermal Regulation in Medicine
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Neurogenetic and Muscular Disorders Research
Indiana University – Purdue University Indianapolis
2025
Indiana University School of Medicine
2025
Children's Hospital of Pittsburgh
2022
University of Pittsburgh
2022
Dupont Hospital
2021
Alfred I. duPont Hospital for Children
2017-2021
Wilford Hall Ambulatory Surgical Center
2001-2019
Thomas Jefferson University
2017-2019
Brooke Army Medical Center
2019
DuPont (United States)
2017
Heated, humidified high-flow nasal cannula (HHHFNC) is commonly used as a noninvasive mode of respiratory support in the NICU. The safety and efficacy HHHFNC have not been compared with other modes large randomized trials. objective was to assess continuous positive airway pressure (nCPAP) for NICU.Randomized, controlled, unblinded noncrossover trial 432 infants ranging from 28 42 weeks' gestational age planned nCPAP support, either primary therapy or postextubation. outcome defined need...
Veno-venous (VV) extracorporeal membrane oxygenation (ECMO) is associated with fewer neurological complications and decreased mortality compared to veno-arterial (VA) ECMO in neonatal respiratory failure. The Crescent right atrial (RA) cannula the only dual-lumen for VV designed have tip atrium. purpose of this study describe experience early use RA cannula. We performed a retrospective cohort 58 neonates infants cannulated from September 2021 through August 2023 at 15 institutions...
Extracorporeal membrane oxygenation (ECMO) is a lifesaving therapy for severe respiratory and circulatory failure. It best performed in high-volume centers to optimize resource utilization outcomes. Regionalization of ECMO might require the implementation before during transfer center. The aim this international survey was describe manner which interhospital transport care organized at experienced centers. Fifteen mobile from nine countries participated survey. Seven (47%) them operated...
Describe practice variations in ventilator strategies used for lung rest during extracorporeal membrane oxygenation respiratory failure neonates, and assess the potential impact of various on duration mechanical ventilation after decannulation.Retrospective cohort analysis from Extracorporeal Life Support Organization registry database years 2008-2013.All runs infants less than or equal to 30 days life pulmonary reasons were included.Ventilator type settings at 24 hours initiation obtained.A...
Extracorporeal membrane oxygenation (ECMO) is used in patients with acute respiratory failure that not responsive to conventional management. The practice of awake ECMO has become an area interest but limited data and experience. Most reported experience comes from adult pediatric populations. Traditional management these still includes mechanical ventilator support often requires the use sedatives for provision safe care. We present a series eight neonates who were electively extubated...
The objectives of this study are to compare the neonatal risks and benefits antenatal single-course versus repeated-course corticosteroids in singleton multiple-gestation pregnancies. A comprehensive analysis was performed inpatient records all neonates admitted our center from 1 January 1994 through 31 May 1999. primary outcome measure survival without chronic lung disease (CLD). Secondary measures included birth weight; head circumference; interval weight ratios; respiratory severity;...
Blood transfusions in the neonatal patient population are common, but there no established guidelines regarding transfusion thresholds. Little is known about postoperative outcomes neonates who receive preoperative blood (PBTs).Using American College of Surgeons National Surgical Quality Improvement Program-Pediatric Participant Use Data Files from 2012 to 2015, we identified all underwent surgery. Mortality and composite morbidity (defined as any complication) received a PBT within 48 hours...
Extracorporeal membrane oxygenation (ECMO) is used for cardiopulmonary dysfunction. Hepatopulmonary syndrome (HPS) occurs in the setting of liver failure and may cause hypoxemia. Previous reports have described use ECMO HPS after transplant. Our patient a 19-month-old female with biliary atresia, an interrupted inferior vena cava, on 8 liters per minute high-flow oxygen. Following transplantation, her postoperative course was complicated by severe hypoxemia requiring ECMO. Due to our...
Extracorporeal membrane oxygenation (ECMO) systems have continued to evolve and improve with the development of smaller portable systems. The Cardiohelp (Maquet Getinge Cardiopulmonary AG, Rastatt, Germany) life support device is a compact ECMO system used widely in adults for transport. Reports its use neonatal pediatric centers remain limited. In this single-center retrospective review, we describe our institutional experience Cardiohelp.Single-center review.Neonatal ICUs PICUs...
Supplying the population of a refugee or internally displaced persons (IDP) camp with sufficient drinking water is key concern humanitarian organisations. This requires information on geological and hydrogeological situation at site, which often missing not available within reasonable timeframe. Depending outcrop complexity, remote sensing can contribute to rapid assessment, greatly reduce required fieldwork. In context project EO4HumEn (Earth Observation based services support operations:...
Background: Recent studies demonstrate a neuroprotective effect of therapeutic hypothermia following newborn hypoxic-ischemic encephalopathy; however, initiation cooling must begin within 6 hours birth. Evidence from animal models suggests that the earlier treatment is begun, more efficacious in preventing brain injury. Unfortunately, timely therapy often practically difficult to achieve for outborn neonates. Currently, there no standardized methodology safely initiate and regulate during...
OBJECTIVES: To describe ventilation strategies used during extracorporeal membrane oxygenation (ECMO) for neonatal respiratory failure among level IV ICUs (NICUs). DESIGN: Cross-sectional electronic survey. SETTING: Email-based Research Electronic Data Capture PATIENTS: Neonates undergoing ECMO at NICUs. INTERVENTIONS: A 40-question survey was sent to site sponsors of regional referral centers participating in the Children’s Hospitals Neonatal Consortium. Reminder emails were 2- and 4-week...
Zusammenfassung Die Fallstudie in einem kleinräumigen Einzugsgebiet im Salzburger Rauristal diente dazu, die Hydrogeologie einiger für das Tauernfenster typischer Lithologien und Strukturen beispielhaft zu beleuchten. Das Untersuchungsgebiet ist geprägt von metamorphen geklüfteten Gesteinen des Penninikums Subpenninikums (Schiefer Gneise) quartären Ablagerungen, wobei hier vor allem ein großer Bergsturz als prägendes Element nennen ist. Es wurde eine geologisch-hydrogeologische Kartierung...
Introduction Newborns receiving therapeutic hypothermia (TH) for perinatal hypoxic ischemic encephalopathy (HIE) are thought to have an increased risk of intracranial hemorrhage (ICH). A proportion infants with HIE will require ECMO therapy respiratory and/or circulatory failure. This retrospective study examines whether neonates at significant ICH or death when compared without HIE. Study design single-center chart review all who required over a 10-year period (2013-2022). Rates (Grade III...
Background: Awake extracorporeal membrane oxygenation (ECMO) in conscious, extubated patients has been used successfully adults and children, primarily as a bridge to lung or heart–lung transplantation recovery from refractory cardiogenic shock.1,2 However, this strategy reported only an exceptional measure neonatal patients. We present case of respiratory failure where infant was while on ECMO managed without invasive ventilation. Methods: The clinical details, laboratory investigations,...
Stress cardiomyopathy could complicate severe traumatic brain injury and subarachnoid hemorrhage, potentially lead to myocardial dysfunction, acute heart failure death. Prompt recognition timely eCPR can provide effective rescue. A 12 year old male was airlifted from the beach after he struck in back of his head with a “bocce ball”. On arrival, hypotensive, had copious frothy bloody tracheal secretions. CT Chest Head showed pulmonary edema, significant intraventricular hemorrhage extending...