A5021911716- Anesthesia and Sedative Agents
- Anesthesia and Neurotoxicity Research
- Pediatric Pain Management Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Pain Management
- Intensive Care Unit Cognitive Disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Migraine and Headache Studies
- Infant Development and Preterm Care
- Airway Management and Intubation Techniques
- Musculoskeletal pain and rehabilitation
- Dental Anxiety and Anesthesia Techniques
- Ultrasound in Clinical Applications
- Radiation Dose and Imaging
- Infant Health and Development
- Child Abuse and Related Trauma
- Music Therapy and Health
- Neuroscience of respiration and sleep
- Simulation-Based Education in Healthcare
- Family and Patient Care in Intensive Care Units
- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Pharmaceutical studies and practices
- Healthcare Decision-Making and Restraints
- Epilepsy research and treatment
Columbia University
2016-2025
Pediatrics and Genetics
2018
Columbia College
2016
Royal College of Physicians
2016
United States Food and Drug Administration
2016
Columbia University Irving Medical Center
2010-2015
University of Cape Town
2006-2015
Red Cross War Memorial Children's Hospital
2015
Morgan Stanley Children's Hospital
2014
Brown University
2011-2012
The Faces Pain Scale-Revised (FPS-R) and Color Analog Scale (CAS) are self-report pain scales commonly used in children but insufficiently validated the emergency department setting. Our objectives were to determine psychometric properties (convergent validity, discriminative responsivity, reliability) of FPS-R CAS, whether degree validity varied based on age, sex, ethnicity.We conducted a prospective, observational study English- Spanish-speaking ages 4 17 years. Children with painful...
Appropriate pain measurement relies on the use of valid, reliable tools. The aim this study was to determine and compare psychometric properties 3 self-reported scales commonly used in pediatric emergency department (ED). inclusion criteria were children aged 6 17 years presenting ED with a musculoskeletal injury scores ≥30 mm mechanical Visual Analogue Scale (VAS). Self-reported intensity assessed using VAS, Faces Pain Scale-Revised (FPS-R), Colour (CAS). Convergent validity by Pearson...
OBJECTIVES: Development and validation of the Pediatric Sedation State Scale (PSSS) is intended to specifically meet needs pediatric procedural sedation providers measure effectiveness quality care. METHODS: The PSSS content was developed through Delphi methods utilizing leading experts published guidelines on in children. Video clips were created presented study participants, who graded state patients during procedures by using evaluate inter- intrarater reliability determining intraclass...
Abstract Objectives The objective was to determine the minimum and ideal clinically significant differences ( MCSD , ICSD ) in pain intensity children for Faces Pain Scale–Revised FPS ‐R) Color Analog Scale CAS identify any these estimates based on patient characteristics. Methods This a prospective study of aged 4 17 years with acute presenting two urban pediatric emergency departments. Participants self‐reported their using −R qualitatively described changes pain. Changes score reported ‐R...
Pain is a leading public health problem in the United States, with an annual economic burden of more than $630 billion, and one most common reasons that individuals seek emergency department (ED) care. There paucity data regarding sex differences assessment treatment acute chronic pain conditions ED. The Academic Emergency Medicine consensus conference convened Dallas, Texas, May 2014 to develop research agenda address this issue among others related Prior conference, experts stakeholders...
Objectives The aims of this study were to define the Faces Pain Scale–Revised (FPS-R) and Color Analog Scale (CAS) scores associated with no pain, mild moderate severe pain in children acute identify differences based on age, sex, ethnicity. Methods We conducted a prospective observational 2 pediatric emergency departments aged 4 17 years painful nonpainful conditions. assessed their intensity using FPS-R, CAS, qualitative measures. score cut points that best differentiated adjacent...
Objective The objective of this study was to compare the efficacy 3 doses intranasal ketamine (INK) for sedation children from 1 7 years old requiring laceration repair. Methods This a randomized, prospective, double-blind trial Patients with simple lacerations were randomized by age receive 3, 6, or 9 mg/kg INK. Adequacy and measured Ramsay score Observational Scale Behavioral Distress–Revised. Serum norketamine levels drawn during procedure. Sedation duration adverse events recorded....
