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Pediatric Research: Critical Care
Our Team
Katherine Biagas, MD
Research Interests and Contributions
Dr. Biagas' principle contribution to research has been in the field of functional and neurocognitive outcomes of Pediatric Intensive Care Unit (PICU) survivors. She was the Lead co-Investigator of the NHLBI-funded Heart and Lung Failure Pediatric INsulin Trial (HALFPINT), a randomized control trial of glycemic control in children with critical illness. An a priori outcome of the study was to measure neurodevelopmental, functional, and quality of life outcomes of critically ill children from the 32-centers of the HALFPINT trial at one year after hospitalization. To date, this work is the only multi-center trial to demonstrate associations between outcomes (principally health-related quality of life deficits) and medical events in the PICU. Dr. Biagas remains an active leader in this field and has directed a group of investigators conducting a scoping review of the literature concerning Cognitive Outcomes of PICU survivors. This work has been done as part of Dr. Biagas' participation in the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) research consortium. Furthermore, Dr. Biagas directs the Division of Pediatric Critical Care Medicine's participation in PALISI multi-collaborative work as a Site-Investigator for other clinical studies. Lastly, she is Chair of an Institutional Review Board (IRB) Committee at Stony Brook University.
Current Active Projects:
- Determining long-term functional outcomes of PICU survivors
- Leadership of an Ethics Core group for a multi-center Adaptive Platform Treatment Trial of children with critical illness
- Site-Investigator in a multi-center observational study of safety practice surrounding intubation (placement of a breathing tube) in critically ill infants and children with respiratory failure
Research Techniques:
- Support junior investigators in investigator-initiated work
- Well-versed in quantitative, qualitative, and mixed-methods studies, having conducted clinical investigations in the first two of these
- Well-versed in the ethical and administrative issues associated with Research Regulation
Summary
Dr. Katherine Biagas, Clinical Professor in Pediatrics, is a nationally recognized Pediatric Intensivist with over 30 years of experience. Dr. Biagas is a a graduate of the University of Pittsburgh, School of Medicine and completed Pediatrics residency and Pediatric Critical Care fellowship at Northwestern University and the University of Pittsburgh, respectively. She was a faculty member in the Department of Pediatrics at Yale University for over 7 years, followed by 19 years on the faculty at Columbia University Irving School of Medicine. She was recruited to Stony Brook University in January, 2019, to serve as the Chief of Pediatric Critical Care Medicine and the Vice Chair for Faculty Affairs. She subsequently became a Chair of the Stony Brook IRB after numerous years of such service. Dr. Biagas is a committed medical educator, having held numerous positions including starting the fellowship at Columbia University and leading it for 18 years. She is currently pursuing an EdD degree in Adult Learning and Leadership at Teachers College, Columbia University. Her doctoral dissertation is exploring the impact of the EHR and SMS devices on fellows and education programs. Finally, Dr. Biagas conducts active research in the field of functional outcomes after PICU stay, mentoring junior- and mid-level faculty in this work.
Announcements:
- Undergraduate and Medical School/Healthcare Sciences students interested in qualitative studies and studies of functional patient outcomes are invited. Any student interested in a research experience may contact the PI by email and submit their CV and personal statement.
- Residents and Fellows interested in qualitative studies, outcomes studies, or in performing comprehensive literature reviews are encouraged to contact the PI and inquire about current research opportunities.
Contact Information:
Katherine.Biagas@stonybrookmedicine.edu
HSC T-11-041
101 Nicolls Road
Stony Brook, NY 11794
- Gungor Sd, Woroniecki RP, Hulfish E, Biagas, KV: Diabetes Insipidus complicating management in a child with COVID-19 and multiorgan System Failure: A novel use for Furosemide. Case Reports in Critical Care, 10.1155/2021/5942431, 2021.
- Patel, AK, Biagas KV, Clarke EC, Gerber LM, Mauer E, Silver G, Chai P, Corda R, Traube C: Delirium in children after cardiac bypass surgery. Pediatric Critical Care Medicine, 18:165-171, 2017.
