Full Text Journal Articles by
Author Vidya T Raman

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Pediatric obesity and perioperative medicine.

Christian Mpody, Kwaku Owusu-Bediako, Vidya T Raman, Olubukola O Nafiu,

<h4>Purpose of review</h4>Childhood obesity is a public health emergency that has reached a pandemic level and imposed a massive economic burden on healthcare systems. Our objective was to provide an update on (1) challenges of obesity definition and classification in the perioperative setting, (2) challenges of perioperative patient positioning and ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):299-305]

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A survey of the global impact of COVID-19 on the practice of pediatric anesthesia: A study from the pediatric anesthesia COVID-19 Collaborative Group.

Codruta N Soneru, Allison M Fernandez, Victoria Bradford, Steven J Staffa, Vidya T Raman, Joseph P Cravero, David Zurakowski, Petra M Meier, ,

<h4>Background</h4>Pediatric anesthesiology has been greatly impacted by COVID-19 in the delivery of care to patients and to the individual providers. With this study, we sought to survey pediatric centers and highlight the variations in care related to perioperative medicine during the COVID-19 pandemic, including the availability of protective equipment, the ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2021, :]

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A Survey to Define and Predict Difficult Vascular Access in the Pediatric Perioperative Population.

Mohammed Hakim, Shabana Zainab Shafy, Joshua C Uffman, Julie Rice, Vidya T Raman, Joseph D Tobias, Ralph J Beltran,

<h4>Background</h4>Various criteria exist for defining difficult peripheral intravenous (DPIV) cannulation in infants and children. With the help of a survey tool, the characteristics perceived to increase the likelihood of DPIV cannulation amongst anesthesia providers were assessed.<h4>Methods</h4>An individualized survey regarding DPIV which included pediatric anesthesiology faculty and certified registered nurse anesthetists ... Read more >>

Pediatric Health Med Ther (Pediatric health, medicine and therapeutics)
[2020, 11:277-282]

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The otolaryngologist's and anesthesiologist's collaborative role in a pandemic: A large quaternary pediatric center's experience with COVID-19 preparation and simulation.

Brittany L Willer, Arlyne K Thung, Marco Corridore, Ajay J D'Mello, Brian S Schloss, Prashant S Malhotra, Patrick C Walz, Charles A Elmaraghy, Joseph D Tobias, Kris R Jatana, Vidya T Raman,

There has been a rapid global spread of a novel coronavirus, the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), which originated in Wuhan China in late 2019. A serious threat of nosocomial spread exists and as such, there is a critical necessity for well-planned and rehearsed processes during the care ... Read more >>

Int J Pediatr Otorhinolaryngol (International journal of pediatric otorhinolaryngology)
[2020, 136:110174]

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Weight Gain Trajectory and Pain Interference in Young Adulthood: Evidence from a Longitudinal Birth Cohort Study.

Dmitry Tumin, Adrianne Frech, Jamie L Lynch, Vidya T Raman, Tarun Bhalla, Joseph D Tobias,

<h4>Objective</h4>Obesity is associated with chronic pain, but the contribution of body mass index (BMI) trajectories over the life course to the onset of pain problems remains unclear. We retrospectively analyzed how BMI trajectories during the transition to adulthood were associated with a measure of pain interference obtained at age 29 ... Read more >>

Pain Med (Pain medicine (Malden, Mass.))
[2020, 21(3):439-447]

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Adenotonsillectomy and postoperative respiratory adverse events: A retrospective study.

Thomas B Hamilton, Arlyne Thung, Joseph D Tobias, Kris R Jatana, Vidya T Raman,

Objectives:Postoperative respiratory adverse events (PRAEs) are known complications following adenotonsillectomy (AT). Clinical data at a single institution were reviewed to investigate the factors that may contribute to PRAEs in the postanesthesia care unit (PACU). The relationship between PRAEs in the PACU and escalation of care, defined as either an unplanned ... Read more >>

Laryngoscope Investig Otolaryngol (Laryngoscope investigative otolaryngology)
[2020, 5(1):168-174]

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Challenges of pediatric obesity in perioperative care.

