Research Topics
Species | D S WheelerSummaryAffiliation: Cincinnati Children's Hospital Medical Center Country: USA Publications
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Publications
Identification of candidate serum biomarkers for severe septic shock-associated kidney injury via microarrayRajit K Basu
Cincinnati Children s Hospital Medical Center and Cincinnati Children s Research Foundation, Department of Pediatrics, University of Cincinnati College of Medicine, 3333 Burnet Avenue, Cincinnati, OH 45223, USA
Crit Care 15:R273. 2011..The objective of our study was to determine whether microarray data from children with septic shock could be used to derive a panel of candidate biomarkers for predicting SSAKI...
An unexpected increase in catheter-associated bloodstream infections at a children's hospital following introduction of the Spiros closed male connectorDerek S Wheeler
James M Anderson Center for Health Systems Excellence, Cincinnati Children s Hospital Medical Center, Cincinnati, OH 45229 3039, USA
Am J Infect Control 40:48-50. 2012..Previous investigations have reported outbreaks of CA-BSI temporally associated with the use of needleless connector valves or similar devices...
Excess circulating angiopoietin-2 levels in sepsis: harbinger of death in the intensive care unit?John S Giuliano
Department of Pediatrics, Division of Critical Care Medicine, Yale University School of Medicine, Yale New Haven Children s Hospital, New Haven, CT 06510, USA
Crit Care 13:114. 2009..It remains to be seen whether angpt-2 levels will function solely as an early marker of sepsis or whether the manipulation of the angpt/Tie-2 system will become a rational therapeutic target for the management of sepsis...
A hospital-wide quality-improvement collaborative to reduce catheter-associated bloodstream infectionsDerek S Wheeler
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, Ohio 45229 3039, USA
Pediatrics 128:e995-e1004; quiz e1004-7. 2011..Quality-improvement collaboratives (QICs) are frequently used to improve health care quality. Our PICU was previously involved in a successful national QIC to reduce the incidence of CA BSI in critically ill children...
Pentalogy of Cantrell associated with hypoplastic left heart syndromeD S Wheeler
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, and Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children s Research Foundation, OH 45229 3039, USA
Pediatr Cardiol 28:311-3. 2007..We describe the previously unreported association of pentalogy of Cantrell with hypoplastic left heart syndrome...
Extracellular heat shock protein 60 (Hsp60) levels in children with septic shockD S Wheeler
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, 45229 3039, USA
Inflamm Res 56:216-9. 2007..Recent data suggest that extracellular Hsp60 modulates the host innate immune response. We analyzed plasma Hsp60 levels in children admitted to a level III tertiary care PICU with septic shock...
Serum neutrophil gelatinase-associated lipocalin (NGAL) as a marker of acute kidney injury in critically ill children with septic shockDerek S Wheeler
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, OH, USA
Crit Care Med 36:1297-303. 2008..To validate serum neutrophil gelatinase-associated lipocalin (NGAL) as an early biomarker for acute kidney injury in critically ill children with septic shock...
Induction of endotoxin tolerance enhances bacterial clearance and survival in murine polymicrobial sepsisDerek S Wheeler
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229 3039, USA
Shock 30:267-73. 2008..Contrary to our original hypothesis, we conclude that endotoxin tolerance significantly attenuates the host inflammatory response, augments bacterial clearance, and improves survival in this murine model of polymicrobial sepsis...
An infant with fever and stridorDerek S Wheeler
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center and Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229 3039, USA
Pediatr Emerg Care 24:46-9. 2008..As illustrated in the following case, these children may not always present with classic features of supraglottitis...
Novel pharmacologic approaches to the management of sepsis: targeting the host inflammatory responseDerek S Wheeler
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH 45229 3039, USA
Recent Pat Inflamm Allergy Drug Discov 3:96-112. 2009..We will also reference some of the patents recently filed that pertain to the host innate immune response and sepsis...
Death to sepsis: targeting apoptosis pathways in sepsisDerek S Wheeler
Pediatric Intensive Care Unit, Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, OH 45229 3039, USA
Crit Care 13:1010. 2009..Herein, the role of apoptosis in sepsis is briefly discussed, highlighting studies with one potential therapeutic agent targeting the apoptosis pathway...
The green tea polyphenol epigallocatechin-3-gallate improves systemic hemodynamics and survival in rodent models of polymicrobial sepsisDerek S Wheeler
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, Ohio 45229 3039, USA
Shock 28:353-9. 2007..Epigallocatechin-3-gallate may therefore represent a potential nutritional supplement or pharmacologic agent in patients with sepsis...
Extracellular Hsp72, an endogenous DAMP, is released by virally infected airway epithelial cells and activates neutrophils via Toll-like receptor (TLR)-4Derek S Wheeler
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati Children s Research Foundation, Cincinnati, OH, USA
Respir Res 10:31. 2009..Heat shock proteins (HSPs) are generally regarded as intracellular proteins acting as molecular chaperones; however, HSP72 can also be released from cells, and the implications of this release are not fully understood...