- Patel AK, Biagas KV, Clark EC, Traube C: Delirium in the pediatric cardiac extracorporeal membrane oxygenation patient population: A Case Series. Pediatric Critical Care Medicine. 18:e621-e624 2017.
- Ognibene K, Vawdrey, DK, Biagas, KV: The association of age, illness severity, and glycemic status in pediatric intensive care patients. Pediatric Critical Care Medicine, 13:1-5, 2011.
- Lee JJ, Jaconia GD, Sun LS, Biagas KV, Naim MY, Beers SR, Mintz CD, Smith HAB: Pediatric Intensive Care Unit Patients: Sedation, monitoring and neurodevelopmental outcomes. J Neurosurg Anesthesiol 35, 147-152, 2023.
- Biagas KV, Heneghan JA, Abu-Sultaneh S, and Geneslaw AS Maddux AB, Pinto NP, Murphy SA, Shein SL, Cronin MT: Scoping Review: Neurocognitive outcomes after critical illness in children. J Inten Care Med 38), 358-367, 2022.
- Pinto, NP, Maddux, AB, Dervan, LA, Woodruff, AG., Jarvis, JM., Nett, S, Killien, EY, Graham, RJ, Choong, K, Luckett, PM, Heneghan, JA, Biagas K, Carlton EF, Hartman ME, Yagiela L, Michelson KN, Manning JC, Long DA, Lee JH, Slomine BS, Beers SR, Hall TR, Morrow BM, Meert K, Del Pilar Arias Lopez M, Knoester H, Houtrow A, Olson L, Steele L, Schlapbach LJ6 , Burd RS, Grosskreuz R, Butt W, Fink EL, Watson RS: A Core Outcome Measurement Set for Pediatric Critical Care. Ped Crit Care Med, 2022.
- Lee JJ, Price JC, Gewandter JS, Kleykamp BA, Biagas KV, Naim MY, Ward DS, Dworkin RH, Sun LS: Design and reporting characteristics of clinical trials investigating sedation practices in the Pediatric Intensive Care Unit: A Scoping Review by SCEPTER (Sedation Consortium on Endpoints and Procedures for Treatment, Education, and Research). BMJ Open 11, e053519, 2021.
- Maddux AB, Pinto N, Fink EL, Hartman ME, Nett S, Biagas K, Killien EY, Dervan LA, Christie LM, Luckett PM, Loftis L: Postdischarge outcome domains in Pediatric Critical Care and the instruments used to evaluate them: A Scoping Review. Critical Care Medicine 48: e1313-e1321, 2020.
- Biagas, KV, HintonVJ, Habani, NR, Luckett, PJ, Wypij D, Nadkarni VM, Agus MSD: Long-term neurobehavioral and quality of life outcomes after tight glycemic control in critically ill children. Journal of Pediatrics, 218:57-63, 2020.
- Faustino EVS, Hirshberg EL, Asaro LA, Biagas KV, Pinto N, Srinivasan V, Bagdure DN, Steil GM, Coughlin-Wells K, Wypij D, Nadkarni VM, Agus MSD, Mourani PM, Chima R, Thomas NJ, Li S, Pinto A, Newth C, Hassinger A, Bysani K, Rehder KJ, Kandil S, Wintergerst K, Schwarz A, Marsillio L, Cvijanovich N, Pham N, Quasney M, Flori H, Federman M, Nett S, Viteri S, Schneider J, Medar S, Sapru A, McQuillen P, Babbitt C, Lin JC, Jouvet P, Yanay O, Allen C; Heart And Lung Failure-Pediatric INsulin Titration (HALF-PINT) Study Investigators. Short-term adverse outcomes associated with hypoglycemia in critically ill children. Critical Care Medicine, 47:706-714, 2019.
