A5103138390- Cardiac, Anesthesia and Surgical Outcomes
- Ultrasound in Clinical Applications
- Liver Disease and Transplantation
- Organ Transplantation Techniques and Outcomes
- Hemodynamic Monitoring and Therapy
- Intensive Care Unit Cognitive Disorders
- Liver Disease Diagnosis and Treatment
- Cardiac Arrest and Resuscitation
- Airway Management and Intubation Techniques
- Traumatic Brain Injury and Neurovascular Disturbances
- Frailty in Older Adults
- Respiratory Support and Mechanisms
- Transplantation: Methods and Outcomes
- Radiology practices and education
- Cerebrospinal fluid and hydrocephalus
- Telomeres, Telomerase, and Senescence
- Hepatitis C virus research
- Mechanical Circulatory Support Devices
- Neurological Complications and Syndromes
- Sepsis Diagnosis and Treatment
- Organ Donation and Transplantation
- Renal Transplantation Outcomes and Treatments
- Non-Invasive Vital Sign Monitoring
- Radiation Dose and Imaging
- Patient Safety and Medication Errors
Johns Hopkins Hospital
2009-2025
Johns Hopkins Medicine
2015-2024
Johns Hopkins University
2015-2024
Digestive Care (United States)
2024
Johns Hopkins Children's Center
2020
Bloomberg (United States)
2020
University of Baltimore
2017
University of Maryland, Baltimore
2017
Wayne State University
2010
To compare the distribution, causes, and consequences of medication errors in ICU with those non-ICU settings.: A cross-sectional study all hospital reported to MEDMARX system between 1999 2005. Adjusted odds ratios are presented.Hospitals participating reporting system.None.MEDMARX is an anonymous, self-reported, confidential, deidentified, internet-accessible error program that allows hospitals report, track, share data. There were 839,553 from 537 hospitals. ICUs accounted for 55,767...
Delirium is common after cardiac surgery, and preoperative identification of high-risk patients could guide prevention strategies. We prospectively measured frailty in 55 before surgery assessed postoperative delirium using a validated chart review. The prevalence was 30.9%. Frail had higher incidence (47.1%) compared with nonfrail (2.6%; P < 0.001). In multivariable models, the relative risk ≥2.1-fold greater frail (relative risk, 18.3; 95% confidence interval, 2.1–161.8; = 0.009)....
Despite the growing use of point care ultrasound (POCUS) in contemporary medical practice and existence clinical guidelines addressing its specific applications, there remains a lack standardization agreement on optimal practices for several areas POCUS use. The Society Point Care Ultrasound (SPOCUS) formed working group 2022 to establish set recommended best POCUS, applicable clinicians regardless their training, specialty, resource setting, or scope practice. Using three-round modified...
Abstract Objective Monitoring microcirculation and visualizing microvasculature are critical for providing diagnosis to medical professionals guiding clinical interventions. Ultrasound provides a medium monitoring visualization; however, there challenges due the complex microscale geometry of vasculature difficulties associated with quantifying perfusion. Here, we studied established state‐of‐the‐art ultrasonic modalities (using six probes) compare their detection slow flow in small...
Patients undergoing liver transplantation frequently but inconsistently require massive blood transfusion. The ability to predict transfusion (MT) could reduce the impact on bank resources through customization of order schedule. Current predictive models MT for product utilization during are not generally applicable individual institutions owing variability in patient population, intraoperative management, and definitions MT. Moreover, existing may be limited by incorporating cirrhosis...
When incorporated into the 10-second pulse/rhythm check of advanced life support (ALS) protocol, focused cardiac ultrasound is a useful adjunct to cardiopulmonary resuscitation. In this case series, we demonstrated feasibility echocardiographic assessment using subcostal-only view in ALS (EASy-ALS) performed by anesthesiology residents during periresuscitative period after structured training. Residents obtained diagnostic quality images 100% self-reported cases, which enabled them identify...
We describe the process converting half of our 40-bed PICU into a negative-pressure biocontainment ICU dedicated to adult coronavirus disease 2019 patients within 1,003-bed academic quaternary hospital. outline construction, logistics, supplies, provider education, staffing, and operations. share lessons learned working with predominantly pediatric staff blended expertise while maintaining elements family-centered care typical critical medicine. Critically ill may be cared for in augmented...
Abstract Background Intraoperative massive transfusion (MT) is common during liver transplantation (LT). A predictive model of MT has the potential to improve use blood bank resources. Study Design and Methods Development validation cohorts were identified among deceased‐donor LT recipients from 2010 2016. multivariable generated development cohort was validated with refined using both cohorts. The combined also previously reported McCluskey risk index (McRI). simple modified (ModRI) then...
This video presents a practical method for conducting visual, semiquantitative assessment of right ventricular size and systolic function with focused cardiac ultrasonography.
Background. We sought to establish consensus on the essential skills, knowledge, and attributes that a liver transplant (LT) anesthesiologist should possess in bid help guide further training process. Methods. Consensus was achieved via modified Delphi methodology, surveying 15 identified international experts fields of LT anesthesia critical care. Results. Key competencies were preoperative management optimization potential recipient; intraoperative management, including hemodynamic...
Objective: To discuss pediatric intensivist–driven ultrasound and the exigent need for research practice definitions pertaining to its implementation within critical care, specifically addressing issues in ultrasound-guided vascular access intensivist-driven echocardiography. Conclusions: Intensivist-driven improves procedure safety reduces time diagnosis clinical applications, as demonstrated primarily adult patients. Translating these applications PICU requires thoughtful integration of...
Portopulmonary hypertension is one of the main pulmonary conditions affecting patients with liver disease and/or portal hypertension. Other include hepatopulmonary syndrome and hepatic hydrothorax. caused by vasoconstriction increased vascular resistance. It develops as a result or without associated higher morbidity mortality. However, portopulmonary usually asymptomatic; most common symptoms are dyspnea, fatigue, peripheral edema. All transplant candidates should be screened for potential...
Sonographic cardiac standstill during adult arrest is associated with failure to get return spontaneous circulation. This report documents 3 children whose function returned after extracorporeal membranous oxygenation. may not predict death in children.
We assessed the efficacy of 1-day training in echocardiography assessment using subxiphoid-only (EASy) followed by supervised image interpretation and decision-making during patient rounds as a novel approach to scaling up use point-of-care ultrasound (POCUS) critically ill patients.
Improved pre-operative risk stratification methods are needed for targeted mitigation and optimization of care pathways cardiac patients. This is the first report demonstrating pre-operative, aging-related biomarkers cellular senescence immune system function can predict common serious surgery-related adverse events.