Alyssa Brzenski, Sujana Dontukurthy, Vidya T Raman,

Int Anesthesiol Clin (International anesthesiology clinics)
[2020, 58(3):9-13]

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Perioperative Provider and Staff Competency in Providing Culturally Competent LGBTQ Healthcare in Pediatric Setting.

Hina Walia, Rita Banoub, Gregory S Cambier, Julie Rice, Dmitry Tumin, Joseph D Tobias, Vidya T Raman,

Introduction:Children and adolescents identifying as lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ) may feel reluctant to seek medical care due to stigma and the possibility of negative interactions with health care providers. Due to the short duration of the perioperative period, the interaction in this setting is limited and providers ... Read more >>

Adv Med Educ Pract (Advances in medical education and practice)
[2019, 10:1097-1102]

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Adjustable Pressure Limit Valve Failure During Intraoperative Care: A Case Report.

Ajay J D'Mello, Vidya T Raman, Joseph D Tobias,

One of the many safety features of modern day anesthesia machines is the adjustable pressure limiting (APL) valve. This device regulates pressure within the anesthesia circuit during manual ventilation with the anesthesia bag. We report an unusual case where a crack in the APL valve allowed release of pressure from ... Read more >>

A A Pract (A&A practice)
[2019, 13(7):257-259]

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Experience with Combining Pediatric Procedures into a Single Anesthetic.

Renata M Miketic, Joshua Uffman, Dmitry Tumin, Joseph D Tobias, Vidya T Raman,

The combination of multiple procedures within a single anesthetic may provide many challenges for the perioperative team. Coordination of specialties, consideration for parental time burdens, and travel expenses as well as limiting multiple anesthetic exposures to the children are pertinent factors to consider when advocating the combination of surgical procedures.<h4>Methods</h4>The ... Read more >>

Pediatr Qual Saf (Pediatric quality & safety)
[2019, 4(5):e207]

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Pediatric obstructive sleep apnea screening questionnaire and post-operative outcomes: A prospective observational study.

Vidya T Raman, Emily Geyer, Rebecca Miller, Dmitry Tumin, Mark Splaingard, Kris R Jatana, Joseph D Tobias,

<h4>Introduction</h4>Obstructive Sleep Apnea (OSA) and Sleep Disordered Breathing (SDB) in children tend to be a more complex and multifactorial disease than in adults. Although adult screening tools, such as the STOP-BANG questionnaire, their application limited in pediatrics. We used our previously described 6-point questionnaire to identify OSA in children and ... Read more >>

Int J Pediatr Otorhinolaryngol (International journal of pediatric otorhinolaryngology)
[2019, 127:109661]

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Overnight inpatient admission and revisit rates after pediatric adenotonsillectomy.

Mohammad Alsuhebani, Hina Walia, Rebecca Miller, Charles Elmaraghy, Dmitry Tumin, Joseph D Tobias, Vidya T Raman,

<b>Objective:</b> Overnight admission may be necessary following adenotonsillectomy (T&A) in pediatric patients. This practice may reduce unplanned revisits following hospital discharge. <b>Study design:</b> Retrospective cohort study. <b>Subjects:</b> Children from the PHIS database. <b>Methods:</b> T&A performed in children during the years 2007-2015 were identified in the Pediatric Health Information System. The ... Read more >>

Ther Clin Risk Manag (Therapeutics and clinical risk management)
[2019, 15:689-699]

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Patterns of Health Insurance Discontinuity and Children's Access to Health Care.

Dmitry Tumin, Rebecca Miller, Vidya T Raman, Joshua C Uffman, Joseph D Tobias,

Objectives This study classified patterns of discontinuous health insurance coverage, including change in coverage type and gaps in coverage, and described their associations with children's access to health care. Methods Using the 2011-2013 National Health Interview Survey data, we determined children's insurance coverage over the past year, and whether children ... Read more >>

Matern Child Health J (Maternal and child health journal)
[2019, 23(5):667-677]

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Projecting Cost Containment in the Operating Room Utilizing Incentivized Strategies to Reduce Healthcare Cost.

