A5084080979- Cardiac Valve Diseases and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Mechanical Circulatory Support Devices
- Cardiac and Coronary Surgery Techniques
- Transplantation: Methods and Outcomes
- Infective Endocarditis Diagnosis and Management
- Anesthesia and Pain Management
- Nausea and vomiting management
- Airway Management and Intubation Techniques
- Venous Thromboembolism Diagnosis and Management
- Organ Transplantation Techniques and Outcomes
- Anesthesia and Sedative Agents
- Ultrasound in Clinical Applications
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Hemodynamic Monitoring and Therapy
- Blood transfusion and management
- Central Venous Catheters and Hemodialysis
- Cardiac Structural Anomalies and Repair
- Aortic Disease and Treatment Approaches
- Vascular Procedures and Complications
- Pulmonary Hypertension Research and Treatments
- Cardiovascular Function and Risk Factors
- Agricultural Practices and Plant Genetics
- Anesthesia and Neurotoxicity Research
- Tracheal and airway disorders
University of Iowa Health Care
2025
University of Iowa Hospitals and Clinics
2014-2024
University of Iowa
2014-2024
University of Massachusetts Chan Medical School
2024
Apollo Institute of Medical Sciences & Research
2023
Iowa Methodist Medical Center
2022
Methodist Hospital
2022
Arthur B. McDonald-Canadian Astroparticle Physics Research Institute
2019
University of Cincinnati
2017-2019
University of Cincinnati Medical Center
2017-2019
Bleeding after cardiac surgery is a common and serious complication leading to transfusion of multiple blood products resulting in increased morbidity mortality. Despite the publication numerous guidelines consensus statements for patient management surgery, research has revealed that adherence these poor, as result, significant variability practices among practitioners still remains. In addition, although utilization point-of-care (POC) coagulation monitors use novel therapeutic strategies...
Lung transplantation has been evolving since its inception in 1963. Over recent years, literature suggested a shift the perioperative strategy of mechanical support toward extracorporeal membrane oxygenation (ECMO) as preferred modality life (ECLS) lung transplantation. The Survey ECLS Application (SEAL) was designed to elucidate current practice patterns within United States. In this cross-sectional study, physician from 62 adult centers across States America (USA) surveyed on their...
Summary Dynamic ultrasound‐guided short‐axis needle tip navigation is a novel technique for vascular access. After venipuncture, the and catheter are further advanced within vessel lumen under real‐time ultrasound guidance with constant visualisation of in view. This can minimise risk transfixing cannulated vessel. We compared two techniques non‐visible saphenous vein cannulation general anaesthesia children weighing ≥ 3 kg less than four years age: dynamic (ultrasound group) vs. landmark...
Current protocols for the perioperative care of lung transplant (LTX) recipients lack rigorous evidence and are often empiric, based upon institutional preferences. We surveyed LTX anesthesiologists to determine most common practices.We developed a survey 40 questions regarding using Qualtrics software. The was sent out members Society Cardiovascular Anesthesiologists performing at geographically diverse sites facilitate data collection as many practices possible.The responses were...
High spinal anesthesia (HSA) has been utilized in cardiac surgery; however, there is limited evidence on its impact facilitating postoperative recovery. This study aimed to evaluate the of HSA pediatric congenital heart surgery
Summary Transient femoral nerve palsy is a known complication associated with percutaneous ilioinguinal iliohypogastric block. Excess volume and higher concentrations of local anesthetic have been implicated for transient palsy. We encountered partial iliac compartment block involving lateral cutaneous the thigh lower concentration (0.25%) bupivacaine administered in smallest indicated 0.25 ml·kg −1 using double‐shot technique.
The role of various airway adjuncts in the management difficult has been described literature. Bonfils rigid fiberscope is one assist devices widely used for endotracheal intubation individuals with cervical instability warranting limited neck movements. With our experience utilization single lumen tube placement, we are increasingly using double endobronchial (DLT) as well. We would like to describe use DLT placement and outline merits limitations other suitable this report. be modified by...
Pre-operative echocardiography has been utilized in perioperative period for decades patients with active cardiac conditions scheduled non-cardiac surgery to aid risk stratification. Echocardiography enables direct visualization of the various chambers heart, valves, adjacent structures and major connecting vessels like pulmonary artery aorta. In majority patients, trans-thoracic (TTE) used screening few exceptional clinical such as endocarditis, severe calcific aortic stenosis, suspected...
To implement and assess a cardiopulmonary point-of-care ultrasound (POCUS) objective structured clinical examination (OSCE) in large cohort of graduating anesthesia residents.Observational study.University-affiliated hospitals.150 residents their last nine months training.A standardized OSCE was administered to each resident.The cardiac views evaluated were parasternal long axis (PLAX), apical 4 chamber (A4C), short (PSAX). The pulmonary pleural effusion (PLE) pneumothorax (PTX). In...
Organophosphate (OP) poisoning is very common form of in Indian population because its availability and easy access.Intoxication occurs following the absorption OP agents through gastrointestinal tract, skin respiratory tract rarely by intramuscular or intravenous route.The clinical features depend on amount poison consumed, it's concentration, route administration time instituting therapy.We are reporting a case an monochrotophos poisoning, unusual way intoxication, which was managed our ICU.
The interpleural block (IPB) is a relatively safe procedure and commonly practised to provide analgesia. A local anaesthetic injected into the space spreads widely various neural structures. IPB can initiate bronchospasm by interrupting sympathetic outflow but sparing parasympathetic lungs. In addition, unilateral reduction of intercostal muscle tone with consequential selective functional residual capacity that lung may also mimic airflow obstruction. We report case encountered following IPB.
Development of opioid tolerance in the perioperative period due to remifentanil remains controversial. We evaluated occurrence and other adverse effects patients undergoing head neck surgery.We recruited adult participants with ASA status I III who received general anesthesia for approximately 2 h elective procedures. Remifentanil infusion was used one group intermittent boluses morphine or fentanyl were administered another group. Postoperative pain treated post-anaesthesia care unit (PACU)...