- Agus MS, Wypij D, Hirshberg EL, Srinivasan V, Faustino EV, Luckett PM, Alexander JL, Asaro LA, Curley MA, Steil GM, Nadkarni VM; HALF-PINT Study Investigators and the PALISI Network. Tight glycemic control in critically ill children. New England Journal of Medicine. 376:729-741, 2017.
Ryan S Hirschfeld, MD
Research Interests and Contributions
Dr. Ryan Hirschfeld's scholarly work is focused on the outcomes of children with complex chronic health conditions and their family member caregivers after being hospitalized in the pediatric intensive care unit. Among the international community of pediatric critical care practitioners, there is growing awareness and attention directed toward residual health issues that children may encounter following critical illness, which has potential to impact the psychological, emotional, and social wellbeing of family systems. By conducting research initiatives that engage families of children with chronic complex conditions, Dr. Hirschfeld's work aims to describe the ways in which families are impacted by their child's continuing care needs after an episode of critical illness and to identify gaps in family-based support and resources among families navigating the transition of care from the ICU to the home-based care environment.
Current Active Projects:
- The experiences of caregivers of children with complex medical needs during ICU aftercare and their perceptions of family impact: A pilot study
- A pilot program of a post-ICU telehealth-based follow-up for children with complex chronic health conditions
- Survey of caregiver perceptions of a telehealth-based ICU after care follow-up program
- Primary care provider perceptions of post-ICU discharge visits for children with complex chronic conditions: A survey study
Research Techniques:
- Proof of concept work of pilot projects
- Prospective observational studies using mixed quantitative and qualitative methods
- Survey-based projects
Summary
Dr. Ryan Hirschfeld has dual certification in pediatric critical care and palliative care medicine. His clinical research interests reside in the intersection of these specialties. He is aligned with the Pediatric Chronic Critical Illness Collaborative, a multistakeholder network uniting parents and research clinicians in the mission to advance research aimed at addressing the needs of children living with chronic complex conditions and their families. His prior research has focused on describing communication challenges that exist among multi-specialty stakeholders involved in the inpatient care of children with chronic critical illness.
Announcements:
- Undergraduate and Medical School/Healthcare Sciences students with interest in research that involves children with complex chronic conditions and their family member caregivers. Any student interested in a research experience may contact the PI by email and submit their CV and personal statement.
- Residents and Fellows interested in research focused on family-oriented outcomes in the context of pediatric chronic illness or transitions of care from the inpatient to community-based setting following critical illness, you are encouraged to contact the PI and inquire about current research opportunities.
Contact information:
Ryan.Hirschfeld@stonybrookmedicine.edu
Stony Brook University Hospital
Health Sciences Center, T11-087D
- Hirschfeld RS; Barone S; Johnson E; Boss RD. Pediatric Chronic Critical Illness: Gaps in Inpatient Intrateam communication. Pediatr Crit Care Medicine. 2019; 20(12):e546-e555 PMID 31634307.
- Boss RD; Hirschfeld RS; Barone S; Johnson E; Arnold RM. Pediatric Chronic Critical Illness: Training Teams to Address Communication Challenges of Patients with Repeated and Prolonged Hospitalizations. J Pain Symptom Manage. 2020; 60(5):959-967 PMID 32540469.
Uchechi Oddiri, MD
Research Interests and Contributions
Dr. Uchechi Oddiri is a clinician educator and educational scholar with specific interests in learner and medical provider well-being in the learning and clinical environments. Her scholarly endeavors focus on the impact systemic racism has on provider well-being and flourishing.
