Akira Nishisaki

Summary

Affiliation: The Children's Hospital of Philadelphia
Country: USA

Publications

  1. doi request reprint A National Emergency Airway Registry for children: landscape of tracheal intubation in 15 PICUs
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, PA, USA
    Crit Care Med 41:874-85. 2013
  2. pmc Backboards are important when chest compressions are provided on a soft mattress
    Akira Nishisaki
    Department of Anesthesiology, Critical Care and Pediatrics, The Children s Hospital of Philadelphia, 34th Street and Civic Center Blvd, Philadelphia, PA 19104, USA
    Resuscitation 83:1013-20. 2012
  3. doi request reprint Development of an instrument for a primary airway provider's performance with an ICU multidisciplinary team in pediatric respiratory failure using simulation
    Akira Nishisaki
    Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Respir Care 57:1121-8. 2012
  4. doi request reprint Airway management in pediatric patients at referring hospitals compared to a receiving tertiary pediatric ICU
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, United States
    Resuscitation 82:386-90. 2011
  5. doi request reprint Effect of mattress deflection on CPR quality assessment for older children and adolescents
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia CHOP, USA
    Resuscitation 80:540-5. 2009
  6. doi request reprint Effect of just-in-time simulation training on tracheal intubation procedure safety in the pediatric intensive care unit
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, Center for Simulation, Advanced Education and Innovation, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    Anesthesiology 113:214-23. 2010
  7. ncbi request reprint A multi-institutional high-fidelity simulation "boot camp" orientation and training program for first year pediatric critical care fellows
    Akira Nishisaki
    Anesthesiology and Critical Care Medicine, Center for Simulation, The Children s Hospital of Philadelphia, PA, USA
    Pediatr Crit Care Med 10:157-62. 2009
  8. doi request reprint Effect of cervical spine immobilization technique on pediatric advanced airway management: a high-fidelity infant simulation model
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Pediatr Emerg Care 24:749-56. 2008
  9. ncbi request reprint Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety
    Akira Nishisaki
    Division of Critical Care, Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA
    Anesthesiol Clin 25:225-36. 2007
  10. doi request reprint Quantitative analysis of CPR quality during in-hospital resuscitation of older children and adolescents
    Robert M Sutton
    Department of Anesthesiology and Critical Care Medicine, Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
    Pediatrics 124:494-9. 2009

