A5064065650- Anesthesia and Pain Management
- Airway Management and Intubation Techniques
- Pediatric Pain Management Techniques
- Nausea and vomiting management
- Simulation-Based Education in Healthcare
- Cardiac, Anesthesia and Surgical Outcomes
- Shoulder Injury and Treatment
- Anesthesia and Sedative Agents
- Tracheal and airway disorders
- Respiratory Support and Mechanisms
- Intraocular Surgery and Lenses
- Patient Safety and Medication Errors
- Innovations in Medical Education
- Spine and Intervertebral Disc Pathology
- Foreign Body Medical Cases
- Cardiac Arrest and Resuscitation
- Surgical Simulation and Training
- COVID-19 and healthcare impacts
- Anesthesia and Neurotoxicity Research
- Organ Donation and Transplantation
- Trauma Management and Diagnosis
- Ear Surgery and Otitis Media
- Healthcare Technology and Patient Monitoring
- Electronic Health Records Systems
- Muscle and Compartmental Disorders
Children's Hospital of Philadelphia
2015-2025
University of Pennsylvania
2015-2025
Philadelphia University
2009-2024
Marymount University
2012
Children's Hospital of Pittsburgh
2008
University of Pittsburgh
2008
University at Albany, State University of New York
2004
Temple University
2001
Intubation in children is increasingly performed using video laryngoscopes. Many pediatric studies examine novice laryngoscopists or describe single patient experiences. This prospective randomized nonblinded equivalence trial compares intubation time for the GlideScope Cobalt® laryngoscope (GCV, Verathon Medical, Bothell, WA) with direct laryngoscopy a Miller blade (DL, Heine, Dover, NH) anatomically normal neonates and infants. The primary hypothesis was that times GCV would be noninferior...
In Brief BACKGROUND: This is an audit of the continuous peripheral nerve blockade (CPNB) program that was implemented at our institution to provide postoperative analgesia after orthopedic procedures in children. METHODS: We reviewed departmental regional anesthesia registry and medical records consecutive children who received CPNB for The Children's Hospital Philadelphia between February 2003 July 2006. Patients were prospectively followed until cessation effects and/or resolution any...
Although the role of regional anesthesia in pediatric patients has been increasing over last few years, there are only a small case series that describe use ambulatory continuous peripheral nerve blocks (CPNBs) this patient population. In report, we our experience with CPNBs 1285 children.Data were collected for consecutive children who had CPNB placed between January 2005 and December 2011 at The Children's Hospital Philadelphia from departmental database. Data included demographics, site...
In Brief BACKGROUND: Bradycardia is a complication associated with inhaled induction of anesthesia halothane in children Down syndrome. Although bradycardia has been reported after anesthetic sevoflurane these children, the incidence unknown. OBJECTIVES: this study we compared and characteristics syndrome to healthy controls. METHODS: We reviewed electronic records 209 268 control patients who had over an 8-year period. Data extracted from medical record included demographics, history...
BACKGROUND: Ventilation is critical in airway management, and failure can be fatal. The optimal ventilation approach for endotracheal intubation children with difficult airways remains controversial. Pediatric Difficult Intubation (PeDI) Registry an international multicenter registry that collects data to intubate children. captures the initial (at induction) final technique intubation), use of neuromuscular blocking drugs (NMBDs), reactivity during intubation, complications. We analyzed...
Associate professor, Department of Anesthesiology and Critical Care Medicine, Perelman School University Pennsylvania, Philadelphia, Pennsylvania; email: [email protected]; ORCID: http://orcid.org/0000-0003-4221-5790 Professor, http://orcid.org/0000-0003-1132-1291 First published online Funding/Support: None reported. Other disclosures: R.S. Iyer is the founder IMG Secrets, a platform that provides career guidance to local trainees international medical graduates (IMGs) on residency,...
