A5027229525- Airway Management and Intubation Techniques
- Innovations in Medical Education
- Simulation-Based Education in Healthcare
- Neonatal Respiratory Health Research
- Respiratory Support and Mechanisms
- Diversity and Career in Medicine
- Web and Library Services
- Child and Adolescent Health
- Innovative Teaching Methods
- Hospital Admissions and Outcomes
- Cardiac Arrest and Resuscitation
- Family and Patient Care in Intensive Care Units
- Emergency and Acute Care Studies
- Tracheal and airway disorders
- Online and Blended Learning
- Mechanical Circulatory Support Devices
- Infant Development and Preterm Care
- Patient Safety and Medication Errors
- Mobile Learning in Education
- Library Science and Information Literacy
- Clinical Reasoning and Diagnostic Skills
- Surgical Simulation and Training
- Health and Medical Research Impacts
- Open Education and E-Learning
- Congenital Diaphragmatic Hernia Studies
Yale University
2016-2025
Dalhousie University
2020-2025
University of New Haven
2024
University of California, Irvine Medical Center
2021
Yale New Haven Hospital
2017-2021
Rainbow Babies & Children's Hospital
2021
University of Pennsylvania
2014-2021
Yale New Haven Health System
2019
IGI Global (United States)
2014-2016
Technical University of Kenya
2016
Acquisition of competency in procedural skills is a fundamental goal medical training. In this Perspective, the authors propose an evidence-based pedagogical framework for skill The was developed based on review literature using critical synthesis approach and builds earlier models training medicine. begin by describing fundamentals development. Then, six-step presented: Learn, See, Practice, Prove, Do, Maintain. framework, begins with learner acquiring requisite cognitive knowledge through...
BACKGROUND AND OBJECTIVES: Neonatal tracheal intubation is a critical but potentially dangerous procedure. We sought to characterize practice and outcomes in the NICU delivery room (DR) settings identify modifiable factors improve neonatal safety. METHODS: developed National Emergency Airway Registry for Neonates collected standardized data patients, providers, practices, of intubation. Safety included adverse intubation–associated events (TIAEs) severe oxygen desaturation (≥20% decline...
To determine the incidence, indicators and clinical impact of difficult tracheal intubations in neonatal intensive care unit (NICU).Retrospective review prospectively collected data on performed NICU from National Emergency Airway Registry for Neonates.Ten academic NICUs.Neonates intubated at each sites between October 2014 March 2017.Difficult intubation was defined as one requiring three or more attempts by a non-resident provider. Patient (age, weight bedside predictors intubation),...
Neonatal intubation is one of the most common procedures performed by neonatologists, however, procedure difficult and high risk. Neonates who endure often experience adverse events, including bradycardia severe oxygen desaturations. Because low first attempt success rates, neonates are subjected to multiple attempts before endotracheal tube successfully placed. These factors conspire make dangerous in neonatal medicine. In this commentary we review key elements journey improve safety. We...
The management of infants with congenital diaphragmatic hernia (CDH) receiving extracorporeal life support (ECLS) is complex. Significant variability in both practice and prevalence ECLS use exists among centers, given the lack evidence to guide decisions. purpose this report review existing develop recommendations for CDH patients treated ECLS. This article was developed by Extracorporeal Life Support Organization interest group cooperation members Study Group Children’s Hospitals Neonatal...
The purpose of this position paper is two-fold: first, to describe the state extracorporeal membrane oxygenation education worldwide, noting current limitations and challenges; second, put forth an educational agenda regarding opportunities for international collaborative approach toward standardization.Relevant medical literature was reviewed through search, materials from national organizations were accessed Internet. Taskforce members generated a consensus statement using iterative...
Neonatal tracheal intubation (TI) outcomes have been assessed by role, but training level may impact TI success and safety. Effect of physician (PTL) on the first-attempt success, adverse TI-associated events (TIAEs), oxygen desaturation was assessed.Prospective cohort study in 11 international NEAR4NEOS sites between October 2014 December 2017. Primary TIs performed pediatric/neonatal physicians were included. Univariable analysis evaluated association PTL, patient/practice characteristics,...
To characterize neonatal-perinatal medicine fellows' progression toward neonatal intubation procedural competence during fellowship training.
Objective. One current practice guideline recommends myringotomy with tympanostomy tube insertion (M&T) for young children in whom middle-ear effusion (MEE) has persisted 3 months, and another the procedure after MEE 4 to 6 months provided that a bilateral hearing loss of ≥20 dB is present. Sequelae M&T are not uncommon, but extent which these sequelae attributable itself or disease prompted both been clear. Our objective present study was examine prevalence various tympanic membrane...
Neonatal endotracheal tube (ETT) size recommendations are based on limited evidence. We sought to determine data-driven weight-based ETT sizes for infants undergoing tracheal intubation and compare these with Resuscitation Program (NRP) recommendations.
Objective: To explore barriers and perspectives of premedication use for non-emergent intubations very low birth weight (VLBW) infants (less than 1,500 g). Study Design: A cross-sectional, online survey was distributed from January to April 2023 members the American Academy Pediatrics Section on Neonatal-Perinatal Medicine. Data analyzed using descriptive statistics chi-square tests. Results: Of 521 respondents, majority (81%, n=415) were neonatologists. Over half respondents (69%, n=359)...
Some mat-forming cyanobacteria produce harmful cyanotoxins, yet benthic species remain understudied compared to planktonic counterparts. This study assesses the diversity, distribution and toxin production of across lentic lotic systems in Nova Scotia, Canada. We documented greater cyanobacterial richness environments, with six dominant distributed into two major Microcoleus clades, five which represent putative novel taxa. Two genetic repertoire anatoxins were prevalent. One has been...
The aim of this work was to evaluate whether self-reported systemic diseases were associated with caries experience.Medical history data and experience (DMFT DMFS; Decayed, Missing due caries, Filled Teeth/Surface) obtained from the University Pittsburgh School Dental Medicine dental registry DNA repository. Information on 1,281 subjects evaluated (839 primary 492 secondary experience). Regression analysis used test for association between disease status.Associations found specific...