Collaborators

Detail Information

Publications39

  1. doi request reprint A National Emergency Airway Registry for children: landscape of tracheal intubation in 15 PICUs
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, PA, USA
    Crit Care Med 41:874-85. 2013
    ..To characterize the landscape of process of care and safety outcomes for tracheal intubation across pediatric intensive care units..
  2. pmc Backboards are important when chest compressions are provided on a soft mattress
    Akira Nishisaki
    Department of Anesthesiology, Critical Care and Pediatrics, The Children s Hospital of Philadelphia, 34th Street and Civic Center Blvd, Philadelphia, PA 19104, USA
    Resuscitation 83:1013-20. 2012
    ..Determine the impact of backboard placement, torso weight and bed compression on chest compression (CC) depth feedback in simulated cardiac arrest patients...
  3. doi request reprint Development of an instrument for a primary airway provider's performance with an ICU multidisciplinary team in pediatric respiratory failure using simulation
    Akira Nishisaki
    Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Respir Care 57:1121-8. 2012
    ..To develop a scoring system that can assess the multidisciplinary management of respiratory failure in a pediatric ICU...
  4. doi request reprint Airway management in pediatric patients at referring hospitals compared to a receiving tertiary pediatric ICU
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, United States
    Resuscitation 82:386-90. 2011
    ..To describe the current practice of pediatric airway management at referring hospitals and the associated adverse events compared to a receiving tertiary pediatric ICU...
  5. doi request reprint Effect of mattress deflection on CPR quality assessment for older children and adolescents
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia CHOP, USA
    Resuscitation 80:540-5. 2009
    ..CCs provided in hospital are often conducted on a compliant mattress. The objective was to quantify the effect of mattress compression on the assessment of CPR quality in children...
  6. doi request reprint Effect of just-in-time simulation training on tracheal intubation procedure safety in the pediatric intensive care unit
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, Center for Simulation, Advanced Education and Innovation, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    Anesthesiology 113:214-23. 2010
    ..The authors hypothesized that "just-in-time" simulation-based intubation refresher training would improve resident participation, success, and decrease TIAEs...
  7. ncbi request reprint A multi-institutional high-fidelity simulation "boot camp" orientation and training program for first year pediatric critical care fellows
    Akira Nishisaki
    Anesthesiology and Critical Care Medicine, Center for Simulation, The Children s Hospital of Philadelphia, PA, USA
    Pediatr Crit Care Med 10:157-62. 2009
    ..We hypothesize multi-institutional simulation-based training for first year pediatric critical care (PCC) fellows is feasible and effective...
  8. doi request reprint Effect of cervical spine immobilization technique on pediatric advanced airway management: a high-fidelity infant simulation model
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Pediatr Emerg Care 24:749-56. 2008
    ..We evaluated the effect of cervical spine immobilization techniques on orotracheal intubation performance with a high-fidelity infant simulator...
  9. ncbi request reprint Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety
    Akira Nishisaki
    Division of Critical Care, Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA
    Anesthesiol Clin 25:225-36. 2007
    ..Even so, confidence is growing in the validity of medical simulation as the training tool of the future. The use of medical simulation will continue to grow in the context of multidisciplinary team training for patient safety...
  10. doi request reprint Quantitative analysis of CPR quality during in-hospital resuscitation of older children and adolescents
    Robert M Sutton
    Department of Anesthesiology and Critical Care Medicine, Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
    Pediatrics 124:494-9. 2009
    ..This study is the first to evaluate actual in-hospital pediatric CPR. We hypothesized that with bedside CPR training and corrective feedback, CPR quality can approach American Heart Association (AHA) targets...
  11. ncbi request reprint Forensic analysis of crib mattress properties on pediatric CPR quality--can we balance pressure reduction with CPR effectiveness?
    Dana E Niles
    Center for Simulation, Advanced Education and Innovation, The Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Resuscitation 84:1131-6. 2013
    ..However, single mode PR mattresses risk large mattress deflection during CPR chest compressions, potentially leading to inadequate chest compressions...
  12. doi request reprint Leaning is common during in-hospital pediatric CPR, and decreased with automated corrective feedback
    Dana Niles
    Center for Simulation, Advanced Education and Innovation, The Children s Hospital of Philadelphia, 34th Street and Civic Center Blvd, Philadelphia, PA 19104, United States
    Resuscitation 80:553-7. 2009
    ..No study has evaluated prevalence of leaning and the effect of real-time automated audiovisual feedback during in-hospital pediatric CPR...
  13. doi request reprint Pediatric CPR quality monitoring: analysis of thoracic anthropometric data
    Robert M Sutton
    The Children s Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States
    Resuscitation 80:1137-41. 2009
    ..Extension to pediatric patients is desirable; however, the anthropometric measurements of the pediatric chest pertinent to guide the development of pediatric-specific CPR monitoring systems are largely unknown...
  14. pmc American Heart Association cardiopulmonary resuscitation quality targets are associated with improved arterial blood pressure during pediatric cardiac arrest
    Robert M Sutton
    The Children s Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA
    Resuscitation 84:168-72. 2013
    ..We hypothesized that AHA recommended CPR rate and depth targets would be associated with systolic blood pressures≥80mmHg and diastolic blood pressures≥30mmHg...
  15. doi request reprint Quantitative analysis of chest compression interruptions during in-hospital resuscitation of older children and adolescents
    Robert M Sutton
    The Children s Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, Philadelphia, PA 19104, USA
