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  1. Article ; Online: Survivorship in ICU patients undergoing tracheostomy for respiratory failure: from triggers to interprofessional team-based care.

    Brenner, Michael J / Morrison, Michelle / Pandian, Vinciya

    Trauma surgery & acute care open

    2024  Volume 9, Issue 1, Page(s) e001335

    Language English
    Publishing date 2024-01-12
    Publishing country England
    Document type Journal Article
    ISSN 2397-5776
    ISSN (online) 2397-5776
    DOI 10.1136/tsaco-2023-001335
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  2. Article ; Online: Revelar o potencial oculto dos megadados

    Vinciya Pandian / Michael J. Brenner

    Revista de Enfermagem Referência, Vol 6, Iss

    Capacitar os enfermeiros através da ciência de dados

    2023  Volume 2

    Keywords Medicine ; R ; Nursing ; RT1-120
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher Health Sciences Research Unit: Nursing (UICISA: E)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Effectiveness of implementing a standardized perioperative pain management protocol in children undergoing tonsillectomy: A quality improvement project.

    Freedman, Lauren / Varughese, Anna / Koirala, Binu / Pandian, Vinciya

    Paediatric anaesthesia

    2024  

    Abstract: Background and purpose: Tonsillectomy procedures are commonly performed worldwide. At our academic tertiary care facility, we perform approximately 1000 tonsillectomy procedures annually. We have found inconsistent pain management strategies in ... ...

    Abstract Background and purpose: Tonsillectomy procedures are commonly performed worldwide. At our academic tertiary care facility, we perform approximately 1000 tonsillectomy procedures annually. We have found inconsistent pain management strategies in pediatric tonsillectomy patients have contributed to variability in postoperative complications and the number and types of postoperative pain medications required in the Post Anesthesia Care Unit (PACU). This project aimed to assess the impact of implementing a standardized perioperative pain management protocol on reducing postoperative complications in pediatric patients who underwent a tonsillectomy procedure.
    Methods: A pre-post-intervention design was utilized, comparing characteristics and outcomes of pediatric patients for whom a standardized perioperative pain management protocol was implemented over a 12-week period compared to those who did not. The standardized perioperative pain management protocol was utilized intraoperatively by the anesthesiologists, nurse anesthetists, and residents. A Qualtrics survey was used by the Post Anesthesia Care Unit (PACU) nurses to gather data as they cared for patients who underwent tonsillectomy. Four outcomes were measured: (1) postoperative pain medication administration, (2) rate of postoperative respiratory complications, (3) rate of adherence, and (4) usability of a standardized pain management protocol. Data were compared between pre and post-implementation groups.
    Results: During the quality improvement project, 180 children underwent tonsillectomy, with 81 in the control group and 99 in the intervention group. The median age did not differ between groups. The control group had higher postoperative opioid medication usage (93.8% vs. 54.5%) and a higher number of opioids administered in the recovery room. Postoperative IV fentanyl was reduced in the intervention group (49.4% vs. 28.3% in the intervention, p = .004). Respiratory interventions were more frequent in the control group (24.7% vs. 7.1%), with increased respiratory team activation. Respiratory team activation in the Post Anesthesia Care Unit (PACU) includes a 511 page for anesthesia provider assistance. Respiratory interventions included bag-mask ventilation, lidocaine, propofol or succinylcholine administration, and reintubation. The intervention group had 100% adherence to the pain management protocol, and providers found it easy to use.
    Conclusion: The quality improvement project highlighted notable improvements in the intervention group for whom a standardized perioperative pain management protocol was used, including reduced opioid medication administration, lower incidence of respiratory interventions, and high adherence to the pain management protocol. These findings underscore the effectiveness and feasibility of standardized protocols in enhancing patient outcomes.
    Language English
    Publishing date 2024-05-02
    Publishing country France
    Document type Journal Article
    ZDB-ID 1086049-6
    ISSN 1460-9592 ; 1155-5645
    ISSN (online) 1460-9592
    ISSN 1155-5645
    DOI 10.1111/pan.14917
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  4. Article ; Online: Global variation in opioid prescribing after head and neck reconstruction: understanding the United States' outlier status.

    Cramer, John D / Pandian, Vinciya / Brenner, Michael J

    Journal of oral and maxillofacial anesthesia

    2023  Volume 1

    Language English
    Publishing date 2023-03-24
    Publishing country China
    Document type Journal Article ; Comment
    ISSN 2790-8852
    ISSN (online) 2790-8852
    DOI 10.21037/joma-22-44
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  5. Article ; Online: A respiratory critical care nurse training program for settings without a registered respiratory therapists: A protocol for a multimethod study.

