2017
Can Providers Use Clinical Skills to Assess the Adequacy of Ventilation in Children During Bag-Valve Mask Ventilation?
Becker HJ, Langhan ML. Can Providers Use Clinical Skills to Assess the Adequacy of Ventilation in Children During Bag-Valve Mask Ventilation? Pediatric Emergency Care 2017, Publish Ahead of Print: 1. PMID: 29084068, DOI: 10.1097/pec.0000000000001314.Peer-Reviewed Original ResearchConceptsBag-valve mask ventilationBVM ventilationPediatric patientsAbnormal ventilationMask ventilationNineteen providersNormal ventilationCapnography dataInduction of anesthesiaTotal mean durationAdequacy of ventilationClinical skillsCapnography monitoringRespiratory supportMedian ageNonintubated patientsElective surgeryMean durationHealthy childrenMinute ventilationClinical assessmentPatientsInappropriate ventilationStandard monitoringCapnography valuesThe 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
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
2012
Improving Detection by Pediatric Residents of Endotracheal Tube Dislodgement with Capnography: A Randomized Controlled Trial
Langhan ML, Auerbach M, Smith AN, Chen L. Improving Detection by Pediatric Residents of Endotracheal Tube Dislodgement with Capnography: A Randomized Controlled Trial. The Journal Of Pediatrics 2012, 160: 1009-1014.e1. PMID: 22244462, DOI: 10.1016/j.jpeds.2011.12.012.Peer-Reviewed Original ResearchConceptsPediatric residentsEndotracheal tubeIntervention groupPulse oximetryStandard monitoringPercent of subjectsEndotracheal tube dislodgementSecondary outcomesControlled TrialsPrimary outcomeIntubated patientsTube dislodgementClinical experienceControl groupCapnographyPatient safetyDislodgementDidactic sessionsPostgraduate yearPatient simulatorOximetrySubjectsOutcomesGroupResidents
2011
A Randomized Controlled Trial of Capnography in the Correction of Simulated Endotracheal Tube Dislodgement
Langhan ML, Ching K, Northrup V, Alletag M, Kadia P, Santucci K, Chen L. A Randomized Controlled Trial of Capnography in the Correction of Simulated Endotracheal Tube Dislodgement. Academic Emergency Medicine 2011, 18: 590-596. PMID: 21676056, PMCID: PMC3117244, DOI: 10.1111/j.1553-2712.2011.01090.x.Peer-Reviewed Original ResearchConceptsEndotracheal tubePulse oximetryStandard monitoringAddition of capnographyStandard monitoring groupPercent of subjectsEndotracheal tube dislodgementLife-threatening consequencesCapnography groupIntubated babiesSecondary outcomesPrimary outcomeAirway problemsControlled TrialsIntubated patientsMedian timeTube dislodgementPhysical examinationInterfacility transportPrehospital providersCapnographyPatientsDislodgementOximetryMonitoring group