Current Active Projects:
- The Design and Implementation of a Multi-Unit Critical Care Course for 4th Year Medical Students
- Academic Pediatric Assosiation (APA) Anti-racism & Equity Toolkit Integration into the Clinical Practices of Healthcare Providers
- Ethno-Racial Trauma Experienced by Healthcare Providers and its Impact on Clinician Well-being: A Scoping Review
- Top Articles in Pediatric Medical Education: Narrative Reviews
Research Techniques:
Dr. Oddiri's research projects incorporate the following research methodologies:
- Observational methods
- Interventional methods
- Investigator-initiated work
- Qualitative methods
- Reviews
Summary
Dr. Uchechi Oddiri is a Clinical Assistant Professor of Pediatrics and Pediatric Intensivist at Stony Brook Children's Hospital. She serves as the Pediatric Post-Clerkship Director in the Renaissance School of Medicine at Stony Brook University. Her educational philosophy focuses on fostering a dynamic, culturally humble and psychologically safe learning environment that promotes critical thinking and lifelong learning by engaging trainees in collaborative experiential learning and problem-solving, Her research pursuits and national collaborations focus on the intersection between systemic racism and clinician well-being and flourishing. To address this topic, Dr. Oddiri aims to determine how ethno-racial trauma, defined as the psycho-emotional injury caused by the mistreatment or discrimination of a person based on their race or ethnicity, impacts provider well-being.
Announcements:
- Undergraduate and Medical School/Healthcare Sciences students interested in research on learner or provider well-being may contact Dr. Oddiri by email and submit their CV and personal statement.
- Residents and Fellows interested in medical education, DEI-focused topics, and provider well-being are encouraged to contact Dr. Oddiri and inquire about current research opportunities.
Contact information:
Email: Uchechi.Oddiri@stonybrookmedicine.edu
Office: 101 Nicolls Road HSC T11-040, Stony Brook, NY 11794-811
- Oddiri, U, Islam, S, Post, S, Lu, WH. (2022). The Impact of Schwartz Rounds Attendance on the Flourishing of Pediatric Healthcare Professionals: A Qualitative Study. (Poster presentation given at the International Conference on Physician Health 2022, Orlando, FL).
- Islam, S, Lu, WH, Post, S, Oddiri, U. (2022). Supporting the Flourishing of Pediatric Healthcare Professionals: Does Frequent Attendance at Schwartz Rounds Help? (Flash Talk Presentation given at the Annual APA Regions 2 & 3 Meeting).
- Islam, S, Lu, WH, Oddiri, U. (2023). A Qualitative Analysis of Schwartz Rounds’ Impact on the Well-being of Healthcare Providers Using the PERMA Model for Human Flourishing (Poster presentation given at Northeast Group on Educational Affairs (NEGEA) Conference, Burlington, VT).
- Dermer, K & Oddiri, U. (2023). Interdisciplinary Rounding in the PICU. (Poster presented at the Stony Brook University Department of Pediatrics Research Day, Stony Brook, NY).
- Oddiri, U, Islam, S, Lu, WH. Understanding the Impact of Schwartz Rounds on Pediatric Clinicians' Well-Being Using the Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment (PERMA) Model for Flourishing: A Qualitative Analysis. Cureus. 2023 Oct 01;15(10): e46324. doi:10.7759/cureus.46324.
- Islam, S, Oddiri, U, Lu, WH, Post, S. (2024). Understanding the Impact of Schwartz Rounds on Pediatric Clinicians’ Well-Being Using the Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment (PERMA) Model for Flourishing: A Qualitative Analysis. (Poster presented at the Renaissance School of Medicine at Stony Brook University’s Scholarly Concentration Program Research Day, Stony Brook, NY).
- Pattanaik, R, Kloster, H, Ehlenbach, M, Khanna, K, Cohen, A, Scheinfeld, L, Oddiri, U. (2024). Ethno-Racial Trauma Experienced by Attending Physicians and Physician Trainees in the United States and its Impact on their Well-being: A Scoping Review. (Poster presented at Stony Brook University Department of Pediatrics Research Day, Stony Brook, NY).
- Pattanaik, R, Kloster, H, Ehlenbach, M, Khanna, K, Cohen, A, Scheinfeld, L, Oddiri, U. (2024). Ethno-racial Trauma Experienced by Physician Trainees and Medical Students in the United States and its Impact on their Well-being: A Scoping Review. (Oral presentation given at the International Conference on Physician Health 2024, Halifax, Nova Scotia, Canada).