Theophylline versus terbutaline in treating critically ill children with status asthmaticus: a prospective, randomized, controlled trialDerek S Wheeler
Department of Pediatrics, University of Cincinnati College of Medicine, Division of Critical Care Medicine, OH 45229, USA
Pediatr Crit Care Med 6:142-7. 2005....
Clinical decision support systems in the pediatric intensive care unitElizabeth H Mack
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, OH, USA
Pediatr Crit Care Med 10:23-8. 2009..To review the use of clinical decision support systems (CDSS) available in the pediatric intensive care unit (PICU)...
Interleukin-8 as a stratification tool for interventional trials involving pediatric septic shockHector R Wong
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229 3039, USA
Am J Respir Crit Care Med 178:276-82. 2008..Interventional clinical trials involving children with septic shock would benefit from an efficient preenrollment stratification strategy...
Admission chemokine (C-C motif) ligand 4 levels predict survival in pediatric septic shockJeffrey E Nowak
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, OH, USA
Pediatr Crit Care Med 11:213-6. 2010..The objective of this study was to test the usefulness of chemokine (C-C motif) ligand 4 as an outcome biomarker for mortality in pediatric septic shock...
A green tea-derived polyphenol, epigallocatechin-3-gallate, inhibits IkappaB kinase activation and IL-8 gene expression in respiratory epitheliumPhilip C Chen
Division of Critical Care Medicine, Children's Hospital Medical Center and Children's Hospital Research Foundation, Cincinnati, OH 45244, USA
Inflammation 26:233-41. 2002..We conclude that EGCG is a potent inhibitor of IL-8 gene expression in vitro. The proximal mechanism of this effect involves, in part, inhibition of IkappaB kinase activation...
Toward a clinically feasible gene expression-based subclassification strategy for septic shock: proof of conceptHector R Wong
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center and Cincinnati Children s Research Foundation, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
Crit Care Med 38:1955-61. 2010..To develop a clinically feasible stratification strategy for pediatric septic shock, using gene expression mosaics and a 100-gene signature representing the first 24 hrs of admission to the pediatric intensive care unit...
The role of endogenously produced extracellular hsp72 in mononuclear cell reprogrammingPatricia A Abboud
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, Ohio, USA
Shock 30:285-92. 2008..These data demonstrate that endogenously produced and released extracellular Hsp72 has the ability to reprogram the in vitro response to endotoxin in cultured human mononuclear cells...
Helium/oxygen-driven albuterol nebulization in the management of children with status asthmaticus: a randomized, placebo-controlled trialMichael T Bigham
Division of Critical Care Medicine, Akron Children s Hospital, Akron, OH, USA
Pediatr Crit Care Med 11:356-61. 2010..We investigated the effect of heliox-powered albuterol therapy on hospital length of stay and clinical status in children with moderate to severe status asthmaticus...
Transport of the mechanically ventilated pediatric patientDerek S Wheeler
Division of Critical Care Medicine, Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA
Respir Care Clin N Am 8:83-104. 2002..It is likely, then, that the field of pediatric transport medicine will assume greater importance in the coming decade...
Extracellular hsp70 levels in children with septic shockDerek S Wheeler
Department of Pediatrics, University of Cincinnati College of Medicine and Children's Hospital Research Foundation, Cincinnati, OH, USA
Pediatr Crit Care Med 6:308-11. 2005..Given the newly described cell signaling properties of hsp70, these data suggest that extracellular hsp70 may play a role in the host response during septic shock...
Mechanisms and regulation of the gene-expression response to sepsisTimothy T Cornell
Division of Critical Care Medicine, C S Mott Children s Hospital, University of Michigan, Ann Arbor, MI, USA
Pediatrics 125:1248-58. 2010..We anticipate that emerging data from genetic, genomic, and other translation studies in pediatric sepsis will advance our biological understanding of this response and undoubtedly identify targets for newer therapies...
Admission angiopoietin levels in children with septic shockJohn S Giuliano
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA
Shock 28:650-654. 2007..Given the contrasting effects of angpt-2 and angpt-1 on the vascular endothelium, these two factors may play an important role in the pathophysiology of septic shock in children, and further studies are warranted...
Hsp72 induces inflammation and regulates cytokine production in airway epithelium through a TLR4- and NF-kappaB-dependent mechanismMargaret A Chase
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, OH 45229, USA
J Immunol 179:6318-24. 2007..Taken together, these data suggest that Hsp72 is released and biologically active in the BALF and can regulate airway epithelial cell cytokine expression in a TLR4 and NF-kappaB-dependent mechanism...
