2023
The Use of Medical Chaperones During Physical Examinations
Wilson M, Patel S, Langhan M. The Use of Medical Chaperones During Physical Examinations. Pediatric Emergency Care 2023, 40: e46-e51. PMID: 38032984, DOI: 10.1097/pec.0000000000003087.Peer-Reviewed Original ResearchPhysical examinationFemale patientsProvider sexMedical chaperonesPediatric physical examinationCross-sectional studySignificant differencesHealth care practitionersUse of chaperonesChild's physical examinationMale patientsEmergency departmentAmbulatory clinicsInpatient unitPatientsCare practitionersMedical examinationClinical settingMale providersPreferences of parentsPerceptions of adolescentsBody partsExaminationSexAdolescentsPredicting Delayed Shock in Multisystem Inflammatory Disease in Children
Levine D, Uy V, Krief W, Bornstein C, Daswani D, Patel D, Kriegel M, Jamal N, Patel K, Liang T, Arroyo A, Strother C, Lim C, Langhan M, Hassoun A, Chamdawala H, Kaplan C, Waseem M, Tay E, Mortel D, Sivitz A, Kelly C, Lee H, Qiu Y, Gorelik M, Platt S, Dayan P. Predicting Delayed Shock in Multisystem Inflammatory Disease in Children. Pediatric Emergency Care 2023, 39: 555-561. PMID: 36811547, DOI: 10.1097/pec.0000000000002914.Peer-Reviewed Original ResearchConceptsC-reactive proteinMultisystem inflammatory diseaseLymphocyte percentLower riskIndependent predictorsInflammatory diseasesSerum C-reactive proteinRetrospective cross-sectional studyWorld Health Organization criteriaRisk of progressionCross-sectional studyLevel of careCRP levelsPediatric EDOrganization criteriaLaboratory factorsMAIN OUTCOMEPatientsRiskChildrenDiseaseDifferentiated childrenPlateletsPredictorsTri-state area
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
2017
Management of airway obstruction and stridor in pediatric patients
Marchese A, Langhan ML. Management of airway obstruction and stridor in pediatric patients. Pediatric Emergency Medicine Practice 2017, 14: 1-24. PMID: 29045097.Peer-Reviewed Original ResearchLife-threatening etiologiesAirway obstructionUpper airway obstructionAirway inflammationAirway stabilizationInitial managementPediatric patientsSurgical managementEmergency departmentChronic stridorCongenital conditionBacterial infectionsStridorObstructionEtiologyManagementInflammationPatientsCroupInfectionTracheaCan 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 valuesCapnography 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 systemDepartmentSepsisMorbidity
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
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 groupAvailability and clinical utilization of capnography in the prehospital setting.
Langhan M. Availability and clinical utilization of capnography in the prehospital setting. Connecticut Medicine 2011, 75: 197-201. PMID: 21560724.Peer-Reviewed Original ResearchConceptsPrehospital providersMonitoring of patientsMeasures of ventilationIll patientsNonintubated patientsEndotracheal intubationPrehospital settingCardiopulmonary resuscitationClinical scenariosClinical situationsWeb-based surveyCapnographyClinical utilizationPatientsMajority of respondentsVentilationObjective measuresProvidersIntubationAirwayResuscitationPerfusionCare
2008
Continuous end-tidal carbon dioxide monitoring in pediatric intensive care units
Langhan M. Continuous end-tidal carbon dioxide monitoring in pediatric intensive care units. Journal Of Critical Care 2008, 24: 227-230. PMID: 19327292, DOI: 10.1016/j.jcrc.2008.04.004.Peer-Reviewed Original ResearchConceptsPediatric intensive care unitIntensive care unitEnd-tidal carbon dioxide monitoringCare unitCarbon dioxide monitoringPercent of respondentsIntubated patientsPercent of directorsEndotracheal tube confirmationIll pediatric patientsContinuous End-Tidal Carbon Dioxide MonitoringAcid-base disturbancesCritical care fellowship programsTube confirmationNonintubated patientsPediatric patientsModerate sedationCardiopulmonary resuscitationCommon reasonPatientsClinical situationsWeb-based surveyClinical applicationUtilization patternsLack of availabilityQuantitative 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
2005
Clostridial Myonecrosis in an Adolescent Male
Langhan M, Arnold L. Clostridial Myonecrosis in an Adolescent Male. Pediatrics 2005, 116: e735-e737. PMID: 16199671, DOI: 10.1542/peds.2004-2876.Peer-Reviewed Original Research