A5051126425- Ultrasound in Clinical Applications
- Sepsis Diagnosis and Treatment
- Cardiac Arrest and Resuscitation
- Hemodynamic Monitoring and Therapy
- Intensive Care Unit Cognitive Disorders
- Respiratory Support and Mechanisms
- Acute Myocardial Infarction Research
- Airway Management and Intubation Techniques
- Cardiac Imaging and Diagnostics
- Diabetes and associated disorders
- Renal function and acid-base balance
- Diversity and Career in Medicine
- Emergency and Acute Care Studies
- Vitamin C and Antioxidants Research
- Tracheal and airway disorders
- Disaster Response and Management
- Autoimmune and Inflammatory Disorders Research
- Cardiovascular Function and Risk Factors
- Kawasaki Disease and Coronary Complications
- Radiology practices and education
- Sarcoidosis and Beryllium Toxicity Research
- Vitamin K Research Studies
- Electrolyte and hormonal disorders
- Mechanical Circulatory Support Devices
- Pericarditis and Cardiac Tamponade
Children's National
2014-2025
George Washington University
2011-2024
North Bengal Medical College and Hospital
2018-2024
Townsville Hospital
2020-2021
George Washington University Hospital
2020
West Bengal University of Health Sciences
2018
R. G. Kar Medical College and Hospital
2018
University of Maryland, Baltimore
2015
University of Maryland Medical Center
2015
Iman University
2013
Sepsis is common in children and often results cardiac dysfunction. Assessment of patients with sepsis-associated myocardial depression using ejection fraction fractional shortening conventional echocardiography load dependent reveals dysfunction only after clinical deterioration has occurred. Speckle tracking imaging a novel technology that can assess deformation strain by displacement acoustic markers the myocardium. We hypothesize speckle will detect impairments during sepsis are not...
Tracheostomy is a common procedure in the ICU when prolonged mechanical ventilation expected. Although adult data show morbidity and mortality benefits over translaryngeal intubation, there no consensus on optimal timing. In pediatric population, sparse regarding morbidities associated with duration of prior to tracheostomy. Our objective was associate timing tracheostomy clinical outcomes PICU patients.This retrospective cohort study patients undergoing Patient factors were collected each...
To assess current diagnostic bedside ultrasound program core element (training, credentialing, image storage, documentation, and quality assurance) implementation across pediatric critical care medicine divisions in the United States. Cross-sectional questionnaire-based needs assessment survey. Pediatric with an Accreditation Council of Graduate Medical Education-accredited fellowship. Divisional leaders education and/or training. None. Fifty-five 67 (82%) fellowship provided responses....
Objectives: The objective of the study was to find out whether global longitudinal strain (GLS) poses as a novel marker left ventricular (LV) systolic function and it be seen GLS could predict cardiotoxicity earlier than Ejection fraction (EF). Methods: Fifty-two patients set receive anthracycline and/or trastuzumab-based chemotherapy for breast carcinoma were selected – clinical parameters baseline echocardiography (EF, E/e,’ LV S,’ Tricuspid annular plane excursion, Pulmonary artery...
Describe a single center experience of hemophagocytic lymphohistiocytosis in PICU over 10-year period, to identify clinical features that may be associated with worse outcomes, including mortality, hospital and ICU length stay, functional cognitive impairments on discharge.Retrospective electronic medical record review, 2007-2017.PICU located large urban academic quaternary care children's hospital.All children admitted our from 2007 2017.None.All patients were identified utilizing...
OBJECTIVES: To examine career trajectory and academic profile of Pediatric Critical Care Medicine (PCCM) physicians, with special focus on gender differences. DESIGN: Observational cross-sectional study PCCM fellowship graduates using publicly available data. SETTING: Publicly databases including National Provider Identifier registry, American Board Pediatrics, Doximity, official hospital websites, Scopus. SUBJECTS: Two thousand one hundred twenty-nine employed in clinical positions U.S....
