2019
Oral injuries in children less than 24 months of age in a pediatric emergency department
Woolf SM, Leventhal JM, Gaither JR, Hardikar P, Langhan ML, Bechtel K, Auerbach MA, Tiyyagura G. Oral injuries in children less than 24 months of age in a pediatric emergency department. Child Abuse & Neglect 2019, 89: 70-77. PMID: 30639971, DOI: 10.1016/j.chiabu.2019.01.006.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentOral injuriesChief complaintEmergency departmentAbuse evaluationsTertiary care pediatric emergency departmentMedical chief complaintsMonths old presentingPediatric emergency medicine physiciansProspective observational studyComplete oral examinationEmergency medicine physiciansMonths of ageYoung childrenOld presentingPatient demographicsInjury detailsChildren 12Children 0Observational studyOral examinationMedicine physiciansNon-mobile childrenInjuryPatients
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
Capnography Use During Intubation and Cardiopulmonary Resuscitation in the Pediatric Emergency Department
Bullock A, Dodington JM, Donoghue AJ, Langhan ML. Capnography Use During Intubation and Cardiopulmonary Resuscitation in the Pediatric Emergency Department. Pediatric Emergency Care 2017, 33: 457-461. PMID: 27455341, PMCID: PMC5259553, DOI: 10.1097/pec.0000000000000813.Peer-Reviewed Original ResearchConceptsCapnography useEmergency departmentHospital emergency departmentCardiopulmonary resuscitationSpontaneous circulationAHA recommendationsAcademic children's hospital emergency departmentChildren's hospital emergency departmentAmerican Heart Association guidelinesImplementation of capnographyIll pediatric patientsHeart Association guidelinesRetrospective chart reviewUse of capnographyPediatric emergency departmentChart reviewAdverse eventsPatient characteristicsPediatric patientsIntubated patientsEndotracheal intubationTraumatic causesAssociation guidelinesIll childrenPatientsVascular Access in Pediatric Patients in the Emergency Department: Types of Access, Indications, and Complications.
Whitney R, Langhan M. Vascular Access in Pediatric Patients in the Emergency Department: Types of Access, Indications, and Complications. Pediatric Emergency Medicine Practice 2017, 14: 1-20. PMID: 28562239.Peer-Reviewed Original ResearchMeSH KeywordsAnesthetics, LocalArteriovenous Shunt, SurgicalCatheterization, Central VenousCatheterization, PeripheralCentral Venous CathetersChildChild, PreschoolEmergency Service, HospitalHumansInfantInfant, NewbornInfusions, IntraosseousInfusions, IntravenousPain ManagementPediatric Emergency MedicineSurgery, Computer-AssistedUltrasonographyVascular Access DevicesVenous CutdownConceptsVascular accessDifficult access patientsPeripheral intravenous accessCentral venous accessLife-saving procedurePain control techniquesProvider-specific factorsEmergency medicine practiceRoute of accessIntravenous accessPediatric patientsVenous accessEmergency departmentIntraosseous accessMedicine practicePatientsComplicationsType of accessIndicationsContraindicationsMainstayAcute Kidney Injury in Pediatric Patients: Diagnosis and Management in the Emergency Department.
Mohrer D, Langhan M. Acute Kidney Injury in Pediatric Patients: Diagnosis and Management in the Emergency Department. Pediatric Emergency Medicine Practice 2017, 14: 1-24. PMID: 28447934.Peer-Reviewed Original ResearchConceptsAcute kidney injuryPediatric acute kidney injuryKidney injuryPediatric patientsEmergency departmentChronic kidney diseaseIntravascular volume statusMedication exposureCardiac dysfunctionCommon etiologySignificant morbidityVolume statusKidney diseasePediatric nephrologistsHigh riskInjuryPatientsEtiologyDiagnosisChildrenRiskClassification systemDepartmentSepsisMorbidityThe 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
Physiologic Monitoring Practices During Pediatric Procedural Sedation: A Report From the Pediatric Sedation Research Consortium
Langhan ML, Mallory M, Hertzog J, Lowrie L, Cravero J, Consortium F. Physiologic Monitoring Practices During Pediatric Procedural Sedation: A Report From the Pediatric Sedation Research Consortium. JAMA Pediatrics 2012, 166: 990-998. PMID: 22965648, DOI: 10.1001/archpediatrics.2012.1023.Peer-Reviewed Original ResearchConceptsPediatric procedural sedationPediatric Sedation Research ConsortiumProcedural sedationMonitoring modalitiesProcedural sedation/anesthesiaPhysiologic monitoringHealth care provider typeOperating roomIntensive care unitSedation/anesthesiaCare provider typeAge 21 yearsHealth care providersAmerican SocietyResearch ConsortiumAnesthesiologists classificationSedative medicationsAdverse eventsCare unitEmergency departmentEmergency physiciansObservational studyAmerican CollegeCare providersProvider typeDiagnosis of Intussusception by Physician Novice Sonographers in the Emergency Department
