A5006572262- Cardiac, Anesthesia and Surgical Outcomes
- Craniofacial Disorders and Treatments
- Cleft Lip and Palate Research
- Pediatric Pain Management Techniques
- Pectus Deformity Diagnosis and Treatment
- Diversity and Career in Medicine
- Foreign Body Medical Cases
- Blood transfusion and management
- Traumatic Brain Injury and Neurovascular Disturbances
- COVID-19 and healthcare impacts
- Anesthesia and Pain Management
- Respiratory Support and Mechanisms
- Head and Neck Surgical Oncology
- Esophageal and GI Pathology
- Health and Medical Research Impacts
- Gastrointestinal disorders and treatments
- Colorectal Cancer Screening and Detection
- Pneumothorax, Barotrauma, Emphysema
- Anesthesia and Neurotoxicity Research
- Traumatic Ocular and Foreign Body Injuries
- Trauma Management and Diagnosis
- Hemodynamic Monitoring and Therapy
- Airway Management and Intubation Techniques
- Healthcare professionals’ stress and burnout
- Pregnancy-related medical research
Johns Hopkins University
2013-2025
Johns Hopkins All Children's Hospital
2017-2025
Johns Hopkins Medicine
2013-2021
University of Colorado Denver
2018
Children's Hospital Colorado
2018
University Hospital Complex Of Vigo
2007
Hospital Montecelo
2007
Background: Craniosynostosis is the premature fusion of ≥1 cranial sutures and often requires surgical intervention. Surgery may involve extensive osteotomies, which can lead to substantial blood loss. Currently, there are no consensus recommendations for guiding conservation or transfusion in this patient population. The aim study develop a machine-learning model predict product requirements individual pediatric patients undergoing craniofacial surgery. METHODS: Using data from 2143...
BACKGROUND: There are few comparative data on the analgesic options used to manage patients undergoing minimally invasive repair of pectus excavatum (MIRPE). The Society for Pediatric Anesthesia Improvement Network was established investigate outcomes procedures where there is significant management variability. For our first study, we a multicenter observational database characterize strategies pediatric MIRPE. Outcome from participating centers were assess association between strategy and...
Optimal perioperative pain management is unknown for adolescent patients undergoing anterior cruciate ligament reconstruction (ACLR). The study aimed to determine the association of nerve blocks with short- and long-term outcomes factors influencing self-reported neurological symptoms. We performed a multisite, prospective observational ACLR. Perioperative data included demographics, block details, anesthetic, surgical techniques. Self-reported surveys documented scores, medication use,...
Abstract Background Leadership of the Society for Pediatric Anesthesia created Diversity, Equity, and Inclusion committee in 2018 to prioritize diversity work. The Anesthesia‐Diversity, implemented a baseline survey membership 2020 assess demographics, equity leadership, inclusivity, attitudes toward plays significant role shaping future pediatric anesthesiology supporting our diverse patients. Methods This study is an IRB‐exempt, cross‐sectional membership. Quantitative analysis provided...
Abstract Introduction This international survey explored the ongoing impact of COVID‐19 on pediatric anesthesiology. It assessed COVID‐19's practice anesthesiology, staffing, job satisfaction, and retention at beginning 2022 addressed what should be done to ameliorate initiatives hospitals had implemented. Methods focused five major domains: equipment/medication, vaccination/testing, burnout, economic repercussions. Pilot testing for questionnaire clarity was conducted by members Pediatric...
the aim of this retrospective study was to evaluate incidence colon perforations from diagnostic and therapeutic colonoscopies, assess their management in our hospital.perforations resulting colonoscopy hospital were reviewed for period January, 1991 December, 2006. The analyzed: purpose procedure, lesion mechanisms, clinical radiological presentations, delays diagnosis, patient status, handling, outcome.fifteen (0.09%) (9 males 6 females) out a total 16,285 colonoscopies carried seen have...
Abstract Background Pediatric anesthesia has evolved to a high level of patient safety, yet small chance remains for serious perioperative complications, even in those traditionally considered at low risk. In practice, prediction at‐risk patients currently relies on the American Society Anesthesiologists Physical Status (ASA‐PS) score, despite reported inconsistencies with this method. Aims The goal study was develop predictive models that can classify children as risk time surgical booking...
Summary Background/Aims The evolution of Le Fort III and Monobloc procedures with utilization distraction devices has resulted in shortened surgical times, greater facial advancements, decreased transfusion requirements. aim this observational study was to utilize data from the multicenter Pediatric Craniofacial Surgery Perioperative Registry present compare patient characteristics outcomes children undergoing midface advancement osteogenesis. Methods We queried for involving distractor...
