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John S Giuliano, MD, FAAP, FCCM

Professor of Pediatrics (Critical Care)
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Additional Titles

Medical Director Pediatric Intensive Care Unit, Pediatric Critical Care Medicine

About

Titles

Professor of Pediatrics (Critical Care)

Medical Director Pediatric Intensive Care Unit, Pediatric Critical Care Medicine

Biography

Dr. Giuliano is an Associate Professor of Pediatrics in the Section of Pediatric Critical Care Medicine. He graduated from the George Washington University School of Medicine and Health Sciences in 2002, completed a pediatric residency at Children's National Medical Center in 2005 and a pediatric critical care fellowship at Cincinnati Children's Hospital Medical Center in 2008. Dr. Giuliano is board certified in both Pediatrics and Pediatric Critical Care Medicine. He has been the Medical Director of the Critical Care Transport Services since 2008 and Director of the Pediatric Critical Care Fellowship Program since 2014. He is also the Associate Medical Director of the pediatric ICU. Dr. Giuliano's research interests include improving the care of critically ill pediatric patients who are transferred from other facilities. Additionally, he investigates the body's inflammatory response to infection in children, specifically when pertaining to a child's response to viruses such as influenza and COVID-19, as well as Multiorgan Inflammatory Syndrome in Children (MIS-C). Finally, he is a constant educator of medical students, residents, fellows, transport nurses and transport paramedics. To this end, he has co-authored multiple manuscripts addressing ways to both improve the safety of endotracheal intubations and the way we teach our trainees to perform these procedures. Dr. Giuliano was awarded the Howard A. Pearson M.D. Faculty Teaching Award and has also been inducted into the Fellowship of Critical Care Medicine (FCCM).

Appointments

Other Departments & Organizations

Education & Training

Fellow
Cincinnati Children's Hospital (2008)
Resident
Children's National Medical Center (2005)
MD
George Washington University School of Medicine (2002)

Research

Overview

John Giuliano, Jr., M.D, has centered his research interest around our body’s inflammatory response to infection. He has shown that ang-2 is significantly elevated when children with septic shock are admitted to the PICU and that these levels peak around day 2 of illness. This growth factor may play a role in the vascular leak phenomena seen in these patients. Along similar lines, he continues to study plasma biomarkers released when children have severe influenza infections. Since many children with severe sepsis require an advanced airway, Dr. Giuliano is also investigating ways to improve the morbidity and mortality associated with this high-risk procedure.

  • Evaluating the biomarker profile of critically ill children with influenza infection
  • Reducing tracheal intubation associated events in children
  • Improving tracheal intubation teaching using video laryngoscopy

Medical Subject Headings (MeSH)

Acute Lung Injury; Critical Care; Inflammation; Intubation, Intratracheal; Pediatrics; Sepsis

Research at a Glance

Yale Co-Authors

Frequent collaborators of John S Giuliano's published research.

