Elaine Fajardo, MD
Associate Professor of Medicine (Pulmonary, Critical Care and Sleep Medicine)Cards
Additional Titles
Medical Director for Respiratory Therapy, Internal Medicine
Contact Info
About
Titles
Associate Professor of Medicine (Pulmonary, Critical Care and Sleep Medicine)
Medical Director for Respiratory Therapy, Internal Medicine
Biography
As an Academic Clinician, I spend a majority of my clinical time in the MICU, and I have a natural interest in the management of acute respiratory failure with mechanical ventilators. I have lectured on the basics of mechanical ventilation, ventilator dyssynchrony and ARDS. I am on the multidisciplinary VV ECMO group, which specifically manages advanced acute respiratory failure requiring ECMO support. As the YNH Medical Director of Respiratory Care, I am interested in the appropriate use of non-invasive positive pressure ventilation (NIPPV) for adults with acute respiratory failure, and have spearheaded NIPPV guidelines and systems measures to assess and improve our practices. I am involved in several committees in the MICU dedicated to quality improvement for airway management and procedures. For research, I am sub-investigator in the PreVents 2 study, which is a randomized control trial across multiple acute care settings, which is evaluating patient outcomes in 2 different endotracheal tubes. In terms of innovation, I was involved in the development of 2 split ventilator devices at Yale, during the time of the COVID-19 surge and ventilator shortage. One of those devices was approved for emergency use authorization in the US. During COVID, I had the unique experience of managing the limited supply of critical care ventilators and incorporated second tier or non-critical ventilators to mitigate a ventilator shortage. This experience allowed me to develop some expertise for the nuanced and pandemic specific management of ARDS on non-critical care ventilators. My expertise with COVID related respiratory failure and mechanical ventilators has lead to speaking opportunities such as CDC conference, the France Foundation on twitter and the CT Society for Respiratory Care.
Appointments
Pulmonary, Critical Care & Sleep Medicine
Associate Professor on TermPrimary
Other Departments & Organizations
Education & Training
- Non Degree Program
- New York University, Pulmonary and Critical Care (2011)
- MD
- Rosalind Franklin University of Medicine and Scien (2004)
- BA
- George Washington University, English and Pre-Medicine
Board Certifications
Critical Care Medicine (Internal Medicine)
- Certification Organization
- AB of Internal Medicine
- Latest Certification Date
- 2023
- Original Certification Date
- 2011
Pulmonary Disease
- Certification Organization
- AB of Internal Medicine
- Latest Certification Date
- 2024
- Original Certification Date
- 2010
Research
Research at a Glance
Yale Co-Authors
Publications Timeline
Astha Chichra, MBBS
Allison M. Greaney, PhD
Christopher Szabo, MD
Clark Fisher, MD, PhD
Hossam Tantawy, MD
Inderjit Singh, MBChB, BMedSci, FRCP, FCCP
Publications
2021
Pressure-Regulated Ventilator Splitting for Disaster Relief: Design, Testing, and Clinical Experience
Raredon MSB, Fisher C, Heerdt PM, Schonberger RB, Nargi A, Nivison S, Fajardo E, Deshpande R, Akhtar S, Greaney AM, Belter J, Raredon T, Zinter J, McKee A, Michalski M, Baevova P, Niklason LE. Pressure-Regulated Ventilator Splitting for Disaster Relief: Design, Testing, and Clinical Experience. Anesthesia & Analgesia 2021, 134: 1094-1105. PMID: 34928890, DOI: 10.1213/ane.0000000000005825.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPositive end-expiratory pressureClinical experienceIndividualized positive end-expiratory pressureIntensive care unitEnd-expiratory pressureCoronavirus disease 2019 (COVID-19) pandemicHealth care teamDisease 2019 pandemicVentilatory supportIll patientsCare unitCare teamVentilator sharingFuture clinical applicationsPatientsIndependent careVentilator capacityClinical applicationCOVID-19 pandemicVentilatorClinical environmentOutline recommendationsMass traumaPandemicHospital284: METHYLPREDNISOLONE VERSUS USUAL CARE FOR COVID-19-ASSOCIATED ACUTE RESPIRATORY DISTRESS SYNDROME