Multisystem inflammatory syndrome in children is a newly defined complication of severe acute respiratory coronavirus 2 infection that can result cardiogenic shock the pediatric population. Early detection cardiac dysfunction imperative directing therapy and identifying patients at highest risk for deterioration. This study compares strengths conventional strain echocardiography critically ill with multisystem their association ICU therapeutic needs clinical outcomes.Retrospective,...
Objectives The objective of this study was to compare the ultrasound‐measured inferior vena cava distensibility index (IVCdi), variability (IVCdv), and cava–to–aorta ratio (IVC/Ao) other common methods assess fluid status in mechanically ventilated pediatric critically ill patients. These include central venous pressure (CVP), percent overload by weight (%FOw), volume (%FOv). Methods This a prospective observational convenience sample 50 Ultrasound measurements aorta were obtained, IVCdi,...
Objectives In critically ill, mechanically ventilated adults, diaphragmatic atrophy and reduced thickening fraction (DTF) has been associated with poor extubation outcomes. Diaphragmatic ultrasound assessment in ill pediatric patients shows similar results, though studies are on‐going. We sought to explore the feasibility utility of using DTF, obtained during a spontaneous breathing trial (SBT) predicting weaning Methods conducted prospective, observational study single‐center tertiary...
Objectives: Pediatric critical care medicine abstracts presented at North American national academic meetings have not been followed up to determine their publication outcomes. Our objective was the following: 1) proportion of these presentations that are published in peer-reviewed journals within 5 years; 2) impact trainee status on time and success publication; 3) quality research as reflected publishing journal’s factor. Design: Four years (2007–2011) were reviewed from Academy...
Background Prior studies showed that point-of-care ultrasound (POCUS) training is not commonly offered in pediatric residency. We assessed the need for a POCUS curriculum by evaluating trainees’ attitudes toward use of and identifying barriers to training. also aimed evaluate impact educational intervention on self-efficacy behavior. Methods conducted cross-sectional survey residents single large freestanding children’s hospital distributed via an institutional listserv administered online....
Autopsy rates in North American Children's hospitals have not been recently evaluated. Our objectives were 1) to determine the autopsy from patients cared for PICUs during a portion of their hospital stay, 2) identify patient characteristics associated with autopsies, and 3) understand relative role medical examiner cases.Secondary analysis data prospectively collected sample (n = 10,078) admitted affiliated Collaborative Pediatric Critical Care Research Network between December 2011 April...
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Skeletal muscle wasting is a common occurrence in critical illness, often resulting intensive care unit (ICU)-acquired weakness. This study aims to identify clinical factors associated with decay mechanically ventilated critically ill children. Utilizing point-of-care ultrasound, noninvasive and cost-effective tool, we assess through ultrasound of the quadriceps femoris.
Objectives- Fate of STEMI patients on optimum medical therapy who remains asymptomatic following MI within 24 hours ,electrically and haemodynamically stable regarding their clinical status , LV function, with totally occluded infarct related artery. Methods-100 whose angiography performed 3 to 28 days after ST segment elevation myocardial infarction, showed total occlusion the infarct-related artery poor or absent ante grade flow,were put in absence contraindication follwed up for 6 months....
Our objective was to associate characteristics of pediatric critical care medicine (PCCM) fellowship training programs with career outcomes PCCM physicians, including research publication productivity and employment characteristics. This is a descriptive study using publicly available data from 2557 physicians the National Provider Index registry. We analyzed on systematic sample 690 representing 62 programs. There substantial diversity in terms size, intensive unit (ICU) bed numbers, age...
To assess overall confidence level of trainees in assessing and treating shock, we sought to improve awareness recurrent biases clinical decision-making help address appropriate educational interventions.Pediatric on a national listserv were offered the opportunity complete an electronic survey anonymously. Four commonly occurring scenarios presented, respondents asked choose whether or not they would give fluid, rank factors utilized decision-making, comment their decision.Pediatric have...