Summary Background/Aim Malignant hyperthermia susceptible patients may experience a fatal reaction to volatile anesthetic gases. This study sought determine the washout characteristics of desflurane, sevoflurane, and isoflurane from A isys ® , vance estiva anesthesia machines. ( GE Healthcare, Madison, WI USA ). Methods All machines were inspected by Healthcare engineer prior testing. The primed with desflurane 7 vol%, sevoflurane 2.5 1.2 vol% on three separate occasions for 2 h each gas....
Summary Background Unnecessary testing for and ordering of blood products adds to overall healthcare costs. Objectives Determine intraoperative red cell ( RBC ) product utilization pediatric procedures costs associated with perioperative ordering. Methods A retrospective chart review captured transfusion data patients <19 years age who underwent noncardiac surgery over a 13‐month period at one tertiary care hospital. The main outcome measure was cost in undergoing that had zero rate...
Discrepancies in controlled substance documentation are common and can lead to legal regulatory repercussions. We introduced a visual analytics dashboard assist quality improvement project reduce the discrepancies operating room (OR) of our free-standing pediatric hospital.Visual were applied collected discrepancy audit data used track progress project, motivate OR team, analyzing where further improvements could be made. This was part seven-step plan based on Theory Change with logic model...
Complex cranial vault reconstruction (CCVR) performed to treat craniosynostosis can be associated with significant blood loss, transfusion, and perioperative complications. The aim of this study was examine the effect CCVR surgical case volume on outcomes. We hypothesized that is not differences in primary outcome total donor exposures. Secondary outcomes included transfusion volume, major complications, intensive care unit hospital length stay.The multicenter Pediatric Surgery Perioperative...
Abstract Background Minimally invasive repair of pectus excavatum (MIRPE) is associated with less tissue trauma; however, it may result in increased postoperative pain. Pain experience a known risk factor for the development posttraumatic stress symptoms, though there are little data on its relationship long‐term psychological outcomes following major surgery pediatric patients. Aims In this study, we examined between immediate pain and at 2 weeks three months after discharge cohort patients...
COVID-19 forced healthcare systems to make unprecedented changes in clinical care processes. The authors hypothesized that the pandemic adversely impacted timely access care, perioperative processes, and outcomes for pediatric patients undergoing primary appendectomy.
Abstract Background Pediatric anesthesiology has been greatly impacted by COVID‐19 in the delivery of care to patients and individual providers. With this study, we sought survey pediatric centers highlight variations related perioperative medicine during pandemic, including availability protective equipment, practice anesthesia, economic impact. Aim The aim was determine how directly anesthesia practices study period. Methods A concerning four major domains (testing, safety, clinical...
Abstract The aim of this review was to assess diagnostic and treatment challenges adolescents with SI joint pain. We diagnosed 13 the patients who were referred our chronic pain clinic because low back (30%) based on provocative tests response. performed steroid infiltration. Six (46%) felt better immediately after procedure 1 (8%) patient had a one‐side only relief bilateral block. Four these (31%) did not experience any further episode during follow‐up three reported recurring average 2...
INTRODUCCIÓNEl neumopericardio es una entidad infrecuente que se define como la presencia de contenido gaseoso en cavidad pericárdica, motivada por el establecimiento comunicación entre pericardio y estructuras vecinas con aéreo, menos frecuentemente debido a infecciones gérmenes productores gas.Se han comunicado casos pneumopericardio espontáneo idiopático pero su causa más frecuente traumática.También existen causas iatrogénicas, secundarias patologías órganos vecinos o primarias del...
Summary Background Antifibrinolytic therapy significantly decreases blood loss and transfusion in pediatric cranial vault reconstructive surgery; however, concern regarding the side effects profile limits clinical use. Aims The aim was to utilize Pediatric Craniofacial Surgery Perioperative Registry database identify safety of antifibrinolytic for surgery by reporting incidence adverse events as they relate exposure tranexamic acid aminocaproic compared no antifibrinolytics. Methods queried...
BACKGROUND: The Pediatric Anesthesia COVID-19 Collaborative (PEACOC) is a research network to advance the care of children during pandemic. Here we calculate prevalence coronavirus disease 2019 (COVID-19) among undergoing anesthesia, look at in population data from Centers for Disease Control and Prevention (CDC), assess independent risk factors infection. METHODS: This was multicenter, retrospective, observational study. Children aged 28 days 18 years scheduled anesthesia services 12...
Posterior spinal fusion for adolescent idiopathic scoliosis is a complex surgery often associated with clinically significant blood loss leading to perioperative transfusion. Knowledge of risk factors and transfusion stems mostly from retrospective studies.We sought prospectively investigate putative prognostic intraoperative in patients undergoing posterior spine fusion, including clinical characteristics, surgical factors, preoperative assessment overall coagulative fibrinolytic functions...