    Salimi-Bani, Malihe / Pandian, Vinciya / Vahedian-Azimi, Amir / Moradian, Seyed Tayeb / Bahramifar, Ali

    Intensive & critical care nursing

    2024  Volume 82, Page(s) 103662

    MeSH term(s) Humans ; Aged ; Critical Illness ; Critical Care ; Randomized Controlled Trials as Topic ; Review Literature as Topic
    Language English
    Publishing date 2024-02-21
    Publishing country Netherlands
    Document type Clinical Trial Protocol ; Journal Article
    ZDB-ID 1105892-4
    ISSN 1532-4036 ; 0964-3397
    ISSN (online) 1532-4036
    ISSN 0964-3397
    DOI 10.1016/j.iccn.2024.103662
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  6. Article ; Online: It takes a village to raise a child with a tracheostomy: Translating principles into practice.

    Ward, Erin / Pandian, Vinciya / Brenner, Michael J

    Journal of clinical nursing

    2022  Volume 32, Issue 13-14, Page(s) 4199–4202

    MeSH term(s) Child ; Humans ; Tracheostomy
    Language English
    Publishing date 2022-10-02
    Publishing country England
    Document type Letter ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 1159483-4
    ISSN 1365-2702 ; 0962-1067 ; 1752-9816
    ISSN (online) 1365-2702
    ISSN 0962-1067 ; 1752-9816
    DOI 10.1111/jocn.16549
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  7. Article ; Online: Rebuttal From Drs Pandian, Murgu, and Lamb.

    Pandian, Vinciya / Murgu, Septimiu / Lamb, Carla R

    Chest

    2021  Volume 159, Issue 5, Page(s) 1731–1733

    Language English
    Publishing date 2021-02-27
    Publishing country United States
    Document type Editorial ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2021.01.075
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  8. Article ; Online: COUNTERPOINT: Tracheostomy in Patients With COVID-19: Should We Do It Before 14 Days? No.

    Pandian, Vinciya / Murgu, Septimiu / Lamb, Carla R

    Chest

    2021  Volume 159, Issue 5, Page(s) 1727–1729

    MeSH term(s) COVID-19 ; Humans ; Respiration, Artificial ; SARS-CoV-2 ; Tracheostomy
    Language English
    Publishing date 2021-02-27
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2020.12.064
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  9. Article ; Online: Percutaneous Tracheostomy.

    McGrath, Brendan A / Pandian, Vinciya / Brenner, Michael J

    The New England journal of medicine

    2021  Volume 384, Issue 8, Page(s) 779

    MeSH term(s) Dilatation ; Humans ; Respiration, Artificial ; Tracheostomy ; Vascular Surgical Procedures
    Language English
    Publishing date 2021-02-03
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2035339
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  10. Article ; Online: Accelerating Detection and Intervention for Sepsis in Skilled Nursing Facilities Using a Sepsis Pathway.

    Ahmed, Asma M / Macapili, Efy / Brenner, Michael J / Pandian, Vinciya

    Journal of nursing care quality

    2023  Volume 39, Issue 1, Page(s) 67–75

    Abstract: Background: Early detection of sepsis decreases mortality in hospitals, but recognition of sepsis is often delayed in skilled nursing facilities (SNFs).: Local problem: A local SNF in the northeastern United States sought to use a standardized sepsis ...

    Abstract Background: Early detection of sepsis decreases mortality in hospitals, but recognition of sepsis is often delayed in skilled nursing facilities (SNFs).
    Local problem: A local SNF in the northeastern United States sought to use a standardized sepsis pathway to prevent hospital readmissions due to sepsis.
    Methods: A pre-/postimplementation design was used for this project. Outcome measures included sepsis detection and treatment, length of stay in the SNF, sepsis-related hospital transfer rate, mortality rate, and predictors of clinical outcomes.
    Interventions: A SNF sepsis pathway was developed based on current sepsis detection tools. The pathway incorporated a sepsis screening tool and a sepsis bundle. Implementation of the pathway involved education of nurses and certified nursing assistants on the pathway.
    Results: A total of 178 patients were included in data analysis (81 preimplementation and 97 implementation). Sepsis recognition increased from 56% to 86% ( P < .001), and sepsis-related hospital transfers decreased from 68% to 44% ( P = .07). Laboratory testing for lactate, white blood cell count, and blood cultures increased, and sepsis intervention rates significantly improved ( P < .001).
    Conclusions: Implementing a modified SNF sepsis pathway accelerated identification of sepsis and improved clinical outcomes.
    MeSH term(s) Humans ; United States ; Skilled Nursing Facilities ; Hospitalization ; Patient Readmission ; Hospitals ; Sepsis/diagnosis ; Patient Discharge
    Language English
    Publishing date 2023-06-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1089089-0
    ISSN 1550-5065 ; 1057-3631
    ISSN (online) 1550-5065
    ISSN 1057-3631
    DOI 10.1097/NCQ.0000000000000729
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