Tanner Koppert, Dmitry Tumin, Joseph D Tobias, Vidya T Raman,

Introduction:Streamlining healthcare in United States is of paramount concern while maintaining standards of quality and safety. Incentivizing change may be even more effective in driving such measures. At Nationwide Children's Hospital, we incentivize cost savings directly to the healthcare team member. In this project, we evaluated a simple substitution of ... Read more >>

Pediatr Qual Saf (Pediatric quality & safety)
[2019, 4(4):e190]

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Comparison of the Fitbit® Charge and polysomnography for measuring sleep quality in children with sleep disordered breathing.

Mohammed Hakim, Rebecca Miller, Mumin Hakim, Dmitry Tumin, Joseph D Tobias, Kris R Jatana, Vidya T Raman,

<h4>Background</h4>Due to the cost and inconvenience of polysomnography (PSG), wristworn accelerometers have been explored as an alternative method to measure sleep efficacy in children with obstructive sleep apnea (OSA) or sleep-disordered breathing (SDB). We compared the measurement of sleep quality with the Fitbit® Charge compared to PSG in children presenting ... Read more >>

Minerva Pediatr (Minerva pediatrica)
[2018, :]

Cited: 1 time

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Population-based study of congenital heart disease and revisits after pediatric tonsillectomy.

Rebecca Miller, Dmitry Tumin, Christopher McKee, Vidya T Raman, Joseph D Tobias, Jennifer N Cooper,

Objective:Accurate assessment of risk factors such as congenital heart disease (CHD) can aid in risk stratification of children presenting for surgery. Risk stratification is especially important in tonsillectomy ± adenoidectomy (T/A), a common pediatric procedure that is usually performed electively, but that has a high rate of adverse events. In ... Read more >>

Laryngoscope Investig Otolaryngol (Laryngoscope investigative otolaryngology)
[2019, 4(1):30-38]

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The Rise of Value-based Care in Pediatric Surgical Patients: Perioperative Surgical Home, Enhanced Recovery After Surgery, and Coordinated Care Models.

Vidya T Raman,

Int Anesthesiol Clin (International anesthesiology clinics)
[2019, 57(4):15-24]

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Sleep-disordered breathing and reaction time in children.

Mohammed Hakim, Shabana Zainab Shafy, Rebecca Miller, Kris R Jatana, Mark Splaingard, Dmitry Tumin, Joseph D Tobias, Vidya T Raman,

<h4>Background</h4>The incidence of obstructive sleep apnea (OSA) and sleep-disordered breathing (SDB) in children exceeds the availability of polysomnography (PSG) to definitively diagnose OSA and identify children at higher risk of perioperative complications. As sleep deficits are associated with slower reaction times (RTs), measuring RT may be a cost-effective approach to ... Read more >>

Med Devices (Auckl) (Medical devices (Auckland, N.Z.))
[2018, 11:413-417]

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Unmet Need for Care Coordination Among Children with Special Health Care Needs.

Rebecca Miller, Dmitry Tumin, Don Hayes, Joshua C Uffman, Vidya T Raman, Joseph D Tobias,

Socioeconomic disparities in access to care coordination have been noted among children with special health care needs (CSHCN). Following recent policy developments and technological innovation, care coordination has become more widespread, possibly leading to reduced disparity in care coordination access. This study investigates whether child and household characteristics remain associated ... Read more >>

Popul Health Manag (Population health management)
[2019, 22(3):255-261]

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A study on the efficacy and safety of combining dental surgery with tonsillectomy in pediatrics.

