A5068780312- Respiratory Support and Mechanisms
- Airway Management and Intubation Techniques
- Cardiac Arrest and Resuscitation
- Hemodynamic Monitoring and Therapy
- Tracheal and airway disorders
- Emergency and Acute Care Studies
- Ultrasound in Clinical Applications
- Cerebrovascular and Carotid Artery Diseases
- Congenital Heart Disease Studies
- Non-Invasive Vital Sign Monitoring
- Mechanical Circulatory Support Devices
- Advanced MRI Techniques and Applications
- Anesthesia and Sedative Agents
- Eosinophilic Esophagitis
- Cardiac, Anesthesia and Surgical Outcomes
- Eosinophilic Disorders and Syndromes
- Traumatic Brain Injury and Neurovascular Disturbances
- Neonatal Respiratory Health Research
- Congenital Diaphragmatic Hernia Studies
- Phonocardiography and Auscultation Techniques
- Sepsis Diagnosis and Treatment
- Esophageal and GI Pathology
- Renal function and acid-base balance
- Family and Patient Care in Intensive Care Units
- Inhalation and Respiratory Drug Delivery
University of Wisconsin–Madison
2017-2025
UW Health University Hospital
2018-2025
University of Wisconsin American Family Children's Hospital
2017-2024
University of Wisconsin Health
2021-2023
Highland Community College - Illinois
2019-2023
University of Wisconsin System
2021-2023
UnityPoint Health Meriter
2020
Arkansas Children's Hospital
2020
University of Arkansas for Medical Sciences
2020
Madison Group (United States)
2019
OBJECTIVES: To describe mechanical ventilation management and factors associated with nonadherence to lung-protective principles in pediatric acute respiratory distress syndrome. DESIGN: A planned ancillary study a prospective international observational study. Mechanical (every 6 hr measurements) during syndrome days 0–3 was described compared Pediatric Acute Lung Injury Consensus Conference tidal volume recommendations (< 7 mL/kg children impaired system compliance, < 9 all other...
Objectives: Tracheal intubation (TI) is a critical skill for PICU attending physicians to maintain. We hypothesize that attendings perform fewer TIs and have lower success rate in programs with Pediatric Critical Care Medicine (PCCM) fellowship. Design: Retrospective study using the National Emergency Airway Registry Children (NEAR4KIDS) from July 2016 June 2020. Exposures were presence of PCCM fellowship TI maintenance program (SMP). The primary outcome was attending’s first attempt...
Objectives: Tracheal intubation in critically ill children with shock poses a risk of hemodynamic compromise. Ketamine has been considered the drug choice for induction these patients, but limited data exist. We investigated whether administration ketamine tracheal or without was associated fewer adverse events compared other agents. also if there dose dependence any association between use and events. Design: performed retrospective analysis using prospectively collected observational from...
Abstract Background Tracheal intubation (TI) practice across pediatric emergency departments (EDs) has not been comprehensively reported. We aim to describe TI and outcomes in EDs contrast those intensive care units (ICUs) use the data identify quality improvement targets. [Correction added on 30 April 2022, after first online publication: The sentence modified.] Methods Consecutive encounters from ICUs National Emergency Airway Registry for Children (NEAR4KIDS) database 2015 2018 were...
Objectives: To evaluate implementation of a video laryngoscope (VL) as coaching device to reduce adverse tracheal intubation associated events (TIAEs). Design: Prospective multicenter interventional quality improvement study. Setting: Ten PICUs in North America. Patients: Patients undergoing the PICU. Interventions: VLs were implemented devices with standardized language between 2016 and 2020. Laryngoscopists encouraged perform direct laryngoscopy images only available real-time for...
The importance of nitric oxide (NO) in regulating cerebral blood flow (CBF) remains unresolved, due part to methodological approaches, which lack a comprehensive assessment both global and regional effects. Importantly, NO synthase (NOS) expression activity appear greater some anterior brain regions, suggesting region-specific NOS influence on CBF. We hypothesized that contributes basal CBF healthy adults, regionally distinct pattern predominates the circulation. Fourteen adults (7 females;...