    Resuscitation 80:1259-63. 2009
    ..We hypothesized that CPR error will be more likely after a chest compression provider change compared to other causes for pauses...
  16. doi request reprint Expert clinical assessment of thorax stiffness of infants and children during chest compressions
    Kristy B Arbogast
    Center for Injury Research and Prevention, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Resuscitation 80:1187-91. 2009
    ..Similarity of manikin chest compression characteristics to real children is desirable. Little data exists on thorax stiffness in infants and children to guide manikin construction...
  17. pmc Ability of code leaders to recall CPR quality errors during the resuscitation of older children and adolescents
    Andrew D McInnes
    The Children s Hospital of Philadelphia, Department of Anesthesia and Critical Care Medicine, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States
    Resuscitation 83:1462-6. 2012
    ..This study investigates code leader ability to recall CPR error during post-event interviews when CPR recording/audiovisual feedback-enabled defibrillators are deployed...
  18. doi request reprint Reliability and validity of a scoring instrument for clinical performance during Pediatric Advanced Life Support simulation scenarios
    Aaron Donoghue
    Division of Pediatric Critical Care Medicine, Children s Hospital of Philadelphia, PA 19104, United States
    Resuscitation 81:331-6. 2010
    ..To assess the reliability and validity of scoring instruments designed to measure clinical performance during simulated resuscitations requiring the use of Pediatric Advanced Life Support (PALS) algorithms...
  19. pmc The first quantitative report of ventilation rate during in-hospital resuscitation of older children and adolescents
    Andrew D McInnes
    The Children s Hospital of Philadelphia, Department of Anesthesia and Critical Care Medicine, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States
    Resuscitation 82:1025-9. 2011
    ..Excessive ventilation is associated with worse clinical outcome after adult cardiac arrest. This study is the first to characterize ventilation rate adherence to AHA guidelines during in-hospital pediatric cardiac arrest resuscitation...
  20. pmc First quantitative analysis of cardiopulmonary resuscitation quality during in-hospital cardiac arrests of young children
    Robert M Sutton
    The Children s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Department of Anesthesiology and Critical Care Medicine, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States Electronic address
    Resuscitation 85:70-4. 2014
    ..We hypothesized that the CPR performed would often not achieve 2010 Pediatric Basic Life Support (BLS) Guidelines, but would improve with the addition of audiovisual feedback...
  21. doi request reprint "Rolling Refreshers": a novel approach to maintain CPR psychomotor skill competence
    Dana Niles
    Center for Simulation, Advanced Education and Innovation, The Children s Hospital of Philadelphia, 34th Street and Civic Center Blvd, Philadelphia, PA 19104, USA
    Resuscitation 80:909-12. 2009
    ..High quality CPR skill retention is poor. We hypothesized that "just-in-time" and "just-in-place" training programs would be effective and well-accepted to maintain CPR skills among PICU staff...
  22. doi request reprint Evaluation of multidisciplinary simulation training on clinical performance and team behavior during tracheal intubation procedures in a pediatric intensive care unit
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, Center for Simulation, Advanced Education and Innovation, The Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Pediatr Crit Care Med 12:406-14. 2011
    ....
  23. pmc Comparison of relative and actual chest compression depths during cardiac arrest in children, adolescents, and young adults
    Dana E Niles
    Center for Simulation, Advanced Education and Innovation, The Children s Hospital of Philadelphia, 34th Street and Civic Center Blvd, Philadelphia, PA 19104, USA
    Resuscitation 83:320-6. 2012
    ..We quantitatively describe relative anterior-posterior diameter (APD) depth, actual depth, and force of CCs during real CPR events in children...
  24. ncbi request reprint Methods for determining pediatric thoracic force-deflection characteristics from cardiopulmonary resuscitation
    Matthew R Maltese
    The Children s Hospital of Philadelphia, 3535 Market Street, 11th Floor, Philadelphia, PA 19104, USA
    Stapp Car Crash J 52:83-105. 2008
    ..Future studies will expand the sample size and age range of data collected to further explore the age-related changes in thoracic mechanics...
  25. doi request reprint A randomized, controlled trial of in situ pediatric advanced life support recertification ("pediatric advanced life support reconstructed") compared with standard pediatric advanced life support recertification for ICU frontline providers*
    Hiroshi Kurosawa
    1Center for Simulation, Advanced Education and Innovation, The Children s Hospital of Philadelphia, Philadelphia, PA 2Tokyo Metropolitan Children s Medical Centre, Tokyo, Japan 3Department of Respiratory Care, The Children s Hospital of Philadelphia, Philadelphia, PA 4Department of Nursing, The Children s Hospital of Philadelphia, Philadelphia, PA 5Division of Neonatology, Department of Pediatrics, The Children s Hospital of Philadelphia, Philadelphia, PA 6Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, Philadelphia, PA 7Division of Neonatal and Perinatal Medicine, Oregon Health and Science University, Portland, OR
    Crit Care Med 42:610-8. 2014
    ..We hypothesized that in situ Pediatric Advanced Life Support-reconstructed implementation is feasible and as effective as standard Pediatric Advanced Life Support recertification...
  26. pmc Pushing harder, pushing faster, minimizing interruptions… but falling short of 2010 cardiopulmonary resuscitation targets during in-hospital pediatric and adolescent resuscitation
    Robert M Sutton
    The Children s Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States The Children s Hospital of Philadelphia, Center for Simulation, Advanced Education, and Innovation, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States Electronic address
    Resuscitation 84:1680-4. 2013
    ..We hypothesized that quality would improve, but that targets for chest compression (CC) depth would be difficult to achieve...
  27. doi request reprint Videolaryngoscopy versus direct laryngoscopy in simulated pediatric intubation
    Aaron J Donoghue
    Department of Pediatrics, Division of Emergency Medicine, Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Ann Emerg Med 61:271-7. 2013
    ....
  28. doi request reprint Design, implementation, and psychometric analysis of a scoring instrument for simulated pediatric resuscitation: a report from the EXPRESS pediatric investigators
    Aaron Donoghue
    Divisions of Emergency Medicine, The Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Simul Healthc 6:71-7. 2011
    ..We hypothesize that the CPT will measure clinical performance during simulated pediatric resuscitation in a reliable and valid manner...
  29. doi request reprint Characterization of tracheal intubation process of care and safety outcomes in a tertiary pediatric intensive care unit
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, Center for Simulation, Advanced Education and Innovation, The Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Pediatr Crit Care Med 13:e5-10. 2012
    ..We hypothesize that tracheal intubation is a common but high-risk procedure and that the novel pediatric adaptation of the National Emergency Airway Registry is a feasible tool to capture variances in process of care and outcomes...
  30. doi request reprint Assessment of technique during pediatric direct laryngoscopy and tracheal intubation: a simulation-based study
    Aaron Donoghue
    Division of Emergency Medicine, Department of Pediatrics, Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Pediatr Emerg Care 29:440-6. 2013
    ....
  31. pmc Analysis of transthoracic impedance during real cardiac arrest defibrillation attempts in older children and adolescents: are stacked-shocks appropriate?
    Dana E Niles
    Center for Simulation, Advanced Education and Innovation, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Resuscitation 81:1540-3. 2010
    ..The objective of this study was to characterize TTI following biphasic defibrillation attempts in children ≥ 8 yrs during cardiac arrest to assess whether a stacked-shock approach may be appropriate to improve defibrillation success...
  32. doi request reprint The impact of 24-hr, in-hospital pediatric critical care attending physician presence on process of care and patient outcomes*
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, Center for Clinical Epidemiology and Biostatistics, School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    Crit Care Med 40:2190-5. 2012
    ..We compared processes of care and outcomes before and after the implementation of a 24-hr in-hospital pediatric intensive care unit attending physician model...
  33. ncbi request reprint Central venous catheter dress rehearsals: translating simulation training to patient care and outcomes
    Amy K Scholtz
    From the Center for Simulation, Advanced Education and Innovation A K S, A M M, A N, V M N, E L, and Department of Nursing A K S, A M M, A N, V M N, E L, and Department of Anesthesiology and Critical Care Medicine A N, V M N, The Children s Hospital of Philadelphia, Philadelphia, PA
    Simul Healthc 8:341-9. 2013
    ..Moreover, this simulation program would be associated with improved procedural competence on real patients (T2 outcomes) and hospital CLABSI rate (T3 outcomes)...
  34. ncbi request reprint Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes*
    Heather Wolfe
    1Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, Philadelphia, PA 2Department of Pediatrics, Section of Critical Care Medicine, Children s Hospital Colorado, Aurora, CO
    Crit Care Med 42:1688-95. 2014
    ..Our objective is to evaluate the effectiveness of a novel, interdisciplinary, postevent quantitative debriefing program to improve survival outcomes after in-hospital pediatric chest compression events...
  35. ncbi request reprint Retrospective analysis of the prognostic value of electroencephalography patterns obtained in pediatric in-hospital cardiac arrest survivors during three years
    Akira Nishisaki
    Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Pediatr Crit Care Med 8:10-7. 2007
    ..To test the hypothesis that electroencephalography has prognostic value in children after in-hospital cardiac arrest...
  36. doi request reprint The emerging role of simulation education to achieve patient safety: translating deliberate practice and debriefing to save lives
    Sharon Griswold
    Department of Emergency Medicine, Simulation Center, Drexel University College of Medicine, Philadelphia, PA 19102, USA
    Pediatr Clin North Am 59:1329-40. 2012
    ..This article highlights emerging evidence that shows how simulation-based interventions and education contribute to safer, more efficient systems of care that save lives...
  37. doi request reprint Evaluation of the Neonatal Resuscitation Program's recommended chest compression depth using computerized tomography imaging
    Andrew Meyer
    Children s Hospital of Philadelphia, Department of Neonatology, USA
    Resuscitation 81:544-8. 2010
    ..Neonatal Resuscitation Program (NRP) guidelines recommend chest compression depths of 1/3 the anterior-posterior (AP) chest depth. Appropriateness of this recommendation has not been rigorously assessed...
  38. ncbi request reprint Change in regional (somatic) near-infrared spectroscopy is not a useful indicator of clinically detectable low cardiac output in children after surgery for congenital heart defects
    Utpal S Bhalala
    Department of Anesthesiology and Critical Care, The Children s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA
    Pediatr Crit Care Med 13:529-34. 2012
    ..Our objective was to determine role of splanchnic and/or renal oxygenation monitoring using near-infrared spectroscopy for detection of low cardiac output in children after surgery for congenital heart defects...
  39. ncbi request reprint Site-level variance for adverse tracheal intubation-associated events across 15 North American PICUs: a report from the national emergency airway registry for children*
    Sholeen Nett
    1Division of Pediatric Critical Care, Dartmouth Hitchcock Medical Center, Lebanon, NH 2Department of Pediatrics, Sainte Justine Hospital, Montreal, QC, Canada 3Pediatric Critical Care, Dartmouth Hitchcock Medical Center, Lebanon, NH 4Department of Pediatrics, Division of Critical Care, Kosair Children s Hospital, University of Louisville, Louisville, KY 5Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, Philadelphia, PA
    Pediatr Crit Care Med 15:306-13. 2014
    ..We hypothesize that site-level variance exists in the prevalence of tracheal intubation-associated events and that site characteristics may affect outcomes...