A5029886161- Cardiac, Anesthesia and Surgical Outcomes
- Appendicitis Diagnosis and Management
- Anesthesia and Pain Management
- Enhanced Recovery After Surgery
- Intestinal Malrotation and Obstruction Disorders
- Congenital Diaphragmatic Hernia Studies
- Pediatric Pain Management Techniques
- COVID-19 and healthcare impacts
- Hernia repair and management
- Childhood Cancer Survivors' Quality of Life
- Emergency and Acute Care Studies
- Diverticular Disease and Complications
- Trauma and Emergency Care Studies
- COVID-19 Impact on Reproduction
- Esophageal and GI Pathology
- Gallbladder and Bile Duct Disorders
- Congenital Anomalies and Fetal Surgery
- Thyroid and Parathyroid Surgery
- Gastrointestinal disorders and treatments
- Hospital Admissions and Outcomes
- Pelvic and Acetabular Injuries
- Urological Disorders and Treatments
- Healthcare Policy and Management
- Healthcare cost, quality, practices
- Nanoparticle-Based Drug Delivery
Northwestern University
2019-2024
Lurie Children's Hospital
2019-2024
Emory University
2014-2024
James Cook University Hospital
2020
University of Colorado Denver
2018
University of Colorado Anschutz Medical Campus
2018
Hesco (United States)
2016
University of Minnesota
2015
Obstetric Anaesthetists' Association
2013
Vanderbilt University
2011-2013
Summary Concise guidelines are presented that relate abnormalities of coagulation, whether the result administration drugs or pathological processes, to consequent haemorrhagic risks associated with neuraxial and peripheral nerve blocks. The advice is based on published known properties anticoagulant drugs. Four separate Tables address drugs, blocks, obstetric anaesthesia special circumstances such as trauma, sepsis massive transfusion.
Differences in time to diagnostic and therapeutic measures can contribute disparities outcomes. However, whether there is an association of timeliness by sex for trauma patients unknown.
Summary Maintaining safe elective surgical activity during the global coronavirus disease 2019 (COVID‐19) pandemic is challenging and it not clear how COVID‐19 may impact peri‐operative morbidity mortality in this population. Therefore, adaptations to normal care pathways are required. Here, we establish if implementation of a bespoke bundle for urgent surgery surge period can deliver low COVID‐19‐associated complication profile. We present single‐centre retrospective cohort study from...
There are no widely accepted guidelines for management of pediatric patients who have evidence solid organ contrast extravasation ("blush") on computed tomography (CT) scans following blunt abdominal trauma. We report our experience as a Level 1 trauma center in managing cases with hepatic and splenic blush.All resulting liver or injury were queried from 2008 to 2014. Patients excluded if CT was unavailable the medical record. The presence blush based final reports attending radiologists....
Intraventricular hemorrhage (IVH) is the most common cause of hydrocephalus in pediatric population and particularly preterm infants. The decision to place a ventriculoperitoneal shunt or ventricular access device based on physical examination findings radiographic imaging. authors undertook this study determine if head circumference (HC) measurements correlated with Evans ratio (ER) changes size could be detected by HC measurements.All cranial ultrasound (CUS) reports at authors'...
The impact of COVID-19 pandemic on pediatric surgical care systems is unknown. We present an initial evaluation self-reported policy changes from hospitals across North America.
In 1903, Osgood and Schlatter separately described a painful overuse condition affecting the tibial tuberosity. Osgood-Schlatter disease is common cause of knee pain in children, associated with growth spurts, peaking boys at about 12 to 15 years girls 10 years. It more than up 30% children present bilateral symptoms. Cadaveric radiological studies have led theory that may be caused by forceful contractions quadriceps muscles proximal apophysis insertion leading multiple small avulsion...
Perioperative enhanced recovery protocols (ERPs) have been found to decrease hospital length of stay, in-hospital costs, and complications among adult surgical populations but evidence for pediatric is lacking. The study designed evaluate the adoption, effectiveness, generalizability a 21-element ERP, adapted surgery.The multicenter stepped-wedge, cluster-randomized, pragmatic clinical trial that will effectiveness ENhanced Recovery In CHildren Undergoing Surgery (ENRICH-US) intervention...
Observation status could improve efficiency of healthcare resource use but also might shift financial burdens to patients and hospitals. Although the observation stays has increased for adult patient populations, trends are unknown among hospitalized children.The goal this study was describe recent in pediatric populations at children's hospitals.Both inpatient all conditions were retrospectively studied using Pediatric Health Information System database (2010 2019).Patient type classified...
This cross-sectional study characterizes the delivery of ambulatory surgical care for children across freestanding surgery centers and hospital-based outpatient tests differences in patient characteristics features procedures being performed.
Enhanced recovery protocols (ERPs) are an evidence-based intervention to optimize post-surgical recovery. Several studies have demonstrated that the use of ERP for gastrointestinal surgery results in decreased length stay, shortened time a regular diet, and fewer administered opioids, while also trending toward lower complication 30-day readmission rates. Yet, implementation ERPs pediatric is lagging compared adult surgery. The study's purpose was conduct theory-guided evaluation barriers...