Faizaan Syed, Joshua C Uffman, Dmitry Tumin, Catherine M Flaitz, Joseph D Tobias, Vidya T Raman,

Purpose:Few data exist on combining pediatric surgical procedures under a single general anesthetic encounter (general anesthesia). We compared perioperative outcomes of combining dental surgical procedures with tonsillectomy during one anesthetic vs separate encounters. Methods:We classified elective tonsillectomy ± adenoidectomy and restorative dentistry as combined (group C) or separate (group S). ... Read more >>

Clin Cosmet Investig Dent (Clinical, cosmetic and investigational dentistry)
[2018, 10:45-49]

Cited: 1 time

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The Effect of Operating Room Temperature on the Performance of Clinical and Cognitive Tasks.

Mumin Hakim, Hina Walia, Heather L Dellinger, Onur Balaban, Haleh Saadat, Richard E Kirschner, Joseph D Tobias, Vidya T Raman,

<h4>Introduction</h4>Operating room (OR) temperature may impact the performance of health care providers. This study assesses whether hot or cold room temperature diminishes the performance of OR personnel measured by psychomotor vigilance testing (PVT) and self-report scales.<h4>Methods</h4>This prospective observational study enrolled surgical/anesthesia trainees, student registered nurse anesthetists, and certified registered nurse ... Read more >>

Pediatr Qual Saf (Pediatric quality & safety)
[2018, 3(2):e069]

Cited: 1 time

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Utility of screening questionnaire and polysomnography to predict postoperative outcomes in children.

Hiromi Kako, Jennifer Tripi, Hina Walia, Dmitry Tumin, Mark Splaingard, Kris R Jatana, Joseph D Tobias, Vidya T Raman,

The prevalence of pediatric obstructive sleep apnea (OSA) has increased concurrently with the increasing prevalence of obesity. We have previously validated a short questionnaire predicting the occurrence of OSA on polysomnography (PSG). This follow-up study assessed the utility of the questionnaire in predicting postoperative outcomes.Children undergoing surgery and completing a ... Read more >>

Int J Pediatr Otorhinolaryngol (International journal of pediatric otorhinolaryngology)
[2017, 102:71-75]

Cited: 3 times

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Potential for severe airway obstruction from pediatric retropharyngeal abscess.

Michelle M LeRiger, Veronica Miler, Joseph D Tobias, Vidya T Raman, Charles A Elmaraghy, Kris R Jatana,

Retropharyngeal abscesses in the pediatric population can cause severe respiratory distress. We report a rare case of significant airway obstruction in a 14-month-old patient requiring rapid, emergent tracheotomy after attempts at endotracheal intubation by an experienced airway surgeon were unsuccessful. The patient was diagnosed with streptococcal pharyngitis 9 days prior ... Read more >>

Int Med Case Rep J (International medical case reports journal)
[2017, 10:381-384]

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Implementation of a perioperative surgical home protocol for pediatric patients presenting for adenoidectomy.

Vidya T Raman, Dmitry Tumin, Joshua Uffman, Arlyne K Thung, Candice Burrier, Kris R Jatana, Charles Elmaraghy, Joseph D Tobias,

<h4>Introduction</h4>The perioperative surgical home (PSH) is a patient-centered model designed to improve health, streamline the delivery of health care, and reduce the cost of care. Following the national introduction of PSH in 2014 by the ASA, adult hospitals have reported success with this model, with studies validating the benefits of ... Read more >>

Int J Pediatr Otorhinolaryngol (International journal of pediatric otorhinolaryngology)
[2017, 101:215-222]

Cited: 1 time

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Insurance Coverage and Acute Care Revisits After Pediatric Ambulatory Tonsillectomy.

Dmitry Tumin, Vidya T Raman, Joseph D Tobias,

We investigated whether patterns of health insurance coverage were associated with 30-day all-cause acute care revisits after ambulatory tonsillectomy at a free-standing quaternary-care pediatric hospital. Insurance patterns were classified from past encounters as continuous private, continuous Medicaid, Medicaid-to-private change, or private-to-Medicaid change. Among 478/675 boys/girls (age 9 ± 4 years) ... Read more >>

Clin Pediatr (Phila) (Clinical pediatrics)
[2018, 57(7):821-826]

Cited: 1 time

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