Full Text Journal Articles by
Author Thomas J Caruso

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Virtual reality for pediatric periprocedural care.

Ellen Wang, James J Thomas, Samuel T Rodriguez, Kristin M Kennedy, Thomas J Caruso,

<h4>Purpose of review</h4>Commercial availability of virtual reality headsets and software has exponentially grown over the last decade as it has become more sophisticated, less expensive, and portable. Although primarily used by the general public for entertainment, virtual reality has been adopted by periprocedural clinicians to improve patient experiences and treatments. ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):284-291]

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Leveraging Virtual Reality and Augmented Reality to Combat Chronic Pain in Youth: Position Paper From the Interdisciplinary Network on Virtual and Augmented Technologies for Pain Management.

Deirdre E Logan, Laura E Simons, Thomas J Caruso, Jeffrey I Gold, Walter Greenleaf, Anya Griffin, Christopher D King, Maria Menendez, Vanessa A Olbrecht, Samuel Rodriguez, Megan Silvia, Jennifer N Stinson, Ellen Wang, Sara E Williams, Luke Wilson,

<h4>Background</h4>Virtual reality (VR) and augmented reality (AR) interventions are emerging as promising tools in the treatment of pediatric chronic pain conditions. However, in this young field, there is little consensus to guide the process of engaging in the development and evaluation of targeted VR-based interventions.<h4>Objective</h4>The INOVATE-Pain (Interdisciplinary Network on Virtual ... Read more >>

J Med Internet Res (Journal of medical Internet research)
[2021, 23(4):e25916]

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Virtual Reality Augments Movement during Physical Therapy: A Pragmatic Randomized Trial.

Sydney Hemphill, Samuel Rodriguez, Ellen Wang, Kurt Koeppen, Bryn Aitken-Young, Christian Jackson, Laura Simons, Thomas J Caruso,

<h4>Objective</h4>Virtual reality (VR) facilitates physical therapy (PT) via improved engagement. While shown to benefit specific patient populations, such as stroke patients, it is less established in otherwise healthy adults and children receiving outpatient PT. The primary objective was to compare total PT-guided Movement supplemented with VR (PTMVR) to PT guided ... Read more >>

Am J Phys Med Rehabil (American journal of physical medicine & rehabilitation)
[2021, :]

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Alternating Side Programmed Intermittent Repeated (ASPIRe) Bolus Regimen for Delivering Local Anesthetic via Bilateral Interfascial Plane Catheters.

Ban C H Tsui, Jessica Brodt, Stephanie Pan, Thomas J Caruso, Richard Kim, Jean Louis Horn, Jan Boublik, Jeremy H Tsui,

J Cardiothorac Vasc Anesth (Journal of cardiothoracic and vascular anesthesia)
[2021, :]

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Unique considerations of virtual reality utilization for perioperative pediatric patients.

Justin C Yuan, Samuel Rodriguez, Thomas J Caruso,

Paediatr Anaesth (Paediatric anaesthesia)
[2021, 31(3):377-378]

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Virtual Reality Facilitates Engagement in Physical Therapy in the Pediatric CVICU.

Sydney Hemphill, Alan Nguyen, Joann Kwong, Samuel T Rodriguez, Ellen Wang, Thomas J Caruso,

<h4>Purpose</h4>The purpose of this report is to demonstrate the successful application of virtual reality to improve physical therapy in the pediatric cardiovascular intensive care unit. Early mobilization and cognitive stimulation improve morbidity of critically ill children. However, maintaining child engagement with these therapies can be challenging, especially during extended intensive ... Read more >>

Pediatr Phys Ther (Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association)
[2021, 33(1):E7-E9]

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Virtual Reality in Pain Rehabilitation for Youth With Chronic Pain: Pilot Feasibility Study.