Publications

2024

  • Ketamine Use in the Intubation of Critically Ill Children with Neurological Indications: A Multicenter Retrospective Analysis.
    Loi MV, Lee JH, Huh JW, Mallory P, Napolitano N, Shults J, Krawiec C, Shenoi A, Polikoff L, Al-Subu A, Sanders R Jr, Toal M, Branca A, Glater-Welt L, Ducharme-Crevier L, Breuer R, Parsons S, Harwayne-Gidansky I, Kelly S, Motomura M, Gladen K, Pinto M, Giuliano J Jr, Bysani G, Berkenbosch J, Biagas K, Rehder K, Kasagi M, Lee A, Jung P, Shetty R, Nadkarni V, Nishisaki A, National Emergency Airway Registry for Children (NEAR4KIDS) Investigators, Pediatric Acute Lung Injury, Sepsis Investigators (PALISI) Network. Ketamine Use in the Intubation of Critically Ill Children with Neurological Indications: A Multicenter Retrospective Analysis. Neurocrit Care 2024, 40: 205-214. PMID: 37160847, DOI: 10.1007/s12028-023-01734-0.
    Peer-Reviewed Original Research
  • Adverse Tracheal Intubation Events in Critically Ill Underweight and Obese Children: Retrospective Study of the National Emergency Airway for Children Registry (2013-2020).
    Gladen KM, Tellez D, Napolitano N, Edwards LR, Sanders RC Jr, Kojima T, Malone MP, Shults J, Krawiec C, Ambati S, McCarthy R, Branca A, Polikoff LA, Jung P, Parsons SJ, Mallory PP, Komeswaran K, Page-Goertz C, Toal MC, Bysani GK, Meyer K, Chiusolo F, Glater-Welt LB, Al-Subu A, Biagas K, Hau Lee J, Miksa M, Giuliano JS Jr, Kierys KL, Talukdar AM, DeRusso M, Cucharme-Crevier L, Adu-Arko M, Shenoi AN, Kimura D, Flottman M, Gangu S, Freeman AD, Piehl MD, Nuthall GA, Tarquinio KM, Harwayne-Gidansky I, Hasegawa T, Rescoe ES, Breuer RK, Kasagi M, Nadkarni VM, Nishisaki A, National Emergency Airway Registry for Children (NEAR4KIDS) and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI). Adverse Tracheal Intubation Events in Critically Ill Underweight and Obese Children: Retrospective Study of the National Emergency Airway for Children Registry (2013-2020). Pediatr Crit Care Med 2024, 25: 147-158. PMID: 37909825, DOI: 10.1097/PCC.0000000000003387.
    Peer-Reviewed Original Research
  • Tracheal Intubation by Advanced Practice Registered Nurses in Pediatric Critical Care: Retrospective Study From the National Emergency Airway for Children Registry (2015-2019).
    Van Damme DM, McRae EM, Irving SY, Kelly SP, Tarquinio KM, Giuliano JS Jr, Ruppe MD, Kierys KL, Breuer RK, Parsons SJ, Mallory PP, Shenoi AN, Swain KA, Polikoff LA, Lee A, Adu-Darko MA, Napolitano N, Shults J, Nishisaki A, Berkenbosch JW, National Emergency Airway Registry for Children (NEAR4KIDS) and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI). Tracheal Intubation by Advanced Practice Registered Nurses in Pediatric Critical Care: Retrospective Study From the National Emergency Airway for Children Registry (2015-2019). Pediatr Crit Care Med 2024, 25: 139-146. PMID: 37882620, DOI: 10.1097/PCC.0000000000003386.
    Peer-Reviewed Original Research
  • Safety of primary nasotracheal intubation in the pediatric intensive care unit (PICU).
    Ducharme-Crevier L, Furlong-Dillard J, Jung P, Chiusolo F, Malone MP, Ambati S, Parsons SJ, Krawiec C, Al-Subu A, Polikoff LA, Napolitano N, Tarquinio KM, Shenoi A, Talukdar A, Mallory PP, Giuliano JS Jr, Breuer RK, Kierys K, Kelly SP, Motomura M, Sanders RC Jr, Freeman A, Nagai Y, Glater-Welt LB, Wilson J, Loi M, Adu-Darko M, Shults J, Nadkarni V, Emeriaud G, Nishisaki A, National Emergency Airway Registry for Children (NEAR4KIDS), Pediatric Acute Lung Injury, Sepsis Investigators (PALISI) Network. Safety of primary nasotracheal intubation in the pediatric intensive care unit (PICU). Intensive Care Med Paediatr Neonatal 2024, 2: 7. PMID: 38404646, DOI: 10.1007/s44253-024-00035-4.
    Peer-Reviewed Original Research

2023

2022

Clinical Trials

Current Trials

Academic Achievements & Community Involvement

  • activity

    Trauma quality and improvement

  • activity

    Children's Hospital

  • activity

    NEAR4KIDS

  • activity

    NEPCCRC

  • activity

    PALISI

Clinical Care

Overview

John S. Giuliano, Jr., MD, a pediatric critical care specialist, says he wants to be the physician a patient is transferred to—not from. “I like being that last stop and taking care of the patients in most need of care. That, to me, is the most rewarding,” says Dr. Giuliano, who is also director of the Pediatric Transport Program, which delivers sick children (via ambulance or helicopter) to Yale New Haven Children’s Hospital from other hospitals throughout the region.

Dr. Giuliano says part of the appeal of working in the Pediatric Intensive Care Unit is that he enjoys taking care of a variety of illnesses. “I like all of the organ systems, and critical care allows me to be involved in all of the different subspecialties, and not just focus on one type,” he says. “I also enjoy working with patients and families. To be able to care for them and help them get better is really gratifying.”

His research explores the inflammatory response, or how the body reacts to infections. He actively studies severe viral infections, including influenza and COVID-19 in children, as well as multisystem inflammatory syndrome (MIS-C), a rare but serious complication associated with COVID-19 in children. He is also interested in improving the way fellows are trained in certain medical procedures especially when it comes to improving training and safety in pediatric endotracheal intubations. Dr. Giuliano is an associate professor of pediatric critical care at Yale School of Medicine.

Clinical Specialties

Pediatric Critical Care Medicine

Get In Touch

Contacts

Academic Office Number
Mailing Address

Pediatric Critical Care Medicine

PO Box 208064

New Haven, CT 06520-8064

United States

Administrative Support

Locations

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