Objectives/Goals: To explore the caregivers’ lived experiences related to facilitators of and barriers effective primary care or neurology follow-up for children discharged from pediatric emergency department (PED) with headaches. Methods/Study Population: We used descriptive phenomenology qualitative study design ascertain making appointments after their child’s PED visit. conducted semi-structured interviews caregivers headaches 4 large urban PEDs over HIPAA-compliant Zoom conferencing...
Abstract Background There is a high prevalence of acute pain in children cared for the emergency care setting. However, there are still significant gaps knowledge regarding optimal management. We aimed to develop prioritized research agenda that identifies key questions pediatric management setting will guide future and optimize children. Methods used modified Delphi approach achieve consensus among multidisciplinary geographically diverse expert advisory group. An initial list 108 was...
Background Clinicians appear to obtain emergent neuroimaging for children with headaches based on the presence of red flag findings. However, little data exists regarding prevalence these findings in emergency department populations, and whether identification is associated potentially unnecessary neuroimaging. Objectives We aimed determine their association otherwise healthy presenting department. Our secondary aim was intracranial abnormalities this population. Methods A prospective cohort...
Magnetic resonance imaging (MRI) is the most common procedure requiring sedation/anesthesia in children. Understanding adverse events associated with important making decisions regarding MRI vs. other modalities. No large studies have evaluated practice of pediatric for by a variety specialists.Utilize sedation database to characterize patients and MRI.Retrospective analysis prospectively collected data.The Pediatric Sedation Research Consortium (PSRC) has 109,947 entries sedations from...
Identifying changes in pain score associated with clinically meaningful outcomes is necessary when using self-report measures to assess children. We aimed determine the a minimum significant difference (MCSD), ideal (ICSD), and patient-perceived adequate analgesia (PPAA) evaluate for differences based on initial intensity patient characteristics.This was cross-sectional study of children 6 17 4 years old who were assessed Verbal Numerical Rating Scale (VNRS) Faces Pain Scale-Revised (FPS-R),...
Abstract Objectives Changes in pain scores that represent clinically significant differences children with headaches are necessary for study design and interpretation of findings reported studies. We aimed to determine changes associated a minimum difference (MCSD), ideal (ICSD), patient‐perceived adequate analgesia (PPAA) this population. Methods performed secondary analysis two prospective studies presenting an emergency department. Two serial assessments were aged 6–17 4–17 years who...
Objectives Abscess incision and drainage (I&D) are painful distressing procedures in children. Intranasal (IN) fentanyl is an effective analgesic for reducing symptomatic pain associated with fractures burns but has not been studied procedural during abscess I&D. Our objective was to compare the efficacy of IN intravenous (IV) morphine I&D Methods We performed a randomized noninferiority trial children aged 4 18 years undergoing pediatric emergency department. Patients received...
Objectives We aimed to develop a standardized scoring tool measure point‐of‐care ultrasound (POCUS) image quality and determine validity evidence for its use assess lung quality. Methods The POCUS Image Quality (POCUS IQ) scale was developed by POCUS‐trained physicians sonographers' acquisition skills evaluating any application. piloted using images of healthy patients acquired three expert sonographers compared novices before after training. All (experts, pre‐training, post‐training) were...
We describe a 4-year-old boy who presents to the emergency department with lethargy, bradycardia, and initial hypertension followed by hypotension due guanfacine toxicity after ingestion of standard doses extended release formulation. This is first case report use naloxone treat these symptoms document improvements in level consciousness, blood pressure, heart rate associated this therapy.
Intravenous ketorolac is commonly used for treating migraine headaches in children. However, the prerequisite placement of an intravenous line can be technically challenging, time-consuming, and associated with pain distress. Intranasal may effective alternative that needle-free easier to administer. We aimed determine whether intranasal non-inferior reducing children headaches.We conducted a randomized double-blind non-inferiority clinical trial. Children aged 8-17 years headaches, moderate...