Riera A, Hsiao AL, Langhan ML, Goodman TR, Chen L. Diagnosis of Intussusception by Physician Novice Sonographers in the Emergency Department. Annals Of Emergency Medicine 2012, 60: 264-268. PMID: 22424652, PMCID: PMC3431911, DOI: 10.1016/j.annemergmed.2012.02.007.Peer-Reviewed Original ResearchConceptsPediatric emergency physiciansIleocolic intussusceptionEmergency physiciansUltrasonographic resultsUrban tertiary care children's hospitalPredictive valueBedside emergency department ultrasonographyTertiary care children's hospitalEmergency department ultrasonographyDiagnosis of intussusceptionProspective convenience sample studyLikelihood ratioNegative predictive valuePositive predictive valueConvenience sample studyBowel ultrasonographyMedian agePediatric EDChildren's HospitalUltrasonographic studyEmergency departmentObservational studyPhysician sonographersBedside studiesIntussusception
2011
Remember the Saphenous
Riera A, Langhan M, Northrup V, Santucci K, Chen L. Remember the Saphenous. Pediatric Emergency Care 2011, 27: 1121-1125. PMID: 22134232, DOI: 10.1097/pec.0b013e31823ab926.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAnthropometryAttitude of Health PersonnelBody SizeCatheterization, PeripheralChild, PreschoolEmergency NursingEmergency Service, HospitalFemaleHospitals, PediatricHumansInfantInfusions, IntravenousMaleNursing Staff, HospitalPediatric NursingPoint-of-Care SystemsSaphenous VeinUltrasonography, InterventionalConceptsAntecubital veinSaphenous veinHand veinsPeripheral veinUrban pediatric emergency departmentPediatric emergency departmentNursing preferencePatient characteristicsEmergency departmentSonographic findingsBedside ultrasoundUltrasound guidanceNursing staffMean widthStaff nursesAge groupsSecondary objectiveTransverse diameterFirst choiceUltrasound measurementsVeinSuccess rateSignificant differencesChildrenFuture studiesUse of Emergency Ultrasound in the Diagnostic Evaluation of an Infant With Vomiting
Alletag MJ, Riera A, Langhan ML, Chen L. Use of Emergency Ultrasound in the Diagnostic Evaluation of an Infant With Vomiting. Pediatric Emergency Care 2011, 27: 986-989. PMID: 21975504, DOI: 10.1097/pec.0b013e318232a265.Peer-Reviewed Original ResearchConceptsEmergency ultrasoundBedside emergency ultrasoundAbdominal painPediatric abdominal emergenciesAbdominal emergenciesEmergency departmentUltrasound evaluationAssessment of childrenDiagnostic evaluationTimely diagnosisUseful adjunctVomitingInfantsUltrasoundPainUnanticipated conditionsAdjunctDiagnosisA 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 groupDetection of Hypoventilation by Capnography and Its Association With Hypoxia in Children Undergoing Sedation With Ketamine
Langhan ML, Chen L, Marshall C, Santucci KA. Detection of Hypoventilation by Capnography and Its Association With Hypoxia in Children Undergoing Sedation With Ketamine. Pediatric Emergency Care 2011, 27: 394-397. PMID: 21494162, DOI: 10.1097/pec.0b013e318217b538.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAnesthetics, DissociativeCapnographyCarbon DioxideChildChild, PreschoolConscious SedationDiagnosis, DifferentialFemaleFollow-Up StudiesHumansHypoventilationHypoxiaInfantInjections, IntravenousIntensive Care Units, PediatricKetamineMaleProspective StudiesReproducibility of ResultsYoung AdultConceptsPercent of subjectsPulse oximetryRespiratory ratePersistent decreaseEnd-tidal carbon dioxide levelsDetection of hypoventilationPediatric emergency departmentStandard monitoring practicesIntravenous ketamineEmergency departmentTidal volumeHeart rateSedationHypoventilationTransient decreaseKetamineOximetryCapnographyHypoxiaFurther studiesMidazolamChildrenFrequency of hypoxiaRoutine monitoringSubjects
2010
Use of Bedside Ultrasound to Assess Degree of Dehydration in Children With Gastroenteritis
Chen L, Hsiao A, Langhan M, Riera A, Santucci KA. Use of Bedside Ultrasound to Assess Degree of Dehydration in Children With Gastroenteritis. Academic Emergency Medicine 2010, 17: 1042-1047. PMID: 21040104, PMCID: PMC3058669, DOI: 10.1111/j.1553-2712.2010.00873.x.Peer-Reviewed Original ResearchMeSH KeywordsAortaChildChild, PreschoolCohort StudiesDehydrationDiarrheaEmergency Service, HospitalFemaleFluid TherapyGastroenteritisHemodynamicsHumansInfantInfusions, IntravenousLinear ModelsMaleObserver VariationPilot ProjectsPoint-of-Care SystemsProspective StudiesReproducibility of ResultsSeverity of Illness IndexUltrasonography, DopplerVena Cava, InferiorConceptsInferior vena cavaIVC/Ao ratioPediatric emergency departmentAo diametersAcute gastroenteritisAo ratioBedside ultrasound measurementAcute weight lossProspective observational studyResolution of symptomsAorta diameter ratioAcute care settingInterrater reliabilityPairs of investigatorsPearson correlation coefficientSignificant dehydrationGood interrater reliabilityEmergency departmentIntravascular volumeBedside USVena cavaBedside ultrasoundObservational studyCare settingsProspective identification
2008
Quantitative End-Tidal Carbon Dioxide in Acute Exacerbations of Asthma
Langhan ML, Zonfrillo MR, Spiro DM. Quantitative End-Tidal Carbon Dioxide in Acute Exacerbations of Asthma. The Journal Of Pediatrics 2008, 152: 829-832. PMID: 18492526, DOI: 10.1016/j.jpeds.2007.11.032.Peer-Reviewed Original ResearchConceptsAcute exacerbationEnd-tidal carbon dioxidePediatric emergency departmentBronchodilator treatmentEmergency departmentControl subjectsSeverity of asthmaHealthy control subjectsHospital admissionPhysical examinationMetabolic disturbancesAsthmaExacerbationRespiratory rateVital signsPatientsChildrenTreatmentSeveritySubjectsDepartmentAdmission