2021
An evidence-based approach to nontraumatic ocular complaints in children.
Iqbal A, Langhan ML, Rotruck J, Soma G. An evidence-based approach to nontraumatic ocular complaints in children. Pediatric Emergency Medicine Practice 2021, 18: 1-28. PMID: 33476507.Peer-Reviewed Original Research
2020
Differences in Frequency of Visits to Pediatric Primary Care Practices and Emergency Departments by Body Mass Index
Kovalerchik O, Powers E, Holland ML, Sharifi M, Langhan ML. Differences in Frequency of Visits to Pediatric Primary Care Practices and Emergency Departments by Body Mass Index. Academic Pediatrics 2020, 20: 532-539. PMID: 31904438, DOI: 10.1016/j.acap.2019.12.011.Peer-Reviewed Original ResearchConceptsPrimary care visitsCare visitsBMI percentile categoryED visitsNormal BMISevere obesityBMI categoriesIndex primary care visitPediatric primary care practicesBody mass index categoriesEmergency department visitsRisk of hospitalizationPediatric weight managementPrevalence of overweightBody mass indexHealth care utilizationNormal BMI rangeCare-seeking patternsPrimary care practicesChildren’s BMI categoryHealth care settingsRace/ethnicityElectronic health recordsImpact of stigmaIndex visit
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 childrenPatientsAcute 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
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
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
2013
Acute Alcohol Intoxication in Adolescents: Frequency of Respiratory Depression
Langhan ML. Acute Alcohol Intoxication in Adolescents: Frequency of Respiratory Depression. Journal Of Emergency Medicine 2013, 44: 1063-1069. PMID: 23485262, DOI: 10.1016/j.jemermed.2012.11.041.Peer-Reviewed Original ResearchConceptsAcute alcohol intoxicationRespiratory depressionAlcohol intoxicationAlcohol levelsProspective observational pilot studyEpisodes of hypoventilationIncidence of hypoventilationMean alcohol levelsObservational pilot studySerious adverse effectsPercent of subjectsHours of intoxicationYears of ageEffects of alcoholOxygen desaturationPatients 14Younger patientsHypoventilationLow dosesSecondary objectiveVital signsAdult counterpartsPatient safetyPilot studyIntoxication
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 type
2011
Detection 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
2009
Portable Spirometry During Acute Exacerbations of Asthma in Children
Langhan ML, Spiro DM. Portable Spirometry During Acute Exacerbations of Asthma in Children. Journal Of Asthma 2009, 46: 122-125. PMID: 19253115, DOI: 10.1080/02770900802460522.Peer-Reviewed Original ResearchConceptsAcute exacerbationPediatric emergency departmentPortable spirometryEmergency departmentClinical signsAirway obstructionExpiratory volumeClinical scoresExpiratory flowUrban pediatric emergency departmentCorrelation of spirometryHistory of asthmaAssessment of asthmaPeak expiratory flowPercent of subjectsYears of ageBronchodilator treatmentMedian ageVital capacitySpirometryExacerbationOxygen saturationAsthmaRespiratory rateVital signs
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
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