Mentoring
It is our goal at Texas Children’s to provide the support needed to help grow your career. Whether your interests lie in education, research, quality improvement, global health, or involvement in national organizations, we have faculty who will help you identify opportunities within these areas and actively guide your growth. It is indeed our faculty’s dedication to and investment in our fellows that defines our program.
As a baseline, Dr. Trivedi will meet with fellows on a monthly basis so that clinical milestones and previously set goals can be assessed. Feedback from and to the fellows will be given in these meetings. Based on individual interests, each fellow will also be paired with a faculty mentor who can help further advance the fellow’s career path over the course of the year.
Recent Fellow Achievements
International Experience
- Medical missions to Bolivia and Jamaica where our fellows provided anesthesia for patients undergoing congenital heart surgery and catheter-based interventions
Oral presentations at the Congenital Cardiac Anesthesia Society
- Myelomeningocele repair in a patient with unrepaired tetralogy of Fallot with pulmonary atresia
- Laparoscopic sleeve gastrectomy in an adolescent with a ventricular assist device
- Transcatheter patent ductus arteriosus closure in premature infants < 2kg: a case series review
- Common iliac arterial rupture requiring emergent surgery in a child undergoing transcatheter stenting for native coarctation
- Endovascular thrombectomy and systemic thrombolysis in pediatric patients
National Organization Involvement
- Membership in the CCAS Trainee Special Interest Group
- Fellow Liaison for the Communications Committee of the CCAS
- Moderator for the CCAS Trainee Educational Series
Book Chapters
- Mechanical Support of the Circulation, Anesthesia for Congenital Heart Disease, 4th edition
- Anesthesia for Non-cardiac Surgery and Magnetic Resonance Imaging, Anesthesia for Congenital Heart Disease, 4th edition
- Anesthesia for Pediatric and Congenital Cardiac Care, Society of Thoracic Surgeons Cardiothoracic Surgery E-Book Series, STS Pediatric and Congenital Cardiac Surgery
- Respiratory Disorders, Smith’s Anesthesia for Infants and Children, 10th edition
- Pediatric Critical Care in the Perioperative Period, Pediatric Anesthesiology in Developing Countries
Medical Education
- Ultrasound-guided vascular access training for general pediatric anesthesia fellows and cardiac ICU nurses
- Local presentations and PBLDs on: “Caudal anesthesia and congenital heart surgery: to do or not to do,” “Pulmonary Hypertension,” and “Antifibrinolytic therapy in pediatric cardiac surgery”
Quality Improvement
- Identifying cardiac patients with difficult or challenging airways to allow prompt recognition and preparation in the post-operative period in the cardiac ICU
- Repurposing NIRS probes used intraoperatively for post-operative use to reduce waste
- Developing a protocol for the management of post-bypass bleeding using point-of-care ROTEM@ analysis
- Minimizing cryoprecipitate waste by substituting its use with RiaSTAP@ in patients > 5 kg in need of fibrinogen
- Developing an order set for vasoactive medications with weight-based concentrations and syringe sizes to eliminate inter-provider variability in concentrations and volumes ordered
Research Infrastructure
The recently developed Anesthesiology Research Core (ARC) at Texas Children’s Hospital provides leadership and resources for those seeking to conduct research within pediatric anesthesia.
Fellows can meet with ARC leadership to discuss a research idea at its infancy and for support and guidance in developing this idea into a robust study.
The ARC provides administrative, regulatory, grant, and statistical services and also has several full-time research nurses and research coordinators available for specific study assignments.
Active and Future Cardiac Research Projects
- STRESS Trial “STeroids to Reduce Systemic Inflammation after Infant Heart Surgery,” assessing the pharmacokinetics, pharmacodynamics, safety, and efficacy of methylprednisolone in infants undergoing heart surgery with cardiopulmonary bypass: Dr. Vener
- Multi-Center Prospective Case Controlled Comparison of Analgesia and Sedation after Cardiac Surgery between Children with Down Syndrome and their Non-Syndromic Counterparts: Dr. Andropoulos
- Outcomes and Health Care Resource Utilization in Patients with Congenital Heart Disease Undergoing Non-cardiac Procedures: Dr. Miller-Hance
- A Pilot Study to Assess the Feasibility and Safety of Targeting Mean Arterial Pressure to Reduce Intra-operative Hypotension and Improve Neurodevelopmental Outcomes in Neonates Undergoing Cardiothoracic Surgery: Dr. Easley
- CHIPS, The CHIlled Platelet Study, assessing the impact of temperature of transfused platelets (cold vs room temperature) on hemostatic efficacy: Dr. Resheidat
- PAION Remi study “A Phase 2b, prospective, open-label trial evaluating the efficacy, safety, and pharmacokinetics of remimazolam for intravenous sedation in paediatric patients undergoing diagnostic and/or therapeutic procedures: Dr. Andropoulos
- Dexmedetomidine/Sevoflurane MAC: prospective randomized control trial quantifying the reduction in MAC of sevoflurane by the addition of dexmedetomidine: Dr. Baijal
- Perioperative Diabetes Mellitus: retrospective cohort assessing whether or not children with a Hgb A1C > 7.5 percent have an increased incidence of perioperative wound and infectious complications: Dr. Baijal
- NICU Tracheostomy: retrospective cohort to develop a risk stratification score for immediate perioperative com
