A5044743186- Anesthesia and Sedative Agents
- Anesthesia and Pain Management
- Intraoperative Neuromonitoring and Anesthetic Effects
- Airway Management and Intubation Techniques
- Intensive Care Unit Cognitive Disorders
- Nausea and vomiting management
- Pediatric Pain Management Techniques
- Ultrasound in Clinical Applications
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Pain Management and Opioid Use
- Appendicitis Diagnosis and Management
- Lanthanide and Transition Metal Complexes
- Methemoglobinemia and Tumor Lysis Syndrome
- Pathogenesis and Treatment of Hiccups
- Tracheal and airway disorders
- EEG and Brain-Computer Interfaces
- Pharmaceutical studies and practices
- Nasolacrimal Duct Obstruction Treatments
- Pharmacological Effects and Toxicity Studies
- COVID-19 and healthcare impacts
- Emergency and Acute Care Studies
- Epilepsy research and treatment
University of Arkansas for Medical Sciences
2025
Arkansas Children's Hospital
2025
Nationwide Children's Hospital
2023-2024
Ohio University
2024
General anesthesia or procedural sedation may be required to ensure immobility, facilitate completion of the procedure, and patient comfort during diagnostic therapeutic procedures in cardiac catheterization suite. Although propofol dexmedetomidine are two more commonly chosen agents, concerns regarding their impact on inotropic, chronotropic dromotropic function limit applicability based underlying comorbid conditions. We present three patients with conditions involving pacemaker (natural...
Remimazolam is a novel benzodiazepine with sedative, anxiolytic, and amnestic properties similar to midazolam. Metabolism by tissue esterases results in short clinical half-life of 5 - 10 min limited context sensitive half-life. We present initial retrospective experience the use remimazolam as an intraoperative adjunct sedation during awake craniotomy cohort three adolescent patients. A infusion was added combination dexmedetomidine remifentanil deepen level surgical incision, craniotomy,...
Train-of-four (TOF) monitoring is essential in optimizing perioperative outcomes as a means to assess the depth of neuromuscular blockade and confirm recovery following administration blocking agents (NMBAs). Quantitative TOF has been limited infants children primarily due lack effective equipment. The current study evaluates novel electromyography (EMG)-based monitor with recently developed pediatric-sized self-adhesive sensor children.Consented pediatric patients undergoing inpatient...
Background: Quantitative train-of-four (TOF) monitoring has recently been shown to be feasible in infants and children using a novel electromyography (EMG)-based monitor with pediatric-sized self-adhesive sensor. However, placement of the sensor initiation TOF may require additional time operating room (OR), delaying workflow induction anesthesia. The current study evaluates feasibility placing preoperative holding area pediatric patients before arrival OR. Methods: Consented undergoing...
BACKGROUND: Peripheral nerve stimulation with a train-of-four (TOF) pattern can be used intraoperatively to evaluate the depth of neuromuscular block and confirm recovery from blocking agents (NMBAs). Quantitative monitoring challenging in infants children due patient size, equipment technology, limited access sites. Although adductor pollicis muscle is preferred site monitoring, foot an alternative when hands are unavailable. However, there little information on comparative evoked responses...
Sugammadex is a medication that may have cost considerations with the potential for waste of unused product in pediatric patients due to vial size and its single-use limitation. Therefore, exploring vial-splitting perioperative use be beneficial.The study was retrospective, quality improvement using electronic medical record identify every sugammadex administration over last five years tertiary care institution. We divided into groups depending on dose administered. The calculated under...
Following its initial synthesis in 1876, methylene blue has been used various clinical scenarios for diagnostic and treatment purposes. In general, adverse effect profile is relatively limited. We present a 22-year-old patient who experienced extravasation of intended intravenous administration during cystoscopy with retrograde pyelogram. The uses are reviewed, risks effects associated discussed, options reviewed the inadvertent extravasation. Int J Clin Pediatr. 2023;12(1):11-14 doi:...
ABSTRACT Introduction COVID‐19 increases anesthetic risk in children, but understanding of complication differences by symptom presence and severity is limited. We hypothesized that symptomatic COVID‐19+ especially with lower respiratory symptoms, would have higher perioperative complications than asymptomatic patients be all diagnosed < 6 days before anesthesia. Methods This single‐center, retrospective cohort study reviewed records children 18 years old undergoing surgery general...
Objectives Delayed diagnosis of acute appendicitis in children may result complex with appendiceal perforation. can from missed opportunity for initial (MOID) despite medical attention. Studies report MOID less than 5% pediatric emergency departments (EDs), but we hypothesized that many occurs outside tertiary care facilities. Our goals were to determine the rate all presenting facilities and identify associated risk factors. Methods Children (age ≤18) undergoing appendectomy between 2018...
<sec> <title>UNSTRUCTURED</title> Ineffective postoperative pain management is associated with several negative consequences, including increased morbidity, impaired physical function and quality of life, delayed recovery, prolonged opioid use during after hospitalization, healthcare costs. Traditional therapies, pharmacological interventions, have drawbacks, particularly in children, growing concerns over long-term abuse. Virtual reality (VR) has emerged as a promising non-pharmacological...