Anya Griffin, Luke Wilson, Amanda B Feinstein, Adeline Bortz, Marissa S Heirich, Rachel Gilkerson, Jenny Fm Wagner, Maria Menendez, Thomas J Caruso, Samuel Rodriguez, Srinivas Naidu, Brenda Golianu, Laura E Simons,

<h4>Background</h4>In the field of pain, virtual reality (VR) technology has been increasingly common in the context of procedural pain management. As an interactive technology tool, VR has the potential to be extended beyond acute pain management to chronic pain rehabilitation with a focus on increasing engagement with painful or avoided ... Read more >>

JMIR Rehabil Assist Technol (JMIR rehabilitation and assistive technologies)
[2020, 7(2):e22620]

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Transnasal Humidified Rapid-Insufflation Ventilatory Exchange in pediatric bronchoscopy: A prospective pilot study.

Thomas J Caruso, Chloe O'Connell, Jimmy Qian, Maria Menendez, Ahtziri Fonseca, Kiley Lawrence, Douglas R Sidell, Curtis Darling, Ban Tsui,

J Clin Anesth (Journal of clinical anesthesia)
[2021, 68:110086]

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The virtual visit: Using immersive technology to visit hospitals during social distancing and beyond.

Andrew Dinh, Louise Furukawa, Thomas J Caruso,

Medical trainees face substantial financial and scheduling burdens during the interview process at various levels of training. With current social distancing and travel restrictions in place, in-person interviews now carry an additional health risk that make it difficult for training programs and applicants to conduct a thorough interview process. Virtual ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2020, 30(8):954-956]

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Introduction of the EMR-integrated I-PASS ICU Handoff Tool.

Thomas J Caruso, Felice Su, Ellen Wang,

Pediatr Qual Saf (Pediatric quality & safety)
[2020, 5(4):e334]

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Using Augmented Reality to Reduce Fear and Promote Cooperation During Pediatric Otolaryngologic Procedures.

Thomas J Caruso, Martine Madill, Douglas Sidell, Kara Meister, Ellen Wang, Maria Menendez, Madison N Kist, Samuel Rodriguez,

This case series examines interactive AR during minor otolaryngologic procedures. Although VR has been successfully used for pediatric vascular access, removing children from comforting people in the real world has resulted in patient anxiety. AR offers a potential advantage, utilizing distracting holographic images when patients maintain eye contact with parents. ... Read more >>

Laryngoscope (The Laryngoscope)
[2021, 131(4):E1342-E1344]

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A retrospective cohort study of predictors and interventions that influence cooperation with mask induction in children.

Juan L Marquez, Ellen Wang, Samuel T Rodriguez, Chloe O'Connell, Farrukh Munshey, Curtis Darling, Ban Tsui, Joseph Caruso, Thomas J Caruso,

BACKGROUND:Uncooperative pediatric mask induction is linked to perioperative anxiety. Although some risk factors for uncooperative inductions have been reported, there are no large cohort studies that identify intrinsic patient characteristics associated with cooperation. AIM:The primary aim was to identify patient characteristics associated with cooperative mask inductions. The secondary aim was ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2020, 30(8):867-873]

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Systemic Absorption of Lidocaine from Continuous Erector Spinae Plane Catheters After Congenital Cardiac Surgery: A Retrospective Study.

Thomas J Caruso, Carole Lin, Chloe O'Connell, David Weiss, Gail Boltz Md, May Wu, David Kwiatkowski, Katsuhide Maeda, Ban C H Tsui,

<h4>Objectives</h4>To examine postoperative serum lidocaine levels in patients with intermittent lidocaine bolus erector spinae plane block (ESPB) catheters after cardiac surgery with or without cardiopulmonary bypass (CPB).<h4>Design</h4>A retrospective study.<h4>Setting</h4>Single-center pediatric quaternary teaching hospital.<h4>Participants</h4>Patients who received ESPB catheters after congenital cardiac surgery from April 2018 to March 2019.<h4>Interventions</h4>Postoperative serum lidocaine levels ... Read more >>

J Cardiothorac Vasc Anesth (Journal of cardiothoracic and vascular anesthesia)
[2020, 34(11):2986-2993]

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A Quality Improvement Project to Reduce Combination Acetaminophen-opioid Prescriptions to Pediatric Orthopedic Patients.

