2018
End-Tidal Carbon Dioxide Use for Tracheal Intubation
Langhan ML, Emerson BL, Nett S, Pinto M, Harwayne-Gidansky I, Rehder KJ, Krawiec C, Meyer K, Giuliano JS, Owen EB, Tarquinio KM, Sanders RC, Shepherd M, Bysani GK, Shenoi AN, Napolitano N, Gangadharan S, Parsons SJ, Simon DW, Nadkarni VM, Nishisaki A. End-Tidal Carbon Dioxide Use for Tracheal Intubation. Pediatric Critical Care Medicine 2018, 19: 98-105. PMID: 29140968, DOI: 10.1097/pcc.0000000000001372.Peer-Reviewed Original ResearchConceptsCapnography useTracheal intubationCardiac arrestEmergency departmentEsophageal intubationOxygen desaturationWaveform capnographyAdverse tracheal intubation-associated eventsMulticenter retrospective cohort studyNational Emergency Airway RegistryTracheal intubation-associated eventsEnd-tidal carbon dioxide measurementPrimary tracheal intubationsRetrospective cohort studyUse of capnographyTracheal intubation procedureQuality improvement initiativesAirway RegistryCohort studyProvider characteristicsSafety outcomesIntubationIntubation procedureCapnographyImprovement initiatives
2017
The impact of capnography monitoring among children and adolescents in the postanesthesia care unit: a randomized controlled trial
Langhan ML, Li F, Lichtor JL. The impact of capnography monitoring among children and adolescents in the postanesthesia care unit: a randomized controlled trial. Pediatric Anesthesia 2017, 27: 385-393. PMID: 28177565, DOI: 10.1111/pan.13077.Peer-Reviewed Original ResearchConceptsPostanesthesia care unitPulse oximetryRespiratory depressionAdverse eventsCare unitRespiratory eventsControl groupPediatric postanesthesia care unitAddition of capnographyRates of hypoxemiaAdverse respiratory eventsStaff interventionsPACU staffOxygen desaturationCapnography monitoringElective surgerySupplemental oxygenGeneral anesthesiaHealthy childrenIntervention groupPatient interventionsAbsence of interventionCapnography monitorStandard monitoringVital signs
2016
Respiratory depression detected by capnography among children in the postanesthesia care unit: a cross‐sectional study
Langhan ML, Li FY, Lichtor JL. Respiratory depression detected by capnography among children in the postanesthesia care unit: a cross‐sectional study. Pediatric Anesthesia 2016, 26: 1010-1017. PMID: 27396979, DOI: 10.1111/pan.12965.Peer-Reviewed Original ResearchConceptsPostanesthesia care unitCross-sectional studyRespiratory depressionPulse oximetryOxygen desaturationCare unitSupplemental oxygenTertiary care hospitalNarcotic medicationsCapnography monitoringCare hospitalRoutine careHealthy childrenMedication administrationPatient interventionsOutcome measuresHypoventilationApneaCapnography monitorPatientsVital signsCapnographyPatient safetyOximetryIntervention
2014
A randomized controlled trial of capnography during sedation in a pediatric emergency setting
Langhan ML, Shabanova V, Li FY, Bernstein SL, Shapiro ED. A randomized controlled trial of capnography during sedation in a pediatric emergency setting. The American Journal Of Emergency Medicine 2014, 33: 25-30. PMID: 25445871, PMCID: PMC4272647, DOI: 10.1016/j.ajem.2014.09.050.Peer-Reviewed Original ResearchConceptsEpisodes of hypoventilationOxygen desaturationIntervention groupStandard monitoringPediatric emergency department patientsEmergency department patientsSedation of childrenPediatric emergency departmentPediatric emergency settingRates of interventionFrequency of interventionsRespiratory depressionPrimary outcomeDepartment patientsEmergency departmentProcedural sedationEmergency settingHigher oddsHypoventilationCapnography monitorControl groupSedationStandard modalityTimely interventionCapnography
2013
Acute Alcohol Intoxication in Adolescents: Frequency of Respiratory Depression
Langhan ML. Acute Alcohol Intoxication in Adolescents: Frequency of Respiratory Depression. Journal Of Emergency Medicine 2013, 44: 1063-1069. PMID: 23485262, DOI: 10.1016/j.jemermed.2012.11.041.Peer-Reviewed Original ResearchConceptsAcute alcohol intoxicationRespiratory depressionAlcohol intoxicationAlcohol levelsProspective observational pilot studyEpisodes of hypoventilationIncidence of hypoventilationMean alcohol levelsObservational pilot studySerious adverse effectsPercent of subjectsHours of intoxicationYears of ageEffects of alcoholOxygen desaturationPatients 14Younger patientsHypoventilationLow dosesSecondary objectiveVital signsAdult counterpartsPatient safetyPilot studyIntoxication