- Oddiri U, Chong G. Pediatric Intensive Care Unit Resident Educational Curriculum. MedEdPORTAL. 2020 Oct 13;16:10999. doi: 10.15766/mep_2374-8265.10999. PMID: 33094160; PMCID: PMC7566227.
- Oddiri, U & Chong, G. (2021). Standardized Educational Curriculum in the Pediatric Intensive Care Unit. (Oral presentation given at the 7th Edition of Virtual Conference on Nursing Education & Practice).
- Oddiri, U; Propper, G; Brill, P; Reid, B; Milana, C. 1257: Early Identification of Severe Sepsis in Pediatric Patients Utilizing an Electronic Alert. Critical Care Medicine 50(1):p 629, January 2022. DOI: 10.1097/01.ccm.0000811352.86854.1e (Research Snapshot Theater Presentation given at SCCM’s 2022 Critical Care Congress).
- Cohen A, Montez K, Orr C, Konrath J, Oddiri U, Russell CJ, Gambill L, Nesiama JA, Chung PJ, McNeal-Trice K. Changing Who Has a Seat and Voice at the Table: How the Academic Pediatric Association is Responding to Systemic Racism. Academic Pediatrics. 2022 Apr;22(3):352-355. doi: 10.1016/j.acap.2022.01.002. Epub 2022 Jan 12. PMID: 35032709.
- Oddiri, U, Islam, S, Post, S, Lu, WH. (2022). The Impact of Schwartz Rounds Attendance on the Flourishing of Pediatric Healthcare Professionals: A Qualitative Study. (Poster presentation given at the International Conference on Physician Health 2022, Orlando, FL).
- Oddiri U, Propper G, Brill P, Reid B, Giarraputo D, Milana C. Early Identification of Severe Sepsis in Pediatric Patients Using an Electronic Alert System. Hospital Pediatrics. 2023 Feb 1;13(2):174-182. doi: 10.1542/hpeds.2022-006587. PMID: 36695040.
- Oddiri, U, Islam, S, Lu, WH. Understanding the Impact of Schwartz Rounds on Pediatric Clinicians' Well-Being Using the Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment (PERMA) Model for Flourishing: A Qualitative Analysis. Cureus. 2023 Oct 01;15(10): e46324. doi:10.7759/cureus.46324.
- Oddiri U, Kas-Osoka OA, White SL. Learning to Action: Finding Your Anti-Racism and Equity Lens. Pediatrics. 2023 Dec 1;152(6):e2022061099. doi: 10.1542/peds.2022-061099. PMID: 37909066.
- Collins JE, Ryan MS, Klein M, Kloster HM, Lockspeiser TM, Oddiri U, Madduri GB. A Narrative Review of Key Studies in Medical Education in 2022: Applying the Current Literature to Educational Practice and Scholarship. Acad Pediatr. 2024 Mar;24(2):347-358. doi: 10.1016/j.acap.2023.10.002. Epub 2023 Oct 2. PMID: 37793606.
- Singh, J, Oddiri, U, Gist, R, Gathers, C, Alkhateeb, T, Grewal, N, & Wang, S (Spring 2024). Increasing Inclusion in the ICU Workforce. Critical Connections, 23(2), 18-19.
- Pattanaik, R, Kloster, H, Ehlenbach, M, Khanna, K, Cohen, A, Scheinfeld, L, Oddiri, U. (2024). Ethno-racial Trauma Experienced by Physician Trainees and Medical Students in the United States and its Impact on their Well-being: A Scoping Review. (Oral presentation to be given at the International Conference on Physician Health 2024, Halifax, Nova Scotia, Canada).
Randi Trope, DO
Research Interests and Contributions
Dr. Randi Trope's research primarily focuses on quality improvement work within the department of pediatrics. Multiple quality projects can be occurring simultaneously and can last anywhere from six months to two years per project.