Thomas J Caruso, Sunny Trivedi, Whitney Chadwick, Shabnam Gaskari, Ellen Wang, Juan Marquez, Sara Lagasse, Madison Bailey, Kevin Shea,

<h4>Background</h4>Acetaminophen-opioid analgesics are among the most commonly prescribed pain medications in pediatric orthopedic patients. However, these combined opioid analgesics do not allow for individual medication titration, which can increase the risk of opioid misuse and hepatoxicity from acetaminophen. The primary aim of this quality improvement project was to alter the ... Read more >>

Pediatr Qual Saf (Pediatric quality & safety)
[2020, 5(3):e291]

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From Socrates to Virtual Reality: A Historical Review of Learning Theories and Their Influence on the Training of Anesthesiologists.

Thomas J Caruso, Jimmy Qian, Kiley Lawrence, Emma Armstrong-Carter, Benjamin W Domingue,

Over the past couple of centuries, the training of American physicians, and anesthesiologists in particular, has undergone a radical transformation. The revolution of medical training has been and continues to be fueled by insights from learning theorists. In this historical review, we discuss the origins of American medical education in ... Read more >>

J Educ Perioper Med (The journal of education in perioperative medicine : JEPM)
[2020, 22(2):E638]

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Programmed Intermittent Bolus Regimen for Erector Spinae Plane Blocks in Children: A Retrospective Review of a Single-Institution Experience.

Farrukh Munshey, Thomas J Caruso, Ellen Y Wang, Ban C H Tsui,

With few published reports on erector spinae plane block use in children, limited guidance on perioperative local anesthetic dosing exists. We present a series of 22 patients who received erector spinae plane catheters with programmed intermittent bolus for various surgeries. Median loading dose of 0.4 mL/kg (interquartile range [IQR], 0.1 ... Read more >>

Anesth Analg (Anesthesia and analgesia)
[2020, 130(3):e63-e66]

Cited: 2 times

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Mobilization and calibration of the HTC VIVE for virtual reality physical therapy.

Sydney Hemphill, Alan Nguyen, Samuel T Rodriguez, Maria Menendez, Ellen Wang, Kiley Lawrence, Thomas J Caruso,

<h4>Aims</h4>The HTC VIVE virtual reality (VR) system is a potential tool for collecting kinematic data during inpatient and outpatient physical therapy (PT). When validated against research-grade systems, the VIVE has a reported translational error between 1.7 mm-2.0 cm. Our purpose was to portabilize the VIVE for room to room PT and validate ... Read more >>

Digit Health (Digital health)
[2020, 6:2055207620950929]

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Virtual reality during pediatric vascular access: A pragmatic, prospective randomized, controlled trial.

Thomas J Caruso, Alexandria George, Maria Menendez, Elizabeth De Souza, Michael Khoury, Madison N Kist, Samuel T Rodriguez,

<h4>Background</h4>Vascular access is a minor procedure that is associated with reported pain and fear in pediatric patients, often resulting in procedural incompliance. Virtual reality has been shown to be effective in adult populations for reducing pain and anxiety in various medical settings, although large studies are lacking in pediatrics.<h4>Aims</h4>The primary ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2020, 30(2):116-123]

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Speeding the Detection of Vessel Cannulation: An In-Vitro Stimulation Study.

Matthew K Muffly, Andrew Ku, David R Drover, Samuel Rodriguez, Thomas J Caruso, Anne Ku, Ban C H Tsui,

<h4>Background</h4>Some practitioners "prime" small IV angiocatheter needles with 0.9% sodium chloride-claiming this modification speeds visual detection of blood in the angiocatheter flash chamber on vessel cannulation.<h4>Methods</h4>We compared the time required for human blood to travel the length of saline-primed and saline-unprimed 24- and 22-gauge angiocatheter needles (Introcan Safety IV Catheter; ... Read more >>

Anesth Analg (Anesthesia and analgesia)
[2020, 130(1):159-164]

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Regional anesthesia for cardiac surgery.

