A5030235834- Sepsis Diagnosis and Treatment
- Childhood Cancer Survivors' Quality of Life
- Cardiac Arrest and Resuscitation
- Palliative Care and End-of-Life Issues
- Mechanical Circulatory Support Devices
- Respiratory Support and Mechanisms
- Ethics and Legal Issues in Pediatric Healthcare
- Family and Disability Support Research
- Nosocomial Infections in ICU
- Adolescent and Pediatric Healthcare
- Emergency and Acute Care Studies
- Renal function and acid-base balance
- Takotsubo Cardiomyopathy and Associated Phenomena
- Airway Management and Intubation Techniques
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Streptococcal Infections and Treatments
- Thyroid Cancer Diagnosis and Treatment
- Dermatology and Skin Diseases
- Healthcare Decision-Making and Restraints
- Patient Safety and Medication Errors
- Healthcare Technology and Patient Monitoring
- Advancements in Transdermal Drug Delivery
- Nursing Diagnosis and Documentation
- Thyroid and Parathyroid Surgery
- Otolaryngology and Infectious Diseases
Thomas Jefferson University
2014-2024
Alfred I. duPont Hospital for Children
2010-2022
Dupont Hospital
2018-2021
DuPont (United States)
2016-2020
Nemours Children’s Clinic
2010-2011
Nemours Children's Clinic
2010-2011
Abstract Introduction High‐flow nasal cannula therapy (HFNC) has been shown to be more effective than continuous positive airway pressure (CPAP) in reducing intubations and ventilator days. HFNC likely provides mechanisms support respiratory efficiency beyond application of distending pressure. We reason that washout nasopharyngeal dead space impacts CO 2 removal along with oxygenation. The aim this study was demonstrate the flow dependence reduction improved oxygenation during on leak...
Pediatric sepsis is a major public health problem. Published treatment guidelines and several initiatives have increased adherence with guideline recommendations improved patient outcomes, but the gains are modest, persistent gaps remain. The Children’s Hospital Association Improving Sepsis Outcomes (IPSO) collaborative seeks to improve outcomes in pediatric emergency departments, ICUs, general care units, hematology/oncology units. We developed multicenter quality improvement learning of US...
OBJECTIVES: Data to support epinephrine dosing intervals during cardiopulmonary resuscitation (CPR) are conflicting. The objective of this study was evaluate the association between and outcomes. We hypothesized that less than 3 minutes would be associated with improved neurologic survival compared greater or equal minutes. DESIGN: This is a secondary analysis ICU-RESUScitation Project (NCT028374497), multicenter trial quality improvement bundle physiology-directed CPR training post-cardiac...
Background: Infections leading to sepsis are major contributors mortality and morbidity in children world-wide. Determining the capacity of pediatric hospitals Nigeria manage establishes an important baseline for quality-improvement interventions resource allocations. Objectives: To assess availability functionality resources manpower early detection prompt management at tertiary centers Nigeria. Methods: This was online survey using a modified tool designed by World Federation Pediatric...
Although the field of pediatric palliative care (PPC) remains in its infancy, over past decade it has grown practice and scope. We report on patient referral patterns to a new PPC team at free-standing children's hospital.Our aim is provide descriptive comparison population seen by our program as compared existing literature.We examined database demographic data with published reports.Our was operating beyond predicted year-one volume that mirrored larger, more established programs. In an...
Severe sepsis/septic shock (SS), a leading cause of death in children, is complex clinical syndrome that can be challenging to diagnose. To assist with the early and accurate diagnosis this illness, we instituted an electronic scoring tool developed novel strategy for assessment currently hospitalized children at risk SS.The Shock Tool was created alert providers SS. Above threshold score 45, patients were evaluated by team from pediatric intensive care unit (PICU), led Nurse (RN), specially...
Generalized severe junctional epidermolysis bullosa is a rare mechanobullous skin disorder that uniformly fatal. We present the case of an infant who received palliative pain management and ultimately proportionate sedation. However, because extent patient's disease, we were unable to provide medication through parenteral routes. discuss provision enteral sedation, including pharmacology, creative use medications achieve sufficient palliation in this difficult unique situation.
Limited studies exist regarding the timing, location, or physicians involved in do-not-resuscitate (DNR) order placement pediatrics. Prior pediatric have noted great variations practice during end-of-life (EOL) care. This study aims to analyze physician specialties, and demographic factors influencing EOL care We examined time preceding following implementation of a palliative team (PCT) via 5-year, retrospective chart review all deceased patients previously admitted inpatient services....
Thyroid storm (TS) is rare in pediatrics, most cases reported literature responded well to medical therapy. We report the case of an adolescent female presented with TS refractory anti-thyroid management. She had hypertension, tachycardia, and progressive encephalopathy despite aggressive underwent subtotal thyroidectomy after 2 weeks failed management a complete resolution symptoms within days surgery. also learned sodium nitroprusside its direct vasodilatory effect on conduit vessels,...
Viteri, Shirley; Koetter, Paige; Stinson, Hannah; Stevens, Erica; Frizzola, Meg Author Information
Copyright © 2016 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
Copyright © by 2015 the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
Copyright © 2016 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
1N/A, Wilmington, DE 2Alfred I DuPont Hospital, West Chester, PA 3Alfred I. Hospital for Children,
Stinson, Hannah1; Stevens, Erica2; Viteri, Shirley2; Whitney, Schoch2; Fitts, Brittany2; Parlow, Rebecca2; Frizzola, Meg2 Author Information
Stinson, Hannah; Stevens, Erica; Viteri, Shirley; Whitney, Schoch; Fitts, Brittany; Parlow, Rebecca; Frizzola, Meg Author Information