A5013259724- Sepsis Diagnosis and Treatment
- Pleural and Pulmonary Diseases
- Ultrasound in Clinical Applications
- Respiratory Support and Mechanisms
- COVID-19 Clinical Research Studies
- Intensive Care Unit Cognitive Disorders
- Hemodynamic Monitoring and Therapy
- Venous Thromboembolism Diagnosis and Management
- Lung Cancer Diagnosis and Treatment
- Pneumonia and Respiratory Infections
- Pulmonary Hypertension Research and Treatments
- Long-Term Effects of COVID-19
- Thermal Regulation in Medicine
- Renal function and acid-base balance
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiovascular Function and Risk Factors
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Pneumothorax, Barotrauma, Emphysema
- Intracranial Aneurysms: Treatment and Complications
- Organ Transplantation Techniques and Outcomes
- Neurosurgical Procedures and Complications
- Emergency and Acute Care Studies
- Frailty in Older Adults
- Heart Rate Variability and Autonomic Control
Intermountain Medical Center
2012-2025
Association Clinique et Thérapeutique Infantile du Val de Marne
2024
American Society of Echocardiography
2024
Intermountain Healthcare
2024
National Heart Lung and Blood Institute
2023-2024
University of Utah
2012-2023
University of Massachusetts Chan Medical School
2018-2021
VA Salt Lake City Healthcare System
2015
University of California, Santa Barbara
2011
Left ventricular diastolic dysfunction is common in patients with severe sepsis or septic shock, but the best approach to categorization unknown. We assessed association of measures function clinical outcomes and tested utility a simplified definition against American Society Echocardiography (ASE) 2009 definition.In this prospective observational study, shock underwent transthoracic echocardiography within 24 h onset (median 4.3 h). measured echocardiographic parameters used random forest...
Abstract Background and objective Assessment of oxygenation in patients with community‐acquired pneumonia is critical for treatment. The accuracy percutaneous oxygen saturation ( SpO 2 ) determined by pulse oximetry uncertain, it has limited value receiving supplemental oxygen. We hypothesized that calculation partial arterial concentration/inspired faction PaO / FiO from the Ellis or Rice equations might adequately correlate measured blood gases. Methods studied 1004 emergency department...
Background: Robotic assisted bronchoscopy (RAB) is designed to increase bronchoscopic accessibility for difficult reach pulmonary lesions. One limitation success of RAB computed tomography (CT) body divergence. Real time imaging with cone beam CT increasingly utilized confirmation correct navigation and tool-in-lesion during RAB. O-arm a 3-dimensional modality, which has not previously been described use Our purpose display the feasibility, ease use, high rate when using Methods: Single...
Systemic capillary leak syndrome (SCLS) is a rare disorder manifesting as shock, hemoconcentration, and hypoalbuminemia, which may be either idiopathic or secondary to an underlying disease process. We report case of adult with COVID-19 infection associated new onset SCLS. Our joins only two other cases SCLS reported in the literature. The clinical laboratory findings this are distinct from seen cytokine storm syndrome. Whether our therapeutic approach was efficacious unknown. Further...
Sepsis survivors face increased risk for cardiovascular complications; however, the contribution of intrasepsis events to profiles is unclear.Kaiser Permanente Northern California (KPNC) and Intermountain Healthcare (IH) integrated healthcare delivery systems.Sepsis (2011-2017 [KPNC] 2018-2020 [IH]) greater than or equal 40 years old without prior disease.Data across KPNC IH were harmonized grouped into presepsis (demographics, atherosclerotic disease scores, comorbidities) factors (e.g.,...
Abstract Findings of an enlarged pulmonary artery diameter (PAd) and increased to ascending aorta ratio (PA:AA) on contrast‐enhanced computed tomography angiography (CTPA) are associated with mortality in particular groups patients cardiopulmonary disease. However, the frequency prognostic significance these incidental findings has not been studied unselected evaluated Emergency Department (ED). This study aims determine prevalence prognosis measurements ED cohort. We measured PA AA...
Background: Graduating fellows from pulmonary and critical care programs are expected to independently perform bronchoscopy common medical procedures in the intensive unit. Given variable exposure learning opportunities at different training programs, little is known about how comfortable graduating with these procedures. Methods: A survey concerning ACGME required for fellowship was sent program directors all accredited subspecialty pulmonary, care, combined medicine. Results: Critical...
To derive and validate a D-dimer cutoff for ruling out pulmonary embolism (PE) in COVID-19 patients presenting to the emergency department (ED).A retrospective cohort study was performed an integrated healthcare system including 22 adult ED's between March 1, 2020, January 31, 2021. Results were validated among enrolled RECOVER Registry, representing data from 154 26 US states. Consecutive ED with laboratory confirmed COVID-19, within 48 h of arrival, objectively PE compared those without...
Objectives To develop a quantitative tool for identifying outpatients most likely to require life support with mechanical ventilation within 5 years. Design Retrospective cohort study. Setting Framingham Heart Study ( FHS ) 1991 2009 and Intermountain Healthcare clinics 2008 2013. Participants participants (n = 3,666; mean age 74; 58% female) in derivation aged 65 older 88,302; 73, 57% an external validation cohort. Measurements Information on demographic characteristics comorbidities...
Percutaneous interventional tissue sampling of pulmonary masses and lymphadenopathy is a means for diagnosis thoracic malignancy. The user base that can perform this skill with ultrasound guidance expanding. A retrospective cohort fine needle aspiration percutaneous core biopsies was identified to evaluate their safety efficacy. 47 distinct procedures were performed by university medical center's Interventional Pulmonary service between 2012 2018.39 consecutive diagnostically successful...
OBJECTIVES: To determine if the implementation of automated clinical decision support (CDS) with embedded minor severe community-acquired pneumonia (sCAP) criteria was associated improved ICU utilization among emergency department (ED) patients who did not require vasopressors or positive pressure ventilation at admission. DESIGN: Planned secondary analysis a stepped-wedge, cluster-controlled CDS trial. SETTING: Sixteen hospitals in six geographic clusters from Intermountain Health; large,...