A5090868421- Airway Management and Intubation Techniques
- Cardiac Arrest and Resuscitation
- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Traumatic Brain Injury and Neurovascular Disturbances
- Mechanical Circulatory Support Devices
- Congenital Heart Disease Studies
- Intensive Care Unit Cognitive Disorders
- Neurosurgical Procedures and Complications
- Cerebrospinal fluid and hydrocephalus
- Ethics and Legal Issues in Pediatric Healthcare
- Palliative Care and End-of-Life Issues
- Cerebral Venous Sinus Thrombosis
- Ultrasound in Clinical Applications
- Family and Patient Care in Intensive Care Units
- Neonatal Respiratory Health Research
- Ethics in medical practice
- Sepsis Diagnosis and Treatment
- Clinical Reasoning and Diagnostic Skills
- Emergency and Acute Care Studies
- Counseling, Therapy, and Family Dynamics
- Childhood Cancer Survivors' Quality of Life
- Mental Health and Patient Involvement
- Head and Neck Surgical Oncology
- Disaster Response and Management
University of Louisville
2012-2023
Kosair Children's Hospital
2014-2023
Norton Healthcare
2020-2022
Children's Hospital of Philadelphia
2010-2018
University of Pennsylvania
2011-2018
University of Utah
2018
Kennedy Krieger Institute
2018
Johns Hopkins University
2018
University of Michigan
2018
Norton Hospital
2017-2018
Objectives: Oxygen desaturation during tracheal intubation is known to be associated with adverse ICU outcomes in critically ill children. We aimed determine the occurrence and severity of intubations association hemodynamic intubation–associated events. Design: Retrospective cohort study as a part National Emergency Airway Registry for Children Network’s quality improvement project from January 2012 December 2014. Setting: International PICUs. Patients: Critically children younger than 18...
In the midst of severe acute respiratory syndrome coronavirus 2 pandemic, which causes disease 2019, there is a recognized need to expand critical care services and beds beyond traditional boundaries. There considerable concern that widespread infection will result in surge critically ill patients overwhelm our present adult ICU capacity. this setting, one proposal add "surge capacity" has been use PICU physicians for these adults.Narrative review/perspective.Not applicable.Not...
<h3>Background:</h3> We previously reported that an abnormal CSF opening pressure (OP) in children was greater than 28 cm H<sub>2</sub>O. Since elevated intracranial can cause optic nerve head edema (ONHE), we would expect most patients with ONHE have OP This study describes the range of for and compared them to age-matched controls without ONHE. <h3>Methods:</h3> Case subjects were (1–18 years age) enrolled a prospective demonstrated at time lumbar puncture later resolved. Patients...
The recommendation to measure cerebrospinal fluid opening pressure in the extended, rather than flexed lateral recumbent position avoid false elevation of has not been formally evaluated children. This single-center prospective cohort study includes 53 children who had their measured both and extended positions prior removing any (mean age = 11.7 years; 60% male). mean was higher (25.1 ± 9.2 cm H 2 O) compared with (24.4 8.4 difference 0.6 2.2 O; Z 2.021, P < .03). Most (92.4%)...
To determine a level of oxygen desaturation from baseline that is associated with increased risk tracheal intubation events in children cyanotic and noncyanotic heart disease.Retrospective analysis prospectively collected data the National Emergency Airway Registry for Children, an international multicenter quality improvement collaborative airway management critically ill children.Thirty-eight PICUs July 2012 to December 2016.Children disease who underwent pediatric or cardiac ICU.None.Our...
Abstract Introduction Children with CHD and acquired heart disease have unique, high-risk physiology. They may a higher risk of adverse tracheal-intubation-associated events, as compared children non-cardiac disease. Materials methods We sought to evaluate the occurrence events in cardiac A retrospective analysis tracheal intubations from 38 international paediatric ICUs was performed using National Emergency Airway Registry for (NEAR4KIDS) quality improvement registry. The primary outcome...
Evaluate differences in tracheal intubation-associated events and process variances (i.e., multiple intubation attempts oxygen desaturation) between pediatric cardiac ICUs noncardiac PICUs children with underlying disease. Retrospective cohort study using a multicenter quality improvement database (National Emergency Airway Registry for Children). Thirty-six (five ICUs, 31 ICUs) from July 2012 to March 2016. Children medical or surgical disease who underwent an ICU. None. Our primary outcome...
OBJECTIVES: To describe tracheal intubation (TI) practice by Advanced Practice Registered Nurses (APRNs) in North American PICUs, including rates of TI-associated events (TIAEs) from 2015 to 2019. DESIGN/SETTING: Retrospective study using the National Emergency Airway Registry for Children with all TIs performed PICU and pediatric cardiac ICU between January December The primary outcome was first attempt TI success rate. Secondary outcomes were TIAEs, severe hypoxemia. SUBJECTS: Critically...
Total anomalous pulmonary venous return (TAPVR) is a rare congenital cardiac defect, accounting for 1.5-3% of cases heart disease. With prenatal ultrasonography, the majority these patients are diagnosed in utero with definitive surgery performed during neonatal period. However, as screening may not be available developing countries, present later infancy. We successful surgical repair 6-month-old infant TAPVR who presented medical care at 5 months age Lima, Peru. The late presentation such...
Background: Families and clinicians must often weigh competing priorities when making medical decisions for a pediatric patient at the end of life. Few empirical data exist regarding importance that place on varying whether clinical practice conforms to decision-making standards discussed in literature. Methods: We administered discrete choice experiment understand relative nine end-of-life using responses from 364 nurses physicians three intensive care units (ICUs) (pediatric ICU,...
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Gradidge, Eleanor; Tellez, David; Ruppe, Michael; Bakar, Adnan; Tallent, Sarah; Bird, Geoffrey; Lavin, Natasha; Nishisaki, Akira
Wiedemann, Nathan; Horowitz, Russell; Harris, Zena; Ruppe, Michael; Thai, Alexander; Sutton, Brad; Kim, In; Foster, Ben
Mokhateb-Rafii, Tanya; Bakar, Adnan; Gangadharan, Sandeep; Gradidge, Eleanor; Tellez, David; Ruppe, Michael; Nadkarni, Vinay; Nishisaki, Akira Author Information