Full Text Journal Articles by
Author Patrick Birmingham

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Implementing PDSA Methodology for Pediatric Appendicitis Increases Care Value for a Tertiary Children's Hospital.

Martha-Conley E Ingram, Abbey Studer, Jamie Schechter, Sarah A Martin, Manisha Patel, Emily C Z Roben, Nicholas E Burjek, Patrick K Birmingham, Mehul V Raval,

<h4>Introduction</h4>We used the plan-do-study-act (PDSA) framework to develop and implement an evidence-based clinical practice guideline (CPG) within an urban, tertiary children's referral center.<h4>Methods</h4>We developed an evidence-based CPG for appendicitis using iterative PDSA cycles. Similar CPGs from other centers were reviewed and modified for local implementation. Adjuncts included guideline-specific order sets ... Read more >>

Pediatr Qual Saf (Pediatric quality & safety)
[2021, 6(4):e442]

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Reduction in Pediatric Ambulatory Adenotonsillectomy Length of Stay Using Clinical Care Guidelines.

Jennifer Lavin, Abbey Studer, Dana Thompson, Jonathan Ida, Jeff Rastatter, Patel Manisha, Patricia Huetteman, Erin Hoeman, Sarah Duggan, Patrick Birmingham, Michael R King, Kathleen Billings,

<h4>Objective</h4>Standardization of postoperative care using clinical care guidelines (CCG) improves quality by minimizing unwarranted variation. It is unknown whether CCGs impact patient throughput in outpatient adenotonsillectomy (T&A). We hypothesize that CCG implementation is associated with decreased postoperative length of stay (LOS) in outpatient T&A.<h4>Methods</h4>A multidisciplinary team was assembled to design ... Read more >>

Laryngoscope (The Laryngoscope)
[2021, 131(11):2610-2615]

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Standardized Order Set Exhibits Surgeon Adherence to Pain Protocol in Pediatric Adenotonsillectomy.

Abbey Studer, Kathleen Billings, Dana Thompson, Jonathan Ida, Jeff Rastatter, Manisha Patel, Patricia Huetteman, Erin Hoeman, Sarah Duggan, Sukhraj Mudahar, Patrick Birmingham, Michael King, Jennifer Lavin,

<h4>Objectives/hypothesis</h4>To produce a sustained reduction in opioid prescriptions in patients <5 years of age undergoing T&A through utilization of standardized algorithms and electronic health record (EHR) automation tools.<h4>Study design</h4>Prospective quality improvement initiative.<h4>Methods</h4>Plan-do-study-act (PDSA) methodology was used to design an age-based postoperative pain regimen in which children <5 years of age received a ... Read more >>

Laryngoscope (The Laryngoscope)
[2021, 131(7):E2337-E2343]

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Variation in pediatric local anesthetic dosing for peripheral nerve blocks: an analysis from the Pediatric Regional Anesthesia Network (PRAN).

Andreas H Taenzer, Michael Herrick, Matthew Hoyt, R J Ramamurthi, Benjamin Walker, Sean H Flack, Adrian Bosenberg, Andrew Franklin, David M Polaner, , ,

<h4>Background</h4>Variation of local anesthetic dosing has been reported for adult peripheral nerve blocks (PNBs) and infant caudal blocks. As higher doses of local anesthetics (LA) are potentially associated with increased risk of complications (eg, local anesthetic systemic toxicity), it is important to understand the source of LA dose variation. Using ... Read more >>

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2020, 45(12):964-969]

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Relaxation breathing for multimodal perioperative analgesia in a four-year-old: Yes they can!

Natalie M Seewald, Samantha Lu, Patrick K Birmingham,

Paediatr Anaesth (Paediatric anaesthesia)
[2019, 29(9):962-963]

Cited: 0 times

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The Society for Pediatric Anesthesia recommendations for the use of opioids in children during the perioperative period.

