- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Congenital Heart Disease Studies
- Neonatal Respiratory Health Research
- Congenital Diaphragmatic Hernia Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Respiratory Support and Mechanisms
- Cardiac Arrest and Resuscitation
- Family and Patient Care in Intensive Care Units
- Blood transfusion and management
- Hemodynamic Monitoring and Therapy
- Coronary Artery Anomalies
- Heparin-Induced Thrombocytopenia and Thrombosis
- Craniofacial Disorders and Treatments
- Mechanical Circulatory Support Devices
- Sepsis Diagnosis and Treatment
- Dermatological diseases and infestations
- Patient Satisfaction in Healthcare
- Acute Myocardial Infarction Research
- Tracheal and airway disorders
- Anesthesia and Pain Management
- Intraoperative Neuromonitoring and Anesthetic Effects
- Intensive Care Unit Cognitive Disorders
- Intramuscular injections and effects
- Bartonella species infections research
The University of Texas Southwestern Medical Center
2021-2023
Children's Medical Center
2021-2022
The Ohio State University
2015-2018
Nationwide Children's Hospital
2015-2018
The many advantages of early tracheal extubation following congenital cardiac surgery in young infants and children are now widely recognized. Benefits include avoiding the morbidity associated with prolonged intubation consequences sedation positive pressure ventilation setting altered cardiopulmonary physiology. Our practice operating room has evolved new challenges arena postoperative pain management have appeared.Review our institutional outcomes surgery.Inclusion criteria included all...
Summary Background In children, the size of cuffed endotracheal tube is based on various age‐based formulas. However, such formulas may over or underestimate tube. There are no data impact different‐sized tubes (ETT) intracuff pressure in children. Aim The current study measures with ETT. Method was conducted an vitro and vivo phase. For phase, 10 ETT 4.0, 4.5, 5 mm internal diameter (ID) each were randomly placed inside a 1.0 cm ID plastic (mimicking trachea), which turn connected to 1 l...
Summary Background The majority of allogeneic transfusions occur in the perioperative setting, especially during cardiac surgery. In addition to economic implications, there is emerging evidence that blood transfusion may increase both morbidity and mortality. Acute normovolemic hemodilution ( ANH ) limit need for products. Objectives primary objective this study was determine if method collection (syringe or bag) process impacted platelet count function. secondary objectives included...
Background: Near-infrared spectroscopy (NIRS) is a noninvasive monitoring technique that measures regional cerebral oxygen saturation (rSO 2 ). Objectives: The primary aim was to compare the output of NIRS-based oximetry devices, FORESIGHT (CAS Medical Systems Inc, Branford, Connecticut) and INVOS (Covidien, Boulder, Colorado), venous saturations from jugular bulb at cannulation decannulation superior vena cava (SVC). Secondary objectives included evaluating correlations saturation, as...
Heparin-induced thrombocytopenia (HIT) can cause life-threatening complications following the administration of heparin. Discontinuation all sources heparin exposure and use alternative agents for anticoagulation are necessary when HIT is suspected or diagnosed. We present successful bivalirudin in an adolescent patient during cardiopulmonary bypass who underwent both placement a left ventricular assist device subsequent heart transplantation within 36-hour period. The pathophysiology...
Cancellation of surgery has significant adverse impact on patients, health care providers, and their associated facilities. Although head lice infestation not been shown to be with surgical outcomes, it often prompts case cancellation by anesthesia personnel. The purpose our study was evaluate the extent cancellations due infestation. In study, a total 9 patients were cancelled over 3-year period. there is no direct evidence show that poses risk possibility underlying secondary bacterial...
Lactic acid and base deficit (BD) values are frequently monitored in the intensive care unit operating room setting to evaluate oxygenation, ventilation, cardiac output, peripheral perfusion. Although generally obtained from an arterial cannula, such access may not always be available. The current study prospectively investigates correlation of venous BD lactic acid. cohort included 48 patients. Arterial ranged −8 4 mEq/L mEq/L. 0.36 2.45 μmol/L 0.38 μmol/L. (−0.4 ± 2.2 mEq/L) was...
As the primary source of smoke exposure is in home, smoking behaviors parents and other caregivers are key determinants a child's to secondhand smoke. The perioperative period offers an opportunity discuss cessation strategies.This prospective study included 97 or patients undergoing dental surgery. Caregivers were surveyed waiting room during preoperative phase. aim was determine feasibility using encounter offer resources pediatric patients. secondary compare willingness receive according...
Jeune syndrome or asphyxiating thoracic dystrophy (JATD) is a rare autosomal recessive disorder with an estimated incidence of 1 in 100,000 to 130,000 live births. The typical phenotype JATD osteochondrodysplasia (narrow thorax and shorted ribs) association short limb dwarfism. dysplasia results respiratory insufficiency, usually requiring tracheostomy chronic mechanical ventilation beginning infancy childhood. Lateral expansion one surgical procedure that has been described attempt enlarge...
Jeune syndrome or asphyxiating thoracic dystrophy (JATD) is a rare autosomal recessive disorder with an estimated incidence of 1 in 100,000 to 130,000 live births. The typical phenotype JATD osteochondrodysplasia (narrow thorax and shorted ribs) association short limb dwarfism. dysplasia results respiratory insufficiency, usually requiring tracheostomy chronic mechanical ventilation beginning infancy childhood. Lateral expansion one surgical procedure that has been described attempt enlarge...