- Respiratory Support and Mechanisms
- Nosocomial Infections in ICU
- Tumors and Oncological Cases
- Mental Health and Psychiatry
- Congenital Heart Disease Studies
- Sepsis Diagnosis and Treatment
- Neonatal Respiratory Health Research
- Schizophrenia research and treatment
- Renal and related cancers
- Abdominal Surgery and Complications
- Diverticular Disease and Complications
- Orthopedic Infections and Treatments
- Intensive Care Unit Cognitive Disorders
- Gastrointestinal disorders and treatments
- Airway Management and Intubation Techniques
- Cancer and Skin Lesions
- Reconstructive Facial Surgery Techniques
- Histiocytic Disorders and Treatments
- Infectious Disease Case Reports and Treatments
- Neonatal and Maternal Infections
- Genetic and rare skin diseases.
- Neurogenetic and Muscular Disorders Research
- Congenital Ear and Nasal Anomalies
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac, Anesthesia and Surgical Outcomes
Children's Hospital of Los Angeles
2017-2025
University of Southern California
2017-2025
Southern Health and Social Care Trust
2018-2021
University of Cincinnati
2012-2019
Hospital for Sick Children
2017
The University of Texas Health Science Center at Houston
2016
The University of Texas MD Anderson Cancer Center
2016
Massachusetts General Hospital
2016
Cincinnati Children's Hospital Medical Center
2012-2013
The University of Texas Medical Branch at Galveston
2006
Mechanical ventilation strategies that balance lung and diaphragm protection have not been extensively tested in clinical trials. We conducted a single-center, phase II randomized controlled trial children with acute respiratory distress syndrome two time points of random assignment: the weaning phases ventilation. Patients intervention group were managed computerized decision support (CDS) tool, named REDvent, esophageal manometry to deliver protective The control received usual care. A...
1 Division of Anesthesiology Critical Care Medicine, Children's Hospital Los Angeles, CA. 2 Department Clinical Pediatrics, University Southern California Keck School Dr. Shah has disclosed that she does not have any potential conflicts interest. For information regarding this article, E-mail: [email protected]
Abstract Introduction: Treatment of hypoplastic left heart syndrome varies across institutions. This study examined the impact introducing a standardised programme. Methods: retrospective cohort evaluated effects comprehensive strategy on 1-year transplant-free survival with preserved ventricular and atrioventricular valve (AVV) function following Norwood operation. included operative perioperative management dedicated interstage monitoring. The post-implementation (C2) was compared to...
Introduction: Procalcitonin (PCT), a 116 amino acid precursor to calcitonin (a hormone important in calcium regulation) is an emerging biomarker for bacterial infection that easily testable and readily available the clinical setting. Studies critically ill adults suggest using PCT-guided antibiotic algorithm will reduce number of days without increase adverse outcomes. There are no studies this kind Pediatric Intensive Care Unit (PICU). Given association between exposure multi-drug resistant...
Introduction: Critically ill children with status asthmaticus frequently present fever and abnormal chest radiographs. These are often placed on broad-spectrum antibiotic therapy for clinical suspicion of pneumonia. However, many these do not have While previous studies shown that serum procalcitonin(PCT) levels can predict bacterial infection decrease overuse, there is limited data PCT in asthmaticus. For example, it known whether corticosteroids affect levels. The specific aims this study...
A newborn presents with bilateral hand and foot deformities (Figures 1 2). Figure 1. Image of feet. Figure 2. hands. ### Prenatal Birth Histories ### Presentation At birth, the infant was noted to have resembling a “lobster claw” both her feet, each had only single digit. ### Vital Signs ### Physical Examination
An 8-month-old boy presented with a week’s history of left lower limb swelling. He was apyrexic, well and developmentally age appropriate. born at 35+5 via by C-section for breech presentation, weighing 3.47 kg (97th centile). His calf measured 21.5 cm the right 19.5 cm. The overlying skin showed mild eczema. There no circulatory compromise leg, he systemically well. X-rays tibia fibula were normal. received oral antibiotics presumed cellulitis. A follow-up some improvement (figure 1)....
Pedigo, Tiffany1; Hotz, Justin1; Shah, Shilpa1; Elkhunovich, Marsha1; Khemani, Robinder1 Author Information
HISTORY AND PHYSICAL EXAMINATION An 18-year-old man presented with a small bump that he first noticed about 2 weeks before on the dorsal aspect of middle phalanx immediately distal to proximal interphalangeal joint his right finger. The was associated tenderness palpation. However, moving did not aggravate pain. patient had questionable history trauma, noting once injured hand in van door but sure which finger injured. Initial radiographs indicated lytic lesion (Fig 1). Radiographs at 3...
Introduction: In pediatric cranioplasty, challenges include a diploic space too thin for split calvarial grafting, and alloplastic materials prone to infection, extrusion, or improper fit. Bone morphogenetic protein-2 (BMP-2) may present solution; however, concerns restricted growth, mitogenic potential, long-term safety. This study compared outcomes in allograft cranioplasty with without BMP-2. Methods: retrospective cohort cranioplasties performed BMP-2 from 2009–2017. Age, gender,...
A 5-month-old female patient presented to the general practitioner with a 2-week history of an unexplained linear lesion on her left lower limb extending from medial part thigh aspect leg and onto sole foot (figures 1 2). It was hyperpigmented, papular non-blanching. There no trauma, itching, pain, infective symptoms or social concerns. The baby well kempt parents were appropriately concerned.
A term, appropriately grown, female infant born in good condition by vaginal delivery with normal antenatal course was noted to have an abnormality of the right external ear (figure 1) and two birthmarks (figures 2 3) that did not grow size at follow-up aged 3 months. Figure 1 Showing ear. Figure chest skin lesion. Figure forearm lesion. 1. What is likely cause these birth defects? 1. Chromosomal abnormality 2. Single gene mutation 3. Prenatal environment 4....
A 16-month-old boy presents to the emergency department referred by his general practitioner with a painless lump on right leg gradually increasing in size over last 3 weeks. There is no associated trauma, similar swellings elsewhere, and weight loss, night sweats, fever or ill health. Although not walking independently, he can bear legs, stand support cruise. His fine motor sociocommunicative milestones are age-appropriate. Examination reveals 1.5 cm hard, painless, spherical lesion smooth...