Several studies have shown video laryngoscopy to be a useful technique in the management of patients whom glottic exposure by direct is difficult. We conducted this study as preliminary investigation comparing Storz DCI Miller 1 laryngoscope (VL, Karl GmbH, Tuttlingen, Germany) and with (DL) an infant manikin model simulating difficult laryngoscopy. hypothesized that compared DL, VL would provide better view but associated longer time intubation because different skill set required when...
<h3>Background and Objectives</h3> This prospective, randomized, single-blinded study evaluates the effectiveness of ultrasound-guided bilateral thoracic paravertebral (BTPV) block for providing postoperative pain control in children undergoing Nuss procedure. <h3>Methods</h3> Thirty American Society Anesthesiologists I–II with pectus excavatum, scheduled procedure, were enrolled at West China Hospital Sichuan University. The patients randomly allocated into BTPV group or group. In group,...
Respiratory adverse events in adults with COVID-19 undergoing general anaesthesia can be life-threatening. However, there remains a knowledge gap about respiratory children COVID-19. We created an international observational registry to collect airway management outcomes who were having anaesthetic. hypothesised that confirmed or suspected would experience more hypoxaemia and complications than those without. Between 3 April 2020 1 November 2020, 78 centres participated. In phase 1,...
Summary Background Pain management following minimally invasive repair of pectus excavatum is variable. We recently adopted a comprehensive multimodal analgesic protocol that standardizes perioperative management. hypothesized patients managed with this would use more opioids postoperatively, have similar pain control, and shorter length stay compared to thoracic epidural infusion. Aims retrospectively opioid consumption, scores, between cohort our Methods This retrospective comparison...
Summary Background Early extubation immediately following liver transplantation is increasingly common in adult practice. Some pediatric institutions have begun to adopt this strategy. Careful patient selection essential minimizing risk. Methods This retrospective cohort study evaluated infants and children who underwent between July 2011 December 2014. Our primary objective was determine early rate. Secondary objectives were identify clinical factors associated with successful compared...
In Brief Telemedicine provides the opportunity to bring medical expertise bedside, even if expert is not physically near patient. Internet technology has facilitated telemedicine allowing for voice, video and other data be exchanged between remote locations. To date, applications of anesthesia (Teleanesthesia) have been limited. Previous work by Cone et al., (Anesth Analg 2006;1463–7) demonstrated ability direct an anesthetic in a location using satellite communication. this report, we...
In Brief BACKGROUND: Tonsillectomy and adenoidectomy are associated with a frequent incidence of vomiting, both in the hospital at home. We evaluated effects oral ondansetron disintegrating tablets (ODT) on at-home emesis children undergoing tonsillectomy without bilateral myringotomy tube insertion. METHODS: All patients underwent inhaled mask induction nitrous oxide, oxygen, sevoflurane. Morphine, dexamethasone, were administered to all intraoperatively. Postoperative pain was treated...
ULTRASOUND has growing applications in medicine. In addition to its role diagnostic and interventional radiology, ultrasound been successfully used several airway-related applications. It confirm endotracheal intubation, position the tube after assess vocal cord movement, diagnose endobronchial intubation pneumothorax.1–5This case report describes a novel use of real-time ultrasonagraphy direct insertion during without performing laryngoscopy patient who failed traditional laryngoscopy.A...
Summary Background The GlideScope Cobalt Video laryngoscope is being used more often in children with challenging laryngoscopy. There are, however, no pediatric trials comparing it to flexible fiberoptic bronchoscopy, the current accepted gold standard. This preliminary manikin study compares first‐attempt intubation success of video bronchoscope when performed by attending anesthesiologists at two major centers. Methods prospective randomized, crossover evaluated 120 attempts (60 each...
Pediatric anesthesiologists must manage crises in neonates and children with timely responses limited margin for error. Teaching the range of relevant skills during a 12-month fellowship is challenging. An experiential simulation-based curriculum can augment acquisition knowledge skills.To develop boot camp (BC) novice pediatric anesthesiology fellows assess learner perceptions BC activities. We hypothesize that feasible, not too basic, well received by fellows.Skills stations, team-based...