snarky faithful servant and cardiac intensivist @cincychildrens @cincykidsheart

Mason, OH
Joined August 2012
jeffrey alten retweeted
Looks like great implementation and evolution of @pc4quality CAP QI bundle!! Congrats!! @bubblesdadee @MGaies #noCPRisbetterthangoodCPR
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#Espnic2024 #PedsICU @dr_mark_russell presenting hugely encouraging data on a multifaceted cardiac arrest prevention program. 👏@AlisonSJones5 @sueburly
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Fantastic impact of an important QI study. Well done @dr_mark_russell @AlisonSJones5 @sueburly and team!! #pedsicu 👏👏
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#Congenital #CME article from @MichaelKimDO et al on Epidemiology of Postoperative Junctional Ectopic Tachycardia in Infants Undergoing Cardiac Surgery: annalsthoracicsurgery.org/cm… #AnnalsCME @shankar1415 @GLBird @mgoschu @bubblesdadee
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Watch out for this future CICU superstar! Nicole Stegmeier presenting her NEPHRON work at WFPICCS. Early diuresis after neonatal cardiac surgery doesn't cause AKI and may improve outcomes. @pc4quality @WFPICCS @CincyKidsHeart @childrenswi
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jeffrey alten retweeted
after controlling for high-risk norwood factors, most post-op aki is transient, but if persistent on pod3, aki is independently associated with morbidity and mortality - especially when concurrent fluid accumulation @pc4quality @CincyKidsHeart @CincyChildrens
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Cardiac surgery-associated-AKI is common but its impact on clinical outcomes is variable. Read this Original Article on durational sub-phenotyping of CS-AKI w/cumulative fluid balance & outcomes among neonates undergoing the Norwood procedure. #NEPHRON link.springer.com/article/10…
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michael kim - dominating an oral presentation on a PC4 study about postop JET at the World Congress @pc4quality @CincyKidsHeart @8thWCPCCS2023 @MichaelKimDO
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Selewski et al: Magnitude & Timing of #FluidOverload on Outcomes #pedsICU 2◦ analysis AWARE (Assessment of Worldwide #AKI, Renal Angina, & Epidemiology) study Link: ow.ly/xm5p50P2U34 #CritCareMed @SCCM @PedCritCareMed Fig. Δ #fluidoverload survivors vs non-survivor
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Replying to @KatieBrandewie3
@KatieBrandewie3 says we need to weigh our neonatal cardiac surgical patients to measure clinically relevant postoperative fluid overload. @CincyKidsHeart @pc4quality @pedscicu link.springer.com/article/10…
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Read this Original Article on the association of postoperative day (POD) 2 weight-based fluid balance (FB-W) >10% w/outcomes after neonatal cardiac surgery, a retrospective cohort study of 22 hospitals in the NEPHRON registry. link.springer.com/article/10…
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Cincinnati Children's CICU utilizes a CAP protocol for after OHS. It was like a dichotomy of if this then do this and no need to wait for orders. I think it helped my 12 day old her first night after OHS for TOF and Pulmonary Atresia. scienceblog.cincinnatichildr…
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jeffrey alten retweeted
Replying to @TiaTiaraymond
@TiaTiaraymond showing that cardiac arrest prevention using the CAP bundle is SUSTAINABLE!!! #pcics22 @pc4quality @MGaies @bubblesdadee @DrKlugs
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challenge the dogma, reduce patient harm. routine infection rule-outs in the #PICU and peds #cicu can be shortened to 24 hours! @CincyKidsHeart @CincyChildrens doi.org/10.1017/ice.2022.265
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New from @mmchlebowski, @JaclynS09886661, @bubblesdadee: Implementation of a 24-hour infection diagnosis protocol in the pediatric cardiac intensive care unit (CICU) 📄: doi.org/10.1017/ice.2022.265
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Pediatric cardiac intensive care units at 15 @pc4quality hospitals used a cardiac arrest (CA) prevention bundle and saw a 30% relative reduction in adjusted CA rate. Control hospitals showed no change. ja.ma/3SPaKA7 @bubblesdadee @MGaies #PedsCards #PedsCICU
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jeffrey alten retweeted
This is James of #NKY. When he was 2 weeks, he was saved from cardiac arrest @CincyChildrens. The same method that saved him caused a 30% drop in these attacks among babies a-x the country. Here's his story & how this happened: bit.ly/3SCPHRV via @Enquirer
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We're proud to share research outcomes from the @pc4quality, which is part of @CardiacUnited, funded by The Children’s Heart Foundation. “This project was able to prevent CPR in almost 200 high-risk children during CAP implementation at 15 hospitals." bit.ly/3Ilt4N3
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