A5088737902- Mechanical Circulatory Support Devices
- Cardiac Arrest and Resuscitation
- Respiratory Support and Mechanisms
- Cardiac Structural Anomalies and Repair
- Cardiac, Anesthesia and Surgical Outcomes
- Congenital Heart Disease Studies
- Pulmonary Hypertension Research and Treatments
- Heart Failure Treatment and Management
- Hemodynamic Monitoring and Therapy
- Sepsis Diagnosis and Treatment
- Trauma and Emergency Care Studies
- Nosocomial Infections in ICU
- Cardiovascular Function and Risk Factors
- Ultrasound in Clinical Applications
- Airway Management and Intubation Techniques
- Intensive Care Unit Cognitive Disorders
- Aortic Disease and Treatment Approaches
- Tracheal and airway disorders
- Injury Epidemiology and Prevention
- Cardiac pacing and defibrillation studies
- Heparin-Induced Thrombocytopenia and Thrombosis
- Aortic aneurysm repair treatments
- Cardiac electrophysiology and arrhythmias
- Patient Safety and Medication Errors
- Frailty in Older Adults
MedStar Washington Hospital Center
2015-2025
Georgetown University
2023-2025
MedStar Heart & Vascular Institute
2025
MedStar Georgetown University Hospital
2023-2024
Cleveland Clinic
2023
Centro Universitário de Volta Redonda
2023
Washington Hospital
2022-2023
Emory University Hospital
2021-2022
Emory University
2019-2021
Emory Healthcare
2020-2021
Increasing time to mechanical ventilation and high-flow nasal cannula use may be associated with mortality in coronavirus disease 2019. We examined the impact of intubation on clinical outcomes patients
Concise definitive review of the use venopulmonary arterial extracorporeal membrane oxygenation (V-PA ECMO) support in patients with cardiopulmonary failure.
Background Extracorporeal membrane oxygenation (ECMO) serves as a critical intervention for patients with severe cardiac and pulmonary dysfunction. Given the high rates of mortality morbidity, well impact on families, palliative care (PC) integration is recommended. We aimed to examine indications outcomes ECMO at tertiary hospital evaluate PC consultation patient outcomes. Methods conducted retrospective cohort study 306 cannulated venovenous (VV) or venoarterial (VA) from January 2020...
The resuscitation of the patient in shock is a highly complex endeavor which should go beyond normalizing mean arterial pressure and protocolized fluid loading. We propose holistic, four interface conceptual model we feel can benefit both clinicians at bedside researchers. circulatory interfaces whose uncoupling result are left ventricle to arterial, capillary, capillary venular finally right pulmonary artery. review pathophysiology clinical consequences behind these as well how assess them...
No works to-date have described the financial burden and behaviors of left ventricular mechanical unloading (LVMU) for patients on veno-arterial extracorporeal membrane oxygenation (VA ECMO). Given uptrending use VA ECMO, describing its associated cost is essential continued uptake. We describe inpatient costs who were managed with ECMO cardiogenic shock (CS) without LVMU. conducted a retrospective cohort study adult (age ≥18 years) received at some point during their hospital stay non-post...
Lactic acidosis is a clinical entity that demands rapid assessment and treatment to prevent significant morbidity mortality. With increased lactate use across many scenarios, values themselves cannot be interpreted apart from their appropriate picture. The significance of Type B lactic likely understated in the emergency department (ED). Given mortality sepsis confers, serum an important screening study. That said, it with extreme caution we should interpret react resultant elevated value....
Awake patients in ventricular fibrillation is a phenomenon limited to who are mechanically supported. We describe cohort of supported by left assist devices (LVADs) presenting the emergency department (ED) at high-volume LVAD center while awake (VF)/ventricular tachycardia (VT). Among 175 reviewed, total 19 presented ED VF/VT between December 2015 and July 2021. On presentation, maintained median mean arterial blood pressure (MAP) 70 mm Hg with flow 3.77 L/minute. management included...
Introduction: Implantable cardioverter-defibrillator (ICD) lead perforation through the myocardium may result in chest pain and electrocardiogram (ECG) changes concerning for ST-segment elevation myocardial infarction. The clinical context of ECG aids appropriate management.Case Report: We report case a 71-year-old woman experiencing after an ICD placement two weeks earlier. On presentation, she exhibited on her ECG. Computed tomography confirmed migration. patient’s hemodynamics were normal,...