A5067690270- Mechanical Circulatory Support Devices
- Vascular Procedures and Complications
- Peripheral Artery Disease Management
- Airway Management and Intubation Techniques
- Central Venous Catheters and Hemodialysis
- Cardiac Structural Anomalies and Repair
- Cardiac Arrest and Resuscitation
- Cardiac Valve Diseases and Treatments
- Transplantation: Methods and Outcomes
- Surgical Simulation and Training
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Systems and Public Health
- Cardiac pacing and defibrillation studies
- Cardiac Arrhythmias and Treatments
- Heart Failure Treatment and Management
- Hemodynamic Monitoring and Therapy
- Aortic Disease and Treatment Approaches
- Renal and Vascular Pathologies
- Infective Endocarditis Diagnosis and Management
- Heparin-Induced Thrombocytopenia and Thrombosis
- Diversity and Career in Medicine
- Radiology practices and education
- Atrial Fibrillation Management and Outcomes
- Innovations in Medical Education
Northwestern University
2017-2021
Northwestern Medicine
2021
Northwestern Memorial Hospital
2018-2019
NIHR Surgical Reconstruction and Microbiology Research Centre
2014
Veno-venous extracorporeal membrane oxygenation (V-V ECMO) support is increasingly used in the management of COVID-19-related acute respiratory distress syndrome (ARDS). However, clinical decision-making to initiate V-V ECMO for severe COVID-19 still remains unclear. In order determine optimal timing and patient selection, we investigated outcomes both non-COVID-19 patients undergoing support.
Blood stream infection (BSI) is a potentially lethal complication in patients receiving extracorporeal membrane oxygenation (ECMO). It may be particularly common with veno-venous ECMO due to their long hospitalization the intensive care unit. Given that these have concurrent indwelling central venous catheters (CVC), it unclear whether circuit, CVC, or both, contribute BSI. This study evaluated risk factors associated BSI single institution of 61 from 2016 through 2019. All and circuit...
Veno-venous extracorporeal membrane oxygenation (VV-ECMO) has emerged as a potential life-saving treatment for patients with acute respiratory failure. Given the accumulating literature supporting use of VV-ECMO without therapeutic levels anticoagulation, it might be feasible to planned intubation before surgical procedures. Here, we report consecutive series who underwent initiation VV-ECMO, induction general anesthesia anticipated difficult airways or decompensation. We describe approach...
Background Shorter length of stay (LOS) is a welcome consequence optimized perioperative care. However, accelerated hospital discharge may have unintended consequences. Before implementing an institutional enhanced recovery after surgery protocol, we evaluated the safety shorter LOS and compared outcomes patients with (LOS ≤ 3 days) to those longer > days). Methods We identified all undergoing elective cardiac cardiopulmonary bypass between July 2004 June 2017. Transcatheter approaches,...
Veno-venous extracorporeal membrane oxygenation (VV-ECMO) has emerged as a potential life-saving treatment for patients with acute respiratory failure. Given the accumulating literature supporting use of VV-ECMO without therapeutic levels anticoagulation, it might be feasible to planned intubation before surgical procedures. Here, we report consecutive series who underwent initiation VV-ECMO, induction general anesthesia anticipated difficult airways or decompensation. We describe approach...
Background Limb ischemia is a major complication of femoral venoarterial extracorporeal membrane oxygenation (VA-ECMO). Use ankle-brachial index (ABI) to monitor limb perfusion in VA-ECMO has not been described. We report our experience monitoring patients with serial ABI and the relationships between near infrared spectroscopy (NIRS). Methods This retrospective single-center review consecutive adult placed on January 2019 October 2019. Data were collected paired NIRS values. Relationships...
<h3>Background</h3> Fibromuscular dysplasia (FMD) is the most frequent cause of renovascular hypertension in women fertile age. We present a 36 year old identified early pregnancy with severe resistant caused by bilateral FMD. <h3>Case</h3> A 36-year-old primigravida no past medical history was referred to renal-obstetric services at 11 weeks gestation hypertension. Mean ambulatory blood pressure (BP) 180/100 despite maximum treatment dose nifedipine and labetalol. Renal function, ECG,...
Background: Limb ischemia is a major complication of femoral venoarterial extracorporeal membrane oxygenation (VA-ECMO). Use ankle-brachial index (ABI) to monitor limb perfusion in VA-ECMO has not been described. We report our experience monitoring patients with serial ABI and the relationships between near infrared spectroscopy (NIRS). Methods: This retrospective single-center review consecutive adult placed on January 2019 October 2019. Data were collected paired NIRS values. Relationships...