A5002517335- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- COVID-19 Clinical Research Studies
- Respiratory Support and Mechanisms
- SARS-CoV-2 and COVID-19 Research
- Anesthesia and Sedative Agents
- Influenza Virus Research Studies
- Long-Term Effects of COVID-19
- Hematological disorders and diagnostics
- Sepsis Diagnosis and Treatment
- Posttraumatic Stress Disorder Research
- Geriatric Care and Nursing Homes
- Anesthesia and Neurotoxicity Research
- Tuberculosis Research and Epidemiology
- Diagnosis and treatment of tuberculosis
- Adrenal Hormones and Disorders
- Healthcare professionals’ stress and burnout
- Respiratory viral infections research
- Suicide and Self-Harm Studies
University of California, Irvine
2022-2024
University of California, San Diego
2020-2023
UC San Diego Health System
2023
RELX Group (United States)
2020
Delirium is a common complication of older people in hospitals, rehabilitation and long-term facilities. To assess the worldwide use validated delirium assessment tools presence management protocols. Secondary analysis one-day point prevalence study on World Awareness Day, 15 March 2023. Cross-sectional online survey including Participating clinicians reported data delirium, protocols, assessments, delirium-awareness interventions, non-pharmacological pharmacological ward/unit-specific...
SARS-CoV-2 (COVID-19) has caused over 80 million infections 973,000 deaths in the United States, and mutations are linked to increased transmissibility. This study aimed determine effect of variants on respiratory features, mortality, vaccination status. A retrospective review medical records (n = 55,406 unique patients) using University California Health COvid Research Data Set (UC CORDS) was performed identify status, mortality from 01/01/2020 04/26/2022. Variants were identified CDC data...
Despite proven benefits to prone positioning in ARDS, a disconnect exists regarding the impressions of its utility among members healthcare team. While majority physicians view as beneficial recent data suggest that minority ICU nurses have same impression. The COVID pandemic has raised particularly challenges terms availability personnel and supplies at least some institutions. We discuss various barriers implementation number strategies optimize patient care. use multidisciplinary team...
To determine the effect of SARS-CoV-2 variants on non-respiratory features COVID-19 in vaccinated and not fully patients using a University California database.
OBJECTIVES: Although delirium detection and prevention practices are recommended in critical care guidelines, there remains a persistent lack of effective education for ICU providers. To address this knowledge-practice gap, we developed an “ICU Delirium Playbook” to educate providers on (using the Confusion Assessment Method ICU) prevention. DESIGN: Building our previous Video Series, interdisciplinary team corresponding quiz form digital Playbook.” Playbook content validity was evaluated by...
Delirium affects up to 80% of patients who are mechanically ventilated in the intensive care unit (ICU) but often goes undetected because incomplete and/or inaccurate clinician evaluation and documentation. A lack effective, feasible, sustainable educational methods represents a key barrier efforts optimize, scale, sustain delirium detection competencies. Progress with such barriers may be addressed asynchronous video-based education.
Few qualitative studies have focused on suicide and specific job-related problems associated with in pharmacists. Greater knowledge of work-related stressors amongst pharmacists could inform prevention strategies.To identify pharmacist suicides compare to those previously reported physicians nurses.Free-text law enforcement medical examiner data for were extracted from the National Violent Death Registry (NVDRS) 2003-2019. Reflexive thematic analysis was deployed via a deductive approach...
Although proning is beneficial to acute respiratory distress syndrome, impressions vary about its efficacy. Some providers believe that paralysis required facilitate proning. We studied impact of on prone-induced gas exchange improvements and provider attitudes regarding paralytics.Observational.University California San Diego.Intubated COVID syndrome patients.None.1) Changes in Pao2:Fio2 Spo2:Fio2 ratios before after with without paralytics, 2) adverse events during 3) nurse physician...
Secondary infections can occur during or after the treatment of an initial infection. Glucocorticoids may decrease mortality in patients with severe COVID-19; however, risk secondary infection is not well described. Our primary objective was to investigate among critically ill COVID-19 treated glucocorticoids. We examined being intensive care unit at two academic medical centers from 1 7/2020. One hundred-seven were included. Of these, 31 received steroids and 76 did not. Analysis larger...
Rationale: Prone positioning has proven benefit but is generally underutilized in moderate to severe Acute Respiratory Disease Syndrome (ARDS). Common practice includes administering neuromuscular blockade [paralytic medication] when proning this population, despite equivocal data regarding benefits of routine paralysis ARDS. During the COVID19 pandemic, drug shortages and other factors have driven clinicians prone patients without therapeutic paralysis. Recent publications also suggest may...
Introduction: The COVID pandemic has led to devastating consequences for those afflicted. use of dexamethasone proven benefit, although the risks and benefits are not fully characterized nor is optimal dose steroid. steroids may include reduced inflammation in patients with acute respiratory distress syndrome (ARDS), but risk might increased viral replication and/or secondary infection. Using a retrospective review our ICU experience (prior RECOVERY NEJM publication) we sought characterize...
Abstract Background SARS-CoV-2 (COVID-19) has caused over 80 million infections and 973,000 deaths in the United States, mutations are linked to increased transmissibility. This study aimed determine effect of variants on respiratory features mortality vaccination status. Method A retrospective review medical records (n=63,454 unique patients) using The University California Health COvid Research Data Set (UC CORDS) was performed identify features, status, mortality. Variants were identified...