- Trauma and Emergency Care Studies
- Venous Thromboembolism Diagnosis and Management
- Cardiac Arrest and Resuscitation
- Central Venous Catheters and Hemodialysis
- Cardiac, Anesthesia and Surgical Outcomes
- Intestinal Malrotation and Obstruction Disorders
- Vascular Procedures and Complications
- Congenital Anomalies and Fetal Surgery
- Emergency and Acute Care Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Global Health and Surgery
- Ultrasound in Clinical Applications
- Pediatric Hepatobiliary Diseases and Treatments
- Clinical Nutrition and Gastroenterology
- Acute Myocardial Infarction Research
- Vascular anomalies and interventions
- Climate Change and Health Impacts
- Gallbladder and Bile Duct Disorders
- Airway Management and Intubation Techniques
- Esophageal and GI Pathology
- Trauma Management and Diagnosis
- Intestinal and Peritoneal Adhesions
- Hernia repair and management
- Sepsis Diagnosis and Treatment
- Congenital Diaphragmatic Hernia Studies
Medical University of South Carolina
2024
Oregon Health & Science University
2018-2023
Doernbecher Children's Hospital
2017-2023
Stanford University
2022-2023
University of Southern California
2020
Medical College of Wisconsin
2020
Cohen Children's Medical Center
2020
Randall Children's Hospital at Legacy Emanuel
2020
Legacy Emanuel Medical Center
2020
Wolfson Children's Hospital
2020
Abstract Background Image‐guided percutaneous core needle biopsy (PCNB) is increasingly utilized to diagnose solid tumors. The objective of this study determine whether PCNB adequate for modern biologic characterization neuroblastoma. Procedure A multi‐institutional retrospective was performed by the Pediatric Surgical Oncology Research Collaborative on children with neuroblastoma at 12 institutions over a 3‐year period. Data collected included demographics, clinical details, technique,...
Objectives/Hypothesis Surgical advancements rely heavily on validated animal models. The New Zealand White (NZW) rabbit is a widely used model for airway research, including regenerative medicine applications. Currently, the biomechanical properties of normal trachea are not known. Our objective was to define these assist in standardization and understanding future research using this model. Study Design Laboratory‐based study. Methods Fresh tracheas from four adult NZW rabbits were...
Expediting evaluation and intervention for severely injured patients has remained a mainstay of advanced trauma care. One technique, direct to operating room (DOR) resuscitation, selective adult demonstrated decreased mortality. We sought investigate the application this protocol in children.All DOR pediatric from 2009 2016 at Level I center were identified. Direct OR criteria included penetrating injury, chest injuries, amputations, significant blood loss, cardiopulmonary surgeon...
To evaluate the incidence of primary venous thromboembolism (VTE), epidural haematoma, surgical site infection (SSI), and 90-day mortality after elective spinal surgery, effect two protocols for prophylaxis.A total 2181 adults underwent 2366 procedures between January 2007 2012. All patients wore anti-embolic stockings, mobilised early were kept adequately hydrated. In addition, 29% (689) these given low molecular weight heparin (LMWH) while in hospital. SSI surveillance was undertaken using...
External Oblique Intercostal (EOI) fascial plane blockade is a relatively new regional anesthetic technique used for variety of upper abdominal surgical procedures. Proponents this block praise its simple sonoanatomy, extensive local (LA) spread, and ease catheter placement, while avoiding encroachment into the field or dressing sites; nevertheless, it underutilized in pediatric surgery. Kasai portoenterostomy common procedure biliary atresia typically done via an open approach with extended...
BACKGROUND Trauma-induced coagulopathy seen on rotational thromboelastometry (ROTEM) is associated with poor outcomes in adults; however, this relationship poorly understood the pediatric population. We sought to define thresholds for product-specific transfusion and evaluate prognostic efficacy of ROTEM injured children. METHODS Demographics, ROTEM, clinical from severely children (age, < 18 years) admitted a Level I trauma center between 2014 2018 were retrospectively analyzed. Receiver...
To determine structural biomechanical changes in tracheal scaffolds resulting from cellular reduction and storage at -80(o) C.Laboratory-based study.Forty-four rabbit segments were separated into four treatment groups: untreated (group A, control), cellular-reduced B), C followed by C), D). Tracheal subjected to uniaxial tension (n = 21) or compression 23) using a universal testing machine sutured tensile yield load radial compressive strengths 50% lumen occlusion. Mean differences among...
Following the shooting at Sandy Hook Elementary School, Hartford Consensus produced Stop Bleed program to train bystanders in hemorrhage control. In our region, police bureau delivers critical incident training public schools, offering instruction responding violent or dangerous situations. Until now, widespread control has been lacking. Our group developed, implemented and evaluated a novel integrating into for school staff order blunt impact of mass casualty events on children.
Objectives/Hypothesis The primary objective was to design a reporter assay measure molecular release kinetics from new porous‐wall hollow glass microsphere biomaterial with great potential in regenerative medicine and drug delivery. Second, future avenues for research will be discussed specifically regard clinical uses laryngology. Study Design Basic science data report. Methods We developed an using fluorescent nanocrystals or quantum dots (Qdot 605) as reporter. A Nuance FX multispectral...
Venous thromboembolism (VTE) in injured children is rare, but its consequences are significant. Several risk stratification algorithms for VTE pediatric trauma exist with little consensus, and all hindered development by relying on registry data known inaccuracies. We performed a multicenter review to evaluate fidelity confirm the effectiveness of one established algorithm across diverse centers.Local registries at 10 institutions were queried patients younger than 18 years admitted between...
Ultrashort bowel syndrome is a rare, but morbid surgical problem without effective treatment. Recent clinical analysis has demonstrated the critical influence of ileal length on ultimate enteral autonomy. Surgical techniques to increase in nondilated do not exist. We describe novel technique lengthen ileum children with ultrashort syndrome.