Joseph P Cravero, Rita Agarwal, Charles Berde, Patrick Birmingham, Charles J Coté, Jeffrey Galinkin, Lisa Isaac, Sabine Kost-Byerly, David Krodel, Lynne Maxwell, Terri Voepel-Lewis, Navil Sethna, Robert Wilder,

Opioids have long held a prominent role in the management of perioperative pain in adults and children. Published reports concerning the appropriate, and inappropriate, use of these medications in pediatric patients have appeared in various publications over the last 50 years. For this document, the Society for Pediatric Anesthesia appointed a ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2019, 29(6):547-571]

Cited: 6 times

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Complications in Pediatric Regional Anesthesia: An Analysis of More than 100,000 Blocks from the Pediatric Regional Anesthesia Network.

Benjamin J Walker, Justin B Long, Madhankumar Sathyamoorthy, Jennifer Birstler, Christine Wolf, Adrian T Bosenberg, Sean H Flack, Elliot J Krane, Navil F Sethna, Santhanam Suresh, Andreas H Taenzer, David M Polaner, Lynn Martin, Corrie Anderson, Rani Sunder, Trevor Adams, Lizabeth Martin, Martha Pankovich, Amod Sawardekar, Patrick Birmingham, Ryan Marcelino, R J Ramarmurthi, Peter Szmuk, Galit Kastner Ungar, Sara Lozano, Karen Boretsky, Ranu Jain, Maria Matuszczak, Timothy R Petersen, Jennifer Dillow, Robert Power, Kim Nguyen, Benjamin H Lee, Lisa Chan, Jorge Pineda, Jacob Hutchins, Kimberly Mendoza, Kristen Spisak, Aali Shah, Kathryn DelPizzo, Naomi Dong, Vidya Yalamanchili, Claudia Venable, Cassandra Armstead Williams, Reena Chaudahari, Susumu Ohkawa, Helga Usljebrka, Tarun Bhalla, Pedro Paulo Vanzillotta, Seza Apiliogullari, Andrew D Franklin, Akiko Ando, Sophie R Pestieau, Caroline Wright, Julia Rosenbloom, Tony Anderson, ,

<h4>What we already know about this topic</h4>WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Complications in pediatric regional anesthesia are rare, so a large sample size is necessary to quantify risk. The Pediatric Regional Anesthesia Network contains data on more than 100,000 blocks administered at more than 20 children's ... Read more >>

Anesthesiology (Anesthesiology)
[2018, 129(4):721-732]

Cited: 20 times

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Neuraxial Anesthesia in Children With Ventriculoperitoneal Shunts.

Anthony B Longhini, Eric C Cheon, John Hajduk, Robin Bowman, Patrick K Birmingham,

Neuraxial anesthesia has been demonstrated to be safe and effective for children undergoing subumbilical surgery. There is limited evidence regarding the safety of neuraxial anesthesia in pediatric patients with a ventriculoperitoneal shunt. We evaluated a series of 25 patients with indwelling ventriculoperitoneal shunts for complications within 30 days of any ... Read more >>

Anesth Analg (Anesthesia and analgesia)
[2018, 127(1):188-189]

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Neural preservation underlies speech improvement from auditory deprivation in young cochlear implant recipients.

Gangyi Feng, Erin M Ingvalson, Tina M Grieco-Calub, Megan Y Roberts, Maura E Ryan, Patrick Birmingham, Delilah Burrowes, Nancy M Young, Patrick C M Wong,

Although cochlear implantation enables some children to attain age-appropriate speech and language development, communicative delays persist in others, and outcomes are quite variable and difficult to predict, even for children implanted early in life. To understand the neurobiological basis of this variability, we used presurgical neural morphological data obtained from ... Read more >>

Proc Natl Acad Sci U S A (Proceedings of the National Academy of Sciences of the United States of America)
[2018, 115(5):E1022-E1031]

Cited: 13 times

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Codeine: an old drug with new precautions.

Patrick K Birmingham,

Paediatr Anaesth (Paediatric anaesthesia)
[2017, 27(1):7]

Cited: 0 times

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Remediation for fellowship training: doing what is best for trainee and patient!

Patrick K Birmingham, Santhanam Suresh,

J Clin Anesth (Journal of clinical anesthesia)
[2016, 34:676-677]

Cited: 0 times

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Are caudal blocks for pain control safe in children? an analysis of 18,650 caudal blocks from the Pediatric Regional Anesthesia Network (PRAN) database.

