A5081590204- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Pain Management
- Enhanced Recovery After Surgery
- Airway Management and Intubation Techniques
- Cardiac Arrest and Resuscitation
- Tracheal and airway disorders
- Pediatric Pain Management Techniques
- Respiratory Support and Mechanisms
- Foreign Body Medical Cases
- Pain Management and Opioid Use
- Health Systems, Economic Evaluations, Quality of Life
- Blood transfusion and management
- Abdominal Surgery and Complications
- Intensive Care Unit Cognitive Disorders
- Hernia repair and management
- Congenital Diaphragmatic Hernia Studies
- Anesthesia and Sedative Agents
- Neonatal Respiratory Health Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Healthcare cost, quality, practices
- Shoulder Injury and Treatment
- Bladder and Urothelial Cancer Treatments
- Hemoglobinopathies and Related Disorders
- Clinical practice guidelines implementation
- Neonatal Health and Biochemistry
Lurie Children's Hospital
2019-2023
Northwestern University
2019-2023
Vanderbilt University
2013
BackgroundDifficult facemask ventilation is perilous in children whose tracheas are difficult to intubate. We hypothesised that certain physical characteristics and anaesthetic factors associated with mask paediatric patients who also had tracheal intubation.MethodsWe queried a multicentre registry for experienced "difficult" or "impossible" ventilation. Patient case known before attempt were included consideration this regularised multivariable regression analysis. Incidence of...
BackgroundThe Paediatric Difficult Intubation Collaborative identified multiple attempts and persistence with direct laryngoscopy as risk factors for complications in children difficult tracheal intubations subsequently engaged initiatives to reduce repeated children. We hypothesised these efforts would lead fewer attempts, decrease complications.MethodsPaediatric patients less than 18 years of age were enrolled the Registry. define those whom (1) an attending or consultant obtained a...
To test the hypothesis that low bispectral index scores and sedative requirements during therapeutic hypothermia predict poor neurologic outcome.Observational study of a prospectively collected cohort.Cardiovascular ICU.One hundred sixty consecutive cardiac arrest patients treated with hypothermia.None.Eighty-four 141 subjects (60%) who survived induction were discharged from ICU outcome, defined as cerebral performance category score 3, 4, or 5. These had lower (p < 0.001) compared 57 good...
BACKGROUND: Preoperative pulmonary function tests are routinely obtained in children with scoliosis undergoing posterior spinal fusion despite unclear benefits as a perioperative risk assessment tool and frequent inability of patients to provide acceptable results. The goal this study was determine whether preoperative test results associated the need for postoperative intubation or intensive care unit admission after fusion. METHODS: electronic medical records who underwent at pediatric...
Introduction Regional techniques are a key component of multimodal analgesia and help decrease opioid use perioperatively, but some may not be suitable for all patients, such as those with spina bifida. We hypothesized peripheral regional catheters would reduce postoperative compared no without increasing pain scores in pediatric patients bifida undergoing major urological surgery. Methods A retrospective review multicenter database established the study enhanced recovery after surgery was...
Abstract Effective management of pediatric perioperative pain is typically goal-directed and multimodal, requiring various imperfect agents in combination to provide analgesia support recovery. Gabapentinoids are one such class often used analgesic enhanced recovery pathways. In adults, gabapentinoids have been associated with a modest reduction scores but avoided due undesired side effects. Children may be less susceptible these unwanted effects, the pain, agitation, post-operative nausea...
Continuous regional analgesia techniques for ambulatory management of postoperative thoracic and abdominal wall pain are limited. We report the placement an erector spinae plane (ESP) catheter in a pediatric patient who underwent rib resection slipping syndrome was discharged on day 1 with elastomeric pump continued setting. The required minimal opioids while place experienced functional level that surpassed her preoperative state. Ambulatory ESP peripheral nerve catheters feasible...
Lung-protective ventilation (LPV) may decrease postoperative pulmonary complications by minimizing driving pressure.1 Lee and colleagues recently found that tidal volumes of 5 ml/kg a PEEP 10 most effectively optimize for pressure in patients ≤6 years old.2 Despite this knowledge, adoption LPV into current pediatric clinical practice is lagging has not been validated with large-scale randomized controlled trials (RCT).3 In order to conduct prospective RCT evaluate LPV, the ideal study...
We used the plan-do-study-act (PDSA) framework to develop and implement an evidence-based clinical practice guideline (CPG) within urban, tertiary children's referral center.We developed CPG for appendicitis using iterative PDSA cycles. Similar CPGs from other centers were reviewed modified local implementation. Adjuncts included guideline-specific order sets operative notes in electronic medical record system. Outcomes length of stay (LOS), 30-day readmissions, hospital costs, patient...