A5011628822- Maternal and fetal healthcare
- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Maternal and Perinatal Health Interventions
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Pediatric Pain Management Techniques
- Pain Management and Opioid Use
- Pregnancy and preeclampsia studies
- Cardiac Arrest and Resuscitation
- Cardiovascular Issues in Pregnancy
- Blood Coagulation and Thrombosis Mechanisms
- COVID-19 Impact on Reproduction
- Muscle and Compartmental Disorders
- Neurosurgical Procedures and Complications
- Hemodynamic Monitoring and Therapy
- Assisted Reproductive Technology and Twin Pregnancy
- Appendicitis Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Scientific Computing and Data Management
- Healthcare Operations and Scheduling Optimization
- Global Health and Surgery
- Substance Abuse Treatment and Outcomes
- Anesthesia and Neurotoxicity Research
- Prenatal Substance Exposure Effects
- Opioid Use Disorder Treatment
Yale University
2020-2025
National Patient Safety Foundation
2024
Mass General Brigham
2024
Harvard University
2024
Yale New Haven Hospital
2024
Cedars-Sinai Medical Center
2024
Barro Colorado Island
2021
BACKGROUND. The effects of the novel coronavirus disease 2019 (COVID-19) in pregnancy remain relatively unknown. We present a case second trimester with symptomatic COVID-19 complicated by severe preeclampsia and placental abruption.
Abstract Background The effects of Covid-19 in pregnancy remain relatively unknown. We present a case second trimester with symptomatic complicated by severe preeclampsia and placental abruption. Methods analyzed placenta for the presence SARS-CoV-2 through molecular immunohistochemical assays electron microscopy, we measured maternal antibody response blood to this infection. Results localized predominantly syncytiotrophoblast cells at maternal-fetal interface placenta. Histological...
( Anesthesiology . 2024; 140:1235–1239. doi:10.1097/ALN.0000000000004968) Recently, the American Society of Anesthesiologists (ASA) released a statement on pain during cesarean delivery (CD) from Committee Obstetric Anesthesia which addressed failure to achieve pain-free CD. This article is letter editor in response this statement, arguing that providers “can and must do better” relieve for patients procedure.
Objectives: Not all labor and delivery floors are equipped with ultrasound machines which can serve the needs of both obstetricians anesthesiologists. This cross-sectional, blinded, randomized observational study compares image resolution (RES), detail (DET), quality (IQ) acquired by a handheld ultrasound, Butterfly iQ, mid-range mobile device, Sonosite M-turbo US (SU), to evaluate their use as shared resource. Methods: Seventy-four pairs images were obtained for different imaging purposes:...
CRNAs, certified anesthesiologist assistants, obstetricians, maternal-fetal medicine specialists, midwives, and more.The offering of virtual content has allowed us to serve our members in more flexible ways wherever they may be located geographically.The Sheraton Downtown Denver Hotel, Denver, Colorado, will host the SOAP 2024 Annual Meeting, May 1-5.Centered on theme "Focusing Patient: Improving Individual Outcomes & Experiences," it feature cutting-edge research presentations combined with...
A 35-year-old parturient with antiphospholipid syndrome and a working diagnosis of hemolysis, elevated liver enzyme, low platelets (HELLP) underwent cesarean delivery 9 hours after receiving heparin. Her preoperative activated partial thromboplastin time rotational thromboelastometry (ROTEM) intrinsic pathway (INTEM) clotting were 120 1870 seconds, respectively. Fresh frozen plasma was administered for heparin neutralization. The ROTEM INTEM/heparinase assay (HEPTEM) ratio can help confirm...
Point-of-care testing provides a representation of the patient's coagulability status during effective postpartum hemorrhage management. Baseline values rotational thromboelastometry (ROTEM) have not yet been reported in heterogeneous obstetric population. This study aimed to establish baseline for diverse population representative United States. The secondary aim was evaluate association these hematologic parameters with comorbidities, race, and socioeconomic factors.The retrospective...
Aberrant automated blood pressure (BP) readings during caesarean delivery may lead to disruptions in monitoring. The present study compared the frequency of aberrant BP across two types commercially available monitoring systems use delivery.This was a retrospective observational using comparable patient cohorts that resulted from simultaneous introduction monitors into single obstetric surgical center which similar patients were treated for same procedure by set clinicians year. Our primary...
Background:The search for the ideal postoperative analgesia is crucial given current opioid epidemic in United States.Liposomal bupivacaine transverse abdominis plane block, inclusive of intrathecal morphine may improve more than 24 h.We assessed consumption after cesarean delivery and time to first narcotic. Methods:We conducted a single-center retrospective chart review deliveries.All patients received spinal anesthetic with 100 mcg multimodal analgesia.A total 82 block while 140 did...
We present a case of pregnant patient with an unrepaired vein Galen malformation (VGAM) and left ventricular (LV) dilation. Patients VGAM lesions typically during childhood cardiac failure or developmental delay prompting embolization. Therefore, it is highly unusual for adult to lesion. 1 It poses challenges obstetric anesthetic management pregnancy delivery reduce the risk heart failure, arrhythmia, intracranial hemorrhage. Our safely delivered term neonate by cesarean neuraxial analgesia...