Santhanam Suresh, Justin Long, Patrick K Birmingham, Gildasio S De Oliveira,

<h4>Background</h4>The caudal block is the most commonly performed regional anesthesia technique in pediatric patients undergoing surgical procedures, but safety concerns raised by previous reports remain to be addressed. Our main objective in current investigation was to estimate the overall and specific incidence of complications associated with the performance of caudal ... Read more >>

Anesth Analg (Anesthesia and analgesia)
[2015, 120(1):151-156]

Cited: 38 times

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Transversus abdominis plane block in children: a multicenter safety analysis of 1994 cases from the PRAN (Pediatric Regional Anesthesia Network) database.

Justin B Long, Patrick K Birmingham, Gildasio S De Oliveira, Katie M Schaldenbrand, Santhanam Suresh,

<h4>Background</h4>Currently, there is not enough evidence to support the safety of the transversus abdominis plane (TAP) block when used to ameliorate postoperative pain in children. Safety concerns have been repeatedly mentioned as a major barrier to performing large randomized trials in children. The main objective of the current investigation was ... Read more >>

Anesth Analg (Anesthesia and analgesia)
[2014, 119(2):395-399]

Cited: 33 times

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The effect of mechanical load on tendon-to-bone healing in a rat model.

Carolyn M Hettrich, Selom Gasinu, Brandon S Beamer, Mark Stasiak, Alice Fox, Patrick Birmingham, Olivia Ying, Xiang-Hua Deng, Scott A Rodeo,

<h4>Background</h4>Joint motion is commonly prescribed after tendon repair surgeries such as rotator cuff repairs; however, the ideal rehabilitation program to optimize tendon-to-bone healing is unknown.<h4>Hypotheses</h4>(1) Delayed loading would result in a mechanically stronger and better organized tendon-to-bone interface compared with prolonged immobilization or immediate loading. (2) Low-magnitude load would lead ... Read more >>

Am J Sports Med (The American journal of sports medicine)
[2014, 42(5):1233-1241]

Cited: 26 times

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Corticosteroid and Anesthetic Injections for Muscle Strains and Ligament Sprains in the NFL.

Mark Drakos, Patrick Birmingham, Demetris Delos, Ronnie Barnes, Conor Murphy, Leigh Weiss, Russell Warren,

<h4>Background</h4>Administering local anesthetic or corticosteroid injections in professional athletes to allow return to play is common but has traditionally been viewed as suspect and taboo. The skepticism surrounding therapeutic injections stems predominantly from anecdotal experience as opposed to scientific data.<h4>Questions/purposes</h4>The purpose of this paper is to evaluate the current use ... Read more >>

HSS J (HSS journal : the musculoskeletal journal of Hospital for Special Surgery)
[2014, 10(2):136-142]

Cited: 6 times

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In vitro Evaluation of Labral Seal after Labrum Reconstruction

Patrick Birmingham, Mark W. Bowers, Linda McGrady, Matthew Carpenter, Mei Wang,

<h4>Objectives:</h4> The objective of this study was to quantify labral seal in labrum reconstructed joints by measuring the suction force, and compare them to the same joints with intact labrum and torn labrum. <h4>Methods:</h4> Six cadaveric specimens of hemi-pelvis with proximal femur were obtained for the study from musculoskeletally normal ... Read more >>

Orthop J Sports Med (Orthopaedic journal of sports medicine)
[2013, 1(4 Suppl):]

Cited: 0 times

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Hip arthroscopy neurapraxia: is it only about weight of traction?

Patrick Birmingham,

J Bone Joint Surg Am (The Journal of bone and joint surgery. American volume)
[2012, 94(22):e169]

Cited: 5 times

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Pediatric pain management.

Santhanam Suresh, Patrick K Birmingham, Ryan J Kozlowski,

Regional anesthesia has become an integral part of adult anesthesia. Although not routinely used in children because of the need for general anesthesia that is necessary to keep the patients from moving and cooperating with the operator, regional anesthesia has been gaining immense popularity in the last decade. Although there ... Read more >>

Anesthesiol Clin (Anesthesiology clinics)
[2012, 30(1):101-117]

Cited: 4 times

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The effect of dynamic femoroacetabular impingement on pubic symphysis motion: a cadaveric study.

