A5013901583- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Airway Management and Intubation Techniques
- Tracheal and airway disorders
- Hemodynamic Monitoring and Therapy
- Cardiac Arrhythmias and Treatments
- Pulmonary Hypertension Research and Treatments
- Infection Control and Ventilation
- Anesthesia and Pain Management
- Cardiac Arrest and Resuscitation
- Trauma Management and Diagnosis
- Cardiac pacing and defibrillation studies
- Heart Rate Variability and Autonomic Control
- Anesthesia and Sedative Agents
- Pain Management and Treatment
- Pain Management and Opioid Use
- Neonatal Respiratory Health Research
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Cardiac electrophysiology and arrhythmias
- Thermal Regulation in Medicine
- COVID-19 and healthcare impacts
- Cardiovascular Function and Risk Factors
- Healthcare Decision-Making and Restraints
- Family and Patient Care in Intensive Care Units
- Vascular Anomalies and Treatments
University of California, Los Angeles
2009-2024
West Los Angeles College
2024
Ronald Reagan UCLA Medical Center
2006-2020
UCLA Medical Center
2005-2009
BACKGROUND: Endotracheal tube security is a critical safety issue. We compared the mobility of an in situ endotracheal secured with adhesive tape to one new commercially available purpose-designed tube-holder device (Haider Tube-Guard ® ). also observed for incidence oropharyngeal or facial trauma associated 2 fixation methods. METHODS: Thirty adult patients undergoing general anesthesia neuromuscular blockade were prospectively enrolled. Immediately after intubation, single study author...
<h3>Background and Objectives:</h3> Subdural injection is a well-known but often poorly recognized complication of neuraxial anesthesia/analgesia. This report aims to further describe the clinical presentation subdural by analyzing radiographically proven cases. A new diagnostic algorithm then proposed. <h3>Methods:</h3> literature search identified 70 confirmed cases injection. The prevalence numerous presenting characteristics their relationship volume injected local anesthetics were...
Background We evaluated a published Revised Cardiac Risk Index (RCRI) to determine if this preoperative cardiovascular risk stratification tool would be useful in the kidney transplant recipient population. Methods identified all transplants from 2005 2009 (n=1652) at our institution. performed detailed retrospective chart review of (a) recipients who underwent coronary angiography (n=169) and (b) an age-matched transplantation year–matched group did not undergo (n=156). Charts were reviewed...
The coronavirus disease 2019 (COVID-19) pandemic creates a need to protect health care workers (HCWs) from patients undergoing aerosol-generating procedures which may transmit the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Existing personal containment devices (PCDs) HCWs droplets but not potentially dangerous respiratory-generated aerosols. We describe new PCD and its aerosol capabilities. device ships flat folds into chamber. With torso drape protective arm sleeves...
The efficacy of positive end-expiratory pressure (PEEP) in treating intraoperative hypoxemia during one-lung ventilation (OLV) remains question given conflicting results prior studies. This study aims to (1) evaluate the PEEP OLV, (2) assess utility preoperative predictors response PEEP, and (3) explore optimal settings that would maximize effects on oxygenation. Forty-one thoracic surgery patients from a single tertiary care university center were prospectively enrolled this observational...
Tidal volume selection during mechanical ventilation utilizes dogmatic formulas that only consider a patient's predicted body weight (PBW). In this study, we investigate whether forced vital capacity (FVC) (1) correlates better to total lung (TLC) than PBW, (2) predicts low pulmonary compliance, and (3) provides an alternative method for tidal selection.One hundred thirty thoracic surgery patients had their preoperative TLC calculated via 2 methods: function test (PFT; TLCPFT) computed...
Abstract Background Double lumen endobronchial tubes (DLTs) are frequently used to employ single lung ventilation strategies during thoracic surgical procedures. Placement of these can be challenging even for experienced clinicians. We hypothesized that airway anatomy, particularly the glottis and proximal trachea, significantly impacts ease or difficulty in placement tubes. Methods Images from 24 randomly selected Positron Emission Tomography – Computed (PET-CT) scans were evaluated several...
In Brief BACKGROUND: Auscultation of breath sounds is used routinely to confirm tracheal placement endotracheal tubes (ETT). infants and children, this method limited by the conduction bilaterally, despite endobronchial intubation. Although several methods detecting intubation have been described, none both simple reliable. investigation, we determined whether changes in pulmonary compliance airway pressures, measured using continuous side stream spirometry, can reliably detect pediatric...
Abstract Introduction Cardiac sympathetic denervation (CSD) is utilized for the management of ventricular tachycardia (VT) in structural heart disease when refractory to radiofrequency ablation (RFA) or patient/VT characteristics are not conducive RFA. Methods We studied consecutive patients who underwent CSD at our institution from 2009 2018 with VT requiring repeat RFA post‐CSD. Patient demographics, VT/procedural characteristics, and outcomes were assessed. Results Ninety‐six had CSD, 16...
<h3>Objective:</h3> We describe 2 cases of Horner syndrome after epidural test dose injections in thoracic surgery patients. The was transient and did not recur with full activation infusion. <h3>Case Report:</h3> Two patients undergoing procedures received preoperative midthoracic catheters for postoperative analgesia. Following the 3-mL 1.5% lidocaine dose, a unilateral observed. No other signs symptoms high blockade were seen, subsequently resolved. After epidurogram confirmation proper...
Yoon, Diana MD, PhD; Hoftman, Nir MD; Ren, Wendy Esmailian, Fardad Schmidt, Paul Mahajan, Aman PhD Author Information
Dual lumen endobronchial tubes (DLTs) are frequently used for lung isolation and one ventilation in thoracic surgery other specialized clinical scenarios. Modern DLTs large rigid, account half of all tracheobronchial injuries. Their 70 year old design has numerous flaws which limit their safety utility. Our research team set out to a new improved DLT mitigate these shortcomings, then test the proposed device ensure proper function.Using published airway anatomy data computed tomography...