Thomas J Caruso, Kiley Lawrence, Ban C H Tsui,

<h4>Purpose of review</h4>Anesthesia for cardiac surgery has traditionally utilized high-dose opioids to blunt the sympathetic response to surgery. However, recent data suggest that opioids prolong postoperative intubation, leading to increased morbidity. Given the increased risk of opioid dependency after in-hospital exposure to opioids, coupled with an increase in morbidity, regional ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2019, 32(5):674-682]

Cited: 1 time

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A Pilot Quality Improvement Project to Reduce Preoperative Fasting Duration in Pediatric Inpatients.

Allison Nye, Erin Conner, Ellen Wang, Whitney Chadwick, Juan Marquez, Thomas J Caruso,

Despite guidelines allowing clear liquids up to 2 hours before anesthesia, preoperative fasting for pediatric inpatients is often unnecessarily prolonged. This delay can lead to prolonged recovery time and increased postoperative pain. Efforts to reduce fasting duration in pediatric surgical patients is an evolving standard in pediatric anesthesiology. The primary ... Read more >>

Pediatr Qual Saf (Pediatric quality & safety)
[2019, 4(6):e246]

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Intraoperative Methadone Is Associated with Decreased Perioperative Opioid Use Without Adverse Events: A Case-Matched Cohort Study.

Joshua D Robinson, Thomas J Caruso, May Wu, Zachary I Kleiman, David M Kwiatkowski,

<h4>Objective</h4>To determine if there is an association of intraoperative methadone use and total perioperative opioid exposure in patients undergoing congenital heart surgeries.<h4>Design</h4>Retrospective, case-match cohort study.<h4>Setting</h4>Single center quaternary care teaching hospital.<h4>Participants</h4>Seventy-four patients with congenital heart disease (CHD) undergoing surgical repair or palliative surgery.<h4>Intervention</h4>Thirty-seven patients undergoing CHD surgeries receiving intraoperative methadone were ... Read more >>

J Cardiothorac Vasc Anesth (Journal of cardiothoracic and vascular anesthesia)
[2020, 34(2):335-341]

Cited: 1 time

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Near Miss in Intraoperative Magnetic Resonance Imaging: A Case for In Situ Simulation.

Asheen Rama, Lynda J Knight, Marc Berg, Michael Chen, Ralph Gonzales, Timothy Delhagen, Lucas Copperman, Thomas J Caruso,

Pediatric patients in intraoperative magnetic resonance imaging (iMRI) settings are at high risk for morbidity should an adverse event occur. We describe an experience in the iMRI scanner where no harm occurred, yet revealed an opportunity to improve the safety of patients utilizing the iMRI. The perioperative quality improvement team, ... Read more >>

Pediatr Qual Saf (Pediatric quality & safety)
[2019, 4(6):e222]

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A multifaceted quality improvement project improves intraoperative redosing of surgical antimicrobial prophylaxis during pediatric surgery.

Ashley A Colletti, Ellen Wang, Juan L Marquez, Hayden T Schwenk, Calida Yeverino, Paul J Sharek, Thomas J Caruso,

<h4>Background</h4>Accurate intraoperative antibiotic redosing contributes to prevention of surgical site infections in pediatric patients. Ensuring compliance with evolving national guidelines of weight-based, intraoperative redosing of antibiotics is challenging to pediatric anesthesiologists.<h4>Aims</h4>Our primary aim was to increase compliance of antibiotic redoses at the appropriate time and appropriate weight-based dose to 70%. ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2019, 29(7):705-711]

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Varying screen size for passive video distraction during induction of anesthesia in low-risk children: A pilot randomized controlled trial.

Samuel T Rodriguez, Olivia Jang, Jessica Maya Hernandez, Alexandria Joseph George, Thomas J Caruso, Laura E Simons,

BACKGROUND:Preoperative anxiety affects up to 65% of children who undergo anesthesia induction and often results in uncooperative behavior. Electronic devices have been used to distract children to reduce anxiety and create a more enjoyable preoperative experience. Few studies have compared the effects of different video delivery systems on preoperative anxiety. ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2019, 29(6):648-655]

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