Patrick M Birmingham, Bryan T Kelly, Robert Jacobs, Linda McGrady, Mei Wang,

<h4>Background</h4>A link between femoroacetabular impingement and athletic pubalgia has been reported clinically. One proposed origin of athletic pubalgia is secondary to repetitive loading of the pubic symphysis, leading to instability and parasymphyseal tendon and ligament injury. ... Read more >>

Am J Sports Med (The American journal of sports medicine)
[2012, 40(5):1113-1118]

Cited: 36 times

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Functional outcome after repair of proximal hamstring avulsions.

Patrick Birmingham, Mark Muller, Thomas Wickiewicz, John Cavanaugh, Scott Rodeo, Russell Warren,

<h4>Background</h4>Rupture of the proximal origin of the hamstrings leads to pain, weakness, and a debilitating decrease in physical activity. Repair of these injuries should be based on the expectation that these deficits can be addressed. The goal of this study was to objectively evaluate the efficacy of repair of proximal ... Read more >>

J Bone Joint Surg Am (The Journal of bone and joint surgery. American volume)
[2011, 93(19):1819-1826]

Cited: 49 times

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Children with spinal dysraphism: transversus abdominis plane (TAP) catheters to the rescue!

Lauren J Taylor, Patrick Birmingham, Elizabeth Yerkes, Santhanam Suresh,

Transversus abdominis plane (TAP) block catheters may offer an alternative to a central neuraxial blockade for patients undergoing major abdominal surgery (Paediatr Anaesth 19: 2009; 296). This case series consists of two children with spinal dysraphism in whom bilateral TAP block catheters were placed for postoperative pain relief. Administration of ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2010, 20(10):951-954]

Cited: 15 times

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Parent-assisted or nurse-assisted epidural analgesia: is this feasible in pediatric patients?

Patrick K Birmingham, Santhanam Suresh, Andrew Ambrosy, Suzanne Porfyris,

<h4>Aim</h4>The aim of this study was to assess the feasibility of parent-assisted or nurse-assisted epidural analgesia (PNEA) for control of postoperative pain in a pediatric surgical population.<h4>Methods</h4>After the institutional review board (IRB) approval was obtained, an analysis of our pain treatment services database of pediatric surgical patients with epidural catheters ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2009, 19(11):1084-1089]

Cited: 3 times

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Recurrent posterior dislocation of the hip with a bankart-type lesion: a case report.

Patrick Birmingham, Jon Cluett, Ben Shaffer,

Am J Sports Med (The American journal of sports medicine)
[2010, 38(2):388-391]

Cited: 4 times

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Outcome of latissimus dorsi transfer as a salvage procedure for failed rotator cuff repair with loss of elevation.

Patrick M Birmingham, Robert J Neviaser,

Eighteen patients, referred from an outside institution with massive, irreparable rotator cuff tears and loss of elevation, were treated with a latissimus dorsi tendon transfer as a salvage procedure for failed, prior, attempted rotator cuff repair. Clinical outcomes were measured by the American Shoulder and Elbow Surgeon's (ASES) score, pain ... Read more >>

J Shoulder Elbow Surg (Journal of shoulder and elbow surgery)
[2008, 17(6):871-874]

Cited: 24 times

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Simulated joint infection assessment by rapid detection of live bacteria with real-time reverse transcription polymerase chain reaction.

Patrick Birmingham, Jeannine M Helm, Paul A Manner, Rocky S Tuan,

<h4>Background</h4>Although microbiological bacterial culture is currently considered the gold standard for diagnosis of septic arthritis, many studies have documented substantial false-negative and false-positive rates. The objective of this study was to determine whether real-time quantitative reverse transcription polymerase chain reaction can be used to detect bacterial messenger RNA (mRNA) in ... Read more >>

J Bone Joint Surg Am (The Journal of bone and joint surgery. American volume)
[2008, 90(3):602-608]

Cited: 29 times

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