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 ResearchMeSH KeywordsCapnographyChildChild, PreschoolClinical CompetenceHumansMonitoring, PhysiologicRespiration, ArtificialConceptsBag-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 childrenPatientsThe 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 ResearchMeSH KeywordsAdolescentAdultAnesthesia Recovery PeriodCapnographyChildChild, PreschoolFemaleHumansInfantMonitoring, PhysiologicOximetryYoung AdultConceptsPostanesthesia 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
2015
A qualitative evaluation of capnography use in paediatric sedation: perceptions, practice and barriers
Iyer NS, Koziel JR, Langhan ML. A qualitative evaluation of capnography use in paediatric sedation: perceptions, practice and barriers. Journal Of Clinical Nursing 2015, 24: 2231-2238. PMID: 25926380, DOI: 10.1111/jocn.12848.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentUse of capnographyEmergency departmentCapnography useProcedural sedationAdequacy of ventilationMonitoring of childrenAdverse eventsHead traumaPediatric populationMental statusPediatric sedationLack of comfortModifiable barriersSedationCapnographyQualitative exploratory studyMost participantsLack of availabilityNursesPhysiciansVentilationDepartmentParticipantsAdditional education
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
Availability 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 ResearchMeSH KeywordsAmbulancesCapnographyConnecticutEmergency Medical ServicesHumansIntubation, IntratrachealMonitoring, PhysiologicSurveys and QuestionnairesConceptsPrehospital 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 ResearchMeSH KeywordsCapnographyCarbon DioxideCritical IllnessHumansIntensive Care Units, PediatricMonitoring, PhysiologicRespiration, ArtificialConceptsPediatric 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 availabilityCurrent Utilization of Continuous End-Tidal Carbon Dioxide Monitoring in Pediatric Emergency Departments
Langhan ML, Chen L. Current Utilization of Continuous End-Tidal Carbon Dioxide Monitoring in Pediatric Emergency Departments. Pediatric Emergency Care 2008, 24: 211-213. PMID: 18431217, DOI: 10.1097/pec.0b013e31816a8d31.Peer-Reviewed Original ResearchMeSH KeywordsCapnographyCarbon DioxideData CollectionEmergency Service, HospitalHumansIntubation, IntratrachealMonitoring, PhysiologicPediatricsPhysician ExecutivesUnited StatesConceptsPediatric emergency departmentEnd-tidal carbon dioxide monitoringETCO2 monitoringEmergency departmentPercent of respondentsCarbon dioxide monitoringEndotracheal tube confirmationContinuous ETCO2 monitoringContinuous End-Tidal Carbon Dioxide MonitoringPediatric emergency medicine fellowship programsAcid-base disturbancesTube confirmationIntubated patientsNonintubated patientsModerate sedationEmergency settingCommon reasonWeb-based survey