Tracheal intubation carries a high risk of adverse events. The current literature is unclear regarding the "New Trainee Effect" on tracheal safety in PICU. We evaluated effect timing PICU fellow academic cycle associated hypothesize 1) PICUs with pediatric critical care medicine fellowship programs have more events during first quarter (July-September) year compared rest and 2) event rates attempt success performed by fellows improve through 3-year clinical fellowship. Retrospective cohort...
External laryngeal manipulation is a commonly used maneuver to improve visualization of the glottis during tracheal intubation in children. However, effectiveness attempt success rate nonanesthesia setting not clear. The study objective was evaluate association between external use and initial PICUs. A retrospective observational using multicenter emergency airway quality improvement registry. Thirty-five PICUs within general children's hospitals (29 United States, three Canada, one Japan,...
(1) Background: Near-infrared spectroscopy (NIRS) is a noninvasive tool frequently used during cardiac surgery and postoperatively in the intensive care unit to monitor regional tissue oxygen saturation. A relationship between trends of intraoperative renal oxygenation risk developing surgery-associated acute kidney injury (AKI) post-operatively has not yet been established neonatal population. The objective this study evaluate cerebral cardiopulmonary bypass with AKI first 72 h...
<h3>BACKGROUND:</h3> Research is critical for the advancement of respiratory care. Fellows American Association Respiratory Care (FAARCs) are nominated based on their significant contributions to care profession. output potentially an important component qualification FAARC. The purpose this study report academic therapist (RT) FAARCs. <h3>METHODS:</h3> We identified FAARCs from AARC web site. was assessed by searching Scopus and PubMed databases. collected total research documents,...
Congenital diaphragmatic hernia is associated with a high risk of neonatal mortality and long-term morbidity due to lung hypoplasia, pulmonary hypertension, prolonged exposure positive-pressure ventilation. Ventilator-associated injury may be reduced by using approaches that facilitate the transition from invasive ventilation noninvasive (NIV), such as neurally-adjusted ventilatory assist (NAVA). We reported our use NAVA in patients congenital during NIV.A retrospective analysis subjects...
Determine the sensitivity and specificity of point-of-care lung ultrasound in identifying etiology acute respiratory failure at admission to PICU.Prospective observational study.Tertiary PICU.Children older than 37 weeks gestational age less or equal 18 years old admitted PICU with from December 2018 February 2020.Point-of-care performed within 14 hours by physicians blinded patient history clinical course. Two physicians, all information, independently interpreted then established a...
Use of point-of-care lung ultrasound (POC-LUS) has increased significantly in pediatrics yet it remains under-studied the pediatric intensive care unit (PICU). No studies explicitly evaluate reliability POC-LUS artifact interpretation among critically ill children with acute respiratory failure (ARF) PICU. We thus designed this study to determine inter-rater ARF intensivists trained and an expert intensivist.We compared sliding, pleural line characteristics, artifacts, diagnoses intensivist...
<h3>Background:</h3> Spinal muscular atrophy (SMA) is a neurodegenerative disease that results in progressive and weakness. The primary cause of morbidity mortality these children pulmonary due to poor airway clearance leads acute respiratory failure. There paucity literature on the treatment with SMA <h3>Methods:</h3> We performed retrospective chart review pediatric patients type I or II admitted PICU tertiary-care children9s hospital failure who required mechanical ventilation and/or...
Objectives: Following cardiac surgery, 50% to 60% of patients with congenital heart disease will experience an arrhythmia. These arrhythmias are associated increased morbidity and mortality. Therefore, rapid accurate identification is paramount the improvement patient outcome. We hypothesize that AtriAmp, a device which allows atrial electrogram (AEG) display on bedside monitors, increase provider accuracy confidence in arrhythmia diagnosis. Design: A prospective observational study....