Plasma angiopoietin-2 levels increase in children following cardiopulmonary bypassJohn S Giuliano
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229 3039, USA
Intensive Care Med 34:1851-7. 2008..The aim was to investigate the effects of cardiopulmonary bypass (CPB) on plasma levels of the vascular growth factors, angiopoietin (angpt)-1, angpt-2, and vascular endothelial growth factor (VEGF)...
Prehospital evaluation and care of the special needs and technology-dependent childDerek S Wheeler
Division of Critical Care Medicine, Ciincinnati Children's Hospital Medical Center, OH, USA
Emerg Med Serv 31:45-50, 52, 54 passim; quiz 97. 2002..Remember, the child's care provider is a valuable resource and should be used to the fullest extent whenever possible...
A formidable challenge: the diagnosis and treatment of viral myocarditis in childrenDerek S Wheeler
Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA
Crit Care Clin 19:365-91. 2003..Viral myocarditis, however, will remain a significant diagnosticand therapeutic challenge to both physicians and scientists alike...
Heat shock response and acute lung injuryDerek S Wheeler
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Kindervelt Laboratory for Critical Care Medicine Research, Childrens Hospital Research Foundation, Cincinnati, OH 45229, USA
Free Radic Biol Med 42:1-14. 2007....
Unilateral pulmonary edema and acute rheumatic feverJohn S Giuliano
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, OH 45229 3039, USA
Eur J Pediatr 167:465-7. 2008..We present a case of an 8-year-old child who presented with unilateral pulmonary edema secondary to acute mitral insufficiency due to ARF. ARF should be considered in the differential diagnosis of unilateral pulmonary edema in children...
Therapeutic application of helium-oxygen and mechanical ventilation in a child with acute myelogenous leukemia and airway obstructionMichael T Bigham
Division of Critical Care Medicine, Akron Children s Hospital, Akron, OH 44308, USA
Pediatr Emerg Care 25:469-72. 2009..We then review mediastinal masses and the biophysical rationale for use of heliox in airway narrowing...
Training in pediatric critical care medicine: A survey of pediatric residency training programsDerek S Wheeler
Division of Critical Care Medicine, Children s Hospital Medical Center, Cincinnati, Ohio, USA
Pediatr Emerg Care 19:1-5. 2003..We sought to determine how individual programs have structured their critical care training experience in light of these changes...
Late-onset respiratory distress after inhalation of laundry detergentDerek S Wheeler
Division of Critical Care Medicine, Department of Pediatrics, Children s Hospital Medical Center, Cincinnati, Ohio 45244, USA
Pediatr Pulmonol 35:323-5. 2003..Parents, primary care providers, and emergency department physicians need to be aware of the potential toxicity of these widely used household products...
Factors prolonging length of stay in the cardiac intensive care unit following the arterial switch operationDerek S Wheeler
Divisions of Critical Care Medicine, Cardiology, and Cardiothoracic Surgery, Cincinnati Children s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA
Cardiol Young 18:41-50. 2008..In addition, based on these results, our practice has evolved to initiate enteral feedings in the preoperative period if feasible, with such enteral feedings resumed as soon as possible following surgery...
The safe and effective use of propofol sedation in children undergoing diagnostic and therapeutic procedures: experience in a pediatric ICU and a review of the literatureDerek S Wheeler
Department of Pediatrics, Naval Medical Center, San Diego, CA, USA
Pediatr Emerg Care 19:385-92. 2003..To describe our experience using propofol sedation to facilitate elective diagnostic and therapeutic procedures, and to document the safety profile of propofol in this setting...
Epigallocatechin-3-gallate, a green tea-derived polyphenol, inhibits IL-1 beta-dependent proinflammatory signal transduction in cultured respiratory epithelial cellsDerek S Wheeler
Section of Critical Care Medicine, Children s Medical Center, Medical College of Georgia, Augusta, GA 30912, USA
J Nutr 134:1039-44. 2004..Therefore, the green tea polyphenol EGCG is a potent inhibitor of IL-1 beta signal transduction in vitro. The proximal mechanisms of this effect involve inhibition of IRAK-dependent signaling and phosphorylation of p65...
Phospholipase A2 and acute lung injury: it's just not that simpleDerek S Wheeler
Crit Care Med 33:904-5. 2005
Understanding the role of stress proteins in acute lung injury: Closer to the answer, but not there yetDerek S Wheeler
Crit Care Med 35:2226-7. 2007
Acute rhabdomyolysis complicating status asthmaticus in children: case series and reviewRenuka Mehta
Section of Critical Care Medicine, MCG Children's Medical Center, Augusta, GA, USA
Pediatr Emerg Care 22:587-91. 2006..Further clinical study of the incidence and causative factors of rhabdomyolysis in this population is warranted...
Stress proteins and acute lung injury: dreams can come true... eventuallyDerek S Wheeler
Crit Care Med 36:360-2. 2008
Research Grants
- The immunomodulatory effects of extracellular Hsp70Derek Wheeler; Fiscal Year: 2007....