Owusu K, Ammar M, Ammar A, Chess A, Siner J, Fajardo E, Chichra A. 284: METHYLPREDNISOLONE VERSUS USUAL CARE FOR COVID-19-ASSOCIATED ACUTE RESPIRATORY DISTRESS SYNDROME. Critical Care Medicine 2021, 50: 127-127. DOI: 10.1097/01.ccm.0000807460.83646.b2.Peer-Reviewed Original Research
2020
Ventilator Sharing Using Volume-controlled Ventilation during the COVID-19 Pandemic
Milner A, Siner JM, Balcezak T, Fajardo E. Ventilator Sharing Using Volume-controlled Ventilation during the COVID-19 Pandemic. American Journal Of Respiratory And Critical Care Medicine 2020, 202: 1317-1319. PMID: 32744456, PMCID: PMC7605199, DOI: 10.1164/rccm.202006-2452le.Peer-Reviewed Case Reports and Technical NotesCitationsAltmetricCHARACTERISTICS AND OUTCOMES OF PATIENTS WITH COVID-19 WITH RESPIRATORY FAILURE REQUIRING EXTRACORPOREAL MEMBRANE OXYGENATION
Fouad J, Singh I, Khosla A, Szabo C, Tantawy H, Razo-Vazquez A, Geirsson A, Bonde P, Fajardo E, Joseph P, Siner J, Chichra A. CHARACTERISTICS AND OUTCOMES OF PATIENTS WITH COVID-19 WITH RESPIRATORY FAILURE REQUIRING EXTRACORPOREAL MEMBRANE OXYGENATION. CHEST Journal 2020, 158: a703-a704. PMCID: PMC7548617, DOI: 10.1016/j.chest.2020.08.660.Peer-Reviewed Original Research
2019
History and Physical Examination
1. Fajardo, E. and L. Davis. History and Physical Examination. In Murray & Nadel’s Textbook of Respiratory Medicine, 7th Edition, eds V. Courtney Broaddus, Joel D. Ernst, Talmadge E. King, Jr., Stephen C. Lazarus, Kathleen F. Sarmiento, Lynn M. Schnapp, Renee D. Stapleton, Elsevier, Amsterdam, Netherlands, 2019.Peer-Reviewed Original Research In PressManagement of Hyperosmolar Hyperglycemic Syndrome
1. Fajardo, E. Management of Hyperosmolar Hyperglycemic Syndrome. In Evidence-Based Critical Care: A Case Study Approach, 2nd edition. Eds Robert C. Hyzy, Springer International Publishing, Switzerland, 2019.Books
2017
Management of Hyperosmolar Hyperglycemic Syndrome
2. Fajardo, E. Management of Hyperosmolar Hyperglycemic Syndrome. In Evidence-Based Critical Care: A Case Study Approach, 1st edition. Eds Robert C. Hyzy, Springer International Publishing, Switzerland, 2017, pp.441-446.Books
2013
Increased production of IL-4 and IL-12p40 from bronchoalveolar lavage cells are biomarkers of Mycobacterium tuberculosis in the sputum.
Nolan A, Fajardo E, Huie ML, Condos R, Pooran A, Dawson R, Dheda K, Bateman E, Rom WN, Weiden MD. Increased production of IL-4 and IL-12p40 from bronchoalveolar lavage cells are biomarkers of Mycobacterium tuberculosis in the sputum. PloS One 2013, 8: e59461. PMID: 23527200, PMCID: PMC3603887, DOI: 10.1371/journal.pone.0059461.Peer-Reviewed Original Research
Academic Achievements & Community Involvement
activity American College of Chest Physicians
Professional OrganizationsMemberDetails2009 - Presentactivity American Thoracic Society
Professional OrganizationsMemberDetails2009 - Present
News & Links
News
- April 02, 2024
Yale Department of Internal Medicine Promotions and Appointments (April 2024)
- May 17, 2023
Yale Physicians Reflect on Covid, Three Years Later
- June 26, 2020Source: MSN
How to use an inhaler: A step-by-step guide to use and care
- May 27, 2020Source: The New York Times
They Evoke Darth Vader, but These Masks May Save Your Doctor's Life