A5082244438- Airway Management and Intubation Techniques
- Neonatal Respiratory Health Research
- Respiratory Support and Mechanisms
- Simulation-Based Education in Healthcare
- Family and Patient Care in Intensive Care Units
- Tracheal and airway disorders
- Cardiac Arrest and Resuscitation
- Innovations in Medical Education
- Emergency and Acute Care Studies
- Clinical Reasoning and Diagnostic Skills
- Infant Development and Preterm Care
- Neonatal and Maternal Infections
- Antimicrobial Resistance in Staphylococcus
- Congenital Diaphragmatic Hernia Studies
- Health, Medicine and Society
- Healthcare Technology and Patient Monitoring
- Pulmonary Hypertension Research and Treatments
- Craniofacial Disorders and Treatments
- Anesthesia and Sedative Agents
- Palliative Care and End-of-Life Issues
- Patient Safety and Medication Errors
- Cleft Lip and Palate Research
- Healthcare Decision-Making and Restraints
- Childhood Cancer Survivors' Quality of Life
- Autoimmune and Inflammatory Disorders
Centre Hospitalier Universitaire Sainte-Justine
2016-2025
Université de Montréal
2015-2024
Damietta University
2022-2024
University of North Florida
2022
Alexandria University
2022
Beni-Suef University
2022
Pediatrics and Genetics
2015-2021
Hospital Fatuma Bourguiba Monastir
2021
Aswan University
2021
Children's & Women's Health Centre of British Columbia
2009-2018
BACKGROUND AND OBJECTIVES: Neonatal tracheal intubation is a critical but potentially dangerous procedure. We sought to characterize practice and outcomes in the NICU delivery room (DR) settings identify modifiable factors improve neonatal safety. METHODS: developed National Emergency Airway Registry for Neonates collected standardized data patients, providers, practices, of intubation. Safety included adverse intubation–associated events (TIAEs) severe oxygen desaturation (≥20% decline...
To assess whether the videolaryngoscope (VL) is superior to classic laryngoscope (CL) in acquiring skill neonatal endotracheal intubation (ETI) and, once acquired with VL, transferable CL.This randomized controlled trial, a level 3 Canadian hospital, recruited junior pediatric residents who performed ETI NICU. The primary outcome was success rate of ETI. Secondary outcomes were time successful intubation, number bradycardia episodes andlowest oxygen saturation during procedure, occurrence...
To determine the incidence, indicators and clinical impact of difficult tracheal intubations in neonatal intensive care unit (NICU).Retrospective review prospectively collected data on performed NICU from National Emergency Airway Registry for Neonates.Ten academic NICUs.Neonates intubated at each sites between October 2014 March 2017.Difficult intubation was defined as one requiring three or more attempts by a non-resident provider. Patient (age, weight bedside predictors intubation),...
Neonatal intubation is one of the most common procedures performed by neonatologists, however, procedure difficult and high risk. Neonates who endure often experience adverse events, including bradycardia severe oxygen desaturations. Because low first attempt success rates, neonates are subjected to multiple attempts before endotracheal tube successfully placed. These factors conspire make dangerous in neonatal medicine. In this commentary we review key elements journey improve safety. We...
To characterize neonatal-perinatal medicine fellows' progression toward neonatal intubation procedural competence during fellowship training.
Neonatal tracheal intubation (TI) outcomes have been assessed by role, but training level may impact TI success and safety. Effect of physician (PTL) on the first-attempt success, adverse TI-associated events (TIAEs), oxygen desaturation was assessed.Prospective cohort study in 11 international NEAR4NEOS sites between October 2014 December 2017. Primary TIs performed pediatric/neonatal physicians were included. Univariable analysis evaluated association PTL, patient/practice characteristics,...
Neonatal endotracheal tube (ETT) size recommendations are based on limited evidence. We sought to determine data-driven weight-based ETT sizes for infants undergoing tracheal intubation and compare these with Resuscitation Program (NRP) recommendations.
Objectives To compare success and safety of endotracheal tube (ETT) exchanges with primary intubations identify factors associated ETT exchange outcomes. Design Retrospective observational study prospectively collected National Emergency Airway Registry for Neonates data. are the placement a new when one is already in place, whereas do not have pre-existing ETT. The outcome was first-attempt success. Secondary outcomes included number attempts, adverse tracheal intubation-associated events...
Pediatrics, Neonatologist, Director of University Medical Center Groningen, NetherlandsCorrespondence: Dr Keith J Barrington, Universite de Montreal, 3175 chemin Cote-Sainte-Catherine, Quebec H3T 1C5.Telephone 514-345-4931 ext 5929, fax 514-345-4822, e-mail keith.barrington@umontreal.caAccepted for publication May 31, 2013
Background: Helping trainees develop appropriate clinical reasoning abilities is a challenging goal in an environment where situations are marked by high levels of complexity and unpredictability. The benefit simulation-based education to assess skills has rarely been reported. More specifically, it unclear if better acquired the instructor's input occurs entirely after or integrated during scenario. Based on educational principles dual-process theory reasoning, new simulation approach...
Abstract The perturbation of the racemic equilibrium luminescent D 3 terbium(III) complexes with chelidamic acid (CDA), a hydroxylated derivative 2,6‐pyridine‐dicarboxylic (DPA), by added chiral biomolecules such as L ‐amino acids has been studied using circularly polarized luminescence and 13 C NMR spectroscopy. It is shown in this work that chiral‐induced shift [Tb(CDA) ] 6− (i.e. ‐proline or ‐arginine) was largely influenced hydrogen‐bonding networks formed between ligand interface these...
Objective This study aimed to examine the association between team stress level and adverse tracheal intubation (TI)-associated events during neonatal intubations. Study Design TIs from 10 academic intensive care units were analyzed. Team was rated immediately after TI using a 7-point Likert scale (1 = high stress). Associations among stress, TI-associated events, characteristics evaluated. Result In this study, 208 of 2,009 (10%) had levels (score < 4). Oxygenation failure, hemodynamic...
On a étudié au spectromètre magnétique le spectre d'électrons du RaD au-dessus de 3 keV.Les deux spectres nucléaires 15 et 61 keV ont été séparés Auger L. mesuré les rendements fluorescence la couche L.Abstract.2014 Study of the electron spectrum above keV.The two nuclear beta- spectra and have been separated from L electrons.The yields shell measured.
Abstract Simulation is an effective training method for neonatal resuscitation (NR). However, the limitations brought about by COVID-19 pandemic, and other resource constraints, have necessitated exploring alternatives. Virtual reality (VR), particularly 360-degree VR videos, gained attraction in medical due to their immersive qualities. The primary objectives of study were produce a high quality virtual (VR) video capturing NR simulation determine if it could be acceptable adjunct teach NR....
Assess impact of neonatal simulation and simulated death on trainees' stress performance.A parallel-group randomized trial (November 2011 to April 2012).Sainte-Justine University Hospital, Montreal, Canada.Sixty-two pediatric trainees eligible, 59 consented, 42 completed the study.Trainees performed two simulations where a term neonate was born pulseless. They were start with either survival (manikin responded appropriate resuscitation) or scenario remained pulseless despite...
Background: The emergence of coagulase-negative staphylococci with reduced vancomycin susceptibility in some neonatal intensive care units has resulted an increase linezolid use. Linezolid pharmacokinetics (PK) and safety premature infants still need to be better established. Methods: This was a retrospective PK study. All who received intravenous had plasma concentrations per standard were included. measured by high performance liquid chromatography. A population model developed using...