Current Active Projects:
- American Academy of Pediatrics BARCK QI Collaborative (Better Assessment & Response to Croup in Kids)
- American Society of Hospital Pharmacists (ASHP) Pediatric Standardize 4 Safety (S4S) workgroup
- Decreasing length of stay in pediatric patients requiring medication treatment for iatrogenic drug withdrawal
- Reducing the override rate in automated medication dispensing cabinets in pediatrics
- Increasing compliance with fecal calprotectin testing in pediatric patients with inflammatory bowel disease (IBD)
- Decreasing time to insulin order entry in pediatric patients with diabetes
- Decreasing incidence of hyperchloremia in pediatric patients with diabetic ketoacidosis
Research Techniques:
Quality techniques will be utilized to evaluate processes and identify opportunities for improvement including process maps, fish-bone diagrams (Ishikawa), swim lane maps, and Failure Mode Effects Analysis (FMEA). Change will occur through implementation of Plan-Do-Study-Act (PDSA) cycles. Data analysis will occur through utilization of control charts that will help identify special cause variation which in turn allows for evaluation of PDSA cycles for effectiveness.
Summary
Dr. Randi Trope, a Clinical Assistant Professor, is an expert in Pediatric Critical Care Medicine and has been active in the field since completing training in 2004. Her clinical interests are in sedation management and continuous renal replacement therapy (CRRT). Dr. Trope is also the Vice-Chair of Quality and Safety for the Department of Pediatrics. She earned her MBA in Quality Management and has a particular focus on medication safety. Dr. Trope serves on the advisory board of several national organizations, including the Institute for Safe Medication Practices (ISMP) and the Standardize 4 Safety (S4S) Committee for Pediatrics, promoting medication safety. Dr. Trope is actively involved in promoting quality management throughout the Pediatrics Department and engages in teaching activities to promote quality improvement projects. She is passionate about ensuring that the care provided throughout pediatrics is done efficiently and safely.
Announcements:
- Undergraduate and Medical School/Healthcare Sciences students interested in any form of quality improvement projects, either ongoing or one you would like to initiate, within the department of pediatrics may contact Dr. Trope by email and submit their CV and personal statement.
- Residents and Fellows interested in quality work are also encouraged to contact Dr. Trope and inquire about current and future quality improvement opportunities.
Contact information:
Randi.Trope@stonybrookmedicine.edu
101 Nicolls Road
Department of Pediatric Critical Care Medicine, HSC - 11
Stony Brook, NY 11794
- Trope R, Silver P, Sagy M: Changes in Autonomic Variables Do Not Correlate with Bispectral Index (BIS) Trends in Patients Receiving Sedation and Neuromuscular Blockade. CHEST 2005; 128: 303-307. PMID: 16002950.
- Rosman E, Blaufox A, Menco A, Trope R, Seiden H: What Are We Missing? Arrhythmia Detection in the Pediatric Intensive Care Unit. The Journal of Pediatrics. 2013 Aug; 163(2): 511-14. PMID: 23453551 .
- Trope R, Vaz S, Sagy M: Utilizing an Updated Therapeutic Intervention Scoring System in Pediatrics (TISS-C) to Determine the Probability of Untoward Events in Pediatric Critically Ill Patients. Journal of Intensive Care Medicine 2015; Vol 30 (6), 344-350. PMID: 24457146.
- Fisler G, Monty M, Kohn N, Assaad P, Trope R, Kessel A: et. al: Characteristics and Outcomes of Critically Ill Pediatric Patients with Posterior Reversible Encephalopathy Syndrome. Neurocrit Care. 2020 Feb; Vol 32(1): 145-151. PMID 31069660.
- Trope R, Esperanza M (Pending 2025) Quality Improvement ‘in’ Stockwell, J. Comprehensive Critical Care: Pediatric, 3rd Edition. Society of Critical Care Medicine.