- Intensive Care Unit Cognitive Disorders
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Family and Patient Care in Intensive Care Units
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Hemodynamic Monitoring and Therapy
- Anesthesia and Sedative Agents
- Obstructive Sleep Apnea Research
- Airway Management and Intubation Techniques
- COVID-19 Clinical Research Studies
- Venous Thromboembolism Diagnosis and Management
- Neuroscience of respiration and sleep
- Case Reports on Hematomas
- Heart Failure Treatment and Management
- Tracheal and airway disorders
- Healthcare Decision-Making and Restraints
- Heparin-Induced Thrombocytopenia and Thrombosis
- COVID-19 and healthcare impacts
- Frailty in Older Adults
- Renal function and acid-base balance
- Long-Term Effects of COVID-19
- Anesthesia and Neurotoxicity Research
- Surgical Simulation and Training
Beth Israel Deaconess Medical Center
2017-2025
Harvard University
2017-2024
National Heart Lung and Blood Institute
2023
University of Alabama at Birmingham
2022
Icahn School of Medicine at Mount Sinai
2021
Massachusetts General Hospital
2017-2020
Spaulding Rehabilitation Hospital
2020
Pain and Rehabilitation Medicine
2020
Hadassah Medical Center
2018-2019
American Society of Anesthesiologists
2018
Importance Individuals who survived COVID-19 often report persistent symptoms, disabilities, and financial consequences. However, national longitudinal estimates of symptom burden remain limited. Objective To measure the incidence changes over time in disability, status after COVID-19–related hospitalization. Design, Setting, Participants A US multicenter prospective cohort study with 1-, 3-, 6-month postdischarge visits was conducted at 44 sites participating National Heart, Lung, Blood...
The effects of high-dose inhaled nitric oxide on hypoxemia in coronavirus disease (COVID-19) acute respiratory failure are unknown.
Background Evidence suggests that recurrent nocturnal hypoxemia may affect pain response and/or the sensitivity to opioid analgesia. We tested hypothesis hypoxemia, quantified by sleep time spent at an arterial saturation (SaO2) < 90% and minimum SaO2 on polysomnography, are associated with decreased reduced consumption during initial 72 postoperative hours in patients having laparoscopic bariatric surgery. Methods With Institutional Review Board approval, we examined records of all who...
Intensive care unit (ICU) admissions among older adults are expected to increase, while the benefit remains uncertain. The availability of ICU beds varies between hospitals and countries is an important factor in decision admit ICU. We aimed assess if a non-restrictive approach admission associated with corresponding change survival.Retrospective cohort study that included patients ≥ 80 years who were admitted each three participating Australia, Israel, United States (USA), 2006-2015,...
Abstract Introduction Survivors of acute respiratory failure (ARF) commonly experience long-lasting physical, cognitive, and/or mental health impairments. Unmet medication needs occurring immediately after hospital discharge may have an important effect on subsequent recovery. Methods and analysis In this multicenter prospective cohort study, we enrolled ARF survivors who were discharged directly home from their care hospitalization. The primary exposure was unmet . outcome readmission or...
Objective: Patients often overstay in intensive care units (ICU) after they are deemed discharge ready. The objective of this study was to examine the impact such delays (DD) on subsequent in-hospital morbidity and mortality. Design: Retrospective cohort study. Setting: Single tertiary academic medical center. Patients: Adult patients admitted ICU between 2005 2011. Interventions: For all patients, DD (ie, time request for a ward bed discharge) calculated. Discharge dichotomized as long (≥24...
Introduction As short-term mortality declines for critically ill patients, a growing number of survivors face long-term physical, cognitive and/or mental health impairments. After hospital discharge, many critical illness require an in-depth plan to address their healthcare needs. Early after numerous experience inadequate care or mismatch between needs and what is provided. Many patients are readmitted the hospital, have substantial resource use long-lasting morbidity. The objective this...
To characterize early unmet nonmedication discharge needs (UDNs), classified as durable medical equipment (DME), home health services (HHS), and follow-up appointments (FUAs) explore their association with 90-day readmission mortality among survivors of acute respiratory failure (ARF) who were discharged home.
Preparedness measures for the anticipated surge of coronavirus disease 2019 (COVID-19) cases within eastern Massachusetts included establishment alternate care sites (field hospitals). Boston Hope hospital was set up Convention and Exhibition Center to provide low-acuity COVID-19 patients support local healthcare systems. However, early recognition need higher levels care, or critical potential deterioration recovering from COVID-19, prompted development a hybrid acute care–intensive unit....
Rapid weight loss or “weight cutting” is a dangerous practice that ubiquitous in modern combat sports yet underrepresented the medical literature. We present case of exertional rhabdomyolysis mixed martial artist with sickle cell trait to illustrate hazards cutting and ensuing critical illness. Sickle known predispose patients rhabdomyolysis, multiple fatal cases have been reported setting strenuous exercise. Dehydration consequent electrolyte abnormalities make sport athletes particularly...