A5054008718- Intensive Care Unit Cognitive Disorders
- Infection Control and Ventilation
- COVID-19 and healthcare impacts
- Respiratory Support and Mechanisms
- Sepsis Diagnosis and Treatment
- Cardiac Arrest and Resuscitation
- Frailty in Older Adults
- Family and Patient Care in Intensive Care Units
- Cerebral Palsy and Movement Disorders
- Healthcare and Environmental Waste Management
- Long-Term Effects of COVID-19
- Dental Research and COVID-19
- Organ Donation and Transplantation
- Hemodynamic Monitoring and Therapy
- Infant Development and Preterm Care
- Meta-analysis and systematic reviews
- Healthcare cost, quality, practices
- Neonatal Respiratory Health Research
- Disaster Response and Management
- Hormonal Regulation and Hypertension
- Healthcare Decision-Making and Restraints
- Childhood Cancer Survivors' Quality of Life
- Palliative Care and End-of-Life Issues
- Vitamin D Research Studies
- Ultrasound in Clinical Applications
McMaster University
2018-2025
University of Toronto
2022-2023
Hospital for Sick Children
2022-2023
SickKids Foundation
2022-2023
St. Michael's Hospital
2023
National Institute of Chemistry
2023
McMaster Children's Hospital
2020-2022
Children's Hospital of Eastern Ontario
2020-2021
Impact
2021
Children's Hospital of Philadelphia
2021
This 2023 Clinical Practice Guideline provides the biomedical definition of death based on permanent cessation brain function that applies to all persons, as well recommendations for determination by circulatory criteria potential organ donors and neurologic mechanically ventilated patients regardless donation potential. is endorsed Canadian Critical Care Society, Medical Association, Association Nurses, Anesthesiologists' Neurological Sciences Federation (representing Neurosurgical Society...
Objectives: In survivors of illnesses or surgeries requiring PICU admission, there is a risk posttraumatic stress disorder (PTSD). We aimed to estimate PTSD prevalence and potential contributing factors in admission. Data Sources: performed PROSPERO registered systematic review (CRD42022348997; Registered August 2022) using MEDLINE, Embase, CINAHL, Cochrane Central Register Controlled Trials (CENTRAL) databases, 2000 2022, with no language restrictions. Study Selection: Observational...
OBJECTIVES: Children with chronic critical illness (CCI) are hypothesized to be a high-risk patient population persistent multiple organ dysfunction and functional morbidities resulting in recurrent or prolonged care; however, it is unclear how CCI should defined. The aim of this scoping review was evaluate the existing literature for case definitions pediatric PICU admission explore methodologies used derive these definitions. DATA SOURCES: Four electronic databases (Ovid Medline, Embase,...
To evaluate mobilization practices, barriers, and mobility-related adverse events in Canadian PICUs.National 2-day point prevalence study.Thirteen PICUs across Canada.Children with a minimum 72-hour PICU length of stay on the allocated study day.None.Outcomes interest were nature activities, rehabilitation resources, events, factors associated out-of-bed mobility therapist-provided mobility. Two (15%) had early practice guidelines, one (8%) reported formal process for engaging families...
Purpose To determine the feasibility of using Ultrasound Cardiac Output Monitor (USCOM) as an adjunct during hemodynamic assessments by a pediatric medical emergency team (PMET). Methods Pediatric in-patients at McMaster Children's Hospital aged under 18 years requiring urgent PMET consultation, were eligible. Patients with known cardiac outflow valve defects, Critical Care Unit in-patients, and those in cardiorespiratory arrest, excluded. The primary outcome was feasibility, ease USCOM...
The determination of gases and other volatile compounds using electrochemical gas sensors remains a challenge with respect to sensitivity selectivity. Many real-life situations require fast, sensitive, yet easy-to-operate for gaseous hydrogen peroxide (H2O2) that can operate at room temperature. Herein, we present an H2O2 sensor comprising polyacrylic acid NaOH gel electrolyte included Cu(II) ions acting as redox mediator commercially available screen-printed carbon electrodes. Aqueous...
Aims & Objectives: Pediatric intensive care unit (PICU) admission is a life-threatening event placing survivors at risk for posttraumatic stress disorder (PTSD). This systematic review sought to describe the prevalence of PTSD in PICU and analyze potential risk-factors driving variation estimates. Methods: MEDLINE, Embase, CINAHL, CENTRAL databases were searched from 2000 August 2022, no language restrictions. Stage one screening abstract full text identify studies evaluating post-discharge....
Abstract Primary adrenal insufficiency is a potentially life-threatening condition that provides diagnostic challenge because many patients have months to years of insidious symptomatology. Adrenal crisis the extreme acute manifestation primary insufficiency, presenting with any, or all, severe weakness, altered mental status, hypotension, and rarely cardiorespiratory arrest. should be considered in clinical features glucocorticoid and/or mineralocorticoid deficiency. These however, such as...
Aims & Objectives: Early mobility-based rehabilitation is recommended in critically ill children, however, little known regarding current practices Canada. This study sought to evaluate mobilization amongst Canadian pediatric intensive care units (PICUs). Methods: National two-day point prevalence study. Data were collected on all children admitted the PICU for ≥72-hours day. Outcomes of interest and nature mobilization, resources, barriers adverse events, predictors out-of-bed mobility....