A5078382489- Respiratory Support and Mechanisms
- Mechanical Circulatory Support Devices
- Airway Management and Intubation Techniques
- Diabetes and associated disorders
- Cardiac Arrest and Resuscitation
- Tracheal and airway disorders
- Respiratory viral infections research
- Voice and Speech Disorders
- Neonatal Health and Biochemistry
- Blood disorders and treatments
- Anesthesia and Sedative Agents
- Diet and metabolism studies
- Congenital Heart Disease Studies
- Kawasaki Disease and Coronary Complications
- Emergency and Acute Care Studies
- COVID-19 Clinical Research Studies
- Cerebrospinal fluid and hydrocephalus
- Neurological and metabolic disorders
- Simulation-Based Education in Healthcare
- Spinal Dysraphism and Malformations
- Methemoglobinemia and Tumor Lysis Syndrome
- Viral Infections and Immunology Research
- Pericarditis and Cardiac Tamponade
- Intestinal Malrotation and Obstruction Disorders
- Cardiac Structural Anomalies and Repair
Albany Medical Center Hospital
2016-2025
Cohen Children's Medical Center
2014-2016
Schneider Children's Hospital
2016
Banaras Hindu University
2006
Institute of Medical Sciences
2006
To understand critical paediatric coronavirus disease 2019 (COVID-19) and evaluate factors associated with mortality in children from high low-middle income countries.Prospective, observational study of critically ill hospitalised for COVID-19 18 countries throughout North America, Latin Europe between April 1 December 31, 2020. Associations were evaluated using logistic regression.557 patients (median age, 8 years; 24% <2 years) enrolled 55 sites (63% American). Half had comorbidities....
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...
There have been an increasing number of reports myocarditis and pericarditis in adolescents young adults after coronavirus disease 19 vaccinations. The pathophysiology this vaccination is indeterminate currently. problem a relatively new phenomenon, so there are no current guidelines on how to manage these cases myopericarditis. We intend describe our management two that it can help guide pediatricians, intensivists, cardiologists taking care similar cases. Case Summaries. first case...
There has been a worldwide increase in cases of diabetic ketoacidosis both adults and children with diabetes during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. This can be multifactorial: delayed care due to reduced medical services, fear approaching hospitals, or SARS-CoV-2 infection itself. It is well-known that an important trigger for type 1 mellitus, but little known whether new-onset mellitus child no previous history mellitus. The association as requires...
<h3>BACKGROUND:</h3> Vocal cord dysfunction is an upper-airway disorder characterized by exaggerated and transient glottic constriction causing respiratory laryngeal symptoms. Common presentation with inspiratory stridor often in the context of emotional stress anxiety. Other symptoms include wheezing (which may be on inspiration), frequent cough, choking sensation, or throat chest tightness. This seen commonly teenagers, particularly adolescent females. The COVID-19 pandemic has been a...
Ventriculoperitoneal (VP) shunts are a common neurosurgical procedure used to treat hydrocephalus. Despite their efficacy, many fail and require revisions. The most causes of shunt failure include obstruction, infection, migration, perforation. Extraperitoneal migrations urgent attention. We present case migration the scrotum, unique complication that may be in young patients due presence patent processus vaginalis. Here, we discuss 16-month-old male patient with VP presenting cerebrospinal...
OBJECTIVES: Extremes of patient body mass index are associated with difficult intubation and increased morbidity in adults. We aimed to determine the association between being underweight or obese adverse airway outcomes, including tracheal (TI)-associated events (TIAEs) and/or severe peri-intubation hypoxemia (pulse oximetry oxygen saturation < 80%) critically ill children. DESIGN/SETTING: Retrospective cohort using National Emergency Airway for Children registry dataset 2013–2020....
Methaemoglobinaemia is a potentially life-threatening condition characterised by hypoxaemia, cyanosis, pallor, fatigue, metabolic acidosis, headache and in severe cases, coma or death. Topical anaesthetics have been reported to cause methaemoglobinaemia. benzocaine was specifically implicated roughly 66% of anesthetic-induced methaemoglobinaemia cases large systematic review adults. This complication has occurred often adult patients with pre-existing comorbidities resulting diminished use...
We report two pediatric cases of anticholinergic toxidrome, including the youngest reported to date, in which standard therapeutic strategies were either contraindicated or ineffective, while treatment with dexmedetomidine was rapidly efficacious no adverse effects. Moreover, recent shortage physostigmine, we highlight an alternative this clinical setting. Case Summaries. In case 1, a two-year-old had overdose presenting toxidrome. However, his hypopnea precluded use benzodiazepines due high...
Abstract Background Nasal tracheal intubation (TI) represents a minority of all TI in the pediatric intensive care unit (PICU). The risks and benefits nasal are not well quantified. As such, safety descriptive data regarding this practice warranted. Methods We evaluated association between route outcomes prospectively collected quality improvement database (National Emergency Airway Registry for Children: NEAR4KIDS) from 2013 to 2020. primary outcome was severe desaturation (SpO 2 > 20%...
Ambati, Shashikanth Reddy; Sweberg, Todd; Silver, Peter; Gangadharan, Sandeep Author Information
Background Pediatric inpatient admissions for viral respiratory infections decreased worldwide during the early part of coronavirus disease 2019 (COVID-19) pandemic. This was likely due to social distancing measures and mask mandates leading a spread viruses. We question if there an increase in winter 2020-2021 overlap seasonal viruses COVID-19 severity those admissions. Methods performed single-center retrospective chart review all our pediatric intensive care unit (PICU) from October April...
Myasthenia gravis, an autoimmune disorder of neuromuscular transmission, can lead to varying degrees weakness and fatigability the skeletal musculature. Juvenile myasthenia gravis accounts for 10-15% all cases gravis. The clinical presentation juvenile varies tremendously, which presents itself as a diagnostic challenge clinicians. We report case 15-year-old female with mild intermittent asthma presenting shortness breath. Acute onset dyspnea is common chief complaint amongst pediatric...
Zekhtser, Mitchell; Carroll, Erin; Qureshi, Muhammad; Betancourt, Nicole; Sanchez, Javier; Boyd-Smith, Molly; Ambati, Shashikanth Reddy Author Information
Ambati, Shashikanth Reddy; Sinha, Sanghamitra; Barry, Suzanne; Sanchez, Javier Author Information
Objectives The aims of the study were to assess whether preassigning a team leader influences resuscitation timing using simulation and examine relationship between response timeliness designated leader's profession, physician or nurse. Methods This is prospective intervention (leader assigned) control (no assigned leader) teams residents nurses participating in simulated scenario. primary outcome was time bag-valve-mask (BVM) ventilation. A secondary measure compared difference BVM...
Ambati, Shashikanth Reddy1; Brandwein, Ariel2; Bredin, Gabriel3; Cohn, Moshe1; Falco, Joseph4; Hong, Jahee1; Sweberg, Todd5; Schneider, James6 Author Information
Reddy Ambati, Shashikanth; Tamuz, Michal; De Voe, Barbara; Schmidt, Kathleen; Rotjan, Andrew; Lesser, Martin; Gangadharan, Sandeep
Background: Bronchiolitis is a common cause of respiratory failure in children.Respiratory failure, the PICU, often managed with utilization arterial cannulas and frequent blood gas sampling.Despite use sampling, it unclear if these tests improve outcomes.Objective: To evaluate frequency draws for sampling duration mechanical ventilation children bronchiolitis whom cannel as were placed after initiation ventilation.Setting: Children recruited from tertiary care children's hospital. Design:...
Smith, Caitlyn; Betancourt, Nicole; Mascho, Kira; Barry, Suzanne; Sanchez, Javier